Zolpidem - Ntchito, Mlingo, Zotsatirapo ndi Zina

Chiyambi: Kodi Zolpidem ndi chiyani?

Zolpidem ndi mankhwala omwe amaperekedwa ndi dokotala omwe amagwiritsidwa ntchito pochiza kusowa tulo kwakanthawi kochepa, makamaka kwa anthu omwe ali ndi vuto logona kapena kugona. Ndi m'gulu la mankhwala otchedwa non-benzodiazepine sedative-hypnotics ndipo amadziwika kuti amayamba kugwira ntchito mwachangu. Zolpidem nthawi zambiri imagulitsidwa pansi pa mayina monga Ambien?, Stilnox?, ndi Zolfresh?, ndipo imapezeka mu mankhwala otulutsidwa nthawi yomweyo, otulutsidwa nthawi yayitali, komanso olembedwa m'zilankhulo zina.

Ntchito za Zolpidem

Zolpidem imaperekedwa makamaka kwa:

• Chithandizo chachifupi cha kusowa tulo
• Kuvutika kugona (kusowa tulo-kuyamba kusowa tulo)
• Kuvuta kugona (kusowa tulo komanso kusagona mokwanira) - ndi mitundu yotulutsa nthawi yayitali

Sivomerezedwa kugwiritsidwa ntchito kwa nthawi yayitali kapena pochiza nkhawa kapena matenda ena amisala.

Kodi Zolpidem Imagwira Ntchito Bwanji?

Zolpidem imawonjezera ntchito ya gamma-aminobutyric acid (GABA), yomwe ndi neurotransmitter muubongo yomwe imalimbikitsa kupumula ndi kugona. Imagwira ntchito mosankha pa ma GABAA receptors, zomwe zimathandiza:

• Kupangitsa munthu kugona mofulumira
• Sinthani kugona tulo
• Chepetsani kudzutsidwa usiku

Mosiyana ndi ma benzodiazepine achikhalidwe, zolpidem ili ndi chiopsezo chochepa chodalira mankhwala ndipo imakhala ndi mphamvu zochepa zopumitsa minofu kapena zoletsa kupweteka ngati igwiritsidwa ntchito motsatira malangizo.

Mlingo ndi Utsogoleri

Mapiritsi Otulutsidwa Mwachangu (monga, Ambien?)

• Akuluakulu: Akazi 5 mg; amuna 5 mpaka 10 mg asanagone.
• Okalamba kapena omwe ali ndi vuto la chiwindi: 5 mg asanagone
• Kuyamba kwa ntchito: ~15?30 mphindi
• Kutalika: ~maola 6?8

Mapiritsi Otulutsidwa Motalikirapo (monga, Ambien CR?)

• Akuluakulu: Akazi 6.25 mg; amuna 6.25 mpaka 12.5 mg asanagone.
• Amapereka tulo tokwanira usiku wonse

Mapiritsi Osagwiritsa Ntchito Lilime Lililonse / Opopera Pakamwa (monga Edluar?, Intermezzo?)

Kwa anthu omwe adzuka pakati pa usiku (osatsala maola 4 ogona) omwe akuvutika kubwerera ku tulo. Intermezzo?: 1.75?3.5 mg ya mlingo wochepa wa sublingual. Imwani musanagone ndipo onetsetsani kuti mwagona maola 7?8 kuti mupewe kugona tsiku lotsatira.

Zotsatira za Zolpidem

Zotsatira Zogwirizana

• kugona
• chizungulire
• mutu
• pakamwa youma
• kutsekula
• kutopa
• Kulephera kwa tsiku lotsatira (monga kugona, kuchepa kwa tcheru)

Zovuta Kwambiri

• Makhalidwe ovuta ogona (monga kuyenda tulo, kuyendetsa galimoto mogona, kudya)
• Mavuto a pamtima
• Kulumbira kapena chisokonezo
• Matenda a ziwengo (kutupa, ziphuphu, kupuma movutikira)
• Kuvutika maganizo kapena maganizo ofuna kudzipha (osowa)

Nenani za khalidwe losazolowereka kapena kuiwala kwa dokotala nthawi yomweyo.

Kuyanjana kwa Mankhwala

Zolpidem ingagwirizane ndi:

• Mankhwala oletsa kuvutika maganizo a CNS (monga mowa, ma opioid, mankhwala oletsa kusokonezeka maganizo, mankhwala oletsa kuvutika maganizo)? kupumula kwambiri
• Mankhwala oletsa kuvutika maganizo (makamaka SSRIs ndi SNRIs)
• Mankhwala oletsa bowa ndi CYP3A4 (monga ketoconazole, cimetidine, fluconazole) angapangitse kuti kuchuluka kwa zolpidem kukwere.
• Rifampin kapena St. John's Wort ingachepetse mphamvu yake

Pewani mowa kapena mankhwala ena oletsa ululu mukamagwiritsa ntchito Zolpidem.

