Zvaunofanira Kuziva Nezve Cymbalta yeFibromyalgia

Zvemukati

• Chii chinonzi Cymbalta?
• Mashandiro anoita Cymbalta
• Ndeipi mhedzisiro yecymbalta?
• Zvepabonde mhedzisiro neCymbalta
• Mishonga inogona kubatana neCymbalta
• Ndezvipi zvimwe zvandinofanira kuziva nezveCymbalta?
• Dzimwe nzira dzeCymbalta dzekurapa fibromyalgia
• Tora woenda nazvo

Kune mamirioni eAmerica akanganiswa ne fibromyalgia, mishonga inopa tariro yekurapa mamiriro acho akapararira ejoka uye mhasuru kurwadziwa uye kuneta.

Cymbalta (duloxetine) inogamuchirwa neKudya neDrug Administration kune manejimendi ye fibromyalgia muvakuru. Verenga pamusoro kuti uone kana Cymbalta ingave yakakunakira iwe.

Chii chinonzi Cymbalta?

Cymbalta ndeyekirasi yemishonga inonzi SNRIs (serotonin-norepinephrine reuptake inhibitors) iyo inodzivirira kudzokororwazve kwemaurotransmitter norepinephrine uye serotonin muuropi.

Isati yabvumidzwa kune fibromyalgia, yakagamuchirwa kurapwa kwe:

• chirwere chekuzvidya mwoyo (GAD)
• chikuru kushungurudzika kusagadzikana (MDD)
• chirwere cheshuga chinokanganisa marwadzo europathic (DPNP)
• chisingaperi musculoskeletal kurwadziwa

Mashandiro anoita Cymbalta

Kunyangwe hazvo chikonzero chaicho che fibromyalgia chisingazivikanwe, vaongorori vanoratidza kuti huropi hwevanhu vane fibromyalgia inoshandurwa nekudzokororwa kwetsinga. Inosanganisirwa neshanduko inogona kuve yekuwedzera kusanzwisisika kwevamwe maurotransmitter (makemikari anoratidza kurwadziwa).

Zvakare, zvinokurudzirwa kuti marapirwo ekurwadziwa kwehuropi anova anonyanya kunetseka uye anogona kunyanyisa kumasaini ekurwadziwa.

Cymbalta inowedzera huwandu hweserotonin uye norepinephrine muuropi. Aya makemikari anobatsira kuchengetedza kuenzana kwepfungwa uye kumisa kufamba kwemasaini ekurwadziwa muuropi.

Ndeipi mhedzisiro yecymbalta?

Cymbalta inosanganiswa nemazhinji mhedzisiro mhedzisiro. Vazhinji havawanzo kuda kurapwa kusanganisira:

• nzara inoshanduka
• kusaona zvakanaka
• muromo wakaoma
• musoro
• kuwedzera kudikitira
• kusvotwa

Mhedzisiro yekuzivisa chiremba wako nezve izvo zvinosanganisira:

• kuzvimba mudumbu
• kusagadzikana
• allergic reaction sekurumwa, kuputika kana mikoko, kuzvimba kwechiso, miromo, kumeso kana rurimi
• BP inoshanduka
• mhoni kana kubvisa ganda
• kuvhiringidzika
• weti yakasviba
• manyoka
• kupindwa nechando
• furu-kunge zviratidzo
• hoarseness
• zvisina kujairika uye / kana kukurumidza kurova kwemoyo
• kurasikirwa kwechiyero uye / kana dzungu
• kurasikirwa nekubatana nezvazviri, fungidziro
• manzwiro anochinja
• pfari
• pfungwa dzekuzviuraya
• kupwanya kusingawanzo kana kubuda ropa
• kurutsa
• kuonda

Zvepabonde mhedzisiro neCymbalta

SNRIs inozivikanwa kukonzera mitezo yepabonde. Saka, Cymbalta inogona kukonzera mhedzisiro yepabonde, senge nyaya ne:

• kumutsa
• nyaradzo
• kugutsikana

Nepo mitezo yevatano iri dambudziko kune vamwe vanhu, kune vazhinji ivo vashoma kana vane mwero sezvo miviri yavo inoenderana nemishonga. Kuiswa kweiyi mhedzisiro kunogona zvakare kutsamira padanho reyero.

