Относится к спазмолитическим препаратам миотропного действия... Инструкция
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. ...
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
Описание
Относится к спазмолитическим препаратам миотропного действия. Расширяет кровеносные сосуды и снижает тонус гладких мышц мочеполовой и желчевыводящей системы, органов желудочно-кишечного тракта и перистальтику кишечника. Улучшает поступление кислорода в органы и ткани. Имеет большую эффективность и продолжительность действия по сравнению с папаверином, с которым схож по фармакологическому действию и химической структуре. Равномерно распределяется в тканях и оказывает вазодилатирующее действие.
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.
Применение при беременности и в период грудного вскармливания
С осторожностью применяют при беременности и в период лактации (грудного вскармливания).
Способ применения и дозы
Внутрь - по 40-80 мг 1-3 раза/сут. 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.
Особые указания
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 педиатрииС осторожностью применять дротаверин (для приема внутрь) у детей. Парентеральное применени у детей противопоказано.
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