gamoyenebis instruqcia: informacia pacientisTvis enapi, 2,5 mg ...
gamoyenebis instruqcia: informacia pacientisTvis enapi, 2,5 mg ... gamoyenebis instruqcia: informacia pacientisTvis enapi, 2,5 mg ...
gamoyenebis instruqcia: informacia pacientisTvis enapi, 2,5 mg tabletebi enapi, 5 mg tabletebi enapi, 10 mg tabletebi enapi, 20 mg tabletebi enalaprilis maleati preparatis miRebamde yuradRebiT, srulad gaecaniT instruqcias. SeinaxeT instruqcia, vinaidan misi wakiTxva SeiZleba kidev dagWirdeT. damatebiTi kiTxvebis SemTxvevaSi, mimarTeT eqims an farmacevts. aRniSnuli preparati Tqven dageniSnaT. nu gadascemT mas sxvebs. preparats SeuZlia avnos, Tundac maTi simptomebi Tqvensas emTxveodes. Tu romelime gverdiTi efeqti damZimda an SeniSneT am instruqciaSi aRniSnulTagan gansxvavebuli gverdiTi efeqti, mimarTeT eqims an farmacevts. instruqciis Sinaarsi: 1. ras warmoadgens da risTvis gamoiyeneba enapi 2. enapis miRebamde 3. enapis miRebis wesi 4. SesaZlo gverdiTi efeqtebi 5. enapis Senaxvis pirobebi 6. damatebiTi informacia 1. ras warmoadgens da risTvis gamoiyeneba enapi enapi miekuTvneba preparatTa jgufs: renin-angiotenzinis sistemaze moqmedi aqtiuri produqtebi, angiotenzingardamqmneli fermentis inhibitorebi. enapi gamoiyeneba sisxlis wnevis dasaqveiTeblad (antihipertenziuli saSualeba). es preparati Trgunavs agf-s (angiotenzin-gardamqmneli fermentis inhibitori). enapiT mkurnalobis periodSi, sisxlZarRvebi farTovdeba, rasac Sedegad sisxlis wnevis daqveiTeba da gulis kunTis da sxva organoebis sisxliT da JangbadiT momaragebis gaZliereba mosdevs. preparatis maqsimaluri efeqti 6-8 saaTSi miiRweva. efeqti, Cveulebriv 24 saaTamde narCundeba; aqedan gamomdinare, dReSi 1-2 doza sakmarisia. stabiluri koncentraciebis Terapiuli efeqti ramdenime kviris Semdeg miiRweva. preparati gamoiyeneba Tirkmlis daavadebebis dros (Tirkmlis ukmarisoba, agreTve, Tirkmlis dazianeba diabetis Sedegad) sisxlis maRali wnevis, hipertenziis, aseve, gulis SegubebiTi ukmarisobis da marcxena parkuWis disfunqciis (asimptomur pacientebSic) samkurnalod. 2. enapis miRebamde ar miiRoT enapi ar miiRoT preparati, Tu hipersensitiuri xarT enalaprilis maleatis, damxmare komponentebis an sxva agfinhibitorebis mimarT; Tu sxva agf-inhibitorebis miRebam hipersensitiurobis reaqciebi gamoiwvia, rasac Tan axlda tuCebis da saxis, yelis, aseve, SesaZlebelia, xelebis da fexebis SeSupeba, moxrCobis SegrZneba an xmis CaxleCa (angionevrozuli SeSupeba), Tu Tandayolili an sxva ucnobi warmoSobis angionevrozuli SeSupeba gaqvT orsulobis da laqtaciis periodSi. Tu 3 Tveze meti xnis orsuli xarT. (rekomendebulia moeridoT enapis miRebas orsulobis dasawyisSic – ix. punqti “orsuloba”). enapi gansakuTrebuli sifrTxiliT gamoiyeneT enapiT mkurnalobis ganmavlobaSi, regularulad gaizomeT wneva. hkiTxeT eqims sisxlis wnevis ra maCvenebelia normaluri da rodis unda mixvideT gamokvlevaze. enapiT mkurnalobis dawyebamde, eqims SeatyobineT, Tu mkurnalobT diabetze, RviZlis, Tirkmlis, gulis, sisxlis mimoqcevis, Zvlis tvinis, SemaerTebeli qsovilis, imunuri sistemis darRvevebze an alergiebze. agreTve, acnobeT eqims, Tu raime dietas icavT, gansakuTrebiT, Tu SezRuduli