"Serenata" Mahwendefa: mirayiridzo kushandiswa, analogs, wongororo

Tsinga Zvirwere zvakapararira munyika yedu. Nokuti kurapwa kwavo, pane mishonga yakawanda. Imwe mishonga yakadaro ndiyo mishonga "Serenata". Instruction anoti pamberi kushandiswa zvinodhaka kubvunza chiremba.

Murwiyo uye chimiro zvinodhaka yokusunungurwa

It anogadzirwa muchimiro mapiritsi, film-zvemapuranga, zvinodhaka "Serenata". Guide anorondedzera zvizere medicament sezvamunoita zvinosanganisira zvinoshingaira chirungiso sertraline hydrochloride. Sezvo mamwe zvinhu dzaibatanidzwa:

• microcrystalline cellulose;
• yavaibvisa carboxymethyl starch;
• Anhydrous karusiyamu hydrogenphosphate;
• giproloza,
• magnesium stearate;
• polysorbate.

Hwendefa goko une hypromellose, titanium yakasviba uye propylene glycol.
The mushonga anogadzirwa pamahwandefa 50 MG uye 100 MG. Vari kapsulovidnuyu lenticular chimiro. Ko chena rumwe rutivi uye ngozi. 10 Mahwendefa rakazara muna aruminiyamu mhoni. The kabhodhi rongedza Ingasiyana kubva 3 kuda 5 Maronda akasiyana ndinoiitawo nokurairirwa Chinyorwa.

The mushonga yaichengetwa pane imwe tembiricha isingadariki 25 ° C. The mushonga unofanira kuva nenzvimbo kudzivirirwa kubva zuva uye kusvika vana. The pasherefu upenyu zvinodhaka ndiko makore matatu kubva musi gadzira zvinodhaka. Haukwanisi kushandisa mapiritsi pashure musi uyu.

The medicament asunungurwa Pharmacies chete mushonga. Kugadzirwa mushonga kuIndia.

Pharmacological unhu mishonga

The medicament "Serenata" (mirayiridzo unoshandiswa kutengeswa pamwe mahwendefa uye pamberi pokushandisa zvinodhaka kunge vainyatsoongorora) rinoreva antidepressants. Mutauriri simba vanosarudza kweserotonin reuptake inhibitor. Muduku pamwero paupenyu reuptake kuti dopamine uye noradrenaline. Kana mushonga kushandiswa kuchirapa mishonga, zvinoshingaira zvinodhaka fuma kuchititadzisa ari uptake kweserotonin kwevanhu maplatelet muviri.

Somugumisiro nemiedzo zvekuchipatara zvainzi akacherechedza kuti mushonga asina kunyaradza, rinodhaka uye anticholinergic nemigumisiro. Panguva kutora mapiritsi iri nyaya haina kuchengetwa chero kutyorwa psychomotor hunhu.

Mishonga hakusi muropa uye hakuna kumbochinja uremu muviri, kunyange pashure kwenguva refu piritsi.

Miedzo mhuka vakaratidza kuti sertraline asingadi kuwedzera catecholamine basa. Hazvina dzinoratidzwa achida kuti serotonergic, muscarinic, histaminergic, dopaminergic, neGebha, benzodiazepine, uye adrenergic receptors. It rinozivikanwa kuti mahwendefa "Serenata" vane cardiotoxic ehupfumi.

kushandiswa kwenguva yakareba zvinodhaka kwemhuka kwave kushandiswa kudzikamisa norepinephrine receptors, izvo riri muuropi uye nhengo akaipa dzinovaka mhando. Zviri chiito chaiwo akawanda protivoobsessivnyh zvinodhaka uye antidepressants.

Mahwendefa "Serenata" (Chinyorwa zvakazara anorondedzera nzira mishonga dzinoshuma zvavakabvumirana chipimo chemushonga) havasi muropa, saka varwere havashushi navo.

Kana mushonga anofanira kushandiswa?

Drug "Serenata" Chinyorwa rinokurudzira kushandisa panguva yakareba mwoyo inoti. The mushonga inoratidzwa kuti kudzivirira mwoyo dzakasiyana etiology. Chinangwa kushandisa mapiritsi vane nyanyisa-muropa nyonganyonga, yokuvamba zvose vakuru nevana makore matanhatu. Akamuraira mishonga chokuvhunduka zvinetso, izvo angaperekedzwa agoraphobia. Mapiritsi vanoshandisa pasi kunetseka, inova mugumisiro pfungwa. The chiratidzo kushandiswa iri evanhu mwoyo chirwere, rinonziwo evanhu phobia.

