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Описание

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Диклофенак ретард-акрихин таб. пролонг. действ., 100 мг, 100 г, 20 шт.

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5.0
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Коротко о товаре

Артикул Маркета
3288332762
Тип препарата
Назначение
Действующее вещество
Возраст
от 18 лет
Инструкция
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В составе комплексной терапии инфекционно-воспалительных заболеваний ЛОР органов с выраженным болевым синдромом (фарингит, тонзиллит, отит)."},{"name":"Противопоказания","value":"- гиперчувствительность к активному веществу (в т.ч. к другим НПВП) или вспомогательным веществам;\u003Cbr\u003E- полное или неполное сочетание бронхиальной астмы, рецидивирующего полипоза слизистой оболочки носа и околоносовых пазух и непереносимости ацетилсалициловой кислоты или других нестероидных противовоспалительных препаратов (в т.ч. в анамнезе);\u003Cbr\u003E- эрозивно-язвенные поражения слизистой желудка или 12-перстной кишки, активное желудочно-кишечное кровотечение;\u003Cbr\u003E- воспалительные заболевания кишечника (язвенный колит, болезнь Крона) в фазе обострения;\u003Cbr\u003E- период после проведения аортокоронарного шунтирования;\u003Cbr\u003E- III триместр беременности, период лактации;\u003Cbr\u003E- декомпенсированная сердечная недостаточность;\u003Cbr\u003E- нарушения кроветворения, нарушения гемостаза (в т.ч. гемофилия);\u003Cbr\u003E- выраженная печеночная недостаточность или активное заболевание печени;\u003Cbr\u003E- выраженная почечная недостаточность (клиренс креатинина менее 30 мл/мин), прогрессирующие заболевания почек, подтвержденная гиперкалиемия;\u003Cbr\u003E- детский возраст до 18 лет;\u003Cbr\u003E- наследственная непереносимость лактозы, нарушение всасывания глюкозы-галактозы, I недостаточность лактазы."},{"name":"Состав","value":"Одна таблетка содержит:\u003Cbr\u003Eактивное вещество: диклофенак натрия в пересчете на 100 % вещество -100 мг; вспомогательные вещества: пудипресс ЛЦЕ [лактозы моногидрат 94,7-98,3 %, повидон 3-4 %], гипромеллоза (гидроксипропилметилцеллюлоза), целлюлоза микрокристаллическая, магния стеарат, кремния диоксид коллоидный (Аэросил 200), стеариновая кислота.\u003Cbr\u003EСостав оболочки: гипромеллоза (гидроксипропилметилцеллюлоза), макрогол (полиэтиленгликоль 6000), глицерол (глицерин), тальк, титана диоксид, краситель железа оксид красный."},{"name":"Действующее вещество","value":"Диклофенак","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["27144131:28710287"]}}},{"name":"Способ применения и дозы","value":"Внутрь, не разжевывая, во время или после еды, запивая небольшим количеством воды. Взрослым - по 100 мг 1 раз в сутки. При альгодисменорее и приступах мигрени - до 200 мг/сут на протяжении не более 1-2 дней. При приеме 100 мг таблеток пролонгированного действия при необходимости увеличения суточной дозы до 150 мг/сут можно дополнительно принимать по 1 обычной таблетке (50 мг). Максимальная суточная доза 150 мг."},{"name":"Побочные действия","value":"Часто - 1-10 %; иногда - 0,1-1 %; редко - 0,01-0,1 %; очень редко - менее 0,001 %, включая Отдельные случаи.\u003Cbr\u003EСо стороны пищеварительной системы: часто - эпигастральная боль, тошнота, рвота, диа¬рея, диспепсия, метеоризм, анорексия, повышение активности аминотрансфераз; редко - га¬стрит, проктит, кровотечение из ЖКТ (рвота с кровью, мелена, диарея с примесью крови), язвы ЖКТ (с или без кровотечения или перфорации), гепатит, желтуха, нарушение функции печени; очень редко - стоматит, глоссит, эзофагит, неспецифический геморрагический ко¬лит, обострение язвенного колита или болезни Крона, запор, панкреатит, молниеносный ге¬патит.\u003Cbr\u003EСо стороны нервной системы: часто - головная боль, головокружение; редко- сонливость;\u003Cbr\u003Eочень редко - нарушение чувствительности (в т.ч. парестезия), расстройства памяти, тремор, судороги, тревога, цереброваскулярные нарушения, асептический менингит, дезориентация, депрессия, бессонница, ночные \"кошмары\", раздражительность, психические нарушения.\u003Cbr\u003EСо стороны органов чувств: часто - вертиго; очень редко - нарушение зрения (нечеткость зрения, диплопия), нарушение слуха, шум в ушах, нарушение вкусовых ощущений.