Повышает устойчивость организма к гипоксии особенно тканей г... Инструкция
Показания к применению
- Симптоматическое лечение когнитивных нарушений у взрослых (ухудшение памяти снижение концентрации внимания и интеллектуальных способностей).
- Вспомогательное лечение головокружений вестибулярного происхождения.
- Симптоматическое лечение тиннитуса (звон или шум в ушах).
Противопоказания
Повышенная чувствительность к компонентам препарата пониженная свертываемость крови эрозивный гастрит язвенная болезнь желудка и двенадцатиперстной кишки в стадии обострения острые нарушения мозгового кровообращения острый инфаркт миокарда беременность и период грудного вскармливания возраст до 18 лет (эффективность и безопасность не изучены).
капсулы твердые желатиновые (состав капсулы: титана диоксид Е 171 - 1,00%, краситель железа оксид красный Е 172 - 0,50%, краситель железа оксид черный Е 172 - 0,39%, краситель железа оксид желтый Е 172 - 0,27%, желатин - до 100%).
Описание
Твердые желатиновые капсулы коричневого цвета, размер № 0. Содержимое капсул - порошок или частично скомковавшийся порошок от желтого до светло-коричневого цвета с беловатыми и темными вкраплениями.
Фармакотерапевтическая группа
Ангиопротекторное средство растительного происхождения
Фармакологические свойства
Фармакодинамика:
Повышает устойчивость организма к гипоксии особенно тканей головного мозга тормозит развитие травматического или токсического отека головного мозга улучшает мозговое и периферическое кровообращение улучшает реологию крови.
Оказывает дозозависимое регулирующее влияние на сосудистую стенку расширяет мелкие артерии повышает тонус вен.
Препятствует образованию свободных радикалов и перекисному окислению липидов клеточных мембран.
Нормализует высвобождение повторное поглощение и катаболизм нейромедиаторов (норэпинефрина дофамина ацетилхолина) и их способность к соединению с рецепторами.
Улучшает обмен веществ в органах и тканях способствует накоплению в клетках макроэргов повышению утилизации кислорода и глюкозы нормализации медиаторных процессов в центральной нервной системе.
Фармакокинетика:
Всасывание
Биодосгупность терпенлактонов (гинкголид А гинкголид В и билобалид) после приема внутрь составляет 100% (98%) для гинкголида А 93% (79%) для гинкголида В и 72% для билобалида.
Распределение
Максимальные концентрации в плазме крови составляют: 15 нг/мл для гинкголида А 4 нг/мл для гинкголида В и приблизительно 12 нг/мл для билобалида. Связывание с белками плазмы крови составляет: 43% для гинкголида А 47% для гинкголида В и 67% для билобалида.
Выведение
Период полувыведения - 39 часа (гинкголид А) 7 часов (гинкголид В) и 32 часа (билобалид).
Показания к применению
- Симптоматическое лечение когнитивных нарушений у взрослых (ухудшение памяти снижение концентрации внимания и интеллектуальных способностей).
- Вспомогательное лечение головокружений вестибулярного происхождения.
- Симптоматическое лечение тиннитуса (звон или шум в ушах).
Противопоказания
Повышенная чувствительность к компонентам препарата пониженная свертываемость крови эрозивный гастрит язвенная болезнь желудка и двенадцатиперстной кишки в стадии обострения острые нарушения мозгового кровообращения острый инфаркт миокарда беременность и период грудного вскармливания возраст до 18 лет (эффективность и безопасность не изучены).
С осторожностью
Применение у пациентов с эпилепсией; артериальной гипотензией.
Применение при беременности и в период грудного вскармливания
В связи с отсутствием достаточного количества клинических данных противопоказано применение препарата при беременности и в период грудного вскармливания.
При необходимости назначения препарата в период грудного вскармливания следует решить вопрос о его прекращении.
Способ применения и дозы
Внутрь.
Капсулы следует проглатывать целиком запивая небольшим количеством воды независимо от приема пищи.
Для симптоматического лечения когнитивных нарушений у взрослых (ухудшение памяти снижение концентрации внимания и интеллектуальных способностей) по 120 мг 1-2 раза в день.
Для лечения головокружений вестибулярного происхождения и лечения тиннитуса (звон или шум в ушах) суточная доза 120 мг в день.
Длительность терапии до 3-х месяцев в случае необходимости продолжения терапии следует проконсультироваться с врачом.
При двукратном режиме дозирования принимать утром и вечером при однократном - желательно утром.
Если был пропущен прием препарата или было принято недостаточное его количество последующий его прием следует проводить так как это указано в данной инструкции без каких-либо изменений.
