Onu ogugu ogwu nke wedata obara di nma ma dokwaa ya n’otu odi mma gụnyere Telsartan 40 mg. Uru nke ọgwụ: ị were 1 mbadamba kwa ụbọchị, ogologo oge nke mmetụta antihypertensive, enweghị mmetụta ọ bụla na ọnụego obi. Ndị na-egosi ọnya ọbara systolic na diastolic dị ka o kwere mee belata ka ọnwa naanị ị ofụ ọgwụ ahụ.
International Nonproprietary Aha
Telmisartan
Onu ogugu ogwu nke wedata obara di nma ma dokwaa ya n’otu odi mma gụnyere Telsartan 40 mg.
ATX
Koodu: C09DA07.
Ha weputara udi ya na ihe mebere ya
Ọgwụ bụ mbadamba oval na-acha ọcha na-enweghị shei, convex n'akụkụ abụọ. Na elu akụkụ dị na nke ọ bụla, enwere ihe ize ndụ maka ịdị mma nke mmebi yana leta "T", "L", na ala - ọnụ ọgụgụ "40". N'ime, ị nwere ike ịhụ akwa abụọ: otu bụ pink na agba nke ike dị iche iche, nke ọzọ fọrọ nke nta ka ọ bụrụ ọcha, mgbe ụfọdụ enwere obere nsị.
Na mbadamba 1 nke ọgwụ ejikọtara ọnụ - 40 mg nke isi ihe na-arụ ọrụ nke telmisartan na 12.5 mg nke hydrochlorothiazide diuretic.
A na-ejikwa ihe enyemaka:
- mannitol;
- lactose (shuga mmiri ara ehi);
- povidone;
- meglumine;
- steeti magnesium;
- sodium hydroxide;
- polysorbate 80;
- udiri E172.
Na mbadamba 1 nke ọgwụ ejikọtara ọnụ - 40 mg nke isi ihe na-arụ ọrụ nke telmisartan na 12.5 mg nke hydrochlorothiazide diuretic.
Mbadamba 6, 7 ma ọ bụ 10 PC. etinye ya na blisters nke mebere aluminom foil na ihe nkiri polymer. Enyere ya na kaadiboodu ngwugwu 2, 3 ma ọ bụ 4.
Omume ọgwụ
Ọgwụ a na-arụpụta ọgwụ ọgwụgwọ abụọ: hypotensive na diuretic. Ebe ọ bụ na usoro kemịkal nke ihe dị oke mkpa nke ọgwụ ahụ si yie nke ụdị angiotensin nke 2, telmisartan na-ewepụta homonụ a na njikọta na ndị na-anabata arịa ọbara na-egbochi ihe ọ na-eme ogologo oge.
N'otu oge ahụ, amachibidoro mmepụta aldosterone n'efu, nke na-ewepu potassium n'ahụ ahụ ma na-ejigide sodium, nke na-enyere aka na mmụba na olu vaskụla. N'otu oge ahụ, a naghị ebelata ọrụ nke renin, enzyme nke na-achịkwa ọbara mgbali. N'ihi ya, mmụba nke ọbara mgbali ahụ na-akwụsị, mbelata nke ukwuu ya na-ewere ọnọdụ.
Mgbe awa 1.5-2 gasịrị ị takingụ ọgwụ ahụ, hydrochlorothiazide malitere ịgbalịsi ike ya. Oge ọrụ nke ọnya ahụ dị site na awa 6 ruo awa iri na abụọ. N'otu oge, olu nke ikesa ọbara na-ebelata, mmepụta nke aldosterone na-abawanye, ọrụ nke renin na-abawanye.
Ihe jikọtara ọnụ nke telmisartan na diuretic na-arụpụta ihe akpọrọ antihypertensive mmetụta karịa mmetụta na arịa nke ọ bụla n'otu n'otu. N'oge ọgwụgwọ ọgwụ ahụ, a na-ebelata ngosipụta nke myocardial hypertrophy, a na-ebelata ọnwụ, karịsịa na ndị agadi agadi nwere nnukwu ọrịa obi.
N'oge ọgwụgwọ ọgwụ ahụ, a na-ebelata ngosipụta nke myocardial hypertrophy.
Mlọ ọgwụ
Nchikota nke telmisartan na hydrochlorothiazide anaghị agbanwe ọgwụ ọgwụ nke ihe ndị ahụ. Ha ngụkọta bioavailability bụ 40-60%. Ngwaọrụ nọ n'ọrụ nke ọgwụ ahụ na-agbadakwa ngwa ngwa. Mkpokọta kachasị nke telmisartan na-eme na plasma ọbara mgbe ọ bụla awa 1-5.5 dịkarịsịrị ala ugboro abụọ n'ime ụmụ nwoke. Ọkpụkpụ metabolism na-eme na imeju, a na-apụtakarị ihe a na feces. A na - ewepụ Hydrochlorothiazide n'ahụ ihe fọrọ nke nta ka ọ bụrụ na mmamịrị agbanwebeghị.
Ihe ngosi maka ojiji
Edebere Telsartan:
- na ọgwụgwọ nke ọbara mgbali elu na nke abụọ, mgbe ọgwụgwọ ya na telmisartan ma ọ bụ hydrochlorothiazide naanị anaghị enye nsonaazụ achọrọ;
- iji gbochie nsogbu ọrịa ọrịa siri ike na ndị okenye karịa afọ iri ise na ise-60;
- iji gbochie nsogbu ndị ọrịa nwere ụdị shuga II (na-abụghị insulin) mebiri akụkụ ahụ nke ọrịa na-ebute ya.
Ihe ngbanwe
Ihe kpatara igbochi ọgwụgwọ na Telsartan:
- hypersensitivity na ọgwụ na-arụ ọrụ nke ọgwụ;
- ọrịa akụrụ;
- na-ewere Aliskiren n’ime ndị ọrịa nwere akụrụ gbasara akwara, ọrịa shuga;
- gbujuru imeju afọ;
- ihe mgbochi nke bile;
- ụkọ lactase, nnagide nri nke lactose;
- hypercalcemia;
- hypokalemia;
- afọ ime na lactation;
- ụmụaka na-erubeghị afọ 18.
Jiri nlezianya
Ekwesịrị ịkpachara anya ma ọ bụrụ na achọtara ọrịa ndị a ma ọ bụ ọnọdụ pathologies na ndị ọrịa:
- mbelata n'ọbara ọbara;
- stenosis nke akwara gbasara akwara, valvụ obi;
- oke obi ike;
- afọ imeju;
- oria shuga
- gout
- adrenoma cortical adenoma;
- glaucoma akụkụ;
- lupus erythematosus.
Uzo esi aga na Telsartan 40
Usoro onunu ogwu: ingestion kwa ụbọchị tupu ma ọ bụ mgbe ị garịrị 1 mbadamba, nke a ga-eji obere mmiri wee hichaa ya. Ọgwụ kachasị kwa ụbọchị maka ụdị nsogbu ọbara mgbali elu ruru 160 mg. Ekwesịrị iburu ya n'uche: Mmetụta ọgwụgwọ kachasị mma anaghị eme ozugbo, mana mgbe ọnwa 1-2 gachara iji ọgwụ ahụ.
Usoro onunu ogwu: ingestion kwa ụbọchị tupu ma ọ bụ mgbe ị garịrị 1 mbadamba, nke a ga-eji obere mmiri wee hichaa ya.
Na-arịa ọrịa shuga
A na-enyekarị ndị ọrịa nwere ọrịa a iwu ka ha gbochie mmepe nke nsogbu na mkpụrụobi, akụrụ, anya. Maka ọtụtụ ndị ọrịa mamịrị na-arịa ọbara mgbali elu, egosipụtara ngwakọta nke Telsartan na Amlodipine. N'ụfọdụ, mkpo uric acid n'ime ọbara na-ebili, gout na-akawanye njọ. Ọ nwere ike ịdị mkpa ịhazigharị ọgwụ nke hypoglycemic ọgwụ.
Nsonaazụ ọzọ nke Telsartan 40
Onu ogugu nke mmeghachi omume ojoo na ogwu a na telmisartan nke ejighi hydrochlorothiazide bu otu. Ugboro nke ọtụtụ mmetụta dị iche iche, dịka ọmụmaatụ, ọgba aghara nke anụ ahụ trophism, metabolism (hypokalemia, hyponatremia, hyperuricemia), adịghị emetụta usoro ịgwọ ọrịa, okike na afọ ndị ọrịa.
Ọkpụkpụ afọ
Ọgwụ na-adịghị ahụkebe nwere ike ibute:
- ọnụ kpọrọ nkụ
- dyspepsia;
- mẹ ivu;
- mgbu afọ
- afọ ntachi
- afọ ọsịsa
- vomiting
- eriri afọ.
Ahụhụ Hematopoietic
Mmeghachi omume ọgwụ a nwere ike ịgụnye:
- mbelata na ọkwa hemoglobin;
- anaemia
- eosinophilia;
- thrombocytopenia.
Sistemụ akwara Central
Nsonaazụ mgbe niile bụ ọgbụgba. N’oge na-adịghị anya:
- paresthesia (sensings of goosebumps, tingling sensations, na-egbu mgbu);
- ehighi ura ma obu onye ozo, ura;
- ọhụhụ;
- ọnọdụ nchegbu;
- Obi erughị ala
- syncope (ike gwụrụ na mberede), na-akụda.
Site na usoro urinary
Mgbe ụfọdụ hụrụ:
- mmụba na mkpokọta uric acid, creatinine na plasma ọbara;
- mmụba nke enzyme CPK (creatine phosphokinase);
- nnukwu akwara itule;
- ọrịa urinary na-efe efe, gụnyere ahu otutu.
Site na sistem iku ume
Mmeghachi omume ọjọọ:
- mgbu n'ime mpaghara obi;
- mkpụkpu ume
- oria-dị ka syndrome, sinusitis, pharyngitis, bronchitis;
- oyi baa, edere nke edere.
Na anụahụ
Nwere ike iputa:
- erythema (oke-acha ọbara ọbara nke anụ ahụ);
- ọzịza
- ihe odide
- itching
- ịsụsọ ọnụ;
- urticaria;
- ọrịa akpịrị;
- amu amu
- angioedema (nke a na-anaghị ahụkebe).
Site na usoro mkpụrụ ndụ ihe nketa
Telsartan anaghị emetụta ọrụ nke akụkụ akụkụ ahụ.
Site na usoro akwara obi
Nwere ike ịmalite:
- olu ọgbụgba ma ọ bụ hyporat orthostatic;
- bradi, tachycardia.
Site na usoro akwara na uru ahụ
Mmeghachi omume ndị na-esote usoro musculoskeletal nwere ike:
- ihe mgbu, ihe mgbu na akwara, akwara, nkwonkwo;
- cramps, otutu oge n’akpata ukwu;
- lumbalgia (nnukwu ihe mgbu na ala ala azụ).
N'akuku nke imeju na akụkụ biliary
N'okpuru mmetụta nke ọgwụ ahụ n'oge ụfọdụ, enwere ike ịhụ ihe ndị a:
- ntụpọ nke imeju;
- mụbara ọrụ enzymes nke ahụ mepụtara.
Ahụhụ
Anaphylactic ujo di obere.
Mmetụta ikike ịchịkwa usoro
Ebe ọ bụ na ihe ize ndụ nke ụra ụra, enweghị ike idowe nsogbu, akpachara anya mgbe ị na-anya ụgbọ, na-arụ ọrụ chọrọ nlebara anya kachasị.
Ntụziaka pụrụ iche
N’adịghị ike sodium na plasma ma ọ bụ n’ọ̀tụ̀tụ̀ ọbara na-erugharị erughị ala, mmịnye nke ọgwụgwọ ọgwụ ahụ nwere ike ibute mbelata ọbara. Ndị ọrịa nwere akwara vaskụla olu, akwara obi na ọrịa obi na nkụda obi na-etolite nnukwu ọgbụgba akwara. Mbelata nke nrụgide dị egwu nwere ike ibute ọrịa strok ma ọ bụ infarction myocardial.
Jiri ọgwụ jiri ịkpachapụ anya na iji mitral ma ọ bụ aortic valve stenosis.
N'ime ndị ọrịa mamịrị, ọgụ hypoglycemia ga-ekwe omume. Ọ dị mkpa ịlele ọkwa glucose kwa n'ọbara, mezie ọnụọgụ nke ndị na - ahụ ihe hypoglycemic.
N'ime ndị ọrịa mamịrị, ọgụ hypoglycemia ga-ekwe omume.
Hydrochlorothiazide dị ka akụkụ nke Telsartan nwere ike ime ka ịta ahụhụ nke ogige mmiri ọgwụ na-egbu egbu bụrụ ihe kpatara ọrụ ezumike, na-emekwa ka mmepe nke nnukwu myopia, mmechi mmechi glaucoma.
Ogologo oge ị ofụ ọgwụ ahụ na-akpata hyperkalemia. Ọ nwere ike ịdị mkpa ileba anya n’ihe dị n’ime electrolytes n’ime plasma ọbara.
Esskwụsị ọgwụ ahụ aghara aghara anaghị ebute mmepe nke ndọrọ ego.
Site na hyperaldosteronism bụ isi, ọgwụgwọ ọgwụgwọ nke Telsartan fọrọ nke nta ka ọ ghara.
Jiri n'oge ime na lactation
A na - egbochi ọgwụgwọ ọgwụ ọjọọ n'oge a na - eme ya na inye ya ara.
Na-edebanye Telsartan ụmụ 40
Emeghị ọgwụ a iji mee ihe maka ndị ọrịa na-erubeghị afọ 18.
Jiri na agadi
Na enweghi ọrịa dị egwu, ọ nweghị mkpa maka ndozi dose.
Ngwa maka ọrụ ezughi oke ọrụ
Ndozi usoro onunu ogwu achoghi ka ndi ọrịa nwere nsogbu gbasara akwara ha buru ibu, ha gunyere na-anagide usoro ọgwụgwọ nke akwara.
Jiri maka ọrụ imeju na-arụ ọrụ
Dabere na nsonaazụ nke ọtụtụ ọmụmụ na ndị ọrịa nwere ọrịa imeju na-arụ ọrụ dị nro ma na-agafeghị oke, usoro ọgwụ kwa ụbọchị ekwesịghị gafere 40 mg.
Dabere na nsonaazụ nke ọtụtụ ọmụmụ na ndị ọrịa nwere ọrịa imeju na-arụ ọrụ dị nro ma na-agafeghị oke, usoro ọgwụ kwa ụbọchị ekwesịghị gafere 40 mg.
Nariba nke Telsartan 40
Mbelata ọbara mgbali na brady ma ọ bụ tachycardia ga-ekwe omume. Nhọpụta nke ịba ọcha n'anya bụ ihe ezi uche dị na ya, a na-eme ọgwụgwọ symptomatic. Ọ dị mkpa ịchịkwa ọkwa nke creatinine na electrolytes n'ime ọbara.
Mmekọrịta na ọgwụ ndị ọzọ
N'iji oge ọzọ na ọgwụ ndị ọzọ na - ebelata ọbara mgbali, ọgwụ a na - eme ka ọgwụgwọ ha dịkwuo mma.
Mgbe ị na-ewere Telsartan na Digoxin, itinye uche nke glycoside gbasara obi na-abawanye nke ukwuu, yabụ, ọ dị mkpa ileba anya na ọkwa ọbara ya.
Iji zere hyperkalemia, ekwesighi ijikọ ọgwụ ahụ na ndị nwere potassium.
Nchịkwa mmado nke ịgwụ lithium n'ime ọbara mgbe ị na-eji ọgwụ ọgwụ nwere ngwakọ ọla alkali a, n'ihi Telmisartan kwalitere nsị ha.
