Bagomet - mankhwala operekedwa kwa odwala matenda a shuga. Mankhwalawa ali ndi ma contraindication angapo, chifukwa chake amangogwiritsidwa ntchito motsogozedwa ndi dokotala.
Dzinalo Losayenerana
Metformin.
ATX
A10BA02 Metformin.
Kutulutsa mafomu ndi kapangidwe kake
Mankhwala ndi piritsi wokhala ndi metformin hydrochloride (yogwira mankhwala) pakapangidwe. Pali mitundu yosiyanasiyana - 1000, 850 ndi 500 mg. Kuphatikiza pazomwe zimagwira, zina zowonjezera zomwe zimakhala ndi mankhwala ochiritsira zimaphatikizidwa ndi mankhwalawa. Mapiritsiwo ndi ozunguliridwa, zokutira, ndipo mawonekedwe a 850 mg ndi mankhwala.
Bagomet ndi piritsi lokhala ndi metformin hydrochloride pakapangidwe.
Zotsatira za pharmacological
Zotsatira zazikulu zomwe mankhwalawa amapereka ndi hypoglycemic. Mankhwalawa amathandizira kutsitsa shuga m'magazi. Zotsatira zake zimatheka chifukwa cha kuletsa kwa gluconeogenesis m'chiwindi. Mapiritsi amathandizira kukonza kwa glucose m'misempha ndikuchepetsa mayamwidwe ake.
Mankhwalawa amaphatikiza zinthu zomwe sizikuthandizira kupanga insulin ndipo sizingayambitse hypoglycemia.
Kwa anthu omwe ali ndi matenda ashuga komanso kuchuluka kwa thupi, mankhwalawa amakulolani kuchepa thupi mwakuchepetsa hyperinsulinemia.
Kutha kutsitsa cholesterol yamagazi.
Pharmacokinetics
Mukatha kugwiritsa ntchito, imathamanga ndipo imatsala pang'ono kulowa m'mimba. Mukamamwa pamimba yopanda kanthu, kugaya chakudya kumaposa 50%. Gawo lothandiziralo silimanga kumapuloteni omwe amafalitsidwa m'madzi a m'magazi, koma limagawidwa mwachangu m'thupi lonse. Amatha kudziunjikira m'magazi ofiira.
Amakhala ndi kagayidwe, koma ochulukirapo, pafupi ndi zero. Amapatsidwa gawo limodzi la impso osasinthika. Izi zimachitika maola 4-6.
Mankhwala amatha kuchepetsa magazi m'thupi.
Zizindikiro zogwiritsidwa ntchito
Amalembera anthu odwala matenda ashuga a 2 mtundu. Kugwiritsa ntchito bwino kwa kunenepa kwambiri kumadziwika. Imafotokozedwa ngati njira ya monotherapy kapena kuphatikiza mankhwala.
Contraindication
Palibe mankhwala omwe amafotokozedwa motere:
- chidwi cha munthu pazinthu zina zomwe ndi gawo lachipangidwe;
- matenda ashuga ketoacidosis, matenda a shuga, hypoglycemic chikomokere;
- aliyense matenda aimpso;
- zovuta pachimake zomwe zimawopseza ntchito ya impso;
- kuchepa kwa madzi chifukwa cha m'mimba kapena kusanza, kutentha thupi, matenda oyambitsidwa ndi matenda;
- zikhalidwe za kuperewera kwa chakudya cha oxygen (mantha, magazi poyizoni, matenda a impso kapena bronchopulmonary, chikomokere);
- chiwonetsero cha zizindikiro za matenda owopsa kapena osachiritsika omwe angapangitse kukula kwa minofu hypoxia;
- kulowererapo kwakukulu (komanso njira zina zopangira opaleshoni) ndi kuvulala pamene chithandizo cha insulin chikuchitika;
- Kulephera kwa chiwindi, kuphwanya chiwindi ntchito;
- uchidakwa wambiri, kuledzera kwa pachimake;
- kutsatira zakudya zomwe zimafuna kumwa zosakwana 1000 kcal / tsiku.;
- mimba
- nthawi yoyamwitsa;
- lactic acidosis (kuphatikizapo mbiri);
- kumwa mapiritsi kwa masiku angapo isanachitike komanso pambuyo maphunziro omwe amakhudza kuyambitsa kwa wothandizirana ndi ayodini.
