He aha te Milnacipran: Ngā Whakamahinga, Inenga, Ngā Pānga Taha me Ētahi Atu

He rongoā whakahau a Milnacipran e āwhina ana ki te whakahaere i ngā āhuatanga mamae roa, ina koa ko te fibromyalgia. No te rōpū rongoā e kīia nei ko te serotonin-norepinephrine reuptake inhibitors (SNRIs), e mahi ana mā te whakatika i ētahi matū roro e pā ana ki te āhua me te kite i te mamae. Ahakoa e mōhio ana koe ki ngā SNRIs hei rongoā anti-depressant, kua kitea e Milnacipran tōna wāhi motuhake ki te rongoā i ngā āhuatanga mamae roa e pā ana ki tō oranga o ia rā.

He aha te Milnacipran?

He rongoā mahi-rua a Milnacipran e whakanui ana i ngā taumata o ngā matū roro nui e rua: te serotonin me te norepinephrine. He mahi nui ēnei neurotransmitters ki te āhua o te tukatuka o tō roro i ngā tohu mamae me te whakahaere i te āhua. Kāore i rite ki ētahi atu rongoā i tōna rōpū, he pānga taurite ake a Milnacipran ki ngā matū e rua, e whai hua ana mō ētahi āhuatanga mamae.

Ka tae mai te rongoā i roto i te puka papa, ā, ka tangohia e rua ngā wā i ia rā. I hangaia hei whiringa rongoā roa, kaua hei whakatika tere, ko te tikanga ka hiahia koe ki te tango tonu mō ētahi wiki i mua i te wheako i ōna painga katoa. Mā tēnei huarahi haere āta e āwhina tō tinana ki te urutau ki te rongoā i te wā e whakaiti ana i ngā pānga taha pea.

He aha te Milnacipran e whakamahia ana?

Ko te mea nui ka whakahaua a Milnacipran mō te fibromyalgia, he āhuatanga roa e whakaatuhia ana e te mamae uaua whānui me te ngawari. Ki te noho koe me te fibromyalgia, e mōhio ana koe ki te āhua o te mamae tonu, te mārō, me te ngenge e pā ana ki ngā āhuatanga katoa o tō oranga. Ka āwhina tēnei rongoā ki te whakaiti i ēnei tohu me te whakapai ake i tō kounga oranga.

I tua atu i te fibromyalgia, i ētahi wā ka tohutohu ngā tākuta i te milnacipran mō ētahi atu āhuatanga mamae roa. Ko ēnei pea ko ētahi momo mamae io, te mamae tuarā roa, ētahi atu rānei āhuatanga mamae pūmau kāore i pai te urupare ki ētahi atu rongoā. Heoi, ko te fibromyalgia tonu te whakamahinga tuatahi me te mea kua tino rangahaua.

He mea tika kia mōhio, ahakoa ka āwhina nui te milnacipran ki te whakahaere i te mamae, he tino whai hua ina honoa ki ētahi atu rongoā. Ka tūtohu pea tō kaiwhakarato hauora i te taha o te rongoā tinana, ngā tikanga whakahaere i te ahotea, i ngā huringa rānei o te oranga kia whai hua pai ai koe.

Me pēhea te mahi a te Milnacipran?

Ka mahi te Milnacipran mā te aukati i te urunga anō o te serotonin me te norepinephrine i tō roro. Whakaarohia me te pupuri i ēnei matū whai hua kia roa ake i ngā wāhi i waenga i ngā pūtau io. Ko tēnei wātea roa ake ka āwhina i te whakapai ake i ngā pūnaha whakaiti mamae tūturu o te roro, ka iti ake te whai hua i roto i ngā āhuatanga mamae roa.

E kiia ana he kaha te rongoā nei i roto i tōna akomanga. He kaha ake i ētahi rongoā mamae ka taea te hoko, engari he ngawari ake i ētahi rongoā mamae kaha ake. Ko te huarahi mahi rua te tikanga ka taea e ia te aro ki te mamae tinana me ngā āhuatanga aronganui e piri ana ki ngā āhuatanga mamae roa.

