Saroten Retard yana cikin rukunin magungunan cututtukan cututtukan cututtukan cututtukan fata. Ana amfani da miyagun ƙwayoyi a cikin aikin likita don kawar da damuwa da damuwa da ke tashi daga yanayin da ke ciki. Kwararrun likitoci na iya yin jigilar magani don kamuwa da cuta mai raɗaɗi da haɓaka ciki tare da schizophrenia. Ba'a yin amfani da capsules don amfani da shi a cikin ƙuruciya kuma ba'a ba da umarnin mata masu juna biyu ba.
Sunan kasa da kasa mai zaman kansa
Amitriptyline.
ATX
N06AA09.
Saroten Retard yana cikin rukunin magungunan cututtukan cututtukan cututtukan cututtukan fata.
Saki siffofin da abun da ke ciki
Ana yin magungunan a cikin nau'i na capsules tare da sakamako mai tsawo. Amitriptyline hydrochloride 50 MG ana amfani dashi azaman abu mai aiki a cikin raka'a antidepressant. Abun cikin capsules an inganta shi ta hanyar abubuwan taimako:
- sugar spheres;
- povidone;
- stearic acid;
- shellac.
Shekar da ke waje ta ƙunshi gelatin da titanium dioxide. Taƙƙarfan launin ruwan kasa-mai launin shuɗi zuwa ga capsules yana ba da kasancewar fenti bisa ga baƙin ƙarfe.
Aikin magunguna
Magungunan yana cikin maganin antidepressants waɗanda ke da tasirin magani na dogon lokaci akan tsarin juyayi na tsakiya. Amitriptyline mai aiki mai aiki yana hana haɓakar norepinephrine da serotonin kafin shiga synapse. Babban samfuran metabolism na amitriptyline (northriptyline) yana da sakamako mafi girma na warkewa. Sakamakon aikin miyagun ƙwayoyi, ayyukan masu karɓar H1-histamine da masu karɓar M-cholinergic ya ragu. Mai haƙuri ya fita daga bacin rai, damuwa da damuwa sun ɓace.
Sakamakon ƙwayar magani, ƙwayar tana hana ƙarshen lokacin barci, ta hakan yana ƙara yawan lokacin jinkirinsa.
Pharmacokinetics
Bayan gudanar da baki, ƙwayar gelatin ta narke a cikin hanji, an saki amitriptyline kuma yana ɗaukar kashi 60% na ƙananan microvilli na hanji. Daga bangon gabobin, abu mai aiki yana shiga cikin jini, inda yawan ƙwayar plasma ya kai matsayin matsakaicinsa a cikin awanni 4-10. Amitriptyline yana ɗaukar nauyin furotin plasma da kashi 95%.
Metabolism na aiki mai aiki yana wucewa a cikin hanta ta hanyar hydroxylation tare da samuwar northriptyline. Rabin rayuwar miyagun ƙwayoyi shine awanni 25 zuwa 25. Abubuwan magani suna barin jiki tare da feces kuma ta cikin tsarin urinary.
Alamu don amfani
An wajabta miyagun ƙwayoyi a gaban yanayin rashin jin daɗi da neurosis, musamman a lokuta inda cin zarafin daidaituwa na zuciya yana haɗuwa da damuwa, tashin hankali, tashin hankali. Za'a iya haɗa magungunan ƙwayoyin cuta a haɗuwa da warkewa don cututtukan schizophrenia.
Contraindications
An haramta mai maganin rigakafi don amfani a gaban halayen rashin lafiyan abubuwan da ke yin nau'in sashi. Ba a ba da magani ba ga mutanen da ke da dabi'ar rashin haƙuri na fructose, malamborption na glucose da galactose, tare da raunin isomaltase.
Tare da kulawa
Dole ne a yi taka tsantsan yayin ɗaukar Saroten a cikin halayen masu zuwa:
- rikicewar damuwa
- mummunan lalacewar hanta da tsarin zuciya;
- increasedara yawan haɓakar hormonal na ƙwayar thyroid;
- asma;
- rashin lafiyar kasusuwa jini;
- karuwar matsin lamba cikin ciki;
- cire ciwo na barasa;
Sakamakon yiwuwar farji na santsi na tsokoki na narkewa, ba a ba da shawarar ƙwayoyi don gurɓataccen ƙwayar cuta.
Yadda ake ɗaukar Saroten Retard?
