Круглые двояковыпуклые таблетки, покрытые кишечнорастворимой оболочкой от бледно-розового до розового цвета. На поперечном разрезе ядро светло-коричневого цвета с темными и светлыми вкраплениями.
Допускается специфический запах.
Фармакотерапевтическая группа
Пищеварительное ферментное средство
Фармакологические свойства
Нормоэнзим форте - комбинированный ферментный препарат, улучшающий пищеварение, действие которого обусловлено компонентами, входящими в его состав. Оказывает протеолитическое, амилолитическое и липолитическое действие. Имеет защитную оболочку, которая не растворяется до попадания в тонкий кишечник, что защищает ферменты от разрушающего действия желудочного сока.
Препарат компенсирует недостаточность функции поджелудочной железы и желчевыделительной функции печени. Способствует быстрому и полному перевариванию пищи, устраняет симптомы, возникающие вследствие нарушения пищеварения (чувство тяжести и переполнения желудка, метеоризм, диарею). Улучшает процесс переваривания пищи у детей; стимулирует выделение собственных ферментов поджелудочной железы, желудка и тонкого кишечника, а также желчи.
Входящие в состав препарата ферменты - амилаза, липаза и протеаза - облегчают переваривание углеводов, жиров и белков, что способствует более полному их всасыванию в тонком кишечнике. Компоненты желчи действуют желчегонно, способствуют эмульгированию жиров, ускоряют переваривание жиров, способствуют выделению липазы поджелудочной железой, улучшают всасывание жиров и жирорастворимых витаминов А, Е, К.
Фермент гемицеллюлаза расщепляет целлюлозу (составная часть растительных оболочек), что также способствует улучшению пищеварительных процессов, уменьшает брожение и образование газов в кишечнике.
Показания к применению
Недостаточность внешнесекреторной функции поджелудочной железы (хронический панкреатит, фиброз);
- состояния после резекции или облучения органов пищеварения, сопровождающиеся нарушением переваривания пищи, метеоризмом, диареей (в составе комбинированной терапии);
- для улучшения переваривания пищи у пациентов с нормальной функцией ЖКТ в случае нарушения в диете, а также при нарушениях жевательной функции, вынужденной длительной иммобилизации, малоподвижном образе жизни;
- подготовка к рентгенологическому и ультразвуковому исследованию органов брюшной полости;
- метеоризм, диарея неинфекционного генеза.
Противопоказания
Повышенная чувствительность к компонентам препарата, острый панкреатит, обострение хронического панкреатита, гепатит, печеночная недостаточность, печеночная кома или прекома, механическая желтуха, гипербилирубинемия, желчнокаменная болезнь, эмпиема желчного пузыря, кишечная непроходимость, дефицит сахаразы/изомальтазы, непереносимость фруктозы, глюкозо-галактознаямальабсорбция, так как препарат содержит сахарозу, детский возраст (до 3 лет).
С осторожностью
Муковисцидоз, беременность, период грудного вскармливания.
Применение при беременности и в период грудного вскармливания
Перед применением препарата Нормоэнзим Форте, если Вы беременны, или предполагаете, что Вы могли бы быть беременной, или планируете беременность, необходимо проконсультироваться с врачом.
В период грудного вскармливания перед применением препарата Нормоэнзим форте необходимо проконсультироваться с врачом.
Данные о применении препарата во время беременности и в период грудного вскармливания отсутствуют.
В период беременности и в период грудного вскармливания назначение препарата Нормоэнзим форте лечащим врачом возможно только в том случае, если предполагаемая польза для матери превышает возможный риск для плода или ребенка.
Способ применения и дозы
Внутрь, по 1-3 таблетки 3 раза в сутки во время или сразу после еды. Проглатывают целиком, разжевывать нельзя.
У детей старше 3 лет препарат применяется по назначению врача. Доза определяется индивидуально.
Продолжительность курса лечения может изменяться от нескольких дней (при затруднении пищеварения в связи с погрешностями в питании) до нескольких месяцев или лет (при необходимости постоянной заместительной терапии).
Перед рентгенологическим исследованием и УЗИ - по 2 таблетки 2-3 раза в сутки за 2-3 дня до исследования.
Побочное действие
Редко при длительном применении возможны аллергические реакции при повышенной чувствительности (гиперемия кожи, чиханье, слезотечение), снижение синтеза собственных желчных кислот, диарея, тошнота, боль в животе (в т.ч. кишечная колика). При длительном применении высоких доз препарата возможно развитие гиперурикемии и гиперурикозурии.
