"Imovan": cov lus qhia rau kev siv. Xyuas txog cov tshuaj analogues thiab muag kev cai nyob rau hauv pharmacies

Medicament "imovan" phau ntawv qhia txog raws li ib tug pw tsaug zog pab, xa mus rau tsiklopirrolonov pab pawg neeg. Cov kev npaj muaj anxiolytic, hypnotic, nqaij relaxant, sedative, anticonvulsant zog.

pharmacodynamics

Ib tug kho yeeb tshuaj nyhuv "imovan" (neeg siv rawsli) txuam nrog kev agonist ntxim rau cov omega receptors (hu ua hu ua benzodiazepine receptors lawv thawj thiab thib ob hom). Tshuaj yuav txo tau lub sij hawm mus pw tsaug zog thiab kom txo tau cov xwm txheej ntawm thaum ntxov thiab thaum tsaus ntuj awakenings, thiab ua rau kom lub caij thiab txhim kho qhov zoo ntawm cov pw tsaug zog. PSG cov ntaub ntawv qhia tias cov tshuaj "imovan" nyob rau hauv cov neeg mob kev txom nyem los ntawm insomnia, pw tsaug zog thiaj li thawj theem thiab prolongs lub thib ob, thib peb thiab thib plaub khw muag khoom noj (sib sib zog nqus pw tsaug zog) thiab kauj ruam paradoxical (REM) theem. Ib txoj kev tshawb los ntawm kev sau npe polysomnograms ntsoos ntsoos tsis qhia tej teeb meem loj thaws insomnia tom qab noj cov tshuaj rau nees nkaum-yim hnub. Lwm yam kev ntsuam xyuas pom tias thaum uas siv cov tshuaj rau kaum xya lub lis piam disappearance hypnotic cov nyhuv yog tsis cai.

tshuaj

Tsaug zog tshuaj "imovan" absorbed sai sai, tsis hais txog ntawm cov mov noj. Nyob rau hauv ntshav tom qab qhov ncauj thawj coj ntawm 3,75 thiab 7.5 milligrams ntawm nyiaj nyob hauv ib tug thiab ib tug ib nrab rau ob teev mus txog lub siab tshaj plaws concentration ntawm txog 30 thiab 60 ng / ml, ntsig txog. Txij li thaum cov ntshav ntshav cov nqaijrog thiab cov unsaturated daim ntawv cog lus tsis muaj zog (kwv yees li 45%). Nyob rau theem ntawm cov protein vim txoj kev pheej hmoo ntawm kev sib tshuam nrog rau lwm cov tshuaj yog heev tsawg. tshuaj "imovan" kis heev sai los ntawm cov mauj ncig. Phau Ntawv Qhia hais tias nws nyob rau hauv concentration niam cov kua mis yog zoo ib yam li cov neeg cai nyob rau hauv ntshav. Lub ib nrab-lub neej ntawm cov tshuaj nyob rau hauv lub lawm thaum noj lub pom zoo Koob Salaries tsib teev. Cov tshuaj zoo li feem ntau nyob rau hauv daim ntawv ntawm cov metabolites nyob rau hauv cov zis (txog 80%) thiab cov quav (16%).

indications rau

Medicament "imovan" qhia hais siv nyob rau hauv kws kho situational, nraum, mob insomnia nyob rau hauv cov neeg laus. Nyob rau hauv kev, nws yog siv nyob rau hauv los xij nyob rau hauv tsis tsaug zog, hmo ntuj thiab thaum ntxov awakenings.

Tso daim ntawv thiab muaj pes tsawg leeg

Cov tshuaj no muaj nyob rau hauv daim ntawv ntawm cov dawb zaj duab xis-coated ntsiav tshuaj nrog dawb kab nyob rau ib sab. Ib unit txhais tau tias muaj ib tug active tivthaiv muaj - zopiclone - 7.5 milligrams nyob rau hauv loj. Ntsiav tshuaj "imovan" kuj muaj xws li carboxymethylstarch sodium, titanium dioxide, calcium hydrogenphosphate dihydrate, magnesium stearate, lactose monohydrate, nplej starch, hypromellose.

