"Kalchek": malangizo ntchito, analogs, ndemanga

Zimene muyenera kudziwa musanagwiritse ntchito mankhwala, monga "Kalchek"? Malangizo ntchito anati mankhwala chofunika kuwerenga. Mu inu mudzapeza zizindikiro ndi contraindications ntchito mankhwala, komanso kupeza ngati ali analogues aliyense ndi zotsatira zake zoyipa.

Mawonekedwe a lokonzekera, zikuchokera ndi wazolongedza

Kodi mukudziwa mawonekedwe imene mukhoza kugula mankhwala "Kalchek"? Malangizo ntchito amatiuza kuti mankhwala alipo yekha mu mawonekedwe piritsi. The zikuchokera medicament chikuphatikizapo yogwira pophika monga amlodipine besylate (5, 2.5 ndi 10 mg). Pankhani zinthu zina, ndiye iwo monga dibasic kashiamu wa phosphate, wowuma chimanga, sodium wowuma glycolate, mwayeretsa talc, silika colloidal ndi mankhwala enaake a stearate.

miyala ndi chithuza (10 ma PC.), Amene anayikidwa mu bokosi chidapangidwa kuchokera ku katoni.

The pharmacological katundu wa chipangizo zachipatala

Kodi mankhwala "Kalchek"? Malangizo Ntchito limanena kuti mankhwala ndi kusankha kashiamu njira blocker a kalasi 2. Iye ali antianginal, antihypertensive, vasodilating, ndipo zotsatira antispasmodic. zinthu mankhwala m'gulu zikuchokera wothandizila imeneyi, amatha kutsekereza otaya ayoni kashiamu m'zipinda mtima yosalala minofu.

Anti-hypertensive katundu wa mankhwala chifukwa zotsatira zake mwachindunji ulesi pa minofu mtima yosalala. Pankhani zotsatira odana anginal, ndi medicament mu funso tiwonjezere arterioles (zotumphukira). Kenako, zimenezi zimapangitsa kuti kuchepa zotumphukira mtima kukana, womwe akutitsogolera kuti kuchepa mu ankafuna m'mnyewa wamtima kwa O ₂ (mpweya).

Komabe, tisaiwale kuti nthawi zina zimene zikutanthauza kuti kotunga mpweya M'malo mwake, kuchuluka. Ichi ndi chifukwa kukula kwa mitsempha inatsekeratu (mwachitsanzo, vasospastic angina).

Tikumbukenso kuti piritsi "Kalchek" palibe mavuto pa zamadzimadzi zikuchokera magazi. Ali nazo ntchito antithrombotic ndi antiatherosclerotic, kuonjezera ndalama kusefera (glomerular), komanso ndi oti amanenedwa pa chilichonse natriuretic kwenikweni.

Mu ashuga nephropathy mankhwala si angathe kuwonjezeka microalbuminuria.

The pharmacokinetic katundu wa mankhwala

Kodi mayamwidwe wa mankhwala "Kalchek"? Akatswiri alendo amati mayamwidwe wa mankhwala lachokera ku kapepala m'mimba (90%). maganizo ake wamkulu mu magazi pambuyo maola 7-12. The bioavailability wa mankhwala ndi za 63-65%.

The yogwira mankhwala mankhwala likulowerera magazi ubongo chotchinga ndipo excreted ndi mkaka wa m'mawere. Amlodipine biotransformed mu chiwindi (metabolites anafooka anapanga).

Mu linanena bungwe zikutsatiridwa kwa zosakwana 10% a chiphunzitso cha. Pankhani metabolites wofooka, iwo anasonyeza mu kuchuluka 60% mu mkodzo, ndi za 20-25% ndi matumbo ndipo pamodzi ndi ya ndulu.

zikuonetsa

Kodi matenda wodwala mankhwala "Kalchek" awerenge? Malangizo ntchito (ofanana ndi chida pansipa) likunena zambiri pa zizindikiro zotsatirazi:

• khola angina;
• wosakhazikika angina;
• Wolumikizira oopsa (ntchito ngati monotherapy kapena osakaniza mankhwala ndi Ace zoletsa, okodzetsa thiazide, beta kapena Alpha blockers);
• angina angiospastic (kapena otchedwa Prinzmetal angina).

contraindications

Pamaso pa chikhalidwe chirichonse wodwalayo sayenera mankhwala mankhwala "Kalchek"? Malangizo ntchito lili contraindications zotsatirazi:

• wolumikizira hypotension;
• Hypersensitivity kuti waukulu yogwira mankhwala mankhwala.

Iwo ayenera kukumbukira kuti mankhwala akhoza kugwiritsidwa ntchito kwa odwala amene ali ndi hypersensitivity kuti dihydropyridine ofanana nawo.

Mankhwala "Kalchek": malangizo ntchito

Miyala "Kalchek" angina ndi oopsa ndi kutumikiridwa mu mlingo wa 5 mg pa tsiku. Ngati ndi kotheka, akhoza ziwonjezeke kwa 10 mg.

Odwala matenda monga dilated cardiomyopathy, chithandizo amasankha ndi Mlingo wa 2.5 mg wa pa tsiku. Ngati mankhwala ndi olemera zimachitikira, n'zotheka pang'onopang'ono kuwonjezera mlingo (osati choposa 10 mg pa tsiku).

Mu ntchito mapiritsi mbali ya osakaniza mankhwala ndi beta-blockers, okodzetsa thiazide kapena Ace zoletsa kusintha kwa dosing chakudya chofunika.

Zizindikiro cha mankhwala osokoneza bongo ndi mankhwala ndondomeko

Kodi zizindikiro cha mankhwala osokoneza bongo zimachitika pamene mlingo cholakwika mankhwala "Kalchek"? Analogues ndi mankhwala yokha zingachititse kutchulidwa hypotension. Monga mankhwala wodwala apatsidwe udindo yopingasa, ndi pang'ono kukweza miyendo yake. Komanso, m'pofunika kuthandiza ntchito za pa zotengera mtima ndi magazi, kuyan'anila zizindikiro za ntchito m'mapapo mwanga a dongosolo lino, ulamuliro wa diuresis ndi Bcc.

Kubwezeretsa mtima kamvekedwe wodwala mankhwala osokoneza bongo ndi vasoconstrictor. Kuthetsa mavuto obwera chifukwa cha kashiamu njira anatseka misewu, wodwalayo chikuyendetsedwera (i.v.) kashiamu gluconate.

Mwanjira mankhwala

mapiritsi munthawi yomweyo "Kalchek" ndi "Warfarin" mankhwala sayambitsa kusintha kwakukulu mu nthawi prothrombin mu oimira wathanzi za kugonana mphamvu.

Pamene inu ntchito zonse medicament ankaona ndi mankhwala "Digoxin" Pakhala palibe kusintha mu ndende mwazi wa otsiriza, ndi chilolezo ake aimpso.

Dongosolo munthawi yomweyo mankhwala "Kalchek" ndi "cimetidine" alibe mphamvu pa katundu pharmacokinetic wa amlodipine.

Mimba ndi mkaka wa m'mawere

Kaya n'zotheka pa mkaka wa m'mawere ndi gestation khalidwe phwando "Kalchek" mapiritsi? Malangizo ntchito, madokotala weniweni kudziŵitsa kuti efficacy ndi chitetezo cha mankhwala pa mimba ndi kuyamwitsa mwana wanu sipakhala.

Zotsatira zoyipa za mankhwala

Kodi mankhwalawo zingachititse mankhwala "Kalchek"? Malangizo ntchito chida ichi zikugwirizana ndi mfundo yakuti udindo wake zikhoza zochita osafunika m'thupi. makamaka wamba mwa iwo ndi izi:

• Ziwiya ndi mtima, kufupika kwa mpweya, palpitations, ndipo amatuluka otentha.
• Mantha dongosolo (zotumphukira ndi pakati): amasinthasinthanso, chizungulire, omangana minofu, mutu, kusawona bwino, kugona, asthenia, kutopa, paresthesia ndi myalgia.
• M'mimba thirakiti: ululu m'mimba, dyspepsia, cholestatic matenda a chikasu ndiyo, nseru, kuwonjezeka transaminases (chiwindi).
• Khungu: erythema multiforme, pruritus, totupa.
• Other: gingival hyperplasia, gynecomastia, kuchuluka pafupipafupi pokodza, kusabala ndi kutupa.

malangizo Special kulandira mankhwala

Kodi mtundu wa mokoma ankaona mankhwala ayenera kudziwa pamaso mupemphere pakumwa mapiritsi a "Kalchek"? Akatswiri Mlendo kuti mankhwala ayenera kugwiritsidwa ntchito mosamala kwambiri kwa anthu ndi mkhutu ntchito chiwindi, komanso matenda a mtima (aakulu) ndi kung'ambika stenosis.

Munthawi yomweyo phwando mankhwala "Kalchek" ndi wothandizila si steroidal, ku feteleza, mankhwala ndi mankhwala hypoglycemic (m'kamwa) n'zotheka.

Zinachitikira ntchito yachipatala mankhwala ana akusowa.

Miyala "Kalchek" ziribe mphamvu pa luso wodwalayo kuyendetsa galimoto.

Terms ndi zinthu kusungiramo mankhwala

Kukonzekera "Kalchek" (5, 10 ndi 2.5 mg) ayenera kusungidwa mu ozizira, youma, mdima patali ndi ana aang'ono. Alumali moyo miyala ndi zaka 2.

Reviews wa mankhwala mankhwala, ndipo mtengo wa analogues ake

Kodi m'malo chida monga "Kalchek"? Analogs za mankhwala zilipo pafupifupi drugstores. Pakati pa nthumwi ambiri zikuphatikizapo medicaments otsatirawa: "Agen", "Tenoks" "adipic", "Stamlo", "Akridipin", "Omelar Cardio", "Amlo", "normodipin" "Amlodipine" "Norvasc" "Amlovas", "Amlorus", "Norvadin", "Amlodigamma", "Cordy Akor", "Amlodhi", "Korvadil", "Amlodifarm", "Karmagip", "Amlokard-Sanovel", "cardilopin", "Amlong" "Vero Amlodipine", "Amlotop", "Amlonorm".

mtengo wa ndalama ndi chiyani? Mtengo pafupifupi mankhwala ndi 175-190 Russian rubles (5 mg, mapiritsi 30).

Pankhani ndemanga cha odwala, iwo ali abwino kwa gawo lalikulu. Malinga ndi amene anayamba ntchito mankhwala, ndi bwino amalimbana ndi angina ndi matenda oopsa. Iwo ayenera kukumbukira kuti ambiri odwala osangalala ndi chakuti mankhwala ali olemera analekerera ndi iwo. Ngakhale zina mapiritsi "Kalchek" akadali kuyambitsa zotsatira zoyipa monga mutu, kupweteka m'mimba, chizungulire, kunyansidwa komanso thupi lawo siligwirizana pa khungu.