Оксиметазолин оказывает сосудосуживающее действие. При местном нанесении на воспаленную слизистую оболочку полости носа уменьшает ее отечность и выделения из носа. Восстанавливает носовое дыхание.
Устранение отека слизистой оболочки полости носа способствует восстановлению аэрации придаточных пазух полости носа, полости среднего уха, что уменьшает вероятность возникновения бактериальных осложнений (гайморита, синусита, среднего отита).
При местном интраназальном применении в терапевтических концентрациях не раздражает и не вызывает гиперемию слизистой оболочки полости носа.
Препарат Оксифрин, спрей назальный дозированный 11.25 мкг/доза начинает действовать быстро, в течение нескольких минут. Препарат Оксифрин, спрей назальный дозированный 22.5 мкг/доза действует с 25 секунды. Продолжительность действия препаратов до 12 ч.
Результаты двойного слепого плацебоконтролируемого исследования у пациентов с острым вирусным ринитом в возрасте 12-70 лет показали, что применение препарата в концентрации 22.5 мкг/доза сокращает медиану продолжительности насморка с 6 до 4 дней.
Фармакокинетика
При местном применении оксиметазолин не оказывает системного действия. T1/2 оксиметазолина при его интраназальном введении составляет 35 ч. 2.1% оксиметазолина выводится с мочой и около 1.1% с калом.
Показания к применению
острые респираторные заболевания с явлениями ринита (насморка);
острый аллергический ринит;
обострение вазомоторного ринита;
для восстановления дренажа при воспалении придаточных пазух полости носа (синуситах), евстахиите, среднем отите;
для устранения отека перед диагностическими манипуляциями в носовых ходах.
Противопоказания
повышенная чувствительность к оксиметазолину и другим компонентам препарата;
атрофический ринит;
закрытоугольная глаукома;
хирургические вмешательства на твердой мозговой оболочке (в анамнезе);
состояние после транссфеноидальной гипофизэктомии;
воспаление кожи и слизистой оболочки преддверия носа;
детский возраст до 6 лет (для препарата Оксифрин, спрей назальный дозированный 22.5 мкг/доза);
детский возраст до 1 года (для препарата Оксифрин, спрей назальный дозированный 11.25 мкг/доза).
С осторожностью
При повышенном внутриглазном давлении, хронической сердечной недостаточности, артериальной гипертензии, стенокардии, аритмии, хронической почечной недостаточности, у пациентов с гиперплазией предстательной железы с клиническими симптомами (задержка мочи), выраженном атеросклерозе, при гипертиреозе, сахарном диабете, феохромоцитоме, тахикардии, терапии ингибиторами МАО и трициклическими антидепрессантами, а также другими препаратами, повышающими АД, порфирии.
Применение при беременности и в период грудного вскармливания
При применении в период беременности или грудного вскармливания не следует превышать рекомендуемую дозу. Препарат может применяться только в тех случаях, если потенциальная польза для матери превышает потенциальный риск для плода или ребенка.
Следует проявлять осторожность при наличии артериальной гипертензии или признаков снижения плацентарного кровотока. Частое или длительное применение препарата в больших дозах может привести к снижению плацентарного кровотока.
В случае предполагаемой, планируемой или установленной беременности необходимо проконсультироваться с врачом.
Способ применения и дозы
Интраназально.
Детям в возрасте от 1 года до 6 лет: по 1 впрыскиванию Оксифрин, спрей назальный дозированный 11.25 мкг/доза в каждую ноздрю 2-3 раза/сут. Препарат применяется 5-7 дней. Препарат можно назначать повторно только спустя несколько дней.
Взрослым и детям старше 6 лет: по 1 впрыскиванию Оксифрин, спрей назальный дозированный 22.5 мкг/доза в каждую ноздрю 2-3 раза/сут.
Если симптомы усиливаются или улучшение не наступает в течение 3 дней, необходимо проконсультироваться с врачом. В рекомендованной дозе без консультации с врачом применять не более 7 дней.
Дозы выше рекомендованных можно применять только под наблюдением врача.
При частом и длительном использовании препарата ощущение заложенности носа может появиться вновь или ухудшиться. При появлении этих симптомов следует прекратить лечение и обратиться к врачу.
По данным ВОЗ нежелательные эффекты классифицированы в соответствии с их частотой развития следующим образом: очень часто (≥1/10); часто (≥1/100, <1/10); нечасто (≥1/1000, <1/100), редко (≥1/10000, <1/1000); очень редко (<1/10000); частота неизвестна (частота не может быть определена на основе имеющихся данных).
