Fitar sashi: allunan da aka saka mai santsi suna dauke da metformin 500 ko 850 mg.
Tsarin magungunan Metfogamma 500: metformin - 500 MG.
Componentsarin abubuwan da aka haɗa: propylene glycol, methylhydroxypropyl cellulose, magnesium stearate, povidone, polyethylene glycol 6000, sodium glycolate, titanium dioxide (E 171), silsila mai narkewa mai narkewa, sitc sittin masara.
Metphogamma 850: metformin - 850 mg.
Componentsarin abubuwan da aka haɗa: methylhydroxypropyl cellulose, macrogol 6000, povidone, titanium dioxide (E 171), magnesium stearate.
Metfogamma 500: madaidaiciya mai laushi, biconvex, allunan farin fari. 30 da guda 120 a kowane fakitin.
Metphogamma 850: madaidaiciya mai laushi, allunan farin oblong tare da layin kuskure. Hypoglycemic magani.
Alamu don amfani - nau'in mellitus na 2 wanda ba shi da insulin-insulin, ba shi da haɗari ga ketoacidosis (dangane da marasa lafiya masu kiba).
Contraindications
- Ketoacidosis mai ciwon sukari ne.
- Cutar masu fama da cutar sankara, precoma.
- Numfashi da rashin zuciya.
- Tabbatattun ƙetarewar hanta da ƙodan.
- Fitsari.
- Lactic acidosis.
- Yin haihuwar jariri da shayarwa.
- Babban nau'i na infarction na zuciya.
- Hargitsi na kwakwalwa.
- Shan giya na yau da kullun da makamantansu waɗanda zasu iya tayar da ci gaban lactic acidosis.
- Babban hankalin game da abubuwan maganin.
Sashi da hanyar gudanarwa
Ana amfani da maganin Metfogamma 500 na shan magani yayin yin la'akari da matakin sukari a cikin jini akayi daban-daban. Maganin farko shine yawanci 500-1000 mg (1-2 tan) kowace rana, ana ba da izinin karin ƙarin kashi a hankali dangane da sakamakon magani.
Aikin yau da kullun na Metfogamma 500 don tabbatarwa shine Allunan 2-4. kowace rana. Arancin da aka yarda da shi shine 3 g (6 t). Amfani da manyan allurai baya taimako don inganta tasirin magani (dubawar likitoci).
Aikin magani yana da tsawo. Ya kamata a ɗauka Metfogamma 500 tare da abinci, duka kuma a wanke da ruwa kaɗan
Ana amfani da kashi na miyagun ƙwayoyi Metfogamma 850 yana la'akari da matakin sukari a cikin jini akayi daban-daban. Matsayi na farko yawanci shine 850 MG (1 t) kowace rana, ana ba da izinin karin ƙarin kashi a hankali idan kuzari da bita suna da kyau.
Aikin yau da kullun na Metphogamma 850 don tabbatarwa shine Allunan 1-2. kowace rana. Girman da aka ba da izini a kowace rana shine 1700 MG (2 t). Yin amfani da allurai mafi girma ba ya inganta kuzarin jiyya.
Hanyar magani tare da Metfogamma 850 yana da tsawo. Ya kamata a ɗauka Metfogamma 850 tare da abinci, a kwashe shi duka a wanke tare da ƙaramin ruwa.
Ya kamata a raba magunguna na yau da kullun akan 850 MG zuwa kashi 2 (safe da maraice). A cikin marasa lafiya tsofaffi, shawarar da aka ba da shawarar a rana kada ta wuce miliya 850.
Umarnin na musamman:
Ba za a iya sha miyagun ƙwayoyi ba:
- tare da m cututtuka;
- tare da raunin da ya faru;
- tare da wuce gona da iri na cututtuka na asali na kamuwa da cuta;
- tare da cututtukan tiyata da haɓakar su;
- tare da nadin maganin insulin.
Ba za ku iya amfani da magani nan da nan kafin tiyata kuma don kwanaki 2 bayan su. Wannan ya shafi gwaje-gwajen rediyo da aikin rediyo (ba kwana 2 ba kafin kuma kwanaki 2 bayan).
Ba a so a yi amfani da miyagun ƙwayoyi a cikin marasa lafiya biyo bayan ƙuntatawa na adadin kuzari (ƙasa da 1000 kcal a kowace rana). Ba za ku iya ba da magunguna ga mutanen da suka haura shekara 60 da ke amfani da ƙarfin motsa jiki ba. Wannan yana ƙara haɗarin lactic acidosis.
