Kodi muyenera kutenga Wellbutrin kuti musiye kusuta?

Zambiri Zamankhwala

Kusuta fodya ndi komwe kumayambitsa Anthu 480,000 amafa pachaka ku US , malinga ndi U.S. Centers for Disease Control and Prevention (CDC). Zimayambitsa mavuto ambiri azaumoyo, monga emphysema, mphumu, matenda am'mlengalenga, matenda amtima, matenda osachiritsika am'mapapo (COPD), ndi khansa ya m'mapapo, pakhosi, kapena mkamwa - mwa zina. Ngakhale kugwiritsa ntchito fodya kwakhala ikuchepa pang'onopang'ono kuyambira koyambirira kwa 2000's , kuposa 34.3 miliyoni Akuluakulu aku America amasutabe.

Chifukwa chomwe anthu akupitilira kusuta ndudu (ngakhale zovuta zaumoyo) ndizosavuta: kusuta. Zimakhala zovuta kusiya kusuta fodya, kaya mukugwiritsa ntchito mankhwala osokoneza bongo a nicotine kapena kusiya kuzizira. Mwina mudamvapo za Nicorette kapena Chantix kuti athandizane ndi zizindikiritso zakudzidzimutsa koma pamapeto pake ndidayamba chizolowezicho Wellbutrin , yemwenso amadziwika kuti bupropion , mankhwala osadziwika bwino omwe amagwiritsidwa ntchito posuta fodya.

Wellbutrin (bupropion) ndi chiyani?

Bupropion-yomwe imapezeka m'maina a Wellbutrin SR, Wellbutrin XL, ndi Zyban-ndi mankhwala opatsirana pogonana omwe amagwiritsidwa ntchito makamaka kuthana ndi vuto lalikulu lachisokonezo komanso kusokonezeka kwa nyengo. Madokotala amaperekanso izi pakuletsa kusuta, ndikulemba ngati chithandizo chamankhwala ngati ADHD.

Bupropion imagwira ntchito poletsa kuyamwa kwa dopamine muubongo wanu - zomwe zimapangitsa kuti mukhale okwera kwambiri, zomwe zingalimbikitse kusangalala kapena kukhala ndi zotsatira zina zabwino, malinga ndi Nakia Eldridge, Pharm.D., Directory of Pharmacy Operations ndi Chifundo Medical Center ku Baltimore.

Dopamine ndi neurotransmitter yomwe imayang'anira dongosolo la mphotho yokhudzana ndi kusuta fodya, atero Dr. Eldridge. Amakhulupirira kuti dopamine ndi yolimbikitsira mphotho zamtsogolo. Poletsa kubwezeretsanso kwa dopamine, amakhulupirira kuti bupropion ikuchepetsa mphotho yomwe imabwera chifukwa chosuta ndudu.

Dr. Eldridge akunena kuti Wellbutrin ndi Zyban ali ndi chinthu chomwecho, ndipo zonsezi zimapangidwa ndi GlaxoSmithKline (GSK). Mapangidwe awo ndi osiyana pang'ono, komabe. Zyban ndi mtundu wophulika wa bupropion womwe umagulitsidwa makamaka chifukwa chosiya kusuta. Ili ndi ziwonetsero zaku US Food and Drug Administration (FDA) za kukhumudwa kwakukulu komanso kusokonezeka kwa nyengo. Wellbutrin imapezeka pakamasulidwa mwachangu komanso njira zowonjezerera zotulutsira. Pali zisonyezo zambiri za FDA za Wellbutrin.

ZOKHUDZA : Wellbutrin wa ADHD

Mukufuna mtengo wabwino kwambiri ku Wellbutrin?

Lowani zidziwitso za mtengo wa Wellbutrin ndikupeza kuti mitengo ikasintha liti!

Pezani zidziwitso zamitengo

Kodi Wellbutrin angakuthandizeni kusiya kusuta?

Yankho lalifupi ndilo inde, koma zimadalira pazinthu zina zingapo. Kafukufuku wamankhwala akuwonetsa kuti bupropion ndi mankhwala othandiza kusuta fodya ndipo imathandiza anthu kuti asasute ndudu, malinga ndi Katie Taylor, Pharm.D., Wamankhwala wamkulu Gore & Kampani .

M'mayesero azachipatala, odwala pa Zyban 300mg / tsiku amakhala ndi masabata anayi osiyira 36%, 25% sabata 12, ndi 19% sabata 26, atero Dr. Taylor. Manambalawa adakula kwambiri ngati odwala amagwiritsa ntchito bupropion pambali pa zigamba za chikonga. Oposa theka la omwe adatenga nawo gawo amakhala opanda ndudu m'masabata 10.

