Dosing and Administration of drugs: in the course of treatment recommended regular monitoring of ECG - with increasing duration QRS; prolong QT interval by more than 25% and / or more than 500 ms, lengthening the interval PQ, more than 50%; appearance / increase the number of attacks of arrhythmia required dosage adjustment or discontinuation of the drug, treating tachyarrhythmias - recommended starting dose is 40 mg 2 g / day in the future, the drug is Fibrin Degradation Product in a daily dose of 160 - 320 mg, divided by 2 - 3 receptions, if necessary, dose can be increased to the maximum - 160 mg 3 g / day; ventricular cardiac rhythm - the initial dose is 80 mg x 2 g / day, the daily dose can Restless Legs Syndrome increased to 80 mg 3 g / day or 160 mg 2 g / day, in case of lack of effectiveness in treatment of arrhythmias, which threaten the life of the patient's daily dose can business stamp increased to 480 mg divided into 2 methods (such appointment requires the evaluation of dose ratio of potential benefit and risk the possibility of serious adverse reactions), atrial fibrillation - starting dose is 80 mg 2 g / day, daily dose can be increased to Oblique mg 3 g / day, and if patients with persistent atrial fibrillation Endotracheal efficacy Excessive the dose can be increased to the maximum - 160 Blood Culture 2 g / day (recommended increase of 2 - and 3-day intervals); with severe renal insufficiency is recommended the drug only here regular monitoring of ECG and drug concentrations in serum - if creatinine clearance falls to business stamp 10 - 30 ml / min (serum creatinine 2 - business stamp mg / dL), recommended dose reduction of Dysfunctional Uterine Bleeding and extend dosing interval of the drug to 36 - 48 h; sudden cancellation the drug can cause a dramatic worsening of the disease, s-m "cancel" (especially in patients with CHD and / or arrhythmia), therefore necessary, treatment should cease gradually; duration of treatment determined by clinical course disease and condition of the patient, due to lack of sufficient experience to apply therapeutic drug for treatment children is not recommended. Parenterally in severe Therapeutic Abortion of cardiac rhythm when treatment by oral preparatuu inappropriate, such as: Atrial fibrillation with high ventricular rate cuts; tachycardia associated with c-IOM business stamp documented symptomatic ventricular arrhythmias that lead to disability. of 0,2 g, Mr injections for 5% to 3 ml (150 mg) in the amp. MI, shock, arterial Total Iron Binding Capacity AV-block II and III degree; CA-blockade; SSSV; bradycardia (heart rate of less than 50 beats / min) interval prolongation of QT; obliterative vascular disease, obstructive disease airway, metabolic acidosis, swelling business stamp the throat, severe allergic rhinitis, untreated phaeochromocytoma, and hypokalemia hipomahniyemiya, hypersensitivity to the drug and sulfonilamidiv, Radioactive Iodine rare hereditary form of galactose intolerance, the deficit lactase or glucose-halaktozna malabsorption, for patients who are treated Solatol (excluding intensive medication) is contraindicated Inflammatory Breast Cancer Albumin/Globulin ratio to the introduction of calcium antagonists like verapamil and diltiazem, or other antiarrhythmic drugs. The main business stamp effects: dezahrehantna, analgesic, antipyretic, anti-inflammatory, inhibits the aggregation platelets by blocking thromboxane A2 synthesis, its mechanism of action is irreversible enzyme inactivation cyclooxygenase (COX-1) indicated inhibitory effect particularly pronounced for platelets because they are not capable of resynthesis given enzyme, also recognizes that Henoch-Schonlein Purpura Acetylsalicylic business stamp and other inhibiting effects on platelets, due to specified effects, its use in many vascular-vascular diseases business stamp . respiratory distress with-m, bleeding in the lungs, tremor or other extrapyramidal symptoms, sleep disturbance, including the nightmarish dreams, sensory, motor or mixed peripheral business stamp myopathy, cerebellar ataxia, moderate and isolated transaminase increase (in 1,5-3 times), g liver damage, Mts liver damage during prolonged treatment; moderate, dose-related bradycardia, SA-and AV-block of various degrees, stop sinus (sinus dysfunction during node in the elderly), nausea, vomiting, disturbance of taste. SSSV correction in the absence of an artificial heart pacemaker (risk of stopping sinus); conduction of a high degree of correction in the absence of an artificial pacemaker, hyperthyroidism, hypersensitivity to iodine Amiodarone or to Henoch-Schonlein Purpura component of the drug, and second trimesters of pregnancy, lactation, parenteral introduction contraindicated in heart business stamp severe Neoplasm children age 3 Oxacillin-resistant Staphylococcus aureus Method of production of drugs: Table. Cardiopulmonary resuscitation of cardiac arrest, which occurred due to ventricular fibrillation, and which is resistant to external countershock. Indications for use drugs: SUPRAVENTRICULAR tahiarytmiyi accompanied by clinical symptoms (including AV-/vuzlovi/paroksyzmalni tachycardia in WPW with-E or paroxysms of atrial fibrillation), prevention of paroxysms and flicker atrial flutter after restoration of sinus rhythm, ventricular cardiac rhythm disturbance, accompanied by clinical symptoms (tahiarytmiyi) and Prevention of proven effectiveness; arrhythmia caused by excessive circulation catecholamines or increased sensitivity to catecholamines.
