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Цефекон Д супп. рект., 100 мг, 10 шт.

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4.8
(115)
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Дозировка: 100 мг

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Коротко о товаре

Артикул Маркета
3123150556
Тип препарата
Назначение
Действующее вещество
Форма выпуска
суппозитории ректальные
Инструкция
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У детей от 1 до 3 месяцев возможен однократный прием препарата для снижения температуры после вакцинации, применение препарата по всем показаниям возможно только по назначению врача. 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После самопроизвольного опорожнения кишечника или очистительной клизмы, суппозиторий освобождают от контурной ячейковой упаковки и вводят в прямую кишку.\u003Cbr\u003EДозировка препарата рассчитывается в зависимости от возраста и массы тела, в соответствии с таблицей. Разовая доза составляет 10-15 мг/кг массы тела ребенка; интервал между каждой дозой должен составлять не менее 6 часов.\u003Cbr\u003EМаксимальная суточная доза парацетамола (в т. ч. при одновременном применении других парацетамолсодержащих препаратов) не должна превышать 60 мг/кг массы тела ребенка.\u003Cbr\u003EУ детей в возрасте до 3 месяцев данный препарат применяется однократно (1 суппозиторий) в случае развития лихорадки на фоне прививок, которые проводятся в возрасте 2 месяцев. Препарат применяется только по назначению врача! \u003Cbr\u003E 4-6 кг 1 суппозиторий по 50 мг однократно. Только по назначению врача! 3-12 месяцев \u003Cbr\u003E 7-10 кг 1 суппозиторий по 100 мг \u003Cbr\u003E 1-3 года 11-16 кг \u003Cbr\u003E 1-2 суппозитория по 100 мг \u003Cbr\u003E 3-10 лет 17-30 кг 1 суппозиторий по 250 мг \u003Cbr\u003E 10-12 лет 31-35 кг 2 суппозитория по 250 мг \u003Cbr\u003EДлительность курса лечения: 3 дня в качестве жаропонижающего и до 5 дней, как анальгетического средства. 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Точный механизм действия парацетамола не установлен. По-видимому, он включает в себя центральный и периферический компоненты. Известно, что препарат блокирует циклооксигеназу в центральной нервной системе, воздействуя на центры боли и терморегуляции.\u003Cbr\u003EДлительность анальгетического действия - 4-6 ч, жаропонижающего - не менее 6 ч. В воспаленных тканях клеточные пероксидазы нейтрализуют влияние парацетамола на циклооксигеназу, что объясняет отсутствие значимого противовоспалительного эффекта. Отсутствие блокирующего влияния на синтез простагландинов в периферических тканях обусловливает у него отсутствие отрицательного влияния на водно-солевой обмен (задержка натрия и воды) и слизистую желудочно-кишечного тракта."},{"name":"Фармакологическая группа","value":"анальгезирующее ненаркотическое средство"},{"name":"Форма выпуска","value":"суппозитории ректальные"},{"name":"Способ применения/введения","value":"ректальный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-nervnoi-sistemy","categoryId":"15756525","navnodeId":"72478","glfilters":["35947170:36763742"]}}},{"name":"Условия хранения","value":"При температуре не выше 20 °С. Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"Порог передозировки может быть снижен у детей, у пациентов, страдающих истощением, пожилых людей, пациентов с заболеваниями печени, при хроническом алкоголизме, у пациентов, принимающих индукторы микросомальных ферментов печени. В подобных случаях передозировка может привести к летальному исходу.\u003Cbr\u003EВ случае передозировки следует немедленно обратиться к врачу, даже если состояние пациента не вызывает опасений.\u003Cbr\u003EСимптомы: в течение первых 24 ч после передозировки - бледность кожных покровов, тошнота, рвота, анорексия, абдоминальная боль; нарушение метаболизма глюкозы, метаболический ацидоз (вт. ч. лактоацидоз). Симптомы нарушения функции печени могут появиться через 12-48 ч после передозировки. При тяжелой передозировке - печеночная недостаточность с прогрессирующей энцефалопатией, кома, смерть; острая почечная недостаточность с тубулярным некрозом (в т. ч. при отсутствии тяжелого поражения печени); аритмия, панкреатит. Гепатотоксический эффект у взрослых проявляется при приеме 10 г и более.\u003Cbr\u003EЛечение: введение донаторов SH-групп и предшественников синтеза глутатиона - метионина и ацетилцистеина - в течение 10 часов после передозировки. Необходимость проведения дальнейших терапевтических мероприятий (дальнейшее введение метионина, внутривенное введение ацетилцистеина) определяется в зависимости от концентрации парацетамола в крови, а также времени, прошедшего после его приема. Симптоматическое лечение. Печеночные тесты следует проводить в начале лечения и затем - каждые 24 ч."},{"name":"Применение при беременности и кормлении грудью","value":"Опыт применения у человека свидетельствует о том, что парацетамол при приеме внутрь в терапевтических дозах не оказывает неблагоприятного влияния на течение беременности или здоровье плода и новорожденного. Передозировка парацетамолом во время беременности не повышает риск врожденных пороков развития. Исследования репродуктивной токсичности при пероральном введении не выявили тератогенного или фетотоксического потенциала. После тщательной оценки пользы и риска парацетамол можно применять в течение всего срока беременности. Парацетамол не следует применять во время беременности в течение длительных периодов времени, в высоких дозах или в сочетании с другими лекарственными средствами, поскольку безопасность применения в этих обстоятельствах не была установлена. Парацетамол может использоваться во время беременности, однако целесообразно использовать минимальные эффективные дозы и максимально коротким курсом.\u003Cbr\u003EПарацетамол в небольших количествах проникает в грудное молоко человека, однако при применении препарата в терапевтических дозах влияние на новорожденных/детей на грудном вскармливании не ожидается.\u003Cbr\u003EСуществуют ограниченные данные, что лекарственные средства, которые ингибируют синтез циклооксигеназы/простагландина, в том числе и парацетамол, могут привести к снижению женской фертильности вследствие влияния на овуляцию, которое является обратимым после прекращения лечения. Поскольку парацетамол, предположительно, ингибирует синтез простагландинов, это потенциально может снижать фертильность, хотя это не было продемонстрировано."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Сведения о влиянии на способность управлять транспортными средствами и работать с механизмами отсутствуют."},{"name":"Особые указания","value":"Внимательно прочтите инструкцию перед тем, как начать применение препарата. Сохраните инструкцию, она может понадобиться вновь. Если у Вас возникли вопросы, обратитесь к врачу. Лекарственное средство, которым Вы лечитесь, предназначено лично Вам, и его не следует передавать другим лицам, поскольку оно может причинить им вред даже при наличии тех же симптомов, что и у Вас.\u003Cbr\u003EПри продолжении лихорадки более 3 дней и болевого синдрома более 5 дней следует обратиться к лечащему врачу.\u003Cbr\u003EПарацетамол может вызывать серьезные кожные реакции, такие как острый генерализованный экзантематозный пустулез, синдром Стивенса-Джонсона, токсический эпидермальный некролиз, которые могут привести к летальному исходу. При появлении кожной сыпи или других признаков реакций гиперчувствительности немедленно прекратите прием препарата и обратитесь к врачу!\u003Cbr\u003EСледует избегать одновременного применения парацетамола с другими парацетамолсодержащими препаратами, поскольку это может вызвать передозировку парацетамола.\u003Cbr\u003EСуществует риск передозировки у пациентов, страдающих заболеваниями печени, хроническим алкоголизмом, хронической недостаточностью питания (в связи с низким уровнем запасов глутатиона в гепатоцитах) и у пациентов, получающих индукторы микросомальных ферментов печени.\u003Cbr\u003EСуточная доза парацетамола не должна превышать 4 г у взрослых пациентов. При хронических заболеваниях печени, в том числе компенсированных, суточная доза парацетамола не должна превышать 3 г/сут!\u003Cbr\u003EПри применении препарата более 5-7 дней следует контролировать показатели периферической крови и функциональное состояние печени. Парацетамол искажает показатели лабораторных исследований при количественном определении глюкозы и мочевой кислоты в плазме.\u003Cbr\u003EДлительное применение анальгетических препаратов в высоких дозах с нарушением инструкции по применению (особенно при одновременном применении нескольких анальгетиков) может привести к развитию головной боли, не поддающейся лечению повышенными дозами данных препаратов.\u003Cbr\u003EДлительное применение анальгетических препаратов (особенно комбинированное применение нескольких анальгетиков) может привести к необратимому повреждению почек с риском развития почечной недостаточности (анальгетическая нефропатия).\u003Cbr\u003EРезкая отмена анальгетических препаратов после их длительного применения в высоких дозах может привести к развитию головной боли, а также усталости, боли в мышцах, нервозности и вегетативным симптомам. Симптомы \"отмены\" уменьшаются в течение нескольких дней. В течение этого периода следует избегать применения анальгетических препаратов и не начинать их применение без консультации врача.