"Risperidone": cov lus qhia rau kev siv. "Risperidone Organic": hauj lwm, xyuas, contraindications

Muaj hnub nyoog, puas siab puas ntsws thiab coj cwj pwm hloov tau heev complicate lub neej ntawm tsis tsuas yog tus neeg mob, tab sis kuj nws puab voj voog. Kev kho mob ntawm psychogenic thiab lwm yam kab mob yog ib tug complex txheej txheem, tab sis cov tshuaj tsis sawv tseem thiab txua puas tau txoj kev tshiab nrog lawv. Lub ntsiab lub luag hauj lwm yog muab kev kho mob kev kho mob. Ntsiav tshuaj "Risperidone" analogs uas yog heev heev heev, yog cov feem ntau nrov khoom. Yuav ua li cas yog lawv cov feature? Yuav ua li cas coj lawv, thiab yog hais tias lawv muaj tej contraindications? Kuv yuav siv cov tshuaj rau kev nyuaj siab? Cov lus teb rau cov lus nug no peb yuav sim muab nyob rau hauv no tsab xov xwm.

Tso daim ntawv thiab muaj pes tsawg leeg "Risperidone" tshuaj

"Risperidone" Lub ntsiav tshuaj uas ua los ntawm ob peb lub chaw ua tshuaj tuam txhab uas muag nyob rau hauv tib lub npe thiab muaj tshuam tib pes tsawg leeg. Lub ntsiab active ingredient ntawm cov tshuaj no ua tau nws tus kheej risperidone nyob rau hauv ib tug npaum li ntawm 1, 2 los yog 4 mg (nyob ntawm seb siv npaum li cas). Txhua ntsiav tshuaj yog coated nrog enteric coated membrane dawb. ntsiav tshuaj yog puag ncig, biconvex. Nyob rau hauv tus ntoo khaub lig-section kom meej meej qhia tau hais tias ob khaubncaws sab nraud povtseg: lub txheej thiab puab. Muaj pes tsawg leeg ntawm lub ntsiav tshuaj "Risperidone" - nyob rau hauv tas li ntawd mus rau lub active ingredient - muaj xws li ntxiv Cheebtsam: starch, silicon dioxide, magnesium stearate thiab MCC.

Ntsiav tshuaj "Risperidone" thiab lawv analogs, xws li "Risperidone Organics", pw nyob rau hauv tus qauv npaj ua tej pob khoom ntawm 10 daim txhua uas, nyob rau hauv lem, muab tso rau hauv cov duab los qhia thawv 2, 3, 5 los yog 6 packs ua ke nrog cov lus qhia rau daim ntawv thov. Tsis tas li ntawd cov khoom ua thiab nyob rau hauv cov rhawv zeb ntawm tsaus iav, txhua tus uas yuav comprise 20, 30, 50 los yog 60 ntsiav tshuaj. Ntug dej kuj yog muab tso rau hauv cov duab los qhia thawv nrog rau kev qhia.

Yuav ua li cas puas cov tshuaj?

Tus tam sim no "Risperidone" tshuaj tshuaj qhia txog bensizoksazola, piv txwv li neuroleptics. Nyob rau hauv tas li ntawd mus rau lub antipsychotic nyhuv ntawm cov tshuaj no muaj sedative, hypothermic thiab antiemetic zog. Qhov no yog vim lub peev xwm los thaiv lub active ingredient D2-receptors nyob rau hauv Mesocortical thiab mesolimbic tshuab thiab cov emetic chaw, thiab kuj muaj kev cuam tshuam cov adrenergic receptors laus nyob rau hauv lub hlwb qia. Tsis tas li ntawd lub compound muaj lub peev xwm los thaiv dopamine receptors nyob rau hauv lub hypothalamus.

Vim xws pharmacological thaj chaw ntawm cov tshuaj "Risperidone" kev uas yuav luag ib txwm zoo, yog muaj peev xwm mus suppress cov tsos mob ntawm neurogenic mob xws li delusions thiab hallucinations, aggression thiab automaticity. Tiv thaiv no tom qab, cov kws txawj nco ntsoov tias cov tshuaj muaj yuav luag tsis muaj cov nyhuv rau lub cev muaj zog ua si, tab sis nyob rau tib lub sij hawm, suppresses symptomatic affective cov tsos mob schizophrenia.

Faib thiab feem

Lub assimilation ntawm lub active tshuaj nyob rau hauv lub mob huam tshwm sim nyob rau hauv ib tug raug luv luv lub sij hawm thiab rau lub siab tshaj plaws qhov twg. Khoom noj khoom haus kom tsawg tsis vliyaetetot txheej txheem. Maximum assimilated nyob rau hauv cov ntshav ntshav active neeg sawv cev nce mus txog ib teev tom qab noj cov tshuaj. Derivatives li risperidone (9-hydroxyrisperidone) yog absorbed ntau maj mam.

Hais txog lub tsev ntawm cov tshuaj nyob rau hauv lub cev "Risperidone" phau ntawv qhia hais txog lub allergic ntawm lub active tshuaj nyob rau hauv ntau yam ntaub so ntswg thiab kabmob, thiab lub paj hlwb, thiab kua mis. Kev sib txuas lus nrog ntshav cov nqaijrog nyob rau hauv cov ntaub ntawv no yog hais txog 90%.

Ib nrab-lub neej ntawm cov tshuaj no tshwm sim nyob rau hauv ob ua sawv: thaum lub sij hawm 3 teev nyob ze 70% ntawm cov compound tas los ntawm ob lub raum nyob rau hauv unchanged daim ntawv no, thaum lub 9-digidrorisperidon tso tawm kom pom yuav luag ib hnub. Cov laus cov neeg mob thiab cov neeg uas raug kev txom nyem los ntawm lub raum tsis ua hauj lwm, lub sij yawm ntawm feem ntawm cov tshuaj muaj zog.

Siv ntawm cov tshuaj: indications thiab contraindications

Thov cov tshuaj "Risperidone" phau ntawv qhia kom hais tias thaum lub nram qab no cov kab mob los yog mob nyob rau hauv lub cev:

1. Mob los yog mob hauv daim ntawv ntawm schizophrenia.
2. Psychopathic teeb meem, yus muaj los ntawm tsis zoo los yog tsim symptomatic ces.
3. Kev puas hlwb, nrog los ntawm mus ob peb vas kev ntshawv siab.
4. Dementia feem ntau ua rau kab mob ntawm txoj kev chim siab thiab aggression, delusions thiab lwm yam psychotic cov tsos mob.

Tsis tas li ntawd qhia yog cov tshuaj "Risperidone" cov me nyuam nyob rau hauv lawv cov hluas uas muaj teeb meem qhov chaw (puas xav) psychic los yog hlwb ruamqauj, raws li zoo raws li nyob rau hauv bipolar mob thiab mania varied. Nyob rau hauv cov neeg mob, cov ntsiav tshuaj plays ib tug txhawb lub luag hauj lwm nyob rau hauv cov kev kho mob.

Nws tshwm sim nyob rau hauv cov tshuaj thiab tseem ceeb contraindications uas muaj xws li meem kev txhawj xeeb mus rau lub Cheebtsam ntawm lub ntsiav tshuaj. Nyob rau hauv tas li ntawd, cov tshuaj "Risperidone" phau ntawv qhia tswv yim rau siv nrog huab ceev faj nyob rau hauv cov nram no cov kab mob los yog tej yam kev mob:

• hlwb hlav thiab cerebral ntshav txaus;
• hepatic thiab lub raum tsis ua hauj lwm nyob rau hauv kev mob loj daim ntawv;
• mob plab hnyuv patency;
• kab mob plawv, nrog rau heart attack myocardial infarction, lub plawv tsis ua hauj lwm, mob daim ntawv antrioventikulyarnaya thaiv thiab bradycardia;
• Drug overdose los yog nyob tos rau lawv;
• lub cev qhuav dej;
• Parkinson tus kab mob;
• tu-sauv (nyob rau hauv lub sij hawm cov tshuaj los yog kab mob);
• Cev xeeb tub thiab lactation.

