I-Zoloft yoxinzelelo: Ngaba iZoloft ilungile kwixhala? Iqala nini ukusebenza?

Ulwazi lweziyobisi

Ukuphila noxinzelelo kunokwenza ubomi bemihla ngemihla bube nzima. Ngethamsanqa, zininzi iindlela zonyango ezikhoyo ezinokunceda abantu ukuba bafumane ukukhululeka kwiimpawu zabo. UZoloft lelinye lonyango elinokunceda. Kwesi sikhokelo, siza kukucacisela ukuba yintoni iZoloft kunye nokuba ungayithatha njani ukuze ube nexhala.

Ukuthatha uZoloft ngoxinzelelo

Ixhala yimeko exhaphakileyo echaphazela abantu kwihlabathi liphela. Uqikelelo 31% kubo bonke abantu abadala baya kufumana uxinzelelo lokuxhalaba ngaxa lithile ebomini babo, kunye ne-SingleCare's Uvavanyo ngoxinzelelo lwe-2020 ifumanise ukuba i-62% yabaphenduli inamava oxinzelelo. Zoloft ligama lophawu lweyeza eliqhelekileyo elibizwa ngokuba Unyango . Luhlobo lwe-antidepressant ebizwa ngokuba yi-serotonin reuptake inhibitor ekhethiweyo (SSRI) ephatha uxinzelelo ngokunciphisa ukubuyiselwa kwakhona kwe-serotonin. UZoloft uphatha iimeko ezininzi zempilo yengqondo:

• Ukuphazamiseka koxinzelelo kwezentlalo
• Ukuphazamiseka kovalo
• Uxinzelelo
• Uxinzelelo lwasemva koxinzelelo lwasemva (PTSD)
• Ingxaki yokujonga okunyanzelekileyo (i-OCD)
• Ukuphazamiseka kwangaphambi kokuya exesheni

I-Zoloft inokunyanga uxinzelelo ukuba unyango lwengqondo, njengonyango lokuziphatha, alusebenzi okanye ukuba ugqirha wezifo zengqondo ucinga ukuba uza kuphucula umgangatho wobomi womntu. Ii-SSRI ezifana ne-Zoloft ayisoloko iyeza alungileyo oxinzelelo, njengoko zinokwenza mandundu uxinzelelo kwezinye iimeko. Abantu abanexhala elincinci okanye ngamanye amaxesha kufuneka bathethe nogqirha malunga namanye amayeza oxinzelelo ngaphambi kokuba bathathe uZoloft.

Yeyiphi idosi eyiZoloft efanelekileyo yoxinzelelo?

Umthamo olungileyo weZoloft woxinzelelo uyahluka ngobunzima bexhala nokuba isigulana sinazo ezinye iimeko zonyango. Ngokubanzi, nangona kunjalo, idosi yokuqala yonyango yeZoloft yoxinzelelo 25 mg okanye 50 mg ngosuku.

Iipilisi zeZoloft ziyafumaneka kumandla amathathu eedosi: 25 mg, 50 mg, kunye ne-100 mg. Elona zinga liphezulu leZoloft ngama-200 mg ngemini (enokuthathwa njengamacwecwe amabini e-100 mg).

Uninzi lwezifundo cebisa ukuba eyona dosi isebenzayo yeZoloft ngama-50 mg ngosuku. Le dosi ibonakalisiwe njengeyona dosi isebenzayo kunye nokunyamezeleka kwizigulana ezininzi. Abantu abangaphenduliyo kwi-50 mg ngemini banokucetyiswa ngugqirha wabo ukuba bandise idosi yabo ye-Zoloft ngama-50 mg ngosuku ngosuku ngeveki ukuya kuthi ga kwi-200 mg ngosuku. Umzekelo, ugqirha unokucebisa ukuthatha i-50 mg yonke imihla kwiveki enye, emva koko i-100 mg yonke imihla kwiveki enye, njl.

I-Zoloft ikwafumaneka kwifom engamanzi njengesisombululo somlomo. Isisombululo somlomo siza njengesisombululo esicacileyo, esingenambala kunye nevumba le-menthol eliqukethe i-20 mg ye-sertraline nge-mL nganye, kwi-12% yotywala. Iza ngebhotile ye-60 mL nge-dropper elinganisiweyo ene-25 mg kunye ne-50 mg yokuphumelela amanqaku. Isisombululo somlomo seZoloft kufuneka sixutywe (ngaphambi nje kokuba sithathe) kwii-ounces ezi-4 zamanzi, ijusi yeorenji, ilamonade, ijinja ale, okanye ilamuni okanye ikalika yesoda ngaphambi kokuyisebenzisa.

