Milgamma Composite

Milgamma compositum: umarnin don amfani da sake dubawa

Sunan Latin: Milgamma compositum

Abunda yake aiki: Benfotiamin + Pyridoxine

Mai kera: allunan da aka rufe - Mauermann-Arzneimittel Franz Mauermann OHG (Jamus), kwayoyin hana daukar ciki - Dragenopharm Apotheker Puschl (Jamus)

Bayanin sabuntawa da hoto: 05/17/2018

Farashin kuɗi a cikin kantin magani: daga 631 rubles.

Milgamma compositum - samfurin bitamin wanda ke da tasiri na rayuwa, yana cike rashi na bitamin B₁ da B₆.

Formaddamar da tsari da abun da ke ciki

Siffofin sashi na Milgamma compositum - dragee da allunan mai rufi: zagaye, biconvex, fari. Shiryawa: fakitin bakin ciki (blisters) - guda 15 kowannensu, sanya fakiti 2 ko 4 (blisters) a cikin kwali.

Abun ciki na kwamfutar hannu 1 da kwamfutar hannu 1:

• abubuwa masu aiki: benfotiamine da pyridoxine hydrochloride - 100 MG kowane,
• ƙarin abubuwan da aka haɗa: colloidal silicon dioxide, sodium carmellose, povidone (K darajar = 30), microcrystalline cellulose, talc, omega-3 triglycerides (20%),
• kwaskwarimar kwasfa: sitaci masara, povidone (K darajar = 30), carbonate kalis, acacia gum, sucrose, polysorbate-80, silloon silikon dioxide, shellac, glycerol 85%, macrogol-6000, titanium dioxide, dutsen glycol dutsen, talc.

Pharmacodynamics

Benfotiamine - ɗayan abubuwa masu aiki na Milgamma compositum - abu ne mai mai narkewa na ƙwayoyin cuta na yoamine (bitamin B₁), wanda, yake shiga jikin mutum, ana magana da shi zuwa ga ilmin halitta aiki na kwayoyi na thamine triphosphate da thiamine diphosphate. Latterarshen shine coenzyme na pyruvate decarboxylase, 2-hydroxyglutarate dehydrogenase da transketolase, wanda ke cikin mahallin pentose foshate na iskar shaka (a cikin canja wurin rukunin aldehyde).

Sinadaran aiki na biyu na Milgamma compositum - pyridoxine hydrochloride - wani nau'i ne na bitamin B₆, nau'in phosphorylated wanda shine pyridoxalphosphate - coenzyme na adadin enzymes da ke shafar kowane matakai na metabolism na rashin amino acid. Ya shiga cikin aiwatar da decarboxylation na amino acid, kuma, sakamakon haka, a cikin samar da amines na aiki (ciki har da dopamine, serotonin, tyramine da adrenaline). Pyridoxalphosphate yana da nasaba da transamination na amino acid kuma, sakamakon haka, a cikin lalata da yawa da maganganun maganganun na amino acid, da kuma hanyoyin aiwatar da anabolic da catabolic, alal misali, shine coenzyme na transaminases kamar gamma-aminobutyric acid (GABA), glutamate-oxaloacetate-trans, ketoglutarate transaminase, kwayar gurnamate pyruvate transaminase.

Vitamin B₆ mai halarta ne a matakai daban-daban na metabolp metabolism.

Pharmacokinetics

Bayan gudanar da maganin baka na benfotiamine, yawancinsa yana narkewa a cikin duodenum 12, ƙaramin sashi a cikin babba da na tsakiya na ƙananan hanji. Idan aka kwatanta shi da ruwa mai narkewa na ruwa mai narkewa, ana amfani da benfotiamine cikin sauri kuma ya sami cikakke, tunda abu mai narkewa ne na thiamine. A cikin hanji, sakamakon phosphatase dephosphorylation, ana canza benfothiamine zuwa S-benzoylthiamine - wani abu mai mai mai narkewa, yana da ƙarfi yana iya shiga sosai kuma ba a jujjuya shi ba har zuwa cikin thiamine. Sakamakon enzymatic debenzoylation bayan sha, nitamine da coenzymes na biologically - an samar da thamine triphosphate da thiamine diphosphate. Ana samun mafi girman yawan waɗannan coenzymes a cikin jini, kwakwalwa, kodan, hanta da tsokoki.

