"Serenata" Tablets: yokusetshenziswa, analogs, ukubuyekezwa

Ngethukile uhlelo iziyaluyalu zisabalele ezweni lethu. Ukuze imithi yabo, kukhona imithi eminingi. Omunye imithi enjalo kuyinto imithi "Serenata". Ukufundiswa uphawula ukuthi ngaphambi ukusetshenziswa kwezidakamizwa liyadingeka kudokotela.

Ukwakheka kanye nefomu wokukhulula izidakamizwa

It ikhiqizwa ngesimo amaphilisi, ifilimu-camera, izidakamizwa "Serenata". Umhlahlandlela uchaza ngokugcwele Ukwakheka nomuthi okuhlanganisa esebenzayo isithako sertraline hydrochloride. Njengoba izakhi ezengeziwe Kwakuhileleke:

• microcrystalline cellulose;
• sodium carboxymethyl isitashi;
• Anhydrous calcium hydrogenphosphate;
• giproloza;
• magnesium stearate;
• polysorbate.

Tablets igobolondo siqukethe hypromellose, ama-titanium dioxide futhi propylene glycol.
Umuthi ikhiqizwa izibhebhe 50 mg kanye mg 100. Basuke kapsulovidnuyu umumo we-lenticular wangakwesokunxele. Ingabe ezimhlophe ngakolunye uhlangothi kanti ingozi. amaphilisi 10 phama aluminium ibhamuza. Babephethe amakhadibhodi kungase isukela cishe ku-3 ukufika ku-5 amabhamuza plus imfundo manual.

Umuthi lagcinwa ezingeni lokushisa esingeqile 25 ° C. Umuthi kumele kube endaweni umthunzi elangeni futhi sifinyelele izingane. Impilo eshalofini zomuthi sekuyiminyaka emithathu kusukela ngosuku umkhiqizo izidakamizwa. Awukwazi ukusebenzisa amaphilisi ngemva kwalolu suku.

I nomuthi ukhululeka Pharmacy kuphela kadokotela. Manufactured imithi eNdiya.

izici kwemithi imithi

I nomuthi "Serenata" (yokusetshenziswa sithengiswa kanye amaphilisi kanye phambi isicelo zomuthi kumele kube uzifunde ngokucophelela) libhekisela antidepressant. Isilawuli eqinile abakhethayo serotonin reuptake inhibitor. Ngokwezinga elithileko encane inomthelela reuptake ka Dopamine futhi noradrenaline. Ukube ubukhona umuthi esetshenziswa ngemithamo zokwelapha, esebenzayo izidakamizwa izidakamizwa kuvimbela kwalabo abatholako serotonin e-platelet womuntu umzimba.

Ngenxa zokwelapha ke kwaphawuleka ukuthi izidakamizwa akanayo sine ivuselela nemiphumela anticholinergic. Ngesikhathi ukuthatha amaphilisi e kwezihloko awuzange waphawula yimuphi ukwephulwa lengqondo nemvelo.

Imithi akuyona umlutha futhi akunamthelela isisindo somzimba, ngisho nangemva iphilisi isikhathi eside.

Kuhlolwa izilwane luye lwabonisa ukuthi sertraline akusho ukuthuthukisa umsebenzi catecholamine. It is hhayi libhekene ababuthanda for serotonergic, muscarinic, histaminergic, dopaminergic, Gaba, benzodiazepine, futhi ama-receptor adrenergic. Kuyaphawuleka ukuthi amaphilisi "Serenata" babe izakhiwo cardiotoxic.

ukusetshenziswa isikhathi eside izidakamizwa izilwane isetshenzisiwe usimamise norepinephrine receptor, okuyinto zitholakala ebuchosheni futhi basonta negative impendulo hlobo. Kuyinto isenzo ejwayelekile kwabaningi izidakamizwa protivoobsessivnyh kanye nemithi yokunciphisa ukucindezeleka.

Tablets "Serenata" (ngesandla uchaza ngokugcwele indlela imithi nokubika umthamo Kunconywa) akuzona umlutha, ukuze iziguli ungahlukumezi kubo.

Lapho izidakamizwa kumele kusetshenziswe?

