Umarnin don amfani da magani na Telsartan da kuma sake dubawa game da shi

Duk Game da Ciwon sukari »Yadda ake amfani da Telsartan 40?

Yawan magungunan da ke rage karfin jini da kuma kiyaye shi a kan ingantaccen matakin ya hada da Telsartan 40 MG. Abubuwan da ke cikin magani: shan kwamfutar hannu 1 a kowace rana, tsawon lokaci na tasirin antihypertensive, babu wani tasiri akan ƙimar zuciya. Manuniya na systolic da hawan jini na jini kamar yadda zai yiwu raguwa bayan wata daya kawai na amfani da miyagun ƙwayoyi.

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Saki siffofin da abun da ke ciki

Magungunan shine farin kwamfutar hannu mai launin fari ba tare da harsashi ba, convex a garesu. A cikin sashi na sama akan kowannensu akwai haɗari don dacewa don warwarewa da haruffa "T", "L", a cikin ƙananan sashin - lambar "40". A ciki, zaka iya ganin yadudduka 2: ɗayan ruwan hoda mai launi daban-daban, ɗayan kusan fari fari, wani lokacin yana da ƙananan inclusions.

A cikin kwamfutar hannu 1 na ƙwayar haɗuwa - 40 MG na babban sinadaran aiki na telmisartan da 12.5 MG na hydrochlorothiazide diuretic.

Hakanan ana amfani da kayan taimako:

• mannitol
• lactose (sukari sukari),
• povidone
• meglumine
• magnesium stearate,
• sodium hydroxide
• polysorbate 80,
• fenti E172.

A cikin kwamfutar hannu 1 na ƙwayar haɗuwa - 40 MG na babban sinadaran aiki na telmisartan da 12.5 MG na hydrochlorothiazide diuretic.

Allunan na 6, 7 ko 10 inji mai kwakwalwa. sanya shi a cikin blisters wanda ya ƙunshi tsare tsare na aluminium da fim ɗin polymer. Sanya cikin kwali na akwati 2, 3 ko 4.

Aikin magunguna

A miyagun ƙwayoyi samar da dual warkewa sakamako: hypotensive da diuretic. Tun da tsarin sunadarai na babban aikin maganin yana kama da tsarin nau'in angiotensin nau'in 2, telmisartan ya watsar da wannan hormone daga haɗin gwiwa tare da masu karɓar jirgin ruwa kuma yana toshe aikinsa na dogon lokaci.

A lokaci guda, samar da kyautar aldosterone kyauta ana hana shi, wanda ke cire potassium daga jiki kuma yana riƙe da sodium, wanda ke ba da gudummawa ga haɓaka sautin jijiyoyin jiki. A lokaci guda, aikin renin, enzyme wanda ke daidaita hawan jini, ba a tsayar da shi ba. A sakamakon haka, hauhawar hauhawar jini yana tsayawa, babban raguwarsa a hankali yana faruwa.

Bayan sa'o'i 1.5-2 bayan shan maganin, hydrochlorothiazide yana fara yin tasiri. Tsawan lokacin aikin da diuretic ya bambanta daga 6 zuwa awa 12. A lokaci guda, yawan zubar jini yana raguwa, samar da aldosterone yana ƙaruwa, aikin renin yana ƙaruwa.

Haɗakar tasiri tasirin telmisartan da diuretic yana haifar da sakamako mafi tsayi wanda aka iya amfani dashi fiye da tasirin tasoshin kowane ɗayansu daban-daban. Yayin kulawa tare da miyagun ƙwayoyi, an rage alamun bayyanar cututtukan jini na myocardial, an rage yawan mace-mace, musamman ma a cikin tsofaffi marasa lafiyar da ke da haɗarin cutar zuciya.

Yayin jiyya tare da miyagun ƙwayoyi, an rage bayyanuwar hauhawar jini na jini.

Haɗin telmisartan tare da hydrochlorothiazide bai canza magungunan magunguna na abubuwan ba. Jimlar bioavailability nasu kashi 40-60%. Abubuwan da ke aiki na ƙwayar suna aiki da sauri daga narkewa. Matsakaicin mafi yawan ƙwaƙwalwar telmisartan a cikin jini na jini bayan awa 1-1.5 ya zama sau 2-3 a cikin maza fiye da na mata. Wani bangare na metabolism yana faruwa a cikin hanta, wannan abun yana cikin feces. An cire Hydrochlorothiazide daga jiki kusan ba a canza shi tare da fitsari.

