Umbhali: Janice Evans
Umhla Wokudalwa: 28 Eyekhala 2021
Hlaziya Umhla: 1 Eyekhala 2024
Anonim
Lurasidone Review - Mechanism of Action, Side Effects and Clinical Pearls
Ividiyo: Lurasidone Review - Mechanism of Action, Side Effects and Clinical Pearls

Umxholo

Isilumkiso esibalulekileyo kubantu abadala abanesifo sengqondo esixhalabisayo:

Izifundo zibonise ukuba abantu abadala abanesifo sengqondo esixhalabisayo (ukuphazamiseka kwengqondo okuchaphazela amandla okukhumbula, ukucinga ngokucacileyo, ukunxibelelana, nokwenza imisebenzi yemihla ngemihla kwaye kunokubangela utshintsho kwiimvakalelo nakubuntu) abathatha ii-antipsychotic (amayeza esigulo sengqondo) njenge-lurasidone banamathuba amaninzi okufa ngexesha lonyango. Abantu abadala abanesifo sengqondo esixhalabisayo banokuba namathuba amakhulu okuba nesifo sokufa icala okanye i-ministroke ngexesha lonyango lwe-antipsychotic.

I-Lurasidone ayivunywanga nguLawulo lwezoKutya kunye noLawulo lweziyobisi (i-FDA) kunyango lweengxaki zokuziphatha kubantu abadala abanesifo sengqondo esixhalabisayo. Thetha nogqirha okumisele la mayeza ukuba wena, ilungu losapho, okanye umntu omkhathalelayo unesifo sengqondo esixhalabisayo kwaye uthatha i-lurasidone. Ngolwazi oluthe kratya ndwendwela iwebhusayithi ye-FDA: http://www.fda.gov/Drugs

Isilumkiso esibalulekileyo kubantu abanexinzelelo:

Inani elincinci labantwana, ulutsha, kunye nabantu abadala abancinci (ukuya kuthi ga kwi-24 yeminyaka ubudala) abathathe amayeza oxinzelelo ngexesha lezifundo zeklinikhi baba ukuzibulala (ukucinga ngokuzenzakalisa okanye ukuzibulala okanye ukucwangcisa okanye ukuzama ukwenza njalo). Abantwana, ulutsha, kunye nabantu abadala abancinci abathatha i-anti-depressant ukunyanga uxinzelelo okanye ezinye izifo zengqondo banokuba semngciphekweni wokuzibulala kunabantwana, ulutsha, kunye nabantu abadala abancinci abangazithathiyo ukunyanga ezi meko. Nangona kunjalo, iingcali aziqinisekanga malunga nokuba ungakanani na lo mngcipheko kwaye ingakanani ekufuneka ithathelwe ingqalelo xa usenza isigqibo sokuba ingaba umntwana okanye ulutsha kufuneka athathe i-anti-depressant. Abantwana abangaphantsi kweminyaka eli-10 ubudala akufuneki bathathe i-lurasidone ukunyanga uxinzelelo, kodwa kwezinye iimeko, ugqirha unokuthatha isigqibo sokuba i-lurasidone lelona nyango lilungileyo lokunyanga imeko yomntwana.


Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga xa uthatha i-lurasidone ukunyanga uxinzelelo okanye esinye isifo sengqondo nokuba umdala ngaphezulu kweminyaka engama-24 ubudala. Ungazibulala, ngakumbi ekuqaleni konyango lwakho nangalo naliphi na ixesha apho idosi yakho inyuswe okanye yehlisiwe. Wena, usapho lwakho, okanye umntu omkhathalelayo kufuneka ubize ugqirha wakho ngoko nangoko ukuba unazo naziphi na kwezi mpawu zilandelayo: ukudakumba okutsha okanye okuya kusiba mandundu; ukucinga ngokuzenzakalisa okanye ukuzibulala, okanye ukucwangcisa okanye ukuzama ukwenza njalo; ukukhathazeka kakhulu; ukuphazamiseka; uloyiko; ubunzima bokulala okanye ukulala; indlela yokuziphatha enengcwangu; ukucaphuka; ukwenza ngaphandle kokucinga; ukungazinzi okukhulu; kunye nefrenzied yimincili engaqhelekanga. Qiniseka ukuba usapho lwakho okanye umntu okhathalelayo uyazi ukuba zeziphi iimpawu ezinokuba nobuzaza ukuze babize ugqirha ukuba awukwazi ukuzifunela unyango ngokwakho.

