Ambien (Zopusa): Njira Yopanda Insomnia, Zotsatira Zotsatira, ndi Mlingo

by Brandon Peters, MD, dokotala wodziwika bwino

Mankhwala Opatsirana Ambien Angathandize Kuyamba ndi Kusunga Mgonero

Mankhwala amachiza zolpidem - ogulitsidwa pansi pa mayina a Ambien, Ambien CR, ndi Intermezzo - ndi mankhwala omwe amagwiritsidwa ntchito poyambitsa kugona ndi kuchiza kugona. Kodi zotsatira zowopsa ndi chiwerengero cha Ambien ndi ziti? Phunzirani za mankhwalawa ndi zofunikira zofunika kupewa chitetezo komanso ngati zili bwino kuti muthetse vuto la kugona.

Ntchito

Ambien ndi mankhwala osokoneza bongo omwe amachititsa kuti mitsempha yambiri isokonezeke, makamaka ubongo. Zimayambitsa kugona ndipo ndi zotetezeka komanso zothandiza poyambitsa ndi kugona tulo. Amagwiritsidwa ntchito pochita kusowa tulo kapena kusowa tulo .

Mutha kuuzidwa kuti muyambe kugwiritsa ntchito mankhwalawa moyenera kapena omasuka (CR). Palinso mawonekedwe othamanga omwe amatengedwa pansi pa lilime (mwachidule). Izi zimasiyana mosiyana ndi momwe thupi limatengera nthawi yaitali, koma zotsatira zake zimakhala zofanana.

Zomwe Zilipo

Malingana ndi chigwiritsidwe ntchito, pali madera osiyanasiyana a Ambien. Akazi makamaka amalangizidwa ndi US Food and Drug Administration (FDA) kuti agwiritse ntchito mlingo wochepa chifukwa cha zoopsa za zotsatira za mvula za m'mawa zomwe zingakhudze kuyendetsa bwino.

Mlingo wa mitundu yosiyanasiyana ya zolpidem ndi izi:

Ambien: 5 mg kapena 10 mg
Ambien CR: 6.25 mg kapena 12.5 mg

Intermezzo (mawu ofanana): 1.75 mg kapena 3.5 mg

Chigamulo chilichonse chokhudza mlingo woyenerera chiyenera kukambidwa ndi dokotala wanu ndikulingalira za mndandanda wanu wonse wa mankhwala ayenera kuchitika.

Kodi Zimagwira Ntchito Bwanji?

Ambien amalimbikitsa ntchito ya GABA receptors, mtundu wapadera wa neurotransmitter. Odwala matendawa ndi mankhwala omwe amatumizira pakati pa maselo a mitsempha (neurons).

Ntchito yowonjezera ya GABA yothandizira imaletsa ntchito za neuron zomwe zimapangitsa kuti asagone.

Ndani Asamaigwiritse Ntchito?

Mwamwayi, chiopsezo cha kulekerera kapena kudalira ndi ntchito ya Ambien ndizochepa kusiyana ndi benzodiazepine zina. Mankhwala sayenera kutengedwa ndi mowa kapena mankhwala ena omwe amalepheretsa dongosolo la mitsempha kapena kupuma, chifukwa zingachedwetse kapena kupuma.

Zingakhale zosagwiritsire ntchito mankhwala osokoneza bongo ngati muli ndi mbiri ya mowa mopitirira muyeso, kugwiritsa ntchito mankhwala osokoneza bongo, kuvutika maganizo, matenda osokonekera maganizo, mapapo, kapena matenda a chiwindi. Iyenera kugwiritsidwa ntchito mosamala akale kapena osokonezeka.

Zotsatira Zogwirizana

Pali zowonjezereka zotsatira za mankhwala alionse. Pakati pa mlingo waukulu, Ambien amachititsa kuti amnesia ( kukumbukira kukumbukira ), kuchepetsa kugona kwa REM , kapena kupuma. Kuchedwa mwadzidzidzi kwa mankhwala apamwamba kwambiri kungayambitsenso kuwonongeka kwa kugona . Ngakhale kuti munthu sangakhale ndi zotsatira zambiri zogwiritsidwa ntchito ndi mankhwala - ndipo mwina sangakhale nawo - zina zomwe zimachitika kawirikawiri ndizo:

Mutu
Kugona, kuthamanga, kapena "mankhwala osokoneza bongo"
Chizungulire, mutu wautali
Kutsekula kapena kutsekula m'mimba
Ululu wammbuyo
Zosokonezeka
Sinusitis ( matenda a sinus )

Pharyngitis ( pakhosi )
Mlomo wouma
Zizindikiro zofanana ndi ziphuphu
Palpitations (chizolowezi chosagwirizana cha mtima)
Kusokonezeka maganizo
Rash

Zochitika Zotheka Kwambiri

Ndi kugwiritsa ntchito mankhwala alionse, palinso zoopsa za zotsatira zoyipa. Izi zimachitika kawirikawiri, koma zikuphatikizapo:

Kusokonezeka maganizo
Maganizo odzipha
Chiwawa
Makhalidwe ovuta ogonana (monga kuchita ntchito pamene akugona)
Hallucinations
Amnesia (kukumbukira kukumbukira)
Anaphylaxis (kupweteka kwapakhosi monga khosi kutupa ndi mavuto kupuma)
Kuchotsa pambuyo posiya mankhwala mofulumira

Zitetezo za chitetezo

Ambien ayenera kupeŵa mimba ndi kuyamwitsa.

Anthu ena, monga tawatchula pamwambapa, ayenera kugwiritsa ntchito mankhwalawa mosamala kapena ayi. Palibe kuyang'anitsitsa kofunikira ndi ntchito ya Ambien.

Ngati mukukumana ndi mavuto aliwonse pogwiritsa ntchito Ambien, muyenera kukhala pafupi kwambiri ndi wothandizira odwala.

_Zotsatira:

_{"Ambien." Epocrates Rx Pro.} _{Version 16.3, 2016. Epocrates, Inc. San Mateo, California.}

_{Cooper, DH et al .} _{Buku la Washington la Medical Therapeutics .} _{Magazini 32, 2007. 14. Lippencott, Williams & Wilkins.} _{New York.}

_{Katzung, BG Basic & Clinical Pharmacology.} _{Mkonzi wa 9, 2004. 134-140.} _{The McGraw-Hill Companies, Inc. New York.}