Ib Daim Ntawv Teev Cov Tshuaj rau SAD
Muaj ntau hom tshuaj siv los kho kom muaj kev txhawj xeeb txog kev ntxhov siab (SAD) . Txhua tus muaj nws qhov zoo thiab qhov tsis zoo nyob ntawm koj qhov teeb meem.
Meta-analyzes ntawm cov tshuaj ua hauj lwm zoo hauv kev kho SAD tau pom ib qho me me thiab loj me me rau hom kev kho mob-nrog tag nrho cov nram qab no ntawm cov tshuaj uas qhia tau zoo.
Qhov no txhais tau hais tias ntau ntau hom tshuaj noj yuav pab tau zoo rau kev txhim kho cov tsos mob ntawm kev txhawj xeeb txog kev ntxhov siab, thiab ib qho yuav yog ib txoj kev kho mob rau koj.
Benzodiazepines
Benzodiazepines alleviate cov tsos mob ntawm kev ntxhov siab vim los ntawm kev txo qeeb hauv cov hauv paus hauv plab . Benzodiazepines tej zaum yuav ua rau kev phais thiab kev phais mob, thiab muaj peev xwm los ua cwj pwm tsis zoo, thiab yog li ntawd tsis yog siv thawj kab kev kho rau SAD.
- Ativan (lorazepam)
- Valium (diazepam)
- Xanax (alprazolam)
- Klonopin (clonazepam)
Beta Blockers
Beta blockers feem ntau yog ua ntej ua kev txhawj xeeb ntawm kev ntxhov siab, xws li kev ua rau txhua qhov kev ntxhov siab ntawm kev ntxhov siab. Beta blockers yog ib qho tseem ceeb hauv cov xwm txheej uas yuav tsum tau muaj kev puas siab puas ntsws, vim tias lawv tsis muaj kev phom sij ntawm kev txawj ntse li qhov muaj tseeb rau benzodiazepines.
- Inderal (propranolol)
- Tenormin (atenolol)
Cov tshuaj Monoamine Oxidase (MAOIs)
MAOIs yog ib zaug tau xav txog kev kho mob zoo rau kev txhawj xeeb txog kev ntxhov siab; txawm li cas los xij cov tshuaj no nrog lawv txoj kev pheej hmoo ntawm kev phom sij loj yog tias tsis noj mov thiab noj tshuaj.
Niaj hnub no, MAOIs feem ntau tsis siv nyob rau hauv kev kho SAD, tshwj tsis yog tias muaj kev ntseeg tias lawv yuav pab tau ntau dua lwm cov tshuaj (xws li tsev neeg keeb kwm zoo).
Qhov tseeb, tias qhov kev tshawb fawb ntawm xyoo 2014 tau pom tias qhov phenelzine (lub npe hu ua Nardil) yog daim ntawv kho mob zoo tshaj plaws rau cov kev muaj mob muaj kev ntxhov siab, yog li tsis suav cov MAOIs ua ib hom kev kho mob uas tej zaum yuav tau hais los ntawm koj tus kws kho mob.
- Nardil (phenelzine)
- Parnate (tranylcypromine)
- Marplan (isocarboxazid)
Kev Xaiv Tsa Tshuaj Txhuam Kom Zoo (Serotonin Reuptake Inhibitors) (SSRIs)
SSRIs yog thawj kab kev kho mob rau SAD vim lawv cov tshuaj tiv thaiv mob taus thiab yooj yim ntawm cov thawj coj. Vim tias muaj peev xwm tshem tawm cov teebmeem, SSRIs yuav tsum tau muab sib txuas rau thaum xaus kev kho mob.
Tias 2014 meta-tsom pom paroxetine (lub npe Paxil) ua ob daim ntawv zoo tshaj plaws ntawm kev kho mob rau kev txhawj xeeb txog kev ntxhov siab.
- Paxil CR (paroxetine)
- Luvox CR (fluvoxamine)
- Zoloft (sertraline)
- Lexapro (escitalopram)
- Celexa (citalopram)
- Prozac (fluoxetine)
Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
SNRIs yog ib chav kawm ntawm antidepressants uas siv los kho cov kev ntxhov siab vim ua rau cov neurotransmitters serotonin thiab norepinephrine. Venlafaxine ncua kev tawm (lub npe hu ua Effexor) tau pom tias yog tus thib peb zoo tshaj plaws hom tshuaj rau SAD nyob rau hauv xyoo 2014 kev ntsuas.
- Effect XR (venlafaxine)
- Cymbalta
Lwm yam kev ntxhov siab
Yog tias koj tsis paub meej txog koj cov kev kho mob, nrog koj tus kws kho mob tham txog kev siv tshuaj rau koj qhov teeb meem.
Source:
Bezchlibnyk-Butler KZ, Jeffries, JJ, eds. Kuaj Cov Lus Qhia Txog Tshuaj Psychotropic . Toronto, Canada: Hogrefe & Huber; 2003.
Davis ML, Smits JA, Hofmann SG. Tshaj tawm ntawm kev ua hauj lwm ntawm cov kws kho mob rau kev txhawj xeeb muaj kev puas siab ntsws: ib qho kev ntsuas. Kws Muaj Tswv Yim Txog Tswvyim ntawm Pharmacotherapy . 2014; 15 (16): 2281-2291. doi: 10.1517 / 14656566.2014.955472.
Mayo-Wilson E, Dias S, Mavranezouli Kuv, li al. Cov kev pab cuam txog kev puas hlwb thiab kev noj qab haus huv rau kev txhawj xeeb ntawm cov neeg laus: ib qho kev saib xyuas thiab kev sib koom tes network meta. Lub Lancet Psychiatry . 2014; 1 (5): 368-376. doi: 10.1016 / S2215-0366 (14) 70329-3.