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Описание

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Небилонг таб., 5 мг, 30 шт.

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5.0
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Дозировка: 5 мг

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Количество штук в упаковке, шт.: 30

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Коротко о товаре

Артикул Маркета
3123913493
Тип препарата
Назначение
Действующее вещество
Возраст
от 18 лет
Инструкция
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Оптимальный эффект развивается через 1-2 недели лечения, а в ряде случаев - через 4 недели. При необходимости суточную дозу увеличивают до 10 мг/сут.\u003Cbr\u003EДля пациентов в возрасте старше 65 лет начальная доза составляет 2.5 мг/сут. При необходимости суточную дозу можно увеличить до 5 мг."},{"name":"Побочные действия","value":"Со стороны ЦНС и периферической нервной системы: головная боль, головокружение, чувство усталости, парестезии, депрессия, снижение способности к концентрации внимания, сонливость, бессонница, кошмарные сновидения; очень редко - обморок, галлюцинации.\u003Cbr\u003EСо стороны пищеварительной системы: тошнота, запор, диарея, сухость во рту, метеоризм, рвота.\u003Cbr\u003EСо стороны сердечно-сосудистой системы: брадикардия, ортостатическая гипотензия, одышка, отеки, острая сердечная недостаточность, AV-блокада, синдром Рейно, кардиалгии.\u003Cbr\u003EСо стороны кожи и подкожных тканей: кожная сыпь эритематозного характера, зуд; очень редко - усугубление течения псориаза.\u003Cbr\u003EАллергические реакции: в отдельных случаях - ангионевротический отек.\u003Cbr\u003EПрочие: бронхоспазм, сухость глаз."},{"name":"Фармакологическое действие","value":"Кардиоселективный бета1-адреноблокатор III поколения с вазодилатирующими свойствами. Активное вещество представляет собой рацемат, состоящий из двух энантиомеров: D-небиволола и L-небиволола. D-небиволол является конкурентным и высокоселективным блокатором β1-адренорецепторов; L-небиволол оказывает мягкое сосудорасширяющее действие за счет модуляции высвобождения вазодилатирующего фактора (NO) из эндотелия сосудов.\u003Cbr\u003EНебиволол снижает ЧСС и АД в состоянии покоя и при нагрузке, уменьшает конечное диастолическое давление левого желудочка, снижает ОПСС, улучшает диастолическую функцию сердца (снижает давление наполнения), увеличивает фракцию выброса; вызывает антиангинальный эффект у больных ИБС.\u003Cbr\u003EГипотензивное действие обусловлено также уменьшением активности ренин-ангиотензиновой системы (прямо не коррелирует с изменением активности ренина в плазме крови).\u003Cbr\u003EАнтиаритмическое действие обусловлено подавлением патологического автоматизма сердца (в т.ч. в патологическом очаге) и замедлением AV-проводимости.\u003Cbr\u003EУстойчивое гипотензивное действие развивается через 1-2 недели регулярного приема препарата, а в ряде случаев - через 4 недели, стабильное действие отмечается через 1-2 месяца."},{"name":"Фармакологическая группа","value":"бета1-адреноблокатор селективный"},{"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 оригинальной упаковке, при температуре не выше 25°С. Хранить в местах, недоступных для детей."},{"name":"Передозировка","value":"Симптомы: выраженное снижение АД, брадикардия, тяжелые нарушения внутрисердечной проводимости, шок, асистолия, остановка дыхания, бронхоспазм, потеря сознания, судороги, кома, тошнота, рвота, цианоз, гипогликемия, гиперкалиемия.\u003Cbr /\u003EЛечение: промывание желудка, прием активированного угля. В случае выраженного снижения АД необходимо придать пациенту горизонтальное положение с приподнятыми ногами, при необходимости внутривенное введение (в/в) жидкости и вазопрессоров. Может понадобиться искусственная вентиляция легких.\u003Cbr /\u003EПри брадикардии вводят в/в 0,5-2 мг атропина, при отсутствии положительного эффекта возможна постановка трансвенозного или внутрисердечного искусственного водителя ритма.\u003Cbr /\u003EПри AV блокаде (II-III ст.) рекомендуется внутривенно введение бета-адреномиметиков.\u003Cbr /\u003EЭффект бета-адреноблокаторов может быть нейтрализован медленным в/в введением изопреналина, начиная с дозы 5 мкг/мин, или добутамина, начиная с дозы 2,5 мкг/мин, до достижения желаемого эффекта. В тяжелых случаях изопреналин можно комбинировать с допамином. Если эти дозы не дают желаемого эффекта, следует рассмотреть вопрос о в/в введении 50-100 мкг/кг глюкагона. При необходимости инъекцию следует повторить через 1 ч с последующим в/в введением 70 мкг/кг/ч глюкагона.\u003Cbr /\u003EПри их неэффективности следует рассмотреть вопрос о постановке искусственного водителя ритма.