Metfogamm 1000: malangizo ogwiritsira ntchito, mtengo, mapiritsi a shuga

Metphogamma ndi mankhwala osokoneza bongo a hypoglycemic omwe pophika pake ndi metformin hydrochloride.

Nthawi zambiri dzinalo limafupikitsidwa ngati metformin.

Ganizirani momwe mapiritsi a Metfogamma amagwirira ntchito mu shuga, komanso pazinthu zina, mankhwalawo akuwonetsedwa.

Njira yamachitidwe

Chidacho chapangidwa kuti muchepetse kuchuluka kwa shuga m'magazi mwa odwala matenda a shuga. Metformin imalepheretsa njira ya gluconeogeneis, chifukwa, glucose wochokera m'mimba am'mimba amamwa kwambiri pang'onopang'ono komanso mofooka. Kuphatikiza apo, thupilo limakulitsa chidwi cha minofu kupita ku insulin, zomwe zimapangitsa kuti shuga agwiritsidwe ntchito kwambiri.

Mapiritsi a Metfogamm 1000 mg

Ubwino wawukulu wa metformin kwa odwala matenda ashuga ndikuti samatha kukopa kupanga insulini, zomwe zikutanthauza kuti sizikuyambitsa chitukuko cha hypoglycemic reaction.

Kamodzi m'thupi, Metfogamma imakonza kagayidwe ka lipid, kamene kamayambitsa kutsika kwa lipoproteins, cholesterol ndi triglycerides mu seramu zitsanzo.

Mawonekedwe a phwando

Metfogamm imafotokozedwa ngati mankhwala okhawo kapena ngati gawo limodzi la mankhwala a matenda a shuga 2 omwe amachitika mwa anthu opitilira zaka khumi ndi zisanu ndi zitatu ngati ntchito zolimbitsa thupi komanso kudya sizipereka mphamvu yofunikira pakukula kwakanthawi. Mapiritsi a Metfogamm 500, 850 ndi 1000 mg alipo.

Pali zotsatirazi zamankhwala:

• mwachitsanzo, makonzedwe apamodzi a insulin kapena othandizira ena a hypoglycemic,
• mankhwalawa amapangidwa mosiyanasiyana, kusankha kwa nthawi ndi mtundu wa mankhwalawa kuyenera kuchitika ndi adotolo, kuwunika momwe wodwala alili m'magazi komanso mbiri yakale yonse,
• Nthawi zambiri, kumwa mankhwalawa kumayamba ndi Mlingo wochepa, pang'onopang'ono kumabweretsa ku mankhwalawa othandizira,
• maphunzirowa nthawi zambiri amakhala aatali. Muyenera kumwa mapiritsi nthawi ya chakudya ndi kapu yamadzi.

Kudzisankhira Mlingo ndi Malamulo onse azikhala osiyidwa kwathunthu.

Contraindication

Metfogamma sagwiritsidwa ntchito ngati muli ndi zovuta zotsatirazi:

• kuwonongeka kwakukulu kwa impso kapena chiwindi,
• poyizoni wakumwa woledzera kapena uchidakwa wambiri,
• matenda a shuga kapena matenda a mtima,
• myocardial infarction (pachimake gawo),
• matenda ashuga ketoacidosis,
• tsankho pamagawo a mankhwala,
• Mimba ndi kuyamwa
• woposa zaka 60
• kupuma kapena kulephera kwa mtima,
• ma opaleshoni aposachedwa kapena kuvulala kwambiri,
• lactic acidosis, kuphatikizapo mbiri ya
• kulimbikira ntchito,
• Zakudya zochepa zopatsa mphamvu zotsatiridwa ndi wodwala
• Mulingo uliwonse womwe umatsatiridwa ndi kusowa kwamadzi, kuphatikiza matenda opatsirana, poyizoni, kusanza, kutsekula m'mimba, ndi zina zambiri,
• Mulingo uliwonse womwe umatsatiridwa ndi hypoxia, mwachitsanzo, matenda a bronchopulmonary, sepsis, ndi zina zambiri.

Yang'anani mosamala mndandanda wazopikisana, ngati amanyalanyazidwa, zovuta zazikulu zathanzi ndizotheka.

Mawonekedwe ochepera

Anthu ambiri onenepa kwambiri amalolera kuchita chilichonse kuti achepetse thupi. Asayansi ofufuza awonetsa kuti metformin imathandizira kuchepetsa kulemera - kutenga izi ngati maziko, anthu opanda matenda ashuga amayamba kutenga metfogram ndi mankhwala ena, omwe amapanga kwambiri ndi metformin. Kodi izi ndi zolondola motani?

Tiyankha mafunso ofunika:

1. Kodi metformin imathandizira kuchepetsa thupi? Inde, n'zoona. Metfogamm imachepetsa kukhudzana kwapadera ndi insulin. Insulin siyipangidwira kuchuluka, ndipo mafuta m'thupi samasungidwa. Chosaletseka pang'ono chakudya, chomwe chimathandizanso kuchepetsa thupi. Mankhwalawa, makamaka, amalimbikitsa kuchepa thupi, koma ndikofunikira kumvetsetsa kuti adapangira odwala omwe ali ndi matenda a shuga mellitus. Ngati mulibe matenda otere, sibwino kuyesa zaumoyo,
2. Kodi metformin imathandizira aliyense? Pakati pa odwala matenda ashuga, mankhwalawa amayang'aniridwa kwambiri - amathandizadi kukwaniritsa zolinga zomwe dokotala wakhazikitsa. Mwa omwe samadwala matenda ashuga, kuwunika kumatsutsana. Ambiri amadandaula za zoyipa zomwe zachitika komanso kusowa kwa kulandila zabwino kumapangitsa kuti anthu azichotsa makilogalamu owonjezera
3. Zingatayike bwanji? Zotsatira zabwino kwambiri zomwe zimatheka ndi kulemera kwakukulu koyambirira ndi ma kilogalamu ochepa. Koma chifukwa cha ichi muyenera kupita kumasewera ndikuchepetsa kudya kalori. Komabe, izi zidzakhala ndi zotsatira zabwino, ngakhale osagwiritsa ntchito mankhwala.

