"Qoj": cov kev qhia hauv daim ntawv thov, analogues, cov lus teb

Koj yuav tsum paub dab tsi ua ntej siv cov yeeb tshuaj no ua "Calchek"? Cov lus qhia rau kev siv cov tshuaj no yog ib qho tseem ceeb rau kev nyeem ntawv. Nyob rau hauv koj yuav pom cov kev qhia thiab kev tsis haum xeeb rau kev siv cov tshuaj no, thiab tseem pom tias nws muaj analogs thiab cov kev mob tshwm sim.

Daim ntawv ntawm kev npaj, muaj pes tsawg leeg thiab ntim

Koj puas paub dab tsi hauv daim ntawv no nws puas tuaj yeem yuav cov khoom muag "Kalchek"? Kev qhia rau kev siv qhia rau peb paub tias qhov kev npaj no tsuas muaj nyob hauv daim ntawv ntawm cov ntsiav tshuaj. Cov khoom xyaw ntawm cov tshuaj muaj xws li cov khoom noj khoom haus, xws li amlodipine besylate (5, 2.5 thiab 10 mg). Nrog kev xav txog ntxiv tshuaj, ces lawv muaj xws li dibasic calcium phosphate, pob kws starch, sodium cov hmoov txhuv nplej glycolate, lim talc, colloidal silica thiab magnesium stearate.

Cov ntsiav tshuaj yog nyob rau hauv blisters (10 pcs.), Uas yog muab tso rau hauv thawv ntawm cardboard.

Cov kab mob ntawm cov khoom siv kho mob

Npaum li cas txoj kev npaj khomob "Kalchek" ua haujlwm li cas? Kev qhia siv cov xeev hais tias qhov tshuaj no yog ib qho kev txwv blocker ntawm cov calcium uas nyob hauv chav kawm thib 2. Nws muaj tshuaj tua tsiaj, tshuaj tua kab mob, vasodilating thiab spasmolytic. Cov khoom noj uas ua rau cov kev kho no muaj peev xwm los thaiv qhov nchuav ntawm cov tshuaj qaub qaub qaub rau hauv lub hlwb cov leeg ntawm cov hlab ntsha.

Antihypertensive cov khoom ntawm cov tshuaj yog vim nws txoj kev ncaj relaxing rau cov nqaij ntshiv ntawm cov hlab ntsha. Raws li rau antiqueinal ua hauj lwm, cov tshuaj nyob rau hauv lo lus nug yog peev xwm ntawm expanding lub arterioles (peripheral). Tom qab no, qhov no ua rau ib tug txo nyob rau hauv peripheral vascular kuj, uas nyob rau hauv lem ua rau ib tug txo nyob rau hauv myocardial kev thov rau O ₂ (oxygen).

Txawm li cas los xij, nws yuav tsum tau sau tseg tias qee zaus, qaug zog ntawm tus neeg sawv cev no, oxygen intake, ntawm qhov tsis sib xws, nce. Qhov no yog vim qhov kev nthuav tawm ntawm cov leeg hlab ntsha (piv txwv li, nrog rau lub angiospastic angina).

Nws yuav tsum tau qhia meej tias Calchek ntsiav tshuaj tsis muaj ib qho kev ntxim ntxub rau ntawm cov ntshav hauv cov ntshav. Lawv muaj antithrombotic thiab antiatherosclerotic ua si, ua rau kom lub filtration rate (glomerular), thiab tseem muaj ib bland natriuretic nyhuv.

Nrog cov ntshav qab zib nephropathy, cov tshuaj tsis muaj peev xwm nce lub siab ntawm microalbuminuria.

Pharmacokinetic cov khoom ntawm kev npaj

Qhov twg yog qhov nqus ntawm cov tshuaj "Calchek" nyob qhov twg? Cov kws kho mob hais tias lub nqus ntawm cov tshuaj no yog los ntawm cov hnyuv (kwv yees li 90%). Qhov siab tshaj plaws nyob hauv cov ntshav yog pom tom qab lub caij nyoog ntawm 7-12 xuab moos. Lub bioavailability ntawm cov tshuaj yog kwv yees li 63-65%.

Cov khoom nquag ntawm cov yeeb tshuaj nkag mus rau hauv BBB, thiab kuj tawm nrog niam niam mis. Amlodipine yog biotransformed nyob rau hauv daim siab (ua tsis muaj teeb meem metabolites).

Hauv daim ntawv tsis hloov, tsawg dua 10% ntawm cov tshuaj no tawm. Ua rau cov tsis muaj zog metabolites, lawv tawm hauv 60% nrog rau cov zis thiab kwv yees li 20-25% ntawm txoj hnyuv thiab nrog cov kua mis.

Cov kev qhia rau kev siv

Thaum cov kab mob tus neeg mob puas tuaj yeem kuaj Kalchek ntsiav tshuaj? Lus qhia rau kev siv (analogues ntawm cov cuab yeej no yog qhia nram no) qhia txog cov nram no:

• Stenocardia tseem ruaj khov;
• Tsis ruaj tsis ntshai angina;
• Tiv thaiv siab (arterial siv (los ua cov kev kho tus mob los yog hauv txoj kev kho mob nrog ACE inhibitors, thiazide diuretics, beta thiab alpha-blockers);
• Angina angiospastic angina (los yog hu ua stenocardia ntawm Prinzmetal).

Contraindications rau kev siv

Yog tias muaj tej yam kev mob, tus neeg mob tsis tuaj yeem hais rau Calchek ntsiav tshuaj? Cov lus qhia rau kev siv muaj xws li nram qab no:

• Kev hnov mob hypotension;
• Ntxiv rhiab heev rau lub ntsiab active active ntawm cov tshuaj.

Nws kuj tseem yuav tsum tau sau tseg tias cov tshuaj tsis tuaj yeem siv rau cov neeg mob uas muaj cov tshuaj hypersensitivity rau dihydropyridine derivatives.

"Kalchek" medicinal khoom: cov lus qhia rau kev siv

Cov ntsiav tshuaj "Calchek" nrog stenocardia thiab mob ntshav siab yog muab sau rau ntawm 5 mg rau noj ib hnub. Yog tias tsim nyog, qhov nce ntawm 10 mg yog ua tau.

Cov neeg mob uas muaj tus mob xws li mob plawv mob cancer pib nrog kho ib ce 2.5 mg rau noj ib hnub. Yog hais tias cov tshuaj yuav kis tau zoo, ces maj mam nce ntxiv hauv cov tshuaj (tsis pub tshaj 10 mg rau ib hnub).

Thaum siv cov tshuaj ntsiav ua ke nrog kev sib tw nrog cov pob txha, thiazide diuretics lossis ACE inhibitors, tsis noj tshuaj ntau npaum li cas.

Cov cim qhia ntawm ib qho dhau los thiab cov txheej txheem kho mob

Cov kev pom zoo ntawm ib qho dhau lawm thaum cov tshuaj "Calchek" tsis yog lawm? Analogues thiab cov tshuaj nws tus kheej muaj peev xwm ua rau pronounced hypotension. Ua ib qho kev kho mob, tus neeg mob yuav tsum tau muab ib txoj hauj lwm tav toj, thiab me ntsis tsa nws ob txhais ceg. Ntxiv rau, kev pab cuam ntawm vascular thiab lub plawv muaj nuj nqi, kev saib xyuas ntawm cov txiaj ntsig pa pulmonary indicators, kev tswj ntawm diureis thiab BCC yog yuav tsum tau ua.

Txhim kho cov vascular suab thaj, tus neeg mob tau muab cov tshuaj vasoconstrictive. Yuav kom tshem tawm cov los ntawm cov calcium channel blockade, tus neeg mob yog muab (i.v.) calcium gluconate.

Tshuaj Kev Sib Thoob

Kev txais tos ntawm "Kalchek" thiab "Warfarin" tsis tuaj yeem ua rau muaj kev hloov loj hauv cov txheej txheem prothrombin hauv cov neeg noj qab nyob zoo.

Nrog rau kev siv cov tshuaj sib tov sim thiab cov tshuaj Digoxin, tsis muaj kev hloov hauv cov ntsiab lus ntawm cov tshuaj nyob rau hauv cov ntshav, thiab cov kab mob hauv lub raum.

Kev siv tshuaj yeeb ntawm "Calchek" thiab "Cimetidine" tsis muaj kev cuam tshuam rau cov khoom siv yeeb tshuaj ntawm amlodipine.

Lactation thiab cev xeeb tub

Nws puas tuaj yeem nqa Kalchek ntsiav tshuaj thaum lactation thiab gestation? Cov lus qhia rau kev siv, kev txheeb xyuas ntawm cov kws kho mob qhia tias kev siv tau thiab kev nyab xeeb ntawm txoj kev siv yeeb tshuaj no thaum lub caij cev xeeb tub thiab kev pub niam mis tsis tsim muaj.

