"Clonazepam": kev xyuas. "Clonazepam": cov lus qhia rau kev siv, phiv

"Clonazepam" - antiepileptic tshuaj uas koom rau benzodiazepine derivatives. Thaum tau txais cov "clonazepam" kev tshuav feem ntau zoo tshuaj. Cov tshuaj muaj nqaij relaxant thiab sedative los, tab sis kuj muaj ib tug sedative nyhuv.

Muaj pes tsawg leeg, qhov kev tso tawm daim ntawv "clonazepam" tshuaj

Cov tshuaj no muaj nyob rau cov ntsiav tshuaj nrog txawv txheem ntawm lub ntsiab Cheebtsam:

• 0.5 mg. Nyob rau hauv tas li ntawd mus clonazepam, tus qauv muaj xws li lactose monohydrate. Yuav kom cov khoom xyaw ntawm cov ntsiav tshuaj siv sodium carboxymethylstarch. "Clonazepam" ntsiav tshuaj muaj magnesium stearate, gelatine. Koom Haum kuj talc thiab qos hmoov txhuv nplej. Xim ntsiav tshuaj daim ntawv xim E110.

• 2 mg. Ntxiv koom haum pab khoom xyaw - polysorbate 80, lactose monohydrate. Muaj pes tsawg leeg ntawm cov tshuaj uas tam sim no carboxymethylstarch sodium thiab sodium lauryl sulphate. talc, gelatin yog yeem cov khoom xyaw. Koom haum pab Cheebtsam thiab yuav mus rau lwm yam - magnesium stearate, mov, qos hmoov txhuv nplej.

Pharmacological kev txiav txim "clonazepam" tshuaj

"Clonazepam" ib tug depressing ntxim rau ib tug loj tus naj npawb ntawm cov lug hais tias ua li lub hauv paus poob siab system, mas cov uas yog hais txog lub siab lub ntsws tau hauj lwm. Nyhuv ntawm cov tshuaj "clonazepam" phau ntawv qhia, tswv yim yog tso tawm raws li ib tug sedative, anxiolytic thiab hypnotic (lub xeem muaj mob pesnrab qhia). Lub medicament thiaj skeletal leeg laus, tsis pub generalized convulsive qaug dab peg. Muaj yog ib tug yam ntxwv zoo rau lub chav kawm ntawm epileptic tawm tsam (focal, generalized).

tshuaj

Cov tshuaj no yog yuav luag tag absorbed los ntawm tus mob huam yog outputted tsuas yog los ntawm ob lub raum (metabolites), ib tug me nyuam yog ib feem (2%) tshwm unchanged. Cov txheej txheem yuav siv sij hawm ib tug ib nrab-lub neej ntawm 20 mus rau 40 teev. Lub bioavailability ntawm noj kev npaj yog 90%, cov kev sib raug zoo nrog cov ntshav mov - 85%, lub siab tshaj plaws concentration hu ib tug txhais li cas ntawm 2.5 lub sij hawm. Nyob rau hauv cov kev kho mob ntawm "clonazepam" yam nkag tau rau hauv niam cov kua mis.

Indications rau kev siv ntawm cov tshuaj

Ntsiav tshuaj "clonazepam" haum rau cov kev kho mob ntawm cov neeg mob ntawm hnub nyoog sib txawv nrog, qaug dabpeg, tsis hais txog ntawm nws ces:

• ib nrab qaug dab peg (lub zos, lub focal) ntawm tej degree ntawm heev;
• convulsive tej yam kev mob (tonic, clonic);
• yooj yim qaug dab peg secondarily generalized;
• atypical qhaj ntawv (Lennox-Gastaut syndrome);
• myoclonic qaug dab peg;
• raug tsis tuaj kawm ntawv qaug dab peg;
• tonic-clonic qaug dab peg thawj thiab manifestation.

"Clonazepam" tshuaj kom txo tau nqaij laus, ob qho tib si hypnotic thiab psychomotor crises thaum lub sij hawm kev kho mob.

