ʻO Amitriptyline Nycomed kekahi lālā o ka hui antidepressant tricyclic. ʻO ka lāʻau lapaʻau he haʻahaʻa haʻahaʻa haʻahaʻa, ʻo ka mea nui, no ka mea he pinepine ka manawa o ka mālama ʻana i kekahi mau hebedoma a hala paha mau mahina.
Inoa Kūʻai ʻole honua
Amitriptyline.
ʻO Amitriptyline Nycomed kekahi lālā o ka hui antidepressant tricyclic.
ATX
N06AA09.
E hoʻokuʻu i nā palapala a me ka ʻano
Aia ka huahana ma ke ʻano o nā papa. ʻO kēia kahi mea e hoʻomākaukau ai hoʻokahi mea, e loaʻa i 1 mau mea ikaika - amitriptyline. Loaʻa kahi papa i ka pūpū, ma muli o ka pae o ka hopena o ka hopena o ka lāʻau lapaʻau ma o nā membrane mucous o ka digestive tract. ʻO ka paʻa ʻana o ka waiwai hana: 10 a i ʻole 25 mg (i ka 1 papa). Aia kekahi antidepressant i kahi mau o nā hana i hana ʻole ʻia e loaʻa ai ka makemake like ʻole o ka lāʻau lapaʻau.
- magnesium stearate;
- mikulamulamina selulose;
- silica;
- talc;
- liʻawaʻawa lactose.
- māhu.
Hoʻomoe ʻia ka Amitriptyline i ke ʻano o nā papa i uhi ʻia, ma muli o ka pae o ka hoʻonāukiuki ʻana o ka lāʻau lapaʻau ma luna o nā membrane o ka gastrointestinal tract e hōʻemi ʻia.
ʻO ka māka pale o ka huahana he multicomponent pū kekahi:
- macrogol;
- dimethicone;
- propylene glycol;
- titanium dioxide;
- huki;
- ka leʻaleʻa talcum.
Aia nā papa i loko o ka hue e paʻa ai nā 50 pcs.
Ka hana lāʻau lapaʻau
ʻO ke kumu o ka hana o nā antidepresi tricyclic e pili ana i ka laweʻana i ka hopu ʻana o nā monoamines, ka mea i hōʻike ʻia e norepinephrine, dopamine a me serotonin. No kēia mau mea ke kuleana o ka ʻoliʻoli o ka hauʻoli.
ʻO ka lāʻau lapaʻau, e like me nā mea ʻē aʻe o ka hui antidepressant tricyclic, he loaʻa nui ka kiʻi - ka nui o nā hopena ʻaoʻao e kū mai ana i ka wā o ka mālama ʻana. ʻO kēia ma muli o ke kumu koho ʻole koho. A ʻo ka hopena, ʻaʻole wale ka hopena o ka lāʻau i ka hopu ʻana o nā monoamines, akā ua pale pū kekahi i nā ʻano biochemical ʻē aʻe.
Hana maikaʻi 'Amitriptyline i kekahi mau hana. ʻO kāna waiwai nui, ʻo ia ka antidepressant. Eia kekahi, hāʻawi ka lāʻau lapaʻau i kahi hopena sedative, anxiolytic, hypnotic. ʻO kēia ka mea i ka wā o ka mālama ʻana, ʻaʻole nā maʻi o ka mea maʻi ma ke ʻano maʻamau, akā ua hoʻihoʻi hou ka hiamoe, nalo ka hopohopo.
Hāʻawi ʻo Amitriptyline i kahi hopena hypativeic sedative, ma kahi o ka mea maʻi e hoʻihoʻi i ka hiamoe.
Ma muli o ka hiki ke pale i ka hoʻopiʻi hou ʻana o nā monoamines, ua ʻike ʻia kahi hoʻonui o ko lākou hoʻopaʻa ʻana i ka wehe synaptic o ka ʻoihana sentral. Eia kekahi, ʻo ka hana ikaika o ka hui ʻana ʻo Amitriptyline Nycomed me M1- a me M2-muscarinic cholinergic receptor, receptamine histamine, a ma ka manawa like, nā alpha1-adrenergic receptors. Ua ʻike ʻia ka hopena maikaʻi o ka lāʻau me kēia antidepressant ma muli o ka pilina paʻa ma waena o ka neurotransmitters e loaʻa nei i nā synapses o ka lolo a me ke kūlana kalalona.
