"Risperidone": malangizo ntchito. "Risperidone Organic": kufotokoza, ndemanga, contraindications

Age, kusintha kaganizidwe ndi khalidwe akhoza kwambiri kusokoneza moyo wa osati munthu odwala, komanso bwalo mumtima mwake. Chithandizo cha matenda psychogenic ndi zina ndi ndondomeko zovuta, koma mankhwala si kuima ndi kuyambitsa nthawi njira yatsopano kuthana nawo. Udindo waukulu wapatsidwa mankhwala. Miyala "Risperidone" analogs zimene zili zambiri kwambiri, ndi zina mwa zinthu zotchuka kwambiri. Mbali chawo n'chiyani? Kodi kutenga iwo, ndipo ngati iwo ali contraindications iliyonse? Ndingatani ntchito mankhwala awa a kuvutika? Mayankho a mafunso amenewa tidzayesetsa kupereka m'nkhani ino.

Kumasulidwa mawonekedwe ndi zikuchokera "Risperidone" mankhwala

"Risperidone" Magome opangidwa ndi makampani akuluakulu mankhwala pansi pa dzina omwewo ndi kukhala zayamba zikuchokera chomwecho. Waukulu yogwira pophika mankhwala kwenikweni yokha risperidone mu kuchuluka kwa 1, 2 kapena 4 mg (malingana mlingo). Aliyense piritsi TACHIMATA ndi enteric TACHIMATA Kakhungu woyera. piritsi n'lozungulira, biconvex. In-gawo mtanda limasonyeza bwino zigawo ziwiri: kunja ndi mkati. The zikuchokera miyala "Risperidone" - kuwonjezera pa pophika yogwira - zikuphatikizapo zigawo zina: wowuma, pakachitsulo woipa, magnesium stearate ndi MCC.

Miyala "Risperidone" ndi analogs awo, kuphatikizapo "Risperidone organics", anaika mu phukusi ndondomeko ya ndalama 10 aliyense amene nawonso, anaikidwa makatoni 2, 3, 5 kapena 6 mapaketi pamodzi ndi malangizo ntchito. Kuwonjezera mankhwala opangidwa ndi mitsuko ya galasi mdima, omwe mwina amapanga mapiritsi 20, 30, 50 kapena 60. Banks komanso anayikidwa mu makatoni malangizo.

Kodi mankhwala?

Panopa "Risperidone" mankhwala mankhwala malangizo chikukhudza bensizoksazola, mwachitsanzo neuroleptics. Komanso zotsatira antipsychotic za mankhwala ali sedative, hypothermic ndi katundu antiemetic. Ichi ndi chifukwa luso ndigwire yogwira pophika D2-maselo mu Mesocortical ndi machitidwe mesolimbic ndi pakati emetic, komanso bwanji zolandilira adrenergic isanafalikire mu tsinde ubongo. Komanso pawiri amatha ndigwire dopamine zolandilira mu ubongo imene imalamulira kutentha kwa.

Chifukwa katundu ngati pharmacological wa mankhwala "Risperidone" mavoti omwe pafupifupi nthawi zonse zabwino, akhoza kuletsa zizindikiro za matenda neurogenic monga zinyengo ndi kuyerekezera zinthu m'maganizo, ofuna automaticity. Against maziko awa, akatswiri dziwani kuti mankhwala ali pafupifupi ziribe mphamvu pa ntchito galimoto, koma pa nthawi yomweyo, limaleka symptomatic zizindikiro affective wa akuchita misala.

Kufalitsa ndi excretion

The kuloŵerera wa chinthu yogwira kapepala kakuti m'mimba kumachitika mu nthawi yochepa ndi mmene pazipita. Chakudya wambiri si vliyaetetot ndondomeko. Zolemba malire anaphatikizana mu madzi a m'magazi yogwira wothandizila ukufika ola pambuyo kutenga mankhwala. Opangidwa kuchokera pamene risperidone (9-hydroxyrisperidone) ali odzipereka pang'onopang'ono.

Ponena za kufalitsidwa kwa mankhwala mu thupi "Risperidone" malangizo Buku limanena zokhudza malowedwe wa chinthu mwakhama zimakhala zosiyanasiyana ndi ziwalo, ndi ubongo, ndi mkaka wam'mawere. Kulankhulana ndi mapuloteni plasma mu nkhani iyi ndi 90%.

Theka moyo wa mankhwala kumachitika panthawi ziwiri: akatsala 3 pafupi 70% ya pawiri excreted ndi impso mu mawonekedwe zikutsatiridwa, pamene 9-digidrorisperidon anasonyeza pafupifupi tsiku. odwala achikulire ndi anthu odwala matenda a impso, nthawi excretion wa mankhwala kuchuluka.

Gwiritsani ntchito mankhwala: zizindikiro ndi contraindications

Ikani mankhwala "Risperidone" malangizo Buku akuonetsa kuti pamene matenda zotsatirazi kapena matenda m'thupi:

1. Yopweteka kwambiri kapena yokhalitsa mawonekedwe a munthu akuchita misala.
2. Psychopathic matenda, yodziwika ndi zoipa kapena zipatso mawonetseredwe symptomatic.
3. matenda a ubongo limodzi ndi matenda a maganizo.
4. Maganizo zambiri amayambitsa sakuchedwa kupsa mtima, zinyengo ndi zizindikiro zina psychotic.

Amasonyezanso ndi mankhwala "Risperidone" ana achinyamata omwe ali ndi matenda malo (zowononga zizoloŵezi) zamatsenga kapena maganizo retardation, komanso matenda ochititsa kuti ndi kukonda zinthu zosiyanasiyana. Mu milandu, phale n'chofunikira akuthandiza mu mankhwala.

Lilili mu mankhwala ndi chidwi contraindications monga hypersensitivity ku zigawo miyala. Komanso, mankhwala "Risperidone" malangizo Buku limalangiza kugwiritsa ntchito mosamala kwambiri matenda zotsatirazi kapena mikhalidwe:

• zotupa ubongo ndi oziziritsa magazi;
• kwa chiwindi ndi aimpso kulephera mu mawonekedwe chaukali;
• matenda matumbo patency;
• matenda a mtima, kuphatikizapo infarction m'mnyewa wamtima, kulephera mtima, aakulu mawonekedwe antrioventikulyarnaya chipika ndi bradycardia;
• mankhwala ambiri osokoneza bongo kapena kudalira pa iwo;
• madzi m'thupi;
• matenda Parkinson;
• omangana (pa nthawi mankhwala kapena matenda);
• Mimba ndi mkaka wa m'mawere.

Komanso, mankhwala ali osavomerezeka "Risperidone" (mapiritsi) maganizo, amene afotokozedwa mu kuchepetsa ntchito mtima ndipo amafuna kudzipha. Komanso ndi anthu chisamaliro prescribers amene zaka sizinawakhudze zaka 15.

Mlingo ndi njira kuvomereza

Mlingo ndi njira amadalira mankhwala akupezeka pa matenda wodwalayo, zovuta kutayikira, ndi pamaso pa matenda concomitant kapena limati pathological. Onse deta zogwirizana pa ntchito mankhwala "Risperidone" inu mukhoza kuwona tebulo.

sayenera upambana 16 mg pa matenda kapena chikhalidwe tsiku mlingo "Risperidone" kukonzekera.

zochita Kulanga kwa chamoyo ndi ambiri osokoneza

Chinthu china chofunika kuti muyenera kudziwa odwala likufa njira ya mankhwala ndi "Risperidone" - mavuto omwe angagwe mu ndondomeko ya phwando la miyala. Mwina asayembekezere zimatengera makamaka pa munthuyo. Ndiyeno, kodi kusokoneza mtima?

Nthawi zambiri kuwonekera otsatirawa zochita chilango chochokera kwa ziwalo zosiyanasiyana ndi machitidwe:

• matenda pa mundawo chapamwamba kupuma ndi mkodzo (makamaka odwala okalamba ndi matenda a "maganizo");
• mutu, zipolowe wa tulo, chizungulire, tulo ndi kusawona bwino;
• dyspepsia, epigastric kupweteka m'thupi, nseru, pakamwa youma;
• matenda mtima mungoli (tachycardia);
• edema wa amphuno mucosa ndi chubu Eustachian, umene wodwala akumva mphuno yatsekera kapena makutu, mphuno umawawukhira;
• chifuwa, chimfine, ndi kupuma movutikira;
• magazi m'thupi;
• mkodzo incontinence;
• kutupa mu malo, kusintha gait (makamaka odwala okalamba), kupweteka kwa msana ndi molumikizana mafupa.

pali zingapo mavuto omwe ndi kawirikawiri zidzacitika "Risperidone" kutenga mankhwala. Reviews akatswiri amanena pakati pawo zotsatirazi:

• makutu ndi maso matenda;
• matenda tizilombo zokhudza thupi lonse kapena m'madera;
• thirakiti matenda kupuma, kuphatikizapo chibayo, zilonda zapakhosi, matenda ndi tracheobronchitis;
• onychomycosis ndi acrodermatitis;
• chisokonezo, nkhawa, kukonda ndi hypomania, dyskinesia;
• minofu chinthu chimodzimodzi, hyperthermia, kuchuluka thukuta;
• wosakhazikika oscillations magazi;
• khunyu;
• apnea, chapamwamba airway occlusion sputum (malikhweru pa kupuma, rales lonyowa kapena dysphonia);
• kuwonjezera kapena kuchepa mu thupi;
• kulephera kupita kumwezi, kupanda umuna, priapism, kusowa chilakolako cha kugonana;
• chifuwa soreness minofu;
• kutupa kwa khungu, makamaka nkhope, kuzizira, ludzu, boma fuluwenza-monga;
• Kufooka mwa manja ndi miyendo, kumverera kwa stiffness mu malo.

Mu nkhani ya aakulu anakwiya ndi kutenga mankhwala "Risperidone" ofanana mankhwala akhoza kukhala m'malo oyenera kwa mankhwala, monga iwo ali yemweyo yogwira zosakaniza. Pankhaniyi, katswiri adzakhala kusankha mankhwala ina, imene imakhala ndi mankhwala ena, kapena kupereka mankhwala owonjezera kuthetsa zizindikiro zosasangalatsa.

