"Risperidone": yokusetshenziswa. "Risperidone Organic": incazelo, ukubuyekezwa, Izimo

Ubudala, izinguquko kwengqondo nesimilo kungaba izinkinga kakhulu ukuphila hhayi kuphela umuntu ogulayo, kodwa futhi umbuthano bakhe bangaphakathi. Ukwelashwa kwezifo psychogenic nezinye kuyinqubo eyinkimbinkimbi, kodwa imithi akusho yima unganyakazi futhi usungula wake izindlela ezintsha zokubhekana nazo. Iqhaza main unikezwa imithi yokwelashwa. Tablets "Risperidone" analogs okuyinto baningi kakhulu, kukhona phakathi imikhiqizo ethandwa kakhulu. Kuyini sici zabo? Indlela uzithatha, futhi uma unanoma yimiphi Izimo? Ngingakwazi ukusebenzisa lawo amaphilisi ngenxa yokucindezeleka? Izimpendulo zale mibuzo sizozama ukunikeza kulesi sihloko.

Khipha ifomu kanye nokwakheka "Risperidone" izidakamizwa

"Risperidone" Lezi zibhebhe ekhiqizwa yizinkampani ezimbalwa ezenza imithi ngaphansi kwegama efanayo futhi babe kakhulu ukwakheka efanayo. The main isithako zomuthi empeleni ngokwawo risperidone e isamba 1, 2 noma 4 mg (kuncike umthamo). ithebhulethi ngamunye camera ulwelwesi enteric-camera emhlophe. ithebhulethi uyisiyingi, biconvex. Ngo cross-sigaba sikhombisa ngokusobala izingqimba ezimbili: yangaphandle futhi kwangaphakathi. Ukwakheka izibhebhe "Risperidone" - ngaphezu isithako esebenzayo - kuhlanganisa izingxenye ezengeziwe: isitashi, Silicon dioxide, i-magnesium stearate futhi MCC.

Tablets "Risperidone" futhi analogs yabo, kuhlanganise "Engokwemvelo Risperidone", sibekwa uhlaka amaphakheji yizicucu 10 ngamunye okuyinto yena, afakwe amakhadibhodi amabhokisi 2, 3, 5 noma 6 amaphakethe ndawonye enemiyalo isicelo. Ukwengezwa umkhiqizo kukhiqizwa futhi kojeke ingilazi amnyama, ngamunye elakhiwa amaphilisi 20, 30, 50 noma 60. Amabhange nawo kuthiwa ezibekwe amakhadibhodi amabhokisi nesiqondiso.

Kanjani umuthi?

Lamanje imfundo 'Risperidone "amaphilisi izidakamizwa iphathelene bensizoksazola, okusho neuroleptics. Ngaphezu umphumela antipsychotic yalesi izidakamizwa has sine hypothermic futhi izakhiwo antiemetic. Lokhu kungenxa ikhono ukuvimba isithako D2-zemizwa Mesocortical futhi izinhlelo mesolimbic futhi isikhungo emetic, futhi kuthinte receptor adrenergic isebenze stem ingqondo. Futhi egcekeni unekhono ukuvimba Dopamine zemizwa hypothalamus.

Ngenxa ezifana izakhiwo kwemithi zomuthi "Risperidone" izilinganiso okuyinto cishe njalo omuhle, uyakwazi ukucindezela izimpawu kuphazamiseka neurogenic ezifana okuyize, ukusangana, ukuba nolaka automaticity. Ngenxa yalokhu, ochwepheshe uqaphele ukuthi izidakamizwa has cishe akunamthelela motor umsebenzi, kodwa ngesikhathi esifanayo, suppresses izimpawu lingaze affective ka sokuphazamiseka kwengqondo.

Sokusabalalisa excretion

Nokwenziwa ketshezi asebenzayo in the ipheshana emathunjini kwenzeka ngesikhathi esifushane futhi ngokwezinga esiphezulu. Ukudla akusho vliyaetetot inqubo. Ubuningi kufakwe ku-plasma-ejenti asebenzayo ifinyelela ihora ngemuva kokuthatha izidakamizwa. Izisetshenziswa zemali njengoba risperidone (9-hydroxyrisperidone) esikuthola kancane.

