"Nebilong": umarnin don amfani. "Nebilong": reviews da analogues

"Nebilong" shi ne wani tasiri magani domin lura da cututtuka hade tare da mai illa zuciya aiki. Ingantawa yi bayan yin amfani da shi wata guda. Bayan aikace-aikace "Nebilonga" bisa al'ada bugun jini da kuma jini, jijiyoyin bugun gini shakatawa da aka kai, da myocardium ake kawota isa oxygen. A kusan dukkan lokuta wani tabbatacce sakamakon far an riƙe na dogon lokaci.

Abun da ke ciki, abun da ke ciki

A magani yana samuwa a cikin alluna. Kowane kwamfutar hannu zai iya ƙunsar 2.5, 5, ko 10 MG na aiki sashi. A magani aka sanya a kan tushen da nebivolol hydrochloride. Na excipients ba a cikin abun da ke ciki na povidone, lactose, magnesium stearate. Abun da ke ciki suna goyon bayan da talc, microcrystalline cellulose, sodium dioctyl sulfate, colloidal silicon dioxide, croscarmellose sodium, Beta-cyclodextrin.

pharmacological effects

"Nebilong" umurci manual nuni a matsayin hanyar da ciwon a cikin tsarin biyu enantiomers (L- kuma D-nebivolol). D-nebivolol - sosai zabe, m β1-adrenoceptor shafi, L-nebivolol m a kan jini, yana faɗaɗa su, wanda shi ne saboda wani tsari a cikin jijiyoyin bugun gini endothelium (saki vasodilating daidaitowa factor).

Nebivolol rage hawan jini da kuma zuciya rate, sakamakon da aka adana ba kawai a cikin quiescent jihar amma kuma a karkashin load. Bayan shan magani zagaye da kuma karshen-diastolic hagu na ramin zuciya matsin lambar an rage, akwai wani tabbatacce tasiri a kan daya daga cikin ayyukan yi da zuciya - diastolic. Saboda aikace-aikace na "Nebilonga" ejection sulusi da murabba'i ƙaruwa, mutane da IBS alama antianginal sakamako.

Hypotensive mataki dauka Allunan "Nebilong" jagora bayyana dakushe aiki a cikin renin-angiotensin tsarin. Antiarrhythmic mataki aka samu da rage AV-madugu da suppressing mahaukaci automaticity zuciya. Ci hypotensive tasirin ne ke faruwa a cikin 7-14 kwanaki na magani, sau da yawa - a cikin wata daya. Barga sakamakon daga shan Allunan lura bayan daya zuwa watanni biyu da magani.

Pharmacokinetics

Da miyagun ƙwayoyi ingested, tunawa da kyau, da aiwatar da shi ne daidai tasiri ko da kuwa da abinci. Metabolism a cikin hanta da kuma kammala da samuwar aiki gidroksimetabolitov. A talakawan bioavailability bayan aikace-aikace na ciki medicament mutum tare da wani m metabolism na 12%, wannan adadi ne da ya fi yadda da jinkirin metabolism. Tun da metabolism da marasa lafiya na iya faruwa a daban-daban rates, "Nebilong" manual shawarar don amfani da mutum halaye na haƙuri ta jiki. Tare da wani jinkirin metabolism ana amfani da low allurai da miyagun ƙwayoyi. A batutuwa tare da m musayar abubuwa faruwa rabin rayuwa na kamar 10 hours, a marasa lafiya da suke da wani jinkirin metabolism, rabin-rai ya karu da 3-5 sau. Bayan kwana bakwai na far, game da 38% samu da miyagun ƙwayoyi excreted da kodan, game da 48% "Nebilonga" ne ba a cikin stool. A abun da ke ciki na fitsari ne a kananan adadin magani canzawa - har zuwa 0.5%.

shaidar

A cikin aikace-aikace na "Nebilong" wa'azi za a iya amfani da hauhawar jini, ga aiwatar da m matakan da marasa lafiya da CAD (bouts na angina) da kuma ga aiwatar da hadaddun far na zuciya gazawar da kullum form.

Jiyya tare da miyagun ƙwayoyi "Nebilong"

hauhawar jini

Adult marasa lafiya gudanar 5 MG "Nebilonga", wanda yayi dace da kwamfutar hannu halitta ne kullum kashi. A magani bada shawarar yin amfani da kullum a lokaci guda. A kananan sakamako ne m bayan daya zuwa makonni biyu na far, mafi furta, shi mai wata a lokacin da magani da aka yi. Allunan dace da aiwatar monotherapy kuma domin magani bisa Hadakar amfani da kwayoyi, wanda kuma da hypotensive effects. Mutanen da suka yi "Nebilong AM", da wa'azi da shawarar domin ya sami wani ƙarin sakamako ga tambaya "Hydrochlorothiazide" na 12.5-25 MG. Irin wannan hada magani iya bunkasa mataki na "Nebilonga", amma shi za a iya yi kawai bayan karbar shawara na halartar likita.

Zuciya gazawar a kullum fom

Farko a kananan kashi na medicament, likitan hankali ƙaruwa, ba da halaye na haƙuri. Domin lura da m siffofin "Nebilong" ba dace, a irin haka ne, wasu kwayoyi da aka yi amfani da. Yawancin lokaci na farko wajabta wa 1.25 MG na miyagun ƙwayoyi domin da zarar kullum amfani, bayan 1-2 makonni da kashi iya karu zuwa 5 MG, kuma daga baya - har zuwa 10 MG. A kullum kashi kada fi 10 MG medicament "Nebilong". Umurnai na amfani nuna cewa a farko mataki na far da haƙuri da aka bar karkashin kallo don sa'o'i biyu bayan ingestion na kwamfutar hannu, don haka yi tare da kowane kara kashi wajen. Karuwan kashi za a iya rage sake idan da bukatar da akwai shi.

Idan zuciya rashin cin nasara bayyanar cututtuka bayyana more pronounced ko haƙuri rashin ha} uri ga miyagun ƙwayoyi aka gyara aka samu, da rage da kashi daga cikin miyagun ƙwayoyi, ko samar da abolition. Yawanci, zuciya rashin cin nasara, na kullum nau'i na "Nebilongom" bi da sauri. Lokacin da far da nufin kawar da irin wannan yanayi, da yarjejeniyoyin da miyagun ƙwayoyi a sannu a hankali, za ka iya ba yin wannan aikin sharply, saboda matsalar iya dada tabarbare. Idan ka soke miyagun ƙwayoyi kowane mako zai iya rage da kashi da rabi. Domin shan kwayoyi "Nebilong AM" umurci manual azurta wasu hane-hane.

hani:

• Koda insufficiency. Da farko, ga far ta amfani da 2.5 MG na da miyagun ƙwayoyi da rana, da kashi za a iya ƙara daga baya, amma ya kamata ba ƙetare 5 MG.
• Mazan shekaru. A farko kashi na iya wuce 2.5 MG idan ya cancanta, shi ne ya tashe zuwa 5 MG. Bayan shekaru 65, na bukatar yau da kullum dubawa na kodan (daya a kowace hudu zuwa biyar watanni).
• Pregnancy. A jariri na iya ci gaba da wasu cututtuka, wadannan sun hada da na numfashi inna, da qarancin ruwa da hypotension, bradycardia, don haka mata masu ciki da miyagun ƙwayoyi An wajabta sosai da wuya. Idan mace mai ciki yana amfani da "Nebilong" ya sokewa ake bukata domin 48-72 sa'o'i kafin isar. Idan wannan shi ne ba zai yiwu, jariri ya kamata a lura for 48-72 hours.

contraindications

"Nebilong H" umurci manual haramta yin amfani da wadannan lokuta:

• tsufa da kasa da shekaru 18.
• hypersensitivity da miyagun ƙwayoyi aka gyara.
• bronchospasm, asma (tarihi).
• pheochromocytoma, wanda ya ba da aka bi kafin;
• rayuwa acidosis.
• tukuru faruwa cutar hanta, hanta gazawar;
• hypotension a mutane da systolic matsa lamba na 90 mm Hg ko kasa. Mataki na ashirin da.;
• AV-block (sa na, III), bradycardia, wanda yana tare da zuciya rate m zuwa 60 bpm. da minti.
• a lokacin haihuwa, nono-ciyar;
• m zuciya rashin cin nasara siffar.
• matsaloli tare da gefe wurare dabam dabam, da m expressiveness.
• cardiogenic buga, a yanayin a cikin abin da ya zama dole a yi amfani da isotropic kwayoyi.
• ciwo, marasa lafiya sinus tare.

hankali ake bukata a lokacin da ya nada da miyagun ƙwayoyi ga marasa lafiya da yanayi:

• ciwon sukari.
• psoriasis (tarihi).
• Prinzmetal angina.

illa

A lura da nufin "Nebilong" umurci manual, reviews ce yiwuwar faru na wasu illa, wanda aka bayyana a cikin aikin na zuciya da jijiyoyin jini, kuma kayan hanji da juyayi tsarin. Daga cikin sauran keta - bronchoconstriction dauki shafi fata yanayin.

tsõratar

"Nebilong" iya ƙara ji na ƙwarai to allergens, wanda ya razana ci gaban mai tsanani anaphylactic dauki.

Drug magani ba ya shafar matakin glucose a cikin jiki a gaban ciwon sukari, amma marasa lafiya a cikin wannan kungiyar da su yi amfani da magani tare da taka tsantsan. Kamar yadda a cikin ciwon sukari da kuma a hyperthyroidism miyagun ƙwayoyi iya rufe fuska da bayyanar cututtuka na tachycardia, shi ne mafi pronounced saboda da ba zato karbo daga cikin alluna.

Idan marasa lafiya da matsaloli a cikin numfashi tsarin da ake amfani da "Nebilong" umurci manual sanar da game da yiwuwar samun riba constriction na Airways a COPD. Da yiwuwar hada da miyagun ƙwayoyi da sauran kwayoyi ya kamata a bari tare da likita.

"Nebilong" rinjayar da ikon fitar da abin hawa, za a iya kai wa ga gajiya da juwa.

analogs

Yana yiwuwa a maye gurbin miyagun ƙwayoyi da cewa ba da damar yin amfani da miyagun ƙwayoyi "Nebilong" umurci manual. Drug analogues hada da "Nebilet", "Binelol". By musanya kuma sun hada da "Nebikor" da "Nebivator".

reviews

Kamar yadda reviews, da miyagun ƙwayoyi ne tasiri a lokacin da amfani daidai. Yana da muhimmanci a yi amfani da magani da kuma bin duk likita ta shawarwari. A medicament da ake sa tare da contraindications da kuma halaye na haƙuri, sakamakon da kyau sakamako. Wannan magani bai kai ga ci gaban da illa, kana bukatar ka kullum saka idanu da yanayin da haƙuri.