Миастения, двигательные нарушения после травмы мозга, при параличах, восстановительный период после перенесенного менингита, полиомиелита, энцефалита, слабость родовой деятельности (редко), открытоугольная глаукома, атрофия зрительного нерва, неврит; атония ЖКТ, атония мочевого пузыря. Устранение остаточных нарушений нервно-мышечной передачи недеполяризующими миорелаксантами.
Противопоказания
Гиперчувствительность, эпилепсия, гиперкинез, ИБС, брадикардия, аритмия, стенокардия, бронхиальная астма, выраженный атеросклероз, тиреотоксикоз, язвенная болезнь желудка и двенадцатиперстной кишки, перитонит, механическая обструкция ЖКТ и мочевыводящих путей, гипертрофия предстательной железы, период острого инфекционного заболевания, интоксикация у резко ослабленных детей.
Применение при беременности и в период грудного вскармливания
При беременности возможно, если ожидаемый эффект терапии превышает потенциальный риск для плода.Категория действия на плод по FDA— C.На время лечения следует прекратить грудное вскармливание.
Побочное действие
Со стороны нервной системы и органов чувств: головная боль, головокружение, судороги, слабость, потеря сознания, сонливость, миоз, нарушение зрения, дизартрия.Со стороны сердечно-сосудистой системы и крови (кроветворение, гемостаз): аритмия, бради- или тахикардия, AV-блокада, узловой ритм, неспецифические изменения на ЭКГ, синкопе, остановка сердца, снижение АД (преимущественно при парентеральном введении).Со стороны респираторной системы: усиление фарингеальной и бронхиальной секреции, одышка; угнетение дыхания вплоть до остановки, бронхоспазм (преимущественно при парентеральном введении).Со стороны органов ЖКТ: гиперсаливация, спастическое сокращение и усиление перистальтики кишечника, тошнота, рвота, метеоризм, диарея.Прочие: тремор, спазмы и подергивания скелетной мускулатуры, включая подергивание мышц языка, артралгия; учащение мочеиспускания; обильное потоотделение; аллергические реакции (гиперемия лица, сыпь, зуд, анафилаксия).
Особые указания
С осторожностью назначают при артериальной гипотензии, недавно перенесенной коронарной окклюзии, ваготонии, болезни Аддисона, на фоне антихолинергических средств, у детей (при миастении) на фоне неомицина, стрептомицина, канамицина и других антибиотиков, обладающих антидеполяризующим эффектом, местных и некоторых общих анестетиков, противоаритмических и ряда других препаратов, нарушающих холинергическую передачу.При парентеральном введении больших доз необходимо (предварительное или одновременное) назначение атропина. При возникновении во время лечения миастенического (при недостаточной терапевтической дозе) или холинергического (вследствие передозировки) криза требуется тщательная дифференциальная диагностика из-за схожести симптоматики.
Условия хранения
В защищенном от света месте, при температуре 15–25°C. Хранить в недоступном для детей месте.
Срок годности
4 года. Не применять по истечении срока годности, указанного на упаковке.2000-2017. Регистр лекарственных средств России
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