Finlepsin 400 retard ndi mankhwala otsimikizika a mtengo wokwanira wogwiritsidwa ntchito pochiza matenda a khunyu, matenda amisala, malo okhumudwitsa ndi neuralgia.
Dzinalo Losayenerana
Carbamazepine
Finlepsin 400 retard ndi mankhwala otsimikizika a mtengo wokwanira wogwiritsidwa ntchito pochiza matenda a khunyu, matenda amisala, malo okhumudwitsa ndi neuralgia.
Ath
N03AF01 Carbamazepine
Kutulutsa mafomu ndi kapangidwe kake
Amapezeka mu mawonekedwe a mapiritsi ozungulira oyera oyera kapena mapiritsi a nthawi yayitali mu chipolopolo.
M'katoni imodzi matuza 5 okhala ndi mapiritsi 10.
Muli ndi zinthu zomwe zimagwira (carbamazepine) mu kuchuluka kwa 400 mg, ndipo zimaphatikizanso zina zomangiriza, kusungunula ndi zinthu zina zofananira.
Zimagwira bwanji?
Mphamvu yokhudza kupatsirana kwa mankhwalawa ndikukhazikitsa kupezeka kwa ma neuroni mwa kutsekereza calcium tubules. Izi zimapangitsa kutsika kwa ma synapses a neuron, pomwe chosatulutsa chosalekeza sichinapangidwe.
Mankhwalawa ndi anticonvulsant, antidiuretic, analgesic, olimbitsa mtima ndi diuresis-kutsitsa kwenikweni.
Pharmacokinetics
Momwe mankhwalawa amachedwa, koma pafupifupi. Pafupifupi 80% ya chinthu chomwe chimagwira m'mapuloteni a plasma, zotsalazo sizinasinthidwe. Imadutsa mkaka wa m'mawere ndikudutsa pamtunda kupita kwa mwana wosabadwayo.
Magazi okwera kwambiri - maola ochepa atatha kumwa. Mukamagwiritsa ntchito mapiritsi okhala nthawi yayitali, ndende imatsika. Kuyenera kwa ndende kumachitika pambuyo masiku 2-8 kumwa mankhwalawa.
Kuchulukitsa mlingo pazophatikizidwa sikumapereka zotsatira zabwino komanso kumapangitsa kukula kwa mkhalidwewo.
Imafufutidwa makamaka ndi impso mu mawonekedwe a metabolite, koma gawo lina limachotsedwa m'thupi ndi ndowe ndipo kuchuluka kwake sikusintha.
Zomwe zimathandiza
Chida chothandiza pa matenda a zotsatirazi:
- khunyu komanso khunyu (amasuntha mawonekedwe owonetsa kusintha kwa odwala omwe ali ndi khunyu, amachepetsa nkhawa, kusakwiya komanso kuchita ukali, amakhala ndi zotsutsana);
- boma lochotsa (kumachepetsa kuvutika kwa zovuta ndi zovuta za gait, kumachepetsa nkhawa, kumakulitsa chidule chotsimikiza);
- zosokoneza tulo;
- neuralgia: postherpetic, trigeminal ndi post-traumatic neuralgia, zotupa za glossopharyngeal nerve (amachita ngati analgesic);
- multiple sclerosis;
- paresthesia a pakhungu;
- pachimake mikhalidwe, kupuma wogwirizira, nkhawa, matenda a schizoaffective, psychosis ya zochita kupanga (amachita mwa kuchepetsa kupanga dopamine ndi norepinephrine)
- diabetesic polyneuropathy, matenda a shuga insipidus (amathandizanso kupweteka, amalipira madzi osalala, amachepetsa diuresis ndi ludzu).
Kugwiritsa ntchito bwino kwa mankhwalawa kuyenera kudziwidwa pokhudzana ndi khunyu ndi khunyu ya trigeminal.
Amagwiritsidwa ntchito onse mu mawonekedwe a monotherapy, komanso ngati gawo la zovuta zamankhwala (mu pachimake manic, kupuma kwamatenda, etc.).
Contraindication
Finlepsin sanalembedwe milandu zotsatirazi:
- Hypersensitivity kwa yogwira thunthu kapena zinthu zofanana ndi mankhwala zikuchokera;
- ndi atrioventricular block;
- ndi hepatic porphyria;
- ndi kupsinjika kwa m'mafupa.
