Taug Qab Nrog Tshaj Xeev Tshwj Xeeb Yog tias Koj Muaj Kev Puas Siab Puas Ntsws Bipolar
Thaum lub Ib Hlis thiab Lub Xya Hli Xyoo 2012, Food and Drug Administration (FDA) tau pom zoo ob hom tshuaj poob ceeb thawj, Belviq (lorcaserin) thiab Qsymia (phentermine / topiramate). Rau cov neeg uas tau txais qhov ceeb thawj ntawm cov tshuaj tiv thaiv mob hlwb, cov tshuaj no yuav zoo li txaus siab, tab sis qhov tseeb, muaj qee qhov ceeb toom tseem ceeb.
Ceev faj nrog Belviq thiab Qysmia
Txhua yam ntawm ob txoj kev siv tshuaj tiv thaiv kev rog no muaj peev xwm muaj kev cuam tshuam rau cov tib neeg uas muaj kev puas siab ntsws thiab pw tsaug zog, thiab muaj qee qhov teeb meem muaj teeb meem nrog kev puas siab ntsws.
Yog tias koj noj cov tshuaj puas hlwb xws li serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), Wellbutrin (bupropion), monoamine oxidase inhibitors (MAOIs), lithium lossis antipsychotics, nws yog qhov tseem ceeb heev uas koj ua hauj lwm zoo thiab koom tes nrog cov kws kho mob uas teev cov tshuaj koj cov kev puas siab puas ntsws thiab cov kev phom sij.
Yuav ua li cas Belviq Works
Cov tshuaj no ua rau serotonin , ib tug neurotransmitter uas tau muaj kev cuam tshuam hauv kev nyuaj siab. Vim muaj ntau tus kws kho kev puas siab puas ntsws tseem ua haujlwm hauv qhov kab mob serotonin, nws tsis yog xav tsis thoob tias muaj peev xwm ua rau muaj kev phom sij thaum mob cov tshuaj no.
Ceev Faj Thaum Ntsuas Tus Kheej
Serotonin syndrome thiab neuroleptic malignant syndrome, ob qho tib si uas muaj feem cuam tshuam rau kev mob, yog ua tau nrog cov tshuaj uas ua rau serotonin, yog li muab Belviq rau cov tshuaj uas twb muaj lawm yuav tsim cov kev mob no ntau dua.
Qhov kev pheej hmoo thiab kev nyab xeeb ntawm Belviq thaum siv nrog lwm cov tshuaj uas muaj feem xyuam rau serotonin tsis tau raug tshuaj xyuas, tiam sis daim ntawv qhia muaj cov lus ceeb toom rau "siv kev ceev faj heev" thaum tswj hwm Belviq nrog SSRIs, SNRIs, TCAs, Wellbutrin, MAOIs, antipsychotics, lithium thiab St. John lub wort.
Lwm cov teebmeem ntawm Belviq
Tej zaum muaj tshwm sim ntawm Belviq muaj xws li:
- Kauj taub hau
- Nkees
- Mob taub hau
- Qhov ncauj qhuav
- Cem quav
- Xeev
Cas Qsymia Ua Haujlwm
Qsymia yog ob hom tshuaj, phentermine, thiab Topamax (topiramate). Topamax yog ib qho tshuaj anti-epilepsy qee zaum siv los ua ib qho kev xav rau hauv kev puas siab puas ntsws bipolar. Phentermine tau siv txij li xyoo 1959 hauv Tebchaws Asmeskas rau kev kho mob qia neeg mob ntev thiab Topamax tau raug tso cai FDA pom zoo rau kev chua leeg thiab kev tiv thaiv kabmob.
Vim hais tias cov neeg mob uas tau noj Topamax rau cov mob no tau poob qhov kev luj, kev tshawb nrhiav tau ua li cas zoo rau kev kho cov kev rog. Ob qho tshuaj ntawm ob qho tib si ntawd ua haujlwm zoo dua li ib leeg, thiab yog li cas Qsymia yug.
Ceev Faj Thaum Ntsuas Qysmia
Rau ob peb lub xyoos dhau los, FDA tau hais kom txhua cov tshuaj siv tshuaj anticonvulsant los nqa ib qho kev ceeb toom txog kev nce qib hauv kev ntxub ntxaug . Txij li thaum Qsymia muaj topiramate, uas yog ib qho tshuaj anticonvulsant, cov ntaub ntawv sau cov tshuaj rau cov tshuaj muaj cov lus ceeb toom tias Qsymia yuav ua rau lub siab tsis zoo. Nws tseem yog tshwj xeeb tshaj yog rau cov neeg uas muaj keeb kwm ntawm kev nyuaj siab vim nws tuaj yeem ua rau tus mob kev nyuab siab rov tuaj los yog lwm qhov muaj kev puas siab ntsws los txhim kho.
Nws kuj hais tias yog tias cov tsos mob tsis ploj mus lossis tsis muaj teeb meem, Qysmia yuav tsum tau qis dua lossis nres.
Yog tias koj muaj kev tsis txaus siab lossis kev coj tus cwj pwm, Qysmia xav tau kev pab tam sim ntawd. Nws tseem yuav tsum tsis txhob raug muab yog tias koj muaj keeb kwm ntawm suicidal ideation los yog npaj siab.
Lwm Cov Lus Qhia Txog Qysmia
Lwm cov teeb meem ntxiv muaj xws li:
- Cov teeb meem thaum Qsymia raug coj mus nrog benzodiazepines , hom tshuaj tiv thaiv kev ntxhov siab thiab kev noj tshuaj, los yog lwm yam tshuaj kho mob.
- Qsymia yuav tsum tsis txhob noj thaum lossis nyob rau hauv 14 hnub ntawm kev siv tshuaj tua kab mob MAOI antidepressant .
- Kev kho mob yuav tsum siv thaum noj cov tshuaj no nrog ib qho kev nyab xeeb rau lub cev tsis zoo, tshwj xeeb tshaj yog cov carbamazepine thiab valproate.
Lwm cov teebmeem ntawm Qysmia
Tej zaum muaj tshwm sim ntawm Qysmia muaj xws li:
- Kauj taub hau
- Qhov ncauj qhuav
- Teeb meem pw tsaug zog
- Saj thiab tsis hnov tsw hloov
- Tingling
Lub Kab hauv qab ntawm Belviq, Qsymia, thiab Mob Hlwb
Nws tsis yooj yim sua rau cov neeg uas muaj kev puas siab puas ntsws bipolar lossis kev nyuab siab loj tshaj plaws los kho cov tshuaj no, tab sis tseem ceeb heev yuav tsum xyuas. Lub neej txoj sia yuav phom sij tau zoo. Hauv qee kis, kev kuaj ntshav tsis tu ncua raug nquahu.
Ua haujlwm nrog koj cov kws kho mob zoo yog tias yog Belviq los yog Qsymia raug sau tseg rau koj, thiab xyuas kom koj qhia rau lawv txog kev hloov pauv, pw tsaug zog, ntxhov siab, kev nyuab siab lossis kev noj qab haus huv. Kev poob ceeb thawj yog tsis tsim nyog muaj teeb meem loj rau kev noj qab haus huv uas tshwm sim thaum noj cov tshuaj no.
Qhov chaw:
Tsoom Fwv Teb Chaws Zaub Mov thiab Tshuaj Yeeb Tshaj Tawm: Pom zoo rau Daim Ntawv Sau Npe. 27 Lub rau hli ntuj 2012.
Tsoom Fwv Teb Chaws Zaub Mov thiab Tshuaj Yeeb Tshaj Tawm: Pom Zoo Sau Ntawv rau Qsymia. 17 Lub Xya Hli 2012.
"Poob Poob: Cov Pej Xeem Lossis Poob." Mayo Clinic (2015).
Yeej, JH, & Gadde, KM (2013). Lub chaw kho mob ntawm phentermine / topiramate (QsymiaTM) ua ke rau kev kho rog. Mob ntshav qab zib, Metabolic Syndrome thiab rog: Hom phiaj thiab Kho , 6 , 131-139.