Финастерид – 4-азастероидное соединение, селективно и конкур... Инструкция
Показания к применению
Финастерид-Тева показан при доброкачественной гиперплазии предстательной железы (для уменьшения размеров предстательной железы, увеличения максимальной скорости оттока мочи и уменьшения симптомов, связанных с гиперплазией, снижения риска возникновения острой задержки мочи и связанной с этим вероятности хирургического вмешательства.
Противопоказания
Повышенная чувствительность к финастериду и другим компонентам препарата, рак предстательной железы, обструкция мочевыводящих путей, детский возраст. С осторожностью - нарушение функции печени.
Финастерид – 4-азастероидное соединение, селективно и конкурентно ингибирующее 5α-редуктазу. Этот никотинамидадениндинуклеотид фосфат (НАДФ)-зависимый фермент превращает тестостерон в дигидротестостерон. Препарат специфически ингибирует изоэнзим 5α-редуктазы 2 типа, что приводит к значительному снижению уровня дигидротестостерона в предстательной железе (>90%) и в системе кровообращения (от 60% до 80%). Финастерид повышает уровень тестостерона предстательной железы (приблизительно на 85%) у пациентов с ДГПЖ, это не влияет на рост и морфологию предстательной железы. Препарат не имеет выраженного сродства к рецепторам андрогена. Финастерид значительно снижает уровень ПСА плазмы на 41 %- 71% у пациентов с симптомами ДГПЖ. Тем не менее, на соотношение значений несвязанного и общего уровня ПСА препарат не влияет. Размер предстательной железы уменьшается под воздействием финастерида вследствие атрофии и апоптоза. Обусловленные действием препарата гистологические изменения наблюдались спустя 6 месяцев от начала лечения. Железистые элементы тканей предстательной железы наиболее чувствительны к финастериду. Препарат снижает тонус детрузора у пациентов с задержкой мочи, вызванной ДГПЖ.
Показания к применению
Финастерид-Тева показан при доброкачественной гиперплазии предстательной железы (для уменьшения размеров предстательной железы, увеличения максимальной скорости оттока мочи и уменьшения симптомов, связанных с гиперплазией, снижения риска возникновения острой задержки мочи и связанной с этим вероятности хирургического вмешательства.
Противопоказания
Повышенная чувствительность к финастериду и другим компонентам препарата, рак предстательной железы, обструкция мочевыводящих путей, детский возраст. С осторожностью - нарушение функции печени.
Применение при беременности и в период грудного вскармливания
Женщинам детородного возраста и беременным следует избегать контакта с препаратом, т.к. он обладает тератогенными свойствами (способность подавлять превращение тестостерона в дигидротестостерон может вызывать нарушение развития половых органов у плода мужского пола), проникает в семенную жидкость.
Способ применения и дозы
Финастерид-Тева принимают внутрь независимо от приема пищи по 1 таблетке (5мг) в сутки в течение 6-7 месяцев.
Побочное действие
Со стороны нервной системы: нечасто - сонливость. Со стороны половых органов и молочной железы: очень часто - импотенция, часто -снижение либидо, нарушения эякуляции, уменьшение объема эякулята, увеличение и болезненность грудных желез; нечасто - боль в яичках; очень редко - выделение секрета из молочных желез, образование узелков в молочных железах. У большинства пациентов эти явления носили транзиторный характер. Аллергические реакции: часто - кожная сыпь; редко - кожный зуд, крапивница, ангионевротический отек губ и лица. Со стороны лабораторных показателей: редко - снижение концентрации ПСА.
Передозировка
Пациенты получали финастерид в однократной дозе до 400 мг и в многократных дозах до 80 мг/сут в течение 3 месяцев, при этом каких-либо нежелательных эффектов не наблюдалось. Рекомендации по специфическому лечению передозировки финастеридом отсутствуют.
Особые указания
До начала лечения необходимо исключить заболевания, которые могут симулировать доброкачественную гиперплазию предстательной железы, такие как инфекционный простатит, рак предстательной железы, стриктура уретры, гипотония мочевого пузыря и ряд изменений со стороны мочевыводящей системы, возникающих при некоторых заболеваниях нервной системы. Поскольку при применении финастерида наблюдается снижение простат-специфического антигена (на 41% и 48% соответственно к 6 и 12 месяцам от начала терапии), периодически в процессе терапии необходимо проводить обследование пациентов для исключения у них рака предстательной железы. Женщинам детородного возраста и беременным следует избегать контакта с измельченными таблетками препарата Финастерид, т.к. способность препарата подавлять превращение тестостерона в дигидротестостерон может вызвать нарушение развития половых органов у плода мужского пола. Таблетки Финастерид покрыты пленочной оболочкой и при нормальном обращении с ними, если они не размолоты в порошок или н нарушена их целостность, контакт с активным веществом исключен.
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