raodenobiT iRebT marils. enapiT mkurnalobis dawyebisas da/an dozis koreqciisas, saWiroa xSiri samedicino gamokvlevebi. ar aris rekomendebuli maTze Tavis arideba, Tundac Tavs kargad grZnobdeT. maT sixSires eqimi gansazRvravs. preparatis pirveli dozis Semdeg ramdenime saaTis ganmavlobaSi, hipertenziis da gulis ukmarisobis mqone pacientebSi SesaZlebelia sisxlis wnevis mkveTri daqveiTeba (hipotenzia) ganviTardes. igi vlindeba gulisreviT, taqikardiiT, TavbrusxveviT da gonebis dakargviT. hipotenziis ganviTarebis SemTxvevaSi, daweqiT sawolze baliSis gareSe da daukavSirdiT eqims. hipotenzia da misi mZime Sedegebi iSviaTi da xanmoklea. xanmokle hipotenzia preparatiT mkurnalobis gagrZelebis xelis SemSleli faqtori ar aris. Semdgomi dozebi gacilebiT ukeT gadaitaneba. ganmeorebadi hipotenziis SemTxvevaSi, romelsac Tan axlav simptomebi (mag., gulisreva, taqikardia da gonebis dakargva) mimarTeT eqims. Tu enapiT mkurnalobis ganmavlobaSi, mwoliare an mjdomare mdgomareobidan fexze wamodgomisas gonebas kargavT, acnobeT eqims. rekomendebulia nela wamodgoma, gansakuTrebiT xandazmulebisTvis. qirurgiuli Carevis win, uTxariT Tqvens eqims, rom enapiT mkurnalobT, vinaidan zogadi anesTeziis dros hipotenziis riski arsebobs. Tu enapiT mkurnalobis periodSi, xangrZlivi diarea aRgeniSnebaT, gawuxebT Rebineba an Warbi oflianoba, uTxariT Tqvens eqims, vinaidan siTxis dakargvam SeiZleba hipotenzia gamoiwvios. hemodializis an aferezis sxva saSualebebis, agreTve, futkris an bzikis Sxamis mimarT desensitizaciuri mkurnalobis win, acnobeT Tqvens eqims, rom enapiT mkurnalobT, vinaidan arsebobs hipersensitiurobis reaqciebis ganviTarebis maRali riski. bavSvebSi produqtis gamoyenebis usafrTxoeba da efeqturoba daudgenelia, amitom preparati bavSvebSi ar unda gamoiyenoT.
- Page 2 and 3: Tu fiqrobT rom orsulad xarT (an ors
<strong>gamoyenebis</strong> <strong>instruqcia</strong>: <strong>informacia</strong> <strong>pacientisTvis</strong><br />
<strong>enapi</strong>, 2,5 <strong>mg</strong> tabletebi<br />
<strong>enapi</strong>, 5 <strong>mg</strong> tabletebi<br />
<strong>enapi</strong>, 10 <strong>mg</strong> tabletebi<br />
<strong>enapi</strong>, 20 <strong>mg</strong> tabletebi<br />
enalaprilis maleati<br />
preparatis miRebamde yuradRebiT, srulad gaecaniT <strong>instruqcia</strong>s.<br />
SeinaxeT <strong>instruqcia</strong>, vinaidan misi wakiTxva SeiZleba kidev dagWirdeT.<br />
damatebiTi kiTxvebis SemTxvevaSi, mimarTeT eqims an farmacevts.<br />
aRniSnuli preparati Tqven dageniSnaT. nu gadascemT mas sxvebs. preparats SeuZlia avnos, Tundac maTi<br />
simptomebi Tqvensas emTxveodes.<br />
Tu romelime gverdiTi efeqti damZimda an SeniSneT am <strong>instruqcia</strong>Si aRniSnulTagan gansxvavebuli gverdiTi<br />
efeqti, mimarTeT eqims an farmacevts.<br />
instruqciis Sinaarsi:<br />
1. ras warmoadgens da risTvis gamoiyeneba <strong>enapi</strong><br />
2. <strong>enapi</strong>s miRebamde<br />
3. <strong>enapi</strong>s miRebis wesi<br />
4. SesaZlo gverdiTi efeqtebi<br />
5. <strong>enapi</strong>s Senaxvis pirobebi<br />
6. damatebiTi <strong>informacia</strong><br />
