Amoxiclav - mankhwala osiyanasiyana, a antiotic, osankhira beta-lactamase blocker. Ili ndi mitundu yambiri. Mankhwala amagwiritsidwa ntchito mu gynecology, dermatology, urology ndi otolaryngology. Njira zochizira zimagwirizanitsidwa ndi mankhwala okhazikika ndipo zimapangidwa kuti zithandizire wodwalayo.
Dzinalo
Dzinalo losavomerezeka padziko lonse lapansi (INN) ndi amoxicillin + clavulanic acid, ndipo dzina lake la malonda ndi Amoxiclav 1000.
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Amoxiclav ndi mankhwala othandizira, osankha beta-lactamase blocker, ogwiritsidwa ntchito mu gynecology, dermatology, urology ndi otolaryngologists.
ATX
Mankhwalawa amapatsidwa nambala ya ATX - J01CR02. Nambala yolembetsa - N012124 / 02 kuchokera pa 07.24.2010.
Kutulutsa mafomu ndi kapangidwe kake
Mankhwala olimbana ndi mankhwalawa amapezeka mwa mapiritsi ndi madzi osungunuka amadzimadzi. Kuyimitsidwa ndi mapiritsi mukupangidwaku ali ndi ntchito yomweyo - amoxicillin. Clavulanic acid (potaziyamu wamchere) ndi gawo lachiwiri lothandizira.
Mapiritsi
Piritsi lotulutsira lili ndi 1000 mg ya amoxicillin ndi 600 mg ya mchere wam potaziyamu. Mapiritsi oyera a Biconvex oyera amakhala alibe ma chamfers ndi notches, mawonekedwe ake ndi osalala komanso osalala. Piritsi iliyonse imakhala yokutidwa ndi membrane-filimu sungunuka m'matumbo. Wopanga amapanga kukhalapo kwa zinthu zothandizira, zomwe zimaphatikizapo:
- crospovidone;
- croscarmellose sodium;
- ma cellcose a microcrystalline;
- talc;
- colloidal silicon dioxide;
- magnesium wakuba.
Mafuta a Castor ndi iron oxide amatha kukhala utoto, chifukwa mapiritsiwo amakhala ndi utoto wachikasu. Paketi iliyonse ya piritsi ili ndi miyala 10. M'bokosi lamakhadi momwe mankhwalawo amagulitsidwa, pali matuza awiri. Malangizo ogwiritsira ntchito kapepala kamapezeka.
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Piritsi lotulutsira lili ndi 1000 mg ya amoxicillin ndi 600 mg ya mchere wam potaziyamu.
Ufa
Kuyimitsidwa komwe kumakonzedwa kuchokera ku ufa kumapangidwira kulowetsedwa. Lyophilisate imaphatikizidwa m'magulu a zamankhwala pokonzekera yankho lomwe limayendetsedwa kudzera m'mitsempha. Amoxicillin (1000 mg) ndi mchere wam potaziyamu (875-625 mg) amapezeka mu mawonekedwe a fomu. Zinthu zina:
- sodium citrate;
- sodium benzoate;
- sodium saccharase;
- MCC (microcrystalline cellulose).
Zinyalala za kulowetsedwa zimagulitsidwa m'mabotolo agalasi, omwe aliwonse amaikidwa mu bokosi la makatoni.
Zotsatira za pharmacological
Mankhwala ndi a antibayotiki gulu la penicillin, mchere wa potaziyamu ulipo, ndikuchita beta-lactamase blockers. Amoxicillin amadziwika kuti ndi wochokera ku semisynthetic penicillin. Kapangidwe ka clavulanic acid ndi ofanana ndi kapangidwe ka mankhwala a beta-lactam, mankhwalawa ali ndi antibacterial.
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Amoxicillin amawonedwa kuti amatengedwa ngati semisynthetic penicillin, amathandizira mabakiteriya okhala ndi gramu komanso ma anaerobic tizilombo.
Wothandizidwa ndi ma pathogenic omwe amagwira ntchito ya mankhwala:
- mabakiteriya abwino;
- tizilombo toyambitsa matenda a anaerobic (kuphatikizapo gram-negative and gram-positive).
Mchere wa potaziyamu limodzi ndi penicillin wopangidwa amapangitsa kuti mankhwala azigwiritsa ntchito mankhwalawa matenda opatsirana.
