Umarnin don amfani da miyagun ƙwayoyi Torvacard da ƙirar ƙirarta

A cikin lura da ciwon sukari, ba wai kawai magunguna waɗanda ke shafar adadin glucose a cikin jini ana amfani da su ba.

Baya ga waɗannan, likitanka na iya tsara magunguna waɗanda ke taimaka wa ƙananan cholesterol.

Suchaya daga cikin irin magungunan shine Torvacard. Kuna buƙatar fahimtar yadda zai iya zama da amfani ga masu ciwon sukari da kuma yadda za ayi amfani da shi.

Bayani na gaba daya, abun da ya shafi, nau'in saki

Statin Cholesterol Tarewa

Wannan kayan aiki shine ɗayan gumakan - magunguna don rage cholesterol jini. Babban aikinta shine rage yawan kitse a jiki.

Ana amfani dashi da kyau don hanawa da magance atherosclerosis. Bugu da ƙari, Torvacard yana da ikon rage adadin sukari a cikin jini, wanda yake da mahimmanci ga marasa lafiya waɗanda ke da haɗarin haɓakar ciwon sukari.

Tushen maganin shine sinadarin Atorvastatin. Yana haɗe tare da ƙarin kayan abinci wanda ke tabbatar da nasarar burin.

An samar dashi a cikin Czech Republic. Kuna iya siyan magungunan kawai a cikin nau'ikan allunan. Don yin wannan, kuna buƙatar takardar sayan magani daga likitanka.

Bangaren mai aiki yana da tasiri a cikin yanayin haƙuri, saboda haka shan magani tare da shi ba shi da karɓuwa. Tabbatar samun ainihin umarnin.

Ana sayar da wannan maganin a cikin maganin kwaya. Abubuwan da suke aiki da su shine Atorvastatin, adadin wanda a kowane ɗayan na iya zama 10, 20 ko 40 mg.

An haɗa shi da kayan taimako wanda ke ba da gudummawa ga haɓaka aikin Atorvastatin:

  • magnesium oxide
  • microcrystalline cellulose,
  • silicon dioxide
  • makarin sodium,
  • lactose monohydrate,
  • sitiri na magnesium,
  • hydroxypropyl cellulose,
  • foda talcum
  • macrogol
  • titanium dioxide
  • maganin.

Allunan suna da launi mai launi da fari (ko kusan fari) launi. An sanya su cikin blisters of 10 inji mai kwakwalwa. Za'a iya shigar da kunshin tare da goge 3 ko 9.

Pharmacology da pharmacokinetics

Ayyukan atorvastatin shine hana enzyme wanda ke tattare da cholesterol. A saboda wannan, adadin ƙwayar cholesterol ya ragu.

Masu karɓar cholesterol suna fara aiki da ƙarfi, saboda abin da kwayar da ke cikin jini ke cinyewa da sauri.

Wannan yana hana samuwar atherosclerotic adanawa a cikin tasoshin. Hakanan, a ƙarƙashin rinjayar Atorvastatin, tattarawar triglycerides da glucose ya ragu.

Torvacard yana da tasiri mai sauri. Influencearfin sashin aiki mai ƙarfi ya kai matsakaicin ƙarfinsa bayan sa'o'i 1-2. Atorvastatin kusan yana ɗaure gaba ɗayan sunadaran plasma.

Tsarin metabolism dinsa yana faruwa a cikin hanta tare da samuwar metabolites mai aiki. Yana ɗaukar awanni 14 don kawar da shi. Kayan yana barin jiki da bile. Tasirinsa yaci gaba tsawon awanni 30.

Manuniya da contraindications

Torvacard bada shawarar a cikin wadannan lamura:

  • babban cholesterol
  • ƙara yawan triglycerides
  • basantankara,
  • cututtukan zuciya da jijiyoyin jini da hadarin cututtukan zuciya,
  • da alama na infarction na na biyu.

Likita na iya tsara wannan magani a wasu halaye, idan amfani da shi zai taimaka wajen inganta lafiyar mai haƙuri.

Amma don wannan ya zama dole cewa mara lafiya ba shi da waɗannan abubuwan:

  • mummunan cutar hanta
  • karancin lactase
  • lactose da rashin haƙuri
  • kasa da shekara 18
  • rashin haƙuri da aka gyara
  • ciki
  • ciyarwa ta zahiri.

Waɗannan fasalulluka abubuwan hanawa ne, saboda wanda aka haramta amfani da Torvacard.

Hakanan, umarnin sun ambaci lokuta lokacin da zaka iya amfani da wannan kayan aikin kawai tare da kulawa na likita koyaushe:

  • barasa
  • hauhawar jini
  • fargaba
  • cuta cuta na rayuwa
  • ciwon sukari mellitus
  • sepsis
  • mummunan rauni ko babban tiyata.

A ƙarƙashin irin wannan yanayin, wannan ƙwayar zata iya haifar da amsawar da ba a iya faɗi ba, saboda haka ana buƙatar taka tsantsan.

Umarnin don amfani

Gudanar da maganin baka na maganin kawai. Dangane da shawarwarin gabaɗaya, a farkon matakin kana buƙatar sha maganin a cikin adadin 10 mg. Ana yin ƙarin gwaje-gwaje, gwargwadon sakamakon abin da likitan likita zai iya ƙara kashi zuwa 20 MG.

Matsakaicin adadin Torvacard kowace rana shine 80 MG. Mafi ƙaranci sashi yana ƙaddara daban-daban ga kowane shari'ar.

