Cibiyar Abinci da Drug ta amince da amfani da Prozac antidepressant (fluoxetine) a matsayin magani ga yara da matasa masu shekaru 7 zuwa 17 tare da ciwon zuciya (babbar magungunan zuciya) ko rashin lafiyar jiki (OCD) a shekarar 2003.
Wannan sabon jigon ya biyo bayan binciken da ya nuna cewa Prozac yana da lafiya da kuma tasiri ga yara da wannan cuta.
Amma saboda magani kawai ba'a yarda da FDA ba yana nufin cewa ba lafiya. Wannan yana nufin cewa kamfanin likitancin da ke sa likita ba ya amfani da FDA don amincewa ba. Prozac an yi amfani da shi a cikin manya tun 1987.
Kashe-Label da ke bayyana a cikin ilimin likita na yara
Yawancin kwayoyi ba FDA-sun yarda don amfani a yara ba har yanzu suna amfani da 'lakabi-lakabi', ma'anar cewa an yi amfani da su a ƙaramin yara cewa shekara da aka yarda da ita ko kuma wasu yanayi wanda basu amince da su ba tukuna. A gaskiya, a cewar Cibiyar Ilimin Harkokin Ilmin Amirka, 'kashi uku cikin hu] u na takardun magani da ake sayar da su yanzu, a {asar Amirka, ba su da amfani da bayanai ga yara.'
Wannan ba yana nufin cewa ba lafiyar amfani da wadannan magunguna duk da haka ba. Lokacin da za a yanke shawarar yin amfani da 'lakabin' maganin magani, likita ya kamata ya yanke wannan shawara 'bisa ga shaidar kimiyya mai kyau, shari'ar likita, ko wallafe-wallafe.' Ba kamar likitanku na gwaji tare da yaro ba.
Yin amfani da albuterol don bi da yara da ciwon fuka yana da kyau misali na kare 'lakabi-' 'amfani da miyagun ƙwayoyi. Kodayake ana amfani dasu a jarirai da yara, albuterol kawai FDA ne kawai aka yarda don amfani da yara fiye da shekaru biyu. Mutane da yawa masu haɗarin fuka , kamar Dulera da Advair ne kawai FDA-sun yarda don amfani a yara fiye da shekaru 12.
To me yasa ake amfani da waɗannan magunguna idan ba a yarda da FDA ba?
Game da wadannan magungunan asibiti, babu wasu magunguna don amfani kuma an yi amfani da waɗannan magunguna sosai, ana zaton su da lafiya kuma bincike sun nuna cewa suna aiki. Kuma madadin, ba zalunta ko hana ƙwayar cututtukan yara ba, bazai yarda ba.
Hakanan gaskiya ne saboda rashin tausayi da sauran matsalolin kiwon lafiya na tunanin mutum, waxanda suke da rashin tausayi a yara kuma a wasu lokutan suna buƙatar kashe kwayoyi.
Muna ganin karin likitocin FDA da aka amince da su ga yara da matsalolin kiwon lafiya, duk da haka, ciki har da:
- Lexapro (escitalopram) yara (12 da kuma) tare da ciki
- Yara Luvox (fluvoxamine) (8-17) tare da OCD
- Zoloft (sertraline) yara (6-17) tare da OCD
- Lithium yara (12 da fiye) tare da mai wallafa
- Orap (pimozide) yara (12 da fiye) tare da cutar Tourette
- Risperdal (risperidone) yara autistic (5 da sama)
Sauran magunguna, kamar Lithium, Zyprexa (olanzapine), Seroquel (quetiapine), da Abilify (aripiprazole) da kuma yarda da yara masu fama da lalata ko kuma schizophrenia.
Yaya zaku san idan an riga an tsara dan jaririn 'likitan' lakabi '?
Kuna iya tambayi likita ko likitan kantin, ko kuma kawai a duba saitin kunshin (PI) wanda yazo tare da magani.
A cikin PI, bincika wani ɓangaren da ake kira 'Bayyanawa da Amfani' ko 'Amfani da Pediatric' kuma ga abin da aka lissafa shekarun. Ka tuna cewa kawai saboda yaronka yaro ne fiye da shekarun da aka ƙayyade ba yana nufin cewa maganin ba lafiyayye ba kuma kada ka tsaya ba tare da yin magana da likitanka ba.
Downsides Daga 'Kashe-Label' Amfani da Magunguna
Ɗaya mafi girma shine cewa likita a wasu lokuta suna kimanta sashi don bawa yara ƙararrakin da aka saba amfani dashi ga yara da tsofaffi. Wannan zai iya haifar da yara masu yawa ko magungunan magani.
Wani abin ƙyama shi ne cewa idan likitanku ba ya jin dadi ta amfani da 'lakabin' lafazin 'kwayoyi' sa'an nan kuma yaronku bazai samun mafi kyawun magani ba.
Kwararka na iya yin amfani da magungunan tsofaffi tare da ƙarin halayen illa ko ɗayanka bazai karɓar duk wani magani ba.
Dokar Drug na Pediatric ya kafa hukumar ta FDA don kokarin gwada kamfanonin likita don gwada kwayoyi a cikin yara. Mafi kyawun Pharmaceuticals for Children Act kuma yana aiki 'don inganta aminci da inganci na magunguna don yara.' Da fatan, za su kai ga karin kwayoyi da aka jarraba su kuma an yarda dashi don amfani dasu a cikin yara domin kada a yi amfani dasu-lakabi babu kuma.
Sources:
Cibiyar Harkokin Kasuwancin Ilimin Harkokin Ilimin Harkokin Ilmin {asashen Amirka. Kashe-Labarin Amfani da Drugs a Yara. Pediatrics. Maris 2014, VOLUME 133 / SASHE 3