"Remeron": mirayiridzo kushandiswa, vanachiremba chaivo. zvinodhaka analogues

Munguva yedu yakaoma, pamwe nerimwe gore kuwedzera nhamba yevanhu kutambura kubva zvokuora mwoyo. Pakadaro, izvozvo anowana chaiwo yokukurumidzira ano zvinodhaka-antidepressants. Mumwe yakanakisisa zvinodhaka izvi ndizvo "Remeron" mirayiridzo Chinyorwa izvo anopiwa munyaya ino. Vaverengi vanofarira nyaya ino, zvichaita kuziva pamusoro Kuronga chinodhaka, ayo ehupfumi, nzira kushandiswa uye, chokwadi, kuti vanachiremba sei mushonga uyu.

The Kuronga zvinodhaka uye chimiro

The mushonga inowanika mahwendefa yakatsvukuruka mashava, biconvex chimiro, imwe neimwe ine 15, 30 kana 45 magiramu kuti kushingaira chirungiso -mirtazapina. Kune rimwe divi mahwendefa iripo Kunyora Organon - ndiro zita zvinodhaka ari Dutch mugadziri, mhiri unogona kuona zw / 5 romutemo. All pamusoro apa anorondedzera kunobva antidepressant kutengeswa pasi "Remeron" vanozivikanwa. Analogues zvinodhaka, mazita izvo zvinogona kuverengwa nyaya yedu vangava sezvamunoita substantially kufanana "Remeron", asi zita uye chitarisiko richava zvakasiyana.

New-rudzi antidepressant

Sei nhasi vanachiremba vepfungwa kana varwere kutendeukira kwavari mwoyo vhunduka, uye zvichingodaro. E., Kazhinji akarayira kuti "Remeron"? Mirayiridzo zvokushandisa rinotsanangura nemashoko akadzama ayo mashandiro chiito, asi zvinosuruvarisa hazvitaurwi kuti chizvarwa chitsva Anti depressant, riri kukura zvinhu zvinoverengeka vakaendeswa nhoroondo yacho kuchaita kuti mushonga kubudirira sezvinobvira, apo nokuderedza nemishonga.

Munyaya nesayenzi pamusoro mirtazapine - huru kushingaira chirungiso, chikamu "Remeron", nyanzvi yokurapa pfungwa, nhengo Institute of Gerontology pakati Kiev Burchinsky SG anonyora kuti chokushandisa ichi ane zvinotevera zvinokosha zviri:

• kunotoda kushanda pashure pakutanga zvinodhaka Kutarisirwa kunoitika nokukurumidza (anenge ari vhiki yokutanga kushandiswa);
• anxiolytic uye timoanalepticheskoe matanho;
• kunyaradza kushanda uye normalization yokurara.

Mugumisiro hope mamiriro

"Remeron" anogona zvinobudirira kupesvedzera kuora zviratidzo zviri nyore kugadzirisa dzimwe antidepressants (cyclothymic nyonganyonga, psychomotor retardation, anhedonia). Vanachiremba dzinoti kuti mirtazapine zvikuru vakarongeka kwakafanana pakurapa chakasimba kuora Zvikamu, uye yechinangwa kutsigira mishonga. Kunyanya anosimbisa kukanganisa kwayo pamusoro normalization kurara.

Zvinozivikanwa kuti zvokuora mwoyo, hope chainetsa mumwe hwokufananidzira zviratidzo chirwere ichi, uye hapana anenge 90% wevarwere. Zvirwere izvi ine nenyonganiso pakurara uye kutsinzina, uyewo mukuru disorganization yacho hope muenzaniso. The dambudziko iri chinoumba chinokosha mukubatsira avo mwoyo. Vanhu vakawanda vanoenda kuchipatara, vakachengeta ukama pachena pakati kwokuomerwa hope nekuomarara uye kuvhiringidzika zviratidzo.

Panguva hope vachivavhiringidza aigona zvakakomba omesa weboka pathological kwacho uye anoteverwa chirwere uye kuti vamuperekedze. Naizvozvo, vanogona kuwedzera mukana wava kusvutazve. Inobva kumusoro, tinogona kugumisa kuti mishonga zviyero kutora normalization kurara pavarwere vane mwoyo zvishoma symptomatic sezvo pathogenic. "Remeron", akasikwa pachishandiswa mirtazapine, - mumwe antidepressants shoma kuti zvinobudirira kunogona kuchinja insomnicheskie zvirwere pavarwere vane mwoyo.

Kushandiswa mu geriatric tsika

Maererano zvaanorumbidza chiremba, "Remeron" kwazvo akashivirira nevanhu vane pakati uye kukwegura, pasinei kuti inoshanda chaizvo uye runobatsira muchikwata ichi wevarwere. Uyu chaicho ndinoiitawo zvinodhaka zviratidzo zvakawanda zvine kuora mwoyo (anhedonia, kufunganya, hope zvirwere, uye zvichingodaro. D.), Kunyanya varume kazhinji urutevere pakukwegura. Akapiwa chokwadi kuti muzera boka iri kushandiswa TCA (tricyclic antidepressants) haana yakarumbidza munguva wepfungwa "Remeron" rinoshandiswa pakurapa anenge marudzi ose zvokuora mwoyo.

Kururamiswa zvepabonde zvirwere

In upombwe zvinetso sezvo anorgasmia, kukurumidza ejaculation, ungaderedza libido , nezvimwewo, izvo kazhinji kuenda kumwe kuratidzwa mwoyo neruoko rumwe, uye pane dzimwe -. Kazhinji kuitika sezvo matambudziko ari pakurapa SSRIs (zvokusarudza kweserotonin reuptake FIs), " Remeron "yayo analogs muri zvikuru vanachiremba. zvinodhaka inobva mirtazapine zvakakwana kuchinja zvakasiyana pabonde dysfunction pavarwere vane mwoyo. Zvisinei, havana chete tiwedzere kurapwa, asi ave chokudzivirira nzira pamusoro pokumuka kurara zvirwere.

"Remeron": mirayiridzo kushandiswa

The muwedzero rakauya chinodhaka, anoti aifanira kutora mushonga kamwe pazuva usati warara. The daily chipimo chemushonga chikwata dzinosiyana mukati 15-45 MG, ane chaiyo kuchinja rekugadzirira kuti vanhu vakwegura rotsvakwa. Zvakakosha kudzivisa ovhadhozi zvinodhaka "Remeron". Testimonials zvinoratidza achirayira akanyorwa: ovhadhozi kunokonzera hapana kuvandudzika, uye kuvhiringika uye hope. Panguva kurapwa, zvakakosha kurega doro.

Amplification kunyaradza chiito anogona kukonzerwa ne mawa yaitonga zvinodhaka pamwe benzodiazepines. Hazvina varumbidzwa kunwa mapiritsi "Remeron" - 30, 15 uye 45 magiramu pamwe Mao FIs, uyewo mushure abolition wekupedzisira kwamazuva gumi namana. Medical kurapa achibatsirwa "Remeron" Chinyorwa anokurudzira kupfuurira uye pashure kunyangarika anorwadza zviratidzo; ichi chinofanira kuitwa mwedzi mitanhatu. Kukanzura mushonga yaifanira zvishoma nezvishoma. Inokosha: mushonga wacho wenyama nehoro chete inonyorwa!

zvairatidza

Apo vanachiremba vanokurudzira "Remeron"? Mirayiridzo kushandiswa panodana sezvo uchapupu inotevera chinorwadza chirwere nokuora mwoyo:

• psychomotor retardation;
• anhedonia;
• kurasikirwa mubereko muupenyu;
• kushaya hope;
• kuzviuraya;
• kufunganya;
• marwadzo syndromes;
• Kukanganisika lability;
• mangwanani nehope;
• rutapudzo kurema muviri uye zvichingodaro. d.

Contraindications

"Remeron" - mushonga usingagoni kushandisirwa vanhu, dzinoratidzwa yakakwirira aikanganiswa yayo huru vanoshingaira zvinoriumba - fuma mirtazapine, uye kune chikamu zvinodhaka zvinoriumba. Zvinotevera contraindications - nayo pamuviri, lactation, renal kana hepatic insufficiency. Kunewo hama contraindications:

• prostatic hypertrophy;
• chirwere cheshuga;
• kuvhara yemaziso;
• atrial tachyarrhythmia;
• hypotension ;
• angina;
• Organic Kukuvara uropi (pfungwa);
• katsika kushandisa kuti zvinovhiringidza pfungwa zvinodhaka.

analogues mushonga

Kana chipi chikonzero haugoni kutenga mune mishonga iri "Remeron" analogs anogona kutsiviwa naye. Pano ndiwo mazita avo:

• "Mirzaten Ku-Tab".
• "Calixtus".
• "Mirtalan".
• "Mirtazonal".
• "Esprital".
• "Noksibel".
• "Mirtazapine hexane."

"Remeron": wongororo vanachiremba

Nyanzvi zvikuru vanoonga raidudzwa kuchirapa ehupfumi vechizvarwa chitsva ichi antidepressant. mushonga asati akava chikamu ose okurapa, zvinoitwa mirtazapine akadzidza nokungwarira zvikuru. Saka, pane imwe nyaya mushandi of Moscow Scientific Center Mental Health namakondobwe Morozovoy M. A., uko iye anotaura pamusoro migumisiro kudzidza kwakadai.

Mumiedzo, varwere 63 vaiita mwoyo nepakati kuti zvakakomba, pamwe zvokusarudza siyana vanozivikanwa kuvhiringidzika nepfungwa; It raisanganisirei 12 vepfungwa muzvipatara mumaguta akasiyana-siyana Russia. Sezvo chikamu kuedza, vanachiremba varayire kushandisa kuti kurapa varwere vose muchipatara mwoyo, mirtazapine oga. The zvachose nguva zvinodhaka mishonga mumwe murwere aiva mazuva 42. Panguva ino, mushonga akaratidza kwazvo.

Kunewo migumisiro zvidzidzo kunzwisisa kurapwa varwere doro nedoro, iyo inoshandisa "Remeron". Doctors pamusoro Zvakaitwa zvinodhaka vakaitawo akanaka. Varwere ucharwadziwa vakakwanisa kukurumidza kumisa vhunduka, kushatirwa, kushaya hope, normalize kwemwoyo uye kufamba kweropa. Zvimwe kugadzirira wakabatsira pakuderedza nehavi doro uye Kudzikamiswa pfungwa mamiriro varwere vari kanganwiro.

nemishonga

Sezvinogona kuoneka kubva kumashure chitsauko, vanachiremba zvikuru kunzwisisa antidepressant "Remeron". Reviews varwere vari kure unanimity kwakadaro. Vamwe vanhu kutora mushonga kunogona kukonzera zvisingadiwi spillovers. Heino mazita zvingakonzerwa nemishonga dzakanyorwa mumirayiridzo.

1. zvomudumbu maitiro:

• svoto;
• nyota;
• kupatira;
• yakawedzera simba iri chiropa transaminases;
• zvakawedzera havi;
• kuunganidza uremu muviri;
• kurutsa;
• abdominal kurwadziwa, kuoma iri nemumuromo mhango.

2. Kubva tsinga:

• hypokinesia;
• hope;
• tremor;
• lethargy;
• nokugwinha;
• vachinje mafungiro uye manzwiro;
• hyperkinesis;
• myoclonus;
• nokusagadzikana;
• kufunganya;
• depersonalization;
• nokusakendenga;
• zvokudarikidza;
• zvisipo;
• dzungu;
• Kusagadzikana mupfungwa;
• vertigo;
• ruvengo;
• pfari;
• hypersensitivity.

3. kumwoyo:

• orthostatic hypotension;
• richikwidibira ropa nevezera.

4. Urogenital:

• dysmenorrhea;
• kutapudza mu potency.

5. hematopoietic maitiro:

• agranulocytosis;
• aplastic kupererwa neropa;
• granulocytopenia;
• thrombocytopenia;
• neutropenia;
• eosinophilia.

6. neutachiona: urticaria.

7. Other nemishonga:

• edema chirwere;
• besa chirwere;
• myalgia;
• kudzipwa;
• dysuria;
• musana kurwadziwa;
• WIthdrawal.

Pasinei nezvose zviri pamusoro, pakati vanachiremba "Remeron ichaongororwa mumwe zvikuru zvinodhaka ari zvinodhaka muboka kuti kurapwa mwoyo. Somuenzaniso, mukusiyana kune tricyclic antidepressants, hazvina kukonzera " kweserotonin chirwere ", ndizvo anenge asina cardiotoxicity uye Exhibits duku kudaro anticholinergic ehupfumi, akadai dyspepsia uye muromo yakaoma. Vamwe nemishonga (hope, dzungu, nyaradzo, wakawedzera kudya, uye zvichingodaro. d.) kuitika chete pakutanga yokurapa, uye zvadaro akaedzwa pasina zvokudya.

Ovhadhozi zvinodhaka "Remeron"

Manual kunoratidza kuti anotevera zvingaratidza kuitika mu ovhadhozi:

• lethargy;
• nekuvhiri- ngika;
• hope;
• tachycardia.

Muzviitiko zvakadaro, mishonga rinoitwa pachishandiswa neactivated charcoal, gastric lavage, oxygenation uye kufefetedza, uyewo kushanda symptomatic mishonga.

Zvokungwarira

Antidepressant "Remeron" kunogona kukonzera fuma iri varwere schizophrenia pfungwa zviratidzo. Munguva pakurapa kuora mwoyo chokutambudzika nedambudziko kuvhiringidzika psychosis inversion zvinobvira sei chitarisiko zvokudarikidza. Muchiitiko chino, kana varipo vachida kuzviuraya, murwere inokurudzirwa kuti ape vashoma zvinodhaka. Kana murwere - mukadzi zera rokubereka, kugadzwa mahwendefa chete kunze panguva mamiriro ezvinhu chikumbiro izvozvo pamuviri yakavimbika.

Chimbichimbi kurega zvinodhaka, zvinotevera mushure kushandiswa nguva refu, kungakonzera nechitarisiko kuda kurutsa, nomusoro, pautano kudzikira. Kugamuchirwa "Remeron" anofanira dzakavharwa kana zviratidzo chero zvirwere, jaundice kana kuchinja muropa. Panguva zvinodhaka iri nachiremba varwere kuti kungwarira kana kutyaira motokari, uyewo mamwe makirasi anogona ngozi siyana mabasa uye mabasa yaida psychomotor nokukurumidza uye kwakawedzera Kuda kutamba kutarisirwa.

mhedziso

Kubva nyaya pamusoro zvinogona akagumisa kuti "Remeron" - mapiritsi anogona kubatsira kunyange simba mwoyo chirwere chepfungwa. Panguva iyoyowo, vari kure hakukuvadzi, uye vanofanira kushandiswa chete wezvokurapa mushonga uye pasi ake pedyo achitarisirwa. Vanhu vazhinji mumakore vanotambura nokuora mwoyo vari kubatwa kwavo siyana zvinodhaka uye usaswedera zvinodiwa mugumisiro. Zvichakadai, zvakakwana kushanyira nenguva nyanzvi kuti mushonga kuti kutengwa kugona chinodhaka, akadai, chii chiri chinodhaka "Remeron". Usanonoka kushanya kwachiremba. Utano kufara!