\u003Cbr\u003EСо стороны мочевыделительной системы: очень редко - острая почечная недостаточность, гематурия, протеинурия, интерстициальный нефрит, нефротический синдром, папиллярный некроз.\u003Cbr\u003EСо стороны органов кроветворения: очень редко - тромбоцитопения, лейкопения, гемоли-тическая и апластическая анемия, агранулоцитоз.\u003Cbr\u003EАллергические реакции: анафилактические/анафилактоидные реакции, включая выраженное снижение артериального давления и шок; очень редко - ангионевротический отек (в т.ч. ли¬ца).\u003Cbr\u003EСо стороны сердечно-сосудистой системы: очень редко - сердцебиение, боль в груди, по¬вышение артериального давления, васкулит, сердечная недостаточность, инфаркт миокарда. Со стороны дыхательной системы: редко - обострение бронхиальной астмы (включая одышку); очень редко - пневмонит.\u003Cbr\u003EСо стороны кожных покровов: часто - кожная сыпь; редко - крапивница; очень редко - буллезные высыпания, эритема, в т.ч. мультиформная и синдром Стивенса-Джонсона, синдром Лайелла, эксфолиативный дерматит, зуд, выпадение волос, фотосенсибилизация, пурпура, в т.ч. аллергическая."},{"name":"Фармакологическое действие","value":"Нестероидный противовоспалительный препарат (НПВП), производное фенилуксусной кислоты. Оказывает противовоспалительное, анальгезирующее, жаропонижающее и антиагрегантное действие. Неизбирательно угнетая циклоксигеназы 1 и 2, нарушает метаболизм арахидоновой кислоты, уменьшает количество простагландинов (Рg) в очаге воспаления, подавляет экссудативную и пролиферативную фазы воспаления.\u003Cbr\u003EПри ревматических заболеваниях противовоспалительное и анальгезирующее действие диклофенака способствует значительному уменьшению выраженности боли, утренней скованности, припухлости суставов, что улучшает состояние сустава.\u003Cbr\u003EПри травмах, в послеоперационном периоде диклофенак уменьшает болевые ощущения и воспалительный отек."},{"name":"Фармакологическая группа","value":"нестероидный противовоспалительный препарат (НПВП)"},{"name":"Форма выпуска","value":"таблетки"},{"name":"Способ применения/введения","value":"пероральный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","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.\u003Cbr\u003EХранить в недоступном для детей месте."},{"name":"Передозировка","value":"Симптомы: рвота, кровотечение из ЖКТ, эпигастральная боль, диарея, головокружение, шум в ушах, судороги, повышение артериального давления (АД), угнетение дыхания, при значительной передозировке - острая почечная недостаточность, гепатотоксическое действие.\u003Cbr\u003EЛечение: промывание желудка, введение активированного угля, симптоматическая терапия, направленная на устранение повышения АД, нарушения функции почек, судорог, раздражения ЖКТ, угнетения дыхания. Форсированный диурез, гемодиализ малоэффективны (в связи со значительной связью с белками и интенсивным метаболизмом)."},{"name":"Применение при беременности и кормлении грудью","value":"Противопоказано."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Необходимо воздерживаться от занятий потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций."},{"name":"Особые указания","value":"Для быстрого достижения желаемого терапевтического эффекта принимают за 30 мин до приема пищи. В остальных случаях принимают до, во время или после еды, не разжевывая, запивая достаточным количеством воды.\u003Cbr\u003EИз-за важной роли простагландинов в поддержании почечного кровотока следует проявлять ;особую осторожность при назначении пациентам с сердечной или почечной недостаточностью, а также при терапии лиц пожилого возраста, принимающих диуретики, и больных, у которых по какой-либо причине наблюдается снижение объема циркулирующей крови (например, после обширного хирургического вмешательства). Если в таких случаях назначают диклофенак, рекомендуют в качестве меры предосторожности контролировать функцию почек.\u003Cbr\u003EУ пациентов с печеночной недостаточностью (хронический гепатит, компенсированный цирроз печени) кинетика и метаболизм не отличаются от аналогичных процессов у пациентов с нормальной функцией печени. При проведении длительной терапии необходимо контролировать функцию печени, картину периферической крови, анализ кала на скрытую кровь.