Metformin-Teva analogues

Cov nplooj ntawv no muab cov npe ntawm txhua qhov Metformin-Teva analogues hauv kev muaj pes tsawg leeg 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 Metformin-Teva:Ntsia hauv qab
  • Cov khoom noj nrov tshaj plaws ntawm Metformin-Teva:Metformin
  • Kev faib tawm ATX: Metformin
  • Cov khoom xyaw nquag / muaj pes tsawg leeg: metformin

#NpeNqe hauv LavxiasNqe hauv Ukraine
1Ntsia hauv qab metformin
Analogue nyob rau hauv muaj pes tsawg leeg thiab qhia tau
12 RUB15 UAH
2Metformin metformin
Analogue nyob rau hauv muaj pes tsawg leeg thiab qhia tau
13 RUB12 UAH
3Reduxin Met metformin, sibutramine
Analogue nyob rau hauv muaj pes tsawg leeg thiab qhia tau
20 RUB--
4Metformin Canon metformin, ovidone K 90, pob kws hmoov txhuv, crospovidone, magnesium stearate, talc
Analogue nyob rau hauv muaj pes tsawg leeg thiab qhia tau
26 RUB--
5Formine Analogue nyob rau hauv muaj pes tsawg leeg thiab qhia tau37 RUB--

Thaum xam xyuas tus nqi pheej yig analogues Metformin-Teva 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

#NpeNqe hauv LavxiasNqe hauv Ukraine
1Metformin metformin
Analogue nyob rau hauv muaj pes tsawg leeg thiab qhia tau
13 RUB12 UAH
2Reduxin Met metformin, sibutramine
Analogue nyob rau hauv muaj pes tsawg leeg thiab qhia tau
20 RUB--
3Siofor Analogue nyob rau hauv muaj pes tsawg leeg thiab qhia tau208 rub27 UAH
4Ntsia hauv qab metformin
Analogue nyob rau hauv muaj pes tsawg leeg thiab qhia tau
12 RUB15 UAH
5Formine Analogue nyob rau hauv muaj pes tsawg leeg thiab qhia tau37 RUB--

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

NpeNqe hauv LavxiasNqe hauv Ukraine
Bagomet Metformin--30 UAH
Glucofage metformin12 RUB15 UAH
Globophage xr metformin--50 UAH
Reduxin Met Metformin, Sibutramine20 RUB--
Dianormet --19 UAH
Diaformin metformin--5 UAH
Metformin metformin13 RUB12 UAH
Tshuaj Metformin sandoz metformin--13 UAH
Siofor 208 rub27 UAH
Formin metformin hydrochloride----
Emnorm EP Metformin----
Megifort Metformin--15 UAH
Tshuaj hlau Metformin--20 UAH
Tshuaj Metamin SR Metformin--20 UAH
Metfogamma metformin256 rub17 UAH
Tefor metformin----
Glycometer ----
Glycomet SR ----
Tshuaj nyob 37 RUB--
Metformin Canon metformin, ovidone K 90, pob kws hmoov txhuv, crospovidone, magnesium stearate, talc26 RUB--
Insuffor metformin hydrochloride--25 UAH
Diaformin SR metformin--18 UAH
Mepharmil Metformin--13 UAH
Metformin Yawg Liaj Ua Teb Metformin----

Cov npe saum toj no ntawm cov yeeb tshuaj analogues, uas qhia Metformin-Teva Hloov Hloov, 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

Sib txawv muaj pes tsawg leeg, tuaj yeem ua ke nyob rau hauv kev taw qhia thiab cov qauv ntawm daim ntawv thov

NpeNqe hauv LavxiasNqe hauv Ukraine
Avantomed rosiglitazone, metformin hydrochloride----
Glibenclamide Glibenclamide30 RUB7 UAH
Maninyl Glibenclamide54 rub37 UAH
Glibenclamide-Health Glibenclamide--12 UAH
Glyurenorm glycidone94 rub43 UAH
Bisogamma Glyclazide91 rub182 UAH
Glidiab Glyclazide100 tshiav170 UAH
Lawj Xeeb MR --92 UAH
Kev kuaj mob mr Gliclazide--15 UAH
Glidia MV Gliclazide----
Glykinorm Gliclazide----
Gliclazide Gliclazide231 rub57 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 Gliclazide4 RUB--
Amaril 27 RUB4 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 glimepiride27 RUB42 UAH
Glimepiride-teva glimepiride--57 UAH
Glimepiride Canon glimepiride50 RUB--
Glimepiride Pharmstandard glimepiride----
Dimaril glimepiride--21 UAH
Glamepiride diamerid2 RUB--
Amaryl M Limepiride Micronized, Metformin Hydrochloride856 rub40 UAH
Glibomet glibenclamide, metformin257 rub101 UAH
Glucovans glibenclamide, metformin34 RUB8 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, sitagliptin9 RUB1 UAH
Velmetia metformin, sitagliptin6026 rub--
Galvus Met vildagliptin, metformin259 RUB1195 UAH
Tripride glimepiride, metformin, pioglitazone--83 UAH
Comboglize XR metformin, saxagliptin--424 UAH
Comboglyz Prolong metformin, saxagliptin130 rub--
Gentadueto linagliptin, metformin----
Vipdomet metformin, alogliptin55 RUB1750 UAH
Sinjardi empagliflozin, metformin hydrochloride240 rub--
Voglibose Oxide--21 UAH
Glutazone pioglitazone--66 UAH
Dropia Sanovel pioglitazone----
Januvia sitagliptin1369 rub277 UAH
Galvus vildagliptin245 RUB895 UAH
Onglisa saxagliptin1472 RUB48 UAH
Nesina alogliptin----
Vipidia alogliptin350 rub1250 UAH
Trazhenta linagliptin89 rub1434 UAH
Lixumia lixisenatide--2498 UAH
Guarem Guar cob9950 rub24 UAH
Insvada repaglinide----
Novonorm Repaglinide30 RUB90 UAH
Cov Chaw Tshaj Tawm Repaglinide----
Baeta Exenatide150 rub4600 UAH
Baeta Ntev Exenatide10248 rub--
Viktoza liraglutide8823 rub2900 UAH
Saxenda liraglutide1374 rub13773 UAH
Forksiga Dapagliflozin--18 UAH
Forsiga Dapagliflozin12 RUB3200 UAH
Invocana canagliflozin13 RUB3200 UAH
Jardins Empagliflozin222 RUB566 UAH
Trulicity Dulaglutide115 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.

Cov lus qhia Metformin-Teva


Pharmacological kev txiav txim
Metformin inhibits gluconeogenesis nyob rau hauv daim siab, txo qhov nqus ntawm cov piam thaj los ntawm cov hnyuv, txhim kho kev siv ntu ntawm cov piam thaj, thiab tseem ua rau kev nkag siab ntawm cov ntaub so ntswg mus rau insulin. Nws tsis cuam tshuam qhov zais cia ntawm insulin los ntawm beta hlwb ntawm tus txiav, tsis ua rau kev tsis tuaj yeem tshwm sim. Txo cov theem ntawm triglycerides thiab qis linoproteins hauv cov ntshav. Stabilizes lossis txo qhov hnyav lub cev. Nws muaj cov nyhuv fibrinolytic vim yog kev tsuj tawm ntawm cov nqaij plasminogen activator inhibitor.

Cov Tshuaj Pharmacokinetics
Tom qab lub qhov ncauj tswj hwm, metformin yog nqus los ntawm cov hnyuv. Bioavailability tom qab noj cov qauv tshuaj yog 50-60%. Cmax hauv cov ntshav plasma tau mus txog 2.5 teev tom qab noj. Nws xyaum tsis khi rau cov plasma protein. Nws accumulates nyob rau hauv salivary qog, nqaij, mob siab thiab ob lub raum. Nws yog tawm tawm tsis hloov pauv los ntawm ob lub raum. T1 / 2 yog 9-12 teev. Nrog kev ua haujlwm tsis zoo hauv lub raum, kom cov tshuaj ntau tau.

