Carvedilol muyero, mafomu, uye simba
Drug Info Carvedilol ndeye generic beta blocker inonyorwa mishonga inoshandiswa kurapa congestive moyo kutadza uye neBP, uye inogona kubatsira kudzikisa njodzi yekufa mushure mekurwadziwa kwemoyo.Carvedilol mafomu uye simba | Zvevakuru | Zvevana | Carvedilol zviyero zvinorambidzwa | Carvedilol yezvipfuyo | Ungatora sei carvedilol | MIBVUNZO
Carvedilol mushonga wegeneric mushonga uyo unotengeswa pasi pemazita ezita Coreg uye Coreg CR . Iyo beta-blocker iyo inoshandiswa kurapa congestive moyo kutadza uye neBP, uye inogona zvakare kubatsira kudzikisa njodzi yekufa mushure mekurwadziwa kwemoyo. Carvedilol inowanzo kutorwa nemuromo sehwendefa kaviri pazuva pamasimba esero ayo anotangira kubva pa3.125 kusvika 25 mg. Iyo inogona zvakare kutorwa seyakawedzeredzwa-kuburitswa kapsule kamwe pazuva pazuva mune muyero simba kubva 10 kusvika 80 mg.
Zvakabatana: Chii chinonzi Carvedilol?
Carvedilol mafomu uye simba
- Mahwendefa: 3.125 mg, 6.25 mg, 12.5 mg, 25 mg
- Yakawedzerwa-kusunungura makapuleti: 10 MG, 20 MG, 40 MG, 80 MG
Carvedilol muyero wevakuru
Iyo chaiyo huwandu hwe carvedilol iyo mumwe munhu anozoda kutora anozosiyana zvichienderana nehutano hwavo. Carvedilol inofanira kutorwa nemuromo nechikafu. Mahwendefa ekukurumidza-kuburitswa (IR) anofanirwa kuve akapatsanurwa kuita madosi maviri pazuva uye akawedzeredzwa-kuburitsa (ER) mapiritsi anofanirwa kutorwa kamwe chete zuva nezuva. Iyi tafura inotevera inonyora zviyero zvakakurudzirwa zve carvedilol zvevakuru.
| Carvedilol dhizaini chati | |||
|---|---|---|---|
| Chiratidzo | Kutanga kuyerwa | Standard muyero | Kunonyanyisa chipimo chemushonga |
| Hypertension (yakakwira BP) | IR: 3.125 mg kaviri pazuva ER: 10 mg kamwe pazuva | IR: 12.5 mg kaviri pazuva ER: 40 mg kamwe pazuva | IR: 25 mg kaviri pazuva kana 50 mg yakazara pazuva ER: 80 mg kamwe pazuva |
| Kutadza kwemoyo | IR: 3.125 mg yakakamurwa uye inotorwa kaviri pazuva 10 mg inotorwa kamwe pazuva | IR: 12.5 mg kaviri pazuva ER: 40 mg kamwe pazuva | IR: 25 mg kaviri pazuva kana 50 mg yakazara pazuva ER: 80 mg kamwe pazuva |
| Kuruboshwe ventricular kusagadzikana zvichitevera chirwere chemwoyo | IR: 3.125 kaviri pazuva ER: 20 mg kamwe pazuva | IR: 6.25 mg kaviri pazuva ER: 40 mg kamwe pazuva | IR: 12.5 mg kaviri pazuva kana 25 mg yakazara pazuva ER: 80 mg inotorwa kamwe pazuva |
Carvedilol muyero wehypertension
Carvedilol inowanzo shandiswa kurapa kukwirisa kweropa nekuti inobatsira kudzikisa kurova kwemoyo uye kushushikana kwakazara pamoyo. Inoita izvi nekuvharidzira kuita kwemamwe makemikari mumuviri, seepinephrine.
Iyo muyero muyero we carvedilol weiyo yakakwira BP ndeye 25 mg yakakamurwa uye inotorwa kaviri pazuva kana ichitora chiriporipo-chinoburitsa piritsi, uye 40 mg inotorwa kamwe pazuva kana uchitora yakawedzera-kuburitsa kapuleti. Iwo madosi epamusoro e carvedilol yehypertension ari 50 mg yemapiritsi ekuburitsa nekukasira uye 80 mg yemapiritsi akawedzerwa-kuburitswa.