\u003Cbr /\u003EПри сердечной недостаточности лечение начинают с введения сердечных гликозидов и диуретиков, при отсутствии эффекта целесообразно введение допамина, добутамина или вазодилататоров.\u003Cbr /\u003EПри бронхоспазме вводят внутривенно бета2-адреномиметики. При судорогах - внутривенное введение диазепама.\u003Cbr /\u003EПри желудочковой экстрасистолии - лидокаин (нельзя вводить антиаритмические средства IA класса).\u003Cbr /\u003EПри судорогах - внутривенное введение диазепама.\u003Cbr /\u003EПри гипогликемии может быть показано внутривенное введение декстрозы (глюкозы).\u003Cbr /\u003E"},{"name":"Применение при беременности и кормлении грудью","value":"При беременности препарат Небилонг назначают только но жизненно необходимым показаниям, когда польза для матери превышает риск для плода (в связи с возможным развитием у новорожденного брадикардии, артериальной гипотензии, гипогликемии и паралича дыхания). Лечение необходимо прерывать за 48-72 часа до родов. В тех случаях, когда это невозможно, необходимо обеспечивать строгое наблюдение за новорожденным в течение 48-72 часов после родоразрешения.\u003Cbr\u003EНет данных о выделении небиволола в грудное молоко. Поэтому прием препарата Небилонг не рекомендуется женщинам в период кормления рудыо. Если применение препарата Небилонг в период лактации необходимо, то грудное вскармливание следует прекратить."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Влияние небиволола на способность к управлению транспортными средствами и механизмами не изучалось. Из-за возможного появления побочных эффектов, таких как головокружение и повышенная утомляемость, в период лечения препаратом необходимо соблюдать осторожность при вождении автотранспорта и занятии другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций."},{"name":"Особые указания","value":"С осторожностью следует применять небиволол у пациентов с почечной недостаточностью, сахарным диабетом, гиперфункцией щитовидной железы, аллергическими заболеваниями в анамнезе, псориазом, ХОБЛ, AV-блокадой I степени, стенокардией Принцметала, а также у пациентов в возрасте старше 75 лет.\u003Cbr\u003EОтмену бета-адреноблокаторов следует проводить постепенно, в течение 10 дней (до 2 недель у пациентов с ИБС).\u003Cbr\u003EВ начале лечения следует ежедневно контролировать АД и ЧСС.\u003Cbr\u003EЭффективность бета-адреноблокаторов у курильщиков ниже, чем у некурящих.\u003Cbr\u003EНебиволол не оказывает влияния на уровень глюкозы у пациентов с сахарным диабетом, однако под действием небиволола могут оказаться замаскированными определенные признаки гипогликемии (тахикардия, учащенное сердцебиение), вызванные применением гипогликемических препаратов.\u003Cbr\u003EПри необходимости применения небиволола у пациентов с псориазом следует тщательно оценить ожидаемую пользу терапии и возможный риск обострения псориаза.\u003Cbr\u003EБета-адреноблокаторы следует с осторожностью применять при повышенной функции щитовидной железы в связи с тем, что под влиянием бета-адреноблокаторов тахикардия может нивелирована.\u003Cbr\u003EНебиволол может усиливать симптомы нарушения периферического кровообращения.\u003Cbr\u003EПациенты, носящие контактные линзы, должны учитывать, что на фоне применения бета-адреноблокаторов возможно снижение продукции слезной жидкости.\u003Cbr\u003EПри проведении хирургических вмешательств следует предупредить анестезиолога о том, что пациент принимает бета-адреноблокаторы.\u003Cbr\u003EКонтроль содержания глюкозы в плазме крови следует проводить 1 раз в 4-5 мес (у больных сахарным диабетом).\u003Cbr\u003EКонтроль лабораторных показателей функции почек следует проводить 1 раз в 4-5 мес (у пациентов пожилого возраста).\u003Cbr\u003EПрименение у детей не рекомендуется."},{"name":"Взаимодействие","value":"При одновременном применении с антиаритмическими препаратами I класса, амиодароном возможно усиление отрицательного инотропного действия и угнетение AV-проводимости.\u003Cbr\u003EПри одновременном применении с блокаторами кальциевых каналов (верапамилом и дилтиаземом) усиливается отрицательное инотропное действие и угнетение AV-проводимости.\u003Cbr\u003EПри в/в введении верапамила на фоне приема небиволола существует угроза остановки сердца (одновременное применение противопоказано).\u003Cbr\u003EПри одновременном применении небиволола с гипотензивными средствами, нитроглицерином или блокаторами медленных кальциевых каналов может развиться выраженная артериальная гипотензия (особая осторожность необходима при сочетании с празозином).\u003Cbr\u003EПри одновременном применении с симпатомиметиками подавляется фармакологическая активность небиволола.\u003Cbr\u003EПри одновременном применении со средствами для наркоза возможно подавление рефлекторной тахикардии и повышение риска развития артериальной гипотензии.\u003Cbr\u003EПри одновременном применении с трициклическими антидепрессантами, барбитуратами, производными фенотиазина возможно усиление антигипертензивного действия небиволола.\u003Cbr\u003EПри одновременном применении с циметидином возможно повышение концентрации небиволола в плазме крови.\u003Cbr\u003EПри одновременном применении небиволола с препаратами, ингибирующими обратный захват серотонина, или другими средствами, биотрансформирующимися с участием изофермента CYP2D6, повышается концентрация небиволола в плазме крови, метаболизм небиволола замедляется, что может повышать риск развития брадикардии.\u003Cbr\u003EПри совместном применении небиволола с инсулином и гипогликемическими средствами для приема внутрь могут маскироваться симптомы гипогликемии (тахикардия)."},{"name":"Регистрационный номер","value":"ЛП-000597"},{"name":"Дата государственной регистрации","value":"13.04.2020"},{"name":"Владелец регистрационного удостоверения","value":"Micro Labs","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["34324371:35649313","7893318:16002865"]}}},{"name":"Изготовитель","value":"Micro Labs Limited"},{"name":"Страна бренда","value":"Индия"},{"name":"Страна-производитель","value":"Индия"},{"name":"Название препарата","value":"Небилонг","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["17796364:18017982"]}}},{"name":"Срок годности","value":"35 мес."}]}},"fullSpecsGrouped":{"1124284165973854908":{"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, ишемическая болезнь сердца, профилактика приступов стенокардии, хроническая сердечная недостаточность"},{"name":"Показания к применению","value":"Артериальная гипертензия.\u003Cbr\u003EИБС: профилактика приступов стенокардии напряжения.\u003Cbr\u003EХроническая сердечная недостаточность (в составе комбинированной терапии)."},{"name":"Противопоказания","value":"Острая сердечная недостаточность; хроническая сердечная недостаточность в стадии декомпенсации (требующая в/в введения препаратов, обладающих положительным инотропным действием); выраженная артериальная гипотензия (систолическое АД менее 90 мм рт.ст.); СССУ, включая синоатриальную блокаду; AV-блокада II и III степени (без искуственного водителя ритма); брадикардия (ЧСС менее 60 уд./мин); кардиогенный шок; феохромоцитома (без одновременного применения альфа-адреноблокаторов); метаболический ацидоз; выраженные нарушения функции печени; бронхоспазм и бронхиальная астма в анамнезе; тяжелые облитерирующие заболевания периферических сосудов (перемежающаяся хромота, синдром Рейно); миастения; депрессия; детский и подростковый возраст до 18 лет; повышенная чувствительность к небивололу."},{"name":"Состав","value":"Каждая таблетка содержит:\u003Cbr /\u003EДля таблеток 2,5 мг:\u003Cbr /\u003EДействующее вещество: небиволола гидрохлорид 2,78 мг в пересчете на небиволол 2,5.\u003Cbr /\u003EДля таблеток 5,0 мг:\u003Cbr /\u003EДействующее вещество: небиволола гидрохлорид 5,56 мг в пересчете на небиволол 5,0 мг.\u003Cbr /\u003EДля таблеток 10,0 мг:\u003Cbr /\u003EДействующее вещество: небиволола гидрохлорид 11,11 мг в пересчете на небиволол 10,0 мг.\u003Cbr /\u003EВспомогательные вещества: лактоза 43,72 мг/60,44 мг/ 80,89 мг, целлюлоза микрокристаллическая 40,00 мг/57,00 мг/64,00 мг, бетадекс 15,00 мг/30,00 мг/60,00 мг, докузат натрия 1,00 мг/2,00 мг/4,00 мг, кроскармеллоза натрия 12,00 мг/24,00 мг/48,00 мг, повидон 2,50 мг/5,00 мг/10,00 мг, кремния диоксид коллоидный 1,00 мг/2,00 мг/4,00 мг, тальк 1,00 мг/2,00 мг/4,00 мг, магния стеарат 1,00 мг/2,00 мг/4,00 мг.\u003Cbr /\u003E"},{"name":"Действующее вещество","value":"Небиволол"},{"name":"Способ применения и дозы","value":"Взрослым для приема внутрь - 2.5-5 мг/сут утром. Оптимальный эффект развивается через 1-2 недели лечения, а в ряде случаев - через 4 недели. При необходимости суточную дозу увеличивают до 10 мг/сут.\u003Cbr\u003EДля пациентов в возрасте старше 65 лет начальная доза составляет 2.5 мг/сут. При необходимости суточную дозу можно увеличить до 5 мг."},{"name":"Побочные действия","value":"Со стороны ЦНС и периферической нервной системы: головная боль, головокружение, чувство усталости, парестезии, депрессия, снижение способности к концентрации внимания, сонливость, бессонница, кошмарные сновидения; очень редко - обморок, галлюцинации.\u003Cbr\u003EСо стороны пищеварительной системы: тошнота, запор, диарея, сухость во рту, метеоризм, рвота.\u003Cbr\u003EСо стороны сердечно-сосудистой системы: брадикардия, ортостатическая гипотензия, одышка, отеки, острая сердечная недостаточность, AV-блокада, синдром Рейно, кардиалгии.