"Atacand": analogues, mirayiridzo kushandiswa, zvechokwadi

"Atacand" - munhu chaiwo mushonga vachikwanisa kuderedza BP panguva vane chirwere cheBP kurwisa simba. Yakabudiswa ari kumboda pabhokisi mahwendefa 28 akasiyana chipimo chemushonga (8 kusvika 32 milligrams). The medicament ine maitiro yakatsvuka, izvo zvinoita kuti tizive iye ari vakawanda zvinodhaka Kits.

tsananguro

Kugadzirira pacharo, "Candesartan" anobudiswa pasi wezvokutengeserana mazita siyana: "Irbesartan", "Atacand" - analogs kuva ndozvinoitawo, zvivako uye basa. Storage mamiriro - a rima, nzvimbo yakaoma kure nevana. Pasherufu upenyu - mwedzi 36. Maererano vanachiremba, pasinei kwemitengo, mushonga akaratidza nemigumisiro yakanaka, nekuti cardiologists dzakawanda dzinokurudzira "Atacand". Mirayiridzo yokushandisa, mutengo, analogues - ichi zvose ichakurukurwa yedu zvinhu.

mamiriro

Imwe piritsi kunokosha (zvichienderana kupenda):

• Candesartan cilexetil - kubva 8 kusvika 32 MG (semuenzaniso, 'Atacand 16 №28 »).
• Upiyona zvinoriumba: talc, tsvuku dhayi (sesimbi oxide), starch nevamwe vazhinji, hapana mishonga migumisiro.

Nhamba pashure nhamba iri rokuremekedza rinoreva nhamba mapiritsi ari chete pasuru, nhamba inotevera zita chigadzirwa - chipimo chemushonga mu milligrams. Izvi zvinonyanya zvinoratidzwa "Nortivan" Mahwendefa, analogs havagoni kupa ruzivo urwu pamusoro pasuru nguva dzose.

kunyoresa

Raitongwa nomuromo kamwe pazuva kuzvidzivirira nechiyero, usina chawadya. Kutanga dose - hafu duku dosages (4 MG) pamberi kukuvara chiropa uye / kana renal kutanga chitsama zvinodhaka ipfupi kaviri. Zvishoma nezvishoma chipimo chemushonga "Atacand" yakawedzera kusvika 8 MG, soro zvinobvumidzwa mugove zvinodhaka - 16 MG. Kuvhiringidzwa anoshanda maawa 24 kusvika 36 uye hakubvi chaivo zvinhu pamusoro: uremu, urefu, zera uye munhui.

zvairatidza

Mukuru chiratidzo nokuda kushandiswa - chero mhando neBP (vari vanhu - neBP). Uyewo, mamwe mashoko kugadzwa zviri:

• zera Great (makore makumi mana uye vakura).
• A ndakagara mararamiro.
• Kubatwa kune vane chirwere cheBP nematambudziko, zvimwe zvokurapa makadhi hama zvakapfuura.

Contraindications

Candesartan vane vashoma contraindications, saka hazvifaniri ushandiswe varwere vose:

• Siyana chiropa kukundikana, zvikurukuru - cholestasis.
• Hypersensitivity kuti candesartan, izvo kunooneka pacharo munzira dzakawanda, kubva urticaria diki uye kuvaviwa kuti neutachiona uye anaphylactic kuvhunduka.
• Pamuviri uye kupa mwana - mushonga ingadzika kuburikidza placental mechidziro anokwanisa kuderedza kwokudzvinyirira kwomunhu mudumbu, kukanganisa kwaro chinhanho uye kubudirira.

Rine ndoda nemishonga pane "Irbesartan". Mirayiridzo Use inoti kuti ane yakakwirira zvikuru mukana kutsamwisa nemishonga: svoto, dzungu. Uyewo, mushonga uyu haafaniri kupiwa kuvana pasi pemakore gumi nemasere.

nemishonga

The mushonga une shoma nemishonga kuenzaniswa zvinodhaka mukirasi chete vezera rokutanga:

• Pamusoro chikamu nechepakati tsinga: simba kamwe dzungu.
• Ari kufema maitiro: yokuSpain-kufanana zviratidzo mukutanga mumatanho, chikosoro, pharyngitis, rhinitis. It anowedzera mukana chakasimba zvirwere kufema.
• Pamusoro chikamu nemudumbu: abdominal marwadzo (abdominal marwadzo), anogona kutsamwisa gastric urikanwi uye duodenal urikanwi.
• Kubva kweropa hurongwa - vakawedzera kakawanda chimiro edemas siyana, "vatnost" maoko nemakumbo.
• anogona dzichitaridzika kujairika kurwadziwa lumbar munharaunda (lumbodynia) havasi achiperekedzwa nezvinetso zvakakomba mumuviri.

In ovhadhozi anotevera zviratidzo: zvakakomba dzungu, kuvhiringidzika, pakuonekwa chikuru zviratidzo chimbichimbi kumanikidzwa inodonha (hypotension), zvakadai emesis, tinnitus, hope, zvinoita kurasikirwa chavanoziva. Kurapa pasina matambudziko akanga acherechedza kunyange apo runopfuura dose kusvika 672 MG (kuedza kuderedza hwavo kugamuchirwa 21 "Candesartan" Mahwendefa panguva).

Kana zvikashandiswa zvakapfurikidza ari basa kudzora zviratidzo zvinokosha (BP, kupomba, afemeruke uye pfungwa kwebasa), zororo uye recumbency. Dzimwe vakaisa dropper ine yesaline. Hemodialysis asina zvinozoita: kugadzirira haasi precipitate uye haisi goho reagents, napakusuka ropa, saka anoramba mumuviri uye anoramba toxicity yose nguva kupedza disintegration ari chiropa, zvikurukuru tsika kuti mapiritsi "irbesartan", murayiridzo Chinyorwa rinotsanangura zvakadzama nzira vapore pashure imwe ovhadhozi.

Kudyidzana nevamwe zvinodhaka

Of zvinokosha kunoita candesartan nevamwe zvinodhaka zvinotevera:

• Kana achiita mishonga inowedzera kalisberegatmi potassium chengetedzo mumuviri.
• Mamiriro ezvinhu akafanana ane lithium tubhokisi mishonga.
• Kushandiswa analgesics (kunyanya - nonsteroidal antiinflammatory zvinodhaka) kunoderedza chikuru mugumisiro zvinodhaka riri BP. Mikana yakawanda renal dysfunction pavarwere vane renal insufficiency, yakawedzera potassium muropa.

Analogs uye mitengo

It ane zvizhinji Generic zvinodhaka, ndiyo chete ehupfumi, asi ari kuonekwa zvakanaka - "Atacand". An analogue ane medicament rinotaurwa "Irbesartan", "Nortivanom", "Prezartanom". The rinoita fuma iri kwose kwose chete. It rinogonawo ne pamahwendefa, "Ira Sanovel". Mumwe nomumwe wavo ane pachake zvakanakira ayo uye nekuipira.

Chokutanga, mishonga iyi vaine mari, kwakasiyana chaizvo kubva "Atacand" chinodhaka. Analogue "Prezartan" ndiro kudhura kwezvinhu boka iri, mutengo wayo fluctuates mune zvakawanda kubva rubles 150 kusvika 175 pasuru mahwendefa 30. Navamwe Generic "Irbesartan" - 410-580 rubles, "Nortivan" - 120-290 .. Akachena "Candesartan" kunodyira 175 rubles, uye iye pachake "Atacand" - kubva 1300 kusvika 1500 rubles.

Reviews kugadzirira

The zvinokonzerwa medicaments yeboka iri nezvechinhu tichishandisa zvishoma nezvishoma (maawa maviri asati yepamusoro kufurirwa rutapudzo kubva "captopril" - hafu yeawa) uye vakaramba kwenguva refu kwenguva. The peculiarity kwaitwa pamusoro muviri inoita mukana negashiro zvinodhaka ichi, "Atacand" zvinofanira kutorwa kamwe kuti akapa hypotensive mugumisiro (lowers BP) uri zvizere zuva. The yasara gumi o'clock - anononoka "hazviiti" chiito, zvishoma nezvishoma kuwedzera systolic uye diastolic pamwero kwese kuti "Candesartan" Mahwendefa. Mirayiridzo Use inoti: mishonga kunoratidzwa wakanaka mwero vakachengeteka, nyanzvi akacherechedza tolerability zvakanaka.

Itariro nephroprotective chiito (itsvo kudzivirira vanokwanisa pamusoro chepfu zvinokonzerwa zvinodhaka) kunowedzera kuwedzera dose. A guru nhamba akagamuchira "Atacand" hakuiti kuwedzera marwadzo. Izvi zvinoreva kuti mushonga inogona vagadzwa itsvo kukundikana uye nephropathy mune chirwere cheshuga. Ongororo nekusimba kukwanisa kudzivirira kukura cheshuga rechipiri mhando, uye zvakasiyana-siyana zvoutano chokuita kumwoyo (mwoyo kurwiswa uye shamhu), izvozvo zvinokosha zvikuru kwakachena chinodhaka, inova "Candesartan". Mirayiridzo dzokushandisa kwete muirondedzere, asi chiito chakadaro inowanikwa pashure yakawanda kubvunzurudzwa.

"Atacand" (zvineringanidzo "candesartan") riri basa vanhu vakwegura kutambura kubva coronary tsinga chirwere uye mwoyo nokukundikana. Haakonzeri orthostatic hypotension (kungoerekana donhwe kumanikidzwa nokuda kuchinja mumuviri chinzvimbo, zvinokwanisika nekuvhiri- ngika, dzungu uye kurasikirwa pfungwa), izvo rinoperekedza zvinodhaka zvakawanda antihypertensive.

Vazhinji varwere kushandisa womuchato zvinodhaka ichi, sezvo kushandiswa ACE FIs (chokudzivirira mumiririri kuti mwoyo nokukundikana uye renal kukundikana) chinokonzera vangakosora. Persons vane ruzivo rwakakura pakushandisa mishonga yakadaro, cherechedza kuti "Atacand" nani zvikuru kupfuura "Prezartan". Reviews anoratidza rutapudzo nani BP kupfuura okutanga-chizvarwa zvinodhaka. Morning anova tibudirire hypotensive kushanda.