Galvus 500 mu mawonekedwe apiritsi amawonetsedwa kwa odwala omwe ali ndi zizindikiro zazikulu za matenda ashuga. Mankhwalawa nthawi zina amayambitsa mavuto, koma musagwiritse ntchito mankhwalawa ngakhale muyezo yaying'ono popanda mankhwala a dokotala kuti mupewe zovuta.
Dzinalo Losayenerana
Vildagliptin + metformin - mayina azigawo zomwe amagwiritsa ntchito mankhwalawa.
Galvus 500 mu mawonekedwe apiritsi amawonetsedwa kwa odwala omwe ali ndi zizindikiro zazikulu za matenda ashuga.
ATX
A10BH02 - code for anatomical and achire mankhwala gulu.
Kutulutsa mafomu ndi kapangidwe kake
Galvus Met imapezeka mu mapiritsi a 7 kapena 14 ma PC. mu ma CD.
Chidacho chimagwiritsidwa ntchito pakamwa.
Zomwe zili mu vildagliptin piritsi limodzi ndi 50 mg, ndipo metformin ndi 500 mg.
Zotsatira za pharmacological
Mankhwalawa ndi amodzi a anthu omwe amagwiritsa ntchito ma hypoglycemic othandizira, omwe ali ndi magawo awiri omwe amagwira ntchito omwe ali ndi njira zosiyanasiyana zochizira. Nthawi yomweyo, vildagliptin ndi cholepheretsa dipeptidyl peptidase-4 (DPP-4), ndipo metformin hydrochloride ndi gulu la Biguanides. Kuphatikiza chithandizo, zinthu izi zimayang'anira kuchuluka kwa shuga m'magazi omwe ali ndi matenda osokoneza bongo omwe samatengera insulin (mtundu 2) kwa maola 24.
Kutenga mapiritsi kumapangitsa kuchepa pang'onopang'ono kwa kuchuluka kwa shuga m'magazi, komanso motsutsana ndi maziko azidziwitso zabwino zamankhwala, nthawi zambiri pamakhala zovuta zamatenda omwe amadziwika ndi kuchuluka kwa shuga m'magazi a 3.5 mmol / l, magazi othandizirana pansipa (3.3 mmol / l) .
Pharmacokinetics
Kudya pang'ono mpaka pang'ono kumakhudza kuyamwa kwa zinthu zomwe zimagwira, koma kuchuluka kwa zinthu zomwe sizigwira ntchito sikufika pazambiri zake. Ngati mumamwa mapiritsi pamimba yopanda kanthu, ndiye kuti pambuyo pa ola limodzi pamakhala zinthu zambiri zam'magazi.
Ngati mumamwa mapiritsi pamimba yopanda kanthu, ndiye kuti pambuyo pa ola limodzi pamakhala zinthu zambiri zam'magazi.
Zinthu zowola zimayikidwa mkodzo komanso zochepa ndi ndowe. The bioavailability (kuthekera kwa mankhwalawa kuti amidwe) pazinthu zosachepera 80%.
Zizindikiro zogwiritsidwa ntchito
Mankhwalawa amalembedwa motere:
- monotherapy ndi vildagliptin kapena metmorphine sizomwe zidapangitsa kuti achire azitsatira;
- kusakwanira zakudya mankhwala motsutsana maziko a kuwonda;
- Kulephera poyesayesa kutsata glucose wamagazi ndi njira zina zamankhwala.
Ndi matenda a shuga a mtundu woyamba 1, mankhwalawa sagwiritsidwa ntchito.
Contraindication
Simungagwiritse ntchito mankhwalawa milandu:
- tsankho la munthu;
- kuchepa kwa thupi;
- matenda opatsirana komanso otupa a mitundu yambiri;
- malungo
- ochepa okosijeni okhutira m'thupi kapena ziwalo zina ndi minofu;
- mtundu woperewera wauchidakwa komanso mawonekedwe owopsa a thupi ndi mowa;
- kutsatira zakudya zochepa zama calorie.
