Paxil (paroxetine) inonzi SSRI inodzvinyirira yakatangwa muna 1992 naGlaxoSmithKline. Paxil ndiye wokutanga anonzi SSRI anogamuchirwa kuti apiwe chirwere chinotyisa muUnited States. Paxil inowanika mune imwechete yakafanana, paroxetine, uye inoratidzwa mukurapa kwe:
- panic disorder pamwe kana kuti pasina agoraphobia
- chinetso chikuru chekuora mwoyo
- kuora mwoyo-kusagadzikana kwepfungwa (OCD)
- kushungurudzika kwehutano dambudziko
- generalized anxiety disorder
Dosage Information
Paxil, uye iyo yakafanana yakafanana, paroxetine, inogadzirwa mumapuranga ane 10, 20, 30, uye 40 mg. Inowanikwawo mumvura inogadzirisa sarudzo. Chiremba wako angatanga kutanga kurapa nehana yakaderera iyo inogona kuwedzera kana zviratidzo zvako zvisingavandudzi. Kutanga pamutengo wakaderera kunogonawo kuderedza mamwe emigumisiro iyi nokuti inopa muviri wako nguva yekugadzirisa mishonga. Paxil (paroxetine) inowanzotorwa kamwe chete zuva rimwe nerimwe uye inogona kutorwa kana pasina kudya.
Paxil CR inomira-yakasunungurwa inoshandiswa inoshanda nekutora nhengo imwe chete inobata mumuviri masikati. Paxil CR inogadzirwa mumatafura e12.5, 25, uye 37.5 mg.
Migumisiro Yechiri
Mimwe yemigumisiro yakazara inobatanidza nePaxil therapy inosanganisira:
- Kushaya simba
- Kukurova
- Chizutu
- Nausea
- Kufunganya kana kutya
- Dry mouth
- Kunyunyuta
- Kuvhara kana kubuda
- Kuwedzera kwekutuka
- Yakaderedza libido, erectile kusagadzikana, kukanganisa / kutadza kana kushaya kana kutadza.
Vamwe vanhu vanoona kuderedzwa mune zvimwe zvemigumisiro mushure mokunge vari pamishonga kwenguva. Kana vakaramba vachivhiringidza, zvakadaro, iwe unofanira kubvunza chiremba wako.
Kana iwe uchinge uine chero humwe humwe hunotevera husingawanzovi nemigumisiro, unofanira kudana chiremba wako pakarepo:
- Kushungurudzika kana kutsamwa
- Kusagadzikana
- Kushushikana
- Kunyengera
- Kutuka
- Matambudziko ekuyeuka
Iwe unofanirwa kuwana chirwere chekukurumidzira kana iwe uchiona chimwe chezvinhu zvinotevera zvisingaiti, asi zvakakomba, migumisiro miviri:
- Allergic reaction - kunetseka kufema; kuzvimba kwechiso chenyu, miromo kana rurimi kana kuoma kukumedza.
- Kugumburwa
- Zvinetso nekuenzanisa kana kubatana
- Kusanganiswa
- Hallucinations
- Kushandura kana kusina kuchena kwemwoyo
- Kupera
- Kuzviuraya pfungwa
Iyi haisi yega migumisiro yechirwere inogona kuwanikwa neparoxetine. Iwe unofanirwa kuudza chero zvipingamupinyi zvinoshungurudza kune chiremba wako kana mumwe unyanzvi hwehutano.
Kwenguva yakareba sei paxil inotanga kushanda
Vamwe vanhu vanoona kuwedzera kwezviratidzo mukati mevhiki imwe chete kana maviri yekutanga paroxetine. Zvose zvinopedza kurapa, zvisinei, zvingasawanike kwevhiki dzinenge masere.
Pane Paxil Addictive?
Paxil haatendi kuti ari muropa kana kuti tsika.
Kana Iwe Usingadi Dose
Tora murasi unoshayiwa nokukurumidza paunenge uchiyeuka kunze kwekunge yava nguva yekutora nhamba yako inotevera. Usatora Paxil yakawanda kuti uite murasi unoshaiwa.
Kuchengetedza nekupikisa
Kuberekwa . Zvidzidzo zvenguva pfupi zvakabatanidza Paxil kune ngozi yakawanda yekuremererwa kwekuberekwa, kunyanya kukanganiswa kwemwoyo kana kutorwa munguva yekutanga kwekutanga kwekuita pamuviri.
