Accupro yog tshuaj hypotensive rau kev kho mob plawv tsis ua hauj lwm thiab txo ntshav siab. Nws muaj cov metabolic, cardio- thiab nephroprotective, uas muaj cov txiaj ntsig zoo ntawm cov hlab plawv. Cov tshuaj thaiv qhov hloov pauv ntawm cov sib txuas uas muaj vasoconstrictor zog. Nws cov nyhuv txuas rau cov ntshav thiab cov nqaij mos enzymes, muab cov nyhuv hypotensive ntev.
Lub Npe Tsis Yog Neeg Tsis Muaj Npe
Latin lub npe ntawm cov tshuaj: Accupro. INN: Quinapril.
ATX
Tshuaj tiv thaiv kab mob siab, ACE inhibitor. ATX Code: C09A A06.
Accupro yog tshuaj hypotensive rau kev kho mob plawv tsis ua hauj lwm thiab txo ntshav siab.
Tso cov ntawv thiab cov nyob ua ke
Muaj nyob rau hauv daim ntawv ntawm cov puag ncig, daim duab peb sab lossis oval, zaj duab xis-ntsiav tshuaj ntawm cov xim dawb lossis xim liab-xim av. 1 ntsiav tshuaj muaj 5, 10, 20 lossis 40 mg ntawm cov tshuaj nquag - quinapril nyob rau hauv daim ntawv ntawm hydrochloride, nrog rau cov neeg tshaj lij. Ib pob ntawv cardboard muaj 3 los yog 5 hlwv, txhua tus muaj 6 lossis 10 ntsiav tshuaj.
Pharmacological kev txiav txim
Cov tshuaj tshuaj hypotensive uas suppresses kev ua si ntawm angiotensin-hloov enzyme, nrog kev koom tes ntawm uas angiotensin Kuv tau hloov mus rau hauv angiotensin II. Qhov tom kawg yog qhov ua kom nquag plias endogenous ntau uas ua rau muaj ntshav nce ntxiv. Ib qho kev txo qis ntawm kev tso tawm ntawm cov kab ke no ua rau muaj kev nrawm nrawm ntawm sodium excretion thiab ncua hauv cov poov tshuaj hauv lub cev, uas txo qis qhov tsis kam ntawm cov hlab ntsha thiab cov ntshav qis. Nrog rau kev siv tas li, nws ua rau qeeb qeeb ntawm cov txheej txheem cov thooj plawv thiab cov hlab ntshav, uas txhim kho tiv thaiv keeb kwm yav dhau los ntawm kev kub siab.
Cov Tshuaj Pharmacokinetics
Tom qab kev tswj hwm ntawm qhov ncauj, qhov siab ntawm quinapril hauv cov ntshav dej tau tiav hauv 60-90 feeb. Tsawg kawg 55% ntawm cov tshuaj yog nqus.
Raws li kev ua ntawm daim siab enzymes, cov tshuaj nquag ua haujlwm yog metabolized rau quinaprilat, uas yog ib qho muaj zog ACE inhibitor. Nws cov khoom nruab nrog cev muaj peev xwm yog 35%.
Cov tshuaj nquag thiab nws cov khoom ua rau lub cev tsis nkag rau cov ntshav-hlwb teeb meem thiab raug nteg tawm los ntawm kev tawm ntawm lub raum. Hauv cov neeg mob uas lub raum tsis ua haujlwm, qhov kev tshem tawm ib nrab ntawm lub neej muaj ntau ntxiv nrog kev txo qis ntawm creatinine tshem tawm.
Kev ntsuas rau siv
Cov tshuaj yog tawm rau kev kho mob ntawm txoj hlab ntshav siab thiab mob plawv tsis ua haujlwm ntev.
Cov tshuaj yog tawm rau kev kho mob siab siab.
