Lorista ND ndi mankhwala othandiza kugwiritsa ntchito zachipatala kukhazikitsa magazi komanso kuthandizira matenda a mtima. Itha kugwiritsidwa ntchito ngati mankhwala odziimira pawokha komanso ngati gawo la mankhwala omwe ali ndi antihypertensive mankhwala.
Dzinalo Losayenerana
Venlafaxine.
Lorista ND ndi mankhwala othandiza kugwiritsidwa ntchito kukhazikika kwa magazi ndi kuthana ndi matenda a mtima.
ATX
Palibe C09DA01.
Losartan osakanikirana ndi okodzetsa.
Kutulutsa mafomu ndi kapangidwe kake
Amapezeka piritsi. Cholinga cha pakamwa. Mapiritsiwo ali ndi izi:
- chophatikizira chachikulu ndi losartan, 100 mg;
- hydrochlorothiazide - 25 mg.
Mankhwala amapezeka muyezo wa 12, 25, 50 ndi 100 mg.
Lorista ND ikupezeka piritsi.
Zotsatira za pharmacological
Lorista ndi wa gulu la mankhwala omwe amaphatikiza antihypertensive mankhwala. Ili ndi zida zokhala ndi diuretic.
Mankhwala ali ndi zotsatirazi:
- Kuchulukitsa kuzolowera katundu wambiri mwa odwala omwe ali ndi vuto la mtima omwe akupezeka mwa mawonekedwe osakhazikika.
- Amathandizira kutseka angiotensin 2, amachepetsa kuchuluka kwa aldosterone m'madzi a m'magazi.
- Kuchulukitsa kwa plasma creatinine.
- Zimathandizira kuwonjezera ntchito ya chiwindi ndi michere ya bilirubin.
Chifukwa cha kuphatikiza kwakukulu kwa zosakaniza zowonjezera zogwira ntchito, chiopsezo chotenga hyperuricemia (kuchuluka kwa uric acid m'magazi), omwe amadziwika kuti amagwiritsidwa ntchito ndi mankhwala a diuretic, amachepetsedwa. Chifukwa cha diuretic, imathetsa kutupira kumaso, kumtunda komanso m'munsi.
Pharmacokinetics
Kuchuluka kwa zinthu zogwira ntchito kumawonekera ola limodzi mutatha kumwa mapiritsi. Achire zotsatira kumatenga maola 3-4. Pafupifupi 14% ya osabadira, otengedwa pakamwa, amapukusidwa ku metabolite yake yogwira. Hafu ya moyo wa losartan ndi ma 2 maola. Hydrochlorothiazide siimapukusidwa ndipo imathandizidwa mwachangu kudzera mu impso.
Kodi chimathandiza ndi chiyani?
Mankhwalawa amatchulidwa ngati:
- Matenda oopsa.
- Monga chithandizo chothandizira kuchepetsa kufa kwa anthu omwe ali ndi vuto lamanzere lamitsempha yamagazi kapena matenda oopsa.
- Kupewa kuopsa kwa mikwingwirima, kugunda kwa mtima, kuwonongeka kwa mtima ndi matenda a mtima.
- Hypersensitivity ndi kusalolera payekha kwa isoenzyme zoletsa.
- Matenda oopsa a ubongo, omwe akupanga motsutsana ndi maziko a matenda osokoneza bongo, kulephera kwa impso.
- Kulephera kwamtima.
- Myocardial infarction mu pachimake mawonekedwe.
- Kulephera kwa mtima koyerekeza ndi njira zina zosasinthika.
Mankhwala tikulimbikitsidwa monga mbali yofunika ya mankhwala umalimbikira odwala omwe ali ndi vuto laimpso hem hemalal.
Mankhwala akhoza kukhala ngati gawo limodzi la zovuta mankhwala ochizira odwala mkhutu aimpso ntchito hemodialysis.
Pa kukakamizidwa kutsina?
Mankhwalawa amagwira ntchito pamagazi okwera, amathandizira kukhazikika kwake mwachangu.
Contraindication
Ndi zoletsedwa kugwiritsa ntchito Lorista ngati:
- Pathology ya impso, ikuchitika kwambiri.
- Kuwonongeka kwa chiwindi.
- Anuria.
- Aliyense tsankho kapena hypersensitivity kwa yogwira zigawo zikuluzikulu za mankhwala.
- Kuchulukitsa kwa urea.
- Kuphwanya magwiridwe antchito a biliary thirakiti.
- Kuchulukirachulukira komwe kumachitika.
- Kuchepa kwa thupi.
- Hypersensitivity ya lactose, mawonekedwe ake osazindikira thupi.
- Kuwonetsedwa kwa ochepa hypotension, kumachitika mwaukali, mawonekedwe owopsa.
- Gout.
- Cholestasis.
Kugwiritsa ntchito mankhwalawa ndi gout ndikoletsedwa.
Kugwiritsa ntchito mankhwalawa pa diuretic tiba sikulimbikitsidwa.
Ndi chisamaliro
Ndi kusamala kwakukulu, Lorista amaperekedwa kwa odwala omwe ali ndi matenda omwe adapezeka:
- matenda a shuga;
- mphumu ya bronchial;
- matenda a magazi;
- kuphwanya magazi-electrolyte bwino mu thupi;
- stenosis ya mitsempha ya impso zida;
- kuphwanya magazi;
- matenda amtsempha wamagazi
- mtima;
- arrhasmia kumachitika kwambiri mawonekedwe motsutsana maziko a mtima kulephera.
Pazochitika zonsezi, mankhwalawa amatchulidwa muyezo, ndipo njira yochizira imayang'aniridwa ndi achipatala.
Momwe mungatenge Lorista ND?
Zapangidwa kuti zizigwiritsidwa ntchito m'nyumba. Mapiritsi amadyedwa mukatha kudya, kutsukidwa ndi madzi oyera ambiri. Mlingo woyenera umasankhidwa malinga ndi chiwembu choganizira msanga wa wodwala ndi matenda omwe wapezeka ndi iye.
Mlingo wapamwamba wa tsiku lililonse wa Lorista sayenera kupitirira 50 mg.
Nthawi zina, mutha kuchuluka kwa dokotalayo mpaka 100 mg la mankhwala patsiku. Nthawi yayitali ya mankhwalawa imachokera ku milungu itatu mpaka miyezi 1.5.
Mapiritsi amadyedwa mukatha kudya, kutsukidwa ndi madzi oyera ambiri.
Chithandizo chimayamba ndi Mlingo wochepa - kuyambira 12-13 mg wa Lorista patsiku. Pambuyo pa sabata, tsiku lililonse mlingo umakulitsidwa mpaka 25 mg. Kenako mapiritsiwo amatengedwa mu mlingo wa 50 mg.
Ndi ochepa matenda oopsa, mlingo watsiku ndi tsiku umatha kukhala 25 mpaka 100 mg. Popereka mankhwala akuluakulu, tsiku lililonse ayenera kugawidwa pawiri. Panthawi ya maphunziro a mankhwalawa komanso kuchuluka kwa mankhwala a diuretic, a Lorista amawerengera 25 mg.
Mlingo wochepetsedwa umafunika kwa odwala omwe ali ndi vuto la chiwindi, kulephera kwa impso.
Ndi matenda ashuga
Chithandizo chimayamba ndi mlingo wa 50 mg. Mapiritsi amatengedwa 1 nthawi patsiku. M'tsogolomu, mlingo umachulukitsidwa kukhala 80-100 mg, komanso wotengedwa kamodzi patsiku.
Mu matenda a shuga, mankhwalawa amayamba ndi 50 mg.
Zotsatira zoyipa Lorista ND
Kulandila Lorista kumatha kuyambitsa mawonekedwe osagwirizana ndi awa:
- myalgia;
- kuwonongeka kwa minofu ndi mafupa;
- kuphwanya erectile ntchito;
- kufooketsa chilakolako chogonana;
- kukodza pafupipafupi;
- thukuta kwambiri;
- kuphwanya mawonekedwe owoneka, kulawa ndi ntchito za olonicory;
- kuchuluka kwa khungu;
- kupweteka kumbuyo;
- kudwala chifuwa;
- rhinitis;
- kupuma movutikira;
- mawonetseredwe a mphumu ya bronchial.
Zotsatira zoyipa zambiri zimachitika pamene wodwala wakumana ndi zovuta kapena chifukwa chowerengera cholakwika. Kafukufuku wasonyeza kuti kugwiritsa ntchito kwa Lorista kumatha kupangitsa kuti matenda a parathyroid asokonezeke.
Matumbo
Chotheka:
- chisangalalo;
- nseru ndi zovuta kusanza;
- kusokonezeka kwa chopondapo;
- gastritis
- kupweteka m'mimba.
Kulandila Lorista kumatha kuyambitsa matenda osokoneza bongo.
Hematopoietic ziwalo
Matenda a Shenlein Genoch, kuchepa kwa magazi, kuchepa kwa hemoglobin m'magazi, bradycardia, kusokonezeka kwa mtima, kupweteka pachifuwa.