Побочное действие
Классификация частоты развития побочных эффектов согласно рекомендациям Всемирной организации здравоохранения (ВОЗ): очень часто (≥1/10) часто (≥1/100 <1/10) нечасто (≥1/1000 <1/100) редко (≥1/10000 <1/1000) очень редко (<1/10000) включая отдельные сообщения; частота неизвестна - по имеющимся данным установить частоту возникновения не представляется возможным.
Нарушения со стороны кожи и подкожных тканей
частота неизвестна: аллергические реакции (гиперемия кожи отек кожный зуд сыпь).
Нарушения со стороны желудочно-кишечного тракта
часто: тошнота рвота диарея боль в животе.
Нарушения со стороны крови и лимфатической системы
частота неизвестна: снижение свертываемости крови кровотечение (носовое желудочно-кишечное кровоизлияние в глаз головной мозг) (при длительном применении у пациентов одновременно принимавших препараты снижающие свертываемость крови).
Нарушения со стороны иммунной системы
частота неизвестна: реакции гиперчувствительности (анафилактический шок).
Нарушения со стороны нервной системы
очень часто: головная боль;
часто: головокружение;
очень редко: нарушение слуха бессонница раздражительность.
Нарушения со стороны органа зрения
очень редко: нарушение аккомодации фотопсия.
Передозировка
Случаи передозировки препарата до настоящего времени зарегистрированы не были.
Взаимодействие с другими лекарственными средствами
Не рекомендуется применять препарат пациентам постоянно принимающим ацетилсалициловую кислоту антикоагулянты (прямого и непрямого действия) а также тиазидные диуретики трициклические антидепрессанты противосудорожные препараты гентамицин.
Возможны единичные случаи кровотечения у пациентов одновременно принимающих лекарственные средства снижающие свертываемость крови.
При одновременном применении с антикоагулянтами и антиагрегантами возможно изменение их терапевтического действия.
У пациентов с тенденцией к патологической кровоточивости (геморрагический диатез) и при сопутствующей терапии антикоагулянтами и антиагрегантами следует принимать данный препарат только после консультации с врачом.
По данным исследований не выявлено взаимодействия между варфарином и препаратами содержащими гинкго двулопастного листьев экстракт; несмотря на это необходимо контролировать показатели свертываемости крови до начала и после окончания лечения а также при смене препарата.
Не рекомендуется одновременное применение препаратов содержащих гинкго двулопастного листьев экстракт с эфавирензом так как возможно снижение его концентрации в плазме крови вследствие индукции цитохрома CYP3A4 под влиянием гинкго двулопастного.
Изучение взаимодействия с талинололом показало что гинкго двулопастного листьев экстракт может ингибировать Р-гликопротеин на уровне кишечника. Это может приводить к повышению плазменной концентрации препаратов являющихся субстратами Р-гликопротеина на уровне кишечника в том числе дабигатрана. Необходимо соблюдать осторожность при применении таких комбинаций препаратов.
В одном исследовании было показано что гинкго двулопастного листьев экстракт повышает Сmах нифедипина причем в некоторых случаях до 100% с развитием головокружения и усилением тяжести приливов.
Особые указания
Не следует превышать рекомендованные дозы препарата.
При развитии реакции повышенной чувствительности применение препарата необходимо прекратить.
Перед хирургическим вмешательством необходимо заблаговременно сообщить врачу о применении препарата.
При часто возникающих ощущениях головокружения и шума в ушах необходимо проконсультироваться с врачом. В случае внезапного ухудшения или потери слуха следует незамедлительно обратиться к врачу.
Пациентам с кровоточивостью (геморрагическим диатезом) и пациентам получающим антикоагулянтную терапию необходимо проконсультироваться с врачом перед началом терапии препаратом.
Не рекомендуется принимать препарат вместе с этанолом.
На фоне применения препарата у пациентов страдающих эпилепсией возможно появление эпилептических припадков.
Влияние на способность управлять автомобилем и движущимися механизмами
В период приема препарата следует соблюдать осторожность при выполнении потенциально опасных видов деятельности требующих повышенной концентрации внимания и быстроты психомоторных реакций (в том числе управление транспортными средствами работа с движущимися механизмами).
Форма выпуска
Капсулы 120 мг.
Условия хранения
При температуре не выше 25 °С.
Хранить в недоступном для детей месте.
Срок годности
3 года.
Не применять по истечении срока годности.