1. ras warmoadgens da risTvis gamoiyeneba <strong>enapi</strong><br />
<strong>enapi</strong> miekuTvneba preparatTa jgufs: renin-angiotenzinis sistemaze moqmedi aqtiuri produqtebi, angiotenzingardamqmneli<br />
fermentis inhibitorebi.<br />
<strong>enapi</strong> gamoiyeneba sisxlis wnevis dasaqveiTeblad (antihipertenziuli saSualeba). es preparati Trgunavs agf-s<br />
(angiotenzin-gardamqmneli fermentis inhibitori). <strong>enapi</strong>T mkurnalobis periodSi, sisxlZarRvebi farTovdeba, rasac<br />
Sedegad sisxlis wnevis daqveiTeba da gulis kunTis da sxva organoebis sisxliT da JangbadiT momaragebis gaZliereba<br />
mosdevs.<br />
preparatis maqsimaluri efeqti 6-8 saaTSi miiRweva. efeqti, Cveulebriv 24 saaTamde narCundeba; aqedan gamomdinare,<br />
dReSi 1-2 doza sakmarisia. stabiluri koncentraciebis Terapiuli efeqti ramdenime kviris Semdeg miiRweva.<br />
preparati gamoiyeneba Tirkmlis daavadebebis dros (Tirkmlis ukmarisoba, agreTve, Tirkmlis dazianeba diabetis<br />
Sedegad) sisxlis maRali wnevis, hipertenziis, aseve, gulis SegubebiTi ukmarisobis da marcxena parkuWis disfunqciis<br />
(asimptomur pacientebSic) samkurnalod.<br />
2. <strong>enapi</strong>s miRebamde<br />
ar miiRoT <strong>enapi</strong><br />
ar miiRoT preparati, Tu hipersensitiuri xarT enalaprilis maleatis, damxmare komponentebis an sxva agfinhibitorebis<br />
mimarT; Tu sxva agf-inhibitorebis miRebam hipersensitiurobis reaqciebi gamoiwvia, rasac Tan axlda<br />
tuCebis da saxis, yelis, aseve, SesaZlebelia, xelebis da fexebis SeSupeba, moxrCobis SegrZneba an xmis CaxleCa<br />
(angionevrozuli SeSupeba), Tu Tandayolili an sxva ucnobi warmoSobis angionevrozuli SeSupeba gaqvT orsulobis<br />
da laqtaciis periodSi.<br />
Tu 3 Tveze meti xnis orsuli xarT. (rekomendebulia moeridoT <strong>enapi</strong>s miRebas orsulobis dasawyisSic – ix. punqti<br />
“orsuloba”).<br />
<strong>enapi</strong> gansakuTrebuli sifrTxiliT gamoiyeneT<br />
<strong>enapi</strong>T mkurnalobis ganmavlobaSi, regularulad gaizomeT wneva. hkiTxeT eqims sisxlis wnevis ra maCvenebelia<br />
normaluri da rodis unda mixvideT gamokvlevaze.<br />
<strong>enapi</strong>T mkurnalobis dawyebamde, eqims SeatyobineT, Tu mkurnalobT diabetze, RviZlis, Tirkmlis, gulis, sisxlis<br />
mimoqcevis, Zvlis tvinis, SemaerTebeli qsovilis, imunuri sistemis darRvevebze an alergiebze. agreTve, acnobeT eqims,<br />
Tu raime dietas icavT, gansakuTrebiT, Tu SezRuduli raodenobiT iRebT marils.<br />
<strong>enapi</strong>T mkurnalobis dawyebisas da/an dozis koreqciisas, saWiroa xSiri samedicino gamokvlevebi. ar aris<br />
rekomendebuli maTze Tavis arideba, Tundac Tavs kargad grZnobdeT. maT sixSires eqimi gansazRvravs.<br />
preparatis pirveli dozis Semdeg ramdenime saaTis ganmavlobaSi, hipertenziis da gulis ukmarisobis mqone pacientebSi<br />
SesaZlebelia sisxlis wnevis mkveTri daqveiTeba (hipotenzia) ganviTardes. igi vlindeba gulisreviT, taqikardiiT,<br />
TavbrusxveviT da gonebis dakargviT. hipotenziis ganviTarebis SemTxvevaSi, daweqiT sawolze baliSis gareSe da<br />
daukavSirdiT eqims. hipotenzia da misi mZime Sedegebi iSviaTi da xanmoklea. xanmokle hipotenzia preparatiT<br />
