Qhov Four Major Classes of Anxiety Medications
Yog tias koj muaj kev txhawj xeeb, qhov no tej zaum yuav pab tau koj kom txhob muaj kev tiv thaiv thiab txhawj xeeb txog koj lub neej txhua hnub. Kev ntxhov siab vim muaj kev ntxhov siab ntau dua li ib rooj plaub hauv qab haus huv. Lawv yog cov kab mob, feem ntau muaj feem xyuam rau cov tshuaj pleev ib ce thiab lub neej ntawm tus kheej, thiab lawv nquag khiav hauv cov tsev neeg. Zoo hmoo, muaj ntau cov tshuaj muaj los kho cov tsos mob ntawm kev ntxhov siab.
Cov tsos mob ntawm kev ntxhov siab
Feem ntau, cov tsos mob tseem ceeb nyob rau hauv kev ntxhov siab vim muaj kev ntxhov siab, kev tsis txaus siab, kev poob siab, kev xav ntawm kev txhawj xeeb, lub plawv dhia ceev nrooj, mob plab los yog xeev siab, tsis muaj zog thiab / lossis ua pa nyuaj. Cov tsos mob no sib txawv raws li tus neeg thiab tus mob txhawj xeeb.
Hom Kev Nyuaj Siab
Muaj ntau qhov kev ntxhov siab, txhua yam nrog nws cov nta thiab cov tsos mob. Feem ntau yog kev puas siab ntsws thoob ntiaj teb (GAD), kev txhawj xeeb ntawm kev noj qab haus huv (SAD). teeb meem tsis sib haum xeeb, phobias, obsessive-compulsive teeb meem (OCD), thiab muaj teeb meem tom qab tsis zoo siab (PTSD).
Cov tshuaj siv los kho cov kev ntxhov siab
Kev siv cov tshuaj rau kev ntxhov siab vim muaj kev txhawj xeeb yog pom tias muaj kev nyab xeeb thiab zoo thiab tej zaum yuav pab tau tshwj xeeb tshaj yog thaum siv nrog rau kev kho siab . Muaj plaub hom kev kho mob uas cov kws kho kev puas siab puas ntsws siv los kho cov kev ntxhov siab: kev xaiv tshuaj serotonin rov ua dua (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), benzodiazepines thiab tricyclic antidepressants (TCAs).
Kev Xaiv Tsa Tshuaj Txhuam Kom Zoo (Serotonin Reuptake Inhibitors) (SSRIs)
Selective serotonin reuptake inhibitors ua hauj lwm los ntawm ua rau muaj serotonin ntau dua kom muaj nyob rau hauv lub hlwb, uas pab koj txoj kev xav li cas. SSRIs zoo li Prozac (fluoxetine), Luvox (fluvoxamine), Paxil (paroxetine) thiab Zoloft (sertraline) yog xaiv zoo rau txhua yam kev ntxhov siab.
Feem ntau, cov kev mob tshwm sim muaj xws li hnyav nce, teeb meem pw tsaug zog (ntau dhau los yog tsawg dhau) thiab kev sib deev tsis ua haujlwm. Muaj ntau cov kev mob tshwm sim thaum ob peb lub lis piam pib thaum noj tshuaj, tab sis yog li, muab sijhawm rau koj lub cev los kho.
Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs)
Serotonin-norepinephrine reuptake inhibitors ua haujlwm zoo sib xws rau SSRIs rau qhov lawv ua rau cov kab mob serotonin, as well as norepinephrine, kom siab zog hauv lub hlwb. Piv txwv yog Cymbalta (duloxetine), Effexor (venlafaxine) thiab Pristiq (desvenlafaxine). SNRIs raug suav hais tias tsuas yog ua tau zoo npaum li SSRIs, tshwj xeeb tshaj yog rau kev puas siab ntsws thoob plaws. Cov kev mob tshwm sim muaj xws li mob taub hau, kev sib deev ua tsis taus, pw tsis tsaug zog, mob plab thiab ntxiv ntshav siab.
Benzodiazepines
Benzodiazepines, los yog sedatives, feem ntau yog siv rau ib lub sij hawm luv luv los pab koj relax thiab tshem ntawm cov leeg nrawm thiab lwm cov tsos mob ntawm lub cev uas tuaj yeem ntxhov siab. Cov benzodiazepines muaj xws li Klonopin (clonazepam), Xanax (alprazolam), Valium (diazepam) thiab Ativan (lorazepam). Benzodiazepines feem ntau txo cov tsos mob nyob rau hauv ib lub sij hawm luv luv.
Cov neeg sib txawv nyias txawv nyias rau benzodiazepines. Qee cov neeg yuav tau coj lawv mus ob peb zaug rau ib hnub, thiab lwm tus tsuas yog ib hnub ib zaug, los yog raws li qhov xav tau.
Cov koob tshuaj feem ntau pib ntawm qib qis thiab maj mam tsa mus kom txog rau thaum cov tsos mob tawm los yog tshem tawm. Cov koob tshuaj yuav txawv ib qho ntawm cov tsos mob thiab koj lub cev chemistry. Benzodiazepines yog qee zaus muab rau ib qho uas yuav tsum tau muaj rau cov teeb meem ntxhov siab lossis ntxhov siab.
Siv Ceeb Toom Nrog Benzodiazepines
Kev siv benzodiazepines ntev tsis pom zoo vim tias koj tuaj yeem tsim kam rau siab thiab / los yog kev vam khom. Kev kam lees txhais tias koj yuav tsum tau noj ntau dua ntawm cov tshuaj kom nws ua haujlwm. Qhov kev tiv thaiv txhais tau hais tias koj pib tshem tawm cov tsos mob yog tias koj tsis noj tshuaj.
Qee cov neeg tsim txom cov tshuaj no tuaj yeem mob siab. Kev siv tshuaj ntev ntev xws li Klonopin los yog Valium yuav ua rau cov tsos mob dua li cov tshuaj yeeb dej cawv xws li Xanax thiab Ativan.
Koj yuav tsum tsis txhob haus dej cawv thaum noj cov tshuaj benzodiazepines vim tias kev sib raug zoo ntawm benzodiazepines thiab cawv yuav ua rau mob loj thiab tej zaum muaj teeb meem ntawm lub neej. Nco ntsoov qhia koj tus kws kho mob txog lwm cov tshuaj koj noj.
Nco ntsoov nrog tus kws kho mob tham ua ntej discontinue tus benzodiazepine. Kev tshem tawm cov tshuaj tiv thaiv tuaj yeem tshwm sim tau yog tias txoj kev kho mob tau nres sai. Cov tsos mob ntawm kev nrauj xws li muaj kev ntxhov siab, kev shakiness, mob taub hau, kiv taub hau, pw tsis tsaug zog, tsis qab los noj mov thiab / los yog qaug dab peg.
Ironically, muaj ntau cov kev mob tshwm sim zoo li cov kev mob tshwm sim uas koj tau nrhiav kev kho mob rau. Yuav zam tau cov tsos mob ntawm koj tus kws kho mob no yuav ua rau koj cov tshuaj noj maj maj maj.
Tricyclic Antidepressants (TCAs)
Qhov kawg ntawm cov tshuaj siv rau kev txhawj xeeb yog tricyclic antidepressants. Vim tias cov tshuaj no yog cov thawj cov tshuaj antidepressants tau tsim, lawv tuaj yeem muaj kev phiv loj heev, nrog rau qhov muag tsis pom kev, qhov ncauj qhuav, quav tawv nqaij, poob siab thaum sawv ntsug thiab tso zis. Piv txwv ntawm TCA yog Elavil (amitriptyline), Tofranil (imipramine) thiab (Pamelor) nortriptyline.
Nco ntsoov noj koj cov tshuaj raws nraim li koj tus kws kho mob hais. Yog tias koj muaj kev mob tshwm sim loj, nrog koj tus kws kho mob, tab sis tsis txhob tso koj cov tshuaj noj yam tsis tau koj tus kws kho mob pom zoo vim qhov no yuav ua rau muaj mob loj.
Qhov chaw:
http://www.adaa.org/understanding-anxiety/DSM-5-changes
http://www.adaa.org/finding-help/treatment/medication
http://www.mayoclinic.org/diseases-conditions/depression/in-depth/antidepressants/art-20044970