Mankhwala ochepetsa mphamvu ya shuga a Metformin 850 ndi mankhwala amtundu wa 1 komanso wa 2. Chida chimagwiritsidwa ntchito pochiza komanso kupewa zovuta za matenda.
Dzinalo Losayenerana
Mu Chilatini - Metforminum. INN: metformin.
ATX
A10BA02
Mankhwala ochepetsa mphamvu ya shuga a Metformin 850 ndi mankhwala amtundu wa 1 komanso wa 2.
Kutulutsa mafomu ndi kapangidwe kake
Wopanga amatulutsa mankhwalawo ngati mapiritsi ogwiritsira ntchito pakamwa. Mankhwala othandizira ndi metformin mu 850 mg.
Zotsatira za pharmacological
Mankhwala ali ndi hypoglycemic.
Pharmacokinetics
Pang'ono odzipereka kuchokera m'mimba thirakiti. Kuzindikira kwakukulu kumatha kutsimikiziridwa pambuyo maola 1.5-2. Kulandila kumawonjezera nthawi mpaka maola 2,5. Zinthu zomwe zimagwira zimatha kudziunjikira impso ndi chiwindi. Kuchotsa theka-moyo ndi 6 maola. Mukakalamba komanso kuwonongeka kwa impso, nthawi yotuluka kuchokera m'thupi imatalika.
Zizindikiro zogwiritsidwa ntchito
Mankhwalawa amapangira mankhwalawa komanso kupewa matenda amtundu wa 2, kuphatikizapo kunenepa kwambiri. Amagwiritsidwa ntchito limodzi ndi insulin kapena ngati njira yodziyimira payokha.
Mankhwalawa amapangidwira kunenepa.
Contraindication
Chipangizochi chitha kuvulaza thupi ngati chitengedwa ngati:
- tsankho ku zigawo zikuluzikulu za mankhwala;
- aimpso kuwonongeka;
- matenda oopsa a chiwindi;
- kuperewera kwa thupi kwa okosijeni, komwe kumachitika chifukwa cha mtima komanso kupuma, kuchepa kwa magazi m'thupi, kuchepa magazi, kusayenda bwino kwa magazi;
- zaka za ana mpaka zaka 10;
- kuledzera kosatha;
- nthawi ya pakati ndi yoyamwitsa;
- kuphwanya mulingo wamadzi-electrolyte;
- asidi owonjezera m'magazi;
- lactic acidosis;
- kukhalapo kwa matenda mthupi;
- Zakudya zochepa zopatsa mphamvu;
- mankhwalawa azachipatala pogwiritsa ntchito ayodini wa ayodini.
Musayambe chithandizo musanachite opareshoni kapena pamaso poti watentha kwambiri.
Ndi chisamaliro
Chenjezo liyenera kuchitidwa mwa okalamba ndi ana, pakhale kulimbikira. Ngati creatinine chilolezo chaimpso kulephera ndi 45-59 ml / min., Dokotala ayenera kusankha mosamala.
Momwe mungatenge Metformin 850
Tengani mankhwalawo mkati osatafuna ndi kumwa ndi kapu yamadzi.
Asanadye kapena pambuyo chakudya
Ndikwabwino kumwa mapiritsi ndi chakudya kuti muchepetse zovuta m'matumbo. Amaloledwa kumwa mapiritsi asanadye.
Ndi matenda ashuga
Mlingo uyenera kusinthidwa ndi dokotala. Mlingo woyamba wa tsiku lililonse ndi piritsi limodzi. Mukakalamba, osaposa 1000 mg patsiku ayenera kumwedwa. Pambuyo masiku 10-15, mutha kuwonjezera kuchuluka kwake. Zambiri patsiku zimaloledwa kutenga 2.55 mg. Mtundu woyamba wa shuga, muyeso wa insulin ungachepetse pakapita nthawi.
Kuchepetsa thupi
Mankhwalawa adapangira kuti achepetse kulemera kwakadali kumbuyo kwa matenda ashuga. Mlingo umatengera kuchuluka kwa shuga m'magazi.
Amaloledwa kumwa mapiritsi asanadye.
Zotsatira zoyipa za Metformin 850
Mukumwa mankhwalawa, zotsatira zoyipa zamagulu osiyanasiyana ndi machitidwe zimatha kuchitika.
Matumbo
Kulawa kwazitsulo mkamwa, kutsekula m'mimba, kutulutsa magazi, kusanza, kusanza, kupweteka m'dera la epigastric kumatha kuchitika.
Kuchokera kumbali ya kagayidwe
Nthawi zina, shuga m'magazi amatsika kwambiri. Kulephera kutsatira mlingo kumabweretsa lactic acidosis.
Pa khungu
Ming'oma iwoneka.
Dongosolo la Endocrine
Pali kuchepa kwa kuthamanga kwa magazi ndi kuchuluka kwa shuga m'magazi, kupweteka kwa minofu, kugona.
Matupi omaliza
Dermatitis imatha kuchitika.
Mutatenga Metformin 850, kutsika kwa magazi nthawi zina kumachitika.
Zokhudza mphamvu pakuwongolera njira
Ngati mumwa mankhwalawo limodzi ndi othandizira a hypoglycemic, chiopsezo chokhala ndi hypoglycemia chikuwonjezeka. Pankhaniyi, ndibwino kukana kuyendetsa magalimoto ndi magwiridwe antchito.
Malangizo apadera
Mankhwalawa, ndikofunikira kuyang'ana momwe chiwindi chikugwirira ntchito, impso ndikuwunika kuchuluka kwa shuga m'magazi (makamaka mukaphatikizidwa ndi insulin ndi sulfonylureas).
Yogwira pophika mankhwala imapangitsa kuyamwa kwa vitamini B12.
Kwa kupweteka kwa minofu, ndikofunikira kudziwa mulingo wa lactic acid m'madzi a m'magazi.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Amayi oyembekezera amalephera kumwa mapiritsi. Musanayambe chithandizo, muyenera kusiya kuyamwitsa.
Kupangira Metformin kwa ana 850
Itha kutengedwa ndi ana komanso achinyamata omwe ndi achikulire kuposa zaka 10.
Gwiritsani ntchito mu ukalamba
Gwiritsani ntchito mosamala odwala okalamba.
Metformin 850 imayikidwa mosamala odwala okalamba.
The ntchito aimpso kuwonongeka
Mochenjera, mankhwalawa adapangidwira kuti asokoneze impso ndi creatinine chilolezo cha 45-59 ml / min. Woopsa milandu, mankhwala si mankhwala.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Kulandila sikumaperekedwa pokhapokha ngati chiwindi chayamba kugwira ntchito.
Mankhwala ochulukirapo a Metformin 850
Kuchulukitsa Mlingo womwe wakwaniritsidwa, kumayambitsa lactic acidosis komanso kusowa kwamadzi. Pankhaniyi, wodwala amakula m'mimba, kupweteka kwa minofu, kusanza, kupweteka kwam'mimba komanso migraine. Kuzindikira kumadzetsa vuto.
Kuchita ndi mankhwala ena
Njira yochepetsera shuga m'magazi imachepetsa ngati mutatenga GCS, glucagon, progestogens, mahomoni a chithokomiro, thiazide diuretics, adrenaline, mankhwala omwe ali ndi adrenomimetic kwenikweni, estrogens, antipsychotic (phenothiazines). Chosakaniza chophatikizacho sichigwirizana bwino ndi cimetidine chifukwa chotupa cha lactacidemia.
ACE zoletsa ndi monoamine oxidases, sulfonylureas, clofibrate zotumphukira, cyclophosphamide, beta-blockers, NSAIDs imatha kupititsa patsogolo zotsatira za hypoglycemic. Kuphatikiza kwa Danazol ndi mitundu yosiyanitsa yomwe imakhala ndi ayodini ndiwotsutsana.
Kulandila sikumaperekedwa pokhapokha ngati chiwindi chayamba kugwira ntchito.
Tengani pa mankhwalawa kumwa mowa, kudalira. pamodzi ndi madontho ndizoletsedwa.
Kuchuluka kwa zinthu zogwira ntchito m'madzi a m'magazi kumachulukanso ndi 60% pomwe mukumwa Triamteren, Morphine, Amiloride, Vancomycin, Quinidine, Procainamide. Mankhwala a hypoglycemic safunikira kuphatikizidwa ndi cholestyramine.
Kuyenderana ndi mowa
Kumwa mowa kumawonjezera chiopsezo cha lactic acidosis. Ndikulimbikitsidwa kuti mowa usamayanjidwe panthawi yamankhwala.
