Hoʻohui hui pū ʻia me 2 mau mea ikaika, hoʻopihapiha i nā hopena lapaʻau hou, a hoʻohana i ka mālama ʻana i ka hypertension arterial.
Tagu inoa
ʻO Noliprel (Bi) Forte kahi lāʻau lapaʻau me ka helu pālua ʻelua o nā mea ikaika (Perindopril 4 mg + Indapamide 1.25 mg). Inā pono e hoʻohana i nā inika kiʻekiʻe loa i nā maʻi maʻi kiʻekiʻe (maʻi, ka uahi ʻana, ka hypercholesterolemia), ʻo Bi-Forte (Perindopril 10 mg + Indapamide 2.5 mg) i kuhikuhi ʻia.
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Hoʻomākaukau hui pū ʻia e komo ana i 2 mau mea ikaika e hoʻohui i nā hopena lāʻau lapaʻau.
ATX
C09BA04 Perindopril i hui pū me ka diuretics.
E hoʻokuʻu i nā palapala a me ka ʻano
Nā papa hana ʻulaʻī.
Mea waiwai: Perindopril 2 mg + Indapamide 0.625 mg.
Ka hana lāʻau lapaʻau
Kōkua i ka hoʻolaʻa koʻikoʻi a me ke kaila koko diastolic (BP) i loko o 24 mau hola. Loaʻa nā hopena piha ma hope o ka malama o ka hana maʻamau. ʻAʻole pololei ke hoʻokō e pili ana i ka hoʻokele pili i ka hoʻomohala ʻana i nā hōʻailona hila
ʻO ka lāʻau lapaʻau e hōʻemi i ka wikiwiki o nā kaʻina hana remodeling myocardial, hōʻemi i ka pale ʻana o nā mākia peripheral me ka ʻole e hoʻopiʻi i ka pae o lipids a me ka glucose koko.
Hoʻopili ʻo Perindopril i ka hana o ka hoʻihoʻi, ka mea e hoʻoneʻe i ka angiotensin I i ka sienileninine II o ke ʻano ikaika, he vasoconstrictor mana. A hoʻopau nō hoʻi ʻo ACE i ka bradykinin, kahi vasodilator ikaika biologically. Ma muli o kahi vasodilation, hōʻemi ka pale vascular a hoʻoheheʻe i ke koko.
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Nā papa hana ʻulaʻī.
ʻO ka Indapamide kahi diuretic mai ka hui thiazide. Hoʻomaopopo ka hopena diuretic a me nā waiwai hypotensive ma o ka hoʻihoʻi ʻana i ka hoʻihoʻi ʻana o ka paʻakai sodium i loko o nā keiki. Ke piʻi ka nui o ka excretion i loko o ka hoʻomohala o ka sodium, ma muli o ke kūleʻa ʻana o ka pale ʻana i nā māi a me ka nui o ke koko e piʻi ai e ka puʻuwai.
Hoʻohui ka hoʻohana ʻana o perindopril a me indapamide i ka hiki o ka hoʻomaʻamaʻa ʻana no ka maʻi no ka hypertension, e hōʻemi ana i ka hiki o ka hypokalemia (kahi hopena o ka lawe ʻana i ka diuretics).
Lapaʻau lāʻau
ʻAʻole ʻokoʻa like nā pharmacokinetics o nā mea ikaika me ko lākou hoʻohui a ʻokoʻa ʻole paha.
Ke lawe waha ʻia, ma kahi o 20% o ka huina o ka perindopril i hoʻohuli i ka palapala hana. Hiki ke emi kēia kumu i ka wā e hoʻohana pū ai me ka meaʻai. ʻO ka ʻike nui loa i ke koko i hoʻopaʻa ʻia i nā hola 3-4 ma hope o ka hoʻokele ʻana. Hoʻokahi ʻāpana liʻiliʻi o ka perindopril i nā protein koko. Hoʻokuʻu ʻia i ka urine.
