The mushonga "Revmoksikam": mirayiridzo kushandiswa (majekiseni, mapiritsi uye suppositories). Analogs uye wongororo pamusoro mushonga

Treatment zvirwere zviri zvetsandanyama nemapfupa ino, kubviswa kurwadziwa uye kuzvimba mune mapfundo tsandanyama zvinogoneka nokuda vasiri steroidal Anti-anogumbura zvinodhaka, izvo zvinosanganisira zvinodhaka "Revmoksikam". pamusoro chishandiso gwaro chinosanganisira rondedzero murwiyo ose chipimo chemushonga siyana, pharmacodynamic maitiro, zviratidzo, uye mashoko zvinoitwa kushandiswa.

Description rekugadzirira

The chikuru vanoshingaira wemafuta zvinodhaka fuma iri meloxicam boka oxicam, iyo yakavakirwa enolovaya acid. chokushandisa ichi ane basa zvokusarudza pamusoro nevamiririri venyika kushoma, izvo zvakakosha kuti kudzivirirwa zvomudumbu ezvinhu pezvakaitwa ndisingadiwi.

Mukugadzirira "Revmoksikam" mirayiridzo Chinyorwa rinotsanangura wandei chipimo chemushonga siyana hunoita kusarudza zvakakodzera nzira yokurapa, tichifunga zvechadenga Muviri vakarondedzera zvirwere.

For zvokuudzwa nomuromo Kutarisirwa, zvakakodzera tableted chipimo chemushonga fomu meloxicam chete pahwendefa 7.5 kana 15 MG. Mahwendefa yakakwirira dose vari pangozi yokubatwa vachipaza hafu, kuti anobvumira kugadzirisa pasina mishonga panguva chipimo chemushonga pakati mapiritsi. Pfungwa iyi zvakakodzera kurapwa kwenguva refu.

Jekiseni fomu iri 1% mhinduro yezviri fuma, iyo asunungurwa kupinda 1.5 Rine mamiririta ampoules "Revmoksikam". Manual majekiseni pamusoro papi uye kumhanya chiito akapfeka nzvimbo yokutanga yaunofanira kufunga pakusarudza chipimo chemushonga fomu.

For rectal Kutarisirwa, suppositories inoshandiswa panguva dose pamusoro 0.015 g meloxicam suppository zvigadziko mafuta emhuka, umo basa chirungiso iri kuparadzirwa zvakaenzana.

Sezvo mushonga mabasa

Hwaro Anti-anogumbura, unonyaradza marwadzo uye antipyretic nezviito "Revmoksikam" ndiwo mano zvinodhaka vanoshingaira fuma zvokusarudza kunonoka pezvakaitwa chokuita kwetunhu prostaglandin yeimwe. Zviri kubatana aya nevamiririri venyika kuzvimba.

Drug "Revmoksikam" mirayiridzo iri kushanda rinotsanangura sechipiriso mushonga njodzi zvichienzaniswa nevamwe vasiri steroidal Anti-anogumbura zvinodhaka. Izvi imhaka deceleration kushanda chete cyclooxygenase mhando 2 enzayemu, zvichiguma akaderedza pakuburitswa prostaglandin uye prostatsiklinovyh zvinhu anokonzera kuzvimba. The mushonga une shoma zvainoita cyclooxygenase mhando 1, ndokusaka gastroprotective prostaglandins uye thromboxanes anobudiswa zvakarurama akawanda uye vashumire kudzivirirwa zvomudumbu ezvinhu nenjodzi.

Active chirungiso "Revmoksikam" gadziriro (ampoules) kudzidziswa Chinyorwa unotsanangura chinoumba risina sei masero chinopedza shwashwa uye kuchititadzisa kugadzirwa proteoglycan, iro kuchengetwa pakurapa Somuenzaniso, indomethacin.

Medicament haachinji ya platelet aggregation uye ropa, sezvo richiwanika pasi zvinoitwa diclofenac uye ibuprofen.

analogs

Munguva mishonga pamusika pane vakawanda kuchinjaniswa somushonga zvigadzirwa, zvakafanana chiito uye Kuronga zvinodhaka "Revmoksikam". Instructions analogues pezvinhu sezvo anoreva zvakafanana, izvo kuburitswa mumufananidzo yepakutanga German chigadzirwa "Movalis" Company "Boehringer Ingelheim" kune mumwe chipimo chemushonga fomu.