Kafin amfani, allunan basu buƙatar murƙushe su. Kowane mai haƙuri yana ɗaukar su a lokacin da ya dace don kansa, baya mai da hankali ga abinci, tunda cin abinci ba ya shafar sakamakon.

Tsawon lokacin jiyya na iya bambanta. Wani tasiri zai zama sananne bayan sati 2, amma yana iya ɗaukar tsawon lokaci kafin a murmure sosai.

Labarin bidiyo daga Dr. Malysheva game da statins:

Marasa lafiya na musamman da kuma Jagorori

Ga wasu marasa lafiya, abubuwan da ke amfani da maganin suna iya aiki ba bisa doka ba.

Amfani da shi yana buƙatar taka tsantsan dangane da rukunoni masu zuwa:

  1. Mata masu juna biyu. A lokacin haila, cholesterol da wadancan abubuwan da aka hada daga jikinsu ya zama dole. Sabili da haka, amfani da atorvastatin a wannan lokacin yana da haɗari ga yarinyar da ke da matsala ta haɓaka. Dangane da haka, likitoci ba su bayar da shawarar yin magani tare da wannan maganin ba.
  2. Iyaye masu koyar da ciyarwa ta halitta. Abubuwan da ke amfani da maganin suna shiga cikin madarar nono, wanda zai iya shafar lafiyar jariri. Don haka, an haramta amfani da Torvacard yayin shayarwa.
  3. Yara da matasa. Yadda Atorvastatin yake aiki a kansu ba a san shi sosai ba. Don kauce wa haɗarin haɗari, ƙaddamar da wannan maganin ba shi.
  4. Mutanen tsufa. Magungunan suna shafar su har da duk wasu marasa lafiya waɗanda basu da maganin cutar da amfani. Wannan yana nufin cewa ga marasa lafiya tsofaffi babu buƙatar daidaita sashi.

Babu wasu matakan kariya game da wannan magani.

Principlea'idar aikin warkewa yana tasiri ta hanyar irin wannan sakamako kamar abubuwanda ke tattare da rikice-rikice. Idan akwai, wani lokacin ana buƙatar ƙarin taka tsantsan game da amfani da kwayoyi.

Ga Torvacard, irin waɗannan cututtukan sune:

  1. Cutar hanta mai aiki. Kasancewarsu yana cikin abubuwan da ke haifar da samfurin.
  2. Activityara ayyukan ƙwayoyin magani na serum. Wannan yanayin jikin yana kuma zama dalilin dalilin shan magungunan.

Rashin damuwa a cikin aikin kodan, wanda aka haɗa cikin mafi yawan lokuta a cikin contraindications, ba su bayyana a can wannan lokacin ba. Kasancewar tasirinsu baya tasiri tasirin Atorvastatin, ta yadda ake ba wa irin waɗannan marasa lafiya damar shan magani ko da ba tare da daidaitawa ba.

Wani muhimmin yanayin shine amfani da amintattun rigakafin cutar daji ta cikin kula da mata masu haihuwar haihuwa tare da wannan kayan aiki. A lokacin gwamnatin Torvacard, farawar ciki ba ta karba ba.

Side effects da yawan abin sama da ya kamata

Lokacin amfani da Torvacard, waɗannan sakamako masu illa na iya faruwa:

  • ciwon kai
  • rashin bacci
  • Jin yanayin ciki
  • tashin zuciya
  • hargitsi a cikin aikin narkewa,
  • maganin ciwon huhu
  • rage cin abinci
  • tsoka da ciwon haɗin gwiwa
  • katsewa
  • anaphylactic shock,
  • itching
  • fata rashes,
  • rikicewar jima'i.

Idan an gano waɗannan da sauran rikice-rikice, ya kamata ka nemi likitanka kuma ka bayyana matsalar. Attemptsoƙarin masu zaman kansu na kawar da shi na iya haifar da rikice-rikice.

Overaƙatar aiki da yawa tare da madaidaitan amfani da miyagun ƙwayoyi ba zato ba tsammani. Idan hakan ta faru, ana nuna warkewar cutar siga.

Yin hulɗa tare da wasu magunguna

Don kauce wa halayen da ba su da kyau, yana da mahimmanci don la'akari da peculiarities na aikin wasu kwayoyi da aka ɗauka akan tasiri na Torvacard.

Ana buƙatar taka tsantsan lokacin amfani dashi tare da:

  • Amaryaw
  • tare da jami'in antimycotic
  • fibrates
  • Sankarini
  • nicotinic acid.

Wadannan kwayoyi suna da damar kara yawan atorvastatin a cikin jini, saboda hakan akwai hadarin sakamako masu illa.

Hakanan wajibi ne don saka idanu sosai game da ci gaban magani idan an ƙara wasu kwayoyi irin su Torvacard:

  • Colestipol,
  • Cimetidine
  • Ketoconazole,
  • maganin hana haihuwa
  • Digoxin.

Don haɓaka dabarun magani yadda ya kamata, dole ne likita ya lura da duk magungunan da mai haƙuri yake ɗauka. Wannan zai ba shi damar kimanta hoto a zahiri.

Daga cikin magungunan da suka dace don maye gurbin batun ana iya kiransa:

Yakamata a yarda da amfanin su da likita. Sabili da haka, idan akwai buƙatar zaɓar analogues mai rahusa na wannan magani, kuna buƙatar tuntuɓi ƙwararrun masani.

Mai haƙuri ra'ayi

Nazarin game da miyagun ƙwayoyi Torvakard sun saba wa juna - da yawa sun haɗu da miyagun ƙwayoyi, amma an tilasta wa marasa lafiya da yawa su ƙi shan maganin saboda sakamako masu illa, wanda kuma ya sake tabbatar da buƙatar yin tattaunawa tare da likita da kuma lura da amfani.

Na kasance ina amfani da Torvacard shekaru da yawa. Mai nuna alamar cholesterol ya ragu da rabi, sakamako masu illa bai faru ba. Likita ya ba da shawarar yin wani magani, amma na ki.

Na sami sakamako masu yawa daga Torvacard. Ciwon kai, yawan tashin zuciya, amai a cikin dare. Ya sha wahala tsawon makonni biyu, sannan ya nemi likita ya maye gurbin wannan maganin tare da wani abu.

Ban so wadannan kwayoyin ba. Da farko komai ya kasance cikin tsari, kuma bayan wata daya matsin lamba ya fara tsalle, rashin bacci da matsanancin ciwon kai ya bayyana. Likita ya ce gwaje-gwajen sun zama mafi kyau, amma ni kaina na ji mummunan rauni. Dole ne in ƙi.

Na kasance ina amfani da Torvard tsawon watanni shida yanzu kuma ina matukar farin ciki. Cholesterol al'ada ce, sukari ya dan rage kadan, matsin lamba ya koma al'ada. Ban lura da wani sakamako masu illa ba.

Farashin Torvacard ya bambanta da sashi na Atorvastatin. Don allunan 30 na 10 MG, kuna buƙatar biyan 250-330 rubles. Don siyan fakitin 90 Allunan (20 MG) na buƙatar 950-1100 rubles. Allunan tare da mafi girman abun ciki na abu mai aiki (40 MG) farashin 1270-1400 rubles. Wannan kunshin ya ƙunshi pcs 90.

Menene atherosclerosis kuma menene haɗarinsa?

Atherosclerosis wani yanki ne na jini a cikin jini wanda ya haifar da samuwar tasoshin cholesterol a bangarorin ciki na manyan jijiyoyin jijiyoyin jini, wanda ke haifar da ci gaba da irin wannan mummunan cututtukan da ke da hatsari ga rayuwa:

  • Alamar hawan jini,
  • Pathology na zuciya zuciya tachycardia, arrhythmia da angina pectoris,
  • Sukarwar ciki da jijiyoyin jini,
  • Wani irin bugun jini,
  • Atherosclerosis na wata gabar jiki na kai ga bararene da yanke hannu.

Abubuwan haɗari suna haifar da haɓakawa cikin jimlar ƙwayar cholesterol a cikin jini da ƙarancin ƙwayoyin tsoka mai nauyi na LDL da VLDL.

Lowerananan hadarin ƙananan ƙwayoyin lipoproteins na ƙananan ƙwayar cuta kuma mafi girman girman ƙwayoyin lipoproteins na jini a cikin jini, ƙananan haɗarin haɓakar ƙimar atherosclerosis.

Abubuwan da ke tattare da rukuni na rukunan gumakan da ke hana aikin HMG-CoA reductase, wanda ke haifar da mevalonic acid a cikin ƙwayoyin hanta, yana taimakawa wajen daidaita ƙananan ƙwayoyin lipoprotein, wanda ke haifar da karuwar ƙwayar lipoproteins mai ƙananan nauyin kwayoyin.

Wani wakilin ƙungiyar Torvacard na statins yana da tasiri don rage ƙarancin cholesterol tare da irin waɗannan cututtukan:

  • Ciwon sukari mellitus
  • Tare da hauhawar jini,
  • Tare da babban haɗarin haɓaka mummunar cutar cututtukan zuciya.

Ingantaccen kayan aiki a cikin statin Torvacard shine atorvastatin, wanda ke rage ƙasa:

  • Jimlar cholesterol a cikin jini daga 30.0% 46.0%,
  • Cakuda kwayoyin LDL a 40.0% 60.0%,
  • Akwai raguwa a cikin ma'aunin triglyceride.

Atherosclerosis

Abun da kungiyar miyagun ƙwayoyi ta statins Torvard

Torvacard ana samar dashi ta hanyar zagaye da allunan rubutu a cikin harsashi tare da babban bangaren atorvastatin a sigar milliyan 10,0, milligrams 20,0, 40.0 milligrams.

Baya ga atorvastatin, Allunan Torvacard sun hada da:

  • Kwayoyin sunadarin microcrystalline,
  • Magnesium stearate da oxide,
  • Croscarmellose kwayoyin sodium,
  • Hypromellose da lactose,
  • Dandalin Silinda
  • Titanium ion dioxide,
  • Abinda macrogol 6000.0,
  • Talc.

Ana sayar da maganin Torvacard da magungunan analogues a cikin cibiyar sadarwar kantin magani ta hanyar takardar sayen magani daga likita mai halartar.

Croscarmellose sodium

Nau'i na saki magani na Torvard

Ana samun allunan Torvacard statin a cikin blister na 10.0 guda kuma a cikin akwatunan kwali na 3, ko blisters 9. A cikin kowane akwati, mai ƙirar kwamfutar hannu ya ba da umarnin don amfani, ba tare da yin karatu ba wanda ba za ku iya fara ɗaukar Torvacard ba.

