Cov tshuaj Telzap 40: cov lus qhia rau kev siv

Telzap yog cov tshuaj uas txo cov kev pheej hmoo ntawm kev tsim mob plawv. Kev ua tau zoo tau raug pov thawj hauv kev sim tshuaj thiab hauv kev kho mob.

Lub Npe Tsis Yog Neeg Tsis Muaj Npe

Lub npe Telmisartan yog siv los ua tus tsaj tsis thoob ntiaj teb.

Telzap yog cov tshuaj uas txo cov kev pheej hmoo ntawm kev tsim mob plawv.

ATX

ATX code C09CA07.

Tso cov ntawv thiab cov nyob ua ke

Telzap 40 mg yog muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, txhua tus ntawm muaj ib qho oblong biconvex duab. Cov xim ntawm cov ntsiav tshuaj kuj yuav yog xim dawb lossis daj. Ob sab muaj qhov pheej hmoo.

Lub hauv paus ua haujlwm tseem ceeb yog telmisartan. Nws cov ntsiab lus hauv txhua cov ntsiav tshuaj nce mus txog 40 mg.

Lub koom haum pabcuam suav nrog cov khoom hauv qab no:

• sorbitol;
• meglumine;
• magnesium stearate;
• sodium hydroxide;
• povidone.

Pharmacological kev txiav txim

Cov tshuaj lom neeg telmisartan muaj cov khoom tshwj xeeb ntawm angiotensin II receptor antagonists. Thaum noj, cov tshuaj muaj peev xwm ua kom tshem tawm cov angiotensin II los ntawm nws cov kev sib txuas nrog cov receptor. Ntxiv mus, nyob rau hauv kev sib raug zoo nrog no receptor, nws tsis yog agonist. Telmisartan tsuas cuam tshuam nrog cov tshuaj mob angiotensin II ATl. Cov tshuaj yeeb dej caw tsis ua kom pom cov khoom zoo ib yam li AT2 receptor thiab qee yam.

Cov tshuaj lom neeg telmisartan muaj cov khoom tshwj xeeb ntawm angiotensin II receptor antagonists.

Telmisartan tsuas cuam tshuam nrog cov tshuaj mob angiotensin II ATl.

Thaum siv ntau npaum ntawm 80 mg rau hauv cov neeg mob, qhov kub siab ua haujlwm ntawm angiotensin II tau sim.

Hauv qab ntawm cov tshuaj nyob rau hauv cov ntshav ntshav, cov ntsiab lus ntawm aldosterone poob tsawg. Tib lub sijhawm, cov kev ua si renin tseem nyob rau tib theem thiab raws li ion channel tsis thaiv.

Angiotensin-hloov enzyme uas catalyzes qhov kev puas tsuaj ntawm bradykinin tsis yog inhibited. Cov yeeb yam no tso cai rau koj kom tshem tawm cov kev pheej hmoo ntawm phiv xws li hnoos qhuav.

Thaum siv ntau npaum ntawm 80 mg rau hauv cov neeg mob, qhov kub siab ua haujlwm ntawm angiotensin II tau sim. Cov nyhuv tau tiav 3 teev tom qab thawj koob. Qhov kev txiav txim kav rau 24 teev. Nws suav hais tias yog kev siv tshuaj zoo rau 48 teev. Kev nquag noj cov ntsiav tshuaj rau 4-8 lub lis piam ua rau muaj txiaj ntsig antihypertensive.

Kev siv Telzap hauv cov neeg mob ntshav siab tuaj yeem txo qis diastolic thiab systolic ntshav siab. Meanwhile, lub plawv hloov tsis hloov.

Cov tshuaj yog siv los kho cov kab mob plawv. Hauv cov neeg mob laus uas muaj cov kab mob ntawm cov hlab plawv cov ntshav, cov ntsiav tshuaj tau muaj cov txiaj ntsig ntawm kev txo qis:

• myocardial infarction;
• khaub hlab;
• kev ploj tuag vim yog kab mob plawv.

Kev siv Telzap tuaj yeem txo qis cov ntshav diastolic thiab systolic.

Cov tshuaj yog siv los kho cov kab mob plawv.