Alamu don amfani

• a cikin jiyya na farko da sakandare na jijiya hauhawar jini, lokacin da farke tare da telmisartan ko hydrochlorothiazide kadai ba ya ba da sakamakon da ake so,
• don hana rikice rikicewar cututtukan zuciya da ke cikin mutane waɗanda suka manyan shekaru 55-60,
• don hana rikice-rikice a cikin marasa lafiya da ke fama da ciwon sukari na II (wanda ba shi da insulin-ciki ba) tare da lalacewar ƙwayar cuta wanda cutar ta haifar.

Contraindications

Dalilin hana magani tare da Telsartan:

• rashin hankali ga aiki abubuwa na miyagun ƙwayoyi,
• mummunan cutar koda
• shan Aliskiren a cikin marasa lafiya da koda gazawar, ciwon sukari,
• decompensated hanta gazawar,
• bile shigowa,
• karancin maganin lactase, rashin maganin lactose,
• bashin,
• hypokalemia
• ciki da lactation
• yara ‘yan kasa da shekara 18.

Dole ne a yi taka-tsantsan idan an sami cututtukan da ke gaba ko kuma cututtukan da ke cikin marasa lafiya:

• rage a cikin jini wurare dabam dabam,
• stenosis na koda koda, bawucin zuciya,
• tsananin rauni na zuciya
• mai rauni hanta,
• ciwon sukari
• gout
• adrenal cortical adenoma,
• kusantar kusa da kusurwa
• lupus mawarcen.

Yadda ake ɗaukar Telsartan 40

Daidaitaccen matakin: sarrafa maganin baka na yau da kullun kafin ko bayan abinci, 1 kwamfutar hannu, wanda ya kamata a wanke shi da karamin adadin ruwa. Matsakaicin adadin yau da kullun don mummunan nau'in hauhawar jini shine har zuwa 160 MG. Ya kamata a ɗauka a hankali: sakamako mafi kyau na warkewa ba ya faruwa nan da nan, amma bayan watanni 1-2 na amfani da maganin.

Daidaitaccen matakin: sarrafa maganin baka na yau da kullun kafin ko bayan abinci, 1 kwamfutar hannu, wanda ya kamata a wanke shi da karamin adadin ruwa.

Marasa lafiya da ke dauke da wannan cutar galibi ana wajabta su hana rikice-rikice daga zuciya, kodan, da idanu. Ga masu ciwon sukari da yawa tare da hauhawar jini, an nuna haɗin Telsartan tare da Amlodipine. A wasu halaye, tattara uric acid a cikin jini ya hau, gout yana ƙaruwa. Zai iya zama dole don daidaita adadin magungunan cututtukan jini.

Sakamakon sakamako na Telsartan 40

Statisticsididdigar yawan halayen da ba su dace da wannan magani da kuma telmisartan da aka ɗauka ba tare da hydrochlorothiazide daidai suke ba. Mitar yawancin sakamako masu illa, alal misali, rikice-rikice na ƙwayar trophism, metabolism (hypokalemia, hyponatremia, hyperuricemia), ba shi da alaƙa da sashi, jinsi da shekarun marasa lafiya.

Magunguna a lokuta marasa galihu na iya haifar da:

• bushe bakin
• dyspepsia
• rashin tsoro
• ciwon ciki
• maƙarƙashiya
• zawo
• amai
• ciwan ciki.

Amsawa ga miyagun ƙwayoyi na iya haɗawa:

• raguwa a matakin haemoglobin,
• anemia
• eosinophilia
• thrombocytopenia.

Sakamakon sakamako na yau da kullun shine yawan zafin zuciya. Da wuya ya faru:

• paresthesia (abin mamaki na gurguwar gorobumps, tingling, pain pain),
• rashin bacci ko, ba daɗi ba, barci,
• hangen nesa
• yanayin damuwa
• bacin rai
• syncope (rauni mai kaifi kwatsam), fainting.

• karuwar taro uric acid, sinadarin jini a cikin jini,
• activityarin aikin enzyme CPK (creatine phosphokinase),
• m renal gazawar
• urinary fili cututtuka, ciki har da cystitis.

Rashin halayen m

• ciwon kirji
• karancin numfashi
• mura-kamar ciwo, sinusitis, pharyngitis, mashako,
• ciwon huhu, huhun ciki.

• erythema (redness na fata),
• kumburi
• kurji
• itching
• karuwa da danshi,
• cututtukan mahaifa
• dermatitis
• eczema
• angioedema (mai wuya sosai).

Telsartan baya shafar aikin ɓangaren ƙwayar cuta.

• jijiya ko yanayin orthostatic,
• brady, tachycardia.

Wadannan halayen da suka biyo baya na tsarin musculoskeletal yana yiwuwa:

• m, jin zafi a cikin tsokoki, tendons, gidajen abinci,
• cramps, sau da yawa a cikin ƙananan gabar,
• lumbalgia (m zafi a cikin ƙananan baya).

A ƙarƙashin rinjayar miyagun ƙwayoyi a lokuta masu wuya, ana iya lura da masu zuwa:

• abnormalities a cikin hanta,
• activityara yawan aikin enzymes da jikin yayi.

Murmushewar Anaphylactic yana da matukar wuya.

Tun da haɗarin nutsuwa, damuwa mai narkewa, baza a iya yin taka tsantsan ba lokacin da kake tuki, yin aikin da ke buƙatar mafi yawan kulawa.

Umarni na musamman

Tare da raunin ƙwayar soda a cikin plasma ko ƙarancin motsi na jini, ana iya farawa da farawar magani har da hauhawar jini. Cutar hypotension sau da yawa tana tasowa a cikin marasa lafiya da cututtukan jijiyoyin koda, ciwon zuciya, da gazawar zuciya. Rage matsanancin matsin lamba na iya haifar da bugun jini ko infarction na zuciya.

Yi amfani da miyagun ƙwayoyi tare da taka tsantsan kuma tare da stenosis na mitral ko aortic valve.

A cikin masu ciwon sukari, cututtukan cututtukan jini suna yiwuwa. Wajibi ne a bincika matakin glucose a cikin jini, daidaita kashi na wakilan hypoglycemic.

A cikin masu ciwon sukari, cututtukan cututtukan jini suna yiwuwa.

Hydrochlorothiazide a matsayin wani ɓangare na Telsartan zai iya ƙara yawan taro mai guba mai guba yayin da ake fama da rauni na aiki, kamar yadda ya haifar da ci gaban myopia, ƙwanƙwasa kusurwa kusa da kusurwa.

Yin amfani da miyagun ƙwayoyi na dogon lokaci yakan haifar da hyperkalemia. Zai iya zama dole don saka idanu kan abubuwan da ke cikin allurar jini a cikin jini.

Dakatar da maganin ba ya haifar da ci gaban cire kudi.

Tare da tushen hyperaldosteronism na farko, tasirin warkewa na Telsartan kusan ba ya nan.

Magungunan kwayoyi yana contraindicated lokacin gestation da nono.

Ba'a yi amfani da maganin ba don amfani da marasa lafiya 'yan ƙasa da shekaru 18.

Idan babu cututtukan rikice-rikice, babu buƙatar yin kwaskwarimar sashi.

Ba'a buƙatar gyaran sashi ba ga marasa lafiya da gazawar cutar koda da wahala mai yawa, ciki har da bin hanyoyin haɓaka.

Dangane da sakamakon binciken da yawa a cikin marasa lafiya tare da rauni na matsakaici zuwa matsakaici na aiki mai lalacewa, yawan maganin yau da kullun bai kamata ya wuce 40 MG ba.

Dangane da sakamakon binciken da yawa a cikin marasa lafiya tare da rauni na matsakaici zuwa matsakaici na aiki mai lalacewa, yawan maganin yau da kullun bai kamata ya wuce 40 MG ba.

Yin hulɗa tare da wasu kwayoyi

Tare da yin amfani da lokaci ɗaya tare da wasu magunguna waɗanda ke rage karfin jini, magungunan suna inganta tasirin warkewarsu.

