Uyini umehluko phakathi kweReduxin 10 neReduxin 15?

I-Reduxin isidakamizwa esisetshenziswa ezindlini futhi esingena ekuhlaselweni inhloso yaso ukuphela ukwelashwa kokukhuluphala. Umuthi usebenza ngempumelelo futhi uthandwa kakhulu phakathi kweziguli. Kodwa-ke, iReduxin ayithinti kuphela ukwehla kwesifiso sokudla, kodwa nomsebenzi wezinye izitho nezinhlelo ezithile. Lokhu akuhambi kahle ngaso sonke isikhathi futhi kuphephile, ngakho-ke, ukwelashwa ngomuthi kufanele kunqunyelwe uchwepheshe kuphela, alandele imiyalo yakhe ngokuqinile.

Isimo seReduxin

I-Reduxine ayakhiqizwa ngohlobo lwamaphilisi noma ngendlela yemijovo. Ukuphela kwendlela yokukhipha umuthi ngamaphilisi ama-gelatin, ngaphakathi kuwo afakwe umuthi ngesimo se-powder. Izithako ezisebenzayo eziphambili zesidakamizwa yi-sibutramine hydrochloride ne-microcrystalline cellulose; isiza elisizayo - i-calcium stearate; igobolondo le-capsule liqukethe i-gelatin kanye nedayi: i-titanium dioxide kanye nokuhlaza okwesibhakabhaka.

I-Reduxin isidakamizwa esisetshenziswa ezindlini futhi esingena ekuhlaselweni inhloso yaso ukuphela ukwelashwa kokukhuluphala.

Umenzi ukhiqiza umuthi wezinhlobo ezi-2: I-Reduxin 10 ne-Reduxin 15. Umehluko kuphela phakathi kwezidakamizwa inani lezinto ezisetshenziswayo eziyinhloko: esimweni sokuqala, iReduxin iqukethe u-10 mg we-sibutramine hydrochloride, kwesibili - 15 mg.

I-Reduxin ilungiselelo eliyinkimbinkimbi eliqukethe izinto ezi-2 ezisebenzayo, ngalinye linomphumela walo wemithi emzimbeni wesiguli.

ISibutramine ivimbela ukuphindwaphindwa kwama-monoamines anjenge-dopamine, i-serotonin ne-norepinephrine. Ukwanda kwenani labo ezindaweni ezixhumana phakathi kwama-neurons kukhulisa umsebenzi wama-receptors aphakathi nendawo (adrenergic ne-serotonin), okunciphisa umuzwa wendlala futhi kuthuthukise umuzwa wokugcwala. Ngokungaqondile, le nto esebenzayo ithinta izicubu ze-adipose.

Njengomphumela wokuvezwa kwe-sibutramine ebantwini:

• isisindo somzimba sehla;
• ukugcotshwa kwe-HDL (i-lipsrinsins ephezulu) ekuphakameni kwegazi kuyanda;
• kwehlisiwe okuhlushwa i-LDL (low density lipoproteins), inani lama-triglycerides, uric acid ne-cholesterol ephelele.

I-Reduxin ilungiselelo eliyinkimbinkimbi eliqukethe izinto ezi-2 ezisebenzayo, ngalinye linomphumela walo wemithi emzimbeni wesiguli.

Inhloso esemqoka ye-microcrystalline cellulose ukuswelana kwezinto ezinobuthi ezingacacisiwe; kuyasiza ukukhipha emzimbeni:

• ama-microorganisms ahlukahlukene, kanye nemikhiqizo yawo ye-metabolic;
• ubuthi bemvelaphi ehlukahlukene, ama-xenobiotic, ama-allergen;
• imikhiqizo ye-metabolic eyeqile, evusa ukuthuthukiswa kobuthi bangaphakathi.

Ngemuva kokuphathwa ngomlomo, ngaphezu kwesilinganiso esingama-75% somuthi simunzwa ngokushesha emgudwini wesisu. Ngemuva kwehora le-1, le-2, ukuqoqwa kwe-sibutramine ku-plasma yegazi kufinyelela isilinganiso sayo. Umuthi usatshalaliswa ngokushesha kuzo zonke izicubu, futhi ngaphezu kwe-97% yesamba sazo sibopha amaprotheni. Umuthi udlulwa yizinso.