ʻO kekahi hiʻohiʻona o ka lāʻau lapaʻau he hopena lohi. ʻAʻole i hoʻokō ʻia ka hopena maikaʻi i ka manawa koke, akā ma hope o ka lilo ʻana o ka hana ikaika i loko o ke koko koko i hōʻea i ka palena o ka ʻai. Eia kekahi, ma ka hōʻea i kekahi pae (e like me ka maʻi) a ua hōʻike pū ʻia kekahi hopena psycho-energizing. Eia nō naʻe, ke hōʻoia mau nei ka hopena ma hope o ka hoʻonui ʻana o ka neʻe o ka metabolite nui o ka amitriptyline - nortriptyline.
Me kahi hoʻonui a me ka hoʻohaʻahaʻa i ka dosage, loli iki nā mea o ka lāʻau. No laila, hiki i ka hōʻea i kekahi pae, e hoʻemi ana ka hana o nortriptyline, hoʻonui i ka hana o ka amitriptyline. Eia naʻe, ʻo ka emi ʻana o nā hopena antidepressant e ʻike ʻia i kekahi manawa. No kēia kumu, ʻaʻole hiki iā ʻoe ke lawe i ka lāʻau lapaʻau ponoʻī iā ʻoe iho, no ka mea he mea nui ia e koho i ka regimen lapaʻau kūpono e noʻonoʻo nei i nā ʻano o ke kino. Pono e hāpai i ka lawe ʻana i nā liʻiliʻi liʻiliʻi ʻaʻole e hāʻawi i ka hopena i makemake ʻia.
Me ka amitriptyline, hiki iā ʻoe ke kāohi i ka nui o kou puʻuwai. ʻO kēia no ka hopena antiarrhythmic o ka lāʻau lapaʻau.
ʻO ka lāʻau lapaʻau i nīnau ʻia he mea kūpono hoʻi i ka hōʻole ʻana i ka hana CCC. Hiki i ke ʻano, hiki ke hoʻohana ʻia i ka mālama o ka puʻuwai puʻuwai. ʻO kēia no ka hopena antiarrhythmic o ka lāʻau lapaʻau. I ka helu ʻana i ka lāʻau i loko o nā wai lapaʻau, ʻike ʻia kahi lohi i ka nui o ke kaʻina o ka hoʻoulu ʻana o ka ventricular.
Lapaʻau lāʻau
Hoʻohālikelike ʻia ʻo Amitriptyline e ka wikiwiki o ka komo ʻana. Ma hope o nā hola 2-6, ua hōʻea ke kiʻekiʻe o ka hana o kēia ʻano. Hoʻohālikelike ʻia e kekahi pae kiʻekiʻe o ka bioavailability (50%). Akā he kiʻekiʻe ke hoʻomohala ʻana i nā protein serum - 95%. Hāʻawi ʻia ka lāʻau lapaʻau e hāʻawi i ka hopena i makemake ʻia ma hope o ka hōʻemi ʻana i ka hoʻoilo ʻana o ka mea hana i loko o ke kino, ʻaʻole pono ka hopena maikaʻi ma mua o ka hebedoma ma mua. ʻO kēia no ka mea o ka makemake o ia manawa i makemake ʻia e hoʻokō i ke kūlana nui ma lalo o ke ʻano o ka hoʻomaka ʻana o nā hōʻailona o nā patology.
Hoʻomāliʻiliʻi ka mea hoʻonaʻauao i ke kō. ʻO ka mea mua, ke hoʻokuʻuʻia ka pūhui nui, nortriptyline. A laila, ʻo amitriptyline a me kāna hana metabolite he hydroxylated, e ukali ana i ka hoʻokuʻu o nā mea hōʻemi. ʻO ka hapalua o ka ola o ka lāʻau lapaʻau ka mea like mai ka 9 a hiki i ka 46 mau hola, ka mea i hoʻopā ʻia e ka moku'āina o ke kino, ka hele ʻana o nā ala ʻē aʻe.
