Zoloft mhedzisiro uye maitiro ekuzvidzivirira

Zvinodhaka Info

Sertraline , inowanzozivikanwa nezita rayo, Zoloft , mushonga unozivikanwa unorapwa unoshandiswa kurapa kuora mwoyo , kushushikana , post-inoshungurudza kusagadzikana kusagadzikana , kushungurudzika kwevanhu munharaunda, kushungurudzika kwekutya, uye premenstrual dysphoric disorder (PMDD). Icho chiri chekirasi yemishonga inodzvinyirira inonzi inosarudza serotonin reuptake inhibitors (SSRIs), zvichireva kuti inoshanda nekuwedzera huwandu hweserotonin muuropi. Sezvo nemishonga inodzvinyirira yakawanda , vanhu vanotora sertraline vanogona kusangana nemimwe mhedzisiro. Enderera kuverenga kuti udzidze nezve sertraline mhedzisiro, yambiro, uye nekugona kudyidzana kwemishonga.

RELATED: Sertraline ruzivo | Zoloft ruzivo

Zvakajairika mhedzisiro mhedzisiro ye sertraline

Nechero mishonga, panogara paine njodzi yekusangana zvinogona kuitika zvinokanganisa . Kuti uzive kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge waita, Muchiitiko che sertraline, varwere vanogona kutarisira kunzwa kuvandudzwa kwemanzwiro, kudya, kurara mhando, simba reyero, uye kufarira hupenyu hwezuva nezuva. Mune mamwe mazwi, kurerutswa kwezviratidzo sekushushikana uye kusagadzikana.

Sertraline, sevamwe vese maSSRI, anowedzera kutenderera maserotonin mumuviri wemunhu, kukurudzira pfungwa yekugara zvakanaka nekubvumira vanhu vane kushushikana uye kushushikana kuti vakunde zvirinani nemamiriro avo ezvinhu, Raul Perez-Vazquez , MD, chiremba wekutanga weTenet Florida Physician Services uye West Boca Medical Center.

Aya ndiwo anowanzoitika sertraline mhedzisiro.

• Nausea
• Manyoka
• Kuzvimbirwa
• Zvakaoma kurara kana kuramba wakarara
• Muromo wakaoma
• Kushungurudza kana kugaya
• Kupererwa nechido
• Kurera huremu kana huremu
• Dzungu
• Kuneta zvakanyanya
• Kutemwa nemusoro
• Kutya
• Shanduko pabonde drive
• Erectile kusagadzikana, kusanganisira kunonoka ejaculation
• Kuwedzera kudikitira

Zoloft mhedzisiro inoenda rinhi?

Mazhinji emhedzisiro mhedzisiro akanyorwa pazasi anogona kuenda mushure memavhiki mashoma apo muviri unogadzirisa.

Sertraline pachayo inotora ingangoita mwedzi kuti utange kushanda, uye mazhinji mhedzisiro mhedzisiro inoderera mushure mekunge muviri wako wagadzirisa mushonga, anodaro David Nazarian, MD, chiremba wekutanga Yangu Concierge MD muBeverly Hills.

Ipfungwa yakanaka yekutarisa mhedzisiro yaunosangana nayo uye chengetedza nyanzvi yako yehutano ichigadziriswa kuitira kuti chiremba wako agone kuongorora maitiro uye kugadzirisa mishonga pazvinenge zvichidikanwa. Chinonyanya kukosha, udza chiremba kana mhedzisiro yacho yakanyanya, ichiwedzera, kana kuti isingaendi.

Yakakomba mhedzisiro mhedzisiro ye sertraline

Kune zvimwe zvishoma zvakajairika, asi zvakakomba mhedzisiro of sertraline. Zviratidzo zvinotevera zvinoda kurapwa nekukurumidza:

• Kubuda ropa zvisina kujairika kana kupwanya
• Kusagadzikana
• Kuvhiringidzika
• Fivha, kudikitira, kubvunda
• Hallucinations
• Mikoko kana mapundu
• Kurasikirwa kwekubatana
• Kuomesa kwetsandanyama kana kugwinha
• Kusvotwa, kurutsa, kana manyoka
• Kukurumidza kurova kwemoyo
• Kufenda
• Kuzvimba
• Pfungwa dzekuzviuraya
• Kunetseka kufema
• Kuzununguka kusingadzoreki kwechikamu chemuviri

Zoloft kubvisa

Kunyangwe mazhinji emhedzisiro yacho achidzoserwa, haufanire kumira kutora sertraline nekukurumidza. Pane kudaro, taura nemubatsiri wezvehutano usati warega mushonga uyu kuti udzivise kubvisa zviratidzo. Chiremba anogona kuronga zano rekutapudza zvishoma nezvishoma mushonga. Kurega zviratidzo zvinosanganisira:

• Kushatirwa / kusanduka kwemamiriro
• Nausea
• Dzungu
• Kusvipa
• Kusarara
• Manheru anorwadza
• Kutemwa nemusoro
• Paresthesias (kubaya, kurira kwekunzwa paganda)

Pamwe chete, izvi zviratidzo zvinonzi antidepressant discontinuation syndrome, iyo inoda rubatsiro rwekurapa nekukurumidza.

Sertraline yambiro

Zvimwe FDA yambiro inosanganisira zvirambidzo zve:

• Varwere vane allergiki kune sertraline kana chero chipi zvacho chisingashandi zvigadzirwa
• Vakadzi vane nhumbu kana avo vanogona kuve nepamuviri, se sertraline inogona kukonzera matambudziko muvacheche vachitevera kubereka
• Vakadzi vari kuyamwisa kubvira sertraline vanogona kupfuura nepamukaka wemukaka
• Vaya vane matambudziko eziso aripo izvo zvinogona kuvaita kuti vatore chirwere chekuvhara-glaucoma, iyo inogona kukonzeresa kurwadziwa kwemaziso zvakanyanya kana kutopofomadza. Kuedzwa kwemaziso kunogona kudikanwa usati wagamuchira mushonga we sertraline.
• Avo vane bipolar kusagadzikana . Kana sertraline ikatorwa isina mamiriro ekudzikamisa, murwere anogona kunge ari panjodzi yekuchinja kuita manic kana hypomanic episode.

Pfungwa dzekuzviuraya

Zvichida yambiro inonyanya kukosha yekuziva kana uchitora sertraline ndiyo mikana yekuzviuraya pfungwa kana zviito, kunyanya kune vechidiki vakuru. Zvese antidepressants, muchokwadi, vane yambiro yebhokisi (yambiro yakasimba inodiwa neDFA) nezvezvinodzvinyirira uye pfungwa dzekuzviuraya uye maitiro.

Sekureva kwemugadziri wemishonga Pfizer , murwere anogona kuzviuraya, kunyanya pakutanga kwekurapwa uye chero nguva iyo iyo dosi yakawedzerwa kana kuderera. Pfizer anorayira varwere kuti vafonere mupi wezvehutano ipapo kana iwe ukaona shanduko nyowani kana kamwe kamwe mune manzwiro, maitiro, kana pfungwa. Varwere nemhuri dzavo vanofanirwa kuziviswa nezve izvi zvisingawanzo asi zvinogona kuitika. Zvikasadaro, vese varwere vanofanirwa kugara vachitevera nachiremba uye vachifona pakati pekugadzwa kana vachinge vaine chero cheanotevera zviratidzo:

• Kunzwa kushushikana, kusagadzikana, kutsamwa, kana kutsamwa
• Kuwedzera kwezviitiko kana kutaura kupfuura zvakajairwa
• Nyowani kana kuwedzera kushushikana
• Nyowani kana kuwedzera kunetseka kana kutya kwekutyisa
• Kunetseka kurara
• Kuita pane zvishuwo zvine njodzi
• Kuita zvehasha kana zvechisimba
• Pfungwa dzekuzviuraya kana kufa
• Kuedza kuzviuraya
• Dzimwe shanduko dzisina kujairika mumaitiro kana manzwiro

Kukotsira

Rutivi rwakajairika mhedzisiro yesertraline kurara, uko kunogona kukanganisa kugona kwako kuita nekukurumidza kana kuita sarudzo dzakajeka. Nechikonzero ichi, pane yambiro yakasimba yekuti usatyaire, kushandisa michina inorema, kana kuita zvimwe zvinhu zvine njodzi kusvikira iwe waziva kuti sertraline inokukanganisa sei.

Serotonin chirwere

Serotonin chirwere chinotyisidzira hupenyu chinogona kukonzerwa nekutora sertraline nemimwe mishonga inowedzera kugadzirwa kweserotonin mumuviri. Iyi mishonga inosanganisira:

• Monoamine oxidase inhibitors (MAOIs-usashandise Zoloft mukati memazuva gumi nemana emishonga iyi).
• Mamwe maSSRIs (seProzac, Paxil, Celexa, Lexapro)
• SNRIs (seEffexor, Cymbalta, Pristiq)
• Triptans (Imitrex, Maxalt, nezvimwewo)
• Tricyclic antidepressants (saElavil kana Pamelor)
• Fentanyl
• Lithium
• Tramadol
• Tryptophan
• Buspirone
• Wort St.
• Fanapt (iloperidone)
• Thorazine (chlorpromazine)

Tora kadhi reSpecialCare rekutora kadhi

Zviratidzo zve serotonin syndrome zvinosanganisira:

• Kupisa zvakanyanya
• Kukurumidza kuchinja mukurova kwemoyo kana kuwedzerwa kweropa
• Kusadzora tsandanyama mhasuru
• Kuvhiringidzika
• Kutemwa nemusoro
• Kudikitira zvine simba
• Manyoka
• Mitsipa yakaoma
• Kurasikirwa kwekuziva (kupfuura)

Sertraline kudyidzana

Usati watora mushonga mutsva wemishonga, unofanirwa kuzivisa mishonga yese yauri kutora izvozvi. Over-the-counter, mishonga yemishonga, uye kunyange mishonga yechisikigo seyokuwedzera ine mukana wekukonzeresa kusangana kwekushandisa zvinodhaka.

Dzimwe antipsychotic

Kusanganisa sertraline neantipsychotic kunowedzera njodzi yako yemamiriro emoyo, kusanganisira kusungwa kwemoyo. Mumwe muenzaniso ndeyeOrap (pimozide), mushonga unorapa psychotic unowanzo kupihwa kune vanhu vane Tourette syndrome. Geodon (ziprasidone) uye droperidol mamwe maantipsychotic anogona kusangana ne sertraline.

Ropa rakapfava

Kutora sertraline neropa rakaonda (aspirin, Plavix, heparin, warfarin) kunogona kuwedzera njodzi yako yekubuda ropa, kusanganisira kubuda ropa pamwe nemudumbu uye kubuda kwemudumbu.

Asiri-steroidal anti-anogumbura zvinodhaka (NSAIDs)

Kubatanidza sertraline ne NSAIDs , senge ibuprofen kana naproxen, inogona zvakare kuwedzera njodzi yezvinhu zvakakomba zvemudumbu, kusanganisira kutyisidzira kwehupenyu kubuda ropa, uye yakaderera sodium mazinga.

Doro

Iwe haufanire kunwa doro uchitora sertraline sezvo zvese zvichikanganisa makemikari muuropi. Doro rinogona kushandura kushanda kwe sertraline uye kutungamira kune mhedzisiro, kusanganisira matambudziko ekurara uye kunyanya kukotsira.

Pamusoro pezvo, Antabuse (disulfiram), iyo inobata chidhakwa, haigone kusanganiswa neyemvura fomu sertraline nekuda kweiyo doro rinowanikwa mune yakasviba sertraline.

Maitiro ekudzivirira sertraline mhedzisiro

Nzira yakanakisa yekudzivirira sertraline mhedzisiro kutora mishonga zvakanyatsorongwa nachiremba uye mukuenderana nemirayiridzo yemugadziri wemishonga.

Iyo yekutanga dhizaini ye sertraline ndeye 25 kusvika 50 mg pazuva, iyo inogona kutapudzwa zvishoma kana zvichidikanwa. Sertraline dosages inogona kugadziriswa nachiremba kuburikidza nekunyatso tarisa kwemurwere uye nemhinduro yako kumushonga. Gara uchitanga sertraline padosi yakaderera, uye wedzera zvishoma nezvishoma, uchiongorora zviratidzo nguva nenguva, uye uchishandisa yakaderera inoshanda dosi, anodaro Dr. Perez-Vazquez.

Sertraline inogona kutorwa pamwe kana pasina chikafu, sekureva kwaPfizer. Nekudaro, kana iyo mvura yakasanganiswa fomu sertraline yakatemwa, inofanira kusanganiswa nemvura, ginger ale, ndimu kana lime soda, mandimu, kana muto weorenji.

Pane mamwe matanho mashoma aunotora kuti ubatsire kudzikisira sertraline mhedzisiro paunenge wakamirira muviri wako kuti uchinjike kumushonga mutsva. Dzimwe diki diki mararamiro ehupenyu anogona kubatsira ne sertraline mhedzisiro, sekutora mushonga husiku kudzivirira hutete kana kudya zvidiki zvidiki zvekudzivirira kusvotwa, anodaro Dr. Nazarian. Nekuteerera muviri wako, kucherechedza mhedzisiro, uye kuita matanho akakodzera kutanga, kusagadzikana kunogona kuderedzwa.

Imwe nhanho dzimwe nguva inofuratirwa mukuona kuti mushonga unoita sezvazvinofanira kutevedzera mirayiridzo yevagadziri yekuti ungwarire sei mushonga. Nezve sertraline, bhodhoro rinofanira kuvharwa zvakasimba, kuchengetwa pasingasviki vana, uye kuchengetwa mukati tembiricha, 68 ° F kusvika 77 ° F (20 ° C kusvika 25 ° C).