Yintoni enokuxoxa ngayo noDokotela wakho xa usenza isigqibo
Kukho amayeza angaphezu kwama-20 avunywe yi-FDA ekwenzeni unyango. Zonke ezi zonyango zichaphazelekayo kwaye zingasebenza ngokuhlukileyo kubantu abahlukeneyo. Ngoko kubalulekile ukuba nencoko nodokotela wakho malunga nokuba ngubani ozakuzama kwaye kutheni.
Gcina ukhumbule ukuba unokufuneka unike iyeza ixesha elithile-mhlawumbi iiveki ezimbalwa-ukuva iimiphumo zalo kwaye unokuba uzame iintlobo ezimbalwa okanye iintlobo ezimbalwa ezahlukeneyo ngaphambi kokufumana okufanelekileyo.
Indlela yokukhetha i-Anti-depressant
Ukuba uye wafumanisa ukuba unexinzelelo kwaye ufuna ukuthabatha unyango, wena kunye nodokotela wakho kuya kufuneka ukhethe i-anti-depressant efanelekile. Wena kunye nogqirha wakho kufuneka ucinge ngale miba elandelayo xa ukhetha i-anti-depressant.
Ukukhusela
- Ngaba uneminye yempilo ngaphandle kwexinzelelo? Ugqirha wakho uya kucinga malunga nayo yonke imiba yempilo kwaye uya kupheka kukunika i-anti-depressant engenafuthe elibi nakwezinye iimeko zakho zempilo. Ngokomzekelo, i- tricyclic antidepressants njenge-Elavil (i-amitriptyline), i-Sinequan (doxepin) kunye neTofranil (imipramine) ayinakunikwa abantu abanesimo esithile senhliziyo, njengentliziyo engavumelekanga okanye uxinzelelo lwegazi oluphantsi.
- Ziziphi ezinye iingcamango ozithathayo? Amachiza okuxhatshazwayo angasebenzisana namanye amayeza owathathayo. Ngaphambi kokumisela amayeza ukunyanga uxinzelelo lwakho, ugqirha wakho uya kuqwalasela ukuba yiyiphi into ekudandathelaniso eya kusebenza kakuhle kunye nezinye iyeza. Ngokomzekelo, abanye abantu abanamahlunu e-migraine bathabatha imithi eyaziwayo njenge-triptan-njenge-Imitrex (sumatriptan), i-Maxalt (rizatriptan), i-Relpax (eletriptan) kunye ne-Zomig (zolmitriptan). Ezi ziyobisi zingabangela intlungu engabonakaliyo kodwa engathandekiyo ebizwa ngokuba yi-serotonin syndrome ukuba ithathwa nge-SSRI. Ngoko ugqirha unokukhetha ukukunika imishanguzo engeyiyo i-SSRI ukuze uphathe uxinzelelo lwakho.
- Ingaba ugqirha wakho ubeke isigxina ngaphambili? Ugqirha wakho unokufuna ukhetho oluxhatshazelayo oluye lwafumana amava. Ngaloo ndlela, ugqirha uya kuba nolwazi kakhulu nemiphumo yecala leyeza kunye nokuba kunokwenzeka nayiphi na into yokusebenzisana kweziyobisi.
Ukujoliswa kweMpawu eziPhezulu kunye nokuPhepha iziphumo eziPhakathi
- Ngaba uyindoda okanye umfazi? Ukuba ungumntu kwaye usebenza ngokwesondo, ugqirha wakho unokuphepha ukukunika i-serotonin reuptake inhibitors (i- SSRIs ) ekhethiweyo njenge-Paxil (paroxetine) okanye i-Zoloft (sertraline) kuba zingabangela ukungasebenzi kwe-erectile. Ezinye iindlela ezifana ne-Wellbutrin (bupropion) ayinakwenzeka ukuba negalelo elichaphazelekayo kwaye lingasetyenziselwa endaweni ye-SSRI.