Mea i kuhikuhi ʻia
Hoʻomaopopo ʻia e hoʻohana i ka lāʻau no ka nui o ka pilikia noʻonoʻo, ma ke ʻano:
- nā ʻano ʻano like ʻole o ke kaumaha, ka hele pū ʻana me ka luhi i ka hiamoe, hopohopo, ʻoiai ka lāleʻa i nīnau ʻia i hoʻohana ʻia me ke ʻano lāʻau nui;
- ma ke ʻano o ka paʻakikī paʻakikī, i hoʻākāka ʻia kahi antidepressant i nā helu he nui: ke ʻano, ke ʻano, phobic, ʻehaʻeha, ʻeha o ka puhaka (enuresis me nā hōʻike i ka pō), anorexia, bulimia.
Nā Hoʻohui
Nui loa kau mau palena o ka hoʻohana ʻana i kēia lāʻau lapaʻau.
- ka hopena kino kūlohelohe o kekahi ʻāpana i ke kikoʻī (hoʻoikaika a ikaika hoʻi);
- myocardial infarction, me ka mōʻaukala o;
- huʻuleʻā make ethanol;
- nā kūlana no ke ʻano me ka ʻike ʻole;
- ka laʻala me ka lāʻau lapaʻau (antidepressants, psychotropic a hypnotics);
- arrhythmia;
- laulai-kikina glaucoma;
- ka haʻalele ʻana o ka intraventricular, ka hoʻokele atrioventricular;
- nā mea ulu ʻole e pili ana i ka nele o ka lactase, ka lactose intolerance, glucose-galactose malabsorption syndrome;
- ka hoʻopuka nui ʻana i nā hua i loko o nā kiko o ka glate prostate, i alakaʻi ʻia i ka lumen o ka urethra;
- ʻōpū o ka maʻi pālolo;
- ua hōʻemi ʻia nā pae pākela;
- brieociaia.
Me ka mālama pono
Nā maʻi contraindications:
- ke koko kiʻekiʻe;
- nā kūlana pathological i hele pū me ka loli ma ke ʻano a me nā ʻano o ke koko;
- hoʻonui i ke kaomi intraocular a me nā maʻi ʻē aʻe o nā kino o ka hihiʻo;
- kekahi mau ʻano me ke kālai ʻia ʻana o ka urinary;
- nahoa
- schizophrenia
- epilepsy
- maʻi bipolar;
- nā kuhi hewa o ka lolo thyroid (hypothyroidism).
Pehea e lawe ai iā Amitriptyline Nycomed
Hoʻoholo ʻia ke koho ʻana o ka paulia lapaʻau e mālama i nā ʻano o ka maʻi. E noʻonoʻo i ka makahiki, ka makahiki o ka hoʻomohala ʻana o ka pathology, ka hele ʻana o nā mea paʻa i ka hoʻohana ʻana iā Amitriptyline Nycomed. ʻAʻole hoʻi e ʻoka ʻia nā papa. Koho i ka lāʻau lapaʻau ma hope o ka ʻai ʻana.
Ka papa hana ʻana no nā pākeke
Hoʻomaka nā lāʻau lapaʻau me kahi pona o 50-75 mg. No laila ke hoʻonuiʻia, inā pono, ma 25-50 mg. Lawe ʻia kēia kumukūʻai ma mua o ka manawa e moe ai a hoʻokaʻawale ʻia paha i 2 mau puana. Eia naʻe, ʻaʻole hiki iā ʻoe ke keu aku i kēlā me kēia lā o ka 200 mg. Ka wā papa - 6 mau mahina.
ʻO Amitriptyline ka palena hoʻonaʻauao ʻana no nā keiki
E hoʻopili me enuresis: 25 mg hoʻokahi i nā maʻi i 7 a 12 mau makahiki, ma mua o 12 mau makahiki - 50 mg. Alea ʻia e lawe kālā ma mua o ka hiamoe.
Lawe i ka lāʻau lapaʻau no ka maʻi maʻi maʻi
ʻO ka lāʻau lapaʻau i ka nīnau e hoʻopilikia i ka hopena i hōʻike ʻia e ka insulin, a hiki nō hoʻi ke hoʻonāukiuki i kahi hoʻololi o ka kukuna o ka glucose. No kēia kumu, i ka hapanui o nā hihia, pono ke hoʻoponopono ʻia. ʻO ka nui o ka lāʻau lapaʻau e kuhikuhi pū ʻia.
Ehia ka mana
Hāʻawi ka mea hana i ka hopena ma kekahi mau pule. Hoʻomaka ia e hana i nā hola mua ma hope o ka hoʻomaka ʻana o ka lapaʻau. Loaʻa ka hopena hopena no 1-2 lā.
Pehea e hoʻopau pololei ai iā Amitriptyline Nycomed
I mea e pale ʻole ai i ka maʻi maʻi, ua paipai ʻia e hoʻemi lohi i nā nui.
Nā hopena hopena
Pono e noʻonoʻo e hāʻawi i ka lāʻau i loko o ka nīnau i ke ʻano o nā hopena maikaʻi ʻole.
ʻŌpala Gastrointestinal
ʻAno, hoʻomaʻemaʻe nā membrane hina, hoʻololi i ke ʻano stool (constipation). Mai ka pūnaehana ʻana, ʻike pinepine ʻia nā hōʻailona like ʻole: ka hōʻoluʻolu i loko o ka waha, ka ʻihaʻawa, nā kuhi. ʻOi aku ka maʻamau, ka maʻi maʻi, ka luaʻi, ka ʻōpū o ka alelo, ka hepatitis, jaundice, ʻōpū o ka ʻōpū.
Hematopoietic mau hui
E hana ana i ka hana momona ʻōiwi, ka nui o nā kūlana o nā pathological i kahi loli ma ke ʻano a me nā ʻano o ke koko.
Pūnaehana pīhoihoi waena
ʻO ka nāwaliwali ākea, ke hiamoe nei, ka nui o nā wāwae, ka ʻeha a me ka dizz, ka nānā ʻana i ka hopohopo, ka ʻōlelo, ka hoʻāʻo.
Mai ka ʻaoʻao o ka metabolism
Hoʻololi i ka momona: hoʻonui, hoʻohaʻahaʻa. ʻO ke hopena, hoʻonui a hoʻoulu paha ke kino i ke kino.
Allergies
ʻO Vasculitis, urticaria, ka mea i hōʻike ʻia e ka minamina, ʻohi.
Hoʻopilikia i ka hiki ke mālama i nā mīkini
I ka wā o ka mālama ʻana, pono ʻoe e hōʻole i ka lawe ʻana i nā kaʻa, no ka mea, ua hāʻawi ka lāʻau lapaʻau i kahi hōʻoka o ka ʻōpala o ke ʻano, e hoʻopilikia i nā kino o ka ʻike a me ka hoʻolohe, a me ka hoʻonāukiuki i nā ʻano hana kolohe.
Nā ʻōlelo kikoʻī
Hoʻomaka ka Therapy i ka kaohi o ke koko.
Ke hoʻololi nei i ke kūlana o ke kino, pono e mālama ʻia.
ʻO nā mea maʻi i hala ʻo 50 mau makahiki he nui ka piʻi ʻana o nā pōpoki iwi.
I kekahi manawa pono no ka mālama ʻana i nā helu koko.
Hoʻomau ka hanana e pili ana i ka hanana ʻana.
I ka poʻe'ōpio (a hiki i ka 24 mau makahiki), ua piʻi ka nui o ka make me ka maʻi ʻo Amitriptyline Nycomed.
Ma mua o ka hana ʻana i ka hana nui, nā hana niho.
Hoʻohana i ka wā hāpai a me ka lactation
ʻAʻole kuhikuhi ʻia.
Hoʻohana i ka wā kahiko
Hoʻomaopopo ʻia ka hoʻohana ʻana i ka antidepressant i ka nīnau, akā e hoʻomaʻamaʻa ʻia ka makaʻala. Pono ʻoe e hoʻomaka i ka papa o ka mālama ʻana me ka 25-30 mg (hoʻokahi manawa i ka lā). E hoʻonui i ka nui o ka lāʻau lapaʻau e pono i ka manawa 1 i kēlā me kēia 2 mau lā. ʻO ka palena kiʻekiʻe loa o kēlā me kēia lā he 100 mg.
Ke noi no ka hana renal haukapole
I ka poʻe maʻi me nā maʻi o kēia hanana, ua hoʻolōʻihi ʻia ka excretion o nā metabolites ikaika o Amitriptyline Nycomed mai ke kino. ʻAʻohe paʻa paʻa no ka lawe ʻana i ka lāʻau.
Hoʻohana no ka hana lawelawe lēwa
ʻAe ʻia e hoʻohana me ka akahele. Me ka hana pono o ka ate, ua hoʻemi ʻia ka nui o ka lā.
Ke keu
ʻO ka nui o nā amitriptyline e hiki ke hana i ka blockade intraventricular koʻikoʻi. Hoʻohui ʻia nā hopena ʻē aʻe. Hoʻomaʻamaʻa: holoi ʻia ka ʻōpū e hōʻemi i ka pae o ka maʻi o ka lāʻau, kauoha ʻia nā sorbents, inā pono, e lawelawe ʻia nā inhibitor cholinesterase, koi ʻia ka hoʻohiolo paipai, a mālama ʻia nā kaulike wai-electrolyte.
Hoʻopili pū me nā lāʻau ʻē aʻe
Hoʻohui ʻia ka hoʻōla ʻana o ka pūnao waena ma ka hui pū me ka hoʻohui a me nā antipsychotics, sedatives, hypnotics, anesthetics, narcotic analgesics.
Me a me Amitriptyline, hoʻohana ʻole ʻia ka MAO inhibitors. He pono ʻole e hoʻohui pū me ia a me ʻArenaline, Ephedrine, Dopamine, Noradrenaline, Phenylephedrine.
Hoʻolaha ka waipuna
ʻO ka inu ʻona a me nā antidepressant i nīnau ʻia ʻaʻole i hui pū.
Nā kuʻina
Ua hoʻohana ʻia nā lāʻau lapaʻau maikaʻi ma mua o Amitriptyline Nycomed:
- Anafranil;
- Melipramine;
- Ladisan;
- Doxepin a me nā mea ʻē aʻe
He aha ka hopena ma waena o Amitriptyline a me Amitriptyline Nycomed
ʻO ka lāʻau me ka hoʻolālā ʻo Nycomed ma ka inoa i hana ʻole ʻia ma ka hoʻohālikelike. ʻAʻole hiki ke kūʻai ʻia ia ma nā papa. Loaʻa ka Amitriptyline i nā ʻano like ʻole: ka paʻa, ka wai (injection). Mākaukau ka hoʻomākaukau ʻana o kēia mau pūʻulu i ka māhele kumukūʻai like. Hiki i ʻokoʻa i ka nui o nā mea hana ikaika.
ʻO nā kūlana hoʻomaha ʻo Amitriptyline Nycomed mai kahi lāʻau lapaʻau
ʻO ke ʻano lāʻau ka lāʻau lapaʻau.
Hiki iaʻu ke kūʻai me ke kī ʻole
ʻAʻohe.
Kumukuai no Amitriptyline Nycomed
ʻO ka kumukūʻai maʻamau he 60 mau rubles.
Ke waiho nei i nā kūlana no ka lāʻau lapaʻau
Pono nā keiki e hoʻokokoke i kahi komo i ka huahana. ʻO nā kūlana mālama i mālama ʻia: + 15 ... + 25 ° С.
ʻO ka lā kau
Mālama ka lāʻau i kāna mau waiwai no 5 mau makahiki mai ka lā i hoʻokuʻu ʻia ai.
Mea Hana Mea Hana
Takeda Pharma A / S, Denemaka.
Hōʻikeʻike e pili ana iā Amitriptyline Nycomed
Nā psychiatrist
Chukhrov V.V., psychiatrist, 49 makahiki, Chelyabinsk
ʻO ka lāʻau lapaʻau āpau, ua ʻike ʻia nā mea hou aku e ʻike ʻia e ka mea ʻokoʻa o nā hopena maikaʻi ʻole e mālama ai i ka mālama ʻana.
Kochev V.O., Psychiatrist, 34 makahiki, Stavropol
Pono antidepressant maikaʻi, e wehe hou i nā hōʻeha me nā psychosomatics. Hiki ke hoʻonāukiuki i ka lohi i ke kaʻina hana urination.
ʻO nā maʻi maʻi
Larisa 34 makahiki, Barnaul
Lawe wau i nā papa 10 mg. Loaʻa ka hopena therapeutic ma hope o 3 mau pule, ʻo ia ka lōʻihi. Akā, ma hope loa, ua hoʻokaumaha ʻia ke kaumaha.
Marina, 41 makahiki, Moscow
Lawe ʻia kēia lāʻau lapaʻau. ʻO ka manawa wale nō ʻaʻole hiki iaʻu ke kāohi. Ua hōʻike mua aku ke kauka he hopena maikaʻi i loko o ka mahina mua ma hope o ka hoʻomaka ʻana o ka papa. ʻO ka lua, ʻaʻole i ʻae nā hopena ʻaoʻao o kēia lāʻau lapaʻau.