Metformin ntev yog raug kho rau cov neeg mob txhawm rau txo cov ntshav piam thaj ntshav ntau ntau. Tsis tas li ntawd, cov cuab yeej raug pom zoo rau cov neeg uas xav poob phaus.
Cov tshuaj ntawm cov pab pawg biguanide ua rau ntau qhov tsis txaus siab ntawm lub cev, yog li nws yog qhov tseem ceeb rau sab laj tus kws kho mob ua ntej pib kev kho mob.
Lub Npe Tsis Yog Neeg Tsis Muaj Npe
Metformin (Latin lub npe) - lub npe ntawm cov nquag tivthaiv.
Metformin ntev yog raug kho rau cov neeg mob txhawm rau txo cov ntshav piam thaj ntshav ntau ntau.
ATX
A10BA02 - kev tso cai rau cov qauv siv tshuaj thiab kho cov tshuaj lom neeg.
Tso cov ntawv thiab cov nyob ua ke
Cov ntsiav tshuaj Retard (ntev ua yeeb yam) muaj nyob rau hauv cov poom polymer ntawm 30 pcs. hauv txhua ntawm lawv, zoo li 5 lossis 10 pcs. hauv ntim ntawm tes.
Txhua lub ntsiav tshuaj muaj 850 mg lossis 1000 mg ntawm cov tshuaj tseem ceeb.
Txhua lub ntsiav tshuaj muaj 850 mg lossis 1000 mg ntawm cov tshuaj tseem ceeb.
Pharmacological kev txiav txim
Metformin muaj qhov ua rau lub ntsej muag tsis zoo, txo qis kev zais ntawm qabzib los ntawm lub siab ua haujlwm thiab ncua nws qhov nqus mus rau hauv cov hnyuv.
Thaum lub sij hawm siv Metformin, qhov kev txo qis hauv tus neeg mob lub cev qhov hnyav yog pom, xws li cov tshuaj tiv thaiv nquag muaj cov txiaj ntsig zoo hauv cov metabolism hauv cov organic sib txuas, nrog rau cov rog (lipids).
Cov Tshuaj Pharmacokinetics
Metformin tau nqus tawm ntawm lub qhov quav mus rau hauv cov kab mob ncig. Yog tias koj noj tshuaj nrog cov zaub mov, tom qab ntawd muaj cov txheej txheem ntev dua ntawm kev nqus ntawm cov khoom nquag.
Cov khoom lwj ntawm cov khoom ua kom nquag plias yog tawm los ntawm ob lub raum nrog zis thiab ib qho me me ntawm metabolites tau pom nyob hauv cov quav.
Yog tias koj noj tshuaj nrog cov zaub mov, tom qab ntawd muaj cov txheej txheem ntev dua ntawm kev nqus ntawm cov khoom nquag.
Kev ntsuas rau siv
Tus neeg sawv cev hypoglycemic yog tshuaj rau:
- ntshav qab zib hom 1 thiab hom 2;
- Kev rog dhau los, yog tias muaj qhov xav tau los tswj kev xav ntawm cov piam thaj hauv ntshav, uas tsis tuaj yeem ua tiav los ntawm kev soj ntsuam cov cai ntawm kev noj haus thiab kev tawm dag zog;
- polycystic ovary, tab sis nyob rau hauv kev saib xyuas ntawm tus kws kho mob.
Cov Yuav Tsum Muaj
Cov twj yog contraindicated rau siv nrog:
- kev tsis qaug rau metformin;
- lub raum tsis ua haujlwm (creatinine tshem tawm 45-59 ml / min.);
- ntuav ntuav thiab raws plab;
- cov ntaub so ntswg mob ntim;
- mob myocardial hnyav;
- ua txhaum ntawm cov dej-electrolyte sib npaug;
- hypocaloric noj cov zaub mov;
- nce qib ntawm cov kab mob lactic acid hauv cov ntshav (lactic acidosis);
- haus cawv ntev zuj zus.
Cov tshuaj yog contraindicated rau siv nyob rau hauv cov ntaub ntawv ntawm tsis hnov mob raum muaj nuj nqi (creatinine tshem tawm 45-59 ml / min.).
Nrog saib xyuas
Cov neeg mob uas muaj lub siab tsis ua hauj lwm loj yog tsis pom zoo kom noj cov ntsiav tshuaj ntev-tso tawm.
Yuav noj cov Metformin Ntev Npaum Li Cas
Nws yog ib qho tseem ceeb kom ua raws li cov lus qhia rau kev siv tshuaj yeeb tshuaj kom tau txais qhov ua tau zoo ntawm cov kev mob tshwm sim.
Muaj ib tug xov tooj ntawm cov nta:
- Lub ntsiav tshuaj yuav tsum tsis txhob txhaws. Yog hais tias nws nyuaj rau tus neeg mob kom nqos ib ntsiav tshuaj ntawm 0.85 g, nws raug nquahu kom faib nws ua 2 ntu, uas tau noj ib qho tom qab ib qho, tsis saib lub sijhawm sib nrug.
