10 yakanakisa analog yeBisoprolol
Bisoprolol inowanzo kurongerwa chirwere chemoyo, zvisinei, mushonga hauwanzo kuwanikwa muma pharmacy, uye mutengo wayo wakanyanya kukwirira. Pamwe chete nachiremba wemwoyo, takanyora runyoro rwezvakachipa uye zvinoshanda zvinotsiva Bisoprolol uye takakurukura kuti zvitore sei uye riini.

Bisoprolol ndeyeboka revanosarudza beta-blockers uye inoshandiswa mu cardiology ye coronary heart disease, chronic heart failure. Kazhinji inorayirwa kurapwa kwemoyo arrhythmias uye hypertension.1.

Bisoprolol inoderedza njodzi yemyocardial infarction uye kufa mukutadza kwemoyo. Mushonga wacho unoderedza kushandiswa kweokisijeni nemhasuru yemwoyo, inoderedza midziyo inodyisa mwoyo, inoderedza kuwanda kwekurwiswa kwemarwadzo uye ine simba rakanaka pakufungidzira kwechirwere.2.

Mhedzisiro kana uchitora bisoprolol haiwanzo. Sezvo mutemo, ivo vanobatanidzwa neiyo isiriyo yakasarudzwa application scheme. Nekuda kweizvi, murwere anogona kuderedza zvakanyanya BP uye kudonhedza pulse. Pakati pezvimwe migumisiro: dzungu, musoro, dyspepsia, stool disorders (kuvimbiswa, manyoka). Kuwanda kwekuitika kwavo hakupfuuri 10%.

Bisoprolol inorayirwa nekunyatsotarisirwa kune varwere vane bronchial asthma uye atherosclerosis ye arteries yezasi. Mukukundikana kwemoyo, mushonga unofanirwa kutorwa zvishoma - 1,25 mg kamwe pazuva.

Rondedzero yepamusoro gumi analogues uye zvakachipa zvinotsiva zveBisoprolol zvinoenderana neKP

1. Concor

Concor inowanikwa muhwendefa re5 uye 10 mg uye ine bisoprolol sechinhu chinoshanda. Mhedzisiro huru yemushonga ine chinangwa chekudzikisa kurova kwemoyo zvese pakuzorora uye panguva yekurovedza muviri, pamwe nekuwedzera tsinga dzemoyo.

Concor inotorwa 1 nguva pazuva mangwanani, pasinei nechikafu. Chiito chemushonga chinotora maawa makumi maviri nemana.

Contraindications: acute and chronic heart failure, cardiogenic shock, sinoatrial blockade, bradycardia yakaoma uye arterial hypotension, maitiro akaoma ebronchial asthma, makore kusvika kumakore gumi nemasere.

iyo inonyanya kutsiva mushonga wepakutanga, iyo yakadzidzwa nzira yekuita.
rondedzero yakawanda ye contraindications.

2. Niperten

Niperten inowanikwa mune piritsi fomu ye2,5-10 mg uye zvakare ine bisoprolol mukuumbwa. Mhedzisiro yemushonga inonzwika zvakanyanya maawa 3-4 mushure mekudya, asi kusungwa muropa kunopfuurira kwemaawa makumi maviri nemana, izvo zvinoita kuti pave nekurapa kwenguva refu. Niperten inofanira kutorwa kamwe chete pazuva mangwanani, pasinei nekudya.

Contraindications: acute heart failure, chronic heart failure in the stage of decompensation, cardiogenic shock, kupunzika, kuderera kweropa, maitiro akaoma ebronchial asthma uye COPD munhoroondo, makore anosvika gumi nemasere.

mutengo wakaderera uchienzaniswa neConcor, unoita maawa makumi maviri nemana.
hachisi chigadzirwa chepakutanga.

3. Bisogamma

Bisogamma inewo bisoprolol uye inowanikwa mumapiritsi e5 uye 10 mg. Uyu ndiwo mushonga wezuva nezuva - maitiro ayo ekurapa anogara kwemaawa makumi maviri nemana.

