{"id":57949,"date":"2024-02-27T18:09:12","date_gmt":"2024-02-27T18:09:12","guid":{"rendered":"https:\/\/medsname.com\/atarise\/"},"modified":"2026-04-30T10:24:19","modified_gmt":"2026-04-30T10:24:19","slug":"atarise","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/atarise\/","title":{"rendered":"Atarise"},"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;\">Atarise (Hydroxyzine 10\/25 mg) este un antihistaminic sedativ de prim\u0103 genera\u021bie \u0219i anxiolitic cu ac\u021biune central\u0103. Utilizat pentru anxietate pe termen scurt, sedare preprocedural\u0103, prurit alergic \u0219i urticarie, precum \u0219i ca antiemetic. Neadictiv \u2014 util c\u00e2nd benzodiazepinele sunt nepotrivite.<\/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>Atarise de 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 <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 Atarise \u0219i cum func\u021bioneaz\u0103<\/h2>\n<p>Atarise este un comprimat de hydroxyzine 10\/25 mg furnizat de Sun Pharma. Hydroxyzina este un antihistaminic de prim\u0103 genera\u021bie din clasa piperazinelor cu antagonism puternic H1 central, antagonism slab 5-HT2A \u0219i activitate anticolinergic\u0103 moderat\u0103. Componenta H1 traverseaz\u0103 bariera hemato-encefalic\u0103 \u0219i st\u0103 la baza efectului sedativ \u0219i anxiolitic.<\/p>\n<p>Hydroxyzina este una dintre pu\u021binele op\u021biuni non-benzodiazepinice \u0219i non-barbiturice pentru ameliorarea anxiet\u0103\u021bii PRN \u2014 efect \u00een 30\u201360 de minute, durat\u0103 de 4\u20136 ore.<\/p>\n<h2>Indica\u021bii \u0219i dozaj<\/h2>\n<table>\n<thead>\n<tr>\n<th>Indica\u021bie<\/th>\n<th>Doza pentru adul\u021bi<\/th>\n<th>Note<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Anxietate acut\u0103\/agitare<\/td>\n<td>25\u2013100 mg PO\/IM, se poate repeta la fiecare 6 ore<\/td>\n<td>Maxim 400 mg\/zi<\/td>\n<\/tr>\n<tr>\n<td>Prurit\/urticarie<\/td>\n<td>25 mg de 3\u20134 ori pe zi<\/td>\n<td>Maxim 100 mg de 4 ori pe zi<\/td>\n<\/tr>\n<tr>\n<td>Sedare preoperatorie<\/td>\n<td>50\u2013100 mg cu 1 or\u0103 \u00eenainte de interven\u021bie<\/td>\n<td>\u2014<\/td>\n<\/tr>\n<tr>\n<td>Antiemetic<\/td>\n<td>25\u2013100 mg IM<\/td>\n<td>Doar pentru adul\u021bi<\/td>\n<\/tr>\n<tr>\n<td>Insomnie (off-label)<\/td>\n<td>25\u201350 mg HS<\/td>\n<td>Doar pe termen scurt<\/td>\n<\/tr>\n<tr>\n<td>Prurit pediatric \/ sedare<\/td>\n<td>0,5\u20131 mg\/kg\/doz\u0103 la fiecare 6 ore<\/td>\n<td>\u2014<\/td>\n<\/tr>\n<tr>\n<td>Pacien\u021bi \u00een v\u00e2rst\u0103 (orice indica\u021bie)<\/td>\n<td>\u00eencepe cu 10\u201325 mg<\/td>\n<td>Risc QT \u0219i risc de c\u0103deri<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\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>Prelungire QT \u2014 restric\u021bie EMA 2015<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Hydroxyzina prelunge\u0219te intervalul QT \u00eentr-o manier\u0103 dependent\u0103 de doz\u0103. EMA a impus restric\u021bii de dozaj \u00een 2015: <strong>maximum 100 mg\/zi la adul\u021bi, 50 mg\/zi la persoanele \u00een v\u00e2rst\u0103 \u0219i 2 mg\/kg\/zi la copii<\/strong>. Evita\u021bi \u00een cazul prelungirii QT cunoscute, hipokaliemie\/hipomagneziemie, infarct miocardic recent, insuficien\u021b\u0103 cardiac\u0103 necompensat\u0103 \u0219i medicamente concomitente care prelungesc QT (azole, macrolide, fluoroquinolone, metadon\u0103, ondansetron, antipsihotice). ECG pre-terapeutic recomandat la persoanele \u00een v\u00e2rst\u0103.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>\u00cenc\u0103rc\u0103tur\u0103 anticolinergic\u0103<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Hydroxyzina are o activitate anticolinergic\u0103 semnificativ\u0103 \u2014 relevant\u0103 \u00een special la persoanele \u00een v\u00e2rst\u0103 (medica\u021bie poten\u021bial inadecvat\u0103 conform Criteriilor Beers). Evita\u021bi \u00een glaucom cu unghi \u00eengust, HBP cu reten\u021bie, demen\u021b\u0103, constipa\u021bie sever\u0103. Societatea American\u0103 de Geriatrie descurajeaz\u0103 utilizarea antihistaminicelor de prima genera\u021bie ca agen\u021bi PRN la persoanele \u00een v\u00e2rst\u0103.