Mankhwala "Revmoksikam": malangizo ntchito (jakisoni, miyala ndi suppositories). Analogs ndi ndemanga za mankhwala

Chithandizo cha matenda a dongosolo minofu ndi mafupa, kuchotsa ululu ndi kutupa mu mafupa ndi minofu ndi zotheka chifukwa sanali steroidal mankhwala odana ndi yotupa, monga mankhwala "Revmoksikam". pa chida kalozera zikuphatikizapo ikulongosola za zikuchokera uliwonse mlingo makhalidwe pharmacodynamic, zizindikiro, ndi zambiri pa mbali ya ntchito.

Kufotokozera lokonzekera

Waukulu yogwira pophika thunthu mankhwala ndi meloxicam wa oxicam gulu, ozikidwa enolovaya acid. chida ichi ali ndi ntchito kusankha ndi amkhalapakati a ndondomeko yotupa, chimene chiri chofunika kwa chitetezo cha dongosolo m'mimba njira osafunika.

Pokonzekera "Revmoksikam" malangizo Buku limafotokoza mitundu mlingo angapo moti kusankha njira yoyenera mankhwala, kuganizira makhalidwe a chamoyo ndi matenda okhudzana.

Pakuti makonzedwe m'kamwa, abwino tableted mlingo mawonekedwe ndi meloxicam pa piritsi wa 7.5 kapena 15 mg. mapiritsi mkulu mlingo ali pachiopsezo kuswa mu theka, kuti amalola kuti tikonze, pakalibe mankhwala pa mlingo wa mankhwala. ameneŵa ndi oyenera chithandizo yaitali.

Jekeseni mawonekedwe ndi 1% njira ya mankhwala yogwira, amene amachoka mu 1.5 ml ampoules "Revmoksikam". Buku jakisoni pati ndi liwiro la kanthu wavala malo oyamba amene muyenera kuganizira posankha mlingo mawonekedwe.

Pakuti makonzedwe thumbo, suppositories ntchito pa mlingo wa 0.015 ga meloxicam zapansi suppository wa mafuta a nyama, imene pophika yogwira ndi anagawira wogawana.

Monga momwe zochitika mankhwala

Maziko a odana ndi yotupa, analgesic ndi zochita antipyretic "Revmoksikam" ndi mphamvu ya mankhwala yogwira chinthu kusankha pang'onopang'ono njira kugwirizana ndi kaphatikizidwe wa mankhwala prostaglandin. Ndi kugwirizana izi ndi amkhalapakati a kutupa.

Mankhwala "Revmoksikam" malangizo ntchito limafotokoza mankhwala otetezeka poyerekeza ndi anthu amene sanali steroidal mankhwala ena odana ndi yotupa. Ichi ndi chifukwa deceleration ntchito kokha cyclooxygenase mtundu 2 enzyme, chifukwa mu kungachepetse yopanga prostaglandin ndi prostatsiklinovyh zinthu udindo kutupa. Mankhwala kwenikweni pa mtundu cyclooxygenase 1, nchifukwa chake prostaglandins gastroprotective ndi thromboxanes amapangidwa zedi lamanja ndi kutumikira monga chitetezo ku dongosolo m'mimba mosiyanasiyana chowawa.

Yogwira pophika "Revmoksikam" kukonzekera (ampoules) malangizo Buku limafotokoza mbali zomwe ziribe mphamvu pa maselo osachiritsika chichereŵechereŵe ndi kumabwezera mmbuyo yopanga proteoglycan, amene asunga mankhwalawa Mwachitsanzo, indomethacin.

Medicament sasintha nthawi ya kupatsidwa zinthu za m'mwazi loitanirana ndi magazi, monga kumachitika pansi zochita za diclofenac ndi ibuprofen.

analogs

Mu msika mankhwala pali mankhwala mosinthana mankhwala ofanana mu kuchitapo ndi zikuchokera mankhwala "Revmoksikam". Malangizo analogues zonse monga ofanana matanthauzo omwe chinaonekeranso mwa chifaniziro cha pachiyambi mankhwala German "Movalis" Company "Boehringer Ingelheim" ndi zina mlingo mawonekedwe.

A zosiyanasiyana mankhwala pamaziko a meloxicam chimathandiza odwala kuchitiridwa ngati European ( "Teva-Meloxicam", "Mirloks", "Melox") ndi mankhwala zoweta, amene zimasiyana kwambiri mu mtengo. Mwa mankhwala angaperekedwe Russian kupanga olekanitsidwa "Movasin", "Lem", "meloxicam", "nyamakazi", "Amelotex".

