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Описание

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Энам таб., 20 мг, 20 шт.

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4.9
(9)
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Дозировка: 20 мг

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Коротко о товаре

Артикул Маркета
3123137017
Тип препарата
Назначение
Действующее вещество
Возраст
от 18 лет
Инструкция
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Энам эффективен при хронической сердечной недостаточности (в составе комбинированной терапии)."},{"name":"Противопоказания","value":"Повышенная чувствительность к эналаприлу или другим ингибиторам АПФ.\u003Cbr\u003E- Беременность и период кормления грудью.\u003Cbr\u003E- Ангионевротический отек в анамнезе на фоне терапии ингибиторами АПФ, наследственный или идиопатический ангионевротический отек.\u003Cbr\u003E- Возраст до 18 лет (эффективность и безопасность не установлены)."},{"name":"Состав","value":"Каждая таблетка 2,5 мг, 5 мг, 10 мг и 20 мг содержит:\u003Cbr\u003EАктивное вещество: эналаприла малеат 2,5 мг, 5 мг, 10 мг или 20 мг соответственно.\u003Cbr\u003EВспомогательные вещества:\u003Cbr\u003Eтаблетки 2,5 мг и 5 мг: лактоза безводная 198/195,5 мг, малеиновая кислота 2 мг, цинка стеарат 2,5 мг;\u003Cbr\u003Eтаблетки 10 мг и 20 мг: лактоза безводная 192/275,5 мг, цинка стеарат 3/4,5 мг."},{"name":"Действующее вещество","value":"Эналаприл","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["27144131:28710182"]}}},{"name":"Способ применения и дозы","value":"Внутрь, независимо от приема пищи.\u003Cbr\u003EПри монотерапии артериальной гипертензии - начальная доза 5 мг 1 раз в сутки. При отсутствии эффекта через 1-2 нед дозу повышают на 5 мг. После начальной дозы больные должны находиться под медицинским наблюдением в течение 2 ч и дополнительно 1 ч, пока не стабилизируется АД. При необходимости и достаточно хорошей переносимости дозу можно увеличить до 40 мг/сут за 1-2 приема. Через 2-3 нед переходят на поддерживающую дозу - 10-40 мг/сут, разделенную на 1-2 приема. При умеренной гипертензии средняя суточная доза составляет около 10 мг. Максимальная суточная доза препарата - 40 мг.\u003Cbr\u003EВ случае назначения Энама пациентам получающим диуретики, лечение диуретиком необходимо прекратить за 2-3 дня до назначения препарата. Если это невозможно, то начальная доза Энама должна составлять 2,5 мг/сут.\u003Cbr\u003EБольным с гипонатриемией (концентрация натрия в сыворотке крови менее 130 ммоль/л) или концентрацией креатинина в сыворотке крови более 0,14 ммоль/л начальная доза - 2,5 мг 1 раз в сутки.\u003Cbr\u003EРеноваскулярная гипертензия: начальная доза - 2,5-5 мг/сут. Максимальная суточная доза - 20 мг.\u003Cbr\u003EПри хронической сердечной недостаточности начальная доза - 2,5 мг однократно, затем дозу увеличивают на 2,5-5 мг через каждые 3-4 дня в соответствии с клинической реакцией до максимально переносимых доз (в зависимости от АД), но не выше 40 мг/сут, однократно, или в 2 приема. У больных с низким систолическим давлением (менее 110 мм рт.ст.) терапию следует начинать с дозы 1,25 мг. Подбор дозы должен проводиться в течение 2-4 нед или в более короткие сроки. Средняя поддерживающая доза - 5-20 мг/сут за 1-2 приема.\u003Cbr\u003EПри хронической почечной недостаточности кумуляция наступает при снижении фильтрации менее 10 мл/мин. При клиренсе креатинина 80-30 мл/мин доза обычно составляет 5-10 мг/сут, клиренсе креатинина 30-10 мл/мин - 2,5-5 мг/сут, менее 10 мл/мин - 1,25-2,5 мг/сут только в дни диализа.\u003Cbr\u003EДлительность лечения зависит от эффективности терапии. При слишком выраженном снижении АД дозу препарата постепенно уменьшают."},{"name":"Побочные действия","value":"Со стороны сердечно-сосудистой системы: чрезмерное снижение АД, ортостатический коллапс, редко - загрудинная боль, стенокардия, инфаркт миокарда (обычно связаны с выраженным снижением АД), аритмии (предсердная бради- или тахикардия, фибрилляция предсердий), сердцебиение, тромбоэмболия ветвей легочной артерии.\u003Cbr\u003EСо стороны пищеварительной системы: сухость во рту, снижение аппетита, диспепсические расстройства (тошнота, диарея или запоры, рвота, боли в области живота), кишечная непроходимость, панкреатит, нарушение функции печени и желчевыделения, гепатит, желтуха.\u003Cbr\u003EСо стороны дыхательной системы: непродуктивный \"сухой\" кашель, интерстициальный пневмонит, бронхоспазм, одышка, ринорея, фарингит.\u003Cbr\u003EСо стороны нервной системы: головокружение, обморочные состояния, головная боль, слабость, бессонница, парестезии, тревожность, депрессия, спутанность сознания, повышенная утомляемость, сонливость (2-3%), очень редко при применении в высоких дозах - нервозность, депрессия, парестезии.\u003Cbr\u003EСо стороны органов чувств: нарушения вестибулярного аппарата, нарушения слуха и зрения, шум в ушах.\u003Cbr\u003EАллергические реакции: кожная сыпь, ангионевротический отек лица, конечностей, губ, языка, голосовой щели и/или гортани, дисфония, эксфолиативный дерматит,\u003Cbr\u003Eмультиформная экссудативная эритема (в том числе синдром Стивенса-Джонсона), токсический эпидермальный некролиз (синдром Лайелла), пузырчатка (пемфигус), кожный зуд, крапивница, фотосенсибилизация, серозит, васкулит, миозит, артралгия, артрит, стоматит, глоссит. Очень редко - ангионевротический отек желудочно-кишечного тракта (в том числе интестинальный отек).\u003Cbr\u003EСо стороны лабораторных показателей: гиперкреатининемия, повышение концентрации мочевины, повышение активности \"печеночных\" трансаминаз, гипербилирубинемия, гиперкалиемия, гипонатриемия, снижение гемоглобина и гематокрита, повышение скорости оседания эритроцитов, тромбоцитопения, нейтропения, агранулоцитоз (у больных с аутоиммунными заболеваниями), эозинофилия. Сообщалось о случаях развития гипогликемии у пациентов с сахарным диабетом, которые принимали инсулин и пероральные гипогликемические лекарственные средства.\u003Cbr\u003EСо стороны мочевыделителъной системы: нарушение функции почек, протеинурия. Прочие: алопеция, снижение либидо, \"приливы\" крови к лицу."},{"name":"Фармакологическое действие","value":"Энам относится к группе ингибиторов АПФ, обладает гипотензивным действием, механизм развития которого связан с уменьшением образования из ангиотензина I ангиотензина II, снижение концентрации которого ведет к прямому уменьшению секреции альдостерона. При этом понижается общее периферическое сопротивление сосудов, систолическое и диастолическое артериальное давление (АД), пост- и преднагрузка на миокард. Расширяет артерии в большей степени, чем вены, при этом рефлекторного повышения числа сердечных сокращений не отмечается. Уменьшает деградацию брадикинина, увеличивает синтез простагландинов. Гипотензивный эффект более выражен при высокой концентрации ренина в плазме, чем при нормальной или сниженной.\u003Cbr\u003EСнижение АД в терапевтических пределах не оказывает влияния на мозговое кровообращение, кровоток в сосудах мозга поддерживается на достаточном уровне и на фоне сниженного АД. Усиливает коронарный и почечный кровоток. При длительном применении уменьшается гипертрофия левого желудочка сердца. Снижает тонус стенок артерий резистивного типа. Предотвращает прогрессирование хронической сердечной недостаточности (ХСН), замедляет развитие дилатации левого желудочка, препятствует развитию диабетической нефропатии. Улучшает кровоснабжение ишемизированного миокарда.\u003Cbr\u003EСнижает агрегацию тромбоцитов. Удтиняет продолжительность жизни у больных ХСН, замедляет прогрессирование дисфункции левого желудочка у больных, перенесших инфаркт миокарда, без клинических проявлений сердечной недостаточности.Обладает некоторым диуретическим эффектом. Уменьшает внутриклубочковую гипертензию, замедляя развитие гломерулосклероза и риск возникновения хронической почечной недостаточности.\u003Cbr\u003EФармакологической активностью обладает образующийся при гидролизе метаболит эналаприла - эналаприлат, который и ингибирует АПФ.\u003Cbr\u003EВремя наступления гипотензивного эффекта при приеме внутрь - 1 ч, он достигает максимума через 4-6 ч и сохраняется до 24 ч. У некоторых больных для достижения оптимального уровня АД необходима терапия на протяжении нескольких недель. При ХСН заметный клинический эффект наблюдается при длительном лечении - 6 мес. и более."},{"name":"Фармакологическая группа","value":"ингибиторы АПФ"},{"name":"Форма выпуска","value":"таблетки"},{"name":"Способ применения/введения","value":"пероральный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["35947170:36763744"]}}},{"name":"Минимальный возраст применения","value":"от 18 лет"},{"name":"Условия хранения","value":"В сухом, защищенном от света месте при температуре не выше 25°С. Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"Симптомы: чрезмерное снижение АД, вплоть до развития коллапса, инфаркта миокарда, острого нарушения мозгового кровообращения или тромбоэмболических осложнений; судороги, ступор.