Pochiza matenda oopsa, dokotala amatha kusankha Telmista 40 mg. Mankhwalawa amagwiritsidwanso ntchito ngati chisonyezo cha matenda ndi kupewa kufa kwa anthu omwe ali ndi chiwopsezo cha mtima wazaka 55 ndi kupitirira.
Dzinalo Losayenerana
Dzina losagulitsa lamankhwala ndi Telmisartan. The yogwira pophika mankhwala amatchedwanso, ndipo maphikidwe amasonyezedwa Latin - Telmisartanum.
Pochiza matenda oopsa, dokotala amatha kusankha Telmista 40 mg.
ATX
C09CA07 Telmisartan
Kutulutsa mafomu ndi kapangidwe kake
Mankhwala amapezeka mu mawonekedwe a mapiritsi a 40 mg. Kuphatikiza pa yogwiritsira ntchito telmisartan, kapangidwe kake kamakhala ndi zinthu zothandiza:
- meglumine;
- lactose monohydrate;
- povidone K30;
- sodium hydroxide;
- sorbitol;
- magnesium wakuba.
Mapiritsiwa ndi zokutidwa ndi filimu, ndi biconvex, ali ndi mawonekedwe ozungulira ndi mtundu woyera. Mu phukusi la makatoni, pakhoza kukhala mitundu yosiyanasiyana ya mapiritsi - 7 kapena 10 ma PC. mu 1 matuza: 14, 28, 30, 56, 60, 84, 90 kapena 98 mapiritsi.
Zotsatira za pharmacological
Mankhwala amatha kuteteza matenda a kuthamanga kwa magazi. Kwa odwala, onse systolic ndi diastolic magazi amachepetsa, pomwe mapiritsi sakukhudza kugunda kwa mtima.
Telmisartan ndi otsutsa enieni a angiotensin ma receptors 2. Amapanga chomangira chokha ndi AT1 receptors, osakhudza ma subtypes ena. Kudzera mu ma receptor awa, angiotensin II amakhala ndi mphamvu pazotengera, kuzichepetsera ndikupangitsa kuchulukana. Telmisartan siyilola angiotensin II kukhudza mtima wamtima, ndikuyichotsa pakulumikizana ndi cholandilira.
Mankhwala amatha kuteteza matenda a kuthamanga kwa magazi.
Kulumikizana komwe telmisartan amapanga ndi ma receptors ndikutali, kotero mphamvu ya mankhwalawa imatha kupitilira maola 48.
Zomwe zimagwiritsidwa ntchito ndi Telmista zimachepetsa kuchuluka kwa aldosterone m'magazi, koma sikuletsa renin ndi ACE.
Pharmacokinetics
Thupi limatengedwa mwachangu ngati litengedwa pakamwa, kukhudzana kwake ndi 50%. Mankhwala amakhala ndi theka moyo, amapitilira maola 24. Ma metabolabol amapangika chifukwa cholumikizana ndi glucuronic acid, alibe zochitika zamankhwala. Kusintha kumachitika m'chiwindi, ndiye kuti chinthucho chimapukusidwa kudzera m'mimba.
Zizindikiro zogwiritsidwa ntchito
Telmista zotchulidwa mankhwala a ochepa matenda oopsa. Komanso, mankhwalawa amagwiritsidwa ntchito ngati prophylaxis ya mtima ndi matenda amitsempha komanso kuchepetsa kufedwa chifukwa chotukuka. Dokotala amalembera mapiritsiwo ngati akuwonetsa kuti wodwalayo ali pachiwopsezo chifukwa cha anamnesis, moyo komanso chikhalidwe.
Telmista zotchulidwa mankhwala a ochepa matenda oopsa.
Contraindication
Telmista sinafotokozeredwe odwala omwe ali ndi hypersensitivity ku zigawo zake zazikulu komanso zothandizira. Mankhwala amadziwikanso pazinthu zina:
- kulephera kwambiri kwa chiwindi;
- bile duct kutsekeka;
- hypolactasia ndi fructose malabsorption;
- mimba ndi mkaka wa m`mawere.
