"Valz": tilmaamaha loo isticmaalo, iyo dib u eegis reading. Analog "Valza" cheap

hypertension halbowle - cudur malaayiin dad ah in aannu mar. Sanado badan, waxaan horumariyo boqolaal daroogada awood deg deg ah oo muddo dheer si ay u xaliyaan dhibaatada roobku in cadaadiska dhiigga, si gaar ah halis ah taas oo dhibaato hypertensive in aad si deg deg ah waxay keeni kartaa in stroke dhiigbaxa iyo dhimasho suurto galka ah ee qofka. Nasiib darro, walxaha oo dhan ina bogsiin karo, in degree ka weyn ama ka yar oo waxyeelayn kara. Tani waa run gaar ahaan daroogada, ee daroogada gaar ah "Valz" saameeya guud ahaan jidhka oo dhan. Sidaa darteed, waxaa mararka qaarkood loo baahan yahay in qaado analog ah "Valza" haddii aanay ku haboon oo xuduudaheedu qaar ka mid ah.

Description of diyaarinta

medicament waxaa soo saaray qaab kiniin biconvex gadood film dahaarka leh kula halista iyo kooxda-V on mid dusha calaamadeeyay. Color waxay ku xiran tahay content ee qayb firfircoon. Yellow muujinaysaa joogitaanka 40 ama 160 mg valsartan iyo casaan u dhiganta 80 mg ah ee firfircoon.

Qaybaha kaabayaal ah waxaa ka mid ah laktosmonohydrat lactose, cellulose mikrokristallin, sodium croscarmellose, milmahayn magnesium, K29-32 povidone, Rusheyn kartaa oo Silicon Kolloidol dioxide.

Daaweynta

Diyaarinta "Valz" waxa loola jeedaa vasodilators durugsan, i.e., ballaarinta xididdada dhiigga, waxay keenaysaa in hoos u dhac ku yimaadda cadaadiska dhiigga. saamayn Tan waxa u sabab qayb firfircoon - valsartan isagoo xanibaha gaarka ah ee angiotensin II AT1 receptor aan anada ACE oo aan saamayn ku xaddiga kolestaroolkaaga guud, tilmaamayaasha heerka glucose, acid uric iyo triglycerides.

Saamaynta hoose u muuqataa 2 saacadood ka dib isticmaalka daroogada ka dib, oo gaarey saamayn ugu badnaan 4-6 saacadood. Saamaynta daweynta waa awoodaa inuu socon wax ka badan 24 saacadood. kaniiniga si joogto ah u keenaysaa in ugu joogto ah loo cayimay cadaadiska dhiigga 2-4 toddobaad ka dib. Haddii aad u baahan tahay joojinta af lacagaha bixitaanka aan arkay.

hab of action

Ka dib markii maamulka afka yimaado nuugista degdeg ah oo ah walaxda firfircoon ku saabsan asalka ah ee heerarka kala duwan nuugid. tiradaasi bioavailability Absolute waa celcelis ahaan 23%. Ka dib markii maamulka afka, waxaa xidhana borotiinka plasma ku dhowaad 97%. Sida antagonist ah angiotensin II, walaxda firfircoon sababa ballaarinta darbiyada markabka dhiiga, taas oo horseedaysa hoos u dhac ku yimaadda cadaadiska dhiigga ku ah. Daawada waxaa looga baaraandegi by nidaam gaar ah enzyme 9 saacadood ka dibna wax soo saarka 70% tuubo xiidmaha, iyo 30% by isticmaalka foomka Nidaamka maloizmenennoy kaadida.

Maamulka dose hal maalin kasta keenta in raasamaal ah oo aad u yar oo ah walaxda firfircoon ee jirka.

