Ciwan Combogliz

Wannan shafin yana samar da jerin duk analog na Combogliz Prolong gwargwadon tsarin aikinsu da alamun amfani. Jerin analogues mai arha, kuma zaka iya kwatanta farashin a cikin kantin magunguna.

• Mafi arha mafi sauƙi na Combogliz Na Tsawanta:Janumet
• Mafi mashahurin analog na Combogliz Na Zamani:Vipdomet
• Kasuwancin ATX: Metformin a hade tare da saxagliptin
• Abubuwan aiki mai aiki / abun da ke ciki: metformin, saxagliptin
  

Lokacin kirga kudin Mafi sauki analogues Combogliz Prolong ƙaramin farashin da aka samo cikin jerin farashin da masanan ke bayarwa an ɗauke shi la'akari

Bayarwa jerin magungunan analogues dangane da ƙididdigar yawan magunguna da aka nema sosai

Analogs a cikin kayan haɗin da nuni don amfani

Jerin da aka bayar na magungunan analogues na miyagun ƙwayoyi, wanda ke nuna maye gurbin Combogliz Ci gaba, ya fi dacewa saboda suna da tsari iri ɗaya na abubuwa masu aiki da daidaituwa bisa ga nuni don amfani

Analogs ta hanyar nuni da hanyar amfani

Abun daban-daban, na iya daidaituwa cikin nuni da hanyar aikace-aikace

Yaya za a iya samun analogue mai tsada na magani mai tsada?

Don neman analog mai rahusawa ga magani, jana'iza ko alaƙa, da farko muna bada shawara a kula da abun da ke ciki, wato ga abubuwa masu aiki iri ɗaya da alamomi don amfani. Abubuwa masu aiki iri ɗaya na maganin zasu nuna cewa miyagun ƙwayoyi suna da alaƙa tare da miyagun ƙwayoyi, daidai da magunguna ko madadin magunguna. Koyaya, kar ka manta game da abubuwanda suka lalace na irin kwayoyi, wanda zai iya shafar aminci da tasiri. Kar ku manta game da umarnin likitoci, magunguna na kai na iya cutar da lafiyar ku, don haka koyaushe tuntuɓi likitanku kafin amfani da kowane magani.

Umarni Na Zamani

INGANTA
a kan amfani da miyagun ƙwayoyi
Ciwan Combogliz

Lambar ATX:
A10BD10 (Metformin a hade tare da saxagliptin)

Abubuwa masu aiki
metformin (metformin) Rec.INN ta WHO
saxagliptin (saxagliptin) Rec.INN ta WHO ta yiwa rajista

Form sashi
shafin. tare da aka sake fitarwa. shafi fim, 500 MG + 5 MG: 28 ko 56 inji mai kwakwalwa.

Tsarin saki, abun da aka shirya da marufi
Allunan Rewaƙwalwa Na Reirƙiri, Filin Mai Rufe 1 Tab.
metformin 500 MG
saxagliptin 5 MG
7 inji mai kwakwalwa - blister (4) - fakitoci na kwali.

Aikace-aikacen

Combogliz Prolong magani ne na hypoglycemic. An wajabta shi don ciwon sukari a cikin nau'in na biyu. Domin maganin magani don kawo sakamako, yakamata a haɗu da abinci da wasanni.

Magungunan sun ƙunshi manyan abubuwa guda biyu: metformin da saxagliptin. Baya ga su, Allunan suna dauke da kayan aikin kamar magnesium stearate, carmlose sodium, hypromellose. Godiya ga metformin, haƙuri haƙuri yana ƙaruwa. Bugu da kari, yana taimakawa:

• rage ciyuta glucose daga abincin da aka ciyar da abinci,
• aiwatar da glucose a kyallen takarda,
• rage naka samar da glucose a cikin hanta,
• tsai da aikin jijiyoyin jini,
• haɓaka metabolism, yayin rage girman jiki (musamman mahimmanci ga marasa lafiya waɗanda nauyinsu ke ƙaruwa koyaushe).

