Ativan sakamako masu illa da ma'amala, da yadda za'a guje su

Bayanin Magunguna

Idan kana da damuwa , wataƙila kun ji labarin Ativan . Duk da haka, mai yiwuwa ba ku sani ba cewa Ativan yana taimakawa da rashin bacci, yana iya hana tashin zuciya yayin jiyyar cutar sankara, kuma ana amfani da shi don magance cututtukan farfadiya. Ativan, sunan da ake amfani da shi na maganin lorazepam, magani ne mai saurin aiki, tare da yawancin mutane sun fara jin tasirin nitsuwa tsakanin minti 20 zuwa 30 bayan shan shi. Kamar yadda yake tare da yawancin magunguna, Ativan yana da sakamako masu illa kuma yana iya ma'amala da sauran magunguna. A cikin wannan labarin, zamu tattauna yiwuwar sakamako na Ativan, hulɗar miyagun ƙwayoyi, da faɗakarwa don amfani dashi cikin aminci.

Menene Ativan?

Ativan (lorazepam) yana cikin aji na magani da ake kira benzodiazepines. Ana samunsa azaman likitancin magani. An yarda da shi a Amurka don waɗannan jiyya masu zuwa:

• Taimako na ɗan lokaci na bayyanar cututtuka daga rikicewar damuwa da damuwa mai haɗari
• Gudanar da rikicewar damuwa

Wasu lokuta likitoci ke ba da umarnin hakan kashe-lakabin , ma'ana cewa kodayake ba a yarda da shi ba don magance takamaiman yanayin kiwon lafiya, shaidar anecdotal ta same shi mai taimako. A cewar Cibiyar Nazarin Fasahar Kimiyyar Kimiyyar Kasa , wadannan sharuɗɗan sun haɗa da:

• Ciwon shan barasa da rashin lafiya
• Rashin tsoro
• Hana tashin zuciya yayin maganin cutar kansa
• Magungunan tsoka
• Hutawa da nutsuwa kafin maganin sa barci
• Katolika na Psychogenic
• Amfani da gajeren lokaci don rashin bacci
• Ciwon farfadiya na hali

Ativan mai saurin aiki ne. Lokacin shan magana, yawancin mutane sun fara jin tasirin hakan cikin minti 20 zuwa 30. Ativan yana da tasiri a tsakanin minti ɗaya zuwa uku lokacin da aka ba shi ta jijiya.

GAME: Maganin damuwa da magunguna

Me yasa lorazepam abu ne mai sarrafawa?

Akwai haɗarin cin zarafin Ativan da dogaro. Amurka Gudanar da Abinci da Magunguna (FDA) ya yiwa Ativan lakabi na Jadawalin IV abu mai sarrafawa . Akwai matakai biyar na abubuwan da ake sarrafawa dangane da haɗarin miyagun ƙwayoyi na zagi ko cutarwa, kamar idan maganin yana da damar haifar da dogaro da halayyar mutum ko ta zahiri. Jadawalin I na da babbar dama ta shan ƙwaya, kamar su tabar heroin. Wadannan magungunan ba su da karban magani kuma ba su da doka a Amurka. Magungunan Jadawalin V suna da mafi ƙarancin damar cin zarafi, kamar su wasu maganin tari da ke ɗauke da codeine. Benzodiazepines kamar su Ativan suna cikin Jadawalin IV, ma'ana suna da matsakaiciyar damar yin amfani da ƙwayoyi, tare da samun halaccin amfani da lafiya. Sauran magunguna a wannan rukuni sun haɗa da Xanax (alprazolam), Klonopin (clonazepam), da Valium (diazepam).

Shin Ativan narcotic ne?

Kodayake abu ne mai sarrafawa, Ativan ba narcotic bane. Narcotics yana rage fahimtar mutum game da ciwo, yayin da benzodiazepines suna da tasirin nutsuwa. Dukansu kayan maye da na benzodiazepines suna da damar kasancewa masu al'ada. Kodayake likitocin kiwon lafiya suna ɗaukar Ativan lafiya da tasiri idan aka yi amfani da su kamar yadda aka umurta, dogaro da jiki na iya haɓaka cikin sauri kamar makonni biyu, a cewar Allianceungiyar Kawance kan Ciwon Hauka (NAMI) .

