Allunan, an shafe su tare da farin fim na hoto, suna da yawa, tare da haɗari, tare da kusan babu wari.

Mahalarta: hypromellose (1500CPS), hypromellose (5CPS), povidone (K25), magnesium stearate, macrogol 6000, dioxide titanium.

10 inji mai kwakwalwa. - blister (3) - fakitoci na kwali.
10 inji mai kwakwalwa. - blister (12) - fakitoci na kwali.
Guda 20. - blisters (6) - fakitoci na kwali.

Oral hypoglycemic magani

Magungunan hypoglycemic na baka daga ƙungiyar biguanide. Yana hana gluconeogenesis a cikin hanta, rage yawan glucose daga hanji, haɓaka amfani da keɓaɓɓen glucose, yana kuma ƙara haɓakar jijiyoyin jikin mutum zuwa insulin. Ba ya shafar ɓarin insulin ta sel-cells sel na hanji.

Zazzagewa masu saukarwa, LDL.

Yanke ko rage karfin jiki.

Yana da tasirin fibrinolytic saboda hanawar ƙwaƙwalwar ƙwaƙwalwar ƙwayar plasminogen mai hanawa.

Bayan gudanar da baki, ana amfani da metformin daga ƙwayar narkewa. Bioavailability bayan ɗaukar daidaitaccen kashi shine 50-60%. C max bayan maganin baka an sami nasara bayan awa 2

A zahiri ba a ɗaura shi da sunadaran plasma. Yana tarawa a cikin glandan ciki, tsokoki, hanta, da kodan.

An cire shi baya cikin fitsari. T 1/2 shine 1,5-4.5 hours.

Pharmacokinetics a cikin lokuta na musamman na asibiti

Tare da nakasa aikin na koda, tarawa daga cikin miyagun ƙwayoyi yana yiwuwa.

Contraindications Metfogamma 850

- mai ciwon sukari ketoacidosis, mai ciwon sukari, coma,

- Cutar rashin lafiyar koda.

- gazawar zuciya da numfashi, lokaci mai raunin myocardial infarction, mummunan hadarin cerebrovascular, fitsari, shan giya da sauran yanayi wadanda zasu iya taimakawa ci gaban lactic acidosis,

- lactic acidosis da tarihin shi,

- mummunan ayyukan tiyata da raunin da ya faru (a cikin waɗannan halayen, an nuna maganin insulin),

- mai aiki mai hanta,

- m guba,

- lactic acidosis da tarihin shi,

- Yi amfani da aƙalla kwanaki 2 kafin da kwana 2 bayan gudanar da karatun radioisotope ko raa-haɗe tare da gabatarwar iodine mai ɗauke da sigar matsakaici,

- riko da karancin kalori (kasa da 1000 cal / day),

- lactation (shayarwa),

- Rashin hankali ga abubuwan da ke tattare da maganin.

Ba'a ba da shawarar yin amfani da miyagun ƙwayoyi a cikin marasa lafiya waɗanda suka girmi shekaru 60 waɗanda suke yin aiki na zahiri, saboda haɗarin haɗarin lactic acidosis.

Sashi da gudanarwa Metfogamma 850

Saita daban, yin la'akari da matakin glucose a cikin jini.

Maganin farko shine yawanci 850 mg (1 tab.) / Day. Furtherarin ƙarin ci gaba na digiri a kan hanya yana yiwuwa gwargwadon tasirin aikin jiyya. Adadin kulawa shine 850-1700 mg (1-2 Allunan) / rana. Matsakaicin adadin yau da kullun shine 2550 MG (Allunan 3).

Ana ba da shawarar kowace rana da ta wuce nauyin 850 a cikin allurai biyu (safe da maraice).

A cikin marasa lafiya tsofaffi, shawarar da aka ba da shawarar kada ta wuce 850 mg / rana.

Allunan yakamata a ɗauka tare da abinci gaba ɗaya, a wanke da ruwa kaɗan (gilashin ruwa).

Magungunan an yi niyya don amfani na dogon lokaci.

Saboda yawan haɗarin lactic acidosis, a cikin rikice-rikice na rayuwa mai rauni, yakamata a rage kashi.

Sakamakon sakamako na Metphogamma 850

Daga tsarin narkewa: tashin zuciya, amai, ciwon ciki, zawo, rashin ci, ƙoshin ƙarfe a cikin bakin (a matsayin mai mulkin, ba a buƙatar magani ya daina, kuma alamu sun ɓace a kan kansu ba tare da canza maganin ba, zazzagewa da tsananin tasirin sakamako zai iya raguwa tare da ƙaruwa na hankali allurai metformin), da wuya - rikicewar cututtukan cututtukan hanta na hanta, hepatitis (wucewa bayan an cire maganin).

Allergic halayen: fatar fata.

Daga tsarin endocrine: hypoglycemia (lokacin da aka yi amfani dashi a allurai marasa inganci).

Daga gefen metabolism: da wuya - lactic acidosis (yana buƙatar dakatar da jiyya), tare da tsawan amfani - hypovitaminosis B 12 (malabsorption).

Daga tsarin hemopoietic: a wasu yanayi - megaloblastic anemia.

Bayyanar cututtuka: m lactic acidosis na iya haɓaka. Dalilin ci gaban lactic acidosis kuma na iya zama tarin ƙwayar cutar saboda rauni na aikin keɓaɓɓu. Alamomin farko na lactic acidosis sune tashin zuciya, amai, gudawa, zazzage jiki, ciwon ciki, zafin makogwaro, nan gaba mai saurin numfashi, farin ciki, rauni mara nauyi da kuma ci gaba da rashin lafiya.

Jiyya: idan akwai alamun lactic acidosis, dole ne a tsayar da magani tare da Metfogamma 850 nan da nan, ya kamata a kwantar da mai haƙuri cikin gaggawa kuma, bayan ya ƙaddara yawan lactate, tabbatar da ganewar asali. Hemodialysis yana da tasiri sosai don cire lactate da metformin daga jiki. Idan ya cancanta, gudanar da aikin tiyata.

Tare da maganin haɗin gwiwa tare da maganin sulfonylureas, hypoglycemia na iya haɓaka.

Tare da yin amfani da lokaci guda tare da abubuwan da suka samo asali na sulfonylurea, acarbose, insulin, NSAIDs, MAO inhibitors, oxygentetracycline, ACE inhibitors, clofibrate Kalam, cyclophosphamide da beta-blockers, yana yiwuwa a ƙara tasirin hypoglycemic sakamako na metformin.

Tare da yin amfani da lokaci guda tare da GCS, maganin hana haihuwa, epinephrine (adrenaline), sympathomimetics, glucagon, hormones na thyroid, thiazide da loopback diuretics, abubuwan da ke tattare da yanayin acid da nicotinic acid, raguwar sakamako na hypoglycemic na metformin mai yiwuwa ne.

Cimetidine yana rage jinkirin kawar da metformin, sakamakon abin da haɗarin lactic acidosis ke ƙaruwa.

Metformin na iya raunana tasirin magungunan anticoagulants (abubuwan da aka samo coumarin).

Tare da gudanarwa na lokaci ɗaya tare da ethanol, haɓakar lactic acidosis mai yiwuwa ne.

Tare da yin amfani da nifedipine lokaci guda yana ƙara yawan metformin, C max, yana rage jinkirin fitar.

Magungunan cationic (amlodipine, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamteren, vancomycin) waɗanda ke ɓoye a cikin tubules suna gasa don tsarin jigilar tubular kuma, tare da tsawan magani, na iya haɓaka C max metformin da 60%.

A lokacin amfani da miyagun ƙwayoyi, ya kamata a kula da alamun alamun aikin. Aƙalla sau 2 a shekara, kuma tare da bayyanar myalgia, ya kamata a ƙaddara abubuwan da ke cikin lactate a cikin plasma.

Zai yuwu a iya amfani da Metfogamma ® 850 a hade tare da abubuwan da ake amfani da su na sulfonylurea ko insulin, kuma musamman saka idanu akan matakan glucose na jini ya zama dole.

Tasiri kan ikon tuka motoci da hanyoyin sarrafa abubuwa

Lokacin amfani dashi azaman maganin monotherapy, ƙwayar ba ta tasiri da ikon fitar da motoci da aiki tare da kayan aikin injiniya.

Lokacin da aka haɗu da metformin tare da wasu magungunan hypoglycemic (abubuwan da ke haifar da maganin hynigglycemic, insulin), yanayin hypoglycemic na iya haɓakawa wanda ikon iya tuki motocin da sauran ayyukan haɗari waɗanda ke buƙatar ƙara kulawa da saurin halayen psychomotor yana ƙaruwa.

Ya kamata a adana miyagun ƙwayoyi daga isar yara a zazzabi da bai wuce 25 ° C ba. Rayuwar shelf shine shekaru 4.

Metfogamma 1000: umarnin don amfani, farashi, allunan sukari analogues

Ciwon sukari mellitus cuta ce ta rayuwa wanda ke haifar da hauhawar jini. Ciwon sukari mellitus yana da nau'ikan 2 - mai dogaro da insulin-wanda ba shi da insulin.

Halittar kwayoyin, abinci mai daidaitawa, yawan kiba ko cututtukan da ke da alaƙa na iya haifar da ci gaba da cutar. A cikin jiyya na rashin lafiyar insulin-dogara da mellitus, ana amfani da magunguna na musamman waɗanda ke da tasirin hypoglycemic sakamako.

Ofayan mafi kyawun kwayoyi irin wannan sune allunan Metphogamma. Abubuwan da ke aiki na kwayoyi suna aiki da metformin. Ana samun maganin a wasu magunguna daban-daban. Mafi na kowa sune 850 da 1000 mg. Hakanan ana sayar da Metphogamma 500 a cikin magunguna.

Nawa ne magani? Farashin ya dogara da adadin metformin a cikin ƙwayoyi. Don Metfogamma 1000 farashin shine 580-640 rubles. Metfogamma 500 MG farashin kimanin 380-450 rubles. A kan Metfogamma 850 farashin yana farawa daga 500 rubles. Yana da mahimmanci a lura cewa magungunan ana ba da sanarwar ne kawai ta hanyar takardar sayan magani.

Suna yin magani a Jamus. Ofishin wakilin hukuma yana can cikin Moscow. A cikin shekarun 2000, an kafa masana'antar magani a cikin garin Sofia (Bulgaria).

Mene ne ka'idodin aikin magani? Metformin (bangaren maganin yana aiki) yana rage maida hankali kan glucose a cikin jini. Ana samun wannan ta hanyar dakatar da gluconeogenesis a cikin hanta. Metformin kuma yana haɓaka amfani da glucose a cikin kyallen takarda da rage yawan sukari daga narkewa.

Abin lura ne cewa lokacin amfani da maganin, matakan cholesterol da LDL a cikin ƙwayar jini yana raguwa. Amma Metformin ba ya canza taro na lipoproteins. Lokacin amfani da magani zaka iya rasa nauyi. Yawanci, ana amfani da metogram 500, 850, da 100 mg lokacin cin abinci baya taimakawa rage girman jiki.

Metformin ba wai kawai yana rage sukarin jini ba, har ma yana inganta mahimman abubuwan da ke cikin fibrinolytic na jini.

An samu wannan ta hanyar kashe ƙwayar plasminogen mai nau'in nama.

A cikin wane yanayi ne yin amfani da maganin Metfogamma 500 ya barata? Umarnin don yin amfani da shi ya ce ya kamata a yi amfani da maganin a cikin jiyya na cututtukan cututtukan cututtukan da ba na insulin-2 ba. Amma Metfogamma 1000, 500 da 800 MG ya kamata a yi amfani da su wajen kula da marasa lafiyar da ba su da haɗari ga ketoacidosis.

Yadda za a sha maganin? An zabi sashi ne gwargwadon matakin glucose a cikin jini. Yawancin lokaci, kashi na farko shine 500-850 MG. Idan ana amfani da maganin don kula da matakan sukari na yau da kullun, to, maganin yau da kullun na iya ƙaruwa zuwa 850-1700 MG.

Kuna buƙatar ɗaukar magani a cikin allurai biyu. Har yaushe zan sha maganin? Don Metfogamma 850, koyarwar ba ta tsara tsawon lokacin maganin ba. An zaɓi tsawon lokacin magani da akayi daban-daban kuma ya dogara da dalilai da yawa.

A cikin Metfogamma 1000, umarnin yin amfani da shi ya tsara irin wannan dokar don amfani:

• Ketoacidosis mai ciwon sukari.
• Bala'i a cikin aikin kodan.
• Rashin zuciya.
• Hadarin Cerebrovascular.
• Al'adun shan giya
• Fitsari.
• Matsakaicin lokaci na ta infassation na zuciya.
• Dysfunction hanta.
• Barasa giya.
• Lactic acidosis
• Ciki
• Lokacin bacci.
• Allergy zuwa metformin da kayan taimako na miyagun ƙwayoyi.

Binciken likitocin ya nuna cewa bai kamata a yi amfani da maganin ba yayin rage kalori, wanda ya ƙunshi yawan ƙona adadin kuzari 1000 a rana. In ba haka ba, magani na Metfogamma 1000 na iya haifar da rikice-rikice, har zuwa cutar siga.

Yawancin lokaci ana haƙuri da maganin sosai. Amma tare da yin amfani da miyagun ƙwayoyi na tsawan lokaci, da alama tasirin sakamako kamar su:

1. Megaloblastic anemia.
2. Lationsarya a cikin aikin narkewa. Metfogamma 1000 na iya haifar da ci gaban bayyanar cututtuka, tashin zuciya, amai da gudawa. Hakanan yayin maganin jiyya, dandano mai ƙarfe na iya bayyana a bakin.
3. Hypoglycemia.
4. Lactic acidosis.
5. Allergic halayen.

Haɓaka lactic acidosis yana nuna cewa ya fi kyau katse hanyar kulawa.

Idan wannan rikitarwa ta faru, dole ne a dauki magani nan da nan.

Yaya metfogamma 1000 ke hulɗa tare da wasu kwayoyi? Umarnin ya ce maganin na iya rage tasirin magani tare da amfani da maganin rashin amfani da magani.

Ba'a ba da shawarar yin amfani da magani don ciwon sukari tare da masu hana MAO, masu hana ACE, abubuwan asali na clofibrate, cyclophosphamides ko beta-blockers. Tare da hulɗa da metformin tare da magungunan da ke sama, haɗarin ƙara yawan hypoglycemic mataki yana ƙaruwa.

Mene ne mafi ingancin analogues na Metfogamma 1000? A cewar likitoci, mafi kyawun madadin sune:

• Glucophage (220-400 rubles). Wannan magani yana da kyau kamar Metfogamma. Abubuwan da ke aiki na kwayoyi suna aiki da metformin. Magungunan yana taimakawa rage yawan sukari na jini da haɓaka hankalin masu karɓar insulin na gefe.
• Glibomet (320-480 rubles). Magungunan yana hana lipolysis a cikin tsopose nama, yana motsa hankalin jijiyoyin jijiyoyi zuwa aikin insulin kuma yana rage sukarin jini.
• Siofor (380-500 rubles). Magungunan yana hana shan glucose a cikin hanji, yana inganta amfani da sukari a cikin ƙwayar tsoka kuma yana rage samar da glucose a cikin hanta.

An bada shawarar magungunan da ke sama don amfani dasu tare da nau'in ciwon sukari na marasa insulin-2. Lokacin zabar analog, ya kamata ka nemi likitanka, tunda magunguna don rage glucose na iya haifar da lactic acidosis. Bidiyo a cikin wannan labarin ya ci gaba da taken amfani da Metformin don ciwon sukari.

1. 
   Berger M., Starostina EG, Jorgens V., Dedov I. Ayyukan insulin therapy, Springer, 1994.
2. 
   Vasyutin, A. M. Maido da farin ciki na rayuwa, ko Yadda za'a rabu da cutar sankara / A.M. Vasyutin. - M.: Phoenix, 2009 .-- 224 p.
3. 
   Balabolkin M.I. Endocrinology. Moscow, gidan wallafa "Medicine", 1989, 384 pp.
4. Bulynko, S.G. Abincin abinci da abinci mai gina jiki don kiba da ciwon sukari / S.G. Bulynko. - Moscow: Jami'ar Bayar da Agaji ta Rasha, 2004. - 256 p.

Bari in gabatar da kaina. Sunana Elena. Na kasance ina aiki a matsayin endocrinologist fiye da shekaru 10. Na yi imanin cewa a halin yanzu ni ƙwararre ne a fagen aikina kuma ina so in taimaka wa duk baƙi zuwa shafin don warware matsalolin da ba ayyuka sosai ba. Duk kayan don rukunin yanar gizon an tattara su kuma ana aiwatar dasu da kyau don isar da sanarwa gwargwadon iko. Kafin amfani da abin da aka bayyana akan gidan yanar gizon, tattaunawa mai mahimmanci tare da kwararru koyaushe wajibi ne.

Saki siffofin da abun da ke ciki

Allunan zagaye, waɗanda aka rufe da fim, kuma kusan babu ƙamshin turaren kwayoyi. Babban abu shine metformin hydrochloride 850 MG. Componentsarin abubuwan haɗin: sodium carboxymethyl sitaci, silicon dioxide, magnesium stearate, sitaci masara, povidone, hypromellose, macrogol 6000, titanium dioxide, talc, propylene glycol.

Allunan an tattara su a cikin blisters, guda 10 kowannensu. Fakitin kwali ya ƙunshi blister 3, 6 ko 12 da umarnin magani. Hakanan akwai kwantena tare da allunan guda 20 a cikin bolaji. A cikin kwali na kwali 6 irin waɗannan blisters suna cushewa.

Aikin magunguna

Wannan magani ya kasance ga rukuni na biguanides. Magungunan hypoglycemic ne wanda aka yi niyya don amfani da baka.

Abubuwan da ke aiki suna ba da gudummawa ga hanawar gluconeogenesis, wanda ke faruwa a cikin ƙwayoyin hanta. Kasancewar glucose daga cikin narkewar narkewar abinci yana raguwa, kuma amfani da shi a cikin kasusuwa na waje kawai yana ƙaruwa. Halin kyallen takarda zuwa insulin yana ƙaruwa.

Metfogamma yana cikin rukunin biguanides. Magungunan hypoglycemic ne wanda aka yi niyya don amfani da baka.

Sakamakon amfani da allunan, matakan triglycerides da lipoproteins suna raguwa. A lokaci guda, nauyin jikin mutum ya zama ƙasa kaɗan kuma ya kasance a matakin al'ada na dogon lokaci. Magungunan yana hana aikin mai hana mai kunna plasminogen aiki, wanda ke ba da gudummawa ga sakamakon da ake faɗi na fibrinolytic na miyagun ƙwayoyi.

Pharmacokinetics

Ana amfani da Metformin daga narkewa a cikin kankanin lokaci. Bioavailability da ikon ɗaure su don kariyar sunadarai ne ƙasa.Ana lura da mafi yawan magunguna a cikin jini na jini bayan wasu 'yan sa'o'i. A miyagun ƙwayoyi yana da ikon tarawa a cikin ƙwayar tsoka, hanta, glandar gyada da ƙodan. Ana aiwatar da aikin ta hanyar amfani da tace iri, ba tare da canje-canje ba. Cire rabin rayuwar shine 3 hours.

Contraindications

Akwai da dama contraindications lokacin da ba za a iya amfani da miyagun ƙwayoyi ba:

• rashin ƙarfi ga abubuwan da aka gyara,
• mai ciwon sukari ketoacidosis,
• maganin ciwon sukari
• coma
• mai aiki mai ɗaukar hoto,
• zuciya da rashin karfin numfashi,
• lactic acidosis
• ciki
• lactation zamani
• m shisshigi
• aikin hanta mai rauni,
• m barasa guba,
• daukar hoto tare da bambanci kwanaki 2 kafin ko bayan farkon far,
• bijiro da karancin kalori.

An ba da shawarar yin amfani da shi ga mutanen da suka wuce shekaru 60 da haihuwa suna aiki mai nauyi, kamar yadda suna iya haifar da lactic acidosis.

Gastrointestinal fili

Rashin narkewar tsarin cuta: zawo, amai, amai, jin zafi a ciki, ɗanɗano da ƙarfe a cikin ramin baka, ƙanshin wuta. Wadannan alamun zasu tafi cikin 'yan kwanaki kansu.

Tare da tsawaita amfani da Medfogamma 850 ko cin zarafi, za a iya samun adadin halayen masu cutarwa waɗanda ke buƙatar canjin kashi ko maye gurbin magani.

Daga gefen metabolism

Lactic acidosis, hypovitaminosis da ƙarancin ƙwayar bitamin B12.

A wasu halayen, halayen rashin lafiyan mutum a cikin nau'i na fatar fata na iya faruwa.

Mata masu juna biyu da nau'in ciwon sukari na 2 bai kamata a kula dasu da metformin ba.

Yi amfani da lokacin daukar ciki da lactation

Mata masu juna biyu da nau'in ciwon sukari na 2 bai kamata a kula dasu da metformin ba. Don kula da matakin glucose na yau da kullun, ana yin aikin maye gurbin insulin. Wannan zai rage hadarin zuwa tayi.

Abubuwan da ke aiki da sauri sun shiga cikin madara, wanda zai iya cutar da lafiyar ɗan. Sabili da haka, har tsawon lokacin shan magani, zai fi kyau a bar shayar da jarirai.

Yi amfani da tsufa

Yana buƙatar taka tsantsan, saboda mutane sama da 65 da haihuwa suna cikin hatsarin kamuwa da kumburin jini, lactic acidosis, lalacewar aikin na koda, hanta da kashin zuciya. Sabili da haka, ya kamata a daidaita sashi don kowane mai haƙuri daban-daban, la'akari da farkon rikice-rikice na ciwon sukari.

Ba'a bada shawarar magani ga Metfogamma 850 ga yara 'yan ƙasa da shekara 10.

Tasiri kan ikon sarrafa abubuwan inji

Lokacin amfani da allunan a cikin haɗin gwiwa tare da sauran wakilai na hypoglycemic, alamun hypoglycemia na iya faruwa, wanda kai tsaye yana shafar hanzarin halayen psychomotor da taro. Sabili da haka, don lokacin magani, zai fi kyau ka guji tuki da kanka.

Aikace-aikace don aikin hanta mai rauni

Allunan za a iya amfani da su kawai idan akwai rauni mai rauni a cikin hanta. A cikin gazawar hanta mai tsanani, an haramta yin amfani da magani sosai.

A cikin gazawar hanta mai ƙarfi, shan Metfogamma an haramta shi sosai.

Yawan adadin kwayoyin cuta daga Metfogamma 850

Lokacin amfani da Metfogamma a kashi na 85 g, babu alamun cutar yawan ƙwayar cuta. Tare da karuwa a cikin adadin ƙwayoyi, haɓakar hypoglycemia da lactic acidosis mai yiwuwa ne. A wannan yanayin, mummunan tasirin yana da karuwa. Bayan haka, mai haƙuri na iya samun zazzaɓi, jin zafi a ciki da gidajen abinci, saurin numfashi, asarar hankali da ƙwayar cuta.

Lokacin da waɗannan alamun suka bayyana, an dakatar da maganin nan da nan, an kwantar da maraice a asibiti. Ana cire magani daga jiki ta hanyar hemodialysis.

Yin hulɗa tare da wasu kwayoyi

Tare da amfani da lokaci ɗaya tare da abubuwan da aka samo na sulfonylurea da yawa, insulin, MAO da inhibitors, cyclophosphamide, magungunan anti-mai kumburi, magungunan clofibrate, tetracyclines da kowane beta-blockers, tasirin hypoglycemic na amfani da metformin yana haɓaka.

Glucocorticosteroids, sympathomimetics, epinephrine, glucagon, yawancin OCs, hormones thyroid, diuretics da nicotinic acid abubuwan da ke haifar da haifar da raguwar tasirin hypoglycemic na miyagun ƙwayoyi.

Cimetidine yana rage jinkirin shan metformin, wanda yakan haifar da ci gaban lactic acidosis. Abubuwan da ke aiki suna raunana tasirin amfani da magungunan anticoagulants, galibi kayan coumarin.

Nifedipine yana haɓaka sha, amma yana rage jinkirin kawar da kayan aiki daga jiki. Digoxin, morphine, quinine, Ranitidine da Vancomycin, waɗanda aka ɓoye mafi yawa a cikin tubules, tare da tsawan magani yana kara lokacin jijiyoyin.

Amfani da barasa

Ba za a iya haɗarin amfani da allunan tare da giya ba, kamar yadda hadin gwiwar ethanol yana haɓaka ci gaban lactic acidosis.

Ba a haɗe allunan Metphogamma tare da giya ba, kamar yadda hadin gwiwar ethanol yana haɓaka ci gaban lactic acidosis.

