Кветиапин и его активный метаболит N-дезалкилкветиапин взаим... Инструкция
Показания к применению
Шизофрения, включая профилактику рецидивов у стабильных пациентов. Биполярные расстройства, включая умеренные и тяжелые маниакальные эпизоды в структуре биполярного расстройства, тяжелые эпизоды депрессии в структуре биполярного расстройства, профилактику рецидивов биполярных расстройств у пациентов с предшествующей эффективной терапией кветиапином ...
Дефицит лактазы, глюкозо-галактозная мальабсорбция и непереносимость галактозы, совместное применение с ингибиторами изоферментов системы цитохрома Р450, такими как противогрибковые препараты группы азолов, эритромицин, кларитромицин и нефазодон, а также ингибиторы протеаз, повышенная чувствительность к компонентам препарата.
Таблетки Сероквель Пролонг - атипичный нейролептик, применяется для лечения хронической и острой шизофрении как с продуктивной, так и с негативной симптоматикой, для лечения биполярного аффективного расстройства, большого депрессивного расстройства и некоторых других психических заболеваний. Антипсихотическая активность данного перепарата сопоставима с галоперидолом.
Фармакологические свойства
Кветиапин и его активный метаболит N-дезалкилкветиапин взаимодействуют с нейтротрансмиттерными рецепторами головного мозга. Кветиапин и N-дезалкилкветиапин проявляют высокое сродство к серотониновым рецепторам типа 5-НТ2- и допаминовым D1- и D2- рецепторам головного мозга. Более высокая селективность к серотониновым 5-НТ2-рецепторам, чем к допаминовым D2-рецепторам , обуславливает основные клинические антипсихотические свойства препарата Сероквель Пролонг и низкую частоту развития экстрапирамидных побочных эффектов. Кроме того, N-дезалкилкветиапин проявляет высокое сродство к переносчику норадреналина. Кветиапин и N-дезалкилкветиапин обладают высоким сродством к гистаминовым и альфа1-адренорецепторам и меньшим сродством по отношению к альфа2-адренорецепторам и серотониновым 5НТ1-рецепторам. Кветиапин не проявляет заметного сродства к м-холинорецепторам и бензодиазепиновым рецепторам. В стандартных тестах кветиапин проявляет антипсихотическую активность.
Показания к применению
Шизофрения, включая профилактику рецидивов у стабильных пациентов. Биполярные расстройства, включая умеренные и тяжелые маниакальные эпизоды в структуре биполярного расстройства, тяжелые эпизоды депрессии в структуре биполярного расстройства, профилактику рецидивов биполярных расстройств у пациентов с предшествующей эффективной терапией кветиапином маниакальных или депрессивных эпизодов в структуре биполярного расстройства. Депрессивный эпизод: комбинированная терапия при субоптимальном ответе на монотерапию антидепрессантом.
Противопоказания
Дефицит лактазы, глюкозо-галактозная мальабсорбция и непереносимость галактозы, совместное применение с ингибиторами изоферментов системы цитохрома Р450, такими как противогрибковые препараты группы азолов, эритромицин, кларитромицин и нефазодон, а также ингибиторы протеаз, повышенная чувствительность к компонентам препарата.
Применение при беременности и в период грудного вскармливания
Препарат Сероквель Пролонг не рекомендуется применять при беременности, за исключением тех случаев, когда потенциальная польза для пациентки значительно превышает возможный риск для плода. Женщинам, принимающим Сероквель Пролонг, не рекомендуется кормление грудью.
Способ применения и дозы
Сероквель Пролонг следует принимать 1 раз/сут натощак. Таблетки необходимо проглатывать целиком, не разделять, не разжевывать и не разламывать. Взрослым при лечении шизофрении, умеренных и тяжелых маниакальных эпизодов в структуре биполярного расстройства препарат следует принимать не менее чем за 1 ч до приема пищи. Суточная доза для первых 2 суток терапии составляет: 1 сутки – 300 мг, 2 сутки – 600 мг. Рекомендованная суточная доза составляет 600 мг. При лечении эпизодов депрессии в структуре биполярного расстройства Сероквель Пролонг следует принимать перед сном. Суточная доза для первых 4 суток терапии составляет: 1 сутки – 50 мг, 2 сутки – 100 мг, 3 сутки – 200 мг, 4 сутки – 300 мг. Рекомендованная суточная доза составляет 300 мг.
Побочное действие
Сонливость, головокружение, сухость во рту, незначительно выраженная астения, запор, тахикардия, ортостатическая гипотензия и диспепсия.
Передозировка
Симптомы передозировки, в основном были следствием усиления известных фармакологических эффектов препарата, таких как сонливость и седативный эффект, тахикардия и снижение АД. Лечение: рекомендуется проводить мероприятия, направленные на поддержание функции дыхания и сердечно-сосудистой системы, обеспечение адекватной оксигенации и вентиляции. Специфического антидота к кветиапину нет. В случаях тяжелой интоксикации следует помнить о возможности передозировки нескольких лекарственных препаратов.
Особые указания
При терапии кветиапином не рекомендуется употреблять в пищу грейпфрутовый сок.
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