"Vals" (Mahwendefa): mirayiridzo kushandiswa. The mushonga "Valz": analogues, wongororo, mutengo

Izvo zvinoda zvinodhaka "Valz" (Mahwendefa)? Izvi huchakurukurwa. Zvinhu inopiwa ino, tichaita nezvamai kana ichi mishonga analogs, nemishonga uye contraindications. Sezvo vachanzi kurondedzerwa murefu uchapupu, uye mirayiridzo kushandiswa kwezvinodhaka.

Zvinoumba, tsananguro uye zvinodhaka kavha

Chii murwiyo rine mushonga "Vals"? Mahwendefa ane basa fuma yakadai valsartan. Uyewo, ivo zvinosanganisira zvimwe zvinoumba muchimiro talc, croscarmellose yavaibvisa, microcrystalline cellulose, lactose monohydrate, magnesium stearate, povidone K29-32, nesilicon dioxide.

The mushonga mu chipimo chemushonga 40 MG film-zvemapuranga, ane yeyero ruvara uye denderedzwa biconvex chimiro. Kune rumwe rutivi mahwendefa wakanyorwa «V», uye mumwe - the lateral ngozi. Uyewo kutengeswa kwezvinodhaka mu Pink (80 160 MG).

Vaiona mishonga, "Valz" Mahwendefa, dzaizara mu Maronda akasiyana, izvo akaisa mumabhokisi makadhibhokisi.

pharmacological zvinhu

Chii chinodhaka "Vals"? Mahwendefa achiita sezvo antihypertensive uye peripheral vasodilating. medicament ichi anokwanisa rakavhara AT1-receptors ose angiotensin II, asi haagoni tunodzivisa ACE.

Pasi pokudzora yezviri zvinodhaka fuma haachinji zviri shuga, zvachose TG, Xc uye uric asidhi muropa.

How kutsanya kunotangira kuita zvinodhaka "Vals"? Mahwendefa vari kunyura asi nokukurumidza. Mushure 2 maawa pashure ingestion (maawa 5-6) vanotanga kuita yavo.

The mugumisiro mabiko "Valz" chinodhaka kazhinji kunotora mazuva. With nguva kurapa, kunonyanyisa tsika BP richikwidibira kuchengetwa chete pashure pemavhiki 2-4. Kana murwere pakarepo akamira kurapwa, asi kurega harimuki.

The pharmacokinetic ehupfumi zvemahwendefa

It wefodya nokukurumidza kurapa "Vals" (Mahwendefa)? Mirayiridzo Use rinoti kuti mushure mekugamuchira mari mukati inoti rakanaka zvakasimba Absorção de Água. The bioavailability zvinodhaka riri vanenge 23%. It rinozivikanwa Linear pharmacokinetic ehupfumi kuti valsartan.

Chinoshingaira mumiririri Pfungwa nani yakakwirira pamwero tichisunga kuti mapuroteni eplasma. reshiyo Izvi zvinosiyana mukati 94-97%.

Kana mahwendefa "Valz" kubvuma zvakare kinetic parameters havana kuchinja. Apo mumwe-nguva kwokubatsira mushonga pazuva murwere ane diki kuunganidza valsartan. The kuchengetwa ropa wevasungwa kuduku gidroksimetabolita vakaneta.

Pamusoro kugamuchira mushonga mu vanenge 83% yezviri fuma anoenda kuburikidza ura (ari bile), uye achiri 13% node itsvo hunoratidzwa.

zvairatidza

Sei mishonga "Vals"? Mahwendefa nevamwe neBP vari nokukurumidza uye pasina chinovhiringidza. Mukuwedzera, vari kugamuchira mu chisingaperi mwoyo kukundikana (ari kurapwa vasanganiswa) uyewo kuwedzera inodzivirira dziine vanhu vakapona chakasimba myocardial infarction.

Contraindications

In chii Muzviitiko havafaniri kutora mishonga "Vals" (Mahwendefa)? Nyanzvi Guest anoratidza zvinotevera contraindications:

• renal insufficiency (usabuda kupinda kwazvo), kusanganisira panguva kwemutemo hemodialysis;
• havachanyatsogoni chiropa basa, kwakaitika nokuda mhingaidzo ari biliary turakiti;
• panguva pamuviri;
• malabsorption kuti shuga kana galactose, lactose kusashivirira, galactosemia;
• kuyamwisa mwana;
• makore 18;
• kusashivirirana zvinodhaka zvinoriumba.

Zvinofanira kuzivikanwa kuti zvinodhaka "Valz" kushandiswa nokungwaririra kunyanyisa mune obstructive hypertrophic cardiomyopathy, hypotension, chikuru hyperaldosteronism, renal tsinga stenosis, hyperkalemia, mitral uye kutsemuka stenosis, hyponatremia.

Drug "Vals" (Mahwendefa): mirayiridzo kushandiswa

Usati tora mishonga, murwere vanofanira kuva nechokwadi kuti kuverenga rairo. Zvinokoshawo kuti bvunza chiremba wako.

Sei kutora zvinodhaka "Vals 80"? Mahwendefa chipimo chemushonga kwakadaro raitongwa varwere vane BP. Bvuma medicament anofanira kuzviita nemuromo kamwe pazuva, pasinei kudya.

Pashure pokutanga kurapwa hypotensive migumisiro rinoreva "Valz" anotanga kuoneka mune 2 weeks vokutanga. Mukuru mugumisiro zvinodhaka kunoitika munenge imwe mwedzi.

Kana zuva chipimo chemushonga zvinodhaka muna 80 MG pamusoro zvinozoita asina, ipapo yakawedzera kaviri.

Panguva kurapa murwere kungadiwa vose Anti-vane chirwere cheBP mishonga, kunyanya diuretics.

Sezvo mwoyo nokukundikana zvinofanira kutorwa, "Vals" (Mahwendefa)? Instruction kurevawo svikiro, anogovera kuti kana chirwere kwakadaro, kunyanya mune chirwere chimiro, murwere unofanira kutora 40 MG dose kaviri pazuva. Kana chipimo chemushonga ichi hachisi chinobudirira, zvino ari kuwedzera zvishoma nezvishoma kusvika 80 MG pamwe chete multiplicity.

In utano hwakanaka uye ari dose anogona ngazviwedzerwe 160 MG kaviri pazuva. Zvisinei, kubvira pakutanga kurapwa nguva kutamira kunonyanyisa chipimo chemushonga, zvinofanira kuva kwevhiki mbiri.

The kunonyanyisa chitsama mushonga pazuva iri 320 MG. Panguva iyoyo dose, "Valz" vanofanira kugara kukamurwa muzvikamu zviviri. Apo co-raitongwa pamwe diuretics, dzimwe nguva ipfupi.

Pakadaro, kana murwere kutambura munhu myocardial infarction, uye hemodynamic parameters vari kugadzikana, zvinodhaka kurapwa kutanga hapana papera pane maawa 12 pashure kurwisa.

Wokutanga mushonga yaunodya kunofanira kuva 20 MG kaviri daily. Zvishoma nezvishoma, zvakanzi yakawedzera kusvika 40 MG uye ipapo 80 MG. Pakazopera wechitatu mwedzi kurapwa, zuva nezuva dose anofanira kare 160 MG (akakamurwa 2 mishonga). Panguva iyoyowo, kukwidza naye, iva nechokwadi kuti kufungawo kubvumirawo zvimwe zvinodhaka.

Zviratidzo ovhadhozi

Chii zviratidzo ovhadhozi anogona kuitika apo "Valz" zvakaipa achitora zvinodhaka? Muzviitiko zvakadaro, munhu anenge ari kuderera simba BP. ezvinhu akadaro kakawanda kuti kuparara uye kurasikirwa chavanoziva. Ndezvokukurumidzira kuita gastric lavage uye kupa murwere neactivated charcoal. Uyewo, kana murwere nomutsinga raitongwa ovhadhozi kuti 0,9% yavaibvisa chloride mhinduro.

zvinodhaka kwavatori

Kutora zvinodhaka "Valz", zvinofanira kucherechedzwa kuti kutaurwa aiita mimwe mishonga asina mavara. Asi kana murwere ari panguva kutora mamwe antihypertensives uye diuretics, ari antihypertensive mugumisiro valsartan anogona yekudyidzana kuwedzera.

Ngozi hyperkalemia iri yakawedzera co-kwokubatsira nyaya Hwendefa potassium-kuuraya diuretics, potassium zvokuwedzera uye zvinoreva kuti vawedzere kugutsikana wawo plasma.

Kana tichishandisa medicament pamwe NSAIDs kunoderedza ayo antihypertensive kushanda.

Zvinofanira kucherechedzwa kuti pane uchapupu chepfu migumisiro uye reversible kuwedzera lithium wevasungwa muropa mukurapa mapiritsi "Valz" uye ACE FIs.

Maererano mirayiridzo, izvozvo anobvumirwa nokubatanidza nhau zvinodhaka uye nemimwe mishonga inoshandiswa kurapa mwoyo kutadza. Zvisinei, haugoni kushandisa chokushandisa ichi pachiimbwa ACE FIs uye Beta-blockers.

Zvokungwarira

Chii unofanira kuudza murwere usati varayire pake mushonga "Vals"? Mapiritsi ari kumanikidzwa (wongororo pamusoro pavo zvichakurukurwa pazasi) inofanira kutorwa chete mushure Urume vaenzane uye electrolytes mumuviri murwere ichadzorerwa. Zvinokurudzirwa kuti kuderedza dose pamusoro diuretics.

Kana munhu kwave renovascular neBP, zvakakodzera kupa naye nguva dzose richiona nezvezvabuda zviratidzi ose urea uye creatinine muropa.

Panguva mushonga ne "Valz", kunyanya mu chisingaperi mwoyo kukundikana, murwere anogona kudukupiswa BP. Saka zviri zvikuru kuramba richiona nezvezvabuda chakarurama ichi.

Mukubata iyi medicament tinganetseka kuchinja neitsvo.

Drug "Vals" (Mahwendefa) analogs uye mutengo

Anoreva zvakafanana pakati vaiona zvinoreva ndedzinotevera mishonga: "Valsafors" "Valsartan", "Diovan", "Valsakor", "Tantordio", "Nortivan", "Zentiva", "Tareg".

Kunewo analogs, zvakafanana mashandiro nezvaaiita. Izvi zvinosanganisira mishonga yakadai se "Aprovel", "Brozaar", "Bloktran", "Zisakar" "Losartan", "Irsar", "lackeys", "Kardost", "Teveten", "Makleodz" uye vamwe.

Mutengo mushonga pamberi pedu hakuna yakakwirira chaizvo. Mahwendefa 28 (40 MG), uchava kubhadhara anenge 150 rubles.

Testimonials

Varwere vakawanda kusiya nyaya dzinovaka pamusoro zvinodhaka "Valz." Vanoti mushonga unoshanda mukuderedza BP.

Mahwendefa Action anotanga kuratidza nokukurumidza chaizvo. Vanogona kuderedza kweropa parameters, nokudaro kuvandudza zvinonyatsorehwa ezvinhu omurwere.

In review, uye varwere vane zvakanaka nguva: nokukundwa chemabhazi kurapwa pasina kurega.