Zoloft for men

12/29/2016

The work of a doctor of any profile has its own characteristics. The specifics of the work of a general practitioner is determined by a wide range of his diagnostic and therapeutic activities, sometimes without clear boundaries. In the diagnosis and treatment of diseases of the cardiovascular system, the therapist interacts (collaborates, and sometimes competes) with a cardiologist, in the treatment of diseases of the digestive system - with a gastroenterologist, in the treatment of kidney diseases - with a nephrologist and urologist, etc. Therapists along with traumatologists and rheumatologists often treat patients with osteochondrosis, arthrosis and arthritis. It is the therapist who can be the main doctor for patients with several concomitant diseases, since he has to put into practice the principle “to treat not the disease, but the patient” and sometimes draw up the final comprehensive treatment plan, taking into account the appointments of narrow specialists.

The therapist is rightly called the “primary link” of the health care system and the “family doctor”, since he has to deal with the issues of primary diagnosis and treatment of many diseases. Many patients, regardless of the identified pathology, remain under his supervision, and the treatment of the rest (referring to narrow specialists) can subsequently be carried out with his participation. And of course, for each patient, the therapist should ideally be a personal psychotherapist. In his work, the therapist often encounters certain manifestations of depression, which are detected in many patients with a therapeutic profile. According to statistics, 80% of all patients with depressive disorders first turn to a therapist, which is due to both objective and subjective reasons. Among the objective reasons, one can single out the mutual influence of the pathogenetic mechanisms of mental disorders and organic diseases (including internal diseases).

On the one hand, depression can create conditions for the formation of organic diseases, aggravate and change their course. This is mediated through a variety of neuroendocrine and immunological mechanisms, regarding the interaction of which there is no consensus today. However, it is believed that they are realized through significant violations of autonomic functions, which leads to the formation of "organ neuroses". Pathological enhancement of sympathoadrenal influences may be accompanied by the formation of persistent arterial hypertension, hyperthyroidism, reduced glucose tolerance, and an increase in the content of inflammatory enzymes in the synovial fluid.

Parasympathetic pathological influences contribute to the formation of bronchospastic syndrome and hypersecretion of gastric juice. On the other hand, the pathogenesis of long-term chronic somatic diseases involves the formation of certain psychological changes that create prerequisites for the development of depression. The so-called psychosomatic disorders include not only organ neuroses (syndrome of "irritable stomach", "irritable intestines", "irritated bladder" and other "irritated" organs, functional coprostasis, esophageal achalasia), but also angina attacks that occur as a conditioned reflex , bronchospasm, etc. Such disorders are often accompanied by phobias (fear of gas incontinence, inability to use the toilet) and psychoreactive states (neurotic syndromes, affective and pathocharacterological reactions).

Thus, one group of patients with depression at the therapist's appointment is made up of "dispensary" patients who have new symptoms, and the other is new patients who turned to the therapist with somatic manifestations of depression. It should be noted that in these difficult conditions, the timely diagnosis of depressive disorders largely depends on the qualifications of the doctor: the appearance of somatic symptoms in a patient with depression is often mistakenly perceived as vegetative manifestations of psychogenic disorders, and the addition of symptoms of depression to the clinic of a somatic disease is considered as astheno-vegetative or " hypochondriacal "syndrome (as part of the clinic of the underlying disease).

The diagnostic principle of searching for one disease that explains the fullness of the symptoms in a particular patient (correct in most cases) often plays a cruel joke with the doctor when diagnosing depression. In addition, the primary appearance of depressive symptoms or its addition to somatic pathology significantly reduces the patient's adherence to treatment. As for the subjective reasons for such a high frequency of patients with depression visiting a therapist, it can be noted that a significant part of patients, even suspecting the nature of their condition, under the influence of subjective factors, prefers to seek help not from a psychiatrist (some fear publicity about the fact of observation by a psychiatrist and related social restrictions, others the alleged negative side effects of psychotropic drugs).

The specificity of the medical activity of a general practitioner also determines the features of the choice of drugs. As their own observations show, general practitioners prefer to start treatment with broad-spectrum drugs with a proven therapeutic effect, without pronounced side effects and adverse interactions with other drugs, which have a positive effect on the most common comorbidities, which have a convenient mode of administration - then There are first-line drugs that are safe and effective in most patients. Thus, in the treatment of arterial hypertension, we often begin therapy with the use of modern calcium antagonists (amlodipine) or angiotensin-converting enzyme inhibitors (quinapril, lisinopril). When choosing antibiotic therapy, we often start treatment with broad-spectrum antibiotics. Selective serotonin reuptake inhibitors (SSRIs), in particular sertraline (Zoloft, Phizer), occupy such a place in the arsenal of a general practitioner for the treatment of depressive conditions.

As a characteristic representative of the SSRI group, Zoloft has all the main advantages of this group of antidepressants. From other drugs used in the treatment of depression, SSRIs differ in fewer and less severe side effects. They do not increase the effect of alcohol and tranquilizers when taken at the same time. The drugs of this group, unlike sulpiride, do not affect the level of prolactin. If you look at the list of side effects of SSRIs, then it becomes uncomfortable (for both the doctor and the patient): anxiety, sleep disturbances, vision, gait, digestive disorders, sexual function and endocrine system organs are possible. However, in our clinical practice, only parasympathicotonic effects of SSRIs were encountered: sweating, hypotension and dizziness, dry mouth, and the frequency of these effects was rather low.

Indications for the appointment of Zoloft are depression (including accompanied by a sense of anxiety) with or without a history of mania; obsessive-compulsive disorders (OCD) in adults and children; panic disorder, with or without agoraphobia; post-traumatic stress disorder; social phobia (social anxiety disorder). With a satisfactory result of treatment, continuation of sertraline therapy is an effective means of preventing recurrence of the initial episode of depression and its development in the future; recurrence of the initial episode of obsessive-compulsive disorder; panic disorder, initial episode of post-traumatic stress disorder, social phobia.

Sertraline does not cause drug dependence; does not have the stimulating and disturbing effects characteristic of D-amphetamine, or the sedative effect and psychomotor disturbances characteristic of alprazolam; does not have a stimulating, sedative or anticholinergic effect, and also does not show a cardiotoxic effect in the experiment. A wide range of indications and significant therapeutic possibilities, high and predictable efficacy, ease of administration (reception and control), an insignificant frequency of side effects determine the choice of Zoloft as a treatment for depression, as well as concomitant psychogenic and autonomic disorders in general therapeutic practice.

Medical newspaper "Health of Ukraine 21 stories" No. 3 (232), February 2010

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Zoloft - customer reviews and experience

Zoloft reviews

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Thinks it's great

Pros: Everyone

Cons: Prescription.

Comment: In general, everything becomes indifferent, everything and everything, life is beautiful))

Thinks that the product is good

Advantages: I have been taking it for 3 months already, side effects disappeared after the first 2 weeks (headache, lethargy, vision problems), the drug stabilized my condition. It stabilized, did not awaken in me the joy of life and good mood - I just felt normal (probably, it should be so)

Faults: Most likely increased the alarm But so, a good and not sharp drug. It affects me, but not much, although the dosage is not small

He thinks that the product is excellent

Advantages: Positive effect, good result, excellent price

Disadvantages: the drug is not for everyone, a selection of drugs is needed

Comment: Approached right away and had positive dynamics0002 Thinks the product is excellent

Advantages: The drug works, anxiety disorder cured in 2 months. Psychosomatics passed on the 3rd week. The dosage was 25 mg, half a tablet. Take the original drug, you will not regret it!

Disadvantages: It must be understood that the drug is psychotropic, in the first 1-2 weeks there will be side effects, anxiety may increase, panic attacks, loose stools, but you need to endure, it's worth it, don't stop taking it!

Thinks the product is excellent

I had depression for two years and I got so used to this condition that I considered it normal. Everyday tears for no reason, apathy, unwillingness to live and work. Then overeating and bulimia were superimposed on all this, I tried to seize emotions and look for joy in food. I think I would have died if I had not sought help from a therapist earlier. He just prescribed Zoloft + teraligen. Together they began to help me 1.5 months after taking it. I can’t explain the state I’m in, but I can say with certainty that before that I lived in depression. Now I get up early, I do everything much faster, I have more strength and a good mood, my relationship with people in general has improved. I am satisfied with the drug and definitely recommend it to people with depression. Do not be afraid to talk about your problems and do not belittle their significance, otherwise you will ruin your life, as I almost ruined it.

Thinks the product is terrible

I take Zoloft for 2 weeks. So far it's only getting worse! Of the side effects: dry mouth, everyday nausea (weight loss in 2 weeks 6 kg), which I don’t need at all (from 54 to 48), I don’t feel like eating anything! I can hardly force myself !!! also: fussiness, increased tearfulness, anxiety, tics and shudders of the whole body, lethargy, mental confusion, headache! The doctor says that everything will go away soon, but every day it only gets worse. I don't want to take this drug again!

Thinks the product is excellent

I have been taking it for 2 days now, constant yawning, dizziness is rare .. lethargy is present, appetite disappeared as soon as I started drinking, apparently I need to get used to the drug

He thinks that the product is excellent

I have taken Zoloft more than once in my life. In general, the drug is not bad. The effect of taking is felt quite quickly, after about 1-1.5 weeks. Easy to use, as you need to drink only 1 time per day. For me personally, this is a huge plus, since I do not like drugs that need to be taken 10 times a day strictly by the hour. It's very difficult. But the body must get used to Zoloft. At first, it makes you a little sick, and you don’t want to eat anything at all. Therefore, be prepared for the fact that you will definitely throw off a couple of kilograms. For me, the end result is important. And after taking Zoloft, he is worthy. He completes his assigned task. Therefore, despite all the shortcomings, I am satisfied with the drug.

Thinks the product is terrible

I could not get out of depression for a long time, so I had to see a doctor. The doctor prescribed me Zoloft at a dosage of 100 mg. The first 2-3 days of taking everything was fine, and then I started having severe panic attacks. I felt terrible. It was so bad that I even had to call an ambulance. The ambulance doctor said something because the dosage was too high. But I won't drink this crap anymore. It only gets worse from him.

Thinks the product is excellent

There are times in life when everything comes crashing down at once. And sometimes these periods of the “black streak” are so prolonged that it is simply impossible to do without the help of drugs. That happened to me once too. Circumstances drove me into a severe depression. When I realized that a little more and I would break down, I turned to a doctor I knew. He advised me Zoloft.

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