Pyridoxine hydrochloride da abubuwan da aka samo ta suna dauke ne da farko a cikin jijiyar ciki. Kafin shiga cikin membrane tantanin halitta, pyridoxalphosphate yana da ƙarfi ta hanyar alkaline phosphatase, yana haifar da samuwar pyridoxal. A cikin serm, pyridoxal da pyridoxalphosphate an ɗaure su da albumin.

Benfotiamine da pyridoxine an raba su da fitsari. Kimanin rabin thiamine an cire shi ko kuma a cikin nau'in sulfate, ragowar a cikin nau'in metabolites, gami da dala, nitamic acid da methylthiazole-acetic acid.

Rabin rayuwar (T_½) pyridoxine - daga 2 zuwa 5 hours, benfotiamine - 3.6 hours

Halittar T_½ kimanin guda biyu, mata biyu, na mata guda biyu

Contraindications

• decompensated zuciya gazawar,
• shekarun yara
• lokacin ciki da shayarwa,
• rashin haƙuri na fructose, ƙarancin glucose-isomaltose, glucose da cututtukan ƙwayar cuta ta galactose,
• hypersensitivity ga kowane bangaren na miyagun ƙwayoyi.

Umarnin don amfani da tarin ƙwayoyin cuta Milgamma: hanya da sashi

Ya kamata a kwashe allunan kwalaben Milgamma a baki tare da yawan ruwa.

Idan likita bai tsara wani tsarin magani daban ba, manya suna buƙatar ɗaukar kwamfutar hannu 1 / kwamfutar hannu 1 sau ɗaya a rana.

A cikin manyan maganganun, likitan halartar na iya ƙara yawan adadin izinin shiga har sau 3 a rana. Bayan makonni 4 na jiyya, ana kimanta tasirin maganin da yanayin mai haƙuri, sannan a yanke shawara ko a ci gaba da magani tare da ƙwayoyin Milgamma a cikin ƙara yawan ƙwayar ko kuma ya zama dole don rage kashi zuwa na yau da kullun. Zaɓin na ƙarshe ya fi karɓa, saboda tare da tsawanta jiyya tare da allurai masu yawa akwai haɗarin haɓaka da ke tattare da yin amfani da bitamin B₆ jijiya.

Aikin magunguna

Allunan Milgamma Compositum sune hadaddun bitamin B. Abubuwan da ke cikin maganin sun hada da - benfotiamine da pyridoxine hydrochloride - suna sauƙaƙa yanayin mai haƙuri a cikin cututtukan kumburi da cututtukan jijiyoyi, har da kayan aikin injin. Allunan Milgamma suna motsa jini, yana inganta ayyukan tsarin jijiya.

Benfotiamine Kayan aiki ne wanda ke taka muhimmiyar rawa a cikin metabolism metabolism. Pyridoxine yana shiga cikin jikin mutum a cikin metabolism na furotin, yana cikin wani bangare a cikin metabolism na fats da carbohydrates. Babban allurai na benfotiamine da pyridoxine suna aiki azaman analgesic saboda halartar benfotiamine a cikin aikin serotonin. An kuma lura da sakamako mai lalacewa: a ƙarƙashin rinjayar miyagun ƙwayoyi, an sake dawo da suturar myelin na jijiyoyi.

Alamu don amfani

Abubuwan da ke nuna alamun amfani da Milgamma Compositum a zaman wani ɓangare na kulawa mai wahala an ƙaddara:

• neuritis,
• retrobulbar neuritis,
• neuralgia,
• ganglionites
• paresis daga cikin gyara jijiya,
• takamaiman,
• polyneuropathy, jijiya,
• lumbar ischalgia,
• radiculopathy.

