"Biprol": muujinaya in loo isticmaalo, diiwaanka, dhigooda dhabta ah. Laga soo bilaabo wixii ka caawisaa "Biprol"?

cudurada wadnaha waa meel ugu horeeysa ka mid ah cudurada kale. Waxay ku xanuunsado kun oo Russia. Laakiin waxa ka caawisaa "Biprol". Waxa uu ka hortagtaa horumarinta cudurka, yaraynaysaa wadne oo la awoodi karo.

foomka Release iyo halabuurka

cudurka wadnaha iyo dhiig weelasha - si markaas ka caawisaa "Biprol". Diyaarinta waa la fuliyay in Kiniin-dahaarle. walaxda firfircoon u dhaqmo fumarate bisoprolol at dose of 5 iyo 10 mg.

Sida maaddooyinka oo dheeraad ah waa: galleyda, cellulose mikrokristallin, aerosil, crospovidone, iyo ludipress milmahayn magnesium. qolof ka kooban tones polyetylen, hypromellose, Rusheyn kartaa, titanium dioxide, tropeolin O.

pack kartoonka waa 30 ama 50 kiniin.

guryaha pharmacological

Daawada iska xushay beta1-blockers, waxa uu leeyahay maya hawl sympathomimetic kala go'lahayn oo aan cilmiga la siiyey guryaha xuub xasilinta.

fumarate Bisoprolol yaraynaysaa renin plasma yaraynaysaa baahida loo qabo myocardial for oxygen, iyo sidoo kale garaaca wadnaha nasan ama inta lagu guda jiro jimicsi. Waxa uu leeyahay antihypertensive, antiarrhythmic iyo guryaha antianginal. At uruureen hooseeyo horjeeda qalabka wadnaha β1-adrenoceptor yaraynaysaa catecholamines shaqeysiin formation xeradii reer ATP iyo hadda ee udhigo calcium gudaha unugyada. Sida loo isticmaalo qaabab sare, oo muujinaysa beta2-adrenoceptor xanibeen guryaha.

Total iska caabin dhuumaha ugu sarreeya bilowga isticmaalka kiniiniyada, gaar ahaan maalintii ugu horraysay, soo baxdo, laakiin 1-3 maalmood ka dib soo gaaray gobolka asalka ah, iyo iyadoo la isticmaalayo dheer - hoos.

hantida Hypotensive qeexan yihiin hoos u dhac daqiiqadii xaddiga dhiigga, hawshooda u madaxbannaan oo ka mid ah xididdada dhiigga durugsan, yaraynaysaa waxqabadka dhismaha renin-angiotensin-aldosterone ah. dib u dhiska lagu gartaa of nuglaato in ay hoos u cadaadiska dhiigga iyo raadka ay ku yimaada habdhiska dhimirka. Marka korodhka cadaadiska dhiigga ah ayaa lagu arkay natiijada hoose 2-5 maalmood iyo xasilin gobolka 30-60 maalmood ka dib.

hantida Antianginal lagu muujiyay si loo yareeyo baahida oxygen myocardial ay sabab u tahay hoos u dhac in garaaca wadnaha iyo contractility muruqyada, la kordhiyo diastole iyo horumarka ee perfusion myocardial, iyo sidoo kale sabab u ah in la kordhiyo cadaadiska diastolic ee ku dhameysteen qof ee ventricle bidix iyo in la kordhiyo barti muruqa labada intraventricular.

dabeecad Antiarrhythmic la xidhiidha lacagta saarin sababaha arrhythmogenic kordhay xerada, iyo hoos u of excitation ectopic wadayaasha laxanka sanka iyo deceleration AV-qaban.

Isticmaalka daroogada ee qaadasho daweynta dhexdhexaad ah ma leeyahay sida saamayn xooggan xubnaha la receptors β2-adrenergic. Daawada uusan saamayn ku lahayn lacagta shiid carbohydrate iyo istaago wax soo saarka ee udhigo sodium jidhka ka. qaadasho sare ee medicament joogsada nooc hoosaad β-adrenoceptor.

Sharaxaad ku qorani ka mid ah sifooyinka fumarate bisoprolol muujinaysaa faahfaahsan ka caawisaa "Biprol".

Pharmacokinetics

"Biprol" daroogada kala diray in mareenka caloosha iyo mindhicirka by 80-90%. At ay nuugista aan la saameeyeen cunto qaadashada. tirada ugu badan oo ah walaxda firfircoon ee dhiigga ku arkay 1-3 saacadood ka dib. Xarunta borotiinka dhiigga ku dhacaa 30%. In tiro yar oo ah qayb firfircoon si ay u dhexgalaan iyada oo dhiig-maskaxda iyo caqabad mandheerta, tiro yar waxaa raaca in caanaha naaska aadanaha.

Waxaa la metabolized beerka. Qeybtii -. Half 10-12 h oo ah walaxda firfircoon tagaa beddelin kaadida, iyo 2% - la bile.

Laga soo bilaabo wixii ka caawisaa "Biprol"

Daawada waxaa loogu hypertension. In la kordhiyo hypertensive muhiim ah oo joogto ah ee dhiig-karka. tilmaamo "Biprol" loo isticmaalo, waana in cudurka halbowlaha wadnaha, kaas oo inta badan loo isticmaalo ujeeddooyin ka hortagga in stroke.

sababo

Waa in la qaataa si adag hoos daawada caafimaad "Biprol". Tilmaamayaasha ay isticmaalka sida kor lagu sharaxay, oo hadda ku saabsan sababo. Kuwaas waxaa ka mid lama filaan ah ee asal ahaan kala duwan, oo ay ku jiraan cardiogenic. Waxaad ma qaadan kartaa kiniin inta lagu guda jiro burburkii, iyo barar sambabada. Mamnuucidda waa ba'an iyo chronic wadnaha, iyo marxaladda II-III ee AV-block. Contraindication waa ogaanshaha of buka syndrome sanka, cardiomegaly, bradycardia, hypotension, halbowlayaasha iyo angina Prinzmetal. Ma aha qoray daroogada qalab bronchopulmonary neefta, cudurada sanbabada obstructive qaab chronic iyo helitaanka MAO. Waxaad ma isticmaali karaan dadka qaba cudurada of wareegga durugsan, in pheochromocytoma, marka uu jiro a aysiidh dheefshiidka, qof ka yar siddeed iyo toban sano jir. Oggol yahay in bukaanada qaba diidmo wakiilka firfircoon iyo waxyaalo kale oo ka mid ah daroogada.

Iyada oo daryeel kuu qori "Biprol" in dadka buka laga soo gooyay beerkii failure, iyo sidoo kale dadka qaba kelyaha chronic qaab bukaan laga daweeyay gravis iyo tayroodh. Digniin waa in ay qofka qaba cudurka macaanka, waxaan degree AV-go'doominta iyo bukaanka qaba niyad-jabka. Kaliya ee kiisaska gaarka ah, waxaa lagu qoray in dadka qaba cudurka psoriasis, iyo da'da hawlgabka ah.

Tilmaamaha loogu isticmaalo

Waa in la ogaadaa in isticmaalka daawooyinka muujinaya "Biprol". Kiniiniyada ka cabbi calool madhan subaxdii. Iyagu ma ay calalin iyo hoos u biyo ku maydhay.

medicament The in loo isticmaalo 5ml mar maalin kasta. Haddii ay lagama maarmaan tahay, qiyaasta waxaa kordhay ilaa 10 mg, kaas oo cabbi hal mar maalintii. Habeenkii aad qaadan kartaa ugu badnaan 20 mg.

Dadka qaba nidaam oo yaraada kelyaha shaqo, iyo sidoo kale bukaanka qaba cudurka beerka dose ugu badnaan waa 10 mg maalintii.

xaalado gaar ah

Waa in la sameeyo kormeer caafimaad joogto ah bukaanada isticmaala "Biprol". Laga soo bilaabo wixii ka caawisaa daawada ayaa kor lagu sharaxay, oo hadda sida ay u daawadaan xaaladda bukaanka, la cabo kiniinka kuwan. First of dhan, waa in la sameeyaa cabbirka heerka garaaca wadnahaaga iyo cadaadiska, tirooyinkan waa mid aad u muhiim ah bilowga ah ee daaweynta. Bukaan-socodka sameeyo wadnaha ah, iyo in shakhsiyaadka qaba sonkorowga qaado tijaabo dhiig ah heerarka glucose. In dadka waayeelka ah ay ula socdaan xaaladda nidaamka kelyaha.

