Zoloft wokhudzidwa: Kodi Zoloft ndiwothandiza nkhawa? Zimayamba liti kugwira ntchito?

Zambiri Zamankhwala

Kukhala ndi nkhawa kungapangitse moyo watsiku ndi tsiku kukhala wovuta. Mwamwayi, pali njira zambiri zamankhwala zomwe zingapezeke chifukwa cha nkhawa zomwe zingathandize anthu kupeza mpumulo kuzizindikiro zawo. Zoloft ndi mankhwala amodzi omwe angathandize. Mu bukhuli, tikufotokozera zomwe Zoloft ndi momwe mungatengere nkhawa.

Kutenga Zoloft chifukwa cha nkhawa

Kuda nkhawa ndikofala komwe kumakhudza anthu padziko lonse lapansi. Zikuyerekeza 31% akuluakulu onse adzadwala matenda a nkhawa nthawi ina m'moyo wawo, ndi SingleCare's Kafukufuku wama 2020 adapeza kuti 62% ya omwe adayankha adakumana ndi nkhawa zina. Zoloft ndilo dzina la mankhwala achibadwa otchedwa alirezatalischi . Ndi mtundu wa antidepressant wotchedwa serotonin reuptake inhibitor (SSRI) yomwe imathandizira nkhawa pochepetsa kubwezeretsanso kwa serotonin. Zoloft amathandizira matenda angapo amisala:

• Matenda amisala
• Kusokonezeka kwamantha
• Matenda okhumudwa
• Post-traumatic stress disorder (PTSD)
• Matenda osokoneza bongo (OCD)
• Matenda a premenstrual dysphoric

Zoloft amatha kuthana ndi nkhawa ngati chithandizo chamaganizidwe, monga chithandizo chazidziwitso, sichikugwira ntchito kapena ngati katswiri wazamisala akuganiza kuti zipangitsa kuti wina akhale ndi moyo wabwino. SSRIs ngati Zoloft siimakhala mankhwala abwino nthawi zonse chifukwa cha nkhawa, chifukwa amatha kuwonjezera nkhawa nthawi zina. Anthu omwe ali ndi nkhawa pang'ono kapena nthawi zina ayenera kukambirana ndi adotolo za mankhwala ena akumwa asanatenge Zoloft.

Kodi mulingo woyenera wa Zoloft wokhudzana ndi nkhawa ndi uti?

Mlingo woyenera wa Zoloft wokhudzana ndi nkhawa umasiyanasiyana chifukwa cha nkhawa komanso ngati wodwalayo ali ndi matenda ena. Mwambiri, komabe, muyeso woyamba wa Zoloft wokhudzana ndi nkhawa ndi 25 mg kapena 50 mg patsiku.

Mapiritsi a Zoloft amapezeka mu mphamvu zitatu: 25 mg, 50 mg, ndi 100 mg. Mlingo waukulu wa Zoloft ndi 200 mg patsiku (omwe amatha kutengedwa ngati mapiritsi awiri 100 mg).

Maphunziro ambiri onetsani kuti mlingo woyenera kwambiri wa Zoloft ndi 50 mg patsiku. Mlingowu umatsimikiziridwa kuti ndiwothandiza kwambiri komanso wololera kwa odwala ambiri. Anthu omwe samayankha 50 mg patsiku atha kulangizidwa ndi dokotala kuti awonjezere mlingo wawo wa Zoloft ndi 50 mg patsiku pafupipafupi sabata mpaka 200 mg patsiku. Mwachitsanzo, adotolo amalimbikitsa kuti mutenge 50 mg tsiku lililonse sabata limodzi, kenako 100 mg tsiku lililonse sabata limodzi, ndi zina zambiri.

Zoloft imapezekanso mawonekedwe amadzi ngati yankho lamlomo. Njira yothetsera pakamwa imabwera ngati yankho lomveka bwino, lopanda mtundu ndi fungo la menthol lomwe lili ndi 20 mg ya sertraline pa mL, pa 12% mowa. Imabwera mu botolo la 60 mL lokhala ndi choziziritsa chokhala ndi 25 mg ndi 50 mg omaliza maphunziro. Zoloft solution ya m'kamwa iyenera kusakanizidwa (musanadye) mu ma ounike 4 amadzi, madzi a lalanje, mandimu, ginger ale, kapena mandimu kapena laimu musanamwe.

