Yini ikhemisi elihlanganayo?

Imfundo Yezempilo

Ushiya ihhovisi likadokotela wakho ngokuxilongwa nencwadi kadokotela. Kodwa incwadi kadokotela ifaka imiyalo ekhethekile: ukuyigcwalisa ekhemisi elihlanganayo. Linda, ini? Uyitholaphi indawo enjalo? Yini futhi kuyinto ikhemisi elihlanganayo, vele?

Ungamangali uma ungalijwayele leli gama-uma kuqhathaniswa namakhemisi ajwayelekile, amakhemisi ahlanganisiwe azinikele ambalwa futhi aqhele kakhulu. Emakhemisi omphakathi angama-56,000 e-United States angama-7 500 kuphela asebenza ngokukhethekile ngezinsizakalo ezihlanganayo, ngokusho kwe I-American Pharmacists Association . Ngeza kulokho iqiniso lokuthi iningi lemithi kadokotela ayidingi ukuhlanganiswa futhi, kungenzeka ngokuphelele ukuthi ubukhona bazo buyizindaba kuwe. Uma kwenzeka udinga ikhemisi elihlanganayo, uzodinga imininingwane embalwa yokuthi ziyini, zenzani nokuthi ungayithola kanjani enhle.

Yini ikhemisi elihlanganayo?

Ngokuyinhloko, ikhemisi elihlanganayo — noma ikhemisi elihlanganisiwe — liyikhemisi elenza imithi ethile ekuqaleni, kusho uLars Brichta, Pharm.D., Umqondisi wezindaba zokwelashwa nezesayensi I-ChemistryRX , ikhemisi elihlanganayo ePhiladelphia eligxile emithini yezimo zesikhumba nezifo ezingavamile. Kodwa-ke, la makhemisi awasisekelo.

Iningi losokhemisi limane likhiphe imishanguzo efika ekhemisi kuqala. Emakhemisi ahlanganisayo, osokhemisi empeleni benza ngezifiso imithi yesiguli ngasinye nezidingo zaso ezihlukile, inqobo nje uma leso sidakamizwa singatholakali kumkhiqizi wezidakamizwa. Izithako zigcinwa zikhona, futhi lapho isiguli sidinga ukwelashwa okuthile, usokhemisi ohlanganayo uyakuxuba kusuka kulezi zithako. Ngalesi sizathu (nezinye), Izidakamizwa ezihlanganisiwe zikhululiwe ekuvunyelweni yi-FDA , futhi esikhundleni salokho ilawulwa ngamabhodi wombuso ekhemisi ngokususelwa kumazinga abekwe yi Umhlangano wase-United States Pharmacopeial (USP) . Amaphilisi namaphilisi awavame ukuhlanganiswa. Kepha, iziphuzo, okhilimu, amafutha okugcoba, ama-lozenges, ama-suppositories, nama-capsule amaningi ahlanganisiwe.

Kungani ngidinga izidakamizwa ezihlanganisiwe?

Uma umthunywa ekuthumela ekhemisi elihlanganayo, kungahle kube ngoba:

1. Unokungezwani nezinto ezithile komzimba.

Amaphilisi amaningi aqukethe izithako ezingasebenzi nazo ezingahle zibe nomzimba, njenge-lactose, i-gelatin noma udayi kusho uJesica Mills, Pharm.D., Umnikazi we Owensboro Family Pharmacy and Wellness eKentucky. Lezi zithasiselo zibangela inkinga kubantu abanokuzwela okuthile. Ukuhlanganiswa kungenza ukuthi bakwazi ukusebenzisa umuthi ngaphandle kwengozi yokuphendula okweqile. Siyakwazi ukuhlanganisa isithako esisebenzayo somuthi ngaphandle kokugcwaliswa bese sikufaka kufomu eliketshezi elingenazo izinto ezibangela ukungezwani komzimba, kuchaza uDkt. Mills.

ezimbili. Imithi kadokotela eyengane.

Imithi eminingi yenziwa nabantu abadala engqondweni, futhi leyo mithamo imvamisa ayizifanele izingane (ikakhulukazi ngenxa yesisindo sayo), kusho uDkt Mills. Futhi, izingane ezincane zihlala zidinga imishanguzo esemanzi ngoba azikwazi ukugwinya amaphilisi. Ukwengeza kuvumela usokhemisi ukuthi enze ngendlela oyifisayo amafomu esikali engane ngokwenza uhlobo oluwuketshezi lomuthi ovame ukuhanjiswa ngefomu lepilisi, noma ukwenza ngcono ukunambitheka komuthi ukuze ingane ikwazi ukuwuthatha kalula.

