Sezvo sayenzi yezvokurapa inonzwisisa zvakawanda pamusoro pe fibromyalgia syndrome (FMS), makambani emishonga ari kukwikwidza kuti FDA ienderwe nemishonga yakawanda ye fibromyalgia. Vanachiremba vanopa mishonga inogamuchirwa uye yakawanda yemishonga yekurapa nokuti vakawana kuti inoshanda.
FDA-YAKADZWA FIBROMYALGIA DRUGS
Lyrica (pregabalin) : Muna June 2007, Lyrica yakava dhiyabhorosi yekutanga yeAFA-approved approved fibromyalgia.
Mumakiriniki ekuedzwa , vanhu vane FMS vakaratidza kuwedzera kukuru mukurwadziwa, kurara, kuneta, uye hupenyu hwehupenyu . Yakagadzirwa nePfizer, Lyrica inobvumirwawo kurapa marwadzo ehutachiona hwehutachiona uye nehuregia . Inoshandiswa zvakare, pamwe chete nemimwe mishonga, kudzivirira kusarura-kunotanga kukura muvanhu vakuru vechirwere.
Inogona kunge yakanzwisisika, asi Pfizer haazive chokwadi nei Lyrica inoshanda. Izvi ndizvo zvinotaura pawebsite ye FDA:
Iyo nzira yekuita isingazivikanwi, asi pane imwe dingindiro inoratidza kuti inoguma pakusunungurwa kwevana veurotransmitori muuropi. Neurotransmitters makemikari ari muuropi anotumira zviratidzo kubva kune imwe neuron kuenda kune imwe.
Cymbalta (duloxetine) : I FDA inogamuchirwa Cymbalta semushonga we fibromyalgia munaJune 2008. Cymbalta inorondedzerwa seSNRI, kana serotonin-norepinephrine reuptake inhibitor. Serotonin uye norepinephrine zvose zvinonzi neurotransmitters izvo zvinowanzoshaya simba kune vanhu vane fibromyalgia.
SNRIs inoita zvakawanda zvayo zvinowanikwa kuuropi.
Cymbalta yakanga yapfuura FDA-yakagamuchirwa kuti irapwe nekuora mwoyo uye chirwere cheshuga chirwere .
Savella (milnacipran) : Mishonga yemishonga kumusika weU.S., Savella yakagamuchirwa munaJanuary 2009 sechirwere che fibromyalgia. Yakagadzirwa neHol Labor Laboratories, Inc. uye Cypress Bioscience, Inc., Savella inorwisa zvinodhaka zvakafanana neCymbalta kunze kwekuti ndiyo yekutanga mishonga mukirasi yekusimudza norepinephrine kupfuura serotonin.
Izwi reNew Drug Application , rakaiswa munaDecember ra2007, rinosanganisira data kubva kune miviri miviri yeChitatu III inosanganisira vanopfuura 2 000 varwere. Iyo ikati data yakaratidzwa Savella yakanga yakakosha kupfuura nzvimbobo uye yakanyatsoritswa. Kwakange kusina rufu uye ruzhinji rwemigumisiro yakave yakarondedzerwa seine unyoro kuenzanisa.
Milnacipran inotengeswa muEurope pasi pemazita maDalcipran neIxel. Yakange iri pamusika kwemakore gumi uye inogamuchirwa kuora mwoyo munyika dzinopfuura 50.
KUFUNGA KUPINDA AS FIBROMYALGIA DRUGS
JZP-6 (sodium oxybate) : Mishonga yemakemikari yeJZP-6 (iyo inoshandiswa inoshandiswa muXyrem) yakaratidza kuti yakanyatsogadzirisa kurara kwehutano uye hurombo hwakaderera muvarwere ve fibromyalgia . JZP-6 inonyanya kushungurudza chirwere chepfungwa uye inofungidzirwa kubatsira murwere kusvika pane zvakadzika masiteji 3 uye nhanho 4 maitiro ekurara. A Phase III chirwere chechipatara chakavharwa muna Sept. 2008 uye Jazz Pharmaceuticals yakatumira New Drug Application kwaDDA munaDecember 2009. Zvigumisiro zvekuwedzera kweChiratu III miedzo zvichiri kumirira, asi kambani inoti zvitsva zvakatsigirwa mberi zvakanaka.
Xyrem iswa FDA-inogamuchirwa kuti igadziriswe (kukurumidza kurasikirwa kwekudzivirira masimba) nekurara kwezuva masikati kune varwere vane chirwere chinoputika.
