Ana amfani da Langerin don rage sukarin jini. Wannan magani ne na hypoglycemic daga ƙungiyar biguanide. An wajabta don kula da ciwon sukari na mellitus na biyu, yayin da ba a buƙatar insulin.
Sunan kasa da kasa mai zaman kansa
Sunan kasa da kasa ya zo daidai da sunan abu mai aiki - Metformin (metformin).
Ana amfani da Langerin don rage sukarin jini.
ATX
Lambar ATX - lambar A10BA02.
Saki siffofin da abun da ke ciki
Ana samun maganin ne kawai a cikin nau'ikan allunan don maganin baka. Akwai nau'ikan nau'ikan - mai rufi, tsawan mataki, an rufe shi da membrane fim, tare da kayan shigar ciki.
Babban aiki shine metformin hydrochloride. Abubuwan da ke cikin yanzu sun kasance: sitaci na masara, magnesium stearate, macrogol 6000, anhydrous colloidal silicon dioxide, povidone 40, titanium dioxide, sitaci glycolate, hypromellose, monostearate-2000-macrogol.
Aikin magunguna
Magungunan yana rage samuwar "sabbin" glucose a cikin hanta, yawan sha a cikin narkewa. Tabbatacce shine cewa ba ya tasiri samar da insulin kuma da wuya ya haifar da yanayin hypoglycemic.
Pharmacokinetics
Lokacin ɗaukar maganin a ciki, metformin yana karɓe shi daga jijiyar, yayin da kashi ɗaya bisa uku suna fidda daga jiki tare da jijiyoyin wuya. Matsakaicin taro na abu ya kai bayan sa'o'i biyu da rabi. A cikin jini, kwayar ta zahiri ba ta haifar da sarkakiya tare da sunadarai; a cikin tsarin kwayoyin sel da ke cikin ja, kwayar aiki mai aiki ya tara ta hanyar manyan kwayoyin halitta.
Kusan kashi ɗaya bisa uku na miyagun ƙwayoyi suna kwance daga jiki tare da feces.
Alamu don amfani
Ana amfani da maganin idan akwai ƙarancin maganin maganin rage cin abinci da aiki na jiki, tare da babban glycemia a cikin ciwon sukari na nau'in na biyu, musamman tare da kiba.
Contraindications
An haramta Metformin don amfani dashi a irin waɗannan halaye:
- rashin hankali ga abubuwan da aka gyara;
- tare da mummunan rauni na koda da aikin hepatic;
- tare da barasa;
- tare da cututtukan cututtukan cututtukan zuciya da na zuciya;
- nau'ikan acidosis;
- ciki da lactation;
- yin amfani da bambancin aidin;
- tare da matsananciyar fari da rashin ruwa a jiki.
Yadda ake ɗaukar Langerin
Ana ɗaukar miyagun ƙwayoyi ta hanyar saka idanu akan matakan glucose a cikin jini, wanda mai haƙuri ya kamata ya auna sau da yawa a rana: da safe, bayan kowace abinci, da maraice kafin zuwa gado.
Yanayin aiki - a baka yayin cin abinci ko bayan sa. Satin farko shine daga MG 500 zuwa 850 2 ko sau 3 a rana. Bayan makonni 2, ya kamata a daidaita sashi gwargwadon sakamakon binciken glycemic.
Matsakaicin adadin ba zai iya wuce mil 3000 ba, an rarrabashi zuwa sau 3.
Ga yara bayan shekaru 10, sashi shine kashi 500-850 a kowace rana 1 lokaci. Matsakaicin adadin shine 2000 MG, ya ninka sau 2-3.
Tare da ciwon sukari
Umarnin don amfani ya rarraba jiyya a cikin maganin monotherapy da haɗuwa tare da insulin. Maganin farko shine kashi 500-850 sau biyu a kullun tare da ko bayan abinci. Makonni biyu baya, ana aiwatar da daidaitawa gwargwadon gwargwadon sakamakon sarrafa sukari. Duk wannan lokacin, mai haƙuri dole ne kula da bayanin martaba na glycemic. Matsakaicin da aka ba da izini shine 3 g, an kasu kashi uku.
A cikin ciwon sukari na mellitus, umarnin don amfani da miyagun ƙwayoyi ya rarraba magani zuwa cikin maganin monotherapy tare da haɗuwa da insulin.
Sakamakon sakamako na Langerin
Abubuwa marasa kyau daga gabobin jiki da tsarin daban-daban na iya haɓaka.
