Clonidine yog ib hom tshuaj uas tau muab los pab rau cov neeg muaj ntshav siab. Txawm li cas los xij, vim yog lub txiaj ntsim ntawm calming nws muaj nyob rau hauv lub cev, clonidine tau pom los pab cov neeg uas muaj cov ADHD cov tsos mob xws li kev mob siab, kev poob siab, kev sib ceg, kev nyuaj siab, thiab kev nyuaj siab.
Nyob rau hauv 2010, US Food thiab Drug Administration (FDA) tau pom zoo clonidine ua ib yam tshuaj rau cov menyuam uas muaj ADHD yuav tsum tau noj ib leeg los yog siv cov tshuaj tua kab mob.
Cov npe pauv rau clonidine muaj xws li Catapres® thiab Kapvay®.
Txheeb xyuas
ADHD tshuaj feem ntau yog categorized li stimulant thiab non-stimulant. Clonidine yog ib qho kev kho mob uas tsis tsim kom muaj rau ADHD
Cov kab mob (tseem hu ua psychostimulants) yog feem ntau thawj kab ntawm cov tshuaj siv rau ADHD. Thawj kab txhais tau hais tias lawv yog thawj qhov kev xaiv rau kev kho mob. Lawv yog cov tshuaj ADHD ntau tshaj plaws vim tias lawv paub tias yog txoj kev zoo tshaj plaws los txo cov tsos mob ntawm ADHD xws li kev poob siab, kev mob siab, thiab kev tsis muaj peev xwm. Muaj ob hom stimulants: amphetamines thiab methylphenidates. Piv txwv yog Adderall® thiab Ritalin®.
Cov tshuaj uas tsis yog hom tshuaj yog feem ntau yog kws kho mob yog tias ib tug neeg tsis kam noj tshuaj noj vim yog muaj kev phom sij heev. Cov tshuaj noj uas tsis muaj hom mob kuj yuav raug xaiv yog tias ib tus neeg muaj mob vim li cas cov kws kho mob tsis tuaj yeem muab ntawv kho, xws li qee qhov kev puas siab puas ntsws, pw tsaug zog, kab mob hauv lub plawv, lossis keeb kwm ntawm kev tsim txom.
Strattera® (atomoxetine) cov tshuaj tiv thaiv kev noj qab haus huv Wellbutrin® XL (bupropion hydrochloride) thiab tshuaj antihypertensive Intuniv® (Guanfacine) yog cov piv txwv ntawm lwm cov tshuaj uas tsis yog hom kev noj tshuaj.
Stimulants thiab tsis yog Stimulants
Cov tshuaj ADHD tshuaj ua hauj lwm ua hauj lwm los ntawm kev ua rau ntau dua dopamine thiab norepinephrine yuav tsum muaj nyob rau hauv qhov kev sib xyaw ntawm lub hlwb.
Qhov kev nce no ua rau lub hlwb loj tuaj thiab pab txhawb kev paub, xws li paub cov ntaub ntawv thiab to taub cov tswv yim. Vim hais tias txoj kev xav ntawm lub paj hlwb, muaj qee tus neeg qhia tias muaj kev ntxhov siab, ntxhov siab, thiab nyob ntawm ntug thaum lawv noj tshuaj.
Clonidine ua haujlwm txawv. Xwb, nws ua rau lub hlwb xa cov teeb liab rau cov hlab ntsha kom txo cov ntshav siab. Ntxiv rau, Clonidine tawm lus hauv norepinephrine rau hauv prefrontal cortex thaj tsam ntawm lub hlwb. Qhov no yog qhov chaw uas lub hlwb muaj kev tswjfwm ua haujlwm , xws li kev npaj , npaj, thiab siv cov ntaub ntawv thiab kev paub. Qhov no pub rau ib tug neeg kom nyob twj ywm hauv lub cev, tab tom muaj lub siab xav.
Cov txiaj ntsig
Txhim Kho Cov Kev Nyuaj Siab ntawm Ib Tug Zuj Zus
Clonidine tuaj yeem muab kho ntxiv nrog rau hom tshuaj kho hom kab mob. Qhov no feem ntau tuaj yeem txhim kho qhov zoo ntawm qhov stimulant.
Kev tsis txaus siab tsis muaj nuj nqis
Clonidine yog tsis qab los noj mov, uas txhais tau hais tias nws tsis nce lossis txo kev qab los noj mov. Kev noj qab haus huv feem ntau yuav tsum tau suppressed thaum ib tug neeg yuav siv ib hom tshuaj kho mob, uas yog ib qho teeb meem rau neeg rog.
Txo kev ntxhov siab
Cov neeg uas muaj ADHD feem ntau muaj kev txhawj xeeb thiab. Kev noj tshuaj los ntawm tsev neeg benzodiazepine, xws li Xanax® los yog Valium®, feem ntau yog cov tshuaj rau kev ntxhov siab.
Txawm li cas los xij, cov no raug xam tias kev ua cwj pwm tsis zoo thiab cuam tshuam rau kev ua haujlwm zoo li kev paub. Vim li no, clonidine feem ntau sau kom pab cov neeg muaj ADHD uas muaj kev ntxhov siab.
Aids Cov Teeb Meem Pw
Teeb meem pw tsaug zog yog lwm qhov teeb meem ntau leej neeg nrog ADHD lub ntsej muag. Txoj kev zoo ntawm kev noj clonidine yog nws tuaj yeem pab txhim kho pw tsaug zog. Qhov tseeb, qee cov kws kho mob tau sau ib qho qes qes ntawm clonidine 'tshem tawm daim ntawv lo' (qhov no txhais tau tias siv cov tshuaj FDA tso cai rau kev siv tsis pom zoo) los pab pw tsaug zog.
Thaum noj cov tshuaj benzodiazepine tshuaj yuav raug zam kom zoo dua vim tias lawv tuaj yeem ua cwj pwm tsis zoo, clonidine tsis yog qhov ua cwj pwm.
Ntshav Siab Siab Siab
Yog tias tus neeg muaj ADHD thiab ntshav siab ces clonidine yuav yog qhov zoo. Nws yuav pab txo cov ntshav siab thiab pab kho tus kab mob ADHD.
Tourette Syndrome thiab lag luam kev pabcuam
Yog tias tus neeg muaj Tourette syndrome thiab ADHD, clonidine tuaj yeem pab tau cov tsos mob ntawm ob qho tib si. Kev ua ke ntawm clonidine thiab ib hom tshuaj kho hom kabmob yuav pabcuam rau tus kabmob no.
Drawbacks
Tsis Pab Tag Nrho Cov Lus Qhia Rau Cov Niam Txiv
Clonidine pab kom muaj kev vam meej, kev ua kom tsis muaj zog, kev sib ceg, sib cav, thiab kev nyuaj siab. Txawm li cas los xij, nws tsis tau pom tias yuav pab tau rau cov kev hnov mob ntawm ADHD.
Kev tshawb fawb me ntsis rau cov laus ADHD
Cov kev tshawb fawb pom tau tias clonidine tuaj yeem pab tus kabmob ADHD hauv cov menyuam yaus thiab cov tub ntxhais hluas. Tiam sis tseem muaj kev tshawb fawb me ntsis los qhia txog kev ua hauj lwm clonidine rau cov laus ADHD . Qhov no yuav yog vim cov tsos mob clonidine pab tshaj plaws, xws li kev ua phem, kev mob siab thiab kev tsis pom zoo, feem ntau ua rau neeg laus mob ploj.
Tsawg tshaj qhov ua tau zoo tshaj plaws
Clonidine tsis zoo npaum li cov tshuaj tua kab mob rau kev kho mob ADHD. Txawm li cas los xij, clonidine qhov teebmeem yog qhov tseem ceeb txaus rau FDA pom zoo siv nws cov kev siv rau ADHD.
Lub hlwb qav
Tsis yog ua kom muaj lub peev xwm los ua kom pom tseeb, qee cov neeg nrhiav clonidine thiaj li ua rau lawv lub hom phiaj los yog ua rau lub hlwb tawg. Cov teeb meem uas muaj peev xwm ua kom pom tseeb tuaj yeem yog ib ntus, raws li lub cev ua rau lub clonidine. Tiam sis, qee cov neeg pom qhov teeb meem no tseem yog.
Hnov Tsaug zog
Thaum pw tsaug zog zoo dua thaum hmo ntuj tuaj yeem yog qhov txiaj ntsig zoo ntawm kev noj clonidine, qee cov neeg xav fatigued lossis sedated thaum nruab hnub dhau. Qhov no tuaj yeem muaj teebmeem rau tsev kawm ntawv lossis kev ua haujlwm. Qee zaum, qhov kev tsaug zog thiaj li nrog lub sijhawm. Qhov no yog ib qho tseem ceeb heev uas tus kws kho mob yuav tsum tau paub txog, vim nws muaj peev xwm txaus ntshai yog tias tus neeg tsav tsheb los yog siv tshuab.
