ʻO nā mea āpau āu e ʻike ai e pili ana i nā Antidepressants i kumu e loaʻa ai ke kaupaona

Anter

• 1. Nā lāʻau antidepressants Tricyclic
• 2. Kekahi mau mea hoʻohoka monoamine oxidase (MAOI)
• 3. Hoʻohana wā lōʻihi o kekahi mau selponin reuptake inhibitors (SSRI)
• 4. ʻO kekahi antidepressants atypical
• ʻO nā Antidepressants ka mea i hōʻemi i ka loaʻa ʻana o ke kaumaha
• ʻO ka lawe lawe ʻana

Hōʻike Overview

ʻO ka loaʻa ʻana o ke kaumaha ka hopena o ka hopena o nā lāʻau antidepressant he nui. ʻOiai ka pane ʻana o kēlā me kēia kanaka i ka lāʻau antidepressant ʻokoʻa, hiki i nā antidepressants aʻe ke kumu o ka loaʻa ʻana o ke kaumaha i kāu mālama ʻana.

1. Nā lāʻau antidepressants Tricyclic

ʻO nā antidepressants Tricyclic, i ʻike ʻia ma ke ʻano he cyidic antidepressants a i ʻole TCA, hiki ke kumu i ka loaʻa ʻana o ke kaupaona. Hoʻopili kēia mau lāʻau:

• amitriptyline (Elavil)
• amoxapine
• desipramine (Norpramin)
• doxepin (Adapin)
• imipramine (Tofranil-PM)
• nortriptyline (Pamelor)
• protriptyline (Vivactil)
• trimipramine (Surmontil)

ʻO TCA kekahi o nā lāʻau mua i ʻae ʻia e mālama i ke kaumaha. ʻAʻole lākou i kuhikuhi pinepine ʻia no ka mea ʻo nā hoʻoponopono hou ka mea e hōʻemi ai i nā hopena ʻaoʻao.

ʻO ke kaupaona ke kumu maʻamau o ka hooki ʻana o ka poʻe i ka mālama ʻana me kēia ʻano antidepressants, e like me kahi noiʻi 1984.

Eia nō naʻe, hiki i nā TCA ke maikaʻi i ka poʻe i pane ʻole i nā ʻano lāʻau antidepressant ʻē aʻe, ʻoiai nā hopena ʻaoʻao i makemake ʻole ʻia.

2. Kekahi mau mea hoʻohoka monoamine oxidase (MAOI)

ʻO nā monoamine oxidase (MAOI) ka papa mua o nā antidepressants e hoʻomohala ʻia. ʻO MAOI ke kumu o ke kaupaona ʻana:

• phenelzine (Nardil)
• isocarboxazid (Marplan)
• tranylcypromine (Parnate)

Kau pinepine nā kauka iā MAOI ke hana ʻole nā ​​antidepressants ʻē aʻe ma muli o kekahi mau hopena a me nā hopohopo palekana. ʻO nā MAOI ʻekolu i helu ʻia ma luna, ʻo phenelzine ka mea e hopena i ka loaʻa ʻana o ke kaupaona, e like me kahi 1988.

Eia nō naʻe, ua hōʻike ʻia kahi hana hou o kahi MAOI i ʻike ʻia ʻo selegiline (Emsam) i hopena i ka pohō kaumaha i ka wā o ka mālama ʻana. ʻO Emsam kahi lāʻau transdermal i hoʻopili ʻia i ka ʻili me kahi pāʻina.

3. Hoʻohana wā lōʻihi o kekahi mau selponin reuptake inhibitors (SSRI)

ʻO SSRI ka papa i kuhikuhi pinepine ʻia o nā lāʻau kaumaha. ʻO ka hoʻohana wā lōʻihi o nā SSRI aʻe e hiki ke kumu i ka waiwai.

• paroxetine (Paxil, Pexeva, Brisdelle)
• sertraline (Zoloft)
• fluoxetine (Prozac)
• citalopram (Celexa)

ʻOiai pili kekahi mau SSRI me ka pohō kaumaha i ka mua, pili lōʻihi ka hoʻohana ʻana o SSRI i ka loaʻa kālā. Manaʻo ʻia ka hoʻohana wā lōʻihi no ka mālama ʻana i ʻoi aku ka lōʻihi ma mua o ʻeono mau mahina.

