Glucophage ndi mankhwala othandiza kwambiri omwe cholinga chake chachikulu ndicho kuchepetsa shuga yamagazi ndikuisunga pamlingo wovomerezeka. Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kwatsimikizira kugwiririka kwake kwachipatala ndipo kwapangitsa kuti ikhale yogwiritsidwa ntchito kwambiri mu endocrinology. Popeza Glucophage ili ndi chuma chofowoka, idagwiritsidwa ntchito kwambiri pakuchepetsa thupi. Munjira iyi, mankhwalawa amaperekanso zabwino, makamaka ngati munthu payekha sangathe kupirira kudalira chakudya chochuluka.
ATX
Malinga ndi gulu la mankhwala padziko lonse lapansi (ATX), Glucophage 1000 ili ndi code A10BA02. Makalata A ndi B, omwe amapezeka m'ndondomekozi, akuwonetsa kuti mankhwalawa amakhudza kagayidwe kazakudya, kugaya chakudya ndi kupanga magazi.
Glucophage ndi mankhwala othandiza kwambiri kuchepetsa shuga m'magazi ndikuwasunga pamlingo wovomerezeka.
Kutulutsa mafomu ndi kapangidwe kake
Mankhwala amapezeka pokhapokha ngati mapiritsi, atakulungidwa ndi zokutetezani. Piritsi lirilonse limakhala ndi mawonekedwe ozungulira (mavekedwe ochokera mbali ziwiri), chiwopsezo chogawanikiranso (kuchokera kumbali ziwiri) ndi mawu olembedwa "1000" mbali 1.
Chofunikira chachikulu pa mankhwalawa ndi metformin hydrochloride, povidone ndi magnesium stearate ndi zigawo zothandiza. Utoto wa kanema umakhala ndi hypromellose, macrogol 400 ndi macrogol 8000.
Mankhwalawa amapangidwa ku France ndi Spain, palinso ma CD. Komabe, Russian LLC Nanolek ali ndi ufulu wachiwiri (wogula) ma CD.
Mapaketi omwe amaikidwa m'maiko a EU ali ndi mapiritsi 60 kapena 120, osindikizidwa ndi matuza a aluminium. Matumba a mapiritsi 10 m'bokosi atha kukhala atatu, 5, 6 kapena 12, mapiritsi 15 - 2, 3 ndi 4. Mabulosha amayikidwa m'bokosi lamakalata ndi malangizo. Mapaketi omwe amaikidwa ku Russia amakhala ndi mapiritsi 30 ndi 60 lililonse. Mu paketi pakhoza kukhala matuza awiri kapena anayi okhala ndi mapiritsi 15 lililonse. Osatengera dziko lomwe limayikidwapo, bokosi lirilonse ndi chithuza zidalembedwa ndi chizindikiro "M", chomwe ndi chitetezo kutengera mabodza.
Chofunikira chachikulu pa mankhwalawa ndi metformin hydrochloride, povidone ndi magnesium stearate ndi zigawo zothandiza.
Zotsatira za pharmacological
Metformin ili ndi zotsatirazi mthupi:
- amachepetsa shuga m'magazi ndipo samatsogolera ku hypoglycemia;
- sizimathandizira pakupanga insulini komanso kukula kwa hypoglycemia mwa anthu omwe alibe matenda aakulu;
- kumawonjezera chidwi cha zotumphukira insulin zolandilira;
- amalimbikitsa kukonza kwa shuga ndi maselo;
- amaletsa mapangidwe a shuga ndi kutsekeka kwa glycogen ku glucose, potero amachepetsa kupanga chiwindi chomaliza;
- amalepheretsa mayamwidwe a shuga m'matumbo gawo la m'mimba
- imapangitsa kupanga glycogen;
- amachepetsa msinkhu wa otsika kachulukidwe lipoprotein, cholesterol ndi triglycerides m'mwazi, zomwe zimapangitsa lipid metabolism;
- amathandiza kuwongolera kunenepa, ndipo nthawi zambiri kuwonda;
- zimalepheretsa kukula kwa matenda ashuga koyambira komanso kunenepa kwambiri ngati kusintha kwa moyo kusaloleza kukwaniritsa zotsatira zomwe mukufuna.
