"Imovan": malangizo ntchito. Reviews za analogues mankhwala ndi kugulitsa malamulo pharmacies

Medicament "imovan" malangizo Buku limamutchula kuti awathandize tulo, kunena gulu tsiklopirrolonov. lokonzekera nazo anxiolytic, zachinyengo, minofu anasiya, sedative, anticonvulsant katundu.

pharmacodynamics

A zotsatira mankhwala achire "imovan" (wosuta zikuonekera) amagwirizana ndi agonist zotsatira enieni zolandilira Omega (poyamba unkatchedwa benzodiazepine zolandilira mtundu wawo woyamba ndi wachiwiri). Mankhwala akhoza kuchepetsa nthawi kugona ndi kuchepetsa kufala kwa oyambirira ndipo usiku awakenings, ndi kuonjezera nthawi ndi kuwongolera tulo. PSG deta zikusonyeza kuti mankhwala "imovan" odwala matenda osowa tulo, kugona kumachepetsa gawo loyamba ndi prolongs wachiwiri, ndi wachitatu ndi wachinayi masitolo (tulo) ndi sitepe paradoxical (REM) gawo. Kafukufuku boma polysomnograms achire sanaulule iliyonse yaikulu linagawidwa tulo pambuyo kumwa mankhwalawa kwa masiku twente eyiti. mayesero ena anasonyeza kuti ntchito mankhwala kwa seventini masabata mofulumira zachinyengo zimene si anati.

Pharmacokinetics

Ogonetsa "imovan" odzipereka msanga, kaya chakudya. Mu madzi pambuyo makonzedwe m'kamwa mwa 3,75 ndi 7.5 mamiligalamu ndalama mkati limodzi ndi theka maola awiri anafika ndende apamwamba a za 30 ndi 60 ng / ml, motero. Popeza madzi a m'magazi mapuloteni ndi mgwirizano unsaturated ndi ofooka (pafupifupi 45%). Pa mlingo zomanga thupi chifukwa chiopsezo ankachita ndi mankhwala ena ndi otsika. mankhwala "imovan" kufalitsa mofulumira kwambiri kufalitsa zokhudza zonse. Guide inanena kuti ndende zake mkaka wa m'mawere ofanana ndi amene anamuona pa plasma. Hafu ya moyo ya mankhwala mu labwinobwino tikadwala analimbikitsa Mlingo ndi zaka maola asanu. Mankhwala limapezeka ambiri mu mawonekedwe a metabolites mu mkodzo (pafupifupi 80%) ndi ndowe (16%).

zikuonetsa kuti

Medicament "imovan" malangizo limasonyeza ntchito pochiza situational, chosakhalitsa, aakulu tulo akuluakulu. Kwenikweni, ntchito mavuto tulo, usiku ndi awakenings oyambirira.

mawonekedwe Ndinamasulidwa zikuchokera

Mankhwala akupezeka mu mawonekedwe a woyera mapiritsi filimu TACHIMATA ndi mzere chowulungika mbali imodzi. Mmodzi wagawo njira limapangidwa ndi chigawo yogwira ongokhala - zopiclone - mamiligalamu 7.5 mu misa. Miyala "imovan" mulinso carboxymethylstarch sodium, titaniyamu woipa, calcium hydrogenphosphate dihydrate, magnesium stearate, lactose monohydrate, wowuma tirigu, hypromellose.

njira A kulandira ndi nthawi ya mankhwala

Anasonyeza m'kamwa medicament yomweyo kugona isanafike usiku. Ngati nkotheka, mankhwala ayenera kukhala lalifupi ndipo sayenera upambana masabata anayi, kuphatikizapo nyengo yafupika mlingo. Kutenga mankhwala kwa nthawi yaitali kuposa zinafotokozedwa Malamulo, adzakwapulidwa ankaloledwa pambuyo ziyenera katswiri wa wodwalayo. Nthawi zonse muyenera kuyamba mankhwala ndi mlingo wotsikitsitsa ogwira wowonjezera ngati n'koyenera, koma simungathe upambana mlingo pazipita. Pamene chosakhalitsa tulo (mwachitsanzo, chifukwa cha kusintha kwa malo pa ulendo umenewu) m'njira ya mankhwala si upambana masiku awiri kapena asanu. Pamene situational tulo, ndi awiri kuti milungu itatu. Pankhani ya tulo aakulu amafuna yaitali mankhwala nthawi imene dokotala.

mlingo

Mlingo tsiku kwa anthu pansi ndi zaka 65 - 7.5 mamiligalamu. odwala Okalamba (zaka 65), ndipo anthu matenda a chiwindi kapena mavuto kupuma wa kusalekerera zolimbitsa, Kwalamulidwa kudya tsiku la 3,75 mamiligalamu. Tengani mankhwala anu mu unyinji wa mamiligalamu oposa 7.5 patsiku amaloledwa pokha pokha kwambiri. Kuchiza odwala ndi kulephera aimpso, ngakhale kuti mu nkhani iyi sanaulule kudzikundikira mankhwala ndi metabolites ake, m'pofunika kuyamba ndi mlingo tsiku la 3,75 mamiligalamu.

zotsatira zoyipazi

About "imovan" kukonzekera ndemanga anapeza makamaka zabwino, nthawi zambiri bwino analekerera. Koma pafupifupi onse odwala kuti pambuyo kutenga mankhwala pakamwa akhala aftertaste owawa. Anthu ena amayankhula za kuonekera kwa mutu, chizungulire pa maziko a ntchito ogonetsa. Pakati pa zotheka mavuto ayenera kukumbukira akulu hypotonia, yotsalira kugona pa kudzutsidwa, diplopia, asthenia, imfa ya libido. Pali chiopsezo matenda m'mimba: nseru, dyspepsia, pakamwa youma. Nthawi zina pali zochita khungu monga totupa ndi kuyabwa, mu nthawi zina - zochita anaphylactic, angioedema mantha. Kwa odwala ena atakhala ogonetsa kuoneka kuyerekezera zinthu m'maganizo, maganizo, zoopsa mavuto ndi kugwirizana kayendedwe, ndewu, irritability, maganizo maganizo, kuyenda mu maloto, khalidwe zosayenera (kumachitika osakaniza amnesia). Ngakhale pamene ntchito achire mapiritsi Mlingo "imovan" (Buku akuchenjeza za izi) angathe kudalira maganizo ndi thupi.

achire

Anthu ena pambuyo kutha kwa mankhwala mankhwala akufotokozera achire matenda. zizindikiro zake zingakhale zosiyanasiyana, kaŵirikaŵiri amawonekera mu mawonekedwe a nkhawa, chisokonezo, linagawidwa tulo, tachycardia, irritability, kugwedeza, mutu, ndi kuona zilubwelubwe, kuchuluka thukuta, usiku zoopsa tachycardia, mukubwadamuka, kuyerekezera zinthu m'maganizo. Nthawi zina kwambiri khunyu zimachitika.

contraindications

Anthu ndi hypersensitivity kuti zosakaniza amatanthauza "imovan" ayenera kusiya ntchito yake. Komanso, ogonetsa sanagaŵiridwe odwala gravis mu aakulu kulephera chiwindi mu mawonekedwe aakulu (ndi chiopsezo encephalopathy), aakulu syndrome apnea, aakulu kupuma kulephera tulo. Contraindicated mankhwala pamaso pa zaka khumi ndi zisanu ndi zitatu. Anthu mbiri ya mankhwala, mowa, mankhwala osokoneza bongo, mankhwala kugwiritsidwa ntchito mosamala, monga mu nkhani iyi, pali chiopsezo cha kuchuluka kudalira kapena nkhanza kuchuluka.

