Qhov kev txiav txim ntawm cov tshuaj yog tsom rau txoj kev kho mob ntawm txoj kev mob ntshav siab, mob plawv tsis ua haujlwm. Cov tshuaj tshem tawm cov kua dej ntau dhau ntawm lub cev, tiv thaiv vasoconstriction thiab txhim kho lub xeev ntawm cov hlab plawv. Cov kev sib xyaw ua ke muaj kev tiv thaiv kab mob hyperkalemia.
ATX
S09BA04.
Qhov kev txiav txim ntawm Noliprel Forte yog tsom rau cov kev kho mob nyuaj ntawm txoj hlab ntshav siab, lub plawv tsis ua haujlwm.
Tso cov ntawv thiab cov nyob ua ke
Cov tshuaj muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj dawb. Txhua ntsiav tshuaj muaj cov khoom xyaw nquag - perindopril tertbutylamine thiab indapamide hauv 4 mg + 1.25 mg.
Pharmacological kev txiav txim
Lowers ntshav siab hauv txhua txoj haujlwm ntawm lub cev.
Perindopril yog ib qho angiotensin hloov mus rau enzyme inhibitor. Cov kev tivthaiv tiv thaiv vasoconstriction, rov kho lub elasticity ntawm cov hlab ntsha. Indapamide yog cov diuretic uas ua rau tso zis nquag thiab tshem tawm sodium, magnesium, potassium los ntawm lub cev. Qhov feem cuam txhim kho cov nyhuv vasodilating ntawm perindopril. Thaum noj tshuaj, lub siab ruaj khov nyob hauv ib hlis. Tom qab kev txiav tawm ntawm cov tshuaj, tsis muaj lub siab poob qis.
Cov Tshuaj Pharmacokinetics
Sai sai nqus. Qhov siab ntawm perindopril mus txog nws cov txiaj ntsig ntau hauv cov ntshav tom qab 3-4 teev. Hauv lub siab, qhov hloov pauv yog muab hloov pauv rau perindoprilat. Qee kis rau cov protein. Lub cev tsis ceev. Cov tshuaj tawm hauv cov zis.
Noliprel Forte yog qhov tsim nyog rau kev mob siab thiab ntev ntxiv hauv cov ntshav siab.
Indapamide yog nqus tag nrho los ntawm cov hnyuv. Qhov siab tshaj plaws ntshav plasma yog mus txog tom qab 60 feeb. Ib nrab khi rau cov ntshav plasma protein. Tsis sib txuam hauv cov ntaub so ntswg. Ua rau pom los ntawm lub raum thiab cov hnyuv.
Kev ntsuas rau siv
Cov tshuaj yog tawm rau cov kev mob siab thiab ntev ntxiv ntawm cov ntshav siab.
Cov Yuav Tsum Muaj
Ua ntej siv cov khoom lag luam, koj yuav tsum paub koj tus kheej nrog cov lus hauv qab no contraindications:
- rhiab nkag mus rau cov cheebtsam;
- Quincke's edema;
- kev ua txhaum hnyav ntawm daim siab thiab lub raum;
- cov ntshav qab zib tsawg;
- ua ke nrog cov tshuaj uas ncua sijhawm QT luv;
- cev xeeb tub
- lactase tsis muaj peev xwm.
Thaum pub niam mis, kev kho mob yog txwv tsis pub.
Yuav noj li cas?
Cov tshuaj yuav tsum noj 1 zaug nyob rau ib hnub rau 1 ntsiav tshuaj. Nws yog qhov zoo dua rau nqa tawm txais tos thaum sawv ntxov. Hauv lub hnub nyoog laus, nrog lub raum tsis ua haujlwm ntawm me me mus rau mob hnyav, nws tsis tas yuav tsum tau txo cov koob tshuaj.
Noj cov tshuaj rau ntshav qab zib
Noliprel Forte yog tsim rau cov neeg mob ntshav qab zib. Ntawm ntshav qab zib hom 2, kev kho mob pib nrog kev txhaj tshuaj me nyob rau hauv kev saib xyuas nruj ntawm kws kho mob. Yuav tsum tau saib xyuas tas li ntawm cov piam thaj hauv qab zib.
Sab sij huam
Thaum lub sij hawm kho, kev cuam tshuam ntawm ntau lub cev ua haujlwm yuav tshwm sim.
Kev kho mob txoj hnyuv
Tej zaum yuav muaj qhov tsis xis nyob hauv plab, ntuav. Feem ntau muaj xeev siab, lub qhov ncauj qhuav, tso quav xoob, ncua plob tsis so tswj, kub siab. Hauv qee kis, mob ntawm tus txiav, nce transaminases thiab bilirubin hauv cov ntshav.