Musatchule mankhwala mukamamwa Fliskiren ndi odwala matenda ashuga omwe ali ndi matenda a impso.
Ndi chisamaliro
Ngati wodwalayo akonzanso matenda oopsa chifukwa cha matenda a impso m'mbali zonse ziwiri, kumwa mankhwalawa kungakulitse chiopsezo cha matenda oopsa kapena aimpso ntchito. Chifukwa chake, chithandizo chiyenera kuyang'aniridwa ndi dokotala ndikusintha ngati pakufunika.
Pakulephera kwa aimpso, mankhwalawa amayenda limodzi ndi kuwunika kwa plasma creatinine ndi ma elekitirodi. Mochenjera, mankhwalawa amapatsidwa:
- stenosis ya msempha, aortic ndi mitral valavu;
- zolimbitsa chiwindi ntchito;
- matenda oopsa a CVS, kuphatikiza matenda a mtima;
- kuchuluka kwa matenda am'mimba (mwachitsanzo, zilonda zam'mimba kapena duodenum);
- hyponatremia ndi kuchepa kwamagazi kuzungulira magazi chifukwa chotenga ma diuretics, ndi m'mimba kapena kusanza.
Odwala omwe ali ndi vuto loyambirira la hyperaldosteronism, mankhwalawa saikidwa chifukwa chakuti achire sichitha kapena kufotokozedwa pang'ono.
Kutenga Telmista 40?
Mapiritsi amatengedwa pakamwa, ngakhale chakudyacho. Mankhwala ayenera kutsukidwa ndi madzi oyera.
Mlingowo umaperekedwa ndi adokotala potengera mbiri ya wodwala. Mankhwalawa matenda oopsa, osachepera theka la munthu wamkulu ndi piritsi limodzi lokhala ndi 40 mg ya thunthu patsiku. Pakufunika kofunikira, adokotala amatha kusintha mankhwalawa mwakuwonjezera piritsi 2 za 40 mg patsiku.
Popeza vutoli limatheka pambuyo pa miyezi 1-2, funso la kusintha kwa mlingo sayenera kudzutsidwa kuchokera masiku oyambirira a chithandizo.
Ngati cholinga chomwa mankhwalawa ndikulepheretsa kukula kwa mtima ndi matenda amitsempha, makonzedwe olimbikitsidwa ndi 80 mg tsiku lililonse.
Kumwa mankhwala a shuga
Popereka mankhwala kwa odwala omwe ali ndi matenda ashuga, dokotala ayenera kukumbukira kuthekera kwa matenda obwera ndi matenda a mtima mwa wodwala. Chifukwa chake, musanayambe mankhwala, wodwalayo ayenera kutumizidwa kuti akafufuze kuti adziwe matenda am'mitsempha yamagazi.
Ngati wodwala wodwala matenda a shuga akuwathandizira ndi insulin kapena mankhwala ochepetsa shuga m'magazi, kumwa telmisartan kungamupangitse kukhala ndi hypoglycemia. Chifukwa chake, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga m'magazi ndipo ngati kuli koyenera, musinthe kuchuluka kwa mankhwala a hypoclycemic.
Mapiritsi amatengedwa pakamwa, ngakhale chakudyacho.
Zotsatira zoyipa
Pakuwerengera kosakhudzidwa, kuphatikiza ndi zaka, jenda ndi mtundu sizinachitike. Mukamayeza ma labotale, kuchuluka kwa hemoglobin m'magazi kunapezeka, ndipo odwala matenda ashuga, hypoglycemia adaonanso. Nthawi yomweyo, panali kuchuluka kwa uric acid, hypercreatininemia komanso kuchuluka kwa CPK m'magazi. Mwakamodzikamodzi, kusokonezeka kowonekera kwawonedwa.
