Metfogamm 850 ndi othandizira a hypoglycemic. Ntchito mankhwalawa a matenda amtundu wa 2 shuga. Ili ndi mphamvu yosasintha ya hypoglycemic. Zimathandizira kuchepetsa komanso kusunga thupi.
Dzinalo Losayenerana
INN: Metformin
Metfogamm 850 ndi othandizira a hypoglycemic. Ntchito mankhwalawa a matenda amtundu wa 2 shuga.
ATX
Code ya ATX: A10BA02
Kutulutsa mafomu ndi kapangidwe kake
Mapiritsi ozungulira, omwe amaphatikizidwa ndi filimu ndipo alibe fungo lenileni la piritsi. Chofunikira chachikulu ndi metformin hydrochloride 850 mg. Zowonjezera: sodium carboxymethyl wowuma, silicon dioxide, magnesium stearate, chimanga wowuma, povidone, hypromellose, macrogol 6000, titanium dioxide, talc, propylene glycol.
Mapiritsi amadzaza matuza, zidutswa 10 chilichonse. Phukusi la makatoni lili ndi matuza 3, 6 kapena 12 ndi malangizo a mankhwalawo. Palinso mapaketi okhala ndi mapiritsi 20 mchimake. M'katoni 6 matuza otere amadzaza.
Zotsatira za pharmacological
Mankhwala ndi a gulu la Biguanides. Ndi mankhwala a hypoglycemic omwe amapangidwira pakamwa.
Mphamvu yogwira imalepheretsa gluconeogeneis, omwe amapezeka m'maselo a chiwindi. Kuperewera kwa shuga m'magawo am'mimba kumachepetsedwa, ndipo kugwiritsidwa ntchito kwake mu zotumphukira zimakhala zokha. Kuzindikira kwa minofu kuti insulin iwonjezeke.
Metfogamma ndi m'gulu la Biguanides. Ndi mankhwala a hypoglycemic omwe amapangidwira pakamwa.
Chifukwa chogwiritsa ntchito mapiritsi, kuchuluka kwa ma triglycerides ndi lipoproteins kumachepa. Nthawi yomweyo, kulemera kwa thupi kumakhala kochepa ndipo kumakhala koyenera kwa nthawi yayitali. Mankhwala amalepheretsa zochita za zoletsa wa plasminogen activator, zomwe zimapangitsa kuti mankhwala atchulidwe ka fibrinolytic.
Pharmacokinetics
Metformin imalowetsedwa kuchokera kumimba yokumba pakanthawi kochepa. Bioavailability ndi kuthekera kumangiriza mapuloteni amwazi ndizochepa. Mankhwala abwino kwambiri m'madzi a m'magazi amawonedwa patatha maola angapo. Mankhwalawa amatha kudziunjikira minofu ya minyewa, chiwindi, gland ndi impso. Excretion imachitika pogwiritsa ntchito impso kusefedwa, popanda kusintha. Kuchotsa theka-moyo ndi 3 maola.
Zizindikiro zogwiritsidwa ntchito
Matenda a 2 a shuga, omwe amapezeka popanda chiwopsezo cha ketoacidosis, komanso kunenepa kwambiri (zokhala ndi zakudya zosagwira).
Contraindication
Pali zotsutsana zingapo pamene mankhwalawa sangathe kugwiritsidwa ntchito:
- Hypersensitivity zigawo zikuluzikulu;
- matenda ashuga ketoacidosis;
- matenda a shuga;
- chikomokere
- aimpso kuwonongeka;
- kulephera kwa mtima ndi kupuma;
- lactic acidosis;
- mimba
- nthawi ya mkaka wa m`mawere;
- othandizira opaleshoni;
- chiwindi ntchito;
- poyizoni woledzera;
- radiology Mosiyana masiku awiri isanayambike kapena itatha;
- kutsatira zakudya zopatsa mphamvu.
Sikulimbikitsidwa kwa anthu opitirira zaka 60 omwe akuchita ntchito yayikulu, chifukwa angayambitse lactic acidosis.
Momwe mungatenge Metfogamm 850?
Mapiritsi amamwa mukamadya. Kusenda kwathunthu, osasweka kapena kutafuna, ndi madzi owiritsa. Njira ya chithandizo ndi yayitali. Chifukwa cha chiwopsezo chowonjezereka cha lactic acidosis (pamaso pa zovuta za metabolic), mlingo umalimbikitsa kuti ukhale wocheperako.
Ndi matenda ashuga
Mlingo umayikidwa payekha, poganizira shuga. Yambani ndi mapiritsi 1-2 patsiku. Ngati chithandizo chotere sichikupereka chithandizo chofunikira, ndiye kuti muyezo ungawonjezere pang'onopang'ono. Kukonza mlingo - mapiritsi 2-3 patsiku, koma osapitirira 4 zidutswa.
Zotsatira zoyipa za Metfogamm 850
Pogwiritsa ntchito mankhwala kwa nthawi yayitali kapena ngati mwaphwanya Mlingo, zimachitika zingapo zovuta zomwe zimafuna kusintha kwa mankhwalawa kapena kusinthanitsa mankhwalawo.
Matumbo
Matenda a dongosolo logaya chakudya: kutsegula m'mimba, kusanza, kusanza, kupweteka m'mimba, kulawa kwazitsulo pamkamwa, kutsekemera. Zizindikiro izi zimatha patatha masiku ochepa okha.
Pogwiritsa ntchito kwa nthawi yayitali mankhwala a Medfogamm 850 kapena kuwonongeka kwa mankhwalawa, zotsatira zingapo zoyipa zimachitika zomwe zimafuna kusintha kwa mankhwalawa kapena kusinthira mankhwalawa.
Hematopoietic ziwalo
Si kawirikawiri: kuchepa kwa magazi m'thupi.
Pakati mantha dongosolo
Ndi kwambiri hypoglycemia kapena lactic acidosis, mawonekedwe a chindapusa, thunder, hypoxia.
Kuchokera pamtima
Pali chiopsezo chokhala ndi vuto la mtima komanso minyewa yamtundu wamtundu wamtundu wamatumbo, kuchepa kwa magazi, kuchepa kwa magazi ndi zizindikiro zina za hypoglycemia.
Dongosolo la Endocrine
Hypoglycemia.
Kuchokera kumbali ya kagayidwe
Lactic acidosis, hypovitaminosis komanso kuyamwa kwa vitamini B12.
Matupi omaliza
Nthawi zina, thupi limagwirizana mu mawonekedwe a zotupa pakhungu.
Amayi oyembekezera omwe ali ndi matenda a shuga a 2 sayenera kuthandizidwa ndi metformin.
Gwiritsani ntchito panthawi yoyembekezera komanso mkaka wa m`mawere
Amayi oyembekezera omwe ali ndi matenda a shuga a 2 sayenera kuthandizidwa ndi metformin. Kukhalabe ndi glucose wamba, insulin ina imachitika. Izi zimachepetsa chiopsezo kwa mwana wosabadwayo.
Chithandizo chogwira msanga chimapita mkaka wa m'mawere, zomwe zimatha kusokoneza thanzi la mwana. Chifukwa chake, kwa nthawi ya mankhwala, ndibwino kusiya kuyamwitsa.
Malangizo apadera
Pa chithandizo, muyenera kuyang'anira ntchito ya impso ndi shuga wamagazi. Zizindikiro za myalgia zikawonetsedwa, kuchuluka kwa lactate mu plasma kumatsimikiziridwa.
Gwiritsani ntchito mu ukalamba
Zimafunika kusamala, chifukwa anthu azaka zopitilira 65 ali pachiwopsezo chachikulu cha kukhala ndi hypoglycemia, lactic acidosis, matenda aimpso, chiwindi ndi mtima. Chifukwa chake, mlingo uyenera kusinthidwa kwa wodwala aliyense payekhapayekha, potengera kuyambika kwa zovuta za matenda ashuga.
