Imiphumela emibi ye-Zoloft: Yini ongayilindela esontweni lokuqala lokuthatha uZoloft

Imininingwane Yezidakamizwa

Isilinganiso sokuqala | Okuqhamuka uma udla imishanguzo | Uphuthelwe ngumthamo | Ukweqisa ngokweqile | Ukubonana nodokotela nini

Ukuphila nezimo zempilo yengqondo njengokukhathazeka noma ukucindezeleka kungenza impilo yansuku zonke icindezeleke. Ngenhlanhla, kunezindlela eziningi zokwelashwa ezitholakalayo kubantu abafuna ukukhululeka ekukhathazekeni noma ekucindezelekeni. I-Zoloft ngumuthi kadokotela osetshenziselwa ukunciphisa izimpawu zokukhathazeka nokudangala, futhi uma uthathwe kahle, ungenza impilo yansuku zonke iphatheke kalula. Ake sibheke ngokujulile ukuthi ungayithatha kanjani iZoloft, yimiphi imiphumela engemihle okufanele uyibheke esontweni lokuqala, nokuthi yini enye ongayilindela lapho uqala lo muthi.

Iqala iZoloft

Zoloft igama lomuthi wemithi ejwayelekile ebizwa umabhebhana,okungeyeqembu lemithi elibizwa nge-Selective Serotonin Reuptake Inhibitors (SSRIs). Ama-SSRI afana ne-Zoloft angama-anti-depressants asebenza ngokwandisa amazinga e-serotonin ebuchosheni.Kulinganiselwa 31% yabo bonke abantu abadala bazobhekana nesifo sokukhathazeka esikhathini esithile sokuphila kwabo, futhi izibalo zibonisa ukuthi abantu abadala abayizigidi ezingama-264 emhlabeni wonke banexhala.Odokotela bavame ukunquma iZoloft ukuthi yelaphe ukukhathazeka, kepha ingasetshenziselwa ukwelapha ukudangala, i-obsessive-compulsive disorder (OCD), i-post-traumatic stress disorder (PTSD), i-panic attack, ne-premenstrual dysphoric disorder (PMDD).

Njenganoma imuphi umuthi, ukwazi okuningi ngangokunokwenzeka ngomuthi ozowuthatha kubalulekile ukuqinisekisa ukuthi wandisa izinzuzo zawo ezingaba khona. Ukwazi ukuthi ungayithatha kanjani iZoloft kahle kubalulekile ukuqinisekisa ukuthi isebenza ngempumelelo ngangokunokwenzeka. Uma ithathwa kahle, iZoloft ingenza abantu bazizwe bengakhathazeki kakhulu noma besabe, futhi kunganciphisa isifiso sokwenza imisebenzi ephindaphindwayo. Ingakhuphula izinga lokulala, isifiso sokudla, amazinga wamandla, ibuyise intshisekelo empilweni yansuku zonke, futhi inciphise imicabango engadingeki nokuhlaselwa ukwethuka.

I-Zoloft iyatholakala ngefomu lethebulethi emandleni esikali ka-25 mg, 50 mg, noma u-100 mg. Kubuye futhiitholakala njengesisombululo somlomo, okumele sihlanjululwe sibe ngama-ounces amane amanzi, ijusi le-orange, i-lemonade, i-ginger ale, noma i-lemon / i-lime soda ngaphambi kokusetshenziswa.

Umthamo ojwayelekile weZoloft wokukhathazeka uwukuthi 25 mg noma 50 mg ngosuku. Ngokusho kwe-Food and Drug Administration ( I-FDA ), lawa yimithamo ejwayelekile yeZoloft yezinye izinkinga:

• Isifo esikhulu sokucindezeleka: 50 mg nsuku zonke
• I-OCD: Ama-50 mg ngosuku kulabo abadala kuneminyaka eyi-13
• Ukuphazamiseka kovalo: 25 mg nsuku zonke
• I-PTSD: 25 mg nsuku zonke
• Isifo sokukhathazeka komphakathi: 25 mg nsuku zonke
• PMDD: 50 mg ngosuku ngesikhathi sesigaba se-luteal kuphela

Kubalulekile ukukhuluma nodokotela wakho mayelana nokuthi imuphi umthamo olungele wena ngoba inani eliqondile lemithi oyidingayo lizohluka ngokuya ngesimo sakho, ukuthi zimbi kangakanani izimpawu zakho, nokuthi unazo yini ezinye izinkinga zempilo noma cha.

Uma usuqale ukuthatha iZoloft ngenani elifanele njengoba kunqunywe udokotela wakho, ungalindela ukuthi iqale ukusebenza cishe amasonto amabili kuya kwayisithupha . I-Zoloft akuyona uhlobo lomuthi ozoqala ukusebenza ngosuku lokuqala, ngakho-ke uzodinga ukubekezela okuncane ngenkathi ulinde ukuthi iqale ukukhulula izimpawu zakho. Ngokusho kwe- INational Alliance on Mental Illness , ezinye zezimpawu zokuqala ukuthi iZoloft iyasebenza ukuthuthuka kokulala, amandla, noma isifiso sokudla. Lokhu kuthuthukiswa kungenzeka ngemuva kwesonto elilodwa kuya kwamabili ekuthatheni umuthi. Izinguquko ezibaluleke kakhulu njengokuzizwa ucindezelekile kancane noma ukubuyisa intshisekelo empilweni yansuku zonke kungathatha amasonto ayisithupha kuya kwayisishiyagalombili ukuthi zivele.

Lapho uqala ukuthatha iZoloft, ungaqala ukubona imiphumela emibi embalwa. Enye yezindlela ezinhle kakhulu zokugwema imiphumela emibi ukuthatha imishanguzo njengoba kunqunyelwe udokotela wakho. Udokotela wakho uzokunika umthamo othile ngesizathu, futhi ukuthatha iZoloft eningi ngoba ufuna ukuthi isebenze ngokushesha akuphephile. Ake sibheke eminye yemiphumela emibi kakhulu yeZoloft ofuna ukuyazi lapho uqala ukuyithatha.

Imiphumela emibi kaZoloft ongayilindela evikini lokuqala

Phakathi nesonto lakho lokuqala lokuthatha i-Zoloft ungahle ube nemiphumela engemihle yokuqala noma ngabe uthatha umuthi ncamashi njengoba kuchazwe ngudokotela wakho. Lokhu kwenzeka ngoba kuthatha isikhathi ukuthi umzimba ujwayele umuthi. Eminye yemiphumela emibi kakhulu abantu abanayo phakathi nesonto labo lokuqala lokuthatha iZoloft ifaka:

• Ubuhlungu bekhanda
• Isicanucanu
• Ukukhathala
• Ukuqunjelwa
• Umlomo owomile
• Ukulala
• Ukwesaba
• Ukozela
• Inkinga yokulala
• Ukungahlaliseki
• Ukwehla kobulili
• Ukuzuza kwesisindo
• Isiyezi
• Ukuphelelwa isifiso sokudla
• Ukujuluka okwengeziwe

Ukuthatha iZoloft kungakwenza uzizwe ungakhululekile noma uxakile ekuqaleni njengoba umzimba wakho uqala ukucubungula umuthi. Ngemuva kwesonto noma amabili le miphumela emibi izophela kubantu abaningi njengoba imizimba yabo ijwayela umuthi. Kungenzeka ukuzwa eminye yale miphumela emibi ngezikhathi ezithile kuso sonke isikhathi osithatha uZoloft, ikakhulukazi uma udokotela wakho enyusa umthamo wakho.

Yize kungavamile, iZoloft ingadala imiphumela emibi kakhulu efana nale:

• Ukwehla kwesisindo okungajwayelekile
• Amazinga aphansi e-sodium
• Ingozi eyengeziwe yokopha
• Ubuhlungu bamehlo obukhombisa i-angle-closure glaucoma
• Ukungasebenzi kahle ngokocansi njengokulibazisa ukubambezeleka
• Iziqephu zeManic zabantu abane-bipolar disorder engatholakali
• Ukusabela okweqile
• Ukuquleka

IZoloft ibuye nexwayiso lebhokisi lemicabango yokuzibulala nokuziphatha. Izifundo zesikhashana esifushane kukhombisile ukuthi imishanguzo yokulwa nengcindezi inyuse ubungozi bokuzibulala ezinganeni, ebusheni, nakubantu abadala uma kuqhathaniswa ne-placebo. Uma uthatha uZoloft bese uqala ukuba nezinguquko zemizwa ezimbi kakhulu kanye / noma nemicabango yokuzibulala noma isimilo, kufanele ufune iseluleko sezokwelapha khona manjalo.

