ʻO ka nui o nā lāʻau lapaʻau e hoʻemi pono ana i ke kahe o ke koko a mālama iā ia i kahi pae kiʻekiʻe loa me ka Telsartan 40 mg. Hoʻohana ʻia o ka lāʻau lapaʻau: lawe i 1 papa i kēlā me kēia lā, lōʻihi ka hopena o ka hopena antihypertensive, ʻaʻohe hopena o ka puʻuwai puʻuwai. Nā mea hōʻike o ke systolic a me diastolic blood pressure e like me ka hoʻohaʻahaʻa nui ma hope o hoʻokahi mahina o ka hana maʻamau o ka lāʻau.
Inoa Kūʻai ʻole honua
Telmisartan
ʻO ka nui o nā lāʻau lapaʻau e hoʻemi pono ana i ke kahe o ke koko a mālama iā ia i kahi pae kiʻekiʻe loa me ka Telsartan 40 mg.
ATX
Kahuna helu: C09DA07.
E hoʻokuʻu i nā palapala a me ka ʻano
ʻO ka lāʻau lapaʻau he papa papa ʻulaʻula ʻole me ka ʻole o ka pale, convex ma nā ʻaoʻao ʻelua. Ma ka ʻaoʻao ma luna o kēlā me kēia mea i loaʻa ka pilikia no ka maʻalahi o ka haki ʻana a me nā leka "T", "L", i lalo - ka helu "40". I loko, hiki iā ʻoe ke ʻike i nā kihi 2: ʻulaʻula kahi i ka waihoʻoluʻu o nā ʻano mea like ʻole, ʻoi aku ka ʻaoʻao i ka keʻokeʻo, i kekahi manawa me nā liʻiliʻi liʻiliʻi.
Ma ka papa 1 o ka lāʻau hoʻohui i hoʻohui ʻia - 40 mg o nā papa hana nui o ka telmisartan a me 12.5 mg o ka diuretic hydrochlorothiazide.
Hoʻohana ʻia nā mea kōkua.
- mannitol;
- lactose (waiū waiu);
- povidone;
- meglumine;
- magnesium stearate;
- sodium hydroxide;
- hīmeni 80;
- poloka E172.
Ma ka papa 1 o ka lāʻau hoʻohui i hoʻohui ʻia - 40 mg o nā papa hana nui o ka telmisartan a me 12.5 mg o ka diuretic hydrochlorothiazide.
Nā Papa o 6, 7 a i ʻole 10 mau kamepiula. waiho ʻia i loko o nā blisters i hoʻokumu ʻia i ka alumini foil a me ka kiʻi polū. Hoʻopili i nā pepa kāleka 2, 3 a i ʻole 4 mau palaha.
Ka hana lāʻau lapaʻau
ʻO ka lāʻau lapaʻau e hana i kahi hopena pālua ʻelua: hypotensive a me diuretic. ʻOiai ʻo ka like ʻana o ka kemana o ka mea nui o ka lāʻau lapaʻau e like me ke ʻano o ka angiotensin type 2, ka neʻe ʻana o ka telmisartan i kēia hormone mai ka pilina me nā mea inu koko a me nā poloka i kāna hana no ka wā lōʻihi.
I ka manawa like, pale ʻia ka hana o ka aldosterone manuahi, e kāpae ana i ka paʻakai mai ke kino a mālama i ka sodium, e hāʻawi ana i ka hoʻonui o nā leo vascular. I ka manawa like, ʻo ka hana a renin, he enzyme e hoʻoponopono ana i ke koko, ʻaʻole paʻa. ʻO ke hopena, e pau ka piʻi ʻana o ke koko, e hōʻemi nui ʻia kona hoʻohaʻahaʻa nui.
Ma hope o ka 1.5-2 mau hola ma hope o ka lawe ʻana i ka lāʻau, hoʻomaka ka hydrochlorothiazide e hoʻokō i kona hopena. ʻO ka lōʻihi o ka hana o ka diuretic ka mea like i 6 a 12 mau hola. I ka manawa like, ua emi ka nui o ka neʻe o ke koko, ka hoʻonui ʻana o ka ald testosterone, e hoʻonui ka hana o renin.
ʻO ka hana hoʻohui o ka telmisartan a me ka diuretic e hana i ka hopena antihypertensive ʻoi aku ka hopena ma mua o ka hopena i nā moku o kēlā me kēia. I ka wā o ka mālama ʻana me ka lāʻau lapaʻau, hōʻemi ʻia nā hōʻike o myocardial hypertrophy, hoʻemi ʻia ka make, ʻoi aku hoʻi i nā poʻe maʻi maʻi me ke koikoi nui o ka cardiovascular.
I ka wā o ka mālama ʻana me ka lāʻau lapaʻau, hōʻemi ʻia nā hōʻike o myocardial hypertrophy.
Lapaʻau lāʻau
ʻO ka hui pū ʻana o ka telmisartan me hydrochlorothiazide ʻaʻole e loli i ka pharmacokinetics o nā mea. ʻO kā lākou huakaʻi holoʻokoʻa he 40-60%. Hoʻopili koke ʻia nā mea ikaika o ka lāʻau mai ka digestive tract. ʻO ka pae kiʻekiʻe loa o ka telmisartan hōʻiliʻili i ka plasma koko ma hope o 1-1,5 mau hola he 2-3 mau manawa haʻahaʻa i lalo o nā kāne ma mua o nā wahine. Mālama i ka palaki hapa i ka palupalu, hoʻoneʻe ʻia kēia mea waiwai i nā moʻo. Hoʻokuʻu ʻia ka Hydrochlorothiazide mai ke kino a aneane i loli ʻole me ka urine.
Nā hōʻailona no ka hoʻohana ʻana
Ua kuhikuhi ʻia ʻo Telsartan:
- ma ka mālama ʻana i ka maʻi hypertension primers a me ka lua, ke hoʻohālikelike ʻia me ka telmisartan a i ʻole hydrochlorothiazide e hana ai i ka hopena i makemake ʻia;
- i mea e pale ai i nā hoʻopiʻi o nā maʻi cardiovascular koʻikoʻi i ka poʻe i ʻoi aku ma mua o 55-60 makahiki;
- i ka mea e pale ai i nā hoʻopiʻi i nā maʻi me ka maʻi II II (non-insulin-dependant) me ka ʻeha kino i hoʻoneʻe ʻia e ka maʻi lalo.
Nā Hoʻohui
ʻO nā kumu no ka pāpā ʻana i ka mālama ʻana me Telsartan:
- hypersensitivity i nā mea ikaika o ka lāʻau;
- maʻi kino koʻikoʻi;
- ka lawe ʻana iā Aliskiren i nā mea maʻi me ka maikaʻi ʻole o ka lolo;
- decompensated paleka kāpili;
- bile duct bora;
- lactase nele, lactose intolerance;
- miki;
- hypokalemia;
- hapai a lactation;
- keiki malalo o 18 makahiki.
Me ka mālama pono
Pono e mālama mua ʻia i nā maʻi a i ʻole nā hopena pathological i loaʻa i nā maʻi:
- emi i ke kahe ana o ke koko;
- nā puʻu o nā renal, nā pūlima puʻuwai;
- nāʻeha kaumaha o ka naʻau;
- nāheleʻeha maʻemaʻe;
- maʻi maʻi
- kohola
- adenoma cortical adenoma;
- laulai-kikina glaucoma;
- lupus erythematosus.
Pehea e lawe ai iā Telsartan 40
Paʻi palapala: i ka papa ʻai o kēlā me kēia lā ma mua o ke ʻai ʻana i ka papa ʻaina, pono e holoi ʻia me ka wai liʻiliʻi. ʻO ka lōʻihi loa o kēlā me kēia lā no nā ʻano koʻikoʻi o ka maʻi hypertension a hiki i ka 160 mg. Pono e hali i ka noʻonoʻo: ʻaʻole ka hopena koke o ka hopena therapeutic, akā ma hope o 1-2 mau mahina o ka hoʻohana ʻana i ka lāʻau.
Paʻi palapala: i ka papa ʻai o kēlā me kēia lā ma mua o ke ʻai ʻana i ka papa ʻaina, pono e holoi ʻia me ka wai liʻiliʻi.
Me ka maʻi diabetes
ʻO nā mea maʻi me kēia maʻi e kuhikuhi pinepine ʻia i ka pale ʻana i ka hoʻomohala ʻana o nā ʻōmole mai ka puʻuwai, pūpū, nā maka. No nā maʻi he nui me ka maʻi maʻi hypertension, ua hōʻike ʻia kahi hui o Telsartan me Amlodipine. I kekahi mau hihia, piʻi mai ka ʻike o ka uric acid i ke koko, piʻi nui ka gout. Pono paha e hoʻoponopono i ka lāʻau lapaʻau me nā lāʻau hypoglycemic.
