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L-Tiroqsini 100, berlin-hemi tabletebi, 100 µg Semadgenloba TiTo ...

L-Tiroqsini 100, berlin-hemi tabletebi, 100 µg Semadgenloba TiTo ...

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L-<strong>Tiroqsini</strong> <strong>100</strong>, <strong>berlin</strong>-<strong>hemi</strong><br />

<strong>tabletebi</strong>, <strong>100</strong> <strong>µg</strong><br />

<strong>Semadgenloba</strong><br />

<strong>TiTo</strong> tableti Seicavs <strong>100</strong> <strong>µg</strong> natriumis levoTiroqsins da damxmare nivTierebebs: kalciumis hidrofosfatis dihidrati,<br />

mikrokristaluri celuloza, natriumis saxameblis glikolati (A tipi), deqstrini, grZeljaWviani parcialuri<br />

gliceridebi.<br />

farmakoTerapiuli jgufi: Tiroiduli Terapia, Tiroiduli hormonebi.<br />

Terapiuli Cvenebebi<br />

- hormonis Canacvleba hipoTiroidizmis dros, etiologiis miuxedavad;<br />

- Ciyvis recidivis profilaqtika euTireoiduli Ciyvis qirurgiuli gziT amokveTis Semdeg;<br />

- keTilTvisebiani euTireoiduli Ciyvi;<br />

- hiperTiroidizmis antiTireoiduli mkurnalobis adiuvanturi Terapia, euTireoiduli statusis miRwevis<br />

Semdeg;<br />

- farisebri jirkvlis avTvisebiani daavadebebis supresiuli da CanacvlebiTi Terapia, gansakuTrebiT,<br />

Tiroideqtomiis Semdeg;<br />

- Tireoiduli supresiis testi.<br />

ukuCvenebebi<br />

hipersensitiuroba natriumis levo<strong>Tiroqsini</strong>s an preparatis romelime damxmare nivTierebis mimarT.<br />

hiperTiroidizmi, etiologiis miuxedavad (garda hiperTiroidizmis antiTireoiduli mkurnalobis adiuvanturi<br />

Terapiisa, euTireoiduli statusis miRwevis Sedeg; Tumca antiToroidul mkurnalobaSi levo<strong>Tiroqsini</strong>s monawileoba<br />

ukunaCvenebia orsulobis periodSi).<br />

axlad gadatanili miokardiumis infarqti, mwvave miokarditi.<br />

Tirkmelzeda jirkvlis aranamkurnalevi ukmarisoba.<br />

sifrTxilis zomebi<br />

Tiroiduli hormonebiT Terapiis dawyebisas, xSirad unda gaizomos sisxlSi glukozis done.<br />

postmenopauzuri hipoTiroidizmis mqone qalebSi, farisebri jirkvlis funqcia ufro xSirad unda Semowmdes, raTa<br />

Tavidan iqnas acilebuli levo<strong>Tiroqsini</strong>s normalur fiziologiurze maRali koncentracia, rac osteoporozis risks<br />

zrdis.<br />

Tu farisebri jirkvlis funqciur avtonomiazea eWvi, saWiroa TRH testis an supresiis testis Catareba.<br />

urTierTqmedebebi<br />

L-<strong>Tiroqsini</strong> <strong>100</strong> <strong>berlin</strong>-<strong>hemi</strong>-is efeqtebi SeiZleba gaaZlieros an daTrgunos sxva preparatebma.<br />

L-<strong>Tiroqsini</strong> <strong>100</strong> <strong>berlin</strong>-<strong>hemi</strong>-m SeiZleba gavlena iqonios sxva preparatebis efeqtebze. aqedan gamomdinare, acnobeT Tqvens<br />

eqims, Tu ra preparatebs RebulobT an RebulobdiT axlo warsulSi.<br />

es gansakuTrebiT Seexeba preparatebs, romlebic sisxlis Sededebas uSlian xels (kumarinis warmoebulebi) da<br />

romlebic sisxlSi glukozis dones amcireben (insulini), iodis Semcvel preparatebs, aseve, preparatebs, romlebic<br />

plazmaSi lipidebis dones da kuWis mJavianobas aqveiTeben.<br />

gansakuTrebuli gafrTxilebebi:<br />

Tireoiduli hormonebiT mkurnalobis dawyebamde saWiroa Semdegi mdgomareobebis gamoricxva an mkurnaloba:<br />

