Emoxibel - litaelo tsa semmuso bakeng sa tšebeliso
Mekhoa ea ho nooa ea Emoxibel:
- Tharollo ea infusion: e se nang 'mala, e pepeneneng (ka libotlolong tsa khalase ea 100 ml, ka lebokoseng la karete ea 1.
- Tharollo bakeng sa tsamaiso ea methapo (i / v) le methapo ea methapo (i / m): e mebala hanyane kapa e se nang 'mala, e pepeneneng (liphoofolong tse 10 ml, ka li-ampoule tse 5 ml, ka marang-rang a marang-rang a 5 ampoules, ka lebokoseng la 1 kapa 2 sephutheloana kapa botlolo e le 'ngoe),
- Maqhubu a mahlo: ka lesela le mosehla kapa le se nang 'mala, le pepeneneng (ka libotlolong tsa 5 ml, ka lebokoseng la mekotla e 1),
- ente: e se nang 'mala, e pepeneneng (ho li-ampoules tsa 1 ml, ka har'a mekotla e 5 ea li-ampoule tse 5, ka pakete ea li-ampoules tse 10 kapa lipakete tse 1 kapa tse 2 tse nang le sekhahla se fumanehang ka kiteng).
Karolo ea 1 ml Emoxibel Solution Tharollo:
- ntho e sebetsang: methylethylpyridinol hydrochloride (emoxypine) - 0,005 g,
- likarolo tse thusang: metsi a ente, sodium chloride.
Sebopeho sa 1 ml ea tharollo bakeng sa iv le tsamaiso ea methapo ea methapo:
- ntho e sebetsang: methylethylpyridinol hydrochloride (emoxypine) - 0,03 g,
- likarolo tse thusang: metsi a ho entoa, sodium hydrogen phosphate dodecahydrate, sodium sulfite.
Sebopeho sa marotholi a 1 ml a Ophthalmic Emoxibel:
- ntho e sebetsang: methylethylpyridinol hydrochloride (emoxypine) - 0,01 g,
- likarolo tse thusang: metsi a ente - ho fihla ho 1 ml, sodium hydrogen phosphate dodecahydrate - 0,007 5 g, phofo ea potasiamo dihydrogen - 0,006 2 g, sodium benzoate - 0,002 g, sodium sulfite - 0,003 g.
Sebopeho sa 1 ml Emoxibel ente:
- ntho e sebetsang: methylethylpyridinol hydrochloride (emoxypine) - 0,01 g,
- likarolo tse thusang: metsi a ente - ho fihla ho 1 ml, tharollo ea hydrochloric acid (0,1 M) - 0,02 ml.
Mofumahali
Ka lebaka la ntho e sebetsang eo e leng karolo ea Emoxibel, e etsa liketso tse latelang:
- e ama ka nepo mokhoa oa ho kopanya mali: e lelefatsa nako ea ho kopana ha mali, e fokotsa lenane la coagulation ka botlalo,
- e eketsa khatello ea lisele tse khubelu tsa mali ho hemolysis le mochine o sithabetsang, o tiisa litho tsa methapo ea methapo ea mali le lisele tse khubelu tsa mali,
- e ntlafatsa maselinyana,
- e eketsa ts'ebetso ea li-enzyme tsa antioxidant, e thibelang hantle oxidation ea lipids ea biomembranes,
- e na le litlamorao tsa li-antitoxic le angioprotective, e tsitsisa cytochrome P450,
- e ntlafatsa mekhoa ea bioenergy maemong a feteletseng, e tsamaisana le hypoxia le lipid peroxidation e eketsehileng,
- e eketsa khatello ea kelello ho ischemia le hypoxia,
- le mathata a ischemic le hemorrhagic a ho potoloha ha litho tsa 'mele ho ntlafatsa mesebetsi ea mnemonic, e thusa ho khutlisetsoa ha karolo ea tšebetso ea bokong, e thusa ho lokisa ho se sebetse hantle ha kelello,
- e fokotsa mokokotlo oa triglyceride, e na le thepa e theolelang lipid,
- e fokotsa tšenyo e bakiloeng ke ischemic myocardium, e hlapolle likepe tsa coronary,
- ka infraction ea myocardial, e kenya letsoho ho tloaelehileng tsa metabolism ea myocardial, e potlakisa ts'ebetso ea ho pheta-pheta, e fokotsa boholo ba sepheo sa necrosis,
- ka ho fokotsa menyetla ea ho hloleha ho hlobaela ha pelo ho ama hantle tsela ea tleliniki ea myocardial infarction,
- ka ho se sebetse hantle ho potoloha ho fana ka molao oa tsamaiso ea redox.
