{"id":654968,"date":"2013-12-19T00:00:00","date_gmt":"2013-12-19T00:00:00","guid":{"rendered":"https:\/\/stg-hemmetsjournal-stage.kinsta.cloud\/hemmetsjournal\/artiklar\/experterna\/20131218\/ska-jag-behova-oka-dosen-igen\/"},"modified":"2016-05-15T19:39:50","modified_gmt":"2016-05-15T19:39:50","slug":"ska-jag-behova-oka-dosen-igen","status":"publish","type":"post","link":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/artiklar\/experterna\/20131219\/ska-jag-behova-oka-dosen-igen\/","title":{"rendered":"Ska jag beh\u00f6va \u00f6ka dosen igen?"},"content":{"rendered":"<div>\n<div>\n<p>Jag har sedan ett par m\u00e5nader m\u00e5tt illa och haft problem med huvudv\u00e4rk. Vissa dagar \u00e4r jag symptomfri, vissa inte. I b\u00f6rjan kunde jag inte jobba. Arbetar heltid p\u00e5 ett r\u00e4tt stressigt jobb men har \u00e4ndrat min jobbsituation s\u00e5 nu funkar det.<\/p>\n<p>&nbsp;<\/p>\n<p>Det hela b\u00f6rjade med att jag s\u00e4nkte en liten dos av antidepressiv medicin och fick rej\u00e4la uts\u00e4ttningssymptom. Fick d\u00e5 efter ett rej\u00e4lt k\u00e4mpande \u00f6ka dosen igen.<\/p>\n<p>&nbsp;<\/p>\n<p>Men problemen har fortsatt. Jag m\u00e5r illa efter att ha varit p\u00e5 toa och \u00e4ven n\u00e4r jag \u00e4tit mat. \u00c4ter varierad och nyttig mat cirka 4-5 g\u00e5nger per dag och tr\u00e4nar aktivt. Har gjort en gastroskopi som inte visade n\u00e5got. Alla prover ser bra ut.<\/p>\n<p>&nbsp;<\/p>\n<p>Min l\u00e4kare tycker jag ska g\u00e5 upp till min ursprungliga dos av medicinen f\u00f6r att f\u00e5 bort besv\u00e4ren. Men jag vill egentligen inte det eftersom jag inte tror att det \u00e4r problemet. Vi funderar p\u00e5 att skaffa barn n\u00e4r jag blivit bra och jag vill helst inte alls ta n\u00e5gon medicin alls d\u00e5.<\/p>\n<\/p><\/div>\n<\/div>\n<div><strong>Doktor Lennart Skoog svarar:<\/strong><\/p>\n<div>\n<p>Symptomen du beskriver tycker jag kan st\u00e4mma med s\u00e5 kallade &#8220;uts\u00e4ttningssymptom&#8221;, det vill s\u00e4ga n\u00e4r man slutar eller drar ned p\u00e5 dosen av antidepressiv medicin f\u00f6r fort. D\u00e4rf\u00f6r \u00e4r det viktigt att man alltid \u00e4ndrar dosen i samr\u00e5d med sin l\u00e4kare f\u00f6r vanligen beh\u00f6vs en lite l\u00e4ngre period av f\u00f6rsiktig nedtrappning av l\u00e4kemedlet.<\/p>\n<p>&nbsp;<\/p>\n<p>Du skriver inte vilket l\u00e4kemedel du anv\u00e4nt, vilket ocks\u00e5 har en viss betydelse d\u00e4r vissa antidepressiva har en st\u00f6rre risk att orsaka besv\u00e4r n\u00e4r man drar ner p\u00e5 dosen. F\u00f6r de allra flesta f\u00f6rsvinner biverkningarna av dosminskning inom cirka fyra veckor. Det kan vara en besv\u00e4rlig tid och det \u00e4r viktigt att man f\u00e5r ordentlig information och st\u00f6d f\u00f6r att klara sig igenom denna period.<\/p>\n<p>&nbsp;<\/p>\n<p>Man vet att 6-8 procent av patienterna har en mycket annorlunda nedbrytning av antidepressiva l\u00e4kemedel i kroppen, vilket p\u00e5verkar och kan f\u00f6rl\u00e4nga besv\u00e4rsperioden vid dosminskning. Det \u00e4r om\u00f6jligt att bara p\u00e5 din fr\u00e5ga avg\u00f6ra om du tillh\u00f6r denna grupp, men din l\u00e4kares f\u00f6rslag att h\u00f6ja antidepressiv medicin till ursprungsdos f\u00f6r att sedan mycket l\u00e5ngsamt trappa ut l\u00e4kemedlet under l\u00e4ngre tid l\u00e5ter rimligt.<\/p>\n<p>&nbsp;<\/p>\n<p>Det \u00e4r bra att veta, att all abstinens, som &#8220;uts\u00e4ttningssymptom&#8221; ocks\u00e5 kallas, alltid g\u00e5r \u00f6ver.<\/p>\n<\/p><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Jag har sedan ett par m\u00e5nader m\u00e5tt illa och haft problem med huvudv\u00e4rk. Vissa dagar \u00e4r jag symptomfri, vissa inte. I b\u00f6rjan kunde jag inte&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ep_exclude_from_search":false,"_FSMCFIC_featured_image_caption":"","_FSMCFIC_featured_image_nocaption":"","_FSMCFIC_featured_image_hide":"","footnotes":""},"categories":[136],"tags":[],"class_list":["post-654968","post","type-post","status-publish","format-standard","hentry","category-experterna"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-15 23:03:50","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts\/654968","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/comments?post=654968"}],"version-history":[{"count":0,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts\/654968\/revisions"}],"wp:attachment":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/media?parent=654968"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/categories?post=654968"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/tags?post=654968"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}