Cov tshuaj Formmetin - cov lus qhia, analogues thiab hloov kev xyuas
Formetin dosage form - tablets: 500 mg - puag ncig, tiaj-cylindrical, dawb, nrog ib qho kev nqis siab thiab lub ntsej muag, 850 mg thiab 1000 mg - oval, biconvex, dawb, nrog kev nqis siab ntawm ib sab. Kev ntim khoom: hlwv pob - 10 daim txhua, hauv ib daim ntawv cardboard 2, 6 lossis 10 pob, 10 thiab 12 daim ib qho, hauv ib daim ntawv cardboard 3, 5, 6 lossis 10 pob.
- cov tshuaj nquag: metformin hydrochloride, hauv 1 ntsiav tshuaj - 500, 850 lossis 1000 mg,
- cov khoom siv ntxiv thiab lawv cov ntsiab lus rau ntsiav tshuaj 500/850/1000 mg: magnesium stearate - 5 / 8.4 / 10 mg, croscarmellose sodium (primellose) - 8 / 13.6 / 16 mg, povidone (povidone K-30, nruab nrab molecular hnyav polyvinylpyrrolidone ) - 17/29/34 mg.
Cov Tshuaj Hauv Tshuaj
Metformin hydrochloride - cov tshuaj nquag ntawm formin - ib yam tshuaj uas tiv thaiv gluconeogenesis nyob rau hauv daim siab, txhim kho kev siv peripheral ntawm cov piam thaj, txo qhov nqus ntawm cov piam thaj los ntawm cov hnyuv, thiab nce siab ntawm cov ntaub so ntswg lub cev rau insulin. Hauv qhov no, cov tshuaj tsis cuam tshuam rau cov kua dej ntawm cov kua ntshav los ntawm beta hlwb ntawm cov txiav, thiab kuj tsis ua rau kev txhim kho ntawm cov tshuaj tiv thaiv hypoglycemic.
Metformin txo qis lipoproteins tsawg thiab triglycerides hauv cov ntshav. Txo lossis ruaj khov lub cev qhov hnyav.
Vim muaj peev xwm txwv cov ntaub so ntswg plasminogen activator inhibitor, cov tshuaj muaj cov nyhuv fibrinolytic.
Cov Tshuaj Pharmacokinetics
Tom qab kev tswj hwm ntawm qhov ncauj, metformin maj mam nqus tawm ntawm txoj hnyuv huam mus. Tom qab noj cov tshuaj txheem, bioavailability yog li 50-60%. Qhov siab tshaj plaws ntshav plasma nce mus txog hauv 2.5 teev
Nws xyaum tsis khi rau cov plasma protein. Nws nthuav tawm hauv lub raum, siab, leeg thiab cov qog salivary.
Qhov kev tshem tawm ib nrab-lub neej yog los ntawm 1.5 mus rau 4.5 teev .Nws yog tawm los ntawm lub raum tsis hloov. Hauv cov neeg mob uas lub raum tsis ua haujlwm, metformin nruam hluav taws xob kuj yuav tshwm sim.
Cov Yuav Tsum Tau Ua
- mob ketoacidosis,
- mob ntshav qab zib precoma / coma
- lub siab ua tsis taus haujlwm,
- mob raum khiav tsis zoo,
- cov kab mob kis hnyav
- tam sim no lossis keeb kwm ntawm cov kab mob lactic acidosis,
- lub cev qhuav dej, mob ntshav tawm ntawm lub cev tsis txaus, ua rau lub sij hawm myocardial infarction, lub siab thiab lub ntsws ua tsis tiav, kev haus dej cawv ntev thiab lwm yam kab mob / mob uas tuaj yeem pab txhawb kev txhim kho cov mob lactic acidosis,
- raug mob hnyav lossis phais mob thaum kho insulin.
- qaug cawv lom,
- ua raws li kev noj haus hypocaloric (tsawg dua 1000 kcal / hnub),
- cev xeeb tub thiab lactation,
- Kev soj ntsuam hluav taws xob xoo hluav taws xob / siv hluav taws xob siv iodine-muaj qhov nruab nrab tsis sib thooj (li 2 hnub ua ntej thiab 2 hnub tom qab),
- hypersensitivity rau cov tshuaj.
Cov tshuaj Formethine tsis pom zoo rau cov neeg muaj hnub nyoog 60 xyoo uas ua haujlwm ntau hauv lub cev, vim tias lawv muaj kev pheej hmoo ntau los ntawm kev mob lactic acidosis.
Cov lus qhia rau kev siv formetin: txoj kev thiab ntau npaum li cas
Cov tshuaj xyaw pob tshuaj yog qhia rau kev siv lub qhov ncauj. Lawv yuav tsum ua txhua yam, tsis tas yuav zom, nrog dej txaus, thaum lub sijhawm lossis tom qab noj mov.
Qhov zoo tshaj plaws ntawm lub khob rau txhua tus neeg mob tau teeb tsa ua ib tus zuj zus thiab txiav txim siab los ntawm theem ntawm cov piam thaj hauv cov ntshav.
Thaum pib theem ntawm kev kho, 500 mg feem ntau yog hais qhia 1-2 zaug ib hnub lossis 850 mg ib hnub ib zaug. Hauv lub sijhawm yav tom ntej, tsis yog ntau tshaj 1 zaug hauv ib lub lis tiam, cov koob tshuaj tau nce zuj zus. Qhov siab tshaj plaws tau txais koob tshuaj Formetin yog 3000 mg rau ib hnub.
Cov neeg laus yuav tsum tsis pub tshaj li ib koob tshuaj txhua hnub ntawm 1000 mg. Hauv cov kev mob plab zom mov hnyav vim tias qhov muaj qhov pheej hmoo ntawm lactic acidosis, cov koob tshuaj raug pom zoo kom txo qis.
Sab sij huam
- los ntawm cov kab ke endocrine: thaum siv tsis siv tshuaj ntau - hypoglycemia,
- los ntawm ib sab ntawm cov metabolism: tsis tshua muaj - lactic acidosis (yuav tsum muaj kev tshem tawm tshuaj), nrog rau siv ntev - hypovitaminosis B12 (malabsorption)
- los ntawm lub plab zom mov: metallic saj hauv lub qhov ncauj, raws plab, tsis qab los noj mov, xeev siab, mob plab, flatulence, ntuav,
- los ntawm cov kabmob hemopoietic: tsis tshua muaj tshwm sim - megaloblastic anemia,
- ua xua: ua pob khaus tawv.
Noj ntau dhau
Kev noj tshuaj ntau tshaj plaws ntawm metformin tuaj yeem ua rau tuag taus lactic acidosis. Cov kab mob lactic acid tuaj yeem tshwm sim vim kev sib txuam ntawm cov tshuaj hauv cov neeg mob uas lub raum tsis ua haujlwm. Cov cim ntxov tshaj plaws ntawm cov mob no yog: qhov txo qis hauv lub cev kub hnyiab, qhov tsis muaj zog txaus, qhov mob ntawm cov leeg thiab plab, raws plab, xeev siab thiab ntuav, reflex bradyarrhythmia, thiab ntshav siab poob qis. Yav tom ntej, kiv taub hau, ua pa ceev ceev, hnov qab tsis meej, tsis nco qab yog tau.
Yog tias cov tsos mob ntawm tus kab mob lactic acid tshwm sim, koj yuav tsum tso tseg tsis noj cov tshuaj formin thiab tus neeg mob yuav tsum tau mus pw hauv tsev kho mob. Kev kuaj mob yog paub tseeb raws cov ntaub ntawv lactate concentration. Hemodialysis yog qhov ua tau zoo tshaj plaws los tshem tawm lactate tawm ntawm lub cev. Cov kev kho ntxiv yog cov tsos mob.
Cov lus qhia tshwj xeeb
Cov neeg mob uas tau txais kev kho mob metformin yuav tsum tau soj ntsuam tas li rau lub raum ua haujlwm. Tsawg kawg 2 zaug hauv ib xyoos, ib yam nkaus li ntawm myalgia, qhov kev txiav txim siab ntawm lub plasma lactate cov ntsiab lus yuav tsum muaj.