Ana ba da shawarar capsules ko abin da ke ciki (pellets) a sha ruwa mai yalwa ba tare da tauna ba. Don rashin damuwa, ciki har da yanayin rashin yarda da asalin cutar schizophrenia, ya zama dole a ɗauki kwalliya 1 a kowace rana don sa'o'i 3-4 kafin lokacin bacci, tare da karuwa mai zuwa kowane sati zuwa 100-150 mg. Lokacin da aka sami sakamako na warkewa mai ƙarfi, ana rage kashi na yau da kullun zuwa 50-100 MG.
An bayyana sakamako na antidepressant bayan makonni 2-4. Dole ne a ci gaba da maganin cututtukan ƙwayoyi, saboda jiyya alama ce a cikin lokacin da likitan halartar ya tsara. Don hana sake dawowa, ana bada shawara don ci gaba da jiyya don watanni 6. A cikin ɓacin rai na ƙwaƙwalwar ƙwayar cuta, ana ɗaukar maganin cututtukan cututtukan cututtukan cututtukan fata na shekaru da yawa azaman maganin kulawa don hana sake dawowa.
Tare da ciwon sukari
Mutanen da ke da ciwon sukari ya kamata su dauki capsules tare da taka tsantsan, saboda amitriptyline na iya canza aikin aikin insulin zuwa ƙwayar ƙwayar plasma na jini. Tare da canji a cikin glucose, ya zama dole don daidaita sashi na insulin da wakilai na hypoglycemic.
Sakamakon sakamako na Saroten Retard
A wasu halaye, tasirin sakamako na yau da kullun (tsananin farin ciki, raguwar tashin hankali, rawar jiki, rage hawan jini, ciwon kai) na iya zama alamun rashin farin ciki.
Gastrointestinal fili
Abincin ci yana raguwa ko ƙaruwa, ji na tashin zuciya da bushewa a cikin kogon baki yana bayyana, girman gvwarin ciwan yana ƙaruwa, ayyukan hepatocytic transaminases yana ƙaruwa.
Tsarin juyayi na tsakiya
Sakamakon mummunan sakamako na ɓacin rai na CNS an bayyana shi azaman:
- nutsuwa
- rawar jiki;
- Rashin dandano, kayan kwalliya da masu karɓa;
- rashin bacci
- rikicewa, damuwa da bacci;
- tsananin fushi da disorientation;
- rashin hankali
- tunani na kashe kansa;
- halin manic;
- hallucinations game da tushen rashin lafiyar schizophrenic.
Canji cikin ɗanɗano yana ɗayan sakamako masu illa na miyagun ƙwayoyi.
A cikin marasa lafiya da ke fama da amosanin gabbai, tsibiri yakan zama sau da yawa.
Daga tsarin urinary
Rike cikin mahaifa yana yiwuwa.
A ɓangaren fata
Tare da keta rikice-rikice na ruwa-electrolyte saboda shan Saroten, haɓakar puffiness na fata, alopecia mai yiwuwa ne.
Daga tsarin kare jini
Rushewar tsarin haihuwa ana iya lura da shi ne kawai ga maza, wanda aka bayyana ta hanyar lalacewar lalacewar jiki da kumburi da gabobin dabbobi masu shayarwa.
Daga tsarin zuciya
Tare da haɓaka halayen marasa kyau, mai haƙuri na iya jin bugun zuciya, matsin lamba yana raguwa, tachycardia ya bayyana. Rashin haɗari na toshe wucin gadi, rikicewar hanya a cikin tarin Hisaruwarsa. Tare da hanawa na tsarin bashin jini, agranulocytosis da leukopenia suna haɓaka.
Cutar Al'aura
A cikin marasa lafiya da aka riga aka yanke shawara, halayen fata, urticaria, itching, erythema na iya faruwa. A cikin mafi yawan lokuta, Quincke edema da hankali ga haske suna haɓaka.
Tasiri kan ikon sarrafa abubuwan inji
Idan anyi amfani dashi ba daidai ba, ƙwayar na iya haifar da nutsuwa da rashin kwanciyar hankali na tsarin juyayi, don haka yayin jiyya tare da antidepressant an ba da shawarar kada ku fitar da mota, aiki tare da na'urori masu rikitarwa da shiga cikin wasu ayyukan da ke buƙatar babban saurin halayen psychomotor da taro.
Umarni na musamman
Yakamata a sanar da mara lafiyar cewa akwai yiwuwar tasirin sakamako daga tsarin zuciya.
Rashin damuwa yana taimakawa ci gaban halayen kashe kansa. Tunani na kashe kansa na iya ci gaba har sai kyautata rayuwar gabaɗaya, don haka saka idanu a kan mai haƙuri shan ƙwayar ya zama dole yayin jiyya. Wannan ya zama dole a matakin farko na far, lokacin da yanayin kazantar yanayin ya yiwu, da haɓakar sha'awar kashe kansa a kansa. A irin wannan yanayin, wajibi ne don iyakance amfani da miyagun ƙwayoyi.
Lokacin da halin manic ya bayyana, an dakatar da maganin.
An dakatar da miyagun ƙwayoyi kafin aikin tiyata da aka shirya. Idan tiyata na gaggawa ya zama tilas, dole ne a gargadi likitan fata game da shan magungunan kwantar da hankali. Rashin narkewa na iya haifar da tashin hankali.
Tare da katsewa na shan Saroten yayin aikin jiyya na dogon lokaci, a wasu yanayi, ciwo na cirewa yana ci gaba. Don rage haɗarin amsawa, ya zama dole a hankali a rage yawan sashi na ƙwayoyi sama da makonni 4-5.
An haramta amfani da miyagun ƙwayoyi don amfani a cikin yara 'yan ƙasa da shekaru 18.
Yi amfani da tsufa
Mutane sama da 65 ya kamata su ɗauki 1 kwalin 50 na MG a maraice.
Alkawarin Sarotin Retard ga yara
An haramta amfani da miyagun ƙwayoyi don amfani a cikin yara 'yan ƙasa da shekaru 18.
Yi amfani da lokacin daukar ciki da lactation
An haramta maganin cututtukan mahaifa ga mata yayin daukar ciki, saboda amitriptyline na iya kawo cikas ga kwancen manyan gabobin jiki da tsarin yayin tayi, musamman ma a karo na uku.
Lokacin shan magungunan hana daukar ciki, ba a soke lactation idan ya zama tilas a asibiti. Lokacin kulawa, ana buƙatar saka idanu akan yanayin jariri a farkon watan rayuwarsa.
Amfani don aikin hanta mai rauni
Marasa lafiya da ke fama da rauni na hanta ya kamata su mai da hankali kuma, in ya yiwu, sarrafa hankali na amitriptyline a cikin magani.
Lokacin shan magungunan hana daukar ciki, ba a soke lactation idan ya zama tilas a asibiti.
Adadin yawa na Saroten Retard
Tare da kashi ɗaya na babban magani na awa daya, zaku iya samun:
- nutsuwa
- hallucinations;
- taimako
- ɗaliban ɗalibi;
- bushe bakin
- yankewar jiki da bacin rai na tsarin juyayi na tsakiya;
- jihar precomatous, rikicewa, rikicewar yanayi;
- acidosis na rayuwa, rage hadarin potassium;
- bugun zuciya;
- alamun cututtukan zuciya: faduwa cikin karfin jini, rawar zuciya, bugun zuciya.
Wanda aka cutar ya bukaci asibiti da gaggawa. A cikin tsakaitattun yanayi, wajibi ne don wanke ciki kuma ku ba adsorbent don hana ƙarin shan ƙwayoyi.
Magunguna yana da niyyar dawo da yanayin numfashi da jijiyoyin jini, kawar da alamun cutar yawan maye. Ana buƙatar saka idanu kan aikin Cardiac a cikin kwanaki 3-5.
Yin hulɗa tare da wasu kwayoyi
Amfani da layi daya na amitriptyline tare da wasu magunguna yana ba da waɗannan halaye:
- A hade tare da hanawar monoamine oxidase, ciwo na serotonin yana faruwa, wanda rikicewar rikicewar, myoclonus, zazzabi, rawar jiki daga ƙarshen. Don rage yiwuwar shan maye, Saroten an wajabta shi ne kawai bayan makonni 2 daga ƙarshen maganin tare da inhibitors na MAO wanda ba a iya canzawa ba ko kuma awanni 24 bayan yin amfani da farfadowa na ma'adinin kwayoyin oxidase.
- An inganta aikin warkewa na barbiturates.
- Ara yiwuwar rikicewar hanji saboda hanawar ƙwayar jijiyoyin jiki mai sanyin ciki yayin ɗaukar magungunan ƙwayar cuta ko maganin tsoka. Tare da hauhawar jini, raunin hanji yana haɗuwa tare da hyperpyrexia. Lokacin ɗaukar magungunan ƙwayoyin cuta, ƙorafi don shiri mai yankewa yana raguwa.
