Pono nā maʻi maʻi 2 e lawe i nā lāʻau hypoglycemic i ke ola e mālama i ke olakino maʻamau a pale i nā hōʻeha o ka maʻi.
Manaʻo nā kauka he nui i ka hoʻohana ʻana iā Actos. ʻO kēia kahi ʻōnaehana thiazolidinedione. ʻO nā hiʻohiʻona a me nā loiloi o kēia lāʻau lapaʻau ke kamaʻilio ʻia i ka puke.
ʻO ka hiʻohiʻona o ka lāʻau lapaʻau
ʻO ka hana koʻikoʻi o Actos ka pioglitazone hydrochloride. ^ E Ha yM. ʻO nā mea kōkua e lactose monohydrate, magnesium stearate, calcium carboxymethyl cellulose, hydroxypropyl cellulose
Nā Kūlō 15 mg
Pono ʻia ka lāʻau i loko o ka pepa maʻa. Aia nā papa i loaʻa ka waiwai ma ka paʻa ʻana o 15, 30 a 45 mg. Aia nā pōkā i nā pōmaikaʻi, nā biconvex, he keʻokeʻo keʻokeʻo. "ʻO ACTOS" ua pīpī ʻia ma kekahi ʻaoʻao, a "15", "30" a i ʻole ka "45" ma ke ʻaoʻao.
Nā Hōʻike
Kuhi ʻia ʻo Actos no ka mālama ʻana i nā poʻe me ka maʻi mellitus o ka ʻano like ʻole ʻole o ka insulin. Hoʻohana ʻia ia me ka meʻoki ʻē aʻe i hoʻoulu ai i ka hana o ka insulin, injections o ka hormone, a i ʻole monotherapy.
Nā ʻōkuhi no ka hoʻohana
No kēlā me kēia maʻi, koho ke kauka hoʻokahi i ka pakanā. Lawe ʻia nā papa papa me ka ipu wai.
Hoʻohana ʻia ka nui i koho ʻia i hoʻokahi lā i kēlā me kēia lā, me ka ʻole o ka pāʻina. No ka monotherapy, ʻo ka maʻi maʻamau ka 15-30 mg. ^ E Ha yM. Inā kūpono, e ʻae ʻia e lawe i ka 45 mg pākahi i kēlā me kēia lā.
Ke lawe nei i ka huina ma ka ʻōpū ʻole, ua ʻike ʻia ka pioglitazone i ka serum ma hope o ka hapalua hola, a ʻike ʻia kona kiʻekiʻe ma hope o kekahi mau hola. Hoʻopilikia ka meaʻai i kahi lohi iki (no 1-2 mau hola) i ka hōʻea ʻana i nā kikoʻī loa o ka mea hana i ka plasma.
Akā ʻaʻole ka hoʻololi i ka meaʻai i ka piha o ka hoʻopili. He mea kūpono ʻole kekahi lāʻau lapaʻau. A laila koho ke endocrinologist i hui pū ʻia.
I ka hihia o ka hui pū ʻana, ʻokoʻa ka nui o ka nui o nā Aktos i nā lāʻau lapaʻau i lawe ʻia ma ka ʻokoʻa.
- ka wā e kau ʻia ai ka sulfonylurea, metformin, a laila hoʻomaka ka pioglitazone e inu me 15 a 30 mg wale nō. Inā hele mai kahi kūlana hypoglycemic, a laila hōʻemi ka nui o ka nui o ka metformin a i ʻole sulfonylurea. ʻOiai i hui pū me ka metformin, ʻo ka paʻakikī o ke kūkuluʻana i kahi kūlana hypoglycemic liʻiliʻi;
- i ka wā e hui pū ai me ka insulin, ʻo ka wī kumu mua o Actos he 15-30 mg. Hoʻohana ʻia ka Insulin ma ka palena ma mua a i hōʻemi ʻia paha e 10-25% me ka hoʻomohala ʻana i ka hypoglycemia. Hoʻoponopono hou ʻia ka noʻonoʻo ʻana i ka pae o ka glucose i ka plasma.
ʻAʻohe ʻikepili e pili ana i ka hoʻohana ʻana o Actos i like me ka hoʻomākaukau me thiazolidinedione. Ke hoʻohana nei i ka lāʻau hoʻohui, ʻo ka nui loa ka nui o 30 mg i kēlā me kēia lā, ma ke ʻano o ka monotherapy - 45 mg. Inā he mea ʻole ka hoʻoponopono a ka mea maʻi, ʻaʻole pono ka hoʻoponopono ʻana.
Hiki i nā Actos ke hoʻemi ʻana i ka hana kūpono o nā ʻāpana waha. Ke hui pū ʻia me ka digoxin, glipizide, metformin, a me nā indicoagulants kūlohelohe, ʻaʻohe loli o ka pharmacodynamics a me nā pharmacokinetics i ʻike ʻia. ʻO Ketoconazole ka hopena pili i ka metabolism o ka pioglitazone.
Hōʻike nā kauka i ke kūpono o ka mālama ʻana me nā papa i ka pae o ka HbAic. Ke lawe nei i kahi lawehala hypoglycemic, pono e alakaʻi i ka hana a nā keiki, ka puʻuwai a me nā puʻuwai.
Inā hōʻino ʻia nā hana koʻikoʻi o ka hana o kēia mau kino i ka wā e mālama ai, e hoʻopau koke ʻia ka lāʻau lapaʻau a koho ʻia ke ʻano kūpono.
Inā hoʻohana ka mea maʻi i ka ketoconazole ma ka manawa like o Actos, a laila e kūpono ke kāohi i ka pae o ka glucose i ka plasma. I kahi o kahi overdose, aia i ke kūlana o ka hypoglycemia. ʻAʻole i loaʻa kahi hopena antidote, no laila ke hana nei ka hoʻomaʻamaʻa hōʻailona.
E mālama iā Aktos i ke mahana o +15 a +30 degere ma kahi maloʻo a pouli hoʻi, mamao aku i nā keiki. Ma hope o ka lā pau, ua hoʻopau ʻia ka lāʻau lapaʻau.
Ma mua o ka hoʻohana ʻana, pono e ʻike ka mea maʻi i nā hopena ʻaoʻao i ka wā o ka mālama ʻana. E pili ana kēia:
- kuʻe o ka kūʻiʻo o nā niho.
- anemia
- sinusitis
- nā hana ulu a CPK, ALT;
- hypoglycemia;
- myalgia;
- pharyngitis;
- lie kanikela
- ka hewa puʻuwai congestive (ʻoi aku pinepine me ka hui pū o Actos a me ka metformin);
- hoʻemi i ka acuity ʻike ma muli o ka hoʻomohala a me ka neʻe ʻana o ka edema macular edema;
- hoʻemi i ka hematocrit.
Hoʻololi ʻia nā loli like ʻole ma hope o 2-3 mahina o ka mālama ʻana. ʻO ka wahine me ka pale ʻana o ka insulin a me nā pōkole anovulatory i ka manawa premenopausal he loaʻa ka hopena o ka ovulation a me ka hapai.
I ka wā o ka mālama ʻana, hoʻonui ʻia ka nui o ke koko, ka hypertrophy o ka ʻōpū puʻuwai ma ke ʻano o ka preload e ulu. Ma mua o ka hoʻomaka ʻana o ka lapaʻau a me kēlā me kēia mau mahina o ka mālama ʻana i ka makahiki mua o ka lawe ʻana i nā papa, pono e kiaʻi ʻia ka hana ALT.
Nā Hoʻohui
ʻAʻole koho ʻia nā Actos no ka mālama ʻana i nā maʻi.
- malalo o na makahiki 18;
- i ka wā lactation (ʻaʻole i hoʻonohonoho ʻia inā pili ʻia ka pioglitazone hydrochloride me ka waiū waiū);
- me ka loaʻa ʻana o ka maʻi diabetes ketoacidosis;
- me ka maʻi diabetes-dependant type type;
- me ka pilikia nui o ka naʻau (3-4 degere);
- i ka wā hāpai (mau haʻawina e pili ana i ka palekana o ka lawe ʻana iā Aktos i ka wā o ka hānau ʻana ma waho ʻaʻole i lawe ʻia);
- me ka maʻi edematous;
- kahi i ʻike ʻia ai ka hypersensitivity i ka pioglitazone hydrochloride a i ʻole nā mea kōkua o nā papa.
Me ka makaʻala, kuhikuhi ʻia ka lāʻau lapaʻau i nā poʻe me:
- hypertension arterial;
- anemia
- myocardial infarction;
- hoʻomālamalama edematous;
- maʻi maʻi coronary;
- ka hewa naʻau o ke kumu mua;
- cardiomyopathy;
- pūpū hema.
Uila
Hoʻokuʻu ʻia ka lāʻau lapaʻau ma o ke ʻano wale nō. Hoʻololi ke kumukūʻai o Aktos ma waena o 2800-3400 rubles.
Kūpaʻa ke kumukūʻai i ka dosage, ka loaʻa ʻana o nā uku haʻawina ma nā lāʻau lapaʻau o ke kūlanakauhale. No laila, kahi pūpū o nā papa papa he 28 me ka manaʻo ikaika o 30 mg mau kumukūʻai e pili ana i ka 3300 rubles. ʻO ka mea e hoʻopaʻa ai i nā paila he 28 mau pihi he 15 mg kēlā me kēia mea no ka 2900 mau rubles.
