повышенная чувствительность к альфузозину и/или другим компонентам препарата; ортостатическая гипотензия; тяжелые нарушения функции печени (класс С по классификации Child-Pugh); тяжелые нарушения функции почек (Cl креатининакишечная непроходимость (в связи с наличием в составе препарата касторового масла); одновременный прием других альфа1-адреноблокаторов. ...
Действующее вещество: Альфузозина гидрохлоридКонцентрация действующего вещества (мг): 5
Фармакологические свойства
Альфа-адреноблокатор, действующий преимущественно на постсинаптические α1-адренорецепторы. Блокируя α1-адренорецепторы, расположенные в треугольнике и сфинктере мочевого пузыря, мочеиспускательном канале, алфузозин устраняет спазм гладкомышечных волокон, что приводит к уменьшению сопротивления оттока мочи. Снижает тонус гладкой мускулатуры артерий и вен. Уменьшает ОПСС и системное АД.
повышенная чувствительность к альфузозину и/или другим компонентам препарата; ортостатическая гипотензия; тяжелые нарушения функции печени (класс С по классификации Child-Pugh); тяжелые нарушения функции почек (Cl креатининакишечная непроходимость (в связи с наличием в составе препарата касторового масла); одновременный прием других альфа1-адреноблокаторов. С осторожностью: пациенты, получающие гипотензивные препараты; пациенты пожилого возраста; пациенты с указаниями на гипотоническую реакцию на альфа1-адреноблокаторы; пациенты с клиническими проявлениями ортостатической гипотонии (возможность развития ортостатической гипотонии); пациенты с ИБС, стенокардией (возможность учащения и утяжеления приступов стенокардии); пациенты с симптоматическими и бессимптомными проявлениями ишемической болезни мозга (риск развития ишемии головного мозга на фоне гипотонии).
Применение при беременности и в период грудного вскармливания
Препарат не предназначен для применения у женщин.
Способ применения и дозы
Внутрь, проглатывая целиком, запивая примерно 1 стаканом воды, по 1 табл. (5 мг) 2 раза в день (утром и вечером). Взрослым: рекомендованная доза - по 1 табл. (5 мг) 2 раза в день (утром и вечером). Пациенты пожилого возраста и/или больные с артериальной гипертензией, получающие гипотензивные средстваВ качестве меры предосторожности, при назначении альфузозина этим категориям пациентов рекомендуется начинать лечение с 1 табл. (5 мг) вечером, повышая дозу в соответствии с клиническим ответом, но не превышая дозы - 1 табл. 2 раза в день. Пациенты с почечной недостаточностьюПри Cl креатинина более 30 мл/мин коррекция режима дозирования не требуется. Больные с печеночной недостаточностьюСледует учитывать удлинение Т1/2 препарата и возможность увеличения его биодоступности, поэтому лечение должно начинаться с дозы 2,5 мг 1 раз в сутки, которая может увеличиваться в зависимости от клинического ответа, но не должна превышать 2,5 мг 2 раза в сутки. Таблетки нельзя раздавливать, разжевывать, размалывать или измельчать до порошкового состояния, т.к. нарушение структуры таблетки может привести к ускорению абсорбции действующего вещества, что может способствовать развитию побочных эффектов.
Побочное действие
Со стороны ЦНС и психики: часто - слабость, головокружение, ощущение общего дискомфорта, головная боль; нечасто - сонливость, ишемия головного мозга (у пациентов с ишемической болезнью головного мозга). Со стороны органов зрения: нечасто - нарушение зрения. Со стороны ССС: часто - гипотензия (ортостатическая); нечасто - тахикардия, сердцебиение, обморочное состояние; очень редко - стенокардия у пациентов с ИБС, мерцание предсердий. Со стороны органов дыхания: нечасто - ринит. Со стороны ЖКТ: часто - тошнота, боль в животе, диарея, сухость во рту; очень редко - повреждение гепатоцитов, заболевания печени с холестазом. Кожные и аллергические реакции: нечасто - сыпь, зуд; очень редко - крапивница, ангионевротический отек. Со стороны всего организма: часто - астения; нечасто - гиперемия кожи, отеки, боль в груди; очень редко - приапизм.
Передозировка
Передозировка препарата не описана.
Особые указания
С осторожностью применяют у больных с ИБС, стенокардией. Если наблюдается ухудшение течения стенокардии, алфузозин следует отменить. С осторожностью применяют у пациентов старше 75 лет и пациентам с выраженными нарушениями функции почек.
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