ADHD Yooj Yim
Kuv stepson noj kev imipramine rau ADHD, thiab kuv tsis tau hnov txog leej twg uas siv cov tshuaj no rau ADHD ua ntej. Kuv tus me nyuam 16 xyoo muaj ADD. Nws yog rau Adderall XR. Kuv tau ua nrog rau ADD rau ntau xyoo thiab kuv xav tsis thoob yog tias kuv tus menyuam kawm ntawv nyob rau ntawm txoj kev noj tshuaj vim nws niam hais tias nws kuj tseem ceeb rau kev ntxub. Yog li no?
Thaum lub sij hawm imipramine tsis yog thawj kab tshuaj los yog tus kws kho mob li ib txwm xaiv thaum xub thawj tus me nyuam nrog ADHD, nws tseem siv tau.
Raws li cov lus qhia ntawm ADHD los ntawm American Academy of Pediatrics thiab American Academy of Child and Adolescent Psychiatry, thawj cov tshuaj kho kab mob uas siv tau los kho cov me nyuam nrog ADHD muaj xws li stimulants, xws li Ritalin thiab Adderall, thiab cov tshuaj uas tsis yog hom tshuaj tshiab.
Cov ntaub ntawv ntawm Ritalin rau ADHD
Muaj ntau ntau hom methylphenidate los yog Ritalin, xws li luv luv (ob zaug ib hnub) thiab ntev-ntev (ib hnub ib hnub). Muaj qee cov ntaub ntawv muaj xws li:
- Concerta (methylphenidate ER) - ntev-acting
- Daytrana (methylphenidate thaj) - ntev-acting
- Focalin (dexmethylphenidate) thiab Focalin XR
- Metadate CD (methylphenidate) - ntev-acting
- Metadate ER (methylphenidate) - ntev-acting
- Methylin (methylphenidate kua) - luv-acting
- Methylin ER (nrab sawv)
- Ritalin (methylphenidate) - luv-acting
- Ritalin LA (methylphenidate) - ntev-ua yeeb yam
- Ritalin-SR (methylphenidate) - Intermediate-acting
- Quillichew ER (methylphenidate chewable) - ntev-acting
- Quillivant XR (methylphenidate kua) - ntev-acting
Tsuas pub siv cov tshuaj tshiab, Daytrana, Quillichew ER, thiab Quillivant XR, feem ntau muaj nyob rau hauv cov ntaub ntawv.
Cov ntaub ntawv ntawm Amphetamine rau ADHD
Amphetamine stimulants kuj muaj nyob rau hauv ntau hom, nrog rau luv-acting (ob zaug ib hnub) thiab ntev-ua (ib hnub ib hnub), nrog rau:
- Adderall (mixed amphetamine ntsev) - luv-acting
- Adderall XR (mixed amphetamine ntsev) - ntev-acting
- Adzenys XR ODT (amphetamine) - ntev-acting
- Dexedrine (dextroamphetamine) - luv-acting
- ProCentra (dextroamphetamine kua) - luv-acting
- Vyvanse (lisdexamfetamine) - ntev-acting
Tsuas pub siv cov tshuaj tshiab, Adzenys XR ODT thiab Vyvanse, feem ntau muaj nyob rau hauv cov ntaub ntawv.
Non-Stimulants rau ADHD
Ntxiv nrog rau cov tshuaj tua kab mob, muaj ntau hom kev kho tsis zoo rau kev kho mob ADHD tam sim no, nrog rau:
- Intuniv - ncua tso tawm Guanfacine
- Kapvay - ncua tso tawm Clonidine
- Nres
Strattera tseem tsis muaj lub zeem muag.
Ob Kab ADHD Cov Tshuaj
Cov tshuaj txhaj thib ob lossis lwm txoj hau kev rau cov stimulants thiab Strattera muaj feem xyuam nrog cov tshuaj antidepressants, xws li bupropion (Welbutrin), imipramine (Tofranil), thiab Nortriptyline (Pamelor), thiab alpha-2-adrenergic agonists, xws li clonidine (Catapres) thiab guanfacine (Tenex ).
