"Kaltsigard kutadzisa": mirayiridzo kushandiswa, analogs uye wongororo

"Kaltsigard kutadzisa" (INN "Nifedipine") riri karusiyamu mugero blocker uye inozivikanwa antianginal uye antihypertensive pharmacological basa.

The mushonga rinoratidza mukuru Kubudirira zvaanoda neBP, vasospastic uye akatsiga angina, Raynaud kuti chirwere uye zvimwe zvirwere cardiac. Zvinoreva kukwanisa kuvandudza ropa aibuda coronary, kwete vachidzvinyirira saka myocardial conduction.

"Kaltsigard kutadzisa": Description uye sezvamunoita

The mushonga inowanika muchimiro mapiritsi, zvemapuranga Kamudzira deko.

Huru achishingaira chinoita rine raro sezvamunoita nifedipine. Uyewo, (mufananidzo zvakagoverwa kupfuura chiputiriso) vachigadzirira "Kaltsigard kutadzisa" zvinosanganisira ebetsero zvinoriumba akadai:

• Tween 80;
• starch;
• magnesium stearate;
• polyethylene glycol;
• MCC;
• stearic asidhi;
• lactose;
• yavaibvisa lauryl sulphate.

Mahwendefa vari mhoni zvezvimedu 10. Nokudaro rongedza ingasanganisira kubva 3 kusvika 10 Maronda akasiyana.

Pasherufu upenyu makore matatu rinoreva. Ramba zvinofanira kuchengetedzwa kubva zuva uye chakaoma mamiriro kutonhora kusvika madhigirii 30.

zvairatidza

Mahwendefa "Kaltsigard kutadzisa" anogona kupiwa application:

• stenokardicheskie kuzorodzwa kurwiswa;
• kana vane chirwere cheBP nematambudziko mhando;
• pamwe Raynaud kuti urwere;
• apo ropa mhando neBP;
• pamwe coronary tsinga chirwere;
• stenokardicheskie nokuti kudzivirira kurwiswa;
• panguva hypertrophic cardiomyopathy;
• pamwe pulmonary neBP ;
• panguva Árbol mhingaidzo ;
• kana paine marwadzo mumwoyo.

Dosing uye Administration

Sei kutora "Kaltsigard kutadzisa"? Mirayiridzo yokushandisa anonyevera kuti zvaida chipimo chemushonga zvinodhaka anofanira kusarudzwa nomumwe chiremba neimwe nyaya. Zvichaita kuvimba mhando uye hunhu chirwere panowanikwa uye zvichiita zvechadenga murwere.

Kazhinji, kurapwa inotanga kugamuchira risingamboshandisi dose: 10 MG 3 kana 4 kanomwe pazuva. Kana zvinovawo zvakakodzera mune ramangwana inogona yakawedzera 2 nguva. Asi chisarudzo kwakadaro kwakaitwa chiremba chete.

Panguva panowanikwa vamwe zvirwere chakakomba, zvakadai kwazvo siyana neBP kana angina, musiyano wezvinyorwa, rimwe chete dose panguva anogona ngazviwedzerwe 30 MG, uye mabiko kakawanda achagara kuchinja.

"Kaltsigard kutadzisa" anofanira kushandiswa mukati kunwa apo shoma mvura. Asi pane mamiriro ezvinhu anogona kunzi zvagara kuti mutemo uyu. Somuenzaniso, nokuti kusunungurwa kubva vane chirwere cheBP dambudziko mhando akapa sublingual kwokubatsira kugadzirira (rovira hwendefa pasi rurimi). Nokuti Kubviswa angina kurwisa Muchiitiko zvinogoneka pachishandiswa intravenous kwokubatsira 5 MG ose maawa 4-8.

Zvakakosha kuti kuomerera uye akaisa vaifanira zuva dose kuti medicament kudzivisa kuratidzwa nezvinoitika siyana. Ingestion zviri 120 MG, uye kana dzakabatwa nomutsinga - 30 MG.