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Sedare \u0219i conducere<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Sedarea dup\u0103 o singur\u0103 doz\u0103 poate persista 6+ ore; evita\u021bi conducerea \u0219i utilizarea ma\u0219inilor p\u00e2n\u0103 c\u00e2nd se cunoa\u0219te tolerabilitatea. Deosebit de problematic la pacien\u021bii chirurgicali naive la opioide \u00een ziua extern\u0103rii.<\/p>\n<\/div>\n<h2>Efecte secundare frecvente<\/h2>\n<ul>\n<li><strong>Sedare \/ somnolen\u021b\u0103:<\/strong> universal la doze terapeutice.<\/li>\n<li><strong>Anticolinergic:<\/strong> gur\u0103 uscat\u0103, constipa\u021bie, dificultate la urinare, vedere \u00eence\u021bo\u0219at\u0103.<\/li>\n<li><strong>QT:<\/strong> prelungire dependent\u0103 de doz\u0103.<\/li>\n<li><strong>SNC:<\/strong> ame\u021beal\u0103, ataxie, agita\u021bie paradoxal\u0103 la adul\u021bii \u00een v\u00e2rst\u0103 \u0219i copii.<\/li>\n<li><strong>Interrup\u021bie tratament:<\/strong> niciunul \u2014 non-adictiv.<\/li>\n<\/ul>\n<h2>Interac\u021biuni medicamentoase<\/h2>\n<ul>\n<li><strong>Alte medicamente care prelungesc intervalul QT<\/strong> \u2014 risc aditiv.<\/li>\n<li><strong>Depresante ale SNC<\/strong> (alcool, benzodiazepine, opioide, Z-medicamente) \u2014 sedare aditiv\u0103.<\/li>\n<li><strong>Anticolinergice<\/strong> \u2014 povar\u0103 aditiv\u0103.<\/li>\n<li><strong>MAOI<\/strong> \u2014 efecte anticolinergice \u0219i depresive ale SNC aditive.<\/li>\n<\/ul>\n<h2>Sarcina, al\u0103ptare, pediatric<\/h2>\n<p>Sarcina: evita\u021bi \u00een primele luni de sarcin\u0103; exist\u0103 alternative mai sigure. Al\u0103ptare: trece \u00een lapte \u0219i poate seda copilul; de obicei evitat. Pediatric: dozare pe kg, aten\u021bie la excita\u021bia paradoxal\u0103 (5\u201310% dintre copii).<\/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 Atarise de o benzodiazepin\u0103?<\/h3>\n<p>Hidroxizina ac\u021bioneaz\u0103 pe receptorii H1 de histamin\u0103, nu pe GABA-A. Traducerea clinic\u0103: sedare acut\u0103 similar\u0103, anxioliz\u0103 similar\u0103, dar f\u0103r\u0103 poten\u021bial de abuz, f\u0103r\u0103 dependen\u021b\u0103, f\u0103r\u0103 depresie respiratorie la supradoz\u0103, f\u0103r\u0103 sindrom de sevraj. Hidroxizina are un efect de plafon mai sc\u0103zut \u2014 la doze terapeutice nu atinge ad\u00e2ncimea de ameliorare acut\u0103 produs\u0103 de alprazolam sau lorazepam.<\/p>\n<h3>Pot lua Atarise la nevoie pentru anxietate?<\/h3>\n<p>Da \u2014 debutul este \u00een 30\u201360 de minute, durata de 4\u20136 ore \u0219i f\u0103r\u0103 risc de dependen\u021b\u0103. Atarise este una dintre op\u021biunile mai bune PRN atunci c\u00e2nd benzodiazepinele sunt nepotrivite (istoric de consum de substan\u021be, sarcin\u0103, expunere profesional\u0103 la testarea substan\u021belor controlate, seting de \u00eengrijire primar\u0103 reticent \u00een a prescrie BZD).<\/p>\n<h3>Atarise m\u0103 va face somnoros a doua zi?<\/h3>\n<p>Uneori \u2014 \u00een special la dozele de 50 mg+ administrate la culcare. Persoanele \u00een v\u00e2rst\u0103 sunt cele mai susceptibile. Dozele mai mici (25 mg) de obicei sunt eliminate p\u00e2n\u0103 diminea\u021ba.<\/p>\n<h3>Este Atarise sigur pentru persoanele \u00een v\u00e2rst\u0103?<\/h3>\n<p>Hydroxyzina este pe lista Beers Criteria a medicamentelor poten\u021bial inadecvate pentru persoanele \u00een v\u00e2rst\u0103 din cauza \u00eenc\u0103rc\u0103turii anticholinergice, riscului de c\u0103dere \u0219i semnalului QT. Utilizarea nu este absolut interzis\u0103, dar trebuie s\u0103 fie prudent\u0103, limitat\u0103 \u00een timp \u0219i la doze mai mici.<\/p>\n<h3>De ce are Atarise un avertisment QT?<\/h3>\n<p>Ca multe antihistaminice sedative, hydroxyzina prelunge\u0219te intervalul QT \u00eentr-un mod dependent de doz\u0103. La doze ocazionale la pacien\u021bii tineri cu ECG normal riscul este neglijabil; la doze zilnice mari sau la pacien\u021bii \u00een v\u00e2rst\u0103 cu boli cardiovasculare riscul este semnificativ din punct de vedere clinic. Limitele de doz\u0103 EMA reflect\u0103 acest lucru.<\/p>\n<h3>Poate fi utilizat Atarise pe termen lung?<\/h3>\n<p>Utilizarea zilnic\u0103 dincolo de c\u00e2teva s\u0103pt\u0103m\u00e2ni este neobi\u0219nuit\u0103 \u2014 apare toleran\u021b\u0103 la efectul sedativ, iar \u00eenc\u0103rc\u0103tura anticholinergic\u0103 se acumuleaz\u0103. Pentru GAD cronic, este preferat un SSRI\/SNRI sau buspirona. Atarise func\u021bioneaz\u0103 cel mai bine ca PRN sau pod pe termen scurt.<\/p>\n<h3>Pot conduce sub influen\u021ba Atarise?<\/h3>\n<p>Evita\u021bi conducerea pentru cel pu\u021bin 6\u20138 ore dup\u0103 o doz\u0103, \u00een special dup\u0103 primele doze. Majoritatea pacien\u021bilor cu regimuri stabile la doze mici conduc normal \u2014 dar defini\u021bia legal\u0103 a incapacit\u0103\u021bii variaz\u0103 \u00een func\u021bie de jurisdic\u021bie.<\/p>\n<h3>Poate fi utilizat Atarise \u00een timpul sarcinii?<\/h3>\n<p>Utilizarea \u00een primul trimestru este \u00een general evitat\u0103 din cauza preocup\u0103rilor teoretice; mai t\u00e2rziu \u00een sarcin\u0103, hidroxizina a fost utilizat\u0103 pentru grea\u021b\u0103-v\u0103rs\u0103turi \u0219i prurit cu o siguran\u021b\u0103 rezonabil\u0103. Discuta\u021bi cu obstetricianul dumneavoastr\u0103.<\/p>\n<h3>Copiii pot lua Atarise?<\/h3>\n<p>Da \u2014 hidroxizina este unul dintre agen\u021bii mai vechi utiliza\u021bi \u00een sedarea pediatric\u0103 \u0219i prurit. Fi\u021bi aten\u021bi la excita\u021bia paradoxal\u0103 (5\u201310% dintre copii devin mai agita\u021bi dec\u00e2t mai calmi).<\/p>\n<h3>Atarise este dependent?<\/h3>\n<p>Nu \u2014 nu produce euforie, nu duce la utilizare compulsiv\u0103, nu provoac\u0103 sindrom de abstinen\u021b\u0103, nu apare toleran\u021b\u0103 la efectul anxiolitic (toleran\u021ba la efectul sedativ se dezvolt\u0103 par\u021bial cu utilizarea zilnic\u0103).<\/p>\n<h2>Alte Medicamente pentru S\u0103n\u0103tatea Mintal\u0103<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/busiron\/\">Busiron (Buspiron \u2014 anxiolitic f\u0103r\u0103 efect sedativ)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/lexaheal\/\">Lexaheal (Escitalopram \u2014 tratament de prim\u0103 linie pentru TAG)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/pexep\/\">Pexep (Paroxetin\u0103 \u2014 tratament de prim\u0103 linie pentru TAG)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/mirtaz\/\">Mirtaz (Mirtazapin\u0103 \u2014 antidepresiv sedativ)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/fliban\/\">Fliban (Flibanserin \u2014 HSDD; libido feminin)<\/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>Atarise (Hydroxyzine HCl 10\/25 mg) \u2014 antihistaminic sedativ de prim\u0103 genera\u021bie pentru anxietate PRN, prurit, sedare. Anxiolitic PRN neadictiv \u2014 efect \u00een 30\u201360 min.<\/p>","protected":false},"featured_media":57950,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3906],"product_tag":[4390,4391],"class_list":{"0":"post-57949","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-atarise","10":"product_tag-hydroxizine","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\/57949","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=57949"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/57950"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=57949"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=57949"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=57949"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=57949"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}