1 г крема содержит:
активные вещества: мометазона фуроат — 0,1 мг (в пересчете на 100 % сухое вещество), гепарин натрия — 60 ME (0,5 мг при активности гепарина натрия 120 МЕ/мг);
вспомогательные вещества: парафин жидкий (масло вазелиновое медицинское) — 0,100 г, вазелин — 0,100 г, пропиленгликоль — 0,150 г, стеариновая кислота 50 — 0,010 г, моноглицериды дистиллированные — 0,010 г, глицерол (глицерин дистиллированный) — 0,050 г, макрогола цетостеарат (эмульгин В2) — 0,010 г, полоксамер (эмуксол 268) — 0,005 г, цетостеариловый спирт (цетиловый спирт не более 60 %, стеариловый спирт не менее 40 %) (Lanette О) — 0,025 г, имидомочевина (Germall®) — 0,002 г, бутилгидрокситолуол (дибунол) — 0,001 г, вода (вода очищенная) — до 1 г.
Описание
Крем белого или белого с желтоватым оттенком цвета без запаха
Фармакологические свойства
Мометазона фуроат — глюкокортикостероид для местного применения. Оказывает противовоспалительное, противоаллергическое, противозудное и антиэкссудативное действие. Тормозит высвобождение медиаторов воспаления. Повышает продукцию липокортина, являющегося ингибитором фосфолипазы А2, что обусловливает торможение высвобождения арахидоновой кислоты. Предупреждает краевое скопление нейтрофилов, что уменьшает воспалительный экссудат и продукцию цитокинов, тормозит миграцию макрофагов, приводит к уменьшению процессов инфильтрации и грануляции.
Уменьшает воспаление за счет снижения образования субстанции хемотаксиса (влияние на «поздние» реакции аллергии), тормозит развитие «немедленной» аллергической реакции (обусловлено торможением продукции метаболитов арахидоновой кислоты и снижением высвобождения из тучных клеток медиаторов воспаления).
Гепарин — антикоагулянт прямого действия, оказывает противовоспалительное, антипролиферативное, противоотечное и обезболивающее действие. Уменьшает агрегацию тромбоцитов, связывается антитромбином III, предупреждая переход протромбина в тромбин. Угнетает активность тромбина. Снижает активность гиалуронидазы, повышает фибринолитические свойства крови. Гепарин улучшает микроциркуляцию и активирует тканевый обмен, благодаря этому ускоряет процессы рассасывания гематом и тромбов, в конечном итоге восстанавливает проходимость вен, клинически это сопровождается выраженным обезболивающим и противовоспалительным действием. Абсорбция крема незначительна. Через 8 ч после нанесения на неповрежденную кожу (без окклюзионной повязки) в системном кровотоке обнаруживается 0,4 % мометазона.
Незначительное количество гепарина абсорбируется с поверхности кожи в системный кровоток. Максимальная концентрация гепарина в крови отмечается через 8 часов после аппликации. Выведение гепарина, в основном, происходит через почки, период полувыведения 12 часов.
Показания к применению
Заболевания кожи (в т.ч. хронического течения), поддающиеся терапии глюкокортикостероидами для наружного применения: псориаз, атопический дерматит, простой хронический лишай (ограниченный нейродермит), экзема, зудящие дерматозы, укусы насекомых, ожоги I степени, солнечные ожоги, красный плоский лишай, дискоидная красная волчанка.
Противопоказания
повышенная чувствительность к компонентам препарата или глюкокортикостероидам;
розовые угри, периоральный дерматит;
бактериальная, вирусная (Herpes simplex, Herpes zoster, ветряная оспа), грибковая инфекция кожи;
туберкулез, сифилис;
поствакцинальные реакции;
беременность (лечение обширных участков кожи, длительное лечение);
период грудного вскармливания;
детский возраст до 18 лет.
С осторожностью
Нанесение на кожу лица и интертригинозную поверхность кожи, применение окклюзионных повязок, применение на больших участках кожи и/или в течение длительного времени. Длительная терапия глюкокортикостероидами системного действия.
