Zolpidem - Mashandisirwo, Chipimo, Migumisiro Yemushonga uye Zvimwe

Nhanganyaya: Chii chinonzi Zolpidem?

Zolpidem mushonga unonyorerwa nachiremba unoshandiswa kurapa kushaya hope kwenguva pfupi, kunyanya kune vanhu vane dambudziko rekurara kana kuramba vakarara. Iri muboka remishonga inonzi non-benzodiazepine sedative-hypnotics uye inozivikanwa nekutanga kwayo kushanda nekukurumidza. Zolpidem inowanzo kutengeswa pasi pemazita emhando dzakadai seAmbien?, Stilnox?, uye Zolfresh?, uye inowanikwa mumhando dzinobva mubumbiro remitemo dzinobva mubumbiro remitemo, dzinobva mubumbiro remitemo, uye dzinobva mumitauro midiki.

Mashandisirwo eZolpidem

Zolpidem inonyanya kunyorerwa:

• Kurapa kwenguva pfupi kwekushaya hope
• Kuomerwa nekurara (hope-kutanga kushaya hope)
• Kuomerwa nekurara (kushaya hope nekuchengetedza hope) - nemafomu ekureruka kwenguva refu

Haibvumidzwe kushandiswa kwenguva refu kana kurapa kuzvidya mwoyo kana zvimwe zvirwere zvepfungwa.

Zolpidem Inoshanda Sei?

Zolpidem inowedzera kushanda kwegamma-aminobutyric acid (GABA), neurotransmitter muuropi iyo inokurudzira kuzorora nekurara. Inoshanda zvakanaka pama GABAA receptors, ichibatsira ku:

• Kurumidza kurara
• Kuvandudza kunaka kwekurara
• Deredza kumuka kwehusiku

Kusiyana nemishonga yechinyakare yebenzodiazepines, zolpidem ine njodzi shoma yekubatwa nemishonga uye hairerutsi tsandanyama kana kuti inorwisa pfari kana ikashandiswa sezvakarairwa.

Chipimo chemushonga uye Administration

Mapiritsi Anoburitswa Pakarepo (semuenzaniso, Ambien?)

• Vakuru: Vakadzi 5 mg; varume 5 kusvika 10 mg panguva yekurara
• Vakwegura kana vane chiropa chisina kumira zvakanaka: 5 mg panguva yekurara
• Kutanga kwechiito: ~15?30 maminitsi
• Nguva: ~maawa matanhatu?8

Mapiritsi Anoburitswa Nenguva Yakawedzerwa (semuenzaniso, Ambien CR?)

• Vakuru: Vakadzi 6.25 mg; varume 6.25 kusvika 12.5 mg panguva yekurara
• Anopa hope dzinogara kwenguva refu husiku hwese

Mapiritsi eSublingual / Oral Sprays (semuenzaniso, Edluar?, Intermezzo?)

Kune vanomuka pakati pehusiku (kusara kwemaawa mana ekurara) vachinetseka kudzokera kuhope. Intermezzo?: 1.75?3.5 mg yemushonga wakaderera we sublingual. Inwa usati warara uye iva nechokwadi chekurara kwemaawa manomwe kusvika masere kudzivirira hope dzemangwana.

Side Effects yeZolpidem

Nharaunda Dzakabatana

• Kukurova
• Chizutu
• kurwadziwa nemusoro
• Dry mouth
• Diarrhea
• Kuneta
• Kukanganisika kwezuva rinotevera (semuenzaniso, hope, kungwarira kushoma)

Matambudziko Akakomba

• Maitiro akaomarara (semuenzaniso, kufamba-famba wakarara, kutyaira wakarara, kudya)
• Matambudziko ekuyeuka
• Hurukuro kana kuvhiringika
• Kurwara nepfungwa (kuzvimba, mapundu, kuoma kufema)
• Kuora mwoyo kana kufunga nezvekuzviuraya (zvisingawanzoitiki)

Taura nachiremba wako nezvemaitiro asina kujairika kana kurasikirwa nendangariro nekukurumidza.

Kubatana Kwemishonga

Zolpidem inogona kusangana ne:

• Mishonga inodzvinyirira CNS (semuenzaniso, doro, opioid, mishonga inorwisa pfungwa, mishonga inorwisa mabhakitiriya)? kuwedzera kunyaradza
• Mishonga yekuderedza kushushikana (kunyanya SSRIs neSNRIs)
• Mishonga inorwisa fungal uye CYP3A4 inhibitors (semuenzaniso, ketoconazole, cimetidine, fluconazole) inogona kuwedzera huwandu hwe zolpidem
• Rifampin kana St. John's Wort inogona kuderedza kushanda kwayo

Dzivisa doro kana zvimwe zvinonyaradza paunenge uchitora Zolpidem.