Kodi Zoloft amayamba liti kugwirira ntchito nkhawa?

Zoloft sagwira ntchito nthawi yomweyo, choncho osasiya kumwa Zoloft ngati zizindikiro zanu sizikusintha nthawi yomweyo. Zi milungu iwiri kapena isanu ndi umodzi kuyamba kuchepetsa nkhawa. Anthu ena amatha kumva kuchepa kwa zizindikilo zawo zamkati mwa sabata yoyamba atatenga Zoloft, koma izi siziyenera kuyembekezeredwa kwa aliyense.

Kodi Zoloft amakupangitsani kumva bwanji?

Malinga ndi National Alliance on Mental Illness , Zina mwazizindikiro zoyambirira kuti Zoloft ikugwira ntchito ndikusintha tulo, mphamvu, kapena njala. Kusintha uku kumatha kuchitika sabata limodzi kapena awiri kuti amwe mankhwalawo.

Zosintha zazikulu, monga kusakhala ndi nkhawa pang'ono kapena kukhalanso ndi chidwi ndi moyo watsiku ndi tsiku, zimatha kutenga milungu isanu ndi umodzi kapena isanu ndi itatu kuti ichitike. Popita nthawi, anthu ambiri azindikira kusiyana kwakukulu pazizindikiro zawo, ndipo anthu ena pamapeto pake samakhala ndi zizindikilo.

Zotsatira zoyipa

Nawa mafayilo a zotsatira zoyipa kwambiri za Zoloft Mutha kukumana nazo mukayamba kuzitenga:

• Mutu
• Chizungulire
• Kutaya njala
• Mitu yopepuka
• Pakamwa pouma
• Nseru
• Kutsekula m'mimba
• Kuchuluka thukuta
• Kusakhazikika
• Zotsatira zoyipa zogonana monga kusagonana
• Kutopa
• Kuvuta kugona
• Mantha

Ngakhale ndizosowa, Zoloft imatha kuyambitsa zovuta zina monga kuwonda kwachilendo, magazi otsika a sodium, chiopsezo chowonjezeka chakutuluka magazi (makamaka akaphatikizidwa ndi mankhwala ena monga owonda magazi kapena ma NSAID), khunyu, zomwe zimachitika chifukwa chazovuta, komanso zizindikiritso zakutha.

Machenjezo

Zoloft imabweranso ndi chenjezo labokosi lakuda pamalingaliro ofuna kudzipha. Maphunziro afupikitsa awonetsa kuti antidepressants amachulukitsa chiopsezo chodzipha mwa ana, achinyamata, komanso achikulire poyerekeza ndi placebo.Komabe, anthu azaka zilizonse omwe amatenga Zoloft ayenera kuyang'aniridwa, kotero seek malangizo azachipatala nthawi yomweyongati mukumutenga Zoloft ndikuyamba kukhala ndi malingaliro osinthasintha komanso / kapena malingaliro ofuna kudzipha kapena machitidwe.

Food and Drug Administration imachenjezanso odwala kuti asatenge sertraline (Zoloft) ngati ali ndi pakati, akuyamwitsa, ali ndi mavuto amaso omwe amapezeka kale (sertraline imapangitsa odwala kutengeka ndi glaucoma), komanso iwo omwe ali ndi matenda osinthasintha zochitika omwe samakhalanso otonthoza.

Kuyanjana

Lankhulani ndi dokotala wanu za momwe mungatengere Zoloft ngati mukumwa mankhwala aliwonse awa:

• Mankhwala ena omwe amachulukitsa serotonin chifukwa cha chiopsezo chamatenda a serotonin
• Disulfiram
• Zolemba
• Ochepetsa magazi monga warfarin
• NSAID monga ibuprofen
• St. John's Wort
• Lifiyamu
• Nardil (phenelzine)
• Mankhanira (tranylcypromine)
• Marplan (isocarboxazid)
• Chidziwitso (rasagiline)
• Emsam (selegiline)
• Orap (pimozide)

Zoloft yotengedwa ndi monoamine oxidase inhibitors ( MAOIs ) kapena mankhwala ena omwe amachulukitsa serotonin (monga mankhwala ena opatsirana pogonana, triptans, ndi dextromethorphan, omwe amapezeka mumakhosi ndi mankhwala ozizira) amatha kuyambitsa matenda a serotonin , zoopsa zoopsa zomwe zingayambitse kuyerekezera zinthu m'maganizo, kukomoka, kukomoka, kunjenjemera, kumangika m'misala, komanso zovuta zina zoyipa.