Способ применения и дозы
Наружно. Крем наносят на пораженные участки кожи тонким слоем 1 раз в сутки. Длительность лечения составляет 7-28 дней и зависит от характера и тяжести заболевания. При ограниченном вульгарном псориазе длительность лечения составляет 21 день.
Побочное действие
Местные реакции: жжение, зуд, парестезии, фолликулит, угревая сыпь, атрофия кожи, гипертрихоз, гипопигментация, периоральный дерматит, аллергический контактный дерматит, мацерация кожи, присоединение вторичной инфекции, стрии, потница.
При применении наружных форм глюкокортикостероидов в течение длительного времени и/или для лечения больших участков кожи (общая площадь нанесения больше площади ладони пациента), или с использованием окклюзионных повязок могут возникнуть побочные эффекты, характерные для глюкокортикостероидов системного действия, включая надпочечниковую недостаточность и синдром Кушинга.
Передозировка
Симптомы: угнетение функции гипоталамо-гипофизарно-надпочечниковой системы, включая вторичную надпочечниковую недостаточность.
Лечение: симптоматическое, при необходимости — коррекция электролитного дисбаланса, отмена препарата (при длительной терапии — постепенная отмена).
Взаимодействие с другими лекарственными средствами
Данные о взаимодействии препарата с другими лекарственными средствами отсутствуют.
Особые указания
При применении на больших участках кожи в течение длительного времени, особенно при использовании окклюзионных повязок, возможно попадание глюкокортикостероидов в системный кровоток и развитие системного действия глюкокортикостероидов. Учитывая это, пациенты должны наблюдаться в отношении признаков подавления функции гипоталамо-гипофизарно-надпочечниковой системы и развития синдрома Кушинга.
В период лечения рекомендуется регулярно контролировать функцию надпочечников. При появлении побочных эффектов лечение следует прекратить и назначить симптоматическую терапию. При присоединении вторичной инфекции — противомикробная терапия.
Следует избегать попадания препарата в глаза.
Пропиленгликоль, входящий в состав препарата, может вызывать раздражение в месте нанесения. В таких случаях следует прекратить применение препарата и назначить соответствующее лечение.
Следует учитывать, что глюкокортикостероиды способны изменять проявления некоторых заболеваний кожи, что может затруднить постановку диагноза. Кроме того, применение глюкокортикостероидов может быть причиной задержки заживления ран.
При длительной терапии глюкокортикостероидами внезапное прекращение терапии может привести к развитию синдрома рикошета, проявляющегося в форме дерматита с интенсивным покраснением кожи и ощущением жжения. Поэтому после длительного курса лечения отмену препарата следует производить постепенно, например, переходя на интермиттирующую схему лечения перед тем, как его полностью прекратить.
Не влияет на способность управлять автомобилем и другими механизмами.
Условия хранения
При температуре не выше 25 ˚С.
Хранить в недоступном для детей месте!
Срок годности
2 года. Не применять препарат после истечения срока годности.
Условия отпуска
По рецепту врача.
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крема содержит:\nактивные вещества: мометазона фуроат — 0,1 мг (в пересчете на 100 % сухое вещество), гепарин натрия — 60 ME (0,5 мг при активности гепарина натрия 120 МЕ/мг);\nвспомогательные вещества: парафин жидкий (масло вазелиновое медицинское) — 0,100 г, вазелин — 0,100 г, пропиленгликоль — 0,150 г, стеариновая кислота 50 — 0,010 г, моноглицериды дистиллированные — 0,010 г, глицерол (глицерин дистиллированный) — 0,050 г, макрогола цетостеарат (эмульгин В2) — 0,010 г, полоксамер (эмуксол 268) — 0,005 г, цетостеариловый спирт (цетиловый спирт не более 60 %, стеариловый спирт не менее 40 %) (Lanette О) — 0,025 г, имидомочевина (Germall®) — 0,002 г, бутилгидрокситолуол (дибунол) — 0,001 г, вода (вода очищенная) — до 1 г."}}]},{"id":2,"name":"Описание","slug":"common_description","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Крем белого или белого с желтоватым оттенком цвета без запаха"}}]},{"id":3,"name":"Фармакологические 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Оказывает противовоспалительное, противоаллергическое, противозудное и антиэкссудативное действие. Тормозит высвобождение медиаторов воспаления. Повышает продукцию липокортина, являющегося ингибитором фосфолипазы А2, что обусловливает торможение высвобождения арахидоновой кислоты. Предупреждает краевое скопление нейтрофилов, что уменьшает воспалительный экссудат и продукцию цитокинов, тормозит миграцию макрофагов, приводит к уменьшению процессов инфильтрации и грануляции.