Samun Elavil don Bikin baya na Kisa

Amitriptyline

Elavil (amitryptyline) magani ne da amfani da yawa. An dade yana amfani da shi don maganin bakin ciki amma an ba shi wani magani mai magungunan adjuvant ("tare da") ga mutanen dake fama da ciwo.

Mene ne ainihin amitryptylline, yadda tasiri yake da zafi, mene ne tasirin sakamako na kowa, kuma menene hulɗar miyagun ƙwayoyi zasu iya faruwa tare da wannan miyagun ƙwayoyi?

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Menene Amitriptyline?
Mene ne kake buƙatar sanin game da yin amfani da Elavil (amitryptyline) don jin zafi? Laguna Design / Kimiyya Photo Library / Getty Images.

Elavil (amitriptyline) wani maganin maganin antidepressant ne wanda wani lokaci ana ba da umurni - lakabi don gudanar da ciwo mai tsanani. Yana daya daga cikin kwayoyi a cikin wani nau'i na kwayoyi da ake kira antidpresspress tricyclic .

Elavil an fi amfani dashi da wasu magunguna. Magunguna da aka yi amfani dasu a wannan hanyar ana kiransu magunguna masu ciwon adjuvant . Ba'a saba amfani da shi azaman magani na farko, amma a maimakon haka bayan ƙarin jiyya na magungunan ciwon baya, irin su Advil (ibuprofen) da Tylenol (acetominphen) ba su da amfani don kawar da ciwo.

Elavil ba magani ne mai narkewa (opioid) ba, kuma ba yawancin jimawa ba ne da magani.

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Mene ne Irin Cikin Kuskuren Amitriptyline Ya Bi?
Elavil yana da tasiri sosai game da irin ciwon da aka sani da ciwon neuropathic. H. Armstrong Roberts / Taskar Hotuna na Classic Hotuna / Getty Images

Elavil ya zama mafi tasiri ga nau'in neuropathic na ciwo mai tsanani. Don masu fama da ciwo, wannan yana nufin cewa ciwonku yana fadi wani hannu ko kafa. Hakanan zaka iya samun tingling ko tsinkaye a cikin hannunka ko ƙafa.

Kodayake jin zafi na Elavil zai sauke kullun yana da kwarewa daga tasirin maganin antidepressant, maganin miyagun ƙwayoyi yana aiki ta kara yawan adadin wasu ƙwayoyin kwakwalwa da ake bukata don daidaitaccen tunani.

Ana amfani da amitriptyline don magance fibromyalgia , wanda shine yanayin da yake nuna damuwa da ciwo mai zurfi .

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Shin amitriptyline yana da kyau?
Elavil na iya rage yawan ciwo mai ciwo da kuma ciwo da cutar ta haifar. Tomas Rodriguez / Getty Images

Amitriptyline ne mafi yawan nazarin dukkan masu amfani da maganin tricyclic. An yi amfani dashi tun shekarun 1960.

A cewar Dokta Kathleen Fink, Daraktan Ciwon Lafiya a Asibiti na Gidajen Lafiya a Washington DC, wannan shan magani ne da aka yi amfani da ita saboda ci gaba da sababbin magungunan antidpress.

Fink ya ce likitoci ba su da dadi da ke ba da amitriptyline don ciwon ciwon tafin baya saboda abin da ke cikin lalacewa zai iya sa ka ji sun rataye da safe. "Amma a hakika," in ji ta, "Amitriptyline yana da magani mai mahimmanci da kuma maras tsada don kula da ciwo mai tsanani, musamman ma idan kuna da matsalolin barcin."

Nazarin binciken da aka yi a shekara ta 2014 wanda ya buga a cikin Journal of Neurology Science idan aka kwatanta da amitriptyline tare da Lyrica ko pregabalin (wani magani da aka ba don ciwon neuropathic) don rage ciwo, da nakasar jiki. Masu bincike sun gano cewa yayin da duka biyu ke da magunguna, kawai amitriptyline yana rage yawan nakasa.

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Amitriptyline Dosage
Sakamakon amitryptyline wanda aka yi amfani da shi don ciwo yana da bambanci fiye da abin da aka yi amfani da ita. GIPhotoStock / Getty Images

Lokacin da ake amfani da Elavil don kulawa da baya ko wuyan wuyansa, kashi yana da ƙananan (kusan rabi, ko da yake wannan zai bambanta) fiye da lokacin da aka ɗauka don ciki.

Kwararka zai iya farawa a cikin ƙananan ƙananan kashi sannan ka ƙara sama kadan a kowane mako har sai an sami sauƙin jinƙai kuma / ko sakamako masu illa ya zama da yawa a gare ka.

Abubuwa masu kyau suna faruwa sau da yawa sau da yawa lokacin da ake amfani da wannan miyagun ƙwayar saboda ciwo mai tsanani kamar yadda aka kwatanta da lokacin da aka yi amfani dashi don sarrafawa ciki.

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Amitriptyline Side Gurbin
Hanyoyin da ke faruwa a kan Elavil na iya zama m kamar bushe baki ko mai tsanani, kamar kara haɗarin kashe kansa. LEA PATERSON / SCIENCE PHOTO LIBRARY / Getty Images

Yana da muhimmanci a san abin da zai iya haifar da amitryptyline kafin fara wannan magani.