Erectile kawg
Ib qho kev ntxhov siab rau cov txiv neej uas noj clonidine yog erectile kawg (ED). Txawm hais tias ib tug txiv neej yuav txaj muag me ntsis nrog tham nrog kws kho mob, tus kws kho mob yuav paub tias qhov no yog ib qho mob tshwm sim thiab yuav pab daws qhov teeb meem no.
Cov Ntawv thiab Kev Siv Tshuaj
Thaum twg clonidine yog thawj kws kho mob, nws yog feem ntau ntawm qhov qis tshaj. Qhov no tej zaum yuav yog 0.05 rau 0.1milligram. Ua haujlwm nrog ib tug kws kho mob, qhov tshuaj siv tau qis dua mus txog thaum siv cov tshuaj kho mob zoo (tshuaj kho mob). Ntsiav tshuaj (Catapres®) tuaj nyob rau hauv 0.1, 0.2, thiab 0.3 milligrams. Muab tso tawm ntau ntxiv (Kapvay®) muaj nyob hauv 0.1 thiab 0.2 milligrams.
Clonidine kuj muaj nyob hauv thaj ua rau thaj chaw. Patches xya hnub dhau los. Lawv yog ib qho kev xaiv zoo rau ib tus neeg uas mob siab tsis nco qab noj tshuaj lossis tsis nyiam nqos cov ntsiav tshuaj. Thaum kho cov tshuaj kho tau pom muaj cov ntsiav tshuaj, muaj ib lub tshuaj clonidine yog ib qho kev xaiv.
Ntev npaum li cas rau kev xav tau
Nws yuav siv ob peb lub lis piam mus saib cov teeb meem ntawm clonidine rau ntawm cov poj niam ADHD, tab sis qee qhov kev txhim kho yuav tshwm sim sai dua.
Tej Teebmeem
Cov kev mob tshwm sim ntawm clonidine muaj xws li qaug zog, mob taub hau, kiv taub hau, qhov ncauj qhuav, txob txob siab, mob plab, teeb meem kev coj cwj pwm, thiab ntshav siab. Cov no tuaj yeem txo qis dua tom qab siv sijhawm noj tshuaj.
Loj heev, tab sis rarer phiv muaj xws li lub plawv dhia tsis haum, lub plawv dhia qeeb, kev xav pom. Tus neeg uas tau ntsib cov lossis lwm yam kev mob tshwm sim yuav tsum hu rau tus kws kho mob kom sai li sai tau.
Ib tug neeg uas muaj keeb kwm muaj ntshav siab ua ntej noj cov tshuaj clonidine kuj yuav ua rau muaj kiv taub hau, lightheadedness thiab xeev siab thaum noj clonidine. Ntau tus neeg tsis nco qab noj lawv cov tshuaj-yog tias koj ua, yuav tsum tsis txhob noj ob koob, vim tias yuav ua rau tsis muaj ntshav siab.
Nws yog ib qho tseem ceeb uas clonidine tsis tau nres qis dua, vim qhov no yuav ua rau cov ntshav siab tuaj yeem rebound. Es tsis txhob, lub koob tshuaj yuav tsum tau qis me ntsis. Tus kws kho mob tuaj yeem pab tswv yim rau ntawm qhov kev teem sij hawm zoo tshaj plaws.
Clonidine yog ib hom tshuaj C Qib. Qhov no txhais tau tias nws yog ib hom tshuaj uas yuav tsis zoo rau tus me nyuam hauv plab. Nws yog ib qho tseem ceeb rau ib tug poj niam los qhia rau nws tus kws kho mob yog tias nws xeeb tub, pub niam mis, los yog npaj yuav cev xeeb tub.
Hauv kev xaus
Hauv cov ntsiab lus, thaum clonidine tsis yog feem ntau cov kev xaiv tshuaj rau ADHD, nws yuav pab tau rau kev kho cov tsos mob ADHD, ib leeg lossis ib leeg nrog lwm ADHD tshuaj. Yog tias koj xav ua qhov kev kho no, nqa nrog koj tus kws kho mob. Lawv yuav pab txiav txim siab seb puas tsim nyog rau koj.