Momwe mungagwiritsire ntchito mankhwala a Mikardis?

Mankhwala Mikardis amachepetsa kuthamanga kwa magazi, chifukwa chake katundu pamtima amachepa. Zotsatira za izi ndikuchepetsa chiopsezo cha kugunda kwa mtima komanso mwayi woti muphedwe. Komabe, asanayambe chithandizo, wodwalayo ayenera kumudziwa bwino mankhwalawa, chifukwa ali ndi mawonekedwe.

Dzinalo

Mankhwala a INN - Telmisartan.

Mankhwala Mikardis amachepetsa kuthamanga kwa magazi, chifukwa chake katundu pamtima amachepa.

Dzinalo Lachilatini ndi Micardis.

ATX

Khodi ya ATX ndi C09CA07.

Kutulutsa mafomu ndi kapangidwe kake

Piritsi la mankhwalawa limakhala ndi 40 kapena 80 mg wa telmisartan, wogwiritsidwa ntchito ngati chinthu chogwira ntchito. Othandizira ndi:

• sorbitol;
• caustic koloko;
• magnesium wakuba;
• povidone;
• meglumine.

Mankhwalawa amapezeka piritsi.

Zotsatira za pharmacological

Mapiritsi a Mikardis ndi mankhwala a antihypertensive. Makapisozi a mankhwala ali ndi zotsatirazi:

• block angiotensin 2 zolandilira;
• kuchepetsa kuchuluka kwa aldosterone m'magazi;
• kutsika kwa diastoli ndi systolic.

Mankhwala amadziwika ndi kusapezeka kwa achire achire komanso samakhudza kugunda kwa mtima.

Mapiritsi a Mikardis amachepetsa kuthamanga kwa magazi kwa diastoli ndi systolic.

Pharmacokinetics

Pharmacokinetic mawonekedwe a mankhwala:

• kumanga kumapuloteni amwazi - 99%;
• kuyamwa mwachangu;
• magazi ndende (pazipita) - pambuyo 3 maola;
• chimbudzi kwa thupi - ikugwiritsidwa ntchito impso.

Zizindikiro zogwiritsidwa ntchito

Mankhwalawa amagwiritsidwa ntchito pochita matenda oopsa. Kuphatikiza apo, chidachi cholinga chake ndicho kuchepetsa mwayi wokhala ndi matenda a mtima komanso kuchepetsa kufedwa.

Mankhwalawa amagwiritsidwa ntchito pochita matenda oopsa.

Contraindication

Zotsutsana ndi:

• chidwi chachikulu ndi fructose;
• mitundu yayikulu ya matenda a chiwindi;
• Hypersensitivity mankhwala osokoneza bongo;
• kusakwanira kwa isomaltase ndi sucrase;
• matenda amisili yonyowa, akuchitika mu mawonekedwe osokoneza;
• kuphwanya mayamwidwe galactose ndi shuga.

Mitundu ikuluikulu ya matenda a chiwindi ndi kuphwanya kugwiritsa ntchito mankhwalawa.

Ndi hypersensitivity ku mankhwala osokoneza bongo, mankhwalawa sagwiritsidwa ntchito.

Pa matenda am'mimba, Mikardis sanalembedwe kwa odwala.

Zinthu zotsatirazi zimafunikira kugwiritsa ntchito mankhwalawa mosamala:

• postoperative nthawi pambuyo kupatsirana kwa impso;
• kuchepa kwa magazi mozungulira mutagwiritsa ntchito diuretics;
• Hyperkalemia ndi hyponatremia;
• kulakwitsa kwa chiwindi ndi impso;
• stenosis: mitsempha ya impso, subaortic hypertrophic chikhalidwe, mitral ndi ma-aortic mavuvu.

Mosamala, mankhwalawa amayenera kumwedwa chifukwa cha kulephera kwa impso.

Momwe angatenge

Mankhwalawa amamwa pakamwa. Kugwiritsa ntchito mankhwalawa sikudalira chakudya.

Akuluakulu

Odwala achikulire ndi omwe amamwa mankhwala 1 kamodzi patsiku mu 40 mg. Ngati ndi kotheka, sinthani mlingo, mankhwalawa amawonjezereka mpaka 80 mg.

Kwa ana

Mankhwalawa sagwiritsidwa ntchito ngati ana, chifukwa amatsutsana ndi odwala osakwana zaka 18.

Mankhwalawa sagwiritsidwa ntchito ngati ana, chifukwa amatsutsana ndi odwala osakwana zaka 18.

Kodi ndizotheka kugawana

Kugawa kapisozi m'magawo angapo osavomerezeka.

