Nkwụsị Augmentin 400 - ntuziaka maka ojiji

A na-anabata ọgwụ Augmentin penicillin maka ma okenye ma ụmụaka. Edere ya ya n'ọtụtụ ọrịa. Mana oge ụfọdụ, ndị nne na-eto eto anaghị echere ndụmọdụ dọkịta ahụ ma ọ bụ nke ọzọ, na-eme ihe megidere ha, na-eji ihe dọkịta nyere n'iwu dochie “Augmentin 400”. N'okwu a, nsogbu nwere ike ibilite na usoro ọgwụgwọ ziri ezi nke nkwusioru Augmentin 400 maka ụmụaka. Ka ị ghara imerụ ahụ, mana iji nweta ezigbo abamuru nke ihe dị mma yana, n'ọtụtụ ọnọdụ, ọgwụ bara uru, ịkwesịrị ịghọta ụfọdụ aghụghọ.

Njirimara nke nkwusioru "Augmentin 400"

Augmentin 400 dabere na amoxicillin, ọgwụ mgbochi oke yana ọgwụ clavulanic nke na-echebe amoxicillin na mbibi.

Amoxicillin bụ ihe bụ isi na nkwụchi "Augmentin 400". Ọ bụ ya nwere ọgwụ nje na mgbochi nje na ahụ. Mwepu nke amoxicillin bụ na ọ na-eri ahụ ụfọdụ microorganisms. Nke a pụtara na ha kwụsịrị ịzaghachi ọgwụ. Nke a bụ ebe clavulanic acid batara na arụ ọrụ. Ọ na - eme ka nje ghara ịdị nwayọ.

Amoxicillin bụ ọgwụ nje nke penisillin otu, yabụ ụmụaka na ụmụ nwanyị dị ime na-anabatakwa nke ọma, belụsọ na nnabata ọ bụla.

Mana aghaghi icheta na, dika otutu ogwu ojoo, nwere ihe ndi ozo. Na kwa, ọ contraindicated na ikpe nke phenylketonuria, yana ke gbasara akụrụ odida na ọrịa imeju.

Edebere nkwupụta Augmentin maka ọrịa dị iche iche na-efe efe, ọrịa anụ ahụ, na usoro mkpụrụ ndụ.

Ihe nkwụsị Augmentin na-enyekwa aka na osteomyelitis. Ọ bụ profilaxis nke na - ebute ọrịa nke ukwuu ma ọ bụrụ na arụ ọrụ ịwa ahụ.

Etu esi akwadebe nkwusioru “Augmentin” na otu esi ewere ya:

  • A ga-awunye ọgwụ ahụ n'ime vial ma wụsa mmiri sie. Ntị! Mmiri ekwesịghị ịdị ọkụ,
  • Na-esote, a gharịrị ya jijiji nke ọma, maka oke mgbasa nke oke ma hapụ maka nkeji 4. N'oge a, ụmụ irighiri ihe ndị kacha nta ga-enwe oge igbari.
  • Mana ọ bụrụ n’ịhụ na nke a emeghi, mgbe ahụ kpaghachị karama ahụ wee wepụta maka nkeji ise ọzọ.
  • Mgbe ahụ ịkwesịrị ịgbakwunye mmiri na akara.
  • Naanị mgbe nke a gasịrị, enwere ike ịtụle ọgwụ ahụ dị njikere maka ojiji.
  • Enwere ike ịchekwa nkwusiocha ahụ emechara na friji - ruo ụbọchị 7, mana ahapụla. Mgbe ụbọchị asaa gasịrị, a machibidoro iji ọgwụ a.

Mgbe i wepụrụ nkwusio site na friji, ịkwesịrị ịma jijiji nke ọma ma wụsa ego kwesịrị ekwesị na ngaji na-atụ. Nwere ike iji sirinji kpọọ ọgwụ a chọrọ.

Cheta na ihe niile ị na- eji eme ọrịrị. N'ọnọdụ ọ bụla ekwela ka mgbochi ahụ kwụsị na ngaji ma ọ bụ sirinji, ma ga-eji ya ọtụtụ oge na-enweghị ịsa ahụ.

Ọ bụrụ na nwatakịrị ahụ enweghị ike ị drinkụ ihe nkwụchi ahụ, dịka ọmụmaatụ n'ihi ụtọ uto maka ya, a na-ahapụ ya ka itinye mmiri. Mana n'otu oge ahụ, ị ​​kwesịrị ị drinkụ ihe ngwọta a.

Usoro ọgwụgwọ nke nkwusioru "Augmentin 400" maka ụmụaka: ntuziaka maka ịgbakọ onwe

Enwere ike ịzụta ihe eji emechi ọgwụ "Augmentin" na ụlọ ahịa ọgwụ na nsụgharị dị iche iche, nke nsonaazụ nke amoxicillin na clavulanic acid dị iche:

  • 125 mg nke amoxicillin + 31.35 mg nke clavulanic acid,
  • 200 mg nke amoxicillin + 28.5 mg nke clavulanic acid,
  • 400 mg nke amoxicillin + 57 mg nke clavulanic acid.

N'okwu niile, usoro ọgwụgwọ bụ isi bụ 5 ml nke nkwusiori emechara. Mana ị kwesịrị ịmara na ịgbakọ ọnụọgụ ọgwụ Augmentin 400 na-abụkarị nke ịdabere na amoxicillin: 125, 200 ma ọ bụ 400. Nke a dị mkpa ịghọta iji cheta na ọgwụ ndị a anaghị edochi ibe. Ọ bụrụ na enyere gị “Augmentin 400”, ịgaghị eji “Augmentin 200” ma ọ bụ “Augmentin 125” na nke ọzọ.

A na-enyekarị ụmụaka Augmentin nkwụchi akwụkwọ maka ụmụaka karịrị afọ 12 na ndị okenye. Ahụ nwatakịrị kwesiri ibu ihe karịrị 40 n'arọ. Ma iburu ụmụaka na-erubeghị afọ abụọ na contraindicated. The Augmentin 125 dị mma maka ha.

Usoro onyonyo nke nkwusioru "Augmentin 400" maka umuaka bu mmadu - odi nkpa iburu ibu ahu, ogo nke oria. A na-agbakọta usoro onunu ogwu ahụ naanị maka amoxicillin.

Ọ bụrụ na enyere ọgwụ ọgwụ ka nwata nọrọ n’agbata afọ iri na abụọ, ọ dị mkpa ijide n’aka na kilogram 1 n’arọ n’arụghị ihe karịrị 45 mg ma ọ bụ ihe na-erughị 25 mg nke ọgwụ nje.

Ogo ọrịa ahụ na-arụkwa nnukwu ọrụ. Dịka ọmụmaatụ, na ọrịa anụ ahụ, tonsillitis na-adịghị ala ala - ọgwụ mgbochi nje - dị ntakịrị. Ma na nnukwu ọrịa na-efe efe, oyi baa, bronchitis - ngụkọta nke ọgwụ na-abawanye.

Okwesiri icheta na otutu onunu ogwu a. Dịka ọmụmaatụ, enwere ike inye nwatakịrị na-erughi afọ 12 naanị 1 ma ọ bụ 2 p. kwa ụbọchị. Nkwụsịtụ n'etiti oriri abụọ kwesịrị ịdịkarịa ala awa iri na abụọ.

Ihe atụ nke ngụkọta ọgwụ:

Nwatakịrị 8 afọ, ibu - 27 n'arọ. Ọrịa ahụ bụ otitis media. Ọ chọrọ ọgwụ ogwu ọgwụ ọgwụ iri anọ na anọ n'ime kilogram 1 nke ịdị arọ. Nke a pụtara na ngụkọta nke ọgwụ ahụ ga-abụ 1215 mg, nke a ga-ekewa abụọ, yana 607.5 mg nke ọ bụla.

Na 5 ml nke nkwụsị Augmentin - 400 mg, nke pụtara na 7.6 ml, ma ọ bụ 15 ml kwa ụbọchị, a ga-emerịrị n'otu oge.

Ọ baghị n ’ịkewa etu esi dochie nkwụchi Augmentin 400 maka nwatakịrị. Ebe ọ bụ na ịchọrọ ịrụ ọrụ mgbakọ na mwepụ ụfọdụ. Ọtụtụ mgbe, ndị nne na nna na-enwe mgbagwoju anya na ha, yabụ enwere uru ụkpụrụ. Mana ọ ka mma iji ụkpụrụ ndị a naanị dị ka ndumodu. Nke ahụ bụ, lelee ha ma ihe agbakọ ọnụ ziri ezi.

Dịka ọmụmaatụ, nwatakịrị karịrị otu afọ na ịdị arọ ruru kilogram 18 ekwesịghị iwepụta ihe karịrị 5 ml nke nkwụsị ahụ emechiri "Augmentin". Nwatakịrị torola afọ 6 na 19 n'arọ nwere ike ịnwe 7.5 njikere emechiri emechi. Ọ bụrụ na nwatakịrị ahụ dị afọ 10, ma ọ dị ihe karịrị kilogram 29, mgbe ahụ ọ chọrọ 10 ml nke nkwusioru oge. Mana ụkpụrụ ndị a anaghị elebara ọrịa ahụ anya, ma ọ bụ ogo ya.

