Wamugura Gabapentin Idashywe ku Karato? (Oya, Dore Ibyo Uzakora)

Byashyizwe ahagaragara na August (meetaugust.ai), isosiyete itanga serivisi yo kwitabwaho ku bwihutiro kuri murandasi ifite amafaranga 39 ishobora gutanga gabapentin igihe byagizwe inama nkenerwa. Nta kompanyi yishyuwe kugira ngo igaragezweho. Gerageza ibiciro byubu ku mukozi wese mbere yo kwiyandikisha.

Niba wumvise ko gabapentin ishobora gufasha mu bubabare bw'imitsi kandi wifuza kuyifata muri CVS cyangwa Walgreens uyu munsi, ntabwo uri wenyine. Kubabara k'umunsi ku munsi kw'imitsi bishobora gucura umuntu, kandi guteganya gahunda na muganga bifatwa nk'urukuta rurenze igihe umaze guhangana n'ububabare bwa buri munsi.

Igisubizo kirambuye ni oya. Gabapentin ntabwo iboneka idashywe ku karato muri Leta Zunze Ubumwe za Amerika. Farumasi yose muri Leta Zunze Ubumwe za Amerika isaba uruhushya rwemejwe rutanzwe n'umuntu wemewe w'umuvuzi mbere yo kuyiha.

Amakuru meza ni uko gabapentin ihendutse, kandi ubuvuzi bwa elegitoroniki bukozwe neza bworoshye kandi bwihuse. Ingingo yerekana impamvu gabapentin isaba uruhushya, ni ibihe bikoresho bidashywe ku karato bishobora gufasha, kandi wabona gute uruhushya kuri murandasi—akenshi mu gihe cy'isaha imwe.

Kuki Gabapentin Iba Ibisabwa Ururaza Kugaragaza?

Gabapentin yemewe na FDA k'ububabare bw'imitsi nyuma y'igitero cya virusi (postherpetic neuralgia) hamwe nibibazo bimwe na bimwe by'ibishyahuzi, ariko abavuzi bashinzwe ubuzima barayikoresha mu buryo butemewe n'amategeko kubintu birimo diyabete, ububabare bw'imitsi ku kubyimba kw'umugongo (sciatica), fibromyalgia, indwara yo kwiheba imitsi (restless legs syndrome), n'izindi moko y'ububabare bw'imitsi.

Irakomeza kuba isabwa uruhushya kubera impamvu nyinshi zingenzi zo kwirinda.

Ingaruka ku Miterere Y'umubiri

Gabapentin igira ingaruka ku mikoranire y'imitsi mu buryo bw'umubiri, bigatuma gusuzumwa n'abaganga byingenzi mbere yo gutangira kuvura.

Kugenzura Ihuzwa ry'Imiti

Gabapentin ishobora guhurana na:

• Imiti irimo opiyoyide (opioid medications)
• Morine
• Imiti yo mu gifu (antacids)
• Inzoga
• Izindi miti itera gusinzira

Kugabanya Inzira yo Gukoresha Imisozi

Ubuvuzi busanzwe batangirira ku muringoti muto hanyuma bukagabanyuka buhoro buhoro kugirango bugabanye ingaruka mbi. Imisozi isanzwe yo kubabara kw'imitsi iba hagati ya 300 mg kugeza 3,600 mg ku munsi, yagabanijwe mu masaha.

Ibyago byo Gusinzira

Gusinzira no kwibwa ni bimwe mu bikoresho biboneka cyane, cyane cyane mu cyumweru cya mbere cyo kuvura.

Imikorere y'Impyiko ni Ingenzi

Kubera ko gabapentin isohoka binyuze mu mpyiko, abafite imikorere idahagije y'impyiko bakenera imisozi mito.

Kwiringira Guhumeka

Mu mwaka wa 2019, FDA yongeyeho Warning kubijyanye no kugabanya guhumeka igihe gabapentin ihujwe n'imiti irimo opiyoyide cyangwa ikoreshwa nabantu bafite ibibazo bimwe na bimwe byo guhumeka.

Ikagenzurwa mu Ntara zimwe na zimwe

Nubwo gabapentin itatanzwe nk'ikintu kigenzurwa ku rwego rw'igihugu, ntara nyinshi—harimo Kentucky, Michigan, Tennessee, Virginia, North Dakota, na Alabama—zifite ibisabwa byinshi byo kwandika.

Inyigisho ziva kuri GoodRx zivuga ko gabapentin yakomeje kuba isabwa uruhushya kuva yemezwa na FDA mu 1993, kandi nta gahunda zihari zo kuyikora idashywe ku karato.

