I-Celexa vs. Prozac: Umehluko, ukufana, futhi okungcono kuwe
Izidakamizwa Vs. UmnganiUkubuka konke kwezidakamizwa nokwehluka okuyinhloko | Izimo zilashwa | Ukusebenza | Ukutholakala komshuwalense nokuqhathaniswa kwezindleko | Okuqhamuka uma udla imishanguzo | Ukusebenzisana kwezidakamizwa | Izexwayiso | Imibuzo evame ukubuzwa
Uma uhlangabezana nokudangala, ukukhathazeka, noma ezinye izimo ezithinta impilo yakho yengqondo, uphakathi kwezigidi zabanye e-United States. Ngaphezu kwe 17 million Abantu abadala baseMelika banenkinga enkulu yokudangala (MDD, noma ukucindezeleka), futhi abantu abadala abacishe babe yizigidi eziyi-7 benze ukukhathazeka kokukhathazeka.
I-Celexa (i-citalopram) ne-Prozac (i-fluoxetine) yimithi emibili edumile enikezwe ukucindezeleka nezinye izimo zengqondo. Ukusetshenziswa kwemithi noCelexa noma iProzac kuvame ukusetshenziswa kanye nokwelashwa kwengqondo nodokotela wezengqondo noma udokotela wezifo zengqondo. Yomibili le mithi elwa nokudangala ivunyelwe yi-United States Food and Drug Administration (FDA).
Le mithi iyingxenye yemithi ebizwa ngama-SSRI, noma ama-serotonin reuptake inhibitors akhethiwe. Ama-SSRI asebenza ngokwanda kwamazinga e-serotonin, i-neurotransmitter, ebuchosheni. Lokhu kusiza ukuthuthukisa izimpawu zokucindezeleka. Yize yomibili le mithi ingama-SSRI, inokuhluka okuthile, esizoxoxa ngakho ngezansi.
Yini umehluko omkhulu phakathi kukaCelexa noProzac?
ICelexa (citalopram) ngumuthi we-SSRI futhi utholakala ngohlobo lomkhiqizo nangohlobo olujwayelekile. ICelexa iyatholakala njengesisombululo sethebhulethi nesomlomo. Umthamo ojwayelekile ungama-20 mg nsuku zonke, kepha umthamo uyahluka. ICelexa isetshenziswa kuphela kubantu abadala. Akuvunyelwe ukusetshenziswa ezinganeni.
I-Prozac (i-fluoxetine) ngumuthi we-SSRI. Itholakala ngazo zombili izinhlobo zomkhiqizo kanye nezejenerikhi. I-Prozac itholakala kwifomu le-tablet kanye ne-capsule kanye nesisombululo somlomo. Yize umthamo wehluka, umthamo ojwayelekile ungama-20 mg kanye ngosuku. I-Prozac ingasetshenziswa kubantu abadala kuzo zonke izinkomba kushadi elingezansi. I-Prozac ingasetshenziswa ezinganeni ezindala kuneminyaka engu-8 ukucindezeleka noma ngaphezulu kweminyaka engu-7 ye-OCD.
| Umehluko omkhulu phakathi kukaCelexa noProzac | ||
|---|---|---|
| UCelexa | I-Prozac | |
| Isigaba sezidakamizwa | I-serotonin reuptake inhibitor ekhethiwe (SSRI) | I-serotonin reuptake inhibitor ekhethiwe (SSRI) |
| Isimo somkhiqizo / ejwayelekile | Umkhiqizo nokujwayelekile | Umkhiqizo nokujwayelekile |
| Ngubani igama elijwayelekile? | I-Citalopram | I-Fluoxetine |
| Izidakamizwa zingena ngaziphi izinhlobo? | Ithebhulethi, isisombululo somlomo | Ithebhulethi, i-capsule, isisombululo somlomo, ngokuhlanganiswa ne-olanzapine njenge-Symbyax |
| Uyini umthamo ojwayelekile? | 20 mg kanye ngosuku (isilinganiso siyahluka) | 20 mg kanye ngosuku (isilinganiso siyahluka) |
| Yelashwa isikhathi esingakanani? | Iyahlukahluka | Iyahlukahluka |
| Ubani ovame ukusebenzisa umuthi? | Abantu abadala | Abantu abadala nezingane nezintsha zokucindezeleka (ngaphezu kweminyaka engu-8 ubudala) noma i-OCD (engaphezu kweminyaka engu-7 ubudala) |
Izimo eziphathwe nguCelexa noProzac
UCelexa (Uyini uCelexa?) Ukhonjisiwe ekwelashweni kwesifo esikhulu sokudangala (MDD). Abahlinzeki bezempilo kwesinye isikhathi banikeza uCelexa off-ilebula nezinye izinkomba.
