Ativan mhedzisiro uye kudyidzana, uye maitiro ekuzvidzivirira

Zvinodhaka Info

Kana iwe uine kushushikana , pamwe wakambonzwa nezvazvo Ativan . Zvakadaro, unogona kusaziva kuti Ativan inobatsirawo nekushaya hope, inogona kudzivirira kusvotwa panguva yekurapwa kwemakemikari, uye inoshandiswa kurapa chimiro chekufa pfari. Ativan, zita rechirapa remushonga lorazepam, mushonga wekukurumidza-kuita, nevanhu vazhinji vachitanga kunzwa kudzikama kwavo pakati pemaminitsi makumi maviri nemakumi matatu mushure mekutora. Sezvo nemishonga yakawanda, Ativan ine mhedzisiro uye inogona kusangana nemimwe mishonga. Muchikamu chino, tinokurukura zvinogona kuitika Ativan mhedzisiro, kudyidzana kwezvinodhaka, uye yambiro yekuishandisa zvakachengeteka.

Chii chinonzi Ativan?

Ativan (lorazepam) iri mukirasi yemishonga inonzi benzodiazepines. Inowanikwa semushonga wemishonga. Inotenderwa muU.S. kune kurapwa kunotevera:

• Pfupi-yenguva zororo rezviratidzo kubva kusagadzikana kusagadzikana uye kushungurudzika-kwakabatana kushushikana
• Kutungamira kwekushushikana kwekushushikana

Vanachiremba dzimwe nguva vanozvinyorera off-label , zvichireva kuti kunyangwe isina kubvumidzwa kurapa chaiyo mamiriro ehutano, anecdotal humbowo wakazviona zvichibatsira. Zvinoenderana ne National Center yeBiotechnology Ruzivo , aya mamiriro anosanganisira:

• Doro rekusiya chirwere uye delirium
• Kunetseka kwekutya
• Kudzivirira kushungurudza panguva yekurapa kenza
• Tsandanyama mhasuru
• Relaxation uye sedation pamberi peanesthesia
• Psychogenic catatonia
• Kushandisa-kwenguva pfupi kwekusarara
• Mamiriro epilepticus pfari

Ativan inokurumidza-kuita. Kana uchitora nemuromo, vanhu vazhinji vanotanga kunzwa zvinoitika mumaminitsi makumi maviri kusvika makumi matatu. Ativan inoshanda mukati memaminitsi matatu kana matatu paunopihwa mukati.

RELATED: Kushushikana kurapwa uye mishonga

Nei lorazepam iri chinhu chinodzorwa?

Iko kune njodzi yekushungurudzwa kweAtivan uye kuvimba. United States Kudya neDrug Administration (FDA) yakadana Ativan Chirongwa IV zvinhu zvinodzorwa . Pane zvikamu zvishanu zvezvinhu zvinodzorwa zvinoenderana nenjodzi yemushonga yekushungurudzwa kana kukuvadzwa, sekunge kuti mushonga unokwanisa kutungamira mukufunga kwepfungwa kana kwepanyama. Purogiramu Iine mikana yepamusoro yekushandisa zvinodhaka, zvakadai se heroin. Iyi mishonga haina kugamuchirwa kushandiswa kwekurapa uye haisi pamutemo muUnited States. Rongedza V zvinodhaka zvine mukana wakaderera wekushungurudzwa, senge mamwe masosi echikosoro ane codeine. Benzodiazepines dzakadai seAtivan dziri muChirongwa IV, zvichireva kuti vane mukana wakaringana wekushandisa zvisirizvo, pamwe nekushandisa zviri pamutemo kurapwa. Mimwe mishonga iri muchikamu ichi inosanganisira Xanax (alprazolam), Klonopin (clonazepam), uye Valium (diazepam).

Ativan inyatwa here?

Kunyangwe chiri chinhu chinodzorwa, Ativan haisi narcotic. Narcotic inoderedza maonero emunhu ekurwadziwa, nepo benzodiazepines ine zvinyaradzo. Ose ma narcotic uye benzodiazepines ane mukana wekuita tsika-kugadzira. Kunyangwe vezvekurapa vachifunga kuti Ativan yakachengeteka uye inoshanda kana ikashandiswa sezvakarairwa, kutsamira panyama kunogona kukura nekukurumidza sevhiki mbiri, sekureva kwe National Alliance pamusoro peMental Illness (NAMI) .