\u003Cbr\u003EВ связи с отрицательным действием на фертильность, женщинам, желающим забеременеть, препарат применять не рекомендуется. У пациенток с бесплодием (в т.ч. проходящих обследование) рекомендуется отменить препарат.\u003Cbr\u003EДля снижения риска развития нежелательных явлений со стороны ЖКТ следует использовать минимальную эффективную дозу минимально возможным коротким курсом. Необходимо воздерживаться от занятий потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций. Пациентам, принимающим препарат, необходимо воздерживаться от употребления алкоголя.\u003Cbr\u003EС осторожностью:\u003Cbr\u003EАнемия, бронхиальная астма, цереброваскулярные заболевание, ишемическая болезнь сердца, хроническая сердечная недостаточность, артериальная гипертензия, заболевания периферических артерий, отечный синдром, печеночная и почечная недостаточность (клиренс креатинина 30-60 мл/мин), дислипидемия/гиперлипидемия, сахарный диабет, курение, воспалительные заболевания кишечника, состояния после обширных хирургических вмешательств, индуцируемая порфирия, дивертикулит, системные заболевания соединительной ткани, беременность I-II триместр.\u003Cbr\u003EАнамнестические данные о развитии язвенного заболевания желудочно-кишечного тракта, наличие инфекции Helicobacter pylori, пожилой возраст, длительное использование НПВП, алкоголизм, тяжелые соматические заболевания.\u003Cbr\u003EОдновременный прием глюкокортикостероидов (например, преднизолон), антикоагулянтов (например, варфарин), антиагрегантов (например, ацетилсалициловая кислота, клопидогрел), селективных ингибиторов обратного захвата серотонина (например, циталопрам, флуоксетин, пароксетин, сертралин)."},{"name":"Взаимодействие","value":"Повышает концентрацию в плазме дигоксина, метотрексата, препаратов лития и циклоспорина.\u003Cbr\u003EСнижает эффект диуретиков, на фоне калийсберегающих диуретиков усиливается риск гиперкалиемии, на фоне антикоагулянтов, тромболитических средств (алтеплаза, стрептокина-за, урокиназа) - риск кровотечений (чаще из желудочно-кишечного тракта). Уменьшает эффекты гипотензивных и снотворных средств.\u003Cbr\u003EУвеличивает вероятность возникновения побочных эффектов других НПВП и глюкокортикостероидов (желудочно-кишечные кровотечения), токсичность метотрексата и нефротоксичность циклоспорина.\u003Cbr\u003EАцетилсалициловая кислота снижает концентрацию диклофенака в крови. Парацетамол повышает риск развития нефротоксичных эффектов диклофенака. Уменьшает эффект гипогликемических лекарственных средств.\u003Cbr\u003EЦефамандол, цефаперазон, цефотетан, вальпроевая кислота и пликамицин увеличивают частоту развития гипопротромбинемии.\u003Cbr\u003EЦиклоспорин и препараты золота повышают влияние диклофенака на синтез простагландинов в почках, что повышает нефротоксичность.\u003Cbr\u003EОдновременное использование с этанолом, колхицином, кортикотропином, селективными ингибиторами обратного захвата серотонина и препаратами зверобоя продырявленного повышает риск развития кровотечений, в желудочно-кишечном тракте.\u003Cbr\u003EДиклофенак усиливает действие препаратов, вызывающих фотосенсибилизацию. Лекарственные средства, блокирующие канальцёвую секрецию, повышают концентрацию в плазме диклофенака, тем самым, повышая его токсичность.\u003Cbr\u003EАнтибактериальные лекарственные средства из группы хинолона - риск развития судорог."},{"name":"Регистрационный номер","value":"Р N002242/01"},{"name":"Дата государственной регистрации","value":"17.02.2022"},{"name":"Владелец регистрационного удостоверения","value":"АКРИХИН","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["34324371:35649313","7893318:11037214"]}}},{"name":"Изготовитель","value":"АКРИХИН"},{"name":"Фасовщик","value":"АКРИХИН"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Диклофенак ретард","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["17796364:18035461"]}}},{"name":"Срок годности","value":"36 мес."}]}},"fullSpecsGrouped":{"14918779913533145626":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Органы и системы","value":"опорно-двигательная система"},{"name":"Назначение","value":"аднексит, альгодисменорея, анкилозирующий спондилит, бурсит, головная боль, зубная боль, ишиас, люмбаго, мигрень, невралгия, остеоартроз, проктит, ревматоидный артрит, тендовагинит"},{"name":"Показания к применению","value":"Воспалительные и дегенеративные заболевания опорно-двигательного аппарата: ревматоидный артрит, псориатический артрит, ювенильный хронический артрит, анкилозирующий спондилит (болезнь Бехтерева); подагрический артрит (при остром приступе подагры предпочтительны быстродействующие лекарственные формы), ревматическое поражение мягких тканей, остеоартроз периферических суставов и позвоночника, в том числе с радикулярным синдромом, тендовагинит, бурсит.\u003Cbr\u003EПрепарат предназначен для симптоматической терапии, уменьшения боли и воспаления на момент использования, на прогрессирование заболевания не влияет.\u003Cbr\u003EБолевой синдром слабой или умеренной выраженности: люмбаго, ишиас, невралгия, миалгия; посттравматический болевой синдром, сопровождающийся воспалением, послеоперационная боль, головная боль, мигрень, зубная боль, альгодисменорея, аднексит, проктит. В составе комплексной терапии инфекционно-воспалительных заболеваний ЛОР органов с выраженным болевым синдромом (фарингит, тонзиллит, отит)."},{"name":"Противопоказания","value":"- гиперчувствительность к активному веществу (в т.ч. к другим НПВП) или вспомогательным веществам;\u003Cbr\u003E- полное или неполное сочетание бронхиальной астмы, рецидивирующего полипоза слизистой оболочки носа и околоносовых пазух и непереносимости ацетилсалициловой кислоты или других нестероидных противовоспалительных препаратов (в т.ч. в анамнезе);\u003Cbr\u003E- эрозивно-язвенные поражения слизистой желудка или 12-перстной кишки, активное желудочно-кишечное кровотечение;\u003Cbr\u003E- воспалительные заболевания кишечника (язвенный колит, болезнь Крона) в фазе обострения;\u003Cbr\u003E- период после проведения аортокоронарного шунтирования;\u003Cbr\u003E- III триместр беременности, период лактации;\u003Cbr\u003E- декомпенсированная сердечная недостаточность;\u003Cbr\u003E- нарушения кроветворения, нарушения гемостаза (в т.ч. гемофилия);\u003Cbr\u003E- выраженная печеночная недостаточность или активное заболевание печени;\u003Cbr\u003E- выраженная почечная недостаточность (клиренс креатинина менее 30 мл/мин), прогрессирующие заболевания почек, подтвержденная гиперкалиемия;\u003Cbr\u003E- детский возраст до 18 лет;\u003Cbr\u003E- наследственная непереносимость лактозы, нарушение всасывания глюкозы-галактозы, I недостаточность лактазы."},{"name":"Состав","value":"Одна таблетка содержит:\u003Cbr\u003Eактивное вещество: диклофенак натрия в пересчете на 100 % вещество -100 мг; вспомогательные вещества: пудипресс ЛЦЕ [лактозы моногидрат 94,7-98,3 %, повидон 3-4 %], гипромеллоза (гидроксипропилметилцеллюлоза), целлюлоза микрокристаллическая, магния стеарат, кремния диоксид коллоидный (Аэросил 200), стеариновая кислота.\u003Cbr\u003EСостав оболочки: гипромеллоза (гидроксипропилметилцеллюлоза), макрогол (полиэтиленгликоль 6000), глицерол (глицерин), тальк, титана диоксид, краситель железа оксид красный."},{"name":"Действующее вещество","value":"Диклофенак"},{"name":"Способ применения и дозы","value":"Внутрь, не разжевывая, во время или после еды, запивая небольшим количеством воды. Взрослым - по 100 мг 1 раз в сутки. При альгодисменорее и приступах мигрени - до 200 мг/сут на протяжении не более 1-2 дней. При приеме 100 мг таблеток пролонгированного действия при необходимости увеличения суточной дозы до 150 мг/сут можно дополнительно принимать по 1 обычной таблетке (50 мг). Максимальная суточная доза 150 мг."},{"name":"Побочные действия","value":"Часто - 1-10 %; иногда - 0,1-1 %; редко - 0,01-0,1 %; очень редко - менее 0,001 %, включая Отдельные случаи.\u003Cbr\u003EСо стороны пищеварительной системы: часто - эпигастральная боль, тошнота, рвота, диа¬рея, диспепсия, метеоризм, анорексия, повышение активности аминотрансфераз; редко - га¬стрит, проктит, кровотечение из ЖКТ (рвота с кровью, мелена, диарея с примесью крови), язвы ЖКТ (с или без кровотечения или перфорации), гепатит, желтуха, нарушение функции печени; очень редко - стоматит, глоссит, эзофагит, неспецифический геморрагический ко¬лит, обострение язвенного колита или болезни Крона, запор, панкреатит, молниеносный ге¬патит.