The daroogada "Citalopram": dib u eegista ee dhakhtarrada

Sida ugu wanaagsan ee daawo sida "Citalopram"? Reviews dhakhaatiir ah oo ku saabsan wax soo saarka, daawooyinka this loo arkaa in ay qalab of this article. Sidoo kale, waxa uu siiyaa macluumaad ku saabsan waxa sababa waxyeelo, ayaa sheegay in hab, sida loo qabto ay soo dhaweynta habboon ee waxa guryaha pharmacodynamic u leeyahay.

Curiska, sharaxaad ka mid ah daroogada, ay qaab iyo xirxirida

In wixii qaab ka iibsan kartaa daawo "Citalopram"? Kurtumm sheegaya in silsilad farmashiye waa aalad iibin qaab ah kiniin lenticular iyo qaab wareeg ah, daboolay daahan a film cad. The qeybaha cross dawadan ayaa daaha wax yar ka hurdi hoose.

Maxay ka dhigan tahay "Citalopram" daroogada? Tilmaamaha, dib u eegista ayaa soo wariyay in qayb firfircoon ee daroogada waa shay ka mid ah magac la mid ah - Citalopram, kaas oo la soo bandhigay qaab hydrobromide. Iyadoo la tixgelinayo qaybaha kaabayaal ah, waxaa loo isticmaalaa sida cellulose mikrokristallin, istaarijka pregelatinized, iyo milmahayn magnesium.

Sidoo kale waa in la ogaadaa in wakiilka daahan filim this ka kooban khamriga polyvinyl, Opadry II, macrogol, Rusheyn kartaa iyo titanium dioxide.

In la iibiyo arkaa daroogada galo unugyada dusha ka mid ah PVC ama aluminium sameeyey, kuwaas oo la soo baakadeeyey ee sanduuq laga sameeyay baakado.

sifooyinka Pharmacodynamic ee lidka diiqadda

Waa maxay daawada "Citalopram"? Reviews ayaa sheegaya in tani ay tahay niyad jabka ah. Its qaab hawleed la xidhiidha xakamaynta dhexdhexaadiye reuptake (xulashada) serotonin jooga dalka synapses of unugyada dareenka, iyo sidoo kale saamayn yar ku reuptake ee neurotransmitters dopamine iyo norepinephrine. Waa in la ogaadaa in qalab ma muujiyaan awood u leh inay ka fal kala duwan dhaweeyayaasha (qaar ka mid ah serotonin, dopamine, H1-histamine, adrenoreceptors, receptors m-cholinergic, receptors reer Gebacna iyo receptors Benzodiazepin).

Waxaan ma dhihi karo in daawada "Citalopram" ka, dib u eegista ah kuwaas oo hoos ku qoran, waxa ka caawisaa si loo hagaajiyo niyadda qofka bukaanka ah, lagu cabudhibayo walwalka, yaraynaysaa welwelka, walaaca, ay meesha daal, iyo yareeyaa khasab. Intaa waxaa dheer, ayuu ku dhowaad marnaba keentaa saamayn soporific.

Sida laga soo xigtay khubaro ah, saamayn mid xasiloon oo daroogada this arkay 7-10 maalmood ka dib marka la isticmaalo joogto ah ka dib.

medicament awoodda ogeed

Waa maxay dabeecad u ah pharmacokinetics daroogada "Citalopram"? Responses sheegay in ay fiirsashada ugu sarreysa oo ah walaxda firfircoon ee dhiigga ku dhacdaa afar saacadood ka dib markii maamulka gudahood. isbedel ee ay heer yihiin toosan.

bioavailability ee daroogada ku dhowaado 80%, iyo bond si borotiinada plasma waa 79%.

In dhiigga Citalopram waxa ay joogtaa Qaabkiisu. walax Tan waxaa ku beddelma qayilo, demethylation iyo deamination. The bar-nolosha ee qayb tani waa 1.5 maalmood. Waxa uu daadgureeyay kaadida iyo iyada oo mareenka caloosha.

Tilmaamayaasha qoro niyad jabka

Maxay tahay sababta aan u baahan tahay qalab sida "Citalopram"? Reviews dhakhaatiir odhan daroogada ayaa lagu muujiyay in ay soo dhaweynta at:

• argagixin disorder;
• dhacdooyin niyad ah aad u daran oo dhexdhexaad ah.