Matumbo
Zotsatira zosafunikira m'magawo am'mimba zomwe zimapangidwira nthawi zosakwana 1%. Awa ndimavuto owuma, kusasangalala komanso kupweteka kwam'mimba, nseru, kusanza ndi kutsekula m'mimba. Odwala ena adazindikira pakamwa pouma, kusintha kwa kakomedwe, komanso kuwonjezeka kwa mpweya. Ku Japan, panali zochitika za chiwindi chovutitsidwa.
Hematopoietic ziwalo
Kuchepa kwambiri kwa hemoglobin kumatha kuwonetsa zizindikiro za kuchepa magazi. M'magazi, kuchepa kwamapulatifomu komanso kuchuluka kwa ma eosinophils ndikotheka.
Pakati mantha dongosolo
Kulandila Telmista nthawi zina (osakwana 1% ya milandu) akhoza kumayendetsedwa ndi kusowa tulo, nkhawa komanso kukhumudwa. Pa mankhwala, chizungulire, kupweteka mutu komanso kukomoka kumayamba.
Kuchokera ku kupuma
Nthawi zina pamatha kuchepa pakukana matenda omwe akukhudza thirakiti la kupuma. Zotsatira zake, zimakhala ngati chimfine, monga kutsokomola kapena kufupika. Pharyngitis ndi zotupa zam'mapapo zimayamba.
Pa khungu
Kutenga telmisartan kumatha kudzetsa erythema, chikanga, zotupa pakhungu (mankhwala osokoneza bongo kapena poizoni) komanso kuyabwa.
Telmisartan ikhoza kuyambitsa erythema.
Kuchokera kumbali ya chitetezo chamthupi
Zochita zachiwerewere zimakonda kuwonetsa ngati anaphylaxis. Izi zitha kukhala mawonekedwe pakhungu monga urticaria, edema kapena erythema. Zizindikiro zotere zikawoneka, ndizofunikira kulumikizana ndi ambulansi, chifukwa edema ya Quincke imatha kubweretsa imfa.
Kuchokera pamtima
Mwa odwala ena, kusintha kwa kayendedwe ka mtima kwalembedwa - bradycardia kapena tachycardia. Mphamvu ya antihypertensive nthawi zina imapangitsa kutsika kwakukulu kwa kuthamanga kwa magazi ndi hypotension ya orthostatic.
Kuchokera minofu ndi mafupa
Odwala ena adazindikira ululu wam'malo olumikizirana mafupa (arthralgia), minofu (myalgia) ndi tendons panthawi yamankhwala. Pafupipafupi pamakhala kupweteka kumbuyo ndi miyendo, kukokana kwa miyendo yam'miyendo ndi zizindikiro zofanana ndi kuwonetsa kwa zotupa m'misempha.
Kuchokera ku genitourinary system
Kutsika kwa kulekerera kwa tizilombo tating'onoting'ono kumatha kutsogolera kukula kwa matenda amtundu wa genitourinary, mwachitsanzo, cystitis. Kuchokera kumbali ya impso, kuphwanya ntchito zawo kwapezeka ndikukula kwa impso.
Matupi omaliza
Ndi hypersensitivity osadziwika mu zigawo zikuluzikulu za mankhwalawa, mawonekedwe a anaphylactic amatha kupanga, akuwonetsa kuchepa kwakukulu kwa kuthamanga kwa magazi ndi edema ya Quincke. Izi zimafuna chisamaliro chamankhwala. Nthawi zina mankhwala amatha kuyambitsa, kuyambitsa, komanso kufiira pakhungu.
Ndi hypersensitivity osadziwika mu zigawo zikuluzikulu za mankhwalawa, machitidwe a anaphylactic, omwe atchulidwa ngati edema ya Quincke amatha.
Malangizo apadera
Odwala ena amafuna kuikidwa kwa blockade iwiri, i.e., kugwiritsa ntchito nthawi imodzi ya angiotensin receptor antagonist ndi ACE inhibitors kapena Aliskiren (a renin inhibitor). Kuphatikizana kotereku kumatha kuyambitsa chisokonezo pakugwira ntchito kwa impso, chifukwa chake chithandizo chamankhwala chiyenera kutsagana ndi kuyang'aniridwa kwa achipatala komanso kuyesedwa pafupipafupi.
Kuyenderana ndi mowa
Pa chithandizo cha telmisartan, mowa umapangidwa, chifukwa umatha kupititsa patsogolo hypotension ya orthostatic.
Zokhudza mphamvu pakuwongolera njira
Ngakhale palibe kafukufuku pa nkhaniyi, chifukwa chakufuna kuyambitsa zovuta monga kugona ndi chizungulire, munthu ayenera kusamala ndikuwonetsetsa pamene akuyendetsa kapena akugwira ntchito ndi makina. Wodwala akaona kuchepa kwa ndende, ndiye kuti ayenera kusiya kugwira ntchito.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Mankhwalawa ali ndi protoxity komanso neonatal poizoni, motero, amaphatikizidwa panthawi yonse ya bestation. Wodwala atakonzekera kutenga pakati kapena kudziwa za kutha kwake, dokotala amamulembera njira zina zochiritsira.
Ndi mkaka wa m'mawere, kumwa mapiritsi kumatsutsana chifukwa chakuti palibe chidziwitso chazomwe zimatha kulowa mkaka wa m'mawere.
Polemba kwa Telmist kwa ana 40
Kukhazikitsidwa kwa telmisartan kwa ana ochepera zaka 18 sikuwonetsedwa, popeza palibe umboni wa chitetezo ndi kuyenera kwa mankhwalawa.
Kukhazikitsidwa kwa telmisartan kwa ana ochepera zaka 18 sikuwonetsedwa.
Gwiritsani ntchito mu ukalamba
Ma pharmacokinetics okalamba ali ofanana ndi odwala achinyamata. Chifukwa chake, kusintha kwamankhwala kumachitika pamaziko a matenda omwe amapezeka wodwala wazaka zambiri.
The ntchito aimpso kuwonongeka
Palibe chifukwa chosinthira mlingo wa odwala. Hemodialysis sichimachotsa mankhwalawa, chifukwa chake akaperekedwa, Mlingo nawonso sasintha.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Ndi kufooka kwa chiwindi ndi kulipidwa, mlingo wa tsiku ndi tsiku uyenera kukhala pansi pa 40 mg. Zophwanya kwambiri chiwindi ndi zovuta zina za machitidwe a biliary ndizotsutsana ndi kuikidwa.
Bongo
Nkhani za bongo za Telmista 40 sizinalembedwe. Kupitilira muyeso wovomerezeka ungayambitse kutsika kwa magazi, kukula kwa bradycardia kapena tachycardia. Chithandizo cha zinthu zotere ndikuchiritsa chizindikiro.
Kupitilira muyeso wovomerezeka ungayambitse kukula kwa bradycardia.
Kuchita ndi mankhwala ena
The munthawi yomweyo mankhwala a telmisartan ndi mankhwala ena oopsa matenda oopsa kumabweretsa kuthekera kwa chochitikacho (kapena kuwonjezereka kwa zotsatira zake popanga hydrochlorothiazide). Ngati mankhwala ophatikiza ndi potaziyamu atchulidwa, Hyperkalemia imayamba. Chifukwa chake, mosamala, telmisartan imayikidwa limodzi ndi ACE inhibitors, potaziyamu zomwe muli ndizakudya zowonjezera, NSAIDs, Heparin ndi potaziyamu-yosasamala okodzetsa.
Telmista imatha kuwonjezera milingo ya digoxin mthupi. Ma Barbiturates ndi antidepressants amachititsa kuti azikhala ndi hypotension ya orthostatic.
Analogi
Kuphatikiza pa Telmista, mankhwala ena okhala ndi telmisartan atha kutumikiridwa:
- Mikardis;
- Telmisartan-SZ;
- Telzap;
- Wotsogolera;
- Tanidol;
- Telpres
- Telsartan.
Ma blockers ena a AT1 receptor amagwiritsidwa ntchito ngati analogues:
- Valsartan.
- Irbesartan.
- Azilsartan Medoxomil.
- Makandulo.
- Losartan.
- Fimasartan.
- Olmesartan Medoxomil.
- Eprosartan.
Kusintha konse kwa mankhwala kuyenera kuchitika moyang'aniridwa ndi dokotala.
Maulendo atchuthi a Telmista 40 ochokera ku malo ogulitsa mankhwala
Mankhwalawa akhoza kokha kugula ndi mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Mankhwala amafunika kupatsidwa mankhwala oyenera kuchokera kwa dokotala, kotero kugula mankhwala osagwirizana ndi chikalata sikungathandize. Pogulitsa telmisartan popanda mankhwala, wopanga mankhwalawo akuswa malamulo.
Mtengo
Mtengo umatengera kuchuluka kwa mapiritsi ndipo uli m'magawo 218-790 rubles. Mtengo wapakati pa mapiritsi 28 ndi ma ruble 300.
Zoyeserera Telmista 40
Mankhwalawa amayenera kusungidwa m'matumba otsekedwa pa kutentha kwa chipinda osapitirira + 25 ° C. Muyenera kuwonetsetsa kuti mwana sangalandire mankhwalawo.
Tsiku lotha ntchito
Zaka 3 kuyambira tsiku lomwe lasonyezedwa pa phukusi. Pambuyo pakutha kwa chida sichitha kugwiritsidwa ntchito.
Wopanga
KRKA, Slovenia.
Ndemanga pa Telmista 40
Mankhwala, wolembedwa malinga ndi mawonekedwe ake komanso mogwirizana ndi anamnesis, amakwaniritsidwa mosiyanasiyana. Izi zimatsimikiziridwa ndi ndemanga.
Madokotala
Anna, wazaka 27, wothandizira, Ivanovo.
Mankhwala othandizira ochizira magawo 1 ndi 2 a matenda oopsa, makamaka kwa achinyamata. Kutha kwa theka la moyo kumafika maola 24, izi zimapangitsa wodwala kuti akumanidwa mwangozi. Ngakhale kugwiritsa ntchito nthawi 1 patsiku kumachepetsa kuthekera kwodumpha pang'ono. Mankhwalawa ndi abwino chifukwa amathandizidwa ndi chiwindi, zomwe zikutanthauza kuti amatha kupatsidwa kwa odwala omwe ali ndi vuto la impso. Choyipa chake ndichakuti monotherapy yothandizira matenda oopsa a gawo 3 siyothandiza.
Denis, wazaka 34, wowerenga zamtima, ku Moscow.
Monga monotherapy, imagwirizana ndi digiri yoyamba ya matenda oopsa, kuphatikiza ndi mankhwala ena imagwira ntchito wachiwiri. Zotsatira zoyipa zaka 8 mchitidwewu sizinawoneke ngakhale ndikugwiritsa ntchito nthawi yayitali. Ndemanga zoyipa zitha kuphatikizidwa ndi kuyesa kwodzichitira nokha pakati pa odwala.
Odwala
Elena, wazaka 25, Orenburg.
Ndinagula mayi anga mankhwalawo, zotsatira zake zidali, koma khungu ndi ziwalo zake za m'maso zimasanduka chikaso. Atapita kwa dotolo, adati amayi ake a Telmista adatsutsana. Ndikupangira mankhwalawa, chifukwa zotsatira zake zinali zabwino, koma sindilangizidwa kuti ndidzipatse mankhwala.
Nikolay, wazaka 40, St. Petersburg.
Kwa nthawi yayitali, adamwa mankhwalawo ndi adotolo, Asilamu asadayesere njira 6 kapena 7. Mankhwalawa ndi okhawo omwe amathandizira, pomwe palibe zoyipa zomwe zimachitika ngakhale miyezi 2 itatha. Komabe, phwando 1 nthawi patsiku. Maphunzirowa siotsika mtengo, koma mankhwalawa ndi apamwamba kwambiri, ndipo thanzi ndilofunika kwambiri.
