Lorista 100 ke lithethefatsi tse sebetsang tsa antihypertgency tse reretsoeng kalafo ea methapo ea mali.
Lebitso la Machaba le sa Tšoanelehang
Lebitso la khoebo la lithethefatsi ke Lorista, lebitso le sa ameheng la machaba ke Losartan.
![](http://img.diabetesentity.com/img/sayd-2020/1105/100.jpg)
Lorista 100 ke sethethefatsi se sebetsang sa antihypertensive.
ATX
Ho latela sehlopha sa ATX, sethethefatsi Lorista se na le khoutu ea C09CA01. Karolo ea pele ea khoutu (С09С) e bolela hore lithethefatsi ke tsa sehlopha sa mekhoa e bonolo ea li-antagonists tsa 2 (liprotheine tse thibelang ho eketseha ha khatello), karolo ea bobeli ea khoutu (A01) ke lebitso Lorista, e leng sona lithethefatsi tsa pele letotong la lithethefatsi tse tšoanang.
Lokolla liforomo le sebopeho
Lorista e fumaneha ka mokhoa oa litafole, tse koahetsoeng ka koae ea filimi e sireletsang, e nang le sebopeho sa oval. Ntho e ka sehloohong e sebetsang ea nucleus ke potasium losartan. Bahahlauli ba kenyelletsa:
- cellulose 80, e nang le 70% lactose le 30% selulose;
- magnesium stearate;
- silika.
Ho kopanya lifilimi ho kenyelletsa:
- propylene glycol;
- hypromellose;
- titanium dioxide.
Matlapa a kenngoe ka mela ea polasetiki, e tiisitsoe ka foil ea aluminium, 7, 10 le 14 likhomphutha. Ka lebokoseng la karete ho na le litafole tse 7 kapa 14 (lipampiri tse 1 kapa tse 2 tsa likhomphutha tse 7), matlapa a 30, 60 le 90 (lipapatso tse 3, 6 le 9 tsa li-pcs tse 10, ka ho fapana).
![](http://img.diabetesentity.com/img/sayd-2020/1105/100-2.jpg)
Motsoako o ka sehloohong oa Lorista 100 ke losartan.
Ketso ea pharmacological
Angiotensin 2 ke protheine e tsosang keketseho ea khatello ea mali. Kameho ea eona ho protheine ea cell cell (AT receptors) e hlahisa:
- ho khutsisa methapo ea mali ka nako e telele le e tsitsitseng;
- ho boloka mokelikeli le sodium, e eketsang palo ea mali a phallang 'meleng;
- ho eketsa mokokotlo oa aldosterone, vasopressin, norepinephrine.
Ntle le moo, ka lebaka la vasospasm le nako e telele, mokelikeli oa pelo o qobelloa ho sebetsa ka mojaro o eketsehileng, o lebisang nts'etsopele ea hypertrophy ea lebota la myocardial. Haeba mehato e sa nkuoe, khatello ea methapo ea kutlo le hypertrophy ea ventricle e kaholimo li tla baka khatello ea maikutlo le ho fokola ha lisele tsa mesifa ea pelo, tse tla lebisa ho se atleheng ha pelo, ho senyeha ha phepelo ea mali ho litho, haholoholo bokong, mahlo le liphio.
Molao-motheo oa kalafo ea antihypertensive ke ho thibela litlamorao tsa angiotensin 2 liseleng tsa 'mele. Lorista ke lithethefatsi tse thibelang ka botlalo liketso tsohle tsa 'mele tsa protheine ena.
![](http://img.diabetesentity.com/img/sayd-2020/1105/100-3.jpg)
Kamora ho kenella, Lorista ea kenella 'me ea tšeloa matla sebeteng.
Mofumahali
Kamora ho kena 'meleng, sethethefatsi sea kenella' me se tšeloa ka matla sebeteng, se qhalakana ka har'a metabolites e sebetsang le e sa sebetseng. Khokahano e phahameng ea lithethefatsi maling e tlalehiloe kamora hora ea 1, le metabolite ea eona e sebetsang ka mor'a lihora tse 3-4. Setlhare sena se qhekelloa ka liphio le mala.
