Metglib Force hais txog cov neeg sawv cev hypoglycemic. Txhawb nqa ceev ceev normalization ntshav qabzib theem. Nws muaj cov nyhuv ntev ntev. Siv los kho ntshav qab zib hom 2.
Lub Npe Tsis Yog Neeg Tsis Muaj Npe
INN: Metformin thiab sulfonamides
Metglib Force hais txog cov neeg sawv cev hypoglycemic. Txhawb nqa ceev ceev normalization ntshav qabzib theem.
ATX
A10BD02
Tso cov ntawv thiab cov nyob ua ke
Cov tshuaj muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj ntawm qhov ntau npaum ntawm 2.5 mg + 500 mg thiab 5 mg + 500 mg. Cov khoom tseem ceeb yog glibenclamide thiab metformin hydrochloride. Cov tshuaj ntxiv yog sawv cev los ntawm: cov hmoov txhuv nplej siab, calcium dihydrate, thiab macrogol thiab povidone, ib qho me me ntawm cov cellulose.
Zaj duab xis ntawm cov xim dawb xim ntsiav tshuaj 5 mg + 500 mg yog ua dawb Opadra, giprolose, talc, titanium dioxide. Cov ntsiav tshuaj muaj txoj kab sib faib.
Cov ntsiav tshuaj 2.5 mg + 500 mg oval, them nrog txheej tiv thaiv zaj duab xis xim nrog rau xim xim xim.
Pharmacological kev txiav txim
Nws yog cov koom nrog hypoglycemic tus neeg sawv cev, sulfonylurea derivative ntawm 2 tiam, npaj rau kev tswj hwm qhov ncauj. Nws muaj ob qho tib si pancreatic thiab cov teebmeem ntxiv.
Glibenclamide txhawb kev ua haujlwm zoo ntxiv ntawm cov kua dej los ntawm kev txo qis nws qhov kev nkag siab los ntawm beta hlwb hauv cov txiav. Vim tias cov tshuaj insulin muaj zog ntau dua, nws khi rau cov phiaj xwm hlwb sai dua. Cov txheej txheem ntawm lipolysis ntawm adipose nqaij qeeb qeeb.
Metformin inhibits gluconeogenesis nyob rau hauv daim siab. Cov kua nplaum nqus tawm ntawm lub plab zom mov txo, thiab qhov raug mob ntawm cov ntaub so ntswg mus rau cov tshuaj nquag yuav nce ntxiv. Cov ntsiab lus ntawm cov thyroid hormone thiab cov cholesterol nyob rau hauv cov ntshav txo.
Cov Tshuaj Pharmacokinetics
Qhov ntshav siab tshaj plaws yog nce mus txog tom qab 2 teev tom qab noj tshuaj. Ib nrab-lub neej ntawm glibenclamide siv sijhawm ntev dua lub sijhawm ntev dua li rau metformin (kwv yees 24 teev).
Kev ntsuas rau siv
Kev qhia rau kev siv yog qee yam mob hauv qab no:
- yam 2 mob ntshav qab zib mellitus hauv cov neeg laus, yog tias kev noj haus thiab kev tawm dag zog tsis pab;
- tsis muaj txiaj ntsig ntawm kev kho mob nrog sulfonylurea derivatives thiab metformin;
- los hloov monotherapy nrog 2 tshuaj noj hauv cov neeg muaj kev tswj zoo glycemic.
Cov tshuaj yog siv rau cov ntshav qab zib hom 2 hauv cov neeg laus, yog tias kev noj haus thiab kev tawm dag zog tsis pab.
Cov Yuav Tsum Muaj
Muaj ntau tus lej sib kis rau kev siv cov tshuaj no tau piav qhia hauv cov lus qhia. Ntawm lawv yog:
- ua kom lub cev tsis haum rau cov tshuaj;
- yam 1 mob ntshav qab zib mellitus;
- lub raum tsis ua haujlwm;
- mob ketoacidosis;
- mob hnyav nrog cov nqaij mos hypoxia;
- lub sijhawm cev xeeb tub thiab lactation;
- kis kab mob;
- kev raug mob thiab ua haujlwm hnyav;
- siv cov tshuaj miconazole kom nruj;
- cawv intoxication;
- lactic acidosis;
- mas yuav siv cov khoom noj tsis muaj calorie tsawg;
- cov me nyuam hnub nyoog qis dua 18 xyoo
Nrog saib xyuas
Nrog kev saib xyuas zoo, cov tshuaj no tau raug kho rau tib neeg kev txom nyem los ntawm febrile syndrome, kev quav dej cawv, ua tsis taus pa adrenal, pituitary caj pas thiab cov thyroid caj pas. Nws kuj tseem ua tib zoo tshuaj rau cov neeg muaj hnub nyoog 45 xyoos thiab laus dua (vim muaj kev pheej hmoo tiv thaiv ntshav qog thiab kab mob lactic acidosis).
Yuav ua li cas coj Metglib Force?
Cov ntsiav tshuaj yog rau kev siv qhov ncauj nkaus xwb. Qhov ntau npaum li cas yog xaiv tau ib tus zuj zus, noj mus rau hauv tus account qhov hnyav ntawm qhov kev mob tshwm sim.
Nrog ntshav qab zib
Pib nrog 1 ntsiav tshuaj hauv ib hnub nrog kev noj tshuaj ntawm cov tshuaj nquag ntawm 2.5 mg thiab 500 mg, ntsig txog. Maj mam nce cov koob tshuaj txhua lub lim tiam, tab sis muab qhov loj ntawm glycemia. Nrog kev hloov kho ua ke, tshwj xeeb tshaj yog tias nws yog nqa tawm nyias los ntawm metformin thiab glibenclamide, nws raug nquahu kom haus 2 ntsiav tshuaj ib hnub. Qhov siab tshaj plaws uas pub rau txhua hnub yuav tsum tsis pub tshaj 4 ntsiav tshuaj hauv ib hnub.
Sab sij huam
Thaum kho, kev txhim kho ntawm cov kev phiv tshuaj yog muaj peev xwm:
- leuko- thiab thrombocytopenia;
- anemia
- anaphylactic kev poob siab;
- ntshav tshuaj qis;
- lactic acidosis;
- qis qis dua kev nqus ntawm cov vitamins B12;
- saj kev ua txhaum;
- tsis pom kev;
- xeev siab
- ntuav
- zawv plab
- tsis muaj qab los noj mov;
- qhov kev xav ntawm cov khoom hnyav hauv plab;
- lub siab ua tsis taus haujlwm;
- tshuaj tiv thaiv kab mob siab;
- kev hloov pauv ntawm daim tawv nqaij;
- urticaria;
- xau nrog khaus;
- erythema;
- dermatitis;
- qhov nce ntxiv hauv cov concentration ntawm urea thiab creatinine hauv cov ntshav.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Cov tib neeg yuav tsum paub txog cov kev pheej hmoo ntawm hypoglycemia thiab ntsuas kev tiv thaiv nws ua ntej yuav tsav tsheb ntawm lub tsheb lossis pib ua haujlwm nrog cov txheej txheem nyuaj uas yuav tsum muaj kev nce siab ntawm kev mloog.
Cov lus qhia tshwj xeeb
Cov tshuaj raug muab tso tseg nyob rau hauv kev kho mob ntawm kev kub nyhiab, kis kab mob, kho txoj kev kho mob ua ntej kev phais loj. Hauv cov xwm txheej zoo li no, lawv hloov mus rau insulin txheem. Txoj kev pheej hmoo ntawm kev txhim kho hypoglycemia nce nrog kev txawv txav ntawm kev noj zaub mov, kev yoo mov ntev thiab NSAIDs.
Siv thaum cev xeeb tub thiab lactation
Txwv tsis pub. Cov xaim hluav taws xob nquag dhau los ntawm kev tiv thaiv kab ke ntawm lub cev thiab tuaj yeem cuam tshuam cov txheej txheem ntawm kev hloov khoom nruab nrog.
