Combogliz Prolong
Cov nplooj ntawv no muab cov npe ntawm tag nrho cov analogues ntawm Combogliz Prolong raws li lawv cov lus qhia thiab qhia rau kev siv. Cov npe ntawm cov pheej yig analogues, thiab koj kuj tuaj yeem sib piv cov nqi hauv cov khw muag tshuaj.
- Qhov pheej yig tshaj analogue ntawm Combogliz Prolong:Janumet
- Cov khoom siv nrov tshaj plaws ntawm Combogliz Prolong:Vipdomet
- Kev faib tawm ATX: Metformin txuam nrog saxagliptin
- Cov khoom xyaw nquag / muaj pes tsawg leeg: metformin, saxagliptin
| # | Npe | Nqe hauv Lavxias | Nqe hauv Ukraine |
|---|---|---|---|
| 1 | Janumet metformin, sitagliptin Analogue hauv kev taw qhia thiab txoj kev siv | 9 RUB | 1 UAH |
| 2 | Glucovans glibenclamide, metformin Analogue hauv kev taw qhia thiab txoj kev siv | 34 RUB | 8 UAH |
| 3 | Gluconorm Analogue hauv kev taw qhia thiab txoj kev siv | 45 rub | -- |
| 4 | Vipdomet metformin, alogliptin Analogue hauv kev taw qhia thiab txoj kev siv | 55 RUB | 1750 UAH |
| 5 | Sinjardi empagliflozin, metformin hydrochloride Analogue hauv kev taw qhia thiab txoj kev siv | 240 rub | -- |
Thaum xam xyuas tus nqi pheej yig analogues Combogliz Prolong tus nqi yam tsawg kawg nkaus uas tau pom hauv daim ntawv teev tus nqi muab los ntawm cov khw muag tshuaj tau raug coj los suav
| # | Npe | Nqe hauv Lavxias | Nqe hauv Ukraine |
|---|---|---|---|
| 1 | Vipdomet metformin, alogliptin Analogue hauv kev taw qhia thiab txoj kev siv | 55 RUB | 1750 UAH |
| 2 | Gentadueto linagliptin, metformin Analogue hauv kev taw qhia thiab txoj kev siv | -- | -- |
| 3 | Janumet metformin, sitagliptin Analogue hauv kev taw qhia thiab txoj kev siv | 9 RUB | 1 UAH |
| 4 | Glibomet glibenclamide, metformin Analogue hauv kev taw qhia thiab txoj kev siv | 257 rub | 101 UAH |
| 5 | Avandamet Analogue hauv kev taw qhia thiab txoj kev siv | -- | -- |
Muab daim ntawv teev cov tshuaj analogues raws li kev txheeb cais ntawm cov tshuaj feem ntau thov
Analogs hauv kev muaj pes tsawg leeg thiab qhia txog kev siv
| Npe | Nqe hauv Lavxias | Nqe hauv Ukraine |
|---|---|---|
| Tripride glimepiride, metformin, pioglitazone | -- | 83 UAH |
| Comboglize XR metformin, saxagliptin | -- | 424 UAH |
Cov npe saum toj no ntawm cov yeeb tshuaj analogues, uas qhia hloov Combogliz Prolong, yog qhov tsim nyog tshaj plaws vim tias lawv muaj tib cov tshuaj sib luag thiab sib luag ua ke raws li kev taw qhia rau kev siv
Analogs los ntawm qhov taw qhia thiab cov qauv ntawm kev siv
| Npe | Nqe hauv Lavxias | Nqe hauv Ukraine |
|---|---|---|
| Amaryl M Limepiride Micronized, Metformin Hydrochloride | 856 rub | 40 UAH |
| Glibomet glibenclamide, metformin | 257 rub | 101 UAH |
| Glucovans glibenclamide, metformin | 34 RUB | 8 UAH |
| Dianorm-m Glyclazide, Metformin | -- | 115 UAH |
| Dibizid-m glipizide, metformin | -- | 30 UAH |
| Douglimax glimepiride, metformin | -- | 44 UAH |
| Duotrol glibenclamide, metformin | -- | -- |
| Gluconorm | 45 rub | -- |
| Glibofor metformin hydrochloride, glibenclamide | -- | 16 UAH |
