I-Telmista iyisidakamizwa se-antihypertensive. Kuvunyelwe ukuyisebenzisa ngemuva kokubonisana nodokotela: uchwepheshe uzokhetha umthamo ofanele, ngesinye isikhathi ubeke i-analogue efanelekile isiguli. Ukuzelapha kungaba yingozi, kusongele impilo futhi kube yingozi.
Igama Lezwe elingafanele
Igama elingabambezeli lesidakamizwa i-Telmisartan.
I-Telmista iyisidakamizwa se-antihypertensive.
I-ATX
Ikhodi yezidakamizwa yi-C09CA07.
Khipha amafomu nokwakheka
Umuthi usesimweni samacwecwe amhlophe. Ukuma kwabo kungahluka: kuqukethe ama-20 mg wesithako esisebenzayo esiyindilinga, 40 mg - i-oval convex ezinhlangothini zombili, ama-80 mg - amakhompiyutha afana nesimo se-convex ezinhlangothini ezi-2. Kuqukethe amabhulukwe, amabhokisi amakhadibhodi.
Isithako esisebenzayo yi-telmisartan. Ngaphezu kwalokhu, ukwakheka kufaka phakathi: i-sodium hydroxide, sorbitol, povidone K30, meglumine, magnesium stearate, lactose monohydrate.
Isenzo se-Pharmacological
Umuthi unomphumela we-antihypertensive. Isithako esisebenzayo yisitha se-angiotensin II receptor antagonist. Le ngxenye ye-izidakamizwa ihambisa i-angiotensin 2, ngenkathi akuyona i-agonist ye-receptor. Ngaphezu kwalokho, wenza i-aldosterone encane ku-plasma. Isiza ukwehla kwegazi, izinga lokushaya kwenhliziyo lihlala lifana.
I-Pharmacokinetics
Umuthi udonswa ngokushesha egazini ngu-50%. Ngemuva kwamahora ama-3 ngemuva kokuphathwa, ukugxila kwe-plasma kudalulwe, kwabesifazane inani likhulu izikhathi ezi-3 kunasemadodeni, okungathinti ukusebenza ngempumelelo kokwelashwa.
Umuthi udonswa ngokushesha egazini ngu-50%.
Isigamu sempilo singamahora angama-20. Iningi liphuma ne-bile. Ngomchamo, umzimba ushiya ngaphansi kuka-2% wesidakamizwa.
Izinkomba zokusetshenziswa
Umuthi unqunyelwe umfutho wegazi ophakeme. Ngokuvimbelwa kwezifo, kungabhekelwa kwiziguli ezineminyaka engaphezu kweminyaka engama-55: lesi silinganiso singehlisa ukushona kwabantu, sivikele ukubonakala kwe-pathologies.
Contraindication
Umuthi awunqatshelwe izifo zesibindi ezinzima, ukuphazamiseka kwe-bile duct, nge-lactase, i-sucrose, isomaltase, hypersensitivity ngayinye ye-fructose, glucose-galactose malabsorption. Ngaphezu kwalokho, umuthi awunqunyelwe ngesikhathi sokukhulelwa, ukuncelisa ibele. It is contraindified for izingane ezingaphansi kweminyaka engu-18.
Ukusetshenziswa kanye kanye ne-Alixiren akuvunyelwe ezigulini ezinesifo sikashukela.
Ukusetshenziswa kanyekanye ne-Alixiren akuvunyelwe ezigulini ezinesifo sikashukela, ukwehluleka kwezinso.
Ngokunakekela
Ukuqapha kufanele kuqashelwe uma kunokungasebenzi kahle komsebenzi wesibindi wokuqina olinganiselayo. Kuyadingeka ukwenza ukwelashwa ngaphansi kokuqashwa kukadokotela onesifo sokuqina kwemithambo segazi. Uma izinso elilodwa lisusiwe futhi i-renal artery stenosis ibonwa, umuthi kufanele uthathwe ngokuqapha. Ngasikhathi sinye, ukusebenza kwezinso kugadwe.
Ukuqapha ngesikhathi sokwelashwa kufanele kuqashelwe kubantu abane-hyperkalemia, i-sodium ngokweqile, i-hypertrophic obstriers Cardiomyopathy, indlela engapheli yokuhluleka kwenhliziyo, ukuncipha kwe-aortic noma i-mitral, ukwehla kokujikeleza kwegazi, kanye ne-hyperaldosteronism eyinhloko.
Ukuqapha kufanele kuqashelwe uma kunokungasebenzi kahle komsebenzi wesibindi wokuqina olinganiselayo.
Ungayithatha kanjani iTelmista
Thintana nodokotela wakho ukuthola ukuthi yiluphi uhlobo kanye nemithi yokwelashwa efanelekile. Amacwecwe athathwa ngomlomo. Ukusetshenziswa kwemithi akuhlotshaniswa nokudla kokudla.
Abantu abadala bavame ukunqunywa ukuthatha i-20-40 mg kanye ngosuku. Ezinye iziguli zidinga i-80 mg ukukhombisa umphumela we-telmisartan. Abantu asebekhulile kanye neziguli ezinesifo sezinso azidingi ukulungiswa komthamo.
Ngama-pathologies wesibindi, umthamo wansuku zonke ngu-40 mg. Ngaphezu kwalokho, ezigabeni zokuqala zokwelashwa, kungadingeka ukuthi uphuze umuthi owenza ukuthi umfutho wegazi ube ngokwejwayelekile.
Ukuthatha umuthi wesifo sikashukela
Ungasebenzisi umuthi nge-Alixiren. Ungasebenzisi nge-ACE inhibitors. Uma ukwelashwa kwe-insulin kunikezwa ngasikhathi sinye, i-hypoglycemia izokwenzeka.
Imiphumela emibi
Ngesikhathi sokulashwa, ukuvela okungafuneki kungavela. Ezinye iziguli zibika ubuhlungu besifuba, ubuthakathaka, ukukhathala okwandayo, nesiyezi. Kwesinye isikhathi kuba nokuntuleka kwezitho zombono. Inani le-uric acid, i-creatinine emzimbeni liyakhula. Izinga lensimbi liyancipha, anemia kungenzeka.
Amapheshana wesisu
Ubuhlungu bunokwenzeka esiswini, ekuhlanzeni, kuhudula, ekwandeni kwegesi, dyspepsia, ukuqonda okuhlanekezelwe kwezimpawu zokunambitheka zemikhiqizo, i-pathology yesibindi, nomlomo owomile.
Izitho zeHematopoietic
I-Orthostatic hypotension, umfutho onciphile kungenzeka.
Isistimu yezinzwa ephakathi
Ukuphazamiseka kokulala okungenzeka, ukukhathazeka okwandayo, ukudangala, ukulahlekelwa ukwazi.
Inkambu yokuphatha umuthi wokuphazamiseka kungenzeka ulale.
Kusuka ohlelweni lokuphefumula
Ukukhwehlela, ukuphefumula, izifo ezithathelwanayo, nomphimbo obuhlungu kwenzeka.
Kusuka ohlangothini lokuzivikela komzimba
I-angioedema engenzeka, ukushaqeka kwe-anaphylactic.
Kusuka ohlelweni lwezitho zofuzo
Umsebenzi we-Renal ukhubazekile, kuvela i-urethritis, kanye nokuvuvukala kwe-bladder ebangelwa ukutheleleka.
Ukusuka ohlelweni lwezitho zofuzo, ukusebenza kwezinso kukhubazekile.
Kusuka ohlelweni lwezinhliziyo
I-Tachycardia, i-bradycardia, i-sepsis, i-eosinophilia kwesinye isikhathi iyabonakala.
Kusuka ezicutshini zemisipha
Ama-cramps, ama-cramps, izinhlungu emhlane, imisipha, imilenze ephansi. I-Myalgia, i-arthralgia kungenzeka.
Allergies
Ukulunywa, okhalweni, ukudumba nokushisa kungabhekwa. Kuqhamuke isikhumba esinobuthi esikhunjeni.
Imiyalo ekhethekile
Izici zokwelashwa kufanele zixoxwe nodokotela: lokhu kuzogwema izinkinga ezingaba khona.
Izici zokwelashwa kufanele zixoxwe nodokotela: lokhu kuzogwema izinkinga ezingaba khona.
Ukuhambisana notshwala
Ukuphuza utshwala ngesikhathi sokwelapha kukhulisa ubungozi bezinkinga. Kunconywe ukulahla uketshezi olunotshwala be-ethyl ngaphambi kokuphela kokwelashwa.
Umthelela ekhonweni lokulawula izindlela
Ngenxa yokuba nesiyezi nokubuna, kunconywa ukwenqaba ukushayela.
Sebenzisa ngesikhathi sokukhulelwa nokukhishwa komzimba
Umuthi awubekelwe ukukhulelwa nokukhotha: ubangela ubuthi be-neonatal. Uma umama aphuze lesi sidakamizwa ngesikhathi sokukhulelwa, kungenzeka ukuthi ingane ibe nomfutho we-arterial hypotension.
Umuthi awubekelwe ukukhulelwa nokukhotha: ubangela ubuthi be-neonatal.
Ukuqokwa kwezingane zeTelmista
Ayisetshenziselwa ukwelapha izingane.
Sebenzisa ebudaleni
Ingasetshenziswa ngezindlela ezifanayo namanye amaqembu abantu.
Isicelo sokusebenza kokulimala kwezinso
Ukuqapha kufanele kusetshenziswe ngokusetshenziswa komuthi, ngoba isimo sesiguli singase sibe sibi kakhulu.
Sebenzisa umsebenzi wesibindi okhubazekile
Ezifo ezinzima, ukwelashwa kweTelmista akwenziwa.
Uma usebenzisa umuthi omningi, i-tachycardia iyabonakala.
Ukweqisa
Lapho usebenzisa umuthi omningi kakhulu, i-tachycardia, i-bradycardia, ukwehla okunamandla komfutho wegazi kuyabonakala. Ukwelashwa okubonakalayo kuyadingeka.
Ukuxhumana nezinye izidakamizwa
Ngokuphathwa kanyekanye nezinye izidakamizwa ze-antihypertensive, umphumela wesidakamizwa uyathuthukiswa.
Kukhona ukwanda kokuhlungwa kwe-lithium eplasma yegazi kanye nomphumela wayo onobuthi lapho usebenzisa umuthi nezidakamizwa eziqukethe i-trace element.
Lapho uthathwa ngama-inhibitors e-ACE, nge-potassium-sparing diuretics, enezidakamizwa ezithatha indawo ye-potassium, ubungozi bokungaphezulu kwezinto ezilandelwayo emzimbeni ziyanda.
Ngokuphathwa kanyekanye nezinye izidakamizwa ze-antihypertensive, umphumela wesidakamizwa uyathuthukiswa.
Uma isetshenziswa ngama-NSAIDs, umphumela wesidakamizwa uba buthaka.
Ama-Analog
Umuthi unenombolo enkulu yamagama wokuvumelanisa. Kuyasebenza: Teseo, Telpres, Mikardis, Telzap, Prirator. I-Valz, iLorista, i-Edbari, iTanidol nayo iyasetshenziswa.
Imibandela yekhefu lekhemisi
Ungathenga umuthi onikezwe umuthi.
Ngingakwazi ukuthenga ngaphandle kadokotela
Umuthi usatshalaliswa kuphela ngomuthi odingekayo.
Umuthi usatshalaliswa kuphela ngomuthi odingekayo.
Intengo yeTelmista
Intengo isuka kuma-ruble angama-260 kuya kwangama-880. Izindleko zincike esifundeni, ekhemisi, kumthamo wezidakamizwa kwithebhulethi elilodwa, usayizi wephakheji.
Izimo zokugcina zomuthi
Gcina ungafinyeleleki kubantu abangaphansi kweminyaka engu-18 endaweni yokushisa engeqi ku-25 ° C. Amaphilisi akufanele asuswe kusuka kwephakeji yangempela.
Isikhathi sokuphelelwa yisikhathi
Impilo yeshelf iyiminyaka emithathu.
Umkhiqizi
Umuthi ukhiqizwa eSlovenia.
Ukubuyekezwa kwe-Telmistar
Ngenxa yomthelela wayo osheshayo we-antihypertensive, umuthi uthole inani elikhulu lokubuyekezwa okuhle.
Odokotela
UDiana, oneminyaka engama-44, uKaluga: "Nginikeza leli khambi ezigulini kaningi. Ngokuphumelelayo, liqala ukuthatha isinyathelo ngokushesha, imiphumela emibi ayiveli."
Iziguli
U-Alisa, oneminyaka engama-57, eMoscow: "Udokotela unikeze iTelmista ukuthi iphuze ngenxa yomfutho wegazi ophakeme. Umuthi uyasiza ekwehliseni umfutho wegazi kahle. Ngizizwa ngingcono ngemuva kokuthatha umuthi."
UDmitry, oneminyaka engama-40, uPenza: "Umuthi awubizi, uyasiza ekwehliseni umfutho wegazi, umphumela uvele masinyane. Kepha ngenxa yokwamukela, kwaqala izinkinga zezinso. Bekumele ngibone udokotela bese ngikhetha ikhambi elisha."