Ntchito pa mimba ndi mkaka wa m'mawere

Tengani ogonetsa "imovan" amayi apakati ndi lactating ali osavomerezeka. Pamene mankhwala chikuyendetsedwera pa trimester wachitatu wa ana akhanda akhoza kukhala mavuto monga hypotension, kupuma maganizo, hypothermia. Akazi akukonzekera kapena mimba amaganiziridwa ayenera kusiya kumwa mankhwala.

ambiri osokoneza

Childs ambiri osokoneza zizindikiro owonetseredwa a CNS maganizo amawasonyeza mosiyanasiyana kuchokera somnolence yosavuta chikomokere (malingana mlingo). Nthawi wofatsa, pali mphwayi, kugona, chisokonezo aakulu kwambiri - ulesi, kukhumudwa kupuma, ataxia, hypotonia, chikomokere. N'kovuta kwambiri chipika atrioventricular. Akayakaya ambiri osokoneza si, ngati phwando ogonetsa si pamodzi ndi phwando mankhwala ena omwe nkhawa dongosolo chapakati mantha, kapena mowa. Komanso zizindikiro ambiri osokoneza akhoza kulimbikitsa ngati chikhalidwe ambiri wodwala chayamba kuchepa kapena comorbidities. Zikatero, zikhoza kuyambitsa imfa (osowa). Pamaso pa mankhwala Mlingo kwambiri wasonyeza symptomatic ndi wothandiza chithandizo kuchipatala. Chidwi kwambiri uyenera kulipidwa kuti ntchito mtima ndi kupuma. Njira monga mpweya adamulowetsa ndi kutsuka mimba efficacious pokhapokha ngati ikuchitika atangobadwa ntchito medicament "imovan".

analogs

Amapatsidwa mankhwala angaperekedwe zachinyengo monga "Somnol", "Thorson", "Relakson", "Piklodorm" ndi ena. Monga ulamuliro, iwo ali otsika mtengo kuposa choyambirira, koma pa nthawi yomweyo sakhala ogwira.

Kusamala

Monga tanena kale, kumwa mankhwala, kuphatikizapo "imovan" mankhwala, angachititse chitukuko kudalira maganizo ndi thupi. chiopsezo kumawonjezera mankhwala yaitali kutenga ogonetsa pa mlingo waukulu, kumwa mowa, psychotropic zinthu, komanso pamaso pa nkhawa. Ngati maonekedwe a kudalira thupi mwadzidzidzi kusiya mankhwala akhoza kukhala ndi achire matenda, umene tafotokozazi. Popewa izi, m'pofunika kuchepetsa mankhwala mlingo pang'onopang'ono. Kuteteza kufala kwa zotsatira ngati mbali monga amnesia anterograde, zimathandiza kusunga malamulo awiri: Muyenera kumwa mapiritsi chabe pamaso yogona (kupewa wambirimbiri nthawi pakati pa ntchito mankhwala ndi kupita kukagona) ndi kugona maola osachepera asanu ndi limodzi (tisasokoneze kugona kale kuposa maola asanu pambuyo tulo). Mankhwala si anasonyeza zochizira matenda a Mwina amabisa zizindikiro zake.

Mwanjira mankhwala

Munthawi yomweyo mankhwala ogonetsa "imovan" ndi mowa patsogolo sedation. Komanso, inu simungakhoze kutenga mankhwala pamodzi ndi mankhwala mankhwala, wopondereza chapakati mantha dongosolo: barbiturates, antidepressants ndi sedative, asamakhale ndi nkhawa, antipsychotics, antitussive wothandizira, dzanzi, analgesics chomwa mankhwalawa, mankhwala antiepileptic ndi kanthu chapakati. Pankhani ya ntchito anzake a nkhawa zimakhudzanso chapakati mantha dongosolo mwina patsogolo. Komanso, osamwa "imovan" mankhwala pamodzi ndi mankhwala okhala trimipramine, chifukwa madzi ambiri yotsirizira ndi zotsatira zake yafupika. Olowa phwando soporific buprenorphine kumaonjezera ngozi ya matenda a maganizo kupuma (zotsatira zake mwina ngakhale chakupha).

Kumene kugula "imovan"

Mankhwala chogulitsidwa drugstores kwambiri. Ogonetsa kupezeka pa mankhwala kuchipatala. Anthu ena amene ndikufuna kugula mankhwala popanda kuuzidwa, ntchito misonkhano ya pharmacies Intaneti. Komabe, tiyenera kukumbukira kuti mu nkhani kuti inu pachiswe kugula khalidwe osauka, onyenga kapena katundu anatsirizika.