Reduxin Met ke sethethefatsi se kopaneng sa ketso. E ama lits'ebetso tsa biochemical tse hokahantsoeng: normalizing boemo ba tsoekere 'meleng, bo phahamisa boima ba' mele. Setlhare se hlahisoa ka mefuta e fapaneng ea litekanyetso. Ka kamohelo ea bona e rarahaneng e fana ka katleho e phahameng ho bapisoa le lithaka.
Lebitso la Machaba le sa Tšoanelehang
Metformin + Sibutramine + Microcrystalline Cellulose
![](http://img.diabetesentity.com/img/sayd-2020/1430/kak-pravilno-ispolzovat-preparat-reduksin-met.jpg)
Reduxin Met ke sethethefatsi se kopaneng sa ketso.
ATX
A08a
Lokolla liforomo le sebopeho
Setlhare se fumaneha litafoleng le likhabaneng. Li kenyeletsa lintho tse fapaneng tse sebetsang. Sephutheloana sena se na le matlapa a 20 kapa 60. Palo ea li-capsules ke makhetlo a 2 ka tlase: li-pcs tse 10 kapa 30.
Lipilisi
Ho 1 pc e na le 850 mg ea metformin hydrochloride. Moetso o kenyelletsa likarolo tse ling:
- crodarmellose sodium;
- cellcose ea microcrystalline;
- metsi a hloekisitsoeng;
- povidone K-17;
- magnesium stearate.
Likapole
Ho 1 pc e na le sibutramine hydrochloride monohydrate, cellcose ea microcrystalline. Khatello ea ntho ea pele e ka ba 10 le 15 mg, palo ea cellulose ea microcrystalline - 158,5 mg. Tekanyetso ea karolo ea ho qetela ha e fetohe ha u sebelisa li-sibutramine tse fapaneng. Baeti:
- tekanyetso ea titanium;
- litoeba;
- gelatin.
![](http://img.diabetesentity.com/img/sayd-2020/1430/kak-pravilno-ispolzovat-preparat-reduksin-met-2.jpg)
Setlhare se fumaneha litafoleng le likhabaneng.
Ketso ea pharmacological
Ntho e 'ngoe le e ngoe e sebopeho sa moriana e na le thepa e fapaneng. Metformin hydrochloride ke biguanide. Ntho ena e tšoauoa ka phello ea hypoglycemic - ts'ebetso ea eona e ka sehloohong ke ho fokotsa phallo ea tsoekere maling maling ho ea boemong bo tloaelehileng. Nakong ea kalafo, ntho ena ha e ame tlhahiso ea insulin. Ho feta moo, metformin e ntlafatsa tsoekere ea tsoekere ke lisele tsa mesifa. Likarolo tse ling li kenyelletsa:
- khatello ea tlhahiso ea li-acid tse mafura;
- ho fokotseha ha sekhahla sa oxidation;
- ho felisoa ha litlolo tsa karabelo ea 'mele ho insulin, e lebisang keketseho ea khatello ea mali maling;
- phokotso ea kahare ea lintho tse 'maloa tsa manyolo: lipoprotein tse fokolang, triglycerides;
- Khutliso ea sebopeho sa mali.
Ts'oants'o e tloaelehileng ea maemo a tsoekere e entsoe ka lebaka la ts'ebetso e eketsehileng ea batsamaisi bohle ba membrane. Metformin e thusa ho theola boima ba 'mele, hobane e fokotsa ho kenngoa ha lik'habohaedreite ke marako a mala.
![](http://img.diabetesentity.com/img/sayd-2020/1430/kak-pravilno-ispolzovat-preparat-reduksin-met-3.jpg)
Metformin e ntlafatsa boima ba 'mele.
Karolo ena e thusa ho ntlafatsa metabolism e senyehileng (dyslipidemia), e fokotsa boemo ba cholesterol e felletseng, lipoprotein tse tlaase. Ka lebaka lena, ts'ebetso ea phaello e sa laoleheng ea boima ba 'mele e tsitsa, ka lijo tse khethiloeng hantle, boima bo ka fokotseha.
