Cov tshuaj "Somnol": cov lus qhia rau kev siv, analogs, xyuas

Muaj ntau ntawm peb tsawg kawg ib zaug nyob rau hauv nws lub neej muaj teeb meem nrog pw tsaug zog. Yog hais tias nws yog rau koj ib yam thiab tes nrog lub neej txhua hnub, peb yuav xyuam xim hais tias koj chim siab rau lub ntuj muaj sia txheej txheem, nyob twj ywm nyob rau hauv ib lub xeev nrog ib tug tsawg kawg nkaus txog qib uas lub hlwb kev ua si thiab ib tug tsis muaj zog lo lus teb rau lub ntiaj teb no nyob ib ncig ntawm peb. Vim pw teeb tshwm sim tsis tau tsuas yog tsaug zog, tab sis kuj deteriorating puas siab puas ntsws tshuav nyiaj li cas thiab noj qab haus huv. Yog hais tias koj muaj tej yam teeb meem ntawm no xwm, koj tuaj mus rau cov kev pab tshuaj "Somnol". Indications rau siv, ib tug piav qhia ntawm lub pharmacological txiav txim, tiag tiag cov kws kho mob thiab cov neeg mob, raws li tau zoo raws li tsis muaj tsis tshua zoo tshuaj analogues yog tham nyob rau hauv no cov ntaub ntawv uas.

Ntau npaum daim ntawv thiab muaj pes tsawg leeg

Ib tug npaj nyob rau hauv lub tsev muag tshuaj network yog nyob rau hauv daim ntawv ntawm cov dawb biconvex ntsiav tshuaj loj rau pem hauv ntej sab uas muaj kev pheej hmoo. Lawv fej nyob rau hauv cov hlwv ntawm 10 daim. Nyob rau hauv ib ntsiav tshuaj "Somnola" muaj 7.5mg ntawm zopiclone, qos starch, magnesium stearate, anhydrous calcium hydrogenphosphate, sodium glikopat, silica, aerosil, thiab povidone thiab coloring agents.

pharmacodynamics

Cov yooj yim tshuaj, ib feem ntawm lub "Somnola" yog hypnotic, uas belongs tsiklopirrolonov pab pawg neeg. Zopiclone muaj ib tug hypnotic, sedative, anticonvulsant, tranquilizing thiab nqaij relaxant los. Cov pharmacological los vim qhov kev txiav txim ntawm qhov yooj yim tshuaj rau lub receptors ntawm lub hauv paus poob siab system.

Thaum tau txais cov tshuaj, qhov yooj yim tshuaj yog zopiclone txo pw tsaug zog lub sij hawm thiab zaus ntawm hmo ntuj awakenings, nce pw tsaug zog ntev thiab zoo.

Rau heev kev kho mob, mus txog rau 4 lub hlis tsis muaj hom tshuaj "Somnol" (phau ntawv qhia ntawd hais li no).

pharmacological los

Lub ntsiab sib txawv ntawm "Somnola" los ntawm lwm cov pw tsaug zog tshuaj - lub muaj nyob rau hauv nws cov muaj pes tsawg leeg ntawm ib yam tshuaj compound hu ua zopiclone. Qhov no txhais tau tias kom txhob lub sij hawm rau lub caij nplooj zeeg pw tsaug zog, thaum nws txhawb pw tsaug zog pib, tsis muaj cuam tshuam rau theem ua haujlwm thiab nws zoo. Cov nyhuv ntawm cov tshuaj no tshwm sim tsis pub dhau ib nrab ib teev tom qab nws tus me nyuam thiab kav rau 6-8 teev, uas coincides nrog qhov ntev ntawm ib tug ib txwm, tej yam ntuj tso physiological txheej txheem, nyob twj ywm nyob rau hauv ib lub xeev ntawm tsawg heev lub hlwb kev ua si thiab ib tug txo lo lus teb rau dab tsi tshwm sim nyob ib ncig ntawm.

Nyob rau hauv yuav luag tsis tshwm sim thaum tau txais "Somnol" tshuaj tsis zoo li barbiturates thiab benzodiazepines, nkees nkees thiab tsis muaj zog. Cov lus qhia rau kev siv ntawd hais tias cov ib nrab-lub neej ntawm tus kab mob tsis pub tshaj 3.5-6 sij hawm, txawm nrog heev siv, metabolites tsis cumulated. Xyuas qhia hais tias qhov no cuab tam eliminates lub taub hau nyob rau hauv cov neeg uas muaj mob hawb pob thaum tau txais txo zaus ntawm nocturnal thiab thaum ntxov thaum sawv ntxov tawm tsam, raws li zoo raws li lawv ntev thiab siv.

