Ko te tarukino "Citalopram": arotake o ngā tākuta

Pēhea te pai te rongoā pērā i "citalopram"? Reviews o tākuta e pā ana ki tenei hua rongoa whakaaro i roto i te rauemi o tenei tuhinga. Ano, whakarato reira mōhiohio e pā ana ki te mea ai ngā pānga taha, ka mea tikanga, me pehea ki te whakahaere i tona fariiraa tika o te mea pharmacodynamic āhuatanga roaa te reira.

Composition, whakaahuatanga o te raau taero, tona āhua me te tarapēke

I roto i te aha puka e taea te hoko rongoā "Citalopram"? Mua mea e te mekameka whare kēmihi ko te taputapu hokona i roto i te puka pire lenticular me āhua porowhita, hipoki ki te paninga kiriata ma. Te motu ripeka tenei rongoā he apa roto paku kowhai.

He aha te tikanga "Citalopram" tarukino? Tohutohu, Kua korerotia arotake e te whakauru kaha o te tarukino ko te taonga o te taua ingoa - citalopram, aroaro nei i roto i te puka o te hydrobromide. Ki te whakaaro ki te wāhanga pŭpŭ tauturu, e whakamahia rite microcrystalline cellulose, māngaro pregelatinized, me stearate konupora.

Me mahara hoki käore te reira e tenei kaihoko kiriata paninga tënei o polyvinyl waipiro, Opadry II, macrogol, talc me Titanium hāorarua.

I roto i te hoko i titiro tomo te tarukino te pūtau aratau hanga o pvc konumohe ranei, e kua tākai i roto i te pouaka i hanga o te pepa.

āhuatanga Pharmacodynamic o raau

He aha te mea te tarukino "Citalopram"? Reviews mea e ko he raau tenei. e pā ana tōna tikanga o te mahi i te pehanga o (whiriwhiri) serotonin reuptake takawaenga reira i roto i nga synapses o nga ngā pūtau io, me te iti pānga i runga i te reuptake o neurotransmitters dopamine me norepinephrine. Me kï reira e kore e te taputapu whakaatu i te kaha ki te tauhohe ki te momo o receptors (ki etahi serotonin, dopamine, H1-histamine, adrenoceptors, receptors m-cholinergic, receptors Kepa me receptors benzodiazepine).

E kore e taea e tatou te mea e te tarukino "citalopram", e rārangi arotake o e raro, e tauturu te reira ki te whakapai ake i te tūāhua o te manawanui, Kōpeke manukanuka, te whakaiti manukanuka, ahotea, faaore dysphoria, me relieves hairiiri. I tua atu, tata kore ia ai te pānga soporific.

E ai ki nga tohunga, he pānga pūmau o tenei tarukino kitea i muri i 7-10 ra i muri i te whakamahi tonu.

medicament kaha Kinetic

He aha te āhuatanga o te pharmacokinetics o te tarukino "Citalopram"? korerotia ngā urupare e puta tona kukū tihi o te taonga kaha i roto i te toto i roto i wha haora i muri i whakahaere. He rārangi nga huringa i roto i tona taumata.

Ko te bioavailability o te tarukino huarahi 80%, me te here ki te pūmua wē ko 79%.

I roto i te toto o te citalopram he reira i roto i tona ahua taketake. puta ana tēnei taonga e piti hāora, demethylation me deamination. Ko te hawhe-ora o tenei wae ko 1.5 ra. I whakatahia ia ki te mimi me te i roto i te wahi intestinal.

Tuhinga whakahaunga raau

He aha te mahi e hiahia ana matou he taputapu pērā i "citalopram"? Reviews o taote mea whakaaturia te tarukino te ki fariiraa i:

• mataku whakararuraru;
• wāhanga fakalotofo'í o nui, me te āhua.

Me mahara hoki käore te reira e whakahau tenei rongoā kia anake kia he ngaio mātanga.

Contraindications ki ti'araa tarukino

I raro i te mea e kore e taea e tikanga te whakamahi i te tarukino "Citalopram"?

Reviews tohu nga contraindications e whai ake nei ki te whakamahi o tenei rongoā:

• tau o manawanui iti (rite ki te buka haapiiraa, te haumaru me te aonga o enei papa i roto i tenei tau e kore i whakapumautia);
• tūtohutanga High o te manawanui ki citalopram, me tetahi o ona matū ngaahi houalotú rite;
• i te fariiraa i ki inhibitors o monoamine oxidase tae atu moclobemide, selegiline, linezolid (i roto i te rua wiki i muri i korenga atu o ratou whakahaere);
• i tango taero QT roa te wā o te ECG (s tae pimozide) me te roa congenital o te wā).

Raau "Citalopram": tohutohu mō te whakamahi

tautohe tohunga te āheinga kia hoatu e whiriwhiria te tarukino, i te huru o te manawanui rānei. "Citalopram" tangohia waha kotahi te ra. e kore te kupu e kokokiko, papa, a horoi ki te nui iti o te wai ki raro.

