Тетурам Таблетки, коробка, 50 шт, 150 мг, для приема внутрь, для тела, для взрослых, лечение и профилактика рецидивов хронического алкоголизма;, цвет белый

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В дальнейшем можно использовать поддерживающую дозу 150–200 мг/сут в течение 1–3 лет"}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"\u003ci\u003eОбусловленные свойствами Тетурама:\u003c/i\u003e металлический вкус во рту; неприятный запах у больных с колостомией (связанный с сульфидом углерода); редкие случаи гепатита, иногда встречающиеся у больных никелевой экземой, не страдающих алкоголизмом; полиневрит нижних конечностей, неврит оптического нерва; потеря памяти, спутанность сознания, астения; головные боли; кожные аллергические проявления."}},{"type":"paragraph","data":{"text":"\u003ci\u003eСвязанные с комбинацией Тетурам-этиловый спирт:\u003c/i\u003e описаны случаи дыхательной недостаточности; сердечно-сосудистого коллапса, нарушения ритма, стенокардия, иногда инфаркт миокарда, а также неврологические расстройства; отек мозга."}},{"type":"paragraph","data":{"text":"\u003ci\u003eОсложнения при длительном приеме:\u003c/i\u003e редко — психозы, напоминающие алкогольные, гепатит, гастрит; у лиц, страдающих сердечно-сосудистыми заболеваниями, возможен тромбоз сосудов мозга, поэтому при жалобах на парестезии в конечностях и лице следует немедленно отменить препарат; обострение полиневрита."}},{"type":"paragraph","data":{"text":"При приеме доз алкоголя свыше 50–80 мл водки на фоне приема Тетурама развиваются тяжелые нарушения сердечно-сосудистой и дыхательной систем, отеки, судороги. В этом случае срочно проводят дезинтоксикационную терапию, вводят аналептики, проводят симптоматическое лечение."}}]},{"id":14,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"\u003ci\u003eСимптомы:\u003c/i\u003e комбинация Тетурам–этанол может вызвать угнетение сознания вплоть до комы, сердечно-сосудистый коллапс, неврологические осложнения."}},{"type":"paragraph","data":{"text":"\u003ci\u003eЛечение:\u003c/i\u003e симптоматическое."}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"\u003ci\u003eПротивопоказанные комбинации\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"\u003ci\u003eАлкоголь.\u003c/i\u003e Реакция непереносимости (приливы крови, эритема, рвота, тахикардия). Избегать приема спиртных напитков и лекарственных средств, содержащих спирт."}},{"type":"paragraph","data":{"text":"\u003ci\u003eНежелательные комбинации\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"\u003ci\u003eИзониазид.\u003c/i\u003e Нарушения поведения и координации."}},{"type":"paragraph","data":{"text":"\u003ci\u003eНитро-5-имидазолы (метронидазол, ординазол, секнидазол, тинидазол).\u003c/i\u003e Делириозные расстройства, спутанность сознания."}},{"type":"paragraph","data":{"text":"\u003ci\u003eФенитоин.\u003c/i\u003e Существенный и быстрый подъем уровня фенитоина в плазме с токсическими симптомами (подавление его метаболизма)."}},{"type":"paragraph","data":{"text":"Если комбинации нельзя избежать, следует проводить клиническое наблюдение и контроль концентраций препарата в плазме в ходе и после лечения тетурамом."}},{"type":"paragraph","data":{"text":"\u003ci\u003eКомбинации, требующие осторожности\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"\u003ci\u003eВарфарин (и другие пероральные антикоагулянты).\u003c/i\u003e Повышенный эффект пероральных антикоагулянтов и опасность кровотечения (снижение биотрансформации варфарина в печени). Рекомендуется более частый контроль концентрации варфарина и корректировка дозы антикоагулянтов в течение 8 дней после отмены тетурама."}},{"type":"paragraph","data":{"text":"\u003ci\u003eТеофиллин.