CONTRAVE Mitengo, Maitiro Akashata uye Zviitiko Zvakaitika
Kana uchida kuora muviri uye uri kutsvaga chiremba kushaya kurasikirwa nemishonga , une zvisarudzo zvakawanda. Chiremba wako anogona kutaura newe nezveBelviq , Qsymia , Saxena kana imwe mishonga inonzi CONTRAVE (bupropion uye naltrexone). Hezvino izvo zvaunoda kuziva pamusoro pe CONTRAVE, kusanganisira mari, kuora kwezvibereko, uye migumisiro.
Chii chiri CONTRAVE?
CONTRAVE inosanganiswa nemishonga miviri yakasiyana: naltrexone hydrochloride uye bupropion hydrochloride.
Pirafura imwe neimwe-yakasunungurwa ine:
- mairigiramu masere e naltrexone, opioid agonist iyo inowanzorongerwa kudhakwa kwewaini, kuvimba kweopioid, kana kuti kusvuta kusvuta mushonga
- 90 milligrams of bupropion, aninoketone anodzvinyirira inoshandiswa kurapa kuora mwoyo uye chirwere chepfungwa chinokonzera nguva
Kubatanidzwa kwemishonga miviri inorayirwa kuti uwedzere kushama kwemairi. Chirwere ichi chinokanganisa nheyo yako yepamusoro yenheyo kuwedzera nhamba yekoriori iwe unopisa uye kuderedza chido chako. Mahwendefa anorayirwa pamwe chete nekuderedzwa-koriori kudya uye chirongwa chekurovedza muviri kubatsira vamwe vanhu kuderedza uremu.
CONTRAVE inogadzirwa naOrexigen uye inoparidzirwa naTaceda.
Ndiani Angatora CONTRAVE?
CONTRAVE inogamuchirwa kubatsira vanhu vakwegura vane muviri wemuenzaniso (BMI) wevanhu makumi matatu kana makumi matatu kana kupfuura kana kupfuura vamwe kana vane uremu hwepamusoro vane BMI yevamwe makumi maviri nemakumi maviri kana kupfuura avo vane unhu humwe hune hutano hwakakosha hwakadai seholesterol yakakwirira, chirwere chechipiri cheshuga, kana kuti ropa rakakwirira kudzvinyirira.
Vamwe vanhu havafaniri kutora CONTRAVE. Dzivisa mushonga kana iwe:
- haana kudzora ropa rakanyanya
- vane chirwere chekubata, anorexia nervosa, kana bulimia
- vari kukurumidza kubvisa doro kana zvimwe zvinodhaka (zvakadai se benzodiazepines, barbiturates, uye antiepileptic mishonga)
- vari kutora mamwe mishonga ine bupropion (yakadai seWelbutrin neAplenzin)
- ndeye musikana asingagumi opioid
- vane pamuviri kana kunwisa
- zvinokonzera chero ipi zvayo yezvibatanidza zve CONTRAVE
Iwe haufaniriwo kutora CONTRAVE munguva kana mukati memazuva gumi nemasere ekutora monoamine oxidase inhibitors (MAOI).
Masayendisiti haazivi kuti kutora CONTRAVE kunobata sei utano hwako hurefu hwemwoyo. Saka kana iwe uchitova pangozi yehutano hwepfungwa, ungada kutaura nachiremba wako pamusoro pekugona kukuvadza kana iwe ukatora piritsi iyi yekudya. Muiti wemishonga unoita zvidzidzo kuti aone kuti mapiritsi ezvokudya anoshanda sei nehutano hwemwoyo, asi zvigumisiro hazvifanirwi kusvikira 2021.
Pakupedzisira, vatsvakurudziwo havazivi kuti CONTRAVE inobatanidza sei nemamwe maitiro ekurasikirwa kwemishonga akadai semishonga yemishonga, pamusoro pemiti-mishonga, uye mishonga yekuwedzera. Iva nechokwadi chekutendera chiremba wako kuziva kana uri kutora chero mimwe mishonga kana mushonga usingagadziri kana iwe uchikurukura kana kana kwete mishonga yakakunakira iwe.
