Компливит Кальций Д3 Таблетки, коробка, 120 шт, 500+200 мг+МЕ, жевательные, апельсин, кальций+колекальциферол

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лактозы моногидрат - 327,406 мг, повидон (поливинил-пирролидон среднемолекулярный, повидон К 30) - 68,223 мг, крахмал картофельный - 20,541 мг, кроскармеллоза натрия - 49,875 мг, лимонная кислота (в виде лимонной кислоты моногидрата) - 3,325 мг, аспартам (Е 951) - 5,95 мг, магния стеарат - 15,75 мг, ароматизатор апельсиновый (порошковый) - 8,925 мг.\n\n"}}]},{"id":5,"name":"Описание","slug":"common_description","body":[{"type":"paragraph","data":{"text":"\n\nКомпливит Кальций Д3 – проверенное лекарственное средство, точный баланс кальция и витамина Д3 для укрепления костей и зубов, красивой осанки и легкой походки."}},{"type":"paragraph","data":{"text":"Преимущества препарата Компливит Кальций Д3"}},{"type":"paragraph","data":{"text":"Cодержит оптимальную комбинацию кальция и витамина Д3 для укрепления костей и зубов;"}},{"type":"paragraph","data":{"text":"Профилактика и лечение дефицита кальция и витамина D3. Подходит для детей с 3х лет!\n\n"}}]},{"id":6,"name":"Фармакотерапевтическая группа","slug":"","body":[{"type":"paragraph","data":{"text":"Кальциево-фосфорного обмена регулятор"}}]},{"id":7,"name":"Фармакологические свойства","slug":"pharmacologic_effects","body":[{"type":"paragraph","data":{"text":"Комбинированный препарат, действие которого обусловлено входящими в его состав компонентами. Регулирует обмен кальция и фосфатов, снижает резорбцию и увеличивает плотность костной ткани, восполняет недостаток кальция и колекальциферола (витамина D\u003csub\u003e3\u003c/sub\u003e) в организме, усиливает всасывание кальция в кишечнике и реабсорбцию фосфатов в почках, способствует минерализации костей."}},{"type":"paragraph","data":{"text":"Кальций участвует в формировании костной ткани, свертывании крови, в поддержании стабильной сердечной деятельности, в осуществлении процессов передачи нервных импульсов."}},{"type":"paragraph","data":{"text":"Колекальциферол способствует всасыванию кальция в кишечнике, формированию и минерализации костной ткани и ткани зубов."}},{"type":"paragraph","data":{"text":"Применение кальция и колекальциферола препятствует увеличению выработки паратиреоидного гормона, который является стимулятором повышенной костной резорбции."}}]},{"id":8,"name":"Показания к применению","slug":"indications","body":[{"type":"paragraph","data":{"text":"\n\nПрофилактика и лечение дефицита кальция и/или витамина D3."}},{"type":"paragraph","data":{"text":"Профилактика и комплексная терапия остеопороза и его осложнений (переломы костей).\n\n"}}]},{"id":9,"name":"Противопоказания","slug":"contraindications","body":[{"type":"paragraph","data":{"text":"\n\n• Повышенная чувствительность к компонентам препарата."}},{"type":"paragraph","data":{"text":"• Гиперкальциемия (повышенная концентрация кальция в крови)."}},{"type":"paragraph","data":{"text":"• Гиперкальциурия (повышенное содержание кальция в моче)."}},{"type":"paragraph","data":{"text":"• Нефролитиаз."}},{"type":"paragraph","data":{"text":"• Гипервитаминоз D."}},{"type":"paragraph","data":{"text":"• Декальцинирующие опухоли (миелома, костные метастазы, саркоидоз)."}},{"type":"paragraph","data":{"text":"• Активный туберкулез."}},{"type":"paragraph","data":{"text":"• Тяжелая почечная недостаточность."}},{"type":"paragraph","data":{"text":"Препарат в лекарственной форме таблетки не применяется у детей в возрасте до 3-х лет."}},{"type":"paragraph","data":{"text":"Компливит Кальций Д3 содержит аспартам, который в организме трансформируется в фенилаланин. 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Гиперкальциемия на фоне передозировки в период беременности может оказывать неблагоприятное воздействие на развивающийся плод."