Hakanan, alamomi don amfani da wannan magani suna cikin mutanen da ke shan wahala akai-akai daga jijiyoyin daren (da farko tsofaffi) da syndromes na tsoka-tonic. Daga abin da kuma abin da aka tsara da magani, likita ya ƙayyade daban-daban.

Side effects

Allunan Milgamma Compositum, kamar su Milgamma injections, na iya tsokani wasu sakamako masu illa, wanda, a matsayin mai mulkin, yana fitowa ne kawai a lokuta mafi wuya. Bayyanannun alamun za su yiwu:

Idan akwai bayyananniyar bayyanar kowane ɗayan waɗannan sakamako masu illa, ya kamata ka sanar da likita nan da nan.

Umarnin don amfani da Milgamma Compositum (Hanyar da sashi)

A lokacin da kuke amfani da dragees, kuna buƙatar shan shaye da yawa.

Idan an yi wa mara lafiya allurar Milgamma, umarnin yin amfani da shi sun hada da shan 1 kwamfutar hannu kowace rana. A cikin mummunan yanayin cutar, kashi na iya ƙaruwa: 1 kwamfutar hannu 1 sau uku a rana. A cikin wannan sashi, ana iya aiwatar da jiyya fiye da makonni 4, bayan wannan likita ya yanke shawarar rage kashi, tunda lokacin shan bitamin b6a cikin adadi mai yawa, da yiwuwar haɓakar neuropathy yana ƙaruwa. Gabaɗaya, hanyar aikin ba ta wuce watanni biyu.

Yawan abin sama da ya kamata

Tare da yawan adadin Vitamin B6 da yawa, bayyanar tasirin neurotoxic mai yiwuwa ne. Lokacin kulawa tare da manyan allurai na wannan bitamin na fiye da watanni shida, neuropathy na iya haɓaka. Game da yawan abin sama da ya kamata, ana iya lura da ciwon sihiri, wanda ke hade da ataxia. Shan manyan allurai na miyagun ƙwayoyi na iya tayar da bayyanar da rashin jin daɗi. Abun da yakamata sosai na benfotiamine tare da gudanar da maganin baka ba shi yiwuwa.

Bayan ɗaukar manyan allurai na pyridoxine, jawo matsananciyar ruwa, sannan kuma ɗauka carbon kunnawa. Koyaya, irin waɗannan matakan suna da tasiri kawai a cikin minti 30 na farko. A cikin mafi mahimman lokuta, yakamata a tuntuɓi gwani.

Haɗa kai

A cikin lura da magungunan da ke dauke da bitamin B6, tasirin levodopa na iya raguwa.

Tare da magani na lokaci daya tare da masu adawa da pyridoxine ko tare da tsawaita amfani da maganin hana haihuwa, wanda ya ƙunshi estrogensyana iya zama kasawa cikin bitamin B6.

Duk da yake shan tare da Fluorouracil nitseine na lalata.

Analogs Milgamma Compositum

Analogues na Milgamma Copositum Allunan magunguna ne waɗanda suke ɗauke da kayan haɗin guda ɗaya. Wadannan magungunan sun hada da kwayoyin hana daukar ciki da allura. Milgammakazalika Kombilipen, Cutar sankarar zuciya, Triovit Farashi na analogues ya dogara da yawan allunan a cikin kunshin, mai samarwa, da dai sauransu.

Ba a ba da magani ga yara ba saboda rashin ingantaccen bayani game da amincin miyagun ƙwayoyi.

Farashin Milgamma Compositum, inda zaka siya

Farashin Allunan Milgamma Compositum 30 inji mai kwakwalwa. yana sanya daga 550 kimanin 650 rubles. Sayi cikin Moscow a cikin fakitin 60 inji mai kwakwalwa. Kuna iya a farashin 1000 zuwa 1200 rubles. Farashin Milgamma Composite a St. Petersburg daidai yake. Nawa ne allunan, zaka iya gano takamaiman wuraren siyarwa. Injections na Milgamma ya ninka kimanin 450 rubles (ampoules 10).

