"Itomed": imiyalelo ukusetyenziswa, inkcazo, analogs, ncomo

Kuba yintoni ugqirha iinjongo unokuchaza ezifana ichiza njenge "Itomed"? Imiyalelo ukuba ukusetyenziswa kweziyobisi, kwakunye ubungqina bakhe kuya kwenziwa kweli nqaku. Ukongeza, siza kukuxelela ukuba xa Ndicinga analogs iindlela, wobeka phi na eli chiza, oko imiphumela kwenzeka ngokuchasene nentsukaphi wokwamkelwa kwakhe, njl

Ukubunjwa ichiza, inkcazelo, ukupakisha kunye nemilo

Njani ichiza "Itomed"? Imiyalelo yokusebenzisa ithi iziyobisi esebenzayo isale «HC 803" tablet emhlophe kunye camera kunye umbhalo kwicala elinye Valium - phezu kwenye.

Icandelo iziyobisi esebenzayo izenzo hydrochloride itopride. Kwakhona, ichiza kwaye iqulathe izinto ezongezelelekileyo ezifana lactose, carmellose, umbona starch, anhydrous acid, silicic, hypromellose, nemagnesium stearate, macrogol, carnauba wax kunye titanium dioxide.

Xa intengiso amacwecwe namadyungudyungu ezifunyenweyo (ngeentsuku-7, 14 okanye 10 pieces) zibekwe zibe kwiibhokisi kwikhadibhodi.

Lo mgaqo uyasebenza beziyobisi

Yintoni iipilisi 'Itomed "? Imiyalelo yokusebenzisa usixelela ukuba kuthetha ukuba ingqalelo ekukhuliseni ithoni ukwandisa motility le lokugaya. Oku kungenxa kwingcinezelo receptors D2-dopamine kunye inhibition of acetylcholinesterase.

Le ichiza ivuselela zokukhutshwa acetylcholine (abangaphangeliyo ukuthotywa wayo). Ukongeza, le medicament anazo iipropati antiemetic ngokunxibelelana D2-receptors, ezo zifumaneka kwindawo ezibanga (yenza idosi-oxhomekeke kwezithandani iimvakalelo ukugabha).

Ziziphi ezinye izakhiwo kufuneka unyango "Itomed"? Imiyalelo yokusebenzisa lubonisa ukuba ichiza uyakwazi ukwenza motility propulsive esiswini, kwakunye nokubonelela nempembelelo ethile transit aphezulu zesisu ngokusebenzisa nesisu ukuze akhawulezise nokuphucula ngobungxamo kwindawo yayo.

Akunakwenzeka ukuba uqaphele into yokuba iipilisi ndaba nafuthe uyondelelwano lwee- gastrin.

Pharmacokinetics

iziyobisi "Itomed" sebenzi elingakanani? Imiyalelo yokusebenzisa (inkcazo yokulungiselela sele uchazwe apha ngasentla) iqulathe iinkcukacha malunga oko kuthetha ntoni kakuhle kwaye ako ngokukhawuleza ukusuka phecana zesisu. bioavailability yayo isihlobo nama-60%. Ukufumaneka uphezulu egazini iyazalisekiswa emva kokuthatha mg 50 medicament nge-1 hr.

Ichiza enebana kwiproteni kuphela kwi-96%. Oku ngenkuthalo kuthunyelwa kwizihlunu emzimbeni kwaye sifumaneka emathunjini amancinci, izintso, isibindi, isisu, kwaye ingaba adrenal. In therapeutic iidosi medicament ungena kancinci kwi ingqondo kunye umnqonqo, kwakunye kubisi lukamama.

Drug lokugaya kwenzeka esibindini phantsi kwempembelelo a flavin-oxhomekeke monooxygenase.

Wabonisa amayeza nge nezintso. Isiqingatha - Iiyure ezi-6.

ubungqina

Kwezinye iimeko, oogqirha ukumisela le neziyobisi "Itomed"? Imiyalelo yokusebenzisa (ezifana kwesi sixhobo babe yokufunda efanayo) uchaza ukuba esi sixhobo kufuneka isetyenziselwe unyango kwangumqondiso non-isilonda ukuqunjelwa functional (okt gastritis ezingapheliyo). Kwakhona, eli chiza kudla emiselweyo ukuphelisa iimeko zophendlo lwezifo ilandelayo: ingqiqo kabi esiswini, ukuqumba, ukudla, gastralgia, isicaphucaphu, heartburn kunye nokugabha.

Izimo

Xa kufuneka usebenzise iziyobisi "Itomed"? Imiyalelo yokusebenzisa, iingcali lokwenyani ukuba Izimo kule echiza lithi zilandelayo:

• intswelo yelactose;
• uyopha apha emathunjini okanye isisu;
• nobandlululo lactose;
• perforation kunye kokuphazamiseka ngomatshini le wokugaya;
• glucose-galactose malabsorption;
• ngexesha lokukhulelwa;
• yobudala yabantwana (tablets kufuneka kuthathwe ukuya kutsho kwiminyaka eli-16);
• zisanyisa;
• itopride ku hypersensitivity yomguli, kwakunye naziphi na izinto ezongezelelweyo ezifakwe kwi medicament.

Kufuneka kuqatshelwe kwakhona ukuba ezi mali ezilawulwa ngononophelo kakhulu kwabo abathabatha M-cholinomimetics kunye cholinesterase inhibitors, kunye abadala kunye kwanciphisa umsebenzi izintso wesibindi.