Sakamakon illa na yau da kullun na Ativan

Abubuwan da ke tattare da Ativan sun kasance sun fi tsanani tare da ƙananan allurai. Wasu daga cikin abubuwan illa na yau da kullun sun haɗa da:

• Dizziness
• Bacci ko bacci
• Natsuwa
• Haskewar kai
• Rashin kwanciyar hankali
• Rage ikon maida hankali
• Raunin jijiyoyi
• Bakin bushe

Rage karfin jini sakamako ne na Ativan, amma ba a wajabta shi ba don rage hawan jini, in ji shi Amanda Kawa , NP, likita mai tabin hankali game da tabin hankali a asibitin New York-Presbyterian kuma aboki a Cibiyar Koyon Kiwon Lafiya ta Jami'ar Columbia.

Ativan kuma na iya haifar da rikicewar bacci, rashin kuzari, da canje-canje a ci.

Ativan yana aiki ne ta hanyar kwantar da hankali ga tsarin juyayi don daidaita aiki a cikin kwakwalwa, inganta walwala, sakamako mai nutsuwa. Hakanan yana haɓaka dopamine, kuma idan aka ɗauke shi cikin ƙwayoyi masu yawa, masu ƙarancin jijiyoyin jiki a cikin kwakwalwa suna ƙaruwa, suna haifar da jin daɗin ji, wanda shine ɗayan dalilan da yake sa jaraba.

M sakamako masu illa na Ativan

Wasu mutane na iya fuskantar ƙari mummunan sakamako daga Ativan amfani. Wadannan sun hada da:

• Tafiya tafiya
• Girgizar ƙasa ko rashin iya zaman tsaye
• Zazzaɓi
• Matsalar numfashi
• Matsalar haɗiyewa
• Fatawar fata ko amya
• Raunin fata ko idanu
• Bugun zuciya mara tsari
• Rashin ƙwaƙwalwar ajiya ko matsalolin ƙwaƙwalwar ajiya
• Rashin hankali
• Barcin bacci ko kuma kara munin bacci

Mafi yawan lokuta, illoli suna raguwa yayin da tasirin maganin ya ragu, yawanci cikin awa shida zuwa takwas. Koyaya, idan kuna fuskantar mawuyacin sakamako ko sakamako ba zai tafi ba cikin fewan awanni kaɗan, yakamata ku nemi likita.

Hanyoyi masu illa waɗanda ke ba da izinin dakatar da shan magani sun haɗa da matsanancin bacci, ƙwaƙwalwar ƙwaƙwalwar ajiya, bacin rai, rashin daidaituwa mai kyau, da damuwa, Brown ya ce. Saboda tsautsayi dakatar da Ativan na iya haifar da bayyanar cututtuka, yakamata kayi magana da likitanka kafin katse shi.

Gargadin Ativan

Ativan magani ne na ɗan gajeren lokaci. Lokacin da aka tsara don amfanin yau da kullun, hanyar da aka ba da shawarar kulawa ta makonni huɗu ko ƙasa da haka.

Ativan janyewar bayyanar cututtuka

Amfani na dogon lokaci na iya haifar da dogaro da haƙuri, ma'ana mutum na iya buƙatar ƙarami don samun sakamako iri ɗaya ko kuma yana iya fuskantar janyewa daga shan shan magani, in ji shi Wendi D. Jones , Pharm.D., Masanin harka a North Carolina. A hankali, yana iya zama da wahala a tafi ba tare da magani ba, wanda ke haifar da ƙara damuwa. Dakatar da magani bayan aan makonnin amfani bazai haifar da matsaloli masu mahimmanci ba. Koyaya, idan kun kasance kuna amfani da maganin fiye da makonni biyu zuwa huɗu, dogaro na iya faruwa, kuma za a iya buƙatar kashe shi.

