Ungayisebenzisa ngokweqile i-Adderall?

-Delile

• Yini isilinganiso esinqunyiwe esijwayelekile?
• Yini isilinganiso esibulalayo?
• Ukuvimbela ukuzibulala
  
• Ingabe i-Adderall ingasebenzisana neminye imithi?
• Ziyini izimpawu nezimpawu zokudlula ngokweqile?
• Izimpawu ezimnene
• Izimpawu ezinzima
• Isifo se-Serotonin
• Imiphumela emibi ejwayelekile ye-Adderall
• Okufanele ukwenze uma usola ukweqisa ngokweqile
• Ukuphathwa ngokweqile kuphathwa kanjani?
• Okubalulekile

Ingabe ukweqisa ngokweqile kungenzeka?

Kungenzeka ukweqisa ku-Adderall, ikakhulukazi uma uthatha i-Adderall nezinye izidakamizwa noma imishanguzo.

I-Adderall yigama lomkhiqizo lohlelo oluphakathi lwezinzwa (CNS) oluvuselelayo olwenziwe ngosawoti be-amphetamine. Umuthi usetshenziselwa ukwelapha ukunakekelwa kokushoda (ADHD) kanye ne-narcolepsy. Abantu abaningi baphinde basebenzise kabi i-Adderall kwezokungcebeleka ukukhulisa umkhiqizo wabo kanye nenkumbulo, yize lokhu kungavunyelwe yi-U.S. Food and Drug Administration.

Njengesikhuthazi se-CNS, i-Adderall ingaba nemiphumela ehlukahlukene emzimbeni. Kungaba yingozi ngokweqile uma kungathathwa ngaphansi kweso lezokwelapha. Ngalesi sizathu, i-U.S. Drug Enforcing Administration (i-DEA) ibheka i-Adderall into elawulwa yiSheduli II.

Izingane ezithatha i-Adderall kufanele zibhekwe ngokucophelela okukhulu ukuqinisekisa ukuthi zithatha isilinganiso esifanele. Ukweqisa ngokweqile kungabulala.

Yini isilinganiso esinqunyiwe esijwayelekile?

Inani elinqunyiwe ngokuvamile lisuka kumamiligremu ama-5 kuye kwangama-60 (mg) ngosuku. Leli nani lingahlukaniswa phakathi kwemithamo usuku lonke.

Ngokwesibonelo:

• Intsha ivame ukuqala ngomthamo we-10 mg ngosuku.
• Abantu abadala bangabekwa umthamo wokuqala wama-20 mg ngosuku.

Udokotela wakho angakhuphula kancane kancane umthamo wakho kuze kube yilapho izimpawu zakho zilawulwa.

Yini isilinganiso esibulalayo?

Inani elingaholela ekweqeni ngokweqile lihluka kakhulu kumuntu nomuntu. Kuya ngokuthi ungene kangakanani nokuthi uzwela kangakanani kuzikhuthazi.

Umthamo obulalayo we-amphetamine kubikwa ukuthi uphakathi kuka-20 kuya ku-25 mg ngekhilogremu (kg) wesisindo ngasinye. Isibonelo, umthamo obulalayo womuntu onesisindo esingama-70 kg (154 amakhilogremu) cishe u-1,400 mg. Lokhu kuphindwe izikhathi ezingaphezu kwezingama-25 kunomthamo ophakeme kakhulu obekiwe.

Kodwa-ke, ukweqisa ngokweqile okubulalayo kubikwe kusuka kokuncane okuyi-1.5 mg / kg yesisindo.

Akufanele uthathe ngaphezu komthamo wakho onqunyiwe. Uma uzizwa sengathi umthamo wakho wamanje awusasebenzi, khuluma nodokotela wakho mayelana nokukhathazeka kwakho. Bangakwazi ukuhlola umuthi wakho wamanje bese benza izinguquko njengoba kudingeka.