Phiv los ntawm cov tshuaj

Cov kev mob tshwm sim tuaj yeem ua rau ntsiav tshuaj "Calchek"? Cov lus qhia rau kev siv cov cuab yeej no qhia meej txog qhov tseeb tias nws txais tos tuaj yeem ua rau tsis zoo rau lub cev. Ntawm lawv, cov nram qab no yog tshwj xeeb tshaj yog:

• Lub nkoj thiab lub plawv: ua tsis taus pa, ua pa thiab kub kub.
• Lub cev tsis muaj zog (peripheral thiab central): kev hloov pauv, kiv taub hau, leeg ntshaus, mob taub hau, tsis pom kev, tsaug zog, asthenia, nkees, paresthesia thiab myalgia.
• Lub plab zom: mob plab, mob plab, mob cholestatic jaundice, xeev siab, muaj ntau yam mob hlab ntsha (hepatic).
• Cov tawv nqaij npog: erythema multiforme, khaus khaus, tawv nqaij tawv.
• Lwm tus: gingival hyperplasia, gynecomastia, nquag tso zis, impotence thiab o.

Cov lus qhia tshwj xeeb rau kev noj tshuaj

Dab tsi nuances ntawm cov tshuaj yuav tsum paub ua ntej noj cov ntses Kalchek? Cov kws kho mob hais tias qhov kev siv tshuaj no yuav tsum siv nrog kev ceev faj rau cov neeg uas muaj kev puas siab puas siab ntsws, thiab lub plawv tsis ua hauj lwm (mob) thiab stenosis ntawm aortic estuary.

Simultaneous txais tos ntawm cov tshuaj "Kalchek" nrog cov neeg tsis-cov txheej txheem uas tsis-steroidal, nitrates, tshuaj tua kab mob thiab tshuaj hypoglycemic (qhov ncauj) yog tau.

Kev siv tshuaj ntawm kev siv tshuaj hauv cov menyuam yau tsis tuaj yeem tsis tuaj.

Calchek ntsiav tshuaj tsis muaj kev cuam tshuam rau tus neeg mob lub peev xwm tsav tsheb.

Cov ntsiab lus thiab tej yam kev mob rau cia ntawm kev npaj

Kev npaj "Kalchek" (5, 10 thiab 2.5 mg) yuav tsum muab cia rau hauv ib qho chaw txias, qhuav thiab muaj kev tiv thaiv los ntawm qhov chaw kaj, tsis tuaj yeem mus rau cov me nyuam me. Txee lub neej ntawm cov ntsiav tshuaj yog 2 xyoos.

Xyuas txog cov tshuaj, nws cov analogs thiab cov nqi

Koj tuaj yeem hloov cov cuab yeej xws li "Kalchek" li cas? Analogs ntawm cov tshuaj no muaj nyob rau hauv yuav luag txhua lub chaws muag tsuaj. Feem ntau cov kev kho yog cov tshuaj nram no: Agen, Tenox, Adipin, Stamlo, Acridipine, Omelar Cardio, Amlo, Normodipin, Amlodipine, Norvasc, Amlovas, Amrolus, Norvadin, Amlodigamma, Cordy Cor, Amlodil, Corvadil, Amlodifarm, Karmagip, Amlocard-Sanovel, Cardilopin, Amlong , "Vero-Amlodipin", "Amlotop", "Amlonorm".

Tus nqi ntawm cov nyiaj tau nug txog dab tsi? Qhov nruab nrab tus nqi ntawm no siv tshuaj yog 175-190 Russian rubles (5 mg, 30 ntsiav tshuaj).

Xws li rau cov neeg mob lub tswv yim, hauv lawv cov neeg feem ntau yog qhov zoo. Raws li cov neeg uas tau siv cov tshuaj no, nws zoo sib ntaus nrog angina thiab kub siab. Nws kuj tseem yuav tsum tau sau tseg tias ntau tus neeg mob tau txais kev txaus siab nrog qhov tseeb tias cov tshuaj no kuj ua rau lawv tsis zoo. Txawm hais tias qee lub sijhawm, Calchek ntsiav tshuaj tseem ua rau muaj kev phiv thaum mob taub hau, mob plab, mob taub hau, xeev siab thiab kev fab tshuaj rau qhov tawv nqaij.