Kāore e puta tonu ngā pānga. Ka tīmata te nuinga o te tangata ki te kite i ngā whakapainga i ō rātou taumata mamae i muri i te 2-4 wiki o te whakamahi tonu. Ka whai hua pea ētahi i mua, i ētahi atu rānei ka hiahiatia ki te 8-12 wiki kia rongo i ngā pānga katoa. He pai tēnei tīmatanga haere, nā te mea ka taea e tō tinana te urutau haere, ka whakaiti i te tūponotanga o ngā pānga taha.

Me pēhea taku tango i te Milnacipran?

Tangohia te milnacipran kia rite tonu ki ta te tākuta i whakahau ai, te tikanga e rua nga wa i te ra me te kore ranei he kai. He maha nga tangata e kite ana he ngawari ake te mahara ki te tango i te wa kotahi i ia ra, penei i te parakuihi me te tina. Ka taea e koe te tango me te kai mena ka raru te puku, ahakoa ehara tenei i te mea e tika ana.

Horomia nga papa katoa me te karaihe wai katoa. Kaua e kuru, e ngaungau, e wawahi ranei, na te mea ka pa tenei ki te ahua o te rongoa e uru ana ki roto i to tinana. Mena he uaua ki a koe te horomia i nga pire, korero ki to kai rongoa mo nga tikanga ka awhina pea, engari kaua e whakarereke i te papa ake.

Ka timata pea to taakuta i a koe i runga i te horopeta iti ake, ka piki haere i te wiki tuatahi, e rua ranei. Ko tenei huarahi whakanui ka awhina i to tinana ki te urutau ki te rongoa me te whakaiti i nga paanga taha. Ko te mahere timatanga ka timata pea me te 12.5 mg kotahi i te ra mo te ra tuatahi, katahi 12.5 mg e rua nga wa i te ra mo nga ra e rua, katahi 25 mg e rua nga wa i te ra mo nga ra e wha, i mua i te tae ki te horopeta whaainga o te 50 mg e rua nga wa i te ra.

Whakamātauria ki te tango i o horopeta tata ki te 12 haora te wehe mo te painga tino rite. Mena kei te tango koe e rua nga wa i te ra, he pai te ata me te ahiahi mo te nuinga o nga tangata. Kaua e māharahara mena karekau koe i te 12 haora te wehe i ia ra – ngana noa ki te pupuri i te mahere auau e pai ana ki to oranga.

Kia Pehea Te Roa E Tango Ai Au i te Milnacipran?

Ko te Milnacipran te tikanga he rongoa mo te wa roa, ko te tikanga ka tango pea koe mo nga marama, tau ranei. Ko te nuinga o nga tangata e mate ana i te fibromyalgia e hiahia ana ki te rongoa tonu hei pupuri i te whakamaaramatanga o o ratou tohu. Ka mahi tahi to taakuta me koe ki te whakatau i te roanga tika i runga i te pai o to urupare ki te rongoa me te ahua o te ahunga whakamua o to ahuatanga.

He maha ngā tāngata e haere tonu ana ki te tango i te milnacipran mō te 6-12 marama i muri i te pai ake o ā rātou tohumate. Mā tēnei e āwhina kia mau tonu ngā painga, me te whakaiti i te tūponotanga o te hokinga mai o ngā tohumate. Ko ētahi tāngata ka hiahia ki te tango tonu i te rongoā, ēngari ko ētahi ka āhei ki te whakaiti i te horopeta, ki te whakamutu rānei i te rongoā i raro i te tirotiro hauora.

Ka arotakehia e tō tākuta hauora tō rongoā i ngā wā katoa hei aromatawai mēnā me haere tonu koe, me whakatika te horopeta, me whakaaro rānei ki ētahi atu kōwhiringa. Kaua e mutu te tango i te milnacipran ohorere, ahakoa kei te pai ake koe. Ko te whakamutu ohorere ka pā mai ngā tohumate whakatā, ā, ka hoki mai pea tō mamae. Me kōrero tonu ki tō tākuta mō ngā huringa katoa.

He aha ngā pānga taha o te Milnacipran?

Pērā i ngā rongoā katoa, ka pā mai ngā pānga taha o te milnacipran, ahakoa kāore katoa e pā ana. Ko te nuinga o ngā pānga taha he ngawari ki te āhua, ā, ka pai ake i te wā e urutau ana tō tinana ki te rongoā i ngā wiki tuatahi.