- Fata: wani itch kurji, amya.
- Tasiri akan tsarin hepatobiliary: hepatitis, aikin hanta mai rauni.
- Alamar ƙwayar jijiya: rashin jin daɗi.
- Daga narkewa kamar jijiyoyi: ji na tashin zuciya, amai, gudawa, rashin ci, ciwon ciki, bloating, dandano na karfe a cikin bakin.
- Da wuya a sami canji a cikin jini - megaloblastic anemia, karancin bitamin B12.
Bayyanar cututtuka na asibiti sun ɓace akan nasu bayan cirewar magunguna. A cikin lokuta mafi wuya, ana buƙatar maganin warkewa.
Tasiri kan ikon sarrafa abubuwan inji
Lokacin amfani da Langerin azaman maganin monotherapy, akwai ƙarancin haɗarin haɓakar yanayin hypoglycemic, idan aka haɗu da wasu magunguna waɗanda ke rage sukari, yana ƙaruwa. Sabili da haka, yana yiwuwa a rage hankali lokacin aiki tare da injin ko tuki.
Umarni na musamman
Sun ƙunshi daidaita kashi (sau da yawa ana ba da kwamfutar hannu rabi-rabi) da kuma nazarin yiwuwar alƙawarin ta a cikin gungun mutane daban-daban.
Yi amfani da tsufa
A cikin tsofaffi, jihohin aiki masu yawa na tsarin (koda, raunin zuciya) sau da yawa suna wahala, don haka yawancin marasa lafiya suna amfani da kwayoyi don kula da su. Kuma idan akwai rashin jituwa game da magungunan, to ya kamata ka bar Langerin ko ka canza sashi (idan ya cancanta, ka fasa kwamfutar hannu cikin rabi, ka ɗauki ɗaya).
Aiki yara
An wajabta magunguna ga yara sama da goma. A lokacin ƙuruciya, an zaɓi wasu magunguna. Ba a gudanar da gwajin magani ba a cikin ƙuruciya, saboda haka babu wani bayani game da tasirinsa game da haɓaka, haɓaka da balaga na yara, musamman a cikin amfani na dogon lokaci. Sabili da haka, ya kamata a yi amfani dashi tare da taka tsantsan a cikin rukunin shekaru na 10-12.
Yi amfani da lokacin daukar ciki da lactation
Lokacin da kake shirin yin ciki, kana buƙatar dakatar da shan Langerin kuma sanar da likitanka game da wannan. Zaiyi maganin da ya dace da insulin, wanda zai bukaci ayi amfani da shi a duk lokacin hailar. Tasirin metformin akan tayin ana rarraba shi azaman nau'in B.
Lokacin da kake shirin yin ciki, kana buƙatar dakatar da shan Langerin kuma sanar da likitanka game da wannan.
Ba a gudanar da nazari a lokacin shayarwa ba, babu bayanai game da shigar azaman metabolites zuwa madara, sabili da haka, yayin shayarwa, kuna buƙatar watsi da maganin.
Aikace-aikacen aiki mara kyau
Idan akwai matsala game da aiki na keɓaɓɓen aiki, ya kamata a gudanar da gwajin gwaji don ƙayyade matakin creatinine da urea. Dangane da sakamakon, ana canza sashi na maganin ko ya rage.
Amfani don aikin hanta mai rauni
Wajibi ne a lura da yanayin hanta. Tare da lalata, ya kamata a soke magungunan, tun da haɗarin haɓakar lactic acidosis yana da yawa. A wasu halaye, yana yiwuwa a daidaita sashi na ƙwayoyi a ƙarƙashin kulawar likita.
Doarfe da yawa na langerin
Lokacin amfani da sashi fiye da yadda ake buƙata, alamu suna haɓaka: lactic acidosis, ji na bushewa a cikin bakin, mucous membranes, fata, jin zafi a cikin tsokoki da kirji, saurin numfashi, tashin hankali, alamun bacci, cututtukan dyspeptik, rikicewar jijiyoyin zuciya, ciwon ciki, amai, rikicewar zuciya, oliguria, ICE. Bugu da ƙari, yanayin hypoglycemic ba ya haɓaka. Babu takamaiman magani. Kamar yadda ake amfani da hanyoyin kwantar da hankali, ana amfani da dialysis da hemodialysis sosai, kuma ana aiwatar da maganin bayyanar cututtuka. Ana buƙatar cire magani cikin gaggawa.
Yin hulɗa tare da wasu kwayoyi
Akwai lokuta yayin da kwayoyi suka inganta tasirin juna kuma akwai karuwa don rage sukari - wannan yanayi ne mai haɗari. Sabili da haka, za'a iya haramta wasu haɗuwa ko amfani dashi azaman mahimmancin mahimmanci.
Abubuwan haɗin gwiwa
Idan ya zama dole don aiwatar da hanyar da za'a iya amfani da abubuwanda ke hade da aidin, ya kamata a daina shan Langerin a cikin kwana biyu. Kuma sake dawowa da miyagun ƙwayoyi yana yiwuwa kwanaki 2 bayan binciken, kafin wannan, yakamata a yi gwaje-gwaje don nazarin yanayin aiki na tsarin renal. In ba haka ba, yana iya haɓaka gazawar renal, haɗarin lactic acidosis.
Gliformin na iya zama misalin maganin.
Ba'a amfani da magani na Danazol a cikin maganin Langerin ba. Wannan an cika shi da babban sukari mai yawa, acidosis, da haɓakar haɗarin coma. Sabili da haka, yakamata a kula da glycemia.
Ba da shawarar haɗuwa ba
Lokacin shan Langerin, ba a ba da shawarar sha barasa ko wasu abubuwan sha da samfuran da ke ɗauke da giya.
Haɗuwa yana buƙatar taka tsantsan
Tare da tsananin taka tsantsan, yakamata a yi amfani da magani a hade tare da systemic ko Topical glucocorticosteroids, ACE inhibitors, diuretics, beta-2-sympathomimetics - waɗannan rukunin magunguna na iya rage sukarin jini. Sabili da haka, ya kamata ku gargaɗi mai haƙuri game da wannan, har ma da daidaita sashi na Langerin.
Chlorpromazine da antipsychotics sune magunguna, a hade tare da abin da ya kamata ayi amfani da metformin don daidaita shi.
Amfani da barasa
Bai dace da barasa ba. Idan aka haɗu da ethanol, haɗarin haɓaka jihar lactic acidotic yana ƙaruwa, musamman tare da matsaloli tare da hanta (gazawar hanta) ko kuma rashin isasshen abinci mai gina jiki.
Analogs
Masu maye gurbin Langerin sune irin waɗannan kwayoyi:
- Glyformin;
- Tsawon Lokaci;
- Glucophage;
- Metformin;
- Metfogamma;
- Formmetin;
- Siofor a cikin magunguna daban-daban (1000, 800, 500);
- Vero-Metformin;
- Glycomet 500.
Magunguna kan bar sharuɗan
An ba da izinin wannan maganin.
Zan iya siye ba tare da takardar sayan magani ba
Wasu rukunin yanar gizon suna ba da sayan magani ba tare da takardar sayan magani ba, amma magani ne.
Farashi don Langerin
Matsakaicin farashin ya bambanta daga 100 zuwa 700 rubles., Dangane da sashi. Kudin analogues daban ne.
Yanayin ajiya na miyagun ƙwayoyi
Ya kamata a adana shi tun daga isar yara, ba a buƙatar yanayi na musamman.
Ranar karewa
An adana shi har tsawon shekaru 5.
Mai masana'anta
Kamfanin da aka kirkira shi ne JSC "Zentiva", wanda ke cikin Slovak Republic, Hlohovec, ul. Nitryanskaya 100.
Ra'ayoyi game da Langerin
Anton, ɗan shekara 48, Oryol: "Na yi fama da ciwon sukari na 2 har tsawon shekaru 3. Likita ya ba da magani. Na yi farin cikin cewa babu wasu sakamako masu illa kuma matakin sukari ba ya hauhawa."
Anna, 'yar shekara 31, Moscow: "Ina fama da ciwon sukari na 2, na yi rashin lafiya kusan shekara 5. Shekarar farko na kula da matakan glucose ta hanyar motsa jiki da abinci .. Amma likitan bai yi tasiri sosai ba. Likita ya ba da wannan maganin a kashi 850 mg sau biyu a rana. Babu wasu sakamako masu illa. "
Vasily, 28 years old, Krasnodar: “An gano cutar sukari nau'in 2 fiye da shekara daya da suka wuce. Ina shan wannan magani. Likita ya ce yana aiki da kyau kuma yana kiyaye matakan glucose na al'ada. don haka ina tsammanin maganin yana da kyau. "
