The mankhwala zotchulidwa mankhwala zovuta kunenepa. Zosakaniza zomwe zimagwira zimachepetsa chilimbikitso komanso zimathandizira kutentha kwa mafuta osaneneka. Chipangizocho sichothandiza, koma chithandizo chikuyenera kuchitika moyang'aniridwa ndi dokotala.
Dzinalo Losayenerana
Sibutramine + microcrystalline cellulose.
![](http://img.diabetesentity.com/img/sayd-2020/1503/10-3.png)
Goldline Plus 10 imafotokozedwa mu chithandizo chovuta cha kunenepa kwambiri.
ATX
A08A.
Kutulutsa mafomu ndi kapangidwe kake
Mankhwala amagulitsidwa mu mawonekedwe a kapisozi. Phukusili lili ndi makapisozi 30, 60 kapena 90. Zomwe zimagwiritsa ntchito mankhwalawa ndi 10 mg ya sibutramine ndi 158,5 mg ya microcrystalline cellulose.
Zotsatira za pharmacological
Mankhwala ali enterosorbing ndi anorexigenic kwenikweni. Sibutramine hydrochloride monohydrate imathandizira kumverera kwodzaza ndikuchita pazinthu zofiirira za adipose. Microcrystalline cellulose ndi enterosorbent yomwe imatsuka m'mimba m'matumbo ndi poizoni. Katundu amene ali m'mimba amatupa ndikamadziwidwa ndi madzi komanso kupewa kudya kwambiri. Zophatikizira zimayambitsa ntchito yoyaka mafuta.
Pharmacokinetics
Mankhwalawa amatengedwa kuchokera m'matumbo am'mimba ndi 75%. Imagawidwa pamizimba ndipo imakhudzidwa ndi biotransformation mu chiwindi. Ma metabolites omwe amagwira ntchito amapangidwa - mono- ndi didemethylsibutramine. Pambuyo pa maola 3-4, kuchuluka kwambiri kwa metabolites yogwira m'magazi am'magazi kumafika (nthawi imawonjezeka mpaka maola 3 ndikudya chakudya). Amamangidwa ndi mapuloteni amwazi ndi 95%. Ma metabolites osagwira amathandizidwa mkodzo.
Zizindikiro zogwiritsidwa ntchito
Ndikulimbikitsidwa kumwa mankhwalawa kwa odwala onenepa kwambiri (BMI ya 30 kg / m2 kapena kupitilira apo, kuphatikiza ndi matenda a shuga 2 ndi dyslipidemia).
![](http://img.diabetesentity.com/img/sayd-2020/1503/10-31.jpg)
Goldline Plus ndikulimbikitsidwa kwa odwala onenepa kwambiri.
Contraindication
Ndi zoletsedwa kuyamba kulandira mankhwala ngati awa:
- organic zomwe zimayambitsa kunenepa kwambiri (kulephera kwa mahomoni, mavuto mu chithokomiro cha chithokomiro);
- mimba kapena mkaka wa m`mawere;
- kwambiri kuwonongeka kwa impso kapena chiwindi;
- kusokonezeka kwa malingaliro;
- matenda a de la Tourette;
- matenda a mtima (matenda a mtima, matenda a mtima, tachycardia, mtima wosakhazikika);
- ngozi yamitsempha;
- chikhalidwe pambuyo sitiroko;
- Prostate adenoma;
- kutseka kwa mawonekedwe a glaucoma;
- chosaopsa adrenal gland chotupa;
- mbiri yokhudza thupi lawo sizigwirizana ndi zigawo za mankhwala;
- okalamba odwala azaka zopitilira 65;
- ana ochepera zaka 18;
- ochepa matenda oopsa.
Ngati wodwala wapezeka kuti akudalira mankhwala osokoneza bongo, mankhwala kapena zakumwa zoledzeretsa, kumwa mankhwalawo ndizoletsedwa.
![](http://img.diabetesentity.com/img/sayd-2020/1503/10-32.jpg)
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Momwe angatenge
Tengani pakamwa, ngakhale chakudyacho. Makapisozi samatafuna, kutsukidwa ndi madzi ambiri. Mlingo amasankhidwa payekha poganizira kulolerana kwa zigawo zake.
