Magunguna tare da haɗakar abun haɓakawa yana daidaita matakin glycemia. Kayan aiki yana rage juriya na insulin, yana da tasirin antioxidant, yana shafar ƙaddamar da insulin. Amfani da shi wajen lura da ciwon sukari na 2.
Sunan kasa da kasa mai zaman kansa
Glimepiride + Metformin.
Amaryl 500 - wani magani tare da haɗuwa mai hade yana daidaita matakin cutar glycemia.
ATX
A10BD02.
Saki siffofin da abun da ke ciki
Mai sana'antawa yana samar da kwayoyi a cikin nau'ikan allunan. Abubuwan da ke aiki sune glimepiride da metformin a cikin adadin 2 MG + 500 MG. A cikin kantin magani zaka iya siyan allunan tare da sashi na 1 mg + 250 MG.
Aikin magunguna
Kayan aiki yana rage sukarin jini zuwa matakan al'ada. Abubuwan da ke aiki suna ba da gudummawa ga saki da sakin insulin ta hanyar ƙwayoyin beta. Kayan aiki yana rage juriya insulin, yana rage cholesterol jini.
Pharmacokinetics
Ba a ɓoye daga narkewa ba gaba ɗaya da sauri. Sunadaran 98% sun hado su. Cin abinci baya tasiri sha. An ƙaddara shi a cikin madara mai nono kuma ya haɓaka cikin mahaifa. Metabolism yana faruwa a cikin hanta tare da samuwar abubuwa marasa aiki. Idan aikin kodan ya lalace, sinadarin rauni yana ɗaure garkuwar jini kuma yana fita da sauri cikin fitsari. Ba a tattara cikin kyallen takarda ba. Nan take cikin hanji da koda.
Shaƙar Metformin yana da sauri. Bai da alaƙa da sunadarai. Hadarin tarin abubuwa a jikin mutum a cikin marasa lafiya da ke fama da rauni na aiki yana ƙaruwa. An fitar dashi cikin fitsari.
Idan aikin kodan ya lalace, sinadarin rauni yana ɗaure garkuwar jini kuma yana fita da sauri cikin fitsari.
Alamu don amfani
An nuna magungunan ga marasa lafiya da ke dauke da ciwon sukari na 2. Yakamata a haɗu da jiyya tare da abinci da aikin jiki.
Contraindications
Haramun ne a fara magani a gaban wasu cututtuka ko yanayi, kamar su:
- keta kodan da hanta;
- na kullum mai shan giya;
- kasancewar rashin lafiyan jikin abubuwan da ke tattare da ƙwayoyi ko biguanides, sulfonylamides;
- nau'in ciwon sukari na 1;
- hauhawar glucose da jikin ketone a cikin hanta;
- take hakkin ma'aunin acid-base a cikin jiki (acidosis metabolic);
- pathologies wanda zai iya haifar da hypoxia nama;
- lactacidemia;
- mummunan cututtuka na kamuwa da zazzabi;
- septicemia;
- yanayi mai damuwa sakamakon ƙonewa, rauni, tiyata;
- ci;
- paresis na hanji ko toshewa;
- sako-sako da katako;
- azumi;
- amai
- m maye jiki.
- rashin haƙuri ga galactose da lactose;
- ciki da shayarwa;
- shekaru zuwa shekaru 18.
Daidaita amfani da miyagun ƙwayoyi tare da maganin hemodialysis an hana shi.
Tare da kulawa
Yakamata a yi taka tsantsan yayin amfani da allunan a irin waɗannan halaye:
- na rashin daidaituwa na yau da kullun;
- m salon;
- cutarwa ta cututtukan thyroid;
- tsufa;
- aiki mai ƙarfi na jiki;
- karancin glucose-6-phosphate.
A gaban cututtukan da ke rikita yanayin ciwon sukari mellitus, ya wajaba don daidaita sashi kuma saka idanu kan yawan cutar glycemia.
