Zizindikiro ndi Zotsatira zoyipa za Duloxetine (Cymbalta)

Zamkati

• Ndi chiyani
• Momwe mungagwiritsire ntchito
• 1. Matenda akulu okhumudwa
• 2. Matenda a shuga a m'mitsempha
• 3. Fibromyalgia
• 4. Kupweteka kosalekeza komwe kumakhudzana ndi kupweteka kwa msana kapena kupweteka kwa mafupa
• 5. Matenda a nkhawa wamba
• Yemwe sayenera kugwiritsa ntchito
• Zotsatira zoyipa

Cymbalta imakhala ndi duloxetine momwe imapangidwira, yomwe imathandizira kuchiza matenda opsinjika kwambiri, matenda ashuga am'mapazi am'mimba, fibromyalgia mwa odwala omwe alibe kapena opanda nkhawa yayikulu, zowawa zopweteka zomwe zimakhudzana ndi kupweteka kwakumbuyo kosalekeza kapena osteoarthritis ndimatenda a nkhawa wamba.

Mankhwalawa atha kugulidwa kuma pharmacies pamtengo wokwera pafupifupi 50 mpaka 200 reais, kutengera mulingo ndi kukula kwa phukusi, zomwe zimafunikira kupereka kwa mankhwala.

Ndi chiyani

Cymbalta ndi mankhwala omwe akuwonetsedwa pochiza:

• Kusokonezeka kwakukulu;
• Ashuga zotumphukira neuropathic ululu;
• Fibromyalgia mwa anthu omwe ali ndi vuto lachisoni kapena alibe;
• Zowawa zosaneneka zimakhudzana ndi kupweteka kwakumbuyo kosalekeza kapena mabondo a mafupa;
• Matenda amisala wamba.

Dziwani chomwe chiri komanso zomwe zizindikilo za matenda amisala wamba ndizomwe zili.

Momwe mungagwiritsire ntchito

Mlingowo uyenera kutsimikiziridwa ndi dokotala ndipo umadalira mankhwala omwe achitike. Nthawi zambiri, mankhwala omwe amalimbikitsidwa ndi awa:

1. Matenda akulu okhumudwa

Mlingo woyambira woyambira ndi 60 mg kamodzi patsiku. Nthawi zina, mankhwala amatha kuyamba ndi mlingo wa 30 mg, kamodzi patsiku, kwa sabata, kuti alole munthuyo kuti azolowere mankhwalawo, asanawonjezeke mpaka 60 mg. Nthawi zina, kuchuluka kwake kumatha kuchulukitsidwa mpaka 120 mg patsiku, kumwedwa kawiri tsiku lililonse, koma uwu ndiye mulingo wambiri chifukwa chake sayenera kupitilizidwa.

Magawo akulu azovuta zazikulu zachisoni amafuna chithandizo chamankhwala, mankhwala a 60 mg, nthawi zambiri kwa miyezi ingapo kapena kupitilira apo.

2. Matenda a shuga a m'mitsempha

Chithandizo chiyenera kuyambitsidwa ndi mlingo wa 60 mg kamodzi patsiku, komabe, kwa odwala omwe kulekerera kuli kovuta, kuchuluka kotsika kumatha kuganiziridwa.

3. Fibromyalgia

Chithandizo chiyenera kuyamba ndi mlingo wa 60 mg kamodzi patsiku. Nthawi zina, pangafunike kuyamba kumwa mankhwala muyezo wa 30 mg, kamodzi patsiku, kwa sabata, kuti munthuyo azolowere mankhwalawo, asanawonjezere mlingo wa 60 mg.

4. Kupweteka kosalekeza komwe kumakhudzana ndi kupweteka kwa msana kapena kupweteka kwa mafupa

Chithandizo chiyenera kuyambitsidwa ndi mlingo wa 60 mg kamodzi patsiku, komabe, nthawi zina, pangafunike kuyamba kumwa mankhwala muyezo wa 30 mg tsiku lililonse kwa sabata imodzi kuti athandizire kusintha kwa mankhwalawo, asanawonjezere mlingo. Nthawi zina, kuchuluka kwake kumatha kuchulukitsidwa kufika pa 120 mg patsiku, m'mayeso awiri tsiku lililonse, koma uwu ndiye mulingo wambiri chifukwa chake sayenera kupitilizidwa.

5. Matenda a nkhawa wamba

Mlingo woyambira woyenera ndi 60 mg, kamodzi patsiku, ndipo nthawi zina zimakhala bwino kuyamba kulandira mankhwala a 30 mg, kamodzi patsiku, kwa sabata, kuti mulole kusintha kwa mankhwalawo, musanawonjezere mlingo wa 60 mg. Pomwe chisankho chapangidwa kuti chiwonjezere mlingo wopitilira 60 mg, ziyenera kuchitika ndikuwonjezera kwa 30 mg, kamodzi patsiku, mpaka 120 mg.

Matenda achilendo amafunikira chithandizo kwa miyezi ingapo kapenanso chithandizo chotalikirapo. Mankhwalawa ayenera kuperekedwa muyezo wa 60 mpaka 120 mg kamodzi pa tsiku.

Yemwe sayenera kugwiritsa ntchito

Cymbalta sayenera kugwiritsidwa ntchito ndi anthu omwe ali ndi hypersensitivity ku duloxetine kapena china chilichonse chowonjezera, komanso sayenera kuperekedwa munthawi yomweyo ndi monoamine oxidase inhibitors.

Kuphatikiza apo, sayeneranso kugwiritsidwa ntchito ndi amayi apakati kapena oyamwa.

Zotsatira zoyipa

Zotsatira zoyipa kwambiri zomwe zitha kuwonekera mukamamwa mankhwala ndi Cymbalta ndi pakamwa pouma, nseru, kupweteka mutu.

Kupunduka, kulira khutu, kusawona bwino, kudzimbidwa, kutsegula m'mimba, kusanza, kusagaya bwino m'mimba, kupweteka kwa m'mimba, kutopa, kuchepa kwa njala ndi kunenepa, kuthamanga kwa magazi, kupindika kwa minofu ndi kuuma, kupweteka kwa minofu, mafupa, chizungulire kumatha kuchitika, kuwodzera, kunjenjemera , paraesthesia, kusowa tulo, kuchepa kwa chilakolako chogonana, nkhawa, kusokonezeka, maloto osazolowereka, kusintha kwamikodzo, kusinthasintha kwa vuto la kutuluka kwa magazi, kuwonongeka kwa erectile, kupweteka kwa oropharyngeal, hyperhidrosis, thukuta usiku, kuyabwa komanso kuthamanga.