酒石酸美托洛尔片

【药品名称】 通用名称：酒石酸美托洛尔片
英文名称：Metoprolol Tartrate Tablets
汉语拼音：Jiushisuan Meituoluo"er Pian
【成 份】本品主要成份为酒石酸美托洛尔，其化学名称为：(RS)1-异丙氨基-3-[对-(2-甲氧乙基)苯氧基]-2-丙醇L(+)-酒石酸盐。
【性 状】本品为白色片。

　　FENZISHI：(C15H25NO3)2·C4H6O6

　　FENZILIANG：684.82

　　【XINGZHUANG】BENPINWEIBAISEPIAN。

　　【YAOLIDULI】BENYAOSHUYU2ALEIJIWUBUFENJIDONGHUOXINGDEβ1-SHOUTIZUDUANYAO(XINZANGXUANZEXINGβ-SHOUTIZUDUANYAO)。TADUIβ1-SHOUTIYOUXUANZEXINGZUDUANZUOYONG，WUPAA(BUFENJIDONGHUOXING)，WUMOWENDINGZUOYONG。QIZUDUANβ-SHOUTIDEZUOYONGYUEYUPUNAILUOER(PP)XIANGDENG，DUIβ1-SHOUTIDEXUANZEXINGSHAOXUNYUATILUOER。MEITUOLUOERDUIXINZANGDEZUOYONGRUJIANMANXINLV、YIZHIXINSHOUSUOLI、JIANGDIZILVXINGHEYANHUANFANGSHICHUANDAOSHIJIANDENGYUPUNAILUOER、ATILUOER(AT)XIANGSI，QIJIANGDIYUNDONGSHIYANSHISHENGGAODEXUEYAHEXINLVDEZUOYONGYEYUPP、ATXIANGSI。QIDUIXUEGUANHEZHIQIGUANPINGHUAJIDESHOUSUOZUOYONGJIAOPPWEIRUO，YINCIDUIHUXIDAODEYINGXIANGYEJIAOXIAO，DANRENGQIANGYUAT。MEITUOLUOERYENENGJIANGDIXUEJIANGSHENSUHUOXING。BENPINWUZHITUBIANZUOYONG;DUITAIERWUYINGXIANG;DASHUFUYONGBENPIN2NIAN，800mg/TIANWEIFAXIANLIANGXINGJIEXINGXINSHENGWU。

　　【YAODAIDONGLIXUE】MEITUOLUOERDEZHIRONGXINGJIEYUPUNAILUOER(PP)YUATILUOER(AT)ZHIJIAN。KOUFUXISHOUXUNSUWANQUAN，XISHOULVDAYU90%，DANGANZANGDAIXIELVDA95%，SHOUGUOXIAOYINGWEI25—60%，GUSHENGWULIYONGDUJINWEI40—75%，YUATXIANGJIN。XUEJIANGNONGDUDAFENGSHIJIANYIBANWEI1.5XIAOSHI，ZUIDAZUOYONGSHIJIANWEI1—2XIAOSHI。XUEYADEJIANGDIYUXUEYAONONGDUBUPINGXING，ERXINLVDEJIANGDIZEYUXUEYAONONGDUCHENGZHIXIANGUANXI。TINEIFENBURONGJIWEI5.6L/kg，XUEJIANGDANBAIJIEHELVYUE12%，KETOUGUOXUENAOPINGZHANGHETAIPAN，YEKECONGRUZHIFENMI。MEITUOLUOERt1/2WEI3—5XIAOSHI，SHENGONGNENGBUQUANSHIWUMINGXIANGAIBIAN。JINGSHENPAIXIE，NIAONEIYIDAIXIEWUWEIZHU，JIN3—10%YIYUANXINGJINGSHENZANGPAICHU。BUNENGJINGTOUXIPAICHU。

　　【SHIYINGZHENG】YONGYUZHILIAOGAOXUEYA、XINJIAOTONG、XINJIGENGSI、FEIHOUXINGXINJIBING、ZHUDONGMAIJIACENG、XINLVSHICHANG、JIAZHUANGXIANJINENGKANGJIN、XINZANGSHENJINGGUANNENGZHENGDENG。JINNIANLAISHANGYONGYUXINLISHUAIJIEDEZHILIAO，CISHIYINGZAIYOUJINGYANDEYISHIZHIDAOXIASHIYONG。

