Ацеклофенак Велфарм Таблетки, пачка, 20 шт, 100 мг, для приема внутрь, для тела, для взрослых, покрытые оболочкой

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Наружно - наносят на область поражения 3 раза/сут."}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"\u003ci\u003eСо стороны пищеварительной системы:\u003c/i\u003e гастралгия, тошнота, рвота, диспепсия, метеоризм, анорексия, повышение активности печеночных трансаминаз, желудочно-кишечное кровотечение, эрозивно-язвенные поражения и перфорация ЖКТ, гематемезис, мелена, молниеносный гепатит, запор. \u003ci\u003eСо стороны ЦНС и периферической нервной системы:\u003c/i\u003e головная боль, головокружение, возбуждение, нарушения восприятия, парестезии, снижение памяти, дезориентация, нарушения зрения, слуха и вкусовых ощущений, шум в ушах, нарушения сна (сонливость или бессонница), раздражительность, судороги, депрессия, тревожность, тремор, асептический менингит. \u003ci\u003eАллергические реакции:\u003c/i\u003e кожная сыпь; редко - крапивница, экзема, многоформная эритема, эритродермия, системные анафилактоидные реакции, бронхиальная астма, в отдельных случаях - васкулит, пневмонит, злокачественная экссудативная эритема (синдром Стивенса-Джонсона), токсический эпидермальный некролиз (синдром Лайелла). \u003ci\u003eСо стороны мочевыделительной системы:\u003c/i\u003e редко - периферические отеки; в отдельных случаях - острая почечная недостаточность, гематурия, протеинурия, интерстициальный нефрит, нефротический синдром. \u003ci\u003eСо стороны системы кроветворения:\u003c/i\u003e тромбоцитопения, лейкопения, агранулоцитоз, гемолитическая анемия, апластическая анемия. \u003ci\u003eСо стороны сердечно-сосудистой системы:\u003c/i\u003e тахикардия, повышение АД, хроническая сердечная недостаточность.  "}}]},{"id":14,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"Симптомы"}},{"type":"paragraph","data":{"text":"Клиническая картина определяется нарушениями со стороны центральной нервной системы (головная боль, головокружение, явления гипервентиляции с повышенной судорожной готовностью) и желудочно-кишечные нарушения (боли в животе, тошнота, рвота)."}},{"type":"paragraph","data":{"text":"Лечение:"}},{"type":"paragraph","data":{"text":"В случае передозировки покачано промывание желудка, введение активированного угля, симптоматическая терапия. Специфического антидота не существует. Форсированный диурез, гемодиализ, переливание крови - малоэффективны."}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"При одновременном применении ацеклофенак повышает концентрацию в плазме дигоксина, препаратов лития и фенитоина. На фоне одновременного приема калийсберегающих диуретиков усиливается риск гиперкалиемии, на фоне антикоагулянтов - риск кровотечений (необходим регулярный контроль свертываемости крови). Ацеклофенак уменьшает эффекты диуретических и антигипертензивных средств. При одновременном применении ацеклофенак повышает риск развития побочных эффектов НПВС и ГКС со стороны ЖКТ, токсичность метотрексата (интервал между приемами - 24 ч) и нефротоксичность циклоспорина. Ацетилсалициловая кислота снижает концентрацию ацеклофенака в крови. При одновременном применении с пероральными гипогликемическими препаратами возможны как гипо-, так и гипергликемия (необходим контроль уровня глюкозы в крови)."}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"  С осторожностью применять при заболеваниях печени, почек и ЖКТ в анамнезе, бронхиальной астме, артериальной гипертензии, ИБС, указаниях в анамнезе на развитие язвенного поражения ЖКТ, при наличии инфекции Helicobacter pylori, при цереброваскулярных заболеваниях, дислипидемии/гиперлипидемии, сахарном диабете, заболеваниях периферических артерий, у курящих, у пациентов пожилого возраста, при длительном приеме НПВС, при частом употреблении алкоголя, при тяжелых соматических заболеваниях. Простагландины играют важную роль в поддержании почечного кровотока, поэтому следует проявлять особую осторожность при назначении пациентам с сердечной или почечной недостаточностью, пожилого возраста, принимающих диуретики, и больных, у которых по какой-либо причине наблюдается снижение ОЦК (например, после крупного хирургического вмешательства). Если в таких случаях назначают ацеклофенак, рекомендуют в качестве меры предосторожности контролировать функцию почек. У пациентов с печеночной недостаточностью (хронический гепатит, компенсированный цирроз печени) кинетика и метаболизм не отличаются от аналогичных процессов у пациентов с нормальной функцией печени. При проведении длительной терапии необходимо контролировать функцию печени, картину периферической крови, анализ кала на скрытую кровь. \u003ci\u003eВлияние на способность к вождению автотранспорта и управлению механизмами\u003c/i\u003e В период лечения необходимо воздерживаться от занятий потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций.  "}}]},{"id":18,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"Таблетки, покрытые пленочной оболочкой, 100 мг. По 10 таблеток в контурную ячейковую упаковку, по полимерную с крышкой. Каждую банку или 1, 2, 3, 4, 6, 9 контурных ячейковых упаковок"}},{"type":"paragraph","data":{"text":"вместе с инструкцией по применению в пачку из картона."}}]},{"id":19,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"В защищенном от света месте 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":"2 года."}},{"type":"paragraph","data":{"text":"Не использовать после истечения срока годности."}}]},{"id":21,"name":"Условия отпуска","slug":"release_condition","body":[{"type":"paragraph","data":{"text":"Отпускают по рецепту."}}]}],"source":null},"description_toggle":false,"short_description":"НПВС, производное фенилуксусной кислоты. 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