Diabefarm ndi m'gulu la mankhwala, zomwe zimaphatikizapo malinga ndi zomwe zikuwonetsa mu chithandizo chazachipatala cha mtundu 2 wodwala. Mankhwalawa ali ndi mtundu umodzi wa kumasulidwa, pakamwa. Mankhwalawa adapatsidwa nambala yovomerezeka - P N003217 / 01 ya 11.24.2009. Pali zotsutsana, chifukwa chomwe chingakhale chofunikira kutsata kapena kupatula mankhwalawo. Ndi kugwiritsa ntchito nthawi yayitali, mavuto amabwera. Mankhwala tikulimbikitsidwa kuti atenge monga adanenera dokotala.
Dzinalo Losayenerana
Mankhwala a INN - Gliclazide (Gliclazide).
Diabefarm ndi m'gulu la mankhwala, zomwe zimaphatikizapo malinga ndi zomwe zikuwonetsa mu chithandizo chazachipatala cha mtundu 2 wodwala.
ATX
Khodi ya ATX yamankhwala ndi A10BB09.
Kutulutsa mafomu ndi kapangidwe kake
Njira yotulutsira mankhwalawa ndi magome. Mapiritsi okhala ndi mawonekedwe oyera kapena oyera ngati chikaso chofiirira amakhala atakulungidwa ndi filimu ya enteric ndipo amaphatikiza zinthu zogwira ntchito komanso zothandiza. Chamfer ndi chiwopsezo chacratform (kumbuyo) zilipo. Yogwira pophika mankhwala ndi gliclazide, zomwe piritsi limodzi silikudutsa 40-80 mg.
Zina zikuphatikiza:
- shuga la mkaka (lactose monohydrate);
- magnesium wakuba;
- povidone.
Mapiritsi amagulitsidwa m'matumba a blister a 10 ma PC. m'modzi aliyense. Mu bokosi la makatoni - matuza atatu kapena 6, malangizo ogwiritsira ntchito (mwanjira ya pepala).
Njira yotulutsira mankhwalawa ndi magome. Mapiritsi oyera oyera amkaso yoyera kapena achikasu amakhala atakulungidwa ndi filimu ya enteric.
Zotsatira za pharmacological
Mankhwalawa ndi a mankhwala a hypoglycemic a gulu lachiwiri la sulfonylurea, omwe amapangidwira pakamwa. Pharmacodynamics imatha mphamvu ya yogwira ntchito kuti izindikiritsa chinsinsi cha insulini kapena cholowa m'malo mwa ma pancreatic cell, kuwonjezera mphamvu ya shuga m'magazi, ndikuwonjezera insulini kumva kwa minofu. Mankhwalawa ali ndi zinthu zochepa zotsutsana ndi atherogenic. Mothandizidwa ndi mankhwalawa, minyewa ya glycogen synthetases imayamba kugwira ntchito.
Ndi kugwiritsa ntchito pafupipafupi, kuchepa kwa m'magazi m'magazi a shuga kumawonedwa. Mankhwalawa amakhudza kuchuluka kwa chakudya chamthupi komanso kuchuluka kwake kwa metabolic, amakongoletsa kuthamanga kwa magazi ndikuletsa kupangika kwa magazi. Pali kuchepa kumverera kwa ma receptors ku adrenaline. Matenda a shuga a retinopathy amasiya kupanga mankhwala kwa nthawi yayitali. Sichikukhudza kulemera, ndipo ndikudya koyenera, mankhwalawa amathandizira kuchepetsa kunenepa.
Glidiab amatha kukonza mkhalidwe wa wodwala yemwe ali ndi matenda ashuga a 2.
Momwe mungagwiritsire ntchito Metformin Zentiva?
Kodi Diagnizid imagwiritsidwa ntchito bwanji? Werengani zambiri za mankhwalawa munkhaniyi.
Pharmacokinetics
Kuchuluka kwa mayamwidwe kumakhala kwakukulu, ndikamatenga, zinthu zimafalikira msanga kumtunda kwa matumbo aang'ono. Kuzunzika kwa plasma kumatheka pambuyo pa maola 2-3 (40 mg) pambuyo pa mlingo woyamba kapena pambuyo maola 4 (80 mg). Ndi mapuloteni am magazi amamangira ku 96-97%. Metabolism imachitika ndi chiwindi, nthawi yomwe metabolites yogwira imapangidwa.
Pogwiritsa ntchito mankhwalawa pafupipafupi, kuchepa kwa m'magazi a glucose kumachitika.
Impso zimakhudzidwa ndi chimbudzi, gawo laling'ono limasiya thupi limodzi ndi ndowe sizisinthidwe. Hafu ya moyo ndiyitali, maola 18-20.
Zisonyezero Diabefarma
Malangizowo amafotokozera zazikuluzikulu zomwe zingagwiritsidwe ntchito, zomwe zimaphatikizapo matenda amitundu iwiri. Kumwa mankhwalawa kuyenera limodzi ndi zakudya zoyenera, kudya komanso kuchita masewera olimbitsa thupi.
Contraindication
Mankhwalawa ali ndi zotsutsana zingapo. Ndi kugwiritsa ntchito mankhwalawa mankhwala sikovomerezeka. Izi zikuphatikiza:
- mtundu 1 matenda a shuga;
- matenda ashuga precom ndi chikomokere;
- hyperosmolar chikomokere;
- matenda ashuga ketoacidosis;
- matenda edema;
- kulephera kwa chiwindi;
- kulephera kwaimpso;
- matenda opatsirana omwe amayambitsa hypoglycemia;
- opaleshoni yamtima yayikulu;
- kuwotcha, kuvulala;
- nthawi yobereka mwana;
- kuyamwa
- zaka za ana.
Contraindative zokhudzana ndi izi:
- matenda a chithokomiro;
- febrile syndrome;
- kupezeka kwa tiziromboti mthupi;
- uchidakwa.
Pankhaniyi, wodwala angafunike mtundu wapadera ndi madokotala opezekapo.
Kodi mutenge bwanji Diabefarm?
Mlingo wothandizila umasankhidwa payekha, kutengera thanzi la wodwala. Mlingo wambiri watsiku ndi tsiku kwa wodwala wamkulu sayenera kupitirira 320 mg, womwe ndi wofanana ndi mapiritsi a 3 80 mg ndi mapiritsi a 8 40 mg. Kumayambiriro kwa mankhwalawa, muyenera kumwa mapiritsi 1, ndikuwonjezera pang'onopang'ono.
Mulingo wambiri watsiku ndi tsiku uyenera kugawidwa pawiri. Mapiritsi ayenera kumwedwa pamimba yopanda kanthu, maola 1-1.5 asanadye.
Mlingo wothandizila umasankhidwa payekha, kutengera thanzi la wodwala.
Zotsatira zoyipa Diabefarma
Kugwiritsa ntchito molakwika mankhwalawa kumawonjezera chiopsezo cha mavuto. Izi zikuphatikiza:
- hypoglycemia;
- mutu
- Kukhumudwa
- kudumpha mu shuga;
- kuchedwa kuchitapo;
- chikumbumtima;
- kuwonongeka kwamawonekedwe;
- bradycardia;
- kupuma kosakhazikika;
- thupi lawo siligwirizana.
Ngati zotupa za maculopapular zikuwoneka pakhungu, muyenera kulumikizana ndi katswiri yemwe angakuthandizeni kusankha mafuta a antihistamine.
Zokhudza mphamvu pakuwongolera njira
Kugwiritsa ntchito mankhwalawa kungayambitse kuchepa kwa malingaliro a psychomotor, chifukwa chake, tikulimbikitsidwa kukana kuyendetsa galimoto panthawi yamankhwala.
Malangizo apadera
Pogwiritsa ntchito mankhwalawa, ndikofunikira kutsatira zakudya zoyenera, zopatsa thanzi komanso zopatsa mphamvu zamafuta pang'ono. Mafuta a m'magazi amayenera kuyezedwa pafupipafupi: mukatha kudya komanso pamimba yopanda kanthu. Ndi kuwonongeka kwa matenda a shuga kapena opaleshoni, kungakhale kofunikira kuphatikiza mankhwala omwe ali ndi insulin pazochita.
Ndi njala mwadongosolo, kutenga ma NSAIDs, chiopsezo chokhala ndi hypoglycemia chikuwonjezeka. Disulfiram-like syndrome (mutu, nseru, epigastric ululu) amawoneka ndi Mowa. Ngati musintha zakudya zanu komanso kuchita masewera olimbitsa thupi, mungafunike kusintha.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Nthawi ya bere ndi kuyamwitsa ndi zotsutsana kwambiri.
Gwiritsani ntchito mu ukalamba
Odwala okalamba amakhudzidwa makamaka ndi gliclazide, kotero chithandizo chiyenera kuyambitsidwa ndi theka.
Zaka zakubadwa kwa ana mpaka zaka 18 ndikuchimwira kwathunthu.
Kupatsa ana
Zaka zakubadwa kwa ana mpaka zaka 18 ndikuchimwira kwathunthu.
The ntchito aimpso kuwonongeka
Kumwa mankhwalawo ndikosaloledwa kwa odwala omwe ali ndi mbiri yolephera kupweteka kwa impso.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Ma pathologies a chiwindi, kuphatikiza kulephera kwa chiwindi, amaonedwa kuti ndi otsutsana kwathunthu.
Bongo
Ngati chizolowezi chololedwa ndi dokotala chimachulukidwa kangapo, zizindikiro zowonjezera zimawonekera ndipo mkhalidwe wa wodwalayo umakulirakulira. Mwina chitukuko cha pachimake matenda zimakhudzana ndi zimachitika chapakati mantha dongosolo. Pazizindikiro zoyambirira za chizungulire (chizungulire, mseru, chikumbumtima chosazindikira), ambulansi iyenera kuyitanidwa mwachangu. Wodwala akamazindikira, amafunika kuti amupatse kachidutswa kakang'ono kwambiri.
Kuchita ndi mankhwala ena
Anaprilin, ACE inhibitors, mankhwala omwe amathandizira mankhwalawa a fungus, mankhwala osokoneza bongo a anti-yotupa, mankhwala osokoneza bongo a TB, mankhwala othandizira a steroid, mankhwala a ethanol, sulfonamides amalimbikitsa ntchito ya mankhwalawa.
Corticosteroids, barbiturates, thiazide diuretics, mankhwala okhala ndi mahomoni, Metformin ndi Reserpine amatha kufooketsa mphamvu ya hypoglycemic ya mankhwala. Mankhwala omwe amatchinga ma adrenergic receptors amatha kubisa zizindikiro za kuchepa kwambiri kwa shuga m'magazi. Chiwopsezo chochepetsedwa kwambiri m'mapulateleti komanso maselo ofiira a m'magazi amawonjezereka pogwiritsa ntchito mankhwala opatsirana a hypoglycemic komanso mankhwala omwe angalepheretse kufalikira kwa mafupa.
Kuyenderana ndi mowa
Mankhwalawa sagwirizana ndi mowa. Pa mankhwala, tikulimbikitsidwa kuti musamwe mowa.
Analogi
Pali maulumikizano angapo ofanana ndi achire. Omasulira apakati:
- Diabefarm MV. Mankhwala a ku Russia omwe ali m'gulu la mankhwala a hypoglycemic. Amapezeka piritsi. Mapiritsi osintha osinthidwa amakhala ndi 30 mg ya glycoslazide. Makina ochitapo kanthu ndi ofanana ndi oyambirirawo. Mtengo wa mankhwala ndi wochokera ku ma ruble 120.
- Glimepiride. Fomu yotulutsidwa ndi mapiritsi, mankhwalawa amawonedwa ngati analogue. Zomwe zili pazomwe zimagwira mu mawonekedwe a mlingo sizoposa 2 mg. Zizindikiro zazikuluzomwe zimagwiritsidwa ntchito ndi mtundu 2 shuga. Mtengo wa mankhwalawa umachokera ku ma ruble 100.
- Glibenclamide. Hypoglycemic mankhwala akumwa pakamwa. Phukusili lili ndi mapiritsi 10 mpaka 120. Piritsi limodzi lili ndi 5 mg yogwira ntchito. Yavomerezedwa kuti mugwiritse ntchito ndi matenda a shuga a 2. Mtengo wamankhwala amachokera ku ma ruble 540-1100.
Analogue ya mankhwala Glimepiride.
Analogue iliyonse imakhala ndi zotsutsana. Kudzipatsa nokha koletsedwa.
Kupita kwina mankhwala
Mankhwalawa akuphatikizidwa pamndandanda B. Amafuna kulandira mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Mankhwala oyamba sangagulidwe popanda mankhwala.
Mtengo wa Diabefarm
Mtengo muma pharmacies a mankhwala ndi wochokera ku ma ruble 700.
Zosungidwa zamankhwala
Mankhwalawa amayenera kusungidwa m'malo owuma, kutali ndi ana ndi nyama, pamtunda wa + 25 ° C.
Tsiku lotha ntchito
Sungani miyezi yopitilira 24.
Wopanga
FARMAKOR PRODUCTION LLC, Russia.
Ndemanga za Diabefarm
Ndemanga za madotolo ndi odwala za mankhwalawa.
Madokotala
Pavel Zaretsky, endocrinologist, Murmansk.
Matenda a shuga amawoneka ngati matenda osachiritsika omwe amafunikira kuwunika wodwalayo pafupipafupi. Wodwala ayenera kumwa mankhwala oyenera kwa moyo wake wonse, makamaka ngati wapezeka ndi matenda a shuga a mtundu woyamba kapena a 2. Mankhwalawa amaphatikiza mankhwala a hypoglycemic. The yogwira pophika mankhwala amachepetsa katundu pa mitsempha yamagazi ndikupanga minofu kukhudzana ndi insulin.
Mankhwala othandizira amaperekedwa. Ndikofunika kugula mankhwala m'malo apadera, mukamayitanitsa ndalama kudzera pa intaneti, mutha kuthamangitsidwa ndi scammer. Pochita, ndakhala ndikugwiritsa ntchito mankhalawo kwa nthawi yayitali, ndimaona kuti ndi othandiza. Odwala nthawi zambiri amadandaula za zotsatira zoyipa, zomwe zimayamba chifukwa cha zomwe zimachitika chifukwa cha thupi kapena ngati zitatengedwa molakwika.
Inessa Buryakova, endocrinologist, Zheleznogorsk.
Mankhwalawa ndi othandiza, koma owopsa. Kuchepetsa pang'ono kwa mlingo womwe dokotala wakupangira kungayambitse kukula kwa matenda, kuphatikizapo chikomokere. Ndikupangira kuyamba kulandira chithandizo ndi theka Mlingo, makamaka kwa okalamba. Mlingo wofananira wa ndalamazo umaperekedwa mu malangizo ogwiritsira ntchito, simuyenera kutsatira.
Glibenclamide ndizowonetsera zamankhwala.
Glibenclamide ndizowonetsera zamankhwala.
Anthu odwala matenda ashuga
Stanislava, wazaka 47, Magnitogorsk.
Ndinakumana koyamba ndi zaka 4 zapitazo pamene bambo anga adapezeka ndi matenda a shuga a 2. Tsopano amakakamizidwa kumwa mankhwala pafupipafupi. The endocrinologist amatenga nthawi yayitali kuti asankhe mankhwala, atatenga omwe bambo sangawakhumudwitse. Tinayima pamankhwala, omwe ali ndi gliclazide.
M'masiku oyambilira a chithandizo, kupweteka kwam'mutu pang'ono komanso kugona. Dokotala anachenjeza kuti mankhwalawa sagwirizana ndi mankhwala ena, motero mutuwo umachotsedwa mothandizidwa ndi wowerengeka azitsamba. Pang'onopang'ono, zovuta zoyambira zidachoka mwa iwo okha.
Valentine, wazaka 57, Ekaterinburg.
Ndakhala ndikumwa mankhwalawa kwa zaka zitatu. Kuzindikira komaliza kunapangidwa zaka 2 zapitazo, endocrinologist mu chipatala kwa nthawi yayitali sanathe kupanga matenda. Anayamba chithandizo ndi theka Mlingo, kumwa mapiritsi 0,5 kawiri pa tsiku. Chizolowezicho pang'onopang'ono chidakulitsidwa ndi chilolezo cha dokotala. Ndi kuchuluka kwa mankhwalawa, zotsatira zoyipa zimawonekeranso.
Poyamba chizungulire chinayamba, kenako kupweteka kwa mutu kunayamba kusokoneza. Dokotala anachenjeza za zomwe zingachitike ndikuletsa kuti asankhe pawokha mankhwala a migraine. Adawombera mavuto pogwiritsa ntchito mankhwala azikhalidwe.
