Mankhwala "Betagestin" kuchokera vertigo. "Betahistine": malangizo ntchito, mtengo, ndemanga

Kodi mankhwala "Betahistine" (mapiritsi)? Malangizo ntchito, ndemanga, mafotokozedwe ndi katundu wa mankhwala omwe anapereka m'munsimu. Komanso angakuuzeni zimene chida ulipo kuti, mmene ndalama, ngati ali zovuta zilizonse ndi contraindications.

The zikuchokera, mawonekedwe kufotokoza ndi

mawonekedwe kutulutsidwa kwa mankhwala amodzi - mapiritsi. Komabe, zilipo yosiyana ndalama ya mankhwala yogwira:

• Valium woyera mapiritsi zozungulira mawonekedwe zaikidwa Mlingo wa yogwira pophika (betahistine dihydrochloride) - 8 mg.
• Oblong ndi biconvex piritsi ndi Mlingo anamaliza m'mbali zaikidwa wa yogwira pophika (betahistine dihydrochloride) - 16 kapena 24 mg.

Pamene zosakaniza wothandiza deta mawonekedwe muli ndi sodium lauryl sulphate, sodium croscarmellose, microcrystalline mapadi, magnesium stearate ndi citric acid.

The kanthu pharmacological mankhwala

Kodi mankhwala "Betahistine?" Malangizo ntchito (mtengo wa mankhwala amene ali m'munsi) akusimba kuti mankhwala ndi analogue a histamine, amene analengedwa synthetically.

Yogwira pophika mapiritsi angathe kumafuna histamine H-3 ndi H-1 maselo (amphamvu ndi muzikangana ofooka) CNS (i.e., zolandilira wa mtima vestibular komanso makutu).

Pambuyo mankhwala yomweyo amakhudza magazi, kulimbikitsa kukondoweza kwa microcirculation ndi permeability wa capillaries mkati khutu. Komanso yogwira zikuluzikulu za medicament amatha ziziyenda kuthamanga mu endolymph cochlea.

Chifukwa chakuti "Betahistine" ndi woletsa wa H 3 zolandilira mtima dongosolo vestibular, ali ndi zotsatira kutchulidwa pa CNS. Choncho, mankhwala ankaona limakhazikitsa kufala (okhudza mitsempha) manyuroni mu phata vestibular.

Ndi mlingo woyenera wa mankhwala, iye amatha mofulumira zokwanira kuthetsa zizindikiro za vertigo vestibular. Nthawi kukhudzana wa pophika yogwira mankhwala ranges ku mphindi zochepa kuti tsiku lina.

Zonse wambiri wa mankhwala moyang'aniridwa ndi dokotala amachepetsa zochitika za chizungulire, amachepetsa akulira ndi kulira m'khutu, ndi kubweretsa kumva mu kuwonongeka ake.

mankhwala alibe sedation ndipo sayambitsa chisokonezo kugwirizana.

katundu pharmacokinetic

Mankhwala "Betagestin" kuchokera vertigo imatsala mofulumira ndi kwathunthu. Wake woipa pachimake magazi akwaniritsa m'ma 65 Mphindi pambuyo kutenga kusala kudya.

The yogwira thunthu la medicament kugwirizana ndi mapuloteni kuti osachepera 5%.

Linachokera ndi mankhwala metabolize kuti metabolites anafooka - demetilbetagistina acid 2-pyridylacetic. Kupha pafupifupi mankhwala kumachitika pa tsiku kupyolera impso (90%). Kwa otsala 10%, iwo anasonyeza intestine lapansi.

zikuonetsa

Mankhwala "Betagestin" kuchokera chizungulire anatumizidwa odwala zambiri. Komanso, mankhwala ntchito zochizira matenda Meniere a, komanso kuthetsa phokoso m'khutu, nseru, tsankho kumva imfa ndi mgwirizano chakhungu.

Tikumbukenso kuti matendawa Meniere ndi kuwawonetsera monga matenda Makutu ndi vestibular amene kale anati anthu. Komanso angayambe mawonekedwe a sitiroko pachimake. syndrome Meniere a ali Mwina mkulu wa musabise pafupipafupi.

contraindications

Tsopano inu mukudziwa zolinga zimene mankhwala ntchito "Betagestin". Kuyambira vertigo izo amapulumutsa bwino. Komabe, mankhwala pali contraindications. Sitiyenera mankhwala kwa anthu ndi pheochromocytoma.

Popeza mankhwala yogwira ndi analogue kupanga a histamine, ntchito zake zimachititsa kuti amasulidwe makatekolamaini, womwe kumabweretsa matenda oopsa kwambiri.

Iwo ayenera kukumbukira kuti chipangizo cha "betahistine" Mapale ali contraindicated odwala ndi hypersensitivity ku chigawo yogwira ntchito, kapena kuti excipients ina mkati zikuchokera mankhwala.

malangizo mankhwala

Mankhwala "Betagestin" kuchokera vertigo ayenera kumwedwa bukuli motsata malangizo amaperekedwa.

• Mlingo kwa odwala wamkulu.

"Betahistine" mapiritsi kutumikiridwa pa mlingo wa 8 kapena 16 mg wa katatu patsiku (pachiyambi cha mankhwala) pamodzi ndi chakudya kapena pambuyo. The yokonza mlingo zimasiyanasiyana mankhwala 24-48 mg wa patsiku (pa nzeru ya adokotala).

Mlingo tsiku la mankhwala sayenera kuposa 48 mg. Ndi uphungu wodwala onse payekha. Nthawi zina kusintha kwa chikhalidwe chake zingaoneke kokha pakatha milungu yochepa.

• Chithandizo cha anthu ndi mtima, impso ndiponso kulephera chiwindi.

Kwa odwala ndi amenewa diagnoses mankhwala "Betahistine" Akhozanso kusankha yekha ndikatha kumfunsafunsa dokotala.

• Chithandizo kwa okalamba.

Mu ukalamba, mankhwala ayenera mankhwala mosamala kwambiri. Ichi ndi chifukwa chakuti mu gulu la odwala pali imabwera kwambiri mavuto pa chamoyo kuti zinthu wothandiza ndipo akugwira ntchito, zomwe zili mbali ya miyala.

• Chithandizo cha ana ndi achinyamata.

Mankhwala "Betagestin" kuchokera vertigo si Kwalamulidwa kwa ana ndi achinyamata (pasanathe zaka 18). Ichi ndi chifukwa cha kusowa efficacy ndi chitetezo deta mankhwala.

Nthawi cha mankhwala osokoneza bongo

Ngati ambiri osokoneza "Betahistine" ena odwala amaonetsa zizindikiro monga nseru, mutu kupweteka, kupweteka kwa m'mimba ndipo kusinza (tikadwala mlingo mpaka 640 mg).

Komanso, odwala amadandaula omangana, kusanza, dyspepsia, ndi ataxia.

Kuti mupewe mavuto aakulu kwambiri monga mavuto a mtima ndi m'mapapo mwanga (anaona ndi ambiri osokoneza mwadala).

Chithandizo - kutsuka m'mimba mwa Mphindi 60 pambuyo utsogoleli.

zotsatira zoyipazi

Si odwala onse kutenga mankhwala "Betagestin", angakhale nayo nkhawa.

Madokotala inanena kuti chiwonetsero cha zochita chowawa pamene mukumwa mankhwala ena aliwonse wodwala kungatanthauze kusinthasintha kwa mankhwala atsopano. Pa nkhani imeneyi, onetsetsani kukaonana ndi dokotala anu pamaso kusiya mankhwala.

Zotsatira Common mbali sanaphe "betahistine" anati munthu odwala khumi. Mndandanda wa zotsatira ambiri chowawa monga zizindikiro monga:

• kusokonezeka m'mimba (zambiri kumachitika pamene kumwa pamaso chakudya);
• ambiri malaise;
• kusapeza kapena bloating;
• mutu (mukhoza kutenga mankhwala othetsa ululu, koma atakambirana titani katswiri a);
• thupi lawo siligwirizana pa khungu mu mawonekedwe a kuyabwa ndi zidzolo (ayenera kutenga mankhwala a antihistamine kapena mafuta vuto m'madera moisturizer).

Ngati malangizo pamwamba sititenga kuthetsa mavuto, wodwala ayenera kuonana ndi dokotala.

Mtengo wa mankhwala

Price "Betahistine" Mapale angakhale osiyana ndi zimadalira kuchuluka kwa mankhwala mu phukusi. Mankhwala pa mlingo wa 24 mg wa zikhoza kugulidwa kwa 60-65 rubles. odwala ambiri amakhulupirira kuti ndithu otsika mtengo mankhwala.

Ndemanga za mankhwala

Ndemanga za "Betahistine" chiphunzitso ndi losanganikirana. Ena odwala matenda aakulu mtima mapiritsi nthawi zonse. Komabe, iwo si nthawi zonse kuthetsa mutu ndi chizungulire.

Ndipo mthunzi ndi chenicheni ndemanga za medicament zikusonyeza kuti pamafunika ntchito yapadera.

Choncho, pamene wina ntchito molakwa mankhwala "Betahistine" mwamsanga kubwezeretsa thanzi la wodwalayo, pamene winayo M'malo mwake, alibe zotsatira akufuna, koma kuchepetsa maonekedwe zizindikiro.