Milgamm Composite

Milgamm compositum: malangizo ogwiritsira ntchito ndi kuwunikira

Dzina lachi Latin: Milgamm compositum

Chithandizo chogwira: Benfotiamin + Pyridoxine

Wopanga: mapiritsi ophimbidwa - Mauermann-Arzneimittel Franz Mauermann OHG (Germany), mapiritsi - Dragenopharm Apotheker Puschl (Germany)

Sinthani mafotokozedwe ndi chithunzi: 05/17/2018

Mitengo muma pharmacies: kuchokera ku ma ruble a 631.

Milgamma compositum - chinthu chopanga vitamini chomwe chili ndi mphamvu ya metabolic, kubwezeretsanso vitamini B₁ ndi B₆.

Kutulutsa mawonekedwe ndi kapangidwe kake

Mlingo wa Milgamma compositum - ngalande ndi mapiritsi okhala ndi zokutira: ozungulira, biconvex, oyera. Kuyika: matumba a matuza (matuza) - zidutswa 15 chilichonse, ikani mapaketi awiri kapena anayi (matuza) mu bokosi la makatoni.

Kupanga piritsi limodzi ndi piritsi limodzi:

• yogwira zinthu: benfotiamine ndi pyridoxine hydrochloride - 100 mg iliyonse,
• zina zowonjezera: colloidal silicon dioxide, carmellose wa sodium, povidone (K mtengo = 30), cellcrystalline cellulose, talc, omega-3 triglycerides (20%),
• kapangidwe kake: chimanga wowuma, povidone (K mtengo = 30), calcium carbonate, gamu ya acacia, sucrose, polysorbate-80, colloidal silicon dioxide, shellac, glycerol 85%, macrogol-6000, titanium dioxide, phiri glycol wax, talc.

Mankhwala

Benfotiamine - imodzi mwazinthu zomwe zimagwiritsidwa ntchito ndi Milgamm compositum - ndi mafuta osungunuka a thiamine (vitamini B)₁), yomwe, yolowa mthupi la munthu, imapangidwa ndi phosphorylated ya coenzymes yogwirizana ya thiamine triphosphate ndi thiamine diphosphate. Chotsirizacho ndi coenzyme ya pyruvate decarboxylase, 2-hydroxyglutarate dehydrogenase ndi transketolase, yomwe imakhudzidwa ndi gawo la pentose phosphate kuzungulira kwa glucose oxidation (posamutsa gulu la aldehyde).

Njira yachiwiri yogwira ya Milgamma compositum - pyridoxine hydrochloride - ndi mtundu wa vitamini B₆, phosphorylated mawonekedwe ake ndi pyridoxalphosphate - coenzyme ya ma enzymes angapo omwe amakhudza magawo onse osagwirizana ndi oxidative metabolism a amino acid. Amatenga nawo gawo la decarboxylation a amino acid, ndipo, chifukwa chake, kupanga mapangidwe olimbitsa thupi (kuphatikizapo dopamine, serotonin, tyramine ndi adrenaline). Pyridoxalphosphate imathandizira kusintha kwa ma amino acid ndipo, chifukwa chake, pakuwola kosiyanasiyana ndi kaphatikizidwe ka amino acid, komanso njira za anabolic ndi catabolic, mwachitsanzo, ndi coenzyme ya transaminases monga gamma-aminobutyric acid (GABA), glutamate-oxaloacetate- transamin ketoglutarate transaminase, glutamate pyruvate transaminase.

Vitamini B₆ amatenga nawo gawo magawo anayi osiyanasiyana a tryptophan metabolism.

Pharmacokinetics

Pambuyo pakukonzekera kwa benfotiamine, yambiri imayamwa mu duodenum 12, gawo laling'ono lakumtunda ndi kumtunda kwamatumbo ang'ono. Poyerekeza ndi madzi osungunuka thiamine hydrochloride, benfotiamine amalowetsedwa mwachangu komanso mokwanira, chifukwa amachokera ku thiamine. M'matumbo, chifukwa cha phosphatase dephosphorylation, benfothiamine imasinthidwa kukhala S-benzoylthiamine - chinthu chomwe chimasungunuka ndi mafuta, zimakhala ndi mphamvu yolowera kwambiri ndipo chimatengedwa kwambiri osasinthidwa kukhala thiamine. Chifukwa cha enzymatic debenzoylation pambuyo pa mayamwidwe, thiamine komanso biologically yogwira ma coenzymes - thiamine triphosphate ndi thiamine diphosphate amapangidwa. Zojambula zapamwamba kwambiri za ma coenzymes amenewa zimapezeka m'magazi, ubongo, impso, chiwindi ndi minofu.

Pyridoxine hydrochloride ndi zotumphukira zake zimatengedwa makamaka m'matumbo am'mimba. Asanalowe mu membrane wa khungu, pyridoxalphosphate ndi hydrolyzed ndi alkaline phosphatase, ndikupanga mapangidwe a pyridoxal. Mu seramu, pyridoxal ndi pyridoxalphosphate amamangidwa ku albumin.

Benfotiamine ndi pyridoxine amuchotsa makamaka mu mkodzo. Pafupifupi theka la thiamine amachotsedwa osasinthika kapena mawonekedwe a sulfate, otsala mu mawonekedwe a metabolites, kuphatikizapo piramidi, thiamic acid ndi methylthiazole-acetic acid.

Hafu ya moyo (T_½) pyridoxine - kuyambira 2 mpaka 5 maola, benfotiamine - maola 3,6

Wachilengedwe T_½ thiamine ndi pyridoxine pafupipafupi 2 milungu.

Contraindication

• mtima wosakhazikika,
• zaka za ana
• nthawi ya pakati komanso yoyamwitsa,
• Congenital fructose tsankho, shuga-isomaltose, shuga ndi galactose malabsorption syndrome,
• Hypersensitivity ku gawo lililonse la mankhwala.

Malangizo ogwiritsira ntchito Milgamma compositum: njira ndi mlingo

Mapiritsi ndi mapiritsi a Milgamm kompositi amayenera kumwa mkamwa ndi madzi ambiri.

Ngati dokotala sanakulangireni mtundu wina wa mankhwala, akulu ayenera kumwa piritsi limodzi / piritsi 1 kamodzi patsiku.

Mu milandu yayikulu, adokotala amatha kupitiliza kuvomereza mpaka katatu patsiku. Pambuyo pa chithandizo cha milungu 4, mphamvu ya mankhwalawo komanso momwe wodwalayo akuwunikira, kenako amasankha kuti apitilizabe kulandira chithandizo ndi Milgamma compositum mu kuchuluka kokulira kapena ngati pakufunika kuchepetsa vutoli mwachizolowezi. Njira yotsatirayi ndiyovomerezeka, chifukwa ngati munthu akalandira chithandizo kwa nthawi yayitali amakhala ndi mwayi wambiri wokhala ndi vitamini B₆ mitsempha.

Zotsatira za pharmacological

Mapiritsi a Milgamma Compositum ndi zovuta za mavitamini a B.Zinthu zomwe zimagwiritsa ntchito mankhwalawa - benfotiamine ndi pyridoxine hydrochloride - zimathandizira wodwalayo matenda opatsirana am'mimba komanso zida zamagetsi. Mapiritsi a Milgamm amachititsa kuti magazi azithamanga, amasintha ntchito zamanjenje.

Benfotiamine Ndi chinthu chomwe chimagwira gawo lalikulu la metabolism ya carbohydrate. Pyridoxine amatenga nawo mbali mu kagayidwe kazakudya zomanga thupi, zimayambitsa gawo la mafuta ndi chakudya. Mlingo wambiri wa benfotiamine ndi pyridoxine amachita ngati analgesic chifukwa chotenga gawo la benfotiamine serotonin. Mphamvu yothandizanso imadziwikanso kuti: motsogozedwa ndi mankhwalawo, mtolo wa myelin wamitsempha umatha.

Zizindikiro zogwiritsidwa ntchito

Zizindikiro zotsatirazi zakugwiritsa ntchito Milgamma Compositum monga gawo la chithandizo chovuta kwambiri zimatsimikiziridwa:

• neuritis,
• retrobulbar neuritis,
• neuralgia,
• achifwamba
• paresis a nkhope
• kuchuluka,
• polyneuropathy, mitsempha,
• lumbar ischalgia,
• radiculopathy.

