Pehea e hoʻohana ai i ka lāʻau lāʻau Mikardis? > He hoʻomaʻemaʻe a me ke pale aku

Lapaʻau lāʻau ʻO Telmisartan kahi kikoʻī kikoʻī a me ka hoʻoulu ai ka kahetensinin II receptor antagonist (type AT1). ʻO Telmisartan kahi kūlana kiʻekiʻe loa e hoʻopili ai i ka angiotensin II ma nā wahi i hoʻopaʻa ʻia ai i nā ʻĀina AT1, nona ka hopena no ka hopena physiological o ka angiotensin II. ʻAʻole i hōʻike ʻo Telmisartan i kahi hana agonistic ʻoki i nā mea hoʻokipa AT1. ʻO ka palena paʻa i ka mea nānā aku i kikoʻī a lōʻihi ka lōʻihi. ʻAʻohe pili o Telmisartan no nā mea ʻē aʻe, e komo pū ana me AT2 a me nā mea ʻae ʻē aʻe a me AT. ʻAʻole ʻike ʻia ka hana koʻikoʻi o kēia mau mea nānā, ʻo ka hopena o ko lākou hiki ʻana i ka overstimulation e ka angiotensin II, ʻaʻole i hōʻike ʻia ka nui o ka piʻi ʻana ma lalo o ka mana o ka telmisartan. Ke hōʻemi nei ʻo Telmisartan i nā pae aldosterone plasma, ʻaʻole i pili i ka hana renin plasma, ʻaʻole paʻa i nā kahawai ion, ʻaʻole ia e pale i ka ACE (kininase II), he huina e wāwahi i ka bradykinin. No laila, ʻaʻole i hui pū ʻia ka hoʻohana ʻana o ka lāʻau e nā hopena hoʻopili e pili ana i ka hōʻiliʻili o ka bradykinin.
Ke lawe ʻia nei ma ka hapa o 80 mg, telmisartan aneane piha loa i ka hopena hypertensive o ka angiotensin II, ke ʻano ka hopena antihypertensive mau i nā hola 24 a noho mau i ka nui a hiki i 48 mau hola.
Ma hope o ka lawe ʻana i ka hopena mua o ka telmisartan, hoʻomohala ka hopena antihypertensive i nā manawa 3 i nā hola 3, e ulu ka hopena hypotensive kiʻekiʻe i ka 4-8 mau pule ma hope o ka hoʻomaka ʻana o ka mālama ʻana a hoʻomau me ka hoʻohana mau ʻana i ka lāʻau. Ke noho nei ka hopena antihypertensive ma ka pae mau no ka 24 mau hola ma hope o ka hoʻokele ʻana, ʻo ia hoʻi me nā hola 4 hope ma mua o ke alakaʻi e hiki mai ana. Hoʻomaopopo ʻia kēia ma ka nānā ʻana i waho o ka kaohi koko.
I ka poʻe maʻi me ka hypertension (arterial hypertension), ʻo ka telmisartan e hōʻemi i ka systolic a me ka diastolic blood pressure me ka hoʻopi ʻole ʻana i ka hapa o ka puʻuwai. Me kahi haʻalele pohihihi o ka lāʻau lapaʻau, hōʻemi ka pae koko i ka pae mua i ka pae mua me ka ʻole o ka hoʻomohala ʻana i ka maʻi withdrawal.
Ua hōʻoia ʻia nā haʻawina hauoli ʻo ka mālama ʻana me ka telmisartan e hoʻēmi ana i ka hapa myocardial ventricular hema a waiho aku nei i ka pālahalaha myocardial ventricular i loko o nā mea maʻi me ka hypertension (hypertension) a waiho i ka ventricular myocardial hypertrophy.
I nā haʻawina loiloi, ua ʻike ʻia he liʻiliʻi loa o telmisartan ma mua o nā mea hoʻokae ACE e hoʻoulu i ka hoʻomohala ʻana o ka ʻohi maloʻo.
Lapaʻau lāʻau Hoʻopili koke ʻia ma hope o ke alakaʻi waha ʻana, ʻo ka maʻamau ākea bioavailability e pili ana i 50%. Inā lawe ʻia ka lāʻau lapaʻau me ka papaʻaina, ʻokoʻa ka hōʻemi i ke AUC mai ka 6% (i ka manawa i lawe ʻia ma ke ʻano he 40 mg) a i 19% (i ka manawa i lawe ʻia ma kahi lāʻau o 160 mg). 3 mau hola ma hope o ka lawe ʻana i ka lāʻau lapaʻau, paʻa ka manaʻo o ka plasma koko a ʻaʻole hilinaʻi ma ke ʻano ua lawe ʻia ʻo Telmisartan ma kahi ʻōpū ʻole a i ʻole ka meaʻai.
Pili pū kekahi o Telmisartan me nā protein plasma (99.5%), ka mea nui me ka albumin a me alpha-1-acid glycoprotein. ʻO ka nui o ka māhele i ka hoʻohālikelike e pili ana iā 500 lita. Hoʻopili ʻia ka Telmisartan e ka hoʻokūkū me ka glucuronide. ʻAʻohe o ka conjugate i ka hana lapaʻau. Hāʻawi ʻia ka Telmisartan e kahi mole pharmacokinetic biexponential me ka hapalua ola i ke manawa ʻoi aku ʻoi aku ma mua o nā hola 20. Hiki ke piʻi ka makemake o ka nui o ka plasma koko a me ka AUC ma mua o ka hopena. ʻAʻohe mea hōʻike i ka cumulation koʻikoʻi nui i loko o ke kino ke hoʻohana ʻia i nā pona ʻāpono. ʻO ke kumu plasma i loko o nā wahine he ʻoi aku ma mua o nā kāne, me ka ʻole o ka hoʻololi ʻana i ka pono.
Ma hope o ka lawelawe waha, ua pau loa nā telmisartan i nā loina, maʻamau i loli ʻole, ʻohi ʻia ka urinaryi ma mua o ka 2% o ka loaʻa. ʻO ke kaila o ka huina koko koko ke kiʻekiʻe (ma kahi o 900 ml / min), i hoʻohālikelike ʻia me ke kahe koko hepatic (ma kahi o 1500 ml / min).
ʻO nā ʻāpana kūikawā o nā maʻi
ʻO nā maʻi maʻi
ʻAʻole ʻokoʻa kēlā i nā pharmacokinetics o telmisartan i nā elemakule i nā mea maʻi ʻōpio.
ʻO ka maʻi me ka hana renal impaired
I ka poʻe maʻi me ka pilikia ʻole i hoʻokomo ʻia i ka dialysis, ʻike ʻia kahi kiʻekiʻe o ka plasma o ka telmisartan, akā, ʻaʻole kēia me ke ʻano loea. Loaʻa i Telmisartan kahi kiʻekiʻe o ka hoʻopaʻa ʻana i nā protein plasma, no laila, hana maʻamau ʻaʻole excreted i ka wā o ka dialysis.
ʻO nā mea maʻi me ka hana pūlima hemahema
I ka poʻe maʻi me ka hana maʻi lēwa, e piʻi ana ka bioavailability i 100%.

E hoʻokuʻu i ke ʻano a me ka ʻano

Ka puka helu - nā papa: oblong, aneane keʻokeʻo a ʻokeo paha, ma kahi ʻaoʻao - kahakaha "51N" (mau papa 40 mg) a i ʻole "52H" (mau papa 80 mg), ma kahi ʻē aʻe - ke hōʻailona o ka hui (7 pcs. In blister. i loko o kahi pahu kāleka o nā papa 2 a he 4 paha me nā papa he 40 a i ʻole 2, 4 a i ʻole paha 8 me nā papa 80 mg a me nā kauoha no ka hoʻohana ʻana o Mikardis.

ʻO ka papa kai ola: telmisartan, kona kiko ma 1 papa he 40 a 80 mg paha.

Nā mea kūʻokoʻa: sodium hydroxide, polyvidone (collidone 25), sorbitol, meglumine, magnesium stearate.

Lapaʻau lāʻau

ʻO ka waiwai ikaika o Mikardis - telmisartan, he antagonist kikoʻī o nā ʻalemai angiotensin II. Hōʻano ʻia e ka pili kiʻekiʻe no ka subtype AT₁Nā mea hoʻohālikelike o ka angiotensin II, ma o ka mea i hana ai ka angiotensin II. ʻAʻole loa ʻo Telmisartan i kahi hopena agonistic ma ka angiotensin II a haʻalele iā ia mai ka pilina me ka mea i hāʻawi ʻia, a ʻo nā pilina pili wale me ka AT subtype₁nā mea mālama i ka angiotensin II, aʻo ka mea paʻa ke lōʻihi.

ʻAʻoleʻike ka lāʻau lapaʻau i ka pili no nā mea hoʻonanea ʻē aʻe o ka ʻāpoʻopau ʻano, a me ka AT subtype₂. ^ E Ha yM. ʻO kā lākou hana koʻikoʻi a me ka hopena o kahi hiki ke hoʻōla me ka angiotensin II, ka ʻike ʻana i ka piʻi me ka hoʻohana o telmisartan, ʻaʻole i aʻo ʻia ʻia.

Ke hōʻemi nei ʻo Telmisartan i ke kao o ka aldosterone i loko o ke koko. ʻAʻole ia e pale i nā kaila ion a ʻaʻole pale i ka renin i ka kaila koko. ʻAʻole ia e kāohi i ka kininase II (angiotensin-hoʻohuli i ka enzyme) a me kahi enzyme e loaʻa ai iā ia kahi mana olakino e pili ana i ka bradykinin, no laila, ʻo ka hoʻonui ʻia ʻana o nā hopena ʻaoʻao e hōʻino ʻia e bradykinin.

I ka wā e lawe ai ma kahi o 80 mg, telmisartan piha loa i ka hopena hypertensive o ka angiotensin II. Kahi ʻia ka hopena o ka lāʻau i loko o 3 mau hola ma hope o ka pau mua, kū mau no 24 mau a noho mau i ka nui a hiki i nā hola 48. Hoʻonui ʻia kahi hopena antihypertensive ma hope o 4-8 mau wiki o ka hoʻohana mau ʻana iā Mikardis.

I nā maʻi me ka haʻi hypertension, hoʻemi ʻo Mikardis i ka hoʻonaninani diastolic a me ka systolic, akā, ʻaʻole e hoʻopilikia i ka holo ʻana o ka naʻau.

Ma hope o ka hoʻokaʻawaleʻana o ka telmisartan, e hoʻi mālie nei nā hōʻailona koko i ko lākou pae mua, i kaʻa ʻole ʻia e ka hoʻomohala ʻana.

Lapaʻau lāʻau

Hoʻopili koke ʻia ʻo Telmisartan mai ka ʻeha gastrointestinal ma hope o ka hoʻoponopono waha ʻana o Mikardis. ʻO ka bioavailability o 50%. I ka ʻai ʻana o ka ʻaʻai like, a emi ka nui o ka AUC (ma lalo o ka pā ʻana o ka manawa paʻa): ʻo ka hōʻailona ma waena o 6% (ma ke ʻano o ka telmisartan 40 mg) i 19% (ma kahi kikoʻī o 160 mg). 3 mau hola ma hope o ka lawe ʻana iā Mikardis, hoʻāla ʻia ka plasma o ka lāʻau e like me ka manawa e lawe ʻia ai ka pāʻina.

Hāʻawi ʻia ka Telmisartan e kahi kiʻekiʻe paʻa i nā protein plasma (ʻoi aku ka albumin a me ka alpha₁- glycoprotein) - ʻoi aku ma mua o 99,5%.ʻO ka nui ʻikei o ka hoʻoili ʻana i ka hoʻohālikelike ma ka awelika 500 l.

Hoʻohui ʻia ka lāʻau lapaʻau e ka conjugation me ka acidur o ka glucuronic, ma muli o ke ʻano he neʻe i hana ʻia ka lāʻau lapaʻau. Hoʻokuʻu ʻia ia ma o ka ʻōpū ma kahi ʻano i loli ʻole ʻia, ma mua o 2% o nā pulu e hōʻike ʻia e nā keiki.

ʻO ka hapalua hapalua ola-ʻoi aku ma mua o nā hola 20. ʻO ka huina o ka plasma huina piha he 900 ml / min, ʻo ka holo koko hepatic he 1500 ml / min.

ʻO ka Pharmacokinetics i nā maʻi lapaʻau kūikawā:

kāne kāne: ʻo nā wahine, ʻoi aku ka nui o ka piʻi ʻana a me ka AUC ma mua o nā kāne, kahi o 3 a 2 mau manawa hoʻi, ʻo ia hoʻi, ʻaʻohe like ʻole o ka hopena o ka maikaʻi ʻo Mikardis,
ʻokoʻa i ka wā kahiko: ʻaʻole i ʻokoʻa nā pānaʻi pharmacokinetic i nā maʻi maʻi ma waena o nā poʻe ʻōpio, no laila ʻaʻole koi ʻia ka hoʻoponopono hoʻoponopono ʻana.
nā keiki mai nā keiki a 6 a 18 paha: i ka wā e noi ai iā Mikardis ma ka pāʻana o 1 mg / kg a i 2 mg / kg no 4 wiki, ʻoi aku ka like me ka poʻe pharmacokinetics o ka telmisartan e like me ia i ka poʻe pākeke, ka mea e hōʻoia i ka pili ʻole o ka pharmacokinetics o ka waiwai, ʻoiai me ka manaʻo nui loa
haki ʻole a me ka hemodialysis: ʻaʻole i loli nā hiʻohiʻona o ka telmisartan, no laila, ʻaʻole pono ke hoʻoponopono ʻia. ʻAʻole kōkua ʻo Hemodialysis i ka laweʻana i ka lāʻau lapaʻau mai ke kino,
mālie i ke kahe leʻaleʻa hiki ke loli (ʻAno a me Pugh nā papa A a me B): ʻo nā lā o ka telmisartan o kēlā me kēia lā ʻaʻole pono e hoʻonui ʻia i ka 40 mg.

Nā Hoʻohui

Intolerance fructose frederose (ma muli o nā maʻi sorbitol),
Haki ka puhoi o ka aho kūpono (papa C e like me ke keiki-Pugh scale),
Nā maʻi hōʻeha o ka palaki biliary
Hanaluna ʻia
Ke lalo o 18 mau makahiki
ʻŌpū a me ka lactation
ʻO ka maʻi maʻi o nā papa o nā papa Mikardis.

Hyperkalemia
Hyponatremia,
ʻO ka maʻi ʻeha Coronary (CHD),
Hoʻopau ʻole nā puʻuwai naʻau
Ienopathic hypertrophic subaortic stenosis,
ʻO ka stenosis o ka aortic a me ka mitral valve,
Hōʻemi ʻia ka nui o ke koko no ka maʻi ʻana a i ʻole ka luaʻi, ka palena o ka paʻakai ʻana a me / a i ʻole ʻo ia i ka diuretic ʻoi ʻana o ka maʻi.
Hoʻopiʻi ka naʻau a me / a me ka hana moloka,
ʻO ka pili ʻana o ka renal araline stenosis a i ʻole ka nui o ka stenosis o ke keiki hoʻokahi.
Nā kūlana ma hope o ke hoʻololi ʻana i nā keiki.

ʻO ka wehewehe o ka hana o ka hana: pharmacodynamics a me pharmacokinetics

Hoʻololi ʻia ka Angiotensin II mai ka angiotensin I lalo o ka mana o ka angiotensin e hoʻohuli ana i ka hoʻouluulu (ACE). Hoʻokomo ka hormone Vasoactive i ke kahe o ke koko ma o nā receptors AT1. ʻO ka Angiotensin II ke kumu o ka vasoconstriction a hoʻonui i ka pae o ka hana o ke kaaniani nūnū, e alakaʻi nei i ka hoʻonuiʻana o ka sodium reabsorption i loko o ka pēpē a me ka huna o ald testosterone i nā kelepa adrenal.

ʻĀnio AT1

ʻO Telmisartan, e like me nā antagonist reseptor angiotensin II, kahi derivative benzimidazole. Hoʻopili ʻole ia i nā ʻōhua o ka angiotensin type 1 a hoʻohaʻahaʻa i ke koko.

Hoʻopili koke ʻia ʻo Telmisartan. Hōʻike ʻia nā pae plasma nui loa ma hope o 1 hola. Hoʻomaʻa ka lāʻau i ka metabolism mua. ʻO Bioavailability ke dosis hilinaʻi a ma waena o 40 a 60%. I ka manawa like, hiki i ka meaʻai ke hōʻemi i ka lawe ʻana o ka lāʻau. Hoʻohui ʻia ʻo Telmisartan me ka waikawa glucuronic a hoʻopili ʻia ma ka bile me ka pahu. ʻO ka hapalua hapalua he 24 hola. Hiki ke loaʻa nā ʻike hou e pili ana i ka lāʻau lapaʻau a me nā kumukūʻai i ka papa inoa o nā lāʻau lapaʻau (RLS).

ʻĀina haʻawina

Ua hoʻohālikelike ʻia ʻo Telmisartan me nā placebo a me nā lāʻau lapaʻau antihypertensive. ʻO ka hapa nui o nā haʻawina e komo i nā kāne a me nā wahine o nā makahiki āpau. Ma nā noi ʻelua i hoʻomoe ʻia e placebo, ua hōʻoia ʻia ka hopena antihypertensive o ka telmisartan. Ma kahi ākea mai 20 a 80 mg / lā, hōʻemi ka lāʻau i ka hōʻemi. Ma mua o 80 mg / lā, ʻaʻole i hoʻonui ʻia ka hopena, akā naʻe, nui nā hopena ʻaoʻao.

I loko o kahi noi ʻelua-makapō, ua loaʻa nā 385 mau telmisartan a loaʻa i ka poʻe 193 ka lisinopril. ʻO ka maʻa mua no ka telmisartan he 40 mg / lā i kahi a me 10 mg / lā no ka lisinopril. Inā ʻaʻole e hāʻule ka paila diastolic i lalo o 90 mmHg ma hope o 4 pule, ua pālua ʻia ka nui o nā pila ma nā pūʻulu ʻelua. A laila hoʻomau nā poʻe maʻi i ka dosis i kuhikuhi ʻia no nā hebedoma 48. Loaʻa ka monotherapy Telmisartan i 44% o nā hihia. Ua hōʻemi ʻia ke koko koko e ka awelika o 18/16 mm Hg. No ka lisinopril, ʻo nā helu helu e 48% a 19/16 mm Hg. I ka hui me hydrochlorothiazide, hoʻohaʻahaʻa ka telmisartan i ke koko koko e 2 mmHg. ʻAniā. oi aku ma lisinopril.

ʻO ka hole waiwai

Wahi a like me kahi hoʻolālā like, ua hoʻohālikelike ʻo telmisartan me enalapril no ʻeono mahina. Ua hoʻopaʻa ʻia ma ka hoʻopaʻa ʻia ka 272 poʻe ma ka liʻiliʻi he 65 mau makahiki. Kē ka pila o ke telmisartan mai 40 a 80 mg, a me enalapril - mai 1 a hiki i 5-20 mg i kēlā me kēia lā. Hōʻike ʻia nā mea ʻelua i kahi hopena antihypertensive.

