Zomwe Muyenera Kudziwa Musanatenge Trazodone Yogona

Zamkati

• Kodi trazodone ndi chiyani?
• Kodi imavomerezedwa kuti igwiritsidwe ntchito ngati tulo?
• Kodi kuchuluka kwa trazodone ngati chithandizo chogona ndi chiyani?
• Kodi ma trazodone amagona bwanji?
• Kodi ndizovuta ziti zotenga trazodone?
• Kodi pali zoopsa zotenga trazodone kuti igone?
• Mfundo yofunika

Kusowa tulo kumatanthauza kusakwanitsa kugona tulo tabwino. Kukhala ndi vuto logona kapena kugona kumatha kukhudza chilichonse m'moyo wanu, kuyambira pantchito ndi kusewera mpaka thanzi lanu. Ngati mukuvutika kugona, dokotala wanu mwina adakambirana zopereka trazodone kuti ikuthandizeni.

Ngati mukuganiza zotenga trazodone (Desyrel, Molipaxin, Oleptro, Trazorel, ndi Trittico), nayi chidziwitso chofunikira choti muganizire.

Kodi trazodone ndi chiyani?

Trazodone ndi mankhwala akuchipatala omwe amavomerezedwa kuti agwiritsidwe ntchito ndi Food and Drug Administration (FDA) ngati mankhwala opatsirana.

Mankhwalawa amagwira ntchito m'njira zingapo mthupi lanu. Chimodzi mwazinthu zake ndikuwongolera serotonin ya neurotransmitter, yomwe imathandizira ma cell am'magazi kulumikizana wina ndi mnzake ndikukopa zochitika zambiri monga kugona, malingaliro, malingaliro, chilakolako, ndi machitidwe.

Ngakhale pamlingo wotsika, trazodone imatha kukupangitsani kukhala omasuka, otopa, komanso kugona. Imachita izi potseka mankhwala muubongo omwe amalumikizana ndi serotonin ndi ma neurotransmitters ena, monga, 5-HT2A, alpha1 adrenergic receptors, ndi H1 histamine receptors.

Izi zitha kukhala chimodzi mwazifukwa zazikulu zomwe trazodone imagwirira ntchito ngati chithandizo chogona.

Monga ma antidepressant ambiri, trazodone yapatsidwa "Black Box Chenjezo" ndi FDA.

Kutenga trazodone kwachulukitsa chiopsezo chamalingaliro odzipha ndi machitidwe a ana ndi akulu omwe ndi achikulire. Anthu omwe amamwa mankhwalawa ayenera kuyang'aniridwa mosamala kuti zizindikire zowonjezereka ndikubwera kwa malingaliro ofuna kudzipha. Trazodone sivomerezeka kuti igwiritsidwe ntchito kwa odwala.

Kodi imavomerezedwa kuti igwiritsidwe ntchito ngati tulo?

Ngakhale a FDA adavomereza trazodone kuti igwiritsidwe ntchito ngati chithandizo cha kukhumudwa kwa akulu, kwazaka zambiri madotolo akhala akuwalemba ngati chithandizo chogona.

A FDA amavomereza mankhwala kuti athetse mavuto ena malinga ndi mayeso azachipatala. Madokotala akapereka mankhwalawo pazinthu zina kupatula zomwe FDA idavomereza, amadziwika kuti ndi omwe amalembedwa.

Kugwiritsa ntchito mankhwala mosagwiritsa ntchito mankhwala ndizofala. Makumi awiri pa zana a mankhwala amalembedwa osachotsedwa. Madokotala amatha kupereka mankhwala osachotsa pamakalata potengera zomwe akumana nazo komanso kuweruza kwawo.

Kodi kuchuluka kwa trazodone ngati chithandizo chogona ndi chiyani?

Trazodone nthawi zambiri imaperekedwa pamlingo pakati pa 25mg mpaka 100mg ngati chithandizo chogona.

Komabe, onetsani kuchuluka kwa mankhwala a trazodone ndi othandiza ndipo kumatha kuyambitsa kugona pang'ono masana ndi zovuta zina chifukwa mankhwalawa samachita mwachidule.

Kodi ma trazodone amagona bwanji?

Akatswiri amalangiza chithandizo chamaganizidwe ndi kusintha kwa machitidwe ena ngati chithandizo choyamba cha kusowa tulo ndi mavuto ogona.

