Umuthi 'Velafaks ": ukubuyekezwa, izinkomba ukusetshenziswa, umthamo

Ngeshwa, ukucindezeleka nezinye izifo akukhona okungavamile ukuba likhithike ezweni lanamuhla. Ezinye onganqoba izinkinga ezingokwengqondo eyabo. Ngakolunye uhlangothi, ezimweni ezimbi kakhulu, ukusetshenziswa antidepressant uyisidingo. izindlela impela kubhekwe "Velafaks". Izibuyekezo ochwepheshe kanye neziguli ukuqinisekisa ukuthi izidakamizwa empeleni kusiza ukuxazulula izinkinga eziningi. Ngakho-ke, isetshenziswa kwezokwelapha zanamuhla ngokuvamile.

Yiqiniso, neurosis umtholampilo kudinga izinyathelo ezifanele. Ngakho ukuthi ingxenye izidakamizwa nokuthi kuyithinta kanjani umzimba? Ingabe ikhona ulwazi yokweqisa? Indlela ukuthatha amaphilisi? Lolu lwazi, abafundi abaningi owufunayo.

Incazelo sokuqanjwa izidakamizwa. ukukhululwa Ifomu

Lesi sidakamizwa itholakala ngendlela amaphilisi aphuzi oblong. Yikuphi ketshezi kuyinto isithako esebenzayo eyinhloko "Velafaks" izidakamizwa? Venlafaxine hydrochloride e isamba 37.5 noma 75 mg iphilisi ngalinye (Pharmacy angathengwa nge umthamo izidakamizwa ezahlukene). Basuke ezibekwe kule amabhamuza yizicucu 14. Esikhathini iphakethe, njengoba umthetho, amabhamuza ezimbili, okusho ukuthi amaphilisi 28.

Ngokwemvelo, lokhu kusho ukulungiselela iqukethe izingxenye elisizayo, e talc ethile, magnesium oxide, yensimbi ophuzi (udayi), i-sodium carboxymethylstarch, corn isitashi futhi microcrystalline cellulose.

Yini izidakamizwa anezakhi kwemithi?

Lesi sidakamizwa kungokwalabo iqembu antidepressant. Ingqikithi asebenzayo uyakwazi ukuthatha isinyathelo isimiso sezinzwa esiyinhloko, potentiating ukudluliselwa nerve amaza. Umuthi kuyinto inhibitor sasivumela anamandla we reuptake ka norepinephrine kanye le-serotonin. Nokho, kunciphisa reactivity we-beta-adrenergic, futhi lo mphumela kuhlehlela emva umthamo owodwa, futhi ngesikhathi yokwelapha isikhathi eside. I asebenzayo izidakamizwa ingxenye akusho nomthelela inqubo ukukhululwa kwe norepinephrine kusukela izicubu ingqondo.

Ulwazi on the pharmacodynamics

Lesi sidakamizwa is kahle amuncwa ezindongeni ipheshana esiswini. Ubuningi esiphezulu lomcebo asebenzayo egazini ku uhla kusuka mg 25 150. Lamagugu kuyagcinwa emva 2 amahora ngemva kokuphathwa. By endleleni, uma uphuza i-tablet phakathi noma ngaphambi kokudla, umphumela esiphezulu sizoba ngesikhathi kamuva imizuzu 20-30.

Ingqikithi asebenzayo nakanjani plasma amaprotheni mayelana 27-30%. Fundzisisa izidakamizwa umzimba kwenzeka kumaseli isibindi. Ingxenye-ukuphila zokhahlamba kusuka amahora 5 kuya ku-11. Metabolites, kanye venlafaxine azizange zishintshe, kuthiwa excreted ngu nezinso. Ubulili nobudala isiguli akuphazamisi pharmacokinetics.

izinkomba

Yiqiniso, okokuqala iziguli nentshisekelo umbuzo lapho izimo ingabe, kuhle ukumkhumula umuthi "Velafaks". Uphenyo odokotela, kanye imiphumela izifundo zesayensi zisikisela ukuthi izidakamizwa ngempumelelo khona ukucindezeleka, ikakhulukazi uma zihlotshaniswa ukukhathazeka owengeziwe.

