Состав 1 мл лака: действующее вещество: аморолфин – 50 мг (в форме аморолфина гидрохлорида – 55,74 мг); вспомогательные компоненты: этанол, этилацетат, эудрагит RL 100 [сополимер метилметакрилата, хлорида триметиламмониоэтилметакрилата и этилакрилата (2:0, 2:1)], триацетин, н-бутилацетат.
Фармакологические свойства
Противогрибковый препарат для наружного применения. Оказывает фунгистатическое и фунгицидное действие, обусловленное повреждением цитоплазматической мембраны гриба путем нарушения биосинтеза стеролов. Снижается содержание эргостерола, накапливается содержание атипичных стерических неплоских стеролов.
Обладает широким спектром действия. Высокоактивен в отношении как наиболее распространенных, так и редких возбудителей грибковых поражений ногтей: дерматофитов Trichophyton spp., Microsporum spp., Epidermophyton floccosum; дрожжевых грибов Candida spp.; плесневых грибов Alternaria spp., Scopulariopsis spp., Hendersonula spp.; грибов из семейства Dematiaceae Cladosporium spp.; нечувствительные виды Aspergillus, Fusarium, Micorales.
ФармакокинетикаПри нанесении на ногти проникает в ногтевую пластинку и далее в ногтевое ложе, практически полностью в течение первых 24 ч. Эффективная концентрация сохраняется в пораженной ногтевой пластинке в течение 7–10 дней уже после первой аппликации. Системная абсорбция незначительна: концентрация в плазме находится ниже предела чувствительности методов определения (менее 0,5 нг/мл).
Показания к применению
Лечение грибковых поражений ногтей, вызванных дерматофитами, дрожжевыми и плесневыми грибами;
профилактика грибковых поражений ногтей.
Противопоказания
Повышенная чувствительность к аморолфину и другим компонентам препарата;
возраст до 18 лет.
Способ применения и дозы
Местно. Наносить на пораженные ногти пальцев рук или ног 1–2 раза в неделю.
1. Перед применением лака Онихелп® необходимо удалить ножницами максимально возможное количество пораженного ногтя и тщательно обработать с помощью прилагаемой пилки для ногтей пораженные участки ногтя на его поверхности.
2. Затем поверхность ногтя очистить и обезжирить входящей в комплект спиртовой салфеткой.
3. Обмакнуть аппликатор в лак. Аппликатор следует вынуть из флакона, не касаясь его горлышка, также не следует стирать излишки лака о горлышко флакона.
4. Лак нанести на поверхность пораженного ногтя с помощью аппликатора.
5. Плотно закрыть флакон с лаком сразу же после использования во избежание его высыхания.
6. После использования протереть аппликатор спиртовой салфеткой. Использованную салфетку выбросить.
7. Дать лаку высохнуть в течение примерно 3–5 мин.
Вышеуказанную процедуру следует проводить для каждого пораженного ногтя. Перед каждым последующим нанесением препарата Онихелп® необходимо спиртовой салфеткой снять предыдущий слой лака, провести обработку ногтей пилкой, а затем очистить и обезжирить поверхность, используя спиртовую салфетку.
Лечение следует проводить непрерывно до полного излечения пораженного участка и регенерации ногтевой пластины.
В случае, если пациент забыл нанести лак в запланированный день, его необходимо нанести в самое ближайшее время.
Продолжительность лечения составляет, как правило, 6 мес для ногтей на руках и от 9 до 12 мес для ногтей на ногах.
Если в течение 3 мес улучшение не наступает, рекомендуется обратиться к врачу.
Побочное действие
При применении препарата Онихелп® нежелательные реакции отмечаются редко. Такие повреждения ногтей, как изменение цвета, разрушение ногтевых пластин, ломкость ногтей, могут быть следствием грибкового поражения ногтей.
Все нежелательные реакции, отмеченные при применении препарата Онихелп®, представлены ниже, в соответствии с принятой классификацией по системам органов и частоте встречаемости: очень часто (≥10%); часто (≥1% и <10%); нечасто (≥0,1% и <1%); редко (≥0,01% и <0,1%); очень редко (<0,01%), частота неизвестна (не может быть оценена по имеющимся данным).
Со стороны кожи и подкожных тканей: редко — возможно повреждение ногтей, изменение цвета, онихоклазия (ломкость ногтевой пластинки), онихорексис (хрупкость ногтевой пластинки); очень редко — ощущение жжения кожи; частота неизвестна — эритема, зуд, контактный дерматит, крапивница, образование волдырей.