Pakati mantha dongosolo
Zovuta zam'mutu, kukhumudwa, kusokonezeka kwa kugona, kukomoka, matenda a kutopa, chizungulire, kuchepa kukumbukira kukumbukira kwatsopano ndi kusunthika, kulumikizidwa koyenda.
Zovuta zam'mutu zitha kuchitika mutatenga Lorista.
Matupi omaliza
Mankhwala amatha kuyambitsa thupi lawo siligwirizana, zikuwoneka ngati:
- rhinitis;
- kutsokomola
- zotupa pakhungu ngati ming'oma;
- Khungu.
Malangizo apadera
Chifukwa cha kuchuluka kwakukulu pamitsempha yamagazi ndi kuchepa kwa kuthamanga kwa magazi panthawi ya chithandizo, a Lorista ndi bwino kukana kuwongolera makina ndi magalimoto.
Pa chithandizo, Lorista ndi bwino kukana kuyendetsa makina ndi magalimoto.
Munthawi yamankhwala othandizira, tikulimbikitsidwa kuwunika kuchuluka kwa calcium kuti mupewe kukula kwa hypercalcemia.
Gwiritsani ntchito mu ukalamba
Anthu okalamba amakhala ndi mankhwala ocheperako. Maphunzirowa ayenera kuyang'aniridwa mosamala ndi madokotala.
Kusankhidwa kwa ana a Lorista ND
Chifukwa cha kusaphunzira bwino kwa Lorista pamatupi a ana, mankhwalawa sagwiritsidwa ntchito pochiza ana osaposa zaka zambiri.
Mankhwalawa sagwiritsidwa ntchito pochiza ana osakwana zaka zambiri.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Chifukwa cha poizoni wake, mankhwalawa amatha kusokoneza mapangidwe a mtima ndi ziwonetsero zaimpso za mwana wosabadwayo panthawi ya fetal, yomwe imadzala ndi imfa. Kuopsa kwa mwana wosabadwayo ndikofunika kwambiri makamaka pazoyambirira ziwiri za mimba. Pachifukwa ichi, a Lorista sagwiritsidwa ntchito pochiritsa amayi oyembekezera.
Osamagwiritsa ntchito Lorista panthawi yoyamwitsa. Ngati ndi kotheka, kugwiritsa ntchito mankhwala a antihypertgency awa amasinthidwa kwakanthawi kuti adyetse maukonde.
The ntchito aimpso kuwonongeka
Ngati aimpso kuwonongeka ntchito wofatsa zolimbitsa zovuta, mankhwala zotchulidwa muyezo. Muzochitika zazikulu kwambiri, chisankho pa mtundu woyenera wa mankhwala ndi kutha kwa kugwiritsa ntchito Lorista amatengedwa ndi adokotala payekhapayekha.
Ngati aimpso kuwonongeka ntchito wofatsa zolimbitsa zovuta, mankhwala zotchulidwa muyezo.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Kupezeka kwa kuwonongeka kwa chiwindi, chiwindi cha chiwindi chimapereka mankhwala mosamalitsa komanso kuchepa kwa muyezo watsiku ndi tsiku.
Overdose Lorista ND
Imadziwoneka yokha mwazizindikiro zotsatirazi:
- Kutupa kwa nkhope, kumtunda ndi m'munsi.
- Matenda a khunyu.
- Kwambiri khungu.
- Kutupa kwa milomo ndi lilime.
- Kutsokomola.
- Kuletsa kupuma ntchito.
- Thupi.
Pakakhala vuto la mankhwala osokoneza bongo, wodwalayo amafunikira chithandizo chamankhwala cham'mimba mwachangu, kupweteka kwa m'mimba, komanso kudya ma sorbe.
Ndi chizindikiro chotere, wodwalayo amafunikira chithandizo chamankhwala cham'mimba mwachangu, kugwiritsa ntchito matumbo, komanso kugwiritsa ntchito ufiti. Mankhwala ena ndiwowonekera. Kupanda kutero, chiopsezo cha kuchepa madzi m'thupi ndi chikondwerero cha hepatic chikuwonjezeka, chomwe chimadziwika ndi imfa ya wodwalayo.
Kuchita ndi mankhwala ena
Ndi kugwiritsa ntchito kwa nthawi yomweyo kwa Lorista ndi mankhwala ena a antihypertensive, kuchepa kwamphamvu komanso kosavuta kwazowonetsa magazi kumatheka.
Kuphatikizidwa ndi ma antidepressants ndi ma antipsychotic kungayambitse kukula.
