Telsartan N yana cikin rukunin magungunan antihypertensive. Wannan shiri ne na abubuwa guda biyu. An kwatanta shi da haɗin gwiwa. Wannan samfurin ya banbanta da hanyar magana ta Telsartan a gaban mai diuretic. Godiya ga wannan bangaren, an sami sakamako na kyakkyawan sakamako tare da hauhawar jini.
Sunan kasa da kasa mai zaman kansa
Telmisartan + Hydrochlorothiazide
ATX
C09DA07
Saki siffofin da abun da ke ciki
Zaka iya siyan magani kawai a allunan. Abubuwan da ke aiki waɗanda ke nuna ayyukan antihypertensive sune: telmisartan (40 da 80 mg); hydrochlorothiazide (12.5 MG). Lokacin rubutawa, ya kamata a ɗauka a zuciya cewa kashi na biyu na abubuwan koyaushe yana kasancewa a cikin kashi ɗaya, kuma adadin telmisartan yana ƙaruwa sau 2.
Magungunan Telsartan N yana samuwa a cikin blisters dauke da allunan 6, 7 ko 10 Allunan.
Ana amfani da maganin a cikin blisters dauke da allunan 6, 7 ko 10 Allunan. Yawan kwantena na salula a cikin kwali kuma sun bambanta kuma sune guda 2, 3 da 4 inji mai kwakwalwa.
Aikin magunguna
Telmisartan yana aiki azaman antiotistin II mai karɓar antagonist. Wannan yana nuna cewa an hana ayyukansu aiki ƙarƙashin ikon wannan ɓangaren. Ana samun sakamako da ake so saboda kusanci ga masu karɓar angiotensin II tare da AT1. Increaseara yawan ƙwayar jijiyoyin jini yana faruwa ta hanyar watsawar hormone (angiotensin II), wanda ke shafar sautin ganuwar su.
Saboda wannan, yawan zubar jini yana raguwa, matsin lamba ya saba. Telmisartan yana aiki da irin wannan hanya cewa lokacin da ake yin maganin, amsawar ƙirar mai karɓa ba ta faruwa yayin hulɗa. A sakamakon haka, tasoshin ba su da haɗari don taƙaitawa. Tare da halayyar hauhawar jini, ƙwayar magunguna tana ba da sakamako mai kyau yayin da mai haƙuri ke cikin jiyya. Bayan an kammala gudanarwa, yanayin na iya sake yin muni, tunda telmisartan bai kawar da dalilin cutar ba.
Magungunan yana da fasali wadanda suka bambanta shi da adadin analogues:
- Rashin iya hana aikin renin cikin jini;
- ba ya toshe ayyukan aikin enzyme na angiotensin-tuba;
- akwai hanzarta lalacewar bradykinin;
- raguwa a cikin taro na aldosterone a cikin jini na jini.
A lokacin jiyya, matsin lamba yana raguwa (systolic, artor diastolic). Koyaya, wannan tsari baya haɗuwa da canji a cikin bugun zuciya. Wannan yana nuna cewa marasa lafiya da ke shan Telsartan H ba su da haɗarin kamuwa da cutarwa daga tsarin jijiyoyin zuciya, amma idan har ba a sami damuwa da maganin ba.
Idan an wajabta maganin a kan asalin babban haɗarin ci gaban zuciya da cututtukan jijiyoyin jiki, to godiya ga telmisartan, da yiwuwar kamuwa da bugun zuciya, yana raguwa. Yawan mace-macen ma yana raguwa.
Wani sinadari mai aiki (hydrochlorothiazide) ya kasance cikin rukuni na thiazide diuretics. Wannan abun yana taimaka wajan hanzarta zubarda ruwa daga jiki. Koyaya, babu hani akan cin gishirin. Hydrochlorothiazide yana haɓaka haɓakar sodium da chlorides. An nuna tasirin antihypertensive ta hanyar rage girman jini da ke gudana a cikin jiragen.
A lokaci guda, an sami ƙaruwa a cikin ayyukan aikin samar da aldosterone. Sakamakon haka, abun da ke cikin potassium a cikin jini yana raguwa, amma a lokaci guda maida hankali a cikin fitsari yana ƙaruwa. Litmisartan da aka yi la'akari da shi a baya yana taimakawa rage jigilar ƙwayar potassium. Godiya ga haɗakar waɗannan kayan aikin, ana samun sakamako da ake so.
