Cov Ntsiav Tshuaj - Novonorm > Kev khomob thiab kev tiv thaiv

Cov no yog puag ncig, biconvex ntsiav tshuaj muaj xim dawb, daj lossis paj yeeb, ntawm ib sab muaj tus cim ntawm cov khw.

Cov khoom siv tseem ceeb yog repaglinide. Cov ntsiav tshuaj nrog cov ntsiab lus ntawm 0, 5, 1 lossis 2 mg ntawm repaglinide muaj.

magnesium stearate,
poloxamer 188,
calcium hydrogen phosphate anhydrous,
pob kws nplej siab
glycerol 85% (glycerol),
microcrystalline cellulose (E460),
poov tshuaj polyacrylate,
povidone
meglumine.

Ntim hauv cov hlwv ntawm 15 ntsiav tshuaj, hauv ib pob ntawv cardboard tuaj yeem yog 2 lossis 6 lub hlwv.

Pharmacological kev txiav txim

Hypoglycemic tus neeg sawv cev ntawm cov nyhuv luv. Thaum lub sijhawm tshuaj nyob hauv lub cev, insulin raug tso tawm los ntawm cov hlwb tshwj xeeb ntawm tus txiav ua kab mob. Qhov no ua rau muaj kev nkag mus ntawm calcium, uas ua rau cov insulin secretion tso tawm.

Cov txiaj ntsig tau sau tseg tsis pub dhau ib nrab teev tom qab kev tswj hwm. Nws txo qis txog 4 teev tom qab qhov pib ntawm kev ua.

Cov Tshuaj Pharmacokinetics

Kev nqus tau tshwm sim nyob rau hauv txoj hnyuv, qhov siab tshaj plaws tau tsom kwm tom qab 1 teev, kav ntev li 4 teev. Cov tshuaj hloov pauv hauv daim siab ua rau lub cev tsis muaj zog, tawm hauv lub plab, tso zis thiab tso quav tom qab txog 4-6 teev. Lub bioavailability ntawm cov tshuaj yog nruab nrab.

Hom 2 mob ntshav qab zib mellitus nrog qhov tsis muaj txiaj ntsig ntawm kev noj zaub mov noj thiab lwm yam kev kho mob. Nws kuj tseem tuaj yeem raug txiav txim siab ua ib feem ntawm txoj kev kho kom haum rau kev poob phaus.

Cov Yuav Tsum Muaj

Hypersensitivity rau lub Cheebtsam.
Yam 1 ntshav qab zib.
Cev xeeb tub thiab lactation.
Cov menyuam yaus thiab muaj hnub nyoog dhau los ntawm 75 xyoo.
Ntshav qab zib ketoacidosis.
Keeb kwm ntawm mob ntshav qab zib coma.
Kis tau cov kab mob.
Kev quav cawv
Kev ua haujlwm tsis zoo hauv lub siab thiab lub raum.
Cov kev cuam tshuam kev phais uas xav tau cov insulin.

Cov lus qhia rau siv (qauv thiab ntau npaum li cas)

Nws yog noj ntawm qhov ncauj nrog zaub mov.

Qhov hno tshuaj thaum pib yog 0.5 mg. Tom qab ntawd, raws li qhov ntsuas tsom ntsuas, ntau npaum li cas yog maj maj - maj mam, ib zaug ib asthiv lossis ob lub lis piam). Thaum hloov los ntawm lwm cov tshuaj, kev hno tshuaj thaum pib yog 1 mg. Nws yog ib qho tseem ceeb los saib xyuas tus neeg mob kom ua rau muaj kev phiv. Yog tias thab ntxiv, cov tshuaj raug muab tso tseg.

Qhov siab tshaj plaws ntau npaum li cas yog 4 mg, qhov siab tshaj plaws niaj hnub noj yog 16 mg.

Noj ntau dhau

Qhov phom sij txaus yog cov ntshav qog. Nws tus mob:

tsis muaj zog
pallor
kev tshaib kev nqhis
tsis nco qab txog thaum lub xeev tsis nco qab,
tsaug zog
xeev siab, thiab lwm yam.

Kev txo qis hauv cov ntshav qab zib me me yuav tau txais txiaj ntsig los ntawm kev noj zaub mov uas muaj cov khoom noj carbohydrate. Ntshav thiab mob hnyav - nrog kev txhaj tshuaj glucagon lossis dextrose kev daws teeb meem, tom qab noj mov.

TSEEM CEEB! Nco ntsoov sab laj tus kws kho mob rau kho kho koob tshuaj!

Yeeb tshuaj sib cuam tshuam

Qee cov tshuaj muaj peev xwm txhim kho cov nyhuv ntawm Novonorm. Cov no suav nrog:

MAO thiab ACE inhibitors,
coumarin derivatives,
tsis-xaiv beta-blockers,
chloramphenicol,
salicylates,
probenecid
NSAIDs
salicylates,
octreotide
anabolic tshuaj yuam
sulfonamides,
ethanol.

Lwm yam tshuaj, ntawm qhov tsis sib xws, tuaj yeem ua rau tsis muaj zog ntawm cov tshuaj no:

tshuaj tiv thaiv cev xeeb tub,
calcium channel blockers,
thiazide diuretics,
corticosteroids
isoniazid
danazol
phenothiazines,
cov thyroid hormones,
phenytoin
sympathomimetics.

Tsis tas li, cov metabolism hauv cov tshuaj tivthaiv nquag tuaj yeem txhim kho barbiturates, carbamazepine thiab rifampicin, ua kom tsis muaj zog erythromycin, ketoconazole thiab miconazole.

Hauv tag nrho cov xwm txheej no, nws yog ib qho tseem ceeb kom tham nrog tus kws kho mob uas koom nrog qhov tsim nyog ntawm lawv cov kev sib koom tes. Cov txheej txheem kev kho yuav tsum tau ua nyob rau hauv kev saib xyuas ntawm tus kws tshwj xeeb.

Cov lus qhia tshwj xeeb

Yuav tsum tau kuaj thiab kuaj ntshav tas li kom tshem tawm qhov tshwm sim ntawm kev phiv.

Thaum cev xeeb tub, chav kawm ntawm kev tswj hwm nres, tus neeg mob pauv mus rau insulin.

Nrog rau kev phais mob, kab mob, thiab kev ua haujlwm ntawm lub siab thiab lub raum, cov nyhuv ntawm cov tshuaj noj yuav poob qis.

Beta-blockers tuaj yeem npog cov tsos mob ntawm kev mob ntshav qab zib. Qhov no yuav tsum tau coj mus rau hauv tus account nrog kev kho mob ua ke.

Vim tias qhov kev pheej hmoo ntawm lub qog ntshav qab zib, nws raug nquahu kom tso tseg kev tsav tsheb thaum lub sijhawm tag nrho ntawm cov tshuaj.

TSEEM CEEB! NovoNorm tsuas muaj nyob rau hauv cov ntawv kho mob.

Piv nrog analogues

Cov tshuaj muaj ib tug xov tooj ntawm cov analogues uas muaj txiaj ntsig zoo los mus xav txog nyob rau hauv cov nqe lus ntawm cov hauj lwm zoo thiab muaj zog.

