ʻO nā Metformin-Teva analogues

Hāʻawi kēia ʻaoʻao i kahi papa inoa o nā Metformin-Teva analogues a pau a me ka hōʻike no ka hoʻohana. ʻO kahi papa inoa o nā analogue maʻalahi, a hiki iāʻoe ke hoʻohālikelike i nā kumukūʻai i nā lāʻau lapaʻau.

  • ʻO ka hoʻohālikelike maʻalahi o Metformin-Teva:Hoʻolaha
  • ʻO ka mea kaulana loa o Metformin-Teva:Metformin
  • Hoʻolaha ATX: Metformin
  • Nā mea waiwai / pilikino: metformin

#Ke poʻo inoaHe kumukūʻai ma RusiaKumukūʻai ma Ukraine
1Hoʻolaha metformin
Kahi i ka hoʻonohonohoʻana a me nā hōʻike
12 ʻōpala15 UAH
2Metformin metformin
Kahi i ka hoʻonohonohoʻana a me nā hōʻike
13 ʻōpala12 UAH
3Reduxin Met metformin, sibutramine
Kahi i ka hoʻonohonohoʻana a me nā hōʻike
20 ʻōpala--
4Canon Metformin metformin, ovidone K 90, mauʻa palaoa, crospovidone, magnesium stearate, talc
Kahi i ka hoʻonohonohoʻana a me nā hōʻike
26 ʻōpala--
5Kūkulu Analogue i ka hoʻonohonoho ʻana a me ka hōʻike37 ʻōpala--

I ke helu ʻana i ke kumukūʻai analogie Metformin-Teva a ʻo ke kumukūʻai haʻahaʻa i loaʻa ma nā papa kumukūʻai i hāʻawi ʻia e nā lāʻau lapaʻau i lawe ʻia i ka mooolelo

#Ke poʻo inoaHe kumukūʻai ma RusiaKumukūʻai ma Ukraine
1Metformin metformin
Kahi i ka hoʻonohonohoʻana a me nā hōʻike
13 ʻōpala12 UAH
2Reduxin Met metformin, sibutramine
Kahi i ka hoʻonohonohoʻana a me nā hōʻike
20 ʻōpala--
3Siofor Analogue i ka hoʻonohonoho ʻana a me nā hōʻike208 ʻōpala27 UAH
4Hoʻolaha metformin
Kahi i ka hoʻonohonohoʻana a me nā hōʻike
12 ʻōpala15 UAH
5Kūkulu Analogue i ka hoʻonohonoho ʻana a me ka hōʻike37 ʻōpala--

Hāʻawi ʻia papa inoa o nā lāʻau lapaʻau kahua o nā helu helu o nā lāʻau lapa i noi nui ʻia

Nā kumumanaʻo i ka mea haku mele a me nā hōʻike no ka hoʻohana

Ke poʻo inoaHe kumukūʻai ma RusiaKumukūʻai ma Ukraine
Bagometua Metformin--30 UAH
He metformin Glucofage12 ʻōpala15 UAH
Huʻi ʻia ka metformin xr--50 UAH
ʻO Reduxin Met Metinin, ʻo Sibutramine20 ʻōpala--
Dianormet --19 UAH
Metformin Diaformin--5 UAH
ʻO ke metformin metformin13 ʻōpala12 UAH
Metformin metozin metformin--13 UAH
Siofor 208 ʻōpala27 UAH
ʻO ka metformin hydrochloride----
ʻO Emnorm EP Metformin----
Megifort Metformin--15 UAH
Metamine Metformin--20 UAH
Metamine SR Metformin--20 UAH
Metfogamma metformin256 ʻōpala17 UAH
ʻO Tefor metformin----
Glycometer ----
Glycomet SR ----
Kālaiʻa 37 ʻōpala--
Metformin Canon metformin, ovidone K 90, mauʻa palaoa, crospovidone, magnesium stearate, talc26 ʻōpala--
Insuffor metformin hydrochloride--25 UAH
Diaformin SR metformin--18 UAH
Mepharmil Metformin--13 UAH
Metformin Metformin----

ʻO ka papa inoa ma luna o nā mea hoʻohālikelike lapaʻau, e hōʻike ana ʻO ke ʻano ʻo Metformin-Teva, kūpono loa ia no ka mea ua like lākou me ka like o nā mea hana a me ke kūleʻa e like me ke kuhikuhi ʻana no ka hoʻohana

Ka ʻokoʻa like, hiki ke pili pū i ka hōʻike a me ke ʻano o ka noi

Ke poʻo inoaHe kumukūʻai ma RusiaKumukūʻai ma Ukraine
Avantomed rosiglitazone, metformin hydrochloride----
ʻO Glibenclamide Glibenclamide30 ʻōpala7 UAH
Maninyl Glibenclamide54 ʻōpala37 UAH
ʻO ka Glibenclamide-Health Glibenclamide--12 UAH
Glyurenorm glycidone94 ʻōpala43 UAH
ʻO Bisogamma Glyclazide91 ʻōpala182 UAH
ʻO Glidiab Glyclazide100 rub170 UAH
Diabeton MR --92 UAH
Diagnizide mr Gliclazide--15 UAH
ʻO Glidia MV Gliclazide----
ʻO Glykinorm Gliclazide----
Hoʻolaha ʻia Gliclazide231 rub57 UAH
Glyclazide 30 MV-Indar Glyclazide----
Hoʻolaha-Hoʻolima Glyclazide-Health--36 UAH
ʻO Glioral Glyclazide----
Hoʻolaha Glaclazide Diagnizide--14 UAH
Diazide MV Gliclazide--46 UAH
Osliklid Gliclazide--68 UAH
Gliclazide Diadeon----
ʻO Glyclazide MV Gliclazide4 ʻōpala--
Amaril 27 ʻōpala4 UAH
Glimepiride ʻO Glemaz----
Hoʻolaha ʻia ka inoa momona--77 UAH
ʻO Glimepiride Glyride--149 UAH
Diapiride Glimepiride--23 UAH
Alarahi --12 UAH
Hoʻolālā ʻia ʻo Glimax--35 UAH
Gimepiride-Lugal glimepiride--69 UAH
Clay glimepiride--66 UAH
Glabepiride diabrex--142 UAH
Nā glimepiride ʻo Meglimide----
Melpamide Glimepiride--84 UAH
ʻO ka glimepiride Perinel----
Hoʻohui ----
Kahiʻu ----
Gimepiride glimepiride27 ʻōpala42 UAH
ʻO Glimepiride-teva glimepiride--57 UAH
Gimepiride Canon glimepiride50 ʻōpala--
ʻO Glimepiride Pharmstandard glimepiride----
Dimaril glimepiride--21 UAH
ʻO Glamepiride diamerid2 hoʻoheʻe--
Amaryl M Limepiride Maikaʻi ʻia, Metformin Hydrochloride856 ʻōpala40 UAH
ʻO ka glibenclamide glibomet, metformin257 ʻōpala101 UAH
ʻO Glucovans glibenclamide, metformin34 ʻōpala8 UAH
Dianorm-m Glyclazide, Metformin--115 UAH
Dibizid-m glipizide, metformin--30 UAH
Douglimax glimepiride, metformin--44 UAH
Duotrol glibenclamide, metformin----
Hoʻolauleʻa 45 kahi--
Glibofor metformin hydrochloride, glibenclamide--16 UAH
Avandamet ----
Avandaglim ----
ʻO metumin metumin, sitagliptin9 ʻōpala1 UAH
Velmetia metformin, sitagliptin6026 rub--
Galvus Met vildagliptin, metformin259 ʻōpala1195 UAH
ʻO glimepiride Tripride, metformin, pioglitazone--83 UAH
Huihui XR metformin, saxagliptin--424 UAH
Metformin Comboglyz Prolong, saxagliptin130 ʻōpala--
Gentadueto linagliptin, metformin----
ʻO ka metformin Vipdomet, alogliptin55 ʻ .pū1750 UAH
Sinjardi empagliflozin, metformin hydrochloride240 ʻōpala--
ʻO Voglibose Oxide--21 UAH
He pioglitazone Glutazone--66 UAH
ʻO Dropia Sanovel pioglitazone----
ʻO Jasonvia sitagliptin1369 ʻōpala277 UAH
Galvus vildagliptin245 ʻōpala895 UAH
Onglisa saxagliptin1472 ʻōpala48 UAH
Nesina alogliptin----
Vipidia alogliptin350 ʻōpala1250 UAH
Trazhenta linagliptin89 ʻōpala1434 UAH
Lixumia lixisenatide--2498 UAH
Guanem guar gum9950 ʻōpala24 UAH
Hoʻopau ka Insvada----
Novonorm Repaglinide30 ʻōpala90 UAH
Hoʻokomo ʻo Repodiab Repaglinide----
Baeta Exenatide150 ʻōpala4600 UAH
Baeta Long Exenatide10248 ʻōpala--
Viktoza liraglutide8823 kahaki2900 UAH
Saxenda liraglutide1374 ʻōpala13773 UAH
Forksiga Dapagliflozin--18 UAH
Forsiga Dapagliflozin12 ʻōpala3200 UAH
Invocana canagliflozin13 ʻōpala3200 UAH
Jardins Empagliflozin222 ʻōpala566 UAH
Trulicity Dulaglutide115 ʻōpala--

Pehea e ʻike ai i kahi analogue ʻano maʻalahi o kahi lāʻau lapaʻau nui?

No ka ʻike ʻana i kahi analogue kūʻai like ʻole i ka lāʻau lapaʻau, kahi generic a i ʻole synonymation, ʻo ka mea mua mua mākou i manaʻo no ka hoʻolohe ʻana i ka hoʻopili ʻana, ʻo ia nā ʻano like ʻole o nā mea kaha a me nā hōʻailona no ka hoʻohana. Hōʻike ka mea like ʻole o ka lāʻau lapaʻau me ka lapaʻau a like pū me ka lāʻau lapaʻau, kūloko a me ka mea pono i ʻole nā ​​lāʻau lapaʻau. Eia naʻe, mai poina e pili ana i nā māhele like ʻole o nā lāʻau like like, e hiki ai ke hoʻopilikia i ka palekana a me ka hana. Mai poina e pili ana i nā kauoha a nā kauka, hiki i ka lāʻau lapaʻau ponoʻī ke hōʻeha i kou olakino, no laila e ʻōlelo mau i kāu kauka ma mua o ka hoʻohana ʻana i kekahi lāʻau lapaʻau.

ʻFormlelo aʻo Metformin-Teva


Ka hana lāʻau lapaʻau
Hoʻopili ka Metformin i ka glucoseoneogenesis i loko o ka puhiluhi, e hōʻemi ana i ka lilo ʻana o ka glucose i loko o nā lau, hoʻomaikaʻi ai i ka hoʻohana ʻana i peripheral i nā glucose, a hoʻonui pū hoʻi i ka ʻike ʻana o nā io i ka insulin. ʻAʻole pili i ka huna ʻana o ka insulin e nā cell beta o ka pancreas, ʻaʻole ia i ka hopena hypoglycemic. Hoʻemi i ka pae o ka triglycerides a me ka linoproteins haʻahaʻa haʻahaʻa ma ke koko. Mālama a hoʻoikaika paha i ke kaumaha o ke kino. Loaʻa ia he hopena fibrinolytic ma muli o ke kaohi ʻana o kahi kaila plasminogen activator inhibitor.

Lapaʻau lāʻau
Ma hope o ka hoʻopale ʻana i ka waha, hoʻohuihui ʻia ka metformin mai ka digestive tract. Bioavailability ma hope o ka lawe ʻana i kahi maʻa maʻamau he 50-60%. Loaʻa ka Cmax i loko o ke koko koko 2.5 mau hola ma hope o ke kau ʻana. ʻAʻole hiki ke hoʻopaʻaʻia i nā protein plasma. Hoʻomili ia i nā mea kuʻi salivary, nā mākala, nā ʻōpū a me nā puʻupuʻu. Hoʻokuʻu ʻia ia i nā loli a ke keiki. ʻO T1 / 2 he mau hola 9-12. Me ka hana nona kahi paʻa ʻole, hiki i ka cumulation o ka lāʻau.

