● токсическая аденома щитовидной железы,
узловой зоб при применении в дозах более 300 мкг/сут (за исключением
предоперационной терапии с целью блокады щитовидной железы);
круглые плоскоцилиндрические таблетки белого или почти белого цвета, с фаской и риской с одной стороны.
Фармакотерапевтическая группа
тироксина синтеза регулятор – йода препарат
Фармакологические свойства
Йод – жизненно важный
микроэлемент, обеспечивающий нормальную работу щитовидной железы, гормоны
которой выполняют множество жизненно важных функций. Они отвечают за обмен
белков, жиров, углеводов и энергии в организме, регулируют деятельность
головного мозга, нервной и сердечно-сосудистой систем, половых и молочных
желез, а также рост и развитие ребенка.
Особенно опасен дефицит
йода для детей, подростков, беременных и кормящих женщин.
Йодомарин® 200
восполняет дефицит йода в организме, препятствуя развитию йоддефицитных
заболеваний и способствуя нормализации функции щитовидной железы, нарушенной
дефицитом йода.
Показания к применению
● профилактика эндемического зоба
(особенно у детей, подростков, беременных и кормящих женщин);
● профилактика рецидива зоба после его
хирургического удаления или после окончания медикаментозного лечения
препаратами гормонов щитовидной железы;
●
лечение
диффузного эутиреоидного зоба, вызванного дефицитом йода у детей, подростков и
у взрослых до 40 лет.
Противопоказания
● гипертиреоз;
● повышенная чувствительность к йоду;
● токсическая аденома щитовидной железы,
узловой зоб при применении в дозах более 300 мкг/сут (за исключением
предоперационной терапии с целью блокады щитовидной железы);
●
герпетиформный
(старческий) дерматит Дюринга.
Препарат не следует
применять при гипотиреозе, за исключением тех случаев, когда развитие
последнего вызвано выраженным дефицитом йода.
Назначение препарата
следует избегать при терапии радиоактивным йодом, наличии или при подозрении на
рак щитовидной железы.
Применение при беременности и в период грудного вскармливания
При беременности и
лактации потребность в йоде возрастает, поэтому особенно важным является
применение в достаточных дозах (200 мкг/сут) для обеспечения адекватного
поступления йода в организм.
Препарат проникает через
плаценту и выделяется с грудным молоком, поэтому применение препарата при
беременности и лактации возможно только в рекомендуемых дозах.
Способ применения и дозы
Профилактика
эндемического зоба
Дети (с 1 года до 12 лет):
½ таблетки Йодомарина® 200 в сутки (что
соответствует 100 мкг йода).
Дети старше 12 лет и взрослые:
½ - 1 таблетка Йодомарина® 200 в сутки (что
соответствует 100-200 мкг йода).
Период беременности и лактации:
1 таблетка Йодомарина® 200 в сутки (что
соответствует 200 мкг йода).
Профилактика рецидива
зоба
½ - 1 таблетка Йодомарина® 200 в сутки (что
соответствует 100-200 мкг йода).
Лечение эутиреоидного
зоба
Дети (с 1года до 18 лет)
½ - 1 таблетки Йодомарина® 200 в сутки (что
соответствует 100-200 мкг йода).
Препарат принимают после
еды, запивая достаточным количеством жидкости.
Детям рекомендуется
предварительно растворить препарат в молоке или соке.
Профилактический прием
проводится в течение нескольких лет, при наличии показаний - пожизненно.
Для лечения зоба у
новорожденных в среднем достаточно 2-4-х недель, у детей, подростков и взрослых
обычно требуется 6-12 месяцев, возможен длительный прием.
Продолжительность лечения
устанавливается лечащим врачом.
Побочное действие
При профилактическом
применении в любом возрасте, а также при лечении эутиреоидного зоба у
новорожденных, детей и подростков побочных действий, как правило, не
наблюдается. В редких случаях постоянный прием препарата может привести к
развитию «йодизма», который может проявляться металлическим привкусом во рту,
отечностью и воспалением слизистых оболочек (насморк, конъюнктивит, бронхит),
«йодной лихорадкой», «йодными угрями». Крайне редко возможно развитие отека
Квинке, эксфолиативного дерматита. При применении препарата в дозе, превышающей
150 мкг/сут, скрытый гипертиреоз может перейти в манифестную форму. При
длительном применении препарата в дозе, превышающей 300 мкг/сут, возможно
развитие йод-индуцированного тиреотоксикоза (особенно у пожилых пациентов, страдающих
зобом в течение длительного времени, при наличии узлового или диффузного
токсического зоба).
