Amoxicillin Sandoz - umarnin don amfani

Amoxicillin Sandoz: umarnin don amfani da sake dubawa

Sunan Latin: Amoxicillin Sandoz

Lambar ATX: J01CA04

Abunda yake aiki: amoxicillin (Amoxicillin)

Mai gabatarwa: Sandoz, GmbH (Sandoz, GmbH) (Austria)

Ana ɗaukaka bayanin da hoto: 07/10/2019

Farashin kuɗi a cikin kantin magani: daga 123 rubles.

Amoxicillin Sandoz maganin rigakafi ne daga rukunin penicillins na semisynthetic.

Formaddamar da tsari da abun da ke ciki

Hanya sashi - allunan da aka shirya fim: oblong (0.5 g kowace) ko m (1 g kowane), biconvex, tare da notches a garesu, daga fari zuwa dan rawaya kadan a launi (sashi 0.5 g: 10 da 12 inji mai kwakwalwa a cikin blisters, a cikin kwali 1 kwarjinin ciki da umarnin don amfani da Amoxicillin Sandoz, marufi don asibitoci - a cikin kwali kwali 100 blisters don Allunan 10, sashi 1 g: 6 da kuma guda 10 a cikin blisters, a cikin kwali 2 kwali 2 blisters da umarnin ga miyagun ƙwayoyi, sutura don asibitoci - a cikin kwali na kwali na blisters 100).

Abun ciki 1 kwamfutar hannu:

  • abu mai aiki: amoxicillin (a cikin nau'in trihydrate) - 0.5 ko 1 g,
  • abubuwan taimako: microcrystalline cellulose, povidone, sitaci carboxymethyl sitaci (nau'in A), magnesium stearate,
  • zanen fim: hypromellose, talc, titanium dioxide.

Pharmacodynamics

Amoxicillin - kayan aiki masu amfani da ƙwayar cuta - shine penicillin na Semi-roba mai motsa jiki tare da sakamako na kwayan cuta.

Tsarin aikin shine saboda ikon amoxicillin don lalata ƙwayar sel na ƙwayoyin cuta a cikin matakan haifuwa. A miyagun ƙwayoyi musamman hanawa enzymes na sel membranes na kwayoyin (peptidoglycans), sakamakon su lysis da mutuwa.

Amoxicillin Sandoz yana aiki da ƙwayoyin cuta masu zuwa:

  • Gram-tabbatacce aerobic microorganisms: Streptococcus spp. (ciki har da S. pneumoniae), Listeria monocytogenes, Enterococcus faecalis, Bacillus anthracis, Staphylococcus spp. (ban da penicillinase samar da damuwa), Corynebacterium spp. (ban da C. jeikeium),
  • gram-negative aerobic microorganisms: Neisseria spp., Borrelia spp., Shigella spp., Helicobacter pylori, Escherichia coli, Salmonella spp., Campylobacter, Haemophilus spp., Proteus mirabilis, Leptospira spp., Treponema spp.,,
  • kwayoyin anaerobic: Fusobacterium spp., Bacteroides melaninogenicus, Peptostreptococcus spp., Clostridium spp.,
  • wasu: Chlamydia spp.

Amoxicillin Sandoz baya aiki da wadannan kwayoyin:

  • Kwayoyin ƙwayoyin cuta na ƙwayar cuta na ƙwayar cuta na ƙwayar cuta: staphylococcus (nau'in samar da lactamase),
  • gram-korau aerobic kwayoyin cuta: Klebsiella spp., Citrobacter spp., Proteus spp., Acinetobacter spp., Pseudomonas spp., Serratia spp., Moraxella catarrhalis, Enterobacter spp., Providencia spp.,,
  • kwayoyin cutar anaerobic: Bacteroides spp.,,
  • Sauran: Rickettsia spp., Mycoplasma spp.

Pharmacokinetics

Bayan kashi na maganin amoxicillin Sandoz 0.5 g, yawan ƙwayar cutar ta plasma na miyagun ƙwayoyi yana daga 6 zuwa 11 mg / L. Lokacin da za a kai ga yawan maida hankalin plasma shine sa'o'i 1-2. Cin abinci baya tasiri sha (saurin gudu da digiri). Cikakken bioavailability ya dogara da kashi-kashi a cikin yanayin kuma zai iya zama 75-90%.

15-25% na maganin da aka karɓa yana ɗaukar garkuwar plasma. Amoxicillin ya shiga cikin hanzari ya shiga, bijirowar zuciya, tsokar huhu, fitsari, ruwa mai na tsakiyar kunne. A cikin adadi kaɗan ya shiga cikin ruwan cerebrospinal, muddin babu kumburin maza, in ba haka ba abun da ke cikin ƙwayar cerebrospinal zai iya kaiwa kashi 20 cikin ɗari na ƙwayar plasma. Yana shiga cikin mahaifa, a cikin adadi kaɗan cikin madara.

Har zuwa 25% na maganin da aka yarda da shi yana daidaitawa tare da samuwar penicilloic acid, wanda ba shi da aikin magunguna.

An nuna shi: 60-80% na kashi - da kodan ba'a canza shi ba don sa'o'i 6-8 bayan shan Amoxicillin Sandoz, karamin adadin - tare da bile.

Rabin rayuwar (T½) shine 1‒1.5 hours, tare da ƙarancin tashar tasirin zai iya bambanta tsakanin 5‒20 hours.

An cire Amoxicillin daga jiki yayin hemodialysis.

Tsari sashi:

Allunan mai rufe fim.

Bayanin

Kwala (sashi 0.5 g) ko m (sashi na 1.0 g) allunan biconvex, an hada da fim daga fari zuwa dan kadan mai launin shuɗi, tare da kwano a ɓangarorin biyu.

1 kwamfutar hannu 1 of 0.5 g da 1.0 g ya ƙunshi:
Ainihin
Aiki mai aiki: amoxicillin (a cikin nau'in amoxicillin trihydrate) 500.0 MG (574.0 mg) da 1000.0 mg (1148.0 mg), bi da bi.
Fitowa: magnesium stearate 5.0 mg / 10.0 mg, povidone 12.5 mg / 25.0 mg, sitaci carboxymethyl sitaci (nau'in A) 20.0 mg / 40.0 mg, microcrystalline cellulose 60.5 mg / 121 mg.
Athan fim: titanium dioxide 0.340 mg / 0.68 mg, talc 0.535 mg / 1.07 mg, hypromellose 2.125 mg / 4.25 mg.

Alamu don amfani

Ana amfani da Amoxicillin Sandoz don maganin cututtukan da ke haifar da kumburi da ƙwayoyin cuta ke haifar da ƙwayar cuta:

  • Gabobin ENT, na ciki da na ƙananan na numfashi: babban otitis media, tonsillitis, pharyngitis, ciwon huhu, mashako, ƙonewar huhu,
  • Tsarin cututtukan ƙwayar cuta: cystitis, endometritis, adnexitis, zubar da ciki na jini, cututtukan fata, pyelonephritis, epididymitis, cututtukan ƙwayar cuta, cututtukan ƙwayar cuta na ƙwayar cuta, da dai sauransu,
  • gastrointestinal fili: ƙwayar cuta ta ƙwayar cuta (don cututtukan da ke haifar da microorganisms anaerobic, ana amfani da miyagun ƙwayoyi a matsayin ɓangare na maganin haɗin gwiwa),
  • bile ducts: cholecystitis, cholangitis,
  • listeriosis, leptospirosis, cutar Lyme (borreliosis),
  • cututtukan fata da kyallen takarda,
  • endocarditis (gami da rigakafin ta yayin hanyoyin hakori).

Hakanan, ana amfani da allunan Amoxicillin Sandoz a matsayin wani ɓangare na maganin haɗuwa (tare da clarithromycin, metronidazole ko inhibitors pumpton) don kawar da Helloriobacter pylori.

Contraindications

  • yara 'yan shekaru 3,
  • hypersensitivity zuwa wasu maganin rigakafin beta-lactam, alal misali, cephalosporins ko carbapenems (amsawa giciye na iya haɓaka),
  • nono
  • increasedara haɓakar hankalin kowane ƙwayoyi ko maganin penicillin.

Ya kamata a yi amfani da allunan Amoxicillin Sandoz tare da taka tsantsan a waɗannan lamura:

  • matsanancin narkewar abinci, tare da raɗaɗin zawo / amai,
  • mai aiki mai ɗaukar hoto,
  • hoto ko bidiyo mai zagaya yanar gizo da sauri cututtuka
  • asma,
  • rashin lafiyan diathesis
  • na ciwon maɗamfari mononucleosis (haɓakar hadarin kamuwa da fata fatar fata),
  • m lymphoblastic cutar sankarar bargo,
  • yara sama da 3,
  • ciki (fa'idodi ga uwa yakamata ya zarce hadarin da tayi).

Maganin magunguna

Pharmacodynamics
Amoxicillin wani abu ne wanda yake dauke da kwayoyin cuta wanda yake dauke da kwayoyin cuta.
Tsarin aikin kwayar cuta na amoxicillin yana da alaƙa da lalacewar membrane na ƙwayoyin cuta a cikin matakan yaduwa. Amoxicillin musamman yana hana enzymes na membranes na kwayan cuta (peptidoglycans), sakamakon haifar da lamuransu da mutuwa.
Aiki da:
Gram-tabbatacce ƙwayoyin cuta
Bacillus anthracis
Corynebacterium spp.
(ban da Carinnebacterium Jeikeium)
Encerococcus faecalis
Listeria monocytogenes
Gagarin spp.
(gami da Kwayar cutar huhu)
Staphylococcus spp. (ban da penicillinase samar da damuwa).
Gram-korau kwayoyin aerobic
Borrelia sp.
Escherichia coli
Haemophilus spp.
Helloriobacter pylori
Leptospira spp.
Neisseria spp.
Kare mirabilis
Salmonella spp.
Shigella spp.
Treponema spp.
Labarun
Sauran
Chlamydia spp.
Kwayoyin cutar Anaerobic
Bacteroides melaninogenicus
Clostridium spp.
Fusobacterium spp.
Kawaicin spp.
Rashin aiki da:
Gram-tabbatacce ƙwayoyin cuta
Karafarini
(β-lactamase na haifar da damuwa)
Gram-korau kwayoyin aerobic
Acinetobacter spp.
Citrobacter spp.
Enterobacter spp.
Klebsiella spp.
Moraxella catarrhalis
Kare spp.
Bayanai spp.
Pseudomonas spp.
Serratia spp.
Kwayoyin cutar Anaerobic
Bacteroides spp.
Sauran
Mycoplasma spp.
Rickettsia spp.
Pharmacokinetics