Zvakajairika mhedzisiro mhedzisiro yeAtivan

Ativan mhedzisiro mhedzisiro inowanzo kuve yakanyanya kuoma ine yakakwira doses Mimwe yemhedzisiro inowanzoitika inosanganisira:

• Dzungu
• Kukotsira kana kurara
• Kugara
• Musoro wakareruka
• Kusadzikama
• Yakadzikira kugona kuisa pfungwa
• Tsvina kushaya simba
• Muromo wakaoma

Yakadzikira BP kumanikidza kwesimba kweAtivan, asi haina kunyorerwa kudzikisa BP, inotsanangura Amanda Brown , NP, murapi wepfungwa murapi wehutano kuNew York-Presbyterian Hospital uye anoshamwaridzana paColumbia University Irving Medical Center.

Ativan inogona zvakare kukonzera kukanganiswa kwekurara, kusagadzikana kwe erectile, uye shanduko mukuda kudya.

Ativan inoshanda nekudzikamisa iyo nervous system kuenzanisa zviitiko muuropi, ichikurudzira yekuzorora, yekudzikamisa mhedzisiro. Inosimudzawo dopamine, uye kana ikatorwa mune yakakwira madosi, inzwa-akanaka maurotransmitter muhuropi anowedzera, zvichikonzera kunzwa kwekufara, ndicho chimwe chezvikonzero nei chiri muropa.

Yakakomba mhedzisiro mhedzisiro yeAtivan

Vamwe vanhu vanogona kuwana zvakawanda zvakakomba mhedzisiro kubva pakushandiswa kweAtivan. Izvi zvinosanganisira:

• Kufambisa kufamba
• Kudedera kana kutadza kugara wakadzikama
• Kupindwa nechando
• Matambudziko ekufema
• Zvakaoma kumedza
• Kuputika kweganda kana mikoko
• Yero yeganda kana maziso
• Kusarongeka kwemoyo
• Kurangarira ndangariro kana matambudziko ekurangarira
• Kuora mwoyo
• Kurara apnea kana kuwedzera kwekurara kwepabhesi

Kazhinji yenguva, mhedzisiro inoderera sezvo mushonga unoderera, kazhinji mumaawa matanhatu kusvika masere. Nekudaro, kana iwe uri kusangana nemhedzisiro mhedzisiro kana mhedzisiro usingaendi mukati maawa mashoma, iwe unofanirwa kutsvaga kurapwa.

Zvimwe zvinokonzeresa kuti waranti yekumisa mishonga inosanganisira kurara zvakanyanya, kurasikirwa mundangariro, kusagadzikana, kushomeka kwakanyanya, uye dzungu, anodaro Brown. Nekuti nekumira kamwe kamwe Ativan kunogona kukonzera kubvisa zviratidzo, unofanirwa kutaura nachiremba wako usati warega.

Ativan yambiro

Ativan mushonga wepfupi-wenguva. Kana yakatemwa kushandiswa kwezuva nezuva, nzira yekurapa yakakurudzirwa ndeyemavhiki mana kana mashoma.

Ativan kubvisa zviratidzo

Kushandiswa kwenguva refu kunogona kutungamira mukuvimbika uye kushivirira, zvichireva kuti munhu angangoda dosi yepamusoro kuti ave nemhedzisiro kana kuti angazorega kurega kutora mushonga, anodaro. Wendi D. Jones , Pharm.D., Wemishonga muNorth Carolina. Pfungwa, zvingave zvakaoma kuenda pasina mushonga, zvichitungamira mukuwedzera kunetseka. Kumisa mushonga mushure memavhiki mashoma ekushandisa hakufanirwe kukonzera matambudziko akakura. Nekudaro, kana wanga uchingoshandisa mushonga kwenguva yakareba kupfuura mavhiki maviri kana mana, kuvimba kunogona kuitika, uye kuibvisa panogona kudikanwa.

Kushungurudzika

Kune vamwe vanhu, Ativan inogona kuwedzera zviratidzo zvekushushikana. Ativan inzvimbo yepakati yetsinga inoshungurudza. Kana ichivakika muhurongwa hwako kana iwe ukaitora pamadosi epamusoro, zvinokwanisika kuti kushushikana kuwedzere uye kutoguma nekufunga kuzviuraya kana manzwiro. Ruzivo rwemushonga rwakatsanangurwa mu package yekuisa inoratidza Ativan inofanira kungoshandiswa chete kune varwere vane kushushikana kana murwere ariwo pakurapa kwekudzvinyirira.

