Ndi mankhwala ati omwe ndi othandiza kwambiri - Reduxin -10 - kapena

Kuchokera kuzomwe ndakumana nazo.

Mu sapxin 15, mlingo wa chinthu chachikulu chogwirizana, sibutramine, ndi wokulirapo. Popeza mankhwalawa ali ndi zovuta zambiri komanso contraindication, nthawi zambiri amafunika kuyambitsidwa ndi Mlingo wotsika, ndiye kuti, ndi siphxin 10. Molekerera bwino komanso osapeza mawonekedwe, mutha kusintha kuexxin. Tiyenera kudziwa kuti kuyambira 15 Pa Ogasiti 2014, mankhwala a gululi, suppxin, golide, lindax, adawonjezedwa pamndandanda wa mankhwala omwe ali ndi mphamvu kwambiri ndipo zinali zotheka kuzigula kokha mwa mankhwala. Zowona, mankhwala ambiri amaphwanya lamulo ili ndikugulitsabe. Komanso, pogulitsa, ndalama zotsika mtengo kwambiri zaku Russia ndizotsala. Zofanizira za Czech Lindax ndi Indian Goldline waku Czech, tsopano, masana ndi moto, simudzapeza m'mafakitore. R.S. Ndili ndi chidziwitso chakutha kumwa mankhwalawa onse pamwambapa, komanso meridium, yomwe, pakadali pano, siliperekedwa ku Russia, popeza idapangidwa ku Italy, ndipo kumeneko, sibutramine ali m'gulu la mankhwala oletsedwa, pafupifupi athu , ephedrine.

Kusiyana kwakukulu

Anthu ambiri omwe akufuna kuchepetsa thupi akagula mankhwalawa ndi chizindikiro cha 10 kapena 15 ayenera kudziwa kusiyana kwawo:

Kulemba uku kumalumikizidwa ndi kusiyana kwazomwe zimachitika piritsi lodziwikirali - sibutramine. Reduxine 10 imangokhala ndi 10 mg yokha ya zinthu zoopsa, ndipo mapiritsi olembedwa 15 - 15 mg.
Zithandizo ziwirizi ndizosiyana pakuyenda bwino chifukwa cha zomwe zili m'zinthu izi ndizofunikira kuti muchepetse kunenepa. Reduxin 15 wotchuka pankhaniyi ali ndi zotsatira zabwino. Akatswiri otsogolera amalangizidwa kuyambira ndi yaying'ono ya 10 mg chifukwa cha zovuta zochepa.
Mankhwala odziwika awa ochepera thupi akhala ali mumsika waulere, tsopano onse akuphatikizidwa pamndandanda wa mankhwala amphamvu, omwe amatha kumasulidwa kokha pazolinga zawo, izi zimawagwirizanitsa.
Kumwa mankhwalawa pafupipafupi kumathandizira kuwononga mphamvu zamafuta osungidwa m'thupi, chifukwa chomwe amachepetsa kwambiri kuchuluka kwa thupi. Ponena za kuchepa thupi, mankhwala omwe amapezeka kuti 15 amapambana kwambiri. Koma choyamba, muyenera kutenga kuchepetsedwa kwake kwa 10 mg.

Kodi kufanana kwawo ndi chiyani?

Mankhwala awiriwa ali ndi zotsatira zofananira zomwe zimapezeka panthawi yogwiritsidwa ntchito nthawi zonse, izi:

Pakudya kwa nthawi yayitali, kusintha kwa kadyedwe kumachitika, mwachitsanzo, kulakalaka maswiti kumatha.
Pali malo ena omwe thupi limatha kudya chakudya chochepa kwambiri.
Zotsatira zomwe zimapezeka mu mawonekedwe a kuchepa thupi zimasungidwa kwanthawi yayitali ngakhale pambuyo pa kutha kwa mankhwala.
Zotsatira zabwino zotsatirazi zomwe mankhwalawa ali ndi chizindikiritso awonekeranso: kusintha kwa shuga pamagazi ndi kuchepa kwakukulu kwa cholesterol yoyipa.

Ndani sayenera kutenga?

Reduxin wotchuka wa 10 kapena 15 ndi woletsedwa kuti agwiritsidwe ntchito pamaso pa mitundu yayikulu ya aimpso kapena chiwindi, pogwiritsa ntchito zovuta zina zamankhwala amphamvu.
Pali kuchepa pang'ono kwa chidwi pakudya nthawi yayitali mankhwalawa.
Kukhalapo kwa vuto lililonse la m'maganizo ndikutinso chifukwa choletsa mankhwalawa.

Ngakhale pali zabwino zambiri zomwe zimagwirizanitsa ma Reduxin awa, oyamba ambiri m'magulu omwa mankhwala olimbitsa thupi onse ali ndi chidwi ndi zomwe zili zothandiza kuposa Reduxin 10 kapena 15 wotchuka?

Kufanizira magwiridwe

Zachidziwikire, Reduxine ali ndi zotsatira zokulirapo ndi kuchuluka kwa 15 mg, koma pankhani yachitetezo ndi kuchuluka kwa zoyipa, zimatayika ku chithandizo choyambirira, kotero muyenera nthawi zonse kuyamba ndi mlingo wotsika, pang'onopang'ono kusinthira ku umodzi wokhazikika. Pankhaniyi, simuyenera kutenga chiopsezo chaumoyo wanu, nthawi yomweyo kuyamba kumwa mapiritsi ogwira ntchito okhala ndi ma 15.

Ngati mankhwalawa adakula, izi sizitanthauza kuti ndiotetezeka kwathunthu ku thanzi. Ndikofunika kuti muchepetse thupi mwachilengedwe, ndipo musatenge zoopsa pomwa mapiritsi apadera. Zonsezi zimachitika chifukwa cha mphamvu yomwe zida zamphamvuzi zimatha kugwiritsa ntchito thupi lonse la munthu. Ngati palibe njira yotuluka, koma muyenera kuchepetsa kuchepa kwa thupi posachedwa, ndiye kuti Reduxin 10 wotchuka adzakhala yankho lolondola pamtengo wokwanira.

Kupereka maubwino m'malo amodzi ovuta, amatha kuwononga enawo, chifukwa onse amakhala ndi zovulaza. Popeza mwasankha kutenga Reduxin wodziwika bwino, muyenera kuyezetsa zoopsa zonse zomwe zimadikira panjira yolimba, yovuta kufikira munthu woyenera. Mutha kufunsiratu ndi wolemba zakudya zaku mdera lanu, atha kukuwuzani njira zothetsera kunenepa.

Chithandizo cha Reduxin

Dokotala amamuwonetsa Reduxin mu mikhalidwe yomwe chithandizo chosagwiritsa ntchito mankhwalawa chalephera. Izi zimawerengedwa kuti m'masiku 90 kuchepa kwa thupi ndi zosakwana 5 kg. Pokhapokha ngati izi zachitika, wodwala amapatsidwa chithandizo cha Reduxine monga gawo la magawo. Kutsimikizika ndikuphatikiza mankhwalawa ndi zakudya ndi zolimbitsa thupi.

Reduxin 10 kapena 15 imakhala ndi zosakaniza zomwezi, muzingochita zosiyanasiyana. Chithandizo cha kunenepa kwambiri ndi Reduxine zimatengera zotsatira za sibutramine ndi cellulose.

Zinthu izi zimagwira ntchito limodzi. Sibutramine, yomwe ikuwonetsedwa mu kuchuluka kwa mankhwalawa, imakhudza kuwonongeka kwa mafuta m'thupi, imakhudza dongosolo lamkati lamanjenje, imachepetsa kumverera kwanjala komanso imapatsa chidwi posachedwa kudya.

Cellulose ndiye gawo lachiwiri lalikulu. Imagwira ntchito ngati sorbent, yogwira ndikumachotsa mwachilengedwe tizilombo toyambitsa matenda, poizoni, ndi zina zambiri.

Uphungu! Kuti muchite bwino, mankhwalawa amayenera kuledzera m'mawa pamimba yopanda kanthu.

Reduxin 15

Sibutramine mu kapangidwe, mg

Ma cellulose ophatikizira, mg

Kapangidwe ka kapisozi payokha

Tchuthi chopatsa mankhwala

Ntchito kumayambiriro kwa chithandizo

Kufunsira chithandizo choyambirira

Kulimbikitsa mapangidwe azikhalidwe

Pambuyo kutha kwa chithandizo, kupulumutsa zotsatira kwa nthawi yayitali

Kupititsa patsogolo kuchuluka kwa magazi

Pankhani yachitetezo cha thupi, kodi Reduxin 15 kapena 10 ali bwino? Mlingo wotetezeka wa 10 mg. Adzakhala yabwino 15 mg, ngakhale kuti popezeka ndi sibutramine, mankhwalawa ndi othandiza kwambiri.

Mankhwala onse awiri amatha kuyambitsa mavuto. Mankhwala a Reduxin 15, mwayi wokhala ndi zovuta zoyambira umaposa poyerekeza ndi mlingo wotsika.

Zambiri zanu! Ngakhale Reduxine amathandiza kuchepetsa thupi komanso kulolera bwino, chithandizo sichiyenera kupitirira chaka chimodzi.

Zokhudza kugwiritsa ntchito mankhwala osokoneza bongo

Njira yochizira imayamba ndi mankhwala Reduxin 10, omwe amakhala ndi sibutramine ochepa. Kulandila ndi kapisozi kamodzi patsiku.

Kutengera mphamvu ya mankhwalawa, adotolo angaganize kuwonjezera kuchuluka ndi kusintha kwa Reduxin 15. Kuchulukitsa kwa mankhwalawa ndikofunikira ngati kuwonongeka kwa oposa 2 kg sikukwaniritsidwa pa mlingo wochepa pamwezi.

Ngati mkati mwa masiku 90 kuchepa thupi kumakhala kochepera 5% kapena wodwalayo atayamba kuchepa thupi, chithandizo chamankhwala chimawoneka kuti sichothandiza, ndipo mankhwalawo amachotsedwa ndi adokotala. Komanso, chithandizo chimawerengedwa ngati chosathandiza, pambuyo poyenda bwino, chimalembetsedwanso.

Reduxin 15 ndiosiyana ndi Reduxin 10 mu ndende ya sibutramine, yomwe imatha kukulitsa zovuta. Nthawi zambiri kuposa ena, zizindikiro ngati izi zimawonekera kwa odwala zomwe ndimatha kumverera kale m'mwezi woyamba wa chithandizo:

kuthamanga kwa magazi
kuchuluka kwa mtima,
kusintha kwa kukoma
chizungulire
mutu
kudzimbidwa
chilala
nseru

Pafupipafupi, wodwalayo amatha kusokonezedwa ndi mawonekedwe ena omwe amagwirizana ndi chithandizo cha Reduxin. Chifukwa chake, wodwalayo adziwitse adokotala munthawi yake zokhudzana ndi zovuta zonse zaumoyo.

