Ndemanga za Fomu

Pharmstandard Formmetin ndi mankhwala omwe amapangidwira kuti amalipire matenda a shuga a mtundu wa 2. Muli ndi metformin, womwe umachepetsa shuga, popanda kutsitsa hypoglycemia - kuchepa kwamankhwala m'magazi omwe angayambitse matenda ashuga. Posachedwa, monga gawo la pulogalamu yolowetsa m'malo Russian Federation idakhazikitsa kupanga mankhwalawa, makamaka, ku bizinesi ya Pharmstandard mu mzinda wa Kursk. Formentin ndidasankha dokotala wothandizira ngati gawo limodzi la zovuta kuchipatala ndi galvus anakumana. Ndimatenga mapiritsi a 1.25 tsiku lililonse usiku.Ndimamupeza kuchipatala kwaulere. Zimapezeka m'miyeso yosiyanasiyana: 0.5 g, 0,85 g ndi 1 g .Miyeso iyi, mapiritsi 60 a 0,85 g amadzaza pabokosi la makatoni. . werengani zambiri phukusi lomwe lidatsekedwa ndi zojambula zopangidwa ndi zitsulo zamtundu uliwonse 10. Bokosilo lili ndi maselo 6. Mapiritsiwo ndi oyera, chowonda, biconvex, pakati pali chiwopsezo. Chigawo cha mtanda ndichopanda choyera. Mankhwala si ophweka. Ali ndi zotsutsana zazikulu komanso zoyipa. Tsatirani malangizo a dokotala ndipo phunzirani mosamala malangizo omwe aphatikizidwa kuti mugwiritse ntchito. Sitikulimbikitsidwa kuti muzingoganiza nokha.

Pharmstandard Formmetin ndi mankhwala omwe amapangidwira kuti amalipire matenda a shuga a mtundu wa 2. Muli ndi metformin, womwe umachepetsa shuga, popanda kutsitsa hypoglycemia - kuchepa kwamankhwala m'magazi omwe angayambitse matenda ashuga. Posachedwa, monga gawo la pulogalamu yolowetsa m'malo Russian Federation idakhazikitsa kupanga mankhwalawa, makamaka, ku bizinesi ya Pharmstandard mu mzinda wa Kursk. Formentin ndidasankha dokotala wothandizira ngati gawo limodzi la zovuta kuchipatala ndi galvus anakumana. Ndimatenga mapiritsi a 1.25 tsiku lililonse usiku.Ndimamupeza kuchipatala kwaulere.Amapezeka m'miyeso yosiyanasiyana: 0.5g, 0.85g ndi 1g.Miyeso iyi, mapiritsi 60 a 0.85g amadzaza pabokosi la makatoni. , yatsekedwa ndi zojambula zachitsulo zokhala ndi zidutswa 10. Bokosi lililonse lili ndi maselo 6. Mapiritsiwo ndi oyera, chowonda, biconvex, pakati pamakhala ngozi. Gawo lamtanda likuwonetsa yunifolomu yoyera. Mankhwala si ophweka. Ali ndi zotsutsana zazikulu ndi zoyipa. tsya mosamalitsa kutsatira malangizo a dokotala wako ndi kuphunzira Buku amaperekedwa ndi primeneniyu.Ne analimbikitsa kuchita samolecheniem.Prinimat yekha zotchulidwa dokotala.

