Риниколд ХотКап Порошок, 5 шт, для раствора для приема внутрь, ананас

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"}}]},{"id":8,"name":"Показания к применению","slug":"indications","body":[{"type":"paragraph","data":{"text":"Симптоматическое лечение «простудных заболеваний»,\nОРВИ, в том числе, гриппа (лихорадочный синдром, болевой синдром, ринорея)."}}]},{"id":9,"name":"Противопоказания","slug":"contraindications","body":[{"type":"paragraph","data":{"text":"- выраженный атеросклероз коронарных артерий;"}},{"type":"paragraph","data":{"text":"- портальная гипертензия; "}},{"type":"paragraph","data":{"text":"- повышенная чувствительность к симпатомиметическим\nпрепаратам, парацетамолу и другим компонентам, входящим в состав препарата\nРиниКолд ХотКап®; "}},{"type":"paragraph","data":{"text":"- прием других препаратов, содержащих вещества,\nвходящие в состав препарата  РиниКолд\nХотКап®;"}},{"type":"paragraph","data":{"text":"- одновременный прием трициклических антидепрессантов,\nингибиторов МАО и прекращение их приема менее 2-х недель назад;"}},{"type":"paragraph","data":{"text":"- одновременный прием бета-адреноблокаторов;"}},{"type":"paragraph","data":{"text":"- беременность;"}},{"type":"paragraph","data":{"text":"- период лактации;"}},{"type":"paragraph","data":{"text":"- детский возраст (до 15 лет);"}},{"type":"paragraph","data":{"text":"- алкоголизм."}}]},{"id":10,"name":"С осторожностью","slug":"cautions","body":[{"type":"paragraph","data":{"text":"При наличии состояний, указанных в данном разделе,\nперед применением препарата РиниКолд ХотКап\u003csup\u003e®\u003c/sup\u003e следует\nпроконсультироваться с врачом."}},{"type":"paragraph","data":{"text":"При заболеваниях сердца, артериальной гипертензии;\nбронхиальной астме, хронической обструктивной болезни легких, эмфиземе,\nхроническом бронхите; сахарном диабете, заболеваниях щитовидной железы,\nфеохромоцитоме, заболеваниях крови, дефиците глюкозо-6-фосфатдегидрогеназы,\nврожденных гипербилирубинемиях (синдромы Жильбера, Дубина-Джонсона и Ротора),\nодновременном приеме препаратов, способных отрицательно влиять на печень (например,\nиндукторов микросомальных ферментов печени), печеночной и/или почечной\nнедостаточности, остром гепатите, пилородуоденальной обструкции, стенозирующей\nязве желудка и/или двенадцатиперстной кишки, эпилепсии, закрытоугольной\nглаукоме, гиперплазии предстательной железы, а также пациентам, страдающим истощением\nи/или обезвоживанием."}}]},{"id":11,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","body":[{"type":"paragraph","data":{"text":"В связи с отсутствием клинических данных безопасность\nприменения препарата РиниКолд ХотКап\u003csup\u003e®\u003c/sup\u003e при беременности и в период\nгрудного вскармливания не установлена, поэтому назначение препарата данной\nкатегории пациентов противопоказано."}}]},{"id":12,"name":"Способ применения и дозы","slug":"dosage","body":[{"type":"paragraph","data":{"text":"Для приема внутрь. Содержимое 1 саше (пакетика)\nвысыпать в стакан, залить горячей водой, перемешать до полного растворения и\nвыпить (по желанию можно добавить сахар или мед). Принимать препарат РиниКолд\nХотКап\u003csup\u003e®\u003c/sup\u003e необходимо с большим количеством жидкости, через 1-2 часа\nпосле приема пищи. Взрослым и детям старше 15 лет: принимать по одному саше (пакетику)\n3-4 раза в сутки с интервалами между приемами 4-6 часов. Максимальная суточная\nдоза – 4 саше (пакетика). Препарат РиниКолд ХотКап\u003csup\u003e®\u003c/sup\u003e не рекомендуется\nприменять более 5 дней как обезболивающее и более 3 дней как жаропонижающее без\nпредварительной консультации врача. Увеличение суточной дозы или\nпродолжительности лечения возможно только под наблюдением врача. "}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"Классификация частоты развития побочных эффектов,\nрекомендованная Всемирной организацией здравоохранения (ВОЗ): "}},{"type":"paragraph","data":{"text":"очень часто ≥1/10"}},{"type":"paragraph","data":{"text":"часто от ≥1/100\n до  ˂1/10"}},{"type":"paragraph","data":{"text":"нечасто от ≥1/1000\n до  ˂1/100"}},{"type":"paragraph","data":{"text":"редко от ≥1/10000 до\n ˂1/1000"}},{"type":"paragraph","data":{"text":"очень редко ˂1/10000"}},{"type":"paragraph","data":{"text":"частота неизвестна по имеющимся\n данным установить частоту возникновения не представлялось возможным"}},{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения\nсо стороны крови и лимфатической системы \u003c/i\u003e"}},{"type":"paragraph","data":{"text":"очень редко: анемия, тромбоцитопения, агранулоцитоз,\nгемолитическая анемия, апластическая анемия, метгемоглобинемия, панцитопения,\nлейкопения."