Zotsatira za Zoloft ndi momwe mungapewere

Zambiri Zamankhwala

Sertraline , wodziwika kwambiri ndi dzina lake, Zoloft , ndi mankhwala odziwika bwino omwe amagwiritsidwa ntchito pochizira kukhumudwa , nkhawa , post-traumatic stress disorder , matenda amisala, nkhawa zamatenda, komanso premenstrual dysphoric disorder (PMDD). Ali m'gulu la antidepressants lotchedwa selective serotonin reuptake inhibitors (SSRIs), kutanthauza kuti limagwira ntchito pakuwonjezera kuchuluka kwa serotonin muubongo. Monga momwe zimakhalira ndi antidepressants ambiri , anthu omwe amatenga sertraline atha kukumana ndi zovuta zina. Pitirizani kuwerenga kuti mudziwe za zotsatira za sertraline, machenjezo, komanso momwe mungagwiritsire ntchito mankhwala osokoneza bongo.

YAM'MBUYO YOTSATIRA: Zambiri za Sertraline | Zambiri za Zoloft

Zotsatira zoyipa za sertraline

Ndi mankhwala aliwonse, nthawi zonse pamakhala chiopsezo chokumana nacho zotsatira zoyipa . Kudziwa nthawi yomwe mukukumana ndi zovuta, zimathandiza kumvetsetsa momwe mankhwalawa akuyenera kukupangitsani kuti muzimva mukamagwira ntchito moyenera. Pankhani ya sertraline, odwala amatha kuyembekezera kudzimva kusintha, kusangalala, kugona, mphamvu, komanso chidwi ndi moyo watsiku ndi tsiku. Mwanjira ina, kuchepa kwa zizindikilo monga kukhumudwa ndi nkhawa.

Sertraline, monganso ma SSRI ena onse, amachulukitsa kuchuluka kwa ma serotonin mthupi la munthu, kumalimbikitsa kukhala ndi moyo wabwino ndikulola anthu omwe ali ndi nkhawa komanso nkhawa kuti athe kuthana ndi zovuta zomwe ali nazo, akuti Raul Perez-Vazquez , MD, dokotala wamkulu wa Tenet Florida Physician Services ndi West Boca Medical Center.

Izi ndi zotsatira zoyipa kwambiri za sertraline:

• Nseru
• Kutsekula m'mimba
• Kudzimbidwa
• Zovuta kugona kapena kugona
• Pakamwa pouma
• Kutentha pa chifuwa kapena kudzimbidwa
• Kutaya njala
• Kuchepetsa thupi kapena kunenepa
• Chizungulire
• Kutopa kwambiri
• Mutu
• Mantha
• Zosintha pakugonana
• Kulephera kwa Erectile, kuphatikizapo kuchedwa kuthamangitsidwa
• Kutuluka thukuta kwambiri

Kodi Zoloft zoyipa zimapita liti?

Zotsatira zoyipa zambiri zomwe zatchulidwa pansipa zimatha kutha milungu ingapo pomwe thupi limasintha.

Sertraline palokha amatenga pafupifupi mwezi umodzi kuti ayambe kugwira ntchito, ndipo zovuta zoyipa zambiri zimachepa thupi lanu litazolowera mankhwalawo, atero a David Nazarian, MD, dokotala wamkulu pa My Concierge MD ku Beverly Hills.

Ndibwino kutsatira zotsatira zoyipa zomwe mukukumana nazo ndikusunga katswiri wazachipatala kuti dokotala wanu athe kuwunika momwe angachitire ndikusintha mankhwala ngati pakufunika kutero. Chofunika koposa, uzani dokotala ngati zovuta zili zowopsa, zikukulira, kapena sizichoka.

Zotsatira zoyipa za sertraline

Pali zochepa zochepa, koma zotsatira zoyipa wa sertraline. Zizindikiro zotsatirazi zimafunikira kuchipatala mwachangu:

• Kutuluka magazi kapena kuphwanya
• Kusokonezeka
• Kusokonezeka
• Malungo, thukuta, kunjenjemera
• Ziwerengero
• Ming'oma kapena zidzolo
• Kutaya kwa mgwirizano
• Kuuma kwa minofu kapena kugwedezeka
• Nseru, kusanza, kapena kutsegula m'mimba
• Kugunda kwamtima mwachangu
• Kugwidwa
• Kutupa
• Maganizo ofuna kudzipha
• Kuvuta kupuma
• Kugwedezeka kosalamulirika kwa gawo lina la thupi

Kuchotsa kwa Zoloft

Ngakhale zovuta zambiri zimasinthidwa, simuyenera kusiya kumwa sertraline mwadzidzidzi. M'malo mwake, lankhulani ndi othandizira azaumoyo musanasiye mankhwalawa kuti mupewe kusiya. Dokotala amatha kupanga pulani yochepetsera mankhwalawo pang'onopang'ono. Zizindikiro zobwerera m'mbuyo zikuphatikizapo:

• Kukwiya / kusinthasintha kwamaganizidwe
• Nseru
• Chizungulire
• Kusanza
• Kusowa tulo
• Kulota maloto oipa
• Mutu
• Paresthesias (kumenyedwa, kumva khungu pakhungu)

Pamodzi, zizindikirazi zimatchedwa antidepressant discontinuation syndrome, yomwe imafunikira thandizo lachipatala mwachangu.

Machenjezo a Sertraline

Zina FDA machenjezo akuphatikizapo zoletsa kwa:

• Odwala omwe matupi awo sagwirizana ndi sertraline kapena china chilichonse chosagwiritsidwa ntchito
• Amayi apakati kapena omwe angakhale ndi pakati, monga sertraline imatha kubweretsa mavuto mwa ana obadwa kumene atabereka
• Amayi omwe akuyamwitsa kuyambira sertraline amatha kudutsa mkaka wa m'mawere
• Omwe ali ndi mavuto amaso omwe alipo kale omwe angawapangitse kuti atengeke ndi khungu lotseka la glaucoma, lomwe limatha kupweteketsa m'maso kapena khungu. Kuyesedwa kwa diso kungafunike musanalandire mankhwala a sertraline.
• Anthu omwe ali ndi matenda a maganizo ochititsa munthu kusinthasintha zochitika . Ngati sertraline imatengedwa popanda chokhazikika, wodwala akhoza kukhala pachiwopsezo chotembenukira kumayendedwe amisala kapena okomoka.

Maganizo ofuna kudzipha

Mwinanso chenjezo lofunika kwambiri lomwe muyenera kudziwa mukamamwa sertraline ndi mwayi wofuna kudzipha kapena kuchita, makamaka kwa achinyamata. Onse opatsirana pogonana, ali ndi chenjezo la nkhonya (chenjezo lamphamvu kwambiri lomwe a FDA amafunikira) zokhudzana ndi kupsinjika maganizo ndi malingaliro ofuna kudzipha ndi machitidwe.

Malinga ndi wopanga mankhwalawo Pfizer , wodwala amatha kudzipha, makamaka kumayambiriro kwa chithandizo ndi nthawi iliyonse yomwe mlingowo ukuwonjezeka kapena kutsika. Pfizer amalangiza odwala kuti ayitanitse othandizira nthawi yomweyo mukawona kusintha kwatsopano kapena mwadzidzidzi pamalingaliro, mayendedwe, kapena malingaliro. Odwala ndi mabanja awo ayenera kudziwitsidwa za izi zomwe sizingachitike koma zotheka. Kupanda kutero, odwala onse amayenera kupita kukaonana ndi dokotala pafupipafupi ndikuyimbira foni pakati pa nthawi yomwe akuwonetsedwa ngati ali ndi izi:

• Kumva kukwiya, kusakhazikika, kukwiya, kapena kukwiya
• Kuwonjezeka kwa ntchito kapena kuyankhula kuposa masiku onse
• Kusokonezeka kwatsopano kapena kukulira
• Kuda nkhawa kwatsopano kapena kukulira kapena mantha
• Kuvuta kugona
• Kuchita zofuna zake zowopsa
• Kuchita zankhanza kapena zachiwawa
• Malingaliro okhudza kudzipha kapena kufa
• Kuyesera kudzipha
• Zosintha zina zachilendo pamakhalidwe kapena malingaliro

Kusinza

Zotsatira zoyipa za sertraline ndi kugona, zomwe zingakhudze kutha kwanu kuchitapo kanthu mwachangu kapena kupanga zisankho zomveka. Pachifukwa ichi, pali chenjezo lamphamvu kuti musayendetse galimoto, kugwiritsa ntchito makina olemera, kapena kuchita zinthu zina zowopsa mpaka mutadziwa momwe sertraline imakukhudzirani.

Matenda a Serotonin

Matenda a Serotonin ndiwopseza moyo womwe ungayambike chifukwa chotenga sertraline ndi mankhwala ena omwe amalimbikitsa kupanga serotonin mthupi. Mankhwalawa ndi awa:

• Monoamine oxidase inhibitors (MAOIs-musagwiritse ntchito Zoloft pasanathe masiku 14 kuchokera kumankhwalawa).
• Ma SSRI ena (monga Prozac, Paxil, Celexa, Lexapro)
• SNRIs (monga Effexor, Cymbalta, Pristiq)
• Triptans (Imitrex, Maxalt, ndi zina)
• Tricyclic antidepressants (monga Elavil kapena Pamelor)
• Fentanyl
• Lifiyamu
• Zamgululi
• Yesani
• Buspirone
• St. John's Wort
• Fanapt (iloperidone)
• Thorazine (chlorpromazine)