Mishonga inogona kubatana neCymbalta

Zvinoenderana neNational Alliance yeMental Illness (NAMI), duloxetine (Cymbalta) haifanire kutorwa pamwe kana mukati memavhiki maviri ekutora monoamine oxidase inhibitors (MAOIs) akadai se:

• tranylcypromine (Parnate)
• selegiline (Emsam)
• rasagiline (Azilect)
• phenelzine (Nardil)
• isocarboxazid (Marplan)

NAMI inoratidza zvakare kuti inogona kuwedzera mhedzisiro yemimwe mishonga inogona kukonzera kubuda ropa senge:

• asipurini
• ibuprofen (Advil, Motrin)
• warfarin (Coumadin)

NAMI zvakare inoratidza kuti iwo mazinga uye mhedzisiro yeCymbalta inogona kuwedzerwa nemimwe mishonga inosanganisira:

• cimetidine (Tagamet)
• ciprofloxacin (Cipro)
• fluoxetine (Prozac)
• fluvoxamine (Luvox)
• paroxetine (Paxil)

Zvakakosha kuti chiremba wako azive mimwe mishonga yaunoshandisa. Vanachiremba vanoziva nezve iri pamusoro runyorwa pamwe nemimwe mishonga iyo inowanzo pindirana neCymbalta. Vachaita sarudzo nezve kunzvenga kana kuyerwa kwedosi pazvinenge zvakakodzera.

Ndezvipi zvimwe zvandinofanira kuziva nezveCymbalta?

Ingo mira kutora Cymbalta nemvumo yechiremba. Kushaya madosi kune mukana wekuwedzera njodzi yako yekudzokazve muzviratidzo zvako.

Paunenge wagadzirira kurega kutora Cymbalta, taura nachiremba wako nezve kuzviita zvishoma nezvishoma. Kumira kamwe kamwe kunogona kukonzera zviratidzo zvekudzora zvakaita se:

• dzungu
• musoro
• kugumbuka
• kusvotwa
• hope dzinotyisa
• paresthesias (kubaya, kurira, kupwanya ganda kunzwa)
• kurutsa

Zvichida chiremba wako achakwanisa kukubatsira kuderedza zviratidzo zvekurega.

Paunenge uchitora Cymbalta iwe unodawo kudzivirira kunwa doro kana kushandisa zvisirizvo zvinhu zvakaita seopioid. Kwete chete vanogona kudzora mabhenefiti ari kuunzwa neCymbalta, asi ivo vanogona kuwedzera kuomarara kwemhedzisiro.

Zvakare, kunwa doro kunogona kuwedzera njodzi yezvinetso zveropa panguva imwe chete uchitora Cymbalta.

Dzimwe nzira dzeCymbalta dzekurapa fibromyalgia

Imwe SNRI inogamuchirwa kurapa fibromyalgia ndiSavella (milnacipran). Zvakare zvinogamuchirwa ndiLyrica (pregabalin), pfari uye mishonga yemarwadzo etsinga.

Chiremba wako anogona zvakare kukurudzira:

• over-the-counter kurwadziwa kunodzora senge acetaminophen (Tylenol) uye ibuprofen (Advil, Motrin)
• mushonga wekurwadziwa unodzora senge tramadol (Ultram)
• mishonga yekurwisa-kubata senge gabapentin (Neurontin)

Tora woenda nazvo

Zvepanyama uye nemanzwiro, fibromyalgia inogona kuve yakaoma mamiriro kuti ugare nayo. Mishonga yakadai seCymbalta yanga ichishanda pakurapa mazhinji ezviratidzo zvechirwere ichi chisingaperi uye chinowanzo kuremadza.

Kana chiremba wako achikurudzira Cymbalta, vabvunze mibvunzo nezvezvakanaka mhedzisiro yekurapa zviratidzo zvako, pamwe nezvinogona kuitika mhedzisiro. Kurukura nzira yako yekuita kana iwe ukava nemhedzisiro.

Nguva dzose ita shuwa yekupa chiremba wako ruzivo rwese nezve mimwe mishonga uye zvinowedzerwa zvauri kutora.