}},{"type":"paragraph","data":{"text":"Компливит Кальций Д3 применяют в период лактации. Кальций и витамин D3 могут проникать в грудное молоко, поэтому необходимо учитывать поступление кальция и витамина D из других источников у матери и ребенка.\n\n"}}]},{"id":12,"name":"Способ применения и дозы","slug":"dosage","body":[{"type":"paragraph","data":{"text":"\n\nКомпливит Кальций Д3, таблетки жевательные, применяют внутрь во время еды. Таблетку следует разжевать или рассосать. После этого, при необходимости, можно запить водой."}},{"type":"paragraph","data":{"text":"Взрослым: для лечения остеопороза – по 1 таблетке 2-3 раза в день, для профилактики остеопороза – по 1 таблетке 2 раза в день."}},{"type":"paragraph","data":{"text":"При дефиците кальция и/или витамина D3:"}},{"type":"paragraph","data":{"text":"Взрослым и детям старше 12 лет – по 1 таблетке 2 раза в день."}},{"type":"paragraph","data":{"text":"Детям с 5 лет до 12 лет – по 1-2 таблетки в день."}},{"type":"paragraph","data":{"text":"Детям с 3-х до 5 лет – дозировка в соответствии с рекомендациями врача."}},{"type":"paragraph","data":{"text":"Особые группы пациентов"}},{"type":"paragraph","data":{"text":"Пациенты с нарушением функции печени:"}},{"type":"paragraph","data":{"text":"Коррекция дозы не требуется."}},{"type":"paragraph","data":{"text":"Пациенты с нарушением функции почек:"}},{"type":"paragraph","data":{"text":"Не следует применять препарат при тяжелой почечной недостаточности."}},{"type":"paragraph","data":{"text":"Пожилые пациенты:"}},{"type":"paragraph","data":{"text":"Доза такая же, как и для взрослых. Следует учитывать возможное снижение клиренса креатинина."}},{"type":"paragraph","data":{"text":"Продолжительность лечения"}},{"type":"paragraph","data":{"text":"При применении для профилактики и в комплексной терапии остеопороза длитель-ность лечения определяется врачом индивидуально."}},{"type":"paragraph","data":{"text":"При применении для восполнения дефицита кальция и/или витамина D3 средняя продолжительность курса лечения не менее 4-6 недель. Количество повторных курсов в течение года определяют индивидуально.\n\n"}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"\n\nЧастота побочных эффектов препарата расценивается следующим образом:"}},{"type":"paragraph","data":{"text":"Очень частые: > 1/10"}},{"type":"paragraph","data":{"text":"Частые: >1/100, <1/10"}},{"type":"paragraph","data":{"text":"Нечастые: >1/1000, < 1/100"}},{"type":"paragraph","data":{"text":"Редкие: > 1/10 000, < 1/1000"}},{"type":"paragraph","data":{"text":"Очень редкие: < 1/10 000"}},{"type":"paragraph","data":{"text":"Нарушения со стороны обмена веществ и питания: нечасто – гиперкальциемия, ги-перкальциурия."}},{"type":"paragraph","data":{"text":"Нарушения со стороны желудочно-кишечного тракта: редко - запор, метеоризм, тошнота, боль в животе, диарея, диспепсия."}},{"type":"paragraph","data":{"text":"Нарушения со стороны кожи и подкожной клетчатки: очень редко – аллергические реакции (зуд, сыпь, крапивница).\n\n"}}]},{"id":14,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"\n\nСимптомы передозировки (гиперкальциемии): жажда, полиурия, анорексия, тошнота, рвота, запоры, боль в животе, головокружение, мышечная слабость, повышенная утомляемость, боли в костях, психические расстройства, головная боль, обморочные со-стояния, кома, нефрокальциноз, мочекаменная болезнь, в тяжелых случаях – сердечные аритмии. При длительном применении избыточных доз (свыше 2500 мг кальция) – повреждения почек, кальциноз мягких тканей."}},{"type":"paragraph","data":{"text":"Лабораторные показатели при передозировке: гиперкальциурия, гиперкальциемия (кальций в плазме около 2,6 ммоль)."