Glucofage 750 - magani ne wanda ake amfani dashi don magance cutar sukari nau'in 2.
ATX
Lambar ATX ita ce A10BA02.
Saki siffofin da abun da ke ciki
Ana samun magungunan a cikin nau'ikan allunan biconvex suna da fararen launi. 1 kwamfutar hannu ya ƙunshi 750 MG na aiki mai aiki - metformin hydrochloride.
Bugu da ƙari, an hada da caramellose, hypromellose, magnesium stearate.
Glucofage 750 - magani ne wanda ake amfani dashi don magance cutar sukari nau'in 2.
Aikin magunguna
Kayan aiki ya kasance ga rukuni na magungunan cututtukan jini. Abunda yake aiki shine asalin biguanides.
Metformin yana daidaita matakan basal da na postprandial. Ruwan ba ya shafar ɓarin insulin ta sel ƙwayoyin fitsari, saboda haka, ba zai iya haifar da raguwar raguwa a matakan glucose.
Magungunan suna aiki akan masu karɓar insulin waɗanda ke cikin gabobin da kyallen takarda. Har ila yau, yawan aiki na glucose da ke kewaye da shi kuma yana ƙaruwa. A ƙarƙashin tasirin miyagun ƙwayoyi, ana hana gluconeogenesis a hepatocytes.
Abunda yake aiki yana rage jinkirin shan glucose ta bangon hanji. A karkashin aikinta, ana haɓaka samar da glycogen, aikin sufuri na mahadi waɗanda ke da alhakin juyar da ƙwayar glucose yana ƙaruwa.
Pharmacokinetics
Matsakaicin mafi girman ingancin abu mai aiki a cikin jini plasma ana lura da shi kimanin mintina 150 bayan maganin baka na kwamfutar hannu Glucofage. Shan miyagun ƙwayoyi a kan komai a ciki ba ya shafar shan maganin, wanda zai ba ka damar ɗauka ba tare da la'akari da abinci ba.
Dogon lokacin amfani da ma'aunin metformin ba ya haifar da tara wani abu a jiki. Lokacin da ya shiga cikin jini, kayan kusan basa ɗaukar jigilar peptides. Maganin metabolism yana faruwa a cikin hanyar da ba a haɗa ba. Babu wani metabolites mai aiki da aka samo a jikin ɗan adam. Drawacewa na faruwa wanda ba a canzawa.
An cire magungunan tare da taimakon kodan. Injin din motsa jiki shine narkewar duniyan duniyan da tubular toshewa. Mayar da rabin rabin rayuwar yana daga 5 zuwa 7 hours. Game da lalacewa aiki na renal, sharewar abu mai aiki na wakili yana raguwa, kuma rabin rayuwarsa yana ƙaruwa. A sakamakon haka, haɓakar abun cikin jini na metformin yana yiwuwa.
An cire magungunan tare da taimakon kodan.
Alamu don amfani
Glucophage an wajabta shi don ciwon sukari na 2. Ana amfani dashi idan akwai rashin iyawa na maganin rage cin abinci. Ana iya tsara shi duka biyu azaman maganin monotherapy, kuma a zaman wani ɓangaren ƙwaƙwalwar jiyya tare da wasu wakilai na munafiki ko Insulin.
Contraindications
A kayan aiki ne contraindicated a cikin wadannan lokuta:
- rashin jituwa ga kowane ɗayan abubuwan haɗin da ke cikin abin da ya ƙunsa;
- lalata kwayar cutar sukari (ketoacidosis, precoma ko coma);
- mai saurin lalata na koda;
- kasawar aikin aikin hepatobiliary;
- rashin shan barasa ko guba;
- m yanayin barazanar rikicewar koda;
- bugun zuciya;
- gazawar numfashi;
- hypoxia na nama na matsakaici da tsananin tsananin ƙarfi;
- lactic acidosis;
- karancin abincin kalori;
- hanyoyin shiga cikin tiyata da raunin da ya faru, waɗanda ke buƙatar gabatarwar manyan allurai na insulin;
- rashin ruwa a jiki;
- rawar jiki
- mamaki na rashin maye.
Tare da kulawa
Ya kamata ku mai da hankali lokacin da kuke ba da magani ga mutanen da suka haura shekaru 60, waɗanda galibi suna fuskantar haɓaka ta jiki, suna kara haɗarin lactic acidosis.
Yadda ake ɗaukar Glucofage 750?
Ana ɗaukar allunan a baka. Amfani a lokacin cin abinci na ƙarshe yana da kyau.
Ga manya
Tsofaffi waɗanda ke da nau'in ciwon sukari na 2 suna ɗaukar daga 750 zuwa 2000 MG na metformin kowace rana.
Ga yara
Yara da ke ƙasa da shekara 18 suna contraindicated a cikin yin amfani da wannan magani.
Jiyya da ciwon sukari Glucofage 750
Ana amfani da Metformin don maganin cututtukan type 2. An wajabta shi ga marasa lafiya waɗanda ba za a iya rama halin su ta hanyar abincin abinci ko motsa jiki ba. An tsara miyagun ƙwayoyi a matsayin monotherapy, kuma a hade tare da Insulin da sauran jami'ai waɗanda ke da tasirin hypoglycemic. Ba'a ba da shawarar a hada magunguna da kanku ba. Dole ne a danƙa wa likitan aikin likita.
A cikin lura da ciwon sukari na nau'in 2, kashi na yau da kullun na metformin na iya zuwa 750 zuwa 2000 MG. Likita daidai zai zaba shi.
Ana amfani da Metformin don maganin cututtukan type 2.
Don asarar nauyi
Yin amfani da miyagun ƙwayoyi don asarar nauyi ba tare da shawarar kwararrun ba da shawarar ba. Girman yau da kullun don asarar nauyi shine 100 MG, ya kasu kashi biyu. Ainihin aikin jiyya yana da kwanaki 20. Bayan wannan, ana yin hutun wata-wata. Yana yiwuwa a maimaita hanya idan ya cancanta don ƙarfafa tasirin.
Lokacin shan metformin, bai kamata ku ci abincin mai kalori ba. Rashin wadataccen abinci yana haifar da haɗarin haɗarin sakamako masu illa. Haɗin magunguna tare da Ragewar zai yiwu.
Side effects
Gastrointestinal fili
Rage tashin hankali, amai, canje-canje a cikin yanayin stool, rage ci, jin zafi a cikin yankin na epigastric. Wadannan illolin da ba a san su ba galibi ana lura da su a farkon farawar, bayan hakan suna wucewa da kansu. Don rage haɗarin mummunan sakamako, ba da shawarar amfani da metformin akan ciki mara komai. Hakanan ana iya haɓaka ƙwaƙwalwar hankali a hankali, wanda ke ba da izinin jiki don daidaitawa da aikin maganin.
Tsarin juyayi na tsakiya
Take hakkin dandano. Wataƙila bayyanar daɗin ƙarfe a bakin.
Daga tsarin urinary
Metformin baya haifar da sakamako masu illa daga tsarin urinary.
A wani ɓangaren hanta da ƙwayar biliary
Da wuya, ana iya samun ƙaruwa a matakin aiki na enzymes na hepatic da nakasa aiki na koda. Abubuwan da ba a so ba suna ɓacewa bayan katsewa.
Umarni na musamman
Mutanen da ke fama da rauni na koda suna cikin haɗarin tarin metamorphine. Sakamakon wannan, lactic acidosis na iya faruwa, wanda ba kasafai yake faruwa ba, amma mai haɗari ga lafiyar ɗan adam da rayuwa. Har ila yau hadarin wannan rikitarwa ya kasance a cikin mutanen da ke fama da tabarbarewar hepatic, dogarawar giya, ketosis, da ciwon sukari na lokacin lalata.
Ana iya ɗaukar acidactis na acid idan mai haƙuri ya kamu da ƙwayar tsoka, cramps, da rikicewar ƙwayar gastrointestinal a bango na amfani da metformin na tsawan lokaci. Rikicin dakin gwaje-gwaje an nuna shi ta hanyar raguwa a cikin acid acid na jini a ƙasa 7.25, matakin lactate yana ƙaruwa zuwa 5 mmol / l kuma mafi girma. Idan kuna zargin cewa lactic acidosis ya inganta, nemi likita kai tsaye. Sakamakon yawan adadin lactate, coma na iya faruwa.
Glucophage ba da shawarar a dauki shi ba kwanaki 2 kafin da bayan maganin tiyata ko hanyoyin aikin rediyo.
Kafin fara hanya, yana da muhimmanci a tantance aikin koda na mara lafiyar. A saboda wannan, an kimanta yardawar creatinine. Tare da amfani da metformin akai-akai, ya kamata a gudanar da maimaita kimar aƙalla sau 1 a shekara.
Mutanen da ke da gazawar hanta ya kamata su ɗauki kwayoyi tare da taka tsantsan.
Amfani da barasa
Ba a ba da shawarar shan giya yayin jiyya tare da metformin.