I-Prozac (Yini i-Prozac?) Ikhonjiswa ukwelapha ukudangala okukhulu (i-MDD) kanye ne-obsessive-compulsive disorder (OCD) ezinganeni, kwentsha nakubantu abadala. IProzac isetshenziselwa ukwelapha i-bulimia nervosa, premenstrual dysphoric disorder, kanye ne-panic disorder. I-Prozac ayivunyelwe ukusetshenziswa ezinganeni ezingaphansi kweminyaka engu-7 ubudala.
Qaphela: I-Symbyax isidakamizwa esiyinhlanganisela esiqukethe isithako se-Prozac, i-fluoxetine, nomunye umuthi obizwa nge-olanzapine. I-Symbyax isetshenziselwa ukwelapha iziqephu ezicindezelayo ezihambisana ne-bipolar I disorder futhi isetshenziselwa nokudangala okungazweli ekwelashweni.
| Isimo | UCelexa | I-Prozac |
| Isifo esikhulu sokucindezeleka (MDD) | Yebo | Yebo |
| Isifo se-Obsessive-compulsive (OCD) | Ngaphandle kwelebula | Yebo |
| Bulimia amanosa | Ngaphandle kwelebula | Yebo |
| Ukuphazamiseka kovalo | Ngaphandle kwelebula | Yebo |
| Ukuphazamiseka kwangaphambi kokuya esikhathini | Ngaphandle kwelebula | Yebo |
| Ngokuhlanganiswa ne-olanzapine (njenge-Symbyax) yokwelapha iziqephu ezicindezelayo ezihambisana nesifo se-bipolar | Akunjalo | Yebo |
| Ngokuhlanganiswa ne-olanzapine (njenge-Symbyax) yokudangala okumelana nokwelashwa | Akunjalo | Yebo |
Ngabe uCelexa noma iProzac isebenza kangcono?
Ucwaningo kuqhathaniswa noCelexa noProzac futhi bathola ukuthi yomibili le mithi ibekezelelwa kahle. Ucwaningo luphethe ngokuthi uCelexa ubephumelela njengeProzac ekwelapheni ukudangala, kanti iziguli ezithathe uCelexa ziqale ukuzizwa zingcono ngokushesha kuneziguli ezithathe iProzac.
TO Ucwaningo lwe-2018 ubheke izilingo eziningi ezahlukahlukene zokwelashwa zokubuyekeza ama-anti-depressants angama-21, okubandakanya uCelexa noProzac. Ucwaningo luphethe ngokuthi yonke imishanguzo yokulwa nengcindezi ibisebenza kakhulu kune-placebo (iphilisi elingasebenzi) nokuthi uCelexa noProzac babephakathi kwemithi yokubekezelela ebekezelelekayo. Baphinde bathola ukuthi iProzac yayiseqenjini lama-anti-depressants angasebenzi kahle.
Umhlinzeki wakho wezokunakekelwa kwezempilo anganquma ukuthi imuphi umuthi ongaba ngcono kuwe, ngokuya ngesimo sakho sokwelapha kanye nomlando, nanoma imiphi imithi oyiphuzayo engasebenzisana noCelexa noma iProzac.
Thola ikhadi lesaphulelo sekhemisi
Ukuqhathaniswa kanye nezindleko zikaCelexa kuqhathaniswa neProzac
Iningi lomshuwalense kanye nezinhlelo zeMedicare zimboza uCelexa noProzac. Ukukhetha i-generic kungonga inani elithile lemali. Imikhiqizo enegama lomkhiqizo ine-copay ephakeme kakhulu noma kungenzeka ingambozwa.
I-Celexa ingabiza imali efinyelela ku- $ 65 ngama-30, 20 mg amaphilisi ejwayelekile. Ungasebenzisa isigqebhezana samahhala se-SingleCare Celexa ukonga imali — ukwehlisa intengo kwehle njengama- $ 4.