В редких случаях: после того как пройдет эффект от применения препарата, чувство заложенности носа (реактивная гиперемия).
Редко: повышение АД, головная боль, головокружение, ощущение сердцебиения, тахикардия, чувство тревоги, раздражительность, нарушение сна (у детей), тошнота, бессонница, экзантема, нарушение зрения (при попадании в глаза).
Очень редко: усталость, сонливость, беспокойство, галлюцинации, судороги, остановка дыхания (у младенцев).
Длительное непрерывное использование сосудосуживающих препаратов может привести к тахифилаксии, атрофии слизистой оболочки полости носа и возвратному отеку слизистой оболочки полости носа (медикаментозный ринит).
Если любые из указанных выше побочных эффектов усугубляются или пациент заметил любые другие побочные эффекты, он должен сообщить об этом врачу.
Передозировка
Клинические признаки интоксикации производными имидазола могут быть неспецифическими и нечеткими, поскольку фазы гиперактивности сменяются фазами угнетения ЦНС, сердечно-сосудистой системы и дыхательной системы.
Симптомы: тревога, беспокойство, галлюцинации, судороги, понижение температуры тела, вялость, сонливость, кома, сужение или расширение зрачков, лихорадка, потливость, бледность, цианоз, ощущение сердцебиения, брадикардия, аритмия, остановка сердца, повышение АД, снижение АД, тошнота, рвота, угнетение дыхания, остановка дыхания.
У детей передозировка может быть причиной развития таких симптомов со стороны ЦНС, как: возбуждение, судороги, кома, брадикардия, остановка дыхания, а также повышение АД с последующим возможным снижением АД.
Взаимодействие с другими лекарственными средствами
Замедляет всасывание местноанестезирующих препаратов, удлиняет их действие.
При одновременном применении с ингибиторами МАО (в течение предшествующих 2 недель и в течение 2 недель после их отмены), трициклическими антидепрессантами или другими препаратами, способствующими повышению АД, может наблюдаться повышение АД.
Совместное назначение других сосудосуживающих препаратов повышает риск развития побочных эффектов.
Особые указания
Избегать попадания препарата в глаза.
Во избежание распространения инфекции необходимо применять препарат индивидуально.
Влияние на способность к управлению транспортными средствами и механизмами
После длительного применения средств от насморка, содержащих оксиметазолин, в дозах, превышающих рекомендуемые, нельзя исключать общее влияние на сердечно-сосудистую систему и ЦНС. В этих случаях следует соблюдать осторожность при управлении транспортными средствами и занятиях другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций.
Условия хранения
Препарат следует хранить в недоступном для детей месте при температуре не выше 25°С.
Для описания товара использована информация от партнера 36.6
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свойства","slug":"pharmacologic_effects","body":[{"type":"paragraph","data":{"text":"Оксиметазолин оказывает сосудосуживающее действие. При местном нанесении на воспаленную слизистую оболочку полости носа уменьшает ее отечность и выделения из носа. Восстанавливает носовое дыхание."}},{"type":"paragraph","data":{"text":"Устранение отека слизистой оболочки полости носа способствует восстановлению аэрации придаточных пазух полости носа, полости среднего уха, что уменьшает вероятность возникновения бактериальных осложнений (гайморита, синусита, среднего отита)."}},{"type":"paragraph","data":{"text":"При местном интраназальном применении в терапевтических концентрациях не раздражает и не вызывает гиперемию слизистой оболочки полости носа."}},{"type":"paragraph","data":{"text":"Препарат Оксифрин, спрей назальный дозированный 11.25 мкг/доза начинает действовать быстро, в течение нескольких минут. Препарат Оксифрин, спрей назальный дозированный 22.5 мкг/доза действует с 25 секунды. Продолжительность действия препаратов до 12 ч."}},{"type":"paragraph","data":{"text":"Результаты двойного слепого плацебоконтролируемого исследования у пациентов с острым вирусным ринитом в возрасте 12-70 лет показали, что применение препарата в концентрации 22.5 мкг/доза сокращает медиану продолжительности насморка с 6 до 4 дней."}},{"type":"header","data":{"text":"Фармакокинетика","level":4}},{"type":"paragraph","data":{"text":"При местном применении оксиметазолин не оказывает системного действия. T\u003csub\u003e1/2\u003c/sub\u003e оксиметазолина при его интраназальном введении составляет 35 ч. 2.1% оксиметазолина выводится с мочой и около 1.1% с калом."}}]},{"id":8,"name":"Показания к применению","slug":"indications","body":[{"type":"list","data":{"style":"ordered","items":["острые респираторные заболевания с явлениями ринита (насморка);","острый аллергический ринит;","обострение вазомоторного ринита;","для восстановления дренажа при воспалении придаточных пазух полости носа (синуситах), евстахиите, среднем отите;","для устранения отека перед диагностическими манипуляциями в носовых ходах."]}}]},{"id":9,"name":"Противопоказания","slug":"contraindications","body":[{"type":"list","data":{"style":"ordered","items":["повышенная чувствительность к оксиметазолину и другим компонентам препарата;","атрофический ринит;","закрытоугольная глаукома;","хирургические вмешательства на твердой мозговой оболочке (в анамнезе);","состояние после транссфеноидальной гипофизэктомии;","воспаление кожи и слизистой оболочки преддверия носа;","детский возраст до 6 лет (для препарата Оксифрин, спрей назальный дозированный 22.5 мкг/доза);","детский возраст до 1 года (для препарата Оксифрин, спрей назальный дозированный 11.25 мкг/доза)."]}}]},{"id":10,"name":"С осторожностью","slug":"cautions","body":[{"type":"paragraph","data":{"text":"При повышенном внутриглазном давлении, хронической сердечной недостаточности, артериальной гипертензии, стенокардии, аритмии, хронической почечной недостаточности, у пациентов с гиперплазией предстательной железы с клиническими симптомами (задержка мочи), выраженном атеросклерозе, при гипертиреозе, сахарном диабете, феохромоцитоме, тахикардии, терапии ингибиторами МАО и трициклическими антидепрессантами, а также другими препаратами, повышающими АД, порфирии."}}]},{"id":11,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","body":[{"type":"paragraph","data":{"text":"При применении в период беременности или грудного вскармливания не следует превышать рекомендуемую дозу. Препарат может применяться только в тех случаях, если потенциальная польза для матери превышает потенциальный риск для плода или ребенка."}},{"type":"paragraph","data":{"text":"Следует проявлять осторожность при наличии артериальной гипертензии или признаков снижения плацентарного кровотока. Частое или длительное применение препарата в больших дозах может привести к снижению плацентарного кровотока."}},{"type":"paragraph","data":{"text":"В случае предполагаемой, планируемой или установленной беременности необходимо проконсультироваться с врачом."}}]},{"id":12,"name":"Способ применения и дозы","slug":"dosage","body":[{"type":"paragraph","data":{"text":"Интраназально."}},{"type":"paragraph","data":{"text":"Детям в возрасте от 1 года до 6 лет: по 1 впрыскиванию Оксифрин, спрей назальный дозированный 11.25 мкг/доза в каждую ноздрю 2-3 раза/сут. Препарат применяется 5-7 дней. Препарат можно назначать повторно только спустя несколько дней."}},{"type":"paragraph","data":{"text":"Взрослым и детям старше 6 лет: по 1 впрыскиванию Оксифрин, спрей назальный дозированный 22.5 мкг/доза в каждую ноздрю 2-3 раза/сут."}},{"type":"paragraph","data":{"text":"Если симптомы усиливаются или улучшение не наступает в течение 3 дней, необходимо проконсультироваться с врачом. В рекомендованной дозе без консультации с врачом применять не более 7 дней."}},{"type":"paragraph","data":{"text":"Дозы выше рекомендованных можно применять только под наблюдением врача."}},{"type":"paragraph","data":{"text":"При частом и длительном использовании препарата ощущение заложенности носа может появиться вновь или ухудшиться. При появлении этих симптомов следует прекратить лечение и обратиться к врачу."}},{"type":"paragraph","data":{"text":"Одно впрыскивание объемом 45 мкл содержит:"}},{"type":"list","data":{"style":"ordered","items":["11.25 мкг оксиметазолина гидрохлорида – для Оксифрин, спрей назальный дозированный 11.25 мкг/доза;","22.5 мкг оксиметазолина гидрохлорида – для Оксифрин, спрей назальный дозированный 22.5 мкг/доза."]}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"По данным ВОЗ нежелательные эффекты классифицированы в соответствии с их частотой развития следующим образом: очень часто (≥1/10); часто (≥1/100, <1/10); нечасто (≥1/1000, <1/100), редко (≥1/10000, <1/1000); очень редко (<1/10000); частота неизвестна (частота не может быть определена на основе имеющихся данных)."}},{"type":"paragraph","data":{"text":"Нечасто: жжение или сухость слизистых оболочек полости носа, чиханье, носовое кровотечение, отек Квинке, зуд."}},{"type":"paragraph","data":{"text":"В редких случаях: после того как пройдет эффект от применения препарата, чувство заложенности носа (реактивная гиперемия)."}},{"type":"paragraph","data":{"text":"Редко: повышение АД, головная боль, головокружение, ощущение сердцебиения, тахикардия, чувство тревоги, раздражительность, нарушение сна (у детей), тошнота, бессонница, экзантема, нарушение зрения (при попадании в глаза)."}},{"type":"paragraph","data":{"text":"Очень редко: усталость, сонливость, беспокойство, галлюцинации, судороги, остановка дыхания (у младенцев)."}},{"type":"paragraph","data":{"text":"Длительное непрерывное использование сосудосуживающих препаратов может привести к тахифилаксии, атрофии слизистой оболочки полости носа и возвратному отеку слизистой оболочки полости носа (медикаментозный ринит)."}},{"type":"paragraph","data":{"text":"Если любые из указанных выше побочных эффектов усугубляются или пациент заметил любые другие побочные эффекты, он должен сообщить об этом врачу."}}]},{"id":14,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"Клинические признаки интоксикации производными имидазола могут быть неспецифическими и нечеткими, поскольку фазы гиперактивности сменяются фазами угнетения ЦНС, сердечно-сосудистой системы и дыхательной системы."}},{"type":"paragraph","data":{"text":"Симптомы: тревога, беспокойство, галлюцинации, судороги, понижение температуры тела, вялость, сонливость, кома, сужение или расширение зрачков, лихорадка, потливость, бледность, цианоз, ощущение сердцебиения, брадикардия, аритмия, остановка сердца, повышение АД, снижение АД, тошнота, рвота, угнетение дыхания, остановка дыхания."}},{"type":"paragraph","data":{"text":"У детей передозировка может быть причиной развития таких симптомов со стороны ЦНС, как: возбуждение, судороги, кома, брадикардия, остановка дыхания, а также повышение АД с последующим возможным снижением АД."}},{"type":"paragraph","data":{"text":"Лечение: промывание желудка, прием активированного угля (при случайном попадании препарата внутрь); симптоматическое."}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"Замедляет всасывание местноанестезирующих препаратов, удлиняет их действие."}},{"type":"paragraph","data":{"text":"При одновременном применении с ингибиторами МАО (в течение предшествующих 2 недель и в течение 2 недель после их отмены), трициклическими антидепрессантами или другими препаратами, способствующими повышению АД, может наблюдаться повышение АД."}},{"type":"paragraph","data":{"text":"Совместное назначение других сосудосуживающих препаратов повышает риск развития побочных эффектов."}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"Избегать попадания препарата в глаза."}},{"type":"paragraph","data":{"text":"Во избежание распространения инфекции необходимо применять препарат индивидуально."}},{"type":"paragraph","data":{"text":"Влияние на способность к управлению транспортными средствами и механизмами"}},{"type":"paragraph","data":{"text":"После длительного применения средств от насморка, содержащих оксиметазолин, в дозах, превышающих рекомендуемые, нельзя исключать общее влияние на сердечно-сосудистую систему и ЦНС. В этих случаях следует соблюдать осторожность при управлении транспортными средствами и занятиях другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций."}}]},{"id":19,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"Препарат следует хранить в недоступном для детей месте при температуре не выше 25°С."}}]}],"source":null},"description_toggle":false,"short_description":"Оксиметазолин оказывает сосудосуживающее действие. При местном нанесении на воспаленную слизистую оболочку полости носа уменьшает ее отечность и выделения из носа. Восстанавливает носовое дыхание. Устранение отека слизистой оболочки полости носа способствует восстановлению аэрации придаточных пазух полости носа, полости среднего уха, что уменьшает вероятность возникновения бактериальных осложнений (гайморита, синусита, среднего отита). При местном интраназальном применении в терапевтических концентрациях не раздражает и не вызывает гиперемию слизистой оболочки полости носа. Препарат Оксифрин, спрей назальный дозированный 11.25 мкг/доза начинает действовать быстро, в течение нескольких минут. Препарат Оксифрин, спрей назальный дозированный 22.5 мкг/доза действует с 25 секунды. Продолжительность действия препаратов до 12 ч. Результаты двойного слепого плацебоконтролируемого исследования у пациентов с острым вирусным ринитом в возрасте 12-70 лет показали, что применение препарата в концентрации 22.5 мкг/доза сокращает медиану продолжительности насморка с 6 до 4 дней. При местном применении оксиметазолин не оказывает системного действия. 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