Wamugura Trazodone Idashobora Kugurwa Idakoresheje Impapuro Z'umuganga? (Oya, Dore Icyo Gukora)

Niba wumvise ko Trazodone ikora neza mugukora ibitotsi kandi wifuza kuyigura kuri CVS cyangwa Walgreens muri iki gitondo, turasobanukiwe neza ko ubishaka. Ibitotsi by'ijoro bikora byose bigorane, kandi kujya kwa muganga kubintu byibanga nk'ubuherezi birasa nk'ikindi kigeragezo udashoboye gukora. Igisubizo cy'ukuri nuko Trazodone idashobora kugurwa idakoresheje impapuro z'umuganga muri Amerika. Ni ukugomba impapuro z'umuganga, kandi nta farumasi ya Amerika izayigurisha idafite impapuro z'umuganga zihamye zatanzwe numuganga ufite uruhushya.

Amakuru meza nuko Trazodone ifite igiciro cyiza kandi telehealth ikora gutanga impapuro zumuganga zamamaza byihuse. Ubu buyobozi burimo impamvu Trazodone igumya kuba ifunze, ibyo muburyo bugaragara muburyo bwo kugurwa bishobora gufasha mugukora ibitotsi, nuburyo bwo kubona impapuro z'umuganga kumurongo muminota mike.

Kuki Trazodone igomba kuba ifunze?

Trazodone yemejwe na FDA n'umuti wo kwirinda agahinda gakabije, ariko ikoreshwa cyane cyane muburyo butemewe kugirango ikore ibitotsi mubipimo byo hepfo (25-100mg). FDA irabifunga muri bano babwira:

• Icyiciro cy'umuti wo kwirinda agahinda gakabije: Ndetse nibipimo byo hepfo byo gusinzira, Trazodone igira ingaruka kuri serotonin, bisaba gusuzumwa numuganga.
• Gusuzuma imikoranire y'imiti: Ihurana na SSRIs, MAOIs, imiti y'amaraso, nimiti yo kugabanya ibiro.
• Gukoresha umutima: Ikintu gike ariko gikomeye cyo kurambura QT, cyane cyane mubantu bakuru.
• Gupima dosis: Dosi yibitotsi (25-100mg) itandukanye cyane numubare w'agahinda gakabije (150-300mg).
• Ingaruka z'ibitsina: Ikintu gike cyane ariko gikomeye (igitsina gifite igihe kirekire) bisaba ubuvuzi bwihutirwa.
• Ntabwo kubantu bose: Ntabwo byemewe kubantu bafite ibibazo bimwe na bimwe byumutima hamwe nibindi bipimo by'umuti.

Inama za GoodRx zemeza ko Trazodone yahoraga ifunze kuva yemerwa na FDA mu 1981 kandi ntabwo izahinduka kuba ifunguye.

Ni izihe mazu z'ibitotsi zishobora kugurwa zifasha koko?

Mugihe nta mazu z'ibitotsi zihwanye na Trazodone zihari, ibintu byinshi birashobora gufasha bitewe numubare wawe wo gusinzira:

Kubibazo bimwe na bimwe by'ibitotsi:

• Melatonin (0.3-3mg): Ibimenyetso byiza cyane kubibazo byo gusinzira, jet lag, nibikorwa by'igihe. $5-$15.
• Doxylamine (Unisom): Uruhinza rw'uburenganzira rw'umubiri. Bikora amasaha 4-8 ariko bigatera kwihanganira. $8-$15.
• Diphenhydramine (ZzzQuil, Benadryl): Uruhinza rw'uburenganzira rw'umubiri. Ibipimo bifite bisa na doxylamine. $8-$12.

Kubihungabana gutera ibitotsi:

• L-theanine: Amino acid itera kwishimira mugihe nta gusinzira. $10-$20.
• Magnesium glycinate: Uruhinza rw'umubiri rugabanya ibikoresho bifite ibimenyetso bike by'ibitotsi. $10-$20.
• Ashwagandha: Adaptogen ufite ibimenyetso by'ibitotsi n'ihungabana ry'ijoro. $15-$25.

Kubyakora mugusinzira no kwishimira:

• Chamomile, valerian root, passionflower: Ibimenyetso bimwe na bimwe, muburyo bugaragara. $10-$20.
• CBT-I (Cognitive Behavioral Therapy for Insomnia): Nta miti y'ingenzi, ibisubizo biramba cyane.

Bikomeye: Ibikoresho byo muburyo bwo kugurwa bikora kubitotsi byimazeyo ariko ntibigerana nuburyo Trazodone ikora mubuherezi bwamaze igihe kirekire. Diphenhydramine na doxylamine bigatera kwihanganira vuba (muri 1-2 icyumweru), nicyo gituma bidakwiriye gukoreshwa buri gihe. Kubuherezi bukomeje, ibikoresho by'ibitotsi bitagifunze nk'Trazodone bikora neza cyane kuruta ibindi.

Kugirango ubone ubuvuzi bwuzuye, reba Ubuvuzi bw'ubuherezi: Ni iki gikora koko.

Igihe ukenera koko Trazodone

Zirikana ko ugomba kubona impapuro z'umuganga niba ufite:

• Uruherezi bukomeye butagishobora gukira kumiti yo muburyo bwo kugurwa cyangwa impinduka zumubiri.
• Ibimenyetso byo gusinzira (kwiyiruka mugihe cy'ijoro, kugorana gusubira gusinzira).
• Ibimenyetso by'ihungabana bigatera ibitotsi aho ibikoresho bitagifunze bikwiye.
• Gukunda ibitotsi bitagatera ingorane kuruta Ambien cyangwa Lunesta.
• Agahinda gakabije hamwe nibimenyetso by'ibitotsi aho Trazodone ishobora gukemura byombi.
• Nta kwishimira Ambien cyangwa Lunesta cyangwa kwirinda ibintu bifunze.