Sibutramine hydrochloride monohydrate e hlahisa litholoana tsa eona ka ho nka karolo ha li-amine (metabolites). Ka lebaka la mekhoa e mengata ea biochemical ea sibutramine hydrochloride, monohydrate e fetoloa ho qala lintho. Tlas'a ketso ea karolo ena, ts'ebetso ea li-adrenergic le e bohareng ba li-receptor tsa serotonin lia eketseha. Ka lebaka lena, maikutlo a ho tlala a bonahala, tlhoko ea lijo e fokotseha nakoana.
Ho feta moo, cellcose ea microcrystalline e thusa ho theola boima ba 'mele. Ke enterosorbent e felisang matšoao a tahi. Cellulose e na le litlamorao tse ntle tsamaisong ea tšilo ea lijo.
Mofumahali
Enterosorbent ka sebopeho sa Reduxin Met ha e sebelisane le lintho tse ling tsa kalafo ebile ha e kenngoe ke marako a mala, e tšolloa nakong ea motsamao oa bowel. Bioavailability ea metformin ke 50-60%. Ntho ena e kenella ka potlako ho plasma. Ketsahalo ea tlhoro e fihlella ka mor'a lihora tse 2,5. Metformin ha e na metabolite e ngata. Ntho e nts'oa 'meleng ha o tsoa. Nako ea bophelo ba ho felisoa ha e fetele lihora tse 6.5.
Sibutramine e kenngoa ka botebo. Ntho ena e na le metabolism e mafolofolo. Tlhōrō ea katleho ea eona e fihlella ka mor'a lihora tse 1,2. Lintho tse lokolloang nakong ea metabolism le tsona lia sebetsa, empa li qala ho sebetsa lihora tse 3-4 kamora ho sebelisa moriana. Boholo ba sibutramine e epuoa ka sebopeho sa metabolites ka ho nka karolo ha liphio. Bophelo ba halofo ea ntho ha bo sa fetoloa ke hora e le 'ngoe. Lihlahisoa tsa phetoho ea eona li tlosoa lihora tse latelang tsa 14-16.
Matšoao a ho sebelisoa
Moriana o laeloa ho nona haholo kapa tloaelo ea ho fumana boima bo sa laoleheng ho bakuli ba nang le lefu la tsoekere la mofuta oa 2 lefu la tsoekere, dyslipidemia, bakuli ba nang le lefu la tsoekere pele le maemong a 'mele moo' mele o sa fumaneng litholoana tse hlokahalang. Ntho e khethollang ho khethoa ha sethethefatsi sena ke letšoao la index ea boima ba 'mele - 27 kg / m² le ho feta.
![](http://img.diabetesentity.com/img/sayd-2020/1430/kak-pravilno-ispolzovat-preparat-reduksin-met-4.jpg)
Moriana o laeloa ho nona haholo kapa tloaelo ea ho fumana boima bo sa laoleheng ho bakuli ba nang le lefu la tsoekere la mofuta oa 2.
Contraindication
Ho na le lithibelo tse ngata mabapi le ts'ebeliso ea sesebelisoa se botsoang:
- karabelo ea motho ka mong ho karolo efe kapa efe ea sehlahisoa;
- mmuso o motle, komisi;
- ketoacidosis kgahlano le semelo sa nts'etsopele ea lefu la tsoekere;
- ts'ebetso e sa sebetseng ea renal haeba tumellano ea creatinine e le tlase ho 45 ml / min;
- lefu la sebete la sebete;
- mabaka a mabe a tlatsetsang ho sitiseng sebete: ho hlatsa, lets'ollo le sa laoleheng, maemo a ts'osang a hlahileng ka mabaka a fapaneng, le ts'oaetso e matla;
- bothata ba pelo: ischemia, khatello ea mali, jj.;
- hypoxia le mabaka afe kapa afe a mabe a tlatsetsang ho nts'etsopele ea boemo bona ba methapo ea methapo;
- chefo ea joala;
- hyperplasia ea matsoele a tšoelesa ea senya, e isang tšebetsong ea ho ntša metsi, ka lebaka leo, lintho tse sebetsang tse lokelang ho pepesoa ke liphio lia eketseha;
- ho sitisoa ha tsamaiso ea endocrine (thyrotooticosis);
- pheochromocytoma;
- glaucoma ea angle-koaloa;
- lactic acidosis;
- ho itšetleha ka lik'hemik'hale lithethefatsi kapa lithethefatsing;
- ho sithabela maikutlo, ho buuoa, ha kalafo ea insulin e hlokahala;
- tlhatlhobo ea morao-rao e sebelisang baemeli ba phapang, haeba ho se ho fetile lihora tse 48 pele ho ts'ebetso;
- ja lijo tse nang le tloaelo ea letsatsi le letsatsi e sa feteng 1000 kcal;
- ho hloka taolo ea methapo ea kutlo, bulimia;
- lipale tsa tlhaho tse tšoenyang;
- mathata a kelello a tebileng.