A yayin duk jiyya, wajibi ne a kula da halayen kodan tare da lura da yanayin su. Sau ɗaya a kowane watanni shida, musamman a gaban myalgia, yana da mahimmanci don ƙayyade taro na lactate a cikin plasma.
Za'a iya amfani da Metfogamma a hade tare da insulins ko sulfonylureas. Iyakar abin da ake so shi ne sanya idanu a kan glucose na jini a koda yaushe.
Yin hulɗa tare da wasu magunguna
Yana yiwuwa a haɓaka sakamako na hypoglycemic na metformin lokacin da aka tsara shi tare da:
- b-blockers;
- cyclophosphamide;
- Abubuwan Clofibrate;
- ACE masu hanawa;
- Hankalin ƙwayoyin cuta;
- MAO masu hanawa;
- magungunan anti-mai hana kumburi;
- insulin;
- acarbose;
- Abubuwan da aka samo asali na sulfonylurea.
Yana yiwuwa a rage tasirin sakamako na metformin lokacin da aka tsara shi tare da:
- madauki da thiazide diuretics;
- nicotinic acid analogues;
- kwayoyin hodar iblis;
- glucagon;
- m
- adrenaline
- maganin hana haihuwa;
- glucocorticosteroids.
Tare da yin amfani da lokaci guda tare da cimetidine, haɗarin lactic acidosis yana ƙaruwa. Anyi bayanin wannan ta hanyar cewa cimetidine yana rage jinkirin kawar da metformin daga jiki.
Metformin yana iya raunana tasirin maganin cututtukan anticoagulants.
Lokacin da aka sha shi da giya, akwai haɗarin haɓakar lactic acidosis, an tabbatar da wannan gaskiyar ta hanyar bita.
Side effects
Daga cikin jijiyoyin mahaifa:
- zawo, huhun ciki;
- tashin zuciya, amai
- ɗanɗanar baƙin ƙarfe a bakin;
- asarar ci.
Ainihin, duk waɗannan alamun suna tafiya da kansu, ba tare da canje-canje na kashi ba. Verarfin da kuma yawan tasirin sakamako daga ƙwayar hanji na iya raguwa ko ɓacewa bayan daɗa yawan ƙwayar metformin.
Daga tsarin endocrine (lokacin amfani da isasshen allurai), hypoglycemia na iya haɓaka (sake duba marasa lafiya).
Bayyanar bayyanar cututtuka: fatar fata.
A cikin lokuta masu wuya, daga gefen metabolism, yana buƙatar dakatar da magani, lactic acidosis.
A wasu halayen, hematopoiesis - megaloblastic anemia.
Abinda ke barazanar wuce gona da iri
Foarfe da yawa na Metfogamma yana da haɗari tare da babban yiwuwar haɓakar lactic acidosis tare da sakamako mai kisa, sake dubawa ba shiru. Dalilin ci gaban wannan yanayin ya ta'allaka ne ga tarin abubuwan da ke cikin miyagun ƙwayoyi saboda lalacewar aikin renal. Alamomin farko na lactic acidosis sun hada da:
- karuwa cikin zafin jiki;
- tashin zuciya, amai
- colic a cikin ciki da tsokoki;
- zawo
a nan gaba na iya lura:
- Dizziness
- saurin numfashi;
- mai rauni sani, coma.
Mahimmanci! A alamun farko na lactic acidosis, ya kamata a tsayar da magani tare da miyagun ƙwayoyi nan da nan, kuma ya kamata a kwantar da maraice a asibiti, inda aka wajabta bincike game da maida hankali na lactate don tabbatar da ganewar asali.
Tare da haɓakar lactic acidosis, mafi kyawun ma'auni don karɓar lactate shine hemodialysis. Tare da wannan, ana kuma gudanar da aikin tiyata. Idan aka yi amfani da metfogamma 850 a hade tare da sulfonylureas, to akwai haɗarin haɗarin hypoglycemia.
Adanawa
Metfogamma shirye-shiryen 850 da Metfogamma 500 an yarda dasu adana su a sama da 25 ° C. Rayuwar shelf shine shekaru 4.
Kula! Dukkanin bayani don jagora ne kawai kuma an yi shi ne don likitoci. Cikakken bayani game da miyagun ƙwayoyi suna cikin umarnin mai zuwa don amfani a kunshin, kuma ana iya samun bita game da shi a Intanet