Izindleko zokuthengisa zeProzac zingaqhuba u- $ 15 noma ngaphezulu ngama-30, 20 mg amaphilisi ajwayelekile. Ngesigqebhezana samahhala seProzac esivela kwaSingleCare, intengo ingu- $ 4 yefomu elejwayelekile emakhemisi abambe iqhaza.
Xhumana nohlelo lwakho lomshuwalense ngemininingwane esetshenziswayo esesikhathini ku-Celexa noma kwi-Prozac.
| UCelexa | I-Prozac | |
| Ngokuvamile embozwe umshwalense? | Yebo (okujwayelekile) | Yebo (okujwayelekile) |
| Imbozwe ngokujwayelekile yi-Medicare Part D? | Yebo (okujwayelekile) | Yebo (okujwayelekile) |
| Umthamo ojwayelekile | 30, 20 mg amaphilisi | 30, 20 mg amaphilisi |
| I-Medicare copay ejwayelekile | $ 0- $ 15 | $ 0- $ 20 |
| Izindleko ze-SingleCare | $ 4- $ 20 | $ 4- $ 20 |
Imiphumela emibi ejwayelekile yeCelexa vs.Prozac
Imiphumela emibi kakhulu yakwaCelexa ngumlomo owomile, ukujuluka, isicanucanu, isifo sohudo, ukozela noma ukuqwasha, nezinkinga zocansi.
Imiphumela emibi kakhulu yeProzac yikhanda, isicanucanu, ukozela, ukuqwasha, ukulahlekelwa isifiso sokudla, imiphumela emibi yocansi, nokwethuka, noma ukukhathazeka .
Uma ugcwalisa noma ugcwalisa incwadi kadokotela kaCelexa noma iProzac, uzothola umhlahlandlela wemithi okhuluma ngemiphumela emibi, izexwayiso, nolunye ulwazi olubalulekile.
Lolu akulona uhlu olugcwele lwemiphumela emibi. Eminye imiphumela emibi kakhulu kungenzeka. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola uhlu oluphelele lwemiphumela emibi.
| UCelexa | I-Prozac | |||
| Umphumela oseceleni | Kusebenza? | Imvamisa | Kusebenza? | Imvamisa |
| Ubuhlungu bekhanda | Yebo | > 2% (amaphesenti ngqo awabikwanga) | Yebo | amashumi amabili nanye% |
| Ukuqunjelwa | Yebo | > 2% (amaphesenti ngqo awabikwanga) | Yebo | 5% |
| Isicanucanu | Yebo | amashumi amabili nanye% | Yebo | amashumi amabili nanye% |
| Uhudo | Yebo | 8% | Yebo | 12% |
| Ukujuluka | Yebo | ishumi nanye% | Akunjalo | - |
| Ukuphazamiseka kokuchama / ukungasebenzi kahle kwezocansi | Yebo | 3% -6% | Yebo | % akubikiwe |
| Umlomo owomile | Yebo | amashumi amabili% | Yebo | 10% |
| Ukozela | Yebo | 18% | Yebo | 13% |
| Ukuqwasha | Yebo | ishumi nanhlanu% | Yebo | 16% |
| Ukuphelelwa isifiso sokudla | Yebo | % akubikiwe | Yebo | ishumi nanye% |
| Ukwesaba / ukukhathazeka | Yebo | 4% | Yebo | 12% -13% |
Umthombo: DailyMed ( UCelexa ), IDailyMed ( I-Prozac )
Ukusebenzisana kwezidakamizwa zikaCelexa vs Prozac
Ngoba zombili lezi zidakamizwa zisesigabeni esisodwa, zinokusebenzisana kwezidakamizwa okufanayo.
Ungasebenzisi i-MAO inhibitor (MAOI, noma i-monoamine oxidase inhibitor) ezinsukwini eziyi-14 zeCelexa noma iProzac. Inhlanganisela ingakhuphula ubungozi be isifo se-serotonin , isimo esiphuthumayo esisongela impilo ngenxa ye-serotonin eyeqile. Ama-Triptans — imishanguzo ye-migraine, efana ne-Imitrex (sumatriptan), kanye neminye imishanguzo, efana no-Elavil noma uCymbalta, akufanele isetshenziswe ngokuhlangana noCelexa noma iProzac ngenxa yobungozi be-serotonin syndrome. Futhi, i-dextromethorphan ecindezela ukukhwehlela, etholakala eRobitussin-DM nakweminye imikhiqizo eminingi yokukhwehlela nemikhiqizo ebandayo, kufanele igwenywe ngoba ingadala neserotonin syndrome uma ihlanganiswe noCelexa noma iProzac.
