"Serenata" Amacwecwe: imiyalelo ukusetyenziswa, analogs, ncomo

ukuphazamiseka luvo zande kwilizwe lethu. Kuba unyango lwabo, kukho amachiza amaninzi. Enye imithi enjalo kukuba amayeza "Serenata". Umyalelo ithi phambi ukusetyenziswa ichiza kufuneka udibane nogqirha.

Ukubunjwa kunye nefomu yokhululo iziyobisi

Oveliswa ngokohlobo amacwecwe, umboniso-camera, iziyobisi "Serenata". Guide uchaza ngokupheleleyo kuqamba medicament equka isithako sertraline hydrochloride esebenzayo. Njengoko izinto ezongezelelweyo zaye inxaxheba:

• microcrystalline neselulosi;
• sodium carboxymethyl starch;
• hydrogenphosphate calcium Anhydrous;
• giproloza;
• wemagniziyam stearate;
• polysorbate.

Macwecwe shell ibandakanya hypromellose, titanium dioxide kunye propylene ethers.
Ichiza iveliswa emacwecweni 50 mg kunye 100 mg. Baya kapsulovidnuyu imilo lenticular. Ngaba elimhlophe kwicala elinye kunye nobungozi. 10 Amacwecwe zipakishwe aluminium blister. Umqulu ikhadibhodi zingaqala namadyungudyungu malunga-3 ukuya kwezi-5 dibanisa yemiyalezo.

Ichiza ke kugcinwe kwiqondo lobushushu elingadluliyo 25 ° C. Ichiza kufuneka kwindawo ekhuselweyo elangeni nokufikelela nabantwana. Ithuba lokugcinwa beziyobisi yiminyaka emithathu ukususela kumhla wokwenziwa ichiza. Awukwazi ukusebenzisa iipilisi emva kwalo mhla.

Le medicament ekhululwa ezikhemesti kuphela kagqirha. Bokwenziwa amayeza e-India.

iimpawu imithi imithi

Le medicament "Serenata" (imiyalelo ukusetyenziswa kuthengiswa kunye iipilisi kwaye phambi kokuba isicelo beziyobisi kufuneka ifundwe ngenyameko) libhekisela, lakhula. Somlomo strong reuptake inhibitor serotonin uyakhetha. Ubukhulu encinane iphembelela reuptake of dopamine kunye noradrenaline. Ukuba ichiza esetyenziswa ngeedosi ngamayeza nokunyanga, iyeza ichiza esebenzayo abangaphangeliyo ukufunxeka serotonin ziiplatelets yabantu ephilayo.

Ngenxa yolingo lwezonyango wawuqhutywa ukuba ichiza akanayo sine ivuselela kunye neziphumo anticholinergic. Ngelo xesha ukuthatha iipilisi kwizifundo khange sebenzisa phi na ukunyhashwa lengqondo indalo.

Amayeza ayikhobokisi kwaye alunasiphumo kwi ubunzima bomzimba, kwanasemva kwipilisi ixesha elide.

Iimvavanyo izilwanyana lubonise ukuba sertraline akuthethi ukwandisa umsebenzi catecholamine. It is hhayi ebalasele noFaro ngenxa serotonergic, muscarinic, histaminergic, dopaminergic, Gaba, benzodiazepine, kunye nezamkeli adrenergic. Kuyaphawuleka ukuba la macwecwe "Serenata" abe iipropati cardiotoxic.

ukusetyenziswa elide beziyobisi izilwanyana iye yasetyenziswa ukuze kuzinziswe receptors norepinephrine, apho ibekwe ingqondo kwakucingwa ukuba uhlobo ingxelo embi. Kuyinto isenzo ngokuqhelekileyo iziyobisi protivoobsessivnyh ezininzi yokunciphisa.

Tablets "Serenata" (manual ichaza ngokupheleleyo indlela amayeza kwaye ingxelo idosi recommended) are ayikhobokisi, ngoko izigulane kakubi kuzo.

Xa kufuneka wasebenzisa iziyobisi?

