Metformin-Teva: umarnin magani

Metformin magani ne wanda masana'antun ke samarwa ta hanyar Allunan suna da adadin milligram na babban bangaren aiki.

A cikin kasuwar magunguna, an gabatar da kwayoyi suna da ƙwaƙwalwar ƙwayar aiki mai mahimmanci na 500, 850 mg da 1000 MG.

All Allunan tare da 500, 850 mg da 1000 MG sun bambanta a tsakanin su ba kawai a cikin adadin kayan aiki mai aiki ba.

Kowane nau'in kwamfutar hannu ya kamata ya bambanta a tsakanin su ta hanyar zane-zanen akan ƙwayar.

Abun da miyagun ƙwayoyi da kwatancinsa

Allunan suna da babban ma'aunin babban aiki na 500 MG suna da farin ko kusan farin launi. Fuskokin waje na miyagun ƙwayoyi an rufe su da membrane fim, wanda ke da zanen "93" a gefe ɗaya na maganin kuma "48" a ɗayan.

Allunan kwalaben kwalaji 850 sune kayan aiki masu kyau. A saman harsashi, "93" da "49" an zana su.

Magungunan, yana da taro na 1000 MG, yana da kyau a siffar kuma an rufe shi da murfin fim tare da aikace-aikacen haɗari a kan bangarorin biyu. Bugu da kari, abubuwanda aka zana a jikin kwalin: “9” zuwa hagu na hadarin da “3” zuwa dama na hadarin a gefe daya da “72” zuwa hagun hadarin da “14” zuwa dama na hadarin a daya bangaren.

Babban sashin maganin yana maganin metformin hydrochloride.

Baya ga babban bangaren, abun da ya hada magungunan ya hada da masu taimako, kamar:

• povidone K-30,
• povidone K-90,
• silica colloidal
• magnesium stearate,
• sabbinne,
• titanium dioxide
• macrogol.

Magungunan an yi nufin amfani da shi ne na baki kuma yana cikin rukunin biguanides.

Ofasar asalinsu Isra’ila.

Pharmacodynamics da kuma magunguna na magunguna

Yin amfani da Metformin yana taimakawa rage rage yawan sukarin jini a cikin nau'in ciwon sukari na 2. Rage yawan taro yana faruwa ne sakamakon hana haɓakar ƙwayoyin cuta na gluconeogenesis a cikin ƙwayoyin hanta da kuma ƙarfinta na bioprocesses na yin amfani da shi a cikin sel da keɓaɓɓun kyallen takarda. Wadannan kyallen takarda an kwantar da tsoka da adipose.

Magungunan ba ya shafar bioprocesses wanda ke tsara ƙirar insulin a cikin ƙwayoyin beta na pancreatic. Yin amfani da miyagun ƙwayoyi ba ya tsoratar da faruwar haɗarin hypoglycemic. Yin amfani da miyagun ƙwayoyi yana shafar ƙwayoyin cuta wanda ke faruwa yayin metabolism na lipid, ta hanyar rage abun ciki na triglycerides, cholesterol da ƙarancin lipoproteins mai yawa a cikin ƙwayar jini.

Metformin yana da tasirin ƙarfafawa akan tafiyar matakai na glycogenesis. Sakamakon aiki a cikin ƙwayar intracellular glycogenesis shine kunnawa na glycogenitase.

Bayan miyagun ƙwayoyi sun shiga jikin, Metformin an kusan tallata shi cikin jini daga cikin jijiyoyin mahaifa. A bioavailability na miyagun ƙwayoyi jeri daga 50 zuwa 60 bisa dari.

Matsakaicin mafi yawan ƙwayar aiki ana samun shi cikin jini na jini 2.5 awanni bayan shan magani. Makonni 7 bayan shan magani, sha daga cikin aiki mai narkewa daga lumen na narkewa a cikin jini yana daina aiki, kuma tattarawar miyagun ƙwayoyi a cikin jini yana fara raguwa a hankali. Lokacin shan magani tare da abinci, tsarin sha yana rage gudu.

Bayan shiga cikin plasma, metformin baya daure wa hadaddun gida tare da sunadaran a karshen. Kuma da sauri rarraba cikin jikin kyallen takarda.

Drawace maganin yana gudana ta amfani da kodan. Metformin an cire shi daga jiki. Rabin rayuwar miyagun ƙwayoyi shine 6.5 hours.

Manuniya da contraindications don amfani da miyagun ƙwayoyi

Alamar amfani da miyagun ƙwayoyi Metformin mv shine kasancewar kamuwa da cutar siga a cikin mutum, wanda ba zai iya rama shi ba ta hanyar amfani da abinci da aikin jiki.

Za'a iya amfani da Metformin mv Teva duka biyu a cikin aiwatar da maganin monotherapy, kuma azaman ɗayan abubuwan haɗin gwiwa a cikin halayen ilmin kwantar da hankali.

Lokacin gudanar da rikicewar jiyya, ana iya amfani da wasu wakilai na hypoglycemic don maganin baka ko insulin.

