Stomach ulcer and duodenal ulcer - the most common diseases of internal organs, which, according to world statistics, distributed in approximately 10% of the adult population. According to the Center for Health Statistics of Ukraine, the incidence of peptic ulcer (BU) in our country over the past 10 years has increased by 38,4%.
In recent years, significant progress in diagnosis and therapy of peptic ulcer disease, numerous studies have greatly expanded our understanding of the etiologic structure of the disease and its pathogenetic features. The prevalence of peptic ulcer disease in Ukraine, CIS and other countries still has no tendency to decrease, and the resulting complications are often life threatening ill and require surgical correction.
The most common cause of ulcer is now considered to Helicobacter pylori infection. Helicobacter pylori (HP) induces an inflammatory reaction and damage to the gastric mucosa. In addition, it violates the system of intercellular relationships that govern the system of gastrin, since the formation around her "alkali cloud of ammonium ions removed in the existing rate of inhibition in the acidic environment of secretion of gastrin G-cells.
At the same time, the effects on gastroduodenal mucosa of factors of aggression and decreased functioning of protective factors is a major pathophysiological determinant in the development of peptic ulcer disease. Therefore, antiulcer therapy should include both antisecretory drugs, and drugs intended for HP eradication. Standard eradication therapy is a combination of proton pump inhibitors (H + / K +-ATPase), two antibiotics and bismuth subcitrate.
Despite the advances of modern medical treatment, severity of ulcers, often accompanied by complications or recurrent pattern of illness sometimes do not give the opportunity to take an explicit decision on the choice of treatment. These patients sometimes only surgery can have a significant impact on the course of the pathological process. And if we take into account that peptic ulcer disease - a chronic disease of leaking, which can lead to a variety of life-threatening complications, the treatment of these patients can be both therapeutic and surgical. Very important is the joint decision of specialists and surgical therapeutic profiles of algorithms and standards for the treatment of patients.
Unfortunately, some leading physicians are very aggressive surgical treatment of peptic ulcer. We make common cause in the first place to think about patients, to prevent life-threatening complications, which often has an unfavorable outcome or the cause of functional failure of surgical intervention.
In addition, the choice of treatment strategy in patients with ulcer can not specifically brand viagra affect the existing socio-economic situation where an adequate therapy for an hour Tee patients is very expensive, and far exceeds the cost of surgical treatment. There is also a group of patients refractory to the action of antiulcer drugs. Thus, among all patients with ulcer patients, due to surgical treatment, have a large share.
At the same time a difficult problem that requires further scientific research and practical solutions are complicated forms of the disease, as drug therapy in some patients does not reduce the rate of ulcer complications, but only pushes their appearance at a later date. It is believed that 30 to 50% of patients with gastroduodenal ulcers respond poorly to antisecretory medication, they constitute the main group of patients experiencing complications of peptic ulcer. In such cases, only surgical treatment can have a significant impact on the disease.
What, in our opinion, needs to be done to solve the problem? How can we address this problem by adopting a law on medical insurance?
We believe that, firstly, it would be useful to gastroenterologists, and surgeons to create a unified clinical and statistical classification of peptic ulcer based on the ICD-10 enable the development of clinical diagnosis, taking into account the severity of the disease activity of ulcerative process and the presence of complications. A unified approach to clinical diagnosis, a common understanding of criteria for defining the individual classification attributes, will unify and standardize the distribution of medical resources.
Second, the presence of a single classification approach will generate a list of states that distributes patients for outpatient and inpatient treatment, depending on the level of the medical institution providing care, and disease severity. This approach greatly help solve the problem of the choice of treatment, to determine the list and scope of diagnostic procedures and curative care for a particular patient.
opposite effect
inhibitory effects
hormones
topical ointment
tactics
الأربعاء، 26 يناير 2011
الخميس، 20 يناير 2011
Traumatic shock
The question of liver injury have long attracted the attention of surgeons due to the difficulty of diagnosis, especially if it is combined with injuries of other abdominal organs, chest, skull, spine, musculoskeletal system, the complexity of surgical procedures, severe clinical course and high mortality (up to 70 %).
The purpose of this study was to determine the prevalence of brand viagra online liver injury and analysis for emergency surgical care to these victims according to forensic Kursk for the period from 2000 to 2003. with subsequent statistical processing.
In 2000, the proportion of liver injury by the total number of autopsies was 2.6% in 2001 - 2,4% in 2002 - 5,3% in 2003 - 4,1%.
