Indlela Yokubala Izindleko Zakho Zonke Zama-Qsymia
I-Qsymia (i-phentermine ne-topiramate) ingenye yemithi eminingi yokulahlekelwa isisindo evunyelwe yi-FDA ukukusiza ukuba unciphise. I-Qsymia amaphilisi okudla angakusiza ulahlekelwe isisindo. Kodwa akuyona into engcono kunazo zonke kuwo wonke umuntu. Ngaphambi kokuba ugijimele ehhovisi likadokotela wakho ukuthola imithi kadokotela, thola kabanzi mayelana nentengo yenani lama-Qsymia kanye nemiphumela ye-Qsymia ezinfundweni zomtholampilo ezishicilelwe.
Ukufunda amaqiniso ayisihluthulelo mayelana nemithi kuzokusiza wenze isinqumo esingcono kakhulu empilweni yakho nasesikhwameni sakho se-pocketbook.
I-Qsymia isebenza kanjani?
I-Qsymia iyinhlanganisela yemithi emibili: i-phentermine ne-topiramate. I-Phentermine yayiyingxenye yenhlanganisela yezidakamizwa ezithandwayo ezazisetshenziswa eminyakeni edlule ngaphambi kokuthi zisuswe emakethe ngokukhathazeka ngokuphepha kwe-fenfluramine. I-Topiramate iyisidakamizwa esisetshenziselwa ukwelashwa kwesithuthwane kanye ne-migraines. Lezi zidakamizwa ezimbili zisebenza ndawonye ukuvimbela ukudla nokunciphisa ukudla kwakho.
I-Qsymia ingahle ibekwe kubantu abadala abanombhalo we- mass mass (BMI) abangaphezu kuka-30 noma abane-BMI engama-27 nangaphezulu, kodwa futhi abanesimo esithinta isisindo esinjenge-type 2 sikashukela noma umfutho wegazi ophezulu. Iziguli ezithatha le mithi yokudla kufanele zilandele uhlelo lokudla okunempilo nokuzivocavoca .
Imiphumela ye-Qsymia
Ekulingweni kwezempilo emitholampilo, iziguli ezithatha imithi encane yemithi yokulahlekelwa isisindo (3.75 mg phentermine / 23 mg topiramate) yalahlekelwa isilinganiso samaphesenti angu 6.7 esisindo sayo.
Esimweni esiphakeme, isisindo esinconywayo (7.5 mg / 46 mg), iziguli zalahlekelwa isilinganiso samaphesenti angu-8.9 esisindo somzimba wabo wonke. Izindleko eziphakeme zemithi yokudla, kuze kufike ku-15 mg isifo se-phentermine / 92 mg phezulu, nazo ziyatholakala.
Uma ucabanga ngokuthatha i-Qsymia, ungase ulinganise ukulahleka kwesisindo sakho ngokwezigaba.
Isibonelo, ngokususelwa emiphumeleni yomtholampilo, isiguli esinesisindo esingamakhilogremu angu-250 singalindela ngokufanele ukulahlekelwa amakhilogremu angu-17 kuya kwangu-22 kwesisindo sakhe sokuqala. Kodwa khumbula ukuthi ngenkathi uthatha i-Qsymia, kufanele futhi ulandele uhlelo oluphilile lokudla nokuzivocavoca . Ukuphumelela kwakho emithi kungase kuxhomeke ekutheni unamathele kulezo zindlela zokuphila .
Iziguli ezithatha i-Qsymia zihlolwa ngudokotela wazo. Uma bengalahlekelwa okungenani amaphesenti amathathu wesisindo sabo emavikini ayishumi nambili okuqala, bangakhetha ukuyeka umuthi, noma bathathe isilinganiso esiphezulu. Uma, ngemuva kokuthuthela emkhakheni wezinga eliphezulu, isiguli asilahlekelwa okungenani amaphesenti amahlanu esisindo sakhe, kunconywa ukuba ayeke ukuthatha iphilisi kancane kancane, njengoba kungenakwenzeka ukuthi uzokwazi ukulahlekelwa isisindo esikhulu esisisindo.
Imiphumela emibi ye-Qsymia
Iziguli ezikhulelwa ngenkathi zithatha i-Qsymia zine "ingozi encane yethakathaka yomlomo kanye / noma inhlanzi," ngokusho kukaCraig Primack, MD, FAAP. U-Primack, umqondisi wezokwelapha waseS Scottsdale Weight Loss Centre, wachaza ukunconywa kwe-FDA ukuthi abesifazane besifo sokubeletha bathatha ukuhlolwa kokukhulelwa kwenyanga ngenkathi ku-Qsymia. Uthi, kusukela ngesimo somlomo nesicwebezelo emasontweni 6-8 ekukhulelwe, abesifazane kufanele bazi ngokushesha uma bekhulelwe.
Lokhu kuvumela ukuba bayeke ukuthatha isidakamizwa ngaphambi kokukhubazeka kokuzalwa.
Eminye imiphumela emibi yemithi yokwelapha isisindo ihlanganisa ukukhula kwesimo senhliziyo, ukucindezeleka, izinkinga zemizwelo, ukukhathazeka ukulala, izinkinga zamehlo, nezinkinga zokuhlushwa noma izinkulumo. Umenzi wezidakamizwa uphakamisa ukuthi iziguli zithole ukuqapha kwenhliziyo njalo, futhi aziphakamisi ukusetshenziswa kwe-Qsymia kuziguli ezinezinkinga zamuva zenhliziyo noma ezingazinzile noma izifo zesifo se-cerebrovascular, njengoba ukusetshenziswa kwazo kulezi ziguli kungakafundiwe. Uma unquma ukuthatha u-Qsymia, umuthi wakho wezemithi noma udokotela uzokunikeza ulwazi oluphelele lwezidakamizwa kufaka phakathi imiphumela emibi.
Intengo ye-Qsymia nezindleko eziphelele
Intengo yakho yonke ye-Qsymia izoxhomeka ekhemisi yakho nezinye izici ezimbalwa. Ama-pharmacy amaningana athengisa ukuthengwa kwenyanga ka-Qsymia ngamanani kusukela ku-$ 180- $ 220, kodwa izindleko zakho zangempela zingancika kumthamo odokotela wakho. I-dose ephansi yindleko encane, nabanye abasebenzisi bebika i-Qsymia izindleko ezibalelwa ku-$ 120 ngenyanga. Abenzi beQsymia banikeza amakhuphoni ukukusiza ukuthi uphathe izindleko zephilisi yokudla.
Inkampani yakho yomshuwalense ingase ikhokhele imithi, kodwa njengoba izinhlelo zihluka, kufanele uhlole nomhlinzeki wakho ukuze ubone ukuthi kungenzeka yini. Ngaphezu kwalokho, uma ungowesifazane okwazi ukukhulelwa, qiniseka ukuthi ubhekene nezindleko zokuhlolwa kwenyanga ukukhulelwa kanye.
Uma ukhetha ukutshala imithi, qaphela ukuthi ama pharmacy athile kuphela angahambisa lesi sidakamizwa. Njengengxenye yesivumelwane ne-FDA, uVivus wemithi yezidakamizwa wavuma ukuthengisa le mithi kuphela ngama-pharmacy ahlanganyela ohlelweni lokufundisa oluqinisekisa ukuthi iziguli zithola ulwazi lokunciphisa ingozi kanye nemithi yabo.
Ingabe kufanele ngithathe i-Qsymia ukuLawula isisindo?
I-Qsymia akufanele ithathwe ngabantu abanezinhlamvu ezimbalwa kuphela zokulahlekelwa. Kodwa uma ukhuluphele ngokweqile futhi uzame ezinye izindlela zokulahlekelwa isisindo ngaphandle kwempumelelo, u-Qsymia angakwazi ukukusiza ukuba unciphise ukuthuthukisa impilo yakho . Ngokusho kweThe New England Journal of Medicine , ezinye iziguli ezithatha iphilisi yokudla zazikwazi ukuthuthukisa ukucindezeleka kwegazi kanye namazinga e-cholesterol ngaphezu kokulahlekelwa isisindo.
Kodwa kunemiphumela emibi kakhulu kanye nezindleko zokucabangisisa, ikakhulukazi uma ungowesifazane ohlela ukuzala izingane. Ungakhetha ukhipha imithi ukuze ube nomndeni, kodwa ngaphandle kwemithi, kungenzeka ukuthi ukudla kwakho kuzonyuka ngaphandle kwemithi ecindezelayo, futhi kungenzeka ukuthi uphinde uthole isisindo.
Njenganoma yisiphi isinqumo sezokwelapha, khuluma nomhlinzeki wakho wezempilo ngaphambi kokwenza isinqumo. Xoxa nodokotela wakho mayelana nezinzuzo zezempilo ezingase zibe khona zokulahlekelwa isisindo nokuthi yimiphi imiphumela emibi engathinta wena ngokusekelwe kumlando wakho wezokwelapha.
Imithombo:
Izikhungo zokuLawula izifo. Ukulinganisa okunempilo - akuyona ukudla, kuyindlela yokuphila! http://www.cdc.gov/healthyweight/losing_weight/index.html
Eric Colman, MD, Julie Golden, MD, Mary Roberts, MD, Amy Egan, MD, MPH, Joyce Weaver, Pharm.D., NoC Curtis Rosebraugh, MD, MPH. "Ukuhlolwa kwe-FDA yezidakamizwa ezimbili zokuphathwa kwe-Weight Management." I-New England Journal of Medicine Okthoba 25, 2012.
Ukuphathwa Kwezokudla Nezidakamizwa. Imithi Ihlose Ukulawula Isisindo Sesikhathi Eside. http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm312380.htm
I-Craig Primack MD, i-FAAP. Ingxoxo. Februwari 18, 2013.
Ukuphathwa Kwezokudla Nezidakamizwa "Umhlahlandlela Wezokwelapha I-Qsymia." Februwari 23, 2013. I-Qsymia QysRes