Yanayin magani don Fibromyalgia
Ranar 14 ga watan Janairu, 2009, FDA ta amince da Savella (HCl milnacipran) don gudanar da fibromyalgia . Savella an lasafta shi a matsayin serotonin mai zabe da kuma nakinpinephrine dual reuptake inhibitor. An yi amfani da miyagun ƙwayoyi na shekaru da yawa a Turai da Asiya don magance matsalolin.
Menene Serotonin mai Zaɓuɓɓuka da kuma Norepinephrine Dual Reuptake Inhibitor?
A matsayin serotonin mai zabe da kuma nwanpinephrine dual reuptake inhibitor, wanda aka fi sani da SSNRI, Savella yana ƙaruwa a cikin ƙwaƙwalwar ƙwararrun koginpine da kuma serotonin.
A cikin gwajin gwajin, Savella yana da karin tasiri akan aikin norepinephrine. Wannan yana da mahimmanci ga marasa lafiya na fibromyalgia saboda ƙananan ƙwayar ƙwayar ƙwayar ƙwararrun ƙwayar ƙira ne ake danganta da ƙananan ciwo da matsalolin halayen ("ƙwaƙwalwar ƙwaƙwalwa").
Ta yaya aka ba Savella?
Savella ana gudanar da shi a kashi biyu a raba kowace rana. Ana amfani da sashi a hankali a cikin mako na farko don samun shawarar da aka bada shawarar na 100 MG / rana.
Savella yana samuwa a matsayin 12.5 MG, 25 MG, 50 MG, da 100 MG tablets. A ranar 1, ka ɗauki 12.5 MG sau daya. A kwanakin 2 zuwa 3, ka ɗauki 12.5 MG / sau biyu kowace rana. A kwanakin 4 zuwa 7, ka ɗauki 25 MG / sau biyu a kowace rana. Bayan ranar 7, kashi na farko shine 50 MG / sau biyu a kowace rana. Wasu marasa lafiya na iya buƙatar 200 mg / rana - kuma wasu na iya buƙatar ƙananan kashi idan suna da nakasa (koda).
Ta yaya Savella ke yi a gwaji na Clinical?
Tsaro da inganci na Savella an ƙaddara daga sakamakon gwajin gwajin gwaji na biyu na III a Amurka. Akwai fiye da marasa lafiya 2,000 da fibromyalgia da ke cikin binciken.
Contraindications ga Savella
Savella ne contraindicated (kada a yi amfani) a cikin marasa lafiya tare da uncontrolled kunkuntar-kwana glaucoma. Savella ya kamata kuma bazai yi amfani da marasa lafiya ɗauke da MAOI (monoamine oxidase inhibitors), yawancin amfani dashi ga ciki. Ba a amince da Savella ba don amfani a yara.
Gargaɗi da aka haɗa da Savella
Magunguna da aka umurce Savella ya kamata su lura da gargadi da kuma kariya:
- Ƙarar cututtuka da cututtuka da kuma haɗarin kansa suna yiwuwa tare da Savella
- Abun ciwo na Serotonin (wani maganin miyagun ƙwayoyi mai rai da ke haifar da jiki yana da ƙwayar serotonin) yana yiwuwa.
- Zubar da jini mai karfin gaske da ƙwaƙwalwar zuciya zai iya faruwa tare da Savella.
- An bayar da rahotanni a cikin marasa lafiya ɗauke da Savella.
- An bayar da rahoto game da cutar rashin lafiya (marasa lafiya da yin amfani da barasa mai yawa ko ciwo mai hanta kullum ya kamata ya guji Savella).
- Zubar da bayyanar cututtuka na iya faruwa idan Savella bata daina ƙare.
- Savella na iya kara yawan zubar da jini musamman a marasa lafiya dauke da NSAIDs , aspirin , ko wasu kwayoyi da suka shafi jini.
- Akwai yiwuwar ƙananan abubuwan da suka faru da cutar ta hanyar amfani da Savella.
An zabi Savella a matsayin C wakili na C-C, wanda ke nuna rashin lafiyan tayi a cikin ilimin dabba. Mai sana'anta na Savella ya ce ba a yi nazarin binciken da ya dace ba ko kulawa da kyau ga mata masu juna biyu, saboda haka ya kamata a yi amfani da ita a lokacin daukar ciki kawai idan wadatar da ake amfani da ita zai haifar da hatsari ga tayin.
Ba a gudanar da nazari kan nazarin Savella a kan iyayen mata ba.
Hanyoyin Kayan Kasuwanci da abubuwan da ke faruwa
Mawuyaci, ciwon kai, maƙarƙashiya, damuwa, rashin barci, flushing, ƙuƙasa ƙara, vomiting, palpitations, da kuma bushe baki ne halayen halayen da suka haɗa da Savella.
Sources:
Savella Bayyana Bayanan. Savella.com. 01/08/2009.
http://www.allergan.com/assets/pdf/savella_pi
Milnacipran (Savella), wani zaɓi na Jiyya ga Fibromyalgia. P & T (Pharmacy & Therapeutics) P T. 2010 Mayu; 35 (5): 261-266.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2873711/