Pehea e hoʻohana ai i ka lāʻau lapaʻau Amaryl M?

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Amaryl M - kahi ala e hoʻohaʻahaʻa i ka glucose koko. ʻO ka lāʻau lapaʻau ka hana extrapancreatic, hoʻonui i ka mea huna o ka insulin. Hāʻawi i nā mea maʻi me ka type 2 diabetes mellitus i hui pū me kahi meaʻai a me ke ʻano hana.

Inoa Kūʻai ʻole honua

Glimepiride + Metformin.

ATX

A10BD02.

E hoʻokuʻu i nā palapala a me ka ʻano

Kuhi puka - nā papa. ʻO nā mea hana i loko o ke ʻano mea no ka gliperide a me ka metformin i loko o kahi waihona o 1 mg + 250 mg a i ʻole 2 mg + 500 mg.

Amaryl M - kahi ala e hoʻohaʻahaʻa i ka glucose koko.

Ka hana lāʻau lapaʻau

Loaʻa ka hāmeʻa i ka hopena hypoglycemic. Ma lalo o ka hana a nā hana ikaika, e hoʻokuʻu ʻia ka insulin mai nā cell beta a komo i ke kahe koko. Iʻoi aku ka ʻike o nā kiko peripheral i ka insulin, ke hoʻoneʻe ʻia ke kaʻina hana o ka glucose mai nā huahana nonohalike, ana i ka pae o LDL a me ka triglycerides i emi iho.

Lapaʻau lāʻau

Hōʻike nā haʻawina ʻo Pharmacokinetic i ka 100% o ka palena o ka glimepiride i nā protein plasma. Me ka ingestion like ʻana, lohi i kona emi ʻana. ʻAʻole ia i hōʻiliʻili i nā kao, hoʻohuhili ʻia i ka puʻuwai me ka hoʻokumu ʻana o 2 mau metabolites, i hoʻopili ʻia ma o nā ʻāpana a me nā maʻi (ma ke ʻano o ka metabolite hana ʻole).

E hele wikiwiki a Metformin. ʻAʻole i biotransformed. I nā maʻi me ka renal gagal, hiki iā ia ke hōʻuluʻulu i loko o nā ʻāpana. Hoʻokuʻu ʻia i ka urine.

Nā hōʻailona no ka hoʻohana ʻana

Ua ʻōlelo ʻia ka lāʻau lapaʻau no ka maʻi maʻamau o ka lā 2, inā ʻaʻole hiki ke mālama ʻia ka pae glucose ma ka pae me ke kōkua o ka meaʻai a me ka hana kino.

ʻO ka papa puka hoʻokuʻu, he mau papa, ʻo nā mea hana i ka pūhui he gliperide a me ka metformin i loko o kahi waihona o 1 mg + 250 mg a i ʻole 2 mg + 500 mg.

Nā Hoʻohui

Hoʻonui ʻia ka lāʻau lapaʻau i kekahi mau ʻano a me nā maʻi.

  • pilikia ʻole a me nā hana ʻē aʻe i pau ʻole;
  • pilikia koʻikoʻi me ka hana aho lēwa;
  • lāleʻa hemahema;
  • kūlana i mua o ka coma a i ʻole coma;
  • maʻi mellitus type 1;
  • allergy i sulfonylureas, mau mea pono o ka lāʻau a i ʻole biguanides, sulfonamides;
  • ke aho hanu;
  • ketoacidosis maʻi maʻi, me ka ʻāʻaka a me ke kūlana kūlohelohe o ka metabolic acidosis;
  • hana ʻole naʻau;
  • myocardial infarction;
  • lactic acidosis;
  • fiva
  • ke hele ʻana o kahi maʻi ʻino;
  • huki koko;
  • ʻōpū puʻuwai;
  • ke kaumaha ma ke kua o ka hōʻeha, ke kuni, nā hana paʻakikī, ka pololi;
  • ke kālai;
  • nā ninia
  • hana ʻino i ke kino me ka waiʻona;
  • ka wā o ka uhaʻi ʻana i ka waiu waiū;
  • makahiki a hiki i ke 18 mau makahiki;
  • galactosemia;
  • lactation a me ka hāpai ʻana.
ʻO ka hoʻololi ʻole o Renal a me nā hana ʻē aʻe i hana ʻino i kahi kīnā e lawe ai iā Amaril M.
ʻO ka lawe ʻana iā Amaril M ua pāpā ʻia i loko o ka maʻi maʻamau.
Inā ʻike ʻia ka hemahema o ka puʻuwai, a laila e kāohi iā Amaril M.
Me ka hoʻopau ʻana o ke koko, ʻaʻole pāpā i ka lāʻau lapaʻau ʻo Amaril M.
E lawe i nā papa me ka akahele inā ʻaʻole ka maʻi thyroid maʻi ʻole.
I ka wā hana ikaika kino, ua lawe ʻia ʻo Amaryl M me ka akahele.
ʻAʻole palekana e lawe iā Amaril M me kahi mea kīwīʻai.

ʻAʻole pono e hoʻomaka ka lāʻau i ka wā o ka hemodialysis.

Me ka mālama pono

I kekahi mau kūlana, lawe i nā papa me ke akahele:

  • ʻai maikaʻi ʻole;
  • nele i ka hoʻoikaika kino;
  • disfunction thyroid;
  • Iʻa nele o ka glucose-6-phosphate dehydrogenase;
  • ka loaʻa ʻana o kahi maʻi e hoʻopiʻi i ka papa o ka maʻi type 2;
  • hana paakiki.

I ka wā ʻelemakule, pono ʻoe e lawe ia ma lalo o ka mālama o kekahi kauka.

Pehea e lawe ai iā Amaryl M

ʻO ka lāʻau no ka hoʻoponopono waha ʻana e pono me ka meaʻai. ʻAʻole e ʻae i ka hoʻoluhi ʻana i kahi maʻi i ka hoʻonui ʻana i ka nui.

Me ka maʻi diabetes

Hoʻoholo ʻia ka dosage e ke kauka e hilinaʻi ana i ka neʻe o ka glucose i ke koko. Lawe i ka lāʻau lapaʻau 1-2 mau manawa i ka lā. ʻO ka nui maʻa loa he 4 papa no ka lā.

ʻLelo ʻaoʻao ʻAmelika M

Hoʻomaʻamaʻa maikaʻi ʻia ka lāʻau lapaʻau, akā i nā hihia liʻiliʻi hiki ke hōʻeha i nā hopena ʻaoʻao mai nā ʻāpana a me nā ʻōnaehana.

Ma ka makeʻana o mellitus, ua hoʻoholo ʻia ka nui o ka lāʻau e ke kauka ma muli o ka neʻe o ka glucose i ke koko.

Ma ka ʻāpana o nā lālā o ka hihiʻo

Aia kekahi nāwaliwali o ka ʻike maka ma muli o ka emi ʻana o ka glucose i ke koko.

ʻŌpala Gastrointestinal

Nā hōʻailona mai ka luhi o ka digestive: kaʻai ʻana o ka momona, nā kīwaha paluwale, nausea, ka luaʻi, ka ʻeha i ka ʻōpū, hoʻonui i ke kūkulu kino.

Hematopoietic mau hui

ʻO ka lawaiʻa i nā paila e hiki ke alakaʻi i ka hoʻomohala o ka pancytopenia (kahi e hoʻokaʻawale ai i nā mea pono i loko o ke kaila koko), a me ka thrombocytopenia, ka anemia aplastic a me ka leukopenia.

Mai ka ʻaoʻao o ka metabolism

Hiki i nā ʻōkuhi ke hōʻike i ka emi ʻana o ke kaʻe o ka glucose koko: migraine, dizziness, sweating, high blood pressure, tachycardia, involuntary muscle contraction, tremor, apathy, drowsiness.

Aia kekahi nāwaliwali o ka ʻike maka ma muli o ka emi ʻana o ka glucose i ke koko.
Hiki i nā ʻōmole ʻino mai ke kaʻe o ka huina: kaʻai ʻana o ka momona, nā kīwaha, hōʻaiʻe, a luaʻi.
ʻO ka lawe ʻana i nā paila hiki ke alakaʻi i ka hoʻomohala ʻana i ka pancytopenia, a me ka thrombocytopenia, aplastic anemia a me leukopenia.
Hiki i nā ʻōkuhi ke hōʻike i ka emi ʻana o ke kaʻe o ka glucose o ke koko: migraine, dizziness.
Hōʻike ka ikaika ʻoi aku i ka hopena o ka lāʻau Amaril M.
Hōʻike paha ka hopena maikaʻi ʻole i ke ʻano o ka urticaria, ʻohi.
Hiki i ka lāʻau lapaʻau ke alakaʻi i ke kūkulu ʻana o ka hypoglycemia, no laila ʻaʻole pono e mālama i nā hoʻokūkū paʻakikī i ka wā o ka hoʻomehana.

Allergies

Aia kahi urticaria, pāheʻe. I nā hanana pinepine, paʻakikī i ke kūlana e ka pīhoihoi anaphylactic.

Hoʻopilikia i ka hiki ke mālama i nā mīkini

Hiki i ka lāʻau lapaʻau ke alakaʻi i ke kūkulu ʻana o ka hypoglycemia, no laila ʻaʻole pono e mālama i nā hoʻokūkū paʻakikī i ka wā o ka hoʻomehana.

Nā ʻōlelo kikoʻī

Me ka hikiʻole o ka renal a me nā maʻi o ka puʻuwai, hiki ke hōʻiliʻili i ka lactic acid i loko o ke koko a me nā kao (lactic acidosis). Me ka hoʻohaʻahaʻa ʻana i ke ana o ke kino, ʻeha ka ʻōpū a me ke oki loa o ka hanu, pono ʻoe e ʻae i ka lawe ʻana i ka lāʻau. Hoʻopau i kahi manawa hoʻōki ma mua o ka hoʻomaʻamaʻa.

I ka wā o ka papa hana, e ʻōlelo ʻia e nānā i ka ʻike o ka glucose i loko o ke koko e pale ai i ka hoʻomohala ʻana o ka hypoglycemia. He kūpono koʻikoʻi ka ka mana o ka neʻe o ka hemoglobin, ka mea hana a me ka momona B12. Kākoʻo i ka glycemia ma o kaʻai, kaʻai.

Hoʻohana i ka wā kahiko

Pono e mālama pono i ka nānā ʻana i ka hana o nā keiki.

Koho ʻana iā Amaril M i nā keiki

I nā keiki ma lalo o ka 18 mau makahiki ʻaʻole i pāpā ʻia.

Hoʻohana i ka wā hāpai a me ka lactation

Hoʻohui ʻia ia e hoʻomaka i ka maʻi ma ka wā hāpai a me ka lactation. Pono e laʻa ka male ʻana.

Ke noi no ka hana renal haukapole

Ma nā hopena koʻikoʻi o ka maʻi kaulike a me nā pae kiʻekiʻe kiʻekiʻe i kuhikuhi ʻia.

Hoʻohana no ka hana lawelawe lēwa

I ka hōʻeha koʻikoʻi, ʻaʻole i kuhikuhi ʻia ka hana o ka kō.

I nā makahiki ʻelemakule, pono ʻo Amaryl M e lawe ʻia ma lalo o ka mālama ʻana o kekahi kauka.
I nā keiki ma lalo o ka 18 makahiki o kona mau makahiki, ua ʻae ʻia ʻo Amaril M
Ua hoʻohālikelike ʻia e hoʻomaka i ka lapaʻau ʻana me ka lāʻau lapaʻau Amaril M i ka wā hāpai.
I ka wā e lawe ai iā Amaril M, e hoʻōki ka mālama umauma.
I ka hoʻopiʻi nui ʻana o nā ate, ʻaʻole i kuhikuhi ʻia ʻo Amaryl M.

ʻO ke kau palena o Amaril M

Ke alakaʻi nei ka overdose i ka hoʻonui ʻia ʻana o ka hopena a me ka hoʻomohala ʻana o ka hypoglycemia. Hoʻomakaʻia nā hōʻailona o ka hypoglycemia e ke kō. Hoʻomaka ʻia ka mālama maʻi Symptomatic.

Hoʻopili pū me nā lāʻau ʻē aʻe

Hoʻopili ka lāʻau lapaʻau me nā mea lapaʻau ʻē aʻe penei:

  • ka manawa like ʻole o ka inducers a i ʻole inhibitors o CYP2C9, tetracyclines, azapropazone, antimicrobial aila o ka hui quinolone, tritokvalin, MAO inhibitors a me ACE inhibitors, fluconazole, Coumarin anticoagulants, probenecid, anabolic steroids, fenfluramopamine, ethanolide, etanalide tritokvalina, beta-blockers, alaka ainosalicylic e alakaʻi i ka hoʻomohala ʻana o ka hypoglycemia;
  • hiki ʻole i ka hoʻohui ʻana i ka hoʻokō me nā x-ray a me ka hoʻohana ʻana i nā iodine i loaʻa i loko;
  • hoʻonui ka momonaedipine a me furosemide i ke kahe o ka Metformin i ke koko;
  • ka lawe ʻana i nā mea halihali receptor H2, clonidine a me ka reserpine hiki ke alakaʻi i ka hyperglycemia a me ka hypoglycemia;
  • ʻaʻole pili ʻo ibuprofen i nā ʻikena pharmacokinetic;
  • hiki ke hōʻemi i ka hopena hypoglycemic hiki ke hele mai ma lalo o ke ke ʻano o ka diuretics, epinephrine, acid acid nikotinic, acetazolamide, diazoxide, estrogens, rifampicin, barbiturates, sympathomimetics, corticosteroids, laxatives, phenytoin, hormon tiroid.

