Mankhwala "Citalopram": ndemanga madokotala

Kodi ndi mankhwala monga "citalopram"? Reviews madokotala za mankhwala mankhwala m'nkhani zipangizo za nkhaniyi. Ndiponso, zambiri za zomwe amayambitsa zotsatira zina zoyipa, anati njira, mmene kuchita phwando yake ya katundu zimene pharmacodynamic nyamayi.

Zikuchokera, ikulongosola za mankhwala, mawonekedwe ake ndi wazolongedza

Mu mawonekedwe zimene mukhoza kugula mankhwala "Citalopram"? Umboni kuti unyolo ogulitsa mankhawala ndi chida chogulitsidwa mankhwala mawonekedwe lenticular ndi mawonekedwe zozungulira, yokutidwa ndi ❖ kuyanika woyera filimu. The yachigawo mtanda mankhwalawa ali ndi pang'ono chikasu M'kati.

N'kutani Kodi "Citalopram" mankhwala? Malangizo, ndemanga mwasonyeza kuti yogwira pophika mankhwala ndi thunthu la dzina chomwecho - citalopram, amene anapereka mu mawonekedwe a hydrobromide. Pankhani zigawo wothandiza, ntchito ngati microcrystalline mapadi, wowuma pregelatinized, ndi mankhwala enaake a stearate.

Iwo ayenera kukumbukira kuti wothandizila filimu ❖ kuyanika ongokhala polyvinyl mowa, Opadry II, macrogol, talc ndi titaniyamu woipa.

Mu kugulitsa ankaona mankhwala akulowa maselo mizere zopangidwa PVC kapena zotayidwa, amene mmatumba mu bokosi chidapangidwa kuchokera ku katoni.

Pharmacodynamic makhalidwe a antidepressant

ndi mankhwala "Citalopram" n'chiyani? Reviews kuti izi ndi antidepressant. njira yake ya kanthu amagwirizana ndi yimitsira a (kusankha) serotonin reuptake mkhalapakati alipo synapses maselo mitsempha, komanso zotsatira kochepa pa reuptake wa timene dopamine ndi norepinephrine. Tikumbukenso kuti chida si kuonetsa luso anatani ndi ntchito zosiyanasiyana za maselo (ndi ena serotonin, dopamine, H1-histamine, adrenoceptors, mamita-cholinergic zolandilira, zolandilira GABA ndi maselo benzodiazepine).

Sitingathe kunena kuti mankhwala "citalopram", ndemanga zimene zili m'munsimu, zimathandiza kusintha maganizo wodwalayo, limaleka nkhawa, kumachepetsa nkhawa, nkhawa, kumatha dysphoria, ndi relieves zinazake. Komanso pafupifupi konse amayambitsa zotsatira soporific.

Malinga ndi akatswiri, zotsatira khola la mankhwala anaona atapita masiku 7-10 pambuyo ntchito mosalekeza.

Kayendedwe mphamvu medicament

khalidwe la pharmacokinetics wa mankhwala "Citalopram" ndi chiyani? Mayankho inanena kuti pachimake ndende yake yogwira thunthu mu magazi kumachitika mwa maola anayi pambuyo ingestion. The kusintha mu mlingo wake ndi liniya.

The bioavailability wa mankhwala wakudza 80%, ndipo chomangira zonsezo plasma ndi 79%.

M'mwazi wa citalopram alipo mu maonekedwe ake apachiyambi. mankhwala ndi akusinthika ndi makutidwe ndi okosijeni, demethylation ndi deamination. Hafu ya moyo wa chigawo ichi ndi masiku 1.5. Iye anasamutsidwa ndi mkodzo ndi mwa mundawo matumbo.

Zikuonetsa antidepressant mankhwala

N'chifukwa chiyani tiyenera chida monga "citalopram"? Reviews madokotala kuti mankhwala akusonyeza ku phwando pa:

• mantha matenda;
• Makanema maganizo a kwambiri ndi zolimbitsa.

Iwo ayenera kukumbukira kuti mankhwala uyu ayenera kukhala odziwa akatswiri.

