Ib cov tshuaj nrog cov tshuaj sib xyaw ua ke normalizes qib ntawm glycemia. Lub cuab yeej txo qis cov tshuaj insulin, muaj cov nyhuv ua antioxidant, cuam tshuam rau kev tso tawm ntawm insulin. Siv rau hauv kev kho mob ntawm hom 2 mob ntshav qab zib.
Lub Npe Tsis Yog Neeg Tsis Muaj Npe
Glimepiride + Metformin.
Amaryl 500 - yeeb tshuaj nrog cov tshuaj sib xyaw ua ke normalizes qib ntawm glycemia.
ATX
A10BD02.
Tso cov ntawv thiab cov nyob ua ke
Cov chaw tsim khoom tsim cov tshuaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj. Cov khoom xyaw nquag yog glimepiride thiab metformin hauv ib qho npaum li 2 mg + 500 mg. Hauv tsev muag tshuaj koj tuaj yeem yuav cov ntsiav tshuaj nrog kev noj ntau npaum 1 mg + 250 mg.
Pharmacological kev txiav txim
Lub cuab yeej txo cov ntshav qab zib kom qis mus rau ib qib. Cov tshuaj nquag pab ua rau tso tawm thiab tso tawm ntawm insulin los ntawm beta hlwb. Cov cuab yeej txo qis cov tshuaj insulin, ua kom tsis txhob muaj ntshav siab.
Cov Tshuaj Pharmacokinetics
Raug rho tawm los ntawm cov hnyuv kom meej thiab sai. 98% ua txhua yam rau cov protein. Kev noj tsis cuam tshuam rau kev nqus. Nws yog txiav txim siab nyob rau hauv niam mis thiab hla lub plab me. Kev mob plab tshwm sim hauv daim siab nrog rau kev tsim cov khoom ua tsis voos. Yog tias kev ua haujlwm ntawm lub raum ua tsis tau zoo, cov tshuaj cuam tshuam tsis muaj zog rau cov roj ntsha ntshav thiab muaj feem cuam sai hauv cov zis. Tsis txuam hauv cov ntaub so ntswg. Nws yog tawm hauv cov hnyuv thiab raum.
Metformin nqus tau nrawm. Tsis khi rau cov nqaijrog. Txoj kev pheej hmoo ntawm kev txuam nrog ib yam khoom hauv lub cev hauv cov neeg mob uas lub raum tsis ua haujlwm nce siab. Nws tawm hauv cov zis.
Yog tias kev ua haujlwm ntawm lub raum ua tsis tau zoo, cov tshuaj cuam tshuam tsis muaj zog rau cov roj ntsha ntshav thiab muaj feem cuam sai hauv cov zis.
Kev ntsuas rau siv
Cov tshuaj yog qhia rau cov neeg mob ntshav qab zib hom 2. Txoj kev kho yuav tsum tau ntxiv cov khoom noj thiab tawm dag zog.
Cov Yuav Tsum Muaj
Nws raug txwv tsis pub pib kho nyob rau qee qhov muaj mob lossis qee yam mob, xws li:
- ua txhaum ntawm ob lub raum thiab mob siab;
- cawv ntev ntev;
- qhov muaj qhov tsis haum rau cov tshuaj lossis cov biguanides, sulfonylamides;
- yam 1 mob ntshav qab zib mellitus;
- hyperproduction ntawm cov piam thaj thiab ketone lub cev hauv lub siab;
- kev ua txhaum ntawm cov kua qaub-puag nyob hauv lub cev (metabolic acidosis);
- pathologies uas tuaj yeem ua rau cov nqaij hypoxia;
- lactacidemia;
- cov kab mob kis hnyav nrog kev kub taub hau;
- septicemia;
- kev ntxhov siab nyuaj siab los ntawm qhov kub hnyiab, raug mob, phais mob;
- kev qaug;
- plab hnyuv paresis lossis ob leeg;
- tso quav;
- kev yoo mov;
- ntuav
- mob hnyav ua mob rau lub cev;
- intolerance rau galactose thiab lactose;
- cev xeeb tub thiab pub niam mis;
- hnub nyoog txog 18 xyoo.
Ua ke ua ke ntawm kev siv cov tshuaj nrog hemodialysis yog contraindicated.
Nrog saib xyuas
Ceev faj yuav tsum tau siv thaum siv cov ntsiav tshuaj nyob rau hauv cov xwm txheej zoo li no:
- cov khoom noj tsis xwm yeem;
- txoj kev ua neej passive;
- kev ua haujlwm ntawm cov thyroid tsis ua tiav;
- hnub nyoog siab heev;
- lub cev ua haujlwm hnyav;
- piam thaj-6-phosphate dehydrogenase tsis txaus.
Nyob rau hauv qhov muaj cov kabmob uas ua rau mob nyav ntawm mob ntshav qab zib mellitus, nws yog qhov yuav tsum tau kho cov tshuaj ntau npaum thiab soj ntsuam cov ntshav ntawm glycemia.
Yuav ua li cas noj Amaryl 500
Cov tshuaj tau coj 1-2 zaug hauv ib hnub nrog zaub mov. Yog tias qhov txais tos tsis tiav, koj yuav tsum tau noj cov tshuaj ntxiv raws li cov lus qhia.
Nrog ntshav qab zib
Qhov tshuaj noj qis tshaj plaws uas xav tau kom txo qis ntshav qab zib yog kho tau. Qhov siab tshaj plaws ib hnub twg yog 4 ntsiav tshuaj. Kev nce ntxiv ntawm txoj kev noj tshuaj yuav ua rau lub qog ntshav qab zib.
Qhov tshwm sim ntawm Amaril 500
Amaryl 500 tuaj yeem ua rau ntau cov kev mob tshwm sim los ntawm cov leeg poob siab - tsaug zog, tsis nco qab, thiab insomnia.
Cov tshuaj yog tus cwj pwm tshwm sim los ntawm kev phiv los ntawm lub hauv nruab siab poob siab nyob rau hauv daim ntawv ntawm insomnia.
Ntawm ib feem ntawm cov khoom hauv nruab nrog kev pom
Kev piam sij hauv cov piam thaj hauv ntshav tuaj yeem ua rau qhov muag pom.
Kev kho mob txoj hnyuv
Tshaib plab ploj, ntuav tshwm. Feem ntau txhawj xeeb txog xeev ntuav, mob epigastric thiab tsam plab. Cov quav yuav ua xoob.
Hematopoietic plab hnyuv siab raum
Mob ntshav liab, thrombocytopenia tshwm sim.
Los ntawm ib sab ntawm cov metabolism
Cov tsos mob tshwm sim los ntawm ib sab ntawm cov metabolism - mob taub hau, kiv taub hau, tsis tuaj yeem muaj peev xwm mloog lus tsis txaus, tsaus muag, tshee tshee, mob plab, mob plab, muaj zog nce siab, tawm hws. Cov cim qhia pom kev txhim kho hypoglycemia.
Kev ua xua
Urticaria, tawv nqaij khaus, ua pob, ua pob khaus khaus.
Ua xua uas tshwm sim tom qab siv tshuaj muaj xws li: khaus thiab tawm pob.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Thaum kho, koj yuav tsum caiv los ntawm kev tswj cov twj thiab cov tsheb nyuaj. Cov tshuaj txo cov concentration.
Cov lus qhia tshwj xeeb
Kev noj tshuaj rau qhov ua haujlwm tsis zoo ntawm lub raum thiab mob siab tuaj yeem ua rau kom muaj kev sib txuam ntawm cov kab mob lactic acid hauv cov nqaij thiab ntshav. Yog tias txog siav luv, mob plab tshwm sim, thiab lub cev kub poob qis, koj yuav tsum sab laj nrog kws kho mob. Cov tshuaj yog txwv ib ntus ua ntej kev phais mob.
Thaum kho, nws yog ib qho tsim nyog los tswj cov qib ntawm cov piam thaj, hemoglobin thiab creatinine hauv cov ntshav. Txhawm rau kom muaj glycemia ib txwm, tus neeg mob yuav tsum tau ua ntxiv dag zog thiab noj kom zoo.
Nyob rau ntawm qhov muaj mob lub plawv tsis ua haujlwm, tsaus muag, poob siab, thiab mob myocardial infarction, kev kho yuav tsum tsis ua ntxiv.
Siv rau lub sijhawm qub
Cov neeg laus yuav tsum ceev faj nrog kev ceev faj. Nws raug nquahu los soj ntsuam qhov mob ntawm lub raum thiab ntshav qab zib.
Kev muab tshuaj Amaril rau 500 menyuam yaus
Cov neeg uas muaj hnub nyoog 18 xyoo rov hauv kuj tsis raug samfwm.
Cov neeg uas muaj hnub nyoog 18 xyoo rov hauv kuj tsis raug samfwm.
Siv thaum cev xeeb tub thiab lactation
Tsis txhob siv thaum cev xeeb tub. Ua ntej pib kev kho mob, pub mis niam kom tsis tsum.
Daim ntawv thov rau lub raum khiav tsis zoo
Yog hais tias lub raum ua haujlwm tsis pom zoo thiab tshem tawm creatinine nce, noj tshuaj yog contraindicated.
Siv rau lub siab ua haujlwm tsis zoo
Nws yog contraindicated nyob rau hauv cov ntaub ntawv ntawm kev ua txhaum loj ntawm daim siab.
Noj tshuaj ntau dhau ntawm Amaril 500
Nyob rau hauv cov ntaub ntawv ntawm overdose, phiv los ntawm sab ntawm metabolism nce. Yog tias tus neeg mob nco qab, nws yog qhov yuav tsum tau noj cov zaub mov muaj suab thaj thiab hu rau lub tsheb thauj neeg mob.
Kev cuam tshuam nrog lwm yam tshuaj
Txhawm rau kom tsis txhob muaj qhov tsis xav tawm, xav txog kev sib cuam tshuam ntawm cov tshuaj nrog lwm cov tshuaj:
- cov piam thaj hauv ntshav tsawg zuj zus thaum sib xyaw nrog cov tsim tawm lossis tshuaj tiv thaiv kab mob CYP2C9, anabolic steroids, Allopurinol, tshuaj hypoglycemic, insulin, ACE inhibitors, Ifosfamide, Fibrates, Probenitsid, sympatholytic agents, beta-adrenergic block agents, Chloramfenicolomolominolomofomom Oxyphenbutazone, Guanethidine, MAO inhibitors, aminosalicylic acid, Salicylates, Tetracyclines, Azapropazone, ethanol, Tritokvalin;
- kev tswj hwm tib lub sijhawm nrog gentamicin tsis pom zoo;
- nws yog txwv tsis pub coj los ua ke nrog kev tswj hwm hauv intravascular ntawm iodine-muaj cov tshuaj tiv thaiv kev cuam tshuam;
- nws yuav nyuaj rau tswj glycemia thaum siv tshuaj ntau ntau ntxiv txhawm rau kom potency, estrogens, sympathomimetics, phenytoin, epinephrine, diazoxide, thyroid hormones, glucocorticosteroids, laxatives thiab diuretics, nicotinic acid, rifampicin, acetazolamide, barbiturates, glucose.
Qhov sib txig ntawm kev siv cov tshuaj nrog cawv muaj feem ua rau tus neeg mob siab thiab lub raum ua haujlwm tsis zoo.
Nws yog qhov yuav tsum tau noj tshuaj histamine H2-receptor blockers, clonidine thiab reserpine tom qab sab laj nrog kws kho mob.
Cawv tau zoo
Kev haus cawv ua rau muaj kev txhim kho hauv qhov tsis xav ua. Nyob hauv kev cuam tshuam ntawm ethanol, cov piam thaj hauv qab yuav poob rau theem tseem ceeb. Qhov sib txig ntawm kev siv cov tshuaj nrog cawv muaj feem ua rau tus neeg mob siab thiab lub raum ua haujlwm tsis zoo.
Analogs
Muaj cov analogues rau pharmacological ua:
- Galvus Met;
- Bagomet Plus;
- Glimecomb.
Cov lus qhia qhia contraindications thiab phiv. Ua ntej hloov nrog txoj kev kho zoo li no, nws zoo dua rau koj mus ntsib koj tus kws kho mob.
Cov ntsiab lus ntawm lub tsev muag tshuaj tawm
Lub tsev muag tshuaj tuaj yeem yuav nrog koj daim ntawv yuav tshuaj.
Amaryl 500 nqi
Tus nqi rau kev ntim khoom yog 850 rubles.
Cia rau cov neeg mob rau cov tshuaj
Cov ntsiav tshuaj yuav tsum tau muab tso rau hauv cov ntawv ntim thawj thiab khaws cia hauv qhov chaw tsaus. Cov mob kub thiab txias - txog + 30 ° C.
Hnub tas sij hawm
Txee lub neej yog 3 xyoos.
Chaw tsim tshuaj paus
Handok Pharmaceuticals Co., Ltd., Kaus Lim Kauslim.
Cov tshuaj muaj peev xwm yuav tau ntawm lub tsev muag tshuaj muaj ntawv yuav tshuaj.
Amaril 500 Xyuas
Marina Sukhanova, tshuaj tiv thaiv kab mob kev nkeeg, Irkutsk
Cov tshuaj rau ib qho tsawg dua li lwm qhov kev tiv thaiv hypoglycemic ua rau txo qis hauv cov kua dej insulin. Ntxiv rau, cov tshuaj tau txais txiaj ntsig zoo los ntawm cov neeg mob (nrog rau txo qis kev pheej hmoo ntawm hypoglycemia). Cov tshuaj me ntsis txo qhov qab los noj mov. Zoo rau cov neeg mob uas tsis muaj cov ntshav qab zib-insulin-tsis muaj ntshav qab zib.
Maxim Sazonov, tus kws kho mob endocrinologist, Kazan
Cov khoom siv ua ke ua ke sib txuam rau txhua tus. Metformin txhim kho cov teebmeem ntawm glimepiride. Hauv cov ntshav muaj txo cov ntshav qabzib, LDL thiab triglycerides. Ib qho cuab yeej zoo tshaj plaws rau kev tswj hwm cov kua nplaum ib txwm. Kev phiv tshuaj tuaj yeem tshwm sim nyob rau hauv daim ntawv ntawm kev ua xua, hypoglycemia, pw tsis txaus ntseeg.
Marina, 43 xyoo, Samara
Hauv hom 2 Ntshav Qab Zib, cov tshuaj zoo nrog cov sib xyaw ua ke tau raug muab tshuaj. Nws tiv thaiv kev txhim kho ntawm hyperglycemia thiab tsis coj mus rau hypoglycemia, yog tias qhov tsim nyog tau tshuaj yog txhawm rau. Thawj ob peb lub lis piam, nws hnov mob xeev siab, thiab tom qab ntawd mob plab zawv. Cov tsos mob ploj mus rau lub sijhawm, thiab tam sim no kuv tsis hnov qhov tsis xis nyob.
