I-Wellbutrin ye-ADHD

Imininingwane Yezidakamizwa

Ngabe uke wazama ukuphatha ukunaka kwakho kokushoda (ADHD noma i-ADD) ngemithi evuselelayo, efana URitalin noma Ikhonsathi , kepha angibanga nenhlanhla? I-Wellbutrin ingaba yisixazululo sakho-futhi ungavumeli iqiniso lokuthi iyi-antidepressant ikwesabise.

Kuyini iWellbutrin?

I-Wellbutrin ( bupropion i-antidepressant kwesinye isikhathi esetshenziswa ngaphandle kwelebuli ukwelapha izimpawu ze-ADHD. Kuvunyelwe ukwelapha ukudangala, ukuphazamiseka kwesizini, nokusiza abantu bayeke ukubhema. Isebenza ngokuvimba i-dopamine ne-norepinephrine ekubuyiselweni kabusha ebuchosheni. Lokho kukhulisa amazinga ala ma-neurotransmitters, angasiza ukukhulisa imizwa nokunciphisa ezinye izimpawu.

Ngabe i-Wellbutrin FDA ivunyelwe i-ADHD?

I-Wellbutrin ayivunyelwe yi-U.S. Food and Drug Administration (FDA) ukwelapha i-ADHD.

Kunemithi eminingi evuselelayo evunyelwe yi-FDA ukwelapha i-ADHD. Imithi ekhuthazayo ibhekwa njengokwelashwa komugqa wokuqala kwe-ADHD ngoba yehlisa izimpawu ze 70% kuya ku-80% labantu. Imithi engavuseleli yimithi yokwelashwa yomugqa wesibili noma wesithathu iziguli ezingazama uma izikhuthazi zingasebenzi. Ama-non-stimulants avunyelwe yi-FDA aphatha i-ADHD afaka: IStrattera ( atomoxetine ), Intuniv ( guanfacine ), futhi I-Kapvay ( clonidine ).

Ama-anti-depressants, afana ne-Wellbutrin, anikezwa i-off-label ukuphatha i-ADHD ngoba yandisa i-dopamine ne-norepinephrine-ama-neurotransmitters amabili avame ukuba phansi kubuchopho be-ADHD. Kusemthethweni, futhi kwamukelwa ukwenza imishanguzo off-ilebula uma ucwaningo lukhombisa ukuthi bangasiza isimo. Abanye ucwaningo kukhombisa ukuthi uWellbutrin usebenzela abantu abane-ADHD, abaneminyaka engu-18 nangaphezulu.

Izindlela ezahlukahlukene ze-ADHD zisebenza kubantu abehlukene, nangokulwa nezimpawu ezahlukahlukene, kusho uMelissa Orlov, umbhali we Umphumela we-ADHD Emshadweni . Ezinye izimpawu ze-ADHD zingaphathwa kangcono ngeWellbutrin kunezinye. Futhi ezinye azibekezeleli izikhuthazi.

Ingabe i-Wellbutrin iyasiza i-ADHD?

Ucwaningo luthi luyasebenza, yize lusezingeni eliphansi kunemithi eminingi evuselelayo, kuchaza u-Orlov. Kepha uma kukusebenzela, ngabe kusebenza noma cha kwabanye akubalulekile.

Izikhuthazi azisebenzi kuwo wonke umuntu, futhi abanye abantu abakwazi ukuzithatha ngenxa yesinye isimo sempilo, njengezinhlobo ezithile zezinkinga zenhliziyo. Uma wena noma ingane yakho uphakathi kuka-20% kuya ku-30% abasizi, noma izikhuthazi zibangela imiphumela emibi kakhulu, iWellbutrin ingaba yindlela enhle.

I-Bupropion iyisinqumo esihle kakhulu kubantu abane-ADHD abanezinkinga zemizwa ezenzeka ngokubambisana, njengokucindezeleka, futhi bangathanda ukuzama umenzeli oyedwa. Idatha iphakamisa ukuthi i-bupropion ithuthukisa hhayi kuphela ukucindezeleka kepha ne-ADHD, kusho UThimothewu Wilens, MD , umphathi wesigaba sezifo zengqondo zezingane nentsha eMassachusetts General Hospital.

I-Bupropion futhi iyindlela enhle kakhulu yomugqa wesibili kubantu abanezinkinga zokusebenzisa izidakamizwa kanye / noma ukukhathazeka ngokusetshenziswa kabi kwezikhuthazi nokuthi udokotela, umndeni, noma isiguli uqobo bafuna ukugwema izikhuthazi, kuchaza uDkt Wilens. Yize ingasebenzi njengesivuseleli, i-bupropion esetshenziswa kumthamo ojwayelekile we-antidepressant ingasiza ekunciphiseni izimpawu nokukhubazeka okuhlobene ne-ADHD.

Umthamo nezinhlobo ze-Wellbutrin ze-ADHD

I-Wellbutrin XL iyindlela evame kakhulu ukubekelwa i-ADHD, ngoba ihlala usuku lonke.

I-Wellbutrin igama elilodwa lomkhiqizo we-bupropion. Amanye amagama afaka: Aplenzin, Budeprion SR, Budeprion XL, Buproban, Forfivo XL, Wellbutrin SR, Wellbutrin XL, neZyban. I-SR ikhombisa ukukhishwa okuqhubekayo, i-XL ikhombisa ukukhishwa okunwetshiwe.

I-Bupropion iyatholakala kokulandelayo amafomu nezinketho zomthamo :

• Ithebhulethi yeBupropion hydrochloride, ukukhishwa ngokushesha: 75 mg, 100 mg
• Ithebhulethi yeBupropion hydrochloride, ukukhishwa okuqhubekayo kwehora eli-12: 100 mg, 150 mg, 200 mg
• Ithebhulethi yeBupropion hydrochloride, ukunwetshwa okunwetshiwe ihora lama-24: 150 mg, 300 mg, 450mg
• Ithebhulethi yeBupropion hydrobromide, ukukhululwa okunwetshiwe ihora lama-24: 174 mg, 348 mg, 522 mg

Umthamo othize uhlukahluka ngamunye. Ukuphepha kwayo akukasungulelwa noma ngubani ongaphansi kweminyaka engu-18. Kubalulekile ukuthi wazi ukuthi kuthatha amasonto ama-4 ukuthi umthamo we-Wellbutrin ufinyelele ngokugcwele, futhi kungathatha izinyanga ezimbalwa ukukuthola isilinganiso esifanele. Ukwengeza, akufanele uyeke ukuthatha i-Wellbutrin ngaphandle kokubonisana nodokotela wakho.

Imiphumela emibi ye-Wellbutrin

Esinye sezizathu esenza odokotela banikeze i-Wellbutrin ye-ADHD yingoba iziguli eziningi azinayo imiphumela emibi. Lapho bekwenza, imiphumela emibi iba mincane, futhi ivame ukubuna ngemuva kwamasonto ambalwa okuqala.

Okuvamile imiphumela emibi ye-Wellbutrin yilezi:

• Ubuhlungu bekhanda
• Ukwehla kwesisindo
• Umlomo owomile
• Kunzima ukulala
• Isicanucanu
• Isiyezi
• Ukuqunjelwa
• Ukujuluka
• Umphimbo obuhlungu

Lolu akulona uhlu oluphelele lwemiphumela emibi. I-Wellbutrin ingaba nokuxhumana okuyingozi nemithi ethile. Hlala ukhuluma nodokotela wakho noma usokhemisi ngemithi yakho, bese ufunda imininingwane kadokotela efakwe emithini yakho.

Izingozi zokuthatha iWellbutrin

I-Wellbutrin inesixwayiso sebhokisi elimnyama ngokuzibulala okuvela ku-FDA. Lokho kusho ukuthi kungakhuphula ubungozi bokuzibulala noma imicabango yokuzibulala ezinganeni, intsha nasebancane. I-Wellbutrin ayithathwa njengephephile ukuyithatha ngenkathi ukhulelwe noma unakekela, njengoba ingadlula ibisi lwebele.

Shayela udokotela wakho uma uneminye yale miphumela emibi engavamile, kodwa engaba yingozi kakhulu:

• Ukuqhuma kwesikhumba
• Ukushaya kwenhliziyo okusheshayo
• Kukhala ezindlebeni
• Ukunyakaza
• Ubuhlungu besisu
• Izinguquko ekuziphatheni noma emoyeni, noma emijahweni yokujaha
• Ukubona okungaboni kahle, ubuhlungu beso, noma ama-halos azungeze amalambu
• Imiphumela emibi yezocansi

Kukhona ingozi ephansi yokubanjwa kwabantu abanomlando wesifo sokuwa, ukulimala ebuchosheni, ukusebenzisa kabi izidakamizwa, noma ukuphazamiseka kokudla. Kukhona ingozi ephansi yezinkinga zenhliziyo, ikakhulukazi kubantu abane-high blood pressure noma isifo senhliziyo.

Lolu akulona uhlu oluphelele lwezingozi. Uma ucabanga ukuthi iWellbutrin ingakulungela wena, khuluma nodokotela wakho oyinhloko mayelana nezinketho zakho zokwelashwa. Qiniseka ukuthi wabelana nganoma imiphi eminye imishanguzo oyisebenzisayo, nokunye ukukhathazeka kwezempilo — ngaphezu kwe-ADHD.

I-Wellbutrin vs Adderall

I-Wellbutrin ne-Adderall (okuxutshwe nosawoti we-amphetamine) yomibili imishanguzo elapha i-ADHD.

I-Wellbutrin iyi-antidepressant esetshenziswa ngaphandle kwelebula. I-Adderall ngumuthi ovuselelayo ovunyelwe yi-FDA ukwelapha i-ADHD.

Ziyizigaba ezahlukahlukene zemithi ezisebenza emzimbeni ngezindlela ezihlukile, futhi ezinemiphumela engemihle eyehlukene. Imiphumela emibi ejwayelekile ye-Wellbutrin yikhanda, ukwehla kwesisindo, umlomo owomile, ubunzima bokulala, isicanucanu, isiyezi, ukuqunjelwa, ukushaya kwenhliziyo okusheshayo, nomphimbo obuhlungu. Imiphumela emibi ejwayelekile ye Adderall kufaka phakathi: ukwethuka, ikhanda elibuhlungu, izinguquko ku-sex drive noma ikhono, ubuhlungu besilumo obuhlungu bokuya esikhathini, umlomo owomile, ukuqunjelwa, isifo sohudo, isicanucanu, nokwehlisa isisindo.

Imithi ehlukile ye-ADHD isebenza kubantu abehlukene. Uma imishanguzo evuselelayo, njenge-Adderall, ingakusebenzeli wena noma ingane yakho, izinketho ezifana ne-Wellbutrin zingenye indlela yokwelashwa.