I-osteoarthritis Yengezwe ohlwini lwezinkomba ze-Duloxetine
I-Cymbalta ivela njengokwelapha ubuhlungu obungapheli obuyisifo samasculoskeletal, kuhlanganise ne- osteoarthritis kanye nobuhlungu obungapheli obuya emuva , ngoba i-FDA iyayivumela lokho kusetshenziswa ngo-2010. I-Cymbalta (duloxetine hydrochloride) yisidakamizwa somlomo esakhiwa nguLilly. Kwakuqala ukugunyazwa yi-FDA ngo-2004 ngenkinga enkulu yokucindezeleka. Imukelwe imvume yezimo ezihlukahlukene zempilo yengqondo, kepha manje futhi kunqunywe ubuhlungu obungapheli obuyisifo samasculoskeletal.
Indlela i-Cymbalta isebenza ngayo i-Osteoarthritis and Pain
I-Cymbalta ihlukaniswa njenge-serotonin ekhethiwe kanye ne-norepinephrine reuptake inhibitor (SNRI). Isebenza ngokwandisa izinto zemvelo ebuchosheni, i-serotonin, ne-norepinephrin, okukholelwa ukuthi imisa imiyalezo ebuhlungu ebuchosheni.
Ukwamukelwa kwe-Cymbalta ngenxa yobuhlungu besisu, kuhlanganise ne-osteoarthritis kanye nobuhlungu obuphansi emuva, busekelwe emiphumeleni yokuhlolwa kwemithi emibili engenamaphutha, okuyi-placebo, okwenziwa ngezikhathi ezithile-izifundo ezintathu zokuhlukunyezwa okuphansi futhi ezimbili ze-osteoarthritis. Imiphumela yabonisa ukuthi iziguli ezithatha i-Cymbalta zazinciphisa kakhulu ubuhlungu kuneziguli ezithatha indawo.
Izilinganiso nemiyalo
I-Cymbalta iyatholakala ngemithi kadokotela kuphela. Isidakamizwa sitholakalayo njengesivikelo sokulinda ukulibaziseka ekusebenziseni kwamandla angu-20, angu-30, no-60-milligram. Udokotela wakho uzokhipha umthamo ofanelekile wesimo sakho futhi angakuqala kumthamo ophansi futhi ukwandise umthamo.
Qiniseka ukugwinya yonke i-capsule ngaphandle kokuchoboza, ukuhlukanisa, ukuhlafuna noma ukuvula i-capsule.
Thatha umshwalense wakho ngokuvumelana nalokho okushiwo yilebuli. Ungathatha i-Cymbalta noma ngaphandle kokudla. Uma kubangela ukucasuka kwesisu, thatha ngokudla. Qinisekisa ukuthi ungamiseli umuthi ngokuzumayo noma ngaphandle kokuqala ukuxoxisana nodokotela wakho.
Uma umisa ngokuzumayo, ungase ube nemiphumela emibi noma engalungile.
Ingabe i-Cymbalta ayifaneleki kubantu abathile?
Udokotela wakho uzothatha isinqumo uma i-Cymbalta iyindlela yokwelapha efanelekile kuwe. Qinisekisa ukwazisa udokotela wakho uma unolwazi oluthambile oluthile lwe-duloxetine, noma uma uthatha i-thioridazine noma i-MAO inhibitor. Nikeza udokotela wakho uhlu lwawo wonke imithi namavithamini owuthathayo. Xoxa nganoma yiziphi ezinye izimo zezokwelapha onakho kanye nemikhuba efana nokusetshenziswa kotshwala.
U-Lilly uxwayisa ukuthi izifundo zezilwane zibonisa ukuthi i-Cymbalta ingabangela ukulimala komntwana, ukukhathazeka kwabesifazane abakhulelwe. Bancoma ukuqapha ukusetshenziswa kwabesifazane abancancisayo. Xhumana nodokotela wakho kodwa cishe kungenzeka ukuthi awunaki kabi ezimweni eziningi.
Imiphumela Ejwayelekile Ejwayelekile
Imiphumela emibi evamile ingase ihlanganise ukunxanxathela, umlomo owomile, ukuqothulwa, ukulala, ukujuluka nokunciphisa ukudla. Imiphumela emibi engavamile ihlanganisa ukuhlanza, isifo sohudo, ubuhlungu besisu, izinguquko emikhondweni ye-urinary, isizungu, ikhanda, ukukhathala, ubuhlungu besisu, imisipha yomzimba, ukuguqula imikhuba yobulili, noma ukuthuthumela. I-Cymbalta ingabangela ezinye imiphumela emibi, ezinye zazo zingase zibe nzima. Uma uhlangabezana nemiphumela emibi ebukeka sengathi isimo esiphuthumayo, funa ukwelashwa ngokushesha.
Izixwayiso ezikhethekile
I-Cymbalta inexwayiso ebhokisini elimnyama njengoba livame ukubonwa ngezidakamizwa ezicindezelayo.
Yanezelwa ngo-2014. Ngokusho kokubeka ulwazi nge-Cymbalta enikezwe umenzi:
" Isexwayiso: Izinkolelo Zokuzibulala Nezinkinga
• Ingozi eyengeziwe yokuzicabangela nokuzibulala ezinganeni, intsha, kanye nabantu abadala abathwala izidakamizwa
• Ukuqapha ukuqhuma nokwehla kwemicabango yokuzibulala kanye nokuziphatha "
Khumbula ukuthi lesi sibonakaliso sisekelwe kwizifundo zeziguli ezinezinkinga ezinkulu zokucindezeleka nezinye izifo ezingokwemvelo kunokuba zisebenzise i-osteoarthritis. Kodwa wena, umndeni wakho, nabanakekeli kufanele baqaphele ukukuqapha ngenxa yokukhathazeka, ukucasula, izinguquko ezingavamile kokuziphatha, nokuzibulala.
Bika noma iyiphi yalezi ngokushesha kumhlinzeki wakho wezempilo.
Isixwayiso sangezwe ngo-2014 nge- hypotension ye- orthostatic , ukuwa kanye ne- syncope (ukuphelelwa amandla). Yilapho umfutho wegazi lakho wehla lapho uphuma embhedeni noma ngaphandle kwesihlalo. Ubungozi bokuwa bukhulu uma uthatha isidakamizwa esingaba namandla ngaphezu kweCymbalta. Uma usengozini yokuwa kusukela ebudala noma kwezinye izimo, lokhu kungase kubi nakakhulu nge-Cymbalta, ikakhulu uma uqala ukuwuthatha.
Ukusebenzisana Kwezidakamizwa Kuhlanganiswe Ne-Cymbalta
Izidakamizwa ezithile ezithathwe nge-Cymbalta zingakhuphula noma zinciphise umphumela wecala. Izidakamizwa okufanele ziqaphele ngokukhethekile, okungabangela ukusebenzisana kwezidakamizwa, kufaka:
- Quinolones
- Ama-antidepressants
- Imithi ye-Antipsychotic
- Imithi yokuhlunguphaza i-narcotic
- Imithi yokulala
- Ama-tranquilizers
Imithombo:
> Cymbalta. Ukubeka imininingwane . U-Eli Lilly no-Co http://pi.lilly.com/us/cymbalta-pi.pdf
> I-Duloxetine (Ngomlomo), Ulwazi Lwemithi Yomthengi we-Micromedex, Impilo Yomphakathi, i-US National Library of Medicine. Ngo-Dec 1, 2017. https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0010059/?report=details#uses.
> Physicians desk reference 2017 . I-Montvale, NJ: PDR, LLC; 2016.