Matenda a Osteoarthritis Owonjezera pa Mndandanda wa Zizindikiro za Duloxetine
Cymbalta imakhala ngati chithandizo cha ululu wa matenda osokoneza bongo, kuphatikizapo osteoarthritis ndi kupweteka kwapweteka kwanthawi yaitali , chifukwa FDA inavomereza kuti izi zitheke mu 2010. Cymbalta (duloxetine hydrochloride) ndi mankhwala osokoneza bongo opangidwa ndi Lilly. Poyamba inavomerezedwa ndi FDA mu 2004 chifukwa chachikulu chakumvetsa chisoni. Walandira chivomerezo cha matenda osiyanasiyana, koma tsopano akuperekedwanso kuti ululu wopweteka kwambiri umasokonezeka.
Momwe Cymbalta imagwirira ntchito kwa Osteoarthritis ndi Paint
Cymbalta imatchedwa serotonin ndi norepinephrine reuptake inhibitor (SNRI). Zimagwira ntchito powonjezera zinthu zakuthupi mu ubongo, serotonin, ndi norepinephrine, zomwe zimakhulupirira kuti zimasiya kupweteka kwa ubongo.
Chivomerezo cha Cymbalta chifukwa cha ululu wa minofu, kuphatikizapo osteoarthritis ndi kupweteka kwa msana, chinali chotsatira pa zotsatira za mayesero ochiritsira aŵiri, omwe amachititsa kuti asamangidwe, omwe amachititsa kuti asamapweteke kwambiri. Zotsatira zinawulula kuti odwala kutenga Cymbalta anali ndi kupweteka kwakukulu kwambiri kuposa odwala omwe amakhala ndi placebo.
Mlingo ndi Malangizo
Cymbalta imapezeka ndi mankhwala okhaokha. Mankhwalawa akupezeka ngati capsule yotulutsidwa yochedwa-bwino mu mphamvu 20, 30, ndi 60 milligram. Dokotala wanu adzakupatsa mlingo woyenerera wa matenda anu ndipo angayambe pa mlingo wochepa ndikuwonjezera mlingo.
Onetsetsani kuti muzimaliza kapsule lonse popanda kuphwanya, kupatukana, kutafuna, kapena kutsegula kapsule.
Tengani mankhwala anu molondola molingana ndi malangizo pa chizindikirocho. Mukhoza kutenga Cymbalta kapena wopanda chakudya. Ngati zimayambitsa kupweteka m'mimba, tengani chakudya. Onetsetsani kuti musamaimitse mankhwala mwadzidzidzi kapena musanayambe kukambilana ndi dokotala wanu.
Ngati musiya mwadzidzidzi, mukhoza kukhala ndi zotsatira zosautsa kapena zoipa.
Kodi Cymbalta Ndi Yosafunika kwa Anthu Ena?
Dokotala wanu adzasankha ngati Cymbalta ndi mankhwala oyenera kwa inu. Onetsetsani kuti mudziwe dokotala ngati muli ndi zovuta zodziwika kuti duloxetine, kapena ngati mutenga thioridazine kapena MAO inhibitor. Perekani dokotala mndandanda wa mankhwala onse ndi mavitamini omwe mumatenga. Kambiranani za matenda ena omwe muli nawo komanso zizolowezi monga kumwa mowa.
Lilly akuchenjeza kuti maphunziro a zinyama amasonyeza kuti Cymbalta ikhoza kuvulaza mwana, nkhawa kwa amayi apakati. Amapereka chisamaliro kuti azigwiritsa ntchito poyamwitsa amayi. Funsani dokotala wanu koma mwinamwake nthawi zambiri silingakulangizidwe.
Zotsatira Zogwirizana
Zotsatira zoyipa zimaphatikizapo kunyoza, pakamwa pouma, kudzimbidwa, kugona, kutukuta, ndi kuchepa kwa njala. Zotsatira zosavomerezeka zochepa zimaphatikizapo kusanza, kutsekula m'mimba, ululu wa m'mimba, kusintha kwa zizolowezi zamakono, chizungulire, kupweteka mutu, kutopa, kupweteka kwa minofu, kupweteka kwa minofu, kusintha kwa kugonana, kapena kugwedezeka. Cymbalta ingayambitse zotsatira zina, zina zomwe zingakhale zovuta. Ngati mukukumana ndi zotsatira zoopsa zomwe zimawoneka ngati zosavuta, funsani mankhwala mwamsanga.
Machenjezo apadera
Cymbalta ili ndi chenjezo lakuda la bokosi monga momwe limawonetseredwa ndi mankhwala osokoneza bongo.
Chinawonjezeka mu 2014. Malingana ndi kufotokozera zambiri za Cymbalta yoperekedwa ndi wopanga:
Chenjezo: Maganizo Odzipha ndi Zopindulitsa
• Kuonjezera chiopsezo cha kudzipha ndi khalidwe la kudzipha kwa ana, achinyamata, ndi achinyamata omwe amadwala matenda opatsirana
• Kuwunika kuwonjezereka ndi kutuluka kwa malingaliro ndi kudzipha "
Kumbukirani kuti chiwonetserochi chimachokera pa maphunziro a odwala omwe ali ndi vuto lalikulu lachisokonezo ndi matenda ena a maganizo m'malo mogwiritsa ntchito osteoarthritis. Koma inu, banja lanu, ndi osamala muyenera kukhala osamala kuti akuyang'anitseni chifukwa cha kusokonezeka, kukhumudwa, kusintha kwachizolowezi, ndi kudzipha.
Lembani chilichonse mwa izi mwamsanga kwa wothandizira zaumoyo wanu.
Chenjezo linaperekedwanso mu 2014 kwa hypotension orthostatic , falls ndi syncope (kutaya). Izi ndi pamene vuto lanu la magazi likugwa mukamachoka pabedi kapena kunja kwa mpando. Kuopsa kwa kugwa kwakukulu ngati mutenga mankhwala osokoneza bongo kuphatikizapo Cymbalta. Ngati mutha kale kugwa kuchokera ku msinkhu kapena zochitika zina, izi zikhoza kukhala zovuta kwambiri ndi Cymbalta, makamaka pamene muyamba kuyamba kutenga.
Kuyanjana kwa Mankhwala Ogwirizana ndi Cymbalta
Mankhwala ena otengedwa ndi Cymbalta akhoza kuonjezera kapena kuchepetsa zotsatira za mankhwala. Mankhwala oyenera kukhala osamala kwambiri, omwe angayambitse kuyanjana kwa mankhwala, ndi awa:
- Quinolones
- Kudetsa nkhaŵa
- Mankhwala a antipsychotic
- Mankhwala osokoneza bongo
- Mankhwala ogona
- Zokonzeratu
Zotsatira:
> Mpangidwe. Kufotokozera Information . Eli Lilly ndi Co http://pi.lilly.com/us/cymbalta-pi.pdf
> Duloxetine (Pakamwa), Micromedex Consumer Information Information, PubMed Health, US National Library of Medicine. Dec. 1, 2017. https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0010059/?report=details#uses.
> Madokotala desk reference 2017 . Montvale, NJ: PDR, LLC; 2016.