Cymbalta: ingaruka mbi

Ingaruka mbi zikunze kugaragara kuri Cymbalta harimo isesemi, akanwa kakaguma yumye, gusinzira, n'umutsi utagenda, ibi bikunda kugabanuka umubiri wawe ugenda ubimenyera. Ariko, ingaruka zikomeye, nubwo zidasanzwe, zishobora kubaho, harimo kwangirika kw'umwijima, indwara ya serotonin, no kwiyongera kw'ibitekerezo byo kwiyahura ku rubyiruko. Ikindi kandi, guhagarika imiti bisaba ubuyobozi bw'umuganga kugira ngo wirinde ibimenyetso bikomeye byo kuva ku miti. Ubu buyobozi buzajya buguha amakuru yose ukeneye.

Ni izihe ngaruka mbi zikunze kugaragara kuri Cymbalta?

Iyo utangiye gufata Cymbalta, umubiri wawe uba ukeneye igihe cyo kwimenyereza. Mu gihe cyo gutangira, zazana icyumweru cyangwa bibiri, uzahura n'ibyo bita ingaruka mbi zikunze kugaragara kuri Cymbalta. Impamvu nziza ni uko ku bantu benshi, izi ngaruka zidapfa kwangiza kandi zikagenda zikira zonyine.

Dore zimwe mu ngaruka zikunze kuvugwa kuri duloxetine hamwe n'inama ngenderwaho zo kuzicunga:

• Isesemi: Ni ikibazo gikunze kuvugwa. Akenshi yumva nk'ubwoba bucye, budahagarara.

  • Inama yo kugicunga: Fata dose yawe ya Cymbalta hamwe n'ibiryo cyangwa icyo urya. Wirinda kuyifata uri bw’umugati. Niba ikomeje, ganira na muganga wawe; rimwe na rimwe guhindura igihe cyo kuyifata byafasha.

• Akanwa kakaguma yumye (Xerostomia): Ushobora kubona akanwa kawe kaguma kakama nk’imikatsi.

  • Inama yo kugicunga: Gerageza kunywa amazi menshi ku munsi. Kunkama imiti idafite isukari cyangwa kunkama impapuro zidafite isukari byashishikaza gusohora amabyi kandi bikaguha ubworoherane source.

• Gusinzira cyangwa umunaniro: Kumva ufite umunaniro kurusha ibisanzwe cyangwa no gusinzira ku munsi ni ibisanzwe, cyane cyane mu ntangiriro y'ubuvuzi.

  • Inama yo kugicunga: Niba Cymbalta ikugirira isesemi, gerageza kuyifata nimugoroba mbere yo kuryama. Birakenewe kwirinda gutwara imodoka cyangwa gukoresha ibikoresho bikomeye kugeza ubwo uzamenya uko imiti igukoraho.

• Kutaryama: Naho bamwe bumva bafite umunaniro, abandi babona ko bigoye gusinzira cyangwa kuryama.

  • Inama yo kugicunga: Niba ugira ikibazo cyo kutaryama, gufata dose yawe mu gitondo bishobora gufasha. Kwigana imico myiza yo kuryama—nk'ugumana gahunda ihoraho yo gusinzira no gukora ibintu bikoroheje mbere yo kuryama—bishobora kandi kugira akamaro kanini.

• Umubyimba: Cymbalta ishobora gukereza imikorere y'igogora.

  • Inama yo kugicunga: Zongera kurya ibiryo bifite fibre nyinshi nk'imbuto, imboga, n'ibinyampeke. Kunywa amazi menshi no gukora imyitozo ngororamubiri ya buri gihe byafasha kandi kugira ngo imikorere igende neza.

• Kwiyongera kw'ibyuya: Ushobora kwisanga ufite ibyuya byinshi kurusha ibisanzwe, nubwo udakora imirimo yo kwirushya.

