ImpiloAmalungiselelo

"Cymbalta": yokusetshenziswa. Ukubuyekeza, amanani, izinkomba

Namuhla sizokutshela ukuthi umuthi "Cymbalta." Yokusetshenziswa zomuthi, ukubunjwa yayo, imiphumela emibi, futhi ukufundwa uzobe kuchaziwe ngezansi. Futhi kusukela sihloko okufakiwe, uzofunda mayelana kwindlela izidakamizwa luyatholakala, ibiza malini, kungakhathaliseki ukuthi unesikhathi contraindication nokuthi ukusisebenzisa kahle.

ukukhululwa Ifomu

Ngayiphi ifomu kungaba ukuthenga izidakamizwa "Cymbalta" imfundo okuyinto ebiyelwe iphakethe? Okwamanje izidakamizwa kuphela ikhishwe ngendlela amaphilisi enteric. Ngamunye equkethe zithutha, okuyinto abe nombala omhlophe noma lemicu empunga elinamathela othini emhlophe.

isidakamizwa

Yini izingxenye kuhlanganisa izidakamizwa "Cymbalta?" Yokusetshenziswa amaphilisi uthi isici yabo eyinhloko asebenzayo kuyinto duloxetine izidakamizwa. Kufanele kuphawulwe ukuthi isakhiwo se-nomuthi kubhekwe futhi kuhlanganisa izinto ezengeziwe njengoba sucrose, hypromellose, talc, succinate, colorant ezimhlophe, acetate hypromellose, ama-titanium dioxide, triethyl citrate, gelatin, sodium lauryl sulfate yellow yensimbi oxide sombala.

Amaphilisi Abonayo ingaqukatha 60 no-30 izidakamizwa mg. Agcwele e amabhamuza 14 noma 7 amaphilisi. Ngo elinye ibhokisi iphakethe kungaba 1, 2 noma 6 amabhamuza.

izici kwemithi zomuthi

Uyini umnyombo asebenzayo ezifana duloxetine? Yokusetshenziswa amaphilisi okwelapha sithi oyibamba ezifana izidakamizwa nge-elementi wathi kakhulu antidepressant ezinhle. Kuyinto inhibitor we reuptake ka norepinephrine kanye le-serotonin. Yena wavuma kuvimbela Dopamine abatholako futhi akukho ziyezwana ukuba Dopamine, histamine, futhi ama-receptor adrenergic holino-.

Duloxetine kanjani? Umhlahlandlela uqukethe ulwazi olulandelayo ngale ndaba: isimiso isinyathelo we ketshezi kuyinto ekuvimbeleni reuptake ka norepinephrine kanye le-serotonin. Ngenxa yalokho, kakhulu kwandisa noradrenergic futhi serotonergic neurotransmission e isimiso sezinzwa. Kufanele kuphawulwe ukuthi duloxetine ngokushesha ukucindezela ubuhlungu.

Pharmacokinetics zomuthi

Ukwakhiwa kwe-ukucindezeleka we "Cymbalta" matasa kusukela ipheshana emathunjini, ukumuncwa iqala emuva kwamahora ambalwa kusanda abaphathi. Ubuningi esiphezulu kufinyelelwa ngemuva kwamahora 6. reception ngesikhathi esisodwa ukudla akuphazamisi okuhlushwa kwandisa isikhathi ukufeza amahora 6 kuya ku-10. Ochwepheshe bathi lokhu ngokungaqondile kunciphisa sezingeni ukumuncwa (11%).

Yokubopha zemithi plasma amaprotheni siphakeme ngokwanele futhi ifinyelela ezingaphezu kuka-90%.

Impilo kwesigamu umuthi amahora 12. Ngesikhathi esifanayo uyaphuma umchamo njengoba metabolites.

Ngokocwaningo olwenziwa, kukhona umehluko phakathi izinqubo pharmacokinetic ezenzeka besilisa nabesifazane. Ngakho, imvume isilinganiso isithako esebenzayo ngezansi ubulili bubuhle. Nokho, umthamo ukulungiswa akudingekile.