Analogi
Mu mankhwalawa mutha kupeza m'malo mwa mankhwalawa. Pali ma fanizo ofanana ndi mankhwala
- Glyformin;
- Glucophage ndi Glucophage Kutalika;
- Metfogamm;
- Fomu;
- Siofor.
Mankhwala Metformin kuchokera ku wopanga wina akhoza kukhala ndi Zentiva, Long, Teva kapena Richter phukusi. Musanalowe m'malo ndi analogue, muyenera kudziwa kuchuluka kwa shuga, kufunsidwa kwa matenda ena ndikuonana ndi dokotala.
Kupita kwina mankhwala
Chogulitsacho chimagulitsidwa ndi mankhwala.
Mankhwala a hypoglycemic safunikira kuphatikizidwa ndi cholestyramine.
Kodi ndingagule popanda kulandira mankhwala?
Kutuluka kotsutsana ndizotheka.
Zochuluka motani
Mtengo wa ma CD ku Ukraine ndi 120 UAH. Mtengo wapakati ku Russia ndi ma ruble 270.
Zosungidwa zamankhwala
Mapiritsi amayenera kusungidwa kutentha mpaka + 15 ° C ... + 25 ° C m'malo opanda kanthu.
Tsiku lotha ntchito
Moyo wa alumali ndi zaka zitatu.
Wopanga
Farmland LLC Republic of Belarus.
Ndemanga za Metformin 850
Chochitacho chimalekeredwa bwino. Odwala omwe amatsata malangizowo ndipo amayang'aniridwa ndi dokotala amasiya ndemanga zabwino. Pamaso pa contraindication, mankhwalawa nthawi zambiri amatengedwa, koma kuwunika koyipa kumatsalira chifukwa kukulira kwa vutoli.
Madokotala
Yuri Gnatenko, endocrinologist, wazaka 45, Vologda
Gawo lolimbikira limagwira kagayidwe kazakudya, limalimbikitsa kugwiritsidwa ntchito kwa shuga ndikuwonjezera chidwi cha thupi ku insulin. Kuphatikiza apo, muyenera kuchepetsa kuchuluka kwa chakudya chamafuta ochepa komanso kudya mafuta ambiri. Kutsatira mlingo wofunikira komanso moyo wokangalika, zidzathandiza kupewa zovuta mu mtima.
Maria Rusanova, wothandizira, wazaka 38, Izhevsk
Chidacho chili ndi mphamvu yopulumutsa insulin. Mankhwala amathandizira kuchepetsa kunenepa, kusintha glycemia control. Poyerekeza ndi maziko otenga, kuchuluka kwa magazi am'magazi, glycated hemoglobin, kumachepa. Popewa zoyipa kuchokera m'mimba, muyenera kuwonjezera nthawi 1 mu masabata awiri ngati kuli kotheka.
Odwala
Elizabeth, wazaka 33, Samara
Mankhwala othandiza kuchepetsa shuga. Amatumizidwa piritsi limodzi kawiri pa tsiku. Mlingo unali wokwanira kutsitsa shuga. Zotsatira zoyipa zimaphatikizapo chizungulire, mapando otayirira, nseru ndi kutulutsa. Ndinayamba kumwa mankhwalawo ndi chakudya ndipo zizindikirizo zinazimiririka. Ndikupangira kumwa motengera malangizo.
Kuchepetsa thupi
Diana, wazaka 29, Suzdal
Atalembedwa ndi endocrinologist, adayamba kumwa mapiritsi. Mankhwalawa anathandizira kuchepetsa thupi, kuchepetsa matenda a shuga ndi mafuta m'thupi. Metformin adalimbana ndi ntchitoyi popanda mavuto. Kwa miyezi itatu ndinataya 7 kg. Ndikukonzekera kuzitengera patsogolo.
Svetlana, wazaka 41, Novosibirsk
Kuchokera pa 87 kg, adachepetsa mpaka 79 m'miyezi isanu ndi umodzi. Anayendetsa kuti asadandaule za kuchuluka kwa shuga mutatha kudya. Mwadzidzidzi, anachepa thupi ndipo thupi lake limachepa. Sabata yoyamba ndinayamba kumva kuwawa komanso kuzunguzika, mavuto am'tulo adachitika. Nditachepetsa mankhwalawa ndikusintha zakudya zamafuta ochepa, thanzi langa lidayamba kuyenda bwino. Ndili wokondwa ndi zotsatira zake.