Babban contraindications don shan miyagun ƙwayoyi sune masu zuwa:

1. Kasancewar cutarwar zuciya zuwa babban aikin kwayoyi ko kuma abubuwan da yake taimakawa.
2. Mai haƙuri yana da ketoacidosis na mai ciwon sukari, precoma mai ciwon sukari ko coma.
3. Paarancin aiki na haya ko gazawa.
4. Haɓaka halayen yanayin lokacin da bayyanar lalacin aikin keɓaɓɓen zai yiwu. Irin waɗannan yanayi na iya haɗawa da rashin ruwa da ruwa.
5. Kasancewar a cikin bayyanannun bayyanannun bayyanar cututtuka na cututtuka wanda zai iya tayar da bayyanar da cututtukan nama.
6. Gudanar da ayyukan tiyata mai zurfi.
7. Mai haƙuri yana da gazawar hanta.
8. Kasancewar rashin shan giya a cikin mara lafiya.
9. Jihar lactic acidosis.
10. An ba da shawarar yin amfani da miyagun ƙwayoyi awanni 48 kafin da kuma awanni 48 bayan gwaje-gwaje da aka gudanar ta amfani da abubuwan kwantar da aidin.
11. Ba bu mai kyau amfani da miyagun ƙwayoyi awanni 48 kafin da kuma awanni 48 bayan tiyata, wanda ke tattare da yin amfani da maganin sa barci na gaba daya.

Baya ga waɗannan yanayi, ba a amfani da miyagun ƙwayoyi a ƙarƙashin rage cin abincin carb kuma idan mai haƙuri da ke fama da cutar sankara ya kasa shekaru 18 da haihuwa.

An haramta yin amfani da miyagun ƙwayoyi don amfani da ita lokacin da take haihuwar yara ko yayin shayarwa.

Lokacin da ake shirin yin ciki, ana maye gurbin Metformin MV Teva ta hanyar insulin kuma ana yin maganin insulin don ciwon sukari mellitus. A lokacin haila da lokacin shayarwa, mai haƙuri yana ƙarƙashin kulawar likita.

Idan ya zama dole a sha maganin yayin shayarwa, to ya zama dole a daina ciyar da jariri da madara.

Umarnin don amfani da miyagun ƙwayoyi

A cikin kunshin magungunan Metformin Teva, umarnin sun cika cikakkun kuma suna bayani dalla-dalla kan ka'idodin shigar da magani, wanda aka ba da shawarar shigar da magani.

Ya kamata a sha miyagun ƙwayoyi a lokacin abinci ko kuma nan da nan bayan shi.

Shafin farko da aka ba da shawarar maganin na iya, dangane da buƙata, ya bambanta daga milligram 500 zuwa 1000 sau ɗaya a rana. An bada shawara don shan miyagun ƙwayoyi da yamma. A cikin rashin sakamako masu illa daga shan miyagun ƙwayoyi bayan kwanaki 7-15, sashi, idan ya cancanta, ana iya ƙaruwa zuwa miliyoyin 500-1000 sau biyu a rana. Tare da gudanar da mulkin biyu na miyagun ƙwayoyi, ya kamata a sha maganin a cikin safe da maraice.

Idan ya cancanta, a gaba. Ya danganta da matakin glucose a jikin mai haƙuri, ana iya kara yawan sashi na miyagun ƙwayoyi.

Lokacin amfani da maganin kiyayewa na Metformin MV Teva, ana bada shawara don ɗaukar daga 1500 zuwa 2000 MG / rana. Don ɗaukar kashi na Metformin MV Teva kada ya tsokani mai haƙuri ya sami halayen da ba su dace ba daga ƙwayar gastrointestinal, ana ba da shawarar sashi na yau da kullun ya kasu kashi biyu zuwa 3.

Matsakaicin izini na Metformin MV Teva shine 3000 MG kowace rana. Wannan kashi na yau da kullun dole ne a kashi uku.

Aiwatar da hauhawar motsa jiki a yawan magunguna na yau da kullun yana taimakawa haɓaka haƙuri na kwayoyi.

Idan kun canza daga wani magani tare da kaddarorin hypoglycemic zuwa Metformin MV Teva, da farko ya kamata ku daina shan wani magani kuma kawai sai ku fara shan Metformin.

Za'a iya amfani da magani na Metformin MV Teva lokaci guda tare da insulin a matsayin kayan haɗin magani. Lokacin amfani da miyagun ƙwayoyi tare da shi a hade, ana bada shawara don amfani da insulins masu aiki na tsawan lokaci. Yin amfani da insulins masu aiki na dindindin a haɗe tare da Metformin yana ba ku damar cimma ingantaccen sakamako na hypoglycemic akan jikin mutum.

Kafin amfani da miyagun ƙwayoyi, ana buƙatar gwajin jini don abubuwan da ke cikin sukari, an zaɓi kashi na miyagun ƙwayoyi a kowane yanayi daban daban.

Lokacin amfani da miyagun ƙwayoyi don lura da marasa lafiya tsofaffi, kashi na maganin a kowace rana kada ya wuce 1000 MG kowace rana.

Sakamakon sakamako da kuma sakamakon yawan wuce haddi

Lokacin amfani da miyagun ƙwayoyi, wasu sakamako masu illa na iya bayyana a jikin mai haƙuri.

Ya danganta da yawan abin da ya faru, ana haifar da sakamako masu illa ga rukunoni uku: sau da yawa - yawan abin ya wuce 10% ko fiye, sau da yawa - abin da ya faru daga 1 zuwa 10%, ba sau da yawa - faruwar tasirin sakamako daga 0.1 zuwa 1%, da wuya - yawan tasirin sakamako daga 0.01 zuwa 0.1% kuma da wuya haɗarin irin wannan sakamako masu illa ya zama 0.01%.

Abubuwan da ke tattare da gefen lokacin shan magani na iya faruwa daga kusan kowane tsarin jiki.

Mafi yawancin lokuta, ana lura da bayyanar take hakki daga shan miyagun ƙwayoyi:

• daga tsarin juyayi,
• a cikin tsarin narkewa,
• a cikin hanyar halayen rashin lafiyan halayen,
• take hakkin hanyoyin rayuwa.