Pharmacokinetics
An kiyaye aikin diuretic na tsawon awanni 6-12. An riga an lura da haɓakar ƙwaƙwalwar ƙwayar jijiyoyi a cikin minti 120 bayan ɗaukar kashi na farko na maganin. Ana samun ingantaccen tasiri na hydrochlorothiazide bayan sa'o'i 4. Don kwatantawa, telmisartan ya fara aiki sosai bayan 3 hours. Tasirin da aka samu yana kwana 1. Ana kiyaye sakamako na antihypertensive na sa'o'i 48 masu zuwa.
Normalization na yanayin haƙuri a yayin farfaɗo tare da Telsartan N yana faruwa a hankali. Ana iya samun kyakkyawan sakamako 4 makonni bayan fara magani. A bioavailability na telmisartan ne 50%. Tare da amfani da abinci a lokaci guda, tasirin magunguna yana raguwa. Koyaya, sa'o'i 3 bayan shan miyagun ƙwayoyi, maida hankali ne akan ƙirar jini an daidaita shi.
Babban alamomin magunguna na telmisartan a cikin mata sun ninka 2-3 sau sama da na maza. Duk da wannan, magungunan suna daidai da tasiri a cikin lura da marasa lafiya a cikin rukuni biyu. Babu karuwa a tasirin antihypertensive yayin lura da mata. Abubuwan da aka samo sakamakon canji na telmisartan ba su nuna aiki ba. An lura da tsawon rabin rayuwar wannan sashin. Ana cireta a cikin awanni 20 bayan shan maganin ƙarshe.
Hydrochlorothiazide ba a metabolized ba. An cire wannan abu daga jiki tare da halayen kodan. Arfin ɗaure wa garkuwar plasma da kuma bioavailability na hydrochlorothiazide, bi da bi 64 da 60%.
Alamu don amfani
Ana amfani da miyagun ƙwayoyi ta hanyar kunkuntar yanki na amfani. An wajabta don hauhawar jini. Bugu da kari, alamar don amfani da Telsartan N shine monotherapy tare da telmisartan ko hydrochlorothiazide, idan ba zai yiwu a sami sakamakon da ake so ba.
Magungunan Telsartan N yana ƙunshe da kunkuntar yanki na amfani, an wajabta shi don hauhawar jini.
Contraindications
Yanayin cututtukan cututtukan cututtukan cututtukan ciki wanda ba makawa yin amfani da miyagun ƙwayoyi
- tashin hankali game da aiki bangaren;
- cututtukan cututtukan biliary fili, wanda tsarin cirewar bile yana da damuwa;
- yanayin ilimin halittar ciki wanda matakan creatinine ya kai 30 ml a minti daya kuma a hankali ya ragu;
- karancin potassium;
- alli mai wuce haddi
- glucose galactose malabsorption syndrome;
- rashin lactase a jiki;
- mummunan tashin hankalin rashin damuwa tare da wuce haddi na lactose.
Tare da kulawa
Ana amfani da kayan aikin da aka ɗauka a ƙarƙashin kulawa na ƙwararrun masarufi da yawa:
- jijiyoyin jini;
- wani ragi da aka fadi a cikin lumen na artal na koda, wanda ya faru ne ta hanyar stenosis (aiwatar da kawar da rabin rayuwar abubuwa masu aiki yana raguwa, wanda ke haifar da karuwa a cikin yawan ƙwayoyi da haɓaka a cikin tasirinsa mai rauni);
- kwanan nan far tare da rukuni na diuretics;
- wuce haddi potassium;
- lokacin dawowa bayan dasawa da koda;
- mummunan rauni na zuciya, ciki har da raunin zuciya;
- yawan wuce haddi na cholesterol, triglycerides, babban alli;
- mummunan cututtukan hanta a lokacin haɓaka mai aiki (haɗarin farkon tashin jijiya na hepatic yana ƙaruwa);
- raguwa a cikin lumen na mitral da aortic valve;
- ciwon sukari mellitus;
- gouty canje-canje;
- haɓaka uric acid a cikin jini;
- mummunan lalacewar gabobin hangen nesa.
