Эналаприл Реневал Таблетки, 28 шт, 10 мг, для приема внутрь

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Препарат Эналаприл Реневал применяется для лечения эссенциальной гипертензии (первичной артериальной гипертензии (АГ)) любой степени тяжести и реноваскулярной гипертензии как в монотерапии, так и в комбинации с другими гипотензивными средствами, в частности с диуретиками. Также препарат Эналаприл Реневал применяется для лечения или предупреждения развития сердечной недостаточности (СН)."}}]},{"id":8,"name":"Показания к применению","slug":"indications","body":[{"type":"paragraph","data":{"text":"• Эссенциальная гипертензия любой степени тяжести;"}},{"type":"paragraph","data":{"text":"• реноваскулярная гипертензия;"}},{"type":"paragraph","data":{"text":"• сердечная недостаточность любой степени тяжести:"}},{"type":"paragraph","data":{"text":"у пациентов с наличием клинических проявлений СН препарат Эналаприл Реневал также показан для: повышения выживаемости пациентов, замедления прогрессирования СН, снижения частоты госпитализаций по поводу СН;"}},{"type":"paragraph","data":{"text":"• профилактика развития клинически выраженной сердечной недостаточности:"}},{"type":"paragraph","data":{"text":"у пациентов без клинических симптомов СН с дисфункцией левого желудочка препарат Эналаприл Реневал показан для: замедления развития клинических проявлений СН, снижения частоты госпитализаций по поводу СН;"}},{"type":"paragraph","data":{"text":"• профилактика коронарной ишемии у пациентов с дисфункцией левого желудочка: препарат Эналаприл Реневал показан для: уменьшения частоты развития инфаркта миокарда, снижения частоты госпитализаций по поводу нестабильной стенокардии."}}]},{"id":9,"name":"Противопоказания","slug":"contraindications","body":[{"type":"paragraph","data":{"text":"• Повышенная чувствительность к любому из компонентов препарата;"}},{"type":"paragraph","data":{"text":"• ангионевротический отек в анамнезе, связанный с приемом ингибиторов АПФ, а также наследственный или идиопатический ангионевротический отек;"}},{"type":"paragraph","data":{"text":"• одновременное применение с алискиреном или алискиренсодержащими препаратами у пациентов с сахарным диабетом и/или умеренными или тяжелыми нарушениями функции почек (СКФ менее 60 мл/мин/1,73 м2 площади поверхности тела)"}},{"type":"paragraph","data":{"text":"(смотри разделы «Взаимодействие с другими лекарственными средствами», «Особые указания»);"}},{"type":"paragraph","data":{"text":"• одновременное применение с антагонистами рецепторов ангиотензина II (АРА II) у пациентов с диабетической нефропатией;"}},{"type":"paragraph","data":{"text":"• одновременное применение с ингибиторами неприлизина (например, сакубитрилом). 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При мягкой степени АГ рекомендуемая начальная доза составляет 10 мг 1 раз в сутки. При других степенях АГ начальная доза составляет 20 мг 1 раз в сутки. Поддерживающая доза – 1 таблетка 20 мг 1 раз в сутки. Дозировка подбирается индивидуально для каждого пациента, но максимальная доза не должна превышать 40 мг в сутки."}},{"type":"paragraph","data":{"text":"Реноваскулярная гипертензия"}},{"type":"paragraph","data":{"text":"Поскольку у пациентов данной группы АД и почечная функция могут быть особенно чувствительны к ингибированию АПФ, терапию начинают с низкой начальной дозы – 5 мг и менее. Затем доза подбирается в соответствии с потребностями и состоянием пациента."}},{"type":"paragraph","data":{"text":"Обычно эффективная доза 20 мг препарата Эналаприл Реневал 1 раз в сутки при ежедневном приеме. Следует соблюдать осторожность при применении препарата Эналаприл Реневал у пациентов, которые незадолго до этого принимали диуретики (смотри ниже сопутствующее лечение АГ диуретиками)."}},{"type":"paragraph","data":{"text":"Сопутствующее лечение АГ диуретиками"}},{"type":"paragraph","data":{"text":"После первого приема препарата Эналаприл Реневал может развиться симптоматическая артериальная гипотензия. Такой эффект наиболее вероятен у пациентов, которые принимают диуретики. Препарат рекомендуется применять с осторожностью, так как у данных пациентов может наблюдаться нарушение водно-электролитного баланса. Прием диуретиков следует прекратить за 2-3 дня до начала терапии препаратом Эналаприл Реневал. Если это невозможно, то начальную дозу препарата Эналаприл Реневал следует снизить (до 5 мг или менее) для определения первичного эффекта препарата на АД. 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