Metformin yayitali imalembedwa kwa odwala kuti achepetse kuchuluka kwa shuga m'magazi a plasma. Kuphatikiza apo, chipangizochi chimalimbikitsidwa kwa anthu omwe akufuna kuchepa thupi.
Mankhwala a gulu la Biguanide amachititsa kuti thupi lizichitika mosiyanasiyana, motero ndikofunikira kufunsa dokotala musanayambe chithandizo.
Dzinalo Losayenerana
Metformin (dzina lachi Latin) - dzina la chinthu chomwe chikugwira ntchito.
Metformin yayitali imalembedwa kwa odwala kuti achepetse kuchuluka kwa shuga m'magazi a plasma.
ATX
A10BA02 - code for anatomical and achire mankhwala gulu.
Kutulutsa mafomu ndi kapangidwe kake
Mapiritsi a retard (atenga nthawi yayitali) amapezeka mumatumba a polymer 30 ma PC. iliyonse mwa izo, komanso ma 5 kapena 10 ma PC. mu ma CD.
Piritsi lililonse lili ndi 850 mg kapena 1000 mg yogwira ntchito.
Piritsi lililonse lili ndi 850 mg kapena 1000 mg yogwira ntchito.
Zotsatira za pharmacological
Metformin imakhala ndi vuto la hypoglycemic, kuchepetsa kubisalira kwa glucose ndi maselo a chiwindi ndikuchepetsa mayamwidwe ake m'matumbo.
Pogwiritsa ntchito Metformin, kuchepa kwa thupi la wodwalayo kumawonedwa, monga yogwira pophika mankhwala ali ndi phindu pa kagayidwe kazinthu zophatikizika, kuphatikiza mafuta (lipids).
Pharmacokinetics
Metformin imatengedwa kuchokera ku rectum kupita mu kayendedwe kazinthu. Ngati mumamwa mapiritsi ndi chakudya, ndiye kuti pali njira yotalikirapo yolerera gawo lomwe limagwira.
Zovunda zomwe zimagwira ntchito zimayimbidwa ndi impso ndi mkodzo ndipo zimapezekanso mu metabolites.
Ngati mumamwa mapiritsi ndi chakudya, ndiye kuti pali njira yotalikirapo yolerera gawo lomwe limagwira.
Zizindikiro zogwiritsidwa ntchito
Wothandizila hypoglycemic amalembera:
- lembani 1 ndi mtundu 2 shuga;
- kunenepa kwambiri, ngati pakufunika kuwongolera kuchuluka kwa shuga m'magazi, zomwe sizingatheke potsatira mfundo za zakudya komanso masewera olimbitsa thupi;
- polycystic ovary, koma moyang'aniridwa ndi dokotala.
Contraindication
Chipangizocho chimaphatikizidwa kuti chigwiritsidwe ntchito ndi:
- tsankho la munthu;
- aimpso kuwonongeka (creatinine chilolezo 45-59 ml / min.);
- kusanza kosalekeza ndi kutsegula m'mimba;
- zilonda zofewa zam'mimba;
- pachimake myocardial infarction;
- kuphwanya mulingo wamadzi-electrolyte;
- chakudya chama hypocaloric;
- kuchuluka kwa lactic acid m'magazi (lactic acidosis);
- uchidakwa wosatha.
Mankhwala ndi contraindicated kuti ntchito kuwonongeka aimpso (creatinine chilolezo 45-59 ml / min.).
Ndi chisamaliro
Odwala omwe ali ndi vuto lalikulu la chiwindi samalimbikitsidwa kumwa mapiritsi a nthawi yayitali.
Momwe mungatenge Metformin Kutalika
Ndikofunikira kutsatira malangizo ogwiritsira ntchito mankhwalawa kuti mupeze mawonekedwe abwino azizindikiro zamankhwala.
Pali zinthu zingapo izi:
- Piritsi siyenera kutafunidwa. Ngati nkovuta kwa wodwala kumeza piritsi la 0,85 g, tikulimbikitsidwa kuti tiziigawa magawo awiri, omwe amatengedwa motsatana, osayang'anira nthawi yayitali.
- Ndikofunika kumwa mankhwalawo ndi madzi ambiri kuti mupewe mavuto ndi kugaya chakudya.
- Mlingo wa ntchito yogwira umawonjezeka pambuyo pa masiku 10-14.
- Mlingo wapamwamba tsiku lililonse wa Metformin ndi 3000 mg.
Piritsi siyenera kutafunidwa. Ngati zovuta kwa wodwala kumeza piritsi la 0,85 g, tikulimbikitsidwa kuti zigawike m'magawo awiri.
Asanadye kapena pambuyo chakudya
Mankhwalawa amayenera kumwedwa panthawi ya chakudya chamadzulo kapena mutangomaliza kudya.
Ndi matenda ashuga
Metformin imagwiritsidwa ntchito ngati chothandizira pakuphatikiza insulin.
Mlingo woyambirira wa chinthu chogwira ntchito ndi 500 mg (Metformin MV-Teva), kenako umakulitsidwa kwa 750 mg patsiku.
Kuchepetsa thupi
Kusankha kwa dose kumachitika payekhapayekha. Nthawi zambiri, mulingo woyenera wa tsiku ndi tsiku wa Metformin sapitilira 2000 mg.
Kuchepetsa thupi, kusankha kwa mankhwalawa kumachitika aliyense payekhapayekha.
Zotsatira zoyipa za Metformin Long
Mankhwalawa amayambitsa mavuto ambiri.
Matumbo
Odwala nthawi zambiri amadandaula za matenda am'mimba komanso kusanza. Koma Zizindikiro zofananira nthawi zambiri zimatha mkati mwa sabata loyamba kumwa mapiritsi.
Kuchokera kumbali ya kagayidwe
Kawirikawiri amakonza lactic acidosis.
Pa khungu
Kuchepa kwa khungu ndikotheka, komwe kumayendetsedwa ndi kuyabwa kwambiri.
Dongosolo la Endocrine
Hypoglycemia sikachitika kawirikawiri.
Kuchokera ku endocrine system, hypoglycemia imachitika kawirikawiri.
Matupi omaliza
Pankhani ya hypersensitivity to Metformin, totupa limawonekera pakhungu.
Zokhudza mphamvu pakuwongolera njira
Chida sichimayendetsa kuyendetsa.
Malangizo apadera
Ndikofunikira kuganizira mawonekedwe angapo musanagwiritse ntchito mankhwalawa.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Kutenga mapiritsi ndi contraindicated mwa amayi apakati komanso yoyamwitsa, monga kuphwanya lamuloli kungavulaze mwana.
Kutenga mapiritsi ndi contraindicated mwa amayi apakati komanso yoyamwitsa, monga kuphwanya lamuloli kungavulaze mwana.
Kupangira Metformin Kutalika Kwa Ana
Ana osakwana zaka 15 sayenera kugwiritsa ntchito mankhwalawa, chifukwa chitetezo chakugwiritsira ntchito m'badwo uno sichinatsimikizidwe.
Gwiritsani ntchito mu ukalamba
Ndikofunika kuyang'anitsitsa kuchuluka kwa shuga m'magazi ndikuwunika momwe impso zimathandizira.
The ntchito aimpso kuwonongeka
Mosamala, mapiritsi amaperekedwa kwa odwala omwe ali ndi vuto laimpso.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Kusintha kwa mlingo ndikofunikira kwa odwala omwe ali ndi vuto la chiwindi.
Kusintha kwa mlingo ndikofunikira kwa odwala omwe ali ndi vuto la chiwindi.
Mankhwala ochulukirapo a Metformin Kutalika
Pogwiritsa ntchito mankhwalawa mosasamala, lactic acidosis imayamba, yomwe imayendetsedwa ndi kusanza komanso kupweteka pamimba yotsika.
Ngati bongo la yogwira, hemodialysis likhala lothandiza.
Kuchita ndi mankhwala ena
Ndikofunikira kuganizira izi:
- Hypoglycemia ndiyotheka kugwiritsa ntchito munthawi yomweyo za sulfonylurea.
- Akaphatikizidwa ndi cimetidine, njira yochotsa Metformin m'thupi imachepera.
