Analogues na allunan Janavius

Januvia yana cikin tsarin incretins (abubuwan da ke haifar da samar da insulin bayan cin abinci). Idan allurai na miyagun ƙwayoyi suna tallafawa a cikin yanayi, to maganin ba ya bayar da gudummawa ga samar da enzymes DPP-8.

Januvia na taimaka wajan dakatar da aikin DPP-4. Magungunan suna kara yawan abubuwanda zasu haifar da ayyukansu. Hakanan yana haɓaka samar da insulin a cikin ƙwayoyin beta na pancreatic.

A miyagun ƙwayoyi ya aikata da wadannan ayyuka:

• Yana rage matakin cutar haemoglobin.
• Yana cire adadin karuwar carbohydrates a cikin jini.
• Yana taimakawa wajen daidaita lafiyar mai haƙuri.

Yanayin magani na magani ya sha bamban da mutane masu ciwon sukari.

Abubuwan da ke aiki na miyagun ƙwayoyi shine sitagliptin. Shanshi yana faruwa ne 'yan awanni bayan shan maganin. Magungunan suna musayar sel tare da ƙwayoyin plasma. Yawancin abu mai aiki ana cire su daga jikin da ba su canza shi ta hanyar tayin na koda, suna samar da rufin asiri sosai.

Ana amfani da miyagun ƙwayoyi ta hanyar marasa lafiya waɗanda basu sami isasshen sakamako ba daga abubuwan rage cin abinci da aikin jiki, idan ba'a yarda da amfani da metformin ba saboda ƙin karɓar jiki.

Za'a iya yin umarnin tsufa don yin magani tare da metformin da masu karɓa ta hanyar masu haɓakar peroxisome, idan babu kyakkyawan sakamako daga bin ka'idodin tsarin abinci da aikin motsa jiki.

Za'a iya amfani da maganin don sau uku. Baya gareshi, ƙarin magunguna guda biyu tare da irin wannan algorithm na aikin an haɗa su a cikin jiyya. Ana amfani da wannan nau'in maganin lokacin da sakamako na tsari na dual bai lura ba.

Za'a iya amfani da maganin tare da maganin insulin idan bai nuna cikakken sakamako ba da kansa.

Ba a gudanar da bincike kan tasirin magungunan ga yara ‘yan ƙasa da shekaru 18 ba. Ba a yarda da amfani ba, dole ne a maye gurbin maganin tare da insulin.

Umarnin don amfani

Ana ɗaukar maganin a baki kawai. Ana iya amfani dashi azaman ɓangaren magani mai haɗuwa.

Ana ɗaukar maganin ba tare da la'akari da lokacin cin abinci ba. Idan mai haƙuri ya rasa maganin, to dole ne a sha shi a cikin guda ɗaya da sauri. Haramun ne a sha allurai sau biyu.

Ya kamata a biya kulawa ta musamman game da hulɗa da miyagun ƙwayoyi tare da wasu magunguna. Sitagliptin mai aiki mai aiki ba zai tasiri metformin da hana hana haifuwa ba. Hakanan baya jinkirta hanya na halayen enzyme cytochrome. Idan muka yi la’akari da gwaje-gwajen da amfani da magani a wajen rayayyun kwayoyin, to shima hakan ba zai sassauta metabolizer ba.

Lokacin amfani da magani tare da digoxin, mai nuna fassarar adadi na ROC curve yana ƙaruwa. Wannan bai shafi rayuwar mutum ba. Babu buƙatar daidaitattun kashi don kowane ɗayan magungunan.

Lokacin amfani da miyagun ƙwayoyi tare da cyclosporine, alamar nuna ƙididdigar fassarar ƙirar ROC tana ƙaruwa. Bincike ya nuna cewa waɗannan canje-canje ba su da mahimmanci. Babu buƙatar daidaitattun halayen yin amfani da kowane ɗayan magungunan.

Contraindications

Dokokin Janavia don amfani suna nuna waɗannan abubuwan da ke faruwa:

• Rashin hankali ga kowane kayan haɗin da ke cikin magani.
• Rashin narkewar ƙwayar narkewar ƙwayoyi saboda ƙarancin insulin.
• Lokacin haihuwar tayin.
• Lokacin ciyar da jariri tare da madara.
• 'Ya'yan ƙananan shekaru. Babu wani binciken da aka gudanar don wannan rukunin mutanen.

Ya kamata a yi amfani da maganin a hankali ga mutanen da ke fama da cutar koda da gaɓar koda. Tare da haɓaka haɓaka daga cikin waɗannan cututtukan, wajibi ne don daidaita sashi na miyagun ƙwayoyi.

Yin amfani da miyagun ƙwayoyi ya kamata ya fara da kashi daidai 0.1 g na abu mai aiki.

Ba a buƙatar daidaita sashi ba lokacin amfani da miyagun ƙwayoyi tare da metformin.

Za'a iya daidaita allurai idan ana amfani da magani tare da insulin. Wannan don rage yiwuwar rashin lafiyar hypoglycemia.

Idan mai haƙuri ba shi da lafiya tare da gazawar na koda na nau'in mai laushi, to, ba a buƙatar daidaita sashi ba.

Ga mutanen da ke fama da gazawar matsakaici matsakaici, kazalika da sauran cututtukan koda, ana buƙatar ɗaukar 0.05 g na miyagun ƙwayoyi.

A cikin gazawar matsalar koda da sauran cututtukan koda, ya wajaba don rage sashi zuwa 0.025 g na abu mai aiki yau da kullun.

Ga mutanen da ke fama da raunin hanta, ba lallai ba ne don daidaita sashi na maganin. Ba a gudanar da binciken ga marasa lafiya da gazawar matsalar koda.

Side effects

Yi la'akari da tasirin sakamako na sitagliptin:

• Matsalar metabolism. Hypoglycemia.
• Jin zafi a kai.
• Matsaloli a cikin kashin jikin mutum. Haɗin gwiwa syndromes.
• Dizziness.
• Maƙarƙashiya
• Zawo gudawa
• Ciwon ciki da amai.

Hakanan ana iya faruwa yayin amfani da sitagliptin da metformin / insulin:

• Hypoglycemia.
• Gas mai yawa a cikin hanji.
• Jihar bacci.
• Maƙarƙashiya
• Zawo gudawa

Magungunan sun yarda da haƙuri. Tasirin sakamako yana da wuya.

Wannan magani yana da tsada sosai. Ana iya siyan sa akan farashin 1500 zuwa 2000 rubles. don allunan 28 na 100 na 100 na kayan aiki.

Yi la'akari da takwarorinsu na Janavius:

• Avandamet. Ya ƙunshi metformin da rosiglitazone. Ana iya amfani dashi azaman ɓangaren haɗin maganin tare da insulin da sauran magunguna na hypoglycemic. Contraindicated a cikin mata masu ciki da yara. Nemo a cikin kantin magani ba koyaushe ake samu ba, matsakaicin farashin shine 2400 rubles.
• Avandiya Magani ne takardar sayan magani. Yana rage abun cikin sukari a cikin jijiyoyin jiki, yana kara karfin jijiyoyin kitse zuwa insulin. Yana kara karfin jiki a jiki. Akwai shi a kantin magani na 1,500 rubles.
• Arfazetin. Yana da tasirin hypoglycemic, yana rage sukari jini. Kusan babu sakamako masu illa. Bai dace da cikakken magani na masu ciwon suga ba, ya zama dole a yi amfani dashi azaman hadewar hanyoyin warkewa. Arfazetin yana da rahusa fiye da sauran kwayoyi irin wannan. Farashin - 81 rubles.
• Bagomet. Ana amfani dashi idan abinci da aiki na jiki basu kawo sakamakon da ake so ba. Jagorori don amfani sun hana amfani da miyagun ƙwayoyi yayin daukar ciki da lactation. Lokacin yin magani, ya zama dole a guji abubuwan sha da magunguna masu ɗauke da ethanol. Kuna iya siyarwa don 332 rubles.
• Victoza. Maganin tsada mai tsada. Ya ke dauke da sinadaran samar da abinci mai gina jiki. Sayar a matsayin mafita don allura. Kuna iya siyarwa don 10700 rubles.
• Galvus. Ya ƙunshi abu mai aiki vildagliptin. Theara haɓakar ƙwayoyin beta zuwa glucose, wanda ke haɓaka samar da insulin. Ana amfani dashi idan aikin jiki da abinci ba su fitar da sakamako ba. Ana iya amfani dashi azaman ɓangare na maganin haɗuwa. Farashin - 842 rub.
• Karin Galvus. Guda kamar maganin da ya gabata. Ya bambanta kawai a gaban metformin a cikin kayan da ke ciki. Ana iya siyan sayan 1500 rubles.
• Galvus. Yana inganta sarrafa glycemic, yana taimakawa haɓaka metabolism. Galvus ko Galvus? Ana tambayarta wanne yafi kyau. Magungunan farko yana da rahusa, amma da wuya a samu a cikin kantin magunguna. Farashin - 1257 rub.
• Tsaunin Gliformin. Yana rage gluconeogenesis a cikin hanta. Sensara ji daɗin ji. Bambanci a cikin babban lokacin sakin abubuwa masu aiki. Ana iya siyan sayan 244 rubles.
• Glucophage. Ya ƙunshi metformin mai aiki. A kan tushen ci, ana rage nauyi saboda hauhawar matakin metabolism. 'Ya'ya na iya ɗaukar shi bayan shekaru 10. Contraindicated a cikin mata masu juna biyu da kuma a lokacin lactation. Kuna iya siyan for 193 rubles.
• Metformin. Yana haɓaka aikin canza glucose zuwa glycogen. Kusan babu mahaɗi da sunadaran plasma. A lokacin jiyya, wajibi ne don saka idanu kan halin yanzu na kodan. Farashin - 103 rubles.
• Janumet. Ya ƙunshi sinadaran sitagliptin da metformin. Amfani da magani don haɗuwa. Farashin - 2922 rub.

Duk magungunan analogues na miyagun ƙwayoyi dole ne a yi amfani dasu da kyau, suna da magunguna daban-daban. Kafin canza miyagun ƙwayoyi, dole ne a nemi ƙwararren likita.

Yawan damuwa

An gudanar da bincike inda aka gudanar da ingantaccen sashi na 0.8 g ga masu ba da agaji mara lafiya .. Babu wasu canje-canje masu mahimmanci a cikin alamomin asibiti da aka lura. Nazarin tare da kashi fiye da 0.8 g ba a gudanar da su ba.

Idan bayyanar cututtuka daban-daban suka bayyana, to magani yana dogara da su. Sitagliptin ba shi da talauci ta hanyar cire jini.

Yi la'akari da sake dubawa da mutane ke barin game da miyagun ƙwayoyi:

Nazarin ya nuna cewa wannan magani magani ne mai kyau ga masu ciwon sukari. Abubuwan da ke faruwa suna faruwa, amma ku tafi.

Wannan magani kyakkyawar dama ce don daidaita sukarin jini. Yi amfani da miyagun ƙwayoyi a hankali, bayan tattaunawa tare da gwani.

Za a iya musanya ga Januvia

Analog mai rahusa ne daga 1418 rubles.

Galvus yana daya daga cikin mafi arha don maye gurbin Januvia a cikin kwamfutar hannu. Hakanan ana amfani dashi don magance nau'in ciwon sukari na 2, amma ana amfani da vildagliptin a cikin adadin 50 mg a nan azaman abu mai aiki. akan kwamfutar hannu guda. Akwai ƙuntatawa na shekaru da contraindications.

Analog mai rahusa daga 561 rubles.

Transgenta magani ne na Austriya na hypoglycemic don amfani na ciki, dangane da amfanin linagliptin a matsayin sashi mai aiki. Ana amfani dashi don kula da ciwon sukari na 2 a matsayin nau'ikan jiyya.

Analog mai rahusa daga 437 rubles.

Onglisa wani magani ne ga masu cutar sukari a Amurka. Anan, ana amfani da wani abu mai aiki (saxagliptin 2.5 mg, 5 mg), saboda haka, tasirin magani na iya zama ƙasa kaɗan kuma dole ne ya tabbatar da likita mai halartar. Amfani da hankali a cikin gazawar koda kuma a cikin tsufa.