Off-lakabin magungunan likitanci: Abin da kuke buƙatar sani

Bayanin Magunguna

Shekarun da suka wuce, lokacin da nake gwagwarmaya da matsalar rashin tunani, likitana ya ba da umarnin wani magani wanda yawanci ana amfani da shi don magance haɗuwa. Na rikice. Me yasa likitana ya ba ni magani da aka nuna don irin wannan yanayin daban? Shin ya kasance daidaitaccen kulawa don gwada ƙwayoyi don sabbin amfani? Shin irin wannan amintacce ne?

Wataƙila ya faru da kai: Yin aikin likita ya aika da takardar sayan magani zuwa shagunanka, to ka koya cewa yawanci ana amfani da maganin don magance yanayi daban-daban fiye da alamun ka. Wannan ana kiransa lakabin kashe lakabi (wanda aka fi sani da bayarwa don amfani mara izini). Amma menene hakan gaske ma'ana?

Menene magungunan kashe-lakabi?

Lokacin da Hukumar Abinci da Magunguna (FDA) ta kimanta sabon magani, kamfanin magani da ke neman amincewa dole ne ya gabatar da shaidar kimiyya-kamar sakamakon gwajin asibiti-cewa maganin yana da tasiri don amfaninsa. Lokacin da magani ya karɓi amincewar FDA (bayan dogon yardar aiki), don magance hakan ne musamman yanayin lafiya, da kuma nuni kawai. Duk wani amfani da kwayoyi ba shi da lakabi.

Shin lasisin tallata lakabi ya halatta?

Lokacin da kamfanin harhaɗa magunguna ya fara siyar da maganin, zai iya faɗi takamaiman yanayin da aka yarda da samfurin don magance shi. Talla-lakabin kasuwanci , ko tallata ƙwayoyi don amfani waɗanda ba a yarda da su ba, na iya barin kamfanin hada magunguna a buɗe don yin shari'a. Yana da doka.

Shin likitoci sun yarda su rubuta magunguna marasa lakabi?

Lokacin da likita ya tsara magani don yin amfani da lakabin magani, wannan yana nufin shi ko ita ta ba da umarnin maganin a waje da alamun da aka yarda da shi. Yana da doka a Amurka, kuma abu ne gama gari, don likitoci su bada umarnin kashe-lakabin. A zahiri, yawancin marasa lafiya ba su ma san lokacin da takardar sayan magani ta faɗi a wajen amfani da ita ba.

Wasu lokuta, alamun-takaddun FDA takamaimai ne ga magunguna ko halaye na haƙuri (kamar jima'i), maimakon kawai batun likita kanta. Kyakkyawan misali na wannan shine rukunin shekaru-yawancin gwajin gwaji na asibiti suna gwada magunguna akan manya maimakon ƙananan yara, don haka tsara waɗannan magunguna ga ƙananan marasa lafiya ta hanyar fasaha ta faɗi ƙarƙashin laimar lakabin kashewa, ko waɗanda ba a amince da su ba.

Me yasa likitoci ke rubuta lakabin magani?

Yana da mahimmanci a san cewa kawai saboda amfani da miyagun ƙwayoyi ba shi da lakabi, ba yana nufin zai zama magani mara tasiri ba. Dalilin da ya sa ake amfani da magungunan ƙwayoyi ta hanyar lakabin lakabi yana da amfani, in ji shi Amber Cann , Pharm.D, mai Mahimmancin Venus . Hanyar samun magani ta hanyar gwajin asibiti kuma FDA ta amince da shi na iya daukar shekaru 20, kuma yana da tsada kwarai da gaske, in ji ta. Yawanci baya cikin sha'awar masana'antun magunguna don neman ƙarin alamomi da zarar maganin yana kan kasuwa.

Lokaci-lokaci, mai yin magungunan ƙwayoyi zai saka hannun jari a cikin ƙarin nuni, don haka za su iya tallata magungunan musamman don wannan dalili, in ji Dokta Cann. Misali, mai maganin cutar Paxil (paroxetine), ya kasance na ɗan lokaci kafin masana'anta, GlaxoSmithKline, ta nemi ƙarin alamun alamomi a kan kunshin da aka saka don rikicewar rikice-rikice da rikicewar rikice-rikice.

Wadannan sabuntawa ba safai ba ne - kuma idan sun faru, sukan dauki lokaci. Zai iya ɗaukar shekaru kafin yin lakabi ya kama tare da bayanan asibiti na baya-bayan da ke nuna cewa magani na iya zama mai amfani ga takamaiman matsala, in ji shi Amarish Dave , MD, a neurologist kuma aboki likita a Jinƙai a cikin Illinois. A wa) annan shekarun, wa) anda ke amfani da magunguna, na iya ba marasa lafiya ingantaccen kulawa.

Tambayoyi don tambayar likitanku game da amfani da takardar takaddama

Idan kun kasance m game da kashe-lakabin amfani-ko juyayi game da shi-yana da kyau a cikin your hakkin kamar yadda wani haƙuri yi tambayoyi. Kuna so ku sani:

• Shin alamar magani ba ta wannan yanayin ba?
• Menene maganin da aka yarda a bi?
• Me yasa likitan ku yake ba da umarnin?
• Ta yaya maganin zai magance yanayin ko alamun cutar?
• Menene illar?
• Mene ne fa'idar maganin lakabi?
• Shin inshorar lafiyarku za ta rufe wannan magani don wannan yanayin?

Yawancin likitoci da masana harhaɗa magunguna suna farin cikin tattauna sababbin alamomi da amincin magani idan mai haƙuri yana da damuwa.

Shin magungunan inshora ne da inshora?

Kuna iya yin bincike don gano idan inshorar ku, Medicare, ko Medicaid zasu rufe takardar sayan lakabi. Verageaukar hoto ya dogara da magani-kuma wane yanayin likitanku ya ba da umarnin kula da shi. Biyan kuɗi don magungunan da aka ba da izinin lakabi na iya zama wani lokaci mai wuya, saboda kamfanonin inshora na iya yin taka tsan-tsan da biyan kuɗi saboda dalilai na yaudara. Idan wannan ya faru da kai, yi magana da mai ba da lafiyar ka ko likitan magunguna game da madadin magunguna. Hakanan zaka iya amfani da kayan aikin bincike na SingleCare don ganin idan ajiyarmu ta doke farashin kuɗi.

Fa'idodin amfani da lakabi

Yin ajiyar magungunan kashewa yana ba masu aikin likita ƙarin zaɓuɓɓukan magani idan magani ɗaya bai yi aiki a gare ku ba. Yana da amfani musamman ga ƙananan yanayi waɗanda ke da iyakokin zaɓuɓɓukan magani. Misali, ana ba da izini kawai don maganin kansar guda ɗaya. Kwararrun likitoci na iya amfani da shi ta hanyar lakabi don yin amfani da nau'ikan nau'ikan daban-daban.

Wasu lokuta yin amfani da lakabin suna iya adana ku. Sau da yawa wani magani na gama gari wanda ake amfani da shi daga lakabin da zai iya amfani da manufa guda kamar magani 'mai yarda' zai iya zama mai rahusa sosai, in ji Dokta Dave. Sauran fa'idodin sun haɗa da ƙarin sakamako masu illa.

Hadarin amfani da lakabi

Kamar kowane magani, akwai haɗari. Saboda amfani da lakabin amfani da lakabin ba ya ƙarƙashin tsarin tsaurara na gwajin gwaji da gwaji, kamar yadda aka yi don amfanin da aka amince da shi, za a iya samun sakamako mai illa ba zato ba tsammani. Amma Dr. Dave ya ce, Yawancin amfani da lakabin lakabi don ƙwayoyi waɗanda tuni sunada sanannen tasirin tasirin su.

Shahararrun magungunan kashe-lakabi

Akwai maganganun likitanci da yawa waɗanda suka faɗa cikin rukunin lakabin-lakabin. Likita na iya ba da umarnin maganin antidepressants na tricyclic don magance ADHD, ko kuma ba da umarnin wani maganin tashin hankali, kamar Topiramate, don baƙin ciki.

A wasu lokuta, amfani da lakabin lakabi ya zama gama gari sai ya zama na farko amfani. Ba abin da ba a taɓa sani ba don kashe-lakabin amfani don ƙarshe ya zama mai yarda da FDA. Minoxidil tsohuwar magani ce da aka taɓa amfani da ita don hawan jini, in ji Dokta Cann. An gano yana da [to] sakamakon rashin alheri na motsa haɓakar gashi. Wannan magani ne yanzu sosai da wuya ake amfani dashi azaman magani na hauhawar jini, amma ana amfani dashi azaman kayan haɓaka gashi. Yanzu mun san shi kamar… Rogaine.

Sauran magungunan da masu amfani da rubutu ke amfani da lakabin sun hada da:

Sunan Magunguna	Amincewa da Amincewa	An Keɓe Label-Labaran Domin
Prazosin HCL	Jiyya na hauhawar jini	Mafarkin mafarki / PTSD
clomiphene-citrate	Maganin rashin haihuwa ga mata	Maganin rashin haihuwa a cikin maza
Namenda	Maganin Cutar Alzheimer	ADHD da OCD magani ga yara
Catapres	Maganin Hawan Jini	ADHD, Flashes mai zafi, Ciwon ƙwayar Tourette
Seroquel	Magungunan antipsychotic don maganin schizophrenia, Cutar Bipolar da Babban Rashin Cutar	Rashin barci, Raunin damuwa, OCD, Psychosis daga Cutar Parkinson
topiramate	Anticonvulsant don maganin rikice-rikice, rigakafin ƙaura	Rashin lafiyar yanayi, PTSD, asarar nauyi
sildenafil citrate	Cutar rashin daidaito (a cikin maza	Rashin lafiyar sha'awar jima'i na mata
gabapentin	Jiyya na kamawa	Cutar Bipolar, Ruwan Fitila, Neuropathy
karin	Jiyya don hauhawar jini	Anxietywarewar aiki
Tegretol	Anticonvulsant don maganin cututtuka	Cutar Bipolar, ADHD