\u003Cbr\u003EСо стороны нервной системы: часто - головная боль, головокружение; редко- сонливость;\u003Cbr\u003Eочень редко - нарушение чувствительности (в т.ч. парестезия), расстройства памяти, тремор, судороги, тревога, цереброваскулярные нарушения, асептический менингит, дезориентация, депрессия, бессонница, ночные \"кошмары\", раздражительность, психические нарушения.\u003Cbr\u003EСо стороны органов чувств: часто - вертиго; очень редко - нарушение зрения (нечеткость зрения, диплопия), нарушение слуха, шум в ушах, нарушение вкусовых ощущений.\u003Cbr\u003EСо стороны мочевыделительной системы: очень редко - острая почечная недостаточность, гематурия, протеинурия, интерстициальный нефрит, нефротический синдром, папиллярный некроз.\u003Cbr\u003EСо стороны органов кроветворения: очень редко - тромбоцитопения, лейкопения, гемоли-тическая и апластическая анемия, агранулоцитоз.\u003Cbr\u003EАллергические реакции: анафилактические/анафилактоидные реакции, включая выраженное снижение артериального давления и шок; очень редко - ангионевротический отек (в т.ч. ли¬ца).\u003Cbr\u003EСо стороны сердечно-сосудистой системы: очень редко - сердцебиение, боль в груди, по¬вышение артериального давления, васкулит, сердечная недостаточность, инфаркт миокарда. Со стороны дыхательной системы: редко - обострение бронхиальной астмы (включая одышку); очень редко - пневмонит.\u003Cbr\u003EСо стороны кожных покровов: часто - кожная сыпь; редко - крапивница; очень редко - буллезные высыпания, эритема, в т.ч. мультиформная и синдром Стивенса-Джонсона, синдром Лайелла, эксфолиативный дерматит, зуд, выпадение волос, фотосенсибилизация, пурпура, в т.ч. аллергическая."},{"name":"Фармакологическое действие","value":"Нестероидный противовоспалительный препарат (НПВП), производное фенилуксусной кислоты. Оказывает противовоспалительное, анальгезирующее, жаропонижающее и антиагрегантное действие. Неизбирательно угнетая циклоксигеназы 1 и 2, нарушает метаболизм арахидоновой кислоты, уменьшает количество простагландинов (Рg) в очаге воспаления, подавляет экссудативную и пролиферативную фазы воспаления.\u003Cbr\u003EПри ревматических заболеваниях противовоспалительное и анальгезирующее действие диклофенака способствует значительному уменьшению выраженности боли, утренней скованности, припухлости суставов, что улучшает состояние сустава.\u003Cbr\u003EПри травмах, в послеоперационном периоде диклофенак уменьшает болевые ощущения и воспалительный отек."},{"name":"Фармакологическая группа","value":"нестероидный противовоспалительный препарат (НПВП)"},{"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.\u003Cbr\u003EХранить в недоступном для детей месте."},{"name":"Передозировка","value":"Симптомы: рвота, кровотечение из ЖКТ, эпигастральная боль, диарея, головокружение, шум в ушах, судороги, повышение артериального давления (АД), угнетение дыхания, при значительной передозировке - острая почечная недостаточность, гепатотоксическое действие.\u003Cbr\u003EЛечение: промывание желудка, введение активированного угля, симптоматическая терапия, направленная на устранение повышения АД, нарушения функции почек, судорог, раздражения ЖКТ, угнетения дыхания. Форсированный диурез, гемодиализ малоэффективны (в связи со значительной связью с белками и интенсивным метаболизмом)."},{"name":"Применение при беременности и кормлении грудью","value":"Противопоказано."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Необходимо воздерживаться от занятий потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций."},{"name":"Особые указания","value":"Для быстрого достижения желаемого терапевтического эффекта принимают за 30 мин до приема пищи. В остальных случаях принимают до, во время или после еды, не разжевывая, запивая достаточным количеством воды.\u003Cbr\u003EИз-за важной роли простагландинов в поддержании почечного кровотока следует проявлять ;особую осторожность при назначении пациентам с сердечной или почечной недостаточностью, а также при терапии лиц пожилого возраста, принимающих диуретики, и больных, у которых по какой-либо причине наблюдается снижение объема циркулирующей крови (например, после обширного хирургического вмешательства). Если в таких случаях назначают диклофенак, рекомендуют в качестве меры предосторожности контролировать функцию почек.