- Kugwirizana kwa mankhwalawa ndi mankhwala okhala ndi ayodini kumapangidwa. Mankhwalawa amagwiritsidwa ntchito pazophunzirira za x-ray. Pali chiwopsezo chachikulu chotenga kusokonekera kwa impso pankhaniyi.
- Nifedipine amachepetsa mphamvu ya hypoglycemic ya Metformin.
Nifedipine amachepetsa mphamvu ya hypoglycemic ya Metformin.
Kuyenderana ndi mowa
Muyenera kusiya zakumwa zomwe zimakhala ndi ethanol kuti mupewe zovuta.
Analogi
Glucophage kutalika sikogwiranso ntchito bwino kwa Metformin.
Kodi pali kusiyana kotani pakati pa Metformin ndi Metformin motalika
Kusiyanitsa kwakukulu ndi muyeso wa chinthu chomwe chikugwira ntchito.
Kusiyana kwakukulu kuchokera ku Metformin ndi kuchuluka kwa chinthu chomwe chikugwira ntchito.
Kupita kwina mankhwala
Mankhwalawa amapezeka pafupifupi mu mankhwala aliwonse ku Russia.
Kodi ndingagule popanda kulandira mankhwala?
Mankhwala angagulidwe popanda mankhwala a dokotala.
Mtengo wa Metformin Kutalika
Mtengo wa mankhwala ku Russia ndi pafupi ma ruble 270. mapiritsi 60.
Zosungidwa zamankhwala
Ndikofunikira kuti ana azitha kupeza mankhwalawa.
Tsiku lotha ntchito
Mankhwalawa angagwiritsidwe ntchito mkati mwa zaka 3 kuyambira tsiku lopangira.
Wopanga
Mapiritsi amapangidwa ndi kampani yaku Russia Biosynthesis.
Mapiritsi amapangidwa ndi kampani yaku Russia Biosynthesis.
Ndemanga za Metformin Long
Pali mayankho abwino komanso osalimbikitsa okhudza kuchiritsa kwa mankhwalawa.
Madokotala
Anatoly Petrovich, wazaka 34, Moscow
Ndimapereka mankhwala kwa odwala akuluakulu pochiza matenda ashuga. Muzochita zachipatala, sindinakumanepo ndi zotenga mukamamwa mapiritsi obwera. Matenda a shuga m'magazi aonekera kwa masiku 14.
Yuri Alekseevich, wazaka 38, St. Petersburg
Kutengera ndi malamulo omwera mankhwalawo, palibe zoyipa zomwe zimachitika mthupi. Nthawi zina, azimayi amakhala ndi nkhawa komanso amasiya kudya. Sindikupangira mankhwala omwe ali ndi vuto la chiwindi.
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Odwala
Olga, wazaka 50, Omsk
Anathandizidwa ndi Metformin kwa nthawi yayitali, chomwe chinali chifukwa chosalephera vitamini B12. Chifukwa cha kuphwanya izi, kuchepa kwa magazi m'thupi kwam'madzi. Mankhwalawa amayenera kuthandizidwa mosamala ndipo ndikofunikira kuti adziwe zoyeserera panthawi yake.
Mikhail, wazaka 45, Perm
Amakhutira ndi zotsatira zamankhwala ndi Metformin. Kumwa mapiritsi sikuchepetsa kusankha kwa akatswiri pantchito. Mankhwalawa sasokoneza kasamalidwe ka zinthu zovuta, kotero, angagwiritsidwe ntchito ngati ntchito ikugwirizana ndi kuchuluka kwa chidwi.
Kuchepetsa thupi
Larisa, wazaka 34, Ufa
Sanapeze zotsatira zomwe mukufuna. Ndidatsata kadyedwe ndipo sindidapitilira muyeso wa mankhwala omwe adakhazikitsidwa ndi adotolo. Munakumana ndi kusanza kosalekeza komanso choponderezedwa patsiku la 5 mutamwa mankhwalawa.
Julia, wazaka 40, Izhevsk
Palibe zoyipa zomwe zimachitika, koma sizinatheke kuti muchepetse thupi pambuyo pa mwezi wazoyang'anira mwadongosolo mapiritsi.
