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陳致中:北監疑給扁精神科藥物

中央社

前總統陳水扁的兒子陳致中今天表示,扁昨天晚間出現胸悶、會喘、想嘔吐等症狀,另外也發現扁在北監服刑中所服用的藥物,有疑似精神科的藥物。

北監說,監所內的醫療人員均由衛生署桃園醫院支援,所有用藥是署桃專科醫師開立,北監不清楚藥物內容。署桃公關室表示,對於陳致中的說法,沒有任何評論。

扁獲准戒護外醫,昨天在署桃心臟科主任與主治醫師合力下完成心導管檢查手術,過程順利。

陳致中今天中午接受媒體訪問時表示,扁昨晚出現胸悶、會喘、想嘔吐等症狀,醫師也換氧氣罩給扁使用。

陳致中說,陳水扁在北監的藥單中出現一顆精神科用藥,質疑在北監看診的醫生為何開這種藥,「用藥的作用為何?目的是什麼?北監應該向我父親說清楚」。

有報導傳言陳水扁看精神科,陳致中表示,扁這次進署桃檢查,沒有看精神科。

2012-03-09

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扁辦新聞稿:陳幸妤未同意扁吃阿提凡 Ativan

就北監醫師疑似長達14個月開立精神科用藥給不知情之陳前總統服用一事,本辦公室經查證,嚴正提出以下質疑:

(1) 陳前總統從未有過精神科病史,在他的主訴中也未曾有睡眠障 礙疾病,或是精神疾病症狀,但是在他不知情的狀況下,誤以為是在吃一般感冒藥的情形下,為何有一顆名為ativan的藥物?經查這顆藥物是抗焦慮、安眠、鎮靜、抗痙攣的作用,究竟是基於何種診斷和考量下開立這顆藥?是哪一科的專科醫師所開立,他是否有足夠的專業判斷,施以多少劑量,為何服用長達14個月,疑竇重重,陳前總統申請戒護就醫一再遭受拖延,北監醫師一直以感冒不要緊來搪塞,生病不能看病,北監當然檢查不出原因,是否以精神用藥來粉飾太平,瞞天過海,本辦公室要求北監儘速說明清楚,以釋群疑。

(2) 一般人感冒就醫,應被清楚告知服用每顆藥的藥名和副作用, 正如我們去就醫時,藥袋上都被要求標示藥名和副作用,這應是基本人權,陳前總統不應該在北監就被剝奪,更何況,以常識判斷,鎮靜安眠藥絕非一般感冒的基本用藥。

(3) 醫學上指出,長期服用處方藥「阿提凡」Ativan,可能損壞腦部和中樞神經,造成抑鬱症、失憶症、視力喪失、突發症、幻覺等嚴重副作用,並且還會讓人上癮。

專家指出,「阿提凡」的主要作用是治療失眠、焦慮和驚慌症;英國消費者組織也警告說,即使短期使用,也會讓人上癮,變成非吃它不能治療失眠,長期服用則會有上述嚴重的副作用。 利物浦「非自願鎮定劑上癮協會」創辦人阿姆斯壯告訴渥太華公民報,阿提凡大概是安眠藥當中最「惡毒」的:「它很容易讓人上癮,而且在很短期間內就讓人上癮」。種種看起來應是如非必要,能不吃就不要吃的藥,所以本辦公室強烈質疑為何要開立這顆藥?

(4) 本辦公室感謝署桃醫師細心檢視陳前總統藥單,方才發現上情, 陳前總統自始從未同意服用,當日得知之後,亦立即拒絕服用,陳幸妤小姐的確曾就此事詢問發現之醫師,並明確表示如非必要,能不吃就不要吃,並未接受或同意其父陳前總統繼續服用, 為免外界混淆,特此澄清。

(5) 檢閱陳前總統在北監的醫療紀錄,用藥安全上是值得懷疑的, 一次是心臟科的用藥,陳前總統被開了超過正常劑量3倍以上,後來造成極端的不舒服和頭痛欲裂,後來發現是一位復建師(非專科醫師)開的。另一次是給予長期的類固醇眼藥水,造成本來眼壓過高的狀況更惡化。

(6) 在心導管手術後,陳前總統昨晩仍有胸悶、急喘、呼吸窘迫的緊急情況,值班醫師甚至給予氧氣罩才稍紓緩,試問:北監能有這樣的設備嗎?能有值班醫師給予立即的處置嗎?北監人員能有這種警覺性嗎?陳前總統罹患冠心症,隨時有心肌梗塞的生命危險,人命關天,如果出了事,誰能夠負責?