Yog tias tsim nyog, formin tuaj yeem tsim tshuaj nrog sulfonylurea derivatives. Txawm li cas los xij, txoj kev kho yuav tsum tau ua raws kev saib xyuas ntshav qabzib ntau ntau.
Thaum kho, koj yuav tsum caiv tsis txhob haus cawv, txij li thaum ethanol ua rau muaj kev pheej hmoo ntawm lactic acidosis.
Kev cuam tshuam rau kev muaj peev xwm tsav tsheb thiab cov txheej txheem nyuaj
Raws li cov lus qhia, Formmetin, siv los ua ib qho yeeb tshuaj, tsis cuam tshuam rau qhov kev mloog thiab ceev ntawm cov tshuaj tiv thaiv.
Cov xwm txheej uas siv ua ke nrog lwm cov tshuaj tiv thaiv hypoglycemic (insulin, sulfonylurea derivatives los yog lwm tus), muaj qhov ntxim nyiam ntawm lub qog ntshav uas qhov muaj peev xwm tsav lub tsheb thiab koom nrog cov kev phom sij uas yuav tsum muaj kev ceev ntawm lub hlwb thiab lub cev, nrog rau kev nce siab, zuj zus.
Yeeb tshuaj sib cuam tshuam
Cov nyhuv hypoglycemic ntawm metformin tuaj yeem ua kom zoo dua los ntawm sulfonylurea derivatives, non-steroidal anti-inflammatory drugs, clofibrate derivatives, angiotensin-converting enzyme inhibitors, monoamine oxidase inhibitors, adrenergic blockers, oxytetracycline, acarbose, cyclophosphamide, insulin.
Derivatives ntawm nicotinic acid, cov thyroid hormones, sympathomimetics, tshuaj tiv thaiv qhov ncauj, thiazide thiab voj diuretics, glucocorticosteroids, phenothiazine derivatives, glucagon, epinephrine tuaj yeem txo cov nyhuv hypoglycemic ntawm metformin.
Cimetidine qeeb kev tshem tawm ntawm metformin thiab, yog li ntawd, nce qhov kev pheej hmoo ntawm lactic acidosis.
Qhov ntxim nyiam ntawm lactic acidosis nce nrog kev siv ethanol thooj txhij.
Cov tshuaj Cationic zais cia rau hauv cov tubules (quinine, amiloride, triamteren, morphine, quinidine, vancomycin, procainamide, digoxin, ranitidine) sib tw rau tubular thauj cov tshuab, yog li lawv tuaj yeem nce metformin concentration los ntawm 60% nrog kev siv ntev.
Nifedipine ua kom zoo dua rau qhov nqus thiab qhov siab tshaj plaws ntawm metformin, ua rau nws qhov kev tshem tawm qeeb.
Metformin tuaj yeem txo cov txiaj ntsig ntawm coumarin-derived anticoagulants.
Cov qauv duab ntawm Formmetin yog: Bagomet, Gliformin, Gliformin Prolong, Glucofage, Glucofage Ntev, Diasphor, Diaformin OD, Metadiene, Metfogamma 850, Metfogamma 1000, Metformin, Metformin Zentiva, Metformin Ntev, Metformin Ntev Canon, Metformin S-Metformin-MV-Met Canon, Metformin-Richter, Metformin-Teva, Siofor 500, Siofor 850, Siofor 1000, Sofamet, Formin Ntev, Formin Pliva.
Dab tsi yog tshuaj formetin?
Formmetin yog ib qho tshuaj ntawm cov tshuaj German Glucophage: nws muaj cov tshuaj qub, muaj cov kev xaiv zoo tib yam, thiab muaj cov tshuaj zoo sib xws. Cov kev tshawb fawb thiab ntau cov neeg mob tshuaj ntsuam xyuas pom tseeb cov txiaj ntsig zoo ntawm ob qho tshuaj rau ntshav qab zib. Cov chaw tsim khoom ntawm Formmetin yog pab pawg Lavxias teb ntawm cov tuam txhab Pharmstandard, uas tam sim no tuav txoj haujlwm tseem ceeb hauv kev lag luam kws tshuaj.
Zoo li Glucophage, Formmetin muaj nyob rau hauv 2 version:
Cov tshuaj sib txawv | Tshuaj nyob | Formin ntev |
Daim ntawv tso tawm | Kev pheej hmoo tiaj tus cylindrical ntsiav tshuaj | Cov ntsiav tshuaj ua yeeb yaj kiab muab cov khoom noj uas ua tau ntev tshaj tawm ntawm metformin. |
Daim npav ID | Cov Tshuaj Noj-Leksredstva | Cov Tshuaj Noj-Tomskkhimfarm |
Cov tshuaj noj (metformin rau ib ntsiav tshuaj), g | 1, 0.85, 0.5 | 1, 0.75, 0.5 |
Txais hom, ib hnub ib zaug | mus txog 3 | 1 |
Qhov siab tshaj plaws, g | 3 | 2,25 |
Sab sij huam | Ua raws li cov metformin tsis tu ncua. | 50% txo |
Tam sim no, metformin yog siv tsis yog rau kev kho mob ntshav qab zib, tab sis kuj siv rau lwm cov kab mob pathological nrog insulin tsis kam.
Cov cheeb tsam ntxiv ntawm kev siv tshuaj Formetin:
- Tiv Thaiv Tus Mob Ntshav Qab Zib Hauv tebchaws Russia, kev siv cov tshuaj metformin raug tso cai muaj kev pheej hmoo - nyob hauv cov neeg muaj qhov muaj feem ntau ntawm kev muaj ntshav qab zib.
- Formmetin tso cai rau koj los tawm tsam ovulation, yog li ntawd, nws tau siv thaum npaj cev xeeb tub. Cov tshuaj tau pom zoo los ntawm Asmeskas Koom Haum ntawm Endocrinologist ua thawj kab tshuaj rau polycystic ovary. Hauv Lavxias, qhov ntsuas no rau kev siv tseem tsis tau rau npe, yog li ntawd, tsis suav nrog cov lus qhia.
- Cov tshuaj noj muaj peev xwm txhim kho cov kev mob ntawm daim siab nrog steatosis, uas feem ntau ua ke nrog ntshav qab zib thiab yog ib qho ntawm cov khoom siv ntawm cov metabolic syndrome.
- Lub cev yuag nrog paub tseeb tias insulin tsis kam. Raws li cov kws kho mob, Formin ntsiav tshuaj nce cov hauj lwm zoo ntawm kev noj zaub mov kom yuag thiab tuaj yeem pab tus txheej txheem kom poob phaus hauv cov neeg mob rog.
Muaj cov lus pom zoo tias cov tshuaj no tuaj yeem siv ua tshuaj tua kab mob antitumor, ntxiv rau qeeb qeeb kev laus. Cov kev ntsuas no tseem tsis tau rau npe, vim tias qhov txiaj ntsig ntawm qhov kev tshawb fawb tau ua ntej thiab yuav tsum tau kuaj xyuas.
Pharmacological kev txiav txim
Muaj ntau lub ntsiab lus nyob hauv plawv ntawm cov ntshav qab zib-txo cov nyhuv ntawm Formetin, tsis muaj leej twg cuam tshuam ncaj qha rau cov txiav Cov lus qhia rau kev siv cuam tshuam lub multifactorial mechanism ntawm kev txiav txim ntawm cov tshuaj:
- Txhim kho cov tshuaj insulin (ua haujlwm ntau dua li ntawm daim siab, ua kom tsawg dua ntawm cov leeg nqaij thiab rog), vim tias cov piam thaj txo qis dua tom qab noj mov. Cov nyhuv no tau ua tiav los ntawm nce kev ua haujlwm ntawm cov enzymes nyob hauv cov insulin receptors, ntxiv rau kev ua haujlwm ntawm GLUT-1 thiab GLUT-4, uas yog cov kua nplaum.
- Txo cov khoom lag luam tawm hauv cov kua nplaum ntau hauv lub siab, uas nyob rau hauv ntshav qab zib mellitus tau nce txog 3 zaug. Vim tias qhov peev xwm no, Formethine ntsiav tshuaj txo cov ntshav qab zib kom nrawm.
- Nws cuam tshuam nrog kev nqus ntawm cov piam thaj ntawm lub plab zom mov, uas tso cai rau koj kom qeeb txoj kev loj hlob ntawm postprandial glycemia.
- Nws muaj cov nyhuv anorexigenic me ntsis. Kev sib cuag ntawm metformin nrog lub plab zom mov mucosa txo qhov qab los noj mov, uas nyob rau hauv lem ua rau maj mam poob phaus. Nrog rau txo qis hauv insulin tsis kam thiab txo qis hauv kev tsim cov tshuaj insulin, cov txheej txheem ntawm kev faib cov roj ntsha rog tau yooj yim.
- Muaj txiaj ntsig zoo rau cov hlab ntsha, tiv thaiv kom tsis txhob muaj kab mob cerebrovascular, kab mob plawv. Nws tau tsim tsa tias thaum kho nrog Formetin lub xeev ntawm cov phab ntsa ntawm cov hlab ntsha muaj kev txhim kho, fibrinolysis yog kev kho, thiab kev tsim cov ntshav txhaws tsawg dua.
Tsuas tshuaj thiab cia rau cov neeg mob
Cov lus qhia pom zoo tias, txhawm rau kom tau txais kev them nqi rau mob ntshav qab zib mellitus thiab txo qhov ntxim nyiam uas tsis xav tau, nce ntxiv ntawm Formmetin maj mam. Txhawm rau pab txhawb cov txheej txheem no, ntsiav tshuaj muaj nyob hauv 3 pes tshuaj. Formmetin yuav muaj 0.5, 0.85, lossis 1 g ntawm metformin. Formetin Ntev, ntau npaum li cas qhov tshuaj tsuas yog txawv me ntsis, hauv ib ntsiav tshuaj ntawm 0.5, 0.75 lossis 1 g ntawm metformin. Cov kev sib txawv no yog vim muaj kev siv yooj yim, vim tias Formetin tau suav tias muaj ntau qhov ntau kawg ntawm 3 g (3 ntsiav tshuaj ntawm 1 g txhua), thaum Formetin Ntev - 2.25 g (3 ntsiav tshuaj ntawm 0.75 g txhua).
Formin khaws cia 2 xyoos txij li lub sijhawm tsim khoom, uas tau qhia rau ntawm pob thiab txhua lub hlwv ntawm cov tshuaj, ntawm qhov kub txog li 25 degrees. Cov nyhuv ntawm cov ntsiav tshuaj tuaj yeem ua kom tsis muaj zog los ntawm lub caij ntev rau kev tiv thaiv ultraviolet hluav taws xob, yog li cov lus qhia rau kev siv pom zoo kom khaws cov hlwv hauv ib lub thawv ntawv thawv.
Yuav noj Formetin li cas
Lub hauv paus ntsiab lus uas cov neeg mob ntshav qab zib tsis kam kho nrog Formetin thiab nws cov analogues yog qhov tsis xis nyob nrog kev cuam tshuam ntawm lub plab zom mov. Tseem ceeb txo lawv cov zaus thiab lub zog, yog tias koj nruj me ntsis ua raws cov lus pom zoo los ntawm cov lus qhia rau pib metformin.
Qhov me dua pib siv, nws yuav yooj yim dua rau lub cev hloov mus rau cov tshuaj. Kev txais tos yuav pib nrog 0.5 g, feem ntau tsawg dua nrog 0.75 lossis 0.85 g. Cov ntsiav tshuaj tau noj tom qab mob siab noj mov, nyiam dua thaum yav tsaus ntuj. Yog tias kev mob thaum sawv ntxov yog tab tom ntxhov thaum pib ntawm kev kho mob, koj tuaj yeem txo qhov mob nrog kua qaub me ntsis ntawm cov txiv qaub tsis muaj qab zib lossis dej qab zib ntawm cov tsiaj qus sawv.
Thaum tsis muaj kev mob tshwm sim, cov koob tshuaj tuaj yeem nce ntxiv hauv ib lub lim tiam. Yog tias cov tshuaj tsis zoo, qhov kev qhia tau qhia kom ncua kev noj tshuaj ntxiv kom txog rau thaum kawg ntawm cov tsos mob tsis zoo. Raws li cov mob ntshav qab zib, qhov no yuav siv sijhawm ntev txog 3 lub lis piam.
Qhov ntau npaum li cas rau cov ntshav qab zib tau maj mam nce mus txog thaum glycemia yog qhov ruaj khov. Nce qhov koob tshuaj rau 2 g yog nrog los ntawm kev txo qis hauv qab zib, tom qab ntawd cov txheej txheem maj mam poob qis, yog li nws tsis yog ib txwm muaj kuab tshuaj los kho qhov ntau kawg. Cov kev qhia txwv tsis pub noj cov tshuaj formmetin hauv qhov siab tshaj plaws rau cov neeg mob ntshav qab zib (laus dua 60 xyoo) thiab cov neeg mob uas muaj kev pheej hmoo siab ntawm kev mob siab lactic acidosis. Qhov siab tshaj plaws tau tso cai rau lawv yog 1 g.
Cov kws kho mob ntseeg tau hais tias yog tias qhov zoo tshaj plaws ntawm 2 g tsis muab tshuaj phiaj xwm zoo li tseem ceeb, nws yog qhov muaj peev xwm ntxiv lwm yam tshuaj rau hauv kev kho mob. Feem ntau, nws dhau los ua ib qho ntawm sulfonylurea derivatives - glibenclamide, glyclazide lossis glimepiride. Qhov kev sib xyaw no tso cai rau koj los ua kom tau ob zaug txiaj ntsig ntawm kev kho.
Sab sij huam
Thaum noj Formetin, cov hauv qab no yog cov tau:
- teeb meem kev zom plab. Raws li kev txheeb xyuas, feem ntau lawv qhia nyob rau hauv xeev ntuav lossis zawv plab. Tsawg dua li qub, cov neeg mob ntshav qab zib yws yws txog kev mob plab, ua kom muaj roj ntau ntxiv, lub plab zom mov hauv lub plab khoob,
- malabsorption ntawm B12, pom tsuas yog siv lub caij nyoog ntawm formin,
- lactic acidosis yog ib qho mob uas tsis tshua pom muaj tsawg tab sis muaj kev phom sij heev txog ntshav qab zib. Nws tuaj yeem tshwm sim nrog kev noj ntau dua ntawm metformin, lossis nrog kev ua txhaum ntawm nws tshem tawm los ntawm cov ntshav,
- kev tawm tsam ua xua ntawm daim tawv nqaij ua pob.
Metformin suav hais tias yog kev nyab xeeb tshuaj. Cov kev mob tshwm sim tas li (ntau dua 10%) tsuas yog cov teeb meem hauv lub plab zom mov, uas yog lub hauv zos thiab tsis ua rau muaj kab mob. Txoj kev pheej hmoo ntawm lwm cov txiaj ntsig tsis xav tau yog tsis ntau tshaj 0.01%.
Tus kws kho mob ntawm Kev Tshawb Fawb Kev Kho Mob, Lub Taub Hau ntawm lub koom haum ntawm Diabetology - Tatyana Yakovleva
Kuv tau kawm mob ntshav qab zib tau ntau xyoo. Nws yog txaus ntshai thaum muaj coob tus neeg tuag, thiab haj yam ua rau neeg xiam vim ntshav qab zib.
Kuv maj nrawm los qhia txoj xov zoo - Endocrinological qhov chaw tshawb fawb ntawm Lavxias Academy ntawm Medical Science tau tswj hwm los tsim cov tshuaj uas kho cov ntshav qab zib mellitus kom zoo. Thaum lub sijhawm, cov hauj lwm zoo ntawm cov tshuaj no tau nce mus txog 98%.
Lwm qhov xov xwm zoo: Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv tau txais kev nyab xeeb qhov kev saws me nyuam ntawm cov haujlwm tshwj xeeb uas them rau cov nqi tshuaj ntau. Hauv Lavxias, neeg mob ntshav qab zib kom txog thaum lub Tsib Hlis 18 (suav nrog) tuaj yeem tau txais nws - Tsuas yog 147 rubles!
Cov tshuaj tiv thaiv nrov
Raws li cov ntaub ntawv siv, peb muab cov npe tshuaj uas tau sau npe nyob rau hauv Lavxias Lavxias, uas yog analogues ntawm Formetin thiab Formetin Ntev:
Cov duab qhia hauv Lavxias | Lub teb chaws ntau lawm ntawm cov ntsiav tshuaj | Lub hauv paus chiv keeb ntawm cov tshuaj (metformin) | Daim npav ID |
Cov Tshuaj Uas Muaj Cov Tshuaj Txuas Nruab Nrab Metformin, Formetin Analogs | |||
Ntsia hauv qab | Fabkis, Spain | Fab Kis teb | Merk |
Metfogamma | Lub teb chaws Yelemees, Russia | Is Nrias teb | Txhawj Ua Poj Nrauj |
Glyformin | Lavxias | Akrikhin | |
Formin Pliva | Croatia | Pliva | |
Metformin Zentiva | Slovakia | Zentiva | |
Sofamet | Bulgaria | Sofarma | |
Metformin teva | Ixayees | Teva | |
Nova Met (Metformin Novartis) | Poland | Novartis Pharma | |
Siofor | Lub teb chaws Yelemees | Berlin Chemie | |
Metformin Canon | Lavxias | Canonpharma | |
Tsawv | Is Nrias teb | Actavis Pab Pawg | |
Metformin | Belarus | BZMP | |
Merifatin | Lavxias | Tuam Tshoj | Pharmasynthesis |
Metformin | Lavxias | Norway | Tus Kws Tshuaj |
Metformin | Seev | Lub teb chaws Yelemees | Hemofarm |
Cov tshuaj ua yeeb yaj kiab ntev ntev, cov duab tsis zoo ntawm Formetin Ntev | |||
Glucophage Ntev | Fab Kis teb | Fab Kis teb | Merk |
Methadiene | Is Nrias teb | Is Nrias teb | Wokhard Txwv |
Bagomet | Argentina, Russia | Valeant | |
Diaformin OD | Is Nrias teb | San Tshuaj | |
Metformin Prolong-Akrikhin | Lavxias | Akrikhin | |
Metformin MV | Lavxias | Is Nrias teb, Suav | Izvarino Pharma |
Metformin MV-Teva | Ixayees | Spain | Teva |
Nyob rau hauv cov npe uas nrov npe Metformin, cov tshuaj kuj yog tsim los ntawm Atoll, Rafarma, Biosynthesis, Vertex, Promomed, Izvarino Pharma, Medi-Sorb, Gideon Richter, Metformin Ntev - Canonfarma, Biosynthesis. Raws li tuaj yeem pom los ntawm lub rooj, feem coob ntawm metformin hauv kev ua lag luam Lavxias yog ntawm keeb kwm Indian. Nws tsis yog qhov xav tsis thoob tias qhov qub Glucophage, uas yog ua tiav hauv Fabkis, nws nrov dua ntawm cov neeg mob ntshav qab zib.
Cov neeg tsim khoom tsis txuas tshwj xeeb qhov tseem ceeb rau lub teb chaws ntawm keeb kwm ntawm metformin. Cov tshuaj yuav nyob rau hauv Is Nrias teb ntse dhau txawm kev tswj hwm nruj thiab kev coj ua tsis txawv ntawm Fab Kis ib qho. Txawm tias cov tuam txhab loj tshaj plaws hauv Berlin-Chemie thiab Novartis-Pharma xav tias nws ua tau zoo heev thiab siv tau zoo thiab siv nws los ua lawv cov ntsiav tshuaj.
Formine lossis Metformin - uas yog ib qho zoo dua (kws kho mob cov lus qhia)
Ntawm cov generics ntawm Glucofage, muaj nyob rau hauv Russia, tsis muaj leej twg sib txawv hauv potency hauv ntshav qab zib. Thiab Formin, thiab ntau cov qauv ntawm cov tuam txhab sib txawv hu ua Metformin muaj qhov sib txuam zoo ib yam thiab muaj kev cuam tshuam zoo ib yam ntawm kev mob tshwm sim.
Ntau tus neeg mob ntshav qab zib yuav tshuaj Lavxias metformin hauv chaw muag tshuaj, tsis them nyiaj rau ib qho chaw tsim tshuaj tshwj xeeb. Hauv cov tshuaj dawb, tsuas yog lub npe ntawm cov tshuaj nquag tau qhia, yog li ntawd, hauv cov khw muag tshuaj koj tuaj yeem tau txais ib qho ntawm cov analogues uas teev rau saum toj no.
Metformin yog tshuaj muaj npe nrov thiab pheej yig. Txawm hais tias qhov qub Glucofage muaj tus nqi pheej yig (ntawm 140 rubles), cov analogues hauv tsev kuj tseem pheej yig dua. Tus nqi ntawm Formetin pob pib ntawm 58 rubles rau 30 ntsiav tshuaj nrog qhov muab tsawg kawg thiab kawg ntawm 450 rubles. rau 60 ntsiav tshuaj ntawm Formin Ntev 1 g.
Cov lus piav qhia ntawm cov sib xyaw thiab daim ntawv ntawm tso
Muaj ib ntsiav tshuaj:
nruab nrab molecular phaus povidone
Formetin muaj nyob hauv cov hlwv pob ntawm 100, 60 lossis 30 ntsiav tshuaj.
Cov xim ntawm cov ntsiav tshuaj yog dawb, thiab daim ntawv yog nyob ntawm qhov ntau npaum ntawm cov khoom tseem ceeb. Ntawm 500 mg, lawv muaj cov thooj voos kheej kheej sib npaug nrog cov nqis siab tshaj thiab cov chamfer. Tsis tas li, qhov ntau npaum ntawm 1000 mg thiab 850 mg yog "Formin". Cov ntsiav tshuaj hauv qhov no yog convex thiab oval. Lawv muaj kev pheej hmoo ib-sab.
Lo lus uas peb
Cov tshuaj "Formin" yog siv los kho qee hom kabmob. Uas yog, nyob rau hauv muaj cov ntshav qab zib hom 2, nyob rau hauv cov teeb meem rog dhau los, thaum kev noj zaub mov tsis pab ua kom cov suab thaj theem tsis txaus, txawm tias ua ke nrog sulfonylurea. Kuj tseem muaj txiaj ntsig yog "Formin" rau kev poob phaus.
Yuav noj li cas?
Tus kws kho mob xaiv cov koob tshuaj ntawm cov tshuaj no raws li cov piam thaj hauv cov ntshav. Kev tswj hwm ntawm qhov ncauj yuav tsum tau nqa tawm tom qab noj mov, thaum haus kua ntau ntawm cov kua thiab tsis tas tua lub ntsiav tshuaj rau kev kho tshuab. Raws li twb tau hais los saum no, kev noj tshuaj yog nyob ntawm cov piam thaj hauv cov ntshav. Nws pib nrog qhov tsawg kawg nkaus ntawm 0.5 g lossis 0.85 g ib hnub. Ob hnub tom qab pib kho nrog cov tshuaj no, cov ntsiab lus tsis tu ncua ntawm metformin hauv cov ntshav tau pom. Yog tias tsim nyog, koj tuaj yeem maj mam nce qhov koob tshuaj kom muaj tus nqi siab. Nws yog sib npaug rau 3 grams.
