我一直有心悸的問題，尤其是過去一年多，我經常在公司站著工作，但只要站起來一會兒，就開始覺得心跳加快、有時候甚至覺得喘不過氣，最後只好坐下。
還有我的耳鳴問題，雖不影響生活但有時候很困擾，例如有一次開會的時候可能個人過度緊張，一瞬間有刺耳的感覺伴隨而來急速暈眩，我差點以為要昏倒了。
還有我的耳鳴問題，雖不影響生活但有時候很困擾，例如有一次開會的時候可能個人過度緊張，一瞬間有刺耳的感覺伴隨而來急速暈眩，我差點以為要昏倒了。
- 4月 11 週五 202519:00
補血
- 7月 20 週三 202213:58
COVID 19確診後遺症
COVID 19確診後遺症：
1- 腦袋變鈍，反應變慢
1- 腦袋變鈍，反應變慢
- 6月 23 週四 202222:00
COVID
如果從上週五開始算，今天已經發病第7天了，但真正確診是星期一，病毒量最高，也是最難過。
星期一開始喝清冠，但副作用是輕微腹瀉、脹氣、食慾不振。尤其脹氣很嚴重，甚至想吐。不過身體倒是好很快，禮拜三我就開始居家上班了。(浪費了我兩天特休，因為不想請病假被扣錢。)
星期一開始喝清冠，但副作用是輕微腹瀉、脹氣、食慾不振。尤其脹氣很嚴重，甚至想吐。不過身體倒是好很快，禮拜三我就開始居家上班了。(浪費了我兩天特休，因為不想請病假被扣錢。)
- 3月 03 週日 201917:43
我的耳石症
昨天頭昏昏了一整天，動作大一點就暈，但還在可以容忍範圍。分享一下耳石症的心得(都暈到可以寫心得了，有點心酸酸...)
我上網看了很多資料，耳石症發生的原因不明，有一說法是頭部曾受撞擊(除非被阿飄巴頭，不然我頭部受撞擊應該有印象)，或者是內耳炎引起的耳石脫落。但這兩樣我都沒有，所以排除。我一度懷疑是搭飛機耳壓不平衡導致的，也被榮總的醫師溫柔的駁斥了(其實他冷冷的駁斥我，感覺我很蠢)。
當時醫生倒是有解釋耳石其實是碳酸鈣的結晶，平常黏附在內耳的橢圓囊斑的耳石膜上(好吧這是我上網查的)，因不明原因而脫落，掉到了內耳半規管的淋巴液裡面，游來游去，所以我就每天覺得昏昏的、無法平衡，尤其頭往下看、往上仰、往左右看、躺在床上翻身時，天旋地轉最嚴重(又叫做良性陣發性位置性眩暈)。醫生開了鈣離子的藥給我吃，說可以加速代謝耳石，平常吃清淡一點，晚上睡覺枕頭墊高一點。在榮總施行了一次耳石復位術，實行完當下我是更暈而且更想吐、24小時之內覺得遇到一個噗嚨共醫生居然害我更暈；但奇妙的是隔天之後就痊癒了！上網查資料才知道我誤會他了，這些反應都是正常。
沒想到離上次痊癒才18天，我又復發了！這時我還在緬甸沒辦法去看醫生。上網看了很多資料，有研究說耳石症好發於缺鈣及高血壓的人身上，又建議患者多喝水以降低內耳淋巴濃度，所幸這次我有帶鈣片來，就每天嚼2顆鈣片，再多喝水，我發現好像略有改善。雖然仍無法痊癒，但至少暈眩的程度舒緩了一點。另外發現昨天因為忙碌、水喝比較少，我就整天昏昏的。所以水+鈣好像真的蠻有效的！
久病成良醫～只能學習與病症共存了！換個角度想，我的醫學小常識又進步一點點啦！
我上網看了很多資料，耳石症發生的原因不明，有一說法是頭部曾受撞擊(除非被阿飄巴頭，不然我頭部受撞擊應該有印象)，或者是內耳炎引起的耳石脫落。但這兩樣我都沒有，所以排除。我一度懷疑是搭飛機耳壓不平衡導致的，也被榮總的醫師溫柔的駁斥了(其實他冷冷的駁斥我，感覺我很蠢)。
當時醫生倒是有解釋耳石其實是碳酸鈣的結晶，平常黏附在內耳的橢圓囊斑的耳石膜上(好吧這是我上網查的)，因不明原因而脫落，掉到了內耳半規管的淋巴液裡面，游來游去，所以我就每天覺得昏昏的、無法平衡，尤其頭往下看、往上仰、往左右看、躺在床上翻身時，天旋地轉最嚴重(又叫做良性陣發性位置性眩暈)。醫生開了鈣離子的藥給我吃，說可以加速代謝耳石，平常吃清淡一點，晚上睡覺枕頭墊高一點。在榮總施行了一次耳石復位術，實行完當下我是更暈而且更想吐、24小時之內覺得遇到一個噗嚨共醫生居然害我更暈；但奇妙的是隔天之後就痊癒了！上網查資料才知道我誤會他了，這些反應都是正常。
沒想到離上次痊癒才18天，我又復發了！這時我還在緬甸沒辦法去看醫生。上網看了很多資料，有研究說耳石症好發於缺鈣及高血壓的人身上，又建議患者多喝水以降低內耳淋巴濃度，所幸這次我有帶鈣片來，就每天嚼2顆鈣片，再多喝水，我發現好像略有改善。雖然仍無法痊癒，但至少暈眩的程度舒緩了一點。另外發現昨天因為忙碌、水喝比較少，我就整天昏昏的。所以水+鈣好像真的蠻有效的！