Baaro shaqada dibadda ee neefsashada in bukaanka qaba taariikh cudurrada sambabada.

Bukaan-socodka waa in ay isu bartaan sida loo tiriyo inta jeer ee garaaca wadnaha, iyo haddii heerka ka yar 50 garaac daqiiqaddiiba, waa inaad raadsato gargaar caafimaad.

In koorsada of therapy yarayn kartaa wax soo saarka ee dareeraha jeex, taas oo waa in ay tixgeliyaan heysata of contact lenses. In dadka daawada cudurka macaanka waxay qarin karaan tachycardia xanaajiyeen hypoglycemia. Daawada uma siyaadiyo dhaca marka la isticmaalayo hypoglycemia insulin oo aan la xakameeyo magdhowga fiirsashada glucose si heer ee heerka dhiigga.

Ka hor inta hawlgalka daroogada waa la joojiyay laba maalmood ka hor suuxinta guud. Haddii bukaanka ayaa weli loo isticmaalo kiniin ah qalliinka ka hor, daawada suuxinta waa in ay leeyihiin guryaha inotropic xun ugu yar.

Dadka qaba cudurada bronhospasticheskimi xanibaha cardioselective qoray at isticmaalka aan habboonayn ee kale wakiilada antihypertensive. Iska badinta cadhaysiiyaan bronchospasm.

dadka waaweyn ee leh bradycardia iyo hoos u muuqata in cadaadiska dhiigga, fiirsashada AV-Go'doominta of qayb firfircoon waa la yareyn ama la therapy si buuxda u dayn iyadoo la isticmaalayo "Biprola". Jooji dawada loo baahan yahay iyo haddii ay dhacdo bukaan xaaladda murugada.

Ha joojin daawaynta haddii ay jirto halis ah in horumarka arrhythmia si daran, iyo Wadnaxanuun myocardial. Waayana ka daroogada waxaa si tartiib tartiib ah yaraynta heerka muddo 14 maalmood ah. Kiniiniga burin ka hor, haddii baaritaanka la qorsheeyay shaybaarka kaadida iyo dhiigga Normetanephrine, catecholamines, iyo wixii la mid ah. D.

waxyeellooyin

Waa in la isticmaalo oo kaliya on daawada caafimaad "Biprol". Isticmaalka loox qaadashada badan lagu taliyey iyo cudurada, taas oo isticmaalka daawooyinka waxa ka mamnuuc ah, taasoo keentay in muuqaalka kore ee waxyeellooyin.

Marka therapy muddo dheer arkay daal, madax xanuun, daal, hurdo la'aan, niyad-jabka, wareer, dhalanteed, walaaca, gariirka, asthenia, oo laga daweeyay gravis. In bukaanka qaba cillad ah qalab ka la daawado, ayaa muujiyay in hoos u of dheecaan ka ilmaysiisa, qallayl-dhaafka ah ee indhaha iyo xanuun. Waxay u muuqataa conjunctivitis.

Marka daaweynta bukaanka ku qoran: bradycardia sanka fuula, xad-dhaaf ah wadnaha iyo tabinta myocardial, iyo AV-block, arrhythmia, xaalad sii xumaanaysa ee dhibaatada bukaanka laga kaafi wadnaha qaab joogto ah. Mararka qaarkood waxaa jira daciifaan ah contractility ku myocardial iyo hoos u cadaadiska dhiigga, hypotension orthostatic qaab, xanuun sternum ah, syndrome ah oo la socday koror xooggan ee angina iyo halbowlaha tilmaame cadaadis.

Waxaa jiray afka xad-dhaaf ah oo qalalan, shuban, lallabo, xanuun caloosha, calool-iyo wixii la mid ah .. Mararka qaarkood, sanka oo xirma iyo neefsashada oo dhib noqota ayaa go'an. Mararka qaarkood bukaan walwalsan ah oo ku saabsan xasaasiyadda ee foomka of finan, cuncun iyo finan. Waxaa jiray dhidid xad-dhaaf ah, epidermis barrar, finan, psoriasis.

badinta

Xoog u talineysa qiyaas u dhakhtarkaagu kuu qoray marka la qaadanayo daawada "Biprol" diiwaanka. Reviews sheegaya in daroogada taas waa istaahilaa dareenka. Isagu waa hufan oo jaban, laakiin haddii aad isticmaasho qiyaas ka badan wixii la magacaabay, waxaa laga yaabaa in calaamadaha xad dhaafka ah. Waxaa loo muujiyay qaab arrhythmia, arrhythmia of ventricular dabiiciga ah, bradycardia cad. Overdosing keeni kartaa AV-Go'doominta calaamadeeyay hoos u dhac ku cadaadiska dhiigga, wadnaha oo shaqadiisa gaba, dhiigrooraan saxan ciddiyaha, bronchospasm, qalal, dawakhaad, neefsashada oo dhib noqota.

In case of lavage gastric badinta iyo ka dhigi adsorbents qoray. Calaamadaha muuqda. Haddii ay jiraan AV-block, ka dibna dhigi 1-2 mg ah atropine, kaas oo lagu bedeli karaa epinephrine ama ku rakibidda pacemaker ku meel gaadh ah. Cadaadis la dhimay, aadanaha halbowlaha kaalinta booska Trendelenburg iyo xal plasma-badalaa waxaa intravenously maamulo. In wadnaha oo shaqadiisa gaba talinaynaa diuretics, glycosides ama glucagons. In gariir maamulo "Diazepam" caawin bronchospasm by neefsasho.

xaaladaha Kaydinta iyo nolosha shelf

Waxa uu la taliyaa ma aha in aad codsato daawada "Biprol" tilmaamaha loo isticmaalo ka dib taariikhda uu dhacayo. Analogs waa la awoodi karo oo waxaa laga heli karaa farmashiye kasta.

nolosha shelf ee daroogada waa saddex sano laga bilaabo taariikhda of-soo-saarka. Daawada waa in lagu kaydiyaa meel qabow iyo mugdi geli karin in ay carruurta heerkulka a ma ka sareeyaa +25 ° C.

"Biprol": dhigooda

Haddii daroogada hal sabab ama mid kale ha ku rakibin jirkaaga, halkii waxaa suurtagal ah in la helo daroogada la guryaha la mid ah. Bedel "Biprol" (analogues la mid ah oo isaga ugu qayb firfircoon iyo tallaabada yihiin) waa suuragal ah keliya marka la tashanaya dhakhtarkaaga daawooyinka soo socda: "Tiresias", "Aritel", "Niperten", "Bidop", "Coronal", "Bisogamma", "Kordinorm "" Bisoprol "" Concor ". Farqiga u dhexeeya hab u yahay oo keliya in qiimaha iyo soo saare.

qiimaha

Qiimaha daroogada wuxuu ku saabsan yahay 150 rubles 30 kiniin oo 10 mg. Dragees 5 mg kharash ah oo ku saabsan 80 rubles per 30 gogo '.

Kurtumm

In ku dhow xaaladaha oo dhan bedeli karaan dhigooda "Biprol". Reviews ku saabsan daroogada tani waa inta badan wanaagsan. Dadka qaarkood waxay door bidaan in ay bedeli asalka ah, sida ay leedahay dhibaato badan. Kuwa weli go'aansaday inuu aqbalo "Biprola" daroogada si fiican loo dulqaatay. Waxaa la xusay in ay ku oolnimada sare iyo natiijo wanaagsan. Waxaa jira bukaan kuwaas oo bedelay iyagoo laga keeno "Concor".

Khubarada si fiican ugu hadlin oo ku saabsan daawada. Waxaa la sheegay in uu si fiican yahay oo Fayda Xumaanta angina iyo dhif sababa waxyeelo. Asal ahaan, waa madax xanuun.

"Biprol" - mid ka mid ah hab ugu caansan oo wax ku ool ah. Marka si fiican loo maamulo iyo dhaqmayo adag ee fariimaha dhakhtarka oo dhan waxa uu siiyaa saamayn deggan oo waara.