Imiphumela Eceleni ye-Lexapro Evelyni Lokuqala: Izimpawu, Isikhathi, Nokuthi Nini Okumele Ukhathazeke Ngakho

Mhlawumbe okubaluleke kakhulu, Kungani ngizizwa ngibi kabi ngemuva kokuqala i-Lexapro?

Uma ubuzwa le mibuzo, awuwedwa. Isikhathi sokuqala sokulungisa cishe noma yisiphi isidakamizwa sokucindezeleka singaba yinto enobunzima. Umzimba wakho nebuchopho bakho bayajwayela inqubo entsha yamajubane, futhi lokho kungaletha izinguquko zesikhashana, futhi ngezinye izikhathi ezingajabulisi.

okulindelekile uma uqala i-Lexapro,

Okokuqala, isingeniso esisheshayo: I-Lexapro yi-selective serotonin reuptake inhibitor, noma i-SSRI. Ngokukhuluma kalula, isebenza ngokukhulisa amazinga e-serotonin—amakhemikhali wemvelo angawokuphila kahle—ebucholweni bakho. Lokhu kulungiswa akwenzeki ubusuku bonke, yingakho Evelyni lokuqala lingase lizwakale lilokhu lihlukile.

Cabanga ngakho sengathi ubuchopho bakho buyazilungisa. Le nqubo yiyo eyenza imiphumela yokuqala yaseceleni, kodwa futhi yiyo eyozokusiza ekugcineni ukuthi unciphise izimpawu zokucindezeleka nokukhathazeka.

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Yimiphi imiphumela yaseceleni okumele ngiyilindele Evelyni lokuqala le-Lexapro?

I-imiphumela yaseceleni ye-lexapro Evelyni lokuqala yona ivame ukubonakala kakhulu. Ngenkathi abantu abaningi bethola imiphumela elula kancane noma engenayo nhlobo, kuyasiza ukwazi ukuthi yini ethathwa njengokuvamile. Nalu olunye lwezimpawu ezivamile zemiphumela yaseceleni ye-escitalopram ongahlangana nazo njengoba umzimba wakho uzilungisa.

Izinkinga Zokugaya Ukudla: Ukuxhumana Kwesibindi Nobuchopho

Ubewazi yini ukuthi iningi le-serotonin emzimbeni wakho likhona esibindini sakho? Umthombo. Kungakho izinkinga zokugaya ukudla zivamile kakhulu lapho uqala i-SSRI.

• Ukugula: Lokhu kuyimpawu eyaziwa kakhulu. Ungase uzizwe ugula noma unesisu esibuhlungu, ikakhulukazi ngemuva kokuthatha umthamo wakho. Lokhu kuyisibonelo esicacile se-lexapro nausea.
• Ukuqunjelwa noma Ukuqhinwa: Uhlelo lwakho lokugaya ukudla lungase lushaye ngokushesha noma luhambe kancane okwesikhashana.
• Umlomo Owomile: Umuzwa ongapheli, ofana ne-cotton-ball emlonyeni wakho kuvamile.

Ukushintsha Kokulala: Ukukhathala Kakhulu Noma Ukushubisa Kakhulu

I-Serotonin idlala indima enkulu ekulawuleni umjikelezo wakho wokulala-uvuka. Lapho uletha i-Lexapro, ingahlupha lo mjikelezo okwesikhashana.

• Ubushona: Ungase uthole kunzima ukulala noma ukuhlala ulala, noma ngabe uzizwa ukhathele. Lokhu kuyisikhalazo esivamile se-lexapro insomnia.
• Ukulala Ubuthongo/Ukukhathala: Ngakolunye uhlangothi, ungase uzizwe ulala kakhulu, ukhubazekile, noma ukhishwe amandla. Lokhu i-lexapro tiredness/fatigue kungakwenza kube nzima ukuphila usuku lonke.

Izinguquko Zomzwelo Nobuchopho: Umuzwa Wokuthi “Kubi Kakhulu Ngaphambi Kokuba Kuhle”

Lokhu kuvame ukuba yingxenye eyethusa kakhulu yokuqala i-Lexapro. Uthatha umuthi ukuze uzizwe ungabi nokukhathazeka, ngakho kungani uzizwa sengathi ukukhathazeka kwakho kuyanda?

• Ukukhathazeka Okwandisiwe: Ukwanda okwesikhashana, okungaphambanisayo kokukhathazeka kuyinto eyaziwayo. I-lexapro and anxiety first week umuzwa ungase uzwakale njengesinyathelo esibuyela emuva, ngokukhathazeka okwengeziwe, ukushushumisa, noma umuzwa wokudikizela. Lokhu kuwumphumela oqondile wobuchopho bakho obujwayela amazinga amasha e-serotonin. Lokhu kuphendula umbuzo ovamile, “Ngabe i-lexapro ikwenza uzizwe ubi kakhulu ekuqaleni?” Kwabanye, impendulo iyimpendulo yesikhashana, “yebo.”
• Ukuzizwa Uyimfihlo Noma Ubonakalisa: Ungase ungazizwa sengathi ungumuntu wakho. Abanye abantu bachaza umuzwa wokuba nemizwa eyisicaba noma nje ukudideka okujwayelekile.

Izimpawu Zomzimba

• Izinhlungu Zekhanda: Izinhlungu zekhanda ezilula kuya kweziyimaphakathi kuvamile njengoba amakhemikhali omzimba wakho eshintsha.
• Ukujuluka Okwandisiwe: Ungase uqaphele ukuthi ujuluka kakhulu kunokuvamile, ikakhulukazi ebusuku.
• Isiyezi: Ukuzizwa ukhubazekile kancane noma uyesi kungase kwenzeke.

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Sithatha Isikhathi Esinjani Imiphumela Yokuqala Eceleni Ye-Lexapro?

Nansi izindaba ezinhle. Kubantu abaningi abaningi, i-escitalopram side effects first week ayihlali isikhathi eside.

Umzimba wakho uyakwazi ukuzivumelanisa nezimo kakhulu. Njengoba ujwayela umuthi, le miphumela yokuqala yaseceleni ivame ukuqala ukudambisa kakhulu phakathi kwezinsuku eziyi-7 kuye kweziyi-14. Ukugula kuyadamba, izimo zakho zokulala ziqala ukulungiswa, futhi lowo muzwa wokukhathazeka owandisiwe uqala ukudambisa.

Ngakho-ke, ithatha isikhathi esingakanani imiphumela yaseceleni ye-lexapro? Ngenkathi igagasi lokuqala lidlula ngaphakathi kwamaviki amabili, eminye imiphumela yaseceleni, njengemiphumela ye-sexual (njengokuncipha kwe-libido noma ubunzima bokufika ekupheleni), ingahlala isikhathi eside kwabanye abantu. Uma noma yimuphi umphumela waseceleni uqhubeka ukukuphazamisa ngemuva kwamaviki ambalwa okuqala, kuyisikhalazo okufanele usinike umnikezi wakho wezempilo.

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Umbuzo Omkhulu: Ngiqale Nini Ukuzizwa Ngcono?

Ubhekene nemiphumela yaseceleni ngenxa yesizathu esisodwa: ukuze uzizwe kangcono. Ngakho-ke, nini i-Lexapro iqala ukusebenza? Ukuqonda isikhathi kubalulekile ekulawuleni izinto ongazilindela nasekuqhubekeni nokwelashwa.

• Amaviki 1-2: Izinguquko Ezicashile. Ngenkathi ubhekene nemiphumela yokuqala yaseceleni, ungase uqale ukuqaphela izinguquko ezincane, ezinhle. Lezi avame ukungabi namahloni ngokumane okuyinhloko kodwa okwezimpawu zomzimba. Ungase uthole ukuthi ikhwalithi yokulala yakho iyathuthuka, isifiso sakho sokudla siyabuyela, noma ukwanda okuncane emandleni akho. Bamba lezi zinqamuzana zokuqala!
• Amaviki 4-8: Umphumela Ogcwele Wokwelapha. Lena yiyo indaba enkulu. Kuvame ukuthatha amaviki angu-4 kuye ku-8 ukuthi i-Lexapro yakheke ohlelweni lwakho futhi yenze umphumela wayo ogcwele kumzwelo wakho nokukhathazeka kwakho. Umthombo. Yilapho uzozizwa khona ukuncipha okubalulekile ezimpawini zokucindezeleka noma umsindo ongakhohlwayo wokukhathazeka. Isineke siwukukwazi kwakho okukhulu lapha.

Udokotela wakho cishe uzokuqala ngomthamo ophansi (isb., 5 mg noma 10 mg) ukuze usize umzimba wakho ujwayele futhi unciphise imiphumela yaseceleni ngaphambi kokuba ungase uyinyuse ibe sezingeni eliphezulu lokwelapha.

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Imiphumela Eceleni Ebucayi: Nini Okumele Ushayele Udokotela Ngokushesha

Ngenkathi imiphumela yokuqala eminingi ingalawuleka futhi ingahlali, kubalulekile ukwazi izimpawu zokuxwayisa zemiphumela yaseceleni ye-Lexapro engavamile kodwa engalimazi. Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yini elandelayo.

Isixwayiso Sebhokisi le-FDA: Imicabango Yokuzibulala Nokuzilimaza

I-FDA ikhiphe isexwayiso esibucayi kakhulu, isexwayiso esithi “black box warning,” kuyo yonke imithi yokucindezeleka.

• Kuyini Lokhu: Kukhona ingozi eyengeziwe yokucabanga ukuzibulala nokuzilimaza, ikakhulukazi ezinganeni, abantu abasha nabasakhulayo (ngaphansi kweminyaka engu-25). Umthombo.
• Okumele Ukubheke: Noma yikuphi ukwanda okusha noma okubi kakhulu kokucindezeleka, imicabango yokuzilimaza, izinguquko ezingajwayelekile endleleni yokuziphatha, ukukhathazeka, noma ubudlova—ikakhulukazi emavikini okuqala ezokwelapha noma ngemuva kokushintsha komthamo.
• Okumele Ukwenze: Uma wena noma umuntu omkhonzayo enale micabango, shayela udokotela wakho ngokushesha. Ungakwazi futhi ukuxhumana nabantu abangakusiza ngokushayela noma ukuthumela umlayezo ku-988 nganoma yisiphi isikhathi e-US ukuze ufinyelele ku-Suicide & Crisis Lifeline.

I-Serotonin Syndrome

Leli yisimo esingavamile kodwa esingaba yingozi empilweni esibangelwa i-serotonin eningi ebucholweni. Ivame kakhulu ukwenzeka lapho kuhlanganiswa imithi ethinta i-serotonin.

• Izimpawu: Bheka inhlanganisela yezimpawu njengokukhathazeka noma ukungahlali, ukudideka, ukushaya kwenhliziyo okusheshayo, umfutho wegazi ophakeme, amehlo aqhekekile, ukuguquguquka kwemisipha noma ukudlikizela, ukujuluka okukhulu, nokuqunjelwa. Umthombo.
• Okumele Ukwenze: Funa usizo oluphuthumayo lwezokwelapha ngokushesha uma usola i-serotonin syndrome.

Ukungezwani Komzimba Okukhulu

Njengawo wonke umuthi, ukungezwani komzimba okukhulu kungenzeka.

• Izimpawu: Izindunduma, isifo sofuba, ukuvuvukala kobuso, ulimi, noma umphimbo, kanye nobunzima obukhulu bokuphefumula.
• Okumele Ukwenze: Lesi yisimo esiphuthumayo sezokwelapha. Shayela u-911.

Ezinye Izibonakaliso Ezibomvu

Shayela udokotela wakho ngokushesha uma uhlangabezana nalezi:

• Ukuvusa i-mania noma i-hypomania (izimpawu zifaka amandla amakhulu, imicabango esheshayo, izenzo eziyingozi, nokuncipha kwesidingo sokulala)
• Ukulandelana
• Ukopha okungajwayelekile noma ukububuka

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Amathiphu Angasebenziseka Ngokulawula Imiphumela Yaseceleni Ye-Eveli Lokuqala

Ukwazi ukuthi yini okulindelekile yingxenye yempi. Ingxenye yesibili ukuba nekhithi lokulawula ukungakhululeki. Nansi eminye imishanguzo elula, esebenza ngqo yokulawula imiphumela yaseceleni ye-Lexapro ngesikhathi salokhu kulungiswa kokuqala.

• Ngokugula: Thatha ipilisi lakho ngokudla noma ishubhu esincane. Gwema ukulithatha esiswini esingenalutho. Itiye le-ginger noma ama-ginger chews kungase kusize ekuthuliseni isisu sakho.
• Ngokulala Ubuthongo/Ukukhathala: Uma i-Lexapro ikwenza ulale ubuthongo, khuluma nodokotela wakho ngokuthatha umthamo wakho kusihlwa ngaphambi kokulala.
• Ngobushona: Uma uthola umuthi ukuthi uyawunika amandla,cela udokotela wakho uma ukuwuthatha ekuseni kakhulu kungaba yisinketho esingcono kuwe.
• Ngomlomo Owomile: Gcina ibhodlela lamanzi esandleni uphuze usuku lonke. Ukuluma ushukela ongayidliyo noma ukumunca ama-candy aqinile angayidliyo ushukela noma ama-ice chips kungase futhi kukhuthaze ukukhiqizwa kwamateki.
• Ngezinhlungu Zekhanda: Isizukulwana sezinhlungu esilula esidala ngokweqile njenge-ibuprofen noma i-acetaminophen singasiza, kodwa hlola nodokotela wakho kuqala ukuze uqiniseke ukuthi kuphephile kuwe.
• Inhlalakahle Ejwayelekile:
  • Hlala Unamanzi: Ukudla okubangela ukoma kungawenza kube kubi izinhlungu zekhanda nesizwe.
  • Gcina Isimiso: Bamba izikhathi zokulala, zokudla, nezokusebenza njengoba ungakwazi ukunikeza umzimba wakho umuzwa wokuzinza.
  • Ukunyakaza Okuthambile: Ukuhamba okufushane kungasiza ngokungahlali kanye nokuphakamisa imizwa yakho ngaphandle kokuba kudlulele kakhulu.
  • Gwema Utshwala: Utshwala buyi-depressant futhi bungaphazamisa ukusebenza kwe-Lexapro futhi bubenze bubi izimpawu zaseceleni njengokulala ubuthongo nesizwe.

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I-Eveli Yakho Lokuqala Yisibopho, Hhayi Isiphetho

I-lexapro side effects first week ingaba yinkinga, kodwa kubalulekile ukuyibona ngalokho eyikho: isikhathi sokuwuvumelanisa esi sincane. Umzimba wakho wakha isibopho siye endaweni enokukhathazeka okuncane nomuzwa ongcono. Ukungakhululeki kokuqala kuyimicu yesibopho salo.

Khumbula izinto ezibalulekile: imiphumela yokuqala yaseceleni iyavamile futhi ivame ukudambisa kungakapheli isonto noma amabili. Izinzuzo ezigcwele, eziguqula impilo zemizwa yakho kuvame ukuthatha inyanga noma ezimbili ukuze zivele.

Okubaluleke kakhulu, hlala uxhumana kakhulu nomnikezeli wakho wezempilo. Bangabalingani bakho kule nqubo. Bika noma yimiphi imiphumela yaseceleni oyitholayo, futhi ungaze wesabe ukubuza imibuzo.

Futhi ekugcineni, isenzo esibalulekile sokubizwa: Ungayeki ukuthatha i-Lexapro ngokungazelelwe. Ukuyeka ngokungazelelwe kungaletha izimpawu zokuhoxisa, ngezinye izikhathi ezibizwa ngokuthi i-discontinuation syndrome (isizwe, ukucasuka, ukugula, ama-brain “zaps”). Njalo xhumana nodokotela wakho ukuze udale uhlelo oluphephile lokuyinciphisa ingadi uma kudingeka.

Uthathile isinyathelo esinesibindi sokuya kwenhlalakahle engcono yengqondo. Zibe nesineke futhi uzihawukele kuleli Evelyni lokuqala. Ungakwazi.

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Ukwenqatshelwa: Lesi sihloko senzelwe imininingwane kuphela futhi asifanele ukwelulekwa kwezokwelapha. Imininingwane equkethwe lapha ayiyona into esikhundla futhi akumele yenze njengokuthi izosetshenziswa esikhundleni seluleko lwezokwelapha lochwepheshe. Njalo khuluma nodokotela wakho mayelana nezingozi nezinzuzo zanoma yikuphi ukwelashwa.