Cikakken bioavailability na amoxicillin ya dogara da kashi kuma yana tsakanin 75 zuwa 90%. Kasancewar abinci baya tasiri sha da miyagun ƙwayoyi. Sakamakon gudanar da maganin amoxicillin a cikin kashi ɗaya na 500 MG, haɗuwa da miyagun ƙwayoyi a cikin plasma shine 6 - 11 mg / L. Bayan gudanarwar baka, mafi girman maida hankali ne kai bayan awa 1-2.
Tsakanin 15% zuwa 25% na amoxicillin yana ɗaure zuwa kariyar plasma.
Magunguna yana sauri ya shiga cikin huhun huhu, ƙwanƙwashin hanji, ƙwayar kunne ta tsakiya, bile da fitsari. Idan babu kumburi da meninges, amoxicillin ya shiga cikin ƙwayar cerebrospinal a cikin adadi kaɗan.
Tare da kumburi na meninges, maida hankali ne na miyagun ƙwayoyi a cikin ƙwayar cerebrospinal na iya zama 20% na taro a cikin jini na jini. Amoxicillin ya ratsa cikin mahaifa kuma ana samun shi da yawa a cikin madara mai nono.
Har zuwa 25% na kashi na sarrafawa metabolized tare da samuwar penicilloic acid mara aiki.
Kimanin kashi 60-80% amoxicillin ya fito waje canzawa da kodan a tsakanin 6 zuwa 8 bayan shan miyagun ƙwayoyi.
Ana amfani da ɗan ƙaramin ƙwayar a cikin bile.
Rabin rayuwar shine 1-1.5 hours. A cikin marasa lafiya da ƙarshen ƙarancin na koda, gawar rabin rayuwa ta bambanta daga 5 zuwa 20 hours. Magungunan yana warkar da cutar sankara.

Ana nuna Amoxicillin na cututtukan da ke haifar da kumburi da ke haifar da ƙwayoyin cuta marasa tsayayya:
• cututtuka na ciki da na ƙananan hanji da na jijiyoyin ENT (tonsillitis, m otitis media, pharyngitis, mashako, ciwon huhu, ƙonewar huhu),
• cututtukan cututtuka na cututtukan ƙwayar cuta na cututtukan ƙwayar cuta (cututtukan ƙwayar cuta, pyelonephritis, cututtukan cututtukan fata, cututtukan ƙwayar cuta na ƙwayar cuta, epididymitis, cystitis, adnexitis, zubar da ciki, zubar da ciki, da dai sauransu),
• cututtukan gastrointestinal: ƙwayar cuta ta ƙwayar cuta. Ana buƙatar buƙatar haɗin haɗin don cututtukan da ke haifar da ƙananan ƙwayoyin cuta anaerobic,
• cututtukan cututtuka da na kumburi da ƙwayar biliary (cholangitis, cholecystitis),
• lalata Helloriobacter pylori (a haɗe tare da masu hana bututun sarrafa proton, clarithromycin ko metronidazole),
• kamuwa da cuta fata da taushi,
• leptospirosis, listeriosis, cutar Lyme (borreliosis),
• endocarditis (ciki har da rigakafin endocarditis yayin tsarin hakori).

Yi amfani da lokacin daukar ciki da lactation

Nazarin dabbobi sun nuna cewa amoxicillin bashi da ciki, teratogenic da tasirin mutagenic akan tayi. Koyaya, ingantaccen nazari mai cikakken iko kan amfani da amoxicillin a cikin mata masu juna biyu, saboda haka, amfani da amoxicillin yayin daukar ciki zai yuwu ne kawai idan amfanin da ake tsammanin zai yiwa mahaifiyar fiye da girman hadarin da tayi. Magungunan sun lalace a cikin madarar nono, don haka lokacin da ake yin maganin tare da amoxicillin yayin shayarwa, ya zama dole a magance matsalar dakatar da shayarwa, tunda zawo da / ko kuma farantawa cikin ƙwayar mucous zai iya haɓaka, harma da kula da maganin ƙwayoyin cuta na beta-lactam a cikin jariri.

Sashi da gudanarwa

A ciki.
Kamuwa da cuta:
A matsayinka na mai mulkin, ana bada shawarar amfani da farji don ci gaba na kwanaki 2-3 bayan bacewar alamun cutar. Game da cututtukan cututtukan da ke haifar da β-hemolytic streptococcus, cikakkiyar kawar da pathogen yana buƙatar magani don akalla kwanaki 10.
Ana nuna alamun wariyar cutar don rashin yiwuwar gudanar da maganin baka da kuma magance cututtukan cututtukan fata.
Dosages na manya (gami da marassa lafiyar mara lafiya)
Matsayi na yau da kullun:
Yawan da aka saba samu daga 750 MG zuwa 3 g na amoxicillin kowace rana a yawancin allurai. A wasu halaye, ana bada shawara don iyakance kashi zuwa 1500 MG kowace rana a yawancin magunguna.
Short hanya na far:
Rashin cututtukan urinary na ciki wanda ba a ɗauka ba: shan 2 g na miyagun ƙwayoyi sau biyu don kowane allura tare da tazara tsakanin allurai na awa 10-12.
Sashin yara (har zuwa shekaru 12):
Adadin yau da kullun ga yara shine 25-50 mg / kg / rana a cikin allurai masu yawa (matsakaicin 60 mg / kg / rana), gwargwadon nuni da tsananin cutar.
Yara masu nauyin sama da kilogiram 40 ya kamata su karɓi sigar girma.
Sashi don na koda gazawar:
A cikin marasa lafiya da gazawar haɓaka mai yawa, kashi ya kamata a rage. Tare da share koda na ƙasa da 30 ml / min, ana bada shawarar haɓaka tazara tsakanin allurai ko rage yawan allurai masu zuwa. A gazawar koda, gajerun darussan na maganin 3 g an contraindicated.

