МЕКСИЛЕК-ЛЕКФАРМ раствор для внутривенного и внутримышечного введения Раствор, 5 шт, 2 мл, 50 мг / мл, для внутривенного и внутримышечного введения

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Вызывает усиление компенсаторной активности аэробного гликолиза и снижение степени угнетения окислительных процессов в цикле Кребса в условиях гипоксии, с увеличением содержания А ГФ, креатинфосфата и активацией энергосинтезирующих функций митохондрий, стабилизацию клеточных мембран."}},{"type":"paragraph","data":{"text":"Препарат Мексилек-Лекфарм улучшает функциональное состояние ишемизированного миокарда при инфаркте миокарда, улучшает сократительную функцию сердца, а также уменьшает проявления систолической и диастолической дисфункции левого желудочка. Нормализует метаболические процессы в ишемизированном миокарде, уменьшает зону некроза, восстанавливает и/или улучшает электрическую активность и сократимость миокарда, а также увеличивает его коллатеральное кровоснабжение. 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Улучшает функциональную активность сетчатки и зрительного нерва, увеличивая остроту зрения."}},{"type":"header","data":{"text":"Фармакокинетика","level":4}},{"type":"paragraph","data":{"text":"Всасывание"}},{"type":"paragraph","data":{"text":"Время достижения максимальной концентрации Тмах - 0,45-0,5 ч. Смах при введении дозы 400-500 мг составляет 3,5-4,0 мкг/мл."}},{"type":"paragraph","data":{"text":"Распределение"}},{"type":"paragraph","data":{"text":"После внутримышечного введения этилметилгидроксипиридина сукцинат определяется в плазме крови в течение 4 ч. Быстро распределяется в органах и тканях. Среднее время удержания этилметилгидроксипиридина сукцината в организме составляет 0,7-1,3 ч."}},{"type":"paragraph","data":{"text":"Метаболизм"}},{"type":"paragraph","data":{"text":"Метаболизируется в печени путем глюкуронирования. Идентифицировано 5 метаболитов: 3-оксипиридина фосфат - образуется в печени и при участии щелочной фосфатазы распадается на фосфорную кислоту и 3-оксипиридин; 2-й метаболит - фармакологически активный, образуется в больших количествах и обнаруживается в моче на 1-2 сутки. После введения 3-й выводится в больших количествах почками; 4-й и 5-й - глюкуронконъюгаты."}},{"type":"paragraph","data":{"text":"Выведение"}},{"type":"paragraph","data":{"text":"Выводится из организма почками в основном в глюкуронконъюгированной форме и в незначительных количествах - в неизмененном виде."}}]},{"id":8,"name":"Показания к применению","slug":"indications","body":[{"type":"paragraph","data":{"text":"В составе комплексной терапии:"}},{"type":"paragraph","data":{"text":"— острый инфаркт миокарда с первых суток;"}},{"type":"paragraph","data":{"text":"— острые нарушения мозгового кровообращения;"}},{"type":"paragraph","data":{"text":"- черепно-мозговая травма, последствия черепно-мозговой травмы;"}},{"type":"paragraph","data":{"text":"— дисциркуляторная энцефалопатия;"}},{"type":"paragraph","data":{"text":"—синдром вегетативной дистонии;"}},{"type":"paragraph","data":{"text":"тревожные состояния при невротических и неврозоподобных расстройствах;"}},{"type":"paragraph","data":{"text":"- легкие когнитивные расстройства атеросклеротического генеза у пациентов пожилого возраста;"}},{"type":"paragraph","data":{"text":"— первичная открытоугольная глаукома различных стадий; купирование абстинентного синдрома при алкоголизме с преобладанием"}},{"type":"paragraph","data":{"text":"неврозоподобных и вегетативно-сосудистых расстройств;"}},{"type":"paragraph","data":{"text":"— острая интоксикация антипсихотическими средствами."}}]},{"id":9,"name":"Противопоказания","slug":"contraindications","body":[{"type":"paragraph","data":{"text":"— Острое нарушение функции печени."}},{"type":"paragraph","data":{"text":"— Острое нарушение функции почек."}},{"type":"paragraph","data":{"text":"Повышенная индивидуальная чувствительность к компонентам препарата."}},{"type":"paragraph","data":{"text":"— Детский возраст до 18 лет."}},{"type":"paragraph","data":{"text":"— Беременность и период грудного вскармливания."}}]},{"id":10,"name":"С осторожностью","slug":"cautions","body":[{"type":"paragraph","data":{"text":"Аллергические заболевания в анамнезе, артериальная гипертензия."}}]},{"id":11,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","body":[{"type":"paragraph","data":{"text":"Применение препарата Мексилек-Лекфарм противопоказано при беременности и в период грудного вскармливания в связи с недостаточностью данных по эффективности и безопасности."}},{"type":"paragraph","data":{"text":"Препарат Мексилек-Лекфарм вводят внутримышечно (в/м) или внутривенно (в/в) струйно или капельно. При инфузионном способе введения препарат следует разводить в 0,9% растворе натрия хлорида. Струйно вводят медленно в течение 5-7 мин, капельно - со скоростью 40-60 капель/мин."}},{"type":"paragraph","data":{"text":"Режим дозирования подбирается индивидуально, в зависимости от степени тяжести заболевания. Максимальная суточная доза не должна превышать 1200 мг."}},{"type":"paragraph","data":{"text":"При лечении острого нарушения мозгового кровообращения препарат применяют в составе комплексной терапии в первые 10-14 дней в/в капельно в дозе 200-500 мг 2-4 раза в сутки, а затем - в/м по 200-250 мг 2-3 раза в сутки в течение 2-х недель."}},{"type":"paragraph","data":{"text":"При черепно-мозговой травме и последствиях черепно-мозговой травмы препарат применяют в течение 10-15 дней в/в капельно по 200-500 мг 2-4 раза в сутки."}},{"type":"paragraph","data":{"text":"При дисциркуляторной энцефалопатии в фазе декомпенсации препарат применяют в/в струйно или капельно в дозе 200-500 мг 1-2 раза в сутки на протяжении 14 дней, а затем - в/м по 100-250 мг в сутки в течение последующих 2-х недель."}},{"type":"paragraph","data":{"text":"Для курсовой профилактики дисциркуляторной энцефалопатии препарат вводят в/м в дозе 200-250 мг 2 раза в сутки в течение 10-14 дней."}},{"type":"paragraph","data":{"text":"При легких когнитивных нарушениях у пациентов пожилого возраста и при тревожных расстройствах препарат вводят в/м в суточной дозе 100-300 мг в сутки в течение 14-30 дней."}},{"type":"paragraph","data":{"text":"При остром инфаркте миокарда препарат вводят в/в или в/м в течение 14 дней на фоне стандартной терапии инфаркта миокарда, включающей нитраты, b-адреноблокаторы, ингибиторы ангиотензинпревращающего фермента (АПФ), тромболитики, антикоагулянтные и антиагрегантные средства, а также симптоматические средства по показаниям. В первые 5 суток для достижения максимального эффекта препарат желательно вводить в/в, а в последующие 9 суток - в/м. В/в введение проводят путем капельной инфузии, медленно (во избежание побочных эффектов), на 0,9% растворе натрия хлорида или 5 % растворе декстрозы в объеме 100-150 мл в течение 30-90 мин. При необходимости возможно медленное в/в струйное введение препарата, продолжительностью не менее 5 мин."}},{"type":"paragraph","data":{"text":"Введение препарата (внутривенное и внутримышечное) осуществляют 3 раза в сутки через каждые 8 час. Суточная терапевтическая доза составляет 6-9 мг/кг массы тела в сутки, разовая 2-3 мг/кг массы тела. Максимальная суточная не должна превышать 800 мг, разовая 250 мг."}},{"type":"paragraph","data":{"text":"В комплексной терапии открытоугольной глаукомы различных стадий препарат вводят в/м в суточной дозе 100-300 мг в сутки, 1-3 раза в сутки в течение 14 дней."}},{"type":"paragraph","data":{"text":"При абстинентном алкогольном синдроме препарат вводят в/в капельно или в/м в дозе 200-500 мг 2-3 раза в сутки в течение 5-7 дней."}},{"type":"paragraph","data":{"text":"При острой интоксикации антипсихотическими средствами препарат вводят в/в в дозе 200-500 мг в сутки в течение 7-14 дней."}},{"type":"paragraph","data":{"text":"При синдроме вегетативной дистонии и неврозоподобных расстройствах препарат вводят в/м в суточной дозе 50-400 мг в сутки в течение 14 дней."}}]},{"id":12,"name":"Способ применения и дозы","slug":"dosage","body":[{"type":"paragraph","data":{"text":"Дозу, частоту применения и длительность лечения устанавливают индивидуально в зависимости от показаний и клинической ситуации."}},{"type":"paragraph","data":{"text":"Внутрь - 0.25-0.5 г/сут в 2-3 приема; максимальная суточная доза - 0.6-0.8 г."}},{"type":"paragraph","data":{"text":"При в/м или в/в (струйно или капельно) введении разовая доза 50-400 мг, максимальная суточная доза - 1200 мг."}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"Со стороны иммунной системы: аллергические реакции."}},{"type":"paragraph","data":{"text":"Со стороны нервной системы: нарушения сна (сонливость или нарушение засыпания)."}},{"type":"paragraph","data":{"text":"Со стороны сосудов: кратковременное повышение артериального давления. Со стороны дыхательной системы, органов грудной клетки и средостения: першение в горле, дискомфорт в грудной клетке, ощущение нехватки воздуха (могут быть связаны с чрезмерно высокой скоростью введения)."}},{"type":"paragraph","data":{"text":"Со стороны желудочно-кишечного такта: сухость и «металлический» привкус во рту, тошнота, метеоризм, диарея."}},{"type":"paragraph","data":{"text":"Прочие: ощущение «разливающегося тепла» во всем теле, неприятный запах."}}]},{"id":14,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"Симптомы: нарушения сна (бессонница, в некоторых случаях - сонливость); при в/в введении - незначительное и кратковременное (до 1,5-2 ч) повышение артериального давления."}},{"type":"paragraph","data":{"text":"Лечение: как правило, не требуется, поскольку симптомы исчезают самостоятельно в течение суток. При повышении артериального давления - гипотензивные препараты под контролем артериального давления."}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"Усиливает действие бензодиазепиновых анксиолитиков, противопаркинсонических средств (леводопа), противосудорожных средств (карбамазепин), нитратов. Уменьшает токсические эффекты этилового спирта."}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"В отдельных случаях, особенно у предрасположенных пациентов с бронхиальной астмой, при повышенной чувствительности к сульфитам, возможно развитие тяжелых реакций гиперчувствительности. Под влиянием этилметилгид-роксипиридина сукцината усиливается действие транквилизирующих, противосудорожных средств, что может потребовать корректировки дозы соответствующих препаратов."}},{"type":"paragraph","data":{"text":"Препарат не назначают детям до 18 лет в связи с отсутствием данных о применении препарата в педиатрии."}}]},{"id":17,"name":"Влияние на способность управлять автомобилем и движущимися механизмами","slug":"","body":[{"type":"paragraph","data":{"text":"В период лечения необходимо соблюдать осторожность при управлении транспортными средствами и занятии другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций."}}]},{"id":18,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"Раствор для внутривенного и внутримышечного введения 50 мг/мл."}},{"type":"paragraph","data":{"text":"По 2 мл препарата помещают в ампулы из бесцветного стекла I-го гидролитического класса с кольцом излома. 5 или 10 ампул помещают в ячейковую упаковку. По 1 или 2 ячейковые упаковки по 5 ампул или 1 ячейковую упаковку по 10 ампул вместе с инструкцией по применению помещают 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 °C."}},{"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. Не применять по истечении срока годности, указанного на упаковке."}}]},{"id":21,"name":"Условия отпуска","slug":"release_condition","body":[{"type":"paragraph","data":{"text":"Отпускают по рецепту."}}]},{"id":22,"name":"Производитель","slug":"","body":[{"type":"paragraph","data":{"text":"«Лекфарм» (СООО «Лекфарм»)"}}]},{"id":23,"name":"Организация, принимающая претензии потребителей","body":[{"type":"paragraph","data":{"text":" «Лекфарм» (СООО «Лекфарм»)"}}]}],"source":null},"description_toggle":false,"short_description":"Фармакодинамика Антиоксидантный препарат. Оказывает антигипоксическое, мембранопротекторное, ноотропное, противосудорожное и анксиолитическое действие, повышает устойчивость организма к стрессу. Препарат повышает резистентность организма к воздействию основных повреждающих факторов, к кислородзависимым патологическим состояниям (шок, гипоксия и ишемия, нарушения мозгового кровообращения, интоксикация алкоголем и антипсихотическими средствами /нейролептиками). Механизм действия препарата Мексилек-Лекфарм обусловлен его антитоксическим, антиоксидантным и мембранопротекторным действием. Препарат ингибирует процессы перекисного окисления липидов, повышает активность супероксиддисмутазы, повышает соотношение \"липид-белок\", уменьшает вязкость мембраны, увеличивает ее текучесть. Препарат Мексилек-Лекфарм модулирует активность мембраносвязанных ферментов (кальций-независимой фосфодиэстеразы, аденилатциклазы, ацетилхолинэстеразы), рецепторных комплексов (бензодиазепиновый, гамма-аминомасляный, ацетилхолиновый), что усиливает их способность связывания с лигандами, способствует сохранению структурно-функциональной организации биомембран, транспорта нейромедиаторов и улучшению синаптической передачи. Препарат Мексилек-Лекфарм повышает содержание дофамина в головном мозге. Вызывает усиление компенсаторной активности аэробного гликолиза и снижение степени угнетения окислительных процессов в цикле Кребса в условиях гипоксии, с увеличением содержания А ГФ, креатинфосфата и активацией энергосинтезирующих функций митохондрий, стабилизацию клеточных мембран. Препарат Мексилек-Лекфарм улучшает функциональное состояние ишемизированного миокарда при инфаркте миокарда, улучшает сократительную функцию сердца, а также уменьшает проявления систолической и диастолической дисфункции левого желудочка. Нормализует метаболические процессы в ишемизированном миокарде, уменьшает зону некроза, восстанавливает и/или улучшает электрическую активность и сократимость миокарда, а также увеличивает его коллатеральное кровоснабжение. Повышает антиангинальную активность нитропрепаратов, уменьшает последствия реперфузионного синдрома при острой коронарной недостаточности. Препарат Мексилек-Лекфарм улучшает мозговой метаболизм и кровоснабжение головного мозга, улучшает микроциркуляцию и реологические свойства крови, уменьшает агрегацию тромбоцитов. Стабилизирует мембранные структуры клеток крови (эритроцитов и тромбоцитов) при гемолизе. Оказывает гиполипидемическое действие, уменьшает содержание общего холестерина и липопротеидов низкой плотности. Уменьшает ферментативную токсемию и эндогенную интоксикацию при остром панкреатите. Препарат Мексилек-Лекфарм способствует сохранению ганглиозных клеток сетчатки и волокон зрительного нерва при прогрессирующей невропатии, причинами которой являются хроническая ишемия и гипоксия. Улучшает функциональную активность сетчатки и зрительного нерва, увеличивая остроту зрения. Всасывание Время достижения максимальной концентрации Тмах - 0,45-0,5 ч. Смах при введении дозы 400-500 мг составляет 3,5-4,0 мкг/мл. Распределение После внутримышечного введения этилметилгидроксипиридина сукцинат определяется в плазме крови в течение 4 ч. Быстро распределяется в органах и тканях. Среднее время удержания этилметилгидроксипиридина сукцината в организме составляет 0,7-1,3 ч. Метаболизм Метаболизируется в печени путем глюкуронирования. Идентифицировано 5 метаболитов: 3-оксипиридина фосфат - образуется в печени и при участии щелочной фосфатазы распадается на фосфорную кислоту и 3-оксипиридин; 2-й метаболит - фармакологически активный, образуется в больших количествах и обнаруживается в моче на 1-2 сутки. После введения 3-й выводится в больших количествах почками; 4-й и 5-й - глюкуронконъюгаты. 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