Ngokuphathelene ukusatshalaliswa izidakamizwa emzimbeni "Risperidone" imfundo manual elikushoyo Ukungena we ketshezi esebenzayo ezicutshini ehlukahlukene izitho, nobuchopho, kanye nobisi lwebele. Ukuxhumana amaprotheni oketshezi olungenambala olusegazini kulokhu mayelana 90%.

Isigamu-ukuphila zomuthi Kwenzeka ngezigaba ezimbili: ngesikhathi 3 amahora eduze 70% kwakwakhe excreted ngu izinso ngefomu azizange zishintshe, kuyilapho 9-digidrorisperidon ukuboniswa cishe ngosuku. ezigulini esezikhulile futhi kulabo abaphethwe nokwehluleka ukusebenza kwezinso, isikhathi excretion zomuthi anda.

Sebenzisa umuthi: izinkomba kanye contraindications

Sebenzisa lesi sidakamizwa "Risperidone" imfundo manual incoma ukuthi lapho lezi zifo ezilandelayo noma ukuphazamiseka kwempilo okuthile emzimbeni:

1. ifomu olunamandla noma njalo sokuphazamiseka kwengqondo.
2. disorder Psychopathic, libhekene ukubonakaliswa angemahle noma elikhiqizayo lingaze.
3. Isifo sengqondo, ephelezelwa kwemizwelo.
4. Dementia ngokuvamile kubangela nokuqubuka ngayo intukuthelo nobudlova, okuyize, nezinye izimpawu ngengqondo.

eboniswe Futhi Isidakamizwa "Risperidone" izingane izingane zabo abanale nkinga yokungadli kahle indawo (ukuthambekela elimazayo) retardation ngemilingo noma ngokwengqondo, kanye in iziyaluyalu okuguquguqukayo futhi mania nhlobonhlobo. Kulezi zimo, ithebhulethi kudlala indima ekusekeleni ekwelapheni.

It likhona izidakamizwa futhi okuphawulekayo Izimo okuyinto zihlanganisa hypersensitivity kuya izingxenye ezibhebheni. Ngaphezu kwalokho, lesi sidakamizwa "Risperidone" imfundo manual weluleka ukusebenzisa ngokucophelela okukhulu e lezi zifo ezilandelayo noma izimo:

• izimila ebuchosheni futhi cerebral ukugeleza kwegazi;
• ukuhluleka hepatic futhi kwezinso ngefomu ezinzima;
• iziyaluyalu patency emathunjini;
• isifo senhliziyo, kuhlanganise isilethikusebenza, ukuhluleka kwenhliziyo, ezingamahlalakhona ifomu antrioventikulyarnaya isivimbo bradycardia;
• Izidakamizwa ukweqisa izidakamizwa noma ekuthembeleni phezu kwabo;
• amanzi emzimbeni;
• Parkinson;
• amajaqamba (ngesikhathi izidakamizwa noma isifo);
• Nokukhulelwa kanye lactation.

Ngaphezu kwalokho, lo izidakamizwa is hhayi Kunconywa "Risperidone" (amaphilisi) we nokucindezeleka, okungabangelwa sivezwe kula nokwehlisa umsebenzi nesineke futhi bathambekele ekuzibulaleni. Futhi ngokunakekela prescribers abantu kabani yobudala kungazange kufinyelele iminyaka engu-15.

Isikali futhi indlela ukwamukelwa

Isikali nezindlela kuxhomeke izidakamizwa luyatholakala at isifo lesiguli, kobukhulu ukuvuza, futhi khona izifo concomitant noma uthi sokugembula. Yonke idatha efanele on the ukusetshenziswa kwezidakamizwa "Risperidone" ungabona ethebuleni.

akufanele idlule 16 mg nganoma yisiphi isifo noma isimo nsuku zonke umthamo "Risperidone" ukulungiselela.

ukusabela ezingezinhle umzimba kanye ukweqisa izidakamizwa

Esinye isici esibalulekile ukuthi udinga ukwazi iziguli ingakuzwa Inkambo yokwelashwa nge "Risperidone" - side effects ukuthi kungenzeka inqubo yokwamukela amaphilisi. Amathuba nesenzakalo yabo kuncike ngokuyinhloko ngamunye. Ngakho, lokho kungaphazamisa isiguli?

Ngokuvamile avele ukusabela elandelayo esibuhlungu esivela izitho ezihlukahlukene kanye nezinhlelo:

• izifo elingenhla ipheshana zokuphefumula futhi urinary (ikakhulukazi ezigulini esezikhulile kwathiwa unesifo "Dementia");
• ukuphathwa ikhanda, ukuphazamiseka of ubuthongo, isiyezi, ukozela kanye angaboni kahle;
• dyspepsia, ubuhlungu epigastric, isicanucanu, nomlomo owomile;
• inhliziyo isigqi iziyaluyalu (tachycardia);
• edema we mucosa acinene futhi tube Eustachian, lapho isiguli azizwa ekhaleni stuffy noma indlebe, ekhaleni esibhibhayo esivame ukopha;
• ukukhwehlela, amakhala yisisu, futhi iphika;
• anaemia;
• incontinence urinary;
• nokuvuvuka kwamalunga, izinguquko Gait (ikakhulukazi ezigulini esezikhulile), iqolo futhi ubuhlungu bamalunga.

kukhona inombolo yemiphumela emibi, okuyinto kuqhathaniswa kuyaqabukela zenzeka "Risperidone" ngokuthatha izidakamizwa. Izibuyekezo ochwepheshe phakathi kwabo lokhu okulandelayo:

• indlebe futhi izifo zamehlo;
• izifo ezibangelwa amagciwane ezithinta wonke umzimba noma ehunyushelwe;
• zokuphefumula ipheshana izifo, kuhlanganise i-pneumonia, namathansela, ukucinana kwemigudu yokuphefumula kanye tracheobronchitis;
• onychomycosis futhi acrodermatitis;
• ukudideka, ukukhathazeka, mania futhi hypomania, dyskinesia;
• imisipha rigidity, komzimba, kukhuphuke ukujuluka;
• oscillations engazinzile wegazi;
• isithuthwane;
• zokuphelelwa umoya, umgudu engenhla occlusion isikhwehlela (amakhwela ngesikhathi emishinini yokuphefumula, rales olumanzi noma dysphonia);
• ukwandisa noma ukunciphisa isisindo;
• ukuphazamiseka kokuya esikhathini, ukungabi ejaculation, priapism, ukuntula isifiso sobulili;
• webele soreness imisipha;
• ukuvuvukala isikhumba, ikakhulukazi ebusweni, Ukugodola, ukoma, isimo umkhuhlane-like;
• ubuthaka imilenze nezingalo, uzizwa of ukuqina kwamalunga.

Endabeni ka ezinzima ukusabela ukuba ngokuthatha izidakamizwa "Risperidone" omqondofana zomuthi ayinakuba esikhundleni Iyafaneleka imithi, njengoba equkethe izithako ezisebenzayo ezifanayo. Kulokhu, uchwepheshe ngeke ukhethe enye izidakamizwa, okuyinto yakhiwa nezinye izingxube zamakhemikhali, noma ukunikeza imithi eyengeziwe ukuqeda izimpawu ezingezinhle.

Izimpawu kanye nokwelashwa izidakamizwa ukweqisa izidakamizwa

Lapho imiyalelo okungalungile imithamo kuze phezulu kungenzeka ukweqisa izidakamizwa, okuyinto kuvezwa obala liphinyiselwe nokuphikelelayo ukwehlisa umfutho wegazi futhi inhliziyo isigqi iziyaluyalu (tachycardia). Ngaphezu kwalokho, isiguli ungase uphazamise somnolence, ukupholisa, iziyaluyalu zokuphefumula kanye disorder extrapyramidal.

isihlungu Specific ekulungiseleleni "Risperidone" cha, ngakho ukwelashwa okuhloswe ngalo ukuqeda izimpawu buphawuleka kakhulu. Njengoba usizo lokuqala isiguli kumelwe sihlanzwe esiswini futhi unike namalahle isebenze futhi laxatives. Ngokunciphisa umfutho wegazi ukuba imithetho ezibucayi zidinga ekuphathweni emthanjeni of agonists kanye ukumnika izixazululo.

Phakathi nesikhathi edingekayo ukuqapha inhliziyo ukubona izinhlobo ezihlukahlukene zezindwangu ezingaba arrhythmias inhliziyo. Uma kukhona kutholwa, therapy imithi ezifanele.

iziyalo ezikhethekile ngokuqondene ukusetshenziswa kwezidakamizwa

Lapho ethola izidakamizwa "Risperidone" imfundo manual weluleka ukulandela iziqondiso ezibalulekile ezimbalwa. Lokhu ngeke kuphela unciphise amathuba okuba nemiphumela engemihle, kodwa futhi ngcono isimo jikelele isiguli ebukhoneni co-morbidities.

Ngokuyinhloko ufuna uyinaka umthamo zomuthi kulabo iziguli bani kukhona izifo yisimiso senhliziyo nemithambo yegazi. Kulokhu, lesi sidakamizwa kunesidingo nge amazinga okukhishwa sakugcina isiqalo reception, kancane kancane zandise izinto ukuba amanani oyifunayo. Izincomo efanayo iyasebenza esimweni hypovolemia, amanzi emzimbeni neziyaluyalu cerebrovascular.

Ochwepheshe batusa nokuba ukuze ugweme ukusetshenziswa okune-calorie futhi kakhulu uma sezidla njengoba enjalo. Lokhu kungenxa yokuthi ukwelapha izidakamizwa "risperidone" awokuthi iqoqo isisindo esengeziwe.

It is hhayi Kunconywa ngesikhathi amaphilisi ukwelashwa "Risperidone" ukuze wenze imisebenzi ezihlobene nokuphathwa izimoto nezinye izindlela ezidinga emakamu eliphezulu lesiguli kanye okusheshayo lengqondo ukusabela.

Ukuxhumana nezinye izidakamizwa

Ngo kuqokwa izidakamizwa "Risperidone", intengo iluphi okuzoxoxwa ngalo kamuva, kufanele acabangele ikhono layo ukuze uxhumane imithi eminingi. Kwezinye izimo, lokhu kungaholela nemiphumela engalindelekile, futhi akuyona into emnandi kakhulu. Ngakho, izidakamizwa, ezicindezelayo nomthelela ohlelweni womuntu sezinzwa, kanye ethanol, kanye "Risperidone" avuse esesimweni esinjalo, njengenhlangano okufakiwe CNS ukucindezeleka imisebenzi.

Eminye imithi, njenge-beta-blocker, abaningi, wonke, ngaphandle kokukhetha, tricyclic antidepressant kungandisa lokuhlushwa asebenzayo izidakamizwa "Risperidone" izibhebhe oketshezini olungenambala lwegazi. Kunjalo yomuthi "Fluoxetine". "Carbamazepine", kunalokho, kunciphisa lokuhlushwa izidakamizwa esebenzayo kusho "Risperidone" plasma. Ngezinye isivumelwano sabo sokuhlangana ngokuhlanganyela kudinga nokuqapha njalo isiguli, kanye ukulungiswa we lwemithi nokushintsha kokudla nokufakwa.

Izibuyekezo

Izibuyekezo amaphilisi "Engokwemvelo Risperidone" futhi "Risperidone", intengo zazo ubhekwa kufinyeleleke anhlobonhlobo amakhasimende (ngokwesilinganiso ruble 170 iphakethe ngalinye), angeke ngokuthi omubi. Umthelela ukuthi izibhebhe izifo ezihlukahlukene psychogenic noma zokuziphatha, umbono omuhle kokubili ochwepheshe kanye neziguli. Vele abasabela kulokho kuqeqeshwa futhi analogs lokhu izidakamizwa, ngoba ezikhathini eziningi umehluko phakathi kwalezi zinto zombili kuphela ngesibalo nangohlobo ukubunjwa cishe kuyafana (kwasinda excipients).

Izibhebhe ethile abalulekile kuphela "Risperidone" (analogs yezinto ezibonakalayo. asebenzayo futhi ziwela ngaphansi le ncazelo) - eningi emibi, okuyinto kwezinye izimo kungase kuthinte izinga yokuthi ogulayo uphelelwa ukuphila okungcono. Yingakho ochwepheshe batusa ngesikhathi okuvela iyiphi ukusabela ezingezinhle ukuxhumana nodokotela wakho ukuze wabelane naye ukuthola indlela yokuphuma kulesi simo.

Ngakho safunda amela "Risperidone" amaphilisi-mbumbulu. Imiyalelo, intengo, analogs futhi ukusabela ezingezinhle yomzimba sezisetshenzisiwe kule iphepha ngokuningiliziwe. Sengiphetha, ngithanda ukukhumbuza ukuthi izidakamizwa ikhishwe kuphela kadokotela. isabelo okungagunyaziwe nokwamukela izibhebhe leli qembu angahle abe yingozi empilweni yakho.