"Mob ntshav qab zib MV". Qhov muaj pes tsawg leeg suav nrog gliclazide, nws muaj cov nyhuv tseem ceeb. Tus nqi - los ntawm 300 rubles. Ua cov tuam txhab "Servier", Fabkis. Kev siv tshuaj hypoglycemic, zoo heev, muaj tsawg tsawg ntawm cov kev tsis haum. Cov tshuaj tiv thaiv yog ib yam zoo li Novonorm. Rho tawm yog tus nqi ntau dua.
Glucobay. Tus nquag ua hauj lwm yog acarbose. Nqe los ntawm 500 rubles nyob ntawm kev saib xyuas ntawm cov khoom. Kev Tsim Khoom - Bayer Pharma, Lub Tebchaws Yelemees. Cov tshuaj txo cov ntsiab lus ntawm cov piam thaj hauv cov ntshav. Pab nrog concomitant kev rog, muaj kev siv ntau dua. Txawm li cas los xij, nws muaj cov npe loj ntawm contraindications thiab phiv. Lub ntsiab kev cuam tshuam tseem ceeb yog tus nqi siab thiab qhov yuav tsum tau xaj nyob hauv lub tsev muag tshuaj.

Kev siv cov tshuaj analogue yuav tsum pom zoo nrog koj tus kws kho mob. koj tsis tuaj yeem muab tshuaj rau nws tus kheej - nws muaj kev phom sij rau kev noj qab haus huv!

Yeej, cov tshuaj muaj cov lus pom zoo. Ob tus kws tshaj lij thiab cov ntshav qab zib lawv tus kheej qhia nws. Txawm li cas los xij, Novonorm tej zaum yuav tsis haum rau qee tus neeg.

Anna: "Tsis ntev los no lawv kuaj tus kab mob ntshav qab zib mellitus." Nws yog qhov zoo uas lawv pom hauv lub sijhawm, tab sis nws yog hmoov phem - kev noj zaub mov zoo tsis zoo, koj kuj yuav tsum txuas lub ntsiav tshuaj. Yog li, Kuv haus ntxiv "Novonorm" nrog cov zaub mov tseem ceeb. Qab zib yog qhov qub, txhua yam suits kuv. Kuv pom tsis muaj kev phiv tshuaj. Tshuaj kho zoo. "

Igor: “Kuv tau mob rau tsib xyoos. Lub sijhawm no kuv sim siv tshuaj ntau heev. Tus kws endocrinologist tau ntxiv Novonorm rau Metformin hauv kev kho mob, vim tias kuv qhov kev kuaj ntshav glycated hemoglobin tsis zoo. Kuv tau noj tshuaj rau peb lub hlis, kuv qab zib yog nyob, kuv ntsuam xyuas tau zoo dua. Tsis muaj kev mob tshwm sim, uas tshwj xeeb yog qhov txaus siab. "

Diana: “Lawv ntxiv Novonorm rau kuv thaum lwm cov tshuaj nres tsis ua haujlwm. Kuv muaj raum teeb meem, yog li nws yog qhov tseem ceeb kom tsis txhob mob hnyav ntxiv. Rau lub hlis tom qab pib kev ua noj, Kuv pom ib qho kev txhim kho. Tus nqi pheej yig, tus kws kho mob qhuas txog cov txiaj ntsig ntawm kev ntsuam xyuas tom qab nws pib coj lawv. Yog li kuv zoo siab. "

Daria: “Kuv tus pog muaj mob ntshav qab zib hom 2. Mob hnyav, tas li qee qhov teeb meem tshwm sim. Tus kws kho mob tau sau Novonorm rau nws lwm yam tshuaj. Thaum xub thawj Kuv ntshai mus yuav nws, vim tias hauv cov lus qhia txhua hom kev phiv tsis zoo muaj qhia. Tab sis tseem txiav txim siab sim. Niam pog zoo siab - qab zib txo qis ntau yam, tsis muaj dab tsi tsaws. Ntxiv rau, nws kev noj qab haus huv tau zoo dua, nws muaj kev zoo siab dua. Thiab cov tshuaj tsis ua rau muaj kev phom sij, uas yog qhov tseem ceeb ntawm nws lub hnub nyoog, thiab tseeb feem ntau. Thiab tus nqi zoo. Feem ntau, Kuv nyiam cov tshuaj thiab cov nyhuv. ”

Xaus

Nco ntsoov tias Novonorm muaj tus nqi zoo-piv, ntxiv rau kev txheeb xyuas paub meej nws cov hauj lwm zoo. Cov tshuaj no kuj tseem zoo vim tias nws muag hauv yuav luag txhua lub tsev muag tshuaj. Nws tsis yog qhov xav tsis thoob uas cov kws tshaj lij feem ntau tau sau nws ob qho tib si ua kev ywj pheej thiab hauv kev sib koom ua ke.