Manya (gami da marassa lafiyar):

Inirƙiraran rarrashin ml / minKashiTazara tsakanin allurai
> 30Babu canje-canje na kashi da ake bukata
10-30500 MG12 a
500 MG24 a
Tare da cututtukan jijiyoyin jini: Dole ne a ƙaddamar da 500 MG bayan hanyar.

Arancin aiki na yara a cikin yara waɗanda ke ƙasa da kilo 40

Inirƙiraran rarrashin ml / minKashiTazara tsakanin allurai
> 30Babu canje-canje na kashi da ake bukata
10-3015 MG / kg12 a
15 MG / kg24 a

Rigakafin Endocarditis
Don rigakafin endocarditis a cikin marasa lafiya ba a ƙarƙashin maganin sa barci gaba ɗaya ba, ya kamata a sanya 3 g na amoxicillin 1 sa'a kafin tiyata kuma, idan ya cancanta, wani 3 g bayan 6 hours.
Anyi shawarar yara don rubanya amoxicillin a kashi 50 MG / kg.
Don ƙarin cikakkun bayanai da kwatancin nau'ikan marasa lafiya da ke cikin haɗari don endocarditis, koma zuwa jagororin hukuma na gida.

Side sakamako

An bayyana abin da ya faru na sakamako masu illa daidai da abubuwanda aka biyo baya: m - fiye da 10%, akai-akai - daga 1 zuwa 10%, mara yawa - daga 0.1% zuwa 1%, rare - daga 0.01 zuwa 0.1%, sosai da wuya - ƙasa da 0.01%.
Daga tsarin zuciya:akai-akai: tachycardia, phlebitis, rare: saukar da karfin jini, da wuya sosai: Tsakanin QT yana tsawaita.
A bangare na jini da tsarin lymphatic:akai-akai: eosinophilia, leukopenia, m: neutropenia, thrombocytopenia, agranulocytosis, da wuya sosai: anaemia (ciki har da haemolytic), thrombocytopenic purpura, pancytopenia.
Daga tsarin juyayi:akai-akai: nutsuwa, ciwon kai, farin ciki, m: juyayi, tashin hankali, damuwa, ataxia, canjin hali, neuropathy na waje, damuwa, damuwa, barci, damuwa, damuwa, damuwa, rashi, da wuya sosai: hypersthesia, hangen nesa mara amfani, kamshi da ji na gani, hallucinations.
Daga tsarin kulawa:m: interstitial nephritis, ƙara yawan ƙwayoyin halittar hankali.
Daga cikin hanji da hanta: dysbiosis, canjin ɗanɗano, stomatitis, glossitis, akai-akai: tashin zuciya, tashin zuciya, karuwa a cikin hepatic fihirisa (ALT, AST, alkaline phosphatase, γ-glutamyltransferase), karuwa a cikin taro na bilirubin a cikin jijiyoyin jini, m: amai, dyspepsia, ciwan epigastric, hepatitis, cholestatic jaundice, da wuya sosai: gazawar hanta, gudawa tare da jini, bayyanar cututtukan fata, bayyanar launin launin baki na harshe.
Daga tsarin musculoskeletal:m: arthralgia, myalgia, cututtukan tendon ciki har da tendonitis, da wuya sosai: jijiyoyin jiki (yiwuwar biyu da kuma awanni 48 bayan farawar magani), rauni na tsoka, rhabdomyolysis.
A gefen fata:akai-akai: pruritus, kurji, m: cututtukan mahaifa da wuya sosai: daukar hoto, kumburi da fata da mucous membranes, m exudative erythema (Stevens-Johnson ciwo), mai guba epidermal necrolysis (Lyell syndrome).
Daga tsarin endocrine:m: anorexia da wuya sosai: hypoglycemia, musamman a cikin marasa lafiya da ciwon sukari.
Daga tsarin numfashi:m: Hannane, Dyspnoea, da wuya sosai: rashin lafiyan ciwon huhu.
Janar:m: janar gaba daya da wuya sosai: zazzabi.
Sauran: kasawa numfashi, candidiasis na farji, m: superinfection (musamman ma a cikin marasa lafiya da cututtuka na kullum ko rage juriya), halayen da ke kama da cutar mara lafiya, lokuta daban: amafflactic rawar jiki.

Yawan damuwa

Bayyanar cututtuka: tashin zuciya, amai, gudawa, nakasa ruwa-electrolyte ma'auni, nephrotoxicity, crystalloria, amo amo.
Jiyya: Ciwon gawayi da aiki, maganin tiyata, gyaran rashin daidaituwa game da ruwa, zai iya yiwuwa.

Yin hulɗa tare da wasu kwayoyi

Zai yiwu karuwar lokacin ɗaukar abubuwa digoxin yayin maganin amoxicillin Sandoz ®.
Probenecid yana rage haɓakar amoxicillin ta ƙodan kuma yana ƙara haɗuwa da amoxicillin cikin bile da jini.
Lokaci guda na amfani da amoxicillin da sauran su kwayoyi masu kashe kwayoyin cuta (macrolides, tetracyclines, sulfonamides, chloramphenicol) saboda yiwuwar antagonism. Tare da amfani lokaci daya aminoglycosides kuma amoxicillin na iya haɓaka tasirin tasirin gaske.
Amfani da lokaci guda na amoxicillin da disulfiram.
Tare da amfani lokaci daya kashiwa kuma amoxicillin, karuwa a cikin yawan guba na tsohuwar mai yiwuwa ne, mai yiwuwa saboda gasawar hana tubular koda ta ɓoye na methotrexate ta amoxicillin.
Antacids, glucosamine, laxatives, abinci, aminoglycosides rage gudu da rage sha, maganin ascorbic acid yana kara yawan amoxicillin.
Yana ƙaruwa da tasiri kai tsaye anticoagulants (yana rage microflora na hanji, yana rage sinadarin bitamin K da tsarin prothrombin), yana rage tasiri magungunan hana daukar ciki na kwayar cutar kansa, kwayoyi wadanda ke lalata para-aminobenzoic acid (PABA), ethinyl estradiol - haɗarin zub da jini "nasara".
Diuretics, allopurinol, oxyphenbutazone, phenylbutazone, magungunan anti-steroidal anti-inflammatory da sauran kwayoyi waɗanda ke toshe ɓoyayyen ɓarkewa, ƙara maida hankali ne ga amoxicillin a cikin jini.
Allopurinol yana ƙara haɗarin haɓakar fatar fata.