Bacin rai

Ga wasu mutane, Ativan na iya kara bayyanar cututtukan ciki. Ativan babban mai juyayi ne mai juyayi. Lokacin da ya haɓaka a cikin tsarin ku ko kuma idan kun ɗauka a manyan allurai, yana yiwuwa yiwuwar ɓacin rai ya ta'azzara har ma ya haifar da tunanin kashe kansa ko kuma ji. Bayanin magani ya bayyana a cikin kunshin saka yana nuna cewa ya kamata ayi amfani da Ativan ne kawai a cikin marasa lafiya masu fama da baƙin ciki yayin da mai haƙuri kuma yana shan maganin rage damuwa.

Restrictionsuntatawa na shekaru

Ativan yana kan Jerin Magungunan Bayanin Giya na magungunan da bazai dace da tsofaffi ba.Manya tsofaffi sun haɓaka ƙwarewa ga benzodiazepines. A cikin waɗannan marasa lafiya, akwai ƙarin haɗarin lalacewar hankali, hauka, faɗuwa, karaya, da haɗarin motar lokacin da ake amfani da Ativan. Duk da kasancewa a cikin Jerin Giyar, ana ba Ativan umarnin tsofaffi. A cikin waɗannan marasa lafiya, ya kamata a yi amfani da kaso mafi ƙanƙanci kuma ya kamata a kula da mai haƙuri sosai.

Saboda lorazepam yana kwantar da hankali, bai kamata ku tuka mota ko kuyi aiki da injina ba har sai kun san yadda wannan maganin yake shafar ku.

Rashin ƙwaƙwalwar ajiya

Akwai kuma bayanai masu karo da juna game da shin Ativan na haddasawa ko kuma yana da haɗari ga rashin ƙwaƙwalwar ajiya ko cutar Alzheimer. Daya nazarin gano benzodiazepines na iya zama haɗarin haɗari ga rashin hankali. Da kuma wani Nazarin, wanda aka buga a 2014 , ya sami alaƙa tsakanin shan lorazepam da haɗarin cutar Alzheimer. Koyaya, kwanan nan bincike , wanda aka buga a shekara ta 2016, ya nuna cewa haɗarin cutar ƙwaƙwalwa ya ɗan fi girma a cikin mutanen da ke shan ƙananan allurai na benzodiazepines, kuma ba a cikin waɗanda suke shan ta a manyan allurai ba.

Rashin numfashi

Benzodiazepines na iya haifar da baƙin ciki na numfashi, ko hypoventilation, idan aka yi amfani da su da kansu, har ma fiye da lokacin da aka haɗu da wani mai juyayi na tsakiya (CNS) mai ɓarna. Wannan rikicewar numfashi yana haifar da jinkirin, rashin tasirin numfashi, yana haifar da matakin mafi girman carbon dioxide da ƙananan matakin oxygen a jikinku.

Benzodiazepines kamar su Ativan na iya haifar da baƙin ciki na numfashi idan aka haɗu da su tare da wasu magungunan kwantar da hankali ko abubuwa irin su barasa, masu narkar da tsoka, maganin antihistamines, antipsychotics, anticonvulsants, da antidepressants. Koyaushe tuntuɓi mai ba da lafiyar ku don tabbatar da cewa Ativan yana cikin haɗari tare da sauran magungunan da kuke sha.

Ciki da shayarwa

Idan kaine mai ciki ko shirin yin ciki , nemi shawarar likita kafin shan wannan magani. Karatun dabbobi ya nuna rashin dacewar lokaci-lokaci a cikin tayi. Akwai ƙarin haɗarin nakasawa daga kwantar da hankali yayin farkon farkon watanni uku. Amfani da Ativan a yayin watanni na uku shima yana haɗuwa da haɗarin janyewar jarirai. Lorazepam na iya wucewa ga jarirai a cikin ruwan nono kuma yana iya haifar da nishaɗi da damuwa cikin jariri. Idan kana shayarwa, sai ka shawarci likitanka.

Hulɗar Ativan

Ya kamata a guji barasa da opioids yayin shan Ativan, in ji Dokta Jones, Gabaɗaya, duk abin da zai sa ku gajiya, gami da mai na CBD da melatonin, ana buƙatar a kula da su har sai kun san yadda jikinku zai yi. Akwai magunguna da yawa wadanda zasu iya kara illa ko cutarwa na lorazepam. Yana da kyau koyaushe ka tambayi likitan ka idan wani abu yana da lafiya a gare ka ka sha, gami da takardar sayan magani, kan-kan-kan, da magungunan ganye.