Kufanele kuphawulwe ukuthi umehluko phakathi izinqubo pharmacokinetic ezenzeka ezigulini esezikhulile futhi oseqinile Kwamiswa ngesikhathi uphenyo. Yembula ukuthi inxenye ukuphila zomuthi lingaphezulu kwasebekhulile kuka abantu abasha. Ayikho ukulungiswa Isikali kungadingeki noma.

In iziguli nesifo esingamahlalakhona kwezinso ku esiteji esibulalayo, abaku- isebenzisa umshini wezinso, lokuhlushwa ukusebenza AUC ka duloxetine inyuka nakanye izikhathi 2. Yingakho kunconywa ukuba sicabangele sekufanele awushiye yokunciphisa Isikali zomuthi in iziguli ukungakhuli ezinzima umsebenzi so-renal.

Iziguli izimpawu yokwehluleka kwesibindi engabambezela umzimba nokuqeda isigamu-ukuphila duloxetine.

Izinkomba ngoba ukusetshenziswa kwezimali

Lapho prescribers "Cymbalta?" Yokusetshenziswa zihlanganisa uhlu olandelayo ukufundwa:

  • sikashukela peripheral ubuhlungu ukuma;
  • ukucindezeleka futhi bacindezeleke uthi;
  • Ukukhathazeka Okuvamile;
  • ubuhlungu chronic syndrome zemisipha, kuhlanganise nalezo okubangelwa fibromyalgia ne-osteoarthritis.

Izimo ukusetshenziswa kwezimali

Uma ungakwazi ukuthatha imithi "Cymbalta?" Yokusetshenziswa zihlanganisa uhlu olandelayo Izimo:

  • isicelo ngesikhathi esisodwa inhibitor elinamandla isoenzyme CYP1A2 (isib enoxacin, ciprofloxacin noma fluvoxamine);
  • ukuzwela Ukwandiswa ukuba nesineke kusho izingxenye;
  • izingane ezingaphansi kweminyaka engu-18;
  • lokumamukela besikhashana nge Mao inhibitor;
  • unomfutho wegazi ophakeme kuyinto engalawuliwe;
  • uncompensated Ukuvalwa ukufiphala;
  • ezinzima ezingamahlalakhona ukwehluleka kwezinso (nge-CC engaphansi kuka-30 ml / iminithi);
  • ukuntula isomaltase noma saccharase, malabsorption zikashukela-galactose futhi fructose ukungabekezelelani;
  • izifo zesibindi ukuthi ahambisana esingamahlalakhona hepatic.

kumele kusetshenziswe ngokuqapha izidakamizwa Lapho

Kufanele kusetshenziswe wathi ngokucophelela izidakamizwa e-bipolar disorder ne-mania, Ukudlikizela osengozini yokuhlaselwa isifo engela-Ukuvalwa glaucoma. Futhi, ukunakekelwa kufanele kuthathwe nomfutho wegazi ophezulu lapho ocular, ecabanga ukuzibulala hyponatremia, isibindi nezinso.

Izidakamizwa "Cymbalta": yokusetshenziswa

Intengo kwalo mkhiqizo kuphezulu kakhulu. Nokho, ukusebenza kwalo akukho kuncike kokungabaza.

imithi Kwethulwa ezinqunyiwe kuphela abaphathi ngomlomo. Amaphilisi kumele kugwinywe lonke ngaphandle ukuchoboza noma ukuhlafuna kubo. Kufanele kuqashelwe ukuthi kunoma yisiphi isimo ayikwazi ukwengezwa emuthini noma ukudla uhlanganise it nanoma uketshezi, kusukela isenzo esinjalo esingabathinta kalula ukulimaza enamathela enteric.

Ukwakhiwa kwe-ukucindezeleka kufanele ezithathwe umthamo kokuqala mg 60 kanye ngosuku. Ukuze kuzuzwe imiphumela emihle ezinye iziguli ukwandisa inani wathi umthamo esiphezulu mg 120 kabili ngosuku.