| Avandamet | -- | -- |
| Avandaglim | -- | -- |
| Janumet metformin, sitagliptin | 9 RUB | 1 UAH |
| Velmetia metformin, sitagliptin | 6026 rub | -- |
| Galvus Met vildagliptin, metformin | 259 RUB | 1195 UAH |
| Gentadueto linagliptin, metformin | -- | -- |
| Vipdomet metformin, alogliptin | 55 RUB | 1750 UAH |
| Sinjardi empagliflozin, metformin hydrochloride | 240 rub | -- |
Sib txawv muaj pes tsawg leeg, tuaj yeem ua ke nyob rau hauv kev taw qhia thiab cov qauv ntawm daim ntawv thov
| Npe | Nqe hauv Lavxias | Nqe hauv Ukraine |
|---|---|---|
| Avantomed rosiglitazone, metformin hydrochloride | -- | -- |
| Bagomet Metformin | -- | 30 UAH |
| Glucofage metformin | 12 RUB | 15 UAH |
| Globophage xr metformin | -- | 50 UAH |
| Reduxin Met Metformin, Sibutramine | 20 RUB | -- |
| Dianormet | -- | 19 UAH |
| Diaformin metformin | -- | 5 UAH |
| Metformin metformin | 13 RUB | 12 UAH |
| Tshuaj Metformin sandoz metformin | -- | 13 UAH |
| Siofor | 208 rub | 27 UAH |
| Formin metformin hydrochloride | -- | -- |
| Emnorm EP Metformin | -- | -- |
| Megifort Metformin | -- | 15 UAH |
| Tshuaj hlau Metformin | -- | 20 UAH |
| Tshuaj Metamin SR Metformin | -- | 20 UAH |
| Metfogamma metformin | 256 rub | 17 UAH |
| Tefor metformin | -- | -- |
| Glycometer | -- | -- |
| Glycomet SR | -- | -- |
| Tshuaj nyob | 37 RUB | -- |
| Metformin Canon metformin, ovidone K 90, pob kws hmoov txhuv, crospovidone, magnesium stearate, talc | 26 RUB | -- |
| Insuffor metformin hydrochloride | -- | 25 UAH |
| Metformin-teva metformin | 43 txhuam | 22 UAH |
| Diaformin SR metformin | -- | 18 UAH |
| Mepharmil Metformin | -- | 13 UAH |
| Metformin Ua liaj ua teb Metformin | -- | -- |
| Glibenclamide Glibenclamide | 30 RUB | 7 UAH |
| Maninyl Glibenclamide | 54 rub | 37 UAH |
| Glibenclamide-Health Glibenclamide | -- | 12 UAH |
| Glyurenorm glycidone | 94 rub | 43 UAH |
| Bisogamma Glyclazide | 91 rub | 182 UAH |
| Glidiab Glyclazide | 100 tshiav | 170 UAH |
| Lawj Xeeb MR | -- | 92 UAH |
| Kev kuaj mob mr Gliclazide | -- | 15 UAH |
| Glidia MV Gliclazide | -- | -- |
| Glykinorm Gliclazide | -- | -- |
| Gliclazide Gliclazide | 231 rub | 44 UAH |
| Glyclazide 30 MV-Indar Glyclazide | -- | -- |
| Glyclazide-Kev Noj Qab Haus Huv Gliclazide | -- | 36 UAH |
| Glioral Glyclazide | -- | -- |
| Kev kuaj mob Gliclazide | -- | 14 UAH |
| Diazide MV Gliclazide | -- | 46 UAH |
| Osliklid Gliclazide | -- | 68 UAH |
| Diadeon gliclazide | -- | -- |
| Glyclazide MV Gliclazide | 4 RUB | -- |
| Amaril | 27 RUB | 4 UAH |
| Glemaz glimepiride | -- | -- |
| Glian glimepiride | -- | 77 UAH |
| Glimepiride Glyride | -- | 149 UAH |
| Glimepiride diapiride | -- | 23 UAH |
| Thaj neeb | -- | 12 UAH |
| Glimax glimepiride | -- | 35 UAH |
| Glimepiride-Lugal glimepiride | -- | 69 UAH |
| Av nplaum glimepiride | -- | 66 UAH |
| Diabrex glimepiride | -- | 142 UAH |
| Meglimide glimepiride | -- | -- |
| Melpamide Glimepiride | -- | 84 UAH |
| Perinel glimepiride | -- | -- |
| Glempid | -- | -- |
