An tsara maganin ƙwaƙwalwar ƙwayar cuta mai suna Glemaz ga marasa lafiya waɗanda ke da nau'in ciwon sukari na 2 na na biyu kuma yana cikin rukunin abubuwan asali na ƙarni na uku. Ana amfani dashi don sarrafa taro na glucose a cikin jini.
Sunan kasa da kasa mai zaman kansa
Glimepiride (glimepiride).
An tsara maganin ta hypoglycemic Glemaz ga marasa lafiya da ke dauke da ciwon sukari na 2.
ATX
A10BB12.
Saki siffofin da abun da ke ciki
Ana siyar da miyagun ƙwayoyi a cikin nau'ikan allunan katako na kusurwa huɗu na siffar rectangular da kore mai haske a launi, 4 MG na glimepiride (kashi mai aiki) a kowane. Oraramar maɓuɓɓuka: magnesium stearate, fenti quinoline mai rawaya, fenti lu'u-lu'u, cellulose microcrystalline, sodium croscarmellose, cellulose.
A cikin murhun ciki na aluminium / PVC 5 ko 10 Allunan. A cikin fakitin lokacin farin ciki kwali na 3 ko 6 kwano na blisters.
Aikin magunguna
Magungunan yana cikin rukunin ƙwayoyin cuta na baka. Abubuwan da ke aiki da su suna ƙarfafa ƙwayoyin beta na pancreatic, haɓaka haɓakar insulin da kuma hana gluconeogenesis. Magungunan yana rage yawan tashin hankali ba tare da cutar da insulin ba.
Extraarin tasirin maganin ƙwaƙwalwar ƙwayar cuta ya samo asali ne daga haɓakar jijiyoyin ƙwayar ƙwayar cuta zuwa insulin. Hypoglycemic yana da antiatherogenic, antiplatelet da aikin antioxidant.
Pharmacokinetics
Bayan shan 4 MG na miyagun ƙwayoyi, ana lura da mafi girman abubuwan da ke aiki a cikin jini bayan awa 2.5. Glimepiride yana da bioav 100% lokacin da aka saka shi. Abinci baya tasiri sosai game da abubuwan da ke tattare da magunguna na maganin ƙwaƙwalwar ƙwayar cuta.
Kusan kashi 60% na maganin yana dauke da ƙodan.
Kusan kashi 60% na maganin yana dauke da ƙodan, 40% na hanji. A cikin fitsari, ba a gano abu a cikin wani tsari mara canzawa. Rabin rayuwar shi daga 5 zuwa 8 hours. Lokacin ɗaukar kwayoyi a cikin babban allurai a cikin marasa lafiya da ke fama da rauni na aikin renal (tare da sharewar kasa da 30 ml / min), akwai haɓaka karɓuwa da raguwa a cikin ƙwayar plasma da tasirin glimepiride, wanda ke haifar da hanzarta ƙwayar magunguna saboda rauni na ɗaukar nauyin garkuwar plasma.
Alamu don amfani
An wajabta wakili na hypoglycemic ga marasa lafiya da ke fama da ciwon sukari na 2 na zahiri kuma ana iya amfani dasu duka a cikin maganin monotherapy kuma a hade tare da metformin da ilimin insulin.
Contraindications
Hypoglycemic yana contraindicated a cikin irin wannan yanayi da rikice-rikice:
- nau'in ciwon sukari na 1;
- leukopenia;
- mai rauni sosai game da cutar koda a cikin marassa lafiyar dake fama da cutar kansa;
- matsanancin hanta na hanta;
- a karamin shekaru;
- nono da gestation;
- ketoacidosis na masu fama da cutar kansa da kuma na koda.
- allergies ga abun da ke ciki na hypoglycemic kwayoyi.
An tsara magungunan a hankali a cikin yanayin da ke buƙatar canja wurin mai haƙuri zuwa insulin farjin (rashin shan magunguna da abinci a cikin narkewa, aiki mai yawa, ƙonewa da raunin da ya faru).
Yadda ake ɗaukar Glemaz?
Ana amfani da maganin a baka. Ya kamata a sha kashi na yau da kullun lokacin abinci ko kafin abinci. Ana ɗaukar kwamfutar hannu duka kuma an yi wanka da rabin gilashin ruwa.
Tare da ciwon sukari
A cikin kwanakin farko, an tsara maganin a allurai na 1/4 kwamfutar hannu (1 mg na kayan) 1 lokaci / rana. In babu ingantaccen ƙarfin aiki, sashi na iya ƙaruwa zuwa 4 MG. A cikin lokuta na musamman, an yarda da shi ya wuce allurai na 4 MG, amma fiye da 8 MG na miyagun ƙwayoyi an haramta shi kowace rana.
Mitar da adadin allurai kowace rana ana tantance su daban-daban, yin la'akari da salon rayuwar mai haƙuri. Rawanin yana da tsawo, yana ƙunshe da saka idanu akai-akai game da matakan glucose.
Sakamakon sakamako Glemaza
A wani bangare na bangaren hangen nesa
Akwai yuwuwar raunin gani na gani ta hanyar hangen nesa biyu da asarar tsinkaye tsinkaye.
Daga tsoka da kashin haɗin kai
Akwai haɗarin ƙwayar tsoka.
Gastrointestinal fili
Ana nuna halayen masu illa ta hanyar ji na rashin damuwa da nauyi a cikin yankin na jijiyoyin ciki, amai, tashin zuciya, karuwa a cikin ayyukan hanta na hanta da hepatitis.
Hematopoietic gabobin
A wasu halaye, an lura da haɓakar hemolytic da aplastic anemia, agranulocytosis, pancytopenia, erythrocytopenia da thrombocytopenia.
