I-Methylphenidate, eyaziwa kakhulu ngegama elibizwa ngegama elithi Ritalin, liyisikhuthazo esasetshenziselwa ukuphatha izingane ezinenkinga yokukhathazeka ngokweqile. Futhi nakuba ngokuvamile kwakusebenza kahle ekulawuleni izimpawu ze-ADHD, eyodwa enkulu kakhulu ukuthi yayigqoke ngokushesha, ngakho-ke izingane zazivame ukuthatha amaphilisi amabili kuya kwamatsatfu ngosuku.
Lokhu kulandelwa njalo kwakusho ukuthi izingane zadingeka ukuthatha ipilisi ekuseni, esinye isikhathi sekusasa esikoleni, futhi ngezinye izikhathi esinye sesinye isikole.
Ngaphandle kokungahambi kahle, izingane ngokuvamile zazingathandi ukuhlukaniswa nabalingani nabo ekilasini futhi zibheke ehhovisi labahlengikazi ngamaphilisi abo.
Ukunyuka kwesinye isikhathi sokuvuselela i-ADHD kuye kwamukelwa yizingane, abazali futhi nginesiqiniseko sokuthi abahlengikazi besikole nabo. Manje izingane zadingeka kuphela ukuthatha iphilisi elilodwa ekuseni bese lihlala amahora angu-10-12.
I-Concerta ye-ADHD
Kuvunywe yi-FDA ngonyaka ka-2000, i-Concerta yimibuzo yokuqala yangempela ngomuthi we-ADHD futhi ngokushesha yathandwa. Njengo-Ritalin, isithako sayo esiyinhloko i-methylphenidate, kodwa ihlanganiswa ku-tablet ekhethekile elawulwayo ehlinzeka ingane yakho ngemithi yonke imini.
Ukushintshela kwi-Concerta kusuka ku-Ritalin njalo kulula. Ngokuvamile uthatha umthamo wakho wansuku zonke kaRitalin futhi ushintshe kuphilisi le-Concerta eliseduze nalolo dose. Ngakho uma ingane yakho ithatha ama-5mg ka-Ritalin kathathu ngosuku, ngesilinganiso somthamo wansuku zonke esingu-15mg, mhlawumbe ungashintsha ku-18mg ithebulethi ye-Concerta.
I-Concerta itholakala namaphilisi angu-27mg, ama-36mg, nama-54mg, inikezela izinketho zokufaka izimo eziguquguqukayo. Futhi nakuba ithebhulethi enkulu nakakhulu ayitholakali, intsha ekhulile ingahle ibekwe amaphilisi amabili angu-36mg ukuze afinyelele umthamo omkhulu we-72mg.
Nakuba izingane zezingane ziqala ngezilinganiso eziphansi lapho ziqala ukuvuselela, khumbula ukuthi ekucwaningweni kwakamuva ama-95% wezingane ayesezibhebhe zamandla angu-36mg noma ama-54mg, ngakho ungayeki kwi-Concerta uma ama-dosage aphansi engabonakali ukusebenza.
Ukushintsha kusuka ku-Adderall noma i-Adderall XR nakho kulula. Ngokuvamile nje nje umthamo wakho wansuku zonke we-Adderall kabili.
I-Concerta Side Effects
Ngokusho kwepakethe yohlu lomkhiqizo we-Concerta, imiphumela emibi kakhulu ye-Concerta yilezikhanda (14%), ukutheleleka okuphezulu kokuphefumula (8%), ubuhlungu besisu (7%), ukuhlanza (4%), ukulahlekelwa ukudla (4%) , ukuleleka (4%), ukukhwehlela okwanda (4%), pharyngitis (4%), sinusitis (3%), kanye nesizungu (2%).
Uma ingane yakho iba nemiphumela emibi kakhulu, umthamo ophansi noma ushintsho kumuthi ohlukile kungadingeka.
Futhi nakuba i-FDA "ayitholanga ubudlelwane phakathi kokusetshenziswa kwemithi ye-ADHD nemicimbi yezinhliziyo," njenge-stroke, ukushaya kwenhliziyo, nokufa okungazelelwe komzimba, batusa ukuthi "iziguli eziphathwe ngemithi ye-ADHD kufanele zihlolwe ngezikhathi ezithile ukuze kube nezinguquko enhliziyweni isilinganiso noma ukucindezelwa kwegazi. "
Amanye amafomu okudala aseMethylphenidate
Kunamanye amafomu asebenza isikhathi eside e-methylphenidate, njenge-Daytrana, i-Metadate CD, uRitalin LA, no-Quillivant XR, ngakho-ke kungani ukhetha i-Concerta?
