抑郁症的医学性及服药期注意事项

引言

Read the Medication Guide that comes with you or your family member’s antidepressant medicine. This Medication Guide is only about the risk of suicidal thoughts and actions with antidepressant medicines. Talk to your, or your family member’s, healthcare provider about:

阅读这份与你或你的家庭成员有关的抗抑郁药指导，本用药指导只是关于抗抑郁药带来自杀观念和自杀行为的风险，适合对象是您、您的家庭成员或医护人员：

· All risks and benefits of treatment with antidepressant medicines

· 抗抑郁药的所有风险和好处

· All treatment choices for depression or other serious mental illness

· 所有抑郁症或其他严重精神疾病的治疗选择

What is the most important information I should know about antidepressant medicines, depression and other serious mental illness, and suicidal thoughts or actions?

关于抗抑郁药、抑郁与其他精神疾病、自杀观念及行为，我们应该知道的最重要的信息是什么呢？

1. Antidepressant medications may increase suicidal thoughts or actions in some children, teenagers, and young adults when the medicine is first started.

在第一次开始抗抑郁治疗的儿童、青少年和年轻人中，抗抑郁药可能增加自杀观念和行为。

2. Depression and other serious mental illnesses are the most important causes of suicidal thoughts and actions. Some people may have a particularly high risk of having suicidal thoughts or actions. These include people who have (or have a family history of) bipolar illness (also called manic-depressive illness) or suicidal thoughts or actions.

抑郁和其他严重精神疾病是自杀观念和行为的主要原因，一些人可能会有特别高的自杀观念和行为的风险，这些人包括有抑郁家族史或双相障碍（又称为躁郁症）。

3. How can I watch for and try to prevent suicidal thoughts and actions in myself or a family member?

我们应该怎样发现和预防自身和家庭成员的自杀观念和行为呢？

· Pay close attention to any changes, especially sudden changes, in mood, behaviors, thoughts, or feelings. This is very important when an antidepressant medicine is first started or when the dose is changed.

多注意任何改变，特别是情绪、行为、思维或情感的突然变化，这在首次接受抗抑郁药物治疗或者调整剂量的时候是非常重要的。 

· Call the healthcare provider right away to report new or sudden changes in mood, behavior, thoughts, or feelings.

如果情绪、行为、思维或情感发生了突然的变化，要立刻给你的医生打电话。

· Keep all follow-up visits with the healthcare provider as scheduled. Call the healthcare provider between visits as needed, especially if you have concerns about symptoms.

保持规律地复诊，在复诊间隔期间如果出现你担心的症状，随时给你的医生打电话。

Call a healthcare provider right away if you or your family member has any of the following symptoms, especially if they are new, worse, or worry you:

立刻给医生电话，如果你和家人出现下面的症状，尤其是当这些症状新出现、恶化或让你担心时：

· thoughts about suicide or dying自杀和想死的想法

· attempts to commit suicide 自杀企图

· new or worse depression 抑郁新发或加重

· new or worse anxiety 焦虑新发或加重

· feeling very agitated or restless 感到非常烦躁或不安

· panic attacks 无端的恐惧

· trouble sleeping (insomnia)睡眠障碍（失眠） 

· new or worse irritability 新出现或加重的易怒

· acting aggressive, being angry, or violent 攻击性行为、愤怒或暴力

· acting on dangerous impulses 行为危险冲动

· an extreme increase in activity and talking (mania) 语言和行为异常增多（躁狂）

· other unusual changes in behavior or mood其他反常的行为和情绪

What else do I need to know about antidepressant medicines?

关于抗抑郁药还应该知道哪些其他的情况？

· Never stop an antidepressant medicine without first talking to a healthcare provider. Stopping an antidepressant medicine suddenly can cause other symptoms. 

如果没有先征求医生的意见，绝对不要停药，突然停抗抑郁药会引起其他症状。

· Antidepressants are medicines used to treat depression and other illnesses. It is important to discuss all the risks of treating depression and also the risk of not treating it. Patients and their families or other caregivers should discuss all treatment choices with the healthcare provider, not just the use of antidepressants. 

抗抑郁药是用于治疗抑郁症和其他疾病的，讨论抗抑郁药的治疗作用和危险性非常重要。病人和他们的家属或其他照顾者应该和医生讨论所有治疗选择，而不单单是用抗抑郁药。

· Antidepressant medicines have other side effects. Talk to the healthcare provider about the side effects of the medicine prescribed for you or your family member. 

抗抑郁药有其他的副作用，向医生了解处方给你或你家人的药物副作用。

· Antidepressant medicines can interact with other medicines. Know all of the medicines that you or your family member takes. Keep a list of all medicines to show the healthcare provider. Do not start new medicines without first checking with your healthcare provider. 

抗抑郁药可能和其他药物有相互作用，了解你或家人用的所有药，列一个药物清单给医生，医生没有检查前不要再使用新的药物了。 

· Not all antidepressant medicines prescribed for children are FDA approved for use in children. Talk to your child’s healthcare provider for more information.

FDA批准用于成年人的抗抑郁药不是都适合儿童，向孩子的医生多了解一些信息。 

This medication Guide has been approved by the U.S. Food and Drug Administration for all antidepressants.

这个药物指南是美国食品药品管理局（FDA）为所有抗抑郁药而制定的。

Antidepressant Medicines, Depression and other Serious Mental Illness, and Suicidal Thoughts or Actions

关键词：抗抑郁药、抑郁症和其他严重的精神疾病、自杀观念或行为

原文出处：

http://www.fda.gov/downloads/drugs/drugsafety/ucm088622.pdf

翻译：锁朋