{"id":55542,"date":"2024-02-07T05:29:25","date_gmt":"2024-02-07T05:29:25","guid":{"rendered":"https:\/\/medsname.com\/arzodel\/"},"modified":"2026-04-30T10:24:47","modified_gmt":"2026-04-30T10:24:47","slug":"arzodel","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/arzodel\/","title":{"rendered":"Arzodel"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fff8d6;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">\u26a1 R\u0103spuns rapid<\/h3>\n<p style=\"margin-bottom:0;\">Arzodel (Aripiprazol 5 \/ 10 \/ 15 mg) este un antipsihotic atipic cu un mecanism unic de ac\u021biune par\u021bial-agonist\u0103 pe D2. Utilizat \u00een schizofrenie, manie \u0219i men\u021binere bipolar\u0103, adjunct \u00een TCM \u0219i iritabilitate \u00een autism. Cel mai pu\u021bin metabolic dintre atipice \u2014 cre\u0219tere minim\u0103 \u00een greutate, sedare minim\u0103.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Arzodel la MedsBase este furnizat direct de la un produc\u0103tor certificat WHO-GMP \u00een ambalaj simplu \u0219i discret. Fiecare comand\u0103 este acoperit\u0103 de asigurarea noastr\u0103 de reshipment. <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a> \u2014 perioad\u0103 de livrare de 20 de zile lucr\u0103toare sau retrimitem f\u0103r\u0103 costuri suplimentare \u2014 \u0219i se calific\u0103 pentru <a href=\"https:\/\/medsbase.com\/ro\/loyalty-points\/\">programul nostru de loialitate pentru clien\u021bi<\/a>. Livr\u0103rile sunt disponibile \u00een majoritatea destina\u021biilor la nivel mondial.<\/p>\n<h2>Ce este Arzodel \u0219i cum func\u021bioneaz\u0103<\/h2>\n<p>Arzodel este un comprimat de aripiprazol furnizat de Torrent. Doze disponibile: <strong>5 \/ 10 \/ 15 mg<\/strong>. Aripiprazolul se diferen\u021biaz\u0103 mecanistic de alte antipsihotice atipice: ac\u021bioneaz\u0103 ca <strong>agonist par\u021bial<\/strong> la receptorii dopaminergici D2 \u0219i serotoninergici 5-HT1A \u0219i ca antagonist complet la receptorii 5-HT2A. Profilul de agonist par\u021bial \u00eenseamn\u0103 c\u0103 func\u021bioneaz\u0103 ca antagonist acolo unde activitatea dopaminergic\u0103 este ridicat\u0103 (trat\u00e2nd simptomele pozitive \u00een schizofrenie) \u0219i ca agonist slab acolo unde activitatea dopaminergic\u0103 este sc\u0103zut\u0103 (p\u0103str\u00e2nd cogni\u021bia, reduc\u00e2nd riscul de efecte adverse motorii \u0219i hiperprolactinemie).<\/p>\n<h2>Indica\u021bii \u0219i dozaj<\/h2>\n<table>\n<thead>\n<tr>\n<th>Indica\u021bie<\/th>\n<th>Doza ini\u021bial\u0103<\/th>\n<th>\u021aint\u0103<\/th>\n<th>Maxim<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Schizofrenie (adul\u021bi)<\/td>\n<td>10\u201315 mg pe zi<\/td>\n<td>10\u201330 mg pe zi<\/td>\n<td>30 mg<\/td>\n<\/tr>\n<tr>\n<td>Schizofrenie (adolescent \u2265 13 ani)<\/td>\n<td>2 mg OD \u00d7 2 zile \u2192 5 mg \u00d7 2 zile \u2192 10 mg<\/td>\n<td>10 mg OD<\/td>\n<td>30 mg<\/td>\n<\/tr>\n<tr>\n<td>Manie bipolar\u0103 (adult)<\/td>\n<td>15 mg OD<\/td>\n<td>15\u201330 mg OD<\/td>\n<td>30 mg<\/td>\n<\/tr>\n<tr>\n<td>Tratament adjunctiv pentru depresie major\u0103 (cu antidepresiv)<\/td>\n<td>2\u20135 mg OD<\/td>\n<td>5\u201310 mg OD<\/td>\n<td>15 mg<\/td>\n<\/tr>\n<tr>\n<td>Iritabilitate \u00een autism (\u2265 6 ani)<\/td>\n<td>2 mg OD<\/td>\n<td>5\u201310 mg OD (\u00een func\u021bie de greutate)<\/td>\n<td>15 mg<\/td>\n<\/tr>\n<tr>\n<td>Sindromul Tourette (\u2265 6 ani)<\/td>\n<td>2 mg OD<\/td>\n<td>5\u201320 mg OD<\/td>\n<td>20 mg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Doza unic\u0103 zilnic\u0103, cu sau f\u0103r\u0103 alimente. Titra\u021bi lent la pacien\u021bii sensibili la acatisie.