НПВС для местного применения в офтальмологии, производное фе... Инструкция
Показания к применению
Ингибирование миоза во время операции по поводу катаракты. Воспалительные процессы после хирургических вмешательств. Профилактика кистоидного отека зрительного нерва до и после операции, связанной с удалением и имплантацией хрусталика. Воспалительные процессы неинфекционной природы с вовлечением передних отделов глаза. Посттравматическое воспаление ...
Повышенная чувствительность к нестероидным противовоспалительным препаратам и другим компонентам препарата.III триместр беременности. Детский возраст (до 2-х лет).
На 1 мл: Действующее веществоДиклофенака натрия - 1 мг. Вспомогательные веществаНатрия хлорид, пропиленгликоль, натрий фосфорнокислый однозамещенный 2-водный (натрия дигидрофосфат дигидрат), натрий фосфорнокислый двузамещенный 12-водный (динатрия гидрофосфат додекагидрат), динатриевая соль этилендиаминтетрауксусной кислоты (эдетат динатрия), 1 М раствор натра едкого (натрия гидроксид) до pH 6,5-7,5, вода для инъекций до 1 мл.
Фармакологические свойства
НПВС для местного применения в офтальмологии, производное фенилуксусной кислоты. Оказывает противовоспалительное и анальгезирующее действие. Неизбирательно угнетая ЦОГ-1 и ЦОГ-2, нарушает метаболизм арахидоновой кислоты, уменьшает количество простагландинов в очаге воспаления. При местном применении уменьшает отек и боль при воспалительных процессах неинфекционной этиологии.
Показания к применению
Ингибирование миоза во время операции по поводу катаракты. Воспалительные процессы после хирургических вмешательств. Профилактика кистоидного отека зрительного нерва до и после операции, связанной с удалением и имплантацией хрусталика. Воспалительные процессы неинфекционной природы с вовлечением передних отделов глаза. Посттравматическое воспаление после проникающих и непроникающих ранений глазного яблока. Болевой синдром при проведении эксимерного лазерного вмешательства.
Противопоказания
Повышенная чувствительность к нестероидным противовоспалительным препаратам и другим компонентам препарата.III триместр беременности. Детский возраст (до 2-х лет).
Применение при беременности и в период грудного вскармливания
Противопоказано в III триместре беременности. В период лактации применять с осторожностью
Способ применения и дозы
Местно. Закалывают в конъюнктивальный мешок до операции по 1 капле 5 раз в течение 3 ч с интервалом в 20-25 мин. Сразу после операции - по 1 капле 3 раза; далее по 1 капле 3-5 раз в сутки в течение необходимого времени. Другие показания -1 капля 4-5 раз а сутки.
Побочное действие
Жжение глаз. Нечеткость зрительного восприятия (сразу после закапывания). Помутнение роговицы (бельмо). Ирит. Аллергические реакции: Зуд в глазах. Гиперемия конъюнктивы. Ангионевротический отек лица. Лихорадка. Озноб. Фотосенсибилизация. Кожная сыпь (преимущественно эритематозная). Крапивница. Тошнота и рвота .
Передозировка
При применении глазных капель Диклофенак в рекомендованных дозах передозировка маловероятна.
Особые указания
Препарат предназначен только для местного применения и не вводится субконъюнктивально или в переднюю камеру глаза. Перед применением флакон следует взболтать. Пациентам, использующим контактные линзы, закапывание препарата следует производить через 5 мин после их снятия. Перерыв между применением различных глазных капель должен составлять 5 мин. Противовоспалительное действие Диклофенака может маскировать симптомы инфекций. При наличии инфекции или угрозе ее развития одновременно с применением Диклофенака назначают местное антибактериальное лечение. Рекомендуется соблюдать осторожность при применении препарата:- во время офтальмологических хирургических вмешательств (возможно увеличение времени кровотечения, поэтому рекомендуется соблюдать осторожность у пациентов с геморрагическим диатезом или получающих антикоагулянты);- у пациентов с бронхиальной астмой в сочетании с ринитом или хроническим синуситом, поскольку повышен риск аллергических реакций при применении ацетилсалициловой кислоты или НПВС. Применение препарата у таких пациентов может вызвать бронхоспазм. Влияние на способность к вождению автотранспорта и управлению механизмамиВ период лечения препаратом необходимо соблюдать осторожность при вождении транспорта и занятии другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций.
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