atorisi, 10 mg, apkiT Semogarsuli tabletebi atorisi, 20 mg ... - GPC
atorisi, 10 mg, apkiT Semogarsuli tabletebi atorisi, 20 mg ... - GPC
atorisi, 10 mg, apkiT Semogarsuli tabletebi atorisi, 20 mg ... - GPC
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<strong>atorisi</strong>, <strong>10</strong> <strong>mg</strong>, <strong>apkiT</strong> <strong>Semogarsuli</strong> <strong>tabletebi</strong><br />
<strong>atorisi</strong>, <strong>20</strong> <strong>mg</strong>, <strong>apkiT</strong> <strong>Semogarsuli</strong> <strong>tabletebi</strong><br />
<strong>atorisi</strong>, 40 <strong>mg</strong>, <strong>apkiT</strong> <strong>Semogarsuli</strong> <strong>tabletebi</strong><br />
atorvastatini<br />
preparatis miRebamde yuradRebiT, srulad gaecaniT instruqcias.<br />
- SeinaxeT instruqcia, vinaidan misi wakiTxva SeiZleba kidev dagWirdeT.<br />
- damatebiTi kiTxvebis SemTxvevaSi, mimarTeT eqims an farmacevts.<br />
- aRniSnuli preparati Tqven dageniSnaT. nu gadascemT mas sxvebs. preparats SeuZlia avnos, Tundac maTi<br />
simptomebi Tqvensas emTxveodes.<br />
- Tu romelime gverdiTi efeqti damZimda an SeniSneT am instruqciaSi aRniSnulTagan gansxvavebuli gverdiTi<br />
efeqti, mimarTeT eqims an farmacevts.<br />
instruqciis Sinaarsi:<br />
1. ras warmoadgens da risTvis gamoiyeneba <strong>atorisi</strong><br />
2. <strong>atorisi</strong>s miRebamde<br />
3. <strong>atorisi</strong>s miRebis wesi<br />
4. SesaZlo gverdiTi efeqtebi<br />
5. <strong>atorisi</strong>s Senaxvis pirobebi<br />
6. damatebiTi informacia<br />
1. ras warmoadgens da risTvis gamoiyeneba <strong>atorisi</strong><br />
<strong>atorisi</strong> miekuTvneba preparatTa jgufs, romlebsac statinebi ewodeba da lipidebis (cximebis) maregulirebel<br />
preparatebs warmoadgenen.<br />
<strong>atorisi</strong> gamoiyeneba sisxlSi lipidebis – qolesterinis da trigliceridebis - donis dasawevad, roca mxolod<br />
dabalcximiani dieta da cxovrebis stilis Secvla uSedegoa. Tu gulis daavadebis gazrdili riskis qveS xarT,<br />
<strong>atorisi</strong>s gamoyeneba am riskis Sesamcirebladac SeiZleba, Tundac qolesterinis done normaluri iyos. mkurnalobis<br />
periodSi unda daicvaT standartuli qolesterinis damwevi dieta.<br />
qolesterini warmoadgens nivTierebas, romelic organizmSi bunebrivadaa warmodgenili da aucilebelia normaluri<br />
ganviTarebisTvis. Tumca, Tu sisxlSi qolesterini momatebulia, igi SeiZleba daileqos sisxlZarRvebis kedlebze da<br />
sabolood, maTi blokireba gamoiwvios. es gulis daavadebebis erT-erTi yvelaze xSiri mizezia. cnobili faqtia, rom<br />
qolesterinis maRali done gulis daavadebebis momatebul risks gansazRvravs. sxva faqtorebs, romlebic gulis<br />
daavadebis risks zrdian, miekuTvneba arteriuli hipertenzia, Saqriani diabeti, Warbi wona, fizikuri aqtiobis<br />
nakleboba, moweva an gulis daavadebebis ojaxuri istoria.<br />
2. <strong>atorisi</strong>s miRebamde<br />
ar miiRoT <strong>atorisi</strong><br />
- Tu alergiuli (hipersensitiuri) xarT atorvastatinis an <strong>atorisi</strong>s sxva komponentebis mimarT;<br />
- Tu RviZlis darRvevebi gaqvT;<br />
