Hiki paha iā ʻoe ke ʻeha iki i ke kaumaha o ka noʻonoʻo a i ʻole ke kaumaha i kēia mau lā. I kēlā manawa, ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Vilazodone (i ʻike ʻia hoʻi ma ka inoa inoa ʻo Viibryd). He lāʻau lapaʻau kēia i hoʻohana ʻia no ka mālama ʻana i ke kaumaha. Akā he ʻokoʻa iki kona mai nā lāʻau lapaʻau ʻē aʻe. No laila i kēia lā, e kamaʻilio kākou e pili ana i nā mea nui e pono ai ʻoe e ʻike e pili ana i kēia lāʻau Vilazodone.
He aha nā kūlana e mālama ai ʻo Vilazodone (Viibryd)?
ʻO kēia lāʻau lapaʻau, i kapa ʻia ʻo Vilazodone, ua kuhikuhi mua ʻia ʻo ia he lāʻau lapaʻau no ka Major Depressive Disorder (MDD) . ʻO kēia ka mea a mākou e kapa pinepine ai ʻo "depression".
Eia kekahi, i kekahi manawa e kuhikuhi paha nā kauka i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe. Eia kekahi laʻana:
- Nā maʻi hopohopo
- Ka maʻi hoʻoluhi ma hope o ka trauma (PTSD)
- Kaumaha Bipolar
- ʻO kekahi ʻeha mau loa
- ʻO nā ʻōhū wela e kū mai me ka menopause
ʻOiai ʻaʻole i ʻae ʻia ʻo Vilazodone e mālama i kēia mau kūlana, ua loaʻa i kekahi mau maʻi nā hopena maikaʻi me ia, no laila ke ʻōlelo nei nā kauka iā ia "off-label," ʻo ia hoʻi, ʻaʻole i ʻae ʻia no ke kūlana, no ka pono o ka mea maʻi.
ʻO ka mea nui loa, ʻo ia ka ʻae ʻia ʻana o kēia lāʻau lapaʻau no nā mākua wale nō . ʻAʻole hāʻawi ʻia i nā keiki. ʻO ka maʻamau, kuhikuhi nā kauka i kēia lāʻau lapaʻau i ka poʻe i loaʻa ʻole nā hopena holomua me ka hoʻohana ʻana i kahi antidepressant ʻē aʻe.
Pehea e hana ai kēia lāʻau lapaʻau i loko o ke kino?
I mea e hoʻomaopopo ai i kēia, pono mua kākou e ʻike iki e pili ana i ka serotonin i loko o ko kākou lolo. I ka ʻōlelo maʻalahi, he kemika ka serotonin e hoʻomalu i nā mea he nui i loko o ko kākou lolo , me ko kākou ʻano , ka hauʻoli, a me ka hiamoe. Ua manaʻoʻiʻo ʻia he haʻahaʻa nā pae o kēia serotonin i ka poʻe me ke kaumaha.
ʻO ka mea e ʻokoʻa ai ʻo Vilazodone mai nā mea ʻē aʻe, ʻo ia ka hoʻonui ʻana i nā pae serotonin ma nā ʻano ʻelua.
1. Hana ma ke ʻano he SSRI:He lāʻau lapaʻau ʻo Vilazodone i loko o kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo Selective Serotonin Reuptake Inhibitors (SSRIs) . Ma hope o ka hoʻokuʻu ʻia ʻana o ka serotonin, hoʻopili hou ʻia ia i loko o nā hunaola nerve . Akā, pale ka SSRI iā ia mai ka hoʻopili hou ʻia ʻana. ʻAe kēia i ka serotonin e noho lōʻihi i loko o ka lolo, e kōkua ana i ka hoʻomaikaʻi ʻana i ko kākou ʻano.
2. Hana ma ke ʻano he 5-HT1A Partial Agonist: Hoʻoulu pū kēia lāʻau i nā mea loaʻa e loaʻa ana nā leka serotonin. Hoʻonui hou kēia i ka hana o ka serotonin.
Ma muli o ka hoʻonui ʻana i nā pae serotonin i loko o ka lolo ma nā ʻano ʻelua , ʻoi aku ka maikaʻi o Vilazodone no kekahi poʻe.
Pehea e hoʻohana ʻia ai ʻo Vilazodone (Viibryd)?
Loaʻa kēia lāʻau lapaʻau ma ke ʻano he papa. ʻO ka mea nui loa, pono e lawe mau ʻia kēia papa me ka ʻai. E lawe me ke aniani wai ma hope o ka ʻai ʻana.
E hoʻomaka pinepine kāu kauka iā ʻoe ma ka 10mg (milligrams) i ka lā. Ma hope o 7 mau lā o ka lawe ʻana, e hoʻonui lākou i ka nui i 20mg inā pono. Pono paha kekahi poʻe e hoʻonui i ka nui i 40mg. Eia nō naʻe, pono e loaʻa ma ka liʻiliʻi he 7 lā ka mamao ma waena o kēlā me kēia nui. E like kēia me nā kuhikuhi a kāu kauka.
ʻEhia ka lōʻihi e loaʻa ai nā hopena?
He nīnau kēia a ka poʻe he nui e nīnau ai. Ma hope o hoʻokahi a ʻelua paha pule o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e ʻike ʻoe e hoʻomaikaʻi iki ana kou makemake, hiamoe, a me kou ikehu. ʻO ke ʻano kēia e hoʻomaka ana ka lāʻau lapaʻau e hana. Eia nō naʻe, hiki ke hala ma kahi o 6 a 8 mau pule no ka emi loa ʻana o ke kaumaha a no ka hoʻi ʻana mai o kou hoihoi i ka hana. No laila e ʻoluʻolu e hoʻomanawanui a hoʻohana i ka lāʻau lapaʻau.
He mea nui loa: Pono e hoʻohana ʻia kēia lāʻau lapaʻau me ke akahele, a pēlā nō hoʻi e hoʻōki ai. Mai hoʻōki koke i ka lawe ʻana me ka ʻole o ke aʻo ʻana a kāu kauka. Hiki i ka hana ʻana pēlā ke hana i nā hopena ʻino (discontinuation syndrome) e like me ka nausea, ka luaʻi ʻana, ka hopohopo, ka ʻeha poʻo, nā manaʻo ʻāʻī, a me ka hou ʻana. Inā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, pono ʻoe e hoʻēmi mālie i ka nui. E wehewehe kāu kauka pehea e hana ai i kēia.
He aha nā hopena ʻaoʻao o kēia lāʻau lapaʻau?
E like me nā lāʻau antidepressant ʻē aʻe, hiki iā Vilazodone ke hana i nā hopena ʻaoʻao. He mea maʻamau kekahi, akā hiki i kekahi ke koʻikoʻi. E nalo aku nā mea e like me ka nausea a me ka ʻeha o ka ʻōpū i ka wā e maʻa ai kou kino i ka lāʻau. Akā aia kekahi mau hōʻailona e pono ʻoe e haʻi aku i kāu kauka.
| ʻAno o ka hopena ʻaoʻao | Nā hōʻailona hiki ke loaʻa |
|---|---|
| Nā hopena ʻaoʻao maʻamau | |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Ka maʻi kahe (pehu), ka nausea, ka luaʻi. |
| Nā pilikia hiamoe | ʻO ka hiamoe ʻole a i ʻole nā pilikia hiamoe. |
| Nā hopena ʻaoʻao maʻamau ʻole | |
| Nā pilikia moekolohe | Ka emi ʻana o ka makemake moekolohe, ka paʻakikī i ka loaʻa ʻana a i ʻole ka mālama ʻana i kahi kūkulu ʻana, ka lohi o ka ejaculation. (Eia nō naʻe, ʻoi aku ka liʻiliʻi o nā hopena ʻaoʻao moekolohe o kēia lāʻau lapaʻau ma mua o nā lāʻau SSRI ʻē aʻe.) |
| Mania/Hypomania | Inā loaʻa iā ʻoe ka maʻi bipolar, hiki iā ʻoe ke ʻike i nā hōʻailona e like me ka manaʻo nui o ka ikehu, ka hana hoʻowahāwahā, a me ke kahe wikiwiki o nā manaʻo. |
| Nā hopena ʻaoʻao koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka | |
| ʻO ka maʻi Serotonin | Ka nui o ka serotonin i loko o ke kino. ʻO nā hōʻailona e komo pū me ka hoʻonāukiuki, nā hallucinations, ka hou nui, ka wikiwiki o ka puʻuwai, ka ʻoʻoleʻa o nā ʻiʻo, ka haʻalulu, ka luaʻi, a me ka maʻi pākī. He pilikia kēia. |
| Nā manaʻo pepehi kanaka | Manaʻo e pepehi iā ʻoe iho a i ʻole e hōʻeha iā ʻoe iho, ʻoiai ke hoʻomaka mua ʻoe e lawe i ka lāʻau lapaʻau a i ʻole ke hoʻololi ʻia ka nui o ka lāʻau. Inā loaʻa kēia mau manaʻo iā ʻoe, e haʻi koke aku i kāu kauka a i ʻole kekahi mea kokoke iā ʻoe. |
| Nā hopu ʻana | ʻOi aku ke kiʻekiʻe o ka pilikia inā ua loaʻa iā ʻoe kahi hopu ma mua a i ʻole he maʻi epilepsy. |
| Ke kahe koko ʻano ʻē | ʻOi aku ke kiʻekiʻe o ka pilikia ke lawe pū ʻia me nā lāʻau hoʻomaha ʻeha e like me ka aspirin, NSAID (e.g., Ibuprofen, Diclofenac), a i ʻole nā lāʻau hoʻokahe koko ʻē aʻe. |
| ʻO ka Glaucoma Pani-Angle | ʻEha maka, ʻike pōwehiwehi, ʻike ʻana i nā apo kala a puni nā kukui. |
| Ka emi ʻana o ka sodium i loko o ke koko (Hyponatremia) | ʻEha ke poʻo, pilikia hoʻomanaʻo, huikau, kūpaʻa ʻole i ka wā e hele ana. I nā hihia koʻikoʻi, hiki ke nalowale ka ʻike a me nā hopu ʻana. |
Nā ʻōlelo aʻo e makaʻala i ka wā e hoʻohana ai iā Vilazodone (Viibryd)
Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e haʻi pono i kāu kauka e pili ana i kēia mau mea.
- Nā lāʻau lapaʻau ʻē aʻe āu e lawe nei: E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau, nā huaora, a i ʻole nā lāʻau lapaʻau lāʻau āu e lawe nei, ʻoiai ka aspirin, NSAID (e like me ibuprofen), a me nā lāʻau hoʻokahe koko ʻē aʻe.
- Hāpai a me ka hānai waiū: E hōʻoia e haʻi i kāu kauka inā ʻoe e hāpai ana, e hoʻolālā ana e hāpai, a hānai waiū paha.
- Nā kūlana olakino ʻē aʻe: E ʻoluʻolu e hoʻomaopopo mai iā mākou inā loaʻa iā ʻoe ka maʻi bipolar, epilepsy a i ʻole nā hōʻeha, glaucoma, maʻi ate a i ʻole nā maʻi puʻupaʻa.
- Wai huaʻai: E haʻi i kāu kauka inā inu mau ʻoe i ka wai huaʻai, no ka mea e hoʻopilikia paha i ka pono o kēia lāʻau lapaʻau.
- Nā lāʻau lapaʻau MAOI: ʻOi aku ka maikaʻi ʻaʻole e hoʻohana iā Vilazodone inā ʻoe e lawe ana i kahi antidepressant ʻē aʻe i kapa ʻia ʻo Monoamine Oxidase Inhibitor (MAOI) a i ʻole ua hoʻōki koke nei i ka lawe ʻana. Manaʻo nā kauka e kali ʻoe ma ka liʻiliʻi he 14 mau lā ma hope o ka hoʻōki ʻana i kahi MAOI ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau.
Leka Lawe-Home
- ʻO Vilazodone (Viibryd) kahi lāʻau lapaʻau e mālama ai i ka maʻi kaumaha nui (MDD) a hoʻonui i nā pae serotonin i loko o ka lolo ma nā ʻano ʻelua.
- Pono e lawe ʻia kēia lāʻau lapaʻau me ka ʻai i nā manawa a pau .
- Hiki ke hala ma kahi o 6-8 mau pule e ʻike ai i nā hopena piha o ka lāʻau lapaʻau, no laila e hoʻomanawanui a hoʻomau i ka hoʻohana ʻana.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau lapaʻau no kekahi kumu me ka ʻole o ke aʻo ʻana a kāu kauka.
- E makaʻala i nā hopena ʻino e like me ka serotonin syndrome, nā manaʻo pepehi kanaka, a me nā hopu ʻana. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻike koke i ke kauka.
- E hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā kūlana olakino ʻē aʻe āu e loaʻa ai ma mua o ka hoʻomaka ʻana i ka lāʻau.
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