Eia kekahi, pono e hōʻalo ʻia ka lawelawe ʻana me ka gentamicin.

ʻO ka hoʻohana like ʻana o ka inducers a i ʻole nā ​​mea pale o CYP2C9, tetracyclines, azapropazone e alakaʻi i ka hoʻolālāʻana o ka hypoglycemia.
ʻAʻole pili ʻo Ibuprofen i nā ʻīlio pharmacokinetic.
ʻAʻole pono e hoʻohui i ka hoʻokele me nā x-ray a me nā hoʻohana o nā iodine e loaʻa ai.
Ma muli o ke kīpē o ka hypoglycemia, hoʻopili hoʻohui ʻia me ka waiʻona e contraindicated.

Hoʻolaha ka waipuna

Hiki i ka Ethanol ke hoʻoikaika a hoʻonāwaliwali i ka hopena o ka lāʻau. Ma muli o ke kīpē o ka hypoglycemia, hoʻopili hoʻohui ʻia me ka waiʻona e contraindicated.

Nā kuʻina

I loko o ka lāʻau lapaʻau hiki iā ʻoe ke kūʻai i nā lāʻau lapaʻau hypoglycemic like me ka hui pū ʻana.

  • Kūkākūkā.
  • Glimecomb.
  • Galvus Met.

Ma mua o ka hoʻohana ʻana, pono e nīnau i kahi kauka e pale i ka loaʻa ʻana o nā hopena hopena.

Waihue huaʻōlelo waiho nā huaʻōlelo

Hoʻokuʻu ʻia e ka papa lāʻau.

Hiki iaʻu ke kūʻai me ke kī ʻole

Oe ke kuai ia ma hope o ka hōʻike ʻana i kahi papa kūkā mai kauka.

I loko o ke kalapona hiki iā ʻoe ke kūʻai i nā lāʻau lapaʻau hypoglycemic ʻē aʻe me kahi mea hoʻohui pū, like, me Glucovans.

Amaryl M Heluhelu

ʻO ke kumukūʻai o ka pauka mai 800 a 900 rubles.

Ke waiho nei i nā kūlana no ka lāʻau lapaʻau

E mālama i nā papa i loko o kahi uliuli a hiki i + 25 ° C.

ʻO ka lā kau

ʻO 3 mau makahiki kahi ola.

Mea hana

ʻO Handok Pharmaceuticals Co., Ltd., Korea.

ʻO ka lāʻau kōkōʻai - Amaril
ʻO Glimepiride i ka mālamaʻana i ka maʻi maʻi

Hoike e pili ana ia Amarila M

ʻO Anna Kazantseva, ʻoihana maʻi

ʻO ka hiʻohiʻona o ka lāʻau lapaʻau ke pani kokoke i nā kahe pālolo a wehe i nā kahe kalsi. I ka manawa like, hoʻokuʻu ʻia ka insulin i ka liʻiliʻi ma lalo o ka hana a nā derivatives sulfonylurea. No laila, ua hoʻemi ʻia ka pilikia o ka uluʻana o ka hypoglycemia.

ʻO Anatoly Romanov, endocrinologist

Hoʻopili maikaʻi nā māhele o ka lāʻau i kēlā me kēia. Hōʻike ka waiwai hypoglycemic o ka metformin i ka wā e hoʻokuʻu ai i ka insulin mai nā cell beta. Hoʻonui ka Metformin i ka hopena o ka glimepiride a alakaʻi i kahi hoʻemi i ka kolesterol "maikaʻi" i ke koko a me ka triglycerides. Pono e lawe i ka lāʻau lapaʻau me ka mālama akahele i ka hihia o ka gland thyroid a me ka hana o ka hana.

Eugene, 38 makahiki

Mālama ka hāmeʻa e hoʻomalu i nā pae glucose. Lawe wau i 1 papa ma kahi ʻōpū ʻole i ke kakahiaka a ʻaʻohe oʻu hopohopo i ka lā āpau. Ua hoʻohuli wau i kahi lāʻau lapaʻau i hoʻohui ʻia e like me ka kauka ʻana. Ma muli o nā hopena maikaʻi, ma muli o ka emi ʻana o ka glucose i ke koko, ua kino ka ʻike, i ka wā ʻike. I ka wā i hala, nalowale nā ​​hōʻailona. Ua hauʻoli wau i ka hopena a ke hele nei wau e hoʻomau i ka lapaʻau.

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