Amaryl 2 ndi 4 mg: mtengo, ndemanga ya mapiritsi a shuga, analogues

Glimepiride Canon (mapiritsi) Kukala: 66

Analogue ndiotsika mtengo kuchokera ku ma ruble 123.

Glimepiride Canon ndi imodzi mwamankhwala opindulitsa kwambiri pochiza matenda a shuga 2 omwe amachokera ku glimepiride chimodzimodzi. Amawonetsera kusagwira bwino kwa zakudya komanso zolimbitsa thupi.

Analogue ndiotsika mtengo kuchokera ku ma ruble 118.

Glimepiride wamba siosiyana ndi "Canon". Ili ndi chigawo chimodzi chogwira ntchito, mawonekedwe omasulidwa, mawonekedwe ndi ma contraindication. Zimapangidwa ndi mabizinesi osiyanasiyana aku Russia. Zambiri zitha kupezeka muzowongolera.

Diamerid (mapiritsi) Kutalika: 38 Pamwamba

Analogue ndiyotsika mtengo kuchokera ku ma ruble 99.

Diamerid imapezekanso ku Russia ndipo imawononga ndalama zochepa poyerekeza ndi Amaril, malinga ndi momwe phukusi limakhala ndi mapiritsi ofanana. Amawonetsera matenda a shuga 2, ngati zolimbitsa thupi ndi zakudya sizikupatsani zotsatira zomwe mukufuna. Odwala mtundu wa 1 shuga.

Kugwiritsa

Amaryl nthawi zambiri amafotokoza kuti endocrinologist ndiye chida chachikulu chotsitsira shuga m'magazi. Nthawi zina mapiritsi a shuga, molingana ndi mawonekedwe, amaperekedwa mu zovuta mankhwala, pamodzi ndi insulin ndi metamorphine.

Amaryl idakhazikitsidwa, monga momwe malangizo angagwiritsidwire ntchito amanenera, chinthu chomwe chili ndi dzina losavomerezeka padziko lonse (INN) - glimepiride. Ali ndi udindo wopanga insulini, kuti iyenso ayambe kugwira ntchito yayikulu - kutsitsa shuga. Izi zimachitika chifukwa cha kutulutsidwa kwa insulin m'maselo a kapamba, omwe amawonetsa machitidwe a glucose omwe. Ndizowona, kupanga kwa insulini kumachitika chifukwa chogwirizana ndi magulu a mapuloteni a njira za potaziyamu (njira za ATP), zomwe zimakhala pamaselo a maselo. Glimepiride amatha kusankha moyenera kumapuloteni ndikuwongolera zochitika zamayendedwe a ATP; amatseguka ndikutseka m'njira yolamulidwa.

Ngati mlingo wokwanira kwa wodwala ndiwosakwanira, ndiye kuti metmorphine imalumikizidwa ndi mankhwala. Yotsirizira imalepheretsa gluconeogeneis mu chiwindi, amachepetsa kuyamwa kwa glucose m'matumbo. Komanso kumawonjezera kugwiritsidwa ntchito kwa glucose ndikumverera kwa minofu yokha. Monga adanenera dokotala, insulin ikhoza kulumikizidwa ku chithandizo cha mankhwala ndi metamorphine kapena mosiyana ndi iwo.

Mu thupi, gawo lomwe limagwira limafikiratu. Chakudya chimagwira pang'ono pakulowetsedwa, chimatha kuchepetsa kuthamanga kwake pang'ono. Kutupa kwa glimepiride, monga mankhwala ambiri am'badwo wotsiriza, kumachitika m'matumbo, komanso impso. Zinapezeka kuti mumkodzo zinthu sizikhala zosasinthika. Maphunziro sazindikira kuchuluka kwa glimepiride m'thupi.