Kurambidzwa kwezera

Ativan iri pa Beers Criteria Mishonga Chinyorwa yemishonga inogona kunge isina kukodzera kune vanhu vakuru.Vakwegura vakuru vakawedzera kunzwisisika kune benzodiazepines. Mune ava varwere, pane njodzi yakawedzera yekukanganisa kwekuziva, delirium, kudonha, kutsemuka, uye kupunzika kwemotokari panoshandiswa Ativan. Kunyangwe ari paRudzi rweBheer, Ativan inowanzo gadzirirwa kune vakuru vakuru. Muvarwere ava, iyo yakaderera inogoneka dosi inofanirwa kushandiswa uye murwere anofanirwa kutariswa zvakanyanya.

Nekuti lorazepam inonyaradza, haufanire kutyaira mota kana kushandisa michina kusvikira iwe waziva kuti mushonga uyu unokubata sei.

Kukanganisa kwekuyeuka

Kune zvakare ruzivo rwunopesana rwekuti Ativan inokonzeresa here kana kuti njodzi yekukanganisa ndangariro kana chirwere cheAlzheimer. Imwe fundo akawana kuti benzodiazepines inogona kuve njodzi yekukanganisa pfungwa. Uye imwe kudzidza, rakaburitswa mu2014 , akawana kusangana pakati pekutora lorazepam uye njodzi yechirwere cheAlzheimer. Nekudaro, zvichangopfuura tsvagiridzo , rakaburitswa muna2016, rakaratidza kuti njodzi yekurasikirwa nehungwaru yaive yakangoti kwirei muvanhu vanotora madosi mashoma ebenzodiazepines, uye yanga isipo kune vanoitora pamadhora epamusoro.

Kufuridzira kushushikana

Benzodiazepines inogona kukonzeresa mweya wekufema, kana hypoventilation, kana ikashandiswa yega, uye kunyanya kana ichibatanidzwa neimwe yepakati yetsinga system (CNS) inoshungurudza. Ichi chirwere chekufema chinokonzeresa, kufema kusingashande, kuumba yakakwira mwero we carbon dioxide uye yakaderera mwero weoxygen mumuviri wako.

Benzodiazepines yakadai seAtivan inogona zvakare kukonzera kufema kushushikana kana ichibatanidzwa nemimwe mishonga yekugara kana zvinhu zvakaita sedoro, zvinyoronyoro zvinozorodza, sedating antihistamines, antipsychotic, anticonvulsants, uye antidepressants. Nguva dzose bvunza wako mupi wezvehutano kuti uone kuti Ativan yakachengeteka musanganiswa nemimwe mishonga yaunotora.

Kubata uye kuyamwisa

Kana uri nepamuviri kana kuronga kuve nepamuviri , tsvaga zano rezvechiremba usati watora mushonga uyu. Zvidzidzo zvemhuka zvakaratidza dzimwe nguva kusagadzikana mumwana mudumbu. Kune imwe njodzi yekuwedzera kwekusanzwisisika kubva kune tranquilizers panguva yekutanga trimester. Iko kushandiswa kweAtivan panguva yetatu trimester inosanganisirwa nenjodzi yakawedzera yekubvisa neonatal. Lorazepam inogona kupfuudza kune vacheche mumukaka wemukaka uye inogona kukonzeresa kugumbuka mumwana. Kana iwe uri kuyamwisa, bvunza wako mupi wezvehutano.

Kubatana kweAtivan

Doro uye maopioid zvinofanirwa kudzivirirwa kana uchitora Ativan, anodaro Dr. Jones, Kazhinji, chero chinhu chinoita kuti unzwe kuneta, kusanganisira CBD mafuta uye melatonin, zvinoda kutorwa zvakaringana kusvika iwe waziva maitiro ako muviri. Kune mishonga yakati wandei iyo inogona kuwedzera iyo yakaipa kana inotyisa mhedzisiro ye lorazepam. Nguva dzose zvakanaka kubvunza wako wemishonga kana paine chinhu chakachengeteka kuti utore, kusanganisira tsamba yekunyorera, pamusoro-pe-counter, uye mishonga yemakwenzi.

