I-Osteoarthritis Yongezwa kuluhlu lweZibonakaliso ze-Duloxetine
I-Cymbalta ikhulayo njengonyango lweentlungu ezingapheliyo, ezibandakanya i- osteoarthritis kunye nentlungu engapheliyo , emva kokuba i-FDA iyayifumana loo misebenzi ngo-2010. I-Cymbalta (duloxetine hydrochloride) isilwanyana somlomo esenziwe nguLilly. Kwakuqala ukuvunywa yi-FDA ngo-2004 ngenxa yengxaki enkulu yokudandatheka. Ifunyenwe imvume kwiimeko ezahlukeneyo zempilo yengqondo, kodwa ngoku iyakunikwa kwakhona ukuba buhlungu buhlungu buhlungu.
Indlela i-Cymbalta isebenza ngayo i-Osteoarthritis ne-Pain
I-Cymbalta ihlelwa njenge-serotonin ekhethiweyo kunye ne-norepinephrine reuptake inhibitor (SNRI). Isebenza ngokunyusa izinto zemvelo kwingqondo, i-serotonin, kunye ne-norepinephrin, ezikholelwa ukuba ziyeke ukubonakalisa iintlungu zobuhlungu engqondweni.
Ukuvunyelwa kweCymbalta yeentlungu ze-musculoskeletal, kuqukwa ne-osteoarthritis kunye nentlungu ephantsi, ixhomekeke kwimiphumo ye-double-blind, i-placebo-elawulwayo, engenakulinganiswa kweeklinikhi-izifundo ezintathu zentlungu ephantsi kunye ne-osteoarthritis. Iziphumo zityhila ukuba izigulana ezithatha iCymbalta zazincipha kakhulu kunokuba izigulane zithatha indawo.
Imilinganiselo kunye nemiyalelo
I-Cymbalta ifumaneka ngumrhumo kuphela. Isilwanyana sifumaneka njenge-capsule yokukhululwa ngokukhawuleza kwi-20, 30, ne-60-milligram yamandla. Ugqirha wakho uya kubeka i dose efanelekileyo kwimeko yakho kwaye angakuqala kwi dosi ephantsi kwaye ukwandise umthamo.
Qinisekisa ukugwinya i-capsule ngokupheleleyo ngaphandle kokuchoboza, ukuhlenga, ukuhlafuna, okanye ukuvula i-capsule.
Thatha umyalelo wakho ngokuchanekileyo ngokwemiyalelo kwilebula. Unokuthatha iCymbalta okanye ngaphandle kokutya. Ukuba ibangela ukuba isisu sidumale, thatha ukutya. Qiniseka ukuba ungayimisi ngokukhawuleza okanye ungakhange uxoxe ngokuyeka ukugqithiswa nogqirha wakho.
Ukuba uyeka ngokukhawuleza, unokuba nemiphumo emibi okanye emibi.
Ngaba iCymbalta ayifanelanga abantu abathile?
Ugqirha uya kugqiba isigqibo sokuba i-Cymbalta yonyango olufanelekileyo. Qinisekisa ukuxelela ugqirha wakho ukuba unolwazi oluthile olwenziwe kwi-duloxetine, okanye ukuba uthatha i-thioridazine okanye i-MAO inhibitor. Nika ugqirha lwakho uluhlu lwawo onke amayeza kunye namavithamini owathathayo. Xoxa ngezinye iimeko zonyango onayo kunye nemikhwa efana nokusetyenziswa kotywala.
ULilly uxwayisa ukuba izifundo zezilwanyana zibonisa ukuba iCymbalta ingabangela ingozi yomntwana, ukukhathazeka ngabafazi abakhulelweyo. Bancoma ukuba kuqaphele ukusetyenziswa kwabasetyhini abancancisayo. Jonga udokotela wakho kodwa mhlawumbi unokugula-ngcebiso kwiimeko ezininzi.
Iziphumo eziPhakathi
Iziphumo eziqhelekileyo ezibandakanyekayo zingabandakanywa izibilini, umlomo owomileyo, ukuzitywa, ukulala, ukujuluka nokunciphisa ukutya. Iziphumo eziqhelekileyo ezichaphazelekayo ziquka ukuhlanza, isifo sohudo, ubuhlungu besisu, utshintsho kwimikhwa ye-urinary, utywala, intloko, ukhathala, ubuhlungu besisu, imisipha yomzimba, utshintsho kwimikhwa yezocansi, okanye ukugubha. I-Cymbalta inokubangela ezinye iziphumo ezibi, ezinye zazo ezinokuthi zibe nzima. Ukuba unemiphumo emibi yecala ebonakala ngathi yimeko engxamisekileyo, khangela uncedo lwezonyango.
Izilumkiso ezikhethekileyo
I-Cymbalta ine-bhokisi ebomnyama isilumkiso njengoko idla ngokubonakalayo kwizidakamizwa ezixinzelelekileyo.
Yongezwa ngo-2014. Ngokumisela ulwazi malunga neCymbalta enikezwe ngumenzi:
" Isexwayiso: Iingcamango Zokuzibulala Neengxaki
• Umngcipheko ophezulu wokucinga wokuziphatha nokuzibulala kubantwana, abaselula kunye nabaselula abakhatywayo
• Ukujonga ukunyuka nokuhlaselwa kweengcamango zokuzibulala nokuziphatha "
Gcina ukhumbule ukuba le nkcazo isekelwe kwiziphumo zezigulane ezineengxaki ezidakisayo kunye nezinye iingxaki zengqondo kunokuba zizisebenzise i-osteoarthritis. Kodwa wena, usapho lwakho, kunye nabanonophelo kufuneka baqaphele ukubeka iliso ngenxa yokukhathazeka, ukugxekwa, ukuguqulwa okungavamile kokuziphatha, nokuzibulala.
Bika naluphi na olu kamsinya kumboneleli wakho wezempilo.
Isilumkiso sadibaniswa ngo-2014 kwi -hypotension ye- orthostatic , ukuwa kunye ne- syncope (ukuphelelwa amandla). Yilapho uxinzelelo lwegazi lwakho luhla xa uphuma ebhedini okanye ngaphandle kwesihlalo. Umngcipheko wokuwa kukhulu xa uthabatha isicatshulwa esichaphazelekayo ngaphezu kweCymbalta. Ukuba ususemngciphekweni wokuwa ukusuka kwiminyaka okanye kwezinye iimeko, oku kungaba nzima ngeCymbalta, ngakumbi xa uqala ukuwuthatha.
Ukusebenzisana kwezidakamizwa ezixhamle neCymbalta
Ezinye iziyobisi ezithathwe ngeCymbalta zonyusa okanye zinciphise umphumo weziyobisi. Izidakamizwa ukuba ziqwalaselwe ngokukodwa, ezinokubangela ukusebenzisana kwezidakamizwa, zibandakanya:
- Quinolones
- Ukuxhatshazwa
- Antipsychotic
- Iintlungu zonyango
- Ukulala amayeza
- Inkqubela
Imithombo:
> I- Cymbalta. Ulwaziso loLwazi . Eli Lilly kunye neCh http://pi.lilly.com/us/cymbalta-pi.pdf
> I-Duloxetine (ngomlomo), iMicrodex Information Consumer Information, i-PubMed Health, iLebhu yeSizwe yeMathala ka-US. Ngomhla woku-1, 2017. https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0010059/?report=details#uses.
> Iingcali zeeskethi inkcazelo ye-2017 . UMontvale, NJ: PDR, LLC; 2016.