Zochita za mankhwalawa zimayang'aniridwa ndi zovuta zochizira matenda oopsa, kulephera kwa mtima. Mankhwala amachotsa madzimadzi owonjezera kuchokera mthupi, amateteza vasoconstriction komanso kukonza mkhalidwe wamtima wamtima. Kuphatikizika komweku kumapewetsa hyperkalemia.
ATX
S09BA04.
Zochita za Noliprel Forte zimapangidwira chithandizo chovuta cha matenda oopsa, kulephera kwa mtima.
Kutulutsa mafomu ndi kapangidwe kake
Mankhwalawa amapezeka mu mawonekedwe a mapiritsi oyera. Piritsi lililonse lili ndi zosakaniza - perindopril tertbutylamine ndi indapamide mu 4 mg + 1.25 mg.
Zotsatira za pharmacological
Amachepetsa kuthamanga kwa magazi pamalo aliwonse a thupi.
Perindopril ndi angiotensin wotembenuza enzyme inhibitor. Gawo limaletsa vasoconstriction, limabwezeretsa kutanuka kwa mitsempha. Indapamide ndi diuretic yomwe imayambitsa kukodza pafupipafupi ndikuchotsa sodium, magnesium, potaziyamu m'thupi. Gawoli limathandizira vasodilating mphamvu ya perindopril. Mukamamwa mankhwalawo, kupanikizika kumakhalabe mkati mwa mwezi umodzi. Mukamaliza kumwa mankhwalawa, palibe kuchepa kwa kukakamizidwa.
Pharmacokinetics
Mwachangu. Kuchulukana kwa perindopril kumafika pazofunikira zake m'magazi pambuyo pa maola 3-4. Mu chiwindi, gawo limasinthidwa kukhala perindoprilat. Pafupifupi mapuloteni. Thupi silimazungulira. Thupi limatulutsidwa mkodzo.
Noliprel Forte adalembedwa kuti azingokhalira kuthamanga kwa magazi.
Indapamide imalowetsedwa kwathunthu kuchokera mumimba. Kuchuluka kwa plasma ndende kumafika patatha mphindi 60. Theka limamangidwa ndi mapuloteni a plasma. Samadzikundikira minofu. Chosangalatsa ndi impso ndi matumbo.
Zizindikiro zogwiritsidwa ntchito
Mankhwalawa amathandizidwa kuti azitha kuthamanga komanso azikhala ndi magazi nthawi yayitali.
Contraindication
Musanagwiritse ntchito malonda, muyenera kudziwa izi:
- kudziwa zigawo zikuluzikulu;
- Edema ya Quincke;
- kuphwanya kwambiri chiwindi ndi impso;
- potaziyamu wamagazi ochepa;
- kuphatikiza ndi mankhwala omwe amalimbitsa nthawi ya QT;
- mimba
- kuchepa kwa lactase.
Mukamayamwitsa, chithandizo chimaletsedwa.
Kutenga?
Mankhwala ayenera kumwedwa 1 pa tsiku piritsi limodzi. Ndikofunika kuchita phwando m'mawa. Mukakalamba, kulephera kwa impso kofatsa kwambiri, sikofunikira kuchepetsa mlingo.
Kumwa mankhwala a shuga
Noliprel Forte amaperekedwa kwa odwala matenda a shuga. Mtundu wachiwiri wa matenda ashuga, chithandizo chimayamba ndi mlingo yaying'ono moyang'aniridwa ndi dokotala. Kuwunikira pafupipafupi kwa shuga pamafunika.
Zotsatira zoyipa
Pa mankhwala, kusokonezeka kwa ntchito zosiyanasiyana za thupi kumatha kuchitika.
Matumbo
Pakhoza kukhala chisokonezo pamimba, kusanza. Nthawi zambiri pamakhala mseru, kamwa yowuma, tulo tosakhazikika, matumbo oyendetsedwa, kutentha kwa mtima. Nthawi zina, kutupa kwa kapamba, ma transaminases ochulukirapo ndi bilirubin m'magazi.
Hematopoietic ziwalo
Kuchepa kwa hemoglobin, kuchepa kwa kupatsidwa zinthu za mmagazi, kuchepa kwa hematocrit, agranulocytosis, chilema pakukula kwa mafupa. Nthawi zina, kutsika kwa potaziyamu kumachitika.
Pakati mantha dongosolo
Pali kulira m'makutu, chizungulire, kupweteka m'makachisi, asthenia, kusokonezeka kwa tulo, kudzipereka kwa minofu, kumva kukhumudwa, kugona, kusowa kwa masamba, chisokonezo.
Kuchokera kwamikodzo
Nthawi zina, proteinuria ndi vuto laimpso zimachitika, ndipo plasma creatinine ndende imachulukirachulukira.
Kuchokera ku kupuma
Chifuwa, kupuma movutikira, bronchospasm, kuchuluka kwa mapindikidwe amkati.
Kuchokera pamlingo wamagetsi wamagetsi
Plasma ndende ya potaziyamu ikukwera.
Matupi omaliza
Thupi lawo siligwirizana n`zotheka mawonekedwe a khungu totupa, redness, kuyabwa, ming'oma, kutupa, photosensitivity zimachitika.
Malangizo apadera
Kugwiritsa ntchito mankhwalawa kumadzetsa kuchepa kwakukulu kwa kuthamanga kwa magazi m'milungu iwiri yoyambirira yamankhwala. Munthawi imeneyi, moyang'aniridwa ndi dokotala, odwala omwe ali ndi vuto la mtima, amachepetsa magazi, magazi aimpso, kuwonongeka kwa chiwindi, ndi stenosis yofunikira. Ndikofunikira kuyang'anira kuchuluka kwa ma electrolyte. Mu kukalamba komanso motsutsana ndi maziko a matenda ena, chiopsezo cha hypokalemia chikuwonjezeka.
Zotsatira zoyipa zikachitika, mlingo umatsitsidwa kapena kutha.
Muyenera kusiya kumwa mankhwalawa maola 12 musanachite opareshoni. Mwina chitukuko cha gout mwa anthu omwe amakhala ndi uric acid m'magazi. M'magazi am'magazi, kuchuluka kwa urea ndi creatinine kumatha kuchuluka. Ndi kugwira ntchito bwino kwa impso, mkhalidwewo umasintha, ndipo ngati kuphwanya, phwando limayimitsidwa.
Kuyenderana ndi mowa
Kuphatikiza mankhwalawa ndi mowa ndizoletsedwa.
Zokhudza mphamvu pakuwongolera njira
Zimakhala ndi zoyipa pakuwongolera njira zopangira makina. Tengani mosamala.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Mankhwala ndi contraindicated pa mimba ndi mkaka wa m`mawere.
Gwiritsani ntchito mu ukalamba
Mankhwala amagwiritsidwa ntchito mosamala ukalamba. Musanatenge, ndikofunikira kuyang'ana impso ndikuwunika kuchuluka kwa potaziyamu m'madzi am'magazi.
Kusankhidwa kwa Noliprel Forte kwa ana
Kufikira zaka 18, mankhwalawa satchulidwa.
Odwala aimpso kulephera
Woopsa milandu, musati mankhwala. Odwala ndi zolimbitsa aimpso kulephera zotchulidwa Mlingo wochepa.
Bongo
Pakakhala vuto la bongo, kuchepa kwa mavuto kumachitika. Kuwonongeka kwakukulu kungaphatikizidwe ndi mseru, kusanza, chizungulire. Pali kusowa tulo, kukomoka, kusowa kukodza, kufinya kwamkati. Pamaso pa zizindikirozi, ndikofunikira kutsuka m'mimba ndikutenga adsorbent.
Kuchita ndi mankhwala ena
Sitikulimbikitsidwa kuphatikiza ndi lithiamu ndi potaziyamu kukonzekera, kuthana kwa potaziyamu, mtima glycosides, Indapamide, antiarrhythmic mankhwala, mankhwala osokoneza bongo a iodini.
Mphamvu ya mankhwalawa amachepetsedwa akaphatikizidwa ndi glucocorticosteroids, Tetracosactide. Zotsatira za antihypertensive wothandizira kuphatikiza ndi tetracyclic antidepressants ndi antipsychotic zimatheka.
Kuchuluka kwa potaziyamu kumawonjezeka pamene mukumwa mchere wa calcium. Cyclosporin imalimbikitsa kukula kwa hypercreatininemia. Kukula kwa kulolera kwa glucose kumachitika ndikugwiritsa ntchito nthawi yomweyo ndi ACE zoletsa.
Analogi
Mankhwala amagulitsa mankhwala ndi zomwezi. Izi zikuphatikiza ndi izi:
- Perindopril-Indapamide Richter;
- Perindide;
- Perindapam;
- Perindide;
- Renipril GT;
- Burlipril Plus;
- Enzix;
- Noliprel A Forte (5 mg perindopril arginine ndi 1.25 mg indapamide);
- Noliprel A Bi-Forte (10 mg perindopril arginine ndi 2.5 mg indapamide).
Musanalowe ndi analogi, ndikofunikira kuphunzira malangizo ndikuyendera katswiri.
Kodi pali kusiyana kotani pakati pa Noliprel ndi Noliprel Forte?
Kusiyana kwa kuchuluka kwa magawo omwe amagwira ntchito. Kapangidwe ka mankhwalawa popanda malangizo owonjezera pakukhazikitsa Forte kumakhala 2 mg ya perindopril ndi 0,625 mg wa indapamide.
Noliprela Forte Mankhwala Olembera Maulendowa
Amamasulidwa pa mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Potsutsa-siyotsatsa.
Mtengo
Mtengo wa ma CD ndi ma ruble 530.
Zosungidwa zamankhwala
Sungani mankhwalawo kutentha mpaka + 30 ° C m'mawu ake oyambirirawo.
Tsiku lotha ntchito
Tsiku lotha ntchito zaka 2
Ndemanga pa Noliprel Fort
Omvera zamtima
Anatoly Yarema
Kuphatikizidwa kwa ACE inhibitor ndi diuretic ndi yankho labwino kwambiri la matenda oopsa. Chidacho chimatsogolera ku vasodilation, kuchepa kwa kuchuluka kwa aldosterone ndi kuchepa kwa hypertrophy yamanzere yamanzere. Kugwiritsa ntchito nthawi yayitali, kumalepheretsa kuchitika kwa ma microvascular complication. Zotsatira zoyipa zotsatila malangizo.
Evgeny Onishchenko
Mankhwala amathandizanso kuti magazi azikhala amitsempha, amachepetsa katundu pamtima. Odwala ofooka ndi okalamba ayenera kumwedwa mosamala. Njira ya mankhwala osachepera masiku 30. Ndikulimbikitsidwa kuyesedwa. Mankhwala ali ndi tanthauzo lotchulidwa poyerekeza ndi enalapril.
Odwala
Vitaliy, wazaka 56
Mankhwala omwe amupatsa matenda oopsa. Kukumana ndi mavuto 140/90, ndipo munthawi yakuukiridwa kunafika 200 ndi ena. Mapiritsi amachepetsa kuthamanga. Ndimamwa kamodzi patsiku ndipo sindinawone zotsatira zoyipa zilizonse.
Elena zaka 44
Mankhwalawa sanakwane. Imagwira pang'onopang'ono komanso imakhala ndi nthawi yoti iwuke. Kukoka pafupipafupi, tachycardia ndi chimbudzi zotayirira ndi zoterezi kuchokera pa phwando. Ndinkatenga milungu iwiri, koma ndinayenera kusiya kumwa.