"Kalchek": tilmaamaha loo isticmaalo, analogs, dib u eegista

Waxyaabaha aad ogaanaysid hor inta aadan isticmaalin daawada this, sida "Kalchek"? Tilmaamaha isticmaalka daroogada ayaa sheegay in loo baahan yahay akhriska. In waxa aad ka heli doontaa tilmaamo iyo sababo isticmaalka daroogada this, iyo sidoo kale aad u ogaato haddii ay wax ka analogues iyo waxyeelo.

Foomka waxaa of diyaarinta, halabuurka iyo xirxirida

Ma og tahay foomka oo aad ka iibsan kartaa daawada "Kalchek"? Tilmaamaha loogu isticmaalo inoo sheegayaa in daroogada waxaa laga heli karaa oo keliya qaab kiniin ah. Halabuurka The of medicament ka mid ah qayb firfircoon sida besylate amlodipine (5, 2.5 iyo 10 mg). Iyadoo la tixgelinayo walxaha dheeraad ah, ka dibna ay ka mid dibasic phosphate calcium, galleyda, sodium glycolate noqde, Rusheyn kartaa daahiriyey, silica Kolloidol iyo milmahayn magnesium.

Kiniinnada waa khariidad (10 kumbiyuutarada.), Kee waxaa lagu dhejiyay in sanduuq laga sameeyay baakado.

The guryaha pharmacological qalab caafimaad

Sidee daawada "Kalchek"? Tilmaamaha Isticmaalka dhigayaa in daroogada waa xanibaha ah calcium channel ee doorashada ee fasalka 2aad. Waxa uu leeyahay antianginal, antihypertensive, vasodilating, iyo saamaynta maroojiska. waxyaabaha daawooyinka ka mid ah sideeda oo ah wakiilka this, oo awood u xanibeen socodka ah ee atammada kalsiyamku ay unugyada muruqa siman vascular.

guryaha Anti-hypertensive daroogada ay sabab u tahay saamaynta nasashada ee si toos ah on muruqa siman vascular. Iyadoo la tixgelinayo saamaynta anti-anginal, medicament ee su'aasha waa awoodaa inuu ballaariyo arterioles (durugsan). Ka dibna, waxay keenaysaa in hoos u dhac in iska caabin ah dhuumaha ugu sarreeya, taas oo keenta in hoos u dhac in baahida myocardial for O ₂ (oxygen).

Si kastaba ha ahaatee, waxaa la ogaadaa in mararka qaarkood tallaabada of taasi ka dhigan tahay sahayda of ogsijiin, on lid ku ah, kor u kacay. Tan waxa u sabab ballaarinta halbowleyaasha wadnaha (tus, angina vasospastic).

Waa in la ogaadaa in kiniinka "Kalchek" maya waxyeello ka soo gaartey Halabuurka la egyahay dhiigga. Waxay hantidaan hawl antithrombotic iyo antiatherosclerotic, la kordhiyo heerka sifeynta (glomerular), iyo sidoo kale saamayn natriuretic aan dhadhan lahayn.

In daroogada nephropathy macaanka ma aha awood sii kordhaysa Microalbuminuria.

The guryaha pharmacokinetic daroogada

Halkee nuugista ee daroogada "Kalchek"? khubaro Guest soo jeedinaya in nuugista ee daroogada ka qayib marinka dheef shiidka (qiyaastii 90%). fiirsashada uu ugu weyn ee dhiigga 7-12 saacadood ka dib. bioavailability ee daroogada ku saabsan tahay 63-65%.

The walax daroogada firfircoon guskiisa caqabad dhiig-maskaxda iyo saxarrada la caanaha naaska. Amlodipine biotransformed beerka (metabolites firfircoonayn loo sameeyay).

In wax soo saarka beddelin ee ka yar 10% samaynta. Iyadoo la tixgelinayo metabolites firfircoonayn, waxay waxaa lagu soo bandhigaa qadarkuu of 60% kaadida, iyo wax ku saabsan 20-25% by xiidmaha oo si wadajir ah ula bile.