Farashin miyagun ƙwayoyi a cikin cibiyar sadarwar kantin magani ya dogara da sashi na babban kayan atorvastatin da kuma yawan allunan da ke cikin kunshin, da kuma a ƙasar da aka ƙera.

Analogues na Rashanci mai rahusa:

sunan miyagun ƙwayoyisashi na aiki sashiadadin guda a kowane fakitinfarashin magani a cikin rubles na Rasha
Thorvacard10Allunan 30279
Thorvacard10Allunan 90730
Thorvacard20Guda 30426
Thorvacard20Allunan 901066
Thorvacard40Allunan 30584
Thorvacard40Guda 901430

A cikin Rasha, zaku iya siyan kwalliyar analogues na Torvacard mai rahusa daga masana'anta na Rasha, a matsayin misali, maganin Atorvastatin a farashin har zuwa 100,00 na rubles na Rasha.

Wannan analog shine mafi ƙarancin kuɗin Statin.

Pharmacodynamics

Torvacard magani ne na roba na roba wanda ke da niyyar rage HMG-CoA reductase don iyakance sautin kwayar cholesterol. Jinin ya ƙunshi cholesterol a cikin dukkanin gutsuttsura.

Torvacard, saboda babban abin da ya kunshi atorvastatin, yana rage wannan taro cikin jini:

  • Jimlar tasirin cholesterol,
  • Lowarancin sunadarai masu yawa
  • Poarancin ƙananan ƙwayoyin tsoka na lipoproteins,
  • Tsarin kwayoyin na Triglyceride.

Wannan aikin na statin Torvakard yana faruwa ko da ci gaban irin waɗannan cututtukan kwayoyin:

  • Homozygous da heterozygous na gado na gado hypercholesterolemia,
  • Ilimin ilimin firamari na tsoka,
  • Cutar cututtukan ƙwayar cuta ta dyslipidemia.

Abubuwan da ke haifar da cututtukan dangi na dangi sun nuna rashin ƙarfi ga magani tare da magungunan madadin.

Torvacard yana da kaddarorin aiki akan ƙwayoyin hanta don haɓaka aikin lipoproteins mai ɗimbin yawa, wanda ke rage haɗarin haɓaka irin waɗannan cututtukan a cikin ƙwayar zuciya da a cikin jini.:

  • Rashin angina tare da ischemia na sassan zuciya,
  • Saukar jini na Myocardial
  • Ischemic da basur nau'in bugun jini,
  • Thrombosis daga cikin manyan arteries,
  • Tsarin atherosclerosis.

Ana amfani da maganin yau da kullun na miyagun ƙwayoyi Torvakard ta hanyar halartar ɗakunan likita akan sigogi na dakin gwaje-gwaje da kuma halayen mutum na jikin mai haƙuri.

Ana amfani da maganin yau da kullun na maganin Torvacard ta hanyar halartar likita

Pharmacokinetics

Magungunan magungunan miyagun ƙwayoyi na Torvacard rukuni na statins bai dogara da lokacin ɗaukar allunan ba kuma ba a ɗaura shi da abinci ba:

  • Tsarin shan ƙwayoyi ta jiki. Baƙon abu yana faruwa a cikin narkewa na abinci kuma bayan shan kwayoyin, mafi girmanwa cikin jini cikin awa 1 2. Matakan sha ya dogara da sashi na sashi mai aiki a cikin kwamfutar hannu Torvacard. Rashin lafiyar kwayar cutar shine 14.0%, kuma tasirin hanawa akan ragewa ya kai 30.0%. Idan ana amfani da miyagun ƙwayoyi a maraice, to jimlar ƙwayar cholesterol ta ragu da 30,0%, kuma lokacin gudanarwar ba ya dogara da alamar nuna ƙarancin ƙananan ƙwayar nauyin ƙwayar cuta ba,
  • Rarraba aiki mai aiki na atorvastatin a cikin jiki. Fiye da 98.0% na kayan aiki na atorvastatin sun ɗaure zuwa sunadarai.Binciken magungunan ya nuna cewa atorvastatin ya shiga cikin madara, wanda ya haramta shan Torvacard lokacin da mace take shayar da jariri.
  • Maganin metabolism. Metabolism yana faruwa sosai da sauri kuma metabolites suna aiki fiye da 70.0% na sakamako mai hana ruwa gudu akan rage abubuwa,
  • Ana cire sauran abubuwan da ke jikin jikin. Babban abu (har zuwa 65.0%) na aiki mai aiki na atorvastatin an keɓe shi a waje da ƙwayar bile acid. Rabin rayuwar miyagun ƙwayoyi na tsawon awanni 14. A cikin fitsari, ba a gano fiye da 2.0% na atorvastatin ba. Ragowar magungunan an cire su ta amfani da feces,
  • Halayen jima'i a kan tasirin Torvacard, kazalika da shekarun mai haƙuri. A cikin marasa lafiya na tsofaffi maza, yawan ragin ƙananan ƙwayoyin LDL ya fi girma fiye da na samari. A cikin jinin jikin mace, maida hankali ne ga ƙwayar Torvard ya fi girma, kodayake wannan ba shi da wani tasiri a cikin raguwar kashi a cikin guntun LDL. Ba a sanya Torvacard ga yara 'yan ƙasa da shekaru masu rinjaye ba,
  • Pathology na koda na koda Rashin ƙwayar sashin ƙwayar cuta, ko wasu hanyoyin cutar koda ba su shafi taro na atorvastatin a jinin mai haƙuri ba, saboda haka, ba a buƙatar daidaita sashi na yau da kullun. Atorvastatin yana ɗaure da ƙarfi ga ƙwayoyin furotin, wanda hanyar ba ta shafi yanayin hemodialysis,
  • Pathology na sel hanta. Idan cututtukan hepatic suna da alaƙa da dogara da barasa, to, aikin mai aiki na atorvastatin yana ƙaruwa sosai a cikin jini.

