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Risperdal mhedzisiro uye maitiro ekuzvidzivirira

Risperdal mhedzisiro uye maitiro ekuzvidziviriraZvinodhaka Info Kushushikana, dzungu, uye kutemwa nemusoro zvakajairika Risperdal mhedzisiro, izvo zvinowanzo kuve zvenguva pfupi. Nekudaro, mimwe mhedzisiro senge nyaya dzine chekuita nemhasuru dzinogara zvachose.

Risperdal mhedzisiro | Kurera huremu | Kushungurudzika | Gynecomastia | Kurega | Inguva yakareba seimhedzisiroyekupedzisira? | Kudyidzana | Nzira yekudzivisamhedzisiro





Risperdalarizita-zitamushonga wemishonga unogadzirwa naJanssen Pharmaceuticals. Inogona kushandiswa kurapa kusagadzikana kwepfungwa sengeschizophrenia,bipolar kusagadzikana, kana kutsamwa kune hukama neautistic kusagadzikana.Risperdalinowanikwawo seyakajairika vhezheni, inonziRisperidone. Ichi chinyorwa chinofukidzaRisperdal mhedzisiro, yambiro uye kudyidzana.



RELATED: Dzidza zvakawanda nezve Risperdal

Zvakajairika mhedzisiroofRisperdal

Zvakajairika mhedzisiroofRisperdalinosanganisira iyo zvinoteveramigumisiro yakaipa :

  • Kukotsira
  • Kufunganya
  • Dzungu
  • Kutemwa nemusoro
  • Kuwedzera kudya
  • Kukotsira
  • Kuneta
  • Kusarara
  • Rhinitis
  • Utachiona hwepamusoro hwekufema
  • Kukosora
  • Urinary kusagadzikana
  • Kunyanyisa mate
  • Kuzvimbirwa
  • Kupindwa nechando
  • Dystonia
  • Marwadzo emudumbu
  • Nausea
  • Kukanganiswa kwemuviri tembiricha mutemo
  • Kusvipa
  • Mapundu
  • Akathisia
  • Dyspepsia
  • Tachycardia
  • Xerostomia
  • Kudedera
  • Kurera huremu
  • Hyperprolactinemia
  • Kuvhiringidzika
  • Gynecomastia
  • Photosensitivity
  • Epistaxis
  • Kuvhiringidzika kunoonekwa
  • Dyslipidemia
  • Kurwadziwa pachifuva

Yakakomba mhedzisiroofRisperdal

Yakakomba mhedzisiroofRisperdalinosanganisira zvinotevera:



  • Stevens-Johnson chirwere
  • Hypothermia
  • Hyperthermia
  • Hypotension, chakakomba
  • Syncope
  • Neuroleptic yakaipa malignant
  • Hyperglycemia
  • Mellitus chirwere cheshuga
  • Kufenda
  • Transient Ischemic Attack (TIA)
  • Dysphagia, yakaoma
  • Hypersensitivity reaction
  • Angioedema
  • Anaphylaxis
  • Exrapyramidal zviratidzo, chakakomba
  • Kunonoka dyskinesia
  • Erythema multiforme
  • Inotyisa epidermal necrolysis
  • Leukopenia
  • Neutropenia
  • Kukoshesa
  • Kurohwa
  • Agranulocytosis

Kurera huremu

Tsvagiridzo inoratidza kutiRisperdalyakabatana nekurema kuwedzera. Imwe fundo rakaburitswa nemugadziri achienzaniswakurema kuwedzeramuboka rekuyedza revadzidzi vechischizophrenic vanotoraRisperdalmaringe neboka re placebo revanhu vane schizophrenic vakuru vasingatoreRisperdal.