Mankhwalawa amapangidwa ndi Russia, pakadali pano ndimakhala ndi wopanga Pharmstandard-Tomskkhimfarm-yogwira mankhwala metformin-60 mapiritsi a 0,85 magalamu. Ndikudalira opanga ku Siberian ndi Ural kwambiri, chifukwa pali zambiri zabodza pakati, poyamba, mankhwalawa amatalikitsanso moyo wa munthu, chachiwiri, zimathandiza kuti muchepetse thupi, muyenera kumwa piritsi limodzi usiku, koma nthawi yomweyo samverani zakudya zina, -kofunika kupatula ufa, maswiti, maswiti, makeke, shuga, mafuta owotchera ophika - muyenera kudya zakudya zochulukirapo ndipo makamaka, mwamagulu, kudya mapuloteni, masamba ndi zipatso sizokoma. Zachidziwikire, adotolo kapena munthu payekha ayenera kudziwa kuchuluka kwa mapiritsi omwe amafunikira komanso zakudya zomwe azitsatira. Kenako sizingafanane ndi aliyense, koma ndakhala ndikuzigwiritsa ntchito kwa nthawi yayitali ndipo zimandithandiza.

Mankhwalawa amapangidwa ndi Russia, pakadali pano ndimakhala ndi wopanga Pharmstandard-Tomskkhimfarm-yogwira mankhwala metformin-60 mapiritsi a 0,85 magalamu. Ndikudalira opanga ku Siberian ndi Ural kwambiri, chifukwa pali zambiri zabodza pakati, poyamba, mankhwalawa amatalikitsanso moyo wa munthu, chachiwiri, zimathandiza kuti muchepetse thupi, muyenera kumwa piritsi limodzi usiku, koma nthawi yomweyo samverani zakudya zina, -kofunika kupatula ufa, maswiti, maswiti, makeke, shuga, mafuta owotchera ophika - muyenera kudya zakudya zochulukirapo ndipo makamaka, mwamagulu, kudya mapuloteni, masamba ndi zipatso sizokoma. Zachidziwikire, adotolo kapena munthu payekha ayenera kudziwa kuchuluka kwa mapiritsi omwe amafunikira komanso zakudya zomwe azitsatira. Kenako sizingafanane ndi aliyense, koma ndakhala ndikuzigwiritsa ntchito kwa nthawi yayitali ndipo zimandithandiza.

Formmetin (Metformin) amatengedwa ndi agogo athu, omwe akudwala matenda amtundu wa 2 komanso onenepa kwambiri. Popeza agogo ake ali ndi zaka zopitilira makumi asanu ndi atatu, dotolo adapereka gramu imodzi kapena piritsi limodzi patsiku la mankhwala a "Formmetin". Kwa odwala ocheperako, mlingo wa tsiku ndi tsiku umakhala wokulirapo, koma osapitilira 3 magalamu kapena mapiritsi atatu patsiku. Dokotala amayenera kufotokozera kuchuluka kwa mankhwalawo payekha kwa wodwala aliyense, kutengera kuchuluka kwa shuga. Formetin imakhala ndi zovuta monga kupweteka kwam'mimba, kusanza, kusanza, kutsekemera komanso kutsekemera kwazitsulo mkamwa, kusowa chilimbikitso, ndipo pamakhala zotsutsana monga zotupa pakhungu. Zomwe zimagwiritsidwa ntchito ndi metformin hydrochloride. Mankhwala "Fomu" amachepetsa shuga m'magazi, amakhazikika ndikuchepetsa thupi, amachepetsa mayamwidwe. werengani more glucose. Phukusili limakhala ndi mapiritsi makumi asanu ndi limodzi pa gramu imodzi. Impso kuwonongeka, mtima ndi kupuma kulephera, matenda ashuga ketoacidosis, matenda ashuga, kukomoka, pakati, kuyamwitsa, kuphwanya chiwindi ntchito, mowa poyizoni. Mankhwalawa amathandiza agogo, kuphatikiza apo amadya zakudya kwambiri, kukhala ndi moyo wakhama, kusuntha kwambiri komanso kuchita masewera olimbitsa thupi tsiku lililonse. Mtengo wa mankhwalawa ndi pafupifupi ma ruble 240 mumasitolo ogulitsa mankhwala ku Moscow. Agogo anga amamwa mankhwalawo kwaulere ku chipatala.

