If yu ɔ pɔsin we yu sabi gɛt pwɛl hat, yu dɔktɔ go dɔn gi yu difrɛn mɛrɛsin dɛn. Pan ɔl we dɛn kin yuz nyu mɛrɛsin dɛn bɔku tɛm dɛn tɛm ya, sɔntɛnde yu kin gɛt fɔ yuz ol mɛrɛsin dɛn, bɔt we rili impɔtant. Sɔm pipul dɛn kin gɛt rizɔlt frɔm dɛn tin ya. Tide, wi go tɔk bɔt wan pan dɛn kayn mɛrɛsin ya, we dɔn ol smɔl, bɔt we nɔ impɔtant, we na di trisayklik ɛn tetrasayklik antidipreshɔn.
Wetin na dɛn trisayklik ɛn tetrasayklik antidipreshɔn ya?
Fɔ tɔk am simpul wan, dɛn tin ya na sɔm pan di fɔs mɛrɛsin dɛn we dɛn dɔn fɛn fɔ mɛn pwɛl hat. Dɛn dɔn de yuz dɛn frɔm di ia 1950. Di difrɛns bitwin dɛn tu nem ya na dɛn kemikal strɔkchɔ. Trisayklik dɛn gɛt tri ring (tri = tri) insay dɛn kemikal strɔkchɔ, we tetrasayklik dɛn gɛt 4 ring (tetra = 4). Bɔt dɛn ɔl tu de wok na di bɔdi di sem we.
Dɔktɔ dɛn nɔ kin tɛl yu fɔ tek dɛn mɛrɛsin ya lɛk dis tɛm ya. Dis na bikɔs nyu mɛrɛsin dɛn lɛk SSRI (Selective Serotonin Reuptake Inhibitors) dɔn kam we nɔ gɛt bɔku sayd ɛfɛkt. Bɔt, imajin se yu dɔn tray pas wan nyu mɛrɛsin ɛn i nɔ wok. If na so i bi, yu dɔktɔ go tray fɔ tek wan pan dɛn ol mɛrɛsin ya.
Aw dɛn mɛrɛsin ya kin afɛkt di bren?
Spɛshal kemikal dɛn de na wi bren we de kɔntrol di we aw wi de fil. Wi kin kɔl dɛn nyurotransmitta ya. Sεrotonin εn norepinephrine na tu pan di men nyurotransmit dεm. De lɛvɛl wae dɛn kin gɛt kin smɔl na pɔrsin wae gɛt pwɛl hat sik in bren.
di trisayklik antidipreshכn dεm (TCA) de wok bay we dεn de inkrεs di lεvεl dεm fכ sεrotonin εn norepinephrine na di bren. Bɔt bikɔs dɛn mɛrɛsin ya kin afɛkt ɔda nyurotransmit dɛn bak, dɛn kin gɛt ay risk fɔ gɛt sayd ɛfɛkt pas nyu mɛrɛsin dɛn lɛk SSRI. Dɔn bak, fɔ drink pasmak kin rili denja.
| Trisayklik antidipreshan (TCA) dεm we dεn kin yuse . |
|---|
| Amitriptaylin we dɛn kɔl |
| Amoxapin we dɛn kɔl am |
| Klɔmipramin we dɛn kɔl |
| Desipramin we gɛt di sik |
| Dɔksɛpin we dɛn kɔl |
| Imipramin we dɛn kɔl imipramin |
| Nɔtriptaylin we dɛn kɔl |
| Protriptyline we dɛn kɔl |
| Trimipramin we dɛn kɔl trimipramin |
Wetin na di bad tin dɛn we dis mɛrɛsin kin du?
As wi bin dɔn tɔk, dɛn mɛrɛsin ya gɛt bɔku sayd ɛfɛkt. Na dat mek bɔku pipul dɛn nɔ want fɔ yuz dɛn. Bɔt nɔto ɔlman kin gɛt ɔl dɛn bad bad tin ya.
Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ bɔt ɛni sayd ɛfɛkt we yu gɛt. Nɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm.
Na sɔm pan di kɔmɔn sayd ɛfɛkt dɛm:
- Di we aw pɔsin kin slip
- Di vishɔn we nɔ klia
- Banbɛlɛ
- Dray mɔt
- Blɔd prɛshɔn we de drɔp we yu tinap wantɛm wantɛm we yu tinap (dis kin mek yu fil lɛk yu ed de tɔn) .
- At nɔ kin bit ɔltɛm ɔ i kin bit kwik kwik wan
- Kɔnfyushɔn na di ol pipul dɛm, mɔ if dɛn tek bɔku dos
- Nɔ ebul fɔ ɛmti urine kɔmplit wan (Urine retention) .
- I kin mek pɔsin want fɔ it mɔ ɛn dat kin mek i gɛt mɔ wet
- We pɔsin de swet
- Tremor
- We pɔsin want fɔ du mami ɛn dadi biznɛs ɔ we i nɔ want fɔ du am igen
- Pipul wae gɛt dis maynia sik kin gɛt bɔrku risk fɔ gɛt sik .