Mankhwala a Metfogamma 850 ali osavomerezeka kwa ana ochepera zaka 10.
Kupatsa ana
Sikulimbikitsidwa kumwa mankhwalawa kwa ana ochepera zaka 10. Muubwana, mulingo wofunikira wa mankhwala ndi mankhwala. Koma ndibwino kuchitira ndi insulin yokhazikika.
Zokhudza mphamvu pakuwongolera njira
Pogwiritsa ntchito mapiritsi molumikizana ndi othandizira ena a hypoglycemic, zizindikiro za hypoglycemia zitha kuchitika, zomwe zimakhudza kuthamanga kwa zochitika zama psychomotor komanso ndende. Chifukwa chake, kwa nthawi ya mankhwalawa, ndibwino kukana kuyendetsa paokha.
The ntchito aimpso kuwonongeka
Mankhwala omwe mumalandira adzadalira mtundu wa creatinine chilolezo. Ngati ndiwokwera kwambiri, ndiye kuti titha kulankhula za kulephera kwambiri kwa impso. Pankhaniyi, kugwiritsa ntchito metformin ndizoletsedwa.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Mapiritsi angagwiritsidwe ntchito pokhapokha ngati pali kufooka kwa chiwindi. Pakulephera kwambiri kwa chiwindi, mankhwala ndi oletsedwa.
Kulephera kwambiri kwa chiwindi, kutenga Metfogamma ndizoletsedwa.
Mankhwala ochulukirapo a Metfogamm 850
Mukamagwiritsa ntchito Metfogamm pa mlingo wa 85 g, palibe zizindikiro za bongo zomwe zimawonedwa. Ndi kuwonjezeka kwa mlingo wa mankhwalawa, kukula kwa hypoglycemia ndi lactic acidosis ndikotheka. Pankhaniyi, zosankha zoyipa zimachulukirachulukira. Pambuyo pake, wodwalayo amatha kukhala ndi malungo, kupweteka m'mimba ndi mafupa, kupumira mwachangu, kusiya kuzindikira komanso kupweteka.
Zizindikirozi zikawoneka, mankhwalawo amayimitsidwa nthawi yomweyo, wodwalayo amapezeka kuchipatala. Mankhwala amachotsedwa m'thupi pogwiritsa ntchito hemodialysis.
Kuchita ndi mankhwala ena
Pogwiritsa ntchito munthawi yomweyo kugwiritsa ntchito mankhwala ambiri a sulfonylurea, insulin, MAO ndi ACE zoletsa, cyclophosphamide, mankhwala osokoneza bongo a anti-yotupa, zotumphukira zotumphukira, ma tetracyclines ndi ma beta-blockers enieni, zotsatira za hypoglycemic.
Glucocorticosteroids, sympathomimetics, epinephrine, glucagon, ma OC ambiri, mahomoni a chithokomiro, diuretics ndi zotumphukira za nicotinic acid zimatsogolera kuchepa kwa mphamvu ya hypoglycemic.
Cimetidine amachedwetsa kuyamwa kwa metformin, yomwe nthawi zambiri imabweretsa kukula kwa lactic acidosis. Chithandizo chogwiritsidwa ntchito chimafooketsa mphamvu yogwiritsira ntchito ma anticoagulants, makamaka a coumarin.
Nifedipine imawonjezera mayamwidwe, koma imachepetsa kuchotsedwa kwa zinthu zogwira ntchito mthupi. Digoxin, morphine, Quinine, Ranitidine ndi Vancomycin, omwe amatsekeredwa makamaka m'matumba, ndimankhwala omwe amapezeka nthawi yayitali amawonjezera nthawi ya mankhwala.
Kuyenderana ndi mowa
Zakumwa zoledzeretsa sizingaphatikizidwe ndi zakumwa zoledzeretsa, monga mogwirizana ndi ethanol amalimbikitsa kukula kwa lactic acidosis.
Mapiritsi a Metphogamma sangaphatikizidwe ndi zakumwa zoledzeretsa, monga mogwirizana ndi ethanol amalimbikitsa kukula kwa lactic acidosis.
Analogi
Pali mankhwala omwe alowa m'malo omwe ali ndi kufanana pakapangidwe kake:
- Bagomet;
- Glycometer;
- Glucovin;
- Glucophage;
- Glumet;
- Dianormet 1000,500,850;
- Diaformin;
- Insufor;
- Langerin;
- Meglifort;
- Meglucon;
- Methamine;
- Metformin Hexal;
- Metformin Zentiva;
- Metformin Sandoz;
- Metformin Teva;
- Metformin;
- Panfort;
- Siofor;
- Zucronorm;
- Emnorm Er.
Kupita kwina mankhwala
Ndi mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Ayi.
Mtengo
Mtengo wongoyerekeza ku Russia ndi pafupifupi ma ruble 300. kunyamula.
Zosungidwa zamankhwala
Malo amdima ndi owuma, kutentha osaposa + 25 ° C.
Tsiku lotha ntchito
Zaka 5 kuyambira tsiku lomwe limatulutsidwa pazomwe zidanyongedwa koyambirira. Osatengera kutha kwa nthawi imeneyi.
Wopanga
Kampani yopanga: Dragenofarm Apothecary Pusch GmbH, Germany.
Madokotala amafufuza
Minailov AS, wazaka 36, woweruza wazamaphunziro, ku Yekaterinburg: "Nthawi zambiri ndimapereka Metfogamma kukhala ndi odwala matenda ashuga onenepa kwambiri okwana 850. Amasunga shuga bwino. Ndiwotheka kumwa, chifukwa mlingo wa tsiku ndi tsiku umatengedwa nthawi imodzi. Mtengo wake umakhala wokwanira, anthu amatha perekani. "
Pavlova MA, wazaka 48, wothandizira za endocrinologist, Yaroslavl: "Ndimayesa kupereka mankhwala mosamala. Mankhwalawa ali ndi zovuta, samalandiridwa bwino nthawi zonse ndipo nthawi zina amayambitsa zovuta zina. siyimitsa. "
Ndemanga za Odwala
Roman, wazaka 46, Voronezh: "Zaka zingapo zapitazo ndidapezeka ndi matenda ashuga. Metphogamma 850 adalembedwa mapiritsi nditatha kuyesa mankhwala ena angapo ndipo sanalandire shuga. Ndakhutira ndi zomwe zidachitika."
Oleg, wazaka 49, Tver: "Ndakhala ndikumwa mankhwalawo kwa theka la chaka kale. Mayeso ndi abwinobwino. Komabe, ndimayendera pafupipafupi endocrinologist, chifukwa ngakhale" chimfine "cha banal chimatha kuyambitsa mavuto ambiri mukamamwa mankhwalawa."
Ndemanga za kuchepetsa kunenepa
Katerina, wazaka 34, ku Moscow: "Zambiri zomwe sindinadyere sizinathandize kuti muchepetse thupi, koma ndimankhwala ochulukirapo, sizinali kutali ndi matenda a shuga. Dotolo adalemba mapiritsi a piritsi - Metphogamma 850. Poyamba zonse zinkayenda bwino, koma patatha miyezi ingapo ndidayamba impso zanga zidwala kwambiri. Ndinaleka kumwa mankhwalawa ndikubwerezanso zakudya. Ndidatsimikizira ndekha kuti mankhwalawa ndi ofunika kuti odwala matenda ashuga azisungabe shuga komanso kuti asamachepetse anthu athanzi. "
Anna, wazaka 31, Yaroslavl: "Sindingathe kuonda pambuyo pobadwa. Sindinatero ayi. Dokotala adandiwuza kuti ndimwe mankhwalawa. Ndinkamwa mapiritsi awiri patsiku.Miyezi 1.5 ndatsika mpaka 6 kg. Panalibe zotsatirapo zoyipa. Ndinalibe. "
