Vyvanse sakamako masu illa da yadda za'a guje su

Bayanin Magunguna

Vyvanse sakamako masu illa | Hadarin Vyvanse | Rage nauyi | Tashin hankali | Janyewa | Har yaushe tasirin sakamako zai wuce? | Gargadi | Abubuwan hulɗa | Yadda ake kauce wa illoli

Vyvanse (sashi mai aiki: lisdexamfetamine dimesylate) magani ne mai suna wanda ke kula da cututtukan cututtukan cututtukan hankali ( ADHD ) a cikin manya da yara sama da shekaru 6. Hakanan an yarda dashi don rikicewar cin abinci (BED) a cikin manya amma yawanci ana amfani dashi azaman hanyar layi na biyu .

Vyvanse na cikin aji na tsarin jijiyoyi masu motsa jiki da ake kira amphetamines. Tasirinta na farko shine hanzarta kwakwalwa. Ba kamar sauran sauran magunguna masu kara kuzari ba, Vyvanse magani ne, wanda ke nufin ba shi da wani tasiri har sai jiki ya narke ya zama mai aiki, dextroamfetamine . Kamar kowane magungunan motsa jiki, Vyvanse bazai dace da kowa ba. Hanyoyi masu illa, gargaɗi, da kuma hulɗar miyagun ƙwayoyi suna buƙatar tattaunawa da likita kafin fara wannan magani.

GAME: Learnara koyo game da Vyvanse | Samu rangwamen Vyvanse

Sakamakon illa na yau da kullun na Vyvanse

Vyvanse sakamako masu illa zai bambanta tsakanin marasa lafiya. Imarfafawa suna rage haɓakawa, rashin kulawa, da motsin rai ga marasa lafiya tare da ADHD, amma na iya samun akasi a cikin marasa lafiya an bincikar dashi ba daidai ba tare da ADHD . Wani wanda ya ɗauki Vyvanse amma baya buƙata zai iya fuskantar damuwa, rashin nutsuwa, tashin hankali, tashin hankali, tseren bugun zuciya, ko zufa mai yawa.

Lokacin da aka ɗauka don ADHD, da illar da ta fi dacewa na Vyvanse su ne:

• Rage ci
• Rashin ci
• Rage nauyi
• Gudawa
• Ciwan
• Amai
• Ciwan ciki na sama
• Bakin bushe
• Dizziness
• Rashin bacci
• Rashin fushi
• Tashin hankali

Lokacin da aka ɗauka don rashin cin abincin binge, da illolin da yafi na kowa na Vyvanse su ne:

• Rage ci
• Maƙarƙashiya
• Bakin bushe
• Rateara yawan bugun zuciya
• Rashin bacci
• Tashin hankali
• Jin motsin rai

M sakamako masu illa na Vyvanse

Duk magungunan da ke canza tsarin juyayi na tsakiya na iya haifar da sakamako mai illa har ma da barazanar rai. Yawancin sakamako masu illa na Vyvanse suna da alaƙa da tasirinsa kan saurin ƙwaƙwalwa da tsarin juyayi.

Da illa mafi illa na Vyvanse sun hada da:

• Matsalar tabin hankali kamar damuwa, tsokanar zalunci, ko mania
• Rashin lafiya na jijiyoyin jiki kamar tics, seizures, ko cututtukan serotonin
• Matsalar zuciya kamar saurin bugun zuciya, bugun zuciya, da kuma mutuwar kwatsam a cikin mutane masu fama da matsalolin zuciya
• Matsalar zagayawa kamar hawan jini, bugun jini, lalacewar jijiyoyin jini, canza launin launi, da kuma abin da ya faru na Raynaud
• M rashin lafiyan halayen
• Dogaro, shan ƙwayoyi, da kuma bayyanar cututtuka idan an dakatar da su kwatsam

Hadarin Vyvanse

Illar yawan safiya na Vyvanse yawanci yakan lalace da rana ko yamma. Lokacin da suka yi hakan, wasu marasa lafiya suna fuskantar haɗarin Vyvanse wanda ke tattare da gajiya, kasala, baƙin ciki, ƙaiƙayi, damuwa, firgita, da sauyin yanayi. Alamomin haɗarin Vyvanse suna kama da ficewar Vyvanse.

Ba za a iya guje wa haɗarin Vyvanse koyaushe ba, amma ana iya samun nasarar sarrafa shi:

• Shirya jadawalin ku : Shirya ayyukan da suka fi muhimmanci a rana yayin awannin da Vyvanse ya fi aiki a jiki. Tsara dogon hutu a daidai lokacin da hatsarin Vyvanse yakan auku.
• Guji masu damuwa : Alamun haɗarin Vyvanse na iya zama mafi muni idan kuna shan wasu abubuwa waɗanda ke damun tsarin juyayi na tsakiya kamar barasa, masu kwantar da hankali, masu shakatawa na tsoka, masu ba da magani, da kayan bacci.
• Yi aiki da tsabtace bacci mai kyau : Rashin bacci shima yana taimakawa ga haɗarin Vyvanse. Akwai halaye masu kyau da yawa zaka iya amfani dasu don tabbatar da isasshen bacci da daddare kamar shiga cikin ayyukan shakatawa kafin kwanciya bacci, yin bacci a lokaci guda a kowane dare, da kuma kawar da shagala lokacin da zaka kwanta bacci.
• Yi magana da likitanka : Vyvanse ba lallai bane ga kowa. Mai ba da sabis na kiwon lafiya na iya bayar da shawarar madadin kamar gyaggyara sashin, sauya jadawalin allurai, ko sauya zuwa wani magani.

Rage nauyi

Abubuwa biyu masu tasiri na Vyvanse sune rage ci abinci da raunin nauyi. Yayinda rage yawan abinci ya kasance daidai tsakanin manya da yara, asarar nauyi shine tasirin Vyvanse na yara. A cikin gwaji na asibiti na farko na Vyvanse , kusan 1 a cikin yara 10 da ke shan Vyvanse na tsawon makonni huɗu sun rasa nauyi daidai gwargwadon yadda aka sha: girman girman, girman girman nauyin da aka rasa. Yara a Vyvanse suma suna nuna saurin girma fiye da sauran yara.

Kashi 3% na manya da ke shan Vyvanse don ADHD sun rasa nauyi a cikin kwatankwacin makonni huɗu. Koyaya, lokacin da aka ɗauki Vyvanse don rikicewar abinci mai yawa, an sami asarar nauyi a cikin kashi 4% na marasa lafiya. Daga baya karatun nuna cewa adadi mai mahimmanci na marasa lafiya a cikin rashin abinci suna rasa nauyi yayin shan Vyvanse ta hanyar rage yawan ci da kuma yawan cin abinci a kowane mako.

Saboda saukar da abinci da raunin nauyi sune tasirin Vyvanse, wasu likitocin sun rubuta Vyvanse off-label don tsananin kiba a cikin yara da matasa.

Tashin hankali

A cikin karatun da suka gabata, 5% zuwa 6% na manya sun ba da rahoton damuwa a matsayin tasirin Vyvanse. Yara suna fuskantar damuwa kamar tasirin Vyvanse sau da yawa. A cikin nazarin daya , tashin hankali da tashin hankali ya ruwaito cikin ƙasa da 1% na yara.

A yadda aka saba, abubuwan kara kuzari irin su Vyvanse suna hanzartawa da motsa kwakwalwa, don haka faɗakarwa, kuzari, tashin hankali, rashin nutsuwa, tashin hankali, tunanin tsere, da damuwa damuwa ce ta yau da kullun. Koyaya, a cikin mutanen da ke tare da ADHD, wasu abubuwan kara kuzari suna ƙaruwa da faɗakarwa, kulawa, da kuma motsin motsa jiki yayin rage haɓaka, damuwa, da rashin nutsuwa. Wadannan abubuwan kara kuzari suna kara wasu sinadarai a cikin kwakwalwa-dopamine da norepinephrine. Saboda marasa lafiya tare da ADHD basa samarda wadataccen waɗannan ƙwayoyin sunadarai, masu haɓaka suna haɓaka ikon su don sarrafa haɓaka da kulawa.