Tshuaj "Somnol": kev qhia, indications rau kev siv

Nyob rau hauv tej rooj plaub, resorted mus rau kev siv cov tshuaj? Tshuaj "Somnol" phau ntawv kom siv nyob rau hauv cov ntaub ntawv ntawm:

• Primary pw tsaug zog mob (nyuaj nyob rau hauv tsis tsaug zog, nquag awakenings thaum hmo ntuj, thiab situational nraum insomnia daim ntawv no).
• Bronchial hawb pob, uas yog yus muaj los ntawm bouts ntawm lub hmo ntuj thiab thaum sawv ntxov. Noj nyob rau hauv nrog cov "theophylline".
• Secondary pw tsaug zog mob nyob rau hauv hlwb kev ntshawv siab.

Dosing thiab Administration

Noj cov tshuaj "Somnol" (phau ntawv qhia no). Siv cov tshuaj pom zoo rau ib tug luv luv, tsis muaj ntau tshaj li 4 lub lis piam, noj mus rau hauv tus account lub sij hawm ntawm koob tshuaj yuav txo tau. Ua kom lub sij hawm ntawm txoj kev kho yog tau tsuas yog tom qab lub re-kev luj xyuas ntawm tus neeg mob.

Kev kho mob yuav tsum tau pib nrog ib tug tsawg kawg nkaus npaum, nyob rau hauv txhua rooj plaub tsis pub dhau lub siab tshaj plaws permissible koob tshuaj.

Tshuaj "Somnol" phau ntawv qhia xav noj feem ntau thaum mus pw.

Nyob rau hauv cov ntaub ntawv ntawm kev kho mob ntawm kev mob ntawm ob lub raum mus pib nrog ib nrab ntsiav tshuaj (3.75 mg), txawm lub fact tias tsub zuj zuj ntawm zopiclone thiab metabolites tsis cai nyob rau hauv lub raum tsis ua hauj lwm.

Cov neeg mob mus txog 65 xyoo, cov tshuaj "Somnol" qhia nyob rau ntsiav tshuaj ntawm 7.5 mg pom zoo kom coj ib hnub ib zaug.

Nyob rau hauv cov ntaub ntawv ntawm kev cuam tshuam ntawm lub siab, kev kho mob yog pib nrog 3,75 mg tsis ntau tshaj li ib zaug ib hnub twg, vim hais tias qhov ntev ntawm kev siv yeeb tshuaj feem nyob rau hauv xws cov neeg mob yog txo. Yog hais tias tsim nyog, ntau npaum yuav muab ntau zog rau 7.5 mg, thaum tas yuav coj mus rau hauv tus account tus neeg rhiab heev mus rau yeeb tshuaj cov khoom xyaw.

Thaum cov kev kho mob ntawm kev ua pa nyuaj siab, raws li tau zoo raws li nrog impaired siab muaj nuj nqi, pib nrog 3,75 mg tsis ntau tshaj li ib zaug tauj ib hnub. Cov txheej txheem no kuj yog siv rau cov neeg laus tshaj li 65 xyoo, lub koob tshuaj yuav tsum maj mam nce yog tias tsim nyog.

Txawm lub indications rau "Somnol" tshuaj, txhua hnub koob tshuaj yuav tsum tsis txhob yuav ntau tshaj 7.5 mg. Thaum nraum insomnia kev kho mob kav tsis muaj ntau tshaj 5 hnub, thiab yog hais tias qhov teeb meem no - tsis muaj ntau tshaj li 3 lub lis piam. Raws li rau tus mob daim ntawv no, nyob rau hauv xws li ib tug teeb meem no xwb cov kws txhais chav kawm ntawm kev kho mob.

tshuaj cov kev sib tshuam

Thaum nkag "Somnol" tshuaj nrog neuroleptics, lwm yam txhais tau tias ntawm hypnotic, anticonvulsant thiab sedative, tranquilizers, antidepressants, opioid analgesics, anesthetics, los yog erythromycin enhanced depressant ntxim rau cov central lub paj hlwb.

Nyob rau hauv cov kev kho mob raws li lub medicament nyob rau hauv cov ntshav ntshav concentration thiaj trimipramine thiab tsis muaj zog txog nws cov nyhuv.