Tsari sashi:

Allunan mai rufi

1 kwamfutar hannu mai rufi ya ƙunshi:
abubuwa masu aiki: benfotiamine 100 MG, pyridoxine hydrochloride 100 MG.
magabata:
abun da ke ciki na zuciyar kwamfutar hannu mai rufi: microcrystalline cellulose - 222.0 mg, povidone (K darajar = 30) - 8.0 mg, sarkar glycerides sosai - 5.0 mg, colloidal silicon dioxide - 7.0 mg, croscarmellose sodium - 3.0 mg, talc - 5.0 MG
harsashi abun da ke ciki:
shellac 37% cikin sharuddan bushewar - 3,0 mg, sucrose - 92.399 mg, kalma carbonate - 91.675 mg, talc - 55.130 mg, acacia gum - 14.144 mg, sitaci masara - 10.230 mg, titanium dioxide (E 171) - 14.362 mg, colloidal silicon dioxide - 6.138 mg, povidone (K darajar = 30) - 7.865 mg, macrogol-6000 - 2.023 mg, glycerol 85% dangane da batun bushe - 2.865 mg, polysorbate-80 - 0.169 mg, dutsen glycol wax - 0.120 MG

Zagaye, biconvex, allunan farin da aka rufe.

Kayan magunguna

Magunguna:
Benfotiamine, abu ne mai-mai narkewa na thiamine (bitamin B1), ana aiki da shi a cikin jiki don aiki a cikin ilimin halittun cogenzymes na thiamine diphosphate da thoamine triphosphate. Thiamine diphosphate shine coenzyme na pyruvate decarboxylase, 2-hydroxyglutarate dehydrogenase da transketolase, don haka shiga cikin pentose foshate mai aiki da iskar shaka na glucose (yayin canja wurin aldehyde rukuni).
Tsarin phosphorylated na pyridoxine (bitamin B6) - pyridoxalphosphate - wani coenzyme ne na adadin enzymes da ke shafar kowane matakai na rashin narkewar sinadari na amino acid. Pyridoxalphosphate yana cikin aiwatar da decarboxylation na amino acid, sabili da haka a cikin samar da amines na aiki (misali, adrenaline, serotonin, dopamine, tyramine). Ta hanyar shiga cikin transamination na amino acid, pyridoxalphosphate ya shiga cikin hanyoyin anabolic da catabolic (alal misali, kasancewa coenzyme na transaminases kamar glutamate oxaloacetate transaminase, glutamate pyruvate transaminase, gamma aminobutyric acid (GABA), α-ketogamic acid) A cikin maganganu iri-iri na bazuwar jiki da haɗin amino acid. Vitamin B6 ya shiga cikin matakai daban-daban guda hudu na metabolp metabolp.

Pharmacokinetics:
Lokacin da aka shiga ciki, mafi yawan benfotiamine yana cikin duodenum, ƙarami - a cikin babba da na tsakiya na ƙananan hanji. Benfotiamine yana tunawa saboda aiki mai ƙoshin ƙarfi a ≤2 μmol kuma saboda yaduwar ruwa mai yawa at2 μmol. Kasancewar mai da mai narkewa ne na thiamine (bitamin B1), ana amfani da benfotiamine cikin sauri kuma ya fi lafiya fiye da ruwa mai narkewa na ruwa mai narkewa a cikin ruwa. A cikin hanji, ana canza benfotiamine zuwa S-benzoylthiamine a sakamakon phosphatase dephosphorylation. S-benzoylthiamine mai-mai narkewa ne, yana da babban karfin shiga kuma yana mamaye yawanci ba tare da juya shi zuwa thiamine ba. Saboda enzymatic debenzoylation bayan ɗaukar ciki, thiamine da biologically aiki coenzymes na thiamine diphosphate da thiamine triphosphate. Musamman manyan matakan waɗannan coenzymes ana lura dasu a cikin jini, hanta, kodan, tsokoki, da kwakwalwa.
Pyridoxine (bitamin B6) da abubuwan da ake amfani dashi sune ake tunawa dasu musamman a cikin jijiyar ciki na sama yayin yaduwa mai wucewa. A cikin serm, pyridoxalphosphate da pyridoxal an ɗaure su da albumin. Kafin shiga ciki ta hanyar membrane, ana amfani da pyridoxal phosphate zuwa albumin ta hanyar alkaline phosphatase wanda zai samar da pyridoxal.
Dukkanin bitamin biyu ana fitar dasu musamman a fitsari. Aƙalla kusan 50% na thiamine an keɓance shi ba a canzawa ko a matsayin sulfate. Ragowar ya ƙunshi abubuwa da yawa na metabolites, daga cikinsu wanda keamam acid, methylthiazoacetic acid da dala suna keɓewa. Matsakaicin rabin rayuwar (t_½) daga jinin benfotiamine sa'o'i 3.6. Rabin rayuwar pyridoxine lokacin da aka sha shi a kai yakai kimanin awa 2-5. Halittar rabin rayuwa na thiamine da pyridoxine kimanin makonni biyu ne.

