10 qhov zoo tshaj plaws analogs ntawm Bisoprolol
Bisoprolol feem ntau yog tshuaj rau cov kab mob plawv, txawm li cas los xij, cov tshuaj tsis yog ib txwm pom hauv khw muag tshuaj, thiab nws tus nqi yog siab heev. Ua ke nrog ib tus kws kho plawv, peb tau sau cov npe ntawm pheej yig thiab zoo hloov pauv rau Bisoprolol thiab tham txog yuav ua li cas thiab thaum twg yuav coj lawv.

Bisoprolol belongs rau pab pawg neeg xaiv beta-blockers thiab siv nyob rau hauv cardiology rau kab mob plawv, mob plawv tsis ua hauj lwm. Feem ntau nws raug sau tseg rau kev kho mob plawv arrhythmias thiab kub siab.1.

Bisoprolol txo qhov kev pheej hmoo ntawm myocardial infarction thiab tuag hauv lub plawv tsis ua haujlwm. Cov tshuaj txo qis kev noj cov pa oxygen los ntawm lub plawv cov leeg, dilates cov hlab ntsha uas pub lub plawv, txo qhov zaus ntawm qhov mob tawm tsam thiab muaj txiaj ntsig zoo rau kev kuaj mob ntawm tus kab mob.2.

Kev mob tshwm sim thaum noj bisoprolol yog qhov tsawg heev. Raws li txoj cai, lawv raug cuam tshuam nrog kev xaiv tsis raug rau daim ntawv thov txheej txheem. Vim li no, tus neeg mob tuaj yeem txo cov ntshav siab thiab txo cov mem tes. Ntawm lwm cov kev mob tshwm sim: kiv taub hau, mob taub hau, dyspepsia, quav quav ( cem quav, raws plab). Qhov zaus ntawm lawv qhov tshwm sim tsis tshaj 10%.

Bisoprolol yog muab nrog kev saib xyuas zoo tshaj plaws rau cov neeg mob uas muaj mob hawb pob bronchial thiab atherosclerosis ntawm cov hlab ntsha ntawm qis qis. Hauv lub plawv tsis ua haujlwm, cov tshuaj yuav tsum tau noj tsawg kawg nkaus - 1,25 mg ib hnub ib zaug.

Daim ntawv teev npe saum 10 analogues thiab pheej yig hloov pauv rau Bisoprolol raws li KP

1. Concor

Concor muaj nyob rau hauv ntsiav tshuaj daim ntawv ntawm 5 thiab 10 mg thiab muaj bisoprolol raws li ib tug active ingredient. Cov txiaj ntsig tseem ceeb ntawm cov tshuaj yog tsom rau txo qis lub plawv dhia ob qho tib si thaum so thiab thaum lub sijhawm ua haujlwm, nrog rau kev nthuav dav cov hlab ntsha ntawm lub plawv.

Concor noj 1 zaug hauv ib hnub thaum sawv ntxov, tsis hais zaub mov. Qhov kev txiav txim ntawm cov tshuaj yuav kav ntev li 24 teev.

Contraindications: mob plawv thiab mob plawv tsis ua hauj lwm, cardiogenic poob siab, sinoatrial blockade, hnyav bradycardia thiab arterial hypotension, mob hawb pob bronchial, hnub nyoog txog li 18 xyoo.

kev hloov pauv zoo tshaj plaws rau cov tshuaj qub, kev kawm txog kev ua haujlwm.
Nws yog ib tug ntau ntawm contraindications.

2. Niperten

Niperten muaj nyob rau hauv cov ntsiav tshuaj daim ntawv ntawm 2,5-10 mg thiab kuj muaj bisoprolol nyob rau hauv muaj pes tsawg leeg. Cov nyhuv ntawm cov tshuaj yog qhov siab tshaj plaws ntawm 3-4 teev tom qab noj, tab sis cov concentration hauv cov ntshav tseem nyob ntev li 24 teev, uas ua kom muaj kev kho mob ntev. Niperten yuav tsum noj ib hnub ib zaug thaum sawv ntxov, tsis hais noj mov.

Contraindications: mob plawv tsis ua hauj lwm, mob plawv tsis ua hauj lwm nyob rau hauv lub sij hawm ntawm decompensation, cardiogenic poob siab, lub cev qhuav dej, pronounced txo nyob rau hauv cov ntshav siab, loj cov ntaub ntawv ntawm bronchial hawb pob thiab COPD nyob rau hauv keeb kwm, muaj hnub nyoog txog 18 xyoo.

Tus nqi qis dua piv rau Concor, cuam tshuam 24 teev.
tsis yog cov khoom qub.

