Ọgwụ Irmed: ntuziaka maka ojiji

Irumed bụ ọgwụ eji agwọ hypotensive eji mee ihe na ọgwụgwọ nke ọbara mgbali elu na ọrịa ndị ọzọ nke obi na akwara ọbara metụtara mgbali elu na akwara. Ọ bụrụ na ejighị ya n'ụzọ na-adịghị mma, ọ nwere ike ibute nsonaazụ na-eyi ndụ, yabụ ị nwere ike ịmalite ị takingụ ọgwụ naanị site n'ikike nke dọkịta.

International Nonproprietary Aha

Lisinopril - aha nke ọgwụ na-arụ ọrụ.

Irumed bụ ọgwụ eji egbochi hypotensive nke ejiri ọgwụgwọ ọgwụgwọ ọbara mgbali elu na ọrịa ndị ọzọ nke obi na arịa ọbara.

ATX

С09АА03 - koodu maka anatomical-ọgwụgwọ-kemịkalị kemịkalụ.

Ha weputara udi ya na ihe mebere ya

Ọgwụ nwere ụdị mwepụta mbadamba. Nhazi nke mbadamba ihe ọ bụla gụnyere:

• lisinopril dihydrate (10 ma ọ bụ 20 mg);
• mannitol;
• nduku;
• calcium phosphate dihydrate;
• ọla edo oxide;
• sịkịlị dioxide anhydrous;
• pregelatinized nduku;
• stereta magnesium.

A na-enye mbadamba n’ime sel polymer 30, nke edobere n’ime kaadiboodu tinyere ntuziaka.

Omume ọgwụ

Lisinopril bụ ACE inhibitor nwere ihe ndị a:

• na-abawanye ọnụ ọgụgụ nke ciki vasodilator prostaglandins;
• jiri nwayọ na mmeghachi nke kemịkal mee n’oge a na-agbanwe ụdị 1 angiotensin ka ọ bụrụ ụdị angiotensin nke 2, nke na-enye aka na mmụba ọbara mgbali;
• na-ebelata vasopressin na endothelin, nke nwere vasoconstrictor Njirimara;
• na -ebelata nguzozi ike na ike na akwara;
• normalizes mmezia ọrụ nke akwara obi, na-eme ka nnabata nke obi na-echegbu ndị mmadụ nwere nkụda obi;
• Ọ nwere mmetụta hypotensive, nke na-adigide ma ọ dịkarịa ala otu ụbọchị;
• na-egbochi ọrụ renin-angiotensin sistemụ nke myocardium, na-egbochi iwepu akwara nke anụ ahụ na ịgbasa nke ventricle ekpe.
• na-ebelata nrụgide na akwara pulmonary;
• na-ebelata ọnụ ọgụgụ ndị nwụrụ n’etiti ndị ọrịa nwere ọrịa myocardial infarction, nnukwu nsogbu nke ọbara na-aga n’ọbara akwara ma ọ bụ ọrịa obi.

Igwe emejuputara ihe aru di na aru oru obi.

Mlọ ọgwụ

Mgbe ị na-eji ụdị mbadamba ụrọ nke Irumed, ihe ahụ na-arụ ọrụ na-abanye ngwa ngwa usoro ọbara. Iri nri anaghị agbanwe ọgwụ ọgwụ nke ọgwụ lisinopril. A na-ekpebi ihe kachasị ukwuu n'ime ihe dị na ọbara ka elekere isii gachara. Lisinopril adịghị emekọ ihe na plasma ma ọ bụ metabolized. Ọgwụ nwere mmamịrị agbanwebeghị. Ọkara nke a na-ahụ na-ahapụ ahụ n'ime awa iri na abụọ.

Ihe enyere n'iwu

Ihe ngosi maka nhọpụta nke Mkpesa bụ:

• ọbara mgbali elu (dị ka naanị onye na - eweta ọgwụgwọ ma ọ bụ yana ọgwụ ndị ọzọ);
• ụbụrụ obi na-adịghị ala ala (yana mgbakwunye na diuretics ma ọ bụ cardiac glycosides);
• mgbochi na ọgwụgwọ nke infarction myocardial (n'ụbọchị mbụ, a na-a theụ ọgwụ ahụ iji lekọta oke nke hemodynamic ma gbochie ujo cardiogenic);
• mmebi akụrụ (iji belata ego nke albumin dị na mmamịrị n’ime ndị nwere ụdị 1 na ụdị 2 nke ọrịa shuga).