Sidoo kale waa in la ogaadaa in qoro dawooyinka waa in ay ahaataa xirfadeed khibrad leh oo kaliya.

Sababo in naqshada daroogada

Under waxa xaaladaha uma isticmaali karo daawada "Citalopram"?

Reviews tilmaamaya ah sababo socda isticmaalka dawadan:

• da'da bukaanka yar ee (sida ay buuga, ammaanka iyo waxtarka ka mid ah kiniiniyada wakhtigan aan la aasaasay);
• dareen sare ee bukaanka in Citalopram, iyo sidoo kale mid ka mid ah walxaha ay kaabayaal ah,
• inta aad qaadaneyso la inhibitors ee oxidase monoamine oo ay ku jiraan moclobemide, selegiline, linezolid (laba toddobaad gudahood ka dib markii joojiyo ka mid ah maamulka);
• inta aad qaadaneysid daawooyin QT dheereynaya muddada ECG (yada oo ay ku jiraan pimozide) iyo dheer ee lagu dhasho ee bareeg ah).

Niyad jabka "Citalopram": tilmaamaha loo isticmaalo

khubaro Guest doodi tixgelin in in la siiyo daawada, ku xiran xaaladda bukaanka. "Citalopram" afka laga qaato hal mar maalintii. Sayidka kiniinno aan la calalin oo la qadar yar oo ah dareere ku maydhay.

daawada waxa loo isticmaali karaa wakhti kasta oo ah maalintii loo eegin hadhuudhka ah (doorbidayaa waqti isku mid ah).

Marka therapy murugada bilaabmaa qaadato 20 mg maalintii. Iyadoo ku xiran dareen diidmo shakhsi bukaanka iyo sidoo kale darnaanta murugada, qiyaasta waa la kordhin karaa ugu badnaan, i.e. ku saabsan 40 mg maalintii.

Sida fawdo argagax waa in la qaato daawada "Citalopram"? bukaanka Reviews ay sheegayaan in ay dhacdo in this daroogada firfircoon la siiyo in qiyaas ah 10 mg maalintii (1 toddobaad), ka dibna waxaa kor u kacay ilaa 20 mg maalintii. Sayidka, qiyaasta maalinlaha ah ee daroogada ku xirnaan kartaa jawaab bukaanka shakhsiyeed. Ka dibna waxa lacagta kor ku xusan ee daroogada lagu kordhin karaa ilaa 40 mg maalintii.

Dadka ka weyn 65 sano jir "Citalopram" qoray in qiyaas ah 10 mg. Ku xiran tahay darnaanta murugada iyo jawaabta qofka, waxaa lagu kordhin karaa ugu badnaan 20 mg maalintii.

Marka si daciif ah shaqada kelyaha, oo ay ku jiraan renal failure raaga ee dabiiciga ah oo dhexdhexaad ah iyo adkaanta kuwa itaalka yar, hab qabsiga ee mudada kacmaha ah ayaa loo baahan yahay. Waayo, kuwa la nooca daran la'aan kelyaha u baahan yahay daryeel gaar ah ee doorashada ee qiyaas-ku-daweyn.

Marka si daciif ah beerka, oo ay ku jiraan failure cagaarshowga la dhexdhexaad ah oo khafiif ah, qiyaasta hore ee daawada waa 10 mg maalin kasta (2 toddobaad ee hore). Iyada oo ku xidhan reactions shakhsiyeed, waa la kordhin karaa ilaa 20 mg. Dadka qaba nooca daran la'aan cagaarshowga u baahan yahay daryeel gaar ah in dose doorashada.

Dadka qaba hawl yar ee isoenzymes sida CYP2C19, qiyaasta hore waa 10 mg maalintii (2 toddobaad). Iyadoo ku xiran jawaabta qofka, waxaa lagu kordhin karaa ilaa 20 mg.

Sida laga soo xigtay tilmaamaha, saamaynta ku daweynta ka dib markii maamulka ee lidka diiqadda maaddo hore u Muuqda 2-4 toddobaad ka dib. Xaaladdan oo kale, muddada dabcan ka mid ah therapy waxaa lagu go'aamiyaa xaaladda bukaanka iyo tolerability ee daaweynta. Sida caadiga ah, daroogada waxaa lagu talinayaa in ay qaataan ku saabsan 6 bilood.

cancel medicament

Maxaa qof ayaa ku yidhi ku saabsan waxa ay dareen diidmo ka dhacaan joogsiga af qaadashada daawooyinka, dib u eegista "Citalopram"? Yaa ka qaaday qalab this, ayaa sheegay in calaamadaha timi ka dib markii joojinta kedis ah isticmaalka daawada tani ma aha caadiga ah. Inta badan, bukaanku uga warbixin fudud wareer, lalabo, daal, madax xanuun, hurdo la'aan, paresthesia, isku yaacsanaan, matag iyo gariir.