Daga gefen tsarin juyayi na tsakiya, ana nuna sakamako masu illa a cikin dandano mai ƙanshi.

Lokacin shan miyagun ƙwayoyi daga jijiyar ciki, ana iya lura da rikice-rikice da rikice-rikice masu zuwa:

1. Ciwon ciki
2. Yana son yin amai.
3. Jin zafi a ciki.
4. Rashin ci.
5. Take hakkin a cikin hanta.

Allergic halayen ci gaba mafi sau da yawa a cikin hanyar erythema, itching fata da fatar a kan saman fata.

Yakamata likita ya bayyana wa masu ciwon sukari yadda ake shan Metformin domin gujewa cutarwa. Da wuya, marasa lafiya tare da tsawaita amfani da miyagun ƙwayoyi na iya haɓaka hypovitaminosis B12.

Tare da yin amfani da Metformin a kashi na 850 MG, ba a lura da ci gaban cututtukan hypoglycemic a cikin marasa lafiya ba, amma a wasu lokuta lactic acidosis na iya faruwa. Tare da haɓaka wannan alamar mara kyau, mutum yana da alamun cututtuka kamar:

• jin tashin zuciya
• bege na amai
• zawo
• sauke cikin zafin jiki
• jin zafi a ciki,
• ciwon tsoka
• saurin numfashi
• farin ciki da gajiya sosai.

Don kawar da yawan abin sama da ya kamata, ya kamata ku daina shan magunguna kuma kuyi maganin Symptomatic.

Analogues na miyagun ƙwayoyi, farashi da sake dubawa game da shi

Allunan a cikin kantin magani ana sayar da su a cikin kwali na kwali, kowannensu yana dauke da blister da yawa wanda a ciki yake tattara allunan magungunan. Kowane blister fakiti Allunan 10. Kwali na kwali, gwargwadon kwantena, na iya ƙunsar ƙarfe uku zuwa shida.

Adana kwayoyi a zazzabi da basa wuce digiri 25 a cikin duhu. Rayuwar shiryayye na miyagun ƙwayoyi shine shekaru 3.

Ba shi yiwuwa a sayi wannan magani da kanshi a cikin magunguna, tunda sakin magani ana yin shi ne kawai ta hanyar takardar sayan magani.

Nazarin marasa lafiya da suka yi amfani da wannan magani don magani sun nuna babban tasirinsa. Yawancin marasa lafiya suna barin sake dubawa game da magani. Bayyanar sake dubawa marasa kyau suna da alaƙa da bayyanar tasirin sakamako waɗanda ke faruwa lokacin da keta ƙaddamar da ka'idojin shiga tare da yawan shan magunguna.

Akwai adadi mai yawa na analogues na wannan maganin. Mafi na kowa su ne:

1. Bagomet.
2. Glycon.
3. Glyminfor.
4. Gliformin.
5. Glucophage.
6. Langerine.
7. Metospanin.
8. Metfogamma 1000.
9. Metfogamma 500.

Taccena Metformin 850 ml ya dogara da kantin magani da yankin sayarwa a cikin Tarayyar Rasha. Matsakaicin farashin maganin a cikin mafi ƙarancin fakiti yana daga 113 zuwa 256 rubles.

Bidiyo a cikin wannan labarin yayi magana game da aikin Metformin.

Allunan Allformin-Teva

Dangane da rarrabewar magungunan halittu, Metformin-Teva yana nufin magungunan ƙwayoyin cuta na baka. Hakan yana nufin shi a hankali yana rage sukarin jini zuwa al'ada, yana tabbatar da aiki yadda yakamata. Aiki mai aiki na abun da ke ciki shine metformin suna iri daya kamar na miyagun ƙwayoyi, na ƙungiyar biguanide.

Abun ciki da nau'i na saki

An bambanta nau'ikan sakin magunguna uku, suna bambanta cikin maida hankali ga sashi mai aiki. Abubuwan da suka kirkira da bayanin suna nunawa a cikin tebur:

Metformin 500 MG

Metformin 850 MG

Metformin 1000 mg

Fatin allunan farin-fim mai hade da hadari

Taro na abu mai aiki, mg a pc.

Povidone, macrogol, magnesium stearate, titanium dioxide, silloon silicon dioxide, hypromellose (farin Opadry fari)

Blisters na inji mai kwakwalwa 10, 3 ko 6 na roba a cikin fakitin

Magunguna da magunguna

Abubuwan da ke aiki na abun da ke ciki ya kasance na rukuni na biguanides. Shiga cikin mai haƙuri tare da ciwon sukari, yana rage haɗarin glucose a cikin jini, yana hana aiwatar da gluconeogenesis a cikin hanta. Abun yana rage yawan sukari ta hanyar ganuwar gastrointestinal fili, yana kara azama ga insulin. Ayyukan maganin an karkatar da su zuwa ga tsohuwar ƙwayar tsoka. Magungunan ba ya motsa insulin insulin, ba ya haifar da maganganun hypoglycemic, amma yana shiga cikin metabolism na lipid, yana rage yawan ƙwayar cholesterol a cikin ƙwayar magani.

Magungunan yana da ikon tayar da glycogenesis na ciki tare da kunna tasirin enzyme glycogen. Abubuwan sun lalace gaba ɗaya daga narkewa, yana da 55% bioavailability, ya kai mafi yawan maida hankali bayan sa'o'i 2.5. Bayan sa'o'i bakwai, metformin ya daina kasancewa da hankali. Kayan yana shiga cikin sel jini, yana tarawa a cikin hanta, gyada mai, da kuma kodan. Kodan ya fitar da kodan a cikin awanni 13a gazawar koda, wannan lokaci yana ƙaruwa. Mai aiki mai aiki na iya tarawa.