Amitriptyline, Doxepin, Imipramine, ɛn Trimipramine kin jɔs mek pɔsin slip ɛn gɛt mɔ wet. Bɔt, Nortriptyline ɛn Desipramine nɔ gɛt bɛtɛ sayd ɛfɛkt pas di ɔda wan dɛn.
Ɔda mɛdikal kɔndishɔn ɛn TCA mɛrɛsin dɛn
If yu gɛt ɛni wan pan dɛn mɛrɛsin ya, yu fɔ rili tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin.
- Glɔkoma we dɛn kɔl Glaukoma
- Prɔstat we dɔn big
- At sik
- Shuga
- Sik dɛn we kin apin na di liva
- If di mɛsentri dɔn fɔm bifo
Ɛn yusɛfIf yu gɛt bɛlɛ ɔ yu plan fɔ gɛt bɛlɛ, mek shɔ se yu tɔk to yu dɔktɔ.
Ovados ɛn di risk dɛn we i kin gɛt
Dis na di impɔtant tin we wi nid fɔ tek tɛm wit dɛn mɛrɛsin ya. Ivin smɔl ɔvados fɔ TCA kin rili denja to layf. So bɔku tɛm, dɔktɔ dɛn nɔ kin want fɔ gi dɛn mɛrɛsin ya to pɔsin we de tink se i want fɔ kil insɛf. Ivin if dɛn du am, dɛn kin gi dɛn smɔl smɔl, lɛk wan tɛm insay di wik.
| Di simptom dɛm fɔ wan TCA Ɔvados | |
|---|---|
| Di at bit we nɔ de bit ɔltɛm | Lɔw blɔd prɛshɔn (Hypotension) . |
| Di mɔt we de dray pasmak | Nɔ ebul fɔ pis |
| Fɔ blo sloslo | Tremor ɛn sik we de mek pɔsin sik |
| Kɔma | |
Atɛnshɔn: If yu tink se pɔsin dɔn tek dis mɛrɛsin tumɔs, na mɛdikal imejensi. Kɔl 1990 Ambulans Savis we yu nɔ de te, ɔ kɛr di pɔsin go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm. Dɔn bak, if i pɔsibul, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ gɛt advays. We yu de go na ɔspitul, nɔ fɔgɛt fɔ tɔk bɔt di nem fɔ di mɛrɛsin we di pɔsin dɔn tek.
Yu tink se i denja fɔ lɛf fɔ tek di mɛrɛsin wantɛm wantɛm?
Yɛs, na fɔ tru. Ilɛksɛf yu fil fayn ɔ yu de mɔna yu wit di bad tin dɛn we kin apin to yu, nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm we yu nɔ go to yu dɔktɔ.If yu du dat, yu kin gɛt bɔrku diskɔmfɔt bikɔs yu bɔdi de riakshɔn to am (withdrawal symptoms).
Dis nɔto bikɔs yu dɔn adikshɔn to di drɔg. Dis mɛrɛsin nɔ de mek pɔsin adikshɔn. Bɔt, yu bɔdi ɛn yu bren dɔn yus to da kemikal de, so we i dɔn go wantɛm wantɛm, i kin tek tɛm fɔ mek di bɔdi ajɔst.
Simptom dɛm wae kin apun wae dɛn dɔn stɔp di mɛrɛsin
- Iritability, we pɔsin kin vɛks
- Vɔmit
- We pɔsin de swet
- Bɔdi de pen, fil lɛk fiva
- Nɔ ebul slip
- Bɔdi we nɔ gɛt layf
- Ed de at
So if yu nid fɔ stɔp fɔ tek di mɛrɛsin, yu fɔ du am bay we yu de ridyus di mɛrɛsin smɔl smɔl, ɛn fala wetin yu dɔktɔ tɛl yu .
Mɛsej we dɛn kin kɛr go na os
- Tricyclic antidepressants (TCA) na wan ol klas fɔ mɛrɛsin fɔ pwɛl hat, bɔt dɛn kin rili ɛp sɔm pipul dɛm.
- Dɛn wan ya gɛt smɔl smɔl risk fɔ gɛt sayd ɛfɛkt pas di nyu mɛrɛsin dɛn. Tɔk opin wan wit yu dɔktɔ bɔt dis.
- If yu gɛt ɔda mɛrɛsin (lɛk at sik, glaukoma), mek shɔ se yu tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin.
- Nɔ ɛva stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm we yu nɔ go to yu dɔktɔ. If yu du dat, dat kin mek yu bɔdi nɔ fil fayn.
- If yu tek di mɛrɛsin pasmak, dat kin rili denja. Na wan mɛdikal imejensi. If yu saspek dis kayn tin, go na ɔspitul wantɛm wantɛm.
- Tek kia ɔf yu maynd wɛlbɔdi. Tɔk to yu dɔktɔ if yu gɛt ɛnitin fɔ wɔri bɔt.
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