Magungunan magunguna na ƙwaƙwalwar ƙungiyar Torvacard na statins bai dogara da lokacin ɗaukar allunan ba.

Yin hulɗa tare da wasu magunguna

Bayanin da aka nuna a cikin kashi dari shine bambanci a cikin bayanai dangane da amfani da Torvacard daban. AUC - yankin da ke kan layi wanda ke nuna matakin atorvastatin na wani lokaci. C max - mafi girman abun ciki na kayan abinci a cikin jini.

Magunguna don amfani da layi daya (tare da ƙayyadadden sashi)magani na kungiyar Statin Torvard
Yawan sashi mai aiki a cikin maganiCanji a cikin AUCAlamar canjin C max
Cyclosporine 520.0 milligrams / 2 sau / rana, kullun.10.0 mg 1 lokaci / rana don kwanaki 28.8.710,70 r
magani saquinavir 400.0 milligram sau 2 / rana /40.0 milligrams 1 r / rana don kwanaki 4.3.94.3
Magungunan Ritonavir 400.0 mg 2 sau / rana, kwanaki 15.
Telaprevir 750.0 MG kowane 8 hours, 10 days.20.0 MG RD7.8810.6
Itraconazole 200.0 MG 1 lokaci / rana, kwana 4.40,0 MG RD3.320.0%
magani Clarithromycin 500.0 gram 2 r./day, tsawon kwanaki 9 - 10.80.0 MG 1 lokaci / rana.4.40 r5.4
magani Fosamprenavir 1400.0 mg 2 p./day, tsawon sati 2Miliyan 10.0 sau ɗaya a rana2.34.04
Ruwan Citrus - ruwan innabi, 250.0 milliliters 1 r / rana.40.0 mg 1 lokaci / rana0.370.16
Magungunan Nelfinavir 1250.0 mg 2 r./day na makonni 210.0 mg 1 p./day tsawon kwanaki 280.742.2
antibacterial wakili Erythromycin 0.50 gram 4 r. / Day, mako 140.0 mg 1 p./day.0.51Babu wani canji da aka lura
magani Diltiazem 240.0 mg 1 r./day, tsawon sati 480.0 mg 1 p./day0.150.12
magani Amlodipine 10.0 MG, sau ɗaya10.0 mg 1 r / rana0.330.38
Colestipol 10.0 mg 2 p./day, tsawon sati 440.0 mg 1 r./day tsawon kwanaki 28.ba lura0.26
Cimetidine 300.0 mg 1 p./day, 4 makonni.10.0 mg 1 r / rana. na tsawon kwanaki 14.har zuwa 1.0%0.11
magani Efavirenz 600.0 mg 1 r / rana, don makonni 210.0 MG na tsawon kwana 3.0.410.01
Maalox TC ® 30.0 ml 1 r./per rana, kwanakin kalanda 17.10.0 mg 1 p./day tsawon kwanaki 15.0.330.34
Maganin Rifampin 600.0 mg 1 r / rana, 5 kwana.4.00 mg 1 p./day.0.80.4
rukuni na fibrates - Fenofibrate 160.0 mg 1 r / rana, don mako 140.0 mg 1 p./day.0.030.02
Gemfibrozil 0.60 gram 2 r / rana na mako guda40.0 mg 1 p./morning.0.35har zuwa 1.0%
magani Boceprevir 0.80 gram 3 p / a rana, na mako guda40.0 mg 1 p./morning2.32.66

Haɗin Torvacard da haɗinsa tare da irin waɗannan kwayoyi na iya haifar da haɗarin haɓaka ƙwaƙwalwar ƙwaƙwalwar ƙwayar tsoka rhabdomyolysis:

  • Magungunan cyclosporin,
  • Magungunan yana steripentol,
  • Hada statins tare da telithromycin da clarithromycin,
  • Magungunan Delavirdine,
  • Ketocanazole da Voriconazole,
  • Magunguna Posaconazole da Itraconazole,
  • Kwayar cutar kwayar cutar HIV

Haɗin Torvacard da haɗinsa tare da irin waɗannan kwayoyi na iya haifar da haɗarin haɓaka ƙwaƙwalwar ƙwayar tsoka

Magani Torvacard da misalanta

An tsara magungunan Torvacard da analogues a matsayin rigakafin sakandare:

  • A cikin lokacin bayan infarction,
  • Bayan ischamic da basur,
  • Bayan cire thrombosis a cikin ilimin cututtukan jini na thrombosis.

Torvacard da analogues ɗin an kuma tsara su don hana ci gaban atherosclerosis da cututtukan zuciya, a cikin marasa lafiya da irin waɗannan haɗarin:

  • Tsufa
  • Al'adun giya
  • Shan taba,
  • Tare da hauhawar jini.

