Momwe mungagwiritsire ntchito Metformin-Teva?

Metformin Teva ndi gulu lokonzekera gulu la Biguanide, lomwe limadziwika ndi zotsatira za hypoglycemic. Ndikulimbikitsidwa kuti mugwiritse ntchito ndi odwala omwe ali ndi matenda a shuga. Chida ichi chili ndi zoletsa zambiri zogwiritsidwa ntchito, ndipo kukula kwake ndi kochepa. Mwa zina mwazabwino za mankhwalawa ndikutha kuchepetsa thupi.

Dzinalo Losayenerana

Metformin.

ATX

A10BA02.

Metformin Teva ndi gulu lokonzekera gulu la Biguanide, lomwe limadziwika ndi zotsatira za hypoglycemic.

Kutulutsa mafomu ndi kapangidwe kake

Chochita chimadziwika ndi mawonekedwe olimba. Mapiritsi amapereka mphamvu yayitali, chifukwa cha kupezeka kwa chipolopolo chapadera. Mankhwalawa adapangira pakamwa. Thupi ladzina lomweli (metformin) limagwiritsidwa ntchito ngati chosakaniza chachikulu. Kuphatikizika kwake piritsi limodzi kungakhale kosiyana: 500, 850 ndi 1000 mg.

Ma mankhwala ena omwe amaphatikizidwa samawonetsa zochitika za hypoglycemic, awa ndi awa:

• povidone K30 ndi K90;
• silicon dioxide colloidal;
• magnesium wakuba;
• chipolopolo Opadry choyera Y-1-7000H;
• titanium dioxide;
• macrogol 400.

Mutha kugula mankhwala omwe amafunsidwa pamatoni okhala ndi matuza atatu kapena 6, lililonse - mapiritsi 10.

Zotsatira za pharmacological

Biguanides, gulu lomwe limatchedwa metformin, silimakulitsa kuchuluka kwa insulin. Mfundo za mankhwalawa zimakhazikitsidwa pakusintha kwa kuchuluka kwa inulin mu mitundu yosiyanasiyana: yomasuka. Ntchito ina ya chida ichi ndikuwonjezera kuchuluka kwa insulin ku proinsulin. Zotsatira zake, kuletsa kwa chitukuko cha insulin kukanira kumadziwika (kuphwanya mayankho a metabolic ku insulin, komwe kumapangitsa kuwonjezeka kwa ndende yake m'magazi).

Kuphatikiza apo, kutsika kwa glucose wa plasma kumatheka m'njira zina. Pali njira ya metabolic yomwe imathandizira kupanga shuga. Nthawi yomweyo, kuyamwa kwa zinthuzi ndi makoma am'mimba am'mimba kumachepa. Kuchuluka kwa glucose processing mu minofu kumawonjezeka.

Ngakhale kumwa mankhwalawa, kuchepa thupi kumatha kuchitika.

Gawo lina lochitapo kanthu la metformin ndikuthekera kwa mphamvu ya metabolidi ya lipid. Poterepa, pali kuchepa kwa kuchuluka kwa zinthu mu seramu yamagazi: cholesterol, triglycerides, lowensens lipoproteins. Kuphatikiza apo, kukondoweza kwa kagayidwe ka cellular kumadziwika, chifukwa chomwe glucose imasinthidwa kukhala glycogen. Chifukwa cha njirazi, kuchepa kwa thupi kumawonedwa, kapena kuletsa kunenepa kumaletsedwa, zomwe ndizovuta zambiri mu shuga mellitus.

Malangizo ogwiritsira ntchito Metformin Richter.

Kodi Detralex 1000 imagwiritsidwa ntchito ndi chiyani? Werengani zambiri mu nkhaniyi.

Mapiritsi a Gentamicin ndi mankhwala opatsirana panjira.

Pharmacokinetics

Ubwino wa mankhwalawa ndi kuyamwa kwake msanga m'mimba. Mapiritsi otetezedwa osungika amadziwika ndi bioavailability pamlingo wa 50-60%. Peak ntchito ya mankhwala amapezeka mkati lotsatira maola 2,5 mutatha kumwa mankhwalawa. Njira yosinthira (kuchepa kwa ndende yogwira ntchito) imayamba kukulira pakatha maola 7.

Popeza kuti chinthu chachikulu sichitha kulumikizana ndi mapuloteni amwazi, magawikidwe mu minofu amachitika mwachangu. Metformin imatha kupezeka m'chiwindi, impso, ma cell a salivary, komanso maselo ofiira amwazi. Impso ndi zomwe zimayambitsa ntchito yotulutsa chimbudzi. Gawo lalikulu limachotsedwa m'thupi osasinthika. Hafu ya moyo nthawi zambiri ndi maola 6.5.

Zizindikiro zogwiritsidwa ntchito

Njira yayikulu yomwe ingagwiritse ntchito mankhwalawa ndi mtundu 2 wa shuga. Mankhwala amathandizidwa kuti muchepetse thupi ngati zakudya ndi masewera olimbitsa thupi sizinapereke zotsatira zomwe mukufuna. MS ikhoza kugwiritsidwa ntchito ngati gawo la zovuta mankhwala kapena monga chithandizo chachikulu.

Njira yayikulu yomwe ingagwiritse ntchito mankhwalawa ndi mtundu 2 wa shuga.

Contraindication

Zambiri za matenda omwe amaletsa kugwiritsa ntchito mankhwala omwe ali ndi vuto la hypoglycemic:

• Hypersensitivity zimachitika zotsatira za metformin kapena pawiri lina zikuchokera wothandizira;
• angapo a pathologies oyambitsidwa ndi matenda a shuga: precoma ndi chikomokere, ketoacidosis;
• opaleshoni kuchitapo kanthu, kuvulala kwambiri, ngati milandu insulin tikulimbikitsidwa;
• matenda limodzi ndi hypoxia: mtima kulephera, kupuma ntchito, myocardial infarction;
• lactic acidosis;
• kudyetsa thupi ndi uchidakwa wambiri;
• zakudya zomwe sizikulimbikitsidwa kupitilira muyeso wa tsiku lililonse wa 1000 kcal.

Ndi chisamaliro

Odwala okalamba ayenera kumayang'aniridwa ndi achipatala. Malangizowa amagwira ntchito kwa anthu opitilira 60 ngati akuchita ntchito yayikulu.

Odwala okalamba ayenera kumayang'aniridwa ndi achipatala.

Momwe mungatenge Metformin Teva

Mukamasankha mtundu wa chithandizo, mitundu ndi zovuta za momwe matenda amawonongeka zimazindikiridwa.

Asanadye kapena pambuyo chakudya

Kudya kumapangitsa kuti pakhale vuto la kuyamwa kwakukulu: kumatenga pang'onopang'ono, chifukwa cha izi, mankhwalawa amayamba kuchita pakapita nthawi yayitali. Komabe, izi sizikhudza kugwirira ntchito kwa chida. Pachifukwa ichi, ndizololedwa kumwa mapiritsi pamimba yopanda kanthu kapena pakudya, ngati pali zambiri za izi, mwachitsanzo, kukokoloka pamimba kapena matumbo.

Kudya kumakhala ndi vuto lililonse pakulowa kwa chinthu chachikulu.

Kumwa mankhwala a shuga

Malangizo ogwiritsira ntchito mankhwalawa ngati chithandizo chachikulu kapena, ndi njira zina zomwe zimadziwika ndi zotsatira za hypoglycemic:

1. Pa gawo loyamba, 0,5-1 g ya chinthucho imakhazikitsidwa kamodzi patsiku (kumwedwa madzulo). Kutalika kwa maphunzirowa sikwabweranso masiku 15.
2. Pang'onopang'ono, kuchuluka kwa kogwiritsa ntchito kumawonjezeka nthawi 2, ndipo mlingo uyenera kugawidwa pawiri.
3. 1.5-2 g ya mankhwalawa imapangidwa kuti ikhale yothandizira kukonzanso, mankhwalawa amagawidwa pawiri. Sizoletsedwa kumwa mankhwala oposa 3 g pa tsiku.

Mankhwala amaperekedwa limodzi ndi insulin. Pankhaniyi, tengani 0,5 kapena 0,85 mg katatu patsiku. Mlingo wolondola kwambiri amatha kusankhidwa potengera shuga. Kuwerenga kuchuluka kwa mankhwalawa kumachitika pambuyo pa milungu 1-1.5. Ngati kuphatikiza mankhwala kumachitika, mankhwala opitirira 2 ga patsiku sakudziwika.