Augmentin nkwusioru: nyocha ndị ahịa

Dịka ọgwụ mgbochi niile, Augmentin 400 nwere ụfọdụ ọghọm ya. Nyocha banyere ndị nne na nna banyere ndị nne na nna na-arụ ụka nke ukwuu. Mana ịkwesịrị ịghọta na ekwesịrị ị antibioticsụ ọgwụ nje naanị dịka onye dọkịta gwara gị, naanị n'ọnọdụ ndị ịgaghị eme ya na-enweghị ya.

Irina: “Anyị na-eji nkwusioru Augmentin maka ọria akwara. Ọ bụ ihe nwute, ụzọ ndị ọzọ anaghị enyere aka. Mana anyị na-anwa iji ya na ụzọ ndị ọzọ. Nwatakịrị ahụ dị afọ atọ. A na-a drugụ ọgwụ ahụ ụbọchị 4, otu ugboro n'ụbọchị, 5 ml. Gbalịa weghachi microflora eriri afọ mgbe nke a gasịrị. "

Olesya: "Nwa dibia anyi siri ọnwụ na anyị zụrụ ọgwụ a -" Augmentin "mgbe anyị bịara maka ndụmọdụ gbasara ọrịa ọgbụgba. Nwa nwoke - 6 l. O debere 5 mwepu nke ụbọchị ọ bụla maka ụbọchị 7 n'usoro. Ekpebiri m na nke a bụ ọkachamara, yabụ, o kwesịrị ịtụkwasị obi ma nwaa ịgbaso ntuziaka ahụ. Mana emesia mgbe ihe nke iteghete nke 1st gasịrị, nwa ya nwoke bidoro ọgbụgba, mgbe ihe nke abụọ gachara, vomiting pụtara. Anyị kagburu ọgwụgwọ ahụ. Ọ bịara bụrụ ihe ndị mmadụ na-eme mgbe niile. ”

Augmentin abụghị ọgwụ na-adịghị ize ndụ. Ọgwụ nje adịghị ize ndụ ma nwee ọgwụ mgbochi na nsonaazụ ndị ọ dị mkpa ịtụle.

Ya mere, dị njikere ị takeụ ọgwụ ahụ naanị mgbe ị gara leta dọkịta na ndụmọdụ ya ma kpachara anya.

Ọnụ ego dị nso na nkwusioru "Augmentin 400" bụ ihe dịka 380-460 rubles. Kachasị anya, ị nwere ike ịchọpụta na ụlọ ahịa ọgwụ nke obodo gị.

Omume ọgwụ

Augmentin bu ogwu mgbochi n’ogbo. Ihe ndị dị n’ọrụ ọgwụ ahụ na-eso akpata mmetụta ọgwụ ndị a:

  • Amoxicillin bụ ọgwụ mgbochi anwụ nke na - eme ihe megide ụmụ nje micro-gram-gram-gram-gram. Ọnọdụ ngosipụta nke amoxicillin anaghị erute microorganisms nke na-emepụta enzyme beta-lactamase.
  • Clavulanic acid nwere mmetụta na beta-lactamases ma na-echebe amoxicillin site na mbibi oge agafe site na enzymes ndị a. Nke a na - enyere gị aka ịgbasawanye ọgwụ nje nke amoxicillin.

Nje microterganisms nwere mmetụta nke njikọta nke amoxicillin + clavulanic acid:

  • Ọrịa nje aerobic dị mma: bacilli, fecal enterococci, listeria, nocardia, streptococcal na staphylococcal na-efe efe.
  • Ọrịa nje anaerobic dị mma: clostidia, peptostreptococcus, peptococcus.
  • Nje ogwu ikuku nke anakpo Gram-odi: pertussis, Helicobacter pylori, Haemophilus influenzae, Vibrio cholerae, Gonococcus.
  • Ọrịa nje anaerobic na-adịghị mma: ọrịa Clostridial, bacteroids.

Ihe ngosi maka ojiji

Ihe ngosi maka ị Augụ Augmentin bụ ọgwụgwọ nke nje na-akpata nje na-akpata microorganisms nke na-emetụta akụkụ nke ọgwụ ahụ. Usoro ọgwụgwọ zuru oke nke ọrịa ndị a:

  • Ọrịa nke akụkụ ENT, dịka ọmụmaatụ tonsillitis, sinusitis, otitis media, nke ihe na-ebutekarị site na Streptococcus pneumoniae, influenza Haemophilus, Moraxella catarrhal bụ, na plogenes Streptococcus.
  • Ọrịa oluku na-efe efe dị ala, dị ka ọrịa ụkwara ume ọkụ na-adịghị ala ala, ụkwara ume ọkụ, na bronchopneumonia, bụ́ nke ihe na-akpatakarị ya na ahụ́ akpatakarị Streptococcus pneumoniae, na haemophilus influenzae, na Moraxella catarrhalis.
  • Ọrịa Urogenital traktị, dị ka cystitis, urethritis, pyelonephritis, ọrịa nke akụkụ nke nwanyị, nke na - ebutekarị site na ụdị nke ezinụlọ Enterobacteriaceae (ọkachasị nke Escherichia coli), staphylococcus saprophyticus na ụdị mkpụrụ ndụ ihe nketa Enterococcus, yana gonorrhea nke Neisseria gonorrhoeae kpatara.
  • Ọrịa ndị dị na akpụkpọ anụ na anụ ahụ dị nro, nke Staphylococcus aureus na-akpata, na-akpata palgenes Streptococcus, na ụdị mkpụrụ ndụ ihe nketa Bacteroides.
  • Ọkpụkpụ nke ọkpụkpụ na nkwonkwo, dịka osteomyelitis, na-ebutekarị site na Staphylococcus aureus, ọ bụrụ na ọ dị mkpa ịgwọ ya ogologo oge.
  • Ọrịa Augmentin® nwere ike ịgwọ ọrịa ọrịa microorganisms na-emetụta amoxicillin n'ihi na amoxicillin bụ otu n'ime ihe ndị dị na ya.

Nzube nke microorganisms n'otu n'otu na Augmentin nwere ike ịdị iche dabere na ebe onye ọrịa bi. Ọ bụrụ na nke a ga - ekwe omume, mgbe ị na - eme nchọpụta ọ dị mkpa iburu n'uche ọnụ ọgụgụ mpaghara banyere nghọta nke microbes pathogenic.

Dị ka ọ dị mkpa, a ga-anwale onye ọrịa ahụ iji chọpụta nnabata nke pathogen na Augmentin nke ọgwụ mgbochi.

"Augmentin": njiri mara ọgwụ a

Ihe ndị bụ isi nke Augmentin, n'agbanyeghị ụdị ntọhapụ ya, bụ ọgwụ mgbochi nje amoillillin na ikpochapụ lactamase - clavulline acid. Isi ibu dị na amoxicillin: ọ bụ ekele ya na ọgwụ nwere mmetụta antibacterial megide ọrịa ọ bụla. Agbanyeghị, ọ nwere ndọghachi azụ dị egwu - ọtụtụ microorganisms nje pathogenic jiri ya mee ihe ngwa ngwa wee kwụsị ịzaghachi, n'ihi nsonaazụ ọzọ achọrọ nke ga-emebi nguzogide nke nje. Akụkụ akụrụngwa a bụ clavulline acid.

  • Amoxicillin bụ akụkụ nke penicillin otu, n'ọtụtụ ọnọdụ ana-anabata nke ọma, n'ihi nke enwere ike iji ya mee ihe na ọgwụgwọ na ụmụaka na ụmụ nwanyị dị ime, agbanyeghị, o nwere ọtụtụ nsonaazụ ya. Na mgbakwunye, akwadoghị ya maka iji ya mee ihe na ndị ọrịa nwere phenylketonuria, ọdịda akụrụ na ọrụ imeju na-arụ ọrụ.

Ihe ndị bụ isi na-egosi na anabataghị Augmentin bụ:

  • Ọrịa na-efe efe nke akụkụ okuku ume na ụdị ọ bụla, gụnyere ịbịaghachi n'ọnọdụ ọnọdụ adịghị ala ala.
  • Ọrịa na-efe efe nke usoro mkpụrụ ndụ,
  • Ọrịa akpụkpọ ahụ kpatara ọrịa
  • Osteomyelitis
  • Mgbochi nke ibute ọrịa mgbe a wasịrị ya ahụ.

Iji nweta nkwusioru "Augmentin" a kwadebere dịka usoro ndị a si dị:

  • A na-awụnye ntụ ntụ n'ime karama ahụ, emesịa jiri mmiri ọkụ wụsa ya (ọ bụghị ọkụ!)
  • Karama ahụ na-ama jijiji ka granules ahụ gbazee etu o kwere mee, wee tọọ nkeji 4-5. rue mgbe nkpuru nke ihe ahu ghapuru kpamkpam. Ọ bụrụ na nke a emeghị, a ga-amịpụ ite ahụ ọzọ wee debe ya,
  • Tinye mmiri ka ihe egwu banye n'ime paịlị,
  • Mgbe nke a gasịrị, nkwusiodo akwadoro maka ojiji. Enwere ike idobe ya na oyi, ọ bụrụ na akpọnwụghị ya, maka ụbọchị 7, mana akwadoro iji ya mee obere oge. Amachibidoro iji nkwusioru ahụ ụbọchị 8, ọbụlagodi na ọ gbanweebeghị ihe ya,
  • Tupu ojiji, vial mmiri mmiri ahụ maa jijiji, a na-atụpụkwa olu achọrọ n'ime ngaji na-atụ ma ọ bụ jupụta ya na syringe. Ọ dị oke mkpa ịsa ihe ọ bụla nke ọma mgbe ejiri ya, na-ezere mkpo ọgwụ ahụ n'elu elu
  • Ọ bụrụ na ọ dị mkpa, a na-ahapụ ya ka o jiri mmiri dị ọcha sie mmiri ahụ iji mmiri hara nhatanha, agbanyeghị, nwatakiri ahụ ga-a volumeụ oke olu, ọ bụghị ọkara ya,

Ọnụ ego echere na nkwụchi "Augmentin 400" sitere na 380-460 rubles.

Mpempe usoro onunu ogwu

Ntụ ntụ maka nkwụchi ọnụnọ 400 mg / 57 mg / 5 ml, 35 ml

5 ml nke nkwusioru nwere

bekee arụ ọrụ: amoxicillin (dika amoxicillin trihydrate) 400 mg,

acid clavulanic (dika potassium clavulanate) 57 mg,

ndị na-ebu ụzọ: xanthan gum, aspartame, siliki nke anakpo colloidal silikoni, magnesium stearate, crospovidone, croscarmellose sodium, sodium benzoate, ahihia ahihia, ahihia dioxide anhydrous.

Ntụ ntụ nke acha ọcha ma ọ bụ ihe fọrọ nke nta ka ọ bụrụ nke na-acha ọcha na agba nwere odo odo, nwere njirimara isi. Nkwusioru akwadoro bụ nke na-acha ọcha ma ọ bụ ihe fọrọ nke nta ka ọ bụrụ na-acha ọcha, mgbe ọ na-eguzo ọtọ, a na-eji nwayọọ nwayọọ malite ịdị ọcha.

Ngwongwo ogwu

Fogwe aka

Amoxicillin na clavulanate na-agbaze nke ọma na usoro ọgwụgwọ nke nwere pH nke anụ ahụ, na-etinye obi gị dum ngwa ngwa eriri afọ mgbe nchịkwa ọnụ. Mwepu nke amoxicillin na clavulanic acid bu ezigbo ihe mgbe ị na-a theụ ọgwụ ahụ na mmalite nri. Mgbe ị theụsịrị ọgwụ ahụ n’ime ya, bioavailability ya bụ 70%. Ihe profaịlụ nke ọgwụ abụọ dị na ọgwụ ahụ yiri ihe ruru ya ma gbaruo ugwu kachasị elu (Tmax) n'ihe dị ka elekere 1. Ntinye uche nke amoxicillin na clavulanic acid n’ime obara obara bu otu ihe n’eji eme ihe ndi ozo n’oru amoxicillin na clavulanic acid, n’otu n’otu n’otu iche.

A na-enweta ihe ọmụmụ ọgwụgwọ nke amoxicillin na clavulanic acid na akụkụ ahụ na akwara dị iche iche, mmiri mmiri (akpa ume, akụkụ afọ, ọnya afọ, adipose, ọkpụkpụ na akwara ahụ, ihe na-akpali agụụ mmekọahụ, akụkụ ahụ na -akasị ahụ, akpụkpọ ahụ, bele, mwepụ ụkwara ahụ, sputum). Amoxicillin na clavulanic acid fọrọ nke nta ka ọ ghara ịbanye na mmiri cerebrospinal.

Njikọ nke amoxicillin na clavulanic acid na protein ndị na-edozi plasma nwere oke: 25% maka clavulanic acid na 18% maka amoxicillin. Amoxicillin, dị ka ọtụtụ penisiliniins, ka a na-asọpụrụ mmiri ara ehi. Achọpụtakwala mpaghara nke clavulanic acid na mmiri ara. Ewezuga ihe mmetuta nke mmetụ uche, amoxicillin na clavulanic acid anaghị emetụta ahụike nke ụmụaka a na-enye nwa ara. Amoxicillin na clavulanic acid na-agafe ihe mgbochi placental.

Amoxicillin bụ nke akụrụ ga - abụ nke akụrụ, ebe akwara clavulanic acid na - eme ka mkpụrụedị akụrụ na nke extrarenal. Mgbe otu nchịkwa ọnụ nke otu mbadamba 250 mg / 125 mg ma ọ bụ 500 mg / 125 mg, ihe dị ka 60-70% nke amoxicillin na 40-65% nke clavulanic acid na-apụ apụ na mmamịrị n'ime awa 6 mbụ.

A machibidoro Amoxicillin na mmamịrị n'ụdị Penicillinic acid na-adịghị arụ ọrụ na nha nke 10-25% nke were were. Clavulanic acid dị n’ime ahụ ka ukwuu metabolized ruo 2,5-dihydro-4- (2-hydroxyethyl) -5-oxo-1H-pyrrole-3-carboxylic acid na 1-amino-4-hydroxy-butan-2-one na ewepụrụ ya ya na mmamiri na feces, yana n’ụdị carbon dioxide site na ikuku ikuku.

Mlọ ọgwụ

Augmentin® bụ ọgwụ nje nwere ọgwụ amoxicillin na clavulanic acid, nwere ụdị nje nje dị iche iche, na-eguzogide ọgwụ beta-lactamase.

Amoxicillin bụ ọgwụ mgbochi ọgwụ nke na-eme ka mmiri ghara ịlụ ọgụ nke na - arụ ọrụ megide ọtụtụ microorganisms gram-positive na gram-gram-gram. A na-ebibi beta-lactamase ma ọ bụ na-emetụtaghị ụmụ nje ndị na-emepụta enzyme a. Usoro nke amoxicillin bụ igbochi biosynthesis nke peptidoglycans nke mgbidi nje ahụ, nke na-edugakarị na lysis na ọnwụ cell.

Clavulanic acid bụ beta-lactamate, nke yiri ya na ihe owuwu mmiri na penisilini, nke nwere ike ime ka enzymes beta-lactamase nke microorganisms na-eguzogide ọgwụ penicillins na cephalosporins, si otú a na-egbochi irighiri mmiri nke amoxicillin. A na-emepụta Beta-lactamases site na ọtụtụ nje na-egbu egbu na-adịghị mma na gram-gram-gram. Ihe nke beta-lactamases nwere ike ibute mbibi nke ụfọdụ ọgwụ nje antibacter ọbụna tupu ha amalite ibute ọrịa. Clavulanic acid na-egbochi ọrụ nke enzymes, na-eweghachi uche nke nje na amoxicillin. Karịsịa, ọ nwere nnukwu ọrụ megide plasmid beta-lactamases, nke ọgwụ nje na-ejikọkarị ya, mana ọ na-adịchaghị mma megide ụdị 1 chromosomal beta-lactamases.

Ọnụnọ nke clavulanic acid dị na Augmentin® na-echebe amoxicillin site na mmebi nke beta-lactamases ma na-agbasa ụdị dị iche iche nke antibacterial na ntinye nke microorganisms na-eguzogide ọgwụ penicillins na cephalosporins ndị ọzọ. Clavulanic acid n'ụdị otu ọgwụ enweghị mmetụta ọgwụ nje dị egwu.

Usoro mmegide nguzogide

Enwere usoro abụọ maka mmepe nke iguzogide Augmentin®

- inacering site na ọgwụ ndị na-akpata beta-lactamases, nke na-enweghị mmetụta maka nsị clavulanic acid, gụnyere klaasị B, C, D

- mmebi nke protein na-ejide penicillin, nke na-eduga n'ịbelata mmekọrita nke ọgwụ nje n'ihe metụtara microorganism.

Ezughị oke nke nje nje, yana usoro nke mgbapụta ahụ, nwere ike ibute ma ọ bụ mee ka mmepe nke nguzogide, ọkachasị microorganisms gram-na-adịghị mma.

Aha ya bụ Augmentin®nwere mmetụta nje na-akpata microorganisms ndị a:

Airabes ọma Enterococcus faecalis,Gardnerella vaginalis,Staphylococcus aureus (na-emetụta methicillin), coagulase-sta staloloccci (na-emetụta methicillin), Ikeptoptoccus agalactiae,Ahụ ike na-efe efe1,Ike pyogenes yana beta hemolytic streptococci, otu Nwa agbọghọ na-amaghị nwoke,Bacillius anthracis, Listeria monocytogenes, astoroides Nocardia

Gram-ọjọọ aerobes: Actinobacillusactinomycetemcomitans,Capnocytophagaspp.,Eikenellacorrodens,Haemophilusinfluenzae,Moraxellacatarrhalis,Neisseriagonorrhoeae,Pasteurellamultocida

microorganisms anaerobic: Bacteroides isi,Fusobacterium nucleatum,Prevotella spp.

Okike ndi nwere ike iguzogide

Airabes ọma Enterococcusfaecium*

Microorganisms nwere nguzogide sitere n'okike:

gram adịghị mmaikuku:Acinetobacterumu,Citrobacterfreundii,Enterobacterumu,Legionella pneumophila, Morganella morganii, Providenciaumu, Pseudomonasumu, Serratiaumu, Stenotrophomonas maltophilia,

ọzọ:Chlamydia trachomatis,Chlamydophila pneumoniae, Chlamydophila psittaci, Coxiella burnetti, Mycoplasma pneumoniae.