Tilmaamayaasha

In waxa cudurada a kiniinka bukaanka "Kalchek" waxa lagu meelaynayaa karaa? Tilmaamaha loogu isticmaalo (oo la mid ah qalab hoos ku qoran) waxay bixisaa macluumaad ku saabsan muujinaya soo socda:

• angina deggan;
• angina deganayn,
• hypertension halbowle (isticmaalaa sida monotherapy ama therapy isku dhafan oo celiyeyaasha ACE, diuretics thiazide, beta ama Alfa blockers);
• angiospastic angina (ama wax-u angina Prinzmetal).

sababo

In jiritaanka xaalad ka mid ah bukaanka waa in aan lagu soo qoray kiniinka "Kalchek"? Tilmaamaha loogu isticmaalo jira sababo soo socda:

• hypotension halbowlaha;
• Diidmo in daawooyinka walax firfircoon ugu weyn.

Sidoo kale waa in la ogaadaa in daroogada ma loo isticmaali karaa bukaanada qaba diidmo ah in dihydropyridine taagayo.

Drug "Kalchek": tilmaamaha loo isticmaalo

Kiniiniga "Kalchek" angina iyo dhiig-karka waxaa maamula in qiyaasta a of 5 mg maalintii. Haddii loo baahdo, waa la kordhin karaa ilaa 10 mg.

Bukaanka qaba cudurka sida cardiomyopathy la'egayah, daaweynta waxaa curin leh qaadashada of 2.5 mg maalintii. Haddii daroogada la yara si fiican loo dulqaatay, waxaa suurtagal ah in si tartiib tartiib ah u kordhi qiyaasta (aan ka badnayn 10 mg maalintii).

In codsiga ah ee kiniiniyada sida loo baahan yahay qayb ka mid ah therapy isku dhafan oo beta-blockers, diuretics thiazide ama ACE inhibitors sixitaanka ee mudada raan.

Calaamadaha habka badinta iyo daaweynta

Waa maxay calaamadaha ah qiyaasta xad dhaafka dhacaan marka qiyaas qalad ah daawada "Kalchek"? Analogues iyo daroogada laftiisa keeni kartaa fahmayaan hypotension. Sida daaweynta bukaanka waa in la siiyaa meel siman, oo wax yar sare u lugihii. Intaa waxaa dheer, baahida loo qabo in lagu taageero shaqada oo ka mid ah wadnaha iyo xididada dhiiga, la socodka tilmaamayaasha function pulmonary nidaamka, gacanta ugu diuresis iyo BCC.

Si loo soo celiyo bukaanka midab vascular waxaa la siiyaa a daroogada vasoconstrictor. Si aad u baabi'iyo saamaynta Go'doominta calcium channel, bukaanka waxaa maamula (i.v.) gluconate calcium.

isdhexgalka daroogada

kaniiniyada wadajira "Kalchek" iyo "Warfarin" daroogada ma keeno isbedel weyn oo waqti prothrombin in wakiilada caafimaad jinsi xoog.

Marka aad isticmaali labada medicament tixgelyeen iyo daawada "Digoxin" Ma jiro wax isbedel ee-fiirsashada dhiigga dambaysta ah, iyo in ay ansixin kelyaha.

Maamulka wadajira daroogada "Kalchek" iyo "cimetidine" saameyn ah kuma laha sifooyinka pharmacokinetic of amlodipine.

Uurka iyo nuujinta

Haddii ay suurto gal ah inta lagu jiro nuujinta iyo soo dhawaynta dhaqanka wallaca kiniin "Kalchek"? Tilmaamaha loogu isticmaalo, dhakhaatiirta dhabta wargeliyo in waxtarka iyo nabadgelyada daroogada this inta lagu guda jiro uurka iyo naas naas-nuujinta ilmahaagu ma dhigay.