3. Bisogamma

Bisogamma kuj muaj bisoprolol thiab muaj nyob rau hauv 5 thiab 10 mg ntsiav tshuaj. Qhov no yog ib qho tshuaj txhua hnub - nws txoj kev kho mob kav ntev li 24 teev.

Pib kho nrog ib koob tshuaj 5 mg 1 zaug hauv ib hnub. Tom qab ntawd, yog tias tsim nyog, cov koob tshuaj tau nce mus rau 10 mg 1 zaug hauv ib hnub. Qhov siab tshaj plaws pub noj ib hnub yog 20 mg. Bisogamma yuav tsum tau noj thaum sawv ntxov ua ntej noj mov.  

Contraindications: poob siab (xws li cardiogenic), pulmonary edema, mob plawv tsis ua hauj lwm, mob plawv tsis ua hauj lwm nyob rau theem ntawm decompensation, mob bradycardia, arterial hypotension (tshwj xeeb tshaj yog nrog myocardial infarction), mob hawb pob bronchial hawb pob thiab lwm yam kab mob obstructive airway kab mob, kev nyuaj siab, hnub nyoog nce. mus txog 18 xyoo.

tus nqi pheej yig.
Tsis yog cov tshuaj thawj zaug, ib daim ntawv teev npe loj ntawm contraindications.

4. Concor Core

Concor Cor yog ib tug tag nrho-fledged analogue ntawm Concor tshuaj, nrog rau kev hloov zoo rau Bisoprolol. Cov muaj pes tsawg leeg kuj muaj cov tshuaj nquag ntawm tib lub npe, thiab qhov sib txawv tseem ceeb yog nyob rau hauv ntau npaum. Concor Cor tsuas yog muaj nyob rau hauv ib koob ntawm 2,5 mg. Tsis tas li ntawd, cov ntsiav tshuaj yog xim dawb, tsis zoo li Concor, uas muaj xim tsaus nti vim qhov siab dua ntawm cov tshuaj nquag.

Contraindications: hypersensitivity rau lub Cheebtsam ntawm cov tshuaj, mob plawv tsis ua hauj lwm thiab mob ntev, cardiogenic poob siab, mob bradycardia thiab arterial hypertension, mob hawb pob bronchial, hnub nyoog txog 18 xyoo.

siv tau 24 teev.
vim qhov ntau npaum, nws tsuas yog muab rau kev kho mob plawv tsis ua hauj lwm.

5. Coronal

Thiab dua, ib qho tshuaj uas muaj cov tshuaj nquag bisoprolol. Coronal muaj nyob rau hauv cov ntsiav tshuaj ntawm 5 thiab 10 mg thiab siv tau rau 24 teev. Koj yuav tsum noj ib ntsiav tshuaj 1 zaug hauv ib hnub thaum sawv ntxov ua ntej noj mov. Qhov siab tshaj plaws koob tshuaj txhua hnub yog 20 mg.

Contraindications: poob siab (xws li cardiogenic), mob plawv tsis ua hauj lwm thiab mob tsis txaus, mob hnyav bradycardia, cardiomegaly (tsis muaj cov tsos mob ntawm lub plawv tsis ua hauj lwm), arterial hypotension (tshwj xeeb tshaj yog nrog myocardial infarction), bronchial hawb pob thiab mob ntsws pulmonary kab mob hauv keeb kwm, lub sij hawm lactation, hnub nyoog nce. mus txog 18 xyoo.

tus nqi pheej yig, kho cov nyhuv kav ntev li 24 teev.
tsawg dua kev xaiv noj. Tsis yog tshuaj qub.

6. Bisomor

Cov tshuaj Bisomor kuj muaj bisoprolol thiab yog ib qho pheej yig tab sis muaj txiaj ntsig zoo rau cov tshuaj qub ntawm tib lub npe. Bisomor muaj nyob rau hauv cov ntsiav tshuaj nrog ib koob ntawm 2,5, 5 thiab 10 mg thiab siv tau rau 24 teev. Noj tshuaj ib hnub ib zaug thaum sawv ntxov ua ntej noj mov. Qhov siab tshaj plaws pub noj txhua hnub yog 1 mg.

Contraindications: poob siab (xws li cardiogenic), mob plawv tsis ua hauj lwm thiab mob tsis txaus, mob hnyav bradycardia, cardiomegaly (tsis muaj cov tsos mob ntawm lub plawv tsis ua hauj lwm), arterial hypotension (tshwj xeeb tshaj yog nrog myocardial infarction), bronchial hawb pob thiab mob ntsws pulmonary kab mob hauv keeb kwm, lub sij hawm lactation, hnub nyoog nce. mus txog 18 xyoo.

kev xaiv ntau npaum li cas, ib qho kev tshwm sim rau 24 teev.
Tsis yog cov tshuaj thawj zaug, ib daim ntawv teev npe dav dav ntawm contraindications.

7. Kev

Cov tshuaj Egilok tsis yog qhov sib npaug rau kev hloov pauv rau Bisoprolol, vim nws muaj metoprolol ua cov khoom xyaw nquag. Lub luag haujlwm tseem ceeb ntawm Egilok yog txhawm rau txo cov ntshav siab thiab lub plawv dhia.

Cov tshuaj yog tsim nyob rau hauv cov ntsiav tshuaj nrog ib koob ntawm 25, 50 thiab 100 mg. Cov txiaj ntsig siab tshaj plaws yog pom hauv 1-2 teev tom qab kev tswj hwm. Koj yuav tsum noj cov ntsiav tshuaj 2-3 zaug hauv ib hnub.

Contraindications: plawv tsis ua hauj lwm nyob rau theem ntawm decompensation, cardiogenic poob siab, mob peripheral circulatory disorders, nrog rau kev hem thawj ntawm gangrene, mob myocardial infarction, pub niam mis, hnub nyoog txog li 18 xyoo.

kev kho mob sai sai. Nws yog siv tsis tau tsuas yog los kho angina pectoris thiab ntshav siab, tab sis kuj ventricular extrasystole thiab supraventricular tachycardia.
Cov nyhuv luv luv, nws yog ib qho tsim nyog yuav tau noj cov tshuaj 2 zaug hauv ib hnub.

8. Betalok ZOC

Lwm qhov kev hloov pauv yog Bisaprolol, uas muaj metoprolol. Betaloc ZOK muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, thiab nws lub luag haujlwm tseem ceeb yog txo cov ntshav siab. Qhov siab tshaj plaws ntawm cov tshuaj yog hnov ​​nyob rau hauv 3-4 teev tom qab noj. Betaloc ZOK muaj kev ua haujlwm ntev, yog li nws tau noj ib hnub ib zaug.

Contraindications: AV block II thiab III degree, lub plawv tsis ua hauj lwm nyob rau theem decompensation, sinus bradycardia, cardiogenic poob siab, arterial hypotension, xav tias mob myocardial infarction, hnub nyoog qis dua 18 xyoo.

Cov npe loj ntawm cov lus qhia rau kev siv (angina pectoris, kub siab, plawv tsis ua hauj lwm, migraine prophylaxis), siv tau rau 24 teev.
tuaj yeem tshwm sim: bradycardia, qaug zog, kiv taub hau.

9. TSEEM CEEB

SotaGEKSAL muaj sotalol thiab muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj nrog ib koob ntawm 80 thiab 160 mg. Sotalol, txawm hais tias nws belongs rau beta-blockers, zoo li bisoprolol, txawm li cas los xij, feem ntau yog siv los ua cov tshuaj uas muaj cov nyhuv antiarrhythmic thiab tau sau tseg rau kev tiv thaiv ntawm atrial arrhythmias thiab kev saib xyuas ntawm sinus atherosclerosis. Nws yog ib qho tsim nyog yuav tau noj SotaGEKSAL 2-3 zaug hauv ib hnub.

kev kho mob sai sai.
yuav tsum tau saib xyuas tus neeg mob tus mob ntawm ECG. Tej yam tshwm sim: txo qis hauv plawv dhia thiab ntshav siab, nce rhiab heev rau cov khoom ntawm cov tshuaj.

10. Tsis yog daim pib

Nebilet muaj cov active tshuaj nebivolol. Cov tshuaj yog tsim nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj nrog ib koob ntawm 5 mg. Lub luag haujlwm tseem ceeb ntawm Nebilet yog txhawm rau txo cov ntshav siab thaum so thiab kev tawm dag zog lub cev, nrog rau thaum muaj kev ntxhov siab. Qhov siab tshaj plaws tshwm sim nyob rau hauv 1-2 teev tom qab noj cov tshuaj. Koj yuav tsum noj Nebilet 1 zaug hauv ib hnub.

Contraindications: mob plawv tsis ua hauj lwm, mob plawv tsis ua hauj lwm nyob rau theem ntawm decompensation, hnyav arterial hypotension, bradycardia, cardiogenic poob siab, mob siab heev, keeb kwm ntawm bronchospasm thiab bronchial hawb pob, kev nyuaj siab, hnub nyoog qis dua 18 xyoo.

txhawb kev tsim cov nitric oxide, yog li tiv thaiv thiab ntxiv dag zog rau cov phab ntsa ntawm cov hlab ntsha, txo cov ntshav siab sai.
Tej yam tshwm sim: mob taub hau, kiv taub hau, xeev siab.

Yuav ua li cas xaiv ib qho analogue ntawm Bisoprolol

Tag nrho cov tshuaj saum toj no, rau ib qib lossis lwm qhov, yog cov analogues ntawm Bisoprolol. Lawv txawv nyob rau hauv qhov hnyav thiab lub sij hawm ntawm cov kev kho mob nyhuv, solubility nyob rau hauv cov rog thiab dej, raws li zoo raws li ntxiv thiab phiv.3. Tsuas yog tus kws kho mob tuaj yeem xaiv qhov zoo analogue ntawm Bisoprolol, txij li txhua cov tshuaj muaj nws tus kheej cov yam ntxwv ntawm kev siv, thiab cov tshuaj nquag tsis hloov pauv. Piv txwv li, koj tsis tuaj yeem hloov 10 mg ntawm bisoprolol nrog 10 mg ntawm nebivolol - qhov no tuaj yeem ua rau koj mob hnyav.

Kev tshuaj xyuas ntawm cov kws kho mob txog analogues ntawm Bisoprolol

Ntau tus kws kho plawv pom zoo siv cov tshuaj Concor, uas txo qis lub plawv dhia thiab ua rau tsis muaj kev phiv. Nws yog qhov yooj yim los xaiv cov koob tshuaj, pib nrog qhov tsawg tshaj plaws, thiab tom qab ntawd cia nws mus ntev4.

Cov kws kho mob kuj pom zoo kom siv Betalok ZOK. Cov tshuaj no txo ​​qis ntshav siab thiab tsuas yog noj 1 zaug hauv ib hnub.

Nyob rau tib lub sijhawm, cov kws tshaj lij tau hais tias txawm tias muaj ntau cov analogues ntawm Bisoprolol, tsuas yog tus kws kho mob tuaj yeem xaiv cov tshuaj tsim nyog.

Nrov lus nug thiab lus teb

 Peb tau tham txog cov teeb meem tseem ceeb ntsig txog bisoprolol analogues nrog Tus kws kho mob kho mob, kws kho plawv Tatyana Brodovskaya.

Cov neeg mob twg tau pom zoo bisoprolol?

- Ua ntej tshaj plaws, cov no yog cov neeg mob angina pectoris, mob plawv tsis ua haujlwm. Hauv qhov no, peb pom qhov muaj txiaj ntsig zoo ntawm kev tiv thaiv kev tuag, nrog rau kev txo qis ntawm cov teeb meem txaus ntshai (piv txwv li, myocardial infarction). Tab sis nyob rau hauv kev kho mob ntawm arterial hypertension, cov chav kawm ntawm cov tshuaj no yog tsawg nyob rau hauv kev thov niaj hnub no, txawm hais tias nws tau teev nyob rau hauv cov ntaub ntawv teev npe.

Yuav ua li cas yog tias koj tsis siv Bisoprolol thiab hloov mus rau ib qho analogue?

- Thawj qhov tseem ceeb uas yuav tsum tau ua tib zoo saib yog tias beta-blockers tsis pom zoo kom muab tshem tawm sai sai. Kev tshem tawm yuav tsum maj mam thiab nyob rau hauv kev saib xyuas kev kho mob.

Cov kev mob tshwm sim xws li bradycardia, kev txhim kho ntawm atrioventricular blockade, kev txo qis ncaj qha nyob ntawm qhov ntau npaum ntawm cov tshuaj. Yog li ntawd, yog tias muaj kev phiv tshwm sim, koj tuaj yeem tham nrog koj tus kws kho mob qhov teeb meem ntawm kev txo cov tshuaj, thiab tsis tshem tawm tag nrho.

Kev xaiv ntawm ib qho analogue thiab hloov bisoprolol tsis tuaj yeem cuam tshuam nrog nws tus kheej. Tsuas yog tus kws kho mob yuav coj mus rau hauv tus account tag nrho cov yam ntxwv ntawm tus neeg mob qhov chaw kho mob: lub xub ntiag ntawm sab laug ventricular hypertrophy, dyslipidemia, lub xeev ntawm daim siab thiab lub raum kev ua haujlwm, arrhythmias, thiab tom qab ntawd xaiv tus kheej tsim nyog beta-blockers.

  1. Shlyakhto EV Cardiology: Phau ntawv qhia lub tebchaws. M., 2021. https://www.rosmedlib.ru/book/ISBN9785970460924.html
  2. kho cov qauv. 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. Xyoo 2000-2022. Sau npe ntawm DRUGS RUSSIA® RLS https://www.rlsnet.ru/

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