Alamu don amfani

Dangane da umarnin don amfani a rufe a kowane fakitin tare da miyagun ƙwayoyi, ya Ana amfani dashi a gaban nau'in ciwon sukari na 2 a cikin marasa lafiyar manya. Sau da yawa likitocin suna ba da magani ga marasa lafiya da masu kiba wadanda abinci bai taimaka musu ba ko kuma motsa jiki. Za'a iya amfani da Metformin a cikin maganin monotherapy ko a haɗuwa da magani.

Umarnin don amfani da Metformin-Teva

Ana shan maganin a baki yayin ko bayan abinci. A cikin maganin monotherapy, kashi na farko shine 500-100 mg sau ɗaya. Bayan kwanaki 7-15, a cikin rashin halayen halayen jijiyoyi, ana tsara 500-1000 MG sau biyu a rana da safe da maraice. Idan wannan bai taimaka ba, ana iya ƙaruwa kashi. Ana ɗaukar kashi na kulawa don zama 1500-2000 MG kowace rana a cikin kashi 2-3.

Matsakaicin yawan maganin yau da kullun shine 3000 MG cikin allurai uku. Likitocin koyaushe suna yin haɓaka mai haɓaka a hankali, wanda ke taimakawa haɓaka haƙuri. Lokacin ɗaukar 2000 mg000 a kowace rana, zaku iya canja wurin mai haƙuri zuwa kashi na 1000 mg. Lokacin canzawa zuwa jiyya tare da wani magani mai kama da wannan, ya kamata ka dakatar da shan na farko sannan ka canza zuwa Metformin-Teva a matakin farko.

Metformin-Teva tare da insulin

Tare da haɗakar magunguna tare da insulin, makasudin maganin shine samun ingantacciyar iko na glycemic. Maganin farko na Metformin-Teva ya zama 500 ko 850 mg sau 2-3 a rana, kuma an zaɓi kashi na insulin dangane da gwaje-gwajen glucose na jini. Bayan kwanaki 10-15, za a iya daidaita sashi matakin. Matsakaicin adadin yau da kullun shine 2 g a cikin 2-3 allurai. A cikin marasa lafiya tsofaffi, an rage wannan darajar zuwa 1000 MG.

Umarni na musamman

Kafin amfani da maganin, ya kamata kuyi nazarin sashin umarnin na musamman a cikin umarnin. Akwai kwatancen yiwuwar shan miyagun ƙwayoyi:

• a lokacin jiyya, glycemic iko ya kamata a kai a kai a kan komai a ciki kuma bayan cin abinci,
• kafin aiwatar da gwajin X-ray ta amfani da abubuwa napapagraphy na angiography ko urography, ba za a sake shan magunguna tsawon awanni 48 ba, kuma ba sa shan irin wannan matakin,
• makamancin haka Yakamata a bar shi gabanin da kuma bayan tiyata tare da maganin hana jiyya,
• lokacin da cututtukan kwayoyin halitta suka bayyana, nemi likita,
• Ba za a iya haɗuwa da Metformin-Teva tare da barasa ba saboda haɗarin haɗarin hypoglycemia da halayen disulfiram-,
• yayin shan magunguna, alamun bitamin B12 hypovitaminosis na iya haɓaka, wannan tsari ne wanda ake jujjuyawa,
• tare da monotherapy tare da zaku iya tuki mota da hanyoyin haɗari, amma idan aka haɗu da wasu magunguna, ya kamata ku guji tuki, tun lokacin da hankalin ya ragu kuma saurin halayyar psychomotor ya karu.

A lokacin daukar ciki

An haramtawa Metformin-Teva amfani da shi yayin daukar ciki da shayarwa. Lokacin da ake shirin yin ciki ko farawarsa, an soke maganin, kuma an tura mai haƙuri zuwa ilimin insulin. Babu bayanai game da abin da ke aiki tare da madara mai nono an keɓe, saboda haka, yayin shayarwa, ya fi kyau ka ƙi shan maganin.

A lokacin ƙuruciya

Umarnin don amfani ya ƙunshi bayanin cewa Metformin-Teva contraindicated don amfani da yara da matasa a karkashin 18 shekara. Wannan ya faru ne sakamakon mummunan tasirin da ke tattare da magani a jikin yarinyar. Shan magungunan ba tare da takardar likita ba yana haifar da hypoglycemia, alamun lactic acidosis da sauran halayen marasa kyau na hana ayyukan jikin.

Metformin-Teva Slimming

Magungunan an san shi don kayan sa na hana aiwatar da gluconeogenesis a cikin hanta, wanda ke haifar da raguwa a cikin shan glucose ta jini da raguwa a cikin ƙwayar cholesterol. Abunda yake aiki baya barin karfin canzawa zuwa mai, yana kara hada hada karfi da abubuwa masu guba da rage karfin daukar kwayoyi. Magunguna yana rage samarda insulin kuma yana kawarda yunwar abinci, yana inganta jijiyoyin jiki, yana daidaita nauyin jiki.

Duk waɗannan halayen suna faruwa ne kawai in babu insulin a cikin jini. A cikin mutum lafiya, wannan na iya haifar da sakamako wanda ba a tsammani. Metauki Metformin-Teva don asarar nauyi mai yiwuwa ne kawai ga masu ciwon sukari tare da rage cin abinci. A ƙarƙashin haramcin, akwai Sweets, busassun 'ya'yan itace, ayaba, taliya, dankali, farar shinkafa. Kuna iya cin buckwheat, lentil, kayan lambu, nama don 1200 kcal kowace rana. Don asarar nauyi, ɗauki 500 MG sau biyu a rana don tafiyar kwanaki 18-22. Bayan wata daya, za a iya maimaita hanya.

Hulɗa da ƙwayoyi

Ba duk haɗarin Metformin-Teva tare da wasu kwayoyi ba amintattu. Ya kamata ku fahimci kanku game da sakamakon sakamakon haɗuwar:

• Danazole yana haɓaka haɓakar haɓakar hauhawar jini,
• ethanol, abubuwan shan giya, maganin madauki, jami'ai masu dauke da sinadarin aidin suna kara hadarin lactic acidosis,
• beta-adrenomimetics a cikin injections rage tasirin hypoglycemic na miyagun ƙwayoyi, magungunan angiotensin-canza masu inzyme da magungunan antihypertensive suna rage matakan sukari,
• abubuwan da suka samo asali na sulfonylureas, allurai na insulin, acarbose da salicylates suna inganta tasirin hypoglycemic, magungunan anti-mai kumburi steroidal suna kara hadarin rage aikin kuda, ci gaban hypovitaminosis.

Side effects

Lokacin ɗaukar Metformin-Teva, marasa lafiya na iya fuskantar tasirin sakamako irin su.

• asarar dandano, tashin zuciya,
• ciwon ciki, amai,
• karancin ci, hepatitis (a cikin abubuwan da suka zama ruwan dare),
• rashin lafiyan halayen, erythema,
• fara lactic acidosis (yana buƙatar dakatar da miyagun ƙwayoyi), sinadarin bitamin B12 hypovitaminosis (da wuya ya faru saboda tsawaita amfani da ƙwayar bitamin).

Yawan abin sama da ya kamata

Alamar yawan abin sama da ya kamata shine ci gaban haila da cututtukan lactic acidosis. Kwayoyin cutar sun hada da tashin zuciya, zawo, amai, ciwon ciki da tsoka, da rage zafin jiki. Numfashi mai haƙuri na iya zama ƙari akai-akai, tsananin damuwa yana farawa, ya rasa hankali, ya faɗi cikin rashin lafiya. Lokacin da alamun farko na ƙarin yawan ƙwayar cuta sun bayyana, yana da kyau a dakatar da miyagun ƙwayoyi, aika da mara lafiya zuwa asibiti kuma a yi gwajin cutar kansa.

Tsarin saki, abun da aka shirya da marufi

Akwai allunan Metformin-Teva a cikin magunguna daban-daban - 500, 850 da 1000 mg na metformin a daya.

Bugu da kari, shirye-shiryen sun ƙunshi abubuwa masu taimako:

• copovidone - wani abu mai haɗaɗɗen mahaɗa don ƙirƙirar nau'in da ake so a cikin abu,
• polyvidone - yana da tasirin hydrating (saturates da ruwa), yana taimakawa cire gubobi, yana kunna ƙodan,
• microcrystalline cellulose - yana daidaita sukari na jini, yana hana aiki, da haɓaka aiki na kodan da ƙwayar ƙwayar jijiyoyi,
• Aerosil - sihirin da zai baka damar cire abubuwan gina jiki, yadda yakamata su tsarkaka a jikin mutum,
• magnesium stearate - filler,
• Opadry II wani yanki ne na saka fim.

Kunshin kwali ya ƙunshi ɗayan blister uku ko shida na allunan goma a ɗayan. Tsarin na iya zama zagaye (500 MG) ko kuma elongated (850 da 1000 mg).

Aikin magunguna, magunguna da masana'antar harhada magunguna

Sakamakon magani yana ƙaddara ta hanyar magunguna na babban abu mai aiki - biguanide. Tsarin ingantaccen abu (guanidine), wanda aka gano da farko, yana da matukar illa ga hanta hanta. Amma tsarinta yana cikin jerin magunguna masu mahimmanci na Healthungiyar Lafiya ta Duniya.

Aikin biguanide yana haifar da:

• Inganta hanyoyin rayuwa na rayuwa,
• rike glycemia (sukari jini) a matakin al'ada,
• haɓaka fitowar glucose daga tsopose da kyallen ƙwayoyin tsoka,
• ƙarancin ƙwaƙwalwar insulin
• resorption na jini clots.

"Metformin-Teva" wakili ne na jini, kodayake, a lokacin karancin insulin, ana yin aikinsa.

Magungunan ƙwayar magunguna shine rage jinkirin samar da glucose a cikin hanta. Haka kuma, Metformin-Teva ba ya haifar da hypoglycemia. A lokacin maganin, lactic acidosis baya faruwa (guban plasma tare da lactic acid), ba a dakatar da aikin pancreatic ba. Bugu da kari, miyagun ƙwayoyi suna rage cholesterol, yana rage ayyukan insulin a cikin samar da kyallen nama, wanda ke taimakawa wajen daidaita nauyi.
"Metformin-Teva" shima yana hana lalacewar jijiyoyin jiki, ta yadda zai shafi tsarin jijiyoyin jini gaba daya.

Magungunan suna da jinkirin magunguna saboda ƙarancin ikon ɗaure su don kariyar sunadarai. Plasma maida hankali ya kai matsakaici bayan sa'o'i 2-3 daga lokacin gudanarwa, da kuma daidaita ma'aunin - ba fiye da kwana biyu ba. "Metformin-Teva" an cire shi daga jiki ta hanyar kodan ba canzawa. Saboda haka, a cikin mutane masu rushewa cikin aikin wannan jikin, tara tarin metformin a cikin ƙwayoyin hanta mai yiwuwa ne. Rabin rayuwar bai wuce awa 12 ba.

Me aka sanyawa maganin

An tsara allunan Metformin-Teva ga marasa lafiya waɗanda ke fama da nau'in ciwon sukari na 2 na sukari ba tare da rikicewar nau'in ketoacid ba. Ana amfani da miyagun ƙwayoyi idan babu wani sakamako na canji a cikin abincin zuwa mafi yawan abin da ake ci a cikin mutanen da ke da sha'awar kiba. Hakanan yana yiwuwa a haɗar da magani tare da insulin ga marasa lafiya tare da asarar ji na insulin.

Amfani da barasa

Shan magungunan Metformin-Teva bai dace da barasa ba. Sakamakon ɗaukar kowane adadin sa, akwai haɗarin mummunan acidicis mai kaifi, sakamakon abin da zai haifar da sakamakon da ba a iya faɗi ba, har ma da mutuwa.

Contraindications, sakamako masu illa da wuce haddi

Magungunan yana da yawan contraindications:

• rashin jituwa ga kowane ɓangare na magungunan,
• karancin hanta ko aikin koda, isasshen halittunine,
• karancin matakan oxygen a cikin jini,
• kowane nau'in cututtukan cututtuka
• bushewa
• tiyata da manyan raunuka,
• na rashin shan giya,
• karancin kalori na yau da kullun (ƙasa da dubu)
• ma'aunin acid-base balance a cikin shugabanci na kara yawan acidity,
• ketoacidosis
• ciki ko lactation.

Wajibi ne a ƙi shan miyagun ƙwayoyi awanni 48 kafin da bayan kowane nau'in binciken ta amfani da matsakaitan matsakaici.

Akwai yiwuwar sakamako masu illa tare da bambance bambancen yanayin yiwuwar.

1. Daga cikin hanji. Ragewar ciki ko amai, haɓakar haɓakar gas, gudawa, raguwa mai nauyi a cikin nauyi har zuwa anorexia (sakamakon ya dogara da nauyin haƙuri), jin zafi a cikin rami na wani yanayi na daban (ƙarar da za a iya sawa idan kun tsara liyafar tare da abinci), ƙanshin baƙin ƙarfe.
2. Daga tsarin hawan jini. Cutar cutar rashin ƙarfi wanda ke hade da rashi (ko kuma rashin isasshen ƙwayar cuta) na bitamin B12.
3. Daga hanyoyin tafiyar da jiki. Rage ilimin halittar jini a cikin glucose din jini.
4. Daga darikar. Tashin farji ko danshi.

Za a iya haifar da yawan abin sama da ya faru ta hanyar keta adadin maganin da aka yi amfani da shi. Sakamakon wannan na iya zama acid aisosis (nau'in B).

Abun ciki da nau'i na saki

Metformin teva

Akwai shi a cikin sashi na 500, 850 da 1000 mg na kayan aiki masu aiki a cikin kwaya daya.

• Abun da ke tattare da ƙarin kayan kwalliya iri daya ne, bambanci kawai shine a cikin adadin abubuwan taimako: povidone (K30 da K90), Aerosil, E572.
• Abubuwan fashewar llasa: E464, E171, macrogol.

Ana yin magani tare da nau'in cire kayan da aka saba a cikin kwayoyin cikin kwasfa. Allunan suna da fari ko fari, m. Don bambance abubuwanda ke aiki a farfajiya akwai alamar saka alama:

• Kwayoyin 500 MG: kwafi na adadi 93 da 48.
• 850 mg Metformin-Teva Pill: wanda aka yiwa alama 93 da 49.
• Allunan kwayoyi 1000 MG: ana amfani da haɗarin a garesu. A bangare guda, lambobin "93" suna a kowane gefen tsiri, a gefe - zuwa hagu na tsiri - ra'ayi na "72", zuwa dama - "14".

Kwayoyin an cakuda su a blister of 10 guda. A cikin fakitoci na kwali mai kauri - faranti 3 ko 6 tare da bayani.

Metformin MV Teva

Kwayoyin kwayoyi tare da sakin abubuwa a hankali - kwayayen fararen fata ko farashi mai kyau. Alamar shimfidar wurare tare da lambobi 93 da 7267. An tattara samfurin a cikin guda 10 a cikin fitsarin ruwa. A cikin kunshin kwali - faranti 3 ko 6, umarnin don amfani.

Hanyoyin warkarwa

Ana samun sakamako na hypoglycemic na miyagun ƙwayoyi saboda kaddarorin babban sinadarinsa, metformin, wanda ke cikin rukunin biguanides. Bayan shiga cikin jiki, yana taimakawa rage matakan glucose ta hanyar rage kwayar ta hanyar hanta, da rage gudu daga narkewar abinci, inganta amfani a cikin yadudduka na nama ta hanyar kara wayewa zuwa insulin.

Metformin baya tasiri samar da insulin a cikin jiki, sabili da haka baya haifar da yanayin da ba'a so ba. Yana da kyau yana tasiri tasirin cholesterol, yawan TG, lipoprotins.

Bayan ɗaukar allunan, kayan suna cikin sauri, ƙwaƙƙwaran ƙimar su an kafa su sa'o'i 2.5 bayan gudanarwa. Tsawan lokacin aikin shine kamar awanni 7. Amfani da abinci tare da abinci yana rage jinkirin haɗarin metformin. Abubuwa na iya tarawa a cikin gland mai haɓaka, kodan da hanta, kuma an fitar dashi cikin fitsari.

Hanyar aikace-aikacen

Matsakaicin farashin: 0.5 g (guda 30.) - 110 rub., (60 inji mai kwakwalwa.) - 178 rub., 0.85 g (30 inji mai kwakwalwa.) - 118 rub., (60 inji mai kwakwalwa.) - 226 rub. , 1 g (Allunan 30) - 166 rubles, (Allunan 60) - 272 rubles.

Ya kamata a ɗaukar allunan Metformin bisa ga umarnin don amfani ko daidai da manufar likita. An bada shawara a hada su tare da abinci ko sha nan da nan bayan an gama cin abinci.

Idan mai haƙuri ya ɗauki kwayoyin a karon farko, to yawanci ana ba shi allurar farko ne na 500 zuwa 1 g. Idan bayan makonni 1-2 ya zama ba shi da tasiri, ana iya ninka shi, ana sha da safe da kuma kafin lokacin kwanciya. A nan gaba, ƙwararren likita ne ya daidaita tsarin gwargwadon matakin glycemia na haƙuri.

Tabbatar da tabbatarwa: sashi yana kan 1.5 zuwa 2 g na metformin. Adadin mafi girma shine 3 g, an kasu kashi uku.

Idan mai haƙuri a baya ya ɗauki wasu magunguna masu rage sukari, to, Metformin ya fara sha a cikin adadin wanda ya yi daidai da sashi na baya.

Lokacin da aka haɗaka tare da insulin, CH na farko shine 500-850 MG a yawancin allurai. Ana yin lissafin adadin insulin dangane da glycemia da yin la'akari da adadin metformin. Bayan kwanaki 10-15 bayan fara karatun, zaku iya aiwatar da gyaran magunguna.

Metformin MV Teva

Matsakaicin farashin: (30 inji.) - 151 rub., (Pcs 60.) - 269 rub.

Allunan ana daukarsu a baki a lokaci guda kamar abinci ko kuma bayan cin abinci. Satin farko shine kwamfutar hannu daya. (500 MG). Idan bayan makonni biyu yanayin bai inganta ba, to ana iya ninka adadin magunguna. A wannan yanayin, ana ɗaukar kwamfutar hannu 1. da safe da maraice. Mafi girman adadin da za'a iya ɗauka sau ɗaya a rana shine 2 g (Allunan 4, allunan 500 kowannensu).

Allunan za'a iya haɗa su tare da allurar insulin. Sashi na magani a farkon magani shine kwamfutar hannu 1, wanda aka daidaita bayan makonni 2. Yawancin insulin an zaɓi shi gwargwadon matakin glycemia. Metformin CH tare da aiki mai sauƙi tare da cikakken hanya - 2 g cikin allurai biyu.

A cikin ciki da HB

Allunan karafa na Allunan (tare da al'ada da kuma hankali sakin abu mai aiki) an haramta su a lokacin haila. Matan da ke neman zama uwa, an ba da shawarar a lokacin shiri don barin magunguna, ta yin amfani da abubuwan da likitan zai rubuta. Yakamata mara lafiya ya lura da bukatar magani idan ya tabbatar da juna biyu. Idan an riga an gano ciki yayin magani, to ya kamata a soke maganin nan da nan kuma a nemi likitan ku domin ya zaɓi wanda zai iya musanyawa. Mai haƙuri ya kamata ya kasance a ƙarƙashin kulawa na likita don ƙarin lokacin haifuwa.

Ba'a sani ba ko metformin ya shiga cikin madarar nono ko a'a, saboda haka, don hana cutar da jariri, kuna buƙatar watsi da lactation yayin aikin jiyya.

Hulɗa da miyagun ƙwayoyi

Lokacin ɗaukar Metformin Teva, dole ne a haɗu da shi cewa abu mai aiki yana iya amsawa tare da haɗin sauran magunguna.

• An hana magani ya sha tare da shirye-shiryen aidin wanda aka yi amfani da shi wurin karatun kimiyyar. Haɗin wannan yana haifar da lactic acidosis. Idan ya cancanta, ya kamata a soke metformin hanya ta kwana biyu kafin hakan kuma kar a sha ta baki daya a lokaci guda.
• Yin amfani da kwayoyi tare da barasa ko ethanol-kwayoyi masu haɓaka yana ƙara haɗarin haɗarin lactic coma yayin mummunan guba.
• Lokacin da aka haɗu da Diazole, an inganta wuraren samar da hypoglycemia. Sabili da haka, idan ya cancanta, yin amfani da ƙwayoyi, ya zama dole don daidaita sashi na kwayoyi.
• Chlopromazine yana da ikon haɓaka glucose da rage haɓakar insulin.
• GCS na iya rage haƙurin glucose, yana ƙaruwa da matakinsa, don haka ya tsokani ketosis.
• Lokacin da aka haɗu tare da kwayoyi na diuretic (musamman madauki diuretics), rikicewar koda yana da ƙari kuma ana tsokanar lactic acidosis.
• Beta-2-adrenergic agonists suna ba da gudummawa ga karuwa a cikin glycemia. Idan ya cancanta, ana amfani da maganin insulin.

Lokacin da yake rubuta Metformin, mai haƙuri dole ne ya ba da rahoton duk magungunan da dole ne a ɗauka don likitan ya iya sanin yiwuwar haɗinsu kuma, idan ya cancanta, yin gyare-gyare ga tsarin kulawa. Haka ya kamata a yi idan a lokacin aikin hypoglycemic na metformin ya ci gaba da kowace cuta kuma yana buƙatar nadin wasu magunguna.