Ko ngā pānga taha e tino kitea ana ko te whakapairuaki, te ānini, te whanoke, me te pāpāpā. Ko ēnei te nuinga ka puta i te tīmatanga o te rongoā, ā, ka iti ake te raruraru i te wā e haere tonu ana koe ki te tango i te rongoā.

Anei ngā pānga taha e kitea ana e tika ana kia mōhio koe:

• Te whakapairuaki me te pōhara o te puku
• Te ānini
• Te whanoke, te māmā rānei o te mahunga
• Te pāpāpā
• Te mangai maroke
• Te nui ake o te werawera
• Te uaua ki te moe
• Te ngenge
• Te ngaro o te hiahia
• Ngā uira wera

Ko ēnei pānga taha noa ka taea te whakahaere mā ngā rautaki ngawari pērā i te tango i te rongoā me te kai, te noho wai, me te manawanui i te wā e urutau ana tō tinana.

Ko ngā pānga taha kāore i te kitea noa engari he nui ake te kino ka puta, ahakoa he iti noa te hunga e pā ana. Ko ēnei pea ko ngā huringa nui i roto i te pēhanga toto, ngā hē o te ngākau, te huringa nui rānei o te ngākau. Ahakoa he onge, me whai wāhi tonu te rongoā.

Ka pā pea ki ētahi tāngata ētahi pānga taha onge engari tino nui e hiahia ana ki te manaaki hauora wawe:

• Ngā tauhohenga pānga mate nui, me te pāpā, te pūpū, te uaua rānei ki te hā
• Te pikinga nui o te pēhanga toto, te tere o te ngākau rānei
• Te whakaheke toto, te pāpā rānei e kore e rite
• Ngā huringa nui o te wairua, tae atu ki ngā whakaaro mō te whara i a koe anō
• Ngā pūhihi
• Ngā raruraru ate nui (te kōwhai o te kiri, o ngā kanohi rānei)
• Te glaucoma kati koki (te mamae o te kanohi, ngā huringa o te tirohanga)

Mēnā ka pā ki a koe ētahi o ēnei pānga taha nui, whakapā atu ki tō kaiwhakarato hauora tonu, rapu rānei i te manaaki hauora ohorere. Kia mahara i whakarite tō tākuta i tēnei rongoā nā te mea e whakapono ana rātou he nui ake ngā painga i ngā tūponotanga mō tō āhuatanga motuhake.

Ko wai kāore e tika kia tango Milnacipran?

Kāore a Milnacipran e tika ana mō te katoa, ā, ko ētahi āhuatanga hauora, rongoā rānei ka kore e haumaru. Ka arotake tō tākuta i tō hītori hauora me ngā rongoā o nāianei i mua i te whakarite i te rongoā kia mōhio ai he haumaru mōu.

Kāore koe e tika kia tango milnacipran mēnā kei te tango koe, kua tango rānei i ngā rongoā anti-depressant e kīia ana ko MAOIs (monoamine oxidase inhibitors). Ka taea e ēnei rongoā te tauhohe kino ki a milnacipran, ka puta pea he āhuatanga nui e kīia ana ko te mate serotonin. Me tatari koe kia 14 rā i muri i te whakamutu i te MAOI i mua i te tīmatanga o te milnacipran.

He maha ngā āhuatanga hauora e hiahia ana ki te whakaaro motuhake i mua i te tīmatanga o te milnacipran:

• Te mate tākihi nui
• Te pēhanga toto tiketike kāore i te whakahaerehia
• Te hītori o ngā raruraru ngākau, te tere ngākau rānei e kore e rite
• Te mate ate
• Glaucoma, te pēhanga kanohi rānei kua piki ake
• Te hītori o ngā pūhihi
• Te mate bipolar, ētahi atu raruraru wairua rānei
• Ngā mate whakaheke toto
• Ngā raruraru pupuri mimi

Mēnā he āhuatanga ōna koe, ka āta whakatau tō tākuta i ngā painga me ngā tūponotanga i mua i te whakahau i te milnacipran. Ka whiriwhiria pea e rātou te aroturuki i a koe kia kaha ake, kia whakatika rānei i tō horopeta.

Me whai whakaaro motuhake hoki te hapū me te whāngai ū. Ahakoa kāore i te mōhiotia te milnacipran ki te whara i te wā o te hapū, he mea nui ki te kōrero i ngā tūponotanga me ngā painga ki tō tākuta mēnā kei te hapū koe, kei te whakamahere ki te hapū, kei te whāngai ū rānei.

