I-Paxil (i-paroxetine) yi-SSRI exinezelekileyo eyenziwa ngo-1992 nguGlaxoSmithKline. I-Paxil yayiyi- SSRI yokuqala eyamkelwa ngokusemthethweni ekwenzeni ukhathazeka kwesifo kwi-United States. I-Paxil ifumaneka kwi-generic efanayo, i-paroxetine, kwaye iboniswe kunyango lwe:
- ukuphazamiseka kwesifo kunye okanye ngaphandle kwe- agoraphobia
- ukukhathazeka okukhulu
- ingxaki yokunyanzela (OCD)
- ukukhathazeka kwentlalo
- ukukhathazeka ngokubanzi
Ulwazi lweSistim
I-Paxil, kunye ne-generic efana nayo, i-paroxetine, yenziwe ngamacwecwe a-10, 20, -30 kunye no-40 mg. Kukwafumaneka kwakhona kwisisombululo somlomo esisemanzi. Ugqirha wakho angaqala unyango ngeqondo eliphantsi elingazonyuka ukuba iimpawu zakho aziphuculanga. Ukuqala kwimizi ephantsi kunganciphisa ezinye zeziphumo zempembelelo kuba kunika umzimba wakho ixesha lokuba ulungelelanise kumachiza. I-Paxil (i-paroxetine) idlalwa rhoqo kanye ngosuku kwaye ingathathwa kunye okanye ngaphandle kokutya.
I-Paxil CR yindlela elawulwayo yokukhulula esebenza ngokuthatha i-dose enye eyenziwa emzimbeni yonke imini. I-Paxil CR yenziwe kwiipilisi ze-12.5, 25, ne-37.5 mg.
Imiphumela
Ezinye zeziphumo eziqhelekileyo ezichaphazelekayo kunye noPaxil unyango ziquka:
- Ubuthathaka
- Ukulala
- Utywala
- I sizathu
- Ukukhathazeka okanye ukwesaba
- Umlomo omile
- Ukungabikho
- Ukutyunjwa okanye urhudo
- Ukwandisa ukujuluka
- Ukunciphisa i-libido, i-erectile dysfunction, i-ejaculatory / orgasmic inability or delay.
Abanye abantu bafumana ukunciphisa kwezinye zeziphumo zecala emva kokuba sele beyeza kwiyeza. Ukuba ahlala ephazamisayo, kunjalo, kufuneka uqhagamshelane nodokotela wakho.
Ukuba ufumana esinye seziphumo eziqhelekileyo eziqhelekileyo, kufuneka ubize ugqirha wakho ngokukhawuleza:
- Ukutshatyalaliswa okanye ukucaphuka
- Ukungabi naso
- Impembelelo
- Ukungasebenzi
- Ukugubha
- Iingxaki zeMemori
Ufanele ufumane ingqalelo yonyango ngokukhawuleza ukuba unamava alandelayo anqabileyo, kodwa engundoqo,
- Ukuphendula ngokunyanga - ukuphefumula ubunzima; ukuvuvukala ubuso bakho, umlomo okanye ulwimi okanye ubunzima bokugwinya.
- Ukuxhamla
- Iingxaki ngokulinganisela okanye ukulungelelaniswa
- Ukudideka
- Hallucinations
- Umqhubi okanye isantya senhliziyo engavamile
- Ukutyhafa
- Iingcamango zokuzibulala
Ezi azinjalo kuphela iziphumo ezichaphazelekayo ezinokuthi zibe namava nge-paroxetine. Ufanele uxele nayiphi na imiphumo ebangela ukukhathazeka kumgqirha wakho okanye omnye ugqirha wezempilo.
Ixesha elide lePaxil lisebenza njani ukusebenza
Abanye abantu bafumana ukuphuculwa kweempawu kwisonto elilodwa okanye ezimbini zokuqala i-paroxetine. Uhlobo olupheleleyo lwezokwelapha, nangona kunjalo, alukwazi ukufezekiswa malunga neiveki ezisibhozo.
Ngaba i-Paxil Addictive?
I-Paxil ayikholelwa ukuba iyimilutha okanye i-habit-forming.
Ukuba Ulahlekelwa Umthamo
Thatha umthamo ophosakeleyo ngokukhawuleza ukuba ukhumbule ngaphandle kokuba kuthathe ixesha elide ukuthatha umthamo wakho olandelayo. Musa ukuthatha iPaxil eyongezelelweyo ukwenza i dose ephosakeleyo.
Ukuqapha kunye nokuchazwa
Ukukhulelwa . Uphando olutshanje ludibanise uPaxil kwengozi yokwanda kweempazamo zokuzalwa, ngokukodwa ukukhubazeka kwentliziyo xa kuthathwa i-trimester yokuqala yokukhulelwa.