Komanso, zisonyezo zakugwiritsa ntchito mankhwalawa zili mwa anthu omwe nthawi zonse amakhala ndi vuto la kukokana usiku (makamaka anthu achikulire) komanso minofu yama tonic syndromes. Kuchokera pazomwe zina zimagwiritsidwa ntchito ndi mankhwala, adokotala amasankha payekha.

Zotsatira zoyipa

Mapiritsi a Milgamm Compositum, ngati jakisoni wa Milgamm, amatha kupweteka, omwe, monga lamulo, amawonekera pokhapokha. Mawonetsero otsatirawa ndi otheka:

Ngati pali chiwonetsero chilichonse mwazotsatira zilizonse zoyipa izi, muyenera kufotokozera dokotalayo nthawi yomweyo.

Malangizo ogwiritsira ntchito Milgamma Compositum (Njira ndi Mlingo)

Mukamamwa ma dragees, muyenera kumwa zakumwa zambiri.

Ngati wodwala adalandira mapiritsi a Milgamma, malangizo omwe angagwiritsidwe ntchito amaphatikizapo kumwa piritsi limodzi patsiku. Mwanjira yamatenda, matendawa achuluke: piritsi limodzi katatu patsiku. Mlingo uwu, chithandizo chitha kuchitidwa osapitilira milungu 4, pomwe adotolo akuganiza zochepetsa mlingo, popeza mukamamwa vitamini b6zochuluka, mwayi wokhala ndi neuropathy ukuwonjezeka. Mwambiri, njira ya mankhwalawa satha miyezi iwiri.

Bongo

Ndi mankhwala osokoneza bongo a vitamini B6, chiwonetsero cha zotsatira za neurotoxic ndizotheka. Mukamalandira mankhwala akuluakulu a vitaminiyi kwa miyezi yoposa isanu ndi umodzi, neuropathy imayamba. Pankhani ya bongo, polyneuropathy yachilendo imatha kuonedwa, yomwe imayendetsedwa ndi ataxia. Kumwa mlingo waukulu wa mankhwalawa kumatha kuwonetsa kukhudzidwa. Mankhwala osokoneza bongo a benfotiamine okhala ndi pakamwa sayenera.

Mukatha kutenga milingo yayikulu ya pyridoxine, kusanza, kenako kaboni yodziyambitsa. Komabe, njira zoterezi zimagwira pakadutsa mphindi 30 zokha. Mu milandu yayikulu kwambiri, muyenera kulumikizana ndi katswiri nthawi yomweyo.

Kuchita

Mankhwala omwe ali ndi vitamini B6, mphamvu ya levodopa itha kuchepa.

Ndi mankhwala omwewo munthawi yomweyo ndi othandizira kapena piridoxine antagonists kapena mumagwiritsa ntchito njira yayitali yoletsa kubereka estrogensakhoza kukhala osakwanira mu vitamini B6.

Mukutenga Fluorouracil Kuchuluka kwa thiamine kumachitika.

Analogs Milgamma Compositum

Mndandanda wa mapiritsi a Milgamma Copositum ndi mankhwala omwe ali ndi zofanana. Mankhwalawa amaphatikizapo mapiritsi ndi jakisoni. Milgammakomanso Kombilipen, Neuromultivitis, Triovit etc. Mtengo wa analogues umatengera kuchuluka kwa mapiritsi omwe ali phukusi, wopanga, etc.

Mankhwalawa sanaikidwe kwa ana chifukwa chosadziwa zambiri za chitetezo cha mankhwalawa.

Price Milgamma Compositum, komwe mugule

Mtengo wa mapiritsi Milgamma Compositum 30 ma PC. amapanga kuchokera ku 550 pafupifupi 650 rubles. Gulani ku Moscow ngalande mu phukusi la ma 60 pcs. ikhoza kukhala yamtengo wapatali kuchokera ku ruble 1000 mpaka 1200. Mtengo wa Milgamm Composite ku St. Petersburg ndiwofanana. Kodi magomewo ndi angati, mungapeze mfundo zina zogulitsa. Majakisoni a Milgamma amatenga ma ruble 450 (ma ampoules 10).