Tasiri kan ikon sarrafa abubuwan inji
Tare da hadaddun lura da ciwon sukari ta amfani da wasu wakilai na hypoglycemic, hypoglycemia na iya faruwa, a cikin abin da ke tuki ko kuma keɓaɓɓun hanyoyin ke hana ta.
Yi amfani da lokacin daukar ciki da lactation
A lokacin daukar ciki, mai haƙuri da ke shan Glucofage ya kamata a canza shi zuwa aikin insulin. Idan ya cancanta, lura da mace mai shayarwa, an koma da yaro zuwa ciyar da mutum.
Yi amfani da tsufa
Amfani da wannan magani yana yiwuwa a cikin tsofaffi a cikin in babu contraindications da aka nuna a cikin umarnin don amfani.
Yawan damuwa
Yawancin ƙwayoyin cuta na metformin yana da wuya. Lokacin amfani da kashi sau goma sama da warkewa, lactic acidosis na iya haɓaka. A wannan yanayin, kuna buƙatar dakatar da amfani da samfurin. An kwantar da mara lafiyar a asibiti inda ake kula da matakan lactate. Idan ya cancanta, hemodialysis da bayyanar cututtuka.
Yin hulɗa tare da wasu kwayoyi
Abubuwan haɗin gwiwa
Kada a haɗa Glucophage tare da hanyoyin da ke ƙunshe da aidin kuma anyi amfani dashi don karatun radiopaque. Kafin aiwatar da jan hankali wanda ke buƙatar gabatar da irin waɗannan mahadi a jikin mai haƙuri, yana da kyau a dakatar da amfani da metformin a cikin kwanaki 2. Kwanaki 2 bayan binciken, ana kula da aikin renal, wanda daga nan ne aka sake ci gaba da karatun.
Idan lactic acidosis ya haɓaka tare da yawan ƙwayar ƙwayar cuta, dole ne a dakatar da amfani da miyagun ƙwayoyi.
Ba da shawarar haɗuwa ba
Ba'a ba da shawarar a haɗa amfani da metformin tare da amfani da giya, abubuwan kara kuzari, kwayoyi waɗanda suka haɗa da barasa na ethyl.
Haɗuwa yana buƙatar taka tsantsan
Ya kamata a kula musamman a yayin haɗa Glucophage tare da masu zuwa:
- Danazole - hada baki yana iya haifar da raguwa a cikin glucose jini. Zai yiwu a daidaita satin daidaitawa na metformin in ya cancanta, amfani lokaci daya.
- Chlorpromazine - na iya hana insulin insulin aiki, yana kara matakan glucose.
- GCS - haɓaka sukari na jini, na iya haifar da ketosis.
- Ureataccen diuretics - haɗe tare da metformin yana ƙara haɗarin haɓakar samuwar lactate.
- Beta-adrenergic agonists - ƙara yawan cutar glycemia.
- ACE inhibitors - yana haifar da rashin lafiyar hypoglycemia.
- Nifedipine - yana haɓaka ɗaukar ƙwayar metformin kuma yana ƙaruwa da matuƙar taro a cikin jijiyoyin jini.
Glucophage yana buƙatar taka tsantsan yayin haɗuwa da wasu kwayoyi.
Analogs
Analogues na miyagun ƙwayoyi sun hada da:
- Bagomet;
- Glycometer;
- Glucovin;
- Glumet;
- Dianormet;
- Diaformin;
- Metformin;
- Siofor;
- Tafiya;
- Tefor;
- Zucronorm;
- Amnorm.
Menene banbanci tsakanin Glucophage da Glucophage tsawon 750?
Babban bambanci tsakanin tsawan glucophage shine tsawon lokacin aikin. Shaƙar Metformin tayi a hankali, wanda ke ba shi damar kula da kulawar plasma na tsawon lokaci.
Magunguna kan bar sharuɗan
Zan iya saya ba tare da takardar sayan magani ba?
Ana bayar da maganin ta hanyar sayan magani.
Farashin glucose 750
Kudaden kudaden sun dogara da wurin da aka siya.
Yanayin ajiya na miyagun ƙwayoyi
Adana a zazzabi da ba ya wuce + 25 ° C daga isar da yara.
Ranar karewa
Za'a iya amfani da maganin a cikin shekaru 3 daga ranar da aka sake shi. Ba da shawarar ƙarin amfani ba.
Binciken Glucofage 750
Likitoci
Pavel Samarsky, endocrinologist, Moscow.