Tsarin juyayi na tsakiya
A cikin halayen da ba a san su ba, akwai raguwa a cikin halayen psychomotor, ciwon kai, da raguwa a cikin taro.
Daga gefen metabolism
Hypoglycemic halayen da ke bayyana wanda ya bayyana jim kaɗan bayan amfani da miyagun ƙwayoyi. Zasu iya zama mai tsanani.
Cutar Al'aura
A yayin jiyya tare da miyagun ƙwayoyi, marasa lafiya na iya fuskantar hives, itching, halayen-rashin lafiyar jiki tare da sulfonamides da sauran abubuwa masu kama, kazalika da yanayin rashin lafiyar ƙwayar cuta na vasculitis.
Tasiri kan ikon sarrafa abubuwan inji
Ganin cewa maganin na iya haifar da rikicewar psychomotor, ana bada shawarar sosai don kauce wa aiki da hadadden hanyoyin yayin gudanarwarsa.
Umarni na musamman
Abinda ya faru na hypoglycemia yayin amfani da miyagun ƙwayoyi a cikin adadin 1 mg yana nuna cewa ana iya tsara glycemia kawai ta hanyar maganin abinci.
A cikin yanayin damuwa, ana iya buƙatar canja wurin haƙuri na ɗan lokaci zuwa maganin insulin.
Tare da rashin isasshen abinci mai gina jiki yayin shan maganin, haɗarin haɓakar haɓakar jini yana ƙaruwa.
A cikin yanayin damuwa, ana iya buƙatar canja wurin haƙuri na ɗan lokaci zuwa maganin insulin.
Yi amfani da tsufa
Hypoglycemic gwamnatin ba ya ƙunshi daidaita kashi.
Aiki yara
A cikin ilimin ilimin yara, ba a amfani da wakili na hypoglycemic.
Yi amfani da lokacin daukar ciki da lactation
A lokacin daukar ciki, haramun ne a yi amfani da maganin cututtukan jini.
Aikace-aikacen aiki mara kyau
A cikin rikicewar rikicewar ƙwayar cuta, an sanya ƙwayar maganin.
Amfani don aikin hanta mai rauni
An contraindicated yin amfani da Allunan domin m hanta pathologies.
Alamun yiwuwar cututtukan cututtukan jini tare da ƙarin yawan ƙwayoyi.
Adadin Glemaza
Zai yiwu akwai alamun hypoglycemia (sweating, tachycardia, tashin hankali, ciwon zuciya, ciwon kai, yawan ci, tashin hankali).
Jiyya yana tattare da haifar da mutum ta mutum na amai, yawan shan adsorbents da kuma yawan shan giya. A cikin lokuta masu tsauri, daɗaɗɗar bayani na dextrose kuma an wajabta shi sosai tare da saka idanu akan hankali akan haɗarin glucose. Eventsarin abubuwan da suka faru suna nuna alama.
Yin hulɗa tare da wasu kwayoyi
Tare da yin amfani da kwayoyi tare da wakilin maganin hypoglycemic na lokaci guda, anabolics, Metformin, Insulin, Ifosfamide, Fluoxetine da wasu magunguna, ana iya lura da karuwa a cikin ayyukan hypoglycemic.
A ƙarƙashin tasirin Reserpine, Guanethidine, Clonidine da beta-blockers, ana rikodin rashi ko raunana alamun bayyanar cututtukan hypoglycemia.
Amfani da barasa
Ba a ke so a gauraya da giya ba saboda sakamakon da ba a iya faɗi ba.
Analogs
Za'a iya maye gurbin magani na hypoglycemic tare da irin waɗannan ƙayyadaddun analogues masu araha da araha:
- Diamerid;
- Glimepiride Canon;
- Glimepiride;
- Amaril.
Magunguna kan bar sharuɗan
Zan iya saya ba tare da takardar sayan magani ba?
Zaka iya siyan hypoglycemic kawai ta takardar sayan magani.
Farashi
Don allunan 30 kana buƙatar biyan adadin 611-750 rubles.
Yanayin ajiya na miyagun ƙwayoyi
Kiyaye yawan zafin jiki daga hasken rana, zafi kadan da yawan zafin jiki. Bai kamata a keta mutuncin farfaji (fasa) ba.
Ranar karewa
Watanni 24.
Mai masana'anta
Kamfanin "Kimika Montpellier S.A." (Argentina).
Nasiha
Likitoci
Victor Smolin (therapist), dan shekara 41, Astrakhan.
Wannan maganin maganin rashin haihuwa ba sabon abu bane a kasuwar magunguna yau. A kan siyarwa ba zaku iya samun ƙarancin analogues ba. Koyaya, yawancin likitoci sun fi son wannan maganin, tunda an gwada tasirin magani ta lokaci da kanta.
Marasa lafiya
Alisa Tolstyakova, dan shekara 47, Smolensk.
Na dauki waɗannan magungunan don magance glucose na dogon lokaci (kimanin shekaru 3). Babu wani sakamako masu illa daga wannan lokacin. Yanayina yana da kyau sosai, ban shirya maye gurbin maganin ba tukuna, kuma babu buƙatar hakan, saboda farashinta ya dace da ni sosai.
Rage nauyi
Antonina Voloskova, 39 years old, Moscow.
Tare da wannan magani, Na sami damar ɗan rage nauyi. Duk da cewa ba ni da ciwon suga, aikinta ya ba ni damar ƙaƙƙarfan matakin glucose a cikin jini, saboda abin da na fara ƙona kitse da ƙarfi. Kyakkyawan magani. Na kawo da yawa fakiti a ajiye yanzu yanzu.