Abu na biyu shine saxagliptin. Yana haɓaka ƙaddamar da kwayoyin halittar ciki. Latterarshen ya zama dole don haɓaka samar da insulin. A ƙarƙashin rinjayar saxagliptin a jiki, matakin insulin a cikin jini baya raguwa da sauri.

Siffofin aikace-aikace

Ba a gudanar da nazari kan amfani da wakilan hawan jini a cikin mata masu juna biyu da masu shayarwa ba. Ba'a bada shawarar amfani da miyagun ƙwayoyi a cikin waɗannan rukunan ba. Maganin yana contraindicated a cikin yara a karkashin shekara 18.

Yin amfani da miyagun ƙwayoyi a cikin tsufa yana faruwa ne saboda wasu fasali. Rage aikin urinary tsarin a wannan matakin yana buƙatar kulawa cikin kulawa. Wannan shi ne saboda gaskiyar cewa ɓangaren abinciki na abubuwan da ke tattare da maganin (saxagliptin da metformin) ana yin su ta hanta.

An bada shawara a hankali a ɗauki wannan wakili na hypoglycemic ga waɗanda ke fama da cututtukan fata. Wannan ya faru ne sakamakon karancin bayanan kididdiga game da alakar da ke tsakanin amfani da muggan kwayoyi da kuma yiwuwar bunkasa cutar.

Sakin Fom

Ana samun kayan aiki a cikin nau'ikan allunan. Suna kama da kifayen kamannin fuskoki kuma an rufe su da fim na musamman a saman. Launinta ya dogara da sashi na maganin. Launin launin rawaya yana nuna abun ciki na 1000 mg na metformin a hade tare da saxagliptin (a cikin adadin 2.5 MG). Inuwa mai ruwan hoda na kwamfutar hannu tana nuna halayen masu zuwa: MG 1000 na metformin da 5 MG na saxagliptin. Lokacin da kwalin fata shine kofi mai haske a launi, kwamfutar hannu ta ƙunshi 500 MG na metformin da 5 MG na saxagliptin. A cikin gilashin bakin ciki na allunan 7. Akwatin kwali na iya ƙunsar ƙarfe 4 ko 8. Kowane kunshin ya ƙunshi umarnin don amfani.

Umarnin don amfani

Ana daukar Combogliz Prolong sau 1 a rana. Mafi kyawun lokacin shine abincin ƙarshe. Dole ne maganin ya bugu gabaɗaya, ba tare da rabawa ba.

Ofaya daga cikin abubuwan da ke cikin miyagun ƙwayoyi - metformin an cire shi ta hanyar kodan, saboda haka binciken farko ya zama dole. Wannan yana da mahimmanci don ware gaban kasala na koda ko wasu cututtukan cututtukan ƙwayoyin jikin kodan.

Game da yanayin aikin tiyata mai zuwa, dakatar da amfani da miyagun ƙwayoyi. Banda shi ne manipulations wanda ba shi da alaƙa da iyakance abinci da ruwa. Bayan tiyata, ana sake amfani da amfani da maganin lokacin da aka dawo da aikin koda na al'ada kuma mai haƙuri zai iya shan maganin a baka.

Contraindications

A wasu halaye, an haramta amfani da maganin Combogliz Prolong. Wadannan yanayi sun hada da wadannan abubuwan:

• kasancewar itiarfin mutum mai hankali ga abubuwan da ke shigowa na samfurin,
• Bayyanar da halayen ƙwarewa ta musamman ga Dhib-4 inhibitors a cikin nau'i na anaphylactic shock ko angioedema,
• kasancewar cututtukan mellitus na ciwon sukari a cikin nau'in farko, tunda babu bayanin ƙididdiga game da amfani da miyagun ƙwayoyi don wannan cuta,
• a cikin hadaddun amfani da insulin,
• cututtukan cikinku, misali, rashin haƙuri da abu kamar su galactose,
• ciki da lactation,
• shekaru har zuwa shekaru 18,
• pathologies na aiki da kodan, a cikin abin da serum creatinine alamun ne ≥1.5 mg / dL (ga maza), ≥1.4 mg / dL (ga mata), ko saukar da keɓaɓɓiyar fata,
• pathological aiki da kodan lalacewa ta hanyar pathologies na zuciya ko jini,
• m cututtuka hade da yiwuwar ci gaban pathological aiki na kodan: fitsara tsari saboda amai ko sako-sako da stools, zazzabi, cututtuka lalacewa ta hanyar kamuwa da cuta, mai rauni oxygen metabolism,
• take hakkin acid-base jihar da dama siffofin,
• kasancewar cututtukan da ke da haɗari ga cin zarafin iskar oxygen zuwa kyallen takarda (alal misali, tare da nau'o'in ƙarancin rashin ƙarfi, matsanancin myocardial infarction),
• tiyata ko rauni da ke buƙatar sarrafa insulin,
• ilimin hanta na hanta
• kasancewar tarihin shan barasa mai guba ko dafi mai guba tare da abubuwan da ke kunshe da giya,
• aukuwa na lactic acidosis,
• kwana biyu kafin da bayan binciken ta amfani da radioisotopes ko raayoyi,
• karancin abinci mai kalori (Sashi

Yawan likitan da likitan ya kamata ya kamata ya zavi yawan likitan da ya kamata bayan yayi duk gwaje-gwajen da suka wajaba. Idan ana gudanar da aikin tare da shirye-shiryen abubuwa guda biyu wadanda suka kunshi abubuwa kamar su saxagliptin da metformin, sannan adadin farkonsu shine 5 MG sau daya a rana.

A wannan yanayin, yakamata a fara amfani da metformin sau 500 a rana sau ɗaya. Sannu a hankali kara adadin domin rage hadarin sakamako mara kyau da ya shafi jijiyar ciki. Matsakaicin (kowace rana) ana ɗaukar nauyin sashi: don saxagliptin - 5 MG, don metformin - 2000 MG.

Amfani guda ɗaya na masu hana masu amfani da CYP3A4 / 5 isoenzymes (alal misali, ketoconazole) yana buƙatar raguwa cikin kashi na saxagliptin zuwa 2.5 mg sau ɗaya a rana.

Side effects

Wasu lokuta, idan aka yi amfani da miyagun ƙwayoyi, mara lafiya na iya rikitar da shi ta hanyar da ba ta dace ba. Tebur yana nuna mafi yawan sakamako masu illa lokacin amfani da Combogliz Prolong.

Sakamakon mara kyau (jiyya tare da ɗayan hanyoyi da ƙarin magani).

• ciwon kai
• cututtukan yanayi mai kamuwa da cuta a cikin tsarin garkuwar jiki,
• ciki da amai,
• thrombocytopenia
• lymphocytopenia (tare da tsawan lokacin amfani),
• saukar da matakin bitamin B12 a jiki (tare da tsawan lokaci)
• sako-sako
• karancin jini
• nasopharyngitis,
• fata na fatar daga nau'in urticaria,
• gastroenteritis
• busa a fuskar,
• m pancreatitis.

• zawo
• jin tashin zuciya
• haɓakar gas,
• amai
• ilimin halittar ɗanɗano abin mamaki.

Daga cikin mahimman ka'idoji don kowane magani, ciki har da na Combogliz Prolong, bambanta tasiri da farashi. Latterarshen yana ƙaddara ta hanyar fitarwa. Farashin magungunan ya bambanta tsakanin iyakoki masu zuwa:

• tare da sashi na 1000 mg da 5 MG (a gaban allunan 28 a kowace fakitin): daga 2730 zuwa 3250 rubles,
• tare da sashi na 1000 MG da 2.5 MG (a gaban allunan 56 a kowace fakitin): daga 2600 zuwa 3130 rubles.

Babban farashin magungunan ya faru ne saboda gaskiyar cewa an shigo da shi. Uringasar masana'antu ita ce Burtaniya mai girma.

A wasu halaye, tare da magani tare da Combogliz Prolong, halayen da ba su dace ba na jiki suna faruwa. Wannan na iya zama saboda rashin jituwa ga abubuwan haɗin ginin, kasancewar contraindications. A irin waɗannan yanayi, gyaran tsarin kulawa ya zama dole. Likita ne kawai zai iya zaɓar wani magani dangane da bayanan binciken haƙuri.

Daga cikin analogues na miyagun ƙwayoyi Combogliz Prolong zaɓi ɗayan shirye-shiryen multicomponent ko shirye-shiryen abubuwa guda ɗaya. Rukuni na farko yana wakiltar waɗannan magunguna masu zuwa:

1. Janumet - magani ne wanda yake da manyan abubuwan biyu: metfomin da saxagliptin. Daga cikin fa'idodin sa, babban shine yiwuwar amfani da miyagun ƙwayoyi a hade tare da maganin insulin da kuma agonists gamma receptor. Kudin maganin yana kama daga dubu uku rubles.
2. Karin Galvus ya hada da vildagliptin da metfomin. Duk da wasu bambance-bambance a cikin abun da ke ciki, ƙwayar, kamar Combogliz Prolong, yana da tasirin hypoglycemic. A lokaci guda, maganin insulin, magani tare da sulfonylureas, metformin za'a iya aiwatarwa. A matsakaici, farashin kunshin 30 Allunan shine dubu da rabi rubles.
3. Haɗa Xr - magani ne wanda yake da tasirin shawo kan cutar. Wannan ya faru ne saboda abubuwan metformin da saxagliptin. Matsayin maganin yana ƙaddara ta likita bayan bincika mai haƙuri. Daga cikin contraindications na miyagun ƙwayoyi, lokacin daukar ciki, lactation, shekarun yara har zuwa shekaru 18 ana rarrabe su. Rashin halayen da ba daidai ba daga shan Comboglyz Xr suna kama da waɗanda ke faruwa bayan amfani da Combogliz Prolong. Matsakaicin farashin fakitin magani (daga cikin allunan 28) shine 1,600 rubles.
4. GwarzKamar - haɓaka maganin ƙwaƙwalwar ƙwayar cuta. Abun da ke cikin miyagun ƙwayoyi ya haɗa da abubuwa masu aiki guda biyu: metformin hydrochloride da gliclazide. Sashi ya dogara da sukarin jini. A lokacin jiyya, yakamata a samar da abinci mai gina jiki. Ya kamata rage cin abinci ya ƙunshi adadin adadin carbohydrates. A lokaci guda, karin kumallo na farilla ne na safe. Farashin ya dogara da sashi da nau'i na miyagun ƙwayoyi. A matsakaici, farashin ya tashi daga 246 rubles. har zuwa 497 rubles.
5. Avandamet - Wannan wani wakili ne na rashin lafiya. Abun da ke cikin miyagun ƙwayoyi ya haɗa da abubuwa masu aiki kamar rosiglitazone (a cikin nau'in maleate) da metformin hydrochloride. Wadannan abubuwan haɗin suna haɓaka aikin juna, suna samar da raguwar sukari jini. Yin amfani da maganin yana da 'yanci daga cin abinci. Koyaya, yin amfani da miyagun ƙwayoyi lokacin ko bayan cin abinci yana rage haɗarin mummunan sakamako. Kudin a cikin shagunan magani daban-daban sun tashi daga 1398 zuwa 1526 rubles.

Daga cikin analogues guda-daya, akwai:

1. Tsaunin Gliformin - kayan aiki wanda ya ƙunshi kashi ɗaya - metformin. Ana amfani da maganin a cikin maganin monotherapy. Amma ana iya amfani dashi a hade, misali, tare da insulin ko wasu magunguna masu rage sukari. Kudin ya kama daga 224 zuwa 508 rubles.
2. Glucophage. Dalilin maganin shine metformin. Ana iya amfani dashi a hade magani ta amfani da insulin. Farashin ya bambanta daga 90 zuwa 770 rubles, gwargwadon sashi na miyagun ƙwayoyi.
3. Onglisa Ya ƙunshi ɗayan aiki mai aiki - saxagliptin a cikin nau'in hydrochloride. Ana amfani dashi duka tare da monotherapy kuma a matsayin wani ɓangare na magani mai wahala. Ana aiwatar da aikin insulin lokaci daya. Kudin a cikin shagunan magani daban-daban sun tashi daga 1594 zuwa 2195 rubles.
4. Siofor. Abubuwan da ke aiki da maganin shine metformin hydrochloride. Sakamakon raguwar ci, magani yana taimakawa rage nauyin jiki. Farashin Siofor a kan matsakaici ya kasance daga 238 zuwa 293 rubles.

Yawan abin sama da ya kamata

Doaukar magunguna yana yiwuwa tare da amfani da rashin kyau ko amfani da shi na dogon lokaci. Tare da tsawaita lokacin amfani da saxagliptin da kuma alamun alamun yawan abin sama da ya wuce, an tsara hanyoyin da ake fama da cutar kansa. Bugu da kari, ana yin aikin tiyata.

A mafi yawan halayen, yawan adadin metformin yana faruwa. An nuna wannan ta hanyar hypoglycemia da lactic acidosis, yawancin lokuta tare da aikin ragi mai rauni. Hanya ta ƙarshe, lactic acidosis, cuta ce mai tsayi na rayuwa. An danganta shi da karuwa a cikin taro na metformin a cikin jini akan 5 μg / ml. Daga cikin alamun lactic acidosis sune:

• gajiya,
• gazawar numfashi
• zafi a ciki
• rage karfin jini
• ragewan zafin jiki
• ciwon tsoka
• bradyarrhythmia mai juriya.

Lactic acidosis na iya haɓaka rashin nasara, saboda haka ya kamata a saka ido na musamman ga abin da ya faru na alamun marasa ma'ana. Bayyanar kowace alamar malaise tana buƙatar tuntuɓar likita. Idan aka gano abubuwan mamaki na sama, aka aiwatar da lactic acidosis:

• iko da magani electrolytes,
• nazarin sassan jikin ketone,
• gwajin glucose na jini,
• jini pH saka idanu
• lactate matakin iko,
• nazarin metformin a gwajin jini.

Marasa lafiya da ke amfani da metformin a cikin maganin monotherapy ko tare da hadaddun jiyya ya kamata su tuna cewa dole ne a kula da lactic acidosis a cikin asibiti. A cikin yanayin da aka yi sakaci, a cikin rashin kulawar likita na lokaci, rikice-rikicen ya faru, wanda ke haifar da ci gaba da ƙwayar cuta. Daga cikin alamun cututtukan hypoglycemia, akwai:

• gajiya
• bayyanar ciki,
• yanayin kasawa
• nutsuwa
• fitowar damuwa marassa kyau a koyaushe.

Domin karin metformin, ana yin hemodialysis. A kowane hali, lokacin amfani da miyagun ƙwayoyi, ya zama dole don saka idanu akan yanayin haƙuri. Dole ne a sanar da likitanka duk wani mummunan sakamako.

Dalilin miyagun ƙwayoyi Combogliz Prolong, tabbatacce sake dubawa wanda yafi rinjaye, ana gudanar da shi ne ta likita bayan gwajin tilas. Kada ku bi da kanku. Yawan kwararru da kuma yiwuwar shan magani za a iya tantance su ta hanyar kwararrun masana. In ba haka ba, akwai haɗarin haɓaka halayen marasa kyau ko alamun yawan ƙwayar cuta. Tare da nau'in ciwon sukari na 2, zaka iya rayuwa cikin kwanciyar hankali, babban abu shine ka sarrafa yanayinka kuma ziyarci likita.