Tilmaamayaasha

Diyaarinta "Valz H", taas oo analogues maamula at heley la mid ah, iyadoo la isticmaalayo:

• cadaadiska dhiigga ee sareeya,

• wadnaha chronic sida qayb ka mid ah daaweynta oo adag;

• ka dib markii Wadnaxanuun ba'an myocardial (maamula in muddada u dhaxaysa 12 saacadood ilaa 10 maalmood), qasan by dhacdo ee ventricular bidix failure, ventricular bidix cillad systolic heerka asalka ah xasiloonida hemodynamic ah.

sababo

Analogs "Valz" daroogada, sida uu ma waxaa loo isticmaalay:

• in diidmo inay qayb firfircoon ama walxaha kaabayaal ah,
• in cudurada beerka (gaar ahaan horumarinta cholestasis ama cirrhosis biliary);
• la leexashooyinkaasi ee noocyada kala duwan ee hawlaha kelyaha,
• marxaladaha kala duwan ee uurka iyo inta lagu jiro naas-nuujinta;
• in carruurta ka yar 18 sano;
• marka ay sabab u nuugeynin galactose galactosemia iyo dulqaad lactose.

cadaadiska dhiigga ee hooseysa, la'aanta ah ee content ee jirka ka mid ah sodium iyo potassium, laba geesood ah stenosis halbowlaha kelyaha, stenosis aortic iyo mitral, cardiomyopathy iyo hyperaldosteronism aasaasiga ah waxay u baahan yihiin isticmaalka taxadir ah "Valz" diyaarinta. analogues Ruush ayaa sidoo kale muuqaalada codsiga u baahan talo khabiir ujeedada daaweynta ammaan ah.

dhibaato

Sida nidaamka kasta, daroogo "Valz" waxay keeni kartaa dhowr ah oo saamaynta taban ka xubnaha kala duwan:

• aan caadi ahayn oo ka mid ah wadnaha iyo xididada dhiiga muujin kartaa hypotension orthostatic, dhif vaskulitis horumarisa ku filan, mararka qaarkood waxaa jira dhiig;
• halkii qabsiyada keeni aan caadi ahayn ee qaabka neefsashada, keenaya reflex qufaca,
• mararka qaar waxaa laga yaabaa in shuban, iyo xanuun caloosha,
• Saamaynta xun ee habka dareemayaasha dhici karaan vertigo postural, syncope, hurdo la'aan, neuralgia ama mararka qaarkood madax xanuun,
• neutropenia iyo Torombositobiiniya mararka qaarkood;
• cadaanyo;
• xanuun ama xakameenta murqaha dib, iyo sidoo kale arthritis iyo myalgia;
• marar badan daroogada waxay u egtahay inay ku buriyaan difaaca jidhka uu, taas oo u nugul cudurada viral (hogaga, pharyngitis, conjunctivitis);
• dhif u kacaya dareen daal chronic, asthenia, barar.

muujinta saamaynta waxay u baahan waxaa laga yaabaa in la wada dhakhtarkaaga si aad u doorato daawooyinka analoogga ah "Valz."

Qiyaasta iyo codsiga circuit

Qaadashada galay kiniin la mugga ku filan oo dareere ah, iyadoo aan loo eegin hadhuudhka ah. qiyaasta waxay ku xiran tahay sababta loo isticmaalo, tan iyo daroogada analogs "Valz H" "Valsakor" "Valsartan," "Valz" iyo kuwa kale oo loo isticmaali karaa oo keliya ma aha ee hypertension halbowlaha.

kiniiniyada ay maamusho ee dose oo ah 80 mg (waqti iyo waqti maalin walba) si loo yareeyo cadaadiska dhiigga. Saamaynta daweyn waqti isku mid ah si tartiib tartiib ah u kordhiyaa inta lagu jiro labada toddobaad ee ugu horreeya, oo gaarey muujinta ugu sareeya ka dib markii koorsada bil ah. Haddii qiyaasta this uma shaqeeyo, waxaa lagu kordhin karaa in 160 mg maalintii, si loogu daweeyo intan ka waxtar badan ee dhammaystira diuretics. Analoogga "Valza" - diyaarinta "Valz N" - ma u baahan tahay in lays sida, sida uu leeyahay ee ay ka kooban, marka lagu daro valsartan ka qayb firfircoon oo lagu durayo hydrochlorothiazide.