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Ka tlhokomelo
Maemo a 'maloa a bonoa moo ho lumelletsoeng ho sebelisa lithethefatsi tseo ho buuoang ka tsona, empa kalafo e etsoa tlas'a taolo ea ngaka, ho feta moo, ho hlokahala tlhokomelo e hlokolosi ea boemo ba' mele. Lits'ebetso tse amanang:
- ho se sebetse hantle ha mali ho potoloha;
- nalane ea pathological ea arterial;
- cholelithiasis;
- maemo a amanang le ho tsitsipana, ho akheha ha letsoalo;
- ho se sebetse hantle ha renal le sebete 'me li bonoe ka mokhoa o bonolo kapa o itekanetseng oa lipontšo;
- lefu la sethoathoa
- tloaelo ea ho tsoa mali;
- kalafo e nang le li-ejenti tse amang hemostasis le tšebetso ea liplatelete;
- ho eketsa ho ikoetlisa 'meleng oa bakuli ba lilemo tse fetang 60.
Mokhoa oa ho nka Reduxine Met
Lithethefatsi ka mefuta e fapaneng (li-capsules, matlapa) li nooa le lijo, haholo-holo hoseng.
![](http://img.diabetesentity.com/img/sayd-2020/1430/kak-pravilno-ispolzovat-preparat-reduksin-met-19.jpg)
Setlhare se nooa le lijo, ka ho khetheha hoseng.
U ka e nka joang bakeng sa ho theola boima ba 'mele
Mokhoa oa ho nooa litekong motheong oa pele: Letlapa le le 'ngoe la 1 le 1 le senotlolo sa sibutramine e lokela ho ba 10 mg. Nakong ea kalafo, boima ba 'mele le glucose li hlahlojoa. Haeba boemo ba mokuli bo sa ntlafala nakong ea matsatsi a 14, eketsa tekanyetso ea metformin makhetlo a 2, tsoela pele ho nka 1 capsule. Maemong ana, tekanyo ea lithethefatsi matlapeng e lokela ho aroloa ka litekanyetso tse peli, e leng ho tla fokotsa kotsi ea karabelo e mpe. Palo e lekaneng ea letsatsi le letsatsi ea metformin ke 2550 mg, kapa matlapa a 3.
Haeba ka nako ea libeke tse 4 boima ba 'mele ha bo so fetohe haholo, hoa utloahala ho eketsa tekanyo ea sibutramine butle-butle ka li-15 mg / ka letsatsi.
Haeba moriana o sa thusa ho fokotsa boima ba 'mele nakong ea likhoeli tse 3, kalafo e emisoa.
Hape, lithethefatsi li nkoa li sa sebetse haeba qetellong ea thupelo, boima ba 'mele bo eketseha hape. Tabeng ena, tšebeliso ea moriana hape ha e khothalletsoe.
Ho nka moriana oa lefu la tsoekere
Boemong bona ba pathological, bo lumelloa ho sebelisa mokhoa o tloaelehileng: 10-15 mg ea sibutramine le 850-1700 mg ea metformin. Motsoako oa hoseng - Letlapa le le leng la 1 le 1 Mantsiboea, haeba ho hlokahala, nka letlapa le le leng la 1. Nako e lumelletsoeng ea kalafo ea lefu la tsoekere ke selemo se le seng. Haeba u batla ho tsoela pele ka mokhoa oa phekolo, sibutramine e hlakotsoe, ka mor'a moo ho nkuoe metformin feela.
Litla-morao Reduxine Met
Matšoao a ka hlahang le feberu a tsebahala, kotsi ea ho ba le edema, thrombocytopenia, le ponahalo ea bohloko ba morao ea eketseha.
Phekolo ea ka mpeng
Lituloana tsa metsi, ho qhekella, ho ruruha, ho nyekeloa, ho hlatsa, takatso ea lijo, bohloko bo ka mpeng, ho hlohlona ha sebete, hepatitis.
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Tsamaiso ea methapo e bohareng
Ho sithabela maikutlo, ho otsela, ho hlohlonaha ho ba teng. Ho na le tlolo ea tatso. Ho opeloa ke hlooho, ho tsekela, ho omella ha litho tsa mucous tse ka har'a mothapo oa molomo ho hlahang.
Ho tsoa ts'ebetsong ea moroto
Jade karolong e hlobaetsang.
Ho tsoa ts'ebetsong ea genitourinary
Dysmenorrhea.
Ho tsoa ho tsamaiso ea methapo ea pelo
Ho fetoha ha sekhahla sa pelo, khatello ea mali e eketsehileng.
Allergie
Ho hlohlona, lekhopho, erythema, ho eketsa secretion ea mofufutso oa mofufutso.
Tšusumetso ho bokhoni ba taolo ea methapo
Ha ho na lithibelo tse thata, leha ho le joalo, moriana o ka ama hampe mokhoa oa ho khanna likoloi. Ka lebaka lena, tlhokomeliso e lokela ho sebelisoa ha u ntse u khanna.
![](http://img.diabetesentity.com/img/sayd-2020/1430/kak-pravilno-ispolzovat-preparat-reduksin-met-34.jpg)
Lithethefatsi li ka ama hampe bokgoni ba ho khanna makoloi.
Litaelo tse khethehileng
Bakeng sa batho ba ka holimo ho lilemo tse 65, lithethefatsi ha li fuoe.
Bakeng sa bakuli ba nang le lefu la tsoekere le lefu la tsoekere le tšoaetsanoang ke a ramatiki, menyetla ea ho ba le lactic acidosis ea eketseha.
Setlhare ha se nkoe pele ho buuoa. Khaotsa kalafo lihora tse 48 pele u buuoa.
Ka kalafo ea nako e telele khahlanong le semelo sa ho hlaphoheloa kelellong, tumello ea creatinine e lokela ho betoa leihlo hang ka selemo.
Setlhare se ka sebelisoa feela maemong ao mehato eo e seng ea lithethefatsi e ikemiselitseng ho theola boima ba 'mele e sa faneng ka sephetho se lakatsehang.
Sebelisa nakong ea bokhachane le pelehi
Sesebelisoa se thibetsoe ho sebelisoa.
Khetho ea Reduxine Met ho bana
Ha e sebetse ho fihlela lilemo tse 18.
Tekanyo e fetelletseng ea Reduxine Met
Haeba u sebelisa palo e eketsehileng ea metformin, menyetla ea ho ba le lactic acidosis ea eketseha. Ho nyenyefatsa boemo ba mokuli ka lefu le joalo, nako ea kalafo ka Reduxin Met e emisoa, hemodialysis e etsoa sepetlele.
Sibutramine ke ka seoelo e halefisang nts'etsopele ea maikutlo a fosahetseng, leha ho le joalo, maemong a mang, tachycardia, hlooho le ho tsekela li ka hlaha, khatello ea eketseha. Matšoao a nyamela ha o ka sitisa thuto.
![](http://img.diabetesentity.com/img/sayd-2020/1430/kak-pravilno-ispolzovat-preparat-reduksin-met-35.jpg)
Sibutramine ke ka seoelo e khopisang nts'etsopele ea maikutlo a mabe, empa maemong a mang, khatello e eketseha.
