Olanzapine a me ka fluoxetine (alawa ma ka waha)

Symbyax

Hoʻohana ʻia ka hui ʻana o ka olanzapine a me ka fluoxetine e mālama i ka manaʻo kaumaha ʻo ia hoʻi kahi hapa o ka maʻi bipolar, a me ka manaʻo kaumaha i nā mea maʻi i loaʻa nā lāʻau antidepressant ʻē aʻe i hana ʻole maikaʻi. ʻAʻole pono e hoʻohana ʻia kēia lāʻau lapaʻau e mālama i nā pilikia ʻano i nā poʻe makua kahiko i loaʻa ka maʻi dementia a i ʻole ka maʻi Alzheimer. Hana ka olanzapine a me ka fluoxetine ma o ka hoʻonui ʻana i ka hana o kekahi mau kemika i kapa ʻia ʻo serotonin, norepinephrine, a me dopamine i loko o ka lolo. Kōkua kēia mau kemika e hoʻomaha i nā hōʻailona o ka manaʻo kaumaha. He lāʻau antipsychotic ka olanzapine. He lāʻau antidepressant ka fluoxetine a komo i loko o kahi hui o nā lāʻau lapaʻau i ʻike ʻia he selective serotonin reuptake inhibitors (SSRIs). Loaʻa wale kēia lāʻau lapaʻau me ke kauoha a kāu kauka. Loaʻa kēia huahana ma nā ʻano dosage e like me kēia:

I ka hoʻoholo ʻana e hoʻohana i kahi lāʻau lapaʻau, pono e kaulike ke kaumaha o ka lawe ʻana i ka lāʻau lapaʻau me ka pono e hana ai. He hoʻoholo kēia āu a me kāu kauka e hana ai. No kēia lāʻau lapaʻau, pono e noʻonoʻo i nā mea aʻe: E haʻi aku i kāu kauka inā ua loaʻa iā ʻoe kekahi hopena maʻamau ʻole a i ʻole ka maʻi ʻiliʻili i kēia lāʻau lapaʻau a i ʻole nā ​​lāʻau lapaʻau ʻē aʻe. E haʻi pū aku i kāu limahana mālama ola inā loaʻa iā ʻoe nā ʻano ʻē aʻe o nā maʻi ʻiliʻili, e like me nā meaʻai, nā kala, nā mea mālama, a i ʻole nā ​​holoholona. No nā huahana kūʻai ʻole ʻia, e heluhelu pono i ka lepili a i ʻole nā ​​mea hoʻohui pūʻolo. ʻAʻohe noiʻi kūpono i hana ʻia ma ka pilina o ka makahiki i nā hopena o ka hui ʻana o ka olanzapine a me ka fluoxetine e mālama ai i ka maʻi kaumaha bipolar I i nā keiki ma lalo o 10 mau makahiki, a i nā keiki me ka maʻi kaumaha kū'ē i ka mālama ʻana. ʻAʻohe palekana a me ka pono i hoʻokumu ʻia i loko o kēia mau hui. ʻAʻohe pilikia kūikawā geriatric i hōʻike ʻia e nā noiʻi kūpono i hana ʻia a hiki i kēia lā e kaupalena ai i ka pono o ka hui ʻana o ka olanzapine a me ka fluoxetine i nā ʻelemakule. Eia naʻe, ʻoi aku ka nui o nā poʻe ʻelemakule i ka maʻi dementia a i ʻole nā ​​pilikia ate, puʻupaʻa, a i ʻole naʻau e pili ana i ka makahiki, kahi e pono ai ke akahele a i ʻole ka hoʻoponopono ʻana i ka nui o nā mea maʻi e loaʻa ana i ka hui ʻana o ka olanzapine a me ka fluoxetine. Ua hōʻike nā noiʻi i nā wāhine hānai i nā hopena pōʻino i ka pēpē. Pono e kuhikuhi ʻia kahi mea ʻē aʻe i kēia lāʻau lapaʻau a i ʻole pono ʻoe e hoʻōki i ka hānai ʻana i ka wā e hoʻohana ana i kēia lāʻau lapaʻau. ʻOiai ʻaʻole pono e hoʻohana pū ʻia kekahi mau lāʻau lapaʻau, i nā hihia ʻē aʻe, hiki ke hoʻohana pū ʻia ʻelua mau lāʻau lapaʻau ʻokoʻa ʻoiai inā hiki ke loaʻa kahi pilina. I kēia mau hihia, makemake paha kāu kauka e hoʻololi i ka nui, a i ʻole nā ​​​​ʻano palekana ʻē aʻe paha e pono ai. I ka wā e lawe ana ʻoe i kēia lāʻau lapaʻau, he mea nui loa ia i kāu limahana mālama ola e ʻike inā ke lawe nei ʻoe i kekahi o nā lāʻau lapaʻau i helu ʻia ma lalo nei. Ua koho ʻia nā pilina aʻe ma muli o ko lākou koʻikoʻi a ʻaʻole pono e hoʻokomo piha. ʻAʻole ʻōlelo ʻia ka hoʻohana ʻana i kēia lāʻau lapaʻau me kekahi o nā lāʻau lapaʻau aʻe. Hiki i kāu kauka ke hoʻoholo ʻaʻole e mālama iā ʻoe me kēia lāʻau lapaʻau a hoʻololi paha i kekahi o nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. ʻAʻole ʻōlelo ʻia ka hoʻohana ʻana i kēia lāʻau lapaʻau me kekahi o nā lāʻau lapaʻau aʻe, akā hiki ke koi ʻia i kekahi mau hihia. Inā kuhikuhi ʻia nā lāʻau lapaʻau ʻelua, hiki i kāu kauka ke hoʻololi i ka nui a i ʻole ka pinepine o kāu hoʻohana ʻana i hoʻokahi a i ʻole nā ​​lāʻau lapaʻau ʻelua. Hiki i ka hoʻohana ʻana i kēia lāʻau lapaʻau me kekahi o nā lāʻau lapaʻau aʻe ke hoʻonui i ka pilikia o kekahi mau hopena ʻaoʻao, akā ʻo ka hoʻohana ʻana i nā lāʻau lapaʻau ʻelua paha ka mālama maikaʻi loa no ʻoe. Inā kuhikuhi ʻia nā lāʻau lapaʻau ʻelua, hiki i kāu kauka ke hoʻololi i ka nui a i ʻole ka pinepine o kāu hoʻohana ʻana i hoʻokahi a i ʻole nā ​​lāʻau lapaʻau ʻelua. ʻAʻole pono e hoʻohana ʻia kekahi mau lāʻau lapaʻau i ka wā a i ʻole kokoke i ka wā e ʻai ai i ka meaʻai a i ʻole ka ʻai ʻana i kekahi mau ʻano meaʻai ʻoiai hiki ke loaʻa nā pilina. Hiki i ka hoʻohana ʻana i ka waiʻona a i ʻole ka paka me kekahi mau lāʻau lapaʻau ke hoʻokumu pū i nā pilina. Ua koho ʻia nā pilina aʻe ma muli o ko lākou koʻikoʻi a ʻaʻole pono e hoʻokomo piha. ʻAʻole ʻōlelo ʻia ka hoʻohana ʻana i kēia lāʻau lapaʻau me kekahi o nā mea aʻe, akā hiki ke hiki ʻole ke pale ʻia i kekahi mau hihia. Inā hoʻohana pū ʻia, hiki i kāu kauka ke hoʻololi i ka nui a i ʻole ka pinepine o kāu hoʻohana ʻana i kēia lāʻau lapaʻau, a i ʻole e hāʻawi iā ʻoe i nā ʻōlelo kuhikuhi kūikawā e pili ana i ka hoʻohana ʻana i ka meaʻai, ka waiʻona, a i ʻole ka paka. Hiki i ke alo o nā pilikia olakino ʻē aʻe ke hoʻopilikia i ka hoʻohana ʻana i kēia lāʻau lapaʻau. E hōʻoia e haʻi aku i kāu kauka inā loaʻa iā ʻoe nā pilikia olakino ʻē aʻe, ʻoiai: