He lāʻau antihypertensive a me ka diuretic me ka hui pū ʻana o nā mea ʻelua hana. Ua hana ia no ka mālama ʻana o nā poʻe maʻi me ka lāʻau hoʻohui i hōʻike ʻia o ka hypertension arterial.
Inoa Kūʻai ʻole honua
Ramipril + hydrochlorothiazide.
ʻO ka inoa inoa honua hoʻoili nona ka inoa ʻo Hartil-D ʻo Ramipril + hydrochlorothiazide.
Ath
ATX Code C09BA05
E hoʻokuʻu i nā palapala a me ka ʻano
Loaʻa ka lāʻau lapaʻau i ke ʻano o nā papa melemele ʻenekele. Ua kahakaha ʻia kahi palapala ma kahi ʻaoʻao, ma muli o ke ʻano.
- 2.5 mg - ma kekahi ʻaoʻao a he 12.5 mg - ma kekahi, ma nā ʻaoʻao ʻelua o nā ʻāpana hoʻohele;
- ʻO 5 mg i hoʻokahi ʻaoʻao a me 25 mg ma kekahi, ma nā ʻaoʻao ʻelua ʻelua.
I hoʻokahi pahu pahu hiki ke lilo i 2 bl 14 o nā ʻāpana he 14 i kēlā me kēia.
ʻO ka hoʻonohonohoʻana o nā papa he 2 mau mea ikaika:
- ramipril i loko o kahi inea o 2.5 aiʻole 5 mg;
- hydrochlorothiazide - 12.5 mg a i 25 mg paha, kēlā me kēia.
Hoʻohui - nā thickeners, ʻeleʻele a me nā mea like like.
Ka hana lāʻau lapaʻau
ʻO Ramipril kahi waiwai hypertensive. Ke hoʻolōʻihi nei i ka hana a kahi inhibce ACE (exopeptidase), e hopena i kahi hopena hypotensive: ʻo ka nui o ka pale ʻana o nā moku peripheral a me nā capillary pulmonary e lilo i liʻiliʻi, hoʻonui ʻia ka puʻuwai a ke kū i ka hoʻonui ʻana i ke kaumaha.
Eia kekahi, hoʻonui ka waiwai i ka kahe o ke kahe i ka myocardium a hoʻopaʻa aku i ka pālahalaha ʻana o ka necrotization i ka wā hōʻeha hōʻeha, e hōʻemi ana i ka hōʻaho o ka arrhythmias a me ka hōʻeha o ka puʻuwai paʻakikī.
ʻO ka hana ulu lua - hydrochlorothiazide - e pili ana i ka thiazides me nā waiwai o kahi diuretic.
Ke hoʻololi nei i ka lilo o ka sodium a hōʻemi i ka pane i ka norepinephrine a me ke ʻano angiotensin II.
Me ke kōkua o Hartila-D, ke emi nei ke kaomi o ka vein portal.
I ka poʻe maʻi me ka maʻi ʻaʻai me ka nephropathy me ke kōkua o kēia lāʻau lapaʻau, hoʻemi ʻia ka paʻakikī o ka vein portal a ua kāohi ʻia ka hoʻomohala ʻana o ka hana ʻole ʻole.
Hoʻomaka ka lāʻau lapaʻau e pili ana i hoʻokahi hola ma hope o ka hoʻokele ʻana a kū i kahi lā.
Lapaʻau lāʻau
ʻO ka wikiwiki o ka wehe ʻana o ka ʻina antihypertensive hele koke i hope, a ma hope o hoʻokahi hola hiki i kona kiʻekiʻe (50-60%). Hoʻokumu ia i ka hana a me ka hana pono ole e paʻa ai i ka hāpana o ka protein o ke koko.
Hoʻopau ka diuretic i ka wikiwiki me ka ramipril, ua maʻalahi ke kahili ʻia a hoʻoulu ʻia e ka 90% e nā kuli i ko lākou ʻano mua.
Hoʻopau ʻia ʻo ia ma kahi kaulike like me nā urine a me nā feces.
I ka hihia o ka hana renal impaired, piʻi ka nui o ka ramiprilat (hana metabolite), a i ʻole he pilikia lā ka nui o ka ate, ramipril.
Nā hōʻailona no ka hoʻohana ʻana
Ua hōʻike ʻia ʻo Hartil D no ke koko kiʻekiʻe, akā hoʻohana ʻia nō hoʻi i kekahi mau maʻi o ka puʻuwai a me nā puʻuwai.
