"Paroxetine": malangizo ntchito, ndemanga. analogues mankhwala

Kodi zikutanthauzanji mankhwala "Paroxetine"? Malangizo ntchito mankhwala Adzaperekedwa m'nkhani ino. Komanso mwa inu kudziwa contra-zikuonetsa iliyonse ndipo akupezeka ndi mankhwala, ngati iye anali zovuta zilizonse, kodi mawonekedwe likupezeka ndi mmene mankhwala interacts ndi mankhwala ena.

Zikuchokera, ma CD ndi maonekedwe a kumasulidwa mankhwala

Mankhwala "Paroxetine" akupita pa malonda mu mawonekedwe a mapiritsi, filimu TACHIMATA. Iwo zozungulira ndipo lenticular mawonekedwe, mtundu woyera, ndi chiopsezo cha pamwamba yovuta.

Thunthu yogwira imatengedwa mwa ife zikutanthauza paroxetine hydrochloride hemihydrate. Komanso, mankhwala mu kapangidwe kake zinthu zina thandizo mu mawonekedwe a colloidal pakachitsulo dioxide, microcrystalline mapadi, crospovidone, calcium mankwala a hydrogen, copovidone, talc ndi magnesium stearate.

Miyala "Paroxetine" amagulitsidwa mapaketi chithuza zidutswa 10 amene anayikidwa mukatoni.

The kanthu pharmacological mankhwala

ndi mankhwala "Paroxetine" imene analogues adzakhala dzina lake patsogolo pang'ono chiyani? Ndi antidepressant. Ndi woletsa wa (kusankha) serotonin reuptake ubongo manyuroni. Izi ndi zimene amasankha zotsatira zake odana mukakhala ndi efficacy mankhwalawa mantha chisokonezo ndi matenda obsessive-zinazake.

Ankaona oyandikana medicament ali kuyandikana otsika kwambiri α2-, α1- ndi β-adrenoreceptors komanso mamita-holinoretseptorami, dopamine, 5HT1 ngati, 5HT2 ngati ndi histamine H1-maselo.

Kodi psychomotor ntchito akuphwanya mankhwala "Paroxetine"? Reviews madokotala kuti mankhwala alibe zotsatira pa psyche anthu moyipa. Komanso, sikuti potentiate zotsatira nkhawa Mowa pa ntchito psychomotor.

Zimamveka ofufuza apeza ndi antidepressant ngati ofooka katundu activating kokha ngati kutumikiridwa pa Mlingo kuposa wofunikila chopinga wa serotonin reuptake. Sitingathe kunena kuti mankhwala sayambitsa atasintha madzi a magazi, akugwirira ndiponso kugunda kwa mtima.

The pharmacokinetics chipangizo dokotala

mankhwala "Paroxetine" monga odzipereka? Malangizo ntchito, madokotala lenileni kuti pambuyo makonzedwe m'kamwa wa chinthu yogwira imatsala kwa mundawo m'mimba ndipo zimapukusidwa kudzera chiwindi.

Ndende n'kupuma wa medicament m'magazi Zimapezeka masabata 1-1.7 ukatha mwambo wa mankhwala. The yogwira pophika mankhwala ndi ambiri kufalitsidwa ku zimakhala. Pankhaniyi, ndi zana limodzi lokha opezeka mu madzi a. Kulankhulana ndi mapuloteni a dongosolo la 95%.

Antidepressant zimapukusidwa mu chiwindi. Chifukwa, metabolites anafooka anapanga. Mwamsanga kuchotsedwa thupi, ndipo ndi otsika pharmacological ntchito ndipo alibe zotsatira za mmene achire mankhwala.

mankhwala "Paroxetine" monga momwe chaonetsedwera? Onani, mankhwala mavoti amanena kuti pafupifupi 64% ya mankhwala yogwira akatulutsidwa pamodzi ndi mkodzo, pamene otsala 36% - mu intestine (mu ya ndulu).

The pharmacokinetics mankhwala zinthu mwapadera kuchipatala

Anthu ambiri yogwira mankhwala mu ukuwonjezeka madzi a m'magazi kuphwanya impso ndi chiwindi, komanso okalamba.

Zikuonetsa ntchito chipangizo zachipatala

Nthawi zina, odwala Kwalamulidwa antidepressant "Paroxetine"? pa ntchito chida kalozera muli mndandanda uli mmunsiwu kuwerenga:

• mtundu uliwonse wa maganizo, kuphatikizapo amkati kwambiri, zotakasika, ndipo limodzi ndi nkhawa;
• mantha matenda, kuphatikizapo agoraphobia;
• obsessive-zinazake matenda (OCD kapena chidule);
• Nkhawa matenda;
• chikhalidwe odwala matendawa, kapena otchedwa chonama chikhalidwe.

Contraindications ntchito chipangizo zachipatala

Nthawi zina, mwina palibe sangathe ntchito odwala antidepressant "Paroxetine"? pa ntchito chida kalozera zikuphatikizapo mndandanda wa contraindications:

• wosakhazikika khunyu;
• ntchito pamlandu zoletsa monoamine oxidase, komanso milungu iwiri nthawi pambuyo achire awo;
• zaka ana;
• nthawi gestation;
• Hypersensitivity kwa zigawo mankhwala;
• nthawi yoyamwitsa.

Ntchito mosamala kwambiri

Kodi milandu ayenera kukhala odziletsa madyedwe a antidepressant "Paroxetine"? Malangizo ntchito limanena kuti kukonzekera izi kutumikiridwa ndi kusamala odwala ndi kulephera chiwindi, njingayo-kutsekedwa khungu, kulephera aimpso, kukonda, otchedwa benign prostatic hyperplasia limati convulsive, matenda mtima, khunyu. Komanso, ntchito pamlandu mankhwala yosagwira ndi cardioversion, komanso mankhwala amene azitaya magazi ambiri. Tiyenera kusamalira kwambiri pamaso pa zifukwa chiopsezo cha matenda magazi ndi abwino limati ngati matenda.

Antidepressant "Paroxetine": momwe makhwalawa?

Tiganizire mankhwala akutengedwa pakamwa kamodzi pa tsiku (m'mawa) pa kadzutsa. Mapiritsi ayenera kuwameza lonse, ndasambitsa pansi ndi madzi opanda.

Pa tsiku loyamba masabata atatu pambuyo chiyambi cha mankhwala mlingo kusintha payekha. Iwo kenako anasintha (ngati n'koyenera).

Pa yaitali maganizo analimbikitsa kuchuluka kwa medicament ndi 20 mg wa kamodzi pa tsiku. Ngati chofunika, mlingo pang'ono ndi pang'ono chinawonjezeka ndi 10 mg. Max analandira mankhwala sayenera upambana 50 mg.

Pakuti obsessive zinazake matenda koyamba mlingo wa antidepressant ndi ndi 20 mg wa pa tsiku. Kenako, kumawonjezera kwa 10 mg. Analimbikitsa pafupifupi tsiku mlingo kupatuka ndiyo 40 mg. Mu pachimake kufunikira akhoza ziwonjezeke kwa 60 mg.

Ngati wodwalayo mantha matenda, mukhoza poyamba kutenga mpaka 10 mg wa mankhwala patsiku. Kuchepetsa chiopsezo zotheka zizindikiro mantha mu mlingo wotsatira wa mankhwala ndi chinawonjezeka ndi 10 mg. Pafupifupi pamene kupatuka oterowo alandiridwa ntchito 40 mg wa "paroxetine" maola, pazipita chiwerengero - 50 mg.

Pamene chonama chikhalidwe kapena nkhawa chikhalidwe matenda medicament buku koyamba sayenera upambana 20 mg wa pa tsiku. Ngati pambuyo mankhwala zotsatira ankafunila sichinayambe akwaniritsa, ndiye masabata 2 mlingo pang'ono ndi pang'ono kuchuluka kwa pazipita, ndiko kuti 50 mg pa tsiku.

Mu Nkhawa matenda achire ndi buku koyamba medicament ndi mg ndi 20 patsiku

Ngati wodwala matenda ndi chiwindi kapena kulephera impso, mlingo ayenera 20 mg wa pa tsiku.

Anthu achikulire tsiku akhoza kudyedwa palibe mg wa zoposa 40 mankhwala.

Pofuna kupewa mavuto obwera kusiya kumwa mankhwala tikulimbikitsidwa pang'onopang'ono.

Nthawi cha mankhwala osokoneza bongo

Kodi pali milandu cha mankhwala osokoneza bongo ndi antidepressants monga "Paroxetine", "Fluoxetine"? Akatswiri kuona kuti ntchito ambiri mankhwala iwo kwenikweni kusokoneza thupi. Wodwala zinachitikira nseru, pakamwa youma, nkusani tachycardia, kusanza, kupweteka, kugwedeza, bradycardia, mydriasis, mukubwadamuka, irritability, thukuta, nystagmus, kuthamanga magazi, somnolence, ndi nodal mungoli.

Nthawi mwachilungamo kawirikawiri pamene ntchito mankhwala ndi mankhwala ena psychotropic, ndi kumwa mowa comatose mtima ndi kusintha kwa umboni pa ECG. Mu ambiri osokoneza kwambiri, wodwalayo serotonin syndrome ndi rhabdomyolysis.

Kodi kuchita zinthu zimenezi? Pankhani ya mankhwala ambiri osokoneza "Paroxetine" ayenera kukhala chapamimba lavage, ndi kutenga mpweya adamulowetsa. Ngati ndi kotheka, symptomatic mankhwala.

zotsatira zoyipazi

ndi mavuto a mankhwala zingachititse "Paroxetine" n'chiyani? Reviews madokotala kuti chida ichi zimandithandiza kukhala zosiyanasiyana chokhwima. Zikuphatikizapo zinthu zotsatirazi ndi matenda:

• Pa mbali ya dongosolo chapakati mantha ndi zotumphukira mantha dongosolo: kukonda, kugona, chisokonezo, kugwedeza, syndrome serotonin, kutopa, kuyerekezera zinthu m'maganizo, kusowa tulo, manjenje, chizungulire, depersonalization, kutopa, kuukira, khunyu, mukubwadamuka, amnesia, matenda extrapyramidal, myoclonus, nkhawa mantha.
• Minofu ndi mafupa dongosolo: minofu kufooka, arthralgia, myopathy ndi myalgia.
• Zopempha: amaona ndipo amaona masomphenya wonse.
• dongosolo mkodzo: pafupipafupi pokodza kapena posungira mkodzo.
• thirakiti m'mimba: kuchuluka kapena kuchepa kudya, matenda a chiwindi, kusintha kakomedwe, pakamwa youma, nseru, m'mimba, kusanza, ndi kudzimbidwa.
• dongosolo ubereki: anorgasmia, kukanika kugonana, hyperprolactinemia kapena galactorrhea, kusabala ndi matenda umuna.
• dongosolo mtima: orthostatic hypotension.
• Ziwengo: kuyabwa zidzolo, angioedema, ndi urticaria, ecchymosis.
• Kusiyana Other: rhinitis, thukuta, zosayenera katulutsidwe wa timadzi antidiuretic, hyponatremia.

Mogwirizana ndi njira zina zachipatala

The ntchito munthawi yomweyo Mankhwalawa ayenera kumwedwa sikumangotikhudza magawo pharmacokinetic ndi mayamwidwe wa mankhwala "Paroxetine".

Contraindicated kwa munthu ntchito kwa nthawi ndalama patsogolo pathu ndi Mao zoletsa.

Munthawi yomweyo phwando medicament "paroxetine" ndi mankhwala ziletsa chiwindi michere, liyenela kutsitsa mlingo woyamba.

Antidepressant kutalikitsa magazi pa maziko a ntchito limodzi nthawi "ya warfarin."

Munthawi yomweyo kugwiritsa ntchito medicament "paroxetine" ndi antidepressants tricyclic, aspirin neuroleptics atypical, NSAIDs kutanthauza phenothiazine mndandanda amalimbikitsa magazi ndondomeko clotting.

Dongosolo munthawi yomweyo ndi wothandizila serotonergic (monga "tramadol" ndi "sumatriptan"), kungachititse kuti zotsatira kumatheka serotonergic.

Nkofunika kukumbukira!

Kupewa chitukuko cha matenda neuroleptic (zilonda), mankhwala ndi kwambiri kusamala "Paroxetine" Kwalamulidwa kwa odwala amene akutenga antipsychotics.

Anthu achikulire pa maziko a mankhwala angathe hyponatremia.

Pamene zizindikiro woyamba wa khunyu ndi kukonda antidepressant mankhwala ndi ndinayima.

Pa milungu yoyambirira ya mankhwala ndi "paroxetine" amafuna polojekiti kusamala wodwala chifukwa ofuna kudzipha.

Pa mankhwala ayenera musiye mowa chifukwa zawo zotsatira kumatheka poizoni.

ntchito Dokotala

Mankhwala "Paroxetine" si Kwalamulidwa kwa ana, ngati chitetezo chake ndi efficacy mankhwalawa kwa wodwala mu gulu ino si akhazikitsidwa.

Antidepressant "Paroxetine": Anzawo

Mankhwala akhoza m'malo ndi "Paroxetine"? Tikumbukenso kuti mankhwala, pali ndithu Akhristu ochepa. Pakati pawo, zingakhale zofunika kuunikila mankhwala zotsatirazi: "Reksetin", "Adepress", "Pliz", "Apo-Paroxetine", "Aktaparoksetin", "Paxil", "sertraline", paroxetine hydrochloride hemihydrate, "" Sirestill "ndi zina zotero.

Kugula onse mankhwala amenewa mankhwala, inu angakhoze kokha ndi mankhwala.

Reviews a medicament

Mankhwala "Paroxetine" ali zambiri ndemanga wosanganiza, onse odziwa ndi kwa odwala. Pa dzanja limodzi, ndi Kutamandidwa ndi zomwe izo limathandiza kuti kuwonongedwa mofulumira mtundu uliwonse wa maganizo (kuphatikizapo amkati kwambiri, zotakasika, ndipo limodzi ndi nkhawa), komanso mantha, obsessive-zinazake, zowombetsa mkota ndi chikhalidwe-odwala matendawa. Pa zina - odwala ambiri kuti yomweyo pambuyo mankhwala kukhala ndi chiwerengero ndithu lalikulu zosiyanasiyana chokhwima. Chifukwa cha zimenezi, anthu akhala kusiya mankhwala.

Ambiri, akatswiri onani kuti "Paroxetine" - ichi ndi othandiza kwambiri ndipo imayenera mankhwala amadwala ntchito anatumizidwa izo. Komabe, zikhoza kugwiritsidwa ntchito pa katswiri chake cholinga.