Mabhenefiti eZolpidem

• Inokurumidza kukonzera hope
• Inovandudza nguva yekurara
• Inoderedza kumuka kwehusiku
• Inowanikwa mumhando dzakasiyana-siyana (piritsi, yakawedzerwa kuburitswa, sublingual)
• Migumisiro yakaderera kana ikatorwa sezvakarairwa

Contraindications

Dzivisa Zolpidem kuvarwere vane:

• Nhoroondo yemaitiro akaomarara ekurara (semuenzaniso, kufamba-famba wakarara, kutyaira wakarara)
• Kukanganiswa kwechiropa zvakanyanya
• Kuzivikanwa kwekunzwa kusawirirana neZolpidem
• Kurara neapnea kana matambudziko akakomba ekufema

Chenjedzo uye Nyevero

• Hazvina kuitirwa kushandiswa kwenguva refu (> mavhiki mana kusvika mashanu)
• Njodzi yekusagona kushandisa zvinodhaka kana kurega kushandisa zvinodhaka kwenguva refu
• Ngwarirai varwere vakwegura nekuda kwenjodzi yekudonha
• Dzivisa panguva yekuzvitakura kana kuyamwisa kunze kwekunge warayirwa nachiremba
• Usatyaira motokari kana kushandisa michina zuva rinotevera kana uchinzwa hope

Kuderedzwa kwemuyero wekusashanda zvakanaka kwechiropa paChild-Pugh score.

FAQs

Zolpidem inoshanda nekukurumidza zvakadii?

Mukati memaminitsi gumi nemashanu kusvika makumi matatu mushure mekutora mushonga.

Ndingatora Zolpidem husiku hwese here?

Yakagadzirirwa kushandiswa kwenguva pfupi. Kushandiswa kwenguva refu kunogona kutungamira mukutsamira kana kushivirira.

Ko kana ndikamuka pakati pehusiku?

Shandisa Intermezzo? (mushonga mudiki we sublingual zolpidem) kana wakanyorerwa. Usatore mushonga wechipiri wenguva dzose.

Ndinganwa doro neZolpidem here?

Kwete. Doro rinowedzera njodzi yekuora mwoyo uye maitiro ane njodzi.

Zolpidem mushonga wekurara here?

Ehe, mushonga wekubatsira pakurara unonyorerwa nachiremba unoshandiswa kurapa kushaya hope.

Zolpidem inopindwa muropa here?

Pane njodzi yekuumba tsika, kunyanya kana ukaishandisa kwenguva refu.

Zolpidem inogona kukonzera kurasikirwa nendangariro here?

Ehe, anterograde amnesia inogoneka, kunyanya kana usingarare husiku hwese kana kuita mabasa akaoma mushure mekuitora.

Yakachengeteka here kuvanhu vakwegura?

Shandisa nokungwarira; madosi mashoma anokurudzirwa kuderedza njodzi yekudonha nekuvhiringidzika.

Zolpidem inogona kushandiswa here pakuzvidya mwoyo?

Kwete, hazvibvumirwi pakuzvidya mwoyo. Zvakanyanya kune vanhu vane kushaya hope.

Ndingacheka piritsi nepakati here?

Kana chiremba wako akakurayira chete. Usapatsanura mapiritsi anoburitsa mushonga kwenguva refu.

Mazita eBrand

Zolpidem inotengeswa pasi pemazita akasiyana-siyana emhando dzakasiyana siyana:

• Ambien? / Ambien CR? (USA)
• Stilnox? (Kune dzimwe nyika)
• Zolfresh?, Hypnite?, Zolpidem Tartrate (Zvigadzirwa zveGeneric)
• Edluar?, Intermezzo? (Mapiritsi eSublingual)

mhedziso

Zolpidem mushonga unoshanda kwenguva pfupi wekushaya hope, uchipa mukana wekukurumidza kurara uye kunaka kwekurara. Zvisinei, inofanira kutorwa zvine hungwaru pasi pekutarisirwa nachiremba nekuda kwekugona kurara zvisina kujairika uye maitiro asina kujairika ekurara. Gara uchitevera mirairo yachiremba wako kuti uwane mhedzisiro yakanaka uye yakachengeteka.