Zvimwe zvezviremera izvi zvinyoro uye zvinogadzirisa pasina kupindira, asi zvimwe zvingave zvakakomba. Izvo zvave zvataurwawo kuti kuisa maSRR panguva yekudzivirira kwekupedzisira kunogona kuwedzera njodzi yekuramba yakasuruvara yeupempa, chirwere chakakomba chemapapu, mumucheche.
Kana iwe uchiyamwisa kana uri nepamuviri, zvakanakisisa kukurukura nezvengozi uye zvigaro zvehutano hwe SSRI nechiremba wako.
NSAIDs kana Aspirin . Kushandisa Paxil neNSAIDs kana aspirin kunogona kusanganiswa nehuwandu hwekubuda ropa.
Chiropa Chirwere . Usati watora Paxil, udza chiremba wako kana iwe usina simba rechiropa basa. Zvichienderana nehutano hwako, chiremba wako angada kuchinja mazamu ako uye kuita zvimwe zviedzo apo paPaxil therapy.
Doro . Kunwa doro nePaxil kunofanira kudziviswa.
Iyi nhamba haisi yose-inosanganisira. Mamwe mapindiro emishonga inofanira kudziviswa uye nyaya dzezvehutano uyo chiremba angada kuongorora. Iva nechokwadi chekutaurira chiremba wako nezvemishonga yose, kusanganisira pamusoro pe-zvinodhaka zvinodhaka uye zvinowedzera, uri kutora usati watanga paroxetine.
Serotonin Syndrome
Chero hupi hweHIV rinodzvinyirira huine ngozi yekugadzirisa chirwere chinotyisa chinonzi serotonin syndrome . Izvi zvisingawanzogadzirika zvinowanzova mugumisiro wekubatana kweviri kana kupfuura zvinodhaka zvinokanganisa uropi hwe serotonin. Kunyangwe zvimwe zve-the-counter supplements, zvakadai saSt. John's Wort, zvinogona kuguma neserotonin syndrome kana yakasanganiswa neSRRIs.
Kukurukurirana kunotambudza kunosanganisa SSRIs nekirasi yevanorwisa mweya inonzi "monoamine oxidase inhibitors" (MAOIs), iyo isingafaniri kutorwa ne SSRIs. Zvinokurudzirwa kuti Paxil inodzivirirwa kwevhiki mbiri mushure mekunge kana mushure mokushandisa MAOI.
SSRI Discontinuation Syndrome
Usati warega Paxil, taura nachiremba wako. Vamwe vanhu vakarondedzera kubvisa-sezvinoita zviratidzo apo kuderedza kana kumisa chirwere che SSRI. Zvinotendwa kuti zviratidzo izvi ndezvikonzero zvehuropi huri kuedza kugadzirisa maitiro e serotonin mushure mekuchinja kwekunze.
Zviratidzo zvinogona kuitika panguva yekuregererwa kwemishonga ye SSRI inosanganisira:
- Nausea
- Headache
- Muscle Aches
- Chizutu
- Kushamiswa kwegetsi-kufanana kunonzwa mumutsipa nemusoro
Kunyange zvazvo zviratidzo zvose izvi zvisingatendi kuti zvine ngozi, zvinogona kunge zvichitsamwisa. Paunorega SSRI, chiremba wako angakupa purogiramu yekudzikisa zvishoma nezvishoma kuti urege kudzivirirwa-sezviratidzo.
FDA Black Black Warning
Kushamwaridzana kwekuwedzera kuzviuraya , kunyanya pakati pevechiri kuyaruka vane SSRI kurapwa, kwave kuri nzvimbo yekucherechedza nekukakavara mumakore achangopfuura. Mukupindura kwezvinokonzerwa munyaya dzekutsvaga uye nedzimwe tsvakurudzo, US Food and Drug Administration (FDA) yakabudisa mushumo muna 2007. FDA yakaronga kuti vanoiti vemishonga yose inodzvinyirira vanoratidza nyevero pamiti yavo yezvimwe zvinogona kuwedzera mungozi yekuzviuraya kufunga uye mufambiro kuvakuru vechidiki, vane makore 18 kusvika ku24, panguva yekurapa kwokutanga.
Sources:
> Anodzvinyirira Anoshandisa Vana, Adolescents, uye Vakwegura. Zvarongororwa kuChina Kubata. US Food and Drug Administration. May 2, 2007.
> RxList. Zoloft. 09 Gumiguru 2008.