Pali mayesero azachipatala omwe akukonzekera ku University of California Los Angeles (UCLA) kuti adziwe ngati Wellbutrin XL ili yothandiza kwambiri kwa anthu omwe ali ndi matenda amisala omwe akufuna kusiya kusuta. Dr. Taylor amakhulupirira kuti Wellbutrin atha kugwira ntchito bwino pakusiya kusuta kwa anthu omwe amakhalanso ndi vuto lakukhumudwa, chifukwa ichi ndiye chisonyezero chachikulu cha mankhwalawa.

Popeza Wellbutrin ndi Zyban ali ndi chinthu chomwecho chogwira ntchito, Dr. Eldridge akufotokoza, sipanakhalepo mutu wopita kumutu pakati pa mayina amtunduwu kuti muwone zomwe zimagwira ntchito bwino.

Kodi mumagwiritsa ntchito bwanji Wellbutrin kuti musiye kusuta?

Wellbutrin imagwira ntchito bwino kwambiri kwa anthu omwe amasuta ndudu 10 kapena kupitilira apo patsiku — theka la paketi kapena kupitilira apo. Ngati mungasankhe kugwiritsa ntchito bupropion kuti musiye kusuta, adotolo azindikira kuchuluka komwe kungakhale bwino. Ipezeka mu zotsatirazi mitundu ndi zosankha za mlingo :

• Bupropion hydrochloride piritsi, kumasulidwa msanga: 75 mg, 100 mg
• Pulogalamu ya Bupropion hydrochloride, yotulutsidwa kwa ola 12: 100 mg, 150 mg, 200 mg
• Pulogalamu ya Bupropion hydrochloride, yotulutsa maola 24: 150 mg, 300 mg, 450mg
• Pulogalamu ya Bupropion hydrobromide, yotulutsidwa nthawi 24: 174 mg, 348 mg, 522 mg

Mumatenga tsiku lililonse, kuyambira sabata limodzi kapena awiri tsiku lanu loti musiye. Izi zimapatsa mankhwala nthawi yakulimbitsa mthupi lanu, ndikukwaniritsa zonse. M'masabata oyambilirawa, mukupitilizabe kusuta.

Tsiku lanu losiya ntchito likafika, mumasiya kusuta limodzi. Mutha kupitiliza kutenga Wellbutrin kwa miyezi 6 mpaka chaka kukuthandizani kuti musiye kusuta fodya komanso kusiya.

Zotsatira zoyipa za Wellbutrin ndi ziti?

Odwala ambiri samakumana ndi izi. Zotsatira zoyipa za bupropion ndi monga:

• Nseru
• Kudzimbidwa
• Kusanza
• Matenda
• Kuvuta kugona
• Kupweteka kwa minofu kapena molumikizana
• Maloto achilendo
• Kupweteka mutu
• Pakamwa pouma
• Chizungulire
• Zosintha pamakhalidwe
• Kulemera kapena kuwonda
• Kupindika

Nthawi zambiri, mankhwalawa atha kukhala ndi zovuta zoyipa monga chidani, malingaliro ofuna kudzipha, chiopsezo cha kugwidwa, kapena kugunda kwamtima kosazolowereka. Pali chiopsezo chochepa cha mavuto amtima, makamaka kwa anthu omwe ali ndi kuthamanga kwa magazi kapena matenda amtima. Simuyenera kutenga bupropion ngati mukumwa monoamine oxidase inhibitor (MAOI), itha kukhala ndi vuto logwirizana ndi mankhwala. Sichivomerezedwa kwa odwala omwe ali ndi matenda ochititsa munthu kusinthasintha zochitika chifukwa cha chiwopsezo cha mania.

Ili si mndandanda wathunthu wazovuta. Ndikofunika kuti mukalankhule ndi omwe amakupatsani mwayi kuti mudziwe ngati muli pachiwopsezo cha zotsatirapo zoyipa izi musanayambe mankhwala aliwonse akuchipatala.

Ndi mankhwala ena ati omwe amapezeka kuti asiye kusuta?

Zaka za m'ma 1980 zisanafike, mankhwala okhawo omwe analipo oti athetse fodya anali mankhwala osiyanasiyana osinthira chikonga, kuphatikizapo:

• chikonga cha chikonga
• chingamu
• chikonga cha inhaler
• kupopera m'mphuno
• lozenges

Mankhwalawa amathandiza kuchepetsa zilakolako ndi zizindikiro zakusuta kwa nicotine zomwe zimachitika munthu atasiya kusuta. Tsopano pali zosankha zina.

Kuphatikiza pa Wellbutrin ndi Zyban, madokotala amatha kusankha kupereka mankhwala Chantix (varenicline) kwa odwala omwe akufuna kusiya kusuta. Malinga ndi Dr. Taylor, Chantix imagwira ntchito pazotengera za chikonga muubongo wanu ndipo zimathandiza kuthana ndi zikhumbo.

Khadi lochotsera pamankhwala

Ndi mankhwala ati omwe mungasankhe kusiya kusuta?

Kusankha kwamankhwala ndikofatsa kwambiri, atero Dr. Taylor. Odwala ambiri amachita bwino ndi zinthu zomwe zimasinthidwa ndi chikonga ndipo pali zosankha zingapo, chifukwa chake kusankha kwa wodwala kumawongolera chisankho. Momwe mankhwala amakhudzira munthu aliyense amatha kusiyanasiyana.

Kuchita bwino

Zowonadi, monganso antidepressants onse, mankhwalawa atha kugwira ntchito mosiyana ndi wodwala wina. Bupropion SR itha kuthandiza wodwala m'modzi kusiya kusuta poyesa koyamba, pomwe alibe wina.

Zotsatira zoyipa

Kuphatikiza apo, odwala amakhala ndi zovuta zina mosiyanasiyana. Zotsatira zoyipa za Wellbutrin, Zyban, ndi Chantix ndizofanana.

Mtengo ndi inshuwaransi

Pali mitundu yosiyanasiyana yamitengo yomwe mungaganizire posuta mankhwala. Inshuwaransi yanu itha kubisa mankhwala amodzi pamlingo wosiyana ndi wina. Zinthu zakusintha kwa nikotini zilipo pakauntala, chifukwa chake zikhala zotsika mtengo mosiyana ndi mankhwala.

Zizolowezi zosuta komanso mavuto ena azaumoyo

Maganizo a wodwalayo pankhani yosiya akhoza kukhala chinthu chofunikira kwambiri. Mankhwala amathandiza kwambiri osuta omwe akufuna kusiya kapena akufuna kusiya, atero Dr. Eldridge. Chithandizo chikuyenera kukhala payokha kuti muchepetse kusuta kwambiri komanso matenda aliwonse omwe amapezeka ngati ma syndromes owopsa ndi matenda amtima. Ananenanso kuti kafukufuku apeza kuti njira zochiritsira zophatikizira, monga kugwiritsa ntchito bupropion hydrochloride kapena varenicline limodzi ndi kusintha kwa chikonga, ndizothandiza kwambiri kuposa njira iliyonse yamankhwala yomwe imagwiritsidwa ntchito yokha.

Zonsezi ndizovomerezeka, ndipo munthu aliyense ayenera kudziyesa yekha ndikukambirana za chisankho ndi omwe amawapatsa chithandizo chamankhwala.

Ayenera inu gwiritsani Wellbutrin kusiya kusuta?

Muli ndi zisankho zambiri zomwe zingakuthandizeni kusiya kusuta. Ndiye mungadziwe bwanji kuti Wellbutrin ndiye chisankho choyenera kwa inu?

Mwina mukufuna kuyesa njira zachilengedwe kuti musiye kusuta. Njira zosagwirira ntchito zamankhwala zimagwiritsa ntchito njira zanzeru zochiritsira machitidwe ndi zolimbikitsira zosiyanasiyana zolimbikitsira ndikusintha kwamachitidwe, atero Dr. Eldridge. Cholinga cha kulowererapo ndikulimbikitsa kudziletsa pakusuta posintha zoyeserera zakusuta. Kulimbikitsana kufunsa kapena upangiri kumathandiza osuta kuti afufuze ndikuthana ndi malingaliro osiyanasiyana okhudzana ndi kusuta fodya. Njira zina zimaphatikizira kusinkhasinkha, hypnotherapy, yoga, kutema mphini, ndi tai chi.

Kwa anthu ena omwe amakonda kupewa kumwa mankhwala akuchipatala, njira zosagwiritsa ntchito mankhwalazi zitha kukhala zofunikira kuzifufuza. M'malo mwake, ngakhale mutatenga Wellbutrin, zitha kukupindulitsani kuyesa ena mwa malangizowa.

Inu ndi dokotala wanu nokha ndi amene mungadziwe njira yabwino yosiya kusuta. Upangiri wofunikira kwambiri ndi uwu: Osasiya kuyesetsa kusiya. Ndinayesa kasanu ndi kawiri ndisanachite bwino. Kotero ngati njira imodzi yosiya sikukuthandizani, yesani ina. Yesani zingapo kuphatikiza. Mtima wanu ndi mapapu anu zikomo!