Allunan glurenorm - umarnin aiki don amfani

Abun ciki
Kwamfutar hannu 1 ya ƙunshi:
Aiki mai aiki: glycidone - 30 MG,
magabata: lactose monohydrate, sitaci masara mai bushe, sitaci masara mai narkewa, magnesium stearate.

Bayanin
Baƙi, zagaye, fari tare da gefuna da keɓaɓɓun kwamfutar hannu, tare da daraja a gefe ɗaya da kuma zane "57C" a ɓangarorin biyu, haɗari, tambarin kamfanin an zana shi a gefe ɗaya.

Rukunin Magunguna:

Lambar ATX: A10VB08

Kayan magunguna
Glurenorm yana da tasirin cututtukan fata da cututtukan cututtukan fata. Yana ƙarfafa insulin insulin ta hanyar rage ƙwanƙwasa ƙwanƙwasa ƙwayar beta-cell glucose, yana ƙaruwa insulin hankali da ɗaurin ɗaurinsa zuwa ƙwayoyin niyya, yana inganta tasirin insulin akan ƙwayar tsoka da haɓaka hanta (yana ƙara yawan masu karɓar insulin a cikin ƙwayoyin manufa), kuma yana hana lipolysis a cikin adipose nama. Ayyuka a cikin kashi na biyu na insulin insulin, yana rage abun da glucagon ke cikin jini. Yana da tasirin hypoliplera, yana rage halayen jini na jini. Tasirin hypoglycemic yana tasowa bayan sa'o'i 1.0-1.5, mafi girman tasirin - bayan sa'o'i 2-3 kuma yana ɗaukar sa'o'i 12.

Pharmacokinetics
Glycvidone yana hanzari kuma kusan yana ɗauke shi daga ƙwayar narkewar abinci. Bayan shigo da kashi ɗaya na Glyurenorm (30 MG), mafi girman yawan ƙwayoyi a cikin jini yana zuwa bayan sa'o'i 2-3, shine 500-700 ng / ml kuma bayan sa'o'i 14-1 ana rage shi da 50%. An lalata shi gaba daya ta hanta. Babban bangare na metabolites an keɓe shi a cikin bile kuma ta cikin hanji. Kaɗan karamin metabolites ne a cikin fitsari. Ba tare da la'akari da kashi da hanyar gudanarwa ba, kusan 5% (a cikin hanyar metabolites) na adadin da aka gudanar da maganin ana samun su a cikin fitsari. Matakan ƙwayar ƙwayar ƙwayar maras ƙwaƙwalwa ta rage kadan koda tare da amfani na yau da kullun.

Alamu
Nau'in nau'in ciwon sukari na 2 a cikin tsofaffi da tsofaffi marasa lafiya (tare da rashin tasirin magani).

tashin hankali ga sulfonylureas ko sulfonamides,

nau'in ciwon sukari guda 1

mai fama da ciwon sukari, precoma, coma,

yanayi bayan kamanceceniya,

m hepatic porphyria,

mai lalata hanta,

wasu matsanancin yanayi (alal misali, cututtukan cututtuka ko manyan tiyata lokacin da aka nuna maganin insulin),

ciki, lokacin shayarwa.

Tare da kulawa
Ya kamata a yi amfani da glurenorm don:

cutar febrile

cututtukan thyroid (tare da aiki mai rauni),

barasa

Ciki da lokacin shayarwa
Yin amfani da Glyurenorm a lokacin daukar ciki yana contraindicated.
Game da daukar ciki, dole ne a daina shan miyagun ƙwayoyi kuma a nemi likita kai tsaye.
Idan ya zama dole ayi amfani da magani yayin shayarwa, ya kamata a daina shayar da jarirai.

Sashi da gudanarwa
Ana gudanar da maganin a baka.
Zabi na sashi da tsari yakamata a gudanar dashi karkashin kulawar metabolism. Maganin farko na Glyurenorm yawanci shine allunan 14 (15 MG) a lokacin karin kumallo. Idan ya cancanta, ƙara kashi a hankali, bisa ga shawarar likita. Theara yawan ƙwayoyi fiye da allunan 4 (120 MG) kowace rana ba sa haifar da ƙaruwa a cikin tasirin. Idan kashi na yau da kullun na Glyurenorm bai wuce allunan 2 ba (60 MG), ana iya tsara shi a cikin kashi ɗaya, yayin karin kumallo. Lokacin rubuta mafi girma kashi, mafi kyawun sakamako za a iya cimma ta hanyar ɗaukar maganin yau da kullun ya kasu kashi 2-3. A wannan yanayin, ya kamata a dauki mafi girman kashi a karin kumallo. Ya kamata a dauki glurenorm tare da abinci, a farkon cin abinci.
Lokacin maye gurbin wakili na hypoglycemic wakili tare da irin wannan aikin aikin kashi na farko an ƙaddara shi gwargwadon hanyar cutar a lokacin gudanar da magani. Maganin farko shine yawanci 1/2 zuwa 1 (15-30 mg).
Idan monotherapy bai bada tasirin da ake tsammanin ba, ƙarin ganawar biguanide yana yiwuwa.