Lokacin ɗaukar Telsartan tare da Digoxin, maida hankali kan ƙwayar glycoside yana ƙaruwa sosai, sabili da haka, saka idanu akan matakan ƙwayar magani ya zama dole.

Don guje wa hyperkalemia, bai kamata a haɗa magungunan tare da jami'ai waɗanda ke ɗauke da potassium ba.

M saka idanu na taro na lithium a cikin jini yayin amfani da magunguna dauke da mahaɗan wannan alkali ƙarfe, saboda telmisartan yana haɓaka haɗarinsu.

Glucocorticosteroids, Aspirin da sauran magungunan anti-inflammatory marasa steroidal suna rage tasirin antihypertensive na miyagun ƙwayoyi.

NSAIDs a hade tare da telmisartan na iya lalata aikin aiki.

Lokacin da kake magani tare da magani, bai kamata ka sha giya ta kowane irin ba.

Za a iya maye gurbin Telsartan tare da kwayoyi masu zuwa tare da irin wannan sakamako:

Neman bita akan Telsartan 40

Mariya, shekara 47, Vologda

Babban kwayoyin hana daukar ciki suna kama da mafi aminci ga yawancin cures don cututtukan jijiyoyin jiki. Har ila yau abin mamaki ne cewa ana yin irin wannan magani mai amfani a Indiya, kuma ba a cikin Jamus ko Switzerland. Abubuwan da ke haifar da illa suna da kankanta. Wasu lokuta hanta kawai ke dame ni, amma hakan ya bata min rai na dogon lokaci idan ban dauki Telsartan ba tukuna.

Vyacheslav, ɗan shekara 58, Smolensk

Ina da dogon tarihin hauhawar jini. Severeari mai rauni na koda. Wane shiri ne kadai bai kamata ya dauki shekaru ba na jiyya! Amma lokaci-lokaci dole ne a canza su, saboda jiki ya saba da ita, sannan kuma su daina aikatawa kamar yadda suke a da. Na jima ina shan Telsartan. Umarni game da shi yana ba da jerin abubuwan sakamako masu illa, amma ba ɗayansu da ya taso. Kyakkyawan magani wanda ke riƙe matsa lamba. Gaskiya karamin tsada ne.

Irina, shekara 52, Yekaterinburg

A karo na farko, likitan ya ce yakamata a dauki Amlodipine, amma bayan sati daya kafafun sa suka fara kumbura. Likita ya maye gurbinsa da Enap - ba da daɗewa ba wani tari ya fara shaƙe ni. Daga nan sai na canza sheka zuwa Telsartan, amma ya zama mini cewa ban yarda da shi ba. An sami tashin zuciya, sai wata fata ta sake bayyana. Na sake zuwa asibiti. Kuma kawai lokacin da mai ilimin hanyoyin kwantar da hankali ya ba da umarnin cewa Concor ne komai ya lalace. Ba ni da matsala da wannan kwayoyin. Don haka yana da matukar muhimmanci likita ya zaɓi maganin da ya dace da kai.

Babban bayani game da miyagun ƙwayoyi

Ayyukan miyagun ƙwayoyi sun haɗa da ba kawai rage ƙarfin jini ba, har ma kamar rage kaya a kan zuciya, kariya daga gabobin da aka yi niyya (retina, endothelium vascular, myocardium, kwakwalwa, kodan), rigakafin rikitarwa (bugun zuciya, bugun jini), musamman tare da kasancewar ƙarin abubuwan haɗari (haɓakar hauhawar jini, ciwon sukari mellitus).

Telsartan yana rage juriya na insulin, ƙara yawan amfani da glucose, yana daidaita dyslipidemia (yana rage adadin "cutarwa" LDL kuma yana ƙaruwa da "amfani" HDL).

Medicungiyar magani, INN, ikon yinsa

Telsartan shi ne zaɓin mai karɓa mai karɓa na angiotensin-II (AT1). Telsartan N - don magunguna masu haɗuwa, ya haɗu da toshe na masu karɓar angiotensin-II (AT1) tare da babban sashi mai aiki da tasiri na antidiuretic na hydrochlorothiazide. Ta hanyar tsarin sunadarai, ya kasance ga ƙwayoyin biphenyl netetrazole. Magunguna ne mai aiki. Agonan gwagwarmaya mara gasa da zai ɗaure wa mai karɓa sata ba tare da izini ba.

