Dapril yog cov tshuaj tiv thaiv zoo thiab pheej yig. Nws txhim kho cov ntshav kev xa mus rau ischemic myocardium, txo cov ntshav siab, OPSS thiab preload.
Lub Npe Tsis Yog Neeg Tsis Muaj Npe
INN ntawm cov tshuaj yog lisinopril.
ATX
Qhov ATX code yog C09AA03.
Ib tus neeg sawv cev tiv thaiv kab mob yog tsim nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj liab, uas tau muab tso rau hauv cov strips ntawm 10 pcs.
Tso cov ntawv thiab cov nyob ua ke
Ib tus neeg sawv cev tiv thaiv kab mob yog tsim nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj liab, uas tau muab tso rau hauv cov strips ntawm 10 pcs. Hauv 1 ntim ntawm 2 lossis 3 daim hlab. 1 ntsiav tshuaj muaj 5, 10 lossis 20 mg ntawm lisinopril, uas yog cov tshuaj tseem ceeb ntawm cov tshuaj. Ntu muaj pes tsawg leeg:
- gelatinized hmoov txhuv nplej siab;
- calcium hydrogen phosphate;
- zas E172;
- mannitol;
- magnesium stearate.
Pharmacological kev txiav txim
Cov cuab yeej muaj cov haujlwm antihypertensive thiab zwm rau pab pawg ntawm ACE inhibitors. Lub hauv paus ntsiab lus ntawm nws cov tshuaj pharmacotherapeutic tau piav qhia los ntawm kev tawm tsam ntawm ACE kev ua haujlwm, kev hloov pauv ntawm angiotensin 1 rau angiotensin 2. Ib qho kev txo qis ntawm plasma theem ntawm qhov kawg provokes kev nce hauv renin kev ua si thiab txo qis hauv aldosterone ntau lawm.
Cov tshuaj txo cov post- thiab preload, ntshav siab thiab peripheral vascular tsis kam.
Cov tshuaj pib ua haujlwm nyob rau hauv 120 feeb tom qab siv tas. Kev ua si nquag yog kaw tom qab 4-6 teev thiab kav ntev txog 1 hnub.
Cov Tshuaj Pharmacokinetics
Lub bioavailability ntawm lysinoril nce mus txog 25-50%. Nws cov ntshav plasma ntau tshaj plaws tau nce hauv 6-7 teev. Cov khoom noj tsis cuam tshuam rau kev nqus ntawm ib qho tshuaj tiv thaiv kab mob siab. Nws tsis ua kev sib txuas nrog cov plasma protein; nws yuav luag tsis txaus hauv lub cev. Nws yog tawm los ntawm ob lub raum hauv thawj lub xeev. Qhov kev tshem tawm ib nrab-lub neej yog 12 teev.
Cov khoom noj tsis cuam tshuam rau kev nqus ntawm ib qho tshuaj tiv thaiv kab mob siab.
Kev ntsuas rau siv
Ib qho tshuaj tiv thaiv kev tiv thaiv kabmob muaj nyob rau hauv xws li:
- daim ntawv ua mob ntsws hauv lub plawv tsis ua haujlwm (thaum siv digitalis npaj thiab / lossis diuretics, ua ib feem ntawm kev kho mob nyuaj);
- arterial hypertension (nws raug tso cai siv tshuaj hauv kev kho mob los yog hauv kev sib xyaw nrog cov tshuaj tiv thaiv kab mob siab).
Cov Yuav Tsum Muaj
Kev txwv tsis pub noj tshuaj yog raws li nram no:
- thawj daim ntawv ntawm hyperaldosteronism;
- hnub nyoog qis dua 18 xyoo;
- keeb kwm ntawm Quincke's edema;
- cov tib neeg tsis qaug rau lisinopril thiab cov khoom xyaw theem nrab ntawm cov tshuaj;
- 2 thiab 3 lub hlis ntawm kev sib deev;
- pub niam mis;
- hyperkalemia
- azotemia;
- mob raum / mob raum;
- rov qab tom qab lub raum hloov;
- ob tog daim ntawv ntawm stenosis ntawm cov hlab ntsha ntawm ob lub raum.
Nrog kev ceev faj, cov tshuaj yuav tsum tau siv los tiv thaiv keeb kwm ntawm mob myocardial infarction, kev nce siab ntawm cov hlab ntsha tawg, thiab lwm yam kev cuam tshuam ntawm cov hlab plawv.
Yuav Ua Li Cas Noj Dapril
Cov koob tshuaj rau kev kho mob ntawm txoj kev hloov roj ntawm txoj hlab ntshav yog raws li tus kheej, ntsuas rau hauv ntshav siab.