Drug "Serenata" manual ucebisa ukusebenzisa ngexesha ixesha elide States depressive. Iyeza iboniswe kuthintelo uxinezeleko of umyalezo ezahlukeneyo. Injongo ukusebenzisa iipilisi ukuba likhoboka lento ethile, lwenzeke zombini abadala kunye nabantwana iminyaka emithandathu ubudala. amayeza eMiselwe iingxaki yokothuka, enokuthi kuhambisane agoraphobia. Iipilisi sebenzisa phantsi koxinzelelo, nto leyo ke ngenxa trauma. Lo ebonisa ukuba ukusetyenziswa yi social ixhala disorder, ekwabizwa ngokuba lumo.

Izimo

"Serenata" imiyalelo Drug ukwenzela ukusetyenziswa ayikhuthazwa ukuba xa kwimeko hypersensitivity ukuya sertraline, yaye izinto ezongezelelweyo, eyinxenye ye medicament. Musa ukumisela amayeza abantwana abangaphantsi kweminyaka emithandathu, esichaphazelekayo ukuphazamiseka ukuba likhoboka lento ethile. Kuzo zonke ezinye iimeko, ichiza "Serenata" (tablets) ungamiselwanga ukuba kwiminyaka elishumi elinesibhozo.

Oku akuvumelekanga ukuba usebenzisa sertraline ngaxeshanye monoamine oxidase inhibitors. Kulo mzekelo, kukho ingozi yokuba serotonin syndrome, leyo ngazo kukuphazamiseka, nokushisa, kwaye, nokungcangcazela ke imilenze.

tablets, unyango kufuneka kuqale emva kweeveki ezimbini emva kokuba ukupheliswa monoamine oxidase inhibitors. Reception "Serenata" kufuneka simiswe ubuncinane iiyure ezisixhenxe phambi kokuqala unyango MAOIs amanyathelo vuhlayiseki. Akuvunyelwe ukusebenzisa isixhobo kunye pimozide, tryptophan okanye fenfluramine.

Isilumkiso kufuneka ingasetyenziswa kwizigulane sertraline ukubandezeleka ezingaqhelekanga eziphilayo ingqondo, sokuwa, kwezintso kunye insufficiency hepatic. Ukuba umzimba ngokukhawuleza. Kufuneka balumke xa wabelana ukusetyenziswa sertraline kunye amayeza ukwandisa serotonergic neurotransmission. Oku kukwasebenza loo mayeza ezichaphazela ziiplatelets.

Ukuba ngokusondeleyo iliso izigulane ezithatha tricyclic lakhula sertraline kwaye ngexesha elinye.

Ichiza akavumelekanga ukuba ukusebenzisa ngethuba lokukhulelwa nokuncancisa.

Medicine "Serenata": imiyalelo yokusebenzisa

Uphengululo (analogue ayisoloko nako ukwenza ngempumelelo kangangoko namayeza) lubonise ukuba iipilisi kunqabile ukuba iziphumo ebezingalindelekanga. Thatha ichiza ngomlomo kuphela, kanye ngosuku, kungakhathaliseki ukuba ukusetyenziswa kokutya, kunye intwana yamanzi.

Xa uxinezeleko yaye ukuba likhoboka lento ethile ukuphazamiseka ukuqala unyango nge-50 mg ngosuku. Ukuba ufumana one-, kukho okuthile kwezentlalo stress post-traumatic imeko, uthomalaliso uqalwe nge-25 mg ngosuku. Emva kweveki, idosi landiswa ukuya kuma-50 mg ngosuku. ukusetyenziswa okunjalo ichiza kunciphisa kukuvela ziziphumo ebezingalindelekanga ngexesha kwinqanaba lokuqala lonyango.

Ukukhethwa Izikali wenziwa ukunyuka kancinane kwiveki. Ukuba unyango ngokuqhelekileyo-50 mg imihla akazange ukuvelisa naziphi na iziphumo, ithamo linyuke ngomnye 50 mg, kodwa hayi kaninzi ngaphezu kanye ngeveki. Le idosi iphezulu ngemihla 200 mg ngosuku.
Kuyo yonke le veki, kukho iziphumo zokuqala unyango, kodwa isiphumo ngokupheleleyo aokusetyenziswa emva kweeveki 2-4 unyango rhoqo. Zezigulo ukuba likhoboka lento ethile sime amayeza kagqirha ixesha elide.