Ntsiav tshuaj muaj qhov ua tau ntawm txo qis zaus.

Cov ntsiav tshuaj muaj qhov cuam tshuam los txo qhov zaus ntawm myocardial infarction.

Cov Tshuaj Pharmacokinetics

Tom qab lub qhov ncauj tswj hwm, cov tshuaj sai sai. Qhov nruab nrab, nws txoj kev ua haujlwm ntawm bioavailability ncav cuag 50%. Noj mov tuaj yeem ua rau kom qhov quav tshuaj tsawg dua.

Telmisartan khi rau alpha-1 acid glycoprotein, albumin, thiab lwm cov ntshav protein.

Kev mob ntshav siab tshwm sim thaum lub sijhawm ua ke nrog glucuronic acid. Cov compound no tsis muaj kev ua si ntawm pharmacological. Kev tshem tawm ntawm cov khoom tshwm sim tshwm sim los ntawm cov hnyuv. Hauv qhov no, feem ntau ntawm lub cev tawm tsis hloov pauv. Tsuas yog 1% ntawm cov tshuaj tau tawm los ntawm lub raum.

Kev ntsuas rau siv

Telzap raug kho rau cov neeg mob uas muaj cov kev mob hauv qab no:

• tawg siab tseem ceeb;
• yam 2 mob ntshav qab zib mellitus (nyob rau hauv qhov muaj qhov txhab ntawm cov plab hnyuv siab raum);
• mob plawv ntawm cov keeb keeb atherothrombotic (hauv cov npe ntawm cov kab mob zoo li no, mob hlab ntsha tawg, mob plawv, mob puas rau cov hlab ntsha txhaws).

Cov ntsiav tshuaj kuj tseem pom zoo raws li prophylactic ntawm cov kab mob plawv rau cov neeg mob uas muaj kev pheej hmoo.

Telzap tau tsim tawm rau kev kuaj mob xws li kub siab tseem ceeb.

Telzap raug tshuaj rau cov kev kuaj mob xws li hom 2 mob ntshav qab zib mellitus (nyob rau hauv qhov muaj qhov txhab ntawm cov nqaij hauv lub nruab nrog cev).

Telzap yog tsim tawm rau cov kev kuaj mob no xws li cov hlab plawv mob ntawm keeb keeb atherothrombotic.

Cov ntsiav tshuaj kuj tseem pom zoo raws li prophylactic rau cov kab mob plawv.

Yog tias muaj cov kab mob cuam tshuam nrog cov mob huam, Telzap muaj kev cuam tshuam kiag li.

Telzap yog kiag li contraindicated nyob rau hauv cov ntaub ntawv ntawm ib tug neeg fructose intolerance.

Telzap muaj sib txuam thaum lub sijhawm pub niam mis.

Cov Yuav Tsum Muaj

Cov tshuaj yog tag contraindicated:

• nrog rau kev tiv thaiv zoo rau cov tub ntxhais tseem ceeb los yog kev sib txuam;
• nyob rau hauv cov ntaub ntawv ntawm obstructive kab mob cuam tshuam lub biliary huam;
• lub sijhawm cev xeeb tub thiab pub niam mis;
• nrog tus neeg tsis kam mus rau fructose;
• cov me nyuam hnub nyoog qis dua 18 xyoo

Nrog saib xyuas

Nyob rau hauv cov lus qhia rau kev siv, ib tug xov tooj ntawm pathologies muaj npe, nyob rau hauv uas Telzap yog kws kho mob kom zoo zoo raws li kev saib xyuas ntawm tus kws kho mob:

• lub raum tsis ua haujlwm;
• raum leeg ntshav hlab ntsha;
• hyperkalemia
• tshuaj tiv thaiv hyponatremia;
• mitral lossis aortic valve stenosis;
• txo cov ntshav hauv cov ntshav uas tshwm sim tom qab noj tshuaj diuretics, ntuav, raws plab, lossis tsis muaj ntsev rau hauv cov zaub mov;
• thawj hyperaldosteronism;
• lub sij hawm rov qab tom qab hloov raum;
• malfunctioning ntawm daim siab (me me mus rau theem nrab);
• lub plawv dhia tsis zoo;
• obstructive hypertrophic cardiomyopathy.