Carvedilol muyero wekutadza kwemoyo
Carvedilol inoshandiswa kurapa kutadza kwemoyo nekuti inovhara zvinogamuchirwa zveepinephrine uye norepinephrine muhurongwa hwekutya. Nekuita izvi, zvinokonzeresa kuti tsinga nemidziyo yeropa zvidzikame uye BP ichidzikira, zvese izvi zvinobatsira kudzikamisa kuoma kwemoyo kushanda.
Iyo yakajairwa dhizaini ye carvedilol yekurapa kushaya kwemoyo ndeye 25 mg yakakamurwa uye inotorwa kaviri pazuva kana ichitora chiriporipo-kuburitsa piritsi uye 40 mg inotorwa kamwe pazuva kana uchitora yakawedzera-kuburitsa kapuleti. Iwo akanyanya madosi e carvedilol ekukundikana kwemoyo ari 50 mg yemapiritsi ekuburitsa nekukasira uye 80 mg yekuwedzera-kusunungura macapsule.
Carvedilol muyero wekuruboshwe kwema ventricular kusagadzikana
Kuruboshwe ventricular dysfunction (LVD) mamiriro apo iyo yekuruboshwe ventricle yemoyo yakaremara kana kukuvara, iyo inogona kukanganisa kuti zvakanaka moyo kupomba ropa. Carvedilol inobatsira kudzikisira kurova kwemoyo uye kudzikisa BP, ndosaka ichigona kubatsira kune vanhu vane LVD. Inowanzo gadzirirwa vanhu vane LVD mushure mekunge vaita chirwere chemwoyo (myocardial infarction).
Iyo muyero muyero we carvedilol weLVD ndeye 12.5 mg yakakamurwa uye inotorwa kaviri pazuva piritsi rekuburitsa nekukasira uye 40 mg inotorwa kamwe pazuva pazuva reiyo yakawedzera-kuburitsa kapuleti. Iwo madosi epamusoro e carvedilol yeLVD ari 25 mg yemapiritsi ekuburitsa nekukasira uye 80 mg yemapiritsi akawedzerwa-kuburitswa.
Carvedilol muyero wevana
Carvedilol yakagamuchirwa neDFA kuti ishandiswe pakati pevana vane kukundikana kwemoyo nechikamu chidiki cheejection. Carvedilol inongowanikwa mune yekukurumidza-kuburitsa piritsi fomu yevana. Heano madhaidhi madhairekitori evarwere vevana:
- Yakajairwa carvedilol muyero wevana vane makore 1-23 mwedzi: 0.05 mg / kg / zuva rakakamurwa uye rinopihwa kaviri pazuva nechikafu.
- Maximum carvedilol muyero wevana vane makore 1-23 mwedzi: 3 mg / kg / zuva kupatsanurwa uye kupihwa kaviri pazuva nechikafu.
- Standard carvedilol muyero wevana vane makore 2-11 makore: 0.05 mg / kg / zuva rakakamurwa uye rinopihwa kaviri pazuva nechikafu.
- Maximum carvedilol muyero wevana vane makore 2-11 makore: 2 mg / kg / zuva kupatsanurwa uye kupihwa kaviri pazuva nechikafu.
- Standard carvedilol dosage yevana vane makore gumi nemaviri zvichikwira: 0.05 mg / kg / zuva rakakamurwa uye rinopihwa kaviri pazuva nechikafu.
- Maximum carvedilol dosage yevana vane makore gumi nemaviri zvichikwira: 50 mg / kg / zuva kupatsanurwa uye kupihwa kaviri pazuva nechikafu.
