Kutora Elavil Nokusingaperi Kudzorera Marwadzo

Amitriptyline

Elavil (amitryptyline) mushonga unoshandiswa kakawanda. Yagara ichishandiswa pakurapa kuora mwoyo asi dzimwe nguva inopiwa seAdjuvant ("pamwe chete") mishonga inorwadza kuvanhu vane kurwadziwa kusingaperi.

Ndeipi chaizvo amitryptylline, inobatsira sei pakurwadziwa, ndezvipi zvinokonzerwa nemigumisiro, uye ndezvipi zvinopindira zvinodhaka zvinogona kuitika pamwe nemishonga iyi?

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Chii Amitriptyline?

Elavil (amitriptyline) chirwere chinopesana nemirizhonga chinowanzopiwa mairi-label kuti ishandise kurwadziwa kusingaperi. Icho chimwe chezvinodhaka mukirasi yemishonga inozivikanwa se tricyclic antidepressants .

Elavil inowanzoshandiswa pamwe chete nemimwe mishonga. Mishonga inoshandiswa nenzira iyi inotumidzwa semishonga inonzi adjuvant kurwadziwa . Hazviwanzoshandiswa semutambo wokutanga mushonga, asi pane humwe humwe hutano hunochengeterwa marwadzo ekudzokera shure, akadai seAppil (ibuprofen) uye Tylenol (acetominphen) hazvina kubudirira pakugadzirisa marwadzo.

Elavil haisi doroki (opioid) zvinodhaka, uye hakusi kazhinji kushaya zvinodhaka kune mishonga.

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Ndeupi Mhando Yekudzokera Kwakare Inonzi Amitriptyline Inotora?

Elavil inoratidzika inonyanya kubudirira kune yeuropathic yehupenyu husingaperi hunorwadza. Nokuda kwekutambura kwepamusoro, vanowanzoreva kuti marwadzo ako anopera pasi pasi kana ruoko. Iwe unogona kunge uine tsvina kana pini inokurumidza kunzwa mukati mako kana gumbo.

Kunyange zvazvo kunetseka kwaElavil kukonzera unyanzvi huri kuzvimiririra pamagariro ayo anokonzera kuora mwoyo, mushonga unoshanda nekuwedzera humwe hupukemikemikemikari hunodiwa kuti ugare mupfungwa.

Amitriptyline inoshandiswawo kubata chirwere che fibromyalgia , iyo inoratidzirwa nemarwadzo akapararira uye mapepa .

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Is Amitriptyline Inobudirira Here?

Amitriptyline ndiyo yakanyatsodzidza yezvose tricyclic vanodzvinyirira. Yange iri kushandiswa kubvira kuma1960.

Maererano naDkt Kathleen Fink, Mutungamiri wePauin Services paNational Rehabilitation Hospital muWashington DC, iyi mishonga inoshandiswa pamusana pekuvandudzwa kwevezve tricyclic vanodzvinyirira.

Fink inotaura kuti vanachiremba havasi vakasununguka kutsanangura amitriptyline kuti isingaperi musana wechipfuva nokuti migumisiro inogona kuita kuti iwe unzwe wakasungirirwa mangwanani. "Asi chaizvoizvo," anodaro, "amitriptyline imishonga inobatsira uye isingadhuri yekutarisa kurwadziwa kusingaperi, kunyanya kana iwe uine zvinetso zvekurara."

Bhuku ra2014 rakabudiswa mu Journal of Neurological Science rakafananidza amitriptyline naRyrica kana pregabalin (imwe mishonga inopiwa nokuda kwehupombwe neuropathic) yekudzivirira kurwadziwa, pamwe nekuremara mumuviri. Vatsvakurudzi vakaona kuti kunyange zvazvo vose vari kurwadziwa kwakanaka kunoderedza, asi amitriptyline chete yakaderedza kukuremara, pamwe chete.

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Amitriptyline Dosage

Apo Elavil inoshandiswa kugadzirisa kurwadziwa kwemukoko kana kumutsipa, chirwere chacho chakadzika (inenge hafu, kunyange zvazvo ichi chichasiyana) pane chinotorwa nokuda kwekuora mwoyo.

Chiremba wako angangotanga iwe purojekiti yakaderera zvikuru uye owedzera zvichikwira zvishomanana vhiki imwechete kusvikira marwadzo ako akasunungurwa uye / kana kuti migumisiro yakava yakawandisa iwe.

Migumisiro yakanaka inowanzoitika nokukurumidza kana ichi chirwere chinotorwa nokuda kwekusuruvara kusingaperi kana kuchienzaniswa kana chinoshandiswa kugadzirisa kuora mwoyo.

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Amitriptyline Side Effects

Zvakakosha kuti uzive zvinokonzerwa nemigumisiro ye amitryptyline usati watanga ichi chirwere.

Nokuti amitriptyline inogamuchirwa neRDA kuti iite kushushikana, inogona kukanganisa hutano hwepfungwa, kusanganisira kuwedzera dambudziko rekuzviuraya. Asi pamwero wezvinhu, amitriptyline inogona kunge ine ngozi shoma yekuzviuraya.

