Lexapro iyo Prozac: Kala duwanaanshaha, isku ekaanshaha, iyo yaa kuu fiican adiga
Daroogada Vs. SaaxiibDulmarka daroogada & kala duwanaanshaha ugu weyn | Xaaladaha la daweeyay | Wax ku oolnimada | Caymiska caymiska iyo isbarbardhiga qiimaha | Dhibaatooyinka ay keento | Isdhexgalka daroogada | Digniinta | Su'aalaha
Haddii aad isku aragto murugo, walaac, ama xaalado kale oo nafsaani ah oo saameeya caafimaadkaaga maskaxda, keligaa ma tihid. In ka badan 17 milyan oo waayeel Mareykan ah waxay leeyihiin cillad weyn oo niyadjab ah, ku dhowaad 7 milyan oo qaangaar ahna waxay leeyihiin jahwareer guud. Xitaa la tacaalista walaaca feyruska 'coronavirus' (COVID-19) waa isha ugu weyn ee walwalka ku haysa dad badan.
Lexapro (escitalopram) iyo Prozac (fluoxetine) waa laba daawo oo loo isticmaalo niyad jab iyo xanuuno kale oo nafsi ah. Labadaba dawooyinka lidka diiqadda waxaa ansixiyay Maamulka Cuntada iyo Dawooyinka ee Mareykanka (FDA). Waxay qayb ka yihiin koox daawooyin ah oo loo yaqaan 'SSRIs' (serotonin reuptake inhibitors) xulasho leh. SSRIs waxay ku shaqeeyaan iyagoo kordhiya heerarka serotonin ee maskaxda, taas oo markaa ka caawinaysa hagaajinta calaamadaha niyadjabka. In kasta oo labada daawoba ay yihiin SSRI antidepressants, waxay leeyihiin xoogaa faraq ah, oo aan hoos kaga wada hadalno.
Maxay yihiin farqiga ugu weyn ee u dhexeeya Lexapro iyo Prozac?
Lexapro (escitalopram) waa SSRI (xulashada serotonin reuptake inhibitor). Waxaa lagu heli karaa nooc ahaan iyo qaab guud iyo kiniin ahaan ama xalka afka. Qiyaasta caadiga ah waa 10 mg ama 20 mg hal jeer maalintii.
Prozac (fluoxetine) waa SSRI waxaana lagu heli karaa nooc iyo astaan guud. Prozac waxaa lagu heli karaa kaniiniga iyo kaabsulka iyo waliba xalka afka. Qaddarku wuu kala duwan yahay, laakiin qiyaas caadi ah waa 20 mg hal mar maalintii.
| Farqiga ugu weyn ee u dhexeeya Lexapro iyo Prozac | ||
|---|---|---|
| Lexapro | Prozac | |
| Fasalka daroogada | SSRI (xulashada serotonin reuptake inhibitor) | SSRI (xulashada serotonin reuptake inhibitor) |
| Summad / astaan guud | Summad iyo astaan guud | Summad iyo astaan guud |
| Waa maxay magaca guud? | Escitalopram | Fluoxetine |
| Waa noocee (yada) daroogadu soo gasho? | Kiniin, xal | Kiniin, kaabsol, xal Sidoo kale lagu daro olanzapine sida Symbyax |
| Waa maxay qiyaasta caadiga ah? | 10 mg ama 20 mg hal mar maalintii (qiyaasta ayaa ku kala duwan) | 20 mg hal mar maalintii (qiyaasta way kala duwan tahay) |
| Muddo intee le'eg ayaa daaweynta caadiga ah? | Kaladuwan | Kaladuwan |
| Ayaa si caadi ah u isticmaala daawada? | Dadka waaweyn iyo dhalinyarada (12 sano jir iyo ka weyn) | Caruurta, dhalinyarada, dadka waaweyn |
Ma dooneysaa qiimaha ugu fiican Prozac?
Isku qor digniinta qiimaha Prozac oo ogow goorta sicirka isbeddelo!
Hel digniinta qiimaha
Xaaladaha ay daweeyaan Lexapro iyo Prozac
Lexapro waxaa loola jeedaa in lagu daaweeyo MDD, ama cillad weyn oo niyadjab leh (dadka waaweyn iyo qaangaarka da'doodu tahay 12-17 sano). Lexapro waxaa sidoo kale loo muujiyey daaweynta guud ahaan khalkhalka walaaca dadka waaweyn.
Prozac waxaa loogu talagalay cillad weyn oo niyadjab leh iyo jahwareer qasab ku ah carruurta, dhalinyarada, iyo dadka waaweyn. Prozac looma oggola isticmaalka carruurta ka yar 7 sano. Prozac waxaa sidoo kale loo isticmaalaa in lagu daaweeyo bulimia nervosa, cilladda disphoric premenstrual dysphoric, iyo khalkhalka argagaxa. Symbyax (oo ah dawo isku dhafan oo ka kooban maaddada ku jirta Prozac, fluoxetine, oo ay weheliso daroogo kale oo loo yaqaan olanzapine) ayaa loo isticmaalaa in lagu daaweeyo dhacdooyinka niyadjabka leh ee la xiriira cudurka laba-cirifoodka 'Ipopo' iyo sidoo kale waxaa loo isticmaalaa niyad-jabka daaweynta u adkeysta.
| Xaaladda | Lexapro | Prozac |
| Cudurka weyn ee niyadjabka (MDD) | Haa | Haa |
| Cilad-werwer guud | Haa | Off-calaamadda |
| Cilad qasab ah oo qasab ah (OCD) | Off-calaamadda | Haa |
| Bulimia nervosa | Maaha | Haa |
| Ciladda argagaxa | Off-calaamadda | Haa |
| Cudurka dysphoric premenstrual | Maaha | Haa |
| Waxaa loo adeegsaday olanzapine (Symbyax) si loogu daaweeyo dhacdooyinka niyadjabka leh ee la xiriira cudurka laba-cirifoodka | Maaha | Haa |
| Waxaa loo isticmaalay olanzapine (Symbyax) oo loogu talagalay niyadjabka daawada u adkeysta | Maaha | Haa |
Ma Lexapro ama Prozac ayaa waxtar badan leh?
Hal daraasad eegay Lexapro oo ay weheliso dawooyin badan oo lidka diiqadda ah. Markii la isbarbardhigayo Lexapro iyo Prozac, qorayaashu waxay arkeen in labada daroogo ay si isku mid ah waxtar u leeyihiin.
Daraasad kale , taas oo ahayd dib u eegis daraasado badan, marka la barbardhigo dawooyinka lidka diiqadda oo markii hore laga helay Lexapro inay suurtogal tahay inay ka waxtar badan tahay uguna dulqaadasho badan tahay daawooyinka lidka ku ah walwalka. Si kastaba ha noqotee, markii ay qorayaashu eegeen daraasado madax-ilaa-madaxa ah oo ay tixgeliyeen dhammaan xogta, waxay heleen kala duwanaansho yar oo u dhexeeya antidepressants.
Dawada lidka ku ah diiqadu waxay qaadataa dhawr toddobaad inay ku gaadho waxtarkooda oo dhan, markaa markaad qaadanayso dawada lidka diiqada, waa muhiim inaad siiso xoogaa waqti ah oo ay ku shaqayso. Daawada ugu waxtarka badan ee adiga lagaa heli karo waxaa kaliya oo go'aamin kara bixiyahaaga daryeelka caafimaadka, oo fiirin kara taariikhdaada caafimaad iyo xaaladaada, iyo sidoo kale daawooyinka kale ee aad qaadato ee suurtogalka ah inay la falgalaan Lexapro ama Prozac. Mararka qaarkood waxay qaadataa xoogaa tijaabo ah iyo qalad si loo helo daawada sida ugu fiican adiga kugu habboon.
Ma dooneysaa qiimaha ugu fiican Lexapro?
Saxiix digniinta qiimaha Lexapro oo ogow goorta sicirka isbeddelo!
Hel digniinta qiimaha
Daboolida iyo qiimaha isbarbar dhiga Lexapro iyo Prozac
Lexapro guud ahaan waxaa daboolaya caymiska iyo Medicare Qaybta D. Nooca guud wuxuu leeyahay badanaa lacag-bixin aad u hooseysa, halka nooca magaca badanaa uu leeyahay lacag-bixin aad u sarreysa ama aan la wada dabooli karin. Lexapro waxay ku kacaysaa $ 379 30, 10 mg kiniin magac caan ah ama $ 70 30, 10 mg kiniin guud ah. Waxaad kuheli kartaa guud ahaan Lexapro ugu yaraan $ 15 kaarka SingleCare ee farmashiyaasha kaqeybgalaya.
Prozac sidoo kale guud ahaan waxaa daboola caymiska iyo Medicare Qaybta D; doorashada guud waxay badbaadin doontaa lacag aad u badan. Calaamadu guud ahaan waxay leedahay lacag bixin aad u badan ama lagayaabo inaan la daboolin. Prozac wuxuu ku kacayaa qiyaastii $ 600 oo loogu talagalay 30, 20 mg magac kaabsal, ama in ka badan $ 30 30, 20 mg kaabsal guud Waxaad ka iibsan kartaa generic Prozac laga bilaabo $ 4 farmasiyada qaarkood oo aqbala tigidhada SingleCare.
| Lexapro | Prozac | |
| Caadi ahaan caymiska ayaa daboolaya? | Haa (guud) | Haa (guud) |
| Caadi ahaan waxaa daboola Medicare Qaybta D? | Haa (guud) | Haa (guud) |
| Qiyaasta caadiga ah | # 30, kiniiniyada 10 mg | # 30, 20 mg kaabsal |
| Caadiga ah Medicare Qeybta D | $ 0- $ 30 | $ 0- $ 12 |
| Qiimaha SingleCare | $ 15- $ 50 | $ 4- $ 20 |
Dhibaatooyinka guud ee Lexapro iyo Prozac
Dhibaatooyinka ugu badan ee Lexapro waa madax xanuun, lallabbo, dhibaatooyinka galmada, lulmo, iyo hurdo la'aan.
Dhibaatooyinka ugu badan ee Prozac waa madax xanuun, lallabbo, lulmo, hurdo la'aan, rabitaanka cuntada oo yaraada, iyo walwal / walaac.
Daawooyinka cusub ee lexapro ama Prozac oo cusub ama dib loo buuxiyey, waxaad kuheli doontaa hage daawo oo kahadlaya waxyeelada, digniinta, iyo macluumaadka kale ee muhiimka ah.
Tani ma aha liistada buuxda ee waxyeellooyinka. Dhibaatooyinka kale ee xun ayaa dhici kara. La tasho daryeel caafimaad bixiyahaaga liiska buuxa ee waxyeelooyinka.
| Lexapro | Prozac | |||
| Waxyeellada | Ma khuseysaa? | Joogtaynta | Ma khuseysaa? | Joogtaynta |
| Madax xanuun | Haa | 24% | Haa | kow iyo labaatan% |
| Lallabbo | Haa | 18% | Haa | kow iyo labaatan% |
| Shuban | Haa | 8% | Haa | 12% |
| Cudurka Ejaculation / cilladda galmada | Haa | 14% | Haa | % lama sheegin |
| Af qalalan | Haa | 9% | Haa | 10% |
| Hurdo | Haa | 13% | Haa | 13% |
| Hurdo la'aan | Haa | 12% | Haa | 16% |
| Cunto xumo | Haa | % lama sheegin | Haa | kow iyo toban% |
| Walwal / walaac | Maaha | - | Haa | 12-13% |
Xigasho: DailyMed ( Lexapro ), DailyMed ( Prozac )
Isdhexgalka daroogada ee Lexapro iyo Prozac
Sababtoo ah labada daroogo waa isku nooc, waxay leeyihiin isdhexgal daroogo oo isku mid ah.
MAOIs (monoamine oxidase inhibitors) waa in aan lagu isticmaalin 14 maalmood gudahood Lexapro ama Prozac. Isku darka ayaa kordhin kara halista ah cilladda serotonin , xaalad degdeg ah oo caafimaad oo nafta halis gelisa sababtoo ah soo-saarista serotonin. Triptans-ka waxaa loo isticmaali jiray in lagu daaweeyo dhanjafka, sida Imitrex (sumatriptan), iyo sidoo kale daawooyinka kale ee niyadjabka, sida Elavil ama Cymbalta, looma isticmaali karo isku darka Lexapro ama Prozac sababtoo ah halista serotonin syndrome. Sidoo kale, qufaca joojiya dextromethorphan-oo laga helo Robitussin-DM iyo sidoo kale tiro kale oo qufac iyo waxyaabo qabow ah-waa in laga fogaadaa maadaama ay sidoo kale sababi karto serotonin syndrome marka lagu daro Lexapro ama Prozac.
Daawooyinka kale ee laga yaabo inay la falgalaan Lexapro ama Prozac waxaa ka mid ah antibiyootikada macrolide sida Zithromax, NSAIDs (daawooyinka aan anti-inflammatory ahayn ee steroid-ka) sida ibuprofen, ama xanuun joojiyeyaasha sida Ultram (tramadol). Aalkolada waa in laga fogaadaa marka la qaadanayo Lexapro ama Prozac.
Tani ma aha liistada buuxa ee isdhexgalka daroogada. La tasho daryeel caafimaad bixiyahaaga liiska buuxa ee isdhexgalka daroogada.
| Daroogada | Fasalka Daroogada | Lexapro | Prozac |
| Rasagiline Selegiline Tranylcypromine | MAOIs | Haa (isticmaal gooni ah ugu yaraan 14 maalmood) | Haa (isticmaal gooni ah ugu yaraan 14 maalmood) |
| Khamriga | Khamriga | Haa | Haa |
| Rizatriptan Sumatriptan Zolmitriptan | Tripans | Haa | Haa |
| John's Wort | Kordhin | Haa | Haa |
| Warfarin | Anticoagulant | Haa | Haa |
| Codein Hydrocodone Morphine Oxycodone Tramadol | Daawooyinka xanuunka opioid | Haa | Haa |
| Dextromethorphan (qufac badan iyo alaab qabow) | Xakamaynta qufaca | Haa | Haa |
| Azithromycin Clarithromycin Erythromycin | Antibiyootikada loo yaqaan 'Macrolide antibiotics' | Haa | Haa |
| Aspirin Ibuprofen Meloxicam Nabumetone Naproxen | NSAIDs | Haa | Haa |
| Desvenlafaxine Duloxetine Venlafaxine | Daawooyinka murugada ee SNRI | Haa | Haa |
| Amitriptyline Desipramine Imipramine Nortriptyline | Dawooyinka lidka ku ah diiqadaha ee loo yaqaan 'Tricyclic antidepressants' | Haa | Haa |
| Flecainide Propafenone Thioridazine Vinblastine | Daawooyinka lagu shiiday enzyme CYP2D6 | Haa (isticmaal gooni ah ugu yaraan shan toddobaad) | Haa (isticmaal gooni ah ugu yaraan shan toddobaad) |
| Alprazolam Clonazepam Diazepam | Benzodiazepines | Haa | Haa |
Digniinta Lexapro iyo Prozac
Dhamaan SSRIs, oo ay kujiraan Lexapro iyo Prozac, waxay leeyihiin digniin sanduuq ah oo ku saabsan isdilka. Caruurta, dhalinyarada, iyo dhalinyarada (ilaa 24 sano jir) ee qaata dawada murugada waxay leeyihiin halista sii kordheysa ee fikradaha isdilka iyo dhaqanka. Dhammaan bukaanada ku jira dawooyinka lidka diiqada waa in si taxaddar leh loola socdaa.
Digniinta kale waxaa ka mid ah:
- Cudurka 'Serotonin syndrome' waa xaalad degdeg ah oo halis ah, oo nafta halis gelisa oo ay keento soo-saarista serotonin aad u badan. Bukaannada qaata Lexapro ama Prozac waa in si taxaddar leh loola socdaa calaamadaha iyo astaamaha serotonin syndrome sida dhalanteedka, suuxdinta, iyo kacdoonka. Bukaanku waa inay raadsadaan daaweyn caafimaad oo degdeg ah haddii mid ka mid ah astaamahan ay dhacaan. Bukaanka qaata daawooyinka kale ee kordhiya heerarka serotonin (triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan, buspirone, dextromethorphan, amphetamines, St. John’s wort, iyo MAOIs) ayaa halista ugu badan ugu jira serotonin syndrome.
- Markaad joojineyso Lexapro ama Prozac, astaamaha ka-noqoshada sida kacsiga ayaa dhici kara. Bukaanku waa inay daroogada si tartiib tartiib ah u joojiyaan oo aysan marna si lama filaan ah u joojin. Bixiyahaaga daryeelka caafimaad ayaa kaala talin kara sida ugu wanaagsan ee loo joojin karo Lexapro ama Prozac.
- Bukaannada qaba qalal, Lexapro ama Prozac waa in loo isticmaalaa taxaddar.
