Fluoxetine Side Effects thiab Controversies

Prozac yog Hom Lub Npe rau Fluoxetine

Prozac yog hom tshuaj npe ntawm cov tshuaj fluoxetine, uas yog xim serotonin reuptake inhibitor (SSRI). SSRIs yog ob tiam neeg tua kab mob (antidepressants), uas txhais tau hais tias lawv yog cov tshiab dua thawj cov tshuaj noj xws li monoamine oxidase inhibitors , MAOIs lossis tricyclic antidepressants (TCAs). Raws li serotonin muaj feem xyuam rau kev xav li cas rau hauv kev tswj hwm ntawm kev ntxhov siab xws li kev xav li cas, kws kho mob qee zaum tau sau SSRIs rau kev kho mob phobia, tshwj xeeb yog kev phobia .

Serotonin Yooj Yim

Serotonin yog ib tug neurotransmitter, ib yam tshuaj uas yog pib ntawm cov leeg hlwb hauv hlwb. SSRIs, xws li fluoxetine, qeeb rau tus nqi uas lub paj hlwb reabsorbs serotonin, cia nws siv sij hawm ntau nyob rau hauv qhov chaw nruab nrab ntawm neurons, lub npe hu ua qhov sib txawv ntawm qhov sib txawv. Qhov no, nyeg, tso cai rau serotonin kom xa tawm cov lus qhia ntxiv rau ob lub paj hlwb.

Noj Fluoxetine

Fluoxetine muaj nyob rau ntawm cov tshuaj tsuas yog thiab ntau yam zoo. Cov kws kho mob muab tshuaj rau nws siv txhua hnub los sis siv txhua lub lim tiam. Txawm hais tias koj tuaj yeem pib tshwm sim zoo dua, fluoxetine feem ntau yuav siv sij hawm ua hauj lwm thiab yuav tsum tau nyob hauv koj lub cev ntev mus. Yog tias koj muaj lus nug lossis kev txhawj xeeb, hu rau koj tus kws kho mob kom qhia. Tsis txhob sim kho koj cov sijhawm noj tshuaj lossis kev noj tshuaj thaum tsis muaj kev cob qhia.

Kev Nyuaj Siab ntawm Suicidality nyob rau hauv Cov Me Nyuam thiab Cov Hluas

Fluoxetine yog ib qho ntawm cov tshuaj tua kab mob nkaus xwb uas tau pom zoo rau cov hluas hauv siab uas nyuaj siab.

Txawm li cas los xij, muaj qee qhov kev tsis sib haum xeeb nyob ib puag ncig nws txoj kev siv. Nrog koj tus kws kho mob, lossis koj tus menyuam tus kws kho mob tham, txog kev txaus ntshai thiab cov txiaj ntsim ntawm fluoxetine thiaj li txiav txim siab tau txais kev pom zoo.

Nyob rau xyoo 2004, lub US Food and Drug Administration pib kom tag nrho SSRIs , nrog rau cov tshuaj fluoxetine, nqa ib qho kev ceeb toom "black box" uas ua rau muaj kev pheej hmoo siab rau kev ua phem rau cov menyuam yaus thiab cov hluas.

Loj npaum li cas yog ceeb toom dub-box? Nws yog FDA cov lus ceeb toom tshaj tawm txog kev siv yeeb tshuaj ua ntej lub koom haum no tau rub tawm los ntawm lub txee.

Thaum xyoo 2007, FDA tau txiav txim siab xyuas, nthuav cov lus taw qhia kom muaj leej twg 24 xyoos los yog yau tshaj thiab ntxiv lus ceeb toom rau hauv lub npov dub txog kev pheej hmoo ntawm suicidality thaum thawj 1 txog 2 hlis ntawm kev kho mob.

Txoj kev ntsuam xyuas tau tshawb xyuas cov ntaub ntawv los ntawm ntau tshaj li 2,1000 leej menyuam noj cov tshuaj SSRI, kwv yees li 4 feem pua ​​paub txog kev xav phem, xws li kev tua tus kheej, tab sis tsis muaj leej twg ua tau zoo rau lawv lub neej. Tsis ntev los no kev xyuas cov tswv yim qhia tias cov txiaj ntsig ntawm cov tshuaj tiv thaiv kev noj qab haus huv yuav ua rau lawv muaj kev pheej hmoo loj rau cov menyuam yaus thiab cov tub ntxhais hluas uas muaj kev nyuab siab thiab ntxhov siab.

Tshuaj Kev Sib Thoob

Raws li US National Library of Medicine, fluoxetine tuaj yeem cuam tshuam nrog cov npe ntawm lwm cov tshuaj. Ua ib qho tshwj xeeb ntawm kev siv tshuaj fluoxetine, tsis txhob noj yog tias koj tau noj cov tshuaj monoamine oxidase (MAOI) hauv ob lub lis piam dhau los, thiab tsis pib MAOI li ntawm tsib lub lis piam tom qab txiav cov tshuaj fluoxetine los yog lwm yam SSRI.

Lwm yam tshuaj uas yuav ua rau mob fluoxetine muaj xws li:

Tej kev kho mob xws li St John lub wort kuj sib txuas nrog fluoxetine thiab lwm yam SSRIs. Xyuas kom koj tus kws kho mob paub txog tag nrho cov tshuaj, cov tshuaj yuav tom khw, thiab tej kev kho mob uas koj siv. Nco ntsoov nrhiav kev pab tswv yim ua ntej noj dab tsi tshiab thaum noj cov tshuaj fluoxetine. Tsis txhob haus dej cawv thiab dej caw.

Lwm cov teebmeem rau Fluoxetine

Kev tsaug zog los yog kev ntshaus yuav tshwm sim, tshwj xeeb tshaj yog thaum koj xub pib noj cov tshuaj fluoxetine. Yog tias koj muaj kev phiv los ntawm koj cov tshuaj, nrog koj tus kws kho mob tam sim ntawd. Tsis txhob tsav thiab tsav tsheb ua haujlwm kom txog thaum koj paub tias koj ua li cas rau cov tshuaj

Fluoxetine tuaj yeem ua rau ntau yam kev phiv, xws li, tab sis tsis txwv rau:

Qhov chaw:

Medline Plus: Fluoxetine (2014)

National Institute of Mental Health: Cov tshuaj tua kab mob Antidepressant rau cov menyuam yaus thiab cov tub ntxhais hluas - Cov ntaub ntawv rau Cov Niam Txiv thiab Cov Neeg Tu Neeg