Лечение остеоартроза, остеоартрита всех крупных суставов любой стадии.
Противопоказания
Введение материала в инфицированный или воспаленный сустав; диабет; беременность; период грудного вскармливания (нет информации о применении).
Инструкция
Состав
Материал-биополимер водосодержащий с ионами серебра «Аргиформ» (ТУ 9398-002-52820385-2008) — 1 шприц трехмерный полиакриламидный сетчатый полимер — (4,5±1,5)% вода очищенная — (95,5±1,5)% ионы серебра — 0,01-0,02 % в пластмассовом шприце «Луер-Лок» по 2,5 мл (в комплекте с иглой стерильной 18Gx11/2); в упаковке 1 шт.
Описание
Нолтрекс™ — синтетический материал для эндопротезирования и коррекции вязкоэластических свойств синовиальной жидкости сустава. Не содержит веществ животного происхождения.
Фармакологические свойства
Способствует восстановлению вязкости синовиальной жидкости в суставах, пораженных остеоартрозом. В результате этого уменьшаются боли и улучшается подвижность сустава. Особенностью материала является бoльшая длительность действия в сравнении с другими материалами, повышающими вязкость синовиальной жидкости.
Показания к применению
Лечение остеоартроза, остеоартрита всех крупных суставов любой стадии.
Противопоказания
Введение материала в инфицированный или воспаленный сустав; диабет; беременность; период грудного вскармливания (нет информации о применении).
Способ применения и дозы
Для внутрисуставных инъекций. Процедура введения материала в суставную полость производится квалифицированным медицинским персоналом в условиях чистой перевязочной или операционной с соблюдением всех правил асептики и антисептики, как при операции. Информация для врачей Вводить Нолтрекс™ следует с использованием иглы 18G, находящейся в комплекте к препарату. Нолтрекс™ вводится только в полость сустава. При наличии свободной жидкости в суставе желательно добиться прекращения экссудации и вводить Нолтрекс™ через 48-72 ч после ликвидации выпота. Вводить материал в сустав без эвакуации из него свободной жидкости нецелесообразно. Случайное введение в мягкие ткани не приводит к осложнениям. В коленный и тазобедренный сустав материал вводится в количестве 1-3 инъекций по 2,5 мл с перерывом в 1 нед. В другие крупные суставы материал вводится по 2,5 мл двукратно с перерывом в 1 нед. В коленный сустав рекомендовано введение препарата Нолтрекс™ через переднемедиальный доступ. При хорошем клиническом результате после 1-й или 2-й инъекции курс лечения рекомендуется прекратить. При остеоартрозе III-IV стадии, 4-я и 5-я инъекция делается также с недельным интервалом. Для уменьшения болевых ощущений непосредственно при инъекции рекомендуется обезболивание новокаином или лидокаином (по усмотрению врача) как внутри сустава, так и непосредственно в месте введения. В течение суток после процедуры нагрузки на сустав, в который был введен Нолтрекс™, следует ограничить. Курс целесообразно повторять 1 раз в 12-24 мес в зависимости от клинических проявлений. Следует помнить, что правильная техника введения — важнейшее условие результата лечения. Нолтрекс™ предназначен только для введения уполномоченным персоналом в соответствии с законодательством. Шприц, игла и любой неиспользованный материал должны быть уничтожены непосредственно после сеанса лечения согласно законодательству страны.
Побочное действие
После введения препарата Нолтрекс™ сообщалось о редких случаях жжения в суставе. Все случаи имели легкую или умеренную интенсивность выраженности болевого синдрома со средней продолжительностью 12-24 ч. Болевой синдром купируется приемом НПВС или проходит самостоятельно. О реакциях гиперчувствительности к препарату до настоящего времени не сообщалось. Никакие болевые симптомы не продолжались более 3 сут.
Взаимодействие с другими лекарственными средствами
Применение препарата Нолтрекс™ в комбинации с другими ЛС и изделиями не исследовалось. Не следует смешивать с другими препаратами, предназначенными для восстановления вязкости синовиальной жидкости. Возможно последовательное введение препарата с местным анестетиком.
Для описания товара использована информация от партнера 36.6
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Информация предоставляется в справочных целях. Не занимайтесь самолечением. При первых признаках заболевания обратитесь к врачу.
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