Izinkomba zokusetshenziswa kweReduxine yizindlela ezi-2 zokukhuluphala kwe-alimentary nge-BMI (inkomba yesisindo somzimba):

• ilingana noma inkulu kune-30 kg / m²;
• ilingana nama-27 kg / m², ehlanganiswe ne-dyslipidemia (impaired lipid metabolism) noma uhlobo 2 sikashukela.

Ukukhuluphala ngokwe-Alimentary yisifo esihambisana nokusetshenziswa okwandayo kokudla okunama-kilojoule amaningi ngemuva kokunciphisa umzimba. Lesi sifo singadalwa futhi satholakala. Abesifazane bathambekele kakhulu kulolu hlobo lokuphazamiseka kwe-metabolic ukwedlula abesilisa.

Njengomphumela wokusetshenziswa kwesidakamizwa kubantu, ukugcwala kwe-LDL kuyancipha.

Njengomphumela wokusetshenziswa kwesidakamizwa kubantu, isisindo somzimba siyancipha.

Njengomphumela wokusetshenziswa kwesidakamizwa kubantu, inani lama-HDL kuma-plasma liyanda.

I-Reduxin ine-contraindication eminingi, okubandakanya:

• ukungabekezelelani komuntu ngamunye kunoma yiziphi izinto ezakha umuthi;
• ukuba khona kwezifo ezibangela ukukhuluphala kwe-organic (ngokwesibonelo, i-hypothyroidism);
• ukuphazamiseka kwengqondo;
• ukuphazamiseka kwemizwa yokudla (isib. bulimia);
• imikhaza ejwayelekile;
• umfutho wegazi ongalawulwa;
• i-thyrotooticosis;
• i-benign neoplasms ye-prostate;
• ukulimala kwe-renal noma i-hepatic;
• ukuvala i-glaucoma;
• utshwala, izidakamizwa noma izidakamizwa;
• ingozi ye-cerebrovascular;
• isifo se-artery se-artery;
• isifo sohlangothi;
• izifo zesistimu yezinhliziyo (ischemia, tachycardia, ukuhluleka kwenhliziyo, izifo zenhliziyo ezizalwa);
• ukusetshenziswa kanye kanye nezidakamizwa ezithinta uhlelo lwezinzwa (antidepressants);
• ukuhambisana nanoma yiziphi i-inhibitors ze-MAO (ukwelashwa ngama-inhibitors we-MAO kumele kunqanyulwe izinsuku eziyi-14 ngaphambi kokuqala kokwelashwa kweReduxin futhi kungaphinde kuphinde kwenziwe ngaphakathi kwezinsuku eziyi-14 ngemuva kokuphela kokudonswa kwayo);
• ukusetshenziswa okufanayo kweReduxine nezinye izidakamizwa okuhloswe ngazo ukunciphisa umzimba;
• ukukhulelwa nokuqunjelwa;
• ngaphansi kweminyaka engu-18 nangaphezu kweminyaka engama-65.

Ukwemukela i-Reduxine kufakwe ku-stroke ku-stroke.

Ukwemukela i-Reduxine kufakelwe izifo ezifakwe ohlelweni lwezinhliziyo.

Ukuthola i-Reduxine kufakwe ku-glaucoma ye-engela-yokuvalwa.

Ukuthola i-Reduxine ku-contraindication ku-thyrotooticosis.

Ukuthatha i-Reduxine kufakwe kuphazamisekile engqondweni.

Ukuthatha i-Reduxine kufakwe ku-bulimia.

Ukwemukela i-Reduxine kuhambisana ne-hypothyroidism.

UReduxin uvunyelwe ukuthathwa ngemuva kokubeletha, uma nje owesifazane enqaba ukuncelisa ibele.