Pankhani ya mankhwala osokoneza bongo, mankhwala othandizira nthawi zambiri amalimbikitsidwa, chifukwa mankhwalawa sasankhidwa mwapadera ngati mulingo wambiri mu sibutramine. Mlingo waukulu ungayambitse kuchuluka kwa magazi, kupweteka kwa mutu, ndikuwonjezera kugunda kwa mtima.

Mawonetsedwe ena, monga kudzimbidwa, angafunike kusintha kwa zakudya. Nthawi zina, wodwalayo angafunike kusintha njira yochizira ndikusinthanso mankhwalawo ndi wina.

Mndandanda wa contraindication wa njira zonse ziwiri siyosiyana. Kuphatikiza apo, Reduxine sangatengedwe molumikizana ndi mankhwala onse. Ngati wodwalayo amafuna kumwa mankhwala ena munthawi ya kunenepa kwambiri, kuyanjana ndi dokotala ndikofunikira.

Funso lokonza mankhwalawa ndikusintha mankhwala liyenera kuganiziridwa ndi adokotala okha.

Kukwaniritsa kusintha kwa thupi komanso kusintha kwa moyo wanu pankhani ya kadyedwe kumakupatsani mwayi wopulumutsa zolemetsa zomwe mwapeza ngakhale mutamaliza maphunziro anu. Wodwalayo ayenera kuganizira kuti popanda kuwona malamulo atsopano azakudya ndi moyo, kulemera kumathandizidwanso.

Vidal: https://www.vidal.ru/d drug/reduxin_met__41947
Radar: https://grls.rosminzdrav.ru/Grls_View_v2.aspx?routingGu>

Mwapeza cholakwika? Sankhani ndikusindikiza Ctrl + Lowani

Khalidwe la Reduxin

Mankhwala amatanthauza mankhwala opangira kunenepa. Ikuyimira gulu la zamankhwala zamalamulo olimbitsa thupi. Kufunikira kwa mankhwala kumachitika chifukwa cha munthawi yomweyo kugaya chakudya ndi kagayidwe. Monga momwe zigawo zikuluzikulu zimagwiritsidwira ntchito:

sibutramine hydrochloride monohydrate,
microcrystalline mapadi.

Mlingo wa zinthu izi umasiyana kangapo. Chifukwa chake, sibutramine ili ndi piritsi limodzi mu 10 ndi 15 mg, ndipo kuchuluka kwa mapadi ndi 158,5 ndi 153,5 mg. Amadziwika kuti mlingo wa womaliza pazigawo umachepa pomwe kuchuluka kwa sibutramine kumawonjezeka. Kutulutsa Fomu - makapisozi. Wopangayo ndi kampani yaku Russia ya Ozone.

Sibutramine ndi wa gulu la anorexigenic. Ntchito yake yayikulu ndikupereka chidziwitso chodzaza mukamadya chakudya chochepa. Limagwirira zake chinthu ichi zachokera kuponderezedwa kwa njira yobwezeretsanso neurotransmitters. Izi zimaphatikizapo norepinephrine ndi serotonin. Kuphatikiza apo, sibutramine imayambitsa kuyanjana kwa serotonin ndi noradrenaline.

Nthawi yomweyo, zotsatirazi zimaperekedwa: kumverera kwanjala kumapanikizidwa, kumverera kwodzaza kumatheka. Kuphatikizidwa kwa malo kumeneku kumakupatsani mwayi wochepetsera kuchuluka kwa chakudya chomwe mumadya, pomwe palibe zosasangalatsa komanso palibe chifukwa chazakudya zosakonzedwa (pakati pa zazikulu). Kuthekera kwa kudya kwambiri sikumaperekedwa.

Kuphatikiza apo, sibutramine amatenga nawo mbali zina. Chifukwa chake, izi zimagwira ntchito zimathandizira kuwonjezeka kwa thermogeneis. Komabe, zimakhudza minofu ya bulauni ya adipose. Ubwino wa mankhwala omwe mukufunsidwa ndi kuthekera kwazinthu zomwe zimagwira ntchito kuti zisinthe mawonekedwe ake. Zotsatira zake, mankhwala amamasulidwa omwe amadziwika ndi zochitika zapamwamba kwambiri poyerekeza ndi sibutramine. Izi zimakuthandizani kuti muwonjezere kuchuluka kwa zoletsa za kubwezeretsanso kwa norepinephrine ndi serotonin.

Ngakhale amagwira ntchito kwambiri, palibe sibutramine kapena metabolites yake yomwe imakhudza ma receptors. Chifukwa chake, zinthu izi sizikuwonetsa zotsatira za antihistamine ndi anticholinergic. Kuphatikiza apo, gawo lomwe likugwira ntchito ku Reduxine limatha kukopa ma cellelo: limasintha ntchito yama cell amwazi.

Ndi kudya kwa nthawi yomweyo, zotsatira za Reduxine 10 ndizofooka.

Kufunikira kwa kunenepa kwambiri kumatheka pochepetsa zomwe zili ochepa otsika lipoproteins (LDL), cholesterol yathunthu, triglycerides. Nthawi yomweyo, kuwonjezeka kwa HDL kumawonedwa. Choipa cha mankhwalawa ndi momwe zimakhudzira mtima. Chifukwa chake, Reduxin amathandizira kuti magazi asinthe. Komabe, pali kuphwanya kuchuluka kwa mtima.

Zosintha izi sizikhudza thupi la munthu wathanzi, chifukwa ndizochepa. Ngati pali matenda a mtima kapena mitsempha yamagazi, muyenera kusiya kugwiritsa ntchito mankhwalawa. Wodwala akapezeka kuti ali ndi matenda oopsa, kusinthasintha pang'ono m'magazi a magazi kumatha kusokoneza thanzi la munthu.

Kuphatikiza apo, mutatenga Reduxine, imatha kukhala ndi tanthauzo lenileni pamtima wamtima. Izi zimatheka pamene mankhwalawa amaphatikizidwa ndi microsomal oxidation inhibitor.

Mukamachititsa maphunziro a nyama, zidapezeka kuti kupitilira muyeso wa sibutramine kangapo kumatha kubweretsa kuwonekera kwazotupa pakubala. Gawo lomwe limagwira popanga Reduxin lili ndi katundu wofulumira kulowa mu kapangidwe ka tinthu timene timayamwa. Mutamwa mankhwalawa, kuphatikiza osachepera 77% ya kuchuluka kwa mankhwalawo kumadziwika. Chiwopsezo chachikulu cha sibutramine chimatheka pambuyo pa maola 1.2.

Tiyenera kukumbukira kuti ndi kudya nthawi imodzi, mphamvu za Reduxine zimafooka. Izi ndichifukwa choti pansi pazinthuzi kupendekera kwake kwakukulu kumachepa. Zotsatira zake, nthawi yogwira ntchitoyo imachulukirachulukira. Izi zimachepetsa njira zomwe zimayambitsa nthawi ya Reduxin. Mgwirizano wofanana pazinthu zomwe zimatulutsidwa pakusintha kwa gawo lalikulu zimatheka pambuyo masiku 4. Kuphatikiza apo, zomwe zili m'thupi la zophatikizazi ndizochulukirapo kawiri kuposa kuchuluka kwa sibutramine mu plasma mukangoyendetsa.

Hafu ya moyo wa mankhwala othandizira ndi maola 1.2. Ma metabolabol amachotsedwa m'thupi motalika. Chifukwa chake, zimatenga maola 14-16. Zinthu izi zimawonongeka nthawi ya hydroxylation ndi conjugation. Zotsatira zake, ma metabolites osagwira amakhazikitsidwa, omwe amachotsedwa m'thupi pogwiritsa ntchito impso.

Microcrystalline mapadi

Yachiwiri ya zosakaniza ndi 100% CHIKWANGWANI. Chifukwa cha kuchuluka kwa mitundu yambiri yazakudya, zinthu zabwinozi zimadziwika:

kuchotsa kwa poizoni m'thupi,
kudzaza m'mimba, komwe kumakulitsa kumverera kwodzaza chifukwa champhamvu chodzaza,
zabwino pa ntchito ya chakudya chamagaya.

Chizindikiro chachikulu chogwiritsa ntchito Reduxin 10 ndikuchepetsa thupi kunenepa kwambiri kapena ngati thupi limaposa malire ake.

Zinthu zonsezi zimathandizira kuchepetsa thupi. Chakudya cholowa m'matumbo, chimayenda mofulumira m'matumbo, chimayimbidwa. Zotsatira zake, zinthu zopindulitsa zimamasulidwa mwachangu, zomwe zimathandizira kukonza minyewa. Ma cell a Microcrystalline amachotsedwa osasunthika m'thupi, chifukwa samasintha. Pakadali pano, ulusi wazakudya umakhala ngati chinkhupule: amachotsa zinthu zovulaza m'matumbo (poizoni, poizoni).

Zizindikiro zogwiritsidwa ntchito

Chizindikiro chachikulu chogwiritsa ntchito Reduxin ndi kuchepa thupi kunenepa kwambiri kapena ngati thupi limaposa malire omwe analimbikitsa (BMI) motsutsana ndi matenda omwe akupezeka (matenda a shuga mellitus, matenda a lipid metabolism). Mankhwala oterowo ayenera kumwedwa kwa anthu omwe BMI yawo imaposa 27 kg / m².

Contraindication

Ngakhale kuchuluka kwazinthu zabwino zomwe zimagwira mu Reduxine, zimadziwika kuti mankhwalawa ali ndi zotsutsana zambiri. Zina mwa izo ndi:

tsankho limodzi pazigawo zogwira ntchito,
kunenepa chifukwa cha kusayenda bwino kwa mahomoni,
mimba ndi mkaka wa m`mawere
zovuta zamanjenje, matenda amisala,
nkhupakupa
Reduxin samaphatikizidwa ndi MaO inhibitors, kuphatikiza osavomerezeka kuti atenge omaliza a mankhwalawa masabata awiri asanayambe chithandizo cha kunenepa kwambiri,
matenda oopsa a mtima
matenda akumitsempha
chiwindi ndi vuto la impso,
thyrotoxicosis,
Kuchuluka kwa minyewa ya prostate yamakhalidwe oyipa,
kutseka-kotsekera glaucoma,
pheochromocytoma,
Wodwala wazaka 18 ndi kupitirira 65
mowa, mankhwala osokoneza bongo.

Mitundu yambiri yamatenda a m'mimba imadziwika kuti ndizovomerezeka kugwiritsa ntchito Reduxine, koma izi ziyenera kuchitika mopitilira muyeso komanso malinga ndi umboni wa dokotala. Zotsutsana:

mbiri yakusokonekera kwamiyendo ya mtima,
kulephera kwina kosasintha kwa magazi,
matenda limodzi ndi kukanika kwa mitsempha yam'mimba,
matenda oopsa
cholelithiasis,
neuralgia
kukokana
kusokonezeka kwa malingaliro,
chiwindi komanso kuperewera kwenikweni.

Zotsatira zoyipa

Reduxin akatengedwa kuti achepetse thupi, zotsatira zoyipa zimatha kuchitika:

hyperhidrosis
kutupa
kusamba kwa msambo,
kuyabwa
Zizindikiro zofanana ndi chimfine, komabe, chomwe chimapangitsa si matenda, koma sibutramine,
rhinitis
dziko lokhumudwitsa
kulakalaka
ludzu
kusakhazikika mtima
kukokana
pachimake yade
thrombocytopenia
zotupa pakhungu.