Enye into okufanele uyicabangele lapho uthatha iZoloft ukuthi akufanele ithathwe ngemithi ethile. Ukunikeza uhlu lwayo yonke imishanguzo kanye nezengezo ezithengiswa ekhawunteni ozithathayo kudokotela wakho kuzokusiza ukunciphisa amathuba akho okuba nemiphumela emibi kakhulu ekuxhumaneni noZoloft. Nalu uhlu lwemithi okungafanele ithathwe ngasikhathi sinye neZoloft:

• Imithi ekhulisa i-serotonin
• Ama-Triptans (ama-migraine agents)
• I-Tricyclic antidepressants
• Abanciphisa igazi njenge-warfarin
• Izidakamizwa ezingezona ukuvuvukala (ama-NSAID)
• ISt. John's Wort
• ILithium
• I-Ultram (tramadol)
• I-Nardil (phenelzine)
• I-Parnate (i-tranylcypromine)
• I-Marplan (isocarboxazid)
• I-Azilect (rasagiline)
• I-Emsam (selegiline)
• I-Orap (pimozide)

I-Zoloft akufanele ithathwe ngasikhathi sinye njenge-monoamine oxidase inhibitors ( Ama-MAOIs ) ngoba lokhu kungaholela ku-serotonin syndrome, ebanga ukusangana, ukuqubuka, ama-comas, ukundindizela, i-delirium, neminye imiphumela emibi kakhulu.Lolu hlu lokusebenzisana kwezidakamizwa aluphelele, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyiphuzayo noma ocabanga ukuyithatha.

Kulahlekelwe umthamo we-Zoloft

Akekho umuntu ophelele, futhi ukushoda ngomthamo weZoloft kuzokwenzeka kwesinye isikhathi noma kwesinye. Ukuthatha umuthi wakho ngokungaguquguquki njengoba ushiwo ngudokotela wakho kubalulekile, kepha ukuphuthelwa umthamo akukona ukuphela komhlaba uma wazi ukuthi yini okufanele uyenze uma kwenzeka.

Thatha umthamo wakho ngokushesha nje lapho ukhumbula, kusho uBrian Wind, Ph.D., isazi sokusebenza kwengqondo emtholampilo kanye nesikhulu sezempilo se- I-JourneyPure . Uma sekusondele isikhathi sokuthatha umthamo olandelayo, ungathathi umthamo owengeziwe ukwenzela lowo owulahlekile. Mane uthathe umthamo olandelayo. Ungaba nemiphumela engemihle kanye nengozi eyengeziwe yokuphinda ubuye uma uyeka ngokungazelelwe imithi yakho.

Imiphumela emibi ongayithola uma uyeka noma uphuthelwa umthamo wemithi yakho yizimpawu zokuhoxa ezimnene ezenzeka ngenxa yento ebizwa nge-antidepressant discontinuation syndrome. Ngokuvumelana ne Udokotela Womndeni waseMelika , i-antidepressant discontinuation syndrome ivela ezigulini ezingaba ngu-20% eziyeka ngokungazelelwe i-antidepressant ngemuva kokuyithatha ngokungaguquguquki okungenani amasonto ayisithupha. Ukulahlekelwa umthamo we-Zoloft kungakubangela ukuthi ube nezimpawu ezifana nomkhuhlane, isicanucanu, ukuqwasha, ukungalingani, noma i-hyperarousal.

Into engcono kakhulu ongayenza uma uphuthelwa umthamo, njengoba uDkt Wind esho, ukuthatha umthamo wakho olandelayo ngokushesha nje lapho ukhumbula. Uma ngabe uhlangabezana nanoma yiziphi izimpawu ngenxa yedosi yakho ongayitholi, kufanele zihambe uma uqala ukuthatha iZoloft ngokungaguquki futhi. Kungaba umqondo omuhle futhi ukuxhumana nodokotela wakho uma uphuthelwa umthamo, ukuze nje ungene futhi uqiniseke ukuthi awudingi ukwenza okunye.

Ukudlula ngokweqile kwe-Zoloft

Ukweqisa ngokweqile kuZoloft kubucayi kakhulu kunokulahlekelwa umthamo. Awekho amacala abikiwe okweqisa ngokweqile kwe-Zoloft, kepha ukuthatha imithi eminingi kakhulu kungadala imiphumela emibi kakhulu noma izinkinga zempilo. Ngengozi noma ngenhloso ukuthatha imithamo emibili noma ngaphezulu yeZoloft kungadala:

• Isicanucanu
• Ukuhlanza
• Isiyezi
• Ukuyaluza
• Ukudideka
• Imfiva
• Ukuquleka
• Ukusangana
• Izinguquko kumfutho wegazi
• Ukushaya kwenhliziyo okusheshayo
• Ukuthuthumela
• Ukuquleka

Ezimweni ezingavamile, ukuthatha i-Zoloft ngokweqile nakho kungadala i-serotonin syndrome, okuholela emazingeni aphezulu ayingozi we-neurotransmitter serotonin ebuchosheni. Uma kune-serotonin eningi kakhulu ebuchosheni lokhu kungadala ukudideka, isifo sohudo, nekhanda. Izimpawu ezinzima kakhulu zingabandakanya ukuquleka, ukusangana, ukuqina kwemisipha, nama-comas.