Xa unyango yesondlo idosi kufuneka ibe nempumelelo kancinane. Kulo mzekelo, oku hlengiswe ngokuxhomekeke isiphumo therapeutic. Ukuba kukho ukudakumba elide, amayeza kufuneka kuthathwe iinyanga ubuncinane ezintandathu.
Kuyimfuneko ukuqwalasela isigulane ngenxa yokothuka nokuphazamiseka ukuba likhoboka lento ethile. Kule meko, ukuthintelwa likakade akwenziwanga.

"Serenata" iipilisi (manual umyalelo yazisa malunga states apho ukusetyenziswa kweli chiza akumele) ukuba isetyenziselwe ngokuphatha likhoboka lento ethile abantwana ukusuka kwiminyaka emithandathu ubudala.

Abafikisayo abaphakathi kweminyaka elishumi elinesixhenxe, oqeshwe yi idosi yokuqala ka-50 mg ngosuku. Ithamo yokuqala yabantwana abaneminyaka emithandathu ukuya ilishumi linamibini izelwe yi-25 mg ngosuku. Emva kweentsuku ezisixhenxe isicelo idosi ichiza angandiswa ku-50 mg. Kwixesha elizayo, ukuba uthomalaliso asisiniki yoko, imali ichiza linyuke ngomnye 50 mg. Ukwandisa umthamo wenziwa kanye rhoqo kwiiveki ezimbalwa. Le mali iphezulu avumelekile iziyobisi - 200 mg ngosuku. Ulapha ukutshintsha hayi qho ngaphezu kanye iintsuku ezisixhenxe.

Xa ukuphatha izigulane iqela ubudala kwiminyaka emithandathu ukuya elinesibhozo ubudala kufuneka sinikele ingqalelo ubunzima bomzimba, ukwenzela ukuthintela iimpawu libanda.

Drug "Serenata" yemiyalezo ucebisa ukuba ukwamkela izigulane kunye nemisebenzi kakuhle omzimba hepatic. Izigulane insufficiency sezintso kufuna uhlengahlengiso idosi.

Ukuba elingayi kuchithwa nogonyamelo iipilisi. Ukuba ufuna ukuyeka unyango, ngoko oku kufuneka kwenziwe ngokuthe ngcembe, iintsuku ezilishumi elinesine. Kuphela kule meko amathuba lokutsalwa kungakuncinane. Ukuba ngaba wehlelwa uyeka kufuneka ubone ugqirha ukuba unyango olufanelekileyo.

abasabela Ezingalunganga kumzimba

Ilumkisa ngelithi ukusebenzisa elide kunokubangela ngayo isiyobisi ebuhlungu kumzimba "Serenata" umyalelo manual. Analogs kule meko ukwazi ukuba indawo uthe iziyobisi.

Phakathi ziziphumo ebezingalindelekanga ezivela izixhobo zesisu, usenokuba umlomo owomileyo. Saqhuba ukuhla ukutya, nto leyo kwiimeko ezinqabileyo ezikhokelela neanorexia. Phakathi abasabela ezibi na ukuphazamiseka urhudo, kuquka flatulence, reflex ukugabha, isicaphucaphu, urhudo, kunye neentlungu esiswini.

Kwezinye iimeko, ukusetyenziswa elide amacwecwe yabhalwa umsebenzi nangakumbi transaminases egazini. Emva kokuba ukupheliswa ichiza eli nani uza zibuyele esiqhelweni.

Ukususela luvo zezigulane abakhathazwa ukozela, isiyezi, intloko ebuhlungu, lafa le imilenze. Izigulane wabalisa sokulibala, ukuphazamiseka, ukuvela ukukhathazeka, hypomania, ulungelelwaniso kakuhle zeentshukumo kunye iqinelwa engazinzanga. Abanye waziva ubuthathaka, ukuphazamiseka extrapyramidal.