Ua hana ʻia no ka mālama ʻana i kēlā mau maʻi.
- pilikia hemahema;
- hypertension arterial;
- maʻi ʻole a nondiabetic nephropathy;
- Iʻa ʻo IHD e hōʻemi i ka hiki ʻana o ka infarction myocardial a cerebral hemorrhage (stroke).
Ka hōʻailona no ka hoʻohana pono ʻana ka pono no kahi hui ʻana i ka mālama ʻana i nā diuretics me nā mea hana antihypertensive.
Nā Hoʻohui
Mai lawe i ka lāʻau inā:
- hyperreactions i kekahi o nā mea o ka lāʻau lapaʻau a i ʻole nā mea waiwai o ka hui sulfonamide;
- ka heleʻana o nā edema o nā lau hohonu o ka dermis a me nā kiko kikoʻī subutanus i ka anamnesis;
- paʻakikī o nā arela hepatic me ka paʻakikī o ke kahe koko a hoʻopau ʻana paha i nā ʻāpana o ke keiki hoʻokahi;
- cholestasis;
- hypotension arterial;
- a hiki i ka 18 mau makahiki, ma muli o ka nele o ka ʻike i ka hopena ma ke kino o nā keiki;
- i ka wa huna ʻo ka adrenal cortex i ka aldosterone ma mua o ka mea maʻamau;
- nā mālamalama maikaʻi ʻole.
ʻAʻole mālama ʻia ka mālama ʻia me ka wahine ma ka wā hāpai a i ka wā a ka umauma.
Me ka mālama pono
Me ka kū pono nui a ma lalo o ka nānā ʻana o ke kauka, ua kuhikuhi ʻia no ka aldosteronism primer, intolerance or malabsorption o glucose a galactose, i ka wā hemodialysis,
Pehea e lawe ai iā Hartil D
Hoʻolaha ʻia ka dosage e ke kauka ma kēlā me kēia hihia pākahi.
Lawe pinepine ʻia nā papa i ke kakahiaka, me ka ʻaʻa ʻole ʻana. Ma ka manawa like e hoʻopau ai i ka wai nui. Mai hoʻokaʻawale me ka ʻaʻa meaʻai.
Lawe ʻia nā papa ʻo Nāilaila-D i ke kakahiaka, me ka ʻaika ʻole.
Pono e hoʻonui ka nui o ka lā ma mua o 10 mg.
Paʻi no nā maʻi like ʻole.
- Hypertension Arterial - 2.5-5 mg pākahi i kēlā me kēia lā, ma muli o ka hopena i hua ʻia.
- Hoʻololi ka naʻau paʻakikī - 1.25-2.5 mg. Me ka hoʻonui ʻia o ka nui i koi ʻia ma kahi o 2.5 mg hiki ke hoʻokaʻawale i 2 mau pūmole.
- Ma hope o ka infarction myocardial, ua hoʻonohonoho ʻia ka hui ʻana o ka ramipril + hydrochlorothiazide ma mua o ke kolu o ka lā ma hope o kahi kūlana maʻi. Dosisage - 2,5 mg 2 mau manawa i ka lā. Hiki i ke hoʻonui iā 5 mg 2 mau manawa i kahi lā.
- No ka pale ʻana o ka hoʻoulu ʻana i ka puʻuwai, ʻo ka dosage mua he 2.5 mg, ma hope ʻia i pālua ʻia ma hope o 2 hebedoma pule o ka hoʻokele ʻana, a ʻo 2 mau manawa hoʻi ma hope o 3 mau pule. ʻO ka mālama nui loa i kēlā me kēia lā he nui ma mua o 10 mg.
Me ka maʻi diabetes
I ka hoʻomaka ʻana o ka hoʻōla, lawe ʻia ka hapalua ma kahi o 2,5 mg mau lā i ka lā i hoʻokahi lā. I ka wā e hiki mai ana, inā pono, e hiki nō ke hoʻonui i ka momona i kēlā me kēia lā i 5 mg i loko o nā inikua ʻelua ʻelua.
Nā hopena ʻokoʻa o Hartila D
ʻO ka maʻamau pinepine loa, nā mea i ʻike ʻole ʻia o ka hana o ka lāʻau lapaʻau e pili ana i ka hana o ke kūpili, hematopoiesis, pūnao waena o ka hanana, ka urinary a me nā ʻōnaehana genitourinary, ka pūnaehana hanu, ka ʻili, ka ʻoihana endocrine, nā leʻaleʻa a me nā kiko biliary.
ʻŌpala Gastrointestinal
Puka, luaʻi, waha maloʻo, stomatitis, maʻi ʻino.
Hematopoietic mau hui
Mai nā ʻekopa hemopoietic, hiki i nā loli o ke kāʻei ʻana o nā hōʻailona.
- pae hemoglobin (hoʻohemo, ka loaʻa ʻana o ka anemia);
- ka nui o nā sela koko ʻulaʻula, nā keʻena koko keʻokeʻo a me nā platelets (hōʻemi);
- kalepona pae (hina).
Pūnaehana pīhoihoi waena
ʻO ka hoʻomaka ʻana o ka pīpī, hoʻonui i ka hiamoe, hopohopo, ke kani ʻana i nā pepeiao, nā maʻi a me ka nāwaliwali ʻaʻole i hoʻoholo ʻia.
Mai ka pūnaehana urinary
Hiki i ke kumuhana ke hāpai i nā oliguria,
Mai ka papa huhū
Hiki bronchospasm, rhinitis, pāʻai maloʻo, pōkole o ka hanu.
Ma ka ʻāpana o ka ʻili
ʻO Rash, paresthesia, hoʻonui nuiʻia, ka sensation i ka wela i kekahi mau wahi o ka ʻili, alopecia.
Hiki i ka hoʻohana ʻana o Hartila-D ke kumu hoʻomehana nui aʻe.
Mai ka pūnaehana genitourinary
Hoʻopau i ka libido, erectile dysfunction.
Mai ka pūnaehana cardiovascular
Hoʻopili i ke koko i ka wā e kū ai a kū ana, palaualelo i ka naʻau o ka puʻuwai, e hoʻonui i ka maʻi o Raynaud.
I ka hihia o kahi koi a ikaika loa i ka neʻe koko, e ulu a myocardial infarction a i ʻole ka hahau ʻana.
ʻŌnaehana Endocrine
ʻO ka hoʻonuiʻana serum glucose a me ka waikawa uric.
Ma ka ʻāpana o ka ate a me ka pāpaʻi biliary
Jaundice cholestatic, hepatitis, ate ate, cholecystitis, nā ate necrosis.
Allergies
Hiki i nā hopena allergic ke ʻano o:
- urticaria;
- hoʻonui ʻia Photosensitization;
- angioedema o ka maka a i ʻole o ka larynx;
- ka ʻōpū ʻana o nā ʻāʻī;
- erythema exudative;
- conjunctivitis, etc.
ʻO ka hoʻohana ʻana o Hartila-D hiki i ka hopena alaka i ka ʻano urticaria.
Me nā hopena maʻi kūlohelohe, hoʻopau kā nā papa.
Hoʻopilikia i ka hiki ke mālama i nā mīkini
No ka mea e hana me nā hana paʻakikī e koi pono ai, a laila, hāʻawi ʻia i kēlā me kēia kūlike i ka lāʻau lapaʻau, pono ʻoe e hōʻalo i ke kaʻa ʻana i kahi kaʻa a me nā mea hana i ka liʻiliʻi loa i ka hoʻomaka ʻana o ka mālama ʻana.
Ua ʻike ʻia nā hopena ʻaoʻao ma ke ʻano o:
- hyperkalemia
- pāpaho;
- haiolauinauia;
- hoʻonui i ke koena hauoli;
- loli i kekahi mau hōʻailona kuhikuhi.
Pae ka ʻōnaehana musculoskeletal i ka lāʻau lapaʻau me nā ʻōpala o ka naʻau, ka lāʻau a me ka, aneʻi ʻole, nā maʻi maʻi.
Nā ʻōlelo kikoʻī
Hoʻohana i ka wā hāpai a me ka lactation
Ka lāʻau lapaʻau paʻa paʻa ʻana i ka lua a me ke kolu o ka hapo o ka hapai. I kēia manawa, ʻoi aku ka nui o nā hopena hauā i ka embryo. Ma muli o ka mana o nā mea ikaika o ka lāʻau lapaʻau, hiki i ka pūpū:
- hana ʻole;
- ulu ʻana;
- oligohydramnios;
- lohi ka ossification o ka ʻōpala.
ʻO hakil-D ʻo contilicated paʻa i loko o ka lua a me ke kolu o ka hapo o ka hapai.