\u003c/i\u003e Тетурам ингибирует метаболизм теофиллина. Как результат этого, доза теофиллина должна быть скорректирована (сниженная дозировка) в зависимости от клинических симптомов и концентрации препарата в плазме."}},{"type":"paragraph","data":{"text":"\u003ci\u003eБензодиазепины.\u003c/i\u003e Тетурам может потенцировать седативный эффект бензодиазепинов путем ингибирования их окислительного метаболизма (особенно хлордиазепоксида и диазепама). Дозировка бензодиазепина должна быть скорректирована в соответствии с клиническими проявлениями."}},{"type":"paragraph","data":{"text":"\u003ci\u003eТрициклические антидепрессанты.\u003c/i\u003e Возможно усиление реакции непереносимости алкоголя (особенно если больные на фоне приема Тетурама, принимают спиртные напитки)."}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"В случае одновременного назначения с пероральными антикоагулянтами необходимо осуществлять более частый контроль содержания протромбина и коррекцию доз антикоагулянтов, что связано с повышенным риском развития кровотечения."}}]},{"id":17,"name":"Влияние на способность управлять автомобилем и движущимися механизмами","slug":"","body":[{"type":"paragraph","data":{"text":"\u003ci\u003eВлияние на способность к управлению транспортными средствами и механизмами\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"Следует уделить особое внимание решению вопроса о возможности управления транспортными средствами и работе с механизмами из-за риска развития сонливости, связанной с приемом дисульфирама."}}]},{"id":18,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"\u003ci\u003eТаблетки, 150 мг.\u003c/i\u003e По 10 табл. в контурной ячейковой упаковке из пленки ПВХ и фольги алюминиевой печатной лакированной. По 30 или 50 табл. в банке полимерную или флаконе полимерном. Каждую банку, флакон, по 3 или 5 контурных упаковок помещают в пачку из картона.  "}}]},{"id":19,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"В сухом, защищенном от света месте, при температуре не выше 25 °C."}},{"type":"paragraph","data":{"text":"\u003ci\u003eХранить в недоступном для детей месте.\u003c/i\u003e"}}]},{"id":20,"name":"Срок годности","slug":"expiry_date","body":[{"type":"paragraph","data":{"text":"4 года."}},{"type":"paragraph","data":{"text":"Не применять по истечении срока годности, указанного на упаковке."}}]},{"id":21,"name":"Условия отпуска","slug":"release_condition","body":[{"type":"paragraph","data":{"text":"по рецепту"}}]},{"id":22,"name":"Производитель","slug":"","body":[{"type":"paragraph","data":{"text":"Татхимфармпрепараты ОАО (Россия); "}}]}],"source":null},"description_toggle":false,"short_description":"Фармакологическое действие— антиалкогольное. 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Максимальный терапевтический эффект достигается через 12 ч после перорального приема и может продолжаться в течение 10–14 дней после прекращения лечения.","substance":[{"id":254,"title":"Дисульфирам","title_latin":"Disulfiramum","slug":"disulfiram_254"}],"branding":null,"valid_for_quick_buy":true,"is_available_to_delivery":false,"comments":{"count":11,"url":"/review/4629-teturam/"},"image_alt":"Тетурам - фото упаковки","image_share":{"isTouch":{"default":"https://vseapteki.ru/cropping/thumbnails/101/50842/share_default/"},"isFromTablet":{"default":"https://vseapteki.ru/cropping/thumbnails/101/50842/share_default/"}},"diseases":[{"id":"474","title":"Хронический алкоголизм","slug":"474-hronicheskiy_alkogolizm"},{"id":"1329","title":"Токсическое действие металлов","slug":"1329-toksicheskoe_deystvie_metallov"}],"other_packages":[{"id":98647,"title":"Тетурам","subtitle":{"full":"Таблетки, коробка, 30 шт, 150 мг, для приема внутрь","short":"Таблетки, 30 шт, 150 мг","package":"30 шт, 150 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