Sashi da gudanarwa:

A ciki.
Ya kamata a wanke kwamfutar hannu tare da babban adadin ruwa.
Sai dai in likita ya ba da umarnin in ba haka ba, ya kamata dattijo ya ɗauki kwamfutar hannu 1 a kowace rana. A cikin manyan maganganu, bayan tuntuɓar likita, ana iya ƙara adadin zuwa 1 kwamfutar hannu sau 3 a rana.
Bayan makonni 4 na jiyya, dole ne likita ya yanke shawara game da buƙatar ci gaba da shan miyagun ƙwayoyi a cikin ƙara yawan ƙwaƙwalwa kuma yi la'akari da rage yawan ƙwayoyin bitamin Bb da B1 zuwa 1 kwamfutar hannu kowace rana. Idan za ta yiwu, ya kamata a rage kason zuwa kwamfutar hannu 1 a kowace rana don rage haɗarin ciwan neuropathy da ke da alaƙa da amfani da bitamin B6.

Side sakamako:

Ana rarraba tasirin sakamako masu illa a cikin tsari mai zuwa: sau da yawa (fiye da 10% na lokuta), sau da yawa (a cikin 1% - 10% na lokuta), ba sau da yawa (a cikin 0.1% - 1% na lokuta), da wuya (a cikin 0.01% - 0 , 1% na lokuta), da wuya sosai (ƙasa da 0.01% na lokuta), har ma da sakamako masu illa, yawancin lokuta ba a sani ba.
Daga tsarin rigakafi:
Yana da wuya sosai: amsawar cututtukan fata (halayen fata, itching, urticaria, fatar fata, gazawar numfashi, huhun ciki na Quincke, girgiza ƙwayar anaphylactic). A wasu halaye, ciwon kai.
Daga tsarin juyayi:
Ba a san mitar ba (rahotannin guda ɗaya): tsinkayen jijiyoyin mahaifa tare da amfani da magani na tsawon lokaci (fiye da watanni 6).
Daga cikin jijiyoyin mahaifa:
Da wuya sosai: tashin zuciya.
A bangare na fata da kitsen mai kitse:
Ba a san mitar ba (rahotannin guda ɗaya): kuraje, haɓaka gumi.
Daga tsarin zuciya:
Ba a san madaidaiciyar magana (saƙonnin guda ɗaya ba a kan lokaci): tachycardia.
• Idan wasu cututtukan sakamako da aka nuna a cikin umarnin sun tsananta, ko ka lura da duk wasu cututtukan da ba a ambata cikin umarnin ba, sanar da likitanka.

Sakin saki:

Allunan mai rufi
Don allunan 15, mai rufi, a cikin fakiti mai laushi (taushi) na fim ɗin PVC / PVDC da tsare aluminium.
1, 2 ko 4 murhunan ciki (Allunan mai rufi 15 a kowane), tare da umarnin yin amfani da akwatin kwali.

Lokacin da aka shirya a ZAO Rainbow Production, Rasha:
1, 2 ko 4 murhunan ciki (Allunan mai rufi 15 a kowane), tare da umarnin yin amfani da akwatin kwali.

