Lwm cov teebmeem, Kev Ceeb Toom, Kev Sib Txawv
Cymbalta (duloxetine hydrochloride) yog tshuaj tua kab mob (serotonin-norepinephrine reuptake inhibitor (SNRI) antidepressant. Nws nqes los ntawm qhov ncauj ua ib lub tshuaj lossis tshuaj ntsiav.
Kev qhia thiab kev siv
Cymbalta siv rau kev kho mob ntawm kev nyuaj siab loj. Cov hauj lwm zoo ntawm Cymbalta rau kev siv ntev, los yog ntau tshaj li ntawm 9 lub lis piam, tsis tau raug soj ntsuam hauv kev soj ntsuam.
Nws kuj yog siv rau kev tswj ntshav qab zib peripheral neuropathic mob, fibromyalgia, mob nqaij thiab pob txha mob thiab generalized ntxhov siab vim.
Contraindications
Cymbalta yuav tsum tsis txhob siv los ntawm tus neeg twg uas tau pom tias muaj cov tshuaj khov rau hauv duloxetine lossis ib qho ntawm Cymbalta cov khoom ua tsis tau zoo. Nws yuav tsum tsis txhob siv tib lub sij hawm xws li tshuaj monoamine oxidase inhibitor (MAOI) antidepressant. Hauv cov kev kuaj mob, Cymbalta tau txuam nrog cov tshuaj mydriasis ntxiv, uas yog qhov kev sib txuas ntawm tus tub ntxhais kawm ntawm lub qhov muag, rau cov neeg mob uas tsis muaj qhov tswjhaum glaucoma tswj thiab tsis siv los ntawm cov neeg mob uas muaj tus mob no.
Cov cwj pwm
Muaj qee cov lus ceeb toom ntawm daim siab tsis ua hauj lwm hauv cov neeg mob siv Cymbalta. Nws kuj tau txuam nrog kev nce ntshav, yog li ntshav siab yuav tsum tau saib xyuas thoob plaws hauv kev kho mob. Cymbalta yuav tsum tau siv nrog ceev faj rau cov neeg mob uas muaj keeb kwm ntawm mania lossis qaug dab peg.
Nws yuav tsum tsis txhob siv rau cov neeg uas tsis muaj zog zom-glaucoma. Nws yuav tsum txiav tsis tu ncua kom tsis txhob muaj kev tsis sib haum lawm. Kev paub nrog Cymbalta rau cov neeg mob uas muaj lwm yam kev mob.
Ceeb toom
Cov neeg mob yuav tsum tau pom zoo rau txoj kev nyuab siab thiab kev tua tus kheej, tshwj xeeb yog thaum pib kho los yog thaum hloov tshuaj hloov.
Cov neeg mob tseem yuav tsum tau saib xyuas rau cov tsos mob xws li ntxhov siab, kev ntxhov siab, kev pw tsaug zog, kev tawm tsam, kev phom sij, kev txob taus, kev ua siab phem, kev quab yuam, hypomania thiab mania. Yog tias cov tsos mob xws li mob hnyav, tshwm sim sai sai lossis tsis muaj cov tsos mob tshwm sim ua ntej kev kho mob, yuav tsum xav kom hloov tus neeg mob mus rau lwm hom tshuaj.
Tshuaj Kev Sib Thoob
Cov ntaub ntawv hais txog kev siv yeeb tshuaj yog qhov ntev heev rau lub ntsiab lus ntawm no. Thov mus saib FDA qhov website lossis nrog koj tus kws kho mob los sis tus kws muag tshuaj tham kom paub meej ntxiv.
Carcinogenesis, Mutagenesis, Kev puas ntawm Fertility
Nyob rau hauv cov poj niam cov nas uas tau txais kev sib npaug ntawm 11 zaug qhov siab tshaj plaws tib neeg noj tshuaj (MRSA), muaj kev nce hauv hepatocellular adenomas thiab carcinomas. Qhov tshuaj tsis haum yog 4 zaug ntawm MRHD. Tumor xwm txheej tsis muaj zog hauv cov txiv neej nas nyob rau ntawm cov tshuaj mus txog 8 zaus ntawm MRHD. Nws yog tsis mutagenic nyob rau hauv kev tshawb fawb tau los yog tsis tau nws muaj feem xyuam rau fertility.
Cev xeeb tub thiab Lactation
Cymbalta yog ib hom tshuaj C Class. Tsis muaj cov kev tshawb fawb uas tsim nyog thiab zoo nyob rau hauv cov poj niam cev xeeb tub, yog li ntawd cov tshuaj duloxetine yuav tsum tau siv thaum lub cev xeeb tub nkaus xwb yog tias qhov txiaj ntsig tau txiaj ntsig qhov kev pheej hmoo rau tus me nyuam hauv plab.
Lwm cov teebmeem ntawm Cymbalta
Feem ntau cov kev tshwm sim muaj kev phom sij, qhia los ntawm ntau dua 5%, tau xeev siab, qhuav qhwv, cem quav, tsis qab los noj mov, nkees, tsaug zog, thiab hle qhov ntxiv.
Cov xwm txheej tshwm sim tshwm sim tsawg kawg yog 2% ntawm cov neeg mob muaj raws plab, ntuav, hnyav, kiv taub hau, hnoos , kub yaug, qhov muag plooj , qhov muag , kev ntxhov siab thiab kev sib deev.
Tshuaj Txhaum Cai thiab Kev Txom Nyem
Duloxetine tsis yog tshuaj yeeb dej caw. Nyob rau hauv kev tshawb fawb tsiaj, nws tsis tau ua rau pom kev zoo li kev sib cav sib ceg. Hauv kev tshawb nrhiav kev quav tshuaj, nws tsis pom tias muaj kev sib raug zoo ntawm cov nas tsuag. Thaum Cymbalta tsis tau muaj kev tshawb nrhiav hauv tib neeg vim nws muaj peev xwm ua phem rau, tsis muaj kev qhia txog kev coj yeeb tshuaj nyob rau hauv kev soj ntsuam.
Txwv thiab Kev Tswj Xyuas
Cymbalta yuav tsum txhaj tshuaj txhua hnub ntawm 40-60 mg / hnub.
Feem ntau, nws yuav muab faib ua ob zaug rau noj thaum sib txawv ntawm lub hnub. Nws tsis tas yuav noj nrog khoom noj. Tsis muaj pov thawj qhia tias koob tshuaj ntau dua 60 mg / hnub pub muaj kev pab ntxiv.
Source:
"Hightlights ntawm Cov Ntawv Qhia Txog Cov Tshuaj: Cymbalta (Duloxetine Hydrochloride) - Ncauj Tso Tawm Tsiaj Rau Kev Siv Menyuam." Tebchaws Asmeskas Cov Khoom Noj thiab Tshuaj Tiv Thaiv. US Food thiab Drug Administration. Revised: Lub Kaum Ob Hlis 4, 2008. Tau txais: Lub Kaum Ob Hlis 4, 2015.