Если любые из указанных побочных эффектов усугубляются или отмечаются любые другие побочные эффекты, следует сообщить об этом врач
Передозировка
Препарат предназначен для наружного применения, поэтому при случайном попадании препарата внутрь следует промыть желудок и провести симптоматическое лечение.
Взаимодействие с другими лекарственными средствами
Не изучалось.
Особые указания
Пилку, используемую для обработки пораженных ногтей, не следует применять для обработки здоровых ногтей.
Во время лечения следует избегать применения декоративного лака для ногтей и накладных искусственных ногтей.
Не допускать попадания лака в глаза, уши и на слизистые оболочки.
Препарат содержит этанол, поэтому слишком частое и неправильное его нанесение может привести к появлению раздражения или сухости кожи вокруг ногтя.
Салфетка содержит легко воспламеняющееся вещество.
Лицам, работающим с органическими растворителями (в т.ч. растворители для краски, бензин, керосин), следует надевать герметичные перчатки для защиты ногтей, покрытых лаком.
Для предотвращения высыхания лака следует плотно закрывать крышку после использования. Чтобы крышка не прилипала, избегать попадания лака на резьбу.
Если пропущено нанесение лака, не следует наносить его избыточное количество в несколько слоев, достаточно продолжить лечение согласно инструкции по применению.
Не выливать оставшийся препарат в месте слива воды или бытовых отходов.
Пациентам с состояниями, предрасполагающими к развитию грибковых поражений ногтей (нарушение периферического кровообращения, сахарный диабет, иммунодефицит), а также пациентам с дистрофией ногтя перед применением препарата рекомендуется обратиться к врачу.
В случае, если разрушению или грибковому поражению подвержено более 2/3 ногтевой пластинки, необходимо также обратиться к врачу для назначения сопутствующей пероральной терапии.
Влияние на способность управлять транспортными средствами и механизмами. Не изучалось.
Форма выпуска
Лак для ногтей.
Условия отпуска
Без рецепта.
Для описания товара использована информация от партнера ЗдравСити
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Информация предоставляется в справочных целях. Не занимайтесь самолечением. При первых признаках заболевания обратитесь к врачу.
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Такие повреждения ногтей, как изменение цвета, разрушение ногтевых пластин, ломкость ногтей, могут быть следствием грибкового поражения ногтей."}},{"type":"paragraph","data":{"text":"Все нежелательные реакции, отмеченные при применении препарата Онихелп®, представлены ниже, в соответствии с принятой классификацией по системам органов и частоте встречаемости: очень часто (≥10%); часто (≥1% и <10%); нечасто (≥0,1% и <1%); редко (≥0,01% и <0,1%); очень редко (<0,01%), частота неизвестна (не может быть оценена по имеющимся данным)."}},{"type":"paragraph","data":{"text":"Со стороны кожи и подкожных тканей: редко — возможно повреждение ногтей, изменение цвета, онихоклазия (ломкость ногтевой пластинки), онихорексис (хрупкость ногтевой пластинки); очень редко — ощущение жжения кожи; частота неизвестна — эритема, зуд, контактный дерматит, крапивница, образование волдырей."}},{"type":"paragraph","data":{"text":"Если любые из указанных побочных эффектов усугубляются или отмечаются любые другие побочные эффекты, следует сообщить об этом врач\n\n"}}]},{"id":13,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"Препарат предназначен для наружного применения, поэтому при случайном попадании препарата внутрь следует промыть желудок и провести симптоматическое лечение."}}]},{"id":14,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"Не изучалось."}}]},{"id":15,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"\n\nПилку, используемую для обработки пораженных ногтей, не следует применять для обработки здоровых ногтей."}},{"type":"paragraph","data":{"text":"Во время лечения следует избегать применения декоративного лака для ногтей и накладных искусственных ногтей."}},{"type":"paragraph","data":{"text":"Не допускать попадания лака в глаза, уши и на слизистые оболочки."}},{"type":"paragraph","data":{"text":"Препарат содержит этанол, поэтому слишком частое и неправильное его нанесение может привести к появлению раздражения или сухости кожи вокруг ногтя."}},{"type":"paragraph","data":{"text":"Салфетка содержит легко воспламеняющееся вещество."}},{"type":"paragraph","data":{"text":"Лицам, работающим с органическими растворителями (в т.ч. растворители для краски, бензин, керосин), следует надевать герметичные перчатки для защиты ногтей, покрытых лаком."}},{"type":"paragraph","data":{"text":"Для предотвращения высыхания лака следует плотно закрывать крышку после использования. 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