"Finoptinum": umarnin don amfani, abun da ke ciki, real takwarorinsu

Daga zuciya da jijiyoyin bugun gini cutar rinjayar mutane da yawa. Bugu da ƙari, tare da shekaru, hadarin irin wannan cuta jihohin da aka ƙwarai karu. Don rage hadarin gaske matakai a cikin jiki, likitoci bayar da shawarar yin amfani da musamman kayan aikin. Daga gare su ne musamman rare ne alli tashar blockers. Su ne wani iri-irin kungiyar da kwayoyi. Su inji na mataki da ake dangantawa da ikon hana shigar azzakari cikin farji na alli ions daga extracellular sarari a cikin kwayoyin jikinsu da kuma jini na zuciya. Rage taro na wadannan abubuwa, da medicament exerts vasodilating mataki.

A mafi inganci miyagun ƙwayoyi da irin kaddarorin ne "finoptinum". Umurnai na yin amfani da abun da ke ciki, analogs, alamomi ga yin amfani da miyagun ƙwayoyi da kuma ta gefe effects aka bayyana a nan.

Form, abun da ke ciki

Abin da siffar ne halayyar da miyagun ƙwayoyi "finoptinum"? Umarnin a kan aikace-aikace ya ce shi za a iya saya a matsayin allura da kuma kwayoyi.

Kamar yadda aiki sashi na wannan wakili abubuwa verapamil hydrochloride. Har ila yau a cikin shirye-shiryen sun hada da daban-daban karin sadarwa (dangane da saki siffofin).

pharmacological effects

Abin da siffofin ne muhimmi a cikin miyagun ƙwayoyi "finoptinum"? Umarnin don amfani, reviews da'awar shi ne alli tashar shafi (zabe) farko aji. Yana da wani wanda aka samu difenilalkilamina da kuma farfado antianginal, antihypertensive da antiarrhythmic mataki.

Antianginal sakamako na wannan magani aka alaka da ikon shafar myocardium da kuma na gefe hemodynamics. A wasu kalmomin, da miyagun ƙwayoyi rage sautin na jijiya. Bugu da kari, shi rage transformatsiiyu ATP makamashi da cewa yana kunshe ne a cikin high-makamashi dangantaka a cikin inji da aiki da kuma rage tsokar contractility.

Ya kamata mu ma lura da cewa yin amfani da wannan magani muhimmanci rage tsokar O2 kuma yana da wani mummunan chronotropic, inotropic da vasodilatory effects.

Properties na da miyagun ƙwayoyi

Saboda da abun da ke ciki, da medicament "finoptinum", analogues na wanda aka jera a kasa, sannan ya takure cikin automaticity na sinus kumburi rage AV-madugu kuma qara tsaurin lokaci.

Kara shakatawa sau diastolic ventricle (hagu), wannan magani rage tonus tsokar jikin bango, Ina nufin wani karin hanyar zalunta obstructive hypertrophic cardiomyopathy.

Ya kamata kuma a lura da cewa, dauke magani nuna anti-arrhythmic kaddarorin da supraventricular arrhythmias.

A motsi da miyagun ƙwayoyi

Shiri "finoptinum" wa'azi wanda aka bayyana a kasa, da ake tunawa daga narkewa kamar fili (kamar 90% na kashi). Its tarayya, tare da mai gina jiki shi ne 90%.

Da miyagun ƙwayoyi ne metabolized a cikin nassi (na farko) ta cikin hanta. Wannan suranta irin wannan wanda aka samu kamar yadda norverapamil cewa shi ne kasa hypotensive aiki fiye da unmodified verapamil.

A rabin-rai lokacin da miyagun ƙwayoyi a kan samu guda sashi ne 3-8 hours. A amfani da maimaita allurai medicament, wannan adadi yi dabam (5-12 hours).

Samu miyagun ƙwayoyi ta cikin hanjinsu, kuma kodan.

shaidar

A wasu lokuta, rubũta magani "finoptinum"? Umurnai na amfani (Allunan, kuma ya injectable bayani da wannan showy) ya furta cewa, wannan kayan aiki da za a iya amfani supraventricular tachycardia (ciki har da paroxysmal, ciwo Lown-Ganong-Levine, kuma WPW-ciwo), shanyewar jiki (ƙarfin lantarki, barga ba tare da vasoconstriction, barga vasospastic), sinus tachycardia, atrial flutter, atrial tachyarrhythmia, atrial arrhythmia, da hawan jinni rikicin (ga igiyar jini gwamnati), hauhawar jini, da muhimmanci hauhawar jini a kananan hvs a wurare dabam dabam, hypertrophic obstructive cardiomyopathy.

contraindications

Lokacin da ba su tafiyad "finoptinum"? Umurnai na amfani (injections da Allunan da wannan contraindications) na nuna cewa wannan kayan aiki da aka haramta don amfani a mai tsanani hypotension, sinoatrial kewaye da rashin lafiya sinus ciwo (sai dai a marasa lafiya tare da na'urar bugun zuciya), AV-kawancen na uku da na biyu-mataki ciwo Launa -Ganonga-Levin da WPW-ciwo a hade tare da atrial fibrillation ko atrial flutter (sai dai marasa lafiya da na'urar bugun zuciya), ciki, hypersensitivity zuwa verapamil, nono.

Drug "finoptinum": umarnin don amfani da

A sashi daga cikin miyagun ƙwayoyi da aka lasafta likita akayi daban-daban.

Adult marasa lafiya hannu da aka gudanar da baki a wani na farko kashi na 40-80 MG sau uku a rana. Domin sashi siffofin da guda ci saki sashi ya kamata a kara, da kuma mita na gwamnati - ƙananan.

Kids shekaru 6-14 shekaru, wannan magani bada shawarar a kai a cikin adadin 80-360 MG da rana, kuma har zuwa shekaru 6 - a wani kashi na 40-60 MG da rana. A mita na gwamnati da miyagun ƙwayoyi ne sau hudu a rana.

Idan ya cancanta, da miyagun ƙwayoyi a tambaya za a iya gudanar da intravenously (sannu a hankali). Kamar haka wajibi ne a saka idanu da ECG, jini da zuciya rate na haƙuri.

Yarwa bayani sashi don adult mutane shi ne 5.10 MG. Idan warkewa sakamako ne ba ya nan, sai bayan minti 20 na shiri za a iya sake shiga (a wannan kashi).

A guda sashi injectable nau'i na da miyagun ƙwayoyi domin yara 6-14 shekara ne 2.5-3.5 MG ga yara 1-5 shekaru - 2-3 MG, kuma ga yaro har zuwa shekara guda - 0.75-2 MG.

Marasa lafiya da tsanani hanta kullum kashi kada wuce 120 MG.

Matsakaicin sashi na baka shiri a kowace rana shi ne 480 MG.

illa

Shiri "finoptinum" iya tsokana da wadannan gefen halayen:

• nauyi riba, bradycardia, agranulocytosis, ko worsening zuciya rashin cin nasara, hyperprolactinemia, tachycardia, mai shudewa asarar hangen nesa, na gefe edema.
• alama akan rage hawan jini, gynecomastia, galactorrhea, amosanin gabbai, angina, arrhythmia, na huhu edema, AV-block na uku mataki, asystole, thrombocytopenia asymptomatic, auka.
• tashin zuciya, stiffness a cikin makamai ko kafafu, gingival hyperplasia, aka rufe da mãgãgi, gajiya, karuwa a ci, juyayi, karuwa a hanta transaminases.
• fata rash, juwa ko jiri, maƙarƙashiya ko zawo, ciwon kai, ciki, kwantad da hankali, extrapyramidal cuta, gajiya, flushing na fata, sleepiness, exudative erythema multiforme, pruritus.

miyagun ƙwayoyi interactions

Shin yana yiwuwa a hada da sauran magunguna magani "finoptinum"? Umarnin a kan aikace-aikace ya furta cewa, hade da wadannan jamiái da antihypertensive kwayoyi yardatayya reinforces su antihypertensive sakamako.

By igiyar jini gwamnati na verapamil to mutanen da suka karbi kwanan wata kashi na beta-blockers, akwai wani babban hadarin da hypotension (jijiya) da kuma asystole.

Lokacin da co-gudanad da "finoptinum" miyagun ƙwayoyi da beta-blockers, magunguna ga inhalation m da antiarrhythmic kwayoyi kara hadarin tasowa zuciya rashin cin nasara, bradycardia, mai tsanani hypotension da AV-kawancen.

Tare da m "Amiodarone" Littafi bradycardia, korau inotropic sakamako, AV-block da kuma madugu disturbances.

Saboda verapamil damuarn isozyme CYP3A4, da hannu a cikin metabolism na simvastatin, lovastatin da atorvastatin iya zama wasu hulda bayyananen cewa suna lalacewa ta hanyar kara yawa na statins a cikin jini. lokuta da rhabdomyolysis da ma.

antianginal Properties "finoptinum" Littafi a lokacin da a hade tare da nitrates.

Tare da m na acetylsalicylic acid ne ta ƙara zub da jini lokaci saboda ƙari antiplatelet mataki.

Zan iya dauka "Dizopiramid" tare da miyagun ƙwayoyi "finoptinum"? Umarnin don amfani da rahoton cewa wannan hade iya haifar da tsananin hypotension da kuma auka, musamman a mutane da decompensated zuciya rashin cin nasara ko cardiomyopathy.

Lokacin amfani da biyun da Allunan, kuma bayani qara ta maida hankali a jini da "imipramine", inda hadarin maras so canje-canje a kan ECG. Ya kamata kuma a lura da cewa verapamil qara bioavailability na "Imipramine", Munã rage ta yarda.

Tare da hade da kwayoyi da "carbamazepine" inganta mataki na karshen, kazalika da kara hadarin illa daga CNS.

A daidai wannan lokaci da shan miyagun ƙwayoyi da "clonidine" akwai lokuta na zuciya rashin cin nasara a cikin mutane tare da hauhawar jini.

A lokacin da hada da medicament da lithium carbonate bayyananen miyagun ƙwayoyi interactions ne unpredictable da kuma gauraye. Akwai lokuta da neurotoxicity, mai tsanani bradycardia, bunkasa sakamakon lithium da kuma rage ta maida hankali a cikin jini.

As "Rifampicin" ayyukan a kan miyagun ƙwayoyi "finoptinum"? Manual jihohin da wannan hade yanã hanta enzymes, mugun gudu up da metabolism na verapamil. Wannan kyakkyawan take kaiwa zuwa wani raguwa a asibiti inganci na da miyagun ƙwayoyi a karkashin shawara.

takamaiman shawarwari

Abin da ya kamata ka sani kafin yin amfani da miyagun ƙwayoyi "finoptinum" (40 MG)? Guide rahoton cewa wannan kayan aiki da aka yi amfani da hankali a lokacin da AV-kawancen na farko mataki, mai tsanani aortic stenosis, bradycardia, tsokar zuciya infarction da gaban hagu na ramin zuciya rashin cin nasara, congestive zuciya rashin cin nasara a kullum yanayi, matsakaici ko m hypotension, hanta ko koda insufficiency. Har ila yau, a hankali wannan magani bada shawarar ga tsofaffi da kuma minors.

A m bukata a za'ayi ta hade far da hauhawar jini da kuma angina ta verapamil da beta-blockers. Amma ya zama dole su kauce wa igiyar jini gwamnati na karshen.

Bayan liyafar wannan yana nufin haƙuri iya ci gaba da irin wannan mutum halayen kamar drowsiness ko dizziness, wanda na iya shafar wani mutum ikon yi m aiki.

Pregnancy kuma lactation

Ko yana yiwuwa nan gaba sabon uwaye wajabta da miyagun ƙwayoyi "finoptinum"? Umarnin don amfani a lokacin daukar ciki yana da shi cewa wannan yana nufin wani m sakamako a kan fetal ci gaba. Yana kuma wuce zuwa cikin nono. Saboda haka, a karkashin wadannan yanayi da miyagun ƙwayoyi ne tsananin contraindicated.

Medicament "finoptinum": takwarorinsu da kuma kudin

Farashin da wannan kayan aiki na iya zama daban-daban. Kamar yadda mai mulkin, shi ya dogara da tsari na saki da miyagun ƙwayoyi, da yawa ko ikon yinsa. The talakawan kudin "finoptinum" ne 100-170 rubles.

Idan dauke da wani magani da kake contraindicated, shi za a iya maye gurbinsu da daya daga cikin wadannan hanyoyi: "Verapamil", "Verogalid" "Verapamil-OBL", "Kaveri", "Verapamil Sopharma", "Verapamil-Lect," "Verapamil-Verein" "verapamil-ratiopharm" "Isoptin", "verapamil-Escom," "Vero verapamil," "verapamil hydrochloride" "Lekoptin".

Reviews na likitoci da kuma masu amfani da

Masana sun ce wannan da Allunan, kuma bayani "finoptinum" shi ne wani tasiri da kuma m wajen, wanda aka tsara don mayar da jini, da kuma inganta walwala a wasu cututtuka na zuciya da jini.

Amma ga marasa lafiya, mafi yawansu ba su ne quite gamsu da sakamakon da magani tare da wannan wakili. Kwayoyi ko igiyar jini jiko bayani facilitates m kawar da cututtuka na hauhawar jini da kuma sauran alamun cuta daga cikin zuciya da jijiyoyin jini tsarin.

Ya kamata mu ma lura cewa game da miyagun ƙwayoyi da kuma samu mummunan rahotanni. Sun yi magana da wani babban yawan gefen halayen da faruwa nan da nan bayan yin amfani da miyagun ƙwayoyi. Har ila yau, da yawa masu amfani koka game da yawa contraindications.