\u003Cbr\u003EЛечение: больного переводят в горизонтальное положение с низким изголовьем. В легких случаях показаны промывание желудка и прием внутрь солевого раствора, в более серьезных случаях - мероприятия, направленные на стабилизацию АД: внутривенное введение 0,9% раствора натрия хлорида, плазмозаменителей, при необходимости - внутривенное введение ангиотензина II, гемодиализ (скорость выведения эналаприлата - 62 мл/мин)."},{"name":"Применение при беременности и кормлении грудью","value":"Противопоказано."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"В период лечения необходимо соблюдать осторожность при вождении автотранспорта и занятии др. потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций (возможно головокружение, особенно после приема начальной дозы ингибитора АПФ у больных, принимающих диуретические лекарственные средства)."},{"name":"Особые указания","value":"После назначения Энама возможно повышение уровня азота мочевины и сывороточного креатинина вследствие развившейся артериальной гипотензии и вторичной ренальной гипоперфузии.\u003Cbr\u003EПри назначении Энама должна быть пересмотрена предыдущая терапия диуретиками и препаратами калия. Через 2 недели после назначения Энама необходимо провести контроль лабораторных показателей: азота мочевины, креатинина и электролитов плазмы крови, а также общий анализ мочи.\u003Cbr\u003EС особой осторожностью и под контролем врача следует применять препарат при сочетании хронической сердечной недостаточности или артериальной гипертензии с двусторонним стенозом почечных артерий или стенозом артерии единственной почки.\u003Cbr\u003EРазвитие артериальной гипотензии не является поводом для отмены препарата, но требует соблюдение мер профилактики (контроль электролитов крови, контроль АД, коррекция дозы препарата).\u003Cbr\u003EЭнам препятствует потере калия, поэтому при его назначении нет необходимости применять калийсберегающие диуретики и препараты калия. В противном случае возможно развитие гиперкалиемии, особенно у больных с почечной недостаточностью и сахарным диабетом.\u003Cbr\u003EПеред исследованием функции паращитовидных желез Энам следует отменить.\u003Cbr\u003EВ период лечения запрещается употреблять алкоголь.\u003Cbr\u003EС осторожностью:\u003Cbr\u003EАортальный стеноз, цереброваскулярные заболевания (в том числе недостаточность мозгового кровообращения), ишемическая болезнь сердца, коронарная недостаточность, тяжелые аутоиммунные системные заболевания соединительной ткани (в том числе системная красная волчанка, склеродермия), угнетение костномозгового кроветворения, сахарный диабет, гиперкалиемия, двусторонний стеноз почечных артерий, стеноз артерии единственной почки, состояние после трансплантации почки, почечная и/или печеночная недостаточность, диета с ограничением натрия, состояния, сопровождающиеся снижением объема циркулирующей крови (в том числе диарея, рвота), первичный альдостеронизм, пожилой возраст."},{"name":"Взаимодействие","value":"Усиливает действие этанола, замедляет выведение лития.\u003Cbr\u003EОслабляет действие лекарственных средств, содержащих теофиллин.\u003Cbr\u003EГипотензивное действие снижают нестероидные противовоспалительные препараты, эстрогены; усиливают - диуретики, другие гипотензивные лекарственные средства (бета- адреноблокаторы, метилдопа, нитраты, блокаторы медленных кальциевых каналов (БМКК), гидралазин, празозин), лекарственные средства для общей анестезии, этанол. Калийсберегающие диуретики и калийсодержащие лекарственные средства увеличивают риск развития гиперкалиемии.\u003Cbr\u003EЛекарственные средства, вызывающие угнетение костного мозга, повышают риск развития нейтропении и/или агранулоцитоза.\u003Cbr\u003EИммунодепрессанты, аллопуринол, цитостатики усиливают гематотоксичность.\u003Cbr\u003EПри одновременном применении ингибиторов АПФ и препаратов золота (натрия ауротиомалат) описан симптомокомплекс, включающий гиперемию лица, тошноту, рвоту и снижение АД.\u003Cbr\u003EОдновременный прием с инсулином и пероральными гипогликемическими лекарственными средствами повышает риск развития гипогликемии."},{"name":"Регистрационный номер","value":"П N014189/01"},{"name":"Дата государственной регистрации","value":"27.10.2021"},{"name":"Владелец регистрационного удостоверения","value":"Dr. Reddy's Laboratories","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["34324371:35649313","7893318:16077120"]}}},{"name":"Изготовитель","value":"Dr. Reddy's"},{"name":"Фасовщик","value":"Dr. Reddy's"},{"name":"Страна бренда","value":"Индия"},{"name":"Страна-производитель","value":"Индия"},{"name":"Название препарата","value":"Энам","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["17796364:17999296"]}}},{"name":"Срок годности","value":"35 мес."}]}},"fullSpecsGrouped":{"4096418892593211528":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Органы и системы","value":"кровеносная система, кровеносные сосуды, сердце"},{"name":"Назначение","value":"артериальная гипертензия, гипертония, хроническая сердечная недостаточность, эссенциальная гипертензия"},{"name":"Показания к применению","value":"Различные формы артериальной гипертензии, включая реноваскулярную гипертензию. Энам эффективен при хронической сердечной недостаточности (в составе комбинированной терапии)."},{"name":"Противопоказания","value":"Повышенная чувствительность к эналаприлу или другим ингибиторам АПФ.\u003Cbr\u003E- Беременность и период кормления грудью.\u003Cbr\u003E- Ангионевротический отек в анамнезе на фоне терапии ингибиторами АПФ, наследственный или идиопатический ангионевротический отек.\u003Cbr\u003E- Возраст до 18 лет (эффективность и безопасность не установлены)."},{"name":"Состав","value":"Каждая таблетка 2,5 мг, 5 мг, 10 мг и 20 мг содержит:\u003Cbr\u003EАктивное вещество: эналаприла малеат 2,5 мг, 5 мг, 10 мг или 20 мг соответственно.\u003Cbr\u003EВспомогательные вещества:\u003Cbr\u003Eтаблетки 2,5 мг и 5 мг: лактоза безводная 198/195,5 мг, малеиновая кислота 2 мг, цинка стеарат 2,5 мг;\u003Cbr\u003Eтаблетки 10 мг и 20 мг: лактоза безводная 192/275,5 мг, цинка стеарат 3/4,5 мг."},{"name":"Действующее вещество","value":"Эналаприл"},{"name":"Способ применения и дозы","value":"Внутрь, независимо от приема пищи.\u003Cbr\u003EПри монотерапии артериальной гипертензии - начальная доза 5 мг 1 раз в сутки. При отсутствии эффекта через 1-2 нед дозу повышают на 5 мг. После начальной дозы больные должны находиться под медицинским наблюдением в течение 2 ч и дополнительно 1 ч, пока не стабилизируется АД. При необходимости и достаточно хорошей переносимости дозу можно увеличить до 40 мг/сут за 1-2 приема. Через 2-3 нед переходят на поддерживающую дозу - 10-40 мг/сут, разделенную на 1-2 приема. При умеренной гипертензии средняя суточная доза составляет около 10 мг. Максимальная суточная доза препарата - 40 мг.\u003Cbr\u003EВ случае назначения Энама пациентам получающим диуретики, лечение диуретиком необходимо прекратить за 2-3 дня до назначения препарата. Если это невозможно, то начальная доза Энама должна составлять 2,5 мг/сут.\u003Cbr\u003EБольным с гипонатриемией (концентрация натрия в сыворотке крови менее 130 ммоль/л) или концентрацией креатинина в сыворотке крови более 0,14 ммоль/л начальная доза - 2,5 мг 1 раз в сутки.\u003Cbr\u003EРеноваскулярная гипертензия: начальная доза - 2,5-5 мг/сут. Максимальная суточная доза - 20 мг.\u003Cbr\u003EПри хронической сердечной недостаточности начальная доза - 2,5 мг однократно, затем дозу увеличивают на 2,5-5 мг через каждые 3-4 дня в соответствии с клинической реакцией до максимально переносимых доз (в зависимости от АД), но не выше 40 мг/сут, однократно, или в 2 приема. У больных с низким систолическим давлением (менее 110 мм рт.ст.) терапию следует начинать с дозы 1,25 мг. Подбор дозы должен проводиться в течение 2-4 нед или в более короткие сроки. Средняя поддерживающая доза - 5-20 мг/сут за 1-2 приема.\u003Cbr\u003EПри хронической почечной недостаточности кумуляция наступает при снижении фильтрации менее 10 мл/мин. При клиренсе креатинина 80-30 мл/мин доза обычно составляет 5-10 мг/сут, клиренсе креатинина 30-10 мл/мин - 2,5-5 мг/сут, менее 10 мл/мин - 1,25-2,5 мг/сут только в дни диализа.\u003Cbr\u003EДлительность лечения зависит от эффективности терапии. При слишком выраженном снижении АД дозу препарата постепенно уменьшают."},{"name":"Побочные действия","value":"Со стороны сердечно-сосудистой системы: чрезмерное снижение АД, ортостатический коллапс, редко - загрудинная боль, стенокардия, инфаркт миокарда (обычно связаны с выраженным снижением АД), аритмии (предсердная бради- или тахикардия, фибрилляция предсердий), сердцебиение, тромбоэмболия ветвей легочной артерии.\u003Cbr\u003EСо стороны пищеварительной системы: сухость во рту, снижение аппетита, диспепсические расстройства (тошнота, диарея или запоры, рвота, боли в области живота), кишечная непроходимость, панкреатит, нарушение функции печени и желчевыделения, гепатит, желтуха.\u003Cbr\u003EСо стороны дыхательной системы: непродуктивный \"сухой\" кашель, интерстициальный пневмонит, бронхоспазм, одышка, ринорея, фарингит.\u003Cbr\u003EСо стороны нервной системы: головокружение, обморочные состояния, головная боль, слабость, бессонница, парестезии, тревожность, депрессия, спутанность сознания, повышенная утомляемость, сонливость (2-3%), очень редко при применении в высоких дозах - нервозность, депрессия, парестезии.