Pezani khadi yotsitsa ya SingleCare

Zizindikiro za matenda a serotonin ndi monga:

• Kutentha kwakukulu
• Kusintha kwakanthawi pamtima kapena kuthamanga kwa magazi
• Mitundu yosalamulirika ya minofu
• Kusokonezeka
• Mutu
• Thukuta lolemera
• Kutsekula m'mimba
• Minofu yolimba
• Kutaya chidziwitso (kudutsa)

Kuyanjana kwa Sertraline

Musanamwe mankhwala atsopano, muyenera kufotokoza mankhwala onse omwe mukumwa pakadali pano. Mankhwala owonjezera pa mankhwala, ngakhalenso mankhwala achilengedwe monga zowonjezera amatha kuthana ndi vuto la mankhwala osokoneza bongo.

Ma antipsychotic ena

Kusakaniza sertraline ndi antipsychotic kumawonjezera chiopsezo chanu cha mtima, kuphatikiza kumangidwa kwamtima. Chitsanzo chimodzi ndi Orap (pimozide), mankhwala opatsirana m'maganizo omwe nthawi zambiri amaperekedwa kwa anthu omwe ali ndi matenda a Tourette. Geodon (ziprasidone) ndi droperidol ndi ma antipsychotic ena omwe amatha kulumikizana ndi sertraline.

Ochepetsa magazi

Kutenga sertraline wokhala ndi magazi ochepetsa magazi (aspirin, Plavix, heparin, warfarin) kumatha kukulitsa chiopsezo chotaya magazi, kuphatikiza magazi m'mimba komanso magazi m'mimba ndi m'mimba.

Mankhwala osagwiritsa ntchito zotupa (NSAIDs)

Kuphatikiza sertraline ndi NSAIDs , monga ibuprofen kapena naproxen, amathanso kuwonjezera chiopsezo cha mavuto am'mimba, kuphatikiza magazi owopsa, komanso kuchepa kwa sodium.

Mowa

Simuyenera kumwa mowa mukamamwa sertraline chifukwa zonsezi zimakhudza mankhwala muubongo. Mowa umatha kusintha mphamvu ya sertraline ndikubweretsa zovuta zina, kuphatikiza zovuta za kugona komanso kugona tulo kwambiri.

Kuphatikiza apo, Antabuse (disulfiram), yomwe imathandizira uchidakwa, siyingathe kuphatikizidwa ndi mtundu wamadzi wa sertraline chifukwa chakumwa mowa mu sertraline yamadzi.

Momwe mungapewere zotsatira zoyipa za sertraline

Njira yabwino yopewera zotsatira zoyipa za sertraline ndikumwa mankhwala monga momwe adanenera dokotala komanso mogwirizana ndi malangizo a omwe amapanga mankhwalawo.

Mlingo woyambira wa sertraline ndi 25 mpaka 50 mg patsiku, womwe umatha kuchepetsedwa pang'onopang'ono ngati kuli kofunikira. Mankhwala a Sertraline amatha kusintha ndi dokotala poyang'anitsitsa wodwalayo komanso momwe mungayankhire. Nthawi zonse yambitsani sertraline pamlingo wotsikitsitsa, ndikuwonjezeka pang'onopang'ono, kuwunikanso zisonyezo nthawi ndi nthawi, ndikugwiritsa ntchito mankhwala ochepetsa, atero Dr. Perez-Vazquez.

Sertraline atha kumwa kapena wopanda chakudya, malinga ndi Pfizer. Komabe, ngati mtundu wa sertraline wamadzi wapatsidwa, umayenera kuchepetsedwa ndi madzi, ginger ale, mandimu kapena laimu soda, mandimu, kapena madzi a lalanje.

Pali zina zingapo zomwe mungachite kuti muchepetse zovuta za sertraline mukadikirira kuti thupi lanu lizolowere mankhwala atsopano. Zosintha zina zazing'ono pamoyo zimatha kuthandizira pazovuta za sertraline, monga kumwa mankhwala usiku kuti muteteze kapena kudya pang'ono pokha popewa nseru, atero Dr. Nazarian. Mwa kumvera thupi lanu, kuwona zovuta zake, ndikupanga njira zoyenera koyambirira, kusapeza bwino kumatha kuchepetsedwa.

Chinthu china chomwe nthawi zina chimanyalanyazidwa poonetsetsa kuti mankhwalawa akuchita momwe akuyenera ndikutsatira malangizo opanga momwe angasungire mankhwala mosamala. Ponena za sertraline, botolo liyenera kutsekedwa mwamphamvu, kusungidwa ndi ana, ndikusungidwa kutentha, 68 ° F mpaka 77 ° F (20 ° C mpaka 25 ° C).