Nthawi zina amalembedwa, koma kuyang'aniridwa mosasamala kwa achipatala, kwa wodwala yemwe ali ndi mbiri ya hypersecretion syndrome ya antidiuretic mahomoni, kuchepa kwa kupangika kwa mahomoni a chithito kapena chithokomiro, mahomoni a adrenal cortex, ndikuwonjezereka kwa intraocular.
Kugwiritsa ntchito mosamala zakumwa zoledzeretsa poyeserera komanso okalamba.
Momwe mungatengere Finlepsin 400
Finlepsin amatumizidwa pakamwa ndi madzi ambiri. Mlingo watsiku ndi tsiku sayenera kupitirira 1600 mg. Ana ndi odwala ena omwe akuvutika kumwa mapiritsi amatha kusungunula mankhwalawa m'madzi kapena madzi.
Monga antiepileptic, imatengedwa malinga ndi chiwembu chotsatira:
- Akuluakulu ndi ana osaposa zaka 15 amayamba kulandira chithandizo ndi 200-400 mg, kuwonjezeka mpaka zotsatira zake zitheke, koma osapitilira muyeso wokwanira tsiku lililonse. Mankhwala ena amakhala ndi mankhwala ochokera ku 800 mpaka 1200 mg ya mankhwalawa 1 kapena 2 Mlingo.
- Kwa ana a zaka zoyambira zisanu ndi chimodzi, dosing imayamba ndi 200 mg ndipo pang'onopang'ono imakula ndi 100 mg patsiku mpaka zotsatira zomwe zimayembekezeredwa. Mankhwala othandizira okonza kawiri pa tsiku: kuyambira zaka 6 mpaka 10 - 400-600 mg, kuyambira zaka 11 mpaka 15 - 600-1000 mg.
- Ali ndi zaka 6, mankhwalawa samadziwika.
Kutalika kwa chithandizo, komanso kuchepa kapena kuwonjezeka kwa mulingo, kumatsimikiziridwa ndi adokotala.
Mankhwalawo amathetsedwa ngati patadutsa zaka ziwiri zokha pakadakhala kuti palibe akuwopseza.
Kwa neuralgia (trigeminal, postherpetic, post-traumatic) ndi zotupa za glossopharyngeal nerve, mlingo woyambirira wa 200 mg patsiku umayikidwa ndi kuwonjezeka pang'onopang'ono mpaka kupitirira 800 mg patsiku. Mlingo wokonza ndi 400 mg patsiku, kupatula okalamba ndi odwala omwe ali ndi mbiri ya hypersensitivity kwa yogwira mankhwala (200 mg patsiku).
Mu kupweteka kwa odwala omwe ali ndi sclerosis yambiri, tsiku lililonse mlingo umayamba kuchokera ku 200 mg ndikuwonjezeka mpaka 400 mg.
Ndi kusiya mowa, mankhwala osokoneza bongo amachitika kokha kuchipatala osakanikirana ndi njira zina. Mlingo - kuchokera pa 600 mpaka 1200 mg pa tsiku pawiri.
Finlepsin amatumizidwa pakamwa ndi madzi ambiri.
Zochizira psychosis, imagwiritsidwa ntchito pa mlingo wa 200 mpaka 400 mg patsiku ndikuwonjezereka kwa 600 mg (matenda a schizoaffective and affitive).
Ndi matenda a shuga
Kwa ululu, mlingo wa tsiku ndi tsiku umapangidwa m'mawa - 200 mg, madzulo - 400 mg. Kuti mukwaniritse bwino kwambiri, mlingo wa tsiku ndi tsiku umatha kuwonjezeredwa mpaka 600 mg. Mu manic mamiriro amapereka 1600 mg patsiku.
Zimatenga nthawi yayitali bwanji
Ziphuphu nthawi zambiri zimadutsa maola angapo ndikuyima patatha masiku ochepa. Mphamvu ya antipsychotic imawonetsedwa kwakukulu patatha masiku 7-10 pambuyo poyambitsa makonzedwe.
Zotsatira zothandizira zimachitika pambuyo pa maola 8-72.
Patulani
Dongosolo lochotsa mankhwalawa limasainidwa ndi adokotala ndipo limachitika mkati mwa zaka 2-3 atayamba kugwiritsa ntchito. Mlingowo umachepetsedwa pakapita zaka 1-2 ndikuyang'anira echoencephalogram.
