Atorvastatin-Teva ke moloko o mocha oa li-statins. Moriana o nkoa o sebetsa hantle ho phekoleng matšoao a cholesterol e phahameng ea mali.
Pele a sebelisa sehlahisoa, mokuli o lokela ho tloaelana le tlhaiso-leseling ka kakaretso mabapi le sehlahisoa, a nahane ka likarolo, hape a ele hloko tlhahisoleseling mabapi le litla-morao.
Lebitso la Machaba le sa Tšoanelehang
Atorvastatin, Atorvastatin.
ATX
C10AA05.
Lokolla liforomo le sebopeho
Litheong tsa bongaka le libakeng tsa litlama, lithethefatsi li fanoa ka mokhoa oa litafole. Mabokose ana a na le marikhoe, 'me ka har'a mekotla ea pampiri e kholo.
Foromo ea litekanyetso e kopantsoe le filimi mme e ngotsoe ka mahlakoreng ka bobeli a sehlahisoa. Matlapa a hlahisoa ka lipalo tse latelang:
- 93 le 7310 ka mahlakoreng a fapaneng a foromo ea litekanyetso (matlapa a 10 mg);
- 93 le 7311 (20 mg ka ngoe);
- 93 le 7312 (40 mg ka ngoe);
- 93 le 7313 (80 mg ka ngoe).
Ntho e sebetsang ea lithethefatsi ke khalsiamo ea atorvastatin.
![](http://img.diabetesentity.com/img/sayd-2020/1748/kak-pravilno-ispolzovat-preparat-atorvastatin-teva.jpg)
Atorvastatin-Teva ke moloko o mocha oa li-statins.
Likarolo tse thusang:
- sebaka sa tsoekere se sebelisoang lihlahisoa tsa meriana;
- mofuta o sa koaheleheng oa boima bo tlase ba molek'hule ea polyvinylpyrrolidone;
- Eudragit E100;
- alpha tocopherol macrogol faiti;
- cellulose sodium letsoai;
- antihypoxant e amang boleng ba ho fetoha ha lisele haeba ho na le khaello ea oksijene.
Karolo e kaholimo ea letlapa e na le opadray YS-1R-7003: polysorbate-80, hypromellose 2910 3cP (E464), titanium dioxide, hypromellose 2910 5cP (E464), macrogol-400.
Ketso ea pharmacological
Lithethefatsi ke moemeli ea fokotsang lipid o thibelang ts'ebetso ea ho fokotsoa ha enzyme HMG-CoA. Ntho e sebetsang ka sebopeho sa letlapa e ama sekhahla sa cholesterol biosynthesis, e laola boemo ba lipoprotein maling a mali, e eketsa palo ea li-receptor tsa sebete.
![](http://img.diabetesentity.com/img/sayd-2020/1748/kak-pravilno-ispolzovat-preparat-atorvastatin-teva-2.jpg)
Ntho e sebetsang ka sebopeho sa letlapa e ama boemo ba cholesterol biosynthesis.
Ka nako e ts'oanang, lithethefatsi li ama ho fokotseha ha apolipoprotein B maling (mokalli oa k'holeseterole e sa hlokahaleng) le triglycerides (e hlahisang mafura a 'mele).
Kahoo, moriana o fokotsa monyetla oa ho ba le mafu a tsamaiso ea potoloho, o thibela kotsi ea ho tšoaroa ke pelo le stroke.
Ho ea ka lithuto tsa bongaka, lithethefatsi li fokotsa palo ea cholesterol ea LDL ka 41-61%, apolipoprotein B - ka 34-50%, triglycerides - ka 14-33%.
Mofumahali
Ntho e sebetsang ea lithethefatsi e kenelletse ka har'a plasma ea mali ka metsotso e 30-60.
Lintho tse ka har'a letlapa li tšeloa ka har'a sebete 'me li pepeloa kahare ho lihora tse 14, ha li ntse li boloka phello ea motsoako (ho fihlela lihora tse 30).
Karolo e sebetsang ha e tlosoe 'meleng ka tlhoekiso e eketsehileng ea mali.
![](http://img.diabetesentity.com/img/sayd-2020/1748/kak-pravilno-ispolzovat-preparat-atorvastatin-teva-3.jpg)
Litheong tsa bongaka le libakeng tsa litlama, lithethefatsi li fanoa ka mokhoa oa litafole. Mabokose ana a na le marikhoe, 'me ka har'a mekotla ea pampiri e kholo.
Se laetsoeng
Phekolo e kenyelelitsoe kalafong maemong a latelang:
- Phetoho ea pathological e amanang le keketseho ea boemo ba joala ba polycyclic lipophilic maling a mali: mantlha, heterozygous Familia le hypercholesterolemia eo eseng ea lelapa.
- Keketseho e sa tloaelehang maemong a lipids le lipoprotein maling: motsoako o kopaneng kapa o kopaneng oa hyperlipidemia ea mofuta IIa le IIb ho latela Fredrickson. Phekolo e beoa hammoho le lijo, ka mor'a moo lijo li reretsoe ho theola LDL-cholesterol, apolipoprotein B le triglycerides le ho eketsa cholesterol ea HDL.
- Phokotso ea litekanyetso tsa beta-lipoprotein le chylomicrons maling, e bakang khaello ea livithamini A le E: mofuta III dysbetalipoproteinemia ho latela Fredrickson.
- Triglycerides e phahamisitsoeng (mofuta oa IV ho latela Fredrickson). Moriana o fanoe haeba mokhoa oa ho ja o sa sebelisoeng hantle o sa atlehe.
- Homozygous Familia hypercholesterolemia, bakeng sa ho felisoa ha mokhoa oa phekolo ea phepo ha o na thuso.
- Kotsi e eketsehileng ea ho ba le stroke, myocardial infarction, angina pectoris.
- Ho ba teng ha mabaka a 3 kapa ho feta a kotsi: bong ba banna, index ea mmele o eketsehang, lilemo tse fetang 55, hypertrophy ea methapo, lefu la tsoekere, mathata a ts'ebetso ea liphio, lefu la pelo le tšoaetso, lefu la pelo la lefutso la degree ea pele.
![](http://img.diabetesentity.com/img/sayd-2020/1748/kak-pravilno-ispolzovat-preparat-atorvastatin-teva-4.jpg)
Motsoako o kenyelelitsoe ho tsa bongaka le menyetla e eketsehang ea ho ba le stroke, myocardial infarction, angina pectoris.
Contraindication
Setlhare se na le li-contraindication tse latelang:
- ho se mamellane ha motho ka mong likarolo tsa moriana;
- ho se khonehe ha 'mele ho monya lactose;
- ho haella ha enzyme ea Lapp-lactase, pathology ea protheine e tsamaisang tsoekere le galactose;
- li-enzyme tse phahameng tsa sebete;
- lefu la sebete le sa foleng kapa le sa foleng;
- ho hloleha ha sebete;
- ho rera bokhachane, nako ea ho beleha ngoana kapa ho anyesa;
- mafu a neuromuscular (myopathy);
- bonyane.
![](http://img.diabetesentity.com/img/sayd-2020/1748/kak-pravilno-ispolzovat-preparat-atorvastatin-teva-5.jpg)
Ho haelloa ke Hepatic ke ho sitisa ho noha moriana.
Ka tlhokomelo
Lithethefatsi li lokela ho nooa ka hloko ha:
- mafu a sebete;
- phapanyetsano e fosahetseng ea likarolo tsa trace;
- ho ba teng ha likhathatso tsamaisong ea endocrine le tšilo ea lijo;
- tšoaetso ea asiti (sepsis);
- ho tsuaroa ha lefu la sethoathoa se sa laoleheng;
- ho ba teng ha likotsi tse ngata;
- ho se sebetse hantle ha mesifa ea mesculoskeletal system;
- tlhekefetso ea joala.
![](http://img.diabetesentity.com/img/sayd-2020/1748/kak-pravilno-ispolzovat-preparat-atorvastatin-teva-6.jpg)
Ha ho na le litlolo tsamaisong ea endocrine, moriana o lokela ho nkuoa ka hloko.