mkurnalobis gagrZelebis xelis SemSleli faqtori ar aris. Semdgomi dozebi gacilebiT ukeT gadaitaneba.<br />
ganmeorebadi hipotenziis SemTxvevaSi, romelsac Tan axlav simptomebi (mag., gulisreva, taqikardia da gonebis dakargva)<br />
mimarTeT eqims.<br />
Tu <strong>enapi</strong>T mkurnalobis ganmavlobaSi, mwoliare an mjdomare mdgomareobidan fexze wamodgomisas gonebas kargavT,<br />
acnobeT eqims. rekomendebulia nela wamodgoma, gansakuTrebiT xandazmulebisTvis.<br />
qirurgiuli Carevis win, uTxariT Tqvens eqims, rom <strong>enapi</strong>T mkurnalobT, vinaidan zogadi anesTeziis dros hipotenziis<br />
riski arsebobs.<br />
Tu <strong>enapi</strong>T mkurnalobis periodSi, xangrZlivi diarea aRgeniSnebaT, gawuxebT Rebineba an Warbi oflianoba, uTxariT<br />
Tqvens eqims, vinaidan siTxis dakargvam SeiZleba hipotenzia gamoiwvios.<br />
hemodializis an aferezis sxva saSualebebis, agreTve, futkris an bzikis Sxamis mimarT desensitizaciuri mkurnalobis<br />
win, acnobeT Tqvens eqims, rom <strong>enapi</strong>T mkurnalobT, vinaidan arsebobs hipersensitiurobis reaqciebis ganviTarebis<br />
maRali riski.<br />
bavSvebSi produqtis <strong>gamoyenebis</strong> usafrTxoeba da efeqturoba daudgenelia, amitom preparati bavSvebSi ar unda<br />
gamoiyenoT.
Tu fiqrobT rom orsulad xarT (an orsulobas gegmavT) unda acnoboT eqims. <strong>enapi</strong> ar aris rekomendebuli orsulobis<br />
dasawyisSi da aseve, ar unda gamoiyenoT, Tu 3 Tveze meti xnis orsuli xarT, vinaidan am stadiaSi <strong>gamoyenebis</strong>as,<br />
SesaZlebelia, seriozuli ziani miayenos bavSvs (ix. punqti “orsuloba”).<br />
sxva preparatebis miReba<br />
SeatyobineT eqims an farmacevts Tqvens mier amJamad an axlo warsulSi miRebuli nebismieri sxva preparatis Sesaxeb,<br />
ureceptod gacemulis CaTvliT.<br />
nebismieri regularuli mkurnalobis Sewyvetamde da nebismieri mkurnalobis dawyebamde, saWiroa samedicino<br />
gamokvleva. es, gansakuTrebiT, exeba hipertenziis, gulis ukmarisobis sawinaaRmdego preparatebs, diurezul<br />
saSualebebs, kaliumis Semcvel tabletebs, tkivilgamayuCeblebs, aspirins, mentaluri darRvevebis samkurnalo<br />
preparatebs, kuW-nawlavis wylulis, aseve, qronikuli bronqitis da/an asTmis samkurnalo preparatebs. <strong>enapi</strong>s da<br />
zemoaRniSnuli kategoriebis garkveuli preparatebis erTdroulma gamoyenebam, SesaZlebelia maTi efeqtebis an<br />
gverdiTi efeqtebis dasusteba an gaZliereba gamoiwvios, gavlena iqonios <strong>enapi</strong>s efeqtze an gazardos Tirkmlis<br />
funqciis gauaresebis riski.<br />
receptis gareSe gacemuli prepartebi ar gamoiyenoT eqimis konsultaciis gareSe. aRniSnuli, gansakuTrebiT, saWiroa<br />
gaciebis sawinaaRmdego, tkivilgamayuCebeli, marilis Semcvleli an kaliumis Semcveli preparatebis SemTxvevaSi.<br />
<strong>enapi</strong>s miReba sakvebTan da sasmelebTan erTad<br />
<strong>enapi</strong> SegiZliaT miiRoT Wamis win, Wamis dros an Semdeg. alkoholuri sasmelebi ar aris rekomendebuli <strong>enapi</strong>T<br />
mkurnalobis periodSi, vinaidan isini antihipertenziul efeqts aZliereben.<br />
orsuloba da laqtacia<br />
nebismieri preparatis miRebamde, rCevisTvis eqims an farmacevts mimarTeT.<br />