Ubwino wa Zolpidem

• Zimayambitsa tulo mwachangu
• Zimathandiza kuti munthu agone mokwanira
• Amachepetsa kudzutsidwa usiku
• Amapezeka m'njira zosiyanasiyana (mapiritsi, otulutsidwa nthawi yayitali, sublingual)
• Zotsatira zochepa zotsalira zikatengedwa monga momwe zalembedwera

Contraindications

Pewani Zolpidem kwa odwala omwe ali ndi:

• Mbiri ya machitidwe ovuta a kugona (monga kuyenda tulo, kuyendetsa galimoto usanagone)
• Kulephera kwakukulu kwa chiwindi
• Kudziwika kuti munthu ali ndi hypersensitivity ku Zolpidem
• Kupuma movutikira kapena mavuto aakulu opuma

Kusamala ndi machenjezo

• Sichiyenera kugwiritsidwa ntchito kwa nthawi yayitali (> milungu 4?5)
• Kuopsa kwa kudalira mankhwala ndi kusiya kugwiritsa ntchito mankhwala kwa nthawi yayitali
• Samalani odwala okalamba chifukwa cha chiopsezo chogwa
• Pewani kutenga pakati kapena kuyamwitsa pokhapokha ngati dokotala wakupatsani malangizo.
• Musayendetse galimoto kapena kugwiritsa ntchito makina tsiku lotsatira ngati mukumva tulo

Kuchepetsa mlingo wa kulephera kwa chiwindi pa chiwerengero cha Child-Pugh.

Ibibazo

Kodi Zolpidem imagwira ntchito mofulumira bwanji?

Mkati mwa mphindi 15?30 mutatenga mlingo.

Kodi ndingatenge Zolpidem usiku uliwonse?

Cholinga chake ndi kugwiritsa ntchito kwa kanthawi kochepa. Kugwiritsa ntchito kwa nthawi yayitali kungayambitse kudalira kapena kulolerana.

Nanga bwanji ndikadzuka pakati pa usiku?

Gwiritsani ntchito Intermezzo? (mankhwala otsika a sublingual zolpidem) ngati mwapatsidwa. Musamwe mlingo wina wokhazikika.

Kodi ndingathe kumwa mowa ndi Zolpidem?

Ayi. Mowa umawonjezera chiopsezo cha kugona ndi kuchita zinthu zolimbitsa thupi komanso makhalidwe oopsa.

Kodi Zolpidem ndi mankhwala ogonetsa?

Inde, ndi mankhwala ochiritsira kugona omwe amagwiritsidwa ntchito pochiza kusowa tulo.

Kodi Zolpidem ndi yosokoneza bongo?

Pali chiopsezo cha chizolowezi choyambitsa, makamaka ngati mugwiritsa ntchito kwa nthawi yayitali.

Kodi Zolpidem ingayambitse kulephera kukumbukira?

Inde, anterograde amnesia ndizotheka, makamaka ngati simugona mokwanira usiku wonse kapena mumachita ntchito zovuta mutamwa.

Kodi ndi otetezeka kwa okalamba?

Gwiritsani ntchito mosamala; milingo yocheperako ikulimbikitsidwa kuti muchepetse chiopsezo cha kugwa ndi chisokonezo.

Kodi Zolpidem ingagwiritsidwe ntchito pa nkhawa?

Ayi, sichivomerezedwa pa matenda a nkhawa. Ndi chapadera pa matenda osowa tulo.

Kodi ndingadule piritsi pakati?

Pokhapokha ngati dokotala wanu wakuuzani. Musagawanitse mapiritsi otulutsa mankhwala kwa nthawi yayitali.

Mayina A Brand

Zolpidem imagulitsidwa pansi pa mayina osiyanasiyana a makampani ndi mayina ena:

• Ambien? / Ambien CR? (USA)
• Stilnox? (Padziko Lonse)
• Zolfresh?, Hypnite?, Zolpidem Tartrate (Ma brand a Generic)
• Edluar?, Intermezzo? (Mapiritsi a Sublingual)

Kutsiliza

Zolpidem ndi njira yothandiza kwambiri yothetsera vuto la kusowa tulo kwakanthawi kochepa, yomwe imapereka njira yofulumira yogona komanso yabwino yogona. Komabe, iyenera kutengedwa mosamala moyang'aniridwa ndi dokotala chifukwa cha kuthekera kwa kudalira mankhwala komanso machitidwe osazolowereka ogona. Nthawi zonse tsatirani malangizo a dokotala wanu kuti mupeze zotsatira zabwino komanso zotetezeka.