Adana magungunan Torvakard, ko kwayar cutar ta alal misali na irin wannan cututtukan a jikin mutum:

  • Babban mahimman bayanai na apoliprotein B, har ma da babban taro na jimlar cholesterol da ƙananan ƙarancin ɗimbinsa, ƙara yawan abun ciki na triglycerides a cikin abun da ke cikin jini don tsarin iyali da sakandare yayin amfani da abinci tare,
  • Babban mahimman bayanai game da kwayoyin triglyceride na nau'in 4 (rarrabuwa na Fredrickson), lokacin da wasu kwayoyi basa tasiri,
  • Tare da nazarin halittu, nau'in dysbetalipoproteinemia na 3 (rarrabuwa na Fredrickson),
  • Tare da cututtukan zuciya tare da haɗarin haɗari na ischemia na zuciya.

Contraindications Torvacard ko misalanta

Kada a ba da magani na Torvacard, kamar yadda ake amfani dashi a cikin irin waɗannan yanayi:

  • Babban hankalin jiki ga abubuwanda ke cikin allunan,
  • Pathology na ƙwayoyin hanta tare da ƙara yawan ƙwayoyin ƙwayoyin transminase,
  • Rashin ƙwayar ƙwayar hanta na yara (saƙo na A ko B),
  • Cutar cututtukan cututtukan mahaifa na rashin yarda da lactose,
  • Matan da suka isa haihuwa ba tare da wani abin dogara ba,
  • Mata masu juna biyu da uwaye masu shayarwa,
  • Ka girma yaranka har zuwa shekaru 18.

Hanyar yin amfani da statin Torvakard, ko kuma analog da sashi na yau da kullun

Lokaci mafi inganci don ɗaukar allunan Torvacard, ko analogues, shine kafin lokacin bacci, saboda a cikin dare, yawan ƙwayar cholesterol shine mafi girma.

Dukkanin hanyar shan magungunan tare da analogues na Torvacard kuma magani ya kamata ya kasance tare da abinci mai cholesterol.

Yawan magunguna na yau da kullun da daidaiton aikin su:

  • A matakin farko na maganin, ana bayar da allurai na kimanin kilo 10,0, ko 20,0 milligrams, gwargwadon aikin lipogram,
  • Idan kuna buƙatar rage ƙididdigar ƙwayoyin LDL ta 45,0% 50.0%, to, zaku iya fara jiyya tare da kwatancin milligram 40,0 a kowace rana. Don rage cholesterol da sauri, likita da kansa ya yanke shawarar wane irin magani don amfani da Torvacard, ko Atorvastatin (analog na Rasha),
  • Matsakaicin izini na yau da kullun na wannan maganin da ana amfani da shi analogues kada ya wuce milligram 80.0,
  • Sauya miyagun ƙwayoyi tare da analog ɗinsa za'a iya yin shi ba kafin kwana 30 bayan fara karatun warkewa. Ana yin sauyawa idan magani bai nuna mahimmancin warkewar magani ba, ko kuma ya cutar da jikin mai haƙuri. Wajibi ne a nemi likita tare da tasirin sakamako, kuma zai iya samo asali daga cikin analogues cewa mafi aminci shine maye gurbin Torvacard,
  • Kada kuyi amfani da Torvacard, ko misalinsa a matsayin magani na kansa,
  • Lokacin kulawa tare da statins, mutum bai kamata ya manta cewa magungunan wannan rukuni da barasa ba su da alaƙa.

An haramta amfani da Torvacard ga mata masu juna biyu

Anaarin ƙarin analogues

Magunguna, waɗanda babban ɓangaren shine atorvastatin, ana ɗaukar su analogues na Torvacard. Hakanan, analogues na wannan magani na iya zama magunguna, a cikin abin da sashin jiki mai aiki shine rosuvastatin.

Wadannan analogues suna da alaƙa da sabon ƙarni na statins, inda akwai ƙarancin sakamako masu illa ga jikin mutum tare da kyakkyawan sakamako na magani.

Analogs tare da aiki atorvastatin mai aiki:

  • Statin Zannan,
  • Analog na Rasha na Atorvastatin,
  • Atomax magani
  • Magani liprimar,
  • Allunan,
  • Maganin Tulip.

Analogs tare da aiki rosuvastatin mai aiki:

  • Magungunan Rosuvastatin,
  • Magungunan Crestor,
  • Rosucard Allunan,
  • Roxer magani
  • Magungunan Rosulip.

Abun ciki, sakin saki

Atorvastatin - kawai sashi mai aiki a Torvacard. Sauran abubuwanda ake buƙata don ba da ƙirar kwamfutar hannu, ƙara rayuwa ta shiryayye, inganta haɓakar ƙwayar cuta. Fitowa: magnesium oxide, cellulose, lactose monohydrate, sodium croscarmellose, hyprolose, silicon dioxide, magnesium stearate, harsashi (hypromellose, macrogol, titanium dioxide, talc).

Torvacard shine kwamfutar hannu mai launin farin, oval, wacce ke ɗauke da 10, 20, 40 MG na kayan aiki. An samar da fakitoci 30, 90 guda.

Aikin magunguna

Torvacard wakili ne na jini daga rukunin mutum-mutumi. Abubuwan da ke aiki da shi, atorvastatin, yana da ikon toshe ayyukan enzyme na HMG-CoA. Enzyme yana ɗaukar ɗayan ɗayan matakan farko na tasirin cholesterol. Ba tare da shi ba, tsarin samar da jirgi ya tsaya. Cholesterol na jini ya fara raguwa.

Oƙarin ramawa game da rashi ƙwaƙwalwar motsi, jiki yana rushe "mummunan" LDL mai ɗauke da shi. A layi daya, yana haɓaka samarda “liwproteins” mai ƙarfi (HDL), waɗanda ake buƙata don isar da cholesterol a hanta daga ƙwayoyin yanki.