Formmetin (Metformin) amatengedwa ndi agogo athu, omwe akudwala matenda amtundu wa 2 komanso onenepa kwambiri. Popeza agogo ake ali ndi zaka zopitilira makumi asanu ndi atatu, dotolo adapereka gramu imodzi kapena piritsi limodzi patsiku la mankhwala a "Formmetin". Kwa odwala ocheperako, mlingo wa tsiku ndi tsiku umakhala wokulirapo, koma osapitilira 3 magalamu kapena mapiritsi atatu patsiku. Dokotala amayenera kufotokozera kuchuluka kwa mankhwalawo payekha kwa wodwala aliyense, kutengera kuchuluka kwa shuga. Formetin imakhala ndi zovuta monga kupweteka kwam'mimba, kusanza, kusanza, kutsekemera komanso kutsekemera kwazitsulo mkamwa, kusowa chilimbikitso, ndipo pamakhala zotsutsana monga zotupa pakhungu. Zomwe zimagwiritsidwa ntchito ndi metformin hydrochloride. Mankhwala "Fomu" amachepetsa shuga m'magazi, amalimbitsa komanso amachepetsa thupi, amachepetsa mayamwidwe a shuga. Phukusili limakhala ndi mapiritsi makumi asanu ndi limodzi pa gramu imodzi. Impso kuwonongeka, mtima ndi kupuma kulephera, matenda ashuga ketoacidosis, matenda ashuga, kukomoka, pakati, kuyamwitsa, kuphwanya chiwindi ntchito, mowa poyizoni. Mankhwalawa amathandiza agogo, kuphatikiza apo amadya zakudya kwambiri, kukhala ndi moyo wakhama, kusuntha kwambiri komanso kuchita masewera olimbitsa thupi tsiku lililonse. Mtengo wa mankhwalawa ndi pafupifupi ma ruble 240 mumasitolo ogulitsa mankhwala ku Moscow. Agogo anga amamwa mankhwalawo kwaulere ku chipatala.

Analogs Forethine

Machesi molingana ndi mawonekedwe

Mtengo wake umachokera ku ma ruble 97. Analogue ndiokwera mtengo kwambiri ndi ma ruble 7

Machesi molingana ndi mawonekedwe

Mtengo kuchokera ku ma ruble 115. Analogue ndiokwera mtengo kwambiri ndi ma ruble 25

Machesi molingana ndi mawonekedwe

Mtengo wake umachokera ku ma ruble 130. Analogue ndiokwera mtengo kwambiri ndi ma ruble 40

Machesi molingana ndi mawonekedwe

Mtengo wake umachokera ku ma ruble 273. Analogue ndiokwera mtengo kwambiri ndi ma ruble 183

Machesi molingana ndi mawonekedwe

Mtengo wake umachokera ku ma ruble 287. Analogue ndiokwera mtengo kwambiri ndi ma ruble 197

Machesi molingana ndi mawonekedwe

Mtengo wake umachokera ku ma ruble 288. Analogue ndiokwera mtengo kwambiri ku 198 rubles

Machesi molingana ndi mawonekedwe

Mtengo wake umachokera ku ma ruble 435. Analogue ndiokwera mtengo kwambiri ndi ma ruble 345

Machesi molingana ndi mawonekedwe

Mtengo wake umachokera ku ma ruble 499. Analogue ndiokwera mtengo kwambiri ku 409 rubles

Machesi molingana ndi mawonekedwe

Mtengo wake umachokera ku 735 rubles. Analogue ndiokwera mtengo kwambiri pa ma ruble 645

Machesi molingana ndi mawonekedwe

Mtengo kuchokera ku ma ruble 982. Analogue ndiokwera mtengo kwambiri ma ruble 892

Machesi molingana ndi mawonekedwe

Mtengo kuchokera ku ma ruble 1060. Analogue ndiokwera mtengo kwambiri pa ma ruble 970

Machesi molingana ndi mawonekedwe

Mtengo wake umachokera ku ma ruble 1301. Analogue ndiokwera mtengo kwambiri ku 1211 rubles

