Ehia nā kumukūʻai maʻi maʻi maʻi: ke kumukūʻai o Metformin, Yanomed (Yanumet), Glucostab a me nā lāʻau lapaʻau'ē aʻe.

Hoʻohana ʻia kēia lāʻau lapaʻau no ka mellitus type type 2 (hiki iā ʻoe ke hoʻomalu i ka glycemia), maikaʻi loa i ka hui pū ʻana me kahi mea kakano i koho ʻia a kuhikuhi i ka hana pilikino. Ua kuhikuhi ʻia ʻo Yanumet i kekahi mau hihia ke hiki ʻole ka hoʻōla me ka metformin a me kahi sitagliptin i hoʻokaʻawale ʻole ʻia, a me kēia lāʻau lapaʻau e hoʻohui pū i kēia mau mea ʻelua, e hoʻopiʻi nei no nā hemahema o nā mea ʻelua. Hoʻohui pū kekahi, ʻo ka mālama ʻana me Yanumet i hui pū me nā hoʻomākaukau e ʻike ana i nā mea nona nā sulfonylurea (ʻekolu i hoʻokahi). Hoʻohana pū ʻia me nā agonist PPAR a me ka insulin.

E hoʻokuʻu i nā palapala

ʻO Yanumet kahi papa paʻi kiʻi ʻoniʻoni, aia kēlā me kēia 50 mg o ka sitagliptin, me 500, 800 a me 1000 mg o ka metformin, no laila ke māhele i ka lāʻau e like me ka hoʻomohala ʻana o ka metformin i ka hoʻopili o ka lāʻau. Hāʻawi ka mākeke pharmacological i nā ʻano hana i hoʻoiho ʻia:

Nā papa lole Janumet 500 mg + 50 mg,
Nā papa lāʻau Janumet 800 mg + 50 mg,
Nā papa lole Janumet 1000 mg + 50 mg.

Hiki i kahi pahu ke hoʻokahi ʻia mai kahi pahu a ʻehiku mau pīpī. ʻEhā mau blister pākaha i nui ka noi. Aia i kēlā me kēia hola 14 papa. Hiki iā ʻoe ke mālama i kēia lāʻau lapaʻau no ʻelua mau makahiki ʻelua.

Nā ʻōkuhi no ka hoʻohana

ʻAʻole pono e hoʻohana ʻia e ka wahine hāpai, lactating. Mai hāʻawi aku i nā keiki. ʻAʻole pono e hoʻopau nā papa i nā makahiki he 18. Pono e hāʻawi i nā manaʻo kūikawā i nā poʻe maʻi maʻi. Hoʻonohonoho ʻia e hoʻohana i nā manawa 2 i ka lā no ka 2 papa. Store ma kahi maloʻo maloʻo ʻole no kahi ʻelua mau makahiki.

Eia nō hoʻi, mai launa pū me nā lāʻau lapaʻau, ka hopena o ka mea e hōʻole i ka hopena maikaʻi o Yanumet. Ma muli o ke kikoʻī kiʻekiʻe o ka sitagliptin, ʻaʻohe mea pono ke lawe pū ʻia me nā mea ʻē aʻe e loaʻa ana i sitagliptin. ʻO 2 mau papa o Yanumet e uhi i ka pona maʻamau (100 mg i kēlā me kēia lā).

ʻO nā ʻōlelo aʻoaʻo no ka hoʻohana ʻana iā Yanumet ka nui o nā hopena ʻaoʻao a me nā contraindications.

Nā Hoʻohui

ʻAʻole pono ʻo Janumet e hoʻohana i mua o nā mea i hōʻike ʻia:

ka hoʻomaloka ʻole i kekahi o nā mea i hana ʻia i ka lāʻau (povidone, metformin, sitagliptin phosphate monohydrate, stearyl fumarate a me ka sodium lauryl sulfate),
ka maʻi maʻi like type 1
nā pilikia koʻikoʻi o nā maʻi like ʻole, a me kahi kūlana paʻa i ka wā o ka lawe ʻana i ka maʻi a ʻāʻī paha (dehydration), pili pono i ka hana o ke keiki,
mea inu kūloko a i ʻole inu ka ʻemi.
wā hāpai (wā manawa gestation, ʻo ia hoʻi ka manawa o ka hānai ʻana),
nā noiʻi radiological (pololei i loko o ka hebedoma a ma hope o ka manawa o ke kaʻina hana),
ka heleʻana o nā maʻi, ʻo ka mea pili me ka ʻōnaehana cardiovascular, e alakaʻi ana i ka pololi o ka pololi o nā kiko.

ʻO ka nānā koʻikoʻi i ka wā e lawe ai iā Yanumet e hāʻawi ʻia i nā poʻe kahiko. ʻO kaʻoiaʻiʻo, ʻoiai ka lōʻihi o ka manawa, ua hoʻohaʻahaʻa ka hana o nā keiki, a he kānana ia o ke kino o ke kanaka. Me ka wā o ka makahiki, nā mea hoʻōho o ka excretory, ʻo ia ka mea e lilo nui ai ka paʻakikī e wehe i nā mea i makemake ʻole ʻia a me nā ʻāpana i ke kino. I ke koho ʻana iā Yanumet i nā poʻe kahiko, pono e koho maikaʻi nā loea i ka nui o ka lāʻau, a me ka mālama ʻana i ka mālama mau ʻana i ke kūlana o ka mea maʻi.

Aia ʻo Yanumet ma kahi o sitagliptin (50 mg) i kona ʻano, i ka pili ana me kēia, i ke kuhikuhi ʻana iā ia, pono e noʻonoʻo kekahi mea i ka mana o ka lā sitagliptin i loaʻa ʻole ma mua o 100 mg. ʻO ke ʻano o ka lāʻau lapaʻau e kuhikuhi ʻia e ke kauka e like me ke ʻano o ka maʻi, ka hoʻomanawanui, me ke ʻano a me nā mea e hiki ai i ka mea maʻi, ʻo ia kēlā me kēia hihia.

Akā aia nā hōʻailona maʻamau no ka hoʻohana ʻana o Yanumet: ʻelua mau manawa i ka lā me nā meaʻai. ʻO ka lōʻihi o ka manawa, hoʻonui ʻia ka nui i ʻōlelo ʻia e pili ana, me ka hoʻopau ʻia ʻana o ka hopena makemake ʻole mai ka papa gastrointestinal. Hoʻohui ʻia ke ʻano kumu mua o nā papa e like me ke ʻano o ka maʻi maʻi o ka lua a me ke ʻano maʻi i lawe ʻia e kekahi loea.

Nā hopena hopena

ʻO Yanumet, e like me nā lāʻau lapaʻau ʻē aʻe, he nui nā hopena e hiki ʻole ai ke hele ma ka mea maʻi ma o ka manawa a kokoke paha i ka lawe ʻana. Hoʻomaopopo loa ka lāʻau lapaʻau i ka nui o ka gastrointestinal tract, e hoʻolōʻihi i ka lawe nui ʻana (a hiki i ka anorexia), a me ka pūnaehana cardiovascular. ʻO ka hoʻonāukiuki ʻana o nā nīnika maʻamau o ka metabolism ʻaʻole i haʻalele ʻia, i ka hoʻohui, ʻike ʻia ka hopena kūlohelohe mua loa o ka ʻili - nā ʻano like ʻole a me ka ʻeha.

ʻO nā hopena aʻe ka hopena i kumu paha ma o ka lawe ʻana i kēia lāʻau lapaʻau.

hōʻeha nui ka eha ma ke poʻo a hoʻomau mau paha, akā me ka palupalu, migraines,
hoʻemi ʻia ka hana a me ke olakino o ke kino, i kekahi mau hihia ke ʻano o ka ʻeha ʻole a me ka hoʻoluhi mau ʻana,
he ʻeha hōʻeha, a hiki i ke nānā ʻana o ka uʻi ʻaʻole keʻake.
ʻokiʻoki i nā ʻeha ma ka ʻōpū o ka ʻōpū, i hele pū ʻia e ka maʻi pākaha, ka luaʻi, ka lemulewa a me ka constipation,
ka humuhumu o ke kino, ka mea i hōʻike nui ʻia ma nā wāwae a me nā lima,
ka waha maloʻo maloʻo, ʻoiai ma hope o ka lawe ʻana i ka wai (ʻoi pinepine ʻia e ka kō)
me ka hoʻohana mau ʻana, ʻike pono ʻole i ka hana o ke ʻōnaehana o ka gastrointestinal.

Inā i ʻike ʻia kekahi o kēia mau ʻōuli a ke lawe nei i nā pil, e hōʻike koke ʻoe i nā kolohe i kāu kauka. Kahi e pili ana i ka nānā ʻana a me ke ʻano loiloi, hiki i kahi mea loea ke koho i ke ʻano kūpono no ka maʻi kūikawā. Ma kēlā me kēia, ʻaʻole ʻo Yanumet wale nō ka lāʻau lapaʻau e hiki ke kōkua iā ʻoe i ka hakakā ʻana i ka maʻi.

He lāʻau lapaʻau nui loa ʻo Janumet, ʻo ke kumukūʻai o kēlā me kēia 2700 a 3000 tausani mau rubles no ka hoʻopiha me nā blisters ʻehā. Eia kekahi, hiki ke kumukūʻai ke kumukūʻai ma muli o ke ʻano o ka hoʻokuʻu o ka huahana i kūʻai ʻia (helu o nā papa pā, ka manaʻo o ka metformin) a me kahi o ke kūʻai ʻana. No laila, ma nā hale kūʻai pūnaewele alakaʻi alakaʻi, ke kumukūʻai o ka pahu o Yanumet mai 2700 a 2800 rubles e kāpae i ka lawe (no nā papa 56. Akā i loko o nā lāʻau lapaʻau pūnaewele no Yanumet hiki iā ʻoe ke hāʻawi aku i 3,000 mano rubles.

ʻO ka hui kūikawā e hoʻohui i nā metformin a me sitagliptin e hana i kēia lāʻau lapaʻau i ka ʻokoʻa ma ka mākeke pharmacological. Ma hope o nā mea a pau, kokoke ʻo Yanumet i ka lāʻau lapaʻau wale nō e hoʻohui i kēia mau mea ʻelua. Akā, ke kumukūʻai ʻoi paha kahi e uku ai mākou i nā mea pili no ke ʻano maikaʻi, akā kūʻai ʻia hoʻi.

He like me ka ʻōmaʻomaʻo Velmetia, akā he like ʻole ke kumukūʻai o ia lāʻau lapaʻau mai ka kumukūʻai o Yanumet. ʻAʻohe mea lāʻau i ka papa kumukūʻai e pili pono ana i ke kino o nā mea maʻi me ka maʻi āpau ʻo 2 e like me Yanumet, akā hiki iā ʻoe ke hoʻāʻo i ka lawe ʻana i nā lāʻau lapaʻau hou e hoʻokō i ka hopena maikaʻi loa i ka mālama ʻana i ke kōpaʻa koko.

Ke komo nei kēia mau lāʻau:

Metformin kūlohelohe (metformin) a me sitagliptin (Januvia). Uila ʻo Metformin ma kahi o 250 mau rubles no 60 mau ʻāpana, a ʻo Januvius 1500 no 28 mau papa. Pono e lawe ʻia kēia mau kālā e hoʻokō i ka hopena maikaʻi loa.
ʻO Galvus (800 rubles no nā papa he 28) a me Glyukofazh (350 rubles no 60 papa) ma ka huina. Hoʻopau like kēia mau lāʻau i kēlā me kekahi i kekahi, akā ʻokoʻa loa mai Yanumet i ko lākou koʻikoʻi nui i ka hoʻopau ʻana i nā pilikia e pili ana i ka ʻōnaehana cardiovascular ma nā ʻano maʻi diabetes 2,
ʻO Glibomet. Aia kēia lāʻau lapaʻa ka metformin a me glibenclamide a he like nō nā hōʻailona like me Janumet. Hoʻokumu ʻia ia e hakakā i ka hypoglycemia, nona nā lipid-hoʻemi haʻahaʻa. I ka awelika, ʻo ka uku o ia lāʻau lapaʻau he 350 rubles no 40 papa,
Loaʻa pinepine ʻia ʻo Avandamet ma nā lāʻau lapaʻau Lūkini; ʻo kona kumukūʻai ʻehā he 400 mau rubles ma 60 papa. Loaʻa iā 500 mg o ka metformin a ʻaʻole hiki ke lilo ma ke ʻano kūpono no ka ʻoihana paʻakikī. ʻO ia ke kumu i hōʻemi loa ai kēia lāʻau iā Yanumet, ʻoiai ke hana maikaʻi nei me ka hoʻōla paʻakikī,
Hōʻike ka Tripride i ka like me Yanumet, akā i ka haʻahaʻa o ka ʻike o nā mea i loaʻa i loko o ia mea (he glimepiride a me nā pioglitazone). Kēia huina o ia kumukūʻai e pili ana i ʻelua haneri mau rubles i kēlā me kēia kumukūʻai (30 mau papa) a ʻo ke ʻano he mea hoʻohālike i hōʻike ʻia ka hōʻike ʻana ʻia,
Hoʻohui ʻo Douglimax i ka metformin a me ka glimepiride, a he mau like like me kahi o ka hana me nā papa kumu, akā, ʻoi paha ka nui o ke kahe o ke kō o ke koko ma mua o lākou. E uku ʻo Douglimax e pili ana i 350 rubles no kahi pākana i loaʻa iā 30 mau papa.

ʻO ka mea nui e hoʻomanaʻo ai, ʻo ia kekahi mea e hoʻokaʻawale i kekahi lāʻau lapaʻau me kekahi e pono e ʻae ʻia me ke kauka, inā ʻaʻole hiki iā ia ke ʻae i nā hopena hiki ʻole. ʻAʻole hiki ke ʻae ʻia ka kūʻokoʻa i ka mālama ʻana i ia ʻano maʻi like ʻole, no ka mea hiki i kēia ke alakaʻi i ka hiapo o ke kūlana maʻamau a me kahi hāʻule nui i ka pae o ka glucose i loko o ke koko.

Ke keu

Inā hoʻohana ʻia ʻo Yanumet ma o ka nui o ka lāʻau i kuhikuhi ʻia, hiki ke hoʻomaopopo ʻia nā loli i loko o ke kino o ka mea maʻi: he ulu nui hoʻi i ka nui o ka puʻuwai ma ke kuʻekuʻe (hypoglycemia (ʻike ʻia i ka 15% o nā hihia o ka nui o ka kauā), he kaho ka nui o ke kūpaʻa acid-base, ka mea hiki ke alakaʻi i kahi maʻi nui - lacticosis.

Kuhi ʻia kēia ala pathological i kahi ma kahi o 35% o nā hihia a pau o kahi overdose o Yanumet. Akā e like me ka ʻōlelo ʻana o nā loea, pono e noʻonoʻo i ka mālama ʻana i ka maʻi mellitus o ka maʻi mellitus, e lawe ʻia ana ka lāʻau paʻakikī, ʻo ia ka mea hiki ke hoʻomāʻeha ʻia ka mea maʻi ʻaʻole me ka lāʻau lapaʻau kūikawā, akā me ka hui pū ʻana o nā lāʻau āpau i lawe ʻia. No laila, ʻaʻole pono ia e kamaʻilio e pili ana i ka ʻikepili pololei no kahi overdose o Yanumet.

Ma ke alo o kēia mau hōʻailona, e hōʻike ana i kahi overdose o ka lāʻau lapaʻau, e hana koke i nā hana ʻokoʻa e lawe aku i ka waiwai i makemake ʻole mai ke kino. Hoʻopili kēia i nā hanana kōkua kākoʻo maʻamau. ʻO ka hana mua loa, ʻo ia ka wehe ʻana i ke koena o ka lāʻau lapaʻau, ka mea i loaʻa ʻole ka manawa e hoʻoili ai i loko o ka gastrointestinal tract, mai ke kino. A laila, pono ke alakaʻi loea i kahi ʻikepili maʻamau o ka ʻike ma ke ʻano o ka mea maʻi (ECG, nā hoʻokolokolo kūpono, mālama pono ʻana i nā hōʻailona koʻikoʻi, hana ʻia ka hemodialysis inā pono).

Ma nā hihia koʻikoʻi, ua noi ʻia ke ʻano restorative kūikawā, me ka mālama ʻana i nā hiʻohiʻona pilikino o kahi kanaka.

Ma muli o kona ʻano kikoʻī, me kahi kiʻekiʻe o ka hoʻokō pono, hoʻomau ka lāʻau lapaʻau i waena o kāna poʻe hoʻokūkū. ʻO nā mea maʻi me ka maʻi o ka maʻi maʻamau o ka maʻi maʻamau ua hoʻohana ʻia ʻo Yanumet, ʻo ia wale nō ke ala e mālama ai i nā nui o ke kō o ke koko ma ke ʻano pono. ʻO nā loiloi e pili ana he mea kūpono loa, ʻoiai ka mea maikaʻi loa ka lāʻau lapaʻau, ʻo ia wale nō ka hewa o ka poʻe i hoʻohana iā Janumet i hoʻomaopopo pinepine ʻia, ʻo ke kumukūʻai nui o ka lāʻau. Eia kekahi mau loiloi e pili ana i kēia lāʻau lapaʻau.

Ma muli o nā ʻike āpau i luna, hiki iā mākou ke manaʻo e ʻae ʻo Yanumet ka hopena maikaʻi loa no ka maʻi kaʻi type 2. ʻO nā hopena maikaʻi loa e hōʻike ana nā papa i ka ʻōlelo no lākou iho, no laila ʻaʻole hopohopo nā poʻe maʻi i ke kumukūʻai kiʻekiʻe no ke kolo.

Ka hana lāʻau lapaʻau

ʻO ka lāʻau lapaʻau ka mea hoʻohui hui nona nā huahana ikaika i hoʻohui i ka hopena hypoglycemic hoʻohui (kōkua) me ke kōkua ʻana i nā mea maʻi e pili ana i ka maʻi diabetes mellitus type II e mālama i nā pae glucose maʻamau.

ʻO Sitagliptin, kahi ʻāpana o ka lāʻau lapaʻau, he mea koho ākea maikaʻi loa o ka dipeptidyl peptidase-4. I ka hoʻāʻo ʻana, hoʻonui ʻia e 2-3 mau manawa i ka ʻike o ka ponaide-like peptide-1 a me ka peptide insulin-e hilinaʻi nei i ka glucose - nā hormon e hoʻoikaika i ka hana o ka insulin a hoʻonui i kāna hilo i loko o nā puna o ka pancreas. Hāʻawi ka Sitagliptin iā ʻoe e mālama i ke kōpaʻa koko gula maʻamau i ke ao a pale i ka hoʻomohala ʻana o ka glycemia ma mua o ka ʻaina kakahiaka a ma hope o ka ʻai ʻana.

Hoʻohana ʻia ka hana o sitagliptin e ka metformin - he ʻano hypoglycemic pili i ka biguanides, kahi e hoʻemi ana i ke kahe o ke kō i loko o ke koko ma o ka hoʻokau ʻana aku i ka 1/3 o ke kaʻina hana o ka glucose i loko o ka ate. Eia kekahi, i ka lawe ʻana i ka metformin i nā mea maʻi me ka diabetes mellitus type 2, he nui ka emi ʻana o ka hōʻomo ʻana o ka glucose mai ka ʻōpū o ke kūwili ʻana, kahi nui o ka hoʻonaninani ʻana i nā io o ka insulin a me ka hoʻonui ʻana i ke kaʻina o ka hoʻowalewā o ka waikawa momona.

Lapaʻau lāʻau

ʻO ka paona plasma kiʻekiʻe loa o ka sitagliptin i ʻike ʻia i nā hola 1-4 ma hope o ka hoʻomoʻa waha ʻana i kekahi maʻa hoʻokahi, metformin - ma hope o 2 mau hola. ʻO ka bioavailability o nā mea hana ikaika ke hoʻohana nei iā Yanumet ma kahi ʻōpū ʻole he 87% a 50-60%, kēlā.

ʻO ka hoʻohana ʻana o ka sitagliptin ma hope o ka ʻaina ʻaʻole ia e hoʻopilikia i ka hana ʻia ʻana mai ka papa hana ʻole. ʻO ka hoʻohana like ʻana o ka metformin me ka meaʻai ka hoʻemi ʻana i kona helu hāpili a hoʻēmi i ka hoʻoliʻelima ʻana i ka plasma e 40%.

Ka hele ʻana o ka sitagliptin e hele nui me ka urine. ʻO kahi ʻāpana liʻiliʻi o ia mea (ma kahi o 13%) e waiho i ke kino me nā mea i hoʻopili i ka ʻōpū. Hoʻopau piha ʻia ʻo Metformin e nā keiki.

Hoʻopau piha ʻia ʻo Metformin e nā keiki.

Nā hōʻailona no ka hoʻohana ʻana

Ua kuhikuhi ʻia kahi lāʻau lapaʻau no ka maʻi diabetes o ka type 2. Ke hōʻike ʻia nei ka hoʻohui ʻia ʻana o ka meaʻai a hoʻomaʻamaʻa i nā mea maʻi e:

hiki ʻole ke kaohi i nā ʻaila glucose me nā kiʻekiʻe o ka metformin,
Ua lawe ʻē ʻia nā lāʻau lapaʻau e pili ana i nā mea hoʻoikaika i hana iā Yanumet, a ua lawe mai ka hoʻomaʻamaʻa i nā hopena maikaʻi.
pono hui pono i ka hui pū me nā derivatives sulfonylurea, nā PPARγ agonists, a i ʻole insulin, ʻoiai ke lawe ʻana i ka metformin i hui pū ʻia me nā lāʻau i kākau inoa ʻaʻole ia e ʻae i ka pono o ka mana o ka glycemia.

Pehea e lawe ai iā Yanumet

Hoʻomaʻa ʻia ka lāʻau lapa ʻelua ʻelua i ka lā me ka meaʻai, holoi ʻia me nā wai o ka wai o ka wai. No ka hoʻēmi ʻana i ka hopena o ka hoʻopiʻi ʻana mai ka digestive tract, hoʻomaka ka mālama ʻana me ka liʻiliʻi liʻiliʻi, e hoʻonui pinepine ana a hiki i ka hopena therapeutic makemake ʻia.

Nā hopena hopena o Yanumet

I ka wā e lawe ai i ka lāʻau lapaʻau, hiki i ka mea maʻi ke hōʻemi i nā hopena kūpono ʻole e hoʻonāukiuki ʻia e ka sitagliptin a me ka metformin. Inā hele lākou, pono ia e pale iki aku i ka lāʻau hou a kipa i ke kauka i ka hiki koke.

I ka hihia o nā hopena hopena, pono e pale i ka lāʻau hou a kipa aku i ke kauka i ka hiki.

ʻŌpala Gastrointestinal

ʻO nā hopena ʻino loa mai ka ʻōnaehana o ka digestive ʻike pinepine ʻia i ka hoʻomaka mua o ka maʻi. Hoʻopili kēia i ka ʻeha ma ka gastrointestinal tract kiʻekiʻe, nausea, ka luaʻi, ka hoʻonui ʻana i ka mīkini i loko o nā ʻōpū, ʻīwī, a maʻi constipation. ʻO ka lawe ʻana i nā paila me ka meaʻai e hiki ke hōʻemi i kā lākou hopena maikaʻi ʻole ma ka papa hana o ka kūnao ʻana.

I ka poʻe maʻi e loaʻa ana ka mālama ʻana me Yanumet, ʻo ka hoʻomohala ʻana o ka pancreatitis (hemorrhagic a necrotizing paha), kahi e hiki ai ke make, ʻaʻole i haʻalele ʻia.

Mai ka ʻaoʻao o ka metabolism

Inā koho ʻole ʻia ka dosage, hiki i ka mea maʻi ke loaʻa i ka hypoglycemia, kahi i ka emi nui o ke kō o ke koko.ʻO ka manawa, ka lawe ʻana i ka lāʻau lapaʻau hiki ke alakaʻi i ka lactic acidosis, ka mea e hōʻike ana iā ia iho i loko o ke ʻano o ka hoʻemi ʻana o ke kaomi a me ke ʻano o ke kino, ʻeha ma ka ʻōpū a me nā ʻōpū, nā maʻi ʻālunu, nāwaliwali a me ka hiamoe.

Mai ka pūnaehana cardiovascular

Hoʻomaʻamaʻa maikaʻi ʻia ka lāʻau e nā poʻe e loaʻa ana i nā maʻi o ka puʻuwai a me nā kīʻaha koko. I kekahi manawa, ʻike paha lākou i ka emi ʻana o ka puʻuwai puʻuwai, e ala ana ma ka hopena o ka maʻi lactic acidosis.

Hoʻomaʻamaʻa maikaʻi ʻia ka lāʻau e nā poʻe e loaʻa ana i nā maʻi o ka puʻuwai a me nā kīʻaha koko.

Me ka hoʻomanawanui ʻole o nā kūloko i nā mea i hoʻomohala ʻia i ka lāʻau lapaʻau, hiki i ke kanaka ke hoʻomohala i nā hopena kūlohelohe i ke ʻano o ka urticaria, kauā a me ka rashes ma ka ʻili. Ke mālama nei me Yanumet, ʻaʻole mālama ʻia ka nui o ka ʻāʻī o ka ʻili, nā meʻa o mucous a me ka kiko o subcutaneous, ʻo ia hoʻi ka mea e ola nei.

Hoʻopili pū me nā lāʻau ʻē aʻe

ʻO ka hui pū ʻana o ka lāʻau me nā diuretics, glucagon, oral contraceptives, phenothiazines, corticosteroids, isoniazid, calcium antagonists, nicotinic acid a me thyroid hormone alakaʻi i ka nāwaliwali o kāna hana.

Hoʻonui ʻia ka hopena hypoglycemic o ka lāʻau ke hoʻohana pū ʻia me nā lāʻau anti-inflammatory non-steroidal, nā MAO a me ACE inhibitors, insulin, sulfonylurea, oxytetracycline, clofibrate, acarbose, beta-adrenergic blocking agents a me cyclophosphamide.

Hoʻolaha ka waipuna

Lā ʻia ka inu ʻawaʻī i ka wā o ka mālama ʻana me Yanumet.

ʻO ka analogue hoʻonohonoho i ka lāʻau o Valmetia. Hana ʻia kēia lāʻau lapaʻau i ka palapala papa a he ʻano mana a me ka dosage e like me Yanumet. Eia kekahi, ʻo ka lāʻau lapaʻau ke koho ikaika aku - Yanumet Long, aia ka 100 mg o sitagliptin.

Ma ka haʻalele ʻana i kahi hopena therapeutic mai Yanumet, hiki i ke kauka ke kuhikuhi i nā kumuhana hypoglycemic i ka mea maʻi, i hui pū ai ka metformin me nā mea maʻi hypoglycemic ʻē aʻe. Aia kēia mau lāʻau lapaʻau: