Kev Kho Mob Ntsws Kev Puas Siab Ntsws: Zoloft / Sertraline
Cov Ntaub Ntawv Xwb
Zoloft (sertraline HCl) yog ib qho tshuaj tua kab mob SSRI los ntawm Pfizer. Nws yog thawj kev ua lag luam raws li kev kho mob rau kev nyuaj siab nyob rau xyoo 1992. Zoloft tau txais kev pom zoo los ntawm FDA rau kev kho mob:
- Panic Disorder
- Kev Puas Tsuaj Siab
- Kev nyuaj siab
- Tom Qab Kev Sib Haum Cov Kev Puas Hlwb (PTSD)
- Ob Hlis-Tiv Thaiv Mob (OCD) hauv Cov Menyuam, Cov Tub Hluas thiab Cov Neeg Laus
- Cov laus neeg tsis muaj teeb meem Dysphoric Disorder (PMDD)
Cov Lus Qhia Txog
Zoloft yog tsim hauv cov ntsiav tshuaj ntawm 25, 50 thiab 100 mg. Nws kuj muaj nyob rau hauv cov kua hauv qhov ncauj. Koj tus kws kho mob yuav pib txoj kev kho mob nrog tsawg koob uas maj mam nce. Zoloft feem ntau yog noj ib zaug ib hnub thiab yuav tsum noj nrog lossis tsis noj mov.
Tej Teebmeem
Feem ntau cov kev mob tshwm sim nrog Zoloft muaj xws li:
- qhov ncauj qhuav
- kiv taub hau
- xeev siab
- raws plab
- poob txiv neej tsav
- ejaculatory thiab orgasmic qeeb lossis puas
- nce tawm hws
Qee cov neeg pom tau hais tias muaj ntau cov kev mob tshwm sim tom qab ua cov tshuaj noj ib ntus. Tab sis, yog tias lawv nyob ruaj khov, koj yuav tsum tau nrog koj tus kws kho mob lossis lwm tus kws kho mob tham.
Yog tias koj paub txog cov kev mob tshwm sim tsawg dua no, koj yuav tsum hu rau koj tus kws kho mob tam sim ntawd:
- kev ntxhov siab lossis kev tsiv siab
- nyob tsis tswm
- impulsiveness
- hyperactivity
- tremors
- tsis meej pem
Koj yuav tsum tau txais kev kho mob thaum muaj xwm txheej ceev yog tias koj muaj tej yam nram qab no, tiam sis loj, muaj kev cuam tshuam nrog:
- Kev ua kom tsis haum cev - Hives lossis tawv nqaij, ua pa nyuaj; o ntawm koj lub ntsej muag, daim di ncauj los yog tus nplaig los yog kev nqos plab.
- Tsaus muag
- Teeb meem nrog kev tshuav nyiaj li cas los yog kev sib koom tes
- Suicidal kev xav
Ntev li cas Zoloft yuav mus ua haujlwm?
Qee cov neeg tau txhim kho hauv cov tsos mob li ntawm 1 los sis 2 lub lim piam ntawm pib Zoloft.
Txawm li cas los xij, txoj kev kho mob puv npo feem ntau tau tiav li ntawm 8 lub lis piam.
Yog Zoloft Hom?
Raws li cov kev tshawb fawb soj ntsuam, Zoloft tsis ntseeg tias muaj yees lossis tsim kev ua.
Yuav Ua Li Cas Yog Tias Kuv Tuaj Yeem Dua?
Noj cov tshuaj uas tsis tuaj yeem sai li sai tau thaum koj nco qab, tshwj tsis yog nws yuav luag txhua lub sijhawm ntxiv. Tsis txhob noj ntxiv Zoloft los ua qhov tsis tuaj noj tshuaj.
Cwj pwm thiab Contraindications
Cev xeeb tub . Muaj cov pov thawj hais tias kev noj cov tshuaj Zoloft thaum lub sij hawm peb lub hlis ntawm cev xeeb tub yuav ua rau koj tus me nyuam qhov kev pheej hmoo ntawm kev mob siab ntsws nrawm, uas yog kev mob hnyav, thiab kev tuag, mob ntsws. Yog tias koj mob siab los yog cev xeeb tub, nws yog qhov zoo tshaj los tham txog cov kev txaus ntshai thiab cov txiaj ntsig ntawm Zoloft kho nrog koj tus kws kho mob.
NSAIDs lossis Aspirin . Kev siv Zoloft nrog NSAIDs los sis cov tshuaj aspirin yuav ua rau muaj kev pheej hmoo siab ntawm txoj kev los ntshav.
Mob siab los yog mob raum . Ua ntej yuav noj cov tshuaj Zoloft, qhia rau koj tus kws kho mob yog tias koj tsis ua haujlwm rau lub siab los yog lub raum ua haujlwm. Nyob ntawm koj tus mob, koj tus kws kho mob yuav tsum kho koj cov tshuaj thiab ua tej yam kev kuaj mob thaum nyob rau ntawm Zoloft txoj kev kho.
Cawv . Haus dej cawv nrog Zoloft tsis pom zoo.
Serotonin Syndrome
Tus SSRI antidepressant twg muaj feem yuav ua rau muaj kev phom sij uas muaj feem cuam tshuam txog kev mob hnyav hu ua serotonin syndrome.
Qhov tsis tshua muaj tus mob no feem ntau yog tshwm sim ntawm kev sib raug zoo ntawm ob lossis ntau hom tshuaj uas ua rau lub hlwb serotonin theem. Txawm tias qee cov tshuaj yuav tom khw, xws li St. John's Wort, yuav ua rau kom muaj peev xwm ntawm serotonin syndrome yog tias sib xyaw nrog SSRIs.
Qhov teeb meem tshwj xeeb yog sib tov SSRIs nrog ib chav kawm ntawm cov tshuaj tiv thaiv antidepressants hu ua monoamine oxidase inhibitors (MAOIs). MAOIs yuav tsum tsis txhob noj nrog SSRIs, thiab SSRI txoj kev kho mob yuav tsum tsis txhob pib rau ob mus rau plaub lub lim tiam tom qab discontinuation ntawm ib qho MAOI, vim muaj kev pheej hmoo siab ntawm serotonin syndrome.
SSRI Discontinuation Syndrome
Ua ntej txiav kev Zoloft, nrog koj tus kws kho mob tham.
Qee cov neeg tau tshaj tawm cov tsos mob zoo li cov tsos mob thaum txo los yog tsis ua kom SSRI txoj kev kho. Nws ntseeg hais tias cov tsos mob no yog tshwm sim ntawm lub hlwb ua kom tswj tau serotonin ntau ntau tom qab hloov ceev.
Cov tsos mob uas tshwm sim thaum lub sij hawm tsis ua kom muaj kev kho SSRI muaj xws li:
- Xeev
- Mob taub hau
- Mob Aches
- Kauj taub hau
- Fais fab-zoo li kev xav hauv lub caj dab thiab lub taub hau
Txawm hais tias tag nrho cov tsos mob no tsis ntseeg tias yuav muaj kev puas tsuaj, lawv muaj peev xwm ua rau kev xav tsis meej. Thaum discontinue ib SSRI, koj tus kws kho mob yuav muab qee sij hawm txo qis qis kom tsis txhob muaj cov tsos mob xws li tshem tawm.
FDA dub lub ceeb toom
Kev sib koom tes ntawm kev xav txog kev tua neeg, tshwj xeeb tshaj yog cov tub ntxhais hluas, nrog rau kev kho SSRI, tau yog qhov chaw ntawm kev mloog thiab kev tsis sib haum nyob rau hauv xyoo tas los. Nyob rau hauv kev teb rau cov kev txhawj xeeb uas tshwm sim hauv cov ntaub ntawv tshawb fawb thiab cov kev tshawb fawb, US Food thiab Drug Administration (FDA) tau sau ib nqe lus hauv xyoo 2007. FDA npaj tawm tias cov tshuaj noj txhua yam tshuaj tua kab mob yuav qhia tias lawv muaj kev ceeb toom rau lawv cov khoom kev xav thiab kev coj tus cwj pwm ntawm cov laus, hnub nyoog 18 txog 24, thaum pib kho.
Qhov chaw:
Chambers Ph.D., MPH, Christina, Hernandez Diaz MD, DrPH, Sonia, VanMarten MD, MPH, Linda J, Werler ScD, Martha M, Louik ScD, Carol, Lyons Jones MD, Kenneth, Mitchell MD, Allen A. "Selective serotonin-reuptake inhibitors thiab kev pheej hmoo ntawm cov ntshav siab ntsig txog tus menyuam mos." New England Journal of Medicine 2006 354 (6) 579-587.
RxList. Zoloft. 09 Oct 2008.