Boithuto ba bakuli ba banna le ba basali ba nkang Lorista bo bontšitse hore khatello ea "losartan" maling a basali e phahame makhetlo a mabeli ho feta ho banna, mme khatello ea metabolite ea eona e ts'oanang.
Leha ho le joalo, 'nete e joalo ha e na bohlokoa ba bongaka.
Ho thusang?
Lorista e fuoe mafu a joalo ka:
- khatello ea kelello ea methapo;
- pelo e sa foleng.
Ntle le moo, setlhare se sebelisetsoa:
- ho sireletsa liphio tsa bakuli ba nang le lefu la tsoekere la mofuta oa 2 ho tsoeleng pele ho sebetsanang le ho ruruha, nts'etsopele ea lefu la lefu, le hlokang ho fetisoa ha litho, ho fokotsa lenane la mafu a mafu ho tsoa mefuteng ena ea maloetse;
- fokotsa kotsi ea ho ba le infrction ea myocardial, stroke, hammoho le lefu ka lebaka la nts'etsopele ea pelo le ho se sebetse hantle.
Ke khatello efe eo ke lokelang ho e nka?
Lorista ha se lithethefatsi tse fokotsang khatello ea mali kapele, empa ke sethethefatsi se reretsoeng kalafo ea nako e telele ea khatello ea mali. E nkuoa ka likhoeli tse 'maloa' me ke feela ka taelo ea ngaka.
![](http://img.diabetesentity.com/img/sayd-2020/1105/100-4.jpg)
Lorista ha e fuoe litlolo tse matla tsa tlolo ea sebete.
Contraindication
Moriana ha o fanoe maemong ao mokuli a utloang bohloko:
- ho se mamellane ha motho leha e le ofe ho likarolo tse etsang moriana oo;
- tlolo e matla ea sebete;
- li-pathologies tsa seterata sa biliary;
- congenital lactose tsietsing;
- glucose-galactose malabsorption syndrome;
- khaello ea lactose;
- ho omella;
- hyperkalemia
- lefu la tsoekere kapa lefu la ho leka-lekanya le ho sebetsa hantle 'meleng hape le nka Aliskiren.
Lorista e thibetsoe ka thata hore e sebelisoe nakong ea kemaro le ho nyeka, hammoho le ho bakuli ba ka tlase ho lilemo tse 18. Maemong a morao-rao, ha ho na datha mabapi le katleho le polokeho ea ho sebelisa moriana ona.
![](http://img.diabetesentity.com/img/sayd-2020/1105/100-5.jpg)
Lorista e thibetsoe ka thata hore e sebelisoe nakong ea kemolo.
Ka tlhokomelo
Tlhokomeliso e khethehileng ha u nka Lorista e lokela ho nkuoa haeba mokuli:
- nang le mathata a phehellang a methapo ea methapo ea liphio ka bobeli (kapa artery e le 'ngoe haeba letso e le eona feela);
- e boemong ba kamora ho fetisoa ha meno;
- kulisoa ke aortic stenosis kapa mitral valve;
- ea nang le hypertrophic cardiomyopathy;
- kula le pelo e matla ea pelo kapa ischemia;
- o na le lefu la cerbrovascular;
- e na le nalane ea monyetla oa angioedema;
- ea nang le asthma ea bronchial;
- e na le molumo o fokolisitsoeng oa ho potoloha mali ka lebaka la ho nka diuretics.
U ka nka Lorista 100 joang?
Moriana o nooa hanngoe ka letsatsi, ho sa natsoe nako kapa lijo. Ka khatello e phahameng ea mali, tekanyetso ea ho qala ke 50 mg. Khatello e lokela ho tsitsa kamora libeke tse 3-6. Ha sena se sa etsahale, tekanyetso e eketsoa ho 100 mg. Tekanyetso ke eona e lumelletsoeng ka botlalo.
Ha pelo e sa sebetse hantle, kalafo ea lithethefatsi e qala ka tekanyo e fokolang ea 12,5 mg mme e eketseha beke e 'ngoe le e' ngoe, e tlisa ho 50 kapa 100 mg.