\u003Cbr\u003EУ пациентов с печеночной недостаточностью (хронический гепатит, компенсированный цирроз печени) кинетика и метаболизм не отличаются от аналогичных процессов у пациентов с нормальной функцией печени. При проведении длительной терапии необходимо контролировать функцию печени, картину периферической крови, анализ кала на скрытую кровь.\u003Cbr\u003EВ связи с отрицательным действием на фертильность, женщинам, желающим забеременеть, препарат применять не рекомендуется. У пациенток с бесплодием (в т.ч. проходящих обследование) рекомендуется отменить препарат.\u003Cbr\u003EДля снижения риска развития нежелательных явлений со стороны ЖКТ следует использовать минимальную эффективную дозу минимально возможным коротким курсом. Необходимо воздерживаться от занятий потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций. Пациентам, принимающим препарат, необходимо воздерживаться от употребления алкоголя.\u003Cbr\u003EС осторожностью:\u003Cbr\u003EАнемия, бронхиальная астма, цереброваскулярные заболевание, ишемическая болезнь сердца, хроническая сердечная недостаточность, артериальная гипертензия, заболевания периферических артерий, отечный синдром, печеночная и почечная недостаточность (клиренс креатинина 30-60 мл/мин), дислипидемия/гиперлипидемия, сахарный диабет, курение, воспалительные заболевания кишечника, состояния после обширных хирургических вмешательств, индуцируемая порфирия, дивертикулит, системные заболевания соединительной ткани, беременность I-II триместр.\u003Cbr\u003EАнамнестические данные о развитии язвенного заболевания желудочно-кишечного тракта, наличие инфекции Helicobacter pylori, пожилой возраст, длительное использование НПВП, алкоголизм, тяжелые соматические заболевания.\u003Cbr\u003EОдновременный прием глюкокортикостероидов (например, преднизолон), антикоагулянтов (например, варфарин), антиагрегантов (например, ацетилсалициловая кислота, клопидогрел), селективных ингибиторов обратного захвата серотонина (например, циталопрам, флуоксетин, пароксетин, сертралин)."},{"name":"Взаимодействие","value":"Повышает концентрацию в плазме дигоксина, метотрексата, препаратов лития и циклоспорина.\u003Cbr\u003EСнижает эффект диуретиков, на фоне калийсберегающих диуретиков усиливается риск гиперкалиемии, на фоне антикоагулянтов, тромболитических средств (алтеплаза, стрептокина-за, урокиназа) - риск кровотечений (чаще из желудочно-кишечного тракта). Уменьшает эффекты гипотензивных и снотворных средств.\u003Cbr\u003EУвеличивает вероятность возникновения побочных эффектов других НПВП и глюкокортикостероидов (желудочно-кишечные кровотечения), токсичность метотрексата и нефротоксичность циклоспорина.\u003Cbr\u003EАцетилсалициловая кислота снижает концентрацию диклофенака в крови. Парацетамол повышает риск развития нефротоксичных эффектов диклофенака. Уменьшает эффект гипогликемических лекарственных средств.\u003Cbr\u003EЦефамандол, цефаперазон, цефотетан, вальпроевая кислота и пликамицин увеличивают частоту развития гипопротромбинемии.\u003Cbr\u003EЦиклоспорин и препараты золота повышают влияние диклофенака на синтез простагландинов в почках, что повышает нефротоксичность.\u003Cbr\u003EОдновременное использование с этанолом, колхицином, кортикотропином, селективными ингибиторами обратного захвата серотонина и препаратами зверобоя продырявленного повышает риск развития кровотечений, в желудочно-кишечном тракте.\u003Cbr\u003EДиклофенак усиливает действие препаратов, вызывающих фотосенсибилизацию. Лекарственные средства, блокирующие канальцёвую секрецию, повышают концентрацию в плазме диклофенака, тем самым, повышая его токсичность.\u003Cbr\u003EАнтибактериальные лекарственные средства из группы хинолона - риск развития судорог."},{"name":"Регистрационный номер","value":"Р N002242/01"},{"name":"Дата государственной регистрации","value":"17.02.2022"},{"name":"Владелец регистрационного удостоверения","value":"АКРИХИН"},{"name":"Изготовитель","value":"АКРИХИН"},{"name":"Фасовщик","value":"АКРИХИН"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Диклофенак ретард"},{"name":"Срок годности","value":"36 мес."}]}],"transitionId":"tr_13585598200670197342"}}}}
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

Где купить

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61 ₽

  • 11-13 июня, самовывоз • 0 ₽
POLZAru
Рейтинг 4.9 из 5
38Котзывов
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  • Диклофенак таб. п/о плен. кш/раств, 50 мг, 20 шт.
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    Диклофенак таб. п/о плен. кш/раств, 50 мг, 20 шт.

    Рейтинг товара: 4.8 из 5
    на основе 55 оценок
    Цена 17 ₽
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  • Диклофенак ретард таб. пролонг. действ. кш/раств, 100 мг, 20 шт.
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    Диклофенак ретард таб. пролонг. действ. кш/раств, 100 мг, 20 шт.

    Рейтинг товара: 5 из 5
    на основе 12 оценок
    Цена 44 ₽
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  • Диклофенак таб. пролонг. п/о плен., 100 мг, 20 шт.
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    Диклофенак таб. пролонг. п/о плен., 100 мг, 20 шт.

    Рейтинг товара: 5 из 5
    на основе 10 оценок
    Цена 86 ₽
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  • Диклофенак таб. п/о кш/раств, 50 мг, 20 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-3t876pfhlyc/toggleWishlist":{"skuId":"227843975","productId":1780858066,"offerId":"PCVA-AJioUa_qzeMGr7dCQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ4cSBp4v0pPJ5EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUI0vmW0QYQh7/SbBjZ8c8GIOfcwQc=","sign":"Hfl/6IbKP2CJn1qpgLzWd/hJ0voq6VwYhtZpUPnz6cU="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-3t876pfhlyc/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Диклофенак таб. п/о кш/раств, 50 мг, 20 шт.

    Рейтинг товара: 5 из 5
    на основе 4 оценки
    Цена 46 ₽
    {"widgets":{"@light/AddToCartButtonSnippet":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-3t876pfhlyc/addToCartButton":{"offerId":"PCVA-AJioUa_qzeMGr7dCQ","skuId":"227843975","pendingCartItem":{"productId":1780858066,"offerId":"PCVA-AJioUa_qzeMGr7dCQ","showPlaceId":"OTNDnItfwRMjN9MRHuEMMluh_IvRy5k0uzGwsmwYqKIie6x5R3SEAEduSKu1b0j6MWKp8bY-pyJZYoQnV68RKFP76YkKeqTK2W3j_TWu7zmZW0TlFuoMsVvezGmMekO_nZtj7SWF8QG7j1itViWjDlD7sNKxuCQ5jt4jbpK0eypDl7iFtmNqXUKQ0VGKiXB4nBKzO1TYey-v6xIEzoSOUw,,","feeShow":"OTNDnItfwRMjN9MRHuEMMluh_IvRy5k0uzGwsmwYqKIie6x5R3SEAEduSKu1b0j6MWKp8bY-pyJZYoQnV68RKFP76YkKeqTK2W3j_TWu7zmZW0TlFuoMsVvezGmMekO_nZtj7SWF8QG7j1itViWjDlD7sNKxuCQ5jt4jbpK0eypDl7iFtmNqXUKQ0VGKiXB4nBKzO1TYey-v6xIEzoSOUw,,","skuId":"227843975","shopId":55106433,"price":{"applicablePriceDiscounts":[],"value":"46","currency":"RUR"},"hid":"15756903","name":"Диклофенак таб. п/о кш/раств, 50 мг, 20 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  • Нимесулид таб., 100 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-qkbimduxm0l/toggleWishlist":{"skuId":"101392588730","productId":453476060,"offerId":"_RUp34lINLV-SD-pi_i4_w","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ4cSBp4v0pPJ5EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcI3P2d2AEQur/g2/kCGOvL9Qcg59zBBw==","sign":"JXIm+HVnATVtrRELwVoKguZKiN/PR0YH7aNF0v/v3mM="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-qkbimduxm0l/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Нимесулид таб., 100 мг, 30 шт.

    Рейтинг товара: 4.8 из 5
    на основе 362 оценки
    Цена 90 ₽
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  • Диклофенак р-р д/ин., 25 мг/мл, 3 мл, 5 шт.
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    Диклофенак р-р д/ин., 25 мг/мл, 3 мл, 5 шт.

    Рейтинг товара: 5 из 5
    на основе 20 оценок
    Цена 78 ₽
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  • Диклофенак супп. рект., 100 мг, 10 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-fkw1qsrrzi/toggleWishlist":{"skuId":"101392435729","productId":539588211,"offerId":"lTDc8PqFNRXic4uFWwh2lw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ4cSBp4v0pPJ5EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcI8+ylgQIQkZTX2/kCGJ2BzwYg59zBBw==","sign":"zo6EjZX6VMFcRtYzAWf0gK7DkOfTaXDm6m9DsrXI86g="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-fkw1qsrrzi/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Диклофенак супп. рект., 100 мг, 10 шт.

    Рейтинг товара: 4.9 из 5
    на основе 7 оценок
    Цена 59 ₽
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  • Кеторол Экспресс таб. дисперг., 10 мг, 20 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-hdb7rl29vzh/toggleWishlist":{"skuId":"101392131737","productId":553245119,"offerId":"uNdrLayCHbG1rKdO_uYXTA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ4cSBp4v0pPJ5EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcIv7PnhwIQmc3E2/kCGMCi1Qcg59zBBw==","sign":"m0tSZlWkPrULgV0DYUEHphzXO21KL2+VNemrJuWcz4U="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-hdb7rl29vzh/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Кеторол Экспресс таб. дисперг., 10 мг, 20 шт.