I-Reduxine kufanele inikezwe ngokuqapha ezimweni lapho isiguli sine-pathologies efana:

• ukwehluleka kokujikeleza kwegazi okungapheli;
• izifo ze-neurological, kufaka phakathi ukubuyiselwa kwengqondo;
• ukuthambekela kokuncipha kwemisipha;
• ukungasebenzi kwesibindi noma kwezinso okunobumba obufushane nokulinganiselayo;
• isithuthwane
• ukuphazamiseka kwegazi;
• ukuthambekela kokopha;
• cholelithiasis;
• umfutho wegazi ophakeme;
• angina pectoris.

Ukuqapha lapho uthatha i-Reduxine kumele kubhekwe kubantu abasebenza okuhlobene nokushayela noma eminye imisebenzi edinga ukunakwa okukhulu noma ukusabela okukhulu kwe-psychomotor.

Ngaphezu kwenani elikhulu le-contraindication, i-Reduxine inemiphumela emibi eminingi.

Imvamisa, iziguli ziqaphela ukuboniswa okunjengokuthi:

• isiyezi kanye nekhanda;
• Ukukhathazeka
• ukuqwasha
• ukwephula ukunambitheka;
• umlomo owomile
• i-arterial hypertension;
• i-tachycardia;
• isicanucanu
• ukukhuphula kwama-hemorrhoid ngokumelene nokuqunjelwa (ngokuthuthukiswa kokuqunjelwa okungapheli, i-Reduxine kufanele inqanyulwe bese kuthathwa imishanguzo);
• ukukhuphuka kokujuluka;

Ukusuka ekuphuzeni umuthi, umphumela ongemuhle kungenzeka ngohlobo lokwanda kwama-hemorrhoids ngokumelene nokuqunjelwa.

Umphumela wecala ngendlela yomlomo owomile kungenzeka kusuka ekuphuzeni umuthi.

Ukusuka ekuphuzeni umuthi, umphumela ongemuhle ngohlobo lokuqwasha kungenzeka.

Ukusuka ekuphuziseni umuthi, kungaba khona umphumela osesimweni sokujuluka kokukhukhula.

Ukusuka ekuphuzeni umuthi, imiphumela emibi ngohlobo lwe-nausea kungenzeka.

Ukusuka ekuphuzeni umuthi, umthelela osesimweni sekhanda nesiyezi kungenzeka.

Imvamisa, imiphumela emibi iziveza ngesimo se:

• i-fibrillation ye-atrial;
• ukuphazamiseka kwengqondo okufana ne-psychosis, umbono wokuzibulala, i-mania;
• i-urticaria;
• I-edema kaQuincke;
• ukwethuka kwe-anaphylactic;
• ukhubazeka kwenkumbulo yesikhashana
• umbono omfiphele;
• isifo sohudo noma ukugabha;
• ukugcinwa komchamo;
• i-alopecia (ukulahlekelwa izinwele);
• ukungahambi kahle kokuya esikhathini;
• ukopha kwesibeletho;
• ukwephulwa kwe-ejaculation;
• ukungabi namandla.

Ezimweni ezingafani nalokhu, okulandelayo kwaphawulwa:

• isifo esinjengomkhuhlane;
• dysmenorrhea;
• izinhlungu zomhlane noma zesisu;
• Ukudana
• i-rhinitis;
• ukoma
• ukwanda kwesifiso sokudla;
• i-jade acute;
• isikhumba se-hemorrhage;
• i-thrombocytopenia;
• iminyakazo
• ukozela;
• ukungahambi kahle;
• ukungazinzi kwesimo esingokomzwelo.

Ezimweni ezingayodwa, imiphumela emibi ibonwa ngendlela ye-jade acute.

Ezimweni ezingazodwa, imiphumela emibi ngendlela yokuthathwa kwempahla yabonwa.

Ezimweni ezingayodwa, imiphumela emibi ibonwa ngendlela yokwanda kwesifiso sokudla.

Ezimweni ezingazodwa, imiphumela emibi ibonwa ngendlela yesifo esinjengomkhuhlane.

I-Reduxin ithathwa isikhathi esingu-1 ngosuku ngaphakathi, igezwe phansi ngengilazi yamanzi. Umuthi ungathathwa kokubili esiswini esingenalutho nangemva kokudla. Umthamo ubekwa ngokwahluka ngokuya ngesimo sesiguli kanye nokubekezelela umuthi. Umthamo wokuqala onconywayo ngu-10 mg. Uma isiguli singabekezeleli umuthi, khona-ke umthamo wehliselwa ku-5 mg. Uma kungakapheli inyanga ngemuva kokuqala kokwelashwa, isisindo sincipha ngesilinganiso esingaphansi kwamakhilogremu amabili, khona-ke umthamo uyandiswa ube ngu-15 mg. Uma isiguli siphuthelwa ukuthatha i-Reduxine, khona-ke ngokuzayo akufanele uthathe umthamo ophindwe kabili womuthi, ngoba lokhu kungaholela ekweqisweni ngokweqile.

Isikhathi sokulashwa nge-Reduxine akufanele sigcine iminyaka engaphezu kwengu-2, ngoba imiphumela ye-sibutramine emzimbeni nokusetshenziswa isikhathi eside ibingakaphenywa. Uma isiguli singaphenduli kahle ekwelashweni kweReduxin, okuvezwa ekulahlekelweni kwesisindo okunganele izinyanga ezi-3 (ngaphansi kwama-5% wamapharamitha okuqala), umuthi kufanele uyekwe. Ukwelashwa kufanele futhi kukhanselwe uma, ngemuva kokulahlekelwa isisindo, isiguli siphinde saqala ukusithola (kg 3 noma ngaphezulu).

Izimo ezibalulekile zokunciphisa umzimba okusebenzayo yilezi:

• umsoco ofanele;
• imithwalo yemidlalo;
• ukuqashwa kukadokotela onolwazi ekwelapheni ukukhuluphala.

Kunolwazi oluncane mayelana nokuphendula komzimba ngenxa yokuba khona ngokweqile kwe-sibutramine kuyo.

Isimo esibalulekile sokwehla kwesisindo esisebenzayo umsoco ofanele.

Isimo esibalulekile sokwehla kwesisindo okusebenzayo ukuzivocavoca.

Isimo esibalulekile sokunciphisa umzimba ngokweqile ukubonwa kukadokotela onolwazi ophatha ukukhuluphala.

Izimpawu ezikhombisa ukweqisa kweReduxin zifaka:

• ikhanda kanye nesiyezi;
• i-tachycardia;
• umfutho wegazi ophakeme.

Nge-overdose yesidakamizwa, noma yimiphi imiphumela emibi echazwe ngenhla ingahluleka ngaphezulu.

Akukho ukwelashwa okuqondile kwe-sibutramine overdose.

Uma imiphumela emibi iqinile kakhulu, kunikezwa ukwelashwa okujwayelekile kobuthi:

• ukudliwa kwama-enterosorbents;
• ukuhanjiswa kwesisu;
• ingcindezi yokuqapha nomsebenzi wesicubu senhliziyo;
• Ukuqinisekisa ukuphefumula mahhala.

Ukuqhathanisa kweReduxin 10 neReduxin 15

I-Reduxin 10 ne-Reduxin 15 umuthi munye nomuthi ofanayo, wehluka kuphela enanini lezinto ezisebenzayo. Imithi inokufana kakhulu, kodwa ngenxa yemithamo ehlukile yesithako esiyisisekelo esisebenzayo, izidakamizwa zinokuhlukahluka okuthile.

Ukufana

Njengoba zombili izidakamizwa zisuselwa ezintweni ezifanayo ezisebenzayo, umphumela wazo (kokubili okuhle nokubi) emzimbeni womuntu ucishe ufane.

Uma imiphumela emibi iqinile kakhulu, kunikezwa ukwelashwa okujwayelekile kobuthi - ukuvuvukala esiswini.

