Tshuaj "Citramon Ultra" - tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob raws li kev sib xyaw ua ke.
Cov khoom tseem ceeb ntawm cov tshuaj no yog acetylsalicylic acid, caffeine thiab paracetamol. Cov tshuaj yog tsim los ntawm Lavxias teb sab kws lub tuam txhab PharmVILAR. Daim ntawv muab tshuaj - zaj duab xis-coated ntsiav tshuaj: biconvex, oblong, nrog rounded xaus, ntawm ib sab - txaus ntshai, plhaub - lub teeb xim av, core - dawb. Lub thawv ntawv muaj 5, 6, 10, 15 lossis 20 ntsiav tshuaj hauv cov hlwv thiab cov lus qhia siv.
Cov khoom ntxiv hauv Citramon Ultra yog: hydroxypropyl methylcellulose, colloidal silicon dioxide, qos starch, microcrystalline cellulose, crospovidone, citric acid, lactose monohydrate monohydrate, stearic acid, polyethylene glycol. Zaj duab xisLub plhaub muaj cov khoom nram qab no: polyvinyl cawv, Opadry II (series 85), macrogol, talc, titanium dioxide, hlau oxide (dub, liab thiab daj).
Pharmacological action
Raws li tau qhia hauv cov lus qhia, "Citramon Ultra" yog cov khoom siv kho mob sib xyaw ua ke, cov teebmeem uas yog vim cov khoom ntawm cov khoom tseem ceeb:
- Acetylsalicylic acid: muaj cov tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob, pab txo qhov mob, tshwj xeeb tshaj yog cuam tshuam nrog cov txheej txheem inflammatory, thiab tseem pab txo qis platelet aggregation, txo qhov muaj feem ntawm thrombosis thiab normalize microcirculation nyob rau hauv mob foci.
- Paracetamol: muaj cov tshuaj tua kab mob, tshuaj tua kab mob thiab tsis muaj zog tiv thaiv kab mob, uas yog vim muaj kev cuam tshuam ntawm cov tshuaj no ntawm qhov chaw thermoregulatory ntawm hypothalamus thiab cov khoom tsis muaj zog kom sai sai inhibit cov kev sib txuas ntawm cov roj ntsha ntawm prostaglandins hauv cov ntaub so ntswg peripheral..
- Caffeine: txhim kho qhov kev xav tau ntawm cov qauv ntawm tus txha caj qaum, ua rau lub vasomotor thiab cov chaw ua pa, ua rau cov platelet aggregation, ua rau cov hlab ntsha ntawm lub hlwb, ob lub raum, cov leeg pob txha, lub plawv. Cov tshuaj pab txo qis kev xav ntawm qaug zog, qaug zog, ua kom lub hlwb thiab lub cev ua haujlwm, normalize lub suab ntawm lub paj hlwb thiab ua kom cov ntshav khiav. Hauv cov koob tshuaj me me hauv kev sib xyaw ua ke no, caffeine yuav luag tsis muaj kev cuam tshuam rau hauv nruab nrab paj hlwb.
Cov yam ntxwv ntawm kws tshuaj
Raws li cov lus qhia rau Citramon Ultra, acetylsalicylic acid yog nqus tag nrho tom qab tswj qhov ncauj. Thaum lub sij hawm no, presystemic tshem tawm yog pom nyob rau hauv cov phab ntsa ntawm txoj hnyuv thiab daim siab (deacetylization txheej txheem). Lub absorbed ib feem ntawm cov tshuaj yog sai hydrolyzed los ntawm cholinesterases thiab plasma albuminesterase. Kev sib txuas lus nrog plasma proteins - nyob rau theem txog li 90%. Qhov siab tshaj plaws ntawm cov tshuaj nyob rau hauv cov ntaub so ntswg yog mus txog tom qab li 2 teev. Biotransformation tshwm sim hauv daim siab, nrog rau kev tsim ntawm 4 metabolites.
Ascorbic acid yog tshem tawm feem ntau los ntawm kev ua haujlwm hauv cov tubules ntawm ob lub raum: 60% - hauv daim ntawv ntawm salicylic acid. Paracetamol sai sai absorbed los ntawm lub plab zom mov. Nws qhov siab tshaj plaws yog 5-20 µg / ml. Kev sib txuas lus nrog plasma proteins - txog li 15%. Metabolism tshwm sim hauv daim siab los ntawm kev sib txuas nrog glucuronides thiab sulfates. Tsis tas li ntawd, paracetamol tej zaum yuav oxidized ib feem los ntawm microsomal daim siab enzymes. Hauv qhov no, kev tsim cov tshuaj lom neeg nruab nrab ntawm cov metabolites conjugating nrog glutathione, cysteine thiab mercapturic acid tshwm sim.
Cov lus qhia rau kev siv "Citramon Ultra"
Cov tshuaj tau muab tshuaj los txo qhov mob ntawm ntau lub hauv paus chiv keeb ntawm qhov mob hnyav thiab mob me:
- mob taub hau;
- algodysmenorrhea;
- neuralgia;
- migraine;
- arthralgia;
- toothache;
- febrile mob nrog SARS (flu).
ACov tshuaj no puas muaj contraindications?
YContraindications
Tsis muaj contraindications rau lub sij hawm ntawm cov tshuaj no yog:
- Koj los ntshav hauv lub plab, yaig thiab mob roj ntawm cov plab zom mov;
- ib nrab lossis ua tiav ua ke ntawm bronchial hawb pob thiab qhov ntswg polyposis nrog intolerance rau acetylsalicylic acid thiab lwm yam tshuaj uas tsis yog-steroidal anti-inflammatory;
- mob ntshav siab, mob plawv mob hnyav;
- kev phais mob nrog los ntshav;
- hemorrhagic diathesis;
- portal hypertension;
- hypocoagulation, hemophilia, hypoprothrombinemia;
- raum tsis ua haujlwm;
- avitaminosis K;
- glaucoma;
- ntxhov siab vim kev ntxhov siab (kev ceeb ntshai, agoraphobia), chim siab, pw tsaug zog cuam tshuam;
- Kuv thiab III peb lub hlis twg ntawm cev xeeb tub, txheej txheem lactation;
- hnub nyoog qis dua 15 xyoo (vim qhov yuav tshwm sim ntawm Reye's syndrome nrog kub taub hau vim muaj kab mob kis);
- tus neeg tsis kam lees.
Ntawm cov txheeb ze contraindications ntawm "Citramon Ultra" (siv nyob rau hauv kev saib xyuas kev kho mob) yog:
- gout;
- kab mob siab, siab tsis ua haujlwm, haus cawv;
- benign hyperbilirubinemia;
- II lub trimester ntawm cev xeeb tub;
- yuav haus cawv;
- laus laus.
Cov lus qhia luv luv. Yuav noj tshuaj li cas?
Raws linrog cov lus qhia rau "Citramon Ultra", cov tshuaj yog noj nrog los yog tom qab noj mov. Cov koob tshuaj hauv qab no raug pom zoo: 3-4 zaug hauv ib hnub, 1-2 ntsiav tshuaj. Lub sijhawm nruab nrab ntawm ib koob tshuaj yog 4-8 teev. Qhov siab tshaj plaws yog 8 ntsiav tshuaj ib hnub.
Yuav ua li cas noj "Citramon Ultra", nws yog ib qho tseem ceeb kom paub ua ntej. Yog tias tsis muaj kev saib xyuas kev kho mob, lub sijhawm ntawm chav kawm yuav tsum tsis pub ntau tshaj 5 hnub ua tshuaj loog lossis tshuaj tua kab mob.
Tus nqi ntawm "Citramon Ultra" yog qhov txaus.
kev tawm tsam tsis zoo
Cov kev mob tshwm sim hauv qab no tuaj yeem tshwm sim thaum noj cov tshuaj no:
- Cov ntshav txhaws: ntshav ntshav, thrombocytopenia, hypocoagulation, methemoglobinemia, hemorrhagic syndrome (nosebleeds, los ntshav pos hniav, purpura, thiab lwm yam), txo platelet aggregation.
- digestive system: ntuav, gastralgia, xeev siab, hepatotoxicity.
- Cov kab mob plawv thiab lub plawv: tachycardia, nce ntshav siab.
- Urinary system: nephrotoxicity, lub raum puas ua ke nrog papillary necrosis.
- Sense organs: pom kev cuam tshuam, tinnitus, lag ntseg.
- Cov tshuaj tsis haum: tawv pob khaus, bronchospasm, khaus, tawv nqaij tawm, angioedema.
- CNS: cephalgia, kiv taub hau.
Nyob rau hauv me nyuam yaus, Reye's syndrome yuav tshwm sim, uas tshwm sim nws tus kheej hauv daim ntawv ntawm metabolic acidosis, hyperpyrexia, ntuav, ua haujlwm tsis zoo ntawm daim siab, mob.ua haujlwm ntawm lub hauv nruab nrab paj hlwb.
Muaj peev xwm tshwm sim cuam tshuam nrog cov khoom ntawm cov khoom tseem ceeb ntawm cov tshuaj "Citramon Ultra": paracetamol tuaj yeem ua rau xeev siab, mob epigastric, ua xua, anemia, methemoglobinemia, thrombocytopenia; acetylsalicylic acid - provokes kev loj hlob ntawm dyspeptic phenomena; caffeine - tinnitus, insomnia, tshee tshee, palpitations, ntuav, ua tsis taus pa luv, dependence tshuaj. Rau ib qho kev tshwm sim, kev txais tos yuav tsum raug txiav.
