Imithi yokwelapha ivame kakhulu e-US Njengoba ukukhwehlela kuyimpawu evamile yezifo eziningi, kuyaqondakala ukuthi abantu bangathanda imithi engayenza. it. yimisa . Kuningi lokucindezela ukukhwehlela okutholakala ngaphezulu kwe-counter kanye nezinye ezimbalwa ezitholakala ngomuthi kuphela.
Ngaphezulu kwezinketho zokubala
Ukucindezeleka okukhwehlela ngaphezulu , okuqukethe umkhiqizo okuthiwa u- dextromethorphan , kuvame ukungasebenzi kahle kepha kungasiza ekukhwehleleni okuncane.
Abaxhasi bayindlela yokwelapha engayeki ukukhwehlela kodwa esikhundleni sokukhulula umqubu, okwenza ukukhwehlela kukhiqize kakhulu futhi kuphumelele.
Nini Ukubona Udokotela
Uma unekhwehlela enzima noma engapheliyo ehlala isikhathi eside kunamaviki amathathu, kufanele ihlolwe ngumhlinzeki wakho wokunakekelwa kwezempilo kanye nokucindezeleka kokukhwehlela komuthi kufanele kusetshenziswe kuphela uma kudingekile. Izinhlayiya-ikakhulukazi ukukhwehlela okungapheli- zingabangela izinto zami eziningi futhi kungcono ukuzama ukuphatha imbangela ebalulekile kunokuba nje uzame ukukufihla. Lokhu kuhilela okungaphezu nje kokuthatha imithi yokwenza ukukhwehlela kumise.
Lapho Inkinga Ikhuluma khona
Eminyakeni yamuva, kuye kwaba nenkinga enkulu ngokucindezeleka kokukhwehlela komuthi wokugoma okubekwayo futhi kuthengiswe uma kungavunyelwe yi-FDA. Njengamanje, kunezinkinga eziyisikhombisa kuphela zokucindezela ukukhwehlela okugunyazwa yi-FDA. Zihlanganisa:
- I-Tussicaps
- I-Tussionex Pennkinetic
- I-Hydrocodone Compound
- I-Mycodone
- I-Homatroprine Methylbromide ne-Bitartrate ye-Hydrocodone
- I-Hycodan
- I-Tussigon
Zonke lezi ezicindezelayo zokukhwehlela umuthi ziqukethe i-opiate (i-hydrocodone) eye yafakazelwa ukuthi iphumelela ukulawula ukukhwehlela kubantu abadala nabantwana abangaphezu kuka-6. Nokho, kufanele bagwenywe ngabantu abangase babuyiselwe ekulutha umlutha we-opioid ngoba nje kudingeke ukuthi ubungozi bokuphindaphinda ukwelapha lula.
Le mithi kufanele isetshenziswe kuphela kubantu abadala nabantwana abangaphezu kweminyaka engu-6 . Ezinye zazo zithengiswa futhi zineziqondiso zokulandelela izingane ezincane njenge-2. Nokho, i-FDA ithe le mithi ayiphephile futhi ayifanele isetshenziselwe izingane ezingaphansi kweminyaka engu-6.
Ukusebenzisa imithi "off label" akuyona into entsha futhi akuyona yonke into engavamile, ikakhulukazi ekwelapheni. Izivivinyo ezimbalwa kakhulu zezidakamizwa zenziwa ezinganeni ngoba abantu abaningi bafuna ukusayinela izingane zabo "imithi" yokuhlola futhi ukuthola lezi zivivinyo kuvunyelwe kunzima nakakhulu kunabantu abadala. Ngeshwa, akusikho inzuzo enkulu (imali) kuyo kubakhiqizi bemithi noma.
Kodwa ukunikeza izingane imithi yokukhwehlela kodokotela kuyingozi. Banganciphisa ukuphefumula kwabo emazingeni anengozi futhi bangakwazi ngisho nokubulala.
Enye inkinga enkulu ukuthi ezinye zokucindezela ukukhwehlela komuthi zidayiswa ukuthi zenzelwe ukuphatha izimpawu eziningi. I-FDA ivume kuphela ukucindezeleka kokukhwehlela komuthi ukufaka i-hydrocodone nomcindezeli. Noma imuphi imithi ehlanganisa nezinye izithako (njenge-expectorant noma i-decongestant) ayivunyelwe yi-FDA futhi akufanele ihlelwe noma ithengiswe e-United States.
Udokotela wakho wayengazi
Ingxenye evelele kakhulu yale nkinga ukuthi abahlinzeki abaningi bokunakekelwa kwezempilo abazi ukuthi lezi zidakamizwa azivunyelwe futhi bezibekiwe. Lezi akuzona imithi ongayithenga kuphela "emakethe emnyama" noma nge-intanethi. Ziyimithi ongayikhipha udokotela wakho futhi uthenge ekhemisi yangakini.
I-FDA ayibika noma yiziphi izenzakalo ezimbi nale mithi (ngaphandle uma inikezwa izingane ezingaphansi kweminyaka engu-6) ngakho-ke kungenzeka ukuthi ingozi encane eyenziwe. Noma kunjalo, iqiniso liwukuthi le mithi yenziwe futhi idayiswa futhi ayizange ivunyelwe.
Kusukela ngo-Mashi 31, 2008 zonke izinkampani ezazikhiqiza le mithi zacelwa ukuba ziyeke ukukhiqiza nokuzithengisa. Ngemuva kwalolo suku, uma inkampani isayithengisa le mikhiqizo, ingabhekana nezinhlawulo ezivela ku-FDA.
Imithombo:
"Imibuzo Nezimpendulo Ngomsebenzi We-FDA Wokuphoqelela Ngokuphathelene Nemikhiqizo Yezidakamizwa Ezingavunyelwe." US Administration and Drug Administration 01 Okthoba 07.
"I-FDA Issues Alert ku-Tussionex, i-Long-Acting Medicine Medicine Cough Medicine Ephethe Hydrocodone." I-FDA News Press Release 11 Mar 08. Ukuphathwa Kwezokudla Nezidakamizwa zase-US.