Egosiputara n’uju maka nkụchi obi na-adịghị ala ala.

Edere Iramed maka mmebi akụrụ.

Ebute Quincke ebufeburu bụ ihe megidere na nhọpụta nke Irumed.

Ihe ngbanwe

Edeghị ọgwụ ahụ maka:

• mmeghachi omume nfụkasị nke lisinopril na ndị ọzọ na-egbochi ACE;
• edebiri Quincke edere sitere na ịduụ ọgwụ antihypertensive;
• mkpụrụ ndụ ihe nketa angioedema;
• imekota ọgwụ n’otu oge aliskiren.

Jiri nlezianya

Mmezi contraindication iji ọgwụ antihypertensive bụ:

• akpọchi warara nke akụrụ mmiri;
• ntụgharị akụrụ n’oge na-adịbeghị anya;
• ọkwa dị elu nke nitrogen na potassium n'ime ọbara;
• coronary artery stenosis;
• ihe omumu ihe omimi;
• hypotension akwara;
• Nsogbu mgbasa na ụbụrụ;
• ọnya;
• ischemic emebi obi akwara;
• decompensated obi na-adịghị ala ala;
• ọnya anụ ahụ;
• dabere na nri nnu na-enweghị;
• akpọnwụ nke ahụ;
• nkwụsị nke usoro hematopoietic;
• ịnọ na hemodialysis;
• emebere ma ọ bụ yigharịrị ihe ndị metụtara ịwa ahụ.

Ihe ndị ọzọ metụtara ọgwụ a bụ akpịrị ịkpọ nkụ.

Ondabere na ịba ọcha n'anya bụ ebumnuche megidere nhọpụta nke Irumed.

Edeghị ọgwụ a maka ọnya ọnya nke akwara obi.

Igwu bu ihe mgbochi megide ihe ejiri ilu.

N'iji ọbara ọgbụgba, akwara ọgwụ a.

A na-eji mbadamba mkpụrụ osisi Iramed oge 1 kwa ụbọchị, na-ahụ usoro nnabata.

Etu esi ewere Irumed

A na-eji mbadamba ihe oge 1 kwa ụbọchị, na-ekiri usoro nnabata. Ihe omumu ya dabere na udiri oria a:

1. Ọbara ọgbụgba - na izu izizi ọgwụgwọ 10 mg kwa ụbọchị. Site na izu atọ, dose ahụ ga-eji nwayọ nwayọ gaa na usoro mmezi (20 mg). Ọ nwere ike were opekata mpe otu ọnwa tupu ịmalite ịmalite inwe mmetụta na-ezighi ezi. Ọ bụrụ na mgbe oge a gasịghị nsonaazụ dị mma, a ga-edochi ọgwụ ahụ.
2. Ọbara mgbali elu - bido ịgwọ ọrịa jiri 2.5-5 mg kwa ụbọchị. Ejikọtara ọgwụgwọ yana nleba anya na arụmọrụ gbasara akụrụngwa.
3. Obi dara mba - tupu iwe were ya iwe, ha na-ebelata oke ọgwụ ị ofụrụ na mbụ. Ọgwụgwọ na-amalite site na ntinye nke 2.5 mg nke lisinopril kwa ụbọchị. N'ọdịnihu, a na-abawanye ọgwụ kwa ụbọchị ruo 10 mg.
4. Nnukwu myocardial infarction - were 5 mg n'ụbọchị nke mbụ, a na-ahụkwa otu ọgwụ ahụ awa 48 ka ngwa mbụ gasịrị. N'ọdịnihu, a na-a theụ ọgwụ ahụ na 10 mg kwa ụbọchị maka ụbọchị 45.

Na-arịa ọrịa shuga

1dị 1 na ụdị ndị ọrịa shuga 2 na-ewere 10 mg nke lisinopril kwa ụbọchị.

Mmetụta dị iche iche nke Irumed

Ọkpụkpụ afọ

A na-egosipụta nsogbu nke mgbari nri na --eme mgbe a na-ata ahụhụ.

• ọnụ kpọrọ nkụ
• ọgbụgbọ na ọgbụgbọ;
• agụụ riri;
• mmebi nke pancreas;
• ọrịa dyspeptik;
• jalestice cholestatic;
• umeji nke imeju;
• mgbu afọ.

A na-ahụta mgbaàmà ugboro ugboro mgbe ị theụ ọgwụ ọ bụla.

Theakingụ ọgwụ nwere ike ibute ọnya imeju.

Na-ebido n ’ị theụ ọgwụ ahụ, ọgụ ọgbụgbọ na ọgbụgbọ nwere ike ịda.

Ka ị na-a Iụ iwe, enwere ike ịhụ mbelata agụụ.

Irmed na-enye aka na mmepe nke anaemia.

A na - egosipụta nsogbu nke ọgwụ n’ ụbụrụ site na nsogbu ihi ụra.

N'oge usoro ọgwụgwọ, a na-achọpụta ihe omume mmeghachi omume ọjọọ ndị dị ka ihe mgbochi nke akwara nwa ehi.

Ahụhụ Hematopoietic

Ọgwụ nwere ike itinye aka na mmebi nke sel na ikike mejupụtara. Site n'iji ogologo oge, anaemia etolite ma na-emechi ọbara.

Sistemụ akwara Central

E gosipụtara mmetụta nke lisinopril na ụbụrụ:

• mgbanwe ọnọdụ;
• mẹkpoo iphe dụ ẹji mma;
• nsogbu ihi ụra;
• spasms nke akwara nwa ehi;
• ike adighi ike.

Site na sistem iku ume

Na-emegide nzụlite ọgwụ ahụ, ọgụ ụkwara ume ọkụ na ume iku ume nwere ike ibute.

Site na usoro akwara obi

Ihe ịrịba ama nke emebi obi na akwara ọbara nke na - eme mgbe a na - akwa ákwá:

• na - eme ka obi mgbu;
• ibelata ịgbasa olu ọbara;
• mbelata nke ukwu nke ọbara mgbali;
• orthostatic ida;
• bradycardia;
• tachycardia;
• mebiri nke ụzọ nnabata;
• infarction myocardial.

Na nzụlite nke iwere Irumed, bradycardia na-eme.

Iakingụ Irumed nwere ike ibute ọrịa tachycardia.

Mgbe ha theụsịrị ọgwụ ahụ, ụfọdụ ndị ọrịa malitere ịda myocardial infarction.

A na-egosipụta ihe nfụkasị ahụ maka ọgwụ ahụ site na rashes n'ụdị urticaria.

The Tụ ọgwụ nwere ike ịnwe ujo anafilactic.

Mgbe ị na-a theụ ọgwụ ahụ, ịnwere ike ịnweta ụdị ngosipụta a dị ka ọgbụgbọ.

Na ịzogide usoro ị theụ ọgwụ ọ ,ụ attacksụ, mwakpo nke ụkwara ume ọkụ nwere ike ime.

Site n'akụkụ nke metabolism

Mgbe ị na-ewe iwe, ọkwa sodium, potassium, na bilirubin nwere ike ịba ụba. Ọrụ nke ọgwụ hepatic transaminases adịkarịghị agbanwe.

Ahụhụ

Anwude ahu anataghi ọgwụ a:

• ihu ya na ọnya afọ;
• akpụkpọ ahụ na-acha ọbara ọbara na-acha ọbara ọbara;
• rashes n'ụdị urticaria;
• nsogbu anaphylactic.

Mmetụta ikike ịchịkwa usoro

Ọgwụ nwere ike ibute ọgbụgba, nke na-ebelata ịta. Ya mere, n'oge ọgwụgwọ, ịkwesịrị izere ịrụ ọrụ na ngwaọrụ ndị nwere mgbagwoju anya.

Ntụziaka pụrụ iche

Jiri na agadi

N’eme ọgwụgwọ ọbara mgbali elu n’etiti ndị mmadụ karịrị afọ 65, eji mbadamba mbadamba eme ihe.

Inye umuaka

Ihe nkwekọ maka ojiji nke ilu bụ afọ ụmụaka (ruo afọ 18).

Mgbe ime dị, ọgwụgwọ nke Irumed na-akwụsị ozugbo.

Iramed nwere ike imetụta ọnọdụ nwata ahụ n'ụzọ ọjọọ, yabụ ị gaghị a tabletsụ mbadamba n'oge a na-enye nwa ara.

Ihe nkwekọ maka ojiji nke ilu bụ afọ ụmụaka (ruo afọ 18).

N’eme ọgwụgwọ ọbara mgbali elu n’etiti ndị mmadụ karịrị afọ 65, eji mbadamba mbadamba eme ihe.

Mgbe ị na-eji lisinopril dị ukwuu, ọbara mgbali na-ada nke ọma.

Ọgwụ nke ịdoụ ọgwụ gabigara ókè gụnyere nnu mmiri ọgwụ nnu.

Jiri n'oge ime na lactation

Mgbe ime dị, ọgwụgwọ na lisinopril na-akwụsị ozugbo. A na-apịpụta mmiri dị n'ọrụ mmiri ara ehi ma nwee ike imetụta ọnọdụ nwatakịrị ahụ nke ọma, yabụ ị ekwesịghị ị tabletsụ mbadamba n'oge a na-enye ya ara.

Ngwa maka ọrụ ezughi oke ọrụ

Na oke nsogbu akụrụngwa, ị theụ ọgwụ ahụ chọrọ nlebara anya mgbe niile parameters.

Jiri maka ọrụ imeju na-arụ ọrụ

N'ime ọrịa ọrịa imeju siri ike, edeghị ọgwụ a.

Rumdoụbiga M Ure ókè

Mgbe ị na-eji lisinopril dị ukwuu, ọbara ọgbụgba na-agbadata nke ọma, ndagide orthostatic na-amalite. Enwere njigide mmamịrị na agụụ, akpịrị ịkpọ nkụ. Onweghi ihe na - egbochi nsogbu nke lisinopril. Ọgwụ ọgwụgwọ gụnyere iji ọgwụ eme anwansi na ọgwụ ndị na-egbochi ịkwa ahụ.

Enwere ike wepu ọgwụ ahụ site na hemodialysis.

Mmekọrịta na ọgwụ ndị ọzọ

Site n'otu oge eji Irumed na:

• potassium na-eme ka akpọnwụ akpọnwụ na cyclosporine na-abawanye ohere nke mmebi akụrụ;
• ndị na - egbochi beta na - eme ka mmetụta lisinopril dị ike;
• ịkwado lithium, excrement nke ngwụcha na-akwụsịlata;
• antacids, nnabata nke antihypertensive ọgwụ bụ isi;
• ọgwụ na-ebelata shuga na-amụba ohere nke hypoglycemia;
• ọgwụ mgbochi-anaghị egbochi homonụ nke ịdị ike nke lisinopril belatara.

Mmanya ndakọrịta

Mmanya na-aba n'anya n’oge ọgwụgwọ na-emetụta steeti nke digestive, genitourinary na ụjọ usoro.

Analogs

Ngwa ogwu nke Irumed di:

• Lisinopril;
• Diroton;
• Lisinotone;
• Lysiprex;
• Lysigamma.

Ahịa ọgwụ na-ahapụ okwu

Enwere m ike ịzụta na ndenye ọgwụ

Ọ gaghị ekwe omume ịzụta ọgwụ na-enweghị ndenye ọgwụ.

Ọnụahịa

Ọnụ ego nke mbadamba 30 bụ 220 rubles.

Ọnọdụ nchekwa maka ọgwụ

A na-echekwa mbadamba na ebe dị jụụ, nke kpọrọ nkụ, ka a ghara inweta ya.

Bọchị mmebi

Enwere ike iji ya n'ime ọnwa 36 site na ụbọchị a rụpụtara.

Emeputa

A na-emepụta ọgwụ ahụ site na ụlọ ọrụ ọgwụ Belupo dị na Croatia.

Ihe anaputara atughariala aru nke ogwu bu Lisinopril.

Ndị nọchiri anya ụdị ihe eji eme ihe gụnyere Lysinoton ọgwụ.

Diroton nwere mmetụta yiri ya na ahụ.

You nwere ike dochie ọgwụ dịka Lysigamma.

Nyocha

Sofia, 55 afọ, Moscow: “Anọwo m arịa ọbara mgbali ogologo oge. Nrụgide na-ebili mgbe ụfọdụ, nke na-akpata isi ọwụwa na adịghị ike. Achọghị m ị anyụ ọgwụ ọ bụla, ya mere, anwale m ọtụtụ nri nri nke na-enyeghị nsonaazụ ọ bụla. n'ọnwa. N'ime ọkara afọ a ka edobere nrụgide ahụ ókè.

Tamara, onye dị afọ 59, Narofominsk: “Mama m arịawo ọrịa shuga ogologo oge, na n'ihi afọ ndụ ya, ọrịa ahụ malitere imebi arịa ọbara na akụrụ. Mgbali ahụ na-abawanye mgbe niile, ọ bụ ya mere a na-eji ebute nne ya n'ụlọ ọgwụ. "Otu ugboro n'ụbọchị - nke a zuru iji nọgide na-enwe nrụgide nkịtị. Ọgwụ a enweghị ọnụ anaghị akpata nsonaazụ."