Tsis tas li ntawd, cov tshuaj yog tsis pom zoo "Risperidone" (ntsiav tshuaj) ntawm lub kev nyuaj siab, uas yog qhia nyob rau hauv lub yuav txo tau ntawm tus neeg mob yam kev ua si thiab suicidal tendencies. Tsis tas li ntawd nrog saib xyuas prescribers neeg uas nws muaj hnub nyoog tsis tau txog 15 xyoo.

Ntau npaum thiab tus qauv ntawm kev txaus

Ntau npaum thiab cov hau kev nyob ntawm seb cov tshuaj yog muaj nyob rau ntawm tus neeg mob tus kab mob, lub heev ntawm lub los, thiab muaj cov concomitant kab mob los yog pathological lub xeev. Tag nrho cov ntaub ntawv rau kev siv cov tshuaj "Risperidone" koj yuav saib tau nyob rau hauv lub rooj.

yuav tsum tsis txhob ntau tshaj 16 mg rau tej yam kab mob los yog mob txhua hnub koob tshuaj "Risperidone" kev npaj.

Phiv tshua ntawm tus kab mob thiab overdose

Ib qho tseem ceeb tshaj uas koj yuav tsum paub tus neeg mob niaj ib chav kawm ntawm kev kho mob nrog "Risperidone" - phiv uas tej zaum yuav tshwm sim nyob rau hauv tus txheej txheem ntawm kev txais tos ntawm cov ntsiav tshuaj. Qhov ntau yam ntawm lawv tshwm sim nyob feem nyob rau hauv ib tug neeg. Yog li ntawd, dab tsi yuav cuam tshuam tus neeg mob?

Feem ntau cov feem ntau tshwm rau nram qab no phiv tshuaj los ntawm ntau yam nruab nrog cev thiab tshuab:

• kab mob ntawm lub Upper pa thiab mob txeeb zig (tshwj xeeb tshaj yog nyob rau hauv cov neeg laus cov neeg mob uas muaj tus mob ntawm "Dementia");
• mob taub hau, teeb ntawm cov pw tsaug zog, kiv taub hau, nkees nkees thiab qhov muag plooj tsis pom kev;
• dyspepsia, epigastric mob, xeev siab, qhov ncauj qhuav;
• lub plawv atherosclerosis ntshawv siab (tachycardia);
• edema ntawm lub qhov ntswg mucosa thiab cov Eustachian raj, uas tus neeg mob hnov txhaws ntswg los yog pob ntseg, qhov ntswg lub qhov;
• hnoos, los ntswg qhov ntswg, thiab ua tsis taus pa;
• anemia;
• urinary incontinence;
• o nyob rau hauv cov pob qij txha, kev hloov nyob rau hauv moj yam (tshwj xeeb tshaj yog nyob rau hauv cov neeg laus cov neeg mob), rov qab mob thiab mob tej pob txha.

tseem muaj ib tug xov tooj ntawm cov kev phiv, uas yog kuj tsis tshua muaj tshwm sim nyob rau hauv "Risperidone" noj cov tshuaj. Xyuas cov kws txawj taw tes nyob rau hauv lawv lub nram qab no:

• pob ntseg thiab qhov muag mob;
• kab mob rau lub cev tag nrho los yog laus;
• ua pa ib ntsuj av tau kab mob, xws li mob ntsws muaj dej, tonsillitis, ntsws thiab tracheobronchitis;
• onychomycosis thiab acrodermatitis;
• tsis meej pem, ntxhov siab vim, mania thiab hypomania, dyskinesia;
• nqaij rigidity, hyperthermia, nce tawm hws;
• tsis ruaj tsis khov oscillations nyob rau hauv cov ntshav siab;
• qaug dab peg;
• apnea, Upper caj pas occlusion hnoos qeev (whistles thaum lub sij hawm ua pa, noo rales los yog dysphonia);
• nce los yog yuav txo tau nyob rau hauv hnyav;
• menstrual irregularities, tsis muaj ejaculation, priapism, tsis muaj ntawm kev sib deev muaj siab;
• mis ce ntawm cov leeg;
• o ntawm daim tawv nqaij, tshwj xeeb tshaj yog lub ntsej muag, ua daus no, nqhis dej, kab mob khaub thuas zoo li lub xeev;
• tsis muaj zog nyob rau hauv lub caj npab thiab txhais ceg, puas ntawm txhav nyob rau hauv cov pob qij txha.

