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Панкреатин, оказывая протеолитическое, амилолитическое и липолитическое действие, компенсирует ферментативную недостаточность поджелудочной железы, улучшает функциональное состояние ЖКТ, нормализует процессы пищеварения."}}]},{"id":3,"name":"Показания к применению","slug":"indications","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Заместительная терапия недостаточности экзокринной функции поджелудочной железы у взрослых и детей при следующих состояниях:- хронический панкреатит; - муковисцидоз; - рак поджелудочной железы; - состояния после оперативных вмешательств на поджелудочной железе и желудке (полная или частичная резекция органа); - после облучения органов ЖКТ, сопровождающиеся нарушением переваривания пищи, метеоризмом, диареей (в составе комбинированной терапии); - сужение протока поджелудочной железы (например, из-за опухоли или желчных камней); - синдром Швахмана-Даймонда; - подострый панкреатит; - другие заболевания, сопровождающиеся экзокринной недостаточностью поджелудочной железы. Относительная ферментная недостаточность при следующих состояниях и ситуациях:- расстройства ЖКТ функционального характера; - при острых кишечных инфекциях,- при синдроме раздраженного кишечника; - употребление трудноперевариваемой растительной или жирной пищи. Подготовка к рентгенологическому и ультразвуковому исследованиям органов брюшной полости."}}]},{"id":4,"name":"Противопоказания","slug":"contraindications","displayInMenu":true,"body":[{"type":"list","data":{"style":"unordered","items":["острый панкреатит; - обострение хронического панкреатита; - повышенная чувствительность к панкреатину свиного происхождения или другим компонентам препарата."]}}]},{"id":5,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Клинические данные о лечении беременных женщин препаратами, содержащими ферменты поджелудочной железы, отсутствуют. В ходе исследований на животных не выявлено абсорбции ферментов поджелудочной железы свиного происхождения, поэтому токсического воздействия на репродуктивную функцию и развитие плода не предполагается. Применение препарата Пангрол 10000 при беременности возможно в том случае, если ожидаемая польза для матери превышает возможный риск для плода. Исходя из исследований на животных, во время которых не выявлено негативного влияния ферментов поджелудочной железы, не ожидается никакого вредного влияния препарата на ребенка через грудное молоко. Во время кормления грудью можно принимать ферменты поджелудочной железы."}}]},{"id":6,"name":"Способ применения и дозы","slug":"dosage","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Доза препарата Пангрол 10000 подбирается индивидуально в зависимости от тяжести заболевания, а также объема и состава принимаемой пищи. 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Суточную дозу ферментов, составляющую 15000-20000 липазных ед./кг массы тела, превышать не рекомендуется. Продолжительность курса лечения устанавливается врачом и зависит от течения заболевания. Детям режим дозирования и продолжительность лечения устанавливает врач в зависимости от степени выраженности заболевания и состава пищи из расчета 500-1000 липазных ед. /кг массы тела ребенка на каждый прием пищи. При муковисцидозе доза препарата Пангрол 10000 зависит от массы тела и должна составлять в начале лечения 1000 липазных ед./кг на каждый прием пищи для детей младше 4 лет, и 500 липазных ед./кг во время каждого приема пищи для детей старше 4 лет. Дозу препарата следует подбирать индивидуально в зависимости от тяжести заболевания, под контролем стеатореи и поддержке оптимальной диеты. У большинства пациентов доза должна составлять не более 10000 липазных ед./кг/сут или 4000 липазных ед./г потребленного жира."}}]},{"id":7,"name":"Побочное действие","slug":"side_effects","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Возможные побочные эффекты приведены ниже по нисходящей частоте возникновения: часто (\u003e 1/100, \u003c 1/10), нечасто (\u003e 1/1000, \u003c 1/100), редко (\u003e 1/10000, \u003c 1/1000), очень редко (\u003c 1/10000), включая отдельные сообщения. Со стороны ЖКТ: часто - тошнота, рвота и вздутие живота. Желудочно-кишечные расстройства связаны, главным образом, с основным заболеванием. Частота возникновения следующих неблагоприятных реакций была ниже или схожа с таковыми при применении плацебо: очень часто - боль в области живота; часто - диарея. 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