Zomwe Muyenera Kudziwa Zokhudza cymbalta ya Fibromyalgia

Zamkati

• Kodi Cymbalta ndi chiyani?
• Momwe Cymbalta imagwirira ntchito
• Zotsatira zoyipa za Cymbalta ndi ziti?
• Zotsatira zoyipa zogonana ndi Cymbalta
• Mankhwala omwe amatha kulumikizana ndi Cymbalta
• Kodi ndiyeneranso kudziwa chiyani za Cymbalta?
• Njira zina za Cymbalta zochizira fibromyalgia
• Tengera kwina

Kwa anthu mamiliyoni aku America omwe akhudzidwa ndi fibromyalgia, mankhwala amapereka chiyembekezo chothana ndi vutoli palimodzi palimodzi yolumikizana ndi minofu ndi kutopa.

Cymbalta (duloxetine) imavomerezedwa ndi Food and Drug Administration kuti isamalire fibromyalgia mwa akulu. Werengani kuti muwone ngati Cymbalta ikhoza kukhala yoyenera kwa inu.

Kodi Cymbalta ndi chiyani?

Cymbalta ndi gulu la mankhwala otchedwa SNRIs (serotonin-norepinephrine reuptake inhibitors) omwe amalepheretsa kubwezeretsanso kwa ma neurotransmitters norepinephrine ndi serotonin muubongo.

Asanavomerezedwe chifukwa cha fibromyalgia, idavomerezedwa kuchiza:

• matenda ovutika maganizo (GAD)
• Kusokonezeka kwakukulu (MDD)
• matenda ashuga otumphukira amitsempha (DPNP)
• kupweteka kwa minofu ndi mafupa

Momwe Cymbalta imagwirira ntchito

Ngakhale chomwe chimayambitsa fibromyalgia sichikudziwika, ofufuza akuti ubongo wa anthu omwe ali ndi fibromyalgia amasinthidwa ndikulimbikitsa mitsempha mobwerezabwereza. Kuphatikizidwa pakusintha kumeneku kumatha kukhala kuwonjezeka kwachilendo kwa ma neurotransmitters ena (mankhwala omwe amawonetsa kupweteka).

Komanso, akuti maubongo opweteka muubongo amakhala omvera kwambiri ndipo amatha kuchita mopitirira muyeso kuzizindikiro zopweteka.

Cymbalta imakulitsa kuchuluka kwa serotonin ndi norepinephrine muubongo. Mankhwalawa amathandiza kuchepetsa kuganiza bwino ndikuletsa kuyenda kwa zizindikiritso zopweteka muubongo.

Zotsatira zoyipa za Cymbalta ndi ziti?

Cymbalta imalumikizidwa ndi zovuta zambiri zomwe zingachitike. Ambiri samasowa chithandizo chamankhwala kuphatikiza:

• chilakolako kusintha
• kusawona bwino
• pakamwa pouma
• mutu
• thukuta lowonjezeka
• nseru

Zotsatira zoyipa kudziwitsa dokotala za nthawi yomweyo ndi monga:

• kutupa m'mimba
• kubvutika
• zosavomerezeka monga kuyabwa, zidzolo kapena ming'oma, kutupa kwa nkhope, milomo, nkhope kapena lilime
• kuthamanga kwa magazi kumasintha
• matuza kapena khungu losenda
• chisokonezo
• mkodzo wakuda
• kutsegula m'mimba
• malungo
• zizindikiro ngati chimfine
• ukali
• osasinthasintha komanso / kapena kugunda kwamtima mwachangu
• kutaya malire komanso / kapena chizungulire
• kusayanjana ndi zenizeni, kuyerekezera zinthu m'maganizo
• zosintha
• kugwidwa
• Maganizo ofuna kudzipha
• kuvulaza kapena kutuluka mwachilendo
• kusanza
• kuonda

Zotsatira zoyipa zogonana ndi Cymbalta

SNRIs imadziwika kuti imayambitsa zoyipa zakugonana. Chifukwa chake, Cymbalta itha kuyambitsa zovuta zakugonana, monga zovuta ndi:

• kudzutsa
• chitonthozo
• kukhutira

Ngakhale zoyipa zakugonana ndizovuta kwa anthu ena, kwa ambiri zimakhala zochepa kapena zochepa pamene matupi awo amasintha kuti amwe mankhwala. Kuzindikiritsidwa kwa zotsatirazi kumathanso kudalira mulingo wambiri.