A zosiyanasiyana yaikulu ya mankhwala-ofanana matanthauzo a opanga osiyana limasonyeza kugwiritsa ntchito kwambiri mankhwala pamaziko a meloxicam.

N'chifukwa chiyani tiyenera kutsatira

Pokonzekera "Revmoksikam" wogwiritsa Phunziro pankhaniyi jakisoni, miyala ndi suppositories akuonetsa kuti Kupha ululu, njira yotupa ndi osachiritsika mu zida za locomotor, monga arthrosis, nyamakazi, nyamakazi, ankylosing spondylitis.

Malinga limagwirira kanthu, chida ichi ndi oyenera zochizira njira zosiyanasiyana yotupa mu thupi la munthu. Osati zizindikiro zonse zitheka kwa mankhwala zikuphatikizapo "Revmoksikam" (makandulo) malangizo. Mu matenda achikazi mankhwala chimagwiritsidwa ntchito zochizira njira yotupa ziwalo zoberekera wamkazi, monga mazira a. Komabe, mkumano akhoza mankhwala dokotala amene anapereka mlingo ndi nthawi ya mankhwala.

Ntchito mapiritsi

A kukonzekera mu mawonekedwe piritsi kwa makonzedwe m'kamwa. Meloxicam mayamwidwe kwa dongosolo m'mimba mofulumira ndi chimachititsa 90%. Chakudya sikumangotikhudza malowedwe a meloxicam mwa mucosa matumbo.

Kumwa mankhwala "Revmoksikam" (mapiritsi) Bungwe lamulo, pamodzi ndi chakudya kuchepetsa chiopsezo zosiyanasiyana chokhwima mu dongosolo m'mimba. Mapiritsi ayenera kuwameza lonse, usapondereze kapena nyembazo zokwanira kusamba pansi buku lalikulu la madzi. Nthawi chithandizo ndi mlingo wa mankhwala zimadalira kukula kwa matenda ndi anatsimikiza ndi dokotala nawo.

Mankhwala a nyamakazi akuluakulu ndi achinyamata ochokera zaka 15 kuchita mlingo tsiku la mankhwala mu 7.5 mg. Ngati ndi kotheka, dokotala anu achuluke mlingo kawiri pa tsiku.

Mankhwala a nyamakazi ndi ankylosing spondylitis akuluakulu ndi achinyamata ochokera zaka 15 kuchita mlingo tsiku la mankhwala mu 15 mg. Mlingo anali utachepa kwa 7.5 mg wa pokhapokha polandira mphamvu zabwino mankhwala apamwamba mlingo.
Ngati pali zinthu chitukuko cha zochita mokakamizidwa odwala kutumikiridwa mankhwala osachepera mlingo umodzi wa 7.5 mg.

Kugwiritsa ntchito jakisoni

Zambiri mofulumira kanthu mankhwala ntchito "Revmoksikam" (jekeseni), malangizo Buku limafotokoza parenteral mankhwala mu mnofu. anagwiritsira ntchito akusonyeza kuti anthu ndi matenda a thirakiti m'mimba. Iwo olumikizidwa kwa m'mimba kapena m'matumbo ndi sanavulazidwe mapiritsi mankhwala "Revmoksikam". Kagwiritsidwe Guide akuonetsa jakisoni kutumikiridwa kwa nusu chapamwamba kunja kwa matako ndi kuzama mu minofu kuti.

Nthawi ya mankhwala ndi mlingo wa mankhwala zimadalira kukula kwa matenda ndi ofunitsitsa ndi dokotala nawo.

Akuluakulu ndi achinyamata ochokera zaka 15 anapereka mlingo "Revmoksikam" kukonzekera malangizo ntchito, kupanga jakisoni 1 nthawi patsiku. Nthawi zambiri kutumikiridwa kwa ml ya 0,75 kwa 1.5 njira ya meloxicam. Mankhwala "Revmoksikam" mu mawonekedwe a jekeseni wa angagwiritsidwe ntchito salinso kuposa 5 masiku, ndi pite ku piritsi mawonekedwe a mankhwala.

Pambuyo adzathandiza anthu yogwira pophika pa 100% ndi odzipereka mu makope zokhudza zonse, kutanthauza bioavailability ake okwezeka.