Eminye imishanguzo engasebenzisana noCelexa noma iProzac ifaka phakathi izidakamizwa ezingezona ukuvuvukala (ama-NSAID) ezinjenge-ibuprofen noma amaphilisi ezinhlungu afana ne-Ultram (tramadol). Gwema utshwala lapho uthatha uCelexa noma iProzac.
Lolu akulona uhlu olugcwele lokusebenzisana kwezidakamizwa. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola uhlu oluphelele lokuhlangana kwezidakamizwa.
| Izidakamizwa | Isigaba sezidakamizwa | UCelexa | I-Prozac |
| I-Rasagiline USelegiline I-Tranylcypromine | Ama-MAOIs | Yebo (ukusetshenziswa okuhlukile okungenani ngezinsuku eziyi-14) | Yebo (ukusetshenziswa okuhlukile okungenani ngezinsuku eziyi-14) |
| Utshwala | Utshwala | Yebo | Yebo |
| I-Rizatriptan I-Sumatriptan Zolmitriptan | Ama-Triptans | Yebo | Yebo |
| ISt. John's Wort | Isengezo | Yebo | Yebo |
| I-Warfarin | I-Anticoagulant | Yebo | Yebo |
| ICodeine I-Hydrocodone I-Morphine I-Oxycodone I-Tramadol | Ubuhlungu be-opioid buyadambisa | Yebo | Yebo |
| I-Dextromethorphan (kokukhwehlela okuningi nemikhiqizo ebandayo) | Ukukhwehlela okucindezelayo | Yebo | Yebo |
| I-Azithromycin I-Clarithromycin I-Erythromycin | Ama-antibiotic e-Macrolide | Yebo | Yebo |
| I-Aspirin Ibuprofen UMeloxicam UNabumetone I-Naproxen | Ama-NSAID | Yebo | Yebo |
| I-Desvenlafaxine I-Duloxetine I-Venlafaxine | Izidakamizwa ze-SNRI | Yebo | Yebo |
| Amitriptyline I-Desipramine Imipramine I-Nortriptyline | I-Tricyclic antidepressants | Yebo | Yebo |
| I-Flecainide I-Propafenone I-Thioridazine Vinblastine | Izidakamizwa ezenziwe nge-enzyme CYP2D6 | Yebo | Yebo |
| I-Alprazolam Clonazepam I-Diazepam | I-Benzodiazepines | Yebo | Yebo |
Izexwayiso zikaCelexa noProzac
Onke ama-SSRI, kufaka phakathi uCelexa noProzac, bane- isixwayiso sebhokisi elimnyama lokuzibulala. Isexwayiso sebhokisi elimnyama yisixwayiso esiqine kakhulu esidingwa yi-FDA. Izingane, intsha, kanye nabantu abadala abancane (abangafika eminyakeni engama-24 ubudala) abathatha imishanguzo yokulwa nengcindezi basengozini enkulu yokuzibulala nokuziphatha. Zonke iziguli ezithola imishanguzo yokucindezela kufanele zibhekwe ngokucophelela.
Ezinye izexwayiso:
- I-Serotonin syndrome iyisimo esiphuthumayo esisongela ukuphila esidalwa yi-serotonin eningi kakhulu. Iziguli ezithatha uCelexa noma iProzac kufanele zibhekwe izimpawu nezimpawu zesifo se-serotonin, njengokucabanga izinto ezingekho, ukuxhuzula, isigqi senhliziyo noma ukushintsha kwengcindezi yegazi, nokuphazamiseka. Iziguli kufanele zifune ukwelashwa okuphuthumayo uma kukhona kulezi zimpawu. Iziguli ezithatha ezinye izidakamizwa ezandisa amazinga e-serotonin (ama-triptans, ama-tricyclic antidepressants, i-fentanyl, i-lithium, i-tramadol, i-tryptophan, i-buspirone, i-dextromethorphan, i-amphetamines, i-St.
- Lapho uyeka uCelexa noma iProzac, izimpawu zokuhoxa ezinjengokuxokozela kungenzeka. Umuthi kufanele uthayishwe kancane futhi ungalokothi ume ngokungazelelwe. Umhlinzeki wakho wezokunakekelwa kwempilo angakweluleka ngendlela engcono yokuyeka uCelexa noma iProzac.