Umboneleli wakho wezempilo uya kufuna ukukubona rhoqo ngelixa uthatha i-lurasidone, ngakumbi ekuqaleni konyango lwakho. Qiniseka ukuba ugcina lonke ixesha lokundwendwela eofisini nogqirha wakho.


Kungakhathaliseki ukuba uneminyaka emingaphi, ngaphambi kokuba uthathe i-anti-depressant, wena, usapho lwakho, okanye umntu omkhathalelayo kufuneka uthethe nogqirha wakho malunga neengozi kunye neenzuzo zokunyanga imeko yakho nge-anti-depressant okanye ngezinye iindlela zonyango. Kuya kufuneka uthethe ngomngcipheko kunye nezibonelelo zokungayinyangi imeko yakho. Kuya kufuneka uyazi ukuba ukudakumba okanye esinye isifo sengqondo sonyusa kakhulu umngcipheko wokuba ungazibulala. Lo mngcipheko uphezulu ukuba wena okanye nabani na kusapho lwakho ukhe waba nengxaki yokuphazamiseka engqondweni (imeko etshintsha ukusuka ekudandathekeni iye ekubeni nemincili engaqhelekanga) okanye i-mania okanye uye wacinga okanye wazama ukuzibulala. Thetha nogqirha wakho malunga nemeko yakho, iimpawu, kunye nembali yonyango lwakho kunye nosapho. Wena kunye nogqirha wakho uya kuthatha isigqibo sokuba loluphi uhlobo lonyango olulungele wena.

ILurasidone isetyenziselwa ukunyanga iimpawu zeschizophrenia (isifo sengqondo esibangela ukuphazamiseka okanye ukucinga okungaqhelekanga, ukuphelelwa ngumdla ebomini, kunye neemvakalelo ezinamandla okanye ezingalunganga) kubantu abadala nakubantwana abaneminyaka eli-13 ubudala nangaphezulu. Isetyenziselwa ukunyanga uxinzelelo kubantu abadala nakubantwana abaneminyaka eli-10 ubudala nangaphezulu abane-bipolar disorder (isifo sokudakumba samanic; isifo esibangela iziqendu zoxinzelelo, iziqendu ze-mania, kunye nezinye iimeko ezingaqhelekanga). I-Lurasidone ikwasetyenziswa kunye ne-lithium (Lithobid) okanye i-valproate (Depacon) yokunyanga uxinzelelo kubantu abadala abane-bipolar disorder. I-Lurasidone ikudidi lwamayeza abizwa ngokuba yi-atypical antipsychotic. Isebenza ngokutshintsha umsebenzi wezinto ezithile zendalo kwingqondo.


ILurasidone iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa ngokutya (ubuncinci iikhalori ezingama-350) kube kanye ngemini. Thatha i-lurasidone malunga nexesha elifanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-lurasidone ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

I-Lurasidone ilawula i-schizophrenia kunye noxinzelelo kubantu abane-bipolar disorder kodwa ayizinyangi ezi meko. Ingathatha iiveki ezininzi okanye ngaphezulu ngaphambi kokuba uzive izibonelelo ngokupheleleyo ze-lurasidone. Qhubeka uthathe i-lurasidone nokuba uziva uphilile. Sukuyeka ukuthatha i-lurasidone ngaphandle kokuthetha nogqirha wakho.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-lurasidone,

  • xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-lurasidone, nawaphi na amanye amayeza, okanye naziphi na izithako kwiipilisi ze-lurasidone. Buza usokhemesti wakho uluhlu lwezithako.
  • xelela ugqirha wakho ukuba uthatha icarbamazepine (Carbatrol, Epitol, Tegretol); i-clarithromycin (i-Biaxin, kwi-Prevpac); ketoconazole; mibefradil; phenytoin (iDilantin, iPhenytek); irifampin (Rifadin, Rimactane, eRifamate, eRifater); i-ritonavir (iNorvir); I-wort yaseSt. okanye i-voriconazole (Vfend). Ugqirha wakho uya kukuxelela ukuba ungathathi i-lurasidone ukuba uthatha elinye lala mayeza.
  • xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo nolungabhaliswanga, iivithamini, kunye nezongezelelo zesondlo ozithathayo okanye oceba ukuzithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: antihistamines; Atazanavir (Reyataz); i-bosentan (iTracleer); diltiazem (Cardizem, Cartia, Taztia, Tiazac, nabanye); efavirenz (Sustiva, eAtripla); erythromycin (EES, E-Mycin, Ery-Tab, nabanye); i-etravirine (ukungakhathali); i-fluconazole (iDiflucan); indinavir (iCrixivan); ipratropium (Atrovent, kwiNdibaniselwano, eDuoneb); itraconazole (Sporanox); amayeza okulawula ukuxhalaba, ukuthomalalisa, iipilisi zokulala, okanye izinto zokuthomalalisa; amayeza okulawula uxinzelelo lwegazi; amayeza e-glaucoma, isifo sokuqaqamba kwamathumbu, isifo sokuhamba, i-myasthenia gravis, isifo sika-Parkinson, izilonda, okanye iingxaki zomchamo; imodafinil (Provigil); nafcillin; nefazodone; i-nelfinavir (iViracept); phenobarbital; ipioglitazone (Actos, kwiDuetact, kwiActoplus Met); irifabutin (Mycobutin); okanye i-verapamil (Calan, Verelan, abanye, eTarka); Amanye amayeza anokusebenzisana ne-lurasidone, ke qiniseka ukuxelela ugqirha wakho malunga nawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
  • xelela ugqirha wakho ukuba ukhe wasebenzisa okanye wakha wasebenzisa iziyobisi zasesitalatweni okanye wawasebenzisa kakhulu amayeza kagqirha kwaye ukuba ukhe wahlaselwa sistroke; i-ministroke (TIA); iintlungu esifubeni, isifo sentliziyo, okanye isifo sentliziyo; ukubetha kwentliziyo ngokungaqhelekanga; ukumelwa yintliziyo; Isifo sikaParkinson (ukuphazamiseka kwenkqubo yemithambo-luvo ebangela ubunzima ngokuhamba, ukulawula izihlunu, kunye nokulingana); Isifo se-Alzheimer (isifo sobuchopho esitshabalalisa ngokuthe ngcembe inkumbulo kunye nokukwazi ukucinga, ukufunda, ukunxibelelana nokusingatha imisebenzi yemihla ngemihla); ukuxhuzula; isifo sengqondo esixhalabisayo; umhlaza webele; ingxaki yokugcina ibhalansi yakho; nayiphi na imeko eyenza kubenzima ukuba uyiginye; uxinzelelo lwegazi oluphezulu okanye oluphantsi; amanqanaba aphezulu eprolactin; amanqanaba aphezulu amafutha (cholesterol kunye ne-triglycerides) egazini lakho; inani eliphantsi leeseli ezimhlophe zegazi; isifo sezintso; isifo sesibindi; iswekile yegazi ephezulu; okanye ukuba wena okanye nabani na kusapho lwakho ukhe unesifo seswekile. Tshela ugqirha wakho ukuba ugabha kakhulu okanye urhudo okanye uneempawu zokuphelelwa ngamanzi emzimbeni ngoku, okanye ukuba uziphuhlisa ezi mpawu nanini na xa usenza unyango lwakho. Xelela ugqirha wakho ukuba ukhe uyeke ukuthatha iyeza lokugula ngengqondo ngenxa yeziphumo ebezingalindelekanga ezibi.
  • xelela ugqirha wakho ukuba ukhulelwe, ngakumbi ukuba ukwinyanga ezimbalwa ezidlulileyo zokukhulelwa kwakho, okanye ukuba ucwangcisa ukukhulelwa okanye ukuncancisa. Ukuba ukhulelwa ngelixa uthatha i-lurasidone, tsalela ugqirha wakho. I-Lurasidone inokubangela iingxaki kwiintsana ezisanda kuzalwa emva kokubeleka ukuba zithathiwe kwiinyanga zokugqibela zokukhulelwa.
  • ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-lurasidone.
  • Kuya kufuneka uyazi ukuba i-lurasidone inokukwenza wozele. Sukuqhuba imoto okanye usebenzise oomatshini abayingozi de ube uyazi indlela ekuchaphazela ngayo la mayeza.
  • Kuya kufuneka uyazi ukuba unokufumana i-hyperglycemia (inyuka kwiswekile esegazini lakho) ngelixa uthatha eli yeza, nokuba awukabinaso isifo seswekile. Ukuba une-schizophrenia, kunokwenzeka ukuba ube nesifo seswekile kunabantu abangenayo i-schizophrenia, kwaye ukuthatha i-lurasidone okanye amayeza afanayo kunokuwunyusa lo mngcipheko. Tshela ugqirha wakho ngokukhawuleza ukuba unayo nayiphi na impawu zilandelayo ngelixa uthatha i-lurasidone: ukunxanwa okugqithisileyo, ukuchama rhoqo, ukulamba kakhulu, umbono ongacacanga, okanye ubuthathaka. Kubaluleke kakhulu ukubiza ugqirha wakho nje ukuba ufumane naziphi na kwezi mpawu, kuba iswekile eninzi egazini inokubangela imeko embi ebizwa ngokuba yi ketoacidosis. I-Ketoacidosis inokuba sengozini yobomi ukuba ayinyangwa kwangoko. Iimpawu zeketoacidosis zibandakanya umlomo owomileyo, isicaphucaphu kunye nokugabha, ukuphefumla kancinci, ukuphefumla okunuka iziqhamo kunye nokuncipha kwengqondo.
  • Kuya kufuneka uyazi ukuba i-lurasidone inokubangela ukuba ube nesiyezi, ukuba nentloko elula, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo yokulala. Oku kuqheleke ngakumbi xa uqala ukuthatha i-lurasidone. Ukunceda ukuthintela le ngxaki, phuma kancinci ebhedini, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume.
  • Kuya kufuneka uyazi ukuba i-lurasidone inokwenza kube nzima ukuba umzimba wakho uphole xa kushushu kakhulu. Tshela ugqirha wakho ukuba uceba ukwenza umthambo okanye uvezwe bubushushu obugqithisileyo.
  • Kuya kufuneka uyazi ukuba i-lurasidone inokubangela ukwanda kobunzima. Kubalulekile ukuba ubunzima bakho buhlolwe ngamanye amaxesha ngelixa usela la mayeza.