Si odwala onse saloledwa mkulu mlingo "Revmoksikam" chiphunzitso, malangizo ntchito jakisoni kwa anthu amene amaonetsa aimpso ndi kwa chiwindi kulephera, akuonetsa mlingo wa 7.5 mg wa meloxicam. Iwo ayenera kuwunika ntchito a matupi awa kuteteza kuwonongeka.

Pamene ntchito imodzi ndipamene angapo mankhwala "Revmoksikam" Buku jakisoni, mapiritsi kapena suppositories limalangiza kuphatikiza kotero kuti palibe kwambiri mlingo kwa makonzedwe tsiku.

Malangizo pa ntchito makandulo

The medicament angagwiritsidwe ntchito rectally, mwa kuyambitsa kandulo mu rectum kwa mayamwidwe winanso wa mankhwala yogwira mu mitsempha mu rectum ndi malowedwe zina za meloxicam mu m'magazi.

Kugwiritsa njirayi choyamba tiyenera kukhala okonzeka, ndi mpheto ukhondo. Makandulo "Revmoksikam" malangizo Buku amalimbikitsa unpacking ndi kuikapo manja bwino kuchapa kuti kubweretsa matenda a ndimeyi kumatako.

Makandulo zopangidwa ndi yokonza mafuta olimba manja mwamsanga kusungunuka, kotero kumayambiriro suppository, pambuyo kutsegula phukusi yaikulu mofulumira. Mawu a ntchito ndi mlingo zimadalira mtundu ndi kukula kwa matendawa, koma Mulimonsemo, onse cholinga zotchulidwa dokotala.

Thumbo ntchito meloxicam amalola bwino odzipereka mu makope zokhudza zonse, ndi 90% bioavailability. Zisathe achire madzi a m'magazi zikadzatha masiku 5 mankhwala.

Akuluakulu ndi achinyamata ochokera zaka 15 kandulo "Revmoksikam" malangizo ntchito akaundula ntchito zosaposa 1 suppository 1 nthawi patsiku.
Max meloxicam patsiku ayenera kukhala pafupifupi 15 mg, kapena 1 suppository.

Malinga ndi malangizo a ntchito, rectally kutumikiridwa kukonzekera kungakhale osaposa sabata, ndi zochizira zina zofunika pochitika pa ntchito ya medicament mitundu piritsi "Revmoksikam".

Pamene inu simungakhoze ntchito mankhwala

Izo Sizotheka kuchitira medicament "Revmoksikam" malangizo Buku zikuphatikizapo mndandanda wa contraindications, imene chida si ntchito.

1. Ndi kuchuluka tilinazo munthuyo oxicams ndi nonsteroidal odana ndi yotupa mankhwala ena kubala kulipira ndalama.
2. Musagwiritse ntchito piritsi mawonekedwe a mankhwala odwala amene amadwala malabsorption shuga ndi galactose, ndi umboni wa akusowa lactase ndi nkhanza munthu wa mamolekyulu galactose.
3. mankhwala ali contraindicated anthu ndi chironda chachikulu kwa mucous m'mimba ndi duodenum, ndi chiwindi matenda, ndi kulephera kwa minofu mtima ndi impso mu mawonekedwe kwambiri, anthu amene anakumana inatsekeratu mtsempha wamagazi kulambalala kumezetsanitsa.
4. Musagwiritse ntchito mankhwala odwala amene ali chiopsezo magazi, makamaka ngati anali cerebrovascular kuwonetseredwa kapena magazi m'mimba.
5. Mankhwala "Revmoksikam" mu mawonekedwe a suppositories si ntchito odwala amene ali ndi matenda a rectum chiyambi osiyana. Contraindication muja kutupa rectum.
6. Amayi apakati ndi lactating, ana osaposa zaka 15, mankhwala si anasonyeza chifukwa cha zotsatira zake poizoni pa kukula chamoyo.
7. Mankhwala "Revmoksikam" jekeseni malangizo loletsa kugwiritsa ntchito mtsempha, mu mnofu jekeseni alandiridwa okha minofu gluteal.

CHENJEZO prescribers odwala amene azipereka bronchial mphumu, matenda enaake, kuchepa madzi m'thupi, matenda a njira ya mkodzo dongosolo, congestive mtima kulephera zochitika, yafupika aimpso magazi.

Achikulire odwala, iwo ndi chofooka chamoyo kapena pa mankhwala anticoagulant ayenera kutenga chida ichi kuyang'aniridwa ndi dokotala.

kusamalidwa chofunika mankhwala chithandizo cha anthu amene anaona m'mbuyomu chironda chachikulu mu m'mimba ndi duodenum ndi matenda ena pa mundawo m'mimba.