\u003Cbr\u003EС осторожностью:\u003Cbr\u003EТяжелая почечная недостаточность (клиренс креатинина менее 10 мл/мин), печеночная недостаточность (менее 9 баллов по шкале Чайлд-Пью), доброкачественные гипербилирубинемии (в т.ч. синдром Жильбера), вирусный гепатит, алкогольное поражение печени, хронический алкоголизм, беременность, период грудного вскармливания, одновременный прием других парацетамолсодержащих препаратов.\u003Cbr\u003EСледует соблюдать осторожность при применении препарата у пациентов с дегидратацией, при гиповолемии, анорексии, кахексии и булимии.\u003Cbr\u003EНе применяйте препарат, если у вашего ребенка диарея!"},{"name":"Взаимодействие","value":"Фенитоин снижает эффективность парацетамола и увеличивает риск развития гепатотоксичности. Пациентам, принимающим фенитоин, следует избегать частого применения парацетамола, особенно в высоких дозах. Пациентов следует мониторировать для исключения гепатотоксичности.\u003Cbr\u003EПробенецид почти в два раза снижает клиренс парацетамола, ингибируя процесс его конъюгации с глюкуроновой кислотой. При одновременном применении следует рассмотреть вопрос о снижении дозы парацетамола.\u003Cbr\u003EСледует соблюдать осторожность при одновременном применении парацетамола и индукторов микросомальных ферментов печени (например, этанол, барбитураты, изониазид, рифампицин, карбамазепин, антикоагулянты, зидовудин, амоксициллин + клавулановая кислота, фенилбутазон, трициклические антидепрессанты).\u003Cbr\u003EДлительное применение барбитуратов снижает эффективность парацетамола.\u003Cbr\u003EСалициламид увеличивает время полувыведения парацетамола.\u003Cbr\u003EСледует проводить мониторинг международного нормализованного отношения (МНО) во время и после окончания одновременного применения парацетамола (особенно в высоких дозах и/или в течение продолжительного времени) и кумаринов (например, варфарина), так как парацетамол при приеме в дозе 4 г в течение не менее 4-х суток может усиливать действие непрямых антикоагулянтов.\u003Cbr\u003EСледует информировать лечащего врача о применении парацетамола при проведении анализов на определение мочевой кислоты и уровня глюкозы в крови."},{"name":"Регистрационный номер","value":"P N001061/01"},{"name":"Дата государственной регистрации","value":"19.04.2022"},{"name":"Владелец регистрационного удостоверения","value":"Нижфарм","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-nervnoi-sistemy","categoryId":"15756525","navnodeId":"72478","glfilters":["34324371:35649313","7893318:13891801"]}}},{"name":"Изготовитель","value":"Нижфарм"},{"name":"Фасовщик","value":"Нижфарм"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Цефекон","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-nervnoi-sistemy","categoryId":"15756525","navnodeId":"72478","glfilters":["17796364:18053299"]}}},{"name":"Срок годности","value":"36 мес."}]}},"fullSpecsGrouped":{"3694070849143513343":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Органы и системы","value":"нервная система"},{"name":"Назначение","value":"болевой синдром средней и высокой интенсивности различной этиологии, лихорадочные состояния"},{"name":"Показания к применению","value":"Применяют у детей с 3-х месяцев до 12 лет в качестве: жаропонижающего средства при острых респираторных заболеваниях, гриппе, детских инфекциях, поствакцинальных реакциях и других состояниях, сопровождающихся повышением температуры тела; болеутоляющего средства при болевом синдроме слабой и умеренной интенсивности, в том числе: головной и зубной боли, боли в мышцах, невралгии, боли при травмах и ожогах. У детей от 1 до 3 месяцев возможен однократный прием препарата для снижения температуры после вакцинации, применение препарата по всем показаниям возможно только по назначению врача. В случае необходимости, пожалуйста, проконсультируйтесь с врачом перед применением лекарственного препарата."},{"name":"Противопоказания","value":"- Повышенная чувствительность к парацетамолу или другим компонентам препарата;\u003Cbr\u003E- период новорожденности (до 1 месяца);\u003Cbr\u003E- тяжелые нарушения функции печени (9 и более баллов по шкале Чайлд-Пью);\u003Cbr\u003E- воспаление прямой кишки, кровотечение из прямой кишки;\u003Cbr\u003E- дефицит глюкозо-6-фосфатдегидрогеназы."},{"name":"Состав","value":"Один суппозиторий содержит: действующее вещество: парацетамол 50 мг; 100 мг; 250 мг;\u003Cbr\u003Eвспомогательные вещества: жир твердый (Витепсол (марки Н 15, W 35), Суппосир (марки NA 15, NAS 50)) - до получения суппозитория массой 1,25 г."