Txij li thaum txoj kev txhim kho ntawm cov kab mob lactic acid feem ntau pom nyob rau hauv cov neeg laus, qhov siab tshaj plaws txhua hnub koob tshuaj yog 1 g rau lawv. Tsis tas li ntawd, ntau npaum li cas ntawm cov tshuaj raug txo rau hauv kev cuam tshuam ntawm metabolic cuam tshuam, kom tiv thaiv kev fab tshuaj, tshwm sim los ntawm daim tawv nqaij xoo pob, thiab lwm yam kev phiv uas yuav sib tham hauv qab.
Sab sij huam
Qhov tshwm sim ntawm cov tsos mob tsis zoo no tshwm sim xws li "nws yog xim hlau" saj hauv lub qhov ncauj, ntuav, xeev siab, raws plab, roj, tsis qab los noj mov yuav tsum tau txiav kev siv tshuaj kho thiab hu rau tus kws kho mob tshwj xeeb. Lub sijhawm siv ntev ntawm cov tshuaj no ua rau muaj kev ua txhaum lossis ua tiav kev ua tiav ntawm kev nqus ntawm cov vitamin B12, uas ua rau kom muaj kev txuam nrog hauv lub cev ntawm cov tom kawg, ua rau mob hypovitaminosis. Hauv qee qhov tsis tshua muaj tshwm sim, qhov ntxeev tawm mus rau qhov loj me - megaloblastic B12ntshav tsis txaus. Nrog rau cov koob tshuaj tsis yog, hypoglycemia yog ua tau. Ua xua rau daim tawv nqaij ua pob ua pob. Yog li, cov tshuaj "Formin", kev tshuaj xyuas ntawm qhov uas pom zoo hauv kev siv, nws txawv, yuav tsum yog kws kho mob sau rau koj.
Cov nyhuv ntawm cov tshuaj no rau lub peev xwm tswj cov tshuab thiab tsav tsheb
Hauv qhov no, tseem muaj qee yam nuances. Cov txiaj ntsig ntawm "Formin" ntawm kev muaj peev xwm tswj cov txheej txheem thiab kev thauj mus los tsuas yog siv nws ua ke nrog cov tshuaj uas cuam tshuam rau cov txheej txheem ua haujlwm, xav tau cov lus teb sai thiab nce siab. Nov yog qhov tseem ceeb kom paub.
Siv rau kev pub niam mis thiab cev xeeb tub
Cov tshuaj "Formin", cov lus qhia rau kev siv uas tau piav qhia hauv cov ntawv sau no, muaj ib qeb kev nthuav tawm tus menyuam "B" raws li FDA. Thaum cev xeeb tub, cov tshuaj no tuaj yeem noj. Txawm li cas los xij, nws siv tau tsuas yog qee kis. Uas yog, thaum xav pom tshwm sim los ntawm qhov kev kho mob no ntau dua qhov yuav muaj kev pheej hmoo rau tus menyuam hauv plab. Qee yam thiab kev kawm tshwj xeeb txog kev siv cov tshuaj xws li cov tshuaj "Formin" tsis tau ua thaum cev xeeb tub. Thaum lub sijhawm kho yuav tsum tsis pub niam mis rau menyuam noj. Nyob rau hauv txhua rooj plaub, koj yuav tsum nrhiav tswv yim ntawm tus kws kho mob tsim nyog.
"Formin": analogues
Muaj ntau cov nyiaj ntau ntawm cov hom no. Cov qauv ntawm "Formin" yog npaj muaj nyob rau hauv lawv cov muaj pes tsawg leeg ua qhov tseem ceeb ntawm metformin hydrochloride. Ib qho piv txwv yog cov tshuaj ntawm Lavxias cov tuam txhab: Vero-Metformin, Gliformin, Metformin, Metformin Richter, thiab txawv teb chaws - Glucofag, Glucofage thiab Glucofage Ntev (Fabkis), Langerin "(Slovakia)," Metfogamma "nrog ntau qhov sib txawv ntawm cov tshuaj nquag 0,100, 0,500 thiab 0,850 g (Lub teb chaws Yelemees).
Cov lus thiab cov xwm txheej ntawm kev cia
Muaj qee qhov xwm txheej hauv qhov no. Cov tshuaj "Formin" yog muaj zog, yog li nws tau faib tsuas yog los ntawm cov tshuaj noj thiab yuav tsum tau cia ntawm chav sov, tawm ntawm qhov ncav cuag cov menyuam yaus thiab hnub ci. Nws lub neej txee yog 2 xyoos.
Tus nqi nruab nrab ntawm cov tshuaj "Formmetin" yog tsim raws li cov tsuas tshuaj: ntawm 59 rubles. rau sawv hlwv 0.5 g, 133 rubles. rau 0.85 g thiab 232 rubles. rau 1 g.
Tso tawm daim ntawv, muaj pes tsawg leeg thiab ntim khoom
"Formin" yog tsim nyob rau hauv daim ntawv ntawm biconvex puag ncig cov ntsiav tshuaj dawb nrog txoj kab sib cais ntawm ib sab. Ntawm pob ntawv, ntau npaum li cas tau qhia - 500 mg, 850 mg lossis 1000 mg, nyob ntawm qhov kev txiav txim ntawm cov tshuaj nquag.
Cov ntsiav tshuaj ntawm 10 daim yog nyob hauv cov hlwv, nyob rau hauv tag nrho hauv ib daim npav cardboard muaj tuaj yeem muaj 30, 60 lossis 100 ntsiav tshuaj. Cov lus qhia rau kev siv yog txuas nrog.
Cov khoom siv tseem ceeb yog metformin hydrochloride. Cov compound no yog suav hais tias yog cov loj thib peb tiam lojuanide. Raws li cov khoom siv pabcuam, povidone muaj cov nruab nrab molecular phaus, croscarmellose sodium thiab magnesium stearate.
INN cov chaw tsim khoom
"Formmetin" yog ib lub npe lag luam tawm, lub npe txawv teb chaws tsis muaj npe yog metformin hydrochloride.
Cov tshuaj yog tsim los ntawm kev tsim khoom hauv teb chaws - lub tuam txhab Lavxias teb sab chaw muag tshuaj Pharmstandard.
Tus nqi nyob ntawm tus naj npawb ntawm cov ntsiav tshuaj hauv pob thiab lawv ntau npaum li cas. Qhov nruab nrab, 30 ntsiav tshuaj ntawm 500 mg rau ib tus nqi 70 rubles, thiab ntawm kev haus ntau npaum 850 mg - 80 rubles.
Kev taw qhia thiab contraindications
Qhov tseem ceeb qhia rau kev teem caij yog hom ntshav qab zib 2. Qhov kev daws no tshwj xeeb tshaj yog cuam tshuam rau cov neeg mob rog nyob hauv kev tswj hwm kev noj zaub mov zoo thiab kev ua kom lub cev tsis ua kom tshwm sim. Yuav raug coj los txuas nrog sulfonylurea derivatives. Cov tshuaj siv tau zoo daws ob qho teeb meem ntawm hyperglycemia thiab nrog lub cev hnyav dhau.
Txawm hais tias Formentin yog cov tshuaj zoo tshaj plaws ntawm tag nrho cov tshuaj hypoglycemic, nws muaj ib tug xov tooj ntawm contraindications:
- ua kom lub cev tsis haum rau metformin lossis lwm yam tshuaj,
- kev pheej hmoo ntawm cov kab mob lactic acidosis
- lub siab lossis raum tsis ua haujlwm,
- kev quav dej cawv, lub xeev muaj cawv qaug cawv,
- muaj kev kis mob hnyav thiab mob tshwm sim,
- ketoacidosis, ketoacidotic precoma lossis coma:
- cov khoom noj tsis muaj calorie ntau
- keeb kwm ntawm tus mob stroke lossis plawv nres.
Nrog rau cov nqaij tawv nqaij uas mob heev, raug mob, kho insulin yog kho rau cov neeg mob ntshav qab zib ua ntej lossis tom qab phais tas. Yog tias nws tsim nyog los ua kev tshawb nrhiav xoo hluav taws xob uas siv cov tshuaj iodine ntau hnub ua ntej thiab tom qab, cov tshuaj tsis siv.
XAUS! Ceev faj yuav tsum tau siv rau cov neeg muaj mob ntshav qab zib (laus dua 65), vim tias nws muaj kev pheej hmoo siab ntawm kev mob siab lactic acidosis.
Cov lus qhia rau kev siv (ntau npaum)
Qhov tsawg kawg nkaus ntawm cov tshuaj nquag siv uas tau sau tseg thaum pib kho yog 500-850 mg / hnub (1 ntsiav tshuaj). Sij hawm dhau mus, daim duab kho tau. Qhov siab tshaj plaws tau tso cai kho tshuaj yog 3000 mg / hnub, thiab rau cov neeg laus laus - 1000 mg / hnub. Noj cov tshuaj txhua hnub yog pom zoo los ntawm kev faib ua 2 koob tshuaj, ib nrab ib teev ua ntej noj mov, nrog haus ib khob dej.
TSEEM CEEB! Tsis txhob ncua noj mov tom qab noj cov tshuaj, vim qhov no nce qhov kev pheej hmoo ntawm kev mob hypoglycemic.
Lub sijhawm tiv thaiv ntawm cov chav kho mob yog teem los ntawm kws kho mob, koj tsis tuaj yeem hloov lub sijhawm teem sijhawm sib txawv.
Sab sij huam
Qhov tsis zoo xav tau yuav luag tshwm sim thaum pib ntawm txoj kev kho, thaum lub cev tseem tsis tau yoog. Hauv ob peb lub lis piam, lawv sawv daws mus nws tus kheej.
Cov tsos mob tshwm sim feem ntau yog:
- los ntawm cov hnyuv quav - cov quav ua kom quav (quav, raws plab, tsis qab los, mob hauv plab),
- kev ua xua (tawm pob ntawm lub ntsej muag, nqua lossis lub plab, khaus thiab ua kom tawv nqaij),
- cov tshuaj tiv thaiv hormonal tsis txaus (hypoglycemic tej yam kev mob nrog rau kev ua ntau ntawm lwm yam tshuaj hypoglycemic lossis tsis ua raws li kws kho mob pom zoo),
- teeb meem metabolic - lactic acidosis, xwm txheej ceev, xav kom tshem tawm sai),
- los ntawm cov kab mob ntshav - ntshav B12-tsis txaus.
Cev xeeb tub thiab lactation
Nws yog contraindicated rau hauv cov poj niam cev xeeb tub thiab lactating, vim tias tsis muaj cov ntaub ntawv tshawb fawb txog kev nyab xeeb ntawm nws qhov kev siv hauv cov sijhawm no. Yog tias muaj kev xav tau, tom qab ntawd cov neeg mob hloov mus rau kev kho mob insulin. Thaum npaj kev cev xeeb tub, tus neeg mob yuav tsum qhia tus kws kho mob txog qhov no txhawm rau hloov kho txoj kev kho.
Cov kev tshawb fawb uas ntseeg tau txog qhov muaj peev xwm ntawm "Formin" kom dhau mus rau hauv niam mis tsis tau ua, vim li no, lactating poj niam tsum tsis siv tshuaj. Yog tias nws tsis tuaj yeem tshem tawm, kev pub mis niam yog tso tseg.
Siv rau lub sijhawm menyuam yaus thiab hnub nyoog laus
Tsis txhob xaj rau menyuam yaus hnub nyoog qis dua 10 xyoo, vim tias tsis muaj cov ntaub ntawv kev nyab xeeb. Thaum muaj hnub nyoog laus dua, nws tau qhia tias kev kho mob monotherapy lossis kev sib xyaw nrog kev kho tshuaj insulin, tab sis nrog kev hloov kho cov qauv tshuaj raws li cov hnub nyoog xav tau.
Hauv cov neeg laus laus, cov tshuaj tuaj yeem cuam tshuam tsis zoo rau kev noj qab haus huv ntawm lub raum, yog li koj yuav tsum tau kuaj xyuas lawv lub luag haujlwm tsis tu ncua. Txhawm rau ua qhov no, tsawg kawg peb zaug hauv ib xyoos txiav txim siab txog theem ntawm creatinine hauv ntshav.
Piv nrog analogues
Muaj ntau cov tshuaj uas muaj cov txheej txheem zoo sib xws, uas txawv ntawm qhov zaus ntawm cov kev mob tshwm sim, contraindications thiab tus nqi. Qhov tshuaj twg yuav tsum yog tus kws kho mob koom nrog.
Thawj cov tshuaj raws li metformin yog tsim hauv Fabkis. Muaj cov kev ua ntu zus thiab lub sijhawm ntev. Nws txawv ntawm "Formin" thiab lwm yam generics tsawg dua kev phiv, tab sis nws tus nqi yog siab dua.
Tso rau hauv kev kho mob ntshav qab zib, uas tsis yog tswj los ntawm kev noj zaub mov noj. Pheej yig, tab sis cov npe ntawm contraindications thiab phiv yog dav heev.
Ntxiv nrog rau metformin, nws muaj lwm qhov ua kom nquag plias - vildagliptin. Raws li qhov txiaj ntsig ntawm qhov no, qhov ua kom zoo li hypoglycemic tseem muaj zog ntau dua li ntawm lwm cov analogues. Lub ntsiab kev cuam tshuam loj yog tus nqi siab (ntawm 1000 rubles rau ib pob).
Lub tswv yim ntawm cov ntshav qab zib hais txog cov tshuaj tau muab faib. Cov neeg mob uas coj nws mus ntev ntev yog txaus siab nrog cov nyhuv. Cov uas tau siv tam sim no tham txog cov kev mob tshwm sim heev.
Valentina Sadovaya, 56 xyoo:
"Tau ntau xyoo kuv tau coj Gliformin, tab sis nws cov nyhuv pib ua kom tsis muaj zog thaum sijhawm. "Formin" muab hloov mus ua qhov tsim nyog hloov - ntawm qhov tsis muaj suab thaj plab tsis nce siab tshaj 6 mmol / l. Hauv thawj lub lim tiam ntawm kev nkag mus, cov quav quav tau pom, tab sis txhua yam sai sai. Txaus siab heev nrog tus nqi tsawg. "
Peter Kolosov, 62 xyoo:
“Tus kws kho mob tau xa kuv mus rau Formetin ob peb lub lis piam dhau los. Nyob rau lub sijhawm no, ntau cov tsos mob tsis tsim nyog tshwm sim: tsis muaj zog, kiv taub hau, xeev siab, thiab tso quav tsis taus. Qhov no ua rau muaj kev noj qab haus huv tsis zoo, muaj teeb meem thaum ua haujlwm. Feem ntau, Kuv yuav kom koj sau tshuaj rau kuv rau. "
Cov tshuaj Formethine muaj txiaj ntsig zoo rau kev tswj T2DM, tshwj xeeb tshaj yog nyob rau cov neeg mob nyhav dhau los. Thaum pib, kev mob tshwm sim tuaj yeem tshwm sim, tab sis nrog lub sijhawm lawv dhau mus. Qhov zoo ntawm cov tshuaj yog nws cov nqi qis. Ua ntej noj, koj yuav tsum sab laj nrog koj tus kws kho mob.
Kev ntsuas rau siv
Cov tshuaj yog qhia rau cov neeg mob rog dhau thiab rog nrog kev noj haus tsis ua hauj lwm, kev txom nyem mob ntshav qab zib 2 yam uas tsis tau pom dhau los ntawm kev nyiam ua ketoacidosis.
Xws li, Formmetin rau qhov kev poob phaus tsis yog qhov sau tseg, txawm tias thaum noj tshuaj, qhov hnyav ntawm cov neeg mob tau txo qis. Cov tshuaj muaj txiaj ntsig ua ke nrog nrog tshuaj insulin nrog hais rog dhautsiag ntawv los ntawm insulin ua hauj lwm.
Cov lus qhia rau kev siv formetin (qauv thiab ntau npaum li cas)
Qhov ntau npaum li cas ntawm cov tshuaj yuav tsum txiav txim siab los ntawm tus kws kho mob ib leeg zuj zus tom qab kev ntsuam xyuas txhua yam ntawm tus neeg mob kev noj qab haus huv thiab qhov mob hnyav.
Txawm li cas los xij, cov lus qhia rau kev siv Formetin qhia qhov nruab nrab qhov pib muab tshuaj rau ib hnub ib zaug - dhau los ntawm 500 txog 1000 mg / hnub.
Kev hloov pauv ntawm cov tshuaj no hauv cov kev taw qhia ntawm kev nce ntxiv tuaj yeem nqa tau tom qab siab kawg 15 hnub tom qab pib kho nrog kev tswj hwm qib theem piam thaj nyob rau hauv cov ntshav ntawm tus neeg mob. Kev saib xyuas cov tshuaj ntau npaum li cas yog nruab nrab 1,500-200 mg / hnub, tab sis nws yuav tsum tsis pub tshaj 3,000 mg / hnub. Rau cov neeg mob laus, qhov yuav tsum tau txhaj ntau tshaj hnub yuav tsum tsis pub ntau tshaj 1 g.
Yuav kom zam lactic acidosis rau kev kho cov neeg mob nrog metabolic ntshawv siab Tsawg koob tshuaj yog pom zoo.
Formetin ntsiav tshuaj tau noj tom qab noj mov, kev noj tshuaj txhua hnub tuaj yeem muab faib ua 2 koob tshuaj kom tsis txhob muaj kev phiv los ntawm kev zom zaub mov.
Kev sib txuam
Nws tsis pom zoo kom noj cov tshuaj formethine ua ke nrog:
- Danazolkom cais tawm muaj zog hyperglycemic cuam tshuam ntawm yav tas,
- Chlorpromazineyuav tsum zam txhauv,
- Acarbase monoamine oxidase inhibitorsthiabangiotensin hloov ua enzyme, sulfonylurea derivativesthiab Clofibrate, tshuaj tsis-tshuaj steroidal, oxytetracyclinethiabβ-blockerskom tsis txhob txhim kho lub zog metformin, ib feem ntawm Formethine,
- Cimetidineuas ua rau qeeb ntawm cov txheej txheem ntawm kev txiav tawm ntawm lub cev metformin,
- qhov ncauj tawm tsam, glucagon, thiazide diuretics, cov thyroid hormones, nicotinic acid derivatives thiab phenothiazinelos tiv thaiv kom tsis txhob poob siab metfomina,
- derivatives coumarin (anticoagulants)txij li metformintsis muaj zog lawv cov nyhuv.
Ntxiv rau, nws yog txwv tsis pub noj tshuaj thiab haus cawv, li qhov no nce qhov yuav ua rau muaj kev txhim kholactic acidosis.
Kev noj tshuaj hloov kho ntawm formin yog qhov xav tau tom qab lossis thaum kho tus neeg mob nrog tshuaj thaiv qhov ncauj.
Kev txheeb xyuas txog Formetin
Cov neeg mob txom nyem mob ntshav qab zib thiab leej twg tau soj ntsuam cov nyhuv ntawm cov tshuaj rau lawv tus kheej, tawm qhov tsis sib haum xeeb tshuaj xyuas txog Formin ntawm cov xov tooj cua. Tsis yog txhua tus neeg mob tau txais cov tshuaj no zoo ib yam.
Ntau li qhov cuam tshuam tsis zoo hais txog cov npe zoo tshaj plaws ntawm contraindications, ntxiv rau qhov tseeb tias thaum noj cov tshuaj no, lawv yuav tsum ua tib zoo saib xyuas kev siv lwm cov cuab yeej kho mob thiab xaiv cov tshuaj sib txuas ua ke uas muaj kev nyab xeeb rau kev noj qab haus huv thiab lub neej.
Formmetin: tus nqi hauv cov khw muag tshuaj online
Formethine 500 mg ntsiav tshuaj 30 pcs.
FORMETIN 0.5 g 30 pcs. ntsiav tshuaj
FORMETIN 0.5 g 60 pcs. ntsiav tshuaj
Tsim txoj 500 mg ntsiav tshuaj 60 pcs.
Tsim tshuaj 850 mg ntsiav tshuaj 30 pcs.
Tsim muaj 1 g ntsiav tshuaj 30 pcs.
FORMETIN 1 g 30 pcs. ntsiav tshuaj
Tsim tshuaj 850 mg ntsiav tshuaj 60 pcs.
FORMETIN 0.85 g 60 pcs. ntsiav tshuaj
FORMETIN 1 g 60 pcs. ntsiav tshuaj
Tsim muaj 1 g ntsiav tshuaj 60 pcs.
Txheeb Tab. 1g n60
Formin ntev tab. nrog ntev. tso tawm n / cov raug txhom. 750mg No. 30
Cov Ntawv Tawm Ntev 750 mg pab txhawb cov tshuaj yeeb yaj kiab-coated 30 pcs.
Formin ntev tab. nrog ntev. tso tawm n / cov raug txhom. 500mg No. 60
Formin Ntev 500 mg pab txhawb cov ntsiav tshuaj zaj duab xis-txheej txheej 60 pcs.
Formin ntev tab. nrog ntev. tso tawm n / cov raug txhom. 750mg No. 60
Cov Tshuaj Noj ntev 750 mg coj mus muag cov ntsiav tshuaj zaj duab xis-txheej 60 pcs.
Kev Kawm Ntawv: Thawj Moscow State Medical University muaj npe tom qab I.M. Sechenov, tshwj xeeb "Tshuaj General".
Cov ntaub ntawv hais txog cov tshuaj raug muab dav dav, muab rau kev qhia tawm thiab tsis hloov chaw cov lus qhia. Kev siv tshuaj rau tus kheej yog qhov txaus ntshai rau kev noj qab haus huv!
Qhov hnyav ntawm tib neeg lub hlwb yog li 2% ntawm tag nrho lub cev qhov hnyav, tab sis nws noj txog 20% ntawm cov pa mus rau hauv cov ntshav. Qhov tseeb no ua rau tib neeg lub hlwb muaj kev tiv thaiv rau kev puas tsuaj los ntawm cov pa oxygen.
Nrog kev mus ntsib lub txaj tanning tas li, txoj kev pheej hmoo yuav kis mob cancer ntawm daim tawv nqaij nce 60%.
Qhov nruab nrab lub neej ntawm cov laug yog tsawg dua ntawm txoj cai.
Txawm hais tias ib tug neeg lub siab tsis yeej, tam sim no nws tseem tuaj yeem nyob rau lub sijhawm ntev, zoo li tus neeg nuv ntses neeg Norwegian Jan Revsdal tau ua rau peb pom. Nws "lub cev muaj zog" nres rau 4 xuab moos tom qab tus neeg nuv ntses tau ploj thiab tsaug zog hauv cov daus.
Txhawm rau hais txawm tias cov lus luv thiab yooj yim, peb siv 72 leeg leeg.
Hauv kev mob siab kom tau tus neeg mob tawm, cov kws kho mob feem ntau mus deb dhau. Yog li, piv txwv li, qee yam Charles Jensen nyob rau lub sijhawm txij xyoo 1954 txog 1994. muaj sia nyob ntau dua 900 lub neoplasm tshem tawm txoj haujlwm.
Cov kws tshawb fawb los ntawm Oxford University tau ua cov kev tshawb fawb, thaum lub sijhawm lawv tau los txiav txim siab tias kev tsis noj zaub ua rau muaj kev puas tsuaj rau tib neeg lub hlwb, vim tias nws ua rau nws txo qis hauv nws qhov loj. Yog li cov kws tshawb fawb pom zoo kom tsis txhob cais cov ntses thiab nqaij los ntawm lawv cov kev noj haus.