Izidakamizwa "Serenata" manual weluleka ukusebenzisa ngesikhathi izinkathi ezinde uthi sokucindezeleka. Umuthi kuboniswa nokuvimbela ukucindezeleka omsakazo ezahlukene. Injongo ukusebenzisa amaphilisi disorder esilawulayo-abayimilutha, okwenzeka kokubili abadala kanye nezingane iminyaka eyisithupha ubudala. imithi ezinqunyelwe uvalo neziyaluyalu, okuyinto kungase kuhambisane agoraphobia. Amaphilisi zisebenzisa ucindezelekile, okuyinto umphumela ukuhlukumezeka. Inkomba sokusebenzisa kuthi- wani ngenkinga yokukhathazeka komphakathi, olubizwa nangokuthi kwabokufika nomphakathi.

Izimo

Izidakamizwa "Serenata" yokusetshenziswa is hhayi Kunconywa ukuthatha uma hypersensitivity kuya sertraline, futhi izakhi ezengeziwe, okuyinto iyingxenye nomuthi. Musa libeke imithi ezinganeni ezingaphansi kweminyaka engu eziyisithupha, ukhathazekile iziyaluyalu esilawulayo-abayimilutha. Kuzo zonke ezinye izimo, lesi sidakamizwa "Serenata" (amaphilisi) hhayi elibekelwe iminyaka eyishumi nesishiyagalombili.

It is ekusebenziseni sertraline kanyekanye monoamine oxidase inhibitor. Kulokhu, kukhona ingozi serotonin syndrome, okuyinto engaveza ukuyaluza, komzimba, kanye eliqhaqhazelayo yezingalo nemilenze.

amaphilisi, ukwelashwa kufanele uqale ngemva kwamasonto amabili ngemva ukuqedwa monoamine oxidase inhibitor. Reception "Serenata" kumele kumiswe okungenani amahora ayisikhombisa ngaphambi kokuqala ukwelashwa MAOIs isinyathelo engelapheki. Akuvunyelwe ukusebenzisa ithuluzi kanye pimozide, tryptophan noma fenfluramine.

Isexwayiso kumele kusetshenziswe iziguli sertraline abaphethwe organic kwezinso ubuchopho, isithuthwane kwezinso futhi esingamahlalakhona hepatic. Ukuba evelele kwesisindo. Kufanele Qaphela uma wabelana ukusetshenziswa sertraline imithi ukuthi ukwandisa serotonergic neurotransmission. Lokhu kusebenza futhi nakulabo nemithi ezithinta platelet.

Kufanele eduze ukuqapha iziguli ukuthatha tricyclic antidepressant sertraline futhi ngesikhathi esifanayo.

Umuthi ayivunyelwe ukusebenzisa ngenkathi bekhulelwe nangenkathi bencelisa.

Medicine "Serenata": yokusetshenziswa

Ukubuyekezwa (analogue akuzona njalo asakwazi ukwenza njengale ngempumelelo njengoba imithi) wabonisa ukuthi amaphilisi kungakubangeli engemihle. Thatha izidakamizwa ngomlomo kuphela, kanye ngelanga, kungakhathaliseki ukusetshenziswa ukudla, ngamanzi amancane.

Lapho ukucindezeleka kanye esilawulayo-kuphoqeleke iziyaluyalu uqale ukwelashwa nge 50 mg ngosuku. Uma uhlangabezana uvalo sifo, kukhona isimo kwabokufika kwezenhlalo futhi ukucindezeleka ukucindezeleka kwangemva kwenhlekelele, therapy ithoma nge 25 mg ngosuku. Ngemva kwesonto elilodwa, umthamo senyuselwa 50 mg ngosuku. Ukusetshenziswa okunjalo zomuthi kunganciphisa nesenzakalo yemiphumela emibi ngesikhathi esigabeni sokuqala ukwelashwa.

Ukukhetha Isikali senziwa ukwenyuka kancane ngesonto. Uma kwelashwa ngokujwayelekile 50 mg nsuku zonke akazange yaba nemiphumela, umthamo luyanda ngomunye mg 50, kodwa hhayi izikhathi ezingaphezu kwesisodwa ngesonto. esiphezulu I umthamo wansuku 200 mg ngosuku.
Kuyo yonke sonto, kukhona imiphumela yokuqala ukwelashwa, kodwa umphumela egcwele bungatholakala ngemva kwamasonto 2-4 yokwelapha okuqhubekayo. Ezibangela esilawulayo-kuphoqeleke lokucabanga isikhathi eside kabi imithi kadokotela.

