Analogs "agomelatine", ukuqhathanisa yabo kanye nokubuyekeza

Ukucindezeleka - isimo okungathí sina okudinga imithi yokwelashwa. Ngeshwa, izigameko zalesi zokugula muva eliphezulu kakhulu, futhi ngenxa yalokho ukufuneka kwamakhambi anjalo izidakamizwa iqembu njengoba antidepressant, okwandisa njalo ngonyaka.

Kungani antidepressant?

Ingcindezelo esisheshayo futhi endogenous. Esimweni sokuqala sikhuluma zasabela kanjani ukucindezeleka okunzima, iyiphi umfutho kwangaphandle. Psyche womuntu ngezinye izikhathi uyakwazi ngumnikazi noma usebenzise kuseshini lo owelapha ukuze unqobe lo isifo. ukucindezeleka Endogenous unezizathu yangaphakathi, okungukuthi ukungalingani ama biogenic kukhona serotonin, norepinephrine, i-melatonin, futhi Dopamine. Lapho iyiphi yalezi neurotransmitters alwanele, kancane kancane ucala kutfutfukisa ukucindezeleka. Futhi ubhekane naso angayisusa Amine imithi kusilela ulahlekile.

Ngakho, bonke antidepressant zihlukaniswe amaqembu, ngamunye esebenza njengendlela wabuyisela neurotransmitter ezithile. Ukulungiselela uqobo kanye analogue "agomelatine" libhekisela eqenjini le-serotonin antidepressant, okusho ukuthi isithako kwala magciwane ikhuthaza ekuqongeleleni ketshezi ebuchosheni futhi kuvimbela nciphisa yayo futhi ezivimbela reuptake.

"Agomelatine" - izimpawu

Analogs "agomelatine" ebekwe udokotela emva ukuthola zokucindezeleka. Izimpawu ezisemqoka ukungakwazi eziphikelelayo ukuzwa imizwelo eyakhayo futhi zonke izibopho eziphuma ngalesi simo: umuzwa zokudabuka, isifo, ukucasuka. Ngezinye izikhathi, iziguli nokucindezeleka bangase balahlekelwe ngokuphelele ikhono asinde noma yimuphi, ngisho nemizwelo emibi, uzizwa nandaba ephelele konke. Futhi ngezinye izikhathi kunezindlela ifomu ukuphathwa kwabathintwayo zokucindezeleka, kuba ukubonakaliswa izimpawu ngokusebenzisa izifo ezingokomzimba. Ngokwesibonelo, isiguli ingase ikhononde we abangenangqondo ubuhlungu, nakwisyncope, ukuqwasha, ukukhathala, kwehle nesithakazelo sobulili.

Udokotela inquma izimpawu ukuthi uhlobo olunjani antidepressant kufanelekile kuleli cala. Futhi uma kukhona isidingo ukwandisa inani serotonin analogue okunqunyiwe "agomelatine". Isicelo kunikeza nomphumela obonakalayo njengoba ekuseni njengoba izinsuku zokuqala yokwemukela: omunye uqala ukuzizwa ekuqhumeni amandla, isimo esinye isithuthukisi. Kodwa ukuthatha izindlela ezidingekayo ezinyangeni ezimbalwa. Kuyaphawuleka ukuthi analogue "agomelatine", ngokungafani nezinye antidepressant musa kuthinte libido.

Buhle ukulungiselela incane engemihle. sizole ifakiwe kuphela wobuthongo ukujula, emini umuntu ukuthatha "agomelatine", analogue, esikhundleni abahlangani ukucobeka.

Nokho, kukhona eziningi contraindications lapho phezu izindlela ethola kufanele uyekwe:

• kweminyaka eyi-18;
• ukwelashwa nabanye antidepressant;
• ukuhluleka hepatic;
• Nokukhulelwa kanye lactation;
• zokungezwani ne-lactose;
• ukungabekezeleli agomelatine.

umphumela cishe babe analogue "agomelatine" amaphilisi, okuyinto ingatholakala ngezansi.

"Azafen"

"Azafen" has a ingxenye esebenzayo ehlukene, kunokuba "agomelatine", kodwa kungokwalowo kweqembu elifanayo izidakamizwa, futhi indlela efanayo senzo. Kodwa uma "agomelatine" kuyinto ukwazi ukubhekana ezinzima sokucindezeleka ke "Azafen" sibonisa abantu abanesifo sokucindezeleka okuncane.

Buhle ukulungiselela uphansi yayo, uma iqhathaniswa 'agomelatine ", intengo, ngokwengxenye ngenxa ekwakhekeni Russian. Ngaphezu kwalokho, phakathi Izimo akukho ingozi ukufiphala ngokungafani imithi kakhulu ekwelapheni ukucindezeleka. Futhi kusho sazibonakalisa ekwelapheni izifo futhi bacindezeleke e seziguli ezithola utshwala.

