·
Хроническая
венозная недостаточность, с такими симптомами как: отечность и боли, ощущение тяжести и распирания, „усталости“ в нижних конечностях,
сосудистые звездочки и сеточки, судороги, парестезии.
вспомогательные вещества:
карбомер 980 NF 0,70 г, пропиленгликоль 10,00 г, метилпарагидроксибензоат 0,08 г, пропилпарагидроксибензоат
0,02 г, троламин 0,42 г, вода очищенная до 100,00 г.
Описание
Прозрачный
или почти прозрачный гель от желтоватого до зеленовато-желтого цвета.
Фармакотерапевтическая группа
антикоагулянтное средство прямого действия
для местного применения + прочие препараты
Код АТХ С05ВА53
Фармакологические свойства
Фармакодинамика
Троксевазин Нео - комбинированный препарат для наружного применения, фармакологическое
действие которого обусловлено входящими в его состав веществами.
Троксерутин - ангиопротекторное средство. Представляет
собой флавоноид (производное рутина); его фармакологические свойства связаны с
участием троксерутина в окислительно-восстановительных процессах и
ингибировании гиалуронидазы, за счет чего стабилизируется гиалуронидаза
клеточных оболочек, уменьшается проницаемость и ломкость капилляров; троксерутин
предотвращает повреждение базальной мембраны эндотелиальных клеток при
воздействии на нее различных факторов, снижает экссудативное воспаление в
сосудистой стенке, ограничивая прилипание к ее поверхности тромбоцитов; обладает Р-витаминной активностью: оказывает
венотонизирующее, венопротекторное, противоотечное, противовоспалительное,
противосвертывающее и антиоксидантное действие; повышает тонус капилляров, увеличивает
плотность сосудистой стенки. Способствует нормализации
микроциркуляции и трофики тканей, уменьшает застойные явления.
Гепарин - антикоагулянт прямого действия,
естественный противосвертывающий фактор организма. Препятствует
тромбообразованию, активирует фибринолитические свойства крови, улучшает
местный кровоток. Оказывает противовоспалительное действие, способствует
регенерации соединительной ткани за счет угнетения активности гиалуронидазы.
Декспантенол (провитамин B5) в коже превращается в пантотеновую
кислоту, входящую в состав кофермента А, который играет важную роль в процессах
ацетилирования и окисления. Улучшая обменные процессы, декспантенол
способствует регенерации поврежденных тканей; улучшает всасывание гепарина.
Фармакокинетика
При местном применении активные
вещества быстро абсорбируются кожей.
Гепарин накапливается в верхних слоях и
активно связывается с протеинами кожи. При наружном применении незначительное
количество гепарина проникает в системный кровоток, не оказывая системного
действия, не вызывая каких-либо изменений параметров свертывания крови. Не
проникает через плацентарный барьер.
Декспантенол проникает во все слои кожи и
превращается в пантотеновую кислоту, связывается с белками плазмы (главным
образом с бета-глобулином и альбумином). Пантотеновая кислота не подвергается в
организме метаболизму и выводится в неизмененном виде.
Троксерутин через 30 минут обнаруживается в
дерме, а через 2-5 часов в подкожно-жировой клетчатке. Проникновение
троксерутина в системный кровоток клинически незначимо.
Показания к применению
·
Варикозная
болезнь
·
Хроническая
венозная недостаточность, с такими симптомами как: отечность и боли, ощущение тяжести и распирания, „усталости“ в нижних конечностях,
сосудистые звездочки и сеточки, судороги, парестезии.
·
Тромбофлебит
·
Перифлебит
·
Варикозный
дерматит
·
Боли
и отеки травматического характера (при ушибах, растяжениях, травмах).
Противопоказания
- нарушение целостности кожных покровов.
- повышенная чувствительность к троксерутину, гепарину или
декспантенолу, или любому вспомогательному веществу препарата.
- возраст до 18 лет (в связи с отсутствием данных по
эффективности и безопасности).
- I триместр беременности и период грудного вскармливания.
С осторожностью
- у
пациентов с хронической почечной недостаточностью при необходимости длительного
применения препарата.
Применение при беременности и в период грудного вскармливания
Перед
применением препарата во время беременности необходимо проконсультироваться с
врачом.
Применение
препарата Троксевазин НеовI триместре противопоказано в связи с отсутствием данных
контролируемых клинических исследований. Во II и III триместрах беременности – возможно,
если ожидаемая польза терапии для матери превышает потенциальный риск для
плода.
