"Tenorik": ndemanga za madokotala. Mapiritsi a kuthamanga

Kugwiritsa ngati mankhwala, monga "Tenorik"? Bwerezani mankhwala akhoza kusiya chilichonse. Kudzera mauthenga amenewo ndi madokotala ndi odwala akhoza kuona mmene medicament anati, kaya amachititsa zochita mbali ndipo ngati kupirira ntchitoyo.

M'nkhaniyi tiona kulongosola mwatsatanetsatane katundu ndi mbali "Tenorik" mankhwala. Unikani mtima kutenga malamulo dokotala wake, kudzakhala pang'ono m'munsi.

The zikuchokera, mawonekedwe, maonekedwe, ma CD

Kukonzekera "Tenorik" (100, 50 mg) ndi akugulitsa loyera mapiritsi zozungulira ndi biconvex mawonekedwe ndi mzere yopuma.

Kapangidwe ka mankhwala lili awiri yogwira zosakaniza: chlorthalidone ndi atenolol. Komanso, vesi ili lili zigawo zina zimene anapereka ku mtundu wa chimanga wowuma, sodium lauryl sulphate ndi lactose, polyvinylpyrrolidone, talc, silika, magnesium stearate ndi isopropanol.

Sitingathe kunena kuti mapiritsi "Tenorik" (a review za chida ichi, mungathe kuona kumapeto kwa nkhani) okutidwa ndi ❖ kuyanika wapadera filimu. Amakhala methylene enaake, isopropanol, talc, hypromellose, titaniyamu dioxide, macrogol ndi mafuta Vaselini.

Tatenga ankaona mankhwala akhoza kukhala mapaketi chithuza kapena n'kupanga miyala 28 kapena 100.

Asatayike mankhwala Zamgululi

Kodi mankhwala "Tenorik"? Malangizo ntchito (mankhwala mtengo si kwambiri) akusimba kuti kuphatikiza antihypertensive wothandizira, okhoza chifukwa yaitali hypotensive kwenikweni.

The efficacy wa mankhwala pansi kulingalira mosamalitsa zochita za zigawo 2, kapena kani diuretic (chlorthalidone) ndi beta1-adrenergic blocker (atenolol).

katundu Ofunika

Otchedwa atenolol cardioselective beta1-blocker. The luso kusankha mankhwala amachepetsa ndi kuwonjezeka mlingo wa mankhwala. Atenol alibe Kakhungu mkati ofunika ndi zotsatira sympathomimetic. Basi beta-blockers, ali oipa zotsatira inotropic ndipo kwambiri kubweza ndalama mtima.

Koma chlorthalidone, ndi diuretic (sulfonamide netiazidny). Imeneyi timapitiriza kusankha zinthu monga chlorine ndi sodium wochuluka. Komanso chigawo ichi kumawonjezera katulutsidwe wa bicarbonate, magnesium ndi potaziyamu. Mfundo kanthu ake antihypertensive amagwirizana ndi excretion ndi sodium.

Atenolol osakaniza okodzetsa mtima kwambiri kuposa ntchito iliyonse mwa zigawo izi payokha.

Action ankaona mankhwala anakhalabe tsiku lonse (pambuyo mlingo umodzi mu mlingo tsiku).

The kinetics wa mankhwala

Chifukwa mankhwala "Tenorik" analogs, mtengo wa zimene pansipa, ndi njira ophatikizana kuganizira katundu kayendedwe aliyense wa mankhwala yogwira payokha.

Atenolol ndi chosakanikirana ndi 40-50% ku mundawo m'mimba. ndende yake pazipita kukufika pambuyo maola 4 pambuyo ingestion wa phale. Kulankhulana ndi mapuloteni pafupifupi 8-16%.

Atenolol si poyera kuti yowala kagayidwe anafotokoza mu chiwindi. 90% ya mankhwala odzipereka excreted zikutsatiridwa kwa maola 8-9. Nthawiyi akhoza zochuluka kulephera aakulu aimpso, kuyambira kuchotsa atenolol anachita ndi impsozo.