Carvedilol zviyero zvinorambidzwa
Carvedilol haina kuitirwa kutorwa nemunhu wese ane BP, kutadza kwemoyo, kana LVD. Hazvifanirwe kutorwa nevanhu vane zvinotevera mamiriro:
- Yakakomba kutadza kwemoyo kunoda kuiswa muchipatara
- Yakadzora moyo kutadza kunoda IVinotropicmishonga
- Kukanganisa kwakanyanya kwehepatic
- Prinzmetal akasiyana angina
- Pheochromocytoma
- Kukanganiswa kweRenal
- Bronchial asima
- Mwoyo unodzivirira
- Sick sinus syndrome isina pacemaker yekusingaperi
- Emphysema
- Yakanyanya bradycardia
- Peripheral vascular chirwere
- Cardiogenic kuvhunduka
Iko kushandiswa kwe carvedilol pakati geriatric varwere yakaratidzirwa kuve yakachengeteka uye inoshanda. Inotenderwawo kuvarwere vevana muzvidiki zvidiki zvinotangira pa0.05mg / kg / zuva kusvika 50 mg / kg / zuva.
Vakadzi vane nhumbu vanokurudzirwa kutora carvedilol nekuchenjerera nekuti vane njodzi yakawedzera yekusangana nekudzora kukura kweiyo intrauterine, hypotension, uye hypoglycemia, kunyanya mune yechipiri neyechitatu trimesters. Hazvisati zvazivikanwa kuti carvedilol inopinda mumukaka wechipfuva here, saka inogara iri zano rakanaka kutaura nachiremba wehutano nezvekuti zvakachengeteka kutora kana uchiyamwisa here.
Carvedilol muyero wezvipfuyo
Carvedilol dzimwe nguva inoshandiswa nevarapi vezvechiremba kurapa mhuka dzine BP uye chirwere chemoyo. Zvidzidzo ratidza kuti carvedilol inogona kubatsira kudzikisa kurova kwemoyo, renal function, uye kuwedzerwa kweropa imbwa. Huwandu hwe carvedilol hunoda kutorwa nemhuka hunosiyana zvichienderana nemhando dzayo uye nemamiriro ehutano, saka zviri nani kutaura nachiremba wemhuka pamusoro pesimba reyero rakanakira chipfuwo. Simba rechipimo rinogona kubva kubva pasi pe1 mg kusvika kune gumi nemaviri kana kupfuura.
Ungatora sei carvedilol
Kudzidza kutora carvedilol nemazvo zvakakosha kuti uve nechokwadi chekuti inoshanda zvakanyanya sezvinobvira. Heano maitiro ekuita chokwadi kuti uri kuzvitora zvakachengeteka sezvinobvira kuti uwane mhinduro dzakanakisa:
- Tora mishonga sekurairwa. Yako dose inogona kuda kuchinjwa kanoverengeka kuti uwane zvinoshanda zvakanyanya kwauri.
- Zviri nani kutora mushonga uyu nechikafu kana mukaka.
- Yakawedzerwa-kuburitsa kapuleti mirairo: Tora iyo kapuleti mangwanani nechikafu. Medza iyo capsule yakazara. Usapwanya kana kuitsenga. Kana iwe usingakwanise kumedza iyo capsule, unogona kuivhura uye nekusasa mushonga pamusoro pechipunu cheapurosiuce. Dharira maapuloauce ipapo ipapo.
- Verenga uye uteedzere mirayiridzo yemurwere inouya nemushonga uyu. Taura nachiremba wako kana wemishonga kana iwe uine chero mibvunzo.
- Chengeta mushonga wacho mumudziyo wakavharika mukati tembiricha yemukati, kure nekupisa, hunyoro, uye mwenje wakananga.
- Verenga uye uteedzere mirayiridzo yemurwere inouya nemushonga uyu. Taura nachiremba wako kana wemishonga kana iwe uine chero mibvunzo.
- Tora mushonga wako sekurairwa. Yako dose inogona kuda kuchinjwa kanoverengeka kuti uwane zvinoshanda zvakanyanya kwauri.
Carvedilol muyero FAQs
Zvinotora nguva yakareba sei kuti ishande?
Zvinogona kutora kusvika kumazuva manomwe kusvika gumi nemana kuti uone kuwedzerwa kweropa kuchidzikisa mhedzisiro ye carvedilol. Zvimwe zvekunze zvinogona kukanganisa mashandiro anoita carvedilol, senge huremu hwemurwere, zera, danho rekuita muviri, chikafu, uye kushandiswa kwemimwe mishonga. Wese munhu anozozvibata kumushonga zvakasiyana, saka zvakakosha kuti uchengete izvo mupfungwa kana uchitanga carvedilol.
Inguva yakareba sei carvedilol inogara mune yako system?
Hafu-hupenyu hwe carvedilol maawa matanhatu kusvika gumi, inova nguva yakareba sei inotora hafu yemushonga kuti ubve mumuviri. Zvinotora maawa angangoita makumi matatu-50 kuti dhizeti ye carvedilol ibviswe zvachose kubva mumuviri.
Chii chinoitika kana ndikapotsa mushonga wecarvedilol?
Kana iwe ukarasikirwa nechero carvedilol, tora yako yakarasika dosi nekukurumidza sezvaunogona. Kana ingangove nguva yekutora yako inotevera dosi nenguva yaunorangarira, saka mirira kusvika yako inotevera yakatarwa dosi. Usatore mumwe mushonga kuti uwane dhosi rakarasika. Kuwedzeredza pane carvedilol kunogona kukonzera kupfupika kwemweya, kurova zvisina kuenzana kwemoyo, shuga shoma yeropa, kufenda, uye kunyange kubatwa.
Ndomira sei kutora carvedilol?
Kuregedza kusagadzikana kwe carvedilol kunogona kukonzera zvakakomba mhedzisiro senge kurwadziwa kwepfupa (angina) uye kurwiswa kwemoyo, kunyanya kune vanhu vane chirwere chemwoyo. Carvedilol inovharawo zvimwe zvezviratidzo zvehyperthyroidism uye inogona kukonzera kudzoka kana kuwedzera kwezviratidzo izvi (thyroid dutu) kana ikamiswa nekukasira.
Kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge Izvi zvinobatsira kudzivirira kusangana nezviratidzo zvekurega. Chiremba wako anogona kukupa mazano kune mamwe beta-adrenergic anovharira vamiririri vanogona kurapwa chirwere chehypertension kana kusingaperi kwemoyo kutadza, senge bisoprolol , metoprolol inotapira , kana clonidine .
Ndeipi chiyero chakanyanya che carvedilol?
Muyero wepamusoro we carvedilol unosiyana zvichienderana nemamiriro ekurapa ayo ari kupihwa kurapa:
- Hypertension: 50 mg (IR piritsi); 80 mg (ER Kamudzira)
- Kukundikana kwemoyo: 50 mg (IR piritsi); 80 mg (ER Kamudzira)
- Kuruboshwe ventricular kusagadzikana zvichitevera chirwere chemwoyo: 25 mg(IR piritsi);80 mg(ER Kamudzira)
Chii chinopindirana ne carvedilol?
Chikafu chinosangana ne carvedilol nekudzora kudzika kwayo mumuviri. Yakapinza muropa nerinenge imwe kusvika kumaawa maviri inononoka kana ikatorwa nechikafu ichienzaniswa neinotorwa isina kudya. Kutora carvedilol nechikafu kunobatsirawo kudzivirira orthostatic hypotension, irikuitika kweropa shoma kana uchisimuka kubva pakugara kana pakarara.
Kune mimwe mishonga inobatawo kuti carvedilol inopinzwa sei mumuviri. Hypotensive agents, cyclosporine, digoxin, calcium chiteshi blockers,insulin kana muromo hypoglycemics, verapamil, diltiazem, amiodarone, uye CYP2D6 inhibitors uye varombo metabolism zvinogona kukanganisa carvedilol uye haifanire kutorwa nayo nekuda kwekugona kwekudyidzana kwezvinodhaka.
Zvakafanana zviwanikwa:
- Epocrates pane carvedilol , Epocrates
- Carvedilol, Zuva Nezuva
- Carvedilol muhutano hwehutachiona , Vascular Hutano uye Risk Management
- Cardiovascular uye renal mhedzisiro ye carvedilol muimbwa dzine moyo kutadza , Raibhurari Yenyika yeMishonga