　　【YONGFAYONGLIANG】GAOXUEYA：MEICI100—200mg，YIRILIANGCIDELIAOXIAOXIANGDANGYUATILUOER100mg/CI，YIRIYICI，ZAIXUEYEDONGLIXUEWENDINGHOULIJISHIYONG。WENDINGXINGXINJIAOTONG：YEZHUZHANGZAOQISHIYONG，YONGFAYUYONGLIANGKECANZHAOJIXINGXINJIGENGSI。JIXINGXINJIGENGSIFASHENGXINFANGXIANZHANSHIRUOWUJINJIKEJINGMAISHIYONGMEITUOLUOER，QIFANGFATONGSHANG。XINJIGENGSIHOURUOWUJINJIYINGZHANGQISHIYONG，YINWEIYIJINGZHENGMINGZHEIYANGZUOKEYIJIANGDIXINXINGSIWANGLV，BAOKUOCUSI。YIBAN50—100mg/CI，YIRI2CI。

　　ZAIZHILIAOGAOXUEYA、XINJIAOTONG、XINLVSHICHANG、FEIHOUXINGXINJIBING、JIAZHUANGXIANJINENGKANGJINDENGZHENGSHIYIBAN25—50mg/CI，YIRI2—3CI，HUO100mg /CI，YIRILIANGCI。XINLISHUAIJIE：YINGZAISHIYONGYANGDIHUANGHE/HUOLINIAOJIDENGKANGXINSHUAIDEZHILIAOJICHUSHANGSHIYONGBENYAO。QICHU6.25mg/CI，YIRI2—3CI，YIHOUSHILINCHUANGQINGKUANGMEISHURIZHIYIZHOUZENGJIA6.25—12.5mg/CI，YIRI2—3CI，ZUIDAJILIANGKEYONGZHI50—100mg/CI，YIRILIANGCI。ZUIDAJILIANGBUYINGCHAOGUO300—400mg/TIAN。

　　【BULIANGFANYING】

　　1.XINXUEGUANXITONG：XINLVJIANMAN、CHUANDAOZUZHI、XUEYAJIANGDI、XINSHUAIJIAZHONG、WAIZHOUXUEGUANJINGLUANDAOZHIDESIZHIBINGLENGHUOMAIBOBUNENGCHUJI、LEINUOSHIXIANXIANG。

　　2.YINZHIRONGXINGJIJIAOYITOURUZHONGSHUSHENJINGXITONG，GUGAIXITONGDEBULIANGFANYINGJIAODUO。PIFAHEXUANYUNZHAN10%，YIYUZHAN5%，QITAYOUTOUTONG、DUOMENG、SHIMIANDENG。OUJIANHUANJUE。

　　3.XIAOHUAXITONG：EXIN、WEITONG、BIANMI<,1%、FUXIEZHAN5%，DANBUYANZHONG，HENSHAOYINGXIANGYONGYAO。

　　4.QITA：QIJI、GUANJIETONG、SAOYANG、FUMOHOUQIANGXIANWEIBIANXING、ERLONG、YANTONGDENG。

　　【JINJI】DIXUEYA、XIANZHUXINDONGGUOHUAN(XINLV<,45/FENZHONG)、XINYUANXINGXIUKE、ZHONGDUHUOJIXINGXINLISHUAIJIE、MOSHAOXUNHUANGUANZHUBULIANG、ⅡDUHUOⅢDUFANGSHICHUANDAOZUZHI、BINGTAIDOUFANGJIEZONGHEZHENG、YANZHONGDEZHOUWEIXUEGUANJIBING。MEITUOLUOERBUKEYONGYUNEIXIEHUANYOUHUAIYIDEJIXINGXINJIGENGSI，BIAOXIANWEIXINLV<45CI/FENZHONG，P-QJIANQI>0.24MIAOHUOSHOUSUOYA<100mmHgDEHUANZHE。DUIBENPINZHONGRENYICHENGFENGUOMINZHEJINYONG。

　　【ZHUYISHIXIANG】

　　1.PUNAILUOERNENGYANHUANSHIYONGYIDAOSUHOUXUETANGSHUIPINGDEHUIFU，DANXUANZEXINGβ1-SHOUTIZUDUANYAODEZHEIYIBULIANGFANYINGJIAOXIAO。XUZHUYIYONGYIDAOSUDETANGNIAOBINGBINGRENZAIJIAYONGβ-SHOUTIZUZHIJISHI，QIβ-SHOUTIZUZHIZUOYONGWANGWANGHUIYANGAIDIXUETANGDEZHENGZHUANGRUXINJIDENG，CONGERYANWUDIXUETANGDEJISHIFAXIAN。DANZAIZHILIAOGUOCHENGZHONGXUANZEXINGβ1-SHOUTIZUDUANYAOGANRAOTANGDAIXIEHUOYANGAIDIXUETANGDEWEIXIANXINGYAOXIAOYUFEIXUANZEXINGβ-SHOUTIZUDUANYAO。