- koronaruli ukmarisoba, hipofizis an Tirkmelzeda jirkvlis ukmarisoba, farisebri jirkvlis funqciuri<br />

avtonomia;<br />

- koronaruli ukmarisobis an taqiariTmiebis SemTxvevaSi, saWiroa wamliT gamowveuli hiperTiroidizmis, Tundac<br />

zomieris, Tavidan acileba.<br />

aqedan gamomdinare, im SemTxvevebSi, rodesac gamoyenebis absoluturi aucilebloba arsebobs, dozebis daregulireba<br />

da farisebri jirkvlis funqciis parametrebis xSiri Semowmebaa saWiro (ix. dozireba da gamoyeneba).<br />

meoradi hipoTiroidizmis dros, Tirkmelzeda jirkvlis funqciis ukmarisobis SesaZlo Tanaarseboba unda Semowmdes.<br />

misi arsebobis SemTxvevaSi, saWiroa glukokortikoidebiT (hidrokortizoni) CanacvlebiTi Terapiis dawyeba.<br />

orsuloba da laqtacia<br />

orsulobis periodSi farisebri jirkvlis hormonebze moTxovna gazrdilia.<br />

amis gamo, L-<strong>Tiroqsini</strong> <strong>100</strong> <strong>berlin</strong>-<strong>hemi</strong>-iT mkurnaloba orsulobisa da laqtaciis periodSic unda gagrZeldes. acnobeT<br />

Tqvens eqims Tu orsulad xarT an mkurnalobis periodSi daorsuldiT, raTa Tu saWiroa, doza daareguliros.<br />

L-<strong>Tiroqsini</strong> <strong>100</strong> <strong>berlin</strong>-<strong>hemi</strong> orsulobisas ar unda gamoiyenoT hiperTiroidizmis antiTireoiduli mkurnalobis<br />

adiuvanturi Terapiis saxiT.<br />

zemoqmedeba avtomanqanis da meqanizmebis marTvis unarze<br />

levoTiroqsins ar gaaCnia uaryofiTi efeqtebi avtomanqanis da meqanizmebis marTvis unarze.<br />

dozireba da gamoyenebis wesi<br />

individualuri dRiuri doza klinikuri da laboratoriuli gamokvlevebis safuZvelze unda ganisazRvros. aqedan<br />

gamomdinare, qvemoT mocemuli rekomendebuli dozebi mxolod savaraudo SemoTavazebebia farisebri jirkvlis<br />

sxvadasxva daavadebis samkurnlod. Tu sxvagvari rekomendacia ar arsebobs, SegiZliaT Semdegi reJimebis gamoyeneba:<br />

hipoTiroidizmis dros, mozrdilebSi, dasawyisSi miiReT ¼-½ tableti L-<strong>Tiroqsini</strong> <strong>100</strong> <strong>berlin</strong>-<strong>hemi</strong>, xolo Semdeg doza<br />

gazardeT (Tqveni eqimis meTvalyureobiT) ¼-½ tabletiT yovel 2-4 kviraSi, vidre dRiuri doza 1-2 tablets ar miaRwevs.<br />

bavSvebSi, mkurnaloba L-<strong>Tiroqsini</strong> <strong>100</strong> <strong>berlin</strong>-<strong>hemi</strong>-is dReSi ara umetes ½ tabletiT iwyeba. xangrZlivi mkurnalobis<br />

doza, sxva parametrebTan erTad, <strong>TiTo</strong>euli bavSvis wonis da simaRlis mixedviT dgindeba (<strong>100</strong>-150 <strong>µg</strong> natriumis<br />

levo<strong>Tiroqsini</strong>/m 2 ).<br />

qirurgiuli gziT amokveTis Semdeg Ciyvis recidivis prevenciisTvis, agreTve, keTilTvisebiani Ciyvis dros, dRiurad<br />

miiReT L-<strong>Tiroqsini</strong> <strong>100</strong> <strong>berlin</strong>-<strong>hemi</strong>-is ara umetes ¾ - 2 tabletisa, xolo antiTiroiduli mkurnalobisTvis, dReSi ½ - 1<br />

tableti.<br />

farisebri jirkvlis avTvisebiani simsivnis SemTxvevaSi qirurgiuli Carevis Semdeg, dRiuri dozaa 1 ½ - 3 tableti.<br />

Tireoiduli supresiis testisTvis mosamzadeblad, miiReT dReSi 2 tableti L-<strong>Tiroqsini</strong> <strong>100</strong> <strong>berlin</strong>-<strong>hemi</strong>, 14 dRis<br />

ganmavlobaSi.<br />

yvela CvenebisTvis individualuri saWiroeba SeiZleba ufro maRali an dabali iyos.<br />

mTliani dRiuri doza erT jerze miiReT, sakmarisi raodenobiT siTxis miyolebiT, diliT uzmoze, sauzmemde, sul<br />

mcire, 30 wuTiT adre.<br />

<strong>tabletebi</strong> regularulad unda miiRoT. Cveulebriv, mkurnaloba mTeli sicocxlis manZilze grZeldeba –<br />