Ngā Ingoa Waitohu Milnacipran

Kei te wātea te Milnacipran i raro i te ingoa waitohu Savella i te United States. Koinei te momo rongoā e tino whakahaua ana, ā, ka tae mai i roto i ngā momo kaha rerekē hei āhei ai te whakatikatika horopeta tika.

I ētahi atu whenua, ka wātea pea te milnacipran i raro i ngā ingoa waitohu rerekē, i ngā hanganga rerekē rānei. Mēnā kei te haere koe, kei te nuku rānei, me kōrero ki tō kaiwhakawhāiti rongoā mō ngā rongoā ōrite e wātea ana i tō wāhi hou.

Ka wātea pea ngā momo generic o te milnacipran i te wā, ka taea te whakarato i ngā kōwhiringa utu nui ake. Me kōrero tonu ki tō tākuta, ki tō kaiwhakawhāiti rongoā rānei i mua i te huri i waenga i te ingoa waitohu me ngā momo generic kia mōhio ai koe kei te whiwhi koe i ngā painga rongoā ōrite.

Ngā Kōwhiringa kē atu mō te Milnacipran

Mēnā kāore te milnacipran e pai ana mōu, e pā ana rānei ngā pānga taha raruraru, he maha ngā rongoā kē atu ka āwhina i te whakahaere i te fibromyalgia me te mamae mau tonu. Ka whakaaro pea tō tākuta ki ētahi atu SNRIs, ētahi anticonvulsants, ētahi atu rōpū rongoā rānei i runga i ō hiahia motuhake.

Ko ētahi atu SNRIs pēnei i te duloxetine (Cymbalta) e mahi ana i te rite ki te milnacipran engari he rerekē pea ngā kōrero mō ngā pānga taha. E pai ana ētahi tāngata ki tētahi i tētahi, nō reira ka whai hua te huri i roto i te rōpū kotahi.

Ko ngā rongoā ārai pākia pēnei i te pregabalin (Lyrica) me te gabapentin e whakamahia ana mō te fibromyalgia. He rerekē te mahi o ēnei i te milnacipran mā te pā tika ki ngā tohu io, ā, he pai ake pea ēnei kōwhiringa mēnā he momo mamae io tō.

Ka whai hua anō ngā huarahi kore rongoā hei whakakapi, hei tāpiri rānei ki tō mahere maimoatanga. Ko ēnei pea ko te rongoā tinana, te rongoā whanonga hinengaro, ngā tikanga whakahaere i te ahotea, ngā hōtaka whakakori tinana ngawari, ngā huarahi whakakapi pēnei i te acupuncture, i te mirimiri rānei.

He Pai Ake Anei te Milnacipran i te Duloxetine?

He SNRIs whai hua te milnacipran me te duloxetine e whakamahia ana mō te fibromyalgia, engari he rerekētanga nui ō rāua. Kāore tētahi e tino pai ake – ko te kōwhiringa pai rawa atu ka whakawhirinaki ki ō hiahia takitahi, te hītori hauora, me te pēhea tō urupare ki ia rongoā.

He pānga taurite ake te milnacipran ki ngā taumata serotonin me te norepinephrine, i te wā e pā ana te duloxetine ki te serotonin nui atu i te norepinephrine. Mā tēnei rerekētanga pea e whai hua ake ai te milnacipran mō ētahi momo mamae, i te wā e pai ake ai te duloxetine mēnā he nui hoki te pōuri, te āwangawanga rānei.

He rite ngā kōrero mō ngā pānga taha, engari kāore i te ōrite. He pai ake te tūātea o ētahi tāngata ki tētahi i tētahi. Ka nui ake pea te hiamoe o te duloxetine, i te wā e nui ake ai te whakapairuaki o te milnacipran i te tīmatanga. Ka āwhina tō tākuta i a koe ki te whakatau i ēnei āhuatanga i runga i tō āhuatanga motuhake.

Ka whai wāhi anō te utu, i te mea ka rerekē pea te inihua me te wātea o ngā rongoā whānui i waenga i ngā rongoā e rua. Kōrerohia ngā āhuatanga haumanu me ngā āhuatanga whaihua ki tō kaiwhakarato hauora kia whakatau ai ko tēhea pea te mea pai rawa atu mō koe.

