Chii chinonzi Dextromethorphan uye Bupropion: Zvinoshandiswa, Dosage, Side Effects uye Zvimwe

Dextromethorphan uye bupropion mushonga unopiwa nachiremba unosanganisa zvinoshanda zviviri zvinobatsira kurapa major depressive disorder muvanhu vakuru. Musanganiswa uyu unoshanda zvakasiyana nemishonga inorwisa kuora mwoyo yechinyakare nekunangana nenzira dzakawanda dzehuropi panguva imwe chete. Mushonga uyu mutsva asi wakaratidza mhedzisiro inovimbisa kune vanhu vasina kuwana zororo nekumwe kurapwa kwekuora mwoyo.

Chii chinonzi Dextromethorphan uye Bupropion?

Mushonga uyu unosanganisa dextromethorphan (chinhu chinowanikwa mumishonga yekukosora) nebupropion (mushonga unozivikanwa unorwisa kuora mwoyo) mune piritsi rimwe. Pamwe chete, zvinoshandiswa izvi zvinoshanda pamakemikari akasiyana ehuropi kubatsira kuvandudza mafungiro uye kuderedza zviratidzo zvekuora mwoyo. Musanganiswa uyu wakagadzirirwa zvakananga kupa nzira itsva yekurapa kuora mwoyo kana mimwe mishonga isina kushanda zvakanaka.

Dextromethorphan inovharisa mamwe ma receptors ehuropi anonzi NMDA receptors, nepo bupropion ichiwedzera mazinga e dopamine uye norepinephrine. Iyi chiito kaviri inogona kubatsira vanhu vasina kupindura kumishonga yechinyakare inorwisa kuora mwoyo inonyanya kushanda pa serotonin. Mushonga uyu unowanikwa chete nemishonga uye unoda kutariswa kwakanyatsoitwa nachiremba.

Chii chinonzi Dextromethorphan uye Bupropion Zvinoshandiswa Kunei?

Uyu musanganiswa wemishonga unobvumidzwa zvakananga kurapa major depressive disorder muvanhu vakuru. Inowanzo fungwa kana mimwe mishonga inorwisa kuora mwoyo isina kupa zororo rakakwana kana kukonzera matambudziko akawanda. Chiremba wako angakurudzira mushonga uyu kana wakaedza angangoita maviri mamwe marapirwo ekuora mwoyo pasina kubudirira.

Mishonga iyi inovavarira zviratidzo zvekuora mwoyo zvakaita sekuchema nguva dzose, kurasikirwa nechido chezviitiko, kuneta, uye kuoma kufunga. Inogonawo kubatsira nematambudziko ehope uye shanduko yechido inowanzoenda nekuora mwoyo. Nekuti inoshanda zvakasiyana nemamwe maantidepressants, inogona kupa tariro kune vanhu vakaita sevakashaya sarudzo.

Dextromethorphan neBupropion Zvinoshanda Sei?

Mishonga iyi inoonekwa seantidepressant yesimba repakati iyo inoshanda kuburikidza nemaitiro maviri akasiyana muuropi hwako. Chikamu che dextromethorphan chinovharira NMDA receptors, iyo inogona kubatsira kuderedza kuzvimba kwehuropi uye kuvandudza kutaurirana kwemasero etsinga. Zvichakadaro, bupropion inowedzera mazinga e dopamine uye norepinephrine, makemikari ehuropi anokanganisa mafungiro uye kukurudzira.

Funga nezvazvo sekushanda pazvinhu zviviri zvakasiyana muuropi hwako panguva imwe chete. Iyi nzira mbiri inogona kubatsira nekuti kuora mwoyo kunokanganisa nzira dzakawanda dzehuropi. Musanganiswa unogona kutanga kushanda mukati memavhiki mashoma, kunyangwe mabhenefiti akazara anowanzo tora 6-8 mavhiki kuti aende mberi.

Ndingatora Sei Dextromethorphan neBupropion?