Kubatana kwezvinodhaka-zvinodhaka

Usati watora Ativan, kana chero mushonga, unofanirwa kutaurira chiremba wako nezvemushonga wese - mushonga kana pamusoro-pekutengesa, zvinowedzera, uye mavitamini - iwe uri kutora kunyanya:

• Anticonvulsants
• Zvinodzvinyirira
• Mishonga yeAsthma: theophylline
• Mishonga inotonhora
• Gout mishonga: probenecid
• Mishonga yechirwere chePasinson: Rytary, Sinemet, uye Stalevo (levodopa)
• Tsandanyama dzinozorodza
• Mishonga inorwadza yeopioid
• Oral antifungals
• Zvirongwa zvekudzivirira zvemumuromo (mapiritsi ekuberekwa)
• Sedatives, tranquilizers, kana mapiritsi ekurara
• Kugadzirisa mishonga yekurapa / antihistamines
• Mishonga yemarwadzo kana yekukosora mishonga ine codeine

Kana iwe uri kutora chero ipi yemishonga iyi, chiremba wako angangoda kugadzirisa chipimo chemushonga wako, chinja kune mumwe mushonga, kana kunyatso kukucherechedza iwe nezve mhedzisiro uye kusagadzikana kwekuita.

Kudya-zvinodhaka kusangana

Iwe haufanire kudya grapefruit kana zvigadzirwa zvemuzambiringa paunenge uchinwa mushonga uyu sezvo izvi zvichigona kuwedzera mhedzisiro uye kutungamira kune huturu kana kusagadzikana.

Iwe haufanire kunwa doro uchiri kutora sezvo iwe uchikwanisa kusangana neanotyisidzira hupenyu mhedzisiro.

Kunyangwe pasina yambiro yakanangana nekunwa kofi kana zvimwe zvekudya uye zvinwiwa zvine caffeine, zvakakosha kuti urangarire kuti caffeine inosimudzira uye inogona kupokana nemhedzisiro ye lorazepam.

Maitiro ekudzivirira Ativan mhedzisiro

Mhedzisiro, senge kuneta, kazhinji inotanga nguva pfupi mushure mekutora mushonga, kazhinji mukati memaminitsi makumi matatu ekutora mushonga.Ivo kazhinji vanodzikira sezvo mhedzisiro yemushonga inoderera, kazhinji pakati pemaawa matanhatu neasere mushure mekutora. Vamwe vanhu vanoona zvakare kuti mhedzisiro inoderera sezvavanoramba vachinwa mushonga, uye muviri wavo unogadzirisa kwazviri, semuenzaniso, vangangonzwa kusaneta mushure mekuzvitora nguva zhinji kwemazuva kana mavhiki.

Tora Ativan zvinoenderana nemirairo yechiremba wako.

Kutora iyo chaiyo Ativan dosageinobatsira kudzikisa mhedzisiro iwe yaunogona kusangana nayo. Vamwe vanhu vanovatora pazvinenge zvichidikanwa, zvinoreva chete kuti dzimwe nguva unonzwa kunetseka, uye vamwe vanovatora nguva dzese pazuva kuti zviratidzo zvekushushikana zvirambe zviripo. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiri iye tave nechaiti mhedzisiro, taura nachiremba wako nezvekuti kuchinja nguva yaunotora mushonga kungaderedza kusagadzikana kwako.

Ativan inowanikwa mune akasiyana mafomu uye madosi:

• Intramuscular jekiseni: 2 mg / ml, 4 mg / ml
• Intravenously: 2 mg / ml, 4 mg / ml
• Hwendefa remuromo: 0.5 mg, 1 mg, 2 mg

Iwe unofanirwa kutanga pane yakaderera dosi uye zvishoma nezvishoma shanda nzira yako kumusoro, uchivimbisa kuti iwe uri kutora yakaderera dhosi iyo inopa rubatsiro kwauri. Iyo Prescriber's Dhijitari Referensi (PDR) inoratidza zvinotevera zviyero zvekuzvidya mwoyo:

