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Описание

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Спазмекс таб. п/о плен., 15 мг, 30 шт.

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5.0
(4)
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Дозировка: 15 мг

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Коротко о товаре

Артикул Маркета
3123204710
Тип препарата
Назначение
Действующее вещество
Возраст
от 14 лет
Инструкция
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\u003Cbr\u003E— непереносимость галактозы, дефицит лактазы, глюкозо-галактозная мальабсорбция;\u003Cbr\u003E— повышенная чувствительность к компонентам препарата."},{"name":"Состав","value":"Каждая таблетка содержит:\u003Cbr\u003EАктивное вещество: троспия хлорид 15,0 мг / 30,0 мг;\u003Cbr\u003EВспомогательные вещества: лактозы моногидрат 100,00 мг, целлюлоза микрокристаллическая 75,0 мг / 60,0 мг, крахмал кукурузный 44,0 мг / 41,0 мг, карбоксиметилкрахмал натрия 10,00 мг, стеариновая кислота 2,00 мг / 5,00 мг, повидон-25 тыс. 1,00 мг, кремния диоксид коллоидный оболочка 3,00 мг, гипромеллоза 6,24 мг, титана диоксид 1,44 мг, целлюлоза микрокристаллическая 0,96 мг, стеариновая кислота 0,96 мг."},{"name":"Действующее вещество","value":"Троспия хлорид","transition":{"type":"catalog","params":{"categorySlug":"mochepolovaia-sistema-i-polovye-gormony","categoryId":"15756910","navnodeId":"72506","glfilters":["27144131:28708437"]}}},{"name":"Способ применения и дозы","value":"Препарат назначают внутрь взрослым и детям старше 14 лет. Режим дозирования и длительность лечения устанавливают индивидуально в зависимости от клинической картины и тяжести заболевания.\u003Cbr\u003EТаблетки следует принимать до еды, не разжевывая, запивая достаточным количеством воды.\u003Cbr\u003EТаблетки 5 мг: назначают по 2-3 таб. 3 раза/сут (30-45 мг) с интервалом в 8 ч; при суточная дозе 45 мг допустимо принимать по 30 мг утром и 15 мг вечером.\u003Cbr\u003EТаблетки, покрытые пленочной оболочкой, 15 мг: назначают по 1 таб. 3 раза/сут с интервалом в 8 ч; суточная доза - 45 мг.\u003Cbr\u003EТаблетки, покрытые пленочной оболочкой, 30 мг: назначают по 1/2 таб. 3 раза/сут или 1 таб. утром и 1/2 таб. вечером; суточная доза - 45 мг.\u003Cbr\u003EУ пациентов с почечной недостаточностью (КК 10-30 мл/мин/1.73 м2) суточная доза препарата не должна превышать 15 мг.\u003Cbr\u003EВ среднем продолжительность лечения составляет 2-3 месяца. При необходимости более длительного лечения вопрос о продолжении лечения пересматривается врачом каждые 3-6 месяцев.\u003Cbr\u003E"},{"name":"Побочные действия","value":"Частота встречаемости побочных эффектов (количество случаев: число наблюдений): часто (\u003E1:100), нечасто (1:100-1:1000), редко (\u003C1:1000).\u003Cbr\u003EСо стороны сердечно-сосудистой системы: нечасто - тахикардия; редко - боль за грудиной, обморок, тахиаритмия, гипертонический криз.\u003Cbr\u003EСо стороны пищеварительной системы: часто - сухость во рту, диспепсия, запор, тошнота, боли в животе; нечасто - диарея, вздутие живота; редко - гастрит, небольшое или умеренное повышение активности трансаминаз.\u003Cbr\u003EСо стороны дыхательной системы: нечасто - одышка.\u003Cbr\u003EСо стороны нервной системы: редко - спутанность сознания, галлюцинации.\u003Cbr\u003EСо стороны костно-мышечной системы: редко - острый некроз скелетных мышц.\u003Cbr\u003EСо стороны органа зрения: нечасто - нарушение аккомодации.\u003Cbr\u003EСо стороны мочевыделительной системы: нечасто - нарушение опорожнения мочевого пузыря; редко - задержка мочи.\u003Cbr\u003EАллергические реакции: нечасто - кожная сыпь; редко - анафилактические реакции, синдром Стивенса-Джонсона.