Main >> Imininingwane Yezidakamizwa >> I-Zoloft yokukhathazeka: Ingabe iZoloft ilungele ukukhathazeka? Iqala nini ukusebenza?

I-Zoloft yokukhathazeka: Ingabe iZoloft ilungele ukukhathazeka? Iqala nini ukusebenza?

I-Zoloft yokukhathazeka: Ingabe iZoloft ilungele ukukhathazeka? Iqala nini ukusebenza?Imininingwane Yezidakamizwa

Ukuphila nokukhathazeka kungenza impilo yansuku zonke ibe nzima. Ngenhlanhla, kunezindlela eziningi zokwelashwa ezitholakalayo zokukhathazeka ezingasiza abantu ukuthi bathole ukukhululeka ezimpawu zabo. I-Zoloft yimithi eyodwa engasiza. Kulo mhlahlandlela, sizokuchazela ukuthi yini iZoloft nokuthi ungayithatha kanjani ukuze ube nokukhathazeka.





Ukuthatha uZoloft ngokukhathazeka

Ukukhathazeka yisimo esidlangile esithinta abantu emhlabeni wonke. Kulinganiselwa 31% yabo bonke abantu abadala bazobhekana nokuphazamiseka kokukhathazeka ngesikhathi esithile empilweni yabo, kanye ne-SingleCare's Ucwaningo lokukhathazeka ngo-2020 ithole ukuthi ama-62% wabaphenduli babhekene nezinga elithile lokukhathazeka. Zoloft igama lomuthi wemithi ejwayelekile ebizwa umabhebhana . Luhlobo lwe-antidepressant olubizwa ngokuthi i-selective serotonin reuptake inhibitor (SSRI) elapha ukukhathazeka ngokwehlisa ukubuyiswa kabusha kwe-serotonin. UZoloft uphatha izimo eziningana zempilo yengqondo:



I-Zoloft ingaphatha ukukhathazeka uma ukwelashwa kwengqondo, njengokwelashwa kokuziphatha kwengqondo, kungasebenzi noma uma udokotela wezifo zengqondo ecabanga ukuthi kuzothuthukisa ikhwalithi yempilo yomuntu. Ama-SSRI afana ne-Zoloft akuwona njalo umuthi ongcono kakhulu wokukhathazeka, ngoba angakhathaza ukukhathazeka kwezinye izimo. Abantu abanenkathazo emnene noma ngezikhathi ezithile kufanele bakhulume nodokotela wabo ngeminye imishanguzo yokukhathazeka ngaphambi kokuthatha uZoloft.

Yini isilinganiso esifanele se-Zoloft sokukhathazeka?

Isilinganiso esifanele sikaZoloft sokukhathazeka siyahlukahluka ngobukhulu bokukhathazeka nokuthi ngabe isiguli sinezinye izimo zezokwelapha. Ngokuvamile, noma kunjalo, isilinganiso sokuqala se-Zoloft sokukhathazeka sinjalo 25 mg noma 50 mg ngosuku.

Amaphilisi e-Zoloft ayatholakala ngamandla amathathu esikali: 25 mg, 50 mg, no-100 mg. Umthamo omkhulu weZoloft ungama-200 mg ngosuku (ongathathwa njengamaphilisi amabili we-100 mg).



Izifundo eziningi ziphakamisa ukuthi umthamo ophumelela kakhulu we-Zoloft ngu-50 mg ngosuku. Lo mthamo ukhonjiswe njengethamo elisebenza kahle nelibekezeleleka kakhulu ezigulini eziningi. Abantu abangaphenduli ku-50 mg ngosuku bangelulekwa ngudokotela wabo ukuthi bandise umthamo wabo we-Zoloft ngo-50 mg ngosuku ngezikhathi zamasonto kuze kufike kuma-200 mg ngosuku. Isibonelo, udokotela angancoma ukuthatha ama-50 mg nsuku zonke isonto elilodwa, bese kuba ngu-100 mg nsuku zonke isonto elilodwa, njll.

I-Zoloft iyatholakala nefomu loketshezi njengesisombululo somlomo. Isixazululo somlomo siza njengesisombululo esicacile, esingenambala nephunga le-menthol eliqukethe ama-20 mg we-sertraline nge-mL ngayinye, ku-12% wotshwala. Ifika ebhodleleni le-60 mL elinesilayidi esilinganisiwe esinamamaki wokuphothula angu-25 mg kanye nama-50 mg. Isixazululo somlomo seZoloft kufanele sixutshwe (ngaphambi nje kokuthatha) kuma-ounces ama-4 wamanzi, ijusi le-orange, ulamula, i-ginger ale, noma ulamula noma i-lime soda ngaphambi kokusetshenziswa.

