Lyrica (pregabalin) ndi mankhwala omwe amagwiritsidwa ntchito kuti athetse ululu wa fibromyalgia . Kuwonjezera pamenepo, ndi FDA yomwe imavomerezedwa kuti igwiritsidwe ntchito mu matenda a shuga ndi mitsempha yotsatizana ndi neuralgia (shingles). Imakhalanso mankhwala odana ndi kugwidwa.
A FDA adavomereza Lyrica kuti agwiritse ntchito fibromyalgia mu June 2007, kuti apange mankhwala oyamba omwe amavomerezedwa kuti adziwe izi. Pakalipano, palibe Lyrica.
Chinthu chofanana kwambiri ndi gabapentin, chomwe ndi mtundu wa generic wa mankhwala a Neurontin, omwe ndi ofanana ndi Lyrica. (Ndipotu Lyrica amatchedwa "mwana wa Neurontin.") Komabe, mankhwalawa sali ofanana, kotero thupi lanu lingayankhe mosiyana nawo.
Lyrica tsopano ndi imodzi mwa mankhwala atatu a FDA omwe amavomereza mankhwala a fibromyalgia ndipo ndiyo yokha yomwe sichiwerengedwa ngati anti-depressant. Mankhwala ena ndi Cymbalta (duloxetine) ndi Savella (milnacipran) .
Momwe Lyrica Imagwirira Ntchito
Fibromyalgia amakhulupirira kuti imakhala ndi mitsempha yowonjezereka komanso kutayika kwa odwala matendawa omwe amatumiza mauthenga, kuphatikizapo zowawa, pakati pa maselo a ubongo.
Asayansi samvetsa momwe lyrica amathandizira zizindikiro za fibromyalgia. Komabe, mankhwalawa amakhulupirira kuti amachepetsanso maganizo ena mu ubongo ndipo amasiya mitsempha yambiri yogwira ntchito. Zingasokonezenso momwe njira zina zothandizira matendawa zimagwirira ntchito.
Lyrica kwa Fibromyalgia
Ngakhale kuti zavomerezedwa kwa zaka zingapo, kafukufuku wapitilizabe ku Lyrica monga mankhwala opangidwa ndi fibromyalgia.
Inde, kuti ikhale FDA yovomerezeka, mayesero ambiri azachipatala amayenera kusonyeza kuti zingapangitse kusintha kwakukulu mu ululu wa fibromyalgia , kutopa, ndi khalidwe la moyo.
Komabe, Lyrica sagwira ntchito kwa aliyense ndi fibromyalgia.
Ndipotu, ndemanga yomwe inafotokozedwa mu 2016 inapeza kuti Lyrica inali yogwira ntchito mokwanira kwa ophunzira 39 peresenti omwe anatenga 300 mg pa tsiku, ndi 43 peresenti ya omwe anatenga 600 mg patsiku. Ziwerengero zimenezo zikuwoneka zokhazikika mpaka mutaganizira kuti 28 peresenti ya anthu omwe akukhala ndi placebo anachita chimodzimodzi.
Kafukufuku wina akusonyeza kuti mankhwala a FDA omwe amavomerezedwa ndi fibromyalgia-Lyrica, Cymbalta, ndi Savella-onsewa amagwira ntchito mofanana. Kuphatikiza mankhwala awiri kungakhale kopindulitsa, komabe. Phunziro la 2016 lofalitsidwa mu nyuzipepala likufotokoza kuti kuphatikiza Lyrica ndi Cymbalta kungakhale yothandiza kuposa mankhwala okha, ndipo olembawo analimbikitsa kafukufuku wochulukirapo pa mankhwala ophatikizana.
Mlingo
Mlingo wamba wa Lyrica wa fibromyalgia ndi 300 mg mpaka 600 mg patsiku, pagawanika pakati pa awiri kapena atatu. Kawirikawiri, madokotala amalimbikitsa kuyamba kuyambira mlingo wochepa, monga 75 mg kawiri patsiku, ndikugwira ntchito pang'onopang'ono mpaka mlingo waukulu.