Motho ea entseng opereishene ka makhetlo a mangata nakong ea kalafo e tloaelehileng le lipilisi o lokela ho beoa leihlo khafetsa ke ngaka ho bona hore na ho ka ba le litlamorao tse sa batleheng.
Mosali ea sebelisang moriana o hloka ho sebelisa lithibela-pelehi tse sebetsang.
Mokhoa oa ho nka Atorvastatin-Teva
Moriana o khothalletsoa hore o sebelisoe feela haeba o bontšitsoe.
Phekolo e kenyelletsa tšebeliso ea litafole ho latela lijo tse tloaelehileng tsa hypocholesterolemic.
Ha u khetha lethal dose e nepahetseng (10-80 mg), ngaka e nka matšoao a tlhahlobo, ho nka tlhaiso-leseling ka sekhahla sa cholesterol ea LDL. Litlhahlobo tsa taolo ea ho fetola mokhoa oa phekolo o khethiloeng li etsoa matsatsing a mang le a mang a 14- 28.
Ho hypercholesterolemia ea mantlha le hyperlipidemia e tloaelehileng, litekanyetso li tloaelehileng ke 10 mg ka lihora tse 24.
Le hypercholesterolemia ea homozygous ea lelapa - 80 mg ka letsatsi.
Maemong a tlola molao oa lipid - 10 mg ka lihora tse 24. Nakong ea tlhatlhobo ke ngaka, litekanyetso li a fetoloa mme, ha ho hlokahala, o nyolohela ho 80 mg.
Litlamorao tsa ho nka meriana li hlaha kamora libeke tse peli.
![](http://img.diabetesentity.com/img/sayd-2020/1748/kak-pravilno-ispolzovat-preparat-atorvastatin-teva-7.jpg)
Moriana o khothalletsoa hore o sebelisoe feela haeba o bontšitsoe.
Ho nka moriana oa lefu la tsoekere
Ka tšebeliso ea li-statins, maemo a tsoekere ea mali a eketseha, ka hona nts'etsopele ea hyperglycemia e ka etsahala.
Litlamorao
Phekolo ea ka mpeng
Hangata, litla-morao li hlaha ka tsela ea bohloko ba ka mpeng, ho otla ha pelo, ho nyekeloa ke pelo, ho thunya le ho nyekeloa. Lintho tsena lia fokola nakong ea phekolo.
Litla-morao tse kotsi ka ho fetisisa li kenyelletsa ho ruruha ha mpa, manyeme kapa membrane ea mucous ea esophagus, intrahepatic cholestasis le anorexia.
Tsamaiso ea methapo e bohareng
Maemong a mang, mokuli a ka hlaha:
- Ho tsekela
- hlooho e bohloko
- bofokoli ka kakaretso le malaise;
- tahlehelo ea nakoana ea mohopolo;
- sensitivity disc (maikutlo a goosebumps, sensation e tukang, maikutlo a ho oka);
- ho fokotseha ha maikutlo ho susumetso ea kantle;
- tšenyo ea methapo ea kutlo;
- ho hloka boroko le litoro tse tšosang;
- asthenic syndrome.
![](http://img.diabetesentity.com/img/sayd-2020/1748/kak-pravilno-ispolzovat-preparat-atorvastatin-teva-8.jpg)
Maemong a mang, mokuli a ka ba le malaise le bofokoli bo akaretsang.
Ho tsoa tsamaisong ea phefumoloho
Litlamorao tse latelang lia khoneha:
- asthma ea bronchial;
- senya tšenyo ea matšoafo;
- ho ruruha ha mucosa ea ka mpeng;
- pneumonia
Karolong ea letlalo
Maemong a mang, maqeba le maqeba a fetoha letlalong la mokuli ka lebaka la lintho tse etsang hore a hlase. Mohlomong sebopeho sa lekhopho la polymorphic ho li-membrane le li-mucous membrane, ponahalo ea eczema le seborrhea, nts'etsopele ea chefo e ka pele ea chefo.
![](http://img.diabetesentity.com/img/sayd-2020/1748/kak-pravilno-ispolzovat-preparat-atorvastatin-teva-9.jpg)
Maemong a mang, maqeba le maqeba a fetoha letlalong la mokuli ka lebaka la lintho tse etsang hore a hlase.
Ho tsoa ts'ebetsong ea genitourinary
Tšebeliso ea lithethefatsi e ka baka:
- ho ruruha ho eketsehileng;
- ho se tsebe;
- polakiuria;
- ho ata ha ho nkulisoa bosiu ho feta motšeare;
- leukocyturia;
- ponahalo ea mali ka har'a moroto;
- ho hloka matla le tlolo ea kemiso;
- ho ruruha ha tšoelesa ea senya.
Ho tsoa ho tsamaiso ea methapo ea pelo
Ho bakuli ba bang, ha ho nooa lipilisi, lipalo tsa liplatelete maling lia fokotseha, ho ruruha ha lesapo la venous ho hlaha, phokolo ea mali, arrhythmia le angina.
Ho tsoa tsamaisong ea musculoskeletal
Bakuli ba bang ba ea leseling:
- ho hloka botsitso le bohloko karolong e ka tlase ea lesapo la mokokotlo;
- mesifa ea mokokotlo le hypertonicity;
- ho senyeha ha mesifa;
- myopathy e feteletseng;
- ramatiki;
- bohloko ba nakoana manonyeletsong.
![](http://img.diabetesentity.com/img/sayd-2020/1748/kak-pravilno-ispolzovat-preparat-atorvastatin-teva-10.jpg)
Litla-morao tse tsoang tsamaisong ea musculoskeletal: ramatiki.
Allergie
Joalo ka ha ho sitoa ho etsa lintho tse tšoanang:
- urticaria;
- ho hlohlona
- makhopho
- ho thothomela ha anaphylactic;
- ho ruruha ha letlalo, linama tse kenellang kapa litho tsa mucous.
Litaelo tse khethehileng
Tekanyo ea joala
Tšebeliso ea litafole tse nang le joala ka nako e tšoanang e ntlafatsa litlamorao, 'me e ama boiketlo ba mokuli.
![](http://img.diabetesentity.com/img/sayd-2020/1748/kak-pravilno-ispolzovat-preparat-atorvastatin-teva-11.jpg)
Tšebeliso ea litafole tse nang le joala ka nako e tšoanang e ntlafatsa litlamorao, 'me e ama boiketlo ba mokuli.
Tšusumetso ho bokhoni ba taolo ea methapo
Haeba litla-morao tsena li hlaha, ho ikoetlisa ho thibetsoe.
Sebelisa nakong ea bokhachane le pelehi
Moriana ha oa lokela ho nooa nakong ea bokhachane le nakong ea kanyeso.
Khetho ea Atorvastatin-Teva ho bana
Moriana o kopantsoe le bana.
![](http://img.diabetesentity.com/img/sayd-2020/1748/kak-pravilno-ispolzovat-preparat-atorvastatin-teva-12.jpg)
Moriana o kopantsoe le bana.
Sebelisa botsofaling
Bolo ba botsofe ha se ho sitisa tšebeliso ea lithethefatsi ka molomo: menyetla ea litla-morao ha e eketsehe, katleho ea moriana ha e fokotsehe.
Kopo ea ts'ebetso ea renal e senyehileng
Matlapa a lokela ho nooa tlasa taolo ea ngaka.
Sebelisa bakeng sa ts'ebetso ea sebete e sa sebetseng
Tšebeliso ea lithethefatsi e thibetsoe ka mekhoa e sa foleng le e sa foleng ea lefu la sebete, hammoho le keketseho e sa tloaelehang maemong a transaminases maling (makhetlo a 3 kapa ho feta ha a bapisoa le a tloaelehileng).
![](http://img.diabetesentity.com/img/sayd-2020/1748/kak-pravilno-ispolzovat-preparat-atorvastatin-teva-13.jpg)
Tšebeliso ea lithethefatsi e thibetsoe ka mekhoa e sa foleng le e sa foleng ea lefu la sebete, hammoho le keketseho e sa tloaelehang ea li-transaminases maling.
Bakeng sa bakuli ba nang le bothata ba ho phekoloa ha methapo
Tabeng ena, ngaka e eang e etsa liteko tsa mokuli khafetsa, ka mor'a moo lithethefatsi li ka fanoa ka litekanyetso tse fokotsang tsa lipid kapa tsa hlakoloa.
Bongata
Ka ho fetella hoa ntho e sebetsang 'meleng, mokuli o na le matšoao a latelang:
- boikutlo ba ho oma le ho hlonama ka hanong;
- ho nyekeloa le pelo le ho hlatsa
- dyspepsia.
![](http://img.diabetesentity.com/img/sayd-2020/1748/kak-pravilno-ispolzovat-preparat-atorvastatin-teva-14.jpg)
Ha motho a na le ntho e eketsehileng 'meleng, a ka na le ho nyekeloa ke pelo.
Haeba ho na le lithethefatsi tse ngata, ho etsoa seretse se matla ka mpeng ho lateloa ke ho lekola boemo ba CPK maling.
Ho sebelisana le lithethefatsi tse ling
Motsoako o kopantsoeng
Nakong ea kalafo, hoa hlokahala ho khetholla tšebeliso ea:
- fibrate;
- lithibela-mafu tsa macrolide;
- asiti ea nicotinic;
- azole antifungal agents;
- lero la morara.
![](http://img.diabetesentity.com/img/sayd-2020/1748/kak-pravilno-ispolzovat-preparat-atorvastatin-teva-15.jpg)
Nakong ea kalafo, ho hlokahala hore ho behelle ka thoko tšebeliso ea lero la morara.
Ha e khothalletsoe motsoako
Setlhare ha se ratehe ho sebelisoa hammoho.
- Cyclosporine;
- Li-inhibitors tsa HIV;
- Nefazodone;
- li-agents tse fokotsang khoholeho ea lihormone tsa endo native steroid.
Mekhaako e hlokang ho ba hlokolosi
Mokuli o eletsoa hore a tlalehe ngaka ea hae e ntseng e le teng ha e le hantle le maemo a tšohanyetso a ntse a le teng.
- P-glycoprotein inhibitors;
- Digoxin;
- lithibela-pelehi tsa molomo tse nang le ethinyl estradiol le norethisterone;
- Colestipol;
- Warfarin.
![](http://img.diabetesentity.com/img/sayd-2020/1748/kak-pravilno-ispolzovat-preparat-atorvastatin-teva-16.jpg)
Mokuli o eletsoa ho tlaleha liketsahalo life kapa life tse mpe tsa bophelo bo botle ho ngaka e eang haeba matlapa a sebelisoa ka nako e le ngoe le P-glycoprotein inhibitors.
Li-analog
Lithethefatsi tsa mefuta-futa tse kenyelletsang lintho tse tšoanang:
- Mohlaki
- Actastatin;
- Astin;
- Atomax;
- Atocor
- Atorem;
- Atoris;
- Atorvastatin;
- Atorvastatin alkaloid;
- Atorvastatin-LEXVM;
- Atorvastatin-SZ;
- Vazator;
- Lipoford;
- Liprimar;
- Novostat;
- Torvazin;
- Torvacard
- Torvas
- Tulip.
![](http://img.diabetesentity.com/img/sayd-2020/1748/kak-pravilno-ispolzovat-preparat-atorvastatin-teva-17.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1748/kak-pravilno-ispolzovat-preparat-atorvastatin-teva-18.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1748/kak-pravilno-ispolzovat-preparat-atorvastatin-teva-19.jpg)
Ke efe e betere - Atorvastatin kapa Atorvastatin-Teva?
Pele o etsa qeto ea tšebeliso ea lithethefatsi tse tšoanang, ho sa tsotelehe lebaka, mokuli o lokela ho ithuta tlhaiso-leseling ka matlapa 'me a buisane le ngaka ea hau ka monyetla oa ho e sebelisa hape.
Lebitso Atorvastatin (ntle le ho eketsa lebitso la moetsi) le fana ka maikutlo a hore moriana o thehiloe ke mokhatlo o ka 'nang oa se ke oa ba morekisi ea tšepahalang oa meriana.
Lipehelo tsa khefu ea khemisi
Matlapa ana a ajoa ho latela lengolo la ngaka, le nang le lebitso la bongaka ka Selatine, le ngotsoe mongolong oa lengolo la bongaka mme le netefalitsoe ka tiiso.
A na nka reka ntle le lengolo la ngaka?
Ho na le linyeoe tsa ho fumana moriana ntle le lengolo la ngaka (mabenkeleng a inthaneteng). Empa ho nka moriana ntle le ho khethoa ke setsebi ho ka baka kotsi e ke keng ea qojoa bophelong ba motho.
![](http://img.diabetesentity.com/img/sayd-2020/1748/kak-pravilno-ispolzovat-preparat-atorvastatin-teva-23.jpg)
Setlhare se lokela ho bolokoa se sa fihlelloe ke bana ka mocheso o ka tlase ho 30 ° C.
Theko ea Atorvastatin-Teva
Litsenyehelo tsa moriana ho moetsi oa Isiraele li fapana ho tloha ho li-ruble tse 95 ho isa ho tse 600. ho latela litekanyetso le sebaka sa thekiso.
Maemo a polokelo ea moriana
Setlhare se lokela ho bolokoa se sa fihlelloe ke bana ka mocheso o ka tlase ho 30 ° C.
Letsatsi la ho felloa ke nako
E seng lilemo tse fetang tse 2 ho tloha ka letsatsi leo a ntšitseng ka lona.
Moqapi
Khampani - Teva Pharmaceutical Industries, Israel.
Tlhahlobo ea Atorvastatin-Teva
Lingaka
Vitaliy, ea lilemo li 42, Ufa
Lithethefatsi tse tsoang Teva li hlahisoa ke k'hamphani e tšepahalang ea meriana Ka linako tse ling bakuli ba tletleba ka ho se sebetse hantle ha moriana. Leha ho le joalo, kamora kopo ea ho bonts'a sephutheloana se rekiloeng, ho fumanoa hore moriana o hlahisoa ke k'hamphani e 'ngoe e sa tsejoeng haholo.
Irina, ea lilemo li 48, Stavropol
Hoa hlokahala ho sebelisa moriana joalo ka ha u laetsoe ke ngaka le ha ho se na li-contraindication. Ts'ebetsong ea motho ka mong, ho na le ketsahalo ea ha mokuli ea nang le lefu la sebete a qala ho sebelisa lipilisi ntle le ho buisana le setsebi sa bongaka, se ileng sa baka kotsi e kholo ho bophelo ba hae.
Renat, ea lilemo li 37, Rostov-on-Don
Bakuli ha baa lokela ho lebala ka litlamorao tse tlisoang ke lithethefatsi. Ha u sebelisa matlapa, bakuli ba eletsoa ka matla hore kamehla ba hlahlobe mali a biochemical.
Bakuli
Ilya, ea lilemo li 38, Surgut
Ho feta likhoeli tse 3 tsa ho ja le ho sebelisa lithethefatsi, litekanyetso tsa cholesterol ea LDL li theohetse ho 3 mmol / L. Ka hona, nka re matlapa a na le phello e ntle, a fapana ka theko e tlase haholo. Ke e khothaletsa.
Alexandra, ea lilemo li 29, Izhevsk
Mma o ile a fuoa lipilisi hore a theole cholesterol. Likhoeli tse 3 li fetile, empa ha ho na liphetho. Empa bongata ba litla-morao - ho hlobaela, hlooho e bohloko, bohloko ba morao.
Marina, ea lilemo li 32, Voronezh
Ke lumela hore haeba ho na le mathata ka cholesterol, joale ho molemo ho latela mokhoa oa ho ja le ho tsamaea haholoanyane. Setlhare ha se ame boemo ba joala ba lipophilic, empa bo baka tsitsipano e mpe ea hlooho le hlooho. Ke noele lipilisi ho khothaletsoa ke ngaka ea ka 'me ha ke utloisise hore na o tataisoa ke eng ha a fa bakuli lithethefatsi tse joalo. Vazator ke e' ngoe ea lipapatso tsa lingaka.