"Cymbalta": olelo ao no ka hoʻohana. Reviews, kala, nāʻikepili

I kēia lā, e hōʻike mākou oe ia mea i ka lāʻau "Cymbalta." Na Ke Kumu no ka hoʻohana ana i ka lāʻau, kona haku mele 'ana,ʻaoʻao' ole, a me kaʻikepili e e ho'ākāka 'ia ma lalo nei. No hoi, mai ka mea i hoʻouna 'ia' atikala, oe e aʻo e pili ana i ke ano ma i ka lāʻau mea loaʻa, pehea ka nui o ka mea loaʻa, ike ia he mea he contraindication, a pehea e pili ia pololei.

hookuu palapala

Ma ka palapala ia e kuai i ka lāʻau "Cymbalta" aʻo i ua puni i loko o ka AEeAaOA? Currently ka lāʻau ua wale, kuu i loko o ka palapala o enteric capsules. Kēlā me kēia a iloko ona i kakauia na pellets, a i he keʻokeʻo paha grayish keʻokeʻo waihoʻoluʻu.

i ka lāʻau

He aha eiiiiiaiou nā lāʻau "Cymbalta?" Na Ke Kumu no ka hoʻohana ana i capsules hākālia nō i kā lākou mau papa kuhikuhiEʻeleu hehee ai mea he waiwai duloxetine. Ua E hoi e hoʻomaopopo i ka 'ole o ka mea, noonoo iho la medicament, a mai nā' hou me sucrose waiwai, hypromellose, talc, succinate, keʻokeʻo colorant, hypromellose'ākeka, titanium'okikene lua, triethyl citrate, gelatin, paʻakai lauryl sulufahate a me ka melemele hao'okesaside pigment.

Capsules e komo 60 a me 30 mg lāʻau. Ka mea i piha i ka blisters o 14 a 7 capsules. I kekahi carton pack hiki e 1, 2 a me 6 blisters.

Pharmacological ano o ka lāʻau

He aha ka kaʻeleu waiwai e like me duloxetine? Na Ke Kumu no ka hoʻohana ana i lāʻau lapaʻau capsules hākālia nō ia e like me ka lāʻau kekahi hana naʻaupō me ka olelo mai hehee ai ka loa maikai antidepressant. He he inhibitor o ka reuptake o norepinephrine a me ka serotonin. He weakly inhibits dopamine uptake, aʻaʻoheʻo Solomona i ka dopamine, histamine, a me adrenergic receptors holino-.

Pehea hana Duloxetine? Alakai iloko ona i kakauia na ia kēia 'ikepili ma luna o kēia mea: no ka loina o ka hana o ka waiwai o ke inhibit reuptake o norepinephrine a me ka serotonin. E like me ka hopena, me ka nui loa maoli he noradrenergic a me ka serotonergic neurotransmission i loko o ka'emi ko kahua. Ua E hoi e kaulana ia duloxetine uhi ka eha koke.

Pharmacokinetics o ka lāʻau

Mea haʻilula keimikala o ke kaumaha o ka "Cymbalta" ke kemu, mai ka gastrointestinal'āpana, omo kaʻina kānāwai he mau hola ma hope hooponopono. ʻO kā mākou lehulehu ua loaʻa ma hope 6 hola. I ka wā hoʻokahi? Eaia no ka ai, aole ia e pili i ka lehulehu, a maoli he i ka manawa e loaʻa ai i ka 6 i 10 hola. Kilo'ōlelo aku nei au i ka mea kahiko o ka'āina ho'ēmi i kā ka nui o ke omo (11%).

Ka paa o ka lāʻau i ka wai koko nā polokina mea kiʻekiʻe lakou e maona ai a hiki aku ma mua o 90%.

I ka hapalua o ke ola ana o ka lāʻau, he 12 hola. I ka Ia manawa, ua hele mai i loko o ka mimi like metabolites.

E like me ka haʻawina, loaʻa nō nä mea ma waena o ka pharmacokinetic keʻano o ka hanaʻana i hana i na wahine a me na kanaka. Penei, o ka awelikaʻae o ka hana 'Oponopono ma lalo o ka maikai ke keka. Eia naʻe, mahele lāʻau hoʻoponopono mea i pono.

Ua E hoi e kaulana i iho o ka hoonohoia'na o ka oko ma waena o ka pharmacokinetic keʻano o ka hanaʻana i ana ma ka kūpuna a me ka waena-elemakule hoʻomanawanui iki mai i ka hoʻokolokolo 'ana. Ua hoikeia mai e ka hapa-ola o ka lāʻau mea kiʻekiʻe i loko o ka poʻeʻelemākule ma mua o ui kanaka. No laʻau heluna hoʻoponopono, 'aʻole koi' ia kekahi.

Ma nā mea maʻi me ka maʻiʻaʻa puʻuwai insufficiency i ka maʻi ke kahua, ma ka dialysis, i ka lehulehu o ka hana ana a me AUC o duloxetine piʻina i pono 2 manawa. I ka mea kumu ka mea, ua waiho, e noonoo i ka advisability o hoemi i ka laʻau heluna o ka lāʻau i loko o nā mea maʻi me ka loa hoʻopilikia o kaʻaʻa puʻuwai kuleana pili i.

Nā mea maʻi i symptoms o ke akepaa 'ole ke' ūlōlohi pūnao a me ka hoʻopau hapa-ola o ka duloxetine.

Nāʻikepili no ka hoʻohana ana i ke dala

I ka prescribers "Cymbalta?" Na Ke Kumu no ka hoʻohana loaʻa ka mea kēia papa inoa o kāuʻikepili:

• diabetic neuropathy eha shape;
• kaumaha a me ka depressive Hawaii;
• generalized uunu nui kāna hana;
• maʻiʻeha musculoskeletal maʻi pale, a me ka poʻe i hoʻowalewale i ka fibromyalgia a me ka osteoarthritis.

Contraindications i ka hoʻohana 'ana o ke dala

Ka wā e hiki ole lawe lapaau "Cymbalta?" Na Ke Kumu no ka hoʻohana loaʻa ka mea kēia papa inoa o nā contraindications:

• i ka wā hoʻokahi palapala noi o potent nā mea kūpale o isoenzyme CYP1A2 (e laʻa me, enoxacin, ciprofloxacin paha fluvoxamine);
• Mahuahua pā lonoaʻili i ka hoʻomanawanui 'o ia hoʻi eiiiiiaiou;
• na keiki ma lalo o makahiki 18 o ka makahiki;
• i ka wā pōkole,? eaia me Mao nā mea kūpale;
• Arterial hypertension mea kipi;
• uncompensated panina glaucoma;
• loa maʻiʻaʻa puʻuwai ka hoʻokō 'ole (me ka CC emi o 30 ml / min);
• isomaltase deficiency a saccharase, monakō koko-galactose malabsorption a me ka fructose intolerance;
• ake maʻi e komo pū ma ka hepatic insufficiency.

I ka wā e hoʻohana me ka mālama nui lāʻau

It E e hoʻohana pono mai la lāʻau i loko o bipolar kāna hana, a Mania, convulsions pilikia no ka pepehi makau-panina glaucoma. Nō hoʻi, pono e lawe malama ka wā ocular hypertension, suicidal manao, hyponatremia, ake a me ka hakuʻala.

Uluwehi O "Cymbalta": kauoha no ka hoʻohana

Ke kumu kuai o ia huahana ka loa kiʻekiʻe. Eia naʻe, kona laulā mea i malama i kekahi kanalua.

A hooku iho la ka lapaʻauʻia ua hoakaka ia wale no ku una hooponopono. Nā capsules Pono e aleia a pau, me ka palaoa a me ka kamaiʻilio ana ia lakou. It E e kaulana ia i loko o kekahi hihia hiki ole ke hou i ka lāʻau a me ka ai hui pu ia me kekahi fluids, mai ka hana hiki waleʻino i ka enteric ka penaʻana.

Mea haʻilula keimikala o ke kaumaha E e ia ma ka loiloi mua laʻau heluna o 60 mg koke i ka lā. I mea e hoʻokō maikaʻi i nā hualoaʻa ma kekahi nā mea maʻi, e hoʻonui aku la nui i kekahi i kā mākou mahele lāʻau o ka 120 mg palua i ka lā.

Hoʻomanawanui iki mai diagnosed me ka maʻiʻaʻa puʻuwai e hemahema, a ia lŘlŘ i loko o ka maʻi ke kahua, ka loiloi mua laʻau heluna o ka medicament He 30 mg koke i ka lā. Inā nā mea maʻi i akepaa malfunction, ka hōʻike dala o ka lāʻau ua? Aeiiaiaoaony i lalo loa a emi i ka multiplicity o? Eaia.

Ua E hoi e kaulana ia e pale aku abrupt withdrawal loaa medicament. I ka nui o ka lāʻau pono e ho'ēmi i ke kiʻekiʻe ma 1-2 pule. Inā keia kāʻei kua, eia nō i na hoailona o ka maʻi pale, ka mea, ua? Aeiiaiaoaony e hoʻomau lapaau i loko o ka i koho laʻau heluna. A laila, i ke kauka e hoʻomau e emi i ka mahele lāʻau, akā, oi lohi.

hihia o ka overdose

He aha kilo'ōlelo aku nei au e pili ana i ka lāʻau overdose hoopii, "Cymbalta?" Reviews o kauka pihaʻi me 'ike i ka ikepili i loaʻa iā ia. I ka lā, eia na hihia o ka overdose ma ka 'ai, inu o ka lāʻau i loko o dala i ka 3000 mg, a me ka wā e ua hui ia me nā konohiki. Incidentally, haka pono a me kekahi make.

Hoailona o ka overdose a kaʻawale hui loaʻa nā kēiaʻano: clonic convulsions, somnolence, ka luaʻi, coma, serotonin maʻi pale a me tachycardia. Like no ka preclinical noiʻi (ho okolohua ma luna o na holoholona), i ka papa kuhikuhiE symptoms o kaʻawahia pili me ka kipi loaa medicament, i kāna hana a ka Central ko mākou hopohopo a me ka digestive nenoai. Nō hoʻi, nā mea maʻi e ikea tremor, ataxia, clonic convulsions, ka luaʻi a me ka poho o kona'ōpū.

He aha e hana ma ka hihia o ka overdose? Me ka hooulu ana o ka serotonin maʻi pale E e lawe koke mai corrective Inc cyproheptadine, e like me nā kiʻina hana i hoʻohana e normalize i ke ahonui o ka kino ana wela.

Ke hoomanawanui Ua koi 'ia e hoʻolako hawaiian ea. Oe E hoi kanaka hoʻoponopono i ka hana ana o ka naau, a kanaka hoʻoponopono nui na hoailona. A pau i kēia E e hana i loko o ka huipūʻana me ke ana kākoʻo a me ka symptomatic lapaʻau.

Inā ma hope o hooponopono ana o ka lāʻau iʻaʻole lōʻihi, he mea pono e holoi mai i ka'ōpū. Nō hoʻi, ma ka mea e kali i kaʻai ana o ka lapaʻauʻia ka hoʻomanawanui ua noi e inu ho'ā 'charcoal.

ʻaoʻao kanawai

E hiki anei i ka hopena maikaʻi ma luna o kanaka ola o ka loaa ana mai la o ka lapaʻauʻia? E noonoo oe i kaʻaoʻao hopena o antidepressant ai 'i hou aku au mamuli:

• Loa pinepine (i loko o 10% o ka hihia) i loko o ka lapaʻau haʻawina, nā mea maʻi i ka i kēia Huiia: pōniuniu, headaches, maloo waha, Kanikani'āʻula, Kanikani'āʻula, nausea, drowsiness a me ka constipation.
• Emi huina (1 i 10% o nā hihia) nā mea maʻi i malama flushing, diarrhea, blurred hihiʻo, ka luaʻi, sweating, tremor, mahuahua anorgasmia, ua hoʻemi ikaika loa ka makemake, lilo o ka libido, ke kaupaonaʻana poho, luhi, erectile dysfunction, a i hookaulua ole'āno'ē ejaculation.

Mākou hiki ole ke olelo i kaʻaoʻao 'ole e like me ka pōniuniu (kekahi manawa headaches a me nausea), pinepine ike me ka abrupt ke kāpaeʻana o ka medicament. Ma ke ala, i loko o nā mea maʻi me ka eha diabetic neuropathy 'ano apau loa i' ike i ka ulu i loko o ke koko monakō koko ma luna o ka nele'ōpū.

Reviews o medicament

E like me ka hoʻomalu, a me nā mea maʻi noonoo ka lapaʻauʻia loa Makuakane me ka hana. Ma ka loaʻa 'ia eliminates he nui kāna hana, e like me ka paipai' ana i ka nalowaleʻana o depressive Hawaii. Eia hou kekahi,ʻeleu medicament pono relievesʻeha syndromes ma ka musculoskeletal nenoaiu.

AaOIeIOUIeXAOAaIN a me kekahi 'ano

Ua mea hiki i ka Makeke-aaieieno? O'ē aʻe ai 'me ka lapaʻauʻia "Cymbalta?" House kilo'ōlelo aku nei au i ka olelo mai mea mea he pololei hopena ma ka laulā o kekahi lapaʻauʻia.

No laila, he mea ka pilikia o ka serotonin maʻi pale, duloxetine ina ia i loko o ka hui pu ana me MAOIs.

No ka mea, CYP1A2 isoenzyme ua 'Imi' ole i loko o ka pūnao o "Cymbalta 'e hoomakaukau ai, kā lākou i ka wā hoʻokahi ana ke alakai i māhuahua ai nā hoʻohui like o ka hope.

'Aʻole i haawiia no ka olelo mai medicament pu me nā ai' e aloha ia i ka Central ko mākou hopohopo nenoaiu. No hoi i kona komo e ole inu waiʻona.

I kekahi manawa, oiai o ka pono o SSRIs a serotonergic konohiki i loko o nā mea maʻi malama serotonin maʻi pale. Nolaila, e pono e hana lōʻihi mālama nui ia ka hoʻohana 'ana i kēia k me ka serotonergic antidepressants.

Aie i ka mea i loaʻa i kekahi ikehu māhuahua pilikia o ke kahe ana ke koko e ole ka hoʻohana nā duloxetine a me anticoagulants (antithrombotics).

Breastfeeding a me ka hāpai keiki

Hiki au e hoʻohana i ka lāʻau "Cymbalta", ke kumukuai o ka mea e e hōʻike mai iā ia ma luna, i hāpai keiki? Aie i ka nele o ka lawa 'ike, i ka hana o ka waiwai duloxetine i gestation ka lapaʻauʻia i ke lawelawe wale ina ka pomaikai a hiki i ka expectant makuahine mea nui ma luna ma mua o ka pilikia no ke keiki.

Ua E hoi e kaulana e hoʻomanawanui iki mai e lawe i kēia hope e eʻoiaʻiʻo, e hai aku i kou kauka e pili ana i ka hanana a hoʻolala i ka hāpai keiki.

Ua hōʻike Haʻawina i na wahine lawe antidepressants i loko o ka moku'āina, o ka oi aku i loko o ka hope kahua o ka hoʻonaʻauao, nui maoli ka pilikia o ka paakiki pulmonary hypertension o ke keiki keiki. Ma keia hihia, kekahi pinepine ike i ka maʻi pale i loko o nā keiki ma ka hihia o ka ulia ana, ka hoʻohana 'ana duloxetine wā e hiki mai makuahine ma ka hopena o ke kahua o ke hāpai keiki. Ka hapa nui o na symptoms o keia kulana i malama i haawi ai i ka mea mua lā ma hope.

No ka mea, duloxetine mea hiki ke komo i loko o ka umauma o ka waiu, ia mea,ʻaʻole i makemake loa ia breastfeed kou bebe i Inc. I ole ia, i ka lehulehu o ka waiwai i loko o ka fetus e ia i loko o ka nui o ka 0,14% o ka lehulehu i loko o ka makuwahine.

I Kekahi Mau alakaʻi ma ka hoʻohana 'ana i ka lāʻau'

Ma ka lanakila i ka lāʻau a hiki i kona hoʻomanawanui, "Cymbalta", ke kauka ua koiia e hai aku ia ia i categorically ua papa he hoʻokahi-manawa ke komo ana o ka Agena me Mao nā mea kūpale. I ole ia, ka mea, ke olelo hooweliweli aku ona, a nui complications o hyperthermia, myoclonus a kaheaia excitation hoʻololi i loko o ka coma.