Nā Hōʻike
- ka maʻi mellitus type 2 me kaʻole o ka ketoacidosis (ʻoi aku hoʻi i nā mea maʻi me ka huelo) me ka maikaʻi ʻole o ka mālama ʻana i nā meaʻai,
- i hui pū me ka insulin - no ka mellitus type 2 no ka lā, keu loa me ka pae i hua ʻia o ka momona, i hui pū ʻia e ka pale kino insulin.

Ka hoʻoponopono ʻia ʻana
Hoʻonohonoho ʻia ka hopena o ka lāʻau e kēlā me kēia kauka, i ka pae o ka glucose i loko o ke koko.
ʻO ka ʻōlelo mua ma 500-1000 mg / lā (1-2 mau papa). Ma hope o nā lā 10-15, hiki ke hoʻonui hou ʻia ka nui o ka wai ma muli o ka pae o ke kaila o ke koko.
ʻO ka mālama mālamaʻana o ka lāʻau no ka mea maʻamau 1500-2000 mg / lā. (3-4 tab.) ʻO ka nui loa ka nui o ka 3000 mg / lā (6 papa).
I nā poʻe maʻi maʻi, ʻaʻole eʻoi aku ka nui o ka lāʻau i kēlā me kēia lā i 1 g (2 mau papa).
Pono e lawe ʻia nā papa metformin i ka wā āpau a ma hope paha o ka ʻaina me ka liʻiliʻi o ka wai (kahi kīʻaha wai). No ka hōʻemi i nā hopena ʻaoʻao mai ka gastrointestinal tract, pono e hoʻokaʻawale ʻia ka nui o ka lā i 2-3 mau pona.
Ma muli o ka hoʻonui nui o ka acidosis lactic, pono e hoʻemi ʻia ka nui o ka maʻi ma ka hopena o ka hōʻoluʻolu metabolic.

Loaʻa ka hopena
Mai ka pūnaehana hana ʻana: nausea, luaʻi, metallic ʻono i loko o ka waha, ka nele ʻana i ka momona, ka ʻōpū ʻana, ka lemela, ka ʻeha o ka ʻōpū. Hoʻohana maʻamau kēia mau hōʻailona i ka hoʻomaka ʻana o ka mālama ʻana a maʻamau e hele ma o lākou iho. Hiki i kēia mau hōʻailona ke hōʻemi i ka koho ʻana o nā anthocides, derivatives o ka atropine a i nā antispasmodics.
Mai ka ʻaoʻao o ka hana o ka metabolism: i nā hihia maʻamau - lactic acidosis (koi i ka hoʻokuʻu ʻana o ka mālama ʻana), me ka mālama lōʻihi ʻana - hypovitaminosis B12 (malabsorption).
Mai nā hemopoietic organitions: i kekahi mau hihia - megaloblastic anemia.
Mai ka pūnaehana endocrine: hypoglycemia.
Nā maʻi kūlou: hāpau ka ʻili.

