Профилактика и лечение функциональных нарушений и болевого синдрома, вызванных спазмом гладкой мускулатуры (в т.ч. спазмы ЖКТ, мочевыводящих путей, связанные с холелитиазом, холециститом, язвенной болезнью желудка, двенадцатиперстной кишки; спазм пилорического и кардиального отдела желудка; спастические запоры, спастический колит; проктит, тенезмы; ...
Почечная недостаточность тяжелой степени, тяжелая печеночная недостаточность, тяжелая сердечная недостаточность (синдром низкого сердечного выброса), период лактации (грудного вскармливания), детский возраст (для парентерального применения), повышенная чувствительность к дротаверину.
Инструкция
Торговое название препарата
Дротаверин Велфарм
Лекарственная форма
Раствор для внутривенного и внутримышечного введения.
Состав
Активное вещество: дротаверина гидрохлорид 20 мг;Вспомогательные вещества: натрия дисульфит, этанол (спирт этиловый ректификованный), вода д/и.
Спазмолитик миотропного действия. По химической структуре и фармакологическим свойствам близок к папаверину, однако превосходит его по эффективности и продолжительности действия. Снижает тонус гладких мышц внутренних органов, снижает их двигательную активность. Оказывает вазодилатирующее действие.
Фармакологические свойства
После приема внутрь дротаверин быстро абсорбируется из ЖКТ. Биодоступность - около 100%. Не проникает через ГЭБ.
Показания к применению
Профилактика и лечение функциональных нарушений и болевого синдрома, вызванных спазмом гладкой мускулатуры (в т.ч. спазмы ЖКТ, мочевыводящих путей, связанные с холелитиазом, холециститом, язвенной болезнью желудка, двенадцатиперстной кишки; спазм пилорического и кардиального отдела желудка; спастические запоры, спастический колит; проктит, тенезмы; послеоперационные колики вследствие задержки газов; в связи с нефролитиазом, пиелитом); при проведении инструментальных исследований; спазмы периферических артерий, сосудов головного мозга; альгодисменорея.
Для снижения возбудимости матки при беременности; при спазме зева матки в родах, затяжном раскрытии зева, послеродовых схватках, угрожающем аборте.
Противопоказания
Почечная недостаточность тяжелой степени, тяжелая печеночная недостаточность, тяжелая сердечная недостаточность (синдром низкого сердечного выброса), период лактации (грудного вскармливания), детский возраст (для парентерального применения), повышенная чувствительность к дротаверину.
С осторожностью
С осторожностью применяют у пациентов с выраженным атеросклерозом коронарных артерий, при артериальной гипотензии.
Дротаверин может быть использован в составе комбинированной терапии для купирования гипертонического криза.
Использование в педиатрии
С осторожностью применять дротаверин (для приема внутрь) у детей. Парентеральное применение у детей противопоказано.
Применение при беременности и в период грудного вскармливания
С осторожностью применяют при беременности и в период лактации (грудного вскармливания).
Для детей в возрасте до 6 лет при приеме внутрь разовая доза составляет 10-20 мг, 6-12 лет - 20 мг, частота применения 1-2 раза/сут.
Способ применения и дозы
Внутрь, в/м, в/в или п/к взрослым - по 40-80 мг 1-3 раза/сут. При печеночной и почечной коликах рекомендуется вводить в/в медленно в дозе 40-80 мг.
При спазмах периферических артерий дротаверин можно вводить в/а.
Для детей в возрасте до 6 лет при приеме внутрь разовая доза составляет 10-20 мг, 6-12 лет - 20 мг, частота применения 1-2 раза/сут.
Побочное действие
Со стороны сердечно-сосудистой системы: сердцебиение, чувство жара; при в/в введении отмечены случаи снижения АД (вплоть до коллапса), развития AV-блокады, появления аритмий.
Со стороны дыхательной системы: при в/в введении отмечены случаи угнетения дыхательного центра.
Прочие: головокружение, усиление потоотделения.
Взаимодействие с другими лекарственными средствами
При одновременном применении с трициклическими антидепрессантами, хинидином, прокаинамидом усиливается снижение АД, вызываемое трициклическими антидепрессантами, хинидином и прокаинамидом.
При одновременном применении уменьшается спазмогенная активность морфина.
При одновременном применении с леводопой возможно уменьшение антипаркинсонического эффекта леводопы.
При одновременном применении усиливается действие папаверина, бендазола и других спазмолитиков (в т.ч. м-холиноблокаторов).
При одновременном применении с фенобарбиталом повышается выраженность спазмолитического действия дротаверина.
Особые указания
При в/в введении дротаверина пациент должен находиться в горизонтальном положении в связи с риском развития коллапса.
Использование в педиатрии
С осторожностью применять дротаверин (для приема внутрь) у детей. Парентеральное применение у детей противопоказано.
Влияние на способность к вождению автотранспорта и управлению механизмами
В период применения дротаверина необходимо воздерживаться от управления транспортными средствами и занятий другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций (в течение 1 ч после парентерального введения, особенно в/в).
Форма выпуска
Раствор для в/в и в/м введения в виде прозрачной жидкости зеленовато-желтого цвета.
Условия хранения
Хранить в защищенном от света месте, при температуре не выше 25 С.
Условия отпуска
По форме рецептурного бланка 107-1/у
Производитель
Велфарм.
Для описания товара использована информация от партнера 36.6
Мобильное приложение «Все аптеки»
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