Ni ibihe bikoresho bidashywe ku karato bifasha koko?

Nta bikoresho bidashywe ku karato bigana gabapentin, ariko ibintu byinshi bishobora gutanga uburuhuko bitewe n'impamvu n'uburemere by'ibimenyetso byawe.

Kubababara Kw'imitsi mu Mwe

Imiti yo Kwambara Y'umubiri (Topical Lidocaine Patches)

• Ingero: Aspercreme Lidocaine 4%, Salonpas Lidocaine
• Bishyigikirwa n'ibimenyetso kubabara kw'imitsi y'inyuma (localized peripheral neuropathy)
• Igiciro gisanzwe: 15-30$ kubikoresho 5.

Cream ya Capsaicin (0.075%)

• Igabanya substance P kumpera z'imitsi
• Ishobora kwaka ibyumweru mbere yo kugera ku musaruro mwinshi
• Igiciro gisanzwe: 10-20$

Ibikoresho Bishyushya bifite Menthol

• Ingero: Biofreeze, Icy Hot
• Bitanga uburuhuko bw'akanya gato bwo kwishima
• Igiciro gisanzwe: 8-15$

Kubabara Rusange

NSAIDs

• Ibuprofen
• Naproxen
• Ubufasha buke kubabara kw'imitsi ubwako ariko bushobora gufasha ibibazo by'ububabare buvangiye.
• Igiciro gisanzwe: 5-15$

Acetaminophen (Tylenol)

• Ishobora gutanga uburuhuko bunoze bw'ibimenyetso
• Akenshi hitorwa igihe gukoresha NSAIDs igihe kirekire bidakwiriye
• Igiciro gisanzwe: 5-15$

Inyongerwa zifite ibimenyetso bimwe na bimwe

Alpha-Lipoic Acid

• Inzira y'inzira y'inzira y'inzira: 600 mg ku munsi
• Ibyiza by'ibimenyetso biriho kubibazo by'imitsi ya diyabeti.
• Igiciro gisanzwe: 20-40$

Acetyl-L-Carnitine

• Ishobora gutanga uburuhuko bunoze bw'ibimenyetso
• Igiciro gisanzwe: 15-30$

Vitamin B12

• Bifasha gusa igihe kubura byagaragaye
• Abakoresha metformin igihe kirekire bafite akaga kenshi ko kubura.
• Igiciro gisanzwe: 10-20$

Icyingenzi: Ibintu bidashywe ku karato bishobora gufasha uburibwe bucye bw'imitsi, ariko akenshi ntibitanga uburuhuko bumeze nka gabapentin isabwa uruhushya kubw'ububabare bwo hagati cyangwa burenze bwo mu mitsi.

Kugira ngo ubone amakuru ajyanye nibikorwa byose bitangwa, reba Ubuvuzi bwo Kubabara Kw'imitsi: Ni iki Gikora Koko.

Igihe Ugomba Gutekereza kuri Gabapentin

Wagirira akamaro kuvugana na muganga kuri gabapentin niba ufite:

• Diyabeti y'imitsi yo ku mikono n'amaguru itaravugururwa n'ubugenzuzi bwa sukari mu maraso cyangwa ibikoresho bidashywe ku karato.
• Urububare rw'imitsi nyuma ya virusi yo ku ruhu (postherpetic neuralgia) nyuma y'ibishyahure.
• Ububabare mu mugongo bukabya bukomeza kumanuka mu kuguru.
• Fibromyalgia ibabaza imitsi ku mubiri hose.
• Indwara yo kwiheba imitsi (restless legs syndrome) ituma wananirwa gusinzira.
• Ibimenyetso bikomeje ku ruhu nyuma yo gukoresha imiti y'imyambaro.
• Ushaka kugira uburyo budasanzwe bw'ikoreshwa rya pregabalin (Lyrica).
• Ibimenyetso bikomeje nubwo wifashishije imiti yo kwambara.

Uko Wabona Gabapentin Yanditswe kuri Murandasi

Kubantu benshi, inzira yo kuvurwa kuri murandasi iroroshye.