Glucocorticosteroids, Aspirin na ọgwụ mgbochi mkpali na - abụghị ọgwụ steroidal na - ebelata mmetụta antihypertensive nke ọgwụ ahụ.
NSAIDs na telmisartan nwere ike ibelata ọrụ akụrụ.
Mmanya ndakọrịta
Mgbe ị na-a withụ ọgwụ, ịkwesighi ị drinkụ mmanya ụdị ọ bụla.
Analogs
Enwere ike dochie Telsartan na ọgwụ ndị na-esonụ nwere mmetụta yiri ya:
- Mikardis;
- Ochichi;
- Tanidol;
- Ndị a;
- Telzap;
- Telmisartan;
- Telmista;
- Telpres
- Tsart
- Hipotel.
Ahịa ọgwụ na-ahapụ okwu
Erere na iweputa uzommeputa ahu.
Ọnụ ego maka Telsartan 40
Ọnụ ego nke ngwugwu 1 bụ pcs 30. - site na 246-255 rub.
Ọnọdụ nchekwa maka ọgwụ
Okpomoku di elu maka mbadamba ihe kariri + 25 Celsius. Mụaka agaghị enwe ike ịnweta ebe nchekwa ha.
Bọchị mmebi
Afọ 2
Emeputa
Lọ ọrụ ọgwụ na India "Dr. Reddy's Laboratories Ltd." (Dr. Reddy's Laboratories Ltd.).
Mgbe ị na-ewere Telsartan na Digoxin, ntinye obi nke glycoside gbasara obi glycoside na-abawanye nke ukwuu.
Nyocha na Telsartan 40
Maria, dị afọ 47, Vologda
Ọgwụ dị ukwuu ma yie ihe kachasị mma n'ọtụtụ ọgwụgwọ maka ọrịa vaskụla. O bu ihe ijuanya na emeputa udiri ogwu di otu a na India, obughi na Germany ma obu Switzerland. Mmetụta dị obere adịghị obere. Mgbe ụfọdụ, imeju na-enye m nsogbu, mana ọ na-ewute m ogologo oge mgbe m na-ewerebeghị Telsartan.
Vyacheslav, 58 afọ, Smolensk
Enwere m ọbara mgbali ogologo oge. Gụnyere nnukwu akwara ọdịda. Kedu ụdị ọgwụgwọ emebeghị nke ọtụtụ afọ ọgwụgwọ! Ma na oge ụfọdụ a ga-agbanwe ha, maka na ahụ ga-eme ka ọ mara, ọ ga-akwụsịkwa ime dị ka ọ dị na mbụ. Anọwo m na-ewere Telsartan n'oge na-adịbeghị anya. Ntụziaka maka ya na-enye ndepụta dị ukwuu nke nsonaazụ ọ bụla, mana ọ dịghị nke ọ bụla n'ime ha bilitere. Ezigbo ọgwụ nke na-ejide ike. Eziokwu dị obere.
Irina, 52 afọ, Yekaterinburg
N’oge izizi, onye na-agwọ ọrịa ahụ kwuru na a ga-ewere Amlodipine, mana ka otu izu gasịrị, ụkwụ ya malitere ịza. Dọkịta ahụ ji Enap dochie ya - n'oge na-adịghị anya ụkwara malitere ịta m mmiri. Ekwesịrị m ịgbanwere na Telsartan, mana ọ bịara bụrụ na enwere m ndidi ọ bụla n'otu n'otu. Enwere ọgbụgbọ, mgbe ahụ, ihe ọkụ anụ ahụ pụtara. Agakwara m ụlọ ọgwụ ọzọ. Ma ọ bụ naanị mgbe onye na-ahụ maka dibịa na-ekwupụta Concor ka ihe niile dakwasịrị. Enweghị m nsogbu na ọgwụ ndị a. Yabụ na ọ dị oke mkpa na dọkịta na-ahọrọ ọgwụ ga-adabara gị nke ọma.