Kodi ndizotheka kumwa mankhwalawa chifukwa cha matenda ashuga

Pa matenda a shuga, mankhwalawa amatengedwa ndi chilolezo cha dokotala.

Zotsatira zoyipa

Mukamatengedwa, kukulitsa zovuta zoyipa ndikotheka.

Matumbo

Kuchokera pamimba, pali zizindikiro za zoyipa:

• kamwa yowuma
• kusapeza bwino pamimba ndi kusapeza bwino;
• kuchuluka kwa chiwindi michere;
• chisangalalo;
• kutsegula m'mimba

Kuchokera m'matumbo am'mimba, pakamwa lowuma kumatha kuwoneka ngati mbali imodzi.

Kuchokera pamtima

Odwala amakulitsa mawonekedwe awa:

• kuchuluka kwa mtima;
• kuthamanga kwa magazi;
• bradycardia;
• orthostatic mtundu wa hypotension.

Pakati mantha dongosolo

Mkhalidwe wodwala amadziwika ndi zomwe zidatchulidwa:

• Kukhumudwa
• kukomoka pafupipafupi;
• nkhawa
• zosokoneza tulo;
• chizungulire.

Zotsatira zoyipa za mtima wamanjenje zimakhala nkhawa.

Kuchokera kwamikodzo

Wodwala amatha kulephera kwa impso, kusagwira bwino ntchito kwa thupilo, kuphatikizapo oliguria.

Kuchokera ku minculoskeletal system

Zotsatira zoyipa zimayambitsa zizindikiro zofanana:

• kupweteka m'misempha, mafupa ndi ma tendon;
• kukokana chifukwa cha kuphipha kwa minofu.

Mukamagwiritsa ntchito mankhwalawa, kupweteka m'misempha kumatha kuchitika - izi ndizotsatira zoyipa.

Kuchokera ku kupuma

Zotsatira zoyipa zimawonedwa ngati kupuma movutikira.

Matupi omaliza

Kumwa mankhwalawa kumatha kubweretsa zotsatirazi:

• kuyabwa
• zotupa za poizoni chikhalidwe;
• angioedema ndi chiopsezo chowonjezereka cha kufa;
• malungo a nettle;
• erythema.

Mukamamwa mankhwalawa, khungu lanu lingakhale ndi poizoni.

Malangizo apadera

M'pofunika kuwongolera kuchuluka kwa potaziyamu mutatenga wothandizila ndi zina za potaziyamu komanso zowonjezera potaziyamu.

Ngati ntchito ya impso komanso kamvekedwe ka mtima zimatengera dongosolo la renin-angiotensin-aldosterone, ndiye kuti kugwiritsa ntchito Mikardis kungapangitse kuchuluka kwa nayitrogeni m'magazi (hyperazotemia), kuchepa kwa mavuto, kapena mawonekedwe osakwanira.

Kuyenderana ndi mowa

Mankhwalawa saphatikizidwa ndi mowa. Ngati panthawi ya mankhwala wodwala amamwa mowa, ndiye kuti pamakhala poizoni, zomwe zimabweretsa zovuta.

Mankhwalawa saphatikizidwa ndi mowa.

Zokhudza mphamvu pakuwongolera njira

Kutenga Mikardis kumatha kubweretsa zovuta zina zomwe zimakhudza kugwira ntchito kwa mtima wamanjenje. Izi zimathandizira kuwonongeka pakuwongolera, zomwe zimakhudza kayendetsedwe ka mayendedwe.

Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere

Angiotensin receptor blockers mu trimesters onse amatsutsana kuti agwiritse ntchito, chifukwa mankhwalawa amadziwika ndi fetotoxicity. Mukamayamwa, mankhwalawa saikidwa mankhwala.

Pa nthawi yoyembekezera komanso mkaka wa m`mawere, mankhwalawa sangathe kugwiritsidwa ntchito ngati mankhwala.

Bongo

Ngati mlingo wovomerezeka udapitilira, bradycardia, tachycardia imachitika ndipo kupanikizika kumachepa.

Kuchita ndi mankhwala ena

Kugwiritsa ntchito Mikardis ndi mankhwala ena kumabweretsa zotsatirazi:

• NSAIDs - zovuta zomwe mankhwalawa amachepetsa, ntchito ya impso imalephereka, chiopsezo chokhala ndi kulephera kwa aimpso chikuwonjezeka;
• mankhwala okhala ndi lithiamu - poizoni amachitika;
• munthawi yomweyo makonzedwe a telmisartan ndi Digoxin, Paracetamol, Ibuprofen, Hydrochlorothiazide, Glibenclamide - palibe zochita zowopsa;
• Mankhwala kuchepetsa magazi - kumawonjezera magwiridwe antchito.

Mukamagwiritsira ntchito Mikardis ndi mankhwala kuti muchepetse kuthamanga, mankhwalawa amathandizira.

Analogi

Mankhwala otsatirawa ndi ofanana:

1. Mikardis Plus ndi mankhwala opatsa chidwi okhala ndi hydrochlorothiazide ndi telmisartan.
2. Nortian ndi angiotensin 2 receptor blocker yodziwika ndi katundu wa vasoconstrictor.
3. Candesar ndi mankhwala ogwiritsidwa ntchito kulephera kwa mtima komanso kuthamanga kwa magazi.
4. Presartan ndi mankhwala okhala ndi antihypertensive katundu. Fomu ya Mlingo imayimiriridwa ndi mapiritsi.
5. Teveten ndi othandizira ena. Kuphatikiza apo imakhala ndi vasodilating ndi diuretic kwenikweni.
6. Atacand ndi mankhwala osokoneza bongo omwe ali ndi candersartan monga chogwiritsa ntchito.
7. Candersartan ndi mankhwala aku Russia omwe amasankha angiotensin receptor blocker.

Njira yofananira ndi mankhwalawa Nortian.

Monga analogue, mankhwala omwe amatchedwa Teveten amagwiritsidwa ntchito nthawi zambiri.

Candesar ndi imodzi mwazifanizo zodziwika bwino za mankhwala a Mikardis.

Atacand ndi analogue ya Mikardis, yomwe imatha kutulutsa kukakamiza.

Kupita kwina mankhwala

Chinsinsi chikufunika.

Zingati Mikardis

Mtengo - 500-800 rubles.

Zosungidwa zamankhwala

Mankhwala ayenera kukhala pamalo owuma. Mankhwalawa ayenera kutetezedwa kuti athe kuwonekera padzuwa.

Tsiku lotha ntchito

Malinga ndi malangizo ogwiritsira ntchito, mankhwalawa ali ndi alumali moyo wazaka 4.

Malinga ndi malangizo ogwiritsira ntchito, mankhwalawa ali ndi alumali moyo wazaka 4.

Ndemanga za Mikardis

Ndemanga zili ndi malingaliro osiyanasiyana a madokotala ndi odwala zokhudzana ndi chida.

Omvera zamtima

Elena Nikolaevna

Chifukwa cha kafukufukuyu, zidapezeka kuti kutenga Mikardis moyenera kumachepetsa kukakamiza. Kuphatikiza apo, mankhwalawa ali ndi phindu pa mtunda wamtima wa odwala azaka zosiyanasiyana. Matendawa amakumana ndi zovuta zochepa, zomwe zimapangitsa kuti mankhwalawa asagwiritsidwe ntchito mosavomerezeka.

Albert Sergeevich

Kulandiridwa kwa Mikardis kukuwonetsedwa kwa odwala omwe ali ndi matenda oopsa. Kutengera ndi malingaliro ndi mlingo woyenera, mankhwalawo sayambitsa zoyipa. Chochitikacho chimatha maola 12 mpaka masiku awiri.

Odwala

Antonina, wazaka 48, Novosibirsk

Dokotalayo adayambitsa kugwiritsa ntchito Mikardis chifukwa cha kuthamanga kwa magazi. Mankhwalawa sanachititse kuti muwoneke bwino. Zotsatira zabwino zidawuka patatha mphindi 20-30 ndipo zidatha mpaka m'mawa wotsatira.

Oleg, wazaka 46, Tomsk

Mankhwalawa adawerengeka atadwala mtima. Mothandizidwa ndi Mikardis, anathetsa kuthamanga kwa magazi komanso chizungulire. Kupitilira chaka chimodzi, koma mankhwalawo sanathe panthawi imeneyi. Mphindi yokhayo, chifukwa chomwe sindimafuna kugula mankhwalawa, imayimiriridwa ndi mtengo waukulu.

Alena, wazaka 52, Ulyanovsk

Ndimavutika kwa nthawi yayitali chifukwa cha kupweteka mutu komanso kuthamanga kwa magazi. Dokotala adapereka chithandizo mothandizidwa ndi Mikardis. Mankhwalawa amayenera kumwa piritsi patsiku, ndipo phukusi pali 14 ma PC. Ndinkakonda kuti masiku a sabata omwe mungadutse mukamamwa mankhwalawo akuwonetsedwa pachimake. Zotsatira zake, kupanikizika ndikwabwinobwino, koma nthawi zina pamakhala zodabwitsa pamimba.