Mhedzisiro yacho yakaratidza kuwanda kwakakosha muchiitiko chekurema kuwedzeramuboka revakuru vachitoraRisperdal, iine 18% yevarwere vanowana huremu hwakakura. Mukuenzanisa, chete 9% yevakuru muboka re placebo vakawana huremu hwakakosha. Nezve ichi chidzidzo, chakakoshakurema kuwedzerayakatsanangurwa sechibereko chinopfuura 7% yehuremu hwemuviri hwomunhu pamakore matanhatu kusvika masere evhiki.

Ndichirikurema kuwedzerapayo pachayo inogona kusabvumidza kurapwa nekukurumidza, kufutisa kazhinji inowedzera njodzi yezvirwere zvakasiyana siyana , kusanganisira chirwere chemwoyo, chirwere cheshuga, kurara kufema, osteoarthritis, uye gomarara. Vanhu vane dambudziko vanofanirwa kubvunza anyanzvi yezvehutanozvine chekuita nehutano hwekuremera sarudzo.



Kushungurudzika

Zvinoenderana ne National Alliance iriKurwara Nepfungwa ,Risperidonedzimwe nguva zvinogona kunyorerwa kure-chitaridzi senzira yekurapa yekurapa kwekushushikana kwekushushikana (semuenzaniso, zvakatemerwa mukuwedzera kuneantidipressant). Kunze-chitaridzi kunoreva kuti Kudya neDrug Administration (FDA)haana kubvumidza mushonga wekurapa kweichi chakatarwa mamiriro.

Chidzidzo chakaburitswa mu Zvinyorwa zveKiriniki Psychiatry kuongororwaRisperidoneuye kuzviuraya kune vanhu vane hosha huru yekuora mwoyo, MDD. Chidzidzo chakatarisa kushanda kweRisperidonesemubatsiriantidipressantkurapwa kwevanhu vane MDD vane pfungwa dzekuzviuraya. Mhedzisiro yacho inoratidza kutiRisperidoneinogona kubatsira mukuwedzera kurapwa kwevarwere veMDD vane njodzi yekuda kuzviuraya uye inogona kubatsira zvakanyanya mukugadzirisa zvakanyanya kushungurudzika kwezviratidzo.

Chidzidzo chakaburitswa muPLOS ONE akaongorora zvese-zvinokonzeresa kufa kwenjodzi yekuwedzera antipsychotic yekushungurudzika kwevanhu vakuru. Yakagumisa kuti kuwedzerwa nemaantipsychotic matsva kwaibatanidzwa nenjodzi huru yekufa kana ichienzaniswa neimwe nzira yekuwedzera yechipiri.antidipressant.



Kunyangwe chidzidzo choga chisingakwanise kuratidza hunhu, mhedzisiro yekudzidza inokurudzira vatapi vezvehutano kuti vazive izvi zvinogona kuita kufa kwakanyanya kwakabatana neatsva psychotic kuwedzera.

Zviratidzo zvinoshungurudza, kunyanya kuzviuraya, inyaya yehutano ine njodzi. Vanhu vane dambudziko vanofanirwa kuudza anyanzvi yezvehutanokukurumidza kukuru.



Gynecomastia

Tsvagiridzo inoratidza kutiRisperdalyakabatana negynecomastia, izwi rehunyanzvi rekuwedzera mazamu echirume.

Imwe fundo rakaburitswa neKudya neDrug Administrationinoratidza kutiRisperdalkunwa kunogona kuve kwakabatana neyakawedzera njodzi yegynecomastia. Iyo kiriniki yekuyedza yakadzidza 1885 vechidiki uye vana.Gynecomastiayakataurwa mu2.3% yevarwere vanorapwa navoRisperdal.



Gynecomastiainogona kuwedzera zvishoma njodzi yemumwe ye kukura murumegomarara repazamu (Chinja zviwanikwa?). Kunyangwe njodzi yakakwidziridzwa iri diki, zvinokurudzirwa kubvunza anyanzvi yezvehutanokana paine matambudziko.

Kurega

Tsvagiridzo inoratidza kutiRisperdalinogona kunge iri tsika-yekuumba. Zviratidzo zvinogona kuitika zvekudzima zvinosanganisira dzungu, kurara, kuda kurutsa, uye kudzosera schizophrenic zviratidzo.



TO kurega kudzidza rakaburitswa nemugadziriakaongorora varwere vakaratidza mhinduro yakanakaRisperdal(inotsanangurwa seinenge ingangoita 25% yekuvandudza zvinoenderana neyakatsanangurwa chiyero) pamusoro pemwedzi mina kusvika mitanhatu. Varwere vakagoverwa munzvimbo ye placebo uye neboka rekuyedza kuti riongorore kubviswa. Kuongororwa kwevarwere vakapedza kudzidza kubvisa kwakaratidza kudzikira kwakanyanya mwero muRisperdalvarwere vachipesana neboka re placebo.

Nyaya yekudzidza yakaburitswa mu Psychopharmacology Bulletin yakaongorora chiitiko cheakathisia chakakonzerwa nekukasiraRisperidoneWIthdrawal Akathisia arikufamba kusagadzikanaizvo zvakambobatanidzwa nekubvisa antipsychotic kurapwa.

Kana paine zviratidzo zvekusiya, vanhu vanofanirwa kubvunza anyanzvi yezvehutano. Varwere paRisperdalvanofanirwa kubvunza chiremba wavo nezve kuita chero shanduko kuyero kana kunwa.

Inguva yakareba seiRisperdal mhedzisiroyekupedzisira?

Zvinoenderana neNational Alliance paHutano hwepfungwa(sezvataurwa pamusoro), vamweRisperdal mhedzisiroinogona kunge iri yenguva pfupi, nepo vamwe vangave vechigarire.

Zvakajairika mhedzisirokazhinji ndezvenguva pfupi. Zvimwe zvakanyanya kuomararamhedzisirozvingave zvinogara kwenguva refu. Izvi zvinosanganisiraextrapyramidal zviratidzo,EPS, kanatardive dyskinesia, TD. Idzi inyaya dzakanangana nemhasuru dzinogona kukonzera kudedera, kuomarara, uye kusagadzikana. Janssen Pharmaceuticals, iyo inogadziraRisperdal, inoratidza kuti mune dzimwe nguva, idzimhedzisiroinogona kuve yechigarire, kunyanya nekushandiswa kweiyo jekiseni RisperdalInosanganisira .

Risperdalcontraindications & yambiro

Risperdalhaina kukodzera munhu wese. Iyo mishonga inorambidzwa kune varwere vane hypersensitivity kune chinodhaka / kirasi / chinhu uye / kana hypersensitivity kune paliperidone.

Uyezve, yambiro inokurudzirwa yevarwere vanosangana nezvinotevera zvinotevera:

  • Kubata 3 trimester
  • PKU (phenylalanineine-ane mafomu)
  • Vakwegura varwere
  • Dementia-inoenderana nepfungwa
  • Dementia w / Lewy miviri
  • Parkinson chirwere
  • Neuroleptic yakaipa malignantnhoroondo
  • Mellitus chirwere cheshuga
  • Chirwere cheshuga mellitus njodzi
  • Cerebrovascular chirwere
  • Hypotension
  • Hypovolemia
  • Yakakwirira tembiricha tembiricha
  • Aspiration pneumonia njodzi
  • Zvinodhaka-zvinokonzerwa leukopenia kana neutropenia nhoroondo
  • Leukopenia kana neutropenia
  • Kukanganiswa kweRenal
  • Hepatic kukanganisika
  • Kutora nhoroondo
  • Kutora njodzi
  • Chirwere chemwoyo

Vakwegura varwere vane dementia-inoenderana psychosis inorapwa neantipsychotic, kusanganisira Risperdal, vari pangozi yekufa. Ichi chinodhaka, mune chero zvadzo mafomu, hachibvumidzwe kuti chishandiswe mune varwere vane dementia-inoenderana psychosis.

