Awukwazi ukuthenga i-sumatriptan ku-inthanethi ngaphandle kweresiphi e-US, nanoma iyiphi indawo ethi ngenye indlela kufanele ivalwe. I-Sumatriptan (Imitrex) ifuna iresiphi kuphela ngoba iyanciphisa imithambo yegazi, ngakho-ke udokotela udinga ukuhlola impilo yenhliziyo yakho kuqala. Indlela esheshayo, evumelekile: ukuhlola izimpawu nge-AI kwamahhala, bese uvakashela ku-inthanethi ngo-$39 lapho udokotela onelayisensi ehlola umlando wakho we-migraine, futhi uma i-sumatriptan ifanele, ithumela iresiphi ekhemisi lakho ngalelo suku.

Ngamafuphi

  • I-Sumatriptan ifuna iresiphi kuphela e-US kuzo zonke izimo: amaphilisi, umoya osokhalweni, nomjovo.

  • Isinyathelo seresiphi sikhona ngoba ama-triptan athinta imithambo yegazi futhi adinga ukuhlolwa kwempilo yenhliziyo.

  • Iphatha ukuhlaselwa kwe-migraine okwenzekayo; ayivimbeli zona.

  • Ukuvakashela ku-inthanethi ngo-$39 kungathola iresiphi ngalelo suku lapho umlando wakho ufanelana.

  • Izinhlungu zekhanda eziyingozi (ezibi kakhulu, ezingazelelwe, ezinefiva noma ubuthakathaka) ziyindawo yegumbi lezimo eziphuthumayo, hhayi i-telehealth.

Kungani kungekho ndlela esemthethweni yokuthenga i-sumatriptan ku-inthanethi ngaphandle kweresiphi

Umthetho unesizathu esihlobene nokujikeleza kwegazi, hhayi esokuphatha. I-Sumatriptan isebenza ngokunciphisa imithambo yegazi evuvukele ezungeze ubuchopho, okuyikho kanye okuyeka i-migraine, futhi kuwukuthi kungani ingozi kubantu abanezifo zenhliziyo, isifo sohlanga esedlule, umfutho wegazi ongakulawulwa, noma izinhlobo ezithile ezingavamile ze-migraine. Umsebenzi womunikeziweyo ukwenza isiqiniseko sokuthi imithambo yakho yegazi ingakuthwala umuthi ikhanda lakho eliwucelayo. Lokho kuyindaba yokuhlola yonke, futhi kudlula kahle nge-telehealth. Okungasebenzi ukukweqa: izindawo ezikuvumela ukuthi uthenge i-sumatriptan ku-inthanethi ngaphandle kweresiphi amakhemisi angenalisesense, futhi uhlelo lwe-FDA oluthi BeSafeRx lixwayisa ngemithi yabo eyenziwe ngomgunyuli. I-triptan eyenziwe ngomgunyuli iyakukhlulwa usuhlaselwe, okuyisikhathi esibi kakhulu esingaba khona.

Okokuqala, ngabe i-sumatriptan iyithuluzi elifanele yini?

Ukuhlola okulula kwezithemba kusindisa imali nezinhlungu zekhanda, ngokoqobo. I-Sumatriptan iphatha ukuhlaselwa kwe-migraine okuqalile; ayiyona eyokuvimbela nsuku zonke, futhi ngeke isize kakhulu izinhlungu zekhanda ezingokujwayelekile. Uma ukuhlaselwa kwakho kungavamile futhi kuphendula ezinkambweni ezingadingi iresiphi, i-NSAID noma inhlanganisela ye-aspirin-acetaminophen-caffeine ethengiswa njenge-Excedrin Migraine iyindlela yokuqala evumelekile, ngokusho kweAmerican Migraine Foundation. I-Sumatriptan ifanelwe ukusetshenziswa lapho ukwelashwa okungadingi iresiphi kungaphumeleli, ukuhlaselwa kusuka esimeni esiphakathi kuya kwezibi, noma ukugabha kwenza amaphilisi anzima ukuwagcina phansi (umoya osokhalweni uyasiza lapho). Futhi uma usebenzisa noma yimuphi umuthi wekhanda ophuthumayo izinsuku eziyi-10 noma ngaphezulu ngenyanga, leyo ndlela ngokwayo idinga ingxoxo nodokotela, ngoba ukusetshenziswa ngokweqile kungaguqula ama-migraine angavamile abe ngawansuku zonke.

Ungayithola kanjani i-sumatriptan ngokweresiphi ku-inthanethi ngezinyathelo ezi-3

Nansi inqubo, kusukela ekuqaleni kuze kufike ekhemisi. Isinyathelo sokuqala, chaza izinhlungu zakho zekhanda ku-August, umsizi wezempilo we-AI wamahhala, indlela yamahhala yokuqinisekisa ukuthi ukuvakashela ku-inthanethi kufanele phambi kokukhokha. Isinyathelo sesibili, bhukha ukuvakashela okuyizibuyekezo ezingama-$39 [⚠qinisekisa: isixhumanisi /telehealth/migraine uma kukhona], lapho udokotela wase-US onelayisensi ebuza ngemodeli yakho yokuhlaselwa, ukuxilongwa kwangaphambilini, impilo yenhliziyo, umfutho wegazi, nemithi yakho yamanje. Isinyathelo sesithathu, uma i-sumatriptan ifanele, iresiphi isekhemisi lakho ngalelo suku, kaningi ngaphakathi kwamahora. Ukuvakashela akulokothi kuqinisekise iresiphi. Uma umlando wakho ubangela izinketho, udokotela angase ancome olunye ukwelashwa okusheshayo noma ukuhlolwa mathupha kuqala, okuyikho ukuhlola okwenza umsebenzi wayo.