\u003Cbr\u003E"},{"name":"Фармакологическое действие","value":"Препарат, снижающий тонус гладкой мускулатуры мочевыводящих путей. Троспия хлорид - четвертичное аммониевое основание, м-холиноблокатор. Является конкурентным антагонистом ацетилхолина на рецепторах постсинаптических мембран гладкой мускулатуры. Имеет высокое сродство к м1- и м3-холинорецепторам. Снижает повышенную активность детрузора мочевого пузыря. Оказывает спазмолитическое и некоторое ганглиоблокирующее действие. Не обладает центральными эффектами.\u003Cbr\u003E"},{"name":"Фармакологическая группа","value":"м-холиноблокатор"},{"name":"Форма выпуска","value":"таблетки"},{"name":"Способ применения/введения","value":"пероральный","transition":{"type":"catalog","params":{"categorySlug":"mochepolovaia-sistema-i-polovye-gormony","categoryId":"15756910","navnodeId":"72506","glfilters":["35947170:36763744"]}}},{"name":"Минимальный возраст применения","value":"от 14 лет"},{"name":"Условия хранения","value":"Препарат следует хранить в недоступном для детей, сухом, защищенном от света месте при температуре 15°-25°С. Срок годности - 5 лет.\u003Cbr\u003E"},{"name":"Передозировка","value":"Симптомы: усиление антихолинергических симптомов, таких как расстройство зрения, тахикардия, сухость во рту и гиперемия кожных покровов.\u003Cbr\u003EЛечение: промывание желудка и прием адсорбентов (в т.ч. активированный уголь), инстилляция пилокарпина - пациентам с глаукомой, катетеризация мочевого пузыря - при задержке мочи. \u003Cbr\u003EВ тяжелых случаях назначают холиномиметики (неостигмина метилсульфат). При недостаточном эффекте, выраженной тахикардии и/или нестабильности кровообращения вводят в/в бета-адреноблокаторы под контролем ЭКГ и АД.\u003Cbr\u003E"},{"name":"Применение при беременности и кормлении грудью","value":"При беременности и в период грудного вскармливания препарат, должен применяться, если предполагаемая польза для матери превышает потенциальный риск для плода или ребенка."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"В начале лечения, при увеличении дозы препарата, замене препарата, а также при взаимодействии с алкоголем возможно ухудшение зрения, что следует учитывать при управлении автотранспортом и работе с движущимися механизмами."},{"name":"Особые указания","value":"Прием препарата при нарушении функции внутреннего сфинктера уретры или детрузора мочевого пузыря должен сопровождаться полным его освобождением путем катетеризации.\u003Cbr\u003EПри вегетативных нарушениях деятельности мочевого пузыря причина дисфункции должна быть определена до начала лечения, исключены органические причины поллакиурии, никтурии и недержания мочи, такие как: сердечная недостаточность, полидипсия, возможность инфекции мочевыводящих путей и рак мочевого пузыря, т.к. они требуют назначения этиотропной терапии.\u003Cbr\u003EС осторожностью: \u003Cbr\u003E— заболевания сердечно-сосудистой системы, при которых увеличение ЧСС может быть нежелательно: мерцательная аритмия, тахикардия, хроническая сердечная недостаточность, ИБС, митральный стеноз, артериальная гипертензия, острое кровотечение;\u003Cbr\u003E— тиреотоксикоз (возможно усиление тахикардии);\u003Cbr\u003E— повышенная температура тела (может еще повышаться вследствие подавления активности потовых желез);\u003Cbr\u003E— рефлюкс-эзофагит, грыжа пищеводного отверстия диафрагмы, сочетающаяся с рефлюкс-эзофагитом (снижение моторики пищевода и желудка и расслабление нижнего пищеводного сфинктера могут способствовать замедлению опорожнения желудка и усилению гастро-эзофагеального рефлюкса через сфинктер с нарушенной функцией);\u003Cbr\u003E— заболевания ЖКТ, сопровождающиеся непроходимостью: ахалазия и стеноз привратника (возможно снижение моторики и тонуса, приводящее к непроходимости и задержке содержимого желудка);\u003Cbr\u003E— атония кишечника у пациентов пожилого возраста или ослабленных больных (возможно развитие непроходимости), паралитическая непроходимость кишечника (возможно развитие непроходимости);\u003Cbr\u003E— заболевания с повышенным внутриглазным давлением: открытоугольная глаукома (мидриатический эффект может вызывать