Uma ucabanga ukuthi weqe ngokweqile ku-Zoloft futhi / noma uqala ukuzwa eyodwa noma eziningi zalezi zimpawu kufanele ufune usizo lwezempilo khona manjalo noma ushayele ucingo olushisayo lwe-Poison Control ku-1-800-222-1222. Inombolo yocingo yokulawula ubuthi imahhala kunoma ngubani ongayisebenzisa futhi inikeza ochwepheshe bezingcingo nezeluleko eziyimfihlo.

Lapho uzobona udokotela ngemiphumela emibi yeZoloft

I-Zoloft ingaba ngumuthi omuhle wokwelapha izimpawu zokukhathazeka nokudangala uma ithathwa kahle. Ukulungela ukuthola imiphumela emibi engaba yingxenye ebalulekile yokuphuza noma imuphi umuthi, futhi ukwazi ukuthi yini ongayilindela kungasusa okunye ukukhathazeka okuvame ukuqhamuka ekuphuzeni umuthi omusha.

Uma uqala ukuthatha iZoloft futhi unemiphumela engemihle emincane kubalulekile ukukhumbula ukuthi lokho kujwayelekile. Kubalulekile futhi ukukhumbula ukuthi kufanele ubonane nodokotela wakho ngasiphi isikhathi ngenxa yemiphumela emibi onayo. Njengoba kushiwo kuyo yonke le ndatshana, imiphumela emibi kakhulu efana nokudideka, ukubona izinto ezingekho, ukungezwani komzimba, ukuquleka nokuhlanza kudinga usizo lwezempilo. Uma uqala ukuzwa ukudangala okukhathazayo noma ukukhathazeka, imicabango yokuzibulala, ukwethuka, ukucasuka okukhulu noma ulaka, khona-ke kufanele ufune usizo lwezokwelapha ngokushesha.

I-Zoloft akuyona kuphela i-anti-depressant engaphatha ukukhathazeka nokudangala. I-Zoloft ingasebenza kakhulu, kepha uma ingakusebenzeli noma uma ibangela imiphumela emibi kakhulu, kungadingeka enye i-antidepressant. Ukuhlolwa kwemitholampilo kubonise ukuthi izimpawu zokucindezeleka zizophela cishe cishe Umuntu oyedwa kwabathathu abathatha ama-SSRI, kepha kusadingeka kwenziwe olunye ucwaningo lokuthi kungani ama-SSRI asebenzela abanye abantu hhayi abanye.

Uma uhlangabezana nemiphumela emibi eminingi kakhulu evela kuZoloft, lapho-ke ungacabanga ukukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nezinye izinketho. Nazi ezinye izindlela ezidume kakhulu kuZoloft:

• UCelexa ( ubathe ):UCelexa uyi-SSRI evunyelwe yi-FDA ukwelapha ukucindezeleka, futhi noma ngabe imiselwe ikakhulu ukucindezeleka, odokotela kwesinye isikhathi bangayinikeza ukusiza ukunciphisa izimpawu zokukhathazeka.
• I-Effexor Xr ( venlafaxine hcl kuyinto ): I-Effexor iyiSerotonin-Norepinephrine Reuptake Inhibitor (SNRI) ekwazi ukwelapha ukudangala, ithuthukise imizwa, futhi ithuthukise amazinga wamandla.
• I-Lexapro ( esitalopramu ):ILexapro iyi-SSRI esetshenziselwa ukwelapha ukukhathazeka okujwayelekile nokukhathazeka okukhulu.
• I-Paxil ( paroxetine ):I-Paxil yi-SSRI esetshenziselwa ukwelapha ukudangala nezinye izimo zengqondo.
• I-Prozac ( i-fluoxetine ): I-Prozac iyi-SSRI esetshenziselwa ukwelapha ukucindezeleka okukhulu, i-OCD, i-bulimia nervosa, ne-panic disorder.
• Xanax ( alprazolamu ):I-Xanax iyi-benzodiazepine eqeda ukukhathazeka esikhathini esifushane. IXanax yinto elawulwayo ngenxa yamandla ayo okuhlukumeza / ukuncika.

Amandla okuba nemiphumela engemihle emithini akufanele akuvimbe ekutholeni ukwelashwa okudingayo ngokukhathazeka noma ukudangala. Ukukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo kuyindlela engcono yokuqhamuka nohlelo lokwelashwa oluzokusebenzela kangcono kakhulu futhi lubangele nemiphumela engemihle ohambweni lwakho lokuthola ukukhululeka ezimpawu zakho.