    Рейтинг товара: 4.8 из 5
    на основе 113 оценок
    Цена 77 ₽
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  • Диклофенак реневал таб. п/о плен. пролонг., 100 мг, 20 шт.
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    Диклофенак реневал таб. п/о плен. пролонг., 100 мг, 20 шт.

    Рейтинг товара: 4.8 из 5
    на основе 4 оценки
    Цена 124 ₽
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  • Диклофенак-Альтфарм супп. рект., 50 мг, 10 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-4vb074wqujl/toggleWishlist":{"skuId":"101392284728","productId":537863010,"offerId":"PlVrVKXR9e7romqwmqy5Iw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ4cSBp4v0pPJ5EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcI4sa8gAIQuPjN2/kCGIDi0Acg59zBBw==","sign":"f6Za2+Eckkm4zQQfyfkXSd6NuBKoCzNEp9WNUCXSnp8="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-4vb074wqujl/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Диклофенак-Альтфарм супп. рект., 50 мг, 10 шт.

    Рейтинг товара: 5 из 5
    на основе 2 оценки
    Цена 163 ₽
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  • Ортофен таб. п/о плен. кш/раств., 25 мг, 20 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-3c72nqcpdyw/toggleWishlist":{"skuId":"101392544729","productId":530375074,"offerId":"3MDItyWocBwjqDos8Zq-Ig","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ4cSBp4v0pPJ5EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcIosPz/AEQ2efd2/kCGIyBzwYg59zBBw==","sign":"7kXWkAE0/MHD+qoz0ukEHPBi0MEae6s/oncUoiVPOdc="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-3c72nqcpdyw/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Ортофен таб. п/о плен. кш/раств., 25 мг, 20 шт.

    Рейтинг товара: 5 из 5
    на основе 11 оценок
    Цена 27 ₽
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Инструкция

Показания к применению

Воспалительные и дегенеративные заболевания опорно-двигательного аппарата: ревматоидный артрит, псориатический артрит, ювенильный хронический артрит, анкилозирующий спондилит (болезнь Бехтерева); подагрический артрит (при остром приступе подагры предпочтительны быстродействующие лекарственные формы), ревматическое поражение мягких тканей, остеоартроз периферических суставов и позвоночника, в том числе с радикулярным синдромом, тендовагинит, бурсит.
Препарат предназначен для симптоматической терапии, уменьшения боли и воспаления на момент использования, на прогрессирование заболевания не влияет.
Болевой синдром слабой или умеренной выраженности: люмбаго, ишиас, невралгия, миалгия; посттравматический болевой синдром, сопровождающийся воспалением, послеоперационная боль, головная боль, мигрень, зубная боль, альгодисменорея, аднексит, проктит. В составе комплексной терапии инфекционно-воспалительных заболеваний ЛОР органов с выраженным болевым синдромом (фарингит, тонзиллит, отит).

Противопоказания

- гиперчувствительность к активному веществу (в т.ч. к другим НПВП) или вспомогательным веществам;
- полное или неполное сочетание бронхиальной астмы, рецидивирующего полипоза слизистой оболочки носа и околоносовых пазух и непереносимости ацетилсалициловой кислоты или других нестероидных противовоспалительных препаратов (в т.ч. в анамнезе);
- эрозивно-язвенные поражения слизистой желудка или 12-перстной кишки, активное желудочно-кишечное кровотечение;
- воспалительные заболевания кишечника (язвенный колит, болезнь Крона) в фазе обострения;
- период после проведения аортокоронарного шунтирования;
- III триместр беременности, период лактации;
- декомпенсированная сердечная недостаточность;
- нарушения кроветворения, нарушения гемостаза (в т.ч. гемофилия);
- выраженная печеночная недостаточность или активное заболевание печени;
- выраженная почечная недостаточность (клиренс креатинина менее 30 мл/мин), прогрессирующие заболевания почек, подтвержденная гиперкалиемия;
- детский возраст до 18 лет;
- наследственная непереносимость лактозы, нарушение всасывания глюкозы-галактозы, I недостаточность лактазы.

Способ применения и дозы

Внутрь, не разжевывая, во время или после еды, запивая небольшим количеством воды. Взрослым - по 100 мг 1 раз в сутки. При альгодисменорее и приступах мигрени - до 200 мг/сут на протяжении не более 1-2 дней. При приеме 100 мг таблеток пролонгированного действия при необходимости увеличения суточной дозы до 150 мг/сут можно дополнительно принимать по 1 обычной таблетке (50 мг). Максимальная суточная доза 150 мг.
Полная инструкция
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Диклофенак ретард-акрихин таб. пролонг. действ.
Диклофенак ретард-акрихин таб. пролонг. действ., 100 мг, 100 г, 20 шт.
5.0
(5)
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2 вопроса
Инструкция

61 ₽

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5.0
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