Contraindications

Pane mamiriro ezvinhu apo "kutadzisa Kaltsigard" (20 MG) iri zvachose contraindicated kushandiswa. panowanika murwere anogona kunzi kwaari:

• Hypersensitivity kune basa chirungiso nezvimwe zvinoumba ari Pfungwa;
• chenjera myocardial infarction nguva (8 Mazuva okutanga);
• zvakakomba hypotension;
• cardiogenic kugwinha;
• tachycardia;
• mwoyo kutadza decompensation;
• chakakomba kutsemuka stenosis;
• richaparara.

Mukuwedzera, chishandiso haigoni kushandiswa kurapa vakadzi vane pamuviri. Kana zvinovawo zvakakodzera kuti kubata zvinodhaka izvi panguva lactation, uchiyamwisa anofanira umbomiswa.

The kuchengeteka uye efficacy zvinodhaka haina kuzivikanwa muvana. Naizvozvo zvakafanira kuti tisiyane yaro kuenda pavarwere pasi pemakore 18.

Zvokungwarira

"Kaltsigard kutadzisa" nokungwarira hwakanyanya inofanira kushandiswa varwere havachanyatsogoni renal nerevane kana vaine chirwere cheshuga. Vakwegura inopiwa kuderera nezuva dose.

Munguva yose nguva kurapwa anofanira kuva wakakwana pakuzvinyima doro.

The mushonga anogona yekudyidzana kunetesa psychomotor siyana, saka kushandiswa kwayo kunofanira akaswedera nokungwaririra hwakanyanya kuvanhu Somuenzaniso, motokari.

Panopera kurapwa zvinofanira kuitwa zvishoma nezvishoma kudzivisa "kurega".

nemishonga

Kushandisa Mahwendefa "Kaltsigard kutadzisa" zvingave vazhinji nemishonga. Vamwe vavo zvikuru zvakafanana, apo dzimwe kuwanika kunoitika imwe nyaya iri chiuru, kana kunyange zvishoma.

1. Kubva kutsinga dzinouya mapazi uye tsinga: nemusoro, dzungu. Kashoma vanoshandisa zvishandiso kungakonzera vakashamiswa mamiriro, kuchinja kuona maonero, nehanya zvirwere maoko nemakumbo, paresthesia, kuti chidzoke matambudziko nehope.
2. Pamusoro chikamu zvetsandanyama nemapfupa ezvinhu: mashoma chaizvo tremor kana myalgia.
3. Cardio-vascular hurongwa: tachycardia, palpitations, Flushing chiso uye ganda, achiperekedzwa kutekenyedzwa nokupisa, peripheral edema. Kashoma anogona kuitika chakaita leukopenia, kupererwa neropa, asystole, thrombocytopenic purpura, thrombocytopenia, hypotension, marwadzo, rakafanana stenokardicheskie.
4. Kubva zvomudumbu turakiti: kazhinji kupatirwa kuitika. Kashoma - kurutsa, kuda kurutsa, manyoka, chirungurira. Very Kashoma mugumisiro achitora zvinodhaka zvinogona intrahepatic cholestasis kana gingival hyperplasia isiri yekenza.
5. Neutachiona: exanthema, urticaria, pruritus. Very kashoma anogona kuitika exfoliative dermatitis.
6. Kubva kufema hurongwa: mune zvisingawanzoitiki chaizvo nyaya bronchospasm.
7. Kubva Urinary hurongwa: pachiyero nezuva weti goho dziwande. With kushandiswa kwenguva refu zvinodhaka pamatunhu mishonga kungaita vachivavhiringidza kuti itsvo chaitika.
8. Other: pakutanga mishonga kazhinji akatsvuka uye mumatenhere tsoka uye maoko. Very kashoma zvinoreva anogona kutsamwisa hyperglycemia, gynecomastia, photodermatitis, ichipfuta pa nzvimbo jekiseni (intravenous Pfungwa), vakawedzera kwemwoyo.

ovhadhozi

Kwazvo kufadza akabvumidza dose kungaita bradyarrhythmias bradycardia, hypotension. Zvakakomba nyaya dzinosanganisira conduction tava kuderera, akawisa.

Uyezve, zviratidzo kudhaka zvingaitika pashure maawa dzinenge 3-4 muchimiro kurasikirwa pfungwa (dzimwe nguva kusvika chaanoziva), hypoxia, cardiogenic kuvhunduka, nezvipusha, metabolic acidosis, hyperglycemia.

Kubvisa pamusoro zviratidzo rinoitwa gastric lavage, kugamuchirwa neactivated charcoal uye intravenous norepinephrine, karusiyamu gluconate kana karusiyamu chloride vari kugadzirisa kuti atropine.

The kukurukurirana pamusoro mushonga nevamwe zvinhu

Usati kushandisa mushonga upi hazvifaniri kwerubwinyo rwakagara rwuripo kuverenga chete zvayo sezvamunoita, zviratidzo uye contraindications kushandiswa. Pfungwa inokosha iri kwayo kudyidzana nezvinhu kuti ingava chikamu zvimwe zvinodhaka kana zvokudya. Pashure pezvose, mumwe anogona kuwedzera migumisiro mushonga uri muviri, vamwewo kuderedza kuti chinhu. Izvi zvinoshandawo kugadzirira "Kaltsigard kutadzisa". It chinogona kuwedzera kana kuvhara kuitwa zvimwe zvinhu. Funga mubvunzo uyu muchimiro abstracts pfupi:

• ranitidine uye cimetidine zvinowedzera plasma mumatunhu;
• diltiazem kukwanisa sipidhi muviri, uye pakupedzisira mumwe dose kuti nifedipine zvakakodzera kutapudzwa;
• bhuratifuru muto (akawanda) yakawedzera bioavailability;
• diuretics, Beta-blockers, nitrates, fentanyl, doro, tricyclic antidepressants - kuwedzera hypotensive chaizvoizvo;
• anowedzera bioavailability cephalosporins (cefixime);
• It runogonesa nezvaizoitwa divi migumisiro vincristine (akaderedza excretion);
• kwakaderedza renal Clearance pamusoro digoxin, theophylline kunowedzera basa;
• haawirirani rifampicin (Inowedzera biotransformation uye haabvumiri kuti kusika zvinobudirira pfungwa).

analogues mari

Pane maturusi anogona kutsiva "Kaltsigard kutadzisa"? Analogs Chokwadi, pane. Vanogona kuva yakafanana inokosha kugadzirira murwiyo (chidimbu rinoita fuma) kana kuti mhando chiito pamusoro muviri. Zvisinei, anoreva zvakafanana zvinodhaka "Kaltsigard kutadzisa" vane peculiarities zvavo uye kusiyana. Somuenzaniso, kungava kusunungurwa chimiro, nzira uye uwandu mafomu, kufadza zuva dose nezvakadaro. Saka usati kutsiva mumwe mushonga kune mumwe, unofanira kubvunza chiremba.

Saka, zvakanakisisa kuzivikanwa zvinodhaka analogues "Kaltsigard kutadzisa" ndedzinotevera mishonga:

• "Kordafleks".
• "Nifedeks".
• "Nifedipine".
• "Fenamon".
• "Cordipin".
• "Kordafen"
• "Nifelat".
• "Fenigidin".
• "Adalat".
• "Nifecard".
• "Corinfar".
• "Depin".

Reviews kugadzirira

Chii varwere vanoti pamusoro zvinodhaka "Kaltsigard kutadzisa"? Reviews Kune zvose zvakanaka nezvakaipa. Unofanira kutanga zvose zvakafanana zvayakanakira.

Chekutanga, varwere akaudza mukuru efficacy uye zvakarurama paupamhi chakarondedzera chiito.

Chechipiri, haagoni asi kufara nzira shoma kwazvo mutengo (kubvira 50 kusvika 300 rubles zvichienderana pasuru saizi).

Chinhu bedzi anogona kunzi chinokosha Vakaomerwa - ndiko kwaita nemishonga muchimiro musoro, kuda kurutsa uye zvichingodaro. Kunyange zvazvo, sezvinoratidzwa, pashure kuderedza dose zvinodhaka dzose pamusoro zviratidzo nokukurumidza anyangarika. Naizvozvo ingangodaro mhaka nemishonga chaizvo magadzirirwo zvakaipa.