Cov Yuav Tsum Muaj
Kev siv cov tshuaj yog contraindicated nyob rau hauv muaj cov kab mob thiab cov mob hauv qab no:
- hypersensitivity rau ib qho twg;
- keeb kwm ntawm mob hlwb vim dhau los kho nrog ib cov tshuaj tiv thaiv kab mob siab lossis tshuaj tiv thaiv kab mob thiab / lossis idiomatic tsis haum;
- lactose intolerance, qab zib-galactose malabsorption.
Nrog saib xyuas
Nws yog siv nrog ceev faj thaum muaj cov kab mob zoo li no:
- kev mob tshwm sim ntawm txoj hlab ntshav liab, tshwj xeeb tshaj yog rau cov neeg mob uas tau noj tshuaj diuretics thiab ua ntej noj mov nrog noj ntsev tsawg;
- mob hnyav mob tshwm sim los ntawm kev txiav txim siab tsis ua haujlwm ntawm lub plawv;
- ntshav qab zib mellitus;
- raum lossis mob siab ua haujlwm;
- kab mob sib kis hauv cov nqaij;
- tsis muaj zog rau lub cev;
- hyperkalemia
- txo nyob rau hauv cov ntshav ncig.
Thaum pib ntawm txoj kev kho, cov tshuaj raug pom zoo kom siv rau hauv kev soj ntsuam ntsuas ntshav ntsuas.
Yuav Ua Li Cas Txais Accupro
Lub sijhawm ua haujlwm thiab kev tswj hwm tus kws kho mob yog tus kws kho mob tshwj xeeb, suav txog tus mob thiab tus yam ntxwv ntawm tus neeg mob. Cov tshuaj noj yog noj ntawm qhov ncauj, tsis hais txog noj zaub mov, 0.01 g 1-2 zaug ib hnub. Thaum tsis siv tshuaj kho uas tsim nyog, ib koob tshuaj yuav raug nce siab 2 zaug, tab sis tsis pub tshaj qhov siab tshaj plaws ntawm 0.08 g ib hnub. Nws raug tso cai kom noj cov tshuaj txhua hnub ib zaug, yam tsis tas yuav muab faib ua ntau zaug. Cov koob tshuaj tuaj yeem nce ntxiv tsuas yog nyob rau kev pom zoo ntawm tus kws kho mob mus kawm thiab tsis dhau 4 lub lis piam los ntawm kev pib kho.
Nrog ntshav qab zib
Cov tshuaj yog siv raws li ib feem ntawm kev kho mob ntau yam, tiv thaiv kev ceev faj glycemic thiab kev pom zoo ntau npaum cov tshuaj.
Sab sij huam
Cov tshuaj yeeb yaj kiab tsis ua rau muaj qhov tsis tsim nyog. Feem ntau cov feem ntau, lawv raug tiv thaiv tawm tsam keeb kwm ntawm qhov tsis txaus siab rau nws cov khoom siv lossis yog tias cov tshuaj pom zoo tsis zoo. Txoj kev kho yuav tsum yog kws kho los ntawm tus kws tshaj lij tom qab kuaj mob, suav mus rau hauv kab mob concomitant pathologies.
Kev kho mob txoj hnyuv
Lub cev qhuav ntawm lub qog ua kua rau ntawm lub qhov ncauj lossis caj pas, dyspeptic cuam tshuam, xeev siab, mob hauv plab, poob qab los noj mov, thiab qhov ua txhaum ntawm saj pom yog cim.
Nruab nrab hauv lub paj hlwb
Tawm tsam cov keeb kwm yav dhau los ntawm kev noj cov tshuaj, hloov pauv mus rau lub siab, ua kom lub ntsej muag, mob hlwb, ua kom qaug zog lossis ua kev txob taus, tawv nqaij tsis haum lub cev ua rau lub cev yuag thiab tingling ua tau.
Los ntawm cov kab mob zis
Nyob rau hauv kis raug, cais kab mob txeeb zig yog sau tseg.
Los ntawm lub tshuab ua pa
Feem ntau muaj qhov hnoos tsis tu ncua, tsis muaj txiaj ntsig uas kis tau tom qab tas qhov kawg ntawm txoj kev kho, qhov kev xav zoo li tsis muaj huab cua, mob ntsws ntawm pharyngeal mucosa, mob hauv siab.