Udokotela uzohlola ini

Ukazi imibuzo kusenesikhathi kwenza ukuvakashela kube ngokushesha. Lindela ukubhekana nalokhu: ukuthi izinhlungu zakho zekhanda ziziphatha kanjani (ukubetha ohlangothini olulodwa, ukuzwela ekukhanyeni nasemisindweni, ukugabha kuyi-migraine yakudala), ukuthi ngabe kuke kwaxilongwa i-migraine ngaphambili, umfutho wakho wegazi, noma yisiphi isifo senhliziyo, isifo sohlanga, noma izinkinga zokujikeleza kwegazi, ukuthi ngabe ukhulelwe, nawo wonke umuthi owuthathayo. Izimpambaniso ezimbili zibaluleke kakhulu: akukho okunye ama-triptan noma imithi ye-ergot kungakapheli amahora angu-24 afanayo, futhi ama-MAOI antidepressants ayakuyeka ngempela. Uma uthatha ama-SSRI noma ama-SNRI, uwushiye; inhlanganisela ivamise ukusebenza kodwa ifanelwe ukubhekwa ngumunikeziweyo.

Izinhlungu zekhanda ezigwema i-telehealth futhi ziya ngqo ekunakekelweni

Lolu hlu lumfushane futhi aluvunyelwa. Shayela u-911 noma uye egumbini lezimo eziphuthumayo ngezinhlungu zekhanda ezinjengesivunguvungu (ezimbi kakhulu empilweni yakho, eziqala ngemizuzwana), izinhlungu zekhanda ezinefiva nomqala oqinile, izinhlungu zekhanda ezinebuthakathaka, ukudideka, ubunzima bokukhuluma, noma ukulahlekelwa umbono, noma izinhlungu ezintsha ezibuthakathaka ngemuva kokulimala ekhanda. Imodeli entsha sha yezinhlungu zekhanda ngemuva kweminyaka engama-50 nayo ifanelwe ukuhlolwa mathupha ngaphambi kokuthi umuntu othile athathe i-triptan. I-Sumatriptan iphatha ama-migraine; lezi zimpawu zidinga umuntu ukuthi aqale aqinisekise ukuthi i-migraine yikho lokhu.

Imibuzo Evame Ukubuzwa

Ngabe kusemthethweni ukuthenga i-sumatriptan ku-inthanethi?
Ngeresiphi, yebo: ukuhlolwa kwe-telehealth kanye nekhemisi elinayo ilayisensi kusemthethweni kuzo zonke izifundazwe ezingama-50. Ngaphandle kweresiphi, cha, futhi izindawo ezingenawo iresiphi ezinikezayo ziyimithombo engenalisesense enenkinga yokwenziwa.

Ngizobathola nini ngokushesha?
Vamisa ngalolo suku: amaminithi okuhlola i-AI kwamahhala, amahora okuhlola ngo-$39, bese i-e-prescription yekhemisi lakho. Uma ungenaso isikhathi manje, phatha ngokwalokho onakho ngokuphephile bese ubeka ukuvakashela okulandelayo.

Ngabe umshwalense uzokhokhela umuthi?
Amachips amaningi e-sumatriptan ayashibhile noma ngaphandle komshwalense, kaningi nje amadola ambalwa ngomthamo ngekhadi lesaphulelo [qinisekisa: ububanzi bentengo yamanje]. Ukuvakashela ngo-$39 kukhokhwa imali, akudingeki umshwalense.

Ngizokwazi ukuthola umoya osokhalweni noma umjovo ku-inthanethi?
Vamisa, yebo, lapho umlando wakho uwusekela, futhi kufanele ubabuze uma ukuhlanza kwenza amaphilisi angasebenzi noma udinga ukusheshisa. Udokotela ukhetha uhlobo nawe ngokusekelwe ekutheni izimo zakho zihlasela kanjani.

Ngabe i-sumatriptan ivimbela ama-migraine?
Cha. Iqeda ukuhlaselwa okwenzekayo. Uma uhlangabezana nokuhlaselwa kaningi, buza udokotela ngamasu okuhlanganisa, ngoba ukuthatha imithi esheshayo njengama-triptan izikhathi eziningi ngenyanga kungadala izinhlungu zekhanda ezibuyayo.

Ngizokwazi ukuthatha i-sumatriptan ne-antidepressant yami?
Ngokuvamile yebo, ngokwazi komunikeziweyo; ama-SSRI nama-SNRI avame ukuhambisana nokusetshenziswa kwe-triptan ngamunye. Ama-MAOI ayisibonelo futhi aqeda i-sumatriptan. Bhala lonke imithi endaweni yakho ukuze udokotela akwazi ukwenza leso sinqumo kahle.

Kwenzekani uma ngingakaze ngixilongwe ngokusemthethweni nge-migraine?
Ungahlolwa usakwazi ku-inthanethi; izindaba zakudala zivame ukuxilongwa yi-telehealth. Izici ezingejwayelekile, noma izinketho ezingenhla, zizokubuyisela ekunakekelweni mathupha kuqala, okuyisimo esiphephile nesifanele.

Ngingasebenzisa imithamo emingaki ngokuhlaselwa okukodwa?
Landela imiyalelo yomunikeziweyo wakho ngqo kunokuba ulandele amashadi omthamo we-inthanethi. Umthetho ojwayelekile wokuphepha ofanele ukukhumbula: ungakaze uwuhlanganise nenye i-triptan noma imithi ye-ergot ngaphakathi kwamahora angu-24 afanayo, bese ulandela ukuthi zingaki izinsuku zekhanda oziphathayo njalo ngenyanga.