Pharmacokinetics
Kamodzi m'matumbo am'mimba, metformin imakhala yotsika kwathunthu. Maola 2,5 atamwa, kuchuluka kwa mankhwalawo m'magazi kumafikira pazofunikira zake. Ngati metformin imagwiritsidwa ntchito pakudya kapena pakudya, ndiye kuti kuyamwa kumachedwa ndikuchepetsedwa.
Mankhwalawa samapukusidwa bwino ndikuthiridwa ndi impso. Chilolezo cha Metformin (chisonyezero cha kuchuluka kwa kugawa kwa chinthu m'thupi ndi chimbudzi chake) mwa odwala opanda matenda a impso ndi okwera kanayi kuposa kupezeka kwa creatinine ndipo ndi 400 ml pamphindi. Kutha kwa theka-moyo ndi maola 6.5, ndi mavuto a impso - motalika. Potsirizira pake, kuchulukitsa (kuchulukitsa) kwazinthu ndizotheka.
Zizindikiro zogwiritsidwa ntchito
Glucophage imagwiritsidwa ntchito katatu:
- Mtundu wa shuga wachiwiri mwa akulu ndi ana opitilira zaka 10. Chithandizo chitha kuchitika pogwiritsa ntchito Glucofage pokhapokha limodzi ndi mankhwala ena, kuphatikiza ndi insulin.
- Kupewera kwa matenda osokoneza bongo a matenda oyamba ndi gawo la prediabetes pomwe njira zina (zakudya ndi zolimbitsa thupi) sizipereka zotsatira zokwanira.
- Kupewa koyamba kwa matenda ashuga ndi prediabetes ngati wodwala ali pachiwopsezo - ochepera zaka 60 - ndipo ali ndi:
- kuchuluka BMI (thupi misa index) lofanana 35 kg / m² kapena kuposa;
- mbiri yodwala matenda ashuga;
- kutengera kwa kubadwa kwa matendawa;
- achibale apafupi omwe ali ndi matenda ashuga 1;
- kuchuluka kwa triglycerides;
- ochepa kuchuluka kwa osachulukitsa lipoproteins.
Contraindication
Mankhwalawa satchulidwa ngati munthu akudwala:
- tsankho lililonse pazigawo zina za mankhwala;
- matenda ashuga ketoacidosis kapena ali precomatose kapena chikomokere;
- chiwindi kapena kulephera kwa impso;
- aimpso kuwonongeka kapena kwa chiwindi ntchito;
- uchidakwa wambiri;
- lactic acidosis;
- matenda pachimake kapena matenda okhudzana ndi minofu hypoxia, kuphatikizapo kulowerera m'mitsempha, chifuwa chamtima kapena kupuma;
- matenda opatsirana opatsirana;
- poyizoni pachimake, limodzi ndi kusanza kapena kutsegula m'mimba, komwe kumayambitsa kusowa kwamadzi.
Glucophage sinafotokozeredwe odwala omwe ali ndi vuto laimpso.
Glucophage sinafotokozedwe nthawi yomwe wodwala:
- ali pachakudya chamafuta ochepa;
- adalandira kuvulala kwambiri kapena kuchitidwa opaleshoni yayikulu, yomwe imafuna chithandizo cha insulin;
- ali munthawi yamimba;
- Masiku awiri zisanachitike, adakumana ndi radiology kapena radioisotope (ndikuyambitsa ayodini) (ndipo patangotha masiku awiri itatha).
Ndi chisamaliro
Ndikofunika kuonetsetsa kuwonjezeka kwa chithandizo cha glucophage ngati wodwala:
- wamkulu kuposa zaka 60, koma nthawi yomweyo wogwira ntchito molimbika;
- akudwala kulephera kwa aimpso ndipo amapanga mitengo ya chimbudzi pansi pa 45 ml pa mphindi imodzi;
- ndi mayi woyamwitsa.
Momwe mungatenge Glucofage 1000?
Mankhwalawa amayenera kumwa pakamwa tsiku lililonse osapumira. Mapiritsi sayenera kuphwanyidwa kapena kutafunidwa. Kuti mupewe mavuto osokoneza bongo kapena kuchepetsa kuwonetsa kwawo, ndikofunikira kuyamba mankhwalawa kuchokera ku mankhwala otsika kwambiri (500 mg patsiku) ndikuwonjezera pang'onopang'ono kupita kwa omwe adanenedwa ndi endocrinologist. Mankhwalawa atha kumwa onse mu chakudya ndikatha.