Ka taea te whakamahi i tēnei rongoā i tetahi wa o te ra ahakoa o te kai (he pai i te wa ano).

A, no te haamata korekore therapy ki te fariiraa 20 mg ia ra. I runga anō i tauhohe whaiaro o te manawanui me te te pakeke o te korekore, ka taea te nui haere te inenga ki te mōrahi, i.e. ki pā ana ki 40 mg ia ra.

Ka rite ki ki aitua te whakararuraru, kia tangohia rongoā "Citalopram"? mea tūroro Reviews e i roto i tenei take i homai te tarukino kaha kei roto i te horopeta o te 10 mg ia ra (hoki te 1 wiki), a ka kua nui haere te reira ki te 20 mg ia ra. Ko te kupu, ko te horopeta rā o te tarukino e taea whakawhirinaki i runga i te whakautu manawanui whaiaro. I muri kia kia nui haere te nui i runga o te tarukino ki 40 mg ia ra.

Tangata pakeke atu i te 65 tau o te tau "Citalopram" whakaritea i roto i te horopeta o 10 mg. Tei runga i te pakeke o te korekore me te whakautu takitahi, kia nui haere ai ki te mōrahi o te 20 mg ia ra.

A, no te waimaero tākihi mahi, tae atu täkihi ma'i i te natura āhua me te pakeke o te ngoikore, e hiahiatia ana te tikanga whakatikatika o te talena dosing te. Hoki te hunga ki nui āhua iti hoki tākihi titau tiaki motuhake i roto i te kōwhiringa o te horopeta whakaora.

A, no te waimaero ate mahi, tae atu kore ate ki āhua, me te ngawari, te inenga tuatahi o te tarukino ko 10 mg rā (mo te 2 wiki tuatahi). I runga anō i tauhohe whaiaro, e taea te nui haere te reira ki te 20 mg. Tangata ki kino āhua iti hoki ate titau tiaki motuhake i roto i te kōwhiringa horopeta.

Iwi ki te mahi iti o te isoenzymes rite CYP2C19, he inenga tuatahi ko 10 mg ia ra (hoki 2 wiki). Tei runga i te whakautu takitahi, e taea te nui haere te reira ki te 20 mg.

E ai ki nga tohutohu, he kitea i muri i 2-4 wiki kē te pānga haumanu i muri i whakahaere o te raau kaupapa. I roto i tenei take, i whakaritea te roanga o te akoranga o te therapy e te huru o te manawanui me te tolerability o te maimoatanga. Tikanga, tūtohutia te tarukino te ki te tango e pā ana ki 6 marama.

Whakakore medicament

He aha te iwi e mea e pā ana ki te mea tauhohenga puta i te mutu koi tango taero, "Citalopram" arotake? Ko wai ka mau i tenei taputapu, te reira ta e tohu puta i muri i kore he angamaheni te mutunga ohorere o te whakamahi o tenei rongoā. Nuinga o ngā wā, pūrongo tūroro ngawari whanoke, whakapairuaki, rohirohi, ānini, ohoroa, paresthesia, pau te, ruaki me tremors.

Ko te kupu, i te otinga o te maimoatanga i te taputapu e whakakahore reira māmālie, i runga i te maha o ngā wiki. Tenei ka tukua tūroro ki te karo i ngā tohu withdrawal. Ka rite ki te tikanga, he rawaka ki e rua wiki i te reira, ahakoa i roto i ia take kia whakaritea te pātai i te tākuta i runga i te pūtake takitahi. Na, mo etahi iwi kia tango ai 3 marama, neke atu rānei.

tauhohe kino i muri i tango raau

He aha te momo o tauhohe kia mōhio o te huru ino o tūroro, i mua i te tango i te rongoā "Citalopram"? Reviews e pā ana ki te pānga taha e mea e, pera i roto i te take o te whakamahi o ētahi atu rongoā SSRI, i runga i te whakamārama o "Citalopram" tūroro e kitea ano pānga houhou. Heoi, kia tuhia te reira e he tino ngoikore katoa o ratou, a he rangitahi.

Ko te tikanga, ngā kino e whai ake whakahaere o te tarukino kaupapa kitea i roto i te 2 wiki tuatahi o te therapy. I te wa ano e ratou nui ngoikore ki te whakapai ake o te huru o te manawanui.

Na, "Citalopram" Ka taea e meinga pānga taha pērā i:

• tūtohutanga High, rōpū,, tauhohe anaphylactic, ānini, manukanuka, depersonalization, heke libido, mate wareware;
• fakaaoao, takahi o orgasm i roto i nga wahine, mania, moe ke, manukanuka, whakaaro suicidal, whakama, whanoke;
• te momoe, tremors, kukū waimaero, rōpū,, moemoea, haehae;
• euphoria, mate extrapyramidal, migraine, toto, nui haere libido;
• whakapairuaki, toto gynecological, paresthesia, ruaki, palpitations, serotonin syndrome, mataku patua, disorders moe, bruxism, bloating, lethargy, korere;

