Tej Teebmeem, Kev Sib Txeeb thiab Kev Phom Sij
Prozac yog ib qho tshuaj tua kab mob antidepressant uas tau xub pib hauv Tebchaws Meskas los kho kev nyuaj siab rau xyoo 1980s. Nws yog ib feem ntawm cov tshuaj uas muaj lub npe hu ua serotonin reuptake inhibitors (SSRIs). Prozac tsuas yog siv los kho cov kev nyuab siab loj, kev ua kom obsessive-compulsive, thiab ceeb tsis txaus (siv cov kev pabcuam hauv Tebchaws Asmeskas thiab Cov Tshuaj) tabsis kuj yog siv qee lub npe los kho lwm yam kev ntxhov siab.
Yuav ua li cas Prozac pab nrog kev ntxhov siab
Mechanism of Action
Ua tus SSRI, Prozac ua haujlwm los ntawm kev tiv thaiv lub hlwb los ntawm reabsorbing ib txwm muaj tshwm sim serotonin. Serotonin yog kev koom tes hauv kev cai lij choj. Nyob rau hauv txoj kev no, Prozac pab lub paj hlwb kom muaj kev serotonin txaus kom koj muaj qhov zoo ntawm kev noj qab haus huv, uas ua los ntawm kev sib raug zoo ntawm cov hlwb hlwb.
Kev tshawb nrhiav kuj tseem ceeb qhia txog cov tshuaj xws li Prozac yuav pab nrog kev kho siab. Nyob rau xyoo 2008 txoj kev tshawb fawb hauv Science, nws tau pom tias hauv nas, Prozac pab lub hlwb kom nkag mus rau hauv lub xeev tsis paub qab hau thiab zoo li qub, tejzaum nws ua rau nws yooj yim rau txoj kev kho kom muaj kev cuam tshuam. Peb paub tias kev sib txuas cov tshuaj xws li Prozac nrog kev sib tham sib kho yog qhov zoo rau kev ntxhov siab, thiab txoj kev tshawb no qhia tias yog vim li cas vim li cas.
Nws zoo nkaus li nyiam Prozac
Yog tias koj pom muaj qhov lus teb rau Prozac, koj yuav pom tias koj cov kev ntxhov siab yuav tsawg.
Nyob ntawm koj cov tsos mob tshwm sim, koj yuav hnov ntau dua thiab tsis txhawj xeeb, txhim kho kev pw tsaug zog thiab tsis qab los noj mov, txaus siab rau lub neej, muaj zog ntxiv, muaj peev xwm ua kom pom tseeb, thiab zoo li koj tus kheej dua.
Nco ntsoov tias nws yuav siv sij hawm rau cov kev txhim kho no kom pom tau-txawm li ntawm 12 lub lim tiam hauv qee zaum.
Koj tuaj yeem paub cov kev mob tshwm sim thaum xub thawj, yog li nws yuav nyuaj rau koj pom cov kev txhim kho kom txog rau thaum cov kev mob tshwm sim tsawg dua.
Siv Prozac rau Ntxhov Siab
Kev Muab Tshuaj
Prozac feem ntau pom tias yog kho thawj zaug rau kev ntxhov siab. Txawm li cas los xij, muaj ntau cov kauj ruam uas muaj feem xyuam nrog kev muab tshuaj. Feem ntau, qhov kev kuaj mob ntawm kev nyuaj siab mob hlwb yuav tsum raug muab ua ntej koj yuav tsum tau ua ntawv pom Prozac. Txawm tias tus kws kho mob hauv tsev neeg muaj peev xwm sau tau ib daim ntawv sau tshuaj, txoj kev kho mob zoo dua los ntawm ib tug kws kho mob hlwb uas tuaj yeem muab tshuaj, xws li tus kws kho mob hlwb.
Txwv thiab Kev Tswj Xyuas
Prozac feem ntau yog tus kws kho mob sau thaum pib qis dua, ces maj mam nce mus txog 20 mg rau ib hnub. Qhov siab tshaj plaws yog 80 mg ib hnub twg. Nws yog coj los ua kua lossis tshuaj, thiab yuav tsum tau siv raws li tau hais tseg. Nws tuaj yeem siv ob peb lub lis piam rau cov teebmeem kom pom, yog li nws tseem ceeb heev kom tsis txhob tsum noj Prozac dheev yog tias koj xav tias nws tsis ua haujlwm. Tsuas noj cov tshuaj raws li koj tus kws kho mob los yog tus kws kho mob qhia. Txo cov qaib cov txwv txias yuav ua teeb meem thiab ua rau cov tsos mob tawm.