Hematopoietic plab hnyuv siab raum
Txo hemoglobin, txo qis hauv cov ntshav platelet, qhov txo qis ntawm hematocrit, agranulocytosis, muaj kev puas tsuaj hauv kev txhim kho ntawm cov hlwb pob txha. Nyob rau hauv tsawg zaus, qhov kev txo qis ntawm cov calcium concentration tshwm sim.
Nruab nrab hauv lub paj hlwb
Muaj lub suab nrov hauv lub pob ntseg, kiv taub hau, hnov mob hauv cov tuam tsev, asthenia, pw tsaug zog, cuam tshuam nrog cov leeg tsis sib haum, tsis nco qab ceev ceev, tsis nco qab, tsis hnov tsw, tsis meej pem.
Los ntawm cov kab mob zis
Muaj qee zaus, proteinuria thiab lub raum khiav tsis zoo tshwm sim, thiab ntshav plasma creatinine concentration nce ntxiv.
Los ntawm lub tshuab ua pa
Hnoos, txog siav siav, bronchospasm, muaj hnoos qeev ntau nyob rau hauv cov hlab ntswg.
Los ntawm cov dej-electrolyte sib npaug
Lub plasma concentration ntawm cov nce poov tshuaj ntawm lub nce.
Kev ua xua
Kev ua xua muaj peev xwm ua tau nyob rau hauv daim ntawv ntawm daim tawv nqaij ua pob, ua pob liab liab, khaus, khaus, o, o, ua rau lub cev ua xaj.
Cov lus qhia tshwj xeeb
Kev siv cov tshuaj ua rau qhov txo qis hauv cov ntshav siab hauv thawj 2 lub lis piam ntawm kev kho mob. Nyob rau lub sijhawm no, kev saib xyuas ntawm tus kws kho mob, cov neeg mob lub plawv tsis ua haujlwm, tsis muaj ntshav khiav mus los tsawg, ua haujlwm tsis zoo rau lub raum, mob ntshav siab ntawm lub siab, mob ntshav khov yuav tsum khaws cia. Nws yog ib qho tsim nyog los saib xyuas cov concentration ntawm electrolytes. Hauv lub hnub nyoog laus thiab tawm tsam keeb kwm ntawm lwm yam kab mob, qhov kev pheej hmoo ntawm hypokalemia nce.
Thaum cov kev mob tshwm sim, qhov ntau npaum li cas los txo los sis txiav.
Koj yuav tsum tsum tsis txhob noj cov tshuaj 12 teev ua ntej kev phais mob. Tej zaum qhov kev txhim kho gout hauv cov neeg uas muaj kev mob siab ntawm uric acid hauv cov ntshav. Hauv cov ntshav ntshav, cov concentration ntawm urea thiab creatinine yuav nce ntxiv. Nrog rau kev ua haujlwm ntawm ob lub raum, qhov xwm txheej tsis zoo, thiab thaum muaj kev ua txhaum, kev txais tos nres.
Cawv tau zoo
Ua ke cov tshuaj nrog cawv yog txwv tsis pub.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Nws muaj qhov tsis zoo ntawm qhov kev muaj peev xwm los tswj cov txhais tau los siv. Noj nrog ceev faj.
Siv thaum cev xeeb tub thiab lactation
Cov tshuaj yog contraindicated thaum cev xeeb tub thiab thaum lactation.
Siv rau lub sijhawm qub
Cov tshuaj yog siv nrog ceev faj thaum laus. Ua ntej noj, nws yog qhov yuav tsum tau kuaj xyuas lub raum thiab soj ntsuam cov poov tshuaj hauv cov ntshav ntshav.
Lub Sijhawm Noliprel Forte rau menyuam yaus
Txog hnub nyoog txog 18 xyoo, cov tshuaj tsis raug txwv.
Cov neeg mob lub raum tsis ua hauj lwm
Nyob rau hauv cov mob hnyav, tsis txhob muab tshuaj. Cov neeg mob uas mob raum tsis ua hauj lwm zoo yog kws kho mob me me.
Noj ntau dhau
Yog hais tias noj ntau dhau, qhov ua kom lub siab txo qis yuav tshwm sim. Deterioration feem ntau yuav ua nrog xeev siab, ntuav, kiv taub hau. Muaj tus neeg tsis tuaj yeem, ua kom tsis haum, tsis muaj qhov tso zis, qeeb ntawm cov mem tes. Thaum muaj cov tsos mob no, nws yog ib qho tsim nyog yuav tsum tau yaug lub plab thiab noj ib qho adsorbent.
Kev cuam tshuam nrog lwm yam tshuaj
Nws tsis pom zoo kom ua ke nrog cov roj ntsha lithium thiab potassium npaj, cov tshuaj potassium-sparing diuretics, mob glycosides, Indapamide, cov tshuaj tiv thaiv kab mob, tshuaj iodine muaj cov tshuaj tiv thaiv kab mob.
Cov nyhuv ntawm cov tshuaj yog txo qis thaum ua ke nrog glucocorticosteroids, Tetracosactide. Cov nyhuv ntawm tus neeg sawv cev tiv thaiv kabmob ua ke nrog tetracyclic antidepressants thiab antipsychotics yog txhim kho.
Qhov concentration ntawm cov poov tshuaj tsub kom ntau ntxiv thaum noj cov ntsev calcium. Cyclosporin txhawb txoj kev loj hlob ntawm hypercreatininemia. Kev nce ntxiv ntawm cov kua nplaum ua haujlwm tau tshwm sim nrog kev siv nrog ACE inhibitors.
Analogs
Lub tsev muag tshuaj muag cov tshuaj uas zoo sib xws. Cov no suav nrog cov hauv qab no:
- Perindopril-Indapamide Richter;
- Perindide;
- Perindapam;
- Perindide;
- Renipril GT;
- Burlipril Ntxiv;
- Enzix;
- Noliprel A Forte (5 mg perindopril arginine thiab 1.25 mg indapamide);
- Noliprel A Bi-Forte (10 mg perindopril arginine thiab 2.5 mg indapamide).
Ua ntej hloov nrog ib qho analog, nws yog qhov yuav tsum tau kawm cov lus qhia thiab mus ntsib tus kws tshaj lij.
Dab tsi yog qhov txawv ntawm Noliprel thiab Noliprel Forte?
Qhov sib txawv hauv tus naj npawb ntawm cov khoom siv sib xyaw. Cov tshuaj muaj pes tsawg leeg tsis muaj cov lus qhia ntxiv ntawm kev ntim khoom ntawm Forte muaj 2 mg ntawm perindopril thiab 0.625 mg ntawm indapamide.
Cov Lus Cog Rau Tsev So Hauv Tsev Kho Mob Noliprela Forte
Nws yog tso rau ntawm lub hwj tshuaj.
Kuv puas yuav tau yam tsis muaj daim ntawv yuav tshuaj?
Lub khw muag khoom tsis yog kev muag khoom.
Nqi
Tus nqi ntawm kev ntim khoom yog 530 rubles.
Cia rau cov neeg mob rau cov tshuaj
Khaws cov tshuaj ntawm qhov kub txog + 30 ° C hauv nws cov khoom ntim thawj.
Hnub tas sij hawm
Hnub tas sij hawm 2 xyoos
Kev txheeb xyuas ntawm Noliprel Fort
Kev kho plawv
Anatoly Yarema
Kev sib xyaw ntawm tshuaj ACE inhibitor thiab tshuaj diuretic yog qhov zoo tshaj plaws rau kev kub siab. Cov cuab yeej ua rau vasodilation, qhov txo qis hauv kev mloog zoo ntawm aldosterone thiab txo qis hauv sab laug ventricular hypertrophy. Nrog rau siv ntev, nws tiv thaiv qhov tshwm sim ntawm microvascular cov teeb meem. Cov kev tawm tsam tsawg kawg nkaus uas ua raws li cov lus qhia.
Evgeny Onishchenko
Cov tshuaj txhim kho cov mob ntawm cov hlab ntsha, txo qhov nce ntawm lub plawv. Kev qaug zog cov neeg muaj mob thiab laus yuav tsum tau ceev faj. Lub chav kawm ntawm kev kho mob yog tsawg kawg 30 hnub. Nws raug pom zoo kom yauv mus kuaj ua ntej. Cov tshuaj muaj cov nyhuv ntau dua ua piv rau enalapril.
Cov neeg mob
Vitaliy, 56 xyoo
Kws tshuaj muab rau cov leeg ntshav siab. Ua haujlwm siab 140/90, thiab lub sijhawm muaj kev tawm tsam mus txog 200 thiab ntau dua. Ntsiav tshuaj txo qis kom nruj sai. Kuv noj nws ib hnub ib zaug thiab tsis pom muaj qhov tshwm sim dab tsi.
Elena 44 xyoo
Cov tshuaj tsis haum. Nws ua qeeb qeeb thiab muaj sijhawm sawv rov qab los. Nquag tso zis, tachycardia thiab cov quav dej xoob xoob yog qhov zoo li no los ntawm kev txais tos. Kuv siv sijhawm 2 lub lis piam, tab sis kuv yuav tsum tau tsum tsis noj nws.