Kodi njira yothanirana ndi nkhawa kwambiri ndi iti?

Palibe mankhwala opatsirana amodzi omwe angathandize kuthetsa nkhawa. Zomwe zimagwirira ntchito munthu wina sizingagwire ntchito kwa wina. Zizindikiro zakukhumudwa zidzatheratu pafupifupi 1 pa anthu atatu aliwonse omwe amatenga ma SSRI, koma kafukufuku wowonjezerabe akuyenera kuchitidwa chifukwa chake ma SSRI amagwirira ntchito anthu ena osati ena. Wopereka chithandizo chamankhwala ndiye munthu wabwino kwambiri kufunsa kuti ndi mankhwala ati omwe angakhale othandiza kwambiri kwa inu.

Mankhwala ena a SSRI amatha kuthana ndi nkhawa monga Prozac kapena Celexa kapena Paxil, komabe aliyense amakhala ndi zovuta zina - makamaka adatsitsa libido ndi kunenepa, akuti Naidoo m'modzi , MD, katswiri wazamisala ku Mass General Hospital ku Boston. Benzodiazepines ndi othandiza kwambiri pakanthawi kochepa pomwe akuyang'aniridwa ndi adotolo, koma awa ndi mankhwala omwe akhoza kukhala osokoneza bongo ndipo ayenera kugwiritsidwa ntchito mosamala kwambiri komanso ngati njira yayifupi, mwachitsanzo, chisoni pambuyo pa imfa ya wachibale, akuti Dr. Naidoo.

Zoloft njira zina
Dzina la mankhwala osokoneza bongo	Ndi chiyani	Mulingo woyenera (kuchuluka kwake kumasiyana)	Zotsatira zoyipa	Kusungidwa kwa SingleCare
Effexor XR (venlafaxine ER)	Serotonin-norepinephrine reuptake inhibitor (SNRI) yomwe imathandizira kukhumudwa ndikusintha magwiridwe antchito ndi mphamvu	75 mg / tsiku lotengedwa ndi chakudya	Nsawawa, pakamwa pouma, kuwodzera	Pezani coupon
Prozac (fluoxetine)	SSRI imagwiritsa ntchito kuthana ndi vuto lalikulu lachisoni, OCD, bulimia nervosa, ndi mantha mantha	20 mg / tsiku	Mantha, kusowa tulo, nseru	Pezani coupon
Ndirangu (escitalopram)	SSRI yomwe imathandizira kuthana ndi nkhawa zamatenda akulu komanso kukhumudwa kwakukulu	10-20 mg / tsiku	Kusowa tulo, nseru, kuchepa kwa libido	Pezani coupon
Xanax (alprazolam)	Benzodiazepine yomwe imathandizira nkhawa zakanthawi	0.25-0.5 mg, mpaka katatu tsiku lililonse	Xanax ndimankhwala olamulidwachifukwa cha kuthekera kwake kuzunza kapena kudalira.	Pezani coupon
Paxil (paroxetine)	SSRI yomwe imachiza kukhumudwa ndimikhalidwe ina yamaganizidwe	20 mg / tsiku	Nseru, kugona, mkamwa wouma, zoyipa zogonana, kupweteka mutu, kufooka	Pezani coupon
Celexa (citalopram)	SSRI yomwe nthawi zambiri imalembedwa kuti ipangitse kukhumudwa, koma madotolo amathanso kukupatsani mankhwala kuti athetse nkhawa	20 mg / tsiku	Kusowa tulo, nseru, kutopa, kuchuluka thukuta, chizungulire, pakamwa pouma	Pezani coupon

Monga tanenera kale, wothandizira zaumoyo wanu ndiye munthu wabwino kwambiri kufunsa momwe mungathetsere nkhawa zanu. Mankhwala atha kukhala othandiza kuthana ndi nkhawa, koma Dr. Naidoo akuti mungakhalenso ndi njira zina. Amanenanso zosintha pazakudya, kusamala, kupuma, komanso kuchita masewera olimbitsa thupi ngati njira zina zothanirana ndi nkhawa. Dokotala wanu akhoza kukuthandizani kuti mupeze dongosolo lamankhwala lomwe lingafanane ndi moyo wanu.