Allunan - Nuwamba > Jiyya da rigakafin

Waɗannan zagaye, allunan biconvex ne na fari, launin rawaya ko ruwan hoda, a gefe ɗaya akwai alamar masu ƙira.

Babban sinadari mai aiki shine maganin disaglinide. Allunan da abun ciki na 0, 5, 1 ko 2 mg na repaglinide suna samuwa.

magnesium stearate,
poloxamer 188,
alli hydrogen phosphate anhydrous,
sitaci masara
glycerol 85% (glycerol),
microcrystalline cellulose (E460),
potassium polyacrylate,
povidone
meglumine.

Cushe a cikin blisters na Allunan 15, a cikin kwali fakitin zai iya zama 2 ko 6 blisters.

Aikin magunguna

Hypoglycemic wakili na gajeren sakamako. A lokacin aiki na miyagun ƙwayoyi a cikin jiki, an saki insulin daga sel na musamman na pancreas. Wannan yana haifar da ambaliyar alli, wanda ke haɓaka ƙwayar insulin.

An lura da tasirin a cikin rabin sa'a bayan gudanarwa. Yana ragewa kimanin sa'o'i 4 bayan fara aiki.

Pharmacokinetics

Baƙon abu yana faruwa a cikin ƙwayar gastrointestinal, ana lura da mafi girman hankali bayan awa 1, yana ɗaukar kimanin sa'o'i 4. An canza miyagun ƙwayoyi a cikin hanta ya zama metabolites marasa aiki, waɗanda aka keɓe cikin bile, fitsari da feces bayan kimanin sa'o'i 4-6. A bioavailability na miyagun ƙwayoyi ne matsakaici.

Nau'in ciwon sukari na 2 na rashin ingancin abinci da nau'in magani daban. Hakanan za'a iya wajabta shi azaman ɓangare na maganin haɗuwa don asarar nauyi.

Contraindications

Rashin hankali ga abubuwan da aka gyara.
Type 1 ciwon sukari.
Haihuwa da lactation.
Yaran da shekarunsu sun fara daga shekara 75.
Ketoacidosis mai ciwon sukari.
Tarihi na cutar kansa.
Cututtuka.
Al'adar fata
Mai tsananin aiki hanta da hanta.
Ayyukan tiyata da ke buƙatar insulin.

Umarnin don amfani (hanya da sashi)

Ana ɗaukarsa ta baka da abinci.

Maganin farko shine 0.5 MG. Sannan, bisa alamu nazarce-nazarce, a hankali ana kara sashi ne - a hankali, sau daya a mako ko sati biyu). Lokacin juyawa daga wani magani, kashi na farko shine 1 MG. Yana da mahimmanci koyaushe mahimmanci saka idanu akan yanayin haƙuri don sakamako masu illa. Idan ya tsananta, an soke maganin.

Matsakaicin adadin guda ɗaya shine 4 MG, matsakaicin adadin kullun shine 16 MG.

Yawan abin sama da ya kamata

Babban haɗarin shine hypoglycemia. Alamomin ta:

rauni
pallor
yunwa
mai rauni sani har zuwa hauhawar jini,
nutsuwa
tashin zuciya, da sauransu.

Ana samun kwanciyar hankali mai narkewa ta hanyar cin abinci mai-carbohydrate. Matsakaici da mai tsanani - tare da injections na glucagon ko bayani mai dextrose, abinci yana biye da shi.

MUHIMMIYA! Tabbatar tuntuɓar likita don daidaitawar kashi!

Hulɗa da ƙwayoyi

Wasu kwayoyi na iya haɓaka sakamakon Novonorm. Wadannan sun hada da:

MAO da ACE inhibitors,
coumarin,
ba zaɓin beta-blockers ba,
babankasha,
salicylates,
probenecid
NSAIDs
salicylates,
octreotide
magungunan anabolic steroid
sulfonamides,
ethanol.

Sauran kwayoyi, akasin haka, na iya raunana sakamakon wannan ƙwayar:

hormonal hana haihuwa,
alli mai tashar alli,
karin bayani
corticosteroids
isoniazid
danazol
sabbinna,
cututtukan mahaifa
phenytoin
tausayawa.

Hakanan, metabolism na sashin aiki mai aiki zai iya inganta barbiturates, carbamazepine da rifampicin, raunana erythromycin, ketoconazole da miconazole.

A duk waɗannan halayen, yana da muhimmanci ku tattauna tare da likita game da shawarar gudanarwar haɗin gwiwarsu. Ya kamata a aiwatar da tsarin kulawa a karkashin kulawa na tilas na kwararrun.

Umarni na musamman

Ana buƙatar jarrabawa na yau da kullun da gwajin jini don kawar da faruwar abubuwan sakamako.

A lokacin daukar ciki, an dakatar da tafiyar da mulki, ana tura mai haƙuri zuwa insulin.

Tare da ayyukan tiyata, kamuwa da cuta, da rauni na hanta da aikin koda, sakamakon magungunan da aka ɗauka na iya raguwa.

Beta-blockers na iya rufe alamun bayyanar cututtukan jini. Dole ne a la'akari da wannan tare da haɗuwa da magani.

Sakamakon haɗarin cututtukan hypoglycemia, ana bada shawara don barin tuki yayin duk lokacin shan miyagun ƙwayoyi.

MUHIMMIYA! NovoNorm yana samuwa ne kawai ta hanyar sayan magani.

Kwatanta tare da analogues

A miyagun ƙwayoyi yana da adadin analogues waɗanda suke da amfani a yi la’akari da su dangane da inganci da kaddarorin.

"Ciwon sukari MV". Haɗin ya haɗa da gliclazide, yana da babban tasiri. Kudinsa - daga 300 rubles. Yana samar da kamfanin "Servier", Faransa. Hypoglycemic wakili, mai matukar tasiri, tare da karamin adadin yiwuwar cutarwa. Contraindications iri daya ne da na Novonorm. Rage ƙarami shine farashi mai girma.
Glucobay. Abubuwan da ke aiki shine acarbose. Farashi daga 500 rubles dangane da maida hankali akan abu. Production - Bayer Pharma, Jamus. Magungunan yana rage taro yawan sukari a cikin jini. Taimaka tare da kiba, yana da kewayon amfani da yawa. Koyaya, yana da mummunan lissafin contraindications da sakamako masu illa. Babban hasara shine babban farashi da buƙatar yin oda a cikin kantin magani.

Yin amfani da kowane analog ya kamata tare da likitan ku. ba za ku iya ba da magani ba - yana da haɗari ga lafiya!

Ainihin, maganin yana da kyawawan shawarwari. Dukansu masana da masu ciwon sukari da kansu suna ba shi shawara. Koyaya, Novonorm bazai dace da wasu mutane ba.

Anna: "Kwanan nan sun gano ciwon sukari mellitus." Yana da kyau cewa sun gano cikin lokaci, amma yayi sa'a mara kyau - abincin ba shi da amfani, kai ma kuna buƙatar haɗa allunan. Saboda haka, Ina shan ƙarin "Novonorm" tare da babban abincin. Sugar ne al'ada, komai ya dace da ni. Ba a sami mummunan sakamako ba. Kyakkyawan magani. "

Igor: “Na yi rashin lafiya tsawon shekara biyar. A wannan lokacin na gwada magunguna da yawa. Masanin ilimin halittar halittun endocrinologist ya hada da Novonorm zuwa Metformin a lokacin da yake jinya, saboda gwajin haemoglobin da nake yi ya karu. Na kwashe kwayoyin cutar tsawon watanni uku, sukari na ke ci, gwaje-gwaje na sun fi kyau. Babu wasu sakamako masu illa, wanda yafi so. "

Diana: “Sun kara da ni ga Novonorm lokacin da wasu magunguna suka daina aiki. Ina da matsalolin koda, saboda haka yana da mahimmanci kada a fara lalacewa. Watanni shida bayan fara wannan ci, na lura da wani ci gaba. Farashin mai sauki, likita ta yaba da sakamakon gwajin bayan da ta fara daukar su. Don haka ina murna. "

Daria: “Kakata tana da ciwon sukari guda 2. Yanayi mai wahala, koyaushe wasu matsaloli na tashi. Likita ya ba Novonorm sauran magunguna. Da farko na ji tsoron siyanta, saboda a cikin umarnin duk nau'ikan sakamako masu cutarwa suna nuna. Amma har yanzu yanke shawarar gwada. Yarinyar ta yi farin ciki - sukari yana raguwa daidai, ba tare da tsalle-tsalle ba. Ari da cewa, lafiyarta ta inganta, ta fi jin daɗi. Kuma kwayoyin ba su yi wata lahani ba, wanda yake da mahimmanci a shekarunta, kuma haƙiƙa gaba ɗaya. Kuma farashin yana da kyau. Gabaɗaya, ina son magungunan ƙwayoyin cuta da tasirin su. ”

Kammalawa

Lura cewa Novonorm yana da kyakkyawar rabo mai inganci, ƙari tare da sake dubawa sun tabbatar da ingancinsa. Hakanan wannan magani yana da kyau saboda ana siyar dashi a kusan kowane kantin magani. Ba abin mamaki bane cewa masana koyaushe sukan tsara shi duka azaman kayan aiki mai zaman kansa kuma a haɗuwa da magani.

Alamu don amfani

An wajabta magunguna ga marasa lafiya da masu ciwon sukari, idan akwai nauyi mai yawa ko mara lafiyar yana kiba. Yi wajan magani tare da nau'in insulin-mai zaman kansa, lokacin da abinci mai karancin carb baya taimaka wajen magance matsalar.

Allunan kwayar Novonorm, umarnin don amfani da su wanda ke cikin kowane kunshin, an wajabta su ga marasa lafiya a cikin haɗin gwiwa tare da maganin metformin ko thiazolidinedione idan babu ingantaccen maganin monotherapy.

Fom ɗin saki

Allunan Biconvex na farin (0.5 mg), rawaya (1 mg) ko launi ruwan hoda (Novonorm tare da sashi na 2 MG). Sanarwa cikin fakiti mai bakin ciki, a cikin kwali na kwali.

