Gabapentin: Sab saum toj 9 Qhov Tseeb Koj Yuav Tsum Paub

Gabapentin:Sab saum toj 9 Qhov Tseeb Koj Yuav Tsum Paub

Tshuaj kho mob los ntawm Leigh Ann Anderson, PharmD. Hloov kho zaum kawg ntawm Lub Ib Hlis 15, 2021.

Saib raws li slideshow Saib swb yav dhau los 1 / 10 Saib swb tom ntej

Gabapentin: Kev Siv Tshuaj Ntau Yam

Gabapentin yog tshuaj qaug dab peg hauv chav kawm ntawm cov tshuaj hu ua anticonvulsants, tab sis nws muaj ntau dua li qhov ntawd.



  • Cov npe khoom lag luam suav nrog Gralise , Horizant, thiab Neurontin .
  • Gabapentin yog ib qho ntawm cov tshuaj feem ntau hauv Asmeskas raws li nws tau siv ntau, thiab xyoo 2020 nws tseem nyob rau saum 20 daim ntawv teev npe tshuaj feem ntau.

cuam ​​tshuam rau tshuaj thiab qab haus huv hauv lub cev uas koom nrog hauv qhov ua rau qaug dab peg thiab hauv qee yam ntawm cov leeg mob.



Gabapentin tau pom zoo thawj zaug hauv xyoo 1993 thiab feem ntau siv rau cov mob no:

Kev siv Gabapentin rau qaug dab peg

Yog tias koj paub nrog Neurontin (gabapentin), koj nco qab tias nws tau pom zoo thawj zaug los ntawm FDA rau cov neeg mob qaug dab peg.



  • Gabapentin tau siv los kho qaug dab peg hauv cov neeg laus thiab menyuam yaus uas muaj hnub nyoog tsawg kawg 3 xyoos. Nws tseem tuaj hauv a daim ntawv ua kua rau me nyuam yaus leej twg muaj teeb meem nqos tshuaj.
  • Koj tuaj yeem noj gabapentin nrog lossis tsis muaj zaub mov noj. Tab sis tos tsawg kawg ob teev tom qab noj tshuaj antacid uas muaj magnesium, calcium lossis txhuas ua ntej noj koj cov tshuaj gabapentin. Cov tshuaj no cuam tshuam ntawm antacid thiab gabapentin tuaj yeem tiv thaiv kev nqus kom raug ntawm cov tshuaj tiv thaiv kev qaug dab peg thiab txo qis nws cov txiaj ntsig.
  • Koj yuav tsum zam lossis txwv kev siv cawv (ethanol) thaum raug kho nrog gabapentin.
  • Yog tias koj noj gabapentin peb zaug ib hnub rau qaug dab peg, tsis txhob tso cai ntau dua 12 teev kom dhau ntawm ob qho tshuaj gabapentin.

Tsoomfwv Meskas Lub Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob (CDC) tshaj tawm tias kaw cov neeg Asmeskas nyob nrog tus mob vwm. Cov laj thawj rau cov lej suav nrog suav nrog kev loj hlob ntawm cov neeg, kuaj pom zoo dua, thiab lub neej ntev dua.

Postherpetic Neuralgia yog dab tsi?

Cov neeg feem coob paub txog qaug dab peg uas tshwm sim nrog qaug dab peg , tab sis postherpetic neuralgia (PHN) yog dab tsi?

Postherpetic neuralgia tuaj yeem tshwm sim vim muaj tus kab mob shingles. Shingles , tseem hu ua herpes zos , tshwm sim thaum tus kab mob qaib pox sib sib zog nqus hauv koj lub paj hlwb rov ua haujlwm tom qab hauv lub neej thiab ua rau daim tawv nqaij ua pob.



  • Feem ntau ntawm tus mob shingles pom zoo li ob peb lub lis piam, thiab koj tus kws kho mob yuav muab tshuaj tua kab mob rau koj los pab.
  • Txawm li cas los xij, postherpetic neuralgia kev kho mob yog qhov mob hnyav uas ua rau ntau tshaj li ib hlis tom qab pob thiab cov hlwv tau pom lawm. Qhov tseeb, qhov kub hnyiab uas cuam tshuam rau lub paj hlwb tuaj yeem nyob ntev rau lub hlis lossis ntau xyoo.
  • Tsis yog txhua leej txhua tus tau txais kev mob ntshav qab zib nephrethritis los ntawm kab mob qhua pias, tsuas yog kwv yees li 10% txog 15% ntawm tib neeg, raws li CDC.

Kev pheej hmoo ntawm neuralgia postherpetic nce nrog lub hnub nyoog, feem ntau cuam tshuam rau cov neeg laus dua 60 xyoo. Tej zaum koj yuav muaj kev pheej hmoo ntau ntxiv rau qhov mob ntawm PHN yog tias cov kab mob ua pob tawm ntawm koj lub ntsej muag, ib yam nkaus.

Restless Legs Syndrome yog dab tsi?

Restless legs syndrome (RLS) ua rau muaj kev tswj tsis tau kom txav koj ob txhais ceg ncig, feem ntau yog vim tsis xis nyob.

lantus insulin cwj mem tus nqi

Cov tsos mob feem ntau tshwm sim thaum yav tsaus ntuj lossis hmo ntuj thaum koj tab tom zaum, pw, lossis sim pw. Tsiv mus nyob ib ncig ua rau cov ceg tsis xis nyob, tab sis tsuas yog ib ntus.

Restless ob txhais ceg syndrome feem ntau tsis zoo li koj hnub nyoog, tab sis nws tuaj yeem tshwm sim ntawm txhua lub hnub nyoog. Nws tuaj yeem cuam tshuam kev pw tsaug zog - ua rau tsaug zog nruab hnub - thiab ua rau kev mus ncig, zoo li kev mus los hauv huab cua lossis caij tsheb ntev - nyuaj.

Cov kws tshaj lij tseem tsis paub qhov ua rau mob ceg tsis zoo. Qee cov pov thawj qhia tias muaj teeb meem cuam tshuam nrog lub hlwb tshuaj lossis cov tshuaj xa xov paj hlwb hu ua dopamine.

Yuav ua li cas Gabapentin Los: Daim Ntawv Tso Tawm Tam Sim No.

Gabapentin tuaj ntau yam cov ntaub ntawv sib txawv thiab koob tshuaj ntawm lub tsev muag tshuaj. Tsuas yog siv lub npe thiab daim ntawv ntawm gabapentin los ntawm koj tus kws kho mob. Nws yog qhov ntse los tshuaj koj cov tshuaj ntawm lub tsev muag tshuaj txhua lub sijhawm koj tau txais cov nyiaj rov qab kom ntseeg tau tias koj muaj daim ntawv raug.

  • Gabapentin tso tawm tam sim (IR) los hauv cov tshuaj ntsiav (100, 300, 400 mg), ntsiav tshuaj (600, thiab 800 mg) thiab raws li cov kua hauv qhov ncauj (250 mg rau 5 ml).
  • Cov koob tshuaj ntawm IR daim ntawv feem ntau muab peb zaug ib hnub rau qaug dab peg thiab mob ntshav qab zib postherpetic. IR daim ntawv ntawm gabapentin ( Neurontin ) kuj tseem muaj generically . Cov kev xaiv dav dav no pheej yig heev, tshwj xeeb tshaj yog tias koj siv daim coupon online.
  • Nug koj tus kws kho mob lossis kws muag tshuaj yog tias koj tuaj yeem siv daim ntawv tso tawm tam sim ntawm gabapentin rau koj tus mob (qhov no yuav tsis tas yuav ua tau), tab sis nws tuaj yeem ua tau txuag koj pua daus las txhua lub hlis lossis tej zaum tseem yuav pheej yig dua li koj cov ntawv pov hwm kev pov hwm.
  • Tab sis nco ntsoov, tus nqi tuaj yeem hloov pauv ntau heev, yog li xyuas nrog lwm lub chaw muag tshuaj yog tias tus nqi zoo li tsis ncav cuag. Nco ntsoov xyuas daim coupon online , ib yam nkaus, uas tuaj yeem txuag koj nyiaj ntawm ob qho tib si generics thiab hom.

Ntxiv-Tso Tawm (ER) Cov Ntawv: Qhov Sib Txawv Li Cas?

  • Gralise (gabapentin) los ua 300 thiab 600 milligram (mg) ncua-tso tawm (ER) ntsiav tshuaj thiab hauv qhov yooj yim koob tshuaj pib pob ntawm 78 ntsiav tshuaj.
  • Horizant (gabapentin enacarbil) muaj nyob hauv 300 thiab 600 mg ER ntsiav tshuaj.

Cov khoom no tsis tuaj yeem sib pauv nrog lwm cov qauv ntawm gabapentin, thiab tseem tsis tau muaj cov generics ntxiv. Kev nyab xeeb thiab ua tau zoo ntawm Gralise lossis Horizant hauv cov neeg mob qaug dab peg tsis tau kawm txog.

Vim tias lawv ua haujlwm ntev dua, qhov koob tshuaj tag nrho tsuas yog muab ib zaug lossis ob zaug ib hnub, uas tuaj yeem yooj yim dua thiab txhim kho koj lub peev xwm los ua raws li kev noj tshuaj kom raug. Feem ntau koob tshuaj maj mam pab tiv thaiv kev phiv.

Gralise yuav tsum tau noj nrog noj hmo. Kab rov tav yuav tsum tau noj nrog zaub mov. Vim tias cov khoom no tau txuas ntxiv-tso tawm, nws yog ib qho tseem ceeb tsis txhob zom, zom, faib lossis sim ua kom cov tshuaj yaj.

  • Gralise, raws li lub npe khoom, tau pom zoo los ntawm FDA nkaus xwb kho post-herpetic neuralgia.
  • Horizant yog siv rau restless leg syndrome thiab post-herpetic neuralgia rau cov neeg laus. Horizant tsis pom zoo rau cov neeg mob uas yuav tsum tau pw thaum nruab hnub thiab tseem tsaug zog thaum hmo ntuj.
  • Tsis muaj generics tseem tsis tau muaj rau cov npe no. Genral Gralise yuav tsis muaj txog 2024, thiab cov generic rau Horizant yuav tsis nyob ntawm shleves txog 2025 lossis 2026.

Nws yog qhov tseem ceeb uas koj tsuas yog siv hom tshuaj lossis hom generic ntawm gabapentin uas koj tus kws kho mob tau sau tseg. Txheeb xyuas koj cov tshuaj txhua lub sijhawm koj tau txais nyiaj rov qab ntawm lub tsev muag tshuaj; nco ntsoov tias koj tau txais hom khoom raug.

Thaum koj tus kws kho mob txiav txim siab tias koj yuav tsum tso tseg lossis hloov pauv cov tshuaj no, nws yuav tsum tau txiav tawm yam tsawg ib hlis ib zaug. Cov neeg mob uas muaj kab mob hauv lub raum yuav tsum tau kho lawv cov koob tshuaj.

Off-Label Siv Gabapentin

Tsis pom zoo, lossis 'off-label' siv ntawm gabapentin yog siv uas tsis tau pom zoo los ntawm FDA thiab tsis pom nyob hauv pob ntawv sau npe. Txawm li cas los xij, qee tus kws kho mob tej zaum yuav tau muaj kev paub zoo siv gabapentin nyob rau hauv cov ntawv tsis zoo, thiab nws yuav yog qhov lees txais siv txawm tias tsis tau teev tshwj xeeb hauv daim ntawv lo.

Piv txwv li, gabapentin tau siv tawm daim ntawv lo hauv kev kho mob ntawm:

Txawm li cas los xij, FDA tau tso tseg qhov kev pom zoo rau kev kub cev kub cev vim tsis muaj txiaj ntsig thiab muaj kev phiv xws li kiv taub hau, qaug zog thiab teeb meem tshuav nyiaj li cas.

Ib txoj kev tshawb fawb luam tawm hauv JAMA phais tau sau tseg tias gabapentin tau siv rau hauv cov neeg mob phais mob kom pab txo cov tshuaj opioid cov tshuaj noj kom mob. Thaum cov neeg mob tau txais gabapentin ua ntej thiab tom qab phais, qhov xav tau txuas ntxiv opioid cov mob hnyav tau txo qis 24%, raws li cov kws tshawb fawb ntawm Stanford University Tsev Kawm Ntawv Tshuaj.

Thiab kev tshawb fawb luam tawm nyob rau hauv Canadian Medical Association Journal tau qhia siv tsawg rau ntau yam tshuaj tiv thaiv kab mob hauv kev kho mob nraub qaum, suav nrog gabapentin, pregabalin lossis topiramate.

Tsuas yog siv tshuaj rau daim ntawv tsis siv yog tias koj tus kws kho mob tau sau tshwj xeeb rau koj daim ntawv yuav tshuaj nrog kev noj tshuaj kom tsim nyog.

Cov txiaj ntsig ntawm Gabapentin thiab Kev Tsim Nyog Muaj Peev Xwm

Gabapentin feem ntau ua tau zoo tab sis tej zaum yuav muaj cov kev mob tshwm sim uas tshwm sim ntau dua, tshwj xeeb yog thaum pib kho.

Cov kev mob tshwm sim ntawm gabapentinoids zoo li gabapentin suav nrog:

  • tsaug zog, kiv taub hau, tsis pom kev lossis ob lub zeem muag
  • nyuaj nrog kev sib koom tes thiab kev mloog zoo
  • o ntawm tes, ob txhais ceg, thiab taw
  • kev nyuaj siab thiab kev tua tus kheej
  • ua xua loj heev
  • qhov hnyav nce

Zam lossis txwv kev siv cawv (hauv dej haus lossis tshuaj) nrog gabapentin vim nws tuaj yeem ua rau tsaug zog.

Hauv tsab ntawv ceeb toom ceeb toom, nws tau sau tseg tias 1 hauv 5 tshuaj opioid (narcotic) cov neeg siv kuj tseem tuaj yeem siv tsis raug thiab tsim txom gabapentin. Gabapentin tuaj yeem ua phem rau txhawm rau ua kom tus neeg tau txais txiaj ntsig los ntawm kev siv tshuaj kho mob opioid zoo li oxycodone , cov leeg nqaij zoo li Soma, thiab tshuaj kho siab , xws li Valium thiab Xanax.

Xyoo 2019, FDA tau tshaj tawm ceeb toom tias muaj teeb meem ua pa hnyav tau tshaj tawm nrog gabapentin thiab lwm yam tshuaj muaj feem cuam tshuam, xws li Lyrica ( pregabalin ) hauv tib neeg uas pheej hmoo ua pa qeeb. Qhov no suav nrog:

  • cov neeg uas siv tshuaj kho mob opioid thiab lwm yam tshuaj uas ua rau lub hauv paus poob siab poob qis. CNS kev nyuaj siab suav nrog opioids, tshuaj tiv thaiv kev ntxhov siab, tshuaj tiv thaiv kev nyuaj siab, thiab tshuaj antihistamines.
  • cov neeg uas muaj tus kab mob ntsws ntev (COPD) uas txo cov ntsws ua haujlwm
  • cov laus

Cov teeb meem ua pa hnyav no tuaj yeem ua rau tuag taus. Nyeem ntxiv txog qhov kev ceeb toom loj heev ntawm FDA ntawm no.

Tsis txhob maj nrawm nres Gabapentin

Xav txog kev txwv koj li gabapentin? Xav dua, thiab hu rau koj tus kws kho mob ua ntej.

Kev siv ceev xwmphem nres ib daim ntawv ntawm gabapentin tuaj yeem ua rau qaug dab peg ntau ntxiv thiab tsis zoo rau kev phiv tshuaj, yog li nws yog qhov zoo tshaj kom maj mam tso tseg cov tshuaj hauv ib lub sijhawm. Koj tus kws kho mob yuav qhia koj paub yuav ua li cas thiaj tsim nyog. Cov koob tshuaj kuj yuav tsum tau txo nrog mob raum, ib yam.

Kab hauv qab?

puas benadryl nce ntshav siab mayo chaw kho mob
  • Nws yog ib qho tseem ceeb los tshuaj xyuas phau ntawv qhia tshuaj uas los nrog koj cov tshuaj gabapentin, txawm tias nws yog hom tshuaj, lossis hom Neurontin, Horizant lossis Gralise.
  • Muaj ntau cov kev mob tshwm sim, thiab feem ntau koj yuav tsis ntsib; txawm li cas los xij, nws tseem ceeb heev uas yuav tsum paub txog lawv thiab tham nrog koj tus kws kho mob.

Txhawm rau kawm paub ntau ntxiv txog gabapentin, koom nrog The varixcare.cz gabapentin Support Group thiab Q&A Section. Nug cov lus nug, nyob saum cov xov xwm, thiab pab txhawb koj cov kev paub rau cov neeg mob ib yam li koj.

Tiav: Gabapentin: Sab saum toj 9 Qhov Tseeb Koj Yuav Tsum Paub

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Cov menyuam yaus muaj lub siab dawb paug thiab feem ntau tuaj yeem nyob twj ywm ntev dhau los ntawm lawv lub sijhawm pw. Tab sis ua li cas yog tias koj tus menyuam muaj ADHD, ib yam? Kawm paub ntau ntxiv txog ADHD ua rau, kuaj mob, thiab ...

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Tib neeg nyiam kho tus poj niam cev xeeb tub raws li tus kab mob; ib yam dab tsi kom zam ntawm txhua tus nqi. Tab sis cev ntas tuaj yeem ua tau zoo. Tsis muaj kev hloov pauv txhua hli ntau ntxiv, xwm txheej xwm txheej, lossis kev txhawj xeeb ntawm cev xeeb tub. Kev ntseeg tus kheej thiab kev paub tus kheej ...

Qhov chaw

  • Kev Tshawb Fawb Kev Siv Nyiaj Siv Kho Mob (MEPS) 2007-2017. Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Kev Zoo (AHRQ), Rockville, MD. ClinCalc DrugStats Database version 20.0. Nkag mus rau Lub Ib Hlis 15, 2021 ntawm https://clincalc.com/DrugStats/Top200Drugs.aspx
  • FDA ceeb toom txog teeb meem ua pa hnyav nrog qaug dab peg thiab mob hlab ntsha tawg tshuaj Gabapentin (Neurontin, Gralise, Horizant) thiab Pregabalin (Lyrica, Lyrica CR) hauv cov neeg mob uas muaj teeb meem ua pa. varixcare.cz. Nkag mus rau Lub Ib Hlis 15, 2021 ntawm https://varixcare.cz/fda/fda-warns-serious-breathing-problems-seizure-nerve-pain-medicines-gabapentin-neurontin-gralise-14336.html
  • Anti-seizure Meds Yuav Tsis Yooj Yim Rov Qab. varixcare.cz. Lub Xya Hli 6, 2018. Nkag Mus Rau Lub Ib Hlis 23, 2020.
  • CDC. Kev Tiv Thaiv Kab Mob Shingles. Nkag mus rau Lub Ib Hlis 15, 2021 ntawm https://www.cdc.gov/shingles/surveillance.html
  • 1 hauv 5 Cov neeg siv Opioid kuj tseem tuaj yeem siv tshuaj qaug dab peg: Kawm. varixcare.cz. Nkag mus rau Lub Ib Hlis 23, 2020.
  • Cov ntaub ntawv qhia txog Gabapentin. varixcare.cz. Nkag mus rau Lub Ib Hlis 23, 2020
  • Gabapentin: Cov ntaub ntawv tshuaj ntawm tus neeg mob. Txog Hnub Tim (Lexicomp). Nkag mus rau Lub Ib Hlis 23, 2020.
  • Gabapentin tuaj yeem Pab Cov Neeg Mob phais phais nres Opioids sai dua. varixcare.cz. Nkag mus rau Lub Ib Hlis 23, 2020.
  • Cov Neeg Amelikas Uas Muaj Kab Mob vwm ntawm Cov Ntaub Ntawv. varixcare.cz. Nkag mus rau Lub Ib Hlis 23, 2020.

Cov ntaub ntawv ntxiv

Ib txwm sab laj nrog koj tus kws kho mob kom ntseeg tau tias cov ntaub ntawv tso tawm ntawm nplooj ntawv no siv rau koj tus kheej li xwm txheej.

Kev Tsis Pom Zoo Kho Mob