Into omele uyazi NgeCymbalta yeFibromyalgia

Umxholo

• Yintoni iCymbalta?
• Isebenza njani iCymbalta
• Zithini iziphumo zecymbalta?
• Iziphumo zesondo kunye neCymbalta
• Amayeza anokusebenzisana neCymbalta
• Yintoni enye endifanele ndiyazi malunga neCymbalta?
• Ezinye iindlela zecymbalta zokunyanga i-fibromyalgia
• Yise kude

Kwizigidi zabantu baseMelika abachaphazeleka yi-fibromyalgia, amayeza anika ithemba lokunyanga imeko yeentlungu ezihlangeneyo kunye nezihlunu kunye nokudinwa.

ICymbalta (duloxetine) yamkelwe nguLawulo lokutya kunye noLawulo lweziyobisi kulawulo lwe-fibromyalgia kubantu abadala. Funda ukuze ufumanise ukuba iCymbalta ingakulungela na.

Yintoni iCymbalta?

ICymbalta ikudidi lwamayeza abizwa ngokuba yi-SNRIs (serotonin-norepinephrine reuptake inhibitors) ethintela ukubuyiselwa kwakhona kwee-neurotransmitters norepinephrine kunye ne-serotonin kwingqondo.

Ngaphambi kokuvunywa kwe-fibromyalgia, kwavunywa kunyango lwe:

• Ingxaki yoxinzelelo ngokubanzi (GAD)
• Ingxaki enkulu yokudandatheka (MDD)
• Intlungu yeswekile yesifo seswekile (DPNP)
• iintlungu ezingapheliyo zemisipha

Isebenza njani iCymbalta

Nangona oyena nobangela we-fibromyalgia engaziwa, abaphandi bacebisa ukuba iingqondo zabantu abane-fibromyalgia zitshintshiwe kukuphindaphindwa kwemithambo-luvo. Ukubandakanyeka kutshintsho kunokuba kukunyuka okungaqhelekanga kwee-neurotransmitters ezithile (iikhemikhali ezibonisa iintlungu).

Kwakhona, kucetyiswa ukuba i-receptors yeentlungu zengqondo ziba novakalelo ngakumbi kwaye zinokuthi zisabele kwiimpawu zentlungu.

ICymbalta inyusa isixa se-serotonin kunye ne-norepinephrine kwingqondo. Ezi khemikhali zinceda ukugcina ulungelelwaniso lwengqondo kunye nokumisa ukuhamba kweempawu zentlungu kwingqondo.

Zithini iziphumo zecymbalta?

ICymbalta inxulunyaniswa neziphumo ebezingalindelekanga ezininzi ezinokubakho. Uninzi aludingi kufuna unyango kubandakanya:

• utshintsho lokutya
• ukungaboni kakuhle
• umlomo owomileyo
• intloko ebuhlungu
• ukwanda kokubila
• isicaphucaphu

Iziphumo zokwazisa ugqirha wakho malunga noku kubandakanya:

• ukudumba kwesisu
• ukuphazamiseka
• izinto ezingahambelaniyo komzimba njengokurhawuzelela, irhashalala okanye imihlathi, ukudumba kobuso, imilebe, ubuso okanye ulwimi
• Uxinzelelo lwegazi luyatshintsha
• i-blisters okanye i-peeling skin
• ukudideka
• umchamo omnyama
• urhudo
• ifiva
• Iimpawu ezinjengomkhuhlane
• ukudinwa
• ngokungaqhelekanga kunye / okanye ukubetha kwentliziyo ngokukhawuleza
• ukuphulukana nokulingana kunye / okanye isiyezi
• Ukuphulukana nokunxibelelana nenyani, ukubona izinto ezingekhoyo kuwe
• utshintsho lweemvakalelo
• ukuxhuzula
• Iingcinga zokuzibulala
• ukugruzuka okanye ukopha okungaqhelekanga
• ukugabha
• ukuhla ukusinda

Iziphumo zesondo kunye neCymbalta

I-SNRI ziyaziwa ukuba zibangele iziphumo ebezingalindelekanga ngokwesondo. Ke, iCymbalta inokubangela iziphumo ebezesondo, ezinje ngemicimbi ene:

• ukuvusa inkanuko
• intuthuzelo
• ukwaneliseka

Ngelixa iziphumo ebezingalindelekanga zesondo ziyingxaki kwabanye abantu, kuninzi zizinto ezincinci okanye eziphakathi njengoko imizimba yabo ihlengahlengisa amayeza. Ukuqaqanjiswa kwale miphumela kunokuxhomekeka kwinqanaba ledosi.

Amayeza anokusebenzisana neCymbalta

Ngokwe-National Alliance on Mental Illness (NAMI), duloxetine (Cymbalta) akufuneki ithathwe kunye okanye kwiiveki ezimbini zokuthatha i-monoamine oxidase inhibitors (MAOIs) enje:

• I-tranylcypromine (iParnate)
• iselegiline (Emsam)
• irasagiline (Azilect)
• phenelzine (uNardil)
• Isocarboxazid (iMarplan)

I-NAMI ikwabonisa ukuba inokunyusa ifuthe lamayeza athile anokubangela ukopha njenge:

• Iasprini
• ibuprofen (Advil, Motrin)
• iwarfarin (Coumadin)

I-NAMI ikwabonisa ukuba amanqanaba kunye neziphumo zeCymbalta zinokunyuswa ngamanye amayeza kubandakanya:

• cimetidine (iTagamet)
• ciprofloxacin (Cipro)
• fluoxetine (Prozac)
• ifluvoxamine (iLuvox)
• iparoxetine (Paxil)

Kubalulekile ukuba ugqirha wakho awazi onke amanye amayeza owasebenzisayo. Oogqirha bayalwazi olu luhlu lungentla kunye namanye amayeza ahlala enxibelelana neCymbalta. Baya kwenza izigqibo malunga nokuphepha okanye ukulungiswa kwemilinganiselo apho kufanelekileyo.

Yintoni enye endifanele ndiyazi malunga neCymbalta?

Yeka kuphela ukuthatha iCymbalta ngokuvunywa ngugqirha. Iidosi ezingekhoyo zinokwandisa umngcipheko wokuphinda ubuye kwiimpawu zakho.

Xa ulungele ukuyeka ukuthatha iCymbalta, thetha nogqirha wakho malunga nokwenza kancinci kancinci. Ukuyeka ngesiquphe kunokubangela iimpawu zokurhoxa ezinje:

• isiyezi
• intloko ebuhlungu
• ukucaphuka
• isicaphucaphu
• amaphupha amabi
• i-paresthesias (ukuhlaba, ukubetha, ukuqaqamba kwesikhumba)
• ukugabha

Kusenokwenzeka ukuba ugqirha wakho uya kuba nakho ukukunceda ukunciphisa iimpawu zokurhoxa.

Ngelixa uthatha iCymbalta uyakufuna ukunqanda ukusela utywala okanye ukusebenzisa gwenxa izinto ezinje ngeopioids. Akunakuphela nje ukuba banciphise izibonelelo ezihanjiswa yiCymbalta, kodwa banokwandisa ubunzima beempembelelo.

Ukusela utywala kunokunyusa umngcipheko weengxaki zesibindi ngelixa uthabatha iCymbalta kwangaxeshanye.

Ezinye iindlela zecymbalta zokunyanga i-fibromyalgia

Enye i-SNRI evunyiweyo yokunyanga i-fibromyalgia yi-Savella (milnacipran). Kukwavunyiwe uLyrica (pregabalin), isifo sokuxhuzula kunye nonyango lweentlungu.

Ugqirha wakho unokucebisa:

• Ukuphelisa iintlungu ngaphezulu kwe-counter njenge-acetaminophen (iTylenol) kunye ne-ibuprofen (Advil, Motrin)
• Ukudambisa iintlungu kugqirha njenge-tramadol (Ultram)
• iziyobisi ezichasene nokubanjwa njenge-gabapentin (Neurontin)

Yise kude

Zombini ngokwasemzimbeni nangokweemvakalelo, i-fibromyalgia inokuba yimeko enzima yokuhlala nayo. Amayeza anjengeCymbalta asebenze ekunyangeni uninzi lweempawu zeso sifo esinganyangekiyo kwaye esihlala sikhubaza isifo.

Ukuba ugqirha wakho ucebisa iCymbalta, babuze imibuzo malunga neziphumo zayo ezifanelekileyo kunyango lweempawu zakho, kunye neziphumo ebezingalindelekanga ezinokubakho. Xoxa ngekhosi yakho xa uneziphumo ebezingalindelekanga.

Njalo qinisekisa ukunika ugqirha wakho lonke ulwazi malunga namanye amayeza kunye nezibonelelo ozithathayo.