Imiphumela emibi ye-Zoloft nokuthi ungayibalekela kanjani

Imininingwane Yezidakamizwa

Sertraline , eyaziwa kakhulu ngegama layo lomkhiqizo, Zoloft , ngumuthi odumile kadokotela osetshenziswayo ukwelapha ukudana , ukukhathazeka , ukucindezeleka kwangemva kwenhlekelele , ukuphazamiseka kokukhathazeka komphakathi, ukuphazamiseka kwesifo, kanye ne-premenstrual dysphoric disorder (PMDD). Kungokwesigaba se-antidepressants esibizwa ngokuthi yi-selective serotonin reuptake inhibitors (SSRIs), okusho ukuthi sisebenza ngokwandisa inani le-serotonin ebuchosheni. Njengama-anti-depressants amaningi , abantu abathatha i-sertraline bangathola imiphumela emibi. Qhubeka ufunde ukuze ufunde ngemiphumela emibi ye-sertraline, izexwayiso, nokuhlangana okungenzeka kwezidakamizwa.

OKUSHIWO: Imininingwane kaSertraline | Imininingwane kaZoloft

Imiphumela emibi ejwayelekile ye-sertraline

Nganoma imuphi umuthi, kuhlale kunengozi yokuhlangabezana nakho imiphumela emibi engaba khona . Ukwazi uma uhlangabezana nemiphumela engemihle, kuyasiza ukuqonda ukuthi umuthi kufanele ukwenze uzizwe kanjani uma usebenza kahle. Endabeni ye-sertraline, iziguli zingalindela ukuzwa ukuthuthuka kwemizwelo, isifiso sokudla, ikhwalithi yokulala, izinga lamandla, kanye nentshisekelo empilweni yansuku zonke. Ngamanye amagama, ukwehliswa kwezimpawu ezinjengokudangala nokukhathazeka.

I-Sertraline, njengawo wonke amanye ama-SSRI, ikhulisa ukujikeleza kwamazinga e-serotonin emzimbeni womuntu, ikhuthaza umuzwa wenhlalakahle futhi ivumela abantu abanokudangala nokukhathazeka ukubhekana kangcono nesimo sabo samanje noma isimo sabo, kusho URaul Perez-Vazquez , MD, udokotela wokunakekelwa okuyisisekelo we-Tenet Florida Physician Services kanye ne-West Boca Medical Center.

Le yimiphumela emibi kakhulu ye-sertraline:

• Isicanucanu
• Uhudo
• Ukuqunjelwa
• Kunzima ukulala noma ukulala
• Umlomo owomile
• Isilungulela noma isisu
• Ukuphelelwa isifiso sokudla
• Ukwehla kwesisindo noma ukuzuza kwesisindo
• Isiyezi
• Ukukhathala ngokweqile
• Ubuhlungu bekhanda
• Ukwesaba
• Izinguquko ku-sex drive
• Ukungasebenzi kahle kwe-Erectile, kufaka phakathi ukubambezeleka kwe-ejaculation
• Ukujuluka okweqile

Imiphumela emibi ye-Zoloft ihamba nini?

Imiphumela emibi eminingi ejwayelekile ebalwe ngezansi ingahamba ngemuva kwamasonto ambalwa ngenkathi umzimba ulungisa.

I-Sertraline uqobo kuthatha cishe inyanga ukuqala ukusebenza, futhi imiphumela emibi eminingi enciphile iyancipha ngemuva kokuthi umzimba wakho usujwayele umuthi, kusho uDavid Nazarian, MD, udokotela oyinhloko I-My Concierge MD eBeverly Hills.

Kungumqondo omuhle ukulandelela imiphumela emibi oyitholayo futhi ugcine uchwepheshe wakho wezokunakekelwa kwempilo evuselelwa ukuze udokotela wakho akwazi ukuqapha ukuphendula futhi alungise imithi njengoba kudingeka. Okubaluleke kakhulu, tshela udokotela uma imiphumela emibi inzima, iya iba mibi, noma ingapheli.

Imiphumela emibi ye-sertraline

Kukhona okunye okungajwayelekile, kepha imiphumela emibi kakhulu we-sertraline. Izimpawu ezilandelayo zidinga usizo lwezokwelapha ngokushesha:

• Ukopha okungavamile noma ukulimaza
• Ukuyaluza
• Ukudideka
• Imfiva, ukujuluka, ukuqhaqhazela
• Ukusangana
• Isifuba noma ukuqubuka
• Ukulahlekelwa kokusebenzisana
• Ukuqina kwemisipha noma ukudikiza
• Isicanucanu, ukuhlanza, noma isifo sohudo
• Ukushaya kwenhliziyo okusheshayo
• Ukuquleka
• Ukuvuvukala
• Imicabango yokuzibulala
• Ukuphefumula kanzima
• Ukuzamazama okungalawuleki kwengxenye yomzimba

Ukuhoxiswa kweZoloft

Yize iningi lemiphumela emibi ibuyiselwa emuva, akufanele uyeke ukuthatha i-sertraline ngokungazelelwe. Esikhundleni salokho, khuluma nomhlinzeki wezokunakekelwa kwempilo ngaphambi kokuyeka lo muthi ukugwema izimpawu zokuhoxa. Udokotela angakha isu lokunciphisa umuthi kancane. Izimpawu zokuhoxa zifaka:

• Ukuthukuthela / ukuguquguquka kwemizwelo
• Isicanucanu
• Isiyezi
• Ukuhlanza
• Ukuqwasha
• Amaphupho amabi
• Ubuhlungu bekhanda
• I-Paresthesias (ukubhoboza, ukuzwa ukuzwa esikhunjeni)

Ngokubambisana, lezi zimpawu zibizwa ngokuthi yi-antidepressant discontinuation syndrome, edinga usizo lwezokwelapha ngokushesha.

