"Macropen": analogues, mirayiridzo kushandiswa, zvechokwadi

Chii chinodhaka "Macropen"? An analogue of chokushandisa, ayo kusunungurwa siyana, chikumbiro nzira, zviratidzo, contraindications uye nemishonga zvichakurukurwa pazasi. Tinewo ndinokuudzai kuti kutaura pamusoro chinodhaka, varwere uye kana anogona kushandisa vana.

Zvinoumba, kavha, chimiro

Kugadzirira "Macropen" (analoginen zvinoreva zvichabviswa yakanatsa hereinafter) inogadzirwa zviviri zvakasiyana siyana. Ngationgororei navo zvizere.

• Granules zvarakanyorerwa kuturika (anwa). The mushonga harina tsvina anooneka, izvozvo ane orenji ruvara uye chiedza munhuwi mabhanana. The vanoshingaira wemafuta chimiro ichi makabuda midecamycin acetate. medicament zvinosanganisira ancillary zvinhu zvakadai methyl parahydroxybenzoate, mannitol, propyl parahydroxybenzoate, yavaibvisa saccharin, cucumber acid, silicone antifoam, anhydrous yavaibvisa rehydrogen phosphate, hypromellose, mabhanana pakubika, uye ruvara yeyero. The mushonga zvirimowo mu hombodo dzemvura murima rinoonekera. Ivo inoiswa murwi makadhibhokisi uye vane zvizere dosing chipunu.
• "Macropen" mapiritsi. Manual rinoti chimiro ichi zvinodhaka riri chena, rakatenderera, zvishoma biconvex chimiro pamwe beveled kumicheto. Kune rumwe rutivi kune notching pamahwendefa. The vanoshingaira chezvinonhuwira gadziriro yakadaro makabuda midecamycin. Sezvo Excipients inoshandiswa polacrilin potassium, microcrystalline cellulose, magnesium stearate uye talc. Ichi chimiro zvinodhaka "Macropen" analogue izvozvo ( "Azithromycin" mhando) vari kutengeswa mhoni packs it, iyo inoiswa murwi makadhibhokisi.

The pharmacodynamic ehupfumi zvinodhaka

Nechipiriso noku analogue zvinodhaka "Macropen" pacharo anonzi nzira inorwisa mabhakitiriya. Vanopinda boka macrolides.

Nheyo kushanda ane mushonga zvakadaro ndechokuti kuchititadzisa mapuroteni usage mumasero mabhakitiriya ari mishonga duku nesimba munhu bacteriostatic zvazviri, uye makuru - bactericidal.

Yakakwirira kuchirapa kubudirira zvinodhaka akaona giremu positive utachiona akadai anonzi Staphylococcus, Clostridium, Listeria uye Streptococcus korinobakterii uye giremu - Bacteroides, Campylobacter, Helicobacter, Haemophilus influenzae, Moraxella.

Mukuwedzera, zvinodhaka "Macropen" analogue izvozvo kakawanda raitongwa pamberi intracellular utachiona izvi: ureaplasma, chlamydia, mycoplasma.

Pharmacokinetics

zvinodhaka "Macropen" rini kunyura? Manual inoti pashure kutora mushonga mukati zvachose uye nokukurumidza woga kubva nemudumbu.

The soro wevasungwa zvinodhaka muropa serum iri kuchengetwa pashure pemaawa 1-2. At ichi pamwero nayo anodzokororwa kusvikira maawa 6.

Mawa zvokudya yaunodya asingadi kukanganisa Absorção de Água zvinodhaka, uye hazvideredzi ayo wevasungwa muropa. Nezvenyaya iyi, Zvinokurudzirwa kuti kutora mushonga uyu pamberi zvokudya.

The kunonyanyisa Huwandu zvinodhaka inowanikwa parotid shwanu, mapapu uye ganda. Drug muviri kunoitika muna chiropa. Rwunoratidzwa pamwechete bile uye kuburikidza neitsvo.

Zvairatidza mahwendefa uye suspensions

Sei mishonga "Macropen"? Analogs uye kudhura uye inoshanda chaizvo zvinodhaka pamusoro zvirwere, izvo zvinokonzerwa tusingaoneki inonyatsoziva basa fuma:

• Zvirwere of genitourinary ino (semuenzaniso, Mycoplasma, Ureaplasma, Chlamydia);
• kufema Zvirwere (nemabayo, pharyngitis, tonsillitis, sinusitis, otitis, bronchitis);
• Zvirwere ganda uye mucous membranes;
• whooping chikosoro uye diphtheria;
• enteritis, vakanga kunokonzerwa Campylobacter.

Zvinofanira kucherechedzwa kuti zvinodhaka izvi kungadiwa varwere vasingakwanisi kushivirira asingaurayiwi mumiririri penicillin.

Contraindications pakushandisa zvinodhaka

dzomuzana Foreign uye mudzimba "macrofoams" uyewo zvinodhaka pachayo haina pachii:

• aikanganiswa midecamycin;
• zvakakomba hepatic vanotaura;
• makore kusvika makore matatu (nokuti mahwendefa).

Nzira chikumbiro uye chipimo chemushonga mahwendefa

Ndinofanira kushandisa zvinodhaka "Macropen" (kufanana)? Mirayiridzo dzokushandisa vaudza varwere kuti mushonga ari muchimiro mahwendefa akapiwa ose 8 maawa.

Vana yairema makirogiramu anopfuura 30 uye vakuru mushonga inokurudzirwa kutora 400 MG katatu pazuva. Maximum daily dose nokuti nevakura 1600 MG.

Child yairema makirogiramu asingasviki 30 vanopiwa 20-40 MG pa makirogiramu. Panguva zuva dose kurapwa rakakamurwa ka3. In zvirwere zvakakomba, ari pamusoro chitsama zvinodhaka anogona ngazviwedzerwe 50 MG muzana makirogiramu.

Dosing uye dosing kuturika

How kugamuchira kuturika, "Macropen"? Analogs (vana) uye mudziyo pachayo yakanyauka pachena mvura. chimiro iyi ushandiswe zvichienderana uremu wemwana. The mushonga chinobviswa kaviri pazuva.

• aine uremu 0-5 makirogiramu - vanenge 3.75 ml ari akagadzirira mhinduro;
• anoyera 5.10 makirogiramu - anenge 7.5 Rine mamiririta;
• aine uremu 10-15 makirogiramu - vanenge 10 Rine mamiririta;
• aine uremu 15-20 makirogiramu - anenge 15.;
• aine uremu 20-25 makirogiramu anenge 22.5 Rine mamiririta.

Kushandisa zvinodhaka muvana

In Pediatrics inotaura nenzira kwayo vaiona inonyatsobudirira uye akachengeteka. Doctors anenge asina dhumhana pamwe nemishonga.

Drug "Macropen» kashoma hunoita kuti dysbiosis, izvo chaizvo mune kugadzwa dzimwe asingaurayiwi nevamiririri.

In pakurapa "Makropenom" vana regai taurira mamwe Anti-fungal mishonga.

Izvi zvinoreva kuti vana anogadzirwa rinokosha (granules). A kuturika sei kuravidza akanaka zvakanaka. Panyaya iyi, panguva pakurapa varwere vaduku havana Usambova nezvinetso mishonga.

Zvinofanira kucherechedzwa kuti pane chaizvo chaizvo nyaya dzinovaka kubva vabereki vanoti kuti mishonga mugumisiro zvinodhaka izvi nguva dzose dzakakwirira, kunyange zviitiko apo dzimwe nemishonga inorwisa mabhakitiriya kuti penicillin simba.

Nemigumisiro pashure ingestion

Kubvuma Mari Kashoma kunokonzera nenjodzi. Zvisinei, mune zvimwe zviitiko, mushonga vanogona kubatsira chidzoke anotevera abnormalities:

• Pamusoro chikamu zvomudumbu turakiti: stomatitis, kurasikirwa kudya, kurutsa, jaundice, kuda kurutsa, kunzwa waziya mudumbu, ikawanda chiropa transaminase basa, mazhinji uye zvikuru manyoka (pamwe pseudomembranous colitis).
• Neutachiona: bronchospasm, ganda mapundu, itchy ganda, mapundu uye eosinophilia.
• Other: lethargy uye kushaya simba.

zvinodhaka kwavatori

Kana mawa Kutarisirwa zvinodhaka "Carbamazepine" zvinoderedza kushanduka yaro chiropa uye anowedzera wevasungwa muropa. Kubatana uku zvinodhaka kunowedzera ngozi chepfu anokonzerwa yokupedzisira (ataxia, Urinary chengetedzo, chinyamunhari chinorwadza).

Apo co-raitongwa aine mushonga "warfarin" kunowedzera ngozi ropa, ne "ergotamine" uye "ergometrina" - kuchengetwa peripheral vascular spasm (zvichibvira ischemia uye neronda rinonyenga wamativi), uye ne "cyclosporine" - kunowedzera mukana nephrotoxicity.

Mirayiridzo Special nokuti kugamuchira zvinodhaka

Maererano mirayiridzo, vaiona nzira ine zvinotevera zviri:

• Sezvo kushandisa dzimwe inorwisa utachiona vamiririri, refu kurapwa "Makropenom" murwere anogona kuva kurapika utachiona.
• Kana mishonga kunokonzera refu manyoka, inoratidza kukura kwezvinhu pseudomembranous colitis.
• Munguva-yakareba kurapa zvakafanira kuongorora basa chiropa makemikari. Izvi zvinonyanya kuitika varwere havachanyatsogoni nokushanda nhego iyi.
• fuma akadaro, akadai mannitol (anowanikwa tsanga) angava chinokonzera manyoka.
• Kana paine chisimbwa kuti acetylsalicylic iine acid dhayi yeyero, chinosanganisirwa murwiyo rekugadzirira kungakonzera neutachiona (semuenzaniso bronchospasm).

Drug "Macropen": analogues zvinodhaka uye dzavo mitengo

Parizvino analogs yezviri pazvokudya mushonga pasi pakudzokorora haako. Panyaya zvinhu zvaiva zvakafanana pharmacological boka (macrolides 2nd chizvarwa), pakati pavo ndedzinotevera mishonga: "Azithromycin", "Clarithromycin" uye "Josamycin". Vanewo kushandiswa zvirwere zvinokonzerwa noutachiona. Asi asati kushandisa mishonga iyi nokuda pakurapa vana nevakuru, zvakakodzera kubvunza chiremba kana chiremba, sezvo ivo vangava akasiyana chaizvo nzira chourongwa, chipimo chemushonga uye marwadzo.

Price mahwendefa uye kuturika "Macropen" (analogues wongororo kugadzirira zviri munyaya ino) ndiyo 270-360 rubles. Kana mutengo inorwisa mabhakitiriya kwakadaro akanyanya kukwirira, tinoratidza kuti iwe kuritsiva ne "azithromycin". mutengo wayo rubles 85-100 chete.

Panyaya zvinodhaka, zvakadai se "Clarithromycin" uye "josamycin", mutengo wavo kupfuura vokutanga (kubvira 380 rubles).

Testimonials

Reviews zvokurapa "Macropen" kunyanya zvakanaka. Vazhinji vavo vakanga kusiya murwere mushure yaitonga mushonga ari sinus.

Muzviitiko zvizhinji, muprista kushanda zvinodhaka riri vakachengeta chete nokuda kwake kugadzwa rakakodzera. Kana iwe utore mushonga sezvinoratidzwa nemirayiridzo (kurapwa nguva vhiki 1-2), varwere 'mamiriro ezvinhu mukuvandudza nokukurumidza zvakakwana. Kazhinji, kwakadaro kurapwa murwere haadi kuponjesa. Zvakakosha chaizvo kupedza kosi yokurapa. Zvikasadaro, utachiona vanogona kwaramba.

Zvinofanira kucherechedzwa kuti pane zvakawanda wongororo pamusoro kubvuma kuturika (vana vaduku). Kazhinji, vabereki vakaguta nemigumisiro kurapwa. Maererano navo, zvinodhaka rubatsiro nokukurumidza zvakakwana kana iwe kukosora, kusanganisira kuramba tichishanda.

Mune zvisingawanzoitiki kacho kudzivirira mwana manyoka uye kupa probiotics akadai "Baktisubtil" uye "Linex".

Munguva womuchato, kuti nhau mishonga, vamwe vabereki vanoti pakuonekwa vana zvinotevera nemishonga: Hope, kuda kurutsa uye kurutsa. Muzviitiko zvakadaro, mishonga iri akadzima uye chikatsiviwa yakachengeteka zvikuru nerokuti.