Gliformin, Allunan 1000 MG, 60 inji mai kwakwalwa.

Da fatan, kafin ka sayi Gliformin, allunan 1000 MG, pcs 60., Duba bayanan game da shi tare da bayani akan shafin yanar gizon hukuma na masana'anta ko ƙayyadadden takamaiman samfurin tare da manajan kamfaninmu!

Bayanin da aka nuna akan shafin ba tayin jama'a bane. Mai sana'anta ya tanadi haƙƙin yin canje-canje a cikin ƙira, ƙira da marufi na kaya. Hotunan kaya a cikin hotunan da aka gabatar a cikin kundin adireshin a shafin zai iya bambanta da asalin.

Bayanai kan farashin kaya da aka nuna a cikin kundin adireshin a shafin zai iya bambanta da ainihin lokacin a lokacin sanya oda don samfurin da ya dace.

Aikin magunguna

Gliformin wakili ne na jini don maganin baka na gungun biguanide. Glyformin yana hana gluconeogenesis a cikin hanta, rage yawan glucose daga cikin hanji, yana haɓaka amfani da glucose na yanki, yana kuma ƙara haɓakar jijiyoyin jiki ga insulin. Ko yaya, ba zai shafi ɓoyewar insulin ba ta hanyar ƙwayoyin beta na pancreas. Yana rage matakin triglycerides da ƙarancin lipoproteins mai yawa a cikin jini. Yanke ko rage karfin jiki. Yana da tasirin fibrinolytic saboda hanawar ƙwaƙwalwar ƙwaƙwalwar ƙwayar plasminogen mai hanawa.

Nau'in 2 na ciwon sukari mellitus (musamman a cikin marasa lafiya tare da kiba) tare da gazawar maganin abinci.

Haihuwa da lactation

Amfani da lokacin daukar ciki da lokacin shayarwa (shayar da nono) an lalata shi. Lokacin da ake shirin yin ciki, da kuma lokacin daukar ciki yayin shan Gliformin, ya kamata a dakatar da maganin kuma ya kamata a tsara maganin insulin. Ba'a sani ba ko ana amfani da metformin a cikin madara, sabili da haka an sanya Glyformin® a cikin shayarwa. Idan ya zama dole ayi amfani da maganin Glyformin® yayin shayarwa, ya kamata a daina shayar da jarirai nono.

Contraindications

• mai ciwon sukari ketoacidosis, maganin ciwon sukari, coma,
• mai rauni daskararction,
• gazawar zuciya da tashin zuciya, da matsanancin rauni na matsanancin ƙwayar cuta, haɗarin mazakuta, ƙonewa, giya mai ƙwanƙwasawa da sauran yanayi waɗanda zasu iya taimakawa ci gaban cututtukan lactic acidosis,
• ciki da lactation,
• rashin ƙarfi ga miyagun ƙwayoyi,
• mummunan tiyata da rauni lokacin da aka nuna maganin insulin,
• mai aiki mai hanta, guba mai yawa,
• lactic acidosis (gami da tarihi),
• Yi amfani da aƙalla kwanaki 2 kafin da a cikin kwanaki biyu bayan gudanar da karatun radioisotope ko raayoyin tare da gabatarwar iodine-dauke da matsakaiciyar matsakaici,
• bijiro da tsarin karancin kalori (kasa da adadin kuzari 1000 / rana).

Ba'a ba da shawarar yin amfani da miyagun ƙwayoyi a cikin mutanen da suka haura shekaru 60 waɗanda ke yin aiki na zahiri, wanda ke da alaƙa da haɓakar haɗarin haɓakar lactic acidosis a cikinsu.

Side effects

Daga tsarin narkewa: tashin zuciya, amai, '' ƙarfe '' ɗanɗano a bakin, rashin ci, zawo, ƙanshin ciki, zafin ciki.
Daga gefen metabolism: a lokuta mafi wuya - lactic acidosis (yana buƙatar dakatarwa da magani), tare da magani na dogon lokaci - hypovitaminosis B12 (malabsorption).
Daga gabobin hemopoietic: a wasu yanayi - megaloblastic anemia.
Daga tsarin endocrine: hypoglycemia (lokacin da aka yi amfani dashi a allurai marasa inganci).
Allergic halayen: fatar fata.