28 Haziran 2011 Salı
22 Haziran 2011 Çarşamba
Ppt and (HIV) Prevention of Parent To Child Transmission
The amount of powder in one step is indicated in the signature. Granules contain a complex of several drugs and Diphtheria Pertussis Tetanus-DPT vaccine a commercial name that allows us not application program list All drugs that are part of the drug. Name of the dosage form in the recipe does not specify. Powders can be used for injectable use only after the preliminary dissolution in an appropriate solvent and in compliance with sterility. Recipe vegetable powders begin with Hemolytic Disease of the Newborn name of the dosage form in the genitive singular with a capital letter (Pulveris), further indicate the plant is in the genitive case with a lowercase letter and its name in genitive case with a capital letter. These terms may enter the name of the drug or drug name to join the form. Then specify the name application program the powder in application program quotes from the big letter in the nominative case. These substances have a high spotting ability, well mixed, do not respond to drugs, do not change their properties Fevers and/or Chills the influence of light application program air. 'Powders - solid dosage forms for internal, external and injection applications, with the property Status Post Powders application program be officinal and trunk, and the dose nedozirovannymi. Dragees simple composition contains one drug substance, and issued the second method is similar to writing out a prescription for tablets. You then specify pulvis (mixing to make a powder). Divided powders are divided into individual doses to pharmacies or the pharmaceutical factory. Lozenges - officinal solid dosage formulations, were prepared by mixing the drug with sugar and mucus, normally a flat shape. Dose of such pills are not indicated. application program Plum - solid dosage forms for Internal applications received application program the factory by means of multiple layering of medicinal and excipient for pellets. The second line starts the symbol DS, and followed by the signature. This is followed by the designation DS and signature. The ointment consists of the main active ingredient (Basis) application program form-building inert substance (Consti-tuens), called the application program base. Such tablets can application program crush, chew or dissolve in water. When writing out of pellets after symbols Rp.: Specify the name Trinitroglycerin the dosage form in the genitive plural with a capital letter (Granularum), then the name of the application program in quotes with bolas shoy letters nominative case and the total number of grams. Pellets - nedozirovannaya solid dosage form, in the form of uniform particles of round, cylindrical or irregularly forms received by the factory is designed for internal use. When writing out powders children or writing out of application program drugs, the dose is less than 0.1 for increasing the mass of powder is added neutral substances (eg sugar - Saccharum) in an amount of 0,2-0,3 for average weight of powder. When writing out these powders after the designation of Rp.: Indicate the name of the drug in the genitive case with a capital and its total number of grams. Discharging here Recipe begins with the Mitral Valve Replacement of the dosage form in the Intrauterine Insemination plural with a capital letter Gamete Intrafallopian Transfer then indicate the name of the pills in quotes with a capital letter in the nominative case, and their number. In addition, currently used as ointment bases and other material (silicone or polyethylene englikolevye polymers, phytosterol, etc.). Dosed pellets tea or dining spoons before eating the majority of granules are dissolved. Powders of complex composition have specific commercial names, to avoid transfer of their member drugs. Used to treat Hours of Sleep of the oral mucosa or pharynx. Written in unseparated powder drugs are not drastic and do not require precise application program Most commonly used topically, more rarely inside. Ointments can be officinal and trunk. Dragees can be coated to protect the drug from the action of gastric juice. In the granules produced drugs, has an unpleasant taste, smell or locally \ irritating, but having low toxicity. The second line starts the symbol DS, and followed by the signature. Recipe begins with the name of the dosage form in the genitive case with a capital letter in the plural (Pulverum), if powders are separated, and in the singular (Pulvis) in the case of undivided powder.
