Метаболические и сосудистые нарушения головного мозга (в том числе ишемический инсульт, черепно- мозговая травма). Периферические (артериальные и венозные) сосудистые нарушения и их последствия (артериальная ангиопатия, трофические язвы). Заживление ран (язвы различной этиологии, ожоги, трофические нарушения (пролежни), нарушение процессов заживления ...
Активное вещество: актовегина концентрат 20 мг, Вспомогательные вещества: натрия хлорид, вода д/и.
Фармакологические свойства
Антигипоксант. Актовегин является гемодериватом, который получают посредством диализа и ультрафильтрации (проходят соединения с молекулярной массой менее 5000 дальтон). Положительно влияет на транспорт и утилизацию глюкозы, стимулирует потребление кислорода (что приводит к стабилизации плазматических мембран клеток при ишемии и снижению образования лактата) обладая, таким образом, антигипоксическим действием, которое начинает проявляться самое позднее через 30 мин после парентерального введения и достигает максимума в среднем через 3 ч (2-6 ч). Актовегин увеличивает концентрации АТФ, АДФ, фосфокреатина, а также аминокислот - глутамата, аспартата и ГАМК. Влияние препарата Актовегин на усвоение и утилизацию кислорода, а также инсулиноподобная активность со стимуляцией транспорта и окисления глюкозы являются значимыми в лечении диабетической полиневропатии. У пациентов с сахарным диабетом и диабетической полиневропатией Актовегин достоверно уменьшает симптомы полиневропатии (колющая боль, чувство жжения, парестезии, онемение нижних конечностей). Объективно уменьшаются расстройства чувствительности, улучшается психическое самочувствие пациентов.
Показания к применению
Метаболические и сосудистые нарушения головного мозга (в том числе ишемический инсульт, черепно- мозговая травма). Периферические (артериальные и венозные) сосудистые нарушения и их последствия (артериальная ангиопатия, трофические язвы). Заживление ран (язвы различной этиологии, ожоги, трофические нарушения (пролежни), нарушение процессов заживления ран). Профилактика и лечение лучевых поражений кожи и слизистых оболочек при лучевой терапии.
Противопоказания
Гиперчувствительность к препарату Актовегин или аналогичным препаратам, декомпенсированная сердечная недостаточность, отек легких, олигурия, анурия, задержка жидкости в организме. С осторожностью: гиперхлоремия, гипернатриемия
Применение при беременности и в период грудного вскармливания
Использование препарата у беременных не вызывало негативного воздействия на мать или плод. Однако при применении у беременных женщин необходимо учитывать потенциальный риск для плода.
Способ применения и дозы
В зависимости от тяжести клинической картины, начальная доза составляет 10-20 мл/сутки внутривенно или внутриартериально; далее 5 мл внутривенно или 5 мл внутримышечно. Метаболические и сосудистые нарушения головного мозга: в начале лечения 10 мл внутривенно ежедневно в течение двух недель, далее 5-10 мл внутривенно 3-4 раза в неделю в течение не менее 2 недель. Ишемический инсульт: 20-50 мл в 200-300 мл основного раствора внутривенно капельно ежедневно в течение 1 недели, далее по 10-20 мл внутривенно капельно – 2 недели. Периферические (артериальные и венозные) сосудистые нарушения и их последствия: 20-30 мл препарата в 200 мл основного раствора внутриартериально или внутривенно ежедневно; продолжительность лечения около 4 недель. Заживление ран: 10 мл внутривенно или 5 мл внутримышечно ежедневно или 3-4 раза в неделю в зависимости от процесса заживления (дополнительно к местному лечению препаратом Актовегин в лекарственных формах для местного применения). Профилактика и лечение лучевых поражений кожи и слизистых оболочек при лучевой терапии: средняя доза составляет 5 мл внутривенно ежедневно в перерывах радиационного воздействия. Радиационный цистит: ежедневно 10 мл трансуретрально в сочетании с терапией антибиотиками.
Побочное действие
Аллергические реакции кожная сыпь. гиперемия кожи. гипертермия, вплоть до анафилактического шока.
Особые указания
В случае в/м способа применения вводят медленно не более 5 мл. Из-за возможности возникновения анафилактической реакции рекомендуется проводить пробную инъекцию (2 мл в/м). Раствор для инъекций имеет слегка желтоватый оттенок. Интенсивность окраски может варьироваться от одной партии к другой в зависимости от особенностей использованных исходных материалов, однако это не сказывается отрицательно на активности препарата или его переносимости. Нe использовать непрозрачный раствор или раствор, содержащий частицы.
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У пациентов с сахарным диабетом и диабетической полиневропатией Актовегин достоверно уменьшает симптомы полиневропатии (колющая боль, чувство жжения, парестезии, онемение нижних конечностей). Объективно уменьшаются расстройства чувствительности, улучшается психическое самочувствие пациентов."}}]},{"id":3,"name":"Показания к применению","slug":"indications","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Метаболические и сосудистые нарушения головного мозга (в том числе ишемический инсульт, черепно- мозговая травма). Периферические (артериальные и венозные) сосудистые нарушения и их последствия (артериальная ангиопатия, трофические язвы). Заживление ран (язвы различной этиологии, ожоги, трофические нарушения (пролежни), нарушение процессов заживления ран). Профилактика и лечение лучевых поражений кожи и слизистых оболочек при лучевой терапии."}}]},{"id":4,"name":"Противопоказания","slug":"contraindications","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Гиперчувствительность к препарату Актовегин или аналогичным препаратам, декомпенсированная сердечная недостаточность, отек легких, олигурия, анурия, задержка жидкости в организме. С осторожностью: гиперхлоремия, гипернатриемия"}}]},{"id":5,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Использование препарата у беременных не вызывало негативного воздействия на мать или плод. 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