Yu dɔn de tek mɛrɛsin fɔ wan mental kɔndishɔn lɛk pwɛl hat fɔ lɔng tɛm? Naw we yu de fil fayn pasmak, yu dɔn tink bɔt fɔ tap di mɛrɛsin, bɔt i nɔ bin izi lɛk aw yu bin de tink. Yu dɔn kɔnfyus wit di strenj prɔblɛm dɛn we kin kam we yu stɔp di mɛrɛsin? Dɔn dis atikul go rili impɔtant to yu. Lɛ wi tɔk bɔt dis ditayli.
Tink bɔt wan uman we nem Mɔgan Styuat in stori. I bin dɔn de tek mɛrɛsin fɔ pwɛl at fɔ lɔng lɔng tɛm. I bin de tek wan mɛrɛsin we dɛn kɔl Sertraline (brand nem Zoloft). Afta sɔm tɛm, i disayd se i nid fɔ stɔp fɔ tek di mɛrɛsin bikɔs in maynd de go bifo. In dɔktɔ tɛl am fɔ stɔp am wan tɛm ɔ fɔ de na di say we sef, fɔ taper di mɛrɛsin. Morgan bin pik di las wan.
Bɔt afta sɔm wiks we i dɔn ridyus di 50 mg pil to af, i bigin fɔ gɛt strenj sayn dɛn. Wan at bit kwik kwik wan we i nɔ ebul fɔ ɛksplen, in ed kin tɔn, in yes kin ring, in ed kin at bad bad wan, ɛn i nɔ kin ebul fɔ slip . Wan ɔ tu mɔnt afta we i dɔn stɔp di mɛrɛsin kpatakpata, in sik bin wɔs. I nɔ bin ebul fɔ sidɔm, i nɔ bin ebul fɔ slip fayn, ɛn i bin bigin fɔ tink bɔt fɔ du bad to pɔsin we i lɛk ɔ insɛf.
Tin bin so bad dat Mɔgan bin ivin spɛn sɔm dez na wan ɔspitul usay dɛn de mɛn pipul dɛn we gɛt maynd prɔblɛm. Na de i kam fɔ no se dis nɔto in pwɛl at we de kam bak, bɔt na di sayn dɛn we i kin gɛt we i lɛf fɔ tek di mɛrɛsin. Dɔktɔ dɛn kin kɔl dɛn tin ya ``diskɔntinyueshɔn simptom dɛm''. Bɔt nɔbɔdi nɔ bin no di rayt tin fɔ du bɔt dɛn. Afta sɔm tɛm, dɛn gi am tu ɔda mɛrɛsin (``Clonazepam`` ɛn ``Buspirone``) fɔ kɔntrol dɛn nyu sik ya. Fɔ dɔn, i bin ebul fɔ stɔp wan mɛrɛsin ɛn i bin stɔp pan tu ɔda mɛrɛsin dɛn we nɔ bin izi fɔ stɔp. Bɔt na we dɛn bin de luk fɔ infɔmeshɔn na di intanɛt na in Mɔgan lan bɔt dis nyu we wit sayɛns we dɛn kɔl ``Hyperbolic Tapering``.
Wetin mek sɔntɛnde i nɔ fayn fɔ ridyus di mɛrɛsin di we aw dɛn kin tek am?
Sɔm stɔdi dɔn sho, bitwin 30% ɛn 40% pan di pipul dɛm wae kin stɔp fɔ tek antidipreshan kin gɛt sɔm lɛvɛl wae dɛn kin gɛt sɔm kayn sik wae dɛn kin gɛt fɔ lɛf fɔ tek mɛrɛsin. Di risk fɔ gɛt siriɔs sayd ɛfɛkt kin bɔku mɔ if pipul dɛn we dɔn de tek dɛn mɛrɛsin ya fɔ pas wan ia dɔn stɔp.
Di prɔblɛm de pan di we aw bɔku dɔktɔ dɛn kin yuz fɔ ridyus di mɛrɛsin. Dɛn kɔl am ``linear tapering.'' Fɔ tɔk am simpul wan, dis involv fɔ ridyus di doz fɔ mɛrɛsin bay di sem amɔnt ɛvri wik ɔ mɔnt . Fɔ ɛgzampul, fɔ ridyus am bay lɛk 10 miligram ɛvri wik.
