"Metoprolol": hōʻike manaʻo, nāʻikepili no ka hoʻohana, ao a me ka analogues

No ke aha la e hana nei au Pono ka lapaʻauʻia "Metoprolol"? Hoike o keia la hoomalolo, e hōʻike mai iā ia ma lalo iho nei kona hoʻokuʻu ano, haku mele 'ana, a me kaʻaoʻao' ole. E hai mai no hoi oe e pili ana i ka mea contra-nāʻikepili a me ka lāʻau, i mea mahele lāʻau ia e ke ia ina he mea'ē aʻe analogues.

I ka haku mele 'ana o ka lāʻau a me kona hoʻokuʻu' ano apau loa

Ma ka palapala ua kuai lilo aku la ka lapaʻauʻia "Metoprolol"? E hoike aku nei au i ka hale kūʻai lāʻau lapaʻau hiki ke loaʻa ekolu ano o ka lāʻau. E noonoo i ke kahe ana o ka palapala a me ka 'ole i loko o hou aku au mamuli.

• Papa. Ua loaʻa kaʻeleu ke keʻena e like me metoprolol tartrate (100, 50 a me 25 milligrams). Eia hou, i ka medicament maupaʻa kākoʻo eiiiiiaiou, a me ka colloidal ka silica i anhydrous, microcrystalline kelulose, paʻakai carboxymethylstarch ( 'ano A) a me ka makanekiuma stearate. Ma ke kuai ana o ka medicament loaa 50, 10, 30, 20 a me 40 o na papa io no pack.
• Papa me ka malama aku hoʻokuʻu waiwai ( "metoprolol succinate") kapa komo iā ia papa. Ka mea, aia no iloko olaila likeʻeleu waiwai a me excipients. Ma keʻena kūʻai lāʻau lapaʻau Hiki ke loaʻa ma ka 30, 20 a me 10 o na papa io no pack ia laau lapaau.
• Ke kākoʻo pāʻoihana no intravenous injections ma ampoules o 5 ml. Ma ke kuai ana o ka lāʻau hele mai ana i loko o ka carton pahu o 10 hue.

Ke pharmacological waiwai o ka lāʻau

He aha ka mea i manaoia ka lapaʻauʻia "Metoprolol"? Nāʻikepili no ka hoʻohana ana i ka mea paahana e e hōʻike mai iā ia ma lalo nei. Ano, au makemake e hai aku ia oe e pili ana i ka loaʻa pharmacological waiwai o ka lāʻau.

I aku la ka lapaʻauʻia e pili ana i ka cardioselective Hoʻokolohua-adrenergic blockers. Ua 'Aʻole e hōʻikeʻili lahilahi stabilizing ka waiwai, a i ole na sympathomimetic haʻawina. Naʻe, i kaʻeleu lāʻau mea he antihypertensive, antiarrhythmic a me ka antianginal Agena.

Ke medicament Ua hiki ke hoemi i ka alapine (frequency) o ka hoʻomanawanui ka naau ana, ho'ēmi i myocardial contractility a me ka excitability, lohi af-conduction a emi myocardial ka oxygen koi.

E like me ka rula, i mālama i ka antihypertensive hopena i loko o nā mea maʻi wale nō ma hope o umikumamaha mau lā ma hope o kona lawe ana i ka waiʻona. Ke medicament ho'ēmi i kā ke alapine (frequency) o ka ho'āhewa wale me ka supraventricular tachycardia, angina pectoris a me atrial fibrillation. E like me ka hopena, maʻamau naau pāpana o ka hoʻomanawanui.

Papa me ka 'ole' ana hoʻokuʻu ( "metoprolol succinate") i he nui ia Morohiha maluna oʻike mau. Ka mea, ae oe, e malama i ka ikaika lehulehu o kaʻeleu hehee ai i loko o ke koko, ai ka hoʻolako 'i ka maikai pākōlea kanawai mawaena o ka lā. Ua E hoi e hoʻomaopopo i ka hana o ka "Metoprolol succinate" kōkua e emi i ka pilikia o ka bradycardia a me ka nawaliwali, a hiki i ka uuku loa, e loli ai ka'ōlohelohe nāʻiʻo o ka bronchi.

Pharmacokinetics (omo, pūnao a me excretion o ka lāʻau)

About na nāʻikepili no ka hoʻohana lekarstvai nouanoao? "Metoprolol" lāʻau analogues kakau lalo, akā manawa e ka kamailio e pili ana i ka pharmacokinetic ano.

Kēia 'o ia hoʻi loa koke, a kokoke loa (ma kahi o 95%) ua paka. I kā mākou wai koko lehulehu ua ana ma hope o 50-110 minuke ma hope o 'ai, inu.

Ka mua noi o ka lāʻau bioavailability o 50%. Hai ia maoli he 70%. Ma ke ala, i ka hoopau ana o ka ai maoli ka bioavailability o ka lāʻau ma 20-40%. ia kekahi maoli ina ka hoʻomanawanui i ake cirrhosis. Palapala a me nā polokina ma awelika 10%.

I aku la o medicament pūnāwai komo iloko o ka placental a me ke koko-lolo o ke'ākeʻakeʻa mai. ¶ A i loko o ka poe liilii, na mea, e kū mai, a iloko o ka umauma o ka waiu.

Ka lāʻau 'Ua metabolized ma ke akepaʻa. A me metabolites i pharmacological haʻawina. About 5% o ka paula excreted ma nā puʻupaʻa ua hoʻololiʻia. Hoʻomanawanui Inc me ka hoemi hakuʻala hana pono ka ho'ēmiʻana 'ole' ē aʻe e hooponopono mahele lāʻau. Naʻe, ka haunaele ma ka ake hana e 'ūlōlohi mai ana pūnao o ka ai'. Ma keia hihia, e hoemiia ka laʻau heluna e.

Ka lapaʻauʻia "Metoprolol": nāʻikepili no ka hoʻohana

Aia He muli o kona kulana he nui ka papa inoa o ka pathological kumu ma i ka lāʻau 'ua lawelawe. E mākou huli ia.

• akathisia, a i ke kumu e antipsychotics;
• arterial hypertension o ka 1st a me ka 2nd papahelu arterial hypertension (paha monotherapy, a me ka loa hihia - a me diuretics a me nā antihypertensive ai ');
• thyrotoxicosis (wale i kekahi hapa o ka luna 'lapaʻau);
• Kāohiʻana o ka angina ho'āhewa wale a me ka angina;
• prophylaxis o migraine;
• 'aʻe' ana o cardiac pāpana (e laʻa me, arrhythmia, a me paroxysmal supraventricular tachycardia, supraventricular tachycardia);
• e emi i ka pilikia o ka make a me ka morbidity i ka mea'ōnaehana mānowai koko maʻi a me ka coronary artery maʻi;
• haumāna Kāohiʻana o myocardial infarction a me ka huʻi myocardial infarction;
• mitral kiwikā prolapse;
• Dilated cardiomyopathy mea idiopathic;
• mea'ōnaehana mānowai koko giperkinez nui, hyperkinetic cardiac maʻi pale, kāna hana o ka naau.

Reviews o medicament

E like me nā hōʻike manaʻo o ka poe i loa ua haawiia i ka lāʻau, ka mea pono Makuakane me ka hana, a me ka maikaʻi ia ma luna o ka naʻau. Naʻe, ka mea e e kaulana i kekahi e hoomanawanui i pane i ka lapaau mea ole loa maikai. E like me ka rula, keia mea aie a hiki i ka mea i ka mea, he nui kona contraindications a me kaʻaoʻao 'ole. Ka mea i loko o nā mea maʻi hoi hoohewa aku, e wehewehe i lalo ma ka loaʻa mua o ke kālā.

Contraindications i ka hoʻohana 'ana o ka lapaʻauʻia

No laila, e 'oe i ka mea i manaoia lāʻau "Metoprolol" (nāʻikepili no ka hoʻohana ua, ua hōʻike pono ma luna). Naʻe, i kēia k i ka helu o contraindications. Mau nā:

• Kanaka intolerance (a laila hypersensitivity i ka hana 'ole kākoʻo eiiiiiaiou);
• atrioventricular aeie 2nd a me 3rd degere;
• hoʻokahi-manawa hoʻohana me Mao nā mea kūpale;
• blockade sinuauricular;
• kāheaʻia circulatory kāna hana (ʻike ākea);
• sinus bradycardia (naau ana ina - ma ka liʻiliʻi loa kanaono no minuke);
• hypoglycemia a me ka labile ke ano o ka mimikō;
• maʻi sinus maʻi pale;
• hoomanawanui predisposed e bronchospasm (a laila, bronchial asthma a me bronchial excessive pane);
• metabolic acidosis;
• hypotension (emi o 100 mm o Hg ..);
• cardiogenic nń (i ka lāʻau 'aʻole pono no nā mea maʻi me kaʻike, a "huʻi myocardial infarction" a mahuʻi mua ia ia);
• huʻi naʻau ole, maʻi (2nd a 3rd ke kahua) a me ka uncompensated.

Kapu ma o ka hoʻohana 'ana i ka lāʻau' (? Eaia me ka lōʻihi mālama nui)

Ma ka hihia e e kaupalena 'ia ka loaa ana "Metoprolol" ia waiʻona? Reviews mau loea, e olelo aku ia ia e hoemi i ka mahele lāʻau o ka medicament ma hyperthyroidism, emphysema, allergic mōʻaukala, bronchial asthma, ole-allergic bronchitis, psoriasis, pheochromocytoma, ake kāna hana, hakuʻala, a (kekahi manawa), kaumaha, myasthenia gravis a mau anesthesia.

Ua mea hiki, e haawi aku na keiki ka lapaʻauʻia "Metoprolol"? I ka hana o keia ka lapaʻauʻia e nā kānaka ma lalo o makahiki 18 o kona mau makahiki ua hookapuia. A pāpā i loaa dala kŰlń ao i ka hapai keiki o na wahine a me ka poe makuwahine. Ole, e like me kēia mau koi, aole mea he nui pilikia o ka bradycardia, hypoglycemia, a me hypotension i loko o ke keiki pēpē.

Inā 'oe e pono ai ke mahele lāʻau o ka lapaʻauʻia i breastfeeding, i keia manawa o ka lactation E e hele aku.

Ai ' "Metoprolol" a me ka "Metoprolol succinate": kauoha no ka hoʻohana

Nō kāu, ka medicament "metoprolol" lawe i ka lā i loko o ka nui o ka 100 mg. Ma ke aha la ka leo ua maheleia i loko o kekahi mau nā māhele. I mea e kū ai i ka mea maikaʻi pākōlea hookoia, hiki e mahuahua ma ka 2 manawa ke hiki aku. Naʻe, i ka i kā mākou mahele lāʻau o ka lāʻau e ole oi 400 mg.

Ka wā hoʻokahi-manawa intravenous ka pahu kui lawelawe mai ka 2 a hiki i 5 mg o ka la hoomalolo. Ma keia hihia, i ka i kā mākou laʻau heluna o 15-20 mg. I ka wa e kaawale aku o ka makemake hookoia ae e hou-komo i ka lāʻau waiwai (i loko o 5 minuke).

Hawaiian i ka hookohu o ka lāʻau e e gradual. IeAUPIIe, IAa IO keia ua hanaia no he umi lā ma lalo o ka kūikawā hooponopono ana o ke kauka.

Ka loiloi mua laʻau heluna o ka lāʻau "metoprolol succinate" me supraventricular tachycardia, angina pectoris, arrythmia a me ka hypertension mea e pili ana i 50-100 mg kekahi manawa i ka lā. I ka malama Inc o myocardial infarction loaa medicament i loko o ka mahele lāʻau o ka 200 mg.

Ka palena iki lōʻihi like 'ole o ka lapaʻau' o ia hoʻi "metoprolol succinate" He 3 mahina. Inā ka hoʻomanawanui ua diagnosed me ka maʻi naau ka hoʻokō 'ole, ka laʻau heluna ua like pākahi. Mua, i ka lāʻau ua ia i loko o ka nui o 12,5 mg hookahi kela la i keia no 2 pule, a laila, na 14 lā, ua pāpālua ka mahele lāʻau.

At kŘpa a maikai ke ahonui, o ka medicament kona i kā mākouʻai ana no ka lā e hiki 200 mg.

ʻaoʻao 'ole. e hoike

Ua hiki ke pilikia ke kino ka lapaʻauʻia "Metoprolol"? Reviews o keia la hoomalolo loaʻa he wahi lihi iki o ka 'ike i ka hope o kona komo ka mea, he io hopena. About a kaʻike manaʻo ma ka nīnau?

• Mai ka ua'emi'ōnaehana: Muscle nawaliwali, luhi, loaʻa kūpono, kaumaha, headaches, uunu nui, ka meheu o ka Hawaii a me ka noʻonoʻo 'reactions, ua hoʻemi noonoo, paresthesia ma kaʻaoʻao, pōkole-makahiki iaiyoe hoʻopilikia, drowsiness paha, conversely, Kanikani'āʻula.
• Mai ka makaukau no: hoemi secretion o ka waimaka loli, ua hoʻemi hihio, conjunctivitis,ʻeha a me ka maloo mucous membranes o na maka, ringing i loko o ka pepeiao.
• Cardio-vascular'ōnaehana: arrhythmia, sinus bradycardia, wahaheʻe angina, conduction haunaele infarction, hookuu iho ke koko, he kīnā o ka vasospasm, orthostatic hypotension, ua hoʻemi myocardial contractility a me ka pōniuniu.
• Mai ka digestive'ōnaehana: maloo waha, abdominalʻeha, nausea,'āno'ē ake hana, constipation, ka luaʻi, diarrhea, a me nā loli i kaʻaiʻana.
• Skin: ka ohane, reversible alopecia, poʻe noʻonoʻoʻole, flushing, poʻe noʻonoʻoʻole, sweating, exacerbation o psoriasis, photodermatosis, exanthema a me ka psoriasiform ili reactions.
• Naehana nenoaiu: pokole o ka hanu, nasal congestion, bronchospasm a me ka pilikia exhaling.
• Ma ka hapa o ka endocrine'ōnaehana: hypothyroidism, hypoglycemia a me ka hyperglycemia.
• Keʻena hoʻokolohua ho'āʻo ma: thrombocytopenia, agranulocytosis, hyperbilirubinemia, leukopenia, a me ke kiekie ake nā'ūhū.
• Ke kanawai ma ka fetus o ka wahine hapai ma lalo o noi: intrauterine ulu retardation, bradycardia a me ka hypoglycemia.

Eia hou, ma hope o ka loaa ana mai la lāʻau kekahi nā mea maʻi e hōʻike i ka hanana o ami ka eha, a me ka hopeʻeha. Loa pohihihi keia hōʻike kanaka i ka mea, ua māhuahua kānaka kino nuipa a, ua hoʻemi libido paha potency.

I Kekahi Mau alakaʻi ma ka hoʻohana 'ana i ka lāʻau'

¶ A i loko o kekahi hale kūʻai lāʻau lapaʻau 'oe ke kuai i ka lāʻau "Metoprolol". Ke beauty ua i koi 'ia. Eia naʻe, no ka mea, e hoomanawanui i ka lalau ana ka lapaʻauʻia e ke mau ua hoʻonānā ma ka hana maikaʻi kauka. He mea oi loa aku hoi oiaio no ka poe e hoomanawanui i ka poe i diagnosed mimikō paha angina.

Ua Ua ike ia ma ka hoʻoulu i ka laʻau heluna (oi ma mua o 200 mg no ka lā) emi cardioselective. Ma ke alo o ka naau hoʻokō 'ole' Inc ua hoʻomaka 'ana wale nō ma hope o ka uku ke kahua ua hiki.

People i hoʻohanaʻia nā aniani kaulona, e pono e noonoo ia i loko o ka pōʻaiapili o ka lapaʻau, "metoprolol" hoemi? Iecaianoaaiiuo o lachrymal loli.

I kekahi manawa, i kēia ka lapaʻauʻia ea paha kekahi mau symptoms o hyperthyroidism. Ma keia abrupt withdrawal o ka lāʻau i loko o nā mea maʻi me ka olelo mai maʻi ua contraindicated, no ka mea, hoʻokāʻoi aʻe ana i ka symptoms.

Inā pono, i ka hana i ka hoʻomanawanui e mau Alert i ka anesthesiologist i ka lāʻau Inc.

Ma lapaʻau, he lāʻau, "metoprolol" Ua pono, e hookomo i ke kapa kūpono. O ke kumu ho i ka mea i ka lāʻau i i allergic reactions i ka ili ma muli o ka waiū e Map.

Mākou hiki ole ke olelo i ka lapaʻauʻia "Metoprolol" (analogues o keia lapaau i pau) i loko o ka kūpuna hiki i keʻano o ka hoʻoulu bradycardia, ia ka ho'ēmiʻana i loko o ke koko,, atrioventricular aeie. I mea no ke aha kēia mau nā mea maʻi pono kūikawā e hooponopono.

Eia hou, i ka iapaau ana me keia k e mea iki aku oukou e hoohauhee ana i kekahi kaa, a pau papa hoʻopōʻino hana i kauoha kiʻekiʻe lehulehu a me ka psychomotor holo reactions. Ua ua no hoi e waiho ia ke noi komo 'ana o ka ethanol.

Na lāʻau analogs

He aha ina ka hoʻomanawanui mea e hiki ke kuai i ka lapaʻauʻia i hoakaka ia ma ke kauka, "metoprolol"? Kona analogues i loaʻa i loko o kekahi hale kūʻai lāʻau lapaʻau. Ka hapa nui o ia no ka likeʻeleu waiwai, pela ka mea, i ka ia waiwai e like me ka olelo mai ia waiʻona. I waena o kēia mau mea i ke'ōleloʻia ke kēia mau ai ': "Metoprolol'Acere", "Metolol", "Metokor Adifarm" a me na mea e ae.

Ma hope oʻikepili āpana 'o ia hoʻi i ka hoomanawanui i ka manao, e kapa i ka mea i pili kuhikuhi, a, e kukakuka pu me ke kauka. O ke kumu ho i ka mea i ka loaa ana paha i oko mai o ka luna dosages mea.

He aha hou aʻe i kēia ka lapaʻauʻia analogs? Puku i ke kauka o ka manawa i oleloia ai mea e hiki ia ia kēia mau lapaʻauʻia: "bisoprolol" "Metoprolol-ratiopharm", "Metokard", "Korvitol", "Metozok", "Lidalok", "Serdol", "Egilok", "Emzok" a me na mea e ae.

Pehea e hoahu, a pehea ka nui o ka lapaʻauʻia?

Ano, ia oe i ka mea i manaoia, pehea, a ma ka laʻau heluna e lawe ka lapaʻauʻia "Metoprolol". Hoahu ia i loko o ka me wahi (e laʻa me, i loko o ka Pahu Hau) a me ka lumi kahi o ka mahana, aole ia i oi aku mamua o 25 degere. Ma keia hihia, ka lāʻau e e hoomaluia mai pololei Map.

Holopapa ola o mai la ia lāʻau, a me ka hapanui o kona counterparts o elima makahiki mai ka la aku o ka? Iecaianoaaiiuo. Ma hope iho o kēia manawa, ke ka lapaʻauʻia hoʻohana i ka pākōlea a prophylactic hana 'ia kēia. It E e kāpaeʻia.