I ka wā e hiki mai ana, hoʻomohala nā ala o nā pēpē hou:
- ke koko haʻahaʻa;
- hyperkalemia
- thrombocytopenia.
No ka mea aia ka hoʻokuʻu o ka lāʻau i ka waiū umauma, pono ia e haʻalele i ka hōʻuluʻulu ʻana.
Kahoho o Hartil D i na keiki
ʻAʻole i lawelawe ʻia nā haʻawina e pili ana i ka hopena o ka lāʻau ma nā keiki, no laila, a hiki i ka makahiki ʻumikumamāwalu ʻaʻole ia i kuhikuhi ʻia.
Hoʻohana i ka wā kahiko
E kuhikuhi me ke akahele me ka haʻahaʻa nui loa.
Ke noi no ka hana renal haukapole
I ka hopena ʻole, pono ke hoʻoponopono ʻia ke ʻano a me ka papa o ka mālama ʻana.
Pono e hoʻonui ka nui o ka lā ma mua o 5 mg.
I ka hopena ʻole, pono ke hoʻoponopono ʻia ke ʻano o ka maʻi ʻo Hartila-D a me ke ʻano o ka mālama ʻana.
Hoʻohana no ka hana lawelawe lēwa
ʻAʻole ʻoi loa ka kiʻekiʻe o ka lā ma ka lā o ka pulima o ka puʻu pōkole ma mua o ka 2.5 mg, a me ka mālama ʻana, ma muli o ka hopena hiki ʻole o ka lāʻau lapaʻau, ke lawe ʻia nei ma lalo o ka mākaʻikaʻi koʻikoʻi o kahi kauka.
ʻO ke overdose o Hartil D
Paha ia:
- nahoa
- kahi emi o ke kahe koko;
- mālama keʻa;
- ke kālai;
- hana ʻehaʻeha puʻuwai, etc.
ʻO kahi papa hana e hana ʻia ai ka hoʻohana ʻana i nā pono a i hoʻāla ʻia e ka sodium sulfate.
ʻO ka hana hou aku e pili ana i nā ʻōuli, me ka lōʻihi o ka lāʻau a me ka pau ʻana.
Hoʻopili pū me nā lāʻau ʻē aʻe
Hiki ke hoʻohana pū me nā thrombolytics, beta-blockers, acetylsalicylic acid.
Pono ka ʻike kikoʻī i nā hihia o ka hoʻokele hui o ka lāʻau i ho'ākāka ʻia me:
- kūpeʻe;
- anesthetics;
- tricyclic antidepressants;
- kūʻaʻaleʻa nitrates;
- vasodilators;
- nā lāʻau antipsychotic.
Malia paha o ka hoʻohanaʻana o Hartila-D me ka acetylsalicylic acid.
No laila, ʻo ka lawelawe pū ʻana me nā diuretics e hoʻonāukiuki i ka emi ʻana o ke kahe koko.
I ka wā e hoʻohana ai me ka diuret thiazide, hiki ke loaʻa ka nui o ke kō o ka calcium calcium.
ʻO kekahi mau anesthetics, nā nitrates kūlohelohe (ʻo ka pinepine ka nitroglycerin), nā lāʻau antipsychotic, a me nā antidepresants tricyclic e hāʻawi i ka hopena like.
ʻO nā lāʻau hōʻemi e hoʻonui i ke kiʻekiʻe o ka paʻakai i loko o ke koko (no ka laʻana, ka diuretics potassium-sparing e like me Spironolactone, Triamteren, Renial, etc.), hiki i nā cyclosporins ke hāʻawi i ka hopena o hyperkalemia.
Lilo ka mea momona i ka lithium i ka wā e lawe pū ʻia me nā mea paʻa o ka ACE, no laila, ʻaʻole e hui pū i ka hoʻokahi wai.
Hiki i nā Hypokalemia ke kūkulu i ka wā e lawe ʻia me ka glycosides cardiac a me kekahi mau lāʻau antipsychotic.
ʻO ka hopena antihypertensive e hoʻonāukiuki i ka hui pūʻana me nāathathomimetics a me ka hoʻohana lōʻihi ʻana me nā lāʻau anti-inflammatory non-steroidal.
Hoʻolaha ka waipuna
Hiki ke hoʻonui i nā hopena i ka waiʻona, no laila ʻaʻole i kauoha ʻia ka kōleʻa ʻana.
Nā kuʻina
Aia nā hoʻohālikelike me nā mea like a me nā mea like.
- Amprilan nl (Slovenia) - 30 papa;
- Ramazid n (Malta a i ʻole Islandy) - 10, 14, 28, 30 a me 100 mau ʻāpana.
Loaʻa nā ʻano lāʻau like like, akā me nā mea ola a pēlā paha:
- Tritace me;
- Enalapril;
- Enap R;
- Prestadium a me nā mea ʻē aʻe
Waihue huaʻōlelo waiho nā huaʻōlelo
Hoʻokuʻu ʻia ma ke kau inoa.
Hiki iaʻu ke kūʻai me ke kī ʻole
ʻAʻole ʻae ʻia ka ʻākena ʻole.
Kumukuai no Hartil D
ʻO ke kumukūʻai o ka hoʻokomo ʻana i nā papa ma ka nui o nā ʻāpana he 28:
- mai 455 mau rubles - 2,5 mg / 12.5 mg;
- mai 590 mau rubles - 5 mg / 25 mg.
Ke waiho nei i nā kūlana no ka lāʻau lapaʻau
Manaʻo ʻia e mālama i ka lāʻau lapaʻau i kahi wela ʻaʻoleʻoi aʻe + 25º C ma kahi ʻaʻole i hiki ke komo i nā keiki a me nā holoholona.
Manaʻo ʻia e mālama i ʻo Hartil-D i kahi mahana ʻaʻoleʻoi loa + 25º C.
ʻO ka lā kau
Hoʻomaopopo ka lā hoʻopau hala i ka pau. Mai hana ma hope o 3 mau makahiki mai ka lā i hana ai.
Mea hana
Ka hana ʻana o Kelemania o ka ʻoihana "Alfamed Farbil Artsnaymittel GmbH" i ke kūlanakauhale o Gottingen.
Kuhi ʻia ia ma ka hale ʻoihana o ka lāʻau lapaʻau lāʻau lāʻau lapaʻau EGIS CJSC ma Hungary.
Hōʻike ʻo Hartil D
Cardiologists
Anton P., cardiologist, Tver
Ua hōʻike ka hoʻomaʻamaʻa hana i ka hopena o ka lāʻau lapaʻau ma ka mālamaʻana i ka maʻi hypertension. He mea kūpono ka hoʻohana ʻana i ka wā e hōʻike ʻia ai ke alakaʻi ʻana o ka inhibce ACE a me diuretics.
Elena A., cardiologist, Murmansk
ʻO ka lāʻau antihypertensive e hoʻohana pono i hiki ke hoʻohana ʻia e pale i ka hōʻeha ʻana o ka naʻau. ʻO ka mea maikaʻi wale nō ka nui o nā hopena ʻaoʻao, i kekahi manawa paʻakikī.
ʻO nā maʻi maʻi
Vasily, 56 mau makahiki, ʻo Vologda
Ua hala wau i ka maʻi hypertension no nā makahiki he nui. Ma kahi mau mahina 2 i hala iho nei ua loaʻa iaʻu kahi papa lapaʻau no kēia lāʻau lapaʻau mai ke kauka. I ka wā mua, ua hōʻeha ʻia ka dizziness a me kahi kūpono iki. Ua haʻi ʻo ia i ke kauka a ma hope o ka loli ʻana o ka wai, ua hāʻule nā mea a pau, a i kēia manawa ke ola kino nei au.
Ekaterina, 45 makahiki, ke kulanakauhale o Kostroma
I ka wa i kuhikuhi aku ai ke kauka i kēia mau pala, ua wehewehe ʻo ia no ka mea pono ke hui pū ʻia no ka lāʻau lapaʻau, ʻike ʻia kekahi mea kūpono loa i kēia hihia. He maʻalahi ka lawe ʻana iā ia i hoʻokahi lā i ka lā, ʻaʻole pono e hoʻomanaʻo a lawe ʻoe i ka wā o ka ʻai ʻana, i ka wā a i ʻole. Inā poina ʻoe ma mua o ka ʻaina kakahiaka, a laila hiki iā ʻoe ke inu ma hope. ʻO ka pilikia wale nō - i nā lā mua iaʻu e waiho i ka hoʻokuke ʻana, ʻoiai ua nalowale koʻu poʻo. Akā, hele pau nā mea a pau, a eia wau ke inu i kēia lāʻau lapaʻau i kēlā me kēia lā.
