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Market
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Пироксикам капсулы 20мг 20шт
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Пироксикам капсулы 20мг 20шт

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Рецептурный препарат
Тип препарата
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Нет в продаже у продавца
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Пироксикам капс.
Пироксикам капсулы 20мг 20шт
Задать вопрос
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Нет в продаже
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ЗдравСити - сервис заказа и выдачи лекарств
Магазин•4.8 163.9K оценок
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Инструкция
Артикул Market
103544174677
Бренд
Sopharma AD
Тип препарата
лекарственный препарат
Рецептурный препарат
да
Органы и системы
опорно-двигательная система
Назначение
боль в мышцах, боль в суставах, первичная дисменорея
Показания к применению
Заболевания опорно-двигательного аппарата: ревматоидный артрит, остеоартроз, спондилиты, ишиас, подагра, тендовагиниты, бурситы, болезнь Бехтерева (спондилоартрит анкилозирующий), боли в позвоночнике, невралгия, миалгия, посттравматические боли и воспаление мягких тканей; первичная дисменорея. Препарат предназначен для симптоматической терапии, уменьшает боль и воспаление на момент использования, на прогрессирование заболевания не влияет.
Противопоказания
В период после проведения аортокоронарного шунтирования; III триместр беременности, период грудного вскармливания; некомпенсированная сердечная недостаточность; гиперчувствительность к активному веществу или вспомогательным компонентам; анамнестические данные о приступе бронхообструкции, ринита, крапивницы после приема ацетилсалициловой кислоты или иного НПВП (полный или неполный синдром непереносимости ацетилсалициловой кислоты - риносинусит, крапивница, полипы слизистой носа, бронхиальная астма); эрозивно-язвенные изменения слизистой желудка или 12-перстной кишки, активное желудочно-кишечное кровотечение; воспалительные заболевания кишечника; цереброваскулярное кровотечение или иные кровотечения; выраженная печеночная недостаточность или активное заболевание печени; выраженная почечная недостаточность (клиренс креатинина менее 30 мл/мин), прогрессирующие заболевания почек. детский возраст до 18 лет.
Состав
Активное вещество: пироксикам 20 мг.Вспомогательные вещества (капсула 20 мг): микрокристаллическая целлюлоза (0,0100 г/0,0200 г), пшеничный крахмал, (0,0140 г/0,0290 г) глицин (0,0075 г/0,0150 г), кремния , диоксид коллоидный (0,0010 г/0,0015 г), тальк (0,0015 г/0,0025 г), магния стеарат (0,0010 г/0,0020 г).Состав оболочки капсулы: желатин, титана диоксид, оксид железа желтый (капсулы 20 мг), sunset желтый (капсулы 20мг).
Действующее вещество
Пироксикам
Способ применения и дозы
Длительность лечения и применяемую дозу назначает лечащий врач.Препарат принимают внутрь во время еды.При заболеваниях костно-мышечной системы или заболеваниях суставов (ревматоидный артрит, остеоартроз, спондилиты) принимается 10-20 мг в сутки за 1 или 2 приема. При необходимости можно временно повысить дозу до 30 мг в сутки, однократно или в делимых дозах или снизить до 10 мг в сутки.При острых заболеваниях костно-мышечной системы первые два дня принимают по 40 мг в сутки однократно или в несколько приемов, а затем в течение 1-2 недель 20 мг в сутки.При остром приступе подагры принимают по 40 мг в течение 3-5 суток.Нельзя превышать рекомендованные суточные дозы, так как это увеличивает опасность возникновения побочных действий.При дисменорее лечение необходимо начинать при появлении первых симптомов в начальной дозе 40 мг/сут в 1 или несколько приемов течение 2 дней. В последующие 1- 3 дня - по 20 мг в 1 прием.При посттравматических болях начальная доза составляет 20 мг 1 раз в сутки. В некоторых случаях можно повысить дозу в первые 2 дня - по 40 мг однократно или в делимых дозах.Максимальная суточная доза для взрослых не должна превышать 40 мг.
