Tricyclic antidepressant me ka antihistamine, hana anticholinergic. Hoʻohana ʻia e mālama i nā moku noho ʻole wale nō, akā ʻo ka neurat somatoform me ka pōʻino o ka gastrointestinal tract, ʻōnaehana bronchopulmonary a me nā mea kino ʻē aʻe.
Tagu inoa
Kapa inoa honua: Amitriptyline.
ATX
Antidepressants, N06A A09.
E hoʻokuʻu i nā palapala a me ka ʻano
Nā Palaki
25 mg mau mea ikaika i loko o hoʻokahi papa i loaʻa i loko o nā pa o 20, 50, 100 pcs.
Hoʻohana ʻia ka Amitriptyline e mālama i nā kūlana hōʻeha wale, akā i ka neʻe ʻana o ka neurat somatoform.
ʻO nā palapala ʻole i hoʻokuʻu ʻole ʻia
ʻO kahi hopena o 10 mg / ml 10 ampoules o 2 ml no nā inikini intramuscular. ʻO nā pahu i nā keiki o 10 a 25 mg, kahi pākeke o 50 pcs.
Nā hana hana i ka hana
Pū hui pū Tricyclic. Ua ʻike ʻia kona hopena ma muli o ka pāpā ʻana i ka hana hou o ka neurotransmitters - adrenaline, norepinephrine, serotonin, dopamine. A ʻo kahi hopena, aia nā mea i hoʻopaʻa ʻia i loko o ka synaptic cleft lōʻihi a hōʻiliʻili. Hoʻoulu ka ʻano, hoʻonui ʻia ka hana lolo.
He hopena anticholinergic, antihistamine hopena, no ka mea ia ia e hoʻohana i ka ulia, anti-pehu a me ka hiamoe hiamoe. He timoanaleptic, hoʻoponopono kino i ka maʻi kaumaha me ka nui o ka hoʻonani a me ka pale. ʻO ka hoʻoulu ʻana a me ka pale ʻana i ka pōpilikia o ke kūpaʻa ka hilinaʻi.
Lapaʻau lāʻau
Kūkulu ʻia mai ka papalī lihi. Loaʻa ka ʻike kiʻekiʻe loa i kahi mau hola 2-12 ma hope o ka hoʻokele ʻana. ʻAʻole pili ka meaʻai i ka hoʻopili ʻana o ka lāʻau lapaʻau. ʻO ka hapa nui - 92-95% nakinaki i ka protein protein.
Penetrates ma o ke kahe koko-lolo a me ka hematoplacental pani, a i ʻole i ka waiū umauma.
Hoʻomaka ka Metabolism i loko o ke ake, i hoʻopā ʻia e nā keiki. ʻO ka pau hoʻopau hapa-ola he 40-75 hola.
Ka mea e pono ai
E kuhikuhi i nā psychoanaleptics. Hoʻohana ʻia ia i ka mālama ʻana i ke kaumaha o kekahi etiology, maʻa mau i ka endogenous, kahi i hoʻohālikelike ai ke kaupaʻa o nā neurotransmitters. Hoʻohana ʻia no ka sindrom asthenovegetative, psychosis schizophrenic, maʻi noʻonoʻo, hui pū ʻia me nā hopohopo, insomnia.
Hoʻohana ʻia ʻo Amitriptyline no nā hana noʻonoʻo i hele pū me ka hopohopo.
E like me ka mea hana me ka hana anticholinergic, hōʻoluʻolu i ka nui o nā pōpoki i loko o ka ʻōpū o ka ʻōpū huhū, hyperactive neurogen bladder, enuresis. Loaʻa ia he hopena anti-inflammatory ma muli o ka hopena antihistamine.
Hoʻēmi i ka acidity o ka ʻōpū, e hōʻike ana i kahi hopena M-anticholinergic a me ka H1-histamine-blocking, kahi e hiki ai ke hoʻohana ʻia no nā ʻōpū o ka ʻōpū a me nā ʻōpio duodenal (e like me kahi hōʻike o somatoform neurosis).
Hoʻohana ia no ka honu bronchial - loaʻa iā ia kahi hopena antiallergic a hoʻonui i ka bronchi, e hoʻemi ana i kā lākou huna huna.
Hōʻike ʻia kona hopena analgesic no fibromyalgia, ʻeha, ka maʻi migraines. Hoʻopau i nā hoʻomohala psychomotor, hopohopo, insomnia. ʻO ka waiwai o kahi antidepressant e hōʻemi i ka hana o ka hormone hoʻoulu - cortisol - ua hoʻokumu ʻia, mālama i nā pilikia o ka lolo mai ka make.
Hoʻohana ʻia ʻo ia ma antidepressant no nā maʻi ʻai - anorexia, bulimia, pū me ka dyoconia neurocirculatory.
Ma muli o ke kaulike ma waena o nā hopena a me nā mea e hoʻoulu ai, ʻaʻole ʻo Amitriptyline e hoʻonāuki i nā hōʻailona huahana - hallucinations, delusion, mania, hypomania - like me Imipramine.
Kōkua ʻo Amitriptyline i ka hoʻopau ʻana i ka ʻōpū.
Nā Hoʻohui
Ua hoʻohālikelike ʻia ka lāʻau i ka hihia o ka hypersensitivity ma ia, he nui atherosclerosis, maʻi ʻeha coronary, hōʻeha puʻuwai, hana hōʻeha maʻi (a me ka porphyria), psychic manic, loea me ka monoamine oxidase inhibitors (i loko o 2 mau pule ma hope o ka pau ʻana o ka hoʻohana).
ʻAʻole hiki iā ʻoe ke lawe i ka lāʻau lapaʻau i nā wahine hāpai a me nā keiki ma lalo o 16 makahiki.
Pehea e lawe ai
Hoʻoholo ʻia ka noho ʻai ʻana ma muli o ka pathology a me nā makahiki o nā mea maʻi.
I ke kauā helu reged dosis
No ka mālamaʻana i ke kaumaha, ua hoʻohana ʻia kahi nui o 25 mg, i ka lā 5 mau lā e hoʻonui a hiki i ka hopena hopena.
Me ka home home, ʻo ka nui loa ka nui loa he 200 mg.
Ma hope o ka holomua, e hoʻemi iki ʻia ana ka lāʻau i ka palena haʻahaʻa, ʻo ka maʻamau 50-100 mg i kēlā me kēia lā. ʻO ka pinepine o ka hoʻokele he mau manawa 2-3 i ka lā a i ka pō paha, no ka mea, aia ka hiamoe hiamoe.
ʻO ka nui o ka lawe ʻana i ka lāʻau lapaʻau he 2-3 mau manawa i ka lā a hoʻokahi i ka pō.
Inā hemo ka lā e hoʻokae ʻia ana, e loli ʻole ʻia ka hoʻopili hou aku. ʻO ke kumu o ka mālamaʻana he 3-6 mau mahina. I nā poʻe kahiko, hoʻomaka ka mālama ʻana i kahi maʻi o 25 mg, hoʻonui pinepine, ʻoiai hiki ke kaumaha ma luna o ka cardiovascular system.
ʻO ka hoʻoponopono regimen no nā keiki
ʻO nā keiki he 6-12 mau makahiki 10-30 mg i kēlā me kēia lā a i ʻole e mālama i ka paona o 1-5 mg / kg i kēlā me kēia lā.
Lawe i ka lāʻau lapaʻau no ka maʻi maʻi maʻi
Ma muli o ka nui o ka hana o ka adrenaline, hoʻonui ka antidepressant i ka pae o ka glucose i loko o ke koko, no laila, i ka diabetes mellitus, hoʻonui ʻia ka nui o ka ʻohiʻohi, e kāohi ana i kēia hōkuhi.
Ehia ka mana
Mālama ʻia i ke kino no 80-150 mau hola. Ma hope o kēia manawa, ua hōʻike ʻia.
Pehea e kāpae ai i ka amitriptyline
Hōʻike ʻia ka maʻi Cancellation e ka irritability, insomnia, headache, asthenia. No laila, ʻo ka haʻalele ʻana o ka lāʻau e pono e hele lūlū - hōʻemi iki ʻia ka lō.
Hōʻike ʻia ka maʻi homaʻi hulihue e kekahi ʻeha.
Nā hopena hopena
I nā ʻokoʻa āpau, hōʻike nā hopena ʻeha iā lākou iho i nā ʻano like ʻole.