Передозировка
Симптомы: окрашивание слизистых оболочек в коричневый цвет, рефлекторная рвота
(при наличии в пище крахмалсодержащих компонентов рвотные массы приобретают
синюю окраску), боли в животе и диарея (возможно, мелена). В тяжелых случаях
возможно развитие дегидратации и шока. В редких случаях имели место стенозы
пищевода, появление феномена «йодизма» (см.
Побочное действие).
Лечение при острой интоксикации: промывание желудка раствором
крахмала, белка или 5 % раствором натрия тиосульфата до удаления всех следов
йода. Симптоматическая терапия нарушения водного баланса, электролитного
баланса, противошоковая терапия.
Лечение при хронической интоксикации: отмена препарата.
Лечение йод-индуцированного гипотиреоза: отмена препарата, нормализация обмена
веществ с помощью гормонов щитовидной железы.
Лечение йод-индуцированного тиреотоксикоза: при мягких формах лечения не
требуется; при выраженных формах требуется проведение тиреостатической терапии
(эффект которой всегда отсрочен). В тяжелейших случаях (тиреотоксический криз)
необходимо проведение интенсивной терапии, плазмафереза или тиреоидэктомии.
Взаимодействие с другими лекарственными средствами
Дефицит йода повышает, а
избыток йода понижает эффективность терапии гипертиреоза тиреостатическими
средствами. В этой связи перед или во время лечения гипертиреоза рекомендуется,
по возможности, избегать любого приема йода. С другой стороны, тиреостатические
средства тормозят переход йода в органическое соединение в щитовидной железе и,
таким образом, могут вызывать образование зоба.
Одновременное лечение
высокими дозами йода и солями лития может способствовать возникновению зоба и
гипотиреоза. Высокие дозы препарата в сочетании с калийсберегающими диуретиками
могут приводить к гиперкалиемии.
Влияние на способность управлять автомобилем и движущимися механизмами
Йодомарин® 200 не влияет на способность к вождению автотранспорта и управлению механизмами.
Форма выпуска
Таблетки 200 мкг. По 25
таблеток в контурных ячейковых упаковках (блистерах) [непрозрачная ПВХ-пленка /
фольга алюминиевая]. По 2 или 4 блистера вместе с инструкцией по применению в
картонной пачке.
Условия хранения
В сухом, защищенном от
света месте при температуре не выше 25 С.
Хранить в недоступном для
детей месте!
Срок годности
3 года.
Не применять после
истечения срока годности.
Условия отпуска
Без рецепта.
Производитель
Берлин-Хеми АГ
Глиникер Вег, 83
12347, Берлин, Германия
или
Менарини-Фон Хейден ГмбХ,
Лейпцигер Штрассе, 7-13,
01097, Дрезден, Германия
Организация, принимающая претензии потребителей
123317, г. Москва,
Пресненская набережная, дом 10, БЦ «Башня на Набережной», Блок Б, тел. (495)
785-01-00, факс (495) 785-01-01
Для описания товара использована информация от партнера 36.6
Мобильное приложение «Все аптеки»
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препарата","slug":"","body":[{"type":"paragraph","data":{"text":"Йодомарин\u003csup\u003e®\u003c/sup\u003e 200 "}}]},{"id":11,"name":"Лекарственная форма","slug":"","body":[{"type":"paragraph","data":{"text":"таблетки"}}]},{"id":1,"name":"Состав","slug":"ingredients","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"\u003cb\u003eна 1 таблетку\u003c/b\u003e"}},{"type":"paragraph","data":{"text":"\u003ci\u003eДействующее вещество:\u003c/i\u003e калия йодид – 0,262 мг (что соответствует 0,2 мг йода)."}},{"type":"paragraph","data":{"text":"\u003ci\u003eВспомогательные вещества:\u003c/i\u003e лактозы моногидрат – 150,238 мг, магния карбонат\nосновной – 56,500 мг, желатин – 8,000 мг, карбоксиметилкрахмала натриевая соль\n(тип А) – 9,500 мг, кремния диоксид коллоидный – 3,500 мг, магния стеарат –\n2,000 мг."}}]},{"id":12,"name":"Описание","slug":"common_description","body":[{"type":"paragraph","data":{"text":"круглые плоскоцилиндрические таблетки белого или почти белого цвета, с фаской и риской с одной стороны."}}]},{"id":13,"name":"Фармакотерапевтическая группа","slug":"","body":[{"type":"paragraph","data":{"text":"тироксина синтеза регулятор – йода препарат"}}]},{"id":2,"name":"Фармакологические свойства","slug":"pharmacologic_effects","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Йод – жизненно важный\nмикроэлемент, обеспечивающий нормальную работу щитовидной железы, гормоны\nкоторой выполняют множество жизненно важных функций. Они отвечают за обмен\nбелков, жиров, углеводов и энергии в организме, регулируют деятельность\nголовного мозга, нервной и сердечно-сосудистой систем, половых и молочных\nжелез, а также рост и развитие ребенка."}},{"type":"paragraph","data":{"text":"Особенно опасен дефицит\nйода для детей, подростков, беременных и кормящих женщин."}},{"type":"paragraph","data":{"text":"Йодомарин\u003csup\u003e®\u003c/sup\u003e 200\nвосполняет дефицит йода в организме, препятствуя развитию йоддефицитных\nзаболеваний и способствуя нормализации функции щитовидной железы, нарушенной\nдефицитом йода."}}]},{"id":3,"name":"Показания к применению","slug":"indications","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"● профилактика эндемического зоба\n(особенно у детей, подростков, беременных и кормящих женщин);"}},{"type":"paragraph","data":{"text":"● профилактика рецидива зоба после его\nхирургического удаления или после окончания медикаментозного лечения\nпрепаратами гормонов щитовидной железы;"}},{"type":"paragraph","data":{"text":"● \nлечение\nдиффузного эутиреоидного зоба, вызванного дефицитом йода у детей, подростков и\nу взрослых до 40 лет."}}]},{"id":4,"name":"Противопоказания","slug":"contraindications","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"● гипертиреоз;"}},{"type":"paragraph","data":{"text":"● повышенная чувствительность к йоду;"}},{"type":"paragraph","data":{"text":"● токсическая аденома щитовидной железы,\nузловой зоб при применении в дозах более 300 мкг/сут (за исключением\nпредоперационной терапии с целью блокады щитовидной железы);"}},{"type":"paragraph","data":{"text":"● \nгерпетиформный\n(старческий) дерматит Дюринга."}},{"type":"paragraph","data":{"text":"Препарат не следует\nприменять при гипотиреозе, за исключением тех случаев, когда развитие\nпоследнего вызвано выраженным дефицитом йода."}},{"type":"paragraph","data":{"text":"Назначение препарата\nследует избегать при терапии радиоактивным йодом, наличии или при подозрении на\nрак щитовидной железы."