orsuloba<br />
Tu fiqrobT rom orsulad xarT (an orsulobas gegmavT) unda acnoboT eqims. Cveulebriv, eqimi girCevT SewyvitoT<br />
<strong>enapi</strong>s gamoyeneba, sanam orsulad xarT an rogorc ki SeityobT orsulobis Sesaxeb da <strong>enapi</strong>s Semcvlelad sxva<br />
preparats daginiSnavT. <strong>enapi</strong> ar aris rekomendebuli orsulobis dasawyisSi da aseve, ar unda gamoiyenoT, Tu 3 Tveze<br />
meti xnis orsuli xarT, vinaidan am stadiaSi <strong>gamoyenebis</strong>as, SesaZlebelia, seriozuli ziani miayenos bavSvs.<br />
laqtacia<br />
laqtaciis an misi ganzraxvis Taobaze SeatyobineT eqims. axalSobilebis (dabadebidan pirveli ramdenime kvira),<br />
gansakuTrebiT ki, dRenaklulTa ZuZuTi kveba ar aris rekomendebuli <strong>enapi</strong>s <strong>gamoyenebis</strong> periodSi.<br />
SedarebiT ufrosi asakis bavSvis ZuZuTi kvebis SemTxvevaSi, eqimma unda gacnoboT laqtaciis periodSi enapTan<br />
dakavSirebuli riskebisa da sargeblis Taobaze, sxva saxis mkurnalobasTan SedarebiT.<br />
avtomanqanisa da meqanizmebis marTva<br />
individualur SemTxvevebSi, preparatma SeiZleba Tavbrusxveva gamoiwvios, gansakuTrebiT, mkurnalobis dasawyisSi da<br />
a<strong>mg</strong>varad, arapirdapir, droebiT aqveiTebs avtomanqanisa da meqanizmebis marTvis unars. vidre preparatze Tqvens<br />
reaqcias ar gaarkvevT, ar marToT manqana an meqanizmebi.<br />
3. <strong>enapi</strong>s miRebis wesi<br />
<strong>enapi</strong> yovelTvis zustad eqimis daniSnulebisamebr miiReT. Tu rameSi darwmunebuli ar xarT, gaesaubreT eqims an<br />
farmacevts.<br />
dozebi regulirdeba pacientis klinikuri suraTis, mdgomareobis da paraleluri mkurnalobis mixedviT; aqedan<br />
gamomdinare, doza eqimma unda daadginos.<br />
hipertenziis mkurnaloba: rekomendebuli sawyisi dozaa 5 <strong>mg</strong>, dReSi erTi doza. SemanarCunebeli dozaa 10 <strong>mg</strong>, dReSi<br />
erTxel an orjer. gamonaklis SemTxvevaSi, 20 <strong>mg</strong>, dReSi erTxel an orjer.<br />
gulis ukmarisobis mkurnaloba: rekomendebuli sawyisi dozaa 2,5 <strong>mg</strong>, dReSi erTi doza. SemanarCunebeli doza dReSi<br />
orjer 2,5 - 10 <strong>mg</strong>-s Soris meryeobs. maqsimaluri SemanarCunebeli dozaa 20 <strong>mg</strong>, dReSi orjer.<br />
marcxena parkuWis disfunqciis mkurnaloba: rekomendebuli sawyisi dozaa 2,5 <strong>mg</strong>, dReSi orjer. SemanarCunebeli dozaa<br />
10 <strong>mg</strong>, dReSi orjer.<br />
Tirkmlis darRvevebiT gamowveuli meoradi hipertenziis mkurnaloba: <strong>enapi</strong>s doza Tirkmlis funqciis da/an kreatininis<br />
klirensis maCveneblebis mixedviT ganisazRvreba, amitom, dozas eqimi aregulirebs.<br />
hemodializze myofi pacientebi: hemodializis dReebSi, 2,5 <strong>mg</strong> <strong>enapi</strong> miiReba, sxva dReebSi dozas eqimi aregulirebs,<br />
sisxlis wnevis maCveneblebis mixedviT.<br />
tabletebi mTlianad unda gadaiylapos, siTxis miyolebiT. maTi miReba SeiZleba Wamis win, Wamis dros an Semdeg.<br />
rekomendebulia <strong>enapi</strong>s regularulad, dRis erTsa da imave dros miReba.<br />
<strong>enapi</strong>T mkurnaloba xangrZlivia, Tu garemoebebi mis Sewyvetas ar moiTxovs.<br />
