Диспепсия (чувство переполнения в эпигастрии, ощущение вздутия живота, боль в верхней части живота, отрыжка, метеоризм, изжога).Тошнота и рвота функционального, органического, инфекционного происхождения, а также вызванные радиотерапией, лекарственной терапией (в т.ч. агонистами дофамина - леводопой и бромокриптином) или нарушением диеты.
Противопоказания
Гиперчувствительность, желудочно-кишечное кровотечение, механическая непроходимость, перфорация желудка или кишечника, пролактинома, детский возраст до 5 лет.С осторожностью:Печеночная/почечная недостаточность.Беременность и лактация:Прием во время беременности и лактации возможен только в том случае, когда предполагаемая польза превышает возможный ...
Увеличивает продолжительность перистальтических сокращений антрального отдела желудка и двенадцатиперстной кишки, ускоряет опорожнение желудка в случае замедления этого процесса, повышает тонус нижнего пищеводного сфинктера, устраняет развитие тошноты и рвоты.Стимулирует выделение пролактина из гипофиза. Противорвотное действие, возможно, обусловлено сочетанием периферического (гастрокинетического) действия и антагонизма к рецепторам дофамина в триггерной зоне хеморецепторов. Домперидон не оказывает действия на желудочную секрецию.Домперидон плохо проникает через гематоэнцефалический барьер, благодаря чему применение домперидона редко сопровождается развитием экстрапирамидных побочных эффектов.
Показания к применению
Диспепсия (чувство переполнения в эпигастрии, ощущение вздутия живота, боль в верхней части живота, отрыжка, метеоризм, изжога).Тошнота и рвота функционального, органического, инфекционного происхождения, а также вызванные радиотерапией, лекарственной терапией (в т.ч. агонистами дофамина - леводопой и бромокриптином) или нарушением диеты.
Противопоказания
Гиперчувствительность, желудочно-кишечное кровотечение, механическая непроходимость, перфорация желудка или кишечника, пролактинома, детский возраст до 5 лет.С осторожностью:Печеночная/почечная недостаточность.Беременность и лактация:Прием во время беременности и лактации возможен только в том случае, когда предполагаемая польза превышает возможный риск для плода или ребенка.
Способ применения и дозы
Внутрь.1. Хроническая диспепсияВзрослые: по 10 мг (1 таблетка) 3 раза в сутки, за 15-30 мин до еды и в случае необходимости, перед сном.Дети старше 5 лет: по 2,5 мг на 10 кг массы тела 3 раза в сутки до еды и в случае необходимости, перед сном.При необходимости указанную дозировку можно удвоить.Курс лечения - 4 недели.2. Острые и подострые состояния (прежде всего тошнота и рвота).Взрослые: по 20 мг (2 таблетки) 3-4 раза в сутки до еды и перед сном.Дети старше 5 лет: по 5 мг на 10 кг массы тела 3-4 раза в сутки перед едой и перед сном.Не следует назначать препарат детям с массой тела менее 35 кг.При почечной недостаточности рекомендуется уменьшение частоты приема препарата (см. раздел "Особые указания").
Побочное действие
Со стороны пищеварительной системы: преходящие спазмы кишечника.Со стороны нервной системы: экстрапирамидные расстройства (у детей и лиц с повышенной проницаемостью гематоэнцефалического барьера).Аллергические реакции: кожная сыпь, крапивница.Прочие: гиперпролактинемия (галакторея, гинекомастия).
Передозировка
Симптомы: сонливость, дезориентация и экстрапирамидные реакции.
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