Ubwo wakenera Trazodone kuri interineti

Kugirango ugire impapuro za Trazodone zamamaza ukoresheje telehealth biroroshye:

• Intambwe 1: Kwipimisha ibimenyetso. Vesha imiterere y'ibitotsi byawe, ni ibihe bikoresho byo muburyo bwo kugurwa washizeho, ni ibihe bikoresho by'ubu urimo gukoresha, kandi ufite uburwayi bw'agahinda gakabije cyangwa ihungabana.
• Intambwe 2: Kuganira kuri videwo cyangwa bidahari. Umuganga ufite uruhushya asuzuma ikibazo cyawe, muminota mike.
• Intambwe 3: Gusuzuma no gukora ubuvuzi. Ugenera umuganga ko Trazodone ikwiriye kandi akaguha 25-100mg yo gusinzira, ufata iminota 30 mbere yo gusinzira.
• Intambwe 4: E-prescription. Trazodone yoherezwa kumpapuro zawe kumpapuro zawe kugirango ugure kuri uwo munsi, muburyo busanzwe muminota 1-4.

Igiciro cyose: Telehealth consultation ($19-$75) + generic trazodone ($5-$15 kumafaranga 30) = $25-$90 byose kubakoresha cash-pay. Generic Trazodone ni kimwe mubishobora kugura cyane bifite impapuro zumuganga.

Ibibazo Bisubirwamo Bisubirwamo

Ese Trazodone irashobora kugurwa idakoresheje impapuro z'umuganga ahantu hose muri Amerika?

Oya. Trazodone (Desyrel, Oleptro) ni ukugomba impapuro z'umuganga mububiko bwose bwa Amerika harimo CVS, Walgreens, Walmart, Costco, na Target. Ibigereranyo bimwe bifite amategeko atandukanye y'ububiko, ariko gutumiza imiti ifunze hanze y'ibihugu bifite amategeko muli Amerika. Telehealth ikora gutanga impapuro zamamaza byihuse kandi bifite igiciro.

Ese Trazodone ni ikintu gifunze?

Oya. Trazodone ni ukugomba impapuro z'umuganga ariko ntabwo ari ikintu gifunze. Ibi bifite akamaro kubarwayi bashaka ubufasha bwo gusinzira kuko bivuze ko nta mabwiriza ya DEA, nta mabwiriza yo gusubira, kandi impapuro zamamaza za telehealth zihamye muli Amerika yose. Mu gihe Ambien cyangwa Lunesta (Schedule IV controlled), Trazodone ntigira akaga ko kwishingikiriza kandi nta bikorwa by'ibitotsi by'ibinyuranye nko gusinzira.

Ni ikihe gikoresho cyegereye cy'ibitotsi cyugururwa cyane cya Trazodone?

Doxylamine (Unisom) ni ikintu cyegereye cy'ibitotsi kugirango utangire gusinzira, ariko itera kwihanganira muminota 1-2. Melatonin ifasha kubibazo byo gutegura gusinzira. Nta nimwe ikigerana nuburyo Trazodone ikora mubuherezi bwamaze igihe kirekire. Niba ukeneye ubufasha bw'ibitotsi bikomeye kuruta gukoresha rimwe na rimwe, Trazodone ifunze ikora neza cyane kuruta ibikoresho by'ibitotsi byugururwa.

Trazodone ihendutse gute n'impapuro z'umuganga?

Generic Trazodone iraboneka. Generic Trazodone itwara amafaranga $5-$15 kumafaranga 30 hamwe na GoodRx cyangwa Cost Plus Drugs. Ndetse no muburyo bwiza, ibubiko byinshi byishyura munsi ya $20. Ibitabo by'izina Desyrel cyangwa Oleptro bihendutse $100-$300, ariko nta mpamvu zubuvuzi yo kwishyura ibitabo by'izina kuko generics byemejwe na FDA nk'ibihwanye nubuzima.

Nshobora kubona Trazodone kumurongo kumunsi umwe kubuherezi?

Yego. Abafite impapuro zamamaza bafite uruhushya bashobora gusuzuma ibimenyetso byawe byo gusinzira kuri videwo kandi bakagukorera Trazodone yo guhabwa kumpapuro zawe. Kuko Trazodone itafunze, ni kimwe mubishobora gutanga vuba cyane kuruta ibindi bitotsi kumurongo. Igiciro cyose cyo kwishyura cy'amafaranga y'ubusa ni hagati ya $25-$90 harimo ibiganiro numuti wa generic.

Hari ingaruka ngomba kumenya?

Ingaruka zidasanzwe zirimo gusinzira mu gitondo (bishinga kenshi nyuma y'icyumweru 1-2), akanwa kesa, hamwe numubare muke w'ibiro. Ibintu bikomeye ariko by'umubare muke birimo priapism (igitsina gifite igihe kirekire gisabwa kwitabwaho na ER), syndrome ya serotonin mugihe bikoreshejwe hamwe nibindi bikoresho bya serotonine, hamwe na QT kurambura kubantu bafite akaga gakomeye. Umuganga wawe azasuzuma ibibazo byose kandi azakurikirana ibibazo.