профилактика и лечение грибковых инфекций кожи в том числе микозов стоп ("грибок" стопы) ороговелостей трещин зуда и шелушения кожи вызванных грибком стопы паховой эпидермофитии (tinea cruris) грибковых поражений гладкой кожи тела (tinea corporis) вызванных дерматофитами такими как Trichophyton (например Т. rubrum 'I' mentagrophytes Т. verrucosum Т. violaceum) Microsporum canis и Epidermophyton floccosum;
Однородный крем белого цвета со слабым характерным запахом.
Фармакотерапевтическая группа
Противогрибковое средство
Показания к применению
профилактика и лечение грибковых инфекций кожи в том числе микозов стоп ("грибок" стопы) ороговелостей трещин зуда и шелушения кожи вызванных грибком стопы паховой эпидермофитии (tinea cruris) грибковых поражений гладкой кожи тела (tinea corporis) вызванных дерматофитами такими как Trichophyton (например Т. rubrum 'I' mentagrophytes Т. verrucosum Т. violaceum) Microsporum canis и Epidermophyton floccosum;
- дрожжевые инфекции кожи в основном вызываемые родом Candida (например. Candida albicans) в частности опрелость;
- разноцветный лишай (Pityriasis versicolor) вызываемый Pityrosporum orbiculare (также известный под названием Malassezia furfur).
Противопоказания
повышенная чувствительность к тербинафину или к любому другому компоненту препарата;
- период грудного вскармливания;
- детский возраст (до 12 лет).
С осторожностью
печеночная и/или почечная недостаточность;
- алкоголизм;
- угнетение костномозгового кроветворения;
- опухоли;
- болезни обмена веществ;
- окклюзионные заболевания сосудов конечностей.
Применение при беременности и в период грудного вскармливания
В экспериментальных исследованиях тератогенных свойств тербинафина выявлено не было. До настоящего времени не сообщалось о каких-либо пороках развития при применении крема Тербинафин. Однако поскольку опыт применения крема Тербинафин у беременных женщин очень ограничен его не следует применять кроме случаев крайней необходимости. При беременности применяют только в том случае если предполагаемая польза для матери превышает потенциальный риск для плода. Необходимо проконсультироваться с врачом.
Тербинафин выделятся с грудным молоком поэтому препарат не следует назначать в период грудного вскармливания. При необходимости применения тербинафина грудное вскармливание необходимо прекратить.
Не следует допускать контакта младенца с любой поверхностью кожи обработанной кремом
Способ применения и дозы
Наружно.
Взрослые и дети с 12 лет.
Перед нанесением крема необходимо очистить и подсушить пораженные участки кожи. Крем наносят один или два раза в сутки тонким слоем на пораженные участки кожи и прилегающие области слегка втирая.
При инфекциях сопровождающихся опрелостью (иод молочными железами в межпальцевых промежутках между ягодицами в паховой области) места нанесения крема можно прикрывать марлей особенно на ночь.
Дли тельность проводимого лечения зависит от показаний и тяжести течения заболевания.
Средняя продолжительность лечения:
- дерматомикоз туловища голеней: I раз в день в течение 1 недели;
- дерматомикоз стоп: 1 раз в день в течение 1 недели;
- ороговелости трещины зуд и шелушение вызванные грибком стопы - 1-2 раза в день в течение 2 недель;
- кандидоз кожи: 1 -2 раза в день в течение 1 -2 недель;
- разноцветный лишай: 1-2 раза в день в течение 2 недель.
Уменьшение выраженности клинических проявлений обычно отмечается в первые дни лечения. В случае нерегулярного лечения или преждевременного его прекращения существует риск возобновления инфекции. В случае если через 1-2 недели лечения не отмечается признаков улучшения следует провести верификацию диагноза.
Пожилой возраст
Режим дозирования тербинафина у лиц пожилого возраста не отличается от вышеописанного.
Применение препарата у детей
Не рекомендуется применение данного препарата у детей до 12 лет.
Если Вы забыли применить препарат
Если Вы забыли применить препарат в очередной раз следует применить его как можно быстрее. Но если приближается время применения следующей дозы препарата пропустите забытую дозу и продолжайте применение в соответствии е рекомендациями. Не применяйте двойную дозу вместо забытой дозы или более 2-х раз в день.
Побочное действие
Классификация частоты развития побочных эффектов согласно рекомендациям
Всемирной организации здравоохранения (ВОЗ):
очень часто >1/10;
часто от > 1/100 до < 1/10;
нечасто от> 1/1000 до < 1/100;
редко от > 1/10000 до < 1/1000;
очень редко < 1/10000. включая отдельные сообщения;
частота неизвестна - по имеющимся данным установить частоту возникновения не представляется возможным.
Со стороны иммунной системы:
очень редко - реакции гиперчувствительности (сыпь).
Со стороны органа зрения: редко - раздражение глаз.
Со стороны кожных покровов: часто - зуд шелушение кожи;
нечасто - повреждение кожи образование корки поражение кожи нарушение
пигментации эритема ощущение жжения кожи;
редко - ощущение сухости кожи контактный дерматит экзема;
очень редко - сыпь.
Местные реакции:
нечасто - боль боль в месте нанесения раздражение в месте нанесения; редко - обострение симптомов заболевания.
В местах нанесения препарата могут наблюдаться зуд шелушение кожи болевые ощущения раздражение изменение пигментации кожи жжение эритема корки. Эти незначительные симптомы следует отличать от реакций гиперчувствительности таких как сыпь возникающих в редких случаях и требующих отмены терапии.
Если любые из указанных в инструкции побочных эффектов усугубляются или отмечаются любые другие побочные эффекты не указанные в инструкции следует немедленно сообщить об этом врачу.
Передозировка
О случаях передозировки препарата нс сообщалось.
При случайном приеме препарата внутрь могут возникнуть системные побочные действия со стороны желудочно-кишечного тракта (тошнота гастралгия отсутствие аппетита диарея) а также головная боль головокружение учащенное мочеиспускание сыпь.
Лечение: активированный уголь; при необходимости - симптоматическая поддерживающая терапия.
Взаимодействие с другими лекарственными средствами
В настоящее время о лекарственном взаимодействии тербинафина в лекарственной форме крем для наружного применения не известно.
Особые указания
Уменьшение выраженности клинических проявлений обычно отмечается в первые дни лечения. В случае нерегулярного лечения или преждевременного его прекращения имеется риск рецидива инфекции.
Тербинафин крем предназначен только для наружного применения. Следует избегать попадания его на слизистую оболочку глаз носа рта так как он может вызвать раздражение. При случайном попадании препарата в глаза их следует немедленно промыть проточной водой а в случае развития стойких явлений раздражения необходимо проконсультироваться с врачом. При развитии аллергических реакций необходимо отменить препарат.
Препарат содержит цетиловый спирт что может вызвать в местах нанесения местные аллергические реакции (контактный дерматит).
Влияние на способность управлять автомобилем и движущимися механизмами
Препарат не влияет на способность управлять транспортными средствами и заниматься другими потенциально опасными видами деятельности требующими повышенной концентрации внимания и быстроты психомоторных реакций.
Форма выпуска
Крем для наружного применения I %.
По 15 или 30 г в тубы алюминиевые. Каждую губу вместе с инструкцией но применению помещают в пачку из картона.
тубы алюминиевые (1) - пачки картонные
Условия хранения
При температуре не выше 25 °С.
Хранить в недоступном для детей месте.
Срок годности
3 года.
Не использовать по истечении срока годности
Условия отпуска
Без рецепта
Производитель
Закрытое акционерное общество "ВЕРТЕКС" (ЗАО "ВЕРТЕКС"), г. Санкт-Петербург, дорога в Каменку, д. 62, лит. А, Россия
Организация, принимающая претензии потребителей
ЗАО "ВЕРТЕКС"
Для описания товара использована информация от партнера 36.6
Мобильное приложение «Все аптеки»
Начните сравнивать цены и заказывать лекарства прямо в приложении
Наведите камеру на QR-код, чтобы скачать
Информация предоставляется в справочных целях. Не занимайтесь самолечением. При первых признаках заболевания обратитесь к врачу.
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средство"}}]},{"id":8,"name":"Показания к применению","slug":"indications","body":[{"type":"paragraph","data":{"text":" профилактика и лечение грибковых инфекций кожи в том числе микозов стоп (\"грибок\" стопы) ороговелостей трещин зуда и шелушения кожи вызванных грибком стопы паховой эпидермофитии (tinea cruris) грибковых поражений гладкой кожи тела (tinea corporis) вызванных дерматофитами такими как Trichophyton (например Т. rubrum 'I' mentagrophytes Т. verrucosum Т. violaceum) Microsporum canis и Epidermophyton floccosum;"}},{"type":"paragraph","data":{"text":"- дрожжевые инфекции кожи в основном вызываемые родом Candida (например. Candida albicans) в частности опрелость;"}},{"type":"paragraph","data":{"text":"- разноцветный лишай (Pityriasis versicolor) вызываемый Pityrosporum orbiculare (также известный под названием Malassezia furfur)."}}]},{"id":9,"name":"Противопоказания","slug":"contraindications","body":[{"type":"paragraph","data":{"text":" повышенная чувствительность к тербинафину или к любому другому компоненту препарата;"}},{"type":"paragraph","data":{"text":"- период грудного вскармливания;"}},{"type":"paragraph","data":{"text":"- детский возраст (до 12 лет)."}}]},{"id":10,"name":"С осторожностью","slug":"cautions","body":[{"type":"paragraph","data":{"text":" печеночная и/или почечная недостаточность;"}},{"type":"paragraph","data":{"text":"- алкоголизм;"}},{"type":"paragraph","data":{"text":"- угнетение костномозгового кроветворения;"}},{"type":"paragraph","data":{"text":"- опухоли;"}},{"type":"paragraph","data":{"text":"- болезни обмена веществ;"}},{"type":"paragraph","data":{"text":"- окклюзионные заболевания сосудов конечностей."}}]},{"id":11,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","body":[{"type":"paragraph","data":{"text":"В экспериментальных исследованиях тератогенных свойств тербинафина выявлено не было. До настоящего времени не сообщалось о каких-либо пороках развития при применении крема Тербинафин. Однако поскольку опыт применения крема Тербинафин у беременных женщин очень ограничен его не следует применять кроме случаев крайней необходимости. При беременности применяют только в том случае если предполагаемая польза для матери превышает потенциальный риск для плода. Необходимо проконсультироваться с врачом."}},{"type":"paragraph","data":{"text":"Тербинафин выделятся с грудным молоком поэтому препарат не следует назначать в период грудного вскармливания. При необходимости применения тербинафина грудное вскармливание необходимо прекратить."}},{"type":"paragraph","data":{"text":"Не следует допускать контакта младенца с любой поверхностью кожи обработанной кремом"}}]},{"id":12,"name":"Способ применения и дозы","slug":"dosage","body":[{"type":"paragraph","data":{"text":"Наружно."}},{"type":"paragraph","data":{"text":"Взрослые и дети с 12 лет."}},{"type":"paragraph","data":{"text":"Перед нанесением крема необходимо очистить и подсушить пораженные участки кожи. Крем наносят один или два раза в сутки тонким слоем на пораженные участки кожи и прилегающие области слегка втирая."}},{"type":"paragraph","data":{"text":"При инфекциях сопровождающихся опрелостью (иод молочными железами в межпальцевых промежутках между ягодицами в паховой области) места нанесения крема можно прикрывать марлей особенно на ночь."}},{"type":"paragraph","data":{"text":"Дли тельность проводимого лечения зависит от показаний и тяжести течения заболевания."}},{"type":"paragraph","data":{"text":"Средняя продолжительность лечения:"}},{"type":"paragraph","data":{"text":"- дерматомикоз туловища голеней: I раз в день в течение 1 недели;"}},{"type":"paragraph","data":{"text":"- дерматомикоз стоп: 1 раз в день в течение 1 недели;"}},{"type":"paragraph","data":{"text":"- ороговелости трещины зуд и шелушение вызванные грибком стопы - 1-2 раза в день в течение 2 недель;"}},{"type":"paragraph","data":{"text":"- кандидоз кожи: 1 -2 раза в день в течение 1 -2 недель;"}},{"type":"paragraph","data":{"text":"- разноцветный лишай: 1-2 раза в день в течение 2 недель."}},{"type":"paragraph","data":{"text":"Уменьшение выраженности клинических проявлений обычно отмечается в первые дни лечения. В случае нерегулярного лечения или преждевременного его прекращения существует риск возобновления инфекции. В случае если через 1-2 недели лечения не отмечается признаков улучшения следует провести верификацию диагноза."}},{"type":"paragraph","data":{"text":"Пожилой возраст"}},{"type":"paragraph","data":{"text":"Режим дозирования тербинафина у лиц пожилого возраста не отличается от вышеописанного."}},{"type":"paragraph","data":{"text":"Применение препарата у детей"}},{"type":"paragraph","data":{"text":"Не рекомендуется применение данного препарата у детей до 12 лет."}},{"type":"paragraph","data":{"text":"Если Вы забыли применить препарат"}},{"type":"paragraph","data":{"text":"Если Вы забыли применить препарат в очередной раз следует применить его как можно быстрее. Но если приближается время применения следующей дозы препарата пропустите забытую дозу и продолжайте применение в соответствии е рекомендациями. Не применяйте двойную дозу вместо забытой дозы или более 2-х раз в день."}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"Классификация частоты развития побочных эффектов согласно рекомендациям"}},{"type":"paragraph","data":{"text":"Всемирной организации здравоохранения (ВОЗ):"}},{"type":"paragraph","data":{"text":"очень часто >1/10;"}},{"type":"paragraph","data":{"text":"часто от > 1/100 до < 1/10;"}},{"type":"paragraph","data":{"text":"нечасто от> 1/1000 до < 1/100;"}},{"type":"paragraph","data":{"text":"редко от > 1/10000 до < 1/1000;"}},{"type":"paragraph","data":{"text":"очень редко < 1/10000. включая отдельные сообщения;"}},{"type":"paragraph","data":{"text":"частота неизвестна - по имеющимся данным установить частоту возникновения не представляется возможным."}},{"type":"paragraph","data":{"text":"Со стороны иммунной системы:"}},{"type":"paragraph","data":{"text":"очень редко - реакции гиперчувствительности (сыпь)."}},{"type":"paragraph","data":{"text":"Со стороны органа зрения: редко - раздражение глаз."}},{"type":"paragraph","data":{"text":"Со стороны кожных покровов: часто - зуд шелушение кожи;"}},{"type":"paragraph","data":{"text":"нечасто - повреждение кожи образование корки поражение кожи нарушение"}},{"type":"paragraph","data":{"text":"пигментации эритема ощущение жжения кожи;"}},{"type":"paragraph","data":{"text":"редко - ощущение сухости кожи контактный дерматит экзема;"}},{"type":"paragraph","data":{"text":"очень редко - сыпь."}},{"type":"paragraph","data":{"text":"Местные реакции:"}},{"type":"paragraph","data":{"text":"нечасто - боль боль в месте нанесения раздражение в месте нанесения; редко - обострение симптомов заболевания."}},{"type":"paragraph","data":{"text":"В местах нанесения препарата могут наблюдаться зуд шелушение кожи болевые ощущения раздражение изменение пигментации кожи жжение эритема корки. Эти незначительные симптомы следует отличать от реакций гиперчувствительности таких как сыпь возникающих в редких случаях и требующих отмены терапии."}},{"type":"paragraph","data":{"text":"Если любые из указанных в инструкции побочных эффектов усугубляются или отмечаются любые другие побочные эффекты не указанные в инструкции следует немедленно сообщить об этом врачу."}}]},{"id":14,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"О случаях передозировки препарата нс сообщалось."}},{"type":"paragraph","data":{"text":"При случайном приеме препарата внутрь могут возникнуть системные побочные действия со стороны желудочно-кишечного тракта (тошнота гастралгия отсутствие аппетита диарея) а также головная боль головокружение учащенное мочеиспускание сыпь."}},{"type":"paragraph","data":{"text":"Лечение: активированный уголь; при необходимости - симптоматическая поддерживающая терапия."}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"В настоящее время о лекарственном взаимодействии тербинафина в лекарственной форме крем для наружного применения не известно."}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"Уменьшение выраженности клинических проявлений обычно отмечается в первые дни лечения. В случае нерегулярного лечения или преждевременного его прекращения имеется риск рецидива инфекции."}},{"type":"paragraph","data":{"text":"Тербинафин крем предназначен только для наружного применения. Следует избегать попадания его на слизистую оболочку глаз носа рта так как он может вызвать раздражение. При случайном попадании препарата в глаза их следует немедленно промыть проточной водой а в случае развития стойких явлений раздражения необходимо проконсультироваться с врачом. При развитии аллергических реакций необходимо отменить препарат."}},{"type":"paragraph","data":{"text":"Препарат содержит цетиловый спирт что может вызвать в местах нанесения местные аллергические реакции (контактный дерматит)."}}]},{"id":17,"name":"Влияние на способность управлять автомобилем и движущимися механизмами","slug":"","body":[{"type":"paragraph","data":{"text":"Препарат не влияет на способность управлять транспортными средствами и заниматься другими потенциально опасными видами деятельности требующими повышенной концентрации внимания и быстроты психомоторных реакций."}}]},{"id":18,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"Крем для наружного применения I %."}},{"type":"paragraph","data":{"text":"По 15 или 30 г в тубы алюминиевые. Каждую губу вместе с инструкцией но применению помещают в пачку из картона."}},{"type":"paragraph","data":{"text":"тубы алюминиевые (1) - пачки картонные"}}]},{"id":19,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"При температуре не выше 25 °С."}},{"type":"paragraph","data":{"text":"Хранить в недоступном для детей месте."}}]},{"id":20,"name":"Срок годности","slug":"expiry_date","body":[{"type":"paragraph","data":{"text":"3 года."}},{"type":"paragraph","data":{"text":"Не использовать по истечении срока годности"}}]},{"id":21,"name":"Условия отпуска","slug":"release_condition","body":[{"type":"paragraph","data":{"text":"Без рецепта"}}]},{"id":22,"name":"Производитель","slug":"","body":[{"type":"paragraph","data":{"text":"Закрытое акционерное общество \"ВЕРТЕКС\" (ЗАО \"ВЕРТЕКС\"), г. Санкт-Петербург, дорога в Каменку, д. 62, лит. 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