*Uche sitere n'okike na enweghị nnabata

1 Ewezuga ụdọ Ahụ ike na-efe efepenisilini na-eguzogide

Usoro onunu ogwu na nhazi

Nzube maka nchịkwa ọnụ a na-ezubere ka ejiri ya mee ihe banyere ọrịa ụmụaka.

Nnukwu mmetụta na Augmentin® nwere ike ịdị iche site na ọnọdụ mpaghara na oge. Tupu ịkọwa ọgwụ ahụ, ọ bụrụ na ọ ga - ekwe omume ọ dị mkpa iji nyochaa nnabata nke eriri ndị ahụ dabere na data mpaghara wee chọpụta nnabata site na ịpịpụta na nyocha nke ndị ọrịa, ọkachasị mgbe enwere oke ọrịa.

Usoro usoro onunu ogwu ka edobere n’otu n’otu dabere n’afọ, ọ̀ha ahụ, ọrụ akụrụ, ndị na-efe efe, yana ogo ọrịa ahụ.

A na-atụ aro Augmentin® ka ewere ya na mbido nri. Ogologo oge ọgwụgwọ na-adabere na nzaghachi onye ọrịa na ọgwụgwọ ahụ. Pathofọdụ ọrịa (ọkachasị, osteomyelitis) nwere ike ịchọ ogologo oge. Agaghị aga n'ihu ọgwụgwọ karịa ụbọchị 14 na-enweghị nyochagharị ọnọdụ onye ọrịa ahụ. Ọ bụrụ na ọ dị mkpa, enwere ike ibute usoro ọgwụgwọ (nke mbụ, nchịkwa mgbochi ọgwụ nke iji ọgwụ na-esote na nchịkwa ọnụ).

Frommụaka site na ọnwa 2 rue afọ 12 ma ọ bụ na-erughị ogo 40 n'arọ

Ọbara, dabere n’afọ na ịdị arọ, ka egosiri na mg / n'arọ ahụ kwa ụbọchị ma ọ bụ na milliliters nke nkwusioru ahụ emechiri.

Usoro a tụrụ aro:

- site na 25 mg / 3.6 mg / kg / ụbọchị ruo 45 mg / 6.4 mg / kg / ụbọchị, kewara abụọ, maka ọrịa dị nro na nke na-adịghị ala ala (ụkwara ume ọkụ ugboro ugboro, anụ ahụ na anụ ahụ dị nro)

- site na 45 mg / 6.4 mg / kg / ụbọchị ruo 70 mg / 10 mg / kg / ụbọchị, kewara abụọ, maka ọgwụgwọ nke ọrịa ndị ka njọ (otitis media, sinusitis, bekee na-efe efe na-efe efe).

Augmentin® otu tebụl nhọrọ otu dabere na ahụ gị

Iwu maka nkwadebe nke nkwusioru

A kwadebere nkwusioru ya ozugbo tupu ojiji izizi.

Ihe dị ka milimita 60 nke esi esi mmiri ga-eme ka ekpomoku dị n'ime ụlọ ahụ kwesịrị ịgbakwunye karama ntụ ahụ, wee jiri mkpuchi kpuchie karama ahụ wee wụchaa ntụ ntụ kpamkpam, kwe ka karama ahụ kwụrụ ruo minit 5 iji hụ na ngwakọta zuru ezu. Tinye mmiri n’ime akara n’ime karama ahụ ma gbanye karama ahụ ọzọ. Na mkpokọta, a chọrọ ihe dị ka 92 ml mmiri iji kwadebe nkwusioru.

Ekwesịrị imebi karama ahụ nke ọma tupu ojiji ọ bụla. Maka ịsingụ ọgwụ ọ accurateụ accurateụ ziri ezi, a ga-eji okpu eji atụ ahụ, nke a ga-eji mmiri wee saa ya nke ọma. Mgbe dilution, ekwesịrị ịchekwa nkwụsị ahụ ihe na-erughị ụbọchị 7 na friji, mana ọ bụghị kpọnwụrụ.

Maka umuaka n’agbata afo abuo, ihe omuma nke ntughari ogwu Augmentin nwere ike were mmiri gbari ya.

Ihe onyonyo 3D

Ntụ ntụ maka nkwụsị ọnụ5 ml
bekee arụ ọrụ:
amoxicillin trihydrate (na usoro nke amoxicillin)125 mg
200 mg
400 mg
potassium clavulanate (na usoro nke clavulanic acid) 131,25 mg
28.5 mg
57 mg
ndị na-ebu ụzọ: xanthan gum - 12.5 / 12.5 / 12.5 mg, aspartame - 12.5 / 12.5 / 12.5 mg, succinic acid - 0.84 / 0.84 / 0.84 mg, colloidal silicon dioxide. - 25/25/25 mg, hypromellose - 150 / 79.65 / 79.65 mg, oroma oroma 1 - 15/15/15 mg, oroma 2 - 11.25 / 11.25 / 11.25 mg, flavour utu - 22.5 / 22.5 / 22.5 mg, isi ahụ "Molasses Light" - 23.75 / 23.75 / 23.75 mg, silicon dioxide - 125 / ruo 552 / ruo 900 mg

1 N'ime mmepụta ọgwụ, a na-edobe ọgwụ clavulanate potassium na ngafe 5%.

Mbadamba ihe mkpuchiTaabụ 1.
bekee arụ ọrụ:
amoxicillin trihydrate (na usoro nke amoxicillin)250 mg
500 mg
875 mg
potassium clavulanate (na usoro nke clavulanic acid)125 mg
125 mg
125 mg
ndị na-ebu ụzọ: magnesium stearate - 6.5 / 7.27 / 14.5 mg, sodium carboxymethyl stachi - 13/21/29 mg, colloidal silicon dioxide - 6.5 / 10.5 / 10 mg, MCC - 650 / ruo 1050/396, 5 mg
n'ọbọ ihe nkiri: titanium dioxide - 9.63 / 11.6 / 13.76 mg, hypromellose (5 cps) - 7.39 / 8.91 / 10.56 mg, hypromellose (15 cps) - 2.46 / 2.97 / 3.52 mg, macrogol 4000 - 1.46 / 1.76 / 2.08 mg, macrogol 6000 - 1.46 / 1.76 / 2.08 mg, dimethicone 500 ( mmanụ silicone) - 0.013 / 0.013 / 0.013 mg, mmiri dị ọcha 1 - - / - / - -

A na-ewepụ mmiri dị ọcha n'oge mkpuchi ihe nkiri.

Jiri n’oge ime

Womenmụ nwanyị nwere ike iji Augmentin mee ihe n'oge ịmụ nwa nwa n'ọnọdụ uru ebumnuche ọ ga-abara nne ya karịrị ihe ize ndụ nke nwa ebu n'afọ.

Enwere ike iji Augmentin mee n ’ara. N'ọnọdụ ị takingụ ọgwụ ahụ so eme ka e nwee mmetụta ndị na-adịghị mma nwatakịrị ahụ, a ga-atụle okwu banyere ịkwụsị ị breastụ ara.

Mmeghachi omume ọjọọ

Augmentin nwere ike itinye aka na mmepe nke mmeghachi omume ọjọọ ndị a achọghị:

  • Candidiasis nke akpụkpọ ahụ mucous na akpụkpọ.
  • Ọria afọ, ọgbụgbọ na ọgbụgbọ.
  • Isi ọwụwa, anya isi.
  • Akpukpo aru, ọria ure, akpukpo aru.

Site na mmepe nke mmeghachi omume nfụkasị, a na-akwụsị ọgwụgwọ Augmentin ozugbo.

Ọ dị mkpa ịgwa dọkịta banyere imepụta nsonaazụ iji dozie usoro ma ọ bụ nhọrọ nke usoro ọgwụgwọ Symptomatic.

Dodoụbiga ya ókè

Bụrụ na ị doụbiga ihe ọ theụ overụ ókè, ọ ga-ekwe omume mmepe mmeghachi omume ndị na-adịghị mma n'akụkụ eriri afọ na mgbakasị ahụ na nguzo mmiri-electrolyte. Ihe gbasara nke puru omume inwe nsogbu ndi mmadu n’arusi aru ya, ya na ndi mmadu enwetara oke ogwu na abawanye.

N'ihe banyere ịdoụbiga mmanya ókè, ị kwesịrị ịgakwuru dọkịta maka oge ịhọpụta ọgwụgwọ ọrịa Sympiomatic iji mee ka ọ na-arụ ọrụ nke eriri afọ na iweghachi nguzo mmiri-electrolyte. A na - ewepụ ihe ndị na - arụ ọrụ nke Augmentin site na usoro ịba ama.

Mkparịta ụka ọgwụ ọjọọ

A naghị akwado iji otu ọgwụ ọgwụ Augmentin na probenecid n'otu oge. Probenecid belata tubular secretion nke amoxicillin, yabụ ojiji n’otu oge ọgwụ ọgwụ Augmentin na probenecid nwere ike ibute mmụba ọbara na ịta ahụ nke amoxicillin, mana ọbụghị clavulanic acid.

Ojiji allopurinol na amoxicillin nwere ike ime ka ihe nwetakwuo mmetuta akpụkpọ ahụ. Ugbu a, enweghi data na akwụkwọ a na-eme n'otu oge nke ngwakọta nke amoxicillin na clavulanic acid na allopurinol. Penicillins nwere ike belata mkpochapụ nke methotrexate site na ahụ site na igbochi ihe nzuzo nke tubular ya, yabụ ojiji nke Augmentin na methotrexate nwere ike ịbawanye nsí nke methotrexate.

