Sida SefuTva - GPC

danarTi furceli: informacia momxmareblisaTvis
voltareni 100 mg, supozitoria
natriumis diklofenaki
preparatis miRebamde gaecaniT gamoyenebis instruqcias.
SeinaxeT es danarTi furceli, SesaZloa dagWirdeT misi xelmeored wakiTxva.
damatebiTi kiTxvebis SemTxvevaSi gTxovT mimarToT Tqvens eqims an farmacevts.
es preparati dageniSnaT Tqven. ar gadasceT is sxva pirebs. aman SesaZloa ziani moutanos maT im SemTxvevaSic
ki, Tu maTi simtomebi gavs Tqvensas.
Tu romelime gverdiTi movlena gaxdeba seriozuli, an SeamCnevT iseT gverdiT movlenebs, romlebic ar aris
aRwerili am danarT furcelSi, gTxovT mimarToT Tqvens eqims an farmacevts.
1. ras warmoadgens voltareni da risTvis gamoiyeneba
2. voltarenis gamoyenebamde
3. rogor miiReba voltareni
4. SesaZlo gverdiTi efeqtebi
5. rogor inaxeba voltareni
6. damatebiTi informacia
1.ras warmoadgens voltareni da risTvis gamoiyeneba
ras warmoadgens voltarebi
voltarenis supozitoriebis aqtiuri substancia aris natriumis diklofenaki.
risTvis gamoiyeneba voltareni
voltareni miekuTvneba anTebis sawinaaRmdego arasteroiduli preparatebis jgufs, romlebic gamoiyeneba tkivilisa da
anTebis samkurnalod.
voltarenis gamoyeneba SeiZleba Semdegi mdgomareobebis samkurnalod, rogoricaa:
- saxsrebis revmatuli tkivili (arTriti)
- zurgis tkivili, mxrebis daWimuloba da revmatizmis sxva saxeobebi.
- podagris epizodebi.
- daWimuloba, amovardniloba da sxva dazianebebi.
- tkivili da SeSupeba qirurgiuli Carevis Semdeg.
- ginekologiuri tipis mtkivneuli anTebiTi darRvevebi, maT Soris menstrualuri ciklis.
- yuris, cxvirisa da kisris infeqciebi.
rogor moqmedebs voltareni
voltareni aumjobesebs anTebis simptomebs, rogoricaa SeSupeba da tkivili; amasTan, amcirebs cxelebas. ar moqmedebs
anTebis an cxelebis gamomwvev mizezze. voltarenis moqmedebis meqanizmis Sesaxeb damatebiTi kiTxvebis SemTxvevaSi,
mimarTeT eqims.
2. voltarenis miRebamde
yuradRebiT daicaviT eqimis an farmacevtis miTiTebebi, romlebic SeiZleba gansxvavdebodes am instruqciaSi mocemuli
zogadi informaciisagan.
ar miiRoT voltarenis supozitoriebi
- Tu gaqvT alergia (momatebuli mgrZnobeloba) diklofenakis an am instruqciis bolos CamoTvlili
voltarenis nebismieri sxva komponentis mimarT.
- Tu odesme gqoniaT alergiuli reaqcia anTebis an tkivilis samkurnalo preparatebis gamoyenebis Semdeg
(magaliTad, acetilsalicilmJava/aspirini, diklofenaki an ibuprofeni). reaqciebi SeiZleba moicavdes asTmas,
kanze gamonayars, saxis SeSupebas.
- Tu gaqvT kuWis an Tormetgoja nawlavis wyluli.
- Tu gaqvT kuW-nawlavuri sisxldena, ganavalSi sisxliT an Savi feris ganavliT.
- Tu odesme gqoniaT gastrorezistentuli darRvevebi, rogoricaa kuWis wyluli, sisxldenebi an Savi ganavali
an diskomforti kuWis areSi an kuWis wva warsulSi anTebis sawinaaRmdego preparatebis miRebis Semdeg.
- Tu gaqvT Tirkmlis an RviZlis mZime daavadeba.
- Tu gaqvT gulis mZime daavadeba.
- orsulobis bolo trimestrSi.