No nā SSRI i helu ʻia ma luna, pili pinepine ka paroxetine me ka loaʻa ʻana o ke kaupaona me ka hoʻohana lōʻihi a me ka wā pōkole.

4. ʻO kekahi antidepressants atypical

ʻO Mirtazapine (Remeron) kahi mea hoʻokūkū noradrenergic, kahi ʻano antidepressant atypical. ʻOi aku ka hopena o ka lāʻau i ke kaupaona ʻana a hoʻonui i ka makemake ma mua o nā lāʻau ʻē aʻe.

ʻO Mirtazapine ka mea liʻiliʻi e hoʻonui i ka kaumaha o ka poʻe ke hoʻohālikelike ʻia me TCAs.

ʻAʻole ia ka hopena i nā hopena ʻē aʻe e like me nā antidepressants ʻē aʻe. Eia naʻe, hiki iā ia ke kumu:

• nausea
• ka luaʻi
• moe kolohe

ʻO nā Antidepressants ka mea i hōʻemi i ka loaʻa ʻana o ke kaumaha

Ua hoʻopili ʻia nā antidepressants ʻē aʻe me ka loaʻa ʻana o ke kaupaona liʻiliʻi e like me ka hopena. Hoʻopili kēia mau antidepressants:

• escitalopram (Lexapro, Cipralex), kahi SSRI
• duloxetine (Cymbalta), kahi mea hoʻokiʻiliʻi hou a serotonin-norepinephrine (SNRI), i kumu e loaʻa ai ke kaupaona haʻahaʻa
• bupropion (Wellbutrin, Forfivo, a me Aplenzin), kahi antidepressant atypical
• nefazodone (Serzone), kahi antagonist serotonin a me ka mea hōʻoki hou
• venlafaxine (Effexor) a me venlafaxine ER (Effexor XR), ʻo ia nā SNRI ʻelua.
• desvenlafaxine (Pristiq), kahi SNRI
• levomilnacipran (Fetzima), kahi SNRI
• vilazodone (Viibryd), kahi antidepressant serotonergic
• vortioxetine (Trintellix), kahi antidepressant atypical
• selegiline (Emsam), kahi MAOI hou hou āu e hoʻopili ai i kou ʻili, i alakaʻi ʻia ai i nā hopena ʻē aʻe ma mua o nā MAOI i lawe ʻia e ka waha.

ʻAʻole hiki ke loaʻa ke kaupaona me nā SSRI e hiki mai ana ke hoʻohana ʻia lākou ma lalo o ʻeono mau mahina.

• sertraline (Zoloft)
• fluoxetine (Prozac)
• citalopram (Celexa)

ʻO ka lawe lawe ʻana

ʻAʻole ka poʻe e lawe i kahi antidepressant e hoʻonui i ka paona. E lilo maoli kekahi poʻe i ka kaumaha.

Hoʻomaopopo ka poʻe loea i nā hopohopo e pili ana i ka loaʻa ʻana o ke kaumaha ʻaʻole pono e hoʻohuli i ka koho o antidepressant no ka hapa nui o ka poʻe. Aia kekahi mau hopena ʻē aʻe a me nā mea e noʻonoʻo ai i ke koho ʻana i kahi antidepressant.

Inā loaʻa iā ʻoe kahi kaupaona ke lawe ʻoe i kahi antidepressant, ʻaʻole paha ka lāʻau i kumu pololei o ka loaʻa kaumaha. ʻO kahi ʻano hoʻomaikaʻi i ka wā e lawe ana i kahi antidepressant, no ka laʻana, hiki ke hoʻonui i kou makemake, e alakaʻi ana i ka loaʻa kaumaha.

Mai hōʻoki i ka lawe ʻana i kāu lāʻau i kēia manawa ʻoiai inā loaʻa iki kahi kaupaona. Pono ʻoe e hana pū me kāu kauka e ʻike i kahi antidepressant e kōkua me kāu mau hōʻailona kaumaha a ʻaʻole hopena i nā hopena ʻaoʻao i makemake ʻole ʻia. Lawe iki paha kēia i ke ahonui.

Hiki i kāu kauka ke hāʻawi iā ʻoe i kekahi mau ʻōlelo aʻoaʻo no ka pale ʻana i ka loaʻa kaumaha ma ke ʻano antidepressant therapy.