Kev nyab xeeb ntawm Prozac
Muaj qee yam kev tsis sib haum xeeb rau txoj kev nyab xeeb ntawm Prozac, vim tias muaj kev ceeb toom kev nyab xeeb ntawm US Food and Drug Administration hauv 2007 txog kev pheej hmoo rau kev xav phem ntawm qee cov pab pawg.
Txawm hais tias muaj lus ceeb toom no los, Prozac tseem raug hais kom muab thiab siv tau rau kev nyab xeeb (lossis txiav ntxiv yog tias muaj teeb meem tshwm sim) thaum nyob hauv kev taw qhia ntawm ib tus kws kho mob. Yog tias koj muaj kev txhawj xeeb txog kev nyab xeeb ntawm kev siv Prozac, nqa cov ntawv no mus rau koj tus kws kho mob.
Kev Sib Tham Tshuaj Kho Mob
Prozac yuav tsum tsis txhob muab tso nrog monoamine oxidase inhibitors (MAOIs) los sis siv li ntawm 14 hnub ntawm kev txiav ib qho MAOI. Pub kom tsawg kawg 5 lub lis piam tom qab siv lub Nres Prozac ua ntej pib MAOI. Kev siv cov pimozide thiab thioridazine kuj ua rau kev pheej hmoo hauv kev siv Prozac. Qhov tshwm sim ntawm kev sib hloov tshuaj yog qhov ua rau mob hnyav thiab tuag taus, yog li koj yuav tsum tham txog txhua yam tshuaj uas koj noj nrog koj tus kws kho mob lossis tus kws kho mob kom paub txiav txim seb puas muaj kev sib raug zoo.
Tej Teebmeem
Qee cov kev mob ntawm Prozac muaj feem ntau dua lwm tus. Qee cov kev mob tshwm sim muaj xws li pw tsaug zog, mob taub hau, qaug zog, kiv taub hau, xeev siab, tsis qab los noj mov, ntxhov siab, lightheadedness, yawning, tawm hws, teeb meem kev sib deev, qhov ncauj qhuav, lub plawv hlawv, raws plab, thiab qhov muag plooj. Qee cov tib neeg pom tias cov kev mob tshwm sim tsawg dua lub sij hawm, los yog ua tsis tshua muaj kev ntxhov siab.
Lwm yam kev mob tshwm sim muaj xws li ntuav, qaug dab peg, pob khaus / kub qis, ua npaws, o, muaj kev ntxhov siab, ntxhov siab heev, ua pa nyuaj lossis nqos, los ntshav los yog qaug cawv, thiab xav yuam kev lossis tus cwj pwm. Yog tias koj paub txog cov no, nco ntsoov qhia koj tus kws kho mob lossis tus kws kho mob.
Leej twg yuav tsum tsis txhob noj Prozac
Prozac kis tau rau cov me nyuam thaum cev xeeb tub thiab los ntawm niam mis. Tham nrog koj tus kws kho mob yog tias koj cev xeeb tub los yog kev tu mob ua ntej noj Prozac, los txiav txim seb cov txiaj ntsig zoo tshaj qhov phem.
Muaj qee qhov kev pheej hmoo rau cov neeg muaj hnub nyoog 65 xyoos lossis laus dua uas yuav tsum tau nrog koj tus kws kho mob tham. Kev nyab xeeb thiab kev ua haujlwm ntawm Prozac rau kev siv nrog cov menyuam yaus dua li 18 xyoo tseem tsis tau tsim muaj.
Tshuaj Kev Sib Thoob
Prozac yuav tsum tsis txhob muab sib xyaw nrog dej cawv, qee cov neeg yuav tom khw (piv txwv, aspirin, vim muaj kev mob ntshav) thiab tshuaj noj, thiab tshuaj noj los yog tshuaj ntsuab (xws li, St. John's Wort). Nco ntsoov qhia koj tus kws kho mob txog txhua yam uas koj noj.