In 338 (92%) of 366 victims has been a closed liver damage in 28 (8%) - open. Combined injuries encountered in 261 (71%) case.
For 4 years the number of men was 269 (73%), women - 97 (27%).
According to the forensic chemical generic viagra examination of 146 (40%) suffered at the time of the injury in a state of intoxication.
Mechanisms of injury were: road transport injury in 182 (49.7%) affected, falling from height in 68 (18,6%), hit with a blunt object in 49 (13,4%), railway injury in 36 (10%), knife injured in 21 (5.7%), gunshot wounds in 7 (1,8%), explosive injury in 2 (0.5%). One (0.3%) suffered liver injury was obtained in a plane crash.
The cause of death in 150 (41%) suffered was traumatic shock, 73 (20%) - bleeding, in 143 (39%) - a combination of traumatic and hemorrhagic shock.
When a blunt trauma injury of the right lobe of the liver was noted in 212 (58%) patients (10 times more often brand name levitra than the left), left lobe in 21 (5%), both lobes in 105 (29%), ligamentous apparatus in 57 (14%) cases. Crush injury of the liver tissue encountered in 48 (13%) affected.
39 (11%) patients with blunt liver trauma died in a surgical hospital. Of those operated on 16 (4,5%). In the first hour after admission were operated on 6 (1.7%) patients, up to two hours - 6 (1,7%), up to three hours - 4 (1,1%). The remaining 23 (6.5%) suffered cialis without prescription damage to abdominal organs has not been diagnosed. During their stay in hospital after admission and before death ranged from one hour to four days.
Thus, the prevalence of liver injury remains high and has a tendency to increase, which is probably associated with decreased social well-being of society, increase traffic and criminal injuries. Much of the defects associated hospital period, in many cases with atypical course of injury due to intoxication.
We should also note generic levitra that men are injured in 2,8 times more often than women. The complexity of the morphological structure of the liver causes a variety of injuries, which is also the reason for the lack of a universal classification and requires further research.
a peck of salt
healing process
abnormal pregnancy risk
autoimune syndrome
The purpose of this study was to determine the prevalence of brand viagra online liver injury and analysis for emergency surgical care to these victims according to forensic Kursk for the period from 2000 to 2003. with subsequent statistical processing.
In 2000, the proportion of liver injury by the total number of autopsies was 2.6% in 2001 - 2,4% in 2002 - 5,3% in 2003 - 4,1%.
In 338 (92%) of 366 victims has been a closed liver damage in 28 (8%) - open. Combined injuries encountered in 261 (71%) case.
For 4 years the number of men was 269 (73%), women - 97 (27%).
According to the forensic chemical generic viagra examination of 146 (40%) suffered at the time of the injury in a state of intoxication.
Mechanisms of injury were: road transport injury in 182 (49.7%) affected, falling from height in 68 (18,6%), hit with a blunt object in 49 (13,4%), railway injury in 36 (10%), knife injured in 21 (5.7%), gunshot wounds in 7 (1,8%), explosive injury in 2 (0.5%). One (0.3%) suffered liver injury was obtained in a plane crash.
The cause of death in 150 (41%) suffered was traumatic shock, 73 (20%) - bleeding, in 143 (39%) - a combination of traumatic and hemorrhagic shock.
When a blunt trauma injury of the right lobe of the liver was noted in 212 (58%) patients (10 times more often brand name levitra than the left), left lobe in 21 (5%), both lobes in 105 (29%), ligamentous apparatus in 57 (14%) cases. Crush injury of the liver tissue encountered in 48 (13%) affected.
39 (11%) patients with blunt liver trauma died in a surgical hospital. Of those operated on 16 (4,5%). In the first hour after admission were operated on 6 (1.7%) patients, up to two hours - 6 (1,7%), up to three hours - 4 (1,1%). The remaining 23 (6.5%) suffered cialis without prescription damage to abdominal organs has not been diagnosed. During their stay in hospital after admission and before death ranged from one hour to four days.
Thus, the prevalence of liver injury remains high and has a tendency to increase, which is probably associated with decreased social well-being of society, increase traffic and criminal injuries. Much of the defects associated hospital period, in many cases with atypical course of injury due to intoxication.
