Metformin hanya ce mai kyau don magance glucose na jini. Baya ga maganin kulawa don maganin ciwon sukari, ana amfani da maganin sosai don rage nauyi. Wannan kayan yana cikin rukuni na biguanides. Akwai karatu da yawa da ke tabbatar da cewa, ban da kayan aikinta na hypoglycemic, metformin hydrochloride yana taimakawa rage haɗarin cutar kansa.
Sunan kasa da kasa mai zaman kansa
Metformin.
Metformin hanya ce mai kyau don magance glucose na jini.
ATX
A10BA02.
Saki siffofin da abun da ke ciki
Akwai Metformin Zentiva a cikin allunan da aka saka a fim. Abubuwan da ke aiki na maganin shine metformin hydrochloride a cikin adadin:
- 500 MG;
- 850 MG;
- 1000 mg
Aikin magunguna
Babban tasirin Metformin shine raguwa a cikin ƙwayar glucose plasma. Koyaya, ba ta da haɓakar samar da insulin, saboda wannan babu haɗarin hauhawar jini.
Tasirin warkewar magungunan shine saboda iyawarsa don kunna masu karɓar na gefe, yana ƙaruwa da hankalin su ga insulin. Bugu da kari, metformin:
- yana hana aiwatar da aikin glucose a cikin hanta;
- yana hana shan glucose a cikin hanji;
- yana ƙarfafa amfani da glucose ta cikin ciki da kuma glycogen synthesis;
- yana kara yawan masu jigilar glucose a cikin membranes cell;
- yana haɓaka ƙwayar mai, rage abun ciki na triglycerides, ƙarancin lipoproteins mai yawa da kuma yawan ƙwayoyin cuta.
Babban tasirin Metformin shine raguwa a cikin ƙwayar glucose plasma. Koyaya, ba ta da haɓakar samar da insulin, saboda wannan babu haɗarin hauhawar jini.
Pharmacokinetics
Shan miyagun ƙwayoyi a kan komai a ciki na haɓaka nasarar samun ganiya a cikin taro na abubuwan da ke aiki a cikin jini. Wannan abun bai da alaƙa da sunadarai na jini, ana cikin rarraba su cikin kyallen. Har zuwa 20-30% na miyagun ƙwayoyi an keɓe ta cikin hanji, sauran - da kodan.
Abin da aka wajabta
Amincewa da wannan magani yana nunawa ga nau'in ciwon sukari na 2 na sukari, musamman rikitarwa daga kiba. Saboda iyawarsa don haɓaka tafiyar matakai na rayuwa, ƙwayar cuta kayan aiki ne mai inganci don magance yawan wuce kima.
Amfani da Trental 100 yana haɓaka kunna jini da kuma inganta yanayin tasoshin jini.
A cikin hanyoyin kumburi daga ƙwayoyin cuta, ana amfani da allunan Gentamicin. Kara karantawa anan.
Magungunan Victoza: umarnin don amfani.
Contraindications
Shan wannan magani yana cikin contraindicated a:
- susara yawan mai saukin kamuwa da kayan aikinta;
- mai ciwon sukari mai ciwon sukari;
- precoma na ciwon sukari da coma;
- matsakaici ko gazawar na koda;
- rashin ruwa a jiki da sauran yanayi wadanda kan iya haifar da nakasu ga aikin koda;
- gazawar numfashi da sauran yanayi waɗanda ke haifar da tsokawar nama;
- lactic acidosis;
- aikin hanta mai rauni, shan maye;
- barasa da shan kwayoyi;
- ciki
- karancin kalori (cin abinci tare da abinci kasa da 1000 kcal / rana);
- gudanar da ayyukan tiyata ko karatuttukan da suke amfani da abu mai aiki da kayan aiki.
An nuna Metformin don nau'in ciwon sukari na 2 na sukari, musamman rikitarwa daga kiba.
Tare da kulawa
A cikin lamuran da suka biyo baya, yarda da amfani da wannan magani ya yarda, amma yanayin mai haƙuri ya kamata ya kasance ƙarƙashin kulawar likita:
- lokacin lactation;
- shekaru sama da 60;
- aiki mai ƙarfi na jiki;
- matsakaici na koda.
Don rage nauyi, yana da kyau a ɗauki Metformin sau 3 a rana a 500 MG ko sau 2 a rana a 850 MG don makonni 3.
Yadda ake ɗaukar Metformin Zentiva
Kafin ko bayan abinci
Duk da gaskiyar cewa lokacin da aka ɗauka a kan komai a ciki, ana amfani da metformin hydrochloride sosai, ya zama dole a sha Allunan bayan abinci ko lokacin abinci. In ba haka ba, haɗarin haɓakar bayyanar cututtuka na haɓaka.
Don asarar nauyi
Don rage nauyi, yana da kyau a sha maganin sau 3 a rana don 500 MG ko sau 2 a rana don 850 MG don makonni 3. Bayan wannan, hutu na akalla wata daya ya kamata a ɗauka.
