Ukunyangwa kweengxaki zengxaki ye-Panic Disorder: Zoloft / Sertraline
Iinkcukacha zajikelele
I-Zoloft (i-sertraline HCl) yi-SSRI exinezelekileyo eyenziwa yi-Pfizer. Kwakuqala ukuthengiswa njengonyango lokudandatheka ngo-1992. I-Zoloft ngoku ivunyiwe yi-FDA yokonyango:
- Ukuphazamiseka Kwentlungu
- Ukukhathazeka kweNtlalo
- Ukuxinezeleka
- I-Post Traumatic Distress Disorder (PTSD)
- Ingxaki ye-Obsessive-Compulsive Disorder (OCD) kwi-Children, i-Adolescents kunye nabantu abadala
- I-Premenstrual Dysphoric Disorder (PMDD) kubantu abadala
Ulwazi lweSistim
I-Zoloft yenziwe ngamacwecwe angama-25, ama-50 kunye ne-100 mg. Kukwafumaneka kwakhona kwi-concentrated oral concentrate. Ugqirha wakho angathatha unyango ngeqondo eliphantsi elincinci. I-Zoloft idla ngokuthatyathwa kanye ngosuku kwaye ingathathwa kunye okanye ngaphandle kokutya.
Imiphumela
Iziphumo eziqhelekileyo ezichaphazelekayo ezibandakanya iZoloft ziquka:
- umlomo owomileyo
- ukungcola
- isicaphulelo
- isifo sohudo
- ukunciphisa ukuqhuba ngokwesondo
- ukukhawuleza okanye ukulibaziseka okanye ukukhubazeka
- zanda
Abanye abantu bafumanisa ukuba ezininzi zeziphumo zempembelelo ziphucula emva kokuba sele ziyeza kwiyeza. Kodwa, ukuba bahlala bexhala, kufuneka udibane nogqirha okanye omnye ugqirha wezempilo.
Ukuba ufumana esinye seziphumo eziqhelekileyo eziqhelekileyo, kufuneka ubize ugqirha wakho ngokukhawuleza:
- ukuphazamiseka okanye ukucaphuka
- ukungazinzi
- ukunyanzelisa
- ukungahambi kakuhle
- ukuthuthumela
- kudideka
Ufanele ufumane ingqalelo yonyango ngokukhawuleza ukuba unamava alandelayo anqabileyo, kodwa engundoqo,
- Ukuphendulela okuvakalayo - Ukuvuthwa kwesikhumba okanye isikhumba, ukuphefumula ubunzima; ukuvuvukala ubuso bakho, umlomo okanye ulwimi okanye ubunzima bokugwinya.
- Ukuxhamla
- Iingxaki ngokulinganisela okanye ukulungelelaniswa
- Iingcamango zokuzibulala
Zoloft Zithatha Kude Kangakanani?
Abanye abantu bafumana ukuphuculwa kweempawu kwiiveki ezi-1 okanye ezimbini zokuqala iZoloft.
Nangona kunjalo, isiphumo esipheleleyo sonyango sifumaneka kwiiveki ezi-8.
Ngaba iZoloft Addictive?
Ngokusekelwe kwizifundo zeklinikhi, uZoloft akakholelwa ukuba ungumlutha okanye umkhwa.
Kuthiwani ukuba ndilahleka iDose?
Thatha idosi ephosakeleyo ngokukhawuleza ukuba ukhumbule, ngaphandle kokuba kuthathe ixesha elide ukuthatha umthamo wakho olandelayo. Musa ukuthatha i-Zoloft eyongezelelweyo ukuba wenze i dose ephosakeleyo.
Ukuqapha kunye nokuchazwa
Ukukhulelwa . Kukho ubungqina bokuthi ukuthatha iZoloft ngexesha lesithathu lokukhulelwa kunokunyusa umngcipheko wengane yakho yokuhlakulela ingozi yomshukela ophezulu, oyingozi kunye nokubulala, ukuphazamiseka kwemiphunga. Ukuba unamance okanye ukhulelwe, kukulungele ukuxoxa ngeengozi kunye neenzuzo zonyango lukaZoloft kunye nogqirha wakho.
IiNSAID okanye i-Aspirin . Ukusetyenziswa kweZoloft kunye ne-NSAID okanye i-aspirin inokudityaniswa nomngcipheko wokwanda kwamanzi.
Isifo okanye iSifo seNtliziyo . Ngaphambi kokuba uthathe uZoloft, xela ugqirha wakho ukuba unesibindi sokukhubazeka okanye umsebenzi wezintso. Ngokuxhomekeka kwimeko yakho, ugqirha wakho unokufuna ukulungelelanisa umthamo wakho kwaye enze iimvavanyo ezithile ngexesha lolo lonyango lweZoloft.
Utywala . Ukusela utywala kunye noZoloft akukhuthazwa.
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 izongezo ezingaphezulu kwee-counter, ezifana neSt. John's Wort, zinokunyusa ingozi ye-serotonin syndrome xa ixutywe ne-SSRIs.
Inkxalabo ixubusha ii-SSRI kunye neklasi ye-anti-depressants ebizwa ngokuthi i-monoamine oxidase inhibitors (MAOIs). I-MAOI ayifanele ithathwe ngama-SSRIs, kwaye unyango lwe-SSRI akufanele luqalise iiveki ezimbini ukuya kwezine emva kokucima i-MAOI, ngenxa yengozi yokwanda kwe-serotonin syndrome.
I-SSRI yokuLawula iSyndrome
Ngaphambi kokuyeka uZoloft, xela ugqirha 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, zinokudideka. Xa uyeka i-SSRI, ugqirha wakho unokukunika ixesha lokunciphisa ngokuthe ngcipheko ukuphepha ezi zibonakaliso ezifana nokukhutshwa.
I-FDA Black Box Isixwayiso
Umbutho wokwanda kweengcinga zokuzibulala, ngokukodwa phakathi kwabaselula, kunye ne-SSRI unyango, uye waba 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:
I-Chambers Ph.D., i-MPH, i-Christina, i-Hernandez-Diaz MD, i-DrPH, i-Sonia, i-VanMarten MD, i-MPH, uLinda J, i-Werler ScD, uMarta M, uLouik ScD, uKarol, uLyons Jones MD, uKennenn, uMitchell MD, uAllen A. "I-serotonin-reuptake inhibitors ekhethiweyo kunye nomngcipheko wexinzelelo lwe-pulmonary of the newborn." I- New England Journal of Medicine 2006 354 (6) 579-587.
RxList. Zoloft. 09 Oktobha 2008.