Ativan muyero wekushushikana nezera
	Kutanga muromo wemuromo	Kunonyanyisa pamuromo chipimo chemushonga
Vana ≤ makore gumi nerimwe	Yakagadziriswa nezera remwana, huremu, uye nhoroondo yehutano.
Vechidiki makore gumi nemaviri	2-3 mg pazuva rakakamurwa kuita 2-3 doses mukati mezuva; inogona kuwedzera zvishoma nezvishoma sezvazvinodiwa uye sekuregererwa	Kusvikira ku10 mg pazuva kana zvichidikanwa, yakakamurwa kuita yakawanda doses (yakajairwa yakawanda inodiwa ndeye 6 mg / zuva muzvikamu zvakapatsanurwa)
Vakuru	2-3 mg pazuva rakakamurwa kuita 2-3 doses mukati mezuva; inogona kuwedzera zvishoma nezvishoma sezvazvinodiwa uye sekuregererwa	Kusvikira ku10 mg pazuva, yakakamurwa kuita yakawanda doses (yakajairwa yakawanda inodiwa ndeye 6 mg / zuva muzvikamu zvakapatsanurwa)
Vakuru veGeriatric	1-2 mg pazuva rakakamurwa kuita 2-3 doses mukati mezuva; inogona kuwedzera zvishoma nezvishoma sezvazvinodiwa uye sekuregererwa	Kusvikira 6 mg pazuva (2 mg pazuva pazuva munzvimbo yekuchengetedza kwenguva yakareba vagari). Kune njodzi yakawedzera yehuturu muhuwandu hwevanhu, saka, zvidiki, zvishoma nezvishoma kuwedzera zviri nani.

Zvekusarara, iyo yakurudzirwa yeyero yevakuru inotanga pa2 mg panguva yekurara, kuti iwedzerwe kusvika 4 mg, kana zvichidikanwa, pamwe neyekurapa kwemwedzi mina kana zvishoma.

2. Tora Ativan nechikafu.

Vazhinji vanhu havaoni kurwadziwa nemudumbu kana kugumbuka pavanotora Ativan; zvisinei, kana ukadaro,zvinogona kubatsira kutora nechikafu.

3. Usangoerekana warega kutora Ativan.

Zviratidzo kubva mukudzoka kubva kuAtivan zvinogona kusanyanya kugadzikana kupfuura mhedzisiro.Iwe haufanire kumira kutora mushonga kamwe kamwe, kunyanya kana iwe uri kuinwa nguva dzose.Kurega zviratidzo kunosanganisira kudzokazve kushushikana, kusagadzikana, kudedera, kudikitira, kushushikana, kushaya hope, uye pamwe nekubatwa. Zviratidzo izvi zvinotanga mukati mezuva rimwe chete kana maviri mushure medosi yako yekupedzisira uye zvinogona kugara kwemazuva manomwe kana kupfuura, zvinoenderana nekuti wave nenguva yakareba sei uchitora. Zvakanakisa kubaya kuti ingani uye kangani iwe yaunotora zvishoma nezvishoma.

Chiremba wako achashanda newe kuti ugadzire yakachengeteka tapering chirongwa. Iyo San Mateo County Hutano Dhipatimendi inoratidza nzira mbiri dzekubata:

• Kuderedzwa kwe25% yeyero yekutanga mavhiki maviri, kana
• Kuderedza muyero ne25% muvhiki yekutanga, 25% vhiki yechipiri, uyezve ne10% pasvondo rega rega kusvikira warega mushonga

Iyo tapering maitiro inogona kutora vhiki dzinoverengeka kusvika kumwedzi mishoma kuti umise zvachose mushonga. Kuzviita nenzira iyi kunobvisa kana kunoderedza zvakanyanya chero zviratidzo zvekusiya zvaunowana.

4. Bvunza chiremba wako nezvekuchinja kune mumwe mushonga.

Anopa hutano hwako anogona kupa zanokuyedza mimwe mishonga yekushushikana panzvimbo yaAtivan. Vamwe mishonga inodzvinyirira inogona kuderedza zviratidzo zvekushushikana. Izvi zvinosanganisira:

• Cymbalta (duloxetine)
• Silenor (doxepin)
• Lexapro (escitalopram)
• Paxil , Paxil CR , Pexeva , Brisdelle (paroxetine)
• Effexor XR (venlafaxine)

Kune zvakare mamwe benzodiazepines, ayo anosanganisira:

• Xanax (alprazolam)
• Valium (diazepam)
• Klonopin (clonazepam)

Wese munhu anoita mishonga zvakasiyana. Izvo zvinoshanda zvakanyanya kune mumwe munhu zvinogona kusashandira mumwe. Zvakanakisa kushanda padhuze nachiremba wako uye dzidza nezvese ako marapirwo sarudzo kuti ugone kuwana mushonga unoshanda zvakanyanya kwauri.