Sakamakon maganin antagonensin II antagonists

INN: Telmisartan / Telmisartan. Amfani da shi a cikin zuciya a cikin yaki da karuwar systolic da matsa lamba, rashin karfin zuciya. Ana amfani da Telsartan N don rashin ingancin monotherapy tare da kwayoyi na sauran ƙungiyoyi.

Siffofin saki da farashin magani, matsakaici a Rasha

Ana samar da miyagun ƙwayoyi a cikin nau'in kwamfutar hannu, a cikin kashi biyu - 40 da 80 MG. A cikin akwatin kwali 3 blisters na Allunan 10. Allunan suna da siffar oval elongated, convex a garesu, ba tare da harsashi ba, dusar ƙanƙara mai launi a launi, tare da layi a tsakiya a gefe ɗaya, a bangarorin wanda akwai alamun biyu - "T da L", ana nuna sashi a gefe na biyu.

Tebur da ke ƙasa yana nuna farashin a cikin rubles don kwayoyi:

Tebur yana nuna mahimman abubuwan maganin:

Magunguna da magunguna

Telsartan nau'in zaɓe ne mai inhibitor mai karɓar angiotensin-II mai zaɓi guda ɗaya. Wadannan masu karɓa suna nan a cikin yawancin kyallen takarda na jiki, musamman ma cikin sanyin jijiyar tasoshin, myocardium, cortical Layer na adrenal gland, huhu, da kuma wasu sassan kwakwalwa. Angiotensin-II shine mafi kyawun tsarin peptide mai tasiri na tsarin renin-angiotensin-aldosterone (RAAS).

Ta hanyar masu karɓar wannan nau'in, ana gano tasirin masu zuwa cewa kai tsaye ko a kaikaice suna ba da gudummawa ga hanzari, amma yawanci gajeren lokaci na hawan jini. Wannan aikin na Telsartan yana nufin rage su, watau, an toshe shi ko an hana shi:

• haɓaka jimlar jimlar ƙwayoyin jijiya dabam dabam,
• vasoconstriction na jini na glomeruli na kodan da kuma ƙaruwa a cikin matsanancin ƙarfi a cikin su,
• riƙewar ƙwayar wuce haddi ta jiki: karuwar yawan sodium da ruwa a cikin tubules mai haɗuwa, samar da aldosterone,
• kwantar da maganin antidiuretic, endothelin-1, renin,
• kunnawa ga tsarin juyayi-da adrenal da sakin catecholamines saboda shigar azzakari cikin farji ta hanyar shinge-kwakwalwa,

Baya ga RAAS na yau da kullun, akwai kuma ƙwayoyin RAA na gida (na gida) a cikin ƙwayoyin cuta da gabobin jiki daban-daban. Activarfafawarsu yana haifar da tasirin angiotensin na dogon lokaci, wanda ke haifar da haɓaka ƙwayar endothelium da ƙwayar tsoka na tasoshin jini, hauhawar jini, bugun zuciya, myofibrosis, lalata atherosclerotic vascular, nephropathy, da lalacewar ƙwayar cuta.

Wani fasali na Telsartan shine cewa shi kawai yana ɗaure shi ne kawai ga nau'in farkon masu karɓar angiotensin-II na dogon lokaci kuma yana kawar da mummunan sakamako na angiotensin, kawai "ba da izini" ga masu karɓa ba.

Aikin yana daga awa 24 zuwa 48. Ragewar saukar karfin jini yana faruwa lami lafiya, a hankali kan awanni da yawa. Idan aka kwatanta da guda ɗaya masu hanawa na ACE, waɗanda aka daɗe ana ɗaukarsu ɗaya daga cikin mafi kyawun rukunin magungunan antihypertensive, ƙa'idodin da ke gaba sune cikakkiyar fa'idar maganin

• cikakkiyar toshewar mummunan tasirin angiotensin (ba a katange masu hana ACE gaba daya ba),
• ganin sakamako mai kyau na angiotensin ta hanyar masu karɓar nau'in AT2 (masu hana ACE, akasin haka, rage),
• baya hana kinase, sakamakon wanda babu wani tasiri akan bradykinin kuma, a sakamakon hakan, halayen da akeyi dasu (tari, angioedema, sakamako mai kwalliya, karuwar kwayar cutar prostacyclin),
• tsinkewr.

Masu karɓar nau'in na biyu ba su da zurfin karatu, amma masana kimiyya sun sami damar tabbatar da cewa da yawa daga cikinsu a lokacin tayi, wanda hakan ke iya nuna tasirinsu ga haɓakar sel da kuma girma. Bayan haka, adadinsu yana raguwa. Ayyukan ta hanyar waɗannan masu karɓa sun kasance daidai da aikin nau'in masu karɓa na farko. Kyakkyawan sakamako ta hanyar masu karɓar AT2 kamar haka:

• gyara nama a matakin salula,
• vasodilation, haɓaka kira na NO-factor,
• hanawa ci gaban sel, yaduwa,
• hanawa bugun jini.

Telsartan H yana da tasiri mai ƙarfi na antihypertensive, wanda ya ƙunshi hydrochlorothiazide - wani madauki diuretic wanda ke rage reabsorption na sodium ion da ruwa ta kodan, yana ba da tasirin antidiuretic. Hakanan yana samar da sauƙin amfani: maimakon wasu allunan, ya isa ya ɗauka sau ɗaya a cikin kowane sa'o'i 24, wanda zai samar da sakamako mai kyau.

Tare da ci gaba da amfani, warkewar warkewa na telmisartan yana faruwa a cikin makonni 3-5-7. Yayi daidai rage systolic da matsa lamba na diastolic. Babu wata alamar cirewa: lokacin da kuka daina shan miyagun ƙwayoyi, matsin lamba ya sake komawa zuwa lambobi masu yawa kuma na kwanaki da yawa, babu tsalle-tsalle mai tsini lokacin da kuka tsaya.

Lokacin ɗaukar kowane os, mafi girman maida hankali ga jini ya kai bayan sa'o'i 1-2. Bioavailability shine 60%, yana saurin ɗaukar hankali. Ana iya ɗaukar miyagun ƙwayoyi a kowane lokaci, ba tare da la'akari da abinci mai gina jiki ba. Kashi 98.6% ko fiye na daure ga furotin na plasma, ƙari a daure yana da ƙyallen nama (ƙarar rarraba kusan 510 l).

Hankali a cikin jinin mata ya fi na maza, wannan ba ya tasiri da tasiri. Kusan 98% na telmisartan an fesa ta cikin tsarin biliary, ƙaramin - tare da fitsari. Yana da metabolized ta conjugation, yana haifar da samuwar acetylglucoronide a cikin tsari mara aiki. Jimlar tsabtace ta wuce miliyan 1499 / min. Cire rabin rayuwar rayuwa ya zarce awanni 19. Hydrochlorothiazide bashi da metabolized kuma an keɓance shi da kyauta ta hanyar fitsari.

Pharmacokinetics baya canzawa dangane da jinsi da shekaru. A cikin marasa lafiya da ke da rauni na tsarin motsa jiki, maida hankali a cikin jini ya kasance sau da yawa fiye da yadda aka saba, tare da hemodialysis, akasin haka, ƙananan, duk da cewa abu mai aiki yana da alaƙa da garkuwar jini. Game da aikin hepatic mai rauni, ƙwayoyin bioavailability yana ƙaruwa zuwa 98%.

Manuniya da contraindications

Babban alamu na amfani da Telsartan:

• hawan jini
• rigakafin zuciya da cututtukan jijiyoyin jiki,
• rage lalacewar CVD a cikin marasa lafiya da nau'in ciwon sukari na 2 na cutar siga tare da lalacewar gabobin da aka yi niyya,
• mai tsanani jijiyoyin jini atherosclerosis.

• rashin lafiyan abubuwan da ke tattare da maganin,
• Yankin na biyu da na uku na ciki, shayarwa,
• karamin shekaru
• toshewa daga tsarin biliary,
• mai lahani ga hanta,
• hypokalemia da kuma hypercalcemia,
• gout
• amfani da lokaci daya tare da Aliskiren a cikin ciwon sukari.

Saboda ƙarancin bincike, bai kamata a bai wa yaran da ke ƙasa da shekara 18 magani ba. An hana shi sosai shan ƙwayar magani yayin daukar ciki, musamman a cikin watanni na 2 da na 3, tun da miyagun ƙwayoyi yana da tasirin fetotoxic mai yawa: raguwa a cikin aikin ƙwaƙwalwar ƙwayar cuta, raguwa a cikin ossification, da oligohydramnios.

A cikin jarirai, akwai: karuwar abun ciki na potassium, rage matsin lamba, rashin isasshen tsarin motsa jiki. Yakamata a dakatar da mutanen Sartans kuma a maye gurbinsu da wani rukuni na kwayoyi. Tabbatar a sa ido sosai a tayin da mahaifiyar.

Umarnin don amfani

Ana ɗaukar miyagun ƙwayoyi sau ɗaya a kowace awa 24 a lokaci guda, ba tare da la'akari da abincin ba. Sha ruwa mai yawa. Dangane da umarnin don amfani da Telsartan, kashi na farko shine 20 MG, to za a iya ƙara yawan kashi a hankali. A kashi 40 MG ne gaba daya warkewa. A cikin marasa haƙuri "marasa ƙarfi", zaku iya ƙara yawan magunguna zuwa 80 MG kowace rana, amma ba ƙari ba. Wannan maganin shine mafi girman.

A matsayin madadin ga maye na monotherapy, ana amfani da haɗarin masu hana karɓa na angiotensin da diuretic, maganin Telsartan N.

Ba'a ba da shawarar haɗaka shan Telsartan tare da shirye-shiryen potassium, inhibitors na ACE, salsala-mai-ƙwayar potassium, NSAIDs, Heparin, immunosuppressants - saboda wannan na iya tayar da haɓaka mai yawa a cikin ions potassium a cikin jiki. Hakanan ba a ba da shawarar amfani da haɗuwa tare da shirye-shiryen lithium ba, saboda wannan na iya haifar da yawan gubarsa.

Yawancin marasa lafiya masu yawan tashin hankali suna mamakin ko za'a iya ɗaukar Telsartan da Diuver a lokaci guda. Bincike ya nuna cewa haɗewar amfani da telmisartan da torasemide, waɗanda sune manyan abubuwan aiki na waɗannan magungunan, suna haifar da raguwar hauhawar jini.

Yi amfani da wannan haɗuwa tare da taka tsantsan, tun da yalwa ruwa mai yawa zai iya haifar da hauhawar jini. Kafin amfani da kowane magani, har ma fiye da haka haɗinsu, ya kamata ka nemi likitanka.

Zai yiwu sakamako masu illa da wuce haddi

Yawan abin sama da ya kamata na iya yin barazanar wadannan halaye:

• tashin hankali
• samarin
• bayyanar cututtuka na dyspeptic
• na gazawar.

Magungunan suna da jerin abubuwan da ba za a iya amfani da su ba, waɗanda kuma ba sa isa su:

• syncope,
• farhythmia, tachycardia,
• tsananin farin ciki
• vertigo
• parasthesia
• abubuwan dyspeptik.

Babban musanya magungunan Telsartan:

• Mikardis.
• Telzap
• Telmista.
• Labarun
• Firimiya.
• Tanidol.
• Karin
• Babangida.

Babban mahimmancin bambanci tsakanin waɗannan magunguna shine farashi, ƙasar asalin ta kuma bambanta, wanda ke shafar ingancin tsabtace abubuwan da ke cikin magungunan. Ta hanyar kaddarorin, waɗannan magunguna iri ɗaya ne. Amma mafi inganci analogues sune Mikardis, Praitor da Telpres.

Nazarin likitoci da marasa lafiya

Gabaɗaya, duka kwararru da marasa lafiya sun ba da cikakkiyar ra'ayoyi masu kyau game da miyagun ƙwayoyi, ga wasu daga cikinsu:

Alexander Dmitrievich, likitan zuciya: “Magungunan na da inganci da raguwa sosai a matsin lamba. Tasirinsa ya dau tsawon lokaci.

Wani fasali da ingantacciyar fa'ida ita ce hanata cutarwa ta hanyar amfani da cuttukan angiotensin yayin da take da inganci. Isa ya dauki kwamfutar hannu guda daya a rana. Yana da matukar dacewa don zaɓar da daidaita sashi. A miyagun ƙwayoyi na sabon zamani tare da kadan tsananin tsananin sakamako.

Dangane da sanannun bayanai akan miyagun ƙwayoyi, zamu iya amincewa da tabbaci cewa yau yana ɗaya daga cikin magungunan antihypertensive mafi inganci. Selectally kawar da mara kyau da kuma kula da m sakamako a kan tsarin na zuciya da jijiyoyin jini da kuma jiki gaba daya.

Sunan kasa da kasa mai zaman kansa

INN magani - Telmisartan.

A cikin rarrabuwa na duniya na ATX, maganin yana da lambar C09CA07.

Amfani da Telsartan an nuna shi don wasu halayen cuta, tare da haɓaka da hawan jini.

Pharmacokinetics

Lokacin ɗaukar magungunan, sashin jikinsa yana ɗaukar hanzari. Bioavailability ya kai kashi 50%. Mafi yawan maganin a cikin jini a cikin maza da mata ana samun sa'o'i 3 bayan gudanarwa. Magungunan sun ɗaure zuwa sunadaran plasma. Magungunan ƙwayar cuta yana gudana tare da halartar glucuronic acid. Ana amfani da metabolabolites cikin feces a cikin awanni 20.

Tare da kulawa

Farfesa tare da telsartan yana buƙatar tsantsan taka tsantsan a cikin ƙwayar cutar koda. Bugu da ƙari, marasa lafiya waɗanda ke da mitral da aortic valve stenosis yayin jiyya tare da Telsartan suna buƙatar kulawa ta musamman daga ma'aikatan kiwon lafiya. Ya kamata a kula da kulawa ta musamman tare da hypokalemia da hyponatremia. Yana yiwuwa a yi amfani da samfurin kawai a ƙarƙashin kulawa ta likitoci kuma idan akwai haƙuri tare da tarihin juyawar koda.

Tare da ciwon sukari

Ga marasa lafiya da ke fama da ciwon sukari na 2, an wajabta maganin a farawa na 20 MG. A nan gaba, za a iya ƙara yawan kwayoyin yau da kullum zuwa 40 MG.

Cin abinci ba ya shafar sha da ƙwayar amfani da maganin.

Daga tsarin kare jini

Wasu marasa lafiya suna haɓaka cystitis. A lokuta da dama, akasarin cututtukan cututtukan cututtukan kwayoyin halittar jini, sepsis na iya faruwa.

Wasu marasa lafiya suna haifar da cystitis.

A wani ɓangaren hanta da ƙwayar biliary

Yana da matukar wuya a lura da Telsartan cewa akwai cin zarafin aikin hanta da kuma ƙwayar biliary.

Yana da matukar wuya a lura da Telsartan cewa akwai cin zarafin aikin hanta.

Idan mai haƙuri yana da tabin hankali, halayen rashin lafiyan na iya faruwa, wanda aka bayyana azaman fatar fata da itching, da kuma edema Quincke.

Yi amfani da lokacin daukar ciki da lactation

Ba a yarda da warkewa tare da Telsartan ga mata a duk cikin watanni uku na ciki ba. Ba da shawarar amfani da magani don shayarwa ba.

Ba a yarda da warkewa tare da Telsartan ga mata a duk cikin watanni uku na ciki ba.

Aikace-aikace don aikin hanta mai rauni

Ba za a iya amfani da magani a cikin lura da mutanen da ke fama da cutar hanta ba, tare da toshewar hancin biliary fili da cholestasis.

Bai kamata a yi amfani da maganin a cikin lura da mutanen da ke fama da cutar hanta ba, tare da toshewar hancin biliary fili da cholestasis.

Abun dacewa

Ya kamata ku ƙi shan barasa lokacin magani tare da Telsartan.

Ya kamata ku ƙi shan barasa lokacin magani tare da Telsartan.

Bayanan Telsartan wadanda suke da tasirin warkewa iri ɗaya sun haɗa da: