He aha ka ʻokoʻa ma waena o Lozap a me Lozap i hoʻohui ʻia: kahi hoʻohālikelike o nā haku, ʻike mau no ka hoʻohana a me nā contraindications

ʻO ka mea kūpono i Lozap ka pālato losartan. Hana ʻia kēia lāʻau lapaʻau i ke ʻano o nā papa i 3 mau keneta: 12.5, 50 a me 100 mg. ʻAe kēia i ka mea maʻi e koho i ke koho maikaʻi loa.

ʻO Lozap Plus kahi meaʻenehana paʻakikī ʻelua mau ʻāpana. Loaʻa ia mau mea 2 mau mea kanu - losartan potassium (50 mg) a me hydrochlorothiazide (12.5 mg).

ʻO ka hana lāʻau

ʻO ka hopena o kēia mau lāʻau lapaʻau ke hoʻohaʻahaʻa i ke koko, me ke neʻe ʻana i ka ukana ma ka puʻuwai. Hāʻawi ʻia kēia hopena e losartan, kahi mea hoʻoweliweli ACE. Pale ia i ka hoʻokumu ʻana o ka angiotensin II, ke kumu e hōʻeha ai ka vasospasm a me ke koko.. ^ E Ha yM. Ma muli o kēia, hoʻonui nā kī a hoʻi ko lākou mau paia i ke kaona maʻamau, ʻoiai e hoʻohaʻahaʻa ana i ke koko. Hāʻawi hoʻi nā moku i kālai ʻia mai ka puʻuwai. I ka manawa like, aia kahi holomua i ka hoʻomanawanui i ka noʻonoʻo o ke kino a me ke kino o ka maʻi i ka poʻe maʻi e loaʻa ana i ka lāʻau me kēia lāʻau lapaʻau.

Hoʻomaʻamaʻa ka hopena ma hope o ka lawe ʻana i ka lāʻau lapaʻau ma hope o nā hola 1-2 a kū hoʻokahi lā. Eia nō naʻe, no ka mālama paʻa ʻana o ka ikaika i loko o nā palena maʻamau, pono e lawe i ka lāʻau lapaʻau no 3-4 mau pule.

Hoʻonui ʻia nā hopena kūpono a pau o ka lawe ʻana i ka losartan e ka hoʻohui ʻana o ka hydrochlorothiazide ma Lozapa Plus. ʻO ka Hydrochlorothiazide kahi diuretic e hoʻoneʻe ana i nā kahe wai nui mai ke kino, e hoʻonui ana i ka pono o kahi inhibitor ACE. Pēlā, hōʻike kēia lāʻau lapaʻau i kahi hopena hypotensive i hoʻopiʻi ʻia ma mua o ka 2 mau mea ikaika.

Nā hōʻailona no ka hoʻohana ʻana

Loaʻa ʻia ʻo Lozap kahi hōʻike e hoʻouna ai:

  • maʻi hypertension i nā pākeke a me nā keiki mai nā makahiki 6,
  • maʻi maʻamau nephropathy,
  • ka pilikia naʻau maʻi, ʻoi aku hoʻi i nā poʻe maʻi maʻi, ʻo ia hoʻi i kēlā mau mea maʻi ʻaʻole i kūpono no nā mea hou aku o ACE ma muli o nā hopena koʻikoʻi,
  • ka hōʻemi o ka hopena o ka hoʻomohala ʻana i ka maʻi cardiovascular a me ka hoʻohaʻahaʻa i ka make ma ka maʻi i nā mea maʻi me ka hypertension.

ʻO ka lāʻau lapaʻau me ka hydrochlorothiazide i loko o ka mea hiki ke hoʻohana ʻia e mālama ai:

  • hypertension arterial i nā maʻi nā mea i hōʻike ʻia ke hui pū ʻana;
  • inā pono, hoʻemi i ka hopena o ka hoʻomohala ʻana i ka maʻi cardiovascular a hōʻemi i ka make ma nā maʻi me nā hypertension.

Pehea e lawe ai i nā lāʻau

Hiki ke hoʻomaka ʻia kēia mau lāʻau ma hope o ka nīnau ʻana i kahi kauka. Ma hope o nā mea āpau, e like me nā lāʻau lapaʻau āpau, loaʻa iā lākou nā contraindications, nā hopena ʻaoʻao a me nā hiʻohiʻona o ka hoʻohana. No laila, hiki i ka lāʻau lapaʻau ponoʻī i hōʻino a ʻo ka mea hoʻoweliweli.

Hoʻohana ʻia ka lāʻau lapaʻau i ʻōlelo ʻia i hoʻokahi manawa i ka lā, maikaʻi loa i ke ahiahi. ʻAʻole hiki ke ʻoka a wāwahi ʻia paha nā papa. ^ E Ha yM. Pailele ʻia lākou pau, holoi ʻia me ka nui o ka wai maʻemaʻe. Ua kuhikuhi ʻia ke ʻano o ka lāʻau lapaʻau e ke kauka, i ka noʻonoʻo ʻana i ka pono o ka mālama ʻana a me ke ʻano o ka mea maʻi.

Hiki wale i ke kauka ke mālama i ka mea o 2 o nā ʻano ma Lozap ka mea maikaʻi loa i kēlā me kēia. Hiki ke hoʻomaopopo i ka hopena hypotensive nui hou o ka papa Lozap Plus, me ka maʻalahi o ka hoʻohana. ʻOiaʻiʻo, ma ka hihia o ka mea e kau pū ai i ke ʻano hui, ʻaʻole pono ʻoe e inu i kahi diuretic hou, no ka mea aia i loko o ka lāʻau lapaʻau.

ʻO ka wehewehe nui

A penei penei:

ʻO kahi papa keʻokeʻo keʻokeʻo, biconvex. Aia ka pahu pahu pepa ma kahi 30, 60 a 90 mau pōkole

ʻO ke kūlana oblong he mālamalama melemele kukui me kahi kāohi transverse. ʻO ka helu pulu he 10, 20, 30 a 90 mau pōpō

Ma ka puʻuwai o ka lāʻau i wehewehe ʻia aia kekahi mau mea ikaika - losartan. Hoʻohui ʻia ka pūnaehana o "Lozapa Plus" me hydrochlorothiazide, e hoʻohui a hoʻohui i ka hopena o ka mea mua.

Mālama ka mea nui i ka hoʻohaʻahaʻa ʻana i ke koko i ka maʻamau, ke pale aku i ka naʻau mai ke kaumaha. Hoʻopili kahi māhele hoʻohui i ka diuretic e hoʻonui ai i ka hana o ka mea hana nui. "Lozap plus" kū i waho no ka mea he ikaika hypotensive ikaika.

He aha nā maʻi e lawe ai iā lākou?

Pono nā lāʻau e wehewehe ʻia me nā:

  • haʻi maʻi
  • maʻi maʻamau nephropathy,
  • nāwaliwali o ka puʻuwai.

A i mea hoʻi e hōʻemi i ka hopena o ka hoʻomohala ʻana i nā maʻi cardiovascular a hōʻemi i ka makee i ka poʻe me nā hypertrophy a me ke hypertension o ka ventricle hema o ka puʻuwai.

Hoʻopiliʻia nā mea i hōʻikeʻia, hōʻike ʻia ʻo Lozapa Plus i nā kūlana kahi e pono ai ka lāʻau diuretic hou. Hiki i ka lāʻau lapaʻau ke hoʻohana ʻia e nā poʻe o ka wā o mua. I kahi kahi e piʻi ʻole ai nā mea kōkua ACE ʻē aʻe, ʻo Lozap plus hiki ke kuhikuhi ʻia.

Nā hiʻohiʻona

ʻO nā ʻōuli no ka hoʻohana ʻana i ka lāʻau "Lozap" eʻokoʻa. E ʻae ʻia ka lāʻau lapaʻau:

  1. E hōʻemi i ke koko a mālama mau i ka maʻamau.
  2. E hōʻemi i ka kaumaha ma ka puʻuwai.
  3. E hōʻemi i ka nui o aldosterone a me adrenaline i loko o ke koko.
  4. No ka hoʻonui ʻana i ka hoʻomanawanui o ke kaumaha a me ke olakino i ka poʻe me nā maʻi cardiovascular.
  5. E hoʻomaikaʻi i ka kahe koko o ka puʻuwai a me ka nui o ke kahe koko renal.

Hiki ke loaʻa ka hopena diuretic moderate mai ka lawe ʻana i ka lāʻau lapaʻau.

Ma hope o kekahi mau hola, hiki iā ʻoe ke hoʻomaopopo i ka hopena maikaʻi mua mai ka lawe ʻana i ka pahu. E hoʻomau ʻia ana nō ia ao. No ka hoʻomau mau ʻana i ka hoʻohaʻihā mau ʻana, pono ke ʻano o ka papa lāʻau ma ka mahina 1 mahina.

ʻIke ʻia ka hana pono o ka lāʻau lapaʻau i ka mālama ʻia ʻana o ka poʻe i loaʻa i ka hypertension arterial malignant.

"Lozap plus", ma kahi o nā hana therapeutic i wehewehe ʻia, ka mea hou aku:

  1. Kōkua i ka hoʻemi ʻana i ka kahe o ka pāhana ma ke koko.
  2. Hoʻoulu i ka hana o ka hormone renin.
  3. Hoʻēmi i ka hoʻoneʻe ʻana i ka waikomi uric a hoʻolōʻihi i ka excretion.