У детей (при приеме в больших дозах) - перианальное раздражение, раздражение слизистой оболочки полости рта.
При муковисцидозе препарат следует назначать с осторожностью, т.к. доза должна быть адекватна количеству и качеству потребляемой пищи. У пациентов с муковисцидозом,особенно при приеме высоких доз панкреатина, может наблюдаться гиперурикозурия, поэтому у этой группы пациентов необходимо контролировать концентрацию мочевой кислоты в моче.
У этой группы пациентов описаны стриктуры в илеоцекальном и восходящем отделах ободочной кишки. В качестве меры предосторожности при появлении необычного дискомфорта в животе или изменения характера жалоб, особенно при приеме более 10000 ЕД липазы/кг массы тела в сутки, необходимо медицинское обследование.
Влияние на способность управлять автомобилем и движущимися механизмами
Препарат не вызывает побочных эффектов, приводящих к снижению концентрации внимания и скорости психомоторных реакций, поэтому может применяться при управлении транспортными средствами и работе с точными механизмами.
По 10 или 20 таблеток в контурную ячейковую упаковку из пленки поливинилхлоридной и фольги алюминиевой печатной лакированной.
1, 2, 3 или 5 контурных ячейковых упаковок вместе с инструкцией по медицинскому применению помещают в пачку из картона.
Условия хранения
В сухом месте при температуре не выше 25 °С.
Хранить в недоступном для детей месте.
Срок годности
2 года. Не применять по истечении срока годности.
Условия отпуска
Без рецепта
Производитель
ОАО "Фармстандарт-Лексредства"
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Информация предоставляется в справочных целях. Не занимайтесь самолечением. При первых признаках заболевания обратитесь к врачу.
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форте","subtitle":{"full":"Таблетки, 20 шт, 338,8 мг","short":"Таблетки, 20 шт, 338,8 мг","package":"20 шт, 338,8 мг"},"prescription":false,"catalog_section_id":139,"manufacturer":{"id":58,"title":"Фармстандарт","slug":"farmstandart_58","logo":{"isTouch":{"retina":null,"default":null},"isFromTablet":{"retina":null,"default":null}}},"is_advert":false,"product_form":"Таблетки","slug":"160120-normoenzim_forte","attributes":{"count":"20 шт","dose":"338,8 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"}}]},{"id":2,"name":"Торговое название препарата","slug":"","body":[{"type":"paragraph","data":{"text":"Нормоэнзим форте"}}]},{"id":3,"name":"Лекарственная форма","slug":"","body":[{"type":"paragraph","data":{"text":"Таблетки, покрытые пленочной оболочкой"}}]},{"id":4,"name":"Состав","slug":"ingredients","body":[{"type":"paragraph","data":{"text":"\n\nдействующие вещества:панкреатин - 338,8 мг (ферментативные активности: протеолитическая активность не менее 600 ЕД Eur.Рh.,амилолитическая активность не менее 9000 ЕД Eur.Рh., липолитическая активность не менее 12000 ЕД Eur.Рh.), желчь - 25,0 мг, гемицеллюлаза в виде тритурата (гемицеллюлаза - 2,84 ЕД АГ, лактозы моногидрат - до 50,0 мг) - 50,0 мг."}},{"type":"paragraph","data":{"text":"Вспомогательные вещества: ядро:повидон (поливинилпирролидон, повидон К25) - 15,4 мг, сахароза (сахар белый) - 44,3 мг, целлюлоза микрокристаллическая (целлюлоза микрокристаллическая 101) - 25,0 мг, магния стеарат - 1,5 мг; оболочка: Acryl-еze\u003csup\u003e®\u003c/sup\u003e 93О240007 РОЗОВЫЙ - 50,0 мг [метакриловой кислоты и этилакрила сополимер [1:1 тип А] (сополимер LD) - 40,000 %, тальк - 37,250 %, титана диоксид - 14,020 %, триэтилцитрат - 4,800 %, коллоидный безводный кремния диоксид - 1,250 %, натрия бикарбонат - 1,200 %, краситель пунцовый 4R алюминиевый лак - 0,780 %, натрия лаурилсульфат - 0,500 %, краситель солнечный закат желтый алюминиевый лак - 0,190 %, краситель голубой индигокармин алюминиевый лак - 0,010 %].\n\n"}}]},{"id":5,"name":"Описание","slug":"common_description","body":[{"type":"paragraph","data":{"text":"\n\nКруглые двояковыпуклые таблетки, покрытые кишечнорастворимой оболочкой от бледно-розового до розового цвета. На поперечном разрезе ядро светло-коричневого цвета с темными и светлыми вкраплениями."}},{"type":"paragraph","data":{"text":"Допускается специфический запах.\n\n"}}]},{"id":6,"name":"Фармакотерапевтическая группа","slug":"","body":[{"type":"paragraph","data":{"text":"Пищеварительное ферментное средство"}}]},{"id":7,"name":"Фармакологические свойства","slug":"pharmacologic_effects","body":[{"type":"paragraph","data":{"text":"\n\nНормоэнзим форте - комбинированный ферментный препарат, улучшающий пищеварение, действие которого обусловлено компонентами, входящими в его состав. Оказывает протеолитическое, амилолитическое и липолитическое действие. Имеет защитную оболочку, которая не растворяется до попадания в тонкий кишечник, что защищает ферменты от разрушающего действия желудочного сока."}},{"type":"paragraph","data":{"text":"Препарат компенсирует недостаточность функции поджелудочной железы и желчевыделительной функции печени. Способствует быстрому и полному перевариванию пищи, устраняет симптомы, возникающие вследствие нарушения пищеварения (чувство тяжести и переполнения желудка, метеоризм, диарею). Улучшает процесс переваривания пищи у детей; стимулирует выделение собственных ферментов поджелудочной железы, желудка и тонкого кишечника, а также желчи."}},{"type":"paragraph","data":{"text":"Входящие в состав препарата ферменты - амилаза, липаза и протеаза - облегчают переваривание углеводов, жиров и белков, что способствует более полному их всасыванию в тонком кишечнике. Компоненты желчи действуют желчегонно, способствуют эмульгированию жиров, ускоряют переваривание жиров, способствуют выделению липазы поджелудочной железой, улучшают всасывание жиров и жирорастворимых витаминов А, Е, К."}},{"type":"paragraph","data":{"text":"Фермент гемицеллюлаза расщепляет целлюлозу (составная часть растительных оболочек), что также способствует улучшению пищеварительных процессов, уменьшает брожение и образование газов в кишечнике.\n\n"}}]},{"id":8,"name":"Показания к применению","slug":"indications","body":[{"type":"paragraph","data":{"text":"\n\nНедостаточность внешнесекреторной функции поджелудочной железы (хронический панкреатит, фиброз);"}},{"type":"paragraph","data":{"text":"- хронические воспалительно-дистрофические заболевания желудка (хронический гастрит), кишечника (энтероколиты), печени, желчного пузыря;"}},{"type":"paragraph","data":{"text":"- состояния после резекции или облучения органов пищеварения, сопровождающиеся нарушением переваривания пищи, метеоризмом, диареей (в составе комбинированной терапии);"}},{"type":"paragraph","data":{"text":"- для улучшения переваривания пищи у пациентов с нормальной функцией ЖКТ в случае нарушения в диете, а также при нарушениях жевательной функции, вынужденной длительной иммобилизации, малоподвижном образе жизни;"}},{"type":"paragraph","data":{"text":"- подготовка к рентгенологическому и ультразвуковому исследованию органов брюшной полости;"}},{"type":"paragraph","data":{"text":"- метеоризм, диарея неинфекционного генеза.\n\n"}}]},{"id":9,"name":"Противопоказания","slug":"contraindications","body":[{"type":"paragraph","data":{"text":"Повышенная чувствительность к компонентам препарата, острый панкреатит, обострение хронического панкреатита, гепатит, печеночная недостаточность, печеночная кома или прекома, механическая желтуха, гипербилирубинемия, желчнокаменная болезнь, эмпиема желчного пузыря, кишечная непроходимость, дефицит сахаразы/изомальтазы, непереносимость фруктозы, глюкозо-галактознаямальабсорбция, так как препарат содержит сахарозу, детский возраст (до 3 лет)."}}]},{"id":10,"name":"С осторожностью","slug":"cautions","body":[{"type":"paragraph","data":{"text":"Муковисцидоз, беременность, период грудного вскармливания."}}]},{"id":11,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","body":[{"type":"paragraph","data":{"text":"\n\nПеред применением препарата Нормоэнзим Форте, если Вы беременны, или предполагаете, что Вы могли бы быть беременной, или планируете беременность, необходимо проконсультироваться с врачом."}},{"type":"paragraph","data":{"text":"В период грудного вскармливания перед применением препарата Нормоэнзим форте необходимо проконсультироваться с врачом."}},{"type":"paragraph","data":{"text":"Данные о применении препарата во время беременности и в период грудного вскармливания отсутствуют."}},{"type":"paragraph","data":{"text":"В период беременности и в период грудного вскармливания назначение препарата Нормоэнзим форте лечащим врачом возможно только в том случае, если предполагаемая польза для матери превышает возможный риск для плода или ребенка.