Mofumahali
Litšobotsi tsa methylethylpyridinol hydrochloride (emoxypine):
- ho amoheloa: with the / ho qala ho na le nako e tlase ea ho felisoa (T½ ke metsotso e 18, e bonts'a sekhahla se phahameng sa ho tlosoa maling), boleng ba ho felisoa khafetsa ke 0,041 min, botlalo ba Cl ke 214.8 ml ka motsotso o le mong.
- phetisetso: bophahamo bo bonahalang ba karolelano - 5.2 l, e kenella ka potlako litho le lisele tsa 'mele oa motho, moo e kenngoeng le ho tšeloa matla ka mor'a moo,
- metabolism: e na le li-metabolites tse 5 tse emeloang ke lihlahisoa tse kopantsoeng le tse senyehileng tsa phetoho ea eona, li-metabolites li hlahisoa ke liphio, 2-ethyl-6-methyl-3-hydroxypyridine phosphate e fumaneha ka bongata bo boholo sebeteng,
- excretion: Maemo a pathological a fokotsa sekhahla sa tlhahiso ea sona, e eketsang bioavailability ea eona, hape e eketsa nako ea eona ea bolulo maling (e kanna ea amahanngoa le ho khutla ha hae ho tsoa depong, ho kenyelletsoa ho tsoa ho ischemic myocardium).
Li-pharmacokinetics tsa Emoxibel maemong a methapo ea methapo (mohlala, ka corlary occlusion).
Tharollo ea infusion, tharollo bakeng sa tsamaiso ea iv le / m
- Nako ea ts'ebetso ho bakuli ba nang le likotsi tsa ts'ebetso ea ts'ebetso ea ts'ebetso ea mokokotlo, e sebetsanang le ho holofala kelellong, lefu la sethoathoa le lefu la sethoathoa ho kopantsoe le likotsi tsa bokong, hlooho e lemalang le likotsi tsa boko, ho hloka ts'ebetso ea methapo ea pelo, bokuli ba nakoana bo amanang le lefu la mokokotlo, lefu la hemorrhagic, stroke ka letamong la methapo e kahare ea carotid le tsamaisong ea methapo ea kutlo (sebelisa ts'ebetsong ea methapo ea kutlo le neurology),
- angina pectoris e sa tsitsang, thibelo ea reperfusion syndrome, infarction ea acute myocardial infarction (sebelisa cardiology).
Tharollo ea entetso
- ho chesa, likotsi, maloetse a mpefatsang a komello ea mali,
- ho sithabela ha leihlo la sefahleho le nang le glaucoma nakong ea ts'ebetso,
- mofuta o omileng oa angiosselotic macular degeneration,
- myopathy e thata
- chorioretinal dystrophy (e bohareng le e sephara),
- angioretinopathy, ho kenyeletsa lefu la tsoekere,
- Li-hemorrhage tsa "intraocular" le "subconjunctival" tse tsoang litsong tse fapaneng.
- thrombosis ea mothapo o moholo oa mokokotlo oa retina le makala a eona,
- thibelo le kalafo ea maqeba a mahlo ka khanya e matla (mahlaseli a laser nakong ea mahlaseli a laser, mahlaseli a letsatsi).
Contraindication
- ka tlase ho lilemo tse 18
- boimana (ntle le ente)
- ho nyekeloa (ntle le ente)
- ho se mamellane ha motho ka mong likarolo tsa moriana.
Setsoalle (maloetse / maemo a teng ao ho ona Tsamaiso ea Emoxibel e hlokang tlhokomeliso):
- Tharollo bakeng sa tsamaiso ea methapo le methapo: ho ba teng ha matšoao a ho tsoa mali haholo, ts'ebetso ea bongaka e thibelang hemostasis,
- ente: ho ima, ho nyeka.
Tharollo bakeng sa tsamaiso ea methapo le methapo
Emoxibel e tsamaisoa ka / ho kapa / m. Pele ho tsamaiso ea iv, tharollo e kenngoa ka 200 ml ea tharollo ea 5% ea dextrose kapa 0,9% sodium chloride.