Feem ntau, cov kws kho mob feem ntau mus rau cov tshuaj noj thib ob thaum tus me nyuam tau ua tsis tau zoo los yog tsis pub noj ob los sis ntau tshaj thawj kab tshuaj.
Nrog FDA tso cai ntawm Kapvay thiab Intuniv rau kev kho cov menyuam nrog ADHD, qhov tseeb American Academy of Pediatrics cov lus qhia tsis hais ob kab ADHD cov tshuaj, es tsis txhob hais tias:
- "rau cov menyuam yaus hnub nyoog kawm ntawv (6-11 xyoos), tus thawj kws kho mob yuav tsum tau sau cov tshuaj FDA uas tau pom zoo rau ADHD thiab / los yog cov niam txiv-thiab / los yog tus xib fwb-kev coj tus cwj pwm kev kho mob raws li kev kho rau ADHD, nyiam ob leeg "
- thiab hais tias "cov pov thawj tshwj xeeb muaj zog rau hom tshuaj kho mob nkeeg thiab txaus tab sis tsis muaj zog rau atomoxetine, ncua tso tawm guanfacine, thiab ncua tso tawm clonidine (nyob rau hauv qhov kev txiav txim)"
Qhov tseeb cov lus qhuab qhia los ntawm American Academy of Child and Adolescent Psychiatry, txij xyoo 2007, tseem hais tias "tsis muaj cov neeg ua haujlwm saum toj no ua rau tus neeg mob ADHD zoo txaus, tus kws kho mob yuav tsum ua tib zoo saib xyuas cov kev kuaj mob thiab tom qab ntawd kev coj tus cwj pwm thiab / lossis kev siv cov tshuaj tsis tau kev tso cai los ntawm FDA rau kev kho mob ntawm ADHD. " Qhov kev pom zoo no tawm ntawm chav tsev qhib cov tshuaj xws li Wellbutrin thiab Imipramine, thiab lwm yam.
Li ntawd, koj tus menyuam kawm ntawv nyob rau ntawm txoj cai ADHD txoj cai?
Ntawd yeej yog nyob ntawm seb nws ua haujlwm zoo li cas. Yog tias nws cov tsos mob ntawm tus kab mob ADHD no nws tswj tsis tau zoo thiab nws tsis muaj teebmeem tshwm sim, ces nws yuav muaj kev noj tshuaj, txawm tias nws tsis yog tus qauv lossis "thawj kab" tshuaj rau ADHD. Yog tias nws tsis ua zoo, ces koj yuav tsum tham nrog koj tus kws kho mob txog kev kho nws cov tshuaj los yog xav tau lwm hom tshuaj.
Thiab yog, imipramine kuj tseem siv los kho cov menyuam yaus nrog kev ntxub ntxaug, ntxiv rau kev kho kev nyuaj siab thiab lwm yam mob.
Qhov kawg tshaj plaws los xav txog yog tias nws 'ADHD cov tsos mob' tau txais zoo dua nrog imipramine thiab nws tsis ua zoo nrog cov stimulants, ces tej zaum nws cia li muaj kev nyuaj siab rau hauv thawj qhov chaw thiab yeej tsis tau muaj ADHD. Nws tsis tuaj yeem ua ib qho xaus zoo li hais tias tsis muaj ntau yam ntxiv thiab kev ntsuam xyuas txhua yam, tab sis nws yog ib yam dab tsi xav txog.
> Qhov chaw:
> American Academy of Pediatrics Clinical Practice Guide. ADHD: Kuaj Cov Lus Qhia Ua rau Kev Ntsuam Xyuas, Kev Soj Ntsuam, thiab Kev Kho Mob Teeb Meem / Mob Siab Tsis Taus Rau Cov Me Nyuam thiab Cov Hluas. Pediatrics. 108 (4): 1033.
> American Academy of Psychology. Xyaum Piav Qhov Ntsuas rau Kev Ntsuam Xyuas thiab Kev Kho Mob ntawm Cov Menyuam Yaus thiab Cov Hluas uas muaj Kev Teebmeem Tsis Taus / Kev Tiv Thaiv Mob Siab. J. AM. ACAD. CHILDADOLESC. PSYCHIATRY, 46: 7, HLI 2007