Tablets "Lenuksin": ukubuyekezwa, yokusetshenziswa, incazelo, analogue, intengo

Kanjani ukuze sibhekane nokucindezeleka bebodwa? Phendula lo mbuzo kunzima ngempela. Phela, ukuphuma lokhu isimo ngaphandle kosizo ochwepheshe abazokwazi ambalwa. Kule ndaba, sincoma uye kudokotela uyofuna icebiso, abangena kamuva esimisiwe ukwelashwa okuphumelelayo.

ulwazi olujwayelekile

Ukucindezeleka ibizwa ngokuthi isifo sokuphazamiseka kwengqondo, esibonakala ngemudi ongaphakeme, wacabanga disorder (ubuswa abanombono ophambene konke okwenzekayo, izahlulelo ezimbi, nokunye.), Motor retardation, kanye nokulahlekelwa ikhono injabulo.

Kufanele kuphawulwe ukuthi kulesi sifundazwe, umuntu eyehlisiwe ukuzethemba, engasenandaba nokuphila kanye nomsebenzi. Ezimweni eziningi, isiguli ngubani ohlushwa ukucindezeleka ngokomzwelo ungase uqale kabi utshwala, nezidakamizwa kanye nezinye izidakamizwa psychotropic. Ngokuvamile laba bantu babe kokuzibulala.

Namuhla, ukucindezeleka kuyisifo esihlasela esilaphekayo. Ngo inqubo izinto psychotropic kungenzeka zaphathwa yokwelapha nesineke. Zibhaleni phansi ngempela ebanzi. Yingakho zimise kuphela uchwepheshe abanolwazi.

antidepressant

Ikhambi ezidume kakhulu yesifo sengqondo kuyinto antidepressant "Lenuksin". Kulesi sihloko, sizokutshela mayelana izimo lapho yena qobo oqokiwe, uma unazo contraindications emibi, futhi yini ukubaluleka kwayo, ifomu ukukhululwa, isakhiwo, noma kukhona analogue of medikmenta nokunye.

Ukwakheka izidakamizwa, kwikhava yawo futhi ngendlela

Ngaphambi kokuba nginixoxele le ngendlela imithi "Lenuksin" izenzo, okuyinto Izibuyekezo izokwethulwa ngezansi, kufanele ahlinzeke injalo ukukhululwa. Leli thuluzi uyadayiswa yini uhlobo amaphilisi, okuyinto camera nge enamathela ifilimu.

Umuthi iqukethe ingxenye esebenzayo ezifana escitalopram oxalate. Ngaphandle-ke, amaphilisi kanye izakhi asizayo kukhona ngesimo microcrystalline cellulose, sodium croscarmellose, talc, microcrystalline cellulose silitsinizirovannoy, siliconized microcrystalline cellulose kanye magnesium stearate.

Izidakamizwa "Lenuksin", okuyinto kunalokho ilethe inkinga enkulu, okuthengiswa polypropylene izitsha eziyisikhombisa (mhlawumbe amabhamuza), afakwe, ngaphatha ibhokisi elinezincwadi. embizeni ngasinye siqukethe amaphilisi 28 noma 14.

Izimfanelo kwemithi ye antidepressant

Izidakamizwa "Lenuksin", ukubuyekezwa zazo zingaphezu omuhle, kuyinto antidepressant. Lokhu SSRIs, okwandisa lokuhlushwa neurotransmitters emqhokrweni izinhlaka zokuxhumana zobuchopho, futhi zidonse isikhathi eside futhi sithuthukisa nomthelela postsynaptic serotonin receptor.

Lamanje nomuthi isici cishe asisho abophe-alpha-adrenoceptors, receptor m-cholinergic, opioid, serotonin, benzodiazepine, Dopamine futhi histamine receptor.

Prakthiza ebonisa ukuthi umphumela antidepressant ezigulini iqala ukuthuthukisa amasonto kuphela emva 2-4 emva Ukuqalwa yokwelapha. Senkokhelo esiphezulu kuwumphumela ukwethuka disorder ngokuvamile kufezwa ngokusebenzisa kwezinyanga ezimbalwa.