Zizindikiro ndi mankhwala mankhwala ambiri osokoneza bongo

Malangizo zosayenera Mlingo mpaka oposa ambiri osokoneza kumachitika, zomwe yafotokozedwera kutchulidwa ndi kulimbikira kutsitsa magazi ndi matenda mtima mungoli (tachycardia). Komanso wodwalayo imasokoneza somnolence, sedation, matenda kupuma ndi matenda extrapyramidal.

Yeniyeni yothetsera pokonza "Risperidone" ayi, kotero chithandizo umalimbana ndi kuthetsa zizindikiro kwambiri kulitchula. Monga thandizo kwa wodwala ayenera kutsukidwa m'mimba ndi kupereka adamulowetsa makala ndi mankhwala ofewetsa tuvi. Ndi kuchepetsa magazi malamulo ovuta amafuna makonzedwe mtsempha wa agonists ndi njira kulowetsedwa.

Kwa nthawi chofunika mtima polojekiti kudziwa mitundu yosiyanasiyana ya arrhythmias mtima. Ngati aliyense amene wapezeka, ndi mankhwala oyenerera mankhwala.

malangizo ntchito mankhwala

Pamene kulandira mankhwala "Risperidone" malangizo Buku limalangiza kutsatira malangizo ochepa zofunika. Izi osati asapatsidwe mavuto, komanso kusintha mkhalidwe wonse wa mtima pamaso pa co-morbidities.

Choyamba mufuna kusamalira kwambiri mlingo wa mankhwala kwa anthu odwala amene ali ndi matenda a dongosolo mtima. Pankhaniyi, chiyambi phwando mankhwala zofunika ndi Mlingo kochepa, pang'onopang'ono kuwonjezeka iwo ndi mfundo ankafuna. Kuvomereza yemweyo ntchito mu nkhani ya hypovolemia, kuchepa madzi m'thupi ndi matenda cerebrovascular.

Akatswiri amalangiza kupewa ntchito zakudya mkulu-kalori ndi kudya wotero. Ichi ndi chifukwa chakuti chithandizo cha mankhwala "risperidone" mwina mkulu wa ya kulemera owonjezera.

Iwo ali osavomerezeka pa mankhwala mankhwala "Risperidone" kuchita zinthu zokhudza kasamalidwe magalimoto ndi njira zina zimene amafuna wodwalayo ndende mkulu ndi zochita mofulumira psychomotor.

Mogwirizana ndi mankhwala ena

Poika mankhwala "Risperidone", mtengo wa tikambirana kenako, ayenera kuganizira mphamvu yake kucheza ndi mankhwala ambiri. Nthawi zina, zimenezi zingapangitse mavuto osayembekezereka osati osangalatsa kwambiri. Choncho, mankhwala, ogwetsa zimakhudzanso mantha dongosolo anthu, komanso Mowa, pamodzi ndi "Risperidone" imfayo boma amenewa, monga zowonjezera CNS maganizo ntchito.

Mankhwala ena, monga beta-blockers, ambiri, onse, popanda yekha, antidepressants tricyclic angadwale ndende za yogwira mankhwala "Risperidone" miyala mu madzi a m'magazi. N'chimodzimodzinso wa mankhwala "Fluoxetine". "Carbamazepine" M'malo mwake, amachepetsa ndende ya mankhwala yogwira amatanthauza "Risperidone" plasma. Pa pangano olowa amafuna polojekiti zonse wodwala, komanso kusintha kwa dosing chakudya.

Reviews

Reviews miyala "Risperidone organics" ndi "Risperidone", mtengo wa amene ankaona kuti Kufikika osiyanasiyana a makasitomala (avareji rubles 170 pa paketi), sitinganene kuti negative. mmene miyala matenda osiyanasiyana psychogenic kapena khalidwe, poganiza akatswiri ndi odwala. kuyankha basi ndi analogs za mankhwala, chifukwa nthawi zambiri kusiyana pakati pa awiri okha ndalama ndi zikuchokera pafupifupi chimodzimodzi (kupatulapo excipients).

The okha kwambiri mapiritsi drawback "Risperidone" (analogs zakuthupi kukangalika kugwa pansi tanthauzo ili) - kwambiri mavuto, zomwe zina zingakhudze khalidwe la moyo wodwalayo kwa bwino. Ndicho chifukwa Akatswiri amalangiza pa zosayembekezereka wa zochita chilichonse chowawa kuonana ndi dokotala anu kugawana naye kupeza njira yothetsera vuto limeneli.

Choncho tinaphunzira kuti zikuimira "Risperidone" mankhwala. Malangizo, mtengo, analogs ndi zochita chowawa thupi akhala m'nkhani pepala ili mwatsatanetsatane. Pomaliza, Ndikufuna kukumbutsa kuti mankhwala adzamasulidwa yekha ndi mankhwala. Wosaloleka ntchito ndi kulandira mapiritsi a gulu zingakhale zovulaza thanzi lanu.