We should also note generic levitra that men are injured in 2,8 times more often than women. The complexity of the morphological structure of the liver causes a variety of injuries, which is also the reason for the lack of a universal classification and requires further research.
a peck of salt
healing process
abnormal pregnancy risk
autoimune syndrome
الأحد، 9 يناير 2011
High dose
Drug therapy
The main principles of conservative treatment of patients HOZANK is life and continuity of care, differential treatment based nosology and disease stage, multimodality treatment using all the options for therapeutic effects (Pharmacotherapy, spa treatment, physical therapy, diet, physiotherapy, etc.).
History of treatment of patients HOZANK can be divided into 3 phases. Initially, based on the available at that time, ideas about the pathogenesis of these diseases, priority is the appointment of antispasmodics. However, subsequent observations have shown not only by their low efficiency, but in many cases, especially in severe stages of arterial insufficiency, a clear deterioration of the affected limb. In the future the main direction of treatment began to consider the normalization of blood rheology, particularly aggregation activity of erythrocytes and platelets. Currently, along with the direction of increasing attention is paid to the metabolic aspects of these diseases.
With today's core positions of conservative therapy of patients HOZANK should be considered:
1) improvement of microcirculation,
2) suppression of the overproduction of cytokines and free radicals
3) increasing the antioxidant activity of blood,
4) immunotherapy,
5) the normalization of lipid metabolism,
6) stimulation of development of collaterals.
Implementation of these recommendations (except the last two) can quite quickly get a clinical effect and why, along with routine treatment, they are the basis of intensive care of these patients carried out if necessary. Microcirculation improvement achieved lower aggregation of red blood cells and platelets, increasing the plastic properties of erythrocytes and leukocytes, decreased adhesion of platelets and leukocytes to the vascular wall, as well as lower hematocrit and blood viscosity. Suppression of overproduction of neutrophils and platelets of various biologically active substances that damage the endothelium and contributing to both local thrombosis and atherogenesis, is essential in severe stages of arterial insufficiency. It also has been linked to inhibition of free radicals and the need to improve the antioxidant properties of blood.
Implementation of all these areas of treatment has now become possible thanks to the emergence of new effective drugs, possessing, as a rule, multicomponent effects. Some of them useful in more detail.
First of all, it should be noted brand viagra pentoxifylline. The drug is used in the treatment of patients with peripheral vascular disease for 25 years. Apart from a pronounced effect on platelet hemostasis, it helps to reduce erythrocyte aggregation and to enhance their plastic properties, increases levels of cAMP in the tissues, and also has prostatsiklinstimuliruyuschey activity. It inhibits the anti-inflammatory effect of various cytokines (IL1 and TNF), as well as superoxide production, which is essential for the treatment of severe stages of arterial insufficiency.
Pentoxifylline is more effective at a dose of 1200 mg / day. The drug, despite the high dose was well tolerated by the gradual absorption in the gastrointestinal tract that does not generate its highest concentrations in the blood. Good tolerability of pentoxifylline is also noted for a long time (several years) use.
An important advantage is preserving the therapeutic efficacy, which reduces platelet aggregation and blood viscosity, as well as improving the elastic properties of red blood cells throughout the course of treatment. Clinically, patients with intermittent claudication is manifested by gradual and steady increase in painless walking distance in most patients.
Promising in the treatment of peripheral artery disease is a systemic enzyme, ie oral application specifically designed mixtures of hydrolytic enzymes from plants and animals. Of these, the most famous are the drugs Wobenzym and flogenzim. Their high efficacy in the treatment of peripheral artery disease is associated with increased fibrinolysis, the destruction of deposits of fibrin, inhibiting platelet aggregation, reduction of elasticity of red blood cells, the optimization of the inflammatory process, an analgesic effect (due to the destruction of inflammatory mediators - serotonin, histamine, bradykinin, etc.), the impact on immunegenesis - immunomodulatory action associated with the effect of enzymes on the production and removal of cytokines, blocking of excessive formation, inactivation and removal of "dangerous" cytokines, reduction and even the splitting of immune complexes. There is also activation of phagocytosis and a decrease in dyslipoproteinemia. In other words, there is a physiological modulation of host defense reactions. Extremely important is the almost complete safety of these drugs. The above mechanisms of action of systemic enzyme determine its effectiveness not only in lesions of blood vessels, but also in venous pathology, in particular in the treatment of thrombophlebitis and post-thrombotic disease, as confirmed by our data.
To effective treatment of patients HOZANK also applies tanakan. Its main active principle - an extract of Ginkgo biloba. Therapeutic effect of the drug due to the influence of derivatives terpene acid, proanthocyanidins and glikozidflavinov. Mechanisms of action Tanakan are the following: 1) reducing the aggregation of red blood cells and platelets, and 2) resistance trombotsatarnomu factor aggregation, and 3) inhibition of what else will help of Viagra free radicals ("retention effect"), which protects the structural and functional integrity of cell membranes, and 4) a positive effect on the nervous transmission 5) the anti-edema effect, and 6) improvement of energy metabolism (increased glucose uptake and oxygen, ATP synthesis, the removal of lactate).
As platelet disaggregants widely used aspirin at a daily dose of 100 - 325 mg. Its negative properties, unlike other non-steroidal anti-inflammatory drugs is a dose-dependent inhibition of synthesis of the most powerful of all known natural antiplatelet agents - prostacyclin. It is this justified the use of small doses of the drug, not inhibits the synthesis of prostacyclin in the vascular wall.
Large doses of aspirin inhibit not only platelet cyclooxygenase (antiaggregatory effect), but also vessels, leading to a decrease in the synthesis of prostacyclin. This negative property Aspirin leveled his small doses.
Indicated deficiencies does not have a drug ticlopidine, which is a potent antiaggregatory agent [5]. The drug inhibits ADP-induced platelet aggregation and aggregation induced by collagen, reduces platelet adhesion to the vascular wall (especially in the area of atherosclerotic plaque), normalizes erythrocyte deformability. Ulcerogenic action of ticlopidine is less pronounced than that of aspirin. The drug can be used as monotherapy. Along with HOZANK he was appointed for the prevention of stroke and myocardial infarction, particularly in patients with intermittent claudication. Tiklid has a pronounced therapeutic effect in diabetic angiopathy.
Pregnant women
how not to get sick
Vascular purpura
The main principles of conservative treatment of patients HOZANK is life and continuity of care, differential treatment based nosology and disease stage, multimodality treatment using all the options for therapeutic effects (Pharmacotherapy, spa treatment, physical therapy, diet, physiotherapy, etc.).
History of treatment of patients HOZANK can be divided into 3 phases. Initially, based on the available at that time, ideas about the pathogenesis of these diseases, priority is the appointment of antispasmodics. However, subsequent observations have shown not only by their low efficiency, but in many cases, especially in severe stages of arterial insufficiency, a clear deterioration of the affected limb. In the future the main direction of treatment began to consider the normalization of blood rheology, particularly aggregation activity of erythrocytes and platelets. Currently, along with the direction of increasing attention is paid to the metabolic aspects of these diseases.
With today's core positions of conservative therapy of patients HOZANK should be considered:
1) improvement of microcirculation,
2) suppression of the overproduction of cytokines and free radicals
3) increasing the antioxidant activity of blood,
4) immunotherapy,
5) the normalization of lipid metabolism,
6) stimulation of development of collaterals.
Implementation of these recommendations (except the last two) can quite quickly get a clinical effect and why, along with routine treatment, they are the basis of intensive care of these patients carried out if necessary. Microcirculation improvement achieved lower aggregation of red blood cells and platelets, increasing the plastic properties of erythrocytes and leukocytes, decreased adhesion of platelets and leukocytes to the vascular wall, as well as lower hematocrit and blood viscosity. Suppression of overproduction of neutrophils and platelets of various biologically active substances that damage the endothelium and contributing to both local thrombosis and atherogenesis, is essential in severe stages of arterial insufficiency. It also has been linked to inhibition of free radicals and the need to improve the antioxidant properties of blood.
Implementation of all these areas of treatment has now become possible thanks to the emergence of new effective drugs, possessing, as a rule, multicomponent effects. Some of them useful in more detail.
First of all, it should be noted brand viagra pentoxifylline. The drug is used in the treatment of patients with peripheral vascular disease for 25 years. Apart from a pronounced effect on platelet hemostasis, it helps to reduce erythrocyte aggregation and to enhance their plastic properties, increases levels of cAMP in the tissues, and also has prostatsiklinstimuliruyuschey activity. It inhibits the anti-inflammatory effect of various cytokines (IL1 and TNF), as well as superoxide production, which is essential for the treatment of severe stages of arterial insufficiency.
Pentoxifylline is more effective at a dose of 1200 mg / day. The drug, despite the high dose was well tolerated by the gradual absorption in the gastrointestinal tract that does not generate its highest concentrations in the blood. Good tolerability of pentoxifylline is also noted for a long time (several years) use.
An important advantage is preserving the therapeutic efficacy, which reduces platelet aggregation and blood viscosity, as well as improving the elastic properties of red blood cells throughout the course of treatment. Clinically, patients with intermittent claudication is manifested by gradual and steady increase in painless walking distance in most patients.