}},{"type":"paragraph","data":{"text":"В случае обнаружения признаков передозировки необходимо прекратить прием кальция и витамина D, а также тиазидных диуретиков и сердечных гликозидов, и обратиться к врачу."}},{"type":"paragraph","data":{"text":"Лечение: промывание желудка, восполнение потери жидкости, применение «петлевых» диуретиков (например, фуросемида), глюкокортикостероидных препаратов, кальцитонина, бисфосфонатов, диета с ограничением кальция, проведение гемодиализа."}},{"type":"paragraph","data":{"text":"Необходимо контролировать содержание электролитов в плазме крови, функцию почек и диурез."}},{"type":"paragraph","data":{"text":"В тяжелых случаях необходимо измерение центрального венозного давления (ЦВД) и контроль электрокардиограммы (ЭКГ).\n\n"}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"\n\nАктивность витамина D3 может снижаться при его одновременном применении с фенитоином или барбитуратами."}},{"type":"paragraph","data":{"text":"Гиперкальциемия может потенцировать токсические эффекты сердечных гликозидов при одновременном применении с препаратами кальция и витамина D. Необходим контроль ЭКГ и содержания кальция в сыворотке крови."}},{"type":"paragraph","data":{"text":"Препараты кальция могут уменьшать всасывание тетрациклинов из желудочно-кишечного тракта. Поэтому препараты тетрациклинового ряда следует принимать не менее чем за 2 часа до или через 4-6 часов после приема Компливит Кальций Д3."}},{"type":"paragraph","data":{"text":"Для предотвращения снижения всасывания препаратов бисфосфонатов их рекомендуется принимать не менее чем за час до приема Компливит Кальций Д3."}},{"type":"paragraph","data":{"text":"Глюкокортикостероиды уменьшают всасывание кальция, поэтому лечение глюкокор-тикостероидами может потребовать увеличения дозы Компливит Кальций Д3."}},{"type":"paragraph","data":{"text":"Одновременное лечение препаратами колестерамина или слабительными средствами на основе минерального или растительного масла может снижать всасывание витамина Д3."}},{"type":"paragraph","data":{"text":"При одновременном применении диуретиков тиазидного ряда увеличивается риск возникновения гиперкальциемии,"}},{"type":"paragraph","data":{"text":"так как они повышают канальцевую реабсорбцию кальция. При одновременном применении тиазидных диуретиков следует регулярно контролировать содержания кальция в сыворотке крови. Фуросемид и другие «петлевые» диуретики, наоборот, увеличивают выведение кальция почками."}},{"type":"paragraph","data":{"text":"Кальций снижает эффективность левотироксина, уменьшая его всасывание. Период времени между приемами левотироксина и Компливит Кальций Д3 должен составлять не менее 4 часов."}},{"type":"paragraph","data":{"text":"Всасывание антибиотиков группы хинолона снижается при одновременном применении с препаратами кальция. Поэтому антибиотики группы хинолона следует принимать за 2 часа до или через 6 часов после приема Компливит Кальций Д3."}},{"type":"paragraph","data":{"text":"Прием пищевых продуктов, содержащих оксалаты (щавель, ревень, шпинат) и фитин (крупы), снижает всасываемость кальция, поэтому не следует принимать Компливит Кальций Д3 в течение 2 часов после употребления щавеля, ревеня, шпината и круп.\n\n"}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"\n\nПри длительной терапии следует контролировать содержание кальция и креатинина в сыворотке крови. Наблюдение особенно важно у пациентов пожилого возраста при одновременном лечении сердечными гликозидами и диуретиками (см. раздел «Взаимодействие с другими лекарственными препаратами и пищевыми продуктами») и у пациентов с повышенной склонностью к образованию камней в почках. В случаях гиперкальциемии или признаков нарушения функции почек следует уменьшить дозу или прекратить лечение."