Foromo ea litekanyetso: matlapa a koahetsoeng hantle a nang le metformin 500 kapa 850 mg.
Sebopeho sa lithethefatsi Metfogamm 500: metformin - 500 mg.
Lisebelisoa tse ling: propylene glycol, methylhydroxypropyl cellulose, magnesium stearate, povidone, polyethylene glycol 6000, sodium glycolate, titanium dioxide (E 171), anhydrous colloidal silicon diode, talc e hloekisitsoeng.
Metphogamm 850: metformin - 850 mg.
Lintho tse ling hape: methylhydroxypropyl cellulose, macrogol 6000, povidone, titanium dioxide (E 171), magnesium stearate.
Metfogamm 500: e koahetsoeng hantle, biconvex, matlapa a tšoeu a chitja. Likotoana tse 30 le tse 120 ka pakete e ngoe le e ngoe.
Metphogamm 850: matlapa a boreleli a koahelehileng hantle a nang le mohala o phoso. Hypoglycemic drug.
Matšoao a ts'ebeliso - thaepa mellitus ea tsoekere e sa ts'epeng insulin, eseng tšekamelo ea ketoacidosis (mabapi le bakuli ba batenya).
Contraindication
- Ketoacidosis ke lefu la tsoekere.
- Lefu la tsoekere, letlalong.
- Ho nyefola le ho nyekeloa ke pelo.
- Tlolo e hlakileng ea sebete le liphio.
- Ho omella.
- Lactic acidosis.
- Ho tsoala lesea le ho anyesa.
- Sebopeho se matla sa infarction ea myocardial.
- Ho tšoenyeha ho potoloha ha boko.
- Botaoa ba joala bo sa foleng le maemo a tšoanang a ka bakang nts'etsopele ea lactic acidosis.
- Boikutlo bo phahameng ho likarolo tsa moriana.
Tekanyetso le tsela ea tsamaiso
Tekanyetso ea lithethefatsi Metfogamm 500 e fanoa ho nahanela boemo ba tsoekere maling maling ka bonngoe. Tekanyetso ea pele ke hangata 500-1000 mg (lithane tse 1-2) ka letsatsi, keketseho e ntseng e eketseha butle-butle ea tekanyetso e lumelloa ho latela sephetho sa kalafo.
Tekanyetso ea letsatsi le letsatsi ea Metfogamm 500 bakeng sa tlhokomelo ke matlapa a 2-4. ka letsatsi. Tekanyetso ea letsatsi le letsatsi e lumelletsoeng ke 3 g (6 t). Tšebeliso ea litekanyetso tse phahameng ha e thusa ho ntlafatsa matla a kalafo (litlhahlobo tsa lingaka).
Tsela ea kalafo ea lithethefatsi e telele. Metfogamm 500 e lokela ho nkuoa ka lijo, e felle le ho hlatsuoa ka metsi a manyane
Tekanyetso ea lithethefatsi Metfogamma 850 e fanoa ho nahanela boemo ba tsoekere maling maling ka bonngoe. Tekanyetso ea pele hangata hangata ke 850 mg (1 t) ka letsatsi, keketseho e tsoelang pele ea butle-butle ea tekanyetso e lumelloa haeba matla le litlhahlobo li lokile.
Tekanyetso ea letsatsi le letsatsi ea Metphogamm 850 bakeng sa tlhokomelo ke matlapa a 1-2. ka letsatsi. Tekanyetso ea letsatsi le letsatsi e lumelletsoeng ke 1700 mg (2 t). Tšebeliso ea litekanyetso tse phahameng ha e ntlafatse matla a kalafo.
Nako ea kalafo le Metfogamm 850 e telele. Metfogamm 850 e lokela ho nkuoa le lijo, e nkuoe kaofela ebe e hlatsuoa ka metsi a manyane.
Tekanyetso ea letsatsi le letsatsi ea lithethefatsi tse fetang 850 mg e lokela ho aroloa ka litekanyetso tse peli (hoseng le mantsiboea). Bakeng sa bakuli ba tsofetseng, tekanyetso e khothalletsoang ka letsatsi ha ea lokela ho feta 850 mg.
Litaelo tse ikhethang:
Setlhare se ka se nooa:
- le tšoaetso ea methapo;
- ka likotsi;
- le ho mpefatsa ha mafu a sa foleng a tsoang tšoaetsong;
- le mafu a ho buoa le ho eketseha ha tsona;
- ka tumellano ea kalafo ea insulin.
U ke ke ua sebelisa moriana hang-hang pele u buuoa le bakeng sa matsatsi a mabeli kamora 'ona. Ho etsahala se tšoanang ho litlhahlobo tsa radiology le radiological (eseng matsatsi a 2 pele le matsatsi a 2 kamora).
Ha ho ratehe ho sebelisa lithethefatsi ho bakuli ba latelang lijo tse thibetsoeng khalori (e ka tlase ho 1000 kcal ka letsatsi). U ke ke ua fana ka moriana ona ho batho ba lilemo tse fetang 60 ba sebelisang boikoetliso bo boholo ba 'mele. Sena se eketsa menyetla ea lactic acidosis.
