Hoʻohana pinepine ʻia ka lāʻau Simbalta i kā lākou hana e nā neuropathologists a me nā psychiatrists. Kōkua ia i ka hoʻomaikaʻi ʻana i ke ʻano o nā mea maʻi me ke kaumaha, nā hōʻailona o ka neuropathy maʻi a me nā pilikia ʻē aʻe.
Inoa Kūʻai ʻole honua
Duloxetine
ATX
N06AX21.
Kōkua ʻo Simbalta e hoʻomaikaʻi i ke ʻano o nā mea maʻi me ke kaumaha, nā hōʻike ʻana o ka neuropathy maʻi a me nā pilikia ʻē aʻe.
E hoʻokuʻu i nā palapala a me ka ʻano
Loaʻa ka huahana i nā capsules miniature. 1 mau kiaʻi he 30 a 60 mg o ka hana ikaika o ka endxetine hydrochloride. Nā mea'ē aʻe:
- hypromellose acetate succinate;
- holi gula a me ka sucrose;
- talc;
- huki;
- ʻeleʻele keʻokeʻo, triethal citrate;
- titanium dioxide;
- indigo carmine;
- ʻO TekPrint keʻokeʻo a keʻokeʻo;
- sodium lauryl sulfate;
- gelatin.
Loaʻa ka huahana i nā capsules miniature.
Ka hana lāʻau lapaʻau
ʻO Duloxetine kahi antidepressant. ʻAʻole pili i ka waiwai me ka cholinergic, adrenergic, dopaminergic a me histaminergic receptors. ʻO ke kumu o ka hana o ka hana ikaika o ka lāʻau lapaʻau e pili ana i ka hoʻokake ʻana o ka hoʻihoʻi ʻana o ka norepinephrine, serotonin, a me ka hopu ʻana o ka dopamine. ʻO ka hopena, holomua nā poʻe maʻi me ka maʻi kaumaha
Hoʻopiʻi ka waiwai i ka ʻeha. Me nā ʻeha neuropathic, ʻike ʻia kahi hopena like e ka hoʻonui ʻana i ka paepae o ka hōʻeha ʻana o ka ʻeha.
Lapaʻau lāʻau
Hoʻomaʻi piha ka waiwai i loko o ka digestive tract ma hope o ka hoʻokele ʻana. ʻO ka paona loa o ka hopenaxetine i ka plasma ka mea ma hope o 6 mau hola. ʻAʻole make ka meaʻai i nā kaʻina hoʻokomo, akā ʻo ka manawa e hiki ke hōʻea i ka hoʻokaʻina o ka mea hoʻohui i loko o nā hola 10.
Hoʻomaʻi piha ka waiwai i loko o ka digestive tract ma hope o ka hoʻokele ʻana.
Hoʻopā ʻia nā metabolites Duloxetine e nā keiki. ʻO ka hoʻopau hapa-hapalua ke ola a hiki i ka 12 hola.
Me ka hikiʻole o ka puʻuwai, ʻike ʻia ka cleavage a me ka hoʻopihapiha o ka mea ikaika.
Nā hōʻailona no ka hoʻohana ʻana
- ʻO nā maʻi maʻamau me ka hopohopo;
- nā kūlana ʻeha (ke kaumaha);
- ʻeha ka hoʻokaʻawale ʻana i loko o nā ʻāpana ʻokoʻa o ka musculoskeletal system;
- hōʻeha ʻeha ʻo ka maʻi neuropathy maʻi (peripheral);
- Hōʻikeʻike ʻo Stevens.
Nā Hoʻohui
- koki-pani pani glaucoma i ke kahua decompensation;
- hoʻokaumaha (kū ʻole);
- māla hemolele;
- pilikia hōʻeha nui (me CC a hiki i 30 ml / minute);
- makahiki malalo o na makahiki 18;
- hui me ka fluvoxamine, ciprofloxacin a me enoxacin;
- holomua paʻa.
Me ka mālama pono
Hoʻohana ʻia ka lāʻau lapaʻau me ka mālama ʻana i kēia mau ala:
- maʻi maʻi bipolar and mania;
- hoʻāʻo a pau i ka hoʻopaʻi a me nā manaʻo pili;
- ka hopena o ka maʻi o ka hypertension (intraocular) a me ka glaucoma;
- nahoa
- cirrhosis hepatic;
- nā pēpē a me nā hemahema.