Nā Hoʻohui
- ka maʻi ketoacidosis maʻi, maʻi diabetes precoma, coma,
- hana Renal hana
- ka maʻi ʻeha me ka pilikia o ka hoʻomohala ʻana i ka hana ʻauha: ka hoʻomōhulu (me ka huehue, hoʻopuka), ka ʻōpū, ka maʻi maʻi pāpaʻi, hypoxia (haʻalulu, sepsis, maʻi pūpū, nā maʻi bronchopulmonary).
- nā mea hōʻike olakino i hōʻike ʻia mai nā maʻi a me nā maʻi e hiki ai ke alakaʻi i ka hoʻomohala ʻana i nā kiko hypoxia (puʻuwai a i ʻole ka hemahema, ʻeha myocardial infarction),
- nā hoʻomaʻamaʻa hāmeʻa koʻikoʻi a me nā hōʻeha (ke hōʻike ʻia ka lāʻau insulin),
- hana hewa pāpaʻi hemahema,
- nā mea paʻa i ka lewa, ka waiʻona huakino
- hoʻohana no ka liʻiliʻi he 2 mau lā ma mua a i loko o 2 mau lā ma hope o ka hoʻopaʻa ʻana i nā haʻawina radioisotope a i ʻole x-ray me ka hoʻomaka ʻana o ka iodine-medium medium,
- ka acidosis lactic (me ka mōʻaukala),
- ka mālamaʻana i kahi pāʻina haʻahaʻa-haʻahaʻa (emi iho ma mua o 1000 cal / lā),
- ka wahine hāpai
- wā lactation,
- Hypersensitivity i ka lāʻau lapaʻau.
ʻAʻole ia e hoʻohana i ka lāʻau i loko o nā kānaka ma mua o 60 mau makahiki o ka mea e hana i ka hana kino kino, a pili pū me ka piʻi nui o ka hoʻomohala ʻana i ka acidact lactic i loko o lākou.

ʻŌpū a me ka lactation
Ke hoʻolālā nei i ka wā hapai, ma ka hopena o ka wā hāpai i ka wā e lawe ai i ka Metformin, pono loa ia e kāpae ʻia a kuhikuhi hoʻi i nā lāʻau lapaʻau. ʻOiai inā ʻaʻohe data i ka komo ʻana i ka waiū umauma, ua hoʻohālikelike ʻia kēia lāʻau lapaʻau i ka umauma. Inā pono e hoʻohana i ka Metformip i ka wā o ka hōʻuluʻulu ʻana, pono e hoʻokaʻawale ka pale umauma.

Nā ʻōlelo kikoʻī
I ka wā mālama, pono ia e nānā i nā hana renal. Ma kahi o 2 mau manawa i ka makahiki, e like me ka nānā ʻana me myalgia, pono ka hoʻoholoʻana o ka lactate ma ka plasma. Eia kekahi, ʻo ia mau manawa i kēlā me 6 mahina pono pono e hoʻomalu i ka pae o ka creatinine i loko o ka serum koko (maʻa mau o nā maʻi o nā makahiki kiʻekiʻe). ʻAʻole pono ke kuhikuhi ʻo Metformin inā he kiʻekiʻe loa ka pae ma ka koko ma mua o 135 mol / L i nā kāne a me 110 mol / L i nā wahine.
Malia paha o ka hoʻohanaʻana i ka lāʻau Metformin i hui pū me ka huaʻala sulfonylurea. I kēia hihia, pono e mālama pono ana i ka pae o ka glucose koko.
ʻO 48 mau hola ma mua a i loko o nā hola 48 ma hope o ka radiopaque (urography, iv angiography), pono e ho'ōki i ka lawe ʻana iā Metformin.
Inā loaʻa i ka mea maʻi ka maʻi bronchopulmonary a i ʻole kahi maʻi hopohopo o nā hanana genitourinary, pono e hoʻomaopopo koke ʻia ke kauka hele mai.
I ka wā mālama, pono ʻoe e pale i ka inu ʻana i ka waiʻona a me nā lāʻau ʻai e pili ana i ka ethanol. . ^ E Ha yM.

Hoʻokomo i ka hiki ke lawe i nā kaʻa a kāohi i nā mīkini
ʻAʻole pili ka hoʻohana ʻana i ka lāʻau lapaʻau ma ka monotherapy i ka hiki ke hoʻokau i nā kaʻa a hana me nā mīkini.
I ka manawa e hui pū ai ʻo Metformin me nā māmala hypoglycemic ʻē aʻe (sulfonylurea derivatives, insulin), ulu paha nā kūlana hypoglycemic e hiki ai i ka hana ke hoʻokele aku i nā kaʻa a komo i nā hana ʻē aʻe kūpono ʻole e koi ai i ka piʻi nui a me ka wikiwiki o ka psychomotor rea.