Kuchepetsa thupi
Mlingo woyambirira ndi piritsi limodzi patsiku (10 mg) kapena theka la piritsi (5 mg) lopanda kulekerera bwino. Itha kumwa ndi chakudya kapena pamimba yopanda kanthu. Ngati mulephera pambuyo pa masabata anayi, mutha kuwonjezera kuchuluka kwa 15 mg. Njira ya mankhwala sayenera kupitirira 1 chaka.
Ndi matenda ashuga
Yalandiridwa malinga ndi malangizo, kuyambira ndi ochepera. Musanavomere, muyenera kupita kwa dokotala kukayezetsa.
Zotsatira zoyipa
M'masabata atatu oyambilira, zimachitika zovuta. Ngati mumatsatira malangizowo, zizindikiro zosasangalatsa zimatha pakapita nthawi.
Matumbo
Kuchokera pamimba, m'mimba, kukhumudwa, kusanza, ndi kusanza zitha kuoneka. Poyerekeza ndi kudzimbidwa, kuchuluka kwa zotupa m'mimba kumatha kuchitika. Nthawi zambiri odwala amakhala ndi kusowa kudya kwa nthawi yayitali.
Hematopoietic ziwalo
Makapisozi nthawi zambiri amatsogolera ku thrombocytopenia. Mankhwala, kuchuluka kwa chiwindi michere kumadziwika.
Pakati mantha dongosolo
Sibutramine imatha kubweretsa kusowa tulo, kukhumudwa, mantha. Pakamwa pakamwa nthawi zambiri pamamveka.
Kuchokera kwamikodzo
Kuchuluka kwa mkodzo kumachepa.
Kuchokera pamtima
Nthawi zambiri kupsinjika kumakwera, kugunda kwa mtima kumasokonezeka, komanso kugunda kwa mtima kumamveka.
Matupi omaliza
Ndi chidwi chochulukirapo pazigawo, urticaria imachitika, thukuta limakulirakulira.
Zokhudza mphamvu pakuwongolera njira
Chifukwa cha zomwe zimachitika pakati pa dongosolo lamanjenje, ndibwino kukana kuyendetsa magalimoto ndi magwiridwe antchito.
![](http://img.diabetesentity.com/img/sayd-2020/1503/10-44.jpg)
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Malangizo apadera
Palibe umboni wothandiza ndi chitetezo pakagwiritsidwe ntchito ka nthawi yayitali. Ngati chithandizo cha mankhwala kwa miyezi itatu sichimabweretsa zotsatira kapena kuwonjezeka kwa kulemera, chithandizo chikuyenera kusiyidwa.
Chenjezo liyenera kutengedwa ndi cholelithiasis, kukomoka, mbiri ya arrhythmias, matenda am'mitsempha yama coronary, komanso kusokonezeka kwa magazi. Ngati kuwonjezeka kwa nthawi yayitali kumawonedwa pakukonzekera, ndikofunikira kusiya chithandizo.
Gwiritsani ntchito mu ukalamba
Pambuyo zaka 65, mankhwalawa amatsutsana.
Kupatsa ana
Osakwana zaka 18 ndi kuphwanya mankhwala.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Pa nthawi ya pakati, zosakaniza zomwe zimagwira zimakhudza mwana wosabadwayo, motero kugwiritsa ntchito ndizoletsedwa. Pa mkaka wa m`mawere, makapisozi samadyedwa.
Bongo
Mukapitirira muyeso, chizungulire ndi mutu zimatha kuonekera. Kuthamanga kwa magazi ndi kuwonongeka kosiyanasiyana kumawonetsa bongo. Ndikofunikira kutenga makala okhazikika ndikuyang'ana kwa dokotala.
![](http://img.diabetesentity.com/img/sayd-2020/1503/10-50.jpg)
Pa nthawi ya pakati, magawo omwe amagwira ntchito a Goldline Plus amakhala ndi zovuta pa mwana wosabadwayo,
Kuchita ndi mankhwala ena
Musanagwiritse ntchito chida ichi, muyenera kuphunzira kuyanjana ndi mankhwala ena. Maantibayotiki a Macrolide amathandizira magawo omwe amagwira ntchito mankhwalawo kuti azitha kulemera mwachangu.
Kuphatikiza kophatikizidwa
Ndiwotsutsana kuti mugwiritse ntchito mankhwalawa nthawi imodzi ndi Mao inhibitors, ma analgesics a potent ndi mankhwala omwe amakhudza chapakati mantha dongosolo (antidepressants, antipsychotic).
Osavomerezeka kuphatikiza
Pamodzi ndi mankhwala omwe amakhudzana ndi kugwira ntchito kwa mapulogalamu a maselo sakuvomerezeka.
Kuphatikiza komwe kumafunikira kusamala
Mankhwala monga erythromycin, ketoconazole, ndi cyclosporin angayambitse tachycardia. Mosamala, muyenera kumwa mankhwalawa.
Kuyenderana ndi mowa
Mankhwalawa sagwirizana ndi zakumwa zoledzeretsa.
Analogi
Mu pharmac mungathe kugula zinthu zomwe zikufanana ndikupanga mankhwala:
- Reduxin;
- Golide;
- Meridia
- Lindax.
![](http://img.diabetesentity.com/img/sayd-2020/1503/10-51.jpg)
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Mankhwala otetezedwa akuphatikizapo Orsoten, Cefamadar, Phytomucil, Turboslim. Musanalowe ndi mankhwala ofanana, muyenera kufunsa dokotala.
Malo okhala tchuthi cha Goldline kuphatikiza 10 kuchokera ku pharmacy
Chogawikacho chimaperekedwa ndi mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Wotsatsa-wa atha kugulidwa pamakampani opanga mankhwala ku Russia.
Mtengo
Mtengo ukhoza kusiyana ndi ma ruble a 1000 mpaka 2500.
Zosungidwa zamankhwala
Makapisozi amayenera kusungidwa mmatumba pa kutentha osaposa + 25 ° C.
Tsiku lotha ntchito
Moyo wa alumali ndi zaka 2.
Wopanga Goldline kuphatikiza 10
Izvarino-Pharma, Russia.
Ndemanga za Goldline Plus 10
Chidacho chimathandizira kuchepetsa thupi, koma muyenera kusankha mlingo woyenera. Kuphatikiza ndizolimbitsa thupi komanso kudya moyenera, zotsatira zake zimatha kuwonekera patatha sabata. Ndemanga zoyipa za akazi zimatengera kuwonekera kwa zovuta zomwe zimachitika pomwa mankhwalawa.
Madokotala
Anna Georgiaievna, katswiri wa zamtima, ku Moscow
Chidacho chili ndi mphamvu ya anorexigenic. Kuchepetsa thupi kumayendetsedwa ndi kuchepa kwa plasma ya otsika kachulukidwe lipoproteins komanso kuwonjezeka kwa zomwe zimakhala kwambiri miloproteins. Mankhwalawa atha kuchitika mwapadera, ngati njira zina sizigwira ntchito.
Yuri Makarov, wothandizira zakudya, Rostov-on-Don
Goldline kuphatikiza 10 mg - chida chothandiza kuti muchepetse kunenepa. MCC imafewetsa zotsatira zoyipa ndikuyeretsa thupi la ma allergen ndi poizoni. Ndikwabwino kuyamba kumwa 5 mg ndikuwonjezera mlingo. Tsiku lililonse muyenera kumwa madzi osachepera 1.5 malita ndipo ndibwino kusiya kugwiritsa ntchito zakudya zopanda pake. Kukhala ndi moyo wogwira ntchito kumathandizira kukwaniritsa zotsatira zabwino mwachangu.
![](http://img.diabetesentity.com/img/sayd-2020/1503/10-59.jpg)
Goldline Plus 10 ili ndi zotsatira za anorexigenic.
Odwala
Julia, wazaka 29, Fedorovsk
Dotolo adakhazikitsa piritsi limodzi patsiku. Mankhwalawa sathandiza ndipo amayambitsa mavuto ambiri. Mukatenga makapisozi, mtima umalimbana, nseru ndi kusanza zimawonekera. Dokotala adaimitsa mankhwalawo ndikuwalangizanso.
Kuchepetsa thupi
Marianna, wazaka 41, Krasnodar
Kugwetsedwa 8 kg mu masiku 20. Nditatenga makapisozi kuti ndichepetse thupi, sindimva ngati kudya konse. Anasiya kumwa mankhwalawa munthawi ndikuyamba kusewera masewera kuti aphatikize zotsatira zake. Ndine wokhutira ndi kugula, koma sikulimbikitsidwa kuti muzitenga kwa nthawi yayitali chifukwa choopsa chopeza matenda a anorexia.