Depression ang chi rilru lam natna damdawi i ei rei tawh em? Tunah chuan i rilru a hahdam tawh hle a, damdawi chu tapering off i ngaihtuah tawh a, mahse i ngaihtuah angin a awlsam lo. Damdawi tihtawp avanga harsatna mak tak tak lo awm thinte hian a ti buai che em? Tichuan he thuziak hi i tan a pawimawh hle ang. Hemi chungchang hi chipchiar takin sawi ila.
Hmeichhe pakhat Morgan Stewart-a chanchin hi han ngaihtuah teh. Kum tam tak chhung chu depression damdawi a ei tawh a ni. Damdawi pakhat Sertraline (brand name Zoloft) tih chu a ei a. Hun engemaw chen hnuah chuan a mood a ṭhat avangin damdawi ei chu a chawlhsan a ngai tih a hre ta a. A doctor chuan vawi khatah tihtawp vek emaw, him lam pan tur chuan damdawi chu taper off emaw turin a hrilh a. Morgan chuan a hnuhnung zawk hi a thlang ta a ni.
Mahse kar tlemte chhung chu 50 mg pill chu a chanveah a tihhniam hnuah chuan symptom mak tak tak a nei tan ta a ni. Sawifiah theih loh khawpa thinlung na rang tak, luak chhuak, a beng ri, lu na nasa tak, leh mut theih lohna . Damdawi a chawlhsan vek hnu thla khat emaw thla hnih emaw hnuah a dinhmun chu a chhe zual sauh sauh a. A thu thei lo va, a muhil tha thei lo va, a hmangaih emaw, amah emaw tihnat tumna ngaihtuahna inrawlh tak tak a nei tan ta a ni.
Thil a chhe lutuk a, Morgan hian ni engemaw zat chu rilru lam damdawi inah pawh a awm ta a ni. Chutah chuan hei hi a depression lo kir leh ni lovin, damdawi ei tihtawp avanga lo awm withdrawal symptoms a ni tih a hrechhuak ta a ni. Doctor-te chuan hengte hi ``discontinuation symptoms'' tiin an sawi. Mahse, an chunga tih tur dik tak chu tumahin an hre lo. A tawpah chuan heng symptom tharte control nan hian damdawi pahnih (``Clonazepam`` leh ``Buspirone``) an pe leh ta a ni. A tawpah chuan damdawi pakhat chu a chawlhsan thei ta a, damdawi pahnih dang, tihtawp harsa tak tak a ei leh ta a ni. Mahse, Internet-a thu a zawn lai khan Morgan-a chuan he hmanraw thar hi scientific basis hmanga ``Hyperbolic Tapering`` tih chu a hre ta a ni.
Engvangin nge a chang chuan damdawi ei tlem dan pangngaia tihhniam hi a dik lo?
Zirna thenkhatah chuan antidepressant ei tawh lo zinga 30% leh 40% inkar chuan withdrawal symptoms level engemaw zat an nei thei a ni. Kum khat chuang zet heng damdawi ei tawhte hian an ei tawh loh chuan side effect na tak a thlen theihna a sang hle.
Buaina chu doctor tam takin damdawi tihtlem nan an hman danah a awm a ni. Chu chu ``linear tapering'' an ti a ni.A awlsam zawngin, hei hian kar tin emaw thla tin emaw damdawi dose chu a zat inang tihhniam a huam a ni . Entirnan, kar tin milligram 10 vel tihtlem.
"Mahse, he hmanrua hi hun rei tak chhunga damdawi ei tawh tan chuan a rang lutuk a ni," tiin London-a doctor leh zirchiangtu Dr. Mark Horowitz chuan a sawi. "Hetiang hlauhawmna hi damdawi ei kha tihtawp vek a nih dawn lai hian a sang hle a ni."
Hetiang hian a sawifiah a ni: Mi pakhatin damdawi `(Lexapro)` milligram 20 a ei lai han mitthla teh. 5 atanga 0 a tihhniam hian thluak tan 20 atanga 15 a tihhniam aiin a let sawmhnih velin a chak zawkin a hria a, lungpui atanga zuang thla ang mai a ni. Doctor-te tan chuan 5mg hi dose tlemte angin lang mahse, a pill lian leh te hi a pawimawh lo va, thluaka a nghawng dan a ni.
Chuvangin damdawi i tihtlem hmasak ber hian harsatna lian tham angin a lang lo. Mahse milligram hnuhnung ber i tihtlem chuan "hell" ang maiin a lang thei. Doctor-te chuan hei hi an hriat loh chuan, "He damlo hi a lo let leh ta," an ti mai thei.
Doctor pakhat mimal thil tawn
Dr. Horowitz hian hei hi a hre chiang hle a, a chhan chu amah ngei pawhin a lo tawng tawh a ni. Kum 12 chhung zet a lo ei tawh damdawi Lexapro a ei tawh loh zauh zauh chuan ani pawh hian side effect na tak tak a tawk a, mahni intihhlum tumna pawh a nei tel bawk. "Ka nunah ka tawn tawh zawng zawng zingah chuan a hlauhawm ber a ni," a ti.
He thil tawn hnu hian he thu hi ngun takin a ngaihtuah tan ta a ni. He damdawi a ei tawh loh huna a natna lan chhuah dan tur chu uluk takin a zirchiang a.
| Discontinuation Symptoms a awm thei | |
|---|---|
| A lan chhuah dan tlangpui | Symptoms tlemte chauh a awm |
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Hetiang method Hyperbolic Tapering an tih hi eng science nge ni?
A awlsam zawngin sawi ila, ``Hyperbolic Tapering`` tih hi damdawi pakhat dose tihhniam zauh zauh a, tihhniam zauh zauh a, tihhniam belh zel dan a ni. Hei hi thla tam tak, a chang chuan kum tam tak chhunga thil thleng slow tak a ni.
Entirnan, mi pakhat damdawi ei zat chu thla tin 10%-in tihhniam theih a ni . Mahse, he 10% hi tun hnai ber, dose tihhniam atanga chhut a ni. Chuvangin damdawi hman zat tihtlem a nih chuan a tihtlem zat pawh a tlem chho zel a ni. Research atanga a lan dan chuan he method hi depression, insomnia, anxiety, leh rilru natna dang damdawi tihtawp nan te, natna dang damdawi tihtawp nan te pawh hlawhtling takin hman theih a ni.
Mahse hei hi tih a awlsam lo. Hemi kawngah hian harsatna lian tak pahnih a awm a, chungte chu:
1. Doctor hriatna nei tak zawn: Hetiang tih dan hre chiang tak leh i duh ang ruahmanna siam thei doctor hmuh a harsa hle.
2. Dose tlem tak tak lak: Damdawi company te hian hetiang dose tlem te hian pill an siam lo. Chuvangin damdawi tui hman emaw, heng dose te te hi compounding pharmacy kaltlangin siam tir emaw i ngai a ni. Heng pahnih hi a man to thei hle.
Engtiang chiahin nge he method hi a tul tak tak? Engvangin nge kan doctor-te hian an hriat belh loh?
Mithiam thenkhat chuan he ``Hyperbolic Tapering'' tih dan hi natna khirh tak nei mi tlemte tan chauh a tul niin an sawi a, mi tam zawk tan chuan damdawi ei dan pangngaia tihtawp a nih chuan a natna lan chhuah dan hi a na lo hle a, a mah chauhin a bo vek niin an sawi bawk.
Mahse Dr. Horowitz chuan a pawm lo. Ani chuan, "Hei hi minority problem a ni lo," a ti. A zirchianna atanga a lan dan chuan kum hnih aia tam damdawi ei thin mi pasarih (1/7) zinga pakhat chuan side effect na tak a nei thin.
Buaina ber chu Doctor tam tak hemi kawngah hian training mumal an neih loh vang a ni. A side effects chu a na lo hle a, ni engemaw zat hnuah a bo dawn tih zirtir an ni. Chuvangin, damlo a rawn lut a, symptom na tak tak a neih thu a complain chuan, "Hei hi withdrawal a ni lo, i rilru natna chu a lo let leh tawh," tiin an ngaihtuah thin. Tichuan damlo chu damdawi an ei leh ta a.
Hetiang mi sang tam takin anmahni tana solution zawng tura online an kal hian kan medical system chhungah khawi emaw laiah hlawhchhamna lian tak a awm tihna a ni.
Hei vang hian damlo tam takin online group an siam a, an harsatna chungchang sawiin a chinfel dan tur an zawng a, a chhan chu an doctor ten an ngaih pawimawh loh vang a ni.
'Mumang atanga harh ang maiin'.
Vawiin hian Morgan chuan "mumang chhia aṭanga harh chhuak" ang maiin a inhria tih a sawi. A doctor chuan he kalphung thar hi a thlawp lo va, hemi lama training nei doctor dang hnenah tanpuina a zawng ta a ni.
A damdawi chu in lamah a buatsaih a. Pill chu tuiah a hmin a, syringe hmangin nitin milliliter engzat nge a ei tur tih chiang takin a teh a. Mahse hei hi risky tak leh challenging tak a ni. Thla 15 chhung zet chu hetiang hian a ti a, Clonazepam ei hi side effect thar awm lovin a chawlhsan thei ta a ni.
Pawimawh: Heng thilte hi mahni chauha enchhin hi a hlauhawm hle . Heng thilte hi he thil hre chiangtu doctor enkawlna hnuaiah chauh tih hi i ngaihtuah ngei tur a ni. Dose tihsual hian nghawng na tak a nei thei a ni.
Morgan chuan a nun chu hlimnain a khat leh ta tih a sawi. "Tun ah chuan ka zalen tawh a ni," a ti. "Ka awmna hmun ngaihtuah chuan thilmak a ni."
Take-Home Thuchah a ni
- Rilru natna, lungngaihna ang chi damdawi rei tak ei tihtawp hian mi thenkhat chuan side effect na tak tak (discontinuation symptoms) an nei thei a ni.
- Doctor tam takin an zawm dan standard method (linear tapering) hian mi zawng zawng tan a thawk tha lo a, a bik takin damdawi ei rei tawhte tan chuan a thawk tha lo hle.
- Hyperbolic Tapering hi damdawi hman zat tihtlem nan hmanraw him tak a ni a, zawi zawiin, a tlem hle a, thla emaw kum emaw chhungin tihtlem a ni.
- Damdawi ei kha titawp ngai suh, doctor nen inbiakna nei lovin mahni chauhin a dose thlak ngai suh.
- I damdawi ei khap harsa i tih chuan i doctor nen he Hyperbolic Tapering method chungchang hi sawipui rawh. A hre lo mai thei, mahse he zirchianna thar chungchang sawi hian a chinfel dan tur i hmu thei ang.
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