Lyrica (pregabalin) chirwere chinoshandiswa kurapa marwadzo e fibromyalgia . Mukuwedzera, FDA inobvumirwa kushandiswa mune chirwere cheshuga neuropathy uye postherpetic neuralgia (shingles). Iko zvakare mishonga inorwisa-kugunura.
I FDA inobvumira Lyrica kune fibromyalgia munaJune 2007, ichiita kuti mishonga yekutanga inobvumirwe ichi. Kusvika ikozvino, hakuna ruzivo rweRicrica.
Iyo yakafanana yakakwana gabapentin, iyo ndiyo inowanzoita yemishonga yeNeurontin, iyo yakagadzirwa semakemikari neRyrica. (Ichokwadi, Lyrica inowanzonzi "mwanakomana weNeurontin.") Zvisinei, mishonga haina kufanana, naizvozvo muviri wako unogona kupindura zvakasiyana navo.
Lyrica ikozvino imwe yezvirwere zvitatu zve FDA-zvakagamuchirwa zve fibromyalgia uye ndiyo chete iyo isingatauri seanorwisa mweya. Imwe mishonga ndeye Cymbalta (duloxetine) uye Savella (milnacipran) .
Iyo Lyrica Inoshanda Sei?
Fibromyalgia inotendwa inosanganisira kuwedzera-kushushikana uye kusagadzikana kweveurotransmitters (makemikari nhume) anotumira mashoko, kusanganisira zviratidzo zvinorwadza, pakati pemasero europi.
Masayendisiti haanzwisisi kuti Lyrica inovandudza sei zviratidzo zve fibromyalgia. Zvisinei, mishonga inotendwa kuti inononoka dzimwe tsvina muuropi uye inomira kupfuura-inoshanda mitsipa kubva mukusaziva. Iyo inogonawo kuchinja nzira iyo dzimwe nhengo dzeurotransmitter dzinoshanda.
Lyrica yeFibromyalgia
Kunyange zvazvo yakabvumirwa kwemakore anoverengeka, kutsvakurudza kwakaenderera mberi kuLyrica sehutachiona hwehutromacgia.
Zvechokwadi, kuti iyo ive FDA inobvumidzwa, miedzo yakawanda yemakiriniki yaifanira kuratidza kuti inogona kupa humwe hunovandudzwa mukurwadziwa kwe fibromyalgia , kuneta, uye hupenyu hwehupenyu.
Zvisinei, Lyrica haishandi kune munhu wese ane fibromyalgia.
Ichokwadi, kuongorora kwakabudiswa muna 2016 kwakawana kuti Lyrica yakanga yakanyatsoshanda kune 39 muzana yevatori vechidzidzo vakatora 300 mg pazuva, uye 43 muzana yevaya vakatora 600 mg pazuva. Nhamba idzi dzinoratidzika kunge dzakarimbidzika kusvikira iwe uchifunga kuti 28 muzana yevanhu vanotora placebo vakaita saizvozvo.
Imwe tsvakurudzo inoratidza kuti zvitatu zveDAA-zvakagamuchirwa ne-fibromyalgia-Lyrica, Cymbalta, uye Savella-zvose zvinenge zvakafanana zvakaenzana. Kubatana nemishonga miviri kunogona kubatsira, kunyange zvakadaro. Bhuku re 2016 rakabudiswa mumagazini rinonzi Pain rinoratidza kuti kuunganidza Lyrica neCymbalta kunogona kuva yakakosha kudarika mishonga pachayo pachayo, uye vanyori vakakurudzira hutsvakurudzo humwe mukurapa pamwe chete.
Dosage
Chirwere chinowanzoitwa Lyrica kune fibromyalgia chinokwana 300 mg kusvika 600 mg pazuva, kupatsanurwa pakati pematatu maviri kana matatu. Kazhinji, vanachiremba vanokurudzira kutanga pamutengo wepasi, wakadai se 75 mg kaviri pazuva, uye kushanda zvishoma nezvishoma kusvika pakukura.