- Tu RviZlis funqciebze sisxlis analizebis darRveuli maCveneblebi gqondaT, ucnobi mizeziT;<br />
- Tu reproduqciuli asakis qali xarT da ar iyenebT saimedo kontracefcias;<br />
- Tu orsulad xarT, daorsulebas cdilobT an meZuZuri deda xarT.<br />
- Tu kunTebis daavadeba gaqvT, romelic miopaTiis saxeliTaa cnobili (kunTebis ganmeorebadi an auxsneli<br />
tkivili)<br />
<strong>atorisi</strong> gansakuTrebuli sifrTxiliT gamoiyeneT<br />
- Tu Tirkmlis problemebi gaqvT<br />
- Tu daqveiTebuli gaqvT farisebri jirkvlis funqcia (hipoTiroidizmi)<br />
- Tu gaqvT an odesme gqoniaT kunTebis ganmeorebadi da auxsneli tkivili, aseve, kunTebTan dakavSirebuli<br />
problemebis piradi an ojaxuri istoria<br />
- Tu warsulSi, lipidebis damaqveiTebeli sxva preparatebiT mkurnalobisas (mag., sxva “-statinebi” an “fibratebi”),<br />
gqoniaT kunTebTan dakavSirebuli problemebi<br />
- Tu regularulad RebulobT didi raodenobiT alkohols<br />
- Tu RviZlis daavadebis istoria gaqvT<br />
- Tu 70 wels gadacilebuli xarT<br />
Tu CamoTvlilTagan romelime gexebaT, eqimma unda CagitaroT sisxlis analizi <strong>atorisi</strong>T mkurnalobamde da,<br />
SesaZlebelia, mis ganmavlobaSic, raTa Tavidan aicilos kunTebTan dakavSirebuli gverdiTi efeqtebi. cnobilia, rom<br />
kunTebTan dakavSirebuli gverdiTi efeqtebis, mag., rabdomiolizis riski matulobs, roca erTdroulad miiReba<br />
garkveuli praparatebi (ixileT punqti 2, “sxva preparatebis miReba”).<br />
<strong>atorisi</strong>s miRebamde, gaarkvieT eqimTan an farmacevtTan<br />
- xom ar gaqvT sunTqvis mZime ukmarisoba<br />
sxva preparatebis miReba<br />
garkveul preparatebs SeuZliaT Secvalon <strong>atorisi</strong>s efeqti an maTi efeqti Secvalos atorisma. a<strong>mg</strong>varma<br />
urTierTqmedebam, SesaZlebelia, erTi an orive preparati nakleb efeqturi gaxados. agreTve, SeiZleba gazardos<br />
gverdiTi efeqtebis riski an simZime, maT Soris, rabdomiolizis saxeliT cnobili, mZime, kunTebis gamomfitavi<br />
mdgomareoba, romelic me-4 punqtSia aRwerili. eqimi amas mxedvelobaSi miiRebs <strong>atorisi</strong>s dozis dadgenisas.<br />
garkveuli preparatebi urTierTqmedeben atorisTan:<br />
- preparatebi, romlebic gamoiyeneba imunuri sistemis moqmedebis Sesacvlelad, mag., ciklosporini
- zogierTi antibiotiki an sokos sawinaaRmdego preparati, mag., eriTromicini, klariTromicini, ketokonazoli,<br />
itrakonazoli, rifampini;<br />
- lipidebis donis maregulirebeli sxva preparatebi, mag., gemfibrozili, sxva fibratebi, nikotinis mJavis<br />
warmoebulebi, qolestipoli;<br />
- kalciumis arxebis zogierTi blokatori, romelic stenokardiis an sisxlis maRali wnevis dros gamoiyeneba,<br />
mag., dilTiazemi;<br />
- gulis riTmis maregulirebeli preparatebi, mag., digoqsini, amiodaroni;<br />
- zogierTi benzodiazepini, romelic SfoTvis an sxva darRvevebis dros gamoiyeneba, mag., nefazodoni;<br />
- proteazas inhibitorebi, romlebic aiv infeqciis samkurnalod gamoiyeneba;<br />
- sxva preparatebi, romlebic atorisTan urTierTqmedeben Semdegia: varfarini (amcirebs sisxlis Sededebas),<br />
oraluri kontraceptivebi, fenitoini (antikonvulsanti, gamoiyeneba epilefsiis dros) da antacidebi<br />
(aluminis an magniumis Semcveli saWmlis monelebis darRvevis samkurnalo produqtebi)<br />
SeatyobineT eqims an farmacevts Tqvens mier amJamad an axlo warsulSi miRebuli nebismieri sxva preparatis Sesaxeb,<br />
ureceptod gacemulis CaTvliT.<br />
<strong>atorisi</strong>s miReba sakvebTan da sasmelebTan erTad<br />
<strong>atorisi</strong>s miRebis instruqciebi ixileT punqtSi 3. yuradReba miqacieT Semdegs:<br />
greipfrutis wveni<br />
greipfrutis wveni ar miiRoT dReSi erT an or patara Wiqaze meti, vinaidan didi roadenobiT miRebam SeiZleba<br />
<strong>atorisi</strong>s efeqtebi Secvalos.<br />
alkoholi<br />
preparatiT mkurnalobis periodSi, moerideT alkoholis Warbad miRebas. ixileT punqti 2 “<strong>atorisi</strong> gansakuTrebuli<br />
sifrTxiliT gamoiyeneT”.<br />
orsuloba da laqtacia<br />
ar miiRoT <strong>atorisi</strong> Tu orsulad xarT, fiqrobT, rom SeiZleba orsulad iyoT an daorsulebas cdilobT.<br />
reproduqciuli potencialis mqone qalebma Sesabamisi zomebi unda miiRon.<br />
nebismieri preparatis miRebamde, rCevisTvis eqims an farmacevts mimarTeT.<br />
avtomanqanis da meqanizmebis marTva<br />
ar marToT avtomanqana, Tu preparati aRniSnul unarze moqmedebs. ar gamoiyenoT xelsawyoebi da meqanizmebi, Tu<br />
preparati gavlenas axdens maTi gamoyenebis unarze.<br />
mniSvnelovani informacia <strong>atorisi</strong>s zogierTi ingredientis Sesaxeb<br />
<strong>atorisi</strong> Seicavs laqtozas. Tu eqimma giTxraT, rom zogierTi Saqris autanloba gaqvT, preparatis miRebamde<br />
daukavSirdiT mas.<br />
3. <strong>atorisi</strong>s miRebis wesi<br />
<strong>atorisi</strong> yovelTvis zustad eqimis daniSnulebisamebr miiReT. Tu rameSi darwmunebuli ar xarT, gaesaubreT eqims an<br />
farmacevts.<br />
<strong>atorisi</strong>s Cveuli sawyisi dozaa - <strong>10</strong> <strong>mg</strong> dReSi erTxel. saWiroebis SemTxvevaSi, eqimma SeiZleba gazardos igi, sanam<br />
TqvenTvis aucilebel dozas ar miaRwevs. eqimi dozis koreqcias 4 kviriani an ufro didi intervalebiT moaxdens.<br />
<strong>atorisi</strong>s maqsimaluri dozaa – 80 <strong>mg</strong> dReSi erTxel.<br />
<strong>atorisi</strong>s <strong>tabletebi</strong> mTlianad unda dagaylapoT, wylis miyolebiT, SegiZliaT dRis nebismier dros miiRoT,<br />
sakvebTan erTad an mis gareSe. Tumca, ecadeT, Tqveni <strong>tabletebi</strong> yoveldRe erTsa da imave dros miiRoT.<br />
mkurnalobis dawyebamde, eqimi qolesterinis dabali Semcvelobis dietas daginiSnavT, romelic <strong>atorisi</strong>T<br />
mkurnalobis manZilzec unda daicvaT.<br />
Tu <strong>atorisi</strong> saWiroze didi raodenobiT miiReT<br />
Tu SemTxveviT, <strong>atorisi</strong>s <strong>tabletebi</strong>s Warbi raodenoba miiReT (Cveul dRiur dozaze meti), rCevisTvis mimarTeT eqims<br />
an uaxloes saavadmyofos.<br />
Tu dagaviwydaT <strong>atorisi</strong>s miReba<br />
Tu dozis miReba dagaviwydaT, ganagrZeT Tqveni Cveulebrivi doziT, ganrigis mixedviT. ar miiRoT ormagi doza<br />
gamotovebulis anazRaurebis mizniT.<br />
Tu SewyviteT <strong>atorisi</strong>s miReba<br />
Tu <strong>atorisi</strong>s miRebas xangrZlivad SewyvetT, sisxlSi qolesterinma SeiZleba isev moimatos, rac, agreTve, gazrdis<br />
gulis an sisxlZarRvebis daavadebebis risks.<br />
Tu preparatis gamoyenebis Taobaze damatebiTi kiTxvebi gagiCndaT an mkurnalobis Sewyveta gsurT, mimarTeT eqims an<br />
farmacevts.<br />
4. SesaZlo gverdiTi efeqtebi<br />
yvela sxva preparatis msgavsad, atorismac SeiZleba gverdiTi efeqtebi gamoiwvios, Tumca ara yvela pacientSi.<br />
Semdegi gverdiTi efeqtebi mniSvnelovania da, ganviTarebis SemTxvevaSi, dauyovnebel Carevas moiTxovs:<br />
Zalian iSviaTi gverdiTi efeqtebi: uviTardeba <strong>10</strong>000 pacientidan 1-ze naklebs<br />
<strong>atorisi</strong>s gamoyeneba unda SewyvitoT da dauyovnebliv mimarToT eqims, Tu Semdegi simptomebi ganviTarda:<br />
angionevrozuli SeSupeba (saxis, enis da xorxis SeSupeba, ramac SeiZleba sunTqvis gaZneleba gamoiwvios),<br />
anafilaqsia (uecari alergiuli reaqcia, romelsac Tan axlavs qoSini, gamonayari, xmauriani sunTqva da sisxlis<br />
wnevis daqveiTeba), toqsikuri epidermuli nekrolizi (mZime da eqstensiuri gamonayari, kanis siwiTliT da<br />
aqercvliT), stivens-jonsonis sindromi (kanis, piris Rrus, Tvalebis da sasqeso organoebis mZime vezikuluri<br />
daavadeba), multiformuli eriTema (kanze gamonayari wiTeli laqebis saxiT).<br />
Tu uCveulo sisxldena an sisxlnaJRenTebi aRgeniSnebaT, es SesaZlebelia RviZlis daavadebis maCvenebeli iyos.<br />
iSviaTi gverdiTi efeqtebi: uviTardeba <strong>10</strong>000 pacientidan <strong>10</strong>-ze naklebs
kunTebis dazianeba an anTeba da momatebuli <strong>mg</strong>rZnobeloba, romelic SeiZleba gadaizardos mZime, sicocxlisaTvis<br />
potenciurad saSiS daavadebaSi (e.w. rabdomiolizi). es SeiZleba aSkara mizezis gareSe moxdes (magaliTad, fizikuri<br />
aqtiobis gareSe). Tu kunTebis sisuste, <strong>mg</strong>rZnobiaroba an tkivili gaqvT da, gansakuTrebiT, Tu imavdroulad Tavs<br />
SeuZlod grZnobT an maRali temperatura gaqvT, SewyviteT <strong>atorisi</strong>s gamoyeneba da maSinve acnobeT eqims.<br />
<strong>atorisi</strong>s sxva SesaZlo gverdiTi efeqtebi<br />
xSiri gverdiTi efeqtebi: uviTardeba <strong>10</strong>000 pacientidan, sul mcire, <strong>10</strong>0-s<br />
gulisreva, muclis tkivili, yabzoba, Seberiloba, saWmlis mounelebloba, diarea, Tavis tkivili, kunTebis tkivili,<br />
sisuste, Zilis darRvevebi, maT Soris, uZiloba da koSmaruli sizmrebi, Tavbrusxveva, tkivili gulmkerdis areSi,<br />
alergiuli reaqciebi, xelis da fexis TiTebis dabuJeba da Cxvletis SegrZnebebi, tkivilis an Sexebis SegrZnebis<br />
daqveiTeba, saxsrebis an zurgis tkivili, koWebis SeSupeba, gamonayari, qavili.<br />
naklebad xSiri gverdiTi efeqtebi: uviTardeba <strong>10</strong>000 pacientidan <strong>10</strong>0-ze naklebs<br />
yvela aRniSnuli gverdiTi efeqti aucileblad preparatis gamoyenebasTan ar aris dakavSirebuli.<br />
anoreqsia (umadoba), kunTebis krunCxvebi, uCveulo sisxldena an sisxlnaJRenTebi, rac sisxldenis SemaCerebeli<br />
ujredebis SemcirebiT aris gamowveuli, xmauri yurebSi da/an TavSi, wonis momateba, mexsierebis daqveiTeba, WinWris<br />
cieba, gulisrevis SegrZneba, impotencia, Tmis cvena, pankreatiti (pankreasis anTeba, rac mucilis tkivils iwvevs),<br />
sisxlSi Saqris donis momateba an dakleba (Tu diabeti gaqvT, mudmivad unda akontroloT sisxlSi Saqris done).<br />
iSviaTi gverdiTi efeqtebi: uviTardeba <strong>10</strong>000 pacientidan <strong>10</strong>-ze naklebs<br />
hepatiti (RviZlis anTeba), siyviTle (kanis da Tvalebis gayviTleba).<br />
Zalian iSviaTi gverdiTi efeqtebi: uviTardeba <strong>10</strong>000 pacientidan 1-ze naklebs<br />
gemos SegrZnebis cvlileba, mxedvelobis darRvevebi, RviZlis ukmarisoba, siyrue, ginekomastia (mamakacebSi da<br />
qalebSi sarZeve jirkvlebis gazrda) da myesebis dazianeba.<br />
ucnobi sixSiris gverdiTi efeqtebi, romelTa Sefaseba SeuZlebelia arsebul monacemebze dayrdnobiT<br />
depresia, sunTqvis darRvevebi, maT Soris, mudmivi xvela da/an qoSini an maRali temperatura.<br />
gverdiTi efeqtebis ganviTarebis SemTxvevaSi, acnobeT eqims. is gadawyvets, rogor unda moiqceT.<br />
Tu romelime gverdiTi efeqti damZimda an SeniSneT am instruqciaSi CamoTvlilTagan gansxvavebuli gverdiTi efeqti,<br />
acnobeT eqims an farmacevts.<br />
5. <strong>atorisi</strong>s Senaxvis pirobebi<br />
SeinaxeT bavSvebisTvis miuwvdomel adgilze.<br />
SeinaxeT originalur SefuTvaSi, sinaTlisgan da tenisgan dasacavad.<br />
ar gamoiyenoT <strong>atorisi</strong> SefuTvaze miTiTebuli vargisianobis vadis amowurvis Semdeg. vargisianobis vada gulisxmobs<br />
miTiTebuli Tvis bolo dRes.<br />
medikamentebi ar gadayaroT kanalizaciis wyalSi an sayofacxovrebo nagavSi. arasaWiro medikamentebis moSorebis<br />
gzebis Sesaxeb hkiTxeT farmacevts. es zomebi garemos dacvas Seuwyobs xels.<br />
6. damatebiTi informacia<br />
<strong>atorisi</strong>s Semadgenloba<br />
aqtiuri nivTierebaa atorvastatini. <strong>atorisi</strong>s <strong>apkiT</strong> <strong>Semogarsuli</strong> yoveli <strong>10</strong> <strong>mg</strong>, <strong>20</strong> <strong>mg</strong>, 40 <strong>mg</strong> tableti, Seicavs,<br />
Sesabamisad, <strong>10</strong>, <strong>20</strong>, 40 <strong>mg</strong> atorvastatins, kalciumis atorvastatinis saxiT.<br />
sxva ingredientebia: birTvi – natriumis hidroqsidi, natriumis lauril sulfati,<br />
hidroqsipropilceluloza, laqtozis monohidrati, mikrokristaluri celuloza, natriumis kroskarmeloza,<br />
krospovidoni, magniumis stearati; garsi – polivinilis spirti, titanis dioqsidi (E171), makrogoli 3000 da<br />
talki.<br />
rogor gamoiyureba <strong>atorisi</strong> da ra Sedis SefuTvaSi<br />
<strong>atorisi</strong> <strong>10</strong> <strong>mg</strong>, <strong>20</strong> <strong>mg</strong>, da 40 <strong>mg</strong>: mrgvali, <strong>apkiT</strong> <strong>Semogarsuli</strong>, ormxrivamozneqili, TeTri feris <strong>tabletebi</strong>, damreci<br />
kideebiT.<br />
muyaos kolofi Seicavs blisterebs 4, 7, <strong>10</strong>, 14, <strong>20</strong>, 28, 30, 50, 56, 60, 84, 90, 98, <strong>10</strong>0 <strong>apkiT</strong> Semogasuli tabletiT.<br />
SefuTvis yvela zoma ar xvdeba gayidvaSi.<br />
gaicema mxolod receptiT:<br />
savaWro licenziis mflobeli da mwarmoebeli<br />
krka, d.d., novo mesto, smarJeska cesta 6, 8501 novo mesto, slovenia