\nУменьшает воспаление за счет снижения образования субстанции хемотаксиса (влияние на «поздние» реакции аллергии), тормозит развитие «немедленной» аллергической реакции (обусловлено торможением продукции метаболитов арахидоновой кислоты и снижением высвобождения из тучных клеток медиаторов воспаления).\nГепарин — антикоагулянт прямого действия, оказывает противовоспалительное, антипролиферативное, противоотечное и обезболивающее действие. Уменьшает агрегацию тромбоцитов, связывается антитромбином III, предупреждая переход протромбина в тромбин. Угнетает активность тромбина. Снижает активность гиалуронидазы, повышает фибринолитические свойства крови. Гепарин улучшает микроциркуляцию и активирует тканевый обмен, благодаря этому ускоряет процессы рассасывания гематом и тромбов, в конечном итоге восстанавливает проходимость вен, клинически это сопровождается выраженным обезболивающим и противовоспалительным действием. Абсорбция крема незначительна. Через 8 ч после нанесения на неповрежденную кожу (без окклюзионной повязки) в системном кровотоке обнаруживается 0,4 % мометазона.\nНезначительное количество гепарина абсорбируется с поверхности кожи в системный кровоток. Максимальная концентрация гепарина в крови отмечается через 8 часов после аппликации. Выведение гепарина, в основном, происходит через почки, период полувыведения 12 часов."}}]},{"id":4,"name":"Показания к применению","slug":"indications","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Заболевания кожи (в т.ч. хронического течения), поддающиеся терапии глюкокортикостероидами для наружного применения: псориаз, атопический дерматит, простой хронический лишай (ограниченный нейродермит), экзема, зудящие дерматозы, укусы насекомых, ожоги I степени, солнечные ожоги, красный плоский лишай, дискоидная красная волчанка."}}]},{"id":5,"name":"Противопоказания","slug":"contraindications","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"повышенная чувствительность к компонентам препарата или глюкокортикостероидам;\nрозовые угри, периоральный дерматит;\nбактериальная, вирусная (Herpes simplex, Herpes zoster, ветряная оспа), грибковая инфекция кожи;\nтуберкулез, сифилис;\nпоствакцинальные реакции;\nбеременность (лечение обширных участков кожи, длительное лечение);\nпериод грудного вскармливания;\nдетский возраст до 18 лет.\nС осторожностью\nНанесение на кожу лица и интертригинозную поверхность кожи, применение окклюзионных повязок, применение на больших участках кожи и/или в течение длительного времени. Длительная терапия глюкокортикостероидами системного действия."}}]},{"id":6,"name":"Способ применения и дозы","slug":"dosage","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Наружно. Крем наносят на пораженные участки кожи тонким слоем 1 раз в сутки. Длительность лечения составляет 7-28 дней и зависит от характера и тяжести заболевания. При ограниченном вульгарном псориазе длительность лечения составляет 21 день."}}]},{"id":7,"name":"Побочное действие","slug":"side_effects","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Местные реакции: жжение, зуд, парестезии, фолликулит, угревая сыпь, атрофия кожи, гипертрихоз, гипопигментация, периоральный дерматит, аллергический контактный дерматит, мацерация кожи, присоединение вторичной инфекции, стрии, потница.\nПри применении наружных форм глюкокортикостероидов в течение длительного времени и/или для лечения больших участков кожи (общая площадь нанесения больше площади ладони пациента), или с использованием окклюзионных повязок могут возникнуть побочные эффекты, характерные для глюкокортикостероидов системного действия, включая надпочечниковую недостаточность и синдром Кушинга."}}]},{"id":8,"name":"Передозировка","slug":"overdose","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Симптомы: угнетение функции гипоталамо-гипофизарно-надпочечниковой системы, включая вторичную надпочечниковую недостаточность.\nЛечение: симптоматическое, при необходимости — коррекция электролитного дисбаланса, отмена препарата (при длительной терапии — постепенная отмена)."