Amaryl M - kuphatikiza kwa mitundu iwiri yogwira ya metformin ndi glimepiride, malangizo ake ogwiritsira ntchito akuwonetsa zonse zomwe zimafunika ndi mankhwalawa. M'malo ogulitsa mankhwalawa, mankhwalawa amagulitsidwa nthawi zonse: 1 mg ya glimepiride + 250 mg ya metformin, 2 mg ya glimepiride + 500 mg ya metformin.

Kutulutsa Mafomu

Mankhwalawa amapezeka mu mawonekedwe a mapiritsi ozungulira (1-4 mg). Kumbali imodzi ya piritsi ndi kuwerenga mawu olembedwa HD125. Mu chithuza chimodzi 15 zidutswa. Matuza okha ali ndi makhadibhodi. Mutha kugula mankhwalawa m'matumba awiri, anayi, asanu ndi amodzi kapena asanu ndi atatu. Mapiritsiwa ndi osiyanasiyana mu mitundu: pinki imakhala ndi 1 mg, wobiriwira 2 mg, Amaryl 3 mg - lalanje mu mtundu ndi Amaryl 4 mg - mapiritsi amtambo wabuluu.

Piritsi limodzi:

• glimepiride wa m'badwo wachitatu - chinthu chachikulu chomwe chimatsitsa shuga, chinthu chomwe chimatulutsidwa ku sulfamide,
• povidone - mankhwala othandizira, enterosorbent,
• lactose ndi molekyu yamadzi (monohydrate),
• cellcrystalline mapadi,
• sodium carboxymethyl wowuma - zakudya zowonjezera, tackifier, thickener,
• indigo carmine - chakudya choteteza utoto
• magnesium stearate (kukhazikika kwa antifoam).

Amaril ndiwosavuta kugwiritsa ntchito, muyenera kumwa mapiritsi kamodzi m'mawa. Malangizo ogwiritsira ntchito, komanso mtengo wake ndi wokwera mtengo kwa wodwala aliyense amene ali ndi matenda a endocrine.

Contraindication

Ndi mphamvu zake zonse, Amaryl ali ndi zotsutsana zingapo, kumwa mapiritsi, izi ziyenera kukumbukiridwa.

1. Mtundu woyamba wa shuga. Mosiyana ndi mtundu wa 2 shuga mellitus, amadziwika ndi kuperewera kwenikweni kwa insulin, komwe kumachitika chifukwa cha kuwonongeka kwa maselo apakhungu.
2. Matenda ashuga ketoacidosis ndi zovuta za shuga, nthawi zambiri mtundu woyamba. Kusokonezeka kwa kagayidwe kazakudya chifukwa cha kuperewera kwa insulin.
3. Matenda a shuga kapena matenda a shuga amayamba chifukwa cha kuperewera kwa insulin kapena kuphwanya zakudya, kugwiritsa ntchito mafuta osokoneza bongo, zakudya zamafuta ndi mowa.
4. Kusokonezeka kwakukulu kwa metabolic.
5. Matenda a chiwindi, komanso impso, omwe ali ndi vuto la ziwalo zofunika kwambirizi. Makamaka, mikhalidwe yomwe imatsogolera kuphwanya ntchitozi - matenda, mantha, ndi zina zotere.
6. Kuchita hemodialysis.
7. Ischemia, kupuma kukanika, kutsika kwa mtima, matenda a mtima. Izi zitha kubweretsa minofu hypoxia.
8. Lactic acidosis ndi zovuta zachilengedwe za shuga zomwe zimayambitsa kuchuluka kwa lactic acid mthupi.
9. Kuvulala, kuwotcha, kuchita opaleshoni, septicemia (imodzi mwazinthu zakupha za magazi).
10. Kutopa, kusala kwadala - kumwa chakudya ndi zakumwa zomwe zimakhala ndi zopatsa mphamvu zopitilira 1000 patsiku.
11. Kutupa kwa matumbo, matumbo paresis, kutsegula m'mimba, kusanza.
12. Mowa.
13. Kuperewera kwa lactase (enzyme yofunikira popanga lactose), galactose tsankho (imodzi mwazomwezi).
14. Kuyembekezera mwana, kuyamwitsa.
15. Zofika zaka 18, chifukwa chosowa kafukufuku pa nkhaniyi.
16. Kusalolera payekha pachinthu chimodzi kapena zingapo za Amaril.