Prozac yuav tsum tsis txhob noj nyob rau tib lub sijhawm xws li monoamine oxidase inhibitors (MAOIs) (pimozide thiab thioridazine), tricyclic antidepressants (TCAs), lossis tshuaj siv metabolized los ntawm CYP2D6.
Kev kho mob kuj yuav tsum raug coj mus siv yog tias siv cov khoom noj haus uas cuam tshuam rau hauv nruab nrab lub paj hlwb (CNS), xws li benzodiazepines.
Ceeb toom
Kev siv ntawm Prozac tuaj yeem muaj kev txaus ntshai, nrog rau qhov ua tau rau kev soj ntsuam thiab tsis tshua muaj neeg, xav txog kev tua tus kheej ntau dua. Serotonin syndrome kuj tuaj yeem tshwm sim, tshwj xeeb tshaj yog yog siv nrog lwm cov tshuaj. Kaw koj tus kws kho mob lossis tus kws kho mob ze koj tus kheej yog qhov tseem ceeb.
Prozac kuj tuaj nrog Black box ceeb toom tias nws yuav ua rau kev pheej hmoo ntawm kev tua tus kheej rau cov neeg yau dua 25 xyoo. Nyob rau cov tib neeg no, nws yuav ua rau kev xav phem, lossis tsis zoo ntawm cov kev xav no. Yog tias koj zwm rau pawg neeg no, koj tus kws kho mob yuav tsum saib xyuas koj, tshwj xeeb tshaj yog thaum ntxov, rau cov teeb meem loj no.
Prozac tseem tuaj yeem qhib lub cev rau cov neeg uas muaj kev ntxhov siab.
Tshem tawm
Prozac yuav tsum tau ceev faj kom tsis txhob muaj teebmeem. Yog tias koj tsis txhob noj Prozac tag nro, koj yuav pom cov tsos mob xws li kiv taub hau, tsis meej pem, npau suav phem, ntxhiab siab, tsis zoo, quaj qw. Vim li no, tsis txhob nres tshuaj thaum tsis nrog koj tus kws kho mob tham.
Lwm Cov Kev Xaiv
Yog tias Prozac tsis zoo rau, lwm tus SSRIs uas muaj qee zaus tau qhia rau kev ntxhov siab xws li Paxil (paroxetine), Lexapro (escitalopram), Luvox CR (fluvoxamine) thiab Zoloft (sertraline). Effect XR (venlafaxine) yog lwm yam tshuaj hu ua antidepressant hu ua serotonin-norepinephrine reuptake inhibitor (SNRI) uas kuj yuav zoo rau kev kho koj kev ntxhov siab.
Thaum kawg, benzodiazepines yog lwm hom tshuaj siv ntau zaus siv rau kev ntxhov siab, tab sis lawv feem ntau yog ib qho kev daws teeb meem luv luv vim yog lawv qhov kev pheej hmoo siab. Cov tshuaj hauv hom no muaj xws li Valium (diazepam), Xanax (alprazolam), Klonopin (clonazepam) thiab Ativan (lorazepam).
Lo Lus Ntawm
Yog tias koj tau raug tshuaj los ntawm Prozac rau kev ntxhov siab, koj yuav hnov ntxhov siab txog cov kev mob tshwm sim thiab seb cov tshuaj puas yuav pab tau. Qhia koj cov kev txhawj xeeb nrog koj tus kws kho mob thiab nyob hauv kev tiv tauj txog seb koj tab tom ua dab tsi thaum koj pib noj tshuaj. Kev sib txuas lus yog qhov tseem ceeb kom ntseeg tau tias qhov kev siv tshuaj no yog siv raws li qhov tsim nyog kom ua tau zoo tshaj plaws.
Qhov chaw:
> Eli Lilly. Cov Tshuaj Kho Mob Prozac.
> Eli Lilly. Prozac Cov Lus Qhia Txog Cov Tshuaj .
> Maya Vetencourt JF, Muag Khoom, Viegi A, li al. Qhov tshuaj tua kab mob antidepressant fluorescence restores plasticity nyob rau hauv neeg laus cortex. Science . 2008; 320 (5874): 385-388.
> Medline Plus. Fluoxetine. Cov Tsev Neeg Kev Noj Qab Haus Huv Ntawm Tsev Neeg Kev Noj Qab Haus Huv, Inc.