Zombili izidakamizwa:

• babe ne-pharmacokinetics efanayo, izinkomba zokusebenzisa, i-contraindication kanye nemiphumela emibi;
• kubangele umuzwa oqinile wokulahlekelwa isifiso sokudla, esiza ukunqoba ukuxhomekeka kokudla futhi uqale ukulahlekelwa ngamaphawundi angeziwe;
• ngokuhamba kwesikhathi, bakha umkhuba wokudla amakhalori ambalwa, okukuvumela ukuthi ulawule isisindo;
• ziguqula ngempumelelo izindlela zokunambitha, zisize ukuqeda ukudla okuningi okulimazayo ekudleni, ngokwesibonelo, ngokulangazelela amaswidi kuyanyamalala ngokuphelele (ngokudla isikhathi eside);
• shintsha izinga leshukela egazini bese ususa i-cholesterol eyingozi (nokusetshenziswa isikhathi eside).

Uyini umehluko?

Umthamo ohlukile wezinto ezisebenzayo uyimbangela yokungezwani okuthile phakathi kwemiphumela yeReduxin 10 neReduxin 15 emzimbeni. I-Reduxin 15 isidakamizwa esinamandla ngokwengeziwe, ngakho-ke ukusebenza kwayo kuphakeme. Kodwa-ke, imiphumela emibi yenzeka kaningi futhi iphinyiselwa kakhulu kuneReduxine 10.

Ngenxa yamandla akhuphukile, i-Reduxin 15 ayifanele zonke iziguli, kuyilapho i-Reduxin 10 ngokuvamile ibekezelelwa kahle.

Yikuphi okushibhile?

I-Reduxin 10 ne-Reduxin 15 zitholakala emaphaketheni amakhophi angama-30, 60, nama-90. Zombili lezi zidakamizwa zihlukaniswa njengezibizayo.

Intengo ephakathi yamaphilisi ama-30 Reduxin 10 emakhemisi aseMoscow angama-ruble ayi-1800, ama-ruble angama-60 - 3000, ama-ruble angama-90 - 4000.

I-Reduxin 15 ibiza ngisho nangokwengeziwe: amaphilisi angama-30 - ama-ruble angaba ngu-2600, ama-ruble angama-60 - 4500, ama-ruble angama-90 - 6000.

Yini engcono iReduxin 10 noma iReduxin 15?

Akunakwenzeka ukuphendula ngokungathandabuzi umbuzo wokuthi yisiphi isidakamizwa esingcono: Reduxin 10 noma 15, ngoba umuthi owodwa nowodwa ngemithamo ehlukile. Njengoba kushiwo ngenhla, izidakamizwa zinomphumela ofanayo emzimbeni, kepha i-Reduxin 15 inomphumela owaziwa nangokuthi owokwelapha.

Kodwa-ke, umuntu ngeke aphethe kulokhu ukuthi iReduxin 15 ingcono kuneReduxin 10, futhi ngokuthatha yona, kungenzeka ukuthi wehlise isisindo ngokwengeziwe futhi ngokushesha. Uma uqala ukuthatha isidakamizwa esinamandla kakhulu ngaphandle kokulungiselela, ungadala ingozi enkulu empilweni yakho (engaqinile kakhulu kubantu abakhuluphele). Ngalesi sizathu, iReduxin 10 neReduxin 15, ebezithengiswa mahhala, yahoxiswa kuyo, futhi manje isidakamizwa sitholakala emakhemisi ngokutholwa ngumbhalo kuphela.

Ukwelashwa okufanele kufanele ngaso sonke isikhathi kuqale ngomuthi omncane kakhulu wesidakamizwa (umzimba kumele usijwayele). Futhi kuphela uma isiguli sisabela ngokwanele kumthamo omncane weReduxine, ungayandisa ibe ngu-15 mg ngosuku.

Esinye isimo esibalulekile sokusebenza kokuncipha kwesisindo ubunzima bokwelashwa. Lapho usebenzisa kuphela imithi, umphumela wokunciphisa umzimba uzohlala kuphela ngesikhathi sokuthatha lezi zimali. Kepha ngaphezu kokunciphisa isisindo, ukuthatha i-Reduxine kunikeza isiguli isikhathi sokushintsha indlela aphila ngayo: kusiza ukuguqulwa kokudla okunempilo, okufanele kuqhubeke ukunikeza umuntu isisindo esijwayelekile.

