"Metoprolol": nhoroondo, zvairatidza kuti kushandiswa, murayiridzo analogues

Sei Ndinoda mishonga "Metoprolol" sei? Testimonials rokugadzirira ichi, ayo kusunungurwa siyana, akafanana, uye marwadzo zviri kukurukurwa pazasi. Nesuwo ndinokuudzai kuti ndezvipi contra-zvairatidza uye mushonga, mune chii dose zvinofanira kutorwa kana pane dzimwe analogues.

The Kuronga zvinodhaka uye ayo kusunungurwa nezvimiro

In chii chimiro chakatengeswa mishonga "Metoprolol"? Testimonials vanoti chemishonga anogona kuwanikwa mhando nhatu zvinodhaka. Chimbofunga nyaya muchimiro uye mamiriro zvizere.

• Mahwendefa. Rine basa zvinoriumba akadai metoprolol tartrate (100, 50 uye 25 milligrams). Mukuwedzera, medicament unotora ebetsero zvinoriumba uye colloidal silica anhydrous, microcrystalline cellulose, yavaibvisa carboxymethylstarch (mhando A) uye magnesium stearate. In kutengeswa medicament mahwendefa 50, 10, 30, 20 kana 40 chete rongedza.
• Hwendefa vane kuramba kusunungurwa ehupfumi ( "metoprolol succinate") zvemapuranga Mahwendefa. Ivo ane basa zvinhu zvakafanana uye Excipients. In Pharmacies mushonga kwakadaro kunogona kuwanikwa 30, 20 kana 10 Mahwendefa por rongedza.
• Kuitwa intravenous majekiseni mu ampoules 5 Rine mamiririta. In yavakatengesa zvinodhaka anouya ari atorwa bhokisi 10 ndiro.

The pharmacological ehupfumi zvinodhaka

Chii chinorehwa mishonga "Metoprolol"? Zvairatidza kuti kushandiswa chishandiso zvichakurukurwa pazasi. Zvino ndinoda kukuudza pamusoro chii ane pharmacological ehupfumi zvinodhaka.

Akati mishonga yedzinza cardioselective Beta-adrenergic blockers. Hazvina kuratidza Kamudzira pakudzikamisa zvivako uye hakuna dzakawanda sympathomimetic basa. Zvisinei, zvinoshingaira zvinodhaka chiri antihypertensive, antiarrhythmic uye antianginal mumiririri.

The medicament anokwanisa kuderedza kakawanda murwere kwemwoyo, kuderedza myocardial contractility uye excitability, anononoka AV-conduction uye kuderedza myocardial okisijeni kudiwa.

Sezvo kutonga, antihypertensive mugumisiro yaiitwa varwere chete pashure pemazuva gumi pashure achitora zvinodhaka. The medicament akazoita kakawanda kurwiswa nemashoko supraventricular tachycardia, angina pectoris uye atrial fibrillation. Somugumisiro, zvakajairika mwoyo mutinhimira murwere.

Hwendefa vane kunonoka kusunungurwa ( "metoprolol succinate") kuchikosha nani pamusoro kwakajairika. Vanobvumira here kuramba kuramba pfungwa yezviri chinhu muropa, iyoyo yakanaka kuchirapa chaizvoizvo yose zuva. Zvinofanira kucherechedzwa kuti zvinoitwa "Metoprolol succinate" kunobatsira kuderedza ngozi bradycardia uye simba, kuti muduku zvakadini, kunokanganisa anotsvedzerera tsandanyama ari principales.

Pharmacokinetics (Absorção de Água, muviri uye excretion zvinodhaka)

Pamusoro zvairatidza kuti kushandiswa lekarstvai aripo "Metoprolol" chinodhaka analogues anorondedzera pazasi, asi ikozvino ngatimbotaura pamusoro pharmacokinetic unhu.

Izvi zvinoreva nokukurumidza uye akapotsa zvachose (anenge 95%) wefodya. Kunonyanyisa yeplasma wevasungwa inowanzopiwa asvika pashure 50-110 maminitsi pashure ingestion.

Wokutanga kushandiswa kwezvinodhaka bioavailability ndiyo 50%. Akaidzokorora kunowedzera 70%. Nenzira, kudyiwa zvokudya kunowedzera bioavailability zvinodhaka nokuda 20-40%. payo kunowedzerawo kana murwere ane chiropa cirrhosis. Kutaura mapuroteni paavhareji 10%.

Akati medicament tsime kupinda munharaunda yacho placental uye ropa-pfungwa ematongerwo. Uyewo zviduku zvakawanda, chakasiyana uye kupinda zamu mukaka.

The mushonga rinoita mune chiropa. Uye metabolites vane pharmacological basa. About 5% of Agent yabudiswa kubudikidza itsvo kuchinja. Patient Zvipatara pamwe akaderedza itsvo kushanda zvinoda rutapudzo kana zvimwe kururamiswa dose. Zvisinei, mhirizhonga munyika chiropa basa zvinogona kuderera muviri zvinodhaka. Panyaya iyi, kuti chipimo chemushonga anofanira kuderedzwa.

Mishonga "Metoprolol": zvairatidza yokushandisa

Pane chaizvo yakakura mazita pathological ezvinhu umo zvinodhaka chinotarisirwa. Ngationgororei navo.

• akathisia, iyo kunokonzerwa antipsychotics;
• chirwere cheBP of 1st uye 2nd dhigirii chirwere cheBP (zvichida monotherapy, uye zvikuru zviitiko - pamwe diuretics uye zvimwe zvinodhaka antihypertensive);
• thyrotoxicosis (chete chikamu kunzwisisa kurapwa);
• kudzivirira angina kurwiswa uye angina;
• prophylaxis pamusoro migraine;
• kutyora cardiac mutinhimira (semuenzaniso, arrhythmia, uye paroxysmal supraventricular tachycardia, supraventricular tachycardia);
• kuderedza ngozi hunofa hwevanhu vanorwara mune zvemwoyo chirwere uye coronary tsinga chirwere;
• kudzivirira wechipiri myocardial infarction uye rikwanise myocardial infarction;
• mitral vharafu prolapse;
• Dilated cardiomyopathy iri idiopathic;
• zvemwoyo giperkinez Essential, hyperkinetic cardiac urwere, zvirwere mwoyo.

Reviews kuti medicament

Maererano wongororo yevaya nokusingaperi kunge akataura mushonga, izvozvo zvinobudirira kukurira basa uye kunobatsirawo pamwoyo. Zvisinei, zvinofanira kucherechedzwa kuti vamwe varwere sei mushonga havasi zvakanaka chaizvo. Kazhinji, izvi imhaka yokuti rine contraindications zhinji uye marwadzo. Chokwadi kuti varwere vanotsutsumwa, tsanangura pazasi pamusoro kutambira mari.

Contraindications pakushandisa mishonga

Saka, zvino munoziva zvinorehwa zvinodhaka "Metoprolol" (zvairatidza yokushandisa dzave inorondedzerwa chete pamusoro). Zvisinei, mushonga uyu ane nhamba contraindications. Idzi dzinosanganisira:

• Individual kusashivirirana (i.e. hypersensitivity kuti basa kana ebetsero zvinoriumba);
• atrioventricular chinogumbura 2nd uye 3rd dhigirii;
• imwe-nguva kushandiswa ne Mao FIs;
• blockade sinuauricular;
• akaratidza kweropa zvirwere (peripheral);
• sinus bradycardia (kwemwoyo kana - kanenge makumi matanhatu paminiti);
• yomuropa uye labile muchimiro cheshuga;
• sinus sick urwere;
• murwere mavari bronchospasm (i.e., Árbol asima uye Árbol nokunyanyisa response);
• metabolic acidosis;
• hypotension (asingasviki 100 mm HG ..);
• cardiogenic kuvhunduka (mushonga hauna pachii varwere nechirwere kuti "chakasimba myocardial infarction" kana vanofungidzirwa kwairi);
• chenjera mwoyo kukundikana, chirwere (2nd uye 3rd Danho) uye uncompensated.

Rairambidzwa kushandisa zvinodhaka (womuchato nokungwarira zvakanyanyisa)

In chii Muzviitiko zvinofanira kungoitirwa pakugamuchira "Metoprolol" chinodhaka? Reviews vanamazvikokota vanoti munhu dose kuti medicament kuti kuderedzwa mu hyperthyroidism, emphysema, sema nhoroondo, Árbol asima, dzisiri sema bronchitis, psoriasis, pheochromocytoma, chiropa zvirwere, itsvo uye (dzimwe nguva), mwoyo, myasthenia gravis uye zvayo yokutindivadza.

Zvinoita kupa vana mishonga "Metoprolol"? Kushandiswa mishonga iyi nevanhu pasi pemakore 18 hakubvumidzwi. Kurambidzwa kugamuchira mari asiwo vakadzi vane pamuviri uye ekukurerai. Kutadza kutevedza mazano aya, pane mukana akakura bradycardia, yomuropa, uye hypotension mune achangoberekwa.

Kana uchida kuva dose kurapwa paanenge achiyamwa, munguva ino lactation zvinofanira vakarega.

Zvinodhaka "Metoprolol" uye "Metoprolol succinate": mirayiridzo kushandiswa

Kazhinji, asi medicament "metoprolol" tora zuva mari 100 MG. Pakazoti akati vhoriyamu rakakamurwa mishonga akawanda. Kuti vabudirire yakanakisisa kuchirapa chaizvoizvo, mabiko inogona yakawedzera 2 nguva. Zvisinei, kufadza dose zvinodhaka haafaniri kupfuudza 400 MG.

Apo mumwe-nguva intravenous jekiseni raitongwa kubva 2 kusvika 5 MG kwegadziriro. Panyaya iyi, kufadza chipimo chemushonga ndiyo 15-20 MG. Pasina zvinozoita kubvumirwa kuzodzosera kupinda zvinodhaka fuma (mumaminitsi 5).

Kukanzura kugadzwa zvinodhaka inofanira zvishoma nezvishoma. Kazhinji izvi zvinoitwa mazuva gumi pasi rinokosha pokudzora chiremba.

Initial chipimo chemushonga zvinodhaka "metoprolol succinate" pamwe supraventricular tachycardia, angina pectoris, arrythmia uye BP inenge 50-100 MG kamwe pazuva. Kana Nokuraramisa mushonga kuti myocardial infarction kugamuchira medicament ari dose vana 200 MG.

Shoma nguva kurapwa rinoreva "metoprolol succinate" ndiyo 3 months. Kana murwere chirwere chemwoyo, kuti chipimo chemushonga iri kugadziridzwa nomumwe. Chokutanga, mushonga unoita mari 12,5 MG kamwe zuva nezuva 2 weeks, uye ipapo ose mazuva 14, dose kaviri.

At achishivirira munhu medicament hwakanyatsorwisa akanaka ayo kunonyanyisa yaunodya pazuva ungasvika 200 MG.

Marwadzo. Testimonials

Inogona kukuvadza muviri mishonga "Metoprolol"? Reviews kugadzirira ichi rine zvakawanda kuti pashure kubvuma kwake pane migumisiro yakaipa. About iyo mananara vari mubvunzo?

• Kubva tsinga: tsandanyama simba, kurukutika, kurota zvinotyisa, kuora mwoyo, kutemwa nomusoro, kufunganya, tava kuderera pamusoro injini uye nepfungwa siyana, ungaderedza nzeve, paresthesia mu wamativi, pfupi-rokuyeuka vanotaura, hope kana, Ukuwo, kushaya hope.
• Kubva pfungwa: kwakaderedza secretion pakati misodzi fluid ungaderedza chiratidzo, conjunctivitis, marwadzo uye chakaoma mucous membranes kwemaziso, achirira munzeve.
• Cardio-vascular hurongwa: arrhythmia, sinus bradycardia, venhema angina, conduction nenyonganiso infarction, BP, nokuratidzwa vasospasm, orthostatic hypotension, ungaderedza myocardial contractility uye dzungu.
• Kubva zvomudumbu hurongwa: muromo yakaoma, abdominal kurwadziwa, kuda kurutsa, kupera chiropa basa, kupatira, kurutsa, manyoka, uye kuchinja kuravira.
• Skin: kuvaviwa, reversible alopecia, mapundu, Flushing, mapundu, vangadikitira, exacerbation pamusoro psoriasis, photodermatosis, exanthema uye psoriasiform ganda zvavaifunga.
• Respiratoria hurongwa: kupfupika mweya, nasal kuzara, bronchospasm nekuoma exhaling.
• On chikamu yacho kwemakemikari anobudiswa hurongwa: hypothyroidism, yomuropa uye hyperglycemia.
• Laboratory Tests: thrombocytopenia, agranulocytosis, hyperbilirubinemia, leukopenia, uye yakakwirira chiropa makemikari.
• The zvainoita mudumbu romukadzi ane pamuviri pasi rakaiswa: intrauterine kukura retardation, bradycardia uye yomuropa.

Uyezve, pashure pokugamuchira akati zvinodhaka vamwe varwere dzinoshuma panowanikwa kurwadza kwemajoini kana musana marwadzo. Apo neapo zvinoratidza vanhu kuti zvishoma wakawedzera body mass, ungaderedza libido kana potency.

nhungamiro chaiwo pamusoro kushandiswa kwezvinodhaka

Zvino chero chemishonga unogona kutenga zvinodhaka "Metoprolol". The resipi haisi kuzvireva. Zvisinei, varwere kunwa mushonga inofanira kugara kuongororwa kubudikidza kurapa chiremba. Izvi ndezvechokwadi kunyanya kune avo varwere vari panoonekwa chirwere cheshuga kana angina.

Zvinonzi kuziva kuti kuwedzera uwandu husingakuvadzi (anopfuura 200 MG pazuva) kunoderedza cardioselective. In pamberi mwoyo kukundikana ARV akatanga chete pashure muripo chikuva zvasvika.

Vanhu vanoshandisa kuonana lenses, unofanira kufunga kuti mashoko akapoteredza kurapwa, "metoprolol" kwakaderedza kugadzirwa lachrymal Urume.

Dzimwe nguva izvi mishonga Masiki zvimwe zviratidzo hyperthyroidism. In ichi chimbichimbi kurega zvinodhaka pavarwere vane chirwere akati iri contraindicated, sezvo runogonesa zviratidzo.

Kana zvakakodzera, nokushanda murwere vanofanira nguva dzose pasvika vanhu anesthesiologist kuti zvinodhaka mishonga.

Panguva kurapwa, mumwe mushonga, "metoprolol" zvinokosha kupfeka zvipfeko zvakakodzera. Izvi imhaka yokuti chinodhaka kungaita neutachiona kuti ganda nokuda yokuwana chiedza chezuva.

Hatigoni kutaura kuti mishonga "Metoprolol" (analogues Mushonga uyu zvikurukuru) vakwegura vanogona kukonzera zvinenge kuwedzera bradycardia, kwakaratidzwa zvinoderedza BP, atrioventricular nechigumbuso. Ndokusaka varwere izvi zvinoda chinokosha kuzvidzora.

Uyezve, panguva kurapwa pamwe zvinodhaka ichi haafaniri motokari uye kumisa makirasi mabasa ngozi kuti zvinoda yakakwirira yevasungwa uye psychomotor nokukurumidza zvavaifunga. Zvinonzi zvakare rakurudzira kuti kubvuma panyaya iyi.

Aripo zvinodhaka analogs

Zvakadini kana murwere haakwanisi kutenga mishonga waakaudzwa nachiremba, "metoprolol"? analogues ayo zvinowanikwa chero chemishonga. Vazhinji vavo iine kushingaira fuma yakafanana, saka ine zvakafanana ehupfumi sezvo akati zvinodhaka. Pakati izvi zvinogona kutaurwa zvinotevera zvinodhaka: "Metoprolol Acre", "Metolol", "Metokor Adifarm" uye vamwe.

Mushure date kutora zvinoreva kuti murwere akanyeverwa kureva zvakabatanidzwa mirayiridzo, uye kubvunza chiremba. Izvi imhaka yokuti kugamuchira zvinoreva zvingasiyana kubva pamusoro dosages nzira.

Chiizve izvi mishonga analogs? Tsiva chiremba agadzwa nzira inogona zvinotevera mishonga: "bisoprolol" "Metoprolol-ratiopharm", "Metokard", "Korvitol", "Metozok", "Lidalok", "Serdol", "Egilok", "Emzok" uye vamwe.

How yokuchengetera uye mishonga sei?

Zvino kuti munoziva zvinorehwa, sei uye chii chipimo chemushonga kutora mushonga "Metoprolol". Chengetera panzvimbo inotonhorera panzvimbo (semuenzaniso, mu firiji) kana kamuri apo tembiricha asingadi pfuura 25 inegumi. Panyaya iyi, mushonga inofanira kuchengetedzwa kubva zvakananga chezuva.

Pasherufu upenyu akati zvinodhaka uye voruzhinji ayo dzomuzana makore mashanu kubvira musi kugadzirwa. Shure iyi, mishonga inoshandiswa kuchirapa uye prophylactic zvinangwa hakubvumidzwi. Waifanira kuraswa.