另,陳前總統在北監的舍房雖1.2坪,但係兩個人使用,並須扣除便廁,水桶及置物箱等空間,平均計算,個人活動空間確為0.3坪無訛。本辦公室認為,陳前總統未獲准到工場作業形同是變相的處罰及不利益,如果獄方考量的是「安全」問題,那就更加不能成立;因為,維護每一位收容人在監獄中的人身安全,本來就是獄政單位所應盡的職責。要靠犧牲收容人在監的基本人權,來成就獄政管理的便利,在邏輯上絕對說不通。

(2012-03-10)

 

 

Ativan 的副作用

While most people tolerate Ativan well, it is possible for problems to occur during treatment. Common side effects of Ativan can include dizziness, weakness, and unsteadiness. A few other possible side effects include nausea, constipation, and fatigue. Some risks are more serious and require immediate medical attention; be sure to report side effects such as seizures or suicidal thoughts to your healthcare provider right away.

Common Side Effects of Ativan
Ativan has been studied thoroughly in clinical trials. In these studies, the side effects that occur in a group of people taking the drug are documented and are then compared to side effects that occur in another group of people not taking the medicine. This way, it is possible to see what side effects occur, how often they appear, and how they compare to the group not taking the medicine.

In these studies, the most common side effects of Ativan included: 在這些研究中,最常見的副作用Ativan影響包括:

•A sleeping or calming effect (known medically as sedation) -- in up to 15.9 percent of people •沉睡或鎮靜作用(醫學上的鎮靜作用) - 在高達15.9%的人
•Dizziness -- up to 6.9 percent •頭暈 - 高達6.9%
•Weakness -- up to 4.2 percent •虛弱 - 高達4.2%
•Unsteadiness -- up to 3.4 percent. •忽快忽慢 - 高達3.4%

Some other possible side effects included: 其他一些可能的副作用包括:

•Drowsiness •睡意
•Fatigue •疲勞
•Memory loss •記憶力減退
•Confusion •混亂
•Disorientation •迷失方向
•Vertigo (a spinning sensation) •眩暈(旋轉的感覺)
•Vision changes •視力變化
•Headaches •頭痛
•Slurred speech •口齒不清
•Nausea •噁心
•Constipation •便秘
•Sex drive changes •性慾變化
•Impotence, also known as erectile dysfunction or ED (see Ativan Sexual Side Effects) •陽痿,又稱勃起功能障礙或ED (看到Ativan性方面的副作用)
•Orgasm problems •高潮問題
•Hair loss (see Ativan and Hair Loss) •脫髮(見Ativan和脫髮)
•Slightly lower blood pressure. •略微降低血壓。


Serious Side Effects

Some side effects with Ativan, while occurring infrequently, are potentially serious and should be reported immediately to your healthcare provider. These include but are not limited to:

•Depression (or worsening of existing depression) •抑鬱症(或惡化現有的抑鬱症)
•Suicidal thoughts •自殺的念頭
•Difficulty breathing •呼吸困難
•Seizures •癲癇發作
•Anxiety, excitation, or agitation •焦慮,興奮,或激越
•Hostility, aggression, or rage •敵視,侵略,或憤怒
•Insomnia •失眠
•Hallucinations •幻覺
•Signs of an allergic reaction, including unexplained rash, hives, itching, and unexplained swelling. •過敏反應的跡象,包括不明原因的皮疹,蕁麻疹,瘙癢,不明原因的腫脹。

Final Thoughts on Ativan Side Effects
It is possible that you may experience some or none of the Ativan side effects listed in this article. Unfortunately, there is no way for your healthcare provider to know beforehand if you will have side effects from a medicine that you have never tried. Therefore, make sure to let your healthcare provider know if you develop any side effects while taking Ativan. Also let your healthcare provider know if you develop something that "just does not seem right" during treatment with the medicine. While you may not be experiencing a side effect, your healthcare provider will be able to diagnose and treat the problem.

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