Methylphenidate, yomwe imatchuka kwambiri ndi dzina lakuti Ritalin, ndi yolimbikitsa yomwe yakhala ikugwiritsidwa ntchito pophunzitsa ana kuti asamangokhala ndi vuto loipa. Ndipo ngakhale kuti nthawi zambiri zimagwira ntchito zowononga zizindikiro za ADHD, vuto lalikulu linali lakuti linagwedezeka mwamsanga, choncho ana nthawi zambiri ankafunika kumwa mapiritsi awiri kapena atatu patsiku.
Kuchita kawirikawiri kumatanthauza kuti ana amayenera kumwa mapiritsi m'mawa, wina kumadzulo nthawi kusukulu, ndipo nthawi zina amatha sukulu.
Kuwonjezera pa kusokonezeka, ana nthawi zambiri sankakonda kukhala osiyana ndi anzawo a m'kalasi ndipo amatsamira pa ofesi ya a nurse pamapiritsi awo.
Kusunthira kamodzi katsiku kamodzi kothandizira kuchipatala kwandilandiridwa ndi ana, makolo ndipo ine ndikudziwa kuti sukulu inamwino nayenso. Tsopano ana ayenera kumwa mapiritsi limodzi m'mawa ndipo amatha maola 10-12.
Concerta ya ADHD
Chovomerezedwa ndi FDA mu 2000, Concerta anali mankhwala oyamba kamodzi pa tsiku kwa ADHD ndipo mwamsanga anayamba kutchuka. Mofanana ndi Ritalin, chofunika chake ndi methylphenidate, koma ndi phukusi lapadera lomwe limapatsa mwana wanu mankhwala tsiku lonse.
Kupita ku Concerta kuchokera ku Ritalin nthawi zonse ndi kophweka. Nthawi zambiri mumangotenga mlingo wanu wa tsiku ndi tsiku wa Ritalin ndikusintha piritsi la Concerta lomwe liri pafupi kwambiri ndi mlingo umenewo. Kotero ngati mwana wanu atenga 5mg a Ritalin katatu patsiku, pa mlingo wa tsiku ndi tsiku wa 15mg, mutha kusintha mwatcheru ya 18mg yapepala ya Concerta.
Concerta imapezekanso mu mapiritsi a 27mg, 36mg, ndi 54mg, kupatsa zosankha zosintha. Ndipo ngakhale piritsi lalikulu ngakhale silikupezeka, anyamata achikulire angapangidwe mapiritsi awiri a 36mg kuti afikire mlingo waukulu wa 72mg.
Ngakhale kuti madokotala amayamba kawirikawiri poyambitsa zovuta, kumbukirani kuti mu kafukufuku waposachedwa 95% wa ana anali pa 36mg kapena 54mg mapiritsi amphamvu, choncho musataye pa Concerta ngati mankhwala osachepera sakuwoneka kuti azigwira ntchito.
Kusintha kuchokera ku Adderall kapena Adderall XR kumakhalanso kosavuta. Nthawi zambiri mumangotenga mlingo wanu wa tsiku ndi tsiku wa Adderall.
Concerta zoyipa zotsatira
Malinga ndi Concerta's product information packet, zotsatira zoyipa za Concerta ndi mutu (14%), kupuma kwapakati pamatenda (8%), kupweteka m'mimba (7%), kusanza (4%), kusowa chakudya (4%) , kusowa tulo (4%), chifuwa chowonjezeka (4%), pharyngitis (4%), sinusitis (3%), ndi chizungulire (2%).
Ngati mwana wanu ali ndi zotsatira zoopsa, mlingo wochepa kapena kusintha kwa mankhwala osiyana kungakhale kofunika.
Ndipo ngakhale kuti FDA "sinapeze mgwirizano pakati pa kugwiritsa ntchito mankhwala a ADHD ndi zochitika za mtima," monga stroke, matenda a mtima, ndi imfa yadzidzidzi, imalimbikitsa kuti "odwala omwe ali ndi mankhwala a ADHD ayenera kuyang'aniridwa nthawi zonse kuti asinthe mtima mlingo kapena kuthamanga kwa magazi. "
Zina Zomwe Zimatenga Nthawi Zambiri za Methylphenidate
Palinso mitundu yambiri ya mawonekedwe a methylphenidate, monga Daytrana, CD ya Metadate, Ritalin LA, ndi Quillivant XR, bwanji osankha Concerta?
