Magungunan Simbalta yana amfani da ƙwazo a cikin aikin su ta hanyar yawancin neuropathologists da psychiatrists. Ya taimaka wajen inganta yanayin marasa lafiya da rashin kwanciyar hankali, bayyanar cututtukan cututtukan zuciya da sauran rikice-rikice.
Sunan kasa da kasa mai zaman kansa
Duloxetine
ATX
N06AX21.
Simbalta yana taimakawa haɓaka yanayin marasa lafiya tare da ɓacin rai, bayyanar cututtukan cututtukan zuciya da sauran rikice-rikice.
Saki siffofin da abun da ke ciki
Ana samfur ɗin a cikin ƙananan capsules. 1 capsule ya ƙunshi 30 ko 60 MG na aiki mai aiki na duloxetine hydrochloride. Sauran kayan abinci:
- hypromellose acetate succinate;
- girma sukari da kuma sucrose;
- talc;
- hypromellose;
- farin fenti, triethal citrate;
- titanium dioxide;
- indigo carmine;
- TekPrint kore da fari inks;
- sodium lauryl sulfate;
- gelatin.
Ana samfur ɗin a cikin ƙananan capsules.
Aikin magunguna
Duloxetine maganin rigakafi ne. Abubuwan ba su da alaƙa da cholinergic, adrenergic, dopaminergic da masu karɓa na histaminergic. Thea'idar aikin ɓangaren ƙwayar mai aiki yana dogara da ƙin dawowar norepinephrine, serotonin, da kuma riƙe dopamine. Sakamakon haka, marasa lafiya da raunin rashin tausayi suka inganta
Kayan yana hana jin zafi. Tare da raunin neuropathic, ana nuna sakamako mai kama da wannan ta hanyar haɓakawa a ƙarshen ƙimar jin zafi.
Pharmacokinetics
Abubuwan suna cikin hanzari a cikin narkewa a ciki bayan gudanarwa. Matsakaicin duloxetine a cikin plasma yana bayyana bayan sa'o'i 6. Abinci baya tasiri ga tsarin sha, amma lokacin da za'a kai ga cukuwar plasma na abu ya kara zuwa awa 10.
Abubuwan suna cikin hanzari a cikin narkewa a ciki bayan gudanarwa.
Abubuwa na duloxetine sune ke fitarda galibi da kodan. Kawar rabin rayuwa har zuwa awa 12.
Tare da gazawar hanta, ana iya lura da hana ɓarnatarwa da kuma cirewar abubuwan aiki mai aiki.
Alamu don amfani
- na kowa cuta tare da tashin hankali;
- jihohin bakin ciki (bakin ciki);
- ciwo mai raɗaɗi a sassa daban-daban na tsarin musculoskeletal;
- mai raɗaɗi mai raunin jijiya (na yanki);
- Stevens ciwo.
Contraindications
- kusantar kusa da kusantar glaucoma a cikin ɓarnawar fuska;
- hauhawar jini (ba a sarrafa shi);
- ilimin cutar hepatic;
- mummunan gazawar renal (tare da CC har zuwa 30 ml / minti);
- shekaru kasa da shekara 18;
- haɗuwa tare da fluvoxamine, ciprofloxacin da enoxacin;
- mutum rashin haƙuri.
Tare da kulawa
Ana amfani da maganin tare da taka tsantsan a cikin abubuwan da ke biyo baya:
- rashin lafiyar bipolar cuta da ciwan ciki.
- yunƙurin kashe kansa da tunani masu dangantaka;
- haɗarin hauhawar jini (ciki) da glaucoma;
- katsewa
- hepatic cirrhosis;
- hanta da gazawar koda.
Yadda ake ɗaukar Simbalta?
Formarin maganin kawa na maganin yana maganin amfani da baka, ba tare da la'akari da lokacin cin abinci ba. Ba a so in ɗanɗana kwalliyar capsules, in ba haka ba aikin likitancin zai zama ƙarancin. Matsakaitan allurai:
- Abubuwa masu bacin rai: kiyayewa da farawar farko - 60 mg / day. Kyakkyawan sakamako yana bayyana a cikin kwanakin 14-28 na maganin.
- Rashin daidaituwa tare da damuwa: kashi na farko shine 30 MG / rana. In babu ingantaccen ƙarfin aiki, ana iya karɓar sashi zuwa 60 mg / rana. Tsawon lokacin jiyya daga 8 zuwa 12 makonni.
- Haɗin gwiwa na yau da kullun da raunin ƙwayar tsoka tare da cututtukan neuropathic etiology: farji yana farawa da allurai na 30 mg / rana don kwanaki 7. Bayan allurai na 60 MG / rana an wajabta. Tsawon lokacin jiyya daga 8 zuwa 12 makonni.
Formarin maganin kawa na maganin yana maganin amfani da baka, ba tare da la'akari da lokacin cin abinci ba.
Wajibi ne a dakatar da jiyya tare da kawanin-mai narkewa a hankali, in ba haka ba zaku iya fuskantar ciwo na cirewa.
Shan maganin don ciwon sukari
Ga masu ciwon sukari, an zabi sashi na miyagun ƙwayoyi daban-daban, dangane da hanya. A wannan yanayin, an ba wa mai haƙuri ikon sarrafa ƙwayar glucose, da kuma zaɓi na mafi kyawun allurai na insulin.
Side effects na Simbalt
Gastrointestinal fili
- rashin tsoro;
- bayyanar cututtuka na dyspeptic;
- zafi a cikin peritoneum;
- amai da tashin zuciya;
- dysphagia;
- bashin jini;
- halitosis da bushe baki;
- gastritis;
- zub da jini.
Tsarin juyayi na tsakiya
- m da na kullum ciwon kai;
- jin nutsuwa da bacci;
- rashin damuwa
- bruxism;
- rikicewar ƙwayar cuta;
- rawar jiki;
- tunanin kashe kansa;
- Damuwa
- tashin hankali da mania;
- dyskinesia;
- haɓaka da halayen psychomotor.
Daga tsarin urinary
- urination akai-akai;
- canza kamshi da daidaituwar fitsari;
- polyuria;
- jinkiri da urin wahalar sha;
- nocturia;
- zafi yayin urination.
Daga tsarin musculoskeletal
- ƙwayar tsoka;
- ciwon tsoka da ciwon kashi;
- tsaurin motsi;
- trismus (a cikin mafi yawan lokuta).
Daga tsarin kare jini
- take hakkin kawo rikici;
- rashin ƙarfi
- haila rashin daidaituwa;
- galactorrhea;
- alamun menopause;
- hyperprolactinemia;
- tashin hankali da rashin jin daɗi a cikin ƙwayar halittar.
Daga tsarin zuciya
- tsalle a cikin karfin jini;
- orthostatic nau'i na hypotension;
- yanayin kasawa;
- rikicin hauhawar jini;
- jin sanyi a hannu da kafafu;
- tides.
Cutar Al'aura
- fata fatar jiki;
- itching
- Kushin rubutun Quincke.
Tasiri kan ikon sarrafa abubuwan inji
A yayin aiwatar da ilmin likita, mafi yawan kulawa yakamata a yi amfani da shi ta hanyar sarrafa hanyoyin hannu da jigilar hanya, kazalika da shiga cikin aikin da ya hada da kara jawo hankali.
Yayin aiwatar da magani, yakamata a yi taka tsantsan yayin motsa motocin haya.
Umarni na musamman
Saboda gaskiyar cewa miyagun ƙwayoyi suna shafar tsarin juyayi na tsakiya, an wajabta shi da taka tsantsan a cikin marasa lafiya da cututtukan cututtukan cututtukan cututtukan ƙwayoyin cuta da kuma cututtukan manic.
Sakamakon yiwuwar tunani na kashe kansa lokacin amfani da maganin, dole ne ma'aikatan kiwon lafiya da waɗanda suke ƙauna su kula da shi.
Wajibi ne a haɗa da marasa lafiya a cikin sadarwa, don sha'awar tunanin da ke damun su. Ya kamata a tuna cewa yin amfani da maganin na dogon lokaci na iya zama jaraba da matsalolin narkewa.
Yi amfani da lokacin daukar ciki da lactation
A lokacin haila, ana iya amfani da miyagun ƙwayoyi don keɓantaccen dalilin da kuma a ƙarƙashin kulawar likita. Tare da lactation, ba a amfani da maganin. An tabbatar da wannan ta umarnin don amfani da samfurin.
A lokacin haila, ana iya amfani da miyagun ƙwayoyi don keɓantaccen dalilin da kuma a ƙarƙashin kulawar likita.
Nada Simbalta ga yara
Ba a amfani da kayan aikin don kula da ƙananan marasa lafiya.
Yi amfani da tsufa
A cikin wannan rukuni na marasa lafiya, an tsara maganin a cikin allurai kaɗan. Haka kuma, irin wannan mara lafiyar yana buƙatar kulawa ta musamman ta ma'aikatan lafiya.
