"Imovan": ntuziaka maka ojiji. Nyocha banyere ọgwụ analogues ma na-ere iwu na pharmacies

Agwọ ọrịa "imovan" ntụziaka ntuziaka na-egosipụta dị ka a na-ehi ụra enyemaka, na-ezo aka tsiklopirrolonov otu. The nkwadebe nwere anxiolytic, hypnotic, muscle relaxant, ogwuura, anticonvulsant Njirimara.

pharmacodynamics

A ọgwụgwọ ọgwụ mmetụta "imovan" (ọrụ pụtara ìhè) jikọtara kpọmkwem agonist mmetụta Omega anabata (n'oge gara aga a na-akpọ benzodiazepine anabata ha mbụ na nke abụọ ụdị). Ọgwụ nwere ike belata oge na-ehi ụra na iji belata omume nke ụtụtụ na-abalị awakenings, ma dịkwuo oge na mma na-ehi ụra. PSG data na-egosi na ọgwụ "imovan" na ọrịa na-ata ahụhụ site na ehighị ụra nke ọma, na-ehi ụra na-ebelata mbụ na-adọ na prolongs nke abụọ, nke atọ na nke anọ na-echekwa (oké ụra) na nzọụkwụ paradoxical (adị jụụ) adọ. A ọmụmụ site na ịdenye polysomnograms ndọrọ ego ekpugheghị ọ bụla dị ịrịba rebound ehighị ụra nke ọma mgbe na-ewere ọgwụ na iri abụọ na ụbọchị asatọ. Ọzọ ule gosiri na mgbe eji ọgwụ iri na asa izu ofufe hypnotic mmetụta na-adịghị hụrụ.

Pharmacokinetics

Ọgwụ ụra "imovan" etinye obi gị dum ngwa ngwa, n'agbanyeghị nke nri. Na plasma mgbe onu ochichi nke 3,75 na 7.5 milligrams ego n'ime otu na ọkara awa abụọ ruru kasị elu ịta nke banyere 30 na 60 and / ml, karị. Ebe ọ bụ na ọbara plasma-edozi na unsaturated nkekọ na-adịghị ike (ihe dị ka 45%). N'ogo nke protein ruru ka ihe ize ndụ nke na nkwukọrịta ndị ọzọ ọgwụ ọjọọ eme ihe dị ala. ọgwụ ọjọọ, "imovan" agbasa nnọọ ngwa ngwa si systemic mgbasa. Guide na-akọ na ya ịta na mmiri ara ndị yiri ndị hụrụ plasma. The ọkara ndụ nke ọgwụ na-emebibeghị mgbe ewere ndị na-atụ aro doses averages awa ise. The ọgwụ na-egosi predominantly n'ụdị metabolites na mmamịrị (80%) na na nsị (16%).

egosi maka

Agwọ ọrịa "imovan" ntụziaka na-egosi ojiji na n'imeso situational, na-akwụsị akwụsị, ala ala ehighị ụra nke ọma na ndị okenye. Karịsịa, ọ na-eji isi ike na ụra, abalị na n'oge awakenings.

Hapụ ụdị na mejupụtara

The ọgwụ dị na ụdị na-acha ọcha film-ntekwasa mbadamba na oval akara na otu akụkụ. Otu unit n'aka mejupụtara ifịk akụrụngwa esịnede - zopiclone - 7.5 milligrams ke uka. Mbadamba "imovan" na-agụnye carboxymethylstarch sodium, titanium dioxide, calcium hydrogenphosphate dihydrate, magnesium stearate, lactose monohydrate, wheat starch, hypromellose.

A usoro nke ndibọbọ na oge nke ọgwụgwọ

Gosiri onu agwọ ọrịa ozugbo tupu ụra abalị. Ọ bụrụ na o kwere omume, ọgwụ kwesịrị mkpụmkpụ na ekwesịghị gafere izu anọ, gụnyere oge nke belata onunu ogwu. Na-ewere ọgwụ maka a ogologo oge karịa ọgwụ na Regulations, ga-ekwe nanị mgbe otu ọkachamara ntule nke onye ọrịa. Mkpa mgbe nile na-amalite usoro ọgwụgwọ na kasị ala irè dose, na-amụba ya ma ọ bụrụ na ọ dị mkpa, ma ọ nwere ike gafere karịa dose. Mgbe na-akwụsị akwụsị ehighị ụra nke ọma (eg, mere site mgbanwe nke ọnọdụ n'oge njem) a ọgwụgwọ adịghị gafere abụọ ụbọchị ise. Mgbe situational ehighị ụra nke ọma, ọ bụ abụọ ka izu atọ. Na ikpe nke na-adịghị ala ehighị ụra nke ọma na-achọ ogologo oge ọrịa, ndị oge setịpụrụ dọkịta.

Na-atụ aro dose

The kwa ụbọchị dose maka ndị mmadụ n'okpuru afọ 65 - 7.5 milligrams. Agadi ọrịa (karịrị afọ 65), na ndị na-anaghị ekwe nke imeju ma ọ bụ akụkụ okuku ume na nsogbu nke na-agafeghị oke ogo, kenyere kwa ụbọchị oriri nke 3,75 milligrams. Were gị na nkà mmụta ọgwụ na a uka nke ihe karịrị 7.5 milligrams kwa ụbọchị na-kwere na na oké ikpe. Ọgwụgwọ nke ọrịa na gbasara akụrụ odida, n'agbanyeghị eziokwu ahụ na nke a ekpugheghị ìgwè nke ọgwụ na ya metabolites, ọ dị mkpa na-amalite na a kwa ụbọchị dose nke 3,75 milligrams.

mmetụta

About "imovan" nkwadebe reviews hụrụ ukwuu n'ime mma, a na-ọma na-anabata. Ma fọrọ nke nta niile nke ọrịa na-ekwu na mgbe na-ewere ọgwụ ọjọọ na ọnụ na-anọgide a ilu aftertaste. Ụfọdụ ndị na-ekwu okwu banyere ntoputa nke isi ọwụwa, dizziness na ndabere nke eji ọgwụ ụra. Otu n'ime ihe ndị o kwere omume mmetụta ọjọọ kwesịkwara-kwuru muscular hypotonia, mmapụta iro ụra n'elu edemede, diplopia, asthenia, ọnwụ nke libido. E nwere ihe ize ndụ nke digestive ọrịa: ọgbụgbọ, dyspepsia, akọrọ ọnụ. Mgbe ụfọdụ, e nwere ndị akpụkpọ Jeremaya mere dị ka rashes na itching, na obere okwu - anaphylactic Jeremaya mere, angioedema ujo. N'ihi na ụfọdụ ndị ọrịa mgbe na-ewere ọgwụ ụra apụta ịmụ anya arọ nrọ, ịda mbà n'obi, na-arọ nrọ, nsogbu na nchikota nke mmegharị, ime ihe ike, ahụ mgbakasị, ndị dara mbà n'obi na ọnọdụ, na-eje ije a nrọ, na-ekwesịghị ekwesị omume (nwere ike ime na Nchikota na obi nchefu). Ọbụna mgbe eji na ọgwụgwọ doses mbadamba "imovan" (ntuziaka adọ aka ná ntị banyere nke a) nwere ike ịzụlite uche na nke anụ na nduzi.

ndọrọ ego

Ụfọdụ ndị na mgbe cessation nke ọgwụ na nkà mmụta ọgwụ na-amalite ndọrọ ego syndrome. Ya mgbaàmà nwere ike ịbụ dị iche iche, ha na-egosi na ụdị nchegbu, aghara, rebound ehighi ura, tachycardia, ogwe, tremor, isi ọwụwa, delirium, mụbara sweating, abalị na-arọ nrọ, tachycardia, n'ahụhụ, ịmụ anya arọ nrọ. Na nnọọ obere okwu ọdịdọ ime.

contraindications

Ndị na-hypersensitivity ka Efrata pụtara "imovan" hapụ ya were. Ọzọkwa, ọgwụ ụra na-adịghị kenyere ọrịa na gravis oké imeju ọdịda oké ụdị (na ihe ize ndụ nke encephalopathy), oké apnea syndrome, oké akụkụ okuku ume na ọdịda, ụra. Contraindicated ọgwụ tupu afọ nke iri na asatọ. Persons na a akụkọ ihe mere eme nke ọgwụ, na mmanya, ọgwụ ọjọọ riri ahụ, ọgwụ a ga-eji na ịkpachara anya, dị ka na nke a, e nwere ihe ize ndụ nke na-amụba na nduzi ma ọ bụ eme ihe.

Jiri n'oge ime na lactation

Were ọgwụ ụra "imovan" ime na lactating inyom na-adịghị na-atụ aro. Mgbe ọgwụ ọjọọ na-ndinọ n'oge atọ trimester nke nwa ọhụrụ nwere ike ịzụlite oghom mmetụta dị otú ahụ dị ka hypotension, akụkụ okuku ume na ịda mbà n'obi, hypothermia. Women-eme atụmatụ ma ọ bụ enyo enyo ime kwesịrị ịkwụsị ewere ọgwụ.

ovadozu

A ovadozu egosiwokwa mgbaàmà nke CNS ịda mbà n'obi na mgbanwe degrees si a mfe somnolence na amaghị onwe (dabere na dose). Na nwayọọ mgbe, e nwere enweghị mmasị, iro ụra, mgbagwoju anya, na ihe dị oké njọ - lethargy, akụkụ okuku ume na ịda mbà n'obi, ataxia, hypotonia, amaghị onwe ya. Ọ bụ oké ụkọ maka atrioventricular ngọngọ. -Eyi ndụ egwu ovadozu bụghị, ọ bụrụ na n'ikuku nke ọgwụ ụra na-adịghị jikọtara na n'ikuku nke ọgwụ ọjọọ ndị ọzọ nke akụda Central ụjọ usoro, ma ọ bụ mmanya. Ọzọkwa ovadozu mgbaàmà nwere ike enwe nnukwu ma ọ bụrụ na onye ọrịa ahụ n'ozuzu ọnọdụ ahụkwaghị ma ọ bụ comorbidities. N'ọnọdụ dị otú ahụ, o nwere ike ọbụna iduga ọnwụ (obere). Tupu ọgwụ na oké doses gosiri symptomatic ma na-akwado ọgwụgwọ na ọgwụ. Ihe kasị anya ga-akwụ ụgwọ iji obi na akụkụ okuku ume ọrụ. Jikoro dị ka ọrụ carbon na ịsacha afo bụ efficacious naanị ma ọ bụrụ na rụrụ n'oge na mgbe ojiji nke agwọ ọrịa "imovan".

analogs

E nyere ọnyà hypnotic ọgwụ ọjọọ ndị dị ka "Somnol", "Thorson", "Relakson", "Piklodorm" na ndị ọzọ. Dị ka a na-achị, ha dị ọnụ ala karịa na mbụ, ma n'otu oge ndị na-erughị irè.

adọ aka ná ntị

Dị ka e kwuru na mbụ, na-ewere sedatives, gụnyere "imovan" ọgwụ ọjọọ, nwere ike ime ka mmepe nke psychological na n'ụzọ anụ ahụ na nduzi. Ihe ize ndụ enwekwu na ogologo oge ọgwụgwọ na-ewere ọgwụ ụra na elu doses, na ịṅụbiga mmanya ókè, psychotropic bekee, nakwa dị ka ọnụnọ nke nchegbu. Ọ bụrụ na onye ahụ nke ahụ na nduzi inikiet inikiet kwụsị ọgwụ ọgwụ nwere ike ịzụlite a ndọrọ ego syndrome, nke a kọwara n'elu. Iji zere nke a, ọ dị mkpa iji belata ọgwụ dose nwayọọ nwayọọ. Gbochie ihe ize ndụ nke dị otú ahụ mmetụta dị ka anterograde obi nchefu, ọ na-enyere na-edebe abụọ iwu: Ị ga na-aṅụ a Erere tupu alakpu ụra (zere a nnukwu ego nke oge n'etiti iji ọgwụ ọjọọ eme na-aga ụra) na-ehi ụra mgbe ọ dịghị ihe ọzọ awa isii (bụghị ịkwụsịtụ ụra tupu awa isii mgbe ụra). Ọgwụ na-adịghị gosiri maka ọgwụgwọ nke ịda mbà n'obi na pụrụ ọbụna ikpuchi ya mgbaàmà.

ọgwụ interactions

Imekotaotuugbo ọgwụgwọ nke ọgwụ ụra "imovan" na-aba n'anya nwere ike ime ka ụba ogwuura. Ke adianade do, ị nwere ike ghara iri ọgwụ yana ọgwụ ọgwụ ọjọọ, na-emegbu Central ụjọ usoro: barbiturates, antidepressants na ogwuura, ọgwụ na-akụjụ, antipsychotics, antitussive mmadụ, ọgwụ na-akụnwụ, narcotic analgesics, antiepileptic ọgwụ ọjọọ na etiti edinam. Na ikpe nke na nkwonkwo ojiji nke a depressant utịp ke Central ụjọ usoro nwere ike enwekwukwa. Ọzọkwa, anaghị aṅụ "imovan" mkpụrụ ọgwụ na ọgwụ ọjọọ nwere trimipramine, n'ihi na plasma ịta nke ikpeazụ na ihe ndị ga-belata. Joint n'ikuku soporific buprenorphine enwekwu ihe ize ndụ nke akụkụ okuku ume na ịda mbà n'obi (arụpụta pụrụ ọbụna ịbụ na-egbu egbu).

Ebe ịzụta "imovan"

The ọgwụ na-eresị ọtụtụ drugstores. Ọgwụ ụra dị na ọgwụ ọgwụ. Ụfọdụ ndị na-achọ ịzụta ọgwụ enweghị a ọgwụ, na-eji ọrụ nke online pharmacies. Otú ọ dị, ọ ga-eti na na ikpe ị n'ihe ize ndụ ịzụta ogbenye mma, adịgboroja ma ọ bụ emebiela ngwongwo.