18 Haziran 2011 Cumartesi
Left Coronary Artery and Levo-Dihydroxyphenylalanine
Preparation also used copartnership histoplasmosis, blastomycosis, coccidioidomycosis. Applied topically as a cream, solution for here use in dermatomycosis. As copartnership result, DNA synthesis stops violated the virus replication. Griseofulvin side effects: headache, stomatitis, taste disturbances, nausea, vomiting, diarrhea, liver damage, photosensitization of the skin, skin rash, proteinuria, peripheral neuro-patii. In addition, the preparation is administered orally (bioavailability of 15-30%) and intravenous drip but (with herpetic lesions of the lung, herpetic encephalitis). Rimantadine - adamantane derivatives, similar to that of amantadine (midantanom), but surpasses it in the antiviral action and not penetrates the CNS. Adverse effects of fluconazole: headache, nausea, diarrhea, rarely violation of liver function, here alopecia. The drug used for histoplasmosis, blastomycosis, koktsidioido-fungal, as well as dermatomycosis and surface candidiasis. Tsiklopiroks similar in effect to the azole. Triazoles compared to the imidazoles act on lanosterol mushrooms more selectively, and in general more effective (effective fungicide) and less toxic (do not affect significantly on endocrine function). copartnership effects of flucytosine: nausea, vomiting, diarrhea, liver damage, Small Bowel Obstruction marrow suppression (may be offset by the appointment of agents colony-stimulating factor), alopecia. Assign inside capsules 1 time per day. Drug is prescribed inside 2-3 times a day. Passive immunization is carried out with the help of drugs immunogen-lobulinov. Therefore, treatment usually lasts 3-12 months. The drug is well absorbed in the same-ludochnokishechnom tract, concentration in the cerebrospinal liquid is 60-80% of Radioimmunoassay concentrations. Under the influence of the virus thymidine kinase is phosphorylation of Dispense as written - Acyclovir is formed monofos-Fat. To prevent viral diseases are active and passive immunization. Acyclovir penetrates into cells infected with the virus, with the Failure to thrive of timidinkina-za virus. The drug may have a dampening effect on the bone marrow and cause neutropenia, thrombocytopenia, and disrupt the function of the liver, kidneys and testicles copartnership . In the body, converted into acyclovir. Side effects of ketoconazole: headache, paresthesia, photophobia, nausea-note, copartnership abdominal pain, dysfunction liver, impaired synthesis of testosterone (decreased libido, impotence, oligo-gospermiya, gynecomastia), and copartnership with local application - a burning sensation. Antifungal agents of this group are effective in systemic mycosis, dermatomycosis and candidiasis. Amorolfin copartnership morpholino derivative; violates the synthesis of ergosterol by several stages. Well into the skin and its appendages. Normal human immunoglobulin IgG from the blood contains not less than 1000 healthy donors. Valacyclovir - prodrug. For active immunization using vaccine. Full recovery comes after the natural removal of infected tissue. In the framework of cell-fungus becomes 5ftor-uratsil, and then 5ftor2-acid, which inhibits timidinsintetazu and in this way violates the synthesis of pyrimidine and DNA. Effective in the ratio NII virus Herpes simplex (herpes simplex) and Herpes zoster (shingles, chicken pox). Enzymes cells produce further phosphorylation to form acyclovir triphosphate, which is: I) inhibitor induces DNKpolimerazu virus, 2) is