Синтетический аналог гистамина. Действует главным образом на... Инструкция
Показания к применению
Лечение и профилактика вестибулярного головокружения различного генеза
Синдромы, характеризующиеся головокружением, головной болью, шумом в ушах, прогрессирующим снижением слуха, тошнотой и рвотой
Болезнь и синдром Меньера
Противопоказания
Беременность
Период лактации (грудного вскармливания)
Повышенная чувствительность к компонентам препарата. С осторожностью следует назначать препарат пациентам с язвенной болезнью желудка или двенадцатиперстной кишки(в т.ч. в анамнезе), пациентам с феохромоцитомой и бронхиальной астмой
Состав Бетагистина дигидрохлорид 16 мг Вспомогательные вещества: целлюлоза микрокристаллическая, лактоза (сахар молочный), крахмал кукурузный, поливинилпирролидон (повидон), карбоксиметилкрахмал натрия (примогель), тальк, кремния диоксид коллоидный (аэросил). Фармакологическое действие Синтетический аналог гистамина. Действует главным образом на гистаминовые H1- и H3-рецепторы внутреннего уха и вестибулярных ядер ЦНС. Путем прямого агонистического воздействия на гистаминовые H1-рецепторы сосудов внутреннего уха, а также опосредованно через воздействие на гистаминовые H3-рецепторы улучшает микроциркуляцию и проницаемость капилляров внутреннего уха, нормализует давление эндолимфы в лабиринте и улитке. Наряду с этим бетагистин увеличивает кровоток в базилярных артериях. Обладает выраженным центральным эффектом, являясь ингибитором гистаминовых H3-рецепторов ядер вестибулярного нерва. Нормализует проводимость в нейронах вестибулярных ядер на уровне ствола головного мозга. Клиническими проявлениями указанных свойств являются снижение частоты и интенсивности головокружений, уменьшение шума и звона в ушах, улучшение слуха в случае его понижения. Способ применения и дозы Улучшение состояния отмечается уже в начале терапии. Стабильный терапевтический эффект достигается в течение 2 недель приема препарата и может нарастать при приеме препарата в течение нескольких месяцев. Продолжительность терапии устанавливают индивидуально. Меры предосторожности В период лечения возможно обострение псориаза. При феохромоцитоме пропранолол можно применять только после приема альфа-адреноблокатора. После продолжительного курса лечения пропранолол следует отменять постепенно, под наблюдением врача. На фоне лечения пропранололом следует избегать в/в введения верапамила , дилтиазема . За несколько дней перед проведением наркоза необходимо прекратить прием пропранолола или подобрать средство для наркоза с минимальным отрицательным инотропным действием. Влияние на способность к вождению автотранспорта и управлению механизмами У пациентов, деятельность которых требует повышенного внимания, вопрос о применении пропранолола амбулаторно следует решать только после оценки индивидуальной реакции пациента. Побочное действие Возможно: нарушения со стороны ЖКТ. В очень редких случаях: кожные проявления аллергических реакций (кожная сыпь, зуд, крапивница), отек Квинке. Особые указания В период применения препарата пациенты с язвенной болезнью желудка или двенадцатиперстной кишки, с феохромоцитомой, с бронхиальной астмой должны находиться под медицинским наблюдением. Влияние на способность к вождению автотранспорта и управлению механизмами Бетавер не обладает седативным эффектом и не влияет на способность к вождению автотранспорта или работе с механизмами. Применение при беременности и кормлении грудью Недостаточно данных для оценки воздействия препарата при беременности и в период лактации, поэтому применение его в эти периоды противопоказано. Тип: Лекарственное средство Количество в упаковке, шт: 30 Срок годности: 24 мес Действующее вещество: Бетагистин (Betahistine) Путь введения: Перорально Порядок отпуска: По рецепту Форма выпуска: По рецепту Условия хранения: В сухом месте, В защищенном от солнца помещении, Беречь от детей Максимальная допустимая температура хранения, °С: 25 Фармакологическая группа: N07CA01 Бетагистин Минимальный возраст от: 18 лет
Фармакологические свойства
Синтетический аналог гистамина. Действует главным образом на гистаминовые H1- и H3-рецепторы внутреннего уха и вестибулярных ядер ЦНС. Путем прямого агонистического воздействия на гистаминовые H1-рецепторы сосудов внутреннего уха, а также опосредованно через воздействие на гистаминовые H3-рецепторы улучшает микроциркуляцию и проницаемость капилляров внутреннего уха, нормализует давление эндолимфы в лабиринте и улитке. Наряду с этим бетагистин увеличивает кровоток в базилярных артериях. Обладает выраженным центральным эффектом, являясь ингибитором гистаминовых H3-рецепторов ядер вестибулярного нерва. Нормализует проводимость в нейронах вестибулярных ядер на уровне ствола головного мозга. Клиническими проявлениями указанных свойств являются снижение частоты и интенсивности головокружений, уменьшение шума и звона в ушах, улучшение слуха в случае его понижения.
Показания к применению
Лечение и профилактика вестибулярного головокружения различного генеза
Синдромы, характеризующиеся головокружением, головной болью, шумом в ушах, прогрессирующим снижением слуха, тошнотой и рвотой
Болезнь и синдром Меньера
Противопоказания
Беременность
Период лактации (грудного вскармливания)
Повышенная чувствительность к компонентам препарата. С осторожностью следует назначать препарат пациентам с язвенной болезнью желудка или двенадцатиперстной кишки(в т.ч. в анамнезе), пациентам с феохромоцитомой и бронхиальной астмой
Применение при беременности и в период грудного вскармливания
Недостаточно данных для оценки воздействия препарата при беременности и в период лактации, поэтому применение его в эти периоды противопоказано.
Способ применения и дозы
Улучшение состояния отмечается уже в начале терапии. Стабильный терапевтический эффект достигается в течение 2 недель приема препарата и может нарастать при приеме препарата в течение нескольких месяцев. Продолжительность терапии устанавливают индивидуально.
Побочное действие
Возможно: нарушения со стороны ЖКТ. В очень редких случаях: кожные проявления аллергических реакций (кожная сыпь, зуд, крапивница), отек Квинке.
Особые указания
Возможно: нарушения со стороны ЖКТ. В очень редких случаях: кожные проявления аллергических реакций (кожная сыпь, зуд, крапивница), отек Квинке.
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