Альфа-адреномиметик. Оказывает сосудосуживающее и противоотечное действие. При местном применении уменьшает отек конъюнктивы, ощущения жжения, болезненность слизистой оболочки глаз, слезотечение. Сосудосуживающий эффект развивается в течение нескольких минут и сохраняется 4-8 ч.
Показания к применению
умеренное раздражение глаз: зуд, отек и гиперемия конъюнктивы, жжение, слезотечение, инъецированность склер, обусловленные химическими и физическими факторами (пыль, косметика, плавание в хлорированной воде, действие яркого света или излучение монитора компьютера); - аллергические конъюнктивиты.
Противопоказания
глаукома; - эндотелиально-эпителиальная дистрофия роговицы; - острая сердечно-сосудистая недостаточность; - бактериальная инфекция глаз; - инородное тело глаза; - детский возраст до 3 лет; - повышенная чувствительность к компонентам препарата.
Применение при беременности и в период грудного вскармливания
Применение препарата при беременности и в период лактации (грудного вскармливания) возможно только в случае, если предполагаемая польза для матери превышает риск для плода или ребенка.
Способ применения и дозы
Взрослым и детям старше 3 лет закапывают по 1-2 капли 2-3 раза/сут в нижний конъюнктивальный мешок пораженного глаза. Если в течение 48 ч улучшение не наступило следует прекратить дальнейшее применение препарата и проконсультироваться с врачом.
Побочное действие
Местные реакции: повышение внутриглазного давления, ощущение жжения и реактивная гиперемия глаза; редко - расширение зрачка. Системные реакции: повышение АД, гипергликемия, нарушение деятельности сердца, головная боль, тошнота, сонливость, слабость, тремор, головокружение, бессонница, тахикардия, аллергические реакции.
Передозировка
Развитие системных симптомов передозировки возможно при случайном или преднамеренном приеме препарата внутрь или превышении дозировки при местном применении. Симптомы: расширение зрачка, тошнота, цианоз, лихорадка, судороги, аритмии, артериальная гипертензия, отек легких, диспноэ. Избыточное системное всасывание производных имидазола может привести к угнетению ЦНС, сопровождающимся сонливостью, гипотермией, брадикардией, коллапсом, апноэ и комой. Риск появления симптомов передозировки, связанных с всасыванием препарата, высок у маленьких детей, особенно при проглатывании. Передозировка у детей может проявляться угнетением ЦНС, сопровождающимся сонливостью, чрезмерной потливостью, выраженной гипотензией, вплоть до шока. Лечение: назначают активированный уголь, промывание желудка, ингаляцию кислорода, применение жаропонижающих и противосудорожных средств. Для снижения АД применяют фентоламин по 5 мг на 0.9% растворе натрия хлорида медленно в/в или по 100 мг внутрь. Специфический антидот неизвестен.
Особые указания
ВизОптик целесообразно применять только при легком раздражении глаз. Если раздражение и гиперемия конъюнктивы связаны с инфекционным заболеванием, наличием инородного тела или химической травмы роговицы, необходима консультация окулиста. Если в течение 48 ч после начала применения глазных капель симптомы заболевания сохраняются, становятся более выраженными или проявляется побочное действие, следует прекратить применение препарата и проконсультироваться с окулистом. При появлении интенсивной боли в глазах, головной боли, нарушении зрения, внезапном появлении плавающих пятен перед глазами, покраснении глаз, боли при воздействии света или двоении в глазах необходимо немедленно обратиться к врачу. При ношении контактных линз их снимают перед закапыванием препарата и вновь устанавливают через 15 мин после него. Необходимо избегать прямого контакта глазных капель с мягкими контактными линзами из-за возможного нарушения их прозрачности. Препарат не следует применять одновременно с ингибиторами МАО (в т.ч. фенелзин, ниаламид, ипрониазид) и в течение 10 дней после прекращения их приема. Влияние на способность к вождению автотранспорта и управлению механизмамиВ период лечения необходимо соблюдать осторожность при вождении автотранспорта и занятии другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания, быстроты психомоторных реакций и хорошего зрения (после применения глазных капель возможно расширение зрачка и ощущение затуманивания зрения).
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