Ke keu
Me kahi overdose o Metformin, kahi hopena lactic acidosis me kahi hopena momona. ʻO ke kumu o ka hoʻomohala ʻana o ka acidosis lactic hiki ke lilo i ka hoʻohui ʻia o ka lāʻau ma muli o ka hana renal impaired.
Nā hōʻailona o ka lactic acidosis: nausea, luaʻi, hōʻeha ke hoʻohaʻahaʻa, hoʻohaʻahaʻa i ke ʻano kino o ke kino, ʻeha o ka ʻōpū, ka ʻeha o ka naʻau, i ka wā e hiki mai ana ka nui o ka hanu, ka ʻōpū, ka naʻau a me ka hoʻomohala ʻana i ka piko.
Hoʻomaʻamaʻa : i ka hihia o ka acidact lactic acid, pono e hoʻokaʻawale ke mālama me Metformin, hiki i ka mea maʻi ke hoʻomanawanui i ka haukapila a me ka hoʻoholo ʻana i ke kūpaʻa o ka lactate, e hōʻoia i ka maʻi maʻi. ʻO ka ʻoi aku ka hopena e hiki ai ke hoʻopau i ka lactate a me ke metformin mai ke kino he hemodialysis. Hoʻopili ʻia hoʻi ka hana maʻi Symptomatic.
I ka hui pū ʻana me Metformin a me sulfonylureas, hiki i ka hypoglycemia ke ulu.

Hoʻohui nūhou
ʻAʻole kōkua ʻia ka hoʻohana pinepine ʻana o danazolea e pale ai i ka hopena hyperglycemic o ka mea hope. Inā pono ke mālama ʻana me ka danazol a ma hope o ka hoʻokuʻu ʻana i ka hopena, pono ka hoʻoponopono ʻana o ka metformin a me ka iodine e hoʻomalu i ka pae o ka glycemia.
ʻO nā hui e koi ana i ka mālama kūikawā: chlorpromazine - i ka wā e lawe ai i nā dosis he nui (100 mg / lā) e hoʻonui i ka glycemia, e hoʻoneʻe ana i ka hoʻokuʻu ʻana i ka insulin.
I ka mālamaʻana i nā antipsychotics a ma hope o ka pau ʻana i ka lawe ʻana i ka hopena, pono ka hoʻoponopono ʻana o ka metformin i lalo o ka kaohi o ka pae glycemia.
Me ka hoʻohana like ʻana me nā derivatives sulfonylurea, acarbose, insulin, NSAIDs, MAO inhibitors, oxytetracycline, ACE inhibitors, clofibrate derivatives, cyclophosphamide, β-blockers, hiki ke hoʻonui i ka hopena hypoglycemic o ka metformin.
Me ka hana like me ka GCS, ka poʻe i hoʻohālikelike i ka waha, epinephrine, sympathomimetics, glucagon, hormon tiroid, thiazide a me diuretics loop, derivatives phenothiazine, ka hopena hoʻōla o ka nikotinic, hiki ke hōʻemi i ka hopena hypoglycemic o metformin.
Hoʻololi ʻo Cimetidine i ke kāpae ʻana o ka metformin, e hoʻonui ai i ka hopena o ka lactic acidosis.
Hiki i ka metformin ke nawaliwali i ka hopena o nā anticoagulants (derivatives Coumarin).
Hoʻonui ka ʻōpū i ka waiʻona i ka hopena o ka hoʻomohala ʻana i ka waikaʻi lactic i ka wā o ka hoʻohuʻawaʻawa ʻawa o ka waiʻona, ka mea nui a i nā hihia ʻaina ʻole e hele nei ma kaʻai haʻahaʻa, a me ka puʻuwai hemahema.

Hoʻohui Kūʻai Kūʻai
Ke kūleʻa aku nei ka lāʻau lapaʻau.

Nā kuleana a me nā kūlana e waiho ai
E kūʻai ma kahi maloʻo malū a maloʻo ma kahi wela o 15 ° a 25 ° C.
Mai mālama i nā keiki.

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