Nā hopena hopena o Telsartan 40
ʻO nā helu o nā hopena maikaʻiʻole i kēia lāʻau lapaʻau a me ka telmisartan i lawe ʻia ʻole me ka hydrochlorothiazide e like like me ia. ʻO ka pinepine o nā hopena ʻokoʻa, no ka laʻana, nā pilikia o ka trophism kiko, metabolism (hypokalemia, hyponatremia, hyperuricemia), ʻaʻole pili i ka pili, ka wahine a me nā makahiki o nā maʻi.
ʻŌpala Gastrointestinal
Hiki i kahi lāʻau lapaʻau i nā hihia līkia ke kumu:
- ka malo maloʻo
- dyspepsia;
- pāhawewe;
- ʻeha ka ʻōpū
- constipation
- nā ninia
- utuka
- gaugitis.
Hematopoietic mau hui
Hiki i nā mea hoihoi i ka lāʻau lapaʻau ke komo pū paha:
- hōʻemi ma ka pae hemoglobin;
- anemia
- eosinophilia;
- thrombocytopenia.
Pūnaehana pīhoihoi waena
ʻO ka hopena ʻaoʻao pinepine ka hoʻonāukiuki. Loaʻa pinepine ia:
- paresthesia (ka nānā ʻana o ka goosebumps, ʻike maka, ʻā ana i nā hōʻeha);
- ka ʻōpala ʻole a i ʻole, ka hiamoe mau ʻana;
- ʻike ʻike blurry;
- pōʻino hopohopo;
- Hōʻikeʻike
- hoʻōlohelohe (kahalulu koke ke kīwaha), nāwaliwali.
Mai ka pūnaehana urinary
Hoʻomaopopo ʻia kekahi manawa:
- ka hoʻonui ʻana o ka uric acid, ʻo ka mea hana i loko o ke koko koko;
- hoʻonui i ka hana o ka hoʻonaninani CPK (creatine phosphokinase);
- pilikia ʻole kaulike;
- urinary tract maʻi, including pūnana cystitis.
Mai ka papa huhū
Nā manaʻo ʻino hou ʻole:
- ʻeha ma ka ʻōpū;
- ʻaʻano pōkole
- flu-like syndrome, sinusitis, pharyngitis, bronchitis;
- nā maʻi pīpī, polema pulmonary.
Ma ka ʻāpana o ka ʻili
Hiki ke hūnā:
- erythema (ʻulaʻula nui o ka ʻili);
- ka māla ʻana
- ʻohiʻala
- huu
- hoʻonui ʻohe;
- urticaria;
- dermatitis;
- eczema
- angioedema (loaʻa iki ʻole).
Mai ka pūnaehana genitourinary
ʻAʻole hoʻopilikia ʻo Telsartan i ka hana o ka māhele ʻano.
Mai ka pūnaehana cardiovascular
E ulu:
- arotial a orthostatic hypotension;
- keleula, tachycardia.
Mai ka ʻōnaehana musculoskeletal a me nā ʻaoʻao pili
ʻO ka hopena ʻae ʻia e pili ana i ka ʻōnaehana musculoskeletal i hiki.
- ʻeha ʻaʻā, hōʻeha i ka ʻāʻī, nā tendons, na hui pū;
- nā ʻōpala, pinepine i nā ʻōpū o lalo;
- lumbalgia (maʻi hōʻeha ma ka kua o hope).
Ma ka ʻāpana o ka ate a me ka pāpaʻi biliary
Ma lalo o ka hopena o ka lāʻau i nā hihia ʻehā, hiki ke ʻike ʻia nā mea aʻe:
- nā ʻōlelo kuʻuna i ka ate;
- hoʻonui ka hana o nā enzymes i hana ʻia e ke kino.
Allergies
Loaʻa pinepineʻole ka pīhoihoi anaphylactic.
Hoʻopilikia i ka hiki ke mālama i nā mīkini
No ka mea hiki ʻole ke hoʻokaʻawale i ka ʻōpala o ka hiamoe, ʻoi ʻia ka mea ʻawaʻawa, ʻoi ʻia ka hana akahele ʻana i ka wā e hoʻokele ana, e hana ana i nā hana e koi nui loa aku ai
Nā ʻōlelo kikoʻī
Me ka nele o ka sodium i loko o ka plasma a i ʻole ka lawa o ka nui o ke koko lele, hiki i ka hoʻomaka ʻana o ka lāʻau lapaʻau me ke ʻano o ka hoʻolilo ʻana i ke koko. I nā mea maʻi me ka stenosis valula, nā maʻi naʻau coronary, a me ka nui o ka puʻuwai puʻuwai, hoʻomaʻamaʻa pinepine ʻia nā aʻa arterial hypotension. Hiki i kahi hāʻule hōʻeha ma ke koʻikoʻi ke alakaʻi i kahi hōʻeha a i ʻole ka myocardial infarction.
E hoʻohana i ka lāʻau lapaʻau me ka mālama a me ka mitral a i ʻole stenosis valve aortic.
I nā maʻi maʻi, hiki i nā hōʻeha hypoglycemia. Pono e nānā pinepine i ka pae o ka glucose i ke koko, e hoʻoponopono i ka nui o nā ʻaole o hypoglycemic.
I nā maʻi maʻi, hiki i nā hōʻeha hypoglycemia.
Hiki i ka Hydrochlorothiazide mahele o Telsartan ke hoʻonui i ka hoʻoili o nā mea hoʻonaninani i nā mea momona e hihia ai kahi hana renal impaired, a no ka mea hoʻi i ka hoʻomohala ʻana i ka maʻi myopia ʻoiau, sudut-kati.
Hoʻohana pinepine ka hoʻohana ʻana i ka lāʻau i ka hyperkalemia. Pono ia e nānā i nā kiko o nā electrolytes i nā kaila koko.
ʻO ka hōʻino ʻana o ka lāʻau lapaʻau ʻaʻole ke alakaʻi i ka hoʻolālā ʻana.
Me ka hyperaldosteronism maʻamau, ʻaʻole pilikino ka hopena therapeutic o Telsartan.
Hoʻohana i ka wā hāpai a me ka lactation
Contraindicated ka lapaʻau ʻana i ka wā gestation a me ka umauma.
Kuhi ʻana iā Telsartan i nā keiki 40
ʻAʻole noʻonoʻo ka lāʻau lapaʻau e hoʻohana ʻia e nā mea maʻi ma lalo o ka 18 mau makahiki o ka makahiki.
Hoʻohana i ka wā kahiko
I ka loaʻa ʻole o nā maʻi concomitant koʻikoʻi, ʻaʻohe pono no ka hoʻoponopono hoʻoponopono ʻia.
Ke noi no ka hana renal haukapole
ʻAʻole pono ke hoʻoponopono ʻia ʻo ka Doseage no nā mea maʻi me ka hiki ʻole o ka renal ke ʻano nui o nā ʻano paʻakikī, ʻo ia hoʻi e hana ana i nā kaʻina hemodialysis.
Hoʻohana no ka hana lawelawe lēwa
Wahi a nā hopena o nā haʻawina he nui i nā poʻe maʻi me ka hana maʻalahi o ka naʻau i ʻole ka maʻi o ka lā, ʻaʻole pono ka nui o ka lā o kēlā me kēia lā no 40 mg.
Wahi a nā hopena o nā haʻawina he nui i nā poʻe maʻi me ka hana maʻalahi o ka naʻau i ʻole ka maʻi o ka lā, ʻaʻole pono ka nui o ka lā o kēlā me kēia lā no 40 mg.
ʻO ke kauā o Telsartan 40
Hiki i kahi hāʻule kuʻuna i ke koko me ka brady a i ʻole ka tachycardia. ʻAʻole kūpono ka koho pelekikena ʻo ka hemodialysis. Pono e kāohi i nā pae o ka creatinine a me electrolytes i ke koko.
Hoʻopili pū me nā lāʻau ʻē aʻe
Me ka hoʻohana like pū me nā lāʻau ʻē aʻe e hōʻemi ai i ke koko, e hoʻonui ka lāʻau lapaʻau i ko lākou hopena therapeutic.
Ke lawe nei ʻo Telsartan me Digoxin, ke piʻi nui ka luhi o ka glycoside cardiac, no laila, pono ke nānā aku i nā pae serum.
I mea e pale aku ai i ka hyperkalemia, ʻaʻole pono e hoʻohui pū i ka lāʻau me nā mea ʻala e loaʻa ai ka potassium.
ʻO ka kaohi o ka hoʻoneʻe ʻana o ka lithium i ke koko aʻo ke hoʻohana ʻana i nā lāʻau lapaʻau e pili ana i nā pūhui o kēia metala alkali, no ka mea Hoʻonui ka Telmisartan i ko lākou hōʻalo.
ʻO Glucocorticosteroids, Aspirin a me nā lāʻau lapaʻau non-steroidal e hōʻemi ana i ka hopena antihypertensive o ka lāʻau.
Hiki i nā NSAID ke hoʻohui me ka telmisartan hiki ke hoʻokaʻawale i ka hana hoʻohuli.
Hoʻolaha ka waipuna
I ka wa me ka lāʻau lapaʻau, pono ʻoe e inu i ka wai ʻaka o kekahi ʻano.
Nā kuʻina
Hiki ke hoʻololi ʻia a Telsartan me nā huaʻōlelo i lalo me kahi hopena like:
- Mikardis;
- Prirator;
- Tanidol;
- Eia;
- Telzap;
- Telmisartan;
- Telmista;
- Telpres
- ʻIke Kahi
- Hipotel.
Waihue huaʻōlelo waiho nā huaʻōlelo
Kahi ʻia i ka hōʻike ʻana o ka waihona.
Kumukūʻai no Telsartan 40
ʻO ke kumu kūʻai o ka 1 pahu he 30 pcs. - mai 246-255 hoʻoheʻe.
Ke waiho nei i nā kūlana no ka lāʻau lapaʻau
ʻAʻole kiʻekiʻe ka mahana o ka wela ma nā papa ma mua o + 25 ° C. ʻAʻole pono ke kiʻi o kā lākou wahi e mālama ai i nā keiki.
ʻO ka lā kau
2 makahiki
Mea hana
ʻOihana kūʻai olakino India "Kauka Kauka Reddy's Laboratories Ltd." (ʻO Dr. Reddy's Laboratories Ltd.).
Ke lawe nei ʻo Telsartan me Digoxin, hoʻonui nui ke kahe o ke glycoside cardiac.
Hoike ʻia ma Telsartan 40
Maria, 47 makahiki, Vologda
ʻO nā paila he nui a he mea palekana i nā loina he nui no ka maʻi vascular. He mea kupaianaha wale nō hoʻi ʻia kēlā lāʻau lapaʻau maikaʻi ma India, ʻaʻole iā Kelemania a me Switzerland paha. Ua liʻiliʻi nā hopena ʻaoʻao. ʻO ka poʻe wale kekahi e hoʻopilikia wale nei i ka palupalu iaʻu, akā ua hōʻeha mai iaʻu no ka wā lōʻihi inā ʻaʻole wau i lawe iā Telsartan.
Vyacheslav, 58 makahiki, Smolensk
Ua lōʻihi wau i ka hypertension. Hoʻokomo hou ʻia kahi papalole wahine. ʻO nā mākaukau hoʻokahi wale nō i lawe ʻia ʻole i nā makahiki he nui ka mālama ʻana! Akā pono ka hoʻololi ʻia, no ka mea hoʻohana ke kino iā ia, a laila pau lākou i ka hana e like me ka wā ma mua. Ua hala wau i ka lawe ʻana iā Telsartan. Hāʻawi ke aʻo iā ia i kahi papa inoa loa o nā hopena ʻaoʻao, akā ʻaʻole i kū kekahi. ʻO ka lāʻau maikaʻi e paʻa ai i ka paipai. He liʻiliʻi iki ka ʻoiaʻiʻo.
Irina, 52 makahiki, Yekaterinburg
No ka manawa mua, ʻōlelo ʻo ka mea lapaʻau i pono e lawe ʻia ʻo ʻAlodipine, akā ma hope o hoʻokahi pule, ua hoʻomaka kona mau wāwae. Ua hoʻololi ʻo ke kauka iā ia me Enap - ʻaʻole hoʻomaka koke kahi huki e kīloi iaʻu. A laila, pono wau e hoʻololi iā Telsartan, akā ua huli wau i ka hoʻomaʻamaʻa pilikino aku iā ia. Aia ka maʻi iki, a laila puka maila ka pelu kino. Hele hou wau i ka hauka. A wale wale nō ke kuhikuhi nei ka mea lapaʻau i nā mea āpau i hāʻule i nā wahi āpau. ʻAʻohe pilikia i kēia mau pōpoki. No laila he mea nui loa ia e koho pono ke kauka i ka lāʻau lapaʻau i kūpono iā ʻoe.