Tanga kurapwa nechiyero che 5 mg 1 nguva pazuva. Zvadaro, kana zvichidiwa, iyo dosage inowedzera kusvika 10 mg 1 nguva pazuva. Iyo yakanyanya kubvumidzwa dosage pazuva ndeye 20 mg. Bisogamma inofanira kutorwa mangwanani musati madya.  

Contraindications: kuvhunduka (kusanganisira cardiogenic), pulmonary edema, acute heart failure, chronic heart failure in the stage of decompensation, bradycardia yakaoma, arterial hypotension (kunyanya nemyocardial infarction), maitiro akaoma easthma yebronchial nezvimwe zvirwere zvinokanganisa nzira yemhepo, kuora mwoyo, kukwegura. kusvika ku18 years.

mutengo unokwanisika.
haisi mushonga wepakutanga, rondedzero yakakura yezvinopesana.

4. Concor Core

Concor Cor ndeye analogue yakazara yeConcor drug, pamwe nekutsiva kunoshanda kweBisoprolol. Iko kuumbwa kunewo chinhu chinoshanda chezita rimwe chete, uye musiyano mukuru uri muyero. Concor Cor inowanikwa chete muyero ye2,5 mg. Mukuwedzera, mahwendefa machena, kusiyana neConcor, iyo ine ruvara rwakasvibira nekuda kwehuwandu hwehuwandu hwezvinhu zvinoshanda.

Contraindications: hypersensitivity kune zvikamu zvemushonga, acute uye kusingaperi mwoyo kukundikana, cardiogenic shock, bradycardia yakaoma uye arterial hypertension, maitiro akaoma ebronchial asthma, makore kusvika kumakore gumi nemasere.

inoshanda maawa makumi maviri nemana.
nekuda kweiyo dosage, inonyorerwa chete kurapwa kwekutadza kwemoyo.

5. Coronal

Uye zvakare, mushonga une chinhu chinoshanda bisoprolol. Coronal inowanikwa mumapiritsi e5 uye 10 mg uye inoshanda kwemaawa makumi maviri nemana. Iwe unofanirwa kutora piritsi 24 nguva pazuva mangwanani usati wadya. Nhamba yepamusoro yezuva nezuva ndeye 1 mg.

Contraindications: kuvhunduka (kusanganisira cardiogenic), acute heart failure uye chronic insufficiency, bradycardia yakaoma, cardiomegaly (isina zviratidzo zvekutadza kwemoyo), arterial hypotension (kunyanya nemyocardial infarction), bronchial asthma uye chirwere chisingaperi chinodzivirira pulmonary munhoroondo, nguva yekuyamwisa, zera kusvika kusvika ku18 years.

mutengo unokwanisika, kurapwa kunotora maawa makumi maviri nemana.
shoma dosage sarudzo. Kwete mushonga wekutanga.

6. Bisomor

Mushonga weBisomor unewo bisoprolol uye inochipa asi inoshanda yekutsiva mushonga wepakutanga wezita rimwe chete. Bisomor inowanikwa mumapiritsi ane dosage ye2,5, 5 uye 10 mg uye inoshanda kwemaawa makumi maviri nemana. Tora mushonga kamwe pazuva mangwanani usati wadya. Iyo yakawanda inobvumirwa zuva nezuva ndeye 24 mg.

Contraindications: kuvhunduka (kusanganisira cardiogenic), acute heart failure uye chronic insufficiency, bradycardia yakaoma, cardiomegaly (isina zviratidzo zvekutadza kwemoyo), arterial hypotension (kunyanya nemyocardial infarction), bronchial asthma uye chirwere chisingaperi chinodzivirira pulmonary munhoroondo, nguva yekuyamwisa, zera kusvika kusvika ku18 years.

akasiyana dosage sarudzo, yakataurwa mhedzisiro kwemaawa makumi maviri nemana.
haisi mushonga wepakutanga, rondedzero yakawanda yezvinopesana.