ʻO ke kumukūʻai kiʻekiʻe ma muli o ka manaʻo i lawe ʻia ka lāʻau lapaʻau (hana ʻia ma Ireland). ʻAʻole kūʻai ʻia nā papa paʻi Act hypoglycemic i loko o nā hale kūʻai āpau ma ke kūlanakauhale a me nā wahi. He mea maʻalahi ka loaʻa ʻana o ka lāʻau lapaʻau me nā kuhikuhi pūnaewele o ka pūnaewele.
Aia nā kumuwaiwai e hiki ai iā ʻoe ke loaʻa ka ʻike āpau e pili ana i nā lāʻau lapaʻau: kumukūʻai, ka loaʻa ʻana o nā mea i nā lāʻau lapaʻau. Hiki iāʻoe ke kauoha i ka lāʻau i kahi lāʻau lapaʻau pūnaewele. Eia nā kumukūʻai iʻoi aku ke kūpono.
Manaʻo ʻia e nānā i ka lāʻau lapaʻau i nā hoʻolaha i waiho nā kānaka maʻamau. I kēia lā, aia nā pūnaewele kūikawā i hoʻolālā ʻia e hoʻouna a nānā i nā hoʻolaha o ke kūʻai aku.
Hoike Mai
E pili ana i nā loiloi hypoglycemic a ʻo Aktos nā loiloi o nā maʻi me ka maʻi maʻi. ʻO kēlā ka poʻe i hoʻohana i nā lāʻau kūlohelohe mua e loaʻa ka liʻiliʻi liʻiliʻi o ka hopena a me ka hana kiʻekiʻe. Aia nā hua'ōlelo maikaʻi: ʻike nā maʻi i ka hele mai o edema koʻikoʻi a me ke kaumaha, hōʻemi i ka hemoglobin.
Eia nā ʻōlelo e hōʻike ai i nā mea maʻi e lawe nei i nā Actos:
- Pauline. ^ E Ha yM. He 60 makahiki wau. Aia i ka makewai ma hope o ka ʻai ʻana a nalowale i ka paona nui. Wahi a nā hualoaʻa o ka hoʻokau, ua mālama ke kauka i ka maʻi mellitus a hoʻoneʻe i 30 mg Aktos hoʻokahi i ka lā. Holoi koke kēia mau palima. Ua inu aku wau iā lākou i ʻelua mau manawa i kēia manawa, mālama ʻia ka pae glucose i loko o ka pā maʻamau. ʻAʻole wau i ʻike i kahi pōʻino maikaʻi loa i ka wā e mālama ai;
- Eugene. ^ E Ha yM. ʻAe iaʻu i ka maʻi pākē 2 no nā makahiki ʻewalu. ʻO kēia manawa ua huli wau iā Aktos me nā papa Siofor. Maikaʻi au. ʻO ke kuhi hewa wale nō ka nui o nā kumukūʻai a kūʻai ʻole ʻia ma nā hale kūʻai āpau;
- Tatyana. ^ E Ha yM. ʻElua mahina ma Aktos. Ma mua, ua kiʻekiʻe ke kiʻekiʻe o ka glycemia: hōʻike ka glucometer i kahi 6-8 mmol / l. I kēia manawa ma mua o ka hoʻoilo ʻana ʻaʻole iʻoi aku ka hōʻailona o ka 5.4 mmol / L. No laila, manaʻo wau he lāʻau maikaʻi ʻo Aktos;
- Valeria. ^ E Ha yM. Hoʻohana wau iā Aktos i ka hui pū me ka insulin. Ua hoʻomaikaʻi ʻia nā ʻike koko i ka wā o ka terapi, ʻaʻohe hyperglycemia. Akā ʻike akula kēlā ua loaʻa ʻo ia, ʻeha kona maʻi i kēlā me kēia manawa. No laila, hoʻolālā wau e kū i kēia mau peni me nā mea ʻē aʻe.
Nā wikiō pili
E pili ana i nā ʻano o nā lāʻau lapaʻau i hoʻohana ʻia no ka maʻi maʻi i ka wikiō:
No laila, ʻo Actos i hoʻohaʻahaʻa nui ʻia o ka glycemia i ka plasma, ka pono o ka insulin. Akā ʻaʻole kūpono ia kahi lāʻau hypoglycemic no nā poʻe a pau, a ʻaʻole maikaʻi loa ia e like me ka ʻāpana o ka hui hoʻohui.
No laila, ʻaʻole ʻoe e hoʻokolohua me kou olakino a kūʻai i ka lāʻau lapaʻau ma ka ʻōlelo aʻo a nā hoaaloha. Pono e hoʻoholo i ka loiloi o ka mālama ʻana i ka maʻi lapaʻau me Actos.