Bakuli ba nang le bothata ba ho se sebetse ka sebete ba khothaletsoa ho sebelisa tekanyetso e fokolitsoeng ea lithethefatsi, e ikemiselitsoeng ke ngaka ho latela boemo ba mokuli.
![](http://img.diabetesentity.com/img/sayd-2020/1105/100-6.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1105/100-7.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1105/100-8.jpg)
Le lefu la tsoekere
Mofuteng oa 2 oa lefu la tsoekere, moriana o fanoa ka tekanyetso ea 50 kapa 100 mg, ho latela boemo ba mokuli. Lorista e ka nooa hammoho le lithethefatsi tse ling tsa antihypertensive (diuretics, alpha le beta adrenergic blocker agents), insulin le lithethefatsi tse ling tsa hypoglycemic, mohlala, glitazones, sulfonylurea derivatives, jj.
Litla-morao tse hlahisang Lorista 100
Lorista e mamelloa hantle mme ha se hangata e bakang litlamorao tse mpe. Hangata, maikutlo a tsoang:
- tsamaiso ea ho hema - ka mokhoa oa ho hema moea, sinusitis, laryngitis, rhinitis;
- letlalo - ka mokhoa oa lepera le letlalo;
- tsamaiso ea methapo ea pelo - ka sebopeho sa angina pectoris, hypotension, atropa ea fibrillation, ho akheha;
- sebete le liphio - ka mokhoa o sa sebetseng oa litho tsa ka hare;
- mesifa le mesifa e amanang - ka sebopeho sa myalgia kapa arthralgia.
Ha ho litlamorao tse tsoang ho sesole sa 'mele tse fumanoeng.
Phekolo ea ka mpeng
Ke ka seoelo mokuli a utloang bohloko ba ka mpeng kapa ho senyeha ha ts'ebetso ea ts'ebetso ea mokokotlo - ka mokhoa oa ho nyekeloa, ho hlatsa, ho sokela kapa lets'ollo, pancreatitis.
Hematopoietic litho tsa ka hare
Ho hlohlona khafetsa hoa hlaha, 'me ke ka seoelo thrombocytopenia.
Tsamaiso ea methapo e bohareng
Hangata, ho ba le litsie ho etsahala, ka seoelo - ho opeloa ke hlooho, ho otsela, migraine, ho khathatseha boroko, ho tšoenyeha, pherekano, khatello ea maikutlo, ho hlobaela bosiu, ho senyeha ha mohopolo.
![](http://img.diabetesentity.com/img/sayd-2020/1105/100-12.jpg)
Nakong ea kalafo ea Lorista, ho khanna ho lumelloa.
Allergie
Ke ka seoelo ho nka sethethefatsi sena se ka baka vasculitis ea letlalo, angioedema ea sefahleho le pampitšana ea ho hema, anaphylactic reaction.
Tšusumetso ho bokhoni ba taolo ea methapo
Nakong ea kalafo ea Lorista, ho khanna ho lumelloa. Mokhelo e ka ba maemo ao ho 'ona mokuli a nang le karabelo ea motho ka mong ho moriana ka mokhoa oa ho tsekela, haholoholo qalong ea kalafo, ha' mele o tloaela moriana.
Litaelo tse khethehileng
- Setlhare ha se khothalletsoe hore se sebelisoe ke bakuli ba nang le hyperaldosteronism ea mantlha, hobane ha e fane ka litholoana tse ntle.
- Bakuli ba nang le bothata ba ho se lekane ha metsi-electrolyte ba lokela ho fuoa Lorista ka litekanyetso li fokotsehile ho qoba nts'etsopele ea methapo ea methapo.
- Haeba sesosa sa khatello ea mali ke ho se sebetse hantle ha litšoelesa tsa parathyroid, ho hlokahala hore Lorista e nkoe hammoho le lithethefatsi tse thathamisang boemo ba lihormone le tšebetso ea liphio.
Sebelisa botsofaling
Ha ho hlokahale phetoho ea litekanyetso.
Khethoa ea bana ba likereke tsa lista ea bana ba 100
Setlhare sena ha se laetsoe bana le bacha ba ka tlase ho lilemo tse 18, hobane ha ho na datha e lekaneng bakeng sa phello ea eona nthong e ntseng e hola.