An tattara magungunan a cikin allunan 15 a cikin 1 blister. A cikin kwali ɗaya na kwali na iya zama magungunan 30-90.

Samfurin asali yana da sauƙin tantancewa da rarrabewa daga karya. Kowane kwaya a cikin kumburin ciki ta lalace. Wannan ya sa ya yiwu a raba adadin yau da kullun na miyagun ƙwayoyi ba tare da amfani da almakashi ba.

Domin kada ku sayi Novonorm na karya, duba hoton wannan magani.

Kudin maganin ba shi da girma, saboda haka ya ci gaba da nema. Farashin Novonorm shine 200-400 rubles.

Innovation a cikin ciwon sukari - kawai sha kowace rana.

Abunda yake aiki shine farfadowar. Sashi na abu mai aiki a cikin kwamfutar hannu 1 na Novonorm shine 0.5, 1 ko 2 mg.

Abunda yake aiki mai tushe ne daga amino acid. Repaglinide shine aikin sirrin gajeriyar hanya.

Componentsarin abubuwan da aka haɗa: ƙwayar sunadarai na gishirin magnesium da stearic acid (C17H35COO), poloxamer 188, alli dibasic phosphate, C6H10O5, C3H5 (OH) 3, E460, sodium gishiri na polyaclates acid, povidone, meglumine acridonacetate.

Umarnin don amfani

Takeauki magungunan ciki tare da isasshen ruwa. Kar a narke ko tauna, wannan ba kawai zai iya rage tasirin warkewar kwaya da aka ɗauka ba, har ma zai bar jin zafin da ba shi da dadi.

Sha tare da abinci. Likitocin sun bada shawarar farawa da karamin sashi. A kowace rana, 0.5 MG na miyagun ƙwayoyi ya kamata a yi amfani dashi.

Ana aiwatar da gyaran sashi ne sau 1 a cikin makonni 1-2. Kafin wannan, ana yin gwajin jini don sanin matakin glucose. Binciken zai nuna yadda tasirin aikin yake da ko mai haƙuri yana buƙatar gyara sashi.

Siffofin aikace-aikace

Ga yara yan shekaru 18, da miyagun ƙwayoyi ne contraindicated. Tsofaffi marasa lafiya da ke ƙasa da shekara 75 an yarda su ɗauki maganin. Koyaya, marasa lafiya masu ciwon sukari yakamata su kasance karkashin kulawar likita. Kawai inpatient magani mai yiwuwa ne, ana ba da izini a kan marasa lafiya akai idan akwai dangi kusa da tsofaffi waɗanda, idan akwai asarar farkawa, ko kwayar cutar ko wasu m halayen, nan da nan za su isar da haƙuri zuwa asibiti.

A lokacin da nono, da miyagun ƙwayoyi ne contraindicated. Gwaje-gwajen sun nuna kasancewar miyagun ƙwayoyi a cikin madarar dabbobi. Koyaya, Novonorm bashi da tasirin teratogenic.

Yin hulɗa tare da wasu kwayoyi

An ƙulla magungunan don amfani dashi lokaci guda tare da MAO da masu hana ACE, magungunan anabolic steroids da ethanol. Tare da wannan haɗuwa, inganta haɓakar hypoglycemic na Novonorm, wanda sakamakon coma mai ciwon sukari na iya faruwa kuma hauhawar jini ta haɓaka.

Tasirin hypoglycemic na miyagun ƙwayoyi yana raguwa tare da amfani da lokaci guda na hana hormonal.

Muna ba da ragi ga masu karanta shafinmu!

An ba shi damar ɗaukar magani tare da maganin insulin ko yin amfani da wasu magunguna don ciwon sukari. Koyaya, dole ne mai haƙuri ya bi sashi sosai, ya ci daidai kuma ya auna sukarin jini a kai a kai.

Side effects

Mafi sau da yawa, marasa lafiya suna jin alamun hypoglycemia. Wannan halin da ake ciki shine ake ɗaukar matakan glucose na ƙasa da keɓaɓɓuwa. Wannan yanayin an nuna shi ta hanyar autonomic, neurological da cuta na rayuwa.

Tare da haɗakar yin amfani da Novorom da sauran magunguna na hypoglycemic, haɓaka irin wannan halayen masu haɗari yana yiwuwa:

rashin lafiyan halayen a cikin hanyar vasculitis,
rashin ruwa na rashin lafiyar jiki ko rashin sani tare da matakan glucose na al'ada wanda ke ciki.
karancin gani
zawo da ciwon ciki na damun kowane mara lafiya na uku,
da wuya gwaje-gwaje saukar da karuwa a cikin ayyukan hanta enzymes,
daga tsarin narkewa, tashin zuciya, amai ko maƙarƙashiya (an lura da ƙarancin sakamako masu illa, yana wuce ɗan lokaci bayan an dakatar da jiyya).

Nervonorm na miyagun ƙwayoyi, umarnin don amfani, farashi da sake dubawa wanda kowane mai haƙuri dole ne yayi karatu kafin siyan, a mafi yawan lokuta yana da tasirin gaske a jiki.