Contraindications zimagwirizana mankhwala

Kodi zinthu kugwiritsa ntchito mankhwala "Citalopram"?

Reviews amasonyeza contraindications zotsatirazi kugwiritsa ntchito mankhwala awa:

• zaka zazing'ono wodwalayo (malinga ndi bukhuli, chitetezo ndi efficacy a mapiritsi izi mu m'badwo uwu si akhazikitsidwa);
• Mkulu tilinazo wodwalayo citalopram, komanso aliyense zinthu zake wothandiza;
• pamene kulandira ndi zoletsa wa monoamine oxidase kuphatikizapo moclobemide, selegiline, linezolid (milungu iwiri pambuyo discontinuation zakayendesedwe ka awo);
• pamene kumwa mankhwala QT kutalikitsa nthawi ECG ndi (s kuphatikizapo pimozide) ndi kobadwa nako kutalikitsa imeneyi ya).

Antidepressant "Citalopram": malangizo ntchito

Akatswiri alendo amanena kuti kuganizira apatsidwe mankhwala, malinga alili. "Citalopram" watengedwa pakamwa kamodzi pa tsiku. Choncho mapiritsi si fodya ameneyu amatafunidwa ndi kusamba pansi ndi pang'ono madzi.

mankhwala angagwiritsidwe ntchito nthawi iliyonse tsiku kaya chakudya (makamaka pa nthawi yomweyo).

Pamene maganizo mankhwala akuyamba ndi kulandira 20 mg wa pa tsiku. Malinga zochita wodwalayo munthu komanso kuvutika maganizo, mlingo akhoza ziwonjezeke kwa pazipita ndi, i.e. pafupifupi 40 mg wa pa tsiku.

Mofanana ndi matenda mantha ayenera kumwedwa mankhwala "Citalopram"? Reviews odwala kuti mu nkhani iyi mankhwala yogwira chikuperekedwa mlingo wa 10 mg pa tsiku (kwa sabata 1), ndipo ndiye ziwonjezeke kwa 20 mg wa pa tsiku. Choncho, mlingo tsiku la mankhwala akhoza kudalira pa mtima yankho lenileni. Kenako pamwamba kuchuluka kwa mankhwala akhoza ziwonjezeke kwa mg ndi 40 patsiku.

Anthu akuluakulu kuposa zaka 65 "Citalopram" zaka zotchulidwa mu mlingo wa 10 mg. Malinga ndi kuvutika maganizo ndiponso mmene munthu, mwina ziwonjezeke kwa munthu pazipita mg ndi 20 patsiku.

Pamene chakhungu impso ntchito, kuphatikizapo kulephera aakulu aimpso zachilengedwe lochepa kuopsa kwa ofooka, kusintha njira ya dosing chakudya chofunika. Pakuti iwo ndi aakulu aimpso insufficiency chikhalidwe amafuna kusamalidwa kusankha mlingo achire.

Pamene chakhungu chiwindi ntchito, kuphatikizapo kulephera kwa chiwindi ndi zolimbitsa ndi wachete, mlingo woyambilira wa mankhwala ndi 10 mg tsiku lililonse (kwa masabata oyambirira 2). Malinga zosiyanasiyana, iyo akhoza ziwonjezeke kwa 20 mg. Anthu aakulu kwa chiwindi insufficiency chikhalidwe amafuna kusamalidwa mu kusankha mlingo.

Anthu ndi ntchito otsika isoenzymes monga CYP2C19, ndi mlingo koyamba ndi mg ndi 10 patsiku (kwa masabata 2). Malinga ndi yankho munthu, akhoza ziwonjezeke kwa 20 mg.

Malinga ndi malangizo, zotsatira achire pambuyo ka nkhani antidepressant kale akuoneka pambuyo masabata 2-4. Pankhaniyi, nthawi ya njira ya mankhwala anatsimikiza ndi mkhalidwe wa mtima ndi tolerability wa mankhwala. Childs, mankhwala tikulimbikitsidwa kuti atenge 6 miyezi.