Ntxiv rau tib neeg, tsuas yog ib tus tsiaj muaj sia nyob ntawm ntiaj chaw ntiaj teb - dev, raug kev txom nyem los ntawm prostatitis. Cov no yog peb cov phooj ywg ncaj ncees tshaj plaws.
Cov kws tshawb fawb Asmeskas tau sim cov nas thiab tau xaus lus tias cov kua txiv mab txiv ntoo txwv tsis pub muaj kev txhim kho ntawm cov hlab ntshav atherosclerosis ntawm cov hlab ntshav. Ib pawg nas haus dej dawb, thiab lub thib ob ua kua txiv. Raws li qhov tshwm sim, cov hlab ntsha ntawm cov pab pawg thib ob yog pub dawb cov plahaum roj.
Raws li kev tshawb fawb, cov poj niam uas haus ob peb khob npias lossis cawv txiv hmab ib lim tiam muaj feem ntau yuav muaj mob khees xaws mis.
Cov tshuaj muaj npe zoo "Viagra" tau tsim thaum chiv thawj los kho kev mob ntshav siab los ntawm arterial tawg.
Yog tias koj poob los ntawm tus nees luav, koj nyiam yob koj lub caj dab ntau dua li yog koj ntog los ntawm nees. Tsuas tsis sim rau refute nqe lus no.
Cov tshuaj hnoos "Terpincode" yog ib tus thawj coj hauv kev muag, tsis muaj vim tias nws muaj tshuaj.
Txhua tus neeg muaj tsis tsuas yog nyias tus ntiv tes, tab sis kuj hais lus.
Plaub qho ntawm chocolate tsaus muaj txog ob puas calories. Yog li yog tias koj tsis xav tau zoo dua, nws zoo dua tsis txhob noj ntau tshaj li ob lobules ib hnub.
Tus naj npawb ntawm cov neeg ua haujlwm hauv chaw ua haujlwm tau nce siab hauv lub cev. Cov qauv no yog tshwj xeeb tshaj yog cov yam ntxwv ntawm cov nroog loj. Kev ua haujlwm hauv chaw ua haujlwm nyiam cov txiv neej thiab poj niam.
Sab nyhuv thiab cov xwm txheej tshwj xeeb
Cov kev tsis zoo ntawm tib neeg lub cev mus rau noj tshuaj "Formetin" suav nrog cov npe hauv qab no ntawm cov tsos mob:
- “Nws yog xim hlau” saj ntawm lub qhov ncauj,
- xeev siab thiab ntuav,
- ua xua (piv txwv, ua pob rau ntawm daim tawv nqaij).
Yog tias cov xwm txheej saum no tshwm sim, koj yuav tsum tso tseg txoj kev kho no tam sim ntawd thiab sab laj nrog tus kws kho mob tshwj xeeb. Tsis tas li ntawd, nws yog ib qho tseem ceeb kom nco ntsoov tias nrog kev kho mob ntev nrog kev siv tshuaj "Formmetin", kev ua txhaum lossis xaus rau kev nqus ntawm cov vitamin B12 kuj yuav tshwm sim, uas ua rau muaj kev cuam tshuam hypovitaminosis (tsawg dua rau lub xeev txawv - megaloblastic B12-tsis muaj zog txaus). Nrog rau kev ua kom yuam kev ntawm qhov tsuas tshuaj, cov ntshav qog nqaij hlav yuav tshwm sim.
Vim tias qhov kev txuam nrog ntawm cov tshuaj tiv thaiv "Formin" hauv tib neeg lub cev, nws yog qhov tsim nyog los tiv thaiv qhov tsis zoo ntawm qhov no. Yog li, txhawm rau tshem tawm cov kev sib txuam ntawm metformin thiab kev tiv thaiv cov kab mob lactic acidosis, koj yuav tsum ua tib zoo saib xyuas kev ua haujlwm ntawm lub raum thiab yauv mus ua kev tshawb fawb los txiav txim siab cov lactic acid hauv lub cev (tsawg kawg 2 zaug hauv ib xyoos). Thiab thaum twg qhov kev npaj tsis hnov mob mob hauv cov leeg nqaij, yuav tsum tau kuaj mob sai sai.
Kev siv cov tshuaj "Formmetin" yuav tsum muaj kev kawm ntxaws qhia txog cov ntaub ntawv hais txog kev sib txuam nrog tshuaj. Txhawm rau tshem tawm txoj kev txhim kho ntawm cov kab mob lactic acidosis thiab lwm yam kev tsis txaus ntseeg, tus kws kho mob cov lus qhia yuav tsum ua raws nraim thiab cov lus qhia siv yuav tsum ua raws. Piv txwv li, cov tshuaj nquag metformin, uas ua rau cov ntshav qab zib nce siab, ua rau nws cov txiaj ntsig ua ke nrog cov tshuaj tsis haum tshuaj tiv thaiv kab mob, thiab thaum noj nrog tshuaj endocrine, qhov inhibition ntawm cov txheej txheem hypoglycemic yog ua tau.
Kev noj tshuaj ntau dhau ntawm "Formin" tuaj yeem tshwm sim txawm tias ib hnub nrog 0.85 grams. Tseeb, kev txuam nrog metformin hauv tib neeg lub cev, uas ua rau kev loj hlob ntawm cov kab mob lactic acidosis, tuaj yeem tshwm sim vim kev ua haujlwm tsis zoo rau lub raum. Cov tsos mob tseem ceeb thaum ntxov ntawm cov kab mob lactic acidosis yog cov xwm txheej hauv qab no:
- kev qaug zog ntawm tag nrho lub cev,
- txo qis lub cev qhov kub thiab txias,
- mob hauv lub plab thiab cov leeg,
- tej ntshav siab,
- tsis nco qab thiab kiv taub hau.
Yog tias pom cov tsos mob no nyob hauv nws tus kheej, tus neeg mob yuav tsum tsis txhob noj "Formin" ntsiav tshuaj tam sim ntawd thiab mus ntsib kws kho mob. Thaum paub tseeb tias kev kuaj mob ntawm cov kab mob lactic acidosis, cov tshuaj nquag thiab lactic acid los ntawm lub cev, raws li txoj cai, raug cais tawm los ntawm hemodialysis nrog kev kho mob ib txhij.
Coob tus kws tshaj lij thiab cov neeg mob tau teb zoo rau cov tshuaj "Formin", txawm tias muaj cov npe zoo tshaj plaws ntawm contraindications thiab phiv. Tom qab tag nrho, cov tshuaj no yeej ua haujlwm tau zoo. Qhov loj tshaj plaws yog ua tib zoo ua raws li cov lus qhia ntawm cov kws kho mob tshwj xeeb thiab cov tseev kom muaj ntawm cov lus qhia rau kev siv los ntawm cov chaw tsim khoom ntawm cov khoom no.
Nikolai tuaj ntawm Tomsk: “Kuv tau mob ntshav qab zib hom 2 ntev heev. Tus kws kho mob tau sau tshuaj rau Methine ntsiav tshuaj. Thiab tau ntau xyoo tam sim no kuv tau haus lawv kom txo qis qab zib. Hauv pob ntawv ntawm 60 ntsiav tshuaj ntawm 1.0 g. Nws yog ib qho tseem ceeb rau kuv uas metformin (cov tshuaj tiv thaiv txuam nrog) inhibits gluconeogenesis nyob rau hauv daim siab, txo qhov nqus ntawm cov piam thaj los ntawm cov hnyuv, thiab tseem txhim kho kev siv peripheral qabzib thiab ua rau kev nkag siab ntawm cov ntaub so ntswg mus rau insulin. Cov tshuaj ua rau kuv lub cev ruaj khov thiab txo qhov hnyav ntawm lub cev. Muaj cov kev mob tshwm sim hauv daim ntawv ntawm xeev siab thiab saj hauv lub qhov ncauj, tsis qab los noj mov thiab mob plab, uas qee zaum tshwm sim. Kuv noj ib ntsiav tshuaj 2 zaug ib hnub. "Cov tshuaj pab kuv ntau, thiab kuv yuav tsis xav txog lub neej yog tsis muaj nws."