  • Inama yo kugicunga: Jya wambara imyenda ivanga ikirere nk'imyenda ya kapok kandi wambare imyenda myinshi. Agapfuke gasukuye gakomeye kakagufasha kandi mu kwirinda ibyuya.

• Guta ubushake bwo kurya: Bamwe mu bantu babona ko ubushake bwabo bwo kurya bugabanuka bagiye muri Cymbalta, ibi bikaba byatuma binanuka.

  • Inama yo kugicunga: Gerageza kurya ifunguro rito, rishya kenshi ku munsi aho kurya inshuro eshatu zikomeye. Niba guta ubushake bwo kurya kwiganje, ganira na muganga wawe.

Kumenya ni ikihe cyari cyiza cyane cyo kurya cyane cyane kubantu bafite ibibazo by'uburwayi bwo mu nda bifasha kugirango wumve ko ufite ibikoresho kandi udahangayitse uko utangira inzira y'ubuvuzi bwawe.

Ingaruka mbi Zikomeye: Ryari Wagana kwa Muganga

Nubwo ingaruka mbi zisanzwe zishobora kwitabwaho, ni ingenzi ko wamenya ingaruka mbi zikomeye za Cymbalta. Izi si nyinshi, ariko zibasaba kwihutira kwitabwaho n'umuganga. Niba wowe cyangwa umuntu uzi afite bimwe muri ibi bimenyetso, hamagara umuganga cyangwa ujye kwihutana kwa muganga.

• Kwangirika kw'umwijima: Cymbalta yafatanijwe n'ibyago byiyongereye by'ibibazo by'umwijima, cyane cyane ku bari kunywa inzoga nyinshi. Ibimenyetso bya kwangirika kw'umwijima kwa Cymbalta bishobora kuba byoroheje mu ntangiriro.

  • Ibyo ureba: Kwihindurira ibisa n'umuhondo kwa ruhu cyangwa amaso (jaundice), kubabara cyane mu gice cyo hejuru cy'iburyo mu nda, inkari zifite ibara ryijimye, n'umunaniro udasanzwe source.

• Serotonin Syndrome: Ni indwara ishobora kwica iterwa n'insure ya serotonin nyinshi mu bwonko. Ubwoba bwiyongera niba ufata Cymbalta hamwe n'indi miti igira ingaruka kuri serotonin, nko kurwanya indwara zo mu mutwe (SSRIs, MAOIs), triptans ku ndwara y'umutwe, cyangwa bamwe mu bafata ibintu by'ububabare.

  • Ibyo ureba: Kwihaza cyangwa kutoroherana, kwibeshya, guhonda k'umutima kwihuta, umuvuduko ukabije w'amaraso, kwiyongera kw'amaso, guhitana kw'imitsi cyangwa kwijimisha, n'igituntu gikabije source.

• Indwara zikomeye zo ku ruhu: Mu bihe bidasanzwe, Cymbalta ishobora gutera indwara zikomeye nk'indwara ya Stevens-Johnson (SJS).

  • Ibyo ureba: Kubabara ku ruhu, kwirundura cyangwa kwirundura ku ruhu, n'ibisebe ku mibiri yoroheje (nk'akanwa cyangwa igitsina).

• Kwiyongera kw'amaraso: Nk'uko SNRI, Cymbalta ishobora kugira ingaruka ku maraso, ibi bikaba bifite akamaro mu kwirinda ko amaraso atanga. Ibi byongera ibyago byo gutanga cyangwa kwihana amaraso, cyane cyane niba ufata NSAIDs (nk'ibintu bikoreshwa mu mubiri nk'ibitera ububabare) cyangwa abantu bahura n'amaraso (nk'ibyo byagenze nka warfarin).

  • Ibyo ureba: Kwihana amaraso bidasanzwe, impyisi zikunze kuvugwa, cyangwa amaraso bikomeye guhagarara.