некоторое повышение внутриглазного давления; может потребоваться коррекция терапии), возраст старше 40 лет (опасность проявления недиагностированной глаукомы);\u003Cbr\u003E— язвенный колит (препарат в высокой дозе может угнетать перистальтику кишечника, повышая вероятность паралитической непроходимости кишечника; кроме того, возможно проявление или обострение такого тяжелого осложнения, как токсический мегаколон);\u003Cbr\u003E— сухость во рту (длительное применение может вызывать дальнейшее усиление выраженности ксеростомии);\u003Cbr\u003E— почечная недостаточность (риск развития побочных эффектов вследствие снижения выведения);\u003Cbr\u003E— хронические заболевания легких, особенно у детей и ослабленных больных (уменьшение бронхиальной секреции может приводить к сгущению секрета и образованию пробок в бронхах);\u003Cbr\u003E— миастения (состояние может ухудшаться из-за ингибирования действия ацетилхолина);\u003Cbr\u003E— вегетативная (автономная) невропатия (задержка мочи и паралич аккомодации могут усиливаться), гиперплазия предстательной железы без обструкции мочевыводящих путей, задержка мочи или предрасположенность к ней или заболевания, сопровождающиеся\u003Cbr/\u003Eобструкцией мочевыводящих путей (в т.ч. шейки мочевого пузыря вследствие гипертрофии предстательной железы);\u003Cbr\u003E— гестоз (возможно усиление артериальной гипертензии);\u003Cbr\u003E— заболевания головного мозга у детей (эффекты со стороны ЦНС могут усиливаться);\u003Cbr\u003E— болезнь Дауна (возможно необычное расширение зрачков и повышение ЧСС);\u003Cbr\u003E— центральный паралич у детей (реакция на антихолинергические лекарственные средства может быть наиболее выражена);\u003Cbr\u003E— печеночная недостаточность.\u003Cbr\u003E"},{"name":"Взаимодействие","value":"При одновременном применении троспия хлорид усиливает м-холиноблокирующий эффект амантадина, трициклических антидепрессантов, хинидина и дизопирамида, антигистаминных лекарственных средств, а также положительный хронотропный эффект бета-адреномиметиков.\u003Cbr\u003E\nТроспия хлорид ослабляет действие прокинетиков (метоклопрамида и цизаприда). Оказывает влияние на двигательную и секреторную функции желудочно-кишечного тракта, изменяя всасывание одновременно применяемых лекарственных средств.\u003Cbr\u003E\nПри одновременном приеме препаратов, содержащих такие вещества, как гуар, колестирамин и колестипол, возможно снижение всасывания троспия хлорида.\u003Cbr\u003E\nНе обнаружено взаимодействия между троспия хлоридом и изоферментами системы цитохрома Р450 (CYP1A2, 2А6, 2С9, 2С19, 2D6, 2Е1, 3А4), поскольку троспия хлорид метаболизируется ими лишь в небольшом количестве, а гидролиз сложных эфиров является основным путем его метаболизма.\u003Cbr\u003E"},{"name":"Регистрационный номер","value":"П N016196/02"},{"name":"Дата государственной регистрации","value":"04.03.2010"},{"name":"Владелец регистрационного удостоверения","value":"Dr. Pfleger","transition":{"type":"catalog","params":{"categorySlug":"mochepolovaia-sistema-i-polovye-gormony","categoryId":"15756910","navnodeId":"72506","glfilters":["34324371:35649313","7893318:16078556"]}}},{"name":"Изготовитель","value":"Dr. Pfleger"},{"name":"Фасовщик","value":"Dr. Pfleger"},{"name":"Страна бренда","value":"Германия"},{"name":"Страна-производитель","value":"Германия"},{"name":"Название препарата","value":"Спазмекс","transition":{"type":"catalog","params":{"categorySlug":"mochepolovaia-sistema-i-polovye-gormony","categoryId":"15756910","navnodeId":"72506","glfilters":["17796364:18034182"]}}},{"name":"Срок годности","value":"60 мес."}]}},"fullSpecsGrouped":{"6506931795575744339":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Органы и системы","value":"мочевой пузырь, мочеточники, почки"},{"name":"Назначение","value":"Никтурия, императивное недержание мочи, недержание мочи, цистит, энурез"},{"name":"Показания к применению","value":"— гиперактивность мочевого пузыря, сопровождающаяся недержанием мочи, императивными позывами к мочеиспусканию и увеличением частоты мочеиспусканий (при идиопатической гиперактивности детрузора негормональной и неорганической этиологии);\u003Cbr\u003E— смешанные формы недержания мочи;\u003Cbr\u003E— спастические нейрогенные нарушения функции мочевого пузыря (при нейрогенной гиперактивности (гиперрефлексии) детрузора на фоне рассеянного склероза, спинальных травм, врожденных и приобретенных заболеваний спинного мозга, инсультов, паркинсонизма);\u003Cbr\u003E— детрузор-сфинктер-диссинергия на фоне интермиттирующего катетеризма;\u003Cbr\u003E— поллакиурия, никтурия;\u003Cbr\u003E— ночной и дневной энурез;\u003Cbr\u003E— в комплексной терапии циститов, сопровождающихся императивной симптоматикой.\u003Cbr\u003E"},{"name":"Противопоказания","value":"— закрытоугольная глаукома;\u003Cbr\u003E— тахиаритмия;\u003Cbr\u003E— миастения;\u003Cbr\u003E— задержка мочи;\u003Cbr\u003E— замедление эвакуации пищи из желудка и состояния, предрасполагающие к их развитию;\u003Cbr\u003E— почечная недостаточность, требующая проведения диализа (КК \u003C 10 мл/мин/1.73 м2);\u003Cbr\u003E— детский и подростковый возраст до 14 лет; \u003Cbr\u003E— непереносимость галактозы, дефицит лактазы, глюкозо-галактозная мальабсорбция;\u003Cbr\u003E— повышенная чувствительность к компонентам препарата."},{"name":"Состав","value":"Каждая таблетка содержит:\u003Cbr\u003EАктивное вещество: троспия хлорид 15,0 мг / 30,0 мг;\u003Cbr\u003EВспомогательные вещества: лактозы моногидрат 100,00 мг, целлюлоза микрокристаллическая 75,0 мг / 60,0 мг, крахмал кукурузный 44,0 мг / 41,0 мг, карбоксиметилкрахмал натрия 10,00 мг, стеариновая кислота 2,00 мг / 5,00 мг, повидон-25 тыс. 1,00 мг, кремния диоксид коллоидный оболочка 3,00 мг, гипромеллоза 6,24 мг, титана диоксид 1,44 мг, целлюлоза микрокристаллическая 0,96 мг, стеариновая кислота 0,96 мг."},{"name":"Действующее вещество","value":"Троспия хлорид"},{"name":"Способ применения и дозы","value":"Препарат назначают внутрь взрослым и детям старше 14 лет. Режим дозирования и длительность лечения устанавливают индивидуально в зависимости от клинической картины и тяжести заболевания.\u003Cbr\u003EТаблетки следует принимать до еды, не разжевывая, запивая достаточным количеством воды.\u003Cbr\u003EТаблетки 5 мг: назначают по 2-3 таб. 3 раза/сут (30-45 мг) с интервалом в 8 ч; при суточная дозе 45 мг допустимо принимать по 30 мг утром и 15 мг вечером.\u003Cbr\u003EТаблетки, покрытые пленочной оболочкой, 15 мг: назначают по 1 таб. 3 раза/сут с интервалом в 8 ч; суточная доза - 45 мг.\u003Cbr\u003EТаблетки, покрытые пленочной оболочкой, 30 мг: назначают по 1/2 таб. 3 раза/сут или 1 таб. утром и 1/2 таб. вечером; суточная доза - 45 мг.\u003Cbr\u003EУ пациентов с почечной недостаточностью (КК 10-30 мл/мин/1.73 м2) суточная доза препарата не должна превышать 15 мг.\u003Cbr\u003EВ среднем продолжительность лечения составляет 2-3 месяца. При необходимости более длительного лечения вопрос о продолжении лечения пересматривается врачом каждые 3-6 месяцев.\u003Cbr\u003E"},{"name":"Побочные действия","value":"Частота встречаемости побочных эффектов (количество случаев: число наблюдений): часто (\u003E1:100), нечасто (1:100-1:1000), редко (\u003C1:1000).\u003Cbr\u003EСо стороны сердечно-сосудистой системы: нечасто - тахикардия; редко - боль за грудиной, обморок, тахиаритмия, гипертонический криз.\u003Cbr\u003EСо стороны пищеварительной системы: часто - сухость во рту, диспепсия, запор, тошнота, боли в животе; нечасто - диарея, вздутие живота; редко - гастрит, небольшое или умеренное повышение активности трансаминаз.\u003Cbr\u003EСо стороны дыхательной системы: нечасто - одышка.\u003Cbr\u003EСо стороны нервной системы: редко - спутанность сознания, галлюцинации.\u003Cbr\u003EСо стороны костно-мышечной системы: редко - острый некроз скелетных мышц.\u003Cbr\u003EСо стороны органа зрения: нечасто - нарушение аккомодации.\u003Cbr\u003EСо стороны мочевыделительной системы: нечасто - нарушение опорожнения мочевого пузыря; редко - задержка мочи.\u003Cbr\u003EАллергические реакции: нечасто - кожная сыпь; редко - анафилактические реакции, синдром Стивенса-Джонсона.\u003Cbr\u003E"},{"name":"Фармакологическое действие","value":"Препарат, снижающий тонус гладкой мускулатуры мочевыводящих путей. Троспия хлорид - четвертичное аммониевое основание, м-холиноблокатор. Является конкурентным антагонистом ацетилхолина на рецепторах постсинаптических мембран гладкой мускулатуры. Имеет высокое сродство к м1- и м3-холинорецепторам. Снижает повышенную активность детрузора мочевого пузыря. Оказывает спазмолитическое и некоторое ганглиоблокирующее действие. Не обладает центральными эффектами.\u003Cbr\u003E"},{"name":"Фармакологическая группа","value":"м-холиноблокатор"},{"name":"Форма выпуска","value":"таблетки"},{"name":"Способ применения/введения","value":"пероральный"},{"name":"Минимальный возраст применения","value":"от 14 лет"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"Препарат следует хранить в недоступном для детей, сухом, защищенном от света месте при температуре 15°-25°С. Срок годности - 5 лет.\u003Cbr\u003E"},{"name":"Передозировка","value":"Симптомы: усиление антихолинергических симптомов, таких как расстройство зрения, тахикардия, сухость во рту и гиперемия кожных покровов.\u003Cbr\u003EЛечение: промывание желудка и прием адсорбентов (в т.ч. активированный уголь), инстилляция пилокарпина - пациентам с глаукомой, катетеризация мочевого пузыря - при задержке мочи. \u003Cbr\u003EВ тяжелых случаях назначают холиномиметики (неостигмина метилсульфат). При недостаточном эффекте, выраженной тахикардии и/или нестабильности кровообращения вводят в/в бета-адреноблокаторы под контролем ЭКГ и АД.\u003Cbr\u003E"},{"name":"Применение при беременности и кормлении грудью","value":"При беременности и в период грудного вскармливания препарат, должен применяться, если предполагаемая польза для матери превышает потенциальный риск для плода или ребенка."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"В начале лечения, при увеличении дозы препарата, замене препарата, а также при взаимодействии с алкоголем возможно ухудшение зрения, что следует учитывать при управлении автотранспортом и работе с движущимися механизмами."},{"name":"Особые указания","value":"Прием препарата при нарушении функции внутреннего сфинктера уретры или детрузора мочевого пузыря должен сопровождаться полным его освобождением путем катетеризации.\u003Cbr\u003EПри вегетативных нарушениях деятельности мочевого пузыря причина дисфункции должна быть определена до начала лечения, исключены органические причины поллакиурии, никтурии и недержания мочи, такие как: сердечная недостаточность, полидипсия, возможность инфекции мочевыводящих путей и рак мочевого пузыря, т.к. они требуют назначения этиотропной терапии.\u003Cbr\u003EС осторожностью: \u003Cbr\u003E— заболевания сердечно-сосудистой системы, при которых увеличение ЧСС может быть нежелательно: мерцательная аритмия, тахикардия, хроническая сердечная недостаточность, ИБС, митральный стеноз, артериальная гипертензия, острое кровотечение;\u003Cbr\u003E— тиреотоксикоз (возможно усиление тахикардии);\u003Cbr\u003E— повышенная температура тела (может еще повышаться вследствие подавления активности потовых желез);\u003Cbr\u003E— рефлюкс-эзофагит, грыжа пищеводного отверстия диафрагмы, сочетающаяся с рефлюкс-эзофагитом (снижение моторики пищевода и желудка и расслабление нижнего пищеводного сфинктера могут способствовать замедлению опорожнения желудка и усилению гастро-эзофагеального рефлюкса через сфинктер с нарушенной функцией);\u003Cbr\u003E— заболевания ЖКТ, сопровождающиеся непроходимостью: ахалазия и стеноз привратника (возможно снижение моторики и тонуса, приводящее к непроходимости и задержке содержимого желудка);\u003Cbr\u003E— атония кишечника у пациентов пожилого возраста или ослабленных больных (возможно развитие непроходимости), паралитическая непроходимость кишечника (возможно развитие непроходимости);\u003Cbr\u003E— заболевания с повышенным внутриглазным давлением: открытоугольная глаукома (мидриатический эффект может вызывать некоторое повышение внутриглазного давления; может потребоваться коррекция терапии), возраст старше 40 лет (опасность проявления недиагностированной глаукомы);\u003Cbr\u003E— язвенный колит (препарат в высокой дозе может угнетать перистальтику кишечника, повышая вероятность паралитической непроходимости кишечника; кроме того, возможно проявление или обострение такого тяжелого осложнения, как токсический мегаколон);\u003Cbr\u003E— сухость во рту (длительное применение может вызывать дальнейшее усиление выраженности ксеростомии);\u003Cbr\u003E— почечная недостаточность (риск развития побочных эффектов вследствие снижения выведения);\u003Cbr\u003E— хронические заболевания легких, особенно у детей и ослабленных больных (уменьшение бронхиальной секреции может приводить к сгущению секрета и образованию пробок в бронхах);\u003Cbr\u003E— миастения (состояние может ухудшаться из-за ингибирования действия ацетилхолина);\u003Cbr\u003E— вегетативная (автономная) невропатия (задержка мочи и паралич аккомодации могут усиливаться), гиперплазия предстательной железы без обструкции мочевыводящих путей, задержка мочи или предрасположенность к ней или заболевания, сопровождающиеся\u003Cbr/\u003Eобструкцией мочевыводящих путей (в т.ч. шейки мочевого пузыря вследствие гипертрофии предстательной железы);\u003Cbr\u003E— гестоз (возможно усиление артериальной гипертензии);\u003Cbr\u003E— заболевания головного мозга у детей (эффекты со стороны ЦНС могут усиливаться);\u003Cbr\u003E— болезнь Дауна (возможно необычное расширение зрачков и повышение ЧСС);\u003Cbr\u003E— центральный паралич у детей (реакция на антихолинергические лекарственные средства может быть наиболее выражена);\u003Cbr\u003E— печеночная недостаточность.\u003Cbr\u003E"},{"name":"Взаимодействие","value":"При одновременном применении троспия хлорид усиливает м-холиноблокирующий эффект амантадина, трициклических антидепрессантов, хинидина и дизопирамида, антигистаминных лекарственных средств, а также положительный хронотропный эффект бета-адреномиметиков.\u003Cbr\u003E\nТроспия хлорид ослабляет действие прокинетиков (метоклопрамида и цизаприда). Оказывает влияние на двигательную и секреторную функции желудочно-кишечного тракта, изменяя всасывание одновременно применяемых лекарственных средств.\u003Cbr\u003E\nПри одновременном приеме препаратов, содержащих такие вещества, как гуар, колестирамин и колестипол, возможно снижение всасывания троспия хлорида.\u003Cbr\u003E\nНе обнаружено взаимодействия между троспия хлоридом и изоферментами системы цитохрома Р450 (CYP1A2, 2А6, 2С9, 2С19, 2D6, 2Е1, 3А4), поскольку троспия хлорид метаболизируется ими лишь в небольшом количестве, а гидролиз сложных эфиров является основным путем его метаболизма.\u003Cbr\u003E"},{"name":"Регистрационный номер","value":"П N016196/02"},{"name":"Дата государственной регистрации","value":"04.03.2010"},{"name":"Владелец регистрационного удостоверения","value":"Dr. Pfleger"},{"name":"Изготовитель","value":"Dr. Pfleger"},{"name":"Фасовщик","value":"Dr. Pfleger"},{"name":"Страна бренда","value":"Германия"},{"name":"Страна-производитель","value":"Германия"},{"name":"Название препарата","value":"Спазмекс"},{"name":"Срок годности","value":"60 мес."}]}],"transitionId":"tr_371038799385303038"}}}}
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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  • Урефрон таб., 40 г, 50 шт., нейтральный, 1 уп.
    –20 %
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    Урефрон таб., 40 г, 50 шт., нейтральный, 1 уп.

    Рейтинг товара: 4.6 из 5
    на основе 62 оценки
    Цена 308 ₽ вместо 385
    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таб., 40 г, 50 шт., нейтральный, 1 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  • Нефростен таб. п/о плен., 120 шт.
    –2 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-e4oono7hhke/toggleWishlist":{"skuId":"101814572762","productId":663581006,"offerId":"bSOd4XjncUBBYDVqzGCS0Q","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQr86B5InK9KkaEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcIzuK1vAIQ2q38pPsCGNW7oQYg7tzBBw==","sign":"WRzUvjg/tNrzxIA2rns1PVK7P1S9B7zwRGYB/B7iOGY="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-e4oono7hhke/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Нефростен таб. п/о плен., 120 шт.

    Рейтинг товара: 4.6 из 5
    на основе 15 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 1 089 ₽ вместо 1 111
    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  • Везикар таб. п/о плен., 10 мг, 30 шт.
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    Везикар таб. п/о плен., 10 мг, 30 шт.

    Рейтинг товара: 4.9 из 5
    на основе 7 оценок
    Цена 1 174 ₽
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  • Канефрон Н таб.п/о, 120 шт.
    ВАМ–10 %
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    Канефрон Н таб.п/о, 120 шт.

    Рейтинг товара: 4.9 из 5
    на основе 161 оценка
    С картой  Пэй
    Цена с картой Яндекс Пэй 1 444 ₽ вместо 1 459
    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  • Везигамп таб. п/о плен., 10 мг, 30 шт.
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    Везигамп таб. п/о плен., 10 мг, 30 шт.

    Рейтинг товара: 4.6 из 5
    на основе 21 оценка
    Цена 696 ₽
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  • Спазмекс таб., 5 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-gumt8o96wbs/toggleWishlist":{"skuId":"101628696735","productId":1700239678,"offerId":"bGwEgG8YerOwnJi-bYTgjw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQr86B5InK9KkaEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcIvrLeqgYQn7GrzPoCGNyt1Qcg7tzBBw==","sign":"TQjd5025JUrl6Uu3fUPQZ4rN4BrGf9MFTFPgb9YlQxk="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-gumt8o96wbs/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Спазмекс таб., 5 мг, 30 шт.