Ngati ndinu wonenepa kwambiri mutagona pakama ndi bun yachisanu patsiku, ndikuyesera kuchepetsa thupi mothandizidwa ndi Metfogamma, ndiye kuti mukulakwitsa kwambiri. Zakudya zoyenera zokha, kuchuluka kwa zinthu zolimbitsa thupi, komanso kumwa mankhwala ochulukirapo (ngati muli ndi matenda a shuga) kungathandize kukwaniritsa kufunika.

Zotsatira zoyipa

Musanayambe kutenga Metfogamma, onetsetsani kuti mukudziwika bwino ndi zovuta zomwe zingachitike.

Zotsatira zoyipa zimatha kuchitika motere:

• kulephera kudya, nseru, kusanza, kutsegula m'mimba, kupweteka kwam'mimba - zovuta kuzofanana ndi zomwe zimachitika ndi poyizoni wa chakudya. Nthawi zina pamakhala kulawa kwachitsulo mkamwa. Zotsatira zoyipa izi nthawi zambiri zimachitika koyambirira kwa metformin, ndipo zimazimiririka pakapita kanthawi. Kuchotsa mankhwala osokoneza bongo nthawi zambiri sikufunika,
• pakhungu, zimachitika matupi awo pakhungu ndi kuyaka;
• hypoglycemia imatha kukhala yankho chifukwa cha kugwiritsidwa ntchito kwa nthawi yayitali kwa metformin pamiyeso yayikulu mosakanikirana ndi mankhwala ena a hypoglycemic,
• lactic acidosis ndi ngozi yoopsa yomwe imafuna kutha kwa mankhwalawo mwachangu, komanso kuchipatala kwa wodwalayo. Pokhapokha njira zokwanira, lactic acidosis imathera koopsa,
• zina: malabsorption a vitamini B12, kuchepa kwa magazi m'thupi.

Matenda a dyspeptic, omwe amaphatikizidwa ndi kupweteka kwa minofu, komanso kuchepa kwa kutentha kwa thupi, angasonyeze kuyambika kwa lactic acidosis. Zizindikiro zotsatirazi zikuwonetsa kupita patsogolo kwake: chizungulire, mavuto omveka bwino, kupuma mofulumira. Maonekedwe amtunduwu ayenera kuuzidwa kwa adokotala.

Kodi wodwala ayenera kudziwa chiyani?

Ndikofunikira kudziwa! Mavuto omwe ali ndi kuchuluka kwa shuga pakapita nthawi imatha kudzetsa matenda ambiri, monga mavuto amaso, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zomwe zinawawa kuti azisintha shuga yawo kuti asangalale ...

Ngati mwapatsidwa mankhwala omwe ali ndi vuto kuti muchepetse shuga, komanso kuti mukhale ndi kulemera koyenera, sikuletsedwa kupitirira muyeso womwe wapezeka ndi dokotala kuti mukwaniritse njira yodziwika bwino yothandizira mankhwalawa.

Zatsimikiziridwa kuti kuchuluka kwamlingo sikukhudza kuthandizira kwa mankhwala, koma kumawonjezera kwambiri chiopsezo cha zovuta zoyipa.

Ndi zoletsedwa kuphatikiza kugwiritsa ntchito metformin ndi zakumwa zoledzeretsa zilizonse - izi zimawonjezera mwayi wokhala ndi vuto lakufa - lactic acidosis - chifukwa cha khumi.

Kuwunikira pafupipafupi shuga a magazi ndizofunikira kuti pakhale chithandizo chamtundu wautali ndi Metfogamma. Chizindikiro chinanso chofunikira kuti muyenera kuwunika nthawi yonse ya mankhwalawa ndi metformin ndikuwunika kwa metabolinine mu seramu yamagazi. Kwa anthu omwe ali ndi impso zabwino, kuphunzira koteroko kuyenera kuchitidwa kamodzi pamiyezi 12, komanso ena (kuphatikiza okalamba onse) - osachepera 3-4 kamodzi pachaka.

Mukagwiritsidwa ntchito ngati mankhwala a adjunct kuti muchepetse shuga wamagazi, pamakhala chiwopsezo cha kuchepa kwambiri kwa shuga m'magazi, komwe kungayambitse chizungulire, kusokonezeka kwa chidwi ndikuchepetsa chidwi. Izi zikuyenera kukumbukiridwa ndi oyendetsa, komanso ndi onse omwe ntchito yawo imaphatikizapo ntchito zowopsa kapena zolondola.

Matenda aliwonse amtundu wa genitourinary ndi bronchopulmonary amaonedwa kuti ndi owopsa panthawi ya metformin - chithandizo chawo chikuyenera kuchitika moyang'aniridwa ndi dokotala.

Mtengo ndi fanizo

Wapakati ku Russia pamapiritsi a Metfogamma 500, 850 ndi 1000 mg. ndi 250, 330, 600 ma ruble, motsatana.

Mankhwala a Metfogammia ali ndi awa:

• Metformin
• Glucophage kutalika,
• Siofor
• Chikwanje,
• Glyformin
• Fomu,
• Sofamet
• Bagomet,
• Diaspora.

Za mankhwala a Metformin mu telecast "Live wathanzi!"

Metfogamma ndi mankhwala amakono komanso otetezeka (malinga ndi malingaliro onse azachipatala) mankhwala a hypoglycemic. Amakulolani kuti mukwaniritse kuwongolera shuga wamagazi, komanso kukhazikika kwa kulemera kwa odwala omwe ali ndi matenda ashuga. Mwalamulo, kuchokera ku pharmacies amayenera kugawidwa pokhapokha ngati akupereka mankhwala.

Kutulutsa mawonekedwe, kapangidwe kake ndi ma CD

Mapiritsi okhala ndi mafilimu yoyera, yodutsa, yokhala ndi zoopsa, zonunkhira.

Omwe adalandira: hypromellose (15000 CPS) - 35.2 mg, povidone (K25) - 53 mg, magnesium stearate - 5.8 mg.

Ma Shell: hypromellose (5 CPS) - 11.5 mg, macrogol 6000 - 2.3 mg, titanium dioxide - 9.2 mg.

