Minofu Yopumula + Yopanikizika
Mwachidule
Cyclobenzaprine ndimasewera olimbitsa thupi omwe amapezeka mu mawonekedwe achibadwa komanso pansi pa maina a Flexeril ndi Amrix. Zimatengedwa kuti ndi mankhwala achiwiri a fibromyalgia.
Mankhwalawa amakhalanso ndi zotsatira zofanana ndi za tricyclic zomwe zimawathandiza kuti azivutika maganizo.
Cyclobenzaprine si FDA-yovomerezeka ku fibromyalgia, koma kawirikawiri imatchulidwa kuchoka pa-label kwa izo.
Cyclobenzaprine amatsitsimutsanso minofu yanu pogwiritsa ntchito dongosolo lanu lamkati la mitsempha . Nthawi zambiri madokotala amapereka mankhwalawa chifukwa cha kuvulala kwa minofu komanso kupweteka kosatha.
Mu maphunziro, mankhwalawa apezeka kuti akuthandizenso khalidwe la kugona.
Fibromyalgia Studies
Cyclobenzaprine yawerengedwa ngati mankhwala opangidwa ndi fibromyalgia kuyambira m'ma 1980, ndi zotsatira zosiyana.
Kupenda kwa mankhwala osokoneza bongo mu 2011 (Smith) ogwiritsidwa ntchito pa fibromyalgia kunapeza kuti imodzi mwa mayesero atatuwa anaphatikizapo kuti cyclobenzaprine yachepetsa ululu wa fibromyalgia. Chiyeso chogonjera chinasonyezanso kusintha kwa kugona, komanso kusintha kwakukulu. Komabe, ochita kafukufuku sanapeze kusiyana kwakukulu kwa kuuma, kutopa, zipsyinjo zamatenda , kupweteka kwa minofu, kapena kuzunzika kwathunthu.
Kuwongolera kunapeza kuti zotsatira za mayesero ang'onoang'ono nthawi zambiri sizinali zofunikira, mwina chifukwa zinaphatikizapo anthu ochepa.
Kafukufuku wakale (Tofferi) wa mabuku a zachipatala amati odwala fibromyalgia omwe amatenga cyclobenzaprine nthawi zambiri amafotokoza kugona bwino, zizindikiro zochepa komanso kusintha kwakukulu kuposa anthu omwe ali m'magulu olamulira.
Kafukufuku wina wakale anawonetsa kusintha kwa kanthawi kochepa, koma palibe kusintha kwakukulu kwa nthawi yaitali.
Mu 2011, kafukufuku wazing'ono omwe amaganizira za kugona tulo (Moldofsky) adatsimikizira kuti mankhwala ochepa kwambiri a cyclobenzaprine amachepetsa ubwino wa kugona kwa anthu omwe ali ndi fibromyalgia. Ochita kafukufuku adanenanso kuti akuwonanso ululu, kupweteka komanso kuvutika maganizo .
Mlingo
Mlingo waukulu wa cyclobenzaprine uli pakati pa 5 ndi 10 mg, katatu katatu patsiku. Fomu yowonjezera, yomwe nthawi zambiri imatengedwa mlingo wa 15 mpaka 30 mg kamodzi pa tsiku, imapezekanso.
Pachilombo cha fibromyalgia pazogona za thupi, ophunzira adapatsidwa mowonjezereka mlingo wa 1 mpaka 4 mg, atangotengedwa pogona.
Mankhwala otsika amadziwika kuti ndi ochepa.
Zotsatira Zotsatira
Zotsatira zina za cyclobenzaprine ndizovuta kwambiri kuti muwauze dokotala mwamsanga. Zikuphatikizapo:
- Kuthamanga kwa mankhwala (kuthamanga, mng'oma, kutupa kwa nkhope, milomo kapena lirime)
- Kupweteka pachifuwa kapena kupweteka, makamaka kupweteka kufalikira pamapewa kapena mkono
- Kufulumira, kupweteka kapena kusagwirizana kwa mtima
- Kutha kwangozi kapena kufooka
- Kusokonezeka kapena kutayika
- Mutu mwadzidzidzi
- Hallucinations
- Kugonjetsa
- Nsowa kapena kusanza
Zotsatira zochepa zoopsa zikuphatikizapo:
- Mlomo wouma
- Masomphenya obisika
- Kugona
- Kutaya njala
- Kupweteka kwa m'mimba
- Kutsekula m'mimba, kudzimbidwa kapena mafuta
Mawu Ochokera
Ngati mukufuna kutenga cyclobenzaprine, kambiranani ndi adokotala za izo. Iye angakuthandizeni kusankha ngati mankhwalawa angakhale opindulitsa kwa inu komanso kuti muteteze limodzi ndi mankhwala ena.
Zotsatira:
Cantini F, et al. Minerva medica. 1994 Mar; 85 (3): 97-100. Chokhachokha, nkhani mu Chitaliyana. Fluoxetin pamodzi ndi cyclobenzaprine pochiza fibromyalgia.
Carette S, et al. Arthritis ndi rheumatism. 1994 Jan; 37 (1): 32-40. Kuyerekezera amitriptyline, cyclobenzaprine, ndi placebo pochiza fibromyalgia. Chiyeso chosagwiritsidwa ntchito mosasinthika, chachiwiri.
Moldofsky H, et al. Journal of rheumatology. 2011 Dec; 38 (12): 2653-63. Zotsatira za maola ochepa kwambiri ogona a cyclobenzaprine pa zizindikiro ndi kugona thupi lachilendo kwa odwala omwe ali ndi matenda a fibromyalgia.
Santandrea S, et al. Journal ya kafukufuku wamankhwala padziko lonse. 1993 Mar-Apr; 21 (2): 74-80. Phunziro lachiwiri lopanda ubongo la cyclobenzaprine limayambitsa matenda a primary fibromyalgia.
Smith B, ndi al. Maphunziro a Zamankhwala. Oregon Health & Science University; 2011 Apr. Mankhwala a Fibromyalgia: Final Final Report.
Tofferi JK, Jackson JL, O'Malley PG. Arthritis ndi rheumatism. 2004 Feb 15; 51 (1): 9-13. Kuchiza kwa fibromyalgia ndi cyclobenzaprine: Meta-analysis.