• akathisia, toto gastrointestinal, takawhita, mangai maroke, tachycardia, dyspnea, kōroke, bradycardia, mamae puku, mare;
• waea i roto i te taringa, kakā, hypotension orthostatic, Rhinitis, reka ngangau, pēhanga toto iti, raruraru ataata, arrhythmia, ejaculation whakararuraru, pakohu kakā, ngangau o noho, galactorrhea, pōrearea fakasekisualé, heke hiahia, hyponatraemia;
• mate taimaha, polyuria, nui haere te hiahia, bruising, secretion takarepa o ADH, huringa i roto i te hiko-, ponana kiri, alopecia, taimaha taonga, edema angioneurotic, hypokalemia, urination mamae, apohia e;
• photosensitivity, nui haere sweating, nui ake te mōrea o whara me piere, urticaria, pyrexia, te purapura, myalgias, puare noa, arthralgia me etahi atu.

Kēhi o tuwhena rawa tarukino

Drug "citalopram", analogues o nei e rārangi ana i raro, ka taea e meinga nga tohu e whai ake nei o te tuwhena rawa: tremors, haehae, ruaki, tachycardia, te momoe, tauira dilated, bradycardia, hypotonia, ranei takawhita, whakapairuaki, cyanosis kiri, serotonin syndrome, poraka peka paihere, rōpū, , whanoke, iti hoki cardiac, hiamoe, hyperventilation, sweating, arrhythmia ventricular, arrhythmia Atrial, pōroa.

taunekeneke tarukino

Whakaaro he tikanga o āhua pai ki ētahi atu rongoa. Na reira, contraindicated tona tahi-whakahaere te ki te āpiha e whai ake nei:

• inhibitors Mao (kia whakawhanake ngā pānga taha nui, tae atu ki te serotonin syndrome).
• Drugs roa te wā QT (taea arahi ki te rangirua o te manawataki ngakau, e te mutunga e kia mate).
• "Pimozide" (pea tawharara QT wā).

Me mahara hoki käore te reira e taea te tahi-whakahaere "Citalopram" ki ētahi atu taero whakaiti i te paepae ärai. I roto i te tua, e kore te mea e minaminatia tenei tarukino ki ngā ki āpiha serotonergic, ngā rongoā kei roto marou marou o St John, anticoagulants autaki, "warfarin", waipiro, desipramine.

raau taero rite

He aha te mea whakaaro analogues rongoā? I te mea pai? "Citalopram"? mea Reviews e taea te whakakapi i te raau taero i te rongoa e whai ake nei: "Paxil", "cytological" "pčpi,", "Sedopram", "Oprah", "Umorap", "Siozam", "Tsitalorin" "Cipramil", "Tsitalek" "Tsitalift", "Tsitalon". kia katoa o enei moni kia hoatu anake te tākuta mātanga.

Tino maha tūroro hiahia i roto i te pātai o te mea te mea pai: "Citalopram" me "Paxil"? pūrongo tohunga Reviews e he nui atu whai hua atu i te rua o te tarukino tuatahi. Me mahara hoki käore te reira e te pānga taha e puta i muri i tono o te "Paxil", he nui ake korerotia. Na reira, tūtohu te nuinga tākuta te whakamahi i te reira "Citalopram".

Pregnancy me te uma

e kore e mea raau kia whakahaerea ki hapu wahine me te u,. Ko te whakamahi o tenei tarukino i te toru o nga huatū kia whai i te pā tōraro i runga i te whanaketanga psycho-tinana o te tamaiti. E hoki nga maumaui e whai ake nei ka taea: cyanosis, mate romahā, suka, hāhā o te manawa, ruaki, haehae, faaati, te pāmahana tapepe, pau te, kai uaua, irritability, uaua takawhita, ohoroa, hyperreflexia, tamau karanga, lethargy, te momoe.

Raau "Citalopram": arotake

A, no te whakaritea te tarukino IBS te ki te tūpato tino. Ko e tika ana ki te meka e taea e tona whakarite exacerbate te uaua, me te pera huru o te manawanui tenei.

He aha ta ratou e mea e pā ana ki te hakari kiritaki tikanga? He maha tūroro korero e pā ana ki te maimoatanga angitu putanga "Citalopram" tarukino. I muri i tomokanga o therapy, kua rawa hohoro ake ratou ahua aronganui. Heoi, etahi kaiwhakamahi titau e hua haumanu kihai i ratou tatari, kua meinga mai te tarukino whanaketanga o te maha o ngā pānga taha.

Ka rite ki mo nga tākuta, tautohe hoki ratou e "Citalopram" raau ko te tikanga tino pai, me te whai hua, engari anake i roto i te wā i reira e kore e he reira hāngai ki te whanaketanga o ngā pānga taha. Na reira, tamata maha tākuta ki te whakahau i tēnei rongoā anake i roto i te wā tino me i pota iti. Ki te i roto i te wiki tuatahi o te maimoatanga Kua tāutuhia kahore tauhohe kino, ka maimoatanga ki tenei tarukino tonu ki etahi hua i roto i tona horopeta (ki te tika).