Yawan magungunan da ke rage karfin jini da kuma kiyaye shi a kan ingantaccen matakin ya hada da Telsartan 40 MG. Abubuwan da ke cikin magani: shan kwamfutar hannu 1 a kowace rana, tsawon lokaci na tasirin antihypertensive, babu wani tasiri akan ƙimar zuciya. Manuniya na systolic da hawan jini na jini kamar yadda zai yiwu raguwa bayan wata daya kawai na amfani da miyagun ƙwayoyi.
Sunan kasa da kasa mai zaman kansa
Telmisartan
Yawan magungunan da ke rage karfin jini da kuma kiyaye shi a kan ingantaccen matakin ya hada da Telsartan 40 MG.
ATX
Lambar: C09DA07.
Saki siffofin da abun da ke ciki
Magungunan shine farin kwamfutar hannu mai launin fari ba tare da harsashi ba, convex a garesu. A cikin sashin na sama akan kowannensu akwai haɗari don dacewa don warwarewa da haruffa "T", "L", a ƙasa - lambar "40". A ciki, zaka iya ganin yadudduka 2: ɗayan ruwan hoda ne mai launi daban-daban, ɗayan kusan fari ne, wani lokacin yana da ƙananan inclusions.
A cikin kwamfutar hannu 1 na ƙwayar haɗuwa - 40 MG na babban sinadaran aiki na telmisartan da 12.5 MG na hydrochlorothiazide diuretic.
Hakanan ana amfani da kayan taimako:
- mannitol;
- lactose (sukari madara);
- povidone;
- meglumine;
- magnesium stearate;
- sodium hydroxide;
- polysorbate 80;
- fenti E172.
A cikin kwamfutar hannu 1 na ƙwayar haɗuwa - 40 MG na babban sinadaran aiki na telmisartan da 12.5 MG na hydrochlorothiazide diuretic.
Allunan na 6, 7 ko 10 inji mai kwakwalwa. sanya shi a cikin blisters wanda ya ƙunshi tsare tsare na aluminium da fim ɗin polymer. Sanya cikin kwali fakitoci 2, 3 ko 4 blister.
Aikin magunguna
A miyagun ƙwayoyi samar da dual warkewa sakamako: hypotensive da diuretic. Tun da tsarin sunadarai na babban aikin maganin yana kama da tsarin nau'in angiotensin nau'in 2, telmisartan ya watsar da wannan hormone daga haɗin gwiwa tare da masu karɓar jirgin ruwa kuma yana toshe aikinsa na dogon lokaci.
A lokaci guda, an hana samar da kyautar aldosterone kyauta, wanda ke cire potassium daga jiki kuma yana riƙe da sodium, wanda ke ba da gudummawa ga haɓaka sautin jijiyoyin jiki. A lokaci guda, aikin renin, enzyme wanda ke daidaita hawan jini, ba a tsayar da shi ba. Sakamakon haka, hauhawar jini yana tsayawa, raguwarsa mai girma yana faruwa a hankali.
Bayan sa'o'i 1.5-2 bayan shan maganin, hydrochlorothiazide yana fara yin tasiri. Tsawan lokacin aikin da diuretic ya bambanta daga 6 zuwa awa 12. A lokaci guda, yawan zubar jini yana raguwa, samar da aldosterone yana ƙaruwa, aikin renin yana ƙaruwa.
Haɓaka aiki na telmisartan da diuretic yana haifar da sakamako mafi ƙwarewa fiye da tasirin tasoshin kowane ɗayansu daban-daban. Yayin yin jiyya tare da miyagun ƙwayoyi, an rage alamun bayyanar cututtukan jini na myocardial, an rage yawan mace-mace, musamman ma a cikin tsofaffi marasa lafiyar da ke da haɗarin cutar zuciya.
Yayin jiyya tare da miyagun ƙwayoyi, an rage bayyanar hauhawar jini na jini.
Pharmacokinetics
Haɗin telmisartan tare da hydrochlorothiazide bai canza magungunan magunguna na abubuwan ba. Jimlar bioavailability nasu kashi 40-60%. Abubuwan da ke aiki na ƙwayar suna aiki da sauri daga narkewa. Matsakaicin mafi yawan ƙwaƙwalwar telmisartan a cikin jini na jini bayan awa 1-1.5 ya zama sau 2-3 a cikin maza fiye da na mata. Wani bangare na metabolism yana faruwa a cikin hanta, wannan abun yana cikin feces. An cire Hydrochlorothiazide daga jiki kusan ba a canza shi tare da fitsari.
Alamu don amfani
An wajabta Telsartan:
- a cikin lura da cutar hawan jini na farko da na sakandare, lokacin da ake amfani da maganin ta hanyar ticmisartan ko hydrochlorothiazide kadai ba ya ba da sakamakon da ake so;
- don hana rikice rikicewar cututtukan zuciya da ke cikin mutane waɗanda suka manyan shekaru 55-60;
- don hana rikice-rikice a cikin marasa lafiya da ke fama da ciwon sukari na II (wanda ba shi da insulin-ciki ba) tare da lalacewar ƙwayar cuta wanda cutar ta haifar.
Contraindications
Dalilin hana magani tare da Telsartan:
- rashin hankali ga abubuwan aiki na miyagun ƙwayoyi;
- mummunan cutar koda;
- shan Aliskiren a cikin marasa lafiya tare da gazawar koda, ciwon sukari;
- ɓarnaɗar hanta;
- bile karkatarwa;
- rashi lactase, rashin haƙuri a cikin lactose;
- hauhawar jini;
- hypokalemia;
- ciki da lactation;
- yara ‘yan kasa da shekara 18.
Tare da kulawa
Ya kamata a yi taka-tsantsan idan an sami waɗannan cututtukan masu zuwa ko kuma yanayin cututtukan da ke cikin marasa lafiya:
- raguwa a cikin jini;
- stenosis na koda na koda, bawucin zuciya;
- tsananin rauni na zuciya;
- gazawar hanta;
- ciwon sukari
- gout
- adrenoma cortical adenoma;
- kusantar kusa da kusurwa;
- lupus mawarcen.
Yadda za'a dauki Telsartan 40
Daidaitaccen matakin: shigar abinci yau da kullun kafin ko bayan cin 1 kwamfutar hannu, wanda ya kamata a wanke shi da ruwa kaɗan. Matsakaicin adadin yau da kullun don mummunan nau'in hauhawar jini shine har zuwa 160 MG. Ya kamata a ɗauka a hankali: sakamako mafi kyau na warkewa ba ya faruwa nan da nan, amma bayan watanni 1-2 na amfani da maganin.
Daidaitaccen matakin: shigar abinci yau da kullun kafin ko bayan cin 1 kwamfutar hannu, wanda ya kamata a wanke shi da ruwa kaɗan.
Tare da ciwon sukari
Marasa lafiya da ke dauke da wannan cutar galibi ana wajabta su hana ci gaban rikitarwa daga zuciya, koda, idanu. Ga masu ciwon sukari da yawa tare da hauhawar jini, an nuna haɗin Telsartan tare da Amlodipine. A wasu halaye, tattara uric acid a cikin jini ya hau, gout yana ƙaruwa. Zai iya zama dole don daidaita adadin magungunan cututtukan jini.
Sakamakon sakamako na Telsartan 40
Statisticsididdigar yawan halayen da ba su dace da wannan magani da kuma telmisartan da aka ɗauka ba tare da hydrochlorothiazide daidai suke ba. Mitar yawancin sakamako masu illa, alal misali, rikice-rikice na ƙwayar trophism, metabolism (hypokalemia, hyponatremia, hyperuricemia), ba shi da alaƙa da sashi, jinsi da shekarun marasa lafiya.
Gastrointestinal fili
A magani a cikin rare lokuta na iya haifar da:
- bushe bakin
- dyspepsia;
- rashin tsoro;
- ciwon ciki
- maƙarƙashiya
- zawo
- amai
- ciwan ciki.
Hematopoietic gabobin
Amsawa ga miyagun ƙwayoyi na iya haɗawa:
- raguwa a cikin matakin haemoglobin;
- anemia
- eosinophilia;
- thrombocytopenia.
Tsarin juyayi na tsakiya
Sakamakon sakamako na yau da kullun shine yawan zafin zuciya. Da wuya ya faru:
- paresthesia (abin da aka sani na goosebumps, tingling sensations, burn pains);
- rashin bacci ko, ba daɗi ba, barci;
- hangen nesa
- yanayin damuwa;
- Damuwa
- syncope (rauni mai kaifi kwatsam), fainting.
Daga tsarin urinary
Wani lokacin lura:
- inara yawan taro uric acid, creatinine a cikin jini na jini;
- haɓaka ayyukan enzyme CPK (creatine phosphokinase);
- m renal gazawar;
- urinary fili cututtuka, ciki har da cystitis.
