"Serenata" Mapale: malangizo ntchito, analogs, ndemanga

Mantha dongosolo matenda zili ponseponse m'dziko lathu. Mankhwala awo, pali mankhwala ambiri. mankhwala china mankhwala "Serenata". Malangizo limati patsogolo ntchito mankhwala chofunika kukaonana ndi dokotala.

The zikuchokera ndi maonekedwe za kumasulidwa mankhwala

Izo zinabala mu mawonekedwe a mapiritsi, filimu TACHIMATA, mankhwala "Serenata". Guide kwathunthu limafotokoza medicament zikuchokera zomwe zikuphatikizapo yogwira pophika sertraline hydrochloride. Monga zinthu zina ankagwira:

• microcrystalline mapadi;
• ndi sodium carboxymethyl wowuma;
• Anhydrous kashiamu hydrogenphosphate;
• giproloza;
• mankhwala enaake a stearate;
• polysorbate.

Mapiritsi chipolopolo tichipeza hypromellose, titaniyamu woipa ndi propylene glycol.
mankhwala amapangidwa mapiritsi a 50 mg ndi 100 mg. Iwo kapsulovidnuyu mawonekedwe lenticular. Mwayera mbali imodzi ndi chiopsezo. mapiritsi 10 ankanyamula mu zotayidwa chithuza. The makatoni paketi lingayambire pakukhala matuza za 3 ndi 5 kuphatikiza Buku malangizo.

mankhwala anali kusungidwa kutentha osati choposa 25 ° C. Mankhwala ayenera kukhala mu malo otetezedwa ku dzuwa ndi kufika kwa ana. Alumali moyo wa mankhwala ndi zaka zitatu kuchokera tsiku kupanga mankhwala. Inu simungakhoze ntchito mapiritsi pambuyo patsikuli.

medicament limasuka pharmacies yekha ndi mankhwala. Chopangidwa mankhwala mu India.

Pharmacological makhalidwe mankhwala

The medicament "Serenata" (malangizo ntchito chogulitsidwa pamodzi ndi miyala ndi pamaso ntchito mankhwala ayenera kukhala ankaphunzira) amatanthauza antidepressants. Wokamba amphamvu kusankha serotonin reuptake woletsa. Pamlingo yaing'ono anakopa reuptake wa dopamine ndi noradrenaline. Ngati mankhwala ntchito Mlingo achire, ndi yogwira mankhwala mankhwala kumabwezera mmbuyo ndi kutengedwa wa serotonin mu maselo othandiza magazi kuundana la munthu.

Chifukwa cha mavuto matenda izo unkachitika kuti mankhwala alibe sedative, stimulant ndi zotsatira anticholinergic. Panthawi kutenga mankhwala mu nkhani silinkachitidwa zakusokonenezedwa kwa psychomotor chikhalidwe.

Mankhwala si osokoneza ndipo alibe mphamvu pa thupi, ngakhale pambuyo mankhwala yaitali.

Mayesero nyama asonyeza kuti sertraline si patsogolo ntchito catecholamine. Si yodziwika ndi kuyandikana kwa serotonergic, muscarinic, histaminergic, dopaminergic, GABA, benzodiazepine, ndi maselo adrenergic. Iwo amatchuka kuti mapale "Serenata" ndi katundu cardiotoxic.

ntchito yaitali mankhwala nyama lakhala likugwiritsidwa ntchito ziziyenda norepinephrine zolandilira, zomwe zili mu ubongo ndi a mtundu zoipa ndemanga. Ndi kanthu ankaikira mankhwala ambiri protivoobsessivnyh ndi antidepressants.

Miyala "Serenata" (Buku kwathunthu anafotokoza njira mankhwala ndi lipoti mlingo analimbikitsa) sali kuwasiya, kotero odwala Musaononge iwo.

Pamene mankhwala ayenera kugwiritsidwa ntchito?

Mankhwala "Serenata" Buku limalangiza kugwiritsa ntchito pa nthawi yaitali limati maganizo. mankhwala lasonyezedwa kwa kupewa maganizo a etiology osiyana. cholinga kuti ntchito mapiritsi ndi obsessive-zinazake chisokonezo zikuchitika onse akuluakulu ndi ana a zaka zisanu ndi chimodzi zakubadwa. Kwalamulidwa mankhwala matenda mantha, kumene limodzi ndi agoraphobia. Mapiritsi ntchito mwapanikizika, yomwe ndi chotsatira chake cha zoopsa. The chosonyeza ntchito ndi chikhalidwe odwala matendawa, lomwe limatchedwanso chonama chikhalidwe.

contraindications

Mankhwala "Serenata" malangizo ntchito ali osavomerezeka kutenga vuto la hypersensitivity kuti sertraline, ndi zinthu zina, zomwe ndi mbali ya medicament a. Musati mankhwala mankhwala kwa ana ochepera zaka zisanu ndi chimodzi, nkhawa matenda obsessive-zinazake. Nthawi zina zonse, mankhwala "Serenata" (mapiritsi) osati Kwalamulidwa kwa zaka khumi ndi zisanu ndi zitatu.

Iwo ndikoletsedwa ntchito sertraline pamodzi ndi zoletsa monoamine oxidase. Pankhaniyi, pali chiopsezo syndrome serotonin, amene angasonyeze mukubwadamuka, hyperthermia, ndi kugwedeza ya nthambi.

miyala, mankhwala ayenera kuyamba pambuyo masabata awiri pambuyo discontinuation la zoletsa monoamine oxidase. Phwando "Serenata" Tiyenera kumukhalitsa maola osachepera asanu isanayambe chithandizo MAOIs kanthu sizingasinthe. Iwo analetsedwa kugwiritsa ntchito chida pamodzi ndi pimozide, tryptophan kapena fenfluramine.

Chenjezo ayenera kugwiritsidwa ntchito sertraline odwala matenda kuvutika organic ubongo, khunyu, aimpso ndi kwa chiwindi insufficiency. Kukhala ndi kutchulidwa kuwonda. Muonetsetse polalikira ntchito sertraline ndi mankhwala kuti kuonjezera serotonergic neurotransmission. Izi imakhudzanso mankhwala amene bwanji othandiza magazi kuundana.

Kodi kwambiri kuyan'ana odwala kutenga tricyclic antidepressants sertraline ndipo pa nthawi yomweyo.

mankhwala saloledwa ntchito pa mimba ndi yoyamwitsa.

Medicine "Serenata": malangizo ntchito

Ndemanga (analogues si nthawi zonse amatha kuchita monga bwino monga mankhwala) anasonyeza kuti mankhwala kawirikawiri kuyambitsa zotsatira zoyipa. Tengani mankhwala pakamwa chabe, kamodzi pa tsiku, kaya ntchito chakudya, ndi madzi pang'ono.

Pamene maganizo ndi obsessive-zinazake matenda ayamba mankhwala ndi 50 mg pa tsiku. Ngati mukukumana ndi mantha matenda, pali chonama chikhalidwe ndi PTSD chikhalidwe, mankhwala ndi anayamba ndi mg ndi 25 patsiku. Patapita mlungu umodzi, mlingo linawonjezeka kuti 50 mg pa tsiku. Kugwiritsira ntchito mankhwala akhoza kuchepetsa yatsoka mavuto pa gawo loyamba la mankhwala.

Mlingo kusankha wopangidwa ndi kuwonjezeka pang'onopang'ono sabata. Ngati mankhwala atakhala 50 mg tsiku sanapange zotsatira, mlingo chinawonjezeka ndi 50 mg, koma nthawi zambiri koposa kamodzi sabata. The pazipita tsiku mlingo ndi mg wa 200 patsiku.
Kuyambira sabata, pali zotsatira loyamba la mankhwala, koma zotsatira zonse chingapezeke pambuyo masabata 2-4 mankhwala mosalekeza. Pakuti matenda obsessive-zinazake kuganiza nthawi yaitali mankhwala akuchipatala.

Pamene yokonza mankhwala mlingo ayenera kukhala asang'ambe ogwira. Mu nkhani iyi, kusintha malingana ndi zotsatira achire. Ngati pali maganizo yaitali, mankhwala ayenera kumwedwa miyezi isanu ndi umodzi.
M'pofunika zonse kuyan'ana mtima chifukwa mantha ndi matenda obsessive-zinazake. Imeneyi, kupewa musabise si ikuchitika.

"Serenata" mapiritsi (malangizo Buku imatiuza za limati imene ntchito mankhwala sayenera) amaloledwa kugwiritsidwa ntchito pochiza obsessive-zinazake matenda ana kwa zaka zisanu ndi chimodzi zakubadwa.

Ana a zaka zapakati pa khumi ndi ziwiri, amasankhidwa ndi mlingo woyambilira wa mg ndi 50 patsiku. Mlingo woyambilira ana a zaka zisanu ndi chimodzi kwa khumi ndi zaka ndi mg ndi 25 patsiku. Pambuyo pamasiku seveni ntchito mlingo mankhwala akhoza ziwonjezeke kwa 50 mg. M'tsogolo, ngati chithandizocho sapereka chifukwa kuchuluka kwa mankhwala ndi chinawonjezeka ndi 50 mg. Kuwonjezeka mlingo ikuchitika kamodzi pa masabata angapo. The pazipita kololeka kuchuluka kwa mankhwala - 200 mg pa tsiku. Mlingowu sasintha kambirimbiri kuposa kamodzi pa masiku asanu ndi awiri.

Pamene odwala msinkhu wa zaka zisanu ndi khumi ndi zisanu ndi zitatu zakubadwa ayenera kulabadira thupi, pofuna kupewa zizindikiro ambiri osokoneza.

Mankhwala "Serenata" malangizo Buku limatichenjeza kuti asalandire odwala ndi mkhutu ntchito kwa chiwindi limba. Odwala insufficiency aimpso amafuna kusintha mlingo.

Sayenera kuponyedwa mwamphamvu kuti olandira. Ngati mukufuna kusiya mankhwala, ndiye zimenezi ziyenera kuchitidwa pang'onopang'ono kwa masiku khumi ndi anai. Only mu nkhani iyi Mwina achire adzakhala chabe. Ngati mwakumana ndi mavuto obwera ayenera kuona dokotala kwa chithandizo choyenera.

zosiyanasiyana chokhwima wa chamoyo

Limatichenjeza kuti ndi ntchito kwa nthawi yaitali chifukwa zochita chowawa mankhwala a chamoyo "Serenata" malangizo Buku. Analogs Pankhaniyi akhoza m'malo anati mankhwala.

Mwa mavuto ku zida za m'mimba, mungachite pakamwa youma. Tinaona kuchepa kudya, imene nthawi zina kuyambitsa matenda a anorexia. Mwa zochita chowawa ndi matenda otsekula m'mimba, kuphatikizapo flatulence, kusanza reflex, nseru, m'mimba ndiponso kupweteka m'mimba.

Nthawi zina, ntchito yaitali miyala chinalembedwa bwino ntchito transaminases m'magazi. Pambuyo chiyembekezo chakuti mankhwala chithunzi ichi chimabwera kubwerera mwakale.

Kuyambira wamanjenje dongosolo odwala adabvutika kusinza, chizungulire, kupweteka kwa mutu, kugwedeza ya nthambi. odwala anadandaula tulo, mukubwadamuka, zikamera wa nkhawa, hypomania, kuyenda mkhutu kayendedwe ndi wosakhazikika gait. Ena ankaona kufooka, matenda extrapyramidal.

ANAUKA dyskinesia, khunyu, minofu minofu, kulephera kwa zida za zithunzi. kuyan'anila oterewa nthawi zambiri zinachitika odwala amene anali ndi mbiri za matenda amenewa kapena kugula iwo ku ntchito munthawi yomweyo antipsychotics.

Ngakhale kutenga mankhwala anali wonongeka a dongosolo endocrine. Iwo ananena modandaula pa umuna, utachepa chilakolako chogonana, kuphwanya kusamba, galactorrhea ndi hyperprolactinemia.

Nthawi zina, mankhwala "Serenata" (antidepressant) anachititsa thukuta. Nthawi zina, chifukwa cha zotsatira zake pa thupi ndi kuwonda, imene nthawi zina zapita matenda a anorexia. Pali anthu amene mu nthawi chithandizo kusokonezedwa chosakhalitsa hyponatremia.

Mwa zizindikiro dermatological anati redness a khungu, zotupa, kuyabwa. Nthawi m'malo osowa wa erythema multiforme.

Kusamala

Amatithandiza kuti osankhidwa mu masabata awiri pambuyo discontinuation a Mao mankhwala "Serenata" zoletsa, malangizo ntchito (ndemanga kuti mankhwala adzapulumuka maganizo ndipo adzachotsa kotheratu nkhawa). Pa nthawi yomweyo, zoletsa Mao ali osavomerezeka chifukwa masiku khumi pambuyo discontinuation mankhwala ndi sertraline. Pali kafukufuku osakwanira pa ntchito mankhwala odwala likufa mankhwala electroconvulsive.

Akukhulupirira kuti odwala amene akuvutika maganizo nthawi zonse amachita kudzipha. chiopsezo zimenezi zikapitirira mpaka chikhululukiro wathunthu. Choncho, pa nthawi ya kusowa wodwala ayenera kukhala moyang'aniridwa pafupi zachipatala.

Makamaka samalani ndi ntchito Integrated miyala "Serenata" ndi mankhwala ogwetsa chapakati mantha dongosolo. Imeneyi wodwala ayenera kuyang'aniridwa.

Pa "Serenata" mankhwala tiyenera kukumbukira kuti ntchito concomitant mankhwala ndi zoletsa aliyense Mao angakhale ndi zotsatira kwambiri ndipo chifukwa kupitirira matendawo osiyanasiyana, kuphatikizapo matenda serotonin.

Similar zosiyanasiyana chokhwima mu thupi limodzi ndi nthawi akutali oopsa, adanyamuka ntchito Mao zoletsa pa ndime ya mankhwala antidepressant kuti ziletsa okhudza mitsempha kutengedwa wa monoamines. Zotsatira zake zoyipa zimachitika pambuyo discontinuation mankhwala.

Ntchito Integrated la zoletsa kusankha kuti achite reuptake okhudza mitsempha ya serotonin, angathe stiffness, irritability kwambiri, hyperthermia, myoclonus, kusintha udindo maganizo, chisokonezo, mukubwadamuka. Kuphatikiza sertraline ndi coumarin amachititsa kuwonjezeka mu nthawi prothrombin. chidwi pamene akumwabe mankhwala ayenera kuperekedwa kwa ana kwa zaka zisanu ndi chimodzi zakubadwa.

Limatichenjeza kuti kutiletsa kumwa mowa pamene ntchito "Serenata" kukonzekera malangizo (ndemanga kunena kuti mankhwala akhoza kusokoneza masomphenya).

Mu ntchito sertraline si abnormally ndi malfunctions ntchito psychomotor. Ngakhale zili chomwechi, co-makonzedwe ndi mankhwala ena angachititse ndende mkhutu ndi kulephera mu mgwirizano kayendedwe. Chifukwa cha ichi, m'nthawi ya chithandizo, "Serenata" galimoto magalimoto ndi kuchita zinthu zofuna mkulu ndende ntchito ali osavomerezeka.

Mtengo wa mankhwala

Mugule pafupifupi mankhwala pa mankhwala akuchipatala "Serenata" (antidepressant). Umboni kuti mankhwala akhoza kuyambitsa kupweteka kwa mutu ndi tulo, komanso chisokonezo thirakiti m'mimba. Mtengo wa miyala 30, 50 mg - 600 rubles. Mtengo wa mapiritsi 30 100 mg kuzungulira chikwi rubles.

Mankhwala "Serenata": Anzawo

Ngati mankhwala pazifukwa zina sanabwere, ndiye dotolo n'kukulemberani Anzawo m'malo. Ambiri mmalo structural monga:

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

Awa ndi mankhwala ena akhoza m'malo mankhwala "Serenata". Analogs sayenera anatumikira paokha popanda kufunsa dokotala, chifukwa njira zimenezi akhoza kuwononga thanzi ndi chifukwa chiwerengero cha mavuto.

Umboni za olandira

Medicine "Serenata" (antidepressant) ndemanga kasitomala chikwiyire osiyana kwambiri. Odwala ena akukhutitsidwa kwathunthu ndi zochita za mankhwala. Akuti zotsatira za pambuyo ntchito zimawonedwa pa tsiku loyamba la mankhwala, ndipo umakhala kutchulidwa kutha kwa zotsatira sabata. Iwo dziwani kuti mankhwala ndi wofatsa odana ndi nkhawa. Wolimbikitsa, amapatsa mtendere wa mumtima ndi lingathandize wofuna kukhala ndi moyo. Pambuyo ntchito yake amapita maganizo, nkhawa, mantha ndiponso kusakhulupirirana.

Mankhwalawa amathandiza kuchiza m'mapapo neuroses. Amachotsa mantha. Odwala amanena kuti mapiritsi bwino analekerera ndi kawirikawiri chifukwa mavuto. Iwo akhoza kumwa yaitali, koma kuyang'aniridwa ndi dokotala. Mankhwala kwambiri bwino maganizo, kumathandiza maganizo. Amachotsa mantha, mantha. Izi zimathandiza kumva kufuna moyo.

Koma sikuti kubala chifukwa ankayembekezera mankhwala, "Serenata". Reviews a anthu amenewa anali imfa wathunthu chilakolako mutu, tulo chisokonezo. Odwala ena amanena kuti mankhwala limakhudza anthu masomphenya. Chifukwa angayambitse chisokonezo ndi maganizo ndi kugwirizana osauka kayendedwe. Odwala ena amabwera msanga m'maganizo mwanu maganizo ofuna kudzipha. Pali anthu amene atamwa mowa mankhwala awa anadandaula kuchuluka maganizo, nkhawa. Iwo ananena kuti mankhwala akhoza kulenga kusapeza mkati.

Madokotala amakonda zokwanira ntchito chida ichi zawo. Malinga ndi iwo, mankhwala ankanena za antidepressants kumasuka. Zidzatithandiza nkhawa ndi vutoli chikhalidwe maganizo nkhawa. Zikatero, madokotala amalangiza kupereka mmalo antidepressant ndi, kumakhudza sedative. Akumbutseni odwala kuti kusankha antidepressant ndi chikuyendetsedwera kuti wodwala aliyense payekha, ndi amene athandiza chimodzi, akhoza wopanda pake wina.