Kuwedzeredza kweRisperdalinogona kuuraya. Imwe kesi yekuwedzeredza kwe36 mg yakatorwa nemuromo yaibatanidzwa nekubatwa, chiitiko chinogona kuuraya chehutano.

Risperdalinowanikwa mumhando dzakasiyana dzedosi uye masimba. Mahwendefa anowanikwa mu0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, uye 4 mg doses. Mhinduro dzemumuromo dzinowanikwa mune 1 mg / mL dose. Pakupedzisira, nemuromokupararaMahwendefa anowanikwa mu06 mg, 1 mg, 2 mg, 3 mg, uye 4 mg doses.

Kune mamwe maitiro ejekiseni eRisperdal.RisperdalConsta uye Perseris. Aya majekiseni anoshanda kwenguva refu ane iyo mishonga imwe chete sehwendefa fomu, asi uine akasiyana FDA-anotenderwa mashandisirwo kupfuura emumuromo mafomati

Dosage kurudziro yemuromo Risperidone ndeinotevera:

Mamiriro Pakutanga Dose Titration Target Dose Inoshanda Dose Range
Schizophreniamuvanhu vakuru 2 mg / zuva 1-2 mg zuva nezuva 4-8 mg zuva nezuva 4-16 mg / zuva
Schizophreniamuvachiri kuyaruka 0.5 mg / zuva 0.5- 1 mg zuva nezuva 3 mg zuva nezuva 1-6 mg / zuva
Bipolar mania muvakuru 2-3 mg / zuva 1mg zuva nezuva 1-6 mg zuva nezuva 1-6 mg / zuva
Bipolar mania muvana / vachiri kuyaruka 0.5 mg / zuva 0.5-1 mg zuva nezuva 2.5 mg zuva nezuva 0.5-6 mg / zuva
Kushatirwa kwakabatana neautistic kusagadzikana 0.25 mg / zuva (<20 kg) 0.5 mg /day (≥20 kg) 0.25-0.5 mg pa ≥ mavhiki maviri 0.5 mg zuva nezuva (kana<20 kg) or 1 mg /day (≥20 kg) 0.5-3 mg / zuva

Risperdalkudyidzana

Iyo FDA-inogamuchirwa chitaridzi yeRisperdalinocherekedza zvinoteverakudyidzana kwezvinodhaka:

  • Inorayirwa kushandisa chenjera kana uchipaRisperdalnemimwe mishonga inoshanda pane yepakati nervous system (CNS) nekuda kwekuwedzera kweCNS mhedzisiro.
  • Kunwa doro kunofanirwa kudzivirirwa sezvo kuri kuwedzerawo CNS mhedzisiro ye risperidone.
  • Hypotensive mhedzisiro yemamwe madhiragi kana madhiragi ane hypotensive kugona anogona kukwidziridzwa nekuda kweRisperdal'S hypotensive mhedzisiro.
  • Levodopa uyedopamineagonists 'mhedzisiro inogona kuve inopesana.
  • Iyo bioavailability yeRisperidoneinowedzerwa neCimetidine uye Ranitidine.
  • Kubviswa kweRisperidoneinogona kuderera neClozapine.
  • Plasma kuwanda kwerisperidonekuwedzera neFluoxetine uyeParoxetine.
  • Plasma kuwanda kwerisperidonekuderera neCarbamazepineuye mamwe enzyme inducers.

Risperidoneinogona kusangana nemimwe mishonga, ne kudyidzana hunhu hunosanganisira :

  • Inoderedza epakati histamine mhedzisiro
  • Hyperglycemic mhedzisiro
  • CNS kushushikana
  • CYP2D6 substrate
  • Extrapyramidal mhedzisiro
  • CYP3A4 substrate
  • Hypotensive mhedzisiro
  • Hyperprolactinemic mhedzisiro, yakasimba
  • Kunoderedza kubata kwechikumbaridzo

Nguva dzose bvunza chiremba nezveruzivo rwezvinodhakauye zvinokwanisika kupesana usati watora chero mushonga mutsva kana kusanganisa chero mishonga, kusanganisiraover-the-counterzvinodhaka, zvinowedzera, uye mishonga yemakwenzi.