Cov Khoom Qhia
- mob ntshav qab zib mellitus hom 2 yam tsis muaj ketoacidosis (tshwj xeeb tshaj yog rau cov neeg mob rog rog) nrog qhov tsis muaj txiaj ntsig ntawm kev noj zaub mov noj,
- hauv kev sib xyaw nrog cov tshuaj insulin - rau hom 2 mob ntshav qab zib mellitus, tshwj xeeb tshaj yog nrog kev tshaj tawm ntawm kev rog, nrog rau cov kab mob insulin ua hauj lwm.

Kev noj tshuaj ntxiv
Cov koob tshuaj ntawm lub tshuaj yog teem los ntawm tus kws kho mob ib leeg zuj zus, nyob ntawm seb muaj qib ntshav qabzib hauv cov ntshav.
Thawj koob tshuaj yog 500-1000 mg / hnub (1-2 ntsiav tshuaj). Tom qab 10-15 hnub, nce ntxiv hauv koob tshuaj ntau dua yog ua tau raws cov qib ntshav qabzib.
Kev saib xyuas cov tshuaj ntawm cov tshuaj feem ntau yog 1500-2000 mg / hnub. (3-4 daim.) Qhov ntau kawg yog 3000 mg / hnub (6 ntsiav tshuaj).
Hauv cov neeg mob laus, cov koob tshuaj pom zoo txhua hnub yuav tsum tsis pub ntau dua 1 g (2 ntsiav tshuaj).
Metformin ntsiav tshuaj yuav tsum noj tag nrho thaum lossis noj mov tom qab noj mov nrog ib qho kua tsawg (ib khob dej). Txhawm rau txo cov kev phiv los ntawm txoj hnyuv plab, qhov kev muab tshuaj txhua hnub yuav tsum tau muab faib ua 2-3 zaug.
Vim tias muaj qhov pheej hmoo ntxiv ntawm cov kab mob lactic acidosis, cov koob tshuaj yuav tsum raug txo qis yog tias muaj kev cuam tshuam loj ntawm cov metabolism hauv lub cev.

Sab sij huam
Los ntawm lub plab zom mov: xeev siab, ntuav, nws yog xim hlau hauv lub qhov ncauj, tsis muaj qab los noj mov, raws plab, plooj, mob plab. Cov tsos mob no tshwj xeeb tshaj yog thaum pib kho thiab feem ntau yuav ploj mus ntawm lawv tus kheej. Cov tsos mob no tuaj yeem txo qis lub sijhawm ntawm anthocides, derivatives ntawm atropine lossis antispasmodics.
Los ntawm ib sab ntawm cov metabolism: hauv qee qhov tsawg - lactic acidosis (yuav tsum muaj kev kho mob tsis ua tiav), nrog kev kho mob mus ntev - hypovitaminosis B12 (malabsorption).
Los ntawm cov kabmob hemopoietic: qee kis - megaloblastic anemia.
Los ntawm cov kab ke endocrine: hypoglycemia.
Kev ua xua rau: xoo pob khaus.

Cov Yuav Tsum Muaj
- uas ketoacidosis, mob ntshav qab zib precoma, coma,
- Lub raum khiav tsis zoo,
- cov kab mob mob cuam tshuam nrog txoj kev pheej hmoo ntawm kev tsim muaj lub raum ua haujlwm: lub cev qhuav dej (nrog rau mob raws plab, ntuav), kub taub hau, mob hnyav kis, hypoxia (poob siab, sepsis, mob raum, kab mob bronchopulmonary),
- cov kab mob hais tawm tias yog mob thiab muaj mob ntev tuaj yeem ua rau kev loj hlob ntawm cov nqaij mos hypoxia (lub plawv lossis ua pa tsis ua haujlwm, mob myocardial infarction),
- Kev phais mob hnyav thiab raug mob (thaum insulin txoj kev qhia pom zoo),
- Lub siab ua haujlwm tsis zoo,
- ntev kev haus cawv, mob qaug dej qaug cawv,
- siv tsawg kawg yog 2 hnub ua ntej thiab nyob rau 2 hnub tom qab ua kev tshawb fawb radioisotope lossis xoo hluav taws xob nrog kev qhia ntawm iodine-contrast contrast medium,
- lactic acidosis (suav nrog keeb kwm),
- kev ua raws nraim rau kev noj zaub mov kom tsis txhob muaj calories ntau tsawg (tsawg dua 1000 cal / hnub),
- kev xeeb tub
- lub sijhawm lactation,
- Hypersensitivity rau cov tshuaj.
Nws tsis pom zoo kom siv cov tshuaj rau cov neeg laus dua 60 xyoo uas ua haujlwm lub cev hnyav, uas cuam tshuam nrog kev pheej hmoo ntawm kev tsim mob lactic acidosis hauv lawv.

Cev xeeb tub thiab lactation
Thaum npaj kev cev xeeb tub, nrog rau muaj xwm txheej thaum cev xeeb tub thaum noj Metformin, nws yuav tsum tso tseg thiab kev kho mob insulin yuav tsum tau kho. Txij li tsis muaj cov ntaub ntawv hais txog kev nkag mus rau hauv niam mis, cov tshuaj no yog sib kis hauv kev pub niam mis. Yog tias nws yuav tsum siv Metformip thaum pub niam mis, kev pub mis rau menyuam yuav tsum tsis ua mus ntxiv.

Cov lus qhia tshwj xeeb
Thaum kho, nws yog qhov yuav tsum tau saib xyuas lub raum ua haujlwm. Tsawg kawg 2 zaug hauv ib xyoos, nrog rau qhov pom ntawm myalgia, lub lactate cov ntsiab lus hauv cov ntshav yuav tsum txiav txim siab. Ntxiv rau, ib zaug txhua 6 lub hlis nws yog qhov tsim nyog los tswj theem ntawm creatinine hauv cov ntshav cov ntshav (tshwj xeeb tshaj yog nyob rau hauv cov neeg mob ntawm lub hnub nyoog qib siab). Tshuaj Metformin yuav tsum tsis txhob raug tshuaj yog tias qib creatinine hauv cov ntshav siab tshaj 135 μmol / L hauv cov txiv neej thiab 110 μmol / L hauv cov poj niam.
Tej zaum kev siv cov tshuaj Metformin txuam nrog sulfonylurea derivatives. Hauv qhov no, tshwj xeeb tshaj yog saib xyuas cov ntshav ntshav qab zib kom tsim nyog.
48 teev ua ntej thiab nyob hauv 48 teev tom qab radiopaque (urography, iv angiography), koj yuav tsum tsis txhob noj Metformin.
Yog tias tus neeg mob tau mob bronchopulmonary los yog tus kab mob sib kis ntawm cov kab mob genitourinary, cov kws kho mob uas koom nrog yuav tsum qhia tam sim.
Thaum kho, koj yuav tsum caiv tsis txhob haus cawv thiab tshuaj muaj ethanol. Cov.

Cuam tshuam rau kev muaj peev xwm tsav tsheb thiab tswj cov tshuab
Kev siv cov tshuaj rau hauv monotherapy tsis cuam tshuam rau lub peev xwm tsav tsheb thiab ua haujlwm nrog cov txheej txheem.
Thaum Metformin koom ua ke nrog lwm cov kab mob hypoglycemic (sulfonylurea derivatives, insulin), cov kev mob ntshav qab zib tsawg tuaj yeem txhim kho qhov uas muaj peev xwm tsav tsheb thiab koom nrog lwm cov kev phom sij uas xav tau kev nce siab ntxiv thiab cov tshuaj tiv thaiv psychomotor sai sai yog qhov tsis raug.

Noj ntau dhau
Nrog kev siv tshuaj ntau dhau ntawm Metformin, ib qho kab mob lactic acidosis nrog rau kev ua rau neeg tuag taus yog ua tau. Qhov ua rau kev txhim kho ntawm cov kab mob lactic acid tuaj yeem tseem yog kev ruaj khov ntawm cov tshuaj vim tias lub zog ua haujlwm tsis zoo.
Cov tsos mob ntawm tus kab mob lactic acidosis: xeev siab, ntuav, raws plab, txo qis lub cev kub, mob plab, mob nqaij, yav tom ntej yuav muaj kev ua pa ntau ntxiv, kiv taub hau, tsis hnov ​​qab thiab ua rau tsis nco qab lawm.
Kev Kho Mob : nyob rau hauv cov ntaub ntawv ntawm cov cim ntawm lactic acidosis, kev kho mob nrog Metformin yuav tsum tau nres tam sim ntawd, tus neeg mob yuav tsum tau mus pw hauv tsev kho mob sai thiab, tau txiav txim siab qhov concentration ntawm lactate, paub meej tias txoj kev kuaj mob. Qhov ua tau zoo tshaj plaws rau kev tshem tawm lactate thiab metformin los ntawm lub cev yog hemodialysis. Cov kev mob tshwm sim kuj yog nqa tawm.
Nrog kev kho ua ke nrog Metformin thiab sulfonylureas, cov ntshav qog ntshav qog ntshav tuaj yeem txhim kho.

Yeeb tshuaj sib cuam tshuam
Kev siv tib lub sijhawm sib xyaw ntawm danazol tsis pom zoo nyob rau hauv kev txiav txim kom tsis txhob muaj cov nyhuv hyperglycemic ntawm tom kawg. Yog tias kev kho mob nrog danazol yog qhov tsim nyog thiab tom qab txiav tom kawg, kev kho tshuaj metformin thiab iodine yuav tsum tswj hwm theem ntawm glycemia.
Kev sib xyaw ua ke xav tau kev saib xyuas tshwj xeeb: chlorpromazine - thaum noj ntau dua (100 mg / hnub) nce glycemia, txo qis kev tsim tawm ntawm insulin.
Hauv kev kho tshuaj tiv thaiv kev tiv thaiv thiab tom qab siv ceev xwmphem qhov ua kom haum rau tom kawg, kev kho tshuaj ntawm metformin yog qhov yuav tsum tau nyob hauv kev tswj hwm qib glycemia.
Nrog rau kev siv tib lub sijhawm nrog sulfonylurea derivatives, acarbose, insulin, NSAIDs, MAO inhibitors, oxytetracycline, ACE inhibitors, clofibrate derivatives, cyclophosphamide, β-blockers, nws yog qhov ua tau kom nce cov nyhuv hypoglycemic ntawm metformin.
Nrog rau kev siv tib lub sijhawm nrog GCS, qhov ncauj tawm tsam, epinephrine, sympathomimetics, glucagon, cov thyroid hormones, thiazide thiab voj diuretics, phenothiazine derivatives, nicotinic acid derivatives, txo qis hauv cov nyhuv hypoglycemic ntawm metformin yog ua tau.
Cimetidine qeeb kev tshem tawm ntawm metformin, uas ua rau muaj kev pheej hmoo ntawm lactic acidosis.
Metformin tej zaum yuav ua rau cov tshuaj anticoagulants tsis muaj zog (coumarin derivatives).
Cawv kev haus dej cawv ua rau muaj kev pheej hmoo ntawm kev tsim cov kab mob lactic acid thaum haus dej cawv ua rau qaug cawv, tshwj xeeb tshaj yog thaum muaj kev yoo mov lossis ua raws li cov zaub mov tsis zoo, nrog rau lub siab ua tsis tau.

Cov Cai Siv Tshuaj So
Cov tshuaj yog ntawv yuav tshuaj.

Cov lus thiab cov xwm txheej ntawm kev cia
Khaws rau hauv qhov chaw qhuav, tsaus ntawm qhov kub ntawm 15 ° txog 25 ° C.
Khaws tsis ncav cuag ntawm cov menyuam yaus.

Cia Koj Saib