Банеоцин Мазь, туба, 5 г, 250+5000 МЕ, для наружного применения

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Нанесение мази Банеоцин на бинты предпочтительно при лечении пациентов с инфицированными полостями и ранами (например, бактериальных инфекций наружного слухового прохода без перфорации барабанной перепонки, ран или хирургических разрезов, заживающих вторичным натяжением)."}}]},{"id":13,"name":"Противопоказания","slug":"contraindications","body":[{"type":"list","data":{"style":"ordered","items":["повышенная чувствительность к бацитрацину, неомицину, антибиотикам аминогликозидного ряда, к вспомогательным компонентам препарата;","обширные поражения кожи, поскольку всасывание препарата может вызвать ототоксический эффект, сопровождающийся потерей слуха;","выраженные нарушения выделительной функции вследствие сердечной или почечной недостаточности у пациентов с уже имеющимися поражениями вестибулярной и кохлеарной систем в случаях, если возможно всасывание активных компонентов препарата;","одновременное применение с аминогликозидными антибиотиками системного действия (из-за риска кумулятивной токсичности);","инфекции наружного слухового прохода с перфорацией барабанной перепонки;","применение для лечения инфекций глаз."]}}]},{"id":14,"name":"С осторожностью","slug":"cautions","body":[{"type":"paragraph","data":{"text":"У пациентов со снижением функции печени и/или почек, ацидозом, тяжелой миастенией или другими нейромышечными заболеваниями."}}]},{"id":4,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"  Применение препарата Банеоцин во время беременности и в период грудного вскармливания возможно только после консультации с врачом, если предполагаемая польза для матери превышает потенциальный риск для плода или младенца. Следует помнить, что неомицин, как и все антибиотики аминогликозидного ряда, может проникать через плацентарный барьер. При применении системно высоких доз аминогликозидных антибиотиков было описано внутриутробное снижение слуха плода.  "}}]},{"id":5,"name":"Способ применения и дозы","slug":"dosage","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Наружно. Мазь наносят тонким слоем на пораженные участки 2 – 3 раза в день взрослым и детям; если это целесообразно – под повязку. Площадь нанесения мази не должна превышать 1 % от площади поверхности тела (что соответствует размеру ладони пациента)."}},{"type":"paragraph","data":{"text":"Доза неомицина для взрослых и детей до 18 лет не должна превышать 1 г в сутки (около 200 г мази) в течение 7 дней."}},{"type":"paragraph","data":{"text":"Пациентам \u003ci\u003eс нарушением функции печени/почек, пожилого возраста\u003c/i\u003e коррекция дозы не требуется."}}]},{"id":6,"name":"Побочное действие","slug":"side_effects","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"По данным Всемирной организации здравоохранения (ВОЗ) нежелательные эффекты классифицированы в соответствии с их частотой развития следующим образом: очень часто (≥ 1 / 10), часто (от ≥ 1 / 100 до < 1 / 10), нечасто (от ≥ 1 / 1000 до < 1 / 100), редко (от ≥ 1 / 10000 до < 1 / 1000), очень редко (< 1 / 10000); частота неизвестна – по имеющимся данным установить частоту возникновения не представлялось возможным."}},{"type":"paragraph","data":{"text":"Препарат Банеоцин обычно хорошо переносится при наружном применении."}},{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения со стороны иммунной\u003c/i\u003e \u003ci\u003eсистемы\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"редко: аллергические реакции (при наличии аллергических реакций на неомицин в анамнезе в 50 % случаев возможно развитие перекрестной аллергии к другим аминогликозидам);"}},{"type":"paragraph","data":{"text":"частота неизвестна: повышение чувствительности к различным веществам, включая неомицин (как правило, наблюдается при использовании в терапии хронических дерматозов), в некоторых случаях аллергические реакции могут выглядеть как отсутствие эффекта от проводимой терапии."}},{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения со стороны\u003c/i\u003e \u003ci\u003eнервной системы\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"частота неизвестна: поражение вестибулярного нерва, нейромышечная блокада."}},{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения со стороны органа слуха и лабиринтные нарушения\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"частота неизвестна: ототоксичность."}},{"type":"paragraph","data":{"text":"Н\u003ci\u003eарушения со стороны кожи и подкожных тканей\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"редко: аллергические реакции, манифестирующие в виде контактного дерматита, аллергическая реакция на неомицин;"}},{"type":"paragraph","data":{"text":"частота неизвестна: аллергические реакции в виде покраснения и сухости кожи, кожных высыпаний и зуда (при длительном применении препарата), также могут быть сходными с распространением первичных очагов или отсутствием их заживления. Возможно развитие фотосенсибилизации и фототоксических реакций (при пребывании под солнцем или воздействии ультрафиолетового облучения)."}},{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения со стороны почек и мочевыводящих путей\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"частота неизвестна: нефротоксичность."}},{"type":"paragraph","data":{"text":"Если любые из указанных в инструкции побочных эффектов усугубляются, или отмечаются любые другие побочные эффекты, не указанные в инструкции, следует немедленно сообщить об этом врачу."}}]},{"id":7,"name":"Передозировка","slug":"overdose","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"При применении в дозах, существенно превышающих рекомендованные, особенно при лечении (нейро)трофических язв, вследствие возможного всасывания активных компонентов, могут возникнуть нефро- и/или ототоксические реакции."}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"При системном всасывании активных компонентов, одновременное применение цефалоспоринов или антибиотиков аминогликозидного ряда может повышать вероятность нефротоксических реакций. Одновременное применение с мазью Банеоцин таких диуретиков, как этакриновая кислота или фуросемид, может провоцировать ото- и нефротоксический эффект."}},{"type":"paragraph","data":{"text":"Всасывание активных компонентов препарата Банеоцин может усиливать явления блокады нейромышечной проводимости у пациентов, получающих наркотические вещества, анестетики и/или миорелаксанты."}}]},{"id":8,"name":"Особые указания","slug":"","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Поскольку риск токсических эффектов возрастает при снижении функции печени и/или почек, у пациентов с печеночной и/или почечной недостаточностью следует проводить анализы крови и мочи вместе с аудиометрическим исследованием до и во время терапии препаратом Банеоцин."}},{"type":"paragraph","data":{"text":"При всасывании активных компонентов препарата Банеоцин, следует обратить внимание на потенциальную блокаду нейромышечной проводимости, особенно у пациентов с ацидозом, миастенией (myasthenia gravis) или другими нейромышечными заболеваниями. При этом препараты кальция или неостигмина метилсульфат могут препятствовать развитию таких блокад."}},{"type":"paragraph","data":{"text":"При длительном лечении должно уделяться внимание возможному росту устойчивых микроорганизмов. В таких ситуациях следует выбрать соответствующую тактику лечения. В случае применения препарата у детей, пациентов с нарушенной функцией печени и почек, а также при большой площади обрабатываемой поверхности, длительном применении и глубоких поражениях кожи рекомендуется предварительно проконсультироваться с врачом."}},{"type":"paragraph","data":{"text":"Пациентам, у которых развилась аллергия или суперинфекция, препарат должен быть отменен."}},{"type":"paragraph","data":{"text":"Не исключено развитие фотосенсибилизации или фототоксических реакций у пациентов, применяющих мазь Банеоцин, при пребывании на солнце или воздействии ультрафиолетового облучения."}}]},{"id":16,"name":"Влияние на способность управлять автомобилем и движущимися механизмами","slug":"","body":[{"type":"paragraph","data":{"text":"Не требуется специальных предосторожностей."}}]},{"id":17,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"Мазь для наружного применения, 250 МЕ/г + 5000 МЕ/г"}},{"type":"paragraph","data":{"text":"По 5 г или 20 г мази для наружного применения в алюминиевую тубу. По одной тубе в картонную пачку вместе с инструкцией по применению."}}]},{"id":18,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"При температуре не выше 25ºС."}},{"type":"paragraph","data":{"text":"Хранить в недоступном для детей месте."}}]},{"id":19,"name":"Срок годности","slug":"expiry_date","body":[{"type":"paragraph","data":{"text":"3 года."}},{"type":"paragraph","data":{"text":"Не использовать после истечения срока годности, указанного на упаковке."}}]},{"id":20,"name":"Условия отпуска","slug":"release_condition","body":[{"type":"paragraph","data":{"text":"Отпускают без рецепта."}}]},{"id":21,"name":"Производитель","slug":"","body":[{"type":"paragraph","data":{"text":"\n\nДержатель РУ: Сандоз д.д., Веровшкова 57, 1000 Любляна, Словения;"}},{"type":"paragraph","data":{"text":"Произведено: Пи энд Джи Хэлс Австрия ГмбХ энд Ко."}},{"type":"paragraph","data":{"text":"ОГ, Хессльгассе 20, 9800 Шпитталь-ан-дер-Драу, Австрия. \n\n"}}]},{"id":22,"name":"Организация, принимающая претензии потребителей","body":[{"type":"paragraph","data":{"text":"\n\nЗАО «Сандоз», 125315, г. Москва, Ленинградский проспект, д. 72, корп. 3;"}},{"type":"paragraph","data":{"text":"телефон: (495) 660-75-09; факс: (495) 660-75-10.\n\n"}}]}],"source":{"title":"Sandoz","url":"https://www.sandoz.ru/"}},"description_toggle":false,"short_description":"ФармакодинамикаБанеоцин является комбинированным антибактериальным препаратом, предназначенным для местного применения. Банеоцин содержит два бактерицидных антибиотика: неомицин и бацитрацин. Бацитрацин является полипептидным антибиотиком, который ингибирует синтез клеточной оболочки бактерий. Неомицин является антибиотиком-аминогликозидом, который ингибирует синтез белков бактерии. Бацитрацин активен против грамположительных микроорганизмов, таких как бета-гемолитические стрептококки, стафилококки и некоторых грамотрицательных патогенов. Резистентность к бацитрацину встречается чрезвычайно редко. Неомицин эффективен против грамположительных и грамотрицательных микроорганизмов. Благодаря использованию комбинации этих двух веществ достигается широкий спектр действия препарата и синергизм действия в отношении ряда микроорганизмов, например, стафилококков.ФармакокинетикаДействующие вещества, как правило, не абсорбируются (даже поврежденной кожей), тем не менее, в коже присутствуют их высокие концентрации. Банеоцин хорошо переносится. Тканевая переносимость расценивается как отличная, инактивации биологическими продуктами, кровью и тканевыми компонентами не отмечается. Если препарат наносится на обширные участки поражения кожи, следует принимать во внимание возможность абсорбции препарата и ее последствия (смотри “Побочные эффекты”, “Взаимодействие с другими лекарственными средствами”, “Противопоказания” и “Особые указания”).","substance":[{"id":1689,"title":"Бацитрацин","title_latin":"Bacitracinum","slug":"batsitratsin_1689"},{"id":1690,"title":"Неомицин","title_latin":"Neomycinum","slug":"neomitsin_1690"}],"branding":null,"valid_for_quick_buy":true,"is_available_to_delivery":true,"comments":null,"image_alt":"Банеоцин - фото упаковки","image_share":{"isTouch":{"default":"https://vseapteki.ru/cropping/thumbnails/101/17066/share_default/"},"isFromTablet":{"default":"https://vseapteki.ru/cropping/thumbnails/101/17066/share_default/"}},"diseases":[{"id":"692","title":"Наружный отит","slug":"692-naruzhnyy_otit"},{"id":"774","title":"Варикозное расширение вен нижних конечностей с язвой и 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