Izimpembelelo ezingalunganga Xa iPrac isetyenziselwa ukuphatha ingxaki ye-Bipolar Disorder
Ukuba ugqirha wakho umisele iPraza (i-fluoxetine) ngengxaki yokuguquguquka kwe- bipolar (okanye iSymbyax yonyango edibanisa iPrac nezinye iziyobisi) yiziphi iimpawu onokuzilindela? Ziziphi iimpendulo ezingathandekiyo eziqhelekileyo, kwaye ziphi na eziqhelekileyo kodwa zingabalulekanga ngaphantsi? Yintoni oyifunayo ukuba wazi malunga nokugqithiswa kwezidakamizwa kule nkunkuma kwaye ziphi na iimpawu zokurhoxisa onokuzifumana?
Prozac ye-Bipolar Disorder
Iprozac isetyenziswa ngokuqhelekileyo ekuphatheni iziphazamiso ezixinzelelekileyo ezicingelwa ukuba zenzeke ubuncinane kwisiqingatha sabantu abanenkinga yokuguquguquka kwengqondo, kunye nokudandatheka okukhoyo.
I-National Institute of Health and Care Excellence (i-NICE) yase-UK ibeka isikhokelo esilungisiweyo sekliniki ngasekupheleni kuka-2014 ithi i-Prozac (i-fluoxetine) iyona kuphela echanekileyo yokudambisa i-bipolar disorder, kodwa kuphela xa isetyenziswa kunye ne- antipychotic Zyprexa (olanzapine ). Kwixesha elidlulileyo, i-NICE yayisoloko ikhuthaza amakilasi ngokupheleleyo kwaye ayijoliswanga nayiphi na iindidi ezithile.
Ngokukodwa, uphando olwenziwe yiNICE lubonise ukuba ukuhlanganiswa kweprozac kunye neZyprexa kwakukho luncedo kakhulu kwiiklinikhi, kunye neyona ndlela iphezulu kakhulu. Uphando lwafumanisa ukuba ezinye izidandlululo zodwa zazingasebenzi kwaye iZyprexa yodwa iphumelele kodwa isebenza kakuhle kunye neProzac.
Amachiza adibanisa le miyeza emibini-iPrac and Zyprexa-kwipilisi enye, ngoku ikhona phantsi kwegama elithi Symbyax .
Prozac (i-Fluoxetine) ye-Panic Disorder
Iprozac (i-fluoxetine) yi- serotonin i-reuptake inhibitor (SSRI) ekhethiweyo, okuyiklasi yeemithi ezixinzelelekayo ezinokumiselwa ukonyango, ukuphazamiseka kwengqondo kunye nezinye izifo zengqondo.
Iimiphumo zecala zibanzi-ukusuka kwizinto ezincinci ukuya ezinzulu. Ukuba uthabatha iPzac, kufuneka uqaphele iziphumo ezibi.
Oku kubalulekile kubantu abaneengxaki ze-bipolar ezithatha i-Symbyax ngokunjalo, njengoko le nyilisi inxulumene neProzac (i-fluoxetine) kunye ne-antipsychotic drug Zyprexa.
Iimpembelelo eziqhelekileyo zeProzac
Iziphumo ezilandelayo zize ziqheleke ngoxa zithatha iPzac. Hlola kunye nogqirha wakho ukuba nayiphi na ilandelayo yeempembelelo zeprozac ayifuni okanye iyakhathaza:
- Ukukhathazeka okanye ukwesaba
- Ukungasebenzi kwezesondo ukusuka kwi-libido ephantsi ukuya kwi-erectile i-dysfunction kwi-anorgasmia
- Ukunciphisa ukutya
- Uhudo
- Ukulala
- Intloko
- Ukwandisa ukujuluka
- I sizathu
- Ubuthathaka
- Ukuthuthumela okanye ukuthuthumela
- Ingxaki yokulala
Imiphumo emibi yeprozac
Iziphumo eziqhelekileyo ezichaphazelekayo ngelixa uthabatha iPzac ingaquka:
- Amaphupha angaqhelekanga
- Sitshintsha ngomqondo wongcamango
- Iinguqu kwimibono
- Iintlungu zesifuba
- Ukutyunjwa
- Utywala okanye ukukhanya
- Ukunyuka komlomo
- Ukuhluthwa okanye ubomvu kwesikhumba sakho, ngakumbi ebusweni nasemqaleni
- Ukuvuthwa rhoqo
- Ukulahleka kweenwele
- Ukwandisa ukutya
- Iintlanzi zesisu, igesi, isicupunu, okanye ukuhlanza
Vumela Ugqirha Wakho Ukwazi Ngale Miphumo Yecala
Ezinye iimpendulo ezingalunganga kwiProzac zibhekiselele ngakumbi kunabanye kwaye ingaba yingozi yonyango.
Ukuba unayo nayiphi na imiphumo ecaleni, qiniseka ukuba ugqirha ugqirha wakho ngokukhawuleza. Ziquka:
- Ukukhwabanisa isikhumba, ukuvuthwa okanye ukubetha
- I-chill okanye umkhuhlane
- Hallucinations
- Ubunzima obuhlangeneyo okanye obunamahlunu okanye ubunzima
- Ukuxhamla
- Ingxaki yokuphefumla okanye yokugwinya
- Ukuvuvukala ubuso bakho, umlomo, umlomo, imilomo, amehlo, izandla, iinyawo, amaqaqa okanye imilenze ephantsi
- Iimpawu ze- serotonin syndrome
Imiphumo ekhoyo yokuKhutshwa kweProzac
Ungaze uphume kwi Prozac ngaphandle kokuthetha nogqirha wakho kuqala uze uphendule kancane kancane. I-serotonin reuptake inhibitors (SSRI) ekhethiweyo njenge-Prozac ingabangela iimpawu zokuhoxiswa xa ziphelile. Le meko, eyaziwa ngokuba yi- SSRI yokuyeka ukuvalela ingakwazi ukunyaniseka kodwa ayisoloko iyingozi.
I-SSRI yokuyeka i-syndrome ixhaphake kakhulu ne-anti-depressants nge-half-life-life engaphezu kwe-Prozac, njengePaxil okanye i-Zoloft, kodwa isenokwenzeka ngamanye amaxesha, ingakumbi kulaba baye kwiyeza ixesha elide. Ukuba unayo nayiphi na imiphumo yokuhoxiswa, qhagamshelana nogqirha wakho:
- Ukuxhalabisa
- Utywala
- Uvakalelwa ukuba umzimba okanye indawo ejikelezayo iyajika
- Ukuvakalelwa ngokubanzi okanye ukugula
- Intloko
- I sizathu
- Ukuxela
- Ukukhathala okungavamile okanye ubuthathaka
Prozac Overdose Impact
Iziphumo ze-Prozac overdose ziba nzima kakhulu kunemiphumo emibi ongayifumana kwiqondo eliqhelekileyo. I-Prozac overdose ngokuqhelekileyo ayikhathazeki kunokuba iyingozi, kodwa kubalulekile ukunxibelelana nogqirha wakho ukuba unayo nayiphi na yale miphumo, kuquka:
- Ukuxhalaza nokungazinzi
- Ukuxinwa (ukuxhatshazwa)
- Ukulala
- Ukunyaniseka kwentliziyo
- Isihlunu kunye nokuhlanza
- Ukuthetha, ukuziva, nokwenza ngokuzonwabisa kunye nomsebenzi ongenakukwazi ukulawula
- Ukuthuthumela okanye ukuthuthumela
Eminye Imiphumo engaphandle
Wonke umntu uhlukile kwaye uyaphendula ngokungafaniyo kumachiza, kuquka nemiphumo emibi yezobisi. Kukho imiphumo emibi engaqhelekanga engabonakali apha, kodwa echazwe ngezinye izihlandlo. Ukuba uqaphela nayiphina imiphumo xa uthabatha unyango lwakho, nokuba ungasolisi ukuba ngenxa yonyango lakho okanye cha, fownela ugqirha wakho.
Ngaphantsi kweempembelelo ezisecaleni zeProzac (i-Fluoxetine) ye-Bipolar Disorder
Njengoko unyango olwenzelwe nayiphi na ingxaki yomzimba okanye yengqondo, iziphumo ezibi ziqhelekileyo kwaye zingaphazamisa umgangatho wobomi. Ngamaxesha amaninzi kuya kufuneka wenze isigqibo esisekelwe ekubeni ngaba iziphumo ezichaphazelekayo ezamkelekileyo ziyamkeleka kunikwa izibonelelo ozifumanayo kwiziyobisi.
Imithombo:
Fava, G., Gatti, A., Belaise, C., Guidi, J., no-E. Offidani. Izimpawu zokuLawula emva kweSelotonin ekhethiweyo yokubuyiswa kwe-Inhibitor: Ukuhlolwa koHlolo. I-Psychotherapy ne-Psychosomatics . 2015. 84 (2): 72-81.
IZiko leSizwe lezeMpilo kunye noPhezulu loKhathalelo (iNICE). UkuHlola kunye nokuPhathwa kweNgxaki yeBipolar Disorder. Ukuhlaziywa 02/16
ILayibrari yeSizwe ka-US yamayeza. Medline Plus. Fluoxetine. Updated 11/15/14. https://medlineplus.gov/druginfo/meds/a689006.html