Miyala "Lenuksin": ndemanga, malangizo ntchito, maonekedwe, analogues, mtengo

Kodi kuthana ndi maganizo paokha? Kuyankha funso limeneli ndi kovuta. Ndipotu, kutuluka boma popanda thandizo la ogwira ntchito angathe ochepa. Pa nkhani imeneyi, Mpofunika kukaonana ndi dokotala, amene kenako anamuika mankhwala.

zambiri

Depression amatchedwa matenda a maganizo, amene amakhala ndi maganizo otsika, ndinaganiza matenda (wolamuliridwa ndi maganizo amenewa zonse zimene, zigamulo zoipa, ndi zina zotero.), Njinga retardation, komanso Amalephera kupeza chisangalalo.

Iwo ayenera kukumbukira kuti mu boma, munthu adatchithisira kudzidalira, anataya chidwi mu moyo ndi ntchito. Nthawi zambiri, wodwala amene akuvutika maganizo amayamba kumwa mowa, mankhwala osokoneza bongo ndi mankhwala ena psychotropic. Nthawi zambiri anthu amenewa amafuna kudzipha.

Masiku ano, maganizo ndi mankhwala. Mu ndondomeko ya zinthu psychotropic akhoza kutumikiridwa ndi mankhwala wodwala. Lembani yaikulu kwambiri. N'chifukwa chake Uike yekha katswiri wodziwa.

antidepressant

Mankhwala otchuka kwambiri kwa matenda a ubongo ndi antidepressant "Lenuksin". M'nkhaniyi, ife angakuuzeni za milandu imene iye Amasankhidwa, ngati iye ali contraindications aliyense ndi mavuto, ndipo kodi phindu lake, mawonekedwe kumasulidwa, dongosolo, ngati pali analogues wa medikmenta ndi zina zotero.

The zikuchokera mankhwala, ma CD ake ndi mawonekedwe a

Pamaso ndikukuuzani mmene mankhwala "Lenuksin" zochita, amene ndemanga Adzaperekedwa pansipa, ayenera kupereka zotsatira mawonekedwe. chida ichi chogulitsidwa mawonekedwe a mapiritsi, amene TACHIMATA ndi ❖ kuyanika filimu.

Mankhwala lili mbali yogwira monga escitalopram oxalate. Kupatula izo, mapiritsi ndi zinthu wothandiza ali mu mawonekedwe a microcrystalline mapadi, croscarmellose sodium, talc, microcrystalline mapadi silitsinizirovannoy, siliconized microcrystalline mapadi ndi magnesium stearate.

Mankhwala "Lenuksin" imene ili m'malo mtengo ndipo amagulitsidwa Mbale polypropylene (mwinamwake mu matuza), anaika mu katoni a. Aliyense mtsuko lili mapiritsi 28 kapena 14.

Makhalidwe pharmacological wa antidepressant

Mankhwala "Lenuksin", ndemanga zimene ziri zoposa zabwino, ndi antidepressant. SSRIs uyu, amene kumawonjezera ndende ya timene mu mphanga synaptic, ndi prolongs ndipo umatithandiza bwanji zolandilira postsynaptic serotonin.

Panopa medicament mchitidwe pafupifupi Kodi kuwamanga kuti alpha-adrenoceptors, mamita-cholinergic zolandilira, opioid, serotonin, benzodiazepine, dopamine ndi maselo histamine.

Khalani limasonyeza kuti kwenikweni antidepressant odwala wayamba kukhala masabata pambuyo 2-4 ukatha mwambo wa mankhwala. The alipire pazipita chifukwa cha matenda mantha nthawi Zimapezeka ndi miyezi ingapo.

Pharmacokinetics njira

Monga mankhwala imatsala, "Lenuksin"? kugwiritsa ntchito bukuli antidepressant limanena kuti mayamwidwe ake zimadalira pa kudya chakudya. The bioavailability wa mankhwala pafupifupi 80%. The pazipita magazi ndende kukufika pambuyo maola 4 wakale. medicament Madzi a m'magazi mapuloteni kumangako pafupifupi 56%.

Antidepressant kagayidwe akupezeka chiwindi (kupanga yogwira didemetilirovannyh ndi metabolites demethylated). Hafu ya moyo pambuyo makonzedwe angapo pafupifupi 30 maola.

