Glurenorm ntsiav tshuaj - cov lus qhia ntawm kev siv
Muaj pes tsawg leeg
1 ntsiav tshuaj muaj:
Yam tshuaj muaj sia: glycidone - 30 mg,
tus zam: lactose monohydrate, pob kws nplej siab, hmoov nplej pob kws hmoov nplej, magnesium stearate.
Kev piav qhia
Du, puag ncig, dawb nrog beveled sawv ntawm lub ntsiav tshuaj, nrog ib tug thais ntawm ib sab thiab kos "57C" ntawm ob sab, kev pheej hmoo, lub tuam txhab logo tau kos rau sab tod.
Pab pawg kws tshuaj:
ATX Code: A10VB08
Cov chaw muag tshuaj
Glurenorm muaj cov teebmeem ua rau pancreatic thiab ntxiv rau ntxiv. Nws stimulates insulin secretion los ntawm kev txo qis qis ntawm pancreatic beta-cell glucose irritation qhov pib, nce insulin rhiab heev thiab nws cov lus cog rau lub hom phiaj hlwb, txhim kho cov nyhuv ntawm insulin ntawm cov leeg thiab mob siab qab zib (nce tus naj npawb ntawm insulin receptors hauv phiaj nqaij), thiab inhibits lipolysis hauv adipose ntaub so ntswg. Kev ua nyob rau theem ob ntawm insulin secretion, txo cov ntsiab lus ntawm glucagon hauv cov ntshav. Nws muaj cov nyhuv hypolipidemic, txo cov yam ntxwv ua kom ntshav muaj zog. Cov nyhuv hypoglycemic dhau los tom qab 1.0-1.5 teev, cov nyhuv siab tshaj plaws - tom qab 2-3 teev thiab kav ntev li 12 teev.
Cov Tshuaj Pharmacokinetics
Glycvidone yog nrawm thiab yuav luag txhua yam hauv lub plab zom mov. Tom qab noj ib qho tshuaj Glyurenorm (30 mg), qhov siab tshaj plaws ntawm cov tshuaj hauv plasma tau mus txog tom qab 2-3 teev, yog 500-700 ng / ml thiab tom qab 14-1 teev nws raug txo los ntawm 50%. Nws yog tag nrho metabolized los ntawm daim siab. Lub ntsiab ntawm cov khoom noj (metabolites) yog tawm hauv cov kab mob thiab mus rau hauv cov hnyuv. Tsuas yog ib feem me me ntawm cov khoom noj uas tau ua kom ntog tawm hauv cov zis. Tsis hais txog ntawm koob tshuaj thiab cov txheej txheem ntawm kev tswj hwm, kwv yees li 5% (hauv kev siv tshuaj tiv thaiv metabolites) ntawm kev muab tshuaj ntawm cov tshuaj pom nyob hauv cov zis. Cov theem ntawm glurenorm excretion los ntawm ob lub raum tseem tsawg tsawg txawm tias muaj kev siv tas li.
Cov Khoom Qhia
Hom 2 mob ntshav qab zib mellitus hauv nruab nrab-hnub nyoog thiab cov neeg laus laus (nrog rau qhov tsis muaj txiaj ntsig ntawm kev noj zaub mov noj).
Nrog saib xyuas
Glurenorm yuav tsum tau siv rau:
Cev xeeb tub thiab lub sijhawm pub mis niam
Kev siv Glyurenorm thaum cev xeeb tub yog contraindicated.
Thaum cev xeeb tub, koj yuav tsum tsum tsis txhob noj tshuaj thiab sab laj nrog kws kho mob tam sim ntawd.
Yog tias nws yuav tsum tau siv cov tshuaj thaum lub sijhawm pub niam mis, pub mis rau menyuam noj yuav tsum tsis pub mus ntxiv.
Tsuas tshuaj thiab tswj hwm
Cov tshuaj yog muab ntawm qhov ncauj.
Kev xaiv ntawm qhov koob tshuaj thiab cov txheej txheem yuav tsum tau ua nyob rau hauv kev tswj hwm ntawm cov metabolism. Thawj koob tshuaj Glyurenorm feem ntau yog 14 ntsiav tshuaj (15 mg) thaum noj tshais. Yog tias tsim nyog, nce qhov koob tshuaj kom tsawg zuj zus, raws li kws kho mob pom zoo. Kev nce ntxiv ntawm koob tshuaj ntau dua 4 ntsiav tshuaj (120 mg) ib hnub feem ntau tsis ua rau muaj kev nce ntxiv hauv cov nyhuv. Yog tias qhov koob tshuaj Glyurenorm txhua hnub tsis pub tshaj 2 ntsiav tshuaj (60 mg), nws tuaj yeem raug muab rau hauv ib koob, thaum noj tshais. Thaum muab tshuaj ntau dua, cov txiaj ntsig zoo tshaj plaws tuaj yeem ua tiav tau los ntawm kev noj tshuaj txhua hnub muab faib ua 2-3 koob. Hauv qhov no, qhov ntau tshaj yuav tsum tau noj thaum noj tshais. Glurenorm yuav tsum noj nrog zaub mov, thaum pib noj mov.
Thaum hloov qhov ncauj ntawm qhov ncauj hypoglycemic tus neeg sawv cev nrog kev ua haujlwm zoo sib xws cov tshuaj thawj zaug yog txiav txim siab nyob ntawm cov chav kawm ntawm tus kab mob thaum lub sijhawm ntawm kev tswj hwm cov tshuaj. Thawj koob tshuaj feem ntau yog li ntawm 1/2 rau 1 ntsiav tshuaj (15-30 mg).
Yog hais tias monotherapy tsis muab cov nyhuv xav pom, kev teem caij ntxiv ntawm biguanide yog ua tau.
Los ntawm cov hnyuv: | |
Ntau tshaj 1% | xeev siab, ntuav, cem quav, raws plab, tsis qab los noj mov, mob cholestasis (1 leeg). |
Kev Kho Khoom Mob Dermatological: | |
0,1-1% | khaus, eczema, urticaria (1 kis), Stevens Johnson mob. |
Los ntawm lub paj hlwb: | |
0,1-1% | - mob taub hau, kiv taub hau, tsis meej pem. |
Los ntawm cov kab mob hematopoietic: | |
Tsawg dua 0.1% | thrombocytopenia, leukopenia (1 mob), agranulocytosis (1 mob). |
Noj ntau dhau
Hypoglycemic tej yam kev mob yog tau.
Nyob rau hauv cov ntaub ntawv ntawm kev loj hlob ntawm ib lub xeev hypoglycemic, tam sim ntawd cov thawj coj ntawm cov piam thaj sab hauv lossis tso ntshav yog tsim nyog.
Kev sib cuam tshuam nrog lwm yam tshuaj
Salicylates, sulfonamides, phenylbutazone derivatives, tshuaj tiv thaiv tuberculosis, chloramphenicol, tetracyclines thiab coumarin derivatives, cyclophosphamides, MAO inhibitors, ACE inhibitors, clofibrate, agents-adrenergic thaiv cov kab mob, sympatholytics (clonidog), tshuaj tiv thaiv hypine, thiab lwm yam tshuaj tiv thaiv kab mob
Nws yog qhov muaj peev xwm txo qis cov nyhuv hypoglycemic thaum sau tshuaj Glurenorm thiab sympathomimetics, glucocorticosteroids, cov thyroid hormones, glucagon, thiazide diuretics, tshuaj tiv thaiv qhov ncauj, diazoxide, phenothiazine thiab tshuaj muaj nicotinic acid, barbiturates, rifampinin, fen. Cov kev kho kom zoo dua qub los yog tawm ntawm cov nyhuv tau piav nrog H2-blockers (cimetidine, ranitidine) thiab dej cawv.
Cov lus qhia tshwj xeeb
Nws yog ib qho tsim nyog kom ua raws nraim li tus kws kho mob cov lus pom zoo ua kom lub cev zom zaub mov tsis muaj txiaj ntsig ntawm carbohydrate metabolism hauv tus neeg mob. Tsis txhob tsum kho koj tus kheej yam tsis tau qhia koj tus kws kho mob. Txawm hais tias glurenorm tsuas tawm me ntsis hauv cov zis (5%) thiab feem ntau zoo rau cov neeg mob raum, kev kho mob rau cov neeg mob raum tsis zoo yuav tsum tau ua raws li kev saib xyuas mob nkeeg.
Cov neeg mob uas mob ntshav qab zib mellitus yog qhov nquag muaj kev txhim kho cov hlab plawv, qhov kev pheej hmoo ntawm uas tuaj yeem raug txo qis tsuas yog ua raws li cov kev cai noj zaub mov noj kom nruj. Cov neeg sawv cev hauv lub cev qhov ncauj ntshav lub cev yuav tsum tsis txhob hloov kho cov khoom noj uas tso cai rau koj los tswj tus neeg mob lub cev qhov hnyav. Txhua tus kab mob hauv lub qhov ncauj nrog rau kev noj zaub mov tsis txaus los yog tsis ua raws li cov tshuaj pom zoo tuaj yeem ua rau txo qis ntshav qabzib thiab kev loj hlob ntawm lub xeev hypoglycemic. Haus dej qab zib, qab zib, lossis dej qab zib feem ntau pab tiv thaiv qhov pib tsis haum hypoglycemic. Nyob rau hauv rooj plaub ntawm kev pheej hmoo hauv lub xeev hypoglycemic, koj yuav tsum tau sab laj nrog kws kho mob sai.
Yog tias koj tsis xis nyob (ua npaws, tawm pob, xeev siab) thaum kho nrog Glurenorm, koj yuav tsum sab laj nrog kws kho mob sai.
Yog tias muaj qhov tsis haum tshwm sim, koj yuav tsum tsis txhob noj Glyurenorm, hloov nws nrog lwm cov tshuaj hypoglycemic lossis insulin.
Cuam tshuam rau kev muaj peev xwm tsav tsheb thiab tswj cov tshuab
Thaum xaiv cov koob tshuaj lossis hloov pauv tshuaj, koj yuav tsum zam kom tsis txhob muaj cov xwm txheej phom sij uas xav tau kev saib xyuas ntxiv thiab ceev ntawm lub cev kev xav.
Daim ntawv tso tawm
30 mg ntsiav tshuaj
Hauv 10 ntsiav tshuaj rau hauv cov hlwv qhwv cov hlua (sawv hlwv) los ntawm PVC / Al.
Rau 3, 6 lossis 12 hlwv nrog cov lus qhia rau kev siv rau hauv thawv ntawv thawv.
Cia rau cov neeg mob
Hauv qhov chaw qhuav, ntawm qhov kub tsis tshaj 25 ° C.
Khaws tsis ncav cuag ntawm cov menyuam yaus!
Hnub tas sij hawm
5 xyoos
Tsis txhob siv tom qab hnub tas sij hawm qhia ntawm pob.
Hnub so los ntawm cov tsev muag tshuaj
Los ntawm tshuaj.
Chaw tsim tshuaj paus
Beringer Ingelheim Ellas A.E., Tim Nkij teb chaws Greece, 19003 Kings Avenue Pkanias Markopoulou, 5 km
Sawv cev hauv Moscow:
119049, Moscow, st. Donskaya 29/9, lub tsev 1.