Mea Kākau: William Ramirez
Lā O Ka Hana: 22 Kepakemapa 2021
HōʻAno Hou I Ka Lā: 12 Nowemapa 2024
Anonim
Treatment patterns in adults with ADHD treated with atomoxetine - Video Abstract ID 150261
Wikiō: Treatment patterns in adults with ADHD treated with atomoxetine - Video Abstract ID 150261

Anter

Ua hōʻike ʻia nā noiʻi i nā keiki a me nā ʻōpio me ka maʻi hyperactivity deficit attention-deficit (ADHD; ʻoi aku ka paʻakikī o ka nānā ʻana, ka mālama ʻana i nā hana, a me ka noho mālie a mālie paha ma mua o nā poʻe ʻē aʻe o ka makahiki like) e noʻonoʻo e pili ana i ka luku ʻana iā lākou iho ma mua o nā keiki. a me nā ʻōpio me ADHD i lawe ʻole i atomoxetine.

ʻOiai ke lawe nei kāu keiki i ka atomoxetine, pono ʻoe e nānā pono i kāna hana, keu hoʻi i ka hoʻomaka o ka mālama ʻana a i kēlā me kēia manawa e hoʻonui a hoʻemi ʻia paha kāna mahele lāʻau. Hiki paha i kāu keiki ke ulu i nā ʻōuli koʻikoʻi loa, no laila he mea nui e hoʻolohe i kāna hana i kēlā me kēia lā. E noi i nā poʻe ʻē aʻe e hoʻolōʻihi i ka manawa me kāu keiki, e like me nā kaikaina, nā kaikuahine, a me nā kumu e haʻi iā ʻoe inā ʻike lākou i nā loli i ka hana a kāu keiki. Kāhea koke i ke kauka o kāu keiki inā ʻike kāu keiki i kekahi o kēia mau ʻōuli: hana ʻoi aku ka haʻahaʻa a huki ʻia paha ma mua o ka maʻamau. manaʻo kōkua ʻole, manaʻolana ʻole, a waiwai ʻole paha; kaumaha hou a i ʻole ke kaumaha paha; ke noʻonoʻo a kamaʻilio paha e pili ana i ka hōʻino a pepehi paha iā ia- a iā ia iho a i ʻole ke hoʻolālā a hoʻāʻo ʻana paha e hana pēlā. hopohopo nui loa; hoʻonāukiuki; hoʻouka weliweli; paʻakikī e hiamoe a hiamoe paha; ukiuki; hana kolohe a kolohe paha; hana me ka noʻonoʻo ʻole; hoʻonui loa i ka hana a kamaʻilio paha; pīhoihoi, pīhoihoi ʻole; a i ʻole nā ​​hoʻololi hou a kolohe paha i ka lawena.


E makemake ke kauka o kāu keiki e ʻike pinepine i kāu keiki ʻoiai ke lawe nei ʻo ia i ka atomoxetine, keu hoʻi i ka hoʻomaka o kāna lapaʻau. E makemake paha ke kauka o kāu keiki e kamaʻilio pū me ʻoe a i ʻole kāu keiki ma ke kelepona mai kēlā me kēia manawa. E mālama pono i kāu keiki i nā manawa a pau no ke kipa ʻana i ke keʻena a i ʻole ke kamaʻilio kelepona ʻana me kāna kauka.

E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Ke Alakaʻi Medication) ke hoʻomaka ʻoe i ka lāʻau me atomoxetine a i kēlā me kēia manawa e hoʻopiha hou i kāu kauka. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke kipa aku i ka pūnaewele ʻo Food and Drug Administration (FDA) (http://www.fda.gov/Drugs) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.

E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hāʻawi ʻana i atomoxetine i kāu keiki, no ka hoʻohana ʻana i nā lāʻau ʻē aʻe no ke kūlana o kāu keiki, a me ka mālama ʻole ʻana i ke ʻano o kāu keiki.

Hoʻohana ʻia ʻo Atomoxetine ma ke ʻano he mahele o kahi papahana hoʻomaʻamaʻa huina e hoʻonui ai i ka hiki ke nānā a hoʻemi i ka impulsiveness a me ka hyperactivity i nā keiki a me nā mākua me ADHD. Aia ʻo Atomoxetine i loko o ka papa o nā lāʻau i kapa ʻia he mau mea hoʻopukapuka norepinephrine selective. Hana ia ma ka hoʻonui ʻana i nā pae o ka norepinephrine, kahi mea kūlohelohe i ka lolo e pono ai e kaohi i ka lawena.