Magungunan ƙwayoyi-miyagun ƙwayoyi

Kafin shan Ativan, ko kowane magani, ya kamata ka gaya wa likitanka game da duk magunguna-takardar sayan magani ko na kan-kan-kan, kari, da bitamin-da kake sha musamman:

• Anticonvulsants
• Magungunan Magunguna
• Magungunan Asthma: theophylline
• Maganin sanyi
• Gout magani: probenecid
• Magunguna don cututtukan Parkinson: Rytary, Sinemet, da Stalevo (levodopa)
• Relaxarfafa tsoka
• Magungunan ciwo na Opioid
• Magungunan maganin baka
• Maganin hana daukar ciki na baka (kwayoyin hana haihuwa)
• Kayan kwantar da hankali, kwantar da hankali, ko magungunan bacci
• Magungunan maganin rashin lafiyar jiki / antihistamines
• Magungunan ciwo ko magungunan tari masu dauke da sinadarin Codeine

Idan kuna shan ɗayan waɗannan magungunan, likitanku na iya son daidaita sashin ku, canza zuwa wani magani daban, ko sa ido sosai akan abubuwan da ke faruwa da kuma mummunan halayen.

Haɗin abinci-magani

Bai kamata ku cinye 'ya'yan inabi ko kayayyakin inabi ba yayin shan wannan magani saboda wannan na iya ƙara tasirin da haifar da guba ko halayen mara kyau.

Bai kamata ku sha barasa yayin shan shi ba saboda kuna iya fuskantar illa mai illa ga rayuwa.

Duk da cewa babu takamaiman gargadi game da shan kofi ko wasu abinci da abubuwan sha da ke dauke da maganin kafeyin, yana da mahimmanci a tuna cewa maganin kafeyin yana da kuzari kuma zai iya magance tasirin lorazepam.

Yadda za a guji tasirin Ativan

Hanyoyi masu illa, kamar su gajiya, yawanci suna farawa jim kaɗan bayan shan magani, sau da yawa cikin minti 30 na shan shan magani.Gabaɗaya suna raguwa yayin da tasirin maganin ya ragu, yawanci tsakanin awa shida zuwa takwas bayan shan shi. Wasu mutane kuma suna lura da cewa illolin sun ragu yayin da suke ci gaba da shan magani, kuma jikinsu yana daidaita shi, alal misali, ƙila ba za su ji gajiya ba bayan sun sha shi a kai a kai tsawon kwanaki ko makonni.

1. Atiauki Ativan bisa ga umarnin likitanku.

Shan madaidaicin maganin Ativanyana taimakawa rage tasirin da zaku iya fuskanta. Wasu mutane suna ɗaukar su kamar yadda ake buƙata, wanda ke nufin kawai a wasu lokuta kuna jin damuwa, wasu kuma suna ɗaukar su a cikin tazara na yau da kullun a cikin yini don kiyaye alamun alamun damuwa. Idan kana fuskantar illa, yi magana da likitanka game da ko canza lokacin da zaka sha magani zai iya rage damuwar ka.

Ativan yana samuwa a cikin nau'i daban-daban da allurai:

• Maganin Intramuscular: 2 mg / ml, 4 mg / ml
• Cikin hanzari: 2 mg / ml, 4 mg / ml
• Rubutun baka: 0.5 MG, 1 MG, 2 MG

Ya kamata ku fara a ƙananan kashi kuma a hankali kuyi aiki sama, tabbatar da cewa kuna shan mafi ƙarancin kashi wanda ke ba ku fa'ida. Da Mai ba da labari na Digital (PDR) yayi nuni da allurai masu zuwa don damuwa:

Abincin Ativan don damuwa da shekaru
	Fara sashi na baka	Matsakaicin maganin sashi
Yara ≤ shekara 11	An ƙaddara shi game da shekarun yaro, nauyinsa, da tarihin lafiyarsa.
Matasa 12 + shekaru	2-3 MG kowace rana sun kasu kashi biyu zuwa biyu a cikin yini; na iya ƙaruwa sannu a hankali kamar yadda ake buƙata kuma kamar yadda aka jure	Har zuwa 10 MG kowace rana kamar yadda ake buƙata, ya kasu kashi da yawa (matsakaicin abin da ake buƙata shine 6 MG / rana cikin kashi biyu)
Manya	2-3 MG kowace rana sun kasu kashi biyu zuwa biyu a cikin yini; na iya ƙaruwa sannu a hankali kamar yadda ake buƙata kuma kamar yadda aka jure	Har zuwa 10 MG kowace rana, an kasu kashi da yawa (matsakaicin abin da ake buƙata shine 6 MG / rana cikin kashi biyu)
Manyan Geriatric	1-2 MG kowace rana ya kasu kashi biyu zuwa biyu a cikin yini; na iya ƙaruwa sannu a hankali kamar yadda ake buƙata kuma kamar yadda aka jure	Har zuwa 6 MG kowace rana (2 MG kowace rana a cikin mazaunan kulawa na dogon lokaci). Akwai ƙarin haɗarin guba a cikin wannan yawan, sabili da haka, ƙarami, ƙaruwa a hankali shine mafi kyau.

Don rashin bacci, maganin da aka ba da shi na manya yana farawa daga 2 MG a lokacin kwanciya, don ƙarawa zuwa 4 MG, idan an buƙata, tare da aikin jiyya wata huɗu ko ƙasa da haka.

2. Atiauki Ativan da abinci.

Yawancin mutane ba sa fuskantar ciwon ciki ko damuwa lokacin shan Ativan; duk da haka, idan kunyi,yana iya taimakawa ɗaukar shi da abinci.

3. Karkatsa ka daina shan Ativan.

Kwayar cututtuka daga janyewa daga Ativan na iya zama mafi rashin jin daɗi fiye da illa masu illa.Bai kamata ku daina shan maganin ba zato ba tsammani, musamman idan kuna shan shi a kai a kai.Fitowar bayyanar cututtuka sun haɗa da sake komowa cikin damuwa, rashin nutsuwa, rawar jiki, zufa, tashin hankali, rashin bacci, da kuma yiwuwar kamuwa da cutar. Wadannan cututtukan sun fara ne tsakanin kwana daya zuwa biyu bayan shanka na karshe kuma zasu iya yin kwana bakwai ko fiye, ya danganta da tsawon lokacin da ka dauka. Zai fi kyau a bugu sau nawa kuma sau da yawa kuna ɗaukar shi a hankali.

Likitanku zai yi aiki tare da ku don tsara jadawalin tapering mai lafiya. Da Ma'aikatar Kiwon Lafiya ta San Mateo County ya nuna hanyoyi biyu na tapering:

• Raguwa na 25% na farkon farawa kowane mako biyu, ko
• Rage yawan kashi da 25% a sati na farko, 25% a sati na biyu, sannan kuma da 10% kowane sati har sai ka daina shan magani

Tsarin taɓawa na iya ɗaukar makonni da yawa zuwa monthsan watanni kaɗan dakatar da shan magani. Yin shi ta wannan hanyar yana kawar ko rage karfin bayyanar cututtukan da kuka samu.

4. Tambayi likitanka game da sauyawa zuwa wani magani daban.

Mai kula da lafiyar ku na iya ba da shawararkokarin gwada wasu magungunan tashin hankali a madadin Ativan. Wasu maganin damuwa na iya rage alamun damuwa. Wadannan sun hada da:

• Cymbalta (duloxetine)
• Silenor (doxepin)
• Lexapro (escitalopram)
• Paxil , Paxil CR , Pexeva , Brisdelle (paroxetine)
• Effexor XR (venlafaxine)

Hakanan akwai wasu benzodiazepines, waɗanda suka haɗa da:

• Xanax (alprazolam)
• Valium (diazepam)
• Klonopin (sanata)

Kowa ya sha magani daban. Abin da ya fi dacewa ga mutum ɗaya bazai yi aiki ga wani ba. Zai fi kyau aiki tare da likitanka kuma koya game da duk hanyoyin zaɓin ku don ku sami magungunan da ke aiki mafi kyau a gare ku.