Ukubuyekezwa kokunciphisa umzimba kanye neziguli

UMaria, oneminyaka engama-38, uVladivostok: “Lapho kuba sobala ukuthi angikwazi ukubekezelela inkanuko yami nokukhuluphala ngingedwa, isazi sokudla esidle umsoco uReduxin. Ngawaphuza umuthi izinyanga ezintathu. Ukudla kwami ​​kwehla kakhulu, ngakho-ke ngakwazi ukuzijwayeza ukondla ngokulinganisela wehlise isisindo usayizi 52 kuya ku-46. Umuthi muhle kakhulu, usebenza kahle, angizwanga eminye imiphumela emibi, kepha intengo iphakeme kakhulu. "

U-Alena, oneminyaka engama-36, uSamara: "Welashwa ngeReduxin izinyanga ezingaphezu kwezingu-3. Amaviki amabili okuqala azizwa enenkani futhi enesiyezi kancane. Idosi lelo labuye lancishiswa laba ngu-5 mg. Ngemuva kwalokho isimo sabuya sasesijwayelekile futhi udokotela wandisa umthamo waba ngu-10 mg. Welashwa ngokusobala ngokwemiyalo ye-Appetite yehla. Waqala ukudlala imidlalo: okokuqala wahamba kusihlwa, wabe eseqala ukugijima, kwavela ukoma kuphela ngenxa yemiphumela emibi, kodwa kwaba yinzuzo, ngoba wayengakaze aphuze amanzi ngaphambili, ngemuva kokuphela konyaka, kepha isisindo sakhe sasingabuyi. Impilo yami yehluke ngokuphelele manje. "

U-Ekaterina, oneminyaka engama-40, uKemerovo "Ukwelashwa kwe-Reduxin akuzange kusize: ngaphuza u-10 mg no-15 mg, kepha akuzange kuthinte isifiso sami sokudla (nesisindo). Ngemuva kwenyanga ngayeka ukwelashwa futhi nganika udadewethu amaphilisi asele mina.Kepha umuthi lo waba nomphumela ofiselekayo kuye: isifiso sakhe sokudla wanyamalala, waqala ukuncipha. "

Zombili lezi zidakamizwa zisuselwa ezintweni ezifanayo ezisebenzayo, khona-ke umphumela wazo emzimbeni womuntu ucishe ufane.

Ukubuyekezwa kodokotela mayelana neReduxin 10 neReduxin 15

UMikhail, oneminyaka engama-48, ongumondli wezempilo, umdala oneminyaka engama-23, eMoscow: "UReduxin uyayicindezela ngokuphelele indlala. Iziguli eziningi zithi ziyeke ukucabanga ngokudla. Kepha-ke akufanele uphathwe ngomuthi. Kufanele unqunywe kumthamo ongadluli ku-10 mg no okwesikhashana ukufundisa isiguli ukuthi sikulawule ukudla kwaso. Uma uthembela kudokotela kuphela, lapho kuphela ukwelashwa, isisindo sibuya ngokushesha. "

U-Alexander, oneminyaka engama-40 ubudala, odla izidlo, isipiliyoni seminyaka engu-15, eYekaterinburg: “UReduxin ubhekana nomsebenzi wokunciphisa isisindo (ngokucindezela indlala), kepha kunemiphumela emibi eminingi, ikakhulukazi uma uthatha iReduxin 15, kanti nentengo yomuthi iphakeme ngokungenangqondo. umuthi ngoweziguli zawo kuphela emavikini okuqala e-2000 ezokwelashwa kanti yiReduxin kuphela 10. Inhloso ukuqala inqubo yokunciphisa isisindo, ukulungiselela ukungena ekwelashweni kokudla futhi ngokwengqondo kuvuse isiguli ukuthi siqhubeke nokunciphisa isisindo ngokudla. "