Izexwayiso zikaSertraline

Okunye I-FDA izexwayiso zifaka nemikhawulo yoku:

• Iziguli eziphikisana ne-sertraline noma ezinye izithako ezingasebenzi
• Abesifazane abakhulelwe noma labo abangakhulelwa, njengoba i-sertraline ingadala izinkinga ezinganeni ezisanda kuzalwa ngemuva kokubeletha
• Abesifazane abancelisayo kusukela ku-sertraline bangadlula ubisi lwebele
• Labo abanezinkinga zamehlo esezikhona ezingabenza babe sengozini yokuthola i-angle-closure glaucoma, engadala ubuhlungu obukhulu beso noma imbala. Ukuhlolwa kwamehlo kungadingeka ngaphambi kokuthola incwadi kadokotela we-sertraline.
• Labo abane-bipolar disorder . Uma i-sertraline ithathwa ngaphandle kwesiqinisi semizwa, isiguli singaba sengozini yokushintshela esiqeshini se-manic noma se-hypomanic.

Imicabango yokuzibulala

Mhlawumbe isexwayiso esibaluleke kakhulu okufanele usazi lapho uthatha i-sertraline yithuba lemicabango noma isenzo sokuzibulala, ikakhulukazi kubantu abadala. Onke ama-anti-depressants, empeleni, anesixwayiso esibhokisi (isexwayiso esiqine kakhulu esidingeka yi-FDA) mayelana nemithi yokudambisa imicabango kanye nemicabango yokuzibulala nokuziphatha.

Ngokusho kukamenzi wezidakamizwa I-Pfizer , isiguli singazibulala, ikakhulukazi ekuqaleni kokwelashwa nanoma yisiphi isikhathi lapho umthamo wanda noma wehla. UPfizer weluleka iziguli ukuthi zifonele umhlinzeki wezokunakekelwa kwezempilo ngokushesha uma ubona ushintsho olusha noma oluzumayo emizwelweni, ekuziphatheni, noma emicabangweni. Iziguli nemindeni yazo kufanele zenziwe zazi ngalo mphumela ongajwayelekile kodwa ongaba khona. Ngaphandle kwalokho, zonke iziguli kufanele zilandele njalo udokotela futhi zishaye ucingo phakathi kokuqokwa uma zihlangabezana nalezi zimpawu ezilandelayo:

• Ukuzizwa uthukuthele, ungahlaliseki, uthukuthele noma ucasukile
• Ukwanda komsebenzi noma ukukhuluma ngaphezu kokujwayelekile
• Ukucindezeleka okusha noma okuqhubekayo
• Ukukhathazeka okusha noma okwandayo noma ukuhlaselwa ukwethuka
• Inkinga yokulala
• Ukwenza ngokulandela imicabango eyingozi
• Ukwenza ulaka noma udlame
• Imicabango ngokuzibulala noma ngokufa
• Imizamo yokuzibulala
• Olunye ushintsho olungavamile ekuziphatheni noma emoyeni

Ukozela

Umphumela ovamile we-sertraline ukulala, okungathinta amandla akho okusabela ngokushesha noma ukwenza izinqumo ezicacile. Ngalesi sizathu, kunesixwayiso esinamandla sokuthi ungashayeli, usebenzise imishini esindayo, noma wenze ezinye izinto eziyingozi uze wazi ukuthi i-sertraline ikuthinta kanjani.

Isifo se-Serotonin

Iserotonin syndrome yisimo esisongela impilo esingabangelwa ukuthatha i-sertraline neminye imithi ekhulisa ukukhiqizwa kwe-serotonin emzimbeni. Le mithi ihlanganisa:

• I-Monoamine oxidase inhibitors (i-MAOIs-ungasebenzisi i-Zoloft zingakapheli izinsuku eziyi-14 kule mithi).
• Amanye ama-SSRI (njengeProzac, Paxil, Celexa, Lexapro)
• Ama-SNRIs (njenge-Effexor, iCymbalta, iPristiq)
• Ama-Triptans (Imitrex, Maxalt, njll)
• I-Tricyclic anti-depressants (efana no-Elavil noma i-Pamelor)
• Fentanyl
• ILithium
• I-Tramadol
• I-Tryptophan
• I-Buspirone
• ISt. John's Wort
• I-Fanapt (iloperidone)
• I-Thorazine (i-chlorpromazine)

