Лечение и профилактика инфекционно-воспалительных заболеваний (вирусной, бактериальной и грибковой этиологии) в стадии обострения и ремиссии у взрослых и детей с 6 месяцев.
Лечение взрослых (в комплексной терапии) при следующих заболеваниях и состояниях:
Азоксимера бромид обладает комплексным действием: иммуномодулирующим, детоксицирующим, антиоксидантным, умеренным противовоспалительным.
Основным механизмом иммуномодулирующего действия азоксимера бромида является прямое воздействие на фагоцитирующие клетки и естественные киллеры, а также стимуляция антителообразования, синтеза интерферона-альфа и интерферона-гамма.
Детоксикационные и антиоксидантные свойства азоксимера бромида во многом определяются структурой и высокомолекулярной природой препарата. Азоксимера бромид увеличивает резистентность организма в отношении локальных и генерализованных инфекций бактериальной, грибковой и вирусной этиологии. Восстанавливает иммунитет при вторичных иммунодефицитных состояниях, вызванных различными инфекциями, травмами, осложнениями после хирургических операций, ожогами, аутоиммунными заболеваниями, злокачественными новообразованиями, применением химиотерапевтических средств, цитостатиков, стероидных гормонов.
Характерной особенностью азоксимера бромида при местном (интраназальном, сублингвальном) применении является способность активировать факторы ранней защиты организма от инфекции: препарат стимулирует бактерицидные свойства нейтрофилов, макрофагов, усиливает их способность поглощать бактерии, повышает бактерицидные свойства слюны и секрета слизистых верхних дыхательных путей.
Азоксимера бромид блокирует растворимые токсические вещества и микрочастицы, обладает способностью выводить из организма токсины, соли тяжелых металлов, ингибирует перекисное окисление липидов, как за счет перехвата свободных радикалов, так и посредством элиминации каталитически активных ионов Fe2+.
Азоксимера бромид снижает воспалительную реакцию посредством нормализации синтеза про- и противовоспалительных цитокинов.
Азоксимера бромид хорошо переносится, не обладает митогенной, поликлональной активностью, антигенными свойствами, не оказывает аллергизирующего, мутагенного, эмбриотоксического, тератогенного и канцерогенного действия.
Азоксимера бромид не имеет запаха и вкуса, не обладает местным раздражающим действием при нанесении на слизистые оболочки носа и ротоглотки.
Фармакокинетика
Азоксимера бромид характеризуется быстрым всасыванием и высокой скоростью распределения в организме. Максимальная концентрация препарата в крови при внутримышечном (в/м) введении достигается через 40 минут. Период полувыведения для разного возраста от 36 до 65 часов. Биодоступность препарата высокая: более 90% при парентеральном введении.
Азоксимера бромид быстро распределяется по всем органам и тканям организма, проникает через гематоэнцефалический и гематоофтальмический барьеры. Кумулятивный эффект отсутствует. В организме азоксимера бромид подвергается биодеструкции до низкомолекулярных олигомеров, выводится преимущественно почками, с фекалиями — не более 3%.
Показания к применению
Лечение и профилактика инфекционно-воспалительных заболеваний (вирусной, бактериальной и грибковой этиологии) в стадии обострения и ремиссии у взрослых и детей с 6 месяцев.
Лечение взрослых (в комплексной терапии) при следующих заболеваниях и состояниях:
хронические рецидивирующие инфекционно-воспалительные заболевания различной локализации, бактериальной, вирусной и грибковой этиологии в стадии обострения;
острые вирусные, бактериальные инфекции лор-органов, верхних и нижних дыхательных путей, гинекологические и урологические заболевания;
острые и хронические аллергические заболевания (в т.ч. поллиноз, бронхиальная астма, атопический дерматит), осложненные бактериальной, вирусной и грибковой инфекцией;
злокачественные опухоли, в т.ч. после химио- и лучевой терапии для снижения иммуносупрессивного, нефро- и гепатотоксического действия лекарственных препаратов;
генерализованные формы хирургических инфекций;
для активации регенераторных процессов (переломы, ожоги, трофические язвы);
ревматоидный артрит, осложненный бактериальной, вирусной и грибковой инфекцией, на фоне длительного приема иммунодепрессантов;
туберкулез легких.
Лечение детей старше 6 месяцев (в комплексной терапии) при следующих заболеваниях и состояниях:
острые и обострения хронических воспалительных заболеваний любой локализации (в т.ч. лор-органов — синусит, ринит, аденоидит, гипертрофия глоточной миндалины, ОРВИ), вызванные возбудителями бактериальных, вирусных, грибковых инфекций;
острые аллергические и токсико-аллергические состояния, осложненные бактериальной, вирусной и грибковой инфекцией;
дисбактериоз кишечника (в сочетании со специфической терапией).
Профилактика (монотерапия) у детей старше 6 месяцев и взрослых следующих заболеваний и состояний:
грипп и ОРВИ;
послеоперационные инфекционные осложнения.
Противопоказания
повышенная индивидуальная чувствительность;
беременность;
период грудного вскармливания;
детский возраст до 6 месяцев;
острая почечная недостаточность.
С осторожностью
хроническая почечная недостаточность (применяют не чаще 2 раз в неделю).
Применение при беременности и в период грудного вскармливания
Противопоказано применение препарата Полиоксидоний® у беременных и женщин в период грудного вскармливания (клинический опыт применения отсутствует).
При экспериментальном изучении препарата Полиоксидоний® у животных не выявлено влияния на генеративную функцию (фертильность) самцов и самок, эмбриотоксического и тератогенного действия, влияния на развитие плода, как при введении препарата в период всей беременности, так и в период лактации.
Способ применения и дозы
Для в/м введения препарат Полиоксидоний® 3 мг растворяют в 1 мл (дозу 6 мг в 2 мл) воды для инъекций или 0,9% раствора натрия хлорида. После внесения растворителя препарат оставляют на 2–3 минуты для набухания, затем перемешивают вращательными движениями, не встряхивая.
Для в/в капельного введения препарат Полиоксидоний® растворяют в 2 мл стерильного 0,9% раствора натрия хлорида. После внесения растворителя препарат оставляют на 2–3 минуты для набухания, затем вращательными движениями перемешивают. Рассчитанную для пациента дозу стерильно переносят во флакон/пакет с 0,9% раствором натрия хлорида.
Приготовленный раствор для парентерального введения хранению не подлежит.
Побочное действие
При применении препарата Полиоксидоний® встречались следующие общие и местные реакции:
- при парентеральном введении: нечасто (≥1/1000 до <1/100) — болезненность, покраснение и уплотнение кожи в месте введения.
- при парентеральном введении и местном применении: очень редко (≥1/10000) — повышение температуры тела, легкое беспокойство, озноб, гиперчувствительность к компонентам препарата (аллергические реакции).
Взаимодействие с другими лекарственными средствами
Азоксимера бромид не ингибирует изоферменты CYP1A2, CYP2С9, CYP2D9, CYP2D6 цитохрома Р450, поэтому препарат совместим со многими лекарственными средствами, в т.ч. антибиотиками, противовирусными, противогрибковыми и антигистаминными препаратами, глюкокортикостероидами и цитостатиками.
Особые указания
При развитии аллергической реакции в случае гиперчувствительности к компонентам препарата следует прекратить применение препарата Полиокидоний® и обратиться к врачу.
При необходимости прекращения приема препарата Полиокидоний® отмену можно осуществить сразу, без постепенного уменьшения дозы.
В случае пропуска введения очередной дозы препарата последующее его применение следует проводить в обычном режиме, как указано в инструкции или рекомендовано врачом. Пациент не должен вводить удвоенную дозу с целью компенсации пропущенных доз.
Не следует использовать препарат при наличии визуальных признаков его непригодности (дефект упаковки, изменение цвета порошка).
При болезненности в месте инъекции препарат растворяют в 1 мл 0,5% раствора прокаина (новокаина) в случае отсутствия у больного повышенной индивидуальной чувствительности на прокаин (новокаин). При в/в (капельном) введении не следует растворять в белоксодержащих инфузионных растворах.
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свойства","slug":"pharmacologic_effects","body":[{"type":"paragraph","data":{"text":"Азоксимера бромид обладает комплексным действием: иммуномодулирующим, детоксицирующим, антиоксидантным, умеренным противовоспалительным."}},{"type":"paragraph","data":{"text":"Основным механизмом иммуномодулирующего действия азоксимера бромида является прямое воздействие на фагоцитирующие клетки и естественные киллеры, а также стимуляция антителообразования, синтеза интерферона-альфа и интерферона-гамма."}},{"type":"paragraph","data":{"text":"Детоксикационные и антиоксидантные свойства азоксимера бромида во многом определяются структурой и высокомолекулярной природой препарата. Азоксимера бромид увеличивает резистентность организма в отношении локальных и генерализованных инфекций бактериальной, грибковой и вирусной этиологии. Восстанавливает иммунитет при вторичных иммунодефицитных состояниях, вызванных различными инфекциями, травмами, осложнениями после хирургических операций, ожогами, аутоиммунными заболеваниями, злокачественными новообразованиями, применением химиотерапевтических средств, цитостатиков, стероидных гормонов."}},{"type":"paragraph","data":{"text":"Характерной особенностью азоксимера бромида при местном (интраназальном, сублингвальном) применении является способность активировать факторы ранней защиты организма от инфекции: препарат стимулирует бактерицидные свойства нейтрофилов, макрофагов, усиливает их способность поглощать бактерии, повышает бактерицидные свойства слюны и секрета слизистых верхних дыхательных путей."}},{"type":"paragraph","data":{"text":"Азоксимера бромид блокирует растворимые токсические вещества и микрочастицы, обладает способностью выводить из организма токсины, соли тяжелых металлов, ингибирует перекисное окисление липидов, как за счет перехвата свободных радикалов, так и посредством элиминации каталитически активных ионов Fe\u003csup\u003e2+\u003c/sup\u003e."}},{"type":"paragraph","data":{"text":"Азоксимера бромид снижает воспалительную реакцию посредством нормализации синтеза про- и противовоспалительных цитокинов."}},{"type":"paragraph","data":{"text":"Азоксимера бромид хорошо переносится, не обладает митогенной, поликлональной активностью, антигенными свойствами, не оказывает аллергизирующего, мутагенного, эмбриотоксического, тератогенного и канцерогенного действия."}},{"type":"paragraph","data":{"text":"Азоксимера бромид не имеет запаха и вкуса, не обладает местным раздражающим действием при нанесении на слизистые оболочки носа и ротоглотки."}},{"type":"header","data":{"text":"Фармакокинетика","level":4}},{"type":"paragraph","data":{"text":"Азоксимера бромид характеризуется быстрым всасыванием и высокой скоростью распределения в организме. Максимальная концентрация препарата в крови при внутримышечном (в/м) введении достигается через 40 минут. Период полувыведения для разного возраста от 36 до 65 часов. Биодоступность препарата высокая: более 90% при парентеральном введении."}},{"type":"paragraph","data":{"text":"Азоксимера бромид быстро распределяется по всем органам и тканям организма, проникает через гематоэнцефалический и гематоофтальмический барьеры. Кумулятивный эффект отсутствует. В организме азоксимера бромид подвергается биодеструкции до низкомолекулярных олигомеров, выводится преимущественно почками, с фекалиями — не более 3%."}}]},{"id":8,"name":"Показания к применению","slug":"indications","body":[{"type":"paragraph","data":{"text":"Лечение и профилактика инфекционно-воспалительных заболеваний (вирусной, бактериальной и грибковой этиологии) в стадии обострения и ремиссии у взрослых и детей с 6 месяцев."}},{"type":"paragraph","data":{"text":"Лечение взрослых (в комплексной терапии) при следующих заболеваниях и состояниях:"}},{"type":"paragraph","data":{"text":"хронические рецидивирующие инфекционно-воспалительные заболевания различной локализации, бактериальной, вирусной и грибковой этиологии в стадии обострения;"}},{"type":"paragraph","data":{"text":"острые вирусные, бактериальные инфекции лор-органов, верхних и нижних дыхательных путей, гинекологические и урологические заболевания;"}},{"type":"paragraph","data":{"text":"острые и хронические аллергические заболевания (в т.ч. поллиноз, бронхиальная астма, атопический дерматит), осложненные бактериальной, вирусной и грибковой инфекцией;"}},{"type":"paragraph","data":{"text":"злокачественные опухоли, в т.ч. после химио- и лучевой терапии для снижения иммуносупрессивного, нефро- и гепатотоксического действия лекарственных препаратов;"}},{"type":"paragraph","data":{"text":"генерализованные формы хирургических инфекций;"}},{"type":"paragraph","data":{"text":"для активации регенераторных процессов (переломы, ожоги, трофические язвы);"}},{"type":"paragraph","data":{"text":"ревматоидный артрит, осложненный бактериальной, вирусной и грибковой инфекцией, на фоне длительного приема иммунодепрессантов;"}},{"type":"paragraph","data":{"text":"туберкулез легких."}},{"type":"paragraph","data":{"text":"Лечение детей старше 6 месяцев (в комплексной терапии) при следующих заболеваниях и состояниях:"}},{"type":"paragraph","data":{"text":"острые и обострения хронических воспалительных заболеваний любой локализации (в т.ч. лор-органов — синусит, ринит, аденоидит, гипертрофия глоточной миндалины, ОРВИ), вызванные возбудителями бактериальных, вирусных, грибковых инфекций;"}},{"type":"paragraph","data":{"text":"острые аллергические и токсико-аллергические состояния, осложненные бактериальной, вирусной и грибковой инфекцией;"}},{"type":"paragraph","data":{"text":"бронхиальная астма, осложненная хроническими инфекциями респираторного тракта;"}},{"type":"paragraph","data":{"text":"атопический дерматит, осложненный гнойной инфекцией;"}},{"type":"paragraph","data":{"text":"дисбактериоз кишечника (в сочетании со специфической терапией)."}},{"type":"paragraph","data":{"text":"Профилактика (монотерапия) у детей старше 6 месяцев и взрослых следующих заболеваний и состояний:"}},{"type":"paragraph","data":{"text":"грипп и ОРВИ;"}},{"type":"paragraph","data":{"text":"послеоперационные инфекционные осложнения."}}]},{"id":9,"name":"Противопоказания","slug":"contraindications","body":[{"type":"paragraph","data":{"text":"повышенная индивидуальная чувствительность;"}},{"type":"paragraph","data":{"text":"беременность;"}},{"type":"paragraph","data":{"text":"период грудного вскармливания;"}},{"type":"paragraph","data":{"text":"детский возраст до 6 месяцев;"}},{"type":"paragraph","data":{"text":"острая почечная недостаточность."}}]},{"id":10,"name":"С осторожностью","slug":"cautions","body":[{"type":"paragraph","data":{"text":"хроническая почечная недостаточность (применяют не чаще 2 раз в неделю)."}}]},{"id":11,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","body":[{"type":"paragraph","data":{"text":"Противопоказано применение препарата Полиоксидоний\u003csup\u003e®\u003c/sup\u003e у беременных и женщин в период грудного вскармливания (клинический опыт применения отсутствует)."}},{"type":"paragraph","data":{"text":"При экспериментальном изучении препарата Полиоксидоний\u003csup\u003e®\u003c/sup\u003e у животных не выявлено влияния на генеративную функцию (фертильность) самцов и самок, эмбриотоксического и тератогенного действия, влияния на развитие плода, как при введении препарата в период всей беременности, так и в период лактации."}}]},{"id":12,"name":"Способ применения и дозы","slug":"dosage","body":[{"type":"paragraph","data":{"text":"Для в/м введения препарат Полиоксидоний\u003csup\u003e®\u003c/sup\u003e 3 мг растворяют в 1 мл (дозу 6 мг в 2 мл) воды для инъекций или 0,9% раствора натрия хлорида. После внесения растворителя препарат оставляют на 2–3 минуты для набухания, затем перемешивают вращательными движениями, не встряхивая."}},{"type":"paragraph","data":{"text":"Для в/в капельного введения препарат Полиоксидоний\u003csup\u003e®\u003c/sup\u003e растворяют в 2 мл стерильного 0,9% раствора натрия хлорида. После внесения растворителя препарат оставляют на 2–3 минуты для набухания, затем вращательными движениями перемешивают. Рассчитанную для пациента дозу стерильно переносят во флакон/пакет с 0,9% раствором натрия хлорида."}},{"type":"paragraph","data":{"text":"Приготовленный раствор для парентерального введения хранению не подлежит."}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"При применении препарата Полиоксидоний\u003csup\u003e®\u003c/sup\u003e встречались следующие общие и местные реакции:"}},{"type":"paragraph","data":{"text":"- при парентеральном введении: нечасто (≥1/1000 до <1/100) — болезненность, покраснение и уплотнение кожи в месте введения."}},{"type":"paragraph","data":{"text":"- при парентеральном введении и местном применении: очень редко (≥1/10000) — повышение температуры тела, легкое беспокойство, озноб, гиперчувствительность к компонентам препарата (аллергические реакции)."}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"Азоксимера бромид не ингибирует изоферменты CYP1A2, CYP2С9, CYP2D9, CYP2D6 цитохрома Р450, поэтому препарат совместим со многими лекарственными средствами, в т.ч. антибиотиками, противовирусными, противогрибковыми и антигистаминными препаратами, глюкокортикостероидами и цитостатиками."}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"При развитии аллергической реакции в случае гиперчувствительности к компонентам препарата следует прекратить применение препарата Полиокидоний\u003csup\u003e®\u003c/sup\u003e и обратиться к врачу."}},{"type":"paragraph","data":{"text":"При необходимости прекращения приема препарата Полиокидоний\u003csup\u003e®\u003c/sup\u003e отмену можно осуществить сразу, без постепенного уменьшения дозы."}},{"type":"paragraph","data":{"text":"В случае пропуска введения очередной дозы препарата последующее его применение следует проводить в обычном режиме, как указано в инструкции или рекомендовано врачом. Пациент не должен вводить удвоенную дозу с целью компенсации пропущенных доз."}},{"type":"paragraph","data":{"text":"Не следует использовать препарат при наличии визуальных признаков его непригодности (дефект упаковки, изменение цвета порошка)."}},{"type":"paragraph","data":{"text":"При болезненности в месте инъекции препарат растворяют в 1 мл 0,5% раствора прокаина (новокаина) в случае отсутствия у больного повышенной индивидуальной чувствительности на прокаин (новокаин). При в/в (капельном) введении не следует растворять в белоксодержащих инфузионных растворах."}}]}],"source":null},"description_toggle":false,"short_description":"Азоксимера бромид обладает комплексным действием: иммуномодулирующим, детоксицирующим, антиоксидантным, умеренным противовоспалительным. Основным механизмом иммуномодулирующего действия азоксимера бромида является прямое воздействие на фагоцитирующие клетки и естественные киллеры, а также стимуляция антителообразования, синтеза интерферона-альфа и интерферона-гамма. Детоксикационные и антиоксидантные свойства азоксимера бромида во многом определяются структурой и высокомолекулярной природой препарата. Азоксимера бромид увеличивает резистентность организма в отношении локальных и генерализованных инфекций бактериальной, грибковой и вирусной этиологии. Восстанавливает иммунитет при вторичных иммунодефицитных состояниях, вызванных различными инфекциями, травмами, осложнениями после хирургических операций, ожогами, аутоиммунными заболеваниями, злокачественными новообразованиями, применением химиотерапевтических средств, цитостатиков, стероидных гормонов. Характерной особенностью азоксимера бромида при местном (интраназальном, сублингвальном) применении является способность активировать факторы ранней защиты организма от инфекции: препарат стимулирует бактерицидные свойства нейтрофилов, макрофагов, усиливает их способность поглощать бактерии, повышает бактерицидные свойства слюны и секрета слизистых верхних дыхательных путей. Азоксимера бромид блокирует растворимые токсические вещества и микрочастицы, обладает способностью выводить из организма токсины, соли тяжелых металлов, ингибирует перекисное окисление липидов, как за счет перехвата свободных радикалов, так и посредством элиминации каталитически активных ионов Fe2+. Азоксимера бромид снижает воспалительную реакцию посредством нормализации синтеза про- и противовоспалительных цитокинов. Азоксимера бромид хорошо переносится, не обладает митогенной, поликлональной активностью, антигенными свойствами, не оказывает аллергизирующего, мутагенного, эмбриотоксического, тератогенного и канцерогенного действия. Азоксимера бромид не имеет запаха и вкуса, не обладает местным раздражающим действием при нанесении на слизистые оболочки носа и ротоглотки. Азоксимера бромид характеризуется быстрым всасыванием и высокой скоростью распределения в организме. Максимальная концентрация препарата в крови при внутримышечном (в/м) введении достигается через 40 минут. Период полувыведения для разного возраста от 36 до 65 часов. Биодоступность препарата высокая: более 90% при парентеральном введении. Азоксимера бромид быстро распределяется по всем органам и тканям организма, проникает через гематоэнцефалический и гематоофтальмический барьеры. Кумулятивный эффект отсутствует. 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