• Kuvuduga kw'amaraso kwiyongereye (Hypertension): Cymbalta ishobora gutera kwiyongera kwa kugeza ku umuvuduko mwinshi w'amaraso. Muganga wawe yakagombye gukurikirana umuvuduko wawe w'amaraso mbere yo gutangira kandi akaba abikora kenshi mu gihe cy'ubuvuzi bwawe.

• Ibindi bintu bikomeye:

  • Indwara z'igicamunsi: Niba ufite igicamunsi mugihe ufata Cymbalta, shaka ubuvuzi bwihutirwa.
  • Mania cyangwa Hypomania: Mu bantu bafite indwara ya bipolar, Cymbalta ishobora gutera episode ya manic. Ibimenyetso birimo ingufu zidasanzwe, kwanga gusinzira, ibitekerezo byihuta, n'ibitekerezo byihariye.
  • Kugabanuka kw'isukari mu maraso (Hyponatremia): Ibi bikunze kubaho ku bantu bakuze kandi bishobora gutera indwara, kwibeshya, intege nke, kandi mu bihe bikomeye, igicamunsi cyangwa koma.
  • Indwara y'ijisho y'ubwoko bwa Angle-Closure Glaucoma: Cymbalta ishobora gutera guturika kwa glaucoma mu bantu bafite "imipaka y'imyanya" mu maso yabo. Ibimenyetso birimo kubabara kw'ijisho, impinduka mu kwireba, n'ibirundutsi cyangwa umutuku wo mu ijisho.
  • Kubika inkari: Ikibazo cyo gusohora inkari cyangwa kutashobora gusohoza imyanya y'inkari burundu.

Ibi ngaruka mbi zishobora gutera ingaruka mbi za Cymbalta zagaragaza ubwihanganire bw'umubiri bwo kugumana na muganga wawe mu gihe cy'ubuvuzi bwawe.

Kumenya FDA Black Box Warning: Ibitekerezo n'Imyitwarire yo Kwiyahura

Kimwe mu byo kwirinda cyane bifatanijwe na Cymbalta kireba kwiyongera kw'ibitekerezo by'kwiyahura n'imyitwarire yo kwiyahura. Ibi ni ingenzi cyane ku buryo Urugaga rw'Abanyamerika rwa Leta Zunze Ubumwe rw'Umuvuzi n'ibiryo (FDA) rwategetse "black box warning"—aho riburira cyane—ku rupapuro rw'iyi miti source.

Iki cyo kwirinda kireba abana, abangavu, n'urubyiruko (kugeza ku myaka 25) bifuza ko batwara imiti yo kurwanya indwara zo mu mutwe ndetse n'izindi ndwara zo mu mutwe.

Birakenewe kumenya ko ibi bidashaka kuvuga ko Cymbalta itera ibi bitekerezo ku bantu bose, ahubwo ko ibyago byiyongera muri iki cyiciro, cyane cyane mu mezi ya mbere y'ubuvuzi cyangwa nyuma yo guhindura dosiye.

Ibimenyetso byo kwirinda bigomba gukurikiranwa byimazeyo birimo: * Kwiyongera kw'indwara zo mu mutwe cyangwa imihangayiko * Impinduka zidasanzwe cyangwa zikomeye mu mico cyangwa mu myitwarire * Kwihaza, umubabaro, cyangwa kutoroherana * Gutera gutera kwa kugaragara mu ndwara yo mu mutwe * Kutaryama * Kwigira mu ngendo zishobora kuba zishobora gutera akaga * Kwiyongera kw'ibiganiro kubyerekeye urupfu cyangwa kwiyahura

Iki wakora: Niba wowe cyangwa umuntu mukundana afata Cymbalta kandi akagaragaza bimwe muri ibi bimenyetso, hamagara umuganga ako kanya. Ntugategereze.

Niba ufite ibitekerezo byo kwiyahura, shaka ubufasha none. Washobora kuvugana n'abantu bashobora kugufasha uhamagaye cyangwa wohereza ubutumwa kuri 988 igihe cyose muri Leta Zunze Ubumwe za Amerika no muri Kanada. Mu Bwongereza, ushobora guhamagara 111.