Yadda ake ɗaukar Amaryl 500
Ana shan miyagun ƙwayoyi sau 1-2 a rana tare da abinci. Idan an rasa liyafar, dole ne ku ci gaba da shan magunguna bisa ga umarnin.
Tare da ciwon sukari
An tsara mafi ƙarancin matakan da ake buƙata don rage glukos na jini. Matsakaicin adadin kowace rana shine Allunan 4. Increasearin yawan cin gashin kai mai zaman kansa zai haifar da hauhawar jini.
Sakamakon sakamako na Amaril 500
Amaryl 500 na iya haifar da sakamako masu illa daban-daban daga tsarin mai juyayi - nutsuwa, rashin tausayi, da rashin bacci.
Ana amfani da miyagun ƙwayoyi ta hanyar sakamako masu illa daga tsarin juyayi na tsakiya a cikin hanyar rashin barci.
A wani bangare na bangaren hangen nesa
Sauye-sauye a matakan glucose na iya haifar da nakasawar gani.
Gastrointestinal fili
Yunwar ta ɓace, matsananciyar wahala ta bayyana. Sau da yawa damuwa game da tashin zuciya, epigastric zafi da bloating. Manza za ta zama sako-sako.
Hematopoietic gabobin
Cutar ƙanƙara, thrombocytopenia na faruwa.
Daga gefen metabolism
Bayyanar cututtuka daga gefen metabolism - ciwon kai, dizziness, rashin iya maida hankali, bugun zuciya, rawar jiki, bugun zuciya, damuna, kara matsa lamba, gumi. Alamu na nuna ci gaban haila.
Cutar Al'aura
Urticaria, itching fata, fyaɗe, girgiza ƙwayar cuta anaphylactic.
Allergic halayen da ke faruwa bayan shan miyagun ƙwayoyi sun haɗa da: itching da fitsari.
Tasiri kan ikon sarrafa abubuwan inji
Yayin aikin jiyya, kuna buƙatar guji sarrafa abubuwa masu haɗari da abubuwan hawa. Maganin yana rage maida hankali.
Umarni na musamman
Shan magunguna don ƙarancin aiki na kodan da hanta na iya haifar da tarin acid ɗin a cikin kyallen da jini. Idan gajeruwar numfashi, zafin ciki na faruwa, kuma zafin jiki yana raguwa sosai, ya kamata ka nemi likita. An daina amfani da miyagun ƙwayoyi na ɗan lokaci kafin tiyata.
Yayin aikin jiyya, wajibi ne don kula da matakin glucose, haemoglobin da creatinine a cikin jini. Don kula da al'ada glycemia, mara lafiya dole ne a ɗan motsa jiki kuma a ci yadda yakamata.
A gaban rauni na zuciya, rushewa, girgizawa, da raunin myocardial infarction, ya kamata a dakatar da magani.
Yi amfani da tsufa
Ya kamata a dauki marasa lafiya tsofaffi da hankali. An bada shawara don saka idanu akan yanayin kodan da sukarin jini.
Yarda da Amaril ga yara 500
Ba a ba da odar waɗanda ba su kai shekara 18 ba.
Ba a ba da odar waɗanda ba su kai shekara 18 ba.
Yi amfani da lokacin daukar ciki da lactation
Kada kuyi amfani da lokacin daukar ciki. Kafin farawa, an daina shan nono.
Aikace-aikacen aiki mara kyau
Idan aikin koda ya lalace kuma keɓantaccen ikon kula da ƙwayoyin cuta, yana shan ƙwayoyin cuta.
Aikace-aikacen don cin zarafin hanta
An contraindicated idan akwai wani babban take hakkin hanta.
Yawan adadin Amaril 500
Game da yawan abin sama da ya kamata, sakamako masu illa daga gefen metabolism yana ƙaruwa. Idan mai haƙuri yana da hankali, wajibi ne a ci abinci mai ɗauke da sukari kuma a kira motar asibiti.