Thawj koob tshuaj yog 10 mg / hnub, cov tshuaj txhawb nqa tau nce txog 20 mg / hnub. Qhov tshuaj ntau ntau txhua hnub yog 80 mg.
Ib daim ntawv qhia txog kev mob plawv sai pib kho nrog cov koob tshuaj 2.5 mg / hnub. Tom qab ntawd qhov nyiaj ntawm cov tshuaj yog xaiv nyob ntawm pharmacological kev ua tau tau thiab yog 5-20 mg ib hnub twg.
Nrog ntshav qab zib
Tus mob ntshav qab zib, noj tshuaj tiv thaiv kab mob rau ntshav siab, yuav tsum soj ntsuam cov ntshav seb ntshav qabzib li cas. Cov koob tshuaj rau cov neeg mob ntawm cov pab pawg no yog xaiv tus kheej.
Tus mob ntshav qab zib, noj tshuaj tiv thaiv kab mob rau ntshav siab, yuav tsum soj ntsuam cov ntshav seb ntshav qabzib li cas.
Phiv Phom Sij Dapril
Kev kho mob txoj hnyuv
Tawm tsam ntawm cov keeb kwm yav dhau los ntawm kev noj tshuaj, tus neeg mob tuaj yeem hnov xeev siab, tsis xis nyob hauv epigastrium, qhov ncauj qhuav, thiab zawv plab.
Hematopoietic plab hnyuv siab raum
Cov tshuaj qee zaum ua rau txo qis ntawm cov ntshav liab thiab hemoglobin, agranulocytosis thiab neutropenia.
Nruab nrab hauv lub paj hlwb
Los ntawm ib sab ntawm lub hauv nruab nrab lub paj hlwb, kiv taub hau, zoo nkaus li tsis muaj zog, mob taub hau, tsis nco qab ceev ceev thiab cia li hloov lub siab.
Los ntawm lub tshuab ua pa
Thaum lub sijhawm siv cov tshuaj, qee zaum hnoos qhuav.
Los ntawm cov hlab plawv system
Cov tshuaj ua rau yaug thiab liab ntawm lub ntsej muag, orthostatic hypotension thiab tachycardia.
Kev ua xua
Hauv cov neeg mob uas lub cev tsis haum rau qhov tshuaj, khaus thiab ua pob rau ntawm daim tawv nqaij yuav tshwm sim. Tsis tshua muaj qee zaus, mob hlwb los kuaj.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Muab qhov tseeb tias kev siv tshuaj tiv thaiv kab mob tuaj yeem ua rau kiv taub hau thiab tsaus muag, nws pom zoo kom tsis txhob muaj lub lag luam ntawm lub tsheb thiab lwm yam txheej txheem tawm tsam keeb kwm ntawm nws siv.
Thaum noj Dapril, nws zoo dua uas tsis kam tsav lub tsheb.
Cov lus qhia tshwj xeeb
Nws yuav tsum tau yug los rau hauv lub siab tias lub siab tuaj yeem txo qis nrog qhov txo qis ntawm cov kua dej hauv lub cev thaum noj tshuaj diuretic, nrog rau cov ntsev hauv cov zaub mov txo qis thiab ua raws li cov txheej txheem lim ntshav. Cov neeg mob zoo li no yuav tsum pib kho nyob rau hauv kev saib xyuas ntawm kws kho mob. Cov koob tshuaj yog xaiv tau ntiag tug.
Siv rau lub sijhawm qub
Tshwj xeeb xaiv cov koob tshuaj tsis tas yuav tsum muaj.
Txiag tej menyuam
Cov tshuaj tiv thaiv kabmob ntshav feem ntau hauv kev kho mob menyuam yaus tsis yog siv.
Cawv tau zoo
Cov kws tshaj lij tsis pom zoo kom haus cawv thaum siv tshuaj tiv thaiv kab mob antihypertensive.
Cov kws tshaj lij tsis pom zoo kom haus cawv thaum siv tshuaj tiv thaiv kab mob antihypertensive.
Daim ntawv thov rau lub raum khiav tsis zoo
Kev muab tshuaj yog xaiv raws cov creatinine clearance.
Siv rau lub siab ua haujlwm tsis zoo
Antihypertensive siv tshuaj tau raug saib xyuas kom zoo rau qhov mob me me thiab mob me me. Hauv cov xwm txheej loj, nws siv yog contraindicated.
Noj ntau tshaj ntawm Dapril
Feem ntau tshwm sim los ntawm kev mob ntshav ntawm txoj hlab ntshav liab, ua rau lub raum khiav tsis zoo thiab electrolyte tshuav nyiaj li cas. Txoj kev kho yuav koom nrog kev tswj hwm saline thiab hemodialysis cov txheej txheem.
Kev cuam tshuam nrog lwm yam tshuaj
Hauv kev sib xyaw ntawm lisinopril nrog cov poov tshuaj-sparing hom diuretics, hloov ntsev thiab poov tshuaj npaj, qhov kev pheej hmoo ntawm hyperkalemia nce.
Thaum muab cov tshuaj sib txuas nrog cov tshuaj tiv thaiv kev nyuab siab, yuav pom qhov txo ntshav siab tseem ceeb.
Thaum muab cov tshuaj sib txuas nrog cov tshuaj tiv thaiv kev nyuab siab, yuav pom qhov txo ntshav siab tseem ceeb.
Cov kev ua los tiv thaiv kev tiv thaiv ntawm cov lisinopril raug txo qis ua ke nrog cov tshuaj tsis-steroidal anti-inflammatory.
Ethanol nce cov nyhuv hypotensive ntawm lisinopril.
Siv thaum cev xeeb tub thiab lactation
Noj tshuaj yog txwv nyob rau hauv qib thib 2 thiab 3 ntawm txoj kev tu cev xeeb tub, vim hais tias lisinopril muaj peev xwm hla qhov tsis zoo.
Yog tias cov tshuaj tau kom noj thaum lub sijhawm lactation, koj yuav tsum caiv tsis txhob pub mis niam.
Analogs
Hloov chaw rau tshuaj antihypertensive muaj xws li:
- Rileys-Sanovel;
- Liten;
- Sinopril;
- Tau Txais;
- Liaj;
- Lysoril;
- Lisinopril granulate;
- Lisinopril dihydrate;
- Lisinotone;
- Hmoob Lysacard;
- Zonixem;
- Irumed;
- Diroton;
- Diropress.
Cov ntsiab lus ntawm lub tsev muag tshuaj tawm
Antihypertensive tshuaj muaj nyob ntawm cov tshuaj.
Nqi
Tus nqi nruab nrab ntawm cov tshuaj hauv khw muag tshuaj ntawm Lavxias Federation yog 150 rubles. rau pob No. 20.
Cia rau cov neeg mob rau cov tshuaj
Cov tshuaj yuav tsum muaj kev tiv thaiv los ntawm menyuam yaus, tshav ntuj, noo noo thiab kub dhau.
Hnub tas sij hawm
4 xyoos
Chaw tsim tshuaj paus
Tuam txhab "Medochemie Ltd" (Cyprus).
Antihypertensive tshuaj muaj nyob ntawm cov tshuaj.
Xyuas
Valeria Brodskaya, 48 xyoo, Barnaul
Qhov cuab yeej zoo los tswj kev kho ntshav siab. Kuv tau siv nws lub sijhawm ntev (txog 5 xyoos). Nyob rau lub sijhawm no, kuv tsis tau pom ib qho tshwm sim tsis zoo, coj raws li cov lus qhia kho mob, tsis pub tshaj qhov tsuas tshuaj thiab tsis ploj koob tshuaj. Lub siab normalizes lus nyob rau hauv 1-1.5 teev. Nws yog qhov pheej yug. Tam sim no kuv pom zoo kom nws mus rau txhua tus phooj ywg.
Petr Filimonov, hnub nyoog 52 xyoo, lub nroog Mines
Cov tshuaj no tau pom zoo los ntawm kuv tus txij nkawm. Kuv haus nws thaum nws pib "tsis zoo" siab. Nws pab sai sai. Cov nyhuv tshuaj muaj nyob rau lub sijhawm ntev. Rau 1 lub lim tiam ntawm kev nkag mus, kuv tus mob ho zoo dua, kuv lub siab sawv. Cov voj voos ua ntej kuv ob lub qhov muag ploj nrog qhov kev hloov pauv ntawm lub cev meej.
Denis Karaulov, 41 xyoo, Cheboksary
Cov tshuaj ib leeg tswj tau qhov siab uas kuv lub cev thiaj li txias. Kuv tau txaus siab rau qhov tshwm sim. Tus nqi pheej yig, kev txiav txim sai thiab ntev.
Varvara Matvienko, hnub nyoog 44 xyoo, Smolensk
Kuv tau siv cov tshuaj tiv thaiv kabmob no ntau tshaj li 2 xyoos. Kuv txaus siab rau nws cov txiaj ntsig, qhov kev nyuaj siab tawm tsam keeb kwm ntawm nws qhov kev nkag yog nyob ntawm theem ib txwm, nws tsis dhia. 1 ntsiav tshuaj hauv ib hnub txhim kho kev muaj txiaj ntsig zoo rau tag nrho ib hnub. Tib lub sijhawm kuv txais kev pabcuam noj zaubmov. Tsis muaj kev mob tshwm sim.