Pehea e lawe ai iā Simbalta?
Kuhi ʻia ka ʻano kāloti no ka hoʻohana ʻana i ka waha, me ka ʻole o ka manawa o ka ʻai. He mea pono ʻole e hoʻohiolo i nā kapo, inā ʻaʻole ke ʻano liʻiliʻi o kā lākou lāʻau lapaʻau. Pau nā pāʻālua:
- Nā ʻōhua kaumaha: ka mālama a me ka wā hoʻomaka - 60 mg / lā. Kahi hopena maikaʻi e hōʻike i loko o 14-28 lā o ka lapaʻau.
- ʻO nā maʻi ākea i hele pū me ka hopohopo: ʻo ka mua o ka maʻi o 30 mg / lā. I ka loaʻa ʻole o nā dinam pono, hiki ke hoʻonui ʻia ka nui i ka 60 mg / lā. ʻO ka lōʻihi lōʻihi o ka mālamaʻana mai 8 a 12 mau pule.
- Hoʻoulu a me ka hōʻeha ʻeha a me nā maʻi ʻeha e pili ana i ka neuropathic etiology syndrome: e hoʻomaka ka lāʻau me nā dosis o 30 mg / lā no 7 lā. Ma hope o kahi kikoana o 60 mg / lā i kuhikuhi ʻia. ʻO ka lōʻihi lōʻihi o ka mālamaʻana mai 8 a 12 mau pule.
Kuhi ʻia ka ʻano kāloti no ka hoʻohana ʻana i ka waha, me ka ʻole o ka manawa o ka ʻai.
Pono e ho'ōla i ka mālama ʻana me nā capsule i loko o ka enteric-soluble e lohi, inā ʻaʻole ʻoe e hālāwai me ka pale withdrawal.
Lawe i ka lāʻau lapaʻau no ka maʻi maʻi maʻi
No nā maʻi maʻi, ua koho hoʻokahi ʻia ka nui o ka lāʻau lapaʻau, ʻae ʻia i ka papa o nā pathology. Ma kēia hihia, hāʻawi ʻia ka mea maʻi i ka kaohi o ka ʻaila glucose, me ka koho o nā hōkē maikaʻi o ka Insulin.
ʻO nā hopena ʻaoʻao o ka Simbalt
ʻŌpala Gastrointestinal
- pāhawewe;
- Nā huina ʻaole
- ʻeha i ka peritoneum;
- hoʻoili a maikaʻi ʻole;
- dysphagia;
- hematochesia;
- halitosis a waha maloʻo;
- gastritis;
- kahe koko.
Pūnaehana pīhoihoi waena
- nā huaʻeha a me nā maʻi;
- ka manaʻo o ka pohō a me ka lethargy;
- huhū hoʻoluhi;
- bruxism;
- nā maʻi extrapyramidal;
- nunui o nā wāwae;
- nā manaʻo no ka pepehi kanaka;
- Kuhi kaumaha
- ke kuala a me ka mania;
- diskinesia;
- ka ulu ʻana o nā hopena psychomotor.
Mai ka pūnaehana urinary
- nā manawa pinepine;
- hoʻololi i ka ʻono a me ka kūlike o ka urine;
- polyuria;
- lohi a luhi ka ʻūhū ʻana;
- nocturia;
- ʻeha i ka wā o ka urination.
Mai ka ʻōnaehana musculoskeletal
- nā wahī pilipila;
- ʻeha a me ka ʻeha o ka iwi;
- luhi;
- trismus (ma nā hihia maʻamau).
Mai ka pūnaehana genitourinary
- kuʻe o ka ejaculation;
- huakai
- na kaupalena haehae;
- galactorrhea;
- nā hōʻailona o ka menopause;
- ʻōpolipolia;
- ʻeha a ʻehaʻeha i nā testicles.
Mai ka pūnaehana cardiovascular
- lele i loko o ke koko;
- orthostatic ʻano o ka hypotension;
- nā kūlana palupalu;
- pilikia koʻikoʻi;
- oki kona lima a me nā wāwae;
- Nā kuikahi.
Allergies
- nā pulu ʻili;
- huu
- ʻO ka edema ʻo Quincke.
Hoʻopilikia i ka hiki ke mālama i nā mīkini
I ka mea e mālama ai i ka lāʻau lapaʻau, pono e kiaʻi nui ka makaʻala e ka pale ʻana i nā hana loea a me ka hele ʻana o nā alanui, me ka komo ʻana i ka hana e pili ana i ka piʻi ʻana o ka makaʻala.
I ka wā o ka lāʻau lapaʻau, pono e kiaʻi nui ka makaʻi ʻana i ke kaʻa ʻana o nā kaʻa kaʻa.
Nā ʻōlelo kikoʻī
Ma muli o ka hopena o ka lāʻau e hoʻopilikia ai i ka kaila o ke kikowaena, ua kuhikuhi ʻia me ka mālama ʻana i nā maʻi i nā maʻi epilepsy a me nā manic.
Ma muli o ka hopena o ka noʻonoʻo o ka make i ka wā e hoʻohana ai i ka lāʻau lapaʻau, pono ka ʻike o ka mea maʻi e nā limahana a me nā mea aloha.
Pono e hoʻokomo i ka mea maʻi i ka kamaʻilio, ke aloha i nā manaʻo e hoʻopilikia nei iā lākou. Pono e hoʻomanaʻo ʻia o ka hoʻohana lōʻihi o ka lāʻau lapaʻau hiki ke hoʻohui i nā pilikia pilikia.
Hoʻohana i ka wā hāpai a me ka lactation
I ka wā hana o ka gestation, hiki ke hoʻohana ʻia i ka lāʻau lapaʻau wale nō no kona kumu i manaʻo ai a ma lalo o ka nānā o kahi kauka. Me ka lactation, ʻaʻole i hoʻohana ʻia ka lāʻau lapaʻau. Hoʻomaopopo ʻia kēia ma nā ʻōkuhi no ka hoʻohana ʻana i ka huahana.
I ka wā hana o ka gestation, hiki ke hoʻohana ʻia i ka lāʻau lapaʻau wale nō no kona kumu i manaʻo ai a ma lalo o ka nānā o kahi kauka.
Koho ʻana o Simbalta i nā keiki
ʻAʻole hoʻohana ʻia ka mea hana e mālama i nā maʻi maʻi liʻiliʻi.
Hoʻohana i ka wā kahiko
I kēia māhele o nā mea maʻi, ua kuhikuhi ʻia ka lāʻau lapaʻau ma nā liʻiliʻi liʻiliʻi. Eia kekahi, pono nā mea maʻi e nānā kūikawā e nā limahana olakino.
Ke noi no ka hana renal haukapole
Hoʻomaʻamaʻa me ka lāʻau lapaʻau me ka hōʻole ʻole o ka ate.
Hoʻomaʻamaʻa me ka lāʻau lapaʻau me ka hōʻole ʻole o ka ate.
Hoʻohana no ka hana lawelawe lēwa
Ke papa ʻia i ka lāʻau lapaʻau i loko o ka palupalu o ke akeʻai.
ʻO ka helu ʻana o Simbalta
E loaʻa ana nā hihia o ka hoʻopiʻi a hiki i ka make i nā poʻe maʻi ua hoʻopau iā 3 g o ka hopenaxetine 1 manawa. Hoʻopau pinepine ʻia nā mea hoʻohui a hoʻokaʻawale ʻia o ka overdose i kēia mau hōʻailona:
- nahoa
- koma
- puaa;
- ua mahuahua ka hiamoe;
- ninaki a me ka luaʻi;
- hāpau
- ataxia
- ka hoʻonāukiuki o ka pūnaehana kūloko a me nā ʻōnaehana hoʻoili.
ʻO ka mālama ʻana i nā kūlana like me ka lawe ʻana i nā nīnū, ka waiʻī a me ka mālama ʻana i ka kahe o ka oxygen. Eia kekahi, hoʻolako ʻia ka mea pepehi me ka mālama o ka puʻuwai a me nā mea lapaʻau koʻikoʻi. Ma hope o ka maʻi ma hope.
