Cov tshuaj Ramipril C3: cov lus qhia rau kev siv

Pin
Send
Share
Send

Ramipril-C3 yog ib qho tshuaj zoo siv los kho kev mob ntshav siab. Nws sai txo cov ntshav siab yam tsis muaj kev cuam tshuam rau lwm yam kabmob. Yuav tsum tau muaj kev kho mob thaum kho.

Lub Npe Tsis Yog Neeg Tsis Muaj Npe

Ramipril

Ramipril-C3 yog ib qho tshuaj zoo siv los kho kev mob ntshav siab.

ATX

C09BA05

Tso cov ntawv thiab cov nyob ua ke

Ntsiav tshuaj

Muaj nyob rau hauv cov ntsiav tshuaj ntawm 2.5, 5 thiab 10 mg ntawm cov tshuaj nquag.

Daim ntawv tsis muaj

Capsules yog ib hom tshuaj uas tsis muaj nyob rau ntawm kev muag.

Pharmacological kev txiav txim

Hais txog ACE inhibitors. Qhov no yog prodrug los ntawm kev uas ramiprilat yog tsim thaum lub cev metabolism. Cov tshuaj ua tau zoo txo ​​qhov kev siv zog ntawm kev tsim cov tshuaj angiotensin-hloov cov tshuaj hormones, ua rau tsim muaj cov tshuaj angiotensin-2, uas muab vasoconstriction.

Vim tias qhov txo qis ntawm theem ntawm angiotensin-2, ntshav ntshav kev ua si nce. Cov tshuaj ua rau cov ntshav ntws nyob rau hauv cov hlab ntsha ntawm lub ntsws, nce qhov ntau ntawm lub plawv thiab nws cov tshuaj tiv thaiv kev ntxhov siab. Txo txoj kev pheej hmoo sai sai ntawm cov neeg mob tom qab lub plawv nres thiab nrog lub plawv tsis ua hauj lwm. Txo txo ​​txoj kev pheej hmoo mus pw hauv tsev kho mob vim mob plawv heev.

Cov tshuaj txo qhov ntxim nyiam ntawm kev tsim myocardial infarction hauv cov neeg mob uas muaj kev pheej hmoo thiab kis rau cov yam zoo li no:

  • kev mob plawv hauv lub plawv;
  • pathology ntawm cov hlab ntsha ntsig, nrog rau mob hlab ntsha tawg;
  • ntshav qab zib mellitus;
  • microalbuminuria;
  • ntshav siab
  • nce rau hauv cov roj cholesterol;
  • haus luam yeeb
  • haus cawv.

Cov tshuaj txo tus nqi ntawm cov tshuaj albumin hauv lub tso zis thiab tiv thaiv kev txhim kho ntawm nephropathy hauv cov neeg mob ntshav qab zib.

Cov tshuaj txo qhov ntxim nyiam ntawm kev tsim myocardial infarction hauv cov neeg mob uas muaj kev pheej hmoo.

Cov Tshuaj Pharmacokinetics

Cov nyhuv ntawm Ramipril-C3 pib rau cov neeg laus txog li ib teev tom qab kev tswj hwm ntawm qhov ncauj, nce mus txog qhov siab kawg tom qab 3-6 teev thiab kav ntev txog ib hnub.

Kev ntsuas rau siv

Cov tshuaj yog qhia rau kev siv nrog:

  • arterial kub siab;
  • mob ntsws raum;
  • mob tom qab lub plawv nres;
  • mob ntshav qab zib nephropathy;
  • mob siv mus tsis zoo lub raum kev ua haujlwm.

Nws yog tshuaj rau cov neeg mob uas muaj mob plawv, mob pob txha caj qaum mob ntshav ncig lub plawv angioplasty lossis mob hlab ntsha o hla kev mob pob txha.

Thaum dab tsi siab?

Tsuas lees txais thaum txhawb siab siab.

Cov Yuav Tsum Muaj

Contraindicated nyob rau hauv:

  • cov tshuaj tiv thaiv tsis haum rau ACE inhibitors;
  • keeb kwm ntawm mob hlwb;
  • tus neeg mob lub hnub nyoog txog 18 xyoo (hauv kev coj ua tsis muaj pov thawj ntsig txog kev nyab xeeb ntawm cov tshuaj no rau menyuam yaus).
Ramipril C3 yog tshuaj rau ntshav tawm ntawm txoj hlab ntshav tshiab.
Hauv kev ua kom mob plawv sai, Ramipril C3 yuav tsum ua.
Ramipril C3 tau sau tseg hauv tus neeg mob lub tom qab lub plawv nres.
Kev tswj hwm ntawm cov tshuaj yog tshuaj rau lub cev mob raum ua rau lub raum tsis ua haujlwm.