Ntawm ib sab ntawm daim tawv nqaij
Cov tawv nqaij thiab cov nqaij ua xua ua rau muaj peev xwm ua tau, xws li nce tawm hws, erythema thiab tev tawm, pob khaus, khaus, plaub hau pathological poob, pemphigus, thaj chaw hauv ib puag ncig los yog lub cev ua kom muaj kev sib deev.
Los ntawm genitourinary system
Hauv qee qhov tsis tshua muaj, kev txo qis hauv potency, tso zis qeeb yog ua tau.
Los ntawm cov hlab plawv system
Cov teeb meem tshwm sim ntawm hematopoietic plab hnyuv siab raum, xws li txo qis ntawm cov ntshav liab hauv cov ntshav, txo qis ntawm cov ntshav ntshav, agranulocytosis, txo qis ntawm cov ntshav plasmaets, thiab cov tsis muaj peev xwm ntawm txhua hom qe ntshav.
Ntawm ib feem ntawm cov hlab plawv, cov kev tsis haum siab xav tau yog qhov txo qis ntshav siab, tsis xis nyob hauv thaj chaw hauv siab, lub plawv dhia, lub plawv dhia, tachycardia, nce ntxiv lumen ntawm cov hlab ntsha.
Los ntawm cov leeg nqaij thiab pob txha sib txuas
Feem ntau muaj mob nrob qaum. Hauv qee qhov tsis tshua muaj tshwm sim, tawm tsam keeb kwm yav dhau los ntawm kev siv tshuaj yeeb, cov kab mob sib kis tshwm sim.
Los ntawm lub cev tiv thaiv kab mob
Kev phiv tshuaj tiv thaiv, mob taub hau tuaj yeem yog tau.
Kev ua xua
Yog tias muaj lub laryngeal xuav lossis o ntawm cov nqaij mos ntawm lub ntsej muag, tus nplaig lossis lub suab nrov, kev kho nrog cov tshuaj yuav tsum nres tam sim ntawd. Yog hais tias o ntawm tus nplaig lossis lub suab lus hem ua rau cuam tshuam rau huab cua mus rau lub ntsws, kev kho mob sai thiab tsim nyog ua ntej soj ntsuam cov tsos mob ntawm kev fab tshuaj yog qhov tsim nyog.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Thaum noj tshuaj, ceev faj yuav tsum ua kom zoo thaum tswj cov txheej txheem thiab ua haujlwm ua haujlwm uas yuav tsum tau saib xyuas ntxiv, tshwj xeeb tshaj yog thaum pib kho, vim muaj kev pheej hmoo ntawm kiv taub hau thiab mob hypotension.
Cov lus qhia tshwj xeeb
Kev siv khoom noj ib txhij tsis cuam tshuam rau qib ntawm kev nqus ntawm cov tshuaj, tab sis nce lub sijhawm kom ncav cuag qhov siab tshaj plaws ntawm cov tshuaj nquag.
Thaum noj tshuaj, nws raug nquahu kom tsis suav cov khoom noj muaj roj los ntawm kev noj haus.
Qee qhov xwm txheej, kev kho mob nrog angiotensin-hloov pauv enzyme inhibitors yog nrog kev loj hlob ntawm hypoglycemia hauv cov neeg mob ntshav qab zib mellitus, noj tshuaj hauv qhov ncauj hypoglycemic los yog tau txais insulin. Cov tshuaj nquag ntawm cov tshuaj pab txhim kho kev ua haujlwm ntawm insulin thiab antidiabetic agents.
Siv thaum cev xeeb tub thiab lactation
Contraindicated nyob rau hauv cev xeeb tub thiab lactation.
Kev Sib Tham Akkupro rau menyuam yaus
Cov tshuaj tsis siv rau hauv kev xyaum ua haujlwm vim yog cov ntaub ntawv tsis ntawm nws txoj kev nyab xeeb thiab ua haujlwm zoo.