Dɔktɔ Mak Ɔrowitz, we na dɔktɔ ɛn risachman we de na Lɔndɔn, bin tɔk se: “Bɔt dis we ya kin tu kwik fɔ pɔsin we dɔn de tek di mɛrɛsin fɔ lɔng tɛm.” "Dis risk kin pasmak we dɛn de kam fɔ stɔp di mɛrɛsin ɔltogɛda."
I ɛksplen am dis we: Imajin pɔsin we de tek 20 miligram pan di drɔg `(Lexapro)`. fכ ridyus am frכm 5 to 0 i kin fil lεk twɛnti tεm strכng to di bren pas fכ ridyus am frכm 20 to 15. I tan lεk we yu jomp kכmכt na klif. Pan ɔl we 5mg kin tan lɛk smɔl doz to dɔktɔ, nɔto di sayz fɔ di pil impɔtant, na di ifɛkt we i gɛt pan di bren.
So, we yu fɔs ridyus di mɛrɛsin, i nɔ kin fil lɛk se na bɔku prɔblɛm. Bɔt we yu ridyus di las sɔm miligram, i kin fil lɛk "ɛl." We dɔktɔ dɛn nɔ no bɔt dis, dɛn kin tink se, "Dis pɔsin dɔn gɛt di sik bak."
Wan dɔktɔ in yon ɛkspiriɛns
Dɔktɔ Horowitz no dis ɔl tu gud, bikɔs insɛf dɔn pas am. We i bin stɔp fɔ tek di drɔg we dɛn kɔl Lexapro smɔl smɔl, we i bin dɔn de tek fɔ 12 ia, insɛf bin gɛt bad bad tin dɛn we kin apin to am, ɛn i bin tink se i go want fɔ kil insɛf. I se: “Na di ɛkspiriɛns we bin rili mek a fred pas ɔl di ɔda tin dɛn we a dɔn ɛva gɛt na mi layf.”
Na afta dis ɛkspiriɛns i bigin fɔ tink gud wan bɔt dis prɔblɛm. I bin tek tɛm stɔdi di sayn dɛn we go apin we i lɛf fɔ tek dis mɛrɛsin.
| Di Simptom dɛn we de sho se yu dɔn stɔp fɔ yuz am | |
|---|---|
| Di kɔmɔn sayn dɛm | Simptom dɛm we nɔ kin bɔku |
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Wetin na di sayɛns we de biɛn dis we we dɛn kɔl Hyperbolic Tapering?
Fɔ tɔk am simpul wan, ``Hyperbolic Tapering`` na wan we fɔ ridyus di doz fɔ wan mɛrɛsin smɔl smɔl, smɔl smɔl fɔ ridyus am, ɛn ridyus am mɔ. Dis na wan tin wae kin apun kwik kwik wan wae kin apun for bɔrku mɔnt, sɔmtɛm na sɔm ia.
Fɔ ɛgzampul, dɛn kin ridyus di mɛrɛsin we pɔsin de tek bay 10% ɛvri mɔnt . כltu, dεn kכl dis 10% frכm di mכst rεsεnt, rεdכks dכz. So as dɛn de ridyus di mɛrɛsin we dɛn de tek, di we aw dɛn de ridyus am de smɔl. Risach dɔn sho se dɛn kin yuz dis we fɔ stɔp fɔ tek mɛrɛsin fɔ pwɛl hat, fɔ nɔ ebul fɔ slip, fɔ wɔri, ɛn ɔda sik dɛn na in maynd, ɛn fɔ stɔp fɔ tek mɛrɛsin fɔ ɔda sik dɛn.
Bɔt dis nɔ izi fɔ du. Tu men prɔblɛm dɛn de fɔ dis:
1. Fɔ fɛn dɔktɔ we sabi du tin: I nɔ kin izi fɔ fɛn dɔktɔ we sabi bɔt dis we ɛn we go ebul fɔ mek plan we go fayn fɔ yu.
2. Fɔ gɛt rili smɔl dos: Di drɔg kɔmni dɛn nɔ de mek pils insay dis kayn smɔl dos. So yu fɔ yuz wan likwid mɛrɛsin ɔ mek dɛn mek dɛn smɔl smɔl dos ya tru wan kɔmpawnd famasi. Dɛn tu tin ya kin dia.
Aw dis we fɔ du tin rili nid fɔ du? Wetin mek wi dɔktɔ dɛn nɔ no mɔ bɔt am?
Sɔm masta sabi pipul dɛm se dis ``Hyperbolic Tapering'' we na fɔ smɔl pipul dɛm nɔmɔ we gɛt siriɔs sik, ɛn fɔ bɔku pipul dɛm, di sayn dɛm we kin apin we dɛn stɔp di mɛrɛsin di nɔmal we nɔ kin izi ɛn kin go fɔ dɛnsɛf.
Bɔt Dɔktɔ Horowitz nɔ gri wit dis. I se, "Dis nɔto mayoniti prɔblɛm." In risach dɔn sho se wan pan ɛvri sɛvin (1/7) pipul dɛm we de tek di mɛrɛsin fɔ pas tu ia kin gɛt siriɔs sayd ɛfɛkt.
Di men prɔblɛm na dat bɔku dɔktɔ dɛn nɔ tren fayn fɔ du dis. Dɛn kin tich dɛn se di sayd ɛfɛkt dɛn nɔ kin at ɛn i go dɔn insay sɔm dez. So, we pɔrsin kam insay ɛn kɔmplen bɔt siriɔs sik, dɛn kin tink se, "Dis nɔto fɔ lɛf fɔ it, yu maynd sik dɔn kam bak." Dɔn dɛn kin put di pɔsin bak pan di mɛrɛsin.
Di tru tin se bɔku bɔku pipul dɛn lɛk dis de go na di intanɛt fɔ fɛn sɔlv fɔ dɛnsɛf min se big big fɔlt dɔn de sɔmsay insay wi mɛdikal sistɛm.
Dis na di rizin we mek bɔku pasɛnt dɛn dɔn mek grup dɛn na di intanɛt fɔ tɔk bɔt dɛn prɔblɛm ɛn fɛn sɔlv, bikɔs dɛn dɔktɔ dɛn nɔ kin tek dɛn siriɔs.
'Lɛk we yu wek frɔm drim'.
Tide, Morgan se i fil lɛk se i de "wek frɔm wan bad bad drim." In dɔktɔ nɔ bin sɔpɔt dis nyu we fɔ du tin, so i bin aks ɔda dɔktɔ we bin tren fɔ du dis fɔ ɛp am.
I bin de pripia in mɛrɛsin na os. I bin sɔlv di pil insay wata, yuz sirinj, ɛn mɛzhɔ ɔmɔs mililita i nid fɔ tek ɛvride. Bɔt dis na we we rili risky ɛn we nɔ izi fɔ du. I bin du dis fɔ 15 mɔnt ɛn i bin ebul fɔ stɔp fɔ tek Klɔnazepam we i nɔ bin gɛt ɛni nyu sayd ɛfɛkt.
Impɔtant: I rili denja fɔ tray dɛn tin ya fɔ yusɛf. Yu fɔ rili jɔs tink bɔt fɔ du dɛn tin ya ɔnda di sɔpɔtishɔn fɔ dɔktɔ we no bɔt dis. If yu mistek di doz, dat kin gɛt siriɔs prɔblɛm dɛn.
Morgan se in layf ful-ɔp wit gladi-at bak. I se: “A fri naw.” "Na mirekul, we yu tink bɔt usay a bin de."
Mɛsej we dɛn kin kɛr go na os
- We sɔm pipul dɛn kin stɔp fɔ tek lɔng tɛm mɛrɛsin fɔ maynd sik lɛk pwɛl hat, sɔm pipul dɛn kin gɛt siriɔs sayd ɛfɛkt (di sayn dɛm wae dɛn kin stɔp fɔ tek mɛrɛsin).
- Di standad we (linear tapering) we bɔku dɔktɔ dɛn kin fala nɔ kin wok fɔ ɔlman, mɔ di wan dɛn we dɔn de tek di mɛrɛsin fɔ lɔng tɛm.
- Hyperbolic Tapering na wan sef we fɔ ridyus di mɛrɛsin doz rili slo, insay rili smɔl, fɔ mɔnt ɔ ia.
- Nɔ ɛva stɔp fɔ tek mɛrɛsin ɔ chenj di doz fɔ yusɛf we yu nɔ tɔk to yu dɔktɔ.
- If yu gɛt prɔblɛm fɔ stɔp yu mɛrɛsin, tɔk to yu dɔktɔ bɔt dis Hyperbolic Tapering we. Sɔntɛm i nɔ go no bɔt am, bɔt we yu tɔk bɔt dis nyu risach, dat go ɛp yu fɔ fɛn sɔlv.
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