Mankhwala omwe amatha kulumikizana ndi Cymbalta

Malinga ndi National Alliance on Mental Illness (NAMI), duloxetine (Cymbalta) sayenera kumwedwa kapena mkati mwa milungu iwiri mutatenga monoamine oxidase inhibitors (MAOIs) monga:

• tranylcypromine (Zamasamba)
• selegiline (Emsam)
• rasagiline (Chidziwitso)
• phenelzine (Nardil)
• isocarboxazid (Marplan)

NAMI ikuwonetsanso kuti itha kukulitsa zovuta zamankhwala ena omwe angayambitse magazi monga:

• aspirin
• ibuprofen (Advil, Motrin)
• nkhondo (Coumadin)

NAMI ikuwonetsanso kuti milingo ndi zotsatira za Cymbalta zitha kuchulukitsidwa ndi mankhwala ena kuphatikiza:

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

Ndikofunika kuti dokotala adziwe mankhwala ena onse omwe mumagwiritsa ntchito. Madokotala amadziwa mndandanda womwe uli pamwambapa komanso mankhwala ena omwe amagwirizana kwambiri ndi Cymbalta. Apanga zisankho popewa kapena kusintha kwa mlingo ngati kuli koyenera.

Kodi ndiyeneranso kudziwa chiyani za Cymbalta?

Ingolekani kumwa Cymbalta ndikuvomerezedwa ndi dokotala. Mlingo wosowa ukhoza kuwonjezera chiopsezo chanu chobwereranso kuzizindikiro zanu.

Mukakonzeka kusiya kumwa Cymbalta, kambiranani ndi dokotala kuti muchite pang'onopang'ono. Kuyimilira mwadzidzidzi kumatha kubweretsa zizindikiritso monga:

• chizungulire
• mutu
• kupsa mtima
• nseru
• maloto olakwika
• paresthesias (kumenyedwa, kumenyedwa, kumenyedwa ndi khungu)
• kusanza

Zikuwoneka kuti dokotala wanu atha kukuthandizani kuti muchepetse zizindikiritso zakusiya.

Ngakhale mutenga Cymbalta mufunikanso kupewa kumwa mowa kapena kugwiritsa ntchito molakwika zinthu monga ma opioid. Osangoti kuti athe kuchepetsa zabwino zomwe Cymbalta ikupereka, koma atha kukulitsa zovuta zake.

Komanso, kumwa mowa kumatha kuonjezera chiwopsezo cha matenda a chiwindi pomwe nthawi yomweyo kumatenga Cymbalta.

Njira zina za Cymbalta zochizira fibromyalgia

SNRI ina yovomerezedwa kuchiza fibromyalgia ndi Savella (milnacipran). Komanso ovomerezeka ndi Lyrica (pregabalin), khunyu komanso mankhwala opweteka m'mitsempha.

Dokotala wanu angalimbikitsenso:

• Kupweteka kwapadera kumachepetsa monga acetaminophen (Tylenol) ndi ibuprofen (Advil, Motrin)
• Mankhwala ochepetsa ululu monga tramadol (Ultram)
• Mankhwala oletsa kulanda monga gabapentin (Neurontin)

Tengera kwina

Pathupi ndi m'maganizo, fibromyalgia imatha kukhala yovuta kukhala nayo. Mankhwala monga Cymbalta akhala othandiza kuthana ndi zizindikilo zambiri za matendawa omwe nthawi zambiri amalepheretsa.

Ngati dokotala akuvomereza Cymbalta, afunseni mafunso pazabwino zake pochiza matenda anu, komanso zovuta zake. Kambiranani zochita zanu ngati mukukumana ndi zovuta.

Nthawi zonse onetsetsani kuti mukupatsa dokotala zambiri zamankhwala ena ndi zowonjezera zomwe mumamwa.