"Tenorik": akatswiri ndemanga odwala, malangizo ntchito

mankhwala "Tenorik" Kodi ntchito? Reviews akatswiri ndi odwala za mankhwala mupeze zipangizo nkhani. Ife kufotokoza mwatsatanetsatane malangizo ntchito, tikambirana za mmene mankhwala ndi alembedwe limene m'gulu kapangidwe kake, ndi zina zotero. D.

Kulongedza katundu, zikuchokera, mawonekedwe mankhwala

Mu mawonekedwe chimene anapanga mankhwala "Tenorik"? Feedback anthu amene amagwiritsa ntchito mankhwala kunena kuti zikhoza kugulidwa mu mawonekedwe a mapiritsi. Iwo TACHIMATA, ndi lenticular ndi zozungulira mu mawonekedwe ndi yopuma mzere mbali imodzi ndipo ndi woyera kapena pafupifupi woyera.

Kodi zikuchokera ali "Tenorik"? Akatswiri alendo akusonyeza kuti mankhwala zikuphatikizapo zinthu opaleshoni awiri: chlorthalidone ndi atenolol.

Pakali pano, mankhwala kamapangikira Mlingo awiri osiyana. piritsi limodzi anyamula 12,5 mg wa chlorthalidone ndi atenolol 50 mg kapena 25 mg wa chlorthalidone ndi 100 mg atenolol.

Monga zigawo zina za medicament komanso chimanga wowuma, magnesium stearate, lactose, pakachitsulo woipa, sodium lauryl sulphate, talc, polyvinylpyrrolidone, ndi isopropanol. Pankhani ❖ kuyanika filimu, kumaphatikizapo macrogol, isopropanol, paraffin madzi, methylene enaake, titaniyamu dioxide, talc ndi hypromellose.

Mu phukusi chogulitsidwa mankhwala "Tenorik"? Umboni kuti mankhwala akhoza kugulidwa ku malo Mzere, ndi zotupa (100 kapena 28 zidutswa), anaika mu mulu wa mapepala.

Pharmacological makhalidwe a mankhwala

N'chifukwa chiyani akapatsidwa mankhwala monga "Tenorik"? Reviews madokotala amati zimenezi kuphatikiza antihypertensive wothandizila kuti umabala mwachilungamo yaitali zotsatira hypotensive.

Ntchito medicament chifukwa zochita za awiri zigawo zake: a diuretic (i.e. chlorthalidone) ndi beta1-adrenergic blocker (i.e., atenolol). Tikambirana mbali ya mankhwala awa mwatsatanetsatane:

• Atenolol ndi beta1-adrenergic blocker (cardioselective). selectivity ake amachepetsa ndi akawawonjezere mlingo. Ilibe Kakhungu mkati ofunika ndi zotsatira sympathomimetic. Tikumbukenso kuti, ngati wina beta-blockers, izo kubweza ndalama mtima ndipo ali ndi zoipa zotsatira inotropic.
• Chlorthalidone - ndi sulfonamide netiazidny diuretic. Iwo timapitiriza zamoyo wa chlorine ndi sodium, komanso kumawonjezera excretion wa magnesium, potaziyamu ndi sodium wochuluka. zotsatira Antihypertensive wa thunthu chokhudzana ndi excretion wa sodium wochuluka. Munthawi yomweyo chithandizo ndi okodzetsa atenolol amapereka zotsatira kwambiri kuposa ntchito iliyonse ya zinthu izi payekha.

Kodi yaitali yanji mankhwala "Tenorik"? Akatswiri Mlendo kuti zochita za mankhwala anakhalabe tsiku lonse (pambuyo mankhwala umodzi mlingo m'kamwa pa mlingo).

magawo pharmacokinetic

Tchulani ali pharmacokinetic mankhwala "Tenorik"? Reviews madokotala akusonyeza kuti aliyense wa zigawo zikuluzikulu za mankhwala ali magawo yake. Taganizirani iwo tsopano.

• Atenolol. Kamodzi mkati mwa 45-50% imatsala kwa mundawo m'mimba. Ndende apamwamba yogwira pophika mu madzi a m'magazi anapezeka maola atatu. Mapuloteni kumanga ndi ofooka kwambiri ndipo 5-15 yekha%. Akatswiri asonyeza kuti atenolol si kukumana kwa chiwindi kagayidwe. Oposa 90% ya chuma, chimene chakhala odzipereka mu makope zokhudza zonse, ukuonekera chamoyo mu mawonekedwe zikutsatiridwa ndi impsozo. Hafu ya moyo wa chigawo lino maola 6-9. Komabe, kulephera aimpso zambiri chifukwa kuwonjezeka chizindikiro ichi.
• Chlorthalidone. Kamodzi mkati mwa 60-65% imatsala kwa mundawo m'mimba. Ndende apamwamba yogwira pophika m'magazi unkachitika pambuyo maola khumi. Chlorthalidone ali ndithu mgwirizano wamphamvu ndi mapuloteni. Ndi za 70-75%. Linachokera mankhwala yogwira kudzera impso. Ake theka moyo wa maola makumi asanu.

zikuonetsa medicament

Kodi cholinga Kwalamulidwa "Tenorik" piritsi chiyani? Reviews madokotala akusonyeza kuti mankhwala bwino kumaonekera ndi matenda oopsa. Komabe, Ndi bwino kuti kugwiritsidwa ntchito mu mankhwala osakaniza.

Contraindications ntchito mapiritsi

Kodi contraindications kukhalapo mu mankhwala "Tenorik"? Akatswiri Mlendo kuti malamulo oletsa ambiri. Taonani mndandanda wa iwo pakali pano.

Iwo ali osavomerezeka ntchito mankhwala pansi zinthu zotsatirazi:

• cardiogenic mantha;
• kutchulidwa kuukira bradycardia;
• kupata ndi aakulu hypotension;
• kagayidwe kachakudya acidosis;
• AV-anatseka misewu ya 1 ndi digiri 3;
• matenda a kufalitsa zotumphukira ;
• SSS;
• mtima kulephera (pachimake ndi aakulu);
• pheochromocytoma;
• mwapang'onopang'ono bronchial mphumu;
• vasospastic angina;
• shuga;
• obstructive matenda;
• gout;
• hypoglycemia;
• myasthenia gravis;
• pachimake impso kulephera;
• pachimake chiwindi;
• ana;
• Hypersensitivity kwa zigawo zikuluzikulu za mankhwala.

Mankhwala "Tenorik": malangizo ntchito

Comments za mankhwalawa Adzaperekedwa kumapeto kwa nkhani ino. Kodi ine kumwa mankhwalawa ndi oopsa? Akuluakulu ndi kutumikiridwa mu kuchuluka kwa 50-100 mg wa pa tsiku. Kwa odwala achikulire, mankhwala lomwe kuti iwo pa Mlingo m'munsi.

Anthu ndi kuwona ntchito impso ayenera kuchepetsa pafupipafupi zakayendesedwe ka mankhwala ngati n'koyenera. Ndi chofunika kulabadira chakuti pambuyo njira yaitali chiyembekezo chakuti mankhwala sadzamva mwadzidzidzi, koma pang'onopang'ono.

Zizindikiro cha mankhwala osokoneza bongo

Ndi ambiri osokoneza deta zikutanthauza wodwala akukumana kusapeza choopsa ndi wolumikizira hypotension, bradycardia, kulephera mtima, khunyu, bronchospasm ndi kuchuluka tulo.

Pofuna kuthetsa zizindikiro zotere, ndipo nthawi zina amafuna hospitalization wodwalayo kulandira lavage muzituluka.

zosiyanasiyana chokhwima

anthu ochepa mukudziwa, koma mankhwala "Tenorik" zingachititse zikamera wa nambala mwachilungamo lalikulu mavuto. Apa tsopano:

• bradycardia, kuchuluka zizindikiro za matenda a mtima, hypotension, orthostatic, m'makona ozizira, pakutchulidwa wa arrhythmia, Raynaud ndi matenda, AV-anatseka misewu zizindikiro za claudication likukulira ;
• chisokonezo, paraesthesia, chizungulire, tulo zipolowe, litsipa, amaona masomphenya, mmene alili, anthu opanda chidwi, pachimake psychosis, kuyerekezera zinthu m'maganizo, kutopa, disorientation;
• youma pakamwa, kapamba, nseru, anorexia, a m'mimba, kuwonjezeka mlingo wa transaminases chiwindi, hepatotoxicity ndi cholestasis intrahepatic, kudzimbidwa;
• leukopenia, thrombocytopenia, purpura, eosinophilia, agranulocytosis;
• alopecia, exacerbation wa psoriasis, msozi, zotupa pa khungu psoriasiform anachita photosensitization;
• bronchospasm;
• hyperuricemia, hyponatremia, hypokalemia;
• kuwonjezera chiwerengero cha chitetezo antinuclear, mkhutu shuga kulolerana, utachepa potency.

Ngakhale zili motero chowawa, nthawi zambiri mankhwala "Tenorik" analekerera bwino. Zotsatira zake zoyipa n'zochepa ndi ofooka moti chosakhalitsa yekha.

Mankhwala "Tenorik": ndemanga odwala (odwala) ndi akatswiri

Avereji mlingo medicament "Tenorik" ndi 3.3 5 mfundo lonse. Ubwino waukulu a malo monga odwala:

• Mwachangu (Kukonzekera uzigwirizana bwino ntchitoyi);
• mtengo wotsika (mankhwala phukusi zikhoza kugulidwa kwa rubles 100-120 okha).

Koma ndemanga zoipa pakati pawo kwambiri odwala. The kuipa mankhwala ndi:

• mapiritsi pa kuthamanga ndi mankhwala yaitali zingachititse kusabala, ndi woopsa tsitsi imfa;
• mankhwala zimayambitsa pafupipafupi.

Malinga ndi akatswiri, mankhwalawa ndi othandiza kwambiri. Komabe, ayenera kumwedwa okha umboni, ndi kokha atakambirana ndi dokotala. Ndipotu, madokotala ambiri si amalangiza kumwa mankhwala kwa okalamba. Mu nkhani imeneyi, m'malo mwa otetezeka mphamvu zofanana.