gamoyenebis instruqcia informacia momxmareblisaTvis

gamoyenebis instruqcia
informacia momxmareblisaTvis
alceba 10mg Semogarsuli tabletebi
Alceba 10mg film tablets
Memantine hydrochloride
preparatis gamoyenebamde gulsdasmiT waikiTxeT es danarTi furceli
-
-
SeinaxeT es danarTi furceli. SesaZloa dagWirdeT misi xelmeored wakiTxva.
damatebiTi kiTxvebis SemTxvevaSi mimarTeT Tqvens eqims an farmacevts.
es preparati dageniSnaT piradad Tqven da amitom ar unda gadasceT is sxva
pirebs. aman SesaZloa ziani moutanos maT, im SemTxvevaSic ki Tu maTi simptomebi
waagavs Tqvensas.
Tu romelime gverdiTi movlena gaxdeba seriozuli, an SeamCnevT iseT movlenas,
romelic am danarT furcelSi ar aris aRwerili, mimarTeT eqims, an farmacevts.
am danarT furcelSi:
1. risTvis gamoiyeneba alceba?
2. alcebas gamoyenebamde
3. rogor gamoviyenoT alceba
4. SesaZlo gverdiTi movlenebi
5. alcebas Senaxvis pirobebi
6. damatebiTi informacia
1. risTvis gamoiyeneba alceba
rogor moqmedebs alceba
alceba miekuTvneba e.w demenciis sawinaaRmdego preparatebis jgufs.
alchaimeris daavadebisas mexsierebis dakargva gamowveulia Tavis tvinSi
impulsebis gadacemis darRveviT. Tavis tvinSi aris e.w
N-meTil-D-asparatis
receptorebi, romlebic monawileoben nervuli impulsebis gadacemaSi, rac
aucilebelia swavlisaTvis da damaxsovrebisaTvis. alceba miekuTvneba N-meTil-Dasparatis receptorebis antagonistebis jgufis preparatebs. is moqmedebs N-meTilD-asparatis receptorebze, romlebic aumjobeseben nervuli impulsebis gadacemas
da mexsierebas.
risTvis gamoiyeneba alceba
alceba gamoiyeneba saSualo
pacientebis samkurnalod.
an
mZime
formis
alcheimeris
daavadebis
mqone
2. alcebas miRebamde
ar miiRoT alceba
-
Tu xarT alergiuli (hipersensitiuri) memantinis hidroqloridis, an alcebas
tabletbis sxva komponentebis mimarT (ix. nawili 6).
gamoiCineT yuradReba alcebas miRebisas
-
Tu anamnezSi gaqvT epilefsiuri Setevebi
Tu bolo dros gadaitaneT miokardiumis infarqti (gulis Seteva), an Tu
gaqvT gulis SegubebiTi ukmarisoba, an arakontrolirebadi hipertenzia
(maRali wneva)
am situaciaSi mkurnaloba unda Catardes mkacri meTvalyureobis qveS da
regularulad Sefasdes alcebas klinikuri sargebeli Tqveni eqimis mier.
Tu gaqvT Tirkmlis ukmarisoba (Tirkmlis problemebi), Tqvenma eqimma mkacrad unda
akontrolos Tirkmelebis funqcia da saWiroebis SemTxvevaSi Sesabamisad
daareguliros memantinis dozebi.
Tavidan unda iqnas acilebuli preparatebis - amantadinis (gamoiyeneba parkinsonis
daavadebis samkurnalod), ketaminis (ZiriTadad gamoiyeneba saanesTezio saSualebis
saxiT), deqstrometorfanis (ZiriTadad gamoiyeneba xvelis samkurnalod) da sxva NmeTil-D-asparatis receptorebis antagonistebis erTdrouli gamoyeneba.
alceba ar aris rekomendirebuli bavSvebsa da 18 wlamde asakis mozardebSi
gamosayeneblad.
sxva preparatebTan urTierTqmedeba
gTxovT acnoboT eqims, an farmacevts Tu iRebT, an bolo dros iRebdiT raime sxva
samkurnalo saSualebas ureceptod gasacemi preparatebis CaTvliT.
alcebam gansakuTrebiT SesaZloa Secvalos Semdegi preparatebis efeqti da maTi
dozis regulireba unda moxdes eqimis mier:
amantadini,
ketamini,
deqstrometorfan
dantroleni,
baklofen
cimetidini,
ranitidini, prokainamidi, qinidini, qinini, nikotin hidroqloroTiazidTan (an
nebismieri kombinacia hidroqloroTiazidebTan), antiqolinerguli saSualebebi
(substanciebi, romlebic ZiriTadad gamoiyeneba moZraobis darRvevebis, an
nawlavebis spazmis samkurnalod), antikonvulsantebi (substanciebi, romlebic
gamoiyeneba
Setevebis
prevenciisa
da
SemsubuqebisaTvis),
barbituratebi
(substanciebi,
romlebic
ZiriTadad
gamoiyeneba
Zilis
mosawesrigeblad),
dopaminerguli
agonistebi
(iseTi
substanciebi
rogorebicaa
L-dopa,
bromokriptini), neirolefsurebi (substanciebi, romlebic gamoiyeneba mentaluri
darRvevebis samkurnalod), peroralurad misaRebi antikoagulantebi.
Tu waxvalT saavadmyofoSi acnobeT Tqvens eqims, rom iRebT alcebas.
alcebas miReba sakvebTan da sasmelTan erTad
Tqven unda acnoboT eqims Tu bolo dros SecvaleT, an apirebT arsebiTad
SecvaloT dieta (mag. normaluri dietidan gadadixarT vegetarianul dietaze), an
Tu gaqvT Tirkmlis tubuluri acidozi (Tirkmlis disfunqciis gamo sisxlSi
mJavas warmomqmneli substanciis gadasvla (Tirkmlis ukmarisoba)), an saSarde
gzebis mwvave infeqciuri daavadebebi, radgan Tqvenma eqimma SesaZloa saWirod
CaTvalos preparatis dozis Secvla.
orsuloba da ZuZuTi kveba
nebismieri preparatis miRebamde hkiTxeT rCeva eqims, an farmacevts.
uTxariT eqims Tu xarT orsulad, an Tu apirebT daorsulebas.
gamoyeneba ar aris rekomedirebuli orsulobisas.
alcebas miRebis dros qalebma Tavi unda aaridon ZuZuTi kvebas.
memantinis
satransporto saSualebebis marTva da meqanizmebTan muSaoba
eqimi getyviT Tqveni daavadebidan gamomdinare SeiZleba Tu ara
satransporto saSualebebis marTva da meqanizmebTan muSaoba usafrTxod.
aseve alcebam SesaZloa Secvalos Tqveni reagirebis unari. satransporto
saSualebebis marTva da meqanizmebTan muSaoba ar aris mizanSewonili.
3. rogor gamoviyenoT alceba
yovelTvis miiReT alceba eqimis daniSnulebis Sesabamisad. Tu ar xarT raimeSi
darwmunebuli mimarTeT eqims, an farmacevts.
dozireba
alcebas rekomendirebuli doza mozardebsa da xandazmul pacientebSi Seadgens
20mg erTjer dReSi. gverdiTi movlenebis gamovlenis riskis Sesamcireblad es
doza miiRweva TandaTanobiT mkurnalobis Semdegi sqemis Sesabamisad:
kvira
kvira
kvira
kvira
1
2
3
4 da Semdeg
0.5 x 10mg tableti
10mg tableti
1.5 x 10mg tableti
2 x 10mg tableti erTxel dReSi
Cveuli sawyisi doza aris naxevari tableti erTxel dReSi (1 x 5mg) pirveli kviris
ganmavlobaSi. es doza izrdeba erT tabletamde (1 x 10mg) meore kviras erTjer
dReSi da mesame kviras iniSneba erTnaxevari tableti erTjer dReSi. meoTxe
kviridan doza Seadgens 2 tablets erTjer dReSi (1 x 20mg).
dozireba Tirkmlis ukmarisobis mqone pacientebSi
Tu gaqvT Tirkmlis ukmarisoba Tqveni eqimi miiRebs gadawyvetilebas TqvenTvis
saWiro dozis Sesaxeb. am SemTxvevaSi eqimma garkveuli intervalebiT unda
awarmoos Tirkmlis funqciis monitoringi.
miReba
alceba
unda
miiRoT
peroralurad
erTjer
dReSi.
preparatis
efeqtis
gamosavlenad is unda miiRoT yoveldRiurad erTidaimave dros. tabletebs
miayoleT cotaodeni wyali. preparatis miReba SeiZleba rogorc sakvebTan erTad,
ise misgan damoukideblad.
mkurnalobis xangrZlivoba
miiReT alceba TqvenTvis saWiro efeqtis gamovlenamde. Tqvenma eqimma
regularulad unda Seafasos mkurnaloba.
Tu miiReT alcebas saWiroze meti doza
- zogadad alcebas dozis gadaWarbeba ar iwvevs raime saxis zians. SesaZloa
momatebulad gamovlindes nawilSi 4 - “SesaZlo gverdiTi movlenebi” aRwerili gverdiTi movlenebis simptomebi.
-
Tu miiReT alcebas zedmetad didi doza, mimarTeT eqims, an miiReT
samedicino rCeva, radgan SesaZloa saWiro gaxdes samedicino daxmarebis
aRmoCena.
Tu dagaviwydaT alcebas miReba
- Tu dagaviwydaT alcebas miReba daicadeT Semdegi dozis miRebis dromde da
miiReT momdevno doza reJimis mixedviT.
- ar miiRoT ormagi doza gamotovebulis sakompensaciod.
am produqtis miRebasTan dakavSirebiT
mimarTeT eqims, an farmacevts.
raime
kiTxvis
arsebobis
SemTxvevaSi
4. SesaZlo gverdiTi movlenebi
sxva preparatebis msgavsad alcebamac SeiZleba gamoiwvios gverdiTi movlenebi,
magram ara yvela adamianSi. gamovlenili gverdiTi movlenebi ZiriTadad aris
msubuqi, an saSualo simwvavis.
Tavis tkivili, Zilianoba, konstipacia, Tavbrusxveva da maRali wneva aris xSiri
gverdiTi movlenebi. daRliloba, sokovani daavadebebi, dabneuloba, halucinaciebi,
Rebineba, muclis tkivili, gulis ukmarisoba da venuri sisxlis Sededeba
(Trombi/Tromboembolia) aseve vlindeba, magram iSviaTad. Setevebi vlindeba Zalian
iSviaTad. ar aris cnobili pankreatitis da fsiqozuri reaqciebis gamovlenis
sixSire (arsebuli monacemebidan ar aris SesaZlebeli sixSiris Sefaseba).
alchaimeris daavadeba dakavSirebulia depresiasTan, suicidur azrebTan da
TviTmkvlelobasTan.
es
mtkicebulebebi
arsebobs
pacientebSi,
romlebsac
mkurnaloba utardebodaT alcebaTi.
Tu romelime gverdiTi movlena gaxdeba seriozuli, an SeamCnevT iseT movlenas,
romelic am danarT furcelSi ar aris aRwerili, mimarTeT eqims, an farmacevts.
5. alcebas Senaxvis pirobebi
SeinaxeT bavSvebisaTvis miuwvdomel adgilas.
ar gamoiyenoT alceba kolofze miTiTebuli vargisianobis vadis gasvlis Semdeg,
romelic miTiTebulia EXP Semdeg. vargisianobis vada exeba Tvis bolo dRes.
am samedicino produqts ar Wirdeba Senaxvis raime specialuri piroba.
preparati ar gadaagdoT sakanalizacio wylebSi da sayofacxovrebo narCenebTan
erTad. kiTxeT rCeva farmacevts gamousadegari preparatis ganadgurebis Sesaxeb. es
zomebi daicavs garemos dabinZurebisagan.
6. damatebiTi informacia
ras Seicavs alceba
moqmedi nivTiereba aris memantinis hidroqloridi. TiToeuli Semogarsuli
tableti Seicavs 10mg memantinis hidroqlorids (eqvivalenturia 8.31mg memantinis).
sxva
komponentebi
birTvi:
natriumis
kroskarmeloza,
mikrokristaluri
celuloza, kvarci koloiduri uwylo, talki da magniumis stearati;
garsi: polivinili, polieTilenglikolis polimeri (Collicoat IR), polideqstroza,
mZime kaolini, makrogol 400, titaniumis dioqsidi (E 171).
alcebas aRwera da SefuTvis SigTavsi
alcebas Semogarsuli tabletebi aris moTeTro an TeTri feris, mogrZo,
ormxrivamozneqili Semoagarsuli tabletebi, gamyofi xaziT orive mxares. 100
tableti pvq/aluminis folgis blisterze.
vargisianobis vada: 2 weli
gacemis reJimi: receptiT (II jgufi).
savaWro uflebis mflobeli
Helba Pharmaceutikals Inc. Co
OVECLER 68. Sok(1319 Sk) No: 5/2 CANKAYA/ ankara-TurqeTi.
mwarmoebeli qarxana:
Merkez Laboratories Co.
Sirri Celik Bulvari Ayca Sok. No:6 Tasdelen-Umranie/stambuli - TurqeTi