Kodi akutenga bagomet?
Mlingowo umatsimikiziridwa ndi adokotala ndipo zimatengera umboni, kuchuluka kwa shuga m'magazi a wodwala. Kulandila kumatengedwa mkati pamimba yopanda kanthu. Kugwiritsa ntchito mankhwalawa ndi zakudya kumachepetsa mphamvu yake.
Mukamagwiritsa ntchito mapiritsi okhala ndi 500 mg, muyeso woyamba uyenera kukhala 1000-1500 mg. Pofuna kupewa kuyipa, tikulimbikitsidwa kuti mugawane Mlingo mu 2-3 Mlingo. Pambuyo pa mankhwala a 2 milungu, amaloledwa kuwonjezera pang'onopang'ono ngati kuwerenga kwa shuga m'magazi kwayamba kuyenda bwino. Mlingo watsiku ndi tsiku sayenera kupitirira 3000 mg.
Achinyamata amatha kumwa pafupifupi 500 mg madzulo ndi chakudya. Pambuyo masiku 10-15, mlingo uyenera kusinthidwa. Oposa 2000 mg ya mankhwalawa sayenera kumwa tsiku lililonse.
Ndi munthawi yomweyo makonzedwe ndi insulin, muyenera kutenga piritsi 1 2-3 r. / Tsiku.
Mukamagwiritsa ntchito mapiritsi a 850 mg, wamkulu ayenera kumwa piritsi limodzi. Mlingo patsiku suyenera kupitirira 2500 mg. Mukamamwa mapiritsi a 1000 mg, 1 pc imagwiritsidwa ntchito. patsiku. Mlingo wololedwa wambiri ndi 2000 mg. Ngati mankhwala a insulin amachitika nthawi yomweyo, ndiye kuti piritsi limodzi ndi 1 piritsi.
Zotsatira zoyipa Bagomet
Ndi kumwa kolakwika, zotsatira zoyipa zimatha kupezeka pafupi mbali zonse za thupi.
Matumbo
Kusanza, kusanza, chilala chitha kuzimiririka.
Zizindikiro zotere zimatha kuvutitsa wodwala kumayambiriro kwa maphunzirowa, koma osafunikira kusiya kwa mankhwalawo.
Ndi kumwa kolakwika, zotsatira zoyipa zimatha kupezeka pafupi mbali zonse za thupi.
Hematopoietic ziwalo
Palibe deta pazokhudza magazi.
Pakati mantha dongosolo
Kutopa, kufooka, chizungulire zimadziwika.
Dongosolo la Endocrine
Malangizowa sapereka chidziwitso chokhudza momwe mankhwalawa amakhudzira ziwalo za endocrine.
Kuchokera kumbali ya kagayidwe
Lactic acidosis. Ngati kupatuka kumachitika, siyani kumwa mankhwalawo.
Matupi omaliza
Zingwe, kuyabwa kumawonedwa.
Bagomet imatha kuyambitsa ziwengo mu mawonekedwe a totupa, kuyabwa.
Zokhudza mphamvu pakuwongolera njira
Palibe zoyipa pakuwongolera kayendedwe, koma zoyipa monga chizungulire ziyenera kuganiziridwa.
Malangizo apadera
Pa mankhwala, muyenera kuwongolera kuchuluka kwa shuga m'magazi pamimba yopanda kanthu ndikatha kudya. Ngati mukukumana ndi vuto loipa, pitani kuchipatala kuti mupeze malangizo. Ndi chithandizo chotenga nthawi yayitali, plasma ya metformin imafunikira.
Gwiritsani ntchito mu ukalamba
Amalembedwa mosamala kwa okalamba omwe ali ndi zaka 60.
Kupatsa ana
Amadzipatsa ana osaposa zaka 10 kuti atenge mlingo wa 500 mg. Mpaka wazaka 18, mapiritsi okhala ndi mlingo wapamwamba (850 ndi 1000 mg) sagwiritsidwa ntchito.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Ndi motsutsana okhazikika.
The ntchito aimpso kuwonongeka
Contraindified mu aimpso kulephera.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Gwiritsani ntchito mosamala vuto la chiwindi.
Gwiritsani ntchito mosamala vuto la chiwindi.