Zikuonetsa ntchito antidepressants

Nthawi zina, mankhwala "Lenuksin"? Malangizo ntchito, mayankho zimasonyeza kuti ayenera kugwiritsidwa ntchito mu zolakwika zotsatirazi:

• maganizo, ndi aakulu kapena zolimbitsa mawonekedwe;
• nkhawa Social matenda (chonama chikhalidwe ndiko kuti);
• mantha chisokonezo agoraphobia, kapena popanda;
• Nkhawa matenda.

Contraindications ntchito antidepressants

Mankhwalawa antidepressants Mulimonsemo kuchitidwa m'mikhalidwe izi ndi zinthu:

• ndi madyedwe munthawi yomweyo Mao zoletsa;
• ana ndi unyamata kwa zaka 18;
• hypersensitivity kwa medicament kapena zigawo zake;
• ndi kuchepekedwa kapena sucrase isomaltase, shuga-galactose malabsorption ndi fructose tsankho.

ntchito mosamala

Miyala "Lenuksin" ayenera kuperekedwa kwa odwala ndi kulephera aimpso zedi mosamala, shuga, hypomania, magazi chizolowezi, kukonda, ndi matenda enaake ndi pharmacologically kusalankhula khunyu.

Komanso mosamala kwambiri ayenera kugwiritsa ntchito mankhwala kwa matenda amafuna kudzipha, pamene kulandira mankhwala pakhomo kuchepetsa ndi zimapukusidwa ndi isoenzymes wa CYP2C19, achikulire, pamodzi ndi Mowa.

Mankhwala "Lenuksin": malangizo ntchito

Izi mankhwala anamasulidwa mu mankhwala ndi mankhwala okha. Ndipotu, likhoza anaika akatswiri omwe ali ndi zomuyenereza zofunika.

Mlingo wa mankhwala ndi multiplicity ake a ntchito zimadalira mmene ndi mtundu wa kupatuka. Malinga ndi malangizo, anati njira ayenera kugwiritsidwa ntchito kamodzi pa tsiku pamaso, pambuyo kapena pakati chakudya.

• Depression, ndi mawonekedwe katundu kapena pafupifupi.

Pankhaniyi, mankhwala "Lenuksin" imene ili m'malo mtengo mlandu pa 10 mg tsiku lililonse. Malinga ndi zimene (munthu) wodwalayo, mlingo akhoza ziwonjezeke kwa mg ndi 20 patsiku. Pambuyo kutha kwa zizindikiro za maganizo ayenera kupitiriza mankhwala kwa miyezi 6, kukonza chifukwa.

• Mantha chisokonezo agoraphobia, kapena popanda izo.

Mlungu woyamba wa mankhwala wodwala chofunika mlingo wofanana ndi 5 mg pa tsiku. M'tsogolo ayenera ziwonjezeke ndendende kawiri. Malinga kuchuluka zimene mankhwala wodwala asayandikire kwa pazipita ndi, i.e. 20 mg wa pa tsiku. Mankhwalawa kumatenga miyezi ingapo.

• chonama Social kapena nkhawa chikhalidwe matenda.

Chonchi matenda mankhwala "Lenuksin" (ofanana matanthauzo medicament) chikuyendetsedwera mu kuchuluka kwa 10 mg tsiku lililonse. Zofooketsa zizindikiro za kupatuka amapezeka pafupifupi 2-4 masabata. Kenako, mlingo akhoza kusanduka 5 mg pa tsiku kapena kuchuluka kwa mg ndi 20 patsiku.

Chifukwa chonama amenewa ndi matenda ndi njira aakulu, nthawi ya njira achire akhale masabata osachepera 12. Pofuna kupewa zisadzachitikenso ya matenda, katswiri ingaperekedwe kuti adzathe mankhwala, amene ayenera idzachitika mkati miyezi 6.

Mwa njira, pamaso poika mankhwala dokotala ayenera kusiyanitsidwa chonama chikhalidwe ndi mantha mwachizolowezi kapena manyazi.

• Nkhawa matenda.

Monga prescribers "Lenuksin" pamene amatchedwa matenda? Mlendo akatswiri amanena kuti pa chiyambi cha mankhwala ndi njira ayenera kugwiritsidwa ntchito mu kuchuluka kwa 10 mg tsiku lililonse. Ngati ndi kotheka, mlingo akhoza ziwonjezeke kwa pazipita ndi, i.e. pafupifupi 20 mg wa pa tsiku. Yovomerezeka ntchito nthawi yaitali mankhwala (kwa miyezi 6 kapena kuposerapo).

