The mushonga "Citalopram": wongororo vanachiremba

zvakanaka sei mishonga yakadai "citalopram"? Reviews vanachiremba pamusoro somushonga chigadzirwa ichi munyaya zvinhu ino. Uyewo, rine mashoko pamusoro chii chinokonzera marwadzo, akati zvinoreva, sei kuita mabiko yaro yakakodzera chii pharmacodynamic zvivako izvozvo ane.

Zvinoumba, rondedzero chinodhaka, chimiro chayo uye chiputiriso

In chii chimiro anogona kutenga mishonga "Citalopram"? Testimonials vanoti chezvinodhaka cheni ibhuku kutengeswa piritsi muchimiro lenticular uye dzeraundi chimiro, akafuka chena firimu unhani. Muchinjikwa sectional mushonga uyu ane zvishoma yellowish rukoko yomukati.

Chii chinokonzera "Citalopram" chinodhaka? Instructions, nhoroondo akashuma kuti yezviri wemafuta kuti mushonga uri zvacho chete zita - citalopram, icho chiri muchimiro hydrobromide. Panyaya upiyona zvinoriumba, anoshandiswa sezvo microcrystalline cellulose, pregelatinized starch, uye magnesium stearate.

Zvinofanira kucherechedzwa kuti ichi firimu unhani mumiririri zvinosanganisira polyvinyl doro, Opadry II, macrogol, talc uye titanium dioxide.

In pakutengeswa nehanya chinodhaka anopinda gandiwa masero akagadzirwa PVC kana aruminiyamu, izvo mumapepa mubhokisi rakagadzirwa makadhibhokisi.

Pharmacodynamic unhu antidepressant

Chii chinodhaka "Citalopram"? Reviews vanoti uyu antidepressant. mashandiro ayo chiito inobatanidzwa kudzvinyirira pamusoro (zvokusarudza) kweserotonin reuptake murevereri aripo ari synapses kwamakamuri etsinga, uyewo usingashandi zvainoita reuptake pakati neurotransmitters dopamine uye norepinephrine. Zvinofanira kucherechedzwa kuti mudziyo asingadi kuratidza mano sei siyana receptors (nevamwe kweserotonin, dopamine, H1-histamine, adrenoceptors, m-cholinergic receptors, neGebha receptors uye benzodiazepine receptors).

Hatigoni kutaura kuti zvinodhaka "citalopram", wongororo iyo dziri pasi apa, zvinobatsira kuvandudza murwere manzwiro, anovanza kufunganya, kunoderedza kushushikana, kushushikana, anobvisa dysphoria, uye anobatsira muropa. Uyezve, akapotsa haambokonzeri munhu soporific kushanda.

Maererano nenyanzvi, yakatsiga mugumisiro zvinodhaka ichi kwakacherechedzwa pashure pemazuva 7-10 pashure kuramba kushandiswa.

Kinetic kugona medicament

Chii chakanangana pharmacokinetics zvinodhaka "Citalopram"? Mhinduro akashuma kuti ayo yepamusoro wevasungwa kuti basa fuma muropa kunoitika mumaawa mana pashure kutarisira. The kuchinja ayo mwero ndivo Linear.

The bioavailability zvinodhaka anosvika 80%, uye chisungo kuti mapuroteni eplasma ndiyo 79%.

In ropa citalopram aripo wayo wepakutanga chimiro. fuma iyi Shandurwai oxidation, demethylation uye deamination. The hafu-upenyu chikamu ichi mazuva 1.5. Akanga anobviswa pamwe weti uye kuburikidza intestinal turakiti.

Zvairatidza antidepressant inonyorwa

Nei tichifanira kuva chishandiso akadai "citalopram" sei? Reviews vanachiremba vanoti mushonga inoratidzwa womuchato pa:

• tidzikame nyonganyonga;
• kuora Zvikamu chakakomba uye nepakati.

Zvinofanira kucherechedzwa kuti mishonga iyi inofanira chete kuva ruzivo nyanzvi.