Mankhwala osokoneza bongo a Bagomet
Lactic acidosis. Zizindikiro zoyambirira ndizopweteka m'mimba, kusamva bwino komanso kupweteka kwa minofu. Matendawa akakula, wodwalayo amafunikira kuchipatala.
Kuchita ndi mankhwala ena
Ndizotheka kuchepetsa kuchuluka kwa zotsatira zogwira ntchito pakanthawi kofanana ndi:
- shuga mankhwala;
- mankhwala omwe ali ndi mahomoni;
- ma epinephrins;
- glucagon;
- sympathomimetics;
- phenytoin;
- mankhwala omwe ali ndi phenothiazine;
- thiazide okodzetsa;
- zotumphukira zosiyanasiyana za nicotinic acid;
- Bcc ndi isoniazid.
Zotsatira za hypoglycemic zotsatira za metformin zitha kupitilizidwa ndi mankhwala ogwirizana:
- kukonzekera kochokera ku sulfonylurea;
- acarbose;
- insulin;
- NSAIDs;
- Mao zoletsa;
- oxytetracycline;
- ACE zoletsa;
- mankhwala opangidwa kuchokera ku clofibrate;
- cyclophosphamide, β-blockers.
Bagomet imatha kupitilizidwa ndi mphamvu ya zotsatira za hypoglycemic ya metformin ikaphatikizidwa ndi insulin.
Metformin itha kuchepetsa mayamwidwe a cyanocobalamin (vitamini B12).
Cimetidine amachepetsa nthawi yochotsa metformin, yomwe imakwiyitsa kukula kwa lactic acidosis.
Nifedipine amachepetsa nthawi ya kuchotsa metformin.
Metformin imatha kufooketsa mphamvu ya ma anticoagulants (omwe amapangidwa kuchokera ku coumarin).
Kuyenderana ndi mowa
Panthawi yomwe mumamwa mankhwalawa, ndibwino kuti musagwiritse ntchito mankhwala omwe ali ndi mowa, ndikukana kwakanthawi pang'ono kumwa zakumwa zoledzeretsa.
Analogi
Bagomet Plus - mankhwala ofanana, ofanana ndi cholinga ndi katundu, koma okhala ndi glibenclamide. Zofananira zina zikuphatikiza:
- Fomu;
- Glucophage motalika;
- Metformin;
- Metformin Teva;
- Glformin.
Kupita kwina mankhwala
Mankhwala amaperekedwa pofotokoza zomwe dokotala wanena.
Kodi ndingagule popanda kulandira mankhwala?
Ayi.
Mtengo
Mtengo wapakati ndi ma ruble 200.
Zosungidwa zamankhwala
Sungani pamalo owuma, otentha.
Tsiku lotha ntchito
Zaka 2
Wopanga
Kimika Montpellier S.A.
Ndemanga Zahudwala
Svetlana, wazaka 49, Kirov: "Ndakhala ndikudwala matenda ashuga kwa nthawi yayitali. Kenako mlingowo unachepetsedwa, ndinayamba kumva bwino. Ndili pachakudya kuti shuga asakhazikike, koma ndikupitiliza kumwa mankhwalawo. Kulemera ndikunyamuka. Ndataya makilogalamu 6 m'mwezi umodzi. "
Trofim, wazaka 60, ku Moscow: "Mapiritsiwa adalembedwa posachedwa, mtengo wake udatha, ndipo ndemanga zake zidali zabwino. Nditamwa koyamba, ndidayamba kuphwanya m'mimba mwanga, ndidatsuka m'mimba mwanga mu ambulansi. Ndidadziwikanso kuti ndidali ndi vuto lililonse, ndine dokotala komanso Muli mankhwala okwera kwambiri.
Nifedipine amachepetsa nthawi ya kuchotsa metformin.
Madokotala amafufuza
Mikhail, wazaka 40, Saratov: "Mankhwalawa ali ndi zotsutsana zambiri ndipo nthawi zambiri zimayambitsa zovuta, chifukwa chake ndimapereka mankhwala mosamala kwambiri kwa odwala, makamaka okalamba ndi ana. shuga wamagazi, ndikulingalira ndi mlingo. "
Ludmila, wazaka 30, Kursk: "Odwala ambiri amadandaula kuti akumwa mankhwalawa m'masiku oyamba kumwa mankhwalawa, ena amakhala ndi zotsatirapo zina.