CONTRAVE Kurasikirwa Kwekureruka Zvitsva
Maererano neongororo yegiriniki, CONTRAVE inogona kubatsira kukurudzira kuora kurasikirwa, asi nhamba haisi kudengenyeka. Mukuongorora kwevarwere vasina chirwere cheshuga, 42 muzana yevarwere vakarasikirwa ne5 muzana yehutatu hwavo shure kwegore. Izvozvo zvinoreva kuti vanhu vazhinji vanotora CONTRAVE havana kukwana 5 muzana vavariro.
Mune imwe dzidzo, 57 muzana yevarwere vakatora CONTRAVE vakarasika zvishoma ne5 muzana yemutumbi wavo. Asi makumi mapfumbamwe makumi maviri evanhu vatora chikamu vakadzika kubva purogiramu vasati vatsvakurudzwa. Vakawanda vakadonha kunze kwemavhiki mashoma ekutanga.
Mune varwere vane chirwere cheshuga, nhamba idzi dzakaderera pamwe chete. Makumi makumi matatu nematanhatu evarwere vakarasikirwa zvikamu zvishanu kubva muzana zveuviri hwavo shure kwegore. Mune zvidzidzo zviviri (varwere vane uye vasina chirwere cheshuga) boka rinotora placebo rakarashika zvakanyanya kuderera kudarika varwere vanotora CONTRAVE. Vose varwere mumapoka maviri aya vakagadzirisa mararamiro emararamiro ayo aive neka-calorie yezvokudya uye nguva dzose yekurovedza muviri.
Saka izvi zvinorevei kwauri? Zvakakosha kuyeuka kuti mune imwe dzidzo, varwere vanotora CONTRAVE vakanga vachigadzirisawo kudya kwavo uye purogiramu yekurovedza muviri. Saka kunyange zvazvo vakarasikirwa nehutachiwana nemapiritsi ezvokudya (anenge makirogiramu gumi anenge gore rimwe chete) mamwe ekurasikirwa uku kwakakonzerwa nehupenyu hwekuchinja (kudya uye kurovedza muviri) uye kwete mishonga.
Nokudaro, kuwanda kwehuremu iwe unorasikirwa kunogona kuva nehuwandu hwekuita nehutano hwakachengetedza utano hwakanaka, hwekoriori-hunodzorwa uye chirongwa chekurovedza muviri.
CONTRAVE Njodzi nemigumisiro yechirwere
Zvipembenene zvakajairika zvinoratidzwa nevarwere vanotora CONTRAVE vanosanganisira nausea, kuvimbiswa, kuora musoro, kusuruvara, dutu, kusuruvara, muromo wakaoma, uye kurambana. Mumakiriniki ekuedzwa, 24 muzana yevanhu vakamira kutora CONTRAVE nekuda kwemigumisiro. Vapfumbamwe chete muzana yevanhu vanotora placebo vakasiya kurapwa.
Mukuwedzera, iyo purazi inotarisirwa kutakura nyevero yebhokisi bhenekeri inotaura kuti vashandi vanofanira kungwarira pamusoro pehuwandu hwekuzviuraya nemafungiro mune vechidiki uye vechidiki vechidiki. Vanhu vakatambura nekuora mwoyo kana mania vanogona kuona mamiriro avo achidzoka paCONTRAVE.
Sezvo mushonga wacho wakagamuchirwa neDDA, nyanzvi dzakawanda dzezvehutano dzakaratidza kufunganya pamusoro pezvinogona kuitika mumoyo mungozi. Vamwe vakataura kuvhiringidzika pamusoro pezviterevhizheni zvinoshandiswa kuderedza ngozi uye migumisiro ye CONTRAVE.
Somugumisiro, muna 2017, US Food and Drug Administration yakapa nyevero kumudhiriri wezvinodhaka achitaura kuti nzira iyo terevhizheni yakaiswa maitiro "inoderedza kushamwaridzana kwemashoko anokosha ehutano uye nokudaro kutsausa kunokonesa njodzi dzinosanganisira kushandiswa kwekusiyana" sangano rinoenderera mberi richitaura kuti "Mharidzo iri mumavhidhiyo inonetsa zvikuru kubva kune hutano hwehutano huripo huchipa zvipingamupinyi zvakakomba uye zvinogona kuisa upenyu zvinosanganiswa nemishonga."
