He aha ka mea e hana ai inā e ho'ōki koke ʻoe i ka lawe ʻana i nā antidepressants? (Antidepressant Discontinuation Syndrome) E kamaʻilio kākou e pili ana i kēia!

Ke lawe nei paha ʻoe i nā lāʻau antidepressants no ke kaumaha a i ʻole ka hopohopo. I kekahi manawa ke manaʻo nei mākou, "ʻAuē, ua ʻoi aku ka maikaʻi o koʻu manaʻo i kēia manawa, pono wau e hoʻōki i ka lawe ʻana i kēia lāʻau." Akā, ʻo ka hoʻōki koke ʻana i kēia mau lāʻau lapaʻau hiki ke hana iā ʻoe i kekahi mau pilikia. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā.

He aha ka Antidepressant Discontinuation Syndrome?

I ka ʻōlelo maʻalahi, inā ʻoe e lawe i nā lāʻau antidepressants no ka liʻiliʻi o ʻeono pule a laila e hoʻōki koke iā lākou, a i ʻole inā ʻoe e hoʻōki iā lākou me ka ʻole o ka hoʻemi ʻana iā lākou e like me ka ʻōlelo a kāu kauka, hiki iā ʻoe ke ʻike i kēia ʻoluʻolu ʻole. Kapa kekahi poʻe i kēia 'discontinuation syndrome'. Ua kapa ʻia kēia ʻo Antidepressant Discontinuation Syndrome , a i ʻole ADS no ka pōkole.

Ma kēia kūlana (ADS), hiki iā ʻoe ke ʻike i kekahi mau hōʻailona, ​​​​e like me ka insomnia, ka nausea, a me ka manaʻo o ka nāwaliwali. Akā, mai hopohopo, e nalowale pinepine kēia mau hōʻailona i loko o ʻelua mahina. ʻAʻole kēia he mea e hōʻeha nui ai ke kino, akā hiki ke hoʻoluhi a hoʻonāukiuki. Eia kekahi, ʻo ka mea nui e hoʻomanaʻo ai, ʻo ia ka wā e hoʻōki ai ʻoe i ka lawe ʻana i nā antidepressants, hiki ke ʻike hou ʻia ke ʻano noʻonoʻo āu i lawe ai i ka lāʻau lapaʻau (no ka laʻana, ke kaumaha a i ʻole ka hopohopo).

No laila, inā ʻoe e noʻonoʻo ana e hoʻōki i ka antidepressants, pono ʻoe e kamaʻilio mua me kāu kauka . A laila hiki iā ʻoe ke hoʻāʻo e pale i kēia maʻi i kapa ʻia ʻo (ADS).

Pehea ka maʻamau o kēia kūlana (ADS)?

Ua hōʻike ʻia nā noiʻi ma waena o 27% a me 86% o ka poʻe e hoʻāʻo nei e hoʻōki i ka lawe ʻana i nā antidepressants, ma o lākou iho a i ʻole me ke aʻo ʻana a ke kauka, ʻike lākou i nā hōʻailona haʻalele (ADS). No laila, ʻike ʻoe, ʻaʻole kēia he mea i lohe ʻole ʻia.

He aha nā hōʻailona o ka Antidepressant Discontinuation Syndrome?

Hoʻomaka pinepine kēia mau hōʻailona e ʻike ʻia i loko o ʻelua a ʻehā mau lā o ka hoʻōki ʻana i ka antidepressant. Eia nā hōʻailona nui e ʻike ʻia:

• Nā hōʻailona e like me ka maʻi palū: luhi, ʻeha poʻo, ʻeha kino, a me ka hou. I kekahi manawa loaʻa paha iā ʻoe nā moeʻuhane ʻē a weliweli.
• Ka luaʻi: ​​I kekahi manawa hiki ke luaʻi pū kekahi.
• Pōniuniu a me ke poʻo māmā.
• Ke kuni ʻana, ke ʻūlū ʻana, a i ʻole nā ​​manaʻo e like me ke kuʻi uila (paresthesia) i loko o ke kino. He ʻike ʻē paha kēia.
• Nā loli o ke ʻano: Hiki ke hopohopo, ka huhū, ka hoʻomaha ʻole, a me ka huhū pū kekahi.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e ʻike i kāu kauka . Hiki ke ʻokoʻa ke koʻikoʻi o kēia mau hōʻailona mai kēlā kanaka a kēia kanaka, akā no ka hapa nui o ka poʻe, ʻaʻole lākou i koʻikoʻi loa. Ua ʻike ʻia kekahi noiʻi ʻo ka poʻe i ʻike i kēia mau hōʻailona haʻalele:

• Ua loaʻa i ka 7% nā hōʻailona no ʻelua mahina.
• Ua loaʻa i ka 6% nā hōʻailona no hoʻokahi makahiki.
• Ua loaʻa i ka 2% nā hōʻailona no nā makahiki ʻekolu a ʻoi.

No laila, hiki iā ʻoe ke ʻike, he mea lōʻihi paha kēia no kekahi poʻe.

He aha ke kumu o kēia (Antidepressant Discontinuation Syndrome)?

ʻO kaʻoiaʻiʻo, ʻaʻole maopopo loa i nā kānaka noiʻi ke kumu o kēia "Discontinuation Syndrome". Akā manaʻo lākou ua pili ia i ka emi koke ʻana o nā pae o kahi kemika i kapa ʻia ʻo "Serotonin" i loko o ka lolo ke hoʻōki koke ʻoe i ka lawe ʻana i kahi lāʻau lapaʻau e like me "SSRI - selective serotonin reuptake inhibitor" a i ʻole "SNRI - serotonin and norepinephrine reuptake inhibitors". Ke nalowale koke kēia serotonin i ko mākou kino, pane lākou ma ka hana ʻana i kēia mau hōʻailona kino a me ka noʻonoʻo.

He aha nā kumu pilikia no ka hoʻomohala ʻana i ka Antidepressant Discontinuation Syndrome?

Ke ho'ōki ʻoe i ka lawe ʻana i kahi antidepressant, ʻoi aku ka nui o kou ʻike ʻana i nā hōʻailona haʻalele (ADS) i nā kūlana aʻe:

• Inā ʻoe e hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau (me ka ʻole e hōʻemi mālie).
• Inā ua lōʻihi kou lawe ʻana i kēlā lāʻau lapaʻau (mau makahiki).
• Inā ʻoe e lawe ana i kahi mahele nui o ka antidepressant (ʻokoʻa kēia ma muli o ke ʻano o ka lāʻau lapaʻau).
• Inā ua loaʻa iā ʻoe nā hōʻailona haʻalele i ka wā i hala ʻole ai ʻoe i kahi lāʻau lapaʻau i ka wā ma mua (akā ua nalowale lākou i ka wā i lawe hou ai ʻoe i ka lāʻau lapaʻau).

Eia kekahi, hiki i ke ʻano o ka antidepressant āu e lawe ai ke hoʻonui a hoʻemi paha i kou pilikia o ADS. Pili nui kēia i ka lōʻihi o ka noho ʻana o ka lāʻau lapaʻau i loko o kou kino. ʻO nā lāʻau lapaʻau i wāwahi koke ʻia (metabolized) e ke kino e ʻoi aku ka nui o ka hana ʻana i ka ADS ma hope o ka hoʻōki ʻana ma mua o nā lāʻau lapaʻau e noho lōʻihi i loko o ke kino.

I kēia manawa, e nānā kākou i kekahi mau ʻano lāʻau lapaʻau a me ko lākou mau pae pilikia:

Nā pae pilikia no nā lāʻau SSRI:

• Nā lāʻau lapaʻau me ka pilikia kiʻekiʻe no (ADS): `(Paroxetine)` (kūʻai ʻia aku ʻo ``Paxil®``, ``Pexeva®``) a me ``(fluvoxamine)``.
• Nā lāʻau lapaʻau me ka pilikia kūpono no (ADS): `(Citalopram)` (`Celexa®`), `(escitalopram)` (`Lexapro®`) a me `(sertraline)` (`Zoloft®`).
• Lāʻau lapaʻau haʻahaʻa no (ADS): `(Fluoxetine)` (`Prozac®`).

Nā pae pilikia no nā lāʻau lapaʻau ʻano (SNRI):

• Nā lāʻau lapaʻau me ka pilikia kiʻekiʻe no (ADS): `(Venlafaxine)` (`Effexor®`) a me `(desvenlafaxine)` (`Khedezla®`, `Pristiq®`).
• Nā lāʻau lapaʻau me ka pilikia waena no (ADS): `(Duloxetine)` (`Cymbalta®`, `Drizalma®`, `Irenka®`).
• Nā lāʻau lapaʻau me ka pilikia haʻahaʻa no (ADS): `(Milnacipran)` (`Savella®`) a me `(levomilnacipran)` (`Fetzima®`).

Eia kekahi, ʻo `(MAOIs - monoamine oxidase inhibitors)` , `(tricyclic antidepressants)` a me `(tetracyclic antidepressants)`ʻO nā lāʻau lapaʻau ma lalo nei ua manaʻo ʻia he kiʻekiʻe loa ka pilikia no ka ASD. No laila he mea nui e ʻike i nā lāʻau lapaʻau āu e lawe nei.

He aha nā pilikia e hiki ke loaʻa mai ka Antidepressant Discontinuation Syndrome?

I kekahi mau hihia, hiki i ka hoʻōki ʻana i nā antidepressants ke hana i nā hopena ʻaoʻao koʻikoʻi. Eia nā mea nui:

• Manaʻo pepehi kanaka.
• Pepehi kanaka.
• Mania.

Inā ʻoe a i ʻole kāu keiki e loaʻa ana nā manaʻo pepehi kanaka a i ʻole nā ​​ʻano like, e ʻoluʻolu e kelepona koke i ka National Mental Health Helpline ma 1926. Aia kekahi e loaʻa ana i nā hola he 24 o ka lā e kōkua iā ʻoe. Mai hakakā me kēia mau mea hoʻokahi wale nō.

Pehea e ʻike ʻia ai kēia maʻi (Antidepressant Discontinuation Syndrome)?

ʻAʻohe hoʻokolohua lapaʻau kikoʻī e ʻike ai i ka Antidepressant Discontinuation Syndrome. Akā, e nīnau kāu kauka iā ʻoe i nā nīnau e pili ana i kāu mau hōʻailona, ​​​​kou mōʻaukala olakino, a me ka wā i hoʻōki ai ʻoe i ka lawe ʻana i kāu antidepressant.

Hiki i nā hōʻailona o ADS ke like me nā maʻi ʻē aʻe, e like me ke kaumaha a me ka hopohopo. No laila, he mea kōkua ke haʻi aku i kāu kauka i ka kikoʻī e like me ka hiki e pili ana i kāu mau hōʻailona a pehea lākou i hoʻomaka ai.

Pehea e mālama ʻia ai ka Antidepressant Discontinuation Syndrome?

ʻO ka lāʻau lapaʻau kūpono loa no kēia maʻi (ADS) ʻo ia ka hoʻomaka hou ʻana i ka antidepressant ma ka nui like me ma mua . Hoʻopau pinepine kēia i kāu mau hōʻailona i loko o 24 mau hola. Eia nō naʻe, inā makemake ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, e hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī no ka hoʻēmi mālie ʻana i ka nui a hoʻōki.

Ma muli o ke koʻikoʻi o kāu mau hōʻailona a me ka lōʻihi o ko lākou mau ʻana, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau ʻē aʻe e kōkua i ka kaohi ʻana iā lākou. Eia kekahi laʻana:

• Nā lāʻau hoʻopau ʻeha no ke poʻo ʻeha, e like me "Ibuprofen" a i ʻole "acetaminophen".
• ʻO kekahi mea e like me ka "ondansetron" (kūʻai ʻia ʻo "Zofran®"), he lāʻau lapaʻau hoʻēmi i ka nausea .
• Nā lāʻau lapaʻau e like me '(hydroxyzine)' a i ʻole '(benzodiazepines)' no ka hopohopo a me ka hiamoe ʻole.

He aha ka nānā ʻana no ke kūlana (Antidepressant Discontinuation Syndrome)?

ʻOkoʻa ka nānā ʻana no kēia maʻi (ADS). ʻAʻole koʻikoʻi ka hapa nui o nā hihia a ʻaʻole i ʻoi aku ma mua o ʻewalu pule. Eia nō naʻe, hiki i kekahi mau hihia ke koʻikoʻi a hiki i nā hōʻailona ke mau no hoʻokahi makahiki a ʻoi aku paha. ʻO ia ke kumu he mea nui e ʻimi i ka ʻōlelo aʻo lapaʻau.

Pehea mākou e pale aku ai i kēia (Antidepressant Discontinuation Syndrome)?

ʻO ka mea pōʻino, ʻaʻole hiki ke pale ʻia kēia "Antidepressant Discontinuation Syndrome (ADS)". Eia nō naʻe, ʻo ka mea nui loa āu e hiki ai ke hana e pale aku ai, ʻo ia ke kamaʻilio me kāu kauka ma mua o ka hoʻōki ʻana i kāu antidepressant. ʻO ka hoʻōki palekana ʻana i nā antidepressants hiki ke lilo i kaʻina hana e hoʻopau manawa ai - pono paha ʻoe e hoʻemi mālie i kāu mahele i ka hala ʻana o ka manawa.

He ʻokoʻa kēlā me kēia antidepressant, no laila ʻo ke kanaka maikaʻi loa e kōkua iā ʻoe e hoʻōki i ka lawe ʻana iā ia ʻo kāu kauka. E haʻi pololei ʻo ia iā ʻoe pehea e hana ai i kēia me ka palekana.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, no laila, ʻo ka ʻoluʻolu ʻole o ka hoʻōki ʻana i nā antidepressants, i ʻike ʻia ʻo "Antidepressant Discontinuation Syndrome (ADS)", hiki ke lilo i mea ʻoluʻolu ʻole loa. ʻO ke ala maikaʻi loa e pale aku ai, ʻo ia ka hōʻemi mālie a hoʻōki i kāu lāʻau antidepressant ma lalo o ke alakaʻi a kāu kauka.

E hoʻomanaʻo, inā he mau nīnau a hopohopo paha kāu e pili ana i kāu lāʻau lapaʻau, e kamaʻilio me kāu kauka. Aia lākou ma laila e kōkua iā ʻoe.

He mea kōkua nui nā lāʻau lapaʻau iā kākou inā hoʻohana pono ʻia. Akā, he mea nui loa ia e ʻike kākou pehea e hoʻohana ai iā lākou a pehea e hoʻōki ai iā lākou. Manaʻolana wau ua maopopo iā ʻoe kēia. Inā he mau nīnau kāu, mai makaʻu e nīnau i ke kauka.

Nā Lāʻau Hoʻēmi i ka Manaʻo, Antidepressant Discontinuation Syndrome, ADS, Serotonin, Ola Kino, Hoʻōki Lāʻau Lapaʻau, Nā Hōʻailona