\u003Cbr\u003EСо стороны органов чувств: нарушения вестибулярного аппарата, нарушения слуха и зрения, шум в ушах.\u003Cbr\u003EАллергические реакции: кожная сыпь, ангионевротический отек лица, конечностей, губ, языка, голосовой щели и/или гортани, дисфония, эксфолиативный дерматит,\u003Cbr\u003Eмультиформная экссудативная эритема (в том числе синдром Стивенса-Джонсона), токсический эпидермальный некролиз (синдром Лайелла), пузырчатка (пемфигус), кожный зуд, крапивница, фотосенсибилизация, серозит, васкулит, миозит, артралгия, артрит, стоматит, глоссит. Очень редко - ангионевротический отек желудочно-кишечного тракта (в том числе интестинальный отек).\u003Cbr\u003EСо стороны лабораторных показателей: гиперкреатининемия, повышение концентрации мочевины, повышение активности \"печеночных\" трансаминаз, гипербилирубинемия, гиперкалиемия, гипонатриемия, снижение гемоглобина и гематокрита, повышение скорости оседания эритроцитов, тромбоцитопения, нейтропения, агранулоцитоз (у больных с аутоиммунными заболеваниями), эозинофилия. Сообщалось о случаях развития гипогликемии у пациентов с сахарным диабетом, которые принимали инсулин и пероральные гипогликемические лекарственные средства.\u003Cbr\u003EСо стороны мочевыделителъной системы: нарушение функции почек, протеинурия. Прочие: алопеция, снижение либидо, \"приливы\" крови к лицу."},{"name":"Фармакологическое действие","value":"Энам относится к группе ингибиторов АПФ, обладает гипотензивным действием, механизм развития которого связан с уменьшением образования из ангиотензина I ангиотензина II, снижение концентрации которого ведет к прямому уменьшению секреции альдостерона. При этом понижается общее периферическое сопротивление сосудов, систолическое и диастолическое артериальное давление (АД), пост- и преднагрузка на миокард. Расширяет артерии в большей степени, чем вены, при этом рефлекторного повышения числа сердечных сокращений не отмечается. Уменьшает деградацию брадикинина, увеличивает синтез простагландинов. Гипотензивный эффект более выражен при высокой концентрации ренина в плазме, чем при нормальной или сниженной.\u003Cbr\u003EСнижение АД в терапевтических пределах не оказывает влияния на мозговое кровообращение, кровоток в сосудах мозга поддерживается на достаточном уровне и на фоне сниженного АД. Усиливает коронарный и почечный кровоток. При длительном применении уменьшается гипертрофия левого желудочка сердца. Снижает тонус стенок артерий резистивного типа. Предотвращает прогрессирование хронической сердечной недостаточности (ХСН), замедляет развитие дилатации левого желудочка, препятствует развитию диабетической нефропатии. Улучшает кровоснабжение ишемизированного миокарда.\u003Cbr\u003EСнижает агрегацию тромбоцитов. Удтиняет продолжительность жизни у больных ХСН, замедляет прогрессирование дисфункции левого желудочка у больных, перенесших инфаркт миокарда, без клинических проявлений сердечной недостаточности.Обладает некоторым диуретическим эффектом. Уменьшает внутриклубочковую гипертензию, замедляя развитие гломерулосклероза и риск возникновения хронической почечной недостаточности.\u003Cbr\u003EФармакологической активностью обладает образующийся при гидролизе метаболит эналаприла - эналаприлат, который и ингибирует АПФ.\u003Cbr\u003EВремя наступления гипотензивного эффекта при приеме внутрь - 1 ч, он достигает максимума через 4-6 ч и сохраняется до 24 ч. У некоторых больных для достижения оптимального уровня АД необходима терапия на протяжении нескольких недель. При ХСН заметный клинический эффект наблюдается при длительном лечении - 6 мес. и более."},{"name":"Фармакологическая группа","value":"ингибиторы АПФ"},{"name":"Форма выпуска","value":"таблетки"},{"name":"Способ применения/введения","value":"пероральный"},{"name":"Минимальный возраст применения","value":"от 18 лет"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"В сухом, защищенном от света месте при температуре не выше 25°С. Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"Симптомы: чрезмерное снижение АД, вплоть до развития коллапса, инфаркта миокарда, острого нарушения мозгового кровообращения или тромбоэмболических осложнений; судороги, ступор.\u003Cbr\u003EЛечение: больного переводят в горизонтальное положение с низким изголовьем. В легких случаях показаны промывание желудка и прием внутрь солевого раствора, в более серьезных случаях - мероприятия, направленные на стабилизацию АД: внутривенное введение 0,9% раствора натрия хлорида, плазмозаменителей, при необходимости - внутривенное введение ангиотензина II, гемодиализ (скорость выведения эналаприлата - 62 мл/мин)."},{"name":"Применение при беременности и кормлении грудью","value":"Противопоказано."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"В период лечения необходимо соблюдать осторожность при вождении автотранспорта и занятии др. потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций (возможно головокружение, особенно после приема начальной дозы ингибитора АПФ у больных, принимающих диуретические лекарственные средства)."},{"name":"Особые указания","value":"После назначения Энама возможно повышение уровня азота мочевины и сывороточного креатинина вследствие развившейся артериальной гипотензии и вторичной ренальной гипоперфузии.\u003Cbr\u003EПри назначении Энама должна быть пересмотрена предыдущая терапия диуретиками и препаратами калия. Через 2 недели после назначения Энама необходимо провести контроль лабораторных показателей: азота мочевины, креатинина и электролитов плазмы крови, а также общий анализ мочи.\u003Cbr\u003EС особой осторожностью и под контролем врача следует применять препарат при сочетании хронической сердечной недостаточности или артериальной гипертензии с двусторонним стенозом почечных артерий или стенозом артерии единственной почки.\u003Cbr\u003EРазвитие артериальной гипотензии не является поводом для отмены препарата, но требует соблюдение мер профилактики (контроль электролитов крови, контроль АД, коррекция дозы препарата).\u003Cbr\u003EЭнам препятствует потере калия, поэтому при его назначении нет необходимости применять калийсберегающие диуретики и препараты калия. В противном случае возможно развитие гиперкалиемии, особенно у больных с почечной недостаточностью и сахарным диабетом.\u003Cbr\u003EПеред исследованием функции паращитовидных желез Энам следует отменить.\u003Cbr\u003EВ период лечения запрещается употреблять алкоголь.\u003Cbr\u003EС осторожностью:\u003Cbr\u003EАортальный стеноз, цереброваскулярные заболевания (в том числе недостаточность мозгового кровообращения), ишемическая болезнь сердца, коронарная недостаточность, тяжелые аутоиммунные системные заболевания соединительной ткани (в том числе системная красная волчанка, склеродермия), угнетение костномозгового кроветворения, сахарный диабет, гиперкалиемия, двусторонний стеноз почечных артерий, стеноз артерии единственной почки, состояние после трансплантации почки, почечная и/или печеночная недостаточность, диета с ограничением натрия, состояния, сопровождающиеся снижением объема циркулирующей крови (в том числе диарея, рвота), первичный альдостеронизм, пожилой возраст."},{"name":"Взаимодействие","value":"Усиливает действие этанола, замедляет выведение лития.\u003Cbr\u003EОслабляет действие лекарственных средств, содержащих теофиллин.\u003Cbr\u003EГипотензивное действие снижают нестероидные противовоспалительные препараты, эстрогены; усиливают - диуретики, другие гипотензивные лекарственные средства (бета- адреноблокаторы, метилдопа, нитраты, блокаторы медленных кальциевых каналов (БМКК), гидралазин, празозин), лекарственные средства для общей анестезии, этанол. Калийсберегающие диуретики и калийсодержащие лекарственные средства увеличивают риск развития гиперкалиемии.\u003Cbr\u003EЛекарственные средства, вызывающие угнетение костного мозга, повышают риск развития нейтропении и/или агранулоцитоза.\u003Cbr\u003EИммунодепрессанты, аллопуринол, цитостатики усиливают гематотоксичность.\u003Cbr\u003EПри одновременном применении ингибиторов АПФ и препаратов золота (натрия ауротиомалат) описан симптомокомплекс, включающий гиперемию лица, тошноту, рвоту и снижение АД.\u003Cbr\u003EОдновременный прием с инсулином и пероральными гипогликемическими лекарственными средствами повышает риск развития гипогликемии."},{"name":"Регистрационный номер","value":"П N014189/01"},{"name":"Дата государственной регистрации","value":"27.10.2021"},{"name":"Владелец регистрационного удостоверения","value":"Dr. Reddy's Laboratories"},{"name":"Изготовитель","value":"Dr. Reddy's"},{"name":"Фасовщик","value":"Dr. Reddy's"},{"name":"Страна бренда","value":"Индия"},{"name":"Страна-производитель","value":"Индия"},{"name":"Название препарата","value":"Энам"},{"name":"Срок годности","value":"35 мес."}]}],"transitionId":"tr_5396164144211005032"}}}}
Внешний вид товаров и/или упаковки может быть изменён изготовителем и отличаться от изображенных на Яндекс Маркете.
Есть противопоказания, посоветуйтесь с врачом. Отпускается по рецепту врача. Приобретение лекарственных препаратов осуществляется только в торговом зале аптеки