- ICelexa noma iProzac kufanele isetshenziswe ngokuqapha ezigulini ezinokuquleka.
- I-Hyponatremia (i-sodium ephansi) ngenxa yesifo se-secretion engafanele ye-antidiuretic hormone (SIADH) kungenzeka futhi ingaba nzima. Izimpawu zingafaka ikhanda, ubunzima bokugxila, ukukhubazeka kwememori, ukudideka, ubuthakathaka nokungazinzi, okungaholela ekuweni. Iziguli kufanele zifune ukwelashwa okuphuthumayo uma kwenzeka izimpawu, futhi i-SSRI kufanele imiswe.
- Gwema ama-SSRI ezigulini ezinama-engeli amancane angalashwa angalashwa (i-angle-closure glaucoma).
- Ama-SSRI angandisa ingozi yokuphuma kwegazi. Ingozi yokuphuma kwegazi iyanda ngokusetshenziswa okuhambisanayo kwe-aspirin, ama-NSAID, noma i-warfarin.
- Ungashayeli noma usebenzise imishini uze wazi ukuthi uCelexa noma iProzac ikuthinta kanjani.
- Sebenzisa uCelexa noma iProzac ngokuqapha ezigulini ezinenkinga yezinso.
- Ezimweni ezingavamile, kuye kwaba nemibiko yokuqubuka nokungezwani komzimba / ukusabela kwe-systemic anaphylaxis, okube yingozi. Uma uhlangabezana nokuqubuka noma izimpawu zokungezwani komzimba, yeka ukuthatha uCelexa noma iProzac, bese ufuna ukwelashwa ngokushesha.
- I-Celexa noma i-Prozac ingadala ukwandiswa kwe-QT kanye ne-ventricular arrhythmia, engasongela impilo. Iziguli ezithile zisengozini enkulu ngenxa yezimo zezokwelapha noma eminye imithi. Buza umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi ngabe uCelexa noma iProzac baphephile yini kuwe.
I-Celexa noma i-Prozac kufanele isetshenziswe kuphela ekukhulelweni uma inzuzo kumama inkulu kunobungozi enganeni. Ukumisa umuthi kungadala ukubuyela ekucindezelekeni noma ekukhathazekeni. Iziguli kufanele zihlolwe ngamacala ngamacala. Umhlinzeki wakho wezokunakekelwa kwempilo angalinganisa ubungozi kanye nezinzuzo zokusebenzisa i-SSRI ngesikhathi sokukhulelwa. Ama-neonates adalulwe kuma-SSRI ku-trimester yesithathu athuthukise izinkinga ezidinga ukulaliswa isikhathi eside esibhedlela, ukwesekwa kokuphefumula, kanye nokudla nge-tube. Uma usuvele uthathe uCelexa noma iProzac bese uthola ukuthi ukhulelwe, xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ngokushesha ukuze uthole isiqondiso.
Izinsiza Ezihlobene:
Imibuzo ebuzwa njalo mayelana noCelexa vs. Prozac
Yini uCelexa?
UCelexa uyi-SSRI (i-serotonin reuptake inhibitor ekhethiwe). UCelexa welapha ukucindezeleka kubantu abadala. Igama elijwayelekile likaCelexa yi-citalopram.
Kuyini iProzac?
I-Prozac iyi-SSRI noma i-serotonin reuptake inhibitor ekhethiwe. IProzac ilapha ukucindezeleka, ukuphazamiseka okucindezela ngokweqile, i-bulimia nervosa, i-premenstrual dysphoric disorder, ne-panic disorder. I-Prozac itholakala ngohlobo lomkhiqizo nangokwejwayelekile. Igama elijwayelekile likaProzac yi-fluoxetine.
Ngabe uCelexa noProzac bayafana?
UCelexa noProzac bobabili bangumuthi we-SSRI. Njengoba zinjalo, ziyefana kodwa azifani ncamashi. Banokungafani okuthile, njengoba kuchaziwe ngenhla. Eminye imishanguzo ye-SSRI okungenzeka ukuthi uzwile ngayo ihlanganisa iLexapro (escitalopram), iLuvox (i-fluvoxamine), i-Paxil (i-paroxetine), ne-Zoloft (i-sertraline).
Esinye isigaba semithi elwa nokucindezelwa ongase uzwe kuthiwa yi-serotonin ne-norepinephrine reuptake inhibitors (SNRI), ehlanganisa iCymbalta (duloxetine), i-Effexor (venlafaxine), nePristiq (desvenlafaxine).
Ngabe uCelexa noma iProzac ingcono? / Ngabe iProzac isebenza kangcono kunoCelexa?
Ngokwezifundo zomtholampilo (bheka isigaba esingenhla), yomibili le mithi iyasebenza futhi ibekezeleleka kahle. Ngoba abantu baphendula ngokuhlukile emithini ehlukahlukene, umhlinzeki wakho wezokunakekelwa kwempilo angakusiza ukunquma ukuthi uCelexa noma iProzac kungaba yimithi efanele wena.
Ngingasebenzisa uCelexa noma iProzac ngikhulelwe?
Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ukuthola iseluleko sezokwelapha. Uzokala izinzuzo ze- i-antidepressant vs. ingozi enganeni . Ama-neonates adalulwe kuma-anti-depressants athile, kufaka phakathi ama-SSRI, ku-trimester yesithathu yokukhulelwa, abe nezinkinga ezinkulu.
Uma usuvele uthatha uCelexa noma iProzac futhi uthola ukuthi ukhulelwe, thintana ne-OB-GYN yakho ngokushesha ukuthola izeluleko. Uma kunjalo ukuncelisa ibele , thintana ne-OB-GYN yakho futhi.
Ngingasebenzisa uCelexa noma iProzac ngotshwala?
Cha uCelexa noma uProzac akumele ahlanganiswe notshwala. Inhlanganisela ingakhuphula ubungozi bokucindezeleka kokuphefumula — ukuphuza ukuphefumula, ukungatholi umoya-mpilo owenele — futhi kwandise ukuthamba nokulala futhi kuphazamise ukuphaphama. Inhlanganisela nayo ingakhathaza ukukhathazeka kanye / noma ukudangala.
Ingabe i-citalopram ne-fluoxetine yinto efanayo?
I-Citalopram ifomu elejwayelekile likaCelexa, kanti i-fluoxetine ifomu elijwayelekile leProzac. Zombili lezi zidakamizwa zisesigabeni semithi kadokotela ye-SSRI. Ziyafana, kepha azifani ncamashi. Banokungafani okuthile, njengoba kuchaziwe ngenhla.
Yikuphi ukucindezelwa okuba nemiphumela emibi kakhulu?
Onke ama-anti-depressants anemiphumela emibi engaba khona. Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ukuthola iseluleko sezokwelapha. Ezinye iziguli zizizwa kahle ngoCelexa, kanti ezinye zenza kangcono ngeProzac. Wonke umuntu unempendulo ehlukile ekwelashweni, ngakho-ke umhlinzeki wakho wezokunakekelwa kwempilo angakuqondisa.
Ngabe uCelexa ulungele ukukhathazeka?
UCelexa okwamanje uvunyelwe kuphela ukusetshenziswa ekucindezelekeni. Abahlinzeki abaningi bezempilo banikeza uCelexa off-label ukukhathazeka, noma kunjalo. Buza umhlinzeki wakho wezempilo ukuthi uCelexa ukufanele yini.
Kungcono ukuthatha uCelexa ebusuku?
Ngokuya ngemininingwane ebekiwe, ungathatha uCelexa ekuseni noma kusihlwa. Kungcono ukhethe isikhathi ozokhumbula ngaso ukuphuza umuthi wakho cishe ngesikhathi esifanayo usuku ngalunye. Uma umuthi ukwenza ukhathele, ungahle uthande ukuzama ukuwuthatha ebusuku.
Ngabe uCelexa angakuthinta ocansini?
Yebo, kungenzeka. UCelexa (nama-SSRIs, kufaka phakathi iProzac, naye) unakho imiphumela emibi yocansi . UCelexa angathinta i-libido kwabesilisa nakwabesifazane kanye nokuchama kwabesilisa. Ama-SSRIs nawo angadala ukubheka phambili (ukwakhiwa okungafuneki, okubuhlungu, nokwandiswa isikhathi eside). Kodwa-ke, akuzona zonke iziguli ezithatha ama-SSRI ezithintekayo ngokocansi. Gcina ingxoxo evulekile nomhlinzeki wakho wezokunakekelwa kwempilo ukuze kuthi uma uhlangabezana nemiphumela emibi yocansi ngenkathi uthatha i-SSRI, akwazi ukushintsha imithi yakho uma kunesidingo.