3. I-cocktail yamaphilisi owadingayo ingaba yingozi.

Imithi esekwe kukhilimu yokuvuvukala nokuphathwa kobuhlungu bezinzwa noma bemisipha, ngokwesibonelo, imvamisa iqukethe izithako ezisebenzayo eziyisithupha. Ukube isiguli besingathatha yonke le mithi [njengemithi] yomlomo, lapho [kungaba] nokudangala okukhulu kwesistimu yezinzwa futhi kungasenza sikhathazeke ngokwazi kwabo ukugcina ukusebenza kwamaphaphu, kuchaza uDkt. Mills. Ngokufaka lezi zithako kukhilimu futhi sisebenzise ngqo endaweni [ethintekile], siyakwazi ukuvimbela imiphumela emibi [yesistimu] yomuthi.

Isine. Imithi idinga ukwenziwa ngokwezifiso ukuhlangabezana nezidingo zakho zezokwelapha.

Uma ingane inesifo se-staph, isibonelo, ukwelashwa ama-antibiotic afakwe kukhilimu we-diaper rash. Lokhu bekungeke kufanele uma ukutheleleka akazange kuhambisana nokuqubuka, futhi kungcono kuwo wonke umuntu othintekayo uma usokhemisi enza ukuxuba. Akunakwenzeka ukunikeza abazali amashubhu amathathu kwama-4 okugcoba futhi balindele ukuthi bawagcobe ngendlela efanele noma bonke ngesikhathi esisodwa, kusho uDkt Mills, enezela ukuthi iziguli ngokuvamile azinawo amathuluzi noma izitsha zokuxuba eziningi imithi ekhaya noma kunjalo.

Ukwenza ngokwezifiso nakho kujwayelekile kuma-topical therapy therapy okhilimu, i-mouthwash, amaconsi wamehlo kadokotela, imishanguzo kanye nama-suppositories ama-hemorrhoids noma ama-fissures anal, nama-gel / okhilimu / okugcoba ama-transdermal ezimweni ezithile zesikhumba.

5. Imithi ayitholakali ngokuthengisa.

Ezimweni ezingavamile, isiguli singadinga umuthi ongenziwanga yinkampani eyenza imithi ngakho-ke akusona isidakamizwa esitholakala kalula ukuthi usokhemisi asikhiphe, kusho uDkt Brichta. Kwesinye isikhathi akusiyo inzuzo kumenzi omkhulu ukwenza [le] mithi… kepha lezi ziguli kusobala ukuthi zisazidinga izindlela zazo zokwelashwa, usho kanje.

6. Imithi yakho ayikho kwelebula.

Kwesinye isikhathi, usokhemisi angadinga ukuhlanganisa umuthi wokusetshenziswa kwelebula, kusho uDkt. Mills. Lokhu kusho ukuthi kunqunyelwe isimo ngaphandle kwalesi esivunyelwe ukwelashwa yi-FDA. Abahlinzeki bezokunakekelwa kwempilo bangakunikeza umuthi onjalo, kepha isilinganiso singadinga ukulungiswa - yingakho isidingo sokuhlanganiswa.

Isibonelo, kusho uDkt. Mills I-Naltrexone , umuthi osetshenziselwa ukwelapha ukuphazamiseka kokusebenzisa i-opioid notshwala okuvame ukufika kuthebhulethi engu-50 mg. [Olunye ucwaningo lukhombisa] ukuthi lo muthi kumamiligram ayisithupha kuya kwayisihlanu [ungasiza] ngezinkinga zokuzivikela komzimba, usho kanje. Njengoba ingekho indlela yokuhlukanisa ithebhulethi engu-50 mg ukuthola umthamo ongu-3 mg, [amakhemisi ahlanganisayo] anga-oda i-Naltrexone powder, alinganise [inani elifanele] bese ewufaka ku-capsule ozothathwa yisiguli.

OKUSHIWO: Izidakamizwa ezingekho ilebula: Okudingayo ukwazi

Ngilithola kanjani ikhemisi elihlanganayo eduze kwami?

Uma udokotela wakho ebhale incwadi kadokotela yomuthi ohlangene, kufanele uwugcwalise ekhemisi elihlanganayo. Amakhemisi amaningi okudayisa anikela ngezinga elithile lokuhlanganiswa kodwa akumenyezelwa kakhulu ngenxa yabantu abancane abadinga imishanguzo ehlanganisiwe, kusho uDkt Mills. Ngokuya ngezinsizakalo zekhemisi ezitholakala esitolo sakho sezidakamizwa, kungadingeka ukuthi ufune ikhemisi eligxile ekuhlanganiseni.

Kubalulekile ukuthi uqiniseke ukuthi ikhemisi olikhethayo lihlangabezana namazinga athile. Lokhu kungaba yinselele, kuchaza uDkt Brichta, ngoba ukuhlanganiswa kwamakhemisi okwamanje akudingeki ukuthola isitifiketi sikazwelonke sokukhipha izidakamizwa ezihlanganisiwe. Noma kunjalo, bona kukhona zihlolwe njalo yibhodi lawo lombuso lekhemisi ukuqinisekisa ukuthi kwenziwa zonke izinyathelo ezifanele, kusho uDkt Mills. Banenketho yokufaka isicelo sokugunyazwa ne- Ibhodi Eliqinisa Ukuqinisekiswa Kwekhemisi (PCAB), uhlelo lokuzithandela oludinga ukunamathela emazingeni aqinile okuphepha. UDkt Brichta unxusa iziguli ukuthi zisebenzise amakhemisi ahlanganisiwe aqinisekiswe yi-PCAB lapho kungenzeka khona.

Ngokuqondene nokwazi ukuxuba ekhemisi komuntu ngamunye, uDkt Mills uthi osokhemisi abaningi abanamalayisense baqeqeshelwa okungenani ukuhlanganiswa okuyisisekelo ngesikhathi sesikole samakhemisi, futhi abaningi kudingeka ukuthi bakhombise ikhono lokuhlanganisa ukuze baphase izivivinyo zebhodi lekhemisi lombuso. Osokhemisi ofisa ukugxila ekuhlanganiseni, nokusebenza emakhemisi ahlanganisayo, angenza kanjalo ngokuqhubeka nezifundo zemfundo nokuqeqeshwa okwengeziwe, uyanezela.

Abanye baze bakhethe ukugxila ekuhlanganiseni okuyinyumba, okubandakanya imithi enikezwa ngqo emthanjeni noma esweni lesiguli. Le mithi idinga ukuhlanganiswa elebhu ekhethekile eyinyumba, ngoba uma umuthi ungcoliswe amagciwane kuyingozi kakhulu esigulini (izinto eziningi eziyinyumba zenziwa ngemithambo yegazi, ngakho-ke zisetshenziswa kuphela ezibhedlela nakwezinye izilungiselelo zezokwelapha).

Ngakho-ke, ngubani olawula ukuhlanganisa amakhemisi? Ngenkathi izifundazwe zihlinzeka ngokwengamela amakhemisi endabuko ahlanganisayo, amalebhu akhethekile amakhulu ahlanzayo athumela imikhiqizo phakathi kwamazwe (noma izindawo ezibhalisiwe zokukhishwa kwempahla) alawulwa yi Umthetho Wekhwalithi Nezokuphathwa Kwezokuphathwa Kwezokuphathwa Kwezidakamizwa . Lesi senzo sasayinwa saba ngumthetho ngonyaka we-2013 kuphendulwa Ukuqubuka kwe-fungal meningitis kulandelwe isikhungo esiyinyumba seNew England . Lesi sifo sahlasela iziguli ezingama-753, kwashona ezingama-64 kuzo. Lowo osebenza enkampanini wagwetshwa iminyaka eyisishiyagalombili ejele.

Ngabe umshwalense wami uzokhokhela izidakamizwa ezihlanganisiwe?

Ukuphendula lokho kubheduka izinkampani eziningi zomshuwalense ziyeke ukumboza izidakamizwa ezihlanganisiwe uDkt. UMills noBrichta bathi. Kuzodingeka uhlole inqubomgomo yakho ukuthola imininingwane ethile, kodwa kungenzeka impela ukuthi uzodinga ukukhokha uphuma ephaketheni. Ngeshwa, umuthi ungabiza, kusho uMills.

Okhilimu abaningi bezinhlungu [bahlanganisiwe] bangabiza ngaphezulu kwama- $ 100 esitsheni ngasinye, ngakho-ke kube nomthelela omkhulu kulabo abasemaqenjini aphansi ezomnotho ekubeni bakwazi ukuthenga imithi ekhethekile, usho kanjalo.

Ukuthola ukuvunyelwa ngaphambi kwesikhathi kwesinye isikhathi kuyasiza, kusho uDkt Brichta. I-ChemistryRX iqashe abasebenzi ababili besikhathi esigcwele abazinikele ekusizeni iziguli ukuthi ziyithole, kepha akusona isiqinisekiso. Ukutholakala komshuwalense kube nzima kakhulu; kuthatha umzamo omkhulu, uthi.

Izindaba ezimnandi? Eminye imishanguzo ehlanganisiwe-efana ukumiswa kwe-omeprazole - sezidume kakhulu manje sezingathengwa ngokuhweba, okusho ukuthi ungasebenzisa iSingleCare yakho ikhadi lokonga ekhemisi . Ukubona ukuthi udokotela wakho uyafaneleka yini, hlola ithuluzi lethu lokuqhathanisa amanani noma khuluma nosokhemisi wakho.