Umarni na musamman

Kafin ka tsara Amoxicillin Sandoz ®, dole ne ka tabbatar cewa ire-iren cututtukan cututtukan da suke haifar da cututtukan cututtukan suna kula da miyagun ƙwayoyi.
A cikin cututtukan cututtukan ciki da na kumburi da jijiyoyin ciki, tare da raɗaɗɗar zawo ko tashin zuciya, ba a ba da shawarar ɗaukar Amoxicillin Sandoz ® a ciki saboda yiwuwar ƙarancin maganin.
Lokacin da ake magance zawo mai laushi tare da hanyar kulawa, ya kamata a guji magungunan antidiarrheal waɗanda ke rage motsin hanji, kuma za'a iya amfani da magungunan antolkararhehe kaolin ko attapulgite. Don tsananin zawo, nemi likita.
Tare da haɓakar cutar zazzabin cizon sauro mai ƙarfi, haɓakar cututtukan cututtukan cututtukan fata (haifar da ita) Clostridium difficile). A wannan yanayin, ya kamata a dakatar da Amoxicillin Sandoz and kuma ya kamata a ba da magani mai dacewa. A lokaci guda, kwayoyi waɗanda ke rage motsin ƙwayar jijiyoyin ciki suna haɓaka.
Tare da hanya, ana buƙatar saka idanu kan yanayin aikin jini, hanta da kodan.
Zai yuwu a haɓaka superinfection saboda haɓakar microflora wanda ba shi da hankali, wanda ke buƙatar canji mai dacewa a cikin maganin rigakafi.
A cikin marasa lafiya tare da tashin hankali zuwa maganin penicillins, halayen giciye tare da wasu maganin rigakafin beta-lactam mai yiwuwa.
Dole ne a ci gaba da yin magani na wasu awanni 48-72 bayan bacewar alamun asibiti na cutar.
Ta amfani da magungunan hana daukar ciki na kwayar cutar kwayar cutar kwayar cutar kwayoyi tare da amoxicillin, sauran ko ƙarin hanyoyin hana daukar ciki ya yiwu.
Ba a shawarar Amoxicillin Sandoz ® don magance cututtukan cututtukan ƙwayar cuta ta hanji saboda ƙarancinsa.
Musamman takamaiman bada shawarar ga marasa lafiya da rashin lafiyan diathesis ko fuka-fuka, tarihin cututtukan gastrointestinal (musamman, colitis wanda ya lalace ta hanyar maganin kashe kwayoyin cuta).
Tare da tsawanta yin amfani da Amoxicillin Sandoz ®, nystatin, levorin, ko wasu magungunan antifungal ya kamata a rubuto su lokaci guda.
Yayin magani, ba a bada shawarar ethanol ba.
Amfani da Amoxicillin Sandoz ® ba ya shafar sakamakon binciken enzymatic na glucosuria, duk da haka, sakamakon urinalysis na urinal na karya don glucose mai yiwuwa ne.
Yayin shan Amxicillin Sandoz ®, ana bada shawara cewa ku sha mai yawa na ruwa don hana samuwar lu'ulu'u na amoxicillin a cikin fitsari.

Tasiri a kan ikon tuka motoci da yin wasu ayyukan da ke buƙatar natsuwa da saurin halayen psychomotor

Sakamakon yiwuwar sakamako masu illa, irin su nutsuwa, ciwon kai da rikicewa, ya kamata a yi taka tsantsan yayin shiga cikin abubuwan haɗari waɗanda ke buƙatar haɓakar maida hankali da saurin halayen psychomotor.

Abun ciki na Allunan Allunan

Kwayoyin rigakafin an samar da su ne a cikin magunguna daga kwayar 125 zuwa 1 gram. Abubuwan da ke aiki na miyagun ƙwayoyi shine asalin sunan - amoxicillin a cikin nau'in trihydrate. Kamar yadda aka yi amfani da kayan taimako:

  • magnesium stearate,
  • foda talcum
  • dankalin turawa, sitaci.

Har ila yau, capsules yana dauke da kayan kwalliya mai narkewa.

Magungunan yana cikin rigakafin cututtukan rigakafi na jerin maganin penicillin. Yana da tasiri a kan gram-korau da na gram-tabbatacce kwayoyin, kazalika da gram-korau sanduna. Aiki sashi na bada gudummawa ga hanawar kwayar halitta ta bango, ta dakatar da karuwa a cikin kananan halittu na kwayoyin hana daukar ciki.

Umarnin don amfani da Allunan Amoxicillin 250 MG

Magungunan Amoxicillin 0.25 g an wajabta shi ga yara da manya tare da m zuwa matsakaici hanya na cutar aƙalla kwanaki 5. Matsakaicin lokacin amfani shine makonni 2.

Wajibi ne a sha magani kowane 8 hours kafin cin abinci:

  • Allunan - shekaru 2,
  • ga kwamfutar hannu baki ɗaya - daga shekara 5,
  • Allunan 1-2 - daga shekaru 10 da haihuwa.

Abubuwan da ke nuna alama don amfani sune raunukan ƙwayar ƙwayar cuta na tsarin na sama da ƙananan tsarin:

  • mashako
  • tracheitis
  • pharyngitis
  • ƙwaƙwalwar ƙwayar cuta
  • sinusitis
  • sinusitis
  • sepsis
  • kazalika da cututtukan fata da cututtukan fata da ke haifar da fatar kan fata.

Umarnin don amfani da Allunan Amoxicillin 500 MG

Magungunan Amoxicillin 0.5 g an yi nufin ne ga manya da yara sama da shekaru 10. Yana da mahimmanci cewa nauyin jikin mutum ya wuce 40 kg. Tsawon lokacin jiyya an ƙaddara akayi daban-daban kuma yawanci shine 7-10 kwana.

Tare da tsawanta yin amfani da miyagun ƙwayoyi, tare da ƙwayar rigakafi, ana bada shawara don shan magungunan antifungal.

An hana shi wuce ƙima na halatta, saboda wannan na iya tayar da martani mai daɗi.

Umarnin don amfani da Allunan Amoxicillin 875 + 125

Don wasu cututtuka, ana buƙatar capsules na Amoxicillin tare da sashi na 875 + 125. Wadannan lambobi suna nufin cewa a cikin kashi ɗaya na miyagun ƙwayoyi ya ƙunshi 875 MG na wani abu mai hana ƙwayoyin cuta da kuma kashi 125 na kayan haɗin da ke hana juriya na ƙwayoyin cuta. Yawanci, mai hanawa shine clavulanic acid. Sakamakon haka, ƙwayoyin ƙwayoyin cuta na penicillinase ba su iya jure wa wakilin maganin rigakafi kamar yadda za su iya ba tare da mai hanawa ba.

An wajabta magunguna don cututtukan matsakaici da mai tsanani:

  • tsarin numfashi
  • cututtukan nama lymphoid,
  • Tsarin kumburi na tsarin urinary da gabobin haihuwa.

An tsara yara daga shekara 12 da manya an rubutasu 1 capsule (875 + 125) a kowace yarda. 2auki sau 2 yayin rana. Tsawan lokacin magani shine kwanaki 5-14.

Umarnin don amfani da Allunan Amoxicillin 1000 MG

An bayar da takardar izini don maganin rigakafin ƙwayar cuta ta Amoxicillin a cikin sashi na 1 gram don marasa lafiya da mummunan cututtuka na tsarin numfashi, ƙwayar urogenital da fata. Za'a iya amfani da maganin a cikin yara waɗanda nauyin jikinsu ya wuce 40 kg, kuma ga manya:

  • a kashi 1 na kawa,
  • dauki sau 2 a rana bayan lokaci daidai,
  • tsawon lokacin amfani shine makonni 1-2.

Tare da zazzabi na typhoid, ana daukar 1.5-2 g na kwayoyin rigakafi sau 3 a rana. Bayan tog, yadda alamun cutar ke ɓacewa, ana ci gaba da jinya na wani kwanaki 2-3.

Allunan 3 na Amoxicillin - umarnin don amfani

Don maganin cututtukan ƙwayar cuta, wanda ya ci gaba a cikin mummunan yanayin ba a ɗauka ba, ana wajabta wakili na maganin rigakafi a cikin adadin 3 grams. Wannan shine kawai lokacin da aka tsara babban adadin maganin rigakafi don kashi ɗaya.

Don lura da cututtukan zuciya da aka yi amfani da su:

  • a cikin maza, 3 capsules na 1000 MG sau ɗaya,
  • a cikin mata, 3 g na miyagun ƙwayoyi na kwana biyu.

A shawarar likita, an hada maganin na kashe kwayoyin cuta tare da wani maganin da ya danganta da probenecid:

  • Kafin shan kwayoyin, kana buƙatar sha magani don gout,
  • bayan rabin sa'a, ɗauki Allunan 3 na Amoxicillin tare da sashi na 1 g kowane.

Umarnin don amfani da allunan Amoxicillin don manya

Ga majinyata da suka girma, an wajabta magunguna don maganin cututtukan da ke kama da mai kumburi:

  • narkewa a ciki
  • tsarin urinary
  • gabobi
  • Tsarin tsarin numfashi,
  • nasopharynx
  • Kwayoyin ENT.

Yawan amfani da sau 2-3 a rana. An saita kashi akayi daban-daban daga 250 zuwa 1000 MG. Alamu:

  • otitis media: mataki mai laushi - 500 MG sau 3 a rana, tare da matsanancin kumburi - 875 MG sau 3 a rana kowane 8 awa na kwanaki 5,
  • sinusitis: 1500 MG ya kasu kashi 3 a allurai na lokaci tsawon kwana 7,
  • rhinopharyngitis: 500 MG sau uku a rana, tsawon lokacin magani shine kwana 7-14,
  • tracheitis: 0.5 g sau 3 a rana, tare da mummunan cuta - 1 g sau uku a rana,
  • mashako: takeaukar maganin kauri 1 (500 MG) sau 3 a rana bayan awa 8,
  • cututtukan mahaifa: 500 MG sau 3 a rana, a cikin manyan lokuta - 1000 mg sau uku a rana, hanya na lura shine kwana 7-10,
  • cystitis: 250-500 MG ya kasu kashi uku, tare da cutar ci gaba - 1 g sau 3 a rana.

Amoxicillin 250 - umarnin don amfani da allunan don manya

An sanya maganin maganin maganin amoxicillin tare da sashi na 250 MG ga manya tare da:

  • cututtukan da ba sa tare da rikitarwa,
  • mai laushi ko yanayin yanayin ba tare da tsammanin lalacewa ba.

Shawarwarin shiga:

  • an sha miyagun ƙwayoyi 1-2 Allunan a lokaci kafin abinci,
  • mitar amfani sau 3 a rana,
  • tsakani tsakanin allurai shine awanni 8.

Amoxicillin 500 - umarnin don amfani da allunan don manya

A cikin kashi na 500 na 500, ana wajabta maganin rigakafi don marasa lafiya masu girma idan cutar ba ta da rikitarwa kuma tana faruwa a cikin matsakaici:

  • 1 kwamfutar hannu a lokaci guda
  • yayin rana, ana daukar allurai 3 bayan lokaci daya,
  • tsawon lokacin tafiyar shine kwanaki 5-14.

Lokacin ɗaukar fiye da kwanaki 10, ya zama dole don saka idanu akan aikin hanta da koda.

Amoxicillin 1000 Allunan - umarnin don amfani da manya

Wa'adin 1000 MG na rigakafi don magani a cikin manya an wajabta shi don sikari da matsakaici:

  • otitis
  • ciwon huhu,
  • m pharyngitis
  • cutar huhu,
  • cystitis
  • cututtukan jima'i
  • cututtukan fata na fata.

  • 1 kwamfutar hannu a kan kowane kashi
  • mitar amfani sau 2 a rana,
  • da tazara tsakanin allurai ya zama daidai 12 hours,
  • tsawon lokacin magani shine 5-10 kwana.

Babban allurai na ƙwayar cuta na iya shafar aikin hanta da kodan; ana bada shawarar kula da yanayin aikinsu koyaushe.

Umarnin don amfani da allunan Amoxicillin don yara

Amoxicillin ga yara shine wakili mai hana ƙwayoyin cuta na ƙungiyar penicillin. A cikin ƙananan yara, maganin zai iya haifar da halayen rashin damuwa, sabili da haka, an umurce shi da taka tsantsan kuma a ƙarƙashin kulawar likita.

An saita sashin yara na Amoxicillin daban-daban:

  • jarirai da yara na farkon shekarar rayuwa daidai da shekarun 20-40 MG a kilogram,
  • daga shekara 2 zuwa 125 MG,
  • daga shekaru 5 zuwa 250 MG,
  • daga shekara 10 zuwa 500 MG.

Dangane da aikin anamnesis da bayanan da aka yi rikodi, an sanya yara daidai gwargwado na 125-500 MG don amfani guda ɗaya. Mitar amfani shine 2-3, kuma tsawon lokacin shine kwanaki 5-7. Ana bada shawara don ba da magani a farkon abinci. Wannan zai rage yiwuwar cututtukan gastrointestinal wanda yawanci yakan faru a cikin yara yayin amfani da maganin rigakafi.

  • m da otitis kafofin watsa labarai,
  • cututtukan cututtukan zuciya da rhinopharyngitis,
  • mashako
  • tonsillitis da adenoiditis,
  • cystitis da pyelonephritis,
  • purulent cututtuka na taushi kyallen takarda.

Allunan 250 na Amoxicillin - umarnin don amfani da yara

An halatta a yi amfani da magani tare da sashi na 250 MG don yara daga shekaru 2.

Shekarun yaraSingle kashi (Allunan)Yawan liyafar da rana
Shekaru 51/23
Shekaru 1013
Shekaru 181-22-3

Wannan sashi yana ba da damar yin amfani da magani a cikin nau'in capsules. Idan yaro ba zai iya hadiye shi duka ba, zaku iya buɗe harsashi, fitar da foda daga ciki ku narke a cikin 5-10 ml na ruwa.

Umarnin don amfani da allunan Amoxicillin ga mata masu juna biyu

Dangane da bayani daga umarnin don amfani, ana iya tsara magungunan ga uwaye masu jira idan akwai alamun amfani:

  • ciwan ciki
  • ciwon kumburi
  • cystitis
  • cutar huhu,
  • babba na numfashi fili cututtuka tare da bayyanuwar catarrhal a cikin nau'i na tari, hanci mai gudu,
  • mashako
  • tracheitis.

Bincike ya nuna cewa kwayar cutar ba ta haifar da maye gurbi kuma baya iya rarraba ci gaban tayi.

A lokacin daukar ciki, an tsara mafi ƙarancin magungunan ƙwayar cuta - daga 250 MG sau uku a rana. Matsakaicin lokacin amfani shine kwanaki 5-7. Koyaya, likita na iya canza dabaru da tsarin kulawa bisa ga yanayin cutar.

Amoxicillin - analogues - umarnin don amfani

Dangane da kayan aiki, ana samun madadin kwayoyin rigakafi. Alamu masu amfani don amfani da su. A cikin umarnin don amfani da wasu magunguna akwai bambance-bambance a cikin regimen da contraindications.

Flemoxin Solutab

Ana amfani dashi da ƙarfi a cikin ilimin ƙwayoyin cuta, tunda allunan suna iya narkewa cikin ruwa. Akwai shi a allurai na 125, 250, 500 da 1000 MG. Amalillillin, cellulose mai watsuwa, kayan dandano da masu zaki.

Rashin gazawa yana kara wa daidaitattun jerin abubuwan hana haihuwa. Ana amfani da miyagun ƙwayoyi a cikin yara daga haihuwa, kuma ana yin lissafin kashi ta hanyar nauyin jiki:

  • a farkon watanni 12, 30-60 mg kowace rana,
  • daga shekara 3 zuwa 375 MG sau biyu,
  • daga shekaru 10 750 mg sau biyu ko 500 sau uku.

Farashin Flemoxin Solutab:

  • MG 125 - 230 rub.,
  • 500 da 250 MG - 260 rubles.,
  • 1000 MG - 450 rubles.

Ana samun maganin a allurai 250, 500 da 1000 mg. An sanya maganin a cikin:

  • fargaba
  • rashin lafiyan diathesis
  • hay zazzabi
  • na kowa mononucleosis,
  • numfashi hoto ko bidiyo mai zagaya yanar gizo da sauri cututtuka
  • cututtukan gastrointestinal, wanda cikin ciki, an lura da gudawa.

Ospamox ana ɗaukar baki ta baki ɗaya, an zubar da shi da ruwa. Ana amfani da miyagun ƙwayoyi a allurai masu zuwa:

  • a cikin yara 'yan shekara 10 kawai a cikin hanyar dakatarwa, allunan ba a ba da umarnin su ba,
  • daga shekaru 10 zuwa 0.5 g da safe da maraice,
  • daga shekara 16 zuwa 750 mg sau biyu,
  • a cikin manya, 1 g da safe da maraice.

Farashin miyagun ƙwayoyi a cikin magunguna daban-daban yana cikin kewayon daga 30 zuwa 150 rubles.

Akwai shi a cikin sashi na 250 da 500 MG, an ba da shawarar don magance cututtukan ƙwayoyin cuta bisa ga tsarin mutum ɗaya:

  • MG 125 - bayan shekaru 2,
  • 250 MG - bayan shekaru 5,
  • 250-500 mg - bayan shekaru 10,
  • ga manya da matasa daga shekaru 18, 500 mg sau uku ko 1000 mg sau biyu.

Ba a shar’anta wa mata masu juna biyu ba.

Kudin maganin shine 30 rubles. don 250 MG da 60 rubles. na 500 MG.

Baya ga babban abu mai aiki a cikin adadin 250 da 500 MG, ya ƙunshi lactulose, povidone, sitacin dankalin turawa, talc. Ba a umurta wa yara 3an shekaru 3 ba. Nagari don amfani:

  • ga manya 500-1000 MG,
  • ga matasa 500-750 MG,
  • yara daga shekaru 3 da haihuwa 125-250 MG.

  • 250 MG - 60 rubles.,
  • 500 MG - 130 rubles.

Farashin Allunan Amoxicillin

Ya danganta da sashi, yawan allunan da kuma masu kera, farashin maganin kashe kwayoyin cuta na Amoxicillin yana canzawa:

  • Hemofarm guda 16 na 500 MG - 90 rubles.,
  • Hemofarm 16 capsules na 250 MG - 58 rubles.,
  • Sandoz guda 12 na 1000 mg - 165 rubles,
  • Allunan Allunan 20 Avva Rus na 500 MG - 85 rubles.

Kudin maganin 500 MG ya bambanta a cikin magunguna kan layi na kan layi:

Yadda ake amfani: sashi da hanya na jiyya

An yi niyya don sarrafawa na baka.

A matsayinka na mai mulkin, ana bada shawarar amfani da farji don ci gaba na kwanaki 2-3 bayan bacewar alamun cutar. Idan akwai cututtukan da ke haifar da cutar D-hemolytic streptococcus, cikakkiyar kawar da pathogen tana buƙatar magani na akalla kwanaki 10.

Ana nuna alamun wariyar cutar don rashin yiwuwar gudanar da maganin baka da kuma magance cututtukan cututtukan fata.

Dosages na manya (gami da marassa lafiyar mara lafiya)

Yawan da aka saba samu daga 750 MG zuwa 3 g na miyagun ƙwayoyi kowace rana a yawancin allurai. A wasu halaye, ana bada shawara don iyakance kashi zuwa 1500 MG kowace rana a yawancin magunguna.

Short hanya na far:

Rashin cututtukan urinary na ciki wanda ba a ɗauka ba: shan 2 g na miyagun ƙwayoyi sau biyu don kowane allura tare da tazara tsakanin allurai na awa 10-12.

Sashin yara (har zuwa shekaru 12):

Adadin yau da kullun ga yara shine 25-50 mg / kg / rana a cikin allurai masu yawa (matsakaicin 60 mg / kg / rana), gwargwadon nuni da tsananin cutar.

Yara masu nauyin sama da kilogiram 40 ya kamata su karɓi sigar girma.

Sashi don na koda gazawar:

A cikin marasa lafiya da gazawar haɓaka mai yawa, kashi ya kamata a rage. Tare da share koda na ƙasa da 30 ml / min, ana bada shawarar haɓaka tazara tsakanin allurai ko rage yawan allurai masu zuwa. A gazawar koda, gajerun darussan na maganin 3 g an contraindicated.

Manya (gami da marassa lafiyar):

Keɓancewar creatinine> 30 ml / min - ba a buƙatar daidaita sikelin kashi

Inirƙiraren kere-kere 10-30 ml / min - 500 mg kowane sa'a 12,

Inirƙiraren ƙirƙirar 30 na Mint 30 / min - ba a buƙatar daidaita sikelin kashi

Inirƙiraren kere-kere 10-30 ml / min - 15 mg / kg a kowace sa'o'i 12,

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