Pharmacokinetics
Mitundu ya Mlingo wothandizira pakamwa imatengedwa mwachangu m'mimba. Kupezeka kwa chakudya m'mimba sikukhudza kuchuluka kwa kuyimitsidwa ndi mapiritsi m'magazi. Zinthu zomwe zimagwira kumapuloteni a magazi ndi 54%, kuchuluka kwambiri kumachitika pambuyo pa mphindi 50-60 pambuyo pa kumwa koyamba. Amoxicillin ndi clavulanic acid amagawananso mofananamo mu minofu, amatha kulowa malovu, zimakhala ndi mafupa, minyewa, ndulu ya bile, ndi Prostate.
Pakakhala kutupa m'mitsempha, chotchinga chamagazi chimaletsa kulowa kwa zinthu zofunikira. Zotsatira za zotheka zimapezeka mkaka wa m'mawere. Mwapang'onopang'ono, kagayidweko kamachitika ndi chiwindi, zopangidwa zake zimatulutsidwa pamodzi ndi mkodzo. Gawo laling'ono limachoka m'thupi limodzi ndi ndowe ndi malovu. Kutha kwa theka-moyo kumatenga mphindi 90.
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Mitundu ya Mlingo wothandizira pakamwa imatengedwa mwachangu m'mimba.
Zizindikiro zogwiritsidwa ntchito
Kugwiritsa ntchito maantibayotiki kumachitika pofufuza matenda a wodwala omwe ali ndi vuto losakhazikika, limodzi ndi kukula kwa njira yotupa. Omwe amachititsa matenda amtunduwu ndi tizilombo tating'onoting'ono tomwe timayamwa mankhwala. Malangizo ali ndi izi:
- matenda kupuma (tonillitis, sinusitis, pharyngitis);
- matenda a genitourinary dongosolo (prostatitis, cystitis);
- matenda am'munsi kupuma thirakiti (aakulu ndi pachimake bronchitis, m'mapapo chibayo);
- matenda obala achikazi (colpitis, vaginitis);
- zotupa njira mu mafupa ndi mafupa;
- kuluma kwa tizilombo;
- kutupa kwa biliary thirakiti (cholecystitis, cholangitis).
Kugwiritsa ntchito maantibayotiki pochiza matenda azamatenda kumakupatsani mwayi wobwezeretsa microflora yachilengedwe ya kumaliseche.
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Contraindication
Kukhalapo kwa contraindication mwa wodwala kumapangitsa kugwiritsa ntchito mankhwalawa kukhala kosatheka. Izi zikuphatikiza:
- mononucleosis wodwala matenda;
- mbiri ya jaundice wa cholestatic;
- lymphocytic leukemia;
- idiosyncrasy ya amoxicillin;
- zaka za ana (mpaka zaka 10);
- Hypersensitivity mankhwala opha tizilombo.
Milandu yomwe ili pamwambapa imangotchedwa kuti contraindication kwathunthu. Zotsutsana:
- kulephera kwa chiwindi;
- kulephera kwa aimpso.
Zotsatira zoyipa zimafunikira kuvomerezeka mosamala kuyang'aniridwa ndi katswiri.
Momwe mungatenge Amoxiclav 1000
Mlingo wa nthawi ndi nthawi yogwiritsira ntchito amawerengedwa payekhapayekha. Mapiritsi amatengedwa musanadye kapena mutatha kudya, 1 nthawi patsiku. The lyophilisate ndi sungunuka m'madzi jakisoni. Kuchepetsa 600 mg ya clavulanic acid, 10 ml ya madzi ndi yofunika. Kumayambiriro kumachitika kudzera mu mtsempha, yankho limaperekedwa pang'onopang'ono kupitilira mphindi ziwiri. Yankho lokonzeka silikhala ndi kuzizira.
Mlingo wa ana
Kwa ana opitirira zaka 10 - 10 mg ya clavulanic acid pa 10 kg ya kulemera. Kwa ana ochepera zaka 10, kugwiritsa ntchito mankhwalawa ndizoletsedwa.
Akuluakulu
Chikhalidwe cha tsiku ndi tsiku cha potaziyamu mchere (clavulanic acid) kwa odwala akuluakulu ndi 600 mg.
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Pangatenge masiku angati
Njira yogwiritsira ntchito ndi masiku 10. Munthawi ya kukonzanso pambuyo pakuchita opaleshoni, ndikofunikira kutenga piritsi la mankhwalawa kwa masiku 7-10.
Kumwa mankhwala a shuga
Kwa odwala matenda a shuga, chithandizo chikuyenera kuyamba ndi theka. Mulingo watsiku ndi tsiku suyenera kupitilira 500 mg ya amoxicillin.
