"Tenorik": nā mana'o o nā kauka. Nā papa mai ke koko ki'eki'e

Ke ho'ohana nei paha'o ia i lā'au lā'au e like me "Tenorik"? Hiki i nā mea a pau ke waiho i kahi mana'o e pili ana i kēia lā'au. Mahalo i kēlā mau loiloi, hiki i nā kauka a me nā mea ma'i ke ma'alahi i ka hopena e pili ana i ka hana'ana a nā lā'au lapa'au, inā he kumu ia e hana ai a inā e kūpa'a i ka hana.

Ma kēia'atikala, e wehewehe pono mākou i nā'ano a me nā'ano o ka ho'omākaukau'ana "Tenorik". 'O ka ho'omana'o o ka mea ma'i i loa'a iā ia e like me ka'ōlelo a ke kauka e hō'ike pū'ia ma lalo nei.

'O ka hui, ka pepa, ka wehewehe, ka hō'ailona

'O ke ho'omākaukau'ana "Tenorik" (100, 50 mg) e kū'ai aku ana ma ke'ano o nā papa ke'oke'o me kahi puka a puni a biconcave me ka pilikia mahele.

'O ka ho'ohālikelike'ana o kēia lā'au lā'au he'elua mau mea ikaika: chlortalidone a atenolol. Eia nō ho'i, he mau'oko'a hou kēia i ho'omākaukau'ia, a ua hō'ike'ia ma ke'ano o ka maloo kānana, ka sodium lauryl sulfate, lactose, polyvinylpyrrolidone, talc, kaomika dioxide, isopropanol a me ka magnesium stearate.

'A'ole hiki i kekahi ke'ōlelo i nā papa "Tenorik" (hiki iā'oe ke'ike i kahi mea e pili ana i kēia mea hanahana ma ka hope o ka puke) ua uhi'ia i kahi pāna'i pua nani. 'O ia he methylene chloride, isopropanol, talc, hypromellose, dioxide, macrogol, a me ka'enele vaseline.

Loa'a i ka lā'au lapa'au i nīnau'ia e hiki ke hana i nā pale a i'ole nā paona o 100 a 28 mau papa.

Nā Pharmacology o ka lā'au lapa'au

He aha nā papa "Tenorik"? 'O nā'ōlelo a'o no ka ho'ohana'ana ('a'ole ke ki'eki'e loa o ke kumukū'ai) hō'ike he mea hō'oki'ole ia e hiki ai ke ho'olā'ihi i ka hopena o ke kuhiakau.

'O ka maika'i o ka lā'au lapa'au e nīnau'ia ana no ka hana o 2 mau mea, a'o ka diuretic (chlorthalidone) a me beta-1-adrenoblocker (atenolol).

Nā Kuleana Mea

Ke kapa'ia'o Atenolol he kālepa beta-1 cardioselective. Ho'oiho ka hiki'ana o kēia mea me ka ho'onui'ana i ke'ano o ka lā'au lapa'au. 'A'ole'imi'o Atenol i ka hopena o ka waiā-ho'oponopono a me ka sympathomimetic. A me nā'ē a'e beta-blockers, he kino'ole ka hopena i ka hopena a me ka emi'ana i ka no'ono'o o ka na'au.

No ka chlortalidone, he diuretic (sulfonamide non-iazide). Ho'onui ia i ka ho'oka'awale'ana i nā'enewa e like me ka chlorine a me ka sodium. Eia kekahi, ho'onui kēia mea i ka ho'oku'u'ana i ka bicarbonate, ka magnesium a me ka potassium. 'O ke kumu o kona hana kū'ē i ka excretion o ka sodium.

'O ka hui pū'ana o ka atenolol me nā diuretics'oi aku ka maika'i ma mua o ka ho'ohana'ana i kēlā me kēia o kēia mau māhele.

'O ka hopena o ka lā'au i nīnau'ia e mālama'ia i loko o ka lā (ma hope o kahi ho'okahi ma nā helu o kēlā me kēia lā).

Nā kinakia o ka lā'au lapa'au

I ka'ike'ana i ka ho'omākaukau'ana o ka "Tenorik", like ke'ano o ka ho'olālā'ana ma lalo nei, he mea hui like ia, e no'ono'o pono mākou i nā kinona o kēlā me kēia mea'oihana.

Ke ho'omo'a'ia'o Atenolol e 40-50% o ka māhele o ka ma'i. Loa'a ka nui o ka ho'ā'o'ana i 4 mau hola ma hope o ka lawe'ana i ka pila. 'O ka pilina'ana me nā protein'ewalu 8-16%.

'A'ole ho'okō'o Atenolol i ka mea i kapa'ia he metabolism i loko o ke ake. Ho'ohehe'e'ia he 90% o ka mea pale i ho'ololi'ia no 8-9 mau hora. Hiki ke ho'onui'ia kēia manawa me ka hō'eha nui'ole, no ka mea, ua ho'oku'u'ia'o Atenolol e nā pu'upa'a.

No ka chlortalidone, ua komo ka 60% mai ka'ōpala digestive. I ka plasma, hiki ke ki'eki'e o ka helu ma hope o 12 mau hola. 'O ka ho'ohui'ana i nā proteins he 75%.

Ua ho'oku'u'ia ka chlorthalidone e nā pu'upa'a no 50 hola.

Nā kuhikuhi no ka ho'ohana

'O ke kikowaena i'ōlelo'ia ma luna ke kōkua nui loa mai ke koko ki'eki'e. 'O ka'oia'i'o,'o ka pi'i'ana ka mea nui a, paha,'o ka hō'ailona wale nō no ka ho'ohana'ana.

Kū'ē

I kēia manawa ua'ike'oe, no ke aha i hō'ike'ia ai nā papa "Tenorik" (nā kuhikuhi no ka hō'ailona'ana i kēia lā'au lapa'au) e koho'ia ai koho'ia paha. Akā, akā,'o ka lā'au lapa'au e nīnau'ia nei he papa'oi loa ka hō'ailona o nā hō'ai'ē. 'A'ole i'ōlelo'ia e lawe i ka wā:

• Kāpena kāka'i;
• Pheochromocytoma;
• 'O Bradycardia ('ōlelo ho'olaha);
• Nā hana'ino i loko o ke kahe puni;
• hypotension (i holopono nō i ka loa);
• 'Apona acidic;
• AV-pākia o ke kēkelē 1 a me 3;
• SSSU;
• Ho'onui'ia ka ma'i hānai;
• Ka lawa'ole o ka pu'uwai (ka lō'ihi a me ka lolo);
• 'O ka ma'i diabetes;
• Angina o ke kaulike (Prinzmetal stenocardia);
• 'Ohi;
• 'Ai'ia ka bronchitis;
• He ma'i ma'i nui;
• Hypoglycemia;
• Ho'olaha Renal ma kahi'ano nui;
• I lalo o 18 makahiki;
• 'O Myasthenia gravis;
• 'O ka ho'oma'ema'e i nā mea'ai o ka lā'au lapa'au.

Pehea e lawe ai i "Tenorik" mai ke koko ki'eki'e?

Ho'okomo'ia nā kānaka'elemakule e lawe i kēia lā'au lapa'au ma ka'awelike he 100 mg. I kēia hihia,'o ka hua mua o ka lā'au lapa'au he 50 mg i ka lā ho'okahi.

'O ka po'e'elemakule, ua koho'ia'o ia i ka lā'au "Tenorik" i nā mea li'ili'i.

Ho'okomo'ia nā ma'i me nā ma'i kīnā'ole e ho'oemi i ke alapine o ka lawe'ana i nā papa.

Pono nō ho'i e ho'omaopopo'ia ma hope o ka ho'ohana'ana i ka lā'au lapa'au i nīnau'ia ma hope o ka manawa lō'ihi, pono e ho'olōlā'ia ka ho'opau'ana.

Nā hopena'ao'ao

'O ka loa'a'ana o nā hua'ōlelo "Tenorik" hiki ke ho'onāukiuki i ke'ano o nā hā'aiapili'ino:

• bradycardia, mahuahua naau e hemahema, anuʻaoʻao, orthostatic hypotension, arrhythmia, af-aeie, na symptoms o intermittent claudication, Raynaud ka maʻi pale ;
• ka hilahila, lethargy, headache, hallucinations, huʻi psychosis, paresthesia, naʻau i loko nā poʻohiwi o, pōniuniu, luhi, Kanikani'āʻula, disorientation, blurred hihiʻo;
• 'O ka waha'ele'ele, ka nui o nā transaminases hepatic, nā ma'i o ka ma'i'ōpiopio, ka ma'i kino me nā cholestasis intrahepatic, pancreatitis, nausea, constipation, anorexia;
• Leukopenia, halapura, thrombocytopenia, eosinophilia, agranulocytosis;
• Alopecia, nā reactions psoriasis-like, mau maka malo'o, exacerbation o psoriasis, ki'i ki'i,'ilihune o ka'ili;
• Bronchospasm, hyperuricemia, hypokalemia, hyponatremia;
• hoʻopōʻino monakō koko ke ahonui, he mea ulu ma ka helu o antinuclear nā mea'aʻaʻa, hoemiia potency.

'O nā hopena'ao'ao i ho'ohālikelike'ia, he lapuwale loa ia a ua hō'ike maika'i'ole'ia.

Ka uku, nā like'ana

'O ka uku o nā papa "Tenorik" 110-120 rubles. Hiki iā'oe ke ho'ololi iā lākou me nā lā'au lapa'au e like me "Athenol", "Dinoric" a "Tenoret".

Nā mana'o e pili ana i nā lā'au "Tenorik"

Hiki i ka pane mana'o no ka pono o kēia meahana ke waiho i nā mea a pau. I ka mana'o o nā ma'i a me nā kauka,'o nā mea nui o kēia ho'oponopono, penei:

• Pono;
• 'O ke kumu kū'ai.

Ma waena o nā hemahema o kēia lā'au lapa'au:

• 'O ka likelika o ka pa'akikoki a me ka ulu'ana o nā ma'i'ole (me ka ho'omalu lō'ihi);
• 'O ka likelike o ka hopu.