Действующее вещество: Фенспирид(Fenspiride)Концентрация действующего вещества (мг): 200 мг
Фармакологические свойства
Противовоспалительное средство, оказывает антиэкссудативное действие, препятствует развитию бронхоспазма. Проявляет антагонизм с медиаторами воспаления и аллергии: серотонином, гистамином (блокада H1-гистаминовых рецепторов), брадикинином. Обладает спазмолитическим миоторопным эффектом. При назначении в больших дозах снижает продукцию различных факторов воспаления (цитокинов, производных арахидоновой кислоты, свободных радикалов).
Показания к применению
Заболевания верхних и нижних дыхательных путей: Ринофарингит и ларингит
Трахеобронхит
Бронхит (на фоне хронической дыхательной недостаточности или без нее)
Бронхиальная астма (в составе комплексной терапии)
Респираторные явления (кашель, осиплость голоса, першение в горле) при кори, коклюше и гриппе
При инфекционных заболеваниях дыхательных путей, сопровождающихся кашлем, когда показана стандартная антибиотикотерапия. Отит и синусит различной этиологии.
Противопоказания
Повышенная чувствительность к активному веществу и/или какому-либо из компонентов препарата. Детский возраст до 2 лет.
Применение при беременности и в период грудного вскармливания
Данные о применении препарата Эреспал у беременных женщин отсутствуют или ограничены. Применение препарата при беременности не рекомендуется. Терапия фенспиридом не является основанием для прерывания наступившей беременности. Не следует применять Эреспал во время грудного вскармливания в связи с отсутствием данных о проникновении фенспирида в грудное молоко.
Способ применения и дозы
Внутрь. Перед употреблением взбалтывать. Взрослые и подростки: От 3 до 6 столовых ложек сиропа (45 – 90 мл) в сутки, принимать перед едой. Дети от 2-х лет: Рекомендуемая доза 4 мг/кг/сутки. масса тела до 10 кг: от 2 до 4 чайных ложек сиропа в сутки (или 10 – 20 мл), можно добавлять в бутылочку с питанием масса тела больше 10 кг: от 2 до 4 столовых ложек сиропа в сутки (или 30 – 60 мл), принимать перед едой1 столовая ложка (15 мл сиропа) содержит 30 мг фенспирида гидрохлорида и 9 г сахарозы. 1 чайная ложка (5 мл сиропа) содержит 10 мг фенспирида гидрохлорида и 3 г сахарозы.
Побочное действие
Со стороны сердечно-сосудистой системы Редко: умеренная тахикардия, выраженность которой уменьшается при снижении дозы препарата. Со стороны пищеварительной системы Часто: желудочно-кишечные расстройства, тошнота, боль в эпигастрии. Неустановленной частоты: диарея, рвота. Со стороны центральной нервной системы Редко: сонливость. Неустановленной частоты: головокружение. Общие расстройства и симптомы Неустановленной частоты: астения, повышенная усталость. Со стороны кожных покровов и подкожно-жировой клетчатки Редко: эритема, сыпь, крапивница, ангионевротический отек, фиксированная пигментная эритема. Неустановленной частоты: кожный зуд. Риск развития реакций повышенной чувствительности на краситель Сансет желтый S, входящий в состав препарата.
Передозировка
При передозировке препарата (отмечены случаи передозировки при приеме препарата в дозе более 2320 мг) пациенту следует немедленно обратиться за медицинской помощью. Симптомы: сонливость или возбуждение, тошнота, рвота, синусовая тахикардия. Лечение: промывание желудка, мониторинг ЭКГ, поддержание жизненно важных функций организма.
Особые указания
В состав препарата в форме сиропа входят парабены (парагидроксибензоаты), вследствие этого прием данного лекарственного средства может провоцировать развитие аллергических реакций, в т.ч. отсроченных. При назначении препарата пациентам с сахарным диабетом необходимо учитывать, что Эреспал сироп содержит сахарозу (1 чайная ложка - 3 г сахарозы = 0.3 ХЕ; 1 столовая ложка - 9 г сахарозы = 0.9 ХЕ). Влияние на способность к вождению автотранспорта и управлению механизмамиИсследований по изучению влияния препарата Эреспал на способность управлять транспортными средствами и работать с механизмами не проводилось. Пациенты должны быть осведомлены о возможном развитии сонливости при приеме препарата Эреспал, особенно в начале терапии или при сочетании с приемом алкоголя, и должны соблюдать осторожность при управлении автотранспортными средствами и при выполнении работ, требующих высокой скорости психомоторных реакций.
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