Tshuaj "Somnol" phau ntawv qhia txwv tsis pub siv nyob rau hauv ua ke nrog ethanol vim hais tias nws yuav ua rau tshuaj kom tsaug zog tau av tshuaj - zopiclone.

phiv

Raws li cov kws tshwj xeeb, thiab tus neeg mob kev kho mob "Somnolom" tej zaum yuav tau nrog los ntawm cov nram qab no undesirable los:

• Lub paj hlwb - nkees nkees, tsis muaj zog tom qab tsaug zog, mob taub hau, kiv taub hau, muaj kev nyuaj siab mus ob peb vas, tsis muaj peev xwm nco ntsoov cov txheej xwm. Raws li ib tug tshwm sim ntawm daim ntawv thov ntawm cov hypnotic nyob rau hauv tej rooj plaub tshwm sim paradoxical tshua: irritability, uas muaj peev xwm tsim mus rau hauv txhoj puab heev, ntxhov kom sib haum ntawm taw, lub concentration ntawm lub cim xeeb, tus nqi ntawm kev puas hlwb tshua yuav tsis meej pem pem, kev nyuaj siab zoo nkaus li. Thaum tus neeg mob tsis noj cov tshuaj, "Somnol" (qhia ntawv, indications rau kev siv yog nyob rau hauv cov ntaub ntawv uas), tej zaum nws yuav tsum yog ib tug nraum pw tsaug zog ntxaug.
• Hnyuv - tes nrog rau tej yam kev ua si ntawm lub plab, muaj ib tug nws yog xim hlau los yog ntsim saj nyob rau hauv lub qhov ncauj.
• Kuaj tsis - nyob rau hauv cov ntshav ntshiab yog kom hepatic transaminases thiab alkaline phosphatase.
• Lub cev - muaj kev tsis haum tshuaj xws li urticaria, pruritus, nyob rau hauv uas tsis tshua muaj mob - angioedema.

Contraindications

Kev siv lub tshuaj "Somnol" qhia tsis pub:

• Thaum npau taws me ntsis rau cov khoom xyaw.
• Hmo ntuj nres ua tsis taus pa taw.
• Loj tsawv lossis mob autoimmune neuromuscular kab mob.
• Ua pa, lub raum los yog hepatic insufficiency.
• Cev xeeb tub.
• Thaum lub sij hawm lub sij hawm ntawm lactation.

Nyob rau hauv tas li ntawd, qhov no hypnotic txhob nyob rau hauv cov me nyuam nyob rau hauv 18 lub xyoos ntawm hnub nyoog.

Tsis txhob hnov qab tias cov tshuaj yuav ua rau nyob tos, muaj kuj yog ib txoj kev loj hlob ntawm lub syndrome, yog li txwv tsis pub tsis muaj lub tswv yim ntawm ib tug tej ua cov tshuaj thiab ntev ntawm kev kho mob.

overdose

Cov tsos mob ntawm tau siab tshaj lub pom zoo koob tshuaj nyob ntawm seb muaj kev nyuaj siab lub central lub paj hlwb. Feem ntau cov feem ntau, somnolence, tej zaum ib tug neeg ntog mus rau hauv ib tug coma. Thawj pab yuav tsum ua siab ntev mus ntxuav tawm lub plab, noj tshuab txais hluav ncaig, yog tias tsim nyog, siv ib tug symptomatic txoj kev kho nyob rau hauv ib tug lub tsev kho mob. Hemodialysis overdose "Somnolom" renders ices kev txiav txim. Raws li ib tug antidote yuav siv cov tshuaj los ntawm cov pab pawg neeg detoxifying tshuaj - "flumazenil".

ceev faj

Kev npaj "Somnol" (phau ntawv qhia, kev muaj ncauj lus kom ntxaws nyob rau hauv cov ntaub ntawv uas) yuav tsum coj tshwj xeeb cov neeg mob nrog lub raum thiab lub siab cov kab mob thiab cov neeg laus. Nyob rau hauv lub sij hawm ntawm kev kho mob yog txwv tsis pub haus dej haus cawv.

Nyob rau hauv lub cawv kom cov sedative nyhuv ntawm sleeping ntsiav tshuaj. Lub ua ke siv cov tshuaj mas siv ua nkees nkees tom qab waking li, uas cuam tshuam rau cov muaj peev xwm tsav ib lub tsheb.

Txais tos "Somnola" yuav ua tau kom txoj kev loj hlob ntawm psychic thiab lub cev nyob tos. Xws li mob yeej tsis tshua muaj tsis tshua muaj, thaum kev kho mob yog tsawg tshaj li ib lub hlis. Yog hais tias cov tshuaj thiab ntev ntawm thawj coj ntawm lub tshuaj tau ntawm nws tus kheej ntau zog qhov yuav tshwm ntawm dependence qab.