Sidaas darteed, at dhammaystirka daaweynta by aalad waa in ay si tartiib ah u joojin, in ka badan dhowr toddobaad. Tani waxay u ogolaaneysaa bukaanka si looga fogaado in astaamaha u-barashada. Sida caadiga ah, waxa ku filan in laba toddobaad, inkastoo ay dhacdo in kasta su'aasha waa in lagu go'aansaday by dhakhtar shakhsiga ku saleysan. Sidaas daraaddeed, waayo, dadka qaar waxay qaadan kartaa 3 bilood ama ka badan.

dhibaato ka dib markii ay niyad jabka

Waa maxay nooca falcelinta waa inuu ogaadaa dabeecadda xun ee bukaanka, ka hor inta daawada "Citalopram"? Reviews saabsan dhibaalka dhanka kale ayaa sheegaya in, sida kiiska ee isticmaalka dawooyinka kale SSRI, ku saabsan asalka ah ee bukaanka "Citalopram" ayaa sidoo kale lagu arkay Waxyeellooyin. Si kastaba ha ahaatee, waxaa la ogaadaa in dhan oo iyaga ka mid ah waa mid aad u tabar daran oo waa transient.

Guud ahaan, dhacdooyinkan gurracan ee soo socda maamulka ee daroogada ku xiran arkay inta lagu guda jiro 2 toddobaad ee ugu horreeya ee daaweynta ah. Isla mar ahaantaana ay u badan taagta daran kula horumar ah ee xaaladda bukaanka ku jira.

Sidaas daraaddeed, "Citalopram" keeni kartaa waxyeelo sida:

• dareen sarreeya, kacsanaan, ficil-celintan jirka, madax-xanuun, walaaca, udagaashaa, hoos u libido, xusuus la'aan;
• gardarada, xadgudub idinkoo Junub ah ee haweenka, waali, riyooyin yaab leh, welwel, fikradaha isdilka, wareer, dawakh,
• hurdo, gariir, fiirsashada oo yaraada, kacsanaan, dhalanteed, gariir,
• rayn, disorder extrapyramidal, xanuunka dhanjafka, hemorrhage, libido kordhay,
• lalabo, dhiig dumarka, paresthesia, matag, uurkuna waa, serotonin syndrome, weerarada argagaxa leh, hurdo xumo, bruxism, dibiro, feejignaan xumo, shuban,

• akathisia, dhiigbaxa caloosha iyo mindhicirka, hypertension, afka oo qalala, tachycardia, dyspnea, calool, bradycardia, calool xanuun, qufac,
• wacaya dhegaha, hepatitis, hypotension orthostatic, rhinitt, qas dhadhanka, cadaadiska dhiigga oo hoos u, rabshooyin muuqaalka, arrhythmia, disorder biyo bax, hogaga, qas hoyga, galactorrhea, cillad xagga galmada, hoos rabitaanka cuntada, hyponatraemia;
• miisaanka oo yaraada, polyuria, rabitaanka cuntada oo kordhay, nabar, dheecaan ku filneyn of ADH, isbeddel ah ee wadnaha ee, finan maqaarka ah, alopecia, miisaanka oo kordha, barar angioneurotic, hypokalemia, kaadida oo xanuun badan, cuncun,
• photosensitivity, dhidid kordhay, halis dheeraad ah dhaawacyo iyo jab, urtikaria, pyrexia, purpura, myalgias, halaaqyo, arthralgia iyo kuwa kale.