UZoloft uqala nini ukusebenzela ukukhathazeka?

I-Zoloft ayisebenzi ngokushesha, ngakho-ke ungayeki ukuthatha iZoloft uma izimpawu zakho zingathuthuki zisuka. Kuthatha amasonto amabili kuya kwayisithupha ukuqala ukunciphisa izimpawu zokukhathazeka. Abanye abantu bangazizwa ukunciphisa izimpawu zabo zokukhathazeka phakathi nesonto lokuqala lokuthatha uZoloft, kodwa lokhu akufanele kulindeleke kuwo wonke umuntu.



Uzoloft uzizwa kanjani?

Ngokusho kwe- INational Alliance on Mental Illness , ezinye zezimpawu zokuqala ukuthi iZoloft iyasebenza ukuthuthuka kokulala, amandla, noma isifiso sokudla. Lokhu kuthuthukiswa kungenzeka isonto elilodwa noma amabili ekuphuzeni umuthi.

Izinguquko ezibaluleke kakhulu, njengokuzizwa ucindezelekile kancane noma ukubuyisa intshisekelo empilweni yansuku zonke, kungathatha amasonto ayisithupha kuya kwayisishiyagalombili ukuthi kwenzeke. Ngokuhamba kwesikhathi, abantu abaningi bazobona umehluko omkhulu ezimpawu zabo zokukhathazeka, futhi abanye abantu bangagcina bengenazo nhlobo izimpawu.

Okuqhamuka uma udla imishanguzo

Nayi i- imiphumela emibi ejwayelekile yeZoloft ungahle uzwe lapho uqala ukuyithatha:



  • Ubuhlungu bekhanda
  • Isiyezi
  • Ukuphelelwa isifiso sokudla
  • Ubumhlophe
  • Umlomo owomile
  • Isicanucanu
  • Uhudo
  • Ukujuluka okwengeziwe
  • Ukungahlaliseki
  • Imiphumela emibi yezocansi njengokungasebenzi kahle kwezocansi
  • Ukukhathala
  • Inkinga yokulala
  • Ukwesaba

Yize kungavamile, i-Zoloft ingadala imiphumela emibi kakhulu efana nokulahleka kwesisindo okungajwayelekile, amazinga aphansi egazi le-sodium, ingozi eyengeziwe yokopha (ikakhulukazi uma ihlanganiswe nemithi ethile efana ne-blood thinner noma ama-NSAID), ukuquleka, ukungezwani komzimba, kanye nezimpawu zokuhoxa.

Izexwayiso

IZoloft ibuye nexwayiso lebhokisi elimnyama lemicabango yokuzibulala nokuziphatha. Izifundo zesikhashana esifushane kukhombisile ukuthi imishanguzo yokulwa nengcindezi inyuse ubungozi bokuzibulala ezinganeni, ebusheni nasebancane uma kuqhathaniswa ne-placebo.Kodwa-ke, abantu banoma yimuphi ubudala abathatha iZoloft kufanele babhekwe, ngakho-keiseluleko sezempilo se-eek ngaso leso sikhathiuma uthatha iZoloft bese uqala ukuba nezinguquko zemizwa ezimbi kakhulu kanye / noma nemicabango yokuzibulala noma isimilo.



Abaphathi beFood and Drug Administration baphinde baxwayise iziguli ukuthi zingasebenzisi i-sertraline (Zoloft) uma zikhulelwe, zincelisa ibele, zinezinkinga zamehlo esezikhona (i-sertraline yenza iziguli zisengozini yokuthola i-glaucoma), nalabo abane-bipolar disorder abangathathi i-mood stabilizer.

Ukusebenzisana

Khuluma nodokotela wakho mayelana nokuthi ungayithatha kanjani iZoloft uma uthatha noma iyiphi yale mithi elandelayo:



  • Eminye imithi enyusa i-serotonin ngenxa yengozi ye-isifo se-serotonin
  • I-Disulfiram
  • Ama-Triptans
  • Abanciphisa igazi njenge-warfarin
  • Ama-NSAID afana ne-ibuprofen
  • ISt. John's Wort
  • ILithium
  • I-Nardil (phenelzine)
  • I-Parnate (i-tranylcypromine)
  • I-Marplan (isocarboxazid)
  • I-Azilect (rasagiline)
  • I-Emsam (selegiline)
  • I-Orap (pimozide)

I-Zoloft ithathwe nge-monoamine oxidase inhibitors ( Ama-MAOIs ) noma ezinye izidakamizwa ezandisa i-serotonin (njengamanye ama-anti-depressants, ama-triptans, ne-dextromethorphan, atholakala ekukhwehleleni nasemikhiqizweni ebandayo) kungadala isifo se-serotonin , isimo esiphuthumayo esisongela ukuphila esingadala ukubona izinto ezingekho emqondweni, ukuquleka, amakhoma, ukundindizela, i-delirium, neminye imiphumela emibi kakhulu.

Yini i-anti-depressant esebenza kahle kakhulu yokukhathazeka?

Ayikho i-anti-depressant eyodwa engcono yokwelapha ukukhathazeka. Okusebenzela umuntu oyedwa kungahle kungasebenzi komunye. Izimpawu zokucindezeleka zizophela cishe cishe Umuntu oyedwa kwabathathu abathatha ama-SSRI, kodwa kusadingeka kwenziwe olunye ucwaningo lokuthi kungani ama-SSRI asebenzela abanye abantu hhayi abanye. Umhlinzeki wakho wezokunakekelwa kwempilo ungumuntu ongcono kakhulu ukubuza ukuthi iyiphi i-anti-depressant ezosebenza kakhulu kuwe.



Eminye imishanguzo ye-SSRI ingasebenza ekukhathazekeni okufana neProzac noma iCelexa noma iPaxil, kepha ngamunye unemiphumela engemihle — ikakhulukazi kwehlise i-libido nokuzuza kwesisindo, uthi INaidoo eyodwa , MD, udokotela wezifo zengqondo eMass General Hospital eBoston. I-Benzodiazepines iyasebenza kakhulu esikhathini esifushane ngenkathi inakekelwa ngudokotela, kepha le yimithi engaba umlutha futhi kufanele isetshenziswe ngokuqapha okukhulu futhi njengesilinganiso sesikhashana, isb. Usizi olulandela ukushona kwelungu lomndeni, kusho UDkt Naidoo.

Ezinye izindlela zeZoloft

Igama lomuthi Yini Umthamo ojwayelekile (umthamo ungahluka) Imiphumela emibi ejwayelekile Ukonga kwe-SingleCare
I-Effexor XR (venlafaxine ER) I-serotonin-norepinephrine reuptake inhibitor (SNRI) elapha ukucindezeleka futhi ithuthukise amazinga emizwelo namandla 75 mg / ngosuku kuthathwe nokudla Isicanucanu, umlomo owomile, ukozela Thola isigqebhezana
I-Prozac (fluoxetine) I-SSRI isetshenziselwa ukwelapha ukucindezeleka okukhulu, i-OCD, i-bulimia nervosa, ne-panic disorder 20 mg / ngosuku Ukwesaba, ukuqwasha, isicanucanu Thola isigqebhezana
I-Lexapro (escitalopram) I-SSRI elapha ukukhathazeka okujwayelekile nokukhathazeka okukhulu 10-20 mg / ngosuku Ukuqwasha, isicanucanu, kwehle i-libido Thola isigqebhezana
I-Xanax (alprazolam) I-benzodiazepine eqeda ukukhathazeka kwesikhashana 0.25-0.5 mg, kuze kube kathathu nsuku zonke I-Xanax iyi-into elawulwayongenxa yamandla ayo okuhlukumeza noma ukuncika. Thola isigqebhezana
I-Paxil (paroxetine) I-SSRI elapha ukucindezeleka nezinye izimo zengqondo 20 mg / ngosuku I-nausea, ukozela, umlomo owomile, imiphumela emibi yezocansi, ikhanda, ubuthakathaka Thola isigqebhezana
I-Celexa (citalopram) I-SSRI ejwayele ukunikezwa ukucindezeleka, kepha odokotela bangayinikeza futhi ukusiza ukusiza ukunciphisa izimpawu zokukhathazeka 20 mg / ngosuku Ukuqwasha, isicanucanu, ukukhathala, ukujuluka okwandayo, isiyezi, umlomo owomile Thola isigqebhezana

Njengoba kushiwo ngaphambili, umhlinzeki wakho wezokunakekelwa kwempilo ungumuntu ongcono ukubuza ukuthi ungaphatha kanjani ukukhathazeka kwakho. Imithi ingasebenza ekwelapheni ukukhathazeka, kepha uDkt Naidoo uthi nawe ungaba nezinye izindlela. Ukhuluma ngoshintsho ekudleni, ukucabanga, ukuvivinya umzimba, nokuvivinya umzimba njengezindlela ezengeziwe zokulwa nokukhathazeka. Udokotela wakho angakusiza ukuthi uqhamuke nohlelo lokwelashwa oluzolingana nempilo yakho.