vinaidan mkurnaloba regularulia, mudmivad iqonieT sakmarisi raodenobiT tabletebi uwyveti mkurnalobisTvis.<br />
Tu TvliT, rom preparatis efeqti zedmetad Zlieri an sustia, acnobeT eqims an farmacevts.<br />
Tu <strong>enapi</strong> saWiroze didi raodenobiT miiReT<br />
Tu <strong>enapi</strong>s rekomendebulze didi doza miiReT, SeatyobineT eqims an farmacevts.<br />
dozis gadaWarbebis yvelaze xSiri niSnebia: gulisreva, taqikardia, Tavbrusxveva da gonebis dakargva, sisxlis wnevis<br />
mkveTri daqveiTebis gamo (hipotenzia). am SemTxvevaSi, Tu hipotenzia ganviTarda, daweqiT sawolze baliSis gareSe da<br />
acnobeT eqims.<br />
Tu pacientma tabletebis didi doza miiRo da goneba ar daukargavs, SeecadeT Rebineba gamoiwvioT da dauyovnebliv<br />
gamoiZaxeT eqimi.<br />
Tu dagaviwydaT <strong>enapi</strong>s miReba<br />
ar miiRoT ormagi doza gamotovebulis anazRaurebis mizniT.<br />
Tu erTi tabletis miReba dagaviwydaT, doza SeZlebisdagvarad male miiReT. Tumca, Tu ukve Semdegi dozis miRebis<br />
droa moaxloebuli, mkurnaloba daniSnulebisamebr ganagrZeT, didi dozebis miRebis gareSe.<br />
arasodes gaaormagoT daniSnuli doza.<br />
Tu SewyviteT <strong>enapi</strong>s miReba<br />
mkurnalobis Sewyvetis Semdeg, sisxlis wnevam SeiZleba isev moimatos, gulis, Tavis tvinis da Tirkmlis doneze<br />
hipertenziis Sedegebis da/an garTulebebis riskis TanxlebiT.
gulis ukmarisobis mqone pacientebSi, SesaZlebelia mdgomareoba damZimdes da hospitalizacia gaxdes saWiro.<br />
tipiuri simptomebis (sunTqvis gaZneleba, momatebuli daRla mcire datvirTvis Semdeg, magaliTad, fexebis da koWebis<br />
Sesieba siarulis Semdeg) gareSe mimdinare marcxena parkuWis disfunqciis da gulis ukmarisobis mqone pacientebSi,<br />
SesaZlebelia gulis ukmarisobis ganviTareba.<br />
Tirkmlis daavadebebiT gamowveuli hipertenziis mqone pacientebSi, Tirkmlis funqcia SeiZleba gauaresdes.<br />
4. SesaZlo gverdiTi efeqtebi<br />
yvela sxva preparatis msgavsad, enapmac SeiZleba gverdiTi efeqtebi gamoiwvios, Tumca ara yvela pacientSi.<br />
<strong>enapi</strong>T mkurnalobisas ganviTarebuli gverdiTi efeqtebi, Cveulebriv, msubuqi, gardamavli xasiaTisaa da ar moiTxovs<br />
mkurnalobis Sewyvetas.<br />
yvelaze xSiri gverdiTi efeqtia araproduqtiuli xvela, romelic, Cveulebriv, Sewyvetidan ramdenime kviraSi gaivlis.<br />
SewyviteT mkurnaloba da acnobeT eqims Tu aRgeniSnebaT:<br />
- Tavbrusxveva, vertigo, gonebis dakargva, Tavis tkivili, cnobierebis areva, daRla da sisuste;<br />
- gulis aCqarebuli an araregularuli ritmi;<br />
- temperaturis uecari momateba, Semcivneba, ylapvis gaZneleba;<br />
- tuCebis, saxis, yelis, SesaZloa, xelebis da fexebis uecari SeSupeba, moxrCobis SegrZneba da xmis CaxleCa;<br />
- kunTebis sisuste, kanWis kunTis krunCxvebi;<br />
- gamonayari, Zlieri qavili;<br />
- Sardis gamoyofis Semcireba, periartikuluri SeSupeba;<br />
- siyviTle.<br />
es gverdiTi efeqtebi SeiZleba mZime iyos, amitom samedicino meTvalyureobas moixovs.<br />
gulisrevis, Rebinebis, diareis an yabzobis Semawuxebeli simptomebis ganviTarebis SemTxvevaSi, mimarTeT eqims.<br />
Tu ganviTarda arasasurveli reaqciebi, romlebic am <strong>instruqcia</strong>Si ar aris aRniSnuli, SeatyobineT eqims an<br />
farmacevts.<br />
Tu romelime gverdiTi efeqti damZimda an SeniSneT am <strong>instruqcia</strong>Si CamoTvlilTagan gansxvavebuli gverdiTi efeqti,<br />
acnobeT eqims an farmacevts.<br />
5. <strong>enapi</strong>s Senaxvis pirobebi<br />
SeinaxeT 30°C-ze dabal temperaturaze, originalur SefuTvaSi.<br />
SeinaxeT bavSvebisTvis miuwvdomel adgilze.<br />
ar gamoiyenoT SefuTvaze miTiTebuli vargisianobis vadis amowurvis Semdeg. vargisianobis vada gulisxmobs<br />
miTiTebuli Tvis bolo dRes.<br />
medikamentebi ar gadayaroT kanalizaciis wyalSi an sayofacxovrebo nagavSi. arasaWiro medikamentebis moSorebis<br />
gzebis Sesaxeb hkiTxeT farmacevts. es zomebi garemos dacvas Seuwyobs xels.<br />
6. damatebiTi <strong>informacia</strong><br />
<strong>enapi</strong>s Semadgenloba<br />
<strong>enapi</strong> 2,5 <strong>mg</strong>, tabletebi<br />
aqtiuri nivTierebaa enalaprilis maleati 2,5 <strong>mg</strong>.<br />
sxva ingredientebia: natriumis hidrokarbonati, laqtozis monohidrati, simindis saxamebeli, hidroqsipropil<br />
celuloza, magniumis stearati, talki.<br />
<strong>enapi</strong> 5 <strong>mg</strong>, tabletebi<br />
aqtiuri nivTierebaa enalaprilis maleati 5 <strong>mg</strong>.<br />
sxva ingredientebia: natriumis hidrokarbonati, laqtozis monohidrati, simindis saxamebeli, hidroqsipropil<br />
celuloza, magniumis stearati, talki.<br />
<strong>enapi</strong> 10 <strong>mg</strong>, tabletebi<br />
aqtiuri nivTierebaa enalaprilis maleati 10 <strong>mg</strong>.<br />
sxva ingredientebia: natriumis hidrokarbonati, laqtozis monohidrati, simindis saxamebeli, rkinis wiTeli<br />
oqsidi (E172), talki, magniumis stearati.<br />
<strong>enapi</strong> 20 <strong>mg</strong>, tabletebi<br />
aqtiuri nivTierebaa enalaprilis maleati 20 <strong>mg</strong>.<br />
sxva ingredientebia: natriumis hidrokarbonati, laqtozis monohidrati, simindis saxamebeli, rkinis wiTeli<br />
oqsidi (E172), talki, magniumis stearati.<br />
rogor gamoiyureba <strong>enapi</strong> da ra Sedis SefuTvaSi<br />
<strong>enapi</strong> 2,5 <strong>mg</strong>, tabletebi<br />
mrgvali, ormxrivamozneqili, TeTri feris tabletebi, mTliani kideebiT.<br />
<strong>enapi</strong> 5 <strong>mg</strong>, tabletebi<br />
TeTri feris, mrgvali tabletebi, cal mxareze gamyofi xaziT.<br />
<strong>enapi</strong> 10 <strong>mg</strong>, tabletebi<br />
mrgvali, brtyeli, mowiTalo-yavisferi, momrgvalebulkideebiani tabletebi, calkeuli TeTri laqebiT zedapirze da<br />
tabletis masaSi da cal mxareze gamoyofi xaziT.<br />
<strong>enapi</strong> 20 <strong>mg</strong>, tabletebi<br />
mrgvali, brtyeli, baci narinjisferi, momrgvalebulkideebiani tabletebi, calkeuli TeTri laqebiT zedapirze da<br />
tabletis masaSi da cal mxareze gamoyofi xaziT.<br />
kolofi TiToeulSi 10 tabletis Semcveli 2 AL/OPA-AL-PVC blisteriT.<br />
gaicema mxolod receptiT<br />
savaWro licenziis mflobeli da mwarmoebeli<br />
krka, d.d., novo mesto, smarJeska cesta 6, 8501 novo mesto, slovenia
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