"Finoptinum": tohutohu mō te whakamahi, hanganga, ritenga tūturu

Mai i te ngakau, me te mate iaia pānga maha iwi. Ano, ki te tau, kei te tino nui haere ki te mōrea o taua āhua mate. Ki te whakaiti i te mōrea o ngā tukanga nui i roto i te tinana, tūtohu kaiwhakaako te whakamahi o ngā taputapu motuhake. I roto e ratou tino rongonui he konupūmā blockers hongere. Ko ratou he rōpū heterogeneous o taero. e pā ana ratou tikanga o te mahi e ki te kaha ki te tautāwhi i te kătahi o katote konupūmā i te wāhi wahopūtau i roto i nga pūtau me oko toto o te ngakau. Whakaiti i te kukū o enei āhuatanga, puai te medicament mahi vasodilating.

Ko te tarukino whai hua tino ki taua āhuatanga ko "finoptinum". Tohutohu mō te whakamahi o te hanganga, analogs, kua whakaahuatia tohu mo te whakamahi o te tarukino me ona pānga taha ake nei.

Puka, hanganga

He aha te āhua he āhuatanga o te tarukino "finoptinum"? Tohutohu i runga i te tono ta e taea te hokona reira hei werohanga me pire.

Ka rite ki te whakauru kaha o tenei kaihoko mahi verapamil hydrochloride. i roto i te faaineineraa hoki ngā ngā hononga pŭpŭ tauturu (i runga i te puka tuku rānei).

pānga pharmacological

He aha ngā āhuatanga e tūturu i roto i te tarukino "finoptinum"? Tohutohu mō te whakamahi, titau arotake ko reira he pūārai konupūmā hongere (whiriwhiri) piha tuatahi. Ko te difenilalkilamina pārōnaki me whakaaturia antianginal, antihypertensive me te mahi antiarrhythmic.

e pā ana pānga Antianginal o tenei tarukino te ki tona kaha ki te pā i te myocardium me hemodynamics piringa. I roto i te mau parau te tahi atu, te whakaiti i te raau taero i te āhua o pera. I tua atu, te whakaiti reira pūngao ATP transformatsiiyu roto e te i roto i te hononga nui-pūngao ki te mahi pūkaha me te whakaiti contractility myocardial.

kia mōhio hoki tatou e te whakamahi o tenei tarukino tino whakaiti myocardial O2 me he chronotropic tōraro, inotropic me ngā pānga vasodilatory.

āhuatanga o te tarukino

Nā ki tona hanganga, te medicament "finoptinum", analogues o nei e rārangi ana i raro, Kōpeke te automaticity o pakohu kōpuku whakaiti AV-āriponga, me whakanuia ana te wā tutu.

Te whakanui ake i ngā wā whakangā ana roro diastolic (maui), te whakaiti i tenei tarukino te taiepa myocardial tonus, i.e. ko he rawa mau pŭpŭ tauturu no te rongoā cardiomyopathy hypertrophic taunutia.

Me mahara hoki käore te reira e whakaatu ana rongoā whakaaro āhuatanga anti-arrhythmic ki arrhythmias supraventricular.

Ko te kinetics o te tarukino

Te faaineineraa "finoptinum" ako whakaahuatia nei te raro, kua whenumi i te wahi kūnatu (āhua 90% o te horopeta). Ko tōna feohi ki te pūmua ko 90%.

metabolized te raau i roto i te irava (tuatahi) i roto i te ate. hanga tenei te pārōnaki pērā i norverapamil e he iti mahi hypotensive atu verapamil ōnaianei kia.

Ko te wa hawhe-ora o te raau taero i runga i te taenga o te inenga kotahi ko te 3-8 haora. I te whakamahi o pota tukurua o medicament, rerekē tenei ahua (5-12 haora).

Ahu raau i roto i te paru me whatukuhu.

iteraa papû

I roto i ētahi wā, whakahau rongoā "finoptinum"? Tohutohu mō te whakamahi (papa, me te otinga injectable i te taua ariari) kī e taea te whakamahi i tēnei taputapu mō te tachycardia supraventricular (tae atu paroxysmal, syndrome Lown-Ganong-Levine me WPW-syndrome), whiu (ngaohiko, eu kahore vasoconstriction, vasospastic pūmau), pakohu tachycardia, kaka Atrial, tachyarrhythmia Atrial, arrhythmia Atrial, raruraru hypertensive (mō te whakahaere rō-uaua), takawhita, takawhita faufaa i roto i hvs iti i roto i te tohanga, hypertrophic cardiomyopathy taunutia.

contraindications

A, no te kore ki te whakahaere i "finoptinum"? Tohutohu mō te whakamahi (werohanga me papa i te taua contraindications) tohu e rāhuitia tenei taputapu hei whakamahi i roto i hypotension nui, sinoatrial whakapaea me pakohu mate syndrome (anake i roto i te tūroro ki te pacemaker), AV-pā o te syndrome toru, me te tuarua-tohu Launa -Ganonga-Levin me te WPW-syndrome i roto i ngā ki fibrillation Atrial kaka Atrial ranei (ki te kahore te iwi e mate ana ki te pacemaker), hapūtanga, hypersensitivity ki verapamil, ū.

Drug "finoptinum": tohutohu mō te whakamahi

tatau te inenga o te tarukino te tākuta takitahi.

whakahaerea Pakeke papa tūroro kei te waha i roto i te horopeta tuatahi o 40-80 mg toru nga wa o te ra. Hoki puka inenga ki te inenga tuku ōrite te kotahi kia nui haere, me te auau o te whakahaere - raro.

Kids 6-14 tau te pakeke, tūtohutia tenei rongoā te ki te tango i roto i te nui o 80-360 mg ia ra, a ki runga ki te 6 tau - i te horopeta o 40-60 mg ia ra. Ko te auau o te whakahaere o te tarukino ko wha ngā wā he ra.

Ki te tika, e taea te whakahaere te tarukino i roto i te pātai e pâmuhia (āta). Ko te kupu he mea e tika ana ki te aroturuki i te ECG, pēhanga toto me te auau ngakau o te manawanui.

inenga otinga tuku hoki te tangata pakeke ko te 5.10 mg. Ki te he ngaro te pānga haumanu, ka i muri i te 20 meneti o te faaineineraa e taea te anō-tomo (i te horopeta kotahi).

He inenga kotahi ahua injectable o te tarukino mō ngā tamariki 6-14 nga tau o te tau, ko te 2.5-3.5 mg mō ngā tamariki 1-5 tau - 2-3 mg, a mo te tamaiti ki runga ki te tau kotahi - 0.75-2 mg.

Tūroro ki ate nui horopeta ia e kore e nui ake 120 mg.

Ko te inenga mōrahi o te faaineineraa waha ia ra ko te 480 mg.

pānga taha

Te faaineineraa "finoptinum" taea whakapataritari i te tauhohe taha e whai ake nei:

• taimaha taonga, bradycardia, agranulocytosis, ranei ähua kore ngakau, hyperprolactinemia, tachycardia, mate rangitahi o kite, edema piringa;
• whakaiti i tohua o te pēhanga toto, gynecomastia, galactorrhea, rumati, angina, arrhythmia, edema pūkahukahu, AV-poraka o te toru o nga tohu, asystole, thrombocytopenia asymptomatic, tiango;
• whakapairuaki, stiffness i roto i te ringa ranei waewae, hyperplasia gingival, kaihapai, rohirohi, hua i roto i te hiahia, manukanuka, hua i roto i transaminases ate;
• ponana kiri, whanoke, kōroke ranei korere, ānini, korekore, whakarokiroki, disorders extrapyramidal, te rohirohi, te Makere o te kiri, sleepiness, multiforme erythema exudative, pruritus.

taunekeneke tarukino

He reira taea ki te ngā i te tahi atu rongoa rongoa "finoptinum"? Tohutohu i runga i te tono kī e te huinga o enei māngai ki taero antihypertensive tahi whakapakari ratou pānga antihypertensive.

Na roto i te whakahaere rō-uaua o te verapamil ki te iwi te hunga kua whiwhi tata te horopeta o beta-blockers, i reira te mea he mōrearea nui o hypotension (matua), me te asystole.

A, no te tahi-whakahaere "finoptinum" tarukino ki beta-blockers, ngā rongoā mō te inhalation rongoā me taero antiarrhythmic faarahi te mōrea o te whakawhanake i kore ngakau, bradycardia, hypotension nui me te AV-pā.

Fakataha ki te whakauru "Amiodarone" bradycardia rahi roa'tu,, pānga kino inotropic, AV-poraka ki nga whakaoho kawenga.

No te mea inhibits verapamil isozyme CYP3A4, whai wāhi i roto i te pākia o simvastatin, lovastatin me atorvastatin kia te tahi mau faaiteraa pāhekoheko e kua meinga e te whakanui ake nohanga o statins i te toto. E hoki ngā take o rhabdomyolysis.

āhuatanga antianginal "finoptinum" rahi roa'tu, ka ngā ki pūhau.

Fakataha ki te whakauru o te waikawa ahipirini nui haere te wa toto tika ki tāpiri mahi antiplatelet.

E taea te tango ahau "Dizopiramid" tahi ki te tarukino "finoptinum"? Tohutohu mō te whakamahi pūrongo e kia arahi tenei huinga ki hypotension kino, me te tiango, rawa i roto i te iwi ki te kore te ngakau decompensated cardiomyopathy ranei.

A, no te faarahi te whakamahi i rua nga papa, me te otinga ona kukū i roto i te toto ki "imipramine", ai te mōrea o ngā rerekētanga e hiahiatia i runga i ECG. Me mahara hoki käore te reira e faarahi verapamil te bioavailability o "Imipramine", whakaiti tona whakawātea.

Ki te huinga o te raau taero ki "carbamazepine" mahi whakarei o te muri, me te faarahi te mōrea o ngā pānga taha i te CNS.

I te wa ano tango i te tarukino ki "clonidine" i reira he take o te kore ngakau i roto i te iwi ki te takawhita.

A, no te whakakotahi i te medicament ki faaiteraa lithium pākawa waro o taunekeneke tarukino he ohorere, me te whakauru. He take o te neurotoxicity, bradycardia nui, te whakarei ake i te pānga o te konukōhatu me whakaiti o tona kukū i roto i te toto.

Ka rite ki "Rifampicin" mahi i runga i te tarukino "finoptinum"? āhua ā-e te Kereru tenei huinga whākōkī ate, horo ake te pākia o verapamil. te mutunga arata'i tenei ki te whakaiti i roto i te miramira haumanu o te tarukino i raro i whakaarohia.

tūtohutanga motuhake

He aha kia mohio koutou i mua i te whakamahi i te tarukino "finoptinum" (40 mg)? pūrongo Guide e whakamahia tenei taputapu i te tūpato, i te AV-pā o te tohu tuatahi, nui stenosis te pūtahi o, bradycardia, infarction myocardial ki te aroaro o te kore maui ventricular, kore ngakau congestive he āhua ma'i, hypotension āhua ngawari ranei, ate ranei iti hoki tākihi. Hoki e tūtohu āta tenei rongoā mo te ruhiruhia, me ngā rangatahi i.

I roto i te koi e titauhia e kawea atu e te therapy huinga o takawhita me angina i verapamil me beta-blockers. Ko te mea e tika ana ki te karo i te whakahaere rō-uaua o te muri.

Ki runga ki te fariiraa o tenei tikanga kia whakawhanake i te manawanui taua tauhohe takitahi pērā i te momoe whanoke ranei, e kia pā kaha o te tangata ki te mahi i te mahi mōrearea.

Pregnancy me te hohipera

Ahakoa ko reira taea whaea hou ake nei whakaritea te tarukino "finoptinum"? Tohutohu mō te whakamahi i roto i te hapū kua reira e te tikanga tenei i te pānga kino i runga i te whanaketanga fetal. Reira haere hoki ki te waiu uma. Na reira, i raro i enei tikanga e tino contraindicated te tarukino.

Medicament "finoptinum": ritenga me te utu

kia rerekē te utu o tenei taputapu. Ka rite ki te tikanga, tei reira ki runga ki te ahua o te tuku o te raau taero, tona rahinga whānuitanga ranei. Ko te toharite utu "finoptinum" Ko 100-170 moni.

Ki te whakaaro te tarukino e contraindicated koutou, e taea te whakakapi i te reira i tetahi o nga tikanga e whai ake nei: "Verapamil", "Verogalid" "Verapamil-OBL", "Kaveri", "Verapamil Sopharma", "Verapamil-Lect," "Verapamil-Verein" "verapamil-Ratiopharm" "Isoptin", "verapamil-Escom," "Vero verapamil," "hydrochloride verapamil" "Lekoptin".

Reviews o tākuta me kiritaki

Tohunga mea e te papa, me te otinga "finoptinum" ko he tikanga whai hua, me te ngāwari, e kua hangaia ki te whakahokia te pēhanga toto, a ka whakapai ake pai-te i roto i te tahi atu mate o te ngakau, me te toto oko.

Ka rite ki mo nga tūroro, te nuinga o ratou he tino makona ki te hua o te maimoatanga ki tenei kaihoko. Pire otinga whaowhia rō-uaua ranei whakahaere whakakorenga tere o ngā tohu o te takawhita me era atu tohu o te mate o te pūnaha Cardiovascular.

kia mōhio tatou ano hoki e pā ana ki te tarukino, a kitea pūrongo tōraro. korero ratou o te tau nui o tauhohe taha e puta tonu i muri i te whakamahi i te tarukino. Ano, he maha ngā kaiwhakamahi amuamu e pā ana ki te contraindications maha.