Side effects da yawan abin sama da ya kamata

Hanyar warkewa tare da allunan al'ada da Metformin MV Teva na iya kasancewa tare da alamu mara kyau, wanda aka nuna tare da mitoci daban-daban. Abubuwan da ba a ke so ba suna bayyana ta hanyar:

• CNS: rikicewar dandano mai rikitarwa, "ƙarfe" aftertaste
• Kwayoyin narkewa: tashin zuciya, tashin hankali, amai, asarar ci (hankula a farkon matakan shan kwayoyin, yanayin ya tafi da kanshi, ba tare da ƙarin matakan ba), a lokuta mafi ƙarancin gaske, wucewa bayan cire magunguna - gazawar aikin al'ada na hanta, hepatitis
• Bayyanar bayyanar cututtuka: erythema, rashes, itching
• Tsarin tafiyar matakai na metabolism: lactic acidosis (alama ce don shafewar metformin)
• Wasu keta hakki: a wasu halaye, bayan amfani da tsawan lokaci - rashin vit. B12.

Lokacin amfani da allunan a cikin 10 sau adadin ya wuce (85 g), hypoglycemia bai faru ba, amma yana ba da gudummawa ga ƙirƙirar lactic acidosis. Idan kun yi zargin cewa mai haƙuri ya dauki magunguna da yawa, kuna buƙatar kula da ko yana da alamun farko na ilimin cututtukan. An fara tashin lama coma saboda tsananin tashin zuciya, amai, jin zafi a cikin tsokoki da ciki, da yawan zafin jiki. Idan ba a kula da waɗannan alamun ba, ƙarin ci gaba da yanayin mai haƙuri yana yiwuwa: gazawar numfashi, ƙoshin ruwa, fainting. A cikin mawuyacin hali, mai haƙuri na iya fada cikin rashin lafiya.

Don hana yanayin barazanar rayuwa, dole ne a cire maganin nan da nan, kuma ya kamata a kwantar da maraice cikin asibiti da sauri. Tare da tabbatar da lactic acidosis, an tsara hemodialysis, maganin cututtukan mahaifa.

Kuna iya sarrafa matakin glucose tare da taimakon wasu magunguna. Don zaɓar kwayoyi tare da aiki mai kama da Metformin, kuna buƙatar tuntuɓar likitan ku.

Metfogamma

Woerwag Pharma (Jamus)

Matsakaicin farashin: 500 MG (Allunan 120) - 324 rubles, 850 MG (tan 30) - 139 rubles, (ton 120) - 329 rubles.

Magungunan ƙwayar cuta na glucose na Metformin. An samar dashi tare da abubuwan daban-daban a cikin kwaya daya. Magungunan an yi shi ne don mutanen da ke fama da ciwon sukari-da ke fama da ciwon suga.

Jiyya yana farawa da ƙarancin magani, bayan makonni 2 na gudanarwa, yana iya ƙaruwa bisa ga alamun.

Ribobi:

• Yana taimaka wa masu ciwon suga
• Yana ba da gudummawa don asarar nauyi
• Babban inganci.

Metformin MV-Teva

Ana amfani da maganin a cikin sashi na 500 MG, guda 60 a kowane fakiti. Yana da tasiri na tsawan lokaci dangane da magani na yau da kullun. Kudin hanya ba shi da bambance-bambance na m.

Magungunan ya ƙunshi metformin a cikin sashi wanda ya yi kama da maganin Metformin-Teva. Koyaya, sakamakon Glucophage yana da laushi saboda rashin yawancin mahaɗan a cikin kwamfutar hannu. Saboda wannan, ban da damar da za a iya rage amfani (kamar yadda aka yarda da mai ilimin tauhidi), kwayar tana da ƙananan raguwar sakamako masu illa daga hanji.

Bagomet, Glycomet, Dianormet, Diaformin

Cikakkar analogues na miyagun ƙwayoyi "Metformin-Teva" a cikin maida hankali da abun da ke ciki na babban abu mai aiki. Koyaya, akwai bambance-bambance a cikin jerin magabata waɗanda ba su da tasirin gaske a kan magunguna. Sabili da haka, ban da ɗan bambanci a farashi, babu bambance-bambance tare da Metformin-Teva.

Ciwan Combogliz

Magungunan da ke haɗaka magungunan antidi masu alaƙa biyu tare da tsarin aikin daban. Metfomin wani biguanide ne wanda ke kwantar da yawan insulin din da kuma kara karfin fitowar sa daga jiki. Saxagliptin abu ne wanda ke hana takano enzymes da tsawaita ayyukan kwayoyin halittun da ke kara samar da insulin na halitta. Haɗin juna, abubuwa masu aiki suna ba da ingantaccen fitarwa. Wannan yana nufin cewa miyagun ƙwayoyi suna hulɗa a ƙarƙashin wasu yanayi. Sabili da haka, amfani dashi mai yiwuwa ba tare da rikitarwa ba kuma tare da ƙaramin adadin contraindications. Babu shakka, "Combogliz Prolong" ya fi tasiri. Koyaya, shine ƙarni na gaba na magungunan da aka tsara don bi da cutar guda biyu.

"Metformin-Teva" magani ne mai inganci don maganin cututtukan type 2. Farashinsa abu ne mai karɓa, kuma ingantaccen binciken ya yi nazari kuma ya tabbatar da binciken da yawa.