Akwai magungunan musanya waɗanda suke da kamanci a cikin kayan aiki da sakamako:

• Bagomet,
• Glycomet
• Glucovin,
• Glucophage,
• Glumet
• Dianormet 1000,500,850,
• Diaformin,
• Insufor,
• Langerin
• Meglifort
• Meglucon,
• Metamine
• Hanyar Hexal,
• Metentin Zentiva,
• Wank Sandoz,
• Metformin Teva,
• Metformin
• Tafiya
• Siofor
• Zucronorm,
• Emnorm Er.

Likitoci suna bita

Minailov AS, mai shekara 36, ​​endocrinologist, Yekaterinburg: “Sau da yawa nakan nada Metphogamma zuwa masu fama da ciwon sukari guda 850. Yana riƙe da sukari da kyau. Yana da dacewa don ɗauka, kamar yadda ana daukar maganin yau da kullun sau 1. Farashinsa mai araha ne, mutane na iya biyan shi. ”

Pavlova MA, 48 years, the endocrinologist, Yaroslavl: “Na yi ƙoƙari in tsara metfogam a hankali. A miyagun ƙwayoyi yana da hasara, ba koyaushe ana haƙuri da kyau ba kuma wasu lokuta yakan haifar da halayen da ba a so. Idan wata cuta ta rashin hankali ta tsananta yayin daukar magani, to na soke maganin. ”

Neman Masu haƙuri

Roman, dan shekara 46, Voronezh: “Shekarun da suka wuce na kamu da ciwon sukari. An tsara Metphogamma 850 a cikin allunan bayan na gwada wasu ma'aurata, kuma basu riƙe sukari ba. Na gamsu da sakamakon. ”

Oleg, ɗan shekara 49, Tver: “Na kasance ina shan magani na rabin shekara riga. Nazarin suna al'ada. Amma har yanzu, a koyaushe ina ziyartar endocrinologist, saboda har ma "banal" mura na iya haifar da rikice-rikice yayin shan wannan magani. "

Nazarin asarar nauyi

Katerina, ɗan shekara 34, Moscow: “Muddin ban ci abinci ba, to bai isa in rage kiba ba, amma tare da nauyi mai yawa, bai da nisa da ciwon suga. Likita ya ba da maganin a cikin allunan - Metfogamma 850. Da farko komai ya tafi lafiya, amma bayan wasu watanni sai kodan na fara yin rauni sosai. Na daina shan maganin kuma na ci gaba da cin abinci. Na ƙarasa wa kaina cewa ana buƙatar irin wannan maganin don masu ciwon sukari don kiyaye sukari, kuma ba don asarar nauyi ga lafiyar mutane ba. ”

Metformin: umarnin don amfani don asarar nauyi

Don farawa, an kirkiro Metformin don maganin marasa lafiya tare da kamuwa da cutar sukari mellitus. Daga baya, yayin nazarin maganin, an nuna wasu alamomi, alal misali, lura da kiba da wuce kima. Amma yana da tasiri a cikin yawan masu kiba ba tare da ciwon sukari ba? Don yin wannan, muna buƙatar fahimtar yadda wannan maganin yake aiki kuma me yasa ƙiba ke faruwa.

Idan kana son yin nazarin dukkan ayyukan metformin, ina ba da shawara cewa ka fara karanta labarin sake dubawa "Metformin: yadda yake aiki." A cikin wannan labarin, ba zan yi magana game da duk abubuwan da ke akwai ba, amma zan yi magana ne kawai game da waɗanda suke da alaƙa da asarar nauyi.

Saboda abin da metformin yake "taimakawa" rasa nauyi

Zan iya faɗi tare da tabbaci na 99% cewa kusan dukkanin mutane masu kiba sun inganta matsalar rashin hankalin insulin akan lokaci. Insulin wani sinadari ne da ke motsa jini wanda ke yin rakiyar kwayoyin glucose a cikin sel. Don wasu dalilai, sel ba sa shan insulin da glucose kuma ba za su iya shiga sel ba. Sakamakon wannan, ana ba da alamar ta pancreas wata alama don haɓaka aikin insulin kuma ya zama mafi yawa a cikin jini.

Wannan gaskiyar tana da mummunar tasiri a kan mai mai, saboda adana mai ya zama mafi sauƙi kuma sauri. Abubuwan da suka sa sel daina jin insulin yalwa da yawa, amma a cikin mafi yawan shi shine yawan ƙwayar carbohydrates. Kwayoyin suna mamaye su da sukari don haka suna ƙoƙarin rufe shi ba tare da fahimtar insulin ba. Ya bayyana cewa insulin ba shi da laifi akan komai, saboda kawai ya yi aikin sa.

Sakamakon haka, yana ƙara ƙaruwa, kuma da yake ƙara zama, ƙin ƙiyayya yake yiwa sel. Ya zama mummunan yanayin da ke haifar da kiba, juriya insulin da hyperinsulinism.

Metformin yana rinjayar juriya na insulin, rage shi kuma komawa zuwa matakin halitta. Wannan yana haifar da ɗaukar glucose na al'ada ta sel kuma baya ƙaddamar da ƙwayar insulin a cikin adadi mai yawa, wanda ke nufin adana mai.