- Hyponatremia (sodium yar) oo ay ugu wacan tahay cilladda dheecaanka hoormoonka antidiuretic ee aan habboonayn (SIADH) ayaa dhici kara. Bukaanku waxay la kulmi karaan madax xanuun, feejignaan la'aan, xusuus yaraanta, jahwareerka, daciifnimada, iyo degganaanta, taas oo u horseedi karta dhicitaan. Kiisas aad u daran ayaa dhici kara. Bukaanku waa inay raadsadaan daaweyn degdeg ah haddii astaamuhu dhacaan, waana in la joojiyaa SSRI.
- SSRIs waa in laga ilaaliyaa bukaanada leh xaglo ciriiri anatomically cufan leh (xagal-xirista glaucoma).
- SSRIs waxay kordhin kartaa halista dhiigbaxa. Khatartu waxay sii kordheysaa isticmaalka asbiriinka, NSAIDs, ama warfarin.
- Dhaqdhaqaaqa mania ama hypomania ayaa dhici kara. Bukaannada qaba laba-cirifoodka, daawada lidka diiqadda waxay soo dedejin kartaa dhacdo isku dhafan / manic ah.
- Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida Lexapro ama Prozac ay kuu saameynayaan.
- Si taxaddar leh u isticmaal bukaanada qaba dhibaatooyinka kelyaha.
- Marar dhif ah, waxaa jiray warbixino ah firiiric iyo xasaasiyad xasaasiyadeed / fal-celin anaaphylaxis nidaamsan, taasoo u dhiman karta. Haddii aad isku aragto furuuruc ama astaamo xasaasiyadeed, jooji qaadashada Lexapro ama Prozac isla markaana raadso daaweyn dhakhso leh.
- SSRIs waxay sababi kartaa miisaanka oo yaraada, gaar ahaan bukaannada diiqadda culus ama bukaanjiifka bulimic, oo badanaa ku dhaca Prozac. Isbedelada culeyska waa in lala socdaa inta lagu jiro daweynta.
- Lexapro ama Prozac waxay sababi kartaa QT kordhinta iyo xinjirowga wadnaha. Bukaanjiifka qaarkod waxay kujiraan khatar sare xaalada caafimaad ama daawooyin kale awgood. Weydii daryeel caafimaad bixiyahaaga haddii Lexapro ama Prozac ay amaan kuu yihiin.
- Prozac wuxuu sababi karaa walaac, walwal, ama hurdo la'aan.
Lexapro ama Prozac waa in loo adeegsadaa uurka kaliya haddii waxtarka hooyadu ka weyn yahay halista ilmaha. Joojinta daawada waxay sababi kartaa soo noqnoqasho niyad jab ama walaac. Sidaa darteed, bukaan-socodka waa in loo qiimeeyaa xaalad-xaalad-xaalad ah. Bixiyahaaga daryeelka caafimaad wuxuu miisaami karaa halista iyo faa'iidooyinka isticmaalka SSRI muddada uurka. Neonates-ka ay soo wajahday SSRIs saddexda bilood ee saddexaad waxay soo saareen dhibaatooyin u baahan isbitaal dhigis daba dheeraada, kaalmada neefta, iyo quudinta tubada. Haddii aad horeyba ugu jirtay Lexapro ama Prozac oo aad ogaatid inaad uur leedahay, la xiriir dhaqtarkaaga daryeelka caafimaadka isla markiiba.
Su'aalaha badanaa la isweydiiyo ee ku saabsan Lexapro iyo Prozac
Waa maxay Lexapro?
Lexapro waa SSRI (xulasho serotonin reuptake inhibitor) oo loo isticmaalo niyad jab iyo walaac. Waxaa lagu heli karaa labadaba nooc iyo guud (escitalopram).
Waa maxay Prozac?
Prozac waa SSRI oo daaweysa niyad-jabka, jahwareerka qasabka ah ee qasabka ah, bulimia nervosa, cilladda dysphoric premenstrual, iyo khalkhalka argagaxa. Magaceeda guud waa fluoxetine. Prozac waxaa lagu heli karaa nooc iyo astaan guud.
Lexapro iyo Prozac ma isku mid baa?
Lexapro iyo Prozac labaduba waxay kujiraan qaybta SSRI ee dawooyinka dhakhtarku qoro. Waxay la mid yihiin, laakiin isku mid ma aha. Waxay leeyihiin xoogaa khilaaf ah, sida kor lagu soo sheegay. Daawooyinka kale ee SSRI ee laga yaabo inaad maqashay waxaa ka mid ah Celexa (citalopram), Luvox (fluvoxamine), Paxil (paroxetine), iyo Zoloft (sertraline).
Nooc kale oo daroogo ah oo laga yaabo inaad maqashay waa nooca SNRI ee daroogada, oo ay ku jiraan Cymbalta (duloxetine), Effexor (venlafaxine), iyo Pristiq (desvenlafaxine).
Ma Lexapro ama Prozac ayaa ka fiican?
Daraasadaha (kor eeg) waxay muujinayaan Lexapro iyo Prozac inay si isku mid ah waxtar u leeyihiin. La tasho daryeel caafimaad bixiyahaaga, oo kaa caawin kara inaad go'aamiso haddii Lexapro ama Prozac ay kuu noqon karaan xulasho fiican.
Ma isticmaali karaa Lexapro ama Prozac inta aan uurka leeyahay?
Waa ku xiran tahay - kala tasho daryeel caafimaad bixiyahaaga wixii talo ah. Isaga ama iyadu waxay miisaami doonaan faa'iidooyinka qaadashada dawada lidka diiqadda iyo halista ilmaha. Neonates-ka loo soo bandhigay daawooyinka niyadjabka qaarkood, oo ay ku jiraan SSRIs, saddexda bilood ee saddexaad ee uurka, waxay yeesheen dhibaatooyin.
Haddii aad horey ugu jirtay Lexapro ama Prozac oo aad ogaato inaad uur leedahay, la tasho dhakhtarkaaga OB-GYN isla markiiba wixii talo ah. Hadaad tahay naas nuujinta , la tasho OB-GYN sidoo kale.
Ma ku isticmaali karaa Lexapro ama Prozac aalkolo?
Maya. Lexapro ama Prozac waa in aan lagu cabi karin aalkolo, maxaa yeelay isku dhafka ayaa kordhin kara halista niyad-jabka neefsashada (neefsashada oo gaabisa, helitaanka oksijiin ku filan) iyo kordhinta suuxinta iyo lulmada oo wiiqaysa feejignaanta. Isku darka ayaa sidoo kale sii xumeyn kara walwalka iyo / ama niyadjabka.
Waa kuwee SSRI ugu fiican ee walwalka?
Iyadoo benzodiazepines sida Xanax (alprazolam) badanaa loo isticmaalo daaweynta muddada-gaaban ee walwalka, SSRIs badanaa waxaa loo qoraa daaweyn muddo-dheer ah oo loogu talagalay walwalka. SSRI-ga ugu fiican ee walwalka, inkasta, waa midka sida ugu fiican adiga kuugu shaqeeya. Weydii daryeel caafimaad bixiyahaaga haddii SSRI ay kaa caawin doonto daweynta walwalkaaga.
Prozac miyuu ku fiican yahay walwalka?
Waxaa lagu muujiyaa niyadjab iyo xaalado kale, Prozac ayaa mararka qaarkood loo qoraa calaamado ka baxsan walwalka. Daraasadaha bukaan socodka, 12% ilaa 13% bukaanada qaata Prozac waxay la kulmeen cabsi ama walwal. La tasho daryeel caafimaad bixiyahaaga wixii talo caafimaad ah.
Prozac miyuu kaa dhigi karaa qashin?
Prozac wuxuu ku yeelan karaa xoogaa saameyn ah nidaamka neerfaha sida hurdo la'aan, gariir, walaac, ama walwal, taas oo kaa dhigi karta inaad dareentid kacsanaan. Si kastaba ha noqotee, dareemidda astaamaha gariir, garaaca wadnaha oo dhaqso ah, ama kacsanaan waxay noqon kartaa calaamado cudurka serotonin syndrome (kor ka eeg digniinta). Haddii aad aragto isbeddelo ku dhaca xaaladda maskaxda ama isku-duwidda, isbeddelka heerka garaaca wadnaha ama cadaadiska dhiigga, iyo / ama calaamadaha GI (caloosha) sida shuban biyoodka, tani waxay noqon kartaa cilladda serotonin. Waxay noqon kartaa mid nafta halis gelisa, sidaa darteed u raadso daryeel caafimaad oo degdeg ah.
