"Imovan": mirayiridzo kushandiswa. Reviews pamusoro zvinodhaka analogues mitemo vachitengesa mu Pharmacies

Medicament "imovan" mirayiridzo Chinyorwa rinozivisa sehope rubatsiro, kureva tsiklopirrolonov boka. Kugadzirira ane anxiolytic, hypnotic, tsandanyama relaxant, kunyaradza, anticonvulsant ehupfumi.

pharmacodynamics

A kuchirapa zvinodhaka maturo "imovan" (User mumararamiro) chokuita zvakananga agonist kwakabatsira naOmega receptors (yaimbonzi benzodiazepine receptors rokutanga uye rechipiri mhando). Mishonga anogona kuderedza nguva kurara uye kuderedza kuitika mangwanani uye usiku awakenings, uye kuwedzera nguva uye kuvandudza hope. PSG date vanoratidza kuti zvinodhaka "imovan" Varwere kutambura nokushaya hope, hope kunoderedza wokutanga chokutambudzika uye kunowedzera wechipiri, wechitatu uye chechina zvitoro (nehope) uye danho gangaidzo (REM) danho. A chidzidzo kunyoresa polysomnograms kushaya haana kuzivisa chinhu chinokosha rebound kushaya hope pashure kutora mushonga kwemazuva maviri navasere. Nemimwe miedzo akaratidza kuti apo uchishandisa mushonga namanomwe kwemavhiki Kutsakatika hypnotic kushanda haina kuchengetwa.

Pharmacokinetics

Sleeping mapiritsi "imovan" raisangoita nokukurumidza, pasinei kudya. In yeplasma pashure nomumukanwa kwokubatsira 3.75 uye 7.5 milligrams mari mukati rimwe nehafu kusvika maawa maviri kusvika soro wevasungwa anenge 30 uye 60 Ng / Rine mamiririta, ukuwo. Sezvo ropa mapuroteni eplasma uye unsaturated chisungo simba (vanenge 45%). Pachiyero puroteni nokuda nengozi aiita zvimwe zvinodhaka yakaderera chaizvo. zvinodhaka "imovan" nokukurumidza zvikuru kuparadzira kubva systemic riparadzirwe. Guide anoshuma kuti wevasungwa raro mukaka yakafanana neiya kuchengetwa plasma. The hafu-upenyu zvinodhaka ari yakasimba vachitsigira zvavakabvumirana mishonga Avharenji maawa mashanu. The mushonga rinowanika runonyanya muchimiro metabolites mu weti (80%) uye mutsvina yadzo (16%).

zvairatidza kuti

Medicament "imovan" mirayiridzo chinoratidza kushandiswa mukurapa ezvinhu, zvinopfuura, chokushaya hope chisingaperi nedzevakuru. Zvikurukuru, rinoshandiswa mune nematambudziko akotsira, usiku uye mangwanani awakenings.

Release chimiro uye sezvamunoita

The mushonga inowanika muchimiro chena film-zvemapuranga mapiritsi pamwe denderedzwa mutsetse rimwe divi. Mumwe chikwata nzira unotora chinoshingaira zvinoriumba zvinosanganisira - zopiclone - 7.5 milligrams mune vakawanda. Mahwendefa "imovan" zvinosanganisirawo carboxymethylstarch yavaibvisa, titanium dioxide, karusiyamu hydrogenphosphate dihydrate, magnesium stearate, lactose monohydrate, gorosi starch, hypromellose.

A nzira kuti vagamuchire uye nguva kurapwa

Akaratidza zvokuudzwa medicament pakarepo asati usiku hope. Kana zvichibvira, kurapa vanofanira kuva pfupi uye haafaniri kupfuudza kwemavhiki mana, kusanganisira nguva shoma chipimo chemushonga. Kutora mushonga kwenguva yakareba kupfuura ushandiswe ari Regulation, inofanira kubvumidzwa chete pashure nyanzvi tinyatsonzwisisa murwere. Nguva dzose vanoda kutanga kurapa pamwe yepasisa inobudirira dose, kuwedzera kana zvakafanira, asi haikwanise kusapfuudza kunonyanyisa dose. Kana zvinopfuura kushaya hope (semuenzaniso, kunokonzerwa kuchinja nzvimbo panguva rwendo) nzira yokurapa asingadi kupfuudza maviri nemashanu pamazuva. Kana ezvinhu kushaya hope, zviri zviviri kusvikira nhatu. Kana chokushaya hope chisingaperi zvinoda kurapa kwenguva refu, nguva wakasiyiwa chiremba.

Recommended dose

The dose zuva nezuva vanhu pasi pemakore 65 okuberekwa - 7.5 milligrams. Varwere vakwegura (anopfuura 65 years), uye vaya vane zvinetso chiropa kana kufema kutambudzika mwero zvakaoma kwazvo, ushandiswe yaunodya zuva nezuva 3.75 milligrams. Tora mushonga wako ari guru kupfuura 7.5 milligrams pazuva anobvumirwa chete muzviitiko. Kurapa varwere renal kukundikana, pasinei nokuti iyi nyaya haana kuzivisa kuunganidza mushonga wayo metabolites, zvinokosha kutanga zuva dose pakati 3.75 milligrams.

nemishonga

About "imovan" gadziriro wongororo rinonyanya kuwanikwa akanaka, kazhinji zvakanaka kuregerera. Asi zvinenge zvose varwere vanoti kuti pashure kutora mushonga mumuromo achiri zvinovava aftertaste. Vamwe vanhu vanotaura pamusoro kwaita nemusoro, dzungu pamusoro pakanyorwa kushandiswa vakarara mapiritsi. Pakati zvingangoitwa migumisiro Tinofanira kuonawo tsandanyama hypotonia, residual hope pamusoro chisinga-, diplopia, asthenia, kurasikirwa libido. Pane mukana nomudumbu: svoto, dyspepsia, muromo yakaoma. Dzimwe nguva pane ganda siyana dzakadai rashes uye kuvaviwa, mu zvisingawanzoitiki zviitiko - anaphylactic siyana, angioedema kuvhunduka. Nokuti vamwe varwere pashure pokutora vakarara mapiritsi kuonekwa zvisipo, kuora mwoyo, kurota zvinotyisa, nezvinetso kufambisa nemafambiro, utsinye, kushatirwa, akaora mwoyo, achifamba muchiroto, kukodzera maitiro (kunogona kuitika akabatana kukanganwa). Kunyange kana kushandiswa kuchirapa mishonga mahwendefa "imovan" (Chinyorwa anonyevera pamusoro ichi) zvingamuka mupfungwa uye mumuviri kuyanzva.

kushaya hanya

Vamwe vanhu pashure kumira yokurapa mushonga hwapedyo kurega syndrome. Zviratidzo zvinogona kunge zvakasiyana, ivo dzichitaridzika muchimiro mwoyo, kuvhiringidzika, rebound kushaya hope, tachycardia, kushatirwa, tremor, nomusoro, delirium, wakawedzera vangadikitira, usiku kurota zvinotyisa, tachycardia, nokusagadzikana, aone zvinhu zvisipo. Mune zvisingawanzoitiki chaizvo Muzviitiko pfari kuitika.

Contraindications

Vanhu vane hypersensitivity kuna zvokubikisa rinoreva "imovan" vanofanira kusiya kushandiswa kwayo. Uyewo, akarara mapiritsi asina basa varwere gravis kwazvo chiropa kukundikana zvikuru chimiro (pamwe pangozi encephalopathy), zvikuru kufema chirwere, zvakakomba kufema kukundikana, hope. Contraindicated mushonga pamberi makore gumi nemasere. Persons ane nhoroondo zvinodhaka, doro, kupindwa muropa nezvinodhaka, mushonga kushandiswa nokungwaririra, sezvo iyi, pane mikana kuwedzera nedoro kana kushungurudzwa.

Shandisa panguva pamuviri uye lactation

Tora akarara mapiritsi "imovan" vakadzi vane pamuviri uye lactating haina inokurudzirwa. Kana mushonga chinotarisirwa panguva yechitatu trimester ari mucheche anogona kuva nemigumisiro akadai hypotension, kufema mwoyo, hypothermia. Vakadzi kuronga kana vanofungidzirwa pamuviri vanofanira kurega kutora zvinodhaka.

ovhadhozi

Yemanyorero ovhadhozi vakaratidzawo zviratidzo CNS mwoyo pakawanda kubva nyore somnolence kuti chaanoziva (zvichienderana dose). In munyoro kacho pane kusakendenga, hope, kuvhiringidzika, mu zvakawanda zvakakomba - lethargy, kufema mwoyo, ataxia, hypotonia, pakoma. Zviri apo neapo kuti atrioventricular misa. Chinouraya ovhadhozi hakusi, kana negashiro akarara mapiritsi haina pamwe negashiro zvimwe zvinodhaka izvo inoodza mwoyo musimboti tsinga, kana doro. Uyewo ovhadhozi zvingaratidza kuti yakawedzera kana murwere talk ezvinhu akaita simba kana comorbidities. Muzviitiko zvakadaro, unogona kutungamirira kurufu (isingawanzowanikwi). Pamberi mushonga zvakawanda mishonga dzakaratidza symptomatic uye kutsigira kurapwa muchipatara. Mukuru nezvawo kubhadharwa kune zvemwoyo uye kufema mabasa. Matanho akadai kusashanda kabhoni uye kugeza mudumbu vari efficacious chete kana kuitwa nokukurumidza pashure kushandiswa medicament "imovan".

analogs

Vanopiwa Generic mishonga hypnotic akadai "Somnol", "Thorson", "Relakson", "Piklodorm" uye vamwe. Kazhinji, vane isingadhuri kupfuura pakutanga, asi panguva imwe chete vari zvishoma inobudirira.

Zvokungwarira

Sezvambotaurwa, vachitora sedatives, kusanganisira "imovan" chinodhaka, anogona kukura mupfungwa uye mumuviri kuyanzva. The ngozi kunowedzera kurapwa kwenguva refu uye nokutora kurara mapiritsi ari dzakakwirira mishonga, pamwe doro psychotropic zvinhu, uyewo kuvapo mwoyo. Kana kuonekwa panyama nedoro payakakurudzirwa regedza husaberekana anogona kuva munhu kushaya chirwere, rakanga inorondedzerwa pamusoro. Kuti izvi zvisaitike, zvakakodzera kuderedza zvinodhaka dose zvishoma nezvishoma. Kudzivisa ngozi zvakadai nemishonga sezvo anterograde kukanganwa, zvinobatsira kuchengeta mitemo miviri: Unofanira kunwa piritsi asati warara (kudzivisa yakawanda nguva pakati kushandisa zvinodhaka uye varara) uye hope maawa anenge matanhatu (kwete kudimburira hope yapfuura pane maawa matanhatu pashure akotsira). Mishonga hakuratidzwi kuti kurapwa mwoyo uye anogona kunyange masiki zviratidzo zvayo.

zvinodhaka kwavatori

Mawa Mabatirwo akarara mapiritsi "imovan" uye doro kungaita kuti vawedzere nyaradzo. Uyezve, haukwanise kutora mishonga pamwe kurapwa zvinodhaka, kudzvinyirira nechepakati tsinga: barbiturates, antidepressants pamwe kunyaradza, mapiritsi, antipsychotics, antitussive vamiririri, dzokutindivadza, marwadzo analgesics, antiepileptic zvinodhaka nechepakati chiito. Kana kwemajoini kushandisa depressant zvainoita nechepakati tsinga anogona huchawedzerwa. Uyewo, regai kunwa "imovan" mapiritsi pamwe zvinodhaka zvine trimipramine, nekuti plasma wevasungwa okupedzisira uye zvainoita uchaderedzwa. Joint kugamuchira soporific buprenorphine kunowedzera mikana kufema mwoyo (zvingangoitika kunyange chingaisa).

Where kutenga "imovan"

The mushonga wacho wenyama drugstores dzakawanda. Sleeping mapiritsi pa zvokurapa mushonga. Vamwe vanhu vanoda kutenga mushonga pasina mushonga, shandisa kuminamato paIndaneti Pharmacies. Zvisinei, tinofanira kuyeuka kuti pane nyaya iwe pangozi kutenga murombo quality, yokunyepedzera kana afa zvinhu.