Daim ntawv muab cov koob tshuaj: cov ntsiav tshuaj zoo uas muaj metformin 500 lossis 850 mg.
Cov tshuaj sib xyaw ua ke ntawm cov tshuaj Metfogamma 500: metformin - 500 mg.
Cov khoom siv ntxiv: propylene glycol, methylhydroxypropyl cellulose, magnesium stearate, povidone, polyethylene glycol 6000, sodium glycolate, titanium dioxide (E 171), anhydrous colloidal silicon dioxide, purified talc, pob kws hmoov txhuv nplej siab.
Metphogamma 850: metformin - 850 mg.
Cov khoom siv ntxiv: methylhydroxypropyl cellulose, macrogol 6000, povidone, titanium dioxide (E 171), magnesium stearate.
Metfogamma 500: du-coated, biconvex, puag ncig dawb ntsiav tshuaj. 30 thiab 120 daim ib pob.
Metphogamma 850: du-coated, dawb oblong ntsiav tshuaj nrog kab txhaum. Kev siv tshuaj hypoglycemic.
Kev qhia rau kev siv - hom 2 tsis muaj ntshav qab zib kom tsis txhob mob ntshav qab zib, tsis yog ketoacidosis (hais txog cov neeg mob rog).
Cov Yuav Tsum Muaj
- Ketoacidosis yog mob ntshav qab zib.
- Mob ntshav qab zib coma, precoma.
- Kev ua pa tawm thiab lub plawv tsis ua haujlwm.
- Kev txhaum tshwm sim uas yog lub siab thiab lub raum.
- Lub cev qhuav dej.
- Lactic acidosis.
- Xeeb menyuam thiab pub niam mis.
- Cov mob hnyav ntawm myocardial infarction.
- Kev cuam tshuam ncig ntawm lub hlwb.
- Kev haus cawv qaug cawv thiab cov xwm txheej zoo sib xws uas tuaj yeem ua rau lactic acidosis tsis meej.
- Siab rhiab heev rau cov tshuaj ntawm cov tshuaj.
Dosage thiab txoj kev ntawm cov thawj coj
Cov koob tshuaj ntawm cov tshuaj Metfogamma 500 yog tau muab coj los suav nrog theem ntawm cov piam thaj hauv cov ntshav ntawm tus kheej. Thawj koob tshuaj feem ntau yog 500-1000 mg (1-2 tons) hauv ib hnub, qhov nce siab ntxiv ntawm koob tshuaj yog pub nyob ntawm qhov tshwm sim ntawm kev kho mob.
Cov koob tshuaj txhua hnub ntawm Metfogamma 500 rau kev saib xyuas yog 2-4 ntsiav tshuaj. ib hnub. Qhov pom zoo pub rau txhua hnub yog 3 g (6 t). Kev siv cov koob tshuaj ntau dua tsis pab txhawm rau txhim kho qhov muaj zog ntawm kev kho mob (kws tshuaj 'tshuaj xyuas).
Lub chav kawm ntawm kev kho tshuaj yeeb tshuaj ntev. Metfogamma 500 yuav tsum nqa nrog zaub mov, tag nrho thiab ntxuav nrog dej me me
Cov koob tshuaj ntawm cov tshuaj Metfogamma 850 yog qhov tau noj tshuaj mus rau theem tus lej ntawm cov piam thaj hauv cov ntshav ntawm tus kheej. Thawj koob tshuaj feem ntau yog 850 mg (1 t) toj ib hnub, nce ntxiv ntawm koob tshuaj ntxiv pub yog tias qhov kev hloov pauv thiab tshuaj tau zoo.
Cov koob tshuaj txhua hnub ntawm Metphogamma 850 rau kev saib xyuas yog 1-2 ntsiav tshuaj. ib hnub. Qhov pom zoo pub rau txhua hnub yog 1700 mg (2 t). Kev siv cov qib siab dua tsis txhim kho qhov hloov qhov tshwj xeeb ntawm txoj kev kho.
Lub chav kawm ntawm kev kho mob nrog Metfogamma 850 tau ntev. Metfogamma 850 yuav tsum nqa nrog zaub mov, noj tag nrho thiab ntxuav nrog ib qho dej me me.
Cov koob tshuaj txhua hnub ntawm cov tshuaj ntau dhau 850 mg yuav tsum tau muab faib ua 2 koob tshuaj (sawv ntxov thiab yav tsaus ntuj). Hauv cov neeg mob laus, cov koob tshuaj uas pom zoo rau ib hnub yuav tsum tsis pub tshaj 850 mg.
Cov lus qhia tshwj xeeb:
Cov tshuaj tsis tuaj yeem noj:
- nrog mob sib kis;
- nrog kev raug mob;
- nrog exacerbation ntawm kab mob ntev ntawm kev kis tus kab mob;
- nrog cov kab mob phais thiab lawv exacerbation;
- nrog rau kev teem caij kho mob insulin.
Koj siv tsis tau cov tshuaj tam sim ua ntej kev phais mob thiab rau 2 hnub tom qab lawv. Tib yam siv rau kev kuaj mob radiological thiab hluav taws xob (tsis yog 2 hnub ua ntej thiab 2 hnub tom qab).
Nws tsis tsim nyog yuav tsum tau siv cov tshuaj hauv cov neeg mob raws li kev noj zaub mov hauv calorie (tsawg dua 1000 kcal hauv ib hnub). Koj tsis tuaj yeem tshaj tawm cov tshuaj rau cov neeg laus dua 60 xyoo, siv kev tawm dag zog loj. Qhov no nce qhov kev pheej hmoo ntawm cov kab mob lactic acidosis.
Thaum tag nrho kev kho mob, nws yog ib qhov tsim nyog los saib xyuas tus cwj pwm ntawm lub raum thiab saib xyuas lawv tus mob. Ib zaug txhua rau lub hlis, tshwj xeeb tshaj yog nyob rau hauv muaj myalgia, nws yog qhov tsim nyog los txiav txim siab qhov kev xav ntawm lactate hauv cov ntshav.
Metfogamma tuaj yeem siv ua ke nrog insulins lossis sulfonylureas. Qhov tsuas yog mob yog saib xyuas tas li ntawm cov piam thaj hauv ntshav.
Kev cuam tshuam nrog lwm yam tshuaj
Nws yog ua tau kom nce qhov hypoglycemic nyhuv ntawm metformin thaum tshuaj nrog:
- b-blockers;
- cyclophosphamide;
- clofibrate derivatives;
- ACE inhibitors;
- oxytetracycline;
- MAO inhibitors;
- cov tshuaj uas tsis yog tshuaj steroidal;
- tshuaj insulin;
- acarbose;
- sulfonylurea derivatives.
Nws yog ua tau kom txo cov ntshav hypoglycemic ntawm metformin thaum tshuaj nrog:
- voj thiab thiazide diuretics;
- nicotinic acid analogues;
- cov thyroid hormones;
- glucagon;
- sympathomimetics;
- adrenaline
- qhov ncauj tiv thaiv;
- glucocorticosteroids.
Nrog rau kev siv ua ke nrog cov cimetidine, qhov pheej hmoo ntawm cov kab mob lactic acidosis nce. Qhov no tau piav qhia los ntawm qhov tseeb tias cimetidine qeeb kev tshem tawm ntawm metformin los ntawm lub cev.
Metformin muaj peev xwm ua kom qaug zog rau qhov tshwm sim ntawm anticoagulants.
Thaum noj nrog haus cawv, muaj kev pheej hmoo ntawm kev tsim mob lactic acidosis, qhov tseeb no tau lees paub los ntawm kev txheeb xyuas.
Sab sij huam
Los ntawm cov hnyuv:
- raws plab, mob plab zom mov;
- xeev siab, ntuav
- saj ntawm hlau nyob rau hauv lub qhov ncauj;
- tsis qab los noj mov.
Feem ntau, tag nrho cov tsos mob no ploj mus ntawm lawv tus kheej, yam tsis muaj kev hloov pauv koob ntxiv. Qhov tsis heev thiab qhov tshwm sim los ntawm kev mob tshwm sim ntawm txoj hnyuv tuaj yeem txo lossis ploj dua tom qab nce cov koob tshuaj metformin.
Los ntawm cov kab mob endocrine (thaum siv tshuaj tsis txaus), hypoglycemia yuav tshwm sim (kev tshuaj xyuas neeg mob).
Kev ua xua rau: tawv nqaij ua pob.
Hauv qee qhov tsis tshua muaj tshwm sim, los ntawm sab ntawm cov metabolism, xav tau kev txiav tawm ntawm kev kho mob, lactic acidosis.
Hauv qee kis, hematopoiesis - megaloblastic anemia.
Yuav ua li cas hem ib overdose
Kev noj tshuaj ntau dhau ntawm Metfogamma yog txaus ntshai nrog qhov muaj qhov tshwm sim ntau ntawm kev loj hlob cov kab mob lactic acidosis nrog rau kev ua rau neeg tuag taus, kev tshuaj xyuas tsis ntsiag to. Qhov laj thawj ntawm kev txhim kho tus mob no yog nyob rau hauv cov kev txuam ntawm cov feem ntawm cov tshuaj vim tsis ua haujlwm los ntawm lub raum. Cov tsos mob thaum ntxov ntawm tus kab mob lactic acidosis suav nrog:
- nce hauv lub cev kub;
- xeev siab, ntuav
- colic hauv plab thiab nqaij ntshiv;
- zawv plab
nyob rau hauv lub neej yav tom ntej yuav muaj cai:
- Kiv taub hau
- pa ceev heev;
- tsis nco qab zoo, tsis nco qab lawm.
Tseem Ceeb! Nyob rau ntawm thawj cov cim ntawm lactic acidosis, kev kho mob nrog cov tshuaj yuav tsum tau nres tam sim ntawd, thiab tus neeg mob yuav tsum tau mus pw hauv tsev kho mob, qhov twg ib qho kev tshawb xyuas txog qhov kev tsom ntawm cov tshuaj lactate raug tshuaj kom paub meej txog kev kuaj mob.
Nrog rau kev txhim kho ntawm cov kab mob lactic acidosis, kev ntsuas ua tau zoo tshaj plaws rau kev tshem tawm ntawm lactate yog hemodialysis. Nrog rau qhov no, kev kho mob tsos mob kuj tau nqa tawm. Yog tias cov tshuaj metfogamma 850 tau siv los ua ke nrog sulfonylureas, muaj kev pheej hmoo ntawm hypoglycemia.
Cia
Kev npaj Metfogamma 850 thiab Metfogamma 500 tau tso cai rau muab cia ntawm t tsis tshaj 25 ° C. Txee lub neej yog 4 xyoos.
Ua tib zoo mloog! Txhua cov ntsiab lus yog rau kev taw qhia nkaus xwb thiab yog rau cov kws kho mob. Cov ncauj lus kom ntxaws txog cov tshuaj muaj nyob hauv cov lus qhia nrog rau siv hauv pob, thiab tshuaj xyuas txog nws tuaj yeem nrhiav tau hauv Is Taws Nem