Hiki ke kali i ka hana o ka perindopril ma hope o ka hana ʻole ʻana, a mahele loa nā poʻe maʻi maʻi.
Hoʻokomo ʻia ka Indapamide mai ka gastrointestinal tract, ma hope o 60 mau minuke ka nui o ka ʻike o ka metabolite ikaika e paʻa ana i loko o ke koko koko. Ke kaʻi nei ʻo 80% o ka lāʻau i ka albumin koko. Hoʻokuʻu ʻia ʻo ia e ka filtration ma o ke akepaʻa me ka urine, 22% i hoʻopā ʻia i loko o nā feces.
Nā hōʻailona no ka hoʻohana ʻana
Hertertension (hypertension arterial).
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Hāʻawi ʻia ka lāʻau no ka hypertension arterial.
Nā Hoʻohui
- ka lohi ʻana o kēlā me kēia diuretics thiazide, ACE inhibitors;
- pae wai kōpū liʻiliʻi ma mua o 3.5 mmol / l;
- pilikia hana kino ʻana me ka hoʻēmi ʻana ma ka pae o ka filtration glomerular i emi mai i ka 30 ml / min;
- stenosis atherosclerotic o nā kīʻaha o nā puʻuwai a i ʻole stenosis o ke kino o ke keiki e hana hoʻokahi;
- hana ikaika paʻa ʻole ʻia;
- ka hoʻokele ʻana i nā lāʻau lapaʻau me ka hopena proarrhythmogenic;
- hapai
- ka wā aloha.
Pehea e lawe ai
Ma mua o ka hoʻomaka ʻana i ke ʻano, pono ia e heluhelu i nā ʻōmua no ka hoʻohana a kūkākūkā me kahi loea.
Lawe ʻia ka lālani 1 papa papa me 1 ka manawa i ka lā, ʻoi aku ke kakahiaka ma kahi ʻōpū ʻole.
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Hiki iaʻu ke kaʻana i kahi pai
Hiki iā ʻoe ke kaʻana, aia ka pōpilikia ma nā ʻaoʻao ʻelua.
ʻO nā ʻano o ka lāʻau me ka prefix "forte" ʻaʻohe pilikia a ua uhi ʻia me kahi uhi kiʻi kino. ʻAʻole hiki ke hoʻokaʻawale ʻia.
Pehea e mālama ʻia ai i ka maʻi maʻamau ʻo 2
ʻAʻole pili i ka glucose metabolism, kūlohelohe metabolically. No ka poʻe maʻi me ka maʻi maʻi, hiki ke hoʻohana ʻia e like me ke ʻano maʻamau.
Nā hopena hopena
ʻŌpala Gastrointestinal
ʻO ka ʻehaʻeha o ka pūpū, hui pū ʻia e ka maʻi pākaha a me ka luaʻi; nā maʻi ʻino; ka malo maloʻo ke kūlana o ka yellowness o ka ʻili; ka hoʻonui ʻana o nā ʻāpana ʻana o nā ʻāpana o ke ake a me nā pancreas i ke koko; me ka likfunction concomitant ati, hiki i ka hiki ke hoʻomohala ʻia ka encephalopathy.
Hematopoietic mau hui
Anemia (i nā mea maʻi me nā maʻi maʻi concomitant koʻikoʻi); hōʻemi i ka helu o ka hemoglobin, platelets, leukocytes, granulocytes; hoʻemi i ka hematocrit; hemolytic anemia; anemia aplastic; nā iwi ʻōpala hypofunction.
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No ka poʻe maʻi me ka maʻi maʻi, hiki ke hoʻohana ʻia e like me ke ʻano maʻamau.
Pūnaehana pīhoihoi waena
Nā poʻo, hōʻeha, nā nawaliwali, nā luhi, ka huhū, ka waimaka, ka hoʻomaka ʻana i ka naʻau, nā pilikia o ka auditory a me ka mea nānā loiloi, insomnia, hoʻonui ʻia i kēlā me kēia peripheral.
Mai ka papa huhū
Hōʻalo ʻia e kū ana me ka hoʻomaka ʻana o ka hoʻohana ʻana, hoʻomau i ka wā lawe o ka lāʻau a nalowale ma hope o kona haʻalele ʻana; paʻakikī ka hanu mokulele ea; kaʻai ʻehā - puka mai ka ihu mai ka ihu.
Mai ka pūnaehana urinary
Hoʻopau i nā hana renal; ke ʻano o ka protein i ka urine; i kekahi mau hihia, hōʻeha kino renal; hoʻololi i nā pae electrolyte: ka emi ʻana o ka paʻakai i ka plasma koko, i hele pū me ka hypotension.
Allergies
ʻO ka ʻehaʻeha, kūpono i ke ʻano o ka urticaria; ʻO ka makeʻe o Quincke; hemas hemorrhagic; līʻeke - erythema multiforme.
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Nā ʻōlelo kikoʻī
Hoʻolaha ka waipuna
Hiki i ke hui pū me nā Ethanol derivatives hiki ke hoʻopili i nā hoʻohemo o ke kiʻī o ke kahe i ke koko, hāʻule ka vascular. ʻAʻole aʻo ʻia ka hoʻohana ʻana.
Hoʻopilikia i ka hiki ke mālama i nā mīkini
I ka hoʻomaka ʻana o ka lawe ʻana i ka lāʻau lapaʻau, pono ʻoe e makaʻala i ka wā e hoʻokau i nā kaʻa a hana i nā hana e pono ai ka nānā pono a me kahi wikiwiki.
Me ka hana pūpū hemahema
Hiki i ke kumu o ka hoʻomohala ʻana i ka jaundice cholestatic me ka hoʻonui nui ʻana i ka hana o nā kinemona o ka ate. Ke kū nei kēia ʻano, pono ia e kāpae i ka lāʻau lapaʻau a nīnau aku i kekahi kauka.
I nā maʻi me ka cirrhosis, ʻaʻohe mea e hoʻoponopono ai i ka dosis.
Me ka pani ʻole ʻana
Ma mua o nā maʻi o ka ʻōnaehana urinary me kahi māka i hōʻailona ʻia i ka hana filtration, he nui i ka nui o nā mea o ka likole, ka uric acid a me ka urea i ka plasma, he mea hiki ke hoʻonui ʻia.
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I nā maʻi me ka cirrhosis, ʻaʻohe mea e hoʻoponopono ai i ka dosis.
Me ka hoʻohaʻahaʻa ʻana i ka hoʻopukapuka creatinine ma mua o 30 ml / min. pono ke hoʻokaʻawale ʻia ka lāʻau mai ka hoʻoponopono regapeutic.
I ka wā hāpai a me ka lactation
Hoʻopili ʻia ka hoʻohana ʻana me ka ʻole o nā noi ʻana i ka hopena o ka lāʻau lapaʻau ma ka pūpū. Pono e mālama mau nā wahine i ka lua o ka ʻōpio a me ke kolu.
Ona elemakule
Ma mua o ka hoʻomaka ʻana i ka hoʻoili, pono ia e nānā i nā ʻōkuhi o nā hana renal (creatinine, urea), nā kāpena enoma (AST, ALT), electrolytes. Hoʻomaka ka Therapy i nā emi haʻahaʻa a koho ʻia ʻo ia i kēlā me kēia ka nui o ke kahe o ke koko.
Wahi Koho Noliprel i nā keiki
Penei ka contraindicated no nā keiki a me nā ʻōpio ma lalo o 18 ma muli o ka nele o ka ʻikepili i kona palekana i kēia pae o nā maʻi.
Ke keu
ʻO nā hōʻailona o kahi overdose: hypotension koʻikoʻi, nausea, luaʻi, convulsive syndrome, anuria, i hōʻemi ʻia ka nui o ka puʻuwai.
Ka mālama pilikia: lavage gastric, hoʻokele o ka carbon hoʻoneʻe, hoʻoponopono ʻana i nā electrolytes koko. Me ka hypotension, pono e hāʻawi ʻia ka mea maʻi i kahi kūlana maikaʻi loa me nā wāwae i hāpai ʻia.
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Pono e mālama mau nā wahine i ka lua o ka ʻōpio a me ke kolu.
Hoʻopili pū me nā lāʻau ʻē aʻe
Me ka mālama pono
Ke hui pū me nā antidepressants a i ʻole nā antipsychotics, hiki i ka nui o ke hopena i ka pehu koko me ke kūkulu ʻana o ka hypotension.
Hoʻemi ka Glucocorticosteroids i ka hopena antihypertensive.
E kūʻē i ke kāʻei o ka lawe ʻana, hiki i ka mea hou ke hoʻonui i ka hopena hoʻohiolo i ke kō i loko o ka insulin a me nā derivatives o ka sulfonylurea.
ʻO ka hui pū me nā glycosides cardiac pono e mālama pono i nā kiʻekiʻe o ka paʻakai me ka pae o ECG, a me ka hoʻoponopono ʻana i ka hypovolemia.
Me ka hoʻopaʻa noi ʻana o ka sineka-X i hoʻolālā ʻia, pono i ka pale ʻana i ka dehydration.
Me ka hoʻohana pū ʻana o kekahi mau lāʻau lapaʻau (Erythromycin, Amiodarone, Sotalol, Quinidine) ka piʻi ʻana o ka nui o nā arrhythmias ventricular.
ʻAʻole kuhikuhi ʻia nā hui
ʻAʻole ʻae ʻia ka ʻae ʻana me ka hoʻomākaukau ʻana no ka lithium ma muli o ka piʻi nui o ka overdose lithium.
Me ka hana o ka renal i hōʻemi ʻia, ka hui ʻana me ka diuretics, i mea e kōkua i ka hoʻolohi ʻana i nā electrolytes, a me nā infusion o ka potassium chloride.
Me ka hoʻokolohua hoʻohālikelike ʻana me nā NSAID e kū'ē i ka kua o ka wai o ka hoʻoheheʻe, hiki iā ia ke alakaʻi i ka patology aʻa o ka renal filtration.
Nā kuʻina
Ko-Perineva, Ko-Parnawel, Perindapam, Perindid.
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Waihue huaʻōlelo waiho nā huaʻōlelo
Hoʻokuʻu ʻia e ka papa lāʻau.
Kumukūʻai Noliprel
ʻO ke kumu kūʻai o hoʻokahi ʻeke o ka lāʻau lapaʻau (30 mau papa), i helu ʻia i hoʻokahi malama mālama, hoʻomaka ʻia mai 470 mau rubles.
Ke mālama nei i nā kūlana o ka lāʻau Noliprel
E mālama i nā keiki. ʻAʻole koi nā kūlana mālama.
ʻO ka lā kau
3 mau makahiki
Nā Hōʻike ʻikepili iā Noliprel
Cardiologists
ʻO Zafiraki V.K., Krasnodar: "ʻO kahi hui maikaʻi, ka mea i hōʻike iā ia iho ʻaʻole wale e pili ana i ka hoʻohaʻahaʻa ʻana i ke koko, akā i nā ʻōlelo no ka hōʻemi ʻana i nā hanana cardiovascular, me ka puʻuwai ʻole."
Nekrasova GS, Krasnodar: "ʻO ke koho maikaʻi loa no ka poʻe maʻi me ka hypertension."
ʻO nā maʻi maʻi
Aloha, Moscow: "He maikaʻi ka lāʻau lapaʻau, kōkua ia."
Alexander, Oryol: "He maʻamau ke kaumaha."