\n\n"}}]},{"id":12,"name":"Способ применения и дозы","slug":"dosage","body":[{"type":"paragraph","data":{"text":"\n\nВнутрь, по 1-3 таблетки 3 раза в сутки во время или сразу после еды. Проглатывают целиком, разжевывать нельзя."}},{"type":"paragraph","data":{"text":"У детей старше 3 лет препарат применяется по назначению врача. Доза определяется индивидуально."}},{"type":"paragraph","data":{"text":"Продолжительность курса лечения может изменяться от нескольких дней (при затруднении пищеварения в связи с погрешностями в питании) до нескольких месяцев или лет (при необходимости постоянной заместительной терапии)."}},{"type":"paragraph","data":{"text":"Перед рентгенологическим исследованием и УЗИ - по 2 таблетки 2-3 раза в сутки за 2-3 дня до исследования.\n\n"}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"\n\nРедко при длительном применении возможны аллергические реакции при повышенной чувствительности (гиперемия кожи, чиханье, слезотечение), снижение синтеза собственных желчных кислот, диарея, тошнота, боль в животе (в т.ч. кишечная колика). При длительном применении высоких доз препарата возможно развитие гиперурикемии и гиперурикозурии."}},{"type":"paragraph","data":{"text":"У детей (при приеме в больших дозах) - перианальное раздражение, раздражение слизистой оболочки полости рта.\n\n"}}]},{"id":14,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"\n\nСимптомы: гиперурикемия и гиперурикурия."}},{"type":"paragraph","data":{"text":"Лечение: отмена препарата, симптоматическая терапия.\n\n"}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"\n\nУменьшает биодоступность препаратов железа. Повышает абсорбцию препаратов - производных парааминосалициловой кислоты (ПАСК), сульфаниламидов, антибиотиков."}},{"type":"paragraph","data":{"text":"Циметидин усиливает действие препарата."}},{"type":"paragraph","data":{"text":"Антациды, содержащие ионы магния Mg2+ и/или кальция Са2+, снижают эффективность препарата.\n\n"}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"\n\nПри муковисцидозе препарат следует назначать с осторожностью, т.к. доза должна быть адекватна количеству и качеству потребляемой пищи. У пациентов с муковисцидозом,особенно при приеме высоких доз панкреатина, может наблюдаться гиперурикозурия, поэтому у этой группы пациентов необходимо контролировать концентрацию мочевой кислоты в моче."}},{"type":"paragraph","data":{"text":"У этой группы пациентов описаны стриктуры в илеоцекальном и восходящем отделах ободочной кишки. В качестве меры предосторожности при появлении необычного дискомфорта в животе или изменения характера жалоб, особенно при приеме более 10000 ЕД липазы/кг массы тела в сутки, необходимо медицинское обследование.\n\n"}}]},{"id":17,"name":"Влияние на способность управлять автомобилем и движущимися механизмами","slug":"","body":[{"type":"paragraph","data":{"text":"Препарат не вызывает побочных эффектов, приводящих к снижению концентрации внимания и скорости психомоторных реакций, поэтому может применяться при управлении транспортными средствами и работе с точными механизмами."}}]},{"id":18,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"\n\nТаблетки кишечнорастворимые, покрытые пленочной оболочкой."}},{"type":"paragraph","data":{"text":"По 10 или 20 таблеток в контурную ячейковую упаковку из пленки поливинилхлоридной и фольги алюминиевой печатной лакированной."}},{"type":"paragraph","data":{"text":"1, 2, 3 или 5 контурных ячейковых упаковок вместе с инструкцией по медицинскому применению помещают в пачку из картона.\n\n"}}]},{"id":19,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"\n\nВ сухом месте при температуре не выше 25 °С."}},{"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":"2 года. Не применять 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":"ОАО \"Фармстандарт-Лексредства\""}}]}],"source":null},"description_toggle":false,"short_description":"Нормоэнзим форте - комбинированный ферментный препарат, улучшающий пищеварение, действие которого обусловлено компонентами, входящими в его состав. Оказывает протеолитическое, амилолитическое и липолитическое действие. Имеет защитную оболочку, которая не растворяется до попадания в тонкий кишечник, что защищает ферменты от разрушающего действия желудочного сока. Препарат компенсирует недостаточность функции поджелудочной железы и желчевыделительной функции печени. 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