A sauƙaƙe, metformin yana aiki ta hanyar yin aiki da abubuwan insulin ta hanyar kawar da juriya na insulin. Bugu da ƙari, metformin yana da raunin concomitant mai rauni - don rage yawan ci (sakamako na anorexigenic). Abin da kowa ke tunani game da shi lokacin da suka fara shan maganin.

Koyaya, wannan tasirin yana da rauni sosai kuma ba koyaushe ake jin sa ba. Don haka dogaro da wannan, nesa da babba, sakamakon maganin ba shi da daraja.

Shin zai iya sarrafa nauyi tare da metformin: sake duba likita

Duk da kyakkyawan sakamako na rage yawan sukari, saboda gaskiyar cewa yana inganta yawan shan glucose ta sel, metformin ba koyaushe yana haifar da asarar nauyi ba. Ni ma zan iya cewa wannan abu ne mai ɗanɗano kuma ba a bayyana shi ba.

Idan kuna tunanin cewa shan allunan biyu a rana, amma ba tare da yin wani abu ba don rage nauyin jiki, kuna asarar kilo 30 na kitse, to lallai ne in kunyata ku. Metformin bashi da irin waɗannan kaddarorin. Matsakaicin a cikin wannan halin ba za ku rasa fam ba kawai.

Kuma a yaya za a dauki metformin don asarar nauyi

Dole ne a tuna cewa metformin ba kwayar sihiri ba ce wacce ta banmamaki ta lalata kilo naku, a halin yanzu kuna cin kek na goma a kwance akan gado. Tare da wannan dabarar, babu kayan aiki da zaiyi aiki. Canji ne kawai a cikin rayuwar, wanda ya haɗa da abinci, motsi da tunani, na iya haifar da sakamako na ainihi.

Zamu iya cewa sabon salon shine mafi mahimmanci, kuma metformin yana taimakawa kawai. Wannan magani ba panacea ba kuma sau da yawa zaka iya yi ba tare da shi kwata-kwata. Wannan bashi da amfani ga lokuta idan aka haɗu da nauyi mai yawa tare da ciwon sukari. Amma idan kana da kiba kawai kuma babu ciwon sukari, yana da kwanciyar hankali a rasa nauyi ta hanyar hadiye kwayoyin, sannan a yi.

Wanne metformin zan zaɓa? Metformin Richter ko Metformin Teva, kuma wataƙila Metformin Canon

A halin yanzu, a cikin kasuwar magunguna akwai kamfanoni da yawa waɗanda ke samar da irin waɗannan allunan. A zahiri, kowane kamfani yana samar da metformin a karkashin sunan kasuwancinsa, amma wani lokacin ana kiranta "Metformin", kawai an ƙara ƙare wanda yake nuna sunan kamfanin. Misali, metformin-teva, metformin-canon ko metformin-richter.

Babu wani bambanci mai mahimmanci a cikin waɗannan kwayoyi, saboda haka zaka iya zaɓar kowane. Zan iya cewa duk da wannan ƙwayar aiki guda ɗaya, ƙarin abubuwan haɗin zai iya zama daban kuma yana kan su cewa ana iya lura da rashin haƙuri ko rashin lafiyan halayen, kodayake metformin kansa shima yana da sakamako masu illa. Karanta labarin da nayi shawarar a sama.

Yadda ake shan metformin don asarar nauyi

Ya kamata ku fara da karamin kashi na 500 MG sau ɗaya. Magungunan suna da magunguna daban-daban - 500.850 da 1000 MG. Idan kuna son farawa tare da babban kashi, zaku ji duk abubuwan jin daɗin sakamako masu illa, waɗanda sune mafi yawan cututtukan dyspeptik ko, a cikin Rasha, rikicewar narkewa. Theara yawan a hankali ta hanyar 500 MG a mako.

Matsakaicin adadin yau da kullun na iya zama har zuwa 3,000 MG, amma a matsayin mai mulkin, likitoci da ni a cikinsu suna iyakance ga adadin 2,000 na MG. Fiye da wannan adadin, tasiri yana da ƙananan kaɗan, kuma tasirin sakamako yana ƙaruwa.

Ana shan miyagun ƙwayoyi lokacin ko bayan abinci. Hakanan an wajabta shi kafin lokacin bacci - wannan yanayin kuma daidai ne kuma yana da wurin zama. Idan sakamako masu illa sun bayyana kuma basu wuce bayan makonni 2 daga farkon gudanarwa, to wannan maganin bai dace da ku ba kuma ya kamata a dakatar dashi.

Metformin: sake dubawa game da rasa nauyi

Ban kasance mai rauni ba kuma na hau kan dandalin tattaunawa da shafukan yanar gizo inda akwai sadarwa tsakanin rasa nauyi da kuma inda suke musayar abubuwan da suka samu. Bukatar nan da nan ta saukaka tasirin metformin. Na ba ku ainihin nazarin mutane don kada ku neme su a kan hanyar sadarwa. Mafi yawan bita-da-kulli ba su da kyau. Wadanda ke da inganci galibi suna haɓaka da wani irin magani ko amfani da wasu hanyoyin banda metformin. Musamman ban yi hukunci ba; na iya kasance tare da kurakurai daban-daban.

