"Indapamide": Anzawo. "Indapamide": ndemanga madokotala

ndi mankhwala "Indapamide" n'chiyani? Analogs cha chida zimatsogolera ake, mavuto ndi zizindikiro ntchito Adzaperekedwa pansipa. Komanso, m'nkhani ino, mudzatha kudziwa ngati kapena ayi izi contraindications mankhwala, zomwe angachite ngati cha mankhwala osokoneza bongo monga chiyenera kukhala, ngati n'zotheka zimagwirizizirana ndi mankhwala ena, ndi zimene iwo amaganiza za akatswiri izo.

The zikuchokera mankhwala ndi mawonekedwe ake kumasulidwa

Kodi maonekedwe mankhwala alipo zogulitsa? mankhwala The lingapezeke mu mawonekedwe a mapiritsi biconvex TACHIMATA ndi ❖ kuyanika woyera filimu.

Kodi pophika yogwira chikuphatikizapo medicament "Indapamide"? Analogs wa wothandizila izi (ambiri a iwo) ndi kukonzekera lokha muli zigawo yogwira monga indapamide. Mokhudzana ndi zinthu wothandiza, miyala monga zigawo zikuluzikulu izi: lactose monohydrate, crospovidone, povidone K-30, magnesium stearate, talc ndi sodium wochuluka lauryl sulphate.

The kanthu pharmacological mankhwala

Kodi katundu wa mankhwala "Indapamide", mtengo wa chomwe chili kumapeto kwa nkhani ino? mankhwala wa wothandizila antihypertensive. M'mawu ena, ndi diuretic ndi vasodilator.

Malinga ndi katundu wawo pharmacological, mankhwala ali pafupi kwambiri kwa okodzetsa thiazide ndipo analandira mwa kuphwanya reabsorption salt sodium, zimene zili mu gawo yokhudza kotekisi wa kuzungulira wa Henle. Iwo akhoza kuonjezera zamoyo wa chlorine, ayoni magnesium, soda ndi potaziyamu mu mkodzo.

N'chifukwa mankhwala "Indapamide"? Analogs cha chida palokha ndipo anati medicament amatha kutsekereza "m'mbuyo" kashiamu njira kusankha njira, kuonjezera elasticity makoma chotengera ndi kuchepetsa okwana mtima kukana (zotumphukira).

Kuvomereza mankhwala amachepetsa hypertrophy mtima, kapena m'malo ventricle lake lamanzere. Ilibe mphamvu pa kuchuluka kwa lipids mu magazi, komanso zimam'patsa kagayidwe, kuphatikizapo anthu ndi matenda monga matenda a shuga.

Anati medicament amachepetsa tilinazo ndi mtima khoma angiotensin II ndi norepinephrine, khola ndipo kumachepetsa kupanga mpweya ufulu ankafuna kusintha zinthu mopitirira, kumapangitsa kaphatikizidwe wa prostaglandin E2.

Kuthira mankhwala hypotensive kanthu akufotokozera ndi kumapeto kwa sabata 1 mankhwala. Pankhaniyi awasungira kwa maola 25 (pambuyo limodzi m'kamwa)

Pharmacokinetics mankhwala

Kodi odzipereka mankhwala "Indapamide"? Malangizo, ndemanga Akatswiri amanena kuti pambuyo kutenga mankhwala mkati pafupifupi mwathunthu ndi yomweyo odzipereka kwa mundawo m'mimba. Monga mankhwala kukhala bioavailability ake ndi 93%. Munthawi yomweyo phwando chakudya kubweza mlingo mayamwidwe pang'ono, koma bwanji buku la mlingo chosakanikirana ndi zinthu panopa.

Ndende pazipita yogwira pophika mu madzi ndi zimatheka pambuyo pa 2 hours pambuyo utsogoleli wa piritsi limodzi. The theka moyo wa mankhwala ndi maola 14-25. Kulankhulana ndi mapuloteni magazi - za 79%.

kukonzekera Izi bwino umadutsa magazi tija chotchinga (kuphatikizapo placental). Iye afika mu mkaka wa m'mawere.

Kagayidwe wa mankhwala chiwindi. Iwo anadziŵa impso (monga metabolites) mu kuchuluka kwa 60-80% ndipo 20% - ndi matumbo.

Zikuonetsa ntchito medicament ndi

Nthawi zina, odwala chinafotokoza mankhwala "Indapamide"? Zikuonetsa ntchito chida ichi monga mmodzi yekha pathological mmene wodwalayo. Ndi oopsa. Komanso, medicament ndi ingaperekedwe ndi soda ndi posungira madzi m'thupi. Childs, chikhalidwe ichi zimachitika odwala ndi kulephera aakulu mtima.

Contraindications ntchito mankhwala

Tsopano inu mukudziwa tanthauzo mankhwala "Indapamide" (zikuonetsa ntchito ndalama akhala anapereka pamwamba basi). Komabe, tisaiwale kuti mankhwala pali contraindications. Zikuphatikizapo zinthu zotsatirazi:

• lactose wosalolera wodwalayo;
• pa mimba;
• galactosemia;
• hypokalemia;
• matenda syndrome suction galactose kapena shuga;
• mkaka wa m'mawere;
• munthawi yomweyo kugwiritsa ntchito mankhwala, okhoza kutalikitsa ndi imeneyi QT;
• aakulu aimpso kulephera (kapena anuria sitepe);
• m'badwo wa munthu pansi zaka 18 (chitetezo ndi efficacy mankhwalawa ana si akhazikitsidwa);
• aakulu kwa chiwindi, kuphatikizapo encephalopathy, kulephera;
• hypersensitivity mankhwala ndi ena ofanana ena sulfonamide.

Kusamala ntchito medicament ndi

Anthu ambiri amakayikira ngati kugula "Indapamide" kukulemberani mankhwala mankhwala? Ndipotu, asanayambe ntchito mankhwala aliwonse bwino kukaonana ndi dokotala - katswiri pokhapokha mayeso ndipo pa maziko a zotsatira angathe kumanga woyenera chithandizo chakudya. Pankhani mlandu wathu, tiona kuti ankaona chida mosamala kwambiri Kwalamulidwa kwa anthu odwala matenda a shuga, gout, komanso odwala anthu amene pali ziwengo kuti sulfonamide ofanana nawo.

Komanso, mankhwala ayenera kumwedwa mosamala matenda a chiwindi, impso ndi madzi electrolyte vutoli.

Pa mankhwala dokotala ayenera nthawi zonse kuwunika mlingo wa electrolytes mu magazi a wodwala (potaziyamu, sodium, calcium).

Mankhwala "Indapamide": malangizo ntchito, akatswiri weniweni

Malinga ndi malangizo Ufumuyo, mankhwala ayenera kumwedwa pakamwa, kaya kudya chakudya. Phale ayenera kumwedwa ndi okwanira kuchuluka kwa madzi oyera.

Kodi kutenga "Indapamide"? Malinga ndi akatswiri, mankhwala ndi bwino odzipereka kwa mundawo m'mimba okha m'mawa. Choncho, tikulimbikitsidwa kuti azimwa pa nthawi iyi ya tsiku.

Mlingo ndi 2.5 mg (i.e., piritsi limodzi) tsiku. Ngati pambuyo masabata 4-8 mankhwala, anthu a mtima sichinayambe anafika, voliyumu ya mankhwala Sikuti kuonjezera (ngakhale nthawi zambiri madokotala kuchita zimenezi). Chimenechi ndi chifukwa chakuti pa mlingo waukulu kumaonjezera ngozi ya mavuto. M'malomwake, mankhwala n'kofunika ena, antihypertensive wothandizila kuti si diuretic.

Kodi kutenga "Indapamide" mu nkhani iyi? Pamene makonzedwe concomitant mankhwala awiri kuonedwa ndi ife mlingo mankhwala amakhalabe zikutsatiridwa, i.e. 2.5 mg wa patsiku (m'mawa).

Nthawi cha mankhwala osokoneza bongo: Zizindikiro, Chithandizo

Kodi chimachitika n'chiyani ngati inu kutenga ambiri "Indapamide" mankhwala? Reviews madokotala kuti mu Zikatero wodwalayo nseru, kufooka ndi kusanza. Komanso wodwalayo madzi kutanganidwa ndi bwino electrolyte ndi ntchito pa mundawo m'mimba. Nthawi zina, wodwalayo kuchepetsa kwambiri magazi ndi maganizo kupuma. Mu odwala matenda a chiwindi kungakhale kwa chiwindi chikomokere.

Kodi kuchitira? Pankhaniyi cha mankhwala osokoneza bongo, odwala azichapa m'mimba, kukonza madzi ndi electrolyte bwino, ndipo ntchito mankhwala symptomatic.

mavuto atalandira medicament

zosiyanasiyana chokhwima atakhala "Indapamide" mankhwala pali? Zotsatira zake zoyipa za mankhwala ndi. Apa tsopano.

• dongosolo m'mimba: gastralgia, nseru, kupweteka m'mimba, kusanza, anorexia, kudzimbidwa, pakamwa youma, kapamba, kutsekula m'mimba, kwa chiwindi encephalopathy.
• Kupuma dongosolo: sinusitis, chifuwa, rhinitis ndi pharyngitis.
• mantha dongosolo: tulo, kutopa, omangana minofu, manjenje, kufooka, nkhawa, litsipa, kutopa, vertigo, chizungulire, maganizo, kugona, irritability, malaise mavuto.
• Mkodzo System: nocturia, matenda pafupipafupi, ndipo polyuria.
• Mtima ndi magazi zotengera: arrhythmia, orthostatic hypotension, kugunda kwa mtima ndi ECG kusintha (ie, hypokalemia).
• Ziwengo: ming'oma, zotupa, kuyabwa ndi hemorrhagic vasculitis.
• dongosolo hemopoietic: thrombocytopenia, hemolytic magazi m'thupi, leukopenia, mafupa aplasia, ndi agranulocytosis.
• Laboratory anapezazo: glycosuria, hyperuricemia, kuchuluka urea asafe mu madzi a m'magazi, hyperglycemia, hypercreatininemia, hypokalemia, hypercalcemia, hyponatremia ndi hyposalemia.
• Other: exacerbation wa zokhudza zonse lupus erythematosus.

Mogwirizana ndi mankhwala ena

Mankhwala "Indapamide", amene kanthu umalimbana kutsitsa kuthamanga, izo osavomerezeka kutenga molumikizana ndi glycosides mtima, monga kumachititsa wa digitalis kuledzera. Ngati inu ntchito chida ichi kukonzekera kashiamu ndi metformin, wodwala angathe hypercalcemia ndi kukula lactic acidosis.

Dongosolo munthawi yomweyo ya medicament ndi corticosteroids, NSAIDs, sympathomimetics ndi tetrakozaktidom yafupika zotsatira hypotensive woyambawo. Pankhani njira "baclofen" Iye M'malo mwake, kulimbitsa izo.

Kuphatikiza mankhwala ndi okodzetsa potaziyamu-yosalekerera bwino ochepa odwala. Komabe, sakulamulira zingatheke hyper- kapena hypokalemia, makamaka odwala ndi insufficiency aimpso ndi shuga.

Ace zoletsa akhoza azitaya hypotension ndi pachimake kulephera aimpso.

Angasokoneze impso pamene ntchito wothandizila iodinated mu mlingo waukulu.

Neuroleptics ndi antidepressants imipraminovye zimathandiza kuti kuchuluka kanthu hypotensive ndi chiopsezo orthostatic hypotension kuchuluka.

malangizo Special ntchito "Indapamide" mankhwala

Kodi milandu ayenera kuwunika wodwalayo magazi chithunzi pambuyo poika "Indapamide" mankhwala? Reviews madokotala kuti mankhwala akhoza kusintha kuchuluka kwa creatinine na potassium ayoni mu odwala amene kutenga mankhwala ofewetsa tuvi, glycosides mtima, komanso okalamba kuposa zaka 60.

Pamene ntchito wothandizila izi tikulimbikitsidwa aluso mwadongosolo kuyan'ana ndende ya ayoni sodium, potaziyamu ndi magnesium mu madzi a m'magazi, kuyambira odwala angathe electrolyte chisokonezo. M'pofunikanso kuti kuyan'ana pH, ndende asidi uric, shuga, ndi yotsalira asafe.

ulamuliro wapadera ayenera kukhala phunziro kwa odwala matenda enaake chiwindi (ndi edema amphamvu kapena ascites), komanso kulephera mtima ndi matenda ischemic mtima.

Yayenda gulu zikuphatikizapo odwala ndi kuchuluka QT imeneyi pa electrocardiogram ndi (kungakhale kobadwa nako kapena kukhala pa maziko a kudwala aliyense).

Muyeso woyamba wa ndende ion potaziyamu mu magazi a wodwalayo tikulimbikitsidwa kuti sabata loyamba la mankhwala.

mwapadera tikulimbikitsidwa kuti kuperekedwa kwa odwala matenda a shuga. Makamaka, m'pofunika kuti aziona mlingo wa shuga m'magazi, makamaka ngati munthu anapezeka ndi hypokalemia.

Odwala kutenga mankhwala, muyenera kukwaniritsa imfa ya madzi ndi kudya wambiri madzi tsiku. Komanso, pa chiyambi cha mankhwala, m'pofunika kuti aziona impso ntchito.

Sitingathe kunena kuti mankhwala "Indapamide", analogues amene ali pansipa, akhoza kupereka zotsatira zabwino pa ulamuliro doping.

Odwala hyponatremia, ndi oopsa kwa masiku 3 asanayambe ntchito angiotensin akatembenuka zoletsa enzyme, okodzetsa ayenera anasiya. Chithandizo akhoza adapitiriza ina.

Poika mankhwala "Indapamide" akatswiri ayenera kudziwa kuti ndi sulfonamide otumphukira mosavuta kukulitsa matenda monga zokhudza zonse lupus erythematosus.

Pakali pano, chitetezo ndi efficacy wa mankhwala pa matenda a ana ndi achinyamata sichinayambe anakhazikitsa.

Nthawi zina, nkotheka zochita munthu kuti imakhudzana ndi kusintha magazi. Childs, izi zimachitika pa chiyambi cha mankhwala komanso ntchito zina mankhwala antihypertensive. Chifukwa cha zimenezi kuchepa mphamvu kulamulira makina ndi ntchito ndi njira zina zimene zimafuna chisamaliro chapadera.

Reviews akatswiri ndi odwala pa mankhwala

Tsopano inu mukudziwa kuti ndi mankhwala "Indapamide". Reviews, mtengo wa mankhwala Adzaperekedwa tsopano.

Akatswiri amanena kuti mankhwala amadwala bwino ntchitoyi. Izi bwino Sachita magazi, komanso amachita ngati diuretic ndi.

Reviews kukonzekera "Indapamide" amasonyeza kuti ntchito kumanzere yamitsempha yamagazi hypertrophy yafupika, ndi zotsatira zake antihypertensive zimaoneka ngakhale anthu odwala amene hemodialysis.

Koma ndemanga zoipa anati njira, nthawi zambiri iwo ali oyanjana ndi maonekedwe a ambiri zosiyanasiyana chokhwima. Komabe, tisaiwale kuti mavuto amenewa kokha anthu amene kuposa anatumizidwa mlingo wa mankhwala kapena kutenga izo, ngakhale contraindications alipo.

Price ndi analogues wa mankhwala

Kodi zambiri ndi mankhwala "Indapamide"? Mtengo wa mankhwala zingasiyane (malingana ndi Mlengi ndi masamba mankhwala unyolo). Komabe, pafupifupi chida izi zikhoza kugulidwa kwa 95-100 rubles Russian (mapiritsi 30).

Koma zoyenera kuchita ngati wodwalayo sangathe kupeza mankhwala "Indapamide"? Analogues, mtengo wa amenenso osati kwambiri, amagulitsidwa iliyonse ogulitsa mankhawala. Mankhwalawa ndi izi: "indapamide achigonjetse," "Akripamid", "indapamide-Teva", "CP Indamed", "Akripamid achigonjetse", "Ravel CP", "Akuter-Sanovel", "Retapres", "Arindap "" Lorvas "," Arifon "," Pamid "," Arifon achigonjetse "," Tenzar "," Ipres Long "," Vero indapamide, "" Indipam "," Indap "," Indiur "," indapamide-Verte "" amaayoni "," indapamide achigonjetse-Teva "," Indapres "," indapamide Sandoz, "" amaayoni achigonjetse "," indapamide-OBL "," indapamide Stada "ndi zina zotero.

Tengani ndalama pa nzeru zake ndi m'malo mankhwala "Indapamide" ndi koletsedwa. Iwo ayenera adzaika yekha dokotala, ndipo kokha ndikatha kumfunsafunsa dokotala. Komanso asanakhale mankhwala awa ayenera kukhala bwino ndi malangizo Ufumuyo.

zinthu kusungiramo kukonzekera ndi atapita tsiku

sitolo mankhwala louma ndi mdima malo, amene ali kuwerengedwa kwa ana aang'ono. yokonza yosungirako kutentha sayenera upambana madigiri 25. Alumali moyo wa zaka 3. Itatha nthawi iyi, kutenga medicament ndi koletsedwa kutero.