Miyagun ƙwayoyi ORSOTEN - umarnin, sake dubawa, farashin da analogues
Orsoten an samar dashi a cikin nau'in capsules: daga fari tare da tint mai launin shuɗi zuwa fari, abubuwan da ke cikin capsules sune cakuda foda da microgranules ko microgranules na farin ko kusan fararen launi, za'a iya ɗaukar agglomerates wanda zai iya crumble sauƙaƙe lokacin da aka matse (7 inji mai kwakwalwa. A cikin blisters, 3, 6 ko fakitoci 12 a cikin kwali mai kwali, guda 21 a cikin blisters, 1, 2 ko 4 fakitoci a cikin kwali.
Abun da ke ciki na capsule 1 ya hada da:
- Abunda yake aiki: orlistat - 120 MG (a cikin nau'i na prefabricated granules na Orsoten - 225.6 mg),
- Bangaren karin taimako: microcrystalline cellulose,
- Jikin Capsule da hula: hypromellose, titanium dioxide (E171), ruwa.
Bayanin maganin
Magungunan "Orsoten" a zahiri ba mai saukin kamuwa da shi ne cikin tsarin na jikin mutum, saboda haka ba ya tarawa a jikin mutum. Duk magungunan wuce haddi an keɓe ta cikin hanjin. Ana amfani da maganin a matsayin hanyar magani na dogon lokaci na masu kiba ko masu kiba. Haɗe tare da miyagun ƙwayoyi, an ƙaddara abincin abinci mai gina jiki da kuma wani aiki na jiki.
Magungunan "Orsoten" yana da wasu abubuwan hana haihuwa don amfani cikin:
- gaban biliary stagnation,
- gaban na kullum malabsorption,
- ciki
- nono
- bai kai ga balaga ba
Yin amfani da miyagun ƙwayoyi Orsoten
Magungunan "Orsoten" ana ɗaukar sau 2-3 a rana, capsule 1, zai fi dacewa, tare da abinci, ba a wuce sa'a ɗaya ba bayan kammalawa. Fiye da capsules 3 kowace rana ba da shawarar ba. Hakanan, ba shi da kyau a yi amfani da miyagun ƙwayoyi lokacin cin abinci ba tare da kitse ba. Jimlar maganin zai iya kaiwa shekaru 2.
Side effects
Yin amfani da miyagun ƙwayoyi "Orsoten" na iya haifar da wasu sakamako masu illa, wanda aka bayyana a cikin wani rauni mai rauni kuma ya ɓace bayan watanni 1-3 na amfani da miyagun ƙwayoyi. Babban sakamako masu illa suna da alaƙa da rikice-rikice na ciki da hanji, wanda zai iya haifar da ƙaramin ciwo a waɗannan wuraren. Significantarin mahimmancin sakamako masu illa na iya haɗawa da rage yawan glucose jini, cututtukan cututtuka na wasu gabobin, da kuma tsarin haila a cikin mata. Ba wuya, yin amfani da wannan magani na iya haifar da rashin lafiyar jiki.
Amfani da layi daya na amfani da miyagun ƙwayoyi "Orsoten" tare da wasu abubuwa na iya inganta tasirin sa ko rage tasirin warkewa. A kan wannan batun, ya kamata ka nemi likita don haka hanyar da ta dace ta dace.
Lokacin da ake fuskantar hanyar magani tare da maganin Orsoten, dole ne a bi abincin da aka tsara musamman don haƙuri dangane da ƙarancin kalori da cikakken adadin abubuwan gina jiki.
Alamu don amfani
Orsoten an wajabta shi don maganin marasa lafiya na tsawon lokaci tare da kiba tare da ƙididdigar jiki na jiki (BMI) ≥30 kg / m 2 ko kiba (BMI kg28 kg / m 2), ciki har da marasa lafiya da abubuwan haɗari da ke tattare da kiba, a hade tare da matsakaici daidaituwa karancin abincin kalori.
Zai yuwu a rubuta Orsoten a lokaci guda tare da magungunan hypoglycemic da / ko abinci mai ƙarancin kuzari na matsakaici don nau'in ciwon sukari na 2 mai yawan kiba tare da kiba ko kiba.