Tunda FDA ta yarda da amitriptyline don magance matsalolin, zai iya shafar matsayi na mutum, ciki har da kara haɗari don kashe kansa. Amma a kan sikelin abubuwa, amitriptyline yana iya zama mummunan haɗarin kashe kansa.

Alal misali, binciken jarrabawar 2015 da aka wallafa a cikin Jarida na Birtaniya ta Birtaniya ya gano cewa a cikin mutane da ke cikin damuwa, mummunan hadarin kashe kansa don amitriptyline a cikin shekara guda shine kashi 0.02. Babu shakka mutanen da ke zaune tare da ciwon ciki suna da haɗari mai girma na kashe kansa ko da ba tare da wannan magani ba. Idan kowa a cikin iyalinka yana fama da rashin lafiya ko kuma kashe kansa, likitanku na iya ba da shawarar kada ku yi amfani da wannan magani.

Idan kun kasance masu ciki ko nono, zai fi kyau ku guje wa amitriptyline ko Elavil, saboda ana iya sanya wa mijin miyagun ƙwayoyi.

Elavil na iya haifar da matsala ga mutanen da ke da rudun zuciya (cututtukan zuciya) da sauran cututtukan zuciya, kuma ba a bai wa mutane fiye da shekaru 60 ba. (Sabbin magunguna na iya zama mafi kyau ga wannan shekara.)

Ƙananan ƙananan sakamako na Elavil sun hada da bushe baki da damuwa.

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Amitriptyline da Drug Interactions
Akwai magunguna da yawa waɗanda zasu iya hulɗa tare da Elavil. Gerard Fritz / Getty Images

Akwai wasu kwayoyi masu hulɗa tare da amitryptyline .

Harkokin hulɗar tsakanin Elavil da wasu kwayoyi zasu iya ƙara adadin amitriptyline cikin jininka. Hakanan, wannan zai iya ƙara yawan illa na kwayoyin magani. Harkokin hulɗa na iya kara yawan haɗari (ko rage ƙarfin) na kwayoyi da kake tare da Elavil.

Yana da muhimmanci a gaya wa likitanku duk abin da kake dauka, ko wasan kwaikwayo, kan-da-counter ko wajabta. Alal misali, ba za a yi amfani da kayan lambu na St. John's Wort ba tare da amitryptyline.

Abubuwan hulɗar mahimmanci zasu iya faruwa a tsakanin Elavil da wasu shakatawa na muscle, antidepressants, kwayoyi don ƙwayoyin zuciya mai mahimmanci, kwayoyi don cutar hawan jini, magungunan maganin magunguna, kwayoyin hana haihuwa, da sauransu. Kyakkyawan ra'ayin da za ku yi magana da magungunan ku da kuma idan an umurceku Elavil.

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Lokacin da za a guji Amitriptyline: Contraindications
Doctor da kuma yin haƙuri. Dan Dalton / Caiaimage / Getty Images

Akwai wasu lokuta da ya fi dacewa don kauce wa shan amitriptyline gaba ɗaya. Wadannan lokuta ana kiransa "contraindications."

Alal misali, idan kuna shan mai hana magunguna guda daya (MAO don ƙuntatawa ko magunguna ƙwayar ƙwayar ƙwayar cuta cisapride (ba a samuwa a Amurka) kada kayi amitryptyline.

Tun da Elavil na iya ƙara ko rage matakin sauran kwayoyi da kuke dauka, koyaushe ku yi magana da likitan ku kafin ku dakatar da magani.

Ƙarƙashin Ƙasa a kan Amfani da Elavil ( Amitryptyline ) Don Kushin Daji

Amitryptyline na maganin antidepressant zai iya zama tasiri a matsayin magani mai maganin maganin ciwo mai tsanani. Ya bayyana ya yi aiki musamman don jin zafi na neuropathic, zafi wanda zai iya yaduwa kafafunka kuma ya haifar da mummunan lalacewa, tingling, ko burge-fuka-fuka: jinin neuropathic yana zama daya daga cikin irin wahalar zafi da za a bi. Ba daidai ba ne daidai yadda Elavil ke aiki, amma aikin ya nuna bambanta yadda yake aiki don rashin ciki. Ana amfani da ƙananan ƙwayar mahimmanci.

Akwai mawuyacin sakamako mai tsanani da mai tsanani tare da amitryptyline kuma yana da muhimmanci a yi magana da likitanku game da waɗannan. Bugu da ƙari, akwai kwayoyi masu yawa da zasu iya hulɗa tare da amitryptyline, kuma likitan ku na da jerin cikakken takardun ku, kaya, da magunguna kafin su tsara wannan magani.

> Sources:

> Fink, K., MD Wayar Intanit. Asibitin Rikicin Kasa. Mayu 2011.

> Kasper, Dennis L .., Anthony S. Fauci, da Stephen L .. Hauser. Ka'idodin Magungunan Hoto na Harrison. New York: Ilimin Mc Graw Hill, 2015. Print.

> Urquhart, D., Wluka, A., Sim, M. et al. Shin Ƙananan Amitryptyline ne Ya Yi Amfani da Gwaninta na Kwanan baya? Binciken Nazarin don Gudanar da Ƙarƙashin Control. Gwaji . 2016 17 (1): 514.

> van den Driest, J., Bierma-Zeinstra, S., Bindels, P., da D. Schiphof. Amitrytyline don Ra'ayoyin Musculoskeletal: Tsaftacewa Tsaro. Ayyukan Iyali . 2017. 34 (2): 138-146.