Koj tsis tuaj yeem siv tshuaj thaum lub sijhawm lactation, vim tias cov tshuaj nquag kis mus rau niam mis. Yog tias xav tau kev kho mob, nws zoo dua kom tso tseg kev pub niam mis.
Lub Sijhawm Metglib Yuam Cov menyuam yaus
Siv tsis tau rau hauv kho mob me nyuam yaus.
Siv rau lub sijhawm qub
Tus txiv neej thiab poj niam uas laus dua 65 xyoos yuav tsum tau ceev faj, raws li hauv cov neeg no, qhov kev pheej hmoo ntawm kev txhim kho hypoglycemia yog nce ntxiv.
Daim ntawv thov rau lub raum khiav tsis zoo
Lub peev xwm ntawm kev siv yog cuam tshuam los ntawm creatinine tshem tawm. Qhov ntau tshaj nws yog, qhov tsawg dua cov tshuaj tau sau tseg. Yog hais tias tus neeg mob tus mob hnyav dua, nws yog qhov zoo dua rau tsis kam kho cov kev kho mob.
Siv rau lub siab ua haujlwm tsis zoo
Kev txais yog tsis tuaj yeem lees paub yog tias kuaj lub siab tsis ua haujlwm. Qhov no nthuav tawm cov kev ua haujlwm uas muaj sia nyob hauv daim siab thiab pab txhawb kom tsis txhob ua kom lub siab ua haujlwm ntawm kev kuaj ntshav.
Noj ntau dhau
Nrog kev siv tshuaj ntau dhau, mob ntshav qab zib tsawg. Cov neeg kawm ntawv siab yuav kho tau los ntawm kev siv cov zaub mov uas muaj suab thaj thiab zaub mov uas ua kom rog. Tej zaum koj yuav xav tau koob tshuaj los yog hloov kev noj haus.
Hauv cov xwm txheej loj, nrog rau kev tsis nco qab lawm, mob hlwb lossis mob ntshav qab zib tsis nco qab, cov kua dej qabzib lossis tshuaj pleev ntshav qabzib yog siv tau. Tom qab qhov no, nws raug nquahu kom pub rau tus neeg nrog zaub mov nplua nuj nyob hauv cov khoom noj sai.
Hauv cov neeg mob uas muaj mob hepatic, qhov kev tshem tawm ntawm glibenclamide nce. Cov tshuaj tsis tawm los ntawm lim ntshav, vim yog glibenclamide khi zoo rau cov ntshav protein.
Kev noj ntau dhau tsuas yog kho tau hauv chaw kho mob hauv tsev kho mob, thaum nws los txog cov mob lactic acidosis. Qhov ua tau zoo tshaj plaws hauv qhov no yog hemodialysis.
Kev cuam tshuam nrog lwm yam tshuaj
Kev siv miconazole tib lub sijhawm, fluconazole ua rau muaj kev txo qis qis dua. Phenylbutazone nres qhov kev khi ntawm cov tshuaj nquag rau cov txheej txheem protein, uas ua rau cov ntshav qog ntshav thiab lawv cov kev txuam nrog hauv cov ntshav ntshav.
Iodine-muaj cov tshuaj uas siv hauv kev xoo hluav taws xob feem ntau cuam tshuam lub raum kev ua haujlwm thiab metformin tsub zuj zuj. Qhov no provokes qhov tshwm sim ntawm lactic acidosis.
Ethanol ua rau muaj kev cuam tshuam zoo li disulfiram. Diuretics txo qhov txiaj ntsig zoo ntawm kev cuam tshuam ntawm kev noj tshuaj. ACE inhibitors thiab beta-blockers ua rau lub xeev hypoglycemic.
Cawv tau zoo
Tsis txhob noj tshuaj nrog cawv. Qhov no ua rau cov ntshav qog ntshav qab zib, ua rau muaj kev phiv ntau dua.