Nthawi yowonjezera thupi imatenga masiku 10-15. Munthawi imeneyi, ndikofunikira kuyeza shuga wamagazi ndi glucometer ndikusunga diary yowonera. Izi zithandiza dokotala kuti asankhe mwatsatanetsatane kuchuluka kwa mankhwala komanso njira zake. Kutalika kwa chithandizo kumayikidwa payekhapayekha.
Kwa ana
Kafukufuku akuwonetsa kuti kugwiritsidwa ntchito kwa Glucophage pochizira matenda a shuga a 2 kwa ana 1 chaka sichimayambitsa kupatuka pakukula ndi chitukuko. Komabe, maphunziro a nthawi yayitali sanachitidwe, chifukwa chake, asanayambe chithandizo, ndikofunikira kutsimikizira kuti adziwe ndikuwonetsetsa kuti mankhwalawo agwiritsidwa ntchito. Ndipo panthawi yonse ya mankhwalawa, yang'anirani mosamala mkhalidwe wa mwana, makamaka ngati ali ndi zaka za kutha.
Kafukufuku akuwonetsa kuti kugwiritsidwa ntchito kwa Glucophage pochizira matenda a shuga a 2 kwa ana 1 chaka sichimayambitsa kupatuka pakukula ndi chitukuko.
Glucophage imalembedwa kwa ana onse mu mawonekedwe a monotherapy, komanso osakanikirana ndi mankhwala ena. M'masabata awiri oyamba, mlingo wa tsiku ndi tsiku ndi 500 mg. Mapiritsi amatengedwa 1 nthawi patsiku. Mlingo umodzi waukulu kwambiri sayenera kupitirira 1000 mg, mlingo waukulu kwambiri watsiku ndi tsiku - 2000 mg (uyenera kugawidwa pazidutswa zingapo). Mlingo wokonza umakhazikitsidwa kutengera umboni.
Akuluakulu
Akuluakulu amatenga Glucophage kuchiza matenda a prediabetes, gawo loyambirira la shuga komanso kuchepetsa thupi.
Ndi monotherapy ya chisanadze shuga, boma yokonza mlingo ndi 1000-1700 mg. Mankhwalawa amatengedwa kawiri patsiku. Ngati wodwala akudwala matenda aimpso ofatsa, ndiye kuti mlingo waukulu kwambiri sayenera kupitirira 1000 mg. Imwani mankhwalawa kawiri patsiku 500 mg.
Therapy iyenera kuchitika motsutsana ndi maziko owunika pafupipafupi momwe amawerengera shuga, ndipo ngati kuli kotheka, kuvomerezedwa kwa creatinine.
Kuchepetsa thupi
Glucophage ndi mankhwala opangidwa kuti akonze shuga, ndipo sanapangidwe kuti achepetse thupi. Komabe, azimayi ambiri amagwiritsa ntchito mankhwala monga mankhwala komanso zomwe zimachitika kawirikawiri chifukwa cha kuchepa kwa chilakolako chofuna kudya.
Metformin, kumbali ina, imalepheretsa kupanga shuga m'chiwindi, ndipo, kumapangitsa kuti minofuyo idye ntchito. Zochita zonsezi zimayambitsa kutsika kwa shuga. Kuphatikiza apo, metformin, yomwe imayendetsa matenda a lipid metabolism, imalepheretsa kusintha kwa mafuta kukhala mafuta ndikuchepetsa chilimbikitso.
Akatswiri amalimbikitsa kumwa mankhwalawa kuti akonze zolemetsa ndipo akulangizidwa kutsatira malamulo otsatirawa:
- Mlingo wa tsiku ndi tsiku womwe umagwiritsidwa ntchito pakuchepetsa thupi sayenera kupitirira 500 mg;
- kumwa mapiritsi usiku;
- mulingo woyenera wa mankhwala opindulitsa sayenera kupitirira masiku 22;
- Mankhwala ochepetsa thupi amaletsedwa kumwa anthu omwe ali ndi magazi a mtima, mtima, kupuma, mtundu 1 shuga.
Ngakhale kuti madokotala samaletsa kugwiritsa ntchito Glucofage pochotsa zolemetsa, akutsimikiza kuti sipangakhale chitsimikizo pakukwaniritsa cholingacho (kuchepa thupi kwambiri ndi makilogalamu 2-3), ndikuyambitsa mavuto akulu, komanso nthawi zina osasinthika njira ndizovomerezeka.
Chithandizo cha matenda a shuga Glucofage 1000
Mankhwalawa a mtundu 2 wa matenda a shuga, njira yochiritsira ndi 1500-2000 mg patsiku, yomwe iyenera kugawidwa pawiri. Mlingo wapamwamba kwambiri sayenera kupitirira 3000 mg patsiku, ndipo ayenera kumwedwa pa 1000 mg (piritsi 1) katatu patsiku.
Ndi kuphatikiza chithandizo cha matendawa (pofuna kukwaniritsa zotsatira zabwino zowongolera shuga), glucophage imatengedwa limodzi ndi jakisoni wa insulin. Mlingo woyambira wa Glucofage ndi 500 kapena 850 mg patsiku (dragees amatengedwa nthawi yakudya kapena itatha). Mlingo wa insulin umasankhidwa payekha ndipo zimatengera zomwe zikuwonetsa shuga. Munthawi ya chithandizo, Mlingo ndi kuchuluka kwa milingo imasinthidwa.
Kuti mukwaniritse bwino pakuwongolera kuchuluka kwa shuga, glucophage imatengedwa ndi jakisoni wa insulin.
Zotsatira zoyipa
Nthawi zambiri, metmorphine amayambitsa mavuto am'mimba kuchokera m'matumbo am'mimba komanso amanjenje, omwe samadziwika kawirikawiri kuchokera ku machitidwe ena - khungu, chiwindi ndi dongosolo la biliary, metabolic system. Malinga ndi kuwunika kwachipatala, kuwonetsa kwa zoyipa mwa akulu ndi ana kuli chimodzimodzi.
Matumbo
Pa gawo loyambirira la mankhwalawa ndi Glucofage, zovuta zoterezi m'matumbo ammimba zimawonetsa mseru, kupweteka kwam'mimba, kukomoka, kusanza, kutsekula m'mimba. Nthawi zambiri, mavuto awa amadzichitira okha. Kuti achepetse kupezeka kwawo, tikulimbikitsidwa kuti muchepetse magazi pang'onopang'ono ndipo masabata oyamba mumamwe mankhwalawa katatu patsiku ndi chakudya kapena mukatha kudya.
Pakati mantha dongosolo
Nthawi zambiri pamakhala kuphwanya kwamvekedwe kwa kukoma.
Kuchokera kwamikodzo
Kusokera pakugwira ntchito kwa kwamikodzo pamankhwala othandizira ndi metformin sikunalembedwe.
Pa mbali ya chiwindi ndi biliary thirakiti
Kugwiritsa ntchito metamorphine kungayambitse kuphwanya kwa chiwindi komanso kungayambitse chiwindi. Koma atayimitsa mankhwalawo, mawonekedwe onse oyipa amachoka.
Malangizo apadera
Choyipa choopsa chowopsa cha kutenga metamorphine ndikupanga lactic acidosis. Izi ndizosowa kwambiri pamene wodwala amakhala ndi vuto la impso, chifukwa chomwe amayamba kudzikundikira m'thupi. Chiwopsezo sichiri kokha pakuwonekera kwa matendawa pawokha, komanso chifukwa chakuti imatha kudziwonetsa ndi zisonyezo zosakhazikika, chifukwa chomwe wodwalayo sakulandila thandizo nthawi yake ndipo atha kufa. Zizindikiro zofanana ndi izi:
- minofu kukokana;
- dyspepsia
- kupweteka kwam'mimba
- kupuma movutikira
- kutsitsa kutentha.
Ngati zizindikiro zomwe zili pamwambazi zikuchitika, muyenera kusiya kukonzekera kwa Glucofage ndikulumikizana ndi chipatala chamankhwala posachedwa.
Choyipa choopsa chowopsa cha kutenga metamorphine ndikupanga lactic acidosis.
Metamorphine iyenera kutha pasanathe masiku awiri isanayambike njira yopangira opaleshoni yokonzekera, osayambiranso pasanadutse masiku awiri itatha.
Kuyenderana ndi mowa
Mowa umaphatikizidwa mwa anthu omwe ali ndi vuto la shuga komanso chiwindi.Odwala otere ayenera kutsatira zakudya zochepa zopatsa mphamvu, kuti asayambitse kuchuluka kwa shuga. Glucophage amachepetsa shuga. Chifukwa chake, kuphatikiza kwa mankhwalawa a Glucofage pogwiritsa ntchito mankhwala osokoneza bongo kapena zakumwa zoledzeretsa pakudya kungayambitse kuchepa kwa shuga m'magazi mpaka kukomoka kwa hypoglycemic kapena kumapangitsa kukulitsa kwa lactic acidosis.
Zokhudza mphamvu pakuwongolera njira
Mankhwala a Glucofage samayambitsa kutsika kwamphamvu kwa shuga, zomwe zikutanthauza kuti sizowopsa kuyendetsa magalimoto kapena zida zamagetsi. Komabe, kuchuluka kwa shuga kumatha kutsika kwambiri ngati Glucofage ikuphatikizidwa ndi mankhwala ena ochepetsa shuga, mwachitsanzo, Insulin, Repaglinide, etc.
Gwiritsani ntchito panthawi yoyembekezera komanso mkaka wa m`mawere
Ngati mayi ali ndi vuto la hyperglycemia satenga njira yochepetsera shuga, ndiye kuti mwana wosabadwayo akuwonjezera mwayi wokhala ndi vuto lakubadwa. Ndikofunikira kuti pakhale shuga wa m'magazi pafupi ndi zabwinobwino momwe mungathere. Kugwiritsa ntchito metmorphine kumakuthandizani kuti mukwaniritse izi ndikuwonetsetsa. Koma kuchuluka kwa momwe zimakhudzira kukula kwa mwana wosabadwa sikokwanira kuti zitsimikizike za chitetezo chokwanira cha mwana.
Mapeto ake ndi awa: ngati mayi ali ndi vuto la matenda ashuga kapena wapezeka kale ndi matenda a shuga 2, amagwiritsa ntchito metmorphine ndipo nthawi yomweyo akukonzekera kutenga pakati kapena atayamba kale, mankhwalawo ayenera kusiyidwa ndikuyamba kusinthana ndi insulin.
Metmorphine imadutsa mkaka wa m'mawere. Koma monga momwe zimakhalira ndi pakati, kuchuluka kwa zinthu zokhudzana ndi izi pakukula kwa mwana sikokwanira. Chifukwa chake, tikulimbikitsidwa kukana mankhwalawo kapena kusiya kudya.
Gwiritsani ntchito mu ukalamba
Okalamba ambiri amakhudzidwa kapena kuchepetsedwa ndi vuto laimpso komanso kuthamanga kwa magazi. Awa ndi mavuto akuluakulu ndi chithandizo cha metmorphine.
Ngati matenda abwinobwino a impso alipo, ndiye kuti chithandizo cha Glucofage chololedwa ndi chizolowezi chowunikira pafupipafupi kwa nthawi ya creatinine (osachepera 3-4 pachaka). Ngati mulingo wake watsika mpaka kufika pa 45 ml patsiku, ndiye kuti mankhwalawo amachotsedwa.
Chenjezo lowonjezereka liyenera kuchitika ngati wodwala akutenga mankhwala okodzetsa, omwe si a antiidal komanso odana ndi antihypertensive.
Bongo
Ngakhale ndi bongo wambiri (nthawi zoposa 40) wokhala ndi metformin, zotsatira za hypoglycemic sizinapezeke, koma zizindikiro zakukula kwa lactic acidosis zinaonedwa. Ichi ndiye chizindikiro chachikulu cha mankhwala osokoneza bongo. Pazizindikiro zoyambirira za kuledzera kwa mankhwalawa, ndikofunikira kusiya kumwa Glucofage nthawi yomweyo, ndipo wovutitsidwayo amayenera kupita kuchipatala komwe amathandizira kuchotsa metmorphine ndi mkaka wa magazi m'magazi. Chithandizo chabwino kwambiri cha mankhwalawa ndi hemodialysis. Kenako khalani ndi chithandizo chamankhwala.