- Tu gaqvT tkivilebi swor nawlavSi (zogjer sisxldeniTa da kuWis moqmedebisas)
am preparatis gamoyenebamde aucileblad mimarTeT eqims, Tu romelime zemoT aRniSnuli gexebaT Tqven. eqimi miiRebs
gadawyvetilebas am preparatis daniSvnis Sesaxeb.
gamoiCineT gansakuTrebuli sifrTxile voltarenis supozitoriebis gamoyenebisas
- Tu voltarens iyenebT sxva anTebis sawinaaRmdego preparatebTan, maT Soris
acetilsalicilmJavasTan/aspirinTan, kortikosteroidebTan, “Sededebis sawinaaRmdego” preparatebTan an ISRS-
Tan erTad (ix. “sxva preparatebis gamoyeneba”).
- Tu gaqvT asTma an Tivis cxeleba (sezonuri alergiuli riniti).
- Tu gaRizianebuli gaqvT msxvili nawlavi (wylulovani koliti) an gaqvT nawlavuri traqtis dazianeba (kronis
daavadeba).
- Tu gaqvT an gqondaT darRvevebi gulis mxriv an maRali arteriuli wneva.
- Tu gaqvT gulis an Tirkmlis darRvevebi.
- Tu xarT dehidratirebuli (magaliTad, avadmyofobis, diareis gamo, mZime qirurgiul Carevamde an Semdeg).
- Tu SeSupebuli gaqvT terfebi.
- Tu gaqvT sisxldeniTi darRvevebi an sisxlis sxva darRvevebi, maT Soris RviZlis iSviaTi daavadeba,
rogoricaa porfiria.
acnobeT eqims, Tu romelime zemoT aRniSnuli gexebaT Tqven.

preparatebi, rogoricaa voltareni, SeiZleba asocirebuli iyos gulis Setevebis (“miokardiumis infarqti”) an
insultis ganviTarebis maRal riskTan. amgvari riskebi ufro metad mosalodnelia maRali dozebis miRebisas an
xangrZlivi mkurnalobis SemTxvevaSi. ar gadaametoT samkurnalod rekomendebul dozasa da periods.
Tu anamnezSi gaqvT gulis problemebi, insulti an Tu fiqrobT, rom arsebobs amgvari darRvevebis ganviTarebis riski
(magaliTad, Tu gaqvT maRali arteriuli wneva, Saqriani diabeti, qolesterinis maRali doneebi an Tu xarT mweveli),
mkurnalobis sakiTxi unda ganixiloT Tqvens eqimTan an farmacevtTan erTad.
- voltarenma SeiZleba Seamciros infeqciis simptomebi (magaliTad, Tavis tkivili, cxeleba) da amdenad, infeqcia
gaxados naklebad SesamCnevi da gaaZnelos misi zustad mkurnalobis SesaZlebloba. Tu Tavs kargad ar grZnobT da
gsurT eqimTan viziti, aucileblad acnobeT mas, rom iRebT voltarens.
- iSviaT SemTxvevebSi, voltarenma, iseve rogorc sxva anTebis sawinaaRmdego preparatebma, SeiZleba gamoiwvios kanis
seriozuli reaqciebi (magaliTad, gamonayari). amitom, amgvari reaqciebis ganviTarebisTanave mimarTeT eqims.
sxva preparatebis gamoyeneba
aucileblad acnobeT eqims, Tu iRebT romelime qvemoT CamoTvlil preparats:
- liTiumi an serotoninis recepciis seleqciuri inhibitori; preparatebi, romlebic gamoiyeneba depresiis
garkveuli saxeobebis samkurnalod;
- digoqsini (gulis darRvevebis samkurnalo preparati);
- diuretikebi (Sardis raodenobis mosamateblad gamoyenebuli preparatebi);
- ECA inhibitorebi an beta-blokatorebi (preparatebis jgufi, romelic gamoiyeneba arteriuli hipertenziisa da
gulis ukmarisobis samkurnalod;
- sxva anTebis sawinaaRmdego preparatebi, rogoricaa acetilsalicilmJava/aspirini an ibuprofeni;
- kortikosteroidebi (sxeulis SeSupebuli ubnebis Sesamcireblad gamosayenebeli preparatebi);
- “Sededebis sawinaaRmdego” preparatebi (romlebic gamoiyeneba sisxlis Sededebis prevenciisaTvis);
- diabetis samkurnalo preparatebi, garda insulinisa;
- metotreqsati (kibos garkveuli saxeobebis an arTritis samkurnalo preparati);
- ciklosporini (preparati, romelic ZiriTadad gamoiyeneba organo gadanergil pacientebSi);
- infeqciebis samkurnalo zogierTi preparati (qinolonis antibaqteriuli saSualebebi);
- sulfinpirazoni (podagris samkurnalo preparati) an vorikonazoli (sokovani infeqciebis samkurnalo
saSualeba);
- fenitoini (Setevebis samkurnalo preparati);
- qolestipoli an qolestiramini (sisxlSi cximis donis dasawevi preparatebi).
acnobeT eqims an farmacevts, Tu amJamad iRebT an axlo warsulSi iRebdiT nebismier sxva, maT Soris ureceptod
gasacem preparats.
xandazmulebi
xandazmuli pacientebi SeiZleba ufro mgrZnobiare iyvnen voltarenis mimarT, vidre mozrdilebi. amdenad, maT mkacrad
unda daicvan eqimis miTiTebebi da miiRon tabletebis minimaluri raodenoba, rac uzrunvelyofs simptomebis
gaumjobesebas. xandazmulebma aucileblad dauyovnebliv unda acnobon eqims ganviTarebuli gverdiTi efeqtebis
Sesaxeb.
bavSvebi/mozardebi
koncentraciis gamo, voltarenis 100 mg supozitoriebi ar gamoiyeneba bavSvebSi da 14 wlamde asakis mozardebSi.
voltarenis supozitoriebi ar gamoiyeneba 12 wlamde asakis bavSvebSi.
orsuloba da laqtacia
acnobeT eqims, Tu xarT orsulad an apirebT daorsulebas. voltarenis supozitoriebi ar gamoiyeneba orsulobis
periodSi, garda absoluturi aucileblobisa.
voltarenis supozitoriebi, iseve rogorc sxva anTebis sawinaaRmdego preparatebi, ar gamoiyeneba orsulobis bolo 3
TveSi, vinaidan preparatma SeiZleba avnos nayofs an ganapirobos problemebi bavSvis dabadebisas.
acnobeT eqims, Tu ZuZuTi kvebavT bavSvs. laqtaciis periodSi voltarenis supozitoriebis gamoyeneba ar SeiZleba,
vinaidan preparatma SeiZleba avnos bavSvs.
reproduqciuli asakis qalebi
voltarenma SeiZleba gamoiwvios daorsulebis problemebi. Tu apirebT dafexmZimebas an gaqvT problemebi
dafexmZimebasTan dakavSirebiT, ar gamoiyenoT voltarenis supozitoriebi, garda absoluturi aucileblobisa.
avtomobilebisa da danadgarebis marTva
iSviaT SemTxvevebSi, voltarenis gamoyenebisas SeiZleba ganviTardes iseTi gverdiTi efeqtebi, rogoricaa mxedvelobis
darRvevebi, Zilianoba da Tavbrusxveva. amgvari efeqtebis ganviTarebis SemTxvevaSi, Tavi SeikaveT avtomobilebisa da
danadgarebis marTvisagan an iseTi saqmianobis Sesrulebisagan, rac moiTxovs yuradRebis koncentracias. dauyovnebliv
acnobeT eqims amgvari reaqciebis ganviTarebis sesaxeb.
3. rogor gamoiyeneba voltareni
daicaviT eqimis miTiTebebi. ar gadaametoT dozas da rekomendebul mkurnalobis periods.
ra raodenobiT da rodis unda miiRoT voltareni
ar gadaametoT rekomendebul dozas. gamoiyeneT yvelaze mcire efeqturi doza da ar miiRoT saWiroze meti raodenobis
voltarenis supozitoriebi.
eqimi girCevT, Tu ra raodenobiT unda gamoiyenoT supozitoriebi. mkurnalobaze Tqveni pasuxis mixedviT, eqimi gazrdis
an Seamcirebs dozas.
mozrdilebi
mkurnalobis dasawyisSi sadReRamiso doza Seadgens 100-150 mg-s. ufro msubuq SemTxvevebSi da xangrZlivi
mkurnalobisas, sakmarisia dReSi 75-100 mg. Cveulebriv, sadReRamiso dozis miReba unda moxdes 2-3 miRebaze.
menstrualuri tkivilis dros mkurnaloba unda daiwyoT 50-100 mg doziT, pirveli simptomebis ganviTarebisTanave.
gaagrZeleT 50 mg-s miReba dReSi samjer ramdenime dRis ganmavlobaSi, saWiroebis mixedviT. Tu maqsimaluri 150 mg
sadReRamiso dozis miRebis Semdeg ar aRiniSneba tkivilis gaumjobeseba 2-3 menstrualuri ciklis ganmavlobaSi, eqimma
SeiZleba girCioT dReSi maqsimum 200 mg-mde miReba Semdegi menstrualuri ciklis dros. ar gamoiyenoT dReSi 200 mg-ze
meti.

migrenis SemTxvevaSi, mkurnaloba daiwyeT 100 mg-iT, pirveli simptomebis gamovlenisTanave. es doza Cveulebriv
sakmarisia. Tu tkivilis moxsna sakmarisad ar xdeba, imave dRes SegiZliaT gamoiyenoT damatebiT kidev 100 mg-mde. Tu
saWiroebT Semdgom mkurnalobas, momdevno dReebSi SegiZliaT dReSi 150 mg-mde dozis miReba, dayofil dozebad.
bavSvebi da mozardebi
1 wlis asakidan bavSvebSi da mozardebSi gamoiyeneba dReSi 0.5-2 mg/kg sxeulis wonaze 2-3 miRebaze, daavadebis simwvavis
mixedviT. ar gamoiyenoT dReSi 150 mg-ze meti.
magaliTad, Tu bavSvi iwonis 20 kg-s, gamoyenebuli unda iyos 10-40 mg sadReRamiso doza. iuveniluri revmatoiduli
arTritis samkurnalod, sadReRamiso doza SeiZleba gaizardos maqsimum 12.5 mg 3 supozitoriamde dReSi.
100 mg voltarenis supozitoriebi ar aris rekomendeuli 14 wlamde asakis bavSvebSi gamosayeneblad.
gamoyenebuli unda iyos Sesabamisi farmacevtukli formebi.
rogor gamoiyeneba voltareni
voltarenis supozitoriebis gamoyeneba unda moxdes nawlavebis daclis Semdeg.
voltarenis supozitoriebi moTavsebulia folgaSi. gamoyenebamde, moacileT supozitorias folga da civi wyliT
daatenianeT. daweqiT erT mxares da TiTiT SeiyvaneT sanTeli swor nawlavSi. Tu supozitoria Zalian rbilia, folgis
moSorebamde moaTavseT sayinuleSi an civi wylis qveS ramdenime wuTis ganmavlobaSi. supozitoria ar gatexoT,
vinaidan arasaTanado Senaxvis pirobebma SeiZleba gamoiwvios aqtiuri substanciis araTanabari ganawileba.
arasodes gamoiyenoT supozitoriebi peroralurad.
ra xangrZlivobiT unda miiRoT voltareni
daicaviT eqimis miTiTebebi.
Tu voltarenis supozitoriebs iyenebT ramdenime kviraze meti drois ganmavlobaSi, periodulad mimarTeT eqims, raTa
gamoiricxos arasasurveli gverdiTi efeqtebis ganviTareba.
Tu gamoiyeneT saWiroze meti raodenobis voltareni
Tu SemTxveviT miiReT saWiroze meti raodenobis voltareni, dauyovnebliv mimarTeT eqims an uaxloesi saavadmyofos
mimReb ganyofilebas.
Tu dagaviwydaT voltarenis gamoyeneba
Tu dagaviwydaT dozis gamoyeneba, gamoiyenet rogorc ki gagaxsendebaT. Tu moaxloebulia Semdegi dozis miRebis dro,
ubralod gamoiyeneT Semdegi supozitoria Cveul dros. gamotovebuli dozis kompensirebis mizniT ar miiRoT ormagi
doza.
4. SesaZlo gverdiTi efeqtebi
yvela preparatis msgavsad, voltarenmac seiZleba gamoiwvios gverdiTi efeqtebi, Tumca ara yvela pacientSi.
zogierTi iSviaTi an Zalian iSviaTi gverdiTi efeqti, rac SeiZleba seriozuli iyos:
vlindeba yoveli 10000-dan 1-10 pacientSi
- uCveulo sisxldenebi an Calurjebebi;
- maRali temperatura an yelis tkivili.
- alergiuli reaqciebi saxelze, tuCebze, piris RruSi, enaze an yelis Sesieba, Cveulebriv asocirebuli kanze
gamonayarTan qavilTan, arteriuli hipotenzia (dabali arteriuli wneva), gonebis dakargva. mstvinavi sunTqva da gulmkerdis
areSi moWeris SegrZneba (asTmis niSnebi).
- tkivili gul-mkerdis areSi (miokardiumis infarqtis niSani).
- mZime da uecari Tavis tkivili, gulisreva, Tavbrusxveva, leTargia, laparakis uunaroba an gaZneleba, dambla
(insultis niSnebi).