I loko o kahi noi wikiō ʻelua ʻelua wikiō, ua loaʻa nā mea maʻi 222 i ka placebo, telmisartan (40 a i ʻole 80 mg / lā hoʻokahi), a i ʻole losartan. ʻO ka palena awelika o ke kahe koko e 14/9 mm Hg. (40 mg / lā) a i ka 16/10 mmHg ke hoʻohana nei i ka telmisartan.

232 nā mea maʻi i loaʻa i ka telmisartan (40-120 mg / lā), amlodipine (5-10 mg / lā), a i ʻole placebo no 12 mau pule. Ua koho mua ʻia ʻelua mau anti antihypertensive ma ka haʻahaʻa haʻahaʻa loa. Inā ʻaʻole i emi iho ke koko diastolic, ua hoʻonui ʻia ke ʻano. Hōʻemi ʻia ke koko e ka awelika o 17/12 me telmisartan a me 18/12 mm Hg. me amlodipine. I ka hui telmisartan, ʻaʻole lawa i ka pau mua. I ka hui amlodipine, ʻo 40% wale nō o nā mea maʻi i loaʻa i kahi lāʻau o ka lāʻau. No kēia noiʻi pū, ua hoʻomaopopo ʻia he hapa o ka telmisartan ma mua o 80 mg / lā i loaʻa i ka hopena antihypertensive hou.

Wahi a hoʻokahi haʻawina, hana like ka telmisartan like me ka atenolol (1 ka manawa mai 50 a 100 mg / lā). Ma kekahi mau noiʻi, ua hoʻomau kekahi mau maʻi ma muli o ke kaohi ʻana o 24 koko. Loaʻa ʻia ka loaʻa ʻana o ka telmisartan i ka hopena antihypertensive maikaʻi loa ma mua o nā mea kanu me ka hapalua hapa-ola (ma ke ʻano, losartan). Eia nō naʻe, hoʻohālikelike ʻia me enalapril, ʻaʻohe ʻano ʻē aʻe. Ma kahi noi wehe, ʻike ʻia ka telmisartan e like me ke koʻikoʻi me ka enalapril i ka poʻe me ka hypertension koʻikoʻi.

Nā hopena hopena

ʻO ka ʻeha, ka ʻeha, ka maʻiʻeha o ka luhi o ka maʻi, nā puʻuwai, ka ʻōpū, ke nānā ʻana, a me ka maʻi o ke aʻeha paha e hele mai i ka wā e lawe ai i ka mycardis. ʻO kēia mau hopena ʻaoʻao e like me ka placebo. Ua hoʻopiʻi kekahi ʻo nā mea maʻi me ka pā ʻana.

Ua loaʻa kahi hihia o ka angededema i loko o nā noiʻi. Ke hōʻoia nei kēia ʻike ma mua o kēia mau pilikia ʻelua, ʻoiai ʻoi aku ka liʻiliʻi ma mua o nā mea hoʻopaʻa ACE, hiki ke hele pū me nā ATagon receptor AT1. I nā hoʻokolohua holoholona, ʻoiʻi ka hopena a me ka ulia gastric i hana pinepine ʻia me ka telmisartan.

ʻLoe a me ke kākele

Lawe ʻia nā papa papaʻaina, me ko ka ʻaina.

ʻO ka ʻōmua mua o Mikardis i ka mālama ʻana i ka maʻi hypertension: 1 papa (40 mg) ka manawa 1 i ka lā. Kahi ʻia ka piʻi ʻana o ka 2 mau paena ma nā hihia i kahi, i ka wā e lawe ai i ka 40 mg i ka lā, ʻaʻole i hoʻokō ʻia ka hopena therapeutic i hoʻolālā ʻia. Akā ke hoʻoholo nei e hoʻonui i ka hāmeʻa, pono ia e noʻonoʻo i ka hopena o ka hopena antihypertensive kiʻekiʻe i ka nui o nā hihia he hiki ke kakali wale nō ma ka 28-56 mau lā ma hope o ka hoʻomaka ʻana o ka lapaʻau.

ʻO ka makeʻana o ka lāʻau e hōʻemi i ka morbidity cardiovascular a me ka make ma kahi o 1 papa (80 mg) 1 mau lā i ka lā. I ka hoʻomaka ʻana o ka pena, pono paha i kahi hoʻoponopono hou aʻe i ke koko.

ʻO ka pākuʻi o kēlā me kēia lā iā Mikardis no ka hana o ka puʻuwai hemahema o ke ʻano haʻahaʻa a me ke ʻano haʻahaʻa (papa A me B ma ke keiki-Pugh scale) ʻaʻole pono e hānai i ka 40 mg.

ʻAʻole pono ke hoʻoponopono ʻana i ka hoʻoponopono ʻia no ka poʻe maʻi maʻi a me nā poʻe maʻi me ka loaʻa ʻole o ka renal (me ka poʻe ma ka hemodialysis).

Nā ʻōlelo kikoʻī

I kekahi mau pilikia, ma muli o ka kaohi o ka renin-angiotensin-ald testosterone, ʻoi loa ka hoʻohana ʻana i ka hui pū ʻana o nā lāʻau e pili ana i kēia ʻōnaehana, ʻoi aku ka hopena o ka hana renal (me ka nui o ka maikaʻi ʻole o ka renal). No kēia mea, ʻo ka mālama ʻana i hui pū ʻia me ka mea i hoʻopihapiha ʻia o nā ʻōnaehana renin-angiotensin-aldosterone (no ka laʻana, me ka hoʻohui ʻana o ka angiotensin-hoʻololi i nā mea mālama o nā enzyme a i ʻole nā mea hou a renin inhibitor, aliskiren, i ka angiotensin II receptor antagonist blockers), e hana pono. nā pēpē (me ka nānā pū ʻana o ka nānā i ka serum creatinine a me nā kūleʻa potasi).

Ke hilinaʻi nui nei ka hana o nā pūpū a me ke kani vascular i ka hana o ka ʻōnaehana renin-angiotensin-aldosterone (no ka laʻana, i ka poʻe maʻi e loaʻa ana i nā maʻi o ke keiki a i ʻole ke kani ʻana o ka puʻuwai naʻau, e komo pū me ka stenosis renal a i ʻole stenosis hoʻokahi wale nō). ma kēia ʻōnaehana e hele pū pū me ka hoʻomohala ʻana o ka oliguria, hyperazotemia, hypotension arterial aʻai, a, i nā hihia loaʻa ʻole, ʻoi aku ka maikaʻi o ka pale renal.

I ka noʻonoʻo ʻana i ka ʻike o ka hoʻohana ʻana i nā lāʻau ʻē aʻe e pili ana i ka ʻōnaehana renin-angiotensin-aldosterone i ka wā e kuhikuhi ana iā Mikardis i hui pū me nā koina papa, potassium-sparing diuretics, pākiko paʻakai pākana a me nā lāʻau lapaʻau ʻē aʻe e hoʻonui ai i ka manaʻo o ka paʻakai i loko o ke koko (no ka laʻana, heparin). e manaʻo ʻia e kāohi i kēia hōkuhi i nā maʻi.

Ma ka hihia o ka maʻi mellitus a me kahi mea hou aku no ka ʻōnaehana cardiovascular, no ka mea, i nā mea maʻi me ka maʻi mellitus maʻi mellitus a me ka maʻi naʻau coronary, ka hoʻohana ʻana i nā lāʻau lapaʻau e hoʻohaʻahaʻa i ke koko (e like me ka angiotensin e hoʻohuli ana i ka enzyme inhibitors a ʻo ka angiotensin II receptor antagonist) e hoʻonui i ka hōʻeha o ka make myocardial infarction a me ka make hope o ka maʻi cardiovascular. ʻO ka maʻi naʻau Coronary me ka maʻi maʻi hiki ke like asymptomatic, a no kēia kumu ke kumu nui loa ia e ʻike ʻole ʻia e ʻike ʻia. Ma kēia noʻonoʻo, ma mua o ka hoʻomaka ʻana i ka ʻoihana Mikardis i nā maʻi me ka maʻi mellitus, ʻōlelo ʻia e hana ʻia nā hoʻokolohua pono pono, me ka hōʻike ʻana i kahi hoʻāʻo kino kūlohelohe, e hoʻomaopopo a me ka mālama i ka maʻi naʻau coronary.

ʻO kahi mea hoʻohana hou aʻe, hiki ke hoʻohana ʻia ka lāʻau e hui pū me ka diuret thiazide (hydrochlorothiazide), kahi e loaʻa ai kahi hopena hypotensive (ma ka laʻana, ʻo Mikardis Plus).

Ma ka aldosteronism maʻamau, nā lāʻau antihypertensive, nona ka hana o ka hana e kaohi i ke keena renin-angiotensin-ald testosterone, ma ke ʻano he kānāwai, ʻaʻohe o ka hopena i makemake ʻia.

Hoʻopili ʻia ʻo Telmisartan me ka bile. Me nā maʻi pōpilikia o ka tractary tract a i ʻole ka pau ʻole o ka mālama ʻia, hiki ke hoʻopau ʻia i nā ʻāpana o ka lāʻau.

Pono e noʻonoʻo i ka maikaʻi loa ʻo Mikardis i nā mea maʻi o ka lāhui Negroid.

Hoʻopilikiaʻia ka hana o ka ate i ka wā e lawe ai i ka telmisartan i nānā nui ʻia ma waena o nā kānaka o Iapana.

ʻO nā mea maʻi i ka wā o ka hana lapaʻau e makaʻala i ka wā e mālama ai i nā hana ʻehaʻeha e pono ai ka nānā nui a me ka wikiwiki o ka hopena psychomotor.

Hoʻohui nūhou

ʻO nā hōʻeha koʻikoʻi maʻi, ma kahi o ka hiki ke telmisartan e hoʻonui i ka hopena hypotensive o nā hana antihypertensive ʻē aʻe, ʻaʻole i ʻike ʻia.

ʻO ka hoʻohana ʻana o ka telmisartan i hui pū me ka amlodipine, simvastatin, paracetamol, ibuprofen, glibenclamide, hydrochlorothiazide, warfarin a digoxin ʻaʻole alualu i ka hopena pili koʻikoʻi.

Me ka hoʻohana ʻana o ka telsmisartan me ka digoxin, he piʻi nui ka piʻi ʻana o ka lua ma loko o ke koko koko i ʻike ʻia e ka awelika o 20% (ma ka hihia hoʻokahi, ma ka 39%). Ma kēia hana, ua pono no ka hoʻohana ʻana i kēlā hui like ʻole i ka manawa maʻamau e hoʻoholo i ka ʻike ʻana o ka digoxin i ke koko.

Ke hoʻohana nei i ka telmisartan i hui pū me ramiprilat (ramipril), kahi hoʻonui o ka 2.5-pa i Cmax a me AUC0-24 o ka lua hana ua ʻike ʻia (ʻaʻole i hoʻokū ʻia ka manaʻo koʻikoʻi o kēia hanana).

I nā hihia i ka wā like o ka angiotensin-hoʻohuli i ka hoʻoneʻe ʻana o ka enzyme me ka hoʻomākaukau ʻana i ka lithium, he ala hou ka naʻau o ka lithium i loko o ke koko, ua nānā ʻia, me ka hopena o ka hopena. Kekahi luhi, ua hōʻike ʻia nā hoʻololi ʻana me nā antagonist reseptor angiotensin II. Kuhi ʻia ka hoʻoholo ʻana o ka lithium i ke koko me ka mālama like ʻole me ka hoʻomākaukau ʻana o lithium a me ka antagonist reseption ngiotensin II.

ʻO ka hopena me nā lāʻau anti-inflammatory non-steroidal, e komo pū ana me ka inhibitors cyclooxygenase-2, acetylsalicylic acid a me nā mea hoʻohana ʻole anti-inflammatory a non-selidal, hiki ke alakaʻi i ka hoʻomohala ʻana o ka maikaʻi ʻole o ka hopena i ka poʻe maʻi me ka hoʻomehana.

ʻO nā lāʻau lapaʻau e hana ana i ka ʻōnaehana renin-angiotensin-ald testosterone hiki ke loaʻa kahi hopena synergistic. I nā mea maʻi e lawe nei i nā lāʻau anti-inflammatory non-steroidal a me telmisartan, i ka hoʻomaka ʻana o ka hōʻola ʻana, e pono ke uku no ka nui o ke koko e nalo ai a hana i kahi haʻawina o ka hana o ka kidney.

Hoʻemi ʻia ka hopena o ke telmisartan ma muli o ka kaohiʻana o ka hopena vasodilating o ka prostaglandins aʻo ka hoʻohana ʻana o Mikardis me nā lāʻau anti-inflammatory non-steroidal.

Hōʻike Hypertension

I kēia ao hou, hōʻeha nā naʻau a me nā hōʻeha hoʻi i kahi kokoke he kanahiku o ka nui o nā make a pau. I kēia mau lā, ʻehiku o ka poʻe he ʻumi e make ma muli o nā ʻili o ka puʻuwai a i ʻole ka lolo. ʻO ka mea weliweli loa ka ʻoiaʻiʻo o ka nui o nā poʻe ʻaʻole i kānalua i ka mea a lākou e loaʻa ai i ka maʻi hypertension. Nui ka poʻe maʻi no kēia nalo i ka manawa e hoʻoponopono ai i kahi mea, no laila e hoʻopaʻapaʻa ana iā lākou iho i kekahi make.

Ma kēia kūlana, ʻaʻole pono nā mea huhū o ke olakino a haʻalele i kekahi hoʻokolohua lapaʻau maʻamau e nā kauka. A ma kahi e ʻike ʻia ai ka hypertension, pono pono e lawe i nā kaʻina a pau no ka mālama ʻana. Kahi mea hana pono no ka mālama ʻana i kēia maʻi i kēia lā ka lāʻau lapaʻau i kapa ʻia ʻo "Mikardis".

ʻO ka ʻike nui o ka lāʻau lapaʻau

Ua manaʻo ʻia kēia lāʻau lapaʻau i kekahi mau manawa i ʻoi aku ka maikaʻi ma mua o Losartan. Wahi a nā ʻōlelo kuhikuhi, ʻo Mardardis ka lāʻau lapaʻau momona. Loaʻa iā ia ka hoʻohuihui maikaʻi, hoʻokomo ʻia i loko o nā lau o ke kino, ʻaʻohe ʻano ʻokoʻa ʻole, ka aha, a pehea ka nui o kahi e ʻai ai kekahi. ʻO ka lāʻau, ma ke ʻano he kānāwai, hoʻomaka e hoʻoheheʻe ʻia ma hope o hoʻokahi hola a me ka hapa. E like me ke koʻikoʻi, hoʻomaka ia e hāʻule i ʻekolu mau hola ma hope o ka lawe i ka paila. ʻO kēia ka hana nui a Mikardis. ʻAʻole hana ka lāʻau lapaʻau i nā kūlana no ka hoʻokumu ʻana o nā metabolites ikaika. Mai ke kino kanaka, ua hoʻopau ʻia ka lāʻau i loko o ka hua bile.

Hoʻomaopopo ʻia kēia lāʻau lapaʻau, ʻo ia hoʻi no nā poʻe maʻi e hōʻeha i ka hana ʻole o ka pūpū. Wahi a nā ʻōlelo kuhikuhi no ka hoʻohana ʻana, ʻaʻole ʻo "Mikardis" i kuhikuhi ʻia i nā poʻe maʻi maʻi maʻi, a me ka mea pū kekahi i nā pilikia me ka biliary tract. ʻO kēlā mau mea maʻi me ka hiki ʻana o ka renal mod ole e loaʻa aku ma mua o 40 milligrams i kēlā me kēia lā.

Ke ʻano o ka noi a me ka hopena o ka lāʻau lapaʻau

E like me ke kuhikuhi ʻana iā Mikardis, e lawe ʻia ka lāʻau lapaʻau i hoʻokahi manawa i ka lā, inā ʻaʻole o ka pāʻina. ʻO 40 mau mika i kēlā me kēia lā he 40 milligrams. Me nā hypertension mua, hoʻomaka ka mālama ʻana me 20 milligrams, i nā hana koʻikoʻi, hiki ke hoʻonui ʻia ka nui o ka lāʻau lapaʻau ma 160 milligrams.

Loaʻa ka hopena o kēia lāʻau i ka dosage. Inā ʻoe e hoʻonui i ka lolo i kēlā me kēia lā mai 20 a 80 mau miletrams, ʻo ia ke ʻano o kēia neʻe ʻana i ka lua. ʻO ka hoʻonui ʻana i ka kao o Mikardis i ʻoi aku ma mua o 80 milligrams i undesirable, no ka mea ʻaʻole kēia e hāʻawi i kahi emi ʻana o ke kaomi. ʻO ka mālama nuiʻana o nā lāʻau he 40 milligrams i kēlā me kēia lā. Ma hope o hoʻokahi mahina o ka lawe ʻana i ka lāʻau lapaʻau, ʻo ke kaomi o ke kanaka i ka maʻamau ke hoʻi i ka maʻamau. ʻO ka mea nui, ʻo ia ke nānā ʻana i ke ʻano o Mikardis.

I ka loaʻa ʻana o ka mea maʻi ma kahi mua o ka maʻi hypertension, pono ke kūʻai ʻana i kahi lāʻau me ka dosage o 40 milligrams a lawe i ka hapalua o kahi papa i kahi lā (ʻo ia, 20 milligrams). Inā loaʻa he kumu maʻamau kahi kanaka, a laila e lawe i ka 40 milligrams.

ʻO ka hoʻonohonoho ʻana o "Mikardis"

No laila, ʻo ka lāʻau lapaʻau i hōʻike ʻia ke ʻano o nā telmisartan, kahi mea ikaika. Eia kekahi, ʻo nā mea i loko o ke ʻano o ka hydrochlorothiazide, polyvidone, sodium hydroxide, meglumine, magnesium stearate a me sorbitol e komo pū me nā mea kōkua o Mikardis.

He aha nā manaʻo o Mikardis?

Nā hōʻailona no ka hoʻohana ʻana

Ke hōʻike nei nā maʻi no ka hoʻohana ʻana i nā blockers angiotensin e loaʻa i ka mea maʻi i ka hōʻokiʻoki o ka naʻau a me ka nephropathy, kahi mea i ʻike ʻia he hoʻopiʻi o ke koko kiʻekiʻe a me ka maʻi diabetes. Wahi a nā ʻōlelo kuhikuhi, e lawe ʻia ka lāʻau lapaʻau e hoʻokō ai i kēia mau pahuhopu:

Ka hoʻomaʻemaʻe ʻana i ke koko kiʻekiʻe.
ʻO ka pale ʻana i nā maʻi o ka naʻau a me ka maʻi vascular.

