Микардис является антигипертензивным препаратом. Активное ве... Инструкция
Показания к применению
Артериальная гипертензия, Снижение сердечно-сосудистой заболеваемости и смертности у пациентов в возрасте 55 лет и старше с высоким риском сердечно-сосудистых заболеваний.
Микардис является антигипертензивным препаратом. Активное вещество телмисартан - специфический антагонист рецепторов ангиотензина II. У пациентов с артериальной гипертензией препарат снижает систолическое и диастолическое артериальное давление, не оказывая влияния на ЧСС. В случае резкой отмены микардиса артериальное давление постепенно возвращается к исходному уровню без развития синдрома отмены.
Показания к применению
Артериальная гипертензия, Снижение сердечно-сосудистой заболеваемости и смертности у пациентов в возрасте 55 лет и старше с высоким риском сердечно-сосудистых заболеваний.
Применение при беременности и в период грудного вскармливания
Противопоказан при беременности и кормлении грудью.
Способ применения и дозы
Препарат назначают внутрь, независимо от приема пищи. При артериальной гипертензии рекомендуемая начальная доза препарата Микардис составляет 40 мг 1 раз/сутки. В случаях, когда терапевтический эффект не достигается, доза препарата может быть увеличена до 80 мг 1 раз/сутки. При решении вопроса об увеличении дозы следует принимать во внимание, что максимальный антигипертензивный эффект обычно достигается в течение 4-8 недель после начала лечения. Для снижения сердечно-сосудистой заболеваемости и смертностирекомендованная доза - 80 мг 1 раз/сутки. В начальный период лечения может потребоваться дополнительная коррекция АД.
Побочное действие
Со стороны нервной системы: головная боль, головокружение, утомляемость, бессонница, тревожность, депрессия, судороги. Со стороны дыхательной системы: инфекции верхних дыхательных путей (в т.ч. фарингит, синусит, бронхит), кашель. Со стороны сердечно-сосудистой системы: выраженное понижение АД, брадикардия, тахикардия, боль в груди. Со стороны пищеварительной системы: тошнота, диспепсия, диарея, абдоминальные боли, повышение активности «печеночных» трансаминаз. Со стороны опорно-двигательной системы: миалгия, артралгия, боль в пояснице, симптомы подобные тендиниту. Со стороны мочевыводящей системы: периферические отеки, инфекции мочевыводящей системы, гиперкреатининемия. Аллергические реакции: кожная сыпь и др. Лабораторные показатели: редко — гиперкалиемия, анемия или гиперурикемия. Прочие: гриппоподобный синдром, редко — эритема, зуд, синкопе, диспноэ, эозинофилия, тромбоцитопения, ангионевротический отек, крапивница.
Передозировка
Случаи передозировки у людей не выявлены. Симптомы: выраженное снижение артериального давления. Лечение: в случае развития выраженного понижения артериального давления следует проводить симптоматическую терапию. Гемодиализ не эффективен.
Особые указания
Влияние на способность управлять автомобилем и машинным оборудованием: специального исследования влияния препарата на способность управлять автомобилем и машинным оборудованием не проводились. Однако при управлении автомобилем и машинным оборудованием следует помнить о возможности развития головокружения и сонливости при применении препаратов используемых для лечения артериальной гипертензии.
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