Zotsatira zoyipa
Mlingo wosankhidwa molakwika umakwiyitsa kukula kwa zovuta zina.
Matumbo
Odwala amakhala ndi vuto la kusowa kwa chakudya, mseru komanso kusanza, kupweteka m'mimba, komanso kusokonezeka kwa chopondapo.
Hematopoietic ziwalo
Pali kuwonjezeka kwa kugunda kwa mtima, thrombocytopenia, pancytopenia.
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Pakati mantha dongosolo
Odwala amatha kukumana ndi chizungulire, nkhawa, kusokonezeka kwa kugona, migraines.
Kuchokera kwamikodzo
Jade ndi crystalluria zimayamba.
Matupi omaliza
Mu 46% ya odwala omwe amadandaula ndi zovuta za dotolo, matupi awo sagwirizana ndi mawonekedwe a kuyabwa, urticaria, ndi vasculitis. Nthawi zina, manenedwe a anaphylactic angayambe.
Malangizo apadera
Malangizo ogwiritsira ntchito ali ndi malangizo apadera, kutsatira zomwe ndizovomerezeka.
Kuyenderana ndi mowa
Palibe kuyanjana pakati pa antibayotiki ndi mowa. Ndi zoletsedwa kumwa mowa pa mankhwalawa.
Zokhudza mphamvu pakuwongolera njira
Munthawi yogwiritsira ntchito mankhwalawa, ndikulimbikitsidwa kukana kuyendetsa magalimoto.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Chithandizo cha matenda opatsirana opatsirana ndi antioxotic panthawi yovala mwana ndi kuyamwitsa chimalola chifukwa chodwala.
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Gwiritsani ntchito ntchito yolakwika ya chiwindi
Kulephera kwa hepatatic ndikuphwanya kwathunthu.
The ntchito aimpso kuwonongeka
Odwala omwe apezeka ndi matenda a impso amafunika kuwongolera mosamala.
Bongo
Kupewetsa bongo kosokoneza bongo kumagwirizana kwambiri ndi malangizo onse azachipatala. Kuchulukitsa njira zochizira zowonjezereka kawiri kapena kawiri kumawonjezera mwayi wokhala ndi zizindikiro za bongo. Izi zimaphatikizapo kutsegula m'mimba, kusanza kosasunthika, komanso kukhumudwa kwambiri. Odwala nthawi zambiri amakhala ndi kukokana.
Palibe mankhwala enieni. Pakakhala vuto la bongo, wodwalayo ayenera kutsuka m'mimba ndikupereka enterosorbent (makala ophatikizidwa).
Kuchita ndi mankhwala ena
Mankhwala osokoneza bongo kuphatikiza ndi mankhwala ena amachititsa kuti matumbo asokonezeke. Glucosamine, maantacid, ma laxatives, aminoglycosides angachedwetse kuyamwa kwa mankhwalawa. Ascorbic acid munthawi yomweyo ndi mankhwala amathandizira kuyamwa kwa omalizirawo.
Mankhwala omwe amalimbikitsa kutuluka kwamkodzo mofulumira, Allopurinol, Phenylbutazone komanso mankhwala osokoneza bongo omwe amalimbana ndi zotupa amathandizira kuti azikhala ndi zinthu zambiri m'magazi. Ma anticoagulants ndi maantibayotiki amachepetsa index ya prothrombin. Kuphatikiza kwa mankhwalawa kumasankhidwa ndi katswiri wazachipatala. Methotrexate imawonjezera kawopsedwe wa amoxicillin. Allopurinol ndi
Mankhwala ofanana nthawi yomweyo amawonjezera chiopsezo cha exanthema.
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Disulfiram imagwirizana ndi mankhwala a antibacterial. Rifampicin amatipatsa zochizira zama amoxicillin. Kugwiritsa ntchito bwino kwa mankhwalawa kumachepa ndi kugwiritsa ntchito mankhwala mosokoneza bongo ndi macrolides, tetracyclines ndi zotumphukira za sulfamic acid. Probenecid amachepetsa kuchuluka kwa excretion wa amoxicillin. Mphamvu yolerera pakamwa imachepetsedwa.
Analogs of Amoxiclav 1000
Ma analog a antibiotic ali m'magulu osiyanasiyana amitengo. Mtengo wamankhwala umatengera wopanga - zotengera zapakhomo ndizotsika mtengo kuposa zoyambirira. Mgwirizano wamankhwala:
- Amoxiclav Quicktab. Analogue yaumbidwe imakhala ndi zosakaniza zofanana ndi zoyambirira, koma modekha kwambiri (500 mg +125 mg). Amapezeka piritsi. Kugwiritsa ndikotheka pozindikira wodwala yemwe ali ndi matenda opatsirana, limodzi ndi kutupa. Mtengo wa mankhwalawa umachokera ku ruble 540.