Tabletsaukar allunan Torvacard na iya rage cholesterol by 30-46%, LDL - by 41-61%, triglycerides by 14-33%. Normalization na lipid bayanin martaba na taimaka rage jinkirin ci gaban atherosclerosis. An yi imani da cewa cholesterol mai girma na LDL, kazalika da ƙarancin HDL, yana taka rawa wajen haɓaka shi.

Torvacard yana taimaka wa ƙananan LDL a cikin marasa lafiya tare da familial homozygous hypercholesterolemia. Wannan tsari yana dogaro ne da kashi-kashi: mafi girman kashi, yawan maida hankali yana raguwa.

Atorvastatin yana ɗaukar jiki da sauri. A tsakanin sa'o'i 1-2 bayan gudanarwa, matakin sa a cikin jini ya kai mafi girma. Bayan ɗaukar Torvacard, ya kasance yana aiki har zuwa wani sa'o'i 20-30.

Magungunan sun cire hanta (98%), haka kuma da kodan (2%). Saboda haka, ana iya tsara shi ga marasa lafiya da gazawar koda. Amma tare da matsalolin hanta, dole ne a ɗauka tare da taka tsantsan.

Rage cholesterol, LDL ba a saninsa nan da nan ba. Yana ɗaukar makonni 2 don cimma sakamako na farko. Torvakard yana nuna iyakar ƙarfin bayan makonni 4 daga farkon gudanarwa.

Torvacard: alamomi don amfani

Torvacard, kamar kowane statin, an wajabta shi ga mutanen da ba su iya daidaita kwafin cholesterol ba, LDL tare da tsarin abinci. Dangane da umarnin, an nuna Torvacard don:

  • hereditary homo-, heterozygous hypercholesterolemia zuwa ƙananan cholesterol, LDL, apolipoprotein B, ƙara HDL,
  • triglyceridemia,
  • dysbetalipoproteinemia.

A cikin lokuta na musamman, an wajabta Torvard ga yara 10-17 masu shekaru, a cikin su, wanda, bayan hanya na maganin abinci, cholesterol bai faɗi ƙasa da 190 mg / dl ko LDL a ƙasa da 160 mg / dl. Alamar ta biyu ya kamata a danganta ta da tsinkayar gado zuwa ga ci gaban cututtukan zuciya ko samun ≥ 2 abubuwan haɗari don ci gaban su.

An tsara Atorvastatin don rigakafin cututtukan cututtukan zuciya. Tare da wani nau'in asymptomatic na cututtukan cututtukan zuciya, mutanen da suke da dalilai masu haɗari da yawa don ci gabanta (shan sigari, buguwa, hauhawar jini, ƙarancin HDL, gado), alƙawarin atorvastatin yana taimakawa:

  • rage rashin yiwuwar bugun zuciya, bugun zuciya,
  • hana kai harin angina,
  • Guji tiyata don dawo da jinin al'ada.

Marasa lafiya tare da masu ciwon sukari waɗanda ke da haɗarin haɓakar cututtukan zuciya, an wajabta magunguna don rage yiwuwar haɓaka bugun zuciya, bugun zuciya.

Marasa lafiya tare da cututtukan zuciya da jijiyoyin jini suna ɗaukar Torvacard na:

  • rage hadarin infarction na zuciya, bugun jini (tare da / ba tare da mutuwa ba),
  • rage yawan asibiti a asibiti saboda ciwon zuciya,
  • rigakafin angina pectoris.

Hanyar aikace-aikacen, sashi

Ana ɗaukar Torvacard sau ɗaya / rana, kafin, bayan, ko tare da abinci. Yana da mahimmanci a bi lokaci ɗaya na shiga. An hadiye kwamfutar hannu gaba daya (kar a tauna, kar a raba), an wanke shi da ruwan sips da yawa.

Torvacard yana farawa da mafi ƙarancin magani. Bayan makonni 4, likita yayi nazarin matakin cholesterol, LDL. Idan ba a cimma sakamako da ake so ba, ana ƙaruwa da kashi. Nan gaba, ana aiwatar da daidaitawa ta yau da kullun tare da tazara ta aƙalla makonni 4. Matsakaicin sashi na Torvacard shine 80 MG. Idan irin wannan adadin ƙwayoyin atorvastatin ba zai iya daidaita cholesterol ba, to ana yin ƙarin statin ƙarfi ko ƙarin ƙwayoyi tare da irin wannan sakamako.

Shawarar farko da aka bayar da shawarar Torvacard don maganin marasa lafiya tare da hypercholesterolemia na gado, cakuda dyslipidemia shine 10-20 mg / rana. Marasa lafiya waɗanda ke buƙatar saukar da ƙwayar cholesterol na gaggawa (fiye da 45%) ana rubuta su nan da nan 40 MG.

Ana bin irin tsarin kulawa iri ɗaya lokacin da aka rubuta atorvastatin ga marasa lafiya da cututtukan jijiyoyin zuciya. Umarnin don Torvacard shawarwari ne na Europeanungiyar Turai don Atherosclerosis don maƙasudin maganin rage ƙwayar lipid. An yi imanin cewa shahararren nasara don cin nasara shine babban nasarar tasirin cholesterol

Dangane da umarnin don amfani da Torvacard, bai kamata a rubuta maganin ga marasa lafiya da hankalinsu ga atorvastatin ba, sauran abubuwan da ke tattare da miyagun ƙwayoyi ko statins. Marasa lafiya da rashi lactose yakamata su kula da kasancewar lactose.

  • tare da m hepatic pathologies,
  • tare da ci gaba da karuwa a transaminases na asalin da ba a sani ba,
  • ƙananan yara (banda yara masu cutar heterozygous hypercholesterolemia),
  • mai ciki
  • lactating
  • matan masu haihuwa, wadanda ba sa amfani da rigakafin abin maye.

Idan mace tayi ciki yayin shan Torvacard, nan da nan sai an soke maganin. Cholesterol ya zama dole ga tayin ya zama al'ada. Gwaje-gwajen gwaji a kan berayen sun nuna cewa dabbobin da ke karbar atorvastatin sun haife sickan marayu. Wannan bayanin ya zama kamar masana kwararru sun isa sun hana amfani da duk wani mutum-mutumi a cikin mata masu juna biyu.

Yawancin marasa lafiya sun yi haƙuri da miyagun ƙwayoyi. Abubuwan da ke haifar da illa ba sa tasiri ga ingancin rayuwa, wuce cikin fewan kwanaki ko makonni. Wasu nau'ikan mutane sun yarda da warkarwa mafi wahala. Marasa lafiya marasa lafiya suna fuskantar mummunan cutar. Matsalar da za a iya samu na Torvacard:

  • rhinitis, ciwon makogwaro,
  • halayen rashin lafiyan halayen
  • babban sukari
  • ciwon kai
  • hanci
  • take hakkin narkewa kamar (maƙarƙashiya, gas, tashin zuciya, dyspepsia, zawo),
  • hadin gwiwa, ciwon tsoka,
  • jijiyar wuya
  • ƙara yawan AlT, AST, GGT.

  • karancin sukari
  • taro da yawa
  • anorexia
  • rashin bacci
  • nasiha
  • tsananin farin ciki
  • rikicewar hankali
  • Ku ɗanɗani ɓarna
  • amnesia
  • hangen nesa
  • tinnitus
  • rauni na tsoka
  • ciwon wuya
  • kumburi
  • gajiya
  • zazzabi
  • urticaria, itching, kurji,
  • leukocyturia,
  • hawan glycosylated haemoglobin.

  • thrombocytopenia
  • jijiya
  • karancin gani
  • cholestasis
  • Rubutun 'Quincke's edema,
  • rashin lafiya dermatitis,
  • ciwon kai
  • kumburi tsoka
  • rhydomyolysis,
  • ragewar zuciya
  • take hakkin erection.

  • anaphylaxis,
  • kururuwa
  • gazawar hanta
  • gynecomastia
  • cutar huhun ciki.

An tsara Torvacard tare da taka tsantsan ga mutanen da ke da sha'awar haɓaka rhabdomyolysis. Kafin fara jiyya, har ma a duk tsawon lokacin, suna buƙatar sarrafa matakin ƙirar creatine kinase. Marasa lafiya tare da:

  • mai aiki mai ɗaukar hoto,
  • karancin cututtukan thyroid (hypothyroidism),
  • matsalolin gado tare da tsokoki na kwarangwal (ciki har da dangi),
  • myopathy / rhabdomyolysis bayan ɗaukar tarihin statins,
  • mummunan cutar hanta da / ko barasa.

Dole ne a bi irin wannan taka tsantsan don tsofaffi (sama da 70), yin la'akari da sauran abubuwan haɗari.

Kuna buƙatar dakatar da shan Torvacard na ɗan lokaci, gaya wa likitanka idan kuna da:

  • katako ba tare da izini ba
  • high / low potassium matakan jini,
  • matsin lamba ya ragu sosai
  • mummunan kamuwa da cuta
  • idan an yi tiyata ko a gaggawa.

Kammalawa

Magunguna na Torvakard rukuni na mutum-mutumi magani ne mai inganci a cikin yaƙi da cholesterol marasa haɗari, wanda ke da manyan jerin analogues, wanda ke ba da izinin gudanar da karatun likita.

Sakamakon statins yana ƙara yawan abincin cholesterol. Kada kuyi amfani da Torvacard da analogues don maganin kanku da kanku.

Veronika, dan shekara 35: Ina da hypercholesterolemia, kuma an gano cewa yana da sanadin iyali. Dole ne in runtse cholesterol tare da kwayoyi daban-daban, amma har yanzu likita ta tsaya akan allunan Torvakard.

Na kwashe su tsawon waɗancan watanni, amma sakamakon farko da na ɗauka bayan shan magungunan wata guda baya. A cikin waɗannan watanni, kwalagina ba ya tashi. Torvacard ba shi da wani mummunan tasiri a jikina.

Svyatoslav, 46 years old: Na kamu da cutar atherosclerosis da zaran na cika shekaru 40, kuma tun daga wannan lokacin nake ci gaba da karbar kwasa-kwasan tsarin kula da jiyya. Yawancin lokaci aikin warkewa yana wuce 10 watanni 12 12, amma tasirin sa baya wuce watanni shida, sannan cholesterol ya sake tashi.

Shekaru daya da rabi da suka wuce, likita ya karɓi magani na Torvakard. Na dauki shi tsawon watanni 5, amma na ji ingancin wannan magani bayan wata daya. A cikin shekarar, ƙwaƙwalwarina ta kasance al'ada, yanzu ya fara tashi kaɗan, amma ba tare da tsalle mai tsini ba.

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