I ka manawa e pono ai e inu i ka lāʻau lapaʻau me ka mālama?

E like me nā ʻōlelo i hoʻopili ʻia no ka hoʻohana ʻana, pono e mālama ʻia ka lāʻau "Mikardis" me ka mālama nui a ma lalo o ka mākaʻikaʻi koʻikoʻi o kekahi kauka i kēlā mau kānaka i ka maʻi i:

ʻO ka maʻi ʻeha Coronary.
ʻO ka Stenosis o nā aʻa o nā renal.
Hoʻopau ʻole nā puʻuwai naʻau.
ʻO nā kuʻukū o nā pūpū naʻau.
Cardiomyopathy a i ʻole hypertension renal.
Hyperkalemia
Hoʻopiʻi a Renal me ka hoʻololi ʻana i ke kino.
Haki i ka puka o waho o ka bile.
Polōpiopio.
Naʻi maʻi mellitus.
Hoʻopau ka ʻaoʻao ma ke kaona o ka ʻai ʻana o ka meaʻai. He mea pono ke hoʻomaopopo i kēia hihia, pono e hoʻihoʻi hou ka hala o ka wai i mua o ka lawe ʻana iā Mikardis. E hōʻoiaʻiʻo ke aʻo ʻana i kēia.

Mikardis, nā ʻōlelo e pili ana i ka hoʻohana ʻana: ke ʻano a me ka helu ʻana

ʻO nā papa nā Mikardis e lawe ʻia ma ke alo. ʻAʻole ʻai ka ʻai i ka hopena o ka lāʻau lapaʻau.

No ka hypertension, ʻōlelo ʻia ka mālama ʻana e hoʻomaka me ka pākahi o kēlā lā i kēia lā he 40 mg i loko o ka 1 pālea. Inā lawa ka hopena therapeutic, hoʻonui ʻia ka nui o kēlā me kēia lā i 80 mg i kahi 1 wai, ʻoiai e noʻonoʻo ʻia ka make ʻana o ka hopena hypotensive kiʻekiʻe o Mikardis i loko o nā 4-8 mau pule ma hope o ka hoʻomaka ʻana o ka hopena.

No ka hōʻemi i ka pilikia o morbidity cardiovascular, ua'ōlelo ʻia e lawe i ka 80 mg hoʻokahi i ka lā. I ka hoʻomaka ʻana o ka mālama ʻana, pono paha ke hoʻoponopono hou ʻia i ke koko.

ʻO ka pākuʻi o kēlā me kēia lā iā Mikardis no nā poʻe maʻi me ka hana o ka puʻuwai hemahema o ke ʻano haʻahaʻa a me ke ʻano haʻahaʻa (nā papa A a me B ma ke keiki-Pugh scale) ʻaʻole pono e hānai i ka 40 mg.

He lāʻau lapaʻau e hoʻolōʻihi i ke ola

He kumu waiwai ʻo Mikardis, a i ʻole blocker angiotensin blocker. Hoʻohana ʻia kēia lāʻau lapaʻau e mālama i ke koko kiʻekiʻe. ʻO ke kumu o ka hana sartans ka huaʻai a ka renin ma hope o ko lākou kaohi ʻana, ka mea e hoʻololi ai i ka ʻano like ʻole o ka angiotensinogen i loko o ka angiotensin-1, kahi e hoʻokaʻawale i nā ipu koko a he diuretic.Ke hele nei ma hope o ke kino aia ka pūʻulu āpau o nā ʻano like ʻole e pale ai i ka hypertension.

No laila, hoʻihoʻi ka pane koko koko i ke ʻano maʻamau inā hoʻea ʻia. A no ka mea pono o kēia mea, ke ola nui o ka mea maʻi e loaʻa ana i ka hypertension a me ka cardiac, a me ka mea hoʻi, he maʻi vascular.

Ma lalo nei mākou e noʻonoʻo ai i ka hoʻopili ʻana o Mikardis.

Nā lāʻau lapaʻau lāʻau

Hana ʻia nā papa Mikardis ma Austria, a no laila ua kiʻekiʻe ke kumukūʻai o Mikardis a hiki i nā tausani o nā rubles i kēlā me kēia uku, ma loko o kahi he iwakāluakūwalu mau pālima. Akā aia nā mea ʻokoʻa o kēia lāʻau lapaʻau, i hoʻoili ʻia ma Rūsia, ke kamaʻilio nei mākou no "Angiakand", "Blocktran", "Aprovel", "Candesartan", "Atakanda", "Lozartan", "Cozaar", "Lozape", " Valse ”a me" Valsartan ".

ʻO nā lāʻau lapaʻau a pau i luna ke ʻano like me ka hopena ʻo Mikardis, akā ʻokoʻa i ka nui o ka dosis He mea maʻalahi kēia mau kikowaena, mai ka haneli a me kanakolu mau rubles i ka pākaukau. I waena o nā mea kikoʻī nā Mikardis i lawe ʻia, pono ke haʻi i nā lāʻau lapaʻau e like me Telmista me Teseo, Priitor, Twinsta, Telpres, Telsartan, Tsart a me Hipotel.

ʻO ka Telmista kahi lāʻau lapaʻau antihypertensive. Loaʻa i nā palapala papa. ʻO ka hana ikaika o ka telmisartan lāʻau, he mau antihypertensive waiwai, he ʻāwa antagonist o ka alaiotensin II.

Hōʻike ʻia no ka hypertension arterial, ʻo ka nui o nā maʻi o ka ʻōnaehana cardiovascular ma ke ʻano o nā makahiki he ʻelima. Hoʻopilikia ia i nā ʻano o ka palupalu o ka puʻuwai, ka huina biliary, ka hui pū ʻana me ka aliskiren i nā mea maʻi me ka hōʻeha a i ʻole kaulike ʻole a i ʻole diabetes mellitus, lactase / sucrose / isomaltase deficiency, fructose intolerance, glucose-galactose malabsorption, hapai a me ka wā lactation, makahiki a hiki i ka 18 mau makahiki, hypersensitivity pilikino i ka telmisartan a i ʻole kekahi o nā mea kōkua o ka lāʻau lapaʻau.

ʻO ke kumukūʻai o nā lāʻau lapaʻau Keleman i hana ʻia me ka hopena like me ka hopena o ka maʻi, a me nā lāʻau lapaʻau o ka Hungarian a me nā mea hana piliona, ma ke ʻano he kānāwai, he mau manawa ʻoi aku ka nui o nā koikoi Lūkini no Mikardis. Akā e kūpono ia i kēia mau lā ʻaʻole nā lāʻau Lūkini i like me ka mea like me ka mea like.

Hoʻohālikelike me nā lāʻau lapaʻau ʻē aʻe

Manaʻo pinepine nā poʻe maʻi i ka mea e ʻoi aku ai ka maikaʻi - ʻo "Lorista" a i "Mikardis"? ʻOi aku i kēia mau lāʻau maikaʻi ke hoʻemi ʻana i ke kaomi, akā ua ʻokoʻa loa ka ʻano mea ikaika i loko o lākou. ʻOkoʻa ka uku. ʻO ka laʻana, mālama ka lāʻau "Lorista" i ʻekolu haneli o rubles, aʻo "Mikardis" uku ke kūʻai aku i nā mea kūʻai aku ʻekolu manawa.

ʻO ka hoʻohālikelike ʻana iā "Mikardis" me "Valz", ʻike ʻia he mea ʻoi aku ka pipiʻi o ka hopena ma mua. "Valz" kumukūʻai e pili ana i ʻekolu haneri mau rubles. Akā hoʻohana lākou ia ma ke ʻano o ka mālama ʻana o ka hiki ʻole o ka naʻau puʻuwai. Hiki nō ke lawelawe e mālama i ka poʻe maʻi i loaʻa i ka hōʻeha a i ʻole hōʻeha ka naʻau.

Hoʻolālā pinepine nā kānaka e hoʻohālikelike iā Mikardis me Lisinopril. Pono au e ʻōlelo he mau lāʻau like ʻole o nā lāʻau lapaʻau like ʻole. Ke loaʻa nei kēia mau lāʻau i nā mea ikaika like ʻokoʻa, a me ka hoʻohui ʻana, ʻokoʻa ka loli o kā lākou hopena i ke kino o ke kanaka. "Lisinopril" hana i kahi mea o ka ACE inhibitor a ma ka hoʻohui ʻana i kahi lehulehu o nā hopena maikaʻiʻole. Kuhi ʻia kēia mea kahi i loko o Rūsia, a ʻo kona kumukūʻai kumukūʻai ma kahi o hoʻokahi haneli a me iwakālua mau rubles.

Oe e hoohalike aku o Mikardis me Concor. Loaʻa nā ʻano lāʻau i hōʻike ʻia i nā ʻano hana like ʻole. "E mālama ʻia ka" Concor "inā he maʻi hypertension wale nō ka mea maʻi, akā ua kū'ē hoʻi i ka mua o ka ischemia a me ka nele o ka naʻau.ʻOi aku ka maikaʻi o kēia mau lāʻau lapaʻau e nā mea maʻi, e kau ʻia ma muli o nā ʻano. Concor he hana Kelemania, a ʻo ke kumukūʻai he ʻekolu haneri a me kanalima rubles.

He mea nui ia e hoʻomaopopo inā ma hope o ka wehe ʻana o ka mālama ʻana me Mikardis, ʻaʻole ʻike ka poʻe maʻi i ka hōʻemi i nā hōʻailona, a me nā ʻāpana Arterial, ma ka huli ʻana, e hoʻi mālie lākou i ko lākou mau waiwai mua. Pono nō hoʻi e hoʻolauna ʻia he lāʻau maikaʻi antihypertensive o Mikardis i hoʻomanawanui maikaʻi ʻia e nā maʻi. Eia kekahi, he hōʻemi liʻiliʻi kēia lāʻau lapaʻau i nā contraindications.

Akā he kumukūʻai koʻikoʻi ke kumukūʻai i hōʻike ʻia, no laila, me ka mālama lōʻihi, nui nā mea maʻi e hoʻāʻo e ʻimi pono nā metala kūʻai kūpono. I ka pili i kēia, he mea pono e hoʻomanaʻo e hiki i ke kauka ke hiki ke hoʻololi i nā lāʻau lapaʻau, ʻo ka ʻoiaʻiʻo ke kūlike ʻole nā mea hoʻonani maʻamau.

Nā ʻihi ʻaoʻao o Mikardis

ʻO ka lāʻau lapaʻau, e like me ka hōʻike ʻana i nā ʻōlelo aʻoaʻo no ka hoʻohana ʻana i ka lāʻau lapaʻau, he nui o kēlā me kēia ʻano o nā hopena o ka hopena i hiki pinepine ʻia, akā naʻe hiki ke ʻike. Ke kamaʻilio nei mākou e pili ana i ka maʻi o ka maʻi, myalgia, huki, kaumaha, nui ka hopohopo, ke ʻano ʻana o ke ʻeha o ka ʻākā, a me ka pōpō hua ʻole. Eia kekahi, ʻo ka hoʻomakaʻana o ka ʻūhū o nā membrane akomi me ka anemia, urticaria a me pruritus.

He aha ka hopena o Mikardis a me nā waiʻona?

Hiki iaʻu ke hoʻohui me ka waiʻona?

I ka wā mālama, inu i ka wai inu, a me ka hoʻopili ʻana, i ka lāʻau lapaʻau e pili ana i ka ethanol, pāpā ʻia. Me kēia hoʻohui, hiki i nā hopena hopena koʻikoʻi nā hopena a me nā kūlana.

E noʻonoʻo i nā loiloi a Mikardis.

Nā hōʻike ʻana o nā cardiologists e pili ana i ka lāʻau lapaʻau

Hōʻikeʻike nā loea e nā cardiologists e pili ana i kēia lāʻau lapaʻau. Wahi a nā kauka, inā ʻaʻole ʻoe e hōʻole i ka dosage a ma mua o ka hoʻohana ʻana i ka hoʻokolokolo pono ʻana no ka hele ʻana o nā maʻi e kūmole ana i ka hoʻohana ʻana o Mikardis, a laila e loaʻa ʻiʻo nō ka hopena.

Ua kākau nā loea i ka mālama ʻana me kēia lāʻau lapaʻau i ka hapa nui he mau hanana i ka hopena koʻikoʻi. I loko o nā ʻōlelo lapaʻau, ke hoʻohālikelike nei inā i ʻike ʻia nā hopena hōʻino pili, e hoʻomau lākou i kahi ʻano nāwaliwali loa. Ua hōʻike ka poʻe Cardiologists i kahi hopena liʻiliʻi o kēia lāʻau lapaʻau ma ka puʻuwai naʻau. Ma waena o nā mea ʻē aʻe, ʻike ka poʻe loea i ka hana ʻoi loa ke ʻano o ka lāʻau lapaʻau i hōʻike ʻia, a kū pū me ke kua o ka maʻi hypertension kiʻekiʻe.

Eia kekahi, ua hōʻike nā kauka i nā loiloi o ka "Mikardis" hōʻike i, i ka nānā ʻia ʻana o ka papa hana kūpono pono no kēia mau papa, e hua ʻia ka lāʻau lapaʻau i ka hopena lōʻihi ma ke kino o ka mea maʻi, e mau ana i nā hola he iwakāluakumamāwalu.

Nā Hōʻike Hoʻomaʻi

E pili ana i nā loiloi "Mikardis" loiloi mai nā maʻi i mea maikaʻi loa. ʻO ke ʻano wale o kēia lāʻau lapaʻau Kelemānia, e like me ka poʻe, ʻo kāna kumukūʻai exorbitant. ʻO ke kumukūʻai o ka lāʻau lapaʻau, e like me ka mea i hōʻike mua ʻia, hoʻokahi tausani mau rubles. Ka mea, ʻaʻole kūpono ke kumukūʻai no kēlā me kēia kanaka. Ma keʻano pilikino, ʻo nā penikala kahi nui e hoʻolilo i nā kālā he nui i kā lākou mālama i kēlā me kēia mahina e hoʻopiʻi nei i kēia kūlana.

Ma waena o nā loiloi kūpono e pili ana i kēia lāʻau lapaʻau aia kahi mau ʻōlelo e mālama ʻia ana ka lāʻau me Mikardis me kahi hoʻokipa ʻoluʻolu. No laila, ua lawa ka inu wale nō i hoʻokahi papa hoʻokahi i ka lā, a no laila ke koena o ka lā a maikaʻi ka hele a hele pū me ke ʻano maʻamau. ʻO nā mea maʻi, e like me nā kauka, hōʻoia i kekahi mau hopena koʻikoʻi e pili ana i ka hoʻohana ʻana i kēia lāʻau lapaʻau ka loaʻa pinepine loa.

Ma waena o nā mea ʻē aʻe, hōʻike ka poʻe i nā mahalo iā Mikardis ua hoʻokō lākou e wehe i nā mahā a me ka pupule koke ʻana i ke kaumaha.Kēia manawa ua hala kekahi mahina ma hope o ka hoʻoili mau ʻana, hoʻōki ka lohi i ka lele a lilo i mea maʻamau. Hoʻomaikaʻi aku nā mea hoʻohana aku i kēia lāʻau lapaʻau no ke kōkua ʻana e hoʻohaʻahaʻa i ke kahe koko me ka ʻole o ka hōʻeha ʻana ma ka helu hōʻeha.

Ke hōʻike nei kekahi mau maʻi i kā lākou loiloi e lawe lākou i ka lāʻau "Mikardis" i hui pū me nā lāʻau ʻē aʻe e hōʻemi ai i ke koko. I ka mea maʻamau, ʻo kēlā mau maʻi e loaʻa ana i nā ʻano maʻi maʻamau o hypertension e pili ana i nā hoʻoponopono hoʻoponopono maʻamau. Kuhi ʻia nā mea kūʻai, ma kēia hihia, ke kāleka pono ʻo Mikardis me kāna hana, akā i kekahi manawa ua poni ka ʻili i nā pālapa.

Pehea e lawe ai a ma ke kumu a ke kaomi, ka nui

ʻO kahi hōʻailona wale nō no ka telmisartan, ʻo ia ka hypertension arterial. ʻAʻole pono ke lawe ʻia ʻo Telmisartan no ka pohō ʻana o ka naʻau.

Loaʻa ʻo Mikardis i nā papa 40 a 80 mau. ʻAʻole pono e ʻokaʻī ʻia nā papa ma muli o kā lākou waiwai physicochemical. Hoʻohana ʻia ka lāʻau i hoʻokahi manawa i ka lā. ʻO ka inamua mua he 40 mg / lā. Manaʻo ʻia ka hopena kiʻekiʻe loa i loko o 4 mau hebedoma. Inā kūpono, hiki ke pāpālua i ka make i ka 80 mg / lā. Hele maikaʻi ʻo Telmisartan me kahi diuretic thiazide. Pono e hoʻohana ʻia ʻo Mikardis me ka akahele me ka hihia o ka hoʻoheheʻe, akā, ʻaʻole i loko o ka hoʻonele koʻikoʻi. I ka hihia o ka ate dysfunction, ʻoi ʻia kahi e hoʻemi i ka ʻono.

E like me nā antagonist reseption angiotensin āpau, contagicated ka telmisartan i ka wā hāpai (renal gagal i ka wīwī). ʻAʻoheʻike i ka lohi o ka umauma.

ʻO nā inoa kālepa koʻikoʻi o nā mea pili i nā lāʻau lapaʻau:

Nui! Hoʻokuʻu ikaika ʻia ka lāʻau lapaʻau e like me ke koho ʻana o ke kauka hele mai. ʻAʻole hōʻike ʻia e kūʻai i ka lāʻau lapaʻau me ka loaʻa ʻole o kahi.

Hoʻohui

Hiki i Telmisartan ke alakaʻi i ka hoʻonui nui ʻana o ka neʻe o ka digoxin i loko o ke koko, ʻoiai ʻaʻole e hoʻomaopopo pono ka hana o kēia hana. No laila, e nānā pono ʻia nā pae digoxin i ka wā e hoʻomaka ai a hoʻōki paha ka lāʻau telmisartan. Eia kekahi, e kuhi ʻia ana nā angiotensin II antagonist receptor e hoʻonui i ka pae lithium. ʻAʻole ia i kēnā ʻia e lawe i ka telmisartan me nā huahana huaʻa.

ʻO ka wai huaʻai

Hoʻopau ka waiʻona i ka pūnaehana neʻe i waena o nā nui a hiki ke hoʻonui i ka hopena vasodilating o ka lāʻau. ʻAʻole ia i hōʻike ʻia e lawe i ka waiʻona i ka wā o ka mālama ʻana me ka lāʻau lapaʻau. I nā liʻiliʻi liʻiliʻi, aia ka hopena o ka ethanol i nā hanana a me ka nui o nā lāʻau lapaʻau me nā lāʻau lapaʻau.