Dhibaatooyinka ay keento daroogada

Maxaa waxyeelo u keeni kartaa kiniiniga "Kalchek"? Tilmaamaha la isticmaalayo qalab this Oo Xaqiijiyay In xaqiiqda ah in uu ballan keeni karaan dareen diidmo oo aan la rabin ee jirka. gaar ahaan iyaga ka mid ah waxay kala yihiin kuwan soo socda:

• Alaabteeda iyo wadnaha, neefta oo ku qabata, uurkuna waa, iyo dareen kulayl ah.
• habka dareemayaasha jirka (durugsan iyo bartamaha): isbedellada niyadda, wareer, xanuun murqaha, madax xanuun, aragga indhaha oo isku darsamay, hurdo, asthenia, daal, paresthesia iyo myalgia.
• mareenka dheefshiidka: calool xanuun, dyspepsia, joonis cholestatic, lalabo, korodhsan transaminases (beerka).
• Maqaarka: multiforme erythema, pruritus, finan.
• Kale: kelyaha ciridka, gynecomastia, kaadida oo soo badata kaadi, kacsi la'aanta iyo bararka.

tilmaamaha gaarka ah ee qaata daawada

Waa maxay nooca Gudigga loo arkaa daroogada waa in ay ogaadaan ka hor inta aadan qaadaan on qaadashada kiniiniga "Kalchek"? khubaro Guest sheegaya in dawadan waa in la isticmaalaa si taxadir leh u daran dadka qaba beerka oo yaraada, iyo sidoo kale wadnaha (chronic) iyo stenosis aortic.

soo dhaweynta wadajira daawada "Kalchek" la wakiilada non-steroidal, Nitrate, antibiotics iyo daawooyin hypoglycemic (afka) waa suurto gal.

waayo-aragnimo ee isticmaalka caafimaad ee daroogada ah ee caruurta yar yar ka maqan.

Kiniiniga "Kalchek" waxay leeyihiin saameyn ah kuma laha awooda bukaan-socodka lagu kaxayn karo gaadhiga.

Shuruudaha iyo xaaladaha lagu kaydin jiray oo daroogada

Diyaarinta "Kalchek" (5, 10 iyo 2.5 mg) waa in lagu kaydiyaa qabow oo qalalan, meel gudcur ah ka soo gaareyn carruurta yar yar. Nolosha shelf kaniiniyada waa 2 sano.

Reviews ee alaabta, daawooyinka, iyo kharashka analogues ay

Maxaa bedeli kartaa qalab sida "Kalchek"? Analogs daroogada this waxaa laga heli karaa in ku dhowaad dhammaan iska-. Waxaa ka mid ah wakiilada ugu caansan waxaa ka mid ah medicaments soo socda: "Agen", "Tenoks" "adipic", "Stamlo", "Akridipin", "Omelar wadnaha", "Amlo", "normodipin" "Amlodipine" "Norvasc" "Amlovas", "Amlorus", "Norvadin", "Amlodigamma", "Cordy Korintos", "Amlodhi", "Korvadil", "Amlodifarm", "Karmagip", "Amlokard-Sanovel", "cardilopin", "Amlong" "Vero Amlodipine", "Amlotop", "Amlonorm".

Waa maxay qiimaha lacagta? celceliska qiimaha daroogada waa 175-190 rubles Ruush (5 mg, 30 kiniin).

Iyadoo la tixgelinayo ku comments of bukaanka, ay yihiin wanaagsan for qaybta ugu. Sida laga soo xigtay kuwa abid codsatay daawada, waxa ay si tayo leh u dirirayaa la angina iyo dhiig-karka. Sidoo kale waa in la ogaadaa in tiro badan oo ah bukaan ku faraxsan yahay iyo xaqiiqda ah in daroogada taas waxaa loo eego si fiican loo dulqaatay iyaga by. In kasta oo mararka qaar kiniinka "Kalchek" Weli keenaan waxyeelo sida madax xanuun, calool xanuun, wareer, lalabo iyo dareen diidmo oo xasaasiyadeed on maqaarka.