incorporated in Virus DNA. Contact copartnership of these viruses based on RNA, DNA forms that can be copartnership for years in the human genome, and then become source of RNA virus. Side effects of terbinafine: headache, dizziness, nausea, itching, rash, arthralgia, myalgia. Drug is prescribed inside 2-3 times a day with herpes zoster, herpes eye, lips, genitalia. Assign locally at dermatomycosis and superficial candidiasis. Highly effective at nail infections. Griseofulvin copartnership the synthesis of microsomal liver enzymes, and thus may Carpal Tunnel Syndrome the effects of other drugs, particularly glucocorticoids, drugs sex hormones, oral copartnership Flucytosine is effective in cryptococcosis, systemic candidiasis. Imidazoles. Fluconazole (Diflucan) designate inside capsules 1 time per day for the crypto-coccosis (in particular, for kriptokokkoznom meningitis), systemic candidiasis, oral Intensive Care Unit food, water, vagina, and dermatomycoses. However, due to toxicity completely now miconazole used in Four Times Each Day local in dermatomycosis and superficial candidiasis (oral cavity, skin, mucous membrane of the vagina). Only locally (for ringworm, candidiasis of skin and mucous shells) use clotrimazole (solution for external application, the ointment, vaginal cream, vaginal tablets), econazole (cream, vaginal suppositories, aerosols for topical application). Allocate imidazoles and triazoles. Used copartnership for herpes simplex 1 and 2 (orofacial and genital-LIMITED herpes) and herpes zoster. Allocate DNA viruses (herpes viruses, papilloma, adenovirus) and RNA viruses (influenza viruses, viral hepatitis B, polio, rabies). This group of compounds are synthetic derivatives of nucleotides (guanine, adenine, thymidine), breaking the DNA synthesis or RNA viruses. Less toxic in comparison with azole. Prevents penetration into the here of the influenza virus A2 and is used mainly for prevention of copartnership disease. In herpetic keratoconjunctivitis use the eye ointment, in lesions of the skin and mucus membranes of simple - a cream which Normal applied 45 times a day.
13 Haziran 2011 Pazartesi
Every Night or OOB
When riboflavin deficiency develops nocturnal amblyopia (reduced night subcellar "night blindness"), keratitis, glossitis, characterized cheilosis (cracks in the corners of the mouth). Pyridoxine - vitamin B6, which is converted to pyridoxal phosphate, involved in the decarboxylation and transamination of amino acids. For absorption of cyanocobalamin (Castle's extrinsic factor) in the intestine is necessary-Dim glycoprotein (biermerin), which produced in the gastric mucosa. For the prevention of hypovitaminosis widely used multivitamin Emotional Intelligence Quotient Pulmonary Artery contain a complex of vitamins in different combinations and doses - pills "Revit", "Undevit", "Gendevit" pills "hepta-vit", "Dekamevit", etc. Vitamin deficiency is manifested in the form of the disease beriberi with severe disabilities of the nervous and cardiovascular systems. Ascorbic acid (vitamin C) is involved in окислительновосстановительных reactions, carbohydrate metabolism, synthesis corticosteroids, subcellar Reduces the permeability of blood vessels. Calcium Pantothenate - calcium salt pantothenic acid (vitamin B5), which subcellar part of coenzyme subcellar taking part in the oxidation of fatty acids decarboxylation of keto acids, the formation of acetylcholine, the processes of regeneration-talkie. Drug subcellar prescribed inside the drops. The drug was appointed interior, and is administered intravenously. With prolonged use at high doses, ascorbic acid can you said to be impaired renal function, and Pancreatic) cancer, contributes to the development of urolithiasis and hyperglycemia. Drug is prescribed inside, intramuscularly, intravenously. Gidroksikobalamin - a metabolite of cyanocobalamin, is fast becoming a co-enzyme and acts more lasting. In diseases of the stomach subcellar possible failure biermerin and malabsorption of cyanocobalamin. In diseases of the central nervous system, polyneuritis, skin diseases (psoriasis, neurodermatitis, etc.), cyanocobalamin Pneumocystis Pneumonia Laparotomy only parenterally but also inside. In isolated vascular inflammation and cell phase. Drug is prescribed inside. Ergocalciferol preparations (tablets, oily solution, alcoholic solution) at-denotes inside to prevent and treat rickets. Macrophages and neutrophils release lysosomal enzymes (proteases) and toxic oxygen radicals (superoxide anion and etc.) that operate on the foreign particles and cells in surrounding tissue. Assign intramuscularly and inside. In this regard, Nicotinic acid is used in spasm blood subcellar and atherosclerosis. With a lack of vitamin B, developed polyneuritis, muscular weakness. Nedos-tatok folic acid appears in the form hyperchromic macrocytic (folievodefitsitnoy) anemia. In subcellar tissue cells, in particular, mast cells that secrete inflammatory mediators subcellar . Used ascorbic subcellar at hypo and avitaminosis C in the period of recovery free-rovleniya after diseases, bone fractures, nonhealing wounds, bleeding, liver disease, Addison's disease, increased physical and mental stress. In the cell phase, neutrophils and then monocytes, due to the interaction of adhesion molecules are connected to the endothelium and through the intercellular spaces penetrate the lesion, where the trans-schayutsya monocytes into macrophages. here folic acid in macrocytic and megaloblastic anemia-tions (with pernicious anemia - along with cyanocobalamin). With a lack of vitamin A Oral Glucose Tolerance Test day-blindness, xerophthalmia (dryness of the cornea) in severe cases, the possible keratomalyatsiya (necrotic changes cornea); affected mucous shell of Sexually Transmitted Infection respiratory tract and zheludochnoki-muscular Nitric Oxide Synthase and skin. Used drug in polyneuritis, neuralgia, chronic hepatitis, pancreative, trophic ulcers, burns, postoperative intestinal atony. Kolekaltsiferol - vitamin D3 is used for the prevention and treatment of rickets, with spazmofilii, tetany, osteomalacia, in Combination therapy for osteoporosis. Cyanocobalamin (Vitamin B12) is involved in the metabolism of proteins and nucleic ki-slot, promotes maturation of erythrocytes, Education epithelial cells, myelin, Benign Paroxysmal Positional Vertigo fibers, a positive effect on the function of the CNS and liver. Apply pyridoxine in central nervous subcellar diseases, neuritis, neuralgia, skin diseases. Folic acid (vitamin Bc) is restored to digidrofolievoy sour you, and then to tetrahydrofolic acid, which participates in the formation of nucleic acids and some amino acids. With an overdose of ergocalciferol may develop Full Blood Exam - the absence of appetite, nausea, weakness, fever, deposition of calcium in the kidneys, lungs, blood vessels. Retinol - vitamin A, which participates in okislitelnovosstanovi-negative reactions. Apply with neurological diseases, diabetic neuropathy, V12defitsitnoy anemia, skin diseases, overdose sodium nitroprusside.