Nrog kev ceev faj, Telzap raug kho rau cov neeg mob uas muaj lub plawv tsis ua haujlwm hnyav.

Nrog faj seeb, Telzap yog tshuaj rau cov neeg mob uas lub raum tsis ua haujlwm.

Nrog kev ceev faj, Telzap tau raug muab rau cov neeg mob raum leeg mob raum.

Nrog kev ceev faj, Telzap raug kho rau cov neeg mob uas lub siab tsis ua haujlwm (me me mus rau theem nrab).

Obstructive hypertrophic cardiomyopathy yog ib tug kab mob uas Telzap tau tshuaj nrog kev ceev faj heev.

Mitral lossis aortic valve stenosis yog txoj kev kho nyob rau hauv uas Telzap yog tshuaj nrog kev ceev faj heev.

Qhov yuav tsum tau ceev faj thaum siv cov tshuaj no hauv kev kho mob ntawm cov neeg mob ntawm cov haiv neeg Negroid.

Qhov yuav tsum tau ceev faj thaum siv cov tshuaj no hauv kev kho mob ntawm cov neeg mob ntawm cov haiv neeg Negroid.

Yuav noj li cas rau telzap 40 mg

Cov ntsiav tshuaj yog npaj rau cov thawj coj hauv qhov ncauj. Lawv muab nqos tsis tau zom thiab ntxuav nrog khob dej. Raws li cov txheej txheem tshuaj kho mob, nws pom zoo kom noj 1 ntsiav tshuaj ntawm Telzap ib hnub yam tsis muaj kev pom zoo rau kev noj zaub mov. Tsuas tshuaj yog nyob ntawm cov yam ntxwv ntawm kev kuaj mob.

Txog rau cov hlab ntshav siab, qhov kev pom zoo thawj zaug yog 1 ntsiav tshuaj 40 mg. Thaum tsis muaj cov nyhuv tsim nyog, cov koob tshuaj yuav raug nce mus rau 80 mg.

Kev siv ua prophylactic rau cov kab mob plawv muaj qhov sib txawv ntawm cov tshuaj noj. Hauv qhov no, qhov kev pom zoo tshaj plaws yog 80 mg rau ib hnub.

Kho ntshav qab zib

Cov ntsiav tshuaj Telzap tau ua pov thawj los ua ib qho txiaj ntsig zoo rau cov kev kho mob hauv cov neeg mob uas muaj ntshav qab zib hom 2 mob ntshav qab zib. Cov neeg tau txais cov tshuaj hypoglycemic yuav tsum niaj hnub soj ntsuam lawv cov qib glycemia. Hauv qee kis, kev kho cov hypoglycemic agents los yog insulin yog qhov yuav tsum tau ua.

Cov ntsiav tshuaj Telzap tau ua pov thawj los ua ib qho txiaj ntsig zoo rau cov kev kho mob hauv cov neeg mob uas muaj ntshav qab zib hom 2 mob ntshav qab zib.

Sab sij huam

Hauv qee cov neeg mob, noj Telzap tuaj yeem ua rau pom kev tshwm sim ntawm kev phiv.

Kev kho mob txoj hnyuv

Los ntawm lub plab zom mov, raws plab, mob plab, ntuav, pom kev thiab ua tsis tau pa tshwm sim ntau dua li lwm tus. Saj tsis zoo nyob rau hauv thaj chaw epigastric, hnoos qeev qhuav hauv qhov ncauj kab noj hniav yog qhov tsis tshua pom tshwm sim.

Hematopoietic plab hnyuv siab raum

Muaj cov ntawv pov thawj ntawm kev txhim kho thrombocytopenia, eosinophilia thiab ntshav tsawg tsis txaus.

Nruab nrab hauv lub paj hlwb

Qee cov neeg mob yws ntawm insomnia, kev nyuaj siab, ntxhov siab ntxiv. Nyob rau hauv tsawg zaus, muaj tsaus muag.

Los ntawm cov kab mob zis

Ntawm cov kev mob tshwm sim hu ua impaired raum muaj nuj nqi. Ntawm cov pathologies yog lub raum tsis ua haujlwm.

Los ntawm lub tshuab ua pa

Dyspnea thiab hnoos tsawg zaus. Tsis tshua muaj, kev mob ntsws los ntawm lub cev tshwm sim.

Tom qab siv cov tshuaj, dyspnea thiab hnoos tsis tshua muaj tshwm sim.

Ib qho kev cuam tshuam ntawm cov tshuaj, los ntawm cov zom zaub mov, ntau zaus ntau dua li tsis muaj, muaj plab zom mov.

Ib qho kev cuam tshuam ntawm kev siv tshuaj, los ntawm kev mob plab, raws plab tshwm sim ntau dua li lwm tus.

Tom qab siv cov tshuaj, qee cov neeg mob yws txog kev ntxhov siab.

Tom qab siv cov tshuaj, qee cov neeg mob yws ntawm insomnia.

Ntawm cov kev mob tshwm sim hu ua impaired raum muaj nuj nqi.

Telzapa tuaj yeem ua rau mob tshwm sim, xws li kev loj hlob ntawm thrombocytopenia.

Ntawm ib sab ntawm daim tawv nqaij

Hauv cov npe ntawm cov kev mob tshwm sim no yuav tsum tau hu ua hyperhidrosis, tawv nqaij khaus, ua pob. Eczema, angioedema, erythema, tshuaj lom cov tawv nqaij thiab tshuaj lom yog tsis tshua kuaj pom.

Los ntawm genitourinary system

Rau cov poj niam, cov kab mob ua mob ntawm kev yug me nyuam tuaj yeem tshwm sim, qee qhov tsis tshua muaj tshwm sim, pom muaj kev coj khaub ncaws tsis coj khaub ncaws. Hauv cov txiv neej, ua kom tiav erectile kuj ua tau.

Los ntawm cov hlab plawv system

Txoj hlab plawv tsis tshua muaj rau cov kev tshwm sim tsis zoo nrog Telzap txoj kev kho. Lub caij no, cov neeg mob ua tau:

• tsaus muag los ntawm hypotension;
• txo lossis nce siab hauv plawv dhia;
• txo qis ntshav siab nrog kev hloov chaw hauv lub cev.

Endocrine system

Siv cov tshuaj tuaj yeem ua rau txo cov ntshav qab zib thiab ntshav qab zib hauv lub cev.

Siv cov tshuaj tuaj yeem ua rau txo cov ntshav qab zib thiab ntshav qab zib hauv lub cev.

Hauv cov npe ntawm cov kev mob tshwm sim ntawm Telzap, hyperhidrosis yuav tsum raug hu.

Rau cov poj niam, tom qab noj tshuaj, mob ua kab mob ntawm kev muaj me nyuam yuav tshwm sim.

Txoj hlab plawv tsis tshua muaj rau cov kev tshwm sim tsis zoo nrog Telzap txoj kev kho.

Tom qab noj Telzap, gallbladder thiab daim siab ua rau muaj mob tsawg kawg.

Tom qab noj Telzap ib sab los ntawm kev phiv tshuaj, Quincke's edema yog ua tau.

Ntawm ib sab ntawm daim siab thiab cov hnyuv

Kev tsis txaus siab ntawm lub qog thiab lub siab yog qhov tsis tshua muaj neeg pom.

Kev ua xua

Ntawm kev tsis haum tshuaj, cov hauv qab no yog ua tau:

• rhinitis;
• daim tawv nqaij xoo pob;
• laryngeal edema;
• Quincke's edema.

Cov lus qhia tshwj xeeb

Rau tej kev mob tshwm sim, tsum tsis txhob noj tshuaj thiab nrhiav kev pab kho mob. Qhov ua kom ntshav siab tuaj yeem ua rau mob stroke, plawv nres nrog lub txiaj ntsig tuag.

Cawv tau zoo

Haus dej cawv yog txwv tsis pub txwv thaum kho nrog Telzap. Kev sib cuam tshuam ntawm cov tshuaj nrog ethanol ua rau lub suab poob qis hauv cov ntshav siab, uas tuaj yeem ua rau tsis nco qab.

Haus dej cawv yog txwv tsis pub txwv thaum kho nrog Telzap.

Cuam tshuam rau lub peev xwm los tswj cov tshuab

Tsis muaj cov lus qhia tshwj xeeb hauv qhov no, txawm li cas los xij, kev siv cov tshuaj tuaj yeem ua rau muaj kev mob tshwm sim (tsaus muag, tsaus muag, tsaug zog). Nrog cov nta no hauv siab, tsav nrog kev ceev faj.

Siv thaum cev xeeb tub thiab lactation

Hauv cov tshuaj, tsis muaj cov ntaub ntawv ntawm cov nyhuv ntawm cov tshuaj ntawm tus me nyuam hauv plab. Cov kev tshawb fawb soj ntsuam nyob rau hauv cov tsiaj tau pom tias muaj tshuaj lom rau ntawm tus me nyuam hauv plab. Vim li no, lwm cov tshuaj raug txwv kom kho cov poj niam cev xeeb tub.

Hauv lub sijhawm thib 2 thiab thib peb, kev siv tshuaj yeeb tshuaj los ntawm cov pab pawg ntawm angiotensin antagonists tuaj yeem ua rau tus menyuam hauv plab, raum, ncua ossification ntawm pob txha taub hau, oligohydramnios.

Thaum lub sijhawm lactation, kev teem sijhawm ntawm Telzap yog txwv tsis pub muaj. Txwv tsis pub, kev pub niam mis yuav tsum muaj kev cuam tshuam.

Tshaaj Telzap 40 mg rau menyuam yaus

Cov menyuam yaus hnub nyoog qis dua 18 xyoo txwv tsis pub noj tshuaj uas muaj telmisartan.

Siv rau lub sijhawm qub

Cov neeg mob hnub nyoog laus dua 70 xyoo tsis tas yuav tsum muab tshuaj rau kom kho. Cov kev zam tsis suav yog kis mob nrog pathologies ntawm lub raum lossis nplooj siab.

Cov neeg mob hnub nyoog laus dua 70 xyoo tsis tas yuav tsum muab tshuaj rau kom kho.

Daim ntawv thov rau lub raum khiav tsis zoo

Hauv qhov mob tsis zoo rau lub raum, ib cov tshuaj uas tsis ntau tshaj 20 mg ntawm ib hnub twg yuav tsum siv.

Siv rau lub siab ua haujlwm tsis zoo

Hauv cov kab mob siab heev, Telzap tsis siv.

Noj ntau dhau

Yog tias qhov koob tshuaj pom zoo tshaj dhau, cov tsos mob hauv qab no tshwm sim:

• lub plawv dhia qis;
• Kiv taub hau
• tus ntse txo cov ntshav siab;
• cov cim qhia ntawm lub raum tsis ua haujlwm.

Kev cuam tshuam nrog lwm yam tshuaj

Telzap feem ntau yog siv los ua ib feem ntawm cov kev kho mob nyuaj, yog li koj yuav tsum xav txog qhov sib xyaw ntawm cov ntsiav tshuaj nrog rau lwm cov tshuaj.

Contraindicated kev sib txuas ua ke

Cov neeg mob uas muaj ntshav qab zib hom 2 tsis raug tso cai coj telmisartan nrog lwm cov tshuaj tiv thaiv ACE tib lub sijhawm. Feem ntau, qhov no ua rau ua rau lub plawv tsis muaj ntshav qab zib.

Kev tswj hwm kev kho mob tsis tu ncua thiab cov tshuaj kho mob yuav tsum tau siv nrog kev sib xyaw ua ke ntawm telmisartan thiab asperin.

Cov neeg mob uas muaj ntshav qab zib hom 2 tsis raug tso cai coj telmisartan nrog lwm cov tshuaj tiv thaiv ACE tib lub sijhawm.

Telzap tsis pom zoo kom noj ua ke nrog heparin.

Tsis pom zoo kev sib txuas ua ke

Cov tshuaj tsis pom zoo rau kev siv:

• heparin;
• cov tshuaj tiv thaiv kab mob;
• cov tshuaj uas tsis yog tshuaj steroidal;
• muaj cov neeg noj zaub mov ntxiv rau poov tshuaj;
• poov tshuaj-sparing diuretics;
• txhais tau tias nyob rau hauv uas hydrochlorothiazide muaj.

Tej kev sib txuam uas xav tau ceev faj

Kev tswj hwm kev kho mob thiab kev hloov tshuaj ntau ntxiv tuaj yeem xav tau nrog kev siv tshuaj telmisartan thiab cov tshuaj hauv qab no:

• tshuaj aspirin;
• digoxin;
• furosemide;
• lithium-uas muaj cov tshuaj;
• barbiturates;
• corticosteroids.

Analogs

Hloov Telzap nrog cov tshuaj zoo sib xws hauv muaj pes tsawg leeg thiab muaj txiaj ntsig:

• Telpres
• Mikardis;
• Telsartan;
• Lozap.

Lub sijhawm so haujlwm Telzap 40 mg los ntawm cov chaw muag tshuaj

Telzap tuaj yeem yuav tom khw muag tshuaj los ntawm cov tshuaj noj.

Kuv tuaj yeem yuav yam tsis tas yuav tshuaj

Cov tshuaj noj hauv pab pawg no raug txwv tsis pub muag yam tsis muaj tshuaj.

Nqi

Tus nqi ntawm cov ntsiav tshuaj yog 450-500 rubles.

Cia rau cov neeg mob rau cov tshuaj

Khaws cov tshuaj ntawm qhov kub tsis tshaj + 25 ° C.

Hnub tas sij hawm

Kev cia rau hauv cov xwm txheej cia, cov ntsiav tshuaj muaj lub neej txee ntawm 2 xyoo.

Chaw tsim tshuaj paus Telzap 40 mg

Cov tshuaj yog tsim nyob rau hauv qaib ntxhw los ntawm lub tuam txhab tshuaj "Zentiva Saglik Urunlegi Sanai ve Tijaret".

Cov analogue ntawm Telzap yog Telsartan.

Cov Lus Qhia ntawm Telzap - Lozap.

Cov yeeb yaj kiab ntawm Telzap yog Mikardis.

Cov khoom noj ntawm Telzap yog Telpres.

Kev txheeb xyuas txog Telzap 40 mg

Cov kws kho mob

Ekaterina, kws kho plawv, kev ua haujlwm kho mob - 11 xyoos

Telzap tau teeb tsa nws tus kheej ua cov tshuaj zoo thiab yooj yim hauv kev siv. Nws muaj lub luag haujlwm ntev, kev cuam tshuam tsawg thiab yog tus nqi pheej yig.

Vladislav, kws kho plawv, kev ua haujlwm kho mob - 16 xyoo

Cov tshuaj no pab tshem tawm cov tsos mob ntawm cov kab mob plawv thiab txo cov kev pheej hmoo ntawm cov hlab ntsha tawg thiab plawv nres. Ib qho tseem ceeb ntawm cov ntsiav tshuaj yog tus lej tsawg ntawm contraindications. Cov kev kho mob tau pom zoo los ntawm cov neeg mob laus thiab cov neeg muaj ntshav qab zib hom 2.

Cov neeg mob

Polina, hnub nyoog 52 xyoo, Ufa

Kuv tau txais mob plawv los ntawm kev mob plawv. Txhawm rau tiv thaiv cov teeb meem, tus kws kho mob tau hais rau Telzap. Kuv hais kom nkag siab zoo rau cov lus pom zoo ntawm tus kws kho plawv. Kuv xav tias zoo, tsis muaj kev phiv tshuaj.

Valery, hnub nyoog 44 xyoo, Asbest

Kuv yog tus mob ntshav qab zib (hom 2 mob ntshav qab zib). Ntawm cov tshuaj kho tau, muaj Telzap. Tus kws kho mob tau ceeb toom tias tias yuav tsum tau noj cov tshuaj npaum li cas. Ntxiv rau, Kuv feem ntau kuaj xyuas qib ntawm glycemia. Kuv txaus siab rau qhov tshwm sim kom deb li deb.