Данные о проникновении препарата в грудное молоко отсутствуют.
Применение препарата в период грудного вскармливания не рекомендуется.
Способ применения и дозы
Применяется наружно!
Если врачом не
рекомендовано иначе, то полоску геля длиной 1-3 см (в зависимости от площади
пораженной поверхности) наносят тонким слоем на кожу на область поражения 2 раза в сутки утром и вечером, равномерно
распределяя по поверхности кожи легкими втирающими движениями до полного
впитывания. При необходимости гель можно наносить под бинты или эластичные
чулки.
Успех лечения препаратом в большой степени зависит от его
регулярного применения в течение длительного времени. Курс лечения составляет 2-3 недели.
Необходимость более длительного лечения определяет лечащий врач.
Повторный курс лечения рекомендуется проводить 2-3 раза в год.
Рекомендуется
сочетать с приемом капсул троксерутина для усиления терапевтического действия
препарата.
Побочное действие
Нарушения со стороны кожи
и подкожных тканей: аллергические реакциив месте нанесения геля (кожная сыпь, зуд).
Передозировка
Передозировка маловероятна в связи с малой системной абсорбцией
действующих веществ геля.
Взаимодействие с другими лекарственными средствами
Взаимодействия препарата Троксевазин Нео с другими
лекарственными средствами не выявлено.
Особые указания
Гель следует наносить только на неповрежденную
поверхность кожи.
Избегать попадания на открытые раны, глаза и слизистые
оболочки. Препарат Троксевазин Нео не предназначен для применения в офтальмологии, для
интравагинального и ректального введения.
Влияние на способность управлять автомобилем и движущимися механизмами
Не оказывает влияния на способность к управлению
транспортными средствами и механизмами.
Форма выпуска
Гель для наружного применения.
По 40 г в алюминиевую тубу с
внутренним лаковым покрытием с защитной алюминиевой мембраной для
контроля первого вскрытия с навинчиваемой полимерной крышкой оснащенной
пробойником или по 40 г или 100
г в мембранную ламинатную тубу с защитной алюминиевой мембраной для
контроля первого вскрытия с навинчиваемой полимерной крышкой.
1 тубу вместе с инструкцией по
применению помещают в пачку картонную, на
которую дополнительно могут быть нанесены защитные наклейки.
Условия хранения
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форма","slug":"","body":[{"type":"paragraph","data":{"text":"гель для\nнаружного применения"}}]},{"id":26,"name":"Состав","slug":"ingredients","body":[{"type":"paragraph","data":{"text":"100\nг геля содержат:\u003ci\u003e\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"\u003ci\u003eдействующие\nвещества\u003c/i\u003e: троксерутин\n2,00 г, декспантенол 5,00 г, гепарин натрия 0,17 г (соответствует 30000 МЕ);"}},{"type":"paragraph","data":{"text":"\u003ci\u003eвспомогательные вещества:\u003c/i\u003e\nкарбомер 980 NF 0,70 г, пропиленгликоль 10,00 г, метилпарагидроксибензоат 0,08 г, пропилпарагидроксибензоат\n0,02 г, троламин 0,42 г, вода очищенная до 100,00 г."}}]},{"id":27,"name":"Описание","slug":"common_description","body":[{"type":"paragraph","data":{"text":"Прозрачный\nили почти прозрачный гель от желтоватого до зеленовато-желтого цвета.\u003cb\u003e\u003c/b\u003e"}}]},{"id":28,"name":"Фармакотерапевтическая группа","slug":"","body":[{"type":"paragraph","data":{"text":"антикоагулянтное средство прямого действия\nдля местного применения + прочие препараты"}},{"type":"paragraph","data":{"text":"\u003cb\u003eКод АТХ\u003c/b\u003e С05ВА53"}}]},{"id":29,"name":"Фармакологические свойства","slug":"pharmacologic_effects","body":[{"type":"paragraph","data":{"text":"\u003cb\u003e\u003ci\u003eФармакодинамика\u003c/i\u003e\u003c/b\u003e"}},{"type":"paragraph","data":{"text":"Троксевазин Нео - комбинированный препарат для наружного применения, фармакологическое\nдействие которого обусловлено входящими в его состав веществами."