久病成良醫～只能學習與病症共存了！換個角度想，我的醫學小常識又進步一點點啦！
- 11月 20 週二 201811:20
[整理] 慢性腎臟病 vs. 高血壓
*血壓要多少才算正常？
血壓的正常值並沒有絕對的數值可供參考，而且隨著年齡的不同血壓也應有不同的標準。年齡越輕，血壓標準應愈低。目前成人血壓的標準值及高血壓的分級，都是一群學者根據已發表的文獻資料達成一種“共識”而訂定的。因此標準也會隨時間不同而改變。標準定的高低並不重要，但是有一種重要的趨勢就是標準血壓愈訂愈低，而且根據病患原有疾病的不同而有不一樣的標準。
目前的認定標準如表一：
- 11月 21 週四 201314:50
IgA腎病
概述
IgA腎病（IgA nephropathy） 是1968年由Berger首先描述的， 以系膜增生及系膜區顯著彌漫的IgA沉積為特征的一組腎小球疾病。其臨床表現多種多樣，以血尿最為常見。IgA腎病可分為原發性和繼發性兩種類型，后者常繼發于肝硬化、腸道疾病、關節炎、皰疹性皮炎等疾病，也以腎小球系膜區顯著的IgA沉積為特點。原發性IgA腎病在世界許多地方被認為是一種最常見的腎小球腎炎，而且是導致終末期腎衰的常見原因之一，本文主要介紹原發性IgA腎病。
IgA腎病（IgA nephropathy） 是1968年由Berger首先描述的， 以系膜增生及系膜區顯著彌漫的IgA沉積為特征的一組腎小球疾病。其臨床表現多種多樣，以血尿最為常見。IgA腎病可分為原發性和繼發性兩種類型，后者常繼發于肝硬化、腸道疾病、關節炎、皰疹性皮炎等疾病，也以腎小球系膜區顯著的IgA沉積為特點。原發性IgA腎病在世界許多地方被認為是一種最常見的腎小球腎炎，而且是導致終末期腎衰的常見原因之一，本文主要介紹原發性IgA腎病。
- 11月 21 週四 201314:34
慢性腎臟病合併高血壓的藥物治療
前言
美國國家心臟、肺及血液機構主導的高血壓預防、偵測、評估及治療委員會於2003年 5月再度對聯合委員會第六次報告的高血壓準則（簡稱JNC 6）作出修定，發表了第七次的高血壓的預防、偵測、評估及治療的報告（The sventh report of the Joint National Committe on prevention, detection, evaluation and treatment of high blood pressure）(簡稱JNC7)。這次的修定對高血壓的定義和治療有少許的改變。
美國國家心臟、肺及血液機構主導的高血壓預防、偵測、評估及治療委員會於2003年 5月再度對聯合委員會第六次報告的高血壓準則（簡稱JNC 6）作出修定，發表了第七次的高血壓的預防、偵測、評估及治療的報告（The sventh report of the Joint National Committe on prevention, detection, evaluation and treatment of high blood pressure）(簡稱JNC7)。這次的修定對高血壓的定義和治療有少許的改變。
- 3月 07 週三 201222:41
Olanzapine & Fluoxetine
以下資料來源: http://www.psychpark.org/psy/olanzapine.asp
Olanzapine（商品名Zyprexa）
Olanzapine（商品名Zyprexa）
- 3月 07 週三 201222:04
Symbyax
以下資料來源: http://www.symbyax.com/Pages/bipolar-depression-trd-medication.aspx
About Symbyax
Symbyax was the first antidepressant approved by the FDA for acute treatment of treatment-resistant depression and bipolar I depression in adults.