| Raug Tsim | -- | -- |
| Glimepiride glimepiride | 27 RUB | 42 UAH |
| Glimepiride-Teva glimepiride | -- | 57 UAH |
| Glimepiride Canon glimepiride | 50 RUB | -- |
| Glimepiride Pharmstandard glimepiride | -- | -- |
| Dimaril glimepiride | -- | 21 UAH |
| Glamepiride diamerid | 2 RUB | -- |
| Voglibose Oxide | -- | 21 UAH |
| Glutazone pioglitazone | -- | 66 UAH |
| Dropia Sanovel pioglitazone | -- | -- |
| Januvia sitagliptin | 1369 rub | 277 UAH |
| Galvus vildagliptin | 245 RUB | 895 UAH |
| Onglisa saxagliptin | 1472 RUB | 48 UAH |
| Nesina alogliptin | -- | -- |
| Vipidia alogliptin | 350 rub | 1250 UAH |
| Trazhenta linagliptin | 89 rub | 1434 UAH |
| Lixumia lixisenatide | -- | 2498 UAH |
| Guarem Guar cob | 9950 rub | 24 UAH |
| Insvada repaglinide | -- | -- |
| Novonorm Repaglinide | 30 RUB | 90 UAH |
| Cov Chaw Tshaj Tawm Repaglinide | -- | -- |
| Baeta Exenatide | 150 rub | 4600 UAH |
| Baeta Ntev Exenatide | 10248 rub | -- |
| Viktoza liraglutide | 8823 rub | 2900 UAH |
| Saxenda liraglutide | 1374 rub | 13773 UAH |
| Forksiga Dapagliflozin | -- | 18 UAH |
| Forsiga Dapagliflozin | 12 RUB | 3200 UAH |
| Invocana canagliflozin | 13 RUB | 3200 UAH |
| Jardins Empagliflozin | 222 RUB | 566 UAH |
| Trulicity Dulaglutide | 115 RUB | -- |
Yuav ua li cas thiaj nrhiav tau qhov pheej yig tshuaj ntawm cov tshuaj kim?
Txhawm rau kom pom qhov pheej yig cov khoom sib piv rau cov tshuaj, cov dav dav lossis cov lus sau, ua ntej txhua yam peb pom zoo kom them sai sai rau qhov muaj pes tsawg leeg, uas yog rau tib cov tshuaj nquag thiab qhia tau rau kev siv. Cov tshuaj sib xyaw zoo ib yam ntawm cov tshuaj yuav qhia tau tias cov tshuaj cuam tshuam nrog cov tshuaj, kws tshuaj sib npaug lossis chaw muag tshuaj. Txawm li cas los xij, tsis txhob hnov qab txog qhov ua tsis muaj zog ntawm cov tshuaj uas zoo sib xws, uas tuaj yeem cuam tshuam kev nyab xeeb thiab ua haujlwm. Tsis txhob hnov qab txog cov lus qhia ntawm cov kws kho mob, kev noj tshuaj rau nws tus kheej tuaj yeem tsim kev puas tsuaj rau koj kev noj qab haus huv, yog li nco ntsoov sab laj nrog koj tus kws kho mob ua ntej siv cov tshuaj.
Combogliz Qhia kom ntev
LUS QHIA ATX Code: Yam tshuaj muaj yees Dosage daim ntawv Tso tawm daim ntawv, muaj pes tsawg leeg thiab ntim khoom Combogliz Prolong yog ib hom tshuaj hypoglycemic. Nws yog tshuaj rau ntshav qab zib hauv hom ob. Txhawm rau rau txoj kev kho tshuaj kom nqa tau cov txiaj ntsig, txoj kev kho yuav tsum ua ke nrog kev noj haus thiab kis las. Cov tshuaj muaj ob lub ntsiab: metformin thiab saxagliptin. Ntxiv rau lawv, ntsiav tshuaj muaj cov khoom siv xws li magnesium stearate, sodium carmellose, hypromellose. Ua tsaug rau metformin, ntshav qabzib ua kom ntau ntxiv. Ib qho ntxiv, nws pab:
ntawm kev siv cov tshuaj
Combogliz Prolong
A10BD10 (Metformin txuam nrog saxagliptin)
Tshuaj metformin (metformin) Rov sau npe los ntawm WHO
saxagliptin (saxagliptin) Rov qab los ntawm WHO
tab. nrog muab hloov pauv. zaj duab xis txheej, 500 mg + 5 mg: 28 lossis 56 pcs.
Hloov Daim Ntawv Tso Tawm, Zaj Duab-Txheej Txheej 1 Tab.
metformin 500 mg
saxagliptin 5 mg
7 Pcs - hlwv (4) - pob khoom los ntawm cardboard.Thov
Qhov thib ob tivthaiv yog saxagliptin. Nws txhawb nqa kev tso tawm cov tshuaj hormones incretin tawm. Qhov tom kawg yog qhov tsim nyog los tsim kho cov tshuaj insulin. Nyob rau hauv kev cuam tshuam ntawm saxagliptin ntawm lub cev, qib ntawm cov tshuaj insulin hauv cov ntshav tsis qis sai sai.
Daim ntawv thov nta
Cov kev tshawb fawb txog kev siv cov tshuaj hypoglycemic hauv cov pojniam cev xeeb tub thiab pub mis niam tsis tau ua. Kev siv cov tshuaj tsis pom zoo hauv cov khoom no. Cov tshuaj yog contraindicated rau hauv cov menyuam yaus hnub nyoog qis dua 18 xyoo.
Kev siv cov tshuaj nyob rau hauv lub hnub nyoog laus yog vim qee qhov nta. Qhov ua haujlwm tsis txaus ntawm cov kab mob tso zis rau lub sijhawm hnub nyoog no yuav tsum ceev faj rau kev kho mob. Qhov no yog vim muaj qhov tseeb tias qee qhov tawm ntawm cov feem ntawm cov tshuaj (saxagliptin thiab metformin) yog nqa los ntawm lub raum.
Nws raug nquahu kom ua tib zoo coj tus neeg sawv cev hypoglycemic no rau cov neeg uas raug mob pancreatitis. Qhov no yog vim muaj cov ntaub ntawv tsis muaj tseeb hais txog kev sib raug zoo ntawm kev siv tshuaj thiab qhov ntxim nyiam ntawm tus mob.
Tso Tawm Cov Ntawv
Cov twj muaj nyob hauv daim ntawv ntawm cov ntsiav tshuaj. Lawv zoo li tsiav tshuaj nyob rau hauv tsos thiab yog them nrog zaj duab xis tshwj xeeb nyob rau sab saum toj. Nws cov xim yog nyob ntawm qhov ntau npaum ntawm cov tshuaj. Cov xim daj qhia cov ntsiab lus ntawm 1000 mg ntawm metformin ua ke nrog saxagliptin (hauv qhov ntau npaum li 2.5 mg). Qhov ntxoov ntxoo liab ntawm cov ntsiav tshuaj qhia tias muaj pes tsawg leeg hauv qab no: 1000 mg ntawm metformin thiab 5 mg ntawm saxagliptin. Thaum cov tshuaj ntsiav yog lub teeb kas fes hauv cov xim, cov ntsiav tshuaj muaj 500 mg ntawm metformin thiab 5 mg ntawm saxagliptin. Hauv pob blister ntawm 7 ntsiav tshuaj. Kev ntim cov thawv ntawv yuav muaj 4 lossis 8 lub hlwv. Txhua pob ntawv muaj cov lus qhia rau kev siv.
Cov lus qhia rau kev siv
Combogliz Prolong noj 1 zaug nyob rau ib hnub. Lub sij hawm siab yog cov pluas mov kawg. Cov tshuaj yuav tsum yog qaug rau nws tus kheej, tsis muaj kev sib faib.
Ib qho ntawm cov tshuaj ntawm cov tshuaj - metformin raug tso tawm feem ntau los ntawm lub raum, yog li yuav tsum kuaj ua ntej. Qhov no yog qhov tseem ceeb nyob rau hauv kev txiav txim siab kom tsis txhob muaj qhov raum tsis ua haujlwm lossis lwm txoj kev ua haujlwm ntawm lub raum ua haujlwm.
Thaum yuav muaj kev phais mob tom ntej, nres kev siv cov tshuaj no. Qhov tshwj xeeb yog kev siv dag siv uas tsis cuam tshuam txog kev txwv kev noj zaub mov thiab dej haus. Tom qab kev phais mob, kev siv cov tshuaj no rov ua haujlwm dua thaum lub raum ua haujlwm rov qab thiab tus neeg mob tuaj yeem siv tshuaj kho qhov ncauj.
Cov Yuav Tsum Tau Ua
Hauv qee kis, kev siv cov tshuaj Combogliz Prolong yog txwv tsis pub. Cov xwm txheej no suav nrog cov ntsiab lus hauv qab no:
- lub xub ntiag ntawm ib tus neeg muaj zog rhiab heev rau cov khoom tuaj ntawm cov khoom,
- kev txheeb xyuas cov kev tsis haum siab ntawm qhov tshwj xeeb rhiab rau DPP-4 inhibitors hauv daim ntawv ntawm anaphylactic shock lossis angioedema,
- muaj cov ntshav qab zib mellitus hauv thawj hom, vim tias tsis muaj ntaub ntawv sau tseg txog kev siv tshuaj rau tus kabmob no,
- nyob rau hauv txoj siv nrog cov tshuaj insulin,
- cov kab mob ua tsis taus haujlwm, piv txwv li, tsis muaj kam rau ua los ntawm cov quav yeeb tshuaj xws li galactose,
- cev xeeb tub thiab lactation,
- lub hnub nyoog txog 18 xyoo,
- pathologies ntawm kev ua haujlwm ntawm lub raum, nyob rau hauv qhov kev ntsuas cov ntshav creatinine yog ≥1.5 mg / dL (rau cov txiv neej), ≥1.4 mg / dL (rau cov poj niam), lossis creatinine clearance qis,
- pathological ua haujlwm ntawm lub raum tshwm sim los ntawm pathologies ntawm lub plawv lossis hlab ntsha,
- cov kab mob siab ntsig txog cuam tshuam nrog kev txhim kho ntawm kev ua hauj lwm ntawm lub raum: cov txheej txheem lub cev qhuav dej vim ntuav los yog tso quav, ua npaws, kab mob tshwm sim los ntawm kev kis tus kab mob, ua tsis tau pa oxygen metabolism,
- ua txhaum ntawm cov kua qaub-puag hauv lub xeev ntawm ntau yam ntaub ntawv,
- muaj cov kab mob txaus ntshai rau kev ua txhaum ntawm oxygen xa mus rau cov ntaub so ntswg (piv txwv li, nrog ntau yam kev tsis muaj txhij txhua, mob myocardial infarction)
- phais mob los yog raug mob uas yuav tsum tau muaj kev tswj kav dej ntawm cov tshuaj insulin,
- daim siab pathology
- muaj nyob hauv keeb kwm ntawm cov neeg quav dej quav cawv ntev los yog mob hnyav nrog ib hom cawv uas muaj cawv,
- qhov tshwm sim ntawm cov kab mob lactic acidosis,
- ob hnub ua ntej thiab tom qab txoj kev tshawb no siv radioisotopes lossis xoo hluav taws xob,
- cov khoom noj uas tsis muaj calorie tsawg (Dosage
Tus nqi ntawm cov tshuaj uas tus neeg mob yuav tsum noj yog xaiv los ntawm tus kws kho mob tom qab ua tiav txhua qhov kev kuaj mob tsim nyog. Yog tias kev kho mob yog ua nrog ob qho kev npaj ua ntej uas muaj cov tshuaj xws li saxagliptin thiab metformin, ces tus nqi ntawm thawj ntawm lawv yog 5 mg ib hnub ib zaug.
Hauv qhov no, metformin yuav tsum xub noj 500 mg ib hnub ib zaug. Maj mam nce tus naj npawb hauv kev txiav txim siab txhawm rau txo txoj kev pheej hmoo tsis zoo uas cuam tshuam nrog lub plab zom mov. Qhov siab tshaj plaws (ib hnub) tau txiav txim siab hauv qab no ntau npaum li cas: rau saxagliptin - 5 mg, rau metformin - 2000 mg.
