Galvus Met magani ne wanda aka yi amfani da shi don daidaita yanayin jikin tare da ciwon sukari. Yana da contraindications, saboda haka yakamata a yi amfani dashi kamar yadda likita ya umurce shi.
Sunan kasa da kasa mai zaman kansa
Vildagliptin + metformin.
Galvus Met magani ne wanda aka yi amfani da shi don daidaita yanayin jikin tare da ciwon sukari.
ATX
A10BD08.
Saki siffofin da abun da ke ciki
Ana amfani da miyagun ƙwayoyi a cikin nau'ikan Allunan wani nau'in zagaye mai zagaye, mai rufi tare da fim ɗin bidiyon launi mai ruwan hoda. A gefe guda akwai rubutun "NVR", a gefe guda - "LLO". Kowane kwamfutar hannu ta ƙunshi:
- vildagliptin (50 MG);
- metformin hydrochloride (100, 1000 ko 850 MG);
- hauhawar jini;
- magnesium stearate;
- titanium oxide bushewa;
- macrogol;
- baƙin ƙarfe baƙin ƙarfe ja.
Allunan an tattara su a cikin kwano na sel 10, kwali na kwali na kunshe da bakin ciki 1 da umarnin.
Aikin magunguna
Abubuwan da ke aiki suna da waɗannan kaddarorin:
- Lura da ayyukan dipeptidyl peptidase-4, wanda ke kara maida hankali ga glucagon-kamar enzyme a cikin jini. Wannan yana sa ƙwayoyin cututtukan cututtukan cututtukan zuciya su lura da glucose Wannan yana ƙara samar da insulin wanda ya zama dole don rushewar sukari. Matsakaicin daidaituwa na aikin ƙwayoyin gland shine ya dogara da yanayin lalacewa.
- Theara yawan abubuwan da ake amfani da enzyme kamar glucagon, wanda ke ba ka damar tsara samar da glucagon. Decreasearin rage yawan abubuwan da ke cikin peptide bayan abinci yana taimakawa raguwa a jure insulin. Increasearin yawan insulin / glucagon rabo akan asalin matakan rage glucose matakan ya hana samar da yawan ƙwayar glycogen a cikin hanta.
- Rage abun ciki na rashin wadataccen abinci mai narkewa cikin jini, wanda aka yi bayani ta hanyar karfafawar sel islet na pancreas.
- Resistanceara yawan juriya tsakanin glucose a cikin marasa lafiya da ke ɗauke da ciwon sukari na 2. Rage matakan sukari na jini a gaba da kuma bayan abincin.
- Kada ku haifar da raguwa mai yawa a cikin taro na glucose a cikin jini ba a cikin masu ciwon sukari ba, ko cikin mutane masu lafiya. Jiyya tare da miyagun ƙwayoyi ba ya ba da gudummawa ga hyperinsulinemia. Tsarin insulin din ba ya canzawa, yayin da adadin hodar da ke cikin jini na iya bambanta dangane da cin abinci.
- Yana maido da metabolism na abubuwan gina jiki mai-mai, rage lolesterol da triglycerides a jiki.
Pharmacokinetics
Kashi 60% na kashin da aka sha da baki yana shiga cikin jini. An gano ƙwayar cutar plasma warkewa bayan sa'o'i 2-2.5. Cin abinci na iya rage jinkirin shan abubuwa masu aiki. Tare da allura guda ɗaya na ƙwayar, yawancinsa an cire shi ba a cikin fitsari ba. Magungunan ba ya canzawa a cikin hanta kuma baya shiga cikin bile. Rabin rayuwar rayuwar abubuwa masu aiki yana daukar awoyi 17.
Alamu don amfani
Abubuwan da ke nuna amfani da miyagun ƙwayoyi don ciwon sukari sune:
- kasawa na daban amfani da abubuwa masu aiki wanda ke yin Galvus Met;
- haɗuwa tare da magani tare da metformin da vildagliptin, waɗanda aka yi amfani da su azaman monopreparations;
- karɓar maganin insulin hade ba tare da isasshen kulawar glycemic;
- farawa na marasa lafiya tare da nau'in ciwon sukari na 2 tare da gazawar abinci da kuma motsa jiki.
Contraindications
Ba ayi masa magani ba:
- mutum rashin jituwa ga aiki mai aiki da taimako;
- rashin ruwa a jiki.
- yanayin hypoxic;
- m da na kullum zuciya rashin cin nasara.
- karancin lalacewa;
- take hakkin ayyuka na tsarin numfashi;
- metabolic acidosis;
- shiri don ayyukan kutse da gwajin x-ray (ba a dauki maganin ba awanni 48 kafin a aiwatar);
- nau'in ciwon sukari na 1;
- na kullum shan barasa, m barasa maye;
- bin karancin kalori.
Tare da kulawa
Yarjejeniyar dangi sun hada da:
- tsufa da tsufa;
- aiki mai nauyi na jiki, ƙara haɗarin lactic acidosis.
Yadda ake ɗaukar Galvus Met
Tare da ciwon sukari
An kafa sashi ne gwargwadon tsananin cutarwar da haƙuri da haƙuri. Kar a wuce iyakar izini na vildagliptin (100 MG). Don rage tsananin tasirin kwayar, ana bada shawara a sha yayin abinci. A cikin ciwon sukari mai tsanani, ana ɗaukar magani a kan komai a ciki. Harkokin haɗin kai yana farawa da gabatarwar 50 + 500 MG na miyagun ƙwayoyi sau 2 a rana. In babu ingantaccen tasiri, an kara adadin metformin zuwa 850 MG.
Sakamakon sakamako na Galvus Met
Yayin jiyya tare da Galvus Met, waɗannan na iya faruwa:
- rikicewar jijiyoyin jiki (ciwon kai, farin ciki, rawar jiki daga ƙarshen, ƙwarewar hankali, haɓaka mai rauni);
- rikice-rikice na rayuwa (hypoglycemia);
- halayen fata (itching, erythematous rashes, karuwar gumi);
- narkewa na narkewa (tashin zuciya, amai, jin nauyi a cikin ciki, matacciyar mage);
- alamun lalacewar tsarin musculoskeletal (tsoka da ciwon haɗin gwiwa);
- sauran sakamako masu illa (kumburi daga ƙananan ƙarshen, girgiza anaphylactic, shan narkewar bitamin B12).
Tasiri kan ikon sarrafa abubuwan inji
Ba a yi nazarin tasirin maganin a cikin taro da kuma raunin psychomotor ba. Magungunan na iya haifar da jin zuciya, sabili da haka, yayin kulawa da guji tuki da wasu ƙananan hanyoyin.
Umarni na musamman
Yi amfani da tsufa
A cikin kula da tsofaffi da dattijo, ana buƙatar daidaita sashi. A lokacin jiyya, gwaji na jini na yau da kullun ya zama dole.
Aiki yara
Ba a tabbatar da amincin abubuwan da ke aiki ga jikin yarinyar ba, saboda haka haramun ne yin amfani da Galvus Met ta marasa lafiya da ke karamin karfi.
A cikin kula da tsofaffi da dattijo, ana buƙatar daidaita sashi.
Yi amfani da lokacin daukar ciki da lactation
Magungunan yana shawo kan shingen placental kuma ya shiga cikin madara. Amfani da lafiyar abubuwa na tayin da jariri wanda ke nono bai yi karatu ba. Sabili da haka, ciki da lactation suna cikin jerin contraindications.
Aikace-aikacen aiki mara kyau
A cikin cutar koda mai raɗaɗi, za a buƙaci raguwa a cikin kashi na Galvus Met.
Amfani don aikin hanta mai rauni
Idan akwai aiki na hanta mai rauni, magani tare da miyagun ƙwayoyi yana buƙatar saka idanu na yau da kullun game da sigogin ƙirar ƙwayoyin cuta.
Doa yawan adadin Galvus Met
Wucewa da allurai wanda likita ya umarta yana inganta sakamako masu illa. A lura yana taimaka a yanayi. Dialysis yana da ƙarancin tasiri, don haka ba a amfani da shi.
A cikin cutar koda mai raɗaɗi, za a buƙaci raguwa a cikin kashi na Galvus Met.
Yin hulɗa tare da wasu kwayoyi
Thiazide diuretics na haɓaka fitowar Galvus Met. Nifedipine yana ƙara shan ƙwayoyi. Glibenclamide ba ya shafar adadin sha na metformin da vildagliptin. Cardiac glycosides na iya ɗaure zuwa metformin, yana rage jinkirin matakan metabolism. Ba a ba da shawarar haɗin gwiwar magunguna tare da maganin tari.
Amfani da barasa
Ethanol yana ƙara haɗarin lactic acidosis, saboda haka sun ƙi shan barasa yayin jiyya.
Analogs
Wakilai masu zuwa suna da irin wannan sakamako:
- Amaryl M;
- Galvus;
- Glibomet;
- Gliformin.
Magunguna kan bar sharuɗan
Zan iya siye ba tare da takardar sayan magani ba
Ana buƙatar takardar sayan magani don sayan maganin.
Farashin Galvus
Matsakaicin farashin fakitin 30 Allunan shine 1,500 rubles.
Yanayin ajiya na miyagun ƙwayoyi
An adana magungunan a wuri mai duhu, baya barin dumama sama da + 30 ° C.
Ranar karewa
Watanni 18 daga ranar fitowa.
Mai masana'anta
Kamfanin kamfanin Switzerland din Novartis Pharma ne ya samar da maganin.
Nazarin Galvus Met
Victoria, 'yar shekaru 45, Moscow: "Na dade ina fama da ciwon sukari na 2, don haka likita ya ba da magani wanda ya hada da metformin da vildagliptin a lokaci guda .. Wadannan abubuwan sun hada da juna, don haka magunguna da sauri suna rage glucose jini kuma yana taimakawa ci gaba da shi dabi'u na yau da kullun. "
Arthur, dan shekara 34, Moscow: "Ina fama da ciwon sukari na type 2. A baya aka yi mini magani tare da Metformin. Lokacin da sukari ya sake ƙaruwa, Diabeton yana cikin tsarin maganin warkewa .. Duk da haka, magani bai ba da sakamakon da ake so ba. Yanzu na ɗauki allunan Galvus Met. Sugar bai cika yawanci ba, wanda hakan yasa aka sami damar yin hakan ba tare da insulin ba. "