"Neyroplant"

Itholakala izidakamizwa "agomelatine" nozakwabo isiJalimane, imithi ejwayelekile, kumele kulekelelwa esebenzisa "Neyroplant". It has a Ukwakheka ezimibalabala, okusho kungokwemvelo ngokuphelele. The main isithako kuyinto akhiphe wort iSt John sika, okuyinto ngomusa kususa kusukela neNkabazwe. Ngokungafani wort iSt John sika injalo zemvelo, akhiphe has a ekwakhiweni kanzulu xaxa futhi umthamo ithebhulethi ngamunye, esingenakubalwa etholwe ukuphuza herbal esenziwe ngesitshalo noma tincture.

Uma sicabangela izidakamizwa "agomelatine" nozakwabo ekhona, le ukubuyekezwa kwe-"Neyroplante" kuyoba ogxile omuhle. Lokhu kungenxa yokuthi i-izidakamizwa ayinayo imiphumela eseceleni. Izimo ethola izindlela kuphuma hypersensitivity ukuze inhlama St John sika noma Ngaphambilini umake iguliswa imithi engamakhambi.

"Venlafaxine"

izindlela Iyatholakala "agomelatine" imfundo manual, analogue zazo izincwadi esizifundayo, uthi main asebenzayo izidakamizwa imfuyo okuthiwa agomelatine. Ingqikithi efanayo njengoba ingxenye main futhi has kusho "venlafaxine".

Sebenzisa "venlafaxine" is hhayi Kunconywa uma iziyo futhi semithambo kanye iziyaluyalu esisindo: ukuntula yayo liphinyiselwe noma ngokweqile. Buhle omuthi eziphansi. Ngenxa umthelela ongemuhle zomuthi phezu isimiso semithambo yegazi ke akudingekile ukuba enze abantu abaphethwe i-glaucoma noma enengcuphe enkulu yentuthuko yayo, isibonelo, ngenxa ufuzo.

"Melitor"

French elwa nokudangala "Melitor" kuboniswa iziguli ezinokuphazamiseka bacindezeleke, uma isiguli ingeyona iqembu labantu asebekhulile, abesifazane abakhulelwe kanye lactating, kanye kokuba umlando komqondo. Isiyazanywa ngomphumela izidakamizwa akuyona olwenziwa, ngakho ukuba akhulume 'Melitora "Ukuphepha kuyinto engenakwenzeka kulesi sigaba sama-abantu.

Izibuyekezo iziguli ukuthatha izidakamizwa, bathi kahle eliphakeme amanothi yayo in iziyaluyalu bacindezeleke of okuncane zaba namandla kakhulu. Ikakhulukazi, umuthi ibonakaliswa ngempumelelo njenge-ejenti ukukhalima, isib, ngemva ukucindezeleka okukhulu. Yiqiniso, lokhu zokuvimbela kufanele zenzeke emva udokotela futhi belawulwa nguye.

"Paroxetine"

Lapho belungela ukuya khona "agomelatine", yokusetshenziswa okufanele uzifunde ngokucophelela ngaphambi kokuqala, kukhona imithi ejwayelekile ukuthi abe nomphumela antidepressant ngu antianxiety imiphumela. "Paroxetine" libhekisela izidakamizwa ezinjalo.

Kusho wabonisa ukuze isetshenziswe ekwelapheni ukucindezeleka elafika ngokumelene isizinda ukucindezeleka okunzima noma izinkathazo eziningi ezingapheli. Kulokhu, lesi sidakamizwa kunomphumela eziyinkimbinkimbi Ngakolunye uhlangothi, it iqeda imbangela yokucindezeleka, ngakolunye ke aqede izimpawu futhi ikhuthaza ukuphulukiswa.

"Sertraline"

"Sertraline" - i antidepressant, izinkomba ukusetshenziswa okuyizinto: ukucindezeleka, uvalo disorder, ngemiphumela ukucindezeleka okunzima. Umuthi has ezingeni lelisetulu nekghono. Kodwa, ngesikhathi esifanayo, it has a uhlu olude imiphumela engemihle zomzimba ahlukahlukene: zenhliziyo, mzimba, wokugaya ukudla, kwemizwa, zokuphefumula futhi urogenital.

Esimweni ukuthi isidakamizwa kahle ikubekezelele nesineke, uveza umphumela omuhle zokwelapha. Uma umuntu uthi yansukuzonke Yiqiniso zokucindezeleka, ithuluzi ingasetshenziswa njengendlela prophylaxis ngemithamo emincane.

