В 1 г крема содержится: Активное вещество: миконазола нитрат - 20 мгВспомогательные вещества: пропиленгликоль, парафин мягкий белый, цетостеариловый спирт, цетомакрогол 1000, парафин светлый жидкий, динатрия эдетат, натрия гидрофосфат, хлорокрезол, вода очищенная.
Фармакологические свойства
Миконазол оказывает противогрибковое действие. Тормозит синтез эргостерола, изменяет лшшдный состав и проницаемость клеточной стенки. Активен в отношении дерматофитов дрожжевых и других грибов. Проявляет противомикробную активность в отношении грамположительных микроорганизмов. Фармакокинетика: При местных аппликациях в крови обнаруживается только незначительное число метаболитов. Быстро разрушается в печени, выводится через почки 14-22% дозы в виде неактивных производных.
Показания к применению
Дерматомикозы, вызванные грибами, чувствительными к препарату (в т.ч. при вторичном инфицировании грамположительными микроорганизмами).
Противопоказания
Гиперчувствительность к компонентам препарата, С осторожностью - сахарный диабет, нарушение микроциркуляции.
Применение при беременности и в период грудного вскармливания
При местном применении миконазол не всасывается. Препарат можно использовать во время беременности и в период грудного вскармливания.
Способ применения и дозы
Наружно. Крем наносят на вымытую и тщательно высушенную кожу, слегка втирая в пораженные участки 2 раза в день (утром и вечером). При необходимости применяют окклюзионную повязку. Лечение продолжают до полного исчезновения симптомов и в течение нескольких последующих дней для предупреждения рецидивов. В процессе терапии проводят микологический контроль, результаты которого и определяют продолжительность лечения (обычно его длительность - 2-6 недели).
Побочное действие
При гиперчувствительности к компонентам препарата, отмечаются местные аллергические реакции - покраснение кожи, ощущения жжения и покалывания на месте применения препарата; в редких случаях - крапивница, отек, сыпь, эритема.
Передозировка
Применение препарата в повышенных дозах не вызывает каких-либо реакций и состояний, опасных для жизни. В случае непредусмотренного применения препарата (внутрь) возможны следующие симптомы: анорексия. тошнота, рвота, гастралгий, нарушение функции печени; редко -сонливость, галлюцинации, полпакиурия, кожные аллергические реакции. Специфического антидота нет. Необходимо назначать внутрь активированный уголь. При необходимости лечение симптоматическое.
Особые указания
В случае если у пациента наблюдается раздражение кожных покровов, либо развивается повышенная чувствительность (проявляются аллергические реакции) в ходе применения данного лекарственного средства, лечение следует прекратить и назначить курс соответствующей терапии. Не рекомендуется применение крема свыше 4-х недель. Только для наружного применения. Не допускать попадания препарата в глаза.
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Информация предоставляется в справочных целях. Не занимайтесь самолечением. При первых признаках заболевания обратитесь к врачу.
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