Dopamine da norepinephrine da yawa, wani sinadari kama da adrenaline, yana rufe kwakwalwa kuma yana haifar da kuzari, rashin kulawa, tashin hankali, tashin hankali, tashin hankali, ko jin daɗi. Idan mutumin da yake da matakan al'ada na dopamine da norepinephrine yana fuskantar damuwa, tabbas Vyvanse zai ƙara damuwa. Illolin sakamako irin su damuwa, jiji da kai, da tashin hankali na iya zama alamun cewa ko dai Vyvanse ko ƙaddarar da aka tsara ba ta dace ba.

Janyewa

Vyvanse shine Jadawalin II abu mai sarrafawa , ma'ana yana da babban dama na zagi da dogaro. Lokacin amfani dashi akan dogon lokaci, Vyvanse na iya haifar da bayyanar cututtuka idan an rage adadin ko kuma an dakatar da maganin ba zato ba tsammani. Wadannan alamun sun hada da:

• Gajiya
• Yawan bacci
• Bacin rai
• Yanayin motsi
• Appetara yawan ci
• Sha'awa

Yawancin alamun bayyanar Vyvanse suna warware cikin kwanaki biyar zuwa bakwai. Likitan da ke rubuta magani na iya amfani da maganin tapering don hana ko rage alamun bayyanar. Akwai wasu illoli kamar su cututtukan serotonin ko matsalolin zuciya waɗanda zasu buƙaci a dakatar da Vyvanse kai tsaye.

Har yaushe tasirin sakamako zai wuce?

Vyvanse ya kasance mai aiki a cikin jiki don takwas zuwa 14 hours , don haka illa ya kamata ya shuɗe a wannan lokacin. Alamun janyewar Vyvanse, duk da haka, na iya ɗaukar tsawon kwana bakwai. Idan illolin basu tafi ba bayan daina amfani da Vyvanse, yi magana da likita.

Vyvanse sabawa & gargadi

Vyvanse ba shine madaidaicin magani ga kowa ba. Mutanen da ke da yanayin kiwon lafiya masu zuwa kada su sha Vyvanse:

• Rashin hankali ga amphetamines ko kowane ɗayan abubuwan haɗin a cikin Vyvanse
• Mata masu ciki ko masu shayarwa
• Ciwon zuciya, lahani na zuciya, arrhythmias, ko cututtukan jijiyoyin zuciya

Sauran taka tsantsan suna nan .

Mutanen da ke shan magungunan hana shiga cikin kwayar cutar ta monoamine (MAOIs), rukunin magungunan da suka hada da wasu nau'ikan maganin kashe kumburi, maganin rigakafi, ko magungunan da ke kula da cutar ta Parkinson, ba za a sanya musu magani ba Vyvanse har sai sun daina shan magungunan MAO na aƙalla kwanaki 14.

Rage girma cikin yara

Vyvanse an amince da FDA a matsayin amintaccen magani na ADHD a cikin yara tsakanin shekaru 6 zuwa 17. Duk da haka, Vyvanse yana hana girma a cikin yara, don haka tsayi da nauyi suna buƙatar sa ido sosai. Vyvanse far na iya buƙatar gyara idan ƙarancin ci gaba yayi yawa.

Ciki da shayarwa

Babu wadatattun bayanai wadatattu don ƙayyade amincin amfani da Vyvanse a cikin mata masu ciki ko masu shayarwa. Dextroamphetamine yana haye mahaifa kuma yana nan a ciki adadi kaɗan a madarar nono . Koyaya, idan kuna shan Vyvanse, kar ku katse shi ba zato ba tsammani ba tare da yin magana da mai ba da lafiyarku ba.

Tsofaffi

Amintaccen amfani da Vyvanse a cikin mutanen da suka girmi shekaru 65 ba a yi nazari mai kyau ba. Lokacin da likitocin kiwon lafiya suka amintar da su, tsofaffi sukan fara da ƙaramin ƙwayar Vyvanse.

Vyvanse hulɗa

Vyvanse yana da mahimman ma'amaloli a asibiti tare da magunguna fiye da 200 da sauran abubuwa. Yawancin waɗannan hulɗar ba masu haɗari bane, amma mutane na iya lura cewa ko dai Vyvanse ko wasu ƙwayoyi basu da inganci idan aka haɗu dasu.

MAO masu hanawa

Bai kamata a sha Vyvanse ba aƙalla a cikin kwanaki 14 na shan masu hana ƙwayoyin cuta na monoamine (MAOIs), gami da wasu nau'ikan maganin rage zafin ciki, maganin rigakafi, da magungunan Parkinson kamar:

• Tranylcypromine
• Marplan (isocarboxazid)
• Nardil (COM)phenelzine)
• Linezolid
• Selegiline
• Xadago (safinamide)
• Allurar shuɗin Methylene

A hade tare da Vyvanse, tasirin waɗannan kwayoyi na iya haifar da hawan jini mai haɗari.

Abubuwan kara kuzari

Vyvanse na iya haɓaka tasirin wasu abubuwan motsa jiki na CNS, gami da ƙarin hawan jini da bugun zuciya. CNS stimulants sun hada da:

• Maganin kafeyin, hodar iblis, ko ginseng
• Sauran magungunan ADHD
• Wasu cututtukan hanci
• Masu maye gurbin abinci kamar phendimetrazine
• Wakilan farkawar da ke magance narcolepsy
• Steroids
• Magungunan kwantar da hankali kamar epinephrine ko norepinephrine

Masu damuwa

Gabaɗaya, haɗuwa da abubuwan kara kuzari tare da masu damuwa ba safai ake bada shawara ba. Amfetamines kamar Vyvanse yawanci suna lalata tasirin masu damuwa, amma wasu haɗuwa da amphetamines da masu damuwa suna iya zama haɗari. Kada a yi amfani da Vyvanse tare da masu damuwa kamar:

• Alkahol, marijuana, ko cannabinoids
• Magungunan tari
• Narcotics
• Magungunan bacci
• Barbiturates
• Magungunan damuwa
• Magungunan ciwo na jijiya
• Magungunan anti-tashin zuciya
• Anticonvulsants
• Wasu magungunan cutar Parkinson

Magungunan antidepresser da magungunan serotonergic

Sai dai in mai kula da lafiya ya ɗauka lafiya, kar a yi amfani da Vyvanse a haɗe tare da duk wani magani wanda zai canza matakan serotonin. Magungunan rigakafin ciki, wasu magungunan ƙaura, da wasu maye masu ci waɗanda aka ɗauka tare da Vyvanse suna ƙara haɗarin cutar serotonin.

Magungunan hawan jini

Amfetamines kamar Vyvanse suna tayar da hawan jini, don haka suna toshe tasirin magungunan da aka shirya don rage hawan jini. Haɗa amphetamines tare da magungunan hawan jini zai buƙaci kulawa ta kusa da yiwuwar gyaggyarawa. Hakanan ana kiyaye amfanitamines tare da magunguna masu ɗaga jini.

Aciding ko alkylating jamiái

Magungunan da suke ƙaruwa (acidify) ko raguwa (alkylate) abun cikin acid a ciki ko fitsari zai rage ƙarfin jiki na sha Vyvanse da tsoma baki tare da ikon kawar da Vyvanse. Musamman, lokacin shan Vyvanse, guji maganin kashe kumburi, abinci mai guba, citrates, da diuretics. Hakanan yakamata a guji wasu bitamin masu yawa.

Tambayi ƙwararren masanin kiwon lafiya don cikakken jerin ƙwayoyi da ma'amalar abinci.

Yadda za a guji Vyvanse sakamako masu illa

Imarfafawa kamar Vyvanse yawanci na haifar da sakamako masu illa. Saboda Vyvanse yana hanzarta ƙwaƙwalwa, ba abin mamaki ba ne don fuskantar sakamako masu illa kamar raguwar abinci, rashin barci, hauhawar jini, bugun zuciya da sauri, tashin hankali, ko rashin natsuwa. Wasu marasa lafiya suna fuskantar haɗarin Vyvanse kwatankwacin janyewa lokacin da maganin ya ƙare daga baya a ranar.

Fewan nasihu na iya taimaka wajan sarrafa tasirin Vyvanse:

• Vauki Vyvanse kamar yadda aka umurta. Kar a ƙara ko rage sashi. Idan maganin baiyi kamar yana aiki ba ko kuma illolin sun faru, yi magana da likitan da ya rubuta muku game da canza maganin ko sauya zuwa wani sabon magani. Koyaushe bi umarnin kan jagorar magani.
• Vauki Vyvanse a lokaci guda kowace safiya. Yakamata a sha Vyvanse da sassafe. Ickauki lokacin da ya ke aƙalla sa'a ɗaya kafin faɗakarwa da mai da hankali ake buƙata kuma ku dage kan wannan jadawalin. Idan ka rasa kashi, ɗauki shi da safe da safe. Koyaya, guji shan kashi da rana don gujewa bacci a lokacin bacci.
• Bayyana duk yanayin lafiyar ku da magunguna. Wannan zai hana illa da ma'amala masu haɗari daga faruwa.
• Nemo madadin kofi. Sauran abubuwan kara kuzari na iya kara kasada da tsananin illar Vyvanse, saboda haka yana da kyau ku guji su. Bayan wasu magunguna, abubuwan kara kuzari sun hada da maganin kafeyin. Wataƙila kuna buƙatar nemo madadin-ni-up don shan kofi na yau da kullun.
• Yi aiki da tsabtace bacci mai kyau. Baccin wahala shine daya daga cikin cututtukan da ke tattare da cutar Vyvanse. Mataki na farko kan shawo kan rashin bacci wanda ya haifar da bacci shine yin aiki mai kyau, ayyukan tsabtace bacci na yau da kullun. Kauce wa wasannin TV ko bidiyo kafin lokacin bacci, ci gaba da ayyukan shakatawa na dare, da kuma yin bacci a lokaci guda kowane dare.
• Holidayauki hutun shan magani (idan likitanku ya yarda da shi). Idan illoli suna da matsala yayin shan abubuwan kara kuzari na ADHD, likita mai ba da shawara na iya ba da shawarar a ɗauki hutun magani inda aka daina amfani da magani ko kuma aka rage maganin na wasu kwanaki, makonni, ko ma watanni.

Samun hutun shan magani, amma, ba na kowa bane. Marasa lafiya da ke da matsakaiciyar cutar ADHD na iya buƙatar ci gaba da kasancewa cikin jadawalin tsarin dosing. Samun hutun shan magani don rashin cin abinci mai yawa zai haifar da haɗarin cin abinci mai yawa. Nemi shawarwarin likita na farko; akwai wasu hanyoyin kwantar da hankali da ƙananan sakamako masu illa.

Albarkatun:

• Rashin cin abinci mai yawa , StatPearls
• Vyvanse , Munafunci
• Bayanin Vyvanse mai ba da umarni , FDA
• Binciken lisdexamfetamine dimesylate a cikin manya tare da raunin ƙarancin hauhawar hankali , Jaridar Cutar Tsarin Tsarin Jiji
• Vyvanse don matsalar rashin abinci mai yawa , Takeda
• Vyvanse don ADHD , Takeda
• Lisdexamfetamine a cikin maganin rashin cin abinci mai yawa-zuwa-mai tsanani a cikin manya , Cututtukan Neuropsychiatric da Jiyya
• Amfani da lisdexamfetamine don magance kiba a cikin samartaka mai tsananin kiba da yawan cin abinci , Yara
• Rage haɗarin damuwa tare da maganin psychostimulant a cikin yara tare da raunin rashin kulawa da cututtuka , Jaridar Yara da Yara Psychopharmacology
• Shin akwai haɗarin lalacewa na dogon lokaci daga zagin Vyvanse? , Cibiyoyin Shaye Shaye Na Amurka
• Canza dexamphetamine zuwa cikin nono yayin shan magani don raunin rashin kulawa da cuta , Jaridar British Journal of Clinical Pharmacology