Citalopram - Siv, Li Noj, Cov Kev Mob Tshwm Sim thiab Ntau Ntxiv

Kev Taw Qhia: Citalopram yog dab tsi?

Citalopram yog ib hom tshuaj uas siv los kho kev nyuaj siab. Nws yog ib hom tshuaj uas hu ua selective serotonin reuptake inhibitors (SSRIs). Los ntawm kev ua kom cov serotonin ntau ntxiv hauv lub hlwb, Citalopram pab txhim kho kev xav, txo kev ntxhov siab, thiab txhim kho kev noj qab haus huv ntawm lub siab. Feem ntau nws yog siv rau kev nyuaj siab loj thiab paub txog nws cov txiaj ntsig zoo thiab cov teebmeem tshwm sim zoo.

Kev siv ntawm Citalopram

Citalopram feem ntau yog pom zoo rau kev kho mob ntawm kev nyuaj siab loj (MDD) rau cov neeg laus. Nws kuj tseem siv tau rau ntau yam mob, suav nrog:

• Kev Ntxhov Siab Generalized (GAD)
• Kev puas siab puas ntsws
• Kev tsis xav txawj-compulsive tsis meej (OCD)
• Kev txhawj xeeb tsis xws luag
• Posttraumatic stress disorder (PTSD)

Cov tshuaj no feem ntau raug xaiv vim nws muaj peev xwm txo cov tsos mob ntawm kev nyuaj siab thiab kev ntxhov siab, ua rau nws yog ib qho kev xaiv ntau yam hauv kev kho mob hlwb.

Yuav ua li cas Nws Tej hauj lwm

Citalopram ua haujlwm los ntawm kev xaiv txwv tsis pub rov qab nqus serotonin, ib qho neurotransmitter uas ua lub luag haujlwm tseem ceeb hauv kev tswj tus cwj pwm. Hauv cov lus yooj yim dua, nws pab kom cov serotonin theem siab dua hauv lub hlwb, uas tuaj yeem ua rau tus cwj pwm zoo dua thiab txo qhov kev ntxhov siab. Los ntawm kev tiv thaiv serotonin kom tsis txhob rov nqus sai dhau, Citalopram tso cai rau ntau serotonin siv los xa cov teeb liab ntawm cov hlwb paj hlwb, pab txhawb rau lub xeev kev xav zoo dua.

Dosage thiab Administration

Tus nqi noj tshuaj Citalopram sib txawv raws li tus neeg mob xav tau thiab tus mob uas tab tom kho.

Cov Neeg Laus:

Tus nqi pib noj yog 20 mg ib zaug ib hnub, uas yuav nce mus txog qhov siab tshaj plaws ntawm 40 mg ib hnub raws li tus kws kho mob cov lus qhia thiab tus neeg mob cov lus teb.

Pediatric Patients:

Rau cov menyuam yaus hnub nyoog 12 txog 17 xyoo, feem ntau cov tshuaj pib yog 10 mg ib zaug ib hnub, uas tuaj yeem nce mus txog qhov siab tshaj plaws ntawm 40 mg ib hnub.

Citalopram muaj nyob rau hauv daim ntawv ntsiav tshuaj thiab noj tau, nrog lossis tsis muaj zaub mov. Nws yog ib qho tseem ceeb uas yuav tsum noj cov tshuaj tib lub sijhawm txhua hnub kom tswj tau qib sib xws hauv cov ntshav.

Cov Kev Mob Tshwm Sim ntawm Citalopram

Ib yam li txhua yam tshuaj, Citalopram tuaj yeem ua rau muaj kev phiv. Cov kev phiv feem ntau muaj xws li:

• xeev siab
• qhov ncauj qhuav
• Drowsiness los yog qaug zog
• insomnia
• Tawm fws
• Kev plees kev yi

Cov kev mob tshwm sim hnyav, txawm tias tsawg dua, tuaj yeem suav nrog:

• Serotonin syndrome (cov tsos mob muaj xws li kev tsis meej pem, lub plawv dhia ceev ceev, thiab ntshav siab)
• Kev xav lossis tus cwj pwm tua tus kheej, tshwj xeeb tshaj yog rau cov tub ntxhais hluas
• Kev tsis haum tshuaj hnyav (pob liab, khaus, o)

Cov neeg mob yuav tsum hu rau lawv tus kws kho mob yog tias lawv muaj cov tsos mob hnyav lossis muaj feem cuam tshuam.

Tshuaj Kev Sib Thoob

Citalopram muaj peev xwm cuam tshuam nrog ntau yam tshuaj thiab cov tshuaj, uas yuav ua rau muaj kev pheej hmoo ntawm cov kev mob tshwm sim lossis txo nws cov txiaj ntsig. Cov kev cuam tshuam loj suav nrog:

• Lwm yam SSRIs lossis SNRIs
• Monoamine oxidase inhibitors (MAOIs)
• Qee cov tshuaj loog mob (piv txwv li, tramadol)
• Cov ntshav thinners (piv txwv li, warfarin)
• St. John's Wort

Nws yog ib qho tseem ceeb kom qhia rau koj tus kws kho mob txog txhua yam tshuaj, tshuaj, thiab tshuaj ntsuab uas koj noj kom tsis txhob muaj kev cuam tshuam.

Cov txiaj ntsig ntawm Citalopram

Citalopram muaj ntau yam zoo rau kev kho mob thiab kev siv tau:

• Kev ua haujlwm zoo: Nws tau pom tias yuav txo tau cov tsos mob ntawm kev nyuaj siab thiab kev ntxhov siab.
• Tolerability: Ntau tus neeg mob ua siab ntev rau Citalopram zoo, nrog tsawg dua cov kev phiv piv rau lwm cov tshuaj antidepressants.
• Kev noj tshuaj ib zaug ib hnub: Kev yooj yim ntawm kev noj ib koob tshuaj txhua hnub tuaj yeem txhim kho kev ua raws li kev kho mob.
• Kev siv lub sijhawm ntev: Citalopram siv tau ntev thiab muaj kev nyab xeeb, ua rau nws haum rau cov mob ntev.

Contraindications rau kev siv Citalopram

Qee tus neeg yuav tsum tsis txhob siv Citalopram, xws li:

• Cov neeg uas paub tias ua xua rau Citalopram lossis ib qho ntawm nws cov khoom xyaw.
• Cov neeg mob uas noj MAOIs lossis cov uas tau noj lawv hauv 14 hnub dhau los.
• Cov neeg uas muaj keeb kwm ntawm QT Interval ntev lossis qee yam mob plawv.

Cov poj niam cev xeeb tub lossis cov poj niam pub niam mis yuav tsum nrog lawv tus kws kho mob tham ua ntej siv Citalopram, vim nws yuav ua rau muaj kev pheej hmoo rau tus menyuam hauv plab lossis tus menyuam mos.

Ceev faj thiab Kev Ceeb Toom

Ua ntej pib siv Citalopram, cov neeg mob yuav tsum tham txog lawv keeb kwm kev kho mob nrog lawv tus kws kho mob, tshwj xeeb tshaj yog tias lawv muaj:

• Mob siab los yog mob raum
• Keeb kwm ntawm qaug dab peg
• bipolar disorder
• Keeb kwm ntawm kev quav yeeb quav tshuaj

Tej zaum yuav tsum tau saib xyuas tsis tu ncua, tshwj xeeb tshaj yog thaum lub sijhawm kho mob thawj zaug lossis thaum hloov kho cov tshuaj.

FAQ

1. Yog tias kuv tsis nco qab noj Citalopram, kuv yuav tsum ua li cas? Noj cov tshuaj uas tsis tau noj sai li sai tau thaum koj nco qab. Yog tias nws ze rau lub sijhawm rau koj qhov koob tshuaj ntxiv, hla qhov koob tshuaj uas tsis tau thiab rov pib koj lub sijhawm li niaj zaus. Tsis txhob muab ob npaug rau.
2. Kuv puas tuaj yeem tsum tsis txhob noj Citalopram tam sim ntawd? Tsis yog, nres tam sim ntawd tuaj yeem ua rau cov tsos mob tshem tawm. Nrog koj tus kws kho mob tham txog txoj kev npaj ua kom qeeb qeeb.
3. Citalopram siv sijhawm ntev npaum li cas los ua haujlwm? Tej zaum yuav siv sijhawm ob peb lub lis piam (feem ntau yog 4-6 lub lis piam) kom pom tag nrho cov txiaj ntsig ntawm Citalopram.
4. Puas yog Citalopram muaj kev nyab xeeb rau kev siv mus sij hawm ntev? Yog, ntau tus neeg mob siv Citalopram kom muaj kev nyab xeeb rau lub sijhawm ntev, tab sis kev kuaj xyuas tsis tu ncua nrog koj tus kws kho mob yog qhov tseem ceeb.
5. Kuv puas haus tau cawv thaum noj Citalopram? Nws yog qhov zoo tshaj plaws kom tsis txhob haus cawv, vim nws tuaj yeem ua rau muaj kev phiv tshuaj thiab txo cov txiaj ntsig ntawm cov tshuaj.
6. Puas yog Citalopram yuav cuam tshuam rau kuv qhov hnyav? Qee tus neeg mob yuav muaj qhov hnyav nce lossis poob. Tham txog tej kev txhawj xeeb nrog koj tus kws kho mob.
7. Citalopram puas ua rau muaj kev phiv los ntawm kev sib deev? Yog lawm, kev sib deev tsis zoo yog ib qho kev mob tshwm sim. Tham nrog koj tus kws kho mob yog tias qhov no tshwm sim.
8. Puas yog Citalopram ua rau quav tshuaj? Tsis yog, Citalopram tsis suav tias yog tshuaj ua rau quav tshuaj, tab sis nws yuav tsum noj raws li tau qhia.
9. Kuv yuav ua li cas yog tias kuv muaj kev phiv? Hu rau koj tus kws kho mob tam sim ntawd yog tias koj muaj mob hnyav lossis muaj kev phiv tshuaj.
10. Kuv puas noj tau Citalopram nrog lwm yam tshuaj? Nco ntsoov qhia koj tus kws kho mob txog txhua yam tshuaj uas koj noj kom tsis txhob muaj kev cuam tshuam.

Hom Lub Npe

Citalopram muaj ntau hom lag luam, suav nrog:

• Celex
• Cipramil
• Citalopram Hydrobromide

xaus

Citalopram yog ib hom tshuaj siv dav dav rau kev kho mob kev nyuaj siab thiab kev ntxhov siab. Nws txoj kev ua haujlwm, cov tsos mob tshwm sim, thiab kev siv yooj yim ua rau nws yog ib qho kev xaiv nrov ntawm cov kws kho mob. Txawm hais tias nws muaj cov txiaj ntsig zoo, nws yog ib qho tseem ceeb uas yuav tsum siv Citalopram raws li kev qhia ntawm tus kws kho mob kom ntseeg tau tias muaj kev nyab xeeb thiab ua haujlwm tau zoo.