Ma PC 10 - matuza (3) - mapaketi a makatoni 10 ma PC. - matuza (12) - mapaketi okhala ndi makatoni. ma 15 ma PC. - matuza (2) - mapaketi a makatoni.

15 ma PC. - matuza (8) - mapaketi a makatoni.

Makanema okhudzana nawo

Za mankhwala a Metformin mu telecast "Live wathanzi!"

Metfogamma ndi mankhwala amakono komanso otetezeka (malinga ndi malingaliro onse azachipatala) mankhwala a hypoglycemic. Amakulolani kuti mukwaniritse kuwongolera shuga wamagazi, komanso kukhazikika kwa kulemera kwa odwala omwe ali ndi matenda ashuga. Mwalamulo, kuchokera ku pharmacies amayenera kugawidwa pokhapokha ngati akupereka mankhwala.

Zotsatira za pharmacological

Hypoglycemic wothandizira. Metformin ndi ya biguanides, imachita motere: imachedwetsa kupanga shuga m'chiwindi, kwinaku ikuchepetsa mayamwidwe ake. Zimawonjezera chidwi cha minofu ndi minyewa kupita ku glucose, motero zimawamwa bwino. Kuchuluka kwa glucose komanso zomwe zili triglycerides zimachepetsedwa. Mankhwalawa sasokoneza kubisirana kwa insulin mu kapamba, chifukwa chake ndi monotherapy sikungayambitse hypoglycemia. Bhonasi yowonjezerapo ndi kutsitsa kapena kukhazikika kwa thupi. Izi zimasiyanitsa mapiritsi onse potengera metformin.

Pharmacokinetics

Mafuta amapezeka m'matumbo am'mimba. Kwambiri ndende amawona 2 mawola kukhazikitsa. Amayikamo mkodzo mwanjira yosasintha. Hafu ya moyo ndi pafupifupi maola 4.5. Ngati wodwalayo ali ndi vuto la impso, pamakhala chiwopsezo chodzikundikira chinthucho mthupi.

Type 2 matenda a shuga.

Malangizo ogwiritsira ntchito (njira ndi Mlingo)

Mlingo amasankhidwa ndi adotolo pamaziko aumboni ndi zosowa za aliyense payekha. Imwani pakudya ndi madzi ambiri.

Yambani chithandizo ndi 500 mg ya mankhwala 1-2 kawiri pa tsiku. Pang'onopang'ono, mulingo ungathe kuchuluka, koma mosamala kuti musayambitse zovuta m'matumbo. Mlingo wambiri ndi 3 g (mapiritsi 6 a 500 mg) patsiku.

Zotsatira zoyipa

• Kusanza, kusanza,
• Kutsegula m'mimba
• Kudzimbidwa
• “Zitsulo” mkamwa,
• Kupanda chilimbikitso
• Ndi mlingo wophatikiza - hypoglycemia,
• Thupi lawo siligwirizana (kwanuko komanso kachitidwe),
• Lactic acidosis
• Anemia
• Hepatitis
• Kuyamwa kwa vitamini B12.

Zizindikiro zimazimiririka mukasiya mankhwala kapena kusintha mlingo.

Mtengo wa Metfogamm 500, kuwunika ndi kupezeka

okonda kuyerekezera mapiritsi a Metfogamma 500 500mg No. 30 Mapiritsi a Metfogamm 500 okonzekera ndi a gulu la antidiabetesic othandizira - biguanides ndipo akuphatikizidwa m'gulu la Mankhwala ndi othandizira pazakudya. Mutha kugula Metfogamm 500 pamtengo wovomerezeka pa ElixirPharm. Kapangidwe ka mankhwalawa kumaphatikizapo Metformin. Akugwira ntchito yopanga mankhwalawa ... Sipezeka0 rub. makonda yerekezerani mapiritsi a Metfogamma 500 500mg No. 120 Mapiritsi a Metfogamma 500 ali m'gulu la mankhwala antidiabetesic - biguanides ndipo akuphatikizidwa m'gulu la Mankhwala othandizira komanso zakudya. Mutha kugula Metfogamm 500 pamtengo wovomerezeka pa ElixirPharm. Kapangidwe ka mankhwalawa kumaphatikizapo Metformin. Akugwira ntchito yopanga mankhwalawa ... Sipezeka0 ma rub.Muphatso wanu wabwino wa Rinostop pamphuno wa 0.1% 15ml sapota 99.50 rub. Normobact L 3G №10 595 rub. Bystrumgel 2.5% 50g gel osakaniza 357. Oscillococcinum 1g granules No. 6 437 rub. Claritin 10mg piritsi nambala 10 234.50 rub.

• Buku lamalangizo
• Analogi 12
• Ndemanga 0

Bongo

Zitha kuyambitsa lactic acidosis. Zizindikiro zake: kupweteka kwam'mimba, kuzindikira kwa m'mimba, kusanza ndi kusanza, kununkhira kwa acetone kuchokera mkamwa ndi ena. Ndi chitukuko chawo, kugonekedwa kuchipatala kumafunikira. Hemodialysis ndi symptomatic mankhwala amachitidwa.

Ndi mankhwala ophatikizika ndi sulfonylurea, hypoglycemia imayamba. Zizindikiro zake: kufooka, khungu, kusanza komanso kusanza, kusowa chikumbumtima (kukomoka). Ndi mawonekedwe ofatsa, wodwalayo mwiniyo amatha kubwezeretsanso vuto lanu pakudya zakudya zotsekemera. Mwanjira yofikira kwambiri, jakisoni wa shuga kapena dextrose amafunikira. Onetsetsani kuti mwapita kukaonana ndi dokotala kuti musinthe mankhwalawa.

Kuyanjana kwa mankhwala osokoneza bongo

Mphamvu ya mankhwalawa imatheka:

• zochokera sulfonylurea,
• NSAIDs
• acarbose,
• Mao ndi ACE zoletsa,
• insulin
• clofibrate ofanana nawo
• beta blockers,
• oxytetracycline
• cyclophosphamide.

Mphamvu ya metformin imafooka ndi:

• GKS,
• amphanomachul
• kulera kwamlomo
• glucagon,
• epinephrine, adrenaline,
• thiazide ndi loop okodzetsa,
• nicotinic acid
• mahomoni a chithokomiro,
• zotumphukira za phenothiazine.

Chiwopsezo cha lactic acidosis chikuwonjezeka ndi:

• cimetidine
• Mowa
• nifedipine
• mankhwala a cationic.

Malangizo apadera

Ndikofunika kumayesedwa pafupipafupi, makamaka ngati muli ndi matenda olimba. Ngati kuphwanya ntchito mu impso kapena chiwindi kwapezeka, Metfogammu imayimitsidwa.

Wodwala ayenera kudziwa za hypoglycemia ndi lactic acidosis. Potengera mawonekedwe awo, onetsetsani kudzipereka okha.

Okalamba ayenera kumalandira chithandizo chamankhwala ichi pokhapokha poyang'aniridwa ndi katswiri.

Mankhwala amatha kuthana ndi kuyendetsa galimoto pokhapokha ngati amagwiritsidwa ntchito limodzi ndi ena othandizira a hypoglycemic.

Ngati pali matenda am'mapapo kapena genitourinary system, muyenera kudziwitsa dokotala wanu za izi.

Itha kugwiritsidwa ntchito ngati monotherapy komanso kuphatikiza mankhwala ena.

Mankhwala amaperekedwa pokhapokha ngati amupatsa mankhwala.

Fananizani ndi fanizo

Mankhwalawa ali ndi ma analogi angapo omwe amakhalanso ndi metformin. Ndikofunika kuti muzidziwika bwino ndi iwo poyerekeza katundu.

Amapezeka mu mitundu itatu: 500, 750 ndi 1000 mg yogwira ntchito. Amapanga kampani Merck Sante, France. Mtengo - kuchokera ku ma ruble 270. Zomwezo ndizofanana, momwemonso mndandanda wa zotsutsana. Chosinthira chabwino chopezeka kuchotsera. Pali mawonekedwe omwe amakhala ndi mphamvu yayitali.

Zimawononga kuchokera kuma ruble 120. Kupangidwa ndi Gideon Richter, Hungary, Teva, Israel, Canonpharma, Russia, Ozone, Russia. Yotsika mtengo kwambiri mtengo komanso kuchuluka kwa mankhwala.

Kuphatikizika komweku kumakupatsani mwayi wokhala ndi kutalika komanso kufalikira. Wopanga - "Chemist Montpellier", Argentina.Mapiritsiwo ndi pafupifupi ma ruble 160. Sizoletsedwa kulandira amayi apakati, okalamba. Metphogamm imakondedwa chifukwa cha kuchuluka kwa nthawi yayitali.

Akrikhin adapanga mankhwala othandizira odwala matenda ashuga. Mtengo wamapiritsi ndi ma ruble a 130 ndi zina. Yotsika mtengo, yosavuta kupeza mu mankhwala popanda kuyitanitsa.

Imakhazikitsa kampani "Menarini" kapena "Berlin Chemie" ku Germany. Mtengo wa phukusi ndi pafupifupi ma ruble 250. Mankhwala otsika mtengo komanso odalirika. Ipezeka pamtengo. Itha kugwiritsidwa ntchito pophatikiza mankhwalawa, pochiza ana azaka zopitilira 10 (koma mosamala). Contraindication ndi chimodzimodzi.

Kutsika mtengo (kuchokera ku ma ruble 70 pa phukusi) mankhwala apakhomo amapangidwa ndi Pharmstandard. Zofanana "Metfogamm" zotsatira (chimodzi chimodzimodzicho). Zoletsa pa kulandira, zotsatira zoyipa ndizofanana.

Kutumizidwanso kwa mankhwala kumachitika ndi katswiri. Kudzipatsa nokha koletsedwa!

Mwambiri, ndemanga za mankhwalawa ndi zabwino. Kuthamanga ndi kuchita bwino zimadziwika. Zotsatira zoyipa pambuyo kusintha kwa mlingo zimachepa kapena kutha kwathunthu. Kwa ena, mankhwalawa sioyenera.

Valeria: “Ndili ndi matenda ashuga a 2. Ndimathandizidwa ndi metformin. Posachedwa, mapiritsi omwe ndimagwiritsa ntchito masiku ano amasiya kupita kuchipatala. Dokotala adalemba "Metfogamma". Ndakhala ndikuwatenga kwa miyezi iwiri tsopano, ndimakonda kuti imagwira ntchito mwachangu komanso bwino. Shuga ndi wabwinobwino, kunenepa sikukuwonjezanso. Ndakhuta. "

Leonid: “Ndakhala ndikumwa mapiritsiwa kwa theka la chaka kale, monga momwe adandipangira. Kuphatikiza ndi mapiritsi, sulfonylurea imatulutsa zotsatira zabwino. Hypoglycemia sizichitika, ngakhale kumayambiriro kwa zamankhwala panali mavuto amatumbo. Komabe, adotolo atandiwonjezera zakudya zanga ndikusintha pang'ono, zonse zimayambiranso. Chithandizo chabwino. "

Emma: “Ndakhala ndikulimbana ndi matenda a shuga kwa nthawi yayitali. Metphogamm adayesedwa ngati mankhwala owonjezera. Ndidatenga pafupifupi chaka chimodzi, kenako mavuto a impso adayamba, ndimayenera kusinthira insulin. Zimakhala zachisoni, chifukwa mankhwalawa ndiabwino kwambiri. ”

Dmitry: “Mapiritsi awa sanali oyenera kwa ine. Ngakhale dotolo adayesetsa bwanji kuti amwe mankhwalawo, zotsatirapo zake zinali zoperewera. Ndinafunika ndifufuze mankhwala ena. ”

Diana: “Atatenga pakati, anapeza matenda a shuga. Dokotala sanatchule mwachangu mapiritsi a insulin, omwe adalembedwa. Anachenjezanso kuti kuyamwitsa kuyenera kusiyidwa; mukamagwiritsa ntchito Metfogamma, simuyenera kuyamwitsa kuti musavulaze mwana. Kupanda kutero, ndimakhutira ndi mankhwalawa. Zimathandizira kuyendetsa shuga tsiku lonse. Ndipo sizimayambitsa hypoglycemia, zomwe ndizosangalatsa kwambiri. "

Zotsatira zoyipa Metfogamm 500

Kumayambiriro kwa maphunziro , myalgia, hypothermia), hypoglycemia, totupa ndi dermatitis.

Migwirizano ndi magwiritsidwe akusungidwa

Mankhwalawa amayenera kusungidwa kuti ana asawatenthe pa kutentha osaposa 25 ° C. Moyo wa alumali ndi zaka 4.

Kufotokozera kwa mankhwala a Metfogamma 1000 kumayambira pazovomerezeka zovomerezeka kuti zigwiritsidwe ndikuvomerezedwa ndi wopanga.

Kodi mwapeza cholakwika? Sankhani ndikusindikiza Ctrl + Lowani.

Zokhudza mphamvu pakuwongolera njira

Mankhwalawa amatha kukhala ndi zovuta zina. Kuphatikiza ndi mankhwala ena a hyperglycemia, mankhwalawa amatha kutsogolera ku hypoglycemia (chizungulire, kupweteka mutu, kulephera kukhazikika, malaise yambiri. Mukamapatsa mankhwala, ndibwino kuyendetsa magalimoto mosamala.

Kuchita ndi mankhwala ena

Kutenga sulfonylurea, Acarbose, insulin, mankhwala osapinga a antiidal, ma inhibitors a MAO, Oxetetracycline, ACE inhibitors, zotumphukira za Clofibrate, cyclophosphamide ndi B-blockers zimapangitsa kuti chiwonjezero cha shuga chikule.

Mphamvu ya mankhwalawa imakhala yofooka chifukwa cha munthawi yomweyo kugwiritsa ntchito glucocorticosteroids, njira zakulera pakamwa, adrenaline, adrenomimetic mankhwala, mahomoni a chithokomiro, thiazide ndi loop diuretics, mahomoni omwe ali motsutsana pochita insulin, zotumphukira za phenothiazine ndi nicotinic acid.

Mphamvu ya metfogamma imafooka ndi munthawi yomweyo kugwiritsa ntchito glucocorticosteroids.

Nifedipine bwino mayamwidwe a metformin. Cimetidine amachepetsa kuchepetsa magazi ndipo izi zimabweretsa lactic acidosis. Ngati ndi kotheka, mutha kumwa mankhwala a insulin komanso mankhwala opangidwa ndi antidiabetic moyang'aniridwa ndi dokotala. Metfogamma 1000 imachepetsa mphamvu ya mankhwala omwe amaletsa thrombosis.

Kuyenderana ndi mowa

Mankhwalawa sagwiritsidwa ntchito molumikizana ndi mowa. Zakumwa zoledzeretsa zimawonjezera mwayi wokhala ndi mikhalidwe ya hypoglycemic.

Mu mankhwala, mutha kugula mankhwala ofanana:

• Bagomet,
• Glycomet
• Chikwanje,
• Glumet
• Dianormet
• Diaformin,
• Metamine
• Metformin
• Mepharmil
• Panfort Wed,
• Sinjardi
• Siofor.

Malangizo a Metfogamma 1000

Mapiritsi ochepetsa shuga a Metformin

Musanalowe m'malo analogue, muyenera kufunsa dokotala ndikuyezetsa.

Mankhwala amaperekedwa ndi mankhwala.

Mtengo ku Ukraine - kuchokera ku 150 UAH, ku Russia - kuchokera ku ma ruble 160.

Wopanga

Dragenopharm Apotheker Püschl GmbH & Co. KG, Germany.

Nikolai Grantovich, wazaka 42, Tver

Mankhwalawa cholinga chake ndi kuletsa gluconeogeneis. Zimachitika ndi shuga wambiri wamatenda. Zotsatira zoyipa sizimawoneka kawirikawiri ngati mumatsatira malangizowo.

Marina, wazaka 38, Ufa

Ndili ndi matenda ashuga a 2 ndipo ndimadwala kwambiri. Monga adanenera adotolo, Diaformin adagwiritsidwa ntchito, koma sakanatha kupirira ntchito zake. Mutatha Metfogamma, zomverera zimakhala bwino. Mwazi wamagazi unkakhazikika ndipo kunalibe hypoglycemia.

Victoria Asimova, wazaka 35, Oryol

Endocrinologist adapereka njira yothetsera kunenepa kwambiri motsutsana ndi matenda a shuga. Mapiritsi amasintha kagayidwe. Masiku awiri oyambilira anali mapando otayirira. Zizindikiro zake zinazimiririka. Zinali zotheka kutaya makilogalamu 9, kusintha mtundu wa glucose ndikusintha zina zonse. Ndili wokondwa ndi zotsatira zake.

Mlingo ndi makonzedwe

Mkati, ndikudya, kumeza lonse ndikumwa ndi madzi pang'ono (kapu yamadzi).

Kuyambira ndi tsiku ndi tsiku - mapiritsi 1-2.

Metfogamm 500 kapena 1 tabu.

Metphogamma 850 (yomwe ikufanana ndi 500-1000 mg kapena 850 mg ya metformin hydrochloride), mtsogolomo, kuwonjezeka kwapang'onopang'ono kwa mlingo kumatha kutengera kutengera kwake.

Kukonza tsiku lililonse mapiritsi 2-4. (1000-2000 mg) Metfogamma 500 kapena mapiritsi a 1-2. (850-1700 mg) Metphogamm 850.

Pazipita tsiku lililonse mapiritsi 6. (3000 mg) Metphogamm 500 kapena mapiritsi 2. (1700 mg) Metfogamma 850, kuikidwa kwa Mlingo wapamwamba sikumathandizira pakuwonjezeka kwa chithandizo.

Odwala okalamba, tsiku lililonse mankhwala sayenera kupitirira 850 mg.

Mlingo wa tsiku ndi tsiku umalimbikitsidwa kuti uzitengedwa mu Mlingo 2 wogawanika (m'mawa ndi madzulo).

Njira ya chithandizo ndi yayitali.

Mankhwala

Amalepheretsa gluconeogeneis m'chiwindi, amachepetsa mayamwidwe m'matumbo, imathandizira kugwiritsidwa ntchito kwa glucose, komanso imapangitsa chidwi cha minofu kulowa insulin. Amachepetsa mulingo wa triglycerides ndi lipoproteins wotsika m'magazi. Imakhala ndi fibrinolytic effect (imalepheretsa zochitika za minofu ya mtundu wa plasminogen activator inhibitor), imakhazikika kapena kuchepetsa thupi.

Mlingo ndi makonzedwe

Mkati, ndikudya, kumeza lonse ndikumwa madzi ambiri (kapu yamadzi). Mlingo umayikidwa payekha kutengera kuchuluka kwa shuga m'magazi.

Mlingo woyambirira ndi 500-1000 mg (1 / 2-1 mapiritsi) / tsiku, kuwonjezereka kwapang'onopang'ono kwa mlingo kumatheka kutengera mphamvu ya mankhwala.

Kukonza mlingo tsiku lililonse ndi 1-2 g (mapiritsi 1-2) / tsiku, pazenera - 3 g (mapiritsi atatu) / tsiku. Kukhazikitsidwa kwa Mlingo wapamwamba sikukula mphamvu ya mankhwalawa.

Njira ya chithandizo ndi yayitali.

Chifukwa cha chiwopsezo chowonjezereka cha lactic acidosis, mlingo wa mankhwalawa umayenera kuchepetsedwa pazovuta zazikulu za metabolic.

Malo osungira

Pamalo owuma, amdima.

Holiday Order

Yoperekedwa ndi mankhwala.

Zisonyezero zamankhwala Metfogamm 1000

Type 2 shuga mellitus (osadalira insulini) popanda chizolowezi cha ketoacidosis (makamaka kwa odwala omwe ali ndi kunenepa kwambiri).

Fomu yotulutsira ya Metfogamm 1000

Mapiritsi a 1000 mg, matuza 10 kapena 15 ma PC, katoni kadongosolo ka matuza a 2.3 kapena 8,

Mankhwala

Amalepheretsa gluconeogeneis m'chiwindi, amachepetsa mayamwidwe m'matumbo, imathandizira kugwiritsidwa ntchito kwa glucose, komanso imapangitsa chidwi cha minofu kulowa insulin. Amachepetsa mulingo wa triglycerides ndi lipoproteins wotsika m'magazi. Imakhala ndi fibrinolytic effect (imalepheretsa zochitika za minofu ya mtundu wa plasminogen activator inhibitor), imakhazikika kapena kuchepetsa thupi.

Pharmacokinetics

Bioavailability pambuyo m`kamwa makonzedwe a muyezo mlingo ndi 50-60%, Cmax mu madzi am`magazi amafikira pambuyo 2 maola. T1 / 2 ndi maola 1.5-4.5. Ngati mankhwalawa amalephera kuwonongeka, mankhwalawa amatha.

Kugwiritsa ntchito Metfogamma 1000 panthawi yomwe muli ndi pakati

Contraindified mu mimba. Pa nthawi ya chithandizo ayenera kusiya kuyamwitsa.

Contraindication

matenda ashuga ketoacidosis, matenda a shuga komanso chikomokere,

kwambiri aimpso ndi kwa chiwopsezo cha hepatic,

kulephera kwa mtima ndi kupuma,

pachimake gawo la infracenta,

pachimake ubongo

lactic acidosis ndikuwonetsa mu mbiri, mikhalidwe yomwe ingapangitse kukula kwa lactic acidosis, kuphatikizapo uchidakwa wambiri,

Zotsatira zoyipa

Kuchokera pamtima ndi magazi (hematopoiesis, hemostasis): nthawi zina megaloblastic anemia.

Kuchokera pamimba: kukhumudwa, kusanza, kupweteka kwam'mimba, kutsegula m'mimba, kusowa kwa chakudya, kulawa kwazitsulo mkamwa.

Kuchokera kumbali ya kagayidwe: hypoglycemia, nthawi zina - lactic acidosis (imafuna kusiya kwa mankhwala).

Thupi lawo siligwirizana: zotupa pakhungu.

Pafupipafupi komanso kuopsa kwa zovuta zakumbuyo kumatha kuchepa ndikukula pang'onopang'ono kwa mlingo wa metformin. Nthawi zina, patakhala kupatuka kwa chiwindi zitsanzo kapena chiwindi kuwonongeka atasiya mankhwala.

Metabolism: ndi chithandizo cha nthawi yayitali - hypovitaminosis B12 (malabsorption.)

Mlingo ndi makonzedwe

Mkati, ndikudya, kumeza lonse ndikumwa madzi ambiri (kapu yamadzi). Mlingo umayikidwa payekha kutengera kuchuluka kwa shuga m'magazi.

Mlingo woyambirira ndi 500-1000 mg (1 / 2-1 mapiritsi) / tsiku, kuwonjezereka kwapang'onopang'ono kwa mlingo kumatheka kutengera mphamvu ya mankhwala.

Kukonza mlingo tsiku lililonse ndi 1-2 g (mapiritsi 1-2) / tsiku, pazenera - 3 g (mapiritsi atatu) / tsiku. Kukhazikitsidwa kwa Mlingo wapamwamba sikukula mphamvu ya mankhwalawa.

Njira ya chithandizo ndi yayitali.

Chifukwa cha chiwopsezo chowonjezereka cha lactic acidosis, mlingo wa mankhwalawa umayenera kuchepetsedwa pazovuta zazikulu za metabolic.

Bongo

Zizindikiro: lactic acidosis.

Chithandizo: Kutha kwa mankhwalawa, hemodialysis, symptomatic mankhwala.

Kuchita ndi mankhwala ena

Derivatives of sulfonylureas, acarbose, insulin, NSAIDs, Mao inhibitors, oxytetracycline, ACE zoletsa, clofibrate zotumphukira, cyclophosphamide, beta-blockers kuwonjezera hypoglycemic. Zotsatira zake zimachepetsedwa ndi corticosteroids, kulera kwapakamwa, adrenaline ndi zina zomvera, mahomoni a chithokomiro, thiazide ndi "loop" diuretics, zotumphukira za phenothiazine, nicotinic acid. Cimetidine amachepetsa kuchotsedwa kwa metformin ndikuwonjezera ngozi ya lactic acidosis. Metformin imafooketsa mphamvu ya ma coumarin anticoagulants. Kuphatikiza ndi zotumphukira za sulfonylurea ndi insulin ndizotheka (kuwunika mosamala kuchuluka kwa shuga m'magazi ndikofunikira).

Kusamala Mukugwiritsa Ntchito Metfogamma 1000

Ntchito yeniyeni ndi glucose wamagazi amayenera kuyang'aniridwa nthawi zonse. Osachepera 2 pachaka, komanso maonekedwe a myalgia, kutsimikiza kwa plasma lactate okhutira kuyenera kuchitika.

Malangizo apadera a kutenga Metfogamma 1000

Sizikulimbikitsidwa pamatenda oyambitsidwa ndi matenda oyambitsidwa ndi matenda opatsirana komanso otupa, kuvulala, matenda opweteka kwambiri, musanachite opareshoni ndipo musanadutse masiku awiri atachitidwa, komanso mkati mwa masiku awiri isanachitike komanso mutatha kuyesa matenda (radiological and radiological) kugwiritsa ntchito mafayilo osiyanitsa). Sayenera kugwiritsidwa ntchito mwa odwala pazakudya zomwe zimachepetsa mphamvu ya caloric (zosakwana 1000 kcal / tsiku). Kugwiritsa ntchito mankhwalawa sikulimbikitsidwa mwa anthu opitilira zaka 60 omwe amagwira ntchito zolimbitsa thupi (chifukwa chowonjezera chiopsezo chokhala ndi lactic acidosis).

N`zotheka kugwiritsa ntchito mankhwalawa kuphatikiza ndi sulfonylurea zotumphukira kapena insulin. Potere, makamaka kuyang'anira kuchuluka kwa shuga m'magazi ndikofunikira.

Kukopa pa kuyendetsa magalimoto ndi kugwira ntchito ndi njira. Palibe zotsatira (mukamagwiritsa ntchito ngati monotherapy). Kuphatikiza ndi ma hypoglycemic othandizira ena (sulfonylurea derivatives, insulin, etc.), chitukuko cha malo a hypoglycemic ndizotheka, momwe kuthekera kuyendetsa magalimoto ndi kuchita zina zomwe zingakhale zoopsa zomwe zimafunikira chidwi chochulukirapo komanso kuthamanga kwa zochitika zama psychomotor.

Malo osungira

Mndandanda B: Pa kutentha kwa chipinda kosaposa 25 ° C.

Metfogamm 1000: malangizo ogwiritsira ntchito, mtengo, mapiritsi a shuga

Matenda a shuga ndi matenda a kagayidwe kamene kamayambitsa matenda a hyperglycemia. Matenda a shuga ndi amtundu wa 2 - wodalira insulin komanso osadalira insulini.

Kutengera kwa chibadwa, kudya kosasamala, kunenepa kapena zina zomwe zimagwirizanitsidwa zimatha kutsogolera matendawa. Pochiza matenda osokoneza bongo omwe amadalira matenda a shuga, mankhwalawa amagwiritsidwa ntchito omwe ali ndi vuto la hypoglycemic.

Chimodzi mwa mankhwala abwino kwambiri amtunduwu ndi mapiritsi a Metphogamm. Gawo lomwe limagwiritsa ntchito mankhwalawa ndi metformin. Mankhwalawa amapezeka mosiyanasiyana. Zodziwika kwambiri ndi 850 ndi 1000 mg. Metphogamm 500 imagulitsidwanso ku malo ogulitsa mankhwala.

Mtengo ndi lingaliro la zochita za mankhwala

Kodi mankhwalawo ndi angati? Mtengo umatengera kuchuluka kwa metformin pamankhwala. Kwa Metfogamma 1000 mtengo ndi 580-640 rubles. Metfogamm 500 mg imawononga ndalama pafupifupi 380-450 rubles. Pa Metfogamma 850 mtengo umayambira ku ruble 500. Ndikofunika kudziwa kuti mankhwalawa amaperekedwa pokhapokha ngati mwalandira mankhwala.

Amapanga mankhwala ku Germany. Ofesi yoimira boma ili ku Moscow. Mu 2000s, kupanga mankhwala kunakhazikitsidwa mumzinda wa Sofia (Bulgaria).

Kodi mfundo yokhudza kugwiritsa ntchito mankhwala osokoneza bongo ndi iti? Metformin (gawo lomwe limagwiritsa ntchito mankhwalawa) amachepetsa kuchuluka kwa shuga m'magazi. Izi zimatheka ndikupondereza gluconeogenesis m'chiwindi. Metformin imathandizanso kugwiritsidwa ntchito kwa glucose mu minofu ndikuchepetsa kuyamwa kwa shuga kuchokera m'mimba.

Ndizofunikira kudziwa kuti mukamagwiritsa ntchito mankhwalawa, kuchuluka kwa cholesterol ndi LDL mu seramu yamagazi kumachepetsedwa. Koma Metformin sikusintha kuchuluka kwa lipoproteins. Mukamagwiritsa ntchito mankhwalawa mutha kuchepetsa thupi. Mwachilengedwe, 500 mg 850, ndi 100 mg metogram amagwiritsidwa ntchito pamene kudya sikumathandiza kuchepetsa thupi.

Metformin samangoyendetsa shuga wamagazi, komanso imakweza kwambiri magazi a fibrinolytic.

Izi zimatheka ndikupondereza mtundu wa plasminogen inhibitor.

Malangizo ogwiritsira ntchito mankhwalawa

Kodi kugwiritsa ntchito mankhwalawa a Metfogamm 500 kulungamitsidwa nthawi ziti? Malangizo ogwiritsira ntchito akuti mankhwalawa amayenera kugwiritsidwa ntchito pochiza matenda ashuga a 2 omwe samatengera insulin. Koma Metfogamma 1000, 500 ndi 800 mg ayenera kugwiritsidwa ntchito pochiza odwala omwe samakonda ketoacidosis.

Momwe mungamwe mankhwalawo? Mlingo wake umasankhidwa molingana ndi kuchuluka kwa shuga m'magazi. Nthawi zambiri, mlingo woyambira ndi 500-850 mg. Ngati mankhwalawa amagwiritsidwa ntchito kuti azikhala ndi shuga wamba, ndiye kuti tsiku lililonse mlingo ungakulitse mpaka 850-1700 mg.

Muyenera kumwa mankhwalawa Mlingo 2 wogaŵanika. Kodi ndiyenera kumwa mankhwalawo kwa nthawi yayitali bwanji? Kwa Metfogamma 850, malangizowo samawongolera kutalika kwa mankhwalawa. Kutalika kwa chithandizo kumasankhidwa payekha ndipo zimatengera zinthu zambiri.

Mu Metfogamma 1000, malangizo ogwiritsira ntchito amawongolera zotsutsana zotere kuti mugwiritse ntchito:

• Matenda a shuga ketoacidosis.
• Kusokonekera mu ntchito ya impso.
• Kulephera kwa mtima.
• Cerebrovascular ngozi.
• Uchidakwa wambiri
• Kuthetsa madzi m'thupi.
• The pachimake gawo la myocardial infarction.
• Kuchepa kwa chiwindi.
• Poizoni woledzera.
• Lactic acidosis
• Mimba
• Nthawi yonyamula.
• Allergy to metformin ndi zigawo zothandizira za mankhwalawa.

Kuwona kwa madotolo kumawonetsa kuti mankhwalawa sayenera kugwiritsidwa ntchito pakudya kochepa kalori, komwe kumaphatikizapo kumwa zosakwana calories 1000 patsiku. Kupanda kutero, mankhwalawa Metfogamma 1000 amatha kubweretsa zovuta zazikulu, mpaka chifuwa cha matenda ashuga.

Mankhwala nthawi zambiri amavomerezedwa ndi odwala. Koma ndimakonda kugwiritsa ntchito mankhwalawa.

1. Megaloblastic anemia.
2. Kuphwanya munjira yogaya chakudya. Metfogamma 1000 ingayambitse kukula kwa zizindikiro za dyspeptic, nseru, kusanza ndi kutsekula m'mimba. Komanso pakuthandizira mankhwalawa, kulawa kwazitsulo kumatha kuwonekera pakamwa.
3. Hypoglycemia.
4. Lactic acidosis.
5. Thupi lawo siligwirizana.

Kukula kwa lactic acidosis kumawonetsa kuti ndikwabwino kusokoneza njira yamankhwala.

Vutoli likachitika, chithandizo chamankhwala chiyenera kutengedwa nthawi yomweyo.

Metfogamm 1000: malangizo ogwiritsira ntchito

Kudzipatsa nokha mankhwala kungavulaze thanzi lanu.
Ndikofunikira kufunsa dokotala, komanso kuwerenga malangizo musanayambe kugwiritsa ntchito.

Piritsi limodzi lophika lomwe lili:

zopeza:

Metfogamma® 1000 imalepheretsa gluconeogenesis m'chiwindi, amachepetsa mayamwidwe am'matumbo kuchokera m'matumbo, imathandizira kugwiritsidwa ntchito kwa glucose, komanso imapangitsa chidwi cha minofu kulowa insulin.

Komabe, sizikhudza kubisika kwa insulini ndi ma cell a beta a kapamba. Amachepetsa mulingo wa triglycerides ndi lipoproteins wotsika m'magazi. Imakhazikika kapena kuchepetsa thupi.

Ili ndi fibrinolytic mwina chifukwa chokakamira minofu ya plasminogen activator inhibitor.

Kuchita ndi mankhwala ena

Nifedipine imachulukitsa mayamwidwe, Stach, imachepetsa mayeso. Mankhwala a Cationic (amiloride, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamteren ndi vancomycin) omwe amatulutsidwa m'mapikisano olimbana ndi machitidwe ogwiritsira ntchito ma tubular ndipo amatha kuwonjezera Stax ndi 60% ndi chithandizo chambiri.

Mukagwiritsidwa ntchito munthawi yomweyo ndi zotumphukira za sulfonylurea, acarbose, insulin, mankhwala osapweteka a antibelicine, monoamine oxidase inhibitors, oxytetracycline inhibitors, angiotensin-converting enzyme, • ascibrate derivatives, cyclophosphamide, glucose-kuongeza mphamvu ya kuwonjezera. , epinephrine, sympathomimetics, glucagon, mahomoni a chithokomiro, thiazide ndi ne Kumanzere "diuretic, opangidwa kuchokera phenothiazine, asidi nicotinic akhoza kuchepetsa kanthu hypoglycemic wa metformin.

Cimetidine amachepetsa kuchotsedwa kwa metformin, yomwe imawonjezera chiopsezo cha lactic acidosis. Metformin itha kufooketsa mphamvu ya ma anticoagulants (zotumphukira za coumarin). Ndi kumwa nthawi yomweyo, lactic acidosis imayamba.

Zolemba zogwiritsira ntchito

Pa chithandizo, ndikofunikira kuwunika ntchito yaimpso. Osachepera 2 pachaka, komanso maonekedwe a myalgia, kutsimikiza kwa plasma lactate okhutira kuyenera kuchitika. Ndizotheka kugwiritsa ntchito Metfogamma® 1000 kuphatikiza ndi sulfonylurea zotumphukira kapena insulin. Potere, makamaka kuyang'anira kuchuluka kwa shuga m'magazi ndikofunikira.

Zotsatira zakutha kuwongolera magalimoto ndi kugwira ntchito ndi zida Mukamagwiritsa ntchito mankhwalawa mu monotherapy, sizingawonongeke kuyendetsa magalimoto ndi kugwira ntchito ndi makina.

Mukaphatikiza metformin ndi othandizira ena a hypoglycemic (sulfonylureas, insulin, etc.

) ndikotheka kukulitsa machitidwe a hypoglycemic momwe kuthekera kuyendetsa magalimoto ndi kuchita zina zomwe zingakhale zoopsa zomwe zimafunikira chidwi chochulukirapo komanso zotsatira zama psychomotor zimakula.

Mapiritsi okwana 1000 mg okhala ndi mafilimu.

15 mapiritsi pachimake cha PVC filimu ndi aluminiyamu zojambulazo.

2 kapena 8 matuza pamodzi ndi malangizo ogwiritsira ntchito aikidwa pabokosi lamakatoni.