Гевискон Двойное Действие Таблетки, 32 шт, 250 мг, жевательные, мята

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В тяжелых случаях рефлюкса (регургитации), гель забрасывается в пищевод, опережая остальное желудочное содержимое, где он уменьшает раздражение слизистой оболочки пищевода."}},{"type":"paragraph","data":{"text":"Фармакокинетика"}},{"type":"paragraph","data":{"text":"Препарат не обладает системной биодоступностью (не всасывается)."}}]},{"id":8,"name":"Показания к применению","slug":"indications","body":[{"type":"paragraph","data":{"text":"Лечение симптомов гастроэзофагеального рефлюкса, таких как отрыжка кислым, изжога, диспепсия (нарушение пищеварения, ощущение тяжести в желудке), возникающих после приема пищи, у пациентов с повышенной кислотностью желудочного сока или в период беременности."}}]},{"id":9,"name":"Противопоказания","slug":"contraindications","body":[{"type":"list","data":{"style":"ordered","items":["гиперчувствительность к любому из компонентов препарата;","фенилкетонурия (см. раздел «Особые указания»);","почечная недостаточность средней и тяжелой степени тяжести;","детский возраст до 12 лет."]}}]},{"id":10,"name":"С осторожностью","slug":"cautions","body":[{"type":"paragraph","data":{"text":"При наличии следующих заболеваний или состояний перед применением препарата следует проконсультироваться с врачом: гиперкальциемия, нефрокальциноз и мочекаменная болезнь с образованием кальций-оксалатных камней (см. раздел «Особые указания»); застойная сердечная недостаточность (см. раздел «Особые указания»); почечная недостаточность легкой степени тяжести (см. раздел «Особые указания»)."}}]},{"id":11,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","body":[{"type":"paragraph","data":{"text":"\n\nБеременность"}},{"type":"paragraph","data":{"text":"Клинические исследования с участием более чем 500 беременных женщин и объем данных, полученных в пострегистрационный период, не показали врожденной, фето- и неонатальной токсичности действующих веществ. Гевискон Двойное Действие может применяться в период беременности при клинической необходимости и после консультации врачом."}},{"type":"paragraph","data":{"text":"Длительность применения в период беременности – не более 7 дней."}},{"type":"paragraph","data":{"text":"Период грудного вскармливания"}},{"type":"paragraph","data":{"text":"Гевискон Двойное Действие может применяться в период грудного вскармливания.\n\n"}}]},{"id":12,"name":"Способ применения и дозы","slug":"dosage","body":[{"type":"paragraph","data":{"text":"\n\nВнутрь, после тщательного разжевывания."}},{"type":"paragraph","data":{"text":"Взрослые и дети старше 12 лет: по 2–4 таблетки после приема пищи и перед сном (до 4-х раз в день)."}},{"type":"paragraph","data":{"text":"Максимальная суточная доза составляет 16 таблеток."}},{"type":"paragraph","data":{"text":"Для пациентов пожилого возраста изменения дозы не требуется.\n\n"}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"\n\nОценка частоты возникновения побочных реакций произведена на основании следующих критериев: очень часто (>1/10), часто (>1/100, <1/10), нечасто (>1/1000, <1/100), редко (>1/10000, <1/1000), очень редко (<1/10000) и неустановленной частоты (частота не может быть подсчитана по доступным данным)."}},{"type":"paragraph","data":{"text":"Нарушения со стороны иммунной системы: неустановленной частоты – анафилактические и анафилактоидные реакции, реакции гиперчувствительности (крапивница)."}},{"type":"paragraph","data":{"text":"Нарушения со стороны дыхательной системы, органов грудной клетки и средостения: неустановленной частоты – респираторные эффекты (бронхоспазм)."}},{"type":"paragraph","data":{"text":"Если любые из указанных в инструкции побочных эффектов усугубляются, или Вы заметили другие побочные эффекты, не указанные в инструкции, сообщите об этом врачу.\n\n"}}]},{"id":14,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"\n\nСимптомы"}},{"type":"paragraph","data":{"text":"Симптомы в большинстве случаев являются незначительными; ощущение вздутия живота."}},{"type":"paragraph","data":{"text":"Лечение"}},{"type":"paragraph","data":{"text":"При передозировке показано симптоматическое лечение.\n\n"}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"  Так как кальция карбонат, входящий в состав препарата, проявляет антацидную активность, то между приемом препарата Гевискон Двойное Действие и других препаратов должно пройти не менее 2 часов, особенно при одновременном приеме с блокаторами Н\u003csub\u003e2\u003c/sub\u003e-гистаминовых рецепторов, антибиотиками из группы тетрациклина, дигоксином, фторхинолоном, солями железа, кетоконазолом, нейролептиками, тиреоидными гормонами, левотироксином натрия, пеницилламином, бета-адреноблокаторами (атенолол, метопролол, пропранолол), глюкокортикостероидами, хлорохином, бисфосфонатами и эстрамустином.  "}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"\n\nНатрий"}},{"type":"paragraph","data":{"text":"Гевискон Двойное Действие считается препаратом с высоким содержанием натрия. В 4 таблетках содержится 223,56 мг (9,72 ммоль) натрия на дозу, что эквивалентно 11,18% от рекомендованного ВОЗ максимального ежедневного потребления натрия."}},{"type":"paragraph","data":{"text":"Максимальная суточная доза препарата эквивалентна 44,71% от рекомендованного ВОЗ максимального ежедневного потребления натрия. Это следует учитывать при соблюдении диет с низким содержанием соли, например, в некоторых случаях застойной сердечной недостаточности или почечной недостаточности."}},{"type":"paragraph","data":{"text":"Кальций"}},{"type":"paragraph","data":{"text":"В одной максимальной рекомендованной дозе (4 таблетки) содержится 300 мг (7,5 ммоль) кальция. Следует соблюдать осторожность при применении у пациентов с гиперкальциемией, нефрокальцинозом или рецидивирующими кальцийсодержащими камнями в почках."}},{"type":"paragraph","data":{"text":"Из-за содержания в составе аспартама данный препарат не следует применять пациентам с фенилкетонурией."}},{"type":"paragraph","data":{"text":"Препарат Гевискон Двойное Действие содержит в составе антациды, которые могут маскировать симптомы серьезных заболеваний желудочно-кишечного тракта."}},{"type":"paragraph","data":{"text":"Возможно снижение эффективности препарата у пациентов с пониженной кислотностью желудочного сока. У пациентов с гастроэнтеритом или с подозрением на наличие почечной недостаточности существует повышенный риск гипернатриемии при применении препарата."}},{"type":"paragraph","data":{"text":"Если не наступает улучшения симптомов в течение 7 дней, необходимо повторное рассмотрение клинической ситуации. Не следует использовать в течение продолжительного времени.\n\n"}}]},{"id":17,"name":"Влияние на способность управлять автомобилем и движущимися механизмами","slug":"","body":[{"type":"paragraph","data":{"text":"Препарат не оказывает влияния на способность управлять автотранспортом и механизмами, а также на занятия другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций."}}]},{"id":18,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"\n\nТаблетки жевательные [мятные]."}},{"type":"paragraph","data":{"text":"По 2, 4, 6, 8 таблеток в блистер (ПВХ/ПВДХ/алюминий). 1, 2, 3, 4, 5, 6, 7, 8, 9 или 10 блистеров помещают в картонную пачку вместе с инструкцией по применению.\n\n"}}]},{"id":19,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"\n\nПри температуре не выше 30°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":"\n\n2 года."}},{"type":"paragraph","data":{"text":"Не использовать препарат с истекшим сроком годности.\n\n"}}]},{"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":"\u003ca href=\"https://www.vidal.ru/drugs/firm/2422\"\u003eRECKITT BENCKISER HEALTHCARE (UK)\u003c/a\u003e"}}]}],"source":null},"description_toggle":false,"short_description":"Данный лекарственный препарат является комбинацией алгината и антацидов (кальция карбоната и натрия гидрокарбоната). При приеме внутрь действующие вещества препарата Гевискон Двойное Действие быстро реагируют с кислым содержимым желудка. При этом образуется гель алгината со значением рН, близким к нейтральному. Гель образует защитный барьер на поверхности содержимого желудка, препятствуя возникновению гастроэзофагеального рефлюкса (обратному забросу содержимого желудка в пищевод). В тяжелых случаях рефлюкса (регургитации), гель забрасывается в пищевод, опережая остальное желудочное содержимое, где он уменьшает раздражение слизистой оболочки пищевода. 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