Dị ka ọgwụ ndị ọzọ na-egbochi nje, ọgwụ Augmentin nwere ike imetụta microflora eriri afọ, na-eduga n'ịbelata nnabata estrogen site na eriri afọ yana mbelata ịdị irè nke ọgwụ mgbochi ọnụ.

Ọzọ aro

Tupu ịmalite ojiji nke Augmentin, achọrọ akụkọ banyere ahụike nke onye ọrịa ka amata mmeghachi omume hypersensitivity nwere ike ịhapụ penicillin, cephalosporin na akụkụ ndị ọzọ.

Mkpesa Augmentin nwere ike imebi ezé onye ọrịa. Iji zere mmepe nke mmetụta dị otú ahụ, ọ zuru ezu iji debe iwu nke usoro ịdị ọcha nke ọnụ - ịzọpụ ezé gị, na-eji nsị.

Nnabata Augmentin nwere ike ibute ọgbụgba, yabụ maka oge ọgwụgwọ ahụ kwesịrị ịhapụ ịkwọ ụgbọala na ịrụ ọrụ chọrọ nlebara anya ka ukwuu.

Agaghị enwe ike iji Augmentin ma ọ bụrụ na enyo ụdị mononucleosis na-efe efe.

Augmentin nwere ezigbo ntachi obi na obere nsí. Ọ bụrụ na ịchọrọ iji ọgwụ ahụ ogologo oge, mgbe ahụ ọ dị mkpa ịlele arụ ọrụ akụrụ na umeji oge.

Nkọwa nke ụdị usoro onunu ogwu

Ntụ ntụ: ọcha ma ọ bụ ihe fọrọ nke nta ka ọ bụrụ ọcha, nwere njirimara na-esi isi. Mgbe diluted, etisasị na-acha ọcha ma ọ bụ ihe fọrọ nke nta ọcha. Mgbe ị kwụ ọtọ, ihe na-acha ọcha ma ọ bụ ihe fọrọ nke nta ka ọ bụrụ nke ọma na-eji nwayọọ nwayọọ.

Mbadamba ụrọ, 250 mg + 125 mg: kpuchie ya na ihe nkiri site na ọcha ruo ihe fọrọ nke nta ka ọ bụrụ ọcha, oval ke udi, ya na ihe odide a bu "AUGMENTIN" n'otu akụkụ. N'oge kink: site na ọcha na-acha odo odo ruo ihe fọrọ nke nta ka ọ bụrụ ọcha.

Mbadamba ụrọ, 500 mg + 125 mg: kpuchie ya n'ọbọ ihe nkiri site na ọcha rue ihe fọrọ nke nta ka ọ bụrụ ọcha na agba, oval, nke e dere ihe akpọrọ "AC" yana ihe egwu dị n'otu akụkụ.

Mbadamba ụrọ, 875 mg + 125 mg: kpuchie ya n'ọbọ ihe nkiri site na ọcha rue ihe fọrọ nke nta ka ọ bụrụ ọcha, na oval n'ụdị ya, ya na mkpụrụedemede "A" na "C" n'akụkụ ya na ahịrị mmebi dị n'otu akụkụ. N'oge kink: site na ọcha na-acha odo odo ruo ihe fọrọ nke nta ka ọ bụrụ ọcha.

Mlọ ọgwụ

Amoxicillin bụ ọgwụ mgbochi ọgwụ nke na-eme ka mmiri dị nro dị n'ọtụtụ ọgụ na -emegide ọtụtụ gram-positive na gram-microorganisms. N'otu oge ahụ, amoxicillin nwere ike ibute mbibi site na beta-lactamases, yabụ kwa ụdị ọrụ nke amoxicillin anaghị erute microorganisms nke na-emepụta enzyme a.

Clavulanic acid, ihe dị na beta-lactamase inhibitor n'ihe metụtara penisilini, nwere ike ịhapụ ịgbatị ọtụtụ beta-lactamases ndị a hụrụ na penisilini na cephalosporin na-eguzogide ọgwụ. Clavulanic acid na-arụ ọrụ nke ọma megide plasmid beta-lactamases, nke na-abụkarị maka nje na-eguzogide ọgwụ, ọ nweghịkwa arụ ọrụ megide chromosomal beta-lactamases nke ụdị nke 1st, nke clavulanic acid na-egbochi.

Ọnụnọ nke clavulanic acid dị na nkwadebe Augmentin protects na-echebe amoxicillin site na mbibi site na enzymes - beta-lactamases, nke na-enye ohere ịgbasa ụdị nje antibacterial nke amoxicillin.

Ihe ndị a bụ ọrụ nke ngwakọta nke amoxicillin na clavulanic acid in vitro .

Nje bacteria na-agbakarị ọgwụ ma ọ bụ ngwakọta nke amoxicillin na clavulanic acid

Airabes ọma Bacillus anthracis, Enterococcus faecalis, Listeria monocytogenes, Nocardia astero> gụnyere Ihe eji eme plogenes nke okirikiri 1.2, Streptococcus agalactiae 1.2 (beta ọzọ hemolytic streptococci) 1,2, Staphylococcus aureus (chebara methicillin) 1, Staphylococcus saprophyticus (na-emetụta methicillin), coagulase-sta staloloccci (na-emetụta methicillin).

Girata dị mma: Clostr> gụnyere Peptostreptococcus magnus, Peptostreptococcus micros.

Gram-ọjọọ aerobes: Bordetella pertussis, Haemophilus influenzae 1, Helicobacter pylori, Moraxella cafarrhalis 1, Neisseria gonorrhoeae, Pasteurella multocida, Vibrio cholerae.

Gram-ọjọọ anaerobes: Bactero> gụnyere Bactero> gụnyere Fusobacterium nucleatum, Porphyromonas spp., Prevotella spp.

Ndị ọzọ: Borrelia burgdorferi, Leptospira icterohaemorrhagiae, Treponema pallidum.

Nje nke bu nje nke nwetara ihe ojoo na nchikota amoxicillin na clavulanic acid nwere ike idi

Gram-ọjọọ aerobes: Escherichia coli 1, Klebsiella spp., gụnyere Klebsiella oxytoca, Klebsiella poniaoniae 1, Proteus spp., gụnyere Proteus mirabilis, Proteus vulgaris, Salmonella spp., Shigella spp.

Airabes ọma Corynebacterium spp., Enterococcus faecium, Streptococcus pneumoniae 1,2 otu na - arụ ọrụ Idmụ nje.

Nje bacteria na -eche na -echeta njikọta nke amoxicillin na clavulanic acid

Gram-ọjọọ aerobes: Acinetobacter spp., Citrobacter freundii, Enterobacter spp., Hafnia alvei, Legionella pneumophila, Morganella morganii, Providencia spp., Pseudomonas spp., Serratia spp., Stenotrophomonas maltophilia, Yersinia enterocolitica.

Ndị ọzọ: Chlamydia spp, gụnyere Chlamydia pneumoniae, Chlamydia psittaci, Coxiella burnetii, Mycoplasma spp.

1 Maka ụmụ nje ndị a, a gosipụtara arụmọrụ ọgwụgwọ nke amoxicillin na clavulanic acid na ọmụmụ ụlọ ọgwụ.

2 Usoro nje nke ụdị nje a anaghị arụpụta beta-lactamase. Ihe mmetụta uche na amoxicillin monotherapy na-atụ aro inwe uche yiri nke ahụ na nchikota nke amoxicillin na clavulanic acid.

Mlọ ọgwụ

Ngwakọta ọrụ niile dị na nkwadebe Augmentin - - amoxicillin na clavulanic acid - na - agbakarị ngwa ngwa site na eriri afọ mgbe nchịkwa ọnụ gasịrị. Ntinye nke ihe aru oru n’ime ogwu Augmentin ® di ezigbo nma ma oburu ị takingụ ogwu n’oge mbido nri.

E gosipụtara usoro ọgwụ pharmacokinetic nke amoxicillin na clavulanic acid na ọmụmụ dị iche iche n'okpuru, mgbe ndị ọrụ afọ ofufo ahụike dị afọ 2-12 na afọ na-adịghị mma were 40 mg + 10 mg / kg / ụbọchị nke ọgwụ Augmentin ® na usoro atọ, ntụ ntụ maka nkwụsị ọnụ, Mg mg + 31,25 na 5 ml (156.25 mg).

Mpempe ọgwụ pharmacokinetic nke bụ isi

Amoxicillin

Augmentin ®, mg mg + 31.25 mg na 5 ml

Clavulanic acid

Augmentin ®, mg mg + 31.25 mg na 5 ml

ỌgwụDose mg / n'arọCmax mg / lNdimax hAUC, mg · h / lNdi1/2 h
407,3±1,72,1 (1,2–3)18,6±2,61±0,33
102,7±1,61,6 (1–2)5,5±3,11,6 (1–2)

A na-egosi usoro ọgwụ pharmacokinetic nke amoxicillin na clavulanic acid dị na ọmụmụ dị iche iche n'okpuru, mgbe ndị ọrụ afọ ofufo ahụike dị afọ 2-12 afọ na afọ efu weere Augmentin ®, ntụ ntụ maka nkwụsị ọnụ, 200 mg + 28.5 mg na 5 ml (228) , 5 mg) na nha nke 45 mg + 6.4 mg / kg / ụbọchị, kewara abụọ.

