Визипак™ предназначен только для диагностических целей.
для проведения церебральной ангиографии (стандартной), периферической ангиографии (стандартной), абдоминальной ангиографии (внутриартериальной ДСА – дигитальной субтракицонной ангиографии), урографии, венографии, контрастного усиления при КТ и исследования желудочно-кишечного тракта
люмбальной, торакальной и цервикальной миелографии
артрографии и гистеросальпингографии (ГСГ)
у детей для проведения кардиоангиографии, урографии, контрастного усиления при КТ и исследовании желудочно-кишечного тракта.
Противопоказания
гиперчувствительность к активному компоненту или к любому вспомогательному веществу
манифестный тиреотоксикоз
Способ применения и дозы
Общие сведения
Препарат предназначен для внутривенного, внутриартериального, интратекального введения, введения в полости тела и для перорального применения при исследовании желудочно-кишечного тракта.
Как все препараты для парентерального введения, Визипак™ перед использованием должен быть осмотрен визуально на предмет отсутствия нерастворимых частиц, изменений цвета и нарушений целостности упаковки.
Препарат должен быть набран в шприц непосредственно перед использованием. Неиспользованные остатки препарата к дальнейшему применению не допускаются.
Не следует смешивать Визипак™ с другими лекарственными средствами (необходимо использовать отдельные шприц и иглу).
Подготовка пациента
Перед исследованием у пациента следует устранить нарушения водно-электролитного баланса и обеспечить адекватную гидратацию, особенно у больных с множественной миеломой, сахарным диабетом, нарушением функции почек, а также у грудных детей, детей раннего возраста и пожилых пациентов.
Процедура введения препарата
Перед введением Визипак™ необходимо нагреть до температуры тела.
При выполнении ангиографических исследований следует тщательно соблюдать методику и часто промывать катетер (например, 0,9% раствором натрия хлорида с добавлением гепарина) для минимизации риска тромбоза и эмболии.
Рекомендуемый режим дозирования
Дозирование зависит от типа и метода исследования, возраста, массы тела, состояния гемодинамики, общего состояния пациента. Обычно используются те же концентрация и объем, что и при применении других йодсодержащих рентгеноконтрастных средств. В некоторых исследованиях была получена достаточная диагностическая информация при использовании йодиксанола с несколько меньшей концентрацией йода.
Побочное действие
Нежелательные эффекты, связанные с препаратом Визипак™, обычно носят легкий/умеренный и временный характер. Серьезные реакции или летальные исходы наблюдаются в очень редких случаях.
Реакции гиперчувствительности могут проявляться респираторными или кожными симптомами (одышка, сыпь, эритема, крапивница, зуд, тяжелые кожные проявления, ангионевротический отек, артериальная гипотензия, лихорадка, отек гортани, бронхоспазм или отек легких).
Реакции могут возникать сразу после инъекции или спустя несколько дней.
Реакции гиперчувствительности могут возникать независимо от дозы и способа введения, легкие симптомы могут быть предвестниками серьезной анафилактоидной реакции/шока.
Введение контрастного вещества должно быть немедленно прекращено и при необходимости начато внутрисосудистое введение специфических терапевтических средств. У пациентов, принимающих бета-блокаторы, могут возникать атипичные симптомы гиперчувствительности, которые можно принять за вагальный рефлекс. После введения йодсодержащего контрастного вещества часто наблюдается незначительное транзиторное повышение сывороточного креатинина, которое обычно не имеет клинического значения.
Частота нежелательных явлений классифицируется следующим образом: очень часто (≥1/10), часто (≥1/100 до <1/10), нечасто (≥1/1000 до <1/100), редко (≥1/10000 до <1/1000), очень редко (<1/10000), неизвестно (не может быть установлена по имеющимся данным).
Особые указания
При наличии аллергии, астмы или нежелательных реакций на йодсодержащие контрастные средства необходима особая осторожность. В этих случаях можно провести премедикацию кортикостероидами или гистаминовыми Н1 и Н2-антагонистами.
Риск развития серьезных реакций при применении Визипака™ считается небольшим. Однако йодсодержащие контрастные средства могут вызывать анафилактоидные реакции или другие проявления гиперчувствительности. Поэтому следует заранее продумать порядок действий в случае серьезных реакций и иметь наготове необходимые препараты и оборудование для немедленного лечения. Рекомендуется всегда устанавливать канюлю или катетер для обеспечения быстрого внутривенного доступа в ходе всей процедуры рентгенографии.
Неионные контрастные средства обладают менее выраженным эффектом на систему свертывания крови in vitro, чем ионные средства.
Грудные дети (<1 года) и особенно новорожденные предрасположены к нарушению электролитного баланса и гемодинамики.
Следует проявлять осторожность в отношении больных с серьезными заболеваниями сердца и легочной гипертензией, так как у них могут появиться нарушения гемодинамики или аритмия.
Больные с острой церебральной патологией, опухолями или с эпилепсией в анамнезе предрасположены к судорогам и требуют особого внимания. Риск развития судорог и неврологических реакций также повышен у алкоголиков и наркоманов.
Для предотвращения острой почечной недостаточности после введения контрастных средств следует уделять особое внимание больным с имеющимся нарушением функций почек и сахарным диабетом, которые относятся к группе повышенного риска. Риск также повышен у больных с парапротеинемией (миеломатозом и макроглобулинемией Вальденстрема).
Для описания товара использована информация от партнера 36.6
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