}}]},{"id":9,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Данные о взаимодействии препарата с другими лекарственными средствами отсутствуют."}}]},{"id":10,"name":"Особые указания","slug":"cautions","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"При применении на больших участках кожи в течение длительного времени, особенно при использовании окклюзионных повязок, возможно попадание глюкокортикостероидов в системный кровоток и развитие системного действия глюкокортикостероидов. Учитывая это, пациенты должны наблюдаться в отношении признаков подавления функции гипоталамо-гипофизарно-надпочечниковой системы и развития синдрома Кушинга.\nВ период лечения рекомендуется регулярно контролировать функцию надпочечников. При появлении побочных эффектов лечение следует прекратить и назначить симптоматическую терапию. При присоединении вторичной инфекции — противомикробная терапия.\nСледует избегать попадания препарата в глаза.\nПропиленгликоль, входящий в состав препарата, может вызывать раздражение в месте нанесения. В таких случаях следует прекратить применение препарата и назначить соответствующее лечение.\nСледует учитывать, что глюкокортикостероиды способны изменять проявления некоторых заболеваний кожи, что может затруднить постановку диагноза. Кроме того, применение глюкокортикостероидов может быть причиной задержки заживления ран.\nПри длительной терапии глюкокортикостероидами внезапное прекращение терапии может привести к развитию синдрома рикошета, проявляющегося в форме дерматита с интенсивным покраснением кожи и ощущением жжения. Поэтому после длительного курса лечения отмену препарата следует производить постепенно, например, переходя на интермиттирующую схему лечения перед тем, как его полностью прекратить.\nНе влияет на способность управлять автомобилем и другими механизмами."}}]},{"id":11,"name":"Условия хранения","slug":"storage","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"При температуре не выше 25 ˚С.\nХранить в недоступном для детей месте!"}}]},{"id":12,"name":"Срок годности","slug":"expiry_date","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"2 года. Не применять препарат после истечения срока годности."}}]},{"id":13,"name":"Условия отпуска","slug":"release_condition","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"По рецепту врача."}}]}],"source":null},"description_toggle":false,"short_description":"Мометазона фуроат — глюкокортикостероид для местного применения. Оказывает противовоспалительное, противоаллергическое, противозудное и антиэкссудативное действие. Тормозит высвобождение медиаторов воспаления. Повышает продукцию липокортина, являющегося ингибитором фосфолипазы А2, что обусловливает торможение высвобождения арахидоновой кислоты. Предупреждает краевое скопление нейтрофилов, что уменьшает воспалительный экссудат и продукцию цитокинов, тормозит миграцию макрофагов, приводит к уменьшению процессов инфильтрации и грануляции. Уменьшает воспаление за счет снижения образования субстанции хемотаксиса (влияние на «поздние» реакции аллергии), тормозит развитие «немедленной» аллергической реакции (обусловлено торможением продукции метаболитов арахидоновой кислоты и снижением высвобождения из тучных клеток медиаторов воспаления). Гепарин — антикоагулянт прямого действия, оказывает противовоспалительное, антипролиферативное, противоотечное и обезболивающее действие. Уменьшает агрегацию тромбоцитов, связывается антитромбином III, предупреждая переход протромбина в тромбин. Угнетает активность тромбина. Снижает активность гиалуронидазы, повышает фибринолитические свойства крови. Гепарин улучшает микроциркуляцию и активирует тканевый обмен, благодаря этому ускоряет процессы рассасывания гематом и тромбов, в конечном итоге восстанавливает проходимость вен, клинически это сопровождается выраженным обезболивающим и противовоспалительным действием. Абсорбция крема незначительна. Через 8 ч после нанесения на неповрежденную кожу (без окклюзионной повязки) в системном кровотоке обнаруживается 0,4 % мометазона. Незначительное количество гепарина абсорбируется с поверхности кожи в системный кровоток. Максимальная концентрация гепарина в крови отмечается через 8 часов после аппликации. 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