Limodzi ndi mankhwala ena

Munthawi yomweyo kuphatikiza mankhwala ena ndi "Revmoksikam" mankhwala akhoza matanthauzo patsogolo kapena kuchepetsa mogwira awo, chifukwa zochita osafunika.

• Co-ka meloxicam ndi mankhwala chomwa mankhwalawa analgesic kumachititsa ngozi zilonda pa Kakhungu mucous ziwalo m'mimba, kapena ngakhale magazi.
• Musati kuphatikiza mankhwala "Revmoksikam" ndi anticoagulant ndi mankhwala thrombolytic kuti kupereka antiagregatsiyu maselo magazi.
• Munthawi yomweyo chithandizo ndi meloxicam ndi okodzetsa ndi mkulu wa madzi m'thupi zingachititse anthu amenewa ndi pachimake aimpso kulephera. Ngati simungathe amakana ku phwando pamafunika polojekiti zonse za ntchito aimpso.
• ntchito Concomitant zikhoza kuchepetsa cha mphamvu akangofika kwapakati pa-uterine kulera, beta-adrenoceptor Letsani, vasodilating, mankhwala diuretic ndi medicaments nawo chopinga wa angiotensin akatembenuka enzyme.
• Pamene pamodzi methotrexate mankhwala "Revmoksikam 'akhoza patsogolo zotsatira poizoni pa maselo ofiira, ndi munthawi yomweyo phwando zotsatira ndi cyclosporin ku zoyipa pa impso. Ngati pali kufunika ngati osakaniza, kufunika nthawi kuwunika udindo mwazi wa periphery ndi impso.
• The kanthu mankhwala cholinga kuonjezera ndende ya ayoni lifiyamu mu madzi a m'magazi. Kulumikizana ndi cholestyramine kukonzekera "Revmoksikam" amachepetsa nthawi theka moyo wa pophika yogwira.
• Zimene si steroidal odana ndi yotupa mankhwala umalimbana kusintha mphamvu ya miyala mankhwala hypoglycemic, kuphatikizapo amene ali ndi insulin. Kwa odwala ndi mkulu shuga kutenga mankhwala "Revmoksikam" amafuna ulamuliro wa shuga mu madzi a m'magazi kwa kenako kusintha mlingo wa mankhwala antidiabetic.

Reviews kukonzekera

Monga mmene taonera, osiyanasiyana osiyanasiyana ofunsira, "Revmoksikam" kukonzekera kalozera sakufotokoza ndemanga, koma limafotokoza mavuto chokhwima cha ntchito chida ichi, contraindications onse ndiponso zimene ankachita. Mfundo zimenezi sizikutanthauza kuti zochita zonse chowawa ayenera zimachitika pambuyo mankhwala pa maziko a meloxicam. Mankhwalawa angathe kutenga malo popanda kwambiri chokhwima kwa thupi, ndipo zotsatira achire kukhala noticeable. Lililonse thupi osiyana ndi kuyankha mosiyana ndi zinthu zosiyanasiyana.

Monga tanenera kale, osati onse mwa zizindikiro ntchito utoto malangizo, koma okhawo zokhudza mankhwalawa pathologies enaake ophwanya a dongosolo minofu ndi mafupa.

Kukhala wothandizira odana ndi yotupa, mankhwala "Revmoksikam" Anthu ambiri amagwiritsa ntchito zochizira fractures mu mankhwala zovuta kutupa mu prostatitis aakulu, matenda kutupa m'deralo.

Pakuti mofulumira thandizo ululu pa akulimbikitsidwa kugwiritsa ntchito mankhwala "Revmoksikam" Buku jekeseni. Comments za mphamvu ya jekeseni amenewa osokoneza.

wodwala wina pasanapite nthawi mosavuta, ululu recedes, mankhwala ena si abwino ndipo muyenera kupeza m'malo.

Zochizira zinthu enaake ophwanya kugwiritsira ntchito mapiritsi meloxicam, amene angatenge nthawi yaitali, koma mankhwala zingachititse matenda ambiri m'mimba, amenenso amafuna kuchotsa mankhwala.

Pali ndemanga zabwino kuphatikiza mankhwala adneksita pamene "Revmoksikam" ntchito makandulo limodzi ndi mankhwala kudzera m'jekeseni odana ndi yotupa.