Chikonzero nei iyi mishonga inopa imwe nzira yemishonga yeDHD yekare
Zvizhinji zvezvinodhaka zvinowanikwa kuti zvive nehutachiona hwehutano husina kunaka (ADHD) dzakadai saAdderall kana Ritalin inokurudzira, ndicho chikonzero Strattera, chirwere chisingaiti chinokonzera chimiro, chinomira.
Iyo FDA yakagamuchira Strattera (atomoxetine) kuzobata ADHD kuvanhu vakuru nevana pamakore matanhatu. Iyi haisi yekutanga kusingagadziri mishonga yeAdHD, kunyange zvakadaro.
Anodzvinyirira, kusanganisira Wellbutrin (bupropion hydrochloride) uye tricyclics, saDesipramine uye Imipramine, vave vachifungidzirwa semishonga yechipiri. Iko dzimwe nguva inoshandiswa apo zviviri kana kupfuura zvinokurudzira hazvishandi, zvinopesana kana zvinokonzera mimwe migumisiro yakaipa.
Anodzvinyirira kazhinji haafaniri kufungidzirwa seanobudirira seinosimudzira, zvakadaro. Uye mishonga iyi haisi FDA inogamuchirwa kuti iite ADHD, saka kuda kweStattera yekuti 'mishonga yekutanga isina kudzora iyo FDA-inogamuchirwa kubata ADHD' ndeyechokwadi.
Nei Strattera Inobuda Pasi
Kunyange zvazvo vakawanda vanozivikanwa kuti vakachengeteka uye vanobudirira, zvinokurudzira zvakadai saAdderall naRitalin vagara vaine mukurumbira wakaipa uye vabereki vakawanda vari kurwisa-Ritalin uye vanozeza kuisa vana vavo pamusana. Saka kana isiri iyo inokurudzira, Strattera anoshanda sei? Inofungidzirwa kuva 'inhibitor yakasimba ye presynaptic norepinephrine transporter,' iyo inokonzera kuti norepinephrine ivepo kuti iwedzere kutarisirwa uye kudzora kushaya simba uye kusagadzikana.
Kufanana neinosimudzira, haisi kuzivikanwa kuti Strattera inoshanda sei, zvakadaro.
Ongororo dzakawanda dzinotsvakurudza dzinoratidza kuti Strattera yakachengeteka uye inobudirira. Chimwe chezvidzidzo izvi, "Atomoxetine uye Methylphenidate Treatment muvana vane ADHD: a Prospective, Randomized, Open-Label Trial," 1 yakaenzaniswa Strattera naRitalin.
Ava vana vane ADHD, 228 mune vose, vakagamuchira Strattera kana Ritalin kwemavhiki gumi, uye avo vakatora Strattera vakawanikwa vaine 'kupera kwechiratidzo' uye 'kushivirira' kwaive 'kwakaenzana neakaonekwa naRitalin.
Strattera Kuchenjerera Kuzviuraya
Kunyange zvazvo zvisingakwanisi, FDA yakanyevera pamusoro pehuwandu hwekuzviuraya kwevana nevechiri kuyaruka kutarisirwa neStattera. Kunyanya, semamwe mishonga yakawanda yepfungwa, FDA inotaura kuti Strattera 'inogona kuwedzera kufunga kwekuzviuraya kana kuzviedza kwevana nevechiri kuyaruka,' uye kuti vabereki vanofanira kudana chiremba wemwana wavo kana mwana wavo ane:
- Mutsva kana pfungwa dzakawedzera dzekuzviuraya
- Kuchinja maitiro kana mufambiro, kusanganisira kuva nehasha kana kufunganya
Iyi nyevero haireve kuti mwana wako haakwanisi kutarirwa Strattera kana kuti anofanira kumira kutora Strattera kana iri kuita basa rakanaka kutarisira zviratidzo zvake zve ADHD uye kusingaiti migumisiro yechirwere. Pane kudaro, kubatsirwa kutora Strattera kunofanirwa kuyerwa nezvakangoita njodzi dzechirwere. Uye vana vanotora Strattera vanofanira 'kutarisisa zvakanyanya nokuda kwekuchirapa kuchipatara, kuzviuraya kuzviita kana kuzvibata kana kushanduka kusingaoneki mufambiro,' kunyanya mumwedzi mishomanana yekutanga kurapwa kana kana kuwedzerwa kuwedzerwa.
