L-Tiroqsini 100, berlin-hemi tabletebi, 100 µg Semadgenloba TiTo ...
L-Tiroqsini 100, berlin-hemi tabletebi, 100 µg Semadgenloba TiTo ...
L-Tiroqsini 100, berlin-hemi tabletebi, 100 µg Semadgenloba TiTo ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
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