Reduxin amawongolera kudya ndipo ali ndi mphamvu yokhudzana ndi mankhwalawa, chifukwa chake amagwiritsidwa ntchito pakuwongolera kunenepa kwambiri. Mapiritsi a Reduxine ndi mawonekedwe osapezeka; mankhwalawa amapezeka mu mawonekedwe a mapiritsi a gelatin.
Fomu yotulutsira yomwe ilipo komanso kapangidwe kake
Changu chogwiritsa ntchito ufa chimakhazikika m'matumba olimba. Amapezeka mumitundu iwiri - yabuluu komanso yamtambo. Izi zimachitika makamaka kusiyanitsa pakati Mlingo wa 10 ndi 15 mg.
Reduxin amawongolera kudya ndipo ali ndi mphamvu yokhudzana ndi mankhwalawa, chifukwa chake amagwiritsidwa ntchito pakuwongolera kunenepa kwambiri.
Mankhwalawa amaphatikizidwa, amakhala ndi zinthu ziwiri zazikulu - sibutramine ndi cellulose. Zinthu zothandiza ndi calcium stearate ndi kapisozi wa gelatin.
Dzinalo Losayenerana
Sibutramine + [Microcrystalline Cellulose].
Maphikidwe achi Latin amatenga dzinalo Sibutramini + [Cellulosi microcrystallici].
ATX
Mankhwala a A08A pochizira kunenepa (kupatula zakudya zamagulu azakudya).
Zotsatira za pharmacological
Kuphatikiza kwa mankhwalawa kumakhala ndi zotsatira zazikulu ziwiri - kutayika kwa chilakolako chofuna kudya.
Sibutramine, ikamwetsa, imapangidwa kuti ikhale maines, yomwe imalepheretsa kubwezeretsanso kwa dopamine, serotonin ndi norepinephrine. Zotsatira zake, wodwalayo amawona kuchepa kwakudya ndipo akumva kuti ali ndi chakudya chochepa. Komanso, thupi limachulukitsa kupanga kutentha chifukwa chosakhudzidwa ndi minofu ya bulauni ya adipose.
Mankhwala, wodwalayo amateteza matenda a lipid, omwe amayang'aniridwa ndi dokotala kuti awunikidwe. Mu plasma, kuchuluka kwa cholesterol ya HDL ("yabwino") kumakwera ndipo kuchuluka kwa cholesterol, kuphatikizapo "yoyipa" (LDL), kumachepa.
Kuphatikiza kwa mankhwalawa kumakhala ndi zotsatira zazikulu ziwiri - kutayika kwa chilakolako chofuna kudya.
Cellulose imakhala ngati enterosorbent, imakulolani kuti muchotse poizoni wakunja ndi wamkati kuchokera m'thupi.
Pharmacokinetics
Mukamamwa pakamwa, imalowa kwambiri m'magazi, bioavailability - 77%. Kupanga kwa metabolites yogwira kumachitika m'chiwindi. Kutenga makapisozi ndi chakudya kumayambitsa kuchepa kwa kuchuluka kwa ma metabolites pafupifupi gawo limodzi mwa magawo atatu.
Hafu ya moyo wa sibutramine ndi ola limodzi mphindi 10, ma metabolites ake - mpaka maola 16. Zotsatira za conjugation ndi hydroxylation, metabolites osagwira amapangidwa, omwe amachotsedwa mu mkodzo.
Kodi limayikidwa kuti?
Mankhwala akuwonetsedwa ngati gawo la zovuta mankhwala ochepetsa kuwonda kwa odwala omwe ali ndi kunenepa kwambiri kwa digiri yoyamba komanso pamwambapa (body index index more 30 kg / m²). Reduxin amalembedwa chifukwa cha zakudya zopatsa thanzi, i.e. kunenepa kwambiri komwe kumayenderana ndi kudya kwambiri chakudya.
Ngati wodwalayo ali ndi kunenepa kwambiri komanso mtundu wa matenda ashuga a 2 komanso hyperlipidemia, ndiye kuti makapisozi akhoza kuyikidwa pa BMI yokwana 27 kg / m².