ʻŌpala Gastrointestinal
Hoʻopili ʻia ka hopena anticholinergic me ka hoʻohaʻahaʻa ʻana i ka hoʻomaʻemaʻe ʻana, ka malo maloʻo, ke kolamu o ka acidity o ka ʻōpū, nausea, huʻi, ka hoʻoluliluli o ka hana kaʻa, a me ka ʻōpū o ka naʻau. ʻOi paha ka hoʻomohala ʻana o ka ileus paralytic, constipation, ʻōpala.
Hematopoietic mau hui
Hoʻopau i ka nui o nā leukocytes a me nā platelets, eosinophilia.
Mai ka ʻaoʻao o ka metabolism
ʻO ka kaupaona momona, hōʻemi ke kuʻekuʻe, gynecomastia a me nā mea āpau endocrine a hoʻonui, hoʻonui i ke kō.
Pūnaehana pīhoihoi waena
ʻO ka ʻōpū, nāwaliwali, nā hāʻule ʻana orthostatic, tinnitus, nā poʻi. No nā pilikia me ka lolo thyroid (hypothyroidism), lawe i ka lāʻau lapaʻau i kumu no kahi manic a i ʻole hypomania. Malia paha e hoʻonui i ke kaumaha me ka manaʻo e pepehi. Me ka epilepsy, hiki iā ia ke hoʻonāukiuki i ka piʻi ʻana o nā māui epileptic.
No nā pilikia me ka momona thyroid (hypothyroidism), lawe i ka lāʻau lapaʻau i hōʻea i kahi kūlana manic.
Allergies
Me ka ulu ʻana o ka naʻau, e hoʻoāheʻe i ka ʻāʻī o ka ʻili, hōʻeha, i kekahi manawa ka edema o Quincke, ka hopena anaphylactoid, pōkole o ka hanu.
Nā ʻōlelo kikoʻī
Ke lawe nei i ka lāʻau lapaʻau i nā ʻano like ʻole e makaʻala.
Hoʻohana i ka wā hāpai a me ka lactation
ʻAʻole hiki ke hoʻohana i ka wā o ka hāpai a me ka lactation. Nā hopena kūpono paha o nā hopena hoʻonā i ka lolo o nā keiki hoʻomohala, nā keiki hou.
Hoʻohana i ka wā kahiko
Hoʻohana ʻia lākou me ka makaʻala, no ka mea, i ka wā kahiko aia ka hopena o ka hoʻomohalaʻana i ka hypertension a me ka neʻe ʻana i ka infococote myocardial.
Me ka hana pūpū hemahema
Hoʻopau ʻia ka mālamaʻana ma lalo o ka mana o ACT, ALT, kūkaʻi bilirubin, phosphatase alkaline, transglutaminase pae. Inā pono, ua hoʻohana ʻia nā hepatoprotectors.
Ma ka hihia o ka hana o ka puʻuwai maʻi, mālama ʻia me Amitriptyline i lalo o ke kaohi o ka pae o AcT, Alt.
Me ka hana pūnāwai paʻa ʻole
Hoʻonohonohoʻia ka Creatinine a me urea i ke koko.
Hoʻopilikia i ka hiki ke mālama i nā mīkini
Hoʻopau ka hopena hypnotic i ke kao ʻana.
Hoʻolaha ka waipuna
Hoʻonui i ka nāo kino o ka ethanol. ʻO ka hoʻohuiʻole me ka waiʻona.
Ke keu
Ka mea i hōʻike 'ia iā ia iho ma mua i nā leʻaleʻa, nā nalowale o ka ʻike, hoʻomohala ʻana i ka ileus paralytic, convulsions, emi i ke ʻano o ke kino, palpitations.
I ka hihia o ka lāʻau, hiki ke koma a make paha.
He pono lavage gastric, paʻa diuresis, hemodialysis.
Hoʻopili pū me nā lāʻau ʻē aʻe
Ka pāpā ʻia i ka hoʻohana ʻana i ka antidepressant me ka MAO inhibitors (Furazolidone, St. John's wort, etc.) - nā maʻi tractclic antidepressants (Clomipramine, Imipramine), sympatholytics - Reserpine, SSRIs (Clozapine, etc.) - hiki i ka serotonin syndrome.
Hoʻohana ʻia ka hoʻohana ʻana o kahi antidepressant me ka MAO inhibitors, tricyclic antidepressants, sympatholytics.