Iziguli unesifo ukwehluleka kwezinso, okuyinto eyenzeka ngo-esigabeni esibulalayo, umthamo kokuqala nomuthi 30 mg kanye ngelanga. Uma iziguli isibindi ukungasebenzi, lemali wabonisa zomuthi Kunconywa ukuba wehlise noma ukunciphisa kaningi reception.

Kufanele kuphawulwe ukuthi ukugwema ukuhoxiswa ngokuzumayo ethola nomuthi. Inani izidakamizwa labanti ladzingekako kute kuncishiswe amasonto kancane kancane phezu 1-2. Uma ngabe le ngemuva, kukhona izimpawu evelele yalesi sifo, kutuswa ukuba uqhubeke nokwelashwa e umthamo okhethiwe. Ngemva kwalokho, udokotela angase aqhubeke wehlise umthamo, kodwa kancane kakhulu.

amacala ukweqisa izidakamizwa

Yini ochwepheshe abathi mayelana amacala izidakamizwa ukweqisa izidakamizwa, "Cymbalta?" Uphenyo odokotela aqukethe ulwazi ukuthi idatha efana nale ukuthi itholakale kubo. Kuze kube manje, kukhona amacala ukweqisa izidakamizwa by ukungenisa isidakamizwa e isamba ukufika ema-3000 mg, futhi uma kuhlangene nezinye ejenti. Phela, fixed kanye ukufa komuntu oyedwa.

Izimpawu ukweqisa izidakamizwa noma ekhishwe inyumbazane kuhlanganiswe zihlanganisa isimo elandelayo: Ukudlikizela clonic, somnolence, ukuhlanza, ikhoma, serotonin syndrome ne tachycardia. Njengoba ucwaningo preclinical (ukulinga izilwane), izimpawu eyinhloko ubuthi elihlobene ne engalawuliwe eyamukelayo nomuthi, lezi zinkinga izinhlelo sezinzwa futhi wokugaya ukudla. Futhi, iziguli zingavela liqhaqhazela, ataxia, Ukudlikizela clonic, ukuhlanza futhi angafuni kudla.

Okufanele ukwenze uma ukweqisa izidakamizwa? With ukuthuthukiswa serotonin syndrome kufanele ngokushesha kwenziwe yokwelapha zokulungisa cyproheptadine, kanye nezindlela ezisetshenziswayo kujwayeleke lokushisa emzimbeni wesiguli.

Isiguli kudingeka ukuthi ahlinzeke uthole umoya ohlanzekile. Kufanele ukuqapha umsebenzi inhliziyo futhi kuqashwe izimpawu ezibalulekile. Konke lokhu kumele kwenziwe ngokuhlanganyela nokusekela eliyifa nokwelashwa lingaze.

Uma emva nokuphathwa izidakamizwa Akuzange kwaphela isikhathi eside, kubalulekile ukuba iphume esiswini. Futhi, ukuze anciphise edonsa imithi isiguli uyabuzwa ukuphuza namalahle isebenze.

isicinganani

Can nomthelela ongemuhle empilweni yomuntu ka ethola wathi imithi? Cabangela imiphumela emibi izidakamizwa antidepressant kabanzi:

  • Isikhathi esining impela (10% of amacala) ku izifundo zokwelapha, iziguli ube uthi ezilandelayo: isiyezi, ubuhlungu bekhanda nomlomo owomile, ukuqwasha, ukuqwasha, isicanucanu, ukozela kanye ukuqunjelwa.
  • Ngaphansi Imininingwane (1 kuya ku-10% amacala) iziguli babonakala ngamanzi, uhudo, angaboni kahle, ukuhlanza, ukujuluka, liqhaqhazela, anorgasmia yanda, kwehle esesuthi, ukulahlekelwa libido, kwesisindo, ukukhathala, Erectile Dysfunction, futhi uyephuza noma ejaculation ongaphilile.