Pharmacokinetics izindlela

Njengoba izidakamizwa amuncwa umzimba, "Lenuksin"? ekusetshenzisweni inhlukano antidepressant uthi ukumuncwa yayo izimele ukudla. I bioavailability zomuthi cishe 80%. Umkhawulo igazi lokuhlushwa kufinyelelwe ngemva 4 amahora ex. nomuthi Plasma amaprotheni esibophezelayo cishe 56%.

umzimba Antidepressant kwenzeka esibindini (ukwakha didemetilirovannyh asebenzayo futhi metabolites demethylated). Ingxenye-ukuphila ngemva kokuphathwa amaningi cishe 30 amahora.

Izinkomba ngokusetshenziswa antidepressant

Kwezinye izimo, umuthi "Lenuksin"? Yokusetshenziswa, izimpendulo ibonisa ukuthi kufanele ingasetshenziswa kuphela ngaphansi ngeziphambeko ezilandelayo:

• ukucindezeleka, kuba ifomu ezinzima noma okusesilinganisweni;
• Komphakathi abanenkinga yokukhathazeka (phobia zomphakathi ezingakaze);
• netwetwe disorder ne agoraphobia, noma ngaphandle kwalo;
• Ukukhathazeka Okuvamile.

Izimo ukusetshenziswa antidepressant

Ukwelashwa nge antidepressant noma kunjalo kwenziwe ngaphansi kwezimo ezilandelayo kanye izici:

• ne lapho engayitholi ngesikhathi esisodwa mao inhibitor;
• lapho umuntu esemncane iminyaka engu-18;
• hypersensitivity kuya nomuthi noma izingxenye zalo;
• kusilela noma isomaltase sucrase, malabsorption zikashukela-galactose futhi fructose ukungabekezelelani.

ukusetshenziswa baqaphe

Tablets "Lenuksin" kumele inikezwe iziguli ukwehluleka kwezinso kakhulu ngokuqapha, isifo sikashukela, hypomania, ukopha ukuthambekela, mania, isifo sokusha nesokuwa pharmacologically engalawuliwe.

Futhi kudingeka ngokucophelela ukusebenzisa lolu imithi yokucindezeleka nge kokuzibulala, ngenkathi ethola izidakamizwa ukwehlisa embundwini futhi akheka ngu isoenzymes ka CYP2C19, asebekhulile kanye, kanye ethanol.

Izidakamizwa "Lenuksin": yokusetshenziswa

Lesi sidakamizwa Kukhululwa ekhemisi nge kadokotela kuphela. Phela, kungase kuphela ukhethe ochwepheshe abanezimfanelo ezidingekayo.

Umthamo umuthi namaphesenti kaningi yayo ukusetshenziswa kuxhomeke ezingeni esiphakamisa nohlobo ukuphambuka. Ngokusho imfundo, wathi izindlela okufanele zisetshenziswe kanye ngosuku ngaphambi, ngemuva noma phakathi ukudla.

• Ukucindezeleka, kokuba ukuma esindayo noma isilinganiso.

Kulokhu, lesi sidakamizwa "Lenuksin", okuyinto kunalokho inani lentengo eliphezulu ukhokhiswe ngaleso 10 mg kanye ngelanga. Kuye ukusabela (ngabanye) esiguli, umthamo kungase kukhule ku-20 mg ngosuku. Ngemva ukunyamalala izimpawu zokucindezeleka kufanele uqhubeke nokwelashwa izinyanga ezingu-6, ukulungisa yi.

• Panic disorder ne agoraphobia, noma ngaphandle kwalo.

Phakathi nesonto lokuqala ukwelashwa isiguli edingekayo umthamo elilingana 5 mg ngosuku. Ngokuzayo ke kumele lenyuke ncamashi kabili. Kuye inani ukusabela izidakamizwa isiguli asondele esiphezulu, okungukuthi ku-20 mg ngosuku. Lokhu nqubo yokwelapha ithatha izinyanga eziningana.