Nthawi yomweyo, ana adalembedwa chiwembu chokhazikitsidwa, kusintha kwa thupi ndi kukula.
Zotsatira zoyipa za Finlepsin 400
Zotsatira zoyipa zazikulu zimawonetsedwa pamavuto amkati wamanjenje (chizungulire, kugona, kusowa chochita, zovuta kuyankhula, paresthesia, kusabala), psyche (kupsinjika, kukhumudwa, masomphenya), minofu ndi mafupa) kumverera (tinnitus, kufooka kwa kukoma, kutukusira kwa conjunctiva), khungu (pigmentation, ziphuphu, phenura, dazi), dongosolo la kupuma (pulmonary edema) ndi chifuwa.
Matumbo
Zotsatira zoyipa zam'mimba zimayankhulidwa ndi nseru, kusanza, kusokonezeka kwa chifuwa, kapamba, stomatitis ndi glossalgia.
Hematopoietic ziwalo
Kumwa mankhwalawa kumatha kukulitsa kuchuluka kwamapulatifomu, ma eosinophils, mitundu yosiyanasiyana ya magazi, "intermittent" porphyria.
Kuchokera kwamikodzo
Nthawi zina pamakhala oliguria komanso posungira kwamikodzo.
Kuchokera pamtima
Kusintha kotheka mu kuthamanga kwa magazi, kutsika kwa mtima, kuchepa kwa matenda a mtima.
Kuchokera ku endocrine dongosolo ndi kagayidwe
Dongosolo la endocrine ndi metabolism limatha kuyankha mankhwalawa ndi kuchepa kwa ndende ya L-thyroxine komanso kuwonjezeka kwa TSH, kuchuluka kwa thupi, komanso cholesterol level.
Matupi omaliza
Nthawi zambiri, chifuwa chimawonetsedwa ndi urticaria, vasculitis, zotupa pakhungu. Nthawi zina zitha kuchitika: angioedema, chifuwa cha mafupa, photosensitivity.
Zokhudza mphamvu pakuwongolera njira
Munthawi ya kutenga Finlepsin, ndikofunikira kukana kuyendetsa galimoto ndikumalumikizana mosamala ndi zovuta, ntchito yomwe imafunika kuthamanga kwa ma psychomotor.
Malangizo apadera
Kugwiritsa ntchito mankhwalawa kuyenera kuyikidwa kokha moyang'aniridwa ndi achipatala atawunika kuchuluka kwa mapangidwe omwe angachitike pangozi. Monga mkhalidwe - kuwunika mosamala odwala omwe ali ndi matenda a mtima, kusokonezeka kwa chiwindi kapena impso, matupi awo sagwirizana kale.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Pankhaniyi, phwando silikulimbikitsidwa. Kugwiritsa ntchito kumaloledwa pambuyo kufananizira zisonyezo zofunikira komanso zoopsa kwa mwana wosabadwa ndi wakhanda. Amayi omwe amalandila chithandizo cha Finlepsin panthawi yoyembekezera nthawi zambiri amakumana ndi zovuta za fetal.
Gwiritsani ntchito mu ukalamba
Odwala okalamba amapatsidwa mankhwala ochepetsedwa komanso kuthekera kwa mavuto muzisokonezo kumawerengedwa.
Finlepsin makonzedwe kwa ana 400
Kusankhidwa kumaloledwa kuyambira wazaka zisanu ndi chimodzi.
The ntchito aimpso kuwonongeka
Kulandila mosamala.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Amawonetsedwa mosamala moyang'aniridwa ndi akatswiri azachipatala komanso kuwunikira zizindikiro za chiwindi.
Mankhwala ochulukirapo a Finlepsin 400
Ngati mumwa mankhwala ochuluka, nthawi zambiri pamakhala kuwonjezereka kwa zotsatira zoyipa kuchokera ku dongosolo lamkati la mantha (kuletsa ntchito, kudzikhumudwitsa, kupweteka kwa matumbo, kusintha kwa malingaliro a psychomotor), dongosolo lamtima (kuthamanga kwa mtima, kutsitsa magazi, kumangidwa kwamtima), matenda am'mimba , kusanza, kuphwanya matumbo motility).
Kuti athetse mavuto obwera chifukwa cha kuchuluka kwa mankhwala osokoneza bongo, kuthandizidwa kuchipatala kuchipatala kumachitika, kuwunika mwachangu kudziwa kuchuluka kwa chinthu m'magazi, kutumphuka kwa m'mimba, komanso kuyikiridwa kwa wogwiritsa ntchito.
M'tsogolomu, chithandizo chamankhwala chimachitika.
Kuchita ndi mankhwala ena
Musamale ngati pakufunika kuphatikiza mankhwalawo ndi zinthu zina.
Kuphatikizana sikulimbikitsidwa
Kugwiritsa ntchito munthawi yomweyo, kumawonjezera poizoni wa paracetamol, mankhwala a mankhwala ochititsa dzanzi, isoniazid,
Mao inhibitors amalimbikitsa mwayi wokhala ndi mavuto azisokonezo, kugwidwa, ndi kufa.
Ndi chisamaliro
Machepetsa mphamvu ya njira zakulera zam'mlomo, cyclosporine, doxycycline, haloperidol, theophylline, tridclic antidepressants, dihydropyridones, proteinase inhibitors pochiza HIV.
Kuyenderana ndi mowa
Zosagwirizana ndi mowa.
Analogi
Zagretol, Zeptol, Carbamazepine, Karbalin, Stazepin, Tegretol.
Kupita kwina mankhwala
Kugulitsa kokha ndi mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Palibe mankhwala omwe sanapatsidwe.
Finlepsin 400 Mtengo
Mtengo kuchokera ku 130 mpaka 350 rubles. kutengera wopanga komanso malo omwe adzagulitse.
Zosungidwa zamankhwala
Sungani pa kutentha osapitirira 30 ° C kuchokera kwa ana.
Sungani pa kutentha osapitirira 30 ° C kuchokera kwa ana.
Tsiku lotha ntchito
Osapitirira zaka 3 kuchokera tsiku lopanga. Osagwiritsa ntchito tsiku lanu litatha.
Wopanga
Amapangidwa ndi makampani osiyanasiyana azamankhwala ku Germany ndi Poland:
- Menarini-Von Hayden GmbH.
- Pliva Krakow, A.O. Chomera cha Mankhwala
- Ntchito za Teva Poland Sp. z o.o.
Ndemanga za madotolo ndi odwala za Finlepsin 400
Anna Ivanovna, wamisala, Omsk
Nthawi zambiri, pochita zamatsenga, amagwiritsidwa ntchito ngati anticonvulsant kapena antidepressant. Mukapereka mankhwala, ndikofunikira kuti muphunzire ma anamnesis mosamala ndi zisonyezo zonse, chifukwa zovuta zoyipa ndizotheka. Ndikupangira monga chida chothandiza komanso chodalirika.
Natya Nikolaevna, dotolo wabanja, Saransk
Ndimalimbikitsa ngati yankho lothandiza la trigeminal neuralgia, mavuto a nkhawa, khunyu, kupweteka kwa matenda ashuga komanso kupweteka kwamatenda a shuga.
Pavel, wazaka 40, Ivanovo
Ndakhala ndikumwa mankhwalawa kwa zaka zitatu tsopano ndili ndi khunyu. Panthawi imeneyi, ndinakhala wodekha, kugona kwanga kunayamba kuyenda komanso khunyu langa lidasiya. Choyipa chake ndikuti nthawi zina pamakhala chizungulire chovuta.
Svetlana, wazaka 34, Ryazan
Woikidwa ndi psychiatrist wa kukhumudwa. Mapiritsiwo adathandizira, ndakhala ndikuwamwa kwa chaka chimodzi tsopano, koma m'mimba mwanga mudayamba kupweteka ndipo mutu wanga udali kutuluka nthawi ndi nthawi. Dokotala samalangiza kuti aletse.
Lyudmila, wazaka 51, Lipetsk
Zimathandizira ndi neuralgia ya trigeminal mwachangu komanso popanda mavuto. Izi zisanachitike, ndinali nditakhala osagwirizana ndi miyezi isanu ndi umodzi ndimapiritsi osiyanasiyana, koma sizinachitike. Sindinathe kuyimirira ndipo ndinatembenukira kwa wamisala. Finlepsin adalembedwa, ndipo tsopano palibe mavuto ndi mitsempha ya trigeminal.