- Panclave. Piritsi la mankhwalawa lakonzedwa kuti pakhale pakamwa, mapiritsiwo ali ndi 250-500 mg wa amoxicillin ndi 125 mg ya potaziyamu. Mankhwala antibacterial amagwiritsidwa ntchito mu venereology, gynecology ndi otolaryngology. Mtengo - kuchokera ku ma ruble 300.
- Sultasin. Analogue wotsika mtengo kwambiri. Mankhwala othana ndi penicillin amapezeka ngati lyophilisate. Kuphatikizikako kumakhala ndi sodium ampicillin ndi sodium sulbactam. Mankhwala akuti antimicrobial katundu. Mtengo - kuchokera ku ma ruble 40.
Zomwe zimalowe m'malo zimasiyana pamagulu azogwira ntchito. Mlingo woyeserera amasankhidwa payekha.
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Kupita kwina mankhwala
Pamafunika mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Mndandanda B. Popanda mankhwala, simungagule mankhwala.
Zochuluka motani
Mtengo wocheperako wa mankhwala ndi ma ruble 90.
Zowongolera Amoxiclav 1000
Kusungirako kumachitika m'malo otetezeka, owuma.
Tsiku lotha ntchito
Sungani miyezi yopitilira 24.
Ndemanga za Amoxiclav 1000
Madokotala
Isakova Alevtina, otolaryngologist, Samara
Mankhwalawa ndiwotchuka, kugwira ntchito kwake kumayesedwa kwa nthawi. Zotsatira zoyipa ndizochepa, mankhwalawa amavomerezedwa ndi odwala. Mtengo wotsika ndiwowonjezera. Mwakuchita izi, ndakhala ndikugwiritsa ntchito mankhwala kwa nthawi yayitali. Mlingo wa mankhwalawa zimatengera mawonekedwe a matendawa. Ndikofunikira kutsatira malangizo onse a dokotala. Mapiritsi amayenera kutsukidwa ndi madzi okha, osapatula tiyi, khofi kapena zakumwa zochokera mu kaboni. Palibe kusintha kwamphamvu komwe kumafunikira.
Kairat Zhanatasov, katswiri wa matenda opatsirana, Syktyvkar
Mankhwalawa adatsimikizira okha pakuchiza matenda a etiology yopatsirana. Odwala samakonda kudandaula za zoyipa, sayanjana ndi khungu. Mankhwala osakanikirana ali ndi mphamvu yoyeserera, mothandizidwa ndi mabakiteriya opanda gramu ndi gramu omwe amafa. Sindikulimbikitsa kumwa mapiritsi kwa masiku opitilira 10. Kuyimitsidwa kwapadera ndi kukoma kosangalatsa kumagulitsidwa kwa ana, kapangidwe kake kofatsa komanso kotetezeka.
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Amoxiclav - mankhwala osiyanasiyana, a antiotic, osankhira beta-lactamase blocker.
Odwala
Christina, wa zaka 32, pos. Soviet
Zowawa zopweteka zimadzipangitsa kumverera kawiri pachaka. Kuchulukitsa kwa matendawa kumakhala kwamphamvu kwambiri kotero kuti kudya kumakhala kosatheka. Matani amayaka, kukomoka sikubweretsa mpumulo. Ndinamwa mankhwalawo kwa nthawi yayitali mpaka adokotala atandipatsa mankhwala a penicillin. Anapeza ndi mankhwala mchilatini. Ndinkamwa mapiritsi a masiku 10, piritsi limodzi patsiku. Masiku oyambawa anali osagwirizana. Ziphuphu zazing'onoting'ono zimawonekera pakhungu, zimapendereranso. Anawadzoza ndi mafuta a antihistamine, thupi lawo siligwirizana pambuyo masiku awiri.
Fedor, wazaka 41, Novorossiysk
Atamuchita opareshoni, adamwa mankhwala a penicillin pakukonzanso. Mankhwalawa sanathandizire kuwonongeka msanga pamatumbo, koma ozizira adapita mwachangu. Adadzuka pamaso opareshoni, kulowererapo kudali kofunika, kotero sanathe kuchiritsa chimfine. Zotsatira zoyipa zinali zazing'ono - matumbo osasangalatsa.