Contraindications

Drug "Serenata" mirayiridzo kushandiswa haina varumbidzwa kutora pakuparwa hypersensitivity kuti sertraline, uye mamwe masangano, inova chikamu medicament. Regai taurira mushonga kuvana pasi makore matanhatu, nehanya nyanyisa-muropa zvirwere. Mune zvimwe zviitiko zvose, mushonga "Serenata" (Mahwendefa) haungopiwi kusvika gumi namasere.

It hakubvumidzwi kubva kushandisa sertraline Panguva pamwe monoamine oxidase FIs. Muchiitiko chino, pane ngozi kweserotonin chirwere, izvo zvinogona kuratidza nokusagadzikana, hyperthermia, uye tremor maoko nemakumbo.

Mahwendefa, kurapwa vanofanira kutanga pashure pemavhiki maviri pashure discontinuation kuti monoamine oxidase FIs. Kugamuchirwa "Serenata" vanofanira kumiswa maawa anenge manomwe risati ratanga kurapwa MAOIs kusingarapiki chiito. Zvinonzi rambidzwa kushandisa mudziyo pamwe pimozide, tryptophan kana fenfluramine.

Kungwarira inofanira kushandiswa sertraline varwere vanenge makemikari pfungwa abnormalities, pfari, renal uye hepatic insufficiency. Kuva raidudzwa uremu. Unofanira kungwarira kana nekugoverana kushandiswa sertraline pamwe mishonga kuti vawedzere serotonergic neurotransmission. Izvi zvinoshandawo kune mishonga chokuita maplatelet.

Vanofanira kunyatsotevera kuongorora varwere vachitora tricyclic antidepressants sertraline uye panguva imwe chete.

The mushonga haabvumirwi kushandisa panguva yepamuviri uye achiyamwa.

Medicine "Serenata": mirayiridzo kushandiswa

Reviews (analogues havagoni kuita zvinobudirira sezvo mishonga dzose) akaratidza kuti mapiritsi Kashoma kukonzera marwadzo. Tora mushonga chete zvokuvataurira nomuromo, kamwe pazuva, pasinei nemashandisiro kwezvokudya, ne chinguva mvura.

Kana kuora mwoyo uye nyanyisa-muropa zvinetso kutanga kurapwa pamwe 50 MG pazuva. Kana uri kusangana kutya chirwere, pane evanhu phobia uye post-Kunetseka ezvinhu, mishonga iri rakatanga 25 MG pazuva. vhiki imwe gare gare, kuti chipimo chemushonga yakanga yawedzera kusvika 50 MG pazuva. kushandiswa hwemabasa zvinodhaka anogona kuderedza panowanikwa nemishonga panguva Danho rokutanga kurapwa.

Chipimo chemushonga kusarudzwa inoitwa zvishoma nezvishoma yakawedzera vhiki. Kana kurapa dzinowanzoona 50 MG zuva nezuva haana kubereka chero mhinduro, kuti dose ichiwedzerwa nomumwe 50 MG, asi kwete kakawanda kamwe pavhiki. Kufadza daily dose iri MG 200 pazuva.
Munyika vhiki, pane migumisiro kurapwa wokutanga, asi zvizere zvinogona kuitwa pashure pemavhiki 2-4 dzamarudzi mishonga. For nyanyisa-muropa zvinetso vanofungidzira ane refu Hupenyu zvinodhaka.

Kana Nokuraramisa varapwe chipimo chemushonga inofanira kuva zvishoma vanobudirira. Muchiitiko chino, zviri akagadzirisa zvichienderana kuchirapa mugumisiro. Kana paine mwoyo kwenguva refu, mishonga inofanira kunwiwa mwedzi dzinenge mitanhatu.
Zvakakodzera kuramba kuongorora murwere chokuvhunduka uye nyanyisa-muropa zvirwere. Pakadaro, kudzivirira zvazvo haina kuitwa.

"Serenata" Mahwendefa (mirayiridzo Chinyorwa anoudza pamusoro inoti iyo kushandisa zvinodhaka ichi haafanirwi) kubvumirwa kushandiswa kurapa nyanyisa-muropa chirwere muna vana makore matanhatu.

Kuyaruka pakati pemakore gumi uye namanomwe, yakatarwa kutanga chipimo chemushonga 50 MG pazuva. The kwokutanga dose vana vatanhatu gumi nemaviri makore 25 MG pazuva. Papera mazuva manomwe pokushandisa zvinodhaka chipimo chemushonga anogona ngazviwedzerwe 50 MG. Mune ramangwana, kana kuti kurapa haripi mugumisiro, chitsama zvinodhaka ichiwedzerwa nomumwe 50 MG. Kuwedzera uwandu husingakuvadzi rinoitwa kamwe ose mavhiki mashoma. Kufadza zvinobvumidzwa Huwandu zvinodhaka - 200 MG pazuva. Dose handishanduki kakawanda kupfuura kamwe ose mazuva manomwe.