- Ziziphi iimpawu zakho ezixinezelekile? Ngokomzekelo, ukuba unxinekile kunye nokudakumba kwakho okubangela ukulala, ugqirha wakho unokuncoma isilwanyana esifana neReronon (mirtazapine) esinefuthe elidlulayo ngexesha lokulala. Okanye ukuba ngaba uhlala ukhululekile, ugqirha wakho unokuthabatha ukuthatha i-Wellbutrin (bupropion), enokukunceda ukuba usebenze ngakumbi.
Yintoni Enokuthi Yenzeke Kusebenza Kulungile Kuwe
- Ngaba unembali edlulileyo yokudakumba? Ukuba wenza kwaye usetyenzise kakuhle i-antidepressant esikhathini esidlulileyo esisebenze kakuhle, ugqirha wakho uya kubeka inqaku elifanayo ukuba usebenzise kwakhona.
- Ngaba ukudandatheka kusebenza kwintsapho yakho? Ukuba nawaphi na amalungu osondeleyo kwintsapho yakho (njengabazali bakho, abazalwana okanye odade) baye baphathwa ngenxa yokudandatheka kunye neyeza ezazisisebenzela kakuhle, ugqirha wakho unokubonisa ukuba nawe uzama ukuba unyango lwakho lokudakumba.
- Ngaba udla ukulibala ukuthatha iipilisi? Ukuba ukuthatha isigulo ngokufanelekileyo kuyinselele kuwe, ugqirha wakho unokufuna ukumisela umntu onomdla ongapheliyo onjenge-Wellbutrin XL (bupropion) okanye i- Paxil CR (i-paroxetine), ngoko akudingeki ukhumbule ukuthatha ipilisi ngokuqhelekileyo.
- Unokukwazi ukuchitha phi unyango? Amanye amayeza asetyenziswa ukuphatha uxinzelelo axabisa. Ugqirha wakho uya kusebenza nawe ukuba ukhethe u-anti-depressant onokuwufumana. Uninzi lwezidalwa ezixhatshazwayo eziqhelekileyo ezisetyenziswayo zifumaneka kwi-generic version, kwaye iinguqulelo zesi-generic zihlala zingabizi. Ugqirha wakho unokucebisa ukuba uthengise ngeenxa zonke kwiindawo zokuthengisa izidakamizwa kwaye ubiza inkampani yakho yenkampani yomshuwalense ukuba ithole ixabiso elifanelekileyo.
Yintoni enokuyilindela xa uqala u-Anti-depressant
Amachiza amaninzi asetyenziswa ukuphatha uxinzelelo kuthatha ixesha lokusebenza kwaye iimpawu zakho zokudandatheka ziqala ukuphucula kwisonto elilodwa ukuya kwiintsuku zokusebenzisa iyeza lakho elincincikayo. Nangona kunjalo, kunokuthatha ixesha elide ukuya kwiiveki ezisibhozo ukuze ubone ukuphuculwa.
Ukuba loo mayeza ayisebenzi, ugqirha wakho unokufuna ukwandisa umthamo okanye utshintshele kwi-antidepressant eyahlukeneyo. Ugqirha wakho unokuphinda akhombise isiluleko sokuzama okanye isifo sengqondo mhlawumbi endaweni okanye okanye ngaphezu kweyeza.
Emva kokuba uqalise u-antidepressant, unokuba nemiphumo emibi.
Uninzi lweziphumo ezisisigxina zisesigxina kwaye zihamba kunye nokusetyenziswa kwakho kweyeza, nangona ezinye iziphumo ezibi-ezifana nokuqhawulwa kunye neengxaki zesini-zingaphikelela.
Oko Ukwenza Ukuba Unemibuzo okanye Iingxaki NgeMithi Yakho
Thetha ugqirha ukuba unemibuzo okanye uxhalaba malunga namachiza akho, kubandakanywa nendlela iyeza ngayo kunye nokuba unemiphumo emibi. Kwakhona: Musa ukumisa imithi yakho yokuxhatshazwa ngaphandle kokuthetha nodokotela wakho kuqala. Ukuyeka imishanguzo yakho yokuxhatshazwa ngokukhawuleza kunokubangela iziphumo ezinobungozi okanye iimpawu zokudakumba kwakho zingabuya.