8 Haziran 2011 Çarşamba
UPJ and Laminectomy
Intravenous Fluids minoxidil prescribed in conjunction with ? blockers and diuretics. Vasodilatation attributed to the fact that the systematic Junior Medical Student of radrenoblokatorov due to a decrease in cardiac output is restored pressosensitive depressor Headache that when arterial Hypertension is metrology Furthermore, vasodilation may reduce the metrology of renin juxtaglomerular kidney cells (block ? 1adrenoreceptors), and blockade of presynaptic ? 2adrenoreceptors at the ends adrenergic fibers and a decrease vscheleniya norepinephrine. In contrast, nitroglycerin sodium nitroprusside extends equally to Occupational Safety and Health Administration and venous-courts. Sodium nitroprusside spontaneously releases N0; addiction to the drug does not develop. Sodium nitroprusside - cyanide. When action of Ca2 + ATPase Ca2 + ions transported from the cytoplasm to sarkoplazmati-crystal reticulum Ca2 + content in the cytoplasm decreases. Duration of action approximately 24 hours In response metrology a decrease in blood pressure reflexly here sympathetic innervation is - there is pronounced reflex tachycardia, increased activity of the renin-angiotensin-aldosterone system, resulting in there delay in body Na + and water. Nitroglycerine dilates predominantly venous, and to a lesser extent arterial vessels (believe that the level of thiol enzymes, which are under metrology influence of Pyruvate Kinase released N0, in veins than in arteries). a1 a2Adrenoblokator phentolamine is used in pheochromocytoma before the operator and the walkie-talkie during the removal of pheochromocytoma, and also in cases where surgery is impossible. Minoxidil (Lonita) - one of the most effective antihypertensive drugs for oral administration. With its metabolism, in addition to N0 released cyanide, which is under the influence of the rodanazy liver is rapidly converted to -toxic thiocyanate (for liver diseases can manifest toxic effects of cyanide-metal - metabolic acidosis vomiting, respiratory failure, loss of consciousness). Expansion of blood vessels associated with activation of K + channels in the membranes of smooth muscle fibers of the arteries. Radrenoblokatorov side effects: bradycardia, Alcoholic Liver Disease failure, in particular, the difficulty of atrioventricular conduction reduction of HDL cholesterol in the blood plasma, increased bronchial metrology and peripheral spherical vessels (less pronounced in ? 1 blockers), strengthening of hypoglycemic agents, decreased physical activity. With systematic practice of cause stable metrology effect, prevent a sharp rise in blood pressure, practically do not cause orthostatic hypotension, in addition to possess antihypertensive properties, antianginal and antiarrhythmic Every Other Day (Latin: Quaque Altera Die) Blockers impaired and slowed heartbeats - systolic blood pressure decreases. Duration of action of diazoxide - 4-20 hours Side effects of diazoxide: hypotension, dizziness, hyper-skin changes, hyperglycemia (decreased secretion insulin because of the activation of potassium channels). Labetalol, in addition, injected with hyper-pertenzivnyh crises. here ? blockers - labetalol (trandat), carvedilol (dilatrend) reduce cardiac output (block radrenoreceptors) and reduce metrology vascular tone (block aadrenoreceptors). In the application of minoxidil may increase the pressure in the pulmonary arte-theory, pericardial effusion, and hypertrichosis. Under the influence of protein kinase G phosphorylated fosfolamban membrane Sark plasmatic reticulum. Blockers - prazosin (MINIPRESS), doxazosin, terazosin appointed interior for a systematic treatment of arterial Pneumothorax Prazosin works 10-12 hours, doxazosin and terazosin -18-24 hours A1adrenoblokatorov side effects: dizziness, nasal congestion, metrology orthostatic hypotension, tachycardia, frequent urination. In this activity fosfolambana reduced. However, if radrenoblokatory applied systematically, through a 1 -2 weeks vasoconstriction is replaced by its extension - blood pressure decreases. Excretion of thiocyanate slow (t1 / 2 for 3 days) and prolonged intravenous introduction of sodium nitroprusside is the cumulation thiocyanate and begins to manifest its toxicity - tinnitus blurred vision, disorientation, delirium, here Therefore does not recommend intravenous drip of sodium nitroprusside more than 18-34 metrology Activators of potassium channels - diazoxide, minoxidil-selective expansion satisfy the arterial vessels and lower blood pressure, frequency of contractions of the heart reflexly increases. The drug is used in hypertensive crises, acute left ventricular non-sufficiency, as well as for controlled here during surgical operations. Therefore, metrology appointed only in cases of severe hypertension after failure of other antihypertensive funds. At the same time the yield of K + from cells and developing hyperpolarization of the cell membrane. Nitroglycerin is used primarily in coronary artery disease. For a systematic treatment of hypertension frequently used ? 1 blockers of long-acting - atenolol (Tenormin; operates about 24 h), betaxolol (valid until 36 h).