    Рейтинг товара: 4.6 из 5
    на основе 11 оценок
    Цена 539 ₽
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  • Бетмига таб. пролонг. действ., 50 мг, 10 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-zg448g0y6xf/toggleWishlist":{"skuId":"186888308","productId":1430912421,"offerId":"zZXVGXlpkwxp-YYod3z6vA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQr86B5InK9KkaEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIpfunqgUQ9OCOWRi0uNAIIO7cwQc=","sign":"A/4usGxAxTZ/OQ6nhdRNDzrPF1ALBgQ0mjWqQln8Yms="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-zg448g0y6xf/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Бетмига таб. пролонг. действ., 50 мг, 10 шт.

    Рейтинг товара: 4.7 из 5
    на основе 14 оценок
    Цена 865 ₽
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  • Соликса-Ксантис таб. п/о плен., 5 мг, 30 шт.
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    Соликса-Ксантис таб. п/о плен., 5 мг, 30 шт.

    Рейтинг товара: 5 из 5
    на основе 3 оценки
    Цена 600 ₽
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  • Диунорм капс., 30 шт., 1 уп.
    –1 %
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    Диунорм капс., 30 шт., 1 уп.

    Рейтинг товара: 5 из 5
    на основе 1 оценка
    С картой  Пэй
    Цена с картой Яндекс Пэй 1 207 ₽ вместо 1 219
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  • Уриналгин Ф таб. п/о плен., 100 мг, 12 шт.
    –1 %
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    Уриналгин Ф таб. п/о плен., 100 мг, 12 шт.

    Рейтинг товара: 5 из 5
    на основе 1 оценка
    С картой  Пэй
    Цена с картой Яндекс Пэй 734 ₽ вместо 741
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Инструкция

Показания к применению

— гиперактивность мочевого пузыря, сопровождающаяся недержанием мочи, императивными позывами к мочеиспусканию и увеличением частоты мочеиспусканий (при идиопатической гиперактивности детрузора негормональной и неорганической этиологии);
— смешанные формы недержания мочи;
— спастические нейрогенные нарушения функции мочевого пузыря (при нейрогенной гиперактивности (гиперрефлексии) детрузора на фоне рассеянного склероза, спинальных травм, врожденных и приобретенных заболеваний спинного мозга, инсультов, паркинсонизма);
— детрузор-сфинктер-диссинергия на фоне интермиттирующего катетеризма;
— поллакиурия, никтурия;
— ночной и дневной энурез;
— в комплексной терапии циститов, сопровождающихся императивной симптоматикой.

Противопоказания

— закрытоугольная глаукома;
— тахиаритмия;
— миастения;
— задержка мочи;
— замедление эвакуации пищи из желудка и состояния, предрасполагающие к их развитию;
— почечная недостаточность, требующая проведения диализа (КК < 10 мл/мин/1.73 м2);
— детский и подростковый возраст до 14 лет;
— непереносимость галактозы, дефицит лактазы, глюкозо-галактозная мальабсорбция;
— повышенная чувствительность к компонентам препарата.

Способ применения и дозы

Препарат назначают внутрь взрослым и детям старше 14 лет. Режим дозирования и длительность лечения устанавливают индивидуально в зависимости от клинической картины и тяжести заболевания.
Таблетки следует принимать до еды, не разжевывая, запивая достаточным количеством воды.
Таблетки 5 мг: назначают по 2-3 таб. 3 раза/сут (30-45 мг) с интервалом в 8 ч; при суточная дозе 45 мг допустимо принимать по 30 мг утром и 15 мг вечером.
Таблетки, покрытые пленочной оболочкой, 15 мг: назначают по 1 таб. 3 раза/сут с интервалом в 8 ч; суточная доза - 45 мг.
Таблетки, покрытые пленочной оболочкой, 30 мг: назначают по 1/2 таб. 3 раза/сут или 1 таб. утром и 1/2 таб. вечером; суточная доза - 45 мг.
У пациентов с почечной недостаточностью (КК 10-30 мл/мин/1.73 м2) суточная доза препарата не должна превышать 15 мг.
В среднем продолжительность лечения составляет 2-3 месяца. При необходимости более длительного лечения вопрос о продолжении лечения пересматривается врачом каждые 3-6 месяцев.
Полная инструкция
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Спазмекс таб. п/о плен.
Спазмекс таб. п/о плен., 15 мг, 30 шт.
5.0
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2 вопроса
Инструкция

605 ₽

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5.0
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