Metformin tau siv tshuaj kho mob rau ntau dua ib nrab xyoo. Thiab niaj hnub no, txhua qhov kev pom zoo hais txog kev tswj hwm ntawm tus mob ntshav qab zib hom 2 qhia txog kev siv nws rau txhua theem ntawm kev txhim kho kabmob, txij li nws pab txo qis micro- thiab macrovascular teeb meem.
Hmoov tsis zoo, kev siv dav dav ntawm Glucofage thiab nws cov analogues los ntawm cov pab pawg biguanide tsuas yog vim muaj qhov tsis tsim nyog rau txoj hnyuv, uas tshwm sim hauv 25% ntawm cov neeg mob ntshav qab zib. Raws li cov ntaub ntawv tsis raws ntaub ntawv, txog li 10% ntawm cov neeg mob tsis noj Glucofage thiab nws cov generics vim muaj kev mob plab tsis zoo, qhov kev txhim kho ntawm cov uas tsis tau kawm tas.
Glucophage Cov Qauv Tau Ntev
Lub cev yooj yim txog ntawm ib os metformin yog nyob rau thaj tsam ntawm 50-60%. Los ntawm cov hlab ntsha, feem ntau ntawm nws yog nqus hauv zos, nyob rau sab qaum kev ntawm cov kab mob plab. Thiab tsuas yog me me ntawm cov khoom muaj nyob hauv thaj tsam cuam tshuam ntau dua ntawm txoj hnyuv huam. Lub sijhawm nqus tsis pub ntau tshaj 2 teev.
Tsim cov metformin nrog lub peev xwm ntev tsis yog qhov yooj yim ua haujlwm:
- Qhov nqus ntawm cov tshuaj yog kwv hauv ib thaj chaw ntawm lub plab zom mov sab saud nkaus xwb;
- Nrog rau kev tshaj tawm ntawm metformin saum toj no ib qho kev pib, "nqus noo" yog sau tseg;
- Yog tias qhov tso tawm ntawm cov tshuaj ntxiv kom qeeb, nws yog nqus raws tag nrho ntev ntawm txoj hnyuv.
Qhov "nqus" nqus txhais tau hais tias nrog qhov dhau ntawm biguanide, feem ntau nws tsis poob rau hauv "qhov rais nqus" thiab tsis ua haujlwm txhua. Qib theem ntawm kev nqus ntawm cov tshuaj hauv cov hnyuv muaj feem xyuam nrog tus nqi ntawm nws txoj kev khiav tawm hauv plab. Cov nuances no piav qhia txog qhov nyuaj ntawm kev tsim Glucophage nrog lub zog ntev heev uas tuaj yeem noj ib hnub ib zaug.
Cov tshuaj ib txwm tsuas yog ua kom qeeb ntawm kev tso tawm ntawm cov tshuaj nquag los ntawm cov ntsiav tshuaj nrog kev nqus ntawm cov khoom ua si raws tag nrho ntev ntawm txoj hnyuv. Tab sis cov tshuaj no tseem muaj sijhawm rau lub sijhawm nkag nrawm ntawm cov khoom siv nquag mus rau hauv cov hlab ntshav tam sim ntawd tom qab noj tshuaj. Cov ntsiab cai zoo sib xws rau Glucophage Ntev tsis tuaj yeem lees paub, txij li nqus ntawm metformin yog thaiv tom qab kev tso ntawm lub qhov rais nqus. Yog lawm, thiab kev tso tawm thawj zaug ntawm cov tshuaj yeeb dej caw muaj peev xwm "saturate" nws thiab ib feem ntawm cov tshuaj yuav tsis lees.
Tom qab noj Glucofage li ib txwm, lub ncov ntawm nws qhov siab tsis tshaj 3 teev.
Txhawm rau piv cov kev zom ua kom haum ntawm metformin yooj yooj yim thiab lub caij nyoog XR sib txawv, plaub hom kab mob ntawm cov neeg mob uas muaj ntau hom Glucophage tau kawm hauv plaub lub chaw kho mob hauv tebchaws Asmeskas. Qhov ntau zaus ntawm qhov tsis xav tau qhov tshwm sim rau txoj hnyuv hauv cov neeg mob ntshav qab zib noj cov tshuaj metformin ntev yog qis dua li cov neeg uas tau siv cov tshuaj ib txwm siv.