Kariya da aminci

Yin amfani da magani na dogon lokaci (sama da watanni 6) na iya haifar da ci gaban neuropathy. Bai kamata a sanya marassa lafiya da ke fama da rashin jituwa na fructose ba, glucose-galactose malabsorption ko rashi sucrose-isomaltase.

Tasiri a kan ikon tuka motoci da aiki tare da kayan aiki

Milgamma® ba ya tasiri da ikon tuki mota da yin aiki tare da kayan aikin da ke buƙatar ƙara kulawa.

Sharuɗɗan hutu na kantin

Da takardar sayan magani.

Werwag Pharma GmbH & Co. KG

Calver Strasse 7

1034, Boeblingen, Jamus

Mauermann Artsnaymittel KG, Heinrich-Knotte-Strasse, 2, 82343 Pecking, Jamus

Wakilin / Kungiyar yarda da da'awar:

Wakilin ƙarancin kawancen “Vervag Pharma GmbH & Co. KG ”(Jamus) a jamhuriyar Belarus, Minsk 220005, Independence Ave. 58, gini 4, ofis 408. Tel./fax (017) 290-01-81, tel. (017) 290-01-80.

Halayen magunguna

Fitowar bitamin na neurotropic na rukunin B suna da amfani mai amfani ga cututtukan kumburi da cututtukan cututtukan jijiyoyi da kayan aiki na ƙasa. A cikin manyan allurai, basu da tasirin canzawa, kawai suna da tasirin magunguna: nazari, rigakafin kumburi, microcirculatory.

• Vitamin B1 a cikin nau'in broamspam na nitamine diphosphate da thoamine triphosphate suna taka rawa a cikin metabolism metabolism, kasancewa coenzyme na pyruvate decarboxylase, 2-oxoglutarate dehydrogenase da transketolase. A cikin zagayen pentose foshate, thiamine diphosphate ya shiga cikin canja wurin kungiyoyin aldehyde.
• Vitamin B6 ta hanyar foshorylated (pyridoxal-5-phosphate) coenzyme ne na enzymes masu yawa, suna shiga cikin metabolism na amino acid, da kuma carbohydrates da fats.
• Vitamin B12 yana da mahimmanci ga metabolism na salula, samar da jini da kuma aiki da tsarin jijiya. Yana ƙarfafa metabolic acid metabolism ta hanyar kunna folic acid. A cikin manyan allurai, cyanocobalamin yana da farfesa, anti-mai kumburi da tasirin microcirculatory.
• Lidocaine maganin motsa jiki ne na gida.

Magungunan, kodayake yana da bitamin, ba a amfani dashi don rashi bitamin a cikin jiki, amma don cututtuka na tsarin juyayi wanda ke faruwa tare da alamun jin zafi.

Me yasa aka wajabta Milgamma: alamomi don amfani

Ana amfani da Milgamma azaman bayyanar cututtuka da wakili na cuta a cikin hadaddun hanyoyin jiyya da cututtukan da ke cikin jijiyoyi:

• Neuritis, neuralgia,
• Retrobulbar neuritis,
• Ganglionitis (ciki har da cututtukan fata),
• Polyneuropathy (mai ciwon sukari da giya),
• Paresis na jijiyar fuska
• Neuropathy
• Tausasawa
• Myalgia.
• Abubuwan tsoka na dare, musamman cikin tsofaffi,
• Tsarin cututtukan jijiyoyin jiki wanda ya haifar da rashi na bitamin B1 da B6.
• Bayyanarwar jijiyoyin jijiyoyin jiki na osteochondrosis na kashin baya: lumbar ischialgia, radiculopathy (radicular syndrome), ƙwayoyin tsoka-tonic syndromes.