Kev siv zog ib txhij ntawm cov tshuaj tiv thaiv muaj zog ntawm CYP3A4 / 5 isoenzymes (piv txwv li, ketoconazole) xav kom txo qis ntawm saxagliptin rau 2.5 mg ib hnub ib zaug.
Sab sij huam
Qee zaum, yog tias cov tshuaj siv tsis raug, tus neeg mob yuav cuam tshuam los ntawm cov tshuaj tiv thaiv tsis zoo. Lub rooj qhia tau cov kev mob tshwm sim feem ntau thaum siv Combogliz Prolong.
Cov kev mob tsis zoo (kev kho nrog ib qho ntawm cov txhais tau tias thiab cov kev kho ntxiv).
- mob taub hau
- cov kab mob ntawm ib qho kev sib kis tau hauv tus qauv genitourinary,
- mob plab thiab ntuav,
- thrombocytopenia
- lymphocytopenia (nrog rau siv ntev),
- txos theem ntawm cov vitamin B12 hauv lub cev (nrog rau siv ntev)
- cov quav poob haujlwm
- cov piam thaj hauv ntshav tsawg
- nasopharyngitis,
- daim tawv nqaij ua pob ntawm hom urticaria,
- mob hnyuv
- o rau lub ntsej muag,
- mob txhaj thuv tas.
- zawv plab
- kev xav ntawm xeev siab
- txhim kho roj ntau lawm,
- ntuav
- pathology ntawm saj cov kev xav.
Ntawm cov txheej txheem tseem ceeb rau ib qho yeeb tshuaj, suav nrog rau Combogliz Prolong, paub qhov txawv txav thiab cov nqi. Qhov tom kawg yog txiav txim siab los ntawm daim ntawv tso tawm. Tus nqi ntawm cov tshuaj sib txawv raws li cov kev txwv hauv qab no:
- nrog rau qhov ntau npaum ntawm 1000 mg thiab 5 mg (hauv qhov pom ntawm 28 ntsiav tshuaj hauv ib pob): ntawm 2730 txog 3250 rubles,
- nrog kev tshuaj ntawm 1000 mg thiab 2.5 mg (hauv qhov muaj 56 ntsiav tshuaj rau ib pob): ntawm 2600 txog 3130 rubles.
Tus nqi siab ntawm cov tshuaj yog vim qhov tseeb tias nws yog ntshuam. Lub teb chaws tsim khoom yog Aas.
Qee qhov xwm txheej, nrog kev kho nrog Combogliz Prolong, kev tsis zoo ntawm lub cev tshwm sim. Qhov no yuav yog vim qhov tsis qaug rau cov khoom siv txheej, muaj cov khoom tsis sib haum. Nyob rau hauv cov xwm txheej zoo li no, txoj kev kho qhov tseeb ntawm txoj kev kho yog tsim nyog. Tsuas yog tus kws kho mob tuaj yeem xaiv lwm cov tshuaj raws ntawm cov ntaub ntawv kev tshuaj xyuas tus neeg mob.
Ntawm cov analogues ntawm cov tshuaj Combogliz Prolong xaiv ib qho ntawm cov sib txuam lossis sib txuam nrog cov tshuaj. Thawj pawg yog sawv cev los ntawm cov tshuaj hauv qab no:
- Janumet - cov tshuaj uas muaj ob qho tseem ceeb: metfomin thiab saxagliptin. Ntawm nws qhov zoo, qhov tseem ceeb yog qhov tseem ceeb ntawm kev siv tshuaj nyob rau hauv ua ke nrog kev kho mob insulin thiab gamma receptor agonists. Tus nqi ntawm cov tshuaj yog los ntawm peb txhiab rubles.
- Galvus Met suav nrog vildagliptin thiab metfomin. Txawm hais tias muaj qee qhov sib txawv hauv cov muaj pes tsawg leeg, cov tshuaj, zoo li Combogliz Prolong, muaj cov nyhuv hypoglycemic. Tib lub sijhawm, kev siv tshuaj insulin, kev kho mob nrog sulfonylureas, metformin tuaj yeem nqa tawm. Qhov nruab nrab, tus nqi ntawm ib pob ntawm 30 ntsiav tshuaj yog ib thiab ib nrab txhiab rubles.
- Comboglize Xr - cov tshuaj uas muaj cov nyhuv hypoglycemic. Qhov no yog vim muaj cov ntsiab lus ntawm metformin thiab saxagliptin. Cov koob tshuaj ntawm cov tshuaj tau txiav txim siab los ntawm kws kho mob tom qab kuaj xyuas tus neeg mob. Ntawm cov kev tsis sib haum xeeb ntawm cov tshuaj, ncua sij hawm ntawm cev xeeb tub, lactation, menyuam lub hnub nyoog txog 18 xyoo yog qhov txawv. Qhov tshwm sim tsis zoo thiab cuam tshuam los ntawm kev noj Comboglyz Xr zoo ib yam li cov uas muaj tshwm sim tom qab siv Combogliz Prolong. Tus nqi nruab nrab rau pob tshuaj (ntawm 28 ntsiav tshuaj) yog 1,600 rubles.
- Glimecomb - Ua ke nrog tshuaj hypoglycemic. Cov tshuaj hauv tshuaj muaj ob lub cev ua haujlwm: metformin hydrochloride thiab gliclazide. Tsuas tshuaj yuav nyob ntawm cov ntshav qab zib. Thaum kho, yuav tsum tau noj zaub mov kom tsis tu ncua. Kev noj haus yuav tsum muaj me me ntawm cov carbohydrates. Nyob rau tib lub sijhawm, noj tshais yog qhov yuav tsum tau ua tiav thaum sawv ntxov. Tus nqi nyob ntawm seb qhov ntau npaum thiab daim ntawv ntawm cov tshuaj. Qhov nruab nrab, tus nqi yog hom twg los ntawm 246 rubles. mus txog 497 rubles.
- Avandamet - Nov yog lwm tus neeg sawv cev hypoglycemic. Cov tshuaj muaj pes tsawg leeg suav nrog cov tshuaj nquag muaj xws li rosiglitazone (hauv hom ua txiv neej) thiab metformin hydrochloride. Cov kev sib txuas ua ke no ib leeg ua tiav, muab kev txo cov ntshav qab zib. Kev siv cov tshuaj yog ywj pheej ntawm kev ua zaub mov noj. Txawm li cas los xij, kev siv cov tshuaj thaum lub sijhawm lossis tom qab noj mov txo qhov kev pheej hmoo ntawm kev phiv tshuaj. Tus nqi hauv cov khw muag tshuaj txawv ntawm 1398 txog 1526 rubles.
Ntawm cov tshuaj tivthaiv ib-zaug tau ntxiv, muaj:
- Gliformin Prolong - ib qho cuab yeej uas muaj ib lub caij - metformin. Cov tshuaj yog siv hauv monotherapy. Tab sis nws tuaj yeem siv ua ke, piv txwv li, nrog insulin lossis lwm yam tshuaj muaj suab thaj. Tus nqi nyob ntawm 224 txog 508 rubles.
- Ntsia hauv qabCov. Lub hauv paus ntawm cov tshuaj yog metformin. Nws tuaj yeem siv hauv kev kho mob sib xyaw siv cov tshuaj insulin. Tus nqi nws txawv ntawm 90 txog 770 rubles, nyob ntawm seb ntau npaum li cas ntawm cov tshuaj.
- Onglisa Nws muaj ib qho kev tivthaiv nquag - saxagliptin nyob rau hauv daim ntawv ntawm hydrochloride. Nws yog siv ob qho tib si nrog monotherapy thiab raws li ib feem ntawm txoj kev kho mob. Kev tswj hwm tib lub sij hawm ntawm insulin yog contraindicated. Tus nqi nyob rau hauv cov khw muag tshuaj txawv ntawm 1594 txog 2195 rubles.
- SioforCov. Cov tshuaj nquag ua haujlwm ntawm cov tshuaj yog metformin hydrochloride. Vim tias txo qis hauv lub siab, cov tshuaj pab txo qhov hnyav hauv lub cev. Tus nqi ntawm Siofor nyob rau nruab nrab yog los ntawm 238 txog 293 rubles.
Noj ntau dhau
Kev noj tshuaj ntau dhau yog ua tau nrog kev siv tsis raug lossis siv rau lub sijhawm ntev. Nrog rau kev siv saxagliptin ntev thiab paub cov cim ntawm kev siv ntau tshaj, tus txheej txheem hemodialysis raug kho. Ib qho ntxiv, kev kho mob yam ntxwv ua tau.
Feem ntau, kev siv ntau tshaj ntawm metformin tshwm sim. Qhov no yog qhia los ntawm hypoglycemia thiab lactic acidosis, feem ntau nrog los ntawm kev ua haujlwm tsis zoo hauv lub raum. Qhov xwm txheej kawg, mob lactic acidosis, yog ib qho mob tsis txaus rau lub cev. Nws yog txuam nrog kev nce ntxiv hauv kev saib xyuas cov metformin hauv cov ntshav tshaj 5 μg / ml. Ntawm cov cim ntawm cov kab mob lactic acidosis yog:
- qaug zog,
- ua pa tsis ua hauj lwm
- mob hauv plab
- txos cov ntshav siab
- txos qhov kub ntawm lub cev
- mob leeg
- tiv taus bradyarrhythmia.
Cov kab mob lactic acid tuaj yeem txhim kho imperceptibly, yog li tshwj xeeb yuav tsum tau them rau qhov tshwm sim ntawm cov cim tsis tseem ceeb. Qhov tsos ntawm ib qho piav qhia ntawm malaise xav tau hu rau kws kho mob. Yog tias pom muaj cov xwm txheej saum toj no, lactic acidosis tau nqa tawm:
- tswj cov ntshiab electrolytes,
- kawm txog ketone lub cev,
- kuaj ntshav qab zib,
- ntshav pH tshuaj xyuas
- qib lactate tswj,
- kev kawm txog cov metformin hauv kev kuaj ntshav.
Cov neeg mob uas siv cov tshuaj metformin hauv kev kho mob lossis nrog txoj kev kho mob nyuaj yuav tsum nco ntsoov tias lactic acidosis yuav tsum tau kho nyob hauv tsev kho mob. Hauv rooj plaub tsis saib xyuas, nyob rau qhov tsis muaj kev kho mob sijhawm, tsis meej pem tshwm sim, ua rau txoj kev txhim kho tsis nco qab. Ntawm cov tsos mob ntawm cov hypoglycemia, muaj:
- nkees
- qhov zoo li kiv taub hau,
- tsaus muag
- tsaug zog
- qhov tshwm sim ntawm qhov kev xav tsis zoo tas mus li.
Txhawm rau kom tshem tawm cov tshuaj metformin, ua haujlwm kho mob hemodialysis. Txawm li cas los xij, thaum siv cov tshuaj, nws yog ib qho tsim nyog los saib xyuas tus neeg mob lub sijhawm. Txhua qhov kev phiv tshuaj twg yuav tsum ceeb toom rau koj tus kws kho mob.
Lub hom phiaj ntawm cov tshuaj Combogliz Prolong, kev tshuaj xyuas zoo ntawm uas feem ntau yeej, yog nqa los ntawm tus kws kho mob tom qab kev kuaj mob tsim nyog. Tsis txhob saib xyuas tus kheej. Qhov ntau thiab tsawg txoj kev noj tshuaj tuaj yeem tsuas yog txiav txim los ntawm tus kws tshwj xeeb. Txwv tsis pub, muaj qhov pheej hmoo ntawm kev tsim cov kev tsis zoo lossis cov cim ntawm kev haus ntau dhau. Muaj ntshav qab zib hom 2, koj tuaj yeem nyob nrog kev thaj yeeb, qhov tseem ceeb yog tswj hwm koj tus mob thiab mus ntsib kws kho mob.
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Kuv yuav kuaj ntshav qab zib qhov twg thiab nws yuav raug nyiaj npaum li cas: chaw kuaj mob thiab lawv cov nqi
Kev kuaj mob thiab kev soj ntsuam mob ntshav qab zib mellitus thiab kab mob ntshav ntswg ua haujlwm Lub npe ntawm kev pabcuam A09.05.083 Kev kawm txog glycated hemoglobin theem hauv ntshav 630 A09.05.023 Kawm txog ntshav qabzib theem 170 A09.28. ... -
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