Contraindications kuti zvinodhaka izita

Under chii zvinhu havagoni kushandisa zvinodhaka "Citalopram"?

Reviews dzinoratidza zvinotevera contraindications pakushandisa mushonga ichi:

• kuduku murwere zera (maererano manual, vakachengeteka uye efficacy mahwendefa aya munguva ino asina dzakatangwa);
• High aikanganiswa murwere kuti citalopram, uyewo chero zvayo ebetsero zvinhu;
• apo nokugamuchira pamwe FIs pamusoro monoamine oxidase kusanganisira moclobemide, selegiline, linezolid (mukati mevhiki mbiri pashure discontinuation chourongwa ravo);
• apo kutora zvinodhaka QT nguva refu nguva ECG (s kusanganisira pimozide) uye vachiberekwa dzikawedzerwa pamusoro penguva).

Antidepressant "Citalopram": mirayiridzo kushandiswa

Nyanzvi Guest nharo nehanya zvinofanira kupiwa mushonga, zvichienderana murwere ezvinhu. "Citalopram" atora nomuromo kamwe pazuva. Saka mahwendefa hadzina rikamunya muchindwi uye ndikandoshamba pasi shoma emura.

mishonga iyi inogona kushandiswa chero nguva yezuva pasinei kudya (kunyanya panguva imwe chete).

Kana kuora mwoyo kurapa kunotanga kugamuchira 20 MG pazuva. Zvichienderana murwere pachake siyana uyewo kwokuomerwa kuora mwoyo, chipimo chemushonga anogona ngazviwedzerwe kufadza, i.e. munenge 40 MG pazuva.

Sezvinongoita kutya chirwere zvinofanira kutorwa mishonga "Citalopram"? Reviews varwere vanoti pane iyi zvinoshingaira zvinodhaka anopiwa ari dose 10 MG pazuva (nokuti 1 vhiki), uye zvadaro zvakawanda zvikava 20 MG pazuva. Saka, nezuva dose zvinodhaka anogona kuvimba pachavo murwere mhinduro. Naizvozvo pamusoro chitsama zvinodhaka anogona ngazviwedzerwe 40 MG pazuva.

Persons vakura kupfuura makore 65 kuti "Citalopram" zera nezvaro imwe dose 10 MG. Zvichienderana kwokuomerwa mwoyo uye munhu mhinduro, anogona ngazviwedzerwe vaifanira kuti MG 20 pazuva.

Kana vakadhakwa itsvo basa, kusanganisira chirwere renal kukundikana mwero hunhu nekuomarara simba, kuchigadzirisa achishandisa dosing zvaiitwa kunodiwa. Nokuti vaya zvakakomba renal insufficiency hunhu kunoda kutarisirwa wokusarudza muviri dose.

Kana vakadhakwa chiropa basa, kusanganisira hepatic kukundikana ne mwero uye nounyoro, kutanga chipimo chemushonga zvinodhaka riri 10 MG zuva nezuva (nokuti 2 weeks vokutanga). Zvichienderana pachako siyana, unogona ngazviwedzerwe 20 MG. Persons zvakaoma. hepatic insufficiency hunhu kunoda kutarisirwa munyika dose pakusarudza.

Vanhu vane pasi basa isoenzymes sezvo CYP2C19, kwokutanga chipimo chemushonga iri MG 10 pazuva (nokuti 2 weeks). Zvichienderana nomumwe mhinduro, unogona ngazviwedzerwe 20 MG.

Maererano mirayiridzo, kune mishonga mugumisiro pashure kwokubatsira nyaya antidepressant atova pachena pashure pemavhiki 2-4. Panyaya iyi, ya nzira ARV pakutsvaga ezvinhu omurwere uye tolerability yacho kurapwa. Kazhinji, mushonga inokurudzirwa kutora anenge 6 mwedzi.

kukanzura medicament

Chii vanhu vanoti chii siyana kuitika unopinza vanorega kushandisa zvinodhaka, "Citalopram" wongororo? Ndiani akatora chokushandisa ichi, inoti kuti zviratidzo yomuka mushure pakarepo kumira kushandisa mishonga iyi haisi zvemo. Kakawanda, varwere dzinoshuma munyoro dzungu, kuda kurutsa, kurukutika, kutemwa nomusoro, kushaya hope, paresthesia, kutya, kurutsa uye chakamira pakunodengenyeka zvine.