Nrog saib xyuas

Nws yog ib qho tsim nyog yuav tsum noj cov tshuaj nrog kev ceev faj nrog kev nyiam ntawm edema, kev puas tsuaj rau lub raum lossis mob siab.

Yuav ua li cas noj ramipril C3?

Cov ntsiav tshuaj tsis yog zom thiab nqos tag nrho, ntxuav cia nrog cov dej txaus (tsis yog kua txiv, tshuaj yej), tsis hais txog ntawm cov khoom noj. Cov koob tshuaj thiab lub sijhawm ntawm kev kho yog xaiv los ntawm tus kws kho mob ib leeg zuj zus, suav txog qhov ntsuas.

Nrog rau kev kub siab, cov koob tshuaj thawj zaug yog 2.5 mg, uas noj ib hnub ib zaug thaum sawv ntxov. Yog tias tom qab 3 lub lis piam qhov siab tsis rov qab los rau qhov qub, qhov koob tshuaj tau nce rau 5 mg. Qhov siab tshaj plaws qhov kev pom zoo yog 10 mg ntawm cov tshuaj. Nrog cov tsis muaj txiaj ntsig hypotensive, diuretics thiab calcium tubule blockers yog kho tau.

Hauv kev mob plawv tsis ua hauj lwm, thawj koob tshuaj yog ib nrab ib ntsiav tshuaj ntawm 2.5 mg. Nws tuaj yeem nce siab rau hauv qhov kev xav ntawm lub cev lub cev rau kev kho mob. Ntawm qhov tshuaj ntau dua 1 ntsiav tshuaj, nws yuav tsum tau muab faib ua ob peb zaug tshuaj ntawm kev sib luag sib luag. Qhov siab tshaj plaws yog 10 ntsiav tshuaj.

Txhawm rau kom txo qis kev pheej hmoo ntawm lub plawv lossis mob hlab ntsha tawg, kev pib koob tshuaj yog 2,5 mg nrog tshuaj tiv thaiv maj mam nce mus rau theem txij nkawm ntawm 10 mg. Tshaj cov nyiaj no tsis txaus ntseeg, vim tias tsis muaj pov thawj ua tau zoo.

Hauv kev mob plawv tsis ua hauj lwm, thawj koob tshuaj yog ib nrab ib ntsiav tshuaj ntawm 2.5 mg.

Hauv qhov xwm txheej tshwm sim los ntawm kev mob plawv sai (ntawm 2 txog 9 hnub tom qab muaj mob ceev), thawj koob tshuaj yog 5 mg (nws muab faib ua 2 koob tshuaj). Nrog rau qhov txo qis hauv siab, qhov koob tshuaj yog txo. Qhov ntau npaum li cas ntawm cov tshuaj yog 10 mg. Nws raug nquahu kom maj mam nce qhov ntau npaum li cas thiaj li tsis muaj kev txo nrawm nraub qaum, uas cuam tshuam rau hauv lub xeev collaptoid.

Nrog rau lub plawv dhia tsis zoo, nws raug nquahu kom pib kho nrog qhov tsawg kawg ntawm ib nrab ntawm ib ntsiav tshuaj, maj mam nce nws.

Nrog ntshav qab zib

Nrog lub raum ua rau lub raum puas tsuaj thiab lwm yam kab mob sib xws, thawj koob tshuaj yog ib nrab ntawm cov ntsiav tshuaj, nrog nce ntxiv zuj zus mus rau 5 mg. Nrog rau qhov nce ntxiv ntawm qhov dhau ntawm qhov no, cov hauj lwm zoo ntawm kev kho tsis tau raug pov thawj.

Qhov tshwm sim ntawm Ramipril C3

Tsawg tsawg zaus, cov tshuaj muaj peev xwm ua rau lub cev qhov ceeb thawj txo qis, nce ntxiv ntawm nitrogen, urea thiab ntshav creatinine, angioedema. Nws yog tsawg kawg rau cov neeg mob tau muaj kev hloov pauv tau tseeb hauv txhua qhov kev suav cov ntshav.

Kev kho mob txoj hnyuv

Cov tshuaj yuav ua rau ntuav, raws plab thiab xeev siab. Muaj qee zaus, muaj qhov hnov ​​ntawm kev nqhis dej, lossis, hloov pauv, qhov nce ntawm cov qaub ncaug. Tsis tshua muaj, cov neeg mob tau txo qis tsis qab los (txog qhov tsis nco qab), kev chim siab ntawm lub plab zom mov, qhov kev ua txhaum lub siab ua rau lub cev hloov pauv transaminase ntau dua.

Hematopoietic plab hnyuv siab raum

Tej zaum yuav txo qis ntawm cov platelets thiab cov ntshav liab.

Ramipril C3 tuaj yeem ua rau xeev ntuav, ntuav.
Ramipril C3 ua rau mob raws plab.
Ramipril C3 ntsiav tshuaj tuaj yeem tsim qhov kev nce siab hauv kev salivation.
Ramipril C3 tuaj yeem ua rau kiv taub hau.
Lub cim xeeb tsis zoo yog kev phiv tshuaj.
Kev phiv los ntawm cov tshuaj Ramipril C3 yog suav tias yog mob taub hau.
Ramipril C3 tuaj yeem qee zaum ua rau hnov ​​lus tsis zoo.

Nruab nrab hauv lub paj hlwb

Cov neeg mob yuav cuam tshuam los ntawm kiv taub hau, mob taub hau, asthenia. Muaj qee zaus, nco qab, ua kom qaug dab peg, nyuaj siab, pw tsaug zog lossis tsaug zog, tsis hnov ​​lus zoo, hnov ​​lus tsis zoo.

Los ntawm cov kab mob zis

Hauv cov neeg mob tsis tshua muaj mob, cov protein yuav tshwm sim hauv cov zis. Qee zaum cov zis yuav txo qis, o tshwm sim.

Los ntawm lub tshuab ua pa

Cov neeg mob yuav pib hnoos, mob pharyngitis, mob ntsws, mob ntsws.

Kev ua xua

Ua xua tshwm sim ua pob khaus thiab urticaria.

Cov lus qhia tshwj xeeb

Kev siv Ramipril C3 yuav tsum tshwm sim nkaus xwb nrog kev saib xyuas kev kho mob nrog kev ua tiav raws li cov lus qhia. Ua ntej pib txoj kev kho mob, diuretics tshuaj raws li cov tshuaj tiv thaiv kev tiv thaiv yuav tsum tau tshem tawm. Hauv cov neeg mob uas muaj daim ntawv tiv thaiv tsis zoo ntawm kev kub siab, tshem tawm yog nqa tawm maj. Yog tias qhov no ua tsis tau, ces kho cov dej thiab electrolyte tshuav nyiaj li cas.

Thaum lub sijhawm kho, cov neeg mob xav tau kev soj ntsuam tas li ntawm daim duab ntshav. Nws yog qhov tsim nyog los soj ntsuam cov ntsuas ntawm urea nitrogen, creatinine. Nrog rau kev txhim kho lub cev qhuav dej, kom ntau dua tshuaj yog kho.

Lub sijhawm kho, kev siv dej cawv yuav tsum muab tshem tawm kom meej.

Lub sijhawm kho, kev siv dej cawv yuav tsum muab tshem tawm kom meej.

Tshaj Tshuaj Ramipril C3 rau menyuam yaus

Cov tshuaj tsis tau sau rau cov menyuam yaus vim tias tsis muaj pov thawj ntawm kev nyab xeeb ntawm cov tshuaj.

Siv thaum cev xeeb tub thiab lactation

Cov tshuaj no yog contraindicated nyob rau hauv cev xeeb tub thiab pub niam mis. Yog tias cev xeeb tub tau tshwm sim hauv lub sijhawm kho, tom qab ntawd koj yuav tsum hloov cov tshuaj nrog lwm tus kom sai li sai tau. Txwv tsis pub, muaj qhov pheej hmoo siab ntawm qhov tsis zoo ntawm tus me nyuam hauv thawj lub hlis thawj zaug. Cov tshuaj ua rau muaj cov kev tawm hauv lub plab:

  • kev tsis taus;
  • txo qis ntshav siab (hypotension fetal);
  • lub raum tsis ua haujlwm;
  • txos theem ntawm cov poov tshuaj nyob rau hauv cov ntshav ntawm lub embryo;
  • kev puas tsuaj rau pob txha taub hau thiab lub hlwb;
  • txo cov nqi ntawm amniotic kua;
  • kev puas tsuaj rau nqua.

Thaum lub sijhawm tshuaj, nws yog ib qho tsim nyog yuav tsum tsis txhob pub mis niam rau tus menyuam yug tshiab.

Kev Siv Ntau Tshaj ntawm Ramipril C3

Nrog kev noj tshuaj ntau dhau ntawm cov tshuaj no, peripheral vasodilation tsim kho. Nws manifests nws tus kheej nyob rau hauv ntau dhau kev txo qis nyob rau hauv siab thiab poob siab. Cov neeg mob tsim muaj cov kab mob bradycardia, ua tsis taus dej-electrolyte metabolism, thiab mob raum tsis ua haujlwm.