Mpempe ọgwụ pharmacokinetic nke bụ isi

Ihe eji arụ ọrụCmax mg / lNdimax hAUC, mg · h / lNdi1/2 h
Amoxicillin11,99±3,281 (1–2)35,2±51,22±0,28
Clavulanic acid5,49±2,711 (1–2)13,26±5,880,99±0,14

E gosipụtara usoro ọgwụ pharmacokinetic nke amoxicillin na clavulanic acid na ọmụmụ dị iche iche n'okpuru ndị ọrụ afọ ofufo nwere ahụike were otu ọgwụ Augmentin ®, ntụ ntụ maka nkwụsị ọnụ, 400 mg + 57 mg na 5 ml (457 mg).

Mpempe ọgwụ pharmacokinetic nke bụ isi

Ihe eji arụ ọrụCmax mg / lNdimax hAUC, mg · h / l
Amoxicillin6,94±1,241,13 (0,75–1,75)17,29±2,28
Clavulanic acid1,1±0,421 (0,5–1,25)2,34±0,94

Thelọ ọgwụ ọgwụ pharmacookinetic nke amoxicillin na clavulanic acid, enwetara n'ọmụmụ ihe dị iche iche, mgbe ndị ọrụ afọ ofufo na-ebu ọnụ na-arịa ọrịa were:

- 1 taabụ. Augmentin ®, 250 mg + 125 mg (375 mg),

- 2 mbadamba Augmentin ®, 250 mg + 125 mg (375 mg),

- 1 taabụ. Augmentin ®, 500 mg + 125 mg (625 mg),

- 500 mg nke amoxicillin,

- 125 mg nke clavulanic acid.

Mpempe ọgwụ pharmacokinetic nke bụ isi

Amoxicillin na nchịkọta nke ọgwụ Augmentin ®

Clavulanic acid n'ime ihe mejupụtara ọgwụ Augmentin drug

ỌgwụMpempe ogwuCmax mg / mlNdimax hAUC, mg · h / lNdi1/2 h
Augmentin ®, 250 mg + 125 mg2503,71,110,91
Augmentin ®, 250 mg + 125 mg, mbadamba 25005,81,520,91,3
Augmentin ®, 500 mg + 125 mg5006,51,523,21,3
Amoxicillin, 500 mg5006,51,319,51,1
Augmentin ®, 250 mg + 125 mg1252,21,26,21,2
Augmentin ®, 250 mg + 125 mg, mbadamba 22504,11,311,81
Clavulanic acid, 125 mg1253,40,97,80,7
Augmentin ®, 500 mg + 125 mg1252,81,37,30,8

Mgbe ị na-a Augụ ọgwụ Augmentin pla, ihe ndị na-enye nsogbu na plasma nke amoxicillin yiri nke ndị na-ahụ maka nchịkwa ọnụ nke amoxicillin hà.

Thelọ ọgwụ ọgwụ pharmacookinetic nke amoxicillin na clavulanic acid, enwetara n'ọmụmụ akwụkwọ dị iche iche, mgbe ndị ọrụ afọ ofufo na-ebu ọnụ na-arịa ọrịa were:

- 2 mbadamba Augmentin ®, 875 mg + 125 mg (1000 mg).

Mpempe ọgwụ pharmacokinetic nke bụ isi

Amoxicillin na nchịkọta nke ọgwụ Augmentin ®

Augmentin ®, 875 mg + 125 mg

Clavulanic acid n'ime ihe mejupụtara ọgwụ Augmentin drug

Augmentin ®, 875 mg + 125 mg

ỌgwụMpempe ogwuCmax mg / lNdimax hAUC, mg · h / lNdi1/2 h
175011,64±2,781,5 (1–2,5)53,52±12,311,19±0,21
2502,18±0,991,25 (1–2)10,16±3,040,96±0,12

Dịka ọ dị na nchịkwa iv nke ngwakọta nke amoxicillin na clavulanic acid, a na-ahụta ọgwụgwọ amoxicillin na clavulanic acid n'ọtụtụ anụ ahụ na ọnya ọnya dị iche iche (ọnya afọ, ọnya afọ, anụ ahụ, abụba na akwara anụ ahụ, ọnya synovial na peritoneal fluid, fluid, fluid) )

Amoxicillin na clavulanic acid nwere ogo na-esighi ike nke na-ejikọ protein protein. Nnyocha e mere egosiwo na ihe dị ka 25% nke ngụkọta nke clavulanic acid na 18% nke amoxicillin na plasma ọbara na-emetụta protein protein plasma.

N'ime ọmụmụ anụmanụ, enweghị nchịkọta akụkụ nke nkwadebe Augmentin in na anụ ahụ ọ bụla achọtara.

Amoxicillin, dị ka ọtụtụ penisiliniins, na-abanye n'ime mmiri ara. A nwekwara ike ịchọta akụkụ nke clavulanic acid na mmiri ara. Ewezuga enwere ike ịmalite ịrịa ọrịa ọnya ọnya na ọnya mmamịrị, ọnweghị mmetụta ndị ọzọ nke amoxicillin na clavulanic acid na ahụike nke ụmụ a na-enye ara.

Ọmụmụ banyere ọmụmụ ụmụ anụmanụ egosila na amoxicillin na clavulanic acid na-agafe ihe mgbochi placental. Agbanyeghị, ọ nweghị mmetụta dị njọ na nwa ebu n’afọ achọpụtara.

10-25% nke ọgwụ mbu nke amoxicillin bụ nke akụrụ na - eme ka metabolite na - adịghị arụ ọrụ (penisilloic acid). Clavulanic acid bụ metabolized nke ukwuu ruo 2,5-dihydro-4- (2-hydroxyethyl) -5-oxo-3H-pyrrole-3-carboxylic acid na amino-4-hydroxy-butan-2-otu ma wepụta ya site na akụrụ Ọkụ afọ, yana ikuku kubie ume n'ụdị carbon dioxide.

Dị ka ọgwụ penicillins ndị ọzọ, amoxicillin na-apụkarị site na akụrụ, ebe a na-ahụ ọgwụ clavulanic acid site na usoro gbasara akụrụ na extrarenal.

Ihe dị ka 60-70% nke amoxicillin na ihe dị ka 40-65% nke clavulanic acid bụ nke akụrụ na-agbanweghị na aka elekere isii mbụ ka emesịrị 1 tebụl. 250 mg + 125 mg ma ọ bụ mbadamba 1 500 mg + 125 mg.

Oge nlekọta probenecid na-eme ka a kwụsịlata amoxicillin, mana ọbụghị clavulanic acid (lee "Mmekọrịta").

Na-egosi Augmentin ®

E gosipụtara nchikota nke amoxicillin na clavulanic acid maka ọgwụgwọ nke nje na-efe efe nke ọnọdụ ndị na-esonụ nke microorganisms nwere mmetụta na nchikota nke amoxicillin na clavulanic acid:

ọrịa elu akụkụ akụkụ iku ume (gụnyere ọrịa ENT), dịka ọmụmaatụ tonsillitis, sinusitis, otitis media, na-ebutekarị Ahụ ike oyi na-akpata prọdia, Hemophilus influenza 1, Moraxella catarrhalis 1 na plogenes nke Streptococcus, (ewezuga mbadamba Augmentin 250 mg / 125 mg),

Ọrịa dị ala nke akụkụ okuku ume na akwara, dị ka nkụda mmụọ nke ụkwara ume ọkụ, ụkwara ume ọkụ, na ọnya na-efe efe, bụ́ nke na-akpatakarị. Ahụ ike oyi na-efe efe nke Hemophilus 1 na Moraxella catarrhalis 1,

ọrịa ọnya na-efe efe, dị ka cystitis, urethritis, pyelonephritis, ọrịa nke akụkụ nke akụkụ nke nwanyị, nke na-akpatakarị ụdị ezinụlọ. Enterobacteriaceae 1 (kachasị Escherichia coli 1 ), Staphylococcus saprophyticus na umu Enterococcusyana gonorrhea kpatara Neisseria gonorrhoeae 1,

Akpịrị anụ ahụ na anụ ahụ dị nro na-ebutekarị Staphylococcus aureus 1, pyogenes Streptococcus na umu Bacteroides 1,

Ọkpụkpụ nke ọkpụkpụ na nkwonkwo, dịka osteomyelitis, na-ebutekarị Staphylococcus aureus 1, ọ bụrụ na ọ dị mkpa, ọ ga-ekwe omume ịgwọ ọrịa ogologo oge.

ọrịa odontogenic, dịka ọmụmaatụ periodontitis, odontogenic maxillary sinusitis, ọnya ezé siri ike na mgbasa cellulite (naanị maka mkpụrụ osisi Augmentin, ọnụọgụ 500 mg / 125 mg, 875 mg / 125 mg),

ọrịa ndị ọzọ jikọtara ọnụ (dịka ọmụmaatụ, afọ ime septic, postpartum sepsis, serais intraabdominal) dị ka akụkụ nke usoro ọgwụgwọ (naanị maka mbadamba Augmentin usoro onodu ogwu 250 mg / 125 mg, 500 mg / 125 mg, 875 mg / 125 mg),

1 Ndị nnọchite anya nke ụdị microorganisms akọwapụtara na-emepụta beta-lactamase, nke na-eme ka ha bụrụ ndị na-enweghị mmetụta na amoxicillin (lee. Pharmacodynamics).