Amaril atangoikidwa kumene, kuwongolera koyambirira kwa zotsatira zamankhwala ndikomwe wodwala amafunikira.

Komabe, odwala sangapezeke owunikira. Mwachitsanzo, ena safuna kapena sangathe kuonana ndi dokotala. Izi zimachitika makamaka kwa okalamba. Komanso pano pamatha kupezeka odwala omwe samatsata zakudya zawo pazifukwa zosiyanasiyana, zidakwa. Anthu omwe amagwira ntchito molimbika.

Moyang'aniridwa ndi dokotala, Amaril ayenera kumwedwa kwa odwala omwe ali ndi vuto la chithokomiro, komanso gland ya adrenal, yokhala ndi zovuta zina zofala za endocrine. Pankhaniyi, kuyang'anitsitsa kuchuluka kwa shuga m'magazi ndikuwonetsa zizindikiro za hypoglycemia ndikofunikira, kusintha kwina kwa mankhwala kungafunike.

Chisamaliro chachikulu chiyenera kulipidwa kuti mutenge Amaril mumkhalidwe womwe odwala omwe nthawi yomweyo amamwa mankhwala ena. Dokotala ayenera kumvetsetsa kuyenderana kwawo ndikuwuza odwala malamulo ovomerezeka.

Mankhwala a shuga Amaril amawonetsedwa ndi katswiri - endocrinologist. Amapangana pambuyo poti adziwe kuchuluka kwa shuga m'magazi a wodwalayo. Endocrinologists amatenga momwe munthu amakhalira - zakudya zake, zolimbitsa thupi, zaka, matenda oyambitsidwa ndi zina zambiri.

Mlingo wocheperako ndi 1 mg. Piritsi limodzi liyenera kumwedwa kamodzi patsiku m'mawa asanadye kadzutsa woyamba kapena nthawi yam'mawa. Mapiritsi a kutafuna sanalimbikitsidwe, komabe, ayenera kutsukidwa ndi madzi (osachepera theka lagalasi). Ngati ndi kotheka, dokotala amatha kukupatsani mlingo waukulu - kuyambira 2 mpaka 3 mg, 4 mg amatchulidwa kuti muyezo wapamwamba, 6 ndi 8 mg ndi omwe amapatsidwa mankhwala osowa kwambiri. Musati muwonjezere mlingo wowopsa, nthawi yayitali pakati masiku osankhidwa ayenera kukhala osachepera masiku asanu ndi awiri. Ndikumwa mankhwala a Amaril shuga komanso makamaka kusintha kwa mankhwalawa, ndikofunikira kuyesa kuyesa.

Kuwongolera nthawi zambiri kumafunika kuti moyo wa wodwalayo usinthe. Mwachitsanzo, kumwa mowa, kudya zakudya, kupeza mwadzidzidzi kuchuluka kapena kuchepetsa thupi. Izi zikuphatikiza zovuta za kagayidwe kazakudya, bongo, zovuta zina mu impso ndi chiwindi.

Amaryl M akakhazikitsidwa, mfundo yomweyi imagwiritsidwa ntchito kudziwa mlingo. Nthawi zambiri mankhwalawa amatengedwanso kamodzi patsiku. Chisamaliro chapadera chimaperekedwa pakusankhidwa kwa odwala omwe ali ndi zaka zopitilira 65. Mankhwalawa amatchulidwa pophunzira mosamala za matenda okalamba, makamaka ntchito ya chiwindi ndi impso.

Mutatha kumwa mapiritsi, wodwalayo ayenera kudya, apo ayi, shuga adzatsika pansi pokhazikika. Zakudya zotsatirazi siziyenera kudumphidwanso, pokhapokha ngati njira yothandizira imawonedwa. Kukonzekera kwa mtunduwu kukuwonetsedwa kuti mugwiritse ntchito kwa nthawi yayitali. Ngati mankhwalawa a shuga alibe tanthauzo, Amaryl M wophatikizidwa, kapena mankhwala ena ochepetsa shuga amayamba - metformin ndi insulin.