Machesi molingana ndi mawonekedwe

Mtengo wake umachokera ku 1395 rubles. Analogue ndiokwera mtengo kwambiri ndi ma ruble a 1305

Machesi molingana ndi mawonekedwe

Mtengo wake umachokera ku ma ruble a 1806. Analogue ndiokwera mtengo kwambiri ku 1716 rubles

Machesi molingana ndi mawonekedwe

Mtengo wake umachokera ku ruble 2128. Analogue ndiokwera mtengo kwambiri ku 2038 rubles

Machesi molingana ndi mawonekedwe

Mtengo kuchokera ku 2569 rubles. Analogue ndiokwera mtengo kwambiri pa ma ruble 2479

Machesi molingana ndi mawonekedwe

Mtengo wake umachokera ku ruble 3396. Analogue ndiokwera mtengo kwambiri ndi ma ruble 3306

Machesi molingana ndi mawonekedwe

Mtengo kuchokera pa ma ruble 4919. Analogue ndiokwera mtengo kwambiri pa ma ruble 4829

Machesi molingana ndi mawonekedwe

Mtengo kuchokera ku ma ruble 8880. The analogue ndi okwera mtengo kwambiri pa ma 900 rubles

Zizindikiro zogwiritsidwa ntchito

Mankhwala amathandizidwa ndi odwala omwe ali ndi matenda a shuga 2, kutsekeka kwa glucose kapena metabolic syndrome.

Ubwino wa mapiritsi a Formetin:

• mwa anthu omwe ali ndi chiwonetsero choyambirira cha matenda a kagayidwe kazakudya, kuphatikizika ndi chitukuko cha matenda osokoneza bongo amaletsa
• amathandizira kuchepetsa kuchuluka kwa minofu ya thupi pamaso pa kunenepa kwambiri,
• amachepetsa cholesterol yamagazi ndi triglycerides,
• amachepetsa chiwopsezo cha matenda a mtima mu onenepa kwambiri odwala matenda ashuga,
• kuvomereza sikugwirizana ndi chiopsezo cha hypoglycemia.

Malinga ndi malingaliro aposachedwa, mankhwala opangidwa ndi metformin ayenera kukhala oyenera ndipo akuyenera kuperekedwa makamaka kuti muchepetse shuga wamagazi mu mtundu 2 wa shuga, pokhapokha ngati pali vuto lililonse la munthu.

Pa hemoglobin wa glycated wochepera 7.5%, monotherapy amaloledwa kwa miyezi isanu ndi umodzi ndikuwunika pambuyo pake. Ngati mulingo wokwera, chithandizo chikuyenera kuyamba ndi kuphatikiza mankhwala omwe amakhala ndi metformin komanso mankhwala omwe amalimbikitsa kupanga insulin.

Kutulutsa Fomu

Fomati imapezeka mu 3 Mlingo mumapaketi a 30 kapena 60 zidutswa. Mapiritsi okhala ndi 500 mg a metformin, oyera, ali ndi mawonekedwe ozungulira. Mapiritsi a 850 mg ndi 1000 mg ndi oval, biconvex, oyera.

Kugula kopindulitsa kwambiri kwa phukusi la Formetin ndi mapiritsi 60, chifukwa amtengo kutengera mlingo: 500 mg - mpaka ma ruble 100, 850 mg - 150-180 rubles ndi 1000 mg - 220-260 rubles.

Phukusi laling'ono la mapiritsi 30 mtengo: 500 mg - mpaka 70 ma ruble, 850 mg - 100-110 rubles ndi 1000 mg - mpaka ma ruble 150.

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Chithandizo chogwira ntchito chomwe chimayambitsa zotsatira za mankhwalawa - metformin hydrochloride - chinthu chotsitsa shuga kuchokera pagulu la Biguanide.

Zina zokhudzana ndi ndale zomwe zimagwiritsidwa ntchito popanga: magnesium stearate, povidone ndi croscarmellose.

Malangizo ogwiritsira ntchito

Malangizo a momwe angatengere Formetin amaperekedwa ndi adokotala. Kutengera zolinga za chithandizo chamankhwala ndi kuzindikira kwakukulu, mutha kuyamba kumwa ndi 500 mg, mapiritsi 1 kapena 2 patsiku. Pang'onopang'ono, mlingo ungathe kuwonjezeka mpaka 2-3 g patsiku. Malinga ndi malangizo, ndikofunikira kumwa mankhwalawa mukamadya kapena mutatha kudya ndi madzi.

Mu sabata yoyamba kuvomerezedwa, zimbudzi, zotulutsa, komanso kusowa kwamimba zitha kuzindikirika. Zizindikirozi sizowopsa ndipo zimangopita pazokha.

Zolemba zogwiritsira ntchito

Mankhwalawa sagwiritsidwa ntchito pochiza matenda amtundu woyamba wa shuga, ndipo sagwiritsidwa ntchito mwa ana. Odwala omwe zaka zawo zimaposa zaka 60, ndikofunika kutsatira tsiku lililonse la 1000 mg.

Pa nthawi yoyembekezera komanso yoyamwitsa, formin imatsutsana kwambiri. Mimba ikakhazikitsidwa, mankhwala aliwonse amkamwa a hypoglycemic amathetsedwa, ndipo chithandizo cha insulin chimayikidwa.

Mu matenda a impso, limodzi ndi kuchepa kwa kusefukira kwa glomerular pansi pa 45 ml / mphindi / 1.73 m 2, mlingo wa tsiku ndi tsiku uyenera kuchepetsedwa, ndipo ngati mulingo wachepera 30 ml / min / 1.73 m 2, mankhwalawo amatha.

Ngati akukonzekera kuchita kafukufuku ndikumayambitsa kupatsirana kwa ayodini kapena njira zambiri zochitira opaleshoni, kudya kwa Formetin kuyimitsidwa kwa masiku awiri ndikuyambiranso masiku awiri pambuyo pa njirayi.

Kuchita ndi mankhwala ena

Limagwirira a metformin amagwirizanitsidwa ndi kuchepa kwa minofu insulin komanso kukakamiza kwa kupanga kwa chiwindi ndi chiwindi. Kupititsa patsogolo izi, ziyenera kuphatikizidwa ndi mankhwala omwe amalumikizidwa ndi maulalo ena mu kagayidwe kazachilengedwe, mwachitsanzo, kumalimbikitsa kupanga insulin kapena kuchepetsa kuchepa kwa shuga m'matumbo kapena impso.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Kuphatikiza kothandiza kwambiri kwa formin ndi:

• zochokera ku sulfonylurea (Maninyl, Glyclazide, Amaryl),
• Clinids (Nova-Norm),
• gliptins (Galvus, Januvius, Onglisa, Vipidia),
• glyphlozines (Jardins),
• glucagon-ngati peptide-1 receptor agonists (Baeta, Victoza).

Ngati chithandizo cha pakamwa sichikugwira ntchito mu shuga, metformin imatha kuphatikizidwa ndi jakisoni waifupi kapena wautali wa insulin.

Mphamvu ya hypoglycemic ya mapiritsi a Formetin imatha kuchepetsedwa ndikuyamwa ndi glucocorticoids, mankhwala okhala ndi estrogen, thyroxine, diuretics, nikotini acid.

Zotsatira zoyipa

Zotsatira zoyipazi zimakhudzana ndi zizindikiro za dyspeptic ndipo zimawonetsedwa ndi kutulutsa, kutsegula m'mimba, kupweteka kwam'mimba, kupangika kwamagesi kwambiri. Kuti muchepetse kuopsa kwa zizindikiro zovutitsa, tikulimbikitsidwa kulandira mankhwala pang'ono, ndipo mankhwalawa amayenera kumwa ndi chakudya, osati pamimba yopanda kanthu. Nthawi zambiri, m'mimba thirakiti limasinthika kukhala metformin ndi kugaya mmimba masabata 1-2.

Ngati pali matenda olumikizana okhudzana ndi kuchepa kwa mpweya m'thupi (hypoxia), kapena kumwa kwambiri mowa, matheka a lactic acidosis amatha, zomwe zimapangitsa kufooka, nseru, kusanza, kupuma movutikira, kulephera kudziwa, kuchepa kwamphamvu, komanso kukokana. Pankhaniyi, kuchipatala kwadzidzidzi komanso kuchotsedwa kwa mankhwala zimasonyezedwa.

Malangizo ogwiritsira ntchito mapiritsi a Foromu akuwonetsa kuti kugwiritsidwa ntchito kwa nthawi yayitali kumatha kuyambitsa kuphwanya kwa vitamini B12 ndikuwongolera kuchepa kwa magazi a megaloblastic. Zotsatira zosowa kwambiri zoterezi zimawonedwa pamaso pa matenda am'mimba opatsirana mwa matenda a shuga omwe amatenga metformin.

Thupi lawo siligwirizana ngati zotupa pakhungu limayambitsa kumayambiriro kwa mankhwalawa ndipo limakhala chifukwa chobweretsera mankhwala.

Contraindication

Musanatenge Foromu, kufunsira kwa dokotala kapena endocrinologist kumasonyezedwa. Dokotalayo ayenera kudziwitsidwa za nthenda zonse zamankhwala ndi mankhwala omwe amamwa kuti adziwe zomwe zingachitike.

Izi zikuphatikiza:

Odwala kwambiri, matenda kuwonongeka kwa matenda osachiritsika, komanso kuchitapo kanthu kwa opaleshoni, kusintha kwa chithandizo chamankhwala cha hypoglycemic mpaka insulin kwasonyezedwa.

Bongo

Ngati mulingo wovomerezeka udapitilira, pamakhala vuto lowopsa lactic acidosis. Ngati zizindikiro zoyambirira za bongo zadziwika, wodwala ayenera kupita kuchipatala kuti akalandire chithandizo choyenera.

Wodwalayo amapatsidwa mankhwala a insulin asanafike mpumulo. Kutenga kwamphamvu kwam'mimba kumayikidwa, ndipo nthawi zina hemodialysis.

Popeza metformin ndiyo mankhwala othandizira kwambiri odwala matenda ashuga amtundu wa 2, mankhwala ambiri am'nyumba ndi akunja apangidwa motengera: Glucofage, Siofor, Metformin-Teva, Bagomet, Glformin, Langerin.

Forethine adandiuza ndikangopezeka ndi matenda ashuga. Panthawiyo, ndinali kuvutika ndi ululu m'miyendo yanga, ludzu usiku komanso kunenepa kwambiri. Ndimatsata zakudya ndikumamwa 1000 mg ya formin 2 kawiri pa tsiku zoposa chaka. Ndimamva bwino kwambiri, ndinataya makilogalamu 4, shuga wanga wamagazi amapitilira 6.5.

Antonov R., wazaka 48:

Kunenepa kwambiri kuyambira ndili wachinyamata. Sindinayang'ane kuchuluka kwa shuga mpaka, mwamwayi, hyperglycemia ndi cholesterol yayikulu adapezeka panthawi yomwe anali atakayezetsa kuchipatala.Wochiritsirayu wavumbulutsa kunenepa kwambiri komanso matenda ashuga, ofunikira Fomu. Mankhwalawa adalekeredwa bwino, adatha kuwonjezera kuchuluka kwa 3 g patsiku. Anawongolera hemoglobin wa glycated miyezi itatu iliyonse - chifukwa cha zakudya ndi mapiritsi, adayamba kuchita bwino.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu