Omwe amadzipweteka kwambiri amchere a OTC omwe ali ndi ntchito ya phenylephrine bwino.
Mu 2006, Pulezidenti Bush adalemba Mgwirizano wa Methamphetamine Epidemic Act, kusintha kwa lamulo lachibadwidwe, kukhala lamulo. Cholinga cha Combat Methamphetamine Epidemic Act chinapangitsa kuti zikhale zovuta kuti anthu apeze mankhwala osokoneza bongo omwe ali ndi pseudoephedrine mwa kusunthira mankhwalawa kumbuyo kwa mankhwalawa, kufuna anthu ogula kuti apereke chithunzi ID, ndi kuletsa malonda ku malonda 7.5 pa kasitomala pamwezi.
Komanso, maiko ambiri adziika okha zoletsedwa pa pseudophedrine yogulitsa. Kusintha kumeneku kunapangidwira kuti asiye mankhwala osokoneza bongo m'mitima ya methamphetamine.
Pambuyo pa kusintha kumeneku, ambiri opanga mankhwala asintha pseudophedrine kwa phenylephrine m'matumbo awo ambiri otupa pamlomo. Koma apa pali chinthu chokhudza phenylephrine: Izo sizigwira ntchito bwino. Ngati munagulapo zinthuzo kuti mutse mphuno zanu, mwinamwake mwakhala mukupumula pang'ono kapena kopanda phindu. Zowonjezerapo, ngati zingatheke komanso zowonjezereka kuti zithetsedwe pang'onopang'ono, zogula nsomba zapamwamba za Sudafed (zomwe ziri ndi pseudoephedrine) osati Sudafed PE (yomwe ili ndi phenylephrine). Kuonjezera apo, ngati mukusowa Osauka, muyenera kupanga msonkhano kuti muwone dokotala wanu wamkulu.
Kodi Pseudoephedrine ndi Phenylephrine ndi chiyani?
Pseudoephedrine ndi phenylephrine ndi mankhwala osokoneza bongo omwe amachitira chifundo ("nkhondo kapena ndege").
Malingalirowa, mankhwalawa akuyenera kukuumitsani chifukwa chake iwo amaikidwa chifuwa chosiyanasiyana komanso kukonzekera kuzizira nthawi zambiri kuphatikizapo chifuwa suppressants ndi antihistamines. Zindikirani, ofufuza amasonyeza kuti monga phenylephrine, antihistamines amachititsa pang'ono kusokonezeka ndi kuzizira.
Mwachindunji, pseudoephedrine imakhala ndi alangizi omwe amadziwika bwino komanso osadziwika bwino koma amachititsa chidwi kwambiri.
Ngakhale, phenylephrine ndizodziwika bwino ndi alpha-adrenergic agonist.
Kusiyanitsa kwakukulu pakati pa mankhwala awiriwa kumakhudzana ndi magulu akuluakulu oyamba a kupititsa patsogolo mankhwala. Ngakhale kuti 90 peresenti ya pseudoephedrine imapangitsa kupyolera m'matumbo poyendetsa bwino, 38 peresenti ya phenylephrine imaipanga m'magazi athu. Mwa kuyankhula kwina, inu mumathera kutaya phenylephrine yambiri kusiyana ndi thupi lanu limatenga.
Kafukufuku wa Phenylephrine
Kuchita zinthu mwachilungamo, kufufuza za mphamvu ya phenylephrine kuthetsa kusokonezeka kwa m'mimba kumaphatikizapo, komanso kulikonse. Mwachitsanzo, kufotokozera meta poyerekeza ndi kayendedwe ka 10 mg phenylephrine ndi kayendetsedwe ka placebo mu ochita kafukufuku adawonetsa kuti phenylephrine ikhoza kuchepetsa kuthamanga kwa mpweya wa nasal, chilengedwe cha chisokonezo, ndi zoposa 20 peresenti. Komabe, phunziro ili linalipidwa ndi mgwirizano wa zofuna za mankhwala.
Zowonongeka zowononga zowonongeka ndi zowonjezera zina kuyerekezera phenylephrine ndi placebo zakhala zikuchitidwa zomwe zikusonyeza kuti palibe kusiyana pakati pa ziwiri zomwe mwina phenylephrine amachita pang'ono koma amachotsa ngongole ya ngongole za dola.
Zindikirani, ena ofufuza amati chifukwa cha kuchuluka kwa chiwindikiro choyamba cha kupititsa patsogolo kwa phenylephrine mlingo akhoza kuthandizira kuthetsa kusokonezeka kwa msana.
(Chonde kambiranani ndi mankhwala ndi madokotala onse). Koma ndani akudziwa? Chimene tikudziwa ndi chakuti mu mankhwala oopsa a mankhwalawa amakhala ndi zotsatira zoopsa kuphatikizapo kuthamanga kwa magazi (kuthamanga kwa magazi), kutaya magazi, kapena kupweteka kwa mtima kumene kumapangitsa kuti kawiri kawiri kapena katatu katayike.
Mawu Ochokera
Chonde kumbukirani kuti ngakhale simukusowa mankhwala kuti mugule mankhwala osokoneza bongo, iwo akadali mankhwala omwe angakhale ndi zotsatira zovuta. Nthawi zonse muzifunsa dokotala wanu malangizo musanayambe kumwa mankhwala alionse. Komanso, ngati mukugwiritsa ntchito mankhwala osokoneza bongo chifukwa cha matenda, muyenera kukhala ndi matenda omwe amawayeza ndi dokotala wanu.
Ngati inu kapena wokondedwa wanu muli ndi vuto loopsya la minofu, chitani nokha chisomo ndikusiya mankhwala osokoneza bongo (OTC) omwe ali ndi phenylephrine. Ngati mukuyenera, komanso kwa nthawi yayitali musanayambe kumuwona dokotala wanu wamkulu, ganizirani kukonzekera komwe kuli pseudoephedrine (yomwe ingagwire ntchito bwino kuposa phenylephrine) kapena mankhwala osokoneza bongo m'matope (topicalestant).
Chonde kumbukirani kuti ngakhale mutagwira ntchito kanthawi kochepa chabe, kugwiritsa ntchito mankhwala osokoneza bongo kwa nthawi yayitali kungayambitse kusokonezeka kwapakhosi , kumangokhala koopsa komwe kumathera kuwonjezereka kwa msana. Kuwonjezera apo, ngati kuwonana kwanu kapena zizindikiro zina zozizira zikupitirira kwa masiku angapo, muyenera kupanga nthawi yokonzekera dokotala wamkulu, dokotala kapena wothandizira wodwala yemwe angathe kudziwa ngati matenda anu ali opatsirana kwambiri.
> Zosowa
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> Nkhani yotchedwa "Efficacy and Safety of oral Phenylephrine: Review and Review Meta-Analysis" ndi RC Hatton ndi olemba anzawo ndipo inalembedwa mu Annals of Pharmacotherapy mu 2007.
> Nkhani yotchedwa "Oral phenylephrine: Kusintha kwa pseudoephedrine"? ndi L Hendeles ndi RC Hatton ndipo adafalitsidwa mu Journal of Allergy and Clinical Immunology mu 2006.
> Nkhani yotchedwa "Meta-Analysis of The Efficiency of Single Dose of Phenylephrine 10 mg Poyerekeza ndi Placebo mu Akuluakulu Omwe Ali ndi Matenda Aakulu a Nasal Chifukwa cha Cold Common" mwa C Kollar ndi alembi omwe anafalitsidwa mu Clinical Therapeutics mu 2007.
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