Ma Barbiturates ndi mtima glycosides amaphatikiza bwino ndi Lorista, mosiyana ndi Rifampicin, yemwe amachepetsa mphamvu ya mankhwalawa. Asparkum imagwirizana ndi Lorista, koma pogwiritsa ntchito munthawi yomweyo mankhwalawa, kuwongolera kuchuluka kwa calcium kumafunika.
Kuyenderana ndi mowa
Mankhwala, a Lorista omwe amapezeka motsutsana ndi omwe amamwa zakumwa zoledzeretsa. Mowa wa Ethyl umawonjezera mwayi wodwala wokhala ndi zovuta zowopsa monga kugunda kwamtima ndi stroko.
Mankhwala, a Lorista omwe amapezeka motsutsana ndi omwe amamwa zakumwa zoledzeretsa.
Analogi
Omwe atenga mmalo mwa mankhwalawa ndi aLorista N. Mankhwala otsatirawa atha kukhala osowa m'malo mwa osowa:
- Vasar;
- Cozaar;
- Lozal Plus;
- Gizaar.
Kodi pali kusiyana kotani pakati pa Lorista ndi Lorista ND
Kusiyana kwakukulu ndikuti kapangidwe ka Lorista ND kamaphatikizapo hydrochlorothiazide, omwe amathandiza kuchepetsa kubwezeretsanso kwa sodium. Kuphatikiza apo, mtengo wa Lorista ndi wotsika. Koma onsewa mankhwalawa amatha kusinthana kofanana ndi kutanthauzira kwakukulu.
Kupita kwina mankhwala
Pamafunika mankhwala kuti mugule mankhwalawo.
Pamafunika mankhwala kuti mugule mankhwalawo.
Kodi ndingagule popanda kulandira mankhwala?
Ayi.
Mtengo wa Lorista ND
Mtengo umasiyanasiyana kuchokera ku ruble 230 mpaka 450.
Zosungidwa zamankhwala
Mankhwala tikulimbikitsidwa kuti tisungidwe m'malo amdima, ozizira osatheka ndi ana. Kusunga kutentha kwambiri mpaka + 30 ° C.
Mankhwala tikulimbikitsidwa kuti tisungidwe m'malo amdima, ozizira osatheka ndi ana.
Tsiku lotha ntchito
Osaposa zaka 5, atamaliza nthawi yoletsedwa kuvomerezedwa.
Wopanga
Kampani yopanga mankhwala ku Slovenia Krka.
Ndemanga za Lorista ND
Chifukwa chazinthu zambiri zopindulitsa komanso kuchitapo kanthu mwachangu, mankhwalawa apeza ndemanga zabwino zambiri kuchokera kwa onse odwala ndi madokotala.
Omvera zamtima
Valeria Nikitina, katswiri wa zamtima, ku Moscow
Kugwiritsa ntchito kwa Lorista ND kumakuthandizani kuti muchepetse kukula kwa zovuta za mtima wamagazi monga kugwidwa ndi myocardial infarction. Mlingo wosankhidwa bwino, mankhwalawa amathandizidwa ndi odwala popanda chitukuko cha zovuta.
Valentin Kurtsev, pulofesa, katswiri wa zamtima, Kazan
Kugwiritsa ntchito kwa Lorista kuli ponseponse m'munda wa mtima. Kuchita zamankhwala ndi zotsatira za mayeso azachipatala kwatsimikizira kuti mankhwalawa amachepetsa kwambiri kufa kwa odwala omwe ali ndi vuto la mtima komanso matenda oopsa.
Mankhwalawa apeza ndemanga zabwino zambiri kuchokera kwa onse odwala ndi madokotala.
Odwala
Nina Sabashuk, wazaka 35, Moscow
Ndakhala ndikuvutika ndi kuthamanga kwa magazi kwa zaka 10. Nditapezeka kuti ndine wodwala matenda oopsa, ndinamwa mankhwala ambiri, koma kungogwiritsa ntchito Lorista ND kumandilola kuti ndikhale ndi thanzi labwino komanso ndikubwereranso m'masiku ochepa.
Nikolay Panasov, wazaka 56, Chiwombankhanga
Ndimalola Lorista ND kwa zaka zingapo. Mankhwalawa amabweretsa kukakamizidwa mwachangu, kumapereka mphamvu yokhudza kukodzetsa. Ndipo mtengo wa mankhwalawo ndiwotsika mtengo, wofunikanso.
A Alexander Panchikov, azaka 47, Yekaterinburg
Ndili ndi vuto la mtima ndikosatha. Ndi kuchulukitsa kwa matendawa, adotolo atilamula kuti atenge mapiritsi a Lorista ND. Ndinakhutira ndi zotsatira zake. Ngakhale panali zovuta zingapo zoyipa, mankhwalawa adakwaniritsidwa.