Nyob rau hauv cov ntaub ntawv ntawm kev mob loj cov nyom cov tshuaj tiv thaiv rau kev noj lub tshuaj "Risperidone" txhais ntawm cov tshuaj tej zaum yuav tsis yog ib tug tsim nyog muaj kev hloov rau cov tshuaj noj, raws li lawv muaj qhov tib active cov khoom xyaw. Nyob rau hauv cov ntaub ntawv no, cov kws muaj txuj yuav xaiv ib cov yeeb tshuaj, uas yog tsim los ntawm cov lwm tebchaw, los yog muaj lwm yam kev tshuaj los mus tshem tawm cov tsis kaj siab tsos mob.

Cov tsos mob thiab kev kho mob ntawm cov tshuaj overdose

Thaum tsis tau tsim nyog cov lus qhia noj tshuaj npaum cas li upwards overdose yuav tshwm sim, uas yog qhia nyob rau hauv ib tug hais thiab pheej txos ntawm cov ntshav siab thiab lub plawv atherosclerosis ntshawv siab (tachycardia). Nyob rau hauv tas li ntawd, tus neeg mob tej zaum yuav cuam tshuam somnolence, tshuaj kom tsaug zog, ua pa mob thiab extrapyramidal teeb meem.

Kev antidote nyob rau hauv cov kev npaj "Risperidone" tsis muaj, yog li kev kho mob yog aimed ntawm xa cov feem ntau cov lus hais cov tsos mob. Raws li cov thawj pab rau tus neeg mob yuav tsum tau ntxuav lub plab thiab muab tshuab txais hluav ncaig thiab cov tshuaj ntaus cev. Los ntawm kev txo cov ntshav siab los ua ib qho tseem ceeb cov kev cai yuav tsum tau tso dej thawj coj ntawm agonists thiab Txoj kev lis ntshav daws teeb meem.

Thoob plaws hauv lub sij hawm yuav tsum tau mob xyuas mus ntes ntau hom mob arrhythmias. Yog hais tias tej no yog kuaj, txoj kev kho kom tsim nyog cov tshuaj.

Kev qhia rau kev siv ntawm cov tshuaj

Thaum tau txais cov tshuaj "Risperidone" phau ntawv qhia tswv yim ua raws li ib ob peb tseem ceeb raws li kev cai. Qhov no yuav tsis tau tsuas yog txo qhov yuav ua rau kev phiv, tab sis kuj txhim kho lub zuag qhia tag nrho kev mob ntawm tus neeg mob nyob rau hauv lub xub ntiag ntawm co-morbidities.

Thawj thiab foremost koj xav kom koj them rau kev mloog kom ntau npaum ntawm cov tshuaj rau cov neeg cov neeg mob nyob rau hauv uas muaj cov kab mob ntawm cov hlab plawv system. Nyob rau hauv cov ntaub ntawv no, pib txais tos tshuaj tsim nyog nrog tsawg heev koob, maj mam ua kom lawv qhov kev kawm tseem ceeb. Cov tib tswv yim pom zoo ua ntawv thov nyob rau hauv cov ntaub ntawv ntawm hypovolemia, lub cev qhuav dej thiab cerebrovascular ntshawv siab.

Kws txawj xav kom mus refrain los ntawm kev siv ntawm high-calorie khoom noj thiab overeating xws li. Qhov no yog vim lub fact tias cov kev kho mob ntawm cov tshuaj "risperidone" ib tug siab ntau yam ntawm ib tug txheej ntawm nyhav ntxiv.

Nws tsis pom zoo thaum lub sij hawm kev kho mob tshuaj "Risperidone" mus koom nyob rau hauv kev ua ub no uas muaj feem rau cov kev tswj ntawm lub tsheb thiab lwm yam mechanisms uas yuav tsum tau tus neeg mob lub siab concentration thiab ceev ceev psychomotor tshua.

Sis nrog lwm yam tshuaj

Nyob rau hauv appointing cov tshuaj "Risperidone", tus nqi ntawm uas yuav tsum tau los sib tham tom qab, yuav tsum coj mus rau hauv tus account nws muaj peev xwm mus nrog ntau yam tshuaj. Nyob rau hauv tej rooj plaub, qhov no yuav ua rau kev npaj txhij txog thiab tsis heev qab ntxiag txim. Yog li, cov tshuaj, depressing ntxim rau cov tib neeg lub paj hlwb, raws li zoo raws li ethanol, ua ke nrog lub "Risperidone" ntxias xws li ib tug lub xeev, raws li ib tug additive Cns kev nyuaj siab zog.

Ib co tshuaj, xws li beta-blockers, ntau, tag nrho, tsis muaj kev zam, tricyclic antidepressants yuav ua rau kom lub concentration ntawm cov active tshuaj "Risperidone" ntsiav tshuaj nyob rau hauv cov ntshav ntshav. Yam muaj tseeb ntawm cov tshuaj "Fluoxetine". "Carbamazepine", on qhov tsis tooj, thiaj li muaj cov concentration ntawm active tshuaj txhais tau tias "Risperidone" ntshav. Thaum lawv ob leeg lub sij hawm yuav tsum tau tas li xyuas ntawm tus neeg mob, raws li tau zoo raws li lub haum ntawm lub dosing regimen.

Xyuas

Xyuas ntawm cov ntsiav tshuaj "Risperidone Organics" thiab "Risperidone", tus nqi ntawm uas yog xam yuav siv tau rau ib tug ntau ntawm cov neeg muas zaub (ib tug nruab nrab ntawm 170 rubles ib pob), tsis tau hu ua tsis zoo. Cov nyhuv uas cov ntsiav tshuaj nyob rau hauv ntau yam kab mob ntawm psychogenic los yog tus cwj pwm, zoo saib ntawm ob leeg cov tub txawg thiab cov neeg mob. Cia li teb cov lus thiab analogs ntawm cov tshuaj no, vim hais tias nyob rau hauv feem ntau qhov sib txawv ntawm ob tsuas yog nyob rau hauv tus nqi thiab nyob tus yeees ntawm zoo tib yam (nrog rau cov kev zam ntawm cam).

Lub tsuas tseem ceeb drawback ntsiav tshuaj "Risperidone" (analogs ntawm active khoom kuj poob nyob rau hauv lub ntsiab txhais no) - ib tug ntau ntawm cov kev phiv, uas nyob rau hauv tej rooj plaub tej zaum yuav muaj kev cuam tshuam tus neeg mob lub zoo ntawm lub neej rau lub zoo dua. Yog vim li cas cov kws txawj pom zoo kom thaum tshwm sim ntawm tej kev phiv tshuaj hu mus rau koj tus kws kho mob qhia rau nws mus nrhiav tau ib txoj kev tawm ntawm no qhov teeb meem.

Yog li ntawd peb kawm tau hais tias sawv cev "Risperidone" tshuaj. Cov lus qhia, nqe, analogs thiab phiv tshua ntawm lub cev tau raug xam nyob rau hauv daim ntawv no nyob rau hauv kom meej. Nyob rau hauv xaus, kuv xav nco ntsoov tias cov tshuaj yog tso tawm tsuas yog tshuaj. Tsis tau tso cai ntus thiab tau txais cov ntsiav tshuaj ntawm no pab pawg neeg tej zaum yuav muaj teeb meem rau koj kev noj qab nyob.