Hele mai ʻo Atomoxetine ma ke ʻano he capsule e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā i ke kakahiaka, a i ʻole ʻelua mau manawa i ka lā i ke kakahiaka a i ke ahiahi a i ʻole ke ahiahi nui. Lawe ʻia ʻo Atomoxetine me ka ʻole o ka meaʻai. E lawe atomoxetine ma kahi o ka manawa like (s) i kēlā me kēia lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. E lawe pono i ka atomoxetine e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

E hoʻopau i nā capsule atomoxetine āpau; mai wehe, nau, a wāwahi paha iā lākou. Inā wāwahi ʻia a wehe ʻia paha kahi capsule, holoi koke i ka pauka maloʻo me ka wai. E hoʻāʻo e ʻaʻole e hoʻopā i ka pauka a akahele hoʻi i ka loaʻa ʻole o ka pauka i kou mau maka. Inā loaʻa ka pauka i kou mau maka, holoi iā lākou me ka wai koke a kāhea i kāu kauka.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi haʻahaʻa o ka atomoxetine a hoʻonui i kāu lāʻau ma hope o 3 mau lā. E hoʻonui hou paha kāu kauka i kāu lāʻau ma hope o 2-4 mau pule. Hiki paha iā ʻoe ke ʻike i ka hoʻomaikaʻi ʻana i kāu mau hōʻailona ma ka pule mua o kāu mālama ʻana, akā hiki paha i hoʻokahi mahina ke ʻike ʻoe i ka pono piha o atomoxetine.


Hiki i ke Atomoxetine ke kōkua i ka mālama ʻana i nā ʻōuli o ADHD akā ʻaʻole e hoʻōla i kēia ʻano. E hoʻomau i ka lawe atomoxetine ʻoiai ʻoe e manaʻo maikaʻi. Mai hōʻoki i ka lawe ʻana i ka atomoxetine me ke kamaʻilio ʻole ʻana me kāu kauka.

Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka lawe ʻana i atomoxetine,

  • e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka atomoxetine, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā capsule atomoxetine.
  • e haʻi i kāu kauka inā lawe ʻoe i nā mea hoʻopāpā monoamine oxidase (MAO), e like me isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), a me tranylcypromine (Parnate), a i ʻole inā ua oki ʻoe i ka lawe ʻana iā lākou i loko o ka wā i hala. 2 pule. E haʻi paha kāu kauka iā ʻoe mai lawe i ka atomoxetine. Inā haʻalele ʻoe i ka lawe ʻana i ka atomoxetine, pono ʻoe e kali ma kahi o 2 mau pule ma mua o kou hoʻomaka ʻana e lawe i kahi mea kāohi MAO.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E ʻōlelo pono i kekahi o kēia mau mea: albuterol syrup a i ʻole nā ​​papa (Proventil, Ventolin), amiodarone (Cordarone, Pacerone), bupropion (Wellbutrin), chlorpheniramine (antihistamine i nā lāʻau anuanu), cimetidine (Tagamet), clomipramine (Anafranil), fluoxetine (Prozac, Sarafem), haloperidol (Haldol), syaproterenol syrup a i ʻole nā ​​papa, nā lāʻau no ke koko kiʻekiʻe, methadone (Dolophine), metoclopramide (Reglan), nefazodone, paroxetine (Paxil), quinidine, ritonavir (Norvir), a me sertraline (Zoloft ). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
  • e haʻi i kāu kauka inā loaʻa paha iā ʻoe ka glaucoma (kahi maʻi maka e hiki ai ke lilo ka hihi), a i ʻole pheochromocytoma (kahi tumo ma kahi gland liʻiliʻi kokoke i nā puʻupaʻa). E haʻi paha kāu kauka iā ʻoe mai lawe i ka atomoxetine.
  • e haʻi i kāu kauka inā i loaʻa i kekahi o kou ʻohana a i ʻole loaʻa paha i kahi puʻuwai kūlohelohe ʻole a i make koke paha. E haʻi i kāu kauka inā loaʻa koke ʻoe i kahi puʻuwai puʻuwai a inā i loaʻa a i ʻole loaʻa paha i ka maʻi kīnā o ka puʻuwai, ke koko kiʻekiʻe, kahi puʻuwai kūwaho ʻole, paʻakikī o nā aʻa, ka maʻi puʻuwai a i ʻole ke koko, a i ʻole nā ​​pilikia puʻuwai ʻē aʻe. E nānā ana kāu kauka iā ʻoe e ʻike inā olakino kou puʻuwai a me nā kīʻaha koko. E haʻi paha kāu kauka iā ʻoe mai lawe i ka atomoxetine inā he maʻi puʻuwai kou a i ʻole he pilikia nui paha e hoʻomohala ʻoe i kahi ʻano puʻuwai.
  • e haʻi i kāu kauka inā ʻoe a i ʻole kekahi o kou ʻohana i loaʻa i ke kaumaha, bipolar maʻi (manic depressive maʻi; kahi ʻano e hoʻopuka ai i nā ʻāpana o ke kaumaha, nā ʻāpana o ka pīhoihoi, ka pīhoihoi ʻole a me nā ʻano ʻano ʻē aʻe ʻē aʻe), a i ʻole ua noʻonoʻo e pili ana iā hoʻāʻo e pepehi kanaka.E haʻi pū i kāu kauka inā loaʻa ʻoe i ka maʻi seizure, a i ʻole nā ​​maʻi ate.
  • e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i atomoxetine, e kāhea i kāu kauka.
  • pono ʻoe e ʻike i ka atomoxetine e hiamoe ai ʻoe. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
  • pono ʻoe e ʻike ʻo ka atomoxetine ke kumu o ka hoʻoluhi, hoʻomālamalama, a me ka maʻule ke ala koke ʻoe mai kahi kūlana wahaheʻe. I mea e hōʻalo ai i kēia pilikia, e hele mālie i waho o kahi moe, e hoʻomaha ana i kou mau wāwae i ka papahele no kekahi mau minuke ma mua o ke kū ʻana i luna.
  • pono ʻoe e ʻike he pono e hoʻohana ʻia ka atomoxetine ma ke ʻano he ʻāpana o kahi papahana hoʻomaʻamaʻa huina no ADHD, i hiki ke hoʻopili ʻia me ka ʻōlelo aʻoaʻo a me ka ʻike kūikawā. E mālama pono i nā ʻōlelo aʻoaʻo a kāu kauka a me / a i ʻole therapist.
  • pono ʻoe e ʻike e hoʻonui paha kou kahe koko i kou wā e mālama ai me ka atomoxetine. E nānā kāu kauka i kou kaomi koko i kou wā o ka lāʻau.

Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.

E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala. Mai lawe i nā mea i koi ʻia i kēlā me kēia lā o atomoxetine i 24 mau hola.

Hiki i ka Atomoxetine ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • puʻuwai puʻuwai
  • nausea
  • ka luaʻi
  • nalo ʻai ʻole
  • Kaumaha emi
  • kōpaʻa
  • ʻeha ka ʻōpū
  • ʻenekini
  • waha maloo
  • luhi nui loa
  • ʻūpā
  • ʻeha poʻo
  • huli ke ʻano
  • hoʻemi i ka hoʻokele wahine a i ʻole ka hiki
  • pilikia urino
  • ʻeha a i ʻole wā kūleʻa
  • ʻeha mākala
  • ka houʻu ʻana
  • ʻālohilohi wela
  • moeʻuhane ʻano ʻole
  • puhi ʻana a i ʻole ʻūlū ʻana i nā lima, nā lima, nā wāwae, a me nā wāwae

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo AOAO IMĀKAHI a i ʻole ʻĀpana PĀKAHI SPECIAL, e kāhea koke i kāu kauka.

  • wikiwiki a kuʻi paha i ka puʻuwai puʻuwai
  • ʻeha ka umauma
  • pokole o ka hanu
  • ʻolelo lohi a paʻakikī paha
  • paupauaho a maʻule paha
  • nāwaliwali a i ʻole ka helu ʻana o ka lima a me ka wāwae
  • ʻili ʻili
  • mimi ʻeleʻele
  • melemele o kou ʻili a mau maka paha
  • nā ʻōuli like flu
  • ʻeha ma ka ʻaoʻao ʻākau o luna o kou ʻōpū
  • ka pehu o ka maka, ka ʻāʻī, ke alelo, nā lehelehe, nā maka, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
  • hulahula
  • pilikia i ka ale ʻana a me ka hanu ʻana
  • hives
  • hūwī
  • manaʻo kūlohelohe
  • hallucinating (ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole)
  • ke kūkulu ʻana e mau ana no kekahi mau hola a ʻoi aku paha
  • ka hopu ʻana

E hoʻolohi paha ʻo Atomoxetine i ka ulu ʻana o nā keiki a i ʻole ka loaʻa ʻana o ke kaumaha. E nānā pono paha ke kauka o kāu keiki i kāu keiki i ka wā o kāna mālama ʻana me atomoxetine. E kamaʻilio me kāu kauka o kāu keiki e pili ana i ka makaʻu o ka hāʻawi ʻana i kēia lāʻau i kāu keiki.

Hoʻokumu paha ka Atomoxetine i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

  • hiamoe
  • hoohaunaele
  • hoʻonui i ka hana a kamaʻilio paha
  • hana kūpono ʻole
  • pilikia ʻōpū
  • haumana ākea (pōʻaiʻeleʻele i waenakonu o nā maka)
  • puʻuwai wikiwiki
  • waha maloo

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha paha kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino i ka atomoxetine.

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

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Nānā Hou - 05/15/2021

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