Тиаприд предназначен для лечения взрослых с хроническим болевым синдромом, пациентов в состоянии психомоторного возбуждения, агрессии в старческом возрасте или при алкоголизме. Детям и взрослым таблетки медикамента рекомендуется употреблять при хорее и синдроме Жиля де ла Туретта. Лекарственное средство эффективно при лечении детей старше 6-летнего ...
Действующее вещество: Тиаприд; Концентрация действующего вещества (мг): 100 мг
Фармакологические свойства
Антипсихотическое средство (нейролептик) из группы замещенных бензамидов. Антипсихотическое действие обусловлено блокадой допаминовых D2-рецепторов мезолимбической или мезокортикальной системы. Оказывает анальгезирующее действие при интероцептивной и экстероцептивной боли. Обладает седативным действием, обусловленным блокадой адренорецепторов ретикулярной формации ствола головного мозга; противорвотным действием, связанным с блокадой допаминовых D2-рецепторов триггерной зоны рвотного центра; гипотермическим действием, обусловленным блокадой допаминовых рецепторов гипоталамуса.
Показания к применению
Тиаприд предназначен для лечения взрослых с хроническим болевым синдромом, пациентов в состоянии психомоторного возбуждения, агрессии в старческом возрасте или при алкоголизме. Детям и взрослым таблетки медикамента рекомендуется употреблять при хорее и синдроме Жиля де ла Туретта. Лекарственное средство эффективно при лечении детей старше 6-летнего возраста с расстройствами поведения, сопровождающимися ажитацией и агрессией.
Инъекции Тиаприда успешно используются для лечения хореи, тремора, нервного тика, гиперкинетического и дискинетического синдромов, психомоторного возбуждения, паркинсонизма сосудистого происхождения, головной боли нейрогенной причины. Препарат оказывает помощь пациентам с алкогольной и наркологической зависимостью при нарушении поведения, пребывающим в состоянии абстиненции и алкогольного психоза. Тиаприд эффективен при сенильной моторной неустойчивости, разных расстройствах поведения пожилых людей и хроническом болевом синдроме.
Противопоказания
Запрещено использовать Тиаприд людям с аллергией на состав лекарственного средства.
Не рекомендуется использовать препарат при феохромоцитоме, гипертоническом кризе, недостаточности работы почек.
Тиаприд в таблетках противопоказан детям до 6 лет, а в виде уколов – до 7 лет.
Таблетки запрещено употреблять пациентам с пролактинзависимыми новообразованиями.
С осторожностью препарат следует использовать пациентам с хронической недостаточностью работы почек, эпилепсией, болезнью Паркинсона, заболеваниями сердца и сосудов при декомпенсации. С осторожностью Тиаприд используют для людей пожилого возраста.
Таблетки Тиаприд с повышенной внимательностью следует употреблять пациентам с брадикардией, гипокалиемией, увеличенным QT интервалом.
Применение при беременности и в период грудного вскармливания
При беременности тиаприд применяют только по абсолютным показаниям в минимальных эффективных дозах. Новорожденным, матери которых при беременности получали тиаприд, рекомендуется провести мониторинг функций ЦНС и ЖКТ.; Неизвестно, выделяется ли тиаприд с грудным молоком. При необходимости применения в период лактации грудное вскармливание следует прекратить.
Способ применения и дозы
Таблетки Тиаприд; Лечение агрессии и психомоторного возбуждения таблетками Тиаприд рекомендуется начать с минимальных доз, постепенно доводя до 200–300 мг/сут. Увеличение дозы проводится по 0,05-0,1 г с 2–3-дневными интервалами. Суточный максимум – 300 мг. Курс лечения должен составлять не менее 1–2 месяцев. ; Хронический болевой синдром лечится дозировкой Тиаприда по 0,2–0,4 г/сут. ; Лекарственное средство в таблетках при хорее, синдроме де ла Туретта нужно употреблять по 0,3–0,8 г/сут. Прием начинают с 20 мг в день и постепенно повышают до рекомендуемой. Детям дозировку медикамента следует подбирать индивидуально, из расчета 3–6 мг/кг/сутки. ; При лечении детей с расстройствами поведения и ажитации Тиаприд нужно употреблять по 100–150 мг/сутки. ; Раствор для в/м и в/в введения; При постоянном болевом синдроме Тиаприд используется по 200–400 мг/сут. ; Делириозное состояние лечится инъекциями медикамента с интервалом в 4–6 часов, доводя дозу до 0,4–1,2 г/сут. Суммарная доза препарат не должна превышать 1800 мг. ; В детском возрасте раствор для инъекций должен использоваться по 100–150 мг/сут. Дневной максимум не должен превышать 300 мг.
Побочное действие
Лечение Тиапридом часто сопровождается сонливостью, повышенной утомляемостью, головокружением, повышением давления, бессонницей, астенией, апатией, ажитацией, синдромом Паркинсона (замедлением сердцебиения, повышенным слюноотделением, тремором). Реже лечение медикаментом вызывает обратимые симптомы дистонии, ранние дискинезии и астазию. Длительное применение лекарственного средства может спровоцировать позднюю дискинезию. ; Редко лечение таблетками Тиаприд становится причиной гиперпролактинемии и сопутствующих ей нарушений: галакторея, аменорея, импотенция, увеличение молочных желез, увеличение массы тела, мерцательная аритмия, боль в груди, злокачественный нейролептический синдром, нарушение эякуляции, постуральная гипотензия, гинекомастия и фригидность. ; Введение Тиаприда парентерально может спровоцировать слабость мышц, аллергию, гипертермию, возбуждение и ортостатическую гипотензию. Инъекции медикамента реже становятся причиной экстрапирамидных симптомов и гиперстимуляции (тревога, обострение симптомов шизофрении).
Передозировка
В настоящее время о случаях передозировки препарата не сообщалось.
Особые указания
С особой осторожностью применяют у пациентов с эпилепсией из-за возможного понижения порога судорожной готовности.; С осторожностью применять при тяжелых сердечно-сосудистых заболеваниях, паркинсонизме, почечной недостаточности, а также у пациентов пожилого возраста.; Парентеральное введение проводят под контролем врача.; В период лечения тиапридом не следует применять леводопу, агонисты допаминовых рецепторов (амантадин, апоморфин, бромокриптин, каберголин, энтакапон, лизурид, перголид, пирибедил, прамипексол, хинаголид), сультоприд; лекарственные средства, способные вызывать аритмии типа "пируэт" (антиаритмические средства I A и III классов, хлорпромазин, левомепромазин, тиоридазин, трифлуоперазин, сультоприд, дроперидол, галоперидол, пимозид, бепридил, цизаприд, дифеманил, эритромицин для в/в введения, винкамин для в/в введения, а также галофантрин, морфлоксацин, пентамидин, спарфлоксацин).; Не допускать употребления алкоголя.; Влияние на способность к вождению автотранспорта и управлению механизмами; С осторожностью применяют у пациентов, деятельность которых требует концентрации внимания и высокой скорости психомоторных реакций.
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Антипсихотическое действие обусловлено блокадой допаминовых D2-рецепторов мезолимбической или мезокортикальной системы. Оказывает анальгезирующее действие при интероцептивной и экстероцептивной боли. Обладает седативным действием, обусловленным блокадой адренорецепторов ретикулярной формации ствола головного мозга; противорвотным действием, связанным с блокадой допаминовых D2-рецепторов триггерной зоны рвотного центра; гипотермическим действием, обусловленным блокадой допаминовых рецепторов гипоталамуса."}}]},{"id":3,"name":"Показания к применению","slug":"indications","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Тиаприд предназначен для лечения взрослых с хроническим болевым синдромом, пациентов в состоянии психомоторного возбуждения, агрессии в старческом возрасте или при алкоголизме. Детям и взрослым таблетки медикамента рекомендуется употреблять при хорее и синдроме Жиля де ла Туретта. Лекарственное средство эффективно при лечении детей старше 6-летнего возраста с расстройствами поведения, сопровождающимися ажитацией и агрессией."}},{"type":"paragraph","data":{"text":"Инъекции Тиаприда успешно используются для лечения хореи, тремора, нервного тика, гиперкинетического и дискинетического синдромов, психомоторного возбуждения, паркинсонизма сосудистого происхождения, головной боли нейрогенной причины. Препарат оказывает помощь пациентам с алкогольной и наркологической зависимостью при нарушении поведения, пребывающим в состоянии абстиненции и алкогольного психоза. Тиаприд эффективен при сенильной моторной неустойчивости, разных расстройствах поведения пожилых людей и хроническом болевом синдроме."}}]},{"id":4,"name":"Противопоказания","slug":"contraindications","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Запрещено использовать Тиаприд людям с аллергией на состав лекарственного средства."}},{"type":"paragraph","data":{"text":"Не рекомендуется использовать препарат при феохромоцитоме, гипертоническом кризе, недостаточности работы почек."}},{"type":"paragraph","data":{"text":"Тиаприд в таблетках противопоказан детям до 6 лет, а в виде уколов – до 7 лет."}},{"type":"paragraph","data":{"text":"Таблетки запрещено употреблять пациентам с пролактинзависимыми новообразованиями."}},{"type":"paragraph","data":{"text":"С осторожностью препарат следует использовать пациентам с хронической недостаточностью работы почек, эпилепсией, болезнью Паркинсона, заболеваниями сердца и сосудов при декомпенсации. С осторожностью Тиаприд используют для людей пожилого возраста."}},{"type":"paragraph","data":{"text":"Таблетки Тиаприд с повышенной внимательностью следует употреблять пациентам с брадикардией, гипокалиемией, увеличенным QT интервалом."}}]},{"id":5,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"При беременности тиаприд применяют только по абсолютным показаниям в минимальных эффективных дозах. Новорожденным, матери которых при беременности получали тиаприд, рекомендуется провести мониторинг функций ЦНС и ЖКТ.; Неизвестно, выделяется ли тиаприд с грудным молоком. 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Детям дозировку медикамента следует подбирать индивидуально, из расчета 3–6 мг/кг/сутки. ; При лечении детей с расстройствами поведения и ажитации Тиаприд нужно употреблять по 100–150 мг/сутки. ; Раствор для в/м и в/в введения; При постоянном болевом синдроме Тиаприд используется по 200–400 мг/сут. ; Делириозное состояние лечится инъекциями медикамента с интервалом в 4–6 часов, доводя дозу до 0,4–1,2 г/сут. Суммарная доза препарат не должна превышать 1800 мг. ; В детском возрасте раствор для инъекций должен использоваться по 100–150 мг/сут. Дневной максимум не должен превышать 300 мг."}}]},{"id":7,"name":"Побочное действие","slug":"side_effects","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Лечение Тиапридом часто сопровождается сонливостью, повышенной утомляемостью, головокружением, повышением давления, бессонницей, астенией, апатией, ажитацией, синдромом Паркинсона (замедлением сердцебиения, повышенным слюноотделением, тремором). Реже лечение медикаментом вызывает обратимые симптомы дистонии, ранние дискинезии и астазию. Длительное применение лекарственного средства может спровоцировать позднюю дискинезию. ; Редко лечение таблетками Тиаприд становится причиной гиперпролактинемии и сопутствующих ей нарушений: галакторея, аменорея, импотенция, увеличение молочных желез, увеличение массы тела, мерцательная аритмия, боль в груди, злокачественный нейролептический синдром, нарушение эякуляции, постуральная гипотензия, гинекомастия и фригидность. ; Введение Тиаприда парентерально может спровоцировать слабость мышц, аллергию, гипертермию, возбуждение и ортостатическую гипотензию. 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