Cov tshuaj ntxhov siab thiab cawv sib cuam tshuam

koj thiaj coj ibuprofen nrog tramadol

Ntau cov tshuaj ntxhov siab muaj lub hauv nruab nrab lub paj hlwb kev nyuaj siab thiab cuam tshuam nrog cawv, yog li nws yog ib qho tseem ceeb kom nkag siab txog koj cov kev pheej hmoo. Ntau hom tshuaj los ntawm ntau chav kawm, xws li tshuaj tiv thaiv kev nyuaj siab lossis benzodiazepines, yog siv los kho ntau yam kev ntxhov siab. Cov kev mob tshwm sim xws li qaug zog, kev tsav tsheb tsis zoo thiab kev nyuaj siab ua pa (ua pa qeeb) tuaj yeem ua rau muaj kev ntxhov siab thaum cov tshuaj ntxhov siab ua ke nrog cawv. Ntau cov tshuaj siv rau kev ntxhov siab yuav tsum tau siv sijhawm luv luv thiab feem ntau, koj yuav tsum zam lossis txwv tsis pub haus cawv nrog cov tshuaj no.

Kev ntxhov siab tag nrho

Kev ntxhov siab, qee zaum hu ua nervousness, yog ib qho kev puas siab puas ntsws uas muaj ntau theem ntawm kev siv zog. Ib tug neeg uas muaj kev ntxhov siab feem ntau muaj mob ntev, tsis tu ncua ntawm kev txhawj xeeb, ntshai, lossis kev txhawj xeeb, feem ntau tawm ntawm qhov sib piv rau qhov teeb meem tiag tiag uas lawv yuav ntsib hauv lawv lub neej niaj hnub. Cov tsos mob ntawm lub cev ntawm kev ntxhov siab tuaj yeem suav nrog tawm hws, tshee hnyo, ntshav siab, thiab ua pa nrawm.



Cov tsos mob tuaj yeem mus ntxiv rau lub sijhawm ntev, feem ntau yog lub hlis, yam tsis muaj kev ntxhov siab. Nyob rau hauv rooj plaub no, tus neeg yuav muaj Generalized Anxiety Disorder (GAD).

Qee zaus kev ntxhov siab txog kev ntxhov siab lossis tsis xis nyob yog qhov qub. Txawm li cas los xij, yog tias ib tus neeg xav tias qhov tsis txaus ntseeg ntawm kev ntxhov siab lossis nws tshwm sim tsis tu ncua, nws yuav raug kuaj pom tias muaj kev ntxhov siab.

Koj tuaj yeem muaj ntau tshaj ib qho ntxhov siab vim . Kev sib xyaw ntawm cov tshuaj thiab kev puas siab puas ntsws feem ntau yog siv los kho.

Tsib yam tseem ceeb ntawm kev ntxhov siab vim muaj xws li:

Cov tsos mob ntawm kev ntxhov siab tuaj yeem suav nrog:

  • nquag, tsis tu ncua thiab ntau dhau ntawm kev txhawj xeeb, ntxhov siab lossis ntxhov siab
  • lub plawv dhia ceev thiab ua pa
  • ua pa ntau dhau
  • tshee los yog tshee
  • nkees nkees, pw tsaug zog
  • teeb meem tsom
  • mob taub hau, mob plab
  • zam tej xwm txheej uas ua rau muaj kev ntxhov siab.

Cov tshuaj twg yog siv rau kev ntxhov siab?

Lwm yam anxiolytics, sedatives thiab hypnotics nyiam tshuaj buspirone ( Buspar ) tej zaum yuav siv tau raws li koj qhov kev ntxhov siab tshwj xeeb. Midazolam ( Versed ) yog preoperative sedative thiab tshuaj loog tus neeg saib xyuas feem ntau siv nyob rau hauv lub tsev kho mob los yog sab nraud phais qhov chaw. Qee cov tshuaj yuav siv tau ' off-label ', txhais tau tias lawv tsis yog FDA pom zoo rau cov xwm txheej tshwj xeeb no, tab sis tau siv ua tiav hauv kev kho mob.