Zotsatira zoyipa

Kafukufuku waposachedwa wazachipatala wa glimepiride, yemwe ndiwothandiza kwambiri ku Amaril, awonetsa zotsatira zoyipa. Amatha kuchitika kuchokera kumbali ya kagayidwe, chimbudzi, masomphenya, mtima ndi chitetezo chamthupi. Kuphatikiza apo, photosensitization (kukulitsa chiwopsezo cha thupi ku ma ray a ultraviolet), hyponatremia (kuchepa kwa kuchuluka kwa ayoni m'magazi) ndizotheka.

Hypoglycemia imatha kuwonekera kwa nthawi yayitali, ndikusokonekera kwa metabolic, zizindikiro zake ndi:

• mutu, chizungulire, kusazindikira, nthawi zina mpaka kukomoka kumachitika,
• kufuna kudya nthawi zonse,
• kufuna kusanza komanso kusanza,
• kufooka, kugona tulo kapena kufuna kugona nthawi zonse,
• kuwonekera mwadzidzidzi kwa mkwiyo,
• kutsitsa chidwi, kunchepetsa mayankho,
• delirium (matenda amisala omwe ali ndi vuto logontha),
• kukhumudwa
• chisokonezo,
• mavuto azolankhula (aphasia)
• kuwonongeka kwamawonekedwe
• kugwedeza, kukokana,
• kuphwanya zamkati mwa ziwalo,
• kulephera kudziletsa
• kuvutika kupuma
• thukuta lalikulu, khungu kumata,
• nkhawa
• kuchuluka kwa mtima,
• kuchuluka kwa kuthamanga kwa magazi,
• chisokonezo mu phokoso la mtima, zosokoneza mu phokoso la sinus.

Masomphenya. Zowonongeka zowoneka bwino, nthawi zambiri kumayambiriro kwa kayendetsedwe ka Amaril. Izi zimachitika chifukwa chophwanya kufinya kwa magalasi, njirayi imatengera kuchuluka kwa shuga m'magazi. Chizindikiro cholocha cha mandala chimasokonekera, ndipo masomphenyawo akuipiraipira.

Chimbudzi. Wodwalayo amatha kudwala, kusanza, kumva kupweteka m'mimba, kupweteka kwambiri m'mimba, kutulutsa, kutsegula m'mimba. Kutsutsa kungaoneke ngati chakudya.

Chiwindi, thirakiti lothandiza. Mwina chitukuko cha hepatitis, cholestasis ndi jaundice, zimatha kudwalitsa thanzi la wodwalayo komanso kuopseza moyo, chifukwa cha kufalikira kwa chiwindi. Komabe, kuthetsedwa kwa Amaril, kubwezeretsa mwachangu ntchito kwa chiwindi kungachitike.

Chitetezo cha mthupi. Mawonetseredwe a thupi lawo amawonedwa (urticaria, zidzolo). Izi zimachitika nthawi zambiri zimalekerera, komabe, nthawi zina kupuma movutikira kumawonedwa. Kupanikizika kumachepa, anaphylaxis ndi yotheka (zimachitika pachimake ndi allergen). Allergic vasculitis (chitetezo cha m'mitsempha ya m'mimba yotupa) idapezeka.

Mtengo wa mankhwalawo ndi wochepa, koma ungasiyane pamisika yamakampani osiyanasiyana. Mwachitsanzo, mitengo yazinthu zazikulu zamakompyuta zomwe mungagule Amaryl zikuwonetsedwa patebulopo.

Mankhwalawa amagwiritsidwa ntchito pochiza matenda a shuga a mtundu wachiwiri. Komabe, sizingakhale zoyenera kwa wodwalayo chifukwa cha kudwala kwake kapena zifukwa zina. Amaril analogues amakhazikitsanso yogwira mankhwala glimepiride. Amatha kusiyanasiyana ndi kuchuluka kwa mapiritsi mumphaka, malo opangira, othirira komanso kusalolera kwawo kwa odwala. Mankhwala otsatirawa amatchedwa Amaril analogues.

1. Glemaz. Zomwe zimagwiritsidwa ntchito ndizofanana - glimepiride. Mankhwalawa amapezeka m'mapiritsi, amatchulidwa pokonzekera chithandizo chamanthawi yayitali, moyang'aniridwa ndi achipatala. Mosiyana ndi Amaril, mapiritsi a 4 mg okha ndi omwe amapezeka. Mtengo wapakati ndi ma ruble 650.
2. Glemauno. Machitidwe a mankhwalawa ndi ofanana ndi zomwe Amaril amachita. Ili ndi mndandanda wamtundu wautali kwambiri woti utenge. Komabe, malangizo amaperekedwa kuti asamachite zinthu zomwe zimafunikira chidwi pakavomerezedwa. Mankhwala amaperekedwa pokhapokha ngati amupatsa mankhwala. Mtengo wamba wa 2 mg ndi ma ruble 476.
3. Glimepiride. Mankhwala ngati amaril amatha kutsitsa shuga m'magazi a wodwala. Nthawi zambiri, mapiritsi amatengedwa kamodzi patsiku musanadye chakudya cham'mawa chambiri, osambitsidwa ndi madzi ambiri. Mosakwanira, insulin imaperekedwanso. Ndemanga za izi ndizabwino, mtengo wa mankhwalawo ndiwotsika mtengo kuposa mankhwala omwewo. Mtengo wapakati ndi 2 mg 139 rubles.

Bongo

Mankhwala osokoneza bongo ndi owopsa chifukwa cha hypoglycemia - kuchuluka kwa shuga m'magazi kumachepetsedwa kwambiri, chifukwa chokhala ndi vuto la hypoglycemic. Vutoli limatha kukhala kuchokera tsiku limodzi mpaka masiku atatu. Ngati zizindikiro za mankhwala osokoneza bongo zimachitika, wodwalayo amapatsidwa zakudya zokhala ndi michere yambiri. Mutha kudya chidutswa cha shuga, kumwa madzi kapena tiyi wokoma. Wodwalayo akapanda kudziwa, ndiye kuti ali ndi jekeseni wa dextrose ndi glucagon m'njira yolera, podutsa m'mimba.

Ngati wodwalayo akuipiraipira mankhwala osokoneza bongo, amayimba ambulansi ndipo ngati kuli koyenera, agonekere kuchipatala.

Tsambali, pomwe ndemanga zoyenera zimayikidwa, https://otzovik.com/ imapereka malingaliro awiri okhudza kugwiritsidwa ntchito kwa Amaril.

Matenda a 2 a shuga ndi amodzi mwa matenda omwe amafunikira njira mosamalitsa pakalandira chithandizo. Mankhwala osankhidwa molumikizana ndi endocrinologist amathandiza kuchepetsa shuga m'magazi komanso kupewa zotsatira zoyipa. Amaryl ndi mankhwala, akaperekedwa, malangizo omwe angagwiritsidwe ntchito, mlingo uyenera kuonedwa, mavuto ndi zotsutsana zimayang'aniridwa. Zithandizanso kuwerenga ndemanga za odwala omwe atenga kale Amaril, ma analogu ake amafunikanso kukumbukiridwa. Ngati zinthu zonse zakwaniritsidwa, chithandizo chamankhwala chimakhala chothandiza ndikuthandizira munthu kukhala ndi moyo wonse.

Glimepiride Canon

Ndi mankhwala a hypoglycemic omwe amamwa pakamwa. Zimakhudza maselo a kapamba ndikutulutsa insulin.

Mankhwalawa ali ndi mitundu ingapo yamvuto:

1. Kutulutsa kwina-pancreatic pa thupi, komwe kumawonjezera kuthekera kwa minofu kukulitsa insulin.
2. Imachepetsa kukonza kwa insulin m'chiwindi.
3. Imalepheretsa kupanga kwa shuga.

Lemberani pakamwa. Mankhwala osakanikirana ndi insulin atha kutumizidwa, chifukwa chosowa mankhwalawa. Komabe, posankha mtundu wa mankhwalawo, muyenera kuwunika mwatsatanetsatane wa zomwe zili m'magazi. Mankhwalawa nthawi zambiri amakhala aatali. Mtengo pafupifupi wa ruble 165.

Kutalika kwa Glformin

Amalemba mtundu wa shuga wachiwiri mwa odwala omwe ali ndi kunenepa kwambiri. Mankhwalawa amagwiritsidwa ntchito onse mu monotherapy komanso kuphatikiza ndi mankhwala ena.

Mutha kumwa mosasamala chakudya. Mlingo ndi pafupipafupi zimatsimikiziridwa kutengera mtundu womwe umagwiritsidwa ntchito. Lemberani mankhwala mpaka katatu / tsiku. Pakadutsa masiku 15 mukuyenera kusintha mlingo.

Zofananira zamankhwala, mtengo

Amaril yatumizanso ku ma analogu, omwe ali ndi mtengo wokwera, koma zowunikira zowonjezereka:

1. Avandaglim. Muli zinthu ziwiri zowonjezera, zomwe ndi rosiglitazone maleate ndi glimepiride. Amasintha kuwongolera kwa glycemic kwa odwala omwe ali ndi matenda a shuga a 2.
2. Avandamet. Mankhwala osakanikirana otengera rosiglitazone maleate ndi metformin hydrochloride. Zimalimbikitsa insulin chiwopsezo.
3. Bagomet Plus. Kuwonetseraku kumadalira kuphatikizika kwokhazikika kwa zinthu ziwiri izi metformin ndi glibenclamide. Oyamba amachepetsa kuchuluka kwa shuga m'magazi, amalepheretsa kuyamwa kwa mafuta amthupi komanso amachepetsa kuchuluka kwa gluconeogenesis. Metformin imakhudza bwino mawonekedwe a lipid m'magazi, amatsitsa cholesterol ndi triglycerides mmenemo. Glibenclamide imachepetsa zomwe zili m'magazi. About mapiritsi otsika mtengo kuti muchepetse cholesterol - mayina, mitengo ndi malingaliro omwe tidalemba apa.
4. Bagomet. Ili ndi zotsatilapo zingapo zabwino:

• amachepetsa kuyamwa kwa glucose
• amachepetsa gluconeogenesis,
• kumawonjezera kuphatikizika kwa glucose,
• kumawonjezera kuthekera kwa minofu pazotsatira za insulin.

Mtengo wake umachokera ku ruble 68 mpaka ma ruble 101.

Zisonyezero zogwiritsira ntchito mapiritsi a Amaryl

The yogwira mankhwala malinga ndi malangizo pokonzekera Amaril ndi glimepiride.

Mankhwalawa ali ndi zotsatirapo zabwino:

1. Amathandizira kupanga insulin.
2. Kuchulukitsa chiwopsezo cha zimakhala kuti insulin opangidwa ndi thupi.
3. Amatulutsa insulin.
4. Ali ndi ntchito zina.
5. Kutha kusintha myocardium ku ischemia kumakhalabe.
6. Zochita za antithrombotic.

Mankhwala a matenda a shuga a 2 amagwiritsidwa ntchito. Potere, mankhwalawa angagwiritsidwe ntchito onse mu monotherapy, komanso pamodzi ndi mankhwala ena.

Mlingo ndi makonzedwe

Mtengo wa Amaryl umachokera ku ruble 820 mpaka ma ruble 2300 pa paketi iliyonse.

Pogwiritsa ntchito Amaril, ndikofunikira kutsatira malamulo ena:

1. Kusankha kwa dose kumachitika kokha ndi adokotala. Mlingo woyambirira ndi 1 mg 1 nthawi patsiku.
2. Mlingo uyenera kukhala wofanana ndi pafupipafupi wa mankhwalawo.
3. Mapiritsiwo amameza lonse osafuna kutafuna.
4. Imwani mankhwalawo ndi theka la lita imodzi yamadzi.
5. Ndikofunika kwambiri kuti musadumphe zakudya.
6. Mankhwalawa ndiwotalikirapo.
7. Amaril akhoza kugwiritsidwa ntchito limodzi ndi metformin. Komanso, chithandizo choterechi chikuyenera kuchitika ndikufufuzidwa kwathunthu kachipatala.
8. Ngati sikungatheke kukwaniritsa kuchuluka kwa shuga m'magazi mwa kumwa mlingo wovomerezeka wa Amaril, ndiye kuti mankhwalawa atapangidwa ndi glimepiride ndi insulin.
9. Kusamutsa wodwala kuchokera ku mankhwala a hypoglycemic kupita ku Amaryl kumachitika ndi kukhazikitsidwa kwa Mlingo woyamba wa 1 mg.

Zotsatira zoyipa

Nthawi zina, zotsatira zoyipa zimatha kugwiritsidwa ntchito ndi Amaril.

Amawonekera atamwa mankhwalawo:

• mutu
• kutopa konse
• nseru
• akukumbutsa
• kugona kusokonezedwa ndi nkhawa
• chisokonezo mu chikumbumtima
• zam'mimba.
• kulephera kudziletsa.

Masomphenya:

• Nthawi zambiri, kusokonezeka kwakanthawi mu magwiridwe antchito amadziwika, komwe kumachitika chifukwa cha kusintha kwa glucose m'magazi.

Ziwalo zogaya:

• kusanza
• kutsegula m'mimba
• kupweteka kwam'mimba
• kuwonjezera mphamvu ya ma enzymes a chiwindi,
• jaundice.

Thupi lawo siligwirizana (mwina kudzera mawonekedwe awonetsedwe):

• urticaria pakhungu,
• kumverera kwa kuyabwa
• zotupa pakhungu.

Nthawi zina, mavuto owonjezereka angachitike:

Kuti mupewe kukula kwa zovuta mutamwa mankhwalawa, muyenera kufunsa dokotala musanagwiritse ntchito mankhwalawa.

Amaril samachita izi. Osasakaniza mankhwalawa ndi mowa. Mukuyenera kutenga Amaryl pokhapokha mutakambirana ndi dokotala.

Avandaglim

Mankhwala amapezeka pamaziko a glimepiride 4 mg ndi rosiglitazone 4 kapena 8 mg. Phukusili lili ndi miyala 28.

Mankhwala amasintha ma cell a chiwopsezo cha insulin ndi kapangidwe kake kapamba. Amawerengera odwala omwe samadalira insulin omwe amalandila mankhwala ophatikiza ndi thiazolidinedione ndi zotumphukira za sulfonylurea, komanso osagwiritsa ntchito bwino mankhwalawa mosiyana. Zitha kutumikiridwa nthawi yomweyo ndi metformin.

Mankhwalawa amatengedwa kamodzi patsiku ndi zakudya.

Glimepiride Teva

Kupezeka pamaziko a glimepiride. Mlingo wa mapiritsi ndi 2, 3 kapena 4 mg. Phukusili lili ndi miyala 30.

Amawonetsera kusakhazikika kwa matenda ashuga komanso kuchita masewera olimbitsa thupi kukhazikitsa shuga odwala omwe ali ndi matenda ashuga a 2. Kuchulukitsa kupanga kwa insulin mu kapamba.

The yogwira mankhwala mapiritsi ndi glimepiride 4 mg. Phukusili lili ndi mapiritsi 15, 30 kapena 60.

Kuchita kwa mankhwalawa cholinga chake ndikuwonjezera kupanga insulin. Ntchito mtundu wa 2 matenda ashuga omwe ali ndi shuga osakhazikika mu zakudya za shuga komanso maphunziro akuthupi.

Mlingo woyambirira wa mankhwalawa ndi 1 mg, omwe ndi 6 mg. Cholandilidwa musanadye chakudya cham'mawa chambiri.

Mankhwalawa ali ndi glimepiride 1 kapena 2 mg ndi metformin 250 kapena 500 mg. Phukusili lili ndi miyala 30.

Cholinga chake ndikuwonjezera kupanga insulini ndikuchepetsa chitetezo chokwanira cha zimakhala.

Gawani odwala omwe ali ndi shuga omwe samadalira insulin omwe ali ndi vuto la zakudya zomwe zimayambitsa matenda ashuga komanso zolimbitsa thupi kuti athe kukhazikika shuga. Komanso, chithandizo ndi glimepiride ndi metformin payokha sizinapatse kanthu kapena kuphatikiza mankhwalawa onse limodzi.

Mankhwalawa amatengedwa kamodzi kapena kangapo patsiku ndikudya. Mlingo wapamwamba wa metformin ndi 200 mg ndi glimepiride ndi 8 mg.

Imapezeka pamaziko a metformin 500 kapena 1000 mg ndi rosiglitazone 1, 2 kapena 4 mg. Phukusili lili ndi mapiritsi 14, 28, 56, 112.

Mankhwala amawonjezera kukoka kwa ma cell ku insulin ndi katulutsidwe kake mu kapamba, kumalepheretsa kuyamwa kwa shuga m'matumbo.

Amasankhidwa kuti akhale ndi mtundu wachiwiri wa matenda ashuga omwe amachepetsa matenda a shuga komanso maphunziro akuthupi pakuwongolera glycemic. Komanso m'malo mwa monotherapy ndi metformin kapena thiazolidinedione, combotherapy ndi mankhwalawa.

Chithandizo chimayamba ndi 4 mg / 1000 mg, mlingo waukulu ndi 8 mg / 1000 mg. Cholandilidwa mosasamala chakudya. Ntchito ngati analogue ya Amaril M.

Bagomet Plus

Mankhwala amapangidwa pamaziko a glibenclamide 2,5 kapena 5 mg ndi metformin 500 mg. Phukusili lili ndi miyala 30.

Cholinga chake ndikuwonjezera kupanga kwa insulini mu kapamba ndikuwonjezera chiwopsezo cha minofu yake.

Amalembera kusakhazikika kwa matenda ashuga komanso kuchita masewera olimbitsa thupi kukhazikitsa shuga odwala omwe ali ndi matenda a shuga a 2 komanso chithandizo cham'mbuyo ndi glibenclamide kapena metformin. Komanso m'malo monotherapy ndi mankhwalawa kwa odwala omwe ali ndi shuga wokhazikika.

Mlingo woyambirira ndi 500 mg / 2,5 kapena 5 mg ndi zakudya, pazomwe zimakhala 2 g / 20 mg.

Malingaliro a madotolo

Nthawi zambiri ndimapereka mankhwala Amaril M. kwa odwala. Ndiwotheka kumwa, kamodzi patsiku. Zotsatira zoyipa ndizosowa.

Alexander Igorevich, endocrinologist.

Amaril amalembedwa kwa odwala matenda a shuga. Amachepetsa shuga bwino. Zoyipa ndi mtengo. Ndi bajeti yocheperako, glimepiride ndiyabwino.

Ndemanga Zahudwala

Ndimagula glimepiride kuti muchepetse shuga. Mankhwalawa ndi osavuta kutenga, makamaka ngati munthu agwira ntchito tsiku lonse. Shuga atakhazikika, pamafunika kusintha mlingo. Ndipo kotero mankhwalawa ndiabwino.

Ndimatenga Amaril m'mawa uliwonse. Ndimakonda kuti muzimwa kamodzi patsiku, ndipo umakhala ndi shuga tsiku lonse.

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