Восстанавливает функции лимфоцитов в условиях иммунодепрессии, повышает бластогенез в популяции моноцитарных клеток, стимулирует экспрессию мембранных рецепторов на поверхности Т-хелперов, предупреждает снижение активности лимфоцитарных клеток под влиянием глюкокортикостероидов, нормализует включение в них тимидина. Изопринозин оказывает стимулирующее влияние на активность цитотоксических Т-лимфоцитов и естественных киллеров, функции Т-супрессоров и Т-хелперов, повышает продукцию иммуноглобулина (Ig) G, интерферона-гамма, интерлейкинов (ИЛ)-1 и ИЛ-2, снижает образование провоспалительных цитокинов - ИЛ-4 и ИЛ-1 О, потенцирует хемотаксис нейтрофилов, моноцитов и макрофагов.
Препарат проявляет противовирусную активность in vivo в отношении вирусов Herpes simplex, цитомегаловируса и вируса кори, вирус Т-клеточной лимфомы человека тип III, полиовирусов, гриппа А и В, ЕСНО-вирус (энтероцитопатогенный вирус человека), энцефаломиокардита и конского. энцефалита. Механизм противовирусного действия Изопринозина связан с ингибированием вирусной РНК и фермента дигидроптероатсинтетазы, участвующего в репликации некоторых вирусов, усиливает подавленный вирусами синтез мРНК лимфоцитов, что сопровождается подавлением биосинтеза вирусной РНК и трансляции вирусных белков, повышает продукцию лимфоцитами обладающих противовирусными свойствами интерферонов -альфа и гамма. При комбинированном назначении усиливает действие интерферона-альфа, противовирусных средств ацикловира и зидовудина.
Фармакокинетика
После приема внутрь препарат хорошо всасывается из желудочно-кишечного тракта. Максимальная концентрация ингредиентов в плазме крови определяется через 1-2 часа.
Быстро подвергается метаболизму и выделяется через почки. Метаболизируется аналогично эндогенным пуриновым нуклеотидам с образованием мочевой кислоты. N-N-диметиламино-2-пропранолон метаболизируется до N-оксида, а пара-ацетамидобензоат -до о-ацилглюкуронида. Не обнаружено кумуляции препарата в организме. Период полувыведения составляет 3,5 часа для N-N-диметиламино-2-пропранолона и 50 минут -для пара-ацетамидобензоата. Элиминация препарата и его метаболитов из организма происходит в течение 24-48 часов.
Показания к применению
- Лечение гриппа и других ОРВИ;
- инфекции, вызываемые вирусом Herpes simplex 1-го, 2-го, 3-го и 4-го типов: генитальный и лабиальный герпес, герпетический кератит, опоясывающий лишай, ветряная оспа, инфекционный мононуклеоз, вызванный вирусом Эпштейна-Барр; цитомегаловирусная инфекция; корь тяжелого течения;
- папилломавирусная инфекция: папилломы гортани/голосовых связок (фиброзного типа), папилломавирусная инфекция гениталий у мужчин и женщин, бородавки; контагиозный моллюск.
Противопоказания
- повышенная чувствительность к компонентам препарата;
- подагра;
- мочекаменная болезнь;
- аритмии;
- хроническая почечная недостаточность;
- детский возраст до 3 лет (масса тела до 15-20 кг).
Применение при беременности и в период грудного вскармливания
Не рекомендуется применять препарат во время беременности и в период кормления грудью, так как безопасность применения не исследовалась.
Способ применения и дозы
Таблетки принимают внутрь после еды, запивая небольшим количеством воды.
Рекомендуемая доза взрослым и детям с 3 лет (масса тела от 15-20 кг) составляет 50 мг/кг в сутки, разделенная на 3-4 приема. Взрослым - по 6-8 таблеток в сутки, детям - по 1/2 таблетки на 5 кг/массы тела в сутки. При тяжелых формах инфекционных заболеваний доза может быть увеличена индивидуально до 100 мг/кг массы тела в сутки, разделенных на 4-6. приемов. Максимальная суточная доза для взрослых 3-4 г/день, для детей - 50 мг/кг/сутки.
