Лиофилизат: каждый флакон содержит: Активное вещество: фамотидин 20 мг. ; Вспомогательные вещества: аспарагиновая кислота - 8,8 мг, маннитол - 44,0 мг. ; Растворитель: 0,9% раствор натрия хлорида: каждая ампула содержит: натрия хлорид - 45,0 мг, вода для инъекций - до 5,0 мл.
Фармакологические свойства
Механизм действия ; Тербинафин представляет собой аллиламин, который имеет широкий спектр противогрибковой активности. В низких концентрациях тербинафин обладает фунгицидной активностью в отношении дерматофитов, плесневых и некоторых диморфных грибов. Действие на дрожжевые грибы может быть фунгицидным или фунгистатическим в зависимости от вида гриба. Препарат обладает длительным действием, что позволяет достичь эффекта за короткий период лечения. ; Тербинафин влияет на ранний этап биосинтеза стеролов путем ингибирования скваленэпоксидазы, и это обусловливает дефицит эргостерола и внутриклеточное накопление сквалена, что приводит к гибели грибковой клетки. ; Тербинафин подавляет фермент скваленэпоксидазу, расположенный на клеточной мембране гриба. Фермент скваленэпоксидаза не относится к системе цитохрома Р450. ; Тербинафин не влияет на метаболизм гормонов или других лекарственных препаратов.
повышенная чувствительность к действующему веществу или вспомогательным компонентам препарата.
Применение при беременности и в период грудного вскармливания
Применение в период беременности и кормления грудью. Период беременности. В ходе исследований на животных не отмечено эмбриотоксического действия тербинафина. Поскольку клинический опыт применения препарата в период беременности ограничен, препарат не следует применять у беременных, за исключением случаев, когда, по мнению врача, ожидаемый положительный эффект для матери превышает потенциальный риск для плода. ; Период кормления грудью. Тербинафин проникает в грудное молоко, поэтому препарат не следует назначать кормящим грудью. Необходимо избегать контакта детей с участками кожи, на которые наносится препарат, включая молочные железы. ; Влияние на фертильность. В исследованиях, проведенных на животных, влияния на фертильность не отмечено.
Способ применения и дозы
применяют у взрослых и детей в возрасте старше 12 лет. ; Препарат Тербизил крем можно применять 1 или 2 раза в сутки в зависимости от показаний. Перед нанесением крема необходимо тщательно очистить и подсушить пораженные участки. Крем наносить тонким слоем на пораженную кожу и прилегающие участки, слегка втирая. При инфекциях, сопровождающихся опрелостью (под молочными железами, в межпальцевой зоне, паховой области и между ягодицами), места нанесения можно укрывать марлей, особенно на ночь. ; Продолжительность и частота применения препарата зависят от тяжести течения заболевания: дерматофития стоп, паховая дерматофития и дерматофития туловища - 1 раз в сутки в течение 1 нед.; ; сквамозно-гиперкератотическая дерматофития стоп (мокасиновая стопа) - 2 раза в сутки в течение 2 нед.; ; кандидоз кожи - 1–2 раза в сутки в течение 1 нед.; ; разноцветный лишай - 1–2 раза в сутки в течение 2 нед. ; Для пациентов пожилого возраста коррекции дозы не требуется. ; Уменьшение выраженности симптомов обычно отмечают в течение нескольких дней после начала лечения. В случае нерегулярного применения или преждевременного прекращения лечения существует риск рецидива инфекции. При отсутствии признаков улучшения после 2 нед. лечения следует проконсультироваться с врачом.
Побочное действие
в местах нанесения препарата могут возникать зуд, шелушение, боль, раздражение, нарушение пигментации, жжение, покраснение кожи, образование корки. Эти безопасные симптомы следует отличать от реакции гиперчувствительности, сопровождающейся сыпью. Подобные реакции возникают редко, но при этом следует прекратить применение препарата. ; При попадании в глаза может вызвать раздражение. ; В редких случаях возможно обострение основной грибковой инфекции. ; Возможные побочные эффекты: со стороны иммунной системы: реакции гиперчувствительности, в том числе крапивница*. ; Со стороны органа зрения: раздражение глаз. ; Со стороны кожи и соединительной ткани: шелушение кожи, зуд, нарушения целостности кожи, образование корки, поражения кожи, нарушения пигментации, эритема, ощущение жжения кожи, сухость кожи, контактный дерматит (в том числе буллезный дерматит), экзема, сыпь*. ; Общие нарушения и реакции в месте нанесения: боль, боль в месте нанесения, раздражение в месте нанесения, обострение симптомов, повышение температуры кожи в месте нанесения. ;*Данные, полученные в процессе постмаркетинговых наблюдений.
Передозировка
низкая системная абсорбция тербинафина в форме крема определяет чрезвычайно низкую вероятность передозировки. Случайный прием внутрь 2 тюбиков крема по 15 г (300 мг тербинафина) соответствует приему активного компонента 1 таблетки препарата Тербизил 250 мг. ; При случайном приеме крема внутрь возможно возникновение симптомов передозировки таблеток тербинафина (например головная боль, тошнота, боль в эпигастральной области и головокружение). Рекомендуемое в случае передозировки лечение включает мероприятия по выведению препарата, в первую очередь путем назначения активированного угля, и при необходимости - применение симптоматической поддерживающей терапии.
Особые указания
препарат Тербизил крем предназначен только для наружного применения. ; Следует избегать попадания крема в глаза, поскольку он может вызвать раздражение. При случайном попадании препарата в глаза их следует немедленно промыть проточной водой. ; Хранить в недоступном для детей месте. ; Крем содержит цетиловый и цетостеариловый спирты, которые могут вызвать местные кожные реакции (например контактный дерматит). ; Дети. Опыт применения тербинафина у детей в возрасте до 12 лет ограничен, поэтому назначать препарат пациентам этой возрастной группы не следует. ; Способность влиять на скорость реакции при управлении транспортными средствами или другими механизмами. Препарат Тербизил крем не влияет на способность управлять транспортными средствами и другими механизмами.
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Информация предоставляется в справочных целях. Не занимайтесь самолечением. При первых признаках заболевания обратитесь к врачу.
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В низких концентрациях тербинафин обладает фунгицидной активностью в отношении дерматофитов, плесневых и некоторых диморфных грибов. Действие на дрожжевые грибы может быть фунгицидным или фунгистатическим в зависимости от вида гриба. Препарат обладает длительным действием, что позволяет достичь эффекта за короткий период лечения. ; Тербинафин влияет на ранний этап биосинтеза стеролов путем ингибирования скваленэпоксидазы, и это обусловливает дефицит эргостерола и внутриклеточное накопление сквалена, что приводит к гибели грибковой клетки. ; Тербинафин подавляет фермент скваленэпоксидазу, расположенный на клеточной мембране гриба. Фермент скваленэпоксидаза не относится к системе цитохрома Р450. ; Тербинафин не влияет на метаболизм гормонов или других лекарственных препаратов."}}]},{"id":3,"name":"Показания к применению","slug":"indications","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Дерматомикозы гладкой кожи, вызванные грибками Trichophyton, Microsporum canis, Microsporum gypseum и Epidermophyton floccosum"}},{"type":"paragraph","data":{"text":"Кандидозы кожи, вызванные дрожжевыми грибками Candida"}},{"type":"paragraph","data":{"text":"Микоз кожи головы (волосистая часть)"}},{"type":"paragraph","data":{"text":"Разноцветный лишай, вызванный Pityrosporum orbiculare (Malassezia furfur)."}}]},{"id":4,"name":"Противопоказания","slug":"contraindications","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"повышенная чувствительность к действующему веществу или вспомогательным компонентам препарата."}}]},{"id":5,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Применение в период беременности и кормления грудью. Период беременности. В ходе исследований на животных не отмечено эмбриотоксического действия тербинафина. Поскольку клинический опыт применения препарата в период беременности ограничен, препарат не следует применять у беременных, за исключением случаев, когда, по мнению врача, ожидаемый положительный эффект для матери превышает потенциальный риск для плода. ; Период кормления грудью. Тербинафин проникает в грудное молоко, поэтому препарат не следует назначать кормящим грудью. Необходимо избегать контакта детей с участками кожи, на которые наносится препарат, включая молочные железы. ; Влияние на фертильность. В исследованиях, проведенных на животных, влияния на фертильность не отмечено."}}]},{"id":6,"name":"Способ применения и дозы","slug":"dosage","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"применяют у взрослых и детей в возрасте старше 12 лет. ; Препарат Тербизил крем можно применять 1 или 2 раза в сутки в зависимости от показаний. Перед нанесением крема необходимо тщательно очистить и подсушить пораженные участки. Крем наносить тонким слоем на пораженную кожу и прилегающие участки, слегка втирая. При инфекциях, сопровождающихся опрелостью (под молочными железами, в межпальцевой зоне, паховой области и между ягодицами), места нанесения можно укрывать марлей, особенно на ночь. ; Продолжительность и частота применения препарата зависят от тяжести течения заболевания: дерматофития стоп, паховая дерматофития и дерматофития туловища - 1 раз в сутки в течение 1 нед.; ; сквамозно-гиперкератотическая дерматофития стоп (мокасиновая стопа) - 2 раза в сутки в течение 2 нед.; ; кандидоз кожи - 1–2 раза в сутки в течение 1 нед.; ; разноцветный лишай - 1–2 раза в сутки в течение 2 нед. ; Для пациентов пожилого возраста коррекции дозы не требуется. ; Уменьшение выраженности симптомов обычно отмечают в течение нескольких дней после начала лечения. В случае нерегулярного применения или преждевременного прекращения лечения существует риск рецидива инфекции. При отсутствии признаков улучшения после 2 нед. лечения следует проконсультироваться с врачом."}}]},{"id":7,"name":"Побочное действие","slug":"side_effects","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"в местах нанесения препарата могут возникать зуд, шелушение, боль, раздражение, нарушение пигментации, жжение, покраснение кожи, образование корки. Эти безопасные симптомы следует отличать от реакции гиперчувствительности, сопровождающейся сыпью. Подобные реакции возникают редко, но при этом следует прекратить применение препарата. ; При попадании в глаза может вызвать раздражение. ; В редких случаях возможно обострение основной грибковой инфекции. ; Возможные побочные эффекты: со стороны иммунной системы: реакции гиперчувствительности, в том числе крапивница*. ; Со стороны органа зрения: раздражение глаз. ; Со стороны кожи и соединительной ткани: шелушение кожи, зуд, нарушения целостности кожи, образование корки, поражения кожи, нарушения пигментации, эритема, ощущение жжения кожи, сухость кожи, контактный дерматит (в том числе буллезный дерматит), экзема, сыпь*. ; Общие нарушения и реакции в месте нанесения: боль, боль в месте нанесения, раздражение в месте нанесения, обострение симптомов, повышение температуры кожи в месте нанесения. ;*Данные, полученные в процессе постмаркетинговых наблюдений."}}]},{"id":8,"name":"Передозировка","slug":"overdose","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"низкая системная абсорбция тербинафина в форме крема определяет чрезвычайно низкую вероятность передозировки. 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При случайном попадании препарата в глаза их следует немедленно промыть проточной водой. ; Хранить в недоступном для детей месте. ; Крем содержит цетиловый и цетостеариловый спирты, которые могут вызвать местные кожные реакции (например контактный дерматит). ; Дети. Опыт применения тербинафина у детей в возрасте до 12 лет ограничен, поэтому назначать препарат пациентам этой возрастной группы не следует. ; Способность влиять на скорость реакции при управлении транспортными средствами или другими механизмами. Препарат Тербизил крем не влияет на способность управлять транспортными средствами и другими механизмами."}}]}],"source":{"title":"36.6","url":"https://366.ru"}},"description_toggle":false,"short_description":"Механизм действия ; Тербинафин представляет собой аллиламин, который имеет широкий спектр противогрибковой активности. В низких концентрациях тербинафин обладает фунгицидной активностью в отношении дерматофитов, плесневых и некоторых диморфных грибов. 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