Tora mushonga uyu sezvakanyorwa nachiremba wako, kazhinji kamwe pazuva mangwanani. Unogona kuitora uine chikafu kana usina, asi kuitora nechikafu chakareruka kunogona kubatsira kuderedza dumbu. Medza piritsi rose risina kupwanya, kutsenga, kana kuputsa, nekuti izvi zvinogona kukanganisa nzira iyo mushonga unosunungurwa mumuviri wako.

Zvakanakisa kutora chiyero chako panguva imwe chete zuva rega rega kuti uchengetedze mazinga akagadzikana muhurongwa hwako. Kana uine dambudziko rekurara, kuitora mangwanani-ngani kungabatsira. Nguva dzose tevera mirairo chaiyo yachiremba wako, sezvo vachigona kugadzirisa muyero wako zvichienderana nekuti unopindura sei kumushonga.

Ndingatora Kwenguva Yakareba Sei Dextromethorphan neBupropion?

Vanhu vazhinji vanofanira kutora mushonga uyu kwemwedzi yakati wandei kuti vawane zvakanakira zvizere, uye vazhinji vanoenderera mberi kwegore kana kupfuura. Chiremba wako anogona kukutanga pamwero wakaderera uye zvishoma nezvishoma kuwedzera pamusoro pemavhiki akati wandei. Zvakakosha kupa mushonga nguva yekushanda, sezvo kurapwa kwekuora mwoyo kazhinji kunoda moyo murefu.

Usambomira kutora mushonga uyu kamwe kamwe, kunyangwe ukanzwa zviri nani. Chiremba wako achakubatsira kugadzira chirongwa chekuderedza zvishoma nezvishoma muyero wako kana nguva yakwana yekumira. Izvi zvinodzivirira zviratidzo zvekubvisa uye zvinoderedza njodzi yekudzoka kwekuora mwoyo. Kugara uchienda kunoona chiremba kunobatsira kuona kuti uri kuwana mhedzisiro yakanaka ine mashoma mativi emuviri.

Ndezvipi Zvakaipa zveDextromethorphan neBupropion?

Semishonga yese, iyi musanganiswa inogona kukonzera mativi emuviri, kunyangwe kwete munhu wese anoawana. Mazhinji emativi emuviri akapfava kusvika pakati nepakati uye anowanzo kuvandudza muviri wako uchigadzirisa kumushonga. Kunzwisisa zvekutarisira kunogona kukubatsira kunzwa wakagadzirira uye kuziva kana uchifanira kuonana nachiremba wako.

Mativi emuviri akajairika ayo vanhu vazhinji vanowana anosanganisira:

• Kusvotwa kana dumbu kusagadzikana
• Dizziness kana lightheadedness
• Musoro
• Kutambudzika kurara kana kurota zvakajeka
• Muromo wakaoma
• Kuvharika
• Kuneta kana kunzwa uchipera simba

Aya mativi emuviri ezuva nezuva anowanzoita zvishoma zvinonetsa mukati memavhiki mashoma ekutanga ekurapa. Kunwa mvura yakawanda uye kutora mushonga uyu pamwe chete nechikafu kunogona kubatsira kuderedza nyaya dzine chekuita nedumbu.

Mativi emuviri asingawanzoitiki asi akakomba anoda kutarisirwa kwekurapa nekukasira. Kunyangwe izvi zvisingaitike kune vanhu vazhinji, zvakakosha kuziva zviratidzo zveyambiro:

• Kutambudzika kana kupopota
• Dzungu guru kana kufenda
• Kurova kwemoyo kusingaite kana kurwadziwa muchipfuwa
• Kurwadziwa kwemusoro kwakanyanya kana shanduko mukuona
• Kufunga kuzvikuvadza kana kuzviuraya
• Shanduko dzakanyanya mumood kana kufara
• Kutadza kufema kana kuzvimba

Kana ukaona chero zviratidzo zvakakomba izvi, taura nachiremba wako nekukasika kana kutsvaga rubatsiro rwekurapa rwechimbichimbi. Kuchengeteka kwako ndiko kunonyanya kukosha, uye zviratidzo izvi zvinoda kutariswa nekukurumidza.

Ndiani Asingafaniri Kutora Dextromethorphan uye Bupropion?