Hoʻonui i ka hopena pale i ka ʻōnaehana o ka palaka o ka waiʻona, antipsychotics (Atarax, Triftazin), barbiturates, nā lāʻau lapaʻau no ka maʻi o Parkinson. Hoʻemi i ka hōʻeha o ka hopena antihypertensive o nā beta-blockers a me nā lāʻau lapaʻau'ē aʻe no ka hypertension. Hoʻemi i ka hana o nā anticonvulsants.
ʻO ka Barbiturates a me ka carbamazepine e hōʻemi i ka hoʻomohalaʻana i ka lāʻau, e wikiwiki ana i kāna excretion, cimetidine, ma kahi ʻē aʻe, ua kōkua i kona paʻa i ke koko. Ke hoʻohana pono nei me ka Sucralfate i ka hoʻihoʻi ʻana i ka hoʻoheheʻe ʻana.
Ke hui pū ʻia me nā hormone thyroid, kahi piʻi i ka arrhythmia a me ka agomeny psychomotor, ʻike hewa ʻole i ka ritika puʻuwai, a me ka tachycardia.
Hoʻohui ʻia me Grandaxin e hoʻohana i ka hoʻomehana, hoʻonui i ka hiamoe. Me nā mea āpau anticholinergic - ke hoʻomohalaʻana o ka pale o ka pūpū paralytic.
Nā hōʻike o ke amitriptyline
ʻO ka huahana ikaika e hana ʻia e nā hui he nui (Nycomed, Grindeks, Ozone, Zentiva) ma ke ʻano he mākaukau o ka hui ʻana o Anafranil, Saroten, Doxepin, Clofranil, etc.
Waihue huaʻōlelo waiho nā huaʻōlelo
Hoʻokuʻu ʻia e ka papa lāʻau.
Hiki iaʻu ke kūʻai me ke kī ʻole
I loko o kekahi mau lāʻau lapaʻau, kūʻai ʻia ka lāʻau lapaʻau ma luna o ka counter.
Kūʻai
ʻO ke kumu kūʻai o ka hoʻokomo ʻana i nā papa he 50 he 21-30 mau rubles. 10 mau pahu o 2 ml, 10 mg / ml kumukūʻai 52 mau rubles.
Nā ʻ andlelo a me nā kūlana kumu o ka mālama ʻana i ka lāʻau Amitriptyline
E kūʻai ma kahi maloʻo me kahi wela e ʻaʻole eʻoi aku ma mua o 25 ° C. Mai mālama i nā keiki. ʻO 3 mau makahiki kahi ola.
Hōʻikeʻike e pili ana i amitriptyline
Hōʻikeʻike i nā loea o nā loea a me kā lākou mau maʻi e pili ana i ka lāʻau lapaʻau.
Nā psychiatrist
Vlasov V.A.
He haʻahaʻa a kūpono hoʻi ka lāʻau. ʻAʻole hiki ke ʻae ʻia nā hopena kūpono he hopena ma muli o ka noiʻi no nā makahiki he mau makahiki. ʻIke ʻia e ka wā a me ka hoʻomaʻamaʻa. Akā nō naʻe, ʻaʻole kūpono ia i nā maʻi āpau, hiki i kekahi ke kumu no ka make, no laila ke makemake nei e hoʻokō ʻia ka mālama ʻana i ka haukapila.
Andreev A.L.
Hōʻike ʻo ia i kona pono ʻaʻole wale nō i ke kaumaha, akā ma ka psychosomatic pathology - nā mea maʻi me nā ʻōpū o ka ʻōpū, ke kakaka, ka ʻōpū o ka ʻāpana maʻi hoʻi i ka wā e lawe ʻia ai. Eia naʻe, hiki ke hoʻohui i ka lāʻau lapaʻau.
ʻO nā maʻi maʻi
Mikaela K.
Ua kōkua kēia antidepressant i ka hōʻeha. ʻEha wau mai ka maʻi ʻehaʻeha maʻi ʻeha. Hoʻomaikaʻi kēia lāʻau lapaʻau i ka manaʻo.
Dmitry Sh.
Aia kahi ulia ʻōpū, ke kaumaha ma ka hana i hoʻonāukiuki i kona helehelena. Ua kuhikuhi ka gastroenterologist i kēia lāʻau lapaʻau. Mai nā hopena hopena, ʻike wau i ka hiamoe a me kahi mea liʻiliʻi e emi ai i ka libido a me ka potency.
