Xelevia tana nufin wakilan hypoglycemic. Ana amfani dashi azaman babban ɓangaren ɓangaren ƙwaƙwalwar maganin cututtukan type 2. Yana da sakamako mai ɗorewa na hypoglycemic.
Sunan kasa da kasa mai zaman kansa
INN magani: Sitagliptin
Sunan kasa da kasa mai zaman kansa na miyagun ƙwayoyi Xelevia shine Sitagliptin.
ATX
Lambar ATX: A10VN01
Saki siffofin da abun da ke ciki
Akwai shi a cikin allunan da aka saka a fim. Allunan masu launin cream, akan saman membrane fim a gefe guda suna zana "277", a gefe guda kuma suna da laushi.
Babban sinadari mai aiki shine sitagliptin phosphate monohydrate a sashi na 128.5 mg. Substancesarin abubuwa: microcrystalline cellulose, alli hydrogen phosphate, croscarmellose sodium, magnesium stearate, magnesium stearyl fumarate. Ruwan fim ɗin ya ƙunshi polyvinyl barasa, titanium dioxide, polyethylene glycol, talc, rawaya da jan karfe baƙin ƙarfe.
Ana amfani da maganin a cikin blister don allunan 14. A cikin kunshin kwali akwai irin waɗannan ƙwayoyin 2 da umarnin don amfani.
Duba kuma: Umarnin don amfani da miyagun ƙwayoyi Chitosan.
Wadanne irin nau'ikan glucose na taɓawa ne suka fi tasiri?
A ina kuma yadda ake yin allurar insulin a cikin cututtukan sukari - karanta a wannan labarin.
Aikin magunguna
Yi niyya don lura da ciwon sukari a cikin nau'in na biyu. Hanyar aiwatarwa ta dogara da hanawar enzyme DPP-4. Abubuwan da ke aiki sun bambanta a cikin aikin su daga insulin da sauran jami'in maganin antiglycemic. Concentarfafa yawan ƙwayar insulinotropic hormone yana ƙaruwa.
Akwai wani matattara na rufin glucagon ta hanyar cututtukan fitsari. Wannan yana taimakawa rage ƙwayar glucose a cikin hanta, sakamakon wanda ya rage alamun cututtukan jini. Aikin sitagliptin an yi shi ne da nufin hana haɓakar sinadarin enzymes na farji. Glucagon yana ɓoyewa, saboda haka yana ƙarfafa sakin insulin. A wannan yanayin, ma'aunin insulin glycosylated da kuma tattarawar glucose a cikin jini yana raguwa.
Xelevia an yi niyya don kula da ciwon sukari na 2.
Pharmacokinetics
Bayan shan kwaya a ciki, abu mai aiki zai kasance cikin sauri daga hanjin narkewa. Cin abinci yana shaƙar sha. Matsayi mafi girma a cikin jini yana gudana ne bayan wasu awanni biyu. Bioavailability ya yi yawa, amma ikon da za'a daure shi da tsarin furotin ya ragu. Metabolism yana faruwa a cikin hanta. An cire magungunan daga jikin mutum tare da fitsari ta hanyar sarrafa zakari duk da ba canzawa da kuma a cikin hanyar metabolites na asali.
Alamu don amfani
Akwai alamomi da yawa na amfanin wannan magani:
- monotherapy don inganta glycemic metabolism a cikin marasa lafiya da nau'in ciwon sukari na 2;
- fara hadadden farwa tare da nau'in metformin 2 na cutar sankarar mahaifa;
- maganin cututtukan type 2 na ciwon sukari, lokacin da abinci da motsa jiki basa aiki;
- ƙari ga insulin;
- haɓaka sarrafa glycemic a haɗe tare da abubuwan samo asali na sulfonylurea;
- haɗuwa da maganin cututtukan ƙwayar cuta na nau'in na biyu tare da thiazolidinediones.
Contraindications
Ka'idodin kai tsaye ga yin amfani da miyagun ƙwayoyi, waɗanda aka nuna a cikin umarnin don amfani, sune:
- hypersensitivity ga abubuwan da ke cikin miyagun ƙwayoyi;
- lokacin ciki da lactation;
- shekaru har zuwa shekaru 18;
- mai ciwon sukari mai ciwon sukari;
- nau'in ciwon sukari na 1;
- karancin aikin koda.
Ana amfani da Xelevia wajen lura da ciwon sukari na 2, lokacin da abinci da motsa jiki basa bada sakamako.
Tare da kulawa mai zurfi, Xelevia an wajabta shi ga mutanen da ke fama da rauni na koda da matsakaici, marasa lafiya waɗanda ke da tarihin ciwon huhu
Yadda ake ɗaukar Xelevia?
Sashi da tsawon lokacin magani kai tsaye sun dogara da tsananin yanayin.
Lokacin gudanar da maganin monotherapy, ana ɗaukar maganin a farkon kashi na 100 na MG kowace rana. Ana lura da sashi ɗaya lokacin amfani da miyagun ƙwayoyi tare da metformin, insulin da sulfonylureas. Lokacin gudanar da rikicewar jiyya, yana da kyau a rage kashi na insulin wanda aka ɗauka don guje wa ci gaban hypoglycemia.
Kada ku ɗauki kashi biyu na magani a cikin kwana ɗaya. Tare da canji mai mahimmanci a cikin lafiyar gaba ɗaya, ana iya buƙatar daidaita sashi. A wasu halaye, ana rubuta allunan rabin ko kwata, wanda galibi suna da sakamako kawai. Kashi na yau da kullun na iya bambanta la'akari da alamun bayyanar cutar da tasirin amfani da wannan magani.
Sakamakon sakamako na Xelevia
Lokacin shan Xelevia, tasirin sakamako masu zuwa na iya faruwa:
- halayen rashin lafiyan;
- asarar ci
- maƙarƙashiya
- katsewa
- tachycardia;
- rashin bacci
- paresthesia;
- rashin kwanciyar hankali.
A cikin lokuta masu saukin yanayi, yawan zubar bashin mai yiwuwa ne. Jiyya na nuna alama ce. A cikin yanayi mai tsanani, tare da raɗaɗi, ana yin hemodialysis.
Tasiri kan ikon sarrafa abubuwan inji
Ba a gudanar da ingantaccen karatu game da tasirin kwayar cutar a kan yawan tasirin da maida hankali ba. Ba a tsammanin mummunan tasiri game da gudanar da abubuwa masu rikitarwa da abubuwan hawa.
Umarni na musamman
Akwai haɗarin haɓakar hypoglycemia, don haka yana da kyau a hankali rage yawan insulin ɗin da alamu masu mahimmanci ke amfani dashi. An ba da shawara mai hankali ga tsofaffi, marasa lafiya da cututtuka na hanta, kodan da tsarin zuciya.
Yi amfani da tsufa
Ainihin, tsofaffi marasa lafiya ba sa buƙatar gyaran sashi. Amma idan yanayin ya tsananta ko magani bai ba da sakamakon da ake tsammanin ba, to ya fi kyau a daina shan allunan ko kuma daidaita sashi zuwa raguwa.
Tsofaffi marasa lafiya ba sa bukatar daidaita sashi na miyagun ƙwayoyi Xelevia.
Aiki yara
Ba a zartar da aikin likitan yara ba.
Yi amfani da lokacin daukar ciki da lactation
Babu cikakke bayanai game da tasirin abin mai aiki a tayin. Sabili da haka, an haramta yin amfani da wannan magani lokacin gestation.
Tunda babu ingantaccen bayanai akan ko miyagun ƙwayoyi sun shiga cikin madarar nono, zai fi kyau a bar shayar da nono idan irin wannan maganin ya zama dole.
Aikace-aikacen aiki mara kyau
Sayayyen magunguna zai dogara da keɓantaccen ɗaukar hoto. Mafi girman shi ne, ƙananan kashi da aka wajabta. Idan kuma bai isa aiki ba, ana iya daidaita sigar farko zuwa 50 MG kowace rana. Idan magani bai ba da tasiri na warkewa ba, kuna buƙatar soke maganin.
Amfani don aikin hanta mai rauni
Tare da ƙarancin digiri na lalacewa na koda, ba a buƙatar daidaita sashi ba. Kashi na yau da kullun a wannan yanayin ya kamata ya zama 100 MG. Sai kawai tare da mummunan mataki na gazawar hanta, ba a aiwatar da magani tare da wannan magani.
Tare da mummunan digiri na rashin hanta, Xelevia ba a wajabta shi ba.
Adadin yawa na Xelevia
Babu kusan babu batun yawan shan ruwa. Halin da guba mai guba zai iya faruwa kawai lokacin ɗaukar kashi ɗaya cikin adadin 800 na MG. A wannan halin, alamun rashin sakamako masu illa suna kara karuwa.