Koma chlorthalidone, ndi 60% odzipereka kwa mundawo m'mimba. The plasma ndende anafika pazipita pambuyo maola 12. Kulankhulana ndi mapuloteni pafupifupi 75%.

Chlorthalidone anasonyeza impso maola 50.

zikuonetsa

Kuchokera ankaona mankhwala kuthamanga zimathandiza bwino. Kwenikweni, wolumikizira oopsa, ndipo ndi lalikulu, mwinanso umboni okha ntchito.

contraindications

Tsopano, inu mukudziwa, cholinga chimene awerenge "Tenorik" mapiritsi (zosonyeza kuti mankhwala awa anali kuperekedwa pamwamba). Koma, mwatsoka, pali imatengedwa mankhwala ndi mndandanda chidwi cha contraindications. Iwo ali osavomerezeka kutenga:

• cardiogenic mantha;
• pheochromocytoma;
• bradycardia (anafotokoza khunyu);
• matenda aakulu kupezeka zotumphukira;
• hypotension (poti chaukali);
• kagayidwe kachakudya acidosis;
• AV-anatseka misewu 1 ndi digiri 3;
• SSS;
• mphumu mwapang'onopang'ono;
• mtima kulephera (onse pachimake ndi aakulu);
• shuga;
• vasospastic angina (Prinzmetal a angina);
• gout;
• obstructive matenda;
• pachimake chiwindi;
• hypoglycemia;
• aimpso kulephera mu mawonekedwe pachimake;
• pansi zaka 18;
• myasthenia gravis;
• hypersensitivity kuti popanga mankhwala.

Kodi kutenga "Tenorik" ku kuthamanga kwa magazi?

odwala wamkulu kutenga mankhwala sing'anga analimbikitsa mlingo wa 100 mg. Mlingo woyambilira wa mankhwala ayenera 50 mg tsiku lililonse.

Monga okalamba, mankhwala "Tenorik" iwo amawatumiza zedi ngakhale ang'onoang'ono.

Odwala ntchito mkhutu aimpso ndi zofunika kuchepetsa pafupipafupi kutenga mankhwala.

Iwo ayenera kukumbukira kuti pambuyo ntchito yaitali mankhwala pansi review, Kulipira ake chofunika kuchita pang'onopang'ono.

zotsatira zoyipazi

Phwando "Tenorik" Mapale imfayo zotsatirazi zochita mbali:

• bradycardia, kuchuluka mtima kulephera, m'makona ozizira, orthostatic hypotension, arrhythmia, AV-chipika, zizindikiro za claudication likukulira, syndrome Raynaud ndi ;
• chisokonezo, ulesi, mutu, kuyerekezera zinthu m'maganizo, psychosis pachimake, paresthesia, mmene alili, chizungulire, kufooka, kusowa tulo, disorientation, amaona masomphenya;
• youma pakamwa, kuchuluka chiwindi transaminases, a m'mimba, hepatotoxicity ndi cholestasis intrahepatic, kapamba, nseru, kudzimbidwa, matenda a anorexia;
• leukopenia, purpura, thrombocytopenia, eosinophilia, agranulocytosis;
• alopecia, zochita psoriasiform, msozi, exacerbation wa psoriasis, photosensitivity, totupa pakhungu;
• bronchospasm, hyperuricemia, hypokalemia, hyponatremia;
• mkhutu shuga kulolerana, ndi kuchuluka kwa chitetezo antinuclear, yafupika potency.

zotsatirapo zimenezi n'zochepa ndi wofatsa.

analogues Price

mapiritsi mtengo "Tenorik" ndi 110-120 rubles. Iwo akhoza m'malo mankhwala monga "Atenol", "Dinorik" kapena "Tenoret".

Ndemanga za mankhwala "Tenorik"

Unikani mphamvu ya chida akhoza kusiya chilichonse. Malinga ndi odwala ndi madokotala, ubwino waukulu chida awa:

• mogwira mtima;
• mtengo wotsika.

The kuipa mankhwala monga:

• mosavuta tsitsi imfa ndi chitukuko cha mpheto (chisamaliro yaitali);
• Mwina yatsoka a khunyu.