Ib tug qauv rau kev txais thiab ntev ntawm kev kho mob

Qhia qhov ncauj medicament tam sim ntawd ua ntej hmo pw tsaug zog. Yog hais tias ua tau, txoj kev kho yuav tsum luv luv thiab yuav tsum tsis pub tshaj plaub lub lis piam, nrog rau lub sij hawm ntawm txo npaum li cas. Noj cov tshuaj rau ib tug ntev lub sij hawm ntawm lub sij hawm tshaj tshuaj nyob rau hauv lub Regulations, yuav tsum raug tso cai tsuas yog tom qab ib tug kws muaj txuj kev soj ntsuam ntawm tus neeg mob. Yuav tsum pib kho nrog lub qis tshaj zoo koob, ua rau nws yog tsim nyog, tab sis nws yuav tsis pub tshaj tus nqi siab tshaj koob. Thaum nraum insomnia (eg, tshwm sim los ntawm kev hloov ntawm qhov chaw thaum lub sij hawm lub dawm) ib chav kawm ntawm kev kho mob tsis pub tshaj ob mus rau tsib hnub. Thaum situational insomnia, nws yog ob peb lub lis piam. Nyob rau hauv cov ntaub ntawv ntawm tus kab mob insomnia yuav tsum tau ntev-lub sij hawm kev kho, lub caij teem los ntawm tus kws kho mob.

Pom zoo koob tshuaj

Lub hnub koob tshuaj rau cov neeg nyob rau hauv 65 lub xyoos ntawm hnub nyoog - 7.5 milligrams. Cov laus cov neeg mob (tshaj 65 xyoo), thiab cov neeg uas muaj mob ntawm lub siab los yog ua pa nyuaj siab hauj sim heev, tshuaj txhua txhua hnub kom tsawg ntawm 3,75 milligrams. Noj koj cov tshuaj nyob rau hauv ib tug loj ntawm ntau tshaj 7.5 milligrams ib hnub twg raug tso cai nkaus xwb nyob rau hauv huab mob. Kev kho mob ntawm cov neeg mob raum tsis ua hauj lwm, txawm lub fact tias nyob rau hauv cov ntaub ntawv no tsis qhia txuam nrog ntawm cov tshuaj thiab nws cov metabolites, nws yog tsim nyog los pib nrog ib tug txhua txhua hnub koob tshuaj 3,75 milligrams.

phiv

Hais txog "imovan" npaj xyuas pom feem ntau zoo, nws yog feem ntau zoo taus. Tab sis yuav luag tag nrho cov ntawm cov neeg mob hais tias tom qab noj cov tshuaj nyob rau hauv lub qhov ncauj tseem yog ib tug iab aftertaste. Ib txhia tib neeg tham txog lub rov tshwm sim ntawm mob taub hau, kiv taub hau nyob rau tom qab ntawm txoj kev siv ntawm sleeping ntsiav tshuaj. Ntawm cov tau tsis zoo los yuav tsum tau muab sau tseg npag hypotonia, residual nkees nkees li awakening, diplopia, asthenia, tsis libido. Muaj txoj kev pheej hmoo ntawm digestive mob: xeev siab, dyspepsia, qhov ncauj qhuav. Tej zaum kuj muaj cov tawv nqaij tshua xws li ua pob ua xyua thiab khaus, nyob rau hauv uas tsis tshua muaj mob - anaphylactic tshua, angioedema poob siab. Rau ib txhia neeg mob tom qab noj sleeping ntsiav tshuaj tshwm sim hallucinations, kev nyuaj siab, npau suav phem, muaj teeb meem nrog kev sib koom tes ntawm taw, Aggressiveness, txob taus, kev nyuaj siab mus ob peb vas, taug kev nyob rau hauv ib tug npau suav, tsis tsim nyog coj tus cwj pwm (tej zaum yuav tshwm sim nyob rau hauv ua ke nrog nrog amnesia). Txawm tias thaum twg siv nyob rau hauv kho koob tshuaj ntsiav tshuaj "imovan" (phau ntawv ceeb toom txog qhov no) tej zaum yuav tsim kev puas hlwb thiab lub cev nyob tos.