Semuenzaniso, kuverenga kwemahombekombe 2015 kwakabudiswa muBritish Medical Journal yakaona kuti kune vanhu vane kuora mwoyo, mungozi yakakwana yekuzviuraya kweamitriptyline kwegore rimwe yaiva 0.02 muzana. Zvechokwadi vanhu vanorarama nekuora mwoyo vane ngozi yakakwirira yokuzviuraya kunyange pasina iyi mishonga. Kana mumwe munhu ari mumhuri yako ane chirwere chepipolar kana kuzviuraya, chiremba wako angakurudzira kusashandisa mishonga iyi.

Kana uri nepamuviri kana kunyamwa, zvakanakisisa kuti ugare kure naAmitriptyline kana Elavil, nokuti mushonga wacho unogona kupfuudzwa kumwana wako.

Evhavil inogona kukonzera matambudziko kune vanhu vane arrhythmias (asiri mafungiro emwoyo) uye mamwe maitiro epfungwa yemwoyo, uye hazviwanzopiwa kune vanhu vanopfuura makore makumi matanhatu. (Izvozvo zvinopesana nehutano zvinogona kuva sarudzo yakanaka yezera iri rezera.)

Zvishoma zvishoma zvakashata Zvakaipa zvinokonzera zvinosanganisira muromo wakaoma uye kurara.

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Amitriptyline uye Drug Interactions

Pane huwandu hwemishonga inobatanidza neamitryptyline .

Kuwirirana pakati peElavil nedzimwe mishonga zvinogona kuwedzera huwandu hweamitriptyline muropa rako. Uyewo, izvi zvinogona kuwedzera migumisiro yechirwere yemishonga. Kupindirana kunogonawo kuwedzera kuora (kana kuderedza kushanda) kwemishonga yauri kutora pamwe naElavil.

Zvakakosha kuudza chiremba wako zvose zvauri kutora, zvingave zvinonakidza, pamusoro-the-counter kana zvakatemerwa. Somuenzaniso, kushandiswa kwemishonga St. John's Wort hakufaniri kushandiswa neamitryptyline.

Kukurukurirana kunokosha kunogona kuitika pakati peElavil nemamwe musimba dzinozorodza, zvinodhaka mwoyo, zvinodhaka nokuda kwemaitiro asina kukodzera mukati memwoyo, zvinodhaka zvekurwiswa kwepamusoro kweropa, mishonga yehutachiona, mapiritsi ekudzivirira kuberekwa, nezvimwewo. Iyo pfungwa yakanaka kutaura newadhirosi yako zvakare kana iwe wakanzi Elavil.

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Nguva Yekudzivisa Amitriptyline: Zviratidzo

Kune dzimwe mamiriro ezvinhu umo zvakanakisisa kudzivisa kutora amitriptyline zvachose. Izvi zviitiko zvinonzi "zvinopesana."

Somuenzaniso, kana uri kutora monoamine oxidase inhibitor (MAO nokuda kwekuora mwoyo kana mishonga yekurwadza mwoyo cisapride (haisisiri kuUnited States) haufaniri kutora amitryptyline.

Sezvo Elavil angawedzera kana kuderedza humwe hwemimwe mishonga inotora, taura nguva dzose nechiremba wako usati warega mushonga wako.

Pasi Pasi paKushandiswa kwaElavil ( Amitryptyline ) Kwekudzoka Kwemazuva

Mishonga inopesana nemanzwiro amitryptyline inogona kunge yakashanda sechirongwa chekuchengetedza chirwere chekuregererwa kwemarwadzo asingadzoki shure. Zvinoratidzika kushanda zvakanyatsonaka pakurwadziwa kweukama, kurwadziwa kunogona kukonzera pasi gumbo rako uye kunokonzera kushaya simba, kusungira, kana pini-prick sensations: kurwadziwa kweuropatiko kunowanzova imwe yematambudziko akaoma zvikuru ekurwadziwa. Hazvinyatsoziva kuti Elavil anoshanda sei, asi iyo nzira inoratidzika yakasiyana nedzimwe inoshanda pakuderedza. Nhamba duku inowanzoshandiswa zvakare.

Iko zvose zvinyoro uye zvakakomba migumisiro nemamitryptyline uye zvakakosha kutaura nachiremba wako pamusoro peizvi. Mukuwedzera, pane mishonga yakawanda inogona kuwirirana na amitryptyline, uye chiremba wako anofanira kunge ane ruzivo rwakakwana rwemishonga yako, kupfuura-the-counter, nemishonga yemishonga asati agadza chirwere ichi.

> Sources:

> Fink, K., MD Nhare Hurukuro. National Rehabilitation Hospital. May 2011.

> Kasper, Dennis L .., Anthony S. Fauci, naStefano L .. Hauser. Harrison's Principles of Internal Medicine. New York: Mc Graw Hill yembudzi, 2015. Print.

> Urquhart, D., Wluka, A., Sim, M. et al. Icho Chidiki-Dose Amitryptyline Kubudirira muHurumende yeHas Low Low Back Pain? Chidzidzo cheChidzidzo cheRandomized Controled Trial. Miedzo . 2016. 17 (1): 514.

> van den Driest, J., Bierma-Zeinstra, S., Bindels, P., uye D. Schiphof. Amitrytyline yeMusculoskeletal Mapurisa: Kuongorora kweChechi. Mhuri Dzidzira . 2017. 34 (2): 138-146.