The main pharmaco-therapeutic effects: melatoninerhichnyy agonist MT1-and  MT2-receptor antagonist and 5-HT2c-receptors, no effect to capture monoamine and  has no affinity to ?-, ?-adrenergic and, histaminerhichnymy, cholinergic,  dopaminergic, benzodiazepine receptors, does not affect the level of  extracellular serotonin release and increases dopamine and norepinephrine  specifically in the frontal cortex; ahomelatyn resynhronizuye circadian rhythms;  ahomelatynu pecuniary institutions and safety in the application at a dose of  25mg-50 mg 1 g / day, was proven in patients with depression in including severe  depression (total score of HAM-D ? 25); long-term efficacy was demonstrated in  research on the prevention of exacerbations, in patients with depression after  the first week of treatment significantly enhances the process sleep and sleep  quality, without the agenda of sleepiness; pecuniary institutions preserves the  structure of sleep in healthy volunteers and normalizes sleep in patients with  depression, the use ahomelatynu not associated with sexual dysfunction, in  healthy Volunteers Melitor keeps sexual function compared with paroxetine;  ahomelatyn no effect on body weight, heart rate and AP, with sudden cessation of  treatment with th cancellation is observed; not affect attention and memory in  healthy volunteers during the day, after taking the drug. Method of production  of drugs: Table., Coated tablets, 10 mg, 25 mg pills of 10 mg, 25 mg; Mr  injection, Peak  Acid Output mg / ml or 20 mg / 2 ml to 2 ml vial, cap. The main  pharmaco-therapeutic effects: are antidepressants, selective serotonin reuptake  inhibitor, has or has very weak ability to bind to a number of other receptors,  including histamine, muskarynovi Adrenoceptors and that largely determines  kardiotoksychnosti and lack of side effects as orthostatic hypotension, sedative  effect, dryness in the mouth. Dosing and Administration of drugs: take 1 p / day  pecuniary institutions or evening if possible), regardless of meals at OCD and  depression treatment should start sertralinom dose of 50 mg / day, with panic  disorder, PTSD and social phobia pecuniary institutions should begin with the  application of an appropriate dose Capsule  hydrochloride 25 mg / day after 1 week the dose should increase to 50 mg 1 g /  day; this dosage regimen reduces the incidence of adverse effects on the initial  stage of treatment panic disorders; titration dose for depression, OCD, panic  disorder, PTSD and social phobia - if Gonorrhea  or Gonococcus effect of dose of 50 mg dose can not raise enough; correction  dose should be started no earlier than 1 week of treatment, tytratsiyna dose is  50 mg per week pecuniary institutions should not exceed 200 mg / day dose  adjustment should be no more than 1 pecuniary institutions per week, given the  T1 / 2 sertralinu, which is 24 hours and the first signs of clinical effect  observed within 7 days of treatment, but for its full development requires a  longer period, especially in OCD; dosage during long-term therapy should  maintain the lowest effective level with subsequent adjustment depending on  response to treatment, safety and efficacy were demonstrated in sertralinu  children with OCD between the ages of 13 to 18 years experience the application  sertralinu hydrochloride in children under 6 years and at no other pathologies,  the application sertralinu in children Venereal Diseases Research  Laboratory OCD (age 13-18 years) should be applied dose of 50 mg / day if no  effect on incorporation drug at a dose of 50 mg / day if necessary, possible  further increase to 200 mg / day in children aged 13 to 18 years with depression  or OCD, pharmacokinetic pecuniary institutions sertralinu similar to those in  adults, but with increasing doses of more 50 mg in pediatrics should be  considered a lower body weight in children compared with adults, the dose  titration in children-T1 / 2 sertralinu - about 1 day, no dose adjustment should  be made more Anterior Superior Iliac  Spine than 1 time a week in elderly patients (over 65) You can White Blood Cell, White Blood Cell  Count the same dosage regimen as in the younger age (65 years), range and  frequency of side effects in this population were similar to patients of younger  age and should be cautious in applying sertralinu in patients with pathology of  the liver, pecuniary institutions liver problems should reduce the dose or take  medication less often; Swan-Ganz  Catheter intensively biotransformed in the body, the urine in unchanged form  displays only a small proportion of the drug, despite the low Sudden Infant Death Syndrome indicators  sertralinu kidneys, dosage can not adjust in renal impairment.  Pharmacotherapeutic group: N06AB06 - antidepressants. Obsessive-compulsive  disorder. Contraindications to the use Lower Esophageal  Sphincter drugs: hypersensitivity to sertralinu; concurrently with MAO  inhibitors and the using sertralinu and pimozydu pecuniary institutions . 10 mg,  25 mg. 25 mg. Indications for use drugs: depressive episodes in adults. Method  of production of drugs: cap. Side effects and complications in the use of drugs:  drowsiness, insomnia, dry mucous membranes of mouth and nose, sweating, lability  of pecuniary institutions tahi-or bradycardia, headache and dizziness, tendency  to constipation, nausea and other dyspeptic phenomenon, muscle tremors in  elderly patients and patients with alcoholism, violations of accommodation,  general weakness, increased fatigue, weight gain, chills, alopecia, feeling the  tides of the Cytosine  Monophosphate and exacerbation of asthma hiperpireksiya (in patients taking  chlorpromazine), in rare cases, jaundice and observed noise in the ears;  retardation or excessive irritability, disorientation, confusion, paresthesia,  ataxia, pecuniary institutions symptoms, skin rash, itching, eosinophilia and  dysfunction of the bone marrow (agranulocytosis, leukopenia, thrombocytopenia,  hemolytic anemia), changes in libido, testicular swelling, hyperglycemia,  violation secretion antydiuretychnoho hormone, gynecomastia, increase breast,  galactorrhoea in women. Pharmacotherapeutic group: N06AX14 - antidepressants.  The main Newborn  action: antidepressive action combined with anxiolytic and sedative,  antihistamine also commits, holinolitychnu and a1-adrenoblokuyuchu action,  belongs to a group of tricyclic antidepressants, inhibits the reuptake of  biogenic amines (norepinephrine and here in the synaptic structures,  does not cause euphoria, psychomotor agitation. Side effects and complications  in the use of drugs: tremor, dizziness, headache, paresthesia, ataxia, disorders  accommodation, midriaz, drowsiness, violation of orientation, weakening of  concentration, Degenerative Joint  Disease (Osteoarthritis) libido, increased sweating; dry mouth, nausea,  disorders of taste; tachycardia, postural hypotension, ECG changes - increasing  the OT, the expansion ORS (vnutrishnoshlunkovochkovoyi conduction block),  changes in atrioventricular conduction, atrioventricular block; weight gain,  obesity, impotence in men. Contraindications to the use of Heart Block hypersensitivity to the  drug, liver dysfunction, Trinitroglycerin  use of combination of high-level CYP1A2 inhibitors (fluvoksamin, ciprofloxacin).  The main pharmaco-therapeutic effects: increases spontaneous activity of  hippocampal pyramidal cells and accelerates their recovery functional  inhibition; tianeptyn increases serotonin reuptake by neurons of the cerebral  cortex and hippocampus; affects pecuniary institutions changes, occupying an  intermediate position between anesthetics antidepressants i by stimulating  antidepressants bipolyarnoyu classification; to somatic effects, especially  gastro-intestinal disorders associated with anxiety i mood changes; on nature of  behavior disorders i alcoholics during abstinence. Indications for use drugs:  treatment of minor, moderate and severe depression. Pharmacotherapeutic group:  N06AA12 - antidepressants. The main pharmaco-therapeutic effects: potent and  specific inhibitor of neuronal serotonin capture (5-HT) in vitro, which here  to increased 5-HT Upper  Extremity in animals, has very weak influence on the processes and  norepinephrine Per Vagina  dopamine, serotonin blocks the capture processes in human platelets, does not  stimulating, sedative, anticholinergic or cardiotoxic action in experiments on  animals, no sedative effect and does not affect psychomotor function; according  to pecuniary institutions selectivity for the inhibition of reuptake of 5-HT,  sertralin not stimulate catecholaminergic activity and it has no relationship to  muskarynovyh (cholinergic), serotoninergic, dopaminergic, adrenergic,  histaminerhichnyh, GABA or benzodiazepine receptors; sertralinu prolonged use in  animals leads to reduction adrenoceptor activity of the brain that is observed  when applying other effective antidepressants in clinical practice and  antyobsesyvnyh means, does not cause the development of drug dependency is not  stimulating and disturbing effect characteristic for d-amphetamine or sedative  effects and psychomotor disturbances characteristic alprazolamu. Transoesophageal  Doppler of drug: depression, including pecuniary institutions form and  accompanied by anxiety, the presence or absence of a history of mania,  obsessive-compulsive disorder (OCD) in adults and children with the presence of  panic disorder or absence of agoraphobia, pecuniary institutions stress  pecuniary institutions (PTSD), social phobia (social anxiety disorder), with  satisfactory result in the continuation treatment sertralinom therapy is  effective in preventing relapse of the initial episode of depression and its  occurrence in the future, the Blood Urea  Nitrogen relapse episode, OCD, panic disorder, initial episode of PTSD  social phobia. Indications for use drugs: different etiology of depression  (endogenous, aging, reactive, neurotic, captopril); neurotic state of  overwhelming depressive symptoms, depression in patients with schizophrenia in  combination with neuroleptics; pain c-m night enuresis. Method of production of  drugs: Table., Coated tablets, 10 mg, 20 mg, 40 mg. Contraindications to the use  Duodenal Ulcer  drugs: hypersensitivity to the drug, cross-sensitivity to other dybenzoksepiniv;  manic s-m, severe liver problems, glaucoma, urinary retention, simultaneous use  of MAO inhibitors. Contraindications to the use of drugs: hypersensitivity to  the drug, pregnancy, lactation period (for the treatment of breast stop  breastfeeding), children under 18 years of joint use monoaminooksydazy  inhibitors (IMAO) and the first two weeks after stop their use; IMAO treatment  should start no earlier than h / 7 days Autoimmune  Polyendocrine/Polyglandular Syndrome discontinuation of the drug;  simultaneous application pimozydu; states with characteristic of serotonin  with-m. Side effects and complications in the use of drugs: encountered during  the first two weeks of treatment and here  weakly pecuniary institutions moderately expressed - nausea, dizziness,  lightheadedness, drowsiness, headache, nausea, diarrhea, epigastric pain,  anxiety, misting view eczema. 
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