hipoTiroidizmis an farisebri jirkvlis avTvisebiani simsivnis amokveTis Semdeg, ramdenime Tve an weli, zogjer<br />

sicocxlis manZilze – keTilTvisebiani Ciyvis an Ciyvis recidivis profilaqtikisTvis. antiTiroidul TerapiasTan<br />

dakavSirebuli mkurnalobis gamnavlobaSi, mkurnalobis xangrZlioba damokidebulia antiTiroiduli Terapiis<br />

xangrZliobaze. Tireoiduli supresiis testisTvis, mkurnaloba 14 dRe grZeldeba.<br />

gverdiTi efeqtebi<br />

Tu rekomendebuli doza klinikuri da laboratoriuli dakvirvebis qveS gamoiyeneba, levo<strong>Tiroqsini</strong>T mkurnalobis<br />

ganmavlobaSi arasasurveli reaqciebi ar viTardeba.


Tu, calkeul SemTxvevebSi, doza ver gadaitaneba an dozis gadaWarbeba moxda, gansakuTrebiT, mkurnalobis dasawyisSi<br />

dozirebis swrafad gazrdis dros, SesaZlebelia hiperTiroidizmis simptomebis ganviTareba: taqikardia, ariTmiebi,<br />

stenokardia, tremori, SfoTianoba, uZiloba, oflianoba, wonis dakleba, diarea. aRniSnuli simptomebis ganviTarebis<br />

SemTxvevaSi, dRiuri doza unda Semcirdes an miReba ramdenime dRiT Sewydes. gverdiTi efeqtebis gavlisTanave,<br />

mkurnaloba SeiZleba aRdges, dozis frTxilad gazrdiT. calkeul SemTxvevebSi, SesaZlebelia L-<strong>Tiroqsini</strong> <strong>100</strong> <strong>berlin</strong><strong>hemi</strong>-is<br />

komponentebis mimarT hipersensitiurobis reaqciebis gamovlineba (alergiuli egzanTema).<br />

dozis gadaWarbeba<br />

levo<strong>Tiroqsini</strong>s mwvave toqsikuroba Zlian mcirea. adamianebSi dozis gadaWarbebis ubeduri SemTxvevebisas<br />

(TviTmkvlelobis mcdeloba), levo<strong>Tiroqsini</strong>s 10 mg-mde dozebi garTulebebis gareSe gadaitaneboda. mZime garTulebebi,<br />

rogoricaa sasicocxlo funqciebis darRveva (kardiovaskularuli da respiratoruli) SeiZleba ganviTardes mxolod<br />

gulis koronaruli daavadebis arsebobis SemTxvevaSi.<br />

aRwerilia guliT uecari sikvdilis ramdenime SemTxveva pacientebSi, romlebic xangrZlivad arasworad iyenebdnen<br />

levoTiroqsins.<br />

dozis gadaWarbebis da intoqsikaciis SemTxvevaSi, viTardeba metabolizmis siCqaris zomieri an mZime zrdis simptomebi.<br />

am SemTxvevaSi, rekomendebulia mkurnalobis Sewyveta da samedicino gamokvlevis Catareba. mZime beta-adrenerguli<br />

efeqtebis SemTxvevaSi, simptomebis Semsubuqeba beta-blokatorebis meSveobiT SeiZleba. antiTiroiduli gamoyeneba<br />

rekomendebuli ar aris, vinaidan ukve moxda farisebri jirkvlis sruli supresia. Warbi dozebis (TviTmkvlelobis<br />

mcdeloba) dros SeiZleba sasargeblo iyos plazmoforezi.<br />

Senaxva<br />

ar gamoiyenoT SefuTvaze miTiTebuli vargisianobis vadis amowurvis Semdeg.<br />

SeinaxeT 25°C-ze dabal temperaturaze.<br />

SeinaxeT bavSvebisaTvis miuwvdomel adgilze.<br />

SefuTva<br />

muyaos kolofi, romelic Seicavs PVC-PVDC/Al-is 1 blisters, 25 tabletiT.<br />

muyaos kolofi, romelic Seicavs PVC-PVDC/Al-is 2 blisters, <strong>TiTo</strong>eulSi 25 tabletiT.<br />

muyaos kolofi, romelic Seicavs PVC-PVDC/Al-is 4 blisters, <strong>TiTo</strong>eulSi 25 tabletiT.<br />

mwarmoebeli<br />

<strong>berlin</strong>-<strong>hemi</strong> ag (menarini grupi), germania<br />

savaWro licenziis mflobeli<br />

<strong>berlin</strong>-<strong>hemi</strong> ag (menarini grupi)<br />

gliniker veg 125, 12489 <strong>berlin</strong>i, germania

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