Daga tsarin numfashi
Rashin halayen m
- jin zafi a yankin kirji;
- karancin numfashi
- mura-kamar ciwo, sinusitis, pharyngitis, mashako;
- ciwon huhu, huhun ciki.
A ɓangaren fata
Zai iya bayyana:
- erythema (jan tsananin fata);
- kumburi
- kurji
- itching
- karuwar gumi;
- urticaria;
- dermatitis;
- eczema
- angioedema (mai wuya sosai).
Daga tsarin kare jini
Telsartan baya shafar aikin ɓangaren ƙwayar cuta.
Daga tsarin zuciya
Iya ci gaba:
- jijiya ko jijiyoyin jini;
- brady, tachycardia.
Daga cikin tsarin musculoskeletal da nama mai hadewa
Wadannan halayen da suka biyo baya na tsarin musculoskeletal yana yiwuwa:
- rarrabewa, jin zafi a cikin tsokoki, jijiyoyi, gidajen abinci;
- cramps, sau da yawa a cikin ƙananan ƙafafu;
- lumbalgia (m zafi a cikin ƙananan baya).
A wani ɓangaren hanta da ƙwayar biliary
A ƙarƙashin rinjayar miyagun ƙwayoyi a lokuta masu wuya, ana iya lura da masu zuwa:
- karkacewa a cikin hanta;
- activityara yawan aikin enzymes da jikin yayi.
Cutar Al'aura
Murmushewar Anaphylactic yana da matukar wuya.
Tasiri kan ikon sarrafa abubuwan inji
Tun da ba shi yiwuwa a ware haɗarin nutsuwa, farin ciki, ana bada shawara don yin taka tsantsan lokacin tuki, yin aikin da ke buƙatar mafi yawan kulawa.
Umarni na musamman
Tare da raunin ƙwayar soda a cikin plasma ko ƙarancin motsi na jini, ana iya fara aiwatar da aikin magani tare da rage karfin jini. A cikin marasa lafiya da na koda na jijiyoyin bugun gini, cututtukan zuciya, da gajiyawar zuciya, matsanancin jijiya jijiyoyin jini yakan fara tasowa. Rage damuwa mai mahimmanci na iya haifar da bugun jini ko infarction na zuciya.
Yi amfani da miyagun ƙwayoyi tare da taka tsantsan kuma tare da mitral ko aortic valve stenosis.
A cikin masu ciwon sukari, cututtukan cututtukan jini na yiwuwa. Wajibi ne a bincika matakin glucose a cikin jini, daidaita kashi na wakilan hypoglycemic.
A cikin masu ciwon sukari, cututtukan cututtukan jini na yiwuwa.
Hydrochlorothiazide a matsayin wani ɓangare na Telsartan zai iya ƙara yawan haɗarin mahaɗan nitrogen mai guba idan akwai aiki na ƙasa mai rauni, kuma yana haifar da ci gaban myopia, ƙwanƙwasa kusurwa kusurwa.
Yin amfani da miyagun ƙwayoyi na dogon lokaci yakan haifar da hyperkalemia. Zai iya zama dole a sanya ido a cikin abubuwan da ke cikin jini a cikin jini.
Rashin dakatar da maganin ba ya haifar da ci gaban cire kudi.
Tare da tushen hyperaldosteronism na farko, tasirin warkewa na Telsartan kusan ba ya nan.
Yi amfani da lokacin daukar ciki da lactation
Magungunan kwayoyi yana contraindicated lokacin gestation da nono.
Adanar Telsartan zuwa yara 40
Ba'a yi amfani da maganin ba don amfani da marasa lafiya 'yan ƙasa da shekaru 18.
Yi amfani da tsufa
Idan babu cututtukan rikice-rikice, babu buƙatar yin kwaskwarimar sashi.
Aikace-aikacen aiki mara kyau
Ba'a buƙatar gyaran sashi ba ga marasa lafiya da gazawar cutar koda na rashin ƙarfi mai wahala, ya haɗa da bin hanyoyin haɓaka.
Amfani don aikin hanta mai rauni
Dangane da sakamakon binciken da yawa a cikin marasa lafiya tare da rauni na matsakaici zuwa matsakaici na aikin hanta, kashi na yau da kullun na miyagun ƙwayoyi bai wuce 40 MG ba.
Dangane da sakamakon binciken da yawa a cikin marasa lafiya tare da rauni na matsakaici zuwa matsakaici na aikin hanta, kashi na yau da kullun na miyagun ƙwayoyi bai wuce 40 MG ba.