- Amitriptyline yana haɓaka aikin kwantar da zuciya na maganin rashin kwanciyar hankali, lalatawar jini, ephedrine da phenylpropanolamine. Sakamakon yiwuwar lalacewar tsarin zuciya da jijiyoyin jini, irin waɗannan magungunan ba a sa su azaman maganin haɗuwa ba.
- Abubuwan da ke aiki da Saroten suna rage tasirin Methyldopa, Guanethidine, Reserpine da sauran magungunan antihypertensive. Tare da gudanarwa na lokaci daya na amitriptyline, kuna buƙatar canza sashi na kwayoyi waɗanda ke rage karfin jini.
- Kwayoyin hana haihuwa da kuma magungunan da ke kunshe da kwayoyin jima'i na mace suna kara yanayin halittar amitriptyline, wanda ke bukatar rage yawan magungunan guda biyu. Idan ya cancanta, ana buƙatar karɓar Saroten.
A hade tare da hanawar acetaldehydrogenase, da yiwuwar haɓaka yanayin tunanin mutum, rikicewa da asarar hankali yana ƙaruwa.
A lokacin da ake shan magani, ya zama dole a daina shan giya.
Amfani da barasa
A lokacin da ake shan magani, ya zama dole a daina shan giya. Ethyl barasa na iya rage tasirin antidepressant, haɓaka ko haɓaka haɗarin halayen masu illa. Musamman dangane da tsarin juyayi, saboda ethanol yana da tasiri mai banƙyama ga tsarin juyayi na tsakiya.
Analogs
Waɗanda ke maye gurbin Saroten sun haɗa da wakilai waɗanda ke maimaita tsarin sunadarai na maganin ɓarna da kaddarorin magunguna:
- Amitriptyline;
- Clofranil;
- Doxepin;
- Lyudiomil.
Ana aiwatar da sauyawa na miyagun ƙwayoyi ne kawai in babu ingantaccen sakamako, bayan shawarwarin likita.
Magunguna kan bar sharuɗan
Ana sayar da capsules ta hanyar sayan magani.
Clofranil kwatanci ne na Saroten.
Zan iya saya ba tare da takardar sayan magani ba?
Antidepressants suna cikin rukuni na magungunan psychotropic, don haka idan aka yi amfani da shi ba tare da kyau ba, zasu iya haifar da baƙin ciki na tsarin juyayi na tsakiya. Saboda wannan, siyarwar kyauta tana iyakance.
Farashin Sarotin na Kasuwanci
Matsakaicin farashin kwalliya shine 590 rubles. A cikin Belarus - 18 rubles.
Yanayin ajiya na miyagun ƙwayoyi
Dole ne a adana capsules a cikin wani wuri mai ƙarancin zafi, ana kiyaye shi daga hasken rana, a zazzabi da bai wuce + 25 ° C ba.
Ranar karewa
Shekaru 3
Mai masana'anta
H. Lundbeck AO, Denmark.
Nazarin Saroten Retard
Taras Evdokimov, dan shekara 39, Saransk.
Kasancewa tare da matsanancin baqin ciki. Ba zan iya fita daga wannan halin da kaina ba, don haka sai na juya wurin likitan hauka don neman taimako. Likita ya ba Saroten magani. Na yi la'akari da miyagun ƙwayoyi yana da tasiri, yana iya dacewa da tunanin damuwa kuma yana taimakawa kawar da rashin bacci. Ya kamata a ɗauka capsules da yamma tare da sashi na 50 MG kuma a lokacin bacci, 100 MG. Bayan mako guda, ana amfani da kashi ɗaya na dare. Ban lura da wani sakamako masu illa ba, idan ba nutsuwa ba. Amma ana buƙata don magance rashin bacci.
Angelica Nikiforova, shekara 41, St. Petersburg.
Likitan ilimin halayyar dan adam ya ba da umarnin sanya magungunan Saroten capsules dangane da yanayin damuwa. Lokacin da aka yi amfani da shi daidai, daidai bisa umarnin, yana da tasiri mai ƙarfi. Ina bayar da shawarar shan kwaya na karshe har zuwa 20:00. Idan ba a yi hakan ba, a halin da nake ciki, an fara ɗaukar hankali daga yanayin juyayi da rashin bacci. Idan tachycardia ya bayyana, ya hau barci, sannan ya rage sashi, kuma alamun ya ɓace.Samu sakamako mai tabbatacce lokacin shan 50 mg sau 2 a rana da ƙarin 50 MG da dare. Yana da mahimmanci a zabi madaidaicin sashi lokacin tattaunawa tare da likitan ku.
