Ukuthatha u-Elavil for Pain Back Pain

Amitriptyline

I-Elavil (i-amitryptyline) imithi enokusetshenziswa okuningi. Sekuyisikhathi eside sekusetshenziselwa ukwelashwa kokucindezeleka kodwa ngezinye izikhathi kunikezwa njenge-adjuvant ("kanye") nemithi yokwelapha kubantu abanezinhlungu ezingapheli.

Yini ngempela i-amitryptylline, ukuthi iphumelela kangakanani ebuhlungu, yiziphi imiphumela ezivamile, nokuthi yikuphi ukusebenzisana kwezidakamizwa okwenzeka nalesi sidakamizwa?

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Kuyini i-Amitriptyline?

I-Elavil (i-amitriptyline) iyi-anti-depressant imithi ebizwa ngezinye izikhathi-ilebuli ukuphatha ubuhlungu obungapheli emuva. Ngenye yezidakamizwa ekilasini lemithi eyaziwa ngokuthi i- tricyclic antidepressants .

U-Elavil uvame ukusetshenziselwa kanye neminye imithi. Imithi esetshenziswa ngale ndlela ibizwa ngokuthi yimithi yokwelapha i-adjuvant . Akuvame ukusetshenziselwa ukwelashwa kokuqala komugqa, kodwa esikhundleni sokuthi ukwelashwa okuqhubekayo okwezinye izinhlungu emuva, njengo-Advil (ibuprofen) no-Tylenol (acetominphen) akuzange kuphumelele ekuqedeni ubuhlungu.

U-Elavil akayena umuthi we-narcotic (opioid), futhi ngokuvamile akuyona ingozi yokulutha umlutha ngemithi.

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Yiluphi Uhlobo Lokubuyela Emuva Lwenza i-Amitriptyline?

U-Elavil ubonakala ephumelela kakhulu kunhlobo lwe- neuropathic lobuhlungu obungapheli bokubuya. Ukuze ubuhlungu bezinsipho buhlushwa, lokhu ngokuvamile kusho ukuthi ubuhlungu bakho buyehlisa phansi ingalo noma umlenze. Ungase futhi ube nokuzwa okunzima noma ukuphosa okuphambene nesikhumba noma umlenze wakho.

Nakuba ubuhlungu buka-Elavil obukhulula amandla abuzimele ngenxa yempikiswano yakhe yokucindezeleka, lesi sidakamizwa sisebenza ngokukhulisa inani lamakhemikhali athile obuchopho okudingekayo ekulinganiseni kwengqondo.

I-Amitriptyline isetshenziselwa ukwelapha i- fibromyalgia , okuyisimo esimakwe ubuhlungu obubanzi kanye namaphuzu wethenda .

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Ingabe i-Amitriptyline iphumelelayo?

I-Amitriptyline yiyona efundwa kakhulu kunawo wonke ama-anti-depressants e-tricyclic. Sekusetshenziswe kusukela ngawo-1960.

NgokukaDkt. Kathleen Fink, uMqondisi Wezinsizakalo Zezinhlungu ku-National Rehabilitation Hospital eWashington DC, le mithi iyasetshenziswa ngenxa yokuthuthukiswa kwama-anti-depressants omusha we-tricyclic.

U-Fink uthi odokotela abakhululekile ukubeka amitriptyline ngenxa yobuhlungu obungapheli bomhlane ngoba imiphumela emibi ingenza uzizwe uhlushwa ekuseni. "Kodwa empeleni," kusho u-amitriptyline, imithi ephumelelayo futhi engabizi kakhulu yokuphatha ubuhlungu obungapheli emuva, ikakhulukazi uma unenkinga yokulala. "

Ucwaningo lwango-2014 olushicilelwe kuyi- Journal of Neurological Science lwaqhathanisa i-amitriptyline neLyrica noma i-pregabalin (esinye isidakamizwa esinikezwa ubuhlungu be-neuropathic) sokunciphisa ubuhlungu, kanye nokukhubazeka ngokomzimba. Abacwaningi bathola ukuthi ngenkathi bobabili beyizinkinga eziphumelelayo zokunciphisa ubuhlungu, amitriptyline kuphela eyanciphisa ukukhubazeka, futhi.

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Amitriptyline Isilinganiso

Lapho u-Elavil esetshenziselwa ukulawula ubuhlungu obuya emuva noma entanyeni, umthamo uphansi (cishe isigamu, nakuba lokhu kuzohluka) kunalokho uma kuthathwa ukucindezeleka.

Udokotela wakho cishe uzokuqala ngesilinganiso esincane kakhulu bese ukwandisa phezulu kancane ngesonto ngalinye kuze kube yilapho ubuhlungu bakho bukhululekile futhi / noma imiphumela emibi ibe yiningi kakhulu kuwe.

Imiphumela emihle ivame ukuvela ngokusheshisa lapho lesi sidakamizwa sithathwa ukuze kube nobuhlungu obungapheliyo emuva uma kuqhathaniswa nalapho sisetshenziselwa ukulawula ukucindezeleka.

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Amitriptyline Side Effects

Kubalulekile ukuqaphela imiphumela emibi ye-amitryptyline ngaphambi kokuqala lo muthi.

Ngenxa yokuthi i-amitriptyline ivunywe yi-FDA ukuphatha ukucindezeleka, ingathinta isimo sengqondo, kuhlanganise nokwandisa ingozi yokuzibulala. Kodwa ngesilinganiso sezinto, i-amitriptyline cishe inengozi encane yokuzibulala.