Ngā Pātai Auau mō te Milnacipran

He Haumaru Anei te Milnacipran mō te Tāngata e Piki ana te Toto?

Ka taea e te Milnacipran te whakanui i te toto me te tere o te ngakau i roto i etahi tangata, no reira me ata tirotirohia mena he toto tiketike koe. Tera pea ka tirohia e to taakuta to toto i mua i te tiimata i te rongoa me te wa katoa i te wa e rongoatia ana.

Mena he pai te whakahaere i to toto tiketike, tera pea ka tohua e to taakuta te milnacipran engari ka ata tirotirohia koe. Ka whakatikahia pea e ratou o rongoa toto, te horopeta milnacipran ranei i runga i te hiahia. Heoi, ki te kore e whakahaerehia to toto, tera pea ka hiahia to taakuta ki te whakapumau i mua i te whakaaro ki te milnacipran.

He aha taku mahi mena ka nui rawa taku tango i te Milnacipran?

Mena ka nui rawa to tango i te milnacipran i te mea i tohua, whakapā atu ki to taakuta, ki te pokapū whakahaere paihana ranei i te wa tonu. Kaua e tatari kia kite mena ka puta nga tohu, na te mea he kino te horopeta nui.

Ko nga tohu o te nui rawa o te milnacipran ka uru pea ki te whakapairuaki nui, te ruaki, te whanoke, te tere o te ngakau, te rangirua ranei. Mena ka pa ki a koe etahi o enei tohu i muri i te tango i etahi atu rongoa, rapua tonu te tiaki hauora ohorere. Kia mau ki te pounamu rongoa kia mohio ai nga kaiwhakarato hauora ki nga mea katoa me te nui i tangohia e koe.

He aha taku mahi mena ka ngaro taku horopeta Milnacipran?

Mena ka ngaro koe i te horopeta milnacipran, tangohia i te wa e mahara ana koe, ki te kore e tata ana te wa mo to horopeta e whai ake nei. Mena kei roto i te 4-6 haora o to horopeta e whai ake nei, waiho te horopeta i ngaro ka haere tonu me to waarangi auau.

Kaua rawa e tango i nga horopeta e rua i te wa kotahi hei utu mo te horopeta i ngaro, na te mea ka piki ake to tupono ki nga paanga taha. Mena he maha nga wa e wareware ana koe ki nga horopeta, whakaarohia te whakarite i nga whakamaharatanga waea, te whakamahi ranei i te kaiwhakarite pire hei awhina i a koe kia mau tonu ki to waarangi rongoa.

Ahea ka taea e au te whakamutu i te tango i te Milnacipran?

Me whakamutu noa koe i te tango i te milnacipran i raro i te tohutohu a to taakuta. Ahakoa kei te pai ake koe, ko te whakamutu ohorere ka puta he tohu tangohanga, ka hoki ano to mamae.

Ka tae ki te wā ki te whakamutu, ka hangaia e tō tākuta tētahi hōtaka whakaheke haere, e whakaheke haere ana i tō horopeta i roto i ngā wiki, i ngā marama rānei. Mā tēnei e ārai ngā tohumate o te tango, pēnei i te whēru, te whakapairuaki, te ānini, te tohumate rite rewharewha rānei. Ka whai wā tō tinana ki te urutau ki te whakaheke i ngā taumata o te rongoā i te wā o te whakaheke.

Ka taea e au te inu waipiro i te wā e tango ana au i te Milnacipran?

He pai ake te whakaiti, te karo rānei i te waipiro i te wā e tango ana i te milnacipran. Ka taea e te waipiro te whakanui i te tūponotanga o ngā pānga taha pēnei i te whēru, te moe, me te uaua ki te arotahi. Ka taea hoki e ia te whakanui i te tūponotanga o ngā raruraru ate.

Mēnā ka whiriwhiria e koe te inu waipiro i ētahi wā, me mahi i runga i te āhua tika, me te aro ki te āhua o tō tinana. Me tīmata ki ngā rahinga iti ake i tāu e inu ai i te nuinga o te wā kia kite i te āhua o te urupare a tō tinana. Me kōrero tonu ki tō tākuta mō tō inu waipiro, nā te mea ka taea e rātou te tuku tohutohu whaiaro i runga i tō āhua hauora me ētahi atu rongoā e tango ana koe.