A-siyana mishonga nemhaka meloxicam inoita varwere kubatwa somunhu European ( "din email-Meloxicam", "Mirloks", "Melox") uye mudzimba zvinodhaka, izvo siyana zvikuru mutengo. Pakati Generic mishonga Russian gadzira with "Movasin", "lem", "meloxicam", "Osteoarthritis", "Amelotex".

A guru zvakasiyana siyana-anoreva zvakafanana pakati vagadziri akasiyana kunoratidza kushandiswa kwakapararira zvinodhaka nokuda meloxicam.

Sei kushandisa

Mukugadzirira "Revmoksikam" User Application majekiseni, mapiritsi uye suppositories rinokurudzira kuti kubviswa marwadzo, anogumbura uye chinopedza pezvakaitwa vari locomotor midziyo, akadai arthrosis, dzinonzi rheumatoid arthritis, osteoarthritis, ankylosing spondylitis.

Maererano mashandiro chiito, chokushandisa ichi zvakakodzera pakurapa siyana anogumbura pezvakaitwa ari mumuviri womunhu. Havasi vose zvichibvira zvairatidza kuti mishonga rinosanganisira "Revmoksikam" (makenduru) kudzidziswa. In Gynecology mushonga zvikuru kushandiswa pakurapa anogumbura dzinotsanagura munhukadzi nhengo dzokubereka nadzo, dzakadai ovaries. Zvisinei, imwe kugadzwa akadaro anogona chete taurira chiremba uyo akaisa chipimo chemushonga uye nguva kurapwa.

Kushandiswa mahwendefa

A gadziriro iri pahwendefa muchimiro nokuda nomumukanwa yaitonga. Meloxicam Absorção de Água kubva zvomudumbu kwava nokukurumidza uye yaiva 90%. Food haadi kukanganisa kupinda pakati meloxicam kuburikidza intestinal mucosa.

Mushonga "Revmoksikam" (Mahwendefa) Council Regulation, pamwe chete zvokudya yekuzvidzivirira nenjodzi dziri zvomudumbu ino. Mahwendefa zvinofanira kumedzwa rose, usadzvinyirira kana nokugedagedesa nayo zvakakwana kugeza pasi hombe vhoriyamu emura. Duration kurapwa uye chipimo chemushonga kurapwa kunoenderana kwokuomerwa chirwere uye pakutsvaga kupinda chiremba.

Mabatirwo osteoarthritis vakuru uye kuyaruka makore 15 aite nezuva dose zvinodhaka muna 7.5 MG. Kana zvakakodzera, chiremba wako kungawedzera dose kaviri daily.

Mabatirwo dzinonzi rheumatoid arthritis uye ankylosing spondylitis mune vakuru uye kuyaruka makore 15 aite nezuva dose zvinodhaka muna 15 MG. The chipimo chemushonga yakanga yadzikira kuti 7.5 MG chete paakaudzwa yakanaka emuchina dzakakwirira-dose mishonga.
Kana pane zvinhu nokuda kukura wanda zvisingadiwi Varwere raitongwa mushonga Kanenge kamwe chete dose kuti 7.5 MG.

Kushandiswa majekiseni

Kuti uwane nokukurumidza zvinodhaka chiito achishandisa "Revmoksikam" (jekiseni), kudzidziswa Chinyorwa rinotsanangura parenteral intramuscular mishonga. kushandiswa kwakadaro kunoratidzwa vanhu vane zvinetso zviri zvomudumbu turakiti. It zvakabatana mudumbu kana muura hadzina kukuvadzwa mapiritsi zvinodhaka "Revmoksikam". Usage Guide anokurudzira majekiseni raitongwa kune rokumusoro rokunze quadrant pamusoro magaro, vanyura tsandanyama.

The nguva kurapwa uye chipimo chemushonga zvinodhaka kunoenderana kwokuomerwa chirwere uye takatsunga ne kupinda chiremba.

For vakuru kuyaruka kubva pamakore 15 kuisa dose "Revmoksikam" gadziriro mirayiridzo kushandiswa, kuita majekiseni 1 kanomwe pazuva. Kazhinji raitongwa kubva 0.75 kusvika 1.5 ml kugadzirisa kuti meloxicam. Drug "Revmoksikam" muchimiro ane jekiseni anogona kushandiswa asisiri pane 5 mazuva, uye ipapo ita pahwendefa chimiro zvinodhaka.

Mushure vachiita basa wemafuta pamusoro wayo 100% nayo wefodya unopinda systemic riparadzirwe, zvichireva yakakwirira bioavailability kwayo.

