Wellbutrin wa ADHD

Zambiri Zamankhwala

Kodi mwayesapo kuthana ndi vuto lanu la chidwi (ADHD kapena ADD) ndimankhwala olimbikitsa, monga Ritalin kapena Konsati , koma analibe mwayi? Wellbutrin ikhoza kukhala yankho lanu-ndipo musalole kuti izi ndizopanikizika zikuwopsyezeni.

Wellbutrin ndi chiyani?

Wellbutrin ( bupropion ) ndimatenda opatsirana omwe nthawi zina amagwiritsidwa ntchito pochiza matenda a ADHD. Amavomerezedwa kuthana ndi kukhumudwa, kusokonezeka kwa nyengo, komanso kuthandiza anthu kusiya kusuta. Zimagwira ntchito poletsa dopamine ndi norepinephrine kuti isabwererenso muubongo. Izi zimawonjezera kuchuluka kwa ma neurotransmitters, omwe angathandize kulimbitsa mtima ndikuchepetsa zizindikiritso zina.

Kodi Wellbutrin FDA imavomerezedwa ku ADHD?

Wellbutrin sivomerezedwa ndi US Food and Drug Administration (FDA) kuti ichiritse ADHD.

Pali mankhwala ambiri olimbikitsa omwe FDA imavomereza kuchiza ADHD. Mankhwala olimbikitsa amawerengedwa kuti ndi mankhwala oyamba a ADHD chifukwa amachepetsa zizindikiritso za 70% mpaka 80% anthu. Mankhwala osalimbikitsa ndi mankhwala achiwiri kapena chachitatu omwe odwala angayesere ngati zolimbikitsa sizigwira ntchito. Ovomerezeka osavomerezeka ndi FDA omwe amachiza ADHD ndi awa: Strattera ( atomoxetini ), Chidziwitso ( guanfacine ), ndi Kapvay ( clonidine ).

Antidepressants, monga Wellbutrin, amalembedwa kuti asachiritse ADHD chifukwa amachulukitsa dopamine ndi norepinephrine-ma neurotransmitters awiri omwe amakhala otsika kwambiri mu ubongo wa ADHD. Ndizovomerezeka, komanso zovomerezeka, kupereka mankhwala osalemba ngati kafukufuku akuwonetsa kuti atha kuthandiza vuto. Ena kufufuza ikuwonetsa kuti Wellbutrin imagwirira ntchito anthu omwe ali ndi ADHD, azaka 18 kapena kupitilira apo.

Madokotala osiyanasiyana a ADHD amagwira ntchito kwa anthu osiyanasiyana, komanso motsutsana ndi zizindikilo zosiyanasiyana, atero a Melissa Orlov, wolemba Zotsatira za ADHD pa Ukwati . Zizindikiro zina za ADHD zitha kuyendetsedwa bwino ndi Wellbutrin kuposa ena. Ndipo ena salekerera zolimbikitsa.

Kodi Wellbutrin imathandiza ADHD?

Kafukufuku akuti imatero, ngakhale imakhala yotsika kwambiri kuposa mankhwala ambiri othandiza, akufotokoza Orlov. Koma ngati zikukuthandizani, ndiye kuti kaya zimagwirira ntchito ena kapena ayi sizothandiza.

Zolimbikitsa sizigwira ntchito kwa aliyense, ndipo anthu ena sangathe kuzitenga chifukwa cha matenda ena, monga mitundu ina yamatenda amtima. Ngati inu kapena mwana wanu muli m'gulu la 20% mpaka 30% samathandiza, kapena zopatsa mphamvu zimayambitsa zovuta zoyipa, Wellbutrin ikhoza kukhala njira yabwino.

Bupropion ndichisankho chabwino kwambiri kwa anthu omwe ali ndi ADHD omwe ali ndi zovuta zam'maganizo, monga kukhumudwa, ndipo akufuna kuyesa wothandizira m'modzi. Zambiri zikuwonetsa kuti bupropion imangotulutsa osati kukhumudwa kokha komanso ADHD, akutero Timothy Wilens, MD , wamkulu wagawoli la zamisala ya ana ndi achinyamata ku Massachusetts General Hospital.

Bupropion ndichisankho chabwino kwambiri pamzere wachiwiri kwa anthu omwe ali ndi vuto logwiritsa ntchito mankhwala osokoneza bongo komanso / kapena nkhawa zakugwiritsa ntchito molakwika zolimbikitsira komanso omwe adotolo, banja, kapena wodwalayo akufuna kupewa zoyambitsa, Dr. Wilens akufotokoza. Ngakhale kuti bupropion siyothandiza kwenikweni, imathandizira kuchepetsa zizindikiritso ndi kuwonongeka kokhudzana ndi ADHD.

Mlingo ndi mitundu ya Wellbutrin ya ADHD

Wellbutrin XL ndiye mawonekedwe omwe amafotokozedwera ADHD, chifukwa amakhala tsiku lonse.