Qhov nquag ntawm cov kev mob tshwm sim hauv kev kho ntawm ntau hom Glucophage, zoo li thaum lub sij hawm hloov ntawm ib hom mus rau lwm tus, yog pom los ntawm qhov ntsuas.
Kev ua tau zoo ntawm kev tswj hwm ntawm glycated hemoglobin tau sim hauv qhov kev kawm tsis pom kev. Cov pab pawg ntawm cov neeg tuaj koom qhia tau pom tib cov txiaj ntsig ntawm ob hom Glucophage.
Kev Tsim Kho thev Naus Laus Zis thiab Glucophage Ntev
Cov nyhuv ntawm qhov maj mam tso tawm ntawm metformin XR yog muab los ntawm cov qauv ntawm cov ntsiav tshuaj, uas ua rau muaj qhov system tsis haum vim lub teeb meem gel. Cov nquag ua haujlwm yog nyob hauv ob chav sib npaug hydrophilic, muab kev tshaj tawm ntawm metformin XR los ntawm diffusion. Sab nraud polymer txheej txheem npog sab hauv, uas muaj 500-750 mg ntawm cov tshuaj. Thaum nws nkag mus rau hauv lub plab, lub ntsiav tshuaj swells los ntawm ya raws, nws yog them nrog ib txheej gel los ntawm sab nraud, thiab nws tsim cov xwm txheej rau kev faib tawm ntawm cov tshuaj. Ib qho tseem ceeb sib txawv ntawm cov ntsiav tshuaj no yog tias kev tshem tawm ntawm cov tshuaj tsis cuam tshuam nrog cov yam ntxwv ntawm lub plab hnyuv thiab pH. Qhov no tso cai rau peb cais cov kev hloov pauv ntawm kev siv tshuaj hauv lub plab zom mov ntawm cov neeg mob sib txawv.
Glucofage Pharmacokinetics Ntev
Qhov nqus ntawm cov khoom nquag nquag ua los ntawm cov ntsiav tshuaj tau qeeb qeeb thiab ntev dua piv rau cov ntsuas yooj yim. Hauv kev sim, qhov sib piv ntev tau muab piv nrog qhov ntau npaum ntawm 200 mg / hnub. thiab yooj yim glucophage nrog ib koob tshuaj ntawm 2 r. 1000 mg / hnub. thaum ncav lub hom phiaj sib npaug. Qhov ntshav siab tshaj plaws Tmax tom qab noj cov tshuaj metformin XR tau zoo dua li cov metformin yooj yim (7 teev hloov 3-4 teev). Cmax, qhov txwv tsis pub tshaj tawm, hauv thawj kis yog tus lej qis dua. Cov nyhuv tag nrho rau cov ntshav qab zib hauv ob hom tshuaj no zoo ib yam. Yog tias peb txheeb xyuas thaj tsam hauv qab txoj kev nkhaus cov xeeb ceem ntawm qhov tsis txaus ntawm qib siab nyob rau lub sijhawm, tom qab ntawd peb tuaj yeem xaus qhov kev sib npaug ntawm ob hom Glucofage.
Pom tseeb, qhov profile pharmacokinetic ntawm cov tshuaj nrog lub peev xwm ntev ua rau nws muaj peev xwm cais tawm ntawm kev dhia ceev hauv qib ntawm metformin XR hauv ntshav, uas yog ib txwm muaj rau metformin yooj yim.
Kev sib koom ua ke ntawm cov nquag pabcuam yuav pab kom tsis txhob muaj kev phiv rau txoj hnyuv thiab txhim kho txoj kev quav tshuaj.
Cov ntsiab lus, contraindications, kev txwv
Glucophage Ntev ntev tau raug muab rau cov neeg mob ntshav qab zib nrog tus mob thib 2 yog tias kev hloov kho lub neej tsis muab cov tshuaj glycemic tiav. Cov tshuaj yog qhia tshwj xeeb rau cov neeg mob hnyav dua. Metformin yog siv los ua thawj kab tshuaj rau kev kho mob lossis kho txoj kev kho mob nrog lwm cov tshuaj tiv thaiv kab mob, nrog rau cov tshuaj insulin.
Glucophage yog cov tshuaj uas ntseeg tau nrog cov pov thawj ua tau zoo, tab sis nws txoj kev siv tsis tsim nyog tuaj yeem muaj qhov tsis zoo. Cov tshuaj yog contraindicated:
- Nrog rau kev ua kom haum nrog kev sib xyaw ntawm cov qauv tshuaj;
- Hauv cov xwm txheej ntawm cov kab mob ntshav qab zib ketoacidosis, coma thiab precoma;
Cov neeg mob nrog lub raum pathologies (kev tshem tawm hauv creatinine - txog 60 ml / min.);- Hauv cov mob uas muaj hnyav (hypoxia, lub cev qhuav dej), ua rau lub raum tsis ua haujlwm;
- Thaum lub sijhawm ua haujlwm thiab kev kho mob ntawm kev raug mob hnyav (tus neeg mob pauv mus rau insulin);
- Hauv cov kab mob uas ua rau cov pa oxygen tshaib plab ntawm cov nqaij mos (mob plawv, lwm yam kab mob plawv, ua pa tsis haum);
- Tus mob ntshav qab zib ua lub siab tsis ua hauj lwm;
- Nrog rau kev ua dej cawv ib puag ncig kev haus dej haus cawv, haus dej cawv sai;
- Cov poj niam cev xeeb tub thiab lactating;
- Hauv lub xeev lactic acidosis, suav nrog keeb kwm;
- Cov neeg noj mov tsis ua hauj lwm (txog 1000 kcal / hnub) kev noj haus.
Cov neeg mob nrog lub raum pathologies (kev tshem tawm hauv creatinine - txog 60 ml / min.);Hauv lub sijhawm hluav taws xob xoo hluav taws xob los yog xoo hluav taws xob ntsuas siv cov cim iodine-raws li cov kab mob ntshav qab zib, 48 teev ua ntej txheej txheem thiab 48 teev tom qab nws pauv mus rau cov tshuaj insulin.
Kev saib xyuas tshwj xeeb thaum sau ntawv rau Glucofage Ntev yuav tsum tau muab rau qeb ntawm cov neeg mob ntshav qab zib ntawm lub hnub nyoog loj, nrog kev noj zaub mov tsis zoo, nrog rau cov neeg uas mob ua haujlwm hnyav rau lub cev, vim cov xwm txheej no ua rau muaj kev loj hlob ntawm lactic acidosis.
Glucophage Ntev thiab Cev Xeeb Tub
Txawm tias nyob rau theem npaj ntawm tus menyuam, tus poj niam mob ntshav qab zib tau pauv mus rau insulin. Nws ua rau pom qhov ua raws cov txheej txheem kev kho mob no rau lub sijhawm pub mis, zoo li metformin yog sib kis hauv kev xeeb tub thiab lactation. Yog tias leej niam txoj kev noj qab haus huv xav kom hloov mus rau Glucofage Ntev, tus me nyuam mus rau cov khoom noj pub mis.
Tsuas tshuaj thiab tswj hwm
Hauv kev kawm txog qhov zoo tshaj plaws ntawm kev noj tshuaj rau ntev ntev glucophage, koob tshuaj tiv thaiv kev tiv thaiv kab mob tau ua pov thawj nrog kev siv tshuaj ib leeg. Qhov siab tshaj plaws tau tshwm sim nrog kev siv 1500-2000 mg / hnub. Qhov kev sim tseem piv rau kev muaj peev xwm ntev ntawm lub plab zom mov nrog kev kho mob ntawm 2 p. / Hnub. 1000 mg thiab 1 r. / Hnub. 2000 mg txhua. Hauv thawj kis, glycated hemoglobin indices hauv pab pawg ntawm cov neeg ua haujlwm pab dawb poob qis los ntawm 1.2%, hauv ob - los ntawm 1%.