Ukuvimbela ukuzibulala

1. Uma ucabanga ukuthi othile usengozini ngokushesha yokuzilimaza noma ukulimaza omunye umuntu:
2. • Shayela ku-911 noma inombolo yakho ephuthumayo yasendaweni.
3. • Hlala nalo muntu kuze kufike usizo.
4. • Susa noma yiziphi izibhamu, imimese, imishanguzo, noma ezinye izinto ezingadala ingozi.
5. • Lalela, kodwa ungahluleli, uphikise, usongele noma umemeze.
6. Uma wena noma omunye umuntu omaziyo ecabanga ukuzibulala, thola usizo enhlekeleleni noma ku-hotline yokuvimbela ukuzibulala. Zama i-National Suicide Prevention Lifeline ku-800-273-8255.

Ingabe i-Adderall ingasebenzisana neminye imithi?

Kungenzeka ukweqisa ngokweqile ngaphansi kwesilinganiso esibulalayo esimaphakathi uma uthatha nezinye izidakamizwa noma imishanguzo.

Isibonelo, i-monoamine oxidase inhibitors (i-MAOIs) ingakhuphula imiphumela ye-Adderall futhi inyuse nengozi yokweqisa.

Ama-MAO ajwayelekile afaka:

• i-selegiline (Atapryl)
• isocarboxazid (Marplan)
• i-phenelzine (Nardil)

Ukuthatha imishanguzo eyi-CYP2D6 inhibitors ngasikhathi sinye - noma ngomthamo ophansi - kungakhuphula nobungozi bokuthola imiphumela emibi.

Ama-inhibitors ajwayelekile e-CYP2D6 afaka:

• i-bupropion (Wellbutrin)
• I-cinacalcet (Sensipar)
• i-paroxetine (Paxil)
• i-fluoxetine (Prozac)
• i-quinidine (i-Quinidex)
• i-ritonavir (Norvir)

Kufanele uhlale ukhuluma nodokotela wakho nganoma yimiphi imithi oyiphuzayo. Lokhu kufaka phakathi imishanguzo yokuthenga, amavithamini, nezinye izithako zokudla okunempilo. Lokhu kuzosiza udokotela wakho ukuthi akhethe umuthi ofanele kanye nomthamo ukunciphisa ubungozi bokusebenzisana kwezidakamizwa.

Ziyini izimpawu nezimpawu zokudlula ngokweqile?

Ukweqisa ngokweqile ku-Adderall noma amanye ama-amphetamine kungadala izimpawu ezimnene nezimbi. Kwezinye izimo, ukufa kungenzeka.

Izimpawu zakho zizoncika ku:

• uthathe malini u-Adderall
• i-chemistry yomzimba wakho nokuthi uzwela kangakanani kwizikhuthazi
• noma ngabe uthathe i-Adderall ngokuhlangana nezinye izidakamizwa

Izimpawu ezimnene

Ezimweni ezimnene, ungahlangabezana:

• ukudideka
• ikhanda
• ukukhathazeka ngokweqile
• isicanucanu
• ukuhlanza
• ukuphefumula okusheshayo
• ubuhlungu besisu

Izimpawu ezinzima

Ezimweni ezinzima, ungahlangabezana:

• ukusangana
• uvalo
• ulaka
• umkhuhlane ka-106.7 ° F (41.5 ° C) noma ngaphezulu
• ukuthuthumela
• umfutho wegazi ophezulu
• isifo senhliziyo
• ukwehla kwemisipha, noma i-rhabdomyolysis
• ukufa

Isifo se-Serotonin

Abantu abadlula ngokweqile ekuhlanganisweni kwe-Adderall kanye ne-anti-depressants nabo bangathola i-serotonin syndrome. I-Serotonin syndrome ukusabela kabi kwezidakamizwa okubi kakhulu okwenzeka lapho i-serotonin eningi yakha emzimbeni.

I-Serotonin syndrome ingadala:

• isicanucanu
• ukuhlanza
• isifo sohudo
• amajaqamba esiswini
• ukudideka
• ukukhathazeka
• ukushaya kwenhliziyo okungajwayelekile, noma i-arrhythmia
• izinguquko kumfutho wegazi
• ukudlikizela
• ikhoma
• ukufa

Imiphumela emibi ejwayelekile ye-Adderall

Njengemithi eminingi, i-Adderall ingadala imiphumela emibi emincane noma ngomthamo ophansi. Imiphumela emibi kakhulu ye-Adderall ifaka:

• ukulahlekelwa isifiso sokudla
• ikhanda
• ukuqwasha
• isiyezi
• isisu esibuhlungu
• uvalo
• ukuncipha komzimba
• umlomo owomile
• isifo sohudo

Le miphumela emibi ngokuvamile ayinzima. Uma uhlangabezana nale miphumela engemihle ngenkathi uthatha umthamo wakho obekiwe, akusho ukuthi weqise ngokweqile.

Kodwa-ke, tshela udokotela nganoma yimiphi imiphumela emibi obhekene nayo. Ngokuya ngobukhulu babo, udokotela wakho angafuna ukunciphisa umthamo wakho noma ukukushintshela emithini ehlukile.

Okufanele ukwenze uma usola ukweqisa ngokweqile

Uma usola ukuthi ukweqisa ngokweqile kwe-Adderall kwenzeke, funa ukunakekelwa kwezimo eziphuthumayo ngokushesha. Musa ukulinda kuze kube yilapho izimpawu zakho ziba nzima kakhulu.

E-United States, ungaxhumana neNational Poison Center ku-1-800-222-1222 bese ulinda eminye imiyalelo.

Uma izimpawu ziba nzima, shayela abezimo eziphuthumayo zangakini. Zama ukuhlala uzolile futhi ugcine umzimba wakho upholile ngenkathi ulinde abasebenzi bezimo eziphuthumayo ukuthi bafike.

Ukuphathwa ngokweqile kuphathwa kanjani?

Endabeni yokweqisa ngokweqile, abasebenzi bezimo eziphuthumayo bazokuhambisa esibhedlela noma egumbini labezimo eziphuthumayo.

Unganikezwa amalahle acushiwe ngenkathi usendleleni yokusiza ukumunca umuthi futhi unciphise izimpawu zakho.

Lapho ufika esibhedlela noma egumbini lezimo eziphuthumayo, udokotela wakho angase asishaye isisu sakho ukuze asuse noma imuphi umuthi osele. Uma uthukuthele noma ukhathazeka ngokweqile, bangakuphathisa ama-benzodiazepines ukukudambisa.

Uma ukhombisa izimpawu ze-serotonin syndrome, zingaphinde zinikeze imithi yokuvimba i-serotonin. Uketshezi olufakwa ngaphakathi kungadingeka futhi ukugcwalisa izakhi zomzimba ezibalulekile nokuvimbela ukoma.

Lapho izimpawu zakho sezinciphile futhi nomzimba wakho uzinzile, kungadingeka ukuthi uhlale esibhedlela ukuze ubhekwe.

Okubalulekile

Lapho nje umuthi oweqile usuphumile ohlelweni lwakho, cishe uzolulama ngokugcwele.

I-Adderall kufanele ithathwe kuphela ngaphansi kokuqondisa kwezokwelapha. Ukugwema ukweqisa ngokweqile ngengozi, ungalokothi uthathe okungaphezu komthamo wakho onqunyiwe. Ungayilungisi ngaphandle kwemvume kadokotela wakho.

Ukusebenzisa i-Adderall ngaphandle kadokotela noma ukuxuba i-Adderall nezinye izidakamizwa kungaba yingozi enkulu. Awusoze waqiniseka ukuthi ungasebenzisana kanjani ne-chemistry yomzimba wakho ngamunye noma eminye imithi noma izidakamizwa ozisebenzisayo.

Uma ukhetha ukusebenzisa kabi i-Adderall ngokuzijabulisa noma uyixube nezinye izinto, gcina udokotela wakho enolwazi. Bangakusiza uqonde ubungozi bakho bokuxhumana nokudlula ngokweqile, kanye nokubuka noma yiziphi izinguquko empilweni yakho yonke.