Wellbutrin ndi dzina limodzi la bupropion. Mayina ena ndi awa: Aplenzin, Budeprion SR, Budeprion XL, Buproban, Forfivo XL, Wellbutrin SR, Wellbutrin XL, ndi Zyban. SR ikuwonetsa kumasulidwa kosalekeza, XL ikuwonetsa kutulutsidwa kwakutali.

Bupropion imapezeka motere 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

Mlingo wake umasiyanasiyana malinga ndi munthu aliyense. Chitetezo chake sichinakhazikitsidwe kwa aliyense wosakwanitsa zaka 18. Ndikofunikira kudziwa kuti zimatenga milungu inayi kuti mulingo wa Wellbutrin ufike pamlingo woyenera, ndipo zitha kutenga miyezi ingapo kuti mupeze mulingo woyenera wa inu. Kuphatikiza apo, simuyenera kusiya kumwa Wellbutrin popanda kufunsa dokotala.

Zotsatira zoyipa za Wellbutrin

Chimodzi mwa zifukwa zomwe madokotala amapangira Wellbutrin kwa ADHD ndichakuti odwala ambiri samakumana ndi zovuta zilizonse. Akatero, zotsatirapo zake zimakhala zochepa, ndipo nthawi zambiri zimatha pakangotha ​​milungu ingapo yoyambirira.

Zofala zoyipa za Wellbutrin ndi:

• Mutu
• Kuchepetsa thupi
• Pakamwa pouma
• Kuvuta kugona
• Nseru
• Chizungulire
• Kudzimbidwa
• Kutuluka thukuta
• Chikhure

Ili si mndandanda wathunthu wazotsatira. Wellbutrin itha kukhala ndimayendedwe owopsa ndi mankhwala ena. Nthawi zonse lankhulani ndi dokotala kapena wamankhwala zamankhwala anu, ndipo werengani zambiri zamankhwala omwe akuphatikizidwa ndi mankhwala anu.

Kuopsa kotenga Wellbutrin

Wellbutrin ili ndi bokosi lakuda lochenjeza za kudzipha kuchokera ku FDA. Izi zikutanthauza kuti atha kukulitsa chiopsezo chodzipha kapena malingaliro ofuna kudzipha mwa ana, achinyamata, komanso achinyamata. Wellbutrin sichiwoneka ngati yotetezeka ngati munthu ali ndi pakati kapena akuyamwitsa, chifukwa amatha kulowa mkaka wa m'mawere.

Itanani dokotala wanu ngati muli ndi zina mwazovuta, koma zomwe zingakhale zoyipa:

• Ziphuphu pakhungu
• Kugunda kwamtima
• Kulira m'makutu
• Kugwedezeka
• Kupweteka m'mimba
• Zosintha pamakhalidwe kapena malingaliro, kapena malingaliro othamanga
• Maso osawona, kupweteka kwa diso, kapena ma halos mozungulira magetsi
• Zotsatira zoyipa zogonana

Pali chiopsezo chochepa chogwidwa kwa anthu omwe ali ndi mbiri ya khunyu, kuvulala kwaubongo, kugwiritsa ntchito mankhwala osokoneza bongo, kapena mavuto azakudya. Pali chiopsezo chochepa cha mavuto amtima, makamaka kwa anthu omwe ali ndi kuthamanga kwa magazi kapena matenda amtima.

Ili si mndandanda wathunthu wazowopsa. Ngati mukuganiza kuti Wellbutrin angakhale woyenera kwa inu, lankhulani ndi dokotala wanu wamkulu za zomwe mungachite. Onetsetsani kuti mukugawana mankhwala ena aliwonse omwe mukumwa, ndi zovuta zina zathanzi-kuphatikiza pa ADHD.

Wellbutrin vs Adderall

Wellbutrin ndi Adderall (mitundu yosiyanasiyana ya mchere wa amphetamine) ndi mankhwala omwe amachiza ADHD.

Wellbutrin ndi anti-depressant yomwe imagwiritsidwa ntchito popanda chizindikiro. Adderall ndi mankhwala opatsa mphamvu omwe amavomerezedwa ndi FDA kuti athetse ADHD.

Ndi mitundu yosiyanasiyana ya mankhwala omwe amachita mthupi mosiyanasiyana, ndipo amakhala ndi zovuta zina. Zotsatira zoyipa za Wellbutrin ndi kupweteka mutu, kuwonda, pakamwa pouma, kugona movutikira, nseru, chizungulire, kudzimbidwa, kugunda kwamtima, komanso pakhosi. Zotsatira zoyipa za Adderall monga: manjenje, kupweteka mutu, kusintha pagalimoto kapena kuthekera, kupweteka kusamba, kupweteka pakamwa, kudzimbidwa, kutsekula m'mimba, nseru, ndi kuonda.

Mankhwala osiyanasiyana a ADHD amagwira ntchito kwa anthu osiyanasiyana. Ngati mankhwala opatsa mphamvu, monga Adderall, sakugwira ntchito kwa inu kapena mwana wanu, zosankha monga Wellbutrin ndi njira ina yothandizira.