Musi waKubvumbi 30, 2019, US Food and Drug Administration (FDA) yakaburitsa chirevo chekuti mamwe marapirwo akajairika ekushaya hope anokonzerwa nemaitiro akaomarara ekurara (kusanganisira kurara, kutyaira akarara, uye zvimwe zviitiko zvisina kunyatsomuka).Kukuvara kusingawanzo asi kwakakomba kana kufa kwakaitika.Aya maitiro anoita seanowanza mu eszopiclone, zaleplon, uye zolpidem pane mamwe madhiragi emishonga anoshandiswa kurapa kushaya hope.Naizvozvo, iyo FDA inoda yambiro yebhokisi dema mune iyi mirairo yezvinodhaka uye nhungamiro yemishonga yevarwere, pamwe nekuda varwere vakambosangana nemaitiro asina kujairika ekurara ne eszopiclone, zaleplon, uye zolpidem setaboos..
Eszopiclone, zaleplon, uye zolpidem mishonga inonyaradza uye yehypnotic inoshandiswa kurapa dambudziko rekurara kwevanhu vakuru uye yakatenderwa kwemakore akawanda.Kukuvara kwakanyanya uye kufa kunokonzerwa nehunhu hwakaoma hwekurara hunoitika muvarwere vane kana vasina nhoroondo yehunhu hwakadaro, kungave vachishandisa iyo yakaderera inokurudzirwa dhizi kana imwe chete dose, ine kana isina doro kana imwe central nerve system inhibitors (eg sedatives, opioids) Kurara kusingawanzo. maitiro anogona kuitika nemishonga iyi, yakadai semishonga, uye anti-anxiety drugs.
Kune ruzivo rwevashandi vekurapa:
Varwere vane maitiro akaoma ekurara mushure mekutora eszopiclone, zaleplon, uye zolpidem vanofanira kudzivisa mishonga iyi;kana varwere vaine hunhu hwekurara hwakaoma, vanofanirwa kurega kushandisa mishonga iyi nekuda kwemishonga iyi.Kunyange zvazvo zvisingawanzoitiki, zvakakonzera kukuvara kwakakomba kana rufu.
Kune ruzivo rwemurwere:
Kana murwere asina kunyatsomuka mushure mekutora mushonga, kana kuti ukasarangarira mabasa awakaita, unogona kunge uine maitiro akaomarara ekurara.Rega kushandisa mushonga wekushaya hope uye tsvaga kurapwa nekukurumidza.
Mumakore makumi maviri nematanhatu apfuura, FDA yakashuma zviitiko makumi matanhatu nenhanhatu zvemishonga inokonzera maitiro akaomarara ekurara, ayo anobva kuFDA's Adverse Event Reporting System (FEARS) kana mabhuku ezvokurapa, saka panogona kunge paine dzimwe nyaya dzisina kuwanikwa.Mhosva dze66 dzaisanganisira kuwandisa kwetsaona, kudonha, kutsva, kunyura, kuratidzirwa kumabasa emakumbo pakudziya kwakanyanya, carbon monoxide poisoning, kunyura, hypothermia, kudhumhana kwemotokari, uye kuzvikuvadza (semuenzaniso maronda epfuti uye kuzviuraya) kuedza).Varwere kazhinji havayeuki zviitiko izvi.Mamiriro ari pasi pekuti mishonga iyi yekushaya hope inokonzera maitiro akaomarara ekurara haazivikanwe parizvino.
FDA yakayeuchidzawo veruzhinji kuti mishonga yese inoshandiswa kurapa kushaya hope inokanganisa mangwana anotevera kutyaira uye zvimwe zviitiko zvinoda kusvinura.Kukotsira kwakanyorwa sechinhu chinowanzoitwa padivi pemishonga yemishonga yese yekushaya hope.Iyo FDA inoyambira varwere kuti vacharamba vachinzwa hope zuva rinotevera mushure mekutora zvigadzirwa izvi.Varwere vanotora mishonga yekushaya hope vanogona kuona kudzikira kwekusvinura kwepfungwa kunyangwe vachinzwa vakamuka zvachose mangwanani anotevera mushure mekushandisa.
Rumwe ruzivo rwemurwere
• Eszopicone, Zaleplon, Zolpidem inogona kukonzera maitiro akaoma ekurara, kusanganisira kurara, kurara kutyaira, uye mamwe mabasa pasina kunyatsomuka.Aya maitiro akaomarara ekurara haawanzo asi akakonzera kukuvara kwakakomba uye rufu.
• Zviitiko izvi zvinogona kuitika nemushonga mumwe chete wemishonga iyi kana mushure menguva yakareba yekurapa.
• Kana murwere aine maitiro akaomarara ekurara, rega kuitora nekukasika uye tsvaga rubatsiro kuna chiremba nekukasika.
• Tora mushonga sekurairwa nachiremba wako.Kuti uderedze kuitika kwezviitiko zvakashata, usawedzere, shandisa mishonga.
• Usatora eszopiclone, zaleplon kana zolpidem kana iwe usingakwanisi kuvimbisa kurara kwakakwana mushure mekutora mushonga.Kana iwe ukakurumidza kunwa mushonga, unogona kunzwa uchikotsira uye uine matambudziko nekurangarira, kusvinura kana kubatana.
Shandisa eszopiclone, zolpidem (flakes, mahwendefa ekusununguka anoramba aripo, mahwendefa emitauro yakasiyana-siyana kana zviputi zvemuromo), anofanira kurara pakarepo mushure mekutora mushonga, uye kugara pamubhedha kwemaawa manomwe kusvika masere.
Shandisa mapiritsi e zaleplon kana pasi-dose zolpidem sublingual mapiritsi, inofanira kutorwa pamubhedha, uye maawa anenge mana pamubhedha.
• Paunenge uchitora eszopiclone, zaleplon, uye zolpidem, usashandise chero mimwe mishonga inokubatsira kurara, kusanganisira mimwe mishonga yemishonga.Usanwa doro usati watora mishonga iyi sezvo inowedzera njodzi yemigumisiro uye maitiro asina kunaka.
Rumwe ruzivo rwevashandi vekurapa
• Eszopiclone, Zaleplon, uye Zolpidem zvakataurwa kuti zvinokonzera maitiro akaoma ekurara.Kurara kwakaoma kunoreva kuita kwemurwere asina kunyatsomuka, izvo zvinogona kukonzera kukuvara kwakakomba uye kufa.
• Zviitiko izvi zvinogona kuitika nemushonga mumwe chete wemishonga iyi kana mushure menguva yakareba yekurapa.
• Varwere vakambosangana nemaitiro akaoma ekurara ne eszopiclone, zaleplon, uye zolpidem vanorambidzwa kutora mishonga iyi.
• Kuudza varwere kuti varege kushandisa mishonga yekushaya hope kana vakawana maitiro akaoma ekurara, kunyange kana asingakonzeri kukuvara kwakanyanya.
• Paunenge uchirayira eszopiclone, zaleplon kana zolpidem kumurwere, tevera kukurudzirwa kweyero mumirayiridzo, kutanga nepamusoro-soro inogona kushanda.
• Kurudzira varwere kuti vaverenge mazano ezvinodhaka pavanenge vachishandisa eszopiclone, zaleplon kana zolpidem, uye vayeuchidze kuti vasashandise mamwe mishonga yekushaya hope, doro kana central nerve system inhibitors.
(FDA webhusaiti)
Nguva yekutumira: Aug-13-2019