Momwe mungagwiritsire ntchito mankhwala Ofloxin 200?

Amapezeka mumitundu yosiyanasiyana - yolimba, yamadzi, yofewa. Ili ndi njira zingapo zogwiritsira ntchito. Chomwe chimagwira ntchito zamitundu yonse ndi chaloxacin, quinolone wa m'badwo wachiwiri.

Ofloxin 200 ndi mankhwala ochokera pagulu la fluoroquinolones, wothandizira pakuwonetsa antimicrobial.

Chophimbidwa ndikumakhala ndi magwiritsidwe osiyanasiyana a mfundo yogwira ntchito. Mapiritsi a Ofloxin, kuphatikiza pa mankhwala othandizira ofloxacin (200 ndi 400 mg aliyense), ali ndi zina zowonjezera:

  • shuga mkaka
  • wowuma chimanga
  • talcum ufa
  • hypromellose 2910/5.

Mapiritsiwa amakhala ndi zokutira ndipo zimakhala ndi mfundo zingapo zogwira ntchito.

Mapiritsi amasiyana mosiyanasiyana ndi kusindikiza kosonyeza kuchuluka kwa zinthu zazikulu (200 ndi 400 mg iliyonse). Bokosi lililonse lili ndi matuza 1 okhala ndi mapiritsi 10.

Makutu amaso ndi amaso akupezeka. 1 ml yankho lomveka bwino lili ndi:

  • 3 mg ofloxacin,
  • mchere njira
  • benzalkonium chloride,
  • hydrogen chloride
  • madzi okonzedwa.

Atakulungidwa mu botolo la pulasitiki ndi dontho.

Ofloxin 200 imapezeka mu mawonekedwe a makutu amaso ndi amaso.

Ilibe njira yotulutsidwa.

Njira yothetsera kulowetsedwa kwamtundu wobiriwira wachikasu ndikuyiyika mu mbale 100 ml. Botolo ili ndi 200 mg yofunikira ndi zotuluka:

  • mchere njira
  • Trilon B
  • hydrogen chloride
  • madzi okonzedwa.

Makapisozi achikasu a gelatin okhala ndi kapu yofiirira yofiirira:

  • ofloxacin - 200 mg,
  • hypromellose
  • sodium lauryl sulfate,
  • shuga mkaka
  • calcium phosphate bisubstituted owonjezera madzi,
  • talcum ufa.

Makapisozi a gelatin achikasu amakhala ndi matuza 10 zidutswa.

Makapisozi amadzaza matuza a zidutswa 10.

Mankhwala amapezeka wofatsa - mafuta ogwiritsira ntchito mabala (Oflokain) ndi mafuta am'maso atagona thumba la conjugate. Mafuta amaikidwa m'matumba a 15 kapena 30 g. Mu 1 g ya mankhwala ili:

  • 1 mg ofloxacin
  • 30 mg ya lidocaine wa hydrochloride,
  • propylene glycol
  • poloxamer
  • macrogol 400, 1500, 6000.

Mafuta amaso amapangidwa m'matumba a 3 ndi 5 g, omwe ali ndi:

Mankhwala amapezeka wofatsa - mafuta okuthandizira mabala ndi mafuta am'maso atagona thumba la conjugate.

Ma suppositories anyama akupezeka pansi pa mayina osiyanasiyana.

Zotsatira za pharmacological

Mphamvu ya bactericidal ya Ofloxin 200 imatheka chifukwa cha kuletsa kwa DNA-gyrase - ma enzymes omwe amayambitsa kapangidwe ka DNA m'maselo a bakiteriya ndi kubereka kwawo. Ma enzymewawa amatenga mbali ziwiri mwanjira zofunika kwambiri - kuzungulira ndikuwonetsetsa kuti khola lake likukhazikika. Fluoroquinolone amathandizira kuwonongeka kwa nembanidwe kabakiteriya, motero, chiwopsezo cha mitundu yosagonjetseka ndiyotsika.

Mankhwala omwe amagwiritsidwa ntchito kwambiri polimbana ndi mabakiteriya opanda gramu. Cholinga cha Ofloxin 200 pomwe adadziwonetsera ndi topoisomerase II. Pakati pagulu la fluoroquinolones, mankhwalawa amayimira ntchito yake motsutsana ndi gramu-cocci. Cholinga chake ndi topoisomerase IV.

Mankhwala omwe amagwiritsidwa ntchito kwambiri polimbana ndi bakiteriya wopanda gramu.

Pharmacodynamics ya chinthu imakhazikitsidwa pakuwonongeka kwa kulumikizana pakati pamagetsi a DNA (kukhazikika kwa izo), komwe kumayambitsa kufa kwa khungu la bakiteriya. Kusankha kotero kunapangitsa kutchuka kwa ofloxacin ndi ma fluoroquinolones ena - mabakiteriya ambiri omwe amalimbana ndi mitundu inanso ya maantibayotiki ndi sulfonamides amalola kuwonongeka kwawo.

Mankhwala ali ndi zoperewera zochepa, monga imagwira ntchito pamtundu wa maselo a bakiteriya, popanda kuwononga kapangidwe ka DNA ya munthu. Chifukwa chake, mankhwalawa amagwiritsidwa ntchito muzochita za ana ndi zamankhwala.

Pharmacokinetics

Mankhwalawa amatengedwa mwachangu komanso mwamphamvu m'matumbo, mpaka kufika pozizira m'magazi pambuyo pa maola atatu ndi atatu. Zakudya pang'ono zimalepheretsa kuyamwa, koma sizikhudza kukwana kwake. Mankhwalawa ali ndi imodzi mwazigawo zapamwamba kwambiri za digestibility pakati pa fluoroquinolones - pafupifupi 100%.

Mankhwalawa amatengedwa mwachangu komanso mwamphamvu m'matumbo, mpaka kufika pozizira m'magazi pambuyo pa maola atatu ndi atatu.

Hafu ya moyo wake ndi maola 5-10, kotero mankhwalawa amatha kumwa kamodzi pa tsiku. Kuzungulira kwa zinthu mu minofu ndizofanana kapena kukwera kuposa seramu. Ngati mlingo waukulu wa mankhwalawo waperekedwa, ndiye kuti chinthucho chimadziunjikira:

  • Pakati mantha dongosolo
  • machubu bronchial
  • thumba lamanja
  • dongosolo la urogenital
  • mkati mwa chitetezo chathupi.

Chifukwa cha izi, mankhwalawa amagwira ntchito mankhwalawa matenda a intracellular. Ofloxacin amapitilira gawo losintha mthupi - 75-90% ya thunthu limachotsedwa mkodzo, komwe ndikofunikira pakukonzekera kwa matenda a impso ndi kwamkodzo thirakiti.

Thupi lomwe limayenda m'madzi am'magazi silikhala ndi mapuloteni ndipo limalowa mu bedi lamitsempha.

Thupi lomwe limayenda m'madzi am'magazi silikhala ndi mapuloteni ndipo limalowa mu bedi lamitsempha. Mankhwalawa ndi osiyana:

  • ntchito iliyonse pH
  • kusowa kwamphamvu pa pharmacokinetics of methylxanthines,
  • kupezeka kwa zotsatira za postantibiotic,
  • kuchepa kwapadera kwa dysbiosis,
  • mbiri yabwino yachitetezo.

Thupi silikhudzika kwa kukula kwamkati ndi chiberekero cha mwana wosabadwayo.

Zizindikiro zogwiritsidwa ntchito

Chizindikiro cha matenda opatsirana:

  • kwamikodzo dongosolo
  • Akazi ndi amuna,
  • STI
  • matumbo
  • dongosolo la biliary
  • nosocomial ndi postoperative
  • mlengalenga
  • septicemia ndi bacteremia,
  • Pakati mantha dongosolo
  • chifuwa chachikulu, khate.


Ofloxin 200 akuwonetsedwa zochizira kwamikodzo matenda.
Ofloxin 200 akuwonetsedwa zochizira matenda am`mapapo matenda.
Ofloxin 200 akuwonetsedwa zochizira matenda abambo.

Mafutawa amagwiritsidwa ntchito pochiritsa matenda a pakhungu, matenda a mano, komanso mankhwalawa.

Contraindication

Malangizo monga contraindication ogwiritsa ntchito Ofloxin 200 akuwonetsa:

  • Hypersensitivity
  • Mimba ndi kuyamwa
  • mankhwala a ana ochepera zaka 18,
  • khunyu komanso kukokana
  • kukhalapo kwa kuwonongeka kwa tendon chifukwa chogwiritsa ntchito fluoroquinolones,
  • cytosolic enzyme akusowa (G6FD).


Ofloxin 200 ndi contraindicated vuto la hypersensitivity.
Ofloxin 200 ndi contraindicated mu mkaka wa m`mawere.
Ofloxin 200 imaphatikizidwa kwa ana osakwana zaka 18.

Ndi chisamaliro

Mosamala:

  • matenda amiseche,
  • zovuta zamagazi muubongo,
  • kuwonongeka kwaimpso,
  • zovuta zamagulu chitukuko ndi chikhalidwe cha chapakati mantha dongosolo,
  • kugunda kwa mtima kugundana ndi kutalika kwa gawo la QT.

Zophwanya zambiri zidawunikiridwa.


Kuchenjeza mankhwalawa amalembera zovuta zamagazi muubongo.
Mankhwala osamala ndi mankhwala operewera aimpso.
Chenjezo limawonetsedwa pakulephera kwa mtima ndi nthawi yayitali ya QT.

Momwe mungatenge Ofloxin 200

Odwala achikulire amapatsidwa 200-600 mg. Kutalika kwa maphunzirowa ndi masiku 7-10. Mankhwala osokoneza bongo a 400 mg akhoza kumwa kamodzi, makamaka m'mawa kwa theka la ola kapena ola limodzi musanadye, mlingo waukulu umagawidwa pawiri. Ndikulimbikitsidwa kumeza mapiritsi ndi madzi. Mu matenda akulu ndi kunenepa kwambiri, kuchuluka kwa mlingo mpaka 800 mg / tsiku ndikuloledwa.

Ngati matenda otupa a m'munsi kwamikodzo dongosolo (prostatitis, cystitis, urethritis) sakhala ovuta, ndiye kuti ndikokwanira kumwa 200 mg 1 nthawi patsiku kwa masiku 3-5. Zochizira matenda a chinzonono, limodzi la 400 mg limalimbikitsidwa.

Mlingo ndi njira yothandizira odwala omwe ali ndi vuto la impso zimadalira chilolezo cha creatine:

Cl creatine (ml / mphindi.)Kuchuluka kwa zinthu (mg)Swing (kamodzi patsiku)
50-202002
4001
Mukadumpha mlingo

Ngati wodwalayo adayiwala kumwa mankhwalawo, ndiye kuti amaloledwa kumwa iwo akangom'kumbukira.

Mankhwala mu mlingo wa 400 mg akhoza kumwa kamodzi, makamaka m'mawa, theka la ola kapena ola limodzi musanadye.

Zotsatira zoyipa zaloxine 200

Mankhwalawa amalekeredwa bwino - zoyipa zimachitika ndi 0,5-10% ya milandu. Komabe, zovuta zoyipa zimadziwika nthawi zina.

Odwala omwe apezeka ndi matenda ashuga nthawi yonse ya Ofloxin 200 amafunika kuwongolera shuga.

Pakati mantha dongosolo

Mwanjira ya chizungulire, nkhawa, mavuto atulo. Zowonetsedwa kwambiri:

  • mkhalidwe wokondwerera kapena wokhumudwa,
  • psychosis ndi phobias,
  • kuchuluka kwazovuta zamkati,
  • kuyerekezera
  • kukhumudwa


Zotsatira zoyipa za chapakati mantha dongosolo: chizungulire.
Zotsatira zoyipa zochokera ku dongosolo lamkati lamanjenje: kugona tulo.
Zotsatira zoyipa kuchokera ku dongosolo lamkati lamanjenje: kukhumudwa.

Kuchokera ku genitourinary system

  • hypercreatininemia,
  • yade
  • onjezera urea.

Kuchokera pakhungu pamakhala zotupa.
Kumbali yamtima, kuthamanga kwa magazi kumachepa.
Pa gawo la masculoskeletal system, pamatha kukhala zofooka ndi zizindikiro zopweteka m'misempha.

Zokhudza mphamvu pakuwongolera njira

Sizoletsedwa kuyendetsa magalimoto ndikugwira ntchito ndi njira zovuta zomwe zimafuna kuyang'aniridwa.

Mutatha kumwa mankhwalawo, ndizoletsedwa kuyendetsa magalimoto.

Malangizo apadera

Zothandiza pa pathologies chifukwa cha chibayo kapena mycoplasmas - bronchitis, chibayo, bronchitis.

Ngati pali zizindikiro za chifuwa, zoyipa zamagetsi zamkati, muyenera kuletsa mankhwalawo.

Panthawi yamankhwala, kulowetsedwa, kukhudzana ndi ma radiation a UV mu solaramu ndi physiotherapy sayenera kuphatikizidwa.

Mankhwala Ofloxin ana 200

Ana samapereka mankhwala mpaka chitakula ndi mapangidwe a minofu ndi mafupa. Komabe, pazifukwa zaumoyo komanso popanda zotsatira zoyipa za mankhwala ena, Ofloxin 200 amatha kuthandizidwa pa Mlingo wa 7.5 mg pa 1 kg ya kulemera kwa thupi. Chokwanira chovomerezeka ndi 15 mg / kg.

Ana samapereka mankhwala mpaka chitakula ndi mapangidwe a minofu ndi mafupa.

Kugwiritsa ntchito kwa vuto la chiwindi

Chidachi chimagwiritsidwa ntchito pokhapokha kuwunikira kuchuluka kwa bilirubin, ndi kuchuluka kwa mankhwalawa, mankhwalawa amasinthidwa kapena kutsekedwa.

Ngati chiwindi chayamba kugwira ntchito, mankhwalawa amagwiritsidwa ntchito pokhapokha amawunikira kuchuluka kwa bilirubin.

Kuphatikiza kophatikizidwa

Osagwiritsa ntchito nthawi imodzi ndi:

  • NSAIDs - mwina kutsitsa njira yolanda matenda,
  • quinolones ndi mankhwala a impso kagayidwe - kuchuluka kwa kuchuluka kwa ofloxin ndi kutalika kwa nthawi ya kutulutsa kwake,
  • antihypertensive agents, barbiturates - kuchepa kwambiri kwa magazi ndizotheka,
  • glucocorticoids - amachulukitsa chiopsezo cha tendonitis,
  • anthocyanins - kuchepetsa kugaya kwa mankhwala,
  • amatanthauza kuti kusuntha kwa pH kwamkodzo kupita ku mbali ya zamchere - zotsatira za nephrotoxic ndizotheka.


Osagwiritsa ntchito nthawi yomweyoSizingagwiritsidwe ntchito munthawi yomweyo ndi anthocyanins - amachepetsa kugaya mankhwala.
Sitha kugwiritsidwa ntchito munthawi yomweyo ndi NSAIDs - ndizotheka kuchepetsa cholowa cha matenda osokoneza bongo.

Osavomerezeka kuphatikiza

Sizoletsedwa kuphatikiza ndi:

  • mavitamini a vitamini K - mwina achulukitsa magazi,
  • Glibenkamide - achulukitse kuchuluka kwa glibenclamide mu seramu yamagazi,
  • mukafufuza, mankhwalawa amatha kupereka zotsatira zabodza za opiates ndi porphyrins mkodzo.

Kuphatikiza komwe kumafunikira kusamala

Milandu yowonjezereka yogwira ntchito ya anticoagulants pamlomo amadziwika ndi munthawi yomweyo chithandizo ndi fluoroquinolones.

Ngakhale mukumwa mankhwala omwe amaphwanya mtundu wa sinus, ndikofunikira kuyendetsa ECG.

Ofloxin 200 sigwirizana ndi ethylate.

Ndemanga za Ofloxin 200

Analandira ndemanga zabwino kuchokera kwa madokotala ndi odwala.

Maxim Alexandrovich, dotolo, Minsk: "Mu ntchito yanga yonse ya udokotala ndakhala ndikugwiritsa ntchito fluoroquinolones pothandiza odwala. Ndimaona kuti Ofloxin 200 ndiwothandiza. Amapereka zotsatira zabwino ndipo amalekerera popanda zotsatira zoyipa."

Galina Sergeyevna, dokotala wazachipatala, ku Kiev: "Ofloxin 200 imakonda kuperekedwa kwa odwala omwe amatupa kwamkodzo. Ndi mawonekedwe osavuta, ndikwabwino kuti musunge ndikuyang'anira. Ndi bwino kuti muyenera kungogwiritsa ntchito nthawi 1-2 patsiku."

Njira zothandizira antimicrobials Mukamwa maantibayotiki

Olga, wazaka 32, Kaluga: "Mankhwalawa adamwa mankhwalawa cystitis. Zinali zowopsa. Patatha masiku angapo kumwa Ofloxin 200, Zizindikiro zonse zinatha.

Mikhail, wazaka 22, Omsk: "Ndidazizidwa kuntchito, mavuto a urology adapezeka. Dokotala adalemba mapiritsi a Ofloxin 200 - adagwira ntchito mwachangu. Adathandiza kwambiri."

Tamara, wazaka 40, Gorlovka: "Ndinalandila mayeso oyipa okhudza matenda am'mbuyomu. Potsatira malingaliro a dokotala, ndinayamba maphunziro a Ofloxin. Posachedwa ndinapita ku labotale - zotsatirapo zake sizabwino."

Kusiya Ndemanga Yanu