Remeron ine Zviverengera Zvimwe Zvimwe Zviitiko Zvingaita Zvingaita Kuti Zvigadzirise Kushandiswa Kwayo
Remeron (mirtazapine) inonzi antidipressant iyo isiri yemakemikari isingaenzaniswi nedzimwe mishonga inorwisa mweya, iyo inorondedzera iyo seanopesana nehutachiona. Izvo FDA inobvumidzwa kuti iite chirwere chikuru chekuora mwoyo muvanhu vakuru, asi kwete kuora mwoyo kune vanhu vane bipolar disorder.
Iyo Remeron Inoshanda Sei
Remeron inoshanda nekuwedzera kusunungurwa kwe serotonin uye norepinephrine , maviri makemikari makemikari ane chokuita nekuora mwoyo.
Izvo zvinosungawo kune histamine receptors, zvichida nei iyi mishonga inokonzera vanhu vakawanda kunzwa vakaneta. Panguva imwecheteyo, haisungiri zvakanaka kune zvinogamuchirwa zvinosangana nemigumisiro iyo inonetsa nemamwe marudzi evanhu vanodzvinyirira, kusanganisira kuderedzwa zvepabonde, kukanganwa, kutya, kuora musoro, kusuruvara, uye chirwere.
Remeron inowanikwa mufomu yebhetheni mumataundi e15, 30 uye 45 milligrams. Inowanikwawo mumadhenari akafanana saRemeron SolTabs®, mishonga yemuromo inoparadzaniswa nerurimi mune imwe nyaya yemaminitsi mashoma. Generic oral Remeron inowanikwawo mune 7.5 milligrams.
Remeron Major Kuchengetedza uye Manyevero
Kungofanana nezvimwe zvose zvinotapukisa, Remeron anotakura bhokisi rakasvibirira rine chokuita nehuwandu hwekuzviuraya uye kuzviuraya kune vana, vechidiki, uye vechidiki.
Remeron inewo pangozi shoma yekukonzera agranulocytosis, mamiriro ezvinhu umo white white cell count inoderedzwa uye muviri unonetseka kurwisa zvirwere.
Zvimwe zvinogona kukanganisa zvikuru zvinosanganisira:
- zvichikonzera manic episode
- serotonin syndrome
- seizures
- iyo yakaderera muropa (iyi inonzi hyponatremia) uye inogona kukonzera kuora musoro, kushaya simba, kuvhiringidzwa, uye / kana matambudziko kufunga
- kusuruvara kweganda rakaoma (zvakanyanya kuputika nokuputika kweganda, kusanganisira zvimiti nemichindwe; kubvambura kunorwadza kweganda uye / kana blister pamuviri kana mumuromo)
- zvakanyanya zvinokonzerwa nemagetsi (semuenzaniso, zvinetso kufema, kuvhara kwechiso, mikoko kana blisters)
- chimiro chekushaya moyo kwemoyo (zviratidzo zvakadai sokutsanya kwepfungwa kana kusagadzikana, chirwere, kana kunzwa sokunge iwe uchapfuura ungaratidza dambudziko iri).
Zvakakosha kutsvaga kurapwa pakarepo kana iwe uchinge uine chero ipi zvayo yakashata yakaipa migumisiro.
Mukuwedzera, kurara chinhu chinowanzoitika uye chinogona kunge chakakomba chikamu cheRemeron, ndicho chikonzero chinotorwa pamubhedha. Nokuda kwekuita izvi, Remeron inogonawo kuchinja mafungiro ako, kutonga uye magetsi. Izvi zvinoreva kutyaira, kushandisa mitambo, uye kuita mamwe mabasa aunoda kuchenjerera haakurudzirwi kusvikira iwe uchiziva kuti Remeron inokukanganisa sei.
Zvinwiwa zvinodhaka zvinogona kukuvadza sedation uye chirwere chinokonzerwa nevamwe vanhu, saka unorayirwa kuti usazonwa doro panguva iyi mishonga. Iwe unorayirwawo kuti uchengetedze benzodiazepines , iyo dzimwe nguva inorondedzerwa nokuda kwekuzvidya mwoyo, kubatwa, uye kusuruvara nokuti vanogonawo kuwedzera izvi zvinokonzera.
Maitiro Anowirirana NezvaRemeron
Izvi zvinowanzova nemigumisiro inogona kuenderera mberi munguva, asi kana isingaiti kana inotambudza, iva nechokwadi chekuti chiremba wako azive. Dzinosanganisira:
- Dry mouth
- Kuwedzera kwehuwandu
- Chizutu
- Constipation
- Appetite kuwedzera
- Abnormal kurota
Nezvekuwedzera kuwedzera kuwedzera uye kuwedzerwa kwechido, mukutariswa kwekutengesa, kuwedzera kwechido kwakawanikwa ne17 muzana yevarwere, uye 7.5 kubva muzana yevarwere vanotaura kuti vanowana zvinenge 7 muzana zvehutatu hwavo. Unecdotal uchapupu hunoratidza kuti zvakakosha zvikuru kuwana pfuma inogoneka. Remeron inogonawo kuwedzera ropa reku cholesterol uye triglyceride mazinga.
Shoko Rinobva
Chinhu chinonakidza chemaveat pamusoro peRemeron ndechekuti sedation iyo inowanikwa nayo inowanzowedzerwa pamadheka maduku. Mune mamwe mazwi, sedation inonyanya kuzivikanwa kuvanhu pane imwe nhamba ye 15mg pazuva kupfuura pamadhora 30mg kana kupfuura pazuva.
Ichi ndicho chikonzero vamwe vanachiremba vanogona kutanga munhu pane imwe yepamusoro ye 30mg (kuti kuderedza kudengenyeka).
Sezvo nguva dzose, zvakakosha kungotora Remeron pasi pekutungamirirwa kwachiremba wako uye kuti usashandure chirwere kana kumira mishonga iwe pachako. Iva nechokwadi chekuudza chiremba wakowo nezvehutano hwako, kunyanya chero ipi zvayo yemwoyo, chiropa, kana mafungiro, mamiriro ezvinhu, sezvo izvi zvingakanganisa kushandisa kwako kana kuyerwa kwemishonga.
Sources:
> FDA. (2009). Mishonga Gwaro: Remeron .
> Hirsch M, Birnbaum RJ. (September 2016). Atypical antidipressants: Pharmacology, administration, uye side effects. Mu: UpToDate, Roy-Byrne PP (Ed), UpToDate, Waltham, MA.