Ana ɗaukar miyagun ƙwayoyi tare da taka tsantsan yayin lalacewar mummunan lalacewar gabobin hangen nesa.
Yadda ake ɗaukar Telsartan N?
Adadin yau da kullun shine kwamfutar hannu 1 (12.5 + 40 mg). Ana amfani da mafi girman magunguna (12.5 + 80 MG) idan alƙawarin farko bai samar da tasirin da ake so ba. Adadin kullun na telmisartan yana ƙaruwa zuwa 160 MG a cikin lokuta yayin da hauhawar jini mai ƙarfi ke tasowa.
Tare da ciwon sukari
A yayin jiyya tare da wannan magani, haɗarin ciwon sukari mellitus na latent yana ƙaruwa. Ana buƙatar cikakken nazari na ainihin alamun jini. A mafi yawan lokuta, ana tsara masu haƙuri mafi ƙarancin magunguna.
Side effects Telsartan N
Gastrointestinal fili
Intensarfin haɓakar gas yana ƙaruwa, bushe bakin yana bayyana Tsarin feces yana canzawa (ya zama ruwa). Narkewa, hanyoyin narkewa a cikin ciki ba su da wata alama da za su iya tasowa, amai, tashin zuciya na faruwa, kuma yadda ake fitar da jijiyar wuya ya zama da wuya.
Hematopoietic gabobin
Halin ƙwaƙwalwar ƙwayar cuta kamar hyponatremia, hypokalemia haɓaka. Yawan uric acid a cikin plasma yana ƙaruwa.
Tsarin juyayi na tsakiya
Yanayin yanayin wahala, tashin hankali na bacci, rashin bacci yafi yawan faruwa. Damuwa ta bayyana kanta, wani lokacin nakuda ta taso.
Daga tsarin urinary
Hadarin cutar koda.
Daga tsarin numfashi
Hawan huhun ciki, gajeruwar numfashi, ciwon huhu.
A ɓangaren fata
Amfani
Daga tsarin kare jini
Kusantar jima'i akan asalin lalacewar matsala.
Daga tsarin zuciya
Canja a cikin bugun zuciya, hauhawar jini.
Daga cikin tsarin musculoskeletal da nama mai hadewa
Raɗaɗi a baya, kyallen takarda mai taushi, ƙanƙancewa na tsokoki na maraƙi.
A wani ɓangaren hanta da ƙwayar biliary
Hadaddiyar cutar cututtukan hanta.
Cutar Al'aura
Urticaria, angioedema.
Ciwon baya da laushi na nama na iya faruwa bayan ɗaukar Telsartan N.
Tasiri kan ikon sarrafa abubuwan inji
Bada babban haɗarin rashin jin daɗi, nutsuwa, hankali ya kamata a nuna yayin tuki. Idan za ta yiwu, zai dace ka ƙi yin duk wani abu da ke buƙatar kulawa.
Umarni na musamman
Tare da stenosis na koda na hanji, da yiwuwar haɓakar hauhawar jini na ƙaruwa.
A kan tushen ciwon sukari, haɗarin alamun cututtukan zuciya, cututtukan zuciya na ƙaruwa.
Tare da glaucoma na kusurwa na kusurwa, ana buƙatar magani na lokaci, saboda in ba haka ba, lalatawar ido zai haifar da cikakkiyar hasarar hangen nesa.
Yi amfani da lokacin daukar ciki da lactation
Ba a ba da magani ga mata masu haihuwa da masu shayarwa ba. Wannan ya faru ne sakamakon gaskiyar binciken da aka yi na nazarin tasirin wannan ƙwayar cuta akan tayi.
Alƙawarin Telsartan N na yara
Bai zartar ba, saboda babu isasshen bayani game da amincin samfurin.
Yi amfani da tsufa
Babu buƙatar canza sashi na miyagun ƙwayoyi, saboda hanyoyin magunguna a cikin marasa lafiya na wannan rukunin suna ci gaba da sauri da girma kamar yadda yake a cikin matasa.
Aikace-aikacen aiki mara kyau
Babu buƙatar canza sashi na telmisartan da hydrochlorothiazide. An yarda da miyagun ƙwayoyi don amfani, amma kawai idan matsakaici ko lalacewa na kasawar ci gaba yana haɓaka. Tare da mummunar lalacewar wannan sashin, ba a amfani da miyagun ƙwayoyi. Wannan shi ne saboda gaskiyar cewa kodan suna da hannu a cikin jijiyoyin abubuwa masu aiki daga jiki. A cikin mummunan yanayin, ana iya sake yin gyaran ƙwayar maganin (mafi ƙarancin adadin). A wannan yanayin, mai haƙuri yana ƙarƙashin kulawar likita na yau da kullun.
Amfani don aikin hanta mai rauni
Tare da magani tare da Telsartan H, an ƙaruwa a cikin bioavailability na telmisartan zuwa 100% an lura. Rabin rayuwar wannan abu bai canza ba. Kashi na biyu mai aiki yana cirewa daga jiki sosai a hankali, wanda zai haifar da sake dawowa da kashi. Rashin lalacewar aikin hanta wani abu ne da ya sabawa amfani da shi.
Yawan damuwa
Ba'a yin rikodin maganganun ci gaban bayyanar mara kyau a kan asalin karuwar sashi ba. Koyaya, abubuwa daban-daban masu aiki zasu iya ba da gudummawa ga haɓakar tachycardia, hypotension, da take hakkin ma'aunin ruwa da lantarki
Yin hulɗa tare da wasu kwayoyi na Telsartan N
Ta amfani da telmisartan da sauran kwayoyi iri daya, aikin da aka yi niyya don rage matsin lamba, an lura da haɓaka tasirin magani tare da maganin a cikin tambaya.
Yawan taro na lithium yana ƙaruwa yayin jiyya tare da kwayoyi masu ɗauke da ƙwayoyin lithium.
Wa'adin na lokaci daya na NSAIDs da Telsartan N na iya haifar da ci gaba cikin rashin aiki na ƙasa. Wannan yana nufin cewa ana nazarin mai haƙuri akai-akai yayin aikin jiyya.
A waje na ɗaukar Aliskiren, an lura da karuwar haɗarin sakamako masu illa.
Yin amfani da magungunan a lokaci guda a cikin tambaya da kuma hanyar rukuni na narcotic analgesics, barbiturates da ethanol shine babban abin da ke ba da gudummawa ga haɓakar haɓakar orthostatic.
Amfani da barasa
Ba'a ba da shawarar sha giya mai dauke da abin sha a lokacin jiyya, kamar yadda haɗarin ko da shakatawa na tasoshin yana ƙaruwa, wanda zai haifar da rikitarwa mai wahala.
Analogs
Waɗanda suke cancanta:
- Telpres Plus;
- Telzap Plus;
- Telsartan.
Magunguna kan bar sharuɗan
Magunguna magani ne.
Zan iya saya ba tare da takardar sayan magani ba?
Ana buƙatar alƙawarin likita.
Farashin Telsartan N
Matsakaicin matsakaici shine 400 rubles.
Yanayin ajiya na miyagun ƙwayoyi
Shawarar zazzabi - ba ya fi + 25 ° С.
Ranar karewa
A miyagun ƙwayoyi rike da kaddarorin na shekaru 2 daga ranar fitar.
Mai masana'anta
Dr. Reddy's ke ƙirar samfurin.
Analog na maganin zai iya zama Telpres Plus.
Ra'ayoyi akan Telsartan N
Valentina, shekara 48, Kaluga
Ta dauki maganin na dogon lokaci, lokaci zuwa lokaci yana daukar hutu. Ina jimre shi da sauƙi, amma wasu lokuta sakamako masu illa na faruwa: rashin damuwa, damuwa tashin bacci. Bayan sakewa ne matsi ya sake ƙaruwa.
Galina, ɗan shekara 39, Novomoskovsk
Telsartan bai dace ba. Magungunan na da ƙarfi. Ban dauki shi tsawon lokaci ba, saboda kowane lokaci mai tsananin haske. Amma yana saukar da matsa lamba da sauri, kuma yayin rana, ana kiyaye karfin jini a matakin al'ada.
