Nov yog xov zoo yog tias koj txhawj xeeb txog cov kev mob ntawm cov tshuaj Lamictal (lamotrigine): Cov tshuaj yuav tsis cuam tshuam koj qhov hnyav npaum li cas. Yog hais tias muaj dab tsi, koj yuav poob ceeb thawj vim tias Lamictal dua kom nce phaus, tab sis ob txoj kev, cov kev hloov yuav zoo nkauj me me.
Cov nyhuv ntawm Lamictal ntawm qhov hnyav tau kawm tas ib qho me ntsis thiab ntau yam kev soj ntsuam tau pom muaj qhov cuam tshuam rau qhov hnyav.
Qhov tseeb, qee cov neeg tshawb nrhiav tseem tau saib cov tshuaj li kev kho mob kom muaj kev rog thiab ua rau kev kho mob rau kev siv binge-noj mov . Cov ntaub ntawv no yuav tsum qhia rau cov neeg muaj kev puas siab puas ntsws bipolar vim tias ntau cov tshuaj siv los kho tus mob yuav ua rau hnyav nce.
Lamictal thiab hnyav nce lossis poob
Lamictal yog ib qho tshuaj anticonvulsant uas tuaj yeem siv los kho cov qaug dab peg, xws li qaug dab peg. Nws kuj yog siv los ua ib tus cwj pwm tsis zoo hauv kev puas siab puas ntsws bipolar.
Hauv qhov kev soj ntsuam thawj zaug uas siv cov tshuaj, 5 feem pua ntawm cov neeg laus uas muaj qhov qaug zog tau hnyav thaum noj cov tshuaj Lamictal, thaum nruab nrab ntawm 1 thiab 5 feem pua ntawm cov neeg mob uas muaj kev puas siab puas ntsws tau qhov hnyav thaum siv tshuaj. Cov kws tshawb fawb tau tsis qhia ntau npaum li cas cov neeg mob tau txais los yog poob lawm.
Meanwhile, ib txoj kev tshawb fawb 2006 piv cov teebmeem ntawm cov nyom ntawm Lamictal, lithium, thiab cov placebo pom tias qee cov neeg mob uas tau txais Lamictal tau txais qhov hnyav, qee qhov poob phaus, thiab feem ntau tseem nyob rau tib qhov hnyav.
Cov kev hloov hauv lub cev feem ntau tsis ua rau ntau phaus raws li txoj kev. Cov neeg mob cov neeg mob Lamictal poob qhov nruab nrab ntawm plaub phaus, thaum cov neeg mob uas tsis rog rog qhov hnyav tseem zoo li qub.
Qhov hnyav nce nrog rau lwm yam tshuaj Bipolar
Qhov hnyav tau los ntawm cov tshuaj siv los kho cov kev puas siab puas ntsws bipolar yog hmoov tsis zoo nkauj zoo nkauj.
Qee lub stabilisers lub siab nyiam feem ntau siv rau hauv kev puas siab puas ntsws bipolar-tshwj xeeb, lithium thiab Depakote (valproate) -tshov muaj kev pheej hmoo siab ntawm qhov hnyav nce.
Tsis tas li ntawd, cov tshuaj cuav tshuaj atypical hlwb Clozaril (clozapine) thiab Zyprexa (olanzapine) yuav ua rau hnyav nce rau cov neeg noj lawv. Thaum kawg, qee qhov tshuaj tua kab mob antidepressants-tshwj xeeb, Paxil (paroxetine) thiab Remeron (mirtazapine) -paub nrog hnyav nce.
Yog li, yog tias koj tau rog dhau lawm, koj thiab koj tus kws kho mob xav kom xav txog qhov hnyav nce ntxiv hauv kev txiav txim siab txog koj cov tshuaj noj rau koj cov kev puas siab puas ntsws bipolar. Ntawm lub hauv paus nyob ib leeg, Lamictal yuav yog qhov zoo.
Lamictal ua ib qho Kev Kho Mob Rau Cov Poj Niam
Lamictal tseem tau kawm txog kev kho rog rau cov neeg tsis muaj qee zaum muaj kev puas hlwb lossis kev puas siab puas ntsws bipolar.
Hauv kev soj ntsuam me me ntawm 40 tus neeg ua nyob rau xyoo 2006, cov neeg tshawb nrhiav tau muab cov neeg koom rau cov neeg Lamictal los yog cov placebo mus txog 26 lub asthiv. Txhua tus neeg koom rau hauv txoj kev tshawb no muaj lub cev qhov Performance index (BMI) ntawm 30 thiab 40, uas muab tso rau hauv cov rog rau qhov rog loj heev. Cov neeg uas tau siv Lamictal ploj, qhov nruab nrab, me ntsis tshaj 10 phaus.
Cov neeg uas tau noj cov placebo, lub caij ntawd, poob ntawm thaj tsam 7 phaus, thaum ntawd cov neeg uas tau coj Lamictal poob ntau dua, lawv tsis plam txhua yam ntau dua.
Lwm txoj kev tshawb nrhiav, qhov no yog ib xyoo 2009, suav tias yog Lamictal li kev kho mob rau kev siv binge-noj mov. Txoj kev tshawb no muaj 51 tus neeg nrog tus mob-26 ntawm lawv tau txais Lamictal, thiab 25 tau txais cov placebo.
Cov neeg Lamictal tau poob ntau tshaj qhov ntawm cov placebo (li 2.5 phaus piv rau ib feem peb ntawm phaus), thiab lawv tau muaj kev txhim kho zoo hauv lawv cov ntshav qab zib thiab kuaj cov cholesterol. Txawm li cas los xij, lub Lamictal tsis zoo li yuav ua rau lwm yam ntawm lawv txoj kev tsis sib haum xeeb yog thaum piv rau cov placebo.
Qhov chaw:
Bowden C thiab al. Kev Nyab Xeeb Lamotrigine thiab Cov Ntsuas Liaj Hauv Cov Hnyev hauv Cov Neeg Mob thiab Cov Neeg Mob Uas Tsis Yog Kev Puas Siab Puas Ntsws. American Journal of Psychiatry . 163.7 (2006): 1199-1201.
Guerdijikova AI li al. Lamotrigine nyob rau hauv kev kho mob ntawm kev siv binge-eating disorder nrog kev rog: ib qho kev sim randomized, tshuaj placebo monotherapy. Kev Kho Mob International Psychopharmacology. 2009 Tsib Hlis; 24 (3): 150-8.
Hasnain M et al. Tshuaj hnyav cov kev xav rau hauv tshuaj psychotropic prescribing thiab switching. Kev Kawm Tshuaj Tiv Thaiv. 2013 Sep; 125 (5): 117-29.
Meredith, CH. Ib leeg ib qho, ob leeg dig muag, tshuaj ntsuam xyuas tshuaj placebo los ntawm lamotrigine nyob rau hauv kev kho rog ntawm cov laus. Ntawv Tshaj Tawm Ntawm Cov Soj Ntsuam Psychiatry (ntawm PubMed) 67.2 (2006): 258-62.
Pickrell WO li al. Kev hloov hnyav hloov nrog kev siv tshuaj tua kabmob (antiepileptic drugs). Phau Tshuaj ntawm Neurology, Neurosurgery, thiab Psychiatry. 2013 Jul; 84 (7): 796-9.