Cov tshuaj yog npaj rau kev siv sab hauv. Cov ntsiav tshuaj tau noj nrog dej tsis muaj zuaj. Tus kws kuaj mob endocrinologist laij cov sijhawm thiab qhov ntau npaum li cas mus rau hauv kev xam pom cov txiaj ntsig ntawm kev tshuaj ntsuam, theem ntawm tus kabmob, concomitant pathologies, hnub nyoog ntawm cov ntshav qab zib thiab lub cev tawm tsam cov tshuaj.
Glucophage Ntev - 500 mg
Ntawm qhov ntau npaum ntawm 500 mg / hnub. noj cov ntsiav tshuaj ua ke nrog noj hmo. Yog tias daim ntawv thov yog ob npaug, tom qab ntawd nrog noj tshais thiab noj hmo, tab sis nco ntsoov nrog zaub mov noj.
Yog hais tias tus neeg mob hloov mus los ntawm ib txwm Glucophage mus rau ib lub sijhawm ntev, qhov pib tus nqi raug xaiv raws li kev suav txhua hnub ntawm cov tshuaj yav dhau los.
Tom qab ob lub lis piam, koj tuaj yeem ntsuas qhov ua tau zoo, yog tias cov txiaj ntsig tsis txaus ntseeg, ntau dua koob tshuaj yog nce 500 mg, tab sis tsis tshaj 2000 mg / hnub. (4 pcs.), Uas sib haum rau cov qauv siab tshaj plaws. Plaub ntsiav tshuaj kuj tau noj ib zaug, nrog noj hmo. Yog tias qhov kev kho mob no tsis zoo txaus, koj tuaj yeem faib cov ntsiav tshuaj rau 2 koob tshuaj: ib nrab thaum sawv ntxov, thib ob thaum yav tsaus ntuj.
Glucophage Ntev 500 rau kev poob phaus ua rau pom kev zoo rau cov neeg mob ntshav qab zib thiab cov neeg muaj teeb meem ntawm lub plab zom mov. Muaj ntau yam ua rau lub cev rog, kev tswj tsis tau tus kheej ntawm kev noj tshuaj nrog rau kev haus tshuaj loj thiab kev kuaj tus kheej tuaj yeem muab cov kev tsis tuaj yeem zam.
Nws yog ib qho tseem ceeb rau kev noj tshuaj thaum tib lub sijhawm. Noj tshais lossis noj hmo yuav tsum muaj txhij. Nrog rau kev kho txhua qhov mob, tus mob ntshav qab zib tau pom zoo rau kev noj haus tsawg - 5-6 zaug hauv ib hnub, nrog rau cov khoom txom ncauj me me nyob nruab nrab ntawm cov zaub mov tseem ceeb. Yog tias qee qhov laj thawj koj ncua sijhawm siv tshuaj, koj tsis tuaj yeem ua ob npaug rau qhov ua tsis tau, vim tias lub cev xav tau sijhawm los ua tiav cov koob tshuaj. Thawj zaug koj tuaj yeem noj cov ntsiav tshuaj. Cov tshuaj tsis tau noj nyob rau hauv cov chav kawm, tab sis tas li. Yog tias tus neeg mob tau tso tseg kev kho mob nrog metformin, tus kws kho mob uas koom nrog yuav tsum paub txog qhov no.
Yog hais tias Glucofage Ntev tau siv rau hauv cov txheej txheem nyuaj nrog cov tshuaj insulin, qhov pib koob ntawm cov lus qhia rau kev siv pom zoo xaiv tsis ntau tshaj 1 ntsiav tshuaj (500 mg / hnub). Kev noj tshuaj ntawm cov tshuaj hormone insulin yog xam rau hauv kev txiav txim siab kev noj haus thiab cov kev nyeem ntawm glucometer.
Glucophage Ntev - 750 mg
Qhov tshuaj ntsiav 750 mg tseem noj ib zaug, nrog noj hmo lossis tam sim ntawd. Cov tshuaj pib yuav tsum tsis pub tshaj ib ntsiav tshuaj, koob tshuaj titration yog ua tau tom qab ib nrab ntawm ib hlis. Kev maj mam nce ntxiv hauv cov nyiaj pab txhawb kev hloov kho ntawm lub cev thiab txo qhov kev pheej hmoo ntawm cov kev mob tshwm sim rau lub plab zom mov.
Qhov pom zoo ntawm lub caij ntev glucophage yog 2 ntsiav tshuaj / hnub. (1500 mg), yog tias qhov txiaj ntsig xav tau tsis yog, qhov kev hloov kho raug hloov kho rau 3 pcs./day. (2250 mg - siab tshaj plaws). Thaum lub peev xwm ntawm cov tshuaj qeeb-tso tawm tsis txaus, lawv hloov mus rau qhov Glucophage li ib txwm, uas muaj kev txwv tsis pub muaj 3000 mg / hnub.
Yog hais tias tus neeg mob hloov mus rau ib tus ntev glucophage nrog analogues raws li metformin, thaum xaiv qhov pib lawv tau coj los ntawm tag nrho cov qauv ntawm cov tshuaj dhau los. Yog tias cov tshuaj tseem ua tau ntev, yuav tsum muaj lub sijhawm so thaum hloov cov tshuaj, suav txog lub sijhawm nws tau tshem tawm ntawm lub cev. Tus kws kho mob ntshav qab zib noj ntshav qabzib hauv qhov ntau npaum li 2000 mg lossis ntau dua, hloov nws nrog Glucophage Ntev nws tsis yog qhov tseeb.
Glucofage® Qhov Ceg Ntev ntev thiab Daim Ntawv Tso Tawm
MERCK SANTE, lub tuam txhab tsim kev lag luam Fabkis, tso Glucophage® ntev li ntev li cov ntsiav tshuaj tso tawm.
Nyob ntawm seb ntau npaum li cas, lawv muaj 500 lossis 750 mg ntawm cov tshuaj ua kom nquag pliav metformin hydrochloride. Cov tsiav tshuaj ntxiv nrog rau cov ntsaws: sodium carmellose, hypromellose, cellulose, magnesium stearate.
Cov ntsiav tshuaj dawb convex tuaj yeem pom qhov txawv los ntawm kev txua ntawm cov koob tshuaj thiab lub logo ntawm cov tuam txhab ntawm ib sab. Hauv cov pob zeb aluminium blister tau muab ntim rau hauv 15 daim. Hauv ib lub thawv tuaj yeem muaj 2 lossis 4 cov phiaj xwm ntawd.
Lawv tso tawm cov tshuaj raws li ntawv sau; nws tsis tas yuav tshwj xeeb cia khoom. Ntawm Glyukofazh Ntev, tus nqi pheej yig heev: hauv cov khw muag tshuaj online tau muab rau 204 rubles. (noj li 500 mg). Lub txee lub neej ntawm cov tshuaj yog 3 xyoos.
Sab sij huam
Raws li WHO cov txheej txheem, qhov ntau zaus ntawm qhov tsis xav tau raug ntsuas nyob rau hauv qab no:
- Heev heev - ≥ 0.1;
- Nquag - los ntawm 0.01 txog 0.1;
- Muaj tsis qab - txij li 0.001 txog 0.01;
- Tsawg - los ntawm 0.0001 txog 0.001;
- Tsis tshua muaj heev - los ntawm 0.00001 txog 0, 0001.
Yog tias cov ntaub ntawv muaj pov thawj ntawm cov tsos mob tsis haum rau hauv lub moj khaum teev tseg, tsuas muaj ib rooj plaub.
| Organs thiab tshuab | Sab sij huam | Zaus |
| CNS | saj tsis zoo | feem ntau (3%) |
| Kev kho mob txoj hnyuv | dyspeptic mob, epigastric mob, tsis qab los | feem ntau |
| Tawv | urticaria, pruritus, erythema thiab lwm yam kev tsis haum tshuaj | tsis tshua muaj neeg pom |
| Kev zom zaub mov | lactic acidosis | tsis tshua muaj neeg pom |
| Hepatobiliary hloov | kab mob siab, mob siab | raug rho tawm tus neeg mob |
Feem ntau ntawm qhov tsis tsim nyog raug txiav txim ploj mus ntawm lawv tus kheej tom qab kev yoog, yog tias qhov tsis xis nyob nthawv tsis ploj, nws yog qhov yuav tsum tau qhia rau tus kws kho qhov mob endocrinologist txog qhov no. Nws tuaj yeem txo qhov koob tshuaj lossis sau ntawv cia ib qho analog. Qee zaum qhov zaus ntawm dyspeptic cuam tshuam yog txo los ntawm kev ua raws li cov ntsiab lus ntawm kev noj zaub mov qis-carb thiab kev faib tawm ntawm cov tshuaj txhua hnub hauv 2 koob.
Maj mam titration ntawm cov cai (tshwj xeeb tshaj yog upward) nyob rau hauv xws li mob yog yuav tsum tau.
Hauv cov neeg mob ntshav qab zib noj tshuaj metformin-based tshuaj tas li, cov vitamin B12 tsis tshua nqus. Yog hais tias kuaj pom muaj mob megaloblastic kev kuaj ntshav, qhov ntsuas no yuav tsum raug txiav txim siab.
Daim siab ua hauj lwm tshwm sim nthawv nrog kev tshem tawm ntawm Glucofage Ntev.
Vim tias tsis muaj kev pheej hmoo rau kev mob ntshav qab zib, noj cov tshuaj raws li kev kho mob monotherapy tsis txaus ntshai rau cov neeg tsav tsheb thiab ntshav qab zib, uas nws ua haujlwm cuam tshuam nrog kev nce siab ntawm kev saib xyuas thiab muaj kev siv tshuaj tiv thaiv. Nrog cov kev kho mob nyuaj, cov kev muaj peev xwm ntawm lwm cov kab mob hypoglycemic yuav tsum raug coj los txiav txim.
Pab nrog rau cov tsos mob overdose
Kev siv tshuaj lom ntawm metformin tau sim sim hauv kev sim: cov neeg ua haujlwm pab dawb tau txais koob tshuaj 42,5 npaug siab dua qhov ntsuas qis dua (85 g). Kev mob ntshav qab zib hauv cov neeg tuaj koom tsis tsim kho, cov tsos mob ntawm cov kab mob lactic acidosis pom.
Yog tias cov paib no tsis pom muaj nyob hauv tsev kho mob, kev txais tos ntawm Glucophage Ntev nres thiab lub tsheb thauj neeg mob hu ua.
Tom qab paub tseeb txog qib uas lactate hauv lub cev, tus neeg mob tau sau tshuaj rau hemodialysis. Muaj kev kho mob raws qab.
Qhia Txog Kev Sib Koom Tes Nrog Tshuaj
Contraindicated kev sib txuas ua ke
Iodine-based radiopaque cov cim yuav ua rau mob lactic acidosis, tshwj xeeb tshaj yog nyob rau hauv cov neeg mob ntshav qab zib nrog lub raum pathologies. Rau lub sijhawm ntawm kev tshawb nrhiav radiological, Glucophage Ntev tso tseg. Yog tias qhov mob ntawm ob lub raum tsis ua rau muaj kev txhawj xeeb, tom qab ob hnub tus neeg mob tuaj yeem rov mus rau txoj kev kho mob ib txwm.
Tsis pom zoo cov kev xaiv
Cov kua nplaum ntev ntev thiab haus cawv muaj kev tsis txaus ntseeg kiag li, vim tias dej cawv ethyl tuaj yeem ua rau cov kab mob lactic acidosis, tshwj xeeb tshaj yog muaj teeb meem rau daim siab thiab cov zaub mov tsis xwm yeem thiab cov zaub mov tsis zoo. Cov tshuaj Ethanol-hauv cov tshuaj kuj tseem nce ntxiv ntawm kev cuam tshuam zoo li no.
Cov nyom uas yuav tsum tau muaj kev tshwj xeeb
Ua ke nrog metformin, qee cov tshuaj yuav tsum muaj kev ceev faj thiab kev soj ntsuam cov ntshav qab zib tas li.
- Danazole - txhim kho cov nyhuv hyperglycemic, yuav tsum muaj titration ntawm ib koob tshuaj metformin;
- Chlorpromazine - provokes glycemic tej yam kev mob, inhibits insulin ntau lawm, yuav tsum tau txhaj tshuaj kho dua ntawm Glucofage Ntev;
- Glucocorticosteroids - txaus ntshai los ntawm kev txo qis hauv qab zib, kev nce siab hauv cov piam thaj, muaj kev cuam tshuam rau hauv daim ntawv ntawm ketosis;
- Diuretics (lub cev rov ua haujlwm) - pab txhawb kev txhim kho cov mob lactic acidosis thiab lub raum tsis ua haujlwm;
- β-sympathomimetics - vim yog qhov kev tsa ntawm β-receptors nce qib glycemia, kev hloov pauv mus rau insulin yog ua tau;
- Cov tshuaj tiv thaiv kab mob siab, insulin, salicylates, acarbose, tshuaj ntawm sulfonylurea pab pawg - txhim kho qib qabzib-peev xim ntawm Glucofage Ntev, yuav tsum muaj pes tsawg feem ua tshuaj;
- Nifedipine - nce nqus ntawm metformin thiab Cmax.
Cov pab pawg cationic ntawm cov tshuaj xws li morphine, amiloride, digoxin, procainamide, quinidine, quinine, ranitidine, triamteren, trimethoprim, vancomycin yog zais hauv cov hlaus plab, yog li ntawd, nws yog ib qho kev sib tw ntawm Glucofage hauv kev tawm tsam rau kev thauj mus los.
Glucophage Cov Kev Ntsuas Ntev los ntawm Cov Neeg Siv Khoom
Ib daim ntawv ntsuam xyuas ntawm cov ntshav qab zib noj Glucofage Ntev, kev tshuaj xyuas cov tshuaj sib xyaw.
- High efficiency. Kev poob ceeb thawj sai sai uas tsis muaj qhov tshaib plab pom zoo thiab feem ntau muaj kev hloov pauv hauv kev ua neej yuam kuv mus ntsib kws kho mob. Txheeb xyuas cov tshuaj insulin tsis kam thiab hypothyroidism, uas ua rau cov teeb meem hnyav dua. Glucophage tau sau tseg, thaum xub thawj - 3 rubles ib hnub. 850 mg txhua. Hauv kev sib txuam, nws tau kho cov qog ua qog. Rau 3 lub hlis, txhua yam rov qab mus rau qhov qub: hnyav thiab insulin ntau lawm zoo. Tam sim no kuv raug pauv mus rau Glyukofazh Ntev (tam sim no rau lub neej).
- Nruab nrab cov nyhuv. Peb Noj Glucophage Ntev nrog peb tus poj niam. Lawv hais tias nws ntxiv dag zog rau cov hlab ntsha, ua kom ntev lub neej, thiab kuv kuj muaj qab zib. Sai li tej yam tau zoo me ntsis, Kuv pib hla kev noj tshuaj, tab sis lub plab txhua lub sijhawm ua pauj rau kuv rau kev tab kaum. Kuv yuav tsum tau txo qhov koob thiab zawm ntawm qhov kev noj haus. Kuv pom tias cov kev mob tshwm sim nce ntxiv nrog kev siv tshuaj tsis xwm yeem.
- Tsawg tshwm sim. Ntshav qab zib Hom 2 tau tshawb pom hauv kuv lub hli tas los, Glucophage Ntev tau raug coj los kho, txij li kev ua haujlwm tsis pub kuv xav txog kev noj tshuaj rau txhua hnub. Nws noj cov tshuaj rau peb lub lis piam thiab txuas ntxiv, pom cov kev mob tshwm sim ntau dua. Kuv nyiaj kom dhau mus txog thaum kuv mus rau tom tsev kho mob. Cov tshuaj tau raug muab tso tseg, maj mam rov qab zoo.
Ua kom muaj kev cia siab ntawm cov ntshav qab zib rau kev kho, txo cov xwm txheej tsis pom qhov tshwm sim rau txoj hnyuv plab yog qhov tseem ceeb ntawm Glucofage Ntev, tab sis cov qauv tseem ceeb rau qhov zoo ntawm cov tshuaj tiv thaiv kab mob ntshav yog li cas los xij glycemic ntsuas nyob rau hauv cov ntshav qab zib muaj hom 2.
