He aha te Dextromethorphan me te Bupropion: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te Dextromethorphan me te bupropion he rongoā rongoā e whakakotahi ana i ngā whakauru kaha e rua hei āwhina i te rongoā i te mate pāhohe nui i roto i ngā pakeke. E mahi ana tēnei huinga i runga i te rerekē i ngā rongoā anti-depressant tuku iho mā te aro ki ngā ara roro maha i te wā kotahi. He rongoā hou tēnei, engari kua whakaatu i ngā hua pai mō ngā tāngata kāore anō i kite i te oranga mā ētahi atu rongoā pāhohe.

He aha te Dextromethorphan me te Bupropion?

E whakakotahi ana tēnei rongoā i te dextromethorphan (te whakauru kei roto i ngā rongoā maremare) me te bupropion (he rongoā anti-depressant rongonui) ki roto i tētahi papa kotahi. Ka mahi ngātahi ēnei whakauru i runga i ngā matū roro rerekē hei āwhina i te whakapai ake i te wairua me te whakaiti i ngā tohu pāhohe. Kua hangaia te huinga nei kia whakahere i tētahi huarahi hou mō te rongoā i te pāhohe i te wā kāore anō ētahi atu rongoā i pai te mahi.

Ka aukati te Dextromethorphan i ētahi kaiwhiwhi roro e kiia nei ko ngā kaiwhiwhi NMDA, i te wā e whakanui ana te bupropion i ngā taumata o te dopamine me te norepinephrine. Mā tēnei mahi rua e āwhina i ngā tāngata kāore anō i urupare ki ngā rongoā anti-depressant tuku iho e mahi ana i runga i te serotonin. E wātea ana te rongoā nei mā te rongoā anake, ā, me mātua te tirotiro hauora.

He aha te Dextromethorphan me te Bupropion e whakamahia ana?

Kua whakaaetia tēnei rongoā huinga mō te rongoā i te mate pāhohe nui i roto i ngā pakeke. He maha ngā wā ka whakaarohia i te wā kāore anō ētahi atu rongoā anti-depressant i whai oranga nui, i pāngia rānei e te nui o ngā pānga taha. Ka tūtohu pea tō tākuta i tēnei rongoā mēnā kua whakamātau koe i te iti rawa e rua ētahi atu rongoā pāhohe kāore i angitu.

E whāinga ana te rongoā ki ngā tohumate o te pōuri pēnei i te pōuri tonu, te ngaro o te hiahia ki ngā mahi, te ngenge, me te uaua ki te arotahi. Ka āwhina pea ki ngā raruraru moe me ngā huringa hiahia kai e puta ana i te pōuri. Nā te mea he rerekē tana mahi i ētahi atu rongoā anti-pōuri, ka whai tūmanako pea mō te hunga i whakaaro kua pau ā rātou kōwhiringa.

Me pēhea te mahi a te Dextromethorphan me te Bupropion?

E whakaarohia ana tēnei rongoā he anti-pōuri kaha-waenga e mahi ana mā ngā tikanga e rua i tō roro. Ka aukati te wāhanga dextromethorphan i ngā kaiwhakawhiwhi NMDA, ka āwhina pea ki te whakaiti i te mumura o te roro me te whakapai ake i te kōrero o te pūtau io. I tētahi wā, ka whakanui te bupropion i ngā taumata o te dopamine me te norepinephrine, ngā matū roro e pā ana ki te ngākau me te hihiri.

Whakaarohia e mahi ana i ngā huringa e rua i tō roro i te wā kotahi. Ka whai hua tēnei huarahi rua nā te mea e pā ana te pōuri ki ngā ara roro maha. Ka tīmata pea te mahi o te huinga i roto i ngā wiki ruarua, ahakoa ka roa te 6-8 wiki kia puta katoa ngā painga.

Me pēhea taku tango i te Dextromethorphan me te Bupropion?

Tangohia tēnei rongoā kia rite ki tā tō tākuta i whakahau ai, te nuinga i te ata kotahi i ia rā. Ka taea e koe te tango me te kore kai rānei, engari mā te tango me te kai māmā ka āwhina pea ki te whakaiti i te puku pōuri. Horomia te papa katoa me te kore e kuru, e ngaungau, e whati rānei, nā te mea ka pā tēnei ki te tukunga o te rongoā i tō tinana.

He pai ki te tango i tō horopeta i te wā kotahi i ia rā kia mau tonu ngā taumata i tō pūnaha. Ki te raru koe i te moe, mā te tango i mua i te rā ka āwhina pea. Whaia tonu ngā tohutohu motuhake a tō tākuta, nā te mea ka whakatika pea rātou i tō horopeta i runga i te urupare ki te rongoā.

Kia pehea te roa e tango ai au i te Dextromethorphan me te Bupropion?

Ko te nuinga o te tangata e hiahia ana ki te tango i tenei rongoa mo etahi marama kia kite i nga painga katoa, a he tokomaha e haere tonu ana mo te tau, neke atu ranei. Tera pea ka timata to taakuta i a koe ki te horopeta iti ake, ka piki haere i roto i nga wiki e maha. He mea nui ki te whai waahi te rongoa ki te mahi, na te mea ko te rongoa pouri e hiahia ana ki te manawanui.

Kaua rawa e mutu te tango i tenei rongoa ohorere, ahakoa kei te pai koe. Ka awhina to taakuta i a koe ki te hanga mahere hei whakaiti i to horopeta i te wa e tika ana kia mutu. Ma tenei ka aukati i nga tohu tangohanga me te whakaiti i te tupono ka hoki mai te pouri. Ko nga huihuinga whai-a-roto i nga wa katoa ka awhina i te whakarite kia whiwhi koe i nga hua pai rawa atu me te iti rawa o nga paanga taha.

He aha nga paanga taha o te Dextromethorphan me te Bupropion?

Pērā i ngā rongoā katoa, ka taea e tēnei huinga te pānga taha, ahakoa kāore te katoa e pā ana ki a rātou. Ko te nuinga o nga paanga taha he ngawari ki te ngawari, a he maha nga wa ka pai ake i te wa e urutau ana to tinana ki te rongoa. Ko te mohio ki nga mea e tumanakohia ana ka awhina koe ki te pai ake te rite me te mohio ki te wa ki te whakapā atu ki to taakuta.

Ko nga paanga taha noa e pa ana ki te nuinga o te tangata ko:

• Te whakapairuaki, te puku ranei
• Te whanoke, te mamae ranei
• Te mahunga
• Te raruraru moe, te moemoea ranei
• Te mangai maroke
• Te kōroke
• Te ngenge, te hiamoe ranei

Ko enei paanga taha o ia ra ka iti ake te raruraru i roto i nga wiki tuatahi o te maimoatanga. Ko te inu i te wai nui me te tango i te rongoa me te kai ka awhina i te whakaiti i nga take e pa ana ki te puku.

Ko nga paanga taha iti noa iho engari he nui ake te hiahia kia aro tonu te rongoa. Ahakoa kare enei e pa ana ki te nuinga o te tangata, he mea nui ki te mohio ki nga tohu whakatupato:

• Ngā pūhi, ngā kōpiko rānei
• Te whēru nui, te ngaro rānei
• Te ngākau tōrere, te mamae rānei o te uma
• Ngā mamae nui o te upoko, ngā huringa rānei o te tirohanga
• Ngā whakaaro mō te whara i a koe anō, te whakamomori rānei
• Ngā huringa nui o te ngākau, te ohooho rānei
• Te uaua ki te manawa, te pūhi rānei

Mēnā ka pā ki a koe ētahi o ēnei tohumate nui, whakapā atu ki tō tākuta tonu, rapu rānei i te manaakitanga hauora ohorere. Ko tō haumaru te mea matua, ā, me aro wawe ki ēnei tohumate.

Ko wai kāore e tika kia tango i te Dextromethorphan me te Bupropion?

Kāore tēnei rongoā i te pai mō te katoa, ā, ka taea e ētahi āhuatanga hauora, rongoā rānei te kore haumaru. Ka āta arotakehia e tō tākuta tō hītori hauora i mua i te whakahau i tēnei huinga. Ko te pono mō ō āhuatanga hauora me ētahi atu rongoā ka āwhina i te whakarite i tō haumaru.

Kāore koe e tika kia tango i tēnei rongoā mēnā he āhuatanga ō koe ka tūpono he mōrearea:

• Hītori o ngā pūhi, te mate rānei o te kirika
• Ngā mate kai pēnei i te anorexia, te bulimia rānei
• Te mate ate nui, te mate tākihi rānei
• Te toto tiketike kāore i te whakahaerehia
• Hītori o te wharanga o te upoko, ngā puku rānei o te roro
• Te whakamahi i ngā aukati MAO i tēnei wā

I tua atu, e hiahia ana tēnei rongoā kia tūpato atu mēnā kei te tango koe i ētahi atu rongoā, he āhuatanga hauora rānei ō koe. Ka whakatauritehia e tō tākuta ngā painga ki ngā tūponotanga i ēnei āhuatanga.

Ngā Ingoa Waitohu o te Dextromethorphan me te Bupropion

Kei te wātea tēnei rongoā huinga i raro i te ingoa waitohu Auvelity. He rongoā hou tēnei i whakamanahia e te FDA i te tau 2022. Ka āwhina te ingoa waitohu ki te wehe i tēnei i ētahi atu rongoā kei roto anake te bupropion, te dextromethorphan rānei i roto i ngā rongoā maremare.

I te kōrero ki tō tākuta, ki te kaimātai rongoā rānei, ka taea e koe te kōrero ki a ia mā te ingoa waitohu Auvelity, mā tōna whakaahuatanga whānui rānei hei huinga dextromethorphan me te bupropion. I tēnei wā, ko tēnei huinga motuhake e wātea ana anake hei rongoā waitohu, ahakoa ka wātea pea ngā putanga whānui ā muri ake nei.

Ngā Kōwhiringa kē mō te Dextromethorphan me te Bupropion

Mēnā kāore tēnei rongoā e pai ana mōu, e nui rawa rānei ngā pānga taha, he maha atu ngā kōwhiringa e wātea ana. Ka whakaaro pea tō tākuta ki ētahi atu rongoā anti-pōuri e mahi ana i ngā matū roro rerekē, i ngā huinga rānei. Ko te mea nui ko te kimi i te rongoā tika e mahi ana mō tō āhuatanga motuhake.

Ngā rongoā kē ka whakaaro pea tō tākuta ko:

• Ngā rongoā anti-pōuri SSRI pēnei i te sertraline, i te escitalopram rānei
• Ngā rongoā anti-pōuri SNRI pēnei i te venlafaxine, i te duloxetine rānei
• Ētahi atu rongoā anti-pōuri atypical pēnei i te mirtazapine
• Ngā kōwhiringa hou pēnei i te rehu ihu esketamine
• Ngā rongoā huinga me ngā rongoā rerekē

Ka āwhina tō tākuta i a koe ki te tūhura i ēnei kōwhiringa kē i runga i ō tohumate, hītori hauora, me ngā wheako rongoā o mua. I ētahi wā ka roa te whakamātau i ngā huarahi rerekē kia kitea te mea e pai ana mōu.

He Pai Anei te Dextromethorphan me te Bupropion i te Wellbutrin?

Kei roto i tēnei rongoā huinga te bupropion (te mea kotahi kei roto i te Wellbutrin) me te dextromethorphan, nō reira ehara i te whakataurite i waenga i ngā rongoā e rua rerekē. Ko te tāpiri i te dextromethorphan ka whai hua pea mō ngā tāngata kāore i pai te urupare ki te bupropion anake. Heoi, "pai ake" ka whakawhirinaki ki tō urupare takitahi me ō hiahia.

E kitea ana e ētahi tāngata he whai hua ake te huinga i te bupropion anake nā te mea e aro ana ki ētahi atu ara roro. He pai te haere o ētahi atu ki te bupropion anake, kāore hoki e hiahia ana ki te uaua o te rongoā huinga. Ka taea e tō tākuta te āwhina i te whakatau ko tēhea huarahi te mea tika mō tō āhuatanga me ō tohumate pouri.

Ngā Pātai Auau mō te Dextromethorphan me te Bupropion

Q1. He Haumaru te Dextromethorphan me te Bupropion mō te Mate Ngākau?

Me whakaaro nui tēnei rongoā mēnā he raruraru tō ngākau. Ka taea e te Bupropion te whakanui i te pēhanga toto me te tere o te ngākau, he mea pea e pā ana ki ngā tāngata e whai ana i ētahi mate ngākau. Me arotake e tō tākuta tō hauora ngākau i mua i te whakarite i tēnei rongoā. Ka hiahia pea rātou ki te aroturuki i tō pēhanga toto me te tere o te ngākau i te wā o te rongoā. Mēnā he pai te whakahaere o tō mate ngākau, ka taea tonu pea e koe te tango i tēnei rongoā me te tirotiro hauora tika.

Q2. Me Pēhea Taku Mahi Mēnā Ka Tango Au i te Nui Rawa o te Dextromethorphan me te Bupropion?

Mēnā ka tango koe i te nui atu i tō horopeta i whakaritea, whakapā atu ki tō tākuta, ki te whakahaere paitini rānei i te wā tonu. Ko te tango i te nui rawa ka whakanui i te tūponotanga o te hopu, ina koa ki te wāhanga bupropion. Kaua e tatari kia kite mēnā ka puta ngā tohumate, nā te mea he nui te pānga o te horopeta nui. Mēnā kei te pā koe i ngā tohumate pēnei i te rangirua, te tere o te ngākau, te hopu rānei, rapua te tiaki hauora ohorere i te wā tonu. Puritia te pounamu rongoā ki a koe kia mōhio ai ngā tākuta ki te aha i tangohia e koe.

Q3. Me Pēhea Taku Mahi Mēnā Ka Ngaro Au i te Horopeta o te Dextromethorphan me te Bupropion?

Mēnā ka ngaro i a koe tō horopeta o ia rā, tangohia i te wā e mahara ana koe, ki te kore e pō. Mēnā he ahiahi, tata rānei ki te wā moe, waiho te horopeta i ngaro, ka tango i tō horopeta e whai ake nei i te wā tika i te ata e whai ake nei. Kaua rawa e tango e rua ngā horopeta i te wā kotahi hei utu mō te horopeta i ngaro. Ko te tango i tēnei rongoā i te pō roa rawa ka raru i te moe, nō reira he pai ake te tatari kia te ata e whai ake nei mēnā ka mōhio koe i ngaro i te pō.

Q4. Āhea Āeā e mutu ai taku tango i te Dextromethorphan me te Bupropion?

Kaua rawa e mutu te tango i tēnei rongoā ohorere noa atu me te kore e kōrero ki tō tākuta i te tuatahi. Ko te mutu ohorere ka pā mai ngā tohumate whakawātea, ā, ka hoki mai pea tō pōuri. Mā tō tākuta koe e āwhina ki te waihanga i tētahi hōtaka whakaheke haere, e whakaheke haere ana i tō horopeta i roto i ngā wiki maha. Ko te nuinga o te tangata me tango i ngā rongoā anti-pōuri mō te 6-12 marama i muri i te pai ake o te tū, hei aukati i te hokinga mai. Ko te whakatau ki te mutu me mahi tonu tahi me tō kaiwhakarato hauora i runga i tō ahunga whakamua me ō āhuatanga.

Q5. Ka taea e au te inu waipiro i te wā e tango ana i te Dextromethorphan me te Bupropion?

He pai ake te karo i te waipiro i te wā e tango ana i tēnei rongoā, nā te mea ka piki ake te tūponotanga o ngā whiu, ā, ka kino ake ngā pānga taha pēnei i te whanoke. Ka raru hoki te waipiro i te kaha o te rongoā ki te āwhina i tō pōuri, ā, ka kino ake pea tō tū katoa. Mēnā ka whiriwhiri koe ki te inu i ētahi wā, whakawhāitihia koe ki ngā rahinga iti, ā, aro mai ki tō tū. Kōrero ki tō tākuta mō te whakamahi waipiro, nā te mea ka taea e rātou te whakarato i ngā aratohu whaiaro i runga i tō hauora me te urupare rongoā.