Yana da mahimmanci cewa Metformin kadai ba zai haifar da asara mai nauyi ba, abin da ake buƙata shine abinci a kan asalin aikin jiyya tare da wannan magani.
Tare da ciwon sukari
Kashi na farko wanda masanin ya bada shawarar don maganin ciwon sukari na 2 shine 1 kwamfutar hannu wanda ke dauke da nauyin 500 na metformin sau 2-3 a rana. Theara yawan kashi yana yiwuwa bayan kwanaki 10-15. Yanke shawarar karuwa yakamata ya dogara da sakamakon gwajin jini na sukari. Matsakaicin izini na yau da kullun shine 3 g, daidaitaccen maganin warkewa shine 1.5-2 g. graduara yawan hankali na yawan ƙwayoyi da rarrabuwa cikin kashi 2-3 yana da mahimmanci don rage yiwuwar mummunan halayen daga tsarin narkewa.
An zaɓi adadin suturar insulin daban-daban don kula da matakin glucose na yau da kullun. Yawan Metformin ya kasance iri ɗaya ne da na monotherapy
An zaɓi adadin suturar insulin daban-daban don kula da matakin glucose na yau da kullun.
Sakamakon sakamako na Metformin Zentiva
Lokacin ɗaukar Metformin, murdiya abin mamakin dandano mai yiwuwa ne, da haɓakar:
- hepatitis;
- encephalopathy;
- hypomagnesemia;
- anemia.
Bugu da kari, yiwuwar bayyanar da mummunan halayen daga tsarin jikin mutum daban-daban.
Gastrointestinal fili
A matakin farko na farji sau da yawa yakan tashi:
- tashin zuciya
- zawo
- ciwon ciki
- rage cin abinci.
Wadannan alamu a cikin mafi yawan lokuta suna bacewa da kansu yayin da jikin mutum yake amfani da miyagun ƙwayoyi.
A ɓangaren fata
Da wuya ka iya faruwa:
- urticaria;
- erythema;
- itching
- karuwa da hankali.
Daga gefen metabolism
A cikin lokuta mafi wuya, haɓakar lactic acidosis da ƙarancin ƙwayar bitamin B12 mai yiwuwa, wanda zai haifar da neuropathy na yanki.
Tsarin Endocrin
Lokacin ɗaukar Metformin, raguwa a cikin taro na ƙwayar ƙwayar tsoka ta cikin jini yana yiwuwa.
Cutar Al'aura
Allergic halayen na iya faruwa azaman fatar fata.
Tasiri kan ikon sarrafa abubuwan inji
Metformin monotherapy baya tasiri da ikon sarrafa hanyoyin. Lokacin da aka ɗauka cikin haɗin gwiwa tare da wasu hypolytics, ci gaban hypoglycemia mai yiwuwa ne, yana haifar da raguwa a cikin taro da wahalar aiki tare da hanyoyin.
Metformin monotherapy baya tasiri da ikon sarrafa hanyoyin.
Umarni na musamman
Yi amfani da lokacin daukar ciki da lactation
Duk da kasancewar shaidun da ke nuna cewa maganin tare da wannan ƙwayar ba ya ƙara haɗarin haɗarin ci gaba a cikin tayi, an nuna mata masu juna biyu da maye gurbin abincinsu da insulin.
Metformin hydrochloride zai iya shiga cikin madarar nono; babu ingantattun bayanai game da amincinsa ga jarirai. Sabili da haka, idan ya cancanta, ana bada shawarar dakatar da ciyarwa.
Gudanar da Metformin Zentiva ga yara
Tare da tabbatar da ciwon sukari na mellitus, duka monotherapy da haɗuwa tare da insulin an yarda wa yara da matasa. Allurai da warkewa iri ɗaya ne ga waɗanda aka bada shawara ga manya. Mitar da yanayin tasirin sakamako wanda wannan kwayar ta haifar yana da karancin shekaru.
Yi amfani da tsufa
A cikin tsufa, haɗarin haɓaka gazawar haɓaka, wanda zai iya zama asymptomatic, yana ƙaruwa. Sabili da haka, wajibi ne don zaɓar sashi kuma gudanar da aikin kwantar da hankali akai-akai, lura da aikin wannan sashin.
A cikin tsufa, haɗarin haɓaka gazawar haɓaka, wanda zai iya zama asymptomatic, yana ƙaruwa.
Aikace-aikacen aiki mara kyau
Matsakaicin da aka yarda da izini shine 1 g kowace rana. Tare da maganin Metformin, dole ne a sarrafa izinin creatinine har zuwa sau 4 a shekara
Amfani don aikin hanta mai rauni
Dangane da umarnin mai masana'anta, an sanya maganin don amfani idan akwai aiki na hanta mai rauni. Duk da kasancewar bayanin da Metformin zai iya inganta yanayin tare da lalata wannan kwayoyin, ana iya ɗaukar shi a wannan yanayin ne kawai bayan tattaunawa tare da masanin ilimin hepatologist.
