"Kalchek": aʻo no ka hoʻohana 'ana, analogs, hōʻike manaʻo

He aha oe e ike mua ka hoʻohana 'ana i kēia lāʻau', like "Kalchek"? Na Ke Kumu no ka hoʻohana ana i olelo mai ai 'koi heluhelu. Ma ia oe, e imi i na nāʻikepili a me contraindications no ka hana o kēia lāʻau ', e like me loaʻa mai ina ka mea, i kekahi analogues a me kaʻaoʻao' ole.

Ka palapala o ka la hoomalolo, haku mele 'ana a me ka hāʻawe

Anei oe i ke ano o ka mea e hiki ke kuai i ka lāʻau "Kalchek"? Na Ke Kumu no ka hoʻohana hoʻomaopopo 'o ia iā mākou i ka lāʻau mea i loaʻa ma ka papa palapala wale. I ka haku mele 'ana o ka medicament ka loaʻa o ka hana' Oponopono e like me amlodipine besylate (5, 2,5 a 10 mg). Me ka pili ana i nā waiwai, a laila e loaʻa dibasic kalipuna posapahate, ke kulina pia, paʻakai pia glycolate, hoomaemaeia talc, colloidal ka silica i a me ka makanekiuma stearate.

Nā papa i blister (10 pcs.), Ka mea i hoonoho iho i loko o ka pahu i ka pepa.

Ke pharmacological waiwai o ka 'inikua mea

Pehea ke ano o ka ka lapaʻauʻia "Kalchek"? Na Ke Kumu no ka ho ohana i hākālia nō ia i ka lāʻau 'mea he e wae kalipuna Kanal blocker o ka 2nd papa. He mea antianginal, antihypertensive, vasodilating, a me antispasmodic 'ole. Lāʻau lapaʻau 'ikamu hookomoia i loko o ka haku mele' ana o kēia Agena, hiki o ka paleʻana i ka pele o ke kalipuna Ion i loko o vascular ala apuupuu Muscle keena.

Anati-hypertensive waiwai o ka lāʻau ma muli i kona kauoha nanea wale ai ma vascular ala apuupuu Muscle. Me ka pili ana i ka Anati-anginal hookoia, ke medicament ma ka nīnau mea hiki ke hoʻonui arterioles (ʻike ākea). A laila, i kēia hiki aku ai i ka emi ma kaʻike ākea vascular ia'ku, i ka huli hele aku ai a hiki i ka emi ana ma myocardial koi no ka O ₂ (oxygen).

Naʻe, ka mea e e hoʻomaopopo i kekahi manawa i ka hana o kēia 'o ia hoʻi ka lako o ka oxygen, ma ka mea ku ole, mahuahua. O ke kumu ho i? Anoe? O ka coronary arteries (e laʻa me, vasospastic angina).

It E e hoʻomaopopo i ka papa "Kalchek" ole adverse 'ole ma o ka lipid haku mele' ana o ke koko. Ka mea, e komo antithrombotic a me ka antiatherosclerotic haʻawina, hoonui i ke kānana kōmi (glomerular), a hoi i ka bland natriuretic hopena.

Ma diabetic nephropathy lāʻau mea,ʻaʻole hiki ke hoʻoulu microalbuminuria.

Ke pharmacokinetic waiwai o ka lāʻau

ʻAuhea ke omo o ka lāʻau "Kalchek"? House poe akamai i paipai i ke omo o ka lāʻau ua loko mai o ka digestive'āpana (ma kahi o 90%). Kona nui lehulehu i loko o ke koko ma hope o 7-12 hola. Ke bioavailability o ka lāʻau i kahi o 63-65%.

Kaʻeleu lāʻau waiwai komo iloko o ke koko-lolo ke'ākeʻakeʻa mai, a ua excreted me ka umauma o ka waiu. Amlodipine biotransformed ma ke akepaʻa (AEeOEXAaI metabolites i hana).

