Ukukhathazeka kwe-Wellbutrin: Yini isixhumanisi?

-Delile

• Ingabe i-Wellbutrin ibangela ukukhathazeka?
• Ngabe iWellbutrin izosiza ukukhathazeka?
• Kuyini iWellbutrin, futhi kungani kunqunyiwe?
• Iyini imiphumela emibi yeWellbutrin?
• Ziyini izinzuzo zokuthatha i-Wellbutrin?
• Okubalulekile

I-Wellbutrin ngumuthi olwa nokucindezelwa onokusetshenziswa okuningana nangaphandle kwelebula. Ungase futhi uyibone ibhekiselwa kuyo ngegama layo elijwayelekile, i-bupropion.

Imithi ingathinta abantu ngezindlela ezahlukene. Kanjalo, iWellbutrin ixhunyaniswe nokukhathazeka kwezinye izimo. Kepha yize kungadala ukukhathazeka kwabanye abantu, kuyindlela yokwelashwa esebenzayo yezinkinga zokukhathazeka kwabanye.

Funda ukuze ufunde kabanzi ngeWellbutrin, ukuxhumana kwayo nokukhathazeka, kanye nezinzuzo nezingozi zokuyisebenzisa.

Ingabe i-Wellbutrin ibangela ukukhathazeka?

Ngokushesha ngemuva kokuqala i-Wellbutrin, abanye abantu bangaba nezimpawu ezinjengalezi:

• ukukhathazeka
• ngizizwe ngingahlaliseki
• ukuyaluza
• injabulo
• ukungakwazi ukulala (ukuqwasha)
• eqhaqhazela

Ngokusho kwe-Food and Drug Administration (FDA), kwesinye isikhathi lezi zimpawu zazibucayi ngokwanele ukuthi zingadinga ukwelashwa ngemithi yokudambisa noma yokulwa nokukhathazeka ngesikhathi sokuhlolwa komtholampilo.

Ngokwengeziwe, cishe amaphesenti ama-2 wabantu ayeke ukwelashwa nge-Wellbutrin ngenxa yalezi zimpawu ezihlobene nokukhathazeka.

Lezi zinhlobo zemiphumela emibi zingabangelwa umthamo we-Wellbutrin owandiswe ngokushesha okukhulu. Uma uhlangabezana nezimpawu ezinjengexhala noma ama-jitters ngemuva kokuqala i-Wellbutrin, xoxa ngazo nodokotela wakho.

Ngabe iWellbutrin izosiza ukukhathazeka?

Kungabonakala njengokuphikisana ngoba ukukhathazeka kungumphumela wecala ongahle ube khona, kepha kunemininingwane ethile elinganiselwe ekusetshenzisweni kwe-Wellbutrin ukwelapha ukuphazamiseka kokukhathazeka.

Oyedwa osekhulile uthole ukuthi i-bupropion XL yayifaniswa ne-escitalopram (i-SSRI, olunye uhlobo lwe-antidepressant) ekwelapheni abantu abane-generalized disorder disorder (GAD).

Yize lokhu kungaphakamisa ukuthi iWellbutrin kungenzeka ibe yindlela yokwelashwa yomugqa wesibili noma wesithathu we-GAD, kudingeka izivivinyo ezinkulu, ezibanzi ukuqinisekisa lokhu.

Kukhona nobunye ubufakazi bokuthi i-bupropion ingasiza ekwelapheni i-panic disorder. Ucwaningo olulodwa lwamacala luthole ukuthi i-bupropion esilinganisweni sama-milligram ayi-150 nsuku zonke ithuthukise ukwethuka nezimpawu zokukhathazeka kumuntu one-panic disorder.

Ubufakazi be-anecdotal buxhasa futhi ukusetshenziswa kwe-bupropion ngaphezu kweminye imithi yokwelapha ukuphazamiseka kwesifo. Kodwa-ke, njengocwaningo lomshayeli we-GAD, kudingeka olunye ucwaningo ukunquma ukuthi ngabe i-bupropion iyasebenza yini ekwelapheni ukuphazamiseka kwesibindi.

Kuyini iWellbutrin, futhi kungani kunqunyiwe?

I-FDA ivume i-Wellbutrin ye:

• ukucindezeleka okukhulu
• ukuphazamiseka kokuphazamiseka kwesizini
• ukuyeka ukubhema

Indlela ngqo uWellbutrin asebenzela ngayo ukuphatha lezi zimo ayaziwa. Kucatshangwa ukuthi kuthinta amazinga wamakhemikhali athonya imizwa abizwa nge-dopamine ne-norepinephrine.

Lokhu kwehlukile kwamanye ama-anti-depressants, athinta amazinga e-serotonin.

I-Wellbutrin nayo ingahle inqunyelwe ngaphandle kwelebula yezimo ezithile. I-Off-label isho ukuthi i-FDA ayikayivumanga ukwelapha lezi zimo. Lezi zimo zifaka:

• ukunakekelwa kokulahleka kokugula (ADHD)
• ukuphazamiseka kwengqondo okuguquguqukayo
• ubuhlungu be-neuropathic

Xoxa ngokulandelayo nodokotela wakho ngaphambi kokuqala i-Wellbutrin:

• Kungani ngidinga ukuthatha i-Wellbutrin? Kungani nginikezwa i-Wellbutrin ngokungafani nomunye umuthi wokwelapha isimo sami?
• Ungangichazela zombili izinzuzo nezingozi zeWellbutrin kimi?
• Ngizothatha isikhathi esingakanani ukuthatha iWellbutrin? Uzobuyekeza nini futhi kanjani uma kuphumelele ekwelapheni isimo sami?
• Yimiphi eminye imiphumela engemihle okufanele ngiyibheke? Kufanele ngikubikele nini ngemiphumela emibi?
• Kufanele ngiyithathe nini futhi kanjani i-Wellbutrin? Kwenzekani uma ngiphuthelwa umthamo?
• Ngabe kukhona engingakugwema ngenkathi ngithatha iWellbutrin?

Njengoba i-Wellbutrin ingakwazi ukuxhumana nezinye izidakamizwa ezahlukahlukene, kubalulekile futhi ukuxoxa nodokotela wakho uma uthatha noma imiphi imishanguzo noma izithasiselo ezengeziwe nokuthi ngabe uke waba neminye imiphumela emibi ngenkathi uyiphuza.

Iyini imiphumela emibi yeWellbutrin?

Imiphumela emibi ejwayelekile ye-Wellbutrin yenzeka emasontweni ambalwa okuqala uqala ukuyithatha. Zivame ukwehla ngokuhamba kwesikhathi. Zingafaka:

• inkathazo yokulala
• ukushaya kwenhliziyo okusheshayo
• uvalo noma ukudinwa
• ngizwe nginesiyezi
• ikhanda
• ukuthuthumela
• umlomo owomile
• isicanucanu
• ukuqunjelwa

I-Wellbutrin ineminye imiphumela emibi engajwayelekile noma ebucayi futhi, okunye okuwukubamba. Ingozi yokubanjwa inkulu kubantu:

• bathatha imithamo ephakeme yeWellbutrin
• ube nomlando wokuquleka
• ngibe nesimila noma ukulimala ebuchosheni
• unesifo sesibindi, njenge-cirrhosis
• unenkinga yokudla, njenge-anorexia noma i-bulimia
• kuncike ezidakamizweni noma otshwaleni
• bathatha eminye imithi engakhuphula ingozi yokubanjwa

Imiphumela emibi engandile noma emibi ifaka phakathi:

• ukwanda kwemicabango yokuzibulala ezinganeni nakubantu abadala
• iziqephu ze-manic, ikakhulukazi kubantu abane-bipolar disorder
• ukukhohlisa, ukubona izinto ezingekho, noma ukuphambana
• umfutho wegazi ophezulu (umfutho wegazi ophakeme)
• izinkinga zamehlo, njengobuhlungu bamehlo, ubomvu, noma ukuvuvukala
• ukusabela okweqile komzimba

Ziyini izinzuzo zokuthatha i-Wellbutrin?

Ngaphandle kwemiphumela emibi engaba khona, iWellbutrin ingahlinzeka ngezinzuzo eziningana kubantu abayithathayo, kufaka phakathi:

• ukwelashwa kokuphazamiseka okukhulu kokucindezeleka kanye nokuphazamiseka kwonyaka
• ukusiza abantu bayeke ukubhema
• imiphumela engemihle yocansi, njengokuncipha kocansi, kunamanye ama-anti-depressants
• azikho izinkinga ezaziwayo ezivela ekusetshenzisweni kwesikhathi eside

Okubalulekile

I-Wellbutrin iyi-anti-depressant evunyelwe ukwelapha ukucindezeleka okukhulu, ukuphazamiseka kwesizini, nokusiza ngokuyeka ukubhema. Iphinde inqunyelwe i-off-label ukuphatha izimo ezifana ne-ADHD ne-bipolar disorder.

Abanye abantu banezimpawu ezihlobene nokukhathazeka, njengokungahlaliseki noma ukukhathazeka, ngemuva nje kokuqala i-Wellbutrin. Ngoba lezi zimpawu kungenzeka zihlobene nomthamo wemithi yakho, khuluma nodokotela wakho uma uzizwa ukhathazekile ngemuva kokuqala iWellbutrin.

Ngaphezu kokukhathazeka, kuneminye imiphumela emibi ehlotshaniswa ne-Wellbutrin, eminye yayo engaba mibi kakhulu.

Uma unikezwe i-Wellbutrin, qiniseka ukuthi uyithatha njengoba udokotela wakho ekuyala futhi ubike ngokushesha noma yimiphi imiphumela emibi.