Isibonelo, isifundo sezinyanga ezingu-2015 esashicilelwe eBritish Medical Journal sathola ukuthi kubantu abanokucindezeleka, ingozi enkulu yokuzibulala kwe-amitriptyline ngaphezu konyaka owodwa kwaba amaphesenti angu-0.02. Ngokuqinisekile abantu abaphila nokucindezeleka banengozi enkulu yokuzibulala ngisho ngaphandle kwale mithi. Uma noma ubani emndenini wakho ene-bipolar disorder noma ukuzibulala, udokotela wakho angancoma ukuthi angasebenzisi le mithi.

Uma ukhulelwe noma uncelisa, kungcono ukuhlala kude no-amitriptyline noma u-Elavil, ngoba lesi sidakamizwa singadluliselwa kumntanakho.

I-Elavil ingabangela izinkinga kubantu abane-arrhythmias (izilinganiso ezingavamile zenhliziyo) nezinye izinhlobo zesifo senhliziyo, futhi ngokuvamile akanikezwa abantu abangaphezu kweminyaka engama-60. (I-anti-depressants entsha ingase ibe yisinqumo esingcono kuleli qembu lobudala.)

Imiphumela emibi engaphansi kuka-Elavil ihlanganisa umlomo owomile nokulala.

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Amitriptyline kanye nokusebenzisana kwezidakamizwa

Kunezinhlobo zezidakamizwa ezixhumana no-amitryptyline .

Ukusebenzisana phakathi kuka-Elavil nezinye izidakamizwa kungandisa inani le-amitriptyline egazini lakho. Kanti lokhu kungandisa imiphumela emibi yemithi. Ukusebenzisana kungase kwandise uketshezi (noma ukunciphise ukusebenza) kwezidakamizwa ozithatha kanye no-Elavil.

Kubalulekile ukutshela udokotela wakho konke okuthathayo, kungakhathaliseki ukuthi kunokuzililibazisa, ngaphezulu kwe-counter noma okubekiwe. Isibonelo, ukulungiswa kwemifino yaseSt. John's Wort akufanele isetshenziswe nge-amitryptyline.

Ukubambisana okubalulekile kungenzeka phakathi kuka-Elavil nezinye iziphumuli ze-muscle, izidakamizwa zokucindezeleka, izidakamizwa zezinhliziyo ezingavamile, izidakamizwa ze-high blood pressure, imithi ye-thyroid, amaphilisi okulawula ukuzalwa, nokuningi. Kungumqondo omuhle ukukhuluma nommithi wakho wezempilo uma u-Elavil enqunyelwe.

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Nini Ukugwema Amitriptyline: Izinkomba

Kunezinye izimo lapho kungcono ukugwema ukuthatha amitriptyline ngokuphelele. Lezi zenzakalo zibizwa ngokuthi "ukuphikisana."

Isibonelo, uma uthatha i-monoamine oxidase inhibitor (i-MAO yokucindezeleka noma i-cisapride yemithi ye-heartburn (engekho e-United States) akufanele uthathe i-amitryptyline.

Njengoba u-Elavil angandisa noma anciphise izinga leminye imithi oyithathayo, khuluma njalo nodokotela wakho ngaphambi kokuyeka imithi yakho.

Ngezansi kokusetshenziswa kuka-Elavil (i- Amitryptyline ) ye-Pain Back

Imithi ye-anti-depressant i-amitryptyline ingasebenza njenge-adjuvant yokwelapha ukukhululeka kokubuyiselwa emuva okubuhlungu. Kubonakala sengathi isebenza ngokukhethekile ngobuhlungu be-neuropathic, ubuhlungu obungase buqhube umlenze wakho futhi kubangele ukuphazamiseka, ukucubungula, noma ukuzwa okuphazamisayo: ubuhlungu be-neuropathic buba yinye yezinkinga ezinzima kakhulu zokwelapha. Akuqiniseki kahle ukuthi u-Elavil usebenza kanjani, kodwa lokhu kubonakala sengathi kuhlukile kunokuba kusebenza kanjani ukucindezeleka. I-dose encane isetshenziswa njalo.

Kukhona kokubili imiphumela emibi futhi embi kakhulu nge-amitryptyline futhi kubalulekile ukukhuluma nodokotela wakho mayelana nalokhu. Ngaphezu kwalokho, kunezidakamizwa eziningana ezingakwazi ukuxhumana no-amitryptyline, futhi udokotela wakho kufanele abe nohlu olunzulu lwe-odokotela yakho, odokotela abaningi, nemithi yemithi ngaphambi kokumisela lesi sidakamizwa.

> Imithombo:

> Fink, K., MD Inombolo yocingo. Isibhedlela seNational Rehabilitation Hospital. Meyi 2011.

> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Izimiso zikaHarrison zeMithi yangaphakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.

> Urquhart, D., Wluka, A., Sim, M. et al. Ingabe i-Amitryptyline i-Low-Dose esebenzayo ephumelelayo ekuphathweni kwe-Chronic Low Back Back Pain? I-Protocol Yokufunda Yesivivinyo Esilawulwa Ngenqubo Engahleliwe. Izilingo . 2016. 17 (1): 514.

> van den Driest, J., Bierma-Zeinstra, S., Bindels, P., no D. Schiphof. I-Amitrytyline Yama-Musculoskeletal Izikhalazo: Ukubuyekezwa Okuhlelekile. Ukuziphatha Komndeni . 2017. 34 (2): 138-146.