Ọrịa Augmentin be nwere ike ịgwọ ọrịa ndị microorganisms na-emetụta amoxicillin, ebe ọ bụ na amoxicillin bụ otu n'ime ihe ndị dị na ya. Augmentin ® ka egosiri maka ọgwụgwọ nke ọrịa nje jikọtara nke microorganisms nke nwere amoxicillin, yana microorganisms na-emepụta beta-lactamase, na-emetụta nchikota nke amoxicillin na clavulanic acid.

Ọkpụkpọ nke nje bacteria na nchikota amoxicillin na clavulanic acid dịgasị iche dabere na mpaghara na oge. N'ebe enwere ike, ekwesiri iburu n'uche ọgụgụ data mpaghara. Ọ bụrụ na ọ dị mkpa, a ga-anakọta ma nyocha microbiological maka ịchọpụta ihe banyere nje.

Ihe ngbanwe

Maka ụdị usoro usoro onunu ogwu

hyperensitivity na amoxicillin, clavulanic acid, ihe ndị ọzọ dị na ọgwụ ahụ, ọgwụ mgbochi beta-lactam (dịka penicillins, cephalosporins) na anamnesis,

ihe omume gara aga nke jaundice ma ọ bụ ọrụ imeju na-arịa ya mgbe ị na-ejikọkọta ọgwụ amoxicillin na clavulanic acid na akụkọ ntolite.

Ọzọkwa, maka ntụ ntụ maka nkwụsị ọnụ, 125 mg + 31.25 mg

Ọzọkwa, maka ntụ ntụ maka nkwụsị ọnụ, 200 mg + 28.5 mg, 400 mg + 57 mg

arụ ọrụ na-arụ ọrụ na-arụ ọrụ (Cl creatinine erughị 30 ml / min),

afọ ụmụaka ruo ọnwa atọ.

Ihe ọzọ maka mbadamba ihe mkpuchi fim, 250 mg + 125 mg, 500 mg + 125 mg

ụmụaka na-erubeghị afọ 12 ma ọ bụ buru ibu n’arụghị ibu 40 n'arọ.

Ọzọkwa, maka mbadamba ihe mkpuchi fim, 875 mg + 125 mg

arụ ọrụ na-arụ ọrụ na-arụ ọrụ (Cl creatinine erughị 30 ml / min),

ụmụaka na-erubeghị afọ 12 ma ọ bụ buru ibu n’arụghị ibu 40 n'arọ.

Iji nlezianya: arụ ọrụ imeju.

Ime na lactation

Na nyocha nke omumu omumu na anumanu, onu na ochichi nke Augmentin cause emeghi teratogenic.

N'ime otu nnyocha ụmụ nwanyị nwere membranes akatabeghị aka, achọpụtara na ọgwụ prophylactic na Augmentin be nwere ike ibute oke ihe egwu nke ọrịa enterocolitis n'ime ụmụ amụrụ ọhụrụ. Dịka ọgwụ niile, a naghị atụ aro ọgwụ Augmentin iji mee n'oge afọ ime, belụsọ na uru nne elere anya nne ga-akacha n'ihe nwa ebu n’afọ.

Enwere ike iji ọgwụ Augmentin ® mee ihe n’oge a na-enye nwa ara. Ewezuga nke enwere ike ịmalite afọ ọsịsa ma ọ bụ candidiasis nke akpụkpọ ahụ mucous nke oghere a na-ejikọta ya na ntinye ọnya ọnya nke ọgwụ a n'ime mmiri ara, ọ nweghị mmetụta ọjọọ ndị ọzọ hụrụ na ụmụ a na-enye ụmụ ara. N'ọnọdụ mmetụta ọjọọ na ụmụaka ndị na-enye nwa ara, ọ dị mkpa ịkwụsị ị -ụ ara.

Nsonaazụ

Edeputara ihe ojoo ndi a dị n’okpuru dị ka mmebi nke akụkụ ahụ na akụrụngwa na ugboro ole nke ihe omume. A na-ekpebi ugboro ole ihe a mere na-esote: ọtụtụ mgbe - ≥1 / 10, mgbe ≥1 / 100 na PV, anaemia, eosinophilia, thrombocytosis.

Si dịghịzi usoro: ọ dịkarịsịrị ike - angioedema, mmeghachi omume anaphylactic, ọrịa nke metụtara ọrịa ọbara, vasculitis nfụkasị.

Si ụjọ usoro: ugboro ugboro - ọgbụgbọ, isi ọwụwa, obere adịkarịghị - mgbanwe mgbanwe hyperactivity, nkwonkwo (nkwarụ nwere ike ịdakwasị ndị ọrịa nwere ọrụ mkpo ya, yana ndị na-anata oke ọgwụ ahụ), nsogbu ehighị ụra, oke iwe, nchekasị, mgbanwe omume.

- ndị okenye: ọtụtụ mgbe - afọ ọsịsa, ọtụtụ mgbe - ọgbụgbọ, ọgbụgbọ,

- ụmụ: mgbe mgbe - afọ ọsịsa, ọgbụgbọ, ọgbụgbọ,

- onu ogugu ndi mmadu: otutu mgbe ana anakpo ya na iji oke ogwu. Ọ bụrụ na mgbe ịmalite ị drugụ ọgwụ ọgwụ ahụ enwere mmeghachi omume na-adịghị mma site na eriri afọ, a ga-ewepụ ha ma ọ bụrụ na a na-ewere Augmentin at na mbido nri, na-agbakarị mgbaze, na-adịghị ahụkebe ọgwụ nje (gụnyere pseudomembranous colitis na ọbara ọgbụgba). »Ire, gastritis, stomatitis, disloration nke elu oyi akwa enamel umu. Ilekọta onụ na-enyere gị aka ịpụpụ ezé, ebe ọ bụ na ichi ezé ezuru gị.

N'akuku nke imeju na akwara biliary: ugboro ugboro - mmụba dị ala na ọrụ nke AST na / ma ọ bụ ALT. A na-ahụ ihe ịtụnanya a na ndị ọrịa na-anara ọgwụ mgbochi beta-lactam, mana amabeghị ịdị mkpa ya banyere ọgwụ. O siri ike - ịba ọcha n'anya na cholestatic jaundice. A na-ahụ ihe ịtụnanya a na ndị ọrịa na-anara ọgwụgwọ na ọgwụ penicillin na cephalosporins. Mmụba nke bilirubin na alkaline phosphatase.

A na-ahụta mmetụta na-adịghị mma site na imeju ndị ikom na ndị agadi ma nwee ike jikọta ya na ọgwụgwọ ogologo oge. Ọ bụghị obere ụmụaka ka a hụrụ ihe ọjọọ ndị a.

Ihe iriba ama na akara a edepụtara na-eme n’oge ma ọ bụ ozugbo ngwụcha ọgwụgwọ, mana n’ọnọdụ ụfọdụ ha enweghị ike ịpụta ọtụtụ izu mgbe ha mechara ọgwụgwọ ahụ. A na - agbanwegharị ihe ọghọm. Ihe ojoo sitere na imeju nwere ike bụrụ ihe siri ike, n'ọnọdụ ndị a na-adịghị ahụkebe, enwere akụkọ banyere nsonaazụ na-egbu egbu. N'ihe fọrọ nke nta ka ọ bụrụ n'ọnọdụ niile, ndị a bụ ndị ọrịa nwere nnukwu ọnụọgụ mmụta ma ọ bụ ndị ọrịa na-anata ọgwụ nwere hepatotoxic.

Na akpụkpọ anụ ahụ ugboro ugboro - ọnya, itching, urticaria, na-adịkarịghị erythema multiforme, nke ukwu Stevens-Johnson syndrome, necrolysis na-egbu egbu, dermatitis na-enweghị atụ, nnukwu exanthematous pustulosis.

N'ọnọdụ mmeghachi omume nfụkasị anụ ahụ, a ga-akwụsị ịgwọ ya na Augmentin ®.

Site na akụrụ na eriri afọ: dịkarịsịrị ala - nephritis interstitial, crystalluria (lee "overdose"), hematuria.

Mmekorita

A naghị atụ aro iji ọgwụ Augmentin ® na probenecid n'otu oge. Probenecid na-ebelata mmiri nzuzo nke amoxicillin, yabụ, iji ọgwụ ahụ eme ihe n'otu oge Augmentin ® na probenecide nwere ike ibute mmụba na nnọgide n'ọbara nke amoxicillin, mana ọbụghị clavulanic acid.

Ojiji allopurinol na amoxicillin nwere ike ime ka ihe nwetakwuo mmetuta akpụkpọ ahụ. Ugbu a, enweghi data na akwụkwọ a na-eme n'otu oge nke ngwakọta nke amoxicillin na clavulanic acid na allopurinol.

Penicillins nwere ike belata mkpochapụ nke methotrexate site na ahụ site na igbochi ihe nzuzo nke tubular ya, yabụ ojiji nke Augmentin na methotrexate nwere ike ịbawanye nsí nke methotrexate.