}},{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения\nсо стороны иммунной системы \u003c/i\u003e"}},{"type":"paragraph","data":{"text":"частота неизвестна: кожная сыпь, зуд, крапивница,\nангионевротический отек, реакция гиперчувствительности, анафилактический шок.\u003ci\u003e\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения\nсо стороны нервной системы\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"редко: головная боль, головокружение, сонливость,\nнарушение засыпания, повышенная возбудимость."}},{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения\nсо стороны органа зрения\u003c/i\u003e "}},{"type":"paragraph","data":{"text":"редко: мидриаз, парез аккомодации, повышение\nвнутриглазного давления."}},{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения\nсо стороны сердца \u003c/i\u003e"}},{"type":"paragraph","data":{"text":"редко: тахикардия, ощущение сердцебиения."}},{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения\nсо стороны сосудов\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"редко: повышение артериального давления."}},{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения\nсо стороны дыхательной системы, органов грудной клетки  и средостения \u003c/i\u003e"}},{"type":"paragraph","data":{"text":"частота неизвестна: бронхоспазм, сухость слизистой\nоболочки носа."}},{"type":"paragraph","data":{"text":"\u003ci\u003eЖелудочно-кишечные\nнарушения\u003c/i\u003e "}},{"type":"paragraph","data":{"text":"часто: тошнота, рвота, боль в эпигастральной области,\nдиарея, сухость слизистой оболочки полости рта. "}},{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения\nсо стороны печени и желчевыводящих путей \u003c/i\u003e"}},{"type":"paragraph","data":{"text":"редко: повышение активности печеночных трансаминаз,\nгепатотоксическое действие."}},{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения\nсо стороны кожи и подкожных тканей\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"очень редко:"}},{"type":"paragraph","data":{"text":"- острый генерализованный экзантематозный пустулез\n(ОГЭП), острое состояние с развитием гнойничковых высыпаний, характеризуется\nлихорадкой и диффузной эритемой, сопровождающейся жжением и зудом (может\nвозникнуть отек лица, рук и слизистых); "}},{"type":"paragraph","data":{"text":"- синдром Стивенса-Джонсона (ССД) (злокачественная\nэкссудативная эритема), тяжелая форма многоформной эритемы, при которой\nвозникают пузыри на слизистой оболочке полости рта, горла, глаз, половых\nорганов, других участках кожи и слизистых оболочек;"}},{"type":"paragraph","data":{"text":"- токсический эпидермальный некролиз (ТЭН, синдром\nЛайелла)(синдром является следствием обширного апоптоза кератиноцитов, что\nприводит к отслойке обширных участков кожи в местах дермоэпидермального\nсоединения, пораженная кожа имеет вид ошпаренной кипятком). "}},{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения\nсо стороны почек и мочевыводящих путей\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"частота неизвестна: нефротоксичность (почечная колика,\nглюкозурия, интерстициальный нефрит, папиллярный некроз), затруднение\nмочеиспускания."}},{"type":"paragraph","data":{"text":"Если Вы заметили один из описанных выше побочных\nэффектов, следует прекратить приема препарата РиниКолд ХотКап\u003csup\u003e®\u003c/sup\u003e и\nнемедленно обратиться к врачу."}}]},{"id":14,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"В случае передозировки препаратом РиниКолд ХотКап\u003csup\u003e®\u003c/sup\u003e\nследует немедленно обратиться к врачу. Быстрое оказание медицинской помощи\nявляется критически важным, даже если вы не наблюдаете каких-либо признаков или\nсимптомов. "}},{"type":"paragraph","data":{"text":"\u003ci\u003eСимптомы\n(обусловлены наличием парацетамола)\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"Симптомы проявляются после приема парацетамола свыше 7,5-10\nг. "}},{"type":"paragraph","data":{"text":"Порог передозировки может быть снижен у пожилых\nпациентов и детей, а также у пациентов, принимающих определенные лекарственные\nсредства (например, индукторы микросомальных ферментов печени), алкоголь или\nстрадающих истощением. "}},{"type":"paragraph","data":{"text":"В течение первых 24 ч после приема – бледность кожных\nпокровов, тошнота, рвота; анорексия, абдоминальная боль; увеличение\nпротромбинового времени, нарушение метаболизма глюкозы, гипокалиемия и\nметаболический ацидоз (в т.