Повышенная чувствительность к компонентам препарата. Шоковые состояния. Миастения. Тяжелые нарушения функции печени. Тяжелые нарушения функции почек. Из-за присутствия в составе препарата лактозы, препарат не следует применять при галактоземии, синдроме мальабсорбции глюкозы и галактозы, а также в случае лактазной недостаточности. Детский и подростковый ...
Анксиолитик (транквилизатор). Этифоксина гидрохлорид принадлежит к производным бензоксазина. Как анксиолитическое средство этифоксин оказывает автономное регулирующее действие. В исследованиях in vitro и in vivo у крыс и мышей было показано, что анксиолитическая активность этифоксина обусловлена двойным механизмом его действия (прямого и опосредованного) на ГАМК-А рецепторы, улучшающим ГАМК-ергическую передачу импульса. При прямом воздействии на ГАМК-А-рецептор путем аллостерической модуляции этифоксин связывается преимущественно с субъединицами β2- или β3-рецептора; исследования показали, что этифоксин связывается с ГАМК-А-рецептором на участках, отличных от места связывания бензодиазепинов. Непрямое действие обеспечивается посредством увеличения синтеза нейростероидов (с помощью активации митохондриального белка-транслокатора), таких как аллопрегнанолон, также являющегося положительным аплостерическим модулятором ГАМК-А рецептора.
Показания к применению
Лечение психосоматических проявлений тревоги.
Противопоказания
Повышенная чувствительность к компонентам препарата. Шоковые состояния. Миастения. Тяжелые нарушения функции печени. Тяжелые нарушения функции почек. Из-за присутствия в составе препарата лактозы, препарат не следует применять при галактоземии, синдроме мальабсорбции глюкозы и галактозы, а также в случае лактазной недостаточности. Детский и подростковый возраст до 18 лет.
Применение при беременности и в период грудного вскармливания
Применение препарата при беременности и в период грудного вскармливания не рекомендуется. При беременности, наступившей во время лечения препаратом Стрезам, пациентка должна проконсультироваться с врачом по поводу продолжения лечения.
Способ применения и дозы
Дозу и продолжительность курса лечения врач определяет индивидуально, в зависимости от состояния пациента. Препарат назначаютВнутрь, как правило, по 50 мг (1 капс.) 3 раза/сут или по 100 мг (2 капс.) 2 раза/сут. Курс лечения обычно составляет от нескольких дней до 4-6 недель. Капсулы запивают небольшим количеством воды.
Побочное действие
Определение частоты нежелательных явлений (НЯ), отмечавшиеся при приеме данного препарата редко (≥1/10 000 и меньше1/1000), очень редко (меньше 1/10 000) в порядке убывания частоты. Со стороны нервной системы редко - незначительная сонливость, появляющаяся в первые дни приема и обычно исчезающая самостоятельно в процессе лечения. Со стороны кожи и подкожной клетчатки редко - макуло-папулезные высыпания, многоформная эритема, зуд, отек лица. Аллергические реакции очень редко - крапивница, отек Квинке. частота не установлена - анафилактический шок, синдром лекарственно-индуцированной гиперчувствительности с эозинофилией, синдром Стивенса-Джонсона, лейкоцитокластический васкулит. Со стороны печени и желчевыводящих путей частота не установлена - гепатит, цитолитический гепатит. Со стороны половых органов и молочной железы частота не установлена - метроррагия у женщин, принимающих пероральные контрацептивы. Со стороны пищеварительной системы частота не установлена - лимфоцитарный колит.
Передозировка
Симптомы: вялость, чрезмерная сонливость. Лечение: при необходимости проводится симптоматическая терапия. Специфический антидот отсутствует.
Особые указания
При возникновении кожных или аллергических реакций, а также осложнений со стороны печени, прием препарата следует прекратить. В случае пропуска приема препарата не следует удваивать дозу при следующем приеме. Предписанную врачом дозу превышать не следует. Не рекомендуется принимать препарат при употреблении алкогольных напитков. Использование в педиатрии: Не рекомендуется использовать препарат у детей и подростков в возрасте до 18 лет. Влияние на способность к вождению автотранспорта и управлению механизмами: В связи с риском возникновения сонливости следует избегать управления автотранспортом и деятельности, требующей повышенного внимания, например, управления различными механизмами.
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Информация предоставляется в справочных целях. Не занимайтесь самолечением. При первых признаках заболевания обратитесь к врачу.
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