UZoloft uqala nini ukusebenza ngoxinzelelo?

I-Zoloft ayisebenzi ngokukhawuleza, ngoko musa ukuyeka ukuthatha iZoloft ukuba iimpawu zakho aziphuculanga kwangoko. Ithath ababini iiveki ezimbini ukuya kwezintandathu ukuqala ukunciphisa iimpawu zoxinzelelo. Abanye abantu banokuziva ukunciphisa iimpawu zabo zoxinzelelo kwiveki yokuqala yokuthatha iZoloft, kodwa oku akufuneki kulindelwe wonke umntu.

Uziva njani uZoloft?

Ngokwe- Umanyano lukaZwelonke malunga nokugula ngengqondo , Olunye lweempawu zokuqala ukuba uZoloft uyasebenza kukuphuculwa kokulala, amandla, okanye ukutya. Olu phuculo lunokwenzeka iiveki ezimbini ukuya kuthatha unyango.

Utshintsho olubaluleke ngakumbi, njengokuziva ungaphantsi koxinzelelo okanye ukubuyisa umdla kubomi bemihla ngemihla, kungathatha iiveki ezintandathu ukuya kwezisibhozo ukwenzeka. Ixesha elingaphezulu, abantu abaninzi baya kuqaphela umahluko omkhulu kwiimpawu zabo zoxinzelelo, kwaye abanye abantu banokugqibela bengenazo kwaphela iimpawu.

Imiphumela

Nazi i Iziphumo eziqhelekileyo ezichaphazelekayo zeZoloft unokuba namava xa uqala ukuyithatha:

• Intloko ebuhlungu
• Ukuba nesiyezi
• Ukuphelelwa ngumdla wokutya
• Ubumhlophe
• Umlomo owomileyo
• Isicaphucaphu
• Urhudo
• Ukwanda kokubila
• Ukungazinzi
• Iziphumo zesondo njengokungasebenzi kakuhle ngokwesondo
• Ukudinwa
• Ingxaki yokulala
• Uvalo

Nangona kunqabile, iZoloft inokubangela iziphumo ebezingalindelekanga ezinje ngokuhla kwesisindo esingaqhelekanga, amanqanaba egazi asezantsi, ukonyuka komngcipheko wokopha (ngakumbi xa kudityaniswe nezinye iziyobisi ezinje ngegazi okanye iiNSAID), ukuxhuzula, ukungahambelani komzimba, kunye neempawu zokurhoxa.

Izilumkiso

UZoloft uza nesilumkiso sebhokisi emnyama yeengcinga zokuzibulala kunye nokuziphatha. Izifundo zexesha elifutshane zibonise ukuba i-anti-depressants yonyusa umngcipheko wokuzibulala ebantwaneni, kulutsha nakubantu abadala abancinci xa kuthelekiswa ne-placebo.Nangona kunjalo, abantu nabuphi na ubudala abathatha iZoloft kufuneka bajongwe, ke ngokoeek iingcebiso zonyango kwangokoukuba uthatha uZoloft kwaye uqale ukuba notshintsho olukhulu kwiimvakalelo kunye / okanye iingcinga zokuzibulala okanye indlela yokuziphatha.

Ukutya kunye noLawulo lweeDrug kukwalumkisa abaguli ngokuchasene nokuthatha i-sertraline (Zoloft) ukuba ngaba bakhulelwe, bancancisa, baneengxaki zamehlo esele zikhona (i-sertraline yenza ukuba izigulana zichaphazeleke ngakumbi ekuphuhliseni i-glaucoma), kunye nabo bane-bipolar disorder abangathathi nesimamisi somoya.

Unxibelelwano

Thetha nogqirha wakho malunga nendlela yokuthatha uZoloft ukuba uthatha nawaphi na amayeza alandelayo:

• Amanye amayeza anyusa i-serotonin ngenxa yomngcipheko weisifo se-serotonin
• Idisulfiram
• IiTriptans
• Abacoci begazi abanjenge-warfarin
• Ii-NSAID ezinje nge-ibuprofen
• Wort eSt
• ILithium
• Inardil (phenelzine)
• Iparnate (itranylcypromine)
• IMarplan (isocarboxazid)
• I-Azilect (rasagiline)
• Emsam (selegiline)
• I-Orap (ipimozide)

I-Zoloft ithathwe nge-monoamine oxidase inhibitors ( MAOIs ) okanye ezinye iziyobisi ezonyusa i-serotonin (njengezinye izinto ezichasayo, ii-triptans, kunye ne-dextromethorphan, efumaneka ngokukhohlela nakwimveliso ebandayo) inokubangela isifo se-serotonin , imeko esongela ubomi enokubangela ukuba ube nemibono, ubambe, ii-comas, iinyikima, i-delirium kunye nezinye iziphumo ezibi.