Ngati njira izi sizothandiza kwa inu, dokotala wanu akhoza kukupatsani trazodone yogona. Dokotala wanu amathanso kukupatsani mankhwala ena ogona, monga Xanax, Valium, Ativan, ndi ena (mankhwala ochepera mpaka pakatikati a benzodiazepine), sanakugwiritsireni ntchito.

Maubwino angapo a trazodone ndi awa:

• Mankhwala othandiza kusowa tulo. A trazodone yogwiritsira ntchito tulo adapeza kuti mankhwalawa anali othandiza kusowa tulo koyambirira komanso kwachiwiri pamlingo wochepa.
• Mtengo wotsika. Trazodone ndi yotsika mtengo poyerekeza ndi mankhwala atsopano osowa tulo chifukwa amapezeka kwambiri.
• Osati osokoneza. Poyerekeza ndi mankhwala ena, monga mankhwala a benzodiazepine monga Valium ndi Xanax, trazodone siyowonjezera.
• Zitha kuthandizira kupewa kuchepa kwamaganizidwe okalamba. Trazodone itha kuthandiza kupititsa patsogolo kugona pang'onopang'ono. Izi zitha kuchepetsa kuchepa kwamalingaliro okhudzana ndi ukalamba monga kukumbukira kwa okalamba.
• Kungakhale chisankho chabwino ngati muli ndi tulo tofa nato. Mankhwala ena ogona amatha kusokoneza tulo tating'onoting'ono komanso kugona tulo. Kafukufuku wocheperako wa 2014 adapeza kuti 100mg ya trazodone idakhudza kugona.

Kodi ndizovuta ziti zotenga trazodone?

Trazodone imatha kubweretsa zovuta zina, makamaka mukayamba mankhwala.

Ili si mndandanda wathunthu wazovuta. Kambiranani nkhawa ndi dokotala kapena wamankhwala ngati mukumva kuti mukukumana ndi zovuta zina kapena muli ndi nkhawa zina zamankhwala anu.

Zotsatira zoyipa za trazodone ndizo:

• kugona
• chizungulire
• kutopa
• manjenje
• pakamwa pouma
• kusintha kwa kulemera (pafupifupi 5% ya anthu omwe amawatenga)

Kodi pali zoopsa zotenga trazodone kuti igone?

Ngakhale ndizochepa, trazodone imatha kuyambitsa mavuto akulu. Imbani 911 kapena ntchito zadzidzidzi zakomweko ngati mukukumana ndi zoopsa zilizonse monga kupuma movutikira.

Malinga ndi FDA, zoopsa zazikulu ndizo:

• Malingaliro odzipha. Izi zili pachiwopsezo cha achinyamata ndi ana.
• Matenda a Serotonin. Izi zimachitika ngati serotonin yochulukirapo imakhazikika mthupi ndipo imatha kuyambitsa zovuta zazikulu. Kuopsa kwa matenda a serotonin kumakhala kwakukulu mukamamwa mankhwala ena kapena zowonjezera zomwe zimakulitsa ma serotonin monga mankhwala ena a migraine. Zizindikiro zake ndi izi:
  • kuyerekezera zinthu m`maganizo, mukubwadamuka, chizungulire, khunyu
  • kuchuluka kugunda kwa mtima, kutentha kwa thupi, mutu
  • kunjenjemera kwa minofu, kukhazikika, mavuto mokwanira
  • nseru, kusanza, kutsegula m'mimba
• Makhalidwe amtima. Chiwopsezo chosintha pamtima chimakhala chachikulu ngati muli ndi mavuto amtima kale.

• Mfundo yofunika

  Trazodone ndi mankhwala achikulire omwe amavomerezedwa kuti agwiritsidwe ntchito ndi a FDA mu 1981 ngati mankhwala opatsirana. Ngakhale kugwiritsa ntchito trazodone kugona ndi kofala, malinga ndi malangizo aposachedwa omwe asindikizidwa ndi American Academy of Sleep Medicine, trazodone sayenera kukhala njira yoyamba yothandizira kugona tulo.

  Popeza kuti amachepetsa pang'ono, amatha kuchepa masana kapena kusinza. Trazodone siyowonjezera, ndipo zoyipa zomwe zimafala ndi mkamwa mouma, kuwodzera, chizungulire, ndi mutu wopepuka.

  Trazodone itha kupereka zabwino m'malo ena monga kubanika kutulo pazithandizo zina zogona.