Дефицит витамина D (профилактика и лечение), рахит, рахитоподобные заболевания, гипокальциемия, тетания, метаболические остеопатии (гипопаратиреоз, псевдогипопаратиреоз), остеомаляция (профилактика и лечение), комплексная терапия остеопороза (в т.ч менопаузного).
Противопоказания
Гиперчувствительность (в т.ч. к бензиловому спирту), гипервитаминоз D, гиперкальциемия, гиперкальциурия, кальциевый нефроуролитиаз, почечная недостаточность, саркоидоз.
Бесцветная, прозрачная жидкость (легкая опалесценция) с анисовым запахом и вкусом.
Фармакологические свойства
Фармакологическое действие — регулирующее кальций-фосфорный обмен.
Показания к применению
Дефицит витамина D (профилактика и лечение), рахит, рахитоподобные заболевания, гипокальциемия, тетания, метаболические остеопатии (гипопаратиреоз, псевдогипопаратиреоз), остеомаляция (профилактика и лечение), комплексная терапия остеопороза (в т.ч менопаузного).
Противопоказания
Гиперчувствительность (в т.ч. к бензиловому спирту), гипервитаминоз D, гиперкальциемия, гиперкальциурия, кальциевый нефроуролитиаз, почечная недостаточность, саркоидоз.
Применение при беременности и в период грудного вскармливания
Не следует назначать при беременности в высоких дозах (обладает тератогенным действием). С осторожностью— при кормлении грудью.
Способ применения и дозы
Внутрь, 1 капля содержит 500МЕ витамина D3. Профилактика: Дети: доношенным новорожденным с 3–4 нед жизни до 2–3 лет по 500–1000МЕ (1–2 капли) в сутки; недоношенным детям, с 7–10 дня жизни, близнецам, младенцам, находящимся в плохих жизненных условиях— по 1000–1500МЕ (2–3 капли) в сутки. В летнее время дозу сокращают до 500МЕ (1 капля) в сутки. Беременным женщинам по 500МЕ (1 капля) в сутки в течение всего периода беременности или по 1000МЕ (2 капли) в сутки, начиная с 28 нед беременности. В постменопаузальном периоде— 500–1000МЕ (1–2 капли) в сутки.Лечение: при рахите, ежедневно 2000— 5000МЕ (4–10 капель) в зависимости от степени тяжести рахита (I, II, III), и варианта протекания, в течение 4–6 нед или начальная доза 2000МЕ (4 капли) в течение 3–5 дней, при хорошей переносимости— до 3000МЕ (6 капель), при выраженных костных изменениях— до 5000МЕ (10 капель). При необходимости курс лечения повторяют через 1 нед. После достижения лечебного эффекта переходят на профилактический прием (500–1500МЕ/сут). Рахитоподобные заболевания— 20000–30000МЕ/сут (40–60 капель), курс лечения 4–6 нед. При постменопаузальном остеопорозе (комплексное лечение)— 500–1000МЕ/сут (1–2 капли).
Побочное действие
Не отмечаются при применении в рекомендуемых дозах. Симптомы гипервитаминоза D:Со стороны нервной системы и органов чувств: головная, мышечная, суставная боль, нарушение психики (в т.ч. депрессия), сухость в полости рта.Со стороны сердечно-сосудистой системы и крови (кроветворение, гемостаз): гиперкальциемия.Со стороны органов ЖКТ: потеря аппетита, тошнота, рвота, запор.Со стороны обмена веществ: потеря массы тела.Со стороны мочеполовой системы: полиурия, гиперкальциурия, кальциевый нефроуролитиаз.Прочее: системный кальциноз.
Передозировка
Симптомы: снижение аппетита, тошнота, рвота, запор, беспокойство, жажда, полиурия, понос, почечная колика. Головная и мышечная и суставная боль, нарушение психики (депрессия), ступор, атаксия, прогрессирующая потеря массы тела. Нарушение функции почек с альбуминурией, эритроцитурией, полиурией, гиперкалиурией, гипостенурией, никтурией, повышением АД. В тяжелых случаях— помутнение роговицы, отек сосочка зрительного нерва, воспаление радужной оболочки (вплоть до развития катаракты). Могут развиться кальциевый нефроуролитиаз, системный кальциноз. Редко— холестатическая желтуха.Лечение: отмена препарата. Симптоматическая, поддерживающая терапия. Прием большого количества жидкости.
Взаимодействие с другими лекарственными средствами
Противоэпилептические средства, рифампицин, холестирамин снижают реабсорбцию витамина D3. Тиазидные диуретики увеличивают риск развития гиперкальциемии. Усиливает токсическое действие сердечных гликозидов (повышается риск развития нарушений сердечного ритма).
Особые указания
Следует избегать передозировки. Слишком высокие дозы витамина D3, применяемые продолжительно, или ударные дозы, могут быть причиной хронического гипервитаминоза D3. При определении дозы витамина D необходимо учитывать его количество, поступающее с пищей.Определение суточной потребности ребенка в витамине D, способ его применения проводится врачом индивидуально и периодически контролируется, особенно в первые месяцы жизни.С осторожностью следует применять у пациентов с длительной иммобилизацией.Следует избегать одновременного поступления в организм высоких доз кальция.В ходе лечения необходимо контролировать уровень кальция в крови и моче.
Условия хранения
В защищенном от света месте, при температуре не выше 25°C. Хранить в недоступном для детей месте.
Срок годности
3 года. Не применять по истечении срока годности, указанного на упаковке.2000-2017. Регистр лекарственных средств России
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