Fomu ya Mlingo:

mapiritsi okutira

Piritsi 1 yokhala ndi:
ntchito: benfotiamine 100 mg, pyridoxine hydrochloride 100 mg.
zokopa:
kapangidwe kake kam'munsi mwa piritsi yokulembeka: microcrystalline cellulose - 222.0 mg, povidone (K mtengo = 30) - 8.0 mg, ma glycerides ochepa - 5.0 mg, colloidal silicon dioxide - 7.0 mg, croscarmellose sodium - 3.0 mg, talc - 5.0 mg
kapangidwe ka chipolopolo:
shellac 37% malinga ndi nkhani youma - 3.0 mg, sucrose - 92.399 mg, calcium carbonate - 91.675 mg, talc - 55.130 mg, acacia chingamu - 14.144 mg, wowuma chimanga - 10.230 mg, titanium dioxide (E 171) - 14.362 mg, colloidal silicon dioxide - 6.138 mg, povidone (K mtengo = 30) - 7.865 mg, macrogol-6000 - 2.023 mg, glycerol 85% pankhani yauma - 2.865 mg, polysorbate-80 - 0.169 mg, glycol sera - 0.120 mg

Kuzungulira, biconvex, mapiritsi oyera okutidwa.

Mankhwala

Mankhwala:
Benfotiamine, mafuta osungunuka ena a thiamine (vitamini B1), amapangidwa phosphorylated mthupi ku coenzymes yogwira a thiamine diphosphate ndi thiamine triphosphate. Thiamine diphosphate ndi coenzyme wa pyruvate decarboxylase, 2-hydroxyglutarate dehydrogenase ndi transketolase, potero amatenga nawo gawo mu pentose phosphate kuzungulira kwa glucose oxidation (posamutsa gulu la aldehyde).
Fosphorylated mawonekedwe a pyridoxine (Vitamini B6) - pyridoxalphosphate - ndi coenzyme ya ma enzymes angapo omwe amakhudza magawo onse a metabolite a non-oxidative a amino acid. Pyridoxalphosphate imagwira nawo ntchito ya decarboxylation ya amino acid, chifukwa chake pakupanga ma amino achilengedwe (mwachitsanzo, adrenaline, serotonin, dopamine, tyramine). Potenga nawo gawo pa kusinthana kwa amino acid, pyridoxalphosphate imakhudzidwa ndi njira za anabolic komanso za catabolic (mwachitsanzo, kukhala coenzyme wa transaminases monga glutamate oxaloacetate transaminase, glutamate pyruvate transaminase, gamma aminobutyric acid (GABA), α-ketogamic acid osiyanasiyana zimachitika kuwonongeka ndi kaphatikizidwe amino zidulo. Vitamini B6 imatenga magawo anayi a tryptophan metabolism.

Pharmacokinetics:
Mukamamwa, ambiri a benfotiamine amalowetsedwa mu duodenum, ang'ono - kumtunda ndi pakati pamatumbo ang'ono. Benfotiamine imayamwa chifukwa chogwiritsika mphamvu mosagwirizana ndi ≤2 μmol komanso chifukwa cha kuyimitsidwa kokhazikika pamitsempha ya ≥2 μmol. Pokhala mafuta osungunuka a thiamine (vitamini B1), benfotiamine amalowetsedwa mwachangu komanso mokwanira kuposa madzi osungunuka a thiamine hydrochloride. M'matumbo, benfotiamine amasinthidwa kukhala S-benzoylthiamine chifukwa cha phosphatase dephosphorylation. S-benzoylthiamine ndiyosungunuka-mafuta, umatha kulowa mkati kwambiri ndipo umatengeka kwambiri osatembenukira ku thiamine. Chifukwa cha enzymatic debenzoylation pambuyo pa mayamwidwe, thiamine ndi biologically yogwira ma coenzymes a thiamine diphosphate ndi thiamine triphosphate amapangidwa. Makamaka milingo yayikulu kwambiri ya ma coenzymesyi imawonedwa m'magazi, chiwindi, impso, minofu, ndi ubongo.
Pyridoxine (Vitamini B6) ndi zotumphukira zake amazikhazikika makamaka m'matumbo am'mimba pazomwe zimayambitsa kulowetsedwa. Mu seramu, pyridoxalphosphate ndi pyridoxal amamangidwa ku albumin. Asanalowe mkati mwa cell membrane, pyridoxal phosphate womangiriridwa ku albumin imapukusidwa ndi alkaline phosphatase kuti ipange pyridoxal.
Mavitamini onsewa amathandizidwa makamaka mkodzo. Pafupifupi 50% ya thiamine amachotsedwa osasinthika kapena ngati sulfate. Chotsalacho chimapangidwa ndi ma metabolites angapo, omwe thiamic acid, methylthiazoacetic acid ndi piramidi amadzipatula. Theka la theka-moyo (t_½) kuchokera ku magazi a benfotiamine ndi maola 3.6. Hafu ya moyo wa pyridoxine ukamamwa pakamwa ndi pafupifupi maola 2-5. Moyo wachilengedwe theka la thiamine ndi pyridoxine pafupifupi masabata awiri.

