Lozap ndi Amlodipine ndi njira zamakono zochepetsera kupanikizika. Amakhudza thupi mosiyanasiyana, koma angagwiritsidwe ntchito limodzi. Tengani ndi matenda amtima ayenera kukhala malinga ndi malangizo. Ndemanga za madotolo ndi odwala pazophatikizira izi ndi zabwino, ngakhale nthawi zina pamakhala zotsutsana.
Lozap komanso Amlodipine ndi njira yochepetsera kupanikizika.
Khalidwe Lozap
Losartan ndiye chinthu chomwe chimagwiritsidwa ntchito ngati mankhwalawa. Amapezeka mu Mlingo wa 12,5, 50 kapena 100 mg. Ili ndi mphamvu ya antihypertensive. Pambuyo pakulowetsa, angiotensin 2 receptors atsekedwa. Mkati mwa maola 6, kuthamanga ndi kukana kwa magazi mu mitsempha yamthupi kumachepa. Losartan amachotsanso uric acid mthupi, amalepheretsa kutulutsa kwa aldosterone ndikuchepetsa chiopsezo chokhala ndi zovuta zamtima.
Losartan ndiye chinthu chogwira ntchito ku Lozap.
Amlodipine ali bwanji
Mankhwala ali yemweyo yogwira mankhwala ndi Mlingo wa 5 mg kapena 10 mg. Chidacho chimalepheretsa mayendedwe a calcium, zimathandizira kuyenderera kwa magazi mpaka mumtima ndipo zimathandizira kukhathamiritsa ndi myocardium ndi mpweya. Zotsatira zake, potaziyamu simalowa m'maselo amtima, ndipo vasodilation imachitika. Mukamwa mankhwalawa, magazi amayenda m'magazi, kuthamanga kwa magazi kumachepa, ndipo katundu pa minofu ya mtima amachepa. Mtima umayamba kugwira ntchito bwino, ndipo chiopsezo cha angina pectoris ndi zovuta zina zimachepa. Mankhwalawa amayamba kugwira ntchito pasanathe maola 6 mpaka 10.
Kuphatikizika kwa Lozapa ndi Amlodipine
Mankhwalawa onse ali ndi vuto lodziletsa. Amlodipine amachepetsa mitsempha ya magazi ndipo amachepetsa zotumphukira zamitsempha. Lozap imalepheretsa kuwonjezeka kwa kupanikizika ndikulepheretsa kukula kwa zovuta zamtima. Kuphatikizana kwa mankhwalawa kumakupatsani mwayi wofulumira komanso kwa nthawi yayitali kuti muchepetse kuthinana.
Kuphatikizana kwa mankhwalawa kumakupatsani mwayi wofulumira komanso kwa nthawi yayitali kuti muchepetse kuthinana.
Zizindikiro zogwiritsidwa ntchito munthawi yomweyo
Gawani ndi kukhathamira kwa nthawi yayitali. Kuphatikizana kwa mankhwalawa kumathandizira kuti kwakanthawi kochepa kukhazikike koopsa kwa matenda oopsa komanso kuchepetsa chiopsezo chovuta kwambiri.
Contraindication ku Lozap ndi Amlodipine
Kugwirizana kwamapiritsi kumapangidwa mu nthenda zina ndi zina, monga:
- mimba
- nthawi yoyamwitsa;
- ziwengo kwa losartan kapena amlodipine;
- kwambiri aimpso kapena chiwindi kukanika;
- matenda oletsa matenda a mtima;
- magawo osasunthika a hemodynamic pambuyo poyambitsa myocardial;
- dziko lodetsa nkhawa;
- kugwiritsa ntchito mankhwala omwe ali ndi aliskiren;
- kulephera kwa thupi kugaya ndi kuphunzira shuga mkaka;
- kuchepa kwa lactase;
- kusowa kwa shuga ndi galactose;
- ana ndi achinyamata;
- kuchuluka kwa potaziyamu m'madzi a m'magazi.
Ndi zoletsedwa kuyamba kulandira chithandizo pamodzi ndi hemodialysis ndi kumwa zakumwa zoledzeretsa. Chenjezo liyenera kuchitika pochepetsa lumen ya mitsempha, matenda a mtima, matenda amitsempha, mbiri ya edema ya Quincke, kuchepa magazi komanso kuthamanga kwa magazi. Kwa odwala okalamba komanso hyperkalemia, mankhwalawa ayenera kuikidwa ndi dokotala.
Momwe mungatengere Lozap ndi Amlodipine
Ndikofunikira kumwa mankhwala onse awiri mukakambirana ndi dokotala. Mlingo womwe umalimbikitsa umatengedwa osasamala chakudyacho ndikutsukidwa ndi madzi. M'pofunika kuwonjezera mlingo pang'onopang'ono kuti mukwaniritse kufunika kwa achire.
Kuchokera pamavuto
Ndi ochepa matenda oopsa, kuchuluka koyamba pa tsiku ndi 5 mg ya Amlodipine ndi 50 mg ya Lozap. Mlingo ukhoza kuwonjezeka mpaka 10 mg + 100 mg. Ngati ntchito ya chiwindi ikulephera komanso kuchuluka kwa magazi ozungulira kumachepetsedwa, mlingo wa losartan uyenera kuchepetsedwa mpaka 25 mg patsiku. Ndi ochepa hypotension, mankhwala si mankhwala.
Kuchokera ku matenda amtima
Mlingo wovomerezeka tsiku lililonse wa matenda a mtima ndi 5 mg ya Amlodipine ndi 12,5 mg wa Lozap. Ndi kulekerera kwabwino, mlingo umatha kuwonjezeka mpaka 10 mg + 100 mg. Polephera kwa mtima, gwiritsani ntchito mosamala.
Zotsatira zoyipa
Pogwiritsa ntchito munthawi yomweyo, zimachitika zomwe zimachitika:
- Chizungulire
- zosokoneza tulo;
- kutopa;
- migraine
- kukoka kwamtima;
- kudzimbidwa
- chisangalalo;
- kuvutika kupuma
- Khungu;
- kukodza pafupipafupi;
- Edema ya Quincke;
- anaphylaxis.
Zizindikiro zimazimiririka atachotsa kapena kuchepetsa mlingo.
Malingaliro a madotolo
Alexey Viktorovich, katswiri wamtima
Malinga ndi kafukufuku, onse mankhwalawa amagwira ntchito bwino limodzi ndikupereka mphamvu kwambiri kuposa placebo. Amlodipine amathandizira kupumula minofu yosalala yamitsempha yamagazi, ndipo losartan imalepheretsa kuwonjezeka kwa kupanikizika. Kuphatikiza apo, amathandiza kupewa matenda ena a mtima ndi mtima. Kupanikizika kumachepetsa mosasamala kanthu za thupi. Mukagwiritsidwa ntchito moyenera, chiwopsezo cha mavuto amabwera. Kulandila sikumatsogolera pakukula kwa tachycardia.
Elena Anatolyevna, wothandizira
Lozap ndi Amlodipine amatengeka msanga. Acangu metabolites amapanga biotransformation mu chiwindi. Ngati chiwindi ntchito ndi kuwonongeka kwa creatinine ndende zosakwana 20 ml / mphindi, chithandizo sayenera kuyamba. Mankhwalawa amalumikizana bwino, ndipo zotsatirapo zake zimayenderana kwambiri. Kusamala kuyenera kuchitidwa pakukalamba komanso ngati matendawo akuvutika kwambiri ndi mtima ndi mtima wosakhazikika wa hemodynamics.
Ndemanga za Odwala
Anastasia, wazaka 34
Mwadzidzidzi panali zovuta ndi kukakamizidwa. Zinali zotheka kusintha matendawa pogwiritsa ntchito mitundu iwiri. Chitani losartan ndi amlodipine wokhala ndi matenda oopsa amayamba ola limodzi. Mavutidwe mumutu wamutu amachoka, kupweteka kwa ma tempile kumalekeka, kugunda kwa mtima kumasintha. Malinga ndikuwona mkati mwa milungu itatu, zinthu zimayenda bwino, ndipo chithandizo chitha kusiyidwa. Palibe mavuto. Mitengo yovomerezeka komanso zotsatira zabwino.