Zizindikiro zambiri zimawonekera mkati mwa masabata anayi oyamba. Pang'onopang'ono zimasowa. Ngati zotsatirapo zoyipa zikupitilirabe, muyenera kuganiziranso zosiya ntchito. Komabe, lingaliro la kuletsa kapena kuunikiranso njira zamankhwala liyenera kupangidwa ndi adokotala. Ndikulimbikitsidwanso kuti ndiyambe kulandira chithandizo chamankhwala ndikaonana ndi katswiri, popeza Reduxin amachita zinthu zolimbikitsa thupi.

Bongo

Milandu yama bongo osokoneza bongo sanalembedwe. Komabe, mankhwalawa, atagwiritsidwa ntchito mopitirira muyeso wamba, amatha kupangitsa kuti thupi lizituluka. Ngati mulingo waukulu umatengedwa, lingaliro lokha ndikusintha njira zamankhwala kapena kusiya mfundoyi.

Mankhwala osokoneza bongo kulibe, chifukwa chake, mkhalidwe wamthupi ndi ntchito yamtima ziyenera kuyang'aniridwa. Kuphatikiza apo tengani ma sorbents. Kumwa madzi ambiri kumalimbikitsa.

Kuyanjana kwa mankhwala osokoneza bongo

Amazindikira chifukwa chachikulu chofotokozera chifukwa chake Reduxin mankhwala sayenera kuyambitsa pawokha. Zimakhala ngati mawonekedwe a uncharacteristic omwe amatenga makapisozi chifukwa cha kuwonda. Chifukwa chake, ngati Reduxin ndi ma microsomal oxidation inhibitors amagwiritsidwa ntchito nthawi yomweyo, kuwonjezereka kwa kuchuluka kwa metabolites pazomwe zimagwira ntchito kudzachitika, zomwe zidzatsogolera kukulira kwakukulu kwa mawonekedwe owonetsa.

Zotsatira zofananazo zimatha kupezeka ndikuphatikiza mankhwalawa omwe amafunsidwa ndi gulu la macrolide, carbamazepine, phenytoin, Rifampicin, Dexamethasone, Phenobarbital. Izi zimachitika chifukwa cha kukwezedwa kwa kusinthika kwa sibutramine, zomwe zimathandiza kuti amasulidwe kwambiri a metabolites. Serotonin ndi Reduxin reuptake inhibitors sangatengedwe nthawi yomweyo. Izi zingayambitse kukula kwa serotonin syndrome. Zotsatira zofananazo zimapezeka ndikuphatikiza mankhwalawa omwe amafunsidwa ndi Sumatriptan, Dihydroergotamine.

Ndizovomerezeka kutenga njira yolerera ya Reduxine ndi pakamwa nthawi imodzi. Poterepa, mankhwalawa samakhudzana. Ndi kumwa kwa nthawi yomweyo komanso njira yochepetsera thupi, munthu sayenera kuyembekeza kukula kwa zovuta zina.

Malangizo apadera: malamulo ovomerezeka, kuyanjana ndi mowa

Ndikofunika kukumbukira kuti kugwiritsa ntchito mankhwala ochepetsa thupi kuyenera kuperekedwa ngati njira zomwe kale sizinali zamankhwala zolimbana ndi kunenepa zayesedwapo, ndipo zotsatira zake ndizosagwirizana (zosakwana 5 kg mu miyezi ingapo). Kutenga makapisozi a Reduxine sizitanthauza kuti mutha kusiya njira zina zowonetsera thupi kuti muchepetse thupi. M'malo mwake, motsutsana ndi zomwe mayendedwe ake amathandizidwa, ndikofunikira kutsatira zakudya zoyenera zomwe zimapatsa kuchuluka kwa zopatsa mphamvu tsiku ndi tsiku. Matendawa madzi osalala a thupi, kuonjezera zolimbitsa thupi.

Kuyerekeza kwa Reduxin 10 ndi Reduxin 15

Mlingo wa kuwonetsa zinthu zomwe zikuyenera kugwira ntchito m'thupi ziyenera kuyesedwa. Pambuyo pake, regimen yoyenera kwambiri yamankhwala imatsimikiziridwa.

Reduxin imakhudza dongosolo lamtima, komanso hematopoietic system, impso, ndi mantha, motero, mankhwalawa mu 15 mg sangathe kubwezeretsanso analogi ndi gawo lotsika la gawo (10 mg), ngati pali zotsutsana. Izi zimabweretsa zotsatira zoyipa.

Mndandanda wazomwe mungagwiritse ntchito, contraindication ndi zotsatira zoyipa sizinasinthe. Kupanga kwa mitundu ya mankhwalawa ndi chimodzimodzi: sibutramine imakhudzanso kubwezeretsanso kwa serotonin, cellcrystalline cellulose amakhala ndi matumbo, metabolism. Izi zimakuthandizani kuti musinthe machitidwe azachipatala popanda kuwopa zoyipa.

Kugwirizana kwa mankhwala a Reduxine mu mitundu yosiyanasiyana sikusintha. Popeza mitundu ya mankhwala omwe amafunsidwawa akukhudzanso thupi, ndizololeka kuzigwiritsa ntchito ngati njira yothandizira ndi njira yolumikizidwa. Kuphatikiza apo, njira yochepetsera thupi imatha kukhalabe yosasinthika ngati kuchuluka kwa Reduxin kwasinthidwa (kuchuluka kwa 15 mg).

Kodi pali kusiyana kotani?

Ngakhale mawonekedwe ndi momwe amagwiritsidwira ntchito mankhwalawa mosiyanasiyana, kuwonjezeka kwake pakukhudza thupi ndi kuwonjezeka kwa kuchuluka kwa sibutramine kumadziwika. Reduxin 10 ndi 15 ilinso ndi cellcose ofanana a microcrystalline, kotero kusintha kwa mankhwalawa sikukhudza matumbo. Komabe, mavuto amawonjezereka ngati, m'malo mwa mankhwala omwe mukufunsidwa, pa 10 mg, wothandizirana yemweyo amathandizidwa mu regimen ya chithandizo, koma kale kuchuluka kwa 15 mg.

Kusintha kwa Reduxin 15 kuyenera kuchitika ngati mkati mwa masabata anayi zotsatira zomwe zimafunidwa (kuchepa kwa thupi ndi zosakwana 5%) sizinatheke pomwe mukutenga Reduxin 10. Ndipo, mutasintha, kulemera ndikatayika msanga mokwanira, ndizovomerezeka kuti muchepetse kuchuluka kwa zinthu zogwira ntchito mpaka 10 mg

Ndemanga za Odwala

Anastasia, wazaka 37, Kazan

Pambuyo pobereka, sizinathandize kuti muchepetse kunenepa. Ochita masewera, osinthidwa kuti azikhala ndi zakudya zoyenera, osagwiritsa ntchito zinthu zingapo zovulaza. Zotsatira zake zinali, koma osati zazikulu. Kulemera kunapita pang'onopang'ono. Ndinaganiza zowonjezera makapisozi ena kuti ndichepetse thupi. Ndinapita kwa adotolo. Adalimbikitsa Reduxin 10. M'miyezi iwiri idatenga 10 kg.

Anna, wazaka 29, Vorkuta

Kutenga nthawi yayitali Reduxin 15. Zinali zovuta: chizungulire, kupweteka pamimba, pakamwa lowuma. Zikumbukiro zosasangalatsa za mankhwalawa. Kwa miyezi iwiri, zotsatira zake zinali 7 kg. Sanadzivutitsenso, anasokoneza njira yothandizira.

Ndemanga za madotolo za Reduxin 10 ndi Reduxin 15

Kravchuk O. A., endocrinologist, Ufa, wazaka 39

Reduxin 10 amachita mwachangu komanso moyenera. Kwa miyezi ingapo, mutha kutaya 10 kg kapena kupitiliza ngati wodwalayo atsatira dongosolo la chithandizo.

Cherepanova O. A., wazakudya, Samara, wazaka 43

Reduxin 15 ndi mankhwala osokoneza bongo. Ziyenera kumwedwa mosamala. Mankhwalawa ndi othandiza, ndiwo mwayi wokhawo. Pali zovuta zina zotere: Njira zambiri zosokonekera, kusokonekera kwa mtima, zambiri zoyipa.

Kamangidwe ka Reduxin

Malinga ndi ndemanga yochepetsa thupi, mukamamwa mankhwalawa, amamva kugwiranso ntchito, nthawi yomweyo amakhala osasangalala. Zonsezi zimafotokozedwa ndikuti Reduxin ali ndi zinthu monga izi:

Sibutramine ndiye chinthu chachikulu chogwira ntchito. Sibutramine yochepetsa thupi ndiyabwino, chifukwa ntchito yake imakhala yochepetsa kudya, kuchepetsa njala, ponseponse, kuti munthu amene amakonda kudya kwambiri azidya zopatsa mphamvu zochepa. Kuphatikiza pakukhudza gawo la satiety mu ubongo, chinthucho chimasiyanasiyana momwe chimakhudzira adrenoreceptors, chifukwa chomwe kuphulika kwa maselo amafuta kumachitika. Kupitilira apo, mafuta acids amasandulika mphamvu, ndipo madzi ndi glycerin omwe amayamba amachoka m'thupi.
Microcrystalline cellulose ndi chinthu chomwe chimatupa kwambiri ndikalowa m'mimba, chifukwa chomwe munthu amadya chochepa. Kutupa, mapadi amatenga madzi ambiri ndikuwonjezeranso "zinthu" zowopsa, komabe izi sizimangoyambitsa kusowa kwa chakudya, komanso ludzu lamphamvu.

Malangizo a Reduxine 15 mg

Pankhani ya kuchuluka kwa mankhwalawa, wodwalayo ayenera kutsatira malangizo a dokotala, yemwe, asanapereke mankhwala, ayenera kuchititsa maphunziro oyenerera, kuwatumiza kukayezetsa. Chinanso chofunikira chodziwika ndi kuchuluka kwa kunenepa kwambiri kwa munthu yemwe akuyenera kutenga Reduxine. Mu malangizo ogwiritsira ntchito Reduxine 15 mg amalembedwa kuti muyenera kumwa kapisozi sutra kamodzi patsiku, ngakhale zilibe kanthu pakudya kapena pamimba yopanda kanthu - mphamvu ya mankhwalawa singachepe. Mutha kumwa piritsi ya Reduxin ndi madzi.

Kwa odwala omwe adayamba kumwa mapiritsi a Reduxine kuti achepetse thupi, mlingo wocheperako umayikidwa koyamba, ndiye, kutengera chitsimikiziro chothandiza komanso kulolerana kwa munthu payekha, kumatha kusinthidwa. Mwachitsanzo, tikulimbikitsidwa kusinthana ndi muyezo wa 15 mg wa Reduxine mutadutsa gawo loyamba la chithandizo - mwezi wa kumwa mapiritsi 10 mg, ngati maphunzirowa sanapereke zotsatira zofunikira kuti muchepetse thupi.

Kutalika kwa maphunziro

Mankhwala ayenera kumwedwa, kuganizira kulemera koyambirira komanso thanzi lonse. Nthawi zambiri nthawi ya kutenga Reduxine muyezo wa 15 mg siyidutsa miyezi itatu. Monga amayi (ndi abambo) omwe akuchepetsa thupi ndi kulemera kwakukulu amati, maphunzirowa atha kupitilira miyezi isanu ndi umodzi, koma muyenera kumwa mankhwalawa moyang'aniridwa ndi dokotala. Ndikofunika kudziwa kuti muyenera kumwa mapiritsi kuti muchepetse thupi pokhapokha ngati palibe chomwe chingakuthandizeni. Izi zikugwiranso ntchito pa Reduxin analogues.

Analogs a Reduxin

Kuchepetsa thupi, osati Reduxine yokha yomwe ingagwiritsidwe ntchito, komanso njira zofananira - zowonjezera pazakudya, chinthu chachikulu ndikusankha chowonjezera chomwe chili choyenera pazomwe zili. Mtengo wa analogi za Reduxin ukhoza kukhala wotsika mtengo kwambiri kapena wotsika mtengo kuposa woyamba - wopanga asankha kale pano, mwachitsanzo, zowonjezera pazakudya kuchokera kwa wopanga Globul ali ndi mtengo wotsika. Kusiyananso kwina kwamtengo kumadalira kuchuluka kwa mapiritsi omwe ali phukusi. Ma analogu a Reduksin amaphatikiza ndalama ndi mayina otsatirawa:

Za Kuwala kwa Reduxine, uwu ndi mankhwala, omwe ndi osiyana kwambiri ndi omwe adatsogolera. Ndikulimbikitsidwa kuti mutengeke ndi moyo wokonda kuchita masewera olimbitsa thupi. Mankhwalawa ali ndi linoleic acid, vitamini E ndi zinthu zina. Zinthu zothandizanso kusintha kagayidwe, zimalimbikitsa kusokonekera kwa mafuta. Mtengo wa Reduxin Kuwala ndizochepa poyerekeza ndi Reduxin, chifukwa chilichonse chimakhudza thupi.

Mtengo wa Reduxin 15 mg

Kugulitsa mankhwalawa kuyenera kuchitika kokha m'mafakisi. Ngakhale mtengo wa Reduxine 15 mg m'malo ena ogulitsa pa China ndi otsika mtengo kwambiri, muyenera kukana kugula izi, chifukwa chotere mutha "kuwononga" thanzi lanu. Kodi Reduxine amawononga ndalama zingati pachipatala? Mtengo wake umakhala wotsika mtengo: mbale ya makapisozi 30 pazovuta pafupifupi ma ruble 2700. Ndikofunika kudziwa kuti mankhwalawa amaperekedwa pokhapokha ngati mwalandira mankhwala, chifukwa chake, mutaganiza kuti mapiritsi okha ndi omwe angakuthandizeni kuchepa thupi, onetsetsani kuti mwapita kwa dokotala.

Mutha kuyitanitsa Reduxine pa intaneti: ku Moscow ndi St. Petersburg, kutumizira kumathamanga komanso pamtengo wotsika mtengo. Nayi mitengo yoyenera ya mankhwala oyambira ndi Kuwala kwa Reduxin m'mizinda yosiyanasiyana:

Ichi ndi chiyani

Pankhani ya zakudya, anthu onenepa kwambiri amalembedwa Reduxine - njira yochepetsera kulemera, komwe kumakhudza kuchepa kwa chakudya chomwe mumadya. Gawo lake ndi la gulu la hypoglycemic ndi mankhwala a anorexigenic omwe amatengedwa pakamwa. Kusasinthika kwa kapisozi ndikuti pamene ilowa m'thupi, imachulukana ndikudzaza m'mimba.

Malingaliro opangidwa opanga satiety amagwiritsidwa ntchito pakuchepetsa thupi: minyewa yam'mimba yotseguka - chifukwa chake imatha. Sibutramine ndi mankhwala osiyana, koma ndi buku lathunthu la Reduxine.

Zigawo zikuluzikulu:

sibutramine hydrochloride monohydrate (8%),
microcrystalline cellulose (91%),
odzalandira (1%).

Ndikofunikira kumwa mankhwalawo ngati mwapezeka kuti ali ndi vuto la kunenepa kwambiri. Mlozera wa kuchuluka kwa thupi, wowerengedwa mwa kuchuluka kwa 30 kg / m2, ndikuwonetsedwa kwa 1 degree ya kunenepa - pamenepa, Reduxine akuwonetsedwa kale.

Kunenepa kwambiri, komwe kumayambitsidwa ndi matenda ashuga komanso chisonyezo chakugwiritsa ntchito ndalama. Mutha kupita kuchipatala mukapereka mankhwala - simungathe kugula popanda mankhwala.

Zoona: Kutha kwa njala ndi Reduxin kumakwaniritsidwa pamlingo wa minyewa yaubongo.

Tulutsani mawonekedwe, opanga, mtengo

Reduxin amapangidwa m'mabotolo okhala ndi ufa wa mthunzi woyera-kapena ngati utoto wachikasu. Zowonjezera zimapangidwa ndi OZON, Promomed ndi Polaris mumitundu ingapo ya mapiritsi 30, 60, 90 kapena 120. Mtundu wa Kuwala umapangidwa m'matumba a makapisozi a 180.

Series Reduxine (30 tabu) ndi mtengo (ma ruble):

Reduxin - kuyambira 1200 mpaka 1400,
Kuwala kwa Reduxin - kuyambira 900 mpaka 1100,
Kuwala kwa Reduxin kumalimbikitsidwa - kuyambira 1400 mpaka 1700,
Reduxin Met - ma ruble oposa 2,500.

Makapisozi ali pabokosi lamakhadi okhala ndi maziko abuluu, omwe akuwonetsa msungwana wocheperako. Mkati mwake mumakhala matuza a makapu 10 kapena botolo la pulasitiki lomwe limaphatikizapo mapiritsi onse.

Malangizo. Musanagwiritse ntchito Reduxin, ndikwabwino kukaonana ndi endocrinologist kuti dokotala adziwe zaumoyo ndikuwonetsetsa kuti amwe mankhwalawa.

Kodi pali kusiyana kotani pakati pa Reduxin Met ndi Reduxin

Classic Reduxin imapereka mphamvu yochepetsedwa ndi kunenepa kwambiri, kotero opanga apanga mtundu wowonjezera - Reduxin Met. Ili ndi 15, osati 10 mg ya subutramine (monga momwe adakhalira). Kuphatikiza pa makapisozi, phukusi limakhala ndi mapiritsi okhala ndi metmorphine, omwe amathandizira kupanga insulin. Kuphatikiza apo, kugwiritsa ntchito mankhwalawa kumachepetsa kuyamwa kwa mafuta m'matumbo ndikuchepetsa kuchuluka kwa cholesterol.

Reduxin Met imaphatikizapo makapisozi 30 (amatengedwa kamodzi) ndi mapiritsi 60 (amatengedwa kawiri patsiku). Kuchuluka kwa mankhwalawa kumalola kuponderezana kwanjala. Mtengo wa ndalama zowonjezera zomwe zili ndi zosafunikira zopitilira muyeso yakale kwambiri.

Chenjezo: Kutenga mtundu wa mankhwala olimbitsa kuti muchepetse thupi, kuchepa thupi mumakumana ndi zovuta zowopsa.

Malangizo ogwiritsira ntchito

Mlingo woyambirira wa makonzedwe a 10 mg ndi malingaliro, omwe ali ndi malangizo ogwiritsira ntchito (ophatikizidwa ndi chida ichi). Ngati zotsekemera zimachitika, lolani zowonjezera - kawiri pa tsiku, 5 mg iliyonse.

gwiritsani ntchito pamimba yopanda kanthu,
kuvomerezeka kwa kuphatikiza ndi chakudya,
phwando ndi kapu yamadzi oyera,
Nthawi yolimbikitsidwa ndi m'mawa.

Ngati patatha mwezi umodzi kulemera kwatsika ndi zosakwana 2 kg, ndiye kuti amaloledwa kuwonjezera kuchuluka kwa tsiku ndi tsiku mpaka 15 mg. Kupanda phindu kwa mankhwalawa kumatsimikiziridwa ndi kuchuluka kwa kuchepa thupi - pakalibe kuchepa thupi, ngakhale miyezi itatu, Reduxine ayenera kusiidwa.

Pindulani ndi kuvulaza

Kuphatikiza kwakukulu kumawoneka ngati kunenepa kwambiri, kosagwirizana ndi kufuna kudya nthawi zonse. Nthawi yomweyo, kuchepetsa thupi kumatetezeka kuchokera kumutu, komwe nthawi zambiri kumakhala kofanana ndi nthawi yomwe thupi limafunikira kuti lizikwaniritse ndi chakudya.

Kuphatikiza apo, chida, malinga ndi opanga, chimathandizanso kuledzera.

Zopindulitsa komanso zosavuta mukamagwiritsa ntchito Reduxine:

kuchepa thupi msanga
kusowa kwanjala
kumva bwino
phwando losowa.

Kuvutikako kumayenderana ndi kufalikira kwa makoma am'mimba, omwe kumapeto kwa maphunzirowo sakulandila moyenera, chifukwa chake amatha kuyambitsa njala ngakhale chakudya chokwanira chalandiridwa.

Zovuta pamatumbo am'mimba zimaperekanso zoopsa, pomwe chiopsezo cha kutupa chikukula. Ndemanga zina zili ndi chidziwitso chomwe chida ichi chimakweza magazi.

Chifukwa cha kuchepa kwambiri pakudya kwa anthu, kudzimbidwa kumachitika nthawi zambiri, komwe kumathetsedwa ndi enema.

Mlingo mu zamasewera (zolimbitsa thupi)

Kuthana ndi vuto la njala kumafunikiranso pamasewera, chifukwa chake Reduxine adayamba kugwiritsidwa ntchito pomanga thupi. Cholinga chachikulu ndikuti "kuyanika", komwe kumafunikira kutentha mafuta ochulukirapo ndikupeza mphamvu yopuma.

Pazifukwa izi, mutha kugula Rasexin yamu Russia kapena mugule Sibutros (Moldova) - chida cholandiridwa ndi othamanga padziko lonse lapansi.

nthawi ndi m'mawa
Mlingo - kuyambira 5 mpaka 15 mg kamodzi,
mawu - mpaka 6-9 milungu.

Mukamagwiritsa ntchito Reduxin, ndibwino kuti muwone kuchuluka kwa zopatsa mphamvu zomwe zimabwera ndi chakudya. 1500 kcal ndi mndende yotetezedwa yomwe imakupatsani mwayi wokukwaniritsa maselo amthupi ndi mphamvu ndikuletsa kukula kwa kufooka, komwe kumatha kusokoneza maphunziro.