Pazizindikiro zoyambirira za kuledzera kwa mankhwalawa, ndikofunikira kusiya kumwa Glucofage nthawi yomweyo, ndipo wovutitsidwayo ayenera kupita kuchipatala.
Kuchita ndi mankhwala ena
Glucophage nthawi zambiri imagwiritsidwa ntchito pazovuta zovuta, koma pali mitundu ingapo ya mankhwala omwe, mophatikiza ndi metformin, amapanga kuphatikiza kowopsa, zomwe zikutanthauza kuti kugwiritsidwa ntchito kwawo palimodzi nkoletsedwa. Nthawi zina, kuphatikiza ndizovomerezeka, koma kumatha kuyambitsa mavuto pakagwa zinthu zingapo, chifukwa chake kusankhidwa kwake kuyenera kuchitidwa mosamala kwambiri.
Kuphatikiza kophatikizidwa
Kutsutsana kwathunthu ndiko kuphatikiza kwa metmorphine ndi mankhwala okhala ndi ayodini.
Osavomerezeka kuphatikiza
Kuphatikiza kwa Glucophage ndi mankhwala okhala ndi mowa sikulimbikitsidwa.
Kuphatikiza komwe kumafunikira kusamala
Kugwiritsa ntchito mosamala kumafuna kuphatikiza kwa Glucophage ndi mankhwala monga:
- Danazole Makonzedwe munthawi yomweyo amatha kupatsa mphamvu mphamvu ya hyperglycemic. Ngati kugwiritsa ntchito Danazole kuli koyenera, ndiye kuti chithandizo cha Glucophage chimasokonekera. Pambuyo poletsa kugwiritsa ntchito Danazol, mlingo wa metmorphine umasinthidwa malinga ndi zomwe zikuwonetsa shuga.
- Chlorpromazine. Ndizothekanso kulumpha m'magawo a shuga ndikuchepetsa panthawi yomweyo insulin (makamaka mukamamwa mankhwala ambiri).
- Glucocorticosteroids. Kugwiritsa ntchito mankhwala pamodzi kungapangitse kuchepa kwa shuga kapena kuyambitsa kukula kwa ketosis, komwe kumadza chifukwa cha kulolera kwa glucose.
- Kuvulala kwa beta2-adrenergic agonists. Mankhwala amalimbikitsa beta2-adrenergic receptors, potero amawonjezera shuga. Kugwiritsa ntchito bwino insulin tikulimbikitsidwa.
Muzochitika zonsezi pamwambapa (munthawi yomwe munakhazikitsidwa komanso kwakanthawi atachotsa mankhwala), kusintha kwa metmorphine ndikofunikira malinga ndi zomwe zikuwonetsa shuga.
Ndi kusamala kwakukulu, glucophage amalembedwa limodzi ndi mankhwala omwe amachititsa hypoglycemia, omwe amaphatikizapo:
- kuthana ndi mavuto;
- salicylates;
- Acarbose;
- Insulin
- zochokera sulfonylurea.
Kugwiritsidwa ntchito mosiyanasiyana kwa Glucofage ndi okodzetsa kungayambitse kukulira kwa lactic acidosis. Pankhaniyi, chilolezo cha creatinine chiyenera kuyang'aniridwa.
Kugwiritsidwa ntchito mosiyanasiyana kwa Glucofage ndi okodzetsa kungayambitse kukulira kwa lactic acidosis.
Mankhwala a Cationic amatha kuwonjezera kuchuluka kwa metmorphine. Izi zikuphatikiza:
- Vancomycin;
- Trimethoprim;
- Triamteren;
- Ranitidine;
- Quinine;
- Quinidine;
- Morphine.
Nifedipine imachulukitsa kuchuluka kwa metformin ndikuwonjezera kuyamwa kwake.
Glucophage analogues 1000
The fanizo la mankhwala ndi:
- Formentin ndi Formentin Long (Russia);
- Metformin ndi Metformin-Teva (Israel);
- Glucophage Long (Norway);
- Gliformin (Russia);
- Metformin Long Canon (Russia);
- Metformin Zentiva (Czech Republic);
- Metfogamm 1000 (Germany);
- Siofor (Germany).
Kupita kwina mankhwala
Malinga ndi malangizo ogwiritsa ntchito, mankhwalawa amaperekedwa pokhapokha ngati mwalandira mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Mankhwalawa amawonedwa ngati mankhwala osavulaza, ndipo angagulidwe momasuka ku pharmacy popanda mankhwala.
Mtengo
Mtengo wapakati wa mapiritsi 30 a Glucofage ku pharmacies aku Moscow umasiyana ndi ma ruble 200 mpaka 400., mapiritsi 60 - kuchokera 300 mpaka 725 rubles.
Malo osungirako Glucofage 1000
Mankhwalawa amayenera kusungidwa pamalo osavomerezeka ndi ana, kutentha osaposa 25 ° C.
Tsiku lotha ntchito
Mankhwalawa ndi oyenera kugwiritsidwa ntchito zaka 3 kuyambira tsiku lotulutsidwa lomwe lasonyezedwa pa phukusi.
Ndemanga za Glucofage 1000
Glucophage ndi wa gulu la mankhwala omwe ali ndi zotsimikizika. Imagwiritsidwa ntchito mochizira odwala matenda ashuga, ndikupeza zotsatira zokwanira, monga zikuwonetsedwa ndi ndemanga zambiri za madotolo ndi odwala.
Madokotala
Boris, wazaka 48, urologist, wazaka 22, ku Moscow: "Ndakhala ndikugwiritsa ntchito Glucophage kwazaka zopitilira 10 pochiza njira zina zochepetsera kubereka mwa abambo omwe ali onenepa kwambiri komanso hyperglycemia. Zotsatira zake ndizokwera kwambiri. Ndikofunikira kuti hypoglycemia isakhale ndi chithandizo chotenga nthawi yayitali. Mankhwalawa amapereka zotsatira zabwino pakuchotsa kwachangu kwachimuna. "
Maria, wazaka 45, endocrinologist, wazaka 20, St Petersburg: "Ndimagwiritsa ntchito mankhwalawa mankhwalawa matenda a shuga a 2 komanso kunenepa kwambiri. Zotsatira zake ndizokhutiritsa: odwala amachepetsa thupi popanda kuwononga thanzi ndikupeza shuga yokhazikika ya magazi. kudya ndi kuchita masewera olimbitsa thupi ziyenera kukhala gawo lofunikira la mankhwalawa. Kuwonetsetsa kutsimikizika kophatikiza ndi mtengo wotsika mtengo ndiye phindu lalikulu la mankhwala. "
Ndi chisamaliro chowonjezereka, Glucophage imayikidwa limodzi ndi mankhwala omwe amachititsa hypoglycemia, monga, mwachitsanzo, Acarbose.
Odwala
Anna, wazaka 38, Kemerovo: "Mayi anga akhala akudwala matenda ashuga kwazaka zambiri, akula kwambiri m'zaka 2 zapitazi, kupuma kwakanthawi kwadwala. Dotoloyo akuti zomwe zimayambitsa matenda amabwera chifukwa cha zovuta za metabolic komanso kuchuluka kwa cholesterol ndikuwonetsa Glucofage.
Pambuyo pa miyezi isanu ndi umodzi, mkhalidwe unasintha bwino: mayeso anali pafupi kubwereranso, mkhalidwe wambiri unayamba kukhala bwino, khungu pamapazi zidasiya kusweka, amayi anga adayamba kuyenda yekha pamakwerero. Tsopano akupitiliza kumwa mankhwalawo ndipo nthawi yomweyo amayang'anira zakudya - izi ndizofunika kutero. "
Maria, wazaka 52, Nizhny Novgorod: "Miyezi isanu ndi umodzi yapitayo ndidayamba kumwa Glucophage pochiza matenda a shuga a mtundu wa 2. Ndinkada nkhawa kwambiri ndi shuga, koma ndimangopilira mapaundi owonjezera. Komabe, nditatha miyezi 6 nditamwa mankhwalawa ndikudya mwapadera, shuga wanga sanangokhala wokhazikika komanso wokhazikika. , komanso "adasiya" makilogalamu 9 olemera kwambiri. Ndimamva bwino. "