Nzira yekudzivisaRisperdal mhedzisiro

Vanhu vamwe chete vanofanira kutoraRisperdalmaererano nekutungamirwa, uye mushonga, wechiremba. Matanho chaiwo anogona kubatsira kudzikisira mukana kana kuomarara kwemhedzisiro, kusanganisira:

  1. Kutora muyero wakakodzera: Risperdalinofanira kutorwa sezvakabvumiranwa nachiremba wemurwere. Kazhinji, mahwendefa akaputirwa anofanira kumedzwa akazara nemvura. Mahwendefa anonyorerwa anofanirwa kubvumidzwa kuti anyungudike parurimi uye oshambidzwa nemvura kana zvichidikanwa. Mhinduro yemumuromo inogona kusanganiswa mune isina-doro kana kumedzwa sezvazviri. Nekudaro, mhinduro yemumuromo haifanire kusanganiswa nezvinwiwa zvine tanini, kusanganisira tii kana kola.
  2. Kupa chiremba anorondedzerwa nezvakaitika kare nezvekurapa: Varwere vanofanirwa kupa zvese nhoroondo yehutano hwavo hwakazara kuna chiremba wavo vasati vatoraRisperdal.Risperdalinopesana kune chero murwere ane inozivikanwa hypersensitivity kuneRisperidone.
  3. Kuongorora zvese zvinoita kusangana pamwe nachiremba: Varwere vanofanirwa kubvunza varapi vavo kuti ndezvipi zvinodhaka kana chikafu chingavakanganisa pavanotoraRisperdal. Semuyenzaniso,Risperdalhaifanire kutorwa nedoro.

Kunyanya, chenjedzo inofanirwa kutorwa kuitira kana zvinopesana uye / kana yambiro zvikaitika.

MIBVUNZO

KoRisperdalinoda kutorwa zuva rega rega?

Kuti Risperdone ishande nemazvo, inofanira kutorwa sekurairwa neanopa mushonga wehutano. Kune vanhu vari kutora fomu yepiritsi, izvi zvinogona kureva kutoraRisperdalkamwe kana kaviri pazuva.

Ndedzipi dzimwe nzira dzeRisperdal?

Iyo jekiseni fomu yeRisperdal, inozivikanwa seRisperdalConsta, inowanikwawo. Izvi zvinowanzoitirwa kuitirwa nemubatsiri wezvehutano kwevhiki mbiri. Perseris ndeimwe mhando yeyakareba-inoshanda jekiseni fomu uye inofanirwa kupihwa kazhinji pamwedzi.

Inguva yakareba zvakadii kutoraRisperdal?

Zvinoenderana neKudya neDrug Administration , hazvizivikanwe kuti murwere aneschizophreniainofanira kuramba ichitoraRisperdal. Risperdal inogamuchirwa kuti ishandiswe kwenguva yakareba kana uchirapa schizophrenia kana kusagadzikana kunosangana ne autistic kusagadzikana. Kuongorora kwenguva nenguva kunokurudzirwa kuti uone kukosha kwekuchengetedza kurapwa uye kugadzirisa dosi pazvinenge zvichidikanwa.

Kana ichishandiswa muhuwandu hwevana, Rispderal inogamuchirwa kuti ishandiswe kwenguva refu pakurapa schizophrenia muvana vane makore gumi nematatu kusvika gumi nemana ekuberekwa, kana kusagadzikana kunosangana nehutachiona hwehutachiona muvana vane makore 5-16 ekuberekwa. Inotenderwa kushandiswa kwenguva pfupi kana kurapa zvikamu zveBipolar I Dambudziko muvana vane makore gumi nemanomwe kusvika gumi nemana.