Izidakamizwa "Velafaks": yokusetshenziswa

Kunoma ikuphi ke akudingekile ukusebenzisa imithi bebodwa. Isikali, sokuphuzisa schedule, ubude ukwelashwa unelungelo ukunquma udokotela. Futhi lapha ukubaluleka izici eziningi: neurosis umtholampilo, yobudala kanye isimo jikelele isiguli, imithi ezithathwe kubo, contraindications, njll ...

Ithebhulethi engcono ezithathwe ngaphambi noma ngesikhathi sakusihlwa. Akumele ezokuhlafunwa, kubalulekile ukuba igwinye ngokuphelele, ukugeza phansi ngamanzi. Umuthi kufanele okungenani zithathwe ngesikhathi esifanayo sosuku. Ngokuvamile, umthamo kokuqala - 37.5 mg kabili ngelanga. Uma wayefisa nomphumela oqabulayo akuyona kufinyelelwa, isibalo esigcwele athathe izidakamizwa luyanda 75 mg kabili ngelanga. esiphezulu I umthamo wansuku zonke - 375 mg isithako esisebenzayo. Uma umphumela oyifunayo kufinyelelwa, ungaqala ukunciphisa umthamo kancane.

Ingabe kukhona Izimo yokwelapha?

Abantu abaningi namuhla unesithakazelo imibuzo mayelana nendlela ayibulale lokukhathazeka nokucindezeleka. Yiqiniso, lesi sidakamizwa kuyasiza babhekane nezinkinga, kodwa kukhona ezinye imikhawulo reception yayo:

• hypersensitivity kuya izithako;
• umuthi umkhawulo yobudala, asikwazi kuthathwe iziguli azifinyelelanga engu-18 ubudala;
• ngenkathi bekhulelwe nangenkathi bencelisa,
• lokhu imithi akufanele kuthathwe kanye mao inhibitor.

Ngaphezu kwalokho, kukhona Izimo isihlobo okuyiwona usizo lokwelapha, kodwa ngaphansi kokuqondisa qaphani. Ikakhulukazi, umuthi iqondiswa ngokuqapha ukuze iziguli tachycardia, umfutho wegazi ophakeme, engela-Ukuvalwa ukufiphala hyponatremia. Ngaphezu kwalokho, Izimo isihlobo zibandakanya encishisiwe isisindo, nezici ezithile ukuze ukopha, mania e ukuxilongwa nesineke, kokuzibulala, waqinisa intraocular.

Ingabe side effects zingenzeka?

Ngokwemvelo, njenganoma iyiphi enye antidepressant, lokhu imithi kungadala ezinye imiphumela emibi. Izinkinga abasakwazi ezihlukahlukene, lapha yibo ezivamile:

• Kaningi kukhona ukushayisana isimiso sokugaya ukudla bungene ezinjengesicanucanu futhi angafuni kudla, ubuhlungu besisu, nomlomo owomile, ukuqunjelwa, ukuqunjelwa. Kakhulu akuvamile ngesikhathi yokwelapha athuthukile pancreatitis kanye ne-hepatitis.
• izimpawu olungenzeka esimiso senhliziyo nemithambo yegazi, okufaka ukwehliswa noma ukwanda wegazi, arrhythmia, tachycardia, siwasebenzise kwesikhumba. Ngezikhathi ezithile eba ventricular fibrillation futhi tachycardia.
• Mhlawumbe ukuphazamiseka umzimba, isibonelo, zincishiswe noma waba ukwanda okukhulu kwezincwadi isisindo somzimba, amazinga cholesterol ukwandisa. Akuvamile e seziguli ezithola amaphilisi ukwehla ngo uketshezi of ama-hormone antidiuretic, prolactin ephakeme.
• Ukuze okuvame imiphumela emibi ibandakanya ubuthakathaka, isiyezi, Yawning ezinzima, ukozela, amaphupho amabi, imisipha hypertonicity, kukhuphuke ukucasuka sezinzwa. Ngu kwemizwa uhlelo iziyaluyalu futhi zihlanganisa asthenia, liqhaqhazela, ukunganakwa, nakwisyncope, ukusangana. Ngezikhathi ezithile yokwelapha kuholela ukuthuthukiswa okuyize, ukulahlekelwa ukubambisana, Ukudlikizela, delirium, lengqondo ukungahlaliseki.
• izinguquko ezingenzeka ohlelweni lymph kanye igazi, kuhlanganise a syndrome oluhambisana, nokopha ezincane esikhumbeni futhi nolwelwesi lwamafinyila, thrombocytopenia, akuvamile - aplastic ANEP, pancytopenia futhi agranulocytosis.
• Ezinye iziguli esekhala nezinkinga nge ukuchama.
• Kukhona kungenzeka okuthile okungavamile kwezitho umqondo ukuthi wazwakalisa ukuvela tinnitus, ukunambitheka ukulungiswa, izinkinga ngendawo yokuhlala, futhi umbono encishisiwe.
• Ukwelashwa kungathinta izinga lempilo ngokobulili, okubangela ukulahleka libido, ukungasebenzi Erectile, izinkinga ejaculation, menstrual cycle izinguquko, ukungakwazi sifinyelele eqophelweni lokwaneliseka ngokobulili.
• Tablets kungaba kuvuse ukusabela iguliswa, okuyinto kuhambisana ukubukeka ukuqubuka kwesikhumba, ububomvu, urticaria, edema. Ngaphansi ngokuvamile, lapho erythema, ukushaqeka anaphylactic.
• Zikhona ezinye side effects ezingase ezenzeka phakathi ukwelashwa. Ngezinye izikhathi iziguli esekhala ukujuluka anda, nezinwele (kakhulu ezingavamile), kufushane okunzima umoya, eosinophilia yamaphaphu. Ngezinye izikhathi kukhona kwemisipha izinhlungu zibe, myalgia, arthralgia.

Kufanele kuqashelwe ukuthi nesenzakalo amathuba okuba nemiphumela engemihle ngezinye izikhathi ezihambisana ne iqiniso lokuthi umthamo wansuku zonke iphakeme kakhulu. Nokho, kwezinye izimo kungase kudingeke ukuba ugcwalise ukuqedwa zomuthi. Uma uqaphela ukuwohloka, kufanele ngokushesha ngangokunokwenzeka ukuze abone udokotela.

Overdose futhi izimpawu zaso

Kwenzekani uma uthatha liphezulu kakhulu umthamo we "Velafaks" izidakamizwa? Overdose kungenzeka, futhi kuhambisana izimpawu sici. Okokuqala, kukhona isiyezi, waphawula blood pressure ukunciphisa. Njengoba Ukungena ezisebenzayo lingene egazini eba ventricular futhi itheku tachycardia. Libuye nokuquleka kungenzeka. Kwezinye iziguli, kukhona izifo ezingaba ngu-thile, kusukela somnolence kanye ukukhathala, ophela ikhoma. Uma isikhathi alinikezi ukunakekelwa isiguli, ukweqisa izidakamizwa kungaba yingozi. By the way, lezi zimpawu zenzeka nje kuphela okwandisa esenikwe imithi, kodwa futhi ngokwabelana esibhebheni kanye ethanol (utshwala).

Njengoba yokwelapha, kulesi simo, it siyefana, njengoba lingekho ikhambi ethize. Ukwelashwa kuhloswe nokugcina imisebenzi eyisisekelo umzimba womuntu futhi kufanele kwenziwe endaweni esibhedlela.

Khansela isidakamizwa: ukuthi yini okufanele ayilindele?

Njengoba yaziwa, esigabeni olunzima yokwelapha yinqubo yokuqeda le antidepressant. Yingakho umthamo wansuku zonke kuyehla kancane kancane. Kwaze kwaba yilapho sebeshiye inani izidakamizwa washisa waba incishisiwe, kungenzeka ukuba angaqhubeki yokwelapha.

nokuqaleka kungase kuhambisane izimpawu ezinhlobonhlobo. Ezinye iziguli ukubika ukukhathala nokozela. ukukhathala ezingenzeka, ikhanda, ukuqwasha, ukukhathazeka njalo, ukuvela ukukhathazeka, ukucasuka, ngezinye izikhathi abantu bengasinaki, disorientation, ukudideka. Ngezinye izikhathi isiguli ngemuva kokuhoxiswa ekuthuthukiseni ukucindezeleka, kokuzibulala ukuvela.

Kungakanani buyisidakamizwa?

Yiqiniso, iziguli eziningi ukusebenza nje kuphela kodwa futhi izindleko zomuthi. Ngakho malini izobiza lesi sidakamizwa "Velafaks"? Inani kuzoncika ezintweni eziningana, kuhlanganise nomenzi edolobheni, inqubomgomo yezezimali Ikhemisi, njll D. izindleko isembozo amaphilisi nge umthamo 37.5 mg zazisuka ruble 480 kuya 560. Tablets equkethe 75 mg lomcebo asebenzayo, ngokwemvelo, abiza kakhulu - kulesi simo izinombolo isukela 680 kuya 750 ruble. Yiqiniso, kubalulekile ukuqonda ukuthi ngezinye izikhathi ngenxa yenkambo egcwele ukwelashwa kuzothatha amaphakheji ambalwa.

Izidakamizwa "Velafaks": izinga analogs futhi esikhundleni

Ngenxa yezizathu ezihlukahlukene, le izidakamizwa akuyona yonke nesineke. Futhi ukwenza ezimweni ezinjalo? Ngingaba esikhundleni into iphilisi "Velafaks"? Izibuyekezo lodokotela abonisa ukuthi izidakamizwa ungayithola enye uma kunesidingo. Ngokwesibonelo, esikhundleni iziguli ngezinye izikhathi athathe izidakamizwa ezifana "Venlaksor" noma "Dapfiks". futhi "Velaksin" libhekisela analogs. Yiqiniso, emakethe yesilungu yanamuhla inikeza lenqwaba izigaba ezahlukene antidepressant, kodwa kubalulekile ukuba uqonde ukuthi yokunika leli thuluzi can udokotela kuphela.

Uphenyo iziguli kanye nodokotela mayelana imithi

Yiqiniso, abantu abaningi banesithakazelo ngokubona kodokotela kanye neziguli abaye kakade ukuze ukwelashwa. Ngakho ukukhuluma mayelana izidakamizwa "Velafaks"? Izibuyekezo ingxenye enkulu akhayo. Ochwepheshe uqaphele ukuthi umphumela walesi antidepressant cishe osheshayo. Ngokwemvelo, ukuphathwa zingahlanganiswa nezinkinga ezithile, ngakhoke umthamo kokuqala ngokuvamile ephansi kakhulu. Iziguli uthi, ukuthi umzimba Ufika esetshenziswa izidakamizwa izinsuku ezimbalwa, ngemva kwalokho-ke isivele kungenzeka ukuthatha ngaphandle kokwesaba eziyingozi.

Izinzuzo izidakamizwa akunakubangelwa, futhi intengo kuqhathaniswa ezingabizi, kusukela antidepressant abaningi ngezinye izikhathi ezibizayo. Futhi ukuthola izidakamizwa kungaba cishe noma kuphi.

Ngeshwa, izimpendulo iziguli futhi ibonisa ukuthi kunzima kakhulu ukuyeka ukuphuza umuthi. inqubo Ukukhansela ngeke kwenziwe ngaphansi kokuqondisa onguchwepheshe, futhi kufanele uzilungiselele yokuthi ukulahlwa izibhebhe Kuthatha isikhathi.

Ngokuphazima umcimbi akufanele uthathe imithi ngokungemthetho. udokotela kuphela uyazi kanjani ukuqeda lokukhathazeka nokucindezeleka. reception engalawuliwe imithi oluqinile kungaholela nemiphumela eyinhlekelele.