Analogs "Coraxan": tsanangudzo uye mirayiridzo kushandiswa

Ndezvipi analogues ari "Coraxan"? Mhinduro yomubvunzo uyu inogona kuwanikwa zvinhu ino. Uyezve, isu kuuya kwamuri ruzivo pane zvinodiwa mushonga dzakadai hwatakanga uye zvichingodaro.

General ruzivo pamusoro somushonga chigadzirwa

Mahwendefa "Coraxan" vanomiririra mushonga kuti DZEMUNHU DZINODZORA mwoyo unodiwa. medicament ichi chine wayo sezvamunoita vanoshingaira fuma yakadai ivabradine hydrochloride, uyewo ebetsero zvinoriumba sezvo lactose monohydrate, magnesium stearate, chibage starch, maltodextrin, uye colloidal nesilicon dioxide.

Pharmacological migumisiro

Analogs "Coraxan", akati gadziriro pacharo chengetedza mwoyo mwero nokuda kusarudza uye yakananga sinus raiva pedyo nebundu zvichivhiringidza KANA migero, iyo anotonga kwatangwa diastolic depolarization. Active wemafuta pomutumwa Ane Zvaanoita atrio-ventricular uye intraventricular makwara, uyewo ventricular repolarization uye myocardial contractility.

Uyezve, ivabradine hydrochloride ingashanda pamwe migero yavo the retina, akafanana cardiac KANA-migero, izvo zvinobatanidzwa panowanikwa kwenguva pfupi kuchinja kuona maonero. Zvisinei, chikuru chepfungwa pharmacological mumiririri unyanzvi deceleration mwoyo unodiwa.

Zvairatidza mishonga yomuchipatara

Sei kushandiswa analogues "Coraxan" uye anomiririrwa achishandisa pachayo? zvinodhaka aya nezvaro zvinotevera nyaya:

• Yakagadzikana angina. Zvipatara chirwere ichi tichibatsirwa chokushandisa ichi rinoitwa Varwere kwomuzvarirwo sinus mutinhimira pamberi contraindications kana asingashiviriri kuti Beta-blockers, uyewo akabatana navo.
• Heart kutadza (refu). Akarambwawo ichi rokuzvigadzira pacharo uye analogues "Coraxan" rinoshandiswa kuderedza kuitika zvemwoyo yematambudziko. Pashure pezvose, vakawanda izvozvo chokuita kufa pavarwere nezvirwere zvakadai.

Contraindications pakushandisa zvinodhaka "Coraxan"

Drug analogues "Coraxan" uye iye akapa mishonga harifaniri kushandiswa zvinotevera nyaya:

• hypersensitivity kuti ivabradine hydrochloride, kana mumwe ebetsero mumiririri zvinoriumba izvozvo;
• kusagadzikana angina ;
• cardiogenic kugwinha;
• bradycardia (i.e. panguva kakawanda mwoyo sunga, panguva yokuzorora, kuti asingasviki 60 anorova paminiti);
• myocardial infarction (chenjera);
• hepatic kukundikana (kwazvo);
• zvakakomba hypotension (BP zvishoma pa 90 mmHg uye diastolic - asingasviki 50 mm HG ....);
• sinus;
• pamberi pacemaker;
• sinoatrial misa;
• Pamuviri uye lactation;
• atrioventricular misa 3 madhigirii;
• pamunhu yaizoshanda panguva kushandisa simba FIs ose cytochrome isoenzymes (semuenzaniso, zvinodhaka "ketoconazole", "Erythromycin" "Itraconazole" "Josamycin" "Clarithromycin," "Ritonavir", "telithromycin" "Nefazodone" uye "Nelfinavir");
• paucheche (kuchengeteka uye kubudirira chingamubatsira ichi kusvika makore 18 asina kudzidza);
• lactose kusashivirirana.

Kuendeswa nokungwarira zvikuru!

Medicament "Coraxan" (mutengo, analogs ari mari zvichagoverwa pazasi) rinofanira kushandiswa chete mushonga. Nokungwarira akaipisisa, mahwendefa yakadaro inofanira kubatwa:

• chiropa kutadza (mwero);
• nezvishoma QT (vachiberekwa) penguva;
• renal kukundikana (kwazvo);
• mawa kwokubatsira zvinodhaka kuti yakareba penguva QT;
• mawa kushandiswa bhuratifuru muto uye cytochrome isoenzymes FIs;
• kutyora asymptomatic kuruboshwe ventricular basa;
• atrioventricular misa 2nd dhigirii;
• Kurohwa (achangobva vaitama);
• retinal pigmentation (ayo degeneration);
• hypotension;
• mawa Kutarisirwa calcium mugero blockers (semuenzaniso, senzira "Diltiazem" kana "Verapamil").

Drug "Coraxan": mirayiridzo kushandiswa

Analogs nzira vanoti substantially zvakafanana dosages uye nzira kushandisa kuti ainzi medicament. Asi usati kuzvishandisa, iva nechokwadi kuti uzive pamwe vakakoshesa mirayiridzo chiremba.

• With yakadzikama angina kushingaira zvinodhaka ari kwokutanga dose chinotarisirwa mune imwe mari 10 MG pazuva. Kana pashure pemavhiki 3-4, kuti mishonga mugumisiro kumboitika, nezuva chipimo chemushonga vanofanira ngazviwedzerwe MG 15 pazuva.
• In chisingaperi mwoyo nokukundikana mumiriri zvakadaro kwokutanga dose chinotarisirwa mune imwe mari 10 MG pazuva. Kana pashure 2-kwemavhiki kuchirapa kushanda uye haauyi, nezuva chipimo chemushonga vanofanira ngazviwedzerwe 15 MG pazuva.
• Varwere vakwegura makore 75 varumbidzwa kutanga dose pamusoro 2,5 MG kaviri pazuva. Mune ramangwana, unogona kuwedzera dose zvinodhaka.
• Kana renal basa pavarwere raitongwa zvinodhaka "Coraxan" mune imwe mari 10 MG pazuva. Kana pashure pemavhiki 3-4, kuti mishonga mugumisiro kumboitika, nezuva chipimo chemushonga vanofanira ngazviwedzerwe MG 15 pazuva.
• Kana zvemamiriro chiropa basa pavarwere raitongwa zvinodhaka "Coraxan" mune imwe mari 10 MG pazuva. Kana pashure pemavhiki 3-4, kuti mishonga mugumisiro kumboitika, nezuva chipimo chemushonga vanofanira ngazviwedzerwe MG 15 pazuva.

Possible divi migumisiro pashure achitora mushonga

Kunyange zvinobudirira, kwete munhu mumwe nomumwe nomoyo matambudziko kuenda kutora zvinodhaka. Chokutanga, izvi imhaka yokuti iye ane zvakawanda nemishonga:

• Madzerere uye kakawanda kuchinja photoreception (kana inonzi photopsia).
• Bradycardia, sinus arrhythmia, ventricular arrythmia, angina (isina), palpitations, myocardial infarction, hypotension, supraventricular extrasystoles, atrial fibrillation, ventricular tachycardia, uye myocardial ischemia.
• Manyoka, kuda kurutsa uye kupatira.
• Nomusoro (kunyanya mumwedzi wokutanga kurapa), dzungu, kupfupika mweya, tsandanyama chinyamunhari chinorwadza, vertigo uye syncope.
• Hyperuricemia uye eosinophilia.
• Skin mapundu, angioedema, pruritus, urticaria uye erythema.
• Asthenia, zvakawanda zvive uye kuneta.

Drug "Coraxan": wongororo, zvinodhaka analogues

Avo havashandisi chokushandisa zvakare, taura nezvazvo chete akanaka. Zvisinei, mushonga uyu unodhura zvikuru. Saka, nokuti 56 mahwendefa mishonga "Coraxan" Uchazoti kubhadhara anenge 1,200 rubles Russian. Panyaya iyi, ruzhinji varwere mwoyo chirwere kazhinji wakatanga kuwana isingadhuri analoginen zvinodhaka.

The STRUCTURAL analogues uyu chishandiso yezviri mumiririri zvinosanganisira zvinotevera mishonga:

• "Ivabradine hydrochloride";
• "Ivabradine".

Maererano kuchirapa mugumisiro (zvinodhaka akagadzirirwa Mabatirwo angina)

• "Amlodipine";
• "Asparkam";
• "Atenolol";
• "Asipurini Cardio";
• "Betalok";
• "Validol";
• "Hypoxen";
• "Izoket";
• "Diltiazem";
• "Izolong";
• "Carvedilol";
• "Concor";
• "Korvitol";
• "Lokren";
• "Cordipin";
• "Corinfar kutadzisa";
• "Metoprolol";
• "Mildronat";
• "Monosan";
• "Nitroglycerin";
• "Papaverine";
• "Nitrong";
• "Nifedipine";
• "Normodipin";
• "Plavix";
• "Prestancia";
• "Stamlo";
• "Sustonit";
• "Trimetazidine";
• "Tenoks";
• "Egilok";
• "Efoksa Long" uye nezvakadaro.