A tsakanin sauran kwayoyi masu kama da wannan, Glucophage ba ya bambanta musamman. Kyakkyawan magani tare da metformin, wanda akwai da dama a kasuwa. Ga nau'ikan farashin sa, yana da inganci matuƙar, marasa lafiya da wuya su koka da sakamako masu illa.
A cikin aikace-aikacensa, ya yi amfani da daidaitaccen tsari da tsawon tsari. Haɗa wannan kayan aiki tare da Insulin da sauran kwayoyi. Glucophage yana da tasiri wanda za'a iya ba da shawarar ga takwarorinsa, amma akwai magunguna waɗanda ke nuna kansu ɗan sauki. Amma a nan ita ce tambaya a ƙasar samarwa da nau'in farashi.
Lydia Kozlova, endocrinologist, Khabarovsk.
Wannan magani ya dace da ciwon sukari. A tsawon shekaru da aikinta, Na saba samun matan da suke kokarin ɗaukar ta don asarar nauyi. Mutane ba sa son su fahimci cewa ba a yi maganin wannan maganin ba ne, amma rasa nauyi, mutum zai iya cewa, sakamako ne na aikinsa.
Kada ku sami magani na kai. Metformin ba goji berries bane, yana iya tasiri sosai ga lafiya. Da zarar sun kawo ƙaramin yarinya mai laka acidic. Na so in rasa nauyi, amma na sami guba na jiki da matsalolin hanta duka rayuwa. Da kyau, wannan ya yi famfo. Kammalawa ɗaya kawai ne: idan kuna son rasa nauyi, kula da kanku, kuma kada ku nemi sifofin maganin sihiri da kwayoyin magani.
Ana adana samfurin a zazzabi da bai wuce + 25 ° C a cikin wurin da ba za'a iya kaiwa ga yara ba.
Marasa lafiya
Denis, dan shekara 43, Arkhangelsk.
Na dauki Glucophage akan shawarar likita na. Ina son magani saboda ba ya haifar da wani sakamako idan an yi amfani da shi daidai, kuma farashin yana da kyau.
Yana taimakawa ci gaba da ciwon sukari a duba. Da farko, ya yi kokarin shawo kan cutar tare da tsarin abinci, ya yi darajan rasa nauyi. Yanayin ya kara tsananta har sai da likita ya ba da umarnin Glucophage. Ina sake rayuwa tare da shi kuma. Dole ne a nuna har zuwa ganin likita daga lokaci zuwa lokaci, amma tare da ciwon sukari, barkwanci suna da kyau. Bi lafiyar ka don kada ku ɗauki magungunan daga baya.
Zhanna, 56 years old, Izhevsk.
Kimanin shekaru 5 da suka wuce na lura cewa ina samun nauyi sosai. Domin shekara 25 karin fam. Da farko na je wurin masana harkar abinci, wanda ya ba ni shawarar in nemi likita. Bayan na yi gwaje-gwajen, sai na gano cewa ina da ciwon sukari.
Ban gajiya ba, saboda na san cewa kodayake cutar tana da haɗari, za ku iya rayuwa. Likita ya ba da umarnin Glyukofazh, ya karɓi maganin. Na ci gaba da amfani da shi kusan shekara 4. Ta dauki hutu kawai lokacin da likita yayi magana. Ina ƙoƙarin saka idanu kan lafiyata, koyaushe ina ɗaukar gwaje-gwaje. Magungunan suna taimakawa idan kun bi shawarar kwararru. Kayan aiki yana da kyau, ban lura da wani sakamako masu illa ba yayin aikace-aikacen. Babban abu shine ba magani kai ba.
Ba'a ba da shawarar a haɗu da amfani da metformin tare da amfani da giya ba.
Rage nauyi
Anna, 27 years old, Moscow.
A cikin ɗan gajeren shekaru na gwada hanyoyin da yawa na rasa nauyi. Kuma ya zauna a kan ruwa tare da apples, kuma tsawon makonni sun ci buckwheat. Kibiya a kan sikeli ya ragu kawai na ɗan lokaci, sannan ya sake komawa ga alamar da aka saba.
Na ji daga budurwa cewa zaku iya rasa nauyi ta hanyar shan metformin. Na fara shan Glucophage, tun da na wuce gwaje-gwajen kuma na nemi shawara da likita. Na sha kwayoyin hana daukar ciki na tsawon kwana 20, a lokaci guda na tsunduma cikin motsa jiki da kokarin cin abinci lafiya. A karo na farko na jefa kusan kilo 10.
Ta huta, ta maimaita hanya. Wani debe kilogiram 12. Na gamsu da sakamakon. Yanzu babban abu shine kiyaye nauyi.