Siv rau lub sijhawm qub
Nws raug pom zoo rau kev siv nyob rau hauv qhov tsis muaj contraindications. Qhov pom zoo thaum pib ntawm cov tshuaj yog 10 mg ib hnub ib zaug. Raws li kev saib xyuas ntawm tus kws kho mob uas tuaj koom, nws tuaj yeem raug nce ntxiv kom ua tiav cov txiaj ntsig kho kom haum.
Daim ntawv thov rau lub raum khiav tsis zoo
Hauv cov neeg mob uas muaj lub cev tsis zoo muaj nuj nqi, ib qho kev nce ntxiv hauv ib nrab-lub neej ntawm cov tshuaj yeeb dej caw tseem ceeb, yog li ntawd nws yuav tsum hloov kho qhov koob tshuaj, coj mus rau hauv tus account creatinine tshem tawm qhov ntsuas. Qhov siab tshaj plaws thawj zaug tshuaj yog los ntawm 2.5 txog 10 mg rau ib hnub. Ua kom nce siab ntawm cov tshuaj yog ua tau tsuas yog nyob hauv kev tswj ntawm qhov haujlwm. Ua tsis tau raws li cov lus pom zoo kho mob tuaj yeem ua rau lub nruab nrog cev tsis ua haujlwm, suav nrog kev pheej hmoo ntawm kev tsim muaj mob raum tsis zoo.
Noj ntau dhau
Cov tsos mob ntawm kev haus ib ce yog kev ua txhaum ntawm cov dej-electrolyte tshuav, kev loj hlob tuaj, kev poob qis ntawm lub siab ntawm qhov mob plab, thiab qhov muag pom. Txoj kev kho yog ua tiav los ntawm kev saib xyuas ntshav ntawm cov ntshav-cov kev daws teeb meem nyob rau hauv txhawm rau nce ntim ntawm cov kua dej muaj zog. Kev siv tshuaj lim ntshav muaj qhov tsis lees paub txog kev ua haujlwm ntawm cov tshuaj nquag. Thaum yuav txo qis hauv cov ntshav siab, cov tsos mob thiab txhawb kev kho mob yog qhov tsim nyog.
Kev cuam tshuam nrog lwm yam tshuaj
Kev siv cov tshuaj tiv thaiv tetracycline tib lub sijhawm thiab ib qho tshuaj tiv thaiv kabmob tuaj yeem txo qhov nqus ntawm tetracyclines. Kev kho mob nrog lithium npaj thiab ACE inhibitors tsub kom cov ntshiab cov roj ntsha lithium ntau ntxiv, muaj kev pheej hmoo rau kev qaug tshuaj. Cov poov tshuaj txhawm rau txhim kho lub txiaj ntsig antihypertensive ntawm cov tshuaj nquag ntawm cov tshuaj, nce qib hauv cov ntsiab lus hauv cov ntshav. Kev kho ua ke nrog kev siv yeeb tshuaj uas ua kom cov hlwb pob txha muaj peev xwm ua rau muaj kev pheej hmoo ntawm cov ntshav pathologies, nrog rau kev txo qis hauv cov concentration ntawm granulocytes thiab neutrophils.
Kev siv cov tshuaj uas muaj cov tshuaj hinapril nrog Allopurinol, Novocainamide, cov neeg ua haujlwm cytostatic lossis cov tshuaj tiv thaiv kab mob nce ntxiv yuav ua rau muaj kev pheej hmoo ntawm kev tsim leukopenia. Cov tshuaj tiv thaiv kab mob siab, tshuaj loog, thiab opioid analgesics txhim kho cov nyhuv hypotensive quinapril, thaum tsis siv tshuaj tiv thaiv tsis haum tshuaj ua rau nws tsis muaj zog vim cov kua dej hauv lub cev.
Cawv tau zoo
Ethanol txhim kho cov nyhuv antihypertensive ntawm cov tshuaj.
