Является ингибитором свободнорадикальных процессов, оказывает мембранопротекторное, антигипоксическое, ноотропное, противосудорожное, анксиолитическое действие, повышает устойчивость организма к стрессу. Обладает антиишемическими свойствами, улучшает кровоток в зоне ишемии, ограничивает зону ишемического повреждения, обнаруживает гиполипидемическое действие, уменьшает содержание общего холестерина и липопротеидов низкой плотности. Повышает резистентность организма к воздействию различных повреждающих факторов, к кислородзависимым патологическим состояниям (шок, гипоксия и ишемия, нарушения мозгового кровообращения, интоксикация алкоголем и антипсихотическими средствами (нейролептиками)).
Эффективность при энцефалопатиях обусловлена проникновением этоксидола через гематоцефалический барьер. Улучшает мозговой метаболизм и кровоснабжение головного мозга, улучшает микроциркуляцию и реологические свойства крови, уменьшает агрегацию тромбоцитов. Ингибирует перекисное окисление липидов, повышает активность супероксиддисмутазы, снижает содержание общих органических перекисей, повышает соотношение липид-белок, уменьшает вязкость мембраны, увеличивает ее текучесть. Блокирует окисление липопротеидов низкой плотности.
Модулирует активность мембраносвязанных ферментов (кальций независимой фосфодиэстеразы, аденилатциклазы, ацетилхолинэстеразы), рецепторных комплексов (бензодиазепинового, ГАМК, ацетилхолинового), что способствует сохранению структурно-функциональной организации биомембран, транспорта нейромедиаторов и улучшает синаптические передачи.
При в/м введении определяется в плазме крови на протяжении 4-х часов после введения. ТCmax - 0,25 ч. T1/2 - 1,15-1,75 ч. Выводится почками, в основном в глюкуроноконьюгированной форме и в незначительных количествах в неизмененном виде.
Показания к применению
Острые нарушения мозгового кровообращения, дисциркуляторная энцефалопатия, синдром вегетативной дистонии, легкие когнитивные расстройства атеросклеротического генеза, тревожные расстройства при невротических и неврозоподобных состояниях, купирование абстинентного синдрома при алкоголизме с преобладанием неврозоподобных и вегетативно-сосудистых расстройств, острая интоксикация антипсихотическими средствами.
Противопоказания
Гиперчувствительность, острая печеночная и/или почечная недостаточность, беременность, период лактации, возраст до 18 лет.
С осторожностью
Аллергические заболевания и реакции в анамнезе.
Применение при беременности и в период грудного вскармливания
Этоксидол противопоказан при беременности и в период лактации, так как строго контролируемых клинических исследований безопасности применения препарата при беременности и в период лактации не проводилось.
Способ применения и дозы
Назначают внутримышечно (в/м) и внутривенно (в/в) (струйно или капельно). При инфузионном введении препарат следует разводить в 0,9% растворе натрия хлорида. Дозы подбирают индивидуально. Начинают с - 50-100 мг 1-3 раза/сут, постепенно повышая до получения терапевтического эффекта. Струйно медленно в течение - 5-7 минут, капельно со скоростью - 40-60 капель в мин. Максимальная доза - 800 мг в сутки. При острых нарушениях мозгового кровообращения: в комплексной терапии в первые 2-4 дня в/в (капельно) - 200-300 мг, затем в/м, - 100 мг 3 раза в сутки, 10-14 дней. При дисциркуляторной энцефалопатии в фазе декомпенсации и синдроме вегетативной дистонии: в/в струйно или капельно - 100 мг 2-3 раза/сут, 14 дней. Затем в/м, - 100 мг 2 раза в сутки, 14 дней. Для курсовой профилактики дисциркуляторной энцефалопатии: в/м, - 100 мг 2 раза в сутки, 10-14 дней. При легких когнитивных нарушениях атеросклеротического генеза и при тревожных расстройствах при невротических и неврозоподобных состояниях: в/м, - 100-300 мг в сутки, 14-30 дней. При купировании абстинентного синдрома при алкоголизме с преобладанием неврозоподобных и вегетативно-сосудистых расстройств: в/м, - 100-200 мг 2-3 раза в сутки или в/в капельно - 1-2 раза в сутки, 5-7 дней. При острой интоксикации антипсихотическими средствами: в/в, - 50-300 мг/сут, 7-14 дней.
Побочное действие
Cухость, «металлический» привкус во рту, ощущения «разливающегося тепла» во всем теле, першение в горле и дискомфорт в грудной клетке, ощущение нехватки воздуха (как правило, связаны с чрезмерно высокой скоростью введения и носят кратковременный характер), при длительном применении - тошнота, метеоризм, нарушения сна (сонливость или нарушение засыпания).
Передозировка
В связи с низкой токсичностью препарата передозировка маловероятна. При случайной передозировке возможно возникновение симптомов нарушения сна - сонливость, бессонница. Лечение симптоматическое.
Взаимодействие с другими лекарственными средствами
Усиливает действие бензодиазепиновых анксиолитиков, противосудорожных средств (карбамазепина), противопаркинсонических средств (леводопа). Уменьшает токсические эффекты этилового спирта.
Особые указания
В период лечения необходимо соблюдать осторожность при управлении транспортными средствами и занятии другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций.
Форма выпуска
Раствор для внутривенного и внутримышечного введения.
Условия хранения
В защищенном от света месте при температуре не выше 25°С. Хранить в недоступном для детей месте.
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Обладает антиишемическими свойствами, улучшает кровоток в зоне ишемии, ограничивает зону ишемического повреждения, обнаруживает гиполипидемическое действие, уменьшает содержание общего холестерина и липопротеидов низкой плотности. Повышает резистентность организма к воздействию различных повреждающих факторов, к кислородзависимым патологическим состояниям (шок, гипоксия и ишемия, нарушения мозгового кровообращения, интоксикация алкоголем и антипсихотическими средствами (нейролептиками))."}},{"type":"paragraph","data":{"text":"Эффективность при энцефалопатиях обусловлена проникновением этоксидола через гематоцефалический барьер. Улучшает мозговой метаболизм и кровоснабжение головного мозга, улучшает микроциркуляцию и реологические свойства крови, уменьшает агрегацию тромбоцитов. Ингибирует перекисное окисление липидов, повышает активность супероксиддисмутазы, снижает содержание общих органических перекисей, повышает соотношение липид-белок, уменьшает вязкость мембраны, увеличивает ее текучесть. Блокирует окисление липопротеидов низкой плотности."}},{"type":"paragraph","data":{"text":"Модулирует активность мембраносвязанных ферментов (кальций независимой фосфодиэстеразы, аденилатциклазы, ацетилхолинэстеразы), рецепторных комплексов (бензодиазепинового, ГАМК, ацетилхолинового), что способствует сохранению структурно-функциональной организации биомембран, транспорта нейромедиаторов и улучшает синаптические передачи."}},{"type":"paragraph","data":{"text":"При в/м введении определяется в плазме крови на протяжении 4-х часов после введения. ТCmax - 0,25 ч. T1/2 - 1,15-1,75 ч. 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При инфузионном введении препарат следует разводить в 0,9% растворе натрия хлорида. Дозы подбирают индивидуально. Начинают с - 50-100 мг 1-3 раза/сут, постепенно повышая до получения терапевтического эффекта. Струйно медленно в течение - 5-7 минут, капельно со скоростью - 40-60 капель в мин. Максимальная доза - 800 мг в сутки. При острых нарушениях мозгового кровообращения: в комплексной терапии в первые 2-4 дня в/в (капельно) - 200-300 мг, затем в/м, - 100 мг 3 раза в сутки, 10-14 дней. При дисциркуляторной энцефалопатии в фазе декомпенсации и синдроме вегетативной дистонии: в/в струйно или капельно - 100 мг 2-3 раза/сут, 14 дней. Затем в/м, - 100 мг 2 раза в сутки, 14 дней. Для курсовой профилактики дисциркуляторной энцефалопатии: в/м, - 100 мг 2 раза в сутки, 10-14 дней. При легких когнитивных нарушениях атеросклеротического генеза и при тревожных расстройствах при невротических и неврозоподобных состояниях: в/м, - 100-300 мг в сутки, 14-30 дней. При купировании абстинентного синдрома при алкоголизме с преобладанием неврозоподобных и вегетативно-сосудистых расстройств: в/м, - 100-200 мг 2-3 раза в сутки или в/в капельно - 1-2 раза в сутки, 5-7 дней. При острой интоксикации антипсихотическими средствами: в/в, - 50-300 мг/сут, 7-14 дней."}}]},{"id":12,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"Cухость, «металлический» привкус во рту, ощущения «разливающегося тепла» во всем теле, першение в горле и дискомфорт в грудной клетке, ощущение нехватки воздуха (как правило, связаны с чрезмерно высокой скоростью введения и носят кратковременный характер), при длительном применении - тошнота, метеоризм, нарушения сна (сонливость или нарушение засыпания)."}}]},{"id":13,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"В связи с низкой токсичностью препарата передозировка маловероятна. 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Уменьшает токсические эффекты этилового спирта."}}]},{"id":15,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"В период лечения необходимо соблюдать осторожность при управлении транспортными средствами и занятии другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций."}}]},{"id":17,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"Раствор для внутривенного и внутримышечного введения."}}]},{"id":18,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"В защищенном от света месте при температуре не выше 25°С. 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