Условия отпуска
Без рецепта
Производитель
Закрытое Акционерное Общество "ЭВАЛАР" (ЗАО "ЭВАЛАР"), 659332, Алтайский край, г. Бийск, ул. Социалистическая, д. 23/6, Россия
Организация, принимающая претензии потребителей
ЗАО "ЭВАЛАР"
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Связывание с белками плазмы крови составляет: 43% для гинкголида А 47% для гинкголида В и 67% для билобалида."}},{"type":"paragraph","data":{"text":"Выведение"}},{"type":"paragraph","data":{"text":"Период полувыведения - 39 часа (гинкголид А) 7 часов (гинкголид В) и 32 часа (билобалид)."}}]},{"id":8,"name":"Показания к применению","slug":"indications","body":[{"type":"paragraph","data":{"text":"- Симптоматическое лечение когнитивных нарушений у взрослых (ухудшение памяти снижение концентрации внимания и интеллектуальных способностей)."}},{"type":"paragraph","data":{"text":"- Вспомогательное лечение головокружений вестибулярного происхождения."}},{"type":"paragraph","data":{"text":"- Симптоматическое лечение тиннитуса (звон или шум в ушах)."}}]},{"id":9,"name":"Противопоказания","slug":"contraindications","body":[{"type":"paragraph","data":{"text":"Повышенная чувствительность к компонентам препарата пониженная свертываемость крови эрозивный гастрит язвенная болезнь желудка и двенадцатиперстной кишки в стадии обострения острые нарушения мозгового кровообращения острый инфаркт миокарда беременность и период грудного вскармливания возраст до 18 лет (эффективность и безопасность не изучены)."}}]},{"id":10,"name":"С осторожностью","slug":"cautions","body":[{"type":"paragraph","data":{"text":"Применение у пациентов с эпилепсией; 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частота неизвестна - по имеющимся данным установить частоту возникновения не представляется возможным."}},{"type":"paragraph","data":{"text":"Нарушения со стороны кожи и подкожных тканей"}},{"type":"paragraph","data":{"text":"частота неизвестна: аллергические реакции (гиперемия кожи отек кожный зуд сыпь)."}},{"type":"paragraph","data":{"text":"Нарушения со стороны желудочно-кишечного тракта"}},{"type":"paragraph","data":{"text":"часто: тошнота рвота диарея боль в животе."}},{"type":"paragraph","data":{"text":"Нарушения со стороны крови и лимфатической системы"}},{"type":"paragraph","data":{"text":"частота неизвестна: снижение свертываемости крови кровотечение (носовое желудочно-кишечное кровоизлияние в глаз головной мозг) (при длительном применении у пациентов одновременно принимавших препараты снижающие свертываемость крови)."}},{"type":"paragraph","data":{"text":"Нарушения со стороны иммунной системы"}},{"type":"paragraph","data":{"text":"частота неизвестна: реакции гиперчувствительности (анафилактический шок)."}},{"type":"paragraph","data":{"text":"Нарушения со стороны нервной системы"}},{"type":"paragraph","data":{"text":"очень часто: головная боль;"}},{"type":"paragraph","data":{"text":"часто: головокружение;"}},{"type":"paragraph","data":{"text":"очень редко: нарушение слуха бессонница раздражительность."}},{"type":"paragraph","data":{"text":"Нарушения со стороны органа зрения"}},{"type":"paragraph","data":{"text":"очень редко: нарушение аккомодации фотопсия."}}]},{"id":14,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"Случаи передозировки препарата до настоящего времени зарегистрированы не были."}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"Не рекомендуется применять препарат пациентам постоянно принимающим ацетилсалициловую кислоту антикоагулянты (прямого и непрямого действия) а также тиазидные диуретики трициклические антидепрессанты противосудорожные препараты гентамицин."}},{"type":"paragraph","data":{"text":"Возможны единичные случаи кровотечения у пациентов одновременно принимающих лекарственные средства снижающие свертываемость крови."}},{"type":"paragraph","data":{"text":"При одновременном применении с антикоагулянтами и антиагрегантами возможно изменение их терапевтического действия."}},{"type":"paragraph","data":{"text":"У пациентов с тенденцией к патологической кровоточивости (геморрагический диатез) и при сопутствующей терапии антикоагулянтами и антиагрегантами следует принимать данный препарат только после консультации с врачом."}},{"type":"paragraph","data":{"text":"По данным исследований не выявлено взаимодействия между варфарином и препаратами содержащими гинкго двулопастного листьев экстракт; несмотря на это необходимо контролировать показатели свертываемости крови до начала и после окончания лечения а также при смене препарата."}},{"type":"paragraph","data":{"text":"Не рекомендуется одновременное применение препаратов содержащих гинкго двулопастного листьев экстракт с эфавирензом так как возможно снижение его концентрации в плазме крови вследствие индукции цитохрома CYP3A4 под влиянием гинкго двулопастного."}},{"type":"paragraph","data":{"text":"Изучение взаимодействия с талинололом показало что гинкго двулопастного листьев экстракт может ингибировать Р-гликопротеин на уровне кишечника. Это может приводить к повышению плазменной концентрации препаратов являющихся субстратами Р-гликопротеина на уровне кишечника в том числе дабигатрана. Необходимо соблюдать осторожность при применении таких комбинаций препаратов."}},{"type":"paragraph","data":{"text":"В одном исследовании было показано что гинкго двулопастного листьев экстракт повышает С\u003csub\u003emах\u003c/sub\u003e нифедипина причем в некоторых случаях до 100% с развитием головокружения и усилением тяжести приливов."}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"Не следует превышать рекомендованные дозы препарата."}},{"type":"paragraph","data":{"text":"При развитии реакции повышенной чувствительности применение препарата необходимо прекратить."}},{"type":"paragraph","data":{"text":"Перед хирургическим вмешательством необходимо заблаговременно сообщить врачу о применении препарата."}},{"type":"paragraph","data":{"text":"При часто возникающих ощущениях головокружения и шума в ушах необходимо проконсультироваться с врачом. В случае внезапного ухудшения или потери слуха следует незамедлительно обратиться к врачу."}},{"type":"paragraph","data":{"text":"Пациентам с кровоточивостью (геморрагическим диатезом) и пациентам получающим антикоагулянтную терапию необходимо проконсультироваться с врачом перед началом терапии препаратом."}},{"type":"paragraph","data":{"text":"Не рекомендуется принимать препарат вместе с этанолом."}},{"type":"paragraph","data":{"text":"На фоне применения препарата у пациентов страдающих эпилепсией возможно появление эпилептических припадков."}}]},{"id":17,"name":"Влияние на способность управлять автомобилем и движущимися механизмами","slug":"","body":[{"type":"paragraph","data":{"text":"В период приема препарата следует соблюдать осторожность при выполнении потенциально опасных видов деятельности требующих повышенной концентрации внимания и быстроты психомоторных реакций (в том числе управление транспортными средствами работа с движущимися механизмами)."}}]},{"id":18,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"Капсулы 120 мг."}}]},{"id":19,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"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":"3 года."}},{"type":"paragraph","data":{"text":"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":"Закрытое Акционерное Общество \"ЭВАЛАР\" (ЗАО \"ЭВАЛАР\"), 659332, Алтайский край, г. Бийск, ул. Социалистическая, д. 23/6, Россия"}}]},{"id":23,"name":"Организация, принимающая претензии потребителей","body":[{"type":"paragraph","data":{"text":"ЗАО \"ЭВАЛАР\""}}]}],"source":null},"description_toggle":false,"short_description":"Повышает устойчивость организма к гипоксии особенно тканей головного мозга тормозит развитие травматического или токсического отека головного мозга улучшает мозговое и периферическое кровообращение улучшает реологию крови. Оказывает дозозависимое регулирующее влияние на сосудистую стенку расширяет мелкие артерии повышает тонус вен. Препятствует образованию свободных радикалов и перекисному окислению липидов клеточных мембран. Нормализует высвобождение повторное поглощение и катаболизм нейромедиаторов (норэпинефрина дофамина ацетилхолина) и их способность к соединению с рецепторами. Улучшает обмен веществ в органах и тканях способствует накоплению в клетках макроэргов повышению утилизации кислорода и глюкозы нормализации медиаторных процессов в центральной нервной системе. Всасывание Биодосгупность терпенлактонов (гинкголид А гинкголид В и билобалид) после приема внутрь составляет 100% (98%) для гинкголида А 93% (79%) для гинкголида В и 72% для билобалида. Распределение Максимальные концентрации в плазме крови составляют: 15 нг/мл для гинкголида А 4 нг/мл для гинкголида В и приблизительно 12 нг/мл для билобалида. Связывание с белками плазмы крови составляет: 43% для гинкголида А 47% для гинкголида В и 67% для билобалида. Выведение Период полувыведения - 39 часа (гинкголид А) 7 часов (гинкголид В) и 32 часа (билобалид).","substance":[{"id":58,"title":"Гинкго двулопастного листьев экстракт","title_latin":"Extractum foliorum Ginkgo bilobae","slug":"ginkgo_dvulopastnogo_listev_ekstrakt_58"}],"branding":null,"valid_for_quick_buy":true,"is_available_to_delivery":true,"comments":null,"image_alt":"ГИНКОУМ","image_share":{"isTouch":{"default":"https://vseapteki.ru/cropping/thumbnails/101/84245/share_default/"},"isFromTablet":{"default":"https://vseapteki.ru/cropping/thumbnails/101/84245/share_default/"}},"diseases":[],"other_packages":[{"id":97006,"title":"Гинкоум","subtitle":{"full":"Капсулы, 60 шт, 80 гр","short":"Капсулы, 60 шт, 80 гр","package":"60 шт, 80 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