Yawancin adadin Metformin Zentiva
Doarfe da yawa na metformin hydrochloride na iya haifar da ci gaban yanayi kamar lactic acidosis da pancreatitis. Lokacin da suka bayyana, ya kamata a dakatar da maganin. Don mafi saurin yiwuwar cire abu mai aiki daga jiki, ana nuna hemodialysis. Hakanan ana bada shawarar yin maganin ta Symptomatic.
Doarfe da yawa na metformin hydrochloride na iya haifar da ci gaban yanayi kamar lactic acidosis da pancreatitis.
Yin hulɗa tare da wasu kwayoyi
Haɗuwa da abubuwa radioodine mai dauke da ioran an lalata shi. Yayin yin jiyya tare da Metformin, ba a ba da shawarar gudanar da magunguna waɗanda ke ɗauke da giya ethyl ba. Ana buƙatar saka idanu sosai akan glucose da / ko aikin koda yayin haɗuwa tare da abubuwa kamar:
- Danazole;
- Chlorpromazine;
- glucocorticosteroids;
- kamuwa da cuta;
- estrogens da hodar iblis;
- bta2-adrenomimetics a cikin hanyar injections;
- magungunan da aka tsara don rage karfin jini, banda masu hanawar ACE;
- aracbose;
- Abubuwan da suka samo asali na sulfonylurea;
- salicylates;
- Nifedipine;
- MAO masu hanawa;
- Ibuprofen da sauran NSAIDs
- Morphine da sauran magungunan cationic.
Amfani da haɗin kai tare da waɗannan kwayoyi na iya buƙatar ku daidaita adadin Metformin.
Bugu da kari, Metformin yana rage tasiri na aikin Fenprocumone.
Yayin yin jiyya tare da Metformin, ba a ba da shawarar gudanar da magunguna waɗanda ke ɗauke da giya ethyl ba.
Amfani da barasa
Abubuwan da ke aiki da wannan magani basu dace da ethanol ba.
Analogs
Analog shine kowane magani wanda ya ƙunshi metformin hydrochloride daga masana'antanta daban-daban, kamar:
- Gideon Richter;
- Izvarino Pharma;
- Akrikhin;
- LLC "Merk";
- Canon Pharma Production.
Magunguna na iya samun sunaye daban-daban na kasuwanci, misali Glucofage ko Siofor.
Mene ne bambanci tsakanin Metformin da Metformin Zentiva
Bambancin kawai tsakanin Metformin Zentiva da Metformin shine kamfanin kwamfutar hannu. Babu wani bambanci game da sashi ko aikin magani.
Magunguna kan bar sharuɗan
Wannan magani takardar sayan magani ce, kuma ana bukata ne don fito da shi daga kantin magani ya zama takardar sayan magani, wanda bisa ga ka'idoji, sunan ya nuna a Latin.
Zan iya siye ba tare da takardar sayan magani ba
Sayar da wannan magani ba tare da takardar sayan magani ya zama cin zarafi ba, duk da haka, wasu magunguna a cikin wannan batun suna ba da abokan ciniki.
Farashin Metformin Zentiva
Kudin kowane magani ya dogara da farashin farashin kantin magani inda aka saya. A cikin kantin magani na kan layi, farashin mai zuwa:
- 60 inji mai kwakwalwa. 1 g kowane - 136.8 rubles;
- 60 inji mai kwakwalwa. 0.85 g kowane - 162.7 rubles;
- 60 inji mai kwakwalwa. 1 g kowace - 192,4 rubles.
Yanayin ajiya na miyagun ƙwayoyi
Wannan magani baya buƙatar ƙirƙirar yanayi na musamman. Kuna iya adana shi a kowane wuri mara amfani ga yara.
Ranar karewa
Shekaru 3
Mai masana'anta
Kamfanin samar da magunguna na kasar Rasha Sanofi.
Ra'ayoyi game da Metformin Zentiva
Likitoci
Galina, likitan ilimin dabbobi, mai shekara 25, Moscow: "Babban fa'ida da Metformin shi ne cewa ya dace da kula da yaro. Babban abu shi ne gudanar da ingantaccen ganewar asali kafin a fara maganin."
Svetlana, endocrinologist, 47 years old, Tyumen: "Ina tsammanin Metformin magani ne mai inganci. Duk da haka, duk da shahararsa a matsayin hanyar rasa nauyi, Na yi imanin cewa yakamata a sha wannan maganin ne ta hanyar waɗanda suka kamu da cutar siga, kuma yana da kyau asara nauyi tare da taimakon wasanni da abinci. "
Rage nauyi
Gulnaz, dan shekara 26, Kazan: “Maikancin ya ba da shawarar amfani da kwayoyi masu dauke da Metformin don rage cin abinci. Ya ba da shawarar siyan kayayyakin wannan masana'anta, yana mai cewa ya amince da ingancinsa da martabarsa. Ina mai farin cikin cewa na bi shawararsa. Ban lura da maganin ba. "
Venus, 37 years old, Sterlitamak: "Metformin ci yana kara yawan asarar nauyi. Duk da haka, ban da asarar abinci, ana kuma iya samun tasirin hakan kamar tashin zuciya."