Chidwi Reduxine imaphatikizidwa pamndandanda wazinthu zoletsedwa, kotero kudya kwake sikulimbikitsidwa kwa iwo omwe amapita kukayezetsa.

Pa nthawi ya Reduxine, ndikofunikira kumwa madzi osachepera 2 malita kugogoda, chifukwa thukuta limakulirakulira. Ngati pakumva ludzu mkamwa, ndiye kuti muyenera kumwa kapu yamadzi osakhala ndi kaboni. Chidacho chimathandizanso kuti muzitha kusintha momwe mukumvera, kotero kutenga Reduxine pa nthawi ya kukhumudwa ndikosayenera.

Sichikulimbikitsidwa kumwa mankhwalawa usiku kapena m'malo ambiri a 20 mg - chiopsezo chokhala mukusowa tulo chikuwonjezeka. Pogwiritsa ntchito nthawi yayitali, mutha kuwonjezera kuchuluka kwake ngati thupi layamba kusamala ndi sibutramine (nthawi zambiri limachitika pakatha miyezi iwiri).

Reduxin MET ndi Reduxin ndi mankhwala ochokera m'gulu limodzi ndipo ali m'gulu lazopsa zamafuta.

Ngakhale kufanana kwa mayina, mankhwalawa ali ndi mitundu yosiyanasiyana ya mankhwala, mawonekedwe a pharmacological ndi zisonyezo zogwiritsidwa ntchito.

Mndandanda wa contraindication ndi mavuto osiyanasiyana amasiyana. Musanagwiritse ntchito mankhwalawa, muyenera kuphunzira malangizo ndi zovuta zomwe amagwiritsa ntchito kuti muchepetse kunenepa kwambiri.

Kodi mankhwalawa ndi chiyani?

Reduxin ndi Reduxin MET ndi ena mwa mankhwala amphamvu kwambiri omwe amatha kuwotcha mafuta osunga. Mankhwalawa amagwiritsidwa ntchito pochiza kunenepa kwambiri pamagawo osiyanasiyana. M'malo ogulitsa mankhwalawa, mankhwalawa amagulitsidwa malinga ndi zomwe akupatsidwa. Vutoli limachitika chifukwa cha mphamvu zawo komanso kuletsa kulowa kwawo popanda zidziwitso zapadera zachipatala.

onse mankhwala ndi anorexigenic mankhwala,
Reduxin MET ndi Reduxin wapamwamba,
Mankhwala amatha kuthetseratu vuto lakudya,
Mankhwala onsewa amawerengedwa ngati m'mimba.

Kuyerekeza ndalama

Kodi pali kusiyana kotani pakati pa Reduxin ndi?

Reduxine amapezeka mu mawonekedwe a kapisozi ndi mulingo wa 10 mg ndi 15 mg wa mankhwala othandizira.

Reduxin MET ndi kukonzekera kovuta, phukusi limodzi lili ndi mankhwala awiri - mapiritsi ndi mapiritsi. Chosakaniza chophatikizika m'mankhwala awa ndi sibutramine.

Zothandiza pazokonzekera ndi:

cellcrystalline mapadi,
utoto titanium dioxide,
gelatin
Utoto wabuluu,
calcium owawa.

Zotheka

Akatswiri amaletsa kugwiritsa ntchito Reduxin MET pakuwumba thupi. Mankhwalawa amapangidwira kuchiza kunenepa kwambiri komwe kumayambira matenda osiyanasiyana. Ngati mumwa mapiritsi kapena makapisozi okhala ndi vuto lachilengedwe lotha kunenepa kwambiri, pamakhala chiwopsezo chokhala ndi zovuta zingapo. Ndi mankhwala malinga ndi zisonyezo, onse awiriwa amawonetsa zotsatira zabwino. Reduxin imatha kutengedwa pamaso pa kupatuka kwakukulu mu njira za metabolic, zomwe zimayambitsa kuwonjezeka kwa thupi.

Zotheka kutenga mankhwala:

Kulemera kwa thupi pambuyo panjira ya mankhwala osokoneza bongo kumakhalabe kosasinthika (njira yodzikundikira mafuta amthupi amayima),
Nthawi zambiri, kuchepa thupi kumachitika pang'ono.
kuchotsedwa kwa mapaundi ochulukirapo mwina chifukwa cha zomwe munthu ali nazo mthupi.

Njira zoyeserera

Limagwirira ntchito Reduxin ndi Reduxin MET ikuchitika molingana ndi mfundo imodzi, koma mosiyanasiyana makulidwe .

Zochita zamankhwala zimapangidwa kuti zithetse mafuta amthupi ndipo zimachitika chifukwa cha zida zomwe zimagwira.

Reduxin MET ali ndi mphamvu yowonjezerapo yochotsa chizindikiro cha kunenepa kwambiri pamaso pa matenda a shuga. Mphamvu yamafuta owopsa a mankhwalawa imatheka chifukwa cha kuwonjezeredwa kwa sibutramine metformin.

Limagwirira a zochita za mankhwala izi:

kutenga nawo kapangidwe ka serotonin,
kuchepa kwa shuga m'magazi
kulakalaka kuponderezana
matenda a shuga
Kupha kwamafuta ochepa,
kuchotsa madzi ambiri mthupi,
otsika triglycerides,
kutulutsa mphamvu
Zotsatira za zotumphukira za minofu ya adipose,
kuchuluka kwa tizilombo tating'onoting'ono tomwe timatulutsa m'thupi,
kuchuluka kwa mphamvu yamphamvu yolimbitsa thupi,
chimbudzi,
kuchotsedwa kwa zinthu zazambiri kagayidwe kachakudya,
chopinga wa gluconeogenesis mu chiwindi.

Reduxin MET imatha kupereka mphamvu pamapulid metabolism, imachedwa mayamwidwe am'mimba m'matumbo, komanso imathandizira kaphatikizidwe ka glycogen. Zowonjezera za mankhwalawa zimachitika chifukwa cha zomwe zili mu metformin mmenemo. Kuphatikiza apo, mankhwalawa ali ndi zotsatira zochizira akagwiritsidwa ntchito pochiza kunenepa kwambiri komwe kumayambitsa matenda a shuga.

Mtengo wa Reduxine ndi pafupifupi ma ruble 1600. Mtengo wa Reduxine MET umafika ku ruble 2000. Kusiyanaku kumachitika chifukwa cha mitundu yosiyanasiyana yamasulidwe komanso kuchuluka kwa magawo omwe amapezeka pokonzekera. Reduxin MET ndi magulu awiri a mankhwala. Mitengo ya mankhwala osokoneza bongo imatha kumasiyanasiyana malinga ndi dera. Mukamayitanitsa zothandizira pa intaneti, nthawi zambiri, mtengo womaliza umaphatikizapo mtengo wa wogulitsa popereka katundu. Panthawi yokwezedwa komanso zopereka zapadera, mutha kugula mankhwala pamtengo wotsika.

Njira zogwiritsira ntchito

Mitengo ya Reduxin ndi Reduxin MET imachitika molingana ndi chiwembu chomwecho.

Pamaso pa chiwonetsero chapadera kapena mawonekedwe amunthu, thupi ndi kutalika kwa maphunzirowo zingakhale zosiyana ndi zomwe wopanga akutsatira. Mwachitsanzo, pakalibe njira yochepetsera kulemera kwakukulu, akatswiri amalimbikitsa kuwonjeza kawiri kuchuluka kwa mapiritsi a Reduxine MET, ndipo kuchuluka kwa makapisozi omwe amatengedwa sikunasinthe.

Njira zogwiritsira ntchito mankhwala:

Reduxin imayenera kutengedwa kamodzi patsiku mu kapisozi kamodzi,
Reduxine MET imatengedwa kamodzi patsiku, kapisozi imodzi ndi piritsi imodzi,
makapisozi ndi mapiritsi sangathe kutafunidwa,
Mankhwala ayenera kutsukidwa ndi madzi okwanira,
Osamwa mankhwala ndikudya (mphamvu ya mankhwalawa itha kuchepetsedwa),
Kutalika kwa nthawi ya thupi kuwonda ndi mankhwala sayenera upambana miyezi itatu.

Madokotala malingaliro

Akatswiri amatsimikizira kuyendetsa bwino ntchito kwa mankhwala a Reduxin ndi Reduxin MET popewa kunenepa kwambiri. Mankhwalawa amagwira mbali zina za ubongo, ndikupangitsa kuti chakudya chikhale chofulumira. Kuphatikiza apo, mankhwalawa ali ndi phindu pamapangidwe a metabolic, mapangidwe a kudya moyenera komanso kuthamangitsa kuwonongeka kwa mafuta. Akatswiri ali ndi lingaliro kuti adokotala yekha ndiye ayenera kusankha mtundu wa mankhwala omwe ayenera kulandira wodwala.

Kutengera malingaliro a madotolo, tinganene izi:

Reduxin MET ndiwothandiza kwambiri kuposa Reduxin chifukwa cha kuchuluka kwake,
Ndikwabwino kuyambitsa mankhwalawa onenepa kwambiri ndi Reduxine, ndipo ngati mphamvu yake ili yochepa, m'malo mwake ndi mankhwala olembedwa "MET",
kukwaniritsa zotsatira zokhazikika, ndikofunikira kumwa mankhwala osachepera miyezi itatu (apo ayi vutoli lingakhale kwakanthawi),
palibe chifukwa choti muyambe kumwa mankhwala ena aliwonse owotcha mafuta onenepa nokha.
kugwiritsa ntchito mankhwala osagwiritsidwa ntchito ndi madokotala posonyeza kuti pali zovuta zina (chizungulire, mseru, kusanza, kugona kapena kusowa tulo, kudzimbidwa kapena kutsegula m'mimba, kusokonezeka kwa dongosolo la m'mimba, mtima ndi ubongo.
Mankhwala amakhudzana contraindication ambiri, ambiri omwe amatha kuwonekera pokhapokha pakuwunika wodwalayo,
ngati Reduxin samapereka mawonekedwe abwino, ndiye m'malo mwake ndi Reduxin MET popanda kufunsa dokotala.

Kuti athane ndi kunenepa kwambiri, ambiri amayamba kuphatikiza chakudya ndi kugwiritsa ntchito mankhwala apadera omwe amachotsa mafuta ochulukirapo m'thupi. Mfundo zoyenera kuchitira zoterezi zimakhazikitsidwa ndi zotumphukira za ziwalo zogaya chakudya kapena zomwe zimayambitsa dongosolo lamkati lamanjenje kuti muchepetse kulakalaka. Xenical kapena Reduxin ali ndi vuto lofananalo, koma kuti mumvetsetse zomwe zili bwino ndi mankhwalawa, muyenera kuzolowera malangizo awo. Muthanso kuyerekezera zonse ziwiri.

Mawonekedwe a mankhwala

M'magawo onse awiriwa muli gawo la sibutramine, lomwe limapereka njira yochepetsera thupi. Ichi ndi chinthu champhamvu cha anorexigenic chomwe chimakhudza kwambiri dongosolo lamanjenje. . Pakadali pano, mankhwala omwe ali ndi chigawochi amagawidwa kokha ngati mankhwala.

Zatsimikiziridwa kuti Reduxin akhoza kukhala osokoneza, chifukwa chake kugwiritsa ntchito kuyenera kukhala ndi chifukwa chachipatala.

Reduxin Met ndi mtundu wawonjezereka wa woyamba ndipo umagwiritsidwa ntchito pokakamiza kuwonda chifukwa cha zamankhwala. Kugwiritsa ntchito chilichonse mwazinthu izi pokhapokha ngati mukukongoletsa. Chizindikiro chogwiritsa ntchito zinthu zopangidwa ndi sibutramine ndi kunenepa kwambiri ndi cholozera chachikulu cha thupi komanso kuchuluka kwa kulemera kwa shuga. Pofuna kungosintha manambala mosavuta, mankhwalawa sangagwire ntchito. Muyenera kumvetsetsa kuti kusiyanitsa pakati pa zovuta zosavuta za mankhwalawa chifukwa chochepetsa thupi komanso mapangidwe amphamvu ndi sibutramine ndi akulu kwambiri.

Kugwiritsa ntchito Reduxine ndikotheka pokhapokha ngati phindu la zomwe akupangidwazo likakhala lalikulu kuposa zowonongeka zomwe zimabwera chifukwa chakulemera kwambiri. Liwongo lonse la zotsutsana zambiri, kuphatikiza:

matenda amisala
glaucoma
matenda a mtima
ukalamba
Mimba ndi kuyamwa
matenda a chiwindi ndi impso,
kunenepa kwamtundu
matenda oopsa
bulimia amanosa.

Reduksin iyenera kugwiritsidwa ntchito mosamala vuto la cholelithiasis, vuto la kuphwanya, arrhythmias, ndi zina zovuta. Dokotala wothandizapo amatha kupatsa ena mankhwala amtunduwu pokhapokha akufufuza momwe wodwalayo alili komanso ngati wodwalayo akwaniritsidwa.

Kodi pali kusiyana kotani pakati pa Reduxin Met ndi mtundu wakale

Kukula kwatsopano kumeneku ndi mankhwala ophatikiza okhala ndi mitundu iwiri:

makapisozi ndi sibutramine - amathandizira kuchiza kunenepa, kupondera kudya, kuthandizira kudalira chakudya,
mapiritsi okhala ndi metformin - wothandizira kutsitsa shuga kuchokera ku kalasi yayikulu. Imakhala ndi mafuta oyaka.

Wowotchera mafuta wawoneka kuti ndiwothandiza kwambiri pochiza kunenepa kwambiri kwa matenda ashuga. Metformin imakulitsa chidwi cha insulin receptor ndikukulitsa kugwiritsidwa ntchito kwa shuga. Mlingo wa tsiku ndi tsiku kumayambiriro kwa mankhwalawa ndi piritsi limodzi la metformin ndi 1 kapisozi ya sibutramine. Amatengedwa nthawi yomweyo, kuphatikiza kumwa mankhwalawa ndi chakudya. Ngati palibe zovuta kwa masabata awiri, mulingo wa metformin umachulukitsidwa.

Kuchiza ndi onse awiriwa ndikosavomerezeka popanda kuyang'aniridwa ndi achipatala. Pa nthawi yomweyo ngati mumamwa mankhwala othandizira, muyenera kudya zakudya zolimbitsa thupi, komanso kuchita masewera olimbitsa thupi, makamaka machitidwe aerobic.

Pankhani ya bongo, kusokonezeka kwamanjenje kumawonedwa nthawi zambiri, monga: kusowa tulo, kuda nkhawa, kupweteka kwa mutu, chizungulire.

Kusiyana kwa mtengo kuliponso. Poganizira zofanana za sibutramine, mtundu watsopano wa Reduxine ukhale wokwera mtengo.

Reduxin ndi mankhwala ophatikiza, zotsatira za mankhwalawa zimachitika chifukwa cha zinthu zomwe zimapangidwa.

Sibutramine ndi mankhwala osokoneza bongo omwe amapereka zochita chifukwa cha metabolites omwe amalepheretsa kuphatikizidwa kwa monoamines. Zowonjezera zomwe zimakhala mu ma synapses a transmitter zimawonjezera zochitika za adrenergic ndi serotonin receptors, izi zimathandiza kuwonjezera kukhudzika kwodzaza komanso kupondereza kumverera kwa njala, komanso kuyambitsa kwa mafuta.

Pofanana ndi kuchepa kwa kulemera kwaumunthu, kuwonjezeka kwa kuchuluka kwa HDL mu seramu kumadziwika. Komanso, zizindikiro za cholesterol yathunthu, kuchuluka kwa triglycerides, uric acid kumachepetsedwa.

Kupanga ndi mawonekedwe a kumasulidwa

Reduxine amapezeka mu mawonekedwe a kapisozi ya pakamwa. Amakhala ndi mtundu wabuluu kapena wabuluu (kutengera mlingo), mkati mwake mumakhala ufa kapena wachikasu.

Zomwe zimapangidwazo zimaphatikizapo magawo omwe amagwira ntchito: sibutramine hydrochloride monohydrate, komanso ma cellcose a microcrystalline.
Monga wowonjezera mankhwala mu kapangidwe kake kamakhala ndi calcium calcium.
Chipolopolo cha kapisozi chimakhala ndi gelatin, utoto azorubine, utoto wa titaniyamu, utoto wa utoto.

Makapisozi a Reduxine amawaika m'matumba a chithuza cha zidutswa 10. Phukusi la makatoni limakhala ndi mapaketi a 3 kapena 6 otupa, komanso malangizo ogwiritsira ntchito mankhwalawa.

Kuwala kwa Reduxin ndi Reduxin - pali kusiyana kotani?

Muyenera kuganizira yomweyo zakusiyana kwa ndalama izi. Malangizowo akuwonetsa kuti Reduxin Light ndi chowonjezera chomwe chimakhala ndi asidi wa linoleic acid, vitamini E ndi zina zowonjezera.Yogwira zigawo zikuluzikulu za mankhwalawa zimathandizira kuti kagayidwe kachakudya kazitha, kuyambitsa mafuta. Komabe, Kuwala kwa Reduxin ndikoyenera kwambiri kugwiritsa ntchito ndi moyo wokangalika komanso kuchita masewera olimbitsa thupi nthawi zonse.

Mtengo, poyerekeza ndi mankhwala a Reduxin, ndiwotsika pang'ono. Reduxin ali ndi njira yosinthira mosiyanasiyana. Chifukwa chake, munjira iliyonse, dokotala payekhapayokha amasankha kuti chithandizire ndi chiti chomwe angapatse wodwalayo. Pokambirana za Reduxin ndi Reduxin Kuwala, odwala amasiya kuwunika kosiyanasiyana, kuchokera pazabwino mpaka pang'ono.

Zotsatira za pharmacological

Mapiritsi a kunenepa kwambiri a Reduxin amakhudza mwachindunji mphamvu yamanjenje yaumunthu, chifukwa chake, mankhwalawa amamasulidwa kokha monga adanenera dokotala. Zochita zawo cholinga chake ndikupondereza kumverera kwanjala, kuchepetsa kulakalaka. Chifukwa cha izi, kuchepa thupi kumachepetsa mankhwalawa ndipo kuchuluka kwa chakudya komwe kumamwetsedwa kumachepetsedwa. Chifukwa cha mphamvu ya thermogenesis, kugwiritsa ntchito mphamvu kukukula ndipo zopatsa mphamvu zimatenthedwa mwachangu. Kuphatikiza apo, kagayidwe kamapangidwira, kuchuluka kwa glucose, cholesterol ndi lipids m'magazi ndimakonzedwa.

Njira yofotokozedwera yogwiritsira ntchito mapiritsi a Reduxine ya zakudya imalola munthu kuti achepetse thupi, pomwe kuchepa thupi kumachitika mwachangu (pafupifupi makilogalamu 1 pa sabata). Komabe, kumwa mankhwala a kunenepa kwambiri kumatha kuyambitsa mavuto ena, motero chithandizo chikuyenera kuchitika moyang'aniridwa ndi achipatala.

Momwe mungatenge Reduxine?

Monga momwe malangizo a gwiritsani ntchito, Reduxine amalembedwa pakamwa 1 nthawi / tsiku. Makapisozi amayenera kumwedwa m'mawa popanda kutafuna ndi kumwa madzi ambiri (kapu yamadzi). Mankhwalawa atha kumwa onse pamimba yopanda kanthu ndikudya. Mlingo umayikidwa aliyense payekha, kutengera kulolera ndi kuthekera kwachipatala.

Mlingo woyambayo ndi 10 mg / tsiku, osalekerera bwino, mlingo wa 5 mg / tsiku ndiwotheka.

Ngati mkati mwa masabata 4 kuyambira chiyambi cha chithandizo, kuchepa kwa thupi lochepera 2 kg sikunachitike, ndiye kuti mlingo umakwera mpaka 15 mg / tsiku. Kuchiza kwa Reduxin sikuyenera kupitilira miyezi yopitilira 3 kwa odwala omwe satsatira bwino chithandizo, i.e. omwe mkati mwa miyezi 3 ya chithandizo sangathe kukwaniritsa kuchepa kwa 5% kuchokera ku chisonyezo choyambirira. Kuchiza sikuyenera kupitilizidwa ngati, ndi chithandizo chowonjezereka, pambuyo pakuchepa kwa thupi, wodwalayo amawonjezeranso 3 kg kapena kuposerapo thupi. Kutalika kwa mankhwalawa sikuyenera kupitilira chaka chimodzi, chifukwa nthawi yayitali mukamamwa mankhwala a sibutramine, kugwiritsa ntchito bwino komanso chitetezo sichimapezeka.

Chithandizo cha Reduxine ziyenera kuchitika molumikizana ndi kadyedwe ndikuchita masewera olimbitsa thupi moyang'aniridwa ndi adokotala odziwa ntchito yochizira kunenepa.

Zotsatira zoyipa

Nthawi zambiri, zoyipa zimachitika kumayambiriro kwa mankhwalawa (mu masabata 4 oyamba). Kuuma kwawo komanso ma pafupipafupi kumafooka pakapita nthawi. Zotsatira zoyipa nthawi zambiri zimakhala zofatsa komanso zosintha.

Zotsatira zoyipa izi zitha kuwoneka mukugwiritsa ntchito makapisozi a Reduxine 15 mg:

Mtima dongosolo: tachycardia, palpitations, vasodilation, kuthamanga kwa magazi,
Dermatological form: Shenlein-Genoch purpura, pruritus, thukuta kwambiri,
Matumbo dongosolo: kusowa chilimbikitso, kudzimbidwa, kuwonetsa zotupa, kusanza,
Zokhudza thupi, ambiri: kawirikawiri - dysmenorrhea, mawonekedwe a edema, rhinitis, kutupa ngati fupa, nephritis, mtima wofuna kumwa, magazi ochepa, thrombocytopenia,
Mitsempha yam'mimba: ludzu, kusokonezeka kwa kugona, chizungulire, kupweteka kwa mutu, kupweteka mtima, nkhawa, nkhawa - kawirikawiri - mantha, kukhumudwa, kusokonekera, kupweteka kwa msana, kukokana.

Pomaliza kugwiritsa ntchito mankhwalawa, zotsatira zoyipa zimadziwika kawirikawiri. Mwinanso kuoneka ngati chilakolako chambiri, kupweteka m'mutu.

Kuchita ndi mankhwala ena

Kuwonongeka kwapadera kumafunika kuperekera munthawi yomweyo mankhwala omwe angakulitse nthawi ya QT, monga mankhwala ena a antiarrhythmic (amiodarone, flecainide, quinidine, propafenone, mexiletine, sotalol), histamine H1 receptor blockers (terfenadine, astemizole) ndi gastrointestinal motility stimulants ( tridclic antidepressants, pimozide, cisapride, sertindole). Kuphatikiza apo, kusamala kuyenera kuchitika kwa odwala omwe amatenga Reduxine pomwe ali ndi mikhalidwe yomwe ili pachiwopsezo chowonjezera nthawi ya QT (mwachitsanzo, hypomagnesemia kapena hypokalemia).

Mlingo wocheperako wa sabata ziwiri uyenera kuonedwa pakati pa Mlingo wa Reduxin ndi monoamine oxidase inhibitors.

Zoletsa za microsomal oxidation, kuphatikizapo zoletsa za 3A4 isoenzyme ya cytochrome P450 (kuphatikizapo cyclosporine, erythromycin, ketoconazole) zimachulukitsa kuchuluka kwa sibutramine metabolites mu plasma yamagazi, kuonjezera kugunda kwa mtima ndikuwonjezera nthawi ya QT.

Mankhwala othandizira a Macrolide, phenobarbital, phenytoin, rifampicin, dexamethasone ndi carbamazepine amatha kupititsa patsogolo kagayidwe ka sibutramine.

Kugwiritsa ntchito pamodzi mankhwala angapo omwe amachititsa kuchuluka kwa serotonin m'magazi kungayambitse zotsatira zoyipa zomwe zimachitika pakulimbana kwa mankhwalawa.

Nthawi zambiri chitukuko cha serotonin syndrome chimadziwika ndi kuphatikiza kwa sibutramine ndi mankhwala opatsirana (mwachitsanzo, dextromethorphan), potent analgesics (petidine, pentazocine, fentanyl), kusankha kwa mankhwala a serotonin reuptake inhibitors (antidepressant), ndi mankhwala ena ochizira migraine.

Sibutramine ilibe gawo pa njira yolerera pakamwa.

Munkhaniyi, mutha kuwerengera malangizo ogwiritsira ntchito mankhwalawa Reduxin . Amapereka ndemanga kuchokera kwa alendo omwe amabwera patsamba lino - ogula mankhwalawa, komanso malingaliro a akatswiri azachipatala pakugwiritsa ntchito Reduxine machitidwe awo. Chopempha chachikulu ndikuti muwonjezere ndemanga zanu za mankhwalawa: mankhwalawo adathandizira kapena sanathandizire kuchotsa matendawa, ndizovuta ziti zomwe zimawoneka ndi zotsatirapo zake, mwina sizinalengezedwe ndi wopanga. Ma analogi a Reduxin pamakhala ma analogu anthawi zonse. Gwiritsani ntchito mankhwalawa amanentary kunenepa kwambiri komanso kuwonda, kuphatikizapo pa mimba ndi mkaka wa m`mawere.

Reduxin - mankhwala ophatikiza kuphatikiza kunenepa, zomwe zimachitika chifukwa cha zigawo zake. Reduxin (mankhwala ake ogwiritsidwira ntchito Sibutramine) ndi mankhwala opatsirana ndipo amathandizira ku vivo chifukwa cha metabolites (ma pulamu oyambira ndi sekondale) omwe amalepheretsa kubwezeretsanso kwa monoamines (makamaka serotonin ndi norepinephrine). Kuwonjezeka kwa zomwe zili mu ma neurotransmitters mu ma synapses kumawonjezera ntchito zapakati pa serotonin 5-HT receptors ndi adrenoreceptors, zomwe zimapangitsa kuti pakhale kuwonjezereka kwa satiety ndi kutsika kwa zofunika za chakudya, komanso kuwonjezeka kwa mafuta. Pogwiritsa ntchito molakwika ma beta3-adrenergic receptors, sibutramine amachita pazinthu zodontha za bulauni. Kutsika kwa kulemera kwa thupi kumayendera limodzi ndi kuwonjezeka kwa kuchuluka kwa HDL mu seramu ndi kuchepa kwa kuchuluka kwa triglycerides, cholesterol yathunthu, LDL, uric acid.

Reduxin ndi ma metabolites ake sizikhudza kutulutsidwa kwa ma monoamines, osatseka ma MAO, alibe kuyanjana ndi kuchuluka kwa ma neurotransmitter receptors, kuphatikizapo serotonin (5-HT1, 5-HT1A, 5-HT1B, 5-HT2A, 5-HT2C), adrenergic receptors (betrenergic receptors (betrenergic receptors) , beta2, beta3, alpha1, alpha2), dopamine (D1, D2), muscarinic, histamine (H1), benzodiazepine ndi receptors a NMDA.

Ma cellulose a Microcrystalline ndi enterosorbent, ali ndi mphamvu za matsenga ndi mphamvu yopanda tanthauzo. Amamanga ndikuchotsa tizilombo tating'onoting'ono tambiri, zopangidwa ndi ntchito yofunika kwambiri, poizoni wa chilengedwe komanso chilengedwe, ma allergen, xenobiotic, komanso kuchuluka kwazinthu zambiri za metabolic komanso metabolites zomwe zimayambitsa kukula kwa endo native toxicosis.

Reduxine imakhala ndi zigawo ziwiri:

sibutramine hydrochloride monohydrate
microcrystalline mapadi

Mutatha kumwa mankhwalawo mkati, sibutramine imatengedwa mwachangu kuchokera m'mimba, ndi osachepera 77%. Acangu metabolites akudutsa hydroxylation ndi kuphatikizika kwa mapangidwe a metabolites osagwira, omwe amuchotsa makamaka ndi impso.

Kuchepetsa thupi pazinthu zotsatirazi:

kunenepa kwambiri kwamankhwala kumakhala ndi index yamagulu (BMI) yama 30 kg / m2 kapena kupitilira apo,
Matenda onenepa kwambiri okhala ndi BMI ya 27 kg / m2 kapena kuphatikiza zinthu zina zowopsa chifukwa cha kunenepa kwambiri (mtundu wa 2 matenda a shuga / osagwirizana ndi insulin / kapena dyslipoproteinemia).

Mlingo wampangidwe wa mapiritsi a Reduxin mulibe. Ngati pena pake panali kutchulidwa kwa mapiritsi - musakhulupirire, izi ndizabodza, zomwe zitha kukhala zowopsa thanzi lanu.

Makapisozi 10 ndi 15 mg.

Kuwala kwa Reduxin - makapisozi 625 mg.

Malangizo ogwiritsira ntchito

Reduxin ndi mankhwala pakamwa 1 nthawi patsiku. Mlingo umayikidwa aliyense payekha, kutengera kulolera ndi kuthekera kwachipatala. Mlingo woyambayo ndi 10 mg, osalekerera bwino, mlingo wa 5 mg ndiwotheka. Makapisozi amayenera kumwedwa m'mawa, osafuna kutafuna ndikumwa madzi ambiri. Mankhwalawa atha kumwa onse pamimba yopanda kanthu ndikudya.

Ngati mkati mwa milungu 4 kuyambira chiyambi cha chithandizo, kuchepa kwa thupi la 5% kapena kupitirira apo sikunachitike, ndiye kuti mlingowo umakulitsidwa mpaka 15 mg patsiku. Kutalika kwa mankhwala a Reduxine sikuyenera kupitirira miyezi itatu mwa odwala omwe samvera bwino chithandizo (i.e., omwe amalephera kuchepetsa kulemera ndi 5% ya thupi lawo loyambirira mkati mwa miyezi itatu ya chithandizo). Kuchiza sikuyenera kupitilizidwa ngati, pogwiritsa ntchito mankhwala ena (atatha kuwonda), wodwalayo amawonjezeranso 3 kg kapena kuposa mu thupi.

Kutalika konse kwa mankhwalawa sikuyenera kupitirira zaka 2, chifukwa palibe chidziwitso chachitetezo chokhudzana ndi nthawi yayitali pakutenga sibutramine.

Reduxine chithandizo uyenera kuchitika ndi dokotala wodziwa ntchito yochizira kunenepa kwambiri. Kumwa mankhwalawa kuyenera kuphatikizidwa ndi zakudya komanso masewera olimbitsa thupi.

Kusiyanitsa Kuwala kwa Reduxine

Mosiyana ndi Reduxine Light yokhazikika, mawonekedwe ndi othandizira azakudya (BAA) ndipo amagulitsidwa ku mankhwala aliwonse popanda mankhwala.

kamwa yowuma, tulo,
mutu, chizungulire,
nkhawa
paresthesia
kukhumudwa
kugona
kutopetsa, nkhawa, kusakwiya, mantha
kukokana
tachycardia, palpitations,
kuchuluka kwa kuthamanga kwa magazi,
kusowa kwa chakudya
kudzimbidwa
nseru
thukuta
Khungu
dysmenorrhea
kutupa
chimfine ngati matenda
magazi
thrombocytopenia.

kukhalapo kwa organic zomwe zimayambitsa kunenepa (mwachitsanzo, hypothyroidism),
mavuto akulu akudya (anorexia manthaosa kapena bulimia amanosa),
matenda amisala
Gilles de la Tourette syndrome (zochitika zazikulu),
kugwiritsa ntchito mankhwala a mao inhibitors (mwachitsanzo, phentermine, fenfluramine, dexfenfluramine, ethylamfetamine, ephedrine) kapena kugwiritsa ntchito kwawo masabata awiri asanalembe Reduxin, kugwiritsa ntchito mankhwala ena omwe amagwiritsa ntchito dongosolo lalikulu lamitsempha (mwachitsanzo, antidepressants, antipsychotic) yokhala ndi tryptophan, komanso mankhwala ena omwe amagwiritsidwa ntchito pakatikati pofuna kuchepetsa thupi,
IHD, kuwonongeka kwa mtima kosalephera, kusokonezeka kwamtima, kuchuluka kwa matenda am'matumbo, tachycardia, arrhythmias, matenda amitsempha yamagazi (stroko, kuchepa kwa matenda amisempha)
matenda oopsa a magazi oopsa (kuthamanga kwa magazi pamwamba pa 145/90 mm Hg),
thyrotoxicosis,
kukanika kwambiri kwa chiwindi,
kuvulala kwambiri aimpso,
benign Prostatic hyperplasia,
pheochromocytoma,
kutseka-kotsekera glaucoma,
okhazikika mankhwala, mankhwala osokoneza bongo kapena mowa,
mimba
mkaka wa m'mawere (yoyamwitsa),
ana ndi achinyamata osakwana zaka 18,
okalamba wazaka 65,
anakhazikitsa hypersensitivity kwa sibutramine kapena zigawo zina za mankhwala.