Продолжительность лечения:
Острые заболевания: продолжительность лечения у взрослых и детей обычно от 5.до 14 дней. Лечение необходимо продолжать до момента исчезновения клинических симптомов и в течение еще 2 дней уже при отсутствии симптомов. При необходимости длительность лечения может бьть увеличена индивидуально под контролем врача.
При хронических рецидивирующих заболеваниях у взрослых и детей лечение необходимо продолжать несколькими курсами по 5-1О дней с перерывом в приеме в 8 дней.
Для проведения поддерживающей терапии доза может быть снижена до 500-1 00О мг в сутки (1-2 таблетки) в течение 30 дней.
При герпетической инфекции взрослым и детям назначают в течение 5-1О дней до исчезновения симптомов заболевания, в бессимптомный период - по 1 таблетке 2 раза в день в течение 30 дней для уменьшения числа рецидивов.
При папилломавирусной инфекции взрослым препарат назначают по 2 таблетки 3 раза в день, детям - по 1/2 таблетки на 5 кг/массы тела в сутки в 3-4 приема в течение 14-28 дней в виде монотерапии.
При рецидивирующих остроконечных кондиломах взрослым препарат назначают по 2 таблетки 3 раза, детям - по 1/2 таблетки на 5 кг/массы тела в сутки в 3-4 приема в день либо в качестве монотерапии или в комбинации с хирургическим лечением в течение 14-28 дней, далее с трехкратным повторением указанного курса с интервалами в 1 месяц.
При дисплазии шейки матки, ассоциированной с вирусом папилломы человека, назначают по 2 таблетки 3 раза в день в течение 10 дней, далее проводят 2-3 аналогичных курса с интервалом в 10-14 дней.
Побочное действие
Частота развития побочных эффектов после применения препарата классифицирована согласно рекомендациям ВОЗ.
Часто: ≥1% и <10%.
Со стороны желудочно-кишечного тракта: часто - тошнота, рвота, боль в эпигастрии, иногда - диарея, запор.
Со стороны печени и желчевыводящих путей: часто - временное повышение активности трансаминаз и щелочной фосфатазы в плазме крови, повышение концентрации мочевины в плазме крови.
Со стороны кожи и подкожно-жировой клетчатки: часто - зуд.
Со стороны нервной системы: часто - головная боль, головокружение, слабость; иногда -сонливость, бессонница.
Со стороны мочевыделительной системы: иногда - полиурия.
Со стороны опорно-двигательного аппарата и соединительной ткани: часто - боль в суставах, обострение подагры.
Передозировка
Случаи передозировки препарата не описаны.
Взаимодействие с другими лекарственными средствами
Иммунодепрессанты могут снижать эффективность действия препарата. Ингибиторы ксантиноксидазы и урикозурические средства (в том числе диуретики) могут способствовать риску повышения уровня мочевой кислоты в сыворотке крови пациентов, принимающих Изопринозин.
Особые указания
После 2-х недель применения Изопринозина следует провести контроль концентрации мочевой кислоты в сыворотке крови и моче.
При длительном приеме после 4-х недель применения целесообразно каждый месяц проводить контроль функций печени и почек (активность трансаминаз в плазме крови, креатинин, мочевая кислота).
Необходимо контролировать уровень мочевой кислоты в сыворотке крови при назначении изопринозина в сочетании с препаратами, увеличивающими уровень мочевой кислоты или препаратами, нарушающими функцию почек.
Влияние на способность управлять автомобилем и движущимися механизмами
Нет специальных противопоказаний.
Форма выпуска
Таблетки 500 мг.
По 10 таблеток в блистер ПВХ/ПВДХ и фольги алюминиевой. По 2, 3 или 5 блистеров вместе с инструкцией по применению помещают в пачку картонную. На пачку картонную дополнительно могут быть нанесены защитные наклейки.
Условия хранения
Хранить при температуре не выше 25 °С.
