Izvo zvaunofanira kuziva usati wachinja antidepressants

Dzidzo yehutano

Kune vazhinji, kusarudza kutora mishonga inodzvinyirira ibasa rakakura kwazvo. Unopedza nguva yakawanda uchifunga nezvazvo, kuyera zvayakanakira nezvayakaipira, uye kutaura nemupi wako wezvehutano nezve sarudzo , usati wafunga kuyedza mushonga wemishonga.

Kutsvaga iyo rudyi antidepressant inogona kuda kumwe kuyedzwa uye kukanganisa, kumwe kugadziridza kwakanaka. Iwe ungatofanira kushandura mishonga pane imwe nguva kuti uwane imwe inokushandira iwe. Kana iwe uchinetsekana kuti tsamba yako yazvino haina kushanda sezvazvinofanira kuve, taura nachiremba wako nezve kushandura antidipressants.

Zvikonzero zvakajairika zvekuchinja zvinodhaka

Chimwe chezvikonzero zvakajairika zvekuti vanhu vanoshandura mishonga yekudzvinyirira vanonzwa kuti yavo yazvino mishonga haisi kunyatso kuvabatsira. Mishonga yekudzvinyirira inogona kusashanda munzira dzakasiyana siyana.

1. Nguva

Zvinodzvinyirira zvinoda nguva yekusvika pakubudirira kwazvo. Kureba kwenguva kunogona kusiyana.

Vhiki nhanhatu dzinowanzo kupa ruzivo, neimwe nzira kana imwe, zvinoratidza Gonzalo Laje, MD , MHSc, director kuWashington Behaeveal Medicine Associates uye purofesa wevanoshanda kuchipatara kuGeorge Washington University.

2. Chipimo chemushonga

Kana mushonga wekudzvinyirira usiri kushanda mushure memavhiki angasvika matanhatu, zvinogona kudaro kuti chipimo chakanyanya kuderera. Bvunza wako mupi wezvehutano, uyo anogona zvishoma nezvishoma uye nekuchenjerera kuwedzera iyo dosi. Kana usiri kunzwa zvirinani kana uchitora yakakwira (kana kunyange yakanyanya) dosi, inogona kunge iri nguva yekukurukura kuyedza chimwe chinhu-kana kuwedzera mumwe mushonga.

3. Madambudziko

Haasi munhu wese anowana mhedzisiro, uye vamwe vanhu vari kuda kutsungirira zvimwe mhedzisiro kubva kumishonga kana kuri kubatsira kwavo kushushikana. Asi kune vamwe vanhu, mhedzisiro senge yakaderera libido , mukanwa wakaoma, kana kusvotwa ndivo vanopwanya dhiri. Kana iwe uchinetseka kurarama nemhedzisiro-inogona kunge iri nguva yekuronga musangano nemupi wako wekuchengeta hutano.

Usaedze kumisa kana kuchinja mishonga uri wega. Unogona kusangana nezvimwe zvekusiya zviratidzo, kunyanya kana ukamira nekukurumidza. Nguva dzose zviri nani kutaura nachiremba wako nezve [kuita] shanduko idzi, anodaro Dr. Laje.

Kusarudza nyowani yekudzvinyirira iyo yakakunakira iwe

Ipapo mubvunzo unobva wave: Ndeupi mushonga wakanakisa wekuchinjisa? Pane zvakawanda zvingasarudzwa kubva pane izvi zvikamu zveanodzvinyirira :

• Kusarudza serotonin reuptake inhibitors (SSRIs): Chikamu ichi chinosanganisira mishonga inowanzo gadzwa seProzac (fluoxetine), Celexa (citalopram), Lexapro (escitalopram), Paxil (paroxetine), Zoloft (sertraline), uye Viibryd (vilazodone).
• Serotonin uye norepinephrine reuptake inhibitors (SNRIs): Ichi chikamu chinosanganisira Effexor XR (venlafaxine), Pristiq (desvenlafaxine), Cymbalta (duloxetine), uye Fetzima (levomilnacipran).
• Tricyclic antidepressants (TCAs): TCAs chikamu chekare cheanodzvinyirira iine yakawanda mhedzisiro pane nyowani antidepressants. Inosanganisira zvinodhaka zvakadai saTofranil (imipramine), Elavil (amitriptyline), Pamelor (nortriptyline), uye Norpramin (desipramine).
• Monoamine oxidase inhibitors (MAOIs): MAOIs ndechimwe chikamu chekare chemishonga chisingashandiswe sekurapa-mutsara wekutanga zvakare, uye inosanganisira Nardil (phenelzine), Azilect (rasagiline), uye Parnate (tranylcypromine)
• Mamwe antidepressants: Ichi chikamu chinosanganisira mishonga inogona kusakwana mune chimwe chikamu, senge Wellbutrin (bupropion), inova norepinephrine-dopamine reuptake inhibitor (NDRI), uye Desyrel (trazodone), inozivikanwa seanopikisana neserotonin uye reuptake inhibitor (SARI ).

Zvese antidepressant zvinouya nezvakanaka uye zvakaderera, saka inogona kuve mubvunzo wezvinoshanda zvakanaka kwauri. Isu tinowanzoenda kune chimwe chinhu chine mashoma mashoma emhedzisiro, anodaro chiremba wepfungwa Samuel Mowerman, MD , nhengo yedare redzimhosva paYunivhesiti yeMiami Miller Chikoro cheMishonga.

Sekureva kwaDr Mowerman, izvo zvemhando yako yekushungurudzika zvinokanganisawo sarudzo. Semuenzaniso, kana newewo vanotambura nekuzvidya mwoyo , chiremba wako anogona kukurudzira anodzvinyirira ine mukana wekubata wekugadzirisa kushushikana, futi.

Chiremba wako anogona kusarudza kukuchinjisa kubva kune chimwe chikamu cheanodzvinyirira kuenda kune chimwe. Kana chiremba wako anogona kukuudza kuti unamatire nemishonga kubva muchikamu chimwe chete chemushonga chawanga uchitora. Semuenzaniso, kana iwe uchitotora imwe SSRI, chiremba wako anogona kukurudzira kuedza imwe. Unogona kuchinja kubva Prozac ku Zoloft kana shanduka kubva kuZoloft kuenda ku Lexapro .

Tora kadhi reSpecialCare rekutora kadhi

Ungachinja sei antidepressants

Paunoita switch, pane akati wandei maitiro ekuti uzviite:

• Muchinjikwa tapering: Iwe unoderedza iyo yekutanga mishonga dhizaini paunenge uchitanga mushonga mutsva padosi yakaderera uye zvishoma nezvishoma uchiwedzera icho.
• Chinja chinja: Izvi zvinogona kusanganisira kumisa mushonga wekare uyezve kutanga iwo mutsva pazuva rinotevera.
• Taper pasi uye mira, usati watanga mushonga mutsva: Iwe zvishoma nezvishoma unoderedza huwandu hweyako yekutanga antidepressant, wobva warega kuitora zvachose. Wobva watanga iyo nyowani (kungave zuva rinotevera, kana mumavhiki mashoma, zvinoenderana nezano remupi wako wezvehutano).

Kucheka-muchinjikwa inzira yakajairika mune dzakawanda zviitiko, anodaro chiremba wepfungwa Lindsay Israel, MD , mukuru wezvekurapa paKubudirira TMS. Semuenzaniso, inowanzo shandiswa kana iwe uchinjisa SSRI kune mushonga mune imwe kirasi, senge SNRI, kana kana iwe uchichinja kubva kune imwe SSRI kuenda kune imwe. Sei? Nekuti zvinotora nguva kuti mushonga wekutanga usiye system yako, sekutora kwazvinoita kuti mushonga mutsva utange kushanda.

MAOIs uye tricyclics makirasi maviri eanodzvinyirira ayo anofanirwa kubviswa kutanga nenguva yekuti huwandu hweropa huende kuzero usati watanga mushonga wekushushikana, Dr. Israel anodaro.

Muchinjikwa-unobvumidza iwe kuti zvishoma nezvishoma kukwirisa iyo nyowani med uchidzikira zvishoma nezvishoma iyo yekutanga, iyo inofanirwa kubatsira kudzikisira chero zviratidzo zveinonzi neIsrael discontinuation syndrome nekuda kwekubatana kupi, kunyanya kana mishonga iine zvakafanana zvinhu, anodaro Dr. Israel .

Zviratidzo zvakajairika zve discontinuation chirwere inosanganisira kuneta, kuda kurutsa, kushaya hope, vertigo, dzungu, uye hutsi.

Zvinotora nguva yakareba sei kuti muchinjikwa-taper maitiro ushande? Zvinoenderana nechikamu padosi yawanga uchitora. Dosi yepamusoro inogona kutora nguva yakati rebei. Zvichienderana nehafu-yehupenyu yemishonga iri kubvunzwa uye muyero wazvino, uyu muchinjikwa taper unogona kutora chero kupi kubva pavhiki rimwe kusvika kumavhiki mana kusvika matanhatu, anodaro Dr. Israel.

Usakanda mapfumo pasi

Pakupedzisira, chinangwa chekuchinja mishonga yekudzvinyirira kutsvaga mushonga unoshanda kwauri.

Zano raDkt Mowerman: Ipa nguva. Rega mushonga mutsva ushande, anowedzera. Zvinogona kutora nguva kukwira kune iyo dosi inonyanyo kukubatsira iwe, kana kutsvaga chaiyo mishonga. Usakanda mapfumo pasi kana iwe usinganzwe wakakura ipapo ipapo kana kuti unofanirwa kuyedza mashoma ekunyorwa.

Uye usatya kutaura. Kana iwe uine chero mibvunzo kana zvinonetsa pamusoro pemhedzisiro, ita chokwadi chekubvunza. Semuenzaniso, usanyara kutaura chero kunetseka nezve iyo mhedzisiro yeanodzvinyirira pane yako bonde dhiraivha , Dr. Mowerman anodaro. Izvo chaizvo, uye zvinoshanda, zvinonetsa.