Analogs
Cov tshuaj muaj qee tus lej ntawm cov yeeb yaj kiab uas zwm rau tib pab pawg muab tshuaj. Ntawm lawv yog:
- Hinapril-C3;
- Pheej Yig
- Quinafar.
Cov tshuaj nquag ntawm cov tshuaj yuav txawv, yog li ntawd, hloov chaw ntawm cov tshuaj yuav tsum pom zoo nrog kws kho mob.
Cov nqe lus so haujlwm Acupro los ntawm lub tsev muag tshuaj
Txhawm rau nqus ib qho tshuaj tiv thaiv kabmob, yuav tsum tau teem sijhawm mus ntsib kws kho mob.
Kuv tuaj yeem yuav yam tsis tas yuav tshuaj
Tso tawm los ntawm kev kho mob.
Acupro Nqe
Tus nqi nruab nrab ntawm cov tshuaj yog 535-640 rubles.
Cia rau cov neeg mob rau cov tshuaj
Khaws nyob ntawm chav tswj qhov kub thiab txias (tsis siab tshaj + 20 ° C). Cia kom deb ntawm kev tshav ntuj. Txwv tsis pub cov menyuam yaus siv tshuaj.
Hnub tas sij hawm
36 lub hlis tom qab tas sij hawm ntawm qhov uas nws tsis tsim nyog siv cov tshuaj.
Chaw tsim tshuaj paus Akkupro
Pfizer Raug Deutschland (Lub Teb Chaws Yelemees).
Kev txheeb xyuas rau Akkupro
Ua ntej siv cov tshuaj antihypertensive, nws raug nquahu kom koj nyeem cov kev tshuaj xyuas ntawm tus kws kho mob tshwj xeeb thiab cov neeg mob.
Khaws nyob ntawm chav tswj qhov kub thiab txias (tsis siab tshaj + 20 ° C). Cia kom deb ntawm kev tshav ntuj.
Cov kws kho mob
Alevtina Ivanova (kws kho plawv), hnub nyoog 39 xyoo, Ivanovo
Ib cov tshuaj zoo tsim feem ntau los txo qis ntshav siab thiab txhim kho lub plawv. Kev siv mus sij hawm ntev pab txhawm rau txhim kho cov phab ntsa ntawm cov hlab plawv system, txhim kho lawv cov elasticity. Cov tshuaj yog raug faib tawm raws li daim ntawv sau tshuaj, yog li ntawd, txoj kev kho kom raug yuav tsum yog tus kws kho mob tshwj xeeb thiaj li tsis tuaj yeem tawm tsam kev tsis sib haum xeeb thiab txo qhov kev pheej hmoo ntawm kev tsim cov kev tsis haum xeeb.
Cov neeg mob noj tshuaj
Alina, 43 xyoo, Krasnoyarsk
Nws coj nws mus ntau lub hlis. Kev ua haujlwm ntawm cov tshuaj no yog qhov siab, lub siab rov qab rau qhov qub tom qab 1-2 teev tom qab kev tswj hwm. Txawm li cas los xij, nws raug yuam kom tso tseg cov tshuaj no hauv kev sib txuas nrog qhov tsis zoo tshwm sim - kev tawm tsam ntawm kev hnoos.
Anna, 28 xyoo, Perm
Niam rau lub sijhawm ntev sim los daws ntshav siab rau nws tus kheej, tab sis cov txiaj ntsig ntawm txoj kev nyiam ntawm pej xeem yog luv-nyob. Kuv yuav tsum mus ntsib kws kho mob. Niam tau muab cov tshuaj no rau vim lawv tshawb pom lub plawv nres. Tom qab kho, qhov ntsuas lub siab rov tuaj rau qhov qub, qhov cim ntawm kub siab ploj. Tsis muaj cov kev mob tshwm sim loj heev, nws tsis tas yuav hloov mus rau cov analogues kim dua nrog cov kev phiv tshuaj tsawg dua.