Yin bita No. 1 (a cikin tabbatar da maganata)

Saurara, idan kun bi shawarwarin abinci mai narkewa a metformin .. to metformin da kanta ba a buƙatar shi))))))))))))))

Bita Na 2 (kuma ba don masu ciwon sukari ba)

Mahaifiyata, mai ciwon sukari, tana shan metformin. Kuma wani abu ba ya asara nauyi tare da shi. = -)))))))))) Wani zamba.

Bita Na 3 (Sakamakon sifili ma sakamako ne, babban abinda ya kawo shi yankewa)

Na yanke shawarar shan Metformin don asarar nauyi, saboda da katangar shi yana hana carbs. Na sha bisa ga umarnin, sannu a hankali ƙara sashi kaɗan. Dole ne in faɗi yanzunnan cewa ba ni da ciwon sukari ko wata cuta gaba ɗaya in sha shi bisa ga alamu. Kuma, a zahiri, ban lura da wani sakamako ba bayan wata daya. Wani ya rubuta cewa yana da tasirin sakamako masu illa, cewa zaku iya yin ciwo idan kun sha ba tare da alƙawari ba. Komai yayi kyau tare da ni, ko kuma akasin haka, a wata hanya - cewa na sha abin da ban yi ba. Wataƙila yana da kyau azaman magani, amma don asarar nauyi - 0. Don haka ba zan iya faɗi tabbas ba shin ina yaba shi ko a'a. Amma don asarar nauyi, ba shakka.

Yin bita No. 4 (an sami sakamako)

Da kaina, wannan hanyar ba ta dace da ni ba, matsalolin hanji ya shafi, har ma tashin zuciya bai tafi ba ko da bayan an rage kashi, dole in katse hanya. Babu sauran ƙoƙari.

Bita Na 5 (ba ya aiki ba tare da abinci ba)

Na sha bisa ga alamun likita kuma ban yi asara ba tare da rage cin abinci ba. tare da abincin, ba shakka, na rasa nauyi, amma glucophage bashi da alaƙa da shi

Don haka, Ina tsammanin kowa ya fahimci cewa shirye-shiryen metformin ba wani kwaya mai ban mamaki ba ne ko sabon karin kayan abinci, ba mai ƙona mai ba, ba mai shinge a cikin hanji ba, amma mummunan magani ne wanda ke da alamun kai tsaye. Babban ra'ayin da na so in sanar da kai shi ne cewa metformin ba zai taimaka ba tare da canza abincin ba, amma kamar sauran kwayoyi don magance kiba. Tare da metformin da sabon salon rayuwa, rasa nauyi yafi jin daɗi, a wasu hanyoyi yana iya samun sauƙi.

Kuma tun da akwai damar cimma sakamako ba tare da magani ba, to watakila ba kwa buƙatar fara shan metformin nan da nan? Karancin sunadarai yana nufin karin lafiya! Wannan shi ne duk. Labarai don karɓar sababbin labarai ta imel kuma danna maballin kafofin watsa labarun dama a ƙarƙashin labarin.

Tare da dumi da kulawa, endocrinologist Lebedeva Dilyara Ilgizovna

* Bayanin ba ya amfani da mutane tare da haɗuwa da nauyin wuce kima, ciwon sukari ko wasu rikice-rikice na metabolism metabolism. Amincewa da metformin a wannan yanayin ana haifar da shi ta hanyar nuni kai tsaye, a matsayin hypoglycemic.

Metfogamma 850: umarni don amfani, sake dubawa

Bayan sabuwar shekara, Na sami (kwatsam) bita game da wannan magani. Na karanta sake dubawa da umarni kuma na yanke shawarar gwada shi da kaina in saya. Amma kafin siyan, Na nemi shawara tare da likita kuma na tambayi yadda Metfogamma 850 ke aiki don asarar nauyi.

Ya juya cewa an sanya wannan maganin don mutanen da suke yin kiba kuma saboda dalilai na lafiya ba zasu iya iyakance kansu ga abinci ba. Misali, ciwon ciki, ciwon suga, da sauransu.Shirye-shiryen sun ƙunshi abu wanda baya barin sukari da mai mai 100%. An cire su cikin hanji kawai.

Irin waɗannan kwayoyin ba masu tsada ba - kawai 340 rubles don guda 30. Kuna buƙatar sha Allunan 2 a rana. Na dauki 1 da safe, 1 da yamma. Zai fi kyau a fara farawa daga ƙarshen mako, saboda a farkon kwanakin an tsaftace hanjin cikin gida kuma ba za ku iya zuwa nesa da bayan gida.

Ban sami wata illa ba. Lafiyarta al'ada ce, babu abin da ke ciwo. Na tsawon kwanaki 15, Na sami damar rasa nauyi cikin sauri 5 kilogiram. Amma ni - wannan babban sakamako ne ba tare da cin abinci da wasanni ba.

Amma ba za ku iya ɗaukar Metphogamma 850 ba ci gaba. Wajibi ne a ba jikin don ya huta na akalla wata daya. Don kaina, na sami mafi kyawun magungunan rage cin abinci. Ba su da tsada, a bayyane yake yadda suke aiki kuma suna taimakawa. Don haka yanzu na sayi wannan magani kawai.