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روانپزشکی روانشناسی - قرص سیتالوپرام citalopram
 

قرص سیتالوپرام citalopram

نوشته شده توسط :نیلوفر باوفا
یکشنبه 17 مرداد 1389-03:27 ق.ظ

                                  

 

sit TAL o pram) citalopram) (با نام تجاری Celexa )،از دسته دارویی ضد افسردگی های موسوم به SSRIs(مهارکننده های انتخابی بازجذب سروتونین) است.سیتالوپرام در درمان افسردگی استفاده می شود.

اشکال دارویی سیتالوپرام

قرص های خوراکی20 میلی گرمی صورتی رنگ و خط دار

قرص های خوراکی 40 میلی گرمی سفید رنگ و خط دار

محلول خوراکی 10mg/5ml

اطلاعات مهمی که باید در مورد سیتالوپرام بدانیم

سیتالوپرام را نباید همراه با داروهای مهارکننده مونوآمینو اکسیداز(MAOI ) از قبیل ترانیل سیپرومین، isocarboxazid و phenelzine مصرف کرد، باید بین مصرف این داروها و سیتالوپرام حداقل 14 روز فاصله باشد.در اوایل مصرف دارو ممکن است افکار خودکشی در فرد مصرف کننده ایجاد شود _به خصوص در افراد جوان تر از 24 سال_ از این رو باید 12 روز پس از مصرف برای کنترل عوارض به پزشک مراجعه کرد.

در صورت بروز موارد زیر به پزشک مراجعه شود: تغییرات خلقی یا رفتاری،اضطراب،حملات پانیک،اختلال خواب،بی قراری،عصبانیت و پرخاشگری،بیش فعالی ذهنی یا حرکتی،بدترشدن افسردگی،افکارخودکشی.

داروهای ضدافسردگی برای جنین مضر بوده(رده C )،از طرفی قطع مصرف آن ها باعث عود مجدد بیماری می شود،لذا توصیه می شود که در صورت حاملگی یا در زمان شیردهی با مشورت پزشک مصرف سیتالوپرام قطع شود.

در شرایطی مثل بیماری های کلیوی،کبدی،صرع،اختلالات دو قطبی، سابقه سوءمصرف مواد یا اقدام به خودکشی نمی توان از سیتالوپرام استفاده کرد.

استفاده از سیتالوپرام (به ویژه در افراد زیر 18 سال )بدون تجویز پزشک ممنوع می باشد.

نحوه مصرف دارو

دارو را باید به دقت و طبق تجویز پزشک مصرف نمود.از مصرف مقادیر بیش از حد یا مصرف بیش از مدت زمان تجویز شده توسط پزشک خودداری شود.

بهتر است دارو در یک زمان مشخص از روز و بر اساس دوز تعیین شده توسط پزشک مصرف شود.

حداقل 4 هفته طول می کشد تا آثار درمانی سیتالوپرام مشخص شود،نباید بدون مشورت با پزشک دارو را قطع کرد،در صورت قطع ناگهانی دارو،بیمار دچار عوارض جانبی ناخوشایند قطع مصرف خواهد شد.

در صورت فراموش کردن یک دوز در اولین فرصت دوز فراموش شده را مصرف کنید ، اگر نزدیک دوز بعدی دارو باشد،بدون توجه به دوز فراموش شده،زمان بندی دارویی را رعایت کنید.

علایم استفاده بیش از حد (Overdose) دارو عبارتند از: تهوع، استفراغ، لرزش، تعریق،افزایش ضربان قلب،گیجی،غش و کما

در صورت بروز هر کدام از موارد بالا باید فوراً به پزشک مراجعه نمود.

الکل را نباید همراه با سیتالوپرام مصرف کرد چون باعث تشدید عوارض آن می شود. هم چنین هنگام مصرف این دارو نباید از داروهای شل کننده عضلانی ،مهارکننده های مونوآمین اکسیداز،داروهای ضد درد،ضد صرع و دیگر داروهای ضد افسردگی و اضطراب استفاده کرد.این داروها ممکن است خواب آلودگی ناشی از سیتالوپرام را افزایش دهند.

یکی از اثرات جانبی سیتالوپرام کندی رفلکس ها و گسیختگی افکار است،بنابراین طی استفاده از این داروها از رانندگی و کارهایی که نیاز به هوشیاری کامل دارند،خودداری شود.

اثرات جانبی سیتالوپرام

در صورت بروز علایم زیر فوراً به پزشک مراجعه کنید:

- علایم حساسیت مثل راش،خارش،مشکلات تنفسی، ورم صورت،زبان و گلو

-تشنج، لرزش،سفتی عضلانی

- مشکل در تطابق و هماهنگی حرکات

- بی قراری،تعریق،ضربان سریع

- عصبانیت ،بی قراری،گیجی،مشکلات تمرکزی

- بی خوابی

- تهوع،ناراحتی معده، کاهش اشتها

- تغییرات وزن

- افزایش ادرار بیش از حد نرمال

- خشکی دهان،خمیازه کشیدن

تداخلات دارویی

سیتالوپرام با داروهای دیگر ضدافسردگی مثل آمی تریپتیلین،فلوکستین،ایمی پرامین ،وارفارین،سایمتدین نباید مصرف شود.

مصرف سیتالوپرام با داروهای ضد درد مثل آسپرین، ایبوپروفن،ناپروکسن و ایندومتاسین باعث کبودی و خونریزی زیرجلدی می شود.





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