Cherechedza: Nemhaka yekugona kwayo kushandiswa zvisina kunaka, Xyrem inorongwa yeHurumende III inotungamirirwa nehurumende.
Adeona Pharmaceuticals inotarisira kuunza Effirma inogamuchirwa muUnited States kwekutanga, uye munaEpril 2008 kambani yakazivisa kuti US FDA yakapa iyo Investigational New Drug Application. Izvo zvinopa kambani mvumo yekuita maitiro akaoma, maviri-mapofu, placebo-akadzingwa Phase II muchipatara chekuedza kwaEmpirma sehutano hweFMS.
Oral flupirtine yakabvumirwa muEurope kwemakore anopfuura 25. Ikoko, inoshandiswa kurapa marwadzo kubva kune zvimwe zvinyorwa, kusanganisira kuvhiyiwa , kenza, tsvuku uye chiropa chirwere.
Adeona, zvisinei, anotarisira kuratidza kuti inobata zvinopfuura marwadzo eFMS, asi inovandudza manzwiro, kuneta, zvinetso zvekunzwisisa, kushungurudzika kwehope uye basa rose.
DZIMWE FIBROMYALGIA DRUGS
Antidipressants: Antidipresants inowedzera maitiro emamwe makemikari muuropi, kusanganisira neurotransmitter serotonin uye kushungurudzika kwehomoni norepinephrine - zvose zviri pasi kune vanhu vane kuora mwoyo kana FMS.
- Dual Reuptake Inhibitors: Chikoro ichi chinosanganisira Cymbalta uye Savella. Mimwe mienzaniso yemishonga iyi ndeyi: venlafaxine uye nefazodone.
- Tricyclic Anodzvinyirira : Kana akatorwa usiku, mishonga iyi inogona kubatsira vanhu vane FMS kuti vawane kurara kwakanaka. Vanowedzerawo migumisiro yemarwadzo ekuuraya-endorphins uye kubatsira kubvisa zvisimba zvakanyanya . Dzimwe tricyclic zvinodzvinyirira zvinowanzoshandiswa kubata FMS dzinosanganisira: amitriptyline, doxepin uye nortriptyline.
- Sarudzo yeSerotonin Reuptake Inhibitors ( SSRI s): Mishonga iyi inoita uropi kusunungura serotonin yakawanda, iyo inobatsira kuronga kurara, uye dzimwe nguva kubatsira vanhu vane FMS kunzwa vasinganeta uye vanowana zororo kubva kune zvimwe zviratidzo. Zvisinei, vanogona kupindira nehope. Mienzaniso yeSSRIs ndeye: fluoxetine, paroxetine uye sertraline.
Yese yemishonga inorongwa pano ine mikana inogona kuitika uye inogona kukonzera nharo huru yezvehutano kana iwe uchirega kuitora zvakare kamwe kamwe. Zvakakosha kuramba uchitaura nachiremba wako kuti ukurukure chero matambudziko kana kuchinja kweiyo.
VANHU VAKANAKA / NARCOTICS AS FIBROMYALGIA ZVINHU
Zvidzidzo zvinoratidza kuti maopiates kazhinji haabatsiri pakurwadziwa kweFMS. Zvisinei, vanhu vazhinji vanotaura kuti vanobatsira, uye madhiragi aya anowanzorongedzerwa.
Opiates / narcotics vanosanganisira:
- Vicodin (hydrocodone acetaminophen)
- Percocet (oxycodone acetaminophen)
- OxyContin (oxycodone)
Kutarisana nekutya kwekutswa kweapiate uye kukanganisa, American Pain Society yakabudisa mirayiridzo kuvanachiremba.
DRUG INFORMATION & SAFETY RESOURCES
- Iva nechokwadi chokuti chiremba wako anoziva nezvezvose zvinodhaka uye zvinodhaka zvekudya zvaunotora . Taura nachiremba wako kana wemishonga nezvemigumisiro uye zvinogona kutaurirana kusina kunaka.
- Kuti uone urongwa hwemigumisiro uye kushamwaridzana kwemishonga , pamwe chete nemamwe akawanda ehumwe ruzivo, ona Drugs.com kana RxList.com.
- Kana uine maitiro asina kunaka kune mishonga, iva nechokwadi chokuti unovaudza kuburikidza neDPAA Information Information uye Zvakaipa Zvokupindira Purogiramu.
Kunobva:
NIH Publication NO. 04-5326.
US Food and Drug Administration. "Kurarama neFibromyalgia"