Methylphenidate, wanda aka fi sani da sunan Ritalin, mai amfani ne, wanda ya dade yana kula da yara da rashin kulawa da rashin lafiya. Kuma ko da yake yana aiki da yawa a yayin sarrafa kwayar cutar ta ADHD, babban ɓangaren shine ya yi sauri, saboda haka yara sukan dauki nau'i biyu zuwa uku a kowace rana.
Wannan jimawa na yau da kullum yana nufin yara sun dauki kwaya a safiya, wani kuma a lokacin abincin rana a makaranta, kuma wani lokacin wani bayan makaranta.
Bugu da ƙari, kasancewa maras kyau, yara ba sa so a rabu da su daga abokan aikin su da kuma rufewa a ofishin likita don maganin su.
Komawa sau ɗaya a rana mai daɗi don kula da ADHD an sami maraba da yara, iyaye kuma na tabbata majiyar makarantar. Yanzu yara kawai sun dauki kwayar kwayar kwaya guda daya da safe sannan yana tsawon sa'o'i 10-12.
Kira don ADHD
FDA ta amince da shi a shekara ta 2000, Concerta ita ce ta farko da gaske a kowace rana magani don ADHD kuma nan da nan ya zama sananne. Kamar Ritalin, ainihin sashi shine methylphenidate, amma an kunshe shi a cikin takarda na musamman, mai sarrafawa wanda aka ba da kyautar da ke ba danka tare da magani a ko'ina cikin yini.
Sauya zuwa Concerta daga Ritalin na yau da kullum yana da sauki. Kullum yawancin ku ne kawai ku dauki Ritalin kwanakin yau da kullum kuma ku canza zuwa kwayar wasan kwaikwayon da ke kusa da wannan nauyin. Don haka idan yaronka yana karbar 5mg na Ritalin sau uku a rana, domin yawancin kowace rana na 15mg, tabbas za ka canza zuwa kwamfutar hannu na 18mg.
Har ila yau, ana iya yin wasan kwaikwayon a cikin na'urori 27mg, 36mg, da 54mg, suna samar da zaɓuɓɓukan canji. Kuma ko da yake kwamfutar ta fi girma ba ta samuwa ba, ana iya tsara matasan yara biyu na 36mg don samun iyakar nauyin 72mg.
Kodayake mahimmin yara na farawa tare da ƙananan canji lokacin da suka fara motsa jiki, ka tuna cewa a cikin binciken da aka yi kwanan nan kashi 95% na yara sun kasance a kan 36mg ko 54mg masu ƙarfi duka, saboda haka kada ka daina yin wasan kwaikwayon idan baza su yi la'akari ba. don aiki.
Sauyawa daga Adderall ko Adderall XR ma sauƙi. Kullum kuna yawan ninka yawan adadin ku na Daily Adderall.
Hanyoyin Kiɗa na Concerta
Bisa ga kundin bayani game da fim na Concerta, shafuka masu yawa na Concerta sune ciwon kai (14%), rashin ciwo na numfashi na sama (8%), zafi na ciki (7%), vomiting (4%), asarar ci (4%) , rashin barci (4%), tari ƙara (4%), pharyngitis (4%), sinusitis (3%), da kuma rashin hankali (2%).
Idan yaro yana da ciwo mai mahimmanci, za a iya yin amfani da sashi mai mahimmanci ko canzawa zuwa magani daban-daban.
Kuma ko da yake FDA "bai sami wata ƙungiya tsakanin amfani da magungunan ADHD da ciwon zuciya ba," kamar fashewa, ciwon zuciya, da kuma mutuwar kwakwalwa na kwakwalwa, sun bayar da shawarar cewa "marasa lafiya da aka bi da magungunan ADHD ya kamata a kula da su akai-akai don canje-canje a zuciya kudi ko karfin jini. "
Sauran Forms na Methylphenidate
Akwai wasu nau'ikan aikace-aikacen dogon lokaci na methylphenidate, kamar Daytrana, CD ɗin Metadate, Ritalin LA, da Quillivant XR, don haka me yasa za a zabi Concerta?
Abu daya, ko da yake an yi su ne daga methylphenidate, suna da bambance-bambance a tsarin tsarin su.
Hanyoyin ba da izini na kyauta suna ba da yaro da kashi na farko game da kashi 22% sannan kuma sauran magani a baya a rana.
Don haka idan yaro yana shan Concerta 18mg, zai samu 4mg kawai a magani da safe kuma zai fara tare da kadan kadan idan ya kasance a baya a kan 5mg sau uku a rana na Ritalin na yau da kullum.
Ritalin LA tana amfani da hanyar kama da Adderall XR , don haka sai ka sami rabin abincin farko a safiya bayan ya karbi rabin rabin a rana. Wannan yana nufin cewa idan yaronka yana shan Ritalin LA 20mg, zai sami kashi 10mg a safiya. Wannan babban bambanci ne daga nauyin 4mg zai samu idan yana kallon Concerta 18mg.
To, idan yaro yana da matsala a safiyar lokacin da kake yin Concerta, canza Ritalin LA zai iya zama mafi zaɓi fiye da karuwar nauyin kida.
Ana samuwa a cikin capsule 20, 30, da 40mg.
CD din ƙaddamarwa yana kama da Kayan kwaikwayo a cikin cewa zaka sami kashi na farko. CD din CD ɗin yana samuwa ne da takalmin gyaran da aka ba da kashi 30 cikin 100 na kashi biyu sannan kuma sauran 70% na kashi ana cigaba da saki daga ƙaddarar sutura. Ƙarin ƙasa shine cewa kawai yana samuwa a cikin ƙarfin 20mg, don haka yaro ya ɗauki fiye da ɗaya daga cikin matashi don samun kashi mafi girma.
Abin da ya sani game da Concerta
Bugu da ƙari ga waɗannan shawarwari, wasu abubuwa da za su sani game da Concerta sun haɗa da cewa:
- Kira ba za a iya chewed ba ko kuma za a shafe shi duka, saboda haka zai iya zama matsala ga yara waɗanda baza su iya haɗiye kwayoyin kwayoyi ba. Dukansu Ritalin LA da CD ɗin CD ne za'a iya buɗewa kuma anfa masa abinci, kamar applesauce, idan yaro ba zai iya haɗiye kwayoyi ba . Quillivant XR wata samfurin ruwa ne na methylphenidate kuma Daytrana shi ne alamar, don haka yara da ba su iya haɗiye kwayoyin kwayoyi yanzu suna da yawa zažužžukan.
- Concerta wani abu ne na federally sarrafawa.
- Aikin Disamba na Generic (Methylphenidate ER) ya zama samuwa a watan Disambar 2012. Abin baƙin ciki, nau'i biyu na jigilar jini ba su kasance kamar maganganu ba.
Shawara ba na kowa ba ne, musamman ma yara da damuwa, tics, ko ciwo na Tourette , glaucoma, ko rashin lafiyar zuwa Concerta, amma yana iya kasancewa mai kyau ga mafi yawan yara tare da ADHD.
Sources:
Jagoran Magungunan Jiya. Revised Disamba 2013.
FDA Drug Safety Communication: Review Safety Update na Magunguna da aka yi amfani da Kulawa-rashin lafiya / Hyperactivity Disorder (ADHD) a cikin yara da matasa. Nuwamba 2011.
Wilens T. ADHD jiyya tare da Methylphenidate ta OROS: Kwanakin watanni goma sha biyu daga binciken da aka fara bude lakabi. J Am Acad Yara Matasan Ƙwararru - 01-APR-2003; 42 (4): 424-33