Cov tshuaj Dapril: cov lus qhia rau kev siv

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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.
Cov tshuaj yuav tsum tsis txhob coj mus rau cov neeg tsis tau muaj 18 xyoo.
Txoj kev tiv thaiv tsis pub siv cov tshuaj yog lub caij cev xeeb tub thib 2 thiab 3.
Nws yog tsim nyog kom tsis txhob noj cov tshuaj thaum lactation.
Kev mob raum / mob raum yog ib qho kev cuam tshuam rau kev siv tshuaj.
Nrog kev ceev faj, koj yuav tsum siv cov tshuaj rau cov neeg tsis tuaj yeem ua haujlwm ntawm lub plawv thiab cov hlab ntsha.

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.

Thaum noj tshuaj, xeev siab thiab ntuav tej zaum yuav tshwm sim.
Cov tshuaj yuav ua rau mob plab zom mov.
Muaj qee kis, cov tshuaj yuav ua rau kiv taub hau.
Ib qho ntawm cov kev mob tshwm sim ntawm cov tshuaj yog cov ntse hloov pauv.
Hauv qee kis, noj Dapril nrog ua ke nrog hnoos qhuav.
Tawm tsam keeb kwm yav dhau los ntawm kev noj tshuaj, qhov ncauj qhuav yuav tshwm sim.
Dapril tuaj yeem ua rau tsis muaj zog.

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.

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