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114 ₽

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  • Энап таб., 10 мг, 20 шт.
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    Энап таб., 10 мг, 20 шт.

    Рейтинг товара: 4.7 из 5
    на основе 44 оценки
    Цена 87 ₽
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  • Эналаприл таб., 5 мг, 20 шт.
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    Эналаприл таб., 5 мг, 20 шт.

    Рейтинг товара: 4.8 из 5
    на основе 4 оценки
    Цена 53 ₽
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  • Эналаприл таб., 10 мг, 28 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-9cwxhuiz2m6/toggleWishlist":{"skuId":"228128573","productId":1401075719,"offerId":"bmol8gGUCz_MTeVEUgdcJQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrOTXqdSW1usEEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIh/CKnAUQve7jbBjyrIIIINfcwQc=","sign":"IdagkK/Hbfe/K/KIErrZamsOwYIjBKM7L39SYtF18F8="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-9cwxhuiz2m6/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Эналаприл таб., 10 мг, 28 шт.

    Рейтинг товара: 5 из 5
    на основе 5 оценок
    Цена 119 ₽
    {"widgets":{"@light/AddToCartButtonSnippet":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-9cwxhuiz2m6/addToCartButton":{"offerId":"bmol8gGUCz_MTeVEUgdcJQ","skuId":"228128573","pendingCartItem":{"productId":1401075719,"offerId":"bmol8gGUCz_MTeVEUgdcJQ","showPlaceId":"OTNDnItfwRMjN9MRHuEMMsWXL97cKFyWEYCcHoRuEpRLjUfr2UDjHk-ij8zuHHD7D5WQ1T6wFn7DaC6ABTX120BIgdZrtV8kcafYqWb3fOHmFnokga_sCuwKaxcWr6oN3Ucpw23HCNI84bq7zozAwHn0EcUc6Y3Eh0LNPmtL9XqoYZNPc_Cau488revTEOxbgaMZAHr-wvwHNRhsjPd-_A,,","feeShow":"OTNDnItfwRMjN9MRHuEMMsWXL97cKFyWEYCcHoRuEpRLjUfr2UDjHk-ij8zuHHD7D5WQ1T6wFn7DaC6ABTX120BIgdZrtV8kcafYqWb3fOHmFnokga_sCuwKaxcWr6oN3Ucpw23HCNI84bq7zozAwHn0EcUc6Y3Eh0LNPmtL9XqoYZNPc_Cau488revTEOxbgaMZAHr-wvwHNRhsjPd-_A,,","skuId":"228128573","shopId":55106433,"price":{"applicablePriceDiscounts":[],"value":"119","currency":"RUR"},"hid":"15756887","name":"Эналаприл таб., 10 мг, 28 шт.","label":"vps6hngx41q","count":0,"features":[],"imageMeta":{"namespace":"mpic","groupId":1364191,"key":"img_id3350255413186215342.jpeg"}},"quantity":{"step":1,"minimum":1,"maximum":999},"cpaUrl":"/safeclick/data=TxNGOK9vJEN7oLFLeCTKEixJYuEMI0EzvZFs82AjjgjhTwweZ7mRXd_AQ0K184sfZmy5nQz7U8xIc-qdVOMFoxnoSww2ObzLEs1KJpltGipDSanCui6QCo8GXRHxAQaqQQZbzp5kb0bdQDXqQiIIDEwL4INEBUjrbUNtjxqZ96WFVmZtSFtMyb3yJJ0vvI_f_VoLwr8_fQDSzGtzWieo50ISVPpWbwQJaYC7srroGkpAEXYRUqygq7lLMIPBOPg9orGfW-LTumJbFZ72Jn0RNuHo54AcweTs26WjdWM3dmtj2tsNVtCntw5YnFUhVuuaB80IirBcIYy5dAXCPhyitfbs1XLetVcfng93SgmFHw0f5mw39Zipr_Bi0CpwdO5-8GHOpBUSONpe6grSZEdN4sDKxzlrwBZHYQUVq5sB8z-9miK1o5ymoaTchFoj84LFNGLZVfZicCLUTJOUqM8uGvriqUwghahjWpkkXHRogwNf7GZn_yVRvxrW2eHqvZSZEoQNHWp7vMVV4i-8i3nk4NnKA5ZPHYPXH6uV_705DoXHmHsG_Elfv0UOnsU3glnf1xAaKHURZvx7L6UhHzboPYP99J8FdZFpAu3u3FGZKRtbxWpwwsy5OVV565vh0qesCXIa4I20J_TqvAveeJNNy1JqMqbjmaHchAHDQfD41ul6MxItB0DbVtXTQUNA2rLmo9-NXW9GUla5XRe68sqJP0GeyeTSDUXvmmc433k4cWZFZfELB1wGmSM8eKTZfXlRmLvRAH4tFqCv1inyJL7GgKrJnN_6ebK3J4jByWU6QvaGZ1wNw8YWHR7PV5217jWJcQYum61aKLw_DHATx5toTewJpXy-GITDF2eEg6ZC0zBDAUsVlz1pgOIl_5sPeWx1pIHxdMhjoFob3n1ZXtE3PfehQZYLg2M-fdvsA4Hry19t_q2GO0Zdr_mNMS_krgPkRBV2oSrkW9D9b-7RaSiz02D559BPF0Gs-8mbQ7nLvbdv8dz-QeHB2Dwho-gtPYBmSUhdEWA4_5Y8Yg28dEoJMeJc8y8cyA7JYq1wlXe0mLDdgGCKdPROsVsJiLcxn7MF2HzHLT7w2OkanRH5OFuJK5FzjHTaMprUdcI68jcafdDh3sFQdmp84GGckLvbhPJtjCIx2FzcA6aR9ztVAkud8pyl9FfJR7dq9hiGUY9VfAk08CTV1dEpahbIfmnGF0Oyb74JgzI93slHNODB3wCRkznnezpinQQXKaRXq4wTIc8yirDR8ZtaqPdMlmC-g8ZMwWiGkbMe8lgMwiIVrwjSB68i8jCFL5sQ7Di0C2gjaXMZ5FsK8ykP5R6_Ts1jYU8ipg48MqRGewG-CnvcOaVvT2gpdEGv_qSDzd1GmJL-imFTuLdRvHMRF-FUERDiH9qQdjSpdQ6JvbVL_pPaFqSWVPHkKrRNOCcAZ86n7PKicpH_PkfbXmhyqtZ-N7w9yIcMv5WM-essC0CVaYkJTNbPnxEiUwBRB-svAXy2XplLZKYufQ9klX0PL_AreXQR6AZ-GWESoJKDr-PdZ9QJ0WWxIZbHVaiSoEpxAF54RsvPIuQu4heCRr0xpAMQUYN7hXghsEcK_QrUAjVcubaxcBEiJHCGVxpCS5UmAB1fKlMBsWtpvidiqrOjtJkmR7JY6gKs5eZ-G2xRnzlnJba6EspB56kvCr_SWiH5SUWaqj4a_9Am0eHyPXJyRrX0zW9HYg7XNR_YLLJ3l5cpT5deanH6xfzl7Xt57q8aEbhn9snRDnn1niX2RXCHqCjq5oGnEGjngrSygFZzKws7pMBwqLL0mXJfB8I7HnMn_OqSYgdMQ_jaJo2lk9ks1XsDLub7HzYaBBqG9o-f5gN1QBQgx0HCfLVXz6rq-B13AXIwEPlQAXiyANPMCGtFjRtV2TVZvnLkV3KSs7kWpqvjvzHzOBalcDO3TpX5C95aP1pTfU9ofNJpo-40_7_nyherHJD0Ysb0Xs_xiN3ZG8PzGqkjjDDc_7wyVDjeYd1_DviIUxVeZzmMnjv4mmZH0smkSJFLoVca9Wxvi8H3ukR00mMy-ViYRoAHDB_eIRyNuBBv-nxCrGiEdG6PjiFnkwgtjEjX4HELGqa2vcS3hoo9n2gPzprW591hilj0647wBoydeQjvxl46pbrcyjqQ0dMiVz1TsNXe2B6CIuZZah24qQvmkWUYjlDGkp_c2wUDo-sLWLGhLSsGYzmRYao4T8t510Eiy531_QeOJBuFqynkY2Lv2xDDfCmkUL1REeWaW4dyU3gj0yAdoSNpL29uKYB_BskKl7WuJb-sOx5GygBqeHovgm8s5F5fVsjTDfwunuHkhMfWRsayqRnctJkh9fJIvvNSMRPMshWcRl1wzda4LOo3PdgVCU3U3es7AG06O6nlXRtdvyHml76ag6HJCG6_EfuSTklfirl-Whr4v2Ic05c1DIlt-HHXcO0tn7XE_nkFm5iWtVPxPh4TM-oJtPIvYuz-EAXwP1bzU_MOwgzQX9E7gxj0eIlhZdYxX_eu7g3eodDAurGYe-xfpvCEhUUu9VeFsBewSWz5HK7BJ2Kddl3zKTYKSsxZWLKKU_Zo1PsNUGPJRYQ3-u5aylLms5cTfYnBqzo9oDd0QTGHPkhYEkI6qjxyKUtcIXxqQkFJdYP2tfiNITh_klG1GkkXuL6m9RzV9nt0_M58nT8F2UEnXx-gHSBjHP5IXCzp0fDIrcSL9NT-YuZbsq6O68esmL9b5EwwofN_7fGkew-8BE42a47f4ByLRUZ8UjF1Ij9PCN_w0ALwpO8cCqEFesFHzcCRAlBUciPwvGax4fXLYYQ_wNskOssWGb5lGyu1D5I7Xpwp02hwdbTNxTM5HXz0iOEBeK7Sd12mEl564FFGtjqurdViBo_Htqtz30tGjHQc_8RL_heTXz2vKNW9tf02BqMHH6XxVQKcatRnKJiCtegFdYrvSA1TA98LDcMEitcd9gxFB2zdkf0_nnxf6ooOl4Enw_EUiFbhotIl_pTBdsEzRNbZvSz5mwXFP2ycU1wkgzIW6I7UtsFkScyc-sUiQvgZ2onbJXIeUqig9piFJ9V3HOUckkD7D2He9ml44aJhP2rMhdQWfCHg7xX5Y4FeICKryrmoJfX5HUGk5OVdy7xfG14k8aR4Iep2Ji4bnxNxiXP3DFrhVFxMgwC0XC9jjg93XSR-gQ6fxY4sehj-nV-zh9yprVrQ1C_zOmbvUVdBB4P3ddHhvDIJ_VnZYo4Ko-pKzeVv6XLqD-bj2iE-jTj_jqOYVkY_lBjr2yXM7zMtX7eQrzPpYS7sbcH2WMEDbUYXo-8ChwdpvwYdfHvEantxSfCqE89ClKCvGb_0WK4A6sWnrtE2zmUe6uQzDhZJL414Gjka1yulfG_QWNjUeV53l-TQgZNVodcKCM8wOdFqFldpYFToi9zJ37EszzFQLaBh6tN1GY74Yd4bpqwJvwqaEm3iXhVORvL8BuLhW2fw1U_74RZEawL4kH7M4PNs0Qb72rAogzI92e0p0DgK6n20LvsuYImRtNFZ8jQnqNZH/b64e=1/sign=d57337f0ce2d5e8463a1a2e2e80ab5c3/keyno=MARKET_1/*","showUid":"17179909571448323420506004","cartLink":"/my/cart","showNotificationWhenDeleteItem":true,"isLavka":false,"isError":false,"isEats":false,"isCR":false,"isM2bEdoOnlyEnable":false,"isEatsMarketIntegration":true,"isCartButtonNext":false,"isUpsalePopupCRExp":false,"baobabClientDataAdditionToCart":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrOTXqdSW1usEEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIh/CKnAUQve7jbBjyrIIIINfcwQc=","sign":"IdagkK/Hbfe/K/KIErrZamsOwYIjBKM7L39SYtF18F8="},"target":"cart_addition"},"baobabClientDataDeletionFromCart":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrOTXqdSW1usEEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIh/CKnAUQve7jbBjyrIIIINfcwQc=","sign":"IdagkK/Hbfe/K/KIErrZamsOwYIjBKM7L39SYtF18F8="},"target":"cart_deletion"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-9cwxhuiz2m6/addToCartButton":{"name":"@light/AddToCartButtonSnippet"}}}
  • Каптоприл таб., 50 мг, 20 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-p5ox9mx2tyd/toggleWishlist":{"skuId":"101813091770","productId":1401075819,"offerId":"8zHdnwtEqpxoYY1wgm8KYw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrOTXqdSW1usEEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcI6/CKnAUQuvuhpPsCGNfxzwYg19zBBw==","sign":"LA9YRUEwPyu5TFBonhsaFuYNQSypC1EFnHO5HbMXZ98="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-p5ox9mx2tyd/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Каптоприл таб., 50 мг, 20 шт.

    Рейтинг товара: 4.9 из 5
    на основе 16 оценок
    Цена 65 ₽
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  • Рениприл таб., 10 мг, 30 шт.
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    Рениприл таб., 10 мг, 30 шт.

    Рейтинг товара: 5 из 5
    на основе 3 оценки
    Цена 55 ₽
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  • Эналаприл-ФПО таб., 5 мг, 20 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-s52kh7pg92/toggleWishlist":{"skuId":"101824454783","productId":1770837939,"offerId":"XTNAD75rBT4B8GoplTMDQA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrOTXqdSW1usEEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcIs6+zzAYQ/8DXqfsCGLGLuggg19zBBw==","sign":"WCsY+B90CjV+KDzs3nmOEHI65p/G1a+oQhIqvjwLB+I="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-s52kh7pg92/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Эналаприл-ФПО таб., 5 мг, 20 шт.

