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valdoxan prospect

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  • Valdoxan, comprimate

    Compozitie
    Valdoxan este un medicament care contine substanta activa agomelatina. Este disponibil sub forma de comprimate alungite, galben-portocalii (25 mg).

    Indicatii

    Valdoxan se utilizeaza la tratarea depresiei majore la adulti. depresia majora este o afectiune in cazul careia pacientii prezinta tulburari de dispozitie care le afecteaza viata de zi cu zi. simptomele includ de cele mai multe ori tristetea profunda, sentimente de inutilitate, pierderea interesului in activitatile preferate, tulburari de somn, sentimentul incetinirii activitatii, sentimente de anxietate si modificari ale greutatii corporale. Medicamentul se poate elibera numai pe baza de reteta.

    Administrare
    Doza recomandata de Valdoxan este de un comprimat pe zi, luat inainte de culcare, cu sau fara alimente. In cazul in care nu se observa o imbunatatire a simptomelor dupa doua saptamani, medicul poate mari doza la doua comprimate luate impreuna inainte de culcare. Pacientii care sufera de depresie trebuie sa fie tratati timp de cel putin sase luni pentru a se asigura ca nu mai prezinta simptome. Ficatul pacientului trebuie verificat prin intermediul unor analize de sange la inceputul tratamentului si apoi dupa aproximativ 6, 12 si 24 de saptamani de tratament. Ficatul trebuie, de asemenea, verificat daca pacientul dezvolta simptome care ar putea indica afectiuni hepatice. Tratamentul trebuie intrerupt la pacientii care prezinta niveluri anormale de enzime hepatice in sange. Analizele de sange trebuie sa fie apoi repetate pana in momentul in care nivelurile enzimelor hepatice revin la normal. Deoarece nu s-a observat un beneficiu evident al Valdoxan la pacientii cu varste peste 65 de ani, medicamentul trebuie utilizat cu precautie in cazul acestei grupe de varsta. De asemenea, acesta trebuie utilizat cu precautie la pacientii cu afectiuni renale moderate sau severe. Este interzisa utilizarea medicamentului la pacientii cu afectiuni hepatice.

    Actiune terapeutica
    Substanta activa din Valdoxan, agomelatina, este un antidepresiv. Aceasta actioneaza in doua moduri, atat prin stimularea receptorilor MT1 si MT2, care sunt in mod normal activati de melatonina, precum si prin blocarea receptorilor 5-HT2C, care sunt in mod normal activati de neurotransmitatorul 5-hidroxitriptamina (denumit si serotonina). Se considera ca aceasta duce la cresterea nivelurilor de dopamina si noradrenalina intre celulele nervoase din ariile cerebrale care au un rol in controlul dispozitiei. Se presupune ca aceasta contribuie la ameliorarea simptomelor depresiei. De asemenea, Valdoxan poate contribui si la normalizarea programului de somn al pacientului.

    Contraindicatii

    Valdoxan nu se utilizeaza la persoanele care pot prezenta hipersensibilitate (alergie) la agomelatina sau la oricare alt ingredient al acestui medicament. Este interzisa utilizarea medicamentului la pacientii cu afectiuni hepatice, cum ar fi ciroza (cicatrizare a ficatului) sau boala hepatica activa. Este interzisa utilizarea medicamentului la pacientii carora li se administreaza medicamente care incetinesc descompunerea Valdoxan in organism, precum fluvoxamina (un alt antidepresiv) si ciprofloxacina (un antibiotic). Valdoxan nu se utilizeaza la pacientii in varsta care sufera de dementa.

    Reactii adverse

    Cele mai frecvente efecte secundare asociate cu Valdoxan (observate la 1 pana la 10 pacienti din 100) includ dureri de cap, ameteala, somnolenta (senzatie de somn), insomnie (dificultati de adormire), migrena, greata (senzatie de rau), diaree, constipatie, dureri ale abdomenului superior (dureri de stomac), hiperhidroza (transpiratie excesiva), dureri de spate, fatigabilitate (oboseala), cresteri ale nivelurilor enzimelor hepatice si anxietate. Majoritatea efectelor secundare au avut o intensitate scazuta sau moderata si au fost observate in timpul primelor doua saptamani de tratament. Unele dintre aceste efecte secundare pot avea legatura mai degraba cu depresia de care sufera pacientul decat cu Valdoxan. Pentru lista completa a tuturor efectelor secundare raportate asociate cu Valdoxan, a se consulta prospectul.

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