\u003Cbr\u003EСо стороны кожи и подкожных тканей: кожная сыпь эритематозного характера, зуд; очень редко - усугубление течения псориаза.\u003Cbr\u003EАллергические реакции: в отдельных случаях - ангионевротический отек.\u003Cbr\u003EПрочие: бронхоспазм, сухость глаз."},{"name":"Фармакологическое действие","value":"Кардиоселективный бета1-адреноблокатор III поколения с вазодилатирующими свойствами. Активное вещество представляет собой рацемат, состоящий из двух энантиомеров: D-небиволола и L-небиволола. D-небиволол является конкурентным и высокоселективным блокатором β1-адренорецепторов; L-небиволол оказывает мягкое сосудорасширяющее действие за счет модуляции высвобождения вазодилатирующего фактора (NO) из эндотелия сосудов.\u003Cbr\u003EНебиволол снижает ЧСС и АД в состоянии покоя и при нагрузке, уменьшает конечное диастолическое давление левого желудочка, снижает ОПСС, улучшает диастолическую функцию сердца (снижает давление наполнения), увеличивает фракцию выброса; вызывает антиангинальный эффект у больных ИБС.\u003Cbr\u003EГипотензивное действие обусловлено также уменьшением активности ренин-ангиотензиновой системы (прямо не коррелирует с изменением активности ренина в плазме крови).\u003Cbr\u003EАнтиаритмическое действие обусловлено подавлением патологического автоматизма сердца (в т.ч. в патологическом очаге) и замедлением AV-проводимости.\u003Cbr\u003EУстойчивое гипотензивное действие развивается через 1-2 недели регулярного приема препарата, а в ряде случаев - через 4 недели, стабильное действие отмечается через 1-2 месяца."},{"name":"Фармакологическая группа","value":"бета1-адреноблокатор селективный"},{"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 оригинальной упаковке, при температуре не выше 25°С. Хранить в местах, недоступных для детей."},{"name":"Передозировка","value":"Симптомы: выраженное снижение АД, брадикардия, тяжелые нарушения внутрисердечной проводимости, шок, асистолия, остановка дыхания, бронхоспазм, потеря сознания, судороги, кома, тошнота, рвота, цианоз, гипогликемия, гиперкалиемия.\u003Cbr /\u003EЛечение: промывание желудка, прием активированного угля. В случае выраженного снижения АД необходимо придать пациенту горизонтальное положение с приподнятыми ногами, при необходимости внутривенное введение (в/в) жидкости и вазопрессоров. Может понадобиться искусственная вентиляция легких.\u003Cbr /\u003EПри брадикардии вводят в/в 0,5-2 мг атропина, при отсутствии положительного эффекта возможна постановка трансвенозного или внутрисердечного искусственного водителя ритма.\u003Cbr /\u003EПри AV блокаде (II-III ст.) рекомендуется внутривенно введение бета-адреномиметиков.\u003Cbr /\u003EЭффект бета-адреноблокаторов может быть нейтрализован медленным в/в введением изопреналина, начиная с дозы 5 мкг/мин, или добутамина, начиная с дозы 2,5 мкг/мин, до достижения желаемого эффекта. В тяжелых случаях изопреналин можно комбинировать с допамином. Если эти дозы не дают желаемого эффекта, следует рассмотреть вопрос о в/в введении 50-100 мкг/кг глюкагона. При необходимости инъекцию следует повторить через 1 ч с последующим в/в введением 70 мкг/кг/ч глюкагона.\u003Cbr /\u003EПри их неэффективности следует рассмотреть вопрос о постановке искусственного водителя ритма.\u003Cbr /\u003EПри сердечной недостаточности лечение начинают с введения сердечных гликозидов и диуретиков, при отсутствии эффекта целесообразно введение допамина, добутамина или вазодилататоров.\u003Cbr /\u003EПри бронхоспазме вводят внутривенно бета2-адреномиметики. При судорогах - внутривенное введение диазепама.\u003Cbr /\u003EПри желудочковой экстрасистолии - лидокаин (нельзя вводить антиаритмические средства IA класса).\u003Cbr /\u003EПри судорогах - внутривенное введение диазепама.\u003Cbr /\u003EПри гипогликемии может быть показано внутривенное введение декстрозы (глюкозы).\u003Cbr /\u003E"},{"name":"Применение при беременности и кормлении грудью","value":"При беременности препарат Небилонг назначают только но жизненно необходимым показаниям, когда польза для матери превышает риск для плода (в связи с возможным развитием у новорожденного брадикардии, артериальной гипотензии, гипогликемии и паралича дыхания). Лечение необходимо прерывать за 48-72 часа до родов. В тех случаях, когда это невозможно, необходимо обеспечивать строгое наблюдение за новорожденным в течение 48-72 часов после родоразрешения.\u003Cbr\u003EНет данных о выделении небиволола в грудное молоко. Поэтому прием препарата Небилонг не рекомендуется женщинам в период кормления рудыо. Если применение препарата Небилонг в период лактации необходимо, то грудное вскармливание следует прекратить."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Влияние небиволола на способность к управлению транспортными средствами и механизмами не изучалось. Из-за возможного появления побочных эффектов, таких как головокружение и повышенная утомляемость, в период лечения препаратом необходимо соблюдать осторожность при вождении автотранспорта и занятии другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций."},{"name":"Особые указания","value":"С осторожностью следует применять небиволол у пациентов с почечной недостаточностью, сахарным диабетом, гиперфункцией щитовидной железы, аллергическими заболеваниями в анамнезе, псориазом, ХОБЛ, AV-блокадой I степени, стенокардией Принцметала, а также у пациентов в возрасте старше 75 лет.\u003Cbr\u003EОтмену бета-адреноблокаторов следует проводить постепенно, в течение 10 дней (до 2 недель у пациентов с ИБС).\u003Cbr\u003EВ начале лечения следует ежедневно контролировать АД и ЧСС.\u003Cbr\u003EЭффективность бета-адреноблокаторов у курильщиков ниже, чем у некурящих.\u003Cbr\u003EНебиволол не оказывает влияния на уровень глюкозы у пациентов с сахарным диабетом, однако под действием небиволола могут оказаться замаскированными определенные признаки гипогликемии (тахикардия, учащенное сердцебиение), вызванные применением гипогликемических препаратов.\u003Cbr\u003EПри необходимости применения небиволола у пациентов с псориазом следует тщательно оценить ожидаемую пользу терапии и возможный риск обострения псориаза.\u003Cbr\u003EБета-адреноблокаторы следует с осторожностью применять при повышенной функции щитовидной железы в связи с тем, что под влиянием бета-адреноблокаторов тахикардия может нивелирована.\u003Cbr\u003EНебиволол может усиливать симптомы нарушения периферического кровообращения.\u003Cbr\u003EПациенты, носящие контактные линзы, должны учитывать, что на фоне применения бета-адреноблокаторов возможно снижение продукции слезной жидкости.\u003Cbr\u003EПри проведении хирургических вмешательств следует предупредить анестезиолога о том, что пациент принимает бета-адреноблокаторы.\u003Cbr\u003EКонтроль содержания глюкозы в плазме крови следует проводить 1 раз в 4-5 мес (у больных сахарным диабетом).\u003Cbr\u003EКонтроль лабораторных показателей функции почек следует проводить 1 раз в 4-5 мес (у пациентов пожилого возраста).\u003Cbr\u003EПрименение у детей не рекомендуется."},{"name":"Взаимодействие","value":"При одновременном применении с антиаритмическими препаратами I класса, амиодароном возможно усиление отрицательного инотропного действия и угнетение AV-проводимости.\u003Cbr\u003EПри одновременном применении с блокаторами кальциевых каналов (верапамилом и дилтиаземом) усиливается отрицательное инотропное действие и угнетение AV-проводимости.\u003Cbr\u003EПри в/в введении верапамила на фоне приема небиволола существует угроза остановки сердца (одновременное применение противопоказано).\u003Cbr\u003EПри одновременном применении небиволола с гипотензивными средствами, нитроглицерином или блокаторами медленных кальциевых каналов может развиться выраженная артериальная гипотензия (особая осторожность необходима при сочетании с празозином).\u003Cbr\u003EПри одновременном применении с симпатомиметиками подавляется фармакологическая активность небиволола.\u003Cbr\u003EПри одновременном применении со средствами для наркоза возможно подавление рефлекторной тахикардии и повышение риска развития артериальной гипотензии.\u003Cbr\u003EПри одновременном применении с трициклическими антидепрессантами, барбитуратами, производными фенотиазина возможно усиление антигипертензивного действия небиволола.\u003Cbr\u003EПри одновременном применении с циметидином возможно повышение концентрации небиволола в плазме крови.\u003Cbr\u003EПри одновременном применении небиволола с препаратами, ингибирующими обратный захват серотонина, или другими средствами, биотрансформирующимися с участием изофермента CYP2D6, повышается концентрация небиволола в плазме крови, метаболизм небиволола замедляется, что может повышать риск развития брадикардии.\u003Cbr\u003EПри совместном применении небиволола с инсулином и гипогликемическими средствами для приема внутрь могут маскироваться симптомы гипогликемии (тахикардия)."},{"name":"Регистрационный номер","value":"ЛП-000597"},{"name":"Дата государственной регистрации","value":"13.04.2020"},{"name":"Владелец регистрационного удостоверения","value":"Micro Labs"},{"name":"Изготовитель","value":"Micro Labs Limited"},{"name":"Страна бренда","value":"Индия"},{"name":"Страна-производитель","value":"Индия"},{"name":"Название препарата","value":"Небилонг"},{"name":"Срок годности","value":"35 мес."}]}],"transitionId":"tr_5997044473650374541"}}}}
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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625 ₽

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Инструкция

Показания к применению

Артериальная гипертензия.
ИБС: профилактика приступов стенокардии напряжения.
Хроническая сердечная недостаточность (в составе комбинированной терапии).

Противопоказания

Острая сердечная недостаточность; хроническая сердечная недостаточность в стадии декомпенсации (требующая в/в введения препаратов, обладающих положительным инотропным действием); выраженная артериальная гипотензия (систолическое АД менее 90 мм рт.ст.); СССУ, включая синоатриальную блокаду; AV-блокада II и III степени (без искуственного водителя ритма); брадикардия (ЧСС менее 60 уд./мин); кардиогенный шок; феохромоцитома (без одновременного применения альфа-адреноблокаторов); метаболический ацидоз; выраженные нарушения функции печени; бронхоспазм и бронхиальная астма в анамнезе; тяжелые облитерирующие заболевания периферических сосудов (перемежающаяся хромота, синдром Рейно); миастения; депрессия; детский и подростковый возраст до 18 лет; повышенная чувствительность к небивололу.

Способ применения и дозы

Взрослым для приема внутрь - 2.5-5 мг/сут утром. Оптимальный эффект развивается через 1-2 недели лечения, а в ряде случаев - через 4 недели. При необходимости суточную дозу увеличивают до 10 мг/сут.
Для пациентов в возрасте старше 65 лет начальная доза составляет 2.5 мг/сут. При необходимости суточную дозу можно увеличить до 5 мг.
Полная инструкция
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Небилонг таб.
Небилонг таб., 5 мг, 30 шт.
5.0
(1)
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1 вопрос
Инструкция

625 ₽

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5.0
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