Mishonga iyi haina kukodzera munhu wese, uye mamwe mamiriro ehutano kana mishonga inogona kuiita isina kuchengeteka. Chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati akuraira iyi musanganiswa. Kuve akatendeseka nezve mamiriro ako ehutano nemimwe mishonga kunobatsira kuona kuchengeteka kwako.

Haufaniri kutora mushonga uyu kana uine mamwe mamiriro anogona kuita kuti zvive nenjodzi:

• Nhoroondo yekutambudzika kana pfari
• Kudya kusagadzikana senge anorexia kana bulimia
• Chirwere chakakomba chechiropa kana itsvo
• Kusadzora high blood pressure
• Nhoroondo yekukuvara kwemusoro kana bundu reuropi
• Kushandiswa kwazvino kweMAO inhibitors

Mukuwedzera, mushonga uyu unoda kungwarira kwakanyanya kana uri kutora mamwe mamwe mishonga kana uine zvinhu zvine chekuita nehutano. Chiremba wako achayerera mabhenefiti achipesana nenjodzi dzinogona kuitika mumamiriro ezvinhu aya.

Dextromethorphan uye Bupropion Mazita eBrand

Iyi musanganiswa wemishonga inowanikwa pasi pezita rebrand Auvelity. Imishonga mitsva inogamuchirwa neFDA muna 2022. Zita rebrand rinobatsira kusiyanisa kubva kune mamwe mishonga ine bupropion chete kana dextromethorphan mumishonga yekukosora.

Paunotaura nachiremba wako kana muzvinabhuku, unogona kureva zita rayo rekuti Auvelity kana tsananguro yayo yechinyakare se dextromethorphan uye bupropion combination. Parizvino, iyi combination chaiyo inowanikwa chete semushonga une zita remhando, kunyangwe shanduro dzakajairika dzingavepo mune ramangwana.

Dzimwe nzira dzekushandisa Dextromethorphan uye Bupropion

Kana mushonga uyu usingashande zvakanaka kwauri kana kukonzera matambudziko akawanda, dzimwe nzira dzakawanda dzinowanikwa. Chiremba wako angangofunga nezvemamwe maantidepressants anoshanda pamakemikari akasiyana ehuropi kana misanganiswa. Chinhu chakakosha kuwana mushonga wakakodzera unoshanda kune yako chaiyo mamiriro.

Mishonga imwe inogona kufungwa nachiremba wako inosanganisira:

• SSRI antidepressants senge sertraline kana escitalopram
• SNRI antidepressants senge venlafaxine kana duloxetine
• Mamwe maantidepressants asingajairiki senge mirtazapine
• Nzira itsva senge esketamine nasal spray
• Kurapa kwemisanganiswa nemishonga yakasiyana

Chiremba wako achakubatsira kuongorora idzi dzimwe nzira zvichibva pazviratidzo zvako, nhoroondo yako yekurapa, uye zviitiko zvekare zvemishonga. Dzimwe nguva zvinotora kuyedza nzira dzakasiyana kuti uwane zvinokushandira zvakanaka.

Ko Dextromethorphan uye Bupropion Zviri Nani Pane Wellbutrin?

Uyu mushonga wemusanganiswa une bupropion (iyo ingredient imwechete muWellbutrin) pamwe ne dextromethorphan, saka haisi chaizvo kuenzanisa pakati pemishonga miviri yakasiyana. Kuwedzerwa kwe dextromethorphan kunogona kupa mabhenefiti kune vanhu vasina kupindura zvakanaka ku bupropion yoga. Zvisinei, "zvirinani" zvinoenderana nekupindura kwako wega uye zvaunoda.

Vamwe vanhu vanowana musanganiswa uyu uchishanda zviri nani pane bupropion yoga nekuti unotarisana nenzira dzehuropi dzakawanda. Vamwe vanofara nebupropion chete uye havadi kuwedzera kuoma kwemushonga wemusanganiswa. Chiremba wako anogona kubatsira kuona nzira ipi inoita zvakanyanya pfungwa dzako chaiyo uye zviratidzo zvekuora mwoyo.

Mibvunzo Inowanzo Bvunzwa Nezve Dextromethorphan uye Bupropion

Q1. Dextromethorphan uye Bupropion Zvakachengeteka Here Kune Zvirwere Zvemoyo?

Mushonga uyu unoda kufunga zvakanyanya kana uine matambudziko emoyo. Bupropion inogona kuwedzera BP uye kumhanya kwemoyo, izvo zvinogona kunetsa vanhu vane mamwe mamiriro emoyo. Chiremba wako achada kuongorora hutano hwemoyo wako chaiwo usati wanyora mushonga uyu. Vanogona kuda kuongorora BP yako uye kumhanya kwemoyo zvakanyanya panguva yekurapa. Kana uine chirwere chemoyo chinodzorwa zvakanaka, unogona kuramba uchikwanisa kutora mushonga uyu nekutarisirwa kwakakodzera kwekurapa.

Q2. Ndingaita Sei Kana Ndikatora Dextromethorphan uye Bupropion Zvakanyanya Netsaona?

Kana ukatora zvakawanda kupfuura chiyero chako chakanyorwa netsaona, taura nachiremba wako kana kutonga chepfu nekukasira. Kutora zvakanyanya kunogona kuwedzera njodzi yekubatwa nepfari, kunyanya nechikamu chebupropion. Usamirira kuti uone kana zviratidzo zvichikura, sezvo mhedzisiro yekupfuudzwa inogona kuva yakakomba. Kana uri kusangana nezviratidzo zvakaita sekusagadzikana, kumhanya kwemoyo, kana kubatwa nepfari, tsvaga rubatsiro rwekurapa nekukasira. Chengeta bhodhoro remushonga newe kuitira kuti nyanzvi dzekurapa dzizive chaizvo zvawatora.

Q3. Ndingaita Sei Kana Ndikarasikirwa neDose yeDextromethorphan uye Bupropion?

Kana ukakundikana kutora mushonga wako wezuva nezuva, utore paunorangarira, kunze kwekunge kwava kunonoka. Kana kwava manheru kana pedyo nenguva yekurara, siya mushonga wawakakundikana kutora wotora mushonga wako unotevera nenguva yakajairika mangwanani anotevera. Usambofa wakatora mishonga miviri panguva imwechete kuti uzadze mushonga wawakakundikana kutora. Kutora mushonga uyu kunonoka muzuva kunogona kukanganisa kurara, saka zviri nani kumirira kusvika mangwanani anotevera kana waziva kuti wakakundikana kutora mushonga wako kunonoka muzuva.

Q4. Ndingamira Rini Kutora Dextromethorphan neBupropion?

Usambomira kutora mushonga uyu kamwechete usina kutanga wataura nachiremba wako. Kumira kamwechete kunogona kukonzera zviratidzo zvekusiya mushonga uye zvinogona kukonzera kuti kuora mwoyo kwako kudzoke. Chiremba wako achakubatsira kugadzira chirongwa chekuderera zvishoma nezvishoma, achideredza zvishoma nezvishoma mushonga wako kwemavhiki akati wandei. Vanhu vazhinji vanoda kutora mishonga yekurwisa kuora mwoyo kwemwedzi inenge 6-12 mushure mekunzwa zviri nani kudzivirira kudzoka kwechirwere. Sarudzo yekumira inofanira kugara ichiitwa pamwe chete nemupi wehutano wako zvichibva pakufambira mberi kwako uye mamiriro ako.

Q5. Ndinganwa Doro Ndiri Kutora Dextromethorphan neBupropion Here?

Zvakanaka kudzivisa doro uchitora mushonga uyu, sezvo rinogona kuwedzera njodzi yekubatwa nezvirwere uye kuwedzera mhedzisiro yakaita sedzungu. Doro rinogonawo kukanganisa kugona kwemushonga kubatsira kuora mwoyo kwako uye rinogona kukonzera kuti unzwe zvakanyanya. Kana ukasarudza kunwa dzimwe nguva, zvikwanise kuwanda kudiki uye teerera kuti unonzwa sei. Taura nachiremba wako nezvekushandiswa kwedoro, sezvo vachigona kupa gwara rakagadzirirwa iwe zvichibva pahutano hwako uye mhinduro yemushonga.