Mlingo ndi makonzedwe:

Mkati.
Piritsi liyenera kutsukidwa ndi madzi ambiri.
Pokhapokha ngati wodwala amapita, wamkulu ayenera kumwa piritsi limodzi patsiku. Mu milandu yovuta kwambiri, atakambilana ndi dokotala, mlingo umatha kuwonjezeredwa piritsi 1 katatu patsiku.
Pambuyo pa milungu 4 ya chithandizo, adokotala ayenera kusankha kufunika kopitiliza kumwa mankhwalawa ndikuwonjezera kuchuluka kwa mavitamini Bb ndi B1 mpaka piritsi limodzi patsiku. Ngati ndi kotheka, mankhwalawa amayenera kuchepetsedwa piritsi limodzi patsiku kuti achepetse vuto lokhala ndi neuropathy yokhudzana ndi kugwiritsa ntchito vitamini B6.

Zotsatira zoyipa:

Pafupipafupi zotsatira zoyipa zimagawidwa motere: Nthawi zambiri (zochulukirapo 10%), nthawi zambiri (mu 1% - 10% ya milandu), kawirikawiri (mu 0,1% - 1%), kawirikawiri (mu 0,01% - 0 , 1% ya milandu), kawirikawiri kwambiri (zosakwana 0.01% ya milandu), komanso zovuta, zomwe sizimadziwika kawirikawiri.
Kuchokera ku chitetezo chamthupi:
Osowa kwambiri: hypersensitivity reaction (kusintha kwa khungu, kuyabwa, urticaria, zotupa pakhungu, kufupika kwamphamvu, edincke's edema, anaphylactic mantha). Nthawi zina, mutu.
Kuchokera ku dongosolo lamanjenje:
Pafupipafupi sizidziwika (malipoti amodzi okha): zotumphukira zama mankhusu a mankhwalawa pogwiritsa ntchito mankhwala kwa nthawi yayitali (zoposa miyezi 6).
Kuchokera m'mimba:
Osowa kwambiri: nseru.
Pa khungu ndi mafuta onunkhira:
Pafupipafupi sizikudziwika (malipoti amodzi okha): ziphuphu, kuchuluka thukuta.
Kuchokera pamtima:
Maulendo osadziwika (mauthenga amodzi okha): tachycardia.
• Ngati mavuto aliwonse omwe akuwonetsedwa mu malangizowa akuwonjezereka, kapena mukuwona zotsatira zina zomwe sizinatchulidwe mu malangizo, dziwitsa dokotala.

Kutulutsa Fomu:

mapiritsi okutira.
Pamapiritsi 15, atakulungidwa, m'matumba a blister (chithuza) cha PVC / PVDC film and aluminium foil.
1, 2 kapena 4 matuza (mapiritsi 15 okhala ndi mbali iliyonse), pamodzi ndi malangizo ogwiritsira ntchito pabokosi lamakatoni.

Mukamayala ku ZAO Rainbow Production, Russia:
1, 2 kapena 4 matuza (mapiritsi 15 okhala ndi mbali iliyonse), pamodzi ndi malangizo ogwiritsira ntchito pabokosi lamakatoni.