Kana kurapa varwere vezera boka matanhatu kusvika gumi nemasere makore vanofanira kuteerera uremu muviri, kuitira kudzivisa ovhadhozi zviratidzo.

Drug "Serenata" mirayiridzo Chinyorwa rinokurudzira haana kugamuchira varwere havachanyatsogoni hepatic nhego mabasa. Varwere renal insufficiency zvinoda dose kuchinja.

Ko risingazoputsirwi nechisimba kune mapiritsi. Kana uchida kurega kurapa, ipapo ichi zvinofanira kuitwa zvishoma nezvishoma, nokuti mazuva gumi nemana. Chete ichi kana ndingangokuvara caffeine zvichabviswa kushoma. Kana mukawana ucharwadziwa vanofanira kuona chiremba kuti zvakakodzera kurapwa.

Nenjodzi yacho muviri

Rinonyevera kuti kushandiswa kwenguva refu kunogona kukonzera rwakashata zvinodhaka zvinoitwa nhengo "Serenata" mirayiridzo Chinyorwa. Analogs iyi nyaya anogona kutsiva akati zvinodhaka.

Pakati divi migumisiro kubva gastrointestinal midziyo, unogona kuona muromo yakaoma. Taiona vasanyanye kudya, izvo zvisingawanzoitiki nyaya kukonzera neanorexia. Pakati nenjodzi dziri manyoka zvinetso, kusanganisira flatulence, kurutsa dzepanguva, kuda kurutsa, manyoka, uye abdominal kurwadziwa.

Mune zvimwe zviitiko, kushandiswa kwenguva yakareba mahwendefa akanga akanyorwa rakawedzera mabasa transaminases muropa. Mushure abolition zvinodhaka nhamba iyi ikadzoka dzose.

Kubva tsinga wevarwere dzikatambudzwa hope, dzungu, nomusoro, tremor maoko nemakumbo. The varwere chema hope, nokusagadzikana, kuti kwaita Kufunganya, hypomania, havachanyatsogoni Kufambisa nemafambiro uye kutsiga gait. Vamwe vaifunga muutera, extrapyramidal zvirwere.

Kwakavapo dyskinesia, nezvipusha, tsandanyama rinenge kukundikana kuona midziyo. kutyorwa kwakadaro kazhinji yakaitika varwere vakanga nhoroondo zvirwere izvi kana vawana kubva mawa kushandiswa antipsychotics.

Nepo kutora mushonga vaifanira atadze kushanda zvakanaka pamusoro kwemakemikari anobudiswa hurongwa. Vakaratidza kugumbuka panguva ejaculation, ungaderedza chido chokurara, zvaipesana kumwedzi, galactorrhea uye hyperprolactinemia.

Mune zvimwe zviitiko, mushonga "Serenata" (antidepressant) Kutemeswa vangadikitira. Dzimwe nguva, nokuti migumisiro yayo pamusoro muviri zviri uremu, izvo zvisingawanzoitiki zviitiko wakapfuurira neanorexia. Kune vanhu vari panguva kurapwa vachanetseka vavanongogara hyponatremia.

Pakati dermatological zviratidzo vakachengeta akatsvuka ganda, mapundu, kuvaviwa. In asi zvisingawanzoitiki Muzviitiko erythema multiforme.

Zvokungwarira

Notifies kuti harigadzwi mukati mevhiki mbiri pashure discontinuation pamusoro Mao zvinodhaka "Serenata" FIs, mirayiridzo kushandiswa (wongororo vanoti mushonga vachapona mwoyo uye hakubvisi kufunganya). Panguva iyoyowo, Mao FIs havana varumbidzwa kwemazuva gumi nemana pashure discontinuation yokurapa pamwe sertraline. Pane kukwana tsvakurudzo pamusoro kushandiswa kwezvinodhaka pavarwere kuwana electroconvulsive kurapa.

Zvinofungidzirwa kuti varwere vari mwoyo vanogona nguva dzose kuita kuzviuraya. ngozi iyi anoramba kusvikira kuregererwa kwakakwana. Naizvozvo, panguva mwoyo murwere inofanira kuva pasi pedyo zvokurapa achitarisirwa.

Kunyanya kungwarira pamwe Integrated kushandisa mapiritsi "Serenata" uye zvinodhaka mwoyo musimboti tsinga. Mumamiriro ezvinhu murwere anofanira kuongororwa.

Panguva "Serenata" kurapa arangarirwe kuti concomitant kushandiswa kwezvinodhaka chero Mao FIs kunogona dzakakomba zvikuru zvirango uye kukonzera kuchinja yematambudziko siyana, kusanganisira kweserotonin syndrome.

Similar nenjodzi mumuviri pamwe kwadzo zviitiko zvinouraya, akasimuka kushandisa Mao FIs panguva kwemutemo antidepressant kurapa kuti tunodzivisa neuronal uptake pamusoro monoamines. Marwadzo kuitika mushure discontinuation zvinodhaka izvi.

Kubva Integrated kushandiswa FIs anyatsosarudza kuti basa neuronal reuptake kweserotonin, anogona kuva kuomarara, kunyanya kushatirwa, hyperthermia, myoclonus, kuchinja kwepfungwa chinzvimbo, kuvhiringidzika, nokusagadzikana. Tikafunga sertraline uye coumarin kunokonzera kuwedzera prothrombin nguva. Pfungwa apo kutora mushonga anofanira kupiwa vana makore matanhatu.

Rinonyevera kuti zvaisambobvumirwa kunwa doro kana kushandisa "Serenata" gadziriro mirayiridzo (wongororo vanoti mapiritsi anogona kukanganisa chiratidzo).

In kushanda sertraline haisi zvisinganzwisisiki uye malfunctions ose psychomotor mabasa. Pasinei neizvi, co-rokutarisira nevamwe mishonga anogona kukonzera havachanyatsogoni yevasungwa uye kukundikana Kufambisa nemafambiro. Nemhaka iyi, panguva kurapwa, "Serenata" kutyaira motokari uye mabasa yaida mukuru wevasungwa basa haisi inokurudzirwa.

Mari zvinodhaka

Unogona kutenga kunenge kwose chemishonga pamusoro mushonga mapiritsi "Serenata" (antidepressant). Testimonials vanoti mushonga anogona kukonzera nomusoro uye kushaya hope, uyewo kuvhiringidzika nemudumbu. Mari mahwendefa 30, 50 MG - 600 rubles. The mutengo mahwendefa 30 100 MG ari kumativi chiuru rubles.

Drug "Serenata": dzomuzana

Kana mushonga vamwe chikonzero havana kuuya, ipapo chiremba prescribes dzomuzana pachinzvimbo. Rakajairika STRUCTURAL Sevamiririri dzinosanganisira:

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

Izvi uye zvimwe zvinodhaka anogona kutsiva zvinodhaka "Serenata". Analogs havafaniri vakashumira pachavo, pasina kubvunza chiremba, nekuti zvakadaro nzira kunogona kukuvadza utano uye kukonzera zvinoverengeka nemishonga.

Testimonials pamusoro mapiritsi

Medicine "Serenata" (antidepressant) mutengi wongororo wakatsamwisa zvakasiyana chaizvo. Vamwe varwere vari kugutsikana chose pamwe chiito zvinodhaka ichi. Zvinonzi migumisiro pashure unoshandiswa kwakacherechedzwa nezuva kurapwa rokutanga, uye zvakafanira zvakawanda iziviswe kurutivi kuguma vhiki zvabuda. Vanoona kuti mushonga uri munyoro Anti-depressant. Dzekusimudzira, anopa rugare rwepfungwa uye anondimutsa nechido upenyu. Pashure kushandiswa kwayo anoenda mwoyo, kufunganya, kutya uye kusavimba.

The mushonga unobatsira kurapa zvemapapu netsinga. Kunobvisa vhunduka. Varwere dzinoshuma kuti mahwendefa zvichishivirirwa zvakanaka uye kashoma kukonzera nemigumisiro. Vanogona kunwa yakareba kumwedzi, asi pasi pokudzora chiremba. The mushonga yekudyidzana kunonatsiridza mwoyo, kunobatsira kurarama nokuora mwoyo. Kunobvisa kutya, kutya. Zvinobatsira kunzwa havi upenyu.

Asi haugari kubereka akatarisirwa mugumisiro mishonga, "Serenata". Reviews vanhu ava kurasikirwa rakazara kudya, nomusoro, hope nyonganyonga. Vamwe varwere dzinoshuma kuti chinodhaka kwakakanganisa kunokanganisa chiratidzo. Zvingaita kuvhiringidzika kwepfungwa uye murombo Kufambisa nemafambiro. Vamwe varwere kuuya mumusoro kuzviuraya. Kune vanhu pashure mabhodhoro mapiritsi aya chema yakawedzera mwoyo, kunetseka. It akataura kuti mushonga anokwanisa uvhure zvemukati kusanzwa.

Vanachiremba kakawanda kushandisa ichi mudziyo kwavo tsika. Maererano navo, mushonga rinoreva anosunungura antidepressants. Anogona kuwedzera kufunganya uye kuwedzera mamiriro mu mwoyo mwoyo. Mukupera nyaya, vanachiremba vanoti kupa kupfuura imwe antidepressant, ane kunyaradza zvikuru. Yeuchidza yangu varwere kuti kusarudzwa ane antidepressant chinotarisirwa mumwe murwere nomumwe, uye kuti zvakabatsira mumwe, anogona kuitwa pasina mumwe.