- kisris dabuJeba (virusuli meningitis niSani).
- krunCxvebi.
- arteriuli hipertenzia (maRali arteriuli wneva).
- kanis siwiTle an siluje (sisxlZarRvebis anTebis Sesazlo niSnebi), kanze gamonayari buStukebiT, buStukebi tuCebze,
Tvalebze an piris RruSi, kanis anTeba eqsfoliaciiT an deskvamaciiT.
- kuWis Zlieri tkivili, sisxliani an Savi feris ganavali. sisxlis rebineba.
- kanis an Tvalebis gayviTleba (hepatitis niSnebi).
- sisxli SardSi, SardSi cilebis momateba, Sardis moculobis mkveTrad Semcireba (Tirkmlis darRvevebis niSani).
romelime zemoT aRniSnuli gverdiTi efeqtis ganviTarebisas, dauyovnebliv mimarTeT eqims.
zogierTi xSiri gverdiTi efeqti:
savaraudod, vlindeba yoveli 100-dan 1-10 pacientSi
cefalgia, Tavbrusxveva, gulisreva, pirRebineba, diarea, mounelebloba, muclis tkivili, meteorizmi, madis dakargva,
RviZlis funqciis cvlileba (magaliTad, transaminazebis koncentraciis), gamonayari kanze, gaRizianeba gamoyenebis
adgilas.
zogierTi iSviaTi gverdiTi efeqti:
savaraudod, vlindeba yoveli 10000-dan 1-10 pacientSi
Zilianoba, muclis tkivili, mklavis, xelis, fexisa da terfis SeSupeba, tkivili swor nawlavSi (zogjer sisxldeniT
da kuWis moqmedebisas).
zogierTi Zalian iSviaTi gverdiTi efeqti:
savaraudod, vlindeba yoveli 1000-dan 1-ze nakleb pacientSi
dezorientacia, depresia, Zilis darRvevebi, Ramis koSmarebi, gaRizianeba, fsiqikuri darRvevebi, xelebis an terfebis
dabuJeba, mexsierebis darRvevebi, agzneba, tremori, gemos darRvevebi, mxedvelobis an smenis darRvevebi, yabzoba, piris
simSrale, saylapavi milis wyluli, pulsacia, Tmis cvena, siwiTle, kanis siwiTle da buStukebi kianze (mzeze
momatebuli mgrZnobelobis gamo), hemoiroiT gamowveuli sisxldena.
romelime aRniSnuli gverdiTi efeqtis ganviTarebisas mimarTeT eqims.
preparatebi, rogoricaa voltareni, SeiZleba asocirebuli iyos gulis Setevis (“miokardiumis infarqtis”) an insultis
odnav momatebul riskTan.
iseTi gverdiTi efeqtis ganviTarebisas, romelic mocemuli ar aris winamdebare instruqciaSi, mimarTeT eqims an
farmacevts.

Tu voltarens iyenebT ramdenime kviris ganmavlobaSi, regularulad mimarTeT eqims gasasinjad, raTa darwmundeT, rom
adgili ar aqvs SeumCnevel gverdiT efeqtebs.
5. rogor inaxeba voltareni
ar gamoiyenoT SefuTvaze miTiTebuli vargisianobis vadis gasvlis Semdeg. vargisianobis vada exeba miTiTebuli Tvis
bolo dRes.
SeinaxeT 30 0 C-mde temperaturis pirobebSi, sakuTar SefuTvaSi.
SeinaxeT bavSvebisaTvis miuwvdomel adgilas.
preparatebis gadayra sayofacxovrebo nagavSi an kanalizaciaSi ar SeiZleba. hkiTxeT farnacevts, Tu rogor unda
moiqceT, rodesac preparatebi aRar gesaWiroebaT. amgvari zomebi xels Seuwyobs garemos dacvas.
6.damatebiTi informacia
ras Seicavs voltareni supozitoriebi
- aqtiuri substancia aris natriumis diklofenaki.
- sxva komponentebia: myari naxevrad sinTezuri cximebi (sanTlis fuZe 5).
voltarenis supozitoriebis aRwera da SefuTvis Semcveloba
voltarenis 5 supozitoria 1 pvq/pe-jd blisterSi moTavsebulia kolofSi.
damatebiTi informaciis misaRebad mimarTeT eqims an farmacevts.
savaWro nebarTvis mflobeli da mwarmoebeli
“novartis farma gmbh”,
ruunStrase 25, 90429, niurbergi, germania