Reduxin amalembedwa chifukwa cha zakudya zopatsa thanzi, i.e. kunenepa kwambiri komwe kumayenderana ndi kudya kwambiri chakudya.
Asanapange mankhwala, dokotalayo ayenera kuonetsetsa kuti zakudya zomwe sanadye komanso zolimbitsa thupi sizinapatse mphamvu, ndipo wodwalayo sangathe kuyang'anira yekha kudya.
Contraindication
Mukunenepa kwambiri chifukwa cha matenda a endocrine ndi bulimia amanosa, mankhwalawa ndi otsutsana. Osagwiritsa ntchito Reduxine ndi:
- Hypersensitivity zigawo zikuluzikulu za mankhwala;
- matenda amisala;
- Matenda a Tourette;
- matenda a mtima ndi mitsempha yamagazi, kuphatikiza mu anamnesis;
- cerebrovascular pathologies;
- chithokomiro;
- kuphwanya kwambiri chiwindi ndi impso;
- zotupa za Prostate;
- pheochromocytoma;
- mankhwala osokoneza bongo kapena mowa.
Kwa azimayi pa nthawi ya mkaka wa m'mawere komanso panthawi yomwe ali ndi pakati, mankhwalawa saikidwa mankhwala. Sibutramine imaphatikizidwa mwa ana ndi odwala okalamba (woposa zaka 65).
Ndi matenda othandizira omwe amafunikira monoamine oxidase inhibitors, antidepressants, hypnotics and antipsychotic, Reduxine sangagwiritsidwe ntchito.
Momwe mungatenge Reduxine?
Makapisozi amatengedwa pakamwa (yonse ndi madzi ambiri) kamodzi patsiku m'mawa, amatha kukhala pamimba yopanda kanthu kapena pakudya m'mawa.
Dokotala ndi amene amawerengera mlingo, tikulimbikitsidwa kuti ayambe ndi 10 mg patsiku, ngati mankhwalawa salekerera bwino, ndizovomerezeka kuti achepetse mpaka 5 mg. Pankhani ya zotsatira zosakhutiritsa za mankhwala, pamene mwezi umodzi wodwala wataya thupi lochepera 2 kg, dokotala amatha kukupatsani mapiritsi a 15 mg. Ngati mkati mwa masabata 12 kuwonda sikufika pa 5% yakulemera koyambirira kwa thupi, mankhwalawo amathetsedwa.
Kutalika konse kwa chithandizo sikuyenera kupitirira miyezi 12, chifukwa palibe deta yoteteza munthu kuti adye kwakutali.
Reduxine mankhwala amayenera kutsagana ndi zakudya komanso zolimbitsa thupi zokwanira.
Ndingamwe mapiritsi angati patsiku?
Ndikofunikira kutenga osapitirira 1 kapisozi patsiku. Mukangodumphira kamodzi kulowa tsiku lotsatira, simukuyenera kubwereza kawiri mlingo.
Ndi matenda ashuga
Kugwiritsa ntchito kwa odwala matenda a shuga ndikoyenera, chifukwa imalola kusintha kagayidwe ka lipid, kuchepetsa chiopsezo cha kufa kwa matenda amtima komanso kuwonjezera kuchuluka kwa moyo wa wodwalayo. Mlingo watsiku ndi tsiku ndi 10-15 mg, regimen imayendetsedwa ndi adokotala.
Reduxine sayenera kumwedwa mopitilira 1 kapisozi patsiku. Mukangodumphira kamodzi kulowa tsiku lotsatira, simukuyenera kubwereza kawiri mlingo.
Zotsatira zoyipa za Reduxine
Nthawi zambiri, zochita zoyipa zimadziwika m'mwezi woyamba wa chithandizo; pakapita nthawi, zimatha kufooka kapena kutha.
Pa mbali ya gawo la masomphenyawo
Kuchepetsa kumveka kowonekera, kumverera kwophimba pamaso.
Matumbo
Kuchepetsa kwambiri chakudya kudya mpaka kuwonongeka. Kutha kudzimbidwa komanso kuchulukitsa kwa zotupa za m'mimba. Kafukufuku wotsatsa malonda awonetsa zotsatira zoyipa za mseru, kusanza, ndi kutsegula m'mimba. Zochitika zokhazokha zosintha mosakwanira pa kadyedwe zidalembedwa pomwe chidwi cha wodwalayo chikuwonjezeka komanso kumangokhala ndi ludzu.
Hematopoietic ziwalo
Mu nthawi yotsatsa itatha, milandu yotsika kwa ma cell mumagazi idawululidwa, zomwe zidapangitsa kuti nthawi yayambike.
Nthawi zambiri, zochita zoyipa zimadziwika m'mwezi woyamba wa chithandizo; pakapita nthawi, zimatha kufooka kapena kutha.
Pakati mantha dongosolo
Odwala nthawi zambiri amadandaula pakamwa youma komanso kusintha kwa kakomedwe. Zomwe sizimawoneka bwino kwambiri zinali kusowa tulo, kupweteka mutu, ndi nkhawa. Kusokonezeka kwa malingaliro ndikotheka: kukhumudwa, psychosis, mania, malingaliro ofuna kudzipha. Mu milandu iyi, mankhwalawa amathetsedwa.
Zina zomwe zidakumana ndi mavuto zidalembedwa: kuiwala kukumbukira, kugona, kusakwiya, kusakhazikika pamtima.
Pa khungu
Kutenga makapisozi kumatha kuyambitsa thukuta lochulukitsa, kuyabwa, kukha magazi mu dermis ndi alopecia.
Kuchokera ku genitourinary system
Amayi amatha kukhala ndi dysmenorrhea ndi kutulutsa magazi muchiberekero, amuna - zovuta zamkati ndi potency.
Kuchokera pamtima
Kuchulukitsa kwa kugunda kwa mtima ndi kukwera kwa kukakamiza, palpitations, fibrillation ya atria.
Kuchokera impso ndi kwamikodzo
Urinary excretion ndi pachimake tubulointerstitial nephritis.
Kuchokera kumbali ya kagayidwe
Edema, kuchuluka kwa hepatic transaminases.
Kutenga Makapu a Reduxine kungayambitse thukuta kwambiri.
Malangizo apadera
M'miyezi yoyamba ya chithandizo, kamodzi pa milungu iwiri, kuthamanga kwa magazi ndi kugunda kwa mtima kuyenera kuyang'aniridwa. Makamaka zisonyezo izi kwa odwala omwe ali ndi matenda oopsa komanso ziphuphu.
Ngakhale kuti palibe chidziwitso chachipatala chokhudzana ndi kusuta kwa Reduxin, dokotala amayenera kuyang'anitsitsa chizindikiro chilichonse chodalira mankhwala.
Mankhwalawa amatha kuyambitsa kugona, kuchepetsa chidwi komanso kusokoneza kuthamanga kwa ma psychomotor, chifukwa chake, pakuwongolera zida, muyenera kusamala kwambiri.
Ngati aimpso ntchito
Sibutramine amuchotsetsa impso ndipo zimayambitsa kukodzetsa kwamkodzo, chifukwa cha kulephera kwaimpso, mankhwalawa amaperekedwa mosamala.
Ndi chiwindi ntchito
Biotransformation ya yogwira mankhwala mu metabolites imachitika m'chiwindi, chifukwa chake, ngati ntchito zake zili zovuta, adokotala amatha kusintha mlingo kapena kusiya mankhwala.
M'miyezi yoyambirira ya Reduxine chithandizo, kuthamanga kwa magazi kuyenera kuyang'aniridwa mwa odwala sabata iliyonse iliyonse.
Mankhwala osokoneza bongo a Reduxin
Kupitilira muyeso wovomerezeka kumatha kuyambitsa zovuta zina. Nthawi zambiri, zizindikiro za mantha ndi mtima zimadziwika: mutu ndi chizungulire, tachycardia, matenda oopsa.
Sibutramine alibe mankhwala enaake, dokotala ayenera kudziwitsidwa za bongo lotheka. Zopaka zotsekera panthaka zimachepetsa kuyamwa kwa chinthucho m'magazi. Ndi kusintha kwaanenedwa mu kukakamiza kapena kugunda kwa mtima, dokotalayo amapereka mankhwala othandizira.
Kuchita ndi mankhwala ena
The munthawi yomweyo Reduxine njira zina zolemetsa, kukhudza chapakati mantha dongosolo, ndi contraindicated.
Rifampicin, macrolides, Phenobarbital amatha kuchuluka kwa kagayidwe ka sibutramine.
Kugwiritsa ntchito Reduxine molumikizana ndi mankhwala ochizira matenda amisala kumatsutsana. Nthawi zina, kuphatikiza ndimankhwala ochepetsa nkhawa, migraine ndi chifuwa kumatha kuyambitsa matenda a serotonin.
Mankhwalawa samakhudza zotsatira za kulera kwa mahomoni.
Kafukufuku wokhudzana ndi zakumwa zoledzeretsa akuwonetsa kuti Reduxin samalimbikitsa zotsatira zake zoipa mthupi. Koma zakudya zomwe zimaperekedwa pa mankhwala zimaphatikizapo kumwa mowa.
Zakudya zotchulidwa mankhwalawa Reduxin samaphatikizira kumwa mowa.
Analogi
Mankhwala ena amagwiritsidwanso ntchito pochizira kunenepa:
- Golidi.
- Goldline kuphatikiza.
- Lindax.
- Zimulti.
- Zakudya zamagulu.
- Slimia.
- Reduxin Met.
- Orsotin Slim.
Kuwala kwa Reduxin, komwe kumayendetsedwa popanda mankhwala, ndizowonjezera zakudya, ngakhale ndizofanana ndi mayina, zinthu zomwe zimagwira mmenemo ndizosiyana.
Kupita kwina mankhwala
Mankhwala omwe mumalandira.
Kodi ndingagule popanda kulandira mankhwala?
Kugulitsa mankhwala osagwiritsidwa ntchito ndi dokotala ndikutsutsana ndi malamulo.
Zikwana ndalama zingati?
Kutengera ndi kuchuluka ndi kuchuluka kwa makapisozi, mtengo wa mankhwalawo m'mafakitale ungasiyane ndi 1050 mpaka 6300 rubles.
Zosungidwa zamankhwala
Pamalo amdima, ozizira.
Tsiku lotha ntchito
Zaka 3 kuyambira tsiku lomwe lasonyezedwa.
Wopanga
Ku Russia, mankhwalawa amapangidwa ndi opanga 2: Ozon LLC ndi FSUE Moscow Endocrine Chomera.
Ndemanga
Madokotala
Svetlana, wokonda zakudya, Perm.
Reduxin watsimikizira moyenera mu machitidwe. Koma ndimapereka mankhwala pokhapokha ngati wodwalayo sangachepetse thupi yekha, kutsatira njira yodyetsera zakudya ndikuchita masewera.
Natalia, dokotala wamtima, Ufa.
Sindimapereka mankhwalawa, koma ndimakumana ndi odwala omwe amadzipatsa okha omwe amalimbana ndi vuto la mtima chifukwa chake.
Odwala
Olga, wazaka 35, St. Petersburg.
Pambuyo poyesa kulephera kuchepetsa thupi payekha, adatembenukira kwa dokotala yemwe adalamula Reduxin. Zotsatira zake, ndinataya 9 kg pa kosi iliyonse.
Zarina, wazaka 50, ku Tatarstan
Anali kuyang'aniridwa ndi endocrinologist ndi wathanzi. Mwa mankhwala ena, Reduxine adayikidwa. Zinayamba kuchepa thupi m'miyezi isanu ndi umodzi ndi 12 kg, sizinadzetse mavuto.
Kuchepetsa thupi
Elena, wazaka 41, Yekaterinburg.
Kwa miyezi itatu adataya makilogalamu 5, koma 3 kg yawo idabweranso. Mankhwalawa ndibwino kwa iwo omwe akufunika kusiya 20-30 kg.
Maxim, wazaka 29, Kaliningrad.
Mankhwalawa sanakwane ndi mkazi wake, ngakhale kuti kulakalaka kwake kumachepa, ndipo kulemera kunayamba kutha. Koma adakwiya kwambiri ndikulira.