![](http://img.diabetesentity.com/img/sayd-2020/1105/100-13.jpg)
Lorista ha e laeloe bana le bacha ba ka tlase ho lilemo tse 18.
Sebelisa nakong ea bokhachane le pelehi
Nako ea kemaro ke khokahano ea tšebeliso ea Lorista, hobane hona ho ka baka tlhekefetso e kholo ho nts'etsopele ea popelo, ho kenyeletsoa lefu la hae. Ka hona, ha moimana a fumanoa, moriana o emisoa hang-hang 'me ho khethoe mokhoa o mong oa kalafo.
Ha u rera ho ima bakeng sa basali ba fumanang Lorista, pele u tlameha ho phethela tsela ea kalafo.
Liteko tsa liphoofolo li bontšitse hore tšebeliso ea moriana maemong a fapaneng a bokhachane hangata e lebisa ho oligohydramnios (oligohydramnios) ho mme mme, ka lebaka leo, ho li-pathologies tsa fetal tse kang:
- skeleton deformation;
- hypoplasia ea matšoafo;
- hypoplasia ea lehata;
- ho hloleha ha rems;
- arterial hypotension;
- anuria
Maemong ao ho ke keng ha khoneha hore mokhachane a khethe mofuta o mong oa kalafo, ho a hlokahala:
- Lemosa mosali ka litlamorao tse ka bang teng ho lesea.
- Lekola boemo ba lesea ka nako eohle hore le bone tšenyo e ke keng ea fetoloa.
- Lahla sethethefatsi molemong oa ntlafatso ea oligohydramnios (mokelikeli o sa lekaneng oa amniotic). Tšebeliso e tsoelang pele e ka etsahala feela haeba e le bohlokoa ho 'm'a
Ha ho na tlhahisoleseling ea hore na losartan e fetela lebeseng la matsoele. Ka hona, nakong ea kanyeso, Lorista e lokela ho tloheloa, 'me haeba sena se sa khonehe, ho fepa ho lokela ho emisoa.
![](http://img.diabetesentity.com/img/sayd-2020/1105/100.png)
Fluconazole e fokotsa khatello ea Lorista ho plasma.
Litaba tse fetang holimo Lorista 100
Tlhahisoleseling e mabapi le lithethefatsi tse ngata tse feteletseng ha ea lekana. Ka ho fetisisa, kholo e feteletseng e ka iponahatsa e le mofuta oa ho fokotseha ho hoholo ha khatello ea mali, tachycardia kapa bradycardia. Maemong a joalo, kalafo e tšehetsang matšoao e loketse. Hemodialysis ha e khetholle losartan le metabolite ea eona e sebetsang.
Ho sebelisana le lithethefatsi tse ling
- Lorista e tsamaisana le kalafo:
- ka hydrochlorothiazide;
- le warfarin;
- ka phenobarbital;
- ka digoxin;
- le cimetidine;
- ka ketoconazole;
- le erythromycin;
- le sulfinpyrazone;
- le probenecid.
- Fluconazole le rifampicin li fokotsa khatello ea Lorista ho plasma ea mali.
- Ts'ebeliso e tšoanang ea lithethefatsi ka letsoai la potasiamo le li-ingredient tse nang le potasiamo li lebisa ho eketseha ha khatello ea potasiamo ho serum ea mali.
- Lorista e khothaletsa ho felisoa ha lithium, kahoo ha ho sebelisa lithethefatsi ka botlalo, hoa hlokahala ho hlokomela boemo ba lithium ho serum ea mali.
- Ts'ebeliso e kopaneng ea Lorista le NSAIDs e fokotsa phello ea hypotensive.
- Kamohelo e rarahaneng ea Lorista ka li-antidepressants le li-antipsychotic hangata e baka hypotension.
- Ho amoheloa ha li-Lorista le glycosides ea pelo ho ka baka ts'oarello le "tachycardia" ea methapo.
![](http://img.diabetesentity.com/img/sayd-2020/1105/100-14.jpg)
Lozap ke analogue ea Lorista.