Be Sure to Talk With Your Healthcare Provider to See If Symbyax Is Right For You
To learn more, please review some common questions about your treatment with Symbyax and Symbyax side effect information. Additional information about Symbyax can be found by reviewing the Safety Information and Boxed Warnings, Prescribing Information, and Medication Guide.
Taking Symbyax
How Soon Will Symbyax Help Me Feel Better?
You may start feeling better within as few as 7 days of starting Symbyax. But it can take up to a few weeks or longer to feel its full benefit. Everyone responds to medicine differently. Not everyone will get better after taking Symbyax. If you don’t think you are getting better, call your doctor.
It is important you take Symbyax exactly as a healthcare professional has prescribed. He or she will decide how long you should take Symbyax. If Symbyax does not start to work immediately, you should try not to be discouraged.
What Should I Tell My Healthcare Provider Before Taking Symbyax?
Before taking Symbyax, tell your healthcare provider about all the prescription and nonprescription medicines you use. This includes medicines for migraines, to avoid a possible life-threatening condition. Also, tell your healthcare provider about any vitamins or herbal supplements you take and if you are planning on taking any of the following medicines:
ZYPREXA® (olanzapine), ZYPREXA RELPREVV (olanzapine), Prozac® (fluoxetine hydrochloride), Sarafem® (fluoxetine hydrochloride), or medicines that contain them.
Ibuprofen, aspirin, or blood thinners. Symbyax can increase the risk of bleeding, especially when taken with these medicines. If you notice increased or unusual bruising or other bleeding, contact your healthcare provider.
Also tell your healthcare provider about any medical conditions you have, including heart problems, seizures, diabetes or high blood sugar levels (hyperglycemia), high cholesterol or triglyceride levels in your blood, liver problems, low or high blood pressure, strokes or “mini-strokes” also called transient ischemic attacks (TIAs), bleeding problems, Alzheimer’s disease, narrow-angle glaucoma, enlarged prostate in men, bowel obstruction, breast cancer, thoughts of suicide or hurting yourself, or any other medical condition.
Who Should NOT Take SYMBYAX
Do not take SYMBYAX if you already take a Monoamine Oxidase Inhibitor (MAOI) or if you stopped taking an MAOI in the last 2 weeks. Do not take an MAOI within 5 weeks of stopping SYMBYAX. People who take SYMBYAX close in time to an MAOI can have serious and life-threatening side effects, with symptoms including: high fever, continued muscle spasms that you cannot control, rigid muscles, changes in heart rate and blood pressure that happen fast, confusion, unconsciousness. Ask your doctor or pharmacist if you are not sure if your medicine is an MAOI
Do not take SYMBYAX if you already take Mellaril (thioridazine). Do not take Mellaril within 5 weeks of stopping SYMBYAX. Mellaril can cause serious heart rhythm problems and you could die suddenly
Do not take SYMBYAX if you take the antipsychotic medicine pimozide (Orap)
What Happens If I Stop Taking Symbyax?
You should not stop taking Symbyax suddenly. If you do, you may have dizziness, nausea, headaches, or other symptoms. Talk with your healthcare professional before stopping Symbyax.
Be sure to talk with your healthcare provider to see if Symbyax is right for you.
For additional information, please review some common questions about your treatment with Symbyax and Symbyax side effect information. More information about Symbyax can be found by reviewing the Safety Information and Boxed Warnings, Prescribing Information, and Medication Guide.
Mellaril® is a registered trademark of Novartis.
Orap® is a registered trademark of Gate Pharmaceuticals, a division of Teva Pharmaceuticals USA.
Prozac® and ZYPREXA® are registered trademarks of Eli Lilly and Company.
Sarafem® is a registered trademark of Warner Chilcott, Inc.
Side Effects
Symbyax is associated with some possible side effects. Not everyone will experience these side effects. It is important to know the possible side effects of any medicine you take and how to manage them. Some may just be uncomfortable. Others can be more serious.
Tell your doctor about any side effect that bothers you or won't go away. Some common, possible side effects of Symbyax are:
* Tiredness
* Increased appetite
* Blurred vision
* Dry mouth
* Feeling weak
* Sleeping for long periods of time
* Tremors (shakes)
* Swelling of your hands and feet
This is not a complete list of possible side effects of Symbyax. To learn more about all the side effects of Symbyax, please review the Safety Information and Boxed Warnings, Symbyax Medication Guide, and Prescribing Information.
If you have questions or concerns, talk with your healthcare provider. Do not stop taking Symbyax without first talking with him or her.
Risks of Suicide
Symbyax has not been studied in children under 18 and is not approved for this age group. Additionally, all antidepressants carry a warning of increased risk of suicidal thinking and behavior in children, adolescents, and young adults with depression and other psychiatric disorders.
Thoughts of death or suicide are common in depression, and it's important to take such thoughts seriously. If you feel like giving up or as if you might hurt yourself, get help immediately:
* Call your doctor
* Go to the emergency room
* Call 911
* Call the National Suicide Prevention Helpline, 1-800-SUICIDE (1-800-784-2433)
What Are Some Additional Things I Should Know About Symbyax?
High blood sugar can happen if you have diabetes already or if you have never had diabetes. High blood sugar could lead to a build up of acid in your blood due to ketones (ketoacidosis), coma, or death. Your doctor should do tests to check your blood sugar before you start taking SYMBYAX and during treatment. In people who do not have diabetes, sometimes high blood sugar goes away when SYMBYAX is stopped. People with diabetes and some people who did not have diabetes before taking SYMBYAX need to take medicine for high blood sugar even after they stop taking SYMBYAX. If you have diabetes, follow your doctor’s instructions about how often to check your blood sugar while taking SYMBYAX.
People taking Symbyax should have blood tests to check cholesterol and triglyceride levels before they start taking SYMBYAX and during treatment.
People may gain weight while taking Symbyax and should have their weight checked regularly during treatment.
When to Call Your Healthcare Professional
Treatment-resistant depression (TRD) and bipolar I depression can be associated with periods when symptoms can worsen or thoughts of suicide can emerge. People with depression and their families should be familiar with the signs of suicide risk. A healthcare professional should be contacted if the individual's symptoms become severe or occur suddenly.
Also, you should alert your doctor immediately if:
* You have thoughts about death or suicide
* You think you could hurt yourself or others
* You believe your symptoms are becoming worse or you develop new symptoms
* You are experiencing unwanted side effects
About Symbyax
Symbyax was the first antidepressant approved by the FDA for acute treatment of treatment-resistant depression and bipolar I depression in adults.
Be Sure to Talk With Your Healthcare Provider to See If Symbyax Is Right For You
To learn more, please review some common questions about your treatment with Symbyax and Symbyax side effect information. Additional information about Symbyax can be found by reviewing the Safety Information and Boxed Warnings, Prescribing Information, and Medication Guide.
Taking Symbyax
How Soon Will Symbyax Help Me Feel Better?
You may start feeling better within as few as 7 days of starting Symbyax. But it can take up to a few weeks or longer to feel its full benefit. Everyone responds to medicine differently. Not everyone will get better after taking Symbyax. If you don’t think you are getting better, call your doctor.
It is important you take Symbyax exactly as a healthcare professional has prescribed. He or she will decide how long you should take Symbyax. If Symbyax does not start to work immediately, you should try not to be discouraged.
What Should I Tell My Healthcare Provider Before Taking Symbyax?
Before taking Symbyax, tell your healthcare provider about all the prescription and nonprescription medicines you use. This includes medicines for migraines, to avoid a possible life-threatening condition. Also, tell your healthcare provider about any vitamins or herbal supplements you take and if you are planning on taking any of the following medicines:
ZYPREXA® (olanzapine), ZYPREXA RELPREVV (olanzapine), Prozac® (fluoxetine hydrochloride), Sarafem® (fluoxetine hydrochloride), or medicines that contain them.
Ibuprofen, aspirin, or blood thinners. Symbyax can increase the risk of bleeding, especially when taken with these medicines. If you notice increased or unusual bruising or other bleeding, contact your healthcare provider.
Also tell your healthcare provider about any medical conditions you have, including heart problems, seizures, diabetes or high blood sugar levels (hyperglycemia), high cholesterol or triglyceride levels in your blood, liver problems, low or high blood pressure, strokes or “mini-strokes” also called transient ischemic attacks (TIAs), bleeding problems, Alzheimer’s disease, narrow-angle glaucoma, enlarged prostate in men, bowel obstruction, breast cancer, thoughts of suicide or hurting yourself, or any other medical condition.
Who Should NOT Take SYMBYAX
Do not take SYMBYAX if you already take a Monoamine Oxidase Inhibitor (MAOI) or if you stopped taking an MAOI in the last 2 weeks. Do not take an MAOI within 5 weeks of stopping SYMBYAX. People who take SYMBYAX close in time to an MAOI can have serious and life-threatening side effects, with symptoms including: high fever, continued muscle spasms that you cannot control, rigid muscles, changes in heart rate and blood pressure that happen fast, confusion, unconsciousness. Ask your doctor or pharmacist if you are not sure if your medicine is an MAOI
Do not take SYMBYAX if you already take Mellaril (thioridazine). Do not take Mellaril within 5 weeks of stopping SYMBYAX. Mellaril can cause serious heart rhythm problems and you could die suddenly
Do not take SYMBYAX if you take the antipsychotic medicine pimozide (Orap)
What Happens If I Stop Taking Symbyax?
You should not stop taking Symbyax suddenly. If you do, you may have dizziness, nausea, headaches, or other symptoms. Talk with your healthcare professional before stopping Symbyax.
Be sure to talk with your healthcare provider to see if Symbyax is right for you.
For additional information, please review some common questions about your treatment with Symbyax and Symbyax side effect information. More information about Symbyax can be found by reviewing the Safety Information and Boxed Warnings, Prescribing Information, and Medication Guide.
Mellaril® is a registered trademark of Novartis.
Orap® is a registered trademark of Gate Pharmaceuticals, a division of Teva Pharmaceuticals USA.
Prozac® and ZYPREXA® are registered trademarks of Eli Lilly and Company.
Sarafem® is a registered trademark of Warner Chilcott, Inc.
Side Effects
Symbyax is associated with some possible side effects. Not everyone will experience these side effects. It is important to know the possible side effects of any medicine you take and how to manage them. Some may just be uncomfortable. Others can be more serious.
Tell your doctor about any side effect that bothers you or won't go away. Some common, possible side effects of Symbyax are:
* Tiredness
* Increased appetite
* Blurred vision
* Dry mouth
* Feeling weak
* Sleeping for long periods of time
* Tremors (shakes)
* Swelling of your hands and feet
This is not a complete list of possible side effects of Symbyax. To learn more about all the side effects of Symbyax, please review the Safety Information and Boxed Warnings, Symbyax Medication Guide, and Prescribing Information.
If you have questions or concerns, talk with your healthcare provider. Do not stop taking Symbyax without first talking with him or her.
Risks of Suicide
Symbyax has not been studied in children under 18 and is not approved for this age group. Additionally, all antidepressants carry a warning of increased risk of suicidal thinking and behavior in children, adolescents, and young adults with depression and other psychiatric disorders.
Thoughts of death or suicide are common in depression, and it's important to take such thoughts seriously. If you feel like giving up or as if you might hurt yourself, get help immediately:
* Call your doctor
* Go to the emergency room
* Call 911
* Call the National Suicide Prevention Helpline, 1-800-SUICIDE (1-800-784-2433)
What Are Some Additional Things I Should Know About Symbyax?
High blood sugar can happen if you have diabetes already or if you have never had diabetes. High blood sugar could lead to a build up of acid in your blood due to ketones (ketoacidosis), coma, or death. Your doctor should do tests to check your blood sugar before you start taking SYMBYAX and during treatment. In people who do not have diabetes, sometimes high blood sugar goes away when SYMBYAX is stopped. People with diabetes and some people who did not have diabetes before taking SYMBYAX need to take medicine for high blood sugar even after they stop taking SYMBYAX. If you have diabetes, follow your doctor’s instructions about how often to check your blood sugar while taking SYMBYAX.
People taking Symbyax should have blood tests to check cholesterol and triglyceride levels before they start taking SYMBYAX and during treatment.
People may gain weight while taking Symbyax and should have their weight checked regularly during treatment.
When to Call Your Healthcare Professional
Treatment-resistant depression (TRD) and bipolar I depression can be associated with periods when symptoms can worsen or thoughts of suicide can emerge. People with depression and their families should be familiar with the signs of suicide risk. A healthcare professional should be contacted if the individual's symptoms become severe or occur suddenly.
Also, you should alert your doctor immediately if:
* You have thoughts about death or suicide
* You think you could hurt yourself or others
* You believe your symptoms are becoming worse or you develop new symptoms
* You are experiencing unwanted side effects