Metoprolol-Ratiopharm

Metoprolol-Ratiopharm muaj nyob rau hauv cov pab pawg neeg ntawm cov tshuaj siv nyob rau hauv cov kev kho mob ntawm cov hlab plawv tus kab mob. Tshuaj belongs rau lub pharmacological pab pawg neeg ntawm beta-blockers.

Metoprolol ntsiav tshuaj muaj hypotensive, antiangialnym thiab antiarrhythmic nyhuv. Cov tshuaj tiv thaiv cov kev loj hlob ntawm migraine.

Raws li xim beta blocker, metoprolol-Ratiopharm thaum uas siv cov tshuaj txhaj koob tshuaj nruab nrab muaj tsawg heev nyob rau hauv nruab nrog cev uas muaj beta-2-adrenoceptors (skeletal leeg, pancreas, peripheral arterial du nqaij ntshiv ntawm lub tsev me nyuam, thiab bronchi), thiab tseem nyob rau carbohydrate metabolism. Yog li atherogenic txiav txim qhia nyob rau hauv cov tib neeg kawm li thaum uas siv cov propranolol. Thaum noj nyob rau hauv loj koob tshuaj Metoprolol-Ratiopharm niamntiav ib thaiv cov hlab cov nyhuv ntawm lub beta-1 thiab beta-2 andrenoretseptory.

Nyob rau hauv thov inwardly cim tiav haum (95%). Metoprolol-Ratiopharm sai faib nyob rau hauv cov nqaij, penetrates los ntawm lub placental teeb meem, BBB.

Cov tshuaj no yog metabolized nyob rau hauv lub siab, lub metabolites tsis ua ib tug tshwj xeeb pab rau cov kev ua ntawm beta-adrenoceptor thaiv cov hlab ua cim.

Cov tshuaj no yog qhia rau tawg (ob ntawm nws tus kheej thiab raws li ib feem ntawm kev ua ke nrog txoj kev kho nrog rau lwm cov antihypertensive yeeb siv tshuaj), lub plawv mob haumxeeb xwm nrog tachycardia. Muab metoprolol nrog ischemic plawv tus kab mob: myocardial infarction (raws li ib tug thib ob kev tiv thaiv), angina (raws li qaug dab peg kev tiv thaiv). Tshuaj yog qhia rau kev tiv thaiv ntawm ventricular arrhythmias thiab supraventricular tachycardia, raws li zoo raws li migraine.

Lub medicament siv nrog ceev faj nyob rau hauv cov neeg mob uas mob ntshav qab zib mellitus, mob hawb pob, metabolic acidosis nyob rau hauv lub raum (lub siab) tsis ua hauj lwm, thyrotoxicosis, myasthenia Heavy kev, psoriasis, occlusive peripheral vascular kab mob, cev xeeb tub, thiab cov neeg laus uas muaj hnub nyoog.

Metoprolol-Ratiopharm. qhia

Initial ntau npaum nyob rau hauv tawg yog 50 mg. Nyob rau hauv cov ntaub ntawv ntawm txaus los khi kho nyhuv, tej zaum nws yuav nce mus rau 100-200 mg los yog ntxiv lwm yam antihypertensive tshuaj. Txhua hnub koob tshuaj (nyiaj pab ntau tshaj) yog 200 mg.

Cov tshuaj no yuav hais lus, nrog dej, ib zaug ib hnub twg tam sim ntawd tom qab ib tug noj mov. Ntsiav tshuaj yuav tsum tsis txhob yuav chewed.

Raws li kev tiv thaiv rau kev tiv thaiv ntawm angina tawm tsam thawj zaug txhua txhua hnub ntau npaum ntawm cov tshuaj ntawm 50 mg. Nyob rau hauv cov ntaub ntawv ntawm txaus los khi cov hauj lwm zoo ntawm txoj kev kho tej zaum nws yuav nce mus rau 100-200 mg los sis cov hauj lwm antiangialnyh lwm yam tshuaj. Maximum ntau npaum ib hnub - 200 mg.

Nyob rau hauv thiaj li yuav tiv thaiv kom txhob migraine tawm tsam noj tshuaj ib hnub twg ntawm 100-200 mg.

Los ntawm 50 mus rau 200 mg ntawm cov tshuaj rau noj tom haumxeeb mob mob nrog tachycardia.

Thaum kev tiv thaiv (secondary) myocardial infarction medicament yog muab nyob rau hauv ib tug ntau npaum ntawm 200 mg ib hnub twg.

Nyob rau hauv lub raum insufficiency, ntau npaum yuav tsis tau kho. Nyob rau hauv lub soj ntsuam mob nyob rau hauv hepatic tsis ua hauj lwm tej zaum yuav tshwm sim xws li ib tug yuav tsum tau.

Noj tshuaj yog heev phiv txheej xwm raws li bradycardia, ib tug txias SNAP nyob rau hauv lub qis extremities, orthostatic hypotension (xws li nrog syncope), qaug zog, kiv taub hau, ntxhov siab vim, muaj zog tshee txob taus, kev sib deev kawg, xeev siab, mob plab, raws plab los yog cem quav, dyspnea rau tom.

Ncua tseg cov tshuaj ua maj thaum uas txo ntau npaum ob lub lis piam. Nws yuav tsum tau muab sau tseg tias ntse rejection ntawm cov nyiaj yuav ua rau muaj mob ntau zog ntshav siab, kev raug mob ntawm angina sib cem.