Txoj Kev Mob Gastrointestinal Cov Teebmeem Feem Xyuam nrog Cov Tshuaj SSRI
Kev xeev siab thiab ntuav yog ob yam ntawm cov kev mob tshwm sim ntau ntawm cov tshuaj tua kab mob, thiab nws yuav siv sij hawm kom dhau cov tsos mob no thaum koj nyuam qhuav pib kho. Qhov tseeb, xeev siab feem ntau yog cov kev mob ntawm ntau cov kev xaiv ntawm serotonin reuptake inhibitors (SSRIs) siv los kho cov kev nyuab siab thiab ntxhov siab .
Kev tshawb nrhiav los ntawm Tebchaws Asmeskas Cov Khoom Noj thiab Cov Tshuaj Qhia tawm tias qhov kev pheej hmoo ntawm lub xeev SSRI sib ntswg muaj qhov sib txawv mus rau qhov siab:
- Paxil (paroxetine) : 3.2%
- Celexa (citalopram) : 4%
- Lexapro (escitalopram): 15%
- Prozac (fluoxetine) : 21%
- Zoloft (sertraline) : 26%
- Luvox (fluvoxamine) : 40%
Qee lub sij hawm, xeev siab thiab ntuav yuav ua rau mob heev los sis tsis tas li uas tus neeg tsis muaj lwm txoj kev xaiv tab sis kom tsis txhob muaj kev kho mob.
Kev Xyaum Nrog Kev Ua Siab thiab Ntuav
Feem ntau, xeev siab thiab ntuav nrog antidepressants yuav zoo dua tom qab ib lub lim tiam los yog ob. Txawm li cas los xij, ntau li ntawm 32 feem pua ntawm cov neeg tau hnov qee qhov teeb meem ntawm xeev siab txog li peb lub hlis.
Yog tias xeev siab mob, muaj ntau yam uas koj tuaj yeem tswj tus yam mob. Ntawm lawv:
- Coj koj tus mob antidepressant nrog zaub mov.
- Noj cov zaub mov me me, ntau dua.
- Nqus ntawm cov khoom qab zib uas tsis muaj suab thaj thaum twg koj nyob nraum tsis taus.
- Siv tshuaj antacid lossis bismuth subsalicylate (xws li Pepto-Bismol).
- Tso qhwv cov tshuaj yej los yog me ntsis flattened Ginger ale.
- Coj koj tus kabmob antidepressant thaum mus pw.
- Yuav siv Zantac (ranitidine), ib qho tshuaj tiv thaiv tom khw, thaum tsim nyog;
- Siv daim ntawv qeeb tso tawm ntawm koj tus mob antidepressant.
- Nug koj tus kws kho mob kom txo koj cov tshuaj noj ib ntus.
Koj tus kws kho mob kuj tuaj yeem xa cov tshuaj rau lub xeev siab xws li Zofran (ondansetron) los yog cov tshuaj tiv thaiv proton xws li Prilosec (omeprazole).
Yog tias koj tus kws kho mob sau cov tshuaj proton inhibitor, coj raws li qhia.
Cov tshuaj tiv thaiv Proton tuaj yeem ua rau kom cov ntshav qis dua qee qhov SSRIs thiab, qee zaum, kom txo qis ntawm cov tshuaj tiv thaiv kab mob antidepressant.
Nco ntsoov qhia koj tus kws kho mob yog tias koj noj cov tshuaj uas yuav tom khw los yog ntxiv rau kev siv zog los yog ntuav.
Thaum Cov Teeb Yam Tawm Tswm Ua Tau Zoo
Yog tias koj xeev siab los yog ntuav tsis tau zoo, koj tus kws kho mob yuav tsis muaj lwm txoj kev xaiv tab sis hloov kho lwm hom tshuaj tiv thaiv (antidepressant) nrog qis qis dua (xws li Celexa, Paxil, lossis Symrax).
Nws tseem ceeb, tiam sis, tsis txhob txwv kev kho los yog txo koj cov tshuaj tsis tas ua ntej pab tswv yim koj tus kws kho mob. Yog tias koj ua li ntawd, koj yuav tsum tau muaj kev pheej hmoo ntawm kev rov qab los yog muaj kev ntxhov siab ntawm kev nyuaj siab.
Ntxiv mus, koj tuaj yeem paub cov kev mob tshem tawm uas feem ntau hu ua antidepressant discontinuation syndrome (ADS) . ADS feem ntau muaj kab mob zoo li thaum nws nyuam qhuav pib tab sis tuaj yeem tshwm sim sai sai rau cov kab mob ceev nrooj, xws li:
- Xeev
- Ntuav
- Nkees
- Mob leeg
- Insomnia
- Kauj taub hau
- Ntxhov siab vim
- Tsis phom sij
- Hnyav tawm hws
- Qhov muag plooj tsis pom kev
- Taws los yog hluav taws xob zoo li hnovxyoo
- Tiag tiag npau suav
- Kev hnov kev pom
Koj tus kws kho mob yuav pab tiv thaiv cov tsos mob no thaum maj mam nqus koj cov tshuaj los yog hloov koj mus rau lwm hom tshuaj.
> Qhov chaw:
> Gjestad, D .; Westin, A .; Skoqvoll, E. thiab al. "Cov nyom ntawm Proton taub inhibitors nyob rau hauv Serum Concentrations ntawm Seev cev Serotonin Reuptake Inhibitors Citalopram, Escitalopram, thiab Sertraline." Ther Drug Monit . 2015; 37 (1): 90-97.
> Kelly, K .; Posternak, M .; thiab Jonathan, E. "Ua kom tau txais kev ua teb zoo: nkag siab thiab tswj cov kev mob tshwm sim hauv kev tiv thaiv antidepressant." Dialogues Clin Neurosci . 2008; 10 (4): 409-418.
> Renoir, T. "Xaiv tus kabmob xa rov qab tshuaj tua kabmob (antidepressant antidepressant therapy): kev ntsuam xyuas ntawm cov pov thawj thiab cov mechanisms uas muaj feem xyuam." Pem hauv ntej Pharmacol . 2013; 4:45.