Kev siv cov tshuaj "clonazepam"

Qhov yuav tsum tau ntau npaum yog txiav txim raws li ntawm ntau yam. Thaum thawj zaug rau theem ntawm txoj kev kho siv ib tug me me koob tshuaj "clonazepam" (0.5 mg), maj mam hloov cov tshuaj kom txog thaum lub nyhuv yog tau. Nyob rau tib lub sij hawm ntau tshaj lub siab tshaj plaws ntau npaum yog txwv tsis pub. Raws li cov kev txheeb xyuas, "clonazepam" tsis tau dheev tsa txawm thaum cov kev kho mob yog short-lived. Ntse rejection ntawm cov tshuaj threatens lub kev loj hlob ntawm ib tug epileptic qaug dab peg.

Txais mus kawm rau qaug dab peg:

• Cov neeg laus. Initial txoj kev kho yog ua siv tsis ntau tshaj 1 mg ntawm yeeb tshuaj. Cov koob tshuaj muab xam ib hnub twg, muab faib ua 3 los yog 4 koob tshuaj, uas yuav tsum tau nqa tawm tu ncua. Tsis muaj tus muaj peev xwm mus siv cov tshuaj nyob rau hauv sib npaug zos koob, qhov loj tshaj plaws feem ntawm "clonazepam" haus dej ua ntej yuav mus pw. Feem ntau, txaus txhua hnub ntau npaum yog nyob rau hauv lub chav 4 mus rau 8 mg tshuaj. Cov txij nkawm koob tshuaj yuav tsum tsis txhob ntau tshaj 20 mg (tiav thaum lub sij hawm 2-4 lub lim piam ntawm txoj kev kho). Thaum lub txiav txim zoo txhua txhua hnub koob tshuaj, uas tso cai rau kom muaj lub cev mob ntawm lub cev, nws yog tau tso cai rau ib koob tshuaj thaum mus pw.
• Cov me nyuam (los ntawm luj ntawm tsawg kawg yog 30 kg). Raws li cov kev txheeb xyuas, "clonazepam" Ameslikas qhia rau cov me nyuam 0.5 mg los mus txiav txim nws pom koob tshuaj.

Txais tos nrog lub syndrome, uas yog nrog los ntawm paroxysmal mob:

• Cov neeg laus. Ua ntej, nyob rau hauv cov neeg mob muab 1-2 hnub dosing (0.5 mg txhua lub sij hawm). Feem ntau cov neeg mob txaus kho koob yog 1 mg / hnub. Lub hnub yuav tsis haus dej haus ntau tshaj 1 mg ntawm tshuaj "clonazepam". Xyuas, txawm li cas los, qhia tau hais tias nyob rau hauv tej rooj plaub, cov kws kho mob tej zaum yuav ua rau kom cov tshuaj mus rau 4 mg. Nyob rau hauv xws li mob, cov tshuaj yog maj hloov (ntau - 3 hnub, tejzaum nws ntxiv 0.5 mg). Thaum twg koj xav txo cov heev ntawm tsaug zog thaum lub sij hawm hnub, lub koob tshuaj xam ntawm lub txais tos thaum lub sij hawm hnub, koj yuav tau haus ua ntej yuav mus pw.
• Cov me nyuam. Rau cov neeg mob uas tsis laus tshaj 18 xyoo, tus nrhiav kom tau ntawm lub syndrome tshuaj tej zaum yuav pab tsis tau thiab tsis zoo.

Yuav kom tsis txhob muaj teeb meem, cov tshuaj "clonazepam" xyuas ntawm cov kws kho mob pom zoo kom noj nruj me ntsis nyob rau hauv cov tswv yim pom zoo ntawm ib tug tshwj xeeb uas yog kho.

Contraindications tau txais "clonazepam" tshuaj

Ntsiav tshuaj tsis siv thaum nce rhiab heev rau cov tshuaj los ntawm uas lawv muaj. Cov tshuaj yog ua rau cov xeev:

• myasthenia Heavy kev;
• puas nco qab;
• nyuam, pub niam mis;
• glaucoma (kaw);
• ua pa mob muaj ib tug central keeb kwm, mob ua pa insufficiency;
• Heavy ntws raum thiab hepatic tsis ua hauj lwm;
• ces pw tsaug zog apnea syndrome;
• cawv lom;
• porphyria mob daim ntawv.

Sab los "clonazepam" tshuaj

Xav txog cov kev phiv, uas muaj peev xwm ua rau "clonazepam". Siv cov tshuaj tej zaum yuav txuam nrog kev phiv tshuaj. Tej zaum yuav ua nkees, xeev siab, irritability. Yog hais tias ib tug kev phiv cov tshuaj tiv thaiv los ntawm tus tib neeg lub cev tau nkees sai sai, nws tau ua kom sib haum ntawm taw. Yuav kom txo tau cov nyhuv ntawm manifestation ntawm sab los, koj thawj zaug yuav tsum mus thov ib tug me me koob tshuaj, maj mam ua kom txog rau thaum nws tiav niam txiv pom.

Nws yog lub npe hu hais tias thaum lub sij hawm kev kho mob "clonazepam" txhais tau tias siv tau nrog ua txhaum ntawm lub tswv yim pom zoo yuav ua rau overdose. Nyob rau hauv xws li mob, muaj ib tug stunning, uas yuav ua tau kom tsis meej pem, stupor, uas yuav ua raug nyob rau hauv ib tug coma. Cov lwm yam kev mob - vascular cev qhuav dej, impaired ua tsis taus pa, nkees nkees. Nws yog tsim nyog los ntxuav lub plab (zoo sai li sai tau tom qab haus cov ntsiav tshuaj) rau kev tsim nyog rau txoj kev kho. Nws yog ib qho tseem ceeb rau tsis tu ncua saib xyuas cov kev hloov nyob rau hauv kev qhia xws li cov ntshav siab, mem tes, ua tsis taus pa. Nyob rau hauv tej rooj plaub, nws yuav tsum tau qhov kev siv ntawm cov neeg kho tshuab cua. Muaj yog ib tug antidote - "Flyumazenil," tab sis nws tsis yog haum rau kev tswj hwm rau cov neeg mob uas raug kho "clonazepam" rau ib tug ntev lub sij hawm.

Nws yog tsis tsim nyog mus ua ke "clonazepam" thiab dej caw. Xyuas pub kom paub tseeb tias hais tias xws li ib tug ua ke tej zaum yuav ua rau ib tug kev hem thawj rau lub neej. Tib yam siv rau tag nrho cov tshuaj uas ua rau lub hauv paus poob siab system, inhibiting nws txoj kev ua.

Drug sis "clonazepam" npaj

Cov nyhuv ntawm cov tshuaj ua rau kom cov narcotic analgesics, anticonvulsants. Cov tib yam yog cai los ntawm combining nws nrog antidepressants, neuroleptics, barbiturates, kuj thaum ua ke nrog haus dej haus cawv thiab tshuaj uas ploj zuj zus mus skeletal leeg laus. Zoo ntawm cov kev kho mob yog txo thaum noj nicotine.

Nqi, xyuas txog cov tshuaj "clonazepam"

Yuav "clonazepam" tshuaj nyob rau hauv Moscow yuav ua tau rau 97-150 rubles. (30 pcs.). Cov tshuaj no yuav siv tau nyob rau hauv qaug dab peg, yog complied nrog ib tug kws kho mob pom zoo. Thaum atonic qaug dab peg tej zaum yuav ob lub hlis, lub caij ntawm txoj kev kho yog txaus rau xws li ib tug lub sij hawm, koj muaj peev xwm hloov mus rau txij nkawm kev kho mob. Tej zaum kuj muaj kev phiv, tiam sis feem ntau yog nyob rau hauv thawj zaug rau theem ntawm kev kho mob, feem ntau ib tug tsis muaj zog.

Judging los ntawm cov ntaub ntawv uas muaj kev txheeb xyuas, "clonazepam" twg thiaj li raug tshem ntawm lub nce nqaij laus nyob rau hauv hais txog peb lub lis piam. Cov kws kho mob yuav muab tshuaj rau cov tshuaj nyob rau hauv cov ntaub ntawv ntawm lub tswb, kev ntshai, IRR, uas yog nrog los ntawm ceeb tawm tsam. Cov tshuaj no yuav siv tau, tej hauj lwm sai sai.

Xyuas "clonazepam" yog tso tawm raws li ib tug zoo txhais tau hais tias ua nws neeg ua hauj lwm, tab sis yuav ua tau rau cov neeg pluag noj qab haus huv (tsis muaj zog, qaug zog, thiab thiaj li nyob. P.).