Ngati mutasankha kuchoka ku Lyrica, kambiranani ndi dokotala wanu za njira yoyenera yolekerera. Ndi koopsa kusiya kuletsa Lyrica mwadzidzidzi.
Zotsatira Zotsatira
M'chaka cha 2016, pofufuza za mbiri ya chitetezo cha Lyrica, ofufuza adapeza kuti zotsatira zoipa zimakhala zofewa pang'ono komanso kuti anthu ambiri amatha kuzipirira nthawi yaitali.
Kafukufuku wina amasonyeza kuti anthu 10 okha peresenti adataya chifukwa cha zotsatira zochokera ku Lyrica kusiyana ndi malo a placebo.
Komabe, mndandanda wa zotsatira zake zingakhale zotalika. Zina ndizofunikira kwambiri kuti muthe kuonana ndi dokotala mwamsanga ngati muli nawo. Zikuphatikizapo:
- Zomwe zimayambitsa matenda (kuthamanga, kuyabwa, ming†™ oma, nkhope yotupa, milomo kapena lilime)
- Nkhawa / chisokonezo
- Matenda opweteka
- Masomphenya amasintha
- Kupweteka pachifuwa
- Kusuntha kosadziwika kosavomerezeka
- Kutaya kwaiwala
- Kupweteka kwa minofu, chifundo kapena kufooka
- Mitambo
- Kudula kapenanso kutuluka mwadzidzidzi
- Maganizo a kudzipha kapena kufa
- Maonekedwe amasintha
Zotsatira zofala kwambiri za Lyrica, zomwe nthawi zambiri sizikusowa kuchipatala, ndizo:
- Kutsekula kapena kutsekula m'mimba
- Mlomo wouma
- Mutu
- Kusagona
- Nausea
- Kulemera kwalemera
Kafukufuku wapeza kuti Lyrica kawirikawiri imayambitsa kuyanjana ndi mankhwala ena ndipo amawoneka kuti ndi otetezeka pamene akuphatikizidwa ndi matenda opatsirana pogonana.
Mawu ochokera
Inu ndi dokotala wanu ndi okhawo amene mungathe kudziwa ngati mukufuna kupereka Lyrica kuyesa. Dziwani kuti zingakhale zodula ndipo makampani ena a inshuwalansi sangathe kulipira.
Ndilo lingaliro labwino, pamene muyambitsa mankhwala atsopano, kuti mwayamayi wanu ayang'ane pa mndandanda wanu wa mankhwala chifukwa chotsutsana kulikonse komweko. Mwinanso mutha kulingalira kusunga mndandanda wa zotsatira zovuta kuti muthe kuzindikira ngati muli ndi zoopsa zilizonse.
Zotsatira:
Derry S, Cording M, Wiffen PJ, et al. Pregabalin chifukwa cha ululu wa fibromyalgia mwa akuluakulu. Msonkhano wa Cochrane wa ndemanga zowonongeka. 2016 Sep 29; 9: CD011790. [Epub patsogolo pa kusindikiza]
Gerardi MC, Atzeni F, Batticciotto A, et al. Chitetezo cha pregabalin pochiza fibromyalgia. Lingaliro la akatswiri pankhani ya chitetezo cha mankhwala. 2016 Oct 11: 1-8. [Epub patsogolo pa kusindikiza]
> Gilron I, Chaparro LE, Tu D. Pain. Kuphatikiza kwa pregabalin ndi duloxetine ya fibromyalgia: kuyesedwa kosasinthika. 2016 Jul; 157 (7): 1532-40.
> Lee YH, Nyimbo GG. Kuyerekezera mphamvu ndi kulekerera kwa duloxetine, pregabalin, ndi milnacipran pochiza matenda a fibromyalgia: makina ovomerezeka a ku Bayesian meta-kufufuza mayesero olamuliridwa mosavuta. Rheumatology padziko lonse. 2016 May; 36 (5): 663-72.
NIH Publication NO. 04-5326