Musa ukutya isixa esikhulu segrapefruit okanye usele ijusi yeziqhamo zomdiliya ngelixa uthatha eli yeza.

Thatha idosi ephosiweyo ngokutya (ubuncinci iikhalori ezingama-350) ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

ILurasidone inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

  • isiyezi, ukuziva ungazinzanga, okanye unengxaki yokugcina ibhalansi yakho
  • ixhala
  • ubuthathaka
  • ukudinwa
  • ukungazinzi
  • ukushukuma okungalawulekiyo kwilungu lomzimba
  • Ukuhamba kancinci okanye ukuhamba hamba
  • isicaphucaphu
  • ukugabha
  • utshintsho lokutya
  • ukwanda kwamathe
  • ukwandiswa kwamabele okanye ukukhupha
  • ukuya emva kwexesha okanye ukuphoswa lixesha lokuya exesheni
  • ukunciphisa amandla esini

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu, okanye ezo zidweliswe kumacandelo EZILUMKISO EZIBALULEKILEYO kunye NAMANQAKU ATHILE, biza ugqirha ngoko nangoko:

  • ukuxhuzula
  • ukudumba kobuso, umqala, ulwimi, imilebe, amehlo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
  • ukudinwa
  • ubunzima bokuginya okanye ukuphefumla
  • ukuqhawukelwa ngumphefumlo
  • ukubetha kwentliziyo okungaqhelekanga
  • umqala obuhlungu, umkhuhlane, ukukhohlela, ukugodola kunye neminye imiqondiso yosulelo
  • umkhuhlane, ukubila, ukudideka, ukubetha kwentliziyo okukhawulezayo okanye okungaqhelekanga, kunye nokuqina kwemisipha
  • iintshukumo ezingaqhelekanga zobuso bakho okanye zomzimba ongenakuzilawula
  • ukuwa

ILurasidone inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho unokuyalela iimvavanyo ezithile zebhu ukujonga impendulo yomzimba wakho kwi-lurasidone.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

  • ILatuda®
Ukuhlaziywa kokugqibela-04/15/2018

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