Side effects

• Bayyanar cututtuka na jijiyoyi: rashes na fata, bronchospasm, anaphylaxis, angioedema, urticaria.
• Tsarin nakuda na tsarin mara karfi: tsananin farin ciki, rashi mara nauyi.
• Rashin daidaituwa na wurare dabam dabam: tachycardia, jinkiri ko rudani damuwa.
• Rashin narkewa na narkewa: amai.
• Fata da laushi fata halayen: hyperhidrosis, kuraje.
• Rashin ƙwaƙwalwa na Musculoskeletal: cututtukan mahaifa.
• Amsawa a wurin allura: haushi.

Sakamakon saurin gudanarwa ko yawan shan ruwa, halayen nau'in tsari na iya bunkasa.

Umarni na musamman

• yin amfani da miyagun ƙwayoyi ta hanyar ciki ko shayar da mama
• idan an gudanar da maganin ba da gangan ba a cikin shi, dole ne a kwantar da marasa lafiya a asibiti ko a bar su a ƙarƙashin kulawar kwararrun,
• ba a sani ba ko miyagun ƙwayoyi suna tasiri da ikon tuki motar haya ko yin aikin da ke buƙatar ƙara kulawa,
• a ƙarƙashin rinjayar sulfites, cikakken lalata nitamine yana faruwa. Sakamakon wannan, aikin wasu bitamin shima ya daina,
• nitamine bai dace da wakilai na oxidizing da rage jamiái ba, gami da iodides, carbonates, acetates, tannic acid, ammonium iron citrate, phenobarbital, riboflavin, benzylpenicillin, dextrose, disulfites,
• Emaine yana lalata da sauri ta tagulla
• idan alkalinity na matsakaici ya tashi sama da pH = 3, thiamine ya rasa ingancinsa,
• pyridoxine na iya haifar da rauni na tasirin antiparkinsonian na levodopa. Hakanan, hulɗa tana faruwa a hade tare da cycloserine, penicillamine, isoniazid,
• norepinephrine, epinephrine da sulfonamides a hade tare da lidocaine suna inganta tasirin da baya so akan zuciya,
• cyanocobalamin ya dace da salts na karafa masu nauyi,
• riboflavin yana haifar da rushewar cyanocobalamin, wanda aka inganta ta hanyar aikin haske,
• nicotinamide yana haifar da haɓakar ɗaukar hoto, da abubuwa na antioxidant, akasin haka, suna nuna sakamako mai banƙyama.

Hulɗa da ƙwayoyi

Ya kamata a ɗauka a zuciya cewa lokacin hulɗa tare da sulfonamides, bitamin B1 gaba daya ya lalata, saboda haka ingancin maganin ya ɓace. Har ila yau, ayyukan ƙwayoyin nitamine suna raguwa a gaban shirye-shiryen da ke ɗauke da Mercury, aidin da sulfur. Ba'a ba da shawarar a haɗaka tare da levodopa da riboflavin.

1. Vitaxon.
2. Vitagamma
3. Kombilipen.
4. Neuromultivitis.
5. Binavit.
6. Triovit.
7. Pikovit.

Neuromultivitis ko Milgamma: Wanne ya fi?

Haɗin waɗannan magungunan suna kama, amma Neuromultivitis baya cikin abubuwan haɗin lidocaine. Neuromultivitis, ba kamar Milgamma, an wajabta don kula da yara. Me yasa aka wajabta kowane ɗayan magungunan, ƙwararren likita zai ba da cikakken bayani dalla-dalla.

Wanne ya fi kyau: Milgamma ko Combilipen?

Har ila yau, Combilipen magani ne mai ƙwayar bitamin, wanda ya haɗa da bitamin B. An tsara maganin a matsayin wani ɓangare na hadaddun hanyoyin kwantar da hankali ga marasa lafiya da cututtukan cututtukan zuciya. Waɗannan hanyoyi masu kama ne, kawai suna da masana'anta daban, kuma ana iya siyan Combilipen a ƙananan farashi.

Lokacin zabar analogues, yana da mahimmanci a fahimci cewa umarnin don amfani da Milgamma, farashin da sake dubawa na kwayoyi tare da tasirin irin wannan ba su amfani. Yana da mahimmanci don samun shawarar likita kuma kada kuyi canjin magani mai yanci.