}},{"type":"paragraph","data":{"text":"\u003ci\u003eТроксерутин\u003c/i\u003e - ангиопротекторное средство. Представляет\nсобой флавоноид (производное рутина); его фармакологические свойства связаны с\nучастием троксерутина в окислительно-восстановительных процессах и\nингибировании гиалуронидазы, за счет чего стабилизируется гиалуронидаза\nклеточных оболочек, уменьшается проницаемость и ломкость капилляров; троксерутин\nпредотвращает повреждение базальной мембраны эндотелиальных клеток при\nвоздействии на нее различных факторов, снижает экссудативное воспаление в\nсосудистой стенке, ограничивая прилипание к ее поверхности тромбоцитов; обладает Р-витаминной активностью: оказывает\nвенотонизирующее, венопротекторное, противоотечное, противовоспалительное,\nпротивосвертывающее и антиоксидантное действие; повышает тонус капилляров, увеличивает\nплотность сосудистой стенки. Способствует нормализации\nмикроциркуляции и трофики тканей, уменьшает застойные явления. "}},{"type":"paragraph","data":{"text":"\u003ci\u003eГепарин\u003c/i\u003e - антикоагулянт прямого действия,\nестественный противосвертывающий фактор организма. Препятствует\nтромбообразованию, активирует фибринолитические свойства крови, улучшает\nместный кровоток. Оказывает противовоспалительное действие, способствует\nрегенерации соединительной ткани за счет угнетения активности гиалуронидазы."}},{"type":"paragraph","data":{"text":"\u003ci\u003eДекспантенол\u003c/i\u003e (провитамин B5) в коже превращается в пантотеновую\nкислоту, входящую в состав кофермента А, который играет важную роль в процессах\nацетилирования и окисления. Улучшая обменные процессы, декспантенол\nспособствует регенерации поврежденных тканей; улучшает всасывание гепарина."}},{"type":"paragraph","data":{"text":"\u003cb\u003e\u003ci\u003eФармакокинетика\u003c/i\u003e\u003c/b\u003e"}},{"type":"paragraph","data":{"text":"\u003ca\u003e\u003c/a\u003eПри местном применении активные\nвещества быстро абсорбируются кожей. "}},{"type":"paragraph","data":{"text":"\u003ci\u003eГепарин\u003c/i\u003e накапливается в верхних слоях и\nактивно связывается с протеинами кожи. При наружном применении незначительное\nколичество гепарина проникает в системный кровоток, не оказывая системного\nдействия, не вызывая каких-либо изменений параметров свертывания крови. Не\nпроникает через плацентарный барьер."}},{"type":"paragraph","data":{"text":"\u003ci\u003eДекспантенол\u003c/i\u003e проникает во все слои кожи и\nпревращается в пантотеновую кислоту, связывается с белками плазмы (главным\nобразом с бета-глобулином и альбумином). Пантотеновая кислота не подвергается в\nорганизме метаболизму и выводится в неизмененном виде."}},{"type":"paragraph","data":{"text":"\u003ci\u003eТроксерутин\u003c/i\u003e через 30 минут обнаруживается в\nдерме, а через 2-5 часов в подкожно-жировой клетчатке. Проникновение\nтроксерутина в системный кровоток клинически незначимо."}}]},{"id":30,"name":"Показания к применению","slug":"indications","body":[{"type":"paragraph","data":{"text":"· \nВарикозная\nболезнь"}},{"type":"paragraph","data":{"text":"· \nХроническая\nвенозная недостаточность, с такими симптомами как: отечность и боли, ощущение тяжести и распирания, „усталости“ в нижних конечностях,\nсосудистые звездочки и сеточки, судороги, парестезии. "}},{"type":"paragraph","data":{"text":"· \nТромбофлебит"}},{"type":"paragraph","data":{"text":"· \nПерифлебит"}},{"type":"paragraph","data":{"text":"· \nВарикозный\nдерматит"}},{"type":"paragraph","data":{"text":"· \nБоли\nи отеки травматического характера (при ушибах, растяжениях, травмах)."}}]},{"id":31,"name":"Противопоказания","slug":"contraindications","body":[{"type":"paragraph","data":{"text":"- нарушение целостности кожных покровов."}},{"type":"paragraph","data":{"text":"- повышенная чувствительность к троксерутину, гепарину или\nдекспантенолу, или любому вспомогательному веществу препарата."}},{"type":"paragraph","data":{"text":"- возраст до 18 лет (в связи с отсутствием данных по\nэффективности и безопасности)."}},{"type":"paragraph","data":{"text":"- I триместр беременности и период грудного вскармливания."}}]},{"id":32,"name":"С осторожностью","slug":"cautions","body":[{"type":"paragraph","data":{"text":"- у\nпациентов с хронической почечной недостаточностью при необходимости длительного\nприменения препарата."}}]},{"id":33,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","body":[{"type":"paragraph","data":{"text":"Перед\nприменением препарата во время беременности необходимо проконсультироваться с\nврачом."}},{"type":"paragraph","data":{"text":"Применение\nпрепарата Троксевазин Нео\u003cb\u003e \u003c/b\u003eв\u003cb\u003e \u003c/b\u003eI триместре противопоказано в связи с отсутствием данных\nконтролируемых клинических исследований. Во II и III триместрах беременности – возможно,\nесли ожидаемая польза терапии для матери превышает потенциальный риск для\nплода."}},{"type":"paragraph","data":{"text":"Данные о проникновении препарата в грудное молоко отсутствуют.\nПрименение препарата в период грудного вскармливания не рекомендуется."}}]},{"id":1,"name":"Способ применения и дозы","slug":"dosage","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Применяется наружно! "}},{"type":"paragraph","data":{"text":"Если врачом не\nрекомендовано иначе, то полоску геля длиной 1-3 см (в зависимости от площади\nпораженной поверхности) наносят тонким слоем на кожу на область поражения 2 раза в сутки утром и вечером, равномерно\nраспределяя по поверхности кожи легкими втирающими движениями до полного\nвпитывания. При необходимости гель можно наносить под бинты или эластичные\nчулки."}},{"type":"paragraph","data":{"text":"Успех лечения препаратом в большой степени зависит от его\nрегулярного применения в течение длительного времени. Курс лечения составляет 2-3 недели.\nНеобходимость более длительного лечения определяет лечащий врач."}},{"type":"paragraph","data":{"text":"Повторный курс лечения рекомендуется проводить 2-3 раза в год."}},{"type":"paragraph","data":{"text":"Рекомендуется\nсочетать с приемом капсул троксерутина для усиления терапевтического действия\nпрепарата."}}]},{"id":34,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения со стороны кожи\nи подкожных тканей:\u003c/i\u003e аллергические реакциив месте нанесения геля (кожная сыпь, зуд). "}}]},{"id":35,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"Передозировка маловероятна в связи с малой системной абсорбцией\nдействующих веществ геля."}}]},{"id":36,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"Взаимодействия препарата Троксевазин Нео с другими\nлекарственными средствами не выявлено."}}]},{"id":37,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"Гель следует наносить только на неповрежденную\nповерхность кожи."}},{"type":"paragraph","data":{"text":"Избегать попадания на открытые раны, глаза и слизистые\nоболочки. Препарат Троксевазин Нео не предназначен для применения в офтальмологии, для\nинтравагинального и ректального введения."}}]},{"id":38,"name":"Влияние на способность управлять автомобилем и движущимися механизмами","slug":"","body":[{"type":"paragraph","data":{"text":"Не оказывает влияния на способность к управлению\nтранспортными средствами и механизмами. "}}]},{"id":39,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"Гель для наружного применения. \n По 40 г в алюминиевую тубу с\nвнутренним лаковым покрытием с защитной алюминиевой мембраной для\nконтроля первого вскрытия с навинчиваемой полимерной крышкой оснащенной\nпробойником или по 40 г или 100\nг в мембранную ламинатную тубу с защитной алюминиевой мембраной для\nконтроля первого вскрытия с навинчиваемой полимерной крышкой. "}},{"type":"paragraph","data":{"text":"1 тубу вместе с инструкцией по\nприменению помещают в пачку картонную, на\nкоторую дополнительно могут быть нанесены защитные наклейки."}}]},{"id":2,"name":"Условия хранения","slug":"storage","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"При температуре не выше 25 °C. Хранить в недоступном для детей месте! "}}]},{"id":3,"name":"Срок годности","slug":"expiry_date","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"2 года. Не применять по истечении срока годности. "}}]},{"id":40,"name":"Условия отпуска","slug":"release_condition","body":[{"type":"paragraph","data":{"text":"Отпускают без рецепта. "}}]},{"id":41,"name":"Производитель","slug":"","body":[{"type":"paragraph","data":{"text":"Балканфарма -Троян АД, "}},{"type":"paragraph","data":{"text":"Болгария, г. Троян, 5600, ул. 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