Aikace-aikacen aiki mara kyau
Jiyya tare da miyagun ƙwayoyi yana contraindicated a cikin babban gazawar hanta.
Jiyya tare da miyagun ƙwayoyi yana contraindicated a cikin babban gazawar hanta.
Amfani don aikin hanta mai rauni
An haramta amfani da maganin ƙwayoyi a cikin gazawar hanta mai ƙarfi.
Adadin yawa na Simbalta
Akwai maganganun rikitarwa har zuwa mutuwa a cikin marasa lafiya waɗanda suka cinye 3 g na duloxetine 1 lokaci. Haduwa da ruwan sama na gaba daya yakan haifarda bayyanar cututtuka kamar haka:
- katsewa
- coma
- mydriasis;
- ƙaruwar barci;
- tashin zuciya da amai;
- rawar jiki
- ataxia
- lalatawar tsarin jijiyoyi da tsarin narkewa.
Kulawa da irin wannan yanayi ya ƙunshi ɗaukar sha, lalacewar hanji da kuma tabbatar da iskar oxygen. Bugu da kari, wanda aka azabtar yana bayar da ikon sarrafa zuciya da kuma manyan alamomin asibiti. Yakamata a jiyya ya zama alama.
Yin hulɗa tare da wasu kwayoyi
A haɗuwa da miyagun ƙwayoyi tare da wasu magunguna, ana iya lura da irin waɗannan halayen:
- maganin maganin ta antiamidik antacids da antagonists: kar a sha shaƙar maganin;
- Fluoxetine, Paroxetine, Venlafaxine, Quinidine, Tramadol, Tryptophan, St John's wort: akwai haɗarin cutar sikila.
Bugu da ƙari, idan kun dauki miyagun ƙwayoyi a lokaci guda kamar yadda masu hanawar MAO, to, haɗarin cutar sikila ya bayyana.
Amfani da barasa
Saboda babban haɗarin mummunan halayen mara kyau, ya kamata ka guji ɗaukar capsules tare da barasa a lokaci guda.
Ya kamata ku guji shan capsules tare da barasa a lokaci guda.
Analogs
Mafi tsada da kuma ingancin ƙwayoyin cuta na ƙwayoyi:
- Duloxetine;
- M;
- Canyon din Duloxetine.
Magunguna kan bar sharuɗan
Zan iya saya ba tare da takardar sayan magani ba?
Ba za a iya siye magungunan ba tare da takardar sayen magani ba.
Farashin simbalts
Kudin maganin yana kama daga 1600-1800 rubles a kowace fakitin 28 capsules.
Ba za a iya siye magungunan ba tare da takardar sayen magani ba.
Yanayin ajiya na miyagun ƙwayoyi
An adana samfurin a cikin wuri mara amfani ga yara, a zazzabi na + 15 ... + 30 ° C.
Ranar karewa
Shekaru 3
Mai masana'anta
Eli Lilly & Kamfanin (Amurka) da Lilly S.A. (Spain).
Ra'ayoyi game da Simbalt
Tamara Kupriyanova (neuropathologist), shekara 40, Voronezh.
Magungunan suna tasiri sosai tare da ciwo mai raɗaɗi na yanayin rarrabuwa. Bugu da ƙari, ana amfani dashi sau da yawa a cikin maganin fibromyalgia. An bayyana tasirin magungunan magungunan ta hanyar ka'idodin reuptake na serotonin. Godiya ga wannan, ba kawai ana kawar da zafin rai ba, har ma ana gyara yanayin motsin rai, wanda yake da amfani ga rashin damuwa. Farashin magungunan yana cikin iyaka mai iyaka.
Fedor Arkanov (therapist), 37 years old, Tver.
Duloxetine shine mafi mashahuri maganin rigakafi a Amurka. Koyaya, a cikin ƙasarmu ana samun karɓuwa ne kawai. Effectivewararren abu mai mahimmanci, amma har zuwa yanzu yana da tsada, kuma ana samun ƙararraki masu ƙarancin ƙarfi a cikin kasuwa na kyauta.
Lyudmila Guseva, mai shekara 45, garin Voskresensk.
Na sauya zuwa wannan ƙwayar daga Stimulon, tunda daga ita ne na fara samun sakamako masu illa. Yanzu na ji sauki, kamar yadda aka tabbatar da sakamakon gwaje-gwajen da na yi kwanan nan a wani asibiti a cikin gida.