},{"name":"Действующее вещество","value":"Парацетамол"},{"name":"Способ применения и дозы","value":"Ректально. После самопроизвольного опорожнения кишечника или очистительной клизмы, суппозиторий освобождают от контурной ячейковой упаковки и вводят в прямую кишку.\u003Cbr\u003EДозировка препарата рассчитывается в зависимости от возраста и массы тела, в соответствии с таблицей. Разовая доза составляет 10-15 мг/кг массы тела ребенка; интервал между каждой дозой должен составлять не менее 6 часов.\u003Cbr\u003EМаксимальная суточная доза парацетамола (в т. ч. при одновременном применении других парацетамолсодержащих препаратов) не должна превышать 60 мг/кг массы тела ребенка.\u003Cbr\u003EУ детей в возрасте до 3 месяцев данный препарат применяется однократно (1 суппозиторий) в случае развития лихорадки на фоне прививок, которые проводятся в возрасте 2 месяцев. Препарат применяется только по назначению врача! \u003Cbr\u003E 4-6 кг 1 суппозиторий по 50 мг однократно. Только по назначению врача! 3-12 месяцев \u003Cbr\u003E 7-10 кг 1 суппозиторий по 100 мг \u003Cbr\u003E 1-3 года 11-16 кг \u003Cbr\u003E 1-2 суппозитория по 100 мг \u003Cbr\u003E 3-10 лет 17-30 кг 1 суппозиторий по 250 мг \u003Cbr\u003E 10-12 лет 31-35 кг 2 суппозитория по 250 мг \u003Cbr\u003EДлительность курса лечения: 3 дня в качестве жаропонижающего и до 5 дней, как анальгетического средства. Продление курса при необходимости после консультации с врачом.\u003Cbr\u003EПациенты с нарушением функции почек\u003Cbr\u003EПри нарушении функции почек временной интервал между приемом препарата должен составлять не менее 8 часов при клиренсе креатинина менее 10 мл/мин, не менее 6 часов при клиренсе креатинина более 10 мл/мин.\u003Cbr\u003EПациенты с нарушением функции печени\u003Cbr\u003EУ пациентов с хроническими заболеваниями печени, в том числе компенсированными, особенно у пациентов с гепатоцеллюлярной недостаточностью, хроническим алкоголизмом, хронической недостаточностью питания (недостаточным запасом глутатиона в печени) или обезвоживанием суточная доза парацетамола не должна превышать 3 г/сут.\u003Cbr\u003EЕсли после лечения улучшения не наступает или появляются новые симптомы, необходимо проконсультироваться с врачом.\u003Cbr\u003EПрименяйте препарат только согласно тому способу применения и в тех дозах, которые указаны в инструкции. В случае необходимости, пожалуйста, проконсультируйтесь с врачом перед применением лекарственного препарата.\u003Cbr\u003EВы должны обратиться к врачу, если симптомы ухудшаются или не улучшаются после 2-3 дней лечения."},{"name":"Побочные действия","value":"Со стороны органов пищеварения: боль в животе, диарея, тошнота, рвота, тенезмы.\u003Cbr\u003EСо стороны печени и желчевыводящих путей: печеночная недостаточность, некроз печени, гепатиты, повышение активности печеночных ферментов.\u003Cbr\u003EСо стороны органов кроветворения: тромбоцитопения, анемия, лейкопения, нейтропения.\u003Cbr\u003EСо стороны сердечно-сосудистой системы: снижение или увеличение протромбинового индекса, снижение артериального давления (как симптом анафилаксии).\u003Cbr\u003EСо стороны кожи и подкожной клетчатки: аллергические реакции (кожная сыпь, зуд, крапивница, отек Квинке), острый генерализованный экзантематозный пустулез, синдром Стивенса-Джонсона, токсический эпидермальный некролиз.\u003Cbr\u003EСо стороны иммунной системы: анафилактический шок.\u003Cbr\u003EМестные реакции: раздражение слизистой оболочки прямой кишки, раздражение в области анального прохода.\u003Cbr\u003EЕсли любые из указанных в инструкции побочных эффектов усугубляются, или Вы заметили любые другие побочные эффекты, не указанные в инструкции, сообщите об этом врачу."},{"name":"Фармакологическое действие","value":"Парацетамол обладает анальгетическим и жаропонижающим действием. Точный механизм действия парацетамола не установлен. По-видимому, он включает в себя центральный и периферический компоненты. Известно, что препарат блокирует циклооксигеназу в центральной нервной системе, воздействуя на центры боли и терморегуляции.\u003Cbr\u003EДлительность анальгетического действия - 4-6 ч, жаропонижающего - не менее 6 ч. В воспаленных тканях клеточные пероксидазы нейтрализуют влияние парацетамола на циклооксигеназу, что объясняет отсутствие значимого противовоспалительного эффекта. Отсутствие блокирующего влияния на синтез простагландинов в периферических тканях обусловливает у него отсутствие отрицательного влияния на водно-солевой обмен (задержка натрия и воды) и слизистую желудочно-кишечного тракта."},{"name":"Фармакологическая группа","value":"анальгезирующее ненаркотическое средство"},{"name":"