Sezvo zvisingafungidzirwe kuti zvinhu zvakagadziriswa, Strattera ichave iripo nemishonga yenguva dzose. Izvi zvinoreva kuti vanachiremba vanogona kuidana mu pharmacy uye vanogona kupa zvizere, zvakasiyana nezvinosimudzira uye zvimwe zvinhu zvinodzorwa, zvinoda mushonga mutsva mwedzi mumwe nomumwe. Uye chiremba wevana vako angangodaro ane sampuli inowanika kuti mwana wako aedze.
Studies of Strattera
Zvidzidzo zvekutanga zveStrattera zvakaratidza chimwe chezvinhu zvakaderera kune iyi mishonga sezvo zvisingafani nevakawanda kamwechete pazuva, kwenguva refu-inokurudzira, Strattera inopiwa kaviri pazuva. Kamwe kamwe pazuva zuva dosing yave ichinyorwa zvakare, kunyange zvakadaro, uye yakaratidza kuti 'kamwe-zuva nezuva kutungamirirwa kweatomoxetine inobatsira kurapa vana nevechiri kuyaruka vane ADHD.'
Uye kusvika ikozvino, hapana chekuongorora kwakaratidza kuti Strattera inoshanda zvakanaka kana ine zvishoma zvinokonzerwa nezvinokurudzira. Kungofanana neinosimudzira, migumisiro yeStattera yaisanganisira kusava nenzara, kushushikana, kurutsa, kuneta uye kugumburwa mudumbu. Uye vana vakawanda vakashaya uremu mumwedzi mishoma yapfuura mushure mekutanga Strattera. Zvisinei, zvidzidzo zvenguva refu, umo vana vakatora Strattera kwemakore anopfuura, vakaratidza kuti vana ava vakaremerwa zvakanaka uye kukwirira kwavo kwakawedzera zvakare. Sezvo urombo husina huwandu hunowanzova dambudziko muvana vanotora zvinokurudzira, izvi zvinowanikwa nhau dzakagamuchirwa uye Strattera inogona kuva imwe nzira yakanaka yevana ava.
Uyezve, Strattera inoshandiswa mumagetsi kuburikidza ne cytochrome P450 2D6 (CYP 2D6) nzira yechiropa, saka zvinogoneka kuti kuchave nekubatana nemimwe mishonga, saPaxil (paroxetine), Prozac (fluoxetine) uye quinidine. Mugadziri anopawo mazano ekuchenjerera paanopa mwana maviri iv albuterol (iyo isingawanzoitike) uye Strattera, saka mishonga iyi ingasave yakasarudzwa zvakanaka kune vana vane ADHD vanewo chirwere chemafi. Uye sezvo Strattera inogona kuwedzera ropa revana nehutano hwemwoyo, inofanira kushandiswa nekuchenjerera kune vana vane kuwedzera kweropa , chekutsvaira kwemoyo (tachycardia) kana yemwoyo kana chirwere chinonzi cerebrovascular disease.
Imwe nyanzvi ndeyekuti Strattera inowanikwa chete se capsule, uye kusiyana neAdderall XR, iyo inowanzovhurwa uye inosaswa pazvokudya, inorayirwa kuti Strattera inotorwa.
Saka kunyange zvazvo uine mushonga mutsva kune vana vane ADHD mashoko anofadza uye anofadza, kusvikira zvimwe zvidzidzo zvakaitwa kuratidzira kuti Strattera yakachengeteka kana yakagadzirisa kupfuura inokurudzira, haufaniri hako kumhanyira kuchipatara chako kuti uchinje mushonga.
Zvisinei, Strattera inogona kunge yakasarudzwa zvakanaka kune vana vane matambudziko ekuwana uremu pavanotora zvinokurudzira, vane zvimwe zvinokonzera, kana kana zviratidzo zvavo zveHADHD zvisingaitwi zvakanaka.
Sources:
Atomoxetine uye methylphenidate kurapwa kune vana vane ADHD: anotarisira, randomized, open-label test. Kratochvil CJ - J Am Academy Adolesc Psychiatry - 01-Jul-2002; 41 (7): 776-84.
Kamwe-zuva rimwe nerimwe atomoxetine kurapwa kwevana nevechiri kuyaruka vane hanya nehuwandu hwehutano hwehutano: chirongwa chisinganzwisisiki, chinokonzerwa ne-placebo-chengeteredzwa. Michelson D - Am J Psychiatry - 01-Nov-2002; 159 (11): 1896-901.