Thaum ua tau, benzodiazepines yuav tsum siv xwb nyob rau hauv lub sij hawm luv luv thiab ceev faj heev vim tsaug zog, sedation, teeb meem kev txiav txim, kev nco tsis zoo, thiab kev pheej hmoo ntawm kev quav tshuaj. Cov tshuaj no yuav tsum zam rau cov neeg mob uas muaj keeb kwm ntawm kev quav yeeb tshuaj. Cov neeg mob yuav tsum tsis txhob koom nrog cov dej num uas tsim kev puas tsuaj uas yuav tsum tau ua kom muaj kev puas siab puas ntsws xws li kev siv tshuab ua haujlwm lossis tsav lub tsheb thaum siv cov tshuaj no.

hctz 12.5 mg ntsiav tshuaj

Kawm ntxiv : Benzodiazepines: Txheej txheem cej luam thiab siv

Buspirone muaj txiaj ntsig zoo hauv kev txo cov tsos mob ntawm kev ntxhov siab hauv cov neeg mob uas muaj kev ntxhov siab, tab sis tsis muaj kev pheej hmoo rau kev quav tshuaj pom nrog benzodiazepines.

Lwm txoj hauv kev yog siv los kho kev ntxhov siab, suav nrog kev tswj kev ntxhov siab, kev tawm dag zog, pab pawg tham kev kho mob, kev paub txog kev coj cwj pwm, thiab cov tswv yim so. Cov kev xaiv no tuaj yeem ua ke nrog kev kho tshuaj.

Cawv cuam tshuam nrog tshuaj ntxhov siab

Muaj ntau cov tshuaj ntxhov siab vim muaj cov hauv nruab nrab lub paj hlwb kev nyuaj siab thiab cuam tshuam nrog cawv. Nco ntsoov xyuas koj cov ntaub ntawv sau tshuaj thiab nug koj tus kws muag tshuaj; Tsis txhob haus dej cawv nrog benzodiazepines vim muaj kev pheej hmoo ntawm kev ua kom tsaug zog, sedation, thiab kev txiav txim tsis zoo.

Cawv kuj tuaj yeem ua rau cov paj hlwb muaj kev phiv los ntawm cov tshuaj antidepressant lossis lwm yam tshuaj siv rau kev ntxhov siab. Cov kev mob tshwm sim tuaj yeem muaj xws li kiv taub hau, tsaug zog, teeb meem kev xav, kev xav tsis zoo, qeeb qeeb, thiab kev txiav txim tsis zoo. Koj yuav tsum zam lossis txwv kev siv cawv thaum kho nrog cov tshuaj tiv thaiv kev ntxhov siab rau kev ntxhov siab. Tsis txhob ua tej yam uas yuav tsum tau ua kom muaj kev puas siab puas ntsws xws li kev tsav tsheb lossis kev ua haujlwm ntawm cov khoom siv phom sij kom txog thaum koj paub tias cov tshuaj cuam tshuam rau koj li cas.

Kev haus cawv ntev ntev tuaj yeem ua rau muaj kev pheej hmoo rau kab mob siab, xws li cirrhosis. Ib co tshuaj, piv txwv li duloxetine ( Cymbalta , Irenka ) kuj yuav ua rau lub siab puas tsuaj. Kev sib xyaw cov tshuaj uas tuaj yeem ua rau lub siab toxicity nrog cawv yuav ua rau muaj kev pheej hmoo ntxiv.

Kev sib xyaw cawv thiab tshuaj ntxhov siab nrog CNS kev nyuaj siab xws li benzodiazepines tuaj yeem ua rau:

ceev npaum li cas cov tshuaj medrol ua haujlwm
  • qaug zog heev
  • kiv taub hau, sedation
  • ua pa qeeb (kev nyuaj siab ua pa)
  • overdose (piv txwv li, nrog Xanax thiab cawv)
  • nrog rau
  • tuag

Tsis txhob tsav tsheb, ua haujlwm tshuab, lossis koom nrog kev pheej hmoo yog tias koj tau haus cawv.

Kawm ntxiv : Kev ntxhov siab thiab ntshai ntshai qhov tseeb: Txheej txheem cej luam

Table 1. Cov tshuaj nquag siv rau kev ntxhov siab

Lub Npe Hom Lub Npe Kev faib tshuaj
alprazolam Xanax , Xanax XR tshuaj benzodiazepine
tshuaj buspirone Buspar lwm yam tshuaj ntxhov siab
citalopram Celexa SSRI; antidepressant
clonazepam Clonopin tshuaj benzodiazepine
diazepam Muaj nuj nqis tshuaj benzodiazepine
duloxetine Cymbalta SNRI; antidepressant
escitalopram Lexapro SSRI; antidepressant
fluoxetine Prozac SSRI; antidepressant
hydroxyzine Vistaril lwm yam tshuaj ntxhov siab; tshuaj tiv thaiv kab mob
imipramine Tofranil tricyclic antidepressant
lorazepam Ativan tshuaj benzodiazepine
midazolam Versed tshuaj benzodiazepine
tshuaj paroxetine Paxil , Brisdelle SSRI; antidepressant
ua ntej Lyrica , Lyrica CR anticonvulsant; GABA Analog
sertraline Zoloft SSRI; antidepressant
midazolam (pre-surgical sedation) Versed tshuaj benzodiazepine
venlafaxine ER Effexor ER SNRI; antidepressant

* Ceeb Toom: Qhov no tsis yog ib daim ntawv teev npe tiav; Nco ntsoov nrog koj tus kws muag tshuaj kom ua tau kev sib cuam tshuam ntawm yeeb-tshuaj cawv . Qhia rau koj tus kws kho mob txog tag nrho lwm yam tshuaj uas koj siv, suav nrog tshuaj, tshuaj tom khw (OTC), cov vitamins, tshuaj noj thiab tshuaj ntsuab.

Hais txog : Tshuaj xyuas kev sib cuam tshuam nrog cawv (ethanol)

Hom Tshuaj Sib Tham Nrog Cawv

Qhov chaw

  1. Kev cuam tshuam tsis zoo. Sib tov cawv nrog tshuaj. National Institute on Cawv Abuse thiab Alcoholism. Tau txais los ntawm Kaum Ib Hlis 23, 2019 ntawm 11: https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/harmful-interactions-mixing-alcohol-with-medicines
  2. Cov teebmeem ntawm kev sib xyaw Benzodiazepine thiab cawv. Alcohol.org. Tau txais los ntawm Kaum Ib Hlis 23, 2019 ntawm 11: https://www.alcohol.org/mixing-with/benzodiazepine/
  3. Kev cuam tshuam tsis zoo. Sib tov cawv nrog tshuaj. National Institute on Cawv Abuse thiab Alcoholism. Tau txais los ntawm Kaum Ib Hlis 23, 2019 ntawm 11: https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/harmful-interactions-mixing-alcohol-with-medicines
  4. Cawv Facts & Statistics. National Institute on Alcohol and Abuse and Alcoholism (NIAAA). National Institutes of Health (NIH). Tau txais los ntawm Kaum Ib Hlis 24, 2019 ntawm 11: https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/alcohol-facts-and-statistics
  5. Davies M. Lub luag haujlwm ntawm GABA-A receptors hauv kev sib kho cov teebmeem ntawm cawv hauv lub hauv nruab nrab lub paj hlwb. J Psychiatry Neurosci. Lub Xya Hli 2003; 28(4): 263–274 : kuv. Tau txais los ntawm Nov. 25, 2019.
  6. Breslow RA, Dong C, White A. Prevalence of Alcohol-Interactive Prescription Medication Siv Cov Neeg haus dej haus tam sim no: Tebchaws Meskas, 1999 txog 2010. Alcohol Clin Exp Res. 2015; 39:371-79. Tau txais los ntawm Nov. 23, 2019.
  7. Weathermon R, Crabb DW. Kev sib cuam tshuam ntawm cawv thiab tshuaj. Cawv Res. Kev noj qab haus huv. 1999; 23(1:40-54). Tau txais los ntawm Nov. 24, 2019.
  8. Hansten PD, Horn JR. Sab saum toj 100 Tshuaj Sib Tham 2017; p. 8. Phau Ntawv Qhia Txog Kev Tswj Tus Neeg Mob. H&H Publications, Freeland, WA. Tau txais los ntawm Nov. 24, 2019

Cov ntaub ntawv ntxiv

Nco ntsoov sab laj nrog koj tus kws kho mob kom paub meej tias cov ntaub ntawv uas tshwm sim hauv nplooj ntawv no siv tau rau koj tus kheej.