Jiyya ya haɗa da lalacewar ciki, ƙarin detoxification da farjin kulawa. Zai yuwu a cire gubobi daga jiki ta amfani da tsawan zazzabin, saboda daidaitaccen hemodialysis yana da tasiri kawai a cikin lokuta masu laushi na yawan abin sama da ya kamata.
Yin hulɗa tare da wasu kwayoyi
Za'a iya haɗaka maganin tare da metformin, warfarin, wasu rigakafi na baka. Magungunan magunguna na abu mai aiki ba su canzawa tare da haɗin gwiwa tare da masu hana ACE, masu hana antiplatelet, magunguna masu rage ƙwayar cutar lipid, beta-blockers da masu amfani da allunan tashar alli.
Hakanan ya hada da magungunan anti-mai kumburi, magungunan kwantar da hankali, antihistamines, proton pump inhibitors, da kuma wasu magunguna don kawar da tabarbarewa.
Idan aka haɗu da Digoxin da Cyclosporine, ana ganin ƙara ƙaruwa a cikin haɗuwa da abu mai aiki a cikin jini na jini.
Amfani da barasa
Ba za ku iya shan wannan magani tare da barasa ba. Tasirin miyagun ƙwayoyi yana raguwa, alamomin dyspeptik zasu ƙara ƙaruwa kawai.
Analogs
Wannan magani yana da adadin analogues waɗanda suka yi kama da shi dangane da abu mai aiki da kuma tasirin da yake da shi. Wanda akafi kowa a cikinsu sune:
- Sitagliptin;
- Sitagliptin phosphate monohydrate;
- Januvius;
- Yasitara.
Magunguna kan bar sharuɗan
Xelevia za'a iya siye shi a kantin magunguna kawai ta takardar sayen magani.
Zan iya saya ba tare da takardar sayan magani ba?
Ba zai yiwu ba.
Farashi
Farashin daga 1500 zuwa 1700 rubles. kowace kunshin kuma ya dogara da yankin siyarwa da alatun kantin magani.
Yanayin ajiya na miyagun ƙwayoyi
Zaɓi wuri mai bushe da duhu, nesa da yara ƙanana, tare da zazzabi da basa wuce + 25 ° C.
Ranar karewa
Shekaru 2 daga ranar fitowar ta nuna akan kunshin. Kada ku yi amfani bayan wannan lokacin.
Mai masana'anta
Kamfanin masana'antu: "Berlin-Chemie", Jamus.
Ku nisanci Xelevia daga yara matasa.
Nasiha
Mikhail, ɗan shekara 42, Bryansk
Likitan ya ba da shawarar shan Xelevia a matsayin babban maganin. Bayan wata ɗaya na amfani, sukari mai azumi yana karuwa, kafin ya kasance a cikin 5, yanzu ya kai 6-6.5. Hankalin jiki ga ayyukan jiki ya canza. Tun da farko, bayan tafiya ko wasa wasanni, sukari ya faɗi ƙasa sosai, kuma ya daidaita sosai, mai nuna alama ya kusan 3. Lokacin shan Xelevia, sukari bayan motsa jiki ya faɗi a hankali, a hankali, sannan kuma ya koma al'ada. Ya fara jin sauki. Don haka ina bayar da shawarar magani.
Alina, ɗan shekara 38, Smolensk
Na karɓi Xelevia a matsayin ƙari ga insulin. Na yi rashin lafiya tare da ciwon sukari tsawon shekaru kuma na gwada magunguna da haɗuwa da yawa. Ina son wannan sosai. Magunguna kawai yana amsa ga sukari mai yawa. Idan yanzu aka saukar da shi, to maganin bazai “taɓa shi” ba kuma zai daukaka shi da kyau. A hankali a hankali. Babu ruwan ɗamara a sukari lokacin rana. Akwai wani mahimmin batun da ba a bayyana shi a cikin umarnin don amfani ba: canje-canje na abincin. Abincin ci yana raguwa da kusan rabi. Wannan yana da kyau.
Mark, dan shekara 54, Irkutsk
Magani ya zo nan da nan. Kafin hakan, ya dauki Januvia. Bayan ta, ba kyau. Bayan watanni da yawa na shan Xelevia, ba kawai sukari ya zama al'ada ba, har ma da lafiyar jama'a gaba ɗaya. Ina jin fiye da mai kuzari, babu buƙatar ciye-ciye kullum. Na kusan manta abin da hypoglycemia yake. Sugar baya tsalle, yana nutsuwa kuma yana tashi a hankali a hankali, wanda jiki ya amsa da kyau.
