Murqaha Raaxo + Daawada Nabada (Antidepressant)
Guudmarka
Cyclobenzaprine waa murqaha muruqyada oo lagu heli karo foomka guud iyo sidoo kale hoosta magaca Flexeril iyo Amrix. Waxaa loo tixgeliyaa daaweyn labaad ee fibromyalgia.
Daawadani waxa kale oo ay leedahay waxyeelo sahlan oo la mid ah kuwa ka mid ah sadexda daaweeye ee antidepressants, kuwaas oo inta badan lagu qoro shuruudahan.
Cyclobenzaprine ma aha FDA-la ogolaaday fibromyalgia, laakiin waxaa badanaa lagu qoraa warqadda.
Cyclobenzaprine waxay nuujisaa muruqyadaada adigoo u dhaqmaya habka dhexe ee dareenka . Dhakhaatiirtu waxay inta badan u qoraan dhaawacyada muruqa iyo sidoo kale xanuunka joogtada ah.
Daraasaddan, daawadan ayaa la helay in lagu hagaajiyo tayada hurdada iyo sidoo kale.
Barashada Fibromyalgia
Cyclobenzaprine waxaa loo baray sida daaweynta fibromyalgia ee tan iyo 1980-kii, natiijooyin isku dhafan.
Dib-u-eegista 2011-ka ee daroogada (Smith) ee loogu talagalay fibromyalgia waxay ogaatay in mid ka mid ah saddexda tijaabo ee lagu soo daray ay muujiyeen in cyclobenzaprine ay yareysay xanuunka fibromyalgia. Tijaabadii guuleysiga waxay sidoo kale muujisay hagaajinta hurdada, iyo guud ahaan horumarinta. Si kastaba ha ahaatee, cilmi baarayaashu ma helin farqi weyn oo ku ah qulqulka, daal, dhibcaha qallafsan , muruqyada murqaha, ama culeyska xanuunka.
Dib-u-eegiddu waxay ogaatay in natiijooyinka tijaabooyinka yaryar badanaaba aysan ahayn mid muhiim ah, laga yaabee inay ku jiraan dad aad u yar.
Baaritaan hore (Tofferi) ee suugaanta caafimaadka ayaa sheegay in dadka bukaanka ah ee fibromyalgia ay qaadanayaan cyclobenzaprine seddex jeer ay u badan tahay inay u sheegaan hurdo fiican, calaamadaha yaryar iyo guud ahaan guud ahaan hagaajinta marka loo eego dadka ku jira kooxaha xakamaynta.
Qaar ka mid ah daraasaadka qadiimka ah ayaa tilmaamaya hagaajinta xilliga gaaban, laakiin ma jiro wax horumarin muddo dheer ah.
Sannadkii 2011, daraasad yar oo diiradda saartay physiology (Moldofsky) ayaa soo gabagabey in duufooshenka loo yareeyay qiyaas aad u hooseeya oo hagaagay tayada hurdada ee dadka qaba fibromyalgia. Cilmi-baadhayaashu waxay sheegeen inay sidoo kale arkeen horumarinta xanuunka, jilicsanaanta iyo niyad-jabka .
Qiyaasta
Qiyaasta qiyaasta weyn ee dadka waaweyn ee cyclobenzaprine waxay u dhexeysaa 5 ilaa 10 mg, waxay qaadataa ilaa saddex jeer maalintii. Foomka dheereynaya, oo guud ahaan la qaato qiyaasaha 15 ilaa 30 mg hal mar maalintii, ayaa sidoo kale la heli karaa.
Diiwaanka fibromyalgia ee ku saabsan hurdada jiifka, ka qaybgalayaasha ayaa si joogta ah loogu siiyay si joogto ah u kordhaaya qiyaasaha 1 illaa 4 mg, oo qaata kaliya waqtiga hurdada.
Qiyaasaha hooseeya ayaa inta badan lala xiriiriyaa waxyeelo yar.
Waxyaabaha kale ee saameynaya
Qaar ka mid ah saameynta daawada cyclobenzaprine waa mid halis ah oo aad ugu yaraan u sheegto dhakhtarkaaga. Waxaa ka mid ah:
- Dareen-celinta xasaasiyadda (finan, finan, barar wejiga, dibnaha ama afka)
- Xanuun xanuun ama culeys, gaar ahaan xanuunka faafa garabka ama gacanta
- Wadna degdeg ah, garaacis ama aan cidhiidhi lahayn
- Kabuubsan iyo daciifnimo
- Jahwareerka ama luminta isku-duwidda
- Madax xanuunka lama filaan ah
- Maqalka
- Qalalaasaha
- Lalabbo ama matag
Dhibaatooyinka yaryar ee daran waxaa ka mid ah:
- Afka qalalan
- Aragga cakiran
- Hurdada
- Cunto xumo
- Xanuun caloosha
- Shuban, calool-galid ama gaas
Ereyga
Haddii aad xiiseyneyso qaadashada cyclobenzaprine, kala hadal dhakhtarkaaga. Isaga ama iyada ayaa kaa caawin kara inaad go'aamiso in daawadani ay faa'iido u leedahay adiga iyo sidoo kale inaad nabdoonaato inaad la garabto daawooyinkaaga kale.
Ilaha:
Cantini F, et al. Minerva medica. 1994 Mar; 85 (3): 97-100. Abstract kaliya, maqaal ee Talyaaniga. Fluoxetin waxay la socotaa cyclobenzaprine daaweynta fibromyalgia.
Carette S, iyo al. Arthritis iyo laabotooyinka. 1994 Jan: 37 (1): 32-40. Isbarbardhiga amitriptyline, cyclobenzaprine, iyo placebo ee daaweynta fibromyalgia. Dacwad labbis ah oo laba-indhoole ah.
Moldofsky H, iyo al. Wargeyska Rheumatology. 2011 Dec; 38 (12): 2653-63. Saamaynta sariirta xilliga jiifka ah ee loo yaqaan 'cyclobenzaprine' ee calaamadaha iyo hurdada jiifka ee bukaanka qaba fibromyalgia syndrome: daraasad koontarool ah oo indho-la'aan ah oo indho-la'aan ah.
Santandrea S, iyo al. Wargeyska cilmi baadhista caafimaadka caalamiga ah. 1993 Mar-Apr; 21 (2): 74-80. Daraasad laba-indho-gudub ah oo lagu eegayo laba xaraash oo loo yaqaan 'cyclobenzaprine regimens' ee fibromyalgia syndrome.
Smith B, iyo al. Baadhitaanada Daroogada. Jaamacadda Caafimaadka iyo Cilmiga Oregon; 2011 Apr. Daroogooyinka Fibromyalgia: Warbixinta Ugu Danbeysa.
Tofferi JK, Jackson JL, O'Malley PG. Arthritis iyo laabotooyinka. 2004 Feb 15; 51 (1): 9-13. Daaweynta fibromyalgia leh cyclobenzaprine: Falanqaynta maadada.