Ho sebelisana le lithethefatsi tse ling
Ha hoa lumelloa ho kopanya metformin le mahlahana a radiology a fapaneng a nang le iodine.
Ka hlokolosi, sethethefatsi seo ho buuoang ka sona se sebelisoa hammoho le Chlorpromazine, Danazole, glucocorticosteroids, diuretics, Nifedipine, li-inhibitors tsa ACE le aga-2-adrenergic agonists ka mokhoa oa tharollo ea ente.
Tekanyo ea joala
Setlhare sena se kenya letsoho kholisong ea lactic acidosis, haeba e kopantsoe le lino tse nang le joala.
Li-analog
Litsela tse sebetsang:
- Leseli la Reduxin;
- Goldline Plus;
- Turboslim.
Phapang ea Reduxin Met ho tloha Reduxin
Moemeli eo ho buuoang ka eena o na le lintho tse 3 tse sebetsang, tse etsang hore e atlehe ho feta li-analogues tse ngata. Reduxin e tšoauoa ka sebopeho sa likarolo tse peli, sibutramine, cellcose ea microcrystalline e le metsoako e sebetsang.
Lipehelo tsa khefu ea khemisi
Setlhare se fanoang ke ngaka.
A na nka reka ntle le lengolo la ngaka?
Che.
Theko ea Reduxin Met
Litsenyehelo tse tloaelehileng ke li-ruble tse 3000.
Maemo a polokelo ea moriana
Mocheso o phahameng ka ho fetisisa ka phapusing: + 25 ° C. Sehlahisoa ha sea lokela ho pepesetsoa khanya ea letsatsi e tobileng.
Letsatsi la ho felloa ke nako
Sesebelisoa se boloka thepa bakeng sa lilemo tse 3.
Moqapi
OZONE, Russia.
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Litlhahlobo mabapi le Reduxine Met
Lingaka
Aliluev A.A., therapist, ea lilemo li 43, Krasnodar
Setlhare se hloka tlhokomeliso ha u sebelisa, hobane se na le li-contraindication tse ngata. Nakong ea kalafo, mali, khatello, sekhahla sa pelo sea hlahlojoa.
Pavlova O. E., setsebi sa phepo, ea lilemo tse 39, Khabarovsk
Pheko e ntle. E thusa ho emisa ho nona ha boima ba 'mele. Haeba u haha sesebelisoa sa motlakase ka nepo, o ka fumana litholoana tse ntle.
Bakuli
Anna, ea lilemo li 37, Penza
Ke nkile moriana ona ka likhoeli tse ngata. Mmele o ne o sa mamellehe hantle, kahoo thupelo e ile ea emisa pele ho nako.
Anastasia ea lilemo tse 33, Bransk
Ke na le lefu la tsoekere. Ke lula ke tlōla-tlōla boima ba 'mele - e eketsa feela ka tsela e kholo. Ka thuso ea Reduxin, u ka laola mokhoa ona hanyane.
Ho fokotsa boima ba 'mele
Valentina, ea lilemo li 29, St. Petersburg
Ke ile ka sebelisa lithethefatsi ha boima bo ntse bo eketseha nakong ea kemaro. Ngaka e boletse hore pele u hloka ho emisa ho lactation, ka hona kalafo e qalile kamora lilemo tse 1.5. Ke ile ka latela lijo, ka ikoetlisa 'me ka nako e tšoanang ka nka lipilisi, likhakeletsi. Kamora likhoeli tse peli, sephetho se ne se se se bonahala hanyane.
Olga, ea lilemo li 30, Vladivostok
Nakong ea ts'ebetso ea Reduxine, Met e tšehelitse 'mele ka thuso ea livithamini, hobane lijo tse nang le khalori e tlase li ile tsa tlameha ho bonoa. Thupelo ena e khuts'oane haholo - likhoeli tse 3. Ka nako ena, ho ne ho sa khonehe ho fokotsa boima ba 'mele haholo, empa liphetoho tse nyane li ne li ntse li bonahala. Kamora nakoana ke tla tsoelapele ho sebelisa lithethefatsi.