Lapho ukwelashwa sekudlulile yesondlo umthamo kufanele kube kancane ngempumelelo. Kulokhu, it is kushintshwe kuye ngokuthi umphumela zokwelapha. Uma kukhona ukucindezeleka isikhathi eside, imithi kufanele kuthathwe okungenani ezinyangeni eziyisithupha.
Kuyadingeka ukuba sihlale njalo siqaphele abekezele uvalo iziyaluyalu esilawulayo-abayimilutha. Kulesi simo, nokuvinjelwa uyahluleka uma elwa nokuphuza is hhayi kwenziwe.

"Serenata" amaphilisi (imfundo manual yazisa mayelana uthi lapho ukusetshenziswa kwalesi izidakamizwa akufanele) abavunyelwe ukuba kusetshenziswe ekwelapheni isifo sokuphazamiseka esilawulayo-kuphoqeleke ezinganeni kusukela ineminyaka eyisithupha.

Nentsha ezineminyaka ephakathi kuka-nantathu neshumi nesikhombisa, aqokwe umthamo kokuqala mg ngelanga 50. Umthamo kokuqala eyenzelwe izingane ezineminyaka engu iminyaka eyisithupha nambili ubudala 25 mg ngosuku. Ngemva kwezinsuku eziyisikhombisa kwesicelo umthamo izidakamizwa zingandiswa ukuze mg 50. Esikhathini esizayo, uma imishanguzo akukuniki yalokho, inani izidakamizwa luyanda ngomunye mg 50. Ukwandisa umthamo wenziwa kanye njalo emavikini ambalwa. Umkhawulo lemali avumelekile izidakamizwa - 200 mg ngosuku. Umthamo ukushintsha hhayi ngaphezulu kokukodwa zonke izinsuku eziyisikhombisa.

Lapho ukwelapha iziguli yobudala iqembu iminyaka eyisithupha kweshumi nesishiyagalombili kufanele sinake isisindo somzimba, ukuze ugweme izimpawu yokweqisa.

Izidakamizwa "Serenata" imfundo manual weluleka ukungamukeli iziguli eziphathwa kahle hepatic isitho imisebenzi. Iziguli esingamahlalakhona kwezinso zidinga umthamo ukulungiswa.

Kufanele lingadilizelwa ngamandla ukuba amaphilisi. Uma ufuna ukuba angaqhubeki yokwelapha ke lokhu kufanele kwenziwe kancane kancane, izinsuku eziyishumi nane. Kuphela kulesi simo ematfuba ukuhoxiswa uzobe lincane. Uma uhlangabezana nokuqaleka kufanele ubonane nodokotela ukuze ukwelashwa okufanele.

ukusabela ezingezinhle umzimba

Ixwayisa ngokuthi ngokusebezisa isikhathi eside kungabangela enqabayo izidakamizwa ukusabela umzimba "Serenata" imfundo manual. Analogs kulokhu uyakwazi esikhundleni wathi izidakamizwa.

Phakathi imiphumela emibi evela apharathasi emathunjini, ungase uzizwe nomlomo owomile. Sabona ukwehla esesuthi, okuyinto ezimweni ezingajwayelekile kuholele nokuzincisha ukudla. Phakathi ukusabela ezingezinhle lezi zinkinga uhudo, kuhlanganise ukubuyisa, ukuhlanza reflex, isicanucanu, uhudo, futhi ubuhlungu besisu.

Kwezinye izimo, sebenzisa isikhathi eside amaphilisi sabhalwa msebenzi omkhulukazi we transaminases egazini. Ngemva ukuqedwa zomuthi lesi sibalo kuza emuva evamile.

Kusukela isimiso sezinzwa iziguli zikhathazeke ukozela, isiyezi, ubuhlungu bekhanda, eliqhaqhazelayo yezingalo nemilenze. Iziguli bakhalaza ukuqwasha, ukuyaluza, ukuvela imizwa yokukhathazeka, hypomania, kusebentisana kahle ukunyakaza futhi Gait ongagxilile. Abanye baba nomuzwa ubuthakathaka, iziyaluyalu extrapyramidal.

Kwavela dyskinesia, ukuquleka, imisipha izicubu, ukwehluleka apharathasi ezibukwayo. ukwephulwa anjalo ngokuvamile iphutha ezigulini waba nomlando lezi zifo noma bathenga kubo kusukela ukusetshenziswa ngesikhathi esisodwa antipsychotics.

Nakuba ngokuthatha izidakamizwa kwakufanele ukungasebenzi ohlelweni endocrine. Babonisa bekhathazeke ejaculation, kwehle isifiso sobulili, ukwephulwa zokwehlukaniswa, galactorrhea futhi hyperprolactinemia.

Kwezinye izimo, lesi sidakamizwa "Serenata" (antidepressant) eyenga ukujuluka. Ngezinye izikhathi, ngenxa imiphumela yayo emzimbeni kuba kwesisindo, okuyinto ezimweni ezingajwayelekile lidlule ku-anorexia. Kunabantu abangazange ngesikhatsi ukwelashwa siyabhubha hyponatremia lezivakashi.

Phakathi izimpawu dermatological waphawula ububomvu kwesikhumba, ukuqubuka, ukulunywa. Ezimweni kunalokho ezingavamile erythema multiforme.

Izixwayiso

Azisa ukuthi hhayi oqokwe kungakapheli amasonto amabili ngemuva ukuqedwa mao izidakamizwa "Serenata" inhibitor, yokusetshenziswa (Izibuyekezo bathi izidakamizwa siyosinda ukucindezeleka futhi aqede ukukhathazeka). Ngesikhathi esifanayo, mao inhibitor akunconyelwe ezilishumi nane emva ukuqedwa yokwelapha nge sertraline. Kukhona ucwaningo esanele ukusetshenziswa kwezidakamizwa e iziguli ezelashwayo electroconvulsive.

Kukholakala ukuthi iziguli bacindezelekile Ungahlala iphendukele ukuzibulala. Lokhu ingozi iqhubeka kuze ukuthethelelwa okuphelele. Ngakho-ke, ngaleso sikhathi zokucindezeleka isiguli kufanele kube ngaphansi eduze kweso lwezokwelapha.

Qaphela ikakhulukazi nokusetshenziswa okudidiyelwe amaphilisi "Serenata" nezidakamizwa ezicindezelayo isimiso sezinzwa esiyinhloko. Kulesi simo isiguli kufanele ziqashwe.

Phakathi "Serenata" Ukwelapha kufanele kukhunjulwe ukuthi ukusetshenziswa concomitant izidakamizwa nanoma yimuphi mao inhibitor kungaholela emiphumeleni engathí sina kakhulu futhi abangele ukuqhubeka yezinkinga ezihlukahlukene, kuhlanganise serotonin syndrome.

Okufanayo ukusabela ezingezinhle emzimbeni ephelezelwa izimo angawodwa ebulalayo, yasungulwa ukusetshenziswa mao inhibitor ngesikhathi ukudlula yokwelapha antidepressant ukuthi zivimbela abatholako neuronal ka monoamines. Imiphumela engemihle okuyokwenzeka ngemva ukuqedwa le mithi.

Kusukela ukusetshenziswa okudidiyelwe inhibitor abakhethayo ukuthi ukwenza reuptake neuronal ka-serotonin, kungenzeka ukuthuthukisa ukuqina, ukucasuka ngokweqile, komzimba, myoclonus, izinguquko isimo sengqondo, ukudideka, ukuyaluza. Inhlanganisela sertraline futhi coumarin kubangela ukwenyuka prothrombin isikhathi. Ngokukhethekile ngenkathi ngokuthatha izidakamizwa kufanele inikezwe izingane kusukela ineminyaka eyisithupha.

Ixwayisa ngokuthi akuvunyelwe nhlobo utshwala uma usebenzisa "Serenata" imiyalelo ukulungiselela (Izibuyekezo bathi amaphilisi ezingapheli zingayilimaza umbono).

Ngo ukusetshenziswa sertraline akuyona engavamile futhi eziyimbangela yezinkinga ezizuzwa lengqondo imisebenzi. Naphezu kwakho konke lokhu, co-abaphathi nabanye nemithi kungabangela lokuhlushwa kahle futhi ukwehluleka in the kusebentisana ukunyakaza. Ngenxa yalokhu, ngesikhathi sokwelashwa, "Serenata" ukushayela traffic futhi benze umsebenzi odinga umsebenzi okusezingeni eliphezulu emakamu is hhayi Kunconywa.