Yeyiphi eyona nto iphambili yoxinzelelo kuxinzelelo?

Akukho nanye i-anti-depressant efanelekileyo ekunyangeni uxinzelelo. Into esebenzela omnye umntu ayinakusebenza komnye. Iimpawu zoxinzelelo ziya kuhamba kwaphela malunga 1 kubantu aba-3 abo bathatha ii-SSRI, kodwa kusafuneka kwenziwe uphando ngakumbi ukuba kutheni ii-SSRI zisebenzela abanye abantu hayi ezabanye. Umboneleli wakho wezempilo ngumntu ofanelekileyo ukubuza ukuba yeyiphi na into ekuncedayo ekuncedeni.

Amanye amayeza e-SSRI anokusebenza kuxinzelelo olufana neProzac okanye iCelexa okanye iPaxil, kodwa nganye ineziphumo ebezingalindelekanga- ngokukodwa yehlisa libido kunye nokuzuza ubunzima, utsho Inye Naidoo , MD, ugqirha wezifo zengqondo kwisibhedlele iMass General eBoston. I-Benzodiazepines iyasebenza kakhulu kwixesha elifutshane ngelixa iphantsi konyango, kodwa la ngamayeza anokubangela ukuba ube likhoboka kwaye kufuneka asetyenziswe ngononophelo olukhulu kwaye kuphela njengenyathelo lexeshana elifutshane, umzekelo, usizi olulandela ukusweleka kwelungu losapho, utsho UGqr Naidoo.

Ezinye iindlela zeZoloft
Igama leziyobisi	Yintoni	Umgangatho omiselweyo (idosi inokwahluka)	Iziphumo eziqhelekileyo	Ugcino olulodwa
I-Effexor XR (venlafaxine ER)	I-serotonin-norepinephrine reuptake inhibitor (SNRI) ephatha uxinzelelo kwaye iphucula amanqanaba emood kunye namandla	I-75 mg / usuku oluthathwe kunye nokutya	Isihlunu, umlomo owomileyo, ukozela	Fumana isigqebhezana
Iprozac (fluoxetine)	I-SSRI isetyenziselwa ukunyanga uxinzelelo olukhulu lokudakumba, i-OCD, i-bulimia nervosa, kunye nengxaki yokuphakuzela	20 mg / ngosuku	Uvalo, ukuphuthelwa, isicaphucaphu	Fumana isigqebhezana
ILexapro (esitalitalopram)	I-SSRI ephatha uxinzelelo ngokubanzi kunye noxinzelelo olukhulu lokudakumba	10-20 mg / ngosuku	Ukuphuthelwa, isicaphucaphu, ukunciphisa i-libido	Fumana isigqebhezana
Xanax (alprazolam)	I-benzodiazepine ethomalalisa uxinzelelo lwexesha elifutshane	0.25-0.5 mg, ukuya kathathu imihla ngemihla	Xanax nguinto elawulwayongenxa yokuxhatshazwa kwayo okanye ukuxhomekeka kwayo.	Fumana isigqebhezana
I-Paxil (iparoxetine)	I-SSRI ephatha uxinzelelo kunye nezinye iimeko zengqondo	20 mg / ngosuku	Isihlunu, ukozela, umlomo owomileyo, iziphumo ebezingalindelekanga ngokwesondo, intloko ebuhlungu, ubuthathaka	Fumana isigqebhezana
UCelexa (citalopram)	I-SSRI ihlala ichazelwe ukudakumba, kodwa oogqirha banokuyinyanzela ukuba banciphise iimpawu zoxinzelelo	20 mg / ngosuku	Ukuphuthelwa, isicaphucaphu, ukudinwa, ukubila, isiyezi, umlomo owomileyo	Fumana isigqebhezana

Njengoko bekutshiwo ngaphambili, umboneleli wakho wezempilo ngowona mntu ubuza malunga nokuba ungaluphatha njani unxunguphalo lwakho. Amayeza anokusebenza ekunyangeni uxinzelelo, kodwa uGqirha Naidoo uthi unokukhetha ezinye ngokunjalo. Uthetha ngotshintsho kwindlela yokutya, ingqondo, imithambo yokuphefumla, kunye nokuzilolonga njengeendlela ezongezelelekileyo zokulwa unxunguphalo. Ugqirha wakho unokukunceda ukuba uze nesicwangciso sonyango esiza kulungela ebomini bakho.