Okokuqala, nakuba zonke zenziwe nge-methylphenidate, zinehluke ekusebenzeni kwazo kwezidingo.
Uhlelo lokudiliva lwe-Concerta luhlinzeka ingane enomthamo wokuqala we-22% bese kuthi yonke imithi kamuva ngosuku.
Ngakho uma ingane yakho ithatha i-Concerta 18mg, izothola u-4mg kuphela emithini yemithi ekuseni futhi izoqala nge-dose ephansi uma ngabe ikhona ngo-5mg izikhathi ezintathu ngosuku lweRitalin ejwayelekile.
U-Ritalin LA usebenzisa indlela efana ne- Adderall XR , ngakho uthola isigamu somthamo wokuqala into yokuqala emva kokuwuthatha kanye nenye ingxenye kamuva emini. Lokhu kusho ukuthi uma ingane yakho ithatha uRitalin LA 20mg, uzothola umthamo we-10mg ekuseni. Lona umehluko omkhulu kusukela ku-4mg dose ayothola uma ethatha i-Concerta 18mg.
Ngakho uma ingane yakho inenkinga enkulu ekuseni uma uthatha i-Concerta, ukushintshela ku-Ritalin LA kungase kube ukhetho olungcono kunokwandisa umthamo we-Concerta.
Itholakala ku-capsule engu-20, 30, no-40mg.
I-CD ye-Metadate ifana ne-Concerta yokuthi uthole isilinganiso sokuqala esiphansi. I-CD ye-metadate yenziwe ubuhlalu obuseduze bokunikeza u-30% wenzalo ngokushesha futhi omunye u-70% we dosi ukhululwa ngokuqhubekayo kusuka ebuhlalweni obuningi bokukhululwa. Ukuhlukunyezwa ukuthi kuyatholakala kuphela kumandla angama-20mg, ngakho-ke ingane yakho kufanele ithathe i-capsule engaphezu kweyodwa ukuthola i-dose ephakeme.
Yini Okufanele Uyazi Ngayo Ngokukhathazeka
Ngaphandle kwala macebiso, ezinye izinto ozokwazi mayelana ne-Concerta zihlanganisa ukuthi:
- I-Concerta ayikwazi ukuhlaziywa noma yokuchotshozwa futhi kufanele igonywe ngokuphelele, ngakho kungaba inkinga yabantwana abangakwazi ukugwinya amaphilisi. Kokubili i-Ritalin LA ne-CD ye-Metadate ingavuleka futhi ifafazwe ngokudla, njenge-applesauce, uma ingane yakho ingakwazi ukugwinya amaphilisi . I-Quillivant XR iyinhlobo ye-liquid ye-methylphenidate ne- Daytrana iyisiqephu, ngakho-ke izingane ezingakwazi ukugwinya amaphilisi manje zinezinketho eziningi.
- Ukukhathazeka yizinto ezilawulwa yi-federally.
- I-Generic Concerta (i-Methylphenidate ER) yatholakala ngoDisemba 2012. Ngeshwa, izinhlobo ezimbili zohlobo aluzange zibonakale zilingana ngokweqile (zinezinhlelo ezahlukene zokukhululwa ezidlula i-Concerta yangempela) futhi maduzane zisuswa emakethe.
Ukukhathazeka akuwona wonke umuntu, ikakhulukazi izingane ezinezinkathazo, i-tics, noma i- Tourette's syndrome , i-glaucoma, noma i-Concerta, kodwa kungase kube yindlela enhle kubantwana abaningi abane-ADHD.
Imithombo:
I-Concerta Medication Guide. Ukuhlaziywa kukaDisemba 2013.
I-FDA Ukuphepha Kokuphepha Kwezidakamizwa: Ukubuyekezwa Kwezokuphepha Ukubuyekezwa Kwemithi esetshenziselwa ukwelapha Ukukhathazeka-Ukulahleka / Ukukhubazeka Kwegazi (ADHD) ezinganeni nakubantu abadala. Novemba 2011.
Ukwelashwa kuka-Wilens T. ADHD nge-once-nsuku zonke i-OROS methylphenidate: imiphumela yenyanga engu-12 evela ocwaningweni olude lwelebuli evulekile. J Am Acad Child Adolesc Psychiatry - 01-APR-2003; 42 (4): 424-33