Chifukwa chimodzi, ngakhale kuti zonse zimapangidwa ndi methylphenidate, zimakhala zosiyana pazochitika zawo.
Matenda a Concerta amapereka mwana omwe ali ndi chiwerengero choyamba cha 22% ndipo kenako mankhwala onsewo patsikulo.
Kotero ngati mwana wanu akudya Concerta 18mg, adzalandira 4mg pa mankhwala m'mawa ndipo adzayamba ndi mankhwala pang'ono ngati anali kale pa 5mg katatu patsiku pa Ritalin.
Ritalin LA amagwiritsa ntchito njira yofanana ndi Adderall XR , kotero mumatenga theka la mlingo chinthu choyamba m'mawa mutatha kutenga izo ndi theka lina patapita tsiku. Izi zikutanthauza kuti ngati mwana wanu atenga Ritalin LA 20mg, adzalandira mlingo wa 10mg m'mawa. Ichi ndi kusiyana kwakukulu kwa mlingo wa 4mg amene angapeze ngati akugwira Concerta 18mg.
Kotero ngati mwana wanu ali ndi mavuto m'mawa mukatenga Concerta, kusintha kwa Ritalin LA kungakhale njira yabwino kuposa kuwonjezera mlingo wa Concerta.
Imapezeka mu capsule 20, 30, ndi 40mg.
CD ya Metadate ikufanana ndi Concerta mukuti mumapeza mlingo woyambirira. CD ya metadate imapangidwa ndi maselo omaliza omwe amapereka 30 peresenti ya mlingo pomwepo ndipo 70% ya mlingoyo imamasulidwa kuchoka ku mikanda yowonjezeredwa. Chokhumudwitsa n'chakuti chimapezeka mu mphamvu imodzi yokha 20mg, choncho mwana wanu ayenera kutenga capsule yoposa imodzi kuti apeze mlingo wapamwamba.
Zomwe Mungadziwe Ponena za Nkhaŵa
Kuphatikiza pa mfundo izi, zinthu zina zoti mudziwe za Concerta ndizo:
- Matendawa sangathe kuyendetsedwa kapena kuponderezedwa ndipo ayenera kumeza zonse, choncho zingakhale zovuta kwa ana omwe sangathe kumwa mapiritsi. Ritalin LA ndi CD ya Metadate ikhoza kutsegulidwa ndi kuwazidwa pa chakudya, monga maapuloauce, ngati mwana wanu sangathe kumwa mapiritsi . Quillivant XR ndi mankhwala a methylphenidate ndipo Daytrana ndi chigamba, kotero ana omwe sangathe kumeza mapiritsi tsopano ali ndi njira zambiri.
- Matendawa ndi federally controlled substance.
- Concerto ya Generic (Methylphenidate ER) inayamba kupezeka mu December 2012. Tsoka ilo, mitundu iwiri ya generic sinkawoneka ngati yopanda chithandizo (anali ndi njira yowonjezera yowonjezera kuposa yeniyeni ya Concerta) ndipo posakhalitsa anachotsedwa pamsika.
Matendawa si a aliyense, makamaka ana omwe ali ndi nkhawa, tics, kapena matenda a Tourette , glaucoma, kapena matenda okhudza Concerta, koma angakhale njira yabwino kwa ana ambiri omwe ali ndi ADHD.
Zotsatira:
Guide ya mankhwala a Concerta. Revised December 2013.
Kuyankhulana kwa DA: Kukonzekera kwa Chitetezo Chakumwa kwa Mankhwala Omwe Amagwira Ntchito Yopatsa Chisokonezo / Kusokoneza Matenda (ADHD) kwa ana ndi achinyamata. November 2011.
Wilens T. ADHD chithandizo ndi kamodzi tsiku ndi tsiku OROS methylphenidate: zotsatira zochepa za miyezi 12 kuchokera ku kafukufuku wamakalata a nthawi yaitali. J Am Academic Adolesc Atsikana Psychiatry - 01-APR-2003; 42 (4): 424-33