Qhov txawv ntawm "Citramon Ultra" thiab "Citramon P"
Cov npe zoo sib xws feem ntau ua rau muaj lus nug ntau los ntawm cov neeg mob. Cov tshuaj "Citramon P" yog ib qho tshuaj zoo tib yam nrog "Citramon Ultra". Ob qho tshuaj muaj cov txiaj ntsig zoo sib xws, lawv muaj tib lub ntsiab lus nquag. Txawm li cas los xij, muaj ib qho me me sib txawv ntawm cov tshuaj no, uas yog cov nyhuv ntawm lub plab. Cov tshuaj "Citramon Ultra" yog tsim nyob rau hauv zaj duab xis-coated ntsiav tshuaj, yog li daim ntawv no ntawm cov tshuaj muaj kev ruaj ntseg rau cov neeg uas muaj mob plab. Cov ntsiav tshuaj ntawm cov tshuaj "Citramon P" tsis muaj lub plhaub zoo li no, vim tias lawv tuaj yeem cuam tshuam rau lub plab hnyuv.
Ntau tshaj
Cov tsos mob tseem ceeb ntawm kev noj tshuaj me me ntawm cov tshuaj no tuaj yeem yog: pallor ntawm daim tawv nqaij, kiv taub hau, ringing hauv pob ntseg, gastralgia, ntuav, xeev siab. Nyob rau hauv cov xwm txheej hnyav, metabolic acidosis, anorexia, impaired metabolicCov txheej txheem muaj xws li qabzib, bronchospasm, vau, lethargy, tsaug zog, ua tsis taus pa, convulsions, anuria, los ntshav. Yog li qhov ntau npaum ntawm Citramon Ultra yuav tsum tau ua nruj me ntsis saib.
Cov tsos mob ntawm daim siab ua haujlwm tsis zoo tom qab noj tshuaj ntau dhau tuaj yeem tshwm sim tom qab ntau kawg ntawm 48 teev. Hauv cov xwm txheej hnyav, nws muaj peev xwm ua rau lub siab tsis ua haujlwm nrog kev mob encephalopathy, tom qab ntawd coma thiab tuag tau. Lwm yam teeb meem tshwm sim: arrhythmia, mob raum tsis ua haujlwm nrog tubular necrosis, pancreatitis. Kev Kho Mob: Nws yog ib qho tsim nyog los saib xyuas qhov sib npaug ntawm cov kua qaub thiab cov electrolyte. Tom qab kuaj pom tus mob tsim nyog, tus neeg mob yuav raug muab tshuaj citrate, sodium bicarbonate lossis sodium lactate. Tawm tsam keeb kwm yav dhau los ntawm kev nce alkalinity tawm tsam keeb kwm yav dhau los ntawm alkalinization ntawm cov zis, muaj kev nce ntxiv ntawm cov kua qaub acetylsalicylic acid.
Special Recommendations
Yog li, peb nrhiav pom dab tsi pab "Citramon Ultra". Tau daws nrog qhov no, nws tsim nyog kawm cov yam ntxwv ntawm kev txais tos. Qhov tseem ceeb tshaj plaws, nws tsis tuaj yeem sau cov tshuaj no rau cov menyuam yaus hnub nyoog qis dua 15 xyoos. Qhov tseeb yog tias Citramon Ultra muaj acetylsalicylic acid, uas, nyob rau hauv lub xub ntiag ntawm tus kab mob, ua rau muaj feem yuav ntawm Reye's syndrome. Cov cim qhia ntawm cov kab mob no suav nrog mob encephalopathy, ntuav ntuav ntuav, thiab nce qhov loj ntawm daim siab. Nrog rau kev kho mus ntev, kev saib xyuas cov ntshav peripheral thiab lub siab ua haujlwm yog tsim nyog. Nyob rau hauv cov ntaub ntawv ntawm kev siv cov tshuaj "Citramon Ultra" los ntawm cov neeg mob hypersensitivity los yog hawb pob.teb rau salicylates los yog lwm yam derivatives ntawm acetylsalicylic acid, yuav tsum tau ceev faj tshwj xeeb.
Thaum noj acetylsalicylic acid, ntshav txhaws qeeb, thiab yog li ntawd, thaum npaj kev ua haujlwm, nws raug nquahu kom ceeb toom tus kws kho mob ua ntej txog kev siv cov tshuaj no. Kev noj tshuaj tsawg ntawm cov tshuaj no pab txo qis kev tso tawm ntawm uric acid, uas nyob rau hauv cov neeg mob uas muaj qhov zoo sib xws tuaj yeem ua rau muaj kev tawm tsam ntawm gout. Vim muaj kev pheej hmoo los ntshav hauv plab zom mov thaum lub sijhawm kho, nws raug nquahu kom tsis txhob haus cawv.
Dab tsi ntxiv cov lus qhia siv rau Citramon Ultra qhia rau peb?
Kev Sib Tham Tshuaj
Nrog rau kev siv cov tshuaj "Citramon Ultra" nrog heparin, indirect anticoagulants, reserpine, steroid hormones thiab tshuaj hypoglycemic, lawv cov nyhuv yog txhim kho. Nrog rau cov tshuaj uas tsis yog-steroidal anti-inflammatory, methotrexate, kev pheej hmoo ntawm kev phiv tshwm sim. Nrog rau kev siv ntev ntev ntawm cov tshuaj no, kuj tseem muaj kev pheej hmoo ntawm papillary necrosis ntawm ob lub raum thiab analgesic nephropathy, kev loj hlob ntawm lub raum tsis ua haujlwm kawg.
Thaum noj Citramon Ultra ntsiav tshuaj nrog salicylates thiab koob tshuaj paracetamol siab, muaj peev xwm ntawm oncological pathologieszais zis thiab raum.
Thaum noj furosemide, spironolactone, tshuaj tiv thaiv ntshav siab, tshuaj uricosuric uas txhawb nqa lub ntuj tso tawm ntawm uric acid, ua ke nrog Citramon Ultra, lawv cov txiaj ntsig txo qis.
Thaum ua ke nrog "Citramon Ultra" cov tshuaj xws li phenylbutazone, rifampicin, barbiturates, ethanol, tricyclic antidepressants, hepatotoxic tshuaj, muaj qhov nce hauv kev tsim cov hydroxylated metabolites, uas ua rau muaj kev pheej hmoo ntawm kev qaug cawv loj heev txawm tias muaj cov tshuaj hepatotoxic. me ntsis overdose. Cov lus qhia siv rau "Citramon Ultra" lees paub qhov no.
Nrog rau kev kho mob barbiturate mus sij hawm ntev, qhov ua tau zoo ntawm paracetamol raug txo. Thaum noj inducers ntawm microsomal daim siab enzymes (xws li cimetidine), qhov tshwm sim ntawm hepatotoxic nyhuv ntawm paracetamol txo qis. Thaum siv nrog metoclopramide, kev nqus ntawm paracetamol yog nrawm, nrog chloramphenicol, nws ib nrab-lub neej nce ntau.
Lwm qhov tshwm sim ntawm kev cuam tshuam tshuaj nrog "Citramon Ultra":
- Anticoagulants, coumarin derivatives nrog ib txhij rov siv cov tshuaj paracetamol: lawv cov txiaj ntsig tau txhim kho vim qhov txo qis hauv cov khoom siv roj ntsha ntawm cov kab mob siab procoagulant.
- Thaum noj ua ke nrog ethanol, muaj kev pheej hmoo ntawm kev tsim mob pancreatitis.
- Diflunisal: plasma qib ntawm paracetamol nce tab sis kev pheej hmoo ntawm hepatotoxicity nce.
- Ergotamine: nws nqus tau nrawm.
- Myelotoxic agents: hematotoxicity ntawm cov tshuaj yog nce.
Hauv cov lus qhia rau "Citramona Ultra" analogues ntawm cov khoom tsis tau qhia. Mus saib lawv hauv qab no.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws
Cov hauv qab no yog suav tias yog analogues ntawm cov khoom kho mob:
- AquaCitramon;
- "Coficil-plus";
- "Askofen-P";
- "Migrenol Ntxiv";
- "Citramine";
- "Citramon P";
- "Excedrin";
- Citrapar thiab lwm tus.
Tab sis hloov cov khoom koj tus kheej tsis pom zoo. Nws yog qhov zoo dua mus ntsib kws kho mob.
Tus nqi tshuaj
Tus nqi ntawm "Citramon Ultra" yog kwv yees li ntawm 50 txog 170 rubles. Nws nyob ntawm thaj av thiab chaw muag tshuaj.
Reviews
Ntawm lub rooj sab laj koj tuaj yeem pom ntau qhov kev tshuaj xyuas txog cov tshuaj no, ntawm cov uas muaj qhov zoo thiab qhov tsis zoo. Qee cov neeg mob xav txog cov tshuaj no tseem ceeb rau qhov tshwm sim ntawm ntau yam mob. Lawv nco ntsoov tias "Citramon Ultra" sai sai txo qhov tsis xis nyob, tsis muaj kev phom sij rau lub plab thiab yooj yim zam.
Kev tshuaj xyuas tsis zoo muaj cov ntaub ntawv hais txog cov kev mob tshwm sim ntawm kev noj cov tshuaj no. Ntawm lawv, cov lus tshaj tawm yog cov tsos mob dyspeptic, plab zom mov, kiv taub hau loj.