Хранить в недоступном для детей месте!
Срок годности
5 лет.
Не использовать позже срока, указанного на упаковке.
Условия отпуска
Отпускают по рецепту.
Производитель
Техническое фармацевтическое общество «Лузомедикамента», С.А., Португалия
ул. Консильери Педрозу, 69-В, Келуз де Байшу, 2730-055 Баркарена, Португалия
Организация, принимающая претензии потребителей
Тева Фармацевтические Предприятия Лтд., Израиль
Для описания товара использована информация от партнера 36.6
Мобильное приложение «Все аптеки»
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20 шт, 500 мг","short":"Таблетки, 20 шт, 500 мг","package":"20 шт, 500 мг"},"prescription":true,"catalog_section_id":100264,"manufacturer":{"id":14,"title":"Тева","slug":"teva_14","logo":{"isTouch":{"retina":null,"default":null},"isFromTablet":{"retina":null,"default":null}}},"is_advert":false,"product_form":"Таблетки","slug":"106903-izoprinozin","attributes":{"count":"20 шт","dose":"500 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N015167/01"}}]},{"id":2,"name":"Торговое название препарата","slug":"","body":[{"type":"paragraph","data":{"text":"Изопринозин"}}]},{"id":3,"name":"Лекарственная форма","slug":"","body":[{"type":"paragraph","data":{"text":"таблетки"}}]},{"id":4,"name":"Состав","slug":"ingredients","body":[{"type":"paragraph","data":{"text":"\n\nВ 1 таблетке содержится:"}},{"type":"paragraph","data":{"text":"действующее вещество: Инозин Пранобекс (Изопринозин) - 500 мг;"}},{"type":"paragraph","data":{"text":"вспомогательные вещества: маннитол, крахмал пшеничный, повидон, магния стеарат.\n\n"}}]},{"id":5,"name":"Описание","slug":"common_description","body":[{"type":"paragraph","data":{"text":"Продолговатые таблетки двояковыпуклой формы белого или почти белого цвета с легким аминовым запахом, с риской на одной стороне."}}]},{"id":6,"name":"Фармакотерапевтическая группа","slug":"","body":[{"type":"paragraph","data":{"text":"иммуностимулирующее средство."}}]},{"id":7,"name":"Фармакологические свойства","slug":"pharmacologic_effects","body":[{"type":"paragraph","data":{"text":"Изопринозин синтетическое комплексное производное пурина, обладающее иммуностимулирующей активностью и неспецифическим противовирусным действием."}},{"type":"paragraph","data":{"text":"Восстанавливает функции лимфоцитов в условиях иммунодепрессии, повышает бластогенез в популяции моноцитарных клеток, стимулирует экспрессию мембранных рецепторов на поверхности Т-хелперов, предупреждает снижение активности лимфоцитарных клеток под влиянием глюкокортикостероидов, нормализует включение в них тимидина. Изопринозин оказывает стимулирующее влияние на активность цитотоксических Т-лимфоцитов и естественных киллеров, функции Т-супрессоров и Т-хелперов, повышает продукцию иммуноглобулина (Ig) G, интерферона-гамма, интерлейкинов (ИЛ)-1 и ИЛ-2, снижает образование провоспалительных цитокинов - ИЛ-4 и ИЛ-1 О, потенцирует хемотаксис нейтрофилов, моноцитов и макрофагов."}},{"type":"paragraph","data":{"text":"Препарат проявляет противовирусную активность in vivo в отношении вирусов Herpes simplex, цитомегаловируса и вируса кори, вирус Т-клеточной лимфомы человека тип III, полиовирусов, гриппа А и В, ЕСНО-вирус (энтероцитопатогенный вирус человека), энцефаломиокардита и конского. энцефалита. Механизм противовирусного действия Изопринозина связан с ингибированием вирусной РНК и фермента дигидроптероатсинтетазы, участвующего в репликации некоторых вирусов, усиливает подавленный вирусами синтез мРНК лимфоцитов, что сопровождается подавлением биосинтеза вирусной РНК и трансляции вирусных белков, повышает продукцию лимфоцитами обладающих противовирусными свойствами интерферонов -альфа и гамма. При комбинированном назначении усиливает действие интерферона-альфа, противовирусных средств ацикловира и зидовудина."}},{"type":"paragraph","data":{"text":"Фармакокинетика"}},{"type":"paragraph","data":{"text":"После приема внутрь препарат хорошо всасывается из желудочно-кишечного тракта. Максимальная концентрация ингредиентов в плазме крови определяется через 1-2 часа."}},{"type":"paragraph","data":{"text":"Быстро подвергается метаболизму и выделяется через почки. Метаболизируется аналогично эндогенным пуриновым нуклеотидам с образованием мочевой кислоты. N-N-диметиламино-2-пропранолон метаболизируется до N-оксида, а пара-ацетамидобензоат -до о-ацилглюкуронида. Не обнаружено кумуляции препарата в организме. Период полувыведения составляет 3,5 часа для N-N-диметиламино-2-пропранолона и 50 минут -для пара-ацетамидобензоата. Элиминация препарата и его метаболитов из организма происходит в течение 24-48 часов."}}]},{"id":8,"name":"Показания к применению","slug":"indications","body":[{"type":"paragraph","data":{"text":"\n\n- Лечение гриппа и других ОРВИ;"}},{"type":"paragraph","data":{"text":"- инфекции, вызываемые вирусом Herpes simplex 1-го, 2-го, 3-го и 4-го типов: генитальный и лабиальный герпес, герпетический кератит, опоясывающий лишай, ветряная оспа, инфекционный мононуклеоз, вызванный вирусом Эпштейна-Барр; цитомегаловирусная инфекция; корь тяжелого течения;"}},{"type":"paragraph","data":{"text":"- папилломавирусная инфекция: папилломы гортани/голосовых связок (фиброзного типа), папилломавирусная инфекция гениталий у мужчин и женщин, бородавки; контагиозный моллюск.\n\n"}}]},{"id":9,"name":"Противопоказания","slug":"contraindications","body":[{"type":"paragraph","data":{"text":"\n\n- повышенная чувствительность к компонентам препарата;"}},{"type":"paragraph","data":{"text":"- подагра;"}},{"type":"paragraph","data":{"text":"- мочекаменная болезнь;"}},{"type":"paragraph","data":{"text":"- аритмии;"}},{"type":"paragraph","data":{"text":"- хроническая почечная недостаточность;"}},{"type":"paragraph","data":{"text":"- детский возраст до 3 лет (масса тела до 15-20 кг).\n\n"}}]},{"id":11,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","body":[{"type":"paragraph","data":{"text":"Не рекомендуется применять препарат во время беременности и в период кормления грудью, так как безопасность применения не исследовалась."}}]},{"id":12,"name":"Способ применения и дозы","slug":"dosage","body":[{"type":"paragraph","data":{"text":"Таблетки принимают внутрь после еды, запивая небольшим количеством воды."}},{"type":"paragraph","data":{"text":"Рекомендуемая доза взрослым и детям с 3 лет (масса тела от 15-20 кг) составляет 50 мг/кг в сутки, разделенная на 3-4 приема. Взрослым - по 6-8 таблеток в сутки, детям - по 1/2 таблетки на 5 кг/массы тела в сутки. При тяжелых формах инфекционных заболеваний доза может быть увеличена индивидуально до 100 мг/кг массы тела в сутки, разделенных на 4-6. приемов. Максимальная суточная доза для взрослых 3-4 г/день, для детей - 50 мг/кг/сутки."}},{"type":"paragraph","data":{"text":"Продолжительность лечения:"}},{"type":"paragraph","data":{"text":"Острые заболевания: продолжительность лечения у взрослых и детей обычно от 5.до 14 дней. Лечение необходимо продолжать до момента исчезновения клинических симптомов и в течение еще 2 дней уже при отсутствии симптомов. При необходимости длительность лечения может бьть увеличена индивидуально под контролем врача."}},{"type":"paragraph","data":{"text":"При хронических рецидивирующих заболеваниях у взрослых и детей лечение необходимо продолжать несколькими курсами по 5-1О дней с перерывом в приеме в 8 дней."}},{"type":"paragraph","data":{"text":"Для проведения поддерживающей терапии доза может быть снижена до 500-1 00О мг в сутки (1-2 таблетки) в течение 30 дней."}},{"type":"paragraph","data":{"text":"При герпетической инфекции взрослым и детям назначают в течение 5-1О дней до исчезновения симптомов заболевания, в бессимптомный период - по 1 таблетке 2 раза в день в течение 30 дней для уменьшения числа рецидивов."}},{"type":"paragraph","data":{"text":"При папилломавирусной инфекции взрослым препарат назначают по 2 таблетки 3 раза в день, детям - по 1/2 таблетки на 5 кг/массы тела в сутки в 3-4 приема в течение 14-28 дней в виде монотерапии."}},{"type":"paragraph","data":{"text":"При рецидивирующих остроконечных кондиломах взрослым препарат назначают по 2 таблетки 3 раза, детям - по 1/2 таблетки на 5 кг/массы тела в сутки в 3-4 приема в день либо в качестве монотерапии или в комбинации с хирургическим лечением в течение 14-28 дней, далее с трехкратным повторением указанного курса с интервалами в 1 месяц."}},{"type":"paragraph","data":{"text":"При дисплазии шейки матки, ассоциированной с вирусом папилломы человека, назначают по 2 таблетки 3 раза в день в течение 10 дней, далее проводят 2-3 аналогичных курса с интервалом в 10-14 дней."}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"Частота развития побочных эффектов после применения препарата классифицирована согласно рекомендациям ВОЗ."}},{"type":"paragraph","data":{"text":"Часто: ≥1% и <10%."}},{"type":"paragraph","data":{"text":"Со стороны желудочно-кишечного тракта: часто - тошнота, рвота, боль в эпигастрии, иногда - диарея, запор."}},{"type":"paragraph","data":{"text":"Со стороны печени и желчевыводящих путей: часто - временное повышение активности трансаминаз и щелочной фосфатазы в плазме крови, повышение концентрации мочевины в плазме крови."}},{"type":"paragraph","data":{"text":"Со стороны кожи и подкожно-жировой клетчатки: часто - зуд."}},{"type":"paragraph","data":{"text":"Со стороны нервной системы: часто - головная боль, головокружение, слабость; иногда -сонливость, бессонница."}},{"type":"paragraph","data":{"text":"Со стороны мочевыделительной системы: иногда - полиурия."}},{"type":"paragraph","data":{"text":"Со стороны опорно-двигательного аппарата и соединительной ткани: часто - боль в суставах, обострение подагры."}}]},{"id":14,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"Случаи передозировки препарата не описаны."}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"Иммунодепрессанты могут снижать эффективность действия препарата. Ингибиторы ксантиноксидазы и урикозурические средства (в том числе диуретики) могут способствовать риску повышения уровня мочевой кислоты в сыворотке крови пациентов, принимающих Изопринозин."}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"\n\nПосле 2-х недель применения Изопринозина следует провести контроль концентрации мочевой кислоты в сыворотке крови и моче."}},{"type":"paragraph","data":{"text":"При длительном приеме после 4-х недель применения целесообразно каждый месяц проводить контроль функций печени и почек (активность трансаминаз в плазме крови, креатинин, мочевая кислота)."}},{"type":"paragraph","data":{"text":"Необходимо контролировать уровень мочевой кислоты в сыворотке крови при назначении изопринозина в сочетании с препаратами, увеличивающими уровень мочевой кислоты или препаратами, нарушающими функцию почек.\n\n"}}]},{"id":17,"name":"Влияние на способность управлять автомобилем и движущимися механизмами","slug":"","body":[{"type":"paragraph","data":{"text":"Нет специальных противопоказаний."}}]},{"id":18,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"\n\nТаблетки 500 мг."}},{"type":"paragraph","data":{"text":"По 10 таблеток в блистер ПВХ/ПВДХ и фольги алюминиевой. По 2, 3 или 5 блистеров вместе с инструкцией по применению помещают в пачку картонную. На пачку картонную дополнительно могут быть нанесены защитные наклейки.\n\n"}}]},{"id":19,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"\n\nХранить при температуре не выше 25 °С."}},{"type":"paragraph","data":{"text":"Хранить в недоступном для детей месте!\n\n"}}]},{"id":20,"name":"Срок годности","slug":"expiry_date","body":[{"type":"paragraph","data":{"text":"\n\n5 лет."}},{"type":"paragraph","data":{"text":"Не использовать позже срока, указанного на упаковке.\n\n"}}]},{"id":21,"name":"Условия отпуска","slug":"release_condition","body":[{"type":"paragraph","data":{"text":"Отпускают по рецепту."}}]},{"id":22,"name":"Производитель","slug":"","body":[{"type":"paragraph","data":{"text":"\n\nТехническое фармацевтическое общество «Лузомедикамента», С.А., Португалия"}},{"type":"paragraph","data":{"text":"ул. Консильери Педрозу, 69-В, Келуз де Байшу, 2730-055 Баркарена, Португалия\n\n"}}]},{"id":23,"name":"Организация, принимающая претензии потребителей","body":[{"type":"paragraph","data":{"text":"Тева Фармацевтические Предприятия Лтд., Израиль"}}]}],"source":null},"description_toggle":false,"short_description":"Изопринозин синтетическое комплексное производное пурина, обладающее иммуностимулирующей активностью и неспецифическим противовирусным действием. Восстанавливает функции лимфоцитов в условиях иммунодепрессии, повышает бластогенез в популяции моноцитарных клеток, стимулирует экспрессию мембранных рецепторов на поверхности Т-хелперов, предупреждает снижение активности лимфоцитарных клеток под влиянием глюкокортикостероидов, нормализует включение в них тимидина. Изопринозин оказывает стимулирующее влияние на активность цитотоксических Т-лимфоцитов и естественных киллеров, функции Т-супрессоров и Т-хелперов, повышает продукцию иммуноглобулина (Ig) G, интерферона-гамма, интерлейкинов (ИЛ)-1 и ИЛ-2, снижает образование провоспалительных цитокинов - ИЛ-4 и ИЛ-1 О, потенцирует хемотаксис нейтрофилов, моноцитов и макрофагов. Препарат проявляет противовирусную активность in vivo в отношении вирусов Herpes simplex, цитомегаловируса и вируса кори, вирус Т-клеточной лимфомы человека тип III, полиовирусов, гриппа А и В, ЕСНО-вирус (энтероцитопатогенный вирус человека), энцефаломиокардита и конского. энцефалита. Механизм противовирусного действия Изопринозина связан с ингибированием вирусной РНК и фермента дигидроптероатсинтетазы, участвующего в репликации некоторых вирусов, усиливает подавленный вирусами синтез мРНК лимфоцитов, что сопровождается подавлением биосинтеза вирусной РНК и трансляции вирусных белков, повышает продукцию лимфоцитами обладающих противовирусными свойствами интерферонов -альфа и гамма. При комбинированном назначении усиливает действие интерферона-альфа, противовирусных средств ацикловира и зидовудина. Фармакокинетика После приема внутрь препарат хорошо всасывается из желудочно-кишечного тракта. Максимальная концентрация ингредиентов в плазме крови определяется через 1-2 часа. Быстро подвергается метаболизму и выделяется через почки. Метаболизируется аналогично эндогенным пуриновым нуклеотидам с образованием мочевой кислоты. N-N-диметиламино-2-пропранолон метаболизируется до N-оксида, а пара-ацетамидобензоат -до о-ацилглюкуронида. Не обнаружено кумуляции препарата в организме. Период полувыведения составляет 3,5 часа для N-N-диметиламино-2-пропранолона и 50 минут -для пара-ацетамидобензоата. 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