Asinakusho ukuthi ezifana side effects njengoba isiyezi (ngezinye izikhathi ubuhlungu bekhanda nesicanucanu), ezivame ukubonakala nge yokukhansela ngokushesha a nomuthi. By endleleni, in iziguli ubuhlungu sikashukela peripheral amafomu bangezwa ukwanda igazi glucose esiswini esingenalutho.

Uphenyo nomuthi

Ochwepheshe bezifo kanye neziguli imithi kubhekwe ukubhekana ngokugcwele umsebenzi. Lapho ethola ke aqede kuthi- wani ngenkinga yokukhathazeka, kanye ikhuthaza ukunyamalala uthi sokucindezeleka. Ngaphezu kwalokho, aqede kahle esebenzayo nomuthi ubuhlungu syndromes ohlelweni zemisipha.

Ukuxhumana nezinye izindlela

Ingabe kungenzeka ukuba babambisane nokuphathwa neminye imithi ngemithi "Cymbalta?" ochwepheshe lezivakashi bathi izindlela wathi kuyinto kunomthelela oqonde ngqo ukusebenza kwe imithi ethile.

Ngakho, kukhona ingozi serotonin syndrome, duloxetine uma sisetshenziswa ndawonye MAOIs.

Ngenxa CYP1A2 isoenzyme is bahileleke umzimba "ukulungiselela Cymbalta ', ukusetshenziswa kwabo kanyekanye kungaholela ukwanda kwamagesi lakamuva.

Akunconyelwe nomuthi wathi kanye nezinye izidakamizwa ezithinta isimiso sezinzwa esiyinhloko. Futhi ngesikhathi wavuma akufanele baphuze utshwala.

Ngezinye izikhathi, lapho ukusetshenziswa SSRIs namanxusa serotonergic ezigulini waphawula serotonin syndrome. Ngakho-ke, kumelwe baqaphelisise lapho usebenzisa lolu izidakamizwa ne serotonergic antidepressant.

Ngenxa yokuthi kukhona ingozi ekhulile ukopha akufanele usebenzise kokubili duloxetine futhi anticoagulants (antithrombotics).

Ibele nokukhulelwa

Ngingakusebenzisa kanjani lokhu izidakamizwa "Cymbalta", intengo ozokwethulwa ku, phakathi nenkathi yokukhulelwa? Ngenxa yokuntula ulwazi olwanele, ukusetshenziswa duloxetine izidakamizwa ngesikhathi sokukhulelwa imithi kungenzeka iqondiswa kuphela uma inzuzo kuya umama okhulelwe kunalelo ingozi umntwana.

Kufanele kuphawulwe ukuthi iziguli ukuthatha lesi-ejenti kumele qiniseka azise udokotela wakho mayelana nesenzakalo noma uhlela ukukhulelwa.

Ucwaningo luye lwabonisa ukuthi abantu besifazane ngokuthatha antidepressant esimweni, ikakhulu uma nisanda kamuva, kakhulu kwandisa ingozi yomfutho ophakeme wegazi eziphikelelayo yamaphaphu we izinsana. Kulokhu, lesi sifo futhi njalo kubonakala izingane uma stop okungazelelwe usebenzisa duloxetine umama esizayo esikhathini ngasekupheleni yokukhulelwa. Iningi izimpawu zalesi simo uyalandelwa ngesikhathi sokubeletha noma ezinsukwini zokuqala ngemva.

Ngenxa duloxetine uyakwazi ukungena ubisi lwebele, akusiyo efiselekayo ukuncelisa ingane yakho ngesikhathi yokwelapha. Kungenjalo, lokuhlushwa ketshezi umbungu kuzoba imali 0.14% we lokuhlushwa unina.

isiqondiso Specific on ukusetshenziswa kwezidakamizwa

Ngokwenza izidakamizwa ukuze isiguli sakhe "Cymbalta", udokotela ubophekile ukuba ziyitshela ukuthi sebekubeke unqabela ukuvuma kwesikhathi esisodwa kwama-agent nge Mao inhibitor. Uma kungenjalo, zingayisongela yezinkinga elibi kakhulu futhi ezibucayi komzimba okukhulu, myoclonus futhi wabonisa excitation angenise equlekile.

Kufanele kuqashelwe ukuthi le sinqatshiwe abalutholayo wathi imithi amasonto amabili emva kokwelashwa mao inhibitor.

Ngokocwaningo olwenziwa, in iziguli isimo ukwenama uma usebenzisa ezinye izidakamizwa ezithinta isimiso sezinzwa, ngokuhlanganyela izindlela "Cymbalta" zingase zibe zimbi isifo ekhona.

Ngenxa yokuthi ezifundeni bacindezeleke kukhona amathuba imizamo yokuzibulala, kufanele ikakhulukazi ukuqapha iziguli bohlanga ingozi.

Ukwamukelwa izidakamizwa kungaba lula impela kubangele ukozela. Ngakho-ke, iziguli abathatha lesi izidakamizwa, kufanele unakekele kakhulu uma ushayela futhi lapho esebenza ayingozi ezihambayo imishini.

Inani kanye analogue zomuthi

Kungakanani kukhona "Cymbalta" Amaphilisi enteric? intengo zabo zingahluka. It kuncike umenzi kanye ekhemisi amaketanga eziseceleni. Nokho, kufanele kuphawulwe ukuthi ngokwesilinganiso, umuthi kubiza ruble Russian mayelana 1,050 (30 mg, izingcezu 14). Uma udinga ukuthenga umuthi esilinganayo, kodwa ngesikhathi umthamo 60 mg, khona-ke kuyodingeka ukuthi bakhokhe ruble mayelana 1150.

Manje ngoba sewuyazi ukuthi kungakanani duloxetine. Intengo zayo zingase ukunyusa noma ukunciphisa kuye ngokuthi izici ezithile. Okwamanje, ukuthengwa ubizwa ngokuthi izidakamizwa akusilo ize noma ibuphi ubunzima. Nokho, ungakwazi ukuthenga kuphela kadokotela ke.

Kodwa kuthiwani uma ngenxa yesizathu esithile zehlulekile ukuthenga "Cymbalta" amaphilisi okwelapha? Analogs yalesi izidakamizwa ayatholakala cishe kuzo zonke ekhemisi. Nakuba yokufuna uyophinde zidinga ukuba khona imithi lukadokotela.

Umuthi ungayithola enye "Cymbalta?" Kubangane bakhe angathanda ikakhulukazi ukugqamisa imithi ezilandelayo:

  • "Isethulo";
  • "Azafen" (amaphilisi);
  • "Duloxetine Canon" (Enteric amaphilisi);
  • "Venlafaxine Sandoz";
  • "Alvent";
  • "Mirtazapine Canon";
  • "Eprobemide" (ikhambi / kanye / m);
  • "Wellbutrin";
  • "Eprobemide" amaphilisi;
  • "Agomelatine";
  • "Neyroplant";
  • "Velafaks";
  • "Calixtus";
  • "Venlaksor";
  • "Vensuert";
  • "Dapfiks";
  • "Venlift OD";
  • "Despres ';
  • "Efevelon kuthiye ukukhula";
  • "Doppelgerts Nervotonik" njengenhlangano elixir;
  • "Inkazana";
  • "Efevelon";
  • "Coaxil";
  • "Esprital";
  • "Lerivon";
  • "Trittiko";
  • "Normazidol";
  • "Mirzaten";
  • "Tetrindol";
  • "Mirtazonal";
  • "Remeron";
  • "Mirtalan";
  • "Pirazidol";
  • "Negrustin";
  • "Nyuvelong";
  • "Noksibel".

Indlela wesitoreji futhi eshalofini-ukuphila

Iyiphi impilo yesheluli yokulungiselela iSimbalta? Ngokwemiyalelo kanye nesikhathi esikhwameni, le remedy akufanele ithathwe emva kweminyaka emithathu. Kulesi simo, kunconywa ukuyibeka endaweni emnyama, lapho izinga lokushisa lomoya lingadluli ama-degrees angu-20.

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