I-Wellbutrin ye-ADHD
Ulwazi lweziyobisiNgaba ukhe wazama ukulawula ukuphazamiseka kwengqondo (ADHD okanye i-ADD) ngamayeza avuselelayo, afana URitalin okanye Ikonsathi , kodwa khange ndibenalo ithamsanqa? I-Wellbutrin inokuba sisisombululo sakho-kwaye ungavumeli ukuba inyani yoxinzelelo ikoyikise.
Yintoni iWellbutrin?
Wellbutrin ( bupropion ) luxinzelelo oludla ngokusetyenziswa ngaphandle kwelebheli ukunyanga iimpawu ze-ADHD. Kuvunyiwe ukunyanga uxinzelelo, ukuphazamiseka okwenzeka ngamaxesha athile onyaka, kunye nokunceda abantu bayeke ukutshaya. Isebenza ngokuthintela i-dopamine kunye ne-norepinephrin ekubeni iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde isetyenziswe Oko kunyusa amanqanaba ala ma-neurotransmitters, anokunceda ukukhulisa imood kunye nokunciphisa ezinye iimpawu.
Ngaba i-Wellbutrin FDA-yamkelwe kwi-ADHD?
I-Wellbutrin ayivunywanga yi-US Food and Drug Administration (FDA) ukunyanga i-ADHD.
Kukho amayeza amaninzi avuselelayo avunyiweyo yi-FDA ukunyanga i-ADHD. Amayeza ashukumisayo athathelwa ingqalelo njengonyango lonyango lokuqala lwe-ADHD kuba kunciphisa iimpawu ze 70% ukuya kuma-80% zabantu. Amayeza angavuseleliyo kunyango lomgca wesibini okanye owesithathu ezinokuthi zizanywe zizigulana ukuba ngaba izikhuthazi azisebenzi. I-FDA-evunyiweyo engavuseleliyo ephatha i-ADHD ibandakanya: IStrattera ( atomoxetini ), Ulwazelelo ( guanfacine ), kunye IKapvay ( clonidine ).
I-anti-depressants, njenge-Wellbutrin, imiselwe ngaphandle kwelebheli ukunyanga i-ADHD kuba yonyusa i-dopamine kunye ne-norepinephrine-ii-neurotransmitters ezimbini eziphantsi kakhulu kwiingqondo ze-ADHD. Kusemthethweni, kwaye kwamkelwe isenzo, ukumisela amayeza off-ileyibheli ukuba uphando lubonisa ukuba banokunceda imeko. Abanye uphando ibonisa ukuba uWellbutrin usebenzela abantu abane-ADHD, abaneminyaka eli-18 nangaphezulu.
Iindlela ezahlukeneyo ze-ADHD zisebenza kubantu abohlukeneyo, kwaye ngokuchasene neempawu ezahlukeneyo, utshilo uMelissa Orlov, umbhali Iziphumo ze-ADHD emtshatweni . Ezinye zeempawu ze-ADHD zinokulawulwa ngcono nge-Wellbutrin kunezinye. Kwaye ezinye azinyamezeli izikhuthazi.
Ngaba i-Wellbutrin iyanceda i-ADHD?
Uphando luthi iyenzeka, nangona ikumanqanaba asezantsi kunamayeza amaninzi akhuthazayo, ucacisa u-Orlov. Kodwa ukuba iyakusebenzela, nokuba iyasebenza okanye ayisebenzi kwabanye ayisebenzi.
Izikhuthazi azisebenzi kuwo wonke umntu, kwaye abanye abantu abanako ukuzithatha ngenxa yempilo yezinye iimeko, ezinje ngeengxaki ezithile zentliziyo. Ukuba wena okanye umntwana wakho uphakathi kwama-20% ukuya kuma-30% awancedi, okanye izikhuthazi zibangela iziphumo ebezingalindelekanga ezimandundu, iWellbutrin inokuba lukhetho olufanelekileyo.
I-Bupropion lukhetho oluhle kakhulu kubantu abane-ADHD abanengxaki yokuphazamiseka kwemeko, ezinje ngoxinzelelo, kwaye bangathanda ukuzama iarhente enye. Idatha iphakamisa ukuba i-bupropion iphucula hayi kuphela uxinzelelo kodwa kunye ne-ADHD, utsho UTimothy Wilens, MD , inkosi yecandelo lokwahlulwa kwengqondo kwabantwana nakwishumi elivisayo kwisibhedlele iMassachusetts General Hospital.
I-Bupropion lukhetho oluhle kakhulu lodidi lwesibini kubantu abanemicimbi yokusebenzisa iziyobisi kunye / okanye abanenkxalabo yokusebenzisa gwenxa izikhuthazi kwaye ugqirha, usapho, okanye isigulana ngokwabo bafuna ukunqanda izikhuthazi, utshilo uGqirha Wilens. Ngelixa ingasebenzi njengekhuthazayo, i-bupropion esetyenziswe kumthamo we-antidepressant esemgangathweni kunokuba luncedo ekunciphiseni iimpawu kunye nokuphazamiseka okunxulumene ne-ADHD.
Idosi kunye neefom ze-Wellbutrin ye-ADHD
I-Wellbutrin XL yeyona fomu iqhelekileyo emiselweyo kwi-ADHD, kuba ihlala imini yonke.
I-Wellbutrin ligama elinye lophawu lwe-bupropion. Amanye amagama aquka: Aplenzin, Budeprion SR, Budeprion XL, Buproban, Forfivo XL, Wellbutrin SR, Wellbutrin XL, kunye neZyban. I-SR ibonisa ukukhutshwa okuzinzileyo, i-XL ibonisa ukukhutshwa okwandisiweyo.
IBupropion iyafumaneka kwezi zilandelayo iifom kunye neendlela zokukhetha :
- Ithebhulethi yeBupropion hydrochloride, ukukhutshwa kwangoko: 75 mg, 100 mg
- Ithebhulethi yeBupropion hydrochloride, ukukhutshwa okuzinzileyo kweyure ye-12: 100 mg, 150 mg, 200 mg
- Ithebhulethi yeBupropion hydrochloride, ikhululwe iyure engama-24: 150 mg, 300 mg, 450mg
- Ithebhulethi yeBupropion hydrobromide, ukukhutshwa okwandisiweyo kweeyure ezingama-24: 174 mg, 348 mg, 522 mg
Idosi ethile yahluka ngokwamntu ngamnye. Ukhuseleko lwayo aluzange lusekwe nakubani na ongaphantsi kweminyaka eli-18. Kubalulekile ukuba uqaphele ukuba kuthatha iiveki ezi-4 ukuba idosi ye-Wellbutrin ifikelele ngokupheleleyo, kwaye kungathatha iinyanga ezininzi ukufumana idosi efanelekileyo kuwe. Ukongeza, awusoze uyeke ukuthatha i-Wellbutrin ngaphandle kokubonisana nogqirha wakho.
Iziphumo ebezingalindelekanga zeWellbutrin
Esinye sezizathu zokuba oogqirha bamisele i-Wellbutrin ye-ADHD kungenxa yokuba uninzi lwezigulana azinazo naziphi na iziphumo ebezingalindelekanga. Xa besenza, iziphumo ebezingalindelekanga ziphakathi, kwaye zihlala ziphela emva kweeveki zokuqala.
Ngokuqhelekileyo iziphumo ebezingalindelekanga zeWellbutrin zezi:
- Intloko ebuhlungu
- Ukuhla ukusinda
- Umlomo owomileyo
- Kunzima ukulala
- Isicaphucaphu
- Ukuba nesiyezi
- Ukuqunjelwa
- Ukubila
- Umqala obuhkungu
Olu aluluhlu olupheleleyo lweziphumo ebezingalindelekanga. I-Wellbutrin inokuba nonxibelelwano oluyingozi kunye namayeza athile. Soloko uthetha nogqirha wakho okanye usokhemesti malunga namayeza akho, kwaye ufunde ulwazi ngommiselo obandakanywe nonyango lwakho.
Umngcipheko wokuthatha iWellbutrin
U-Wellbutrin unesilumkiso sebhokisi emnyama malunga nokuzibulala kwi-FDA. Oko kuthetha ukuba kunokunyusa umngcipheko wokuzibulala okanye iingcinga zokuzibulala ebantwaneni, kulutsha nakubantu abadala abancinci. I-Wellbutrin ayithathwa njengekhuselekileyo ukuyithatha ngelixa ukhulelwe okanye unesi, njengoko inokudlula kubisi lwebele.
Fowunela ugqirha wakho ukuba unayo nayiphi na enye yezi zinto zinqabileyo, kodwa zinokuba zibi, iziphumo ebezingalindelekanga:
- Ukudumba kolusu
- Ukubetha kwentliziyo okukhawulezayo
- Iyakhala ezindlebeni
- Ukuxakeka
- Intlungu yesisu
- Utshintsho ekuziphatheni okanye kwiimvakalelo, okanye kwiingcinga zokubaleka
- Umbono omfiliba, iintlungu zamehlo, okanye iihalos ezijikeleze izibane
- Iziphumo zesondo
Kukho umngcipheko ophantsi wokubanjwa kwabantu abanembali yokuxhuzula, ukonzakala kwengqondo, ukusetyenziswa gwenxa kweziyobisi, okanye iingxaki zokutya. Kukho umngcipheko ophantsi weengxaki zentliziyo, ngakumbi kubantu abanexinzelelo lwegazi okanye isifo sentliziyo.
Olu ayilo luhlu lupheleleyo lomngcipheko. Ukuba ucinga ukuba i-Wellbutrin ingakulungela, thetha nogqirha wakho oyintloko malunga nokhetho lwakho. Qiniseka ukuba wabelana ngawo nawaphi na amanye amayeza owathathayo, kunye nezinye iingxaki zempilo-ukongeza kwi-ADHD.
Wellbutrin vs Adderall
I-Wellbutrin kunye ne-Adderall (umxube we-amphetamine usawoti) omabini la mayeza anyanga i-ADHD.
I-Wellbutrin yi-antidepressant esetyenziswa ngaphandle kwelebheli. I-Adderall sisiyobisi esikhuthazayo esivunyiweyo yi-FDA ukunyanga i-ADHD.
Zizindidi ezahlukileyo zamachiza asebenza emzimbeni ngeendlela ezahlukeneyo, kwaye aneempembelelo ezahlukeneyo. Iziphumo eziqhelekileyo ze-Wellbutrin zintloko, ukulahleka kwesisindo, umlomo owomileyo, ubunzima bokulala, isicaphucaphu, isiyezi, ukuqunjelwa, ukubetha kwentliziyo kunye nomqala obuhlungu. Iziphumo eziqhelekileyo ze Adderall zibandakanya: uloyiko, intloko ebuhlungu, utshintsho kwidrive drive okanye amandla, iintlungu zokuya exesheni, umlomo owomileyo, ukuqhina, urhudo, isicaphucaphu, kunye nokwehla kobunzima.
Amayeza ahlukeneyo e-ADHD asebenzela abantu abohlukeneyo. Ukuba amayeza avuselelayo, anjengeAdderall, awasebenzi kuwe okanye kumntwana wakho, ukhetho olufana neWellbutrin lolunye ukhetho lonyango.