Yin hulɗa tare da wasu kwayoyi
Don kauce wa halayen da ba a so, la'akari da hulɗa da miyagun ƙwayoyi tare da wasu kwayoyi:
- sukari na jini yana raguwa yayin da aka haɗa shi da inducers ko inhibitors na CYP2C9, magungunan anabolic steroid, Allopurinol, magungunan hypoglycemic, insulin, ACE inhibitors, Ifosfamide, Fibrates, Probenitsid, wakilan masu juyayi, wakilai na beta-adrenergic tarewa, Chloramfenicolomomomomomomomomomomomomomomomomomomomomo Oxyphenbutazone, Guanethidine, MAO inhibitors, aminosalicylic acid, Salicylates, Tetracyclines, Azapropazone, ethanol, Tritokvalin;
- ba a bada shawarar gudanarwa na lokaci daya tare da Gentamicin ba;
- haramun ne a haɗe da gudanarwa tare da gudanar da abubuwan kwantar da hankali na iodine;
- yana zama da wahala a iya sarrafa glycemia idan akwai amfani da kwayoyi a lokaci guda don haɓaka iko, estrogens, sympathomimetics, phenytoin, epinephrine, diazoxide, hormones thyroid, glucocorticosteroids, laxatives and diuretics, nicotinic acid, rifampicin, acetazolamide, glubit, glucose.
Amfani da magunguna tare da barasa na kara haɗarin hanta da aikin koda.
Wajibi ne a ɗauki maganin bloc din antiamor H2-receptor, clonidine da reserpine bayan ganawar likita.
Amfani da barasa
Yin amfani da giya yana haifar da ci gaba da tasirin da ba a so. A ƙarƙashin tasirin ethanol, matakan sukari na iya sauka zuwa matakan mahimmanci. Amfani da magunguna tare da barasa na kara haɗarin hanta da aikin koda.
Analogs
Akwai analogues na aikin magunguna:
- Karfe Galvus;
- Bagomet Plus;
- GwarzKamar.
Umarni suna nuna contraindications da sakamako masu illa. Kafin maye gurbin tare da irin wannan magani, zai fi kyau ziyarci likitan ku.
Magunguna kan bar sharuɗan
Ana iya siyan kantin magani tare da takardar sayan magani.
Farashin Amaryl 500
Farashin kwantena shine 850 rubles.
Yanayin ajiya na miyagun ƙwayoyi
Allunan ya kamata a sanya su a cikin marufi na asali kuma a adana su a cikin duhu. Yanayin zafi - har zuwa + 30 ° C.
Ranar karewa
Rayuwar shelf shine shekaru 3.
Mai masana'anta
Hannun Magunguna na Handok Co., Ltd., Korea.
Za'a iya siyan magungunan a kantin magani tare da takardar sayen magani.
Amaril 500 Reviews
Marina Sukhanova, likita, Imkutsk
Magungunan zuwa ƙasa kaɗan fiye da sauran ma'aikatan hypoglycemic suna haifar da raguwa a cikin insulin. Ari, maganin yana da haƙuri da haƙuri ta hanyar haƙuri (ciki har da rage haɗarin hauhawar jini). Magungunan yana ɗan rage cin abinci. Yayi kyau ga marassa lafiya da ke fama da cutar rashin insulin.
Maxim Sazonov, endocrinologist, Kazan
Abubuwan haɗin aiki sun dace da aikin juna. Metformin yana inganta tasirin glimepiride. A cikin jini akwai raguwar adadin glucose, LDL da triglycerides. Kyakkyawan kayan aiki don kula da glucose na yau da kullun. Abubuwan da ke haifar da sakamako na iya faruwa a cikin nau'in rashin lafiyan jiki, ƙwanƙwasa jini, rikicewar bacci.
Marina, shekara 43, Samara
A nau'in ciwon sukari na 2, an tsara ingantaccen magani tare da haɗuwa mai hade. Yana hana haɓakar hyperglycemia kuma ba ya haifar da hypoglycemia, idan an bi hanyoyin da suka dace. A cikin 'yan makonni na farko, ta ji tashin zuciya, sannan zawo ya bayyana. Kwayoyin cutar sun ɓace a cikin lokaci, kuma yanzu ban ji wani wahala ba.