Побочные действия
Наиболее часто проявляются со стороны органов пищеварения: боли в эпигастральной области, отрыжка, тошнота, снижение аппетита, рвота, запоры или диарея, метеоризм, эрозивно-язвенные поражения желудочно-кишечного тракта, кровотечения органов желудочно-кишечного тракта, которые в исключительных случаях могут обусловить анемию, и перфорация органов желудочно-кишечного тракта; сухость во рту, стоматит, нарушения функции печени, повышение активности "печеночных" трансаминаз, повышение концентрации азота в плазме.Мочевыделительная система: нарушение функции почек, интерстициальный нефрит, папиллярный некроз, нефротический синдром, эритроцитурия, протеинурия, гиперкалиемия, гломерулонефрит, нефроз, повышение концентрации мочевины и креатинина в плазме.Центральная нервная система: головокружение, головная боль, шум в ушах, сонливость, реже - депрессия, бессонница, раздражительность, галлюцинации, парестезии, заторможенность, изменение настроения.Системы кроветворения и гемостаза: анемия, в том числе апластическая и гемолитическая, лейкопения, эозинофилия, снижение уровня гематокрита; редко - тромбоцитопения, кровоизлияния, тромбоцитопеническая пурпура (болезнь Шенлейн-Геноха).Сердечно-сосудистая система: повышение или снижение артериального давления, признаки сердечной недостаточности, редко - сердцебиение, одышка.Аллергические реакции: кожная сыпь, зуд, дерматит со слущиванием, многоформная эритема, синдром Лайелла, бронхоспазм, злокачественная экссудативная эритема (синдром Стивенса-Джонсона), анафилактический шок, фотосенсибилизация, васкулит, сывороточная болезнь, возможен ангионевротический отек.Прочие: нарушение зрения, гипер - и гипогликемия, отеки голеней и стоп, повышенное потоотделение, повышение или снижение массы тела.Частота приведенных выше нарушений возрастает с повышением суточной дозы препарата.
Фармакологическое действие
Нестероидный противовоспалительный препарат (НПВП), оказывает противовоспалительное, анальгезирующее, и жаропонижающее действие. Неселективно подавляет активность циклооксигеназы 1 и циклооксигеназы 2 (ЦОГ1 и ЦОГ2), угнетает синтез простагландинов в очаге воспаления и в центральной нервной системе, подавляет экссудативную и пролиферативную фазу воспаления. Тормозит агрегацию нейтрофилов и образование в них супероксидных анионов, миграцию полиморфноядерных клеток и моноцитов в очаг воспаления. Снижает высвобождение лизосомальных ферментов из стимулированных лейкоцитов. Уменьшает пирогенное влияние простагландинов на центр терморегуляции. Снижает выраженность болевого синдрома средней интенсивности, увеличивая порог чувствительности к биологическим аминам. Анальгетический эффект проявляется через 30 мин после перорального приема. После однократного приема действие сохраняется в течение 24 ч. При суставном синдроме ослабляет или купирует воспаление и боль в покое и при движении, уменьшает утреннюю скованность и припухлость суставов, способствует увеличению объема движений. При первичной дисменорее (являясь ингибитором синтеза простагландинов в эндометрии) ослабляет сокращения матки, предотвращая ее ишемию и купируя болевой синдром.
Фармакологическая группа
нестероидный противовоспалительный препарат (НПВП)
Форма выпуска
таблетки
Способ применения/введения
пероральный
Условия хранения
В сухом защищенном от света месте, при температуре не выше 25°С.Хранить препарат в недоступном для детей месте.
Передозировка
Симптомы: боль в животе, тошнота, рвота, сонливость, нарушение зрения, при приеме очень больших доз - потеря сознания, кома.Лечение: Промывание желудка с использованием активированного угля, для замедления всасывания применяются антациды. При тяжелом отравлении больного следует госпитализировать. Специфического антидота нет. Лечение симптоматическое.
Применение при беременности и кормлении грудью
Противопоказано в III триместр беременности и период грудного вскармливания.
Влияние на способность управлять транспортом и механизмами
В период лечения необходимо воздерживаться от занятий потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций.
Особые указания
Для предупреждения нежелательных эффектов препарат необходимо применять только по назначению врача в минимальной эффективной дозе, минимально возможным коротким курсом. Длительное применение препарата в дозах более 30 мг в день повышает риск возникновения побочных явлений (в первую очередь со стороны желудочно-кишечного тракта).Одновременное использование нескольких нестероидных противовоспалительных препаратов увеличивает опасность возникновения побочных эффектов, при этом лечебное действие не улучшается.Пациентам с нарушениями функции желудочно-кишечного тракта, после обширных хирургических вмешательств, в пожилом возрасте, больным бронхиальной астмой и хроническими бронхообструктивными заболеваниями в анамнезе, необходимо контролировать клеточный состав крови, функцию почек и печени.При возникновении пептической язвы или кровотечений из желудочно-кишечного тракта лечение следует прекратить, если применение препарата является абсолютно необходимым, то лечение проводят под наблюдением врача.При возникновении нарушений зрения необходима консультация специалиста.У женщин возможно снижение контрацептивного эффекта внутриматочной спирали из-за влияния пироксикама на тонус миометрия.Рекомендации по применению у детей в настоящее время не разработаны.Во время лечения следует исключить употребление этанола.
Взаимодействие
При одновременном применении Пироксикама и: глюкокортикостероидов и/или НПВП - повышается риск возникновения побочных эффектов со стороны желудочно-кишечного тракта, в том числе кровотечений; фенобарбитала - понижается уровень концентрации пироксикама в сыворотке крови; циметидина, пробенецида и сульфинпиразона - может повыситься уровень концентрации пироксикама в сыворотке крови, что ведет к усилению побочного действия пироксикама; фенитоина и/или лития, а также калийсберегающих диуретиков и донаторов К+ - может повыситься уровень концентрации в плазме фенитоина, лития и калия; диуретиков и гипотензивных средств - ослабляется действие последних; антикоагулянтов - необходимо проводить контроль свертываемости крови; ацетилсалициловой кислоты - понижается уровень концентрации пироксикама в сыворотке крови, повышается риск развития эрозивно-язвенных поражений ЖКТ; селективные ингибиторы обратного захвата серотонина (циталопрам, флуоксетин, пароксетин, сертралин) повышает риск развития эрозивно-язвенных поражений ЖКТ; метотрексата - может привести к повышению концентрации метотрексата и к усилению его токсического действия.
Регистрационный номер
П N012690/01
Дата государственной регистрации
16.05.2008
Бренд
Sopharma AD
Изготовитель
Sopharma
Фасовщик
Sopharma
Страна бренда
Болгария
Страна-производитель
Болгария
Название препарата
Пироксикам
Срок годности
1 г.
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Заболевания опорно-двигательного аппарата: ревматоидный артрит, остеоартроз, спондилиты, ишиас, подагра, тендовагиниты, бурситы, болезнь Бехтерева (спондилоартрит анкилозирующий), боли в позвоночнике, невралгия, миалгия, посттравматические боли и воспаление мягких тканей; первичная дисменорея. Препарат предназначен для симптоматической терапии, уменьшает боль и воспаление на момент использования, на прогрессирование заболевания не влияет.
В период после проведения аортокоронарного шунтирования;
III триместр беременности, период грудного вскармливания;
некомпенсированная сердечная недостаточность;
гиперчувствительность к активному веществу или вспомогательным компонентам;
анамнестические данные о приступе бронхообструкции, ринита, крапивницы после приема ацетилсалициловой кислоты или иного НПВП (полный или неполный синдром непереносимости ацетилсалициловой кислоты - риносинусит, крапивница, полипы слизистой носа, бронхиальная астма);
эрозивно-язвенные изменения слизистой желудка или 12-перстной кишки, активное желудочно-кишечное кровотечение;
воспалительные заболевания кишечника;
цереброваскулярное кровотечение или иные кровотечения;
выраженная печеночная недостаточность или активное заболевание печени;
выраженная почечная недостаточность (клиренс креатинина менее 30 мл/мин), прогрессирующие заболевания почек.
детский возраст до 18 лет.
Длительность лечения и применяемую дозу назначает лечащий врач.
Препарат принимают внутрь во время еды.
При заболеваниях костно-мышечной системы или заболеваниях суставов (ревматоидный артрит, остеоартроз, спондилиты) принимается 10-20 мг в сутки за 1 или 2 приема. При необходимости можно временно повысить дозу до 30 мг в сутки, однократно или в делимых дозах или снизить до 10 мг в сутки.
При острых заболеваниях костно-мышечной системы первые два дня принимают по 40 мг в сутки однократно или в несколько приемов, а затем в течение 1-2 недель 20 мг в сутки.
При остром приступе подагры принимают по 40 мг в течение 3-5 суток.
Нельзя превышать рекомендованные суточные дозы, так как это увеличивает опасность возникновения побочных действий.
При дисменорее лечение необходимо начинать при появлении первых симптомов в начальной дозе 40 мг/сут в 1 или несколько приемов течение 2 дней. В последующие 1- 3 дня - по 20 мг в 1 прием.
При посттравматических болях начальная доза составляет 20 мг 1 раз в сутки. В некоторых случаях можно повысить дозу в первые 2 дня - по 40 мг однократно или в делимых дозах.
Максимальная суточная доза для взрослых не должна превышать 40 мг.

Отзывы

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24 оценки•9 отзывов
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Достоинства:качество, эффект, цена
Недостатки:не обнаружила
Комментарий:Отличный препарат для лечения суставных болей. Зарекомендовал себя ещё в советские времена. Брала для мамы, у неё уже много лет остеоартроз. Суставы болят и опухают. Пироксикам хорошо снимает боли. Препарат можно применять как для экстренной помощи, так и для курсового приема. Хорошая цена.
Достоинства:Доставка быстрая, упаковано всё замечательно
Недостатки:Недостатков не нашла, да их и быть не может.
Комментарий:Заказ доставили на следующий день, срок нодности до 06.27, упакован товар отлично. Спасибо!
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Комментарий:пока ничего не происходит
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Войдите в аккаунтИ тогда откроется корзина, а цены на Market могут стать ниже
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