Garfin Metglib yana nufin jami'in hypoglycemic. Yana haɓaka saurin daidaita matakan glucose na jini. Yana da sakamako mai ɗorewa. Amfani da shi don magance ciwon sukari na 2.
Sunan kasa da kasa mai zaman kansa
INN: Metformin da sulfonamides
Garfin Metglib yana nufin jami'in hypoglycemic. Yana haɓaka saurin daidaita matakan glucose na jini.
ATX
A10BD02
Saki siffofin da abun da ke ciki
Ana samun maganin a cikin nau'ikan allunan a sikelin na 2.5 MG + 500 MG da 5 MG + 500 MG. Babban abubuwanda aka gyara sune glibenclamide da metformin hydrochloride. Sauran abubuwan ana wakilta su ne: sitaci, alli dihydrate, har da macrogol da povidone, karamin adadin cellulose.
Farar farin fim mai nauyin 5 mg + 500 MG Allunan an yi shi da Opadra fari, giprolose, talc, dioxide titanium. Allunan suna da layin rarraba.
Allunan 2.5 MG + 500 Miki oval, an rufe shi da fim mai kariya tare da launin ruwan kasa.
Aikin magunguna
Amintaccen wakili ne wanda ya samo asali, wanda ya samo asali na tsararraki 2, wanda akayi nufin gudanar da maganin baka. Yana da cututtukan cututtukan cututtukan fata da cututtukan cututtukan fata.
Glibenclamide yana haɓaka ingantaccen insulin ta hanyar rage tsinkaye ta ƙwayoyin beta a cikin ƙwayar cuta. Sakamakon karuwar ƙwayar insulin, yana ɗaukar nauyin manufa sel da sauri. Tsarin lipolysis na adipose nama yana sauka a hankali.
Metformin yana hana gluconeogenesis a cikin hanta. Shaye glucose daga hanji yana raguwa, kuma yiwuwar kyallen takarda zuwa abu mai aiki ke ƙaruwa. Abinda ke tattare da hodar thyroid da cholesterol a cikin jini yana raguwa.
Pharmacokinetics
Matsayi mafi girma na plasma an kai shi ne bayan sa'o'i 2 bayan shan kashi. Rabin rayuwar glibenclamide yana tsawon lokaci fiye da metformin (kusan awanni 24).
Alamu don amfani
Alamomi don amfani sune shari'o'in masu zuwa:
- nau'in ciwon sukari na 2 a cikin manya, idan abincin da motsa jiki ba su taimaka ba;
- rashin tasiri na jiyya tare da abubuwan da suka samo asali na sulfonylurea da metformin;
- don maye gurbin monotherapy tare da magunguna 2 a cikin mutanen da ke da kyakkyawan iko na glycemic.
Ana amfani da magani don nau'in ciwon sukari na 2 a cikin manya, idan abincin da motsa jiki ba su taimaka ba.
Contraindications
Akwai da yawa contraindications ga yin amfani da wannan magani da aka bayyana a cikin umarnin. Daga cikinsu akwai:
- hypersensitivity ga abubuwan da ke cikin miyagun ƙwayoyi;
- nau'in ciwon sukari na 1;
- aikin koda mai rauni;
- mai ciwon sukari mai ciwon sukari;
- m yanayi tare da nama hypoxia;
- lokacin ciki da lactation;
- cututtuka;
- raunin da ya faru da kuma babban aiki;
- amfani da miconazole;
- barasa maye;
- lactic acidosis;
- bijiro da karancin kalori;
- yara ‘yan kasa da shekara 18.
Tare da kulawa
Tare da kulawa sosai, an sanya wannan maganin don mutanen da ke fama da cutar ta febrile, giya, aiki mai rauni, glandon gland da kuma glandon thyroid. Hakanan an tsara shi a hankali ga mutanen da ke da shekaru 45 da haihuwa (saboda yawan haɗarin cututtukan jini da na lactic acidosis).
Yadda ake ɗaukar ƙarfin Metglib?
Allunan don amfani na baka ne kawai. An zabi sashi daban-daban, la'akari da tsananin tsananin bayyanuwar asibiti.
Tare da ciwon sukari
Fara da kwamfutar hannu 1 a kowace rana tare da sigogi na abu mai aiki na 2.5 mg da 500 MG, bi da bi. A hankali ƙara yawan sati kowane mako, amma an ba shi tsananin zafin cutar. Tare da maganin maye gurbin maye gurbin, musamman idan ana aiwatar dashi daban ta metformin da glibenclamide, ana bada shawara a sha Allunan 2 a rana. Matsakaicin izinin izini na yau da kullun kada ya wuce allunan 4 a kowace rana.
Side effects
A lokacin jiyya, haɓaka irin wannan halayen mai yiwuwa ne:
- leuko- da thrombocytopenia;
- anemia
- girgiza anaphylactic;
- hypoglycemia;
- lactic acidosis;
- rage sha na bitamin B12;
- Lafiya;
- rage gani;
- tashin zuciya
- amai
- zawo
- rashin ci;
- jin nauyi a cikin ciki;
- aikin lalata hanta;
- tsoka hepatitis;
- halayen fata;
- urticaria;
- kurji tare da itching;
- erythema;
- dermatitis;
- karuwa a cikin maida hankali ne urea da creatinine a cikin jini.
Tasiri kan ikon sarrafa abubuwan inji
Yakamata a sanar da mutane game da hadarin dake tattare da cutar hauhawar jini tare da daukar matakan hana shi kafin samun bayan motar mota ko kuma fara aiki da sabbin hanyoyin da ke bukatar kara jawo hankali.
Umarni na musamman
An soke maganin a cikin kulawa da ƙonewa mai yawa, cututtukan da ke kama da cutar, daɗaɗaɗa jiyya kafin manyan aikin tiyata. A irin waɗannan halayen, suna canzawa zuwa daidaitaccen insulin. Hadarin ciwon hawan jini yana ƙaruwa tare da nakasa abinci a cikin abinci, tsawan azumi da NSAIDs.
Yi amfani da lokacin daukar ciki da lactation
Ba a yarda. Abubuwan da ke aiki suna wucewa ta hanyar kariya daga cikin mahaifa kuma suna iya yin illa ga tsarin samar da kwayoyin halitta.
Ba za ku iya shan kwayoyin lokacin shayarwa ba, saboda Abubuwa masu aiki suna shiga cikin madarar nono. Idan ana bukatar magani, zai fi kyau a bar shayar da jarirai.
Alkawarin Metglib tilasta yara
Ba'a amfani dashi a ilimin ilimin dabbobi.
Yi amfani da tsufa
Maza da mata sama da 65 yakamata su yi hankali, kamar a cikin irin waɗannan mutane, haɗarin haɓakar haɓakar jini yana ƙaruwa sosai.
Aikace-aikacen aiki mara kyau
Yiwuwar amfani da abin ya shafa ta hanyar keɓancewar creatinine. Mafi girma shine, ƙarancin magunguna an wajabta shi. Idan yanayin mai haƙuri ya tsananta, zai fi kyau ka ƙi irin wannan jiyya.
Amfani don aikin hanta mai rauni
Yarda ba ya karɓa idan aka gano gazawar hanta mai ƙarfi. Wannan yana tattare da aiki mai aiki a cikin hanta kuma yana ba da gudummawa ga lalata ayyukan gwajin hanta.
Yawan damuwa
Tare da yawan abin sama da ya wuce, hypoglycemia na faruwa. Ana iya gyara digiri mai sauƙi ta hanyar amfani da sukari kai tsaye ko abinci mai ɗauke da carbohydrate. Kuna iya buƙatar kashi ko daidaita abinci.
A cikin mawuyacin hali, tare da yanayin da ba a sani ba, ciwo mai narkewa ko ƙwayar cutar sankara, ana gudanar da maganin glucose ko glucagon mafitsara. Bayan wannan, yana da kyau a ciyar da mutum da abinci mai wadataccen abinci a cikin carbohydrates.
A cikin marasa lafiya tare da raunin hepatic, ƙaddamar da glibenclamide yana ƙaruwa. Ba'a fitar da maganin a cikin dialysis ba, saboda glibenclamide yana ɗaure da kyau ga furotin jini.
Ana amfani da yawan abin sama da ya kamata kawai a cikin asibiti, idan ya zo ga acid laisosis. Mafi inganci a wannan yanayin shine maganin hemodialysis.
Yin hulɗa tare da wasu kwayoyi
Yin amfani da miconazole a lokaci guda, fluconazole yana ƙaruwa da alama rashin lafiyar hypoglycemia. Phenylbutazone yana dakatar da ɗaukar abu mai aiki zuwa tsarin furotin, wanda ke haifar da hauhawar jini da tarawa cikin ƙwayoyin jini.
Magungunan Iodine wadanda aka yi amfani da su a cikin gwaje-gwajen X-ray galibi suna lalata aikin koda da tarin metformin. Wannan yana tsokani abin da ya faru na lactic acidosis.
Ethanol yana haifar da halayen disulfiram-kamar. Diuretics rage tasirin tasirin magani. ACE inhibitors da beta-blockers suna haifar da yanayin hypoglycemic.
Amfani da barasa
Kar a sha kwayoyin hana shan barasa. Wannan yana haifar da matsanancin rashin ƙarfi, yana haifar da wasu sakamako masu illa.
Analogs
Akwai jerin analogues na wannan magani, kama da shi a cikin abubuwan haɗin da ke aiki da sakamako:
- Bagomet Plus;
- Glibenfage;
- Glibomet;
- Glucovans;
- Gluconorm;
- Gluconorm Plus;
- Metglib.
Terms of vacation Metglib Force kantin magani
Ana buƙatar girke-girke.
Zan iya saya ba tare da takardar sayan magani ba?
Ba zai yuwu ba.
Farashi don karfi na Metglib
Farashin kayan haɗi tare da allunan 40 yana farawa daga 200 rubles. Idan akwai guda 30 a cikin kunshin, farashin zai kasance daga 145 zuwa 170 rubles. Farashi ya dogara da yankin siyarwar hannun jari ko kantin magani.
Yanayin ajiya na miyagun ƙwayoyi
Wuri mai duhu da bushe tare da zazzabi na + 25 ° C ya dace da ajiya.
Wuri mai duhu da bushe tare da zazzabi na + 25 ° C ya dace da ajiya.
Ranar karewa
Babu fiye da shekaru 2.
Metglib Force Manufacturer
KANONFARMA PRODUCTION CJSC, Russia da NPO FarmVILAR LLC, Russia.
Ra'ayoyi game da karfi da karfi na Metglib
Likitoci
Moroz V. A., 38 years old, endocrinologist, Arkhangelsk: "Magungunan suna da inganci. Yanzu na yi ƙoƙarin tsara shi sau da yawa. Sugar yana kiyaye masu ciwon sukari da kyau, kusan babu wasu sakamako masu illa."
Kozerod AI, ɗan shekara 50, masaniyar ilimin dabbobi, Novosibirsk: "Ina son wannan magani, ana haƙuri da shi sosai ta hanyar marasa lafiya. Na rubanya shi sau da yawa, Dole ne in nemo kantin magunguna wanda ake samarwa kafin lokacin alƙawarin."
Marasa lafiya
Veronika, 32 years old, Moscow: "Mahaifiyata tana fama da ciwon sukari na dogon lokaci. Da farko ana kula da ita tare da Glibomet Amma lokacin da ya zama dole a kara yawan kwayoyin, ya zama mai tsada sosai. Abin da aka maye gurbin Glibomet Force shine wanda yake shi ne rabin farashin. har da cin zarafin abincin. Suga na dindindin a hauhawar jinin haila bai dade ba. Abin da kawai ba shi da kyau shi ne cewa yana da wuya a samu a cikin magunguna. "
Roman, dan shekara 49, Yaroslavl: “Lokacin da sukarin na sukari ya kai 30 kuma da rashin lafiya na je asibiti, ba tsammani na kamu da zazzabin cizon sauro. Na fara maganin insulin sai na fara tambayar likita ko zai yiwu a canza daga allurar zuwa allunan. Likita ya ba da shawarar in gwada allunan karfi na Metglib. Na kasance ina amfani da shi tsawon shekaru 2, na gamsu. Ana kiyaye sukari koyaushe a matakin, ba a dade a tashi ba. "
Valeria, dan shekara 51, Chelyabinsk: "Na sha maganin har kusan shekara daya. Sugar kamar al'ada ne, babu kwanciyar hankali, amma ban ji daɗi ba, na kasance cikin damuwa koyaushe. Ya zama cewa ina da matsala game da glandar thyroid. Yanzu mun zaɓi maganin da ya dace. Allglib Force Allunan Likita ya tafi. Yana kan yi lafiya. "