Dị ka ọgwụ ndị ọzọ na-egbochi nje ihe, nkwadebe Augmentin can nwere ike imetụta microflora eriri afọ, na-eduga n'ịbelata nnabata estrogen site na eriri afọ yana mbelata ịdị irè nke ọgwụ mgbochi ọnụ.

Akwukwo a na - akọwa okwu banyere obere mmụba na MHO n'ime ndị ọrịa yana jikọtara ọnụ nke acenocumarol ma ọ bụ warfarin na amoxicillin. Ọ bụrụ na ọ dị mkpa, ekwesịrị iji nlezianya nyochaa nhazi nke Augmentin ® na PV anticoagulants ma ọ bụ MHO mgbe ị na-ede ma ọ bụ kagbuo nkwadebe Augmentin;; ịhazigharị usoro ọgwụ anticoagulants maka nchịkwa ọnụ.

Ntụziaka pụrụ iche

Tupu ịmalite ọgwụgwọ na Augmentin ®, ọ dị mkpa ịnakọta akụkọ banyere ahụike zuru ezu gbasara mmerụ ahụ gara aga banyere penicillins, cephalosporins ma ọ bụ ihe ndị ọzọ na-akpata mmeghachi omume nfụkasị n'ime onye ọrịa.

A kọwara mmeghachi omume dị njọ na mgbe ụfọdụ na-egbu mmụọ (anaphylactic reactions) na penisilini. Ihe ọghọm nke mmeghachi omume dị otú a bụ nke kachasị elu na ndị ọrịa nwere akụkọ banyere hypersensitivity hypersensitivity penicillins. Maka mmeghachi omume nfụkasị ahụ, ọ dị mkpa ịkwụsị ọgwụgwọ na Augmentin ® wee malite usoro ọgwụgwọ ọzọ kwesịrị ekwesị.

N'ihe banyere mmeghachi omume anaphylactic siri ike, e kwesịrị inye onye ọrịa ọgwụ epinephrine ozugbo. Oxygen therapy, ochichi nke GCS na inye nke patway ikuku, gụnyere intubation, nwekwara ike choro.

Ọ bụrụ na inyo enyo na mononucleosis na-efe efe, ekwesighi iji Augmentin ®, ebe ọ bụ na ndị ọrịa nwere ọrịa a, amoxicillin nwere ike ibute ọnya akpụkpọ ahụ, nke na-agbagha nchọpụta nke ọrịa ahụ.

Ọgwụ ogologo oge na Augmentin ® nwere ike iduga ịmụba oke nke microorganisms na-enweghị nsogbu.

Na mkpokọta, Augmentin ® na-anabata nke ọma ma nwee agwa ọjọọ nwere ụdị penicillins niile. N'oge ọgwụgwọ ogologo oge na Augmentin ®, a na-atụ aro ka inyocha ọrụ akụrụ, imeju na hematopoiesis oge oge.

Iji belata ihe egwu dị na nsị eriri afọ, a ga-a theụ ọgwụ ahụ na mmalite nri.

N'ime ndị ọrịa na-anakọta ngwakọta nke amoxicillin na clavulanic acid yana anticoagulants na-apụtachaghị ọnụ (n'ọnụ), n'ọnọdụ ndị a na-adịghị ahụkebe, mmụba nke PV (mmụba na MHO). Site na ntinye njikọta nke anticoagulants na-apụtachaghị ọnụ (ọnụ) yana ngwakọta nke amoxicillin na clavulanic acid, nleba anya nke ihe ndị dị mkpa dị mkpa. Iji nọgide na-enwe mmetụta ọgwụ anticoagulants chọrọ, a pụrụ ịchọ ndozi usoro usoro ọgwụgwọ.

N'ime ndị ọrịa nwere nsogbu gbasara akụrụngwa nsogbu, a ga-enye ọgwụ ọgwụ Augmentin according dị ka ogo nke imebi (lee “Usoro ọgwụgwọ na nchịkwa”), Ndị ọrịa nwere ọrụ mgbazinye nsogbu).

N'ime ndị ọrịa nwere ọrịa diuresis, ọrịa kristal na-adịkarị obere, ọ kachasị na usoro ọgwụgwọ oge. N'oge nchịkwa nke oke ọgwụ nke amoxicillin, a na-atụ aro ka ị takeụọ mmiri zuru ezu ma na-edozi diureis zuru oke iji belata ohere nke ịmepụta kristalillin kristal (lee “doụbiga ihe ókè”).

Iburu ọgwụ Augmentin ® n'ime na-eduga n'inwe afọ ojuju nke amoxicillin na mmamịrị, nke nwere ike ibute nsonaazụ ụgha na mkpebi siri ike nke glucose na mmamịrị (dịka ọmụmaatụ, nnwale Benedict, ule Feling). N'okwu a, a na-atụ aro iji usoro glucose oxidant maka ikpebi mkpokọ glucose na mmamịrị.

Nkuzi onu na-enyere gi aka ichoputa nha nke eze na ị withụ ọgwụ, ebe o zuru ezu ịhapụ ezé gị (maka nkwụsị).

Ọ dị mkpa iji ọgwụ ọgwụ Augmentin ® n'ime ụbọchị iri atọ site na mgbe imepe ngwugwu nke lail aluminom foil (maka mbadamba)

Abụbiga ọgwụ ike na ịenceụ ọgwụ. Achọpụtaghị ị dependụ ọgwụ, ọgwụ riri ahụ na mmeghachi omume anụ ahụ metụtara iji ọgwụ Augmentin ®.

Mmetụta ikike ịkwọ ụgbọ ala ma jiri usoro rụọ ọrụ. Ebe ọgwụ ahụ nwere ike ibute ọgbụgba, ọ dị mkpa ịdọ ndị ọrịa aka na ntị banyere ị ga-akpachara anya mgbe ị na-anya ụgbọala ma ọ bụ na-arụ ọrụ igwe na-akpụ akpụ.

Mpempe mwepụta

Ntụ ntụ maka nkwụchi ọnụ, 125 mg + 31.25 mg na 5 ml. N'ime karama doro anya, kpuchie ya na okpu mkpuchi alumini nwere njikwa nke oghere mbụ, 11.5 g 1 fl. ya na okpu eji atunye ihe na kaadiboodu.

Ntụ ntụ maka nkwụsị ọnụ, 200 mg + 28.5 mg na 5 ml, 400 mg + 57 mg na 5 ml. Na karama enyo enyo mechiri emechi mkpuchi alumini ahu nke nwere ikike imeghe mbu, 7.7 g (maka onunu ogwu nke 200 mg + 28.5 mg na 5 ml) ma obu 12.6 g (maka onunu ogwu nke 400 mg + 57 mg na 5 ml ) 1 fl. tinyere okpu eji atụ ma ọ bụ sirinji na igbe kaadi.

Mbadamba ihe eji etinye fim, 250 mg + 125 mg. Na aluminom / PVC ọnya mkpụrụ 10 pcs. 1 ọnya na akpa nke silica na ngwugwu nke aluminium laminated. Mpempe akwụkwọ 2 mkpọ na igbe kaadi.

Mbadamba ihe eji etinye fim, 500 mg + 125 mg. Na aluminom / PVC / PVDC ọnya 7 ma ọ bụ 10 PC. 1 ọnya na akpa nke silica na ngwugwu nke aluminium laminated. 2 ngwugwu nke aluminium lavu emere na igbe kaadi.

Mbadamba ihe eji etinye fim, 850 mg + 125 mg. Na aluminom / PVC ọnya 7 pcs. 1 ọnya na akpa nke silica na ngwugwu nke aluminium laminated. Mpempe akwụkwọ 2 mkpọ na igbe kaadi.

Emeputa

SmithKlein Beach P.C. BN14 8QH, West Sussex, Vorsin, Clarendon Road, UK.

Aha na adresị nke ụlọ ọrụ iwu nyere aha nke enyere aha akwụkwọ nnabata ahụ aha: CJSC GlaxoSmithKline Trading. 119180, Moscow, Yakimanskaya nab., 2.

Maka ama ndị ọzọ, kpọtụrụ: GlaxoSmithKline Trading CJSC. 121614, Moscow, St. Krylatskaya, 17, bldg. 3, ala 5. Ogige Azụmaahịa "Ugwu Krylatsky."

Ekwentị: (495) 777-89-00, faksị: (495) 777-89-04.

Irationbọchị mmechi nke Augmentin

mbadamba ihe mkpuchi fim 250 mg + 125 mg 250 mg + 125 - afọ 2.

mbadamba ihe mkpuchi 500 mg + 125 mg - afọ 3.

mbadamba ihe mkpuchi fim 875 mg + 125 mg - 3 afọ.

ntụ ntụ maka nkwusioru maka nchịkwa ọnụ 125mg + 31.25mg / 5ml - afọ 2. Nkwado a kwadebere bụ ụbọchị asaa.

ntụ ntụ maka nkwusioru maka nchịkwa ọnụ 200 mg + 28.5 mg / 5 ml 200 mg + 28.5 mg / 5 - afọ 2. Nkwado a kwadebere bụ ụbọchị asaa.

ntụ ntụ maka nkwusioru maka nchịkwa ọnụ 400 mg + 57 mg / 5 ml 400 mg + 57 mg / 5 - afọ 2. Nkwado a kwadebere bụ ụbọchị asaa.

Ejila oge ngwụcha ụbọchị egosipụta na ngwugwu ahụ.

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