Hoʻopili pū me nā lāʻau ʻē aʻe
I ka hui pūʻana me ka lāʻau lapaʻau e hiki ke mālama ʻia nā ʻano like ʻole:
- histamine receptor antacids a me antagonists: ʻaʻole hoʻopilikia i ka lilo ʻana o ka lāʻau;
- Fluoxetine, Paroxetine, Venlafaxine, Quinidine, Tramadol, Tryptophan, St. John's wort: aia kahi pilikia o ka maʻi serotonin.
Eia kekahi, inā lawe ʻoe i ka lāʻau lapaʻau i ka manawa like e like me ka MAO inhibitors, a laila e ʻike ʻia ka hopena o ka serotonin syndrome.
Hoʻolaha ka waipuna
Ma muli o ke koʻikoʻi nui o ka hopena maikaʻi loa, pono ʻoe e hōʻole i ka lawe ʻana i nā capsules me ka waiʻona i ka manawa like.
Pono ʻoe e pale i ka lawe ʻana i nā kapeta me ka waiʻona i ka manawa like.
Nā kuʻina
ʻO nā mea waiwai kūpono a me ka hana kūpono o ka lāʻau lapaʻau:
- Duloxetine;
- Duloxent;
- Canon Duloxetine.
Waihue huaʻōlelo waiho nā huaʻōlelo
Hiki iaʻu ke kūʻai me ka loaʻa ʻole o ka hōʻailona?
ʻAʻole hiki ke kūʻai ʻia ka lāʻau lapaʻau me ka loaʻa ʻole o kahi lāʻau lapaʻau.
Kumukūʻai Simbalts
ʻO ke kumukūʻai o ka lāʻau lapaʻau mai nā 1600-1800 rubles i pākeke o 28 mau pālule.
ʻAʻole hiki ke kūʻai ʻia ka lāʻau lapaʻau me ka loaʻa ʻole o kahi lāʻau lapaʻau.
Ke waiho nei i nā kūlana no ka lāʻau lapaʻau
Mālama ʻia ka huahana i kahi hiki ʻole i nā keiki, ma ke ʻano o + 15 ... + 30 ° C.
ʻO ka lā kau
3 mau makahiki
Mea hana
ʻO Eli Lilly & Company (USA) a ʻo Lilly S.A. (Sepania).
Hōʻikeʻike e pili ana iā Simbalt
Tamara Kupriyanova (neuropathologist), 40 makahiki, ʻo Voronezh.
Hoʻopilikia maikaʻi ka lāʻau lapaʻau me ka maʻi ʻehaʻeha o nā maʻi kūʻokoʻa. Eia kekahi, e hoʻohana pinepine ʻia i ka mālamaʻana i ka fibromyalgia. ʻO ka hopena o ka lāʻau lapaʻau e wehewehe ʻia e ke kumu kuʻi ʻana o ka serotonin. Mahalo i kēia, ʻaʻole wale ka hōʻeha ʻana i ka ʻeha, akā ua hoʻoponopono ʻia ke ʻano o ka naʻau, i pono no ka maʻi kaumaha. ʻO ke kumukūʻai o ka lāʻau lapaʻau ma loko o nā palena kūpono.
ʻO Fedor Arkanov (lapaʻau), 37 makahiki, Tver.
ʻO Duloxetine ka nui antidepressant kaulana loa i ka United States. Eia naʻe, ʻo kā mākou'āina e loaʻa wale ana i kona kaulana. ʻO kahi huahana kūpono, akā ʻoi aku ke kumukūʻai, a loaʻa pinepine nā kikowaena huahana i loaʻa ʻole i ka mākeke manuahi.
Lyudmila Guseva, he 45 makahiki, ke kūlanakauhale o Voskresensk.
Ua hoʻohuli wau i kēia lāʻau lapaʻau mai Stimulon, mai kēia manawa ua hoʻomaka wau i kahi hopena maikaʻiʻole. I kēia manawa ua ʻoi aku ka maikaʻi, e like me ka ʻike ʻia e nā hopena o nā hoʻokolohua aʻu i hala ai i kahi kauka kūloko.
