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danarti N 7 - nicergolin-fereini

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gamoyenebis instruqcia<br />

preparat <strong>nicergolin</strong>-<strong>fereini</strong>s ®<br />

НИЦЕРГОЛИН-ФЕРЕЙН®<br />

preparatis savaWro saxelwodeba: <strong>nicergolin</strong>-<strong>fereini</strong><br />

saerTaSoriso arapatentirebuli saxelwodeba: <strong>nicergolin</strong>i<br />

wamlis forma: saineqcio xsnaris dasamzadebeli liofilizati<br />

aRweriloba: forovani masa an TerTi an TiTqmis TeTri feris fxvnili.<br />

Semadgenloba: aqtiuri nivTiereba - <strong>nicergolin</strong>i 0.004 g, damxamare nivTierebebi -<br />

Rvinis mJava, rZis Saqari.<br />

farmalokoTerapiuli jgufi: alfa-adrenoblokatorebi. anatomiur-Terapiuliqimiuri<br />

kodi: С04АЕ02.<br />

farmakologiuri Tvisebebi: Wvavis rqis alkaloidis sinTezuri warmoebuli<br />

nikotinis mJavas bromCabacvlebuli narCenebis mierTebiT. ergolinis narCeni axdens<br />

alfa-adrenomablokirebel qmedebas. iwvevs vazodilatacias da aumjobesebs<br />

mikrocirkulacias. nikotinis mJavas narCenis Semcveloba axdens arteriolebis<br />

kunTovani garsis pirdapir miotropul spazmolizur moqmedebas, zrdis maT<br />

gamtarianobas glukozisaTvis (nivelirebs ergolinis rgolis mopirdapire efeqts).<br />

yvelaze naTlas es moqmedeba gamoixateba Tavis tvinis da kidurebis<br />

sisxlZarRvevis mimarT, aumjobesebs Tavis tvinis, filtvebis da Tirkmelebis<br />

sisxlmomaragebas. amcireba centraluri sisxlZarRvebis winaaRmdegobas, zrdis<br />

arteriul sisxlmomaragebas, zrdis Jangbadis da glukozis miwodebas. aumjobesebs<br />

kidurebis sisxlmomaragebas, gansakuTrebiT funqciuri arteriopaTiis Sedegad<br />

sisxlmomaragebis ukmarisobis dros. Terapiul dozebSi ar moqmedebs arteriul<br />

wnevaze (arteriuli hipertenziiT daavadebul pacientebSi), SeiZleba gamoiwvios<br />

wnevis zomieri daweva.<br />

farmakokinetika.<br />

kargad Seiwova kuWnawlavis traqtis mier. bioSexwevadoba Seadgens 60%. sisxlSi<br />

Cmax ganisazRvreba 2-4 saaTSi. eqvemdebareba biotransformacias RviZlSi<br />

araaqtiuri metabolitebis SeqmniT. ZiriTadad, eqskretirdeba ganavliT.<br />

gamoyenebis Cvenebebi<br />

Tavis tvinis sisxlmomaragebis mwvave da qronikuli daRveva (cerebraluri<br />

aTerosklerozi, cerebruli Trombozi da embolia, tranzitoruli cerebruli<br />

iSemia, posttravmatuli encefalopaTia, fsiqo-organuli sindromi); Tavbrusxveva,<br />

Sakiki: sisxlis mimoqcevis periferuli sistemis sisxlZarRvTa aSliloba<br />

(kidurebis organuli da funqciuri, mwvave da qronikuli arteriopaTiebi,<br />

obliteraciuli endarteriiti, reinos daavadeba, diabeturi angiopaTia). rqovanas<br />

distrofiuli daavadebebi, diabeturi retinopaTia, mxedvelobiTi nervis iSemiuri<br />

neiropaTia. damxmare saSualebis saxiT - arteriuli hipertenziis, hipertonuli<br />

krizis (parenteraluri Seyvanisas) dros.<br />

gamoyenebis wesi da dozebi.<br />

Seyvanis wesi, doza da mkurnalobis kursi damokidebulia pacientis hemodinamikis<br />

individualur maCveneblebze.<br />

<strong>nicergolin</strong>i SehyavT kunTSi, venaSi da arteriSi, winaswar TandarTuli 0.9%<br />

natriumis qloriis xsnarSi preparatis gaxsniT.


kunTSi SehyavT 2-4 mg 2 jer dReSe, venaSi - wveTebad 4-8 mg dozaze 100 ml<br />

natriumis qloridis fiziologiuri xsnariSi (saWiroebis SemTxvevaSi preparatis<br />

Seyvana SeiZleba gameordes ramdenjerme dReSi), arteriaSi SehyavT 4 mg dozaze 10<br />

ml natriumis qloridis fiziologiuri xsnariSi 2 wuTis ganmavlobaSi.<br />

gverdiTi moqmedeba.<br />

dispepsia: Rebineba, gulisreva, diarea, tkivilebi muclis areSi; saxis kanis da<br />

sxeulis zeda nawilis hiperemia, Zilianoba, uZiloba, arteriuli hipotonia, Tavis<br />

tkivili, Tavbrusxveva, stenokardia, ergotizmis simptomebi: kidurebis gaciveba,<br />

kidurebis tkivili da funqciis moSla; qavili, alergiuli reaqciebi.<br />

ukuCvenebebi.<br />

hipermgrZnobeloba; periferuli sisxlZaRvebis gamoxatuli aTerosklerozi; gulis<br />

organuli dazianebebi; daZabulobis stenokardia; miokardis infarqti; arteriuli<br />

hipotonia; orsuloba; laqtaciis periodi.<br />

urTierTqmedeba sxva samkurnalo saSualebebTan.<br />

aZlierebs hipotenziur saSualebaTa, trankvilizatorebis da neiroleptikebis<br />

moqmedebas. simpatomimetikebTan erToblivad gamoyenebisas SeiZleba gamoiwvios<br />

idiosinkrazia. antacidebi da qolestiraminebi aneleben Sewovas.<br />

gansakuTrebuli Cvenebebi.<br />

preparatis parenteraluri Seyvanis Semdeg ortostatikuri efeqtis Tavidan<br />

asacileblad rekomendirebulia horizontalur mdgomareobaSi yofna 10-15 wuTis<br />

ganmavlobaSi.<br />

Tu umoZraod yofnis dros pulsis sixSire wuTSi 50 dartymaze metia, maSin<br />

preparatis miReba SesaZlebelia mxolod samedicino kontrolis gasvlis Semdeg.<br />

gamoSvebis forma.<br />

moqmedi nivTierebis 0.004 g neitraluri feris minis ampulaSi. pvq firiT<br />

dafaruli 5 ampula konturuli ujredovan SefuTvaSi; pvq an sabeWdi lakirebuli<br />

aluminis an SesafuTi masalis firi.<br />

0.9% natriumis qloridis saineqcio izoTeruli xsnari 5 ml neitraluri feris<br />

minis ampulebSi.<br />

kompleqti; erTi konturul ujredovani SefuTva preparatis 5 ampuliT da 0.9%<br />

natriumis qloridis saineqcio izoTeruli xsnaris 5 ampula, gamoyenebis<br />

instruqciiT - moTavsebulia muyaos kolofSi.<br />

Senaxvis pirobebi.<br />

nusxa b. inaxeba sinaTlisagan dacul bavSvebisaTvis miuwvdomel adgilas araumetes<br />

25°C temperaturaze.<br />

Senaxvis vada.<br />

kompleqtis Senaxvis vadaa 3 weli. vargisinobis vadis gasvlis Semdeg gamoyeneba ar<br />

SeiZleba.<br />

afTiaqidan gacemis pirobebi:<br />

farmacevtuli produqtis jgufi II (gamoiyeneba eqimis daniSnulebiT).<br />

mwarmoebeli. daxuruli saaqcio sazogadoeba “brincalov-a”, 113105, ruseTi,<br />

q.moskovi, nagatinskaias quCa 1.

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