Paki! Ma mua o ka hoʻohana ʻana i ka lāʻau lapaʻau, pono ʻoe e nīnau i ka cardiologist. Hoʻole loa ia i ke kūʻai ʻole ʻana a hoʻohana i ka lāʻau lapaʻau me ka ʻole o ka lāʻau a ke kauka. Ma ke hoʻohana pono ʻole hiki ke alakaʻi i nā hopena hōʻeha.

Nā hōʻailona no ka hoʻohana ʻana

Eia kekahi, ua hoʻohana ʻia ka lāʻau lapaʻau e hōʻemi i ka morbidity cardiovascular a, ma muli, aia ka make ma ka poʻe ma luna o 55 me ka kiʻekiʻe nui o ka hoʻoulu ʻana i nā maʻi o ka ʻōnaehana cardiovascular.

Dosis a me ke ala o ka hoʻokele ʻana

Pau nā ʻōlelo i ka hoʻohana ʻana i kuhikuhi ʻia ʻo Mikardis i loko, me ka manaʻo o ka hoʻokomo ʻana i ka meaʻai.

No ka hoʻēmiʻana i ka morbidity cardiovascular a me ka make, he 1 mau papa i ʻōlelo ʻia ʻia. (80 mg) 1 manawa / lā. I ka hoʻomaka mua o ka mālama ʻana, pono paha ke hoʻoponopono hou ʻia i ke koko.
Me ka hypertension arterial, loaʻa i ka lāʻau inika mua o Mikardis ka pā 1. (40 mg) 1 iā manawa / lā. I nā hihia i loaʻa ʻole ka hopena therapeutic, hiki ke hoʻonui ʻia ka nui o ka lāʻau i ka 80 mg 1 manawa / lā. Ke hoʻoholo nei inā he hoʻonui i ka maʻa, pono e noʻonoʻo pono i ka hopena antihypertensive ka hopena e loaʻa pinepine ma loko o 4-8 mau pule ma hope o ka hoʻomaka ʻana o ka mālama ʻana.

ʻO nā mea maʻi me ka nele o ka renal (me ka poʻe o ka hemodialysis) e hoʻoponopono ʻia ai ka lāʻau ʻaʻole pono.

I nā mea maʻi me ka hana aho o ka pelekane i ka pāpaʻomaʻi o ke ʻano maʻalahi o ka haʻahaʻa (kahi A me B ma ke ʻano o ke keiki-Pugh), ʻaʻole pono ka nui o ka lā o ka lāʻau i ka 40 mg.

ʻO ka hoʻoponopono dosage i nā poʻe maʻi maʻi ʻaʻole pono i nā loli.

Ke mālama nei a me ke ola o ka noho

Kūleʻa ma kahi maloʻo ʻole i hiki i nā keiki ke wela ma kahi wela ʻaʻole he + 30 ° С.

ʻO Mikardis kahi lāʻau lapaʻau cardioprotective.
ʻO ia ka mea i hāʻawi ʻia, e like me ka telmisartan, sodium hydroxide, polyvidone, meglumine, sorbitol, magnesium stearate.
Hāʻawi nā mea o ka lāʻau lapaʻau i ka hoʻonui ʻana i nā kahe koko, e hōʻemi ai i ke koko. ʻO kahi lāʻau lapaʻau maikaʻi loa, hana ʻia ma hope o kekahi mau hola.

Ua hoʻopaʻa ʻia ka lāʻau lapaʻau?: ʻ☜ ☜

Hoʻohui hou nā lāʻau lapaʻau: 2010-03-11.
Ke hōʻano ʻia nei: 2017-08-25

Nā pōkole pōkole no ka hoʻohana, contraindications, ʻike

Nā hōʻailona (he aha ka mea kōkua?)
Hoʻohana nui loa ia e mālama i ka hypertension arterial. Hoʻohana pinepine ʻia no nā kumu pale, no ka mea elemakule, e hōʻemi i nā maʻi o ka ʻōnaehana cardiovascular.

Nā Hoʻohui
ʻAʻole pāpā loa ia e hoʻohana i kaʻu mycardis i ka:
1. ka maʻi palupalu i ka palaka ʻana,
2. ka ʻike kūikawā ʻole ʻia e ke kino o ka fractose a me ka lactose,
3. kau palena makahiki (mau ʻōpio ma lalo o ka ʻumikumamāwalu mau makahiki).
4. i ka wā hāpai a me ka lactation,
5. aia nā maʻi o ka pā biliary.
Me ka nānā pono, ua kuhikuhi ʻia nā mea maʻi no nā maʻi o ka pēpē, no ka hyponatremia, no ka hyperkalemia, no kahi keiki ma hope o kahi wā hōʻemi, no ka loaʻa ʻana o ka puʻuwai puʻuwai, no nā ʻano ʻano stenosis.

Ke ʻano o ke noi (dosage)
Nā papa waha, me ka manaʻo o ka meaʻai. Hoʻonohonoho ʻia ka nui ma luna no kēlā me kēia maʻi, ʻo ka lōʻihi o ke ʻano o ka mālama ʻana. I ka ʻoihana ʻana i ka wai i hoʻokahi pōpoki hoʻokahi i ka lā, inā pono, hiki ke pālua ʻia.

Nā ʻōhumu
Ua pāpā ʻia ʻo ia e hoʻohana i kaʻu myisisis me aliskeren (no ka maʻi maʻi). ʻAʻole ia he mea pono e hoʻohui pū me nā mea hoʻohana i ka lithium.

Nā hopena hopena
ʻO Mikardis ke kumu o ka hopena o ka hopena:
1. papaha hoʻowela luna kūwaho,
2. Cystitis
3. anemia,
4. ka ʻōpū, ke kaumaha, hopohopo,
5. ʻike maka
6. kahi emi o ke kahe koko,
7. bradycardia, tachycardia,
8. nāwaliwali o ka mānoʻi, ka pōkole o ka hanu,
9. ʻeha o ka ʻōpū, ʻōlelo ʻana, ke nānā ʻana,
10. ka maloʻo maloʻo, moʻa, hoʻopuka,
11. nā maʻi kūlohelohe (ʻohi, urticaria, mālama ʻia),
12. ʻeha hōʻeha, nā puʻupuʻu,
13. paʻa ʻana i ka hana ʻana i ka inoa,
14. ʻeha ma ka ʻ umauma a me ka nāwaliwali ākea o ke kino.

Ke keu
ʻAʻohe hihia o ka lāʻau overdose.

E hoʻokuʻu i ke ʻano
Hoʻohana ʻia ia ma ke ʻano o nā papa, ke keʻokeʻo, ka ʻumi, i kahi pā kuhi 7 o nā ʻāpana.

Nā manaʻoʻike / loiloi o nā kauka: loaʻa iā mākou kahi ʻāpana nui o nā kūkākūkā ma kā mākou pūnaewele, kahi e kamaʻilio ʻia ai ka lāʻau ʻo Mikardis i hoʻokahi manawa e nā mea maʻi a me nā kauka - ʻike

Mikardis - kahi lāʻau lapaʻau no ka pale ʻana o ka maʻi naʻau

ʻO "Mikardis" kahi lāʻau lapaʻau i kūkulu ʻia ma ke kumu o kahi mea hana kūikawā kūikawā /

He antagonist kikoʻī maikaʻi ʻoi aku nā angiotensin receptors.

ʻO nā hiʻohiʻona o kēia lāʻau lapaʻau e ʻoluʻolu e hoʻopilikia i ke kino o ke kanaka a hāʻawi i ka hopena nui loa i ke kaʻina ʻana o kahi maʻi.

1. Nā ʻōkuhi no ka hoʻohana

Hoʻohana nui ʻia kēia "Mikardis" i ka hana lapaʻau. Ua kuhikuhi ʻia kēia mau lāʻau e nā kauka e mālama i nā maʻi like ʻole.

Wahi a nā ʻōlelo kuhikuhi, hiki ke lawe ʻia i ka lāʻau i loko o nā hihia penei:

ʻO ka pono no ka hoʻomohala ʻana i nā maʻi no ka poʻe e loaʻa ke hōʻike i nā hypertension koʻikoʻi.

No ka mālamaʻana i nā maʻi like ʻole o ka pūnaehana cardiovascular (no ka poʻe me ka mōʻaukala o ka maʻi maʻi, me ka poʻe i komo i ka mālama ʻana i ka hōʻeha a i ʻole ka maʻi ʻalā.
I mea e pale ai i ka hopena o ka puka o kahi maʻi maʻamau o ka ʻōnaehana cardiovascular.

2. Ka helu a me ka hoʻokele

ʻO ka mikardis nā papa e lawe wale ia ma ka waha, ʻoiai e inu ana i ka wai inu ʻona maʻamau. ʻO ka lawe ʻana i ka lāʻau lapaʻau ʻaʻole hilinai ʻia i ka manawa o ka ʻai.

Me ka hypertension arterial, ʻōlelo ʻia nā mea maʻi e koho i kahi kao mua o ka lāʻau lapaʻau, ʻaʻole iʻoi aku ma mua o 40 mg i kēlā me kēia lā. I kekahi mau manawa, me ka hoʻohana ʻana i ia ʻano pania ʻaʻole hiki ke hoʻokō i ka hopena therapeutic e makemake ʻia, no laila, pono e hoʻonui i ka maʻi i ka 80 mg hoʻokahi i ka lā.

He mea pono e noʻonoʻo i ka mea ʻoi ka mea maʻamau o ka hopena nui o ka lāʻau hiki ke hōʻike wale ma hope o nā mahina 1-2 mai ka hoʻomaka ʻana o ka hoʻomaʻamaʻa.

No ka hōʻemi i ka hopena o ka maʻi cardiovascular, ma ke ʻano he kānāwai, lawe nā maʻi i nā papa he 80 mg i kēlā me kēia lā i kahi pākahi. No kekahi poʻe, i ka hoʻomaka mua o ke papa, pono paha ke hoʻoponopono i ke kahe koko.

ʻO nā mea e pilikia nei i ka hana renal impaired, ʻaʻole pono ia e koho i kekahi dosage kūikawā.

No nā mea maʻi me ka hana maoli o ka hana o ka ate, ʻo ka nui i ʻōlelo ʻia i kēlā lā i kēia lā, ʻaʻole iʻoi aku i ka 40 mg hoʻokahi i ka lā.

ʻO kēlā me kēia makahiki ma Rūsia, e hōʻike kahi palapala ma ka maʻi - angina pectoris. E aʻo hou e pili ana i nā hōʻailona a me ka mālama ʻana o ka maʻi:

Nā ʻano hana o kēia wā.
ʻO nā hōʻailona nui o ka pectoris angina.

Hana ʻia ʻia ʻo Mikardis ma ke ʻano o ka oblong, nā papa liʻiliʻi ʻulaʻula a ʻulaʻula paha i ke kala.

Hoʻohana ʻia kēia mau mea i mea like o kēia lāʻau lapaʻau.

He ʻano hana nā Telmisartan.
Nā mea kūʻokoʻa: magnesium stearate, povidone, sorbitol, sodium hydroxide, meglumine.

Hoʻokomo i ka hiki ke lawe i nā kaʻa a me nā mīkini paʻakikī

ʻO nā haʻawina loea kūikawā e pili ana i ka hopena o Mikardis ma ka hiki ke noʻonoʻo a ʻaʻole i lawe ʻia ka wikiwiki o nā hopena. Eia nō naʻe, hāʻawi ʻia i ka hopena o nā hopena ʻaoʻao e like me ka hiamoe a me ka dizziness, e kuhikuhi ʻia e makaʻala i ka wā e lawe a hana i ka hana me nā mea pili weliweli.

ʻŌpū a me ka lactation

ʻAʻole i hana ʻia nā haʻawina o nā hopena o ka telmisartan i ka ulu kanaka.

I ka papa mua o ka hapai ʻana, ua pāpā ʻia nā antagonist e hoea i ka ʻāpoʻopika. Ma ka hihia o ka hoʻohālikelike ʻana i ka wā hāpai i ka mālama ʻana, e hoʻopau koke ʻia ʻo Mikardis a, inā pono, pono ke ʻano o ke koho hou (nā lāʻau lapaʻau antihypertensive o nā hui ʻē aʻe i ʻae ʻia no ka hoʻohana i ka wā gestation).

I loko o nā II a me III e hoʻomaikaʻi ʻana i ka hāpai ʻana, ʻaʻole i ʻōlelo ʻia ka hoʻohana ʻana o Mikardis. ʻOiai ʻaʻole i ʻike ʻia nā hopena teratogenic i nā hana preclinical, ua hoʻokū ʻia ka fetotoxicity (hoʻōla i ka hana renal, a me ka lohi ʻana o ka iwi ʻōpala, oligohamoamnion) a me nā toxin neonatal (hypotension arterial, hyperkalemia, renal failed) i hoʻokumu ʻia.

No laila, contardicated ʻo Mikardis i ka wā hāpai. Inā no kekahi kumu i hoʻohana ʻia ka lāʻau lapaʻau ma loko o ka laahi II II, ʻo ia ka mea e hoʻomaʻamaʻa i ka loiloi ultrasound o nā iwi a me nā pōpoki o ka pēpē. ʻO nā pēpē hou i loaʻa i ka telmisartan e nānā pono ai no ka hoʻomohala ʻana i ka hypotension arterial.

ʻO nā wahine e hoʻolālā nei i ka wā hapai, e hāʻawi mua i nā ʻano maʻi hou.

I ka wā lactation, ua hoʻohana ʻia ka hoʻohana ʻana o Mikardis.

I ka hihia o ka hana renal hemaʻa

ʻO nā mea maʻi me ka maikaʻi ʻole o ka renal, me ka poʻe ma ka hemodialysis, ʻaʻole ia e koi i ka hoʻoponopono ʻana o ka Mikardis.

Me ka makaʻala, pono e hoʻohana ʻo Mikardis i nā ʻāpana aʻe: he hana ʻole ke kīpaha, ʻeke a me ka stenosis bilateral aihua a he stenosis wale nō i ka lāʻau o ka mōʻī, a me kahi kūlana ma hope o ke hoʻololi ʻana i ka maʻi.

Me ka hana pūpū hemahema

ʻO Mikardis i hoʻohālikelike ʻia i ka hana palaka puho maoli (Anak-Pugh class C) a me ka pīpī dile penile pile dile.

No nā maʻi hepatic haʻahaʻa a me ke ʻano (ʻO nā keiki a me Pugh nā papa A a me B), ʻo ka nui o ka ʻai o nā lā nui o ka telmisartan he 40 mg.

ʻO ka hoʻohana ʻia o ka lāʻau Mikardis

Nā pākeke ʻO ke kau ʻana i kēlā me kēia lā i ʻōlelo ʻia no 40 mauʻu. I kekahi mau mea maʻi, he maikaʻi ka nui o 20 mg / lā. Me ka hana ʻole o ka lawa, hiki ke hoʻonui ʻia ka nui o ka lāʻau i ka nui o 80 mg hoʻokahi i ka lā a i hoʻohana pū ʻia paha me ka thiazide diuretics (hydrochlorothiazide), e hoʻolako ai i kahi hopena hypotensive e haʻi pinepine ʻia me ka monotherapy. Me ka hoʻonui iki o ka waiū, pono e hoʻomanaʻo ʻia i ka hopena antihypertensive ka nui e kū aʻe ma hope o 4-8 mau pule mai ka hoʻomaka ʻana o ka mālama ʻana.
ʻO ka poʻe maʻi me ka maʻi hypertension (ʻoi ka momona hypertension) hiki ke mālama ʻia me ka monotherapy Telmisartan ma kahi maʻa o 160 mg / lā a i hui pū ʻia me hydrochlorothiazide ma ke ʻano o 12.5-25 mg / lā, kūpono kēia hui hui.
Lawe ʻia ka lāʻau ʻai inā he meaʻai.
Hoʻoholo ka lōʻihi o ka lāʻau maʻi pākahi, pili i ke ʻano o ka maʻi a me ka hopena o ka hopena.
ʻO ka maʻi me ka hana renal impaired. ʻAʻole pono nā maʻi i nā Dialysis e hōʻemi ke hoʻoponopono. ʻAʻole lawe ʻia ke Telmisartan mai ke koko i ka wā o ka hemofiltration.
ʻO nā maʻi me ka hana pūlima hemahema. I ka poʻe maʻi me ka pīhoihoi haʻalulu māmā a me ke kaulike, ʻaʻole pono ka nui o ka lā i kēlā me kēia lā he 40 mg.
ʻAʻole koi ke hoʻoponopono ʻia no ka pākeke.
ʻAʻohe ʻikepili e pili ana i ka palekana a me ka hoʻokauʻana o Mikardis i ka wā i hoʻohana ʻia ai i nā keiki a me nā ʻōpio i lalo o nā makahiki 18.

Nā hopena ʻona o ka lāʻau Mikardis

ʻO ka nui o ka pilikia o nā hopena ʻokoʻa i ka wā e lawe ai i ka telmisartan (41.4%) i ka hoʻohālikelike ʻia me ka lawe ʻana i ka placebo (43.9%) i nā haʻawina hoʻokele. ʻAʻole pili ka mea i loko o ka hopena i ka hopena a me ka wahine, ka makahiki a me ka lāhui o nā maʻi. ʻO nā hana ʻino i hōʻike ʻia ma lalo nei i hōʻike ʻia i nā hoʻokolohua ololi e pili ana i ka 5788 nā mea maʻi e lawe ana i ka telmisartan.
Nā maʻi a me nā infestations: nā maʻi maʻi urinary (me ka cystitis), nā maʻi ʻōpū o ka ʻōpū.
Nā maʻi noʻonoʻo; hopohopo.
Mai ka ʻaoʻao o ke kino o ka hihiʻo. ka hōʻino ʻana i kahi noho hoʻoneʻe (blurred vision).
ʻO nā maʻi Hōʻea: āhāhuʻe.
Keikialoha: ʻeha ka ʻōpū, ʻeha, paʻi maloʻo, dyspepsia, lemulewa, ʻeha o ka ʻōpū maʻi.
Mai ka ʻili a i ʻole subcutaneous kiko: eczema, hoʻonui nui loa.
Mai ka ʻōnaehana musculoskeletal a me nā ʻili pili: ʻo ka ʻehaʻeha, hōʻeha ka hope, ka hōʻeha ʻana o nā ʻōpū o nā keiki bipi a i ʻole ka wāwae ʻeha, myalgia, nā hōʻailona like me ka tendonitis.
Nā kipi maʻamau: ʻehaʻeha ʻāhā, nā maʻi like ʻole.
Eia kekahi, ʻo nā hihia o ka erythema, pruritus, syncope / pagkawala o ka ʻike, insomnia, kaumaha, hoʻomoʻi, hypotension (me ka hypotension arterial orthostatic), bradycardia, tachycardia, pohu leʻa, hana kidney, me ka hōʻemi o ka pilikia ʻole (ʻike i nā FEATURES, i hōʻike ʻia). APANAHANA), hyperkalemia, pōkole o ka hanu, anemia, eosinophilia, thrombocytopenia, nāwaliwali a me ka nele o ka hana pono. ʻAʻole ʻike ʻia ke alapine ʻana o kēia mau hopena.
E like me nā poʻe antagonist angiotensin II, ua hōʻike ʻia nā hihia o ka angioedema, urticaria, a me nā hopena ʻē aʻe.
ʻĀpana noiʻi: ma kahi o ka hoʻemi ʻana o ka level o ka uric acid, ua hōʻike pū ʻia nā hihia a he hōʻemi o ka creatinine a i ʻole nā enzyme o ka maʻi, akā like nā like a me ka haʻahaʻa me ka placebo.
Eia kekahi, ua hōʻike ʻia nā hihia o ka hoʻonui i nā pae CPK serum mai ka nānā ʻana o ka hoʻopaʻa inoa-post

Nā lāʻau lapaʻau lāʻau Mikardis

Hiki i Telmisartan ke hoʻoluhi i ka hopena hypotensive o nā mea hana antihypertensive.
ʻO nā māka i hoʻopaʻa ʻia ma ka hoʻopaʻa noiʻi ʻana i ka pharmacokinetics: digoxin, warfarin, hydrochlorothiazide, glibenclamide, ibuprofen, paracetamol, simvastatin a me amlodipine.
No ka meloxin wale nō, ʻo 20% (ma kekahi mau 39%) ka piʻi ʻana o kona neʻe ʻana i ka plasma koko e pili ana i ka pae awelika, no laila, pono ka nānā ʻana e ʻike i ka pae o ka digoxin i loko o ke koko koko e noʻonoʻo pono.
Me ka hoʻohana like ʻana me nā paʻakai lithium, hiki ke hoʻonui i ka hoʻoliʻā o ka lithium i loko o ke kaila koko a me ka ulu ʻana o nā hopena o nā maʻi, no laila e pono e kiaʻi pinepine i ka pae o ka lithium i ka plasma koko.
ʻO ka lāʻau NSAID (e komo pū ana i ka acetylsalicylic acid i loko o nā poho ma kahi o 0.3 g i kēlā me kēia lā, a me nā mea hoʻomau COX-2) hiki ke alakaʻi i ka hoʻomohala ʻana o ka hiki ʻole o ka hana renal i nā maʻi maʻi dehydrated. ʻO nā hoʻohālikelike e pili ana i ka ʻōnaehana renin-angiotensin, no ka laʻana telmisartan, he hopena synergistic. I ka hoʻomaka ʻana o ka hui pū ʻana me ka NSAIDs a me Mikardis, pono nā mea maʻi e hōʻoia i ka hydration e pono ana a nānā pono i ka hana renal. Me ka hopena like pū me nā NSAID, kahi emi o ka hopena o nā lāʻau antihypertensive, e like me ka telmisartan, ua hōʻike ʻia ma muli o ke kaohi ʻana o ka hopena vasodilator o ka prostaglandins.

6. Nā huaʻōlelo a me nā kūlana kumu e waiho ai

E mālama ʻia ʻo "Mikardis" i kahi wahi maloʻo me ka mahana wela o ka ea, i nānā mau ʻia a palekana hoʻi mai ka lā maka. ʻAʻole pono ke ʻoka ʻia nā lāʻau i nā keiki ʻōpio.

ʻO ke ola ʻelua makahiki kēia lāʻau lapaʻau.

Aia i loko nā hale kūʻai kahi i loaʻa ma ka mokuna o ka Lūkini Lūkininā papa papa mai ke kumukūʻai 300 mau rubles i ka pākaukau.

I nā lāʻau lapaʻau Iukalia mai kā lākou kumukūʻai ma kahi o 115 hryvnias.

I nā mea kuʻuna maʻamau o kēia lāʻau lapaʻau ka mea like:

ʻO nā loiloi e pili ana i ka lāʻau ʻo Mikardes he mea kūpono loa, ʻike ka poʻe maʻi i ka hopena maikaʻi o ka hopena o ka lāʻau lapaʻau ma ke kino, no ka laʻana ʻo Alina: Na kona kōkua e hoʻokae wau i nā hypertension pono. ʻAʻole i loaʻa iaʻu kekahi hopena pili. Ke paipai nei wau i kēlā me kēia poʻe ʻaʻohe contraindications. "

Alena: “ʻO ka hoʻomākaukau haʻahaʻa. Kauka ke kauka ʻana no ka pale ʻana i ka maʻi naʻau coronary. Nui koʻu makemake i ka hopena. "

Hiki iā ʻoe ke hoʻomaopopo i ka loiloi o nā mea hoʻohana ʻē aʻe, me ka haʻi ʻana i kou manaʻo ma ka hopena o ka moʻolelo.

Ua kuhikuhi ʻia ka lāʻau ʻo Mikardes no ka mālama ʻana i kekahi mau maʻi o ka maʻi maʻi. ʻAʻole kuhikuhi ʻia ka lāʻau lapaʻau i ka wā o ka hapai ʻana, nā hana ʻino nui o ka nui a me nā pōpilikia, i ka wā hāpai. I mea e hōʻeha ai i nā hopena a me ke kūlohelohe loa, pono pono e lawe i ka lāʻau lapaʻau ma ke kauoha o ke kauka.

Hoʻokahi ke papa pākahi Micardis he 40 a 80 mg paha telmisartan (huahana ikaika).

Nā mea hoʻoweliweli: sodium hydroxide, polyvidone, meglumine, sorbitol, magnesium stearate.

Palena Mikardis

Ma Lūkia, he kumukūʻai o 80 mg No. 28 mai ke kumukūʻai mai 830 a 980 mau rubles. I Ukraine, ke kūʻai aku ke kumukūʻai o Mikardis i kahi ʻano like me ka 411 o ka hryvnias.

ʻO nā lāʻau lapaʻau ma ka pūnaewele ma Rusia
ʻO nā keʻena kūʻai pūnaewele ma UkraineUkraine
ʻO nā keʻena kūʻai pūnaewele ma Kazakhstan

Nā ʻardlelo Mikardis Plus 80 mg + 12.5 mg 28 pcs Boehringer Ingelheim Böhringer Ingelheim
Nā ʻāpana Mikardis 80 mg 28 mau pcs.
Nā ʻardlelo Mikardis 40 mg 28 pcs Boehringer Ingelheim Böhringer Ingelheim

Mikardis 40mg No. 28 mau papaaā. Ingelheim Pharma GmbH a me CoKG
Mikardis me 80mg / 12.5mg No. 28 mau papaʻolima Ingelheim Pharma GmbH a me CoKG
Mikardis 40mg Helu 14 mau papaʻiā. Ingelheim Pharma GmbH a me CoKG
Mikardis 80mg Helu 28 mau papaʻiBorepona Ingelheim Pharma GmbH a me CoKG

Kauhi Pani

ʻĀkele ʻo Mikardis. 80mg No. 28Beringer Ingelheim
ʻĀkele ʻo Mikardis. 80mg No. 28Beringer Ingelheim

Mikardis® Plus 80 mg / 12.5 mg No. 28 mau papa Boehringer Ingelheim Pharma KG (Kelemānia)
Mikardis® 80 mg No. 28 mau papaʻiehoe Boehringer Ingelheim Pharma KG (Kelemānia)

KAUKA MAUI! ʻO ka ʻikepili i nā lāʻau lapaʻau ma ka pūnaewele ke ʻano o ka hoʻolaha ʻana, hōʻiliʻili ʻia mai nā kumu ākea a ʻaʻole hiki ke lilo i kumu no ka hoʻoholo ʻana i ka hoʻohana ʻana i nā lāʻau lapaʻau ma ke ʻano o ka mālama ʻana. Ma mua o ka hoʻohana ʻana i ka lāʻau lapaʻau Mikardis, e maopopo e nīnau aku i kāu kauka.

ʻO ka lāʻau lapaʻau "Mikardis": mau analogues, ʻōlelo ʻōlelo e hoʻohana ʻia ai, nā loiloi:

Ua kuhikuhi ʻia ʻo Mikardis i nā poʻe maʻi e hoʻopau i nā hōʻailona o ka hypertension. Loaʻa i ka lāʻau lāʻau ka waiwai no ka hypotensive hana, ka wae ʻia no ka mea maʻi i kēlā me kēia kanaka. Ma mua o ka lawe ʻana i ka lāʻau lapaʻau, ua ʻōlelo ʻia e heluhelu i nā ʻōmua no ia, e aʻo ai i nā contraindications, a me nā hopena like ʻole.

ʻO ka hoʻonohonoho ʻana o ka lāʻau "Mikardis"

ʻO ka mea ikaika, ʻo ia ka mea nui i ka hoʻolālā ʻana o ka learism, ʻo ke telmisartan. Hiki i kahi papa papa ke 20 mai ka 80 milligrams. ʻO nā mea hoʻohui i kōkua pū i ka wā e hoʻoiho i ka huapalapala o ke ao nei:

huakika yoxitalamic
sodium hydroxide
polyvinylpyrrolidone,
kekuhi?
paʻahau magnesium.

ʻO ka intake mua o "Mikardis" alakaʻi i kahi kaila o ka kaohi o ke koko. E iho lohi ana ia ma luna o nā hola he nui. Hoʻomaopopo ka hopena antihypertensive i kahi lā ma hope o ka lawe ʻana i ka lāʻau.

ʻO kēia ka mea e mālama i ke kaomi koko maʻamau, pono ia e lawe i hoʻokahi papa Mikardis i kēlā me kēia lā. ʻO ka emi loa o ke kaomi ke ʻike ʻia ma hope o hoʻokahi mahina mai ka hoʻomaka o ka lāʻau.

Me kahi hana koʻikoʻi o ka lawe ʻana i ka "Mikardis" ʻaʻohe hopena o ka "kinai", ke hoʻi maila nā hōʻailona mua i ka 2-3 mau pule.

ʻO nā mea āpau a ka mea e hoʻomake ai i ka lāʻau, ke lawe kū ʻole ʻia mai ka ʻawaʻī, ke hoʻokaʻawale koke ʻia, ʻo ka nui o ke kaila o ka mea ikaika e hōʻea ʻo ia ma kahi o 50%.

Pehea e lawe ai i ka lāʻau lapaʻau?

I nā hihia pinepine, ʻōlelo ʻia ka lāʻau lapaʻau no nā mea maʻi ma mua o 55 mau makahiki he nui ke koʻi, aia ka hopena o ka hoʻoulu ʻana i nā maʻi naʻau paʻakikī e pili ana me ke koko nui.

Ma kahi o ka "Mikardis" maʻamau, ua hōʻemi ʻia ka lāʻau "Mikardis plus". Aia nā mea hope he 12,5 milligrams o ka hydrochlorothiazide, nona nā waiwai diuretic.

ʻO ka hui pū ʻana o ka lāʻau diuretic me kahi antagonist angiotensin e kōkua i ka hopena kiʻekiʻe. Hoʻomaka nā mea hoʻonani Diuretic e hōʻike i ʻelua mau hola ma hope o ka lawe ʻana i ka lāʻau lapaʻau. ʻO "Mikardis plus" i ʻōlelo ʻia inā ʻaʻole hiki ke hoʻokō ʻia ka hopena o ka hoʻoilo i ka wā e lawe ai i ka "Mikardis" maʻamau.

ʻAʻohe hihia e kuhikuhi iā ʻoe i ka lāʻau a me ka maʻi ma kāu iho, ʻoiai ʻo ke kauka hele wale nō e ʻike i nā maʻi āpau āpau a hoʻopaʻa i nā loiloi o ka mea maʻi.

Mikardis i ka wā hāpai

Ua hōʻoia nā noiʻi hauoli i ka hopena fetotoxic o ka lāʻau. No laila, ʻaʻole hiki ke lawe ʻia ʻo "Mikardis" i nā mea āpau a pau a me ka wā lactation. Inā hoʻolālā ka wahine e lilo i makuahine, a laila aʻo e nā kauka iā ia e hoʻololi i nā lāʻau lapaʻau ʻoi aku ka palekana. Ke hoʻohālikelike ʻia ke kōpō, hoʻopau ka lāʻau lapaʻau.

Pehea e lawe ai i ka lāʻau lapaʻau "Mikardis"?

Hoʻolaha ʻia ka lāʻau lapaʻau e nā kauka wale nō a hiki ke hoʻohana kūʻokoʻa ʻole a me nā lāʻau ʻē aʻe e pili ana i ka holomua o ka hana o ka ʻōnaehana cardiovascular. ʻO ka hui ʻana o Mikonesis Lūkini kahi like like o ka hana.

Hōʻike nā ʻōlelo no ka hoʻohana ʻana e pono ka pau ʻana o ka lā hana i ka lālani i hoʻokahi papa o 40 milligrams.

Pono e hoʻomanaʻo ʻia i nā mea maʻi me ka ʻano maʻi o ka hypertension, ke kahaha ʻana i ke kahe o ke koko i ka wā e lawe ai i kahi papa me 20 milligrams o ka waiwai ikaika. Hoʻoholo ʻia ke koho ʻana o ka dosage therapeutic i loko o kahi manawa a ʻehā pule.

ʻOiaʻiʻo, ʻoi loa ka manawa e pono ai no Mikardis e hōʻike i kāna mau hopena kūpono āpau i ke kino o ka mea maʻi.

Inā i loko o ka malama o ka lawe ʻana i ka "Mikardis 20", ʻaʻole i hiki mai ka hopena i makemake ʻia, ke kau nei ke kauka i kahi lāʻau lapaʻau me nā ala he 80 mau milligram, pono nō hoʻi e lawe i hoʻokahi papa i ka lā.

I nā hihia koʻikoʻi o ka maʻi, hiki i ke kauka ke kuhikuhi iā "Mikardis" i loko o kahi waihona o 160 milligrams, ʻo ia hoʻi, pono ʻoe e lawe i ʻelua papa i kēlā me kēia lā, 80 milligrams.

I nā hanana ka pilikia, ʻaʻole i maʻi ka mea maʻi e hoʻohaʻahaʻa i ke koko ma ke ʻano he lāʻau hoʻokahi, a laila ua kuhikuhi ʻia kēlā mea maʻi e "Mikardis plus", no laila e emi wikiwiki ai ka maʻi. Koho ʻia ka nui o ka lāʻau i kēia hihia ma ke kūkulu ʻia ʻana o ka maʻi hypertension. Hōʻike nā loea e pili ana i "Mikardis" a me nā analogues i kona hopena maikaʻi i ka hoʻohaʻahaʻa i ke koko.

ʻO nā mea maʻi i ka mōʻaukala olakino e pili ana i kahi hana pūkaʻi kīnā ʻole, ʻaʻole pono ia e koho i kahi kaʻe o kekahi kanaka.

Inā loaʻa nā ʻike i nā moʻohelu o ka neʻe ʻana o ka palahalaha maʻalahi o ke ake, a laila pono kekahi kanaka maʻi e lawe "Mikardis 40".

ʻAʻole hiki iā ʻoe ke hoʻonui i ka nui o ka lāʻau lapaʻau: hiki i kēia ke alakaʻi i ka hana ʻole o nā keiki a me nā ate. ʻAʻole hoʻoponopono nā maʻi maʻi i ka dosage.

I ka poʻe maʻi me ka maʻi mellitus, a me ka maʻi ʻeha coronary a i ʻole nā maʻi cardiovascular ʻē aʻe, ʻo ka nui o ka hōʻeha o ka maʻi myocardial fatal a me ka make koke ka nui o ka make ʻana ma muli o ka hoʻohana ʻana o ka lāʻau Mikardis.

ʻO ka maʻi naʻau Coronary ma ka maʻi mellitus e hiki ke hele ʻia me nā hōʻailona ʻole a ʻike ʻole ʻia. No laila, ma mua o ka hoʻomaka ʻana i ka mālama ʻana me ka lāʻau lapaʻau ʻo Mikardis, pono ʻoe e hele i nā hōʻike kūpono a pau a loaʻa i kahi maʻi maʻi.

ʻO ka hiki ke hoʻokele i nā hana paʻakikī i ka wā e lawe ai i "Mikardis plus" a me nā analogues

Ke hōʻike nei nā ʻōkuhi no ka hoʻohana ʻana ʻaʻole i hana ʻia nā haʻawina kūikawā e pili ana i ke ʻano o ka mea ikaika (telmisartan), he ʻāpana o ka lāʻau lapaʻau a me nā mea maʻamau, e pili ana i ka ʻike o ka nānā ʻana a me ka hiki ke alakaʻi i kahi kaʻa. Akā! Pono e hoʻomanaʻo ʻia nā lāʻau lapaʻau e pili ana i nā ʻāpana diuretic e hiki ai i ka hiamoe a me ka dizziness.

Pono ka mālama ʻia ʻo ka "Mikardis" i kahi wahi i hiki ʻole ai i nā keiki, i ke ana o ka nui o ke koena 30. Ho ola:

Nā papa i ka papaʻaina o 40 a me 80 milligrams - 4 mau makahiki.
Nā papa papaʻa i kahiʻuʻa o 20 milligrams - 3 mau makahiki.

Hoʻokuʻu ʻia ka lāʻau lapaʻau e like me ka ʻōlelo ʻana. Hōʻa ʻia ʻo Mikardis no nā keiki ma lalo o nā makahiki 18.

Mikardis: nā kikowaena, nā loiloi

ʻO nā ʻōlelo no ka hoʻohana ʻana e hiki iā ʻoe ke lawe i ka lāʻau lapaʻau i kēlā me kēia manawa o ka lā, ʻaʻole ʻai ka mea ʻai i ke hiki ke kino o ke kino e hoʻopaʻa i ka lāʻau lapaʻau.

Pili loa ka lōʻihi o ka mālama ʻana i ke kauka, ma hope o ka loiloi ʻana i ke kūlana olakino o ka mea maʻi, hiki i ke kauka ke ʻōlelo aku i ka huli ʻana i kahi 20 o nā milligrams.

ʻO ka poʻe e lawe i ka lāʻau lapaʻau e hoʻomaopopo i ka emi wikiwiki o ke kahe o ke koko a me ka loaʻa ʻole o nā hopena ʻaoʻao. Akā ʻo ka hapanui o nā poʻe maʻi mai ke kūʻai ʻana o kēia lāʻau, ua kāpae ʻia i kona kumukūʻai kiʻekiʻe.

Ua koho ʻia nā lāʻau maʻalahi e nā "Mikardis plus" e ke kauka, nā lāʻau lapaʻau kaulana loa me ka hopena like:

ʻO ke kumukūʻai o nā mea kikoʻī o ka lāʻau Mikardis i hilinaʻi i ka ʻāina o ka hana a me ka ʻano o ka lāʻau lapaʻau. Ma ke kumukūʻai haʻahaʻa, hiki iā ʻoe ke kūʻai i nā ʻano kaili aʻe:

ʻO Blocktran kahi mea haʻahaʻa a maʻalahi hoʻi no ka mālamaʻana i ka hypertension a me ka hopena ʻole o ka naʻau.Hoʻokaʻawale ia mai Mikardis i ka mea nui a me ka dosis.
"Valz" - hua ʻia i loko o nā papa he 28 mau papa, ʻoi aku ka nui ma mua o ka lāʻau "Mikardis", no laila, me ka hoʻomohala lōʻihi, ʻoi aku ka maʻalahi o "Valz". Hoʻololi ʻia ka ʻano o nā lāʻau lapaʻau, ʻoiai ʻo Valsartan (40 milligrams) e hoʻohana ʻia ma Valz.
"Angiakand" - ʻokoʻa i ka hoʻopili ʻana, hoʻāla ʻenehana ikaika a me kāna hana. Hāʻawi ia e lawe me ke koko kiʻekiʻe a me ka pohō o ka puʻuwai naʻau. Loaʻa i nā maʻi ʻē aʻe, no laila ke noi ʻia e heluhelu pono ʻoe i nā ʻōkuhi ma mua o ka hoʻohana ʻana.

Mikardis Plus: nā ʻōlelo no ka hoʻohana ʻana, nā analogues

ʻO ka lāʻau "Mikardis plus" i hoʻolālā ʻia e mālama i ka maʻi naʻau a hōʻemi i ka make. Ua hōʻike ʻia no nā maʻi myocardial ma waena o nā poʻe ua ʻoi aku ma mua o 55-60 mau makahiki. ʻO ka lāʻau i wehewehe ʻia ʻia ma Kelemānia. Ma mua o ka hoʻohana ʻana, pono ʻoe i kamaʻilio kauka a ke kauka, kahi hōʻike kikoʻī o ka ʻikepili i nā waiwai a me nā hōʻailona, kahi nui e loaʻa ai nā ʻōkuhi no ka hoʻohana ʻana no ka lāʻau Mikardis.

Ka hoʻonohonoho, hana ʻana o ka hana a me kahi ʻano hoʻokuʻu

Loaʻa ka lāʻau lapaʻau ma ke ʻano o nā papa keʻokeʻo me ka inoa o ke ʻoihana o ka hui ma kekahi ʻaoʻao, ma ka lua - me ke kākau ʻōlelo "51N" a i ʻole "52N", hilinaʻi i ka dosage. I kahi pahu pepa, hiki ke loaʻa i nā lāʻau lapaʻau mai 2 a 8 mau papa me 7 papa i kēlā me kēia. Hoʻokahi ka papa Mikardis i nā mea i hōʻike ʻia i loko o ka papa ʻaina.

ʻO ka wehewehe e pili ana i 21.08.2014

Palapala Latin: Nā Micardis
ʻĀkau ATX: C09CA07
Mea waiwai: Kelea Telmisartan (Telmisartan)
Mea Hana: BOEHRINGER INGELHEIM PHARMA (Kelemānia)

Hoʻokahi ke papa pākahi Micardis he 40 a 80 mg paha telmisartan (huahana ikaika).

Nā mea hoʻoweliweli: sodium hydroxide, polyvidone, meglumine, sorbitol, magnesium stearate.

Ke keu

ʻAʻole kākau inoa nā kumu o ka lāʻau overdose.

I nā hōʻailona e like me: kahi mākau e hoʻokaʻawale ai i loko o ke koko, tachycardia, bradycardia, koi ʻia ke ʻano maʻi. ʻAʻohe huakino ka Hemodialysis.

Nā ʻōlelo kikoʻī

Ma nā hihia i hilinaʻi ʻia ai ke ʻano vascular a me ka hana ʻana i ka hana nui ma luna o ka hana RAAS (no ka laʻana, i nā mea maʻi me ka maʻi ʻole o ka naʻau a i ʻole ka maʻi puʻuwai, ʻo ia hoʻi me ka stenosis renal a i ʻole stenosis o hoʻokahi arteritis kū hoʻokahi), ka hoʻohana ʻana i nā lāʻau lapaʻau e pili ana i kēia ʻōnaehana paha i hui pū ʻia me ka hoʻomohala ʻana o ka maʻi arterial hypotension, hyperazotemia, oliguria a, ma nā hihia loaʻa ʻole, ka hopena ʻole o ka renal.

I kekahi mau mea maʻi, ma muli o ka hoʻokauʻi ʻana o RAAS, ka mea nui i ka wā e hoʻohana ai i ka hui pū ʻana o nā mea hana e hana ana i kēia ʻōnaehana, hana ʻia ka mōmona (me ke ʻano o ke aloha ʻole maoli). No laila, ʻo ka hoʻomohala hana i hui pū ʻia me ka blockade like ʻole o RAAS (no ka laʻana, me ka hoʻohui ʻana o nā inhibitor ACE a i ʻole he renin inhibitor, aliskiren, i ka neʻe naʻōkōlani me nā mea huna e kū nei i ka hopena) me ka mālama kūʻokoʻa i ka hana ʻole (me ka nānā ka wā nānā i ke kāʻei o ka paʻakai serum hana).

I nā mea maʻi me ka maʻi mellitus a me ka hopena o ka puʻuwai maʻi hou aku, no ka laʻana, i nā mea maʻi me ka mellitus maʻi mellitus a me ka maʻi naʻau coronary, ka hoʻohana ʻana i nā lāʻau lapaʻau e hōʻemi i ke koko, e like me ka angiotensin II receptor antagonist a i nā ACE inhibitors, e hoʻonui ai i ka nui o ka make myocardial infarction make vascular. I nā poʻe maʻi me ka maʻi maʻi, maʻi maʻi coronary e hiki ke nānā i ka asymptomatic a no laila ʻaʻole loaʻa ke maʻi. Ma mua o ka hoʻomaka ʻana i ka hoʻohana ʻana i ka lāʻau ʻo Mikardis no ka ʻike a me ka mālama ʻana i ka maʻi naʻau coronary, pono e ʻike ʻia nā haʻawina diagnostika kūpono, e komo ai hōʻike ma ka ʻike kino.

Hoʻokumu i ka ʻike i ka hoʻohana ʻana i nā lāʻau ʻē aʻe e pili ana i ka RAAS, ʻoiai ke kuhikuhi aku nei iā Mikardis a me ka diuretics pākōlele ana i ka potassium, additives-pā paʻakai, pā paʻakai paʻakai, a me nā lāʻau ʻē aʻe e hoʻonui ai i ka kaila o ka pāima i loko o ke koko (ma ka laʻana, heparin), pono e nānā ʻia kēia mea ʻike i nā mea maʻi.

I ka poʻe maʻi me ka aldosteronism maʻamau, nā lāʻau antihypertensive, ka hiki ke hana o ka hana o ia ka mea o ke ʻano o RAAS, i ʻole hana like ʻole.

Eia kekahi, hiki ke hoʻohana ʻia ʻo Mikardis e hui pū me ka diuret thiazide, e like me hydrochlorothiazide, kahi he hopena hypotensive (no ka laʻana, ʻo Mikardis Plus 40 mg / 12.5 mg, 80 mg / 12.5 mg).

Pono e mālama ʻia i ka wā e hoʻohana ana i ka lāʻau ʻo Mikardis (a me nā vasodilator ʻē aʻe) i nā mea maʻi me ka stenosis aortic a mitral a me ka hypertrophic obstructive cardiomyopathy.

I ka poʻe maʻi me ka hypertension arterial koʻikoʻi, kahi lāʻau o ka telmisartan 160 mg / lā i hui pū me ka hydrochlorothiazide 12.5-25 mg maʻa a i hoʻomau ʻia.

Hoʻopili ʻia ʻo Telmisartan me ka bile. I nā mea maʻi me ka maʻi hadal tractary tract a i ʻole ka pohō ʻana, hiki ke ʻae ʻia kahi hōʻemi o ka lāʻau i ka hopena.

ʻO ka mālama ʻana o ka puʻuwai me ke koho ʻana i ka telmisartan ma nā hihia he nui i ʻike ʻia ma waena o nā kamaʻāina o Iapana.

ʻOi aku ka maikaʻi o Mikardis i nā maʻi me nā lāhui Negroid.

Hoʻohui nūhou

Ke hoʻohana ʻana i ka lāʻau lapaʻau, pono ia e noʻonoʻo i ka launa pū me nā lāʻau lapaʻau ʻē aʻe.

Hiki paha ke Telmisartan i ka hopena hypotensive o nā mea hana antihypertensive. ʻAʻole i ʻike ʻia nā ʻano ʻē aʻe o ke kikowaena me ka pili nui o ka maʻi maʻi.
Me ka hoʻohana like ʻana o ka telmisartan a me ramipril, ua ʻike ʻia kahi hoʻonui 2.5-pa i AUC0-24 a me Cmax o ka ramipril a me ramipril. ʻAʻole paʻa i ke kumu koʻikoʻi o kēia hanana.
ʻO ka hui pū me ka digoxin, warfarin, hydrochlorothiazide, glibenclamide, ibuprofen, paracetamol, simvastatin a me amlodipine ʻaʻole alakaʻi i kahiʻoihana koʻikoʻi pili i nā maʻi. ʻO ka hoʻonuiʻana o ka hoʻololi ʻana o ka Digoxin i loko o ke koko koko ma o ka awelika o 20% (ma ka hihia hoʻokahi, ma ka 39%) i hoʻomaopopo ʻia. Me ka hoʻokolohua hoʻohālikelike o ka telmisartan a me ka digoxin, ʻoi ke kaʻina o kēlā me kēia manawa i ka ʻike ʻana i ka ʻike o ka digoxin i loko o ke koko.
ʻO ka mālama ʻana i nā NSAID, e komo pū ana i ka acetylsalicylic acid, nā mea paʻa COX-2, a me nā NSAID hemahema ʻole, hiki ke hōʻeha i ka hana ʻole i ka maʻi i nā mea maʻi me ka hoʻomehana. Hiki i ka lāʻau ke hana ma RAAS i ka hopena synergistic. I ka poʻe maʻi e loaʻa ana i nā NSAID a me ke telmisartan, pono e uku ʻia ka BCC ma ka hoʻomaka ʻana o ka mālama ʻana a me kahi haʻawina o ka hana o ke keiki e pono ai.
Me ka hoʻohana like ʻana o ka inhibitor ACE a me ka hoʻomākaukau ʻana o ka lithium, kahi mākaʻikaʻi i hoʻihoʻi ʻia i ka ʻike o ka lithium i loko o ke koko, ua nānā ʻia, me ka hopena o ka mea make. I nā hihia pinepine, ua hōʻike ʻia nā loli like me ka koho ʻana o nā antagonis reseptor angiotensin II. Me ka hoʻomohokoke ʻana o ka hoʻomākaukau o ka lithium a me ka angiotensin II antagonist receptor, ʻoi ʻia ka hoʻoholo e pili ana i ka lithium o ke koko.
ʻO ka emi ʻana o ka hopena o nā hana antihypertensive, e like me ka telmisartan, ma ka pale ʻana i ka hopena vasodilating o ka prostaglandins i nānā ʻia me ka ʻaʻa kumulepule hui pū me nā NSAID.

Ua ʻohi mākou i kekahi o nā loiloi o ka poʻe e lawe ana i ka lāʻau Mikardis:

Natalya. Ua makaʻu wau. ʻO wau paha 59 koʻu makahiki. Hypertension Ke lawe nei i ka lāʻau lapaʻau, hoʻomaka kona mau wāwae e "buzz", hoʻopiʻi i ke kauka, hoʻomaka ʻo ia e hoʻomau i ka hoʻomau ʻana i ka lāʻau lapaʻau, me ka hoʻopaʻapaʻa ana nā helu kīwī. Ua hilinaʻi mau wau i kēia mau ʻōlelo a ke kauka. Hoʻomaka nā lima i "buzz". Ua makaʻu wau (a hala kekahi mahina a me ka hapalua o ka hoʻomaʻamaʻa). Ua ho'ōki i ka lāʻau lapaʻau. Hoʻopau nā wāwae "nā wāwae."
Keliʻi. Ua kuhikuhi ʻia ʻo Mycardis iaʻu e kekahi kauka. I ka manawa mua, he 40 mg ka nui o ka make, a laila ua hoʻonui ʻia ma ka 80. Ua kōkua maoli nō ka lāʻau lapaʻau e hōʻoki i ka hoʻomohala ʻana o ka hypertension, ʻike ʻia nā hopena ʻokoʻa ma ke ʻano o ka hilahila o ka manawa. E hoʻomau wau e hauʻoli i ka mālama ʻana iā Mikardis, akā ʻo ke kumukūʻai ʻoi aku ma mua o koʻu mau manaʻo. Ua kiʻi ke kauka i kahi mea kūʻai aku haʻahaʻa.
ʻĀnaka. Ma hope o ka hōʻeha ʻana o ka puʻuwai, ua loaʻa iaʻu kahi maʻi palupalu a me ke piʻi ʻana o ke kaumaha, ua kolohe ka cardiologist i kēia lāʻau lapaʻau. ʻAʻohe makahiki wau i inu ai.ʻO hoʻokahi mahina ma hope o ke lawe ʻana, ua oki ke kaomi, ua lilo i mea maʻamau - 120/70. Ano, ke inu nei o Mikardis i kana wahine a me kona kaikuahine.

Hoʻololi nā kumu hoʻohālike o ka waiwai ikaika:

Ma mua o ka hoʻohana ʻana i ka analogue, e nīnau aku i kāu kauka.

Ke mālama nei a me ke ola o ka noho

Kūleʻa ma kahi maloʻo ʻole i hiki i nā keiki ke wela ma kahi wela ʻaʻole he + 30 ° С.

Ua hoʻopaʻa ʻia ka lāʻau lapaʻau?: ʻ☜ ☜

Hoʻohui hou nā lāʻau lapaʻau: 2010-03-11.
Ke hōʻano ʻia nei: 2017-08-25

Nā Palepili a me nā mea wae

☠ Hoʻolohe Nā lāʻau lapaʻau dummy - pehea ka bred o Rūsia a i ʻole e lilo i kālā ke kālā.

Nā pōkole pōkole no ka hoʻohana, contraindications, ʻike

Nā ʻōhumu
Ua pāpā ʻia ʻo ia e hoʻohana i kaʻu myisisis me aliskeren (no ka maʻi maʻi). ʻAʻole ia he mea pono e hoʻohui pū me nā mea hoʻohana i ka lithium.

Ke keu
ʻAʻohe hihia o ka lāʻau overdose.

E hoʻokuʻu i ke ʻano
Hoʻohana ʻia ia ma ke ʻano o nā papa, ke keʻokeʻo, ka ʻumi, i kahi pā kuhi 7 o nā ʻāpana.

Mikardis - kahi lāʻau lapaʻau no ka pale ʻana o ka maʻi naʻau

ʻO "Mikardis" kahi lāʻau lapaʻau i kūkulu ʻia ma ke kumu o kahi mea hana kūikawā kūikawā /

He antagonist kikoʻī maikaʻi ʻoi aku nā angiotensin receptors.

ʻO nā hiʻohiʻona o kēia lāʻau lapaʻau e ʻoluʻolu e hoʻopilikia i ke kino o ke kanaka a hāʻawi i ka hopena nui loa i ke kaʻina ʻana o kahi maʻi.

1. Nā ʻōkuhi no ka hoʻohana

Hoʻohana nui ʻia kēia "Mikardis" i ka hana lapaʻau. Ua kuhikuhi ʻia kēia mau lāʻau e nā kauka e mālama i nā maʻi like ʻole.

Wahi a nā ʻōlelo kuhikuhi, hiki ke lawe ʻia i ka lāʻau i loko o nā hihia penei:

ʻO ka pono no ka hoʻomohala ʻana i nā maʻi no ka poʻe e loaʻa ke hōʻike i nā hypertension koʻikoʻi.

No ka mālamaʻana i nā maʻi like ʻole o ka pūnaehana cardiovascular (no ka poʻe me ka mōʻaukala o ka maʻi maʻi, me ka poʻe i komo i ka mālama ʻana i ka hōʻeha a i ʻole ka maʻi ʻalā.
I mea e pale ai i ka hopena o ka puka o kahi maʻi maʻamau o ka ʻōnaehana cardiovascular.

2. Ka helu a me ka hoʻokele

ʻO ka mikardis nā papa e lawe wale ia ma ka waha, ʻoiai e inu ana i ka wai inu ʻona maʻamau. ʻO ka lawe ʻana i ka lāʻau lapaʻau ʻaʻole hilinai ʻia i ka manawa o ka ʻai.

He mea pono e noʻonoʻo i ka mea ʻoi ka mea maʻamau o ka hopena nui o ka lāʻau hiki ke hōʻike wale ma hope o nā mahina 1-2 mai ka hoʻomaka ʻana o ka hoʻomaʻamaʻa.

ʻO nā mea e pilikia nei i ka hana renal impaired, ʻaʻole pono ia e koho i kekahi dosage kūikawā.

No nā mea maʻi me ka hana maoli o ka hana o ka ate, ʻo ka nui i ʻōlelo ʻia i kēlā lā i kēia lā, ʻaʻole iʻoi aku i ka 40 mg hoʻokahi i ka lā.

ʻO kēlā me kēia makahiki ma Rūsia, e hōʻike kahi palapala ma ka maʻi - angina pectoris. E aʻo hou e pili ana i nā hōʻailona a me ka mālama ʻana o ka maʻi:

Nā ʻano hana o kēia wā.
ʻO nā hōʻailona nui o ka pectoris angina.

Hana ʻia ʻia ʻo Mikardis ma ke ʻano o ka oblong, nā papa liʻiliʻi ʻulaʻula a ʻulaʻula paha i ke kala.

Hoʻohana ʻia kēia mau mea i mea like o kēia lāʻau lapaʻau.

He ʻano hana nā Telmisartan.
Nā mea kūʻokoʻa: magnesium stearate, povidone, sorbitol, sodium hydroxide, meglumine.

4. Hoʻopili pū me nā lāʻau ʻē aʻe

Hiki i ka lāʻau lapaʻau ke hana pū me nā ʻano like ʻole me nā ʻano lāʻau ʻē aʻe, ʻoiai e hāʻawi ana i kahi hopena kūpono:

I ka hihia o ka hui pū ʻana me nā papa āpau me nā lāʻau lapaʻau antihypertensive, e hoʻonui pū kekahi i ka hopena o ke ʻano hypotensive.
ʻO ka hui pū me nā lāʻau lapaʻau e like me Warfarin, Digoxin, a me Paracetamol a i ʻole Ibuprofen, ʻaʻole i hoʻopuka i kahi hopena koʻikoʻi klinik.
I ka manawa e hana pinepine ʻia me nā lāʻau lapaʻau e pili ana i ka ramipril, e hoʻonui ka ʻai o ka mea hope i ke koko.
Inā hoʻokau ʻia ka lāʻau hoʻohui me ka hoʻohana ʻana iā Mikardis a me nā ʻano like ʻole angiotensin-hoʻololi i ka hoʻoweliweli o ka huʻihue, a me nā lāʻau lapaʻau e komo ai me ka lithium, he nui ka piʻi ʻana o ka waihona o kēia kahe i ke koko, ua mālama ʻia, he hopena wela ma ke kino o ke kanaka.
Hoʻohui lōʻihi i nā lāʻau lapaʻau anti-inflammatory non-steroid (non-selective NSAIDs, acetylsalicylic acid a me nā mea ʻē aʻe) e hoʻoulu ai i ka ulu ulu ʻana o ka wīwī renal ka hopena i nā poʻe e loaʻa ana i ka dehydration o ke kino.
ʻO nā lāʻau hōʻeha e pili ana i ka renin-angiotensin-aldetsterone system pinepine a i ka hopena synergistic.

5. nā hopena maikaʻi

Ma kēia lāʻau lapaʻau e hiki ai iā ʻoe ke wikiwiki a hoʻokō pono i ka hopena paʻa i ka mālama ʻana i ke ʻano hypertension a i ʻole nā maʻi naʻau.

Eia nō naʻe, aia kekahi la o nā contraindications, i mua o ia mea e pono e haʻalele i ka hoʻohana ʻana i nā papa a hoʻololi iā lākou i kekahi lāʻau lapaʻau hou.

ʻO ka hōʻike ʻana o kēlāʻano kūloko i kekahi o nā mea i hoʻohana ʻia no ka hana ʻana i nā papa.
ʻO ka heleʻana o nā maʻi ākea āpau o ka tractary tract.
Ka hoʻomau ʻana ʻole i ka ulu ʻana i kahi mea like e like me ka fructose.
Hoʻolaha ka hana hoʻohālikelike i ka hana maʻamau o ka ate.
ʻO nā mea maʻi ʻaʻole i hiki i ka makahiki he ʻumikumamāwalu i ka manawa o ka mālama ʻana.
ʻO ka wahine i ka wā gestation a lactation o ka lactating.

Aia kekahi mau maʻi puʻupaʻa i mua o ke ʻano ʻo Mikardis e hoʻohana pono me ka mālama nui a ma lalo o ka mālama paʻa ʻana o kekahi kauka. E pili ana kēia:

Hola huehue hana.
Ka loaʻaʻana o ka hana ate.
ʻO ka stenosis kōlea ma ke kino ponoʻī hoʻokahi.
Nā pā hale bilateral o nā ʻalā o nā koʻi.
Hoʻopau ʻole nā puʻuwai naʻau.
ʻO ka hoʻomohala ʻana o ka hypernatremia a i ʻole hyperkalemia.
ʻO ka emi nui o ke koko e kahe ana ma o nā moku koko ua loaʻa i nā kumu like ʻole.
ʻO ka pa o ka pahū mitral.
ʻO nā hōʻailona o ka stenosis valve aortic.
Ma hope o ka ʻoihana no ka hoʻololi ʻana i nā keiki.
Aldosteronism mua.
ʻO ka stenosis sortortortopophic idiopathic stenosis.

ʻEā pinepine nā hopena ʻaoʻao, akā pōkole a nalo pinepine loa.

Inā ʻaʻole, pono ʻoe e haʻalele i ka mālama ʻana me kēia lāʻau lapaʻau. ʻO lākou:

Sepsis.
Nā hōʻailona o ka thrombocytopenia.
Ke hoʻomohala ʻana o ka eosonophilia.
Nānā i kahi anemia.
ʻO nā hoʻopiʻi e pili ana i ka insomnia.
Pāʻeha.
ʻO ka hoʻomohalaʻana i ka hypertension orthostatic.
Ka eha haʻahaʻa o ke kahe koko.
Nausea me ka luaʻi.
ʻO Tachycardia me ka brachycardia.
Hoʻopili iki i ka hanu.
Loaʻa ka nānā ʻana i nā ʻike.
ʻO ka maʻi maʻamau.
Nā ʻeha ikaika ma loko o ka ʻōpū.
ʻO ka maloʻo mau o ka membrane ka mucous i ka waha.
ʻO ka hoʻoholo ʻana i ka hana hana pili.
ʻO ka weheʻana i nā hōʻailona o kahi kūoʻo wikiwiki.
ʻO ke ʻano o ka angioedema e nānā ʻia.
ʻEtelelo aelike.
ʻO ka pīpī koʻikoʻi.
Ke hoʻomohala ʻana o ka eczema.
ʻŌpala ma ka ʻili, hoʻonākiuki ʻole ʻia.
ʻO ka hōʻikeʻana o ka arthralgia.
Me ka hōʻeha ʻana o nā ʻōpū ma nā hui kūʻokoʻa.
Nā hōʻailona ʻē aʻe e hoʻonāukiuki i ka hana maʻamau o nā kino kūʻokoʻa o ke kino o ke kino o ke kanaka.

6. Nā huaʻōlelo a me nā kūlana kumu e waiho ai

E mālama ʻia ʻo "Mikardis" i kahi wahi maloʻo me ka mahana wela o ka ea, i nānā mau ʻia a palekana hoʻi mai ka lā maka. ʻAʻole pono ke ʻoka ʻia nā lāʻau i nā keiki ʻōpio.

ʻO ke ola ʻelua makahiki kēia lāʻau lapaʻau.

Aia i loko nā hale kūʻai kahi i loaʻa ma ka mokuna o ka Lūkini Lūkininā papa papa mai ke kumukūʻai 300 mau rubles i ka pākaukau.

I nā lāʻau lapaʻau Iukalia mai kā lākou kumukūʻai ma kahi o 115 hryvnias.

I nā mea kuʻuna maʻamau o kēia lāʻau lapaʻau ka mea like:

Alena: “ʻO ka hoʻomākaukau haʻahaʻa. Kauka ke kauka ʻana no ka pale ʻana i ka maʻi naʻau coronary. Nui koʻu makemake i ka hopena. "

Hiki iā ʻoe ke hoʻomaopopo i ka loiloi o nā mea hoʻohana ʻē aʻe, me ka haʻi ʻana i kou manaʻo ma ka hopena o ka moʻolelo.

Hoʻokahi ke papa pākahi Micardis he 40 a 80 mg paha telmisartan (huahana ikaika).

Nā mea hoʻoweliweli: sodium hydroxide, polyvidone, meglumine, sorbitol, magnesium stearate.

E hoʻokuʻu i ke ʻano

Ke keʻokeʻo, he mau keokeo nā lāʻau lapaʻau me ka kākau ʻana o ka 51H ma kekahi ʻaoʻao a me ka logo ʻoihana ma kēlā ʻaoʻao.

7 nā papa papa ʻia me kahi ala o 40 mg i loko o kahi palaha; 2 a 4 paha mau kīleʻe i loko o kahi pahu pepa. Nā kumulāʻau e 7 paha me kahi ala he 80 mg ma ke kue, 2, 4 a i ʻole 8 mau blisters i loko o kahi pahu pahu

Ka hana lāʻau lapaʻau

Kāhi angiotensin II a ʻo ka hopena, ʻo ka vasodilation. ʻO ka lāʻau lapaʻau e hoʻohaʻahaʻa i ke koko, e pili ana aldosterone i loko o ke koko.

Pharmacodynamics a me ka pharmacokinetics

Lapaʻau lāʻau

Telmisartan - nā mea koho pani koho angiotensin II. ^ E Ha yM. He tropism kiʻekiʻe ma AT1 kūloko subtype angiotensin II. ^ E Ha yM. Nā hoʻokūkū me angiotensin II i nā mea kikoʻī kūikawā me ka ʻole o ka hopena like. ʻO ka hoʻomau ka hoʻomau.

ʻAʻole ia e hōʻike i kahi tropism no nā subtypes o nā receptors. Hoʻemi i ka ʻike aldosterone i loko o ke koko, ʻaʻole e kaohi i ka plasma renin a me nā kaila ion i loko o nā hale.

Hoʻomaka hopena hypotensive nānā ʻia i loko o nā hola ʻekolu i hala ma hope o ka hoʻokele ʻana telmisartan. ^ E Ha yM. Hana wale ka hana no kahi lā a i ʻole. Hoʻoulu ka hopena ʻōlelo i ka mahina ma hope o ka hoʻokele mau ʻana.

I nā poʻe me haehae maʻitelmisartan hōʻemi i ka systolic a me ke kaomi diastolic, akā ʻaʻole ia e hoʻololi i ka nui o ka pūhaka puʻuwai.

ʻAʻole ia e hoʻokau i ka maʻi hoihoi.

Lapaʻau lāʻau

Metabolized by pane me waikawa glucuronic. ^ E Ha yM. ʻAʻole ikaika ka metabolites o ka lāʻau. ʻO ka hoʻopau hapa hapa-ola e ʻoi aku ma mua o 20 mau hola.

Hoʻokuʻu ʻia ia ma o ka hoʻowalewale ʻana, ʻo ka excretion i loko o ka urine ma lalo o 2%.

Nā hōʻailona no ka hoʻohana ʻana

Nā Hoʻohui

Nā contardicated nā papa Micardis i kēlā me kēia me nā pepeke ma luna o nā māhele o ka lāʻau lapaʻau, kaumaha nui maʻinā ate a i ʻole ʻōpala, kuʻi ʻole ʻauʻai, i ka wā hāpai a lactation, mau keiki malalo o na makahiki he 18.

Nā hopena hopena

Mai ka pūnaehana neʻe o waena: manaʻo ʻinoāhāhuʻe lie kanikelaluhi, hopohopo, ʻōpala, nahoa.
Mai ka papa hana hanu: nā maʻi o ka ʻalihi hanu kiʻekiʻe (sinusitis, pharyngitis, ʻOluomini), kauā.
Mai ka pūnaehana neʻe: haʻi i ka hoʻohemo ʻana ma ka manaʻo, tachycardia, brieociaiaʻeha ka ʻeha.
Mai ka pūnaehana hana ʻana: mualea, nā ninia, ʻumiinake hoʻonui nei i nā kao o nā ʻoli ate.
Mai ka ʻōnaehana musculoskeletal: myalgiaʻeha ʻeha hope aolaila.
Mai ka pūnaehana genitourinary: edema, nā maʻi o ka ʻōnaehana genitourinary, luhi.
Hypersensitivity Mea Hoʻoikaika: Skin Rash, angioedema, urticaria.
Nā hōʻailona hana Laboratory: anemia, hyperkalemia.
Nā ʻili: erythemahuu dyspnea.

Mikardis, nā ʻōlelo aʻoaʻo no ka hoʻohana

Wahi a nā ʻōlelo kuhikuhi no ka hoʻohana ʻana o Mikardis, lawe ʻia ka lāʻau lapaʻau. Hoʻolako ʻia no nā pākeke dosis 40 mg i ka la hou i. I kekahi mau o nā mea maʻi, ua nānā ʻia ka hopena therapeutic i ka wā e lawe ana i ka pākōʻai 20 mg i ka la. Inā ʻaʻole mālama ʻia kahi emi ʻana o ke kaomi i ka pae i makemake ʻia, a laila hiki ke hoʻonui ʻia ka nui i ka 80 mg i kēlā me kēia lā.

Loaʻa ka hopena kiʻekiʻe o ka lāʻau i ʻelima mau pule ma hope o ka hoʻomaka ʻana o ka lāʻau.

I ka poʻe maʻi me nā maʻi koʻikoʻi haehae maʻi hiki ke hoʻohana 160 mg lālapa i kēlā lā.

Ke keu

Nā hōʻailona: ka hoʻohaʻahaʻa nui o ke koko.

Hoʻohui

Telmisartan hoʻōla hopena hypotensive ʻano ʻē aʻe o ka hoʻohaʻahaʻa ʻana.

Ke hoʻohana pū ʻia telmisartan a kāmakua pono pika noonoo no ka lohi kāmakua i ke koko, ʻoiai e hiki ke hoʻonui.

Ke lawe pū pū ʻia nā lāʻau lithium a ACE paleai ʻike ʻia kahi manawa liʻiliʻi o nā ʻike lithium i loko o ke koko, i hōʻike ʻia e nā hopena ʻona.

Hoʻomaʻamaʻa ole-lāʻau lapaau anti-inflammatory a me Mikardis ma nā maʻi dehydrated hiki ke alakaʻi i ka hoʻomohala ʻana o ka hiki ʻole o ka hana renal.

Kūlana o ke kūʻai aku

Hoʻokuʻu ʻia aku ia ma ke kumu kūʻai aku.

Nā kūlana mālama

E kūʻai ma kahi paʻa i wehe ʻole ʻia, ma nā mahana a hiki i 30 ° C, ma kahi maloʻo loa. Mai mālama i nā keiki.

ʻO ka lā kau

Nā ʻōlelo kikoʻī

No ka maʻi nā maʻi (ka palena paʻakai, mālama hoʻoiho, nā ninia, ka luaʻi) kahi mea i pono ai ʻo Mikardis he mea pono.

Me ka mālama aka, koho i nā kānaka me stenosis o laua nā hāmeʻa maʻi, méni valve stenosis a i ʻole aortic hypertrophic cardiomyopathy obstrive, renal koʻikoʻi, hepatic a i ʻole ʻole ka naʻau, nā maʻi o ka ʻalā.

Pāpā ʻia ka hoʻohana ʻana i ka wā aldosteronism maʻamau a kuʻi ʻole ʻauʻai.

Me kahi hoʻohala hoʻolālā, pono ʻoe e loaʻa mua i kahi mea ku pono no Mikardis me kekahi ka lāʻau antihypertensive.

E hoʻohana me ka akahele inā ka holo kaʻa.

Me ka hoʻohana me ka lāʻau lapaʻau lithium hōʻike ʻia nā nānā 'ana o ka lithium ma ke koko, no ka mea, he hiki ke hoʻonui iki.

Mikalais Mikardis

Loaʻa nā mea hou aku ʻo Mikardis: Koiā ʻia, Telmista, Hipotel.

Lā ʻia ka lāʻau lapaʻau no ka hoʻohana ʻana ma nā kānaka ma lalo o nā makahiki 18.

I ka helu ʻana (a me ka lactation)

Ua papa ʻia ia e hoʻohana i nā wahine hāpai a lactating.

Hoike e pili ana iā Mikardis

Hōʻike ʻia nā loiloi e pili ana iā Mikardis i kahi helu liʻiliʻi o nā hōʻike o nā hopena ʻokoʻa, akā maikaʻi loa ka hapanui o nā maʻi me kona kumukūʻai kiʻekiʻe.

Palena Mikardis

Ma Lūkia, he kumukūʻai o 80 mg No. 28 mai ke kumukūʻai mai 830 a 980 mau rubles. I Ukraine, ke kūʻai aku ke kumukūʻai o Mikardis i kahi ʻano like me ka 411 o ka hryvnias.

ʻO nā lāʻau lapaʻau ma ka pūnaewele ma Rusia
ʻO nā keʻena kūʻai pūnaewele ma UkraineUkraine
ʻO nā keʻena kūʻai pūnaewele ma Kazakhstan

Nā ʻardlelo Mikardis Plus 80 mg + 12.5 mg 28 pcs Boehringer Ingelheim Böhringer Ingelheim
Nā ʻāpana Mikardis 80 mg 28 mau pcs.
Nā ʻardlelo Mikardis 40 mg 28 pcs Boehringer Ingelheim Böhringer Ingelheim

Mikardis 40mg No. 28 mau papaaā. Ingelheim Pharma GmbH a me CoKG
Mikardis me 80mg / 12.5mg No. 28 mau papaʻolima Ingelheim Pharma GmbH a me CoKG
Mikardis 40mg Helu 14 mau papaʻiā. Ingelheim Pharma GmbH a me CoKG
Mikardis 80mg Helu 28 mau papaʻiBorepona Ingelheim Pharma GmbH a me CoKG

Kauka IFK

MikardisBoehringer Ingelheim, Kelemānia
Mikardis Plus, Boehringer Ingelheim, Kelemānia

Nā Mikardis mau papa 80mg No. 28Beringer Ingelheim (Italia)
Nā Mikardis-me nā papa he 80mg / 12.5mg No. 28Beringer Ingelheim (Kelemānia)

Kauhi Pani

ʻĀkele ʻo Mikardis. 80mg No. 28Beringer Ingelheim
ʻĀkele ʻo Mikardis. 80mg No. 28Beringer Ingelheim

Mikardis® Plus 80 mg / 12.5 mg No. 28 mau papa Boehringer Ingelheim Pharma KG (Kelemānia)
Mikardis® 80 mg No. 28 mau papaʻiehoe Boehringer Ingelheim Pharma KG (Kelemānia)

ʻO ka lāʻau lapaʻau "Mikardis": mau analogues, ʻōlelo ʻōlelo e hoʻohana ʻia ai, nā loiloi:

ʻO ka hoʻonohonoho ʻana o ka lāʻau "Mikardis"

ʻO ka mea ikaika, ʻo ia ka mea nui i ka hoʻolālā ʻana o ka learism, ʻo ke telmisartan. Hiki i kahi papa papa ke 20 mai ka 80 milligrams.ʻO nā mea hoʻohui i kōkua pū i ka wā e hoʻoiho i ka huapalapala o ke ao nei:

huakika yoxitalamic
sodium hydroxide
polyvinylpyrrolidone,
kekuhi?
paʻahau magnesium.

Me kahi hana koʻikoʻi o ka lawe ʻana i ka "Mikardis" ʻaʻohe hopena o ka "kinai", ke hoʻi maila nā hōʻailona mua i ka 2-3 mau pule.

ʻO nā mea āpau a ka mea e hoʻomake ai i ka lāʻau, ke lawe kū ʻole ʻia mai ka ʻawaʻī, ke hoʻokaʻawale koke ʻia, ʻo ka nui o ke kaila o ka mea ikaika e hōʻea ʻo ia ma kahi o 50%.

E hoʻokuʻu i ke ʻano

Loaʻa ʻo Mikardis i nā papa keʻokeʻo. Hiki i ka helu pahu mai nā polu a ʻewalu paha, kēlā me kēia mau papa 7.

Pehea e lawe ai i ka lāʻau lapaʻau?

Ma kahi o ka "Mikardis" maʻamau, ua hōʻemi ʻia ka lāʻau "Mikardis plus". Aia nā mea hope he 12,5 milligrams o ka hydrochlorothiazide, nona nā waiwai diuretic.

ʻAʻohe hihia e kuhikuhi iā ʻoe i ka lāʻau a me ka maʻi ma kāu iho, ʻoiai ʻo ke kauka hele wale nō e ʻike i nā maʻi āpau āpau a hoʻopaʻa i nā loiloi o ka mea maʻi.

Nā Hoʻohui

"Mikardis 40" loaʻa nā like like me nā lāʻau lapaʻau me nā ʻokoʻa like o nā mea ikaika. ʻAʻole hiki ke lawe ʻia ka lāʻau lapaʻau i nā hihia aʻe:

Inā loaʻa kahi ala e hoʻonui ai i ka māhele nui a i ʻole nā pae kōkua.
I ka wā hāpai a me ka lactation.
Inā he mea maikaʻi ka mea maʻi i ka ʻili biliary e hoʻopilikia i kā lākou ala.
Me nā maʻi koʻikoʻi o ka pūpū a me nā pēpē.
Me ka intolerance fructose hoʻoilina.

Hōʻike nā ʻōlelo no ka hoʻohana ʻana o "Mikardis" i kuhikuhi ʻole ʻia ka lāʻau lapaʻau i nā mea maʻi me:

hypercalcemia Refractory (hoʻonui i ka pilumeka o ka plasma calcium),
hypokalemia (kahi maʻi i kumu o ka ʻai ʻole o ka pāhana i ke kino o ke kanaka),
me ka nele o ka lactase,
lactose intolerance,
galolole galactose.

ʻO ka lāʻau "Mikardis" me ka makaʻala nui e kuhikuhi ʻia no:

Hyponatremia (kahi ʻano i hoʻoili ʻia ai nā paʻakai sodium i loko o ke koko koko ma lalo o kahi maʻamau).
Hyperkalemia
Ischemia o ka puʻuwai.
ʻO ka maʻi puʻuwai - nā maʻi kūpaʻa, stenosis valve, cardiomyopathy.
ʻO ka noho ʻana o nā lāʻau ʻelua o ka huehue.
ʻO ka maʻi ma muli o ka maʻi me ka hoʻopili a me ka maʻi ʻaʻa.
ʻO ka maʻi diuretic o mua.
Hoʻopau hou ma hope o kahi hoʻololi hope.

Pono ka lāʻau lapaʻau e mālama me ka mālama nui loa i ka maʻi maʻi a me ka gout (kahi maʻi o nā pūpū a me nā me nā ʻoihana a nā kumu i loko o ke kino).

Nā hopena hopena

ʻAʻoleʻike maikaʻi nā ʻike e pili ana i "Mikardis". Ua kākau kekahi mau mea maʻi i ka loaʻa ʻana o ke olakino maikaʻi, ka mea e hilinaʻi nui ʻia ana i ka dosis o ka lāʻau, ma ka makahiki a me ka hiki ʻana o nā maʻi. ʻO nā hopena ʻokoʻa maʻamau ka:

ʻO ka ʻeha, ka migraine, ka luhi, ka hopohopo nui, ka huhū, ke kaumaha, ka hiamoe hiamoe, nā kīwaha.
ʻO nā maʻi ʻeha me nā maʻi maʻi e pili ana i ka pharyngitis, sinusitis, bronchitis a me ka ʻōpū.
ʻAno, hāpeʻe, ʻeha.
Hypotension (hoʻohaʻahaʻa i ke koko haʻahaʻa), tachycardia (palpitations puʻuwai ʻeha), bradycardia (hoʻonāukiuki ma ka ʻano ritela).
ʻO nā ʻōpū o ka ʻōpū, ka arthralgia, nā ʻeha hoʻi hope.
Hoʻomaka o nā ʻōnaehana genitourinary, mālama ka wai i loko o ke kino.
ʻO nā maʻi āpau i ke ʻano o nā ʻūhā o ka ʻili, urticaria, angioedema, gohu, erythema (hōʻemi nui ʻia o ka ʻili i hoʻokumu ʻia e ka hoʻonui ʻia o nā capillaries).
Hōʻike ʻike blurrurr.
Kūkākūkā keaka-pani ʻana.
ʻAʻohe luhi (impotence seksual).
ʻO ka pancreatitis (ka mumū o nā pancreas).
Hōʻeha ka hana ʻoluʻolu.
Jaundice
Dyspepsia (kahi kuʻe o ka hana maʻamau o ka ʻōpū, paakiki a hoʻoweliweli a hōʻeha ʻia).
Hoʻonui kaho.
ʻO nā palaka ma nā mau keiki bipi.
ʻO Arthrosis (kahi maʻi maʻi pūpili e pili ana me kā lākou deformasi a me ka hoʻopiha ʻana o ka holo kelepona).

Mikardis i ka wā hāpai

Pehea e lawe ai i ka lāʻau lapaʻau "Mikardis"?

Hōʻike nā ʻōlelo no ka hoʻohana ʻana e pono ka pau ʻana o ka lā hana i ka lālani i hoʻokahi papa o 40 milligrams.

ʻOiaʻiʻo, ʻoi loa ka manawa e pono ai no Mikardis e hōʻike i kāna mau hopena kūpono āpau i ke kino o ka mea maʻi.

ʻO nā mea maʻi i ka mōʻaukala olakino e pili ana i kahi hana pūkaʻi kīnā ʻole, ʻaʻole pono ia e koho i kahi kaʻe o kekahi kanaka.

Inā loaʻa nā ʻike i nā moʻohelu o ka neʻe ʻana o ka palahalaha maʻalahi o ke ake, a laila pono kekahi kanaka maʻi e lawe "Mikardis 40".

ʻAʻole hiki iā ʻoe ke hoʻonui i ka nui o ka lāʻau lapaʻau: hiki i kēia ke alakaʻi i ka hana ʻole o nā keiki a me nā ate. ʻAʻole hoʻoponopono nā maʻi maʻi i ka dosage.

Hoʻopili pū me nā lāʻau ʻē aʻe

Ma mua o ke kauka ʻana ke kauka iā Mikardis i ka mea maʻi, pono ʻo ia e ʻike i nā ʻano lāʻau ʻē aʻe e lawe nei e ka mea maʻi. Ke lawe nei i nā lāʻau lapaʻau e hiki mai ana, e hoʻonui paha ko lākou hopena, a i ʻole ka hopena o "Mikardis":

Hoʻonui ʻo Telmisartan i ka hopena hypotensive o nā lāʻau ʻē aʻe me ka hopena like.
Me ka hui pū me Digoxin a me Mikardis, ʻo ke kahe o ka hana ikaika i ka lāʻau mua e hoʻonui.
ʻO ka hoʻonui ʻia o "Ramipril" hoʻonui i 2 manawa.
Hoʻonui ka hua o nā lāʻau lapaʻau e pili ana ka lithium, e hoʻonui ai i ka hopena o ke kinipona ma ke kino.
Me ka hoʻohana pū ʻana o nā lāʻau lapaʻau anti-inflammatory non-steroidal a me telmisartan i nā maʻi me ka maʻi dehydration, ʻo ka hōʻeuʻeu o ka hoʻomohala ʻana i nā hemahema a hoʻonui ʻia ka hopena o Mikardis.

ʻO ka hiki ke hoʻokele i nā hana paʻakikī i ka wā e lawe ai i "Mikardis plus" a me nā analogues

Pono ka mālama ʻia ʻo ka "Mikardis" i kahi wahi i hiki ʻole ai i nā keiki, i ke ana o ka nui o ke koena 30. Ho ola:

Nā papa i ka papaʻaina o 40 a me 80 milligrams - 4 mau makahiki.
Nā papa papaʻa i kahiʻuʻa o 20 milligrams - 3 mau makahiki.

Hoʻokuʻu ʻia ka lāʻau lapaʻau e like me ka ʻōlelo ʻana. Hōʻa ʻia ʻo Mikardis no nā keiki ma lalo o nā makahiki 18.

ʻO ke kumukūʻai o ka lāʻau lapaʻau "Mikardis"

Kūʻai ke kumukūʻai o kahi lāʻau lapaʻau ma muli o ke ʻano o ka waiwai ikaika. ʻO ke kumu kūʻai o "Mikardis 40" (14 mau papa) - mai 500 rubles a ma luna. "Mikardis 80" - mai 900 a 1000 mau rubles. ʻO ke kumu kūʻai o Mikardis Plus (28 mau papa) mai 850 mau rubles a ma luna aʻe.

Mikardis: nā kikowaena, nā loiloi

Pili loa ka lōʻihi o ka mālama ʻana i ke kauka, ma hope o ka loiloi ʻana i ke kūlana olakino o ka mea maʻi, hiki i ke kauka ke ʻōlelo aku i ka huli ʻana i kahi 20 o nā milligrams.

Ua koho ʻia nā lāʻau maʻalahi e nā "Mikardis plus" e ke kauka, nā lāʻau lapaʻau kaulana loa me ka hopena like:

ʻO Blocktran kahi mea haʻahaʻa a maʻalahi hoʻi no ka mālamaʻana i ka hypertension a me ka hopena ʻole o ka naʻau. Hoʻokaʻawale ia mai Mikardis i ka mea nui a me ka dosis.
"Valz" - hua ʻia i loko o nā papa he 28 mau papa, ʻoi aku ka nui ma mua o ka lāʻau "Mikardis", no laila, me ka hoʻomohala lōʻihi, ʻoi aku ka maʻalahi o "Valz". Hoʻololi ʻia ka ʻano o nā lāʻau lapaʻau, ʻoiai ʻo Valsartan (40 milligrams) e hoʻohana ʻia ma Valz.
"Angiakand" - ʻokoʻa i ka hoʻopili ʻana, hoʻāla ʻenehana ikaika a me kāna hana. Hāʻawi ia e lawe me ke koko kiʻekiʻe a me ka pohō o ka puʻuwai naʻau. Loaʻa i nā maʻi ʻē aʻe, no laila ke noi ʻia e heluhelu pono ʻoe i nā ʻōkuhi ma mua o ka hoʻohana ʻana.

Mikardis Plus: nā ʻōlelo no ka hoʻohana ʻana, nā analogues

ʻĀpana Pharmacological

Aia ka lāʻau lapaʻau i ka pūʻulu o nā antagonist e pili ana i ka angiotensin, ʻo ia hoʻi, i ka hui o nā lāʻau lapaʻau e hana ana i nā mea hōʻiliʻili o AT a hoʻopaʻa i ke koko no ka hopena maikaʻi aʻe. Antihypertensive, kahi lāʻau lapaʻau e hoʻohaʻahaʻa i ka lāʻau. ʻAʻole inā kahi hopena a me ka hopena i hoʻoili ʻia.

Ka hoʻonohonoho, hana ʻana o ka hana a me kahi ʻano hoʻokuʻu

ʻO ka wehewehe e pili ana i 21.08.2014

Palapala Latin: Nā Micardis
ʻĀkau ATX: C09CA07
Mea waiwai: Kelea Telmisartan (Telmisartan)
Mea Hana: BOEHRINGER INGELHEIM PHARMA (Kelemānia)

Hoʻokahi ke papa pākahi Micardis he 40 a 80 mg paha telmisartan (huahana ikaika).

Nā mea hoʻoweliweli: sodium hydroxide, polyvidone, meglumine, sorbitol, magnesium stearate.

E hoʻokuʻu i ke ʻano

Ke keʻokeʻo, he mau keokeo nā lāʻau lapaʻau me ka kākau ʻana o ka 51H ma kekahi ʻaoʻao a me ka logo ʻoihana ma kēlā ʻaoʻao.

Ka hana lāʻau lapaʻau

Kāhi angiotensin II a ʻo ka hopena, ʻo ka vasodilation. ʻO ka lāʻau lapaʻau e hoʻohaʻahaʻa i ke koko, e pili ana aldosterone i loko o ke koko.

Pharmacodynamics a me ka pharmacokinetics

Lapaʻau lāʻau

ʻAʻole ia e hōʻike i kahi tropism no nā subtypes o nā receptors. Hoʻemi i ka ʻike aldosterone i loko o ke koko, ʻaʻole e kaohi i ka plasma renin a me nā kaila ion i loko o nā hale.

I nā poʻe me haehae maʻitelmisartan hōʻemi i ka systolic a me ke kaomi diastolic, akā ʻaʻole ia e hoʻololi i ka nui o ka pūhaka puʻuwai.

ʻAʻole ia e hoʻokau i ka maʻi hoihoi.

Lapaʻau lāʻau

Ke lawe wale ʻia, lawe koke ʻo ia mai nā ʻōpū. ʻO ka bioavailability e kokoke ana i ka 50%. Ma hope o ʻekolu mau hola, lilo ka lōʻihi o ke kaila plasma. 99.5% o ka mea hana ikaika e hoʻopili ai i nā ʻōnaehana koko. Metabolized by pane me waikawa glucuronic. ^ E Ha yM. ʻAʻole ikaika ka metabolites o ka lāʻau. ʻO ka hoʻopau hapa hapa-ola e ʻoi aku ma mua o 20 mau hola. Hoʻokuʻu ʻia ia ma o ka hoʻowalewale ʻana, ʻo ka excretion i loko o ka urine ma lalo o 2%.

Nā hōʻailona no ka hoʻohana ʻana

He maʻi haole.
ʻO ka hōʻemi ʻana o ka morbidity cardiological a me ka make ma nā poʻe ma kahi o 55 i ka hopena.

Nā Hoʻohui

Nā hopena hopena

Mai ka pūnaehana neʻe o waena: manaʻo ʻinoāhāhuʻe lie kanikelaluhi, hopohopo, ʻōpala, nahoa.
Mai ka papa hana hanu: nā maʻi o ka ʻalihi hanu kiʻekiʻe (sinusitis, pharyngitis, ʻOluomini), kauā.
Mai ka pūnaehana neʻe: haʻi i ka hoʻohemo ʻana ma ka manaʻo, tachycardia, brieociaiaʻeha ka ʻeha.
Mai ka pūnaehana hana ʻana: mualea, nā ninia, ʻumiinake hoʻonui nei i nā kao o nā ʻoli ate.
Mai ka ʻōnaehana musculoskeletal: myalgiaʻeha ʻeha hope aolaila.
Mai ka pūnaehana genitourinary: edema, nā maʻi o ka ʻōnaehana genitourinary, luhi.
Hypersensitivity Mea Hoʻoikaika: Skin Rash, angioedema, urticaria.
Nā hōʻailona hana Laboratory: anemia, hyperkalemia.
Nā ʻili: erythemahuu dyspnea.

Mikardis, nā ʻōlelo aʻoaʻo no ka hoʻohana

Loaʻa ka hopena kiʻekiʻe o ka lāʻau i ʻelima mau pule ma hope o ka hoʻomaka ʻana o ka lāʻau.

I ka poʻe maʻi me nā maʻi koʻikoʻi haehae maʻi hiki ke hoʻohana 160 mg lālapa i kēlā lā.

Ke keu

Nā hōʻailona: ka hoʻohaʻahaʻa nui o ke koko.

ʻO nā hoʻohālikelike i ka hoʻohana ʻana o Mikardis, ka hana o ka hana, nā mea hōʻike, nā pilina, nā hopena ʻaoʻao a me nā kuhikuhi i ka hoʻohana

E hoʻokuʻu i ke ʻano a me ka ʻano

Lapaʻau lāʻau

Lapaʻau lāʻau

Nā Hoʻohui

ʻO ka wehewehe o ka hana o ka hana: pharmacodynamics a me pharmacokinetics

ʻĀina haʻawina

Nā hopena hopena

ʻLoe a me ke kākele

Nā ʻōlelo kikoʻī

Hoʻohui nūhou

Hōʻike Hypertension

ʻO ka ʻike nui o ka lāʻau lapaʻau

Ke ʻano o ka noi a me ka hopena o ka lāʻau lapaʻau

ʻO ka hoʻonohonoho ʻana o "Mikardis"

Nā hōʻailona no ka hoʻohana ʻana

I ka manawa e pono ai e inu i ka lāʻau lapaʻau me ka mālama?

Mikardis, nā ʻōlelo e pili ana i ka hoʻohana ʻana: ke ʻano a me ka helu ʻana

He lāʻau lapaʻau e hoʻolōʻihi i ke ola

Nā lāʻau lapaʻau lāʻau

Hoʻohālikelike me nā lāʻau lapaʻau ʻē aʻe

Nā ʻihi ʻaoʻao o Mikardis

Hiki iaʻu ke hoʻohui me ka waiʻona?

Nā hōʻike ʻana o nā cardiologists e pili ana i ka lāʻau lapaʻau

Nā Hōʻike Hoʻomaʻi

Pehea e lawe ai a ma ke kumu a ke kaomi, ka nui

Hoʻohui

Nā hōʻailona no ka hoʻohana ʻana

Dosis a me ke ala o ka hoʻokele ʻana

Ke mālama nei a me ke ola o ka noho

Nā pōkole pōkole no ka hoʻohana, contraindications, ʻike

Mikardis - kahi lāʻau lapaʻau no ka pale ʻana o ka maʻi naʻau

1. Nā ʻōkuhi no ka hoʻohana

2. Ka helu a me ka hoʻokele

Hoʻokomo i ka hiki ke lawe i nā kaʻa a me nā mīkini paʻakikī

ʻŌpū a me ka lactation

I ka hihia o ka hana renal hemaʻa

Me ka hana pūpū hemahema

ʻO ka hoʻohana ʻia o ka lāʻau Mikardis

Nā hopena ʻona o ka lāʻau Mikardis

Nā lāʻau lapaʻau lāʻau Mikardis

6. Nā huaʻōlelo a me nā kūlana kumu e waiho ai

Palena Mikardis

Kauhi Pani

ʻO ka lāʻau lapaʻau "Mikardis": mau analogues, ʻōlelo ʻōlelo e hoʻohana ʻia ai, nā loiloi:

ʻO ka hoʻonohonoho ʻana o ka lāʻau "Mikardis"

Pehea e lawe ai i ka lāʻau lapaʻau?

Mikardis i ka wā hāpai

Pehea e lawe ai i ka lāʻau lapaʻau "Mikardis"?

ʻO ka hiki ke hoʻokele i nā hana paʻakikī i ka wā e lawe ai i "Mikardis plus" a me nā analogues

Mikardis: nā kikowaena, nā loiloi

Mikardis Plus: nā ʻōlelo no ka hoʻohana ʻana, nā analogues

Ka hoʻonohonoho, hana ʻana o ka hana a me kahi ʻano hoʻokuʻu

Ke keu

Nā ʻōlelo kikoʻī

Hoʻohui nūhou

Ke mālama nei a me ke ola o ka noho

Nā Palepili a me nā mea wae

Nā pōkole pōkole no ka hoʻohana, contraindications, ʻike

Mikardis - kahi lāʻau lapaʻau no ka pale ʻana o ka maʻi naʻau

1. Nā ʻōkuhi no ka hoʻohana

2. Ka helu a me ka hoʻokele

4. Hoʻopili pū me nā lāʻau ʻē aʻe

5. nā hopena maikaʻi

6. Nā huaʻōlelo a me nā kūlana kumu e waiho ai

E hoʻokuʻu i ke ʻano

Ka hana lāʻau lapaʻau

Pharmacodynamics a me ka pharmacokinetics

Nā hōʻailona no ka hoʻohana ʻana

Nā Hoʻohui

Nā hopena hopena

Mikardis, nā ʻōlelo aʻoaʻo no ka hoʻohana

Ke keu

Hoʻohui

Kūlana o ke kūʻai aku

Nā kūlana mālama

ʻO ka lā kau

Nā ʻōlelo kikoʻī

Mikalais Mikardis

I ka helu ʻana (a me ka lactation)