Mimba komanso kuyamwa

Mankhwalawa sayenera kugwiritsidwa ntchito panthawi yomwe ali ndi pakati chifukwa cha kusowa kwa maphunziro okwanira okwanira pa chitetezo cha zotsatira za sibutramine pa mwana wosabadwayo.

Amayi a msinkhu wobereka ayenera kugwiritsa ntchito njira zakulera pamene akumamwa Reduxine.

Reduxin sayenera kugwiritsidwa ntchito poyamwitsa.

Reduxine iyenera kugwiritsidwa ntchito pokhapokha ngati njira zonse zosagwiritsa ntchito mankhwala ochepetsera kulemera kwa thupi sizikugwira ntchito - ngati kuchepa kwa thupi kwa miyezi 3 kunali kochepera 5 kg.

Chithandizo cha Reduxine chikuyenera kuchitika monga gawo la zovuta zovuta kuti muchepetse kulemera kwa kuyang'aniridwa ndi dokotala wodziwa ntchito yothetsera kunenepa kwambiri.

Kuphatikiza mankhwala kwa kunenepa kumaphatikizanso kusintha kwa zakudya ndi moyo, komanso kuchuluka kwa zolimbitsa thupi. Chofunikira pakuthandizira ndikumapanganso njira zofunikira kuti munthu asinthe kudya ndi chikhalidwe chake, zomwe zimafunikira kuti thupi lichepetse kuchepetsa thupi litachotsedwa. Odwala ayenera, monga gawo la Reduxine mankhwala, asinthe momwe amakhalira ndi njira zawo kuti awonetsetse kuti kuchepetsa thupi kumatheka mukamaliza chithandizo. Odwala ayenera kumvetsetsa bwino kuti kulephera kutsatira izi kumabweretsa kuwonjezeka kwa thupi ndi kubwereza kwa dokotala.

Odwala omwe akutenga Reduxin, kuthamanga kwa magazi ndi kugunda kwa mtima kuyenera kuyesedwa. M'miyezi iwiri yoyambirira yamankhwala, magawo awa amayenera kuwunikiridwa sabata iliyonse, kenako pamwezi. Odwala omwe ali ndi matenda oopsa (omwe, motsutsana ndi maziko a antihypertensive chithandizo, kuthamanga kwa magazi ndi okwera kuposa 145/90 mm Hg), kuwunika kumeneku kuyenera kuchitidwa makamaka mosamala komanso, ngati kuli kotheka, pakadutsa pang'ono. Odwala omwe kuthamanga kwa magazi kawiri panthawi mobwerezabwereza muyeso amapitilira mlingo wa 145/90 mm Hg. Chithandizo cha Reduxine ziyenera kuyimitsidwa.

Kutalikirana pakati pakudya kwa MAO zoletsa ndi Reduxin ayenera kukhala osachepera milungu iwiri.

Kulumikizana pakati pa kukhazikitsa kwa Reduxine ndi kukula kwa matenda oopsa a m'matumbo a pulmonary sikunakhazikitsidwe, komabe, kupatsidwa chiwopsezo chodziwika bwino cha gulu ili la mankhwalawa, powunikira pafupipafupi zamankhwala, chisamaliro chapadera chiyenera kulipidwa pazizindikiro monga dyspnea (kupuma movutikira), kupweteka pachifuwa komanso kutupa m'miyendo.

Kukopa pa kuyendetsa magalimoto ndi kayendedwe kazinthu

Kutenga Reduxine kumatha kulepheretsa wodwala kuyendetsa magalimoto ndi makina.

Inhibitors a microsomal oxidation, kuphatikizapo zoletsa za isoenzyme 3A4 ya cytochrome P450 (kuphatikiza ketoconazole, erythromycin, cyclosporin) zimachulukitsa kuchuluka kwa plasma ya sibutramine metabolites ndi kuwonjezeka kwa kugunda kwa mtima komanso kuwonjezeka koperewera pakatikati pa QT. Rifampicin, macrolide maantibayotiki, phenytoin, carbamazepine, phenobarbital ndi dexamethasone angathandizire kagayidwe ka sibutramine.Kugwiritsa ntchito pamodzi mankhwala angapo omwe amalimbitsa serotonin m'magazi kungayambitse kuyanjana kwakukulu. Chomwe chimatchedwa serotonin syndrome chitha kupezeka kawirikawiri pogwiritsa ntchito munthawi yomweyo Reduxine wosankha serotonin reuptake inhibitors (mankhwala ochizira matenda a kukhumudwa), ndi mankhwala ena othandizira migraine (sumatriptan, dihydroergotamine), wokhala ndi potent analgesics (pentazocine, pethidine, kapena fentocanil) mankhwala (dextromethorphan). Sibutramine siyimakhudzidwa ndi njira zakulera zapakati.

Ndi makonzedwe omwewo a sibutramine ndi ethanol (mowa), palibe zomwe zidawonjezera mphamvu za ethanol. Komabe, kumwa mowa sikungaphatikizidwe ndi njira zolimbikitsira zakudya mukamamwa ma sibutramine.

Mndandanda wa mankhwala Reduxin

Zofanana muzochitika zamagulu:

Popeza pali mankhwala a analogi omwe amagwira ntchito, mutha kulumikiza ulalo womwe umaperekedwa pamatenda omwe mankhwalawo amathandizira ndikuwona mawonekedwe ofananira achire.

Kodi pali kusiyana kotani pakati pembexin 10 ndi sapxin 15 Mapiritsi olimba ndi njira zosiyanasiyana zolemetsa zikukula mofulumira. Mankhwala odziwika bwino ngati Reduxin
Kodi pali kusiyana kotani pakati pembexin 10 ndi sapxin 15

Mwachidule za Reduxine

- mankhwala ntchito mankhwalawa kunenepa. Mu kapisozi imodzi ya mankhwalawa ndi 10-15 mg ya sibutramine.

Monga zina zomwe zimagwiritsidwa ntchito:

Reduksin kumwa sutra musanadye chakudya cham'mawa kapena mukudya kamodzi patsiku. Mlingo woyenera ndi 10 mg tsiku lililonse. Ndi kulekerera kwabwino, kuwonjezera zotsatira, mlingo umakulitsidwa mpaka 15 g patsiku. Kutalika kwa mankhwalawa ndiku kuyambira miyezi itatu mpaka iwiri.

Zaka (mwana kapena wamkulu)
Kuperekera kwa Sibutramine
Mimba komanso kuyamwa
Kupsinjika kwa magazi
Matenda amisala
Mavuto akudya
Matenda a mtima
Nkhupakupa Zachikulu
Kuletsa matenda
Impso kapena chiwindi kukanika
Thirotooticosis
Zowonongeka.

Momwe zimachitika kuti Reduxine asokonezeke ndi kusokonezeka kwamitsempha yama mtima, mtima kapena chimbudzi. Komanso, mutatha kumwa mapiritsiwo, zimachitika pakhungu, kutupa, chimfine, ludzu, zotupa komanso zotupa pakhungu zimayamba.

Mwachidule za Xenical

Makapisozi amagwiritsidwa ntchito pochiza kunenepa kwambiri komanso kuchepetsa matenda. Mankhwalawa adapangidwanso kuti awonjezere chiopsezo cha kunenepa kwambiri pazomwe zimayambira matenda a shuga (mtundu 2).

Mankhwalawa aledzera ndi othandizira odwala matenda ashuga. Pakuthandiza kwa mankhwalawa, mapiritsi amaphatikizidwa ndi zakudya zochepa zopatsa mphamvu.

Piritsi limodzi lili ndi 120 mg ya orlistat. Povidone, MCC, mchere wa sodium, talc, SLS amagwiritsidwa ntchito ngati zowonjezera.

Kuchita kwa Xenical kumadalira kuponderezedwa kwa ntchito ya michere ya m'mimba. Mlingo wovomerezeka wa orlistat ndi piritsi limodzi 3 katatu patsiku. Mankhwala amatengedwa nthawi yayikulu chakudya. Pa nthawi yamankhwala, ndikofunikira kutsatira zakudya zochepa zopatsa mphamvu, zomwe 30% zimaperekedwa kwa mafuta.

Zotsatira pa kutenga Xenical:

Cholestasis
Orlisat tsankho
Osakwanira mayamwidwe matenda.

Pambuyo pa kutenga Xenical, zimachitika zovuta mu mawonekedwe a ziwengo zimatha - kutentha thupi, kuyabwa, mantha anaphylactic, kutupa, zotupa pakhungu. Kuchokera ku ziwalo zam'mimba, mawonekedwe a kupweteka pamimba, kukhumudwa pang'onopang'ono, kuphimba. Zochita zina zoyipa zimaphatikizapo kufooka, alopecia, migraine, matenda amkodzo kapena kupuma, komanso nkhawa.

Kuti mudziwe kuti Reduxin kapena Xenical ndiwabwino, ndikofunikira kufananizira onse mankhwalawa. Kusiyanitsa koyamba pakati pa mapiritsi ndizosakaniza mosiyanasiyana.

Reduxin amakhudza kwambiri ubongo, kupondereza njala. Ndipo Xenical imakhala ndi mphamvu yochepetsa thupi, osalola chakudya chamafuta kulowa mthupi.

Poganizira funso loti Xenical kapena Reduxine ndilothandiza kwambiri, ziyenera kudziwika kuti mankhwalawa onse ali ndi mphamvu pang'onopang'ono. Chifukwa chake, malinga ndi zakudya komanso kugwiritsa ntchito ndalama kawiri pa sabata, imachokera ku 0,5 mpaka 1 makilogalamu owonjezera.

Njira yogwiritsira ntchito pokonzekera ili pafupifupi yofanana. Komabe, zoyipa ndi zotsutsana mu Reduxine ndizowopsa komanso zosiyana kusiyana ndi Xenical. Chifukwa chake, orlistat imagwiritsidwa ntchito pokhapokha ngati pali tsankho pazigawo, chifukwa cha kupukusa m'mimba ndi kusayenda kwa bile. Ndipo siubtramine imapikisidwa paubwana, ukalamba, ndi matenda a impso, mtima, chiwindi, ziwalo zam'maso, kulephera kwa mahomoni.

Mankhwala osokoneza bongo amasiyanasiyana pamtengo. Mtengo wapakati wa Reduxin ndi ma ruble 2600. Mtengo wa Xenical ndi pafupifupi ma ruble 900.

Chifukwa chake, njira zonse ziwiri zothandizira kulemera zimakhalanso ndi zofanana. Malinga ndi madokotala, mankhwalawa ndi otetezeka, koma koposa zonse - amathandizira kuchepetsa thupi.

Komabe, madokotala amalangiza kusankha Reduxine kwa anthu omwe safuna kukhala ndi vuto la chimbudzi. Ndipo Xenical ndi yoyenera kwambiri kwa iwo omwe angakwanitse kugula mankhwalawa amamva bwino chifukwa chodzimbidwa kapena kutsegula m'mimba.