Mtundu wina wa zakumwa zoledzeretsa ndi kuphwanya kugwiritsa ntchito mankhwalawa.
Momwe mungatenge Galvus 500
Ndikofunikira kutsatira malangizo ogwiritsa ntchito.
Ndi matenda ashuga
Pali zinthu zingapo izi:
- Mlingo wa mankhwalawa umakhazikitsidwa ndi dokotala payekhapayekha, pomwe kuchuluka kwa vildagliptin komwe sikugwiritsidwa ntchito sikuyenera kupitirira 0.1 g.
- Pofuna kupewa zovuta, mankhwalawa amatengedwa bwino kwambiri ndi chakudya.
- Amayamba mankhwala ndi piritsi limodzi kawiri patsiku, ndiye kuti mlingowo umatha kuchuluka.
Zotsatira zoyipa za Galvus 500
Pa mbali ya gawo la masomphenyawo
Mwina kuchepa kwa maonedwe owoneka ndi zinthu zina zowoneka.
Kuchokera minofu ndi mafupa
Zowawa m'malumikizidwe zimawonedwa.
Matumbo
Nthawi zina, vuto lanyumba limachitika, ndipo odwala amadandaula za kusanza.
Hematopoietic ziwalo
Zotsatira zoyipa sizimawonedwa kawirikawiri.
Pakati mantha dongosolo
Nthawi zambiri pamakhala chizungulire komanso kunjenjemera kwa miyendo yam'mwamba.
Kuchokera kwamikodzo
Mwina kukodza mwachangu, komwe sikumayendera ndi zopweteka.
Kuchokera ku kupuma
Kupsinjika kwa mtima sikunalembedwe.
Pa khungu
Chotupa ndikotheka.
Nthawi zina, mukamamwa mankhwalawa, kusowa kwa kugonana kumawonedwa.
Kuchokera ku genitourinary system
Nthawi zina, kusazindikira mphamvu kumawonedwa.
Kuchokera pamtima
Nthawi zina pamakhala kugunda kwadzidzidzi kwamtima.
Matupi omaliza
Mankhwala osokoneza bongo a anaphylactic amadziwika kwambiri ndi odwala omwe ali ndi hypersensitivity kwa zigawo zomwe zimagwira.
Zokhudza mphamvu pakuwongolera njira
Muyenera kupewa kuyendetsa galimoto ndi zochitika zina zokhudzana ndi chidwi chochuluka.
Malangizo apadera
Ndikofunikira kuganizira zingapo pamankhwala awa.
Gwiritsani ntchito mu ukalamba
Sitikulimbikitsidwa kupereka mankhwalawa kwa odwala omwe ali ndi zaka zopitilira 60 ngati ali akhama pantchito, monga nthawi zambiri pamachitika lactic acidosis.
Mankhwala ndi contraindified anthu osakwana zaka 18.
Kupatsa ana
Osagwiritsa ntchito mankhwalawa kwa odwala omwe ali ndi zaka zosakwana ambiri.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
M'maphunziro oyesera, mutagwiritsidwa ntchito mu Mlingo wowirikiza 200 kuposa momwe analimbikitsira, mankhwalawa sanayambitse kuchepa kwa chonde komanso kukula koyambira kwa mluza ndipo sanatulutse zotsatira za teratogenic.
Panthawi yoyamwitsa, ndibwino kukana chithandizo ndi Galvus.
The ntchito aimpso kuwonongeka
Gwiritsani ntchito mosamala ngati vuto la impso likulephera.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Kusintha kwa mlingo kuyenera.
Mankhwala ochulukirapo a Galvus 500
Ngati Mlingo wa vildagliptin ukapitilira, kupweteka kwa minyewa ndi malungo kumawonedwa.
Ndi mankhwala osokoneza bongo a metformin, kuwonjezereka kwa kutentha kwa thupi ndikotheka.
Ndi mankhwala osokoneza bongo a metformin, nseru, kutsegula m'mimba, ndi kuchepa kwa kutentha kwa thupi ndizotheka. Chithandizo chothandizira chikufunika.
Kuchita ndi mankhwala ena
Ndikofunikira kuganizira izi:
- Pogwiritsa ntchito insulin munthawi yomweyo, kufalikira kwa Galvus chifukwa cha zomwe zimachitika pakadali kochepa kuposa 0.5% mgulu la vildagliptin, pomwe pagulu la placebo kunalibe milandu yochotsa mankhwalawa.
- Ndi kuphatikiza kwa Galvus ndi mankhwala ena othandizira matenda amishuga a 2, palibe mgwirizano wotchulidwa.
- Kugwiritsa ntchito furosemide kumathandizira kuyamwa kwa metformin.
- Ma diuretics ndi njira yolerera yotsatsira pakamwa amachepetsa kugwira ntchito kwa ochiritsira a hypoglycemic.
- Mankhwala othandizira antipsychotic amafunika kusintha kwa mlingo ndi kuwongolera ndende yamagazi.
- Kuphatikizika ndi mankhwala okhala ndi ayodini omwe amakwiyitsa mankhwala aukali amakwiyitsa lactic acidosis komanso kukula kwa vuto la impso.
- Jekeseni wa β2-sympathomimetics amachulukitsa kuchuluka kwa magazi chifukwa cha kukondoweza kwa ma β2 receptors.
Kuyenderana ndi mowa
Kugwiritsa ntchito mowa kumapangidwa kuti mupewe kukulira zovuta.
Kugwiritsa ntchito mowa kumapangidwa kuti mupewe kukulira zovuta.
Analogi
Kugwiritsa ntchito bwino komanso chitetezo pakugwiritsanso ntchito Glibomet ndi Gluconorm.
Kupita kwina mankhwala
Kodi ndingagule popanda kulandira mankhwala?
Amaloledwa kugulitsa mankhwalawo popanda mankhwala.
Mtengo
Mtengo wa malonda ndi ruble 1200.
Zosungidwa zamankhwala
Mutha kusunga mankhwalawo firiji.
Tsiku lotha ntchito
Mankhwala amakhalanso ndi mphamvu yochiritsa kwa zaka ziwiri.
Wopanga
Izi zimapangidwa ndi kampani yaku Germany ya Novartis Pharma Production GmbH.
Ndemanga
Madokotala
Yuri, wazaka 43, Moscow
Pogwiritsa ntchito Galvus, pali kuchepa kwa milomo ya lipids m'magazi. Nthawi zambiri, ndimapereka mankhwala kwa odwala omwe angopezeka ndi matenda, ngakhale tikulankhula za amayi apakati. Mankhwalawa amathandizanso kuti pakhale thanzi mkati mwa masabata awiri.
Oleg, wazaka 50, Saint Petersburg
Tiyenera kupereka mitundu yotsika mtengo, chifukwa Mtengo wa Galvus ndi wokwera, ngakhale umagwira. Ndimakonda chithandizo chokwanira cha matendawa, kuphatikiza kutsatira mfundo za zakudya zopatsa thanzi.
Amaloledwa kugulitsa mankhwalawo popanda mankhwala.
Anthu odwala matenda ashuga
Alla, wazaka 25, Omsk
Ndinkakonda kugwiritsa ntchito mapiritsi mosavuta. Koma ndinakumana ndi chizungulire komanso kusanza kwambiri patsiku la 3 nditamwa mankhwalawo. Dokotalayo adalimbikitsa kuti apume, ndikuyambiranso chithandizo. Zotsatira zamankhwala zidakwaniritsidwa.
Maxim, wazaka 40, Perm
Ndinamwa mapiritsi kwa mwezi umodzi. Magazi a shuga m'magazi ndi ofanana, ndipo adatinso kuchepa kwa thupi. Dokotala adathetsa insulin panthawi ya chithandizo ndi Galvus. Mtengo wamapiritsi okha ndi omwe sugwirizana, koma adalimbikitsa kuti asatenge analogue.
