Стрепсилс Интенсив Таблетки, 24 шт, для рассасывания, апельсин, без сахара

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Следует избегать применения флурбипрофена в I-II триместрах беременности, при необходимости применения препарата следует проконсультироваться с врачом.\u003cbr /\u003e\nИмеются данные о том, что флурбипрофен в незначительных количествах может проникать в грудное молоко без каких-либо отрицательных последствий для здоровья грудного ребенка, однако, из-за возможных побочных эффектов НПВП применение препарата при грудном вскармливании не рекомендуется."}}]},{"id":7,"name":"Способ применения и дозы","slug":"dosage","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Внимательно прочтите инструкцию перед применением препарата.\u003cbr /\u003e\nДля местного применения. Только для кратковременного применения.\nВзрослые и дети старше 12 лет: медленно рассасывать по 1 таблетке каждые \n3-6 часов. \u003cbr /\u003e\nМаксимальная суточная доза: 5 таблеток в течение 24 часов.\u003cbr /\u003e\nПродолжительность курса терапии: не более 3 дней. \u003cbr /\u003e\nЕсли при приеме препарата в течение 3 дней симптомы сохраняются или усиливаются, необходимо прекратить лечение и обратиться к врачу."}}]},{"id":8,"name":"Побочное действие","slug":"side_effects","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Риск возникновения побочных эффектов можно свести к минимуму, если принимать препарат коротким курсом в минимальной эффективной дозе, необходимой для устранения симптомов. \nНижеперечисленные побочные реакции отмечались при кратковременном применении препарата. При лечении хронических состояний и при длительном применении возможно появление других побочных реакций.\u003cbr /\u003e\nОценка частоты возникновения побочных реакций произведена на основании следующих критериев: очень часто (≥ 1/10), часто (от ≥ 1/100 до \u003c 1/10), нечасто (от ≥ 1/1000 до \u003c 1/100), редко (от ≥ 1/10 000 до \u003c 1/1000), очень редко \n(\u003c 1/10 000), частота неизвестна (данные по оценке частоты отсутствуют).\u003cbr /\u003e\nНарушения со стороны крови и лимфатической системы\u003cbr /\u003e\n•\tЧастота неизвестна: нарушения кроветворения (анемия, тромбоцитопения). \u003cbr /\u003e\nНарушения со стороны нервной системы\u003cbr /\u003e\n•\tЧасто: головокружение, головная боль, парестезия.\u003cbr /\u003e\n•\tНечасто: сонливость.\u003cbr /\u003e\nНарушения со стороны иммунной системы\u003cbr /\u003e\n•\tРедко: анафилактические реакции.\u003cbr /\u003e\nНарушения со стороны сердца\u003cbr /\u003e\n•\tЧастота неизвестна: сердечная недостаточность, отеки.\u003cbr /\u003e\nНарушения со стороны сосудов\u003cbr /\u003e\n•\tЧастота неизвестна: повышение артериального давления.\u003cbr /\u003e\nНарушения со стороны дыхательной системы, органов грудной клетки и средостения\u003cbr /\u003e\n•\tЧасто: чувство раздражения в горле.\u003cbr /\u003e\n•\tНечасто: обострение астмы и бронхоспазм, одышка, свистящее дыхание, волдыри в полости рта и глотки, фарингеальная гипестезия (снижение чувствительности в полости рта и глотки ).\u003cbr /\u003e\nНарушения со стороны желудочно-кишечного тракта\u003cbr /\u003e\n•\tЧасто: диарея, изъязвление полости рта, тошнота, боль в ротовой полости, парестезия ротовой полости, боль в полости рта и глотки, дискомфорт в полости рта (ощущение тепла, чувство жжения или покалывания во рту).\u003cbr /\u003e\n•\tНечасто: вздутие живота, боль в животе, запор, сухость во рту, диспепсия, метеоризм, глоссалгия (синдром жжения полости рта), дисгевзия (изменение восприятия вкуса), дизестезия полости рта, рвота.\u003cbr /\u003e\nНарушения со стороны кожи и подкожных тканей\u003cbr /\u003e\n•\tНечасто: кожная сыпь, зуд.\u003cbr /\u003e\n•\tЧастота неизвестна: тяжелые кожные реакции, такие как буллезные реакции, включая синдром Стивенса-Джонсона и токсический эпидермальный некролиз (Синдром Лайелла).\u003cbr /\u003e\nНарушения со стороны печени и желчевыводящих путей\u003cbr /\u003e\n•\tЧастота неизвестна: гепатит.\u003cbr /\u003e\nНарушения психики\u003cbr /\u003e\n•\tНечасто: бессонница.\u003cbr /\u003e\nПрочие\u003cbr /\u003e\n•\tНечасто: лихорадка, боль."}}]},{"id":9,"name":"Передозировка","slug":"overdose","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Симптомы: тошнота, рвота, боль в эпигастральной области или, реже, диарея, шум в ушах, головная боль и желудочно-кишечное кровотечение. В более тяжелых случаях наблюдаются проявления со стороны центральной нервной системы: сонливость, редко – возбуждение, судороги, дезориентация, кома. В случаях тяжелого отравления может развиваться метаболический ацидоз и увеличение протромбинового времени, острая почечная недостаточность, повреждение ткани печени, снижение артериального давления, угнетение дыхания и цианоз. У пациентов с бронхиальной астмой возможно обострение этого заболевания.\u003cbr /\u003e\nЛечение: симптоматическое, с обязательным обеспечением проходимости дыхательных путей, мониторингом ЭКГ и основных показателей жизнедеятельности вплоть до нормализации состояния пациента. Рекомендуется пероральное применение активированного угля или промывание желудка в течение одного часа после приема потенциально токсической дозы флурбипрофена. Частые или продолжительные судороги следует купировать внутривенным введением диазепама или лоразепама. При усугублении бронхиальной астмы рекомендуется применение бронходилататоров. \u003cbr /\u003eСпецифического антидота к флурбипрофену не существует."}}]},{"id":10,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Следует избегать одновременного применения флурбипрофена со следующими лекарственными средствами:\u003cbr /\u003e\n•\tАцетилсалициловая кислота: за исключением низких доз ацетилсалициловой кислоты (не более 75 мг в сутки), назначенных врачом, поскольку совместное применение может повысить риск возникновения побочных эффектов. \u003cbr /\u003e\n•\tДругие НПВП, в том числе ибупрофен и селективные ингибиторы циклооксигеназы-2: следует избегать одновременного применения двух и более препаратов из группы НПВП из-за возможного увеличения риска возникновения побочных эффектов.\u003cbr /\u003e\nС осторожностью применять одновременно со следующими лекарственными средствами:\u003cbr /\u003e\n•\tАнтикоагулянты: НПВП могут усиливать эффект антикоагулянтов, в частности, варфарина.\u003cbr /\u003e\n•\tАнтиагреганты и селективные ингибиторы обратного захвата серотонина: повышенный риск возникновения желудочно-кишечного кровотечения.\u003cbr /\u003e\n•\tГипотензивные средства (ингибиторы АПФ и антагонисты \nангиотензина II) и диуретики: НПВП могут снижать эффективность препаратов этих групп и могут повышать нефротоксичность вследствие ингибирования циклооксигеназы, особенно у пациентов с нарушением почечной функции (необходимо обеспечить адекватное возмещение жидкости у таких пациентов).\u003cbr /\u003e\n•\tАлкоголь: возможно увеличение риска возникновения побочных реакций, в особенности, кровотечения в желудочно-кишечном тракте.\n•\tСердечные гликозиды: одновременное применение НПВП и сердечных гликозидов может привести к усугублению сердечной недостаточности, снижению скорости клубочковой фильтрации и увеличению концентрации сердечных гликозидов в плазме крови.\u003cbr /\u003e\n•\tЦиклоспорин: увеличение риска нефротоксичности при одновременном применении НПВП и циклоспорина.\u003cbr /\u003e\n•\tГлюкокортикостероиды: повышенный риск образования язв желудочно-кишечного тракта и желудочно-кишечного кровотечения.\u003cbr /\u003e\n•\tПрепараты лития: существуют данные о вероятности увеличения концентрации лития в плазме крови на фоне применения НПВП. \u003cbr /\u003e\n•\tМетотрексат: существуют данные о вероятности увеличения концентрации метотрексата в плазме крови на фоне применения НПВП. Необходимо принимать НПВП за 24 часа до или после приёма метотрексата. \u003cbr /\u003e\n•\tМифепристон: применение НПВП следует начинать не ранее, чем через \n8-12 дней после окончания применения мифепристона, поскольку НПВП могут снижать эффективность мифепристона.\u003cbr /\u003e\n•\tАнтибиотики хинолонового ряда: у пациентов, получающих совместное лечение НПВП и антибиотиками хинолонового ряда, возможно увеличение риска возникновения судорог.\u003cbr /\u003e\n•\tТакролимус: при одновременном применении НПВП и такролимуса возможно увеличение риска нефротоксичности. \u003cbr /\u003e\n•\tЗидовудин: одновременное применение НПВП и зидовудина может привести к повышению гематотоксичности.\u003cbr /\u003e\n•\tПероральные гипогликемические препараты: возможно изменение уровня глюкозы в крови (рекомендуется увеличить частоту контроля уровня глюкозы в крови). \u003cbr /\u003e\n•\tФенитоин: возможно повышение сывороточного уровня фенитоина (рекомендуется контроль сывороточного уровня фенитоина и, при необходимости, коррекция дозы).\u003cbr /\u003e\n•\tКалийсберегающие диуретики: совместное применение калийсберегающих диуретиков и флурбипрофена может привести к гиперкалиемии.\u003cbr /\u003e\n•\tПробенецид и сульфинпиразон: лекарственные препараты, содержащие пробенецид или сульфинпиразон, могут задерживать выведение флурбипрофена.\u003cbr /\u003e\n•\tТолбутамид и антациды: к настоящему времени исследования не выявили взаимодействий между флурбипрофеном и толбутамидом или антацидами."}}]},{"id":11,"name":"Особые указания","slug":"cautions","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Рекомендуется принимать препарат максимально возможным коротким курсом и в минимальной эффективной дозе, необходимой для устранения симптомов.\u003cbr /\u003e \nБольные сахарным диабетом должны учитывать, что каждая таблетка для рассасывания медово-лимонная содержит около 2,5 г сахара (0,21 ХЕ) (таблетки для рассасывания апельсиновые не содержат сахара).\u003cbr /\u003e\nТаблетки для рассасывания апельсиновые в составе содержат мальтитол жидкий и изомальт (максимальная суточная доза которых превышает 2 г), поэтому могут обладать слабительным эффектом. \nПри появлении симптомов гастропатии показан тщательный контроль, включающий проведение эзофагогастродуоденоскопии, общий анализ крови (определение гемоглобина), анализ кала на скрытую кровь. \u003cbr /\u003e\nПри необходимости определения 17-кетостероидов препарат следует отменить за 48 часов до исследования. \u003cbr /\u003e\nВ период лечения не рекомендуется прием этанола.\u003cbr /\u003e\nПациентам с почечной или печеночной недостаточностью, а также пожилым пациентам и пациентам, принимающим диуретики, необходимо проконсультироваться с врачом перед применением препарата, поскольку существует риск ухудшения функционального состояния почек. При кратковременном применении препарата риск является незначительным.\u003cbr /\u003e\nПациентам с артериальной гипертензией, в том числе в анамнезе и/или хронической сердечной недостаточностью, необходимо проконсультироваться с врачом перед применением препарата, поскольку препарат может вызывать задержку жидкости, повышение артериального давления и отеки.\u003cbr /\u003e\nИнформация для женщин, планирующих беременность: препарат подавляет циклооксигеназу и синтез простагландинов и может воздействовать на овуляцию, нарушая женскую репродуктивную функцию (обратимо после отмены лечения).\u003cbr /\u003e\nПри появлении раздражения в полости рта, кожной сыпи, поражения слизистой оболочки и других проявлениях аллергической реакции, следует прекратить применение препарата и обратиться к врачу.\nВ случае ухудшения существующих симптомов или появления новых, в том числе при появлении признаков бактериальной инфекции, необходимо незамедлительно обратиться к врачу для пересмотра терапии."}}]},{"id":12,"name":"Условия хранения","slug":"storage","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Таблетки для рассасывания [медово-лимонные]: 3 года.\u003cbr /\u003e\nТаблетки для рассасывания [апельсиновые]: 2 года.\u003cbr /\u003e\nНе использовать препарат с истекшим сроком годности."}}]},{"id":13,"name":"Срок годности","slug":"expiry_date","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Хранить при температуре не выше 25 С. \u003cbr /\u003e\nХранить в недоступном для детей месте."}}]},{"id":14,"name":"Условия отпуска","slug":"release_condition","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Без рецепта."}}]}],"source":null},"description_toggle":false,"short_description":"Флурбипрофен является производным пропионовой кислоты из группы нестероидных противовоспалительных препаратов (НПВП) и обладает значительным обезболивающим, противовоспалительным и жаропонижающим эффектом за счет подавления циклооксигеназы-1 (ЦОГ-1) и циклооксигеназы-2 (ЦОГ-2), с некоторой селективностью по отношению к ЦОГ-1, в результате чего снижается продукция простагландинов – медиаторов боли, воспаления и гипертермической реакции. Препарат оказывает местное обезболивающее и противовоспалительное действие на слизистую оболочку полости рта и горла: уменьшает отек, затруднение при глотании, боль и ощущение раздражения в горле. Таблетка полностью растворяется в полости рта в течение 5-12 минут. Успокаивающее действие начинается со 2-й минуты. Значительное уменьшение интенсивности боли в горле начинается с 22 минуты с достижением максимального эффекта через 70 минут и продолжается до 4 часов.","substance":[],"branding":null,"valid_for_quick_buy":true,"is_available_to_delivery":true,"comments":null,"image_alt":"Стрепсилс Интенсив - фото упаковки","image_share":{"isTouch":{"default":"https://vseapteki.ru/cropping/thumbnails/101/36526/share_default/"},"isFromTablet":{"default":"https://vseapteki.ru/cropping/thumbnails/101/36526/share_default/"}},"diseases":[{"id":"554","title":"Мигрень","slug":"554-migren"},{"id":"616","title":"Другие острые конъюнктивиты","slug":"616-drugie_ostrye_konyunktivity"},{"id":"617","title":"Хронический конъюнктивит","slug":"617-hronicheskiy_konyunktivit"},{"id":"625","title":"Кератит","slug":"625-keratit"},{"id":"640","title":"Острый и подострый иридоциклит (передний увеит)","slug":"640-ostryy_i_podostryy_iridotsiklit_peredniy_uveit"},{"id":"641","title":"Хронический 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