ʻO ka Metglib Force e pili ana i nā huila hypoglycemic. Hoʻolālā ka hana maʻamau o ka nui o ka glucose koko. He hopena hoʻomanawanui nō. Hoʻohana ʻia e mālama i ka maʻi maʻi type 2.
Inoa Kūʻai ʻole honua
INN: Metformin a me sulfonamides
ʻO ka Metglib Force e pili ana i nā huila hypoglycemic. Hoʻolālā ka hana maʻamau o ka nui o ka glucose koko.
ATX
A10BD02
E hoʻokuʻu i nā palapala a me ka ʻano
Loaʻa ka lāʻau lapaʻau ma ke ʻano o nā papa i ka maʻi he 2.5 mg + 500 mg a me 5 mg + 500 mg. ʻO nā mea nui, he glibenclamide a me metformin hydrochloride. ʻO nā mea koena e hōʻike ʻia e: starch, calcium dihydrate, a me ka macrogol a me nā povidone, he wahi liʻiliʻi o ka cellulose.
ʻO ke kiʻi o nā papa papa ʻaina keʻokeʻo 5 mg + 500 mg i hana ʻia i ke keʻokeʻo Opadra keʻokeʻo, giprolose, talc, titanium dioxide. Aia nā papa ʻāpana i ka laina hoʻokaʻawale.
Nā ʻāpana 2.5 mg + 500 mg oval, i uhi ʻia me ka pale pale kiʻi me kahi kala hoʻoneʻe.
Ka hana lāʻau lapaʻau
Hoʻohui pū ia me ka lawehala hypoglycemic, he huaʻala o ka sulfonylurea o 2 mau hanauna, i manaʻo ʻia no ka lawelawe waha. Loaʻa ia i nā hopena pancreatic a me nā extrapancreatic hopena.
Hoʻokumu ʻo Glibenclamide i ka mea huna o ka insulin ma ka hoʻoli ʻana ʻana i kona ʻike ʻana e nā pū beta i nā pancreas. Ma muli o ka hoʻonui nui o ka insulin, e hoʻopaʻa ana i ka huli ʻana i nā cell i kahi wikiwiki. Ke iho nei ke kaʻina o lipolysis o ka adipose kiko.
Hoʻopili ka Metformin i ka glucoseoneogenesis i loko o ka puʻuwai. ʻO kaʻaeʻana o ka kulu mai ka gastrointestinal tract e emi, a me ka hōʻemi ʻana o nā io i nā mea ikaika. ʻO ka manaʻo o ka hormone thyroid a me ka cholesterol i loko o ke koko ke emi nei.
Lapaʻau lāʻau
Loaʻa ka pae plasma kiʻekiʻe loa ma hope o 2 mau hola ma hope o ka lawe ʻana i ka ʻaʻe. ʻO ka hapalua hapalua o nā glibenclamide e lōʻihi ka lōʻihi ma mua o ka metformin (ma kahi o 24 mau hola).
Nā hōʻailona no ka hoʻohana ʻana
ʻO nā ʻōhua no ka hoʻohana ʻana i nā maʻi kauka ma lalo iho:
- type 2 diabetes mellitus i nā pākeke, inā ʻaʻole kōkua ka meaʻai a me ka hoʻomaʻamaʻa;
- ka nele o ka hana pono o ka hana me nā derivatives sulfonylurea a me ka metformin;
- e hoʻololi i ka monotherapy me nā 2 lapaʻau i nā kānaka me ka mana glycemic maikaʻi.
Hoʻohana ʻia ka lāʻau lapaʻau no ka maʻi maʻamau o ka maʻi pākeke 2 i nā pākeke, inā ʻaʻole kōkua ke ʻano o ka meaʻai a me nā hana kino.
Nā Hoʻohui
Nui kekahi contraindications i ka hoʻohana ʻana i kēia lāʻau lapaʻau i wehewehe ʻia i nā ʻōlelo aʻoaʻo. I waena o lākou:
- hypersensitivity i nā māhele o ka lāʻau lapaʻau;
- maʻi mellitus type 1;
- hana koʻikoʻi kahi keiki;
- diabetes ketoacidosis;
- hele mai nā hopena maʻamau me ka hypoxia kiko;
- ka wā hapai a me ka lactation;
- maʻi lēpela;
- nā hōʻeha a me nā hana lehulehu;
- hoʻohana ka hoʻohana ʻana i ka miconazole;
- mai ka waiʻona make;
- lactic acidosis;
- piliʻole i kahi meaʻai haʻahaʻa-calorie;
- keiki malalo o 18 makahiki.
Me ka mālama pono
Me ka mālama nui, ʻōkuhi kēia lāʻau lapaʻau no ka poʻe e loaʻa ana i ka maʻi febrile, inu waiʻona, hana adrenal impaired, gland pituitary a me nā gland thyroid. Ua kuhikuhi pono ʻia no nā kānaka he 45 a mau makahiki (ma muli o ka nui o ka ulu o ka hypoglycemia a me ka lactic acidosis).
Pehea e lawe ai i ka Metglib Force?
Pau nā papa ʻōlelo no ka hoʻohana ʻana i ka waha. Koho ʻia ka ʻākāhu hoʻokahi, me ka ʻike ʻana i ka nui o ka hōʻeha o nā hōʻike lapaʻau.
Me ka maʻi diabetes
Hoʻomaka me 1 papa i kēlā me kēia lā me nā inika o nā mea ikaika o 2.5 mg a me 500 mg, kahi. E hoʻonui mālie i ka maʻi i kēlā me kēia pule, akā hāʻawi ʻia i ka nui o ka glycemia. Me ka hui pū ʻana e hoʻohālikelike ai, ʻoiai inā ʻo ia ka mea i hoʻokaʻawale ʻia e ka metformin a me nā glibenclamide, pono ʻia e inu i 2 papa i kēlā me kēia lā. Pono e hoʻolōʻihi ʻia ka nui o ka lā i kēlā me kēia lā i nā papa he 4 i ka lā.
Nā hopena hopena
I ka wā mālama, hiki ke hoʻomohala ʻia ka loaʻa ʻana o kēlā ʻano hopena.
- leuko- a me thrombocytopenia;
- anemia
- pehu ana pane;
- hypoglycemia;
- lactic acidosis;
- ua hōʻemi ʻia ʻo ia i nā kō o ka vitamin B12;
- hoʻowahāwahā ʻaʻa;
- ua hōʻemi ʻo ia i ka ʻike;
- ninini
- utuka
- nā ninia
- nele o ka momona;
- kahi ʻeha o ka ʻeha i loko o ka ʻōpū;
- hana aho pili ole;
- repatitis hepatitis;
- nā hopena ʻili;
- urticaria;
- lapoʻa i ukali ʻia me ka ʻeha;
- erythema;
- dermatitis;
- ka hoʻonui ʻana i ka kao o ka urea a me ka mea hana i loko o ke koko.
Hoʻopilikia i ka hiki ke mālama i nā mīkini
Pono e ʻike ʻia nā kānaka e pili ana i ka pilikia o ka hypoglycemia a hana i nā hana e pale ai ma mua o ka hoʻi ʻana aku ma hope o ka huila o ke kaʻa a i ʻole e hoʻomaka ana e hana me nā hana paʻakikī e koi nui ai ka naʻau o ka makaʻala.
Nā ʻōlelo kikoʻī
Hoʻopili ʻia ka lāʻau lapaʻau i ka mālama ʻana i nā wela palupalu, nā maʻi maʻi pāpaʻomaʻi, nā mākaukau paʻakikī ma mua o nā maʻi nui. I ia mau kūlana, huli lākou i ka insulin maʻamau. Hōʻalo ka pilikia o ka hoʻomohala ʻana i ka hypoglycemia me nā abnormalities i ka meaʻai, ʻaina lōʻihi a me nā NSAID.
Hoʻohana i ka wā hāpai a me ka lactation
ʻAʻole i ʻae ʻia. Loaʻa ka mea hana a ka pale i ka pale o ka plasenta a hiki i ka hana ʻino ke hana i ke kaʻina hana.
ʻAʻole hiki iā ʻoe ke lawe i nā paila i ka wā lactation, no ka mea nā mea ikaika e hele i loko o ka waiū. Inā makemake ʻia ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o ka haʻalele i ka umauma.