　　2.ZHANGQISHIYONGBENPINSHIRUYUZHONGDUANZHILIAO，XUZHUJIANJIANSHAOJILIANG，YIBANYU7—10TIANNEICHECHU，ZHISHAOYEYAOJINGGUO3TIAN。YOUQISHIGUANXINBINGBINGRENZHOURANTINGYAOKEZHIBINGQINGEHUA，CHUXIANXINJIAOTONG、XINJIGENGSIHUOSHIXINGXINDONGGUOSU。

　　3.DASHOUSHUZHIQIANSHIFOUTINGYONGβ-ZUZHIJIYIJIANSHANGBUYIZHI，β-SHOUTIZUZHIHOUXINZANGDUIFANSHEXINGJIAOGANXINGFENDEFANYINGJIANGDISHIQUANMAHESHOUSHUDEWEIXIANXINGZENGJIA，DANKEYONGDUOBAFENDINGANHUOYIBINGJISHENSHANGXIANSUNIZHUAN。JINGUANRUCI，DUIYUYAOJINXINGQUANSHENMAZUIDEBINGRENZUIHAOTINGZHISHIYONGBENYAO，RUYOUKENENGYINGZAIMAZUIQIAN48XIAOSHITINGYONG。

　　4.YONGYUSHIGEXIBAOLIUSHIYINGXIANXINGSHIYONGα-SHOUTIZUDUANYAO。

　　5.DIXUEYA、XINZANGHUOGANZANGGONGNENGBUQUANSHISHENYONG。

　　6.MANXINGZUSAIXINGFEIBUJIBINGYUZHIQIGUANXIAOCHUANBINGRENRUXUSHIYONGMEITUOLUOERYIYINGJINSHENCONGSHI，YIXIAOJILIANGWEIYI，QIEJILIANGYIBANYINGXIAOYUTONGDENGXIAOLIDEATILUOER。DUIZHIQIGUANXIAOCHUANDEBINGRENYINGTONGSHIJIAYONGβ2SHOUTIJIDONGJI，JILIANGKEANMEITUOLUOERDESHIYONGJILIANGDIAOZHENG。

　　7.DUIXINZANGGONGNENGSHIDAICHANGDEBINGRENYINGZAISHIYONGYANGDIHUANGHE/HUOLINIAOJIZHILIAODEJICHUSHANGSHIYONGMEITUOLUOER，JUTIYONGFACANJIAN [YONGFAYONGLIANG]。

　　8.BUYIYUYIBODINGTONGSHISHIYONG，YIMIANYINQIXINDONGGUOHUAN、DIXUEYAHEXINZANGTINGBO。

　　9.ZAIZHILIAOYIDAOSUYILAIXINGTANGNIAOBING(IDDM)HUANZHESHIXUXIAOXINGUANCHA。

　　【YUNFUJIBURUQIFUNVYONGYAO】RENSHENQISHIYONGβ-SHOUTIZUZHIJIKEYINQIGEZHONGTAIERWENTI，BAOKUOTAIERFAYUCHIHUAN。β-SHOUTIZUZHIJIDUITAIERHEXINSHENGERKECHANSHENGBULIYINGXIANG，YOUQISHIXINDONGGUOHUAN，YINCIZAIRENSHENHUOFENMIANQIJIANBUYISHIYONG。

　　【ERTONGYONGYAO】ERTONGSHIYONGBENPINDEJINGYANYOUXIAN。

　　【LAONIANHUANZHEYONGYAO】LAONIANRENDEYAODAIDONGLIXUEYUNIANQINGRENXIANGBIWUMINGXIANBIANHUA，YINERLAONIANHUANZHEYONGLIANGWUXUDIAOZHENG。