Promising in the treatment of peripheral artery disease is a systemic enzyme, ie oral application specifically designed mixtures of hydrolytic enzymes from plants and animals. Of these, the most famous are the drugs Wobenzym and flogenzim. Their high efficacy in the treatment of peripheral artery disease is associated with increased fibrinolysis, the destruction of deposits of fibrin, inhibiting platelet aggregation, reduction of elasticity of red blood cells, the optimization of the inflammatory process, an analgesic effect (due to the destruction of inflammatory mediators - serotonin, histamine, bradykinin, etc.), the impact on immunegenesis - immunomodulatory action associated with the effect of enzymes on the production and removal of cytokines, blocking of excessive formation, inactivation and removal of "dangerous" cytokines, reduction and even the splitting of immune complexes. There is also activation of phagocytosis and a decrease in dyslipoproteinemia. In other words, there is a physiological modulation of host defense reactions. Extremely important is the almost complete safety of these drugs. The above mechanisms of action of systemic enzyme determine its effectiveness not only in lesions of blood vessels, but also in venous pathology, in particular in the treatment of thrombophlebitis and post-thrombotic disease, as confirmed by our data.
To effective treatment of patients HOZANK also applies tanakan. Its main active principle - an extract of Ginkgo biloba. Therapeutic effect of the drug due to the influence of derivatives terpene acid, proanthocyanidins and glikozidflavinov. Mechanisms of action Tanakan are the following: 1) reducing the aggregation of red blood cells and platelets, and 2) resistance trombotsatarnomu factor aggregation, and 3) inhibition of what else will help of Viagra free radicals ("retention effect"), which protects the structural and functional integrity of cell membranes, and 4) a positive effect on the nervous transmission 5) the anti-edema effect, and 6) improvement of energy metabolism (increased glucose uptake and oxygen, ATP synthesis, the removal of lactate).
As platelet disaggregants widely used aspirin at a daily dose of 100 - 325 mg. Its negative properties, unlike other non-steroidal anti-inflammatory drugs is a dose-dependent inhibition of synthesis of the most powerful of all known natural antiplatelet agents - prostacyclin. It is this justified the use of small doses of the drug, not inhibits the synthesis of prostacyclin in the vascular wall.
Large doses of aspirin inhibit not only platelet cyclooxygenase (antiaggregatory effect), but also vessels, leading to a decrease in the synthesis of prostacyclin. This negative property Aspirin leveled his small doses.
Indicated deficiencies does not have a drug ticlopidine, which is a potent antiaggregatory agent [5]. The drug inhibits ADP-induced platelet aggregation and aggregation induced by collagen, reduces platelet adhesion to the vascular wall (especially in the area of atherosclerotic plaque), normalizes erythrocyte deformability. Ulcerogenic action of ticlopidine is less pronounced than that of aspirin. The drug can be used as monotherapy. Along with HOZANK he was appointed for the prevention of stroke and myocardial infarction, particularly in patients with intermittent claudication. Tiklid has a pronounced therapeutic effect in diabetic angiopathy.
Pregnant women
how not to get sick
Vascular purpura
الأحد، 2 يناير 2011
Multi-center
The choice of RV and its optimal dosage should be determined by the quantity and bioavailability of the contained iron, portability, cost. It should be borne in mind that an adequate increase in hemoglobin in patients with IDA may be achieved by intake of 30 to 100 mg of elemental iron. Given that the development of IDA iron absorption is increased compared to the norm and is 25-30% (with normal iron stores - only 3-7%), it is necessary to assign 100 to 300 mg of elemental iron per day. The use of higher doses has no meaning, since iron absorption is not increased. With this in mind when choosing a RV should be guided not by their content of total iron compounds, and the amount of elemental iron. For example, administration of these drugs ferrous sulfate with a low content of elemental iron (less than 100 mg), the number of tablets taken must be 3 or higher (depending on the content of iron in each pill), while drugs sulfate, fumarate or gidroksipolimaltoznogo iron complex with containing 100 mg elemental iron can be taken in an amount of 1-2 tablets per day.
The main PSG are iron sulfate, gluconate, chloride, fumarate, glycine sulfate. The greatest brand name viagra degree of absorption of drugs have iron sulfate, and the smallest - glycine sulphate. Many of the PSG contain substances such as ascorbic acid, reinforcing iron absorption and improve bioavailability, as well as vitamins (folic acid, cyanocobalamin). Among the VLS in the domestic market are gidroksipolimaltozny complex, iron-sorbitolovy complex protein suktsinilat iron, iron-sucrose complex. The new highly effective and safe iron preparations are preparations which are non-ionic compound of iron-based gidroksipolimaltoznogo Complex (GIC) of ferric iron.
The structure of the complex consists of a multi-center hydroxide Fe (III), surrounded by non-covalently bound molecules polymaltose. The complex has a large molecular weight, which hinders its diffusion through the membrane of the intestinal mucosa. Chemical structure of the complex is as close to the structure of natural compounds of iron with ferritin. Absorption of iron in the form of GIC has a fundamentally different scheme than its ionic compounds and ensures the supply of Fe (III) from the intestine into the blood by active suction. Nonionic structure of the complex ensures its stability and transport of iron by the transport protein in the body that prevents free diffusion of iron ions, ie prooxidant reactions.
Safety data collected during clinical trials of the drug on the basis of iron hydroxide Fe (III) with polymaltose indicate a low incidence of side effects compared with the salt with iron. For better portability PSG should be taken with food, although it should be borne in mind that iron absorption is better when Viagra cost per pill taking medication before eating. Vsasyvaniezheleza may decrease under the influence contained in certain food substances - phytin (rice, soy), phosphate (fish, seafood), tannins (tea, coffee).
Many patients tend to wash down medicines, we conclude that in cases receiving the pancreas in the form of salt is unacceptable because the formation of poorly soluble complexes with their low absorption in the intestine. In addition, the absorption of iron from the pancreas in the form of salts deteriorates while receiving several medications (tetracyclines, antacids, magnesium salts). With this in mind to recommend supplementation of iron salts at different times with the other above-mentioned drugs. Preparations VLS in particular gidroksipolimaltozny complex devoid of such shortcomings, because Food and Drug Administration does not affect the absorbability of iron (as the trivalent form) of the iron complexes. Table 2 shows the main drugs registered in Russia, PSG and VLC for ingestion.
Studying history
Myelin
The main PSG are iron sulfate, gluconate, chloride, fumarate, glycine sulfate. The greatest brand name viagra degree of absorption of drugs have iron sulfate, and the smallest - glycine sulphate. Many of the PSG contain substances such as ascorbic acid, reinforcing iron absorption and improve bioavailability, as well as vitamins (folic acid, cyanocobalamin). Among the VLS in the domestic market are gidroksipolimaltozny complex, iron-sorbitolovy complex protein suktsinilat iron, iron-sucrose complex. The new highly effective and safe iron preparations are preparations which are non-ionic compound of iron-based gidroksipolimaltoznogo Complex (GIC) of ferric iron.
The structure of the complex consists of a multi-center hydroxide Fe (III), surrounded by non-covalently bound molecules polymaltose. The complex has a large molecular weight, which hinders its diffusion through the membrane of the intestinal mucosa. Chemical structure of the complex is as close to the structure of natural compounds of iron with ferritin. Absorption of iron in the form of GIC has a fundamentally different scheme than its ionic compounds and ensures the supply of Fe (III) from the intestine into the blood by active suction. Nonionic structure of the complex ensures its stability and transport of iron by the transport protein in the body that prevents free diffusion of iron ions, ie prooxidant reactions.
Safety data collected during clinical trials of the drug on the basis of iron hydroxide Fe (III) with polymaltose indicate a low incidence of side effects compared with the salt with iron. For better portability PSG should be taken with food, although it should be borne in mind that iron absorption is better when Viagra cost per pill taking medication before eating. Vsasyvaniezheleza may decrease under the influence contained in certain food substances - phytin (rice, soy), phosphate (fish, seafood), tannins (tea, coffee).
Many patients tend to wash down medicines, we conclude that in cases receiving the pancreas in the form of salt is unacceptable because the formation of poorly soluble complexes with their low absorption in the intestine. In addition, the absorption of iron from the pancreas in the form of salts deteriorates while receiving several medications (tetracyclines, antacids, magnesium salts). With this in mind to recommend supplementation of iron salts at different times with the other above-mentioned drugs. Preparations VLS in particular gidroksipolimaltozny complex devoid of such shortcomings, because Food and Drug Administration does not affect the absorbability of iron (as the trivalent form) of the iron complexes. Table 2 shows the main drugs registered in Russia, PSG and VLC for ingestion.
Studying history
Myelin
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