Thola ikhadi lesaphulelo se-SingleCare

Izimpawu ze-serotonin syndrome zifaka:

• Umkhuhlane omkhulu
• Izinguquko ezisheshayo ekushayeni kwenhliziyo noma umfutho wegazi
• Ukungqubuzana kwemisipha okungalawuleki
• Ukudideka
• Ubuhlungu bekhanda
• Ukujuluka okukhulu
• Uhudo
• Imisipha eqinile
• Ukulahlekelwa ukwazi (ukudlula)

Ukusebenzisana kweSertraline

Ngaphambi kokuthatha umuthi omusha kadokotela, kufanele udalule yonke imithi oyiphuzayo njengamanje. I-Over-the-counter, imishanguzo kadokotela, kanye namakhambi emvelo njengama-supplements anamandla okudala ukuhlangana kwezidakamizwa eziyingozi.

Ama-antipsychotic athile

Ukuxuba i-sertraline ne-antipsychotic kwandisa ingozi yezimo zenhliziyo, kufaka phakathi ukuboshwa kwenhliziyo. Esinye sezibonelo yi-Orap (pimozide), umuthi olwa ne-psychips ovame ukunikezwa abantu abane-Tourette syndrome. I-Geodon (i-ziprasidone) ne-droperidol ngamanye ama-antipsychotic angaxhumana ne-sertraline.

Abanciphisa igazi

Ukuthatha i-sertraline ene-thinner yegazi (i-aspirin, i-Plavix, i-heparin, i-warfarin) kungandisa ingozi yokuphuma kwegazi, kufaka phakathi ukuphuma kwamakhala kanye nokuphuma kwesisu namathumbu.

Izidakamizwa ezingezona ukuvuvukala (ama-NSAID)

Ukuhlanganisa i-sertraline ne Ama-NSAID , njenge-ibuprofen noma i-naproxen, nayo ingakhuphula ubungozi bezinkinga ezinzima zesisu, kufaka phakathi ukopha okusongela impilo, namazinga aphansi e-sodium.

Utshwala

Akufanele uphuze utshwala ngenkathi uthatha i-sertraline ngoba womabili athinta amakhemikhali ebuchosheni. Utshwala bungashintsha ukusebenza kwe-sertraline futhi buholele emiphumeleni emibi, kufaka phakathi izinkinga zokulala nokozela ngokweqile.

Ngokwengeziwe, i-Antabuse (disulfiram), elapha ukuphuza ngokweqile, ayikwazi ukuhlanganiswa nohlobo lwamanzi lwe-sertraline ngenxa yokuqukethwe kotshwala ku-sertraline ewuketshezi.

Ungayigwema kanjani imiphumela emibi ye-sertraline

Indlela engcono yokuvikela imiphumela emibi ye-sertraline ukuthatha umuthi ngokufana ncamashi njengoba kuchazwe ngudokotela nangokuhambisana nemiyalo yomenzi wezidakamizwa.

Umthamo wokuqala we-sertraline ungama-25 kuye kwangama-50 mg ngosuku, ongancishiswa kancane uma kudingeka. Imithamo ye-Sertraline ingalungiswa ngudokotela ngokuqapha okusondele kwesiguli nempendulo yakho emithini. Njalo qala i-sertraline ngomthamo ophansi kakhulu, futhi wandise kancane, ubuyekeze izimpawu ngezikhathi ezithile, futhi usebenzise umthamo ophansi osebenza kahle, kusho uDkt Perez-Vazquez.

I-Sertraline ingathathwa nokudla noma ngaphandle kokudla, ngokusho kukaPfizer. Kodwa-ke, uma kunqunywa uhlobo lokugxila kuketshezi lwe-sertraline, kufanele luhlanjululwe ngamanzi, i-ginger ale, ilamula noma i-lime soda, ulamula noma ujusi we-orange.

Kunezinye izinyathelo ezimbalwa ongazithatha ukusiza ukunciphisa imiphumela emibi ye-sertraline ngenkathi ulinde umzimba wakho ukuthi ujwayele umuthi omusha. Okunye ukuguqulwa kokuphila okuncane kungasiza ngemiphumela emibi ye-sertraline, njengokuthatha umuthi ebusuku ukuvimbela ukuphelelwa amandla noma ukudla ukudla okuncane njalo ukugwema isicanucanu, kusho uDkt. Nazarian. Ngokulalela umzimba wakho, ukubona imiphumela emibi, nokwenza ukungenelela okufanelekile kusenesikhathi, ukungakhululeki kungancishiswa.

Esinye isinyathelo kwesinye isikhathi esishaywa indiva ekuqinisekiseni ukuthi umuthi usebenza ngendlela efanelekile ukulandela imiyalo yabakhiqizi yokuthi ungayigcina kanjani incwadi kadokotela ngokucophelela. Ngokuphathelene ne-sertraline, ibhodlela kufanele livalwe ngokuqinile, ligcinwe lapho izingane zingafinyeleli khona, futhi ligcinwe ekamelweni lokushisa, 68 ° F kuye ku-77 ° F (20 ° C kuye ku-25 ° C).