Hoʻohuoho ʻia nā keiki Pūnaewele Metglib
ʻAʻole pili i nā maʻi pediatrics.
Hoʻohana i ka wā kahiko
ʻO nā kāne a me nā wahine ma mua o 65 e mālama pono, e like me i kēlā mau kānaka, e hoʻonui nui ʻia ka pilikia o ka hoʻomohala ʻana i ka hypoglycemia.
Ke noi no ka hana renal haukapole
Hoʻohui ʻia ka hiki ke hoʻohana ʻia e nā mahele ma kahi o clearance. ʻOi aku ke kiʻekiʻe, ua kuhikuhi ʻia ka lāʻau liʻiliʻi. Inā ʻinoʻino ke ʻano o ka mea maʻi, ʻoi aku ka maikaʻi o ka hōʻole ʻana i ia ʻano mālama.
Hoʻohana no ka hana lawelawe lēwa
ʻAʻole loaʻa ka ʻae ʻia inā ʻike ʻia ka puʻuwai koʻikoʻi. Hoʻopili kēia i nā mea hoʻoikaika paʻa i ka ate a hāʻawi i ka hoʻohena ʻana i nā hoʻokolohua hana ʻoʻea.
Ke keu
Me kahi overdose, kū ʻia ka hypoglycemia. Hiki ke hoʻoponopono ʻia kahi pae mālie e ka hoʻohana koke ʻana i ke kō a me nā meaʻai i loaʻa i ka haʻalulu. Lā ʻoe i maʻaneʻi a i ʻole ka hoʻoponopono ʻana i ka meaʻai.
I nā hihia koʻikoʻi, e hele pū ʻia me kahi kūlana ʻole ʻike, hoʻomanaki i ka maʻi a i ʻole coma mea hōʻeha, kahi kūmole glucose intravenous a i ʻole ka intramuscular glucagon. Ma hope o kēia, ua kūpono e hānai i kahi kanaka i ka meaʻai me ka momona o ka wikiwiki.
I ka poʻe maʻi me ka maʻi hepatic, ʻoi ka hoʻomaikaʻi ʻana o ka glibenclamide. ʻAʻole hōʻino ʻia ka lāʻau lapaʻau e nā dialysis, no ka mea Hoʻopili maikaʻi nā glibenclamide i nā protein koko.
Hana ʻia kahi overdose wale nō ma ka hoʻonohonoho o kahi haukapila, i ka hiki ʻana i ka acidosis lactic. ʻO ka mea kūpono loa i kēia hihia he hemodialysis.
Hoʻopili pū me nā lāʻau ʻē aʻe
ʻO ka hoʻohana pūʻana o ka miconazole, hoʻonui i ka fluconazole ka hopena o ka hypoglycemia. Hoʻopili ʻo Phenylbutazone i ka paa ʻana o ka hana ikaika i nā kāpena protein, ke alakaʻi nei i ka hypoglycemia a me kā lākou hōʻiliʻili i ka serum koko.
Nā lāʻau lapaʻau e Iodine i hoʻohana ʻia i ka diagnostics X-ray e hoʻopau pinepine i ka hana o ke keiki a me ka metformin cumulation. Hoʻ hoʻonāukiuki kēia i ka loaʻa o ka acidosis lactic.
Hoʻokomo ʻo Ethanol i nā hopena like disulfiram. Hoʻololi ʻo Diuretics i ka hopena o ka hopena o ka lāʻau lapaʻau. ACE inhibitors a me beta-blockers alakaʻi i kahi kūlana hypoglycemic.
Hoʻolaha ka waipuna
Mai lawe i kahi papa peni me ka waiʻona. Hoʻopilikia kēia i nā hypoglycemia koʻikoʻi, hoʻonui i nā hopena ʻē aʻe.
Nā kuʻina
Aia kekahi papa inoa o nā hoʻohālikelike o kēia lāʻau lapaʻau, e like me ia i nā mea ikaika a me ka hopena.
- Bagomet Plus;
- Hoʻololi;
- Glibomet;
- Kūkākūkā;
- Kuʻunaʻi;
- Kūkākūkāʻo Gluconorm;
- Metglib.
Nā kuʻina o ka hoʻomaha Metglib Force pharmacy
Pono ke ʻano.
Hiki iaʻu ke kūʻai me ka loaʻa ʻole o ka hōʻailona?
He hiki ole.
Kumu kūʻai no ka pūʻulu koa Metglib
ʻO ke kumukūʻai o kahi pale me 40 mau papa e hoʻomaka mai ka 200 mau rubles. Inā loaʻa he 30 mau ʻāpana i kahi pōpō, e hoʻonui ka uku mai ka 145 a 170 rubles. Kūpaʻa ʻia ke kumukūʻai ma nā wahi o ke kūʻai aku a me nā moina kalepa.
Ke waiho nei i nā kūlana no ka lāʻau lapaʻau
He wahi ʻeleʻele a maloʻo hoʻi me kahi mahana o 25 ° C e kūpono no ka mālama ʻana.
He wahi ʻeleʻele a maloʻo hoʻi me kahi mahana o 25 ° C e kūpono no ka mālama ʻana.
ʻO ka lā kau
ʻAʻole iʻoi aku ma mua o 2 mau makahiki.
Kaʻohana ʻo Metglib
KĀNE KĀNANA KAONFARMA CJSC, Rūsia a me NPO FarmVILAR LLC, Russia.
Nā Hōʻikeʻike e pili ana i ka Metglib Force
Kauka
Moroz V. A., 38 mau makahiki, ʻo endocrinologist, Arkhangelsk: "E ʻoi aku ka lāʻau lapaʻau. ʻĀnō ke hoʻāʻo nei wau e kākau pinepine pinepine. Ua mālama maikaʻi ka Sugar i ka maʻi maʻi maʻa mau, ʻaʻole i nā hopena like ʻole."
ʻO Kozerod AI, 50 makahiki, endocrinologist, Novosibirsk: "Makemake wau i kēia lāʻau lapaʻau, ʻae maikaʻi ʻia e nā maʻi. Ua kuhikuhi pinepine wau, ʻike wau i nā lāʻau lapaʻau i loaʻa i mua o ka wā i koho ʻia ai."
ʻO nā maʻi maʻi
Veronika, 32 makahiki, Moscow: "Ua maʻi koʻu makuahine i ka maʻi maʻamau no ka manawa lōʻihi. I ka manawa mua ua mālama ʻia ʻo ia me Glibomet. Akā, i ka manawa e hoʻonui ai i ka ʻōlelo, ua lilo ia i mea momona loa. Ua hoʻololi ʻia ka glibomet e Metglib Force, ʻo ia ka hapalua o ke kumukūʻai. ʻOiai ke kūleʻa nei ka ʻaʻai. Ke hoʻomau nei ke kō i ke kiʻekiʻe o ka hypoglycemia i kahi lōʻihi ma mua o ka lōʻihi. ʻO ka hewa wale nō ke paʻakikī i ka loaʻa ʻana i nā lāʻau lapaʻau. "
ʻO Roma, 49 makahiki, ʻo Yaroslavl: "I ka pae ʻana o koʻu kōʻai gula i ka 30 a no koʻu piʻi koke ʻana i ka haukapila, ua loaʻa iaʻu kahi maʻi diabetes. Ua hoʻomaka wau e nīnau i ka haukaʻi. e hoʻāʻo iā Metglib Force tablet. Ua hoʻohana au iā ia no 2 mau makahiki, ua ʻoluʻolu wau. Hoʻomau mau ʻia ka Sugar i ka pae, ʻaʻohe jumps no kekahi manawa lōʻihi. "
ʻO Valeria, he 51 makahiki o Chelyabinsk: "Ua inu wau i ka lāʻau lapaʻau ma kahi o hoʻokahi makahiki. Ua maʻamau ke kūmole, ʻaʻohe hypoglycemia, akā ʻaʻole wau i maikaʻi, kuhi ʻole au i ka manawa, ua hewa au i nā ʻōnaʻi thyroid. Ma nā manawa mākou e koho ai i ka lapaʻau kūpono. Ua haʻalele ke kauka. He hana maikaʻi wale nō kāna. "