• kwabokufika Komphakathi noma abanenkinga yokukhathazeka komphakathi.

Ngo enjalo uphethwe izidakamizwa "Lenuksin" (omqondofana nomuthi) iqondiswa e isamba 10 mg kanye ngelanga. Buthaka izimpawu sokusuka kwenzeka cishe 2-4 amasonto. Ngemva kwalokho, imithombo yezokuzijabulisa ingadlulisela Isikali sehliselwe 5 mg ngelanga noma lakhuphuka lafika ku-20 mg ngosuku.

Ngenxa yokwesaba yezenhlalakahle iyisifo nge Yiqiniso okungamahlalakhona, isikhathi Yiqiniso zokwelapha kumele kube okungenani amaviki 12. Ukuvimbela Ukuphinda lesi sifo, uchwepheshe ingase yabelwe kabusha ukwelashwa, okuyinto kumele kwenziwe kungakapheli izinyanga ezingu-6.

By the way, ngaphambi kokuba aye kudokotela zomuthi udokotela kufanele ingafani kwabokufika social ne ukuzinyeza evamile noma amahloni.

• Ukukhathazeka okuvamile.

Njengoba prescribers "Lenuksin" lapho okukhulunywe uphethwe? ochwepheshe lezivakashi bathi ekuqaleni ukwelashwa kuyindlela okufanele lisetshenziswe isamba 10 mg kanye ngelanga. Uma kudingeka, umthamo kungase kukhule kuze kufike, isb ku-20 mg ngosuku. ukusetshenziswa Esamukeleka eside zomuthi (izinyanga ezingu-6 noma ngaphezulu).

Abantu e ukuguga (engaphezu kwengu-65) kumele sisetshenziswe lapho kugamanxa umthamo evamile incane, okungukuthi, 5 mg kanye 10 mg, ngokulandelana (ngosuku).

isiqondiso Specific on ukusetshenziswa kwezidakamizwa

Ngo ukwehluleka kwezinso of ngokulinganisela kobukhulu umthamo udinga ukulungiswa. Ezigulini ezine-isifo esifanayo, kodwa ifomu ezinzima, umuthi ezinqunyiwe kubo ngokucophelela okukhulu.

Lapho ukukhanya noma yokwehluleka kwesibindi ukusebenza okusesilinganisweni Kunconywa Isikali phakathi namasonto amabili okuqala ukwelashwa kufanele kube 5 mg ngosuku. Kuye ngendlela aphendula ngayo umthamo nesineke kwezidakamizwa zingandiswa kabili.

Ezigulini ezine-umsebenzi esincishisiwe CYP2C19 isozyme umthamo kokuqala nomuthi futhi 5 mg ngosuku. Uma kudingeka, kungase senyukela 10 mg.

Phezu ukuqedwa yokuyelapha ukuze wehlise inani imithi kancane kancane phezu amasonto 1-2. Lokhu kuyadingeka ukuze ugweme okuvela kwezimpawu syndrome.

amacala ukweqisa izidakamizwa

Abaningana impela enkulu abantu bacela umbuzo ukuthi nokuthi ungasiza ngilwe nokucindezeleka bebodwa? Uma izimo isikhathi eside, ngeke akwenze ngaphandle wenziwa ochwepheshe. Phela, iziguli ezidinga ukusetshenziswa antidepressant, okuyinto kumele ukhethe udokotela.

Uma umuntu esebenzisa izindlela wathi ukuze wandise ivolumu ke ngokushesha ukuze abe izimpawu ezilandelayo ukweqisa izidakamizwa: ukucindezeleka zokuphefumula, ukundindizela, Ukudlikizela, isiyezi, tachycardia, ukuyaluza, rhabdomyolysis, ukozela, lactic umzimba, isiyezi, arrhythmia, izinguquko ECG, ukuhlanza kanye hypokalemia .

Kufanele kuqashelwe ukuthi ikhoma nokufa esimweni ukweqisa izidakamizwa ezingajwayelekile kakhulu. Lokhu kungenzeka kuphela uma ekuthuthukiseni yokwamukela wokulungiselela nezinye izidakamizwa.

Ngenxa yokwelashwa elisetshenziswa amacala ukweqisa izidakamizwa yokwelapha ongisekelayo siyefana lavage esiswini kanye oxygenation ezanele. Ngaphezu kwalokho, ukusebenza ukuqapha imikhumbi futhi inhliziyo, futhi umgudu wokuphefumula.

Izidakamizwa "Lenuksin": side effects

Imiphumela engemihle kusukela ekutholeni izimali wathi Uvame ukuzithola ekuqaleni ukwelashwa. Ngemva kwesikhathi esithile, base beba kancane okukhulu.

• wokugaya ukudla: ukungakuthandi ukudla, isicanucanu, ukunambitheka nasiphazamiso, ukuhlanza, nomlomo owomile, uhudo, isifiso sokudla kakhulu, futhi ukuqunjelwa.
• Isimiso sezinzwa: ukucasuka, ikhanda, ukukhathazeka, isiyezi, ukuyaluza, ubuthakathaka, ukuphazamiseka visual, ukuqwasha, ukushaywa uvalo ngaphandle kwesizathu ukozela, depersonalization, Ukudlikizela, okuyize, liqhaqhazela, serotonin syndrome, ukunyakaza iziyaluyalu, ukuhhema, nokudideka.
• uhlelo ezalayo: ubuthakathaka, ejaculation okungavamile, kanye ukwephulwa nomjikelezo wokuya esikhathini.
• Skin: angioedema, ngijuluka yanda, purpura, ecchymosis, pruritus futhi ukuqubuka kwesikhumba,
• Jikelele: komzimba okukhulu nobuthakathaka.
• uhlelo urinary: nokugcinwa urinary.
• Inhliziyo negazi izitsha: hypotension orthostatic.
• Umzimba: uketshezi ukungadli adh.
• uhlelo zemisipha: arthralgia futhi myalgia.
• ucwaningo Laboratory: Izinguquko ku kokusebenza kwesibindi, electrocardiogram futhi hyponatremia.
• Komzimba: Amathuba ukusabela anaphylactic.

Lapho ukubukeka okubi kakhulu kwanoma iyiphi okungenhla side effects kufanele ukubike kudokotela wakho.

Ibele nokukhulelwa

Ngingakusebenzisa kanjani lokhu izidakamizwa "Lenuksin" phakathi nenkathi yokukhulelwa? ochwepheshe lezivakashi bathi, it is hhayi Kunconywa ngenxa yokuntuleka ulwazi lokuphepha nokusebenza ngempumelelo yaleli imithi, sisebenzise ngesikhathi sokukhulelwa umntwana. Ngaphezu kwalokho, edonsa izidakamizwa kumele kunqanyulwe ngesikhathi lactation.

ukwelashwa kanye kanye nezinye izidakamizwa

izinto psychotropic, uhlu okuyinto ngempela ebanzi, kufanele kuphela ukuthatha aphoyintimenti lochwepheshe kanye ngokuqinile ngaphansi kophiko lwayo.

Nomuthi "Lenuksin" wawukwenqabela iqondiswa kanye mao inhibitor, njengoba lokhu kungase kube nomthelela ekuthuthukisweni ka-serotonin syndrome. Kufanele kuphawulwe ukuthi yokwamukela lokhu kusho intsha (eneminyaka engaphansi kwengu-ex-iminyaka engu-24) kanye nokugula ngengqondo nokucindezeleka kwandisa okuvela ideation ukuzibulala futhi sokuzibulala.

Nge ukusetshenziswa ngesikhathi esisodwa imithi nge lithium futhi tryptophan izimo nzuzo nomphumela lokuqala izidakamizwa

Co-nokuphathwa izidakamizwa ne Hypericum perforatum kuholela inani elikhulu amathuba okuba nemiphumela engemihle.

ukusetshenziswa ngesikhathi esisodwa i antidepressant nge anticoagulants engaqondile, nezinye izinto ezithwala ezithinta igazi ekunqandeni, kungase kube nomthelela kule ukuphazamiseka kwenqubo. Ezimweni ezinjalo, ekupheleni ukwelashwa kudinga ukuqapha njalo isiguli kanye isimo igazi.

Iziguli ukuthatha wathi imithi nge ejenti serotonergic, serotonin syndrome zingase zenzeke.

Ukuxoxa Ethanol

I nomuthi "Lenuksin" akezi nge Ethanol pharmacokinetic noma ukuxhumana pharmacodynamic. Kodwa lokhu akusho ukuthi i antidepressant zingafundwa kanye notshwala. Phakathi ukwelashwa, isiguli kungcono ukulahla ukusetshenziswa kwanoma yisiphi utshwala.

Kufanele kuphawulwe ukuthi ngesikhathi sokwelashwa umuntu kufanele uyeke izimoto zishaya nomsebenzi umsebenzi zilwane eziyingozi okudinga lenyuka ngesivinini lengqondo wokusabela okuhlushwa.

Inani kanye analogue zomuthi

Kungakanani kukhona amaphilisi antidepressant "Lenuksin"? Intengo yaleli izidakamizwa zingahluka futhi ancike nemibhalo ehambisanayo eceleni. Izindleko isilinganiso umuthi 990 ruble Russian ngamunye izingcezu 28. Ngiyavuma, sekuyinto isidakamizwa ezibizayo, okuyinto ukukhokhela hhayi wonke umuntu. Kufanele kuqashelwe ukuthi kuyaqabukela edayiswa Pharmacy. Njengomthetho, ngemva ekwetfuleni kadokotela, wemithi inikeza oda imithi, ngokuvamile iza ezinsukwini ezimbalwa.

Ngakho yini okumele uyenze uma isiguli esasibekelwe i antidepressant, kodwa akazange abe in isitokwe noma ku-oda? Kulokhu, ochwepheshe batusa ukuthenga sabafowabo. "Lenuksin" unabo eziningi kunalokho enkulu. Cabanga uhlu izidakamizwa ezifana njengamanje:

• "Escitalopram oxalate".
• "Miratsitol".
• "Escitalopram-Teva".
• "Santsipam".
• "Escitalopram Sandoz."
• "Kubakhethi".
• "Escitalopram".
• "Tsipraleks".
• "Elitseya".
• "Eysipi".

Lezi zimali kungaba ayebiza original, futhi singabizi. Noma kunjalo, bonke bahlinza isimiso esifanayo njengoba izidakamizwa "Lenuksin". Ngaphezu kwalokho, bababukela ayatholakala kwi kadokotela. Ngakho-ke, ukuthenga kubo ekhemisi kwalo yedwa wehluleka.

Uphenyo nomuthi

Manje ngoba sewuyazi ukuthi indlela antidepressant kakhulu "Lenuksin" (intengo). Izibuyekezo ngakho kukhona okuxubile. Othile uthi ke ubhekana kahle imisebenzi, kuyilapho abanye bekhuluma ukwehluleka yayo.

Izibuyekezo ezinhle zalesi nomuthi aqukethe ulwazi ukuthi ngokushesha aqede abanenkinga yokukhathazeka, kuthuthukisa isimo nenhlalakahle. Iziguli athi ukuthatha antidepressant at ngemithamo ezinconyiwe uye wabavumela ukuba balahle kwabokufika kwezenhlalo, ukushaywa uvalo ngaphandle kwesizathu nokucindezeleka. Futhi lo mphumela iphikelela ngemuva ukuqedwa zomuthi.

Ngokuqondene Izibuyekezo ezingezinhle, kulapho basuke anemiphumela engemihle nlichiem. Kwezinye iziguli, isicanucanu, abanye ubuhlungu bekhanda, futhi abanye abazange sebenzisa phi umphumela ukwelashwa.