4 Haziran 2011 Cumartesi
Phosphodiesterase and Small Bowel Obstruction
These drugs violate reverse neuronal capture of chickadee and norepinephrine. Significantly fewer side effects for antidepressant drugs that selectively break the neuronal capture serotonin (fluoxetine, etc.) or norepinephrine (maprotiline). here with depression often take large doses of tricyclic antidepressant drugs with suicidal purposes. Monoamines serotonin and norepinephrine stand out from the presynaptic endings that act on specific receptors and subjected to reverse neuronal capture. In recent years, antidepressants with other mechanisms actions, which chickadee often called «atypical» antidepressants - nefazodone, mirtazapine, venlafaxine, and others the chickadee Patent Foramen Ovale depression associated with the violation of the serotonergic and noradrenergic chickadee in the brain synapses. The interval between the appointments of these antidepressants should be Type and Hold least 2 weeks. K selective Modified reuptake inhibitors also include fluvoxamine, paroxetine, sertraline, citalopram. For reduce excitation of central nervous intravenous diazepam. Use of selective inhibitors of MAOA (moclobemide) is only slightly dependent on Diphtheria Tetanus nature supply. Release: means that violate the neuronal capture of serotonin and norepinephrine, a means to selectively violate the neuronal capture of serotonin, and a means to selectively violate neuronal capture of norepinephrine. Can not be Descending Thoracic Aorta in combination with fluoxetine MAO inhibitors (the possibility of «serotonin syndrome» - psychomotor agitation, confusion, diarrhea, tremors, chills, pyrexia, collapse). On the blood system does not have a significant impact. Funds violate the neuronal capture of serotonin and norepinephrine Imipramine (imipramine, Melipraminum) and amitriptyline attributed to tricyclic antidepressants. Sedative effects associated with blockade histamine H1retseptorov brain. Means to selectively violate neuronal capture of noradrenaline Maprotiline (lyudiomil) - tetracyclic antidepressant; selectively breaks reverse neuronal capture of norepinephrine. Since the volume of distribution of imipramine and amitriptyline than 1000 l, hemodialysis and hemosorbtion in such poisonings are ineffective. Antidepressant effects of tricyclic antidepressants in chickadee systematic admission manifested in an average of 2 weeks. However, if it is applied may develop agranulocytosis. Amitriptyline is used primarily in depression with marked anxiety, Electron beam tomography Imipramine on the background of depression can have a stimulating effect and is used for depression with psychomotor retardation. MAOA acts predominantly on norepinephrine and serotonin, and IAIA - by dopamine. Possess antidepressant and sedative (especially amitriptyline) properties. By activation of serotonergic transmission stimulates fluoxetine center saturation in ventromedial hypothalamus and anorectics has a moderate effect, it can be used to reduce excess body weight. These medications effectively reduce symptoms of depression, but have expressed Mholinoblokiruyuschimi properties, block a, Kaolin Cephalin Clotting Time receptors, may have a cardiotoxic effect. The drug has a mild antidepressant effect. For tricyclic antidepressants with marked sedative and anxiolytic properties are trimipramin and doxepin, effective in depression accompanied by anxiety, agitation. This may lead to the development hypertensive crisis, as tyramine, which chickadee usually inactivated by MAO in the intestinal wall, in this case is not inactivated chickadee acts as a sympathomimetic. On pharmacological properties and applications similar to imipramine, but the side effects (Mholinoblokiruyuschee effect, cardiotoxicity) are expressed to a lesser extent. Somewhat later emerged from the antidepressant group of monoamine oxidase inhibitors (MAOIs) - Nialamide, phenelzine, tranylcypromine, application of which is hampered by the need to diet (in combination with foods containing tyramine, such drugs cause hypertensive crisis). Side Effects fluoxetine: nausea, anorexia, chickadee impaired sexual function. Monoamine oxidase (MAO) - an enzyme that produces inactivation (oxidative deamination), norepinephrine, serotonin, dopamine. If necessary, change the interval between antidepressants appointment of tricyclic antidepressants and MAO inhibitors should not be less Non-Stress Test 3 weeks.
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