Daga cikin jijiyoyin mahaifa:
Sama da 1%	tashin zuciya, amai, maƙarƙashiya, zawo, asarar ci, choraasis intrahepatic (1 harka).
Lafiyar cuta:
0,1-1%	itching, eczema, urticaria (1 case), Stevens Johnson syndrome.
Daga tsarin juyayi:
0,1-1%	- ciwon kai, farin ciki, disorientation.
Daga tsarin haiatopoietic:
Kasa da 0.1%	thrombocytopenia, leukopenia (shari'ar 1), agranulocytosis (shari'ar 1).

Yawan abin sama da ya kamata
Yanayin cututtukan hypoglycemic mai yiwuwa ne.
Game da haɓakar yanayin haihuwar hypoglycemic, gudanar da gubar glucose cikin gida ko a cikin jijiyoyin jiki ya zama dole.

Haɗi tare da wasu kwayoyi
Salicylates, sulfonamides, abubuwan da ake amfani da su na phenylbutazone, magungunan rigakafin tarin fuka, chloramphenicol, tetracyclines da coumarin, magungunan cyclophosphamides, MAO inhibitors, ACE inhibitors, clofibrate, β-adrenergic blocking jami'ai, sympatholytics (clonidine magunguna), hyg hype
Yana yiwuwa a rage tasirin hypoglycemic yayin da ake rubuta Glurenorm da sympathomimetics, glucocorticosteroids, hormones thyroid, glucagon, thiazide diuretics, maganin hana haihuwa, diazoxide, phenothiazine da kwayoyi dauke da nicotinic acid, barbiturates, rifampinin, fen. An bayyana haɓakawa ko haɓakar sakamako tare da H₂-blockers (cimetidine, ranitidine) da barasa.

Umarni na musamman
Wajibi ne a bi shawarar likitan da nufin daidaita al'ada metabolism a cikin haƙuri. Kada ku dakatar da magani don kanku ba tare da sanar da likitanka ba. Kodayake ana fitar da glymoorm dan kadan a cikin fitsari (5%) kuma yawanci ana jure shi a cikin marasa lafiya da ke fama da cutar koda, ya kamata a gudanar da kulawa da marasa lafiya tare da mummunan rauni na koda a karkashin kulawa ta asibiti.
Marasa lafiya tare da ciwon sukari mellitus suna da haɗari ga haɓakar cututtukan zuciya, haɗarin wanda za'a iya rage shi kawai tare da tsayayyar bin abincin da aka tsara. Ma'aikatan hypoglycemic na baka ba su maye gurbin abincin warkewa wanda zai baka damar sarrafa nauyin jikin mai haƙuri. Dukkanin wakilai na hawan jini tare da cin abinci na abinci ko kuma rashin cika ka'idoji da shawarar da aka bayar na iya haifar da raguwa sosai a matakan glucose na jini da haɓaka yanayin hypoglycemic. Shan sukari, Sweets, ko abin sha mai yawanci yana taimakawa hana tashin jini na farko. Dangane da yanayin ci gaba da cutar hypoglycemic state, ya kamata ka nemi shawarar likita nan da nan.
Idan kun ji rashin lafiya (zazzabi, kurji, tashin zuciya) yayin jiyya tare da Glurenorm, ya kamata ku nemi shawarar likita nan da nan.
Idan halayen rashin lafiyan ya haɓaka, ya kamata ku daina shan Glyurenorm, tare da maye gurbin shi da wani magani na insulin hyperglycemic ko insulin.

Tasiri kan ikon tuka motoci da hanyoyin sarrafa abubuwa
Yayin zaɓin kashi ko canji a cikin miyagun ƙwayoyi, guje wa ayyukan haɗari masu buƙatar buƙatar hankali da saurin halayen psychomotor.

Fom ɗin saki
30 MG Allunan
A kan allunan 10 a cikin murfin kumburin kumburi (blister) daga PVC / Al.
Don blister 3, 6 ko 12 tare da umarnin yin amfani da akwatin kwali.

Yanayin ajiya
A cikin busasshiyar wuri, a zazzabi da bai wuce 25 ° C ba.
Ku yi nesa da isa ga yara!

Ranar karewa
Shekaru 5
Kada kayi amfani bayan ranar karewa wanda aka nuna akan kunshin.

Hutun hutu daga kantin magunguna
Da takardar sayan magani.

Mai masana'anta
Beringer Ingelheim Ellas A.E., Girka Girka, 19003 Sarakuna Avenue Pkanias Markopoulou, 5th km

Ofishin wakilci a Moscow:
119049, Moscow, st. Donskaya 29/9, gini 1.