Ho ea ka US Administration and Drug Administration, ho na le kotsi e eketsehileng ea lefu la serotonin ka lebaka la ho kopanya serotonin reuptake inhibitors (SSRIs) le selective serotonin norepinephrine reuptake inhibitors SSNRIs le meriana ea hlooho ea migraine e bitsoang triptans.
Selectional Serotonin Reuptake Inhibitors (SSRIs)
Ho lumeloa hore boko bo na le mefuta e 'maloa ea mefuta ea lik'hemik'hale (neurotransmitters) e sebetsang e le mahlahana a lipuisano pakeng tsa lisele tse sa tšoaneng tsa boko .
Serotonin ke methapo ea pelo e bohlokoa ho laola mesebetsi e sa tšoaneng ea 'mele le maikutlo. Maemong a tlaase a serotonin a 'nile a amahanngoa le ho tepella maikutlo le ho tšoenyeha.
SSRIs e thibela ho tsosolosoa ha serotonin bokong. Reuptake ke mokhoa oo li-neurotransmitters tsa bokong li tsosolosoa le ho thibisoa kapa ho tsosolosoa bakeng sa tšebeliso e tlang. Sena se etsa hore ho be le keketseho ea li-serotonin, e leng se hlahisang maikutlo a ntlafatsang, ho fokotsa ho tšoenyeha le ho thibela tšabo . SSRIs e nkoa e le phekolo ea pele ea litsietsi bakeng sa khathatso ea ts'oaetso 'me e kenyeletsa:
Selectional Serotonin-Norepinephrine Reuptake Inhibitors (SSNRIs)
SSNRIs e thibela ho tsosolosoa ha serotonin le norepinephrine bokong. Norepinephrine ke lik'hemik'hale ho bokong tse susumetsang boroko le ho falimeha. Ho lumeloa hore e amana le karabo ea khatello ea ntoa kapa ea ho fofa .
SSNRI e kenyeletsa:
- Cymbalta (duloxetine)
- E sebetsa hantle, Effexor XR (venlafaxine)
Triptans
Triptans ke sehlopha sa lithethefatsi tseo hangata li sebelisetsoang ho tšoara migraine kapa hlooho ea hlooho ea hlooho. Ba itšoara ka li-receipton serotonin bokong, ka tsela eo li ama maemo a serotonin.
Mehlala ea li-triptane e kenyelletsa:
- Amerge (naratriptan)
- Axert (almotriptan)
- Frova (frovatriptan)
- Imitrex (sumatriptan)
- Maxalt le Maxalt-MLT (rizatriptan)
- Relpax (eletriptan)
- Zomig le Zomig ZMT (zolmitriptan)
Ntle le meriana e hlalositsoeng ho moeletsi oa FDA, lithethefatsi tse ling li amahanngoa le liphetoho tsa maemo a serotonin bokong, ho eketsa kotsing ea lefu la serotonin.
Tricyclic Ho tepella maikutlo
Tricyclic ho loantšana ha maikutlo (TCAs) e bitsoa ka mor'a lithethefatsi '"tse tharo tse khabisitsoeng" mohaho oa limolek'hule. Pele ho kenyelletsoa SSRIs ho elella bofelong ba lilemo tsa bo-1980, li-TCA e ne e le meriana ea khetho bakeng sa phekolo ea mafu a tepeletseng a tepeletseng maikutlo , tšabo ea ho tšoha le mathata a mang a ho tšoenyeha. Li-TCA li boetse li sebelisetsoa ho tšoara li-syndromes tse bohloko tsa bosiu le enoryis ea meso. Ho lumeloa hore li-TCA li sebetsa ho eketsa maemo a norepinephrine le serotonin bokong.
Mehlala ea TCA e kenyelletsa:
- Elavil (amitriptyline)
- Tofranil (imipramine)
- Sinequan (doxepin)
- Anafranil (clomipramine)
Monoamine Oxidase Inhibitors (MAOIs)
MAOIs sehlopha sa ho tepella maikutlo se lumeloa hore se eketsa maemo a norepinephrine, serotonin le dopamine bokong. Li sebetsa hantle bakeng sa ho phekoloa ke lefu le tebileng la ho tepella maikutlo, bothata ba ho tšoha le mathata a mang a ho tšoenyeha. Ka lebaka la likamano tse ka bang kotsi le lijo tse itseng, lino tse tahang le lithethefatsi tse ling, hangata MAOI e nkoa e le phekolo ea ho qetela.
Mehlala ea MAOI e kenyelletsa:
- Nardil (phenelzine)
- Parnate (tranylcypromine)
- Marplan (isocarboxazid)
- Emsam (selegiline)
Mefuta e meng ea ho imeloa kelellong
Mehlala ea li-anti-depressing tse ling li kenyeletsa:
- Wellbutrin (bupropion)
- Desyrel (trazadone)
Tse ling tsa meriana ea mafu
- BuSpar (buspirone)
- Eskalith (lithium)
Analgesics (Pain Killers)
- Codeine
- Fentanyl
- Tramadol
Meriana ea Antibiotic / Antiretroviral
- Zyvox (linezolid)
- Norvir (ritonavir)
Lithethefatsi tsa Lithethefatsi / Litlhoko tsa lijo
- Hypericum Perforatum (St. John's Wort)
- Ginseng / Panax
Lithethefatsi tsa seterateng
- Amphetamine
- Cocaine
- LSD (lysergic acid diethylamide)
Lethathamo lena ha lea rereloa ho ba kakaretso kaofela. E le ho qoba ho eketsa menyetla ea ho ba le lefu la serotonin, bolella ngaka ea hau ka lithethefatsi tsohle le lisebelisoa tsa lijo tseo u li nkang.
Haeba u hlaolela matšoao a lefu la serotonin, batla tlhokomelo ea meriana hang-hang.
Lisebelisoa:
> Prator, Bettina C. "Serotonin Syndrome." Journal of Nursing Neuroscience . April 2006. 38 (2): 102-105.
> Tsamaiso ea Tsamaiso ea Lijo le Meriana ea US. Ho ka etsahala hore ebe Serotonin Syndrome e Senya Bophelo ka ho Sebelisa Li-SSRI kapa SNRIs le Meriana ea Triptan. La 19 July, 2006.