Havasi varwere vose vakabvumira yakakwirira dose "Revmoksikam" Pfungwa, mirayiridzo kushandisa majekiseni vanhu vanoratidza renal uye hepatic kukundikana, rinorumbidza munhu dose pamusoro 7.5 MG meloxicam. Zvinofanira kuongorora chokupika mitumbi iyi kudzivirira kudzikira.

Kana kushandiswa panguva rinoumbwa vakawanda zvinodhaka "Revmoksikam" Chinyorwa majekiseni, mapiritsi kana suppositories zano sangana zvokuti hapana kukwirira dose akatikurudzira kuti atarisire nezuva.

Mirayiridzo kushandisa makenduru

The medicament inogona kushandiswa rectally, nokusuma kenduru kupinda mugaranhoko mamwe Absorção de Água yezviri fuma mumidziyo ropa mugaranhoko uye zvakare kupinda pakati meloxicam kupinda muropa.

Kuti dzika nzira iyi inofanira kutanga kugadzirira, rine Utsanana evanhu. Makenduru "Revmoksikam" mirayiridzo Chinyorwa rinokurudzira kubudisa kuzozivisa tsime-akageza maoko, kuti varege kuunza chirwere ari nekunobuda netsvina mundima.

Makenduru akaita kwegadziriro hwakasimba mafuta mumaoko vari nokukurumidza ikavhunduka, saka kutanga suppository, pashure kuvhura chikuru pasuru kusimbisa. Izwi yekushandiswa uye dose kuvimba mhando nekuomarara chirwere, asi chero zvazvingava, zvose-chinangwa ushandiswe nachiremba.

Rectal kushandiswa meloxicam ambotirega zvakanaka wefodya unopinda systemic riparadzirwe, pamwe vanenge 90% bioavailability. Sustainable kuchirapa plasma kunoitika pashure 5 mazuva mushonga.

For vakuru kuyaruka kubva pamakore 15 kenduru "Revmoksikam" mirayiridzo kushandiswa kunonyora kushandisa hapana anopfuura 1 suppository 1 nguva pazuva.
Max meloxicam pazuva anofanira anenge 15 MG, kana 1 suppository.

Maererano mirayiridzo kushandiswa, rectally dzakabatwa kugadzirira rirege kupfuura pavhiki, uye nokuda mberi kurapwa zvakakodzera kuti atambidze pokushandisa medicament piritsi siyana "Revmoksikam".

Kana usingagoni kushandisa zvinodhaka

Hazvina nguva zvichiita kurapa medicament "Revmoksikam" mirayiridzo Chinyorwa unosanganisira mazita contraindications, umo chokushandisa haisi kushandiswa.

1. With yakawedzera nomumwe aikanganiswa oxicams uye dzimwe nonsteroidal Anti-anogumbura zvinodhaka pave Kudzimwa kwechikwereti mari.
2. Usashandisa hwendefa chimiro mushonga pavarwere vanotambura malabsorption kuti shuga uye galactose, hwokuti lactase kushaikwa uye munhu kusada galactose mamorekuru.
3. Drug kurapwa ari contraindicated vanhu vane peptic urikanwi zviri mucous mudumbu uye duodenum, pamwe chiropa chirwere, pamwe kukundikana mwoyo tsandanyama uye itsvo kwazvo chimiro, vanhu vakanga ndavhiyiwa coronary tsinga yokunzvenga kusonanidzwa.
4. Havashandisi mushonga pavarwere vane refu pangozi ropa, kunyanya kana yaiva pachena cerebrovascular kana gastrointestinal kubuda ropa.
5. Drug "Revmoksikam" muchimiro suppositories harishandiswi Varwere vane zvirwere mugaranhoko dzakasiyana mavambo. Contraindication ariwo kuzvimba mugaranhoko.
6. Vakadzi vane pamuviri uye lactating, vana pasi pemakore 15, mushonga hakuratidzwi nokuda kwayo chepfu zvainoita kukura muviri.
7. Drug "Revmoksikam" jekiseni kurairirwa unorambidza kushandiswa intravenous, intramuscular jekiseni zvinogamuchirika chete ari gluteal tsandanyama.

Zvokungwarira prescribers varwere kupa Árbol asima, cirrhosis, kupera muviri, zvirwere Urinary hurongwa, congestive mwoyo nokukundikana mananara, akaderedza ropa riyerere renal.

varwere vakwegura, avo vane kusimba muviri kana vari anticoagulant kurapa vanofanira ichi mudziyo pasi pokudzora chiremba.

Special hanya kunodiwa zvinodhaka kurapwa vanhu vanenge Zvakacherechedzwa kare peptic urikanwi mudumbu uye duodenum nezvimwe zvirwere zvomudumbu turakiti.

Pamwe nemamwe zvinodhaka

Mawa wemishonga zvimwe zvinodhaka "Revmoksikam" chinodhaka anogona wezvikamu kuwedzera kana kubudirira kwavo, kukonzera zvisingadiwi siyana.

• Co-kwokubatsira meloxicam uye marwadzo mishonga unonyaradza marwadzo kunotungamirira mikana nemaronda pamusoro mucous Kamudzira ari zvomudumbu zvomukati, kana kunyange kubuda ropa.
• Regai nokubatanidza zvinodhaka "Revmoksikam" ne anticoagulant uye zvinodhaka thrombolytic kuti zvinopa antiagregatsiyu masero eropa.
• Mawa kurapwa pamwe meloxicam uye diuretics pamusoro vakawanda kupera mvura mumuviri zvinogona kukonzera vanhu vakadaro vane chakasimba renal kukundikana. Kana usingakwanisi kuramba kubva womuchato, inoda kuramba zvichiongororwa pamusoro renal ushande.
• Concomitant kushandiswa kungaita zvinoderedza pamusoro kuchirapa mugumisiro intra-uterine nhumbu, Beta-adrenoceptor ichivharira, vasodilating, zvinodhaka diuretic uye medicaments munyaya chinovhiringidza pakati angiotensin rokutendeutsa enzayemu.
• Kana pamwe methotrexate zvinodhaka "Revmoksikam 'anogona dzikurukure hunokachidza nomugumisiro masero matsvuku eropa, uye mawa negashiro imwe cyclosporin kunoguma kunambwa neitsvo. Kana paine chikonzero mubatanidzwa yakadaro, kudiwa nguva nenguva kuongorora ropa mamiriro arikunze uye neitsvo.
• Zvakaitwa zvinodhaka rinotarisirwa kuwedzera wevasungwa kuti lithium ions muropa plasma. The akabatana cholestyramine kugadzirira "Revmoksikam" kunoderedza nguva hafu-upenyu yezviri chirungiso.
• Kuitwa vasiri steroidal Anti-anogumbura zvinodhaka nechinangwa kuchinja kubudirira mahwendefa hypoglycemic zvinodhaka, kusanganisira avo rine jekiseni. Varwere ropa shuga mukuru kutora zvinodhaka "Revmoksikam" kunoda kudzorwa shuga iri plasma kuti vakazoroorwa kuchinja dose pamusoro antidiabetic zvinodhaka.

Reviews kugadzirira

Sezvinogona kuoneka, siyana-siyana mafomu, "Revmoksikam" gadziriro gwaro haritsananguri kuti ongororo, asi rinotsanangura zvose migumisiro yakaipa wokushandiswa chokushandisa ichi, vose contraindications uye mukukurukurirana. Mashoko akadaro hazvirevi kuti zvose nenjodzi vanofanira hazvo kuitika mushure kutora mushonga nokuda meloxicam. The kunokwanisa kuitika pasina chinokosha nemigumisiro kune muviri, uye mishonga zvazvinoita kuti kuchioneka. muviri wese vakasiyana uye anopindura akasiyana siyana zvinhu.

Sezvatotaurwa, kwete vose zvairatidza kuti kushandiswa zviri kupendwa mumirayiridzo, asi avo chete kuti chokuita nokurapa rheumatic pathologies ose zvetsandanyama nemapfupa hurongwa.

Pakuva Anti-anogumbura mumiriri, mushonga "Revmoksikam" rave richishandiswa nevakawanda nekuda pakurapa mitswe vari kunzwisisa kurapa pane kuzvimba muna chisingaperi prostatitis, gynecological kuzvimba nharaunda.

For kutsanya kurwadziwa panguva yakarumbidza kushandisa zvinodhaka "Revmoksikam" Chinyorwa majekiseni. Comments pamusoro kubudirira majekiseni dzakadaro kuridza zvakawanda.

Mumwe murwere anenge pakarepo zvinova nyore, kurwadziwa tinokanganwa, mumwe mushonga haasi akakodzera uye unofanira kuwana yokutsiva.

Nokuti pakurapa rheumatic ezvinhu kushandisa mapiritsi meloxicam, izvo zvinogona kutora nguva refu, asi kurapwa ichi kunogona kukonzera nomudumbu zhinji, iyo inoda kubviswa zvinodhaka.

Pane zvakanaka wongororo kuti mubatanidzwa mishonga adneksita apo "Revmoksikam" vachishandisa makenduru akabatana injectable Anti-anogumbura zvinodhaka.