Medicament "Itomed": Umthamo kunye noLawulo

Of iimali ekufuneka athathwe phambi kokuba izidlo. Ngokuqhelekileyo, amacwecwe ziqhutywa isixa 1 pieces st kathathu ngemini. Idosi yemihla ngemihla (max) ye ichiza mg 150 okanye tablets 3.

Kuba unyango lwe idosi osekhulile wathi lifinyele.

Ukuba ngenxa yesizathu esithile okanye ezinye iipilisi azithathelwanga ngexesha, i kamva ichiza kufuneka athathwe ngamaxesha athile. Musa ukusebenzisa amayeza kwi idosi kabini ukuze kubuyekezelwe zilahlekile.

libanda

Kwimeko ukuba isigulana uthathe ithamo ephezulu beziyobisi, bekuya enze lavage esiswini kunye nonyango kwangumqondiso yenziwa.

Intsebenziswano kunye namanye amachiza

Ngaba I ukusebenzisa ezinye iindlela unyango "Itomed"? Imiyalelo zokusetyenziswa (amaxabiso amayeza wona aya kunikezelwa ekupheleni kweli nqaku) yazisa ukuba ichiza umbuzo uyakwazi ukukhawulezisa kukufakwa nezinye iziyobisi.

isenzo Prokinetic "Itomed" macwecwe ayitshintshi phantsi kwempembelelo yeziyobisi, leyo ukunciphisa asidi juice isisu (ezifana "Cimetidine", "teprenone", "Ranitidine", "cetraxate" njalo njalo.).

imiphumela Cholinergic osisiqu esebenzayo ye medicament angandiswa nokusetyenziswa ngaxeshanye inhibitors cholinesterase, kunye m-cholinomimetics.

M-holinoblokatory ekwaziyo ngokuthotywa ukusebenza Itopride.

Ukukhulelwa ne zisanyisa

Ngaba ngexesha ukusetyenziswa kokumitha "Itomed" (tablets) kunokwenzeka? Imiyalelo yokusebenzisa, ncomo, iinkcazelo ze ichiza bathi Itopride hydrochloride into contraindicated ngexesha lokukhulelwa.

Asikwazi bathi xa kuthathelwa ingqalelo indlela amathamo zonyango lwe zithako yalo kancinane, kodwa angen ubisi lwebele. Kungenxa yoko le nto emva kokuqeshwa ichiza kufuneka kupheliswa zisanyisa.

imiphumela emibi

Njengoninzi izixhobo zonyango, iyeza "Itomed" Kwakhona ibanga iziphumo ebezingalindelekanga. Zokwahluka zilandelayo phakathi sesona wabonakalaliswa:

• OLawulo hematopoiesis: thrombocytopenia, kunye leukopenia.
• Ezingokuqandusela System: gynecomastia kunye hyperprolactinemia.
• wokugaya: urhudo, isicaphucaphu, ukuvuza izinkcwe kakhulu, iintlungu epigastric, senyongo nokuqunjelwa.
• luvo: lafa, intloko ebuhlungu, ukuba nochuku, ukuphazamiseka kokulala, kunye vertigo.
• Komzimba: ukothuka anaphylactic kunye urticaria.
• iziphumo zeLebhu: hyperbilirubinemia, kunye nomsebenzi olongeziweyo phosphatase obrak, ALT, GGT, kunye ACT.

Iimpawu beziyobisi

Xa ngokubonakala iimpawu gynecomastia kunye galactorrhea kufuneka ngoko nangoko ukuphazamisa okanye ayeke unyango.

Xa ukuphatha ukuqina biliary (zaseprayimari), isigulane bangase isifo decompensation zezomzuzwana leyo liyalahleka ngoko nangoko emva yomzila medicament.

Ngexesha unyango ujongene ngezixhobo eziyimfuneko ukuze ayeke kwimisebenzi eziyingozi ukuqhuba kunye nomsebenzi efuna ingqalelo ekhethekileyo ingqalelo ukwanda.

Price kunye analogue beziyobisi

Ixabiso le mali kakhulu eliphezulu. Kuba tablets 40 "Itomeda" kuya kufuneka ukuba uhlawule malunga 350 engange Russian.

Ukuba awukwazi ukufumana ichiza bathi, ngenxa yaso nasiphi na isizathu, ngoko oko kutshintshwa ngezo ndlela ilandelayo: ". Itopride" "Ganaton", "Itopra",

baqinisekiswa

Baqinisekiswa malunga amayeza "Itomed" mixed. Abanye bathi ukuba ichiza ukumelana ngokupheleleyo kulo msebenzi. Akubikho imvakalelo kabi esiswini, ukuqumba, isicaphucaphu, heartburn nokugabha, kwakunye ephatha ukudla kunye gastralgia.

Noko ke, ezinye izigulane zithi emva ukusebenzisa esi sixhobo ngokuphawulekayo esizifumana ubunzima (5.10 kg). Kwakhona ukuba likhona kwaye udidi abantu awuboni naliphi na ifuthe ulawulo iyeza yesifundo.

Asikwazi ukuba inani elikhulu lezigulane ukukhalaza malunga neendleko eziphezulu amayeza. Xa kucingwa ukuba kuyimfuneko ukuthatha kathathu ngemini iiveki eziliqela, eli unyango (ngamanye amaxesha abahluphekileyo) eninzi kakhulu.