10 ma analogi abwino kwambiri a Bisoprolol
Bisoprolol nthawi zambiri amaperekedwa kwa matenda a mtima, komabe, mankhwalawa sapezeka nthawi zonse m'ma pharmacies, ndipo mtengo wake ndi wokwera kwambiri. Pamodzi ndi dokotala wamtima, tidalemba mndandanda wazinthu zotsika mtengo komanso zogwira ntchito za Bisoprolol ndikukambirana momwe mungatengere komanso liti.

Bisoprolol ndi wa gulu la kusankha beta-blockers ndipo ntchito cardiology kwa matenda amtima, aakulu mtima kulephera. Nthawi zambiri analamula zochizira mtima arrhythmias ndi matenda oopsa.1.

Bisoprolol amachepetsa chiopsezo cha infarction ya myocardial ndi kufa kwa mtima kulephera. The mankhwala amachepetsa kumwa mpweya ndi minofu ya mtima, dilates ziwiya kudyetsa mtima, amachepetsa pafupipafupi ululu kuukira ndi zotsatira zabwino pa matenda a matenda.2.

Zotsatira zoyipa mukatenga bisoprolol ndizosowa. Monga lamulo, amalumikizidwa ndi chiwembu chosankhidwa molakwika. Chifukwa cha izi, wodwalayo amatha kuchepetsa kwambiri kuthamanga kwa magazi ndikutsitsa kugunda. Mwa zina zoyipa: chizungulire, mutu, dyspepsia, chopondapo matenda (kudzimbidwa, kutsegula m'mimba). Kuchuluka kwa zochitika zawo sikudutsa 10%.

Bisoprolol amaperekedwa mosamala kwambiri kwa odwala omwe ali ndi mphumu ya bronchial ndi atherosulinosis ya mitsempha ya m'munsi. Pakulephera kwa mtima, mankhwalawa amayenera kumwedwa pang'ono - 1,25 mg kamodzi patsiku.

Mndandanda wa ma analogue 10 apamwamba komanso otsika mtengo a Bisoprolol malinga ndi KP

1. Concor

Concor imapezeka m'mapiritsi a 5 ndi 10 mg ndipo imakhala ndi bisoprolol monga chogwiritsira ntchito. Cholinga chachikulu cha mankhwalawa ndi kuchepetsa kugunda kwa mtima popuma komanso panthawi yochita masewera olimbitsa thupi, komanso kuchepetsa mitsempha ya mtima.

Concor imatengedwa 1 nthawi patsiku m'mawa, mosasamala kanthu za chakudya. The zochita za mankhwala kumatenga 24 hours.

Contraindications: kulephera kwamtima pachimake komanso kosatha, kugwedezeka kwamtima, kutsekeka kwa sinoatrial, bradycardia yayikulu ndi hypotension ya arterial, mitundu yoopsa ya mphumu ya bronchial, zaka mpaka zaka 18.

yothandiza kwambiri m'malo mankhwala oyambirira, anaphunzira limagwirira kanthu.
zambiri mndandanda wa contraindications.

2. Niperten

Niperten imapezeka pamapiritsi a 2,5-10 mg komanso imakhala ndi bisoprolol muzolemba. Zotsatira za mankhwalawa zimamveka kwambiri patatha maola 3-4 mutamwa, koma kuchuluka kwa magazi kumapitilira kwa maola 24, zomwe zimapangitsa kuti pakhale chithandizo chamankhwala. Niperten ayenera kumwedwa kamodzi patsiku m'mawa, mosasamala kanthu za chakudya.

Contraindications: pachimake mtima kulephera, aakulu mtima kulephera mu siteji decompensation, cardiogenic mantha, kugwa, kutchulidwa kuchepa kwa magazi, kwambiri mitundu ya mphumu bronchial ndi COPD m'mbiri, zaka mpaka 18 zaka.

mtengo wotsika poyerekeza ndi Concor, zotsatira maola 24.
sichinthu choyambirira.

3. Bisogamma

Bisogamma ilinso ndi bisoprolol ndipo imapezeka m'mapiritsi a 5 ndi 10 mg. Awa ndi mankhwala a tsiku ndi tsiku - zotsatira zake zochiritsira zimakhala kwa maola 24.