Kana ukawana zvikwata zvekambani ichifadza uye kana uchifunga kutora CONTRAVE, iva nechokwadi chekuudza mutapi wako wehutano nezvemishonga yose yauri kutora sezvo pane zvimwe zvinhu zvinokuvadza zvinogona kuitika kana mamwe mishonga inobatanidza nayo. Kana uchangotanga kutora piritsi yekurasikirwa, taura nachiremba wako pamusoro pezviratidzo zvisingaoneki. Mushure memavhiki gumi nemaviri kana musina kurasika zvikamu zvishanu kubva muzana zvehutano hwemuviri wenyu, chiremba wenyu angangosiya kurapwa kwako nemishonga sezvo zvisiri izvo kuti mushonga uyu uchashandira iwe.
CONTRAVE Mari
Nhamba ye CONTRAVE mapiritsi anodya iwe zuva rimwe nerimwe ichagadzirisa mari yakawanda. Maererano nekurondedzera ruzivo rwakapiwa nekambani, chirwere chako chinogona kuchinja kana uchienderera mberi nemishonga.
Paunotanga kutora CONTRAVE, unogona kutora piritsi imwe pazuva. Sezvaunoenderera mberi pamishonga, iyo inowanzowedzera. Muvhiki mbiri, iwe unotora piritsi imwe mangwanani uye imwe usiku. Muvhiki matatu, iwe unotora mahwendefa maviri mangwanani uye rimwe usiku. Pashure pemavhiki mana, chirwere chacho chinogona kuwedzera kusvika pamapiritsi mana pazuva, maviri mangwanani uye maviri usiku.
Iwe uchaona kuti mari ye CONTRAVE inowanikwa kubva munenge $ 99 pamwedzi kusvika kudarika $ 250 pamwedzi zvichienderana nehuwandu, nzvimbo, uye inshuwarisi yekuvhara. Mushandi wezvinodhaka anopa chirongwa chekuderedza chikwata chevarwere vane inshuwarisi haina kuvhara CONTRAVE kana kuti vasina inshumo yekuvhara. Nekadhi rekuchengetedza, unogona kukwanisa kubhadhara mari inopfuura $ 4 pazuva kuti mupe mishonga yemwedzi.
Shoko Rinobva
Kurasikirwa kweuviri kunogona kuva kwakaoma. Piritsi yekudya inoita semhinduro yakakwana. Asi hapana mishonga yekurasikirwa inorema iyo inoshanda zvakakwana kune munhu wose. Taura nechiremba wako pamusoro pekudya kwako uye chiitiko chekushandisa muviri uye nhoroondo yako yezvokurapa kuti uone kana CONTRAVE ingakushandira iwe. Kana ukasarudza kupa mishonga iyi edza, gara uchikurukura neboka rako rehutano kana ukaona zviratidzo zvisingaoneki kana zviratidzo uye urambe uine kuzvipira kwakasimba kune kudya kwakakwana uye kuita zvekuita nguva dzose kuti uve nechokwadi chokuti muviri wako unoramba wakasimba uye hutano paunenge uchidzikisa pasi .
Sources:
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> Sharfstein JM, Psaty BM. Kuongororwa Kwemwoyo Mungozi yeNaltrexone-Bupropion: A Chidzidzo Chakatapudzwa. JAMA. 2016; 315 (10): 984-6.
> Sherman MM, Rey JA. "Naltrexone / Bupropion ER (Inopesana): Ichangobvumirwa Kurapwa Nechikonzero Chekuda Kupedza Uremu Hwehupfumi Hwevanhu Vose Vakakura". Pharmacy uye Therapeutics 2016 Mar; 41 (3): 164, 166-168, 171-172.
> US Food and Drug Administration. Inyevero Tsamba uye Chiziviso chekudzvinyirira Tsamba kumakambani ekurapa. Orexigen Therapeutics, Inc. (Kusiyanisa) Tsamba isina Tsamba 5/18/2017