Hoʻomaopopo loa ia nā mea ikaika o nā lāʻau lapaʻau e ke kino a komo koke i ke kahe wai mai ke kaʻe ʻana o ka huina.

ʻO nā hiʻohiʻona o ka hoʻomākaukau ʻana ʻo Lozap a me Lozap pū

ʻO Lozap kahi lāʻau lapaʻau antihypertensive kūpono e pili ana i ka pūʻulu o ka angiotensin II receptor antagonists (A-II). Loaʻa i nā papa pani kiʻi ʻia. Hāʻawi ʻia nā ʻano lāʻau lapaʻau e ka losartan, ʻike maanei ma ke ʻano o ka paʻakai paʻakai i ka nui o 12.5 mg, 50 mg a 100 mg. Ke hōʻike ʻia nei kahi kikoʻī o ka papa pālaha:

  • microcellulose
  • crospovidone
  • anica elemania colloid,
  • mannitol (E421),
  • konekena stearate,
  • lāʻau kūʻai talc.

ʻO ka uhi ʻia o ke kiʻiʻoniʻoni, he macrogol 6000, macrogol stearate 2000, hypromellose, microcrystalline cellulose a titanium dioxide.

Ke hōʻike nei ka lāʻau lapaʻau i nā waiwai antihypertensive, hāʻawi i ka diuretic me ka hopena uricosuric pōkole. ʻO kāna hana koʻikoʻi e hana i ka mea paʻa o ka ʻĀpana AT1 o ka ʻōpū o ka angiotensin II - he hormone e hoʻonāukiuki i ka ulu ʻana o nā ʻoihana maʻa ma nā ʻano leʻaleʻa, hoʻonāukiuki i ka hoʻokuʻu ʻana o aldosterone, ADH, norepinephrine i ke kahe koko a hoʻomālamalama i ka hoʻānoʻi ʻana i ke kīʻaha moku, ke kumu e hoʻonui ai i ke kahe o ke koko a me ka mālama ʻana i ka sodium i loko o ke kino.

Hoʻopili paʻa, ʻaʻole loseran e kāohi i nā kahe wai, ʻaʻole ia e pale i ka ACE, ʻaʻole ia e hōʻemi i ka neʻe ʻana o ka bradykinin, a ʻaʻole ia e hana i kahi mea antagonist o nā mea kūmole hōʻailona hormonal ma mua o A-II.

ʻO ka Lozap Plus kahi lāʻau i hui pū ʻia e loaʻa kahi hopena hypotensive a me ka diuretic. Hoʻokuʻu i nā puka - nā papa pili i komo pū ʻia. ʻO kā lākou kumu, ʻo ka paʻakai paʻakai o losartan, nā waiwai antihypertensive i hoʻonui ʻia e ka hoʻokomo ʻana i ka hydrochlorothiazide, kahi diuretic medium-kaha mai ka hui thiazide, i ka hoʻomākaukau.

  • pākana ʻaole - 50 mg,
  • hydrochlorothiazide - 12.5 mg.

ʻO ka hoʻopiha piha ʻana o nā papa i hōʻike ʻia e nā microcellulose, mannitol, povidone, sodium croscarmellose a me ka magnesium stearate. ʻO ka membrane kiʻiʻoniʻoni i hana ʻia i ka hypromellose, emulsified simethicone, macrogol, hoʻomaʻemaʻe hoʻomaʻamaʻa, titanium dioxide a me nā dyes (E104, E124).

Hōʻike nā mea hana i ka synergism kūloko, i hiki iā ʻoe ke mālama i ke kahe o ke koko ma nā maʻi maʻi hypertensive i loko o nā waiwai i loaʻa ʻole me ka diuretics hou. Eia kekahi, ʻo kēia hoʻohui i nā meaʻokoʻa i hōʻemi i ka uluʻana i kahi helu o nā hopena ʻona e pili ana i ka hydrochlorothiazide. Hoʻonui kēia mea hoʻohui i ka urination, kahi e alakaʻi ai i ka nalowale o ka potasi, ka hoʻonui ʻana i nā mea o ka A-II a me aldosterone. Eia naʻe, poloka ka losartan i ka hana o ka angiotensin II, ke kāohi nei i ka hana aldosterone, a pale i ka hoʻopau ʻana i ka ʻai o nā paʻakai.

Ke hoʻohālikelike huakaʻi

He hopena like nā lāʻau lapaʻau, akā loaʻa i kahi mau hiʻohiʻonaʻokoʻa. ʻO kā lākou hoʻohālikelike e ʻae ai iā ʻoe e koho i ke pono kūpono, me ka hoʻokomo ʻana i nā hiʻohiʻona pilikino o ka mea maʻi.

Ma nā lāʻau ʻelua, ua lilo ka losartan e like me ka mea ikaika. Hoʻopili kēia mea hoʻohui i ka mea paʻakai o ka AT1 o ka naʻau, nā ipu koko, ka ate, ka lolo, nā ʻōpū a me nā kelepaʻi adrenal, poloka i ka vasoconstriction a me nā hopena hou aʻe o ka angiotensin II. Hoʻonui pinepine ʻole ia i nā mea o ka renin a me A-II, akā ʻaʻole kēia e hōʻemi i ka hana antihypertensive o nā lāʻau lapaʻau. ʻO kāna mau hiʻohiʻona lāʻau:

  • hoʻemi i ka systolic a me ka diastolic blood pressure and pulmonary pressure,
  • hoʻohaʻahaʻa i ka pale kūʻokoʻa o nā moku peripheral,
  • kōkua i ka hoʻopau ʻana i ke kinikona nui loa a me nā mea sodium,
  • hōʻemi i ka paʻa o ka ald testosterone,
  • hoʻemi i ka kaumaha ma ka puʻuwai, e hoʻonui ana i ka hana kino ma ka hoʻopiʻi ʻana i ka naʻau.

ʻAʻole ia e hōʻike ʻo Losartan i ka waiwai carcinogenic a me ka mutagenic, ʻaʻole i hoʻopilikia i ka hua momona a me ka hana reproduction. ʻIke ʻia ka hopena antihypertensive i ka hola 1 ma hope o ka hoʻokō ʻana, ua loaʻa nā hopena paʻa ma hope o 3-6 mau pule o ka hoʻohana maʻamau.

Mai ka ʻeha o ka gastrointestinal, ua hoʻopili maikaʻi ʻia ka mea hoʻohui, akā ua hoʻopaʻa ʻia ka hopena o ka pau mua, no laila ʻaʻole he 35% o kona bioavailability. Hoʻoholo ʻia ka paila plasma nui loa ma hope o 1 hola. ʻAʻole ʻai i ka ʻai i ka helu a me ka nui o ka hoʻowalewale ʻana i loko o ka ʻōpū. Ke kamaʻilio pū me nā protein koko - ma luna o 99%.

I loko o ka puʻuwai, ka mole o ka losartan i hoʻohālikelike me ka hoʻokumu ʻana o kekahi mau pūpū, ʻo kekahi o ʻumi mau manawa (a he 40) ʻoi aku ka ikaika o ke ʻano o ka hoʻomaka ʻana, a me ke koena ʻaʻole ka hopena o ka lāʻau lapaʻau. ʻO ka huahana huahana EXP-3174 e pili ana i 14% o ka nui i lawe ʻia. Kuhi ʻia kona waihona koko piha loa he 3.5 mau hola ma hope o ka hoʻohana ʻana.

ʻAʻole hoʻi ke lilo o losartan a i ʻole EXP-3174 e komo i ka wai cerebrospinal, ʻaʻole e hōʻiliʻili i nā umauma me ka hoʻomau ʻana o ka lāʻau lapaʻau, ʻaʻole i lawe ʻia i ka wā hemodialysis. ʻO ka hapalua kahi he 2 mau hola a me 7 mau hola, kēlā. I ka hihia o ka hana palaka helehelena, hoʻonui ʻia ke ʻano o ka plasma, e koi ana i ka hoʻoponopono ʻana o nā ʻenehana maʻamau. ʻO ka hoʻopauʻana ma o ke ala a me ka hoʻokaʻawale.

ʻO nā lāʻau ʻelua ke hana ʻia ma ka puka waha ma ke ʻano o nā papa oblong biconvex. Hoʻohanaʻia lākou e kāohi pono i ke kahe koko i loko o ka hypertension koʻikoʻi a me ka lua. ʻO kā lākou hoʻohana ʻana e hōʻemi i ka hiki ke hoʻomohala ʻana i nā pathologies cardiovascular, me ka maʻa pūpū a me ka myocardial infarction, a hōʻemi ʻia ka make ma waena o nā mea maʻi hypertensive a me nā maʻi me ka ventricular hypertrophy.

Loaʻa iā lākou kekahi mau contraindications maʻamau:

  • haaheo
  • haʻahaʻa haʻahaʻa
  • henanoho hepatic koʻikoʻi,
  • huehue
  • hui pū me aliskiren no ka maʻi maʻi 'ole a me ka pilikia ʻole' āina a me nā mea laikini ACE no ka nephropathy maʻi.
  • hapai a lactation
  • keiki a opio.

Lawe ʻia nā papa e like me ka kuhikuhi ʻana e ke kauka. Inu iā lākou ma ke ʻano mau loa, me ke ʻano o ka waiwai o ka meaʻai. ʻO ka palena kiʻekiʻe loa o kēlā me kēia lā ka losartan no nā pākeke he 100 mg. Hoʻoholo kū hoʻokahi ʻia nā ʻano lāʻau kū hoʻokahi. Pono ʻoe e lawe i ka lāʻau lapaʻau ma ka papa mau. I ka hihia o kahi overdose, kākuhi ʻia ka gastage lavage a me ke ʻano maʻi.

Nā hanana kūlike:

  • hypotension
  • ʻinalelo angina pectoris
  • mahuahua,
  • ka hoʻololi ʻana i ka helu kuʻina o ke koko,
  • hyperkalemia
  • ka emi ʻana o ke kao o ka sodium,
  • haki paʻakai
  • nā kiʻina urea a me ka mea hana,
  • migraines
  • kūpapa, tinnitus,
  • hiamoe ʻole hiamoe, insomnia,
  • hopohopo
  • molowai, dyspepsia,
  • nā ʻōpū hōʻeha
  • lōkohu
  • maʻi pāpaʻi a me ka hana lima,
  • kuke, poloka,
  • ka ʻeha a me ka ʻōpū
  • ka māla ʻana
  • kino ʻeha, kele,
  • anaphylaxis.

Loaʻa ka hopena o ka hypotension arterial me ka hui pū ʻana me nā lāʻau me aliskiren a me ACE inhibitors.

He aha nā meaʻokoʻa?

Aia nā pale Lozap i kahi pale keʻokeʻo, ke kāʻei nei lākou i nā ʻeke pōpoki o 10 a 15 mau pcs. He kukui ʻono ka Lozap Plus i ka waihoʻoluʻu, ʻeā, he 10, 14 a 15 mau papa ke aniani.

Loaʻa i kahi loio ka nui o Lozap. No laila, hiki ke kuhikuhi iā ia e kāpae i ka proteinuria a me ka hypercreatininemia, ma ke ʻano he nephroprotector ma ka nephropathy maʻi, a me ka puʻuwai paʻakikī e like me kahi mea hou aku no ka ACE inhibitors.

ʻO Lozap Plus kahi hui hoʻohui me ka hopena diuretic a me nā hopena antihypertensive. Ma kahi o nā contraindications laulā, ʻaʻole hiki ke lawe ʻia me ka hypercalcemia, pāpaʻa a me ka pau ʻole o ka sodium, kahi maʻi renal koʻikoʻi, anuria, cholestasis, gout, a me ka maʻi hoʻōho ʻole. Hoʻomaʻamaʻa ʻia ka mālama ʻana i ka hihia o ka ʻeha o ka ʻōpū hanu. Ma muli o ka hikiʻana o hydrochlorothiazide i ka hoʻohui ʻana o ka lāʻau lapaʻau, hypokalemia a me ka hoʻolilo ʻana i ka potency e mālama ʻia i kekahi manawa ma ka mālama ʻana.

ʻO 2 mau makahiki ʻo ke ola o Lozap. ʻAʻole e nalowale nā ​​mea hoʻohui i kāna mau waiwai i loko o 3 mau makahiki mai ka lā i hana ʻia ai.

ʻO wai ka mea maikaʻi - Lozap a i ʻole Lozap a hoʻohui ʻia?

ʻAʻole hiki ke kūʻē ʻia kekahi o nā lāʻau lapaʻau e ʻoi aku ka maikaʻi. Hoʻololi ke kauka i kahi koho ma waena o lākou, me ka noʻonoʻo ʻana i nā ʻano o ke ʻano o ke patology a me ka pane ʻana o ka mea maʻi i ka mālama ʻana. ʻO ka hui hoʻohui me nā hopena antihypertensive hou loa, ʻaʻole kūpono ʻia no nā maʻi āpau me ka maʻi maʻalahi a me ke kiʻekiʻe hypertension. Eia naʻe, ʻaʻole lawa kona ikaika e hakakā i ka hypertension o ke kōkau III. Ua lulu ʻo Lozap, akā naʻe ka liʻiliʻi o nā contraindications a me nā hopena ʻaoʻao, no ka mea hoʻokahi wale nō mea kaha e hōʻike nei i kona ʻano.

Hiki ke hoʻololi ʻia ʻo Lozap me kā Lozap?

Inā hāʻawi ʻole ʻo Lozap i ka hopena i makemake ʻia, hiki ke kuhikuhi ʻia ka lāʻau lapaʻau. ʻO ka hoʻoholo e hoʻololi e pono e hoʻoholo e ke kauka hele mai. Hiki i kēia inā ke hoʻomehana ʻole ka mea maʻi i ka hydrochlorothiazide a i ʻole nā ​​sulfonamides. Eia nō kekahi, ʻo Lozap Plus, ma muli o kona ʻaninikinui hou ʻana, ʻaʻole i hoʻohana ʻia no kekahi ʻano o ka maʻi maʻi, ʻokiʻoki i ka pā biliary a me kekahi mau ala ʻē aʻe.

ʻO ka manaʻo o nā kauka

Alexander, 44 makahiki, cardiologist, Samara

He maikaʻi maikaʻi ʻo Lozap no ka kāohi ʻana i ke koko. Hoʻomaʻamaʻa maikaʻi loa, ʻaʻole like me ACE inhibitors ʻaʻole e hoʻonāukiuki i ka ʻōpū. Ua hoʻoikaika ʻia ʻo Lozap me ka diuretic, no laila e hoʻemi nui ʻia ke kahe o ke koko a hoʻopaʻa iā ia ʻoi aku ka maikaʻi. Inā ʻaʻole lawa ka hana o ka pōpopo i kakahiaka aʻe, i ke ahiahi pono ʻoe e inu iā Lozap me ka loaʻa ʻole o kahi diuretic.

ʻO Yuri, he 39 mau makahiki, he hoʻomaʻamaʻa maʻamau, Perm

ʻOi aku ka maikaʻi o nā hoʻomākaukau ʻana ma Losartan ma mua o nā ʻelele o ka hui inhibitor ACE a hoʻohana pinepine ʻia ma mau pono iā lākou. Loaʻa i Lozap i nā hihia he nui a ʻaʻole kūpono nā monotherapy o ka hypertension.Hāʻawi ka lāʻau hoʻohui i kahi hopena ikaika aku, akā hoʻonui ka glucose, i hoʻopili ʻia me ka hypoglycemia a i kekahi manawa ke alakaʻi nei i ka anorexia.

He aha ka ʻokoʻa ma Lozap?

Ma waena o nā lāʻau lapaʻau ʻo Lozap a me Lozap Plus he ʻokoʻa ʻokoʻa i hoʻokahi māhele.

E noʻonoʻo i ka ʻokoʻa ma waena o Lozap a me Lozap Plus. ʻO ka mea hana i ka lāʻau lapaʻau mua, ʻo ka losartan potassium, loaʻa i nā ʻano like ʻole. ʻO ka lua, ʻo ka lāʻau lapaʻau ʻelua ʻelua nā ʻāpana o losartan potassium (50 mg) a me hydrochlorothiazide (12.5 mg).

ʻO ka potassium losartan, nona nā pūʻulu o nā pūhui hoʻomehana i hoʻohana ʻia i ka mālama ʻana o ka puʻuwai puʻuwai, hoʻohaʻahaʻa i ke koko. Ke kōkua nei kēia lāʻau lapaʻau i ka mea hoʻomanawanui e ʻae i ke kaumaha o ke kino a me ka psycho-emotional. Loaʻa i ka hopena kiʻekiʻe o ka hoʻohaʻahaʻa ʻana a hoʻopaʻa ʻana i ke kaomi ʻo ka lōʻihi a ʻekolu mau paha hebedoma.

ʻO ka pane i ka nīnau nui o nā maʻi - ʻoi aku ka maikaʻi, ʻo Lozap Plus a i ʻole Lozap, e hana ana i ke kahe koko - e hāʻawi ʻia e ke kauka ma kahi hoʻokahi. Mahalo i ka diuretic hydrochlorothiazide, ka lua o ka māhele o ka mana ʻana, ua hoʻohui ʻia ka hopena o ka mea mua. Eia nō naʻe, ʻoi aku ka nui o nā lāʻau lapaʻau a ʻelua mau mea contraindications a ʻoi aku ka hopena o nā hopena hopena, ka mea maʻamau ka hopena o ka hypotension a me bradycardia.

Nā hōʻailona no ka mālama maʻi ʻana

Kuhi ʻia ka hoʻohana ʻana o Lozap Plus e nā hōʻailona maʻamau:

  • hypertension arterial (ʻoiai he ʻāpana o ka hui pū ʻana)
  • ka hōʻemi ʻana o nā maʻi kaulike a me nā hoʻopiʻi i nā mea maʻi me nā maʻi cardiovascular (hōʻemi i ka loaʻa ʻana o ka myocardial infarction a me ka stroke).

E kōkua ana kēia lāʻau antihypertensive e hōʻemi a mālama i ke kiʻekiʻe o ke koko me ka lōʻihi o ka hāpai ʻana.

I ke ʻano o ka uʻi aʻu e lawe ai?

ʻAʻole hōʻike nā ʻōkuhi no ka hoʻohana ʻana iā Lozap Plus i ka mea e hoʻomaka ai ka lāʻau lapaʻau e hoʻomaka. Hoʻoholo ʻia ka hoʻomaka ʻana o ka mālama ʻana e ke kauka. Kuhi ʻia ke koko kiʻekiʻe e noʻonoʻo mau ana (ma luna o 140/90 mm Hg).

Inā lawe ʻoe i ka lāʻau lapaʻau hoʻokahi, e loaʻa ka hopena antihypertensive i loko o nā hola 6. Ma hope o kēlā, i ka lā e hoʻohaʻahaʻa ka hopena. I mea e manaʻo ai i ka hopena antihypertensive piha, pono ka mea maʻi e lawe mau i ka lāʻau lapaʻau i nā manawa ʻelua a ʻehā pule. Ma hope o kēia, me ka hoʻomau ʻana o ka hoʻokele ʻana i nā papa, pono e loaʻa ke ʻano pono o ke kōʻai koko.

Inā he pohō ke koko no ka manawa pōkole nui i kahi e hana nei, i hōʻike pinepine ʻia e ka maʻi hypertensive, a laila ma kēia hihia e hoʻohana ʻia ai nā lāʻau lapaʻau e hoʻohaʻahaʻa i ke koko.

Nā ʻōkuhi no ka hoʻohana ʻana i nā papa no ke koko kiʻekiʻe

ʻO nā ʻōlelo kikoʻī no ka Lozap Plus e loaʻa i nā ʻike āpau e pono ai no ka hoʻohana pono a me ka papa lāʻau o ka ʻimi inā lawe ʻia.

Lawe ʻia ka lāʻau lapaʻau hoʻokahi manawa i ka lā, holoi ʻia me ka wai. Hiki iā ʻoe ke lawe i nā paila e pili ana i ka manawa o ka pāʻina hope loa. ʻOiai no ka mea e hoʻōla ai ka lāʻau lapaʻau i ka hopena diuretic, ʻoi aku ia e lawe i ke kakahiaka. Hoʻoholo ka lōʻihi o ka lāʻau a me ke kūpaʻa e ke kauka ma muli o ka nui o ka maʻi, kona ʻano a me nā hōʻailona, ​​alakaʻi i ka hoʻonui ʻana i ke koko. Inā pono, no kahi ʻano kauka i kau ʻia e ke kauka, hiki i ka nui o ke piʻi a hiki i 2 papa i kēlā me kēia lā he hiki.

ʻO nā ʻōkuhi no ka hoʻohana ʻana iā Lozap Plus a me nā loiloi o nā cardiologists hiki iā ʻoe ke kiʻi i kahi kiʻi mālamalama o ke dosage, ka manawa o ka hoʻokomo a me nā contraindications

Hoʻomaka ka lāʻau lapaʻau e lawe i kēlā mau mea i loaʻa iā losartan a me hydrochlorothiazide i nā papa ʻokoʻa, ʻo ia hoʻi, ua hana ʻia ka helu dosage e ke kauka. Inā ʻaʻole kēia ka hihia, a laila pono pono ke mālama ʻia me nā papa ʻelua. ʻO ka hoʻomaka hoʻomaka ʻana o Lozap he 50 mg me ka hydrochlorothiazide 12.5 mg.

Inā ma kahi o kahi ʻekolu pule o Lozap Plus 50 i kēlā me kēia lā a ma hope o ka hoʻokau ʻana ʻana i ka hopena e ka neʻe ʻana i kauka, ʻaʻohe hopena i ka mālama, a laila hiki ke hoʻomau ka mālama ʻana i nā ala ʻelua:

  1. E hoʻohui i kahi lāʻau lapaʻau hou a hoʻomau i ka mālama ʻana.
  2. Hoʻonui i ka nui o ka Lozap Plus - 100 mg o losartan i kēlā me kēia lā a hoʻomau i ka mālama ʻana.

Pehea ka lōʻihi e hiki ai iaʻu ke hoʻomaha ʻole?

ʻO ka pahuhopu nui o ka mālama ʻana ke hoʻohaʻahaʻa a hoʻopaʻa i ke koko. ʻAʻole hōʻike nā ʻōlelo no ka hoʻohana ʻana iā Lozap Plus i ka mea i koi ai ka lāʻau i lawe ʻia: ʻo ia ka prerogative o kahi cardiologist. ʻAʻole ia i hōʻike ʻia ke lōʻihi o kāu lawe ʻana iā Lozap Plus me ka hake ʻole. Wahi a nā loiloi maʻi a me nā ʻōlelo a nā kauka, pono mau ia e mālama mau. In Lozap Plus, he ʻokoʻa nā hopena ʻaoʻao me ka hoʻohana lōʻihi.

Nā hopena hopena

I kekahi mau mea maʻi, ʻike ʻia nā hopena kūpono ma muli o nā ʻano kino o ke kino o ke kino. Akā i ka hele ʻana o nā hoʻokolohua lapaʻau, huli ia ka mea ʻino loa i ka maʻi maʻa. ʻO nā ʻōkuhi no ka papa inoa lāʻau i kahi papa lōʻihi lōʻihi o nā contraindications a me nā hopena hopena. ʻO nā hopena ʻinoʻino e like me ka wā e lawe ai i ka pāhare losartan a i ʻole ka hydrochlorothiazide. No nā mea maʻi me ka maʻi mellitus, gout, nā mea maʻi me ka stenosis arela renal, nā mea maʻi me ka bronchial asthma, pono kēia lāʻau lapaʻau e kuhikuhi ʻia e nā kauka me ka makaʻala nui loa.

ʻO Lozap a me Lozap: he aha ka ʻokoʻa?

Ua like like me nā ʻaihue ʻelua ke ʻano like a hōʻike ʻia no ka hoʻohana ʻana i nā kūlana like. Hoʻohālikelike lākou i kēlā me kēia lozap i hoʻokahi mea hana paʻa wale nō, a ʻelua hoʻi o PL. ʻO ka māhele koʻikoʻi i loko o lākou ka like, a ʻo ka lua o ka hāmeʻa ma Lozapus Plus he hoʻohui, e hoʻomaikaʻi ana i ka hopena o ka mea mua.

Pākuʻi Lozap Plus

Loaʻa nā lāʻau lapaʻau i hoʻokahi puka kaomi hoʻokahi - nā papa ʻōlelo waha. ʻO ke kumu hana nui i kā lākou hoʻokūkū ka losartan. Noho pū kekahi pū me ka hydrochlorothiazide.

He hoʻohaʻahaʻa ka Losartan i ke kahe o ke koko a hōʻemi i ka ukana ma ka puʻuwai, a me ka hydrochlorothiazide he hopena diuretic, ma laila e hoʻonui ai i ka hopena hypotensive o ka waiwai mua. ʻO kēia ka mea nui nui ma waena o nā lāʻau lapaʻau mai kēlā me kēia.

ʻO nā ʻokoʻa ma waena o nā lāʻau lapaʻau i nā mea lapaʻau

Aia i loko ʻo Lozap nā mea e ola ai:

  • hōʻemi i ka paʻa o ke ald testosterone a me adrenaline i loko o ke koko,
  • hōʻemi iki i ka neʻe i ka pulmonary o ke kahe o ke koko.

Ma muli o ka hikiʻana o hydrochlorothiazide i ka hoʻopili ʻana o ka lāʻau, loaʻa nā waiwai hou aku:

  • hoʻohaʻahaʻa i ke kahe o ke pāhana ma ke koko,
  • hoʻōla ka hana o ka rinin - he hormone paʻa i ka wikiwiki o ke kahe ana o ke koko,
  • hāpai i ka hoʻonui ʻana i ka hoʻoliʻiliʻi o ka uric acid i ke kino.

Pehea e lawe ai i ka lāʻau lapaʻau: dosage, ʻano o ka hoʻokuʻu

Lawe ʻia nā papa pā i hoʻokahi manawa, maikaʻi loa ma ke kakahiaka. ʻAʻole hiki iā lākou ke haki a ʻāʻī ʻia a pono ke kanu ʻia piha ʻana, e holoi ʻia me ka wai o ka wai maʻemaʻe.

Ua kuhikuhi ʻia ke ʻano o ka lāʻau lapaʻau e ke kauka, i ka noʻonoʻo ʻana i ka pono o ka mālama ʻana a me ke ʻano o ka mea maʻi.

Me ka hypertension, lawe i ka lāʻau lapaʻau o 50 mg i kēlā me kēia lā. No ka hoʻokō ʻana i ka hopena ʻike hou aʻe, e hoʻonui ʻia ka nui o 100 i ka 100 mg. Ma ka puʻuwai hemahema, lawe i ka lāʻau lapaʻau 12.5 mg i hoʻokahi lā.

Hoʻolaha, e kūlike ka nui o nā lāʻau o ka lāʻau. Inā lawe ke kanaka i nā dosis nui o ka diuretics i like, pono e hoʻemi ʻia ka nui o nā lā i kēlā me kēia lā i 25 mg.

Pono e hoʻomanaʻo ʻia ma waena o Lozap a me Lozap a me ka hoʻokaʻawale o ke ʻano o ka hoʻokuʻu. Loaʻa ka mea mua i kahi papa o 50 a mauʻu 12.5 milligrams, a ke loaʻa ka lua i hoʻokahi wale nō ʻano: hydrochlorothiazide aia he 12,5 mg, a me ka potassium losartan i kēia mākaukau he 50 mg. Hoʻokomo ke ʻano o nā papa Lozap, a ʻōpiopio ʻo LP, me ka loaʻa ʻole o ka popilikia.

Nā Hoʻohui

ʻAʻole kōkua ʻia nā lāʻau ʻelua i nā kānaka ma lalo o 18 makahiki.

ʻO ka Therapy me kēia mau lāʻau lapaʻau ua contraindicated no nā wahine hāpai a i ka wā lactation.

Inā ʻike ʻia ka hypersensitivity i kekahi mau o nā lāʻau lapaʻau, pono e hoʻololi ʻia me nā lāʻau like.

ʻO kahi contraindication hou e lawe ai i ka Lozap plus he maʻi like e like me ka bilateral renal artery stenosis.

Nā hiʻohiʻona o ka launa pū me nā lāʻau lapaʻau ʻē aʻe

E hoʻopili maikaʻi kēia mau lāʻau me nā lāʻau'ē aʻe e loaʻa ka hopena hypotensive i ke kino.

Ke lawe pū ʻia me ka sympatholytics a me beta-blockers, hoʻonui lākou i ko lākou hopena therapeutic.

Ua hui pū ʻia nā lāʻau ʻelua ʻelua me nā lāʻau ʻē aʻe no ka mālama ʻana i ka hypertension a me ka huhū ʻole o ka naʻau. Inā lawe ʻoe i nā papa LP i hui pū ʻia me ka diuretics type-sparing type, a laila hiki mai paha ka hyperkalemia.

Hoʻokomo ʻia nā dosages, nā hiʻohiʻona

He aha ka ʻokoʻa ma waena o "Lozap" a me "Lozap plus", ʻaʻole maopopo ka poʻe a pau. E kuhikuhi i nā lāʻau lapaʻau i hoʻokahi manawa i ka lā like, me ka maikaʻi ma ke kakahiaka. ʻAʻole paʻa ʻole paha ka papa papaʻa. Pono e luku loa ia a holoi ʻia me ka hapalua o ke aniani wai. ʻO ka lawe ʻana i nā kapuwai e pili ana i ka ʻai ʻana.

Hoʻoholo ʻia ka lōʻihi o ke kaupa therapeutic e ke kauka, i ka helu ʻana i kekahi helu o nā hoʻohālike: i ke ʻano o ka mea maʻi a me ka hopena o ka mālama ʻana. Ma ke kānāwai, lawe ʻia ka lāʻau lapaʻau no ka manawa lōʻihi, a hiki i kekahi mau makahiki.

Ke noʻonoʻo nei i ka ʻokoʻa ma waena o "Lozap" a me "Lozap plus", pono e lawe i nā mea i manaʻo ʻia no ka mea mua:

  1. Hoʻonuiʻia ke koko: 50 mg hoʻokahi i ka lā i ka lā lōʻihi. Inā manaʻo ke kauka pono he pono, a laila hoʻonui ʻia ka dosis ma 100 mg. Lawe ʻia nā papa ʻāpana i hoʻokahi manawa i hoʻokahi lā, a i ʻole mahele ʻia i 2 mau pā.
  2. Hoʻopau nā hopena naʻau: 12.5 mg i kēlā me kēia lā, papa 7 mau lā. E pāpālua iki a inu i kēia ʻano wai hou. E nānā i ka pono o ka lāʻau lapaʻau. Inā ʻaʻole i loaʻa ka pono nā mea i makemake ʻia, a laila ua hoʻonui ʻia ka dosis ma 50 mg. Malia paha e hoʻonui ke kauka i ka dosage i 100 mg. ʻAʻole hiki ke loaʻa ke ʻano o nā palapala i hōʻike ʻia. Inā ʻaʻole i hāʻawi ʻia kahi kūpono loa i ka kūpono e pono ai, a laila koho ʻia kekahi lāʻau lapaʻau hou.
  3. ʻO ka maʻi mellitus a me hypertension: 50 mg i kēlā me kēia lā. Ma hope o 1-2 mau pule, e hoʻonui ʻia ka dosage i 100 mg i kēlā me kēia lā.
  4. Kākoʻo o ka maʻi cardiovascular a me ka make ma: 50 mg. Ma hope o 2-3 mau pule, e hoʻokō ʻia ana ka hopena o ka ʻoihana. Inā hoʻohuli pono ʻole ia, a laila pono ʻoe e hoʻomau i ka 50 mg o ka lāʻau lapaʻau no ka manawa lōʻihi o ka manawa.
  5. ʻO ka loaʻa ʻana o nā diuretics ma nā papa kiʻekiʻe i ka manawa like me ka lāʻau lapaʻau: lā i kēlā me kēia lā o 25 mg.

Pili pū nā poʻe kahiko i nā hala i hōʻike ʻia me ka hoʻohaʻahaʻa ʻole ʻana. ʻO nā mea e ʻoi aku ma mua o ka 75 mau makahiki a loaʻa ka maʻi o ka pēpē a me nā maʻi e lawe i 25 mg hoʻokahi i ka lā. No lākou, hāʻawi ʻia ka lōʻihi o 50 mg i ka manawa.

Nā palapala kikoʻī no "Lozap Plus":

  1. Hoʻopili i ke koko: 1 pill i hoʻokahi lā i ka lā. Ma hope o 21-35 lā, loiloi ʻia ka therapy. Inā hoʻi i ke koko i ka hoʻi ʻana i ka maʻamau, a laila hoʻomau i ke ʻano like o ka nui. Inā ʻaʻole, e hoʻonui i ka nui o nā papa i ka manawa i 2 mau papa.
  2. Kāohiʻana i ka make a me ka hoʻomohala ʻana o nā naʻau a me nā maʻi vascular: 1 papa i hoʻokahi lā i ka lā. Inā ma hope o 3 hebedoma mai ka mālama ʻana i loaʻa ʻole ka hopena pono, a laila e lawe i ka 2 mau pōmaikaʻi.

ʻO ka papa nui loa o kēlā me kēia lā o Lozapa Plus ʻelua papa.

Nā papa inoa o nā contraindications

He aha ka ʻokoʻa ma waena o "Lozap" a me "Lozap plus", he mea paʻakikī ke ʻōlelo ka poʻe maʻamau. ʻAʻole ʻike ʻia nā lāʻau i nīnau ʻia no nā keiki. Ma ke ʻano he kānāwai, ua kuhikuhi ʻia lākou i nā poʻe ma luna o ka makahiki 18. ʻO nā wahine e lawe nei i kahi keiki, a ʻo ka poʻe e lohi nei i ka pēpē, contraindicated. Me ka hoʻomanawanui ʻole i nā ʻano mea nui o nā lāʻau, ua contraindicated kā lākou intake.

Hoʻomaopopo ka "Lozapa plus" ua pāpā ʻia no ka stenosis pili ʻai luaʻi. ʻO Anuria, ʻo hypovolemia kekahi o kēlā mau kūlana i ka hopena o ka lawe ʻana i nā lāʻau lapaʻau.

E hui pū me nā lāʻau lapaʻau ʻē aʻe

ʻO ka pilina me nā lāʻau ʻē aʻe o ka hopena antihypertensive e alakaʻi i ka hoʻonui i ka hopena therapeutic. ʻO "Lozap" a me "Lozap plus" hiki ke hui pū me nā lāʻau ʻē aʻe no ka mālama ʻana i ka maʻi hypertension a me ka puʻuwai naʻau.

ʻO ka loaʻa "Lozapa plus" a me ka diuretics potassium-sparing hikiʻole, no ka mea hiki ke ʻano o ka hyperkalemia.

ʻAʻole maopopo ka poʻe a pau i ka ʻokoʻa ma waena o Lozap a me Lozap Plus. ʻElua ʻia nā lāʻau i wehewehe ʻia ke hui pū me ka waiʻona, ʻoiai ua hiki ke hui ʻia i ke kaomi o ke kahe koko. I kēia hihia, e ʻike kahi kanaka i ka nausea, ka luaʻi, ke kuʻina, ka ʻōpū o ke kīwī, nā kīwaha o nā kola. Manaʻo paha ia i kahi malise maʻamau.

Inā hui pū ʻia ai ka hui pū ʻana o Lozapa Plus me ka hoʻohana ʻana i nā mea inu wai inu, hiki ke ʻike ʻia kahi emi o ka hopena therapeutic o ka lāʻau lapaʻau. Aia kahi ʻāpana diuretic ma loko. Ke hui pūʻia me ka waiʻona, piʻi nui ka urination, kēlā, e emi ka nui o ka mea hana.

Inā loaʻa ka edema i ka maʻi ma mua o Quincke, a laila ma ka manawa o ka papa holoʻokoʻa me nā lāʻau i ho'ākāka ʻia, pono nō e mālama ʻia ka mālama ʻana, ma muli o ka hoʻomaha hou ʻana o kahi maʻi maʻi maʻi.

Inā ʻike ka mea maʻi ma ka hypovolemia a i ʻole hyponatremia e ʻano ma nā ʻano like ʻole, a laila ke lawe ʻana iā Lozap a me Lozap Plus, hiki i ka hypotension ke ulu. I mua o kēia mau pilikia, ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau me nā lāʻau hōʻike i hōʻike ʻia, pono e hoʻopau i nā huehue i ka hoʻāla wai-electrolyte a inā paha e lawe i nā lāʻau ʻelua i nā mea liʻiliʻi loa.

ʻO nā hoʻopiʻi a me ka ʻohu

Ma hea ka maikaʻi - "Lozap" a i ʻole "Lozap plus" he paʻakikī ke hoʻoholo. Ua hōʻike ʻia ka poʻe i kuhikuhi ʻia i kēia mau lāʻau lapaʻau a hoʻomaʻemaʻe ia i ke koko. Ua kōkua kekahi i kahi ʻo "Lozap Plus" no ke emi ʻana o ka pehi.

Loaʻa nā pōmaikaʻi o Lozapa a me Lozapa Plus, e like me nā cardiologists, penei:

  1. Lawe ʻia ka lāʻau lapaʻau i hoʻokahi wale nō ka lā, ʻoiai ʻaʻohe pili o ka komo ʻana i ka meaʻai.
  2. "Lozap" a me "Lozap plus" ʻaʻole ia e alakaʻi i nā maʻi pālolo.
  3. I ka pau ʻana o ka mālama ʻana i nā lāʻau lapaʻau ʻaʻohe mea e kapa ʻia he sind withdrawal.
  4. Ke lawe aku iā Lozapa Plus, ʻaʻole pono ʻoe e lawe i ka diuretics hou.

Loaʻa i nā hemahema: nā kumukūʻai. No ka mea aia ʻo Lozapa Plus i nā mea 2, ʻo 2 mau manawa kiʻekiʻe loa ma mua o Lozapa i ke kumukūʻai.

Hoʻohālikelike

ʻO "Lozap" a me "Lozap plus" he mau lāʻau lapaʻau maikaʻi ia i kekahi mau ʻokoʻa. Hiki wale i ke kauka ke hoʻoholo i nā lāʻau e pono ai e lawe ʻia, a hoʻokau hoʻi i ka hewa kūpono.

ʻAʻole pono ke alakaʻi pono ʻana o nā lāʻau i kēlā me kēia mau lāʻau lapaʻau, no ka mea ke kau nei ke kauka i ke koho ʻaʻole wale i nā hoʻopiʻi a ka mea maʻi, akā pū nō hoʻi i nā hopena o ka hoʻokau. No laila, hiki ʻole ke hoʻoholo i ka mea ʻoi aku ka maikaʻi - "Lozap" a i ʻole "Lozap Plus" me ke kōkua o ka loea.

Nā hiʻohiʻona o Lozap

ʻO ka hana koʻikoʻi o Lozap ka pāhare losartan. E hōʻemi ana i ke kaomi, kōkua i ke ahonui i ka hana kino. E puka ana ka hopena antihypertensive 2-3 mau hola ma hope o ka hoʻokele ʻana a hiki i ka lōʻihi ma hope o 6 mau hola.

ʻO ka lāʻau lapaʻau i hana ʻia ma ke ʻano o nā papa biconvex a me nā papa keʻokeʻo. 1 ka pahu kia he 90, 60 a 30 mau pcs.

Nā manaʻo no ka hoʻohana ʻana iā Lozap:

  • haʻi maʻi
  • ka huhū o ka puʻuwai kūpilikiʻi (a me nā ʻano hana ʻē aʻe, me ka hiki ʻole o ke ʻano ʻole a i ʻole ke intolerance o nā ACE inhibitors),
  • nephropathy maʻi maʻi me ka proteinuria a me ka hypercreatininemia i nā kānaka me ka maʻi diabetes type 2 a me ke hypertension,
  • hypertrophy o ka ventricle hema ma ke kua o ka hypertension arterial (e hoʻemi i ka hōʻemi o ka maʻi cardiovascular (me ka helu pūpū) a me ka make).

Hoʻoholo ʻia nā papa he hoʻokahi i ka lā hoʻokahi, me ka manaʻo o ka hoʻokomo ʻana i ka meaʻai. Koho ʻia ke ʻano o ka lāʻau lapaʻau e ke kauka, e hoʻomaka ana mai nā ʻano kumuhana o ka mea maʻi a me ka hoʻomanawanui ʻana. ʻO nā mea maʻi me nā pathologies kidney a me nā poʻe ʻelemakule (me kahiʻole o ka poʻe ma luna o 75) ʻaʻole pono ia e hoʻoponopono i ka dosis.

Nā maʻi hoʻohālikelike i ka hoʻohana ʻia ʻana o ka lāʻau lapaʻau:

  • hapai
  • hypersensitivity o ka hana ikaika a i ʻole nā ​​mea kōkua;
  • hana waiū
  • ʻo ka wā'ōpiopio a me ka wā kamaliʻi.

ʻO nā hoʻohālikelike i ka hoʻohana ʻana iā Lozap he hapai, hypersensitivity i nā mea ikaika a me nā mea kōkua aku paha.

Hoʻohana ʻo Lozap me ka mālama ʻole inā he maʻi hypotension ka mea maʻi, ke kaupaona ʻana o ka wai-electrolyte kaulike, hepatic a renal gagal paha, ka hoʻemi ʻana i nā bcc, stenosis o ka artery o ka aʻalā (kahi wale nō e hana ana), ka stenosis bilateral o nā ʻoka o nā keiki.

Hoʻoikaika Lozapa Plus

Ke loaʻa nei ka lāʻau lapaʻau i 2 mau mea ikaika: hydrochlorothiazide a me ka potassium losartan. ʻO ka hiki o ka mea mua i hāʻawi i ka lāʻau lapaʻau i nā waiwai hou aʻe: ʻo ka hiki ke hoʻohaʻahaʻa i ka ʻike pākela i loko o ke koko, hoʻonui i ke kahe o ka wa uric acid, e hoʻoikaika i ka hana o ka hormone renin. Loaʻa ka Hydrochlorothiazide i ka hopena diuretic a hoʻonui i ka potency o ka potassium losartan. Kōkua ia i ka hōʻemi o ka nui o ke koko i kahe ʻana, e alakaʻi ai i kahi emi o ke koko.

ʻO ke ʻano o ka lāʻau lapaʻau nā papa keʻokeʻo.

ʻAʻole ke ʻano he lāʻau lapaʻau i loko o nā hihia penei:

  • hipokalemia Refractory a i ʻole hypercalcemia,
  • maʻi 'āpana pili,
  • hōʻailona ala hyperuricemia a i ʻole gout,
  • Anuria
  • cholestasis
  • ka hopena nui o ka ate a me ka hana ʻana paha,
  • hiponatremia mare,
  • hapai
  • ka hoʻohana 'ana i nā mākau e pili ana i ka aliskiren e pili ana i ka maʻi maʻi, ka poʻe me ka hōʻeha a me ka hoʻololi ʻole ʻana i ka papalula.
  • hana waiū
  • ka hoʻokō ʻana me ka ACE inhibitors ma ke alo o ka nephropathy maʻi,
  • ka ʻana ʻole o kēlā me kēia ʻāpana o Lozap Plus a i ʻole derivatives sulfonamide,
  • makahiki malalo o na makahiki 18.

ʻO nā contraindications e pili ana: hyponatremia, asthma (me ka nānā ʻia ma mua), he predisposition no ka maʻi pākaʻi, bilateral renal aren stenosis, hypovolemic states, stenosis artery o ke koena kaila wale nō, hana kahe aʻokiʻoki, hypochloremic alkalosis, nā maʻi kikoʻī, nā hanana holomua. akeʻa, hypomagnesemia, maʻi mellitus.

ʻAʻole ia e kau ʻia e hoʻohana i ka lāʻau lapaʻau i kēia mau hihia iho: ka mālama ʻana i nā NSAID, hōʻeha ka naʻau ma ke alo ʻana o ka hana papahuli loa, ka maʻi cerebrovascular, ka hōʻeuʻeu ma ke kūpaʻa koki-uhi a me ke myopia, mitral a me ka stenosis aortic, hyperkalemia, maʻi hōʻeha o ka naʻau keʻa IV nele i ka arrhythmia hoʻoweliweli ʻana o ka ola, ka lāhui Negroid, hypomyrophic obstructive cardiomyopathy, ma luna o 75 mau makahiki o ka makahiki, hyperaldosteronism mua.

ʻAʻole loea ʻia ʻo Lozap Plus e hoʻohana i ka hoʻohana ʻana i ka puʻuwai puʻuwai, ka maʻi cerebrovascular, mitral a me ka stenosis aortic.

Hoʻoholo ʻia e ke kauka a me ka pinepine o ka hoʻohana ʻana.

Poke? I? O man?

ʻO nā hiʻohiʻona ʻanoʻokoʻa o nā lāʻau lapaʻau:

  1. Hōʻike. Loaʻa iā Lozap Plus kahi hana hoʻoulu hou - hydrochlorothiazide. ʻOkoʻa nō ka papa inoa o nā mea kōkua.
  2. Ka hopena o ke kino. Aia ka hoʻonohonohoʻana o Lozap Plus i kahi diuretic. Loaʻa ka lāʻau lapaʻau i ka hopena diuretic a hōʻemi i ke koko iʻoi aku ka maikaʻi.
  3. Nā hopena ʻaoʻao a me nā contraindications. Loaʻa iā Lozap 1 mau mea kanu hanahana, no laila he mau liʻiliʻi ia i nā contraindications a ʻoi aku ke kūpaʻa. Hiki i kēia lāʻau lapaʻau ke lawe ʻia e ka maʻi maʻi maʻi, ʻokoʻa i ka analogue, i hoʻohana ʻia me ka mālama aka i nā hopena endocrinological.

Hiki iaʻu ke hoʻololi i ka Lozap me Lozap Plus?

Hoʻohui i ka lāʻau lapaʻau me kekahi mea wale nō me ka ʻae a nā loea kūikawā. ʻOiai ke ʻano o nā lāʻau lapaʻau i manaʻo ʻia he analog kekahi, ʻokoʻa nā contraindications a ua hoʻohana ʻia i nā ʻano like ʻole.

Ma mua o ke kuhikuhi ʻana i kahi lāʻau lapaʻau kūikawā, pono e hana ke kauka i kahi maʻi a me ka hōʻoia o ka mālama ʻana i ka maʻi.

ʻO wai ka mea maikaʻi - Lozap a Lozap Plus?

Loaʻa nā mea ʻelua o nā lāʻau, no laila e pono ke kauka ke koho i kekahi o lākou. Loaʻa nā pono o ka hopena i hoʻohui ʻia i kahi hopena antihypertensive a me ka maʻalahi o ka hoʻohana. I ka mana o ka lāʻau lapaʻau ka hydrochlorothiazide, no laila, ʻaʻohe mea pono e kau hou i kahi diuretic.

Inā ʻaʻole ʻike ka puʻuwai a i ʻole ka nānā ʻana i ka dehydration maikaʻi, ʻoi aku ka maikaʻi o ke koho ʻana i kahi lāʻau hoʻokahi. Hoʻopilikia ka mea i ka poʻe me ka anuria, loaʻa ʻole ka pilikia o ka lua.

Pūnaehana

ʻO nā hopena maʻamau ka hopena maʻamau i ka manawa, ke poʻo.

Hiki i nā hopena kū i ke ʻano ma ke ʻano o ka hana a kēlā me kēia mea i ʻāpana o ka lāʻau Lozap Plus. Nā loiloi o nā mea maʻi e lawe ana i ka lāʻau lapaʻau, e haʻi i nā hopena ʻaoʻao i ka wā e lawe ai, e like me ka pohō.

ʻO nā manaʻo ʻino mai ka losartan:

  • uliaʻe hoʻokūkū maʻi
  • ʻūlū ʻole a hiamoe paha,
  • hoʻonui ka momona
  • ʻeha ka ʻōpū
  • kaʻeha cerebrovascular,
  • he mea hiki ke hepatitis, loaʻa pinepine ʻole - hana lūlū ʻia
  • wahī ʻaʻe
  • anemia
  • ea kalepa
  • Dermatology: itching, urticaria.

Nā hopena ʻokoʻa o ka hydrochlorothiazide:

  • nā hoʻomaʻa pinepine ʻana
  • nā ʻōpū, ka luaʻi
  • lilo ka momona
  • lie kanikela
  • lauoho lauoho.

Me ka maʻi diabetes

Hoʻomaopopo ʻia nā mea maʻi me ka maʻi maʻi e hoʻohana ai iā Lozap. I kekahi manawa ʻaʻole lawe mai ka hopena i nā hopena: hoʻonui ʻia ke kuhikuhi ʻana i ke koko, ke piʻi ka māla. I kēlā mau kūlana, hiki iā ʻoe ke kūkā i ke kauka e loiloi i ka lapaʻau a hoʻololi i iā Lozap me kahi hoʻohui pū. ʻO ka hoʻākāka hānai ʻana i kahi lāʻau lapaʻau ʻāpana ʻelua e pono ma lalo o ka mākaʻikaʻi ʻana o kekahi kauka.

ʻO nā loiloi maʻi maʻi e pili ana iā Lozap a me Lozap Plus

ʻO Elizaveta, 45, ʻo Kirov: “ʻO ke hoʻonui pinepine e hoʻoikaika i koʻu manawa e ʻike i ke kauka. Ua hōʻike ke kauka i ka maʻi hypertension a kuhikuhi iā Lozap. I ka wā mua, ua ʻike ʻia nā hopena ʻaoʻao (insomnia, dizziness, nawaliwali), akā wikiwiki lākou i hala. Ua hoʻi ka lohi ʻana i ka maʻamau, akā ke lawe nei wau i ka lāʻau.

ʻO Victor, 58 ona mau makahiki, ʻo Volgograd: “Lawe au iā Lozap no ka palaualelo ʻana. Hoʻomaka ka hoʻomaʻemaʻeʻana i ka 12.5 mg, a laila hoʻonui i ka nui ma kahi o 50 mg. Ua kōkua wikiwiki ka lāʻau lapaʻau, ʻaʻohe ʻano hōʻino. ʻO ka mea nui ke lawe iā ia e like me nā ʻōlelo aʻo. "

Marina, 55 makahiki, Omsk: "Ma 50, ua kū pono nā poʻo nui. I ka manawa ua hoʻomaka wau e ana i ke kaomi, ua huli mai ka manawa a hoʻonui wau. Hele wau i ka lāʻau lapaʻau nāna i kuhikuhi iā Lozap Plus. Hoʻokuʻu ka lāʻau lāʻau i ka wai nui, hoʻopau i ka pume. I waena o nā hemahema, hiki iaʻu ke hoʻomaopopo i ke kumukūʻai kiʻekiʻe a me nā huakaʻi hele pinepine i ka pākaukau. Aaeeia, aia nā mea āpau i ʻō.

Hoʻolaha ka waipuna

ʻAʻole pono e lawe ʻia nā lāʻau ʻelua me nā mea inu ʻaka. Hiki i kēia ke alakaʻi i kahi hoʻololi o ke koko, a ʻike pū ʻia nō hoʻi:

  • ninini
  • utuka
  • āhāhuʻe
  • malekilima
  • pūnaehana hoʻonohonoho o nā neʻe,
  • ka hoʻolilo ʻana o nā ʻoihana hohonu a me ka haʻahaʻa haʻahaʻa.

Akā ʻo ka hoʻokomo likeʻana o ka waiʻona a me ka LP e hoʻohaʻahaʻa i ka hoʻouluʻana o ka therapeutic o ka lāʻau. ʻO kēia lāʻau lapaʻau, ʻaʻole e like me Lozap, aia kahi diuretic. Ma lalo o ke kumu o ka waiʻona, hoʻonaninani nui ʻia ka urination, ma muli o ke ʻano o ka hōʻemi ʻana i nā mea hana nui i ka nui o ke kino e hoʻemi i ka nui.

Nā Hōʻike Hoʻomaʻi

ʻO kēlā mau mea maʻi e ʻōlelo aʻe he lohi a lōʻihi paha e hoʻemi wikiwiki ʻia ke kaomi. Ke ʻae ʻia ka ʻokoʻa o nā mea maʻi ma ka mea hiki ke hoʻohana ʻia nā lāʻau lapaʻau e like me ka mālama ʻana i ka meaʻai, a ua inu nō hoʻi i ka lāʻau lapaʻau hoʻokahi wale nō i ka lā.

I waena o nā pono kūpono o nā lāʻau ʻelua ke lilo lākou i ka hopena alerine. Akā like nā mea maʻi e like me nā lāʻau lapaʻau no ka mea ʻaʻole lākou e koi i nā diuretics hou. ʻO nā loiloi maikaʻi loa ma ke kumu nui o ka loaʻa ʻana o Lozap Plus ma kahi o ʻelua mau manawa he nui ma mua o ka lāʻau maʻamau. I ka manawa like, ua hoʻomaopopo ʻia e ʻoi aku ka maikaʻi o ke kūʻai ʻana i nā nui o nā lāʻau lapaʻau.

Heʻokoʻa loa ke kumukūʻai o nā lāʻau lapaʻau. ʻO kēia ma muli o ka loaʻaʻana o Lozap me kahi mea hoʻohui hou no laila, no laila ʻoi aku ke kumu. Mamuli o ka helu o nā papa i loko o ka pulu, e like ke ʻano o ke kumukūʻai mai 239 a 956 rubles.

Nā wikiō pili

E pili ana i nā hiʻohiʻona o ka maʻi hypertension e Lozap i ke wikiō:

Pono ka mea maʻi e hoʻoholo i kahi o nā 2 mau loina o Lozap he maikaʻi, i kēlā me kēia kūlana, e kōkua ke kauka. ʻO ka ʻokoʻa nui ma waena o nā lāʻau lapaʻau ka hopena hou aʻe o ka hopena hypotensive o Lozapus plus tablet. Manaʻo ka mea he nui i ka maʻalahi o ka hoʻohana ʻana, no ka mea i ka wā o ke koho ʻia ʻana o ka lāʻau hoʻohui, ʻaʻole pono ʻoe e inu i kahi diuretic hoʻohui.

Loaʻa i loko o ka lāʻau lapaʻau. ʻOkoʻa nā ʻano o nā lāʻau lapaʻau. Ma ke ʻano he 2 mau manawa ma mua o Lozap a ʻo Lozap. ʻOiai ke kūpono ʻana o nā lāʻau ʻelua i ka lāʻau like ʻole a ua like ka hopena like, ʻaʻole pono e hoʻohuli kekahi i kekahi lāʻau me ka lāʻau ʻē aʻe.

  • Hoʻopau i nā kumu hoʻokaumaha o ke koʻikoʻi
  • Hoʻohālikelike i ke kaumaha ma loko o 10 mau minuke ma hope o ka hoʻokele ʻana

Me ka hoʻohana mau ʻana

Me ka hoʻohana ʻana i ka manawa lōʻihi, aia kahi liʻiliʻi o nā hopena ʻaoʻao e hōʻuluʻulu i ke ʻano:

  • hoʻoweliweli kaʻe ʻana
  • ʻeha ka ʻōpū, malo maloʻo,
  • nā hoʻomaʻa pinepine ʻana
  • nā keʻa luhi, ke hoʻomaha hiamoe, hoʻomāhuʻewa, kūlohelohe.

E hui pū me ka waiʻona

Ke lawe nei i nā lāʻau lapaʻau me nā mea inu ʻona, holo ke kanaka i ka hōʻemi o ka loaʻa ʻana o ke kahe o ke koko, e hōʻalo ai. Manaʻo nā mea maʻi Frivolous i ka hui pū ʻana o Lozap Plus a me ka waiʻona hiki ke kō, inā ʻaʻole i kēlā me kēia lā, a laila i kēlā me kēia lā. Akā e hoʻomau ʻia i ka manaʻo e hiki ai i ka hopena therapeutic ke ʻano, e hoʻomau ʻia ka lāʻau lapaʻau me ka hoʻomau ʻole ʻia.

Ua ʻike ka poʻe a pau ka pili ʻana i ka waiʻona i nā kīʻaha koko, e hoʻonui ana iā lākou, a inā loaʻa he ʻano o ke koko e hana ana, a laila, hiki ke hoʻonui koke ʻia ka pili koko, kahi hōʻemi o ko lākou kani, kahi nui o ke kahe koko. ʻOi aku kaʻeha ma mua o ke kaʻe o ke koko i piha me nā hopena:

  • nāwaliwali koke ʻole
  • āhāhuʻe
  • ninini
  • pūnaehana hoʻonohonoho o nā neʻe,
  • ka hoʻohaʻahaʻa i ka pāʻana o nā wāwae.

ʻO nā kumu maʻamau maʻamau o ka hypertension

Nā hōʻike o nā cardiologists a me nā poʻe maʻi e lawe ana i ka lāʻau

Ke waiho nei ka hapa nui o nā poʻe cardiologists a me nā mea maʻi e pili ana i nā loiloi kūpono e pili ana iā Lozap Plus.

Hoʻomaopopo ka poʻe maʻi i kēia mau wahi kūpono o ka lawe ʻana i ka lāʻau lapaʻau.

  • hoʻoikaika ikaika i ke koko nui,
  • mālama i ke koko i kahi pae kūpono no lākou,
  • ʻaʻole i manaʻo ʻia kahi hopena ʻino
  • no nā mea maʻi, mea kūpono ka hoʻohana ʻana o ka lāʻau lapaʻau, no ka mea i hoʻolālā ʻia i hoʻokahi dosis hoʻokahi i ka lā hoʻokahi,

Loaʻa kekahi mau loiloi maikaʻi mai nā maʻi. Hoʻohana lākou e pili ana i ke ʻano o nā hopena o ka hopena i paʻakikī i kūpaʻa i ka poʻe maʻi a hoʻoweliweli iā lākou e haʻalele i ka hoʻohana.

Pehea e hoʻololi ai, ʻoi aku ka maikaʻi?

Ke hoʻololi nei i kahi kumu kūʻai kumu kūʻai me ka mea kūʻai pōkole o Lozap Plus ʻaʻole ia i nā manawa a pau o ka hōʻino o ka maikaʻi o ka mālama ʻana. Aia kekahi mau analogs ma ka mākeke Lūkini, no laila aia kekahi mea e hoʻololi iā Lozap Plus me, a ʻoi aku ka maikaʻi, e ʻōlelo ʻia ke ʻano loiloi a i ʻole lapaʻau.

ʻO Lorista N ka ʻōlelo Lūkini kikowaena Lūkini i nīnauʻia. Hoʻohana ʻia ia e hōʻemi i ke koko kiʻekiʻe. I ke hopena o ka loaʻa mai, ua hoʻemi ʻia ka hopena o ka hōʻeha a me ke kūkulu ʻana i kahi pōkole me ka hypertrophy left left.

Ke hoʻoholo nei i ka mea ʻoi aku ka maikaʻi, Lozap Plus a i ʻole Lorista N, pono ʻoe e makaʻala i ka haku mele. ʻO Lorista N ka mea e like me nā hana o nā ʻano lāʻau like ʻole. Hoʻohālike ka hopena o nā mea ʻala ma ke kino.

ʻO ka ʻokoʻa o ka hana pū kekahi mea i loko o nā manaʻo o nā mea kōkua no ka hoʻokumu ʻana i nā papa: ʻoiʻo pregelatinized, gula gula, ka waiila stearic. ʻAʻole i loaʻa iā Lorista N nā mea kanu mannitol a me crospovidone, i loaʻa i ka lāʻau lapaʻau mua. Inā kūleʻa ka mea maʻi ma ka mea like ma muli o nā mea kōkua, a laila e uku pono iā Lorista.

ʻO Valz - pili i ka papa o ka sartans. ʻO ke kumu o kāna palapala hoʻohālikelike he valsartan, kahi kālai kūikawā o nā ʻĀina ʻĀpio angiotensin II. ʻO ke kumu o Lozap he losartan, nona ka hui like o nā lāʻau lapaʻau. I ka hoʻoholo ʻana i ka mea ʻoi aku ka maikaʻi, ʻo Valz a i ʻole Lozap Plus, e hoʻohaʻahaʻa i ke koko, pono ʻoe e ʻike pehea e hana ai kā kā lākou mea nui: valsartan a me losartan.

Ua hoʻohana ʻia ʻo Valsartan ma nā hana lapaʻau ma mua o 15 mau makahiki a ua ʻike ʻia he lāʻau ʻoiaʻiʻo i waena o nā sartans.

Wahi a ka neʻe ʻana o ka metabolite ikaika, ua hoʻokaʻawale ʻia nā sartans i nā prodrugs, ʻo ia hoʻi ka losartan, a me nā lāʻau lapaʻau ikaika, aia ka valsartan. ʻAʻole pono ʻo Valsartan i ka metabolism ʻōnaehana. Wahi a ia, me nā maʻi o ka puʻuwai, ka nui o nā loli nui i ka neʻe ʻana a me ka holoi ʻana o ka mea ikaika e ʻano i ka wā e hoʻohana ana i ka losartan, ka mea e pono ai ka hapalua o ka ʻāʻī. Ke hoʻohana ʻia nei ʻaʻole e koi ʻia ka valsartan.

ʻO ka hopena antihypertensive e like me nā hualoaʻa o ka meta-analtsia i valsartan ma ke ʻano o ka nui o 160 mg ma mua o losartan ma kahi pākuʻi o 100 mg. Ua hōʻike ʻia nā haʻawina ua hiki i ka valsartan ke mālama i ke kahe koko o ka cerebral i ka wā o ka kahe o ke kahe koko. Eia kekahi, ʻo ka valsartan e hana pono i ka pale mua o ka fibrillation atrial a me ka hoʻēmi ʻana i ka pono o nā ʻāpana hou.

Hale Pūnaewele

Loaʻa i kēlā me kēia maʻi ko lākou mau hiʻohiʻona. ʻAʻole paʻa ka hopena o nā lāʻau lapaʻau i kekahi hihia. Ke manaʻoʻiʻo nei ua like ka hopena o ka lāʻau i loko o ka papa like.

I mea e ʻike liʻiliʻi ai i ka mea ʻoi aku ka maikaʻi, ʻo Lozap Plus a i ka Prestarium, he mea pono ke noiʻi i nā hopena o nā mea e hoʻokumu ai i ke kumu o ka lāʻau.

ʻO Losartan kahi pālule (sartana) blocker o nā ʻĀpana AT1. ʻO ka Prestarium kahi pale o ACE. ʻO nā lāʻau lapaʻau o ka hui mua i nā haʻahaʻa haʻahaʻa loa, ʻoiai ʻaʻole ia he mea haʻahaʻa i ka maikaʻi i nā papa ʻē aʻe o nā lāʻau lapaʻau. Ke hoʻohana nei iā lākou, ua ʻike ʻole ʻia ka hoʻomaka ʻana o ka umau maloʻo, kahi ʻano o ka wā e hoʻohana ana i ka ACE inhibitors, no laila he ʻano like ka nānā me ka uʻi a me ka huhū angioneurotic.

I ka hoʻohui ʻana i nā lāʻau lapaʻau mai ka papa sartans me nā lāʻau lapaʻau mai kekahi hui ʻē aʻe (ʻoi aku ka nui me nā diuretics, no ka laʻana, ka hydrochlorothiazide), e piʻi ana kona hopena mai ka 56-70% a i ka 80-85%.

I ka puka ʻana o ka umu maloʻo mai Prestarium, hiki ke hoʻololi ʻia me ka losartan ma kahi ratio o 1:10. Hōʻike ka Prestarium 5 mg i ka 50 mg o losartan. Hoʻonohonoho ka Prestarium i ka arindine perindopril ma ke ʻano he mea ikaika, e ninini ana i nā moku peripheral, a laila e hoʻohaʻahaʻa i ko lākou kū ʻana a hoʻonui i ke kahe koko. ʻO ka hopena, hōʻemi ka nui o ke koko.

Nā kikowaena maʻalahi

Nā kikowaena i nā māhele ʻelua: losartan (50 mg) a me hydrochlorothiazide (12.5 mg). Hoʻolaha nā huahana analogie o Lozap Plus e nā mea hana haole me nā ʻoihana Lūkini lāʻau Lūkini. Ma ke ʻano o Lūkia, ke kūʻai aku nei nā kaili likeʻana, ka mea i lanakila i kekahi mea kūʻai.

  • Blocktran GT,
  • Vazotens H
  • Lozarel Plus,
  • Manahole H,
  • Lorista N.

Waiho I Kou ManaʻO HoʻOpuka