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L'uso principale degli antidepressivi è il trattamento della depressio…

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Sono anche usati per altre condizioni di salute mentale e per il trattamento del dolore a lungo termine.

Nella maggior parte dei casi, agli adulti con depressione da moderata a grave vengono somministrati antidepressivi come prima forma di trattamento. Sono spesso prescritti insieme a una terapia parlante come la terapia cognitivo comportamentale (CBT). La CBT è un tipo di terapia che utilizza un approccio di risoluzione dei problemi per aiutare a migliorare il pensiero, l'umore e il comportamento.

Gli antidepressivi non sono sempre raccomandati per il trattamento della depressione lieve perché la ricerca ha riscontrato un'efficacia limitata.

Tuttavia, gli antidepressivi vengono talvolta prescritti per alcuni mesi per la depressione lieve per vedere se si verificano miglioramenti dei sintomi. Se non vedi alcun beneficio in questo lasso di tempo, venlafaxine dosaggio il medicinale verrà ritirato lentamente.

Inizialmente, di solito viene prescritto un tipo di antidepressivo chiamato inibitore selettivo della ricaptazione della serotonina (SSRI). Se i sintomi non sono migliorati dopo circa 4 settimane, può essere raccomandato un antidepressivo alternativo o la dose può essere aumentata.

Molti antidepressivi possono essere prescritti dal tuo medico di famiglia, ma alcuni tipi possono essere utilizzati solo sotto la supervisione di un professionista della salute mentale. Se la depressione non risponde ai soli antidepressivi, possono essere utilizzati anche altri trattamenti come la CBT per ottenere risultati migliori. Possono anche somministrare dosi più elevate del medicinale.

Bambini e giovani
Ai bambini e ai giovani con depressione da moderata a grave dovrebbe prima essere offerto un corso di psicoterapia (terapia della parola) che duri almeno 3 mesi.

In alcuni casi, un SSRI chiamato fluoxetina può essere offerto in combinazione con la psicoterapia per trattare la depressione da moderata a grave nei giovani di età compresa tra 12 e 18 anni.

Altre condizioni di salute mentale
Gli antidepressivi possono anche essere usati per aiutare a trattare altre condizioni di salute mentale, tra cui:

disturbo d'ansia
disturbo ossessivo compulsivo (DOC)
malattia da panico
fobie gravi, come agorafobia e ansia sociale (fobia sociale)
bulimia
disturbo da stress post-traumatico (PTSD)
Come per la depressione, gli SSRI sono solitamente la prima scelta di trattamento per queste condizioni. Se gli SSRI si dimostrano inefficaci, è possibile utilizzare un altro tipo di antidepressivo.

Dolore a lungo termine
Anche se un tipo di antidepressivo chiamato antidepressivo triciclico (TCA) non è stato originariamente progettato per essere antidolorifico, ci sono prove che suggeriscono che sono efficaci nel trattamento del dolore nervoso a lungo termine (cronico) in alcune persone.

Il dolore neuropatico cronico, noto anche come dolore neuropatico, bupropion farmacia on line è causato da danni ai nervi o altri problemi ai nervi e spesso non risponde ai normali antidolorifici, come il paracetamolo.

L'amitriptilina è un TCA che viene solitamente utilizzato per trattare il dolore neuropatico. Le condizioni che possono beneficiare del trattamento con amitriptilina includono:

sindrome dolorosa regionale complessa
neuropatia periferica
sclerosi multipla (SM)
condizioni in cui un nervo rimane intrappolato, come la sciatica
Gli antidepressivi sono stati usati anche per trattare casi di dolore cronico che non coinvolgono i nervi (dolore non neuropatico). Tuttavia, si pensa che siano meno efficaci per questo scopo. Oltre ai TCA, anche gli SSRI e gli inibitori della ricaptazione della serotonina e della noradrenalina (SNRI) possono essere usati per trattare il dolore cronico non neuropatico.

Le condizioni che causano dolore non neuropatico che possono trarre beneficio dal trattamento con antidepressivi includono la fibromialgia, il mal di schiena cronico e il dolore cronico al collo.

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