Mankhwala amaperekedwa limodzi ndi insulin.

Momwe mungatengere kuti muchepetse kunenepa

Njira yothetsera vutoli imayikidwa ngati njira yothandizira yomwe imathandizira kuti kagayidwe kachakudya ka kagayidwe kachakudya. Analimbikitsa tsiku lililonse 0,5 ga kawiri pa tsiku; tengani m'mawa. Ngati ndi kotheka, mlingo wachitatu umayambitsidwa (madzulo). Kutalika kwa maphunzirowa sikuyenera kupitirira masiku 22. Mankhwala obwerezedwanso amaloledwa, koma osati kale kuposa mwezi 1. Mankhwala, kutsatira zakudya (zosaposa 1200 kcal patsiku).

Zotsatira zoyipa za Metformin Teva

Zizindikiro zina zimachitika pafupipafupi, zina zimakonda kuperewera. Odwala omwe ali ndi regimen yomweyo, zimachitika zosiyanasiyana.

Matumbo

Nthawi zambiri kuposa zizindikiro zina, nseru, kusanza kumachitika. Kulakalaka kumachepa, komwe nthawi zambiri kumachitika chifukwa cha kupweteka m'mimba kapena kuwonongeka kwa kukoma. Mutatha kumwa mapiritsiwo, ndimawoneka zitsulo mkamwa.

Pafupipafupi phula matenda a chiwindi ndi impso. Pambuyo pa kudzipereka kwa mankhwalawo, mawonekedwe oyipa amadzimiririka okha. Chifukwa cha kusokonezeka kwa chakudya chamagaya (chiwindi), chiwindi chimatha.

Pa khungu

Kutupa, kuyabwa, redness pakhungu.

Kusanza ndi kusanza ndikotheka chifukwa chomwa mankhwalawa.

Kawirikawiri mutamwa mankhwalawa, ma pathologies a chiwindi amakula.

Kawirikawiri mutamwa mankhwalawa, matenda a impso amakula.

Mutatha kumwa mankhwalawa, kuyambitsa khungu, kuyamwa, komanso khungu rede kumachitika.

Dongosolo la Endocrine

Hypoglycemia.

Kuchokera kumbali ya kagayidwe

Lactic acidosis. Kuphatikiza apo, mkhalidwe wamagetsi awa ndiwotsutsana pakugwiritsanso ntchito kwa metformin.

Matupi omaliza

Nthawi zambiri, erythema amakula.

Zokhudza mphamvu pakuwongolera njira

Mukamapereka mankhwala ovuta, pamakhala chiopsezo cha hypoglycemia. Pazifukwa izi, ndizoletsedwa kuyendetsa magalimoto panthawi yanthawi yoperekera chithandizo ndi mankhwalawo. Ngati Metformin imagwiritsidwa ntchito ngati njira yayikulu yothandizira osagwiritsa ntchito mankhwala ena, izi sizingatheke.

Sizoletsedwa kuyendetsa magalimoto munthawi ya chithandizo ndi mankhwala omwe mukufunsidwa.

Malangizo apadera

Pa mankhwala, ndikofunikira kuthana ndi plasma glucose. Komanso, kuwunika kwa kapangidwe ka magazi kumalimbikitsidwa kuchitidwa pamimba yopanda kanthu ndikatha kudya.

Ngati mukufuna kuchita kafukufuku wa x-ray pogwiritsa ntchito zosiyana, mankhwalawa amaletseka kutenga masiku awiri isanachitike ndondomeko. Ndizololedwa kupitiliza chithandizo patadutsa masiku 2 mutatha kuyesedwa kwa Hardware.

Mankhwalawa sagwiritsidwa ntchito opaleshoni isanachitike (maphunzirowo amasokonezedwa kwa masiku awiri). Ndikofunikira kupitiliza kulandira chithandizo pasanathe maola 48 mutandichita opareshoni.

Mkhalidwe wa wodwala yemwe wapezeka ndi kuwonongeka kwa impso umayang'aniridwa ngati mankhwala a NSAIDs, diuretic ndi antihypertensive mankhwala amachitidwa.

Hypovitaminosis (kuchepa kwa vitamini B12) nthawi zina kumayamba mugwiritsidwa ntchito ndi metformin. Mukaletsa chida ichi, zizindikirizo zimazimiririka.

Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere

Mankhwala pobala mwana sasankhidwa. Ngati kutenga pakati kumachitika pakumwa mankhwala ndi Metformin, insulin imalimbikitsa.

Mankhwala pobala mwana sasankhidwa.

Popeza kuti palibe chidziwitso choti gawo lalikulu limalowa m'magazi, muyenera kusiya kumwa mankhwalawa panthawi ya HB.

Kupangira Metformin Teva kwa Ana

Mankhwalawa amatha kugwiritsidwa ntchito kuyambira zaka 10, koma chisamaliro chiyenera kumwedwa.

Gwiritsani ntchito mu ukalamba

Pa chithandizo, wodwala ayenera kuyang'aniridwa. Ngati ndi kotheka, kusintha kwa mlingo kumachitika. Pankhaniyi, pali malire - tsiku lililonse la mankhwala sayenera kupitirira 1 g.

The ntchito aimpso kuwonongeka

Ndi kulephera kwa aimpso, kutsika pang'ono mkati mwazinthu zopanga thupi kuchokera pakhungu kumadziwika. Ngati chithandizo chikupitilirabe ngakhale mulingo wake sunachepe, kuchuluka kwa metformin kumawonjezereka, komwe kungayambitse zovuta. Chifukwa chake, simuyenera kumwa mankhwalawa ndi matenda awa. Kuphatikiza apo, kuwonongeka kwa aimpso, limodzi ndi kuchepa kwa chilolezo cha creatinine mpaka 60 ml / min. ndipo pansipa imagwiranso ntchito ku contraindication.

Osagwiritsa ntchito mankhwalawa chifukwa cha madzi am'mimba, limodzi ndi m'mimba.

Osagwiritsa ntchito mankhwalawa komanso madzi am'madzi, limodzi ndi m'mimba, kusanza. Gulu lomweli la ziletso limaphatikizapo zovuta za pathological zomwe zimayambitsidwa ndi matenda, matenda a bronchopulmonary, sepsis, ndi matenda a impso.

Gwiritsani ntchito ntchito yolakwika ya chiwindi

Zilonda zazikulu zamtunduwu ndizobowola. Mankhwalawa sagwiritsidwa ntchito kuphwanya chiwindi moyenera.

Overdose wa Metformin Teva

Ngati Mlingo wokhala ndi mlingo umodzi umafikira 85 g, pamakhala chiwopsezo cha lactic acidosis. Komabe, zizindikiro za hypoglycemia sizichitika.

Zizindikiro za lactic acidosis:

• kusanza, kusanza;
• zimbudzi zotayirira;
• kuchepa kwakukulu kwa kutentha kwa thupi;
• zilonda zofewa minofu, pamimba;
• kupuma ntchito;
• kupuma msanga;
• kulephera kudziwa;
• chikomokere.

Kuyiwala chikumbumtima ndi chimodzi mwazizindikiro za mankhwala osokoneza bongo.

Kuti athetse zizindikirazo, mankhwalawa amachotsedwa, hemodialysis imachitika. Kuphatikiza apo, chithandizo chamankhwala chitha kuperekedwa. Ndi mankhwala osokoneza bongo a Metformin, kuchipatala ndikofunikira.

Kuchita ndi mankhwala ena

Sizoletsedwa kugwiritsa ntchito mankhwalawa pofunsa ndi Danazol.

Chenjezo limawonetsedwa mukamagwiritsa ntchito Chlorpromazine ndi ma antipsychotic ena, mankhwala a gulu la GCS, mankhwala ena okodzetsa, zotumphukira za sulfonylurea, ma AC a inhibitors, beta2-adrenergic agonists, NSAIDs. Nthawi yomweyo, ndizosagwirizana bwino ndi ndalama izi komanso Metformin.

Kuyenderana ndi mowa

Mankhwalawa amaletsedwa kugwiritsidwa ntchito ndi zakumwa zoledzeretsa, chifukwa kuphatikiza uku kungapangitse kuwoneka ngati zotsatira za disulfiram, hypoglycemia, ndi kusokoneza chiwindi.

Analogi

Zoyenera:

• Metformin Kutalika;
• Metformin Canon;
• Glucophage Long, etc.

Mankhwala saloledwa kugwiritsidwa ntchito ndi zakumwa zoledzeretsa.

Kusiyana pakati pa Metformin Teva ndi Metformin

Mankhwalawa ndi ma analogi osinthika, chifukwa ali ndi chinthu chimodzi chogwira ntchito; Mlingo wawo nawonso ndi womwe. Mtengo wa Metformin ndi wotsika, chifukwa mankhwalawa amapangidwa ku Russia. Tevaalog yake Teva ili ku Israel, zomwe zimapangitsa kuti chiwonjezeko chioneke.

Kupita kwina mankhwala

Mankhwala omwe amafunsidwa ndi gulu la mankhwala omwe mumalandira. Dzinali m'Chilatini ndi Metformin.

Kodi ndingagule popanda kulandira mankhwala?

Palibe zotheka.

Mtengo wa Metformin Teva

Mtengo wapakati ku Russia umasiyana ndi ma ruble 150 mpaka 280, zomwe zimatengera kuzunzika kwa chinthu chachikulu komanso kuchuluka kwa mapiritsi omwe ali phukusi.

Zosungidwa zamankhwala

Kutentha kovomerezeka kwa mpweya - mpaka + 25 ° С.

Tsiku lotha ntchito

Kutalika kovomerezeka ndi zaka 3 kuyambira tsiku lomwe amatulutsa.

Wopanga

Teva Pharmaceutical Enterprises Ltd., Israel.

Ndemanga pa Metformin Teva

Chifukwa cha kuwunika kwa ogula, mutha kudziwa lingaliro la kuchuluka kwa mankhwalawa.

Madokotala

Khalyabin D.E., endocrinologist, wazaka 47, Khabarovsk

Mankhwala nthawi zambiri amabweretsa zovuta zambiri. Ndimapereka mankhwala osiyanasiyana omwe amapangitsa kuti azidwala matenda ashuga, mwachitsanzo, ndimakonda kulimbitsa thupi.

Gritsin, A.A., wazakudya wazaka 39, Moscow

Mankhwala othandiza, koma ali ndi malire pazovuta zina. Nthawi zambiri ndikofunikira kusintha mlingo kwa odwala azaka zopitilira 60. Kuphatikiza apo, ndimapatsa achinyamata. Zotsatira zoyipa zamankhwala pamachitidwe anga sizinachitike.

Kuti mugule mankhwala osokoneza bongo, muyenera kupereka mankhwala.

Odwala

Anna, wazaka 29, Penza

Ndimatenga 850 mg, koma maphunzirowo ndi afupikitsa. Pakatha mwezi umodzi, mankhwalawa amabwerezedwanso. Chida ichi chiri ngati chifukwa ndichotsika mtengo, chololera bwino. Pokhapokha ndikofunikira kuti musinthe ndi mankhwala ena a hypoglycemic, chifukwa pali zoletsa pazitali za Metformin.

Valeria, wazaka 45, Belgorod

Mankhwala abwino, koma ine zotsatira zake sizabwino, ndinganene - ofooka. Dokotala akuwonetsa kuti muwonjezere mlingo, koma sindikufuna kukumana ndi zovuta.

Kuchepetsa thupi

Miroslava, wazaka 34, Perm

Ndakhala wonenepa kuyambira ndili mwana, tsopano ndakhala ndikulimbana ndi moyo wanga wonse. Ndinayesa kugwiritsa ntchito mankhwalawa kwa nthawi yoyamba. Kulakalaka sikunachepe, koma pamawonekedwe a calories, zotsatira zake zimawoneka, chifukwa metformin imakhudza kagayidwe.

Veronika, wazaka 33, wa St.

M'malo mwanga, mankhwalawo sanathandize.Ndipo katunduyo adakulirakulira, ndikuyesera kutsatira zakudya, koma ndikuwona kuti palibe zotulukapo, ndidaziponya mumasabata angapo.