    Рейтинг товара: 5 из 5
    на основе 5 оценок
    Цена 39 ₽
    {"widgets":{"@light/AddToCartButtonSnippet":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-s52kh7pg92/addToCartButton":{"offerId":"XTNAD75rBT4B8GoplTMDQA","skuId":"101824454783","pendingCartItem":{"productId":1770837939,"offerId":"XTNAD75rBT4B8GoplTMDQA","showPlaceId":"OTNDnItfwRMjN9MRHuEMMsWXL97cKFyW17xK5lGpvRRCPgr8vMh-eCak2keyQMNU4TjVksxO44v6ZGI32tLVUDHlphTSr2Hbl4Nf1ouCn_bN8hRK5lLhpv5y0oxxXy0O4EvRfvMaS9iqFvFcwkBAib6b8Xvhs-lNDFY9RgU55fq_dH-Xkl96E_hQeDcwOAEH78pO8I4SW3PIzQ9A0ZFEgA,,","feeShow":"OTNDnItfwRMjN9MRHuEMMsWXL97cKFyW17xK5lGpvRRCPgr8vMh-eCak2keyQMNU4TjVksxO44v6ZGI32tLVUDHlphTSr2Hbl4Nf1ouCn_bN8hRK5lLhpv5y0oxxXy0O4EvRfvMaS9iqFvFcwkBAib6b8Xvhs-lNDFY9RgU55fq_dH-Xkl96E_hQeDcwOAEH78pO8I4SW3PIzQ9A0ZFEgA,,","skuId":"101824454783","shopId":55106433,"price":{"applicablePriceDiscounts":[],"value":"39","currency":"RUR"},"hid":"15756887","name":"Эналаприл-ФПО таб., 5 мг, 20 шт.","label":"84a31a7n2co","count":0,"features":[],"imageMeta":{"namespace":"mpic","groupId":7501941,"key":"img_id7509812995011802243.jpeg"}},"quantity":{"step":1,"minimum":1,"maximum":999},"cpaUrl":"/safeclick/data=TxNGOK9vJEN7oLFLeCTKEixJYuEMI0EzvZFs82AjjgjhTwweZ7mRXd_AQ0K184sfZmy5nQz7U8xIc-qdVOMFoxnoSww2ObzLEs1KJpltGipDSanCui6QCo8GXRHxAQaqQQZbzp5kb0bdQDXqQiIIDEwL4INEBUjrbUNtjxqZ96WFVmZtSFtMyb3yJJ0vvI_f_VoLwr8_fQDSzGtzWieo50ISVPpWbwQJ57ITC4-wlV0kRhUs0o1vKscmU3b1c4niVT3symTf_YGmzkNLAK4moT8dS7-31xEvg06z29uAmox5BV5KekC90iQ3IgHxVfKRGGabOMU3bcB7SNTc32XHnnpc5fOuxmUIYk88Tlg24BzL3kZNgM6CH-8xoHT-1SDGGbzwzrkLMvO_ZRKPj6ZtjA6FDRk5arXOXHSlJ_CD2aAbbajfiWfsiV9AevNcM_wWET8CAQiFI_qflVKfUfLQB4tY8jkubWFK1M6W-0CaUOmcyTf753PxrfxKKqqbK4DzoxHtkvsb1HXW3DMv68O7iAR_gng6AeSaB5gQscqbXOju6lfkJkTfduiFf3Nkt-cKKSR4hwooZDlEz1wpEV6_2MQqHzkJ7k70AvzhwJ_Aeg2AxmSfWCFZAW_sCz3RMixX0m9_u_T_Q3l7UVgYCO9PseXLQLfoXfuhgtr98sFHxyzBPWsGv_al4lI79RegKiYLOXUGIuZC9bdQJdl1NmI8pdhppcvHHR-kjs9rCdcxPqdugmyVQNdfkpwUOO2JOpLziTXAlptmppX5gLpDOBp1WQBKgo-x7qztTZiDNuhi6JE1JgHP1pMvl7tn1yGeKxipEeNGCl_3CHfnaBuIa6ajVhP1n3KhS79ivAHXNZ8BOZZkvGxbaFpqcjXFeY3Ze7T751Y2XdU9dJkr1WkobbEb2T5rHUxyXvwUiO7cSUxZ3xPCGXDQQRWAU-rBKRYXKTwGl2obKggV6-5JmnVoOWgMHRxKenw-hMh4CviWA3mDe_H9SzEq_XYrfrXfj9_CBHTME5Nd9LiC3r23ndBlWVcAb39fn02ghyYa3A7UCc1C5DJ9_jIa-LLbvsx18X1z1Xui47on9KOCWRdsP4sCixTFHnJcOAdVbGrMLQi4hW92JJloW-RJVuThYnMetrEp208pVmJmZo_-X4NEkvzeZtUBzdJ0CtxKEzezz9GECgXpwvfkX0Q3Hsiq0-qpUFmaNkXJFi1qiC7ZWUdI1T3mwQit_M5m3gS0OF1hcB0zg-v1DEA2ArhhhyWQAI7dgSQriFqKvV-4aJvmGxsDshNr14Iis0fj7YIwrwC8rUBHwoRDtrTodBamGLSh71WlhERoq1qJHDptOg1AmrsOVF50lUaUU1Mr3ah3HzeQGcCn6fwT47i8rZ7ccJLZawaWI09pTCsL1OOaRjnWZUksEAFev2w6ZDHkzIBpDjrcNRx7LEZQBsr1QGQTBGmjY2UKd3rviRaDyGs-P-yKVQ1w7lr2OthOYWNTCP-u04qyPcqUJ68goopkbs5eH36qqCvyvMTlIHw14ooOHmv3gruhB4WV5hfafDiCDQu3BnJXTh896QgP6YkVoUNXqaHlbhQ8jXlQV1C6fiQBaz2-qtqe98acxFJeL2_CZYpby33xT6hLZoE6RbcSKM7CAaHck3DRixV5L7-xDJqkB2UrGA5ziyGdELwpWcvjB2m7vWLObgMsla55gsW4bMFXmq5IxdZK184befhJQucPVBQifnuigeqz7gNJoevWQfU1XN74Qvaf_orMwn981sUVkjJ7VcnwJrloaORXfa6VFRGmrymC5AkylprPFbbN2bRsl2z95oWtyoAFBo9BndBgnJEzZ7nL39_B-sjvWLSn30EuFMcEht-X2QIE77RkNcpnuJF0OR1mlcKJA-pcOTpwQLARxee_BlFiMJEPUNnIgoy9L2yADkFwPoz0sdR0juqUcgln83bf_qNBamPBdjmBs8aTJ5QyU-nbRs8FKGmD2mKhpvxuNV1QPEcKa2yZO-ArfnlbeeDOQx3MVos80qM7-nCjkkIwkwkKWyNlFWUWp8Al6h6GJqJE5etXrI9l8y0ppr4Br22FUCH8Ocy_aCT5U2X6f05rM6Kt5jIlElY-hokJlJLX2FQuVOCucuR3ybJUx4yDZxiuBlMH4yNhRHBSfN7AU0K-gdX3Jx-3LMYZDIQi-dKrvHqgLCR28HtqFH6W7pJC9IcjDfAEcDJ_4ZiDvGnKudyqlw2aEn1Rgh-Z0Jjqq53GFQ7ZDL8kyt39IccZ2qQMJc6qZYST6H4Yw94gY5V01qxA2vKLdC_DzEhOlw5yQl7nWmbcRDCfTeC_bxuh36pO0yJq_pdc_uJyrxKfWYIvkR3fzVPU7sRdJ3R_vwAFZX09RpFnjMbdlDar3j8TZaXw0-xUTZQ9ytnAG-eEdO2hjLtSQO5d0U3g6DIfoj4hHL-iDBDNVD5WjYQcKDw6R0RrmoUDFJWKw71vUkts9xIUWlQDXJY2S1o8TY2MO15K7xWBIpfDpatrHlAqoGd-mqqUWxkag9A9BgM5KF904aNO__to3gWyJzHyYkzSjfAS9r_k52jZ89j2MeOK836x_0eSPQ4vTIOpHjAV9Dl4EOKZ3VUb-Z4_d0QRRrDorJA0AZ_dJvFaNB7BwbWOP8TgPRU4OAM8NDcpeqwZbMle0PC0mYZq1y_aNvAgrxD3p7uAC3WAyF9t174k7NCJNgIRB3lzwGW_ubBXK5sMAY2SrfiPudFt9M8dSxU2fln_l27BCypo90zSxBX0wi6a-5r7CcY8SYlAhbrkXuNbWBfPuW3A3SWFcTuBIUL8gcP2RtYg6uSYBNiQsucruSeoDoaCxo4byrjnkrLjXE6LIphVb20Y_6GqrJWvyusUhjoZddiF5NMlB5wtSM28cUEFRa-sJngxTsGxf5vkH2LYnsFbQgJ-XspS_mWwT9lxdtyMog8NHqpHgyPdreH9NwNeXvj9uMeriMUatvyjQYZ-dk_POMOC0bFA8NigbAptjSGbKOH9kLod_zm_vxLhFHjkFhv5bi06Nlb255PC2xmn8zWcVW9eZftwUKuWCou58SWtA1f6LJ-62VEcclHetl6ROyfRXtAIT4VmobalHJUXLZHxvGDoGB7Csk4hvIUq-sWv2MQ8Tt0uu29QhewGopVvid0kQcdQPxBgwAYaKEFqni7wurWzZ_me3cDfyB0-ENJS8t2hcrjVjG1ksJC6Llli1IUfABNZBygwfUPdfK96oB2ylg-vB30g9N90BW9xilD2oBunMuA44eWibtavU-BGlzLNrBEZyAYYX2Bv21uwQxEQ9Rvht9u9WxhHYxbXEKJoF2qAypY5RjlrGWJ2mEmC9nFCUcJyMTWe3qcQkd_nlu5EORAxSUXgewe6u7muHeMZ_pIW3XCwDcbJEg3zVb3H1bdwrSKVsyvh5DW9U9HIOcCwBuZpQNMT0Uqc9--Rsgzt5GRd9kJ6aIBguIhvgagwcUIH81vAMyrpS9LntwE4Hw1oackWogAMfR8KK91AHpGBvCDlEokTrWjfYawFukXoj1NQQ1AZ/b64e=1/sign=4ba0046acbbf954451e107657e0edeec/keyno=MARKET_1/*","showUid":"17179909571468460767206007","cartLink":"/my/cart","showNotificationWhenDeleteItem":true,"isLavka":false,"isError":false,"isEats":false,"isCR":false,"isM2bEdoOnlyEnable":false,"isEatsMarketIntegration":true,"isCartButtonNext":false,"isUpsalePopupCRExp":false,"baobabClientDataAdditionToCart":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrOTXqdSW1usEEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcIs6+zzAYQ/8DXqfsCGLGLuggg19zBBw==","sign":"WCsY+B90CjV+KDzs3nmOEHI65p/G1a+oQhIqvjwLB+I="},"target":"cart_addition"},"baobabClientDataDeletionFromCart":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrOTXqdSW1usEEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcIs6+zzAYQ/8DXqfsCGLGLuggg19zBBw==","sign":"WCsY+B90CjV+KDzs3nmOEHI65p/G1a+oQhIqvjwLB+I="},"target":"cart_deletion"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-s52kh7pg92/addToCartButton":{"name":"@light/AddToCartButtonSnippet"}}}
  • Лориста таб. п/о плен., 25 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-w7ihyx6gg6/toggleWishlist":{"skuId":"101591975757","productId":1661423477,"offerId":"5USi3flSUHhBM0mozsbIOQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrOTXqdSW1usEEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcI9Z6dmAYQzY7quvoCGKDE3gcg19zBBw==","sign":"ZhjKhvccXkdna8lLhDfMihBdm/Rz7/zYdzgYdd6IgmY="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-w7ihyx6gg6/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Лориста таб. п/о плен., 25 мг, 30 шт.

    Рейтинг товара: 4.9 из 5
    на основе 34 оценки
    Цена 119 ₽
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  • Эналаприл таб., 10 мг, 20 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-ahrbgmdqvlu/toggleWishlist":{"skuId":"228095669","productId":1778174097,"offerId":"OEgb_NuXoJBrpswUUUqvLA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrOTXqdSW1usEEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIkZHzzwYQte3hbBiV3dAHINfcwQc=","sign":"zCsuz4rgJYlZrFXvDYZtE3beMYIF1x0T5l/c9YWHlAU="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-ahrbgmdqvlu/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Эналаприл таб., 10 мг, 20 шт.

    Рейтинг товара: 4.8 из 5
    на основе 68 оценок
    Цена 38 ₽
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  • Эналаприл гексал таб., 10 мг, 20 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-wcqidvw9ldp/toggleWishlist":{"skuId":"228128571","productId":1401075667,"offerId":"KyPPW78WahYABokqtcbtkQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrOTXqdSW1usEEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUI0++KnAUQu+7jbBjEnNAHINfcwQc=","sign":"h36CDkmU97JBuVqlvJ8Bm6Vq/WdwB+pWhTVwYV3yytQ="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-wcqidvw9ldp/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Эналаприл гексал таб., 10 мг, 20 шт.

    Рейтинг товара: 4.6 из 5
    на основе 65 оценок
    Цена 79 ₽
    {"widgets":{"@light/AddToCartButtonSnippet":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-wcqidvw9ldp/addToCartButton":{"offerId":"KyPPW78WahYABokqtcbtkQ","skuId":"228128571","pendingCartItem":{"productId":1401075667,"offerId":"KyPPW78WahYABokqtcbtkQ","showPlaceId":"OTNDnItfwRMjN9MRHuEMMsWXL97cKFyWqSLSu63MkfnjV3Ao8il_oWL6FHbB8D2pCVDbSkhvkM1aE3CNUd5VI2ZiYCe9hq6MDNLqIPptT3qtHJt7z1am3DK4gPqbrSVzZ2gv8PY-NGxO_fO8y6rmU4KS5DFV7OfZLIoukJDWux8NsYT4wZCJ6vTKjVfumRLB2n7KI1dr11po4KOW3x82bw,,","feeShow":"OTNDnItfwRMjN9MRHuEMMsWXL97cKFyWqSLSu63MkfnjV3Ao8il_oWL6FHbB8D2pCVDbSkhvkM1aE3CNUd5VI2ZiYCe9hq6MDNLqIPptT3qtHJt7z1am3DK4gPqbrSVzZ2gv8PY-NGxO_fO8y6rmU4KS5DFV7OfZLIoukJDWux8NsYT4wZCJ6vTKjVfumRLB2n7KI1dr11po4KOW3x82bw,,","skuId":"228128571","shopId":77075781,"price":{"applicablePriceDiscounts":[],"value":"79","currency":"RUR"},"hid":"15756887","name":"Эналаприл гексал таб., 10 мг, 20 шт.","label":"cbtpp0xzt64","count":0,"features":[],"imageMeta":{"namespace":"mpic","groupId":4561793,"key":"img_id7823113517653112184.jpeg"}},"quantity":{"step":1,"minimum":1,"maximum":999},"cpaUrl":"/safeclick/data=TxNGOK9vJEN7oLFLeCTKEixJYuEMI0EzvZFs82AjjgjhTwweZ7mRXd_AQ0K184sfZmy5nQz7U8xIc-qdVOMFoxnoSww2ObzLEs1KJpltGipDSanCui6QCo8GXRHxAQaqQQZbzp5kb0bdQDXqQiIIDEwL4INEBUjrbUNtjxqZ96WFVmZtSFtMyd00zHc5eP2a4OrrJritdvgtYloRnLnIZkpwkto7haQfL5_WnhnSv6wAzV_s31MP6Xq7DcRDzmOVu0jDrSYXP3KH96SdruF5DbRH5Yohh1NWca0QK3XdO6AolIPw6bNVndWuYYJH9DbAjKjHfbT4mF98imCZ_5oruE7eY-gPFIzbFm8fek4rOrY0XCSIbLDeOWvk8gt-LcpGqOZUX4fCnLjGZIPGt80_wZffxDjKjqHI58zEnB_1W9zK8-UZ169D_oHs1Px59oGmdsLvfTGgApNNK_5aPysYHgIOC4i23lmND8WBIzC5nSJ0Opbqc3zLFwONlj83M_RRS5zmyhoSehqcsCKCnbl6zpd0TsnTpvcbY94FlihNR9kLK3jlaNq6adtP6dQ9uAOiNXutMuhXIYLUQQGOq6Ld-dpCr4KwlhWspCjtEPiqUHqbMxDy513ivorWpm5XdMjY5_pw2TeHy_4HP_A0Qt--zlN87uAxeaG3WBEedq8FtOfQbBc74jILG5JuubHWuf8Ysj1UX3fFHlfV_wjDc6V9hQjAiQKt3XcIjmVyulv85lfJkPJZqYwrYKw7oMfJGxIFb1jdTlB4u0vRFu8vEzjiXAfWDKtGuuxOPK8qUuWPVvI5m4eJhsr-XuEd9AgChtOHDKWzPUgvCEwrzXAG1uBdMv-6Nnsn4Cy1ncm43WGGgBn1aczu1jGJ_jrzIIABiUqeI5BdeOIxMPhb-7ckyDYrIcF40rMnmtzmpV51yL5hFFXGzVtud9qT1Z5r6IhA6l-4UQmj4-asi-wbpJu0IGFsegDFvjDuvy4tW5c47-h-snwBhypiFrafvTF2VqLwrMEs17FNP2W3d_aOxjxuTP8kglpGIC7y9FBj5q21rZzIdAJXYusVA-7_edracnJY3IJv_NcvYQxADMlsGNBMBCmtANRJqve_hhl-f_gDZYwTyvhFPXeH2QU-uJXzD_0RaCRipwlEZh_K3a6MhpudpLzUdueDOxeINHl6mrRoDJ5-tj4y8cp5Qi-XVfVbvfE8BCBpX98FkiWc7yy5TKpaCH6PnTF6W9DZ7h0tEGku1i8Zf4KkX0v4KrbI9tHVyo-oLTbR0zeQXPLmfLcRram5mHfGV-xd8AVoLbgLX-ztHZQKDGz2plQcOd6DKocwdFYr0mGbnKoE8vwi0kDOZSWwGM_V5aSXdWwtIh-flMHDyF1R7Alftv5JXO7Lg9gjcfTTx7Cr6EY0eYzjFkNOLNHsIaDYLbyS3tflYzOGFowE9Qq1-GXIAp8f5RSgz7Z5CVf9_1DmLyYpICZKbdhq2MXRlOTGObc06B7YzdpnMjQhMP9kQGKrGol9fofoA1g1oT5xqEW5J-AchaztvLJS-QaKPAJAUWvwNyVpcYWZAIiHDAmtOmNkq3lnHfTGUDjx7NuR7NMpX9DSJKqjAJRX34hVDgUIAsDQrqBzRLtMZk44oN4yqjpo8_WRhN3GA_r7yu03G0_uxwc7RkJ0wTN1B16cZRdzt6i6m8DSV_hC34Nh3pb18jZusPu4AlSwCnaeJgLhqMChoImm2-u5UU0wkidgBWjHELYi_NkxRCcdqs626vzrZ6n2pJ04mHJG0CX8PcRHzAv0RBu8HdhJrC0KNSXl8epGp9KTwnpf7GCLwKazz5NAEHrdd18Tgq4bm562kXbqRz0oIU3ZZkmgzNVZSFX256r2IsQ8p_6zF6QloHd2YLPHD30oc5ruyr59gPlMJLKKflvS3dggDm_6KOGrZnqQCMgQMRul2ay34WRxPU4FHvbCN6sfUiDv3G3rnAPNT9uirEPF-JA7msTl_MsAie_hP4FGEHEmfkMFHMiuzXSjhGUmW-U5ZNWL5CuzTmd6dpbYarhOexEfzwdnDPN0prz273fLwx0mVXUFzqGDWWbbhC0LDVc9g72nyY8nwvcGtSLjO6PBV8wSan2kQCLJY30DkkFb6J9P-3g0lz0Z0xqg98ElFihJ2jt7Z7nGhfIHHLgVjyTbTwZYg3ndqsXS2aOp1438j3EVaJWHrww-i9eLvSQNb6GMTYVosfZ-vwdPXt55EBUIZBj6Y-U8qZTd90UotZqjfe0eWCC1Ht8_blsl8BxF_BEMT6Q8ZOJ4ClS9qDp8Ciuwl5zUTQMqV2WgUKUCSPbvjYiuvLftPvFe_GVKk5eKZ5BRxstd0YIDeya_nqh6U_Siy_i51oDUZRd5SlXAJg7zTS6n0ZVKyzIq8OD1BYCQSZtsfMmxLaKQzB0zn9mV0_SKe5dKo0Oho7MTCq7EEE8A5H1rdtRSv40rUClZeHn8SSKUgLhstgLhARL1C7EwJ9YWPHn3g3ZwggEbHfDxjP_iHhU_tHJH5JPWKX0dL9Lc7VV_uiNVqFkoHUW6BiMYK_Pcb6V6VH6xDCx_xPNIRgDd2SCo-Cjz89AGvCiHBtAs8z0oyc-KK4G05Ij00YGJjC1PCruzw81Oods-RwMBN1ACX95ypLaGdyuFgAOTs99PwuL5op0_B58lq5nBAs52ibu8YLXPWBicyAbfUyZRqEFHKK86AmUAJv3ABScrtWnbLoVjD9BUmD5KPnNK_dUWYDKjOuzOtC3nXUvafIT8gCFVAma7tzNOwgveTjJfiHCbOHYlGd8BcBhA3TitSqqK3HszQDuGlERx_vx7DEUnuoER2D31kT97yBXsqLQRR_qE9ky6V6YQ0ObWrL53qO0fI4vyNLcORk66rq5S_SGhPQ313WovKVfOoDFUr4jJuQUNA0rL8eYhqOlF_K42sKbg1bYWslUzWYspcynaLhIfvUrGcn7qQzQa-ncNRgm6YbF2cZLfcUXzwbtqqZU8x2UBTsrcD77fZwLTE2I-56XPd0FDJufYRfWBERXsUtjIQ-puvmykWhnTQQyos1hvttOmk9cslCFe1MhWYXtX3cfYioZstfYRARThv0nmkgs3Eunslm2hzc2d2-9nq7hI_d0o4PZsHG6JhTG7fbYYelMoDYACQ4oImddw7VuiPN9fPG-KGHrcroxc1hU4_PDifhmU3aw2L_Tkqb4HJ6quAO3tWAtfWYadfb569iIYPL2W019PGHi9KMgBk-_afIElJ8vi0WXPxdBJqtb1TxgtV0Voap_ZbmxtuUcDKRdUfHxzK-_VAU8QMMforXkJR8WGRt5XeK_BGuFac5hwzA6t007IJ-FuL7wL_o_oB8qyS59FGLCA5Gnkjo5aEaaVOem_MEv6s9RYrZ8l9K5wPDbjDQpjgfpBPFo0WD5AyPbL4Z_AnM2H69StYItrU00Dc0bWa6K6Q5qkijnGR4Jn_9_RbxjkwUBbb6nXBsohHbIbX0uKziux9hqw1aFkov8fg05YJd16dXu5-RiHdQFxLSq6h-udP3f6ooFhHoUrs4ac/b64e=1/sign=a32d62777689b7b8a2c6f381519e6709/keyno=MARKET_1/*","showUid":"17179909571438242600106010","cartLink":"/my/cart","showNotificationWhenDeleteItem":true,"isLavka":false,"isError":false,"isEats":false,"isCR":false,"isM2bEdoOnlyEnable":false,"isEatsMarketIntegration":true,"isCartButtonNext":false,"isUpsalePopupCRExp":false,"baobabClientDataAdditionToCart":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrOTXqdSW1usEEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUI0++KnAUQu+7jbBjEnNAHINfcwQc=","sign":"h36CDkmU97JBuVqlvJ8Bm6Vq/WdwB+pWhTVwYV3yytQ="},"target":"cart_addition"},"baobabClientDataDeletionFromCart":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrOTXqdSW1usEEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUI0++KnAUQu+7jbBjEnNAHINfcwQc=","sign":"h36CDkmU97JBuVqlvJ8Bm6Vq/WdwB+pWhTVwYV3yytQ="},"target":"cart_deletion"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-wcqidvw9ldp/addToCartButton":{"name":"@light/AddToCartButtonSnippet"}}}
  • Берлиприл 20 таб., 20 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-ewud2odz9p/toggleWishlist":{"skuId":"227843665","productId":1778173653,"offerId":"GsZVjCOdS9jjsvCOT58bvQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrOTXqdSW1usEEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUI1Y3zzwYQ0bzSbBin3dAHINfcwQc=","sign":"oGLDB/CpUtiAZO7TU8aAFIIjvXpvl76thZGbZlCxj7E="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-ewud2odz9p/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Берлиприл 20 таб., 20 мг, 30 шт.

    Рейтинг товара: 5 из 5
    на основе 1 оценка
    Цена 207 ₽
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  • Эналаприл таб., 10 мг, 50 шт.
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    Эналаприл таб., 10 мг, 50 шт.

    Рейтинг товара: 4.8 из 5
    на основе 55 оценок
    Цена 150 ₽
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Инструкция

Показания к применению

Различные формы артериальной гипертензии, включая реноваскулярную гипертензию. Энам эффективен при хронической сердечной недостаточности (в составе комбинированной терапии).

Противопоказания

Повышенная чувствительность к эналаприлу или другим ингибиторам АПФ.
- Беременность и период кормления грудью.
- Ангионевротический отек в анамнезе на фоне терапии ингибиторами АПФ, наследственный или идиопатический ангионевротический отек.
- Возраст до 18 лет (эффективность и безопасность не установлены).

Способ применения и дозы

Внутрь, независимо от приема пищи.
При монотерапии артериальной гипертензии - начальная доза 5 мг 1 раз в сутки. При отсутствии эффекта через 1-2 нед дозу повышают на 5 мг. После начальной дозы больные должны находиться под медицинским наблюдением в течение 2 ч и дополнительно 1 ч, пока не стабилизируется АД. При необходимости и достаточно хорошей переносимости дозу можно увеличить до 40 мг/сут за 1-2 приема. Через 2-3 нед переходят на поддерживающую дозу - 10-40 мг/сут, разделенную на 1-2 приема. При умеренной гипертензии средняя суточная доза составляет около 10 мг. Максимальная суточная доза препарата - 40 мг.
В случае назначения Энама пациентам получающим диуретики, лечение диуретиком необходимо прекратить за 2-3 дня до назначения препарата. Если это невозможно, то начальная доза Энама должна составлять 2,5 мг/сут.
Больным с гипонатриемией (концентрация натрия в сыворотке крови менее 130 ммоль/л) или концентрацией креатинина в сыворотке крови более 0,14 ммоль/л начальная доза - 2,5 мг 1 раз в сутки.
Реноваскулярная гипертензия: начальная доза - 2,5-5 мг/сут. Максимальная суточная доза - 20 мг.
При хронической сердечной недостаточности начальная доза - 2,5 мг однократно, затем дозу увеличивают на 2,5-5 мг через каждые 3-4 дня в соответствии с клинической реакцией до максимально переносимых доз (в зависимости от АД), но не выше 40 мг/сут, однократно, или в 2 приема. У больных с низким систолическим давлением (менее 110 мм рт.ст.) терапию следует начинать с дозы 1,25 мг. Подбор дозы должен проводиться в течение 2-4 нед или в более короткие сроки. Средняя поддерживающая доза - 5-20 мг/сут за 1-2 приема.
При хронической почечной недостаточности кумуляция наступает при снижении фильтрации менее 10 мл/мин. При клиренсе креатинина 80-30 мл/мин доза обычно составляет 5-10 мг/сут, клиренсе креатинина 30-10 мл/мин - 2,5-5 мг/сут, менее 10 мл/мин - 1,25-2,5 мг/сут только в дни диализа.
Длительность лечения зависит от эффективности терапии. При слишком выраженном снижении АД дозу препарата постепенно уменьшают.
Полная инструкция
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Энам таб.
Энам таб., 20 мг, 20 шт.
4.9
(9)
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2 вопроса
Инструкция

114 ₽

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4.9
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У продавца:9 оценок·1 отзыв
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