Adadin yawa na Telsartan 40
Dropwace raguwar hawan jini tare da brady ko tachycardia mai yiwuwa ne. A alƙawarin hemodialysis ne m, symptomatic magani ne da za'ayi. Yana da mahimmanci don sarrafa matakan creatinine da electrolytes a cikin jini.
Yin hulɗa tare da wasu kwayoyi
Tare da yin amfani da lokaci ɗaya tare da wasu magunguna waɗanda ke rage karfin jini, maganin yana haɓaka tasirin warkewarsu.
Lokacin ɗaukar Telsartan tare da Digoxin, maida hankali kan ƙwayar glycoside yana ƙaruwa sosai, sabili da haka, saka idanu akan matakan ƙwayar magani ya zama dole.
Don guje wa hyperkalemia, bai kamata a haɗa magungunan tare da jami'ai waɗanda ke ɗauke da potassium ba.
Controlaƙatar kulawa da haɓakar lithium a cikin jini yayin amfani da magunguna waɗanda ke ɗauke da mahallin wannan ƙarfe na alkali, saboda Telmisartan yana haɓaka haɗarinsu.
Glucocorticosteroids, Aspirin da sauran magungunan anti-mai kumburi ba su rage tasirin antihypertensive na miyagun ƙwayoyi ba.
NSAIDs a hade tare da telmisartan na iya lalata aikin aiki.
Amfani da barasa
Lokacin da kake jiyya tare da magani, bai kamata ka sha giya ta kowane irin ba.
Analogs
Za'a iya maye gurbin Telsartan tare da kwayoyi masu zuwa tare da irin wannan sakamako:
- Mikardis;
- Firimiya;
- Tanidol;
- Wadannan
- Telzap;
- Telmisartan;
- Telmista;
- Labarun
- Tsart
- Babangida.
Magunguna kan bar sharuɗan
Sanarwa akan gabatar da girke-girke.
Farashi don Telsartan 40
Kudin kunshin 1 shine guda 30. - daga 246-255 rub.
Yanayin ajiya na miyagun ƙwayoyi
Matsakaicin zafin jiki don Allunan bai wuce + 25 ° C ba. Bai kamata yara su isa wurin ajiyar su ba.
Ranar karewa
Shekaru 2
Mai masana'anta
Kamfanin hada magunguna na Indiya "Dr. Reddy's Laboratories Ltd." (Dr. Reddy's Laboratories Ltd.).
Lokacin ɗaukar Telsartan tare da Digoxin, haɗuwa da glycoside cardiac yana ƙaruwa sosai.
Neman bita akan Telsartan 40
Mariya, shekara 47, Vologda
Babban kwayoyin hana daukar ciki suna kama da mafi aminci ga yawancin cures don cututtukan jijiyoyin jiki. Har ila yau abin mamaki ne cewa ana yin irin wannan magani mai amfani a Indiya, kuma ba a cikin Jamus ko Switzerland. Abubuwan da ke haifar da illa suna da yawa. Wasu lokuta hanta kawai ke dame ni, amma hakan ya bata min rai na dogon lokaci idan ban dauki Telsartan ba tukuna.
Vyacheslav, ɗan shekara 58, Smolensk
Ina da hauhawar jini a tsaye. Da mai rauni na kasa da kasawa. Wane shiri ne kadai bai kamata ya dauki shekaru ba magani! Amma lokaci-lokaci dole ne a canza su, saboda jiki ya saba da ita, sannan kuma su daina aikatawa kamar yadda suke a da. Na jima ina shan Telsartan. Umarni game da shi yana ba da jerin abubuwan sakamako masu illa, amma ba ɗayansu da ya taso. Kyakkyawan magani wanda ke riƙe matsa lamba. Gaskiya karamin tsada ne.
Irina, shekara 52, Yekaterinburg
A karo na farko, likitan ya ce yakamata a dauki Amlodipine, amma bayan sati daya kafafun sa suka fara kumbura. Likita ya maye gurbinsa da Enap - ba da daɗewa ba wani tari ya fara shaƙe ni. Daga nan sai na canza sheka zuwa Telsartan, amma ya zama mini cewa ban yarda da shi ba. An sami tashin zuciya, sai wata fata ta sake bayyana. Na sake zuwa asibiti. Kuma kawai lokacin da mai ilimin hanyoyin kwantar da hankali ya ba da umarnin cewa Concor ne komai ya lalace. Ba ni da matsala da wadannan kwayoyin. Don haka yana da matukar muhimmanci likita ya zaɓi maganin da ya dace da kai.
