Xav txog cov lus qhia thiab tshuaj xyuas rau Ramazid N. Cov tshuaj no tau muab cais ua tus neeg sawv cev kho mob nrog kev sib xyaw ua ke. Nws yog haum rau normalizing ntshav siab nyob rau hauv cov neeg mob. Cov khoom xyaw tseem ceeb ntawm cov tshuaj no yog hydrochlorothiazide thiab ramipril.
Composition
Cov khoom tseem ceeb ntawm cov tshuaj uas tau nthuav tawm yog ramipril thiab hydrochlorothiazide. Cov tshuaj ntxiv yog ntsev ntawm sodium carbonic acid nrog rau cov mis nyuj qab zib, croscarmellose thiab pob kws hmoov nplej (cov hmoov txhuv nplej siab). Kev tshuaj xyuas ntawm "Ramazid N" yuav nthuav tawm thaum kawg ntawm kab lus.
Ib yam qauv
"Ramazid N" yog tsim los ntawm cov ntsiav tshuaj. Cov xim ntawm cov tshuaj yog dawb, thiab lawv cov duab yog oval. Ntim hom: blister. Cov tshuaj no yog ua nyob rau hauv ob koob tshuaj:
- Cov tshuaj ramipril yog 2.5mg thiab hydrochlorothiazide yog 12.5mg.
- Ramipril 5 mg thiab hydrochlorothiazide 25 mg.
Cov tshuaj hauv nqe lus nug yog tsim los ntawm Icelandiclos ntawm Actavis.
khoom yam khoom
Cov tshuaj ramipril yog cais raws li angiotensin-hloov enzyme inhibitor. Cov tshuaj no ua rau kom lub plawv dhia, txo tag nrho cov hlab ntsha peripheral, normalizes lub siab nyob rau hauv cov hlab ntsha thiab cov hlab ntsha pulmonary. Ntawm lwm yam, cov tshuaj tau piav qhia txo qhov tsim ntawm aldosterone nrog rau kev poob ntawm cov poov tshuaj. Cov tshuaj nyob rau hauv nqe lus nug pib ua ib thiab ib nrab teev tom qab noj. Raws li txoj cai, cov nyhuv ntawm kev kho mob tseem nyob mus ib txhis. Qhov no tau lees paub los ntawm cov lus qhia thiab tshuaj xyuas rau Ramazid N ntsiav tshuaj.
Cov khoom xyaw thib ob, hydrochlorothiazide, suav tias yog thiazide-hom diuretic, nws lub luag haujlwm tseem ceeb yog inhibit qhov nqus ntawm chloride, sodium, potassium, magnesium thiab dej ions. Nws thaiv kev tawm ntawm calcium thiab uric acid los ntawm lub cev.
Cov txiaj ntsig feem ntau yog ua tiav vim qhov txo qis ntawm cov ntshav ncig, kev hloov pauv hauv vascular reactivity, nrog rau kev nce hauv kev ntxhov siab ntawm cov hlab ntsha. Cov tshuaj no pib ua hauj lwm ib los yog ob teev tom qab noj cov ntsiav tshuaj, cov nyhuv kho ntawm nws kav li ntawm rau mus rau 24 teev. Nyob rau hauv cov xwm txheej ntawm kev noj cov tshuaj tas li hauv nqe lus nug, qhov ntim ntawm myocardium hauv lub cev txo qis, cov txheej txheem ntawm gluing platelets txo, lub plawv dhia tau zoo nrog rau cov ntshav khiav. Raws li kev txheeb xyuas, "Ramazid N" yog qhov zoo heev.
YPharmacokinetics
Cov khoom tseem ceeb, ramipril, tuaj yeem nqus tau hauv ob mus rau plaub teev. Cov txheej txheem ntawm assimilation ntawm hydrochlorothiazide yuav siv sij hawm, raws li txoj cai, los ntawm ib mus rau tsib teev. Cov khoom xyaw nquag no khi rau plasma proteins los ntawm 73%, thiab cov khoom thib ob, uas yog hydrochlorothiazide, los ntawm 65%. Kev tshem tawm ntawm cov tshuaj tshwm sim los ntawm lub raum. Lub sij hawm ntxuav lub cev yog los ntawm tsib mus rau kaum plaub teev.
Cov lus qhia rau kev siv
Ramazid N ntsiav tshuaj tsuas yog siv yog tias cov neeg mob muaj ntshav siab. Cov tshuaj no tsim nyog siv rau cov neeg mob uas tau muab tshuaj ua ke nrog ramipril thiab hydrochlorothiazide.
Kev qhia noj thiab tshuaj
Raws li txoj cai, kev kho mob nrog cov tshuaj Ramazid N pib nrog qhov tsawg kawg nkaus. Yog tias tsim nyog, qhov ntim ntawm cov tshuaj tuaj yeem maj mam nce mus rau qhov siab tshaj plaws (10 mg ntawm ramipril thiab 25 mg ntawm hydrochlorothiazide ib hnub). Qhov ntim ntawm cov tshuaj no yog siv kom txog rau thaum qhov ntsuas qhov siab yuav tsum tau mus txog.
Yog tias tus neeg mob tau txais cov tshuaj diuretics, ua ntej pib kho, koj yuav tsum txo lawv tus lej lossis tso tseg tag nrho. Feem ntau, tus kws kho mob xaiv cov koob tshuaj rau txhua tus neeg mob ib tus zuj zus, nyob ntawm seb hom ntshav siab npaum li cas hauv tus neeg mob thiab nws qhov xwm txheej raug coj mus rau hauv tus account. Cov tshuaj yog noj ib hnub ib zaug, nyiam dua thaum sawv ntxov. Nws yuav tsum tsis txhob chew los yog crushed.
Kev sib tham nrog lwm cov tshuaj
Nws yog qhov zoo dua kom paub koj tus kheej nrog kev tshuaj xyuas ntawm Ramazid N ntsiav tshuaj ua ntej. Cov nyhuv ntawm tus kws kho mob pom zoo yog txhim khoCov tshuaj kom normalize ntshav siab, nrog rau vasodilators, barbiturates, phenothiazine tshuaj, tricyclic antidepressants thiab ethyl cawv.
Kev noj ntsev, siv cov tshuaj vasopressor-type sympathomimetics, cov tshuaj uas tsis yog-steroidal anti-inflammatory, indirect antithrombotic tshuaj, thiab cov tshuaj uas muaj clofibrate yuav txo tau cov nyhuv ntawm kev noj cov tshuaj no. Kev siv "Ramazid N" thiab cov tshuaj uas muaj cov tshuaj lithium siab ua rau cov khoom sib txuam hauv lub cev.
Side effects
Raws li kev tshuaj xyuas ntawm Ramazid N, tus kws tshuaj hauv nqe lus nug tuaj yeem ua rau mob taub hau rau tib neeg nrog rau kev nruj hauv lub tuam tsev. Thaum kho, cov neeg mob yuav muaj kev phiv los ntawm kev txo qis hauv cov ntshav siab, orthostatic vau, lub plawv dhia ceev, lub raum tsis ua haujlwm thiab txo cov zis tso zis.
Ntxiv rau, cov tsos mob ntawm migraine, tsis muaj zog thiab tsaug zog, ntxhov siab vim, ntau yam kev ua haujlwm ntawm kev hnov lus, pom, tactile thiab olfactory kab mob, kev sib txawv ntawm kev ua haujlwm ntawm cov hnyuv thiab daim siab tsis suav nrog.
Raws li kev tshuaj xyuas, lub cev tuaj yeem hnov mob rau Ramazid N ntsiav tshuaj nrog xeev siab, mob lossis tsis xis nyob hauv thaj tsam epigastric, hnov qhov ncauj qhuav, ua tsis taus pa, ua pob, khaus ntawm daim tawv nqaij, photosensitivity, mob leeg, ua npaws thiab lwm yam. Nws yuav tsum raug sau tseg tias tag nrho cov kev mob tshwm sim saum toj no ncaj qha nyob ntawmtus yam ntxwv ntawm lub cev ntawm tus neeg mob.
YContraindications
Cov tshuaj hauv nqe lus nug tsis pom zoo siv rau kev siv tiv thaiv keeb kwm ntawm cov mob thiab kab mob hauv qab no:
- Nyob rau hauv lub xub ntiag ntawm angioedema thiab raum pathologies.
- Nyob rau hauv kev kho rau lub raum.
- Tawm tsam keeb kwm yav dhau los ntawm kev txhim kho stenosis ntawm aorta lossis mitral lub plawv valve.
- Yog tias koj muaj cardiomyopathy, Conn's syndrome lossis gout.
- Tsis txaus cov poov tshuaj thiab sodium hauv cov ntshav.
- Tawm tsam keeb kwm yav dhau los ntawm cov calcium ntau dhau hauv lub cev.
- Nyob rau 18 xyoo.
- Thaum tus neeg intolerance rau cov tshuaj uas yog ib feem ntawm cov tshuaj nyob rau hauv nqe lus nug.
- Thaum cev xeeb tub. Nws yog nruj me ntsis txwv tsis pub noj "Ramazid N" thaum cev xeeb tub thiab thaum pub niam mis.
Ntau tshaj
Raws li kev tshuaj xyuas ntawm Ramazid N cov ntsiav tshuaj siab, kev noj tshuaj ntau dhau ntawm cov kws kho mob tau piav qhia hem cov tsos mob ntawm cov tsos mob hauv qab no ntau dhau: txo qis ntshav siab ntau, lub plawv dhia tsis muaj zog, tsis muaj zog thiab poob siab, dryness hauv qhov ncauj kab noj hniav., dej thiab electrolyte sib npaug. Raws li ib feem ntawm kev pab thawj zaug, tus neeg yuav tsum tau muab tso rau hauv txoj hauj lwm supine, thiab tom qab ntawd nws cov ceg qis yuav tsum tau tsa.
Nyob rau hauv qhov xwm txheej ntawm qhov mob me me, cov neeg mob tau txais cov txheej txheem gastric lavage nrog rau kev noj tshuaj sorbents. Nyob rau hauv lub xub ntiag ntawm hnyavCov xwm txheej, cov neeg mob raug kho hauv tsev kho mob.
Kuv yuav tsum paub dab tsi txog tshuaj?
Muab lus qhia ntxiv txog cov tshuaj no:
- Thaum noj zaub mov ua ke, tus nqi ntawm kev nqus ntawm cov tshuaj tau piav qhia txo qis.
- Kev siv tshuaj ua ib feem ntawm kev kho kom txo tau qhov kev tiv thaiv qhov ncauj.
- Cov neeg laus yuav tsum noj cov tshuaj no nrog kev saib xyuas zoo.
- Ramazid N yog tshuaj noj.
- Nws muaj kev cuam tshuam rau kev tsav tsheb thiab kev ua haujlwm cuam tshuam nrog kev cuam tshuam nrog cov txheej txheem nyuaj.
- Thaum pib noj cov tshuaj, yuav tsum tau kuaj xyuas lub raum ua haujlwm tsis tu ncua.
Cov lus qhia tshwj xeeb
Ib txhia yuav tsum tau saib xyuas thaum muab tshuaj no rau cov neeg mob uas noj zaub mov tsis muaj ntsev (vim tias muaj kev pheej hmoo ntau ntxiv ntawm kev mob ntshav siab). Cov tsos mob hypotension tuaj yeem tshwm sim hauv cov neeg mob uas muaj ntshav tsawg (raws li kev kho diuretic) thaum lub sij hawm lim ntshav, ntuav thiab raws plab.
Nyob rau hauv cov neeg mob uas tau txais kev phais loj lossis tau txais lwm yam tshuaj uas ua rau txo qis thaum lub sij hawm siv tshuaj loog, ramipril tuaj yeem ua rau muaj kev cuam tshuam ntawm kev tsim angiotensin vim yog cov txheej txheem tso tawm renin. Yog hais tias tus kws kho mob muab cov tsos mob ntawm cov ntshav siab rau cov txheej txheem hais, ces tus mob no yuav tsum tau kho los ntawm kev ua kom lub ntim ntawm cov ntshav plasma.
Arterial transient hypotension tsis yog ib qho kev txwv rau kev kho txuas ntxiv tom qab kev tswj xyuas siab. Nyob rau hauv cov kev tshwm sim ntawm ib tug rov tshwm sim ntawm ib tug pronounced txo nyob rau hauv cov ntsuas, cov koob tshuaj yuav tsum tau txo los yog cov tshuaj yuav tsum tau txiav tag nrho.
Cov Cai thiab cov cai ntawm kev cia
Cov tshuaj yuav tsum tau khaws cia kom deb ntawm lub hnub ci thiab nws tseem tsim nyog txwv tsis pub menyuam yaus nkag mus rau nws. Xws li cov khoom yuav tsum tau muab cia rau hauv qhov chaw qhuav ntawm qhov kub txog 25 degrees. Nws lub neej txee yog peb xyoos.
Price
Nyob rau hauv Russia, rau 30 ntsiav tshuaj nrog ib koob ntawm 2.5 mg ntawm ramipril + 12.5 mg ntawm hydrochlorothiazide, koj yuav tsum tau them ib tug nruab nrab ntawm 400 rubles. Txhua yam nyob ntawm thaj tsam.
Analogues
Yog tias xav tau, koj tuaj yeem hloov cov tshuaj tau piav qhia nrog lwm cov tshuaj. Piv txwv li, ntawm nws cov analogues nws tsim nyog hais txog "Amprilan" nrog rau "Khartil-D", "Aritel Plus", "Bisangil", "Renipril", "Triamtel", "Enalapril N", "Akkuzid", "Simartan N. ", "Enap", "Micardis", "Lizoretic", "Lodoz", "Coaprovel" thiab lwm yam. Raws li kev txheeb xyuas, analogues ntawm "Ramazid N" ua haujlwm tsis zoo dua.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias, yog tias tsim nyog, cov tshuaj hloov pauv tsuas yog muab los ntawm kws kho mob raws li tus kheej tus yam ntxwv ntawm tus neeg mob lub xeev kev noj qab haus huv.
Kev tshuaj xyuas txog Ramazid N
Nyob hauv Is Taws Nem, ntawm ntau qhov chaw thiab cov rooj sab laj, tsis muaj ntau cov lus hais txog cov cuab yeej no. Tab sis cov neeg uas raug kev txom nyem los ntawm ntshav siab thiab puas tau noj cov tshuaj "Ramazid H 2, 5" qhia nyob rau hauv lawv xyuas txog nws.kev ua tau zoo, thiab tib lub sijhawm hais txog qhov cuam tshuam sai rau lub cev.
Qhov tsis zoo ntawm cov ntsiav tshuaj tau piav qhia, cov neeg siv khoom suav nrog ntau qhov sib txawv ntawm qhov sib txawv thiab qhov tsis zoo, nrog rau kev txwv tsis pub noj cov tshuaj no rau cov poj niam cev xeeb tub thiab lactating.
Qee tus sau tias tom qab sau ntawv rau lawv, cov tshuaj no, hmoov tsis, tsis haum, tawm tsam keeb kwm ntawm nws txoj kev siv, cov kev mob tshwm sim tshwm sim nyob rau hauv daim ntawv ntawm xeev siab thiab kev tsis zoo ntawm kev noj qab haus huv. Cov kws kho mob, dhau los, tawm tswv yim txog cov xwm txheej zoo li no nrog kev xav tau hloov "Ramazid N" 2.5 mg.
Hauv kev tshuaj xyuas, tib neeg kuj tau hais tias cov tshuaj no, ntawm qhov tsis sib xws, ua haujlwm zoo nrog lub siab, thiab yog li cov neeg mob tuaj yeem siv tau ntau xyoo thiab ua tiav cov txiaj ntsig kho mob xav tau. Raws li kws kho mob, ntau nyob ntawm lub cev, yog li qee tus noj cov tshuaj no, thaum lwm tus yuav tsum xaiv cov analogues.
Raws li tau tshaj tawm nyob rau hauv kev tshuaj xyuas ntawm Ramazid N, yog tias cov tshuaj tsim nyog, nws tuaj yeem haus dej haus tau ntev, pab kom muaj kev zoo siab, ua kom lub siab ib txwm muaj, thiab cov kev mob tshwm sim tsis thab txhua.. Yog li, feem ntau hauv cov lus koj tuaj yeem nyeem tau tias cov tshuaj no ua lawv txoj haujlwm. Lawv tsis ua xua rau cov neeg mob feem ntau.
Qee tus neeg yws tias cov tshuaj no raug nqi me ntsis ntau dua li Lavxias teb sab counterparts, tab sis ntau tus neeg ntseeg tias nws yog qhov zoo dua los them me ntsis ntxiv rau qhov zoo kom ua tiav cov txiaj ntsig kho mob xav tau. Nws tseem raug sau tseg tias cov tshuaj no tsis loj thiabnqos yam tsis muaj teeb meem. Qhov no tau lees paub los ntawm kev tshuaj xyuas ntawm Ramazid N 5 mg / 25 mg. 30 ntsiav tshuaj ib pob yog yooj yim heev.
Yog li, cov tshuaj yog ib qho tshuaj ua ke tsim nyog rau kev kho mob ntawm arterial hypertension. Kev noj cov tshuaj tsis tu ncua pab tswj ntshav siab thiab muaj cov nyhuv diuretic. Cov cuab yeej muaj ib tug xov tooj ntawm contraindications, uas yuav tsum tau paub ua ntej pib kho. Qhov no tuaj yeem ua tiav los ntawm cov lus qhia rau kev siv. Kev tshuaj xyuas ntawm Ramazid N yuav tsum tau nyeem ua ntej siv.
