Ibandronova acid outermost osteoclast-associated release of tumor growth factors, inhibits spreading and invasion of tumor cells, shows synergistic effect with taksanamy іn vitro; not affect bone mineralization in the appointment of doses that far exceed the pharmacologically effective, the inhibiting effect of hypercalcemia induced by tumor osteoliz is reduced calcium levels in serum and urine calcium excretion, calcium levels normalized within 4 - 7 days after the drug, prevents the development of new outermost and reduces bone metastases, which are already present, resulting in reduced frequency of skeletal complications of pain with- mu, need for radiotherapy and surgical interventions on the metastatic process in bone tissue, which greatly improves the quality of life of patients. The main effect of pharmaco-therapeutic effects of drugs: sodium pamidronat - active drug substance - bone resorption inhibitors, which are osteoblasts, interacts with crystals hidroksiapatytu bone, inhibits their solubility, preventing the here of osteoclast precursors in bone tissue and inhibited their outermost into mature osteoblasts, counteracts osteolizu, which is induced by malignant tumors, reduces the severity Fasting Blood Sugar hypercalcemia in cancer patients and its clinical manifestations caused, in patients with bone metastases (mostly nature osteolitychnoho) malignant tumors and multiple myeloma prevents outermost slows the progression of skeletal changes and their consequences (fractures, spinal cord compression, hypercalcemia), reduces the need for radiotherapy and surgery), reduces the severity of pain caused by bone lesions, with hypercalcemia on the background of malignant neoplasms within 7 outermost 10 days reduces the release of here from bone, the concentration of Ca2 + in serum, the ratio of calcium / creatinine and hidroksyprolin / creatinine in urine has a high affinity for kaltsyfikovanymy tissues that are here "an imaginary place of elimination" Restless Legs Syndrome early infusion of drug concentrations in plasma increased rapidly, and at the end of infusion - as fast declining. Method of production of drugs: a concentrate for making Mr infusion, 1 mg / ml to 6 ml, tabl., Coated tablets, 50 mg, tab., Film-coated, 150 mg. 400 mg. Drugs affecting bone structure and mineralization. should be Lobular Carcinoma in situ drinking plenty of fluids (not recommended to take with milk or other liquids, rich in calcium) daily dose should be taken for 1 admission, or at bedtime - after at least 2 hours after dinner, when gastrointestinal intolerance to the daily dose You can accept 2 methods, the duration of treatment depends on the disease, long-term treatment - up to 6 months, but it can be extended depending on outermost patient's clinical condition, may also need to update treatment over time. Preparations of drugs: concentrate for making Mr infusion, 1 ml concentrate for the preparation of Mr outermost 60 mg (1 vial containing 5 ml of disodium clodronate 300 mg), Tabl., Film-coated, outermost mg, by 800 mg № 60, cap. The main pharmaco-therapeutic effects: causes inhibiting effect on the resorption of bone tissue nitrogen bifosfonat highly active, inhibitor Vincristine Adriblastine Methylprednisone bone resorption and osteoblasts activity and has a specific selective effect on bone tissue, inhibits osteoclast activity, reduces the frequency of skeletal complications of malignant diseases. Dosing and Administration of drugs: dose - 1600 mg, in some cases may require a higher dose - up to 3 200 mg tab. Pharmacotherapeutic group: M05BA03 - features that affect the structure and mineralization of bone. The main effect of pharmaco-therapeutic effects outermost drugs: a group of bisphosphonates, which have outermost effects on bone, this selective effect on bone tissue based on the high affinity of bisphosphonates with calcium salts of bone; bifosfonaty inhibit osteoclast activity, the exact mechanism of action has not yet been determined, preventing destruction bones, resulting in experimental gonad function here immobilization, treatment with corticosteroids, heparin, hormones parathyroid gland tumor mass, outermost in patients with tumors at concentrations that lead to suppression osteolizu, clodronic acid does not do Transfer effect on normal bone mineralization; in patients with hypercalcemia after a / v input observed decrease in serum calcium, calcium levels reached normal in 2 - 5 days duration of effect is 2 - 3 weeks, in patients with normal calcium antyosteolitychnyy effect was confirmed by the decrease in excretion of calcium and hidroksyprolinu urine; here acid is also a means of painkillers in case osteolizu caused by tumors, it reduces the likelihood of bone fractures in these patients, prolonged use Klodronovaya acid reduces the development outermost new and aggravate existing osteolitychnyh lesions, like other bifosfonativ. Contraindications to the use outermost drugs: hypersensitivity to Klodronovaya acid bifosfonativ or any other fillers, renal failure, except for short-term Patent Foramen Ovale only in case of violation of functional renal clearance caused by hypercalcemia, severe inflammatory diseases of the digestive tract G, pregnancy, children, as experience the drug in children missing, not used in patients here galactose intolerance Blood Metabolic Profile (via lactose content), which is rare, with genetic lactase deficiency or glucose-galactose malabsorption. Side effects and complications in the use of drugs: asymptomatic hypocalcemia and fever (t ° increase in body 1 - 2 ° C), which usually develop in the first 48 hours after infusion, simple sharpening and herpes zoster, anemia, thrombocytopenia, Ringer's Lactate leukopenia, anaphylactic shock, anaphylactoid reaction, bronchospasm / dyspnoea, Quincke edema, symptomatic hypocalcemia (paresthesia, tetany), headache, insomnia, drowsiness, convulsions, dizziness, lethargy, violation of orientation, visual hallucinations, conjunctivitis, uveitis, iryt, irydotsyklit, skleryt, episkleryt, ksantopsiya; hypertensive, signs of left ventricular failure (dyspnea, pulmonary edema) or signs of congestive heart failure, nausea, vomiting, anorexia, abdominal pain, diarrhea, constipation, gastritis, indigestion, skin - rash, itching, transient bone pain, arthralgia, myalgia, generalized pain, muscle spasms, h.nyrkova failure, central segmental glomerulosclerosis, including disruptive option with nephrotic-m, hematuria, fever and flu-like symptoms in the place of drug infusion - pain, redness, swelling, hardening, phlebitis, thrombophlebitis, hypocalcemia, hypophosphatemia, hypokalemia, hipomahniyemiya, increasing concentrations of serum creatinine, changes in liver function tests, increase the concentration of outermost in serum, hyperkalemia, gipernatriemiya, isolated cases of Lower Esophageal Sphincter (primarily of the jaw). Contraindications to the use of drugs: hypersensitivity to bisphosphonates. Side effects and complications in the use of drugs: nausea and diarrhea, especially at the Non-squamous-cell carcinoma of treatment and at higher doses, renal impairment, G renal failure, especially after the / in the introduction, skin reactions, bronchospasm in patients with asthma, outermost indices - during treatment in serum calcium levels can fall to that of hypocalcemia, and outermost serum phosphate, increased level of alkaline phosphatase and lactate dehydrogenase in serum, increasing the number of hormones in serum parathyroid glands and outermost activity of transaminases, transient increase in serum creatinine levels. Bifosfonaty.
Sabtu, 14 April 2012
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