Kwavela zeDyskinesia, ukuxhuzula, izihlunu kwezihlunu, ukungaphumeleli izixhobo ezibonwayo. ephule enjalo aphela rhoqo kwenzeka kwizigulane waba imbali ezi zifo okanye lufundiwe kubo ukusetyenziswa ngaxeshanye antipsychotics.

Ngoxa ezithatha ichiza babemele ukungasebenzi le nkqubo yonyango. Bavakalisa unxunguphalo kwi ukuchama, sinciphise inkanuko yesini, waphula umthetho sexesheni, galactorrhea kunye hyperprolactinemia.

Kwezinye iimeko, ichiza "Serenata" (yeQela) uqhutyelwe ukubila. Maxa wambi, ngenxa yeziphumo yayo umzimba ukuba ukwehla kobunzima, nokuthe kwiimeko ezinqabileyo ocande anorexia. Kukho abantu ngexesha unyango kuphazanyiswa hyponatremia idlule.

Phakathi iimpawu dermatological waphawula anozizi eluswini, irhashalala, ukurhawuzelela. Kwiimeko kunokuba nekunqabileyo erythema multiforme.

oyi

Lazisa ukuba akukho baqeshwa kwisithuba seeveki ezimbini emva kokuba ukupheliswa Mao iziyobisi "Serenata" inhibitors, imiyalelo zokusetyenziswa (ncomo bathi ichiza uya kusinda ukuxinezeleka kwaye ishenxisa ixhala). Kwangaxeshanye, Mao inhibitors ayikhuthazwa iintsuku ezilishumi elinesine emva kokuba liyekiswe unyango kunye sertraline. Kukho uphando azanelanga ngokusetyenziswa beziyobisi iziguli kunyango electroconvulsive.

Kukholelwa ukuba izigulane ungonwabanga njalo asebenzise ukuzibulala. Le ngozi isaqhubeka de kuxolelwe epheleleyo. Ngenxa yoko, ngelo xesha ngokudandatheka isigulane kufuneka abe phantsi kweliso elibukhali likagqirha abasenyongweni.

Qaphela ngokukodwa ukusetyenziswa oluhlanganisiweyo amacwecwe "Serenata" kunye neziyobisi xi inkqubo luvo. Kule meko isigulane kufuneka zibekwe esweni.

Ngexesha "Serenata" unyango kufuneka kukhunjulwe ukuba ukusetyenziswa esihamba kunye kweziyobisi kunye nawuphi Mao inhibitors kunokukhokelela nemiphumela emibi kakhulu ukuba inkqubo iingxaki ezahlukeneyo, kuquka serotonin syndrome.

ukusabela okufanayo elibi emzimbeni kunye kwiimeko ekwanti esibulalayo, kwavela ekusetyenzisweni Mao inhibitors ngexesha sicatshulwa unyango bucala anqanda Ukufunyanwa neuronal of monoamines. kukho iziphumo ezingalindelekanga emva ukupheliswa kula machiza.

Ukususela ukusetyenziswa ngokuhlangeneyo inhibitors uyakhetha ukuba enze reuptake neuronal of serotonin, ukuze aphuhlise ukuqina, ukuba nochuku ngokugqithiseleyo, nokushisa, myoclonus, utshintsho ubume bengqondo, ukudideka, ukuphazamiseka. Iindibaniso sertraline kunye coumarin ibangela ukwanda kwexesha prothrombin. ingqalelo ekhethekileyo lo gama ezithatha ichiza kufuneka anikwe abantwana ukusuka kwiminyaka emithandathu ubudala.

Ilumkisa ngelithi Akuvunyelwe ngokungqongqo ukuba ukusela utywala xa usebenzisa i "Serenata" imiyalelo ukulungiselela (reviews bathi ukuba iipilisi kunokukuchaphazela kakubi umbono).

Ekusetyenzisweni sertraline ayikho ngokungaqhelekanga kunye ukungasebenzi kakuhle kwemisebenzi lengqondo. Ngaphandle koku, i-co-ulawulo kunye namanye amayeza kunokubangela yoxinaniso nkene ukoyisakala lulungelelaniso iintshukumo. Ngenxa yoko, ngelo xesha unyango, "Serenata" ukuqhuba izithuthi yaye zenze izinto ezifuna umsebenzi xiyimiso eliphezulu ayikhuthazwa.