Kev ntsuas rau siv

Cov tshuaj yog kws kho rau cov neeg mob ntshav qab zib, yog tias qhov hnyav dua lossis tus neeg mob rog dhau. Xaj cov tshuaj nrog hom insulin-ywj siab, thaum noj qis carb tsis pab daws qhov teeb meem.

Novonorm ntsiav tshuaj, cov lus qhia rau kev siv uas muaj nyob hauv txhua pob, yog kho rau cov neeg mob ua ke nrog metformin lossis thiazolidinedione kev kho mob thaum tsis muaj qhov ua tau zoo ntawm kev kho mob monotherapy.

Daim ntawv tso tawm

Cov tshuaj Biconvex ntawm cov xim dawb (0.5 mg), daj (1 mg) lossis xim xim (Novonorm nrog ntau npaum li 2 mg). Muag hauv cov hlwv ntim pob, hauv pob ntawv los qhia.

Cov tshuaj tau ntim hauv 15 ntsiav tshuaj hauv 1 lub hlwv. Hauv ib pob ntawv cardboard tuaj yeem yog 30-90 ntsiav tshuaj.

Cov khoom qub yog ib qho yooj yim los txheeb xyuas thiab paub qhov txawv ntawm qhov cuav. Txhua ntsiav tshuaj hauv lub hlwv yog perforated. Qhov no ua rau nws tuaj yeem cais cov tshuaj txhua hnub tsis tas yuav siv txiab.

Txhawm rau kom tsis txhob yuav lub Novonorm cuav, saib cov duab ntawm cov tshuaj no.

Tus nqi ntawm cov tshuaj tsis siab, yog li nws tseem nyob hauv kev xav tau. Tus nqi ntawm Novonorm yog 200-400 rubles.

Kev tsim kho hauv ntshav qab zib - tsuas yog haus txhua txhua hnub.

Cov khoom ua tshuaj nquag ua haujlwm yog repaglinide. Qhov ntau npaum li cas ntawm cov tshuaj nquag hauv 1 ntsiav tshuaj ntawm Novonorm yog 0.5, 1 lossis 2 mg.

Tus nquag ua hauj lwm yog tshuaj sib deev ntawm cov amino acid. Repaglinide yog kev ntog luv luv.

Cov khoom siv ntxiv: cov tshuaj sib tov ntawm cov tshuaj ntsev ntawm magnesium thiab stearic acid (C17H35COO), poloxamer 188, calcium dibasic phosphate, C6H10O5, C3H5 (OH) 3, E460, sodium ntsev ntawm polyacrylic acid, povidone, meglumine acridonacetate.

Cov lus qhia rau kev siv

Siv cov tshuaj nyob sab hauv nrog dej txaus. Tsis txhob yaj lossis zom, qhov no yuav tsis tsuas yog txo cov nyhuv kho ntawm cov ntsiav tshuaj noj, tab sis kuj tseem tawm qhov tsis zoo tom qab.

Haus nrog zaub mov. Cov kws kho mob pom zoo pib nrog kev noj me me. Txhua txhua hnub, 0.5 mg ntawm cov tshuaj yuav tsum raug siv.

Dosage kev kho kom haum yog nqa tawm 1 zaug hauv 1-2 lub lis piam. Ua ntej no, tso ntshav ntsuas cov ntshav seb cov ntshav qabzib ntau. Kev tshuaj ntsuam yuav qhia pom tias qhov kev kho mob ua haujlwm zoo npaum li cas thiab tus neeg mob xav tau tshuaj kho ntau npaum li cas.

Daim ntawv thov nta

Rau cov menyuam yaus hnub nyoog qis dua 18 xyoo, cov tshuaj siv yog contraindicated. Cov neeg laus muaj hnub nyoog qis dua 75 xyoos muaj cai siv cov tshuaj no. Txawm li cas los xij, cov neeg mob ntshav qab zib yuav tsum nyob hauv kev saib xyuas ntawm kws kho mob. Tsuas yog kev kho mob sab nrauv thiaj li ua tau, nws raug tso cai rau kev kho mob sab nrauv yog tias muaj cov txheeb ze nyob ze cov neeg laus uas, thaum tsis nco qab, tsis nco qab lossis lwm yam kev tsis zoo, yuav xa tus neeg mob mus rau tsev kho mob tam sim ntawd.

Thaum pub niam mis, cov tshuaj yog contraindicated. Cov kev sim pom pom tias muaj cov tshuaj hauv cov tsiaj mis. Txawm li cas los xij, Novonorm tsis muaj teratogenic effect.

Kev cuam tshuam nrog lwm yam tshuaj

Cov tshuaj yog contraindicated yuav siv ib txhij nrog MAO thiab ACE inhibitors, anabolic steroids thiab ethanol. Nrog rau kev sib xyaw ua ke no, qhov kev tiv thaiv hypoglycemic ntawm Novonorm yog qhov ua kom zoo dua qub, qhov txiaj ntsig ntawm qhov mob ntshav qab zib tsis tuaj yeem tshwm sim thiab cov ntshav qog ntshav qab zib.

Cov nyhuv hypoglycemic ntawm cov tshuaj txo qis nrog kev siv tib lub sij hawm ntawm kev tiv thaiv tshuaj hormonal.

Peb muab cov luv nqi rau cov nyeem ntawm peb lub xaib!

Nws raug tso cai kom noj tshuaj nrog kev kho mob insulin lossis siv lwm yam tshuaj rau ntshav qab zib. Txawm li cas los xij, tus neeg mob yuav tsum ua raws li kev noj ntau npaum li cas, noj kom raug thiab ntsuas ntshav qab zib kom xwm yeem.

Sab sij huam

Feem ntau, cov neeg mob hnov pom tus mob hypoglycemia. Qhov no yog ib yam mob uas ua los ntawm ntshav tsis muaj ntshav qabzib ntau. Tus mob no yog pom los ntawm autonomic, neurological thiab metabolic ntshawv siab.

Nrog rau kev siv ua ke ntawm Novorom thiab lwm yam tshuaj hypoglycemic, kev txhim kho ntawm cov kev phiv tshuaj yog muaj peev xwm:

kev ua xua nyob rau hauv daim ntawv ntawm vasculitis,
hypoglycemic coma los sis tsis nco qab nrog lub suab tsis zoo li feem ntau cov ntshav qabzib,
pom kev pom
raws plab thiab mob plab ua rau txhua tus neeg mob thib peb,
tsis tshua muaj kev ntsuam xyuas tau qhia tias muaj kev nce hauv cov kev ua ntawm daim siab enzymes,
los ntawm lub plab zom mov, xeev siab, ntuav lossis cem quav tau sau tseg (qhov mob hnyav ntawm cov tshwm sim yog me me, nws dhau qee lub sijhawm tom qab kho mob).

Cov tshuaj Nervonorm, cov lus qhia rau kev siv, tus nqi thiab tshuaj xyuas uas txhua tus neeg mob yuav tsum kawm ua ntej yuav, feem ntau muaj cov txiaj ntsig zoo hauv lub cev.

Qhov feem pua ntawm cov neeg uas tuaj rau hauv tsev kho mob vim tias muaj kev mob tshwm sim loj heev (xws li lub cev ua haujlwm tsis zoo lossis tsis pom kev zoo) tsis tuaj yeem saib xyuas.