Cymbalta ni myiza ku gihe kirekire? Kuvugurura ingaruka mbi z'igihe kirekire

Iyo imiti itegerejwe ko izafatwa amezi cyangwa imyaka myinshi, ni ibisanzwe kwibaza, “Cymbalta ni myiza ku gihe kirekire?” Nubwo abantu benshi bakomeza kwishimira Cymbalta mugihe cy'igihe kirekire, ingaruka zimwe zishobora kwiyongera cyangwa zikomeza no mu gihe kirekire. Kumenya izo ngaruka mbi za Cymbalta z'igihe kirekire ni ingenzi ku kwita ku buzima bwawe buri gihe.

• Impinduka z'ibiro: Uko Cymbalta n'imyanya y'ibiro bimeze ni ingorabahizi. Nubwo gutakaza ubushake bwo kurya mu ntangiriro byatuma bamwe bananuka, gukoresha igihe kirekire kunyurwa no kwiyongera kw'ibiro ku bandi. Impamvu nyayo ntirasobanuka neza ariko ishobora kuba ifitanye isano n'impinduka mu mikorere y'umubiri cyangwa ubushake bwo kurya mu gihe kirekire. Kwicukumbura ibiro byawe no kugumana inzira nziza yo kubaho bifasha kwita ku iki kibazo.

• Ububabare mu gitsina: Ni imwe mu ngaruka mbi zikunze kugaragara kandi zikomeye z'igihe kirekire za Cymbalta. Ingaruka mbi z'igitsina za Cymbalta zishobora kugira ingaruka ku buzima bwawe kandi zirimo kugabanya ubushake bwo gukora imibonano mpuzabitsina (libido), ikibazo cyo kubona cyangwa kubungabunga igitsina gishyitswe (ku bagabo), no kugorana kugera ku gikorwa cyo gushyirwa mu mubiri (ku bagabo n'abagore). Ni ikibazo cy'ubwihanganire, ariko ni ingenzi kuganira na muganga wawe, kuko ashobora guhindura idosiye yawe cyangwa gutanga izindi nama.

• Ingaruka ku bwenge: Bamwe mu bakoresha igihe kirekire bavuga ko babona “ubwonko bwumye,” ibibazo by'imyibukiro, cyangwa ikibazo cyo kwibaza. Bishobora kumva nk'uko gutekereza kwawe kwinaniwe cyangwa kudafite ubuhanga kuruta bisanzwe. Niba izi ngaruka zigira ingaruka ku buzima bwawe bwa buri munsi, ni ikibazo cyiza cyo gutanga kuri muganga wawe.

• Kugabanya uburemere bw'amagufwa: Ubushakashatsi bugaragaza ko gukoresha imiti yo mu mutwe igihe kirekire nka Cymbalta ishobora gufatana no kugabanya uburemere bw'amagufwa, ibi bikaba byongera ibyago byo kwangirika kw'amagufwa, cyane cyane ku bantu bakuze source.

Ikibazo cyo guhagarika: Kuvugurura kwa Cymbalta no kwirinda indwara

Wenda kimwe mu bintu byinshi biganirwa kuri Cymbalta ni uko bigenda iyo uhisemo kuyihagarika. Kwirinda iyi miti, cyane cyane kwiruka, bishobora gutera indwara yitwa kwirinda indwara kwa Cymbalta. Ibi si nko kwishimisha; ni igisubizo cy'umubiri w'umubiri w'umubiri wawe n'ubwonko bwe byemera kubura imiti.