- Nws yog ib qho tseem ceeb uas yuav tau haus cov tshuaj nrog dej kom ntau kom tsis txhob muaj teeb meem nrog txoj hnyuv.
- Cov ntau npaum li cas ntawm cov tshuaj nquag nce ntxiv tom qab 10-14 hnub.
- Qhov tshuaj ntau tshaj txhua hnub ntawm Metformin yog 3000 mg.
Lub ntsiav tshuaj yuav tsum tsis txhob txhaws. Yog tias nws nyuaj rau tus neeg mob kom nws nqos ib qho ntsiav tshuaj ntawm 0.85 g, nws raug nquahu kom faib nws ua 2 ntu.
Ua ntej lossis tom qab noj mov
Cov tshuaj yuav tsum tau noj thaum noj mov lossis tam sim ntawd tom qab noj mov.
Nrog ntshav qab zib
Metformin yog siv los ua lub zog ua ke nyob rau hauv kev siv txuas nrog cov tshuaj insulin.
Thawj koob tshuaj ntawm cov nquag tivthaiv yog 500 mg (Metformin MV-Teva), thiab tom qab ntawd nws tau nce rau 750 mg rau ib hnub.
Rau qhov poob phaus
Kev xaiv tshuaj yog nqa tawm ntawm tus kheej. Feem ntau, qhov ntau tshaj koob tshuaj txhua hnub ntawm Metformin tsis pub tshaj 2000 mg.
Rau qhov hnyav, kev xaiv koob tshuaj yog nqa tawm ntawm tus kheej.
Qhov tshwm sim ntawm Metformin Ntev
Cov tshuaj ua rau muaj ntau qhov phiv.
Kev kho mob txoj hnyuv
Cov neeg mob feem ntau yws yws txog raws plab thiab ntuav. Tab sis cov tsos mob zoo sib xws feem ntau ploj li 1 lub lim tiam ntawm kev noj tshuaj.
Los ntawm ib sab ntawm cov metabolism
Tsis tshua muaj tsim muaj cov kab mob lactic acidosis.
Ntawm ib sab ntawm daim tawv nqaij
Liab ntawm daim tawv nqaij yog ua tau, uas nrog nrog khaus heev.
Endocrine system
Kev mob ntshav qab zib tsawg tshwm sim.
Los ntawm cov kab mob endocrine, kev mob ntshav qab zib tsawg feem ntau tshwm sim.
Kev ua xua
Yog hais tias qhov ua rau lub siab txias dua rau Metformin, tawm pob tshwm rau ntawm daim tawv nqaij.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Lub cuab tam tsis cuam tshuam rau kev tsav tsheb.
Cov lus qhia tshwj xeeb
Nws yog ib qho tsim nyog yuav tsum coj mus rau hauv tus naj npawb ntawm cov yeeb yam ua ntej siv cov tshuaj.
Siv thaum cev xeeb tub thiab lactation
Noj cov ntsiav tshuaj yog contraindicated rau hauv cov poj niam cev xeeb tub thiab thaum pub mis, raws li ua txhaum txoj cai no yuav tsim kev puas tsuaj rau tus menyuam.
Noj cov ntsiav tshuaj yog contraindicated rau hauv cov poj niam cev xeeb tub thiab thaum pub mis, raws li ua txhaum txoj cai no yuav tsim kev puas tsuaj rau tus menyuam.
Xaj Tshuaj Metformin Ntev Rau Cov Menyuam
Cov menyuam yaus hnub nyoog qis dua 15 xyoos yuav tsum tsis txhob siv cov tshuaj, vim hais tias kev nyab xeeb ntawm nws siv hauv pawg hnub nyoog no tseem tsis tau muaj pov thawj.
Siv rau lub sijhawm qub
Nws yog ib qho tseem ceeb uas yuav tsum tau saib xyuas cov qib ntawm cov piam thaj hauv cov ntshav thiab saib xyuas lub raum lub sijhawm thaum kho mob.
Daim ntawv thov rau lub raum khiav tsis zoo
Nrog kev ceev faj, cov ntsiav tshuaj tau sau rau cov neeg mob uas mob raum tsis zoo.
Siv rau lub siab ua haujlwm tsis zoo
Ib koob tshuaj hloov yog tsim nyog rau cov neeg mob uas lub siab ua tsis tau zoo.
Ib koob tshuaj hloov yog tsim nyog rau cov neeg mob uas lub siab ua tsis tau zoo.
Noj ntau tshaj ntawm Metformin Ntev
Nrog rau kev tswj tsis tau siv cov tshuaj, lactic acidosis kev loj hlob, uas nrog ua ke nrog ntuav thiab mob hauv qab plab.
Yog tias dhau ntawm kev siv tshuaj ntau dhau ntawm cov khoom siv tshuaj, hemodialysis yuav ua haujlwm tau zoo.
Kev cuam tshuam nrog lwm yam tshuaj
Nws yog ib qho tseem ceeb xav txog cov hauv qab no:
- Kev mob ntshav qab zib yog ua tau nrog kev siv tib lub sijhawm sulfonylurea derivatives.
- Thaum ua ke nrog cov cimetidine, cov txheej txheem ntawm kev tshem tawm ntawm Metformin los ntawm lub cev maj mam poob qis.
- Qhov sib xyaw ntawm cov tshuaj nrog cov tshuaj muaj iodine yog contraindicated. Cov tshuaj no yog siv rau kev tshawb nrhiav xoo hluav taws xob. Muaj qhov pheej hmoo ntawm kev txhim kho lub raum ua tsis tiav hauv qhov no.
- Nifedipine tsis muaj zog cov nyhuv hypoglycemic ntawm Metformin.
Nifedipine tsis muaj zog cov nyhuv hypoglycemic ntawm Metformin.
Cawv tau zoo
Koj yuav tsum tso tseg txoj kev haus dej haus uas muaj ethanol txhawm rau kom tsis txhob muaj teeb meem.
Analogs
Glucophage ntev yog tsis muaj tsawg dua cov tshuaj tiv thaiv ntawm Metformin.
Dab tsi yog qhov sib txawv ntawm Metformin thiab Metformin ntev
Lub ntsiab sib txawv yog qhov ntau npaum ntawm cov tshuaj nquag.
Qhov sib txawv tseem ceeb ntawm Metformin yog kev noj cov tshuaj nquag.
Cov ntsiab lus ntawm lub tsev muag tshuaj tawm
Cov tshuaj muaj nyob hauv yuav luag txhua txhua lub tsev muag tshuaj hauv Lavxias.
Kuv tuaj yeem yuav yam tsis tas yuav tshuaj
Cov tshuaj yuav tau yam tsis muaj ntawv kho mob sau los ntawm kws kho mob.
Nqe rau Metformin Ntev
Tus nqi ntawm cov tshuaj hauv Lavxias yog li 270 rubles. rau 60 ntsiav tshuaj.
Cia rau cov neeg mob rau cov tshuaj
Nws yog ib qho tseem ceeb rau kev txwv rau menyuam yaus kev nkag mus rau yeeb tshuaj.
Hnub tas sij hawm
Cov tshuaj yeeb tshuaj no tuaj yeem siv tsis dhau 3 xyoos txij li hnub ntawm kev tsim khoom.
Chaw tsim tshuaj paus
Ntsiav tshuaj yog tsim los ntawm cov tuam txhab Lavxias teb sab Biosynthesis.
Ntsiav tshuaj yog tsim los ntawm cov tuam txhab Lavxias teb sab Biosynthesis.
Kev txheeb xyuas txog Metformin Ntev
Muaj ob qho tib si zoo thiab tsis zoo teb hais txog qhov kho kom zoo ntawm cov tshuaj.
Cov kws kho mob
Anatoly Petrovich, hnub nyoog 34 xyoo, Moscow
Kuv muab cov tshuaj no rau cov neeg laus coj mus kho tus mob ntshav qab zib. Hauv kev xyaum, Kuv tsis tau ntsib qhov tshwm sim hauv kev noj cov ntsiav tshuaj retard. Kev soj ntsuam ntawm cov ntshav qabzib hauv cov ntshav tau pom nyob rau 14 hnub.
Yuri Alekseevich, 38 xyoo, St. Petersburg
Ua raws li cov cai rau noj tshuaj, tsis muaj kev cuam tshuam ntawm lub cev. Muaj qee zaus, cov poj niam muaj kev kub ntxhov thiab tsis qab los. Kuv tsis pom zoo kom cov tshuaj rau cov neeg mob ua lub siab tsis zoo.
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Cov neeg mob
Olga, 50 xyoo, Omsk
Nws tau raug kho nrog Metformin rau ib lub sijhawm ntev, uas yog qhov laj thawj rau qhov tsis zoo ntawm nqus cov vitamin B12. Vim tias qhov kev ua txhaum no, megaloblastic anemia nce siab. Cov tshuaj yuav tsum tau ua nrog ceev faj thiab nws yog ib qho tseem ceeb rau kev kuaj mob nrog lub sijhawm.
Mikhail, 45 xyoo, Perm
Nws tau txaus siab rau qhov tshwm sim ntawm kev kho nrog Metformin. Kev noj tshuaj tsis yog txwv kev xaiv ntawm kev ua haujlwm. Cov tshuaj tsis cuam tshuam rau kev tswj hwm ntawm cov txheej txheem nyuaj, yog li nws tuaj yeem siv thaum ua haujlwm muaj feem xyuam nrog kev nce siab ntawm kev saib xyuas.
Poob phaus
Larisa, 34 xyoo, Ufa
Tsis ua tiav qhov txiaj ntsig yam xav tau. Kuv ua raws kev noj haus ntau dua thiab tsis pub tshaj qhov ntau thiab tsawg ntawm cov tshuaj nquag tsim los ntawm kws kho mob. Raug rau nrog ntuav thiab chim siab tso rau hnub 5 ntawm kev noj tshuaj.
Julia, 40 xyoo, Izhevsk
Tsis muaj qhov tshwm sim tsis zoo tshwm sim, tab sis nws tseem tsis tuaj yeem ua kom poob ceeb thawj tom qab ib hlis ntawm kev tswj hwm ntawm cov ntsiav tshuaj.