Yambani mankhwala ndi mlingo wa 5 mg 1 nthawi patsiku. Ndiye, ngati kuli kofunikira, mlingo umakulitsidwa mpaka 10 mg 1 nthawi patsiku. Mlingo wovomerezeka kwambiri patsiku ndi 20 mg. Bisogamma iyenera kumwedwa m'mawa musanadye.  

Contraindications: mantha (kuphatikizapo cardiogenic), pulmonary edema, pachimake mtima kulephera, aakulu mtima kulephera pa siteji decompensation, bradycardia kwambiri, arterial hypotension (makamaka myocardial infarction), mitundu yoopsa mphumu ya bronchial ndi matenda ena obstructive airway, kukhumudwa, ukalamba mpaka zaka 18.

mtengo wotsika mtengo.
si choyambirira mankhwala, mndandanda waukulu wa contraindications.

4. Concor Core

Concor Cor ndi analogue yathunthu yamankhwala a Concor, komanso m'malo mwa Bisoprolol. Zolembazo zimakhalanso ndi chinthu chogwira ntchito cha dzina lomwelo, ndipo kusiyana kwakukulu kuli mu mlingo. Concor Cor imapezeka kokha mu mlingo wa 2,5 mg. Kuphatikiza apo, mapiritsiwa ndi oyera, mosiyana ndi Concor, omwe ali ndi mtundu wakuda chifukwa cha kuchuluka kwa zinthu zomwe zimagwira ntchito.

Contraindications: hypersensitivity kwa zigawo zikuluzikulu za mankhwala, pachimake ndi aakulu mtima kulephera, cardiogenic mantha, bradycardia aakulu ndi ochepa matenda oopsa, kwambiri mitundu ya mphumu bronchial, zaka 18.

zovomerezeka maola 24.
chifukwa cha mlingo, izo analamula yekha zochizira aakulu mtima kulephera.

5. Coronal

Ndipo kachiwiri, mankhwala omwe ali ndi bisoprolol yogwira. Coronal imapezeka m'mapiritsi a 5 ndi 10 mg ndipo imakhala yogwira ntchito kwa maola 24. Muyenera kumwa piritsi 1 nthawi patsiku m'mawa musanadye. Mlingo waukulu watsiku ndi tsiku ndi 20 mg.

Contraindications: kugwedezeka (kuphatikiza cardiogenic), kulephera kwa mtima kwapang'onopang'ono komanso kulephera kwamphamvu kwanthawi yayitali, bradycardia yayikulu, cardiomegaly (popanda zizindikiro za kulephera kwa mtima), hypotension ya arterial (makamaka infarction ya myocardial), mphumu ya bronchial ndi matenda osatha a m'mapapo, nthawi yoyamwitsa, zaka mpaka zaka 18.

mtengo wotsika mtengo, achire amatha maola 24.
zosankha zochepa za mlingo. Osati mankhwala oyamba.

6. Bisomor

Mankhwala a Bisomor alinso ndi bisoprolol ndipo ndi otsika mtengo koma othandiza m'malo mwa mankhwala oyamba a dzina lomwelo. Bisomor imapezeka pamapiritsi okhala ndi mlingo wa 2,5, 5 ndi 10 mg ndipo imakhala yovomerezeka kwa maola 24. Imwani mankhwala kamodzi patsiku m`mawa musanadye. Mlingo wovomerezeka watsiku ndi tsiku ndi 1 mg.

Contraindications: kugwedezeka (kuphatikiza cardiogenic), kulephera kwa mtima kwapang'onopang'ono komanso kulephera kwamphamvu kwanthawi yayitali, bradycardia yayikulu, cardiomegaly (popanda zizindikiro za kulephera kwa mtima), hypotension ya arterial (makamaka infarction ya myocardial), mphumu ya bronchial ndi matenda osatha a m'mapapo, nthawi yoyamwitsa, zaka mpaka zaka 18.

mitundu yosiyanasiyana ya mlingo, mphamvu yodziwika kwa maola 24.
si choyambirira mankhwala, mndandanda wa contraindications.

7. Egilok

Mankhwala Egilok si ofanana m'malo mwa Bisoprolol, chifukwa ali metoprolol monga yogwira pophika. Chochita chachikulu cha Egilok ndicholinga chochepetsa kuthamanga kwa magazi ndi kugunda kwa mtima.

Mankhwalawa amapangidwa m'mapiritsi okhala ndi mlingo wa 25, 50 ndi 100 mg. Pazipita zotsatira anaona mkati 1-2 mawola makonzedwe. Muyenera kumwa mapiritsi 2-3 pa tsiku.

Contraindications+

mwachilungamo mofulumira achire kwenikweni. Amagwiritsidwa ntchito osati pofuna kuchiza angina pectoris ndi kuthamanga kwa magazi, komanso ventricular extrasystole ndi supraventricular tachycardia.
yochepa zotsatira, m`pofunika kumwa mankhwala 2 pa tsiku.

8. Betalok ZOC

M'malo wina ndi Bisaprolol, yomwe ili ndi metoprolol. Betaloc ZOK imapezeka m'mapiritsi, ndipo ntchito yake yayikulu ndikuchepetsa kuthamanga kwa magazi. Pazipita zotsatira za mankhwala anamva mkati 3-4 mawola ingestion. Betalok ZOK imakhala ndi nthawi yayitali, chifukwa chake imatengedwa kamodzi patsiku.

Contraindications: AV block II ndi III digiri, kulephera kwa mtima mu gawo la decompensation, sinus bradycardia, cardiogenic shock, arterial hypotension, akukayikira pachimake myocardial infarction, zaka zosakwana 18.

mndandanda waukulu wazowonetsa zogwiritsidwa ntchito (angina pectoris, matenda oopsa, kulephera kwa mtima, migraine prophylaxis), yovomerezeka kwa maola 24.
zotheka zotsatira zoyipa: bradycardia, kutopa, chizungulire.

9. SotaGEKSAL

SotaGEKSAL ili ndi sotalol ndipo imapezeka mu mawonekedwe a mapiritsi okhala ndi mlingo wa 80 ndi 160 mg. Sotalol, ngakhale ndi ya beta-blockers, monga bisoprolol, komabe, imagwiritsidwa ntchito ngati mankhwala omwe ali ndi antiarrhythmic effect ndipo amalembedwa kuti ateteze matenda a atrial arrhythmias ndi kukonza sinus rhythm. M`pofunika kutenga SotaGEKSAL 2-3 pa tsiku.

mwachilungamo mofulumira achire kwenikweni.
kumafuna kuwunika momwe wodwalayo alili pa ECG. zotheka zotsatira zoyipa: kuchepa kugunda kwa mtima ndi kuthamanga kwa magazi, kuchuluka tilinazo zigawo zikuluzikulu za mankhwala.

10. Wopanda tikiti

Nebilet lili ndi yogwira mankhwala nebivolol. Mankhwala amapangidwa mu mawonekedwe a mapiritsi ndi mlingo wa 5 mg. Chochita chachikulu cha Nebilet cholinga chake ndikuchepetsa kuthamanga kwa magazi pakupuma komanso kuchita masewera olimbitsa thupi, komanso panthawi yopsinjika. Pazipita zotsatira zimachitika mkati 1-2 mawola kumwa mankhwala. Muyenera kutenga Nebilet 1 nthawi patsiku.

Contraindications: pachimake mtima kulephera, aakulu mtima kulephera mu siteji decompensation, kwambiri arterial hypotension, bradycardia, cardiogenic mantha, aakulu chiwindi kukanika, mbiri ya bronchospasm ndi chifuwa mphumu, maganizo, zaka zosakwana 18.

amalimbikitsa kupanga nitric okusayidi, motero amateteza ndi kulimbikitsa makoma a mitsempha, mwamsanga amachepetsa kuthamanga kwa magazi.
zotheka mavuto: mutu, chizungulire, nseru.

Momwe mungasankhire analogue ya Bisoprolol?

Mankhwala onse omwe ali pamwambawa, ku digiri imodzi kapena imzake, ndi ofanana ndi Bisoprolol. Amasiyana ndi kuuma ndi nthawi ya chithandizo chamankhwala, kusungunuka kwa mafuta ndi madzi, komanso zowonjezera ndi zotsatira zake.3. Ndi dokotala yekha amene angasankhe analogue yogwira mtima ya Bisoprolol, popeza mankhwala aliwonse ali ndi mawonekedwe ake ogwiritsira ntchito, ndipo zinthu zomwe zimagwira sizingasinthike. Mwachitsanzo, simungalowe m'malo mwa 10 mg wa bisoprolol ndi 10 mg ya nebivolol - izi zitha kuvulaza thanzi lanu.

Ndemanga za madokotala za analogues a Bisoprolol

Akatswiri ambiri amtima amalangiza mankhwalawa Concor, omwe amachepetsa kugunda kwa mtima ndipo samayambitsa zovuta zilizonse. Ndikwabwino kusankha mlingo wa mankhwalawa, kuyambira ang'onoang'ono, ndikuusiya kwa nthawi yayitali4.

Madokotala amalimbikitsanso kugwiritsa ntchito Betalok ZOK. Mankhwalawa amachepetsa kuthamanga kwa magazi ndipo amangotengedwa kamodzi patsiku.

Nthawi yomweyo, akatswiri amatsindika kuti ngakhale pali ma analogue ambiri a Bisoprolol, ndi dokotala yekha amene angasankhe mankhwala oyenera.

Mafunso ndi mayankho otchuka

 Tinakambirana nkhani zofunika zokhudzana ndi ma analogue a Bisoprolol dokotala wa sayansi ya zamankhwala, katswiri wa zamtima Tatyana Brodovskaya.

Ndi odwala ati omwe amalimbikitsa bisoprolol?

- Choyamba, awa ndi odwala omwe ali ndi angina pectoris, kulephera kwa mtima kosatha. Pankhaniyi, timawona zotsatira zabwino pazambiri za kupewa kufa, komanso kuchepa kwapang'onopang'ono kwa zovuta zowopsa (mwachitsanzo, myocardial infarction). Koma pochiza matenda oopsa kwambiri, gulu ili la mankhwala silikufunika kwambiri masiku ano, ngakhale limalembedwa m'mabuku olembedwa.

Kodi chimachitika ndi chiyani mukasiya kugwiritsa ntchito Bisoprolol ndikusinthira ku analogue?

- Choyambirira chomwe chili chofunikira kulabadira ndikuti ma beta-blockers samalimbikitsidwa kuti aletsedwe mwadzidzidzi. Kuletsa kuyenera kuchitika pang'onopang'ono komanso moyang'aniridwa ndi achipatala.

Zotsatira zoyipa monga bradycardia, kukula kwa atrioventricular blockade, kuchepetsa kupanikizika mwachindunji kumadalira mlingo wa mankhwala. Chifukwa chake, ngati zotsatira zoyipa zikuwonekera, mutha kukambirana ndi dokotala za nkhani yochepetsera mlingo, osati kuthetseratu.

Kusankhidwa kwa analogue ndikusintha kwa bisoprolol sikungachitidwe paokha. Only dokotala kuganizira mbali zonse za wodwalayo matenda: pamaso pa lamanzere yamitsempha yamagazi hypertrophy, dyslipidemia, chikhalidwe cha chiwindi ndi impso ntchito, arrhythmias, ndiyeno payekha kusankha zofunika beta-blockers.

  1. Shlyakhto EV Cardiology: chiwongolero cha dziko. M., 2021. https://www.rosmedlib.ru/book/ISBN9785970460924.html
  2. miyezo yachipatala. Matenda a mtima. EV Reznik, IG Nikitin. M., 2020. https://www.studentlibrary.ru/book/ISBN9785970458518.html
  3. Клинические рекомендации «Хроническая сердечная недостаточность у взрослых». 2018 – 2020. https://diseases.medelement.com/disease/%D1%85%D1%80%D0%BE%D0%BD%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B0%D1%8F-%D1%81%D0%B5%D1%80%D0%B4%D0%B5%D1%87%D0%BD%D0%B0%D1%8F-%D0%BD%D0%B5%D0%B4%D0%BE%D1%81%D1%82%D0%B0%D1%82%D0%BE%D1%87%D0%BD%D0%BE%D1%81%D1%82%D1%8C-%D1%83-%D0%B2%D0%B7%D1%80%D0%BE%D1%81%D0%BB%D1%8B%D1%85-%D0%BA%D1%80-%D1%80%D1%84-2020/17131
  4. 2000-2022. KUlembetsa KWA MANKHWALA A RUSSIA® RLS https://www.rlsnet.ru/

Siyani Mumakonda