Lokho okwakudingeka ukuze kukhokhwe izidakamizwa

Ungathenga cishe kuwo wonke ekhemisi on kadokotela amaphilisi "Serenata" (antidepressant). Nobufakazi bathi izidakamizwa kungabangela ubuhlungu bekhanda nokuqwasha, kanye yokuphazamiseka pheshana emathunjini. Izindleko amaphilisi 30, 50 mg - ruble 600. Intengo amaphilisi 30 mg 100 kuphakathi koyedwa kwabane ayizinkulungwane ruble.

Izidakamizwa "Serenata": nozakwabo

Uma izidakamizwa ngasizathu simbe akazange eze, ngaleso sikhathi udokotela ekunika nozakwabo esikhundleni. I esikhundleni ezivamile kwesakhiwo zihlanganisa:

• "Zoloft";
• "Stimuloton";
• "Deprefolt";
• "Aleval";
• "Lyustral";
• "Asentra";
• "Serlift";
• "Torino";
• "Mistral";
• "Misol";
• "Seralina";
• "Zaloks";
• "Sertiva";
• "Zosert".

Lezi kanye nezinye izidakamizwa Ungashintshanisa izidakamizwa "Serenata". Analogs akufanele wakhonza bebodwa, ngaphandle kokukhuluma nodokotela, ngoba indlela enjalo yokuhlaziya isimo ungakulimaza impilo futhi zibangele inombolo okuba nemiphumela engemihle.

Nobufakazi mayelana amaphilisi

Medicine "Serenata" (antidepressant) ikhasimende Izibuyekezo sokucasuka ezahlukene kakhulu. Ezinye iziguli ziyaneliswa ngokuphelele isenzo yalesi izidakamizwa. Kuthiwa umphumela ngemva ukusetshenziswa siyenzeka ngosuku lokuqala lokwelashwa, futhi kuba liphinyiselwe ngasekupheleni imiphumela ngesonto. Bona wazi ukuthi umuthi onomoya elwa nokudangala. Uplifting, kukunika ukuthula kwengqondo futhi ongenza isifiso sokuphila. Ngemva ukusetshenziswa kwalo uya ukucindezeleka kwengqondo, ukukhathazeka, ukwesaba nokungathembani.

Umuthi kuyasiza ukwelapha wamaphaphu nezifo zengqondo. Ikhipha ukwethuka. Iziguli ukubika ukuthi izibhebhe bubekezelelwa kahle futhi kungakubangeli imiphumela emibi. Abakwazi baphuze isikhathi esijana, kodwa ngaphansi kokuqondisa kukadokotela. Umuthi kakhulu ngcono isimo, kusiza ukuba babhekane nokucindezeleka. Ikhipha kokwesaba, bethukile. Kuyasiza ukuzizwa ukunxanela ukuphila.

Kodwa awusebenzi ngaso sonke isikhathi eletha imiphumela okulindeleke imithi, "Serenata". Izibuyekezo balaba bantu kwakusho ukulahlekelwa ephelele esesuthi, ikhanda, ukuphazamiseka kokulala. Ezinye iziguli ukubika ukuthi izidakamizwa kubathinta kabi umbono. Kungase kubangele ukudideka yokucabanga kanye nokudidiyela abampofu ukunyakaza. Ezinye iziguli ezifika engqondweni nemicabango yokuzibulala. Kunabantu abangazange sebephuze izingilazi lawo amaphilisi bakhalaza anda ukucindezeleka kwengqondo, ukukhathazeka. Yaveza ukuthi umuthi ukwazi ukudala i ukungakhululeki yangaphakathi.

Odokotela bavame ngokwanele ukusebenzisa leli thuluzi ngo umkhuba wabo. Ngokusho kwabo, umuthi libhekisela antidepressant lokukhululwa. Kungasenza sizizwe nokukhathazeka babhebhethekisa isimo ukucindezeleka sikhathazeke ngokweqile. Kulo mBhalo, odokotela batusa ukuba makudle i antidepressant, kunomphumela sine. Khumbuza iziguli zami ukuthi ukukhethwa i antidepressant iqondiswa ukuba nesineke ngayinye, futhi lokho kungisizile eyodwa, angase singenziwa into engenamsebenzi enye.