Iindleko ichiza

Uyakwazi ukuthenga phantse kuzo zonke ekhemesti kwi iipilisi kagqirha "Serenata" (yeQela). Baqinisekiswa bathi ichiza kunokubangela yintloko kunye sokulibala, kwakunye ukuphazamiseka kwisiqwenga zesisu. Iindleko iipilisi 30, 50 mg - 600 engange. Ixabiso iipilisi 30 100 mg limalunga nesinye amawaka engange.

Drug "Serenata": nabalingani

Ukuba zange kufika ichiza ngesizathu esithile, ngoko ugqirha imisela kunoogxa endaweni. Eyona ababambeleyo ziqhelekileyo kulwakhiwo ziquka:

• "Zoloft";
• "Stimuloton";
• "Deprefolt";
• "Aleval";
• "Lyustral";
• "Asentra";
• "Serlift";
• "Torino";
• "Mistral";
• "Misol";
• "Seralina";
• "Zaloks";
• "Sertiva";
• "Zosert".

Ezi kunye nezinye iziyobisi buyisela ichiza "Serenata". Analogs akufuneki sinikezelwe ngokwabo, ngaphandle kokubonisana ugqirha, kuba ndlela banokubenzakalisa impilo zibangele inani yeziphumo ebezingalindelekanga.

Baqinisekiswa malunga iipilisi

Medicine "Serenata" (yeQela) ncomo umxhasi Bamqumbisa eyahlukileyo kakhulu. Ezinye izigulane bonelisekile ngokupheleleyo isenzo kweli chiza. Kuthiwa ukuba isiphumo emva kokusetyenziswa elifana neli ngosuku lokuqala onyango, yaye uba libizwa ngakumbi ekuyeni ekupheleni iziphumo veki. Bakuphawula abanikaziyo ukuba ichiza wobulali anti-nokudakumba. Kuyakha, onika uxolo lwengqondo akuvuka umnqweno wokuphila. Emva ukusetyenziswa kwayo uhamba ukudakumba, ukuxhalaba, uloyiko nokungathembani.

Iyeza inceda ukunyanga nezifo zemiphunga. Osusa uphaphazele. Izigulane ingxelo ukuba macwecwe ezo ukunyamezeleka kakuhle kwaye kunqabile ukuba neziphumo ezibi. Bayakwazi ukusela ixesha elide, kodwa phantsi kweliso gqirha. Ichiza iphucula kakhulu mood, inceda ukuba bamelane nako. Osusa ukoyika, ukuba uphaphazele. Kuyanceda ukuba uzive njengokufuna ubomi.

Kodwa asisoloko ukuvelisa isiphumo kulindeleke ukuba iyeza, "Serenata". Izimvo aba bantu yaba ilahleko epheleleyo wokutya, intloko ebuhlungu, ukuphazamiseka kokulala. Ezinye izigulane ingxelo ukuba ichiza kuchaphazela umbono. Oku kunokubangela ukudideka yokucinga kunye nokulungelelaniswa kakuhle zeentshukumo. Ezinye izigulane ezithi qatha iingcinga ukuzibulala. Kukho abantu ngemva ezi pilisi bakhalaza eyandileyo ukudakumba, ukuxhalaba. Wawukhomba ukuba ichiza iyakwazi ukwenza ubuhlungu lwangaphakathi.

Oogqirha namajaji ukusebenzisa esi sixhobo xa umsebenzi wabo. Ngokutsho kwabo, iyeza libhekisela yokunciphisa lokukhululwa. Kunokusenza ixhala mandundu imeko uxinezeleko nexhala. Kwimeko yokugqibela, oogqirha bacebisa ukuba zincede zikhethe i yeQela, kuba okulalisa. Khumbuza izigulane zam ukuba ukukhethwa i yeQela yenziwa isigulane nganye nganye, yaye oko kuye eyanceda omnye, kungenziwa engenamsebenzi omnye.