Izongezelelo ze-5-HTP azizange zivavanywe ukhuseleko kwaye zigcine ingqalelo ukuba ukhuseleko lwezongezelelo kwabasetyhini abakhulelweyo, oomama, abantwana kunye nalabo abanezifo zonyango okanye abathabatha imishanguzo ayilwanga. Unokufumana iingcebiso ekusebenziseni izongezo , kodwa ukuba ucinga ngokusetyenziswa kwe-5-HTP, xela nodokotela wakho kuqala. Nceda uqaphele ukuba olu luhlu oluthile kuphela (nceda uqhagamshelane nodokotela wakho uluhlu olupheleleyo).
Ezinye zeendlela ezinokwenzeka zokusetyenziswa kwezilwanyana zingabandakanya oku kulandelayo.
ICarbidopa
I-Carbidopa isetyenziselwa ukulawula iimpawu ze- Parkinson zesifo ezifana nokuthuthumela, ukunyaniseka kunye nokungaqiniseki. Kwiminye ingxelo, i-carbidopa kunye ne-5-HTP ethathelwe ndawonye yayikholelwa ukuba iyabangela uxanduva lokuphuhliswa kwesifo esifana ne-scleroderma. Ezinye iziphumo ziye zafumanisa ukuba abantu bathatha i-carbidopa kunye ne-5-HTP baye bafunyanwa ukuphucula imeko ebizwa ngokuba yi-intention myoclonus.
Dextromethorphan
I-Dextromethorphan ibinqanda. Akukho nziswano eziye zaxelwa, nangona kunjalo, iziyobisi ezandisa i-serotonin, njenge-serotonin reuptake inhibitors, ziye zabikwa ukuba zenze i-hallucinations ebonakalayo kunye nokulala okungaphezulu xa kudibene.
MAO Inhibitor Izidakamizwa
umzekelo iPhenelzine, Selegiline, Tranylcypromine
I-MAO inhibitors zisetyenziselwa unyango lwexinzelelo kunye nokuphazamiseka kwesifo kunye nokuthintela intloko. Nangona akuzange kubekho ukuchasana kwezidakamizwa ezichazwe nge-5-HTP, ii-inhibitors ze-MAO zingenza ubuthongo, ukudideka, umkhuhlane, ukuphazamiseka, ukuthinteka, uxinzelelo lwegazi oluphezulu, olubizwa ngokuba yi-serotonin syndrome.
Uphando olwenziwe yiYunivesithi yaseHokkaido lufumene umngcipheko we-serotonin syndrome ephantsi kunye ne-selegiline kunezinye ii-MAO inhibitors.
I-Serotonin Reuptake Inhibitors (i-SSRIs)
umzekelo iFluoxetine, iFluvoxamine, iSertraline, iSibutramine
I-serotonin i-reuptake inhibitors ekhethiweyo isetyenziselwa ukudandatheka, isifo se-premenstrual dysphoric syndrome , i-bulimia nervosa, i-dispersion-compulsive disorder, kunye nokulahleka kwesisindo.
I-5-HTP iguqulwa ibe yi-serotonin, ngoko unyango olwandisa i-serotonin lunokunyusa umngcipheko wokuphuhlisa imeko engabonakaliyo kodwa engathandekiyo ebizwa ngokuba yiimpawu ze-serotonin syndrome ziquka ukudideka, ukunyaniseka kwemisipha, ukukhanya okutshisa, ukutshintsha kwexinzelelo lwegazi kunye nentlawulo yenhliziyo, kunye ne-coma.
Triptans
umzekelo: uSatatriptan, iZolmitriptan, uRiatriatrian, uNaratriptan, u-Almotriptan, u-Eletriptan, uFrovatriptan
Izidakamizwa ze-Triptan zisetyenziselwa ukunyanga, kodwa zingakuthinteli, zithintela. Ezi zisebenza ngamachiza ngokuchaphazela i-serotonin receptors kwingqondo. Ukuba ithathwa ngokudibanisa ne-5-HTP (isongezelelo echaphazela amanqanaba e-serotonin), inokunyusa ingozi ye-serotonin syndrome.
Tramadol
I-Tramadol i-analgesic yokumodareyitha intlungu. Nangona kungekho ukusebenzisana kwezidakamizwa kuye kwabikwa, i-5-HTP inokunyusa imiphumo yeTramadol, eyandisa ingozi yokubanjelwa okanye i-serotonin syndrome.
Ezinye izixinzelelo
umzekelo: Venlafaxine, Nefazodone, Trazodone
Olunye unyango oluchaphazela ukufunyanwa kwe-neurotransmitter serotonin lungakhokelela kwi-serotonin syndrome xa kusetyenziswa kunye ne-5-HTP.
Zolpidem
I-Zolpidem isetyenziselwa ukukhululeka kwexesha elifutshane lokulala. Nangona ukusebenzisana kwezidakamizwa akuzange kubhengezwe nge-5-HTP, i-Zolpidem kunye neziyobisi ezichaphazela amazinga e-serotonin zazikholelwa ukuba zenze i-hallucinations ebonakalayo, ukuphefumula nokuthetha ngokukhawuleza, kunye nokulungelelaniswa okubi.
> Imithombo:
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> Navarro A > wt > al. "Iimeko ze-serotonin syndrome zinyanzeliswe ngophathozo lwe-antiticough remedy dextromethorphan kwisifo sengqondo sokuphazamiseka kwengqondo esibanjwe nge-fluoxetine kunye ne-lithium." General Hospital Psychiatry. 28.1 (2006): 78-80.
> Rybacki, uJames J. Isikhokelo esibalulekileyo kwiMithi yokuLawulwa kweMithi 2006. eNew York: Collins, ngo-2006.
Sternberg EM et al. "Ukuphuhliswa kwesifo se-scleroderma ngexesha lokunyanga nge-L-5-hydroxytryptophan kunye ne-carbidopa." I-New England Journal of Medicine . 303.14 (1980): 782-7.
> Thal LJ et al. "Ukwelashwa kwe-myoclonus nge-L-5-hydroxytryptophan kunye ne-carbidopa: iikliniki, i-electrophysiological kunye ne-biochemical." Annals of Neurology. 7.6 (1980): 570-6.
Toner LC et al. "Impembelelo yentsholongwane yecala echaphazelekayo ehambelana nokunyangwa kwamayeza." I-Neuropharmacology yeCliniki. 23.1 (2000): 54-8.
> Tsai MJ et al. "Iprogram yekliniki yembonakaliso ye-hallucination emva kokusebenzisa i-zolpidem." Umbhalo weTyxicology - I-Clinical Toxicology . 41.6 (2003): 869-72.
> Van Woert MH et al. "Unyango lwexesha elide le-myoclonus kunye nezinye iingxaki ze-neurologic ne-L-5-hydroxytryptophan kunye ne-carbidopa." I-New England Journal of Medicine. 296.2 (1977): 70-5.
Ulwazi oluqulethwe kule ndawo lujoliswe kwiinjongo zemfundo kuphela kwaye alithathi indawo yeengcebiso, ukuxilongwa okanye unyango ngumgqirha onikwe ilayisenisi. Akunakuthetha ukukhusela zonke iindlela zokulondoloza, ukusebenzisana kwezidakamizwa, imeko okanye imiphumo emibi. Kufuneka uncede unyango lwangonyango ngokukhawuleza kuyo nayiphi na imiba yempilo uze ubonane nodokotela wakho ngaphambi kokusebenzisa elinye iyeza okanye wenze utshintsho kwi-regimen yakho.