Chidacho chimachepetsa njala komanso chimathandizira kuchepetsa thupi. Gawani kunenepa. Mankhwala amachepetsa cholesterol "yoyipa". Zosakaniza zomwe zimagwira ndikuchotsa zinthu zapoizoni m'thupi. Osati osokoneza.
ATX
A08A
Chidacho chimachepetsa njala komanso chimathandizira kuchepetsa thupi.
Kutulutsa mafomu ndi kapangidwe kake
Wopangayo amapanga mankhwala opangira mankhwala ngati mawonekedwe a makapisozi. Sibutramine ndi microcrystalline cellulose ndizomwe zimagwiritsa ntchito mankhwalawa kuti muchepetse kunenepa.
Zotsatira za pharmacological
Sibutramine amathetsa njala ndikuwotcha mafuta ochulukirapo. Kuchepetsa thupi kumabweretsa kutsika kwa milingo ya otsika osalimba lipoprotein ndi uric acid. Izi zimawonjezera milingo ya lipoproteins yapamwamba (yothandiza cholesterol).
Ma cell a microcrystalline amalowa m'matumbo am'mimba, amatupa ndikumayambitsa kukhumudwa. Gawo lake limakonzanso chakudya cham'mimba ndipo limakhudza thupi ngati enterosorbent. Ma cellulose amamwa ndikuchotsa zinthu zovulaza, zopangidwa ndi tizilombo tating'onoting'ono tokhala ndi ma allergenia kunja.
Pharmacokinetics
Sibutramine imatengedwa kuchokera m'mimba yogaya ndi 70-80%. Amasinthidwa mu chiwindi kuti mono- ndi didemethylsibutramine. Kuzungulira kwakukulu mu seramu kumafikiridwa pambuyo pa maola 1,2,3. Wogawana komanso kugawa minofu yonse. Amachotsa impso.
Chidacho chimatengedwa kuti chichepetse thupi ndi kunenepa kwambiri kwamamadzi.
Zizindikiro zogwiritsidwa ntchito
Chogwiritsidwacho chimatengedwa kuti chichepetse kunenepa kwambiri kwakanenepa ndi BMI ya 30 kg / m² kapena kuposerapo, komanso BMI ya 27 kg / m² mwa odwala matenda a shuga 2.
Contraindication
Tengani makapisozi ndi contraindicated otsatirawa milandu:
- ziwengo zosiyanasiyana za mankhwala;
- hyperthyroidism;
- matenda a anorexia;
- kusokonezeka kwa malingaliro;
- bulimia
- teak wamba;
- ana ochepera zaka 18;
- okalamba odwala azaka zopitilira 65;
- matenda oopsa
- kuphwanya kwambiri chiwindi ndi impso;
- matenda a mtima ndi mtsempha wamagazi, kuphatikizapo matenda amitsempha yamagazi;
- chotupa cha adrenal gland;
- chosaopsa Prostatic hyperplasia;
- matenda amitsempha yamagazi;
- kusiya mankhwala osokoneza bongo, mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo;
- yoyamwitsa ndi pakati.
Ndizoletsedwa kutenga MAO zoletsa nthawi imodzi.
Ndi chisamaliro
Chenjezo liyenera kuchitidwa mu matenda ndi zinthu zotsatirazi:
- kuchuluka ndende ya potaziyamu ndi magnesium m'magazi;
- arrhythmia;
- matenda a mitsempha yam'mimba;
- matenda a chapakati ndi zotumphukira mantha dongosolo;
- magazi akusokonezeka;
- khunyu.
Ngati pali vuto la impso kapena kwa chiwindi, ndikofunikira kuwunika momwe wodwalayo alili.
Momwe mungatenge Goldline Plus
Imwani mankhwala mosasamala za kudya. Makapisozi sanataulidwe ndikusambitsidwa ndi madzi ambiri. Mlingo woyambirira ndi 10 mg / tsiku. Ngati mwaphonya mapiritsi, musatenge kumwa kawiri. Ndikofunikira kupitiliza kulandira chithandizo mogwirizana ndi malangizo.
Ndi matenda ashuga
Malinga ndi malangizo ogwiritsira ntchito, mankhwalawa amaperekedwa kwa odwala omwe ali ndi matenda a shuga a 2 omwe ali ndi kunenepa kwambiri. Mlingo umayikidwa payekha.
Makapisozi sanataulidwe ndikusambitsidwa ndi madzi ambiri.
Kuchepetsa thupi
Muyenera kuyamba kumwa ndi 10 mg patsiku. Pambuyo pa milungu 4, mlingo ungathe kuchuluka mpaka 15 mg / tsiku, ngati nkotheka kutaya osaposa 2 kg. Ngati wodwala walephera kuchepa thupi m'miyezi itatu, siyani chithandizo. Mutha kumwa mankhwalawa osaposa chaka chimodzi.
Zotsatira zoyipa
M'masabata atatu oyambirira a zamankhwala, zotsatira zoyipa kuchokera ku ziwalo ndi machitidwe osiyanasiyana zimatha kuchitika. Zizindikiro zimatha ndi nthawi kapena atasiya kumwa mankhwalawo.
Matumbo
Nthawi zambiri kumakhala kudzimbidwa komanso kuchepa kwa njala. Mseru kapena kusanza, dyspepsia imatha kuwoneka. Kulandidwa nthawi zina kumabweretsa kufalikira kwa hemorrhoidal matenda.
Hematopoietic ziwalo
Pali kuchepa kwa ziwerengero zama protein m'magazi ndikuwonjezereka kwa ntchito ya "chiwindi" ma enzymes.
Pakati mantha dongosolo
Mbali ya dongosolo lamkati lamanjenje, migraine, kukhumudwa, manjenje, nkhawa, kusowa tulo komanso kamwa yowuma nthawi zambiri kumachitika.
Mankhwalawa ndi Goldline Plus, thukuta limachulukirachulukira limatha.
Kuchokera kwamikodzo
Kusungika kwamankhwala kumawonedwa.
Kuchokera pamtima
Kufika kwa mtima kumachuluka, kugunda kwa mtima kusokonezeka, kuthamanga kwa magazi kumakwera.
Matupi omaliza
Khungu loyenda ndi thukuta limachitika.
Malangizo apadera
Ndikofunikira kuyamba chithandizo ngati njira zina sizikuyenda bwino. Kuti mukwaniritse zomwe mukufuna, ndikofunikira kutsogolera moyo wokangalika ndikuyang'anira zakudya. Pa mankhwala, zizindikiro zowunikira ziyenera kuyang'aniridwa panthawi ya chithandizo. Ngati pali kuwonjezeka kwa kupanikizika kuposa 140/90 mm RT. Art., Kumwa mankhwala ayenera kuthetsedwa.
Pa mankhwala paubala, azimayi ayenera kugwiritsa ntchito njira zolerera. Mao inhibitors amatha kutengedwa patatha milungu iwiri atatha chithandizo. Ngati muli ndi zowawa pachifuwa, kutupika kwa malekezero kapena kulephera kupuma, muyenera kufunsa dokotala.
Kuyenderana ndi mowa
Kuphatikiza ndi sibutramine sikulimbikitsidwa ndi mowa.
Pa mankhwala paubala, azimayi ayenera kugwiritsa ntchito njira zolerera.
Zokhudza mphamvu pakuwongolera njira
Chisamaliro chikuyenera kuthandizidwa kuyendetsa magalimoto ndi makina ovuta.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Amayi pa nthawi yomwe ali ndi pakati kapena nthawi yotsekemera saloledwa kuyamba kumwa mankhwalawa.
Kusankhidwa kwa Ana a Goldline Plus
Kwa anthu ochepera zaka 18, kumwa mankhwalawa ndi otsutsana.
Gwiritsani ntchito mu ukalamba
Odwala opitirira zaka 65 ali osavomerezeka.
Bongo
Pakakhala vuto la kuchuluka kwa magazi, kuthamanga kwa magazi kumakwera, zimachitika kuti zimachitika mwachangu, kufooka kwam'mimba komanso chizungulire. Pazizindikiro zoyambirira, ndikofunikira kusiya kumwa mankhwalawo, kumwa makala ndikuyambitsa adokotala.
Kuchita ndi mankhwala ena
Mankhwala amakhudzana ndi mankhwala ena motere:
- ntchito ndi ketoconazole, erythromycin ndi cyclosporine kumabweretsa kuwonjezeka kwa kugunda kwa mtima;
- kuyamwa kwa sibutramine kwalimbikitsidwa ndi maantibayotiki kuchokera ku gulu la macrolide, rifampicin, phenytoin, carbamazepine, phenobarbital ndi dexamethasone;
- mankhwalawa pochiza mkhalidwe wovutitsa, ma analgesics a potent, ndi mankhwala othandizira angayambitse kuwoneka kwa serotonin syndrome;
- magazi amathanso kuchitika ndi kugwiritsa ntchito mankhwala omwe amakhudza ntchito yamagulu;
- chisamaliro chikuyenera kuchitika mukamamwa mankhwala osokoneza bongo.
Kugwiritsa ntchito ketoconazole, erythromycin ndi cyclosporine kumabweretsa kuwonjezeka kwa kugunda kwa mtima.
Sichigwiritsidwa ntchito molumikizana ndi mankhwala omwe amachititsa kuti muchepetse kunenepa kapena cholinga chofuna kuchiza matenda amisala.
Wopanga
LLC Izvarino Pharma, Russia.
Analogi
Pamankhwala mungagule mankhwala Reduxin, Goldline, Lindax, Meridia, omwe ali fanizo pakuphatikizana. Sinthani chida ndi mankhwala otetezeka. Izi zikuphatikiza:
- Phytomucil Slim Smart. Chakudya chowonjezera chogwira ntchito mwa thupi chimachepetsa njala, chimachepetsa matumbo komanso chimathandizira kuchepetsa kunenepa. Kuphatikizikako kumakhala ndi ma gag of seedain. Mankhwala achilengedwe atha kuthandizidwa kuti muchepetse kunenepa komanso m'tsogolo kuti muthane ndi kuwonda. Iwo contraindified kumwa ndi kutsekeka kwa m'mimba thirakiti ndi pachimake yotupa matenda. Mtengo - ma ruble 1000. kunyamula.
- Turboslim. Mapiritsi amakulolani kutha kudya komanso kupewa kudya kwambiri. Samakhala ndi mankhwala ofewetsa thukuta, amathandiza kuyendetsa bwino thupi komanso kuchepetsa thupi popanda kudya. Sizoletsedwa kumwa mapiritsi panthawi yoyembekezera komanso poyamwitsa. Mtengo wapakati ndi ma ruble 300.
- Cefamadar. Kukonzekerako kumakhala ndi chitsamba chochokera ku makungwa owuma a Madara. Naturalized kagayidwe kachakudya njira mu thupi. Zilibe diuretic. Amagwiritsidwa ntchito pa zovuta kuchitira kunenepa. Musamamwe mankhwala a lactose tsankho, kuchepa kwa lactase kapena glucose-galactose malabsorption. Mtengo wa mapiritsi a homeopathic ndi ma ruble 2000.
- Orsoten. Kaphikidwe kake kamakhala ndi timapeto timene timamalizira. Chidacho chimachepetsa kudya kwa zopatsa mphamvu mthupi, chimathandizira kuchepa thupi msanga komanso chimalepheretsa kuwonda kawiri konse. Mankhwala akuwonetsedwa kwa odwala omwe ali ndi kunenepa kwambiri, kuphatikizapo ndi matenda a shuga a 2. Amadzipatsirana kuti ayambe kulandira chithandizo pa nthawi ya pakati, poyamwitsa, ndi cholestasis komanso matenda osachiritsika a malabsorption. Mtengo wa makapisozi umachokera ku ma ruble 750 mpaka 2500.
Musanalowe m'malo a analogi, muyenera kupita kwa dokotala ndi kukayezetsa. Mankhwala okhala ndi contraindication ndipo amatha kuyambitsa zovuta.
Zomwe zili bwino - Goldline kapena Goldline Plus
Goldline Plus ilinso ndi cellcose ya microcrystalline. Zotsatira zoyipa za kumwa mankhwalawa sizikutchulidwa.
Kupita kwina mankhwala
Mankhwala amagulitsa ndi mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Mutha kugula osagwiritsa ntchito mankhwala ogulitsa pa intaneti.
Mtengo
Mtengo wa mankhwalawa umachokera ku 1100 mpaka 2000 rubles.
Malo osungirako a Goldline Plus
Sungani pamalo amdima pa kutentha osaposa + 25 ° C.
Tsiku lotha ntchito
Moyo wa alumali ndi zaka 2.
Ndemanga za Goldline Plus
Siyani ndemanga zabwino ndi zoipa zokhudza mankhwalawa. Chida champhamvu chimathandizira kuchepetsa thupi. Pogwiritsa ntchito nthawi yayitali, deta yogwira ntchito komanso chitetezo siyikupezeka. Odwala ambiri amakana chithandizo chifukwa cha zoyipa kuchokera ku ziwalo ndi machitidwe.
Madokotala
Elena Ambrosieva, wothandizira zakudya
Mankhwala amalimbikitsa mapangidwe azakudya zabwino. Madipoziti amachepetsa ndipo thanzi la wodwalayo limayamba kuyenda bwino. Mutha, ngati analogue, mugule Reduxine, yomwe ili ndi zida zomwezo.
Anatoly Kirichenko, wothandizira
Mankhwalawa ndi othandizadi, koma popanda kuikidwa ndi dokotala, amatha kuvulaza thupi. Panthawi yapakati, makapisozi sayenera kuledzera chifukwa cha zotsatira zoyipa za mwana wosabadwayo. Tengani molingana ndi malangizo ogwiritsira ntchito. Ndikulimbikitsidwa kuphatikiza makapisozi okhala ndi zochitika zolimbitsa thupi komanso zakudya. Ngati, mutatha maphunziro a miyezi 3, kulemera kwambiri sikuchoka, ndiye kuti muyenera kukana.
Odwala
Maria, wazaka 36
Njira yabwino yochepetsera njala. Mankhwalawa adathandizira kuchepa thupi mu mtundu wa 2 shuga. Zisakhudze kuchuluka kwa shuga m'magazi. Chokhacho chingabwezeretse tachycardia ndi mutu m'masabata awiri oyambilira.
Kuchepetsa thupi
Elena, wazaka 29
Dokotala adakhazikitsa 10 mg patsiku kuti muchepetse kunenepa. Mutatha kumwa mapiritsi, kumverera kwodzaza kumawonekera. Pa tsiku la 2-3, kudzimbidwa komanso pakamwa lowuma. Ndinayamba kumwa madzi ambiri, ndipo zotsatirapo zake sizinachitike. Kwa masiku 14, adatsitsa 5 kg. Ndili wokondwa ndi zotsatira zake.