tiazolidindionele(glitazonele) Flashcards

1
Q

reprezentanti

A

pioglitazona
rosiglitazona

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2
Q

denumire comerciala pioglitazona

A

actos 15, 30, 45 mg

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3
Q

denumire comerciala rosiglitazona

A

avandia

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4
Q

administrare

A

initiere cu doza minima
se triteaza la 4 saptamani
se poate adminstra nelegat de alimintatie
se poate asocia cu oricare alta clasa, inclusiv insulina(nu si rosiglitazona)

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5
Q

mecanism

A

reduc rezistenta la insulina prin interactiunea cu receptorul PPAR-gamma, un receptor cu implicare in metabolismul lipidelor si actiunea insulinei

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6
Q

indicatii

A

persoanele cu boala ficatului gras non alcoolic
IR

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7
Q

efecte adverse

A

edeme periferice
tulburari digestive
crampe musculare
dureri osoase
nevralgi

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8
Q

contraindicatii

A

boala hepatica cu transaminaze crescute cu 2,5 ori
alcoolism cronic
IC 3 sau 4
cetoacidoza
copii sub 18 ani

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