He aha kāu e ʻike ai e pili ana iā Cymbalta no Fibromyalgia

Anter

• He aha ka Cymbalta?
• Pehea e hana ai ʻo Cymbalta
• He aha nā hopena o Cymbalta?
• Nā hopena pili i ka moekolohe me Cymbalta
• Nā lāʻau i hiki ke launa pū me Cymbalta
• He aha hou aʻe kaʻu e ʻike ai e pili ana iā Cymbalta?
• Nā koho ʻē aʻe iā Cymbalta no ka mālama ʻana i ka fibromyalgia
• Lawe aku

No nā miliona o ka poʻe ʻAmelika i hoʻopilikia ʻia e fibromyalgia, hāʻawi ka lāʻau i ka manaʻolana no ka mālama ʻana i ka maʻi a me ka nāwaliwali o ka maʻi.

Ua ʻae ʻia ʻo Cymbalta (duloxetine) e ka Food and Drug Administration no ka mālama ʻana i ka fibromyalgia i nā mākua. E heluhelu a ʻike inā kūpono ʻo Cymbalta iā ʻoe.

He aha ka Cymbalta?

No Cymbalta kahi papa o nā lāʻau i kapa ʻia SNRI (serotonin-norepinephrine reuptake inhibitors) e ālai ana i ka reabsorption o nā neurotransmitters norepinephrine a me serotonin i ka lolo.

Ma mua o ka ʻae ʻia no fibromyalgia, ʻae ʻia no ka mālama ʻana i:

• maʻi kūpilikiʻi maʻamau (GAD)
• maʻi maʻi depressive nui (MDD)
• ʻeha neuropathic peripheral diabetic (DPNP)
• ʻeha musculoskeletal mau

Pehea e hana ai ʻo Cymbalta

ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī o fibromyalgia, manaʻo nā mea noiʻi e loli ka lolo o ka poʻe me fibromyalgia e ka stimulus nerve pinepine. Hoʻopili ʻia i ka loli hiki ke hoʻonui i nā neurotransmitters (nā kemika e hōʻailona i ka ʻeha).

Eia kekahi, ua manaʻo ʻia e lilo nā mea loaʻa ʻeha o ka lolo i mea maʻalahi a hiki ke hoʻokuʻi i nā hōʻailona ʻeha.

Hoʻonui ka Cymbalta i ka nui o ka serotonin a me ka norepinephrine i ka lolo. Kōkua kēia mau kemika i ka mālama ʻana i ke kaulike noʻonoʻo a kāpae i ka neʻe ʻana o nā hōʻailona ʻeha ma ka lolo.

He aha nā hopena o Cymbalta?

Pili ʻia ʻo Cymbalta me nā hopena hopena he nui. ʻAʻole makemake ka hapa nui i ka olakino e like me:

• loli ka makemake
• ʻike hihi ʻole
• waha maloo
• ʻeha poʻo
• hoʻonui sweating
• nausea

Nā hopena e hōʻike i kāu kauka e pili koke i:

• ʻōpū ʻōpū
• hoohaunaele
• nā hopena āpau e like me ka ʻume, ka ʻū a me ka hives, ka pehu ʻana o ka maka, nā lehelehe, ka maka a me ke alelo
• loli ke koko
• pāluna a ʻiliʻili paha
• huikau
• mimi ʻeleʻele
• pāhoehoe
• fiva
• nā ʻōuli like flu
• hulahula
• kūlike ʻole a me / a i ʻole kūʻē wikiwiki
• nalo o ke kaulike a me / a i ʻole ʻoliʻoli
• nalowale o ka launa pū ʻana me ka ʻoiaʻiʻo, nā haʻilina
• loli ke ʻano
• ka hopu ʻana
• manaʻo suicidal
• ʻāpā ʻaʻano a hoʻokahe paha
• ka luaʻi
• Kaumaha emi

Nā hopena pili i ka moekolohe me Cymbalta

ʻIke ʻia nā SNRI e hoʻokumu i nā hopena pili kolohe. No laila, hana ʻo Cymbalta i nā hopena pili kolohe, e like me nā pilikia me:

• hoʻāla
• hōʻoluʻolu
• ʻoluʻolu

ʻOiai he pilikia nā hopena o ka moekolohe no kekahi poʻe, no ka hapa nui he liʻiliʻi a kaulike paha i ko lākou kino e hoʻomaʻa i ka lāʻau. Hiki ke hilinaʻi ka paʻakikī o kēia mau hopena i ka pae o nā ana.

Nā lāʻau i hiki ke launa pū me Cymbalta

Wahi a ka National Alliance on Mental Illness (NAMI), ʻaʻole pono e lawe pū i ka duloxetine (Cymbalta) me a i ʻole ma loko o ʻelua mau pule o ka lawe ʻana i nā monoamine oxidase inhibitors (MAOI) e like me:

• tranylcypromine (Parnate)
• selegiline (Emsam)
• rasagiline (Azilect)
• phenelzine (Nardil)
• isocarboxazid (Marplan)

Hōʻike pū kekahi ʻo NAMI e hoʻonui paha i nā hopena o kekahi mau lāʻau i hiki ke kumu i ke kahe ʻana e like me:

• aspirin
• ibuprofen (Advil, Motrin)
• Warfarin (Coumadin)

Hōʻike pū kekahi ʻo NAMI i nā pae a me nā hopena o Cymbalta e hoʻonui ʻia e kekahi mau lāʻau e like me:

• cimetidine (Tagamet)
• ciprofloxacin (Cipro)
• fluoxetine (Prozac)
• fluvoxamine (Luvox)
• paroxetine (Paxil)

He mea nui e ʻike kāu kauka i nā lāʻau ʻē aʻe āu e hoʻohana ai. Hoʻomaopopo nā kauka i ka papa inoa ma luna a me nā lāʻau ʻē aʻe e launa pū me Cymbalta. E hoʻoholo lākou e pili ana i ka hōʻalo a i ʻole ka hoʻoponopono ʻana i nā mea i kūpono.

He aha hou aʻe kaʻu e ʻike ai e pili ana iā Cymbalta?

E hōʻoki wale i ka lawe ʻana iā Cymbalta me ka ʻae a ke kauka. Loaʻa i nā kaha nalo ka hiki ke hoʻonui i kou makaʻu o ka hoʻi hou i kāu mau ʻōuli.

Ke mākaukau ʻoe e haʻalele i ka lawe ʻana iā Cymbalta, e kamaʻilio me kāu kauka no ka hana lohi. Ke kū nei paha i kahi hopena o ka haʻalele ʻana i nā ʻōuli e like me:

• ʻūpā
• ʻeha poʻo
• ukiuki
• nausea
• moeʻuhane moeʻuhane
• paresthesias (prickling, tingling, prickling skin sensations)
• ka luaʻi

Malia paha e hiki i kāu kauka ke kōkua iā ʻoe e hōʻemi i nā hōʻailona haʻalele.

ʻOiai e lawe ana iā Cymbalta makemake pū ʻoe e hōʻalo i ka inu lama a hoʻohana hewa paha i nā mea e like me opioids. ʻAʻole wale lākou e hōʻemi i nā keu pono a Cymbalta e hāʻawi nei, akā hiki iā lākou ke hoʻonui i ka nui o nā hopena ʻaoʻao.

Eia kekahi, hiki i ka inu waiʻona ke hoʻonui i ka pilikia o nā pilikia o ke ake akea i ka manawa like e lawe ana iā Cymbalta.

Nā koho ʻē aʻe iā Cymbalta no ka mālama ʻana i ka fibromyalgia

Ua ʻae ʻia kahi SNRI e mālama i ka fibromyalgia ʻo Savella (milnacipran). Ua ʻae pū ʻia ʻo Lyrica (pregabalin), kahi maʻi epilepsy a me nā ʻehaʻeha nerve.

Paipai paha kāu kauka:

• nā mea hōʻeha ʻeha ʻoi loa e like me ka acetaminophen (Tylenol) a me ka ibuprofen (Advil, Motrin)
• kuhikuhi i nā mea hōʻeha ʻeha e like me tramadol (Ultram)
• anti-ka hopu lāʻau e like me gabapentin (Neurontin)

Lawe aku

Ma ke kino a me ka naʻau, hiki i ka fibromyalgia ke lilo i ʻano paʻakikī e noho pū. Ua maikaʻi nā lāʻau e like me Cymbalta i ka mālama ʻana i nā ʻōuli he nui o kēia maʻi maʻi pinepine a hoʻopau pinepine hoʻi.

Inā paipai kāu kauka iā Cymbalta, e nīnau iā lākou i nā nīnau e pili ana i nā hopena maikaʻi i ka mālama ʻana i kāu mau ʻōuli, a me nā hopena ʻē aʻe. Kūkākūkā i kāu papa hana inā ʻike ʻoe i nā hopena ʻaoʻao.

E ʻike mau i kāu kauka i nā ʻike āpau e pili ana i nā lāʻau ʻē aʻe a me nā mea hoʻopihapiha āu e lawe nei.