1. Sozwa ikibazo cy'ibimenyetso. Vuga ibimenyetso byawe, imiti urimo gufata, amakuru y'ubuvuzi, n'ubuvuzi wamaze kugerageza.
2. Hura n'umuganga wemewe. Ubusanzwe ibiganiro biboneka binyuze kuri videwo cyangwa ubutumwa bw'umutekano.
3. Urabona gahunda y'ubuvuzi bwihariye. Niba bikwiriye, umuvuzi wawe ashobora kwandika gabapentin, akenshi atangirira kuri 300 mg mbere yo kuryama mbere yo kongera umuringoti buhoro buhoro.
4. Uruhuza rw'ikoranabuhanga. Uruhuriza rwawe rwoherezwa muri farumasi y'aho uba, aho akenshi rba rwiteguye mu gihe cy'isaha imwe kugeza kumezi ane.

Igiciro gisanzwe cyo Kwishyura Amafaranga

• Kuvugana n'umuganga kuri murandasi: 19-75$
• Gabapentin isanzwe (igikoresho cy'iminsi 30): 5-20$
• Igiciro cyose rusange: 25-95$

Gabapentin isanzwe ni imwe mu miti ihendutse cyane ikoreshwa mu kuvura ububabare bw'imitsi.

Inyandiko ihwanye n'intara: Abantu bo mu ntara za Kentucky, Michigan, Tennessee, Virginia, North Dakota, na Alabama bashobora kwaka ibindi bisobanuro kubera ibyo intara zabo zisaba.

Ibibazo Bisubirwamo Kenshi

Gabapentin Iboneka Idashywe Ku Karato Aho ariho hose muri Leta Zunze Ubumwe za Amerika?

Oya. Gabapentin (harimo Neurontin, Gralise, na Horizant) isaba uruhushya muri farumasi yose muri Leta Zunze Ubumwe za Amerika, harimo CVS, Walgreens, Walmart, Costco, na Target. Nubwo amategeko atandukanye mu bihugu bimwe na bimwe, kwinjiza imiti isabwa uruhushya muri Leta Zunze Ubumwe za Amerika nta burenganzira bikunze kwemerwa.

Gabapentin Ni Ikintu Kigenzurwa?

Ntabwo ari ku rwego rw'igihugu. Ariko, intara nyinshi zifata gabapentin nk'ikintu kigenzurwa cyangwa zifite ibisabwa byinshi byo gukurikirana. Bitandukanye na pregabalin (Lyrica), ifatwa nk'ikintu kigenzurwa na leta, gabapentin ikomeza kuba idasanzwe ku rwego rw'igihugu.

Ni Ikihe Gikoresho Cyegereye Gabapentin Kidashywe ku Karato?

Imiti yo kwambara y'umubiri yitwa lidocaine patches isanzwe ifatwa nk'ikintu gikomeye cyane kidashywe ku karato kubw'ububabare bw'imitsi buri mu gace kamwe. Alpha-lipoic acid ifite ibimenyetso byiza muri za nyongerwa kubibazo by'imitsi ya diyabeti. Nta na kimwe muri ibyo bikoresho kigereranywa n'ubushobozi bwa gabapentin isabwa uruhushya kubw'ububabare bwo hagati cyangwa burenze bwo mu mitsi.

Gabapentin Ishobora Kuvamo Amafaranga Kingana iki?

Gabapentin isanzwe ihenda hagati ya 5 na 20$ igikoresho cy'iminsi 30 hamwe nibyo gutanga ibiciro nk'ibya GoodRx cyangwa Cost Plus Drugs. Ndetse no nta gutanga ibiciro, farumasi nyinshi zishyiraho munsi ya 30$. Neurontin yanditswe na brand iragura cyane kandi idafite inyungu z'ubuvuzi zarenze izo z'ubwoko rusange yemewe na FDA.

Nshobora Kubona Gabapentin kuri Murandasi ku Munsi Wego?

Yego, mu ntara nyinshi. Abakoresha serivisi za telehizi bashobora gusuzuma ibimenyetso byawe kandi bakwandikira gabapentin kuri elegitoroniki kugirango bigere muri farumasi mu gihe kimwe igihe byagizwe inama. Igiciro rusange cyose cyo kwishyura amafaranga kiba hagati ya 25 na 95$, harimo kuvugana n'umuganga n'imiti.

Ni Ibihano Bisanzwe Bimeze Gute?

Ibikoresho bisanzwe birimo:

• Gusinzira
• Kwibwa
• Kugabanya ibiro byoroheje
• Kuvubura amaboko cyangwa amaguru

Ibikoresho bidakunze kubaho ariko bifite akaga kurushaho birimo kugabana guhumeka igihe byahujwe na opiyoyide, impinduka zumutima, nibibazo byo kwirinda. Abavuzi bakunze gutangira numuringoti muto kugirango bagabanye ingaruka kandi bakurikirane umutekano.