Bagomet - cov tshuaj tau muab rau cov neeg mob ntshav qab zib. Cov tshuaj muaj ntau tus lej sib kis, yog li nws siv tsuas yog qhia los ntawm kws kho mob.
Lub Npe Tsis Yog Neeg Tsis Muaj Npe
Metformin.
ATX
A10BA02 Metformin.
Tso cov ntawv thiab cov nyob ua ke
Cov tshuaj yog ib ntsiav tshuaj nrog metformin hydrochloride (cov tshuaj ua kom muaj zog) hauv qhov muaj pes tsawg leeg. Nws muaj ntau qhov sib txawv - 1000, 850 thiab 500 mg. Ntxiv nrog rau cov khoom siv tiv thaiv, ntau yam tshuaj ntxiv uas muaj cov txiaj ntsig kho tau zoo nrog rau hauv cov tshuaj. Cov ntsiav tshuaj muaj puag ncig, txheej, thiab 850 daim ntawv kws tshuaj daim ntawv yog tshuaj ntsiav.
Bagomet yog ib ntsiav tshuaj nrog metformin hydrochloride nyob rau hauv cov lus muaj pes tsawg leeg.
Pharmacological kev txiav txim
Lub ntsiab tseem ceeb uas cov tshuaj muab yog hypoglycemic. Cov tshuaj yog ua rau txo cov ntshav qabzib kom ntau. Qhov tshwm sim tau tiav vim los ntawm kev txia ntshav gluconeogenesis nyob rau hauv daim siab. Cov ntsiav tshuaj txhim kho kev ua tiav ntawm cov piam thaj nyob rau hauv cov ntaub so ntswg thiab txo nws txoj kev nqus ntawm cov hnyuv.
Cov tshuaj sib xyaw ua ke ntawm cov tshuaj uas tsis ua rau kev tsim cov tshuaj insulin thiab tsis tuaj yeem ua rau cov ntshav qog ntshav qab zib.
Rau cov neeg muaj ntshav qab zib thiab ua rau lub cev nce ntxiv, cov tshuaj tso cai rau koj kom poob phaus los ntawm kev txo hyperinsulinemia.
Muaj peev xwm ua kom qis cov roj cholesterol.
Cov Tshuaj Pharmacokinetics
Tom qab siv, nws tau nrawm thiab yuav luag nqus los ntawm cov hnyuv. Thaum noj ntawm lub plab tas, kev zom zaub mov yog ntau dua 50%. Cov nquag ua ke tsis khi rau cov protein faib hauv ntshav ntshav, tab sis muab faib sai sai thoob plaws lub cev nqaij. Muaj peev xwm sib txuam ntau hauv cov ntshav liab.
Undergoes metabolism, tab sis nyob rau hauv feem pua qis, ze rau xoom. Nws yog excreted nrog kev koom tes ntawm ob lub raum tsis hloov. Qhov no tshwm sim hauv 4-6 teev.
Cov tshuaj muaj peev xwm txo cov ntshav cov ntshav hauv cov ntshav.
Kev ntsuas rau siv
Nws yog tshuaj rau cov neeg mob ntshav qab zib hom 2. Qhov ua tau zoo ntawm kev siv nrog concomitant rog yog sau tseg. Nws yog tshuaj raws li txoj kev kho mob monotherapy lossis hauv kev sib xyaw ua ke.
Cov Yuav Tsum Muaj
Tsis muaj tshuaj kho nyob rau hauv cov rooj plaub no:
- cov neeg rhiab heev rau ib qho ntawm cov khoom siv uas yog ib feem ntawm cov pes tsawg leeg;
- mob ketoacidosis, mob ntshav qab zib precoma, mob qog ntshav qab zib tsis zoo;
- kev tsis pom lub raum;
- mob ceev uas ua rau muaj kev hem thawj rau lub raum kev ua haujlwm;
- lub cev qhuav dej los ntawm raws plab los ntuav, ua npaws, kab mob tshwm sim los ntawm kis kab mob;
- cov mob uas muaj pa oxygen tshaib plab (poob siab, mob ntshav lom, lub raum lossis mob ntsws, mob suab paj nruag (coma);
- kev ua kom paub cov tsos mob ntawm tus mob los yog mob mus ntev uas tuaj yeem pab txhawb kev tsim cov nqaij hypoxia;
- muaj kev phais ntau ntxiv (thiab lwm yam kev phais mob sab nraud) thiab raug mob thaum kho cov tshuaj insulin;
- daim siab ua haujlwm, lub siab ua haujlwm tsis zoo;
- haus cawv ntev, mob qaug cawv qaug cawv;
- ua raws li kev noj haus uas yuav tsum tau noj tsawg dua 1000 kcal / hnub .;
- cev xeeb tub
- lub sijhawm pub niam mis;
- lactic acidosis (suav nrog keeb kwm);
- noj cov tshuaj rau ob peb hnub ua ntej thiab tom qab kev tshawb fawb uas cuam tshuam nrog kev qhia ntawm tus neeg sawv cev sib piv uas muaj iodine.
Yuav ua li cas noj bagomet?
Cov koob tshuaj yog txiav txim los ntawm tus kws kho mob thiab nyob ntawm cov lus pov thawj, theem ntawm cov piam thaj hauv tus neeg mob cov ntshav. Kev txais tos yog kwv sab hauv lub plab tas. Siv cov tshuaj nrog zaub mov ua rau qeeb nws cov nyhuv.
Thaum siv cov ntsiav tshuaj muaj 500 mg, thawj koob tshuaj yuav tsum yog 1000-1500 mg. Txhawm rau kom tsis txhob phiv tshuaj, nws raug nquahu kom faib cov koob tshuaj 2-3 zaug. Tom qab 2 lub lim tiam ntawm kev kho mob, nws raug tso cai rau maj mam nce cov koob tshuaj yog tias kev nyeem ntawm cov piam thaj hauv cov ntshav tau zoo dua. Qhov koob tshuaj txhua hnub yuav tsum tsis pub ntau dua 3000 mg.
Cov tub ntxhais hluas tuaj yeem noj ntau li 500 mg thaum yav tsaus ntuj nrog zaub mov noj. Tom qab 10-15 hnub, qhov tshuaj yuav tsum tau kho. Ntau tshaj 2000 mg ntawm cov tshuaj tsis tuaj yeem noj ib hnub.
Nrog rau kev coj ua ib txhij nrog insulin, koj yuav tsum noj 1 ntsiav tshuaj 2-3 r. / Hnub.
Thaum siv cov ntsiav tshuaj hauv ib koob tshuaj 850 mg, ib tus neeg laus yuav tsum noj 1 lub tshuaj. Cov koob tshuaj rau ib hnub yuav tsum tsis txhob siab tshaj 2500 mg. Thaum noj 1000 mg ntsiav tshuaj, 1 pc yog siv. ib hnub. Qhov siab tshaj plaws tau tso cai yog 2000 mg. Yog tias tshuaj insulin ua tiav tib lub sijhawm, tom qab ntawd cov koob tshuaj uas pom zoo yog 1 ntsiav tshuaj.
Sab Sij Huam Bagomet
Nrog rau cov tshuaj tsis yog, qhov tshwm sim tsis zoo tuaj yeem tsim los ntawm yuav luag txhua qhov ntawm lub cev.
Kev kho mob txoj hnyuv
Xeev siab, ntuav, qab los noj mov yuav ploj, ib qho kev iab nyob hauv qhov ncauj yuav tshwm sim.
Cov cim zoo li no tuaj yeem thab tus neeg mob thaum pib ntawm qhov kho mob, tab sis tsis tas yuav tsum tsis txuas lub tshuaj ntxiv.
Nrog rau cov tshuaj tsis yog, qhov tshwm sim tsis zoo tuaj yeem tsim los ntawm yuav luag txhua qhov ntawm lub cev.
Hematopoietic plab hnyuv siab raum
Tsis muaj ntaub ntawv qhia txog cov nyhuv ntawm cov ntshav.
Nruab nrab hauv lub paj hlwb
Qaug zog, tsis muaj zog, kiv taub hau tau sau tseg.
Endocrine system
Cov lus qhia tsis muab cov lus qhia txog kev hloov tshuaj rau cov nruab nrog ntawm nruab nrog endocrine system zoo li cas.
Los ntawm ib sab ntawm cov metabolism
Lactic acidosis. Yog tias qhov teeb meem tshwm sim, nres tsis txhob siv cov tshuaj.
Kev ua xua
Kev tawm pob, khaus yog pom.
Hnab looj tes tuaj yeem ua rau ua xua tuaj yeem ua pob ua pob, khaus.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Nws tsis muaj qhov cuam tshuam zoo rau kev muaj peev xwm los tswj cov txheej txheem, tab sis cov kev mob tshwm sim xws li kiv taub hau yuav tsum raug txiav txim siab.
Cov lus qhia tshwj xeeb
Thaum kho, koj yuav tsum tswj hwm qhov qib ntawm cov piam thaj hauv cov ntshav ntawm lub plab thiab tom qab noj mov. Yog tias pom tias muaj qhov tshwm sim tsis zoo, sab laj nrog kws kho mob kom tuaj yeem tawm tswv yim. Nrog kev kho mob ntev, ib lub plasma concentration ntawm metformin yog yuav tsum muaj.
Siv rau lub sijhawm qub
Nws yog ntawv ceeb toom nrog ceev faj rau cov neeg laus laus uas tau mus txog hnub nyoog 60 xyoo.
Txiag tej menyuam
Nws yog kis rau cov menyuam yaus hnub nyoog qis dua 10 xyoo los noj ntau dua 500 mg. Txog thaum muaj hnub nyoog 18 xyoo, cov ntsiav tshuaj uas muaj qhov siab dua (850 thiab 1000 mg) tsis siv.
Siv thaum cev xeeb tub thiab lactation
Nws yog nruj me ntsis contraindicated.
Daim ntawv thov rau lub raum khiav tsis zoo
Contraindicated hauv raum tsis ua haujlwm.
Siv rau lub siab ua haujlwm tsis zoo
Siv nrog ceev faj thaum muaj teeb meem daim siab tsis zoo.
Siv nrog ceev faj thaum muaj teeb meem daim siab tsis zoo.
Overdose ntawm Bagomet
Lactic acidosis. Cov tsos mob thawj tus mob yog mob plab, xis nyob thiab mob ib ce. Yog tias tus kabmob loj tuaj, tus neeg mob yuav tsum tau mus pw hauv tsev kho mob.
Kev cuam tshuam nrog lwm yam tshuaj
Nws yog qhov ua tau kom txo cov nyhuv hypoglycemic ntawm kev ua haujlwm nquag thaum mus siv nrog:
- piam thaj steroids;
- tshuaj uas muaj cov tshuaj hormones;
- epinephrins;
- glucagon;
- sympathomimetics;
- phenytoin;
- cov tshuaj uas muaj phenothiazine;
- thiazide diuretics;
- ntau ntau yam neeg mob ntawm nicotinic acid;
- Bcc thiab isoniazid.
Cov nyhuv ntawm hypoglycemic nyhuv ntawm metformin tej zaum yuav kho kom zoo dua nrog kev sib koom tes nrog:
- npaj los ntawm sulfonylurea derivatives;
- acarbose;
- tshuaj insulin;
- NSAIDs;
- MAO inhibitors;
- oxytetracycline;
- ACE inhibitors;
- cov tshuaj ua los ntawm clofibrate;
- cyclophosphamide, β-blockers.
Bagomet tuaj yeem kho kom zoo dua los ntawm cov nyhuv ntawm cov nyhuv hypoglycemic ntawm metformin thaum sib xyaw nrog cov tshuaj insulin.
Metformin tuaj yeem txo qis kev nqus ntawm cyanocobalamin (vitamin B12).
Cimetidine qeeb lub sijhawm txiav tawm ntawm metformin, uas ua rau kev txhim kho ntawm lactic acidosis.
Nifedipine ua rau qeeb lub sij hawm ntawm kev nthuav tawm ntawm metformin.
Metformin muaj lub peev xwm los txo cov nyhuv ntawm cov tshuaj tiv thaiv (uas yog ua los ntawm coumarin).
Cawv tau zoo
Thaum lub sijhawm noj cov tshuaj, nws zoo dua tsis txhob siv cov tshuaj muaj cawv, thiab txwv tsis pub haus dej haus cawv ib ntus.
Analogs
Bagomet Plus - ib qho tshuaj zoo sib xws, zoo ib yam hauv lub hom phiaj thiab cov khoom, tab sis muaj cov tshuaj glibenclamide. Lwm cov lus zoo xws li:
- Formmetin;
- Cov kua nplaum ntev;
- Metformin;
- Metformin Teva;
- Gliformin.
Cov ntsiab lus ntawm lub tsev muag tshuaj tawm
Cov tshuaj yuav raug faib tawm thaum qhia tshuaj los ntawm kws kho mob.
Kuv puas yuav tau yam tsis muaj daim ntawv yuav tshuaj?
Tsis yog.
Nqi
Tus nqi nruab nrab yog 200 rubles.
Cia rau cov neeg mob rau cov tshuaj
Khaws rau hauv qhov chaw qhuav, sov.
Hnub tas sij hawm
2 xyoos
Chaw tsim tshuaj paus
Kimika Montpellier S.A.
Kev Ntsuas Xyuas Mob Ntshav Qab Zib
Svetlana, hnub nyoog 49 xyoo, Kirov: "Kuv tau raug mob ntshav qab zib tau ntev dhau los. Thiab qhov hnyav tshaj 100 kg. Tus kws kho mob tau sau tshuaj, tau hais tias cov piam thaj hauv cov ntshav yuav poob, thiab qhov hnyav yuav ploj mus. Thawj 2 hnub uas tau txais nws xav tias tsis zoo: nws xeev siab, muaj kev tsis txaus. Tom qab ntawd cov koob tau txo qis, Kuv pib zoo siab. Kuv noj zaub mov kom cov suab thaj kom ruaj, tab sis kuv txuas ntxiv haus cov tshuaj. Qhov hnyav tawm mus. Kuv poob 6 kg hauv 1 hlis. "
Trofim, hnub nyoog 60 xyoo, Moscow: "Cov tshuaj tau tsim kho tsis ntev los no, tus nqi tau teeb tsa, thiab kev tshuaj xyuas tau zoo. Tom qab txhaj thawj, Kuv tam sim ntawd pib txhaws thiab ntswj kuv lub plab, Kuv yuav tsum tau yaug kuv cov hnyuv hauv lub tsheb thauj neeg mob. xa mus rau lwm cov tshuaj. "
Nifedipine ua rau qeeb lub sij hawm ntawm kev nthuav tawm ntawm metformin.
Cov kws kho mob tshuaj xyuas
Mikhail, hnub nyoog 40 xyoo, Saratov: "Cov tshuaj muaj ntau lub contraindications thiab feem ntau ua rau muaj kev phiv, yog li kuv sau nws nrog kev saib xyuas zoo rau cov neeg mob, tshwj xeeb tshaj yog cov laus thiab cov menyuam yaus. ntshav qabzib, kwv yees nrog ib koob. "
Ludmila, hnub nyoog 30 xyoo, Kursk: "Ntau tus neeg mob yws ntawm qhov tshwm sim nyob rau thawj hnub ntawm kev noj tshuaj, qee qhov muaj kev phiv tshuaj.