}}]},{"id":5,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"При беременности и\nлактации потребность в йоде возрастает, поэтому особенно важным является\nприменение в достаточных дозах (200 мкг/сут) для обеспечения адекватного\nпоступления йода в организм."}},{"type":"paragraph","data":{"text":"Препарат проникает через\nплаценту и выделяется с грудным молоком, поэтому применение препарата при\nбеременности и лактации возможно только в рекомендуемых дозах."}}]},{"id":6,"name":"Способ применения и дозы","slug":"dosage","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"\u003cb\u003e\u003ci\u003eПрофилактика\nэндемического зоба\u003c/i\u003e\u003c/b\u003e"}},{"type":"paragraph","data":{"text":"\u003cb\u003eДети (с 1 года до 12 лет):\u003c/b\u003e"}},{"type":"paragraph","data":{"text":"½ таблетки \u003cb\u003eЙодомарина\u003csup\u003e®\u003c/sup\u003e 200\u003c/b\u003e в сутки (что\nсоответствует 100 мкг йода)."}},{"type":"paragraph","data":{"text":"\u003ci\u003eДети старше 12 лет и взрослые:\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"½ - 1 таблетка \u003cb\u003eЙодомарина\u003csup\u003e®\u003c/sup\u003e 200\u003c/b\u003e в сутки (что\nсоответствует 100-200 мкг йода)."}},{"type":"paragraph","data":{"text":"\u003ci\u003eПериод беременности и лактации:\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"1 таблетка \u003cb\u003eЙодомарина\u003csup\u003e®\u003c/sup\u003e 200\u003c/b\u003e в сутки (что\nсоответствует 200 мкг йода)."}},{"type":"paragraph","data":{"text":"\u003cb\u003e\u003ci\u003eПрофилактика рецидива\nзоба\u003c/i\u003e\u003c/b\u003e"}},{"type":"paragraph","data":{"text":"½ - 1 таблетка \u003cb\u003eЙодомарина\u003csup\u003e®\u003c/sup\u003e 200\u003c/b\u003e в сутки (что\nсоответствует 100-200 мкг йода)."}},{"type":"paragraph","data":{"text":"\u003cb\u003e\u003ci\u003eЛечение эутиреоидного\nзоба\u003c/i\u003e\u003c/b\u003e"}},{"type":"paragraph","data":{"text":"\u003cb\u003eДети (с 1года до 18 лет)\u003c/b\u003e"}},{"type":"paragraph","data":{"text":"½ - 1 таблетки \u003cb\u003eЙодомарина\u003csup\u003e®\u003c/sup\u003e 200\u003c/b\u003e в сутки (что\nсоответствует 100-200 мкг йода)."}},{"type":"paragraph","data":{"text":"\u003ci\u003eВзрослые до 40 лет:\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"1½ - 2½ таблеток \u003cb\u003eЙодомарина\u003csup\u003e®\u003c/sup\u003e 200\u003c/b\u003e (что\nсоответствует 300-500 мкг йода)."}},{"type":"paragraph","data":{"text":"Препарат принимают после\nеды, запивая достаточным количеством жидкости."}},{"type":"paragraph","data":{"text":"Детям рекомендуется\nпредварительно растворить препарат в молоке или соке."}},{"type":"paragraph","data":{"text":"Профилактический прием\nпроводится в течение нескольких лет, при наличии показаний - пожизненно."}},{"type":"paragraph","data":{"text":"Для лечения зоба у\nноворожденных в среднем достаточно 2-4-х недель, у детей, подростков и взрослых\nобычно требуется 6-12 месяцев, возможен длительный прием."}},{"type":"paragraph","data":{"text":"Продолжительность лечения\nустанавливается лечащим врачом."}}]},{"id":7,"name":"Побочное действие","slug":"side_effects","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"При профилактическом\nприменении в любом возрасте, а также при лечении эутиреоидного зоба у\nноворожденных, детей и подростков побочных действий, как правило, не\nнаблюдается. В редких случаях постоянный прием препарата может привести к\nразвитию «йодизма», который может проявляться металлическим привкусом во рту,\nотечностью и воспалением слизистых оболочек (насморк, конъюнктивит, бронхит),\n«йодной лихорадкой», «йодными угрями». Крайне редко возможно развитие отека\nКвинке, эксфолиативного дерматита. При применении препарата в дозе, превышающей\n150 мкг/сут, скрытый гипертиреоз может перейти в манифестную форму. При\nдлительном применении препарата в дозе, превышающей 300 мкг/сут, возможно\nразвитие йод-индуцированного тиреотоксикоза (особенно у пожилых пациентов, страдающих\nзобом в течение длительного времени, при наличии узлового или диффузного\nтоксического зоба)."}}]},{"id":8,"name":"Передозировка","slug":"overdose","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"\u003ci\u003eСимптомы:\u003c/i\u003e окрашивание слизистых оболочек в коричневый цвет, рефлекторная рвота\n(при наличии в пище крахмалсодержащих компонентов рвотные массы приобретают\nсинюю окраску), боли в животе и диарея (возможно, мелена). В тяжелых случаях\nвозможно развитие дегидратации и шока. В редких случаях имели место стенозы\nпищевода, появление феномена «йодизма» \u003ci\u003e(см.\nПобочное действие)\u003c/i\u003e."}},{"type":"paragraph","data":{"text":"\u003ci\u003eЛечение при острой интоксикации:\u003c/i\u003e промывание желудка раствором\nкрахмала, белка или 5 % раствором натрия тиосульфата до удаления всех следов\nйода. Симптоматическая терапия нарушения водного баланса, электролитного\nбаланса, противошоковая терапия."}},{"type":"paragraph","data":{"text":"\u003ci\u003eЛечение при хронической интоксикации:\u003c/i\u003e отмена препарата."}},{"type":"paragraph","data":{"text":"\u003ci\u003eЛечение йод-индуцированного гипотиреоза:\u003c/i\u003e отмена препарата, нормализация обмена\nвеществ с помощью гормонов щитовидной железы."}},{"type":"paragraph","data":{"text":"\u003ci\u003eЛечение йод-индуцированного тиреотоксикоза:\u003c/i\u003e при мягких формах лечения не\nтребуется; при выраженных формах требуется проведение тиреостатической терапии\n(эффект которой всегда отсрочен). В тяжелейших случаях (тиреотоксический криз)\nнеобходимо проведение интенсивной терапии, плазмафереза или тиреоидэктомии."}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"Дефицит йода повышает, а\nизбыток йода понижает эффективность терапии гипертиреоза тиреостатическими\nсредствами. В этой связи перед или во время лечения гипертиреоза рекомендуется,\nпо возможности, избегать любого приема йода. С другой стороны, тиреостатические\nсредства тормозят переход йода в органическое соединение в щитовидной железе и,\nтаким образом, могут вызывать образование зоба."}},{"type":"paragraph","data":{"text":"Одновременное лечение\nвысокими дозами йода и солями лития может способствовать возникновению зоба и\nгипотиреоза. Высокие дозы препарата в сочетании с калийсберегающими диуретиками\nмогут приводить к гиперкалиемии."}}]},{"id":16,"name":"Влияние на способность управлять автомобилем и движущимися механизмами","slug":"","body":[{"type":"paragraph","data":{"text":"\u003cb\u003eЙодомарин\u003csup\u003e®\u003c/sup\u003e 200\u003c/b\u003e не влияет на способность к вождению автотранспорта и управлению механизмами. "}}]},{"id":17,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"Таблетки 200 мкг. По 25\nтаблеток в контурных ячейковых упаковках (блистерах) [непрозрачная ПВХ-пленка /\nфольга алюминиевая]. По 2 или 4 блистера вместе с инструкцией по применению в\nкартонной пачке."}}]},{"id":18,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"В сухом, защищенном от\nсвета месте при температуре не выше 25 С."}},{"type":"paragraph","data":{"text":"Хранить в недоступном для\nдетей месте!"}}]},{"id":19,"name":"Срок годности","slug":"expiry_date","body":[{"type":"paragraph","data":{"text":"3 года."}},{"type":"paragraph","data":{"text":"Не применять после\nистечения срока годности."}}]},{"id":20,"name":"Условия отпуска","slug":"release_condition","body":[{"type":"paragraph","data":{"text":"Без рецепта."}}]},{"id":21,"name":"Производитель","slug":"","body":[{"type":"paragraph","data":{"text":"Берлин-Хеми АГ"}},{"type":"paragraph","data":{"text":"Глиникер Вег, 83"}},{"type":"paragraph","data":{"text":"12347, Берлин, Германия"}},{"type":"paragraph","data":{"text":"или"}},{"type":"paragraph","data":{"text":"Менарини-Фон Хейден ГмбХ,"}},{"type":"paragraph","data":{"text":"Лейпцигер Штрассе, 7-13,"}},{"type":"paragraph","data":{"text":"01097, Дрезден, Германия"}}]},{"id":22,"name":"Организация, принимающая претензии потребителей","body":[{"type":"paragraph","data":{"text":"123317, г. 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