Kiisaska of badinta daroogada

Drug "Citalopram", analogues ah kuwaas oo hoos ku qoran, waxay keeni kartaa calaamadaha soo socda ee xad dhaafka ah, gariir, gariir, matag, tachycardia, hurdo, ardayda u furmo, bradycardia, summer, ama dhiig-karka, lalabo, dhiigrooraan maqaarka, serotonin syndrome, block laan xidhmo, cadhoodaan , dawakhaad, kaafi wadnaha, maskax hurudda, hawo, dhidid, arrhythmia ventricular, arrhythmia wadne, kooma.

isdhexgalka daroogada

Waxaa loo tixgeliyaa loola si caddaalad ah iyo sidoo kale lala qaato dawooyinka kale. Sidaa darteed, ay wada-maamulka waa u leh wakiilada soo socda:

• MAO (waxa dhici karta in dhibaatoyin halis ah, oo ay ku jiraan serotonin syndrome).
• Daroogooyinka korarsado mudada ku QT (oo keeni karta in ay carqalad ah garaaca wadnaha, kaas oo ugu dambeyntii u noqon lahaa dilaa ah).
• "Pimozide" (suurto gal ku hagaagay bareeg QT).

Sidoo kale waa in la ogaadaa in co-maamulka "Citalopram" la daroogooyinka kale yarayn kartaa marinka qabashada. Intaa waxaa dheer, daroogada this Ma wanaagsana in lagu biiriyo wakiilada serotonergic, daawooyinka ka kooban St. John ee johannesört johannesört, xinjirowga lidka ku ah si aan toos ahayn, "warfarin", khamriga, desipramine.

daawooyinka la mid ah

Waa maxay tixgeliyo daawo analogues? Waa kuwee waa ka wanaagsan? "Citalopram"? Reviews sheegaya in daroogada lagu beddeli karo daawooyinka soo socda: "Paxil", "cytological" "gaariga", "Sedopram", "Oprah", "Umorap", "Siozam", "Tsitalorin" "Cipramil", "Tsitalek" "Tsitalift", "Tsitalon". Dhamaan lacagtaas waa in la siiyaa oo kaliya dhakhtar khibrad leh.

bukaan aad u badan oo xiiseynaya in su'aasha ah ee arrinta fiican "Citalopram" iyo "Paxil"? takhasusay Reviews sheegaan in daawada ugu horeysay badan ka waxtar badan labaad waa. Sidoo kale waa in la ogaadaa in waxyeelo ku dhaca ka dib markii codsiga ah "Paxil", waxay u badan fahmayaan. Sidaa darteed, dhakhaatiirta ugu talinaynaa isticmaalkiisa "Citalopram".

Uurka iyo sakaarka

niyad jabka Said waa in aan loo qaadan in ay haweenka uurka leh iyo hooyooyin carruurtaada nuujiya. Isticmaalka daroogada this ee saddexda bilood ee saddexaad saamayn taban ku leh horumarinta psycho-jirka ee ilmaha ayaa laga yaabaa. The xadgudubyada ka dib markii sidoo kale waa u suurtoobaan: dhiigrooraan, neefsigu, hypoglycemia, neefta oo ku qabata, matag, gariir, gariirka, xasilooni heerkulka, isku yaacsanaan, quudinta ku adag tahay, caro, hypertension muruqa, hurdo la'aan, hyperreflexia, iyagoo qaylinaya oo joogto ah, feejignaan xumo, hurdo.

Niyad jabka "Citalopram": dib u eegista

Marka daroogada IBS waxaa qoray si taxadar leh u daran. Tan waxa u sabab xaqiiqda ah in uu ballan uga sii dari kara adag oo si xaaladda bukaanka.

Maxaad waxay yidhaahdaan ku saabsan xaadirka ah macaamiisha hab? Bukaan badan sheego oo ku saabsan a natiijada daawaynta guul "Citalopram" daroogada. Ka dib bilow ah therapy, xaaladda dareen soo hagaagtay aad ugu dhakhsaha badan. Si kastaba ha ahaatee, dadka isticmaala qaar ka mid ah waxay ku andacoodaan in natiijada daweynta, iyagu ma ay u adeegi jirtay, tan iyo daroogada ayaa sababay horumarka of tiro ka mid ah waxyeelo.

Sida dhakhaatiirta, waxay sidoo kale ku doodaya in "Citalopram" jabka waa hab aad u hufan oo wax ku ool ah, laakiin keliya in kiisaska ma aha sahla horumarinta waxyeellooyin. Sidaa darteed, dhakhaatiir badan oo isku day in aad qoro dawooyinka oo keliya xaaladaha khatarta ah iyo qaadasho yar. Haddii in todobaadka ugu horeeya ee daaweynta jirin dhibaato la aqoonsaday, ka dibna daaweyn daroogada this sii kordhay qaar ka mid ah in ay dose (haddii loo baahdo).