Anthu kuukulu (zaka 65) ayenera kugwiritsidwa ntchito pa theka la mlingo mwachizolowezi ndi zochepa, ndiko kuti, 5 mg ndi 10 mg, motero (tsiku).

malangizo enieni kugwiritsa ntchito mankhwala

Mu kulephera aimpso wa zolimbitsa kusintha kusalekerera mlingo chofunika. Kwa odwala matenda ofanana, koma mawonekedwe kwambiri, mankhwala Kwalamulidwa kwa iwo ndi kusamala kwambiri.

Pamene kuwala kapena zolimbitsa kulephera chiwindi analimbikitsa mlingo pa masabata awiri loyamba la mankhwala ayenera kukhala 5 mg pa tsiku. Malinga ndi zimene buku mtima wa mankhwala akhoza ziwonjezeke kawiri.

Kwa odwala ndi wotsikirapo ntchito CYP2C19 isozyme koyamba mlingo wa medicament ndi 5 mg pa tsiku. Ngati ndi kotheka, iwo akhoza ziwonjezeke kwa 10 mg.

Panganoli likathetsedwa mankhwala ndi kuchepa ndi kuchuluka kwa mankhwala pang'onopang'ono masabata 1-2. Izi ndi zofunika pofuna kupewa pakutchulidwa wa syndrome achire.

Nthawi cha mankhwala osokoneza bongo

Ndithu ambiri anthu akufunsa funso kaya ndi momwe mukhoza kulimbana ndi kuvutika maganizo paokha? Ngati zinthu kwa nthawi yaitali, izo simungakhoze kuchita popanda thandizo akatswiri. Ndipotu, odwala kugwiritsa ntchito antidepressants, zimene ziyenera anaika dokotala.

Ngati munthu amagwiritsa njira anati kuonjezera mphamvu ya mawu, ndiye posachedwa akhale ndi zizindikiro zotsatirazi cha mankhwala osokoneza bongo: kupuma maganizo, kenaka utentha mamba, khunyu, chizungulire, tachycardia, mukubwadamuka, rhabdomyolysis, tulo, kagayidwe kachakudya acidosis, chizungulire, arrhythmia, kusintha ECG, kusanza ndi hypokalemia .

Tikumbukenso kuti chikomokere ndi imfa pa nkhani ya mankhwala osokoneza bongo n'zochepa kwambiri. Izi zikhoza kudzachitika pokhapo pamene kuwongolera phwando kukonzekera ndi mankhwala ena.

Monga mankhwala ntchito milandu cha mankhwala osokoneza bongo wothandiza ndiponso symptomatic mankhwala a lavage muzituluka ndi oxygenation chokwanira. Komanso, polojekiti ntchito ziwiya ndi mtima, ndi dongosolo kupuma.

Mankhwala "Lenuksin": mavuto

Zotsatira zake zoyipa kulandira ndalama anati nthawi zambiri amapezeka pa chiyambi cha mankhwala. Patapita nthawi, iwo akukhala zochepa kwambiri.

• M'mimba dongosolo: kusafuna kudya, nseru, chosokoneza kulawa, kusanza, pakamwa youma, kutsekula m'mimba, kuchuluka njala, ndi kudzimbidwa.
• Mantha dongosolo: irritability, mutu, nkhawa, chizungulire, mukubwadamuka, kufooka, zipolowe zithunzi tulo, kuukira, tulo, depersonalization, khunyu, zinyengo, kugwedeza, serotonin matenda, matenda kayendedwe, kuyerekezera zinthu m'maganizo, ndi chisokonezo mantha.
• dongosolo ubereki: kusabala, nthenda umuna, komanso kuyan'anila za kuzungulira kusamba.
• Khungu: angioedema, thukuta kuchuluka, purpura, ecchymosis, pruritus ndi zotupa pa khungu
• General: hyperthermia ndi kufooka.
• dongosolo mkodzo: mkodzo posungira.
• Mtima ndi magazi zotengera: orthostatic hypotension.
• Kagayidwe: kuchepa katulutsidwe wa ADH.
• Minofu ndi mafupa dongosolo: arthralgia ndi myalgia.
• Laboratory kafukufuku: Kusintha chiwindi ntchito, electrocardiogram ndi hyponatremia.
• Chifuwa: Chance mosiyanasiyana anaphylactic.

Pamene maonekedwe ndi aggravation aliyense mwa zotsatira pamwamba mbali muyenera yomweyo kukanena kwa dokotala.

Kuyamwitsa ndi mimba

Ndingatani ntchito mankhwala "Lenuksin" pa mimba? Mlendo akatswiri amanena kuti, izo osavomerezeka chifukwa chosowa mauthenga pa chitetezo ndi mphamvu ya mankhwala, ntchito pa gestation mwana. Komanso, kudya mankhwala ayenera anasiya pa mkaka wa m'mawere.

Munthawi yomweyo ndi mankhwala ena

zinthu Psychotropic, mndandanda wa zomwe ndi yaikulu kwambiri, izo Pasakhale poika akatswiri mosamalitsa pansi pa ulamuliro wake.

Medicament "Lenuksin" analetsa kutumikiridwa pamodzi ndi Mao zoletsa, izi zimathandiza kuti chitukuko cha matenda serotonin. Iwo ayenera kukumbukira kuti phwando izi zikutanthauza achinyamata (osakwana zaka 24 wakale zaka) ndi mavuto a m'maganizo ndiponso maganizo kumawonjezera zosayembekezereka wa ideation kudzipha ndi khalidwe kudzipha.

Ndi ntchito munthawi yomweyo mankhwala ndi lifiyamu ndi tryptophan milandu phindu la zotsatira woyamba wa mankhwala

Co-ka mankhwala ndi Hypericum perforatum kumachititsa chiwerengero kuchuluka mavuto.

Munthawi yomweyo ntchito mwayi antidepressant ndi anticoagulants mozungulira, ndi wothandizila ena amene amakhudza magazi clotting, zimachititsa kuti kusokonezeka kwa ndondomekoyi. Zikatero, kumapeto kwa chithandizo amafuna polojekiti nthawi zonse mtima ndi chikhalidwe magazi.

Odwala amene anati mankhwala ndi wothandizila serotonergic, serotonin syndrome angagwe.

Mogwirizana ndi Mowa

The medicament "Lenuksin" sizibwera ndi Mowa pharmacokinetic kapena mogwirizana pharmacodynamic. Koma zimenezi sizikutanthauza kuti antidepressant ndi angathe kumwedwa pamodzi ndi mowa. Pa mankhwala, wodwalayo bwino kusiya kumwa mowa uliwonse.

Iwo ayenera kukumbukira kuti m'nthawi ya chithandizo munthu ayenera kupewa magalimoto galimoto ndi ntchito yoopsa mitundu ntchito zikuyenela psychomotor liwiro anachita ndi ndende.

Price ndi analogues wa mankhwala

Kodi muli ndi mankhwala antidepressants "Lenuksin"? Mtengo wa mankhwala angakhale osiyana ndi kudalira m'mphepete. The ndalama pafupifupi mankhwala ndi 990 Russian rubles pa ndalama 28. Gwirizanani, ndi ndithu mankhwala okwera mtengo, amakhala kuti aliyense. Iwo ayenera kukumbukira kuti sikawirikawiri chogulitsidwa pharmacies. Monga ulamuliro, pambuyo ulaliki wa dongosolo, ndi pharmacist amapereka kuyitanitsa mankhwala, zomwe kawirikawiri amabwera mwa masiku angapo.

Chotero kodi kuchita ngati wodwala anali Kwalamulidwa ndi antidepressant, koma analibe katundu kapena pa dongosolo? Pankhaniyi, akatswiri amalangiza kugula mnzake ake. "Lenuksin" ali nawo zedi m'malo lalikulu. Taonani mndandanda wa mankhwala pompano:

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

Ndalama zimenezi kungakhale monga mtengo monga pachiyambi, ndi mtengo. Komabe, iwo onse ntchito pa mfundo imene mankhwala "Lenuksin". Komanso, iwonso zilipo pa mankhwala. Choncho, kugula pa mankhwala nzeru zake yekha inu ndithu.

Reviews a medicament

Tsopano inu mukudziwa momwe antidepressant kwambiri "Lenuksin" (mtengo). Reviews za izo ndi losanganikirana. Wina ananena kuti uzigwirizana bwino ntchito, pamene ena kulankhula za kupanda ake.

Ndemanga zoyamikira za medicament muli nkhani mwamsanga relieves odwala matendawa, bwino maganizo ndi moyo wabwino. Odwala amatinso kutenga antidepressants pa mlingo analimbikitsa walola kuti tichotse chonama chikhalidwe, oukira ndi maganizo mantha. Ndipo amenewa amalimbikira pambuyo discontinuation mankhwala.

Koma ndemanga zoipa, m'pamenenso iwo ali oyanjana ndi mavuto nlichiem. Odwala ena, nseru, ena mutu, ndipo ena sanali kusunga mphamvu iliyonse mankhwala.