Contraindications
- Cholestasis
- Cutar malavesorption na kullum,
- Ciki da shayarwa (shayarwa),
- Shekaru har zuwa shekaru 18 (aminci da inganci na Orsoten don wannan rukuni na marasa lafiya ba'a yi binciken su ba),
- Rashin hankali ga miyagun ƙwayoyi.
Aikin magunguna na Orsoten
Magungunan slimming Orsoten magani ne mai hana hancin lipase wanda yake da sakamako mai dorewa. Kafa haɗin gwiwa na covalent tare da hanjin ciki da na hanji, orlistat yana da tasirin warkewa a cikin ƙwayar ciki da ƙananan hanji. Don haka, kwayar enzyme ta rasa ikonta na rushe kitsen mai abinci a cikin nau'in triglycerides zuwa monoglycerides da fat mai free.
Tun da triglycerides ba a tunawa da shi a cikin wani nau'in da ba a raba shi ba, rage yawan adadin kuzari, kuma asarar nauyi yana faruwa.
Magungunan yana da sakamako na warkewa ba tare da shigar da wurare dabam dabam ba.
Magungunan yana haifar da karuwa cikin abun ciki mai yawa a cikin fears 1-2 bayan cin abincin.
Fasali na miyagun ƙwayoyi Orsoten
Magungunan magani na ƙungiyar masu lalata lipase na gastrointestinal lipase. Yana ba da gudummawa ga kulawa da kiba a cikin marasa lafiya tare da ƙididdigar ƙwayar jikin mutum sama da raka'a 27. Ingancin wannan magani yana ƙaruwa ne kawai ta hanyar cin abinci mai kalori. Musamman saurin asara mai nauyi ana lura dashi a farkon watanni ukun farko na maganin. Matsakaicin tasirin babban ɓangaren ana samun shi ne ranar ta 3.
Hanyar aikin
Magungunan an yi shi ne don magance mummunan cuta na rayuwa, wanda ba za a iya dawo da shi ta hanyar horo da abinci ba. Capsule ya qunshi:
- Sinadaran aiki - orlistat 120 MG,
- karin kayan masarufi - cellulose mai kyau na lu'ulu'u.
Sakamakon abu mai magani ya dogara da rigakafin ɗaukar duk nau'ikan kitsen mai a cikin hanji, gami da daidaitawa. Wannan shi ne saboda hanyoyin masu zuwa:
- akwai wani matsananciyar kwantar da tsotsan enzymes na ciki da hanjin ciki,
- narkewa ana aiwatar dashi ba tare da haɗawa da rarraba kitse ba, waɗanda sune ɓangarorin kayan abinci,
- rikitattun abubuwa masu kitse basu iya shiga cikin jini ta cikin hanjin cikin jiki, tunda basu aiwatar da aiki tare da taimakon enzymes,
- Sakamakon haka, an fitar da mayukan abinci marasa kyau a jiki iri daya a jikin mutum da zazzabi.
Saboda haka, miyagun ƙwayoyi yana tasiri nauyi asara.
Bugu da kari, magunguna na yau da kullun suna taimaka wa al'ada cholesterol, wanda yake da amfani ga marasa lafiya da cututtukan cututtukan kwayoyin halittar jini.
Babban bambance-bambance tsakanin kwayoyi
Ingancin waɗannan magungunan shine rage yawan shan abubuwa masu kitse ta jiki, wanda ke taimakawa rasa kilo da yawa.
Akwai alaƙa da yawa a tsakaninsu fiye da bambance-bambance. Saboda haka, mutane da yawa suna tunani game da bambanci tsakanin Orsoten da Orsoten Slim.
Iyakar abin da kawai ake amfani da shi na wakilai na kayan aikin magani shine abubuwan da ke cikin babban sinadaran aiki. A Orsoten, maida hankali ne kan kayan ya ninka sau 2, wanda ke nufin ana tsammanin tasirin maganin ya fi hakan yawa.
Ra'ayin likitoci
Masana ilimin abinci sun yarda cewa a cikin lura da kiba, zaka iya yi ba tare da magunguna ba. Koyaya, kwararrun masana basu ƙin amfanin amfanin shan magunguna don rasa nauyi ba. Koyaya, ƙarshen ya shafi mutane masu kiba (BMI mafi girma fiye da 30).
Babu likita da zai iya ba da shawarar wanne ne daga cikin wakilan magunguna mafi inganci. Dukansu suna da kyau su kasance da kyau.
Babban abu shine bin shawarwarin sannan tasirin shan magunguna ba zai sa a jira lokaci mai tsawo ba:
- Yana da daraja a kula da ƙididdigar taro na jikin. Alamar BMI ce ta ba da bayani kan ko za a yi amfani da maganin ko a'a. Dangane da shi, likita ya ƙayyade kuma ya tsara adadin sashi na abin da ya kamata.
- Tabbataccen abu yayin ɗaukar maganin shine bin wani abincin da ya dace. Rashin na ƙarshen ba zai ba da sakamakon da aka jira ba, kuma za a ɓata kuɗin.
- Hanyar da aka dogara da shi ta hanyar lipase inhibitors na da matukar illa ga shaye-shayen bitamin mai-mai narkewa daga abinci. Masana ilimin abinci sun ba da shawarar gami da amfani da ƙwayoyin cuta a cikin abincinka don guje wa tasirin rashin abinci mai guba. Bugu da ƙari, yakamata a yi su kafin lokacin bacci, lokacin da sakamako na orlistat ya ragu.
- Ya kamata a yi la’akari da tarihin cutar sankara yayin yin jiyya. Shan magungunan da ke inganta asarar nauyi, ya kunshi inganta metabolism, wanda zai iya bayarda sakamako mai kyau a cikin koda. A wannan yanayin, dogaro ga yawan ƙwayoyi masu rage sukari, ciki har da insulin, canje-canje. Tsarin magani ta hanyar endocrinologist a wannan yanayin yana dacewa da gyara. Wannan kuma ya shafi marasa lafiya da ke fama da atherosclerosis da hauhawar jini.
- Idan ana bi da mara lafiyar tare da wasu kwayoyi (anticoagulants, antiarrhythmic kwayoyi, da dai sauransu), to, kafin fara gudanar da tsarin orlistat, ya kamata ku nemi shawarar kwararrun.
- Magungunan rage cin abinci na iya rage tasirin ƙwayoyin hormonal wanda ke hana daukar ciki. Don haka, ya kamata a sake nazarin sauran hanyoyin da zasu iya hana juna biyu.
Bambanci a cikin abubuwan da ke kunshe a babban bangaren shine saboda tsarin kula da mara lafiyan mutum. Za a rubuta wa marasa lafiya masu ƙurar digiri na farko digiri na biyu tare da ƙwayar orlistat. A cikin mafi yawan lokuta masu rauni, adadin kayan yana ƙaruwa.
Gano bayyanar sakamako masu illa ga ɗayan kwayoyi suna ba da damar warware duka biyun, tunda a cikin biyunsu ɗaya suke.
Kartotskaya V.M., gastroenterologist:
Orsoten shine mataimaki na a cikin yaki da kiba. Bugu da kari, marasa lafiya basu taba korafi ba, amma kawai sunzo ne kuma sun gamsu da nasarar su.
Artamanenko I.S., masanin abinci mai gina jiki:
Orsoten Slim, kodayake yana da sakamako masu illa, amma yana taimakawa. Idan kun yi aiki bisa ga shawarar kuma kada ku keta abincin, to, babu rikitarwa da zai bi shi.
Nazarin masu ciwon sukari
Marasa lafiya sun fi sanin bambanci tsakanin Orsoten da Orsoten Slim. Bayan haka, tabbas suna jin duk mummunan sakamako da mummunan tasirin wakilan magunguna akan kansu. Kuma hakan gaskiyane.
Yawancin mutane sukan sayi Orsoten, saboda yana ba da tabbacin sakamako kuma yana rage haɗarin sakamako masu illa.
Ra'ayoyi game da amfani da masu ciwon sukari Slim ana rabawa. Wasu sun lura da tabarbarewa cikin kwanciyar hankali, wasu suna amfani ba tare da matsaloli ba, ba su lura da wani bambanci daga analog ɗin ba.
Dangane da sake dubawa, zamu iya yanke shawara cewa magani na farko yana da ƙarin amincewa a tsakanin masu siye fiye da na biyu. Wannan saboda farashin mai araha ne, bayyananne na maganin.
Valeria, shekara 32
Orsoten ya taimaka min in cire karin fam, duk kuwa da cewa na samu rabin rabin maganin. Na sake nazarin abincin da nake ci kuma na fara shiga ilimin motsa jiki. Kayana na zama mai girma.
Bayan na haihu, sai na zama sanannu ne. Masanin lafiyan ya ba da umarnin Orsotin Slim. My nauyi tare da shi ya ragu sosai. Koyaya, da farko na damu matuka game da yadda ake yawan kitse, amma a lokacin na sami wannan sakamako.
Sabili da haka, zaɓin magani ya dogara da halaye na mutum kuma likita ne kawai zai iya tsara shi.
Sashi da gudanarwa
Ana shan Orsoten a baki da ruwa.
Yawan shawarar da aka bada shawarar shine 120 MG (1 agun). Ya kamata a sha miyagun ƙwayoyi tare da kowane babban abinci (kai tsaye kafin abinci, tare da abinci ko a cikin awa 1 bayan cin abinci). Orsoten na iya tsallake lokacin da aka tsallake abinci ko idan abincin bai ƙunshi mai ba.
Shan miyagun ƙwayoyi a cikin adadin yau da kullun fiye da 360 mg (3 capsules) baya inganta tasirin warkewa. Tsawon lokacin karatu - ba zai wuce shekaru 2 ba.
Don rikicewar aiki na kodan ko hanta, har ma da tsofaffi marasa lafiya, ba a buƙatar daidaita sashi ba.
Side effects
Mafi sau da yawa, yayin ɗaukar Orsoten, raunin narkewa shine ke haɓaka mai haɓaka da adadin mai a cikin feces. A mafi yawan lokuta, waɗannan rikice-rikice suna da laushi da ƙima a yanayi kuma suna haɓakawa a cikin farkon watanni 3 na farko na maganin. Tare da tsawan magani, yawan tasirin sakamako yana raguwa.
Yayin amfani da Orsoten, rikice-rikice masu zuwa na iya haɓaka:
- Tsarin narkewa: kwaɗaitar da rauni, rashin ƙarfi tare da cirewa daga dubura, mage / m mai, fitar mai mai daga dubura, sako-sako da / ko shimfiɗa laushi, steatorrhea (ciki har da mai a cikin matse), rashin jin daɗi da / ko jin zafi a ciki da a cikin dubura, fecal incontinence, ƙara yawan hanjin motsi, m hankula zuwa ga rauni, lalacewar gumis da hakora, da wuya sosai - gallstone cuta, diverticulitis, hepatitis (yiwu mai tsanani), ƙara alkaline phosphatase da hanta transaminases,
- Metabolism: hypoglycemia (tare da nau'in ciwon sukari na 2)
- Tsarin juyayi na tsakiya: damuwa, ciwon kai,
- Allergic halayen: da wuya - angioedema, itching, urticaria, kurji, anaphylaxis, bronchospasm,
- Fata: da wuya - rauni mai ƙarfi,
- Sauran: jin gajiya, dysmenorrhea, cututtukan da ke kama da mura, kamuwa da cuta na hanji da na huhu.
Umarni na musamman
Orsoten yana da tasiri na tsawon lokaci na kula da nauyin jikin mutum (rage nauyi, riƙe shi a matakin da ya dace da hana sake ƙara nauyin jikin). Harkokin warkarwa suna inganta bayanan abubuwan haɗari da cututtukan da ke tattare da kiba (ciki har da haƙuri mai haƙuri, hypercholesterolemia, hauhawar jini, hyperinsulinemia, nau'in ciwon sukari na 2), da rage yawan ƙwayar visceral.
Sakamakon asarar nauyi a cikin marasa lafiya da ke da nau'in ciwon sukari na 2 na sukari, ana samun ci gaba a cikin biyan bashin metabolism yawanci, wanda zai iya ba da damar raguwa a cikin adadin magungunan hypoglycemic.
Yayin aikin jiyya, ana ba da shawarar a ɗauki dunƙulen multivitamin don tabbatar da isasshen abinci mai gina jiki.
Marasa lafiya suna buƙatar bin shawarar abinci. Abinci yakamata a daidaita shi, mai matsakaitaccen mai kalori kuma ya ƙunshi fiye da kashi 30% na adadin kuzari a cikin fats. Dole ne a raba kitse na yau da kullun zuwa manyan abinci guda uku.
Hadarin sakamako masu illa daga tsarin narkewa na iya ƙaruwa lokacin shan Orsoten a kan asalin tsarin abincin da yake da mai.
An soke warkewar cutar idan, a cikin makonni 12 daga farawa na miyagun ƙwayoyi, nauyin jikin bai ragu ba fiye da 5% na asali.
Hulɗa da ƙwayoyi
Tare da hadin gwiwar gudanar da Orsoten tare da wasu kwayoyi, sakamakon zai iya faruwa:
- Warfarin ko wasu magungunan anticoagulants: karuwa a INR, raguwa a cikin matakan prothrombin, canji a cikin sigogi hemostatic,
- Pravastatin: haɓakawa da yawa a cikin plasma, bioavailability da tasirin rage ƙwayar cuta,
- Bitamin mai-narkewa (A, D, E, K): take hakkinsu (ana amfani da shirye-shiryen multivitamin a lokacin bacci ko a'a fiye da 2 sa'o'i bayan shan Orsoten),
- Cyclosporine: raguwa a cikin maida hankali a cikin jini (ana yaba shi don sarrafa matakinsa),
- Amiodarone: raguwa a cikin maida hankali a cikin ƙwayar jini (saka idanu a asibiti da kuma lura da ƙwaƙwalwar ƙwayar cuta ya zama dole).
Sakamakon ingantaccen metabolism a cikin ciwon sukari na mellitus, ana iya buƙatar daidaita sashi na wakilai na hypoglycemic na baka.
Haɗin Orsoten tare da ethanol, digoxin, amitriptyline, biguanides, maganin hana haihuwa, fibrates, furosemide, fluoxetine, losartan, phentermine, phenytoin, nifedipine (gami da jinkirta fitarwa), captopril, atenobenol.
Yawan abin sama da ya kamata
Nazarin likitocin zuwa Orsoten basu da cikakkun bayanai game da shari'o'in karyewar kayan maye da wannan kayan aiki.
Guda ɗaya na orlistat a kashi na 800 MG ko har zuwa 400 MG sau uku a rana don makonni biyu ba tare da halayen masu illa ba.
Game da kwayar cutar Orsoten fiye da kima, ana bada shawarar kula da mara lafiya a duk tsawon lokacin.
Haihuwa da lactation
Ba'a ba da shawarar yin amfani da Orsoten a lokacin daukar ciki ba, tunda babu bayanan asibiti game da amfani da miyagun ƙwayoyi a cikin wannan rukuni na marasa lafiya.
Wannan ya shafi amfani da allunan Orsoten lokacin shayarwa (bayani babu).
Yin hulɗa tare da wasu kwayoyi
Lokacin amfani da Orsoten lokaci guda tare da:
- warfarin da sauran magungunan anticoagulants - matakin prothrombin yana raguwa, INR yana ƙaruwa, kuma, a sakamakon haka, sigogi hemostatic ya canza
- pravastatin - tasirin bioavinta da kuma rage karfin lipid,
- kitse mai narkewa - K, D, E, A - ɗaukar hankalinsu ya rikice. Saboda haka, dole ne a dauki bitamin kafin lokacin kwanciya ko awanni biyu bayan shan Orsoten.
- cyclosporine - tattarawar cyclosporin a cikin jini yana raguwa. A wannan batun, ana bada shawarar saka idanu akan matakin cyclosporin a cikin jini.
Ya kamata kuma a ɗauka a hankali cewa asarar nauyi na iya haifar da ingantaccen metabolism a cikin marasa lafiya da ciwon sukari. Sabili da haka, a cikin wannan rukuni na marasa lafiya, ana iya buƙatar rage adadin magungunan baka na maganin ƙwaƙwalwa na baka.
Marasa lafiya waɗanda ke amfani da amiodarone suna buƙatar kulawa da hankali sosai game da ECG, tun da akwai lokuta na raguwar matakin amiodarone a cikin jini.