ntsoos ntsoos

Ib txhia neeg tom qab cessation ntawm txoj kev kho cov tshuaj muaj ntsoos ntsoos syndrome. Nws cov tsos mob yuav sib txawv, lawv feem ntau tshwm sim nyob rau hauv daim ntawv ntawm kev ntxhov siab vim, tsis meej pem, thaws insomnia, tachycardia, txob taus, co, mob taub hau, fem, nce tawm hws, hmo ntuj ua npau suav phem, tachycardia, ntxhov siab, hallucinations. Nyob rau hauv tsis tshua muaj heev neeg mob qaug dab peg tshwm sim.

Contraindications

Cov neeg uas muaj hypersensitivity rau cov khoom xyaw txhais tau tias "imovan" yuav tsum tso tseg txoj kev siv. Tsis tas li ntawd, pw tsaug zog tshuaj yog tsis muab rau cov neeg mob uas Heavy kev nyob rau hauv kev mob loj siab tsis ua hauj lwm nyob rau hauv kev mob loj daim ntawv (nrog rau cov kev pheej hmoo ntawm encephalopathy), mob apnea syndrome, mob ua pa tsis ua hauj lwm, pw tsaug zog. Txhob siv yeeb tshuaj ua ntej lub hnub nyoog ntawm kaum yim xyoo. Cov neeg uas muaj keeb kwm ntawm kev siv yeeb tshuaj, haus dej cawv, tshuaj tiv, tshuaj yuav siv nrog ceev faj, raws li nyob rau hauv cov ntaub ntawv no, muaj ib tug raug mob zuj zus dependence los yog kev tsim txom.

Siv lub sij hawm uas cev xeeb tub thiab lactation

Noj sleeping ntsiav tshuaj "imovan" cev xeeb tub thiab lactating cov poj niam yog tsis pom zoo. Thaum cov tshuaj yog muab thaum lub sij hawm peb peb lub hlis ntawm tus me nyuam mos yuav tsim kev phiv los xws li hypotension, ua pa nyuaj siab, hypothermia. Cov poj niam npaj los yog xav tias cev xeeb tub yuav tsum tsis txhob noj cov tshuaj.

overdose

Feem ntau overdose manifested cov tsos mob ntawm Cns kev nyuaj siab nyob rau hauv cov zaubmov los ntawm ib tug yooj yim somnolence rau coma (nyob ntawm seb lub koob). Nyob rau hauv me me mob, muaj yog apathy, nkees nkees, tsis meej pem, nyob rau hauv loj - nkees, ua pa nyuaj siab, ataxia, hypotonia, coma. Nws yog tsis tshua muaj heev rau atrioventricular block. Lub neej taus overdose yog tsis, yog hais tias tus txais tos ntawm sleeping ntsiav tshuaj yog tsis nrog lub txais tos ntawm lwm yam tshuaj uas mluas lub hauv paus poob siab system, los yog dej cawv. Tsis tas li ntawd overdose cov tsos mob tej zaum yuav exacerbated yog hais tias tus neeg mob tus mob tau tsis muaj zog txaus los yog comorbidities. Nyob rau hauv xws li mob, nws muaj peev xwm txawm ua rau tuag (muaj tsawg heev). Ua ntej cov tshuaj nyob rau hauv ntev koob qhia symptomatic thiab txhawb kev kho mob nyob rau hauv lub tsev kho mob. Qhov loj tshaj xim yuav tsum tau them mus rau lub plawv thiab ua pa zog. Ntsuas xws li tshuab txais carbon thiab ntxuav lub plab yog efficacious tsuas yog nqa tawm sai sai tom qab ntawm kev siv ntawm cov medicament "imovan".

analogs

Yog muab generic hypnotic tshuaj xws li "Somnol", "Thorson", "Relakson", "Piklodorm" thiab lwm tus neeg. Raws li ib tug txoj cai, lawv yog cheaper dua cov thawj, tab sis nyob rau tib lub sij hawm yog tsis tshua zoo.

ceev faj

Raws li hais ua ntej lawm, noj sedatives, xws li "imovan" yeeb tshuaj, yuav ua rau txoj kev loj hlob ntawm lub hlwb thiab lub cev nyob tos. Qhov uas yuav muaj tsub kom nrog ntev-lub sij hawm kev kho mob thiab kev noj sleeping ntsiav tshuaj nyob rau hauv ntau dua koob, nrog dej caw, psychotropic tshuaj, raws li zoo raws li lub xub ntiag ntawm kev ntxhov siab vim. Yog hais tias cov tsos ntawm lub cev dependence dheev tsum txhob muab txoj kev kho yeeb tshuaj tej zaum yuav tsim ib tug ntsoos ntsoos syndrome, uas twb tau piav saum toj no. Kom tsis txhob no, nws yog tsim nyog los txo cov tshuaj txhaj koob tshuaj maj. Tiv thaiv kom txhob muaj kev pheej hmoo ntawm xws tshwm sim raws li anterograde amnesia, nws yuav pab tau soj ntsuam ob tug cai: Koj yuav tsum haus dej haus ib ntsiav tshuaj cia li ua ntej yuav mus pw (kom tsis txhob ib tug loj npaum li cas ntawm lub sij hawm ntawm qhov kev siv ntawm cov tshuaj thiab mus pw) thiab pw tsaug zog tsawg kawg yog rau lub sij hawm (tsis cuam tshuam pw tsaug zog ua ntej lawm tshaj rau cov sij hawm tom qab ntog pw tsaug zog). Tshuaj yog tsis qhia rau cov kev kho mob ntawm kev nyuaj siab thiab tej zaum yuav txawm npog nws cov tsos mob.

tshuaj cov kev sib tshuam

Tib mus kho mob ntawm sleeping ntsiav tshuaj "imovan" thiab haus dej haus cawv yuav ua rau muaj zog tshuaj kom tsaug zog. Nyob rau hauv tas li ntawd, koj yuav tsis tau cov tshuaj nrog rau kev kho mob tshuaj, oppressive central tshee system: barbiturates, antidepressants nrog sedative, tranquilizers, antipsychotics, antitussive agents, anesthetics, narcotic analgesics, antiepileptic tshuaj nrog central kev txiav txim. Nyob rau hauv cov ntaub ntawv ntawm kev sib koom siv ib tug depressant ntxim rau cov central lub paj hlwb yuav tsum kho kom zoo. Tsis tas li ntawd, tsis txhob haus dej haus "imovan" tshuaj ua ke nrog tshuaj uas muaj trimipramine, vim hais tias cov ntshav concentration ntawm lub yav tas thiab nws cov nyhuv yuav raug muab txo. Joint txais tos soporific buprenorphine tsub kom kev pheej hmoo ntawm kev ua pa nyuaj siab (sij hawm tej zaum yuav txawm yuav tuag taus).

Qhov twg yuav "imovan"

Cov tshuaj no yog muag nyob rau hauv feem ntau drugstores. Tsaug zog tshuaj muaj nyob rau ntawm kev kho mob tshuaj. Ib txhia cov neeg uas xav mus yuav cov tshuaj tsis muaj ib tug tshuaj, siv cov kev pab hauv internet khw muag tshuaj. Txawm li cas los, nws yuav tsum tau nco ntsoov tias twb nyob rau hauv cov ntaub ntawv uas koj yuav mus yuav tsis zoo, cuav los yog tso cai khoom.