ч. лактоацидоз). Симптомы нарушения функции печени\nмогут появляться через 12-48 ч после передозировки: повышение активности\n«печеночных» трансаминаз, гепатонекроз. В тяжелых случаях – печеночная\nнедостаточность с прогрессирующей энцефалопатией, кома. Редко печеночная\nнедостаточность развивается молниеносно и может осложняться почечной\nнедостаточностью (тубулярный некроз). "}},{"type":"paragraph","data":{"text":"\u003ci\u003eЛечение\n\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"В случае подозрения на передозировку препаратом\nРиниКолд ХотКап\u003csup\u003e®\u003c/sup\u003e необходимо прекратить применение препарата и\nнемедленно обратиться за врачебной помощью. "}},{"type":"paragraph","data":{"text":"Симптоматическое лечение: в первые 6 ч после\nпередозировки рекомендуется промывание желудка и прием энтеросорбентов\n(активированный уголь и т.п.). Введение донаторов SH-групп и предшественников\nсинтеза глутатиона - метионина  наиболее\nэффективно в первые 8-9 ч после передозировки, ацетилцистеина  - через 12 ч. Необходимость в проведении\nдополнительных терапевтических мероприятий (дальнейшее введение метионина и\nацетилцистеина) определяется концентрацией парацетамола в крови, а также\nвременем, прошедшим после его приема. "}},{"type":"paragraph","data":{"text":"\u003ci\u003eСимптомы  (обусловленные наличием кофеина)\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"Симптомы острой передозировки: абдоминальная боль;\nрвота; чувство жара; покраснение лица; лихорадка; озноб; возбуждение;\nбессонница; раздражительность; потеря аппетита; слабость; тремор; повышенный\nмышечный тонус; состояние измененного сознания; бред; галлюцинации; повышение\nартериального давления с последующей артериальной гипотензией; тахикардия;\nтахипноэ; повышение диуреза; гипокалиемия; гипонатриемия; гипергликемия;\nметаболический ацидоз; судороги; миоклония и рабдомиолиз; наджелудочковые и\nжелудочковые аритмии."}},{"type":"paragraph","data":{"text":"Симптомы хронической интоксикации кофеином\n«кофеинизм»: раздражительность; бессонница; беспокойство; эмоциональная\nлабильность; хроническая боль в животе."}},{"type":"paragraph","data":{"text":"\u003ci\u003eСимптомы\n(обусловленные наличием хлорфенамина)\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"Угнетение ЦНС, гипертермия, антихолинергический\nсиндром (мидриаз, приливы крови к лицу, лихорадка сухость во рту, задержка\nмочи, парез кишечника), тахикардия, артериальная гипотензия, артериальная гипертензия,\nтошнота, рвота, возбуждение, дезориентация, галлюцинации, психоз, судороги,\nаритмии. Редко у пациентов с ажитацией, судорогами или у пациентов в коме\nразвивается рабдомиолиз и почечная недостаточность."}},{"type":"paragraph","data":{"text":"\u003ci\u003eСимптомы\n(обусловленные наличием фенилэфрина)\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"Тошнота; рвота; раздражительность; возбуждение;\nбессонница; психоз; судороги; ощущение сердцебиения; тахикардия; повышение\nартериального давления; рефлекторная брадикардия."}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"\u003ci\u003eВлияние\nпарацетамола\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"Усиливает эффекты ингибиторов \u003ci\u003eмоноаминооксидазы (МАО)\u003c/i\u003e, \u003ci\u003eседативных\nпрепаратов, этанола.\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"При одновременном приеме с \u003ci\u003eдигоксином\u003c/i\u003e или другими \u003ci\u003eсердечными\nгликазидами\u003c/i\u003e может увеличиться риск развития аритмии и инфаркта миокарда."}},{"type":"paragraph","data":{"text":"\u003ci\u003eАнтидепрессанты,\nпротивопаркинсонические средства, антипсихотические средства, фенотиазиновые\nпроизводные\u003c/i\u003e – повышают риск развития задержки мочи,\nсухости во рту, запоров. "}},{"type":"paragraph","data":{"text":"\u003ci\u003eГлюкокортикостероиды\u003c/i\u003e\nувеличивают риск развития глаукомы. "}},{"type":"paragraph","data":{"text":"\u003ci\u003eИнгибиторы\nмикросомального окисления (циметидин)\u003c/i\u003e снижают риск\nгепатотоксического действия. "}},{"type":"paragraph","data":{"text":"\u003ci\u003eМетоклопрамид\u003c/i\u003e\nи \u003ci\u003eдомперидон\u003c/i\u003e увеличивают, а \u003ci\u003eколестирамин\u003c/i\u003e снижает скорость всасывания\nпарацетамола. "}},{"type":"paragraph","data":{"text":"Парацетамол снижает эффективность \u003ci\u003eдиуретических\u003c/i\u003e препаратов. "}},{"type":"paragraph","data":{"text":"При одновременном назначении с \u003ci\u003eбарбитуратами,\u003c/i\u003e \u003ci\u003eдифенином\u003c/i\u003e,\n\u003ci\u003eкарбамазепином, рифампицином\u003c/i\u003e и\nдругими индукторами микросомальных ферментов печени повышается риск развития\nгепатотоксического действия парацетамола. "}},{"type":"paragraph","data":{"text":"У большинства пациентов, длительно принимающих \u003ci\u003eварфарин\u003c/i\u003e, редкое использование\nпарацетамола, как правило, мало или вообще не влияет на международное\nнормализованное отношение (МНО). Однако при продолжительном регулярном\nиспользовании парацетамол усиливает эффект непрямых антикоагулянтов (варфарина\nи других производных кумарина), что увеличивает риск кровотечений. "}},{"type":"paragraph","data":{"text":"\u003ci\u003eВлияние\nкофеина\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"Однократный прием большой дозы кофеина способствует\nувеличению экскреции лития почками. "}},{"type":"paragraph","data":{"text":"Резкое прекращение приема кофеина может привести к\nувеличению концентрации лития в сыворотке крови."}},{"type":"paragraph","data":{"text":"\u003ci\u003eВлияние\nфенирамина\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"Фенирамин одновременно с \u003ci\u003eингибиторами моноаминооксидазы (МАО), фуразолидоном\u003c/i\u003e может привести\nк гипертоническому кризу, возбуждению, гиперпирексии."}},{"type":"paragraph","data":{"text":"\u003ci\u003eВлияние\nфенилэфрина\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"Фенилэфрин при приеме \u003ci\u003eс ингибиторами МАО\u003c/i\u003e может приводить к повышению артериального\nдавления. "}},{"type":"paragraph","data":{"text":"Фенилэфрин снижает эффективность действия \u003ci\u003eбета-адреноблокаторов\u003c/i\u003e и \u003ci\u003eантигипертензивных\u003c/i\u003e препаратов."}},{"type":"paragraph","data":{"text":"\u003ci\u003eТрициклические\nантидепрессанты\u003c/i\u003e усиливают адреномиметическое действие\nфенилэфрина, одновременное назначение \u003ci\u003eгалотана\u003c/i\u003e\nповышает риск развития желудочковой аритмии."}},{"type":"paragraph","data":{"text":"Снижает гипотензивное действие \u003ci\u003eгуанетидина,\u003c/i\u003e который, в свою очередь, усиливает\nальфа-адреномиметическую активность фенилэфрина. "}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"В период лечения препаратом РиниКолд ХотКап\u003csup\u003e®\u003c/sup\u003e\nследует воздержаться от приема алкоголя, снотворных и анксиолитических\n(транквилизаторы) лекарственных средств. Не принимать вместе с другими\nлекарственными средствами, содержащими парацетамол."}},{"type":"paragraph","data":{"text":"Если симптомы заболевания ухудшаются, сохраняются или\nпоявляются новые в течение 3-5 дней следует проконсультироваться с врачом."}},{"type":"paragraph","data":{"text":"Хранить в недоступном для детей месте. В случае\nпроглатывания препарата ребенком, следует немедленно обратиться за медицинской\nпомощью."}},{"type":"paragraph","data":{"text":"Препарат РиниКолд ХотКап\u003csup\u003e®\u003c/sup\u003e\nможет вызывать сонливость."}}]},{"id":19,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"Хранить в сухом месте при температуре не выше 25 °С,\n в оригинальной упаковке (саше в пачке)."}}]},{"id":20,"name":"Срок годности","slug":"expiry_date","body":[{"type":"paragraph","data":{"text":"3 года."}},{"type":"paragraph","data":{"text":"Не использовать после истечения срока годности,\nуказанного на упаковке."}}]}],"source":null},"description_toggle":false,"short_description":"Комбинированное средство, действие которого обусловлено входящими в его состав компонентами.Кофеинобладает стимулирующим влиянием на центральную нервную систему, что приводит к уменьшению усталости и сонливости, к повышению умственной и физической работоспособности.Парацетамолоказывает 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