Tekanyo ea joala
Batho ba nang le khatello ea mali ha ba khothalletsoe ho noa joala le ha e le litekanyetso tse nyane, hobane joala bo thusa ho eketsa khatello ea mali le ho sitisa tšebetso ea mokokotlo oa pelo. Ho ja joala hammoho le Lorista hangata ho lebisa ho ho hloleha ha phefumoloho, ho potoloha hantle, bofokoli le litlamorao tse ling tse sa thabiseng, ka hona lingaka ha li khothaletse ho kopanya sethethefatsi le lino tse tahang.
Li-analog
Li-analog tsa Lorista ke:
- Lozap (Slovakia);
- Presartan 100 (India);
- Losartan Krka (Slovenia);
- Lorista N (Russia);
- Losartan Pfizer (India, USA);
- Pulsar (Poland).
Lipehelo tsa khefu ea khemisi
Ho latela litaelo tsa tšebeliso, Lorista e ajoa meriana ea litlama feela ka lengolo la ngaka.
![](http://img.diabetesentity.com/img/sayd-2020/1105/100-15.jpg)
Presartan-100 - analogue ea Lorista.
A na nka reka ntle le lengolo la ngaka?
Lorista e ka rekoa k'hemisteng ntle le taelo ea ngaka.
Theko ea Lorista 100
Litšenyehelo tsa matlapa a 30 a lithethefatsi tsa litlhare tsa Moscow ke li-ruble tse 300. Litafole tse 60 - li-ruble tse 500. Litafole tse 90 - li-ruble tse 680.
Maemo a polokelo ea moriana
Loreista e bolokiloe ka mocheso oa kamoreng e sa feteng 25 + C.
Letsatsi la ho felloa ke nako
Bophelo ba lishelefo tsa lithethefatsi ke lilemo tse 5.
Moqapi
Likhamphani tsa pharmacological li lokolla Lorista:
- LLC "KRKA-RUS", Russia, Istra;
- JSC "Krka, dd, Novo mesto", Slovenia, Novo mesto.
Tlhahlobo ho Lorista 100
Lorista o na le litlhahlobo tse ngata tse ntle tse tsoang ho lingaka le bakuli ka bobeli.
Litsebi tsa kelello
Vitaliy, ea lilemo tse 48, ea nang le lilemo tse 23, Novorossiysk: "Hangata ke sebelisa Lorista mesebetsing ea bongaka. Lithethefatsi li ipakile li le kalafong e kopaneng ea khatello ea mali le gout, hobane ntle le khatello, e thusa ho fokotsa uric acid maling le ho ba le phello ea ho khutlisa pelo. "Ho sebetsa hantle ha kalafo ho itšetlehile haholo ka hore na mori o khethoa ka nepo hakae, tumello ea tlhahiso ea" metabolinine le boima ba 'mele li hopoloa. "
Olga, ea lilemo li 50, ea nang le boiphihlelo ba lilemo tse 25, Moscow: "Lorista ke sesebelisoa se theko e tlase ebile se sebetsang bakeng sa kalafo ea khatello ea mali ea methapo, e nang le melemo e 2 ea bohlokoa: phello e bonolo ho mokuli le ho ba sieo ha khohlela e omileng - litlamorao tse tsamaeang le lithethefatsi tse ngata tsa phello e tšoanang ea kalafo."
Bakuli
Marina, ea lilemo li 50, Nizhny Novgorod: "Ke phetse bophelo bohle ba ka mahaeng, empa ha ke khone ho ipitsa ke phetse: Ke se ke qetile lilemo tse fetang tse 10 ke sa tšoaroe khafetsa - polasi e kholo e ke keng ea siuoa. "khatello ea pelo le lebelo la pelo le tloaelehileng, li eketsa mamello ea mmele. Dyspnea e fetile ho tloha ha ke qala ho sebelisa moriana."
Victoria, ea lilemo li 56, Voronezh: "Ke qetile lilemo tse fetang 10 ke tšoeroe ke khatello ea mali e phahameng, empa ka linako tsohle ho e-ba le litla-morao. Lorista o ile a tsoa hanghang: ho se khohlela, kapa ho ba le letsoalo, ho otla ha pelo, ho ruruha ho ile, ho ruruha hoa mmele "