Гиперчувствительность, беременность (I триместр). С осторожностью— при нефрите, сердечной недостаточности II-III степени, желчнокаменной болезни, хроническом панкреатите.
Прозрачная маслянистая жидкость от светло-желтого до желтого цвета без прогорклого запаха и вкуса.
Фармакологические свойства
Фармакологическое действие — регулирующее тканевой обмен, восполняющее дефицит витамина A. В коже тормозит процессы кератинизации, усиливает пролиферацию эпителиоцитов, омолаживает клеточные популяции, уменьшает количество клеток, идущих по пути терминальной дифференцировки. Общее действие обусловлено усилением миелопоэза, функции макрофагов, реакций гуморального и клеточного иммунитета, что способствует активации защитных сил организма.
Показания к применению
Недостаточность витамина A (гипо- и авитаминоз А); заболевания глаз (пигментный ретинит, ксерофтальмия, гемералопия, кератомаляция, конъюнктивит, экзематозные поражения век), заболевания кожи, сопровождающиеся сухостью и замедленной эпителизацией (ихтиоз, ихтиозиформные эритродермии, псориаз, вариабельная эритрокератодермия, кератодермии, красный волосяной лишай (болезнь Девержи), угри, себорея, болезни волос, нейродермит, фолликулярный кератоз, ульэритема надбровная, облысение, ожоги, раны, обморожения, буллезный эпидермолиз, врожденная пахионихия, лейкоплакия, семейная доброкачественная пузырчатка Хейли-Хейли, фолликулярный дискератоз Дарье), туберкулез кожи; инфекционные и простудные заболевания (корь, пневмония, дизентерия, трахеит, бронхит, ОРЗ), рахит, гипотрофия, эрозивный гастродуоденит, язвенная болезнь желудка и двенадцатиперстной кишки, цирроз печени (в составе комплексной терапии).
Противопоказания
Гиперчувствительность, беременность (I триместр). С осторожностью— при нефрите, сердечной недостаточности II-III степени, желчнокаменной болезни, хроническом панкреатите.
Применение при беременности и в период грудного вскармливания
Противопоказано в I триместре беременности.
Способ применения и дозы
Внутрь, после еды рано утром или поздно вечером.При авитаминозе легкой и средней степени тяжести: взрослым— до 33000МЕ/сут; детям— 1000–5000МЕ/сут в зависимости от возраста.При заболеваниях глаз (гемералопия, ксерофтальмия, пигментный ретинит): взрослым— 50000–100000МЕ/сут и одновременно 0,02 г рибофлавина.При заболеваниях кожи: взрослым— 50000–100000МЕ/сут; при угревой сыпи и ихтиозиформных эритродермиях— по 100000–300000МЕ/сут. Детям назначают из расчета 5000–10000МЕ/кг в сутки.В гастроэнтерологии— по 50000 МЕ в сутки.Разовые дозы ретинола пальмитата для взрослых не должны превышать 50000МЕ и для детей— 5000 МЕ. Суточные дозы для взрослых— 100000 МЕ и для детей— 20000 МЕ.
Побочное действие
Редко— проявления гипервитаминоза A: у взрослых— сонливость, вялость, головная боль, гиперемия лица с последующим шелушением, тошнота, рвота, возможно обострение заболеваний печени, нарушение походки, болезненность в костях нижних конечностей; у детей— кратковременное повышение температуры тела, сонливость, повышенная потливость, рвота, кожные высыпания. Повышение внутричерепного давления (у детей грудного возраста могут развиться гидроцефалия, выпячивание родничка).С уменьшением дозы или при временной отмене препарата побочные явления проходят самостоятельно. В отдельных случаях в первый день применения могут возникать зудящие пятнисто-папулезные высыпания, требующие отмены препарата.При назначении высоких доз при болезнях кожи через 7–10 дней лечения наблюдается обострение местной воспалительной реакции, которое не требует дополнительного лечения и в дальнейшем уменьшается. Этот эффект связан с миело- и иммуностимулирующим действием препарата.
Взаимодействие с другими лекарственными средствами
Усиливают всасывание эстрогены и пероральные контрацептивы, их содержащие. Снижают терапевтический эффект кортикостероиды и употребление алкоголя.
Особые указания
Не рекомендуется применять во время длительной терапии тетрациклинами. Ретинол следует принимать за 1ч до или через 4–6ч после приема холестирамина.
Условия хранения
В защищенном от света месте, при температуре не выше 10°C. Хранить в недоступном для детей месте.
Срок годности
2 года. Не применять по истечении срока годности, указанного на упаковке.2000-2017. Регистр лекарственных средств России
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