Ua E hoi e hoʻomaopopo i ka mea i papaia loaa mai la ka lapaʻauʻia no ka mau pule ma hope o kanaka Mao nā mea kūpale.

E like me ka haʻawina, ma nā mea maʻi me ka manic moku'āina ka wā hoʻohana 'ē ai' e aloha ia na ko mākou hopohopo'ōnaehana, ma ka huipūʻana i nāʻano "Cymbalta" e worsen na maʻi.

Aie i ka mea i loko o depressive Hawaii he mea he likelihood no he pepehi anaʻia iā iho ho'āʻo, e oi loa aku hoi kanaka hoʻoponopono nā mea maʻi pili ana i ke kamepiula pae.

Ae o ka lāʻau hiki e kokoke oluolu i ka i drowsiness. Nolaila, e hoomanawanui i ka poe i lawe i kēia k, oe e lawe keu malama ka wā e hoohauhee ana a me ka hana me ka weliweli neʻeʻana hana ia.

Price a me analogues o ka lāʻau

Pehea ka nui o nā ka "Cymbalta" enteric capsules? Lākou kumukuai e ĸokoĸa ana nä pane. Ua hilinaʻi nui ma luna o ka Hookah, a me ka hale kūʻai lāʻau lapaʻau kaulahao margins. Naʻe, ka mea e e kaulana ia ma awelika, me ka lāʻau 'koina ma kahi o 1.050 Lūkini rubles (30 mg, 14 na apana). Inā 'oe pono e kuai i ka lapaau ana i ka hookahi dala, akā, ma ka laʻau heluna o 60 mg, a lailaʻoe e loaʻa, e uku ma kahi o 1150 rubles.

Ano, ia oe i ike i ka nui o ka duloxetine. Kona kumukuai i mahuahua ai ai emi ai ke kaumaha ma muli o kekahi aʻe. Currently, ua kapaia ke kūʻai i ka lāʻau mea i kekahi pilikia. Eia naʻe, e hiki ke kuai ia wale nō ma ke kuhikuhi.

Akā, aha, inā 'oe no kekahi mea i ole i hiki ke kuai i kekahi "Cymbalta" lāʻau lapaʻau capsules? i loaʻa Analogs o keia k ma kaʻaneʻane nā hale kūʻai lāʻau lapaʻau. ʻOiai ka āpana e no hoi he pono i ke alo o ke kuhikuhi mai i ke kauka.

Ka lāʻau 'hiki ke auou caiaiai "Cymbalta?" I waena o kona mau na¯ makemake e oi loa kahińuli i ke kēia lāʻau:

• "Intro";
• "Azafen" (papa);
• "Duloxetine Canon" (Enteric capsules);
• "Venlafaxine Sandoz";
• "Alvent";
• "Mirtazapine Canon";
• "Eprobemide" (pāʻoihana ma / a me ke / m);
• "Wellbutrin";
• "Eprobemide" papa;
• "Agomelatine";
• "Neyroplant";
• "Velafaks";
• "Calixtus";
• "Venlaksor";
• "Vensuert";
• "Dapfiks";
• "Venlift od";
• "Despres ';
• "Efevelon retard";
• "Doppelgerts Nervotonik" me he elixir;
• "Inkazana";
• "Efevelon";
• "Coaxil";
• "Esprital";
• "Lerivon";
• "Trittiko";
• "Normazidol";
• "Mirzaten";
• "Tetrindol";
• "Mirtazonal";
• "Remeron";
• "Mirtalan";
• "Pirazidol";
• "Negrustin";
• "Nyuvelong";
• "Noksibel".

I ka papa hana o ka pūnaewele a me ka holopapa-ola

He aha ka ka holopapa ola o ka lāʻau "Cymbalta?" E like me na kuhikuhi, a me ka lā ma luna o ka'ōpala, keia mea paahana e ole e lawe no i ka wā o nā makahikiʻekolu. Ma keia hihia ka mea, e waiho waho ma ka pouli, kahi o ka mahana, aole ia i oi aku mamua o 20 degere.