Njira zopewera kupewa ngozi

Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali (kupitirira miyezi isanu ndi umodzi) kungayambitse kukula kwa neuropathy. Odwala omwe ali ndi vuto la kubereka kwa fructose, glucose-galactose malabsorption kapena vuto la iscralt-isomaltase sayenera kutumizidwa Milgamma®.

Kukopa pa kuyendetsa magalimoto ndi kugwira ntchito ndi njira

Milgamm ® sizimakhudza kuyendetsa galimoto ndikugwira ntchito ndi makina omwe amafunikira chidwi chochulukirapo.

Mankhwala Okhala Pamalo a Pharmacy

Ndi mankhwala.

Werwag Pharma GmbH & Co KG

Chilimba Strasse 7

1034, Boeblingen, Germany

Mauermann Artsnaymittel KG, Heinrich-Knotte-Strasse, 2, 82343 Pecking, Germany

Zoyimira / Bungwe likuvomereza zodandaula:

Kuyimilira kwa mgwirizano wocheperako "Vervag Pharma GmbH & Co KG ”(Germany) ku Republic of Belarus, Minsk 220005, Independent Ave. 58, nyumba 4, office 408. Tel./fax (017) 290-01-81, tel. (017) 290-01-80.

Makhalidwe

Mavitamini a Neurotropic a gulu B ali ndi phindu pa matenda otupa ndi osakhazikika a mitsempha ndi zida zapamadzi. Mlingo waukulu, samangokhala ndi kanthu kena, komanso ali ndi zotsatira zingapo za pharmacological: mawunikidwe, odana ndi kutupa, ma microcirculatory.

• Vitamini B1 mu mawonekedwe a thiamine diphosphate ndi thiamine triphosphate amathandiza kwambiri mu kagayidwe kazinthu, kukhala coenzyme ya pyruvate decarboxylase, 2-oxoglutarate dehydrogenase ndi transketolase. Pazungulira pentose phosphate, thiamine diphosphate amakhudzidwa ndi kusamutsidwa kwamagulu a aldehyde.
• Vitamini B6 mu mawonekedwe ake a phosphorylated (pyridoxal-5-phosphate) ndi coenzyme ya michere yambiri, kutenga nawo gawo makamaka mu metabolism ya amino acid, komanso chakudya chamthupi ndi mafuta.
• Vitamini B12 ndikofunikira ma cellular kagayidwe, mapangidwe amwazi ndi kugwira ntchito kwamanjenje. Imalimbikitsa metabolic acid kagayidwe kudzera mu kuphatikizika kwa folic acid. Mlingo waukulu, cyanocobalamin imakhala ndi analgesic, anti-yotupa komanso michere.
• Lidocaine ndi mankhwala okomedwera.

Mankhwalawa, ngakhale ndi mavitamini, sagwiritsidwa ntchito kuchepa kwa mavitamini m'thupi, koma matenda a mitsempha yomwe imachitika ndi zizindikiro zowawa.

Chifukwa chiyani Milgamm adaikidwa: mawonekedwe ogwiritsira ntchito

Milgamma imagwiritsidwa ntchito ngati chothandizira komanso chothandizira pathogenetic mu zovuta za mankhwala a syndromes otsatirawa ndi matenda amanjenje:

• Neuritis, neuralgia,
• Retrobulbar neuritis,
• Ganglionitis (kuphatikizapo herpes zoster),
• Polyneuropathy (wodwala matenda ashuga ndi mowa),
• Paresis wamitsempha wamaso
• Neuropathy
• Plexopathy
• Myalgia.
• Kukokana minofu yausiku, makamaka kwa achikulire,
• Matenda a minyewa yamatenda am'mimba omwe amayamba chifukwa cha kuchepa kwa mavitamini B1 ndi B6.
• Mawonetseredwe amtundu wa osteochondrosis a msana: lumbar ischialgia, radiculopathy (radicular syndrome), minofu-tonic syndromes.

Zotsatira zoyipa

• Mawonetseredwe a ziwengo: zotupa pakhungu, bronchospasm, anaphylaxis, angioedema, urticaria.
• Matenda amitsempha yamaukwati: chizungulire, kusokonezeka kwa chikumbumtima.
• Mavuto ozungulira: tachycardia, kutsika kapena kusokonezeka kwa miyendo.
• Mavuto Ochepa: Kupumira.
• Khungu ndi zotikika minofu yofewa: hyperhidrosis, ziphuphu.
• Matenda a minofu ndi mafupa:
• Zokhudza malo jakisoni: mkwiyo.

Chifukwa cha kukhazikika kapena bongo, zinthu zamtundu wa systemic zimatha kuchitika.

Malangizo apadera

• Kugwiritsa ntchito mankhwala oyembekezera kapena poyamwitsa kuyamwitsidwa,
• ngati mankhwalawo adalandiridwa mwangozi, wodwalayo ayenera kuchipatala kapena kuyang'aniridwa ndi katswiri.
• sizikudziwika ngati mankhwalawo amakhudza kuyendetsa galimoto kapena kugwira ntchito yomwe imafunikira chidwi chachikulu,
• motsogozedwa ndi sulfites, chiwonongeko chokwanira cha thiamine chimachitika. Zotsatira zake, machitidwe a mavitamini ena amathekanso,
• thiamine imagwirizana ndi oxidizing othandizira komanso othandizira kuchepetsa, kuphatikizapo iodide, carbonates, acetates, tannic acid, ammonium iron citrate, phenobarbital, riboflavin, benzylpenicillin, dextrose, disulfites,
• thiamine imawonongedwa mwachangu ndi mkuwa
• pomwe zamkati zimakwera pamwamba pa pH = 3, thiamine imataya mphamvu,
• pyridoxine angayambitse kufooka kwa antiparkinsonia zotsatira za levodopa. Momwemonso, kulumikizanaku kumachitika limodzi ndi cycloserine, penicillamine, isoniazid,
• norepinephrine, epinephrine ndi sulfonamides osakanikirana ndi lidocaine wowonjezera osafunikira pamtima,
• cyanocobalamin sigwirizana ndi mchere wazitsulo zolemera,
• riboflavin imayambitsa kuwonongeka kwa cyanocobalamin, yomwe imapangitsidwa ndi machitidwe a kuwala,
• nicotinamide imayambitsa kupititsa patsogolo kwa Photolysis, ndi zinthu za antioxidant, m'malo mwake, zimawonetsa kukhumudwitsa.

Kuyanjana kwa mankhwala osokoneza bongo

Tiyenera kukumbukira kuti mukamacheza ndi sulfonamides, vitamini B1 amawola kotheratu, kotero, kugwiritsa ntchito bwino kwa mankhwalawa kumatayika. Ntchito za mankhwala a thiamine zimacheperanso pamaso pakukonzekera komwe kumakhala mankhwala a zebury, ayodini ndi sulufule. Sitikulimbikitsidwa kuphatikiza ndi levodopa ndi riboflavin.

1. Vitaxon.
2. Vitagamm
3. Kombilipen.
4. Neuromultivitis.
5. Binavit
6. Triovit.
7. Pikovit.

Neuromultivitis kapena Milgamm: ndibwino bwanji?

Kuphatikizidwa kwa mankhwalawa ndikofanana, koma Neuromultivitis sakhala m'gulu la zigawo za lidocaine. Neuromultivitis, mosiyana ndi Milgamm, imalembedwa kuti athandize ana. Chifukwa chiyani aliyense wa mankhwalawa amaperekedwa, katswiri wothandizirawa akufotokozera mwatsatanetsatane.

Zomwe zili bwino: Milgamm kapena Combilipen?

Combilipen ndiwonso mavitamini ovuta, omwe amaphatikizapo mavitamini a B. Izi ndi njira zofananira, okhawo ali ndi wopanga wina, ndipo Comb Philippines ungagulidwe pamtengo wotsika.

Mukamasankha analogi, ndikofunikira kumvetsetsa kuti malangizo ogwiritsira ntchito Milgamma, mtengo ndi kuwunika kwa mankhwala omwe ali ndi zotsatira zofananazi sizikugwira ntchito. Ndikofunikira kupeza upangiri wa dokotala komanso kuti usasinthe popanda mankhwala.