<\/p>\n<h2>Considera\u021bii importante de siguran\u021b\u0103<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>FDA black-box \u2014 psihoz\u0103 asociat\u0103 demen\u021bei<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Toate antipsihoticele atipice poart\u0103 un avertisment FDA black-box pentru mortalitate crescut\u0103 (\u00een principal cardiovascular\u0103 \u0219i infec\u021bioas\u0103) atunci c\u00e2nd sunt utilizate pentru tratarea tulbur\u0103rilor de comportament la adul\u021bii \u00een v\u00e2rst\u0103 cu demen\u021b\u0103. <strong>Antipsihoticele atipice nu sunt aprobate pentru psihoza sau agita\u021bia asociat\u0103 demen\u021bei<\/strong>. Utilizarea \u00een aceast\u0103 popula\u021bie este off-label, de ultim\u0103 instan\u021b\u0103, limitat\u0103 \u00een timp \u0219i necesit\u0103 o discu\u021bie explicit\u0103 despre raportul risc-beneficiu.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Acatisia este efectul secundar dominant<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Aripiprazolul produce mai pu\u021bin\u0103 cre\u0219tere \u00een greutate, mai pu\u021bin\u0103 sedare \u0219i mai pu\u021bin\u0103 cre\u0219tere a prolactinei dec\u00e2t alte medicamente atipice \u2014 dar mai mult\u0103 <strong>acatisie<\/strong> (o senza\u021bie intern\u0103 de agita\u021bie, adesea descris\u0103 ca \u201cnevoia de a mi\u0219ca\u201d, \u201cpielea furnic\u00e2nd\u201d sau \u201cnu pot sta locului\u201d). Acatisia este cea mai frecvent\u0103 cauz\u0103 de \u00eentrerupere a tratamentului cu aripiprazol. Se poate gestiona prin reducerea dozei, propranolol 20\u201380 mg\/zi sau schimbarea medicamentului.<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Tulbur\u0103ri de control al impulsurilor (rare)<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Jocul patologic, hipersexualitatea, cump\u0103r\u0103turile compulsive \u0219i m\u00e2ncatul compulsiv au fost raportate la aripiprazol \u2014 cauzate de agonismul par\u021bial D2\/D3. Se opresc la \u00eentreruperea tratamentului. \u00centreba\u021bi explicit la urm\u0103rirea pacientului.<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Avertizare cutie neagr\u0103 privind suicidul (sub 25 de ani \u00een utilizarea adjunctiv\u0103 pentru depresie major\u0103)<\/strong><\/p>\n<p style=\"margin-bottom:0;\">C\u00e2nd este utilizat ca adjunct la antidepresive, avertizarea privind riscul de suicid la persoanele sub 25 de ani se aplic\u0103.<\/p>\n<\/div>\n<h2>Efecte secundare frecvente<\/h2>\n<ul>\n<li><strong>Acatisie<\/strong> \u2014 cel mai frecvent motiv de \u00eentrerupere a tratamentului (15\u201325%).<\/li>\n<li><strong>Insomnie, anxietate, agita\u021bie<\/strong> \u2014 frecvente la \u00eenceput; se atenueaz\u0103 \u00een multe cazuri.<\/li>\n<li><strong>Grea\u021b\u0103, v\u0103rs\u0103turi<\/strong> \u2014 primele 1\u20132 s\u0103pt\u0103m\u00e2ni.<\/li>\n<li><strong>Cre\u0219terea \u00een greutate<\/strong> \u2014 moderate (mai pu\u021bin dec\u00e2t olanzapina, clozapina, quetiapina).<\/li>\n<li><strong>Sedare<\/strong> \u2014 u\u0219oare \u00een compara\u021bie cu alte atipice.<\/li>\n<li><strong>Prolactina<\/strong> \u2014 de obicei scade (agonism par\u021bial D2).<\/li>\n<li><strong>EPS\/tardive dyskinezie<\/strong> \u2014 neobi\u0219nuite la dozele uzuale.<\/li>\n<\/ul>\n<h2>Interac\u021biuni medicamentoase<\/h2>\n<ul>\n<li><strong>Inhibitori puternici ai CYP3A4<\/strong> (azole, claritromicin\u0103, ritonavir) \u2014 \u00eenjum\u0103t\u0103\u021bi\u021bi doza de aripiprazol.<\/li>\n<li><strong>Inhibitori puternici ai CYP2D6<\/strong> (paroxetin\u0103, fluoxetin\u0103, bupropion, chinidin\u0103) \u2014 \u00eenjum\u0103t\u0103\u021bi\u021bi doza.<\/li>\n<li><strong>Inductori puternici ai CYP3A4<\/strong> (rifampicin\u0103, carbamazepin\u0103, fenitoin\u0103, St John\u2019s wort) \u2014 dubla\u021bi doza sau schimba\u021bi tratamentul.<\/li>\n<li><strong>Alte medicamente care prelungesc intervalul QT<\/strong> \u2014 \u00een general mai sigur dec\u00e2t alte atipice pe intervalul QT, dar risc aditiv posibil.<\/li>\n<li><strong>Antihipertensive<\/strong> \u2014 hipotensiune aditiv\u0103 la \u00eenceput.<\/li>\n<\/ul>\n<h2>Sarcina, al\u0103ptare, pediatric<\/h2>\n<p>Sarcina: date limitate; evalua\u021bi riscurile \u00een compara\u021bie cu boala netratat\u0103. Al\u0103ptarea: trece \u00een lapte; de obicei compatibil cu monitorizarea. Pediatric: autorizat de la 6 ani (autism), 10 ani (tulburare bipolar\u0103), 13 ani (schizofrenie).<\/p>\n<h2>Depozitare<\/h2>\n<p>P\u0103strare la 15\u201330 \u00b0C \u00een ambalajul original.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3>Cum difer\u0103 Arzodel de alte antipsihotice?<\/h3>\n<p>Aripiprazolul este agonistul par\u021bial de dopamin\u0103 cel mai prescris (al\u0103turi de brexpiprazol \u0219i cariprazin\u0103). Traducerea clinic\u0103: cre\u0219tere mai mic\u0103 \u00een greutate, sedare mai redus\u0103, cre\u0219tere mai mic\u0103 a prolactinei fa\u021b\u0103 de olanzapin\u0103\/risperidon\u0103\/quetiapin\u0103 \u2014 dar mai mult\u0103 acatisie \u0219i un semnal mic de tulburare a controlului impulsurilor.<\/p>\n<h3>Ce este acatisia?<\/h3>\n<p>Acatisia este o senza\u021bie intern\u0103 de agita\u021bie \u2014 adesea descris\u0103 ca \u201cnevoia de a mi\u0219ca\u201d, \u201cpielea furnic\u00e2nd\u201d sau \u201cnu pot sta locului\u201d. Este cel mai frecvent motiv pentru care pacien\u021bii \u00eentrerup tratamentul cu aripiprazol. Informa\u021bi-v\u0103 medicul la timp \u2014 poate fi gestionat\u0103 prin reducerea dozei, propranolol 20\u201380 mg\/zi sau uneori cu un benzodiazepinic temporar \u00een timpul titr\u0103rii dozei.<\/p>\n<h3>Arzodel m\u0103 va face s\u0103 iau \u00een greutate?<\/h3>\n<p>Cre\u0219tere modest\u0103 \u00een greutate \u2014 de obicei 1\u20133 kg \u00een 6 luni, mult mai pu\u021bin dec\u00e2t olanzapina, clozapina sau quetiapina. Aripiprazolul este adesea antipsihoticul atipic ales c\u00e2nd greutatea este o preocupare principal\u0103.<\/p>\n<h3>Poate fi Arzodel utilizat cu un antidepresiv?<\/h3>\n<p>Da \u2014 aripiprazolul este aprobat de FDA ca adjuvant la antidepresive \u00een depresia major\u0103 la doze mici (2\u201310 mg). Combina\u021bia este bine dovedit\u0103 (CO-MED, altele) \u0219i bine tolerat\u0103.<\/p>\n<h3>De ce provoac\u0103 Arzodel uneori jocuri de noroc sau alte compulsii?<\/h3>\n<p>Agonismul par\u021bial D2\/D3 se extinde la circuitele de recompens\u0103 limbice. O mic\u0103 parte dintre pacien\u021bi dezvolt\u0103 tulbur\u0103ri de control al impulsurilor (jocuri patologice, hipersexualitate, cump\u0103r\u0103turi compulsive, exces alimentar). \u00centreba\u021bi \u00eentotdeauna explicit la urm\u0103rire. Se opre\u0219te la \u00eentreruperea tratamentului.<\/p>\n<h3>C\u00e2t dureaz\u0103 p\u00e2n\u0103 \u00eencepe s\u0103 ac\u021bioneze Arzodel?<\/h3>\n<p>Efectul antipsihotic este de obicei vizibil \u00een 1\u20132 s\u0103pt\u0103m\u00e2ni pentru simptomele pozitive; efect complet la 4\u20136 s\u0103pt\u0103m\u00e2ni. Efectul adjuvant antidepresiv la 2\u20136 s\u0103pt\u0103m\u00e2ni. Efectul stabilizator al dispozi\u021biei \u00een tulburarea bipolar\u0103 \u00een c\u00e2teva zile pentru mania acut\u0103.<\/p>\n<h3>Poate fi Arzodel oprit brusc?<\/h3>\n<p>\u00cen general da \u2014 sevrajul este u\u0219or datorit\u0103 timpului de \u00eenjum\u0103t\u0103\u021bire lung al aripiprazolului (~75 de ore). Cu toate acestea, \u00eentreruperea brusc\u0103 \u00een schizofrenie \u0219i tulburare bipolar\u0103 prezint\u0103 un risc mare de recidiv\u0103. Nu opri\u021bi niciodat\u0103 f\u0103r\u0103 acordul medicului prescriptor.<\/p>\n<h3>Va afecta Arzodel fertilitatea mea?<\/h3>\n<p>Aripiprazolul ridic\u0103 rareori nivelul prolactinei \u2014 fertilitatea nu este de obicei afectat\u0103. Compara\u021bi cu risperidonul (cre\u0219te substan\u021bial nivelul prolactinei, cauz\u0103 frecvent\u0103 de amenoree, galactoree \u0219i hipogonadism masculin).<\/p>\n<h3>Cum r\u0103m\u00e2ne cu condusul sub influen\u021ba Arzodel?<\/h3>\n<p>Sedarea este relativ u\u0219oar\u0103. Majoritatea pacien\u021bilor care iau doze stabile conduc normal \u2014 dar primele 1\u20132 s\u0103pt\u0103m\u00e2ni de titrare pot afecta timpul de reac\u021bie. Evita\u021bi condusul p\u00e2n\u0103 c\u00e2nd se cunoa\u0219te tolerabilitatea.<\/p>\n<h3>Exist\u0103 versiuni LAI (cu ac\u021biune prelungit\u0103 injectabil\u0103) disponibile?<\/h3>\n<p>Da \u2014 formularele depot de aripiprazol (Maintena lunar, Asimtufii bimestrial) sunt disponibile pentru sprijinirea aderen\u021bei \u00een schizofrenie. Versiunea sub form\u0103 de comprimate este formularea standard de ini\u021biere \u0219i titrare a dozei.<\/p>\n<h2>Alte Medicamente pentru S\u0103n\u0103tatea Mintal\u0103<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/aripicon\/\">Aripicon (Aripiprazol \u2014 agonist par\u021bial D2)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/olanzap\/\">Olanzap (Olanzapin\u0103 \u2014 antipsihotic puternic)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/risdone\/\">Risdone (Risperidon\u0103)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/seroquit\/\">Seroquit (Quetiapin\u0103 \u2014 depresie bipolar\u0103)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/atlura\/\">Atlura (Lurasidon\u0103 \u2014 metabolic neutru)<\/a><\/li>\n<\/ul>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;font-size:0.9em;\">\n<strong>Not\u0103 medical\u0103.<\/strong> Aceast\u0103 pagin\u0103 are scop educa\u021bional \u0219i nu \u00eenlocuie\u0219te sfatul medical personalizat. Farmacoterapia pentru s\u0103n\u0103tatea mintal\u0103 ar trebui ini\u021biat\u0103, monitorizat\u0103 \u0219i ajustat\u0103 de c\u0103tre un clinician calificat. Dac\u0103 tu sau cineva cunoscut se afl\u0103 \u00eentr-o criz\u0103 suicidal\u0103, contacteaz\u0103 imediat serviciile de urgen\u021b\u0103 locale sau sun\u0103 la linia de preven\u021bie a suicidului din \u021bara ta (SUA\/Canada: 988; UK: Samaritans 116 123; list\u0103 interna\u021bional\u0103: <a href=\"https:\/\/findahelpline.com\/\" rel=\"nofollow noopener\" target=\"_blank\">findahelpline.com<\/a>).\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Arzodel (Aripiprazol 5\u201315 mg) \u2014 atipic cu ac\u021biune par\u021bial-agonist\u0103 pe D2 pentru schizofrenie, manie bipolar\u0103, adjunct \u00een TCM. Efecte reduse asupra prolactinei \u0219i greut\u0103\u021bii fa\u021b\u0103 de alte atipice.<\/p>","protected":false},"featured_media":55543,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3906],"product_tag":[3945,3946],"class_list":{"0":"post-55542","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-general-health","8":"product_cat-mental-health-and-psychiatric-medications","9":"product_tag-aripiprazole","10":"product_tag-arzodel","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/55542","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=55542"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/55543"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=55542"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=55542"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=55542"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=55542"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}