"Agomelatine"

Echaza lesi sidakamizwa "agomelatine" imfundo on isicelo ikuvumela ukuba uthole analogue we ketshezi esebenzayo. "Agomelatine" Ukwakheka ezinjalo, ngakho umphumela izidakamizwa has "Agomelatine." Ngezinye ukucindezeleka ngokulinganisela ebonakalayo ngcono umphumela kwenzeka ngemva kwamasonto amabili yokwelashwa.

Phakathi nezifundo ezikhethekile wembula ukuthi nekusebenta "agomelatine" cishe kuyafana nalokho kwezinye antidepressant ngezithako efanayo nomphumela. Nokho, it is adluliselwe ku-oda ezidlula kangcono. Iziguli iqhaza kulolu cwaningo, kwakukhona isiyezi kancane, isicanucanu futhi ngokocansi ukungasebenzi sici antidepressant.

Indlela ukukhetha izidakamizwa?

Ukukhetha uhlobo izidakamizwa, "agomelatine" (yokusetshenziswa, ukubuyekezwa, analogue zazo sisuke sicabanga), udinga ukuba acabangele iseluleko udokotela. Ngamunye izindlela ezichazwe has a degree ezahlukene kwethonya umzimba, ngakho udokotela ukukhethela izidakamizwa esekelwe isimo lesiguli. Easy sokucindezeleka kudinga ukulungiselela nge lokuhlushwa isithako esisebenzayo, ukucindezeleka okukhulu - kwenye.

Ngaphezu kwalokho, yonke imithi ngenhla zingafani inani nobukhali engemihle. Uma isiguli sine- pathology ukuphathwa kwabathintwayo, bese uhlobo oluthile ukukhululwa antidepressant, efana "agomelatine", ingase contraindicated.

Qonda izidakamizwa kuyakhethwa kahle noma cha, angaba ngu-2-3 emasontweni kusukela ngosuku kokuqala reception. Ukuphumelela ezinye izidakamizwa kubonakala kakade 3-4 ngosuku ukulaliswa esibhedlela. Uma umuntu phezu kwalesi sikhathi wazizwa ngcono, umuthi okufanele zithathwe ngokuhambisana udokotela enquma, mayelana 6 izinyanga, elokhu enciphisa umthamo yokukhansela bushelelezi.

Kubalulekile ukwazi ukuthi phakathi yesibili yokwelashwa nge antidepressant isikhathi yokwemukela yabo ngokuvamile kuyakhula. Ngakho-ke kubaluleke kakhulu ukuba ukuqeda ukuthatha ilungelo ukuze ugweme kokwehluleka.

Lapho ekhetha "agomelatine" esiyingqayizivele kubalulekile ukucabangela izindleko. Ukuze, kumelwe ukhethe intengo afanele izidakamizwa nokusetshenziswa nokunwetshiwe kwezimali akazange hit ngesabelomali.

izincomo Jikelele yokwamukelwa

Uma udokotela uye enqunyiwe "agomelatine" noma omunye analogs yayo, odinga ukukwazi mayelana amathiphu kukunciphisele engemihle.

Emavikini amabili okuqala ethola imiphumela engemihle kungenzeka, kungakhathaliseki ukuthi izinyathelo zokuphepha. ngokuvamile zinyamalale bebodwa.

"Serotonin" antidepressant zinezikhathi ukwanda amandla, ngakho ukuthatha kangcono ekuseni kubo. Kulokhu, ekuqhumeni amandla ngeke kukwenze ukwethuka. Ngu rush ntambama amandla kancane kancane isiphelile, bese ukulala ukuphazamiseka ingekho.

Ukuze ugweme imiphumela engasi mihle antidepressant, kufanele uxoxe nodokotela wakho ukuhambisana zomuthi akhethiwe nezinye izidakamizwa, ngisho noma kuyinto amaphilisi ezinhlungu, amavithamini noma Izithako zokudla.

Kunconyelwe phakathi "serotonin" antidepressant ukuthatha utshwala. Kufanele uqaphele nge amalungiselelo ngesisekelo isitshalo. Ngokwesibonelo, ezivamile itiye ukumnika noma Hypericum ginseng kungase kuthuthukise izenzo antidepressant, okuyinto kuholela nemiphumela engemihle noma ukweqisa izidakamizwa.

Lapho uthenga imithi ku-long Yiqiniso kubalulekile ukuba banake impilo eshalofini wonke amaphakheji zomuthi. Thatha ngisho antidepressant isikhathi kancane akuvunyelwe nakancane.

Angaphansi kwemithetho ngenhla unikeza isiqinisekiso exhunywe analogue izidakamizwa "agomelatine" imfundo uzophinde yamukelwe umzimba ngaphandle nemiphumela ebuhlungu, futhi sizoqinisekisa kanjani ukubhekana nalesi sifo, efana ukucindezeleka.