I ka ua hoʻololiʻia auoiaea o ka emi o 10% o ka hoʻomanaʻo. Me ka pili ana i ka AEeOEXAaI metabolites, ka mea i hōʻike 'ia i loko o ka nui o ka 60% ma ka mimi, a ma kahi o 20-25% e intestinal a pu me ka bile.

nāʻikepili

Ma ka maʻi i ka hoomanawanui huaale "Kalchek" hiki ke lanakila? Na Ke Kumu no ka hoʻohana (like i ka hoʻopololei i hoikeia ma lalo nei) hoʻolako 'ike ma luna o nā kēia nāʻikepili:

• lio angina;
• lolelua ka angina;
• Arterial hypertension (hoʻohana like me ka monotherapy a ma ka hui pu ana, Inc me ACE nā mea kūpale, thiazide diuretics, Hoʻokolohua ole, alpha blockers);
• angina angiospastic (a no laila, i kapaʻia-Prinzmetal angina).

Contraindications

Ma ke alo o kekahi ano o ka hoʻomanawanui e ole e hoakaka ia huaale "Kalchek"? Na Ke Kumu no ka hoʻohana loaʻa ka mea kēia contraindications:

• arterial hypotension;
• Hypersensitivity i ka papa kuhikuhiEʻeleu waiwai lapaʻauʻia.

Ua E hoi e kaulana i hiki ole ai ka lāʻau e hoʻohana no ka hoʻomanawanui iki mai ka mea i ka hypersensitivity e dihydropyridine nā mea loaʻa.

Uluwehi O "Kalchek": kauoha no ka hoʻohana

Papa "Kalchek" angina a me ka hypertension e lawelawe i loko o ka laʻau heluna o 5 mg no ka lā. Inā pono, hiki e mahuahua i 10 mg.

Hoʻomanawanui iki mai me diagnosed like dilated cardiomyopathy, lapaʻau ua hoʻomaka 'ia me dosages o 2,5 mg no ka lā. Inā ka lāʻau ua kŘpa a maikaʻi tolerated, he mea hiki no ke kiʻekiʻe o hoʻonui i ka mahele lāʻau (ole e oi aku 10 mg no ka lā).

Ma ka noi o nā papa e like me ka hapa o ka pu Inc me ka Hoʻokolohua-blockers, thiazide diuretics a ACE nā mea kūpale hoʻoponopono o ka dosing regimen ua koi 'ia.

Na hoailona o ka overdose a me ka lapaʻau kaʻina

He aha nō nā'ōuli o ka overdose ana i ka wa a ka hewa mahele lāʻau o ka lapaʻauʻia "Kalchek"? Analogues a me ka lāʻau iho hiki i hai hypotension. I lapaau i ka hoʻomanawanui e e haawiia i ka papamoe kulana, a me iki e hapai i kona mau wāwae. Eia hou, i ka pono, e kākoʻo i ka hana ana o na ipu naau a me ke koko, ka mālamaʻana nā hoailona o pulmonary hana o ka'ōnaehana, i ka hooponopono ana o ka diuresis a me BCC.

ua haawiia mai e hoihoi vascular leo hoomanawanui i ka vasoconstrictor ai '. E hoʻopau i ka hopena o ke kalipuna Kanal blockade, i ka hoʻomanawanui ua lawelawe (i.v.) kalipuna gluconate.

lāʻau hana kūleʻa

I ka wā hoʻokahi huaale "Kalchek" a me ka "Warfarin" i ka lāʻau 'aʻole i mea hou i loko o prothrombin manawa i ola ka poeikohoia o ka ikaika ke keka.

Ka wā e hoʻohana na ka noʻonoʻo medicament, a me ka lapaʻauʻia "Digoxin" Aia i Uaʻaʻohe loli i loko o ke koko lehulehu o ka hope, a me konaʻaʻa puʻuwaiʻae.

I ka wā hoʻokahi aaieieno? O ai ' "Kalchek" a me ka "Cimetidine" i ole ia ma ka pharmacokinetic waiwai o amlodipine.

Hāpai keiki, a lactation

Ina he mea hiki i lactation a me ka gestation hana? Eaia "Kalchek" papa? Na Ke Kumu no ka hoʻohana 'ana, maoli kauka hōʻike aku i ka hopenaʻoi loa a me ka maluhia o keia k i hāpai keiki a me ka umauma-e hanai ana oia i kou kamaiki ua i hoʻonohoʻia.

ʻaoʻao 'ole o ka lāʻau

He ahaʻaoʻao waiwai hiki i huaale "Kalchek"? Na Ke Kumu no ka hoʻohana 'ana i kēia mea paahana keʻae i ka mea i kona hookohu ia i i hua'ōlelo i makemake reactions i loko o ke kino. ka oi aku a pau mawaena o lakou, i ka mea penei:

• Na moku a me ka naau, pokole o ka hanu, palpitations, a me ka wela flushes.
• ʻO ko mākou hopohopo'ōnaehana (ʻike ākea, a Central): naʻau i loko loli, pōniuniu, Muscle cramps, headache, blurred hihiʻo, drowsiness, asthenia, luhi, a me ka paresthesia myalgia.
• Digestive'āpana: abdominal eha, dyspepsia, cholestatic jaundice, nausea, mahuahua ma transaminases (ake).
• Skin: erythema multiforme, pruritus, wikiwiki.
• Other: gingival hyperplasia, gynecomastia, mahuahua alapine (frequency) o ka urination, impotence a me ka nani.

Special ao no ka loaa ana i ka lāʻau '

He aha ke ano o nuances noʻonoʻo i ka lāʻau e ike mua oe e lawe aku i ka lawe ana i ka papa "Kalchek"? House kilo'ōlelo aku nei au i ka pono e hoʻohana i kēia ka lapaʻauʻia me ka lōʻihi mālama nui i ka poʻe i hoʻopōʻino ake papa, e like me ka naʻau o ka hoʻokō 'ole (maʻi) a me ka aortic stenosis.

I ka wā hoʻokahi? Eaia o ka lapaʻauʻia "Kalchek" me ka 'ole-steroidal konohiki, nitrates, antibiotics a me hypoglycemic lapaʻauʻia (ku una ha) me ke kūʻokoʻa.

I ka hana o ka lapaʻau pono o ka lāʻau i loko o kahi mau keiki liilii ua nalowale.

Papa "Kalchek" i ole ia i ka hoʻomanawanui ka hana, e kipaku aku i kekahi kaʻa.

Terms a me na kumu o ka pūnaewele o ka lāʻau

E hoomakaukau ai "Kalchek" (5, 10 a me 2,5 mg) pono e waiho i loko o ke anu, maloo, pouli wahi mai o ka loaa ole o na keiki uuku. Ke holopapa ola o na papa he 2 makahiki.

Reviews o ka lāʻau lapaʻau huina hoonui, a me ka waiwai e lilo aku o kona analogues

He aha e puku i kahi mea paahana e like me "Kalchek"? mea i loaʻa i loko o aneane pau drugstores Analogs o keia k. Mawaena o ka loa e like me ka Luna loaʻa nā kēia medicaments: "Agen", "Tenoks" "adipic", "Stamlo", "Akridipin", "Omelar Cardio", "Amlo", "normodipin" "Amlodipine" "Norvasc" "Amlovas", "Amlorus", "Norvadin", "Amlodigamma", "Cordy Kol", "Amlodhi", "Korvadil", "Amlodifarm", "Karmagip", "Amlokard-Sanovel", "cardilopin", "Amlong" "Vero Amlodipine", "Amlotop", "Amlonorm".

He aha ka ke kāki o na dala? Ka awelika kumukuai o ka lāʻau, he 175-190 Lūkini rubles (5 mg, 30 papa).

Me ka pili ana i ka manaʻo o nā mea maʻi, ka mea, ua maikaʻi no ka hapanui loa. E like me ka poe i loa pili i ka oihana lapaau, ia ka pono hakakā me ka angina a me ka hypertension. Ua E hoi e kaulana i ka nui helu o nā mea maʻi hauʻoli, a me ka mea i keia k ua kŘpa a maikaʻi tolerated e ia. 'Oiai, ma kekahi hihia o ka Akala a "Kalchek" nō iʻaoʻao' ole e like me headaches, abdominalʻeha, pōniuniu, nausea a allergic reactions ma luna o kaʻili.