　　【YAOWUXIANGHUZUOYONG】RUOHUANZHETONGSHIHAISHIYONGJIAOGANSHENJINGJIEZUDUANJI、QITAβSHOUTIZUZHIJI(RUDIYANJI)、HUODANANYANGHUAMEI(MAO)YIZHIJI，ZEBIXUYANMIJIANSHIHUANZHEQINGKUANG。YULIXUEPINGHEYONGKEZENGQIANGBENPINZUOYONG，XUZHUYIDIXUEYAYUXINDONGGUOSU。RUOJIHUAZHONGZHIYUKELEDINGDELIANHEYONGYAO，BIXUZHUYIβSHOUTIZUZHIJIDECHECHUYINGBIKELEDINGDECHECHUTIQIANJITIAN。MEITUOLUOERYUWEILAPAMIHEERQINGBIDINGLEIGAIJIEKANGJIHEYONG，KENENGHUIZENGJIAFUXINGBIANLIHEBIANSHIZUOYONG。FUYONGβSHOUTIZUZHIJIDEHUANZHE，BUKEJINGMAIZHUSHEWEILAPAMILEIGAIJIEKANGJI。βSHOUTIZUZHIJIHUIZENGJIAKANGXINLVSHICHANGYAO(KUINIDINGLEIHEANTIANTONG)DEFUXINGBIANLIHEFUXINGBIANCHUANDAOZUOYONG。JIESHOUβSHOUTIZUZHIJIDEHUANZHE，XIRUMAZUIZENGJIAXINZANGYIZHIZUOYONG。MEIYOUDAOHEMEIYIZHIWUZHIHUIYINGXIANGMEITUOLUOERDEXUEJIANGSHUIPING。LIFUPINGHUIJIANGDIMEITUOLUOERDEXUEYAONONGDU，XIMITIDING、YICHUN、JINGQUQINHEXUANZEXINGDE5-QIANGSEANZHONGSHEQUYIZHIJI(SSRIs)，RU：PALUOXITING、FUXITINGHESHEQULINHUISHENGGAOMEITUOLUOERDEXUEYAONONGDU。YUXIANSHIYONGKUINIDINGYEKEZENGJIAMEITUOLUOERDEXUEYAONONGDU。YUYINDUOMEIXINHUOQITAQIANLIEXIANSUHECHENGMEIYIZHIJIHEYONGHUIJIANGDIβSHOUTIZUZHIJIDEKANGGAOXUEYAZUOYONG。ZAIMOUXIEQINGKUANGXIA，SHIYONGβSHOUTIZUZHIJIDEHUANZHESHIYONGSHENSHANGXIANSU，XINZANGXUANZEXINGβSHOUTIZUZHIJIDUIXUEYAKONGZHIDEYINGXIANGBIFEIXUANZEXINGDEβSHOUTIZUZHIJIXIAOHENDUO。JIESHOUβSHOUTIZUZHIJIZHILIAODEHUANZHE，QIKOUFUJIANGTANGYAODEJILIANGBIXUDIAOZHENG。

　　【YAOWUGUOLIANG】ZHENGZHUANG：MEITUOLUOERGUOLIANGKEDAOZHIYANZHONGDIXUEYA、DOUXINGXINDONGGUOHUAN、FANGSHICHUANDAOZUZHI、XINSHUAI、XINYUANXINGXIUKE、XINZANGTINGBO、ZHIQIGUANJINGLUAN、YISHISUNHAI/HUNMI、EXIN、OUTUHEFAGAN。TONGSHISHERUYICHUN、KANGGAOXUEYAYAO、KUINIDINGHUOBABITUOLEIYAOWUHUIJIAZHONGBINGQING。YAOWUGUOLIANGZUICHUDELINCHUANGBIAOXIANHUIZAIYAOWUSHERUHOU20FENZHONGZHI2XIAOSHICHUXIAN。GUOLIANGDEZHILIAO：JIYUHUOXINGTAN，BIYAOSHIXIWEI。RUOFASHENGYANZHONGDEDIXUEYA、XINDONGGUOHUAN、HUOJIJIANGFASHENGXINSHUAI，GE2—5FENZHONGJINGMAIZHUSHEβ1SHOUTIJIDONGJI(RUPURUITELUO)HUOJINGMAIDIZHU，ZHIZHIHUODEXIWANGDEXIAOGUO。RUOWUXUANZEXINGDEβ1SHOUTIJIDONGJI，YEKEYONGDUOBAAN，HUOYONGLIUSUANATUOPIN(iv)YIZUZHIMIZOUSHENJING。RUOWEIHUODEMANYIDELIAOXIAO，KEYONGQITANIJIAOGANANLEIYAORUDUOBAFENDINGANHUOQUJIASHENSHANGXIANSU。YEKEJIYU1—10mgDEYIGAOXUETANGSU。KENENGXUYAOQIBOQI。JINGMAIZHUSHEβ2SHOUTIJIDONGJIKEHUANJIEZHIQIGUANJINGLUAN。ZHILIAOβSHOUTIZUZHIJIGUOLIANGSUOYONGDEJIEDUJIDEJILIANGBICHANGGUIZHILIAOZHONGTUIJIANJILIANGGAOHENDUO，ZHEISHIYINWEIβSHOUTIBEIβSHOUTIZUZHIJIZHANLINGZHE。LINGYOUYILIJIXINGZHONGDUYICIFUYONG50mg/PIAN200PIANHOUXINYINWEIRUO、XUEYACEBUCHU，YONGJIANQIANGANDENGQIANGJIUCHENGGONG。

　　【GUIGE】25mg

　　【ZHUZANG】ZHEGUANG，MIFENGBAOCUN。

　　【BAOZHUANG】LVSUBAOZHUANG，MEIBAN10PIAN，MEIHEZHUANG2BAN。

　　【YOUXIAOQI】24GEYUE

　　【PIZHUNWENHAO】GUOYAOZHUNZIH20065355