}},{"type":"paragraph","data":{"text":"Витамин D3 следует принимать с осторожностью пациентам с почечной недостаточностью. В этом случае необходимо контролировать содержание кальция и фосфатов в сыворотке крови. Также необходимо учитывать риск возникновения кальциноза мягких тканей."}},{"type":"paragraph","data":{"text":"Во избежание передозировки необходимо учитывать дополнительное поступление витамина D из других источников."}},{"type":"paragraph","data":{"text":"У пожилых людей потребность в кальции составляет 1500 мг/сут, в витамине D3 – 0,5-1 тыс. МЕ/сут."}},{"type":"paragraph","data":{"text":"Кальций и витамин D3 должны с осторожностью применяться у иммобилизированных пациентов с остеопорозом в связи с риском развития гиперкальциемии."}},{"type":"paragraph","data":{"text":"Одновременное применение с антибиотиками группы тетрациклина или хинолона обычно не рекомендуется или должно осуществляться с осторожностью (см. раздел «Взаимодействие с другими лекарственными препаратами и пищевыми продуктами»).\n\n"}}]},{"id":17,"name":"Влияние на способность управлять автомобилем и движущимися механизмами","slug":"","body":[{"type":"paragraph","data":{"text":"Препарат Компливит Кальций Д3 не влияет на способность управлять транспортными средствами или работать с технически сложными механизмами."}}]},{"id":18,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"\n\nТаблетки жевательные (апельсиновые), 500 мг + 200 МЕ."}},{"type":"paragraph","data":{"text":"По 30, 60, 90, 100 или 120 таблеток в банки полимерные из полиэтилена низкого давления. Банки укупоривают крышкой навинчиваемой из полиэтилена низкого давления. Каждую банку, обтянутую трубкой термоусадочной, вместе с инструкцией по применению помещают в пачку из картона.\n\n"}}]},{"id":19,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"\n\nПри температуре не выше 25 0С."}},{"type":"paragraph","data":{"text":"Хранить в недоступном для детей месте.\n\n"}}]},{"id":20,"name":"Срок годности","slug":"expiry_date","body":[{"type":"paragraph","data":{"text":"3 года. Не использовать по истечении срока годности, указанного на упаковке."}}]},{"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":"ОАО «Фармстандарт-УфаВИТА»"}}]}],"source":null},"description_toggle":false,"short_description":"Комбинированный препарат, действие которого обусловлено входящими в его состав компонентами. Регулирует обмен кальция и фосфатов, снижает резорбцию и увеличивает плотность костной ткани, восполняет недостаток кальция и колекальциферола (витамина D3) в организме, усиливает всасывание кальция в кишечнике и реабсорбцию фосфатов в почках, способствует минерализации костей. Кальций участвует в формировании костной ткани, свертывании крови, в поддержании стабильной сердечной деятельности, в осуществлении процессов передачи нервных импульсов. Колекальциферол способствует всасыванию кальция в кишечнике, формированию и минерализации костной ткани и ткани зубов. Применение кальция и колекальциферола препятствует увеличению выработки паратиреоидного гормона, который является стимулятором повышенной костной резорбции.","substance":[{"id":307,"title":"Колекальциферол","title_latin":"Colecalciferolum","slug":"kolekaltsiferol_307"}],"branding":null,"valid_for_quick_buy":true,"is_available_to_delivery":true,"comments":null,"image_alt":"Компливит Кальций Д3","image_share":{"isTouch":{"default":"https://vseapteki.ru/cropping/thumbnails/101/71033/share_default/"},"isFromTablet":{"default":"https://vseapteki.ru/cropping/thumbnails/101/71033/share_default/"}},"diseases":[],"other_packages":[{"id":106377,"title":"Компливит Кальций Д3","subtitle":{"full":"Таблетки, коробка, 30 шт, 500+200 мг, жевательные, апельсин","short":"Таблетки, 30 шт, 500+200 мг","package":"30 шт, 500+200 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