Iyadoo horumarinta wadnaha chronic (CHF) therapy waxaa bilaabay iyada oo qiyaas ah 40 mg by xilsaarayo 2 jeer ay maalin kasta. Haddii tarin aan arkay, bukaanka waxaa loo wareejiyey "Valz 80" - analoogga "Valz 40" daroogada sidoo kale laba jeer maalin kasta marka laguu ogolaado (dose ugu badnaan - 320 mg laba talaabo). Waxaa lagu dari karaa wakiilada kale ee loogu tala galay in ay ka gudbaan ee wadnaha chronic.

Against asalka ah Wadnaxanuun myocardial heer xasiloon oo therapy valsartan socodka dhiigga la bilaabi karaa 12 saacadood gudahood ka dib markii la xiray xaalad ba'an. Ka dhig kiniin Tani qeybtii "Valz 40" ee subaxda iyo fiidka, sii kordhaya si tartiib tartiib ah (muddo dhowr toddobaad ah) ka hor dose of 160 mg laba jeer maalintii, iyada oo qiyaasta 40 iyo 80 mg marayay, siday u kala horreeyaan. Janjeedha halka xaaladda bukaanka, heerka dulqaadka ay daawo. qiyaasta la badallo of 80 mg in ay soo saaraan toddobaadka labaad ee daawaynta, gaadho qiyaas 160 mg oo ah walaxda firfircoon dhamaadka bisha saddexaad ee therapy.

Bukaan la taahaya aan caadi ahayn ee kelyaha, laakiin KK ka badan 10 ml / min, dose sixitaanka la sameeyo. Bukaan-socodka isagoo ah aan caadi ahayn iftiinka iyo khafiif ah beerka (aan cholestasis, taas oo ka dhigaysa diyaarinta "Valz" analogs Ruush sidii shisheeye, aan tilmaamay), qiyaas la ogolyahay maalin kasta ee daawada la isticmaalo ilaa 80 mg ah ee firfircoon.

Features of codsiga

Tan iyo walax yahay sababo iyo waxyeelo ku filan, waa in la isticmaalaa si taxadir leh, xusayaan oo dhan talooyinka dhakhtarkaaga iyo hoggaansanaayeen adag in qiyaasta qoray, gaar ahaan haddii ay jiraan leexashooyinkaasi shuqulka xubnaha kale iyo hababka jidhka.

Haddii bukaanku leeyahay deficiency a fahmayaan sodium, oo ay weheliso hoos u dhac ku qoral ah (taas oo sabab u noqon kara soo dhaweynta ka mid ah tiro badan oo ah diuretics), daaweynta "Valz H" (analoogga "Valza") waxay keeni kartaa in loogu dhawaaqaa dhibic dhiig karka bilowgii aad u of therapy si xun u saamayn doonaa caafimaad ee bukaan-socodka. Si looga fogaado saamayn this ay goobjoog ka ahaayeen dhibaato noocan oo kale ah, waxaa lagama maarmaan ah ka hor inta isticmaalka lacagtaas si loo soo celiyo heerka elektrolytka iyo ratio ee jirka.

At renovascular cadaadis kacsantahay qor cabirka daruuri caadiga ah ee heerka of HOL iyo kariyaatiniin.

Co-maamulka ee daroogada ku jirto potassium ama cusbo ah sidii iyo sidoo kale wakiilada ka tirsan diuretics potassium-uubatooyin xunxun ah, waxay u baahan tahay si joogto ah isha content potassium ee plasma ah.

Isticmaalka daroogada "Valz 160" analogs oo in cudurkan lagu qorin oo lagu daweeyo bukaanada qaba wadnaha oo shaqadiisa gaba, wuxuu keeni karaa hoos u dhac ku cadaadiska dhiigga oo u baahan dhawrid ay qaab.

Waayo, bukaanka ka cabanaya hal ama laba geesood ah stenosis halbowlaha kelyaha, waxaa lagama maarmaan ah in la dhiso cabirka caadiga ah ee nitrogen HOL dhiigga iyo kariyaatiniin ee serum.

Inta lagu guda jiro daawaynta daawada this aad u baahan tahay in ay ka digtoonaadaan baabuur-wadidda iyo hawlaha kale, oo tilmaamayo kordhaysa fiirsashada of dareenka iyo xawaaraha uu cadaanyo ba'an.

Uurka iyo nuujinta

Isticmaalka Valz kiniiniyada ' "inta lagu guda jiro uurka iyo nuujinta waxaa gabi ahaan uu u. Tan waxa u sabab xaqiiqada ah in waxbarashada on saamaynta valsartan on uurjiifka aan la sameeyay. Si kastaba ha ahaatee, waxaa jira talooyin in ay sabab u formation perfusion-tiirsan gaar uurjiifka kelyaha nidaamka renin-angiotensin ah, uu bilaabo in ay ku shaqeeyaan oo kaliya in ay saddexda bilood ee ugu danbeysa uurka, walax embriyaha galaya socodka dhiigga waxaa ku weheliyay saamayn xun ku dul, gaar ahaan saddexda bilood ee labaad iyo saddexaad. Sidaa darteed, raadinta ee uurka waa calaamad muujinaysa lagu daaweyn jiray joojiyo "Valz" daroogada. Analogs, dib u eegista ku saabsan daaweynta fiican, soo qaado loogu talagalay dumarka jiraan heerar kala duwan oo uur ah, waa in dhakhtar oo kaliya. therapy ku filan u ogolaan doonaa, iyadoon dhibaato loo geysan ilmaha caloosha ku, si ay u caawiyaan bukaanka Adkaan Dhibkana.

Research on mudida ee qayb firfircoon oo caanaha naaska iyo mid aan jirin si ay dhacdo of xaaladaha u baahan in magacaabidda daroogada in la yareeyo cadaadiska dhiigga inta lagu jiro mudada of nuujinta, waxaa lagama maarmaan ah in la sameeyo doorasho u dhexeeya joojiyo daaweynta iyo la joojiyo naas-nuujinta.

badinta

ugu badnaan The qiyaasood oo la ogolaan karo ama la wadaago aan habboonayn ee noocyada kala duwan ee daroogada waxay keeni kartaa inay dawadu ka badato la walax this. Waxaa muuqato xaalad ah hoos lagu calaamadeeyay ee cadaadiska dhiigga, ilaa khasaaraha ka mid ah miyir iyo burburkii.

Daaweynta waa la dhimay si lavage gastric, hesho qadar ku filan oo kaabsal carbon shaqeysiin ama maamulka xididka of 0.9% xal sodium chloride.

Dhexgalka daroogooyinka kale

Isticmaalka daroogada "Valz", taas oo analogs leeyihiin habab la mid ah garoomada ka, waxay u baahan yihiin taxaddar halka dejinaya kooxaha kale ee dawooyinka.

Ashyaada ka tirsan of potassium uubatooyin diuretics iyo potassium supplements, cusbo ah oo dhanba, waxay ka dhigan tahay in la taageero in la kordhiyo heerka element raad ee plasma dhiigga (tus, "heparin") cadhaysiiyaan hyperkalemia.

Co-Maamulka daroogooyinka kale antihypertensive ama diuretics wanaajisaa saamaynta hoos u "Valz" daroogada. analogs Its sidoo kale is dhexgalka la mid ah.

Magacaabidda daawooyinka anti-bararka non-steroidal wiiqi laga yaabaa in saameynta antihypertensive.

Co-maamulka of celiyeyaasha ACE iyo daroogada oo ka kooban lithium keeni kartaa korodhka karo in fiirsashada of element raad ee plasma ah, ilaa horumarinta hannaanka sun.

Analogs of qayb ugu weyn

Si degdeg ah, qaar ka mid ah wakiilka firfircoon waa qayb ka mid ah "Valz" diiwaanka diyaarinta. waxaa Analogs on shuruudan, saameyn la mid ah oo jidhka ah - kiniiniyada "Valsafors" (Germany), "Valaar", "Valsakor" (Slovenia), "Valsartan" (Switzerland), "Diovan" (Switzerland), "Tareg" (Switzerland ), "Nortivan" (Hungary), "Valsartan Zentiva" (Czech Republic), "Tantordio" (India). shayga of saamaynta daroogada waa nidaamka renin-angiotensin ah.

Drug "Valz": kiniiniyada analoogga group pharmacological

hab waxa ay la xidhiidhaa blockers of angiotensin II receptors ku salaysan kuwaas oo daroogada dooran kartaa hab ay ugu la mid ah garoomada iyo saamaynta la muujiyey. Maanta sii daayay tiro badan oo facooda this daroogada, shirkadaha intooda badan shisheeye.

Tiro badan oo ah daroogo la macmalay oo ku saleysan losartan walax, mararka qaarkood isku dhafan oo hydrochlorothiazide ku durayo. Kuwani waa diyaarinta 'Cozaar', 'Gizaar "," Lorista "," Lozap daray "," Vazotenz "iyo" Prozartan ".

medicament The "Valz" - analoogga kiniin "Diovan", "Co-Diovan", "Exforge", "Valsakor" ee valsartan u firfircoon.

walaxda firfircoon waa eprosartan waa qayb ka mid ah preperatov "Teveten" iyo "Teveten Plus".

qayb telmisartan waxaa ku jira daawada "Mikardis" iyo "Mikardis lagu daray."

qayb ka qayb irbersartan diyaarinta "Aprovel" isagoo muhiimadda caalamiga ah.

Praparat "Valz H": dhigooda Ruush

Ka mid ah daroogada qoyska ka tirsan kooxdan pharmacological la takooro kartaa wakiilka hypotensive "Angiakand" oo ka kooban sida candesartan firfircoon. Soo saaray daroogada this ee shirkadda Moscow "Kanonfarma". Waxaad ku iibsan kartaa qiimo ka 400 700 rubles, ku xiran tahay content ee qayb firfircoon iyo tirada kaniiniyada halkii pack.

Wakiilka kale oo suuqa dawooyinka Ruush waa hab ka mid ah "Bloktran", oo ku salaysan losartan walaxda firfircoon. Soo saaray shirkadda "Pharmstandard" ee Kursk ah. Farmasiyada laga iibsan karaa 150-200 rubles halkii pack gudahood.

Waxaa loola jeedaa (analoogga ee "Valza") oo dhan kale la mid ah in ay, waxay leeyihiin saamayn isku mid ah iyo hufnaan sare oo noo ogolaadaa in ay ku talinaynaa isticmaalka yaraynta cadaadiska dhiigga. Waxaa laga yaabaa in muuqdaan qiimaha jiidasho leh "Bloktran" daroogada, laakiin ma waxaad ku saleeyaan kartaa doorashada oo keliya kharashka, waxaa lagama maarmaan ah inay tixgeliyaan waxtarka daawada, joogitaanka dhacdooyinkan gurracan, iyo arrimo kale oo badan, si doorasho ay tahay in si gaar ah loo aaminay in xirfadlayaasha.

Sayidka, taas vasodilators group pharmacological muujisay waxtarka wanaagsan in hoos u cadaadiska dhiigga ku saabsan asalka heerka filan hoose oo waxyeelo. Faa'iidooyinka diyaarinta "Valz" iyo analogs ay sidoo kale la xidhiidhaa maqan ee astaamaha u-barashada, awood u leh inay helaan kaniinka hal jeer maalintii (doorbidayaa waqti isku mid ah), maqnaanshaha of talaabo wadareed fahmayaan.