Mahwendefa "Lenuksin": nhoroondo, mirayiridzo kushandiswa, description, analogues, mutengo

How kukurira kuora mwoyo yavo? Ndipindure mubvunzo uyu zvakaoma. Pashure pezvose, kubuda ehurumende ichi pasina kubatsirwa nenyanzvi aigona mashoma. Nezvenyaya iyi, tinoratidza kuti chiremba, uyo vakabva vagadzwa zvinobudirira kurapwa.

Vhuṱanzi

Depression anonzi chirwere chepfungwa, iyo inozivikanwa nokuva yakaderera mwoyo, vakafunga wenyonganyonga (hunodzorwa ane tariro maonero zvose zvinoitika, kunaka nezvakatongwa, uye zvichingodaro.), Motor retardation, uyewo kurasikirwa kukwanisa kuwana mufaro.

Zvinofanira kucherechedzwa kuti hurumende iyi, munhu ashaye nokuzviremekedza, varasikirwa kufarira muupenyu uye basa. Kazhinji, murwere ari kutambura nokuora mwoyo angatanga kushandisa doro, narcotics uye zvimwe zvinodhaka psychotropic. Kazhinji vanhu ava vane vachida kuzviuraya.

Nhasi, kuora mwoyo iri rinorapika. In nedanho psychotropic zvinhu anogona kupiwa murwere kurapa. Zvinyore zvikuru yakakura. Ndokusaka vanofanira kugadza chete ane ruzivo nyanzvi.

antidepressant

The inonyanya kufarirwa mushonga chirwere chepfungwa chinonzi antidepressant "Lenuksin". Munyaya ino, tichakurukura kukuudza pamusoro nyaya umo iye akagadzwa, kana ane chero contraindications uye marwadzo, uye chii chiri kukosha kwayo, kuti kusunungurwa chimiro, mamiriro, kana pane analogues ose medikmenta uye zvichingodaro.

The Kuronga chinodhaka, ayo kavha uye chimiro

Ndisati ndakuudzai sei mishonga "Lenuksin" mabasa, izvo akaongororazve zvichakurukurwa pazasi, vanofanira kupa ayo kusunungurwa chimiro. chokushandisa iyi inotengeswa muchimiro pamahwendefa, izvo zvinenge zvakazara firimu unhani.

The mushonga rine basa zvinoriumba akadai escitalopram oxalate. Kunze pairi, pamahwandefa uye ebetsero zvinhu zviri muchimiro microcrystalline cellulose, croscarmellose yavaibvisa, talc, microcrystalline cellulose silitsinizirovannoy, siliconized microcrystalline cellulose uye magnesium stearate.

Drug "Lenuksin", riri nani mutengo mukuru, kutengeswa polypropylene ndiro (pamwe mu Maronda akasiyana), akaisa mukati atorwa. Mumwe muchirongo rine 28 kana 14 Mahwendefa.

The pharmacological unhu antidepressant

Drug "Lenuksin", wongororo zvacho kupfuura zvakanaka, ndiyo antidepressant. SSRIs ichi, izvo anowedzera wevasungwa pakati neurotransmitters iri synaptic mumukaha, uye chinowedzera runogonesa sei postsynaptic kweserotonin receptors.

The kuitika medicament maatomu akafanana chaizvo asingadi kusungira kuti Arifa-adrenoceptors, m-cholinergic receptors, opioid, kweserotonin, benzodiazepine, dopamine uye histamine receptors.

Practice inoratidza kuti antidepressant kushanda muna varwere anotanga kuva vhiki chete pashure 2-4 mushure mharuro mushonga. The kunonyanyisa mutsividzo mugumisiro mokutya rebipolar inowanzopiwa kubudirira kuburikidza vaviri mwedzi.

Pharmacokinetics zvinoreva

Sezvo mushonga wefodya, "Lenuksin"? pakushandisa antidepressant Chinyorwa rinoti ayo Absorção de Água ndizvo rakazvimirira zvokudya yaunodya. The bioavailability zvinodhaka riri vanenge 80%. The kunonyanyisa ropa wevasungwa zvasvika pashure 4 maawa Eks. medicament Plasma mapuroteni kunyorerana iri vanenge 56%.

Antidepressant muviri kunoitika muna chiropa (kuumbika basa didemetilirovannyh uye demethylated metabolites). The hafu-upenyu pashure vakawanda Kutarisirwa iri maawa anenge 30.

Zvairatidza kuti kushandiswa antidepressants

Mune zvimwe zviitiko, mushonga "Lenuksin"? Mirayiridzo yokushandisa, mhinduro anoratidza kuti anofanira kushandiswa chete pasi zvinotevera zvarakasiya:

• kuora mwoyo, zviri kwakakomba kana nepakati chimiro;
• Social mwoyo chirwere (evanhu phobia ndiko);
• tidzikame nyonganyonga nezvinhu agoraphobia, kana pasina izvozvo;
• generalized kufunganya nyonganyonga.

Contraindications pakushandisa antidepressants

Kurapwa pamwe antidepressants chero zvazvingava kuitwa pasi zvinotevera ezvinhu uye zvinhu:

• ane mawa yaunodya pamusoro Mao FIs;
• pauduku uye kuyaruka makore 18;
• hypersensitivity kuti medicament kana yenhengo dzayo;
• ari dhefisiti kana sucrase isomaltase, shuga-galactose malabsorption uye fructose kusashivirirana.

chenjera kushandiswa

Mahwendefa "Lenuksin" vanofanira kupiwa varwere renal kukundikana zvikuru nokungwarira, chirwere cheshuga, hypomania, ropa katsika, zvokudarikidza, cirrhosis uye pharmacologically kusingadzoreki netsviyo.

Ainyatsotsanangurirwawo chaizvo kushandisa mishonga iyi kuti mwoyo pamwe nepfungwa yokuda kuzviuraya, apo kugamuchira zvinodhaka kuderedza pachikumbaridzo uye rinoita isoenzymes pamusoro CYP2C19, vakwegura uye, pamwe chete panyaya iyi.

Drug "Lenuksin": mirayiridzo kushandiswa

mushonga uyu ukasunungurwa mishonga kubudikidza mushonga chete. Pashure pezvose, unogona chete kugadza nyanzvi vane zvakakodzera zvinodiwa.

The chipimo chemushonga zvinodhaka uye ayo multiplicity yekushandiswa kunobva pakuti uye mhando kutsauka. Maererano murayiridzo, akati zvinoreva inofanira kushandiswa rimwe zuva pamberi kamwe, shure kana pakati kudya.

• Depression, ndine rinorema kana avhareji chimiro.

Panyaya iyi, mushonga "Lenuksin", riri nani mutengo mukuru mhosva panguva 10 MG kamwe pazuva. Zvichienderana zvakaitwa (munhu) murwere, kuti chipimo chemushonga anogona ngazviwedzerwe MG 20 pazuva. Pashure kunyangarika zviratidzo zvokuora mwoyo kuramba kurapwa nokuti 6 mwedzi, kugadzirisa mugumisiro.

• Panic nyonganyonga nezvinhu agoraphobia, kana pasina izvozvo.

Muvhiki yokutanga kurapwa murwere kwaida dose yakaenzana 5 MG pazuva. Munguva yemberi kunofanira ngazviwedzerwe chaizvo kaviri. Zvichienderana zvakaitwa chitsama zvinodhaka murwere anogona kutaura kuti vaifanira, i.e. kusvika 20 MG pazuva. kurapwa ichi kunogara kwemwedzi inoverengeka.

• Social phobia kana magariro kufunganya nyonganyonga.

In akadaro chirwere zvinodhaka "Lenuksin" (anoreva zvakafanana medicament) chinotarisirwa mune imwe mari 10 MG kamwe pazuva. Simba zviratidzo kutsauka kunoitika muna anenge 2-4 mavhiki. Zvadaro, mukuru chipimo chemushonga inogona kuderedzwa 5 MG pazuva kana yakawedzera kuti MG 20 pazuva.

Nekuti evanhu phobia chirwere ane chirwere Chokwadi, nguva iri mishonga nzira inofanira kuva kwevhiki 12. Kudzivirira dzokororo kwechirwere chacho, nyanzvi vangaendeswa kuzodzosera kurapwa, izvo zvinofanira kuitwa mukati 6 mwedzi.

Nenzira, pamberi kugadzwa zvinodhaka chiremba anofanira kusiyaniswa munzanga phobia pamwe zvatinosiita kunyara kana kunyara.

• Generalized kufunganya nyonganyonga.

Sezvo prescribers "Lenuksin" apo aireva nechirwere? Guest nyanzvi dzinoti pakutanga mishonga inzira anofanira kushandiswa mari 10 MG kamwe pazuva. Kana zvakakodzera, kuti chipimo chemushonga anogona ngazviwedzerwe vaifanira, i.e. kusvika 20 MG pazuva. Zvinogamuchirwa kushandiswa kwenguva refu zvinodhaka (nokuti 6 mwedzi kana yakareba).

Vanhu pakukwegura (anopfuura 65 years) rinofanira kushandiswa pana hafu zvatinosiita dose kushoma, kureva 5 MG uye 10 MG ukuwo (pazuva).

nhungamiro chaiwo pamusoro kushandiswa kwezvinodhaka

In renal kukundikana mwero nekuomarara dose kuchinja kunodiwa. Nokuti varwere akafanana chirwere, asi zvikuru chimiro, mushonga wacho ushandiswe kwavari nokungwarira zvikuru.

Kana chiedza kana mwero chiropa kutadza yakarumbidza chipimo chemushonga muvhiki mbiri yokurapa wokutanga kunofanira kuva 5 MG pazuva. Zvichienderana kwaiita murwere Vhoriyamu zvinodhaka anogona ngazviwedzerwe kaviri.

Nokuti varwere kwakaderedza basa CYP2C19 isozyme kutanga dose kuti medicament zvakare 5 MG pazuva. Kana zvakakodzera, unogona ngazviwedzerwe 10 MG.

Pamusoro kugumiswa yokurapa ndiko kutapudzwa uwandu mishonga zvishoma nezvishoma pamusoro mavhiki 1-2. Izvi zvinokosha kuti vadzivise panowanikwa kurega syndrome.

zviitiko ovhadhozi

Zvikuru vakawanda vanhu varikubvunza mubvunzo wokuti uye sei unogona kurwa mwoyo pachavo? Kana mamiriro ezvinhu kwenguva refu, unogona kuita pasina mukana wokuzvidzivirira nenyanzvi. Pashure pezvose, varwere zvinoda kushandiswa antidepressants, izvo zvinofanira ngaagadze chiremba.

Kana munhu anoshandisa akati zvinoreva kuwedzera vhoriyamu, ipapo nokukurumidza ave zvinotevera zviratidzo ovhadhozi: kufema mwoyo, chakamira pakunodengenyeka zvine, kugwinha, dzungu, tachycardia, nokusagadzikana, rhabdomyolysis, nehope, metabolic acidosis, dzungu, arrhythmia, ECG kuchinja, kurutsa uye hypokalemia .

Zvinofanira kucherechedzwa kuti pakoma rufu nyaya ovhadhozi hadziwanzowaniki chaizvo. Izvi zvinogona kuitika chete apo tivandudze negashiro imwe gadziriro nevamwe zvinodhaka.

Sezvo kurapwa inoshandiswa Muzviitiko ovhadhozi rutsigiro uye symptomatic kurapa pane gastric lavage uye zvakakwana oxygenation. Mukuwedzera, tarisisa kushanda midziyo uye mwoyo, uye kufema gadziriro.

Drug "Lenuksin": nemishonga

Side migumisiro nokugamuchira vakati mari dzakawanda zvinowanzoitika pakutanga mishonga. Kwapera nguva, vari kuva zvishoma zvikuru.

• Zvomudumbu hurongwa: kurasikirwa kudya, kuda kurutsa, kuravira chinovanetsa, kurutsa, muromo yakaoma, manyoka, wakawedzera kudya, uye kupatira.
• Tsinga: kushatirwa, nomusoro, kufunganya, dzungu, nokusagadzikana, utera, ziso nenyonganiso, kushaya hope, vhunduka, nehope, depersonalization, kugwinha, zvinovadadira, tremor, kweserotonin chirwere, kufamba zvirwere, aone zvinhu zvisipo, uye kuvhiringika.
• Dzokubereka nadzo: kusabetsera, zvemamiriro ejaculation, uyewo kutyorwa kumwedzi.
• Skin: angioedema, iratidzike seiri kubuda ikawanda, purpura, ecchymosis, pruritus uye ganda mapundu,
• General: hyperthermia uye kushaya simba.
• Urinary maitiro: Urinary chengetedzo.
• Mwoyo uye ropa midziyo: orthostatic hypotension.
• Muviri: rwakakwana secretion pamusoro ADH.
• Zvetsandanyama nemapfupa maitiro: arthralgia uye myalgia.
• tsvakurudzo Laboratory: Kuchinja chiropa basa, unonzi, electrocardiograph uye hyponatremia.
• Allergies: Chance pamusoro anaphylactic siyana.

Kana pakaita uye kusembura vamwe pamusoro nemishonga unofanira pakarepo nyaya chiremba wako.

Achiyamwa uye pamuviri

Ndinogona kushandisa zvinodhaka "Lenuksin" panguva pamuviri? Guest vanamazvikokota vanoti, hazvina varumbidzwa nokuda kwokushayiwa mashoko kuchengeteka uye kubudirira mishonga iyi, shandisa panguva gestation mwana. Uyezve, yaunodya zvinodhaka anofanira vakarega panguva lactation.

Mawa kurapwa nedzimwe zvinodhaka

Psychotropic zvinhu, mazita izvo rakanyatsojeka yakakura, zvinofanira chete kutora kugadzwa nyanzvi uye zvakasimba pasi yayo kuzvidzora.

Medicament "Lenuksin" inorambidza raitongwa pamwe Mao FIs, sezvo izvi kungawedzera kukura kweserotonin syndrome. Zvinofanira kucherechedzwa kuti negashiro ichi zvinoreva vechiduku (pasi pemakore 24 Aimbova makore) chirwere chepfungwa uye kuora mwoyo kunowedzera panowanikwa kuzviuraya ideation uye kuzviuraya maitiro.

Tiine mawa kushandiswa mishonga pamwe lithium uye tryptophan muri nyaya kubiridzira wokutanga mugumisiro zvinodhaka

Co-kwokubatsira zvinodhaka pamwe Hypericum perforatum kunotungamirira yakawedzerwa nokuwanda nemishonga.

Mawa kushandisa imwe antidepressant pamwe isina kunanga anticoagulants, uye vamwe vamiririri kuti chokuita kweropa, kungawedzera nokuvhiringidzirwa kwacho. Muzviitiko zvakadaro, pakapera kurapwa kunoda nguva richiona murwere uye neropa ezvinhu.

Varwere tora vakati nemishonga pamwe serotonergic vamiririri, kweserotonin chirwere kunogona kuitika.

Kudyidzana pamwe panyaya iyi

The medicament "Lenuksin" hahwuuyi panyaya iyi pharmacokinetic kana pharmacodynamic kudyidzana. Asi izvi hazvirevi kuti antidepressant inogona kutorwa pamwechete doro. Panguva kurapwa, murwere nani kusiya kushandiswa chero doro.

Zvinofanira kucherechedzwa kuti munguva kurapa munhu haafaniri kutyaira motokari uye sika ngozi basa marudzi zvinoda zvakawedzera psychomotor kumhanya kuita uye mumisasa.

Price uye analogues zvinodhaka

How zvikuru ndivo mapiritsi antidepressants "Lenuksin"? Mutengo zvinodhaka izvi zvingave zvakasiyana uye kuvimba kumahombekombe. Avhareji Mari zvinodhaka riri 990 rubles Russian paavhareji zvidimbu 28. Bvumiranai, zviri zvikuru chinhu chinodhaka chinodhura, izvo kwete mari vose. Zvinofanira kucherechedzwa kuti kashoma inotengeswa Pharmacies. Kazhinji, mushure mharidzo mushonga, asi mishonga anoda arayire mishonga, izvo kazhinji anouya mukati mashoma.

Saka zvokuita kana murwere akanga ushandiswe chinhu antidepressant, asi vasina aripo kana kuti? Muchiitiko chino, nyanzvi dzinokurudzira kuti kutenga ishamwari kwayo. "Lenuksin" rine navo asi yakawanda. Funga pamazita mishonga yakadaro iyezvino:

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

Mari idzi dzinogona kuva zvinodhura sezvo yepakutanga, uye isingadhuri. Zvisinei, vose anoshanda pane ichocho sezvo mushonga "Lenuksin". Uyezve, vari zvakare pa mushonga. Naizvozvo, kutenga navo chemishonga zvayo bedzi kungwara ukatadza.

Reviews kuti medicament

Zvino kuti munoziva sei antidepressant zvikuru "Lenuksin" (mutengo). Reviews nezvazvo vari yakavhenganiswa. Mumwe munhu anoti kuzvigona zvakanaka mabasa, apo vamwe vanotaura kwayo ineffectiveness.

Wongororo pamusoro medicament ichi ane ruzivo kuti nokukurumidza Unotsigira kufunganya nyonganyonga, kunonatsiridza manzwiro uye zvakanaka. Varwere anotiwo nokutora antidepressants panguva Recommended mishonga akabvumira kuti kubvisa evanhu phobia vhunduka uye kuora mwoyo. Uye izvi zvikaramba pashure discontinuation zvinodhaka.

Kana akaipa nezvaro, havazombonyanyi dzinoitwa nemishonga nlichiem. Mune vamwe varwere, kuda kurutsa, vamwe nomusoro, uye vamwe havana kuchengeta zvainoita kurapwa.