Adepress

Адепресс Drug photo

The description is actual on 25.05.2015

  • Latin name: Adepress
  • ATH code: N06AB05
  • Active ingredient: Paroksetin
  • Producer: Veropharm of joint stock company (Russia)

Structure

In 1 tablet of a paroksetin of a hydrochloride of 0,0228 g.

Calcium phosphate, starch, magnesium stearate, titanium dioxide, sodium carboxymethylstarch, an oksipropilmetiltsellyuloz, povidone, talc, polysorbate, - as excipients.

Release form

Tablets in a cover on 20 mg.

Pharmacological action

Antidepressive.

Pharmacodynamics and pharmacokinetics

Pharmacodynamics

Antidepressant, selektivno overwhelming return serotonin reuptake by a presynaptic membrane in this connection the quantity of this neuromediator increases and amplifies serotonergic action in TsNS. Action is shown in elimination of alarm and a depression and shown in 7–14 days. Does not influence napsikhomotorny functions, does not strengthen oppressing effect of ethanol.

When carrying out EEG by the patient accepting drug insignificant activation of TsNS is revealed. Does not cause the expressed change of the ABP and ChSS in healthy faces.

Pharmacokinetics

At intake it is well absorbed. Cmax in blood is defined by 5,2 h. In 7–14 days of daily reception of 30 mg of drug a day equilibrium concentration in blood is reached. For 95% contacts proteins. It is metabolized in a liver to inactive metabolites. It is removed by kidneys (64%) and through a gastrointestinal tract (36%). T1/2 makes 21 hour.

Indications to use

  • all types of depressions, including against alcohol addiction;
  • panic frustration (incidental);
  • bipolar affective disorders;
  • dysthymia;
  • social phobia;
  • persuasive states;
  • alarming and phobic frustration;
  • nervous anorexia and bulimia;
  • posttraumatic stressful frustration.

Contraindications

  • unstable epilepsy;
  • reception with MAO inhibitors and after their cancellation (2 weeks);
  • pregnancy and feeding by a breast;
  • hypersensitivity to drug;
  • children's age.

With a certain care it is appointed at adenoma of a prostate, pathology of heart, a liver and renal failure, diseases with the increased risk of bleeding and closed-angle glaucoma.

Side effects of Adepress

More often meeting:

  • drowsiness or sleeplessness, tremor, dizziness, asthenic syndrome, alarm;
  • orthostatic hypotension;
  • loss of appetite, nausea, vomiting, locks or diarrhea, dryness in a mouth;
  • the speeded-up urination;
  • disturbance of an ejaculation and frustration of a libido.

The side effects which are found seldom:

  • confusion of consciousness, paresthesia, hallucination, extrapyramidal frustration;
  • myasthenia, arthralgia, mialgiya;
  • hepatitis;
  • ischuria;
  • galactorrhoea, anorgazmiya;
  • rash, urticaria, itch, Quincke's disease;
  • spasms, serotoninovy syndrome, panic frustration;
  • expansion of pupils, vision disorder.

Application instruction of Adepress (Way and dosage)

Pill is taken inside, without chewing, during food, morning of 1 times a day.
The first two weeks the dose is selected and adjusted individually — increases by 10 mg weekly before receiving treatment of effect. The daily dose cannot exceed 60 mg, and for elderly patients of 40 mg.

The effect from lecheniyarazvivatsya gradually. For prevention of recurrence of Adepress appoint in a maintenance dose till 4-6 months and more.

The application instruction of Adepress contains the warning that at sharp drug withdrawal development of a withdrawal in this connection, the termination of reception is carried out gradually is possible. The first weeks of treatment emergence of suicide bents is possible.

At elderly people the hyponatremia is noted during therapy by drug.

Overdose

Overdose is shown by nausea, vomiting, dryness in a mouth, expansion of pupils, a tremor, irritability.

Treatment is begun with provocation of vomiting or a gastric lavage, appoint absorbent carbon and symptomatic therapy.

Interaction

Adepress at simultaneous use with Tryptophane causes the "serotoninovy syndrome" which is shown uneasiness, agitation, diarrhea.

It is incompatible with MAO inhibitors, it is necessary to observe an interval in purpose of these drugs. Increases concentration in blood of antiparkinsonichesky drug of Protsiklidin.

At reception with indirect anticoagulants increases a bleeding time.

Phenobarbital, Phenytoinum (inductors of a microsomal oxidation) reduce concentration and reduce Adepress's action, inhibitors of a microsomal oxidation, on the contrary, increase.

Antidepressants (Amitriptyline, Fluoxetine, Imipraminum, Desipramine, Nortriptilin), derivatives of a fenotiazin, antiarrhytmic LP IS of a class increase risk of emergence of side effects.

Terms of sale

According to the recipe.

Storage conditions

At a temperature no more than 25 °C.

Period of validity

2 years.

Analogs

Paksil, Apo-paroksetin, Paroksetin, Plizil, Aktaparoksetin, Reksetin, Sirestill.

About Adepresse

The reason of depressions, alarms and panic attacks is insufficient activity of GAMK-ergichesky system or the reduced maintenance of GAMK. Choice drugs in such cases are inhibitors of the return serotonin reuptake, one of them — Paroksetin (Adepress).

Responses of doctors are reduced to the fact that Paroksetin is an antidepressant of new generation, works selektivno and does not cause accustoming, has wide indications to use, combines high medical effect with safety of use.

From all group of these drugs Paroksetin is the strongest and most specific blocker of serotonin reuptake. Possesses more balanced action, and its advantage is an opportunity to apply on an outpatient basis at persons with neurologic and somatic pathology. It is drug of double action — is applied to treatment of alarm and a depression and eliminates wider range of symptoms at these states. Besides, its action is shown by the moderate stimulating effect.

Looking through About Adepresse at forums, it is possible to draw a conclusion that drug at correctly picked up dose improves a condition of patients after the first week of treatment. It was effective at patients who had no effect of the previous treatment. Reception of tablets does not exert impact on dream duration in the morning. All note convenience of use (1 times a day) that is important for the patients receiving the supporting out-patient treatment. Patients note good tolerance even at a long maintenance therapy. Undesirable side reactions meet seldom and are slightly expressed.

Isolated cases of emergence of a headache, dryness in a mouth and decrease in the ABP met at a trunk postural change.

Zdravzona

  • Adepress 20 mg No. 30 of a tablet p/overofarm joint stock company

Drugstore of IFC

  • Adepress tbl 20 mg No. 30 **, Veropharm / Voronezh branch (Voronezh) Russia
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Section: For a nervous system
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Education: Graduated from Sverdlovsk medical school (1968 - 1971) as "Paramedic". Graduated from the Donetsk medical institute (1975 - 1981) as "An epidemiologist, a hygienist". Passed postgraduate study in the Central scientific research institute of epidemiology Moscow (1986 - 1989). An academic degree – the candidate of medical sciences (degree is awarded in 1989, protection – the Central scientific research institute of epidemiology Moscow). Numerous advanced training courses are studied in epidemiology and infectious diseases.

Experience: Work as the manager of department of disinfection and sterilization of 1981 - 1992. Work as the manager of department of especially dangerous infections of 1992 - 2010. Teaching activity at Medical institute 2010 - 2013.

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