Kuletsa medicament

Zimene anthu amanena zokhudza zomwe zochita zimachitika pa kuletsa lakuthwa osokoneza bongo, "Citalopram" ndemanga? Amene anatenga chida ichi, amanena kuti zizindikiro akuwuka pambuyo kutha mwadzidzidzi ntchito mankhwala si lililonse. Nthawi zambiri, odwala lipoti wofatsa chizungulire, nseru, kufooka, kupweteka kwa mutu, kusowa tulo, paresthesia, manjenje, kusanza, kenaka utentha mamba.

Choncho, akamaliza mankhwala ndi chida ayenera kupasula pang'onopang'ono, pa masabata angapo. Izi adzalola odwala kupewa mavuto obwera. Monga ulamuliro, ndi okwanira masabata awiri, ngakhale pa nkhani iliyonse funso ayenera anaganiza kuti dokotala anthu paokhapaokha. Choncho, kwa anthu ena zingatenge miyezi 3 kapena zambiri.

zosiyanasiyana chokhwima atakhala antidepressant

Kodi mtundu wa zochita ayenera kudziwa makhalidwe oipa odwala, asanadye mankhwala "Citalopram"? Reviews za mavuto kunena kuti, monga pa nkhani ya kugwiritsa ntchito mankhwala ena SSRI, pa maziko a "Citalopram" odwala anatinso zotsatira osafunika. Komabe, tisaiwale kuti onse a iwo ali ofooka kwambiri ndipo chosakhalitsa.

Nthawi zambiri, zochitika chowawa zotsatirazi ka nkhani mankhwala anaona pa masabata oyambirira 2 mankhwala. Pa nthawi yomweyo ali ofooka kwambiri ndi kusintha kwa alili.

Kotero, "Citalopram" angathe kuyambitsa zotsatira zoyipa monga:

• Mkulu tilinazo, mukubwadamuka, zochita anaphylactic, mutu, nkhawa, depersonalization, utachepa libido, amnesia;
• mokwiya, kuphwanya pamalungo mu akazi, kukonda, maloto zachilendo, nkhawa, maganizo ofuna kudzipha Kusokonezeka m'maganizo, chizungulire;
• kusinza, kenaka utentha mamba, mkhutu ndende, mukubwadamuka, kuyerekezera zinthu m'maganizo, kupweteka;
• euphoria, extrapyramidal matenda, migraine, kukha mwazi kuchuluka libido;
• nseru, magazi matenda, paresthesia, kusanza, palpitations, serotonin syndrome, kuukira, matenda tulo, bruxism, bloating, ulesi, kutsegula m'mimba mantha;

• akathisia, m'mimba magazi, matenda oopsa, pakamwa youma, tachycardia, dyspnea, kudzimbidwa, bradycardia, kupweteka m'mimba, kutsokomola;
• Ndikuganizira makutu, chiwindi, orthostatic hypotension, rhinitis, chosokoneza kukoma, yafupika magazi, zipolowe zithunzi, arrhythmia, umuna matenda, sinusitis, chosokoneza cha malawi, galactorrhea, kukanika kugonana, utachepa kudya, hyponatraemia;
• kuwonda, polyuria, kuchuluka njala, kufinya, kuchepa katulutsidwe wa ADH, kusintha electrocardiogram ndi, zotupa pa khungu alopecia, kunenepa kwambiri, angioneurotic edema, hypokalemia, kupweteka pokodza, oyabwa;
• photosensitivity, kuchuluka thukuta, kuchuluka chiopsezo kuvulala ndi fractures, urticaria, pyrexia, purpura, myalgias, yawning, arthralgia ndi ena.

Milandu mankhwala ambiri osokoneza bongo

Mankhwala "citalopram", analogues zimene zili m'munsimu, angachititse zizindikiro zotsatirazi cha mankhwala osokoneza bongo: inagwedezeka, khunyu, kusanza, tachycardia, kusinza ophunzira dilated, bradycardia, hypotonia, kapena matenda oopsa, nseru, khungu cyanosis, syndrome serotonin, mtolo chipika nthambi, mukubwadamuka , chizungulire, insufficiency mtima, stupor, hyperventilation, thukuta, arrhythmia yamitsempha yamagazi, matenda arrhythmia, chikomokere.

Mwanjira mankhwala

Akuti njira amamudziwa ndi mankhwala ena. Choncho ake co-makonzedwe ndi contraindicated ndi wothandizila zotsatirazi:

• Mao zoletsa (angathe zotsatira zina zoyipa, kuphatikizapo matenda serotonin).
• Mankhwala kutalikitsa nthawi QT (zingachititse kuti kusokoneza mungoli mtima, zomwe pamapeto pake chikanakhala chakupha).
• "Pimozide" (mwina kutalikitsa QT imeneyi).

Iwo ayenera kukumbukira kuti co-makonzedwe "Citalopram" ndi mankhwala ena akhoza kuchepetsa kulanda pakhomo. Komanso, mankhwala si zofunika kuphatikiza ndi wothandizila serotonergic, mankhwala okhala ndi St. John wa liziwawa liziwawa, anticoagulants mozungulira, "warfarin", mowa, desipramine.

mankhwala ofanana

Kodi tikambirana analogues mankhwala? Chabwino n'chiti? "Citalopram"? Reviews kuti mankhwala akhoza m'malo ndi mankhwala zotsatirazi: "Paxil", "cytological" "Pram", "Sedopram", "Oprah", "Umorap", "Siozam", "Tsitalorin" "Cipramil", "Tsitalek" "Tsitalift", "Tsitalon". Zonse ndalama awa ayenera kuperekedwa kokha dokotala wodziwa.

odwala ambiri kwambiri chidwi ndi funso zimene bwino: "Citalopram" ndi "Paxil"? Reviews akatswiri amanena kuti mankhwala oyamba ndi mogwira mtima kuposa momwe wachiwiri. Iwo ayenera kukumbukira kuti mavuto amene amakhalapo pambuyo ntchito ya "Paxil", ndi yapadera kwambiri. Choncho, madokotala ambiri amalangiza ntchito "Citalopram".

Mimba ndi chifuwa

Anati antidepressant sayenera kuperekedwa kwa akazi apakati ndi amayi unamwino. Kugwiritsa ntchito mankhwala mu trimester wachitatu kungasokoneze pa chitukuko psycho m'thupi la mwana. The kuyan'anila zotsatirazi komanso zitheka: cyanosis, mavuto kupuma, hypoglycemia, kufupika kwa mpweya, kusanza, kupweteka, kugwedeza, kutentha Kusakhazikika, manjenje, amavutika kudya, irritability, minofu oopsa tulo, hyperreflexia, zonse kulira, ulesi, kusinza.

Antidepressant "Citalopram": Ndemanga

Pamene mankhwala IBS Kwalamulidwa ndi kusamala kwambiri. Ichi ndi chifukwa chakuti udindo wake akhoza zimawonjezera zovuta ndi alili.

Kodi akunena zokhudza pano ogula amatanthauza? odwala ambiri amasimba za bwino chithandizo zotsatira "Citalopram" mankhwala. Ukatha mwambo wa mankhwala, kuda nkhawa bwino posachedwapa. Komabe, anthu ena amene amati zotsatira achire iwo alibe anadikirira, kuyambira mankhwala kwachititsa kukula kwa chiwerengero cha mavuto.

Koma madokotala, iwo amati "Citalopram" antidepressant ndi kothandiza kwambiri komanso zothandiza njira, koma pa nthawi imene si abwino chitukuko mavuto. Choncho, madokotala ambiri amayesa mankhwala ichi pokha pokha kwambiri ndi Mlingo kochepa. Ngati mu sabata loyamba la mankhwala palibe zosiyanasiyana chokhwima akhala amadziŵika, ndiye mankhwala ndi mankhwala kupitiriza ndi ena kuwonjezeka mlingo wake (ngati n'koyenera).