Kana ukasarudza kuenda kuRyrica, taura nachiremba wako nezvenzira yakakodzera yokurega. Zvine ngozi kumisa kutora Lyrica kamwe kamwe.
Migumisiro Yechiri
Muna 2016 kudzokorora kweruzhinji rwekuchengeteka kweLyrica, vatsvakurudzi vakaona kuti kusava nemigumisiro yakaipa inowanzova yenyoro kusvika kuenzanisi uye kuti vanhu vazhinji vakakwanisa kuvashivirira kwenguva refu.
Imwe tsvakurudzo inoratidza kuti 10% chete vanhu vakawanda vakadzingwa kunze kwezvibereko zveLyrica kupfuura kubva panzvimbobo.
Zvisinei, urongwa hwemigumisiro yechirwere ndeyehurefu. Mamwe akaoma zvakakwana zvokuti iwe unofanira kuonana nachiremba wako pakarepo kana iwe uine ivo. Dzinosanganisira:
- Allergic reactions (rash, itching, mikoko, kutuka chiso, miromo kana rurimi)
- Kufunganya / kuvhiringidzika
- Zvinetso zvinopisa
- Vision inochinja
- Chipfuva chepfu
- Kushamwaridzana kusingabatsiri
- Kurasika kurasika
- Kusuruvara kwematumbo, unyoro kana kushaya simba
- Kutuka
- Kusagadzikana kusinganzwisisiki kana kubuda ropa
- Pfungwa dzekuzviuraya kana kufa
- Mood inoshanduka
Mimwe migumisiro yakawanda yeLyrica, iyo kazhinji isingadi kurapwa, inosanganisira:
- Kuvhara kana kubuda
- Dry mouth
- Headache
- Kunyunyuta
- Nausea
- Kuwedzera kwehuwandu
Kutsvakurudza kwakawana kuti Lyrica kazhinji haina kukonzera kusawirirana kwakasiyana nedzimwe mishonga uye kuti inoratidzika yakachengeteka kana ichibatanidzwa nevanorwara.
Shoko kubva
Imi uye chiremba wenyu ndivo chete vanogona kugona kana iwe uchifanira kupa Lyrica kuedza. Ziva kuti inogona kuve yakadhura uye mamwe makambani eshuwarisi haazobhadhara.
Iyowo pfungwa yakanaka, paunotanga mishonga mitsva, kuti iwe wemishonga wako aone pamusoro pemishonga yako yezvinodhaka kune chero zvingave zvisingabatsiri kusangana. Iwe unogonawo kufunga kufunga kuchengeta urongwa hwemigumisiro yakaipa handy so iwe unogona kukurumidza kuziva kuti uri kune chero njodzi.
Sources:
Derry S, Cording M, Wiffen PJ, et al. Pregabalin yekutambudzika mu fibromyalgia kuvanhu vakuru. Cochrane database yekuongorora kwakarongeka. 2016 Sep 29; 9: CD011790. [Epub mberi kwekunyora]
Gerardi MC, Atzeni F, Batticciotto A, et al. Kuchengeteka kwe pregabalin mukurapa fibromyalgia. Nyanzvi yekuongorora nezvekuchengetedza zvinodhaka. 2016 Oct 11: 1-8. [Epub mberi kwekunyora]
> Gilron I, Chaparro LE, Tu D. Pain. Kusanganiswa kwe pregabalin ne duloxetine ye fibromyalgia: muedzo unongorongedzwa. 2016 Jul; 157 (7): 1532-40.
> Lee YH, Song GG. Kuenzanisa kunobatsira uye kushivirira kwe duloxetine, pregabalin, uye milnacipran pakurapa kwefibromyalgia: maBetesian network meta-kuongororwa kwemiedzo yakarongedzwa yakasarudzwa. Rheumatology international. 2016 May; 36 (5): 663-72.
NIH Publication NO. 04-5326