Ua kuhikuhi ʻia anei ʻoe a i ʻole kekahi āu i ʻike ai i ka lāʻau lapaʻau no ke kaumaha? He mea maʻamau ka loaʻa ʻana o nā nīnau he nui e pili ana i ka lāʻau lapaʻau. I kēia lā, ke kamaʻilio nei mākou e pili ana iā Vilazodone (Viibryd), kahi lāʻau lapaʻau i kuhikuhi ʻia no ke kaumaha a loaʻa iā ia kekahi o nā nīnau maʻamau. E nānā kākou i kāu mau nīnau e pili ana i kēia lāʻau lapaʻau pākahi a kamaʻilio e pili ana iā ia ma nā ʻōlelo maʻalahi.
He aha ke ʻano lāʻau lapaʻau ʻo Vilazodone (Viibryd)?
I ka ʻōlelo maʻalahi, ʻo Vilazodone kahi lāʻau lapaʻau a nā kauka e kuhikuhi ai e mālama i ke kaumaha, i ʻike ʻia hoʻi ʻo Major Depressive Disorder (MDD), i nā pākeke. I kekahi manawa, inā ua hoʻāʻo ʻoe i kahi antidepressant ʻē aʻe ma mua a ʻaʻole i holo pono, hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau ma ke ʻano he hana aʻe.
Eia kekahi, i kekahi manawa hoʻohana nā kauka i kēia lāʻau lapaʻau "off-label" no nā kūlana ʻē aʻe. ʻO ia hoʻi, ke ʻae ʻole ʻia no kēlā kūlana, akā ua ʻike nā kauka mai ka ʻike e hiki iā ia ke kōkua i nā mea maʻi. No ka laʻana, hiki ke kuhikuhi ʻia no nā kūlana e like me ka hopohopo, ke kaumaha bipolar, a me ka ʻeha mau.
ʻO ka mea nui loa, ʻaʻole i ʻae ʻia kēia lāʻau lapaʻau no ka hoʻohana ʻana i nā keiki . No laila, he lāʻau lapaʻau kēia i hāʻawi wale ʻia i nā pākeke.
He lāʻau like anei ʻo Vilazodone lāua ʻo Viibryd? ʻAe. ʻO Vilazodone ka inoa generic o kēia lāʻau. ʻO Viibryd ka inoa brand o ka lāʻau. E like me Panadol lāua ʻo Paracetamol. Loaʻa i nā mea hana ʻelua ka mea like. No laila, ua like lāua ma ke ʻano o ka palekana, ka pono, a me ka maikaʻi. ʻO ka maʻamau, ʻoi aku ka liʻiliʻi o ke kumukūʻai o ka lāʻau generic ma mua o ka lāʻau brand.
Pehea e hana ai kēia lāʻau lapaʻau? He SSRI anei ia?
ʻAe, he nīnau koʻikoʻi loa kēia. No kahi papa kaulana loa o nā antidepressants i kapa ʻia ʻo SSRI (Selective Serotonin Reuptake Inhibitor) ka lāʻau lapaʻau ʻo Vilazodone.
E noʻonoʻo, aia kekahi kemika i loko o ko kākou lolo e hoʻouna i nā leka ma waena o nā hunaola nerve a kāohi i nā mea e like me ko kākou ʻano a me ka hauʻoli, i kapa ʻia ʻo serotonin . Ke kaumaha kākou, hiki ke emi kēia pae serotonin. Hoʻonui kahi lāʻau SSRI i ka nui o ka serotonin ma waena o nā hunaola nerve, e hoʻomaikaʻi ana i ko kākou ʻano.
Akā, he ʻano kūikawā ʻē aʻe ko Vilazodone. Ma waho aʻe o ka lilo ʻana i SSRI, hana pū kekahi ia ma kekahi ʻano i kapa ʻia he `partial serotonin receptor agonist`. ʻO ia hoʻi, ʻaʻole wale kēia lāʻau e hoʻonui i nā pae serotonin, akā hoʻoulu pū i nā mea loaʻa serotonin i loko o ka lolo, e hoʻonui ana i nā hopena o kēlā serotonin.
I ka ʻōlelo maʻalahi, pepehi kēia lāʻau i ʻelua manu me hoʻokahi pōhaku . ʻO ia ke kumu i kapa ʻia ai e nā kauka he 'SPARI (Serotonin Partial Agonist Reuptake Inhibitor)'.
Nā makaʻu a me nā kānalua maʻamau: Nā hopena ʻaoʻao
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. Akā, ʻaʻole i loaʻa i nā kānaka a pau. E nānā kākou i nā nīnau a ka poʻe he nui e nīnau ai.
Ke hoʻonui nei kēia lāʻau i ke kaumaha?
He mea nui kēia no nā poʻe he nui i ka wā e pili ana i nā antidepressants. ʻAe, hiki i kekahi mau antidepressants ke hoʻonui i ke kaumaha. Eia nō naʻe, ua hōʻike nā haʻawina ma Vilazodone i ka hoʻohālikelike ʻia me nā antidepressants ʻē aʻe, e like me Sertraline (Zoloft), ʻoi aku ka liʻiliʻi o ke kaumaha o ka poʻe e lawe ana iā Vilazodone. Eia nō naʻe, hiki ke ʻokoʻa kēia mai kēlā kanaka a kēia kanaka.
Aia kekahi mau hopena ʻaoʻao moekolohe?
ʻO kēia kekahi kumuhana ʻē aʻe a ka poʻe he nui e kānalua nei e kamaʻilio e pili ana, akā he mea nui loa ia. Hiki i kekahi mau antidepressants ke hoʻoulu i ka hana moekolohe, ka lohi o ka ejaculation, ka emi ʻana o ka makemake moekolohe, a me ka paʻakikī i ka hiki ʻana i ka orgasm i nā kāne a me nā wahine.
Eia nō naʻe, ʻo kekahi o nā pono o Vilazodone, ʻo ia ka emi ʻana o nā hopena ʻaoʻao moekolohe ma mua o nā antidepressants ʻē aʻe . Ua hōʻike kekahi mau noiʻi he haʻahaʻa loa ka hopena o Vilazodone i ka hana moekolohe ke hoʻohālikelike ʻia me nā lāʻau lapaʻau e like me Paroxetine (Paxil). ʻO ka ʻoiaʻiʻo, paipai pinepine nā kauka iā Vilazodone ma ke ʻano he pani no nā antidepressants ʻē aʻe no nā poʻe maʻi i loaʻa nā hopena ʻaoʻao moekolohe.
Nā hopena ʻē aʻe o Vilazodone a me nā mea e pono ai ke ʻike
E nānā kākou i nā mea ʻē aʻe e pono ai ʻoe e ʻike i ka wā e lawe ai i kēia lāʻau lapaʻau.
| ʻAno o ka hopena ʻaoʻao | Ka wehewehe a me nā mea e pono ai ke hana |
|---|---|
| Nā hopena ʻaoʻao maʻamau |
ʻIke pinepine ʻia kēia mau mea i nā pule mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau a laila nalo i ka wā e hoʻomaʻamaʻa ai ke kino iā ia. |
| Nā pilina me nā lāʻau ʻē aʻe | Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko (e.g., Warfarin ) a i ʻole nā lāʻau hoʻopau ʻeha e like me ka aspirin a i ʻole NSAID (e.g., Ibuprofen), hiki ke piʻi aʻe ka pilikia o ke kahe ʻana o ke koko ke lawe pū ʻia me Vilazodone. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. |
| Nā hopena ʻaoʻao koʻikoʻi akā kakaikahi | He liʻiliʻi loa ka pilikia o nā maʻi koʻikoʻi e like me nā hopu ʻana, nā pae sodium koko haʻahaʻa, a me ka serotonin syndrome. Inā kānalua ʻoe i kekahi mea e like me kēia, e ʻimi koke i ke kōkua lapaʻau. |
ʻEhia ka lōʻihi o ka hana ʻana o ka lāʻau lapaʻau?
He pilikia kēia no nā kānaka he nui. Hiki ke hala kekahi mau pule e ʻike ai inā e hana ana kahi antidepressant.
- Ma waena o 1-2 mau pule: E ʻike paha ʻoe i kekahi holomua i kou hiamoe, makemake i ka ʻai, a me ka pae ikehu.
- Ma waena o 6-8 pule: ʻO kēia ka lōʻihi o ka manawa e emi ai nā hōʻailona kaumaha a hoʻi hou mai ka hoihoi i nā hana o kēlā me kēia lā.
No laila, mai hopohopo inā ʻaʻole ʻoe e ʻike i nā hopena i ka wā e hoʻomaka ai ʻoe e lawe i ka lāʻau lapaʻau.
He mea nui loa: Inā manaʻo ʻoe ʻaʻole hana ka lāʻau lapaʻau a inā pono ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau no kekahi kumu, mai hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau no kekahi kumu . ʻO ka hana ʻana pēlā e hiki ai ke hana i nā pilikia koʻikoʻi e like me ka nausea, ka ʻeha poʻo, a me nā hopu ʻana. Pono e hana ʻia ka hoʻōki ʻana i ka lāʻau lapaʻau ma lalo o ke aʻo a kāu kauka, ma ka hoʻēmi mālie ʻana i ka nui (tapering off).
He kōkua nō hoʻi kēia lāʻau lapaʻau i ka hopohopo?
ʻAʻole i ʻae kūhelu ʻia ka lāʻau lapaʻau vilazodone no ka mālama ʻana i ka hopohopo. Eia nō naʻe, e like me kā mākou i ʻōlelo ai ma mua, ua kuhikuhi kekahi mau kauka iā ia "off-label" i nā poʻe maʻi me nā kūlana e pili ana i ka hopohopo e like me ka 'Generalized Anxiety Disorder (GAD).' No ka mea ua pili ka kaumaha a me ka hopohopo i nā pae serotonin i loko o ka lolo, ua hōʻike ʻia e ka noiʻi hiki i kēia lāʻau lapaʻau ke kōkua me ka hopohopo.
Inā loaʻa iā ʻoe ka hopohopo a me ke kaumaha, e hoʻoholo kāu kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe.
Leka Lawe-Home
- ʻO Vilazodone (Viibryd) kahi lāʻau lapaʻau i hoʻohana ʻia e mālama ai i ke kaumaha i nā pākeke.
- Hana ia ma ka hoʻonui ʻana i nā pae serotonin i loko o ka lolo, a he ʻano hana pālua kona, ʻaʻole e like me kekahi mau antidepressants ʻē aʻe.
- Ke hoʻohālikelike ʻia me kekahi mau antidepressants ʻē aʻe, haʻahaʻa loa ka pilikia o ka loaʻa ʻana o ke kaumaha a me nā hopena ʻaoʻao moekolohe .
- Malia paha ma kahi o 6-8 mau pule e ʻike ai i nā hopena piha o ka lāʻau lapaʻau, no laila e hoʻomanawanui.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- He mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, ʻoiai ka aspirin a i ʻole nā lāʻau hoʻokahe koko.
- Inā he mau hopohopo a kānalua paha kāu, e kamaʻilio mau me kāu kauka , mai hilinaʻi wale i ka ʻike ma ka pūnaewele.
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