"Voltaren" - usimende, khulula iqolo, ubuhlungu bemisipha namalunga. Yokusetshenziswa

"Voltaren" (patch) - ukwelapha ejenti nge okuqukethwe diclofenac, ekupholiseni ubuhlungu bamalunga, emuva imisipha. Lona patch lokuqala, akuzona bemishini yezokwelapha futhi izidakamizwa.

imiphumela kwemithi

I nomuthi kuyinto base Indwangu lapho sisetshenziswa isendlalelo ingcina equkethe diclofenac - ama-NSAID babe amashumi eminyaka esetshenziswa ukusetshenziswa kwezokwelapha ukwehlisa ubuhlungu, ukuvuvukala kanye ukuqina arthropathies ukuvuvukala, i-osteoarthritis, i-rheumatoid arthritis kanye ukulimala izicubu zomzimba ezithambile, iqolo. isakhi Active kuvimbela prostaglandin zamagama, kanjalo ekufinyeleleni imiphumela eqeda ukuvuvukala kanye analgesic wazwakalisa. Le ndawo kwesicelo siqedwa ubuhlungu, kwehle ukuvuvukala elihlobene ne inqubo ukuvuvukala. Futhi, "Voltaren" (patch) kakhulu kwandisa embundwini ubuhlungu (kulesi sici nokwenza kwayo ungcono usebenzisa patch "Indomethacin", kuqinisekiswa Ukubuyekeza).

Pharmacokinetics

Ngokwezimakethe etholakalayo ungqimba kokokunamathisela diclofenac kungakapheli amahora amabili nane stably ingena esikhunjeni kumthombo ubuhlungu. Ubuningi isithako esisebenzayo kule izicubu imisipha usebenzisa patch "Voltaren" kuyafana uma sisebenzisa ijeli "Voltaren Emulgel." Ngakho-ke, singasho ukuthi le mithi kukhona bioequivalent. Nge whey amaprotheni sibopha 99,7% we diclofenac, kuhlanganise albumin - 99,4%. Ingxenye-ukuphila we ketshezi esebenzayo - ihora elilodwa noma amabili. Isigamu-ukuphila metabolites - amahora amathathu. Excretion wenziwa ikakhulukazi umchamo.

In iziguli nge kahle umsebenzi kwezinso, akukho ekuqongeleleni diclofenac futhi metabolites. Abantu ne isifo sokusha nedekompensirovannym noma kwesibindi kohlobo umzimba kinetics isithako esebenzayo kwenzeka ngendlela efanayo kubantu, ngaphandle isifo sesibindi.

izinkomba

It uyokwelapha ngempumelelo "Voltaren" izifo eziningi apharathasi motor. Olukhonkiwe isetshenziselwa ubuhlungu emuva esimweni esiwohlozayo futhi ukuvuvukala pathologies umgogodla (e-osteoarthritis, sciatica, sciatica, lumbago), ubuhlungu bemisipha, esukela unentshiseko ukulimala, Ukwenyela, nemivimbo, ubuhlungu bamalunga e-osteoarthritis, i-rheumatoid arthritis. Phakathi kwezinye izinto, isetshenziselwa ukuqeda ukuvuvukala kanye ukuvuvukala emalungeni nezicubu ezithambile yezifo rheumatism (bursitis, tenosynovitis, izilonda kwezicubu periarticular).

ifomu Isikali kanye nokusungulwa

Isichibi has simise elingunxande nge imiphetho oyindilinga, siqukethe isizinda we-polyester beige-ezinemibala, okuyinto nombala isicelo ungqimba ingcina nge eliphuphile iphunga elimnandi (umbala ingcina ebusweni kungenzeka kusukela kungenambala ophuzi). Isendlalelo ingcina limbozwa zokuzivikela phezulu esobala plastic ifilimu nge sebeziqhumbuza ezimbili transverse (omunye umugqa mihlobiso). On the ifilimu kuyinto ekhombisa ukulibonisa yindlela edingekayo ukususa ebusweni ingcina.

Kunezinhlobo eziningana ejenti zokwelapha ezichazwe "Voltaren". Isichibi elakhiwa 15 noma 30 mg diclofenac sodium. Kulesi sihloko, ehlanganisa 15 mg isithako esebenzayo unamahlangothi 70 x 100 amamilimitha angu, futhi ehlanganisa 30 mg - 100 x 140 mm. izithako Minor isinyathelo methylpyrrolidone, efirizirovannaya gum, citric acid, levomenthol, polyisobutylene, propylene glycol okunamafutha acid esters, izoprenstirol copolymer butylhydroxytoluene, ngesisekelo-polyester endwangwini, mercaptobenzimidazole, upharafini liquid, ifilimu zokuzivikela eyenziwe i-polyester.

Indlela yokufaka isicelo isichibi "Voltaren"? Imiyalelo. intengo

Isichibi lisetshenzisiwe isikhumba ngesimo kwezicelo. Kumele ethe njo endaweni ubuhlungu, futhi musa ukudubula amahora angamashumi amabili nane. Per ebusuku futhi abavunyelwe ukusebenzisa umkhiqizo owodwa kuphela. Ngokwezibalo, iziguli kuthandwa kakhulu ukuphulukisa patch "Voltaren". Izimpendulo ezivela kulabo uzisebenzise njengezaba inzuzo iphuzu lokuqala kuya lula isicelo futhi off. Iziguli zikhuthazwa ukuthi patch ongabonakali ngaphansi izingubo (ngenxa yokuthi abakhiqizi niyenzé ultra-mncane futhi ibala). Uma lesion olubanzi, kufanele usebenzise ubukhulu umkhiqizo 140 x 100 amamilimitha angu. Ukuze ekwelapheni ukulimala ezithambile izicubu ukusebenzisa patch kufanele kube izinsuku hhayi ningi than nane, izifo amalunga nemisipha - kungakadluli amalanga amabili nanye (ngaphandle uma udokotela usetha imodi). Uma isimo sinjalo, noma siya siba sibi kakhulu ngemuva kwezinsuku eziyisikhombisa ukwelashwa, kufanele ayeke ukudla izidakamizwa futhi uthintane kuchwepheshe ukuze iseluleko sendlela yokuqhubeka.

Isichibi ikhishwe Pharmacy embodiments eziningana. Ngakho, umkhiqizo iqukethe 15 amamiligremu angaba diclofenac zidayisa amaphakheji yizicucu 2 noma 5. Esimweni sokuqala, intengo ububanzi kusukela esilinganisweni ruble 125 kuya ku-145, i-yesibili - ruble 270 kuya 315. Patch equkethe 30 amamiligremu angaba diclofenac, edayiswa amaphakethe of 2 izicucu. Izindleko Pharmacy ezahlukene kuhluka ruble 205 kuya 220. Yonke imikhiqizo ebiyelwe izikhwama we aluminium ucwecwe, okuyinto yena, afakwe amakhadibhodi amabhokisi. Ukuze unikeze kadokotela ukuthenga zomuthi liyadingeka.

side effects

Imiphumela emibi engase ukuthuthukisa ku isizinda patch "Voltaren", ngokuyisisekelo sehliselwe ukubonakaliswa isikhumba emkhakheni kwesicelo (njengoba umthetho, basuke ngokulinganisela uzwakalise, futhi eziphelayo). Ngakho kwezinye iziguli, kukhona papules, ukuvuvukala, ukulunywa, vesicles, erythema, uyaxebuka, ukuqubuka, eczema. Ezimweni ezingavamile, lapho bullous dermatitis. Kwabanye abantu (akuvamile) okubangelwa ukusetshenziswa patch iphutha pustular amawala, photosensitivity ukuphendula, generalized ukuqubuka kwesikhumba, nokungezwani komzimba nezinto ezifana ukuhlaselwa kwakhe isifuba somoya, bronchospasm, urticaria, angioedema.

Izimo

Ephambi kwezinduna hypersensitivity kuya diclofenac noma ezinye izingxenye etholakala ukwakheka akufanele usebenzise nomuthi. It is ibuye Kunconywa hhayi ukusebenzisa patch, abanemizimba rhinitis ezinzima, bronchial somoya ukuhlaselwa, ukuqubuka, wenza ukwelashwa nge acetylsalicylic acid noma ezinye ama-NSAID. Ukusetshenziswa umkhiqizo is contraindicated izingane ezingaphansi kweminyaka eyishumi nanhlanu ubudala. Akubalulekile ukunamathisela isichibi e wesakhiwo lapho isikhumba punctured ihlanganisa. Ngokunakekela isetshenziswa khona izilonda erosive-ulcerous yokusetshenziswa pheshana emathunjini, ukuhluleka kwenhliziyo, amafomu ezingamahlalakhona kuphazamiseka okunzima izinso, isibindi, porphyria hepatic (e exacerbation).

Sebenzisa phakathi nokukhulelwa kanye lactation

Ngenxa yokushoda idatha ekutheni "Voltaren" patch nemiphumela emibi embungwini ngesikhathi sokukhulelwa, futhi kungaba ludlulele ngaphakathi ubisi lwebele, abesifazane abakhulelwe nabancelisayo kufanele ugweme ukusebenzisa kwayo.

Overdose kanye nokuxhumana neminye imithi

Ngenxa yokuthi ukusetshenziswa sangaphandle ekwakhiweni nomuthi ukumuncwa ezisebenzayo sincane kakhulu, ukweqisa izidakamizwa cishe iqedwe.

Nge isicelo ngesikhathi esisodwa usimende izidakamizwa ezibangela photosensitivity, umphumela wesibili bangase ukugqanyiswa. Ukuxhumana nezinye izidakamizwa kokuba ukubaluleka yomtholampilo, engakaze ezichazwe.

Izixwayiso

Akufanele ufake izingxenye yokusebenza ekhona ungqimba kokokunamathisela isichibi, nolwelwesi lwamafinyila noma amehlo. Umkhiqizo uvunyelwe ukunamathisela kuphela pokrvy lilimale, ukusetshenziswa kwalo ku izinkambu amanxeba evulekile akwamukeleki. Uma usebenzisa i-patch "Voltaren" isikhathi eside, kukhona ingozi enqabayo ukusabela letindzala. Uma ngaphezu umkhiqizo ochazwa zisebenza nezinye ukuthaka imithi aqukethe diclofenac kubalulekile ukucabangela okuqukethwe lomcebo abakhuthele patch, angadluli esiphezulu wavumela umthamo wansuku zonke (kuba 150 angu). izifundo okuqhubekayo baye babonisa ukuthi izinga lengqondo ukusabela lapho uqhuba imishini nokushayela leli fomu Isikali zomuthi "Voltaren" akunamthelela. Impilo ye-patch lapho egcinwe asemaphaketheni yasekuqaleni, futhi izohlala ezingeni lokushisa esingeqile 25 Degrees Celsius iminyaka emibili.