Analogs
Muaj ib daim ntawv teev cov analogues ntawm cov tshuaj no, zoo ib yam li nws nyob hauv cov khoom sib txuam thiab cov nyhuv:
- Bagomet Plus;
- Glibenfage;
- Glibomet;
- Glucovans;
- Gluconorm;
- Gluconorm Plus;
- Metglib.
Cov nqe lus so ntawm lub chaw muag tshuaj Metglib Force muag tshuaj
Xav tau daim ntawv qhia.
Kuv puas yuav tau yam tsis muaj daim ntawv yuav tshuaj?
Nws yog tsis yooj yim sua.
Nqe rau Metglib Yuam
Tus nqi ntawm ib pob nrog 40 ntsiav tshuaj pib los ntawm 200 rubles. Yog tias muaj 30 daim hauv pob, tus nqi yuav yog li ntawm 145 txog 170 rubles. Tus nqi nyob ntawm thaj av ntawm kev muag khoom thiab cov khw muag tshuaj muaj npoo.
Cia rau cov neeg mob rau cov tshuaj
Qhov chaw tsaus thiab qhuav nrog qhov kub ntawm + 25 ° C yog qhov tsim nyog rau cia.
Qhov chaw tsaus thiab qhuav nrog qhov kub ntawm + 25 ° C yog qhov tsim nyog rau cia.
Hnub tas sij hawm
Tsis pub ntau tshaj 2 xyoos.
Chaw Tsim Tshuaj Tsim Khoom Metglib Quab yuam
KANONFARMA LUS CJSC, Russia thiab NPO FarmVILAR LLC, Russia.
Kev txheeb xyuas txog Metglib Force
Cov kws kho mob
Moroz V. A., 38 xyoo, endocrinologist, Arkhangelsk: "Cov tshuaj no zoo. Tam sim no kuv sim muab tshuaj ntau dua. Qab zib ua rau cov neeg mob ntshav qab zib tau zoo, xyaum tsis muaj kev phiv".
Kozerod AI, hnub nyoog 50 xyoo, endocrinologist, Novosibirsk: "Kuv nyiam cov tshuaj no, nws pom zoo los ntawm cov neeg mob. Kuv tau sau nws ntau, Kuv tsuas yog yuav tsum nrhiav tau nyob rau hauv qhov chaw muag tshuaj nws muaj ua ntej lub sijhawm teem tseg."
Cov neeg mob
Veronika, 32 xyoo, Moscow: "Kuv niam tau mob ntshav qab zib tau ntev los lawm. Thaum xub thawj nws raug kho nrog Glibomet. Tab sis thaum nws tsim nyog nce qhov koob tshuaj, nws dhau los ua tsis kim. Lub glibomet tau hloov los ntawm Metglib Force, uas yog ib nrab tus nqi. Txawm hais tias muaj kev ua txhaum ntawm cov zaub mov noj qab zib. Qab zib nyob rau theem ntawm cov ntshav qab zib tsis tau nyob ntev ntev. Qhov tsis zoo tsuas yog tias nws nyuaj nrhiav hauv cov chaw muag tshuaj. "
Roman, 49 xyoo, Yaroslavl: “Thaum kuv cov piam thaj txog 30 thiab kuv tsis tau xav tias mus rau tsev kho mob, Kuv tau kuaj pom tias mob ntshav qab zib. Kuv pib kho tshuaj insulin. Kuv sim siv Metglib Force ntsiav tshuaj. Kuv tau siv nws tau 2 xyoos, kuv txaus siab. Cov piam thaj yeej ib txwm khaws cia rau hauv theem, tsis muaj dab tsi dhia mus ntev. "
Valeria, 51 xyoo, Chelyabinsk: "Kuv tau haus tshuaj yeeb los ntev li ib xyoos. Qab zib yog qhov qub, tsis muaj ntshav qab zib, tab sis kuv tsis hnov zoo, Kuv pheej xeev siab tas mus li. Nws paub tias kuv muaj teeb meem nrog cov thyroid caj pas. Tam sim no peb xaiv txoj kev kho tsim nyog. tus kws kho mob tawm mus. Nws ua haujlwm zoo xwb. "