Qhov kev kho mob yog pais plab lavage. Cov neeg mob yuav tsum noj tshuaj adsorbents thiab sodium sulfate (sai li sai tau). Txhawm rau rov qab qhov qub ntim ntawm cov ntshav ncig ua kom ntshav nrog arterial hypotension, qhia txog Dopamine thiab Norepinephrine (hauv kev siv tshuaj) yog qhia. Cov ntaub ntawv tsis sib haum xeeb (bradycardia), ib qho khoom siv dag ua kom ib ce muaj zog ib ntus.

Nws tsis pom zoo kom tib lub sij hawm sau cov tshuaj potassium-sparing diuretics.

Kev cuam tshuam nrog lwm yam tshuaj

Kev siv cov dextran sulfate yog sib kis vim tias qhov kev pheej hmoo ntawm kev tsis haum tshuaj tiv thaiv. Nws tsis pom zoo kom sau cov tshuaj potassium-sparing diuretics tib lub sijhawm, vim tias muaj kev pheej hmoo ntawm qhov nce ntxiv ntawm cov tshuaj no hauv cov ntshav.

Lwm cov tshuaj tiv thaiv kev tiv thaiv kab mob tau sau nrog kev ceev faj (vim tias qhov pheej hmoo ntawm kev txo qis rau cov ntshav siab). Tib yam siv rau kev noj tshuaj tsaug zog, thiab vasopressor sympathomimetics.

Allopurinol, procainamide, cytostatics, glucocorticosteroid tshuaj thiab cov tshuaj tiv thaiv kab mob tuaj yeem cuam tshuam qhov sib npaug ntawm cov qe ntshav. Tej zaum qhov kev txhim kho ntawm leukopenia thiab neutropenia.

Kev noj cov tshuaj hypoglycemic qhov ncauj nrog rau Ramipril C3 tuaj yeem ua rau muaj mob hypoglycemia. Sodium chloride tsis muaj zog cov yam ntxwv hypotensive ntawm cov tshuaj. Estrogens tuaj yeem ua rau kom cov kua dej hauv lub cev.

Yuav hloov li cas?

Cov tshuaj ntawm cov tshuaj no:

  • Amprilan;
  • Dilaprel;
  • Kev Kho Mob;
  • Cov neeg npau taws;
  • Ramigamma
  • Pob Tsuas;
  • Hartil.

Cov ntsiab lus ntawm lub tsev muag tshuaj tawm

Nws yog tso tawm los ntawm cov tshuaj noj.

Nqe Ramipril C3

Tus nqi ntawm kev ntim yog li 220 rubles. Ukraine tsis tso cov tshuaj no.

Cia rau cov neeg mob rau cov tshuaj

Nws yog qhov tsim nyog yuav tsum tau khaws cov tshuaj rau hauv qhov chaw qhuav thiab tsaus, thaum kub txog + 25 ° C.

Hnub tas sij hawm

Tsim nyog siv rau 3 xyoos.

Chaw tsim tshuaj paus

Severnaya Zvezda CJSC, Ozon LLC (Russia), thiab lwm yam.

Kev tshuaj xyuas ntawm Ramipril C3

Irina, hnub nyoog 55 xyoos, Moscow: "Kuv muaj kev nyuaj siab ntau dhau, yog li tus kws kho mob tau sau Ramipril C3 ntsiav tshuaj los tiv thaiv lawv. Kuv pib noj tshuaj rau ntawm 2.5 ntsiav tshuaj, hloov mus rau 10 mg. Kuv tuaj yeem tiv taus cov tshuaj zoo, tonomet nyeem yog tsis pub dhau ib qho kev txwv ib txwm muaj thiab tsis tshua muaj dhau nws. Tsis muaj kev mob tshwm sim. "

Elena, hnub nyoog 50 xyoo, Tula: “Tom qab kuv muaj teeb meem mob ntshav siab, Kuv xav tau ib co tshuaj muaj zog tiv thaiv kev mob ntshav siab. Nws tig los ua cov tshuaj no. Kuv tau noj tshuaj txog 5 mg rau ntau lub hlis tam sim no. Vim li ntawd, kuv ib txwm khaws cia ib txwm muaj siab, nws cov tee tsawg. Tsis muaj kev phiv los ntawm kev kho tau pom. "

Oleg, hnub nyoog 56 xyoo, Samara: "Nrog kev pab los ntawm Ramipril C3 nws tuaj yeem tswj hwm ntshav siab. Kuv noj zaub mov, tsis kam haus cawv thiab haus luam yeeb. Ua tsaug rau cov kev ntsuas no, kuv yuav luag tsis muaj teeb meem kub siab. Kuv txoj kev noj qab haus huv tau zoo txaus."

Pin
Send
Share
Send