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Zopiclone Vente ça - Imovane Pharmacie En Ligne Quebec
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En début ou en milieu de nuit. Un tiers des Français se plaignent de troubles du sommeil, et 10 % d'entre eux y remédient en absorbant des somnifères. Point sur ces médicaments, leurs avantages, mais aussi leurs inconvénients. Prise discontinue. Les insomnies peuvent être dues aussi à une multitude d'états pathologiques et psychiatriques que les hypnotiques ne feront que masquer (une dépression, une insuffisance cardiaque, une douleur rhumatismale peuvent notamment en être à l'origine). En outre, une prise de ce type de médicament au long cours entraîne un certain nombre d'effets indésirables, comme des troubles de la mémoire, des somnolences dans la journée, particulièrement dangereuses au volant. En cas de consommation d'alcool, la baisse de la vigilance s'en trouve accentuée d'autant. Autre particularité qui milite en faveur d'un traitement le plus court possible: le risque de tolérance. Redoutable accoutumance. Les hypnotiques les plus utilisés appartiennent à la famille des benzodiazépines et apparentées. Elles ont toutes des propriétés anxiolytiques, sédatives, myorelaxantes et anticonvulsives, mais à des degrés divers selon les molécules et les posologies, et leurs indications se révèlent bien distinctes. Certaines sont données en cas d'anxiété, d'autres d'épilepsie, et d'autres enfin pour insomnie. Ce sont les laboratoires pharmaceutiques qui choisissent les indications de leurs médicaments lorsqu’ils déposent un dossier d’autosiation de mise sur le marché à l’Afssaps. Or, dans la pratique, celles-ci ne sont pas toujours respectées par les prescripteurs. Ainsi, certains antidépresseurs, comme l’amotriptyline (Laroxil), sont prescrits aux insomniaques, à des doses faibles, pour leurs propriétés sédatives. “Ils ne créent pas d’accoutumance ni de dépendance, explique le Dr Royant-Parola, mais ils ne sont pas dénués d’effets secondaires tels que nausées, vertiges, instabilité, impression de mal être.“ En outre, un anticonvulsif, engendrant bien cette fois une dépendance, est parfois donné aux personnes souffrant de rhumatismes ou de douleurs articulaires! Il s’agit du Rivotril (clonazépam) dont l’AMM a été accordée pour le traitement de l’épilepsie. Certains rhumatologues le préconisent, en association d’ailleurs avec le Laroxil, aux sujets chez qui les antalgiques classiques ne s’avèrent pas suffisamment efficaces. Le phénomène prend une telle ampleur que l’Afssaps s’intéresse de plus en plus à ces détournements d’AMM. “Le Rivotril est sous haute surveillance, nous dit-on à l’Afssaps. Nous sommes en train de rassembler toutes les données disponibles, tant sur le plan de l’efficacité que de la sécurité, pour effectuer une évaluation de ces prescriptions.“ “Il faut diminuer les doses progressivement sur plusieurs mois, avec des paliers successifs, explique le Dr Royant-Parola, afin d'éviter les rebonds d'insomnie.” Un arrêt brutal des benzodiazépines provoque en effet une détérioration du sommeil pendant quelques semaines, voire plusieurs mois selon la durée du traitement. Le sujet dort même encore plus mal qu'avant la prise du médicament. Il en conclut alors qu'il ne peut se passer de somnifères et. replonge. C'est au médecin de l'informer de la marche à suivre pour arrêter. “Il va le renseigner sur le phénomène de rebond, poursuit la spécialiste, et choisir avec lui le moment propice, relativement calme, sans souci excessif ni catastrophe annoncée pour commencer le sevrage.”

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