7. Egilok

Mushonga Egilok hausi wakaenzana kutsiva Bisoprolol, sezvo ine metoprolol sechinhu chinoshanda. Chiito chikuru cheEgilok chine chinangwa chekudzikisa BP uye kurova kwemoyo.

Mushonga unogadzirwa mumapiritsi ane chipimo che 25, 50 uye 100 mg. Mhedzisiro yakakura inoonekwa mukati maawa 1-2 mushure mekutonga. Iwe unofanirwa kutora mapiritsi 2-3 kanomwe pazuva.

Contraindications: kukundikana kwemoyo muchikamu chekuora, cardiogenic shock, yakanyanya peripheral circulatory disorders, kusanganisira nekutyisidzira kwe gangrene, acute myocardial infarction, kuyamwisa, makore kusvika kumakore gumi nemasere.

zvakanaka kukurumidza kurapa maitiro. Inoshandiswa kwete chete kurapa angina pectoris uye high blood pressure, asiwo ventricular extrasystole uye supraventricular tachycardia.
pfupi-nguva mhedzisiro, zvakakosha kutora mushonga 2 kanomwe pazuva.

8. Betalok ZOC

Imwe inotsiva ndeye Bisaprolol, iyo ine metoprolol. Betalok ZOK inowanikwa mumhando yemapiritsi, uye chiito chayo chikuru ndechekudzikisa BP. Mhedzisiro yakakura yemushonga inonzwika mukati maawa 3-4 mushure mekudya. Betalok ZOK ine chiito chakareba, saka inotorwa kamwe chete pazuva.

Contraindications: AV block II uye III dhigirii, kutadza kwemoyo padanho rekuora, sinus bradycardia, cardiogenic shock, arterial hypotension, anofungidzirwa acute myocardial infarction, zera riri pasi pemakore gumi nemasere.

rondedzero yakakura yezviratidzo zvekushandisa (angina pectoris, hypertension, moyo kusakundikana, migraine prophylaxis), inoshanda kwemaawa makumi maviri nemana.
zvinobvira nemigumisiro: bradycardia, kuneta, dzungu.

9. SotaGEKSAL

SotaGEKSAL ine sotalol uye inowanikwa mumhando yemapiritsi ane dosage ye80 uye 160 mg. Sotalol, kunyangwe iri ye beta-blockers, senge bisoprolol, zvisinei, inonyanya kushandiswa semushonga une antiarrhythmic athari uye inonyorerwa kudzivirira kweatrial arrhythmias uye kuchengetedza sinus rhythm. Zvakakosha kutora SotaGEKSAL 2-3 nguva pazuva.

zvakanaka kukurumidza kurapa maitiro.
zvinoda kuongorora mamiriro emurwere paECG. Zvinogoneka mhedzisiro: kuderera kwemoyo uye kuwedzera kweropa, kuwedzera kwekunzwa kune zvikamu zvemushonga.

10. Kwete-tiketi

Nebilet ine chinhu chinoshanda nebivolol. Mushonga unogadzirwa nenzira yemapiritsi ane dosage ye5 mg. Chiito chikuru cheNebilet chine chinangwa chekudzikisa BP pakuzorora uye kurovedza muviri, pamwe chete panguva yekushushikana. Mhedzisiro yakakura inoitika mukati maawa 1-2 mushure mekutora mushonga. Iwe unofanirwa kutora Nebilet 1 nguva pazuva.

Contraindications: acute heart failure, chronic heart failure in the stage of decompensation, yakanyanya arterial hypotension, bradycardia, cardiogenic shock, yakanyanya kusashanda zvakanaka chiropa, nhoroondo yebronchospasm uye bronchial asthma, kuora mwoyo, makore ari pasi pemakore gumi nemasere.

inokurudzira kugadzirwa kwe nitric oxide, saka inodzivirira uye inosimbisa masvingo emidziyo yeropa, inokurumidza kuderedza ropa.
zvinogona kuitika: musoro, dzungu, kurutsa.

Nzira yekusarudza analogue yeBisoprolol?

Yese yemishonga iri pamusoro, kune imwe dhigirii kana imwe, ndeye analogues eBisoprolol. Izvo zvakasiyana mukuomarara uye nguva yemhedzisiro yekurapa, solubility mumafuta nemvura, pamwe nekuwedzera uye nemhedzisiro.3. Chiremba chete ndiye anogona kusarudza analogue inoshanda yeBisoprolol, sezvo mushonga wega wega une maitiro ekushandisa, uye zvinhu zvinoshanda hazvishanduke. Semuenzaniso, haugone kutsiva 10 mg yebisoprolol ne10 mg ye nebivolol - izvi zvinogona kukuvadza zvakanyanya hutano hwako.

Ongororo yevanachiremba nezve analogues yeBisoprolol

Vazhinji vezve cardiologists vanokurudzira mushonga weConcor, unonyatso kudzikisa kurova kwemoyo uye haukonzeri mhedzisiro. Zviri nyore kusarudza muyero wemishonga, kutanga nediki, uye wozoisiya kwenguva yakareba4.

Vanachiremba vanokurudzirawo kushandisa Betalok ZOK. Mushonga wacho unonyatso kudzikisa kuderera kweropa uye unotorwa chete 1 nguva pazuva.

Panguva imwecheteyo, nyanzvi dzinosimbisa kuti pasinei nenhamba yakawanda yeanalogues yeBisoprolol, chiremba chete ndiye anogona kusarudza mushonga unodiwa.

Mibvunzo nemhinduro dzakakurumbira

 Takakurukura nyaya dzakakosha dzine chekuita neBisoprolol analogues ne chiremba wesayenzi yezvokurapa, cardiologist Tatyana Brodovskaya.

Ndeapi varwere vanokurudzirwa bisoprolol?

- Chokutanga pane zvose, ava ndivo varwere vane angina pectoris, chirwere chisingaperi chemoyo. Muchiitiko ichi, tinocherechedza simba rakanaka rinoita pakufungidzira kwekudzivirira kufa, pamwe nekuderera kwehuwandu hwematambudziko ane ngozi (somuenzaniso, myocardial infarction). Asi mukurapa arterial hypertension, iyi kirasi yemishonga haina kudiwa nhasi, kunyangwe yakanyorwa muzviratidzo zvakanyoreswa.

Chii chinoitika kana iwe ukarega kushandisa Bisoprolol uye uchinje kune analogue?

-Chinhu chekutanga chakakosha kutarisisa ndechekuti beta-blockers haikurudzirwe kukanzurwa nekukasira. Kukanzura kunofanira kuitwa zvishoma nezvishoma uye pasi pekutariswa nachiremba.

Migumisiro yakaipa yakadai sebradycardia, kukura kweatrioventricular blockade, kuderedza kudzvinyirira zvakananga kunoenderana nechiyero chemushonga. Nokudaro, kana migumisiro yechirwere ichionekwa, unogona kukurukura nachiremba wako nyaya yekuderedza dosi, uye kwete kuibvisa zvachose.

Kusarudzwa kweanalogue uye kutsiva bisoprolol hakugone kuitirwa zvakazvimirira. Chiremba chete ndiye achafunga nezve zvese zvemurwere wekiriniki mamiriro: kuvepo kwekuruboshwe ventricular hypertrophy, dyslipidemia, mamiriro echiropa uye itsvo basa, arrhythmias, uye ipapo mumwe nemumwe sarudza inodiwa beta-blockers.

  1. Shlyakhto EV Cardiology: gwara renyika. M., 2021. https://www.rosmedlib.ru/book/ISBN9785970460924.html
  2. kliniki mitemo. Cardiology. 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. KUNYORWA KWEZVINODHAKA RUSSIA® RLS https://www.rlsnet.ru/

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