Nakong ea kalafo kaofela, hoa hlokahala ho lekola boitšoaro ba liphio le ho hlokomela boemo ba bona. Hang ka mor'a likhoeli tse ling le tse ling tse tšeletseng, haholo-holo boteng ba myalgia, ho hlokahala ho tseba hore na lactate e ngata hakae ka plasma.
Metfogammam e ka sebelisoa hammoho le insulin kapa sulfonylureas. Boemo feela ke ho lekola tsoekere ea mali kamehla.
Ho sebelisana le meriana e meng
Ho a khonahala ho eketsa phello ea hypoglycemic ea metformin ha e laetsoe hammoho le:
- li-blocker;
- cyclophosphamide;
- clofibrate derivatives;
- Li-inhibitors tsa ACE;
- oxytetracycline;
- MAO inhibitors;
- lithethefatsi tse seng khahlanong le ho ruruha tsa lithethefatsi;
- insulin;
- acarbose;
- sulfonylurea derivatives.
Ho ka etsahala ho fokotsa phello ea hypoglycemic ea metformin ha e laetsoe hammoho le:
- loopide le thiazide diuretics;
- nicotinic acid analogues;
- lihormone tsa qoqotho;
- glucagon;
- sympathomimetics;
- adrenaline
- lithibela-pelehi tsa molomo
- glucocorticosteroids.
Ka tšebeliso e tšoanang le cimetidine, menyetla ea lactic acidosis e eketseha. Sena se hlalosoa ke 'nete ea hore cimetidine e liehisa ho tlosoa hoa metformin' meleng.
Metformin e khona ho fokolisa phello ea li-anticoagulants.
Ha ho nooa joala, ho na le monyetla oa ho nts'etsapele lactic acidosis, 'nete ena e tiisoa ke litlhahlobo.
Litlamorao
Ho tsoa pampiring ea ka mpeng:
- lets'ollo, mala a ka mpeng;
- ho nyekeloa ke pelo, ho hlatsa
- tatso ea tšepe molomong;
- tahlehelo ea takatso ea lijo.
Ha e le hantle, matšoao ana kaofela a itlhahela ntle le phetoho ea tekanyetso. Botebo le khafetsa ea litla-morao tse tsoang mokhoeng oa ka mpeng li ka fokotseha kapa tsa nyamela kamora ho eketsa tekanyetso ea metformin.
Ho tsoa ho sistimi ea endocrine (ha u sebelisa tekanyetso e sa lekaneng), hypoglycemia e ka nts'etsapele (litlhahlobo tsa mokuli).
Liponahatso tsa ho kula: lekhopho la letlalo.
Maemong a sa tloaelehang, ho tloha ka lehlakoreng la metabolism, le hlokang ho khaoloa ha kalafo, lactic acidosis.
Maemong a mang, hematopoiesis - anemiabalkic anemia.
Ke eng e sokelang ts'ebeliso e feteletseng ea
Tekanyetso e fetelletseng ea Metfogamma e kotsi ka monyetla o phahameng oa ho theha lactic acidosis ka sephetho se bolaeang, litekolo ha li khutse. Lebaka la nts'etsopele ea maemo ana le holim'a ho bokelloa ha likarolo tsa moriana ka lebaka la ts'ebetso ea renal e sa sebetseng. Matšoao a pele a lactic acidosis a kenyelletsa:
- ho eketseha ha mocheso oa 'mele;
- ho nyekeloa ke pelo, ho hlatsa
- colic ka mpeng le mesifa;
- lets'ollo
nakong e tlang e ka bonoa:
- Ho tsekela
- ho hema ka potlako;
- ho akheha, letsoalo.
Bohlokoa! Ka matšoao a pele a lactic acidosis, kalafo e nang le moriana e lokela ho emisoa hang-hang, 'me mokuli o lokela ho kena sepetlele, moo ho hlahlojoang tlhahlobo ea lactate e behiloeng ho netefatsa tlhahlobo eo.
Ka nts'etsopele ea lactic acidosis, mohato o sebetsang ka ho fetisisa oa ho tlosa lactate ke hemodialysis. Hammoho le sena, kalafo ea matšoao le eona ea etsoa. Haeba metfogamma 850 e sebelisoa hammoho le sulfonylureas, ho na le kotsi ea hypoglycemia.
Boloka
Merfogamma 850 le Metfogamm 500 ea litokiso e lumelletsoe hore e bolokoe ka nako e ka tlase ho 25 ° C. Bophelo ba Shelf ke lilemo tse 4.
Ela hloko! Tlhahisoleseling eohle ke ea tataiso feela mme e etselitsoe lingaka. Tlhahisoleseling e felletseng ka lithethefatsi e ho litaelo tse tsamaeang le sephutheloana, 'me litlhahlobo mabapi le sona li ka fumaneha inthaneteng