Saka, panguva pakupera kurapwa pachishandiswa chishandiso inofanira regedza zvishoma nezvishoma, pamusoro mavhiki akawanda. Izvi zvichaita kuti varwere kudzivisa ucharwadziwa. Kazhinji, zvakakwana vhiki mbiri, kunyange zvazvo ari mumwe kana mubvunzo anofanira yakasarudza nachiremba nomunhu. Saka, nokuti vamwe vanhu zvingatora 3 months kana kupfuura.

Nenjodzi pashure pokutora antidepressant

Imhandoi wanda vanofanira kuziva kunaka hunhu varwere, asati atora mishonga "Citalopram"? Reviews pamusoro nemishonga vanoti, sezvo iri nyaya kushandiswa nevamwe mishonga SSRI, pamusoro pakanyorwa "Citalopram" varwere vari vakacherechedzawo zvisingadiwi migumisiro. Zvisinei, zvinofanira kucherechedzwa kuti vose vane simba chaizvo uye vane inopfuura.

Kazhinji, yaivhuvhuta zviitiko zvinotevera kwokubatsira nyaya zvinodhaka kwakacherechedzwa mumakore 2 weeks yokurapa rokutanga. Panguva iyoyo vari kusimba zvikuru pamwe kuvandudzika murwere wacho nemamiriro.

Saka, "Citalopram" inogona kukonzera marwadzo akadai:

• High utetsa, nokusagadzikana, anaphylactic siyana, nomusoro, kufunganya, depersonalization, ungaderedza libido, kukanganwa;
• hasha, zvaipesana zvepabonde vakadzi, zvokudarikidza, zviroto vatorwa, kufunganya, kuzviuraya, kuvhiringidzika, dzungu;
• Hope, chakamira pakunodengenyeka zvine, havachanyatsogoni wevasungwa, nokusagadzikana, aone zvinhu zvisipo, nokugwinha;
• euphoria, extrapyramidal wenyonganyonga, migraine, ropa, vakawedzera libido;
• kuda kurutsa, gynecological ropa, paresthesia, kurutsa, palpitations, kweserotonin chirwere vhunduka, hope zvirwere, bruxism, bloating, lethargy, manyoka;

• akathisia, gastrointestinal ropa, BP, muromo yakaoma, tachycardia, dyspnea, kupatira, bradycardia, abdominal marwadzo, kukosora;
• achirira munzeve, hepatitis, orthostatic hypotension, rhinitis, kuravira chinovanetsa, akaderedza BP, ziso nenyonganiso, arrhythmia, ejaculation wenyonganyonga, sinusitis, kunetswa akkommodasie, galactorrhea, pabonde dysfunction, ungaderedza kudya, hyponatraemia;
• uremu, polyuria, wakawedzera kudya, kupwanywa, rwakakwana secretion pamusoro ADH, zvachinja unonzi, electrocardiograph, ganda mapundu, alopecia, kufuta, angioneurotic edema, hypokalemia, kunorwadza weti, kuvaviwa;
• photosensitivity, vakawedzera vangadikitira, mikana kukuvara uye mitswe, urticaria, pyrexia, purpura, myalgias, yawning, arthralgia uye nevamwe.

Nyaya zvinodhaka ovhadhozi

Drug "citalopram", analogues iyo dziri pasi apa, unogona kukonzera zvinotevera zviratidzo ovhadhozi: chakamira pakunodengenyeka zvine, kugwinha, kurutsa, tachycardia, hope, dilated vadzidzi, bradycardia, hypotonia, kana BP, kuda kurutsa, ganda cyanosis, kweserotonin chirwere, chiputu bazi misa, kushungurudzika , dzungu, cardiac insufficiency, ndivete hyperventilation, vangadikitira, ventricular arrhythmia, atrial arrhythmia, pakoma.

zvinodhaka kwavatori

Vaiona senzira nokururamisira zvakanaka nevamwe mishonga. Naizvozvo, ayo co-Urongwa iri contraindicated pamwe anotevera nevasori:

• Mao FIs (zvingamuka kwakakomba nemishonga, kusanganisira kweserotonin chirwere).
• Drugs achawedzera nguva QT (kungaita kuti nokuvhiringidzirwa mwoyo mutinhimira, iyo pakupedzisira chingaisa).
• "Pimozide" (zvichida nezvishoma QT penguva).

Zvinofanira kucherechedzwa kuti co-kutarisira "Citalopram" nevamwe zvinodhaka anogona kuderedza kufenda pachikumbaridzo. Uyezve, mushonga uyu haasi chinodiwa chokubatanidza pamwe serotonergic nevasori, mishonga ine St. Johani sana mhanga, zvisina kunanga anticoagulants, "warfarin", doro, desipramine.

zvinodhaka zvakafanana

Chii vaiona analogues mushonga? Ndezvipi zviri nani? "Citalopram"? Reviews vanoti mushonga inogona kutsiviwa zvinotevera mishonga: "Paxil", "cytological" "Pram", "Sedopram", "Oprah", "Umorap", "Siozam", "Tsitalorin" "Cipramil", "Tsitalek" "Tsitalift", "Tsitalon". All mari izvi zvinofanira kupiwa chiremba chete ane ruzivo.

Varwere vazhinji vanofarira wokuti chii nani: "Citalopram" uye "Paxil"? Reviews nyanzvi dzinotaura kuti wokutanga zvinodhaka zvakawanda zvinobudirira pane yechipiri. Zvinofanira kucherechedzwa kuti kurutivi migumisiro zvinoitika pashure pokushandisa "Paxil", zvakawanda raidudzwa. Naizvozvo, vanachiremba vakawanda vanoti kurishandisa "Citalopram".

Pregnancy uye zamu

Said antidepressant hakufaniri raitongwa vakadzi vane pamuviri uye ekukurerai. Kushandiswa zvinodhaka izvi yechitatu trimester angava inokanganisa pamusoro psycho-kwomuviri mwana. Zvinotevera kutyorwa kunobvirawo: cyanosis, kufema rokutambudzika, yomuropa, kupfupika mweya, kurutsa, kugwinha, tremor, tembiricha kusagadzikana, kutya, zvakaoma kudyisa, kushatirwa, tsandanyama BP, kushaya hope, hyperreflexia, kugara achichema, lethargy, hope.

Antidepressant "Citalopram": wongororo

Kana IBS zvinodhaka riri ushandiswe nokungwarira zvikuru. Izvi imhaka yokuti kugadzwa ake aigona kuwedzera kune zvakaoma uye saka murwere ezvinhu.

Vanoti chii pamusoro chipo vatengi nzira? Varwere vakawanda taurira pamusoro kubudirira kurapwa mugumisiro "Citalopram" chinodhaka. Pashure mharuro yokurapa, mupfungwa dzavo mamiriro kwakavandudza nokukurumidza. Zvisinei, vamwe vanoshandisa vanoti zvabuda kuchirapa havana akamirira, sezvo mushonga kwakaita kukura vanoverengeka nemishonga.

Kana vanachiremba, ivo vanoti kuti "Citalopram" antidepressant chinhu vakarongeka chaizvo uye nzira inobudirira, asi chete muzviitiko uko haakonzeri kukura nemishonga. Naizvozvo, vanachiremba vakawanda vanoedza mishonga iyi chete muzviitiko uye usingashandi mishonga. Kana vhiki yokutanga kurapwa hapana nenjodzi vave kuzivikanwa zvino kurapwa pamwe zvinodhaka ichi mberi nevamwe kuwedzera kwayo dose (kana zvakakodzera).