Qhov uas yuav muaj tsub kom nrog lub sij hawm nyem nyiaj rau cov neeg uas muaj tus mob thiab ib tug keeb kwm ntaub ntawv ntawm lub ntev siv cawv thiab dependence rau tej yam tshuaj. Sudden discontinuation ntawm hypnotic nyob rau hauv cov neeg mob uas tiv yuav ua rau txoj kev loj hlob ntawm lub syndrome, uas yog tsiag ntawv los ntawm tshwm sim los ntawm txoj kev xav ntawm kev ntshai, mob taub hau thiab mob mob, tsis meej pem, nrog tensions. Nyob rau hauv tsawg zaus, muaj cov kev hloov nyob rau hauv tus, lub nqua ua tsawg rhiab, muaj convulsions thiab hallucinations.

Tom qab siv ceev xwmphem kev kho mob tau resumption ntawm nraum insomnia txuam nrog ib tug ntawm cov tsos mob ntawm ntsoos ntsoos. Yog li ntawd, ua kom tiav txoj kev kho yuav tsum tau gradual.

Yog hais tias tom qab kev kho mob "Somnolom" tseem muaj teeb meem ntog pw tsaug zog los yog waking thaum hmo ntuj kev txhawj xeeb kom tsis txhob muaj cov tsos ntawm anterograde amnesia, hypnotic pom zoo kom coj cia li ua ntej yuav mus pw.

Siv lub sij hawm uas cev xeeb tub

Tsis muaj kev soj ntsuam cov pov thawj - ib tug tseem ceeb vim li cas tsis kam mus txais "Somnola" nyob rau hauv thawj peb lub hlis uas cev xeeb tub. Yog hais tias tsim nyog, tso cai rau siv cov tshuaj nyob rau hauv lub kawg lub hlis ntawm nqa ib tug me nyuam, tiam sis tsuas yog nyob rau hauv tsawg heev koob tshuaj.

Zopiclone, uas yog ib feem ntawm "Somnola" nyob rau hauv lub thib 3 peb lub hlis uas cev xeeb tub yuav ua rau lub fetus cov tsos mob ntawm hypothermia thiab hypotension, nws yuav tsum tau muab sau tseg yuav ntawm ua pa nyuaj siab thiab ntev li tsaug zog. Ib tug me nyuam mos nyob rau hauv thawj hnub ntawm lub neej tej zaum yuav ua tau ib tug manifestation ntawm ntsoos ntsoos syndrome.

Yog hais tias cov tshuaj yog muab rau cov poj niam ntawm nyuam muaj hnub nyoog, lawv yuav tsum tau paub txog qhov yuav tsum tau sab laj ib tug specialist rau ib tug txiav txim nyob rau hauv kev txiav ntawm cov kev kho mob nyob rau hauv cov kev tshwm sim ntawm kev npaj ib tug cev xeeb tub.

Txij li thaum lub active tshuaj "Somnola" tas nyob rau hauv niam cov kua mis, cov tshuaj thaum lub sij hawm lub mis-feeding yuav ua rau cov tsos ntawm tsis muaj zog thiab tsis laus ntawm tus me nyuam mos.

Cia thiab so nyob rau hauv pharmacies

Khaws pw tsaug zog tshuaj yuav tsum tau kom qhuav, ncav cuag ntawm cov me nyuam, qhov chaw uas nws yog tsis raug ncaj qha tshav ntuj thiab nyob qhov twg qhov kub thiab txias tsis pub tshaj 25 degrees.

Yuav noj tshuaj yuav ua tau ib tug nruab nrab ntawm 200 rubles, thiab tsuas yog hais tias muaj yog ib tug kws kho mob tshuaj, nws yog tsis npaj rau kev ywj siab siv.

Tshuaj "Somnol": cov lus qhia rau kev siv, analogs

Xyuas ntawm hypnotic contradictory. Ib txhia hais tias thaum noj cov tshuaj, lawv muaj peev xwm ua tau tshem ntawm insomnia, mob taub hau thiab nquag zaug yav hmo ntuj awakenings. Lwm yam neeg mob pom tau tias cov tshuaj tsis yog muab lawv los ntawm uas twb muaj lawm teeb meem.

Nyob rau hauv txhua rooj plaub, yog tias cov tshuaj yog noj rau tus kws kho mob lub tswv yim, kom meej meej raws li nram no cov lus qhia zoo mus rau tiv nrog insomnia tshuaj "Somnol". Analogs, indications uas tej zaum yuav txawv, yog tsis muaj tsis tshua zoo txiav txim. Qhov zoo tshaj plaws-paub tshuaj ntawm tib yam kev ua xws li:

• "Sonovan";
• "Imovan";
• "Andante";
• "Selofen";
• "Zopiclone";
• "Adorma";
• "Normason";
• "Sonata";
• "Donormil";
• "Piklon".