Ingaruka mbi zo kwirinda kwa Cymbalta zishobora kuba zibabaza cyane kandi zikaba zitera ubwoba. Akenshi zirimo: * Guhonda n'ikibazo cy'ubworoherane: Kumva udafite ubworoherane cyangwa ko isi iragenda irazunguruka. * Isesemi n'iruka: Gusubira inyuma kw'isesemi waba warumvise utangira. * Indwara y'umutwe: Akenshi bivugwa ko ikomeye kandi itahagarara. * Imihangayiko, kwihaza, n'umubabaro: Imitekerereze yawe ishobora kuba itariho kandi ikaba iri hafi kwangirika. * Ibibazo by'impinga: Ni kimwe mu bibazo byihariye kandi bitangaza cyane. Abantu benshi bavuga ko babona ibyo bita “byinjira mu bwonko bwa Cymbalta.” Ibi bimeze nk'ibihindura by'umuriro wigikoresho cy'amashanyarazi mu bwonko, bikaba byashobora kwaguka no ku bindi bice by'umubiri. Ibindi bibazo by'impinga birimo gusaka cyangwa kumva nk'ibipfunyitse.

Ikibazo cyo kwirinda gufata Cymbalta gihabwa igisubizo kimwe gisobanutse: buhoro buhoro kandi mubuyobozi bw'abaganga. Muganga wawe azakora gahunda yo kugabanya dosiye, agabanya buhoro buhoro dosiye yawe mu gihe cy'icyumweru cyangwa amezi. Ibi bituma ubwonko bwawe bugenda bugabanya, bugabanya ubukana bw'ingaruka mbi zo kwirinda kwa Cymbalta kandi bikorwa byoroshye kandi byihanganirwa. Ntukigere utekereza kwirinda gufata Cymbalta wenyine.

Ibintu by'ingenzi byo Kwitondera: Alukolo, Imiti, n'Indwara Zahozemo

Mbere yo gutangira Cymbalta, ni ingenzi kuganira neza na muganga wawe kubyerekeye ubuzima bwawe n'amateka yawe y'ubuvuzi.

• Cymbalta n'Alukolo: Guhuza Cymbalta n'alukolo ntibigishishikaza. Kunywa alukolo nyinshi mugihe ufata iyi miti byongera cyane ibyago byo kugira kwangirika bikomeye kw'umwijima kwa Cymbalta.
• Guhindura imiti: Cymbalta ishobora guhindura ibintu byinshi. Birakenewe cyane ko ubwira muganga wawe niba ufata MAOIs, imiti yo mu mutwe ya none, triptans, NSAIDs (nk'ibintu bikoreshwa mu mubiri nk'ibitera ububabare), cyangwa abantu bahura n'amaraso.
• Indwara zahozemo: Abantu bafite indwara zimwe na zimwe, nk'indwara y'umwijima cyangwa impyiko, indwara ya bipolar, glaucoma, cyangwa amateka y'igicamunsi, basabwa kwitabwaho byimazeyo mugihe bafata Cymbalta.

Inzira yawe yo Kubona

Gukora inzira mu isi y'ingaruka mbi za Cymbalta bishobora gutera ubwoba, ariko ubumenyi ni ikikoresho cyawe gikomeye. Kuva ku ngaruka mbi zikunze kugaragara za Cymbalta kugeza ku bibazo by'akaga ndetse n'ibibazo byo kwirinda, kumenya gutuma ugira uruhare mu kwita ku buzima bwawe.

Wibuke, iyi miti ifasha abantu miliyoni gucunga indwara zishobora gutera ubumuga. Icy'ingenzi ni ugumana urugwiro, ubunyangamugayo na muganga wawe. Kwandika ibimenyetso byose bishya uhura nabyo, kwibaza ibibazo, kandi ntukigere uhagarara kuvuga ibyifuzo byawe.

Icy'ingenzi kuruta ibindi byose, ntugahindure na gato imiti yawe—ntugahindure idosiye yawe cyangwa ngo uyireke gufata—udahagannye na muganga wawe. Umuganga wawe ashobora kugufasha kureba ingaruka nziza hamwe n'ibibi kandi akaguyobora ku nzira nziza yo kubona ubuzima bwawe bw'umubiri n'ubw'umutwe.