Ezinye zezi ziphoso zinyameko kwaye zixazulule ngaphandle kokungenelela, kodwa ezinye ziba nzima kakhulu. Kuye kwacetyiswa ukuba ukuchithwa kwe-SSRI ngexesha lokukhulelwa kwangaphambili kunokunyusa umngcipheko wexinzelelo lwengxowanxu eqhubekayo, umonakalo omkhulu wemiphunga, kwintsana.
Ukuba unamance okanye ukhulelwe, kukulungele ukuxoxa ngemingcipheko kunye neenzuzo zonyango lwe-SSRI kunye nogqirha wakho.
IiNSAID okanye i-Aspirin . Ukusetyenziswa kwePaxil kunye ne-NSAID okanye i-aspirin inokudityaniswa nomngcipheko wokwanda kwamanzi.
Izifo zesifo . Ngaphambi kokuba uthathe i-Paxil, xelela ugqirha wakho ukuba unobungozi bokusebenza kwesibindi. Ngokuxhomekeka kwimeko yakho, ugqirha wakho unokufuna ukulungelelanisa umthamo wakho kwaye wenze iimvavanyo ezithile ngelixa unyango lwePaxil.
Utywala . Ukusela utywala kunye nePaxil kufuneka kugwenywe.
Olu luhlu alukho konke okubandakanya. Ezinye iindlela zokusebenzisana kweziyobisi kufuneka zigwenywe kunye nemiba yezokwelapha ugqirha wakho unokufuna ukuyiqwalasela. Qiniseka ukuba uxelele ugqirha wakho malunga nawo onke amayeza, kubandakanya izidakamizwa ezingaphezulu kwee-counter and supplements, uthabatha phambi kokuqala nge-paroxetine.
Serotonin Syndrome
Naliphi na i-SSRI yokuxinzezelekayo inomngcipheko wokuvelisa imeko ebungozi yobomi obubizwa ngokuba yi- serotonin syndrome . Lo mqathango onqabileyo uyisiphumo sokubambisana kwezilwanyana ezimbini okanye ngaphezulu ezichaphazela amaqondo enqanaba le-serotonin. Nangona ezinye izongezelelo ezingaphezulu kwee-counter, ezifana neSt. John's Wort, zingakhokelela kwisifo se-serotonin xa ixutywe ne-SSRIs.
Ukuxubusha ngokukodwa okunzima kukuxuba ama-SSR kunye neklasi ye-anti-depressants ebizwa ngokuthi "monoamine oxidase inhibitors" (i-MAOIs), engafanele ithathwe nge-SSRIs. Kucetyiswa ukuba iPaxil igwenywe iiveki ezimbini ngaphambi okanye emva kokusebenzisa i-MAOI.
I-SSRI yokuLawula iSyndrome
Ngaphambi kokuyeka uPaxil, thetha nodokotela wakho. Abanye abantu baye babika izimpawu zokurhoxisa xa behla okanye beka utywala lwe-SSRI. Kukholelwa ukuba le mpawu yimbangela yengqondo ezama ukuzinzisa amazinga e-serotonin emva kokutshintsha ngokukhawuleza.
Iimpawu ezinokuthi zenzeke ngexesha lokunqanyulwa kweyiphi na inyango ye-SSRI zibandakanya:
- I sizathu
- Intloko
- Iiscle Aches
- Utywala
- Ukutshukunyiswa kwamandla njengomsi entanyeni nentloko
Ngoxa zonke ezi zimpawu zingakholelwa ukuba ziyingozi, ziyakucasula. Xa uyeka i-SSRI, ugqirha wakho unokukunika ixesha lokunciphisa ngokuthe ngcipheko ukuphepha ezi zibonakaliso ezifana nokukhutshwa.
I-FDA Black Box Isixwayiso
Umbutho weengcinga ezizimeleyo zokuzibulala , ngokukodwa phakathi kwabaselula kunye ne-SSRI unyango, kuye kwaba yinkalo yokuqwalasela kunye nokuphikisana kwiminyaka yamuva. Ukuphendula kwiingxaki ezicetyiswayo kwizifundo kunye nenye uphando, i-US Food and Drug Administration (i-FDA) ikhuphe isitatimenti ngo-2007. I-FDA icetywe ukuba abenzi bazo zonke iimishanguzo ezichasayo zibonisa isilumkiso kwimveliso yabo malunga nokuba yengozi yokuzibulala ukucinga kunye nokuziphatha kwabaselula, abaneminyaka eyi-18 ukuya ku-24, ngexesha lokuqala unyango.
Imithombo:
> Ukusetyenziswa kwe-Antidepressant kuBantwana, i-Adolescents kunye nabantu abadala. Iingxelo zoLungiso lweMveliso. US Food and Drug Administration. Meyi 2, 2007.
> RxList. Zoloft. 09 Oktobha 2008.