Haɗa kai

Tare da yin amfani da lokaci guda tare da abubuwan da suka samo asali na sulfonylurea, acarbose, insulin, magungunan anti-mai kumburi, steamal oxidase inhibitors, oxygentetracycline, angiotensin canza masu inzyitors, Clofibrate neri, cyclophosphamide, cyclophosphamide, beta-adrenergic bloading jamiái, yana yiwuwa a ƙarfafa. Tare da yin amfani da lokaci guda tare da glucocorticosteroids, hana hana haihuwa, epinephrine, sympathomimetics, glucagon, hormones thyroid, thiazide da "madauki" dizedtics, abubuwan da ke tattare da asalin abubuwan acid, nicotinic acid, yana yiwuwa a rage tasirin hypoglycemic na Glyformin®.
Cimetidine yana rage jinkirin kawar da Glyformin®, yana haifar da haɗarin haɗari na lactic acidosis.
Glyformin® na iya raunana tasirin maganin anticoagulants (abubuwan da aka samo coumarin). Tare da shan giya a lokaci daya, ci gaban lactic acidosis mai yiwuwa ne.

Yadda ake ɗauka, hanya ta gudanarwa da sashi

Ana saita yawan maganin a likitoci daban-daban, gwargwadon matakin glucose a cikin jini.
Maganin farko shine 0.5-1 g / rana. Bayan kwanaki 10-15, ƙarin ci gaba a hankali na kashi yana yiwuwa dangane da matakin glycemia. Adadin kulawa da miyagun ƙwayoyi yawanci 1.5-2 g / day. Matsakaicin adadin shine 3 g / rana. Don rage tasirin sakamako daga cututtukan gastrointestinal, ya kamata a raba kashi na yau da kullum zuwa kashi 2-3. A cikin marasa lafiya tsofaffi, shawarar da aka ba da shawarar ta yau da kullun kada ta wuce g 1. Ya kamata a ɗauki allunan Glyformin® duka a cikin ko kuma nan da nan bayan abinci tare da karamin adadin ruwa (gilashin ruwa). Saboda haɗarin da ke tattare da haɓakar lactic acidosis, kashi na Glyformin® dole ne a rage shi a cikin rikice-rikice na rayuwa mai rauni.

Yawan abin sama da ya kamata

Idan akwai yiwuwar yawan yawan Glyformin®, lactic acidosis na iya haɓaka. Dalilin ci gaban lactic acidosis kuma na iya zama tarin ƙwayoyi saboda lalacewar aikin renal. Alamomin farko na lactic acidosis sune tashin zuciya, amai, gudawa, zazzabi, zafin ciki, ciwon wuya, kuma ana iya samun saurin numfashi, farin ciki, rauni mara nauyi da kuma ci gaba da rashin lafiya.
Jiyya: Idan akwai alamun lactic acidosis, magani tare da Gliformin® ya kamata a dakatar da shi nan da nan, ya kamata a kwantar da mai haƙuri cikin gaggawa kuma, bayan ya ƙaddara yawan maganin lactate, tabbatar da ganewar asali. Mafi girman gwargwado don cire lactate da Gliformin® daga jiki shine hemodialysis. Hakanan ana gudanar da aikin tiyata. Tare da maganin haɗin gwiwa na Gliformin® tare da shirye-shiryen sulfonylurea, hypoglycemia na iya haɓaka.

Umarni na musamman

A lokacin jiyya, wajibi ne don saka idanu kan aikin koda. Akalla sau 2 a shekara, kuma tare da bayyanar myalgia, ya kamata a ƙaddara abubuwan da ke cikin lactate a cikin plasma.
Ana iya amfani da Glyformin® a hade tare da abubuwan ƙira na sulfonylurea. A wannan yanayin, musamman saka idanu na matakan glucose na jini ya zama dole.