Litekanyetso tsa lithethefatsi le nako ea phekolo li behiloe ka bonngoe.
- methapo ea kutlo, neurosurgery: mokelikeli o kenang oa 0,01 g ka boima ba 1 kg ea boima ba 'mele ka letsatsi ka tekanyo ea marotholi a 20-30 ho 1 min bakeng sa matsatsi a 10-12, ebe mokuli o fetisetsoa ente ea methapo ea methapo ea 0.06-0 , Makhetlo a 3 g makhetlo a 2-3 ka letsatsi matsatsi a 20,
- cardiology: iv drip 0,6-0.9 g makhetlo a 1-3 ka letsatsi ka tekanyo ea marotholi a 20-40 ka 1 min bakeng sa matsatsi a 5-15 ka phetisetso e eketsehileng ea mokuli ho ea / m tsamaiso ea 0.06-0 , 3 g ea moriana makhetlo a 2-3 ka letsatsi matsatsi a 10-30.
Litaelo tse khethehileng
Phekolo ea Emoxibel e etsoa ka tlasa taolo e sa feleng ea mali le khatello ea mali.
Tharollo ea infusion ha ea lokela ho kopanngoa le lithethefatsi tse ling.
Pele ho kenyelletsa marotholi a mahlo, lilense tse bonolo tsa puisano li lokela ho tlosoa. Kamora metsotso e 20 (eseng pejana), lilense li ka apesoa hape. Maemong a phekolo e kopaneng le marotholi a mang a mahlo, Emoxibel e kenyellelitsoe ho qetela, metsotso e 15 (eseng pejana) kamora ho tlosoa ka botlalo ha moriana o fetileng.
Tšusumetso ho bokhoni ba ho khanna makoloi le mekhoa e rarahaneng
Qalong ea ts'ebeliso ea tharollo ea infusion, hammoho le bakuli ba hlokometseng ho otsela kapa ho fokotseha ha khatello ea mali ka mor'a ho sebelisa tharollo bakeng sa tsamaiso ea iv le / m kapa ente, o lokela ho hana ho khanna makoloi le ho etsa mesebetsi e ka bang kotsi.
Sebopeho le mofuta oa tokollo
Tharollo ea Emoxibel bakeng sa tsamaiso ea methapo le methapo - mokelikeli ha o na 'mala kapa o mebala hanyane ho li-ampoules tse 5 ml, o na le:
- Lintho tse sebetsang: emoxypine (methylethylpyridinol hydrochloride) - 30 g,
- Lintho tse ling hape: sodium hydrogen phosphate dodecahydrate, sodium sulfite, metsi.
Lipakete tsa sele 1 kapa 2 likhomphutha. Li-ampoules tse 5 ka lebokoseng la karete. Thupelo, bofokoli.
Foromo ea boholo:
Tlhaloso:
e hlakileng, e se nang 'mala kapa e nang le mebala e nyane.
Sebopeho
Litara e le 1: ntho e sebetsang: methylethylpyridinol hydrochloride (emoxypine) - 30 g,
Baeti: sodium sulfite, sodium hydrogen phosphate dodecahydrate, metsi a ente.
Sehlopha sa Pharmacotherapeutic:
Khoutu: C05CX
Ketso ea pharmacological.
Ke inhibitor ea mekhoa ea mahala ea liphetoho, antihypoxant le antioxidant. Fokotsa viscosity ea mali le pokello ea liplatelete, e eketsa se ka hare ho cyclic nucleotides (cAMP le cGMP) liphatlalatsong tsa methapo ea mali le mokokotlo, e na le ts'ebetso ea fibrinolytic, e fokotsa ho senyeha ha lebota la vascular le kotsi ea hemorrhage, e phahamisa ho ts'oaroa ha tsona hape. E eketsa likepe tsa coronary, nakong e mpe ea infraction ea myocardial e fokotsa boholo ba sepheo sa necrosis, e ntlafatsa boikemisetso ba pelo le mosebetsi oa tsamaiso ea eona. Ka khatello e phahameng ea mali (BP) e na le phello e matlafatsang. A a hlobaetsang le ischemic mathata a ho potoloha ha mali a matsoele a fokotsa botebo ba matsoao a matsoafo, eketsa mesifa ho hanyetsa hypoxia le ischemia.
Mofumahali
Ha o fanoa kahare ho methapo ea 10 mg / kg, halofo ea bophelo ke lihora tse 0,3, netefatso e felletseng ea CL ke 0,2 l / min, moqolo o hlakileng oa kabo ke 5.2 l. Setlhare sena se kenella ka hare ho litho le lisele, moo se behoang le ho kenngoa ts'ebetsong. Ho fumanoe li-metabolites tse hlano tsa methylethylpyridinol, tse emeloang ke lihlahisoa tsa desalkylated le tse kopantsoeng tsa phetoho ea tsona. Methyl ethyl pyridinol metabolites e hlahisoa ke liphio. Palo ea bohlokoa ea 2-ethyl-6-methyl-3-hydroxypyridine-phosphate e fumanoa ka har'a sebete. Ka lefu la pelo le coronary, bioavailability ea eketseha.
Matšoao a ho sebelisoa.
E le karolo ea kalafo e kopaneng:
Contraindication
Hypersensitivity, moimana, ho lactation, lilemo tsa bana.
Ka tlhokomelo: bakuli ba nang le hemostasis e holofetseng, nakong ea ho buuoa kapa bakuli ba nang le matšoao a ho tsoa mali haholo (ka lebaka la phello ea ho kopanngoa hoa liplatelete).
Tekanyetso le tsamaiso.
Kahare kapa ka methapo.
Litekanyetso, nako ea kalafo e ikemiselitsoe ka bomong. Bakeng sa tsamaiso ea methapo, lithethefatsi li kenngoa pele ho 200 ml ea 0,9% sodium chloride solution kapa 5% dextrose solution.
Ho neurology le neurosurgery: ka mokhoa o ts'oanang oa marotholi a marang-rang ka makhetlo a 20-30 a theoha ka motsotsoana ka tekanyetso ea 10 mg / kg / letsatsi bakeng sa matsatsi a 10-12, ebe ba fetohela ente ea methapo ea methapo ea methapo ea methapo ea methapo ea methapo e 60 ho isa ho makhetlo a 2-3 ka letsatsi matsatsi a 20.
Ho latela lefu la pelo: ka mokhoa o ts'oaroang o inela ka lebelo la marotholi a 20-40 ka motsotso ka lethal dose ea makhetlo a 600- 900 mg makhetlo a le mararo ka letsatsi matsatsi a 5-15, ebe ho latela ente ea methapo ea methapo ea methapo ea methapo ea methapo ea methapo ea methapo le methapo makhetlo a 60 ka letsatsi. .
Litla-morao.
Ka tsamaiso ea methapo, maikutlo a tukang le bohloko bo ka etsahala, ho ka ba le keketseho ea khatello ea mali, ho ruruha kapa ho otsela, tlolo ea molao oa mali. Maemong a sa tloaelehang, ho opeloa ke hlooho, bohloko sebakeng sa pelo, ho nyekeloa le pelo, ho se khotsofale sebakeng sa epigastric, ho hlohlona le botala ba letlalo lia khoneha.
Ho sebelisana le lithethefatsi tse ling.
Methyl ethyl pyridinol ha e lumellane ka litlhare le lithethefatsi tse ling, ka hona ho kopanya syringe kapa infusomat le lithethefatsi tse ling tse ka kenang ha ho lumelloe.
Bongata
Matšoao litla-morao tse matla tsa lithethefatsi (ho hlaha ha ho otsela le ho ruruha), keketseho ea nakoana ea khatello ea mali.
Phekolo: matšoao, ho kenyelletsa tumellano ea lithethefatsi tse felisang khatello ea mali. Ha ho na litlhare tse tobileng.
Litaelo tse khethehileng.
Phekolo le Emoxibel, maemong a ts'ebetso ea eona ea methapo le ea methapo, e lokela ho etsoa tlasa taolo ea khatello ea mali le boemo bo sebetsang ba methapo ea mali le tsamaiso ea methapo ea kutlo.
Batho ba tlalehang ho otsela kapa ba fokotsehileng khatello ea mali kamora ho sebelisa Emoxibel ba lokela ho hana ho khanna le ho sebelisa mochini o kotsi.
Fomu ea tokollo.
Tharollo bakeng sa tsamaiso ea methapo le methapo ea 30 mg / ml. 5 di ml ka ampoules.
Li-ampoules tse 5 li kenngoa ka har'a moqomo oa blister o entsoe ka filimi ea polyvinyl chloride le foil ea aluminium e hatisitsoeng e nang le varnish kapa pampiri e metallized kapa pampiri e kopantsoeng ka polasetere ea polymer.
Pakete e le 'ngoe kapa tse peli tsa lithutso hammoho le litaelo tsa tšebeliso le lisebelisoa tse ngata tse kenelletseng li behiloe ka har'a pakete ea karete. Ha u sebelisa li-ampoules tse nang le lesale le senyehileng, li-ampoules li ka kenngoa ntle le sekoli se seholo.
Maemo a polokelo.
Sebakeng se lefifi ka mocheso o sa phahame ho feta 25 C.
Qoba hole le bana.
Letsatsi la ho felloa ke nako
Lilemo tse 2
Se ke oa sebelisa kamora letsatsi la ho felloa ke nako.
Maemo a phomolo a tsoang litlolong tsa litlama.
E fanoa ka taelo ea ngaka.
Litletlebo tsa moetsi / tsa bareki li lokela ho lebisoa ho.
RUE "Belmedpreparaty", Rephabliking ea Belarus, 220007, Minsk, 30 Fabritsius str.
Ketso ea pharmacological
Setlhare ke antihypoxant, antioxidant le inhibitor ea litsamaiso tsa mahala tsa radical. E khona ho fokotsa ponahalo ea mali, hammoho le pokello ea liplatelete, e eketsang se ka har'a cyclic nucleotides (cGMP, cAMP) ka liplatelete le lisele. Ntle le moo, e na le ts'ebetso ea fibrinolytic, e fokotsa sekhahla sa marako a methapo ea mali, ka tsela eo e fokotsa kotsi ea hemorrhage, mme e kenya letsoho ho ts'oaroeng ha bona kapele.
Emoxibel e na le thepa ea "retinoprotential", e ntlafatsa leihlo le bitsoang mahlo, e sirelletsa retina litlamorao tse mpe tsa khanya e matla.
Matšoao a ho sebelisoa
- Hemorrhage e kenang kapa e kenang.
- Angioretinopathy, chisioretinal dystrophy.
- Retinal vascular thrombosis.
- Dystrophic keratitis.
- Mathata a myopia.
- Ts'ireletso ea mokokotlo le leihlo la mahlo mahlong a mabe a khanya e matla.
- Ho chesa, ho sithabela maikutlo, ho ruruha ha makhopho a sefahleho.
- Cataract
- Ho buuoa ka mahlo le maemo ka mor'a ho buuoa ka glaucoma, ho rarahane ke ho ts'oaroa ha choroid.
Tekanyetso le tsamaiso
E behiloe subconjunctival / parabulbar, hang ka letsatsi kapa ka letsatsi le leng le le leng.
Bakeng sa ente ea subconjunctival, ho khothalletsoa litekanyetso tsa 0,2,5,5 ml ea tharollo ea 1% ea lithethefatsi, bakeng sa paramethara - 0.5-1 ml. Nako ea tšebeliso e tsoa matsatsing a 10 ho isa ho a 30. Pheta-pheto ea thupelo e ka etsahala selemo se seng le se seng kapa makhetlo a 3.
Haeba tsamaiso ea ho khutlisetsa marang-rang e hlokahala, tekanyetso ea ente ke 0.5-1ml ea tharollo ea 1%, hang ka letsatsi ka matsatsi a 10-15.
Bakeng sa ho sireletsa retina nakong ea laser coagulation, paramente ea marang-rang kapa li-injobulbar ente ea 0,5-1ml ea tharollo ea 1% e fanoe, e etsoang ka tsatsi le leng pele ho ts'ebetso, hammoho le hora pele ho coagulation.Kamora ho ts'oaroa ha laser, ente e ntse e tsoela pele ka lethal dose e le ngoe hanngoe ka letsatsi ka matsatsi a ka bang 10.
Analogs of Emoxibel
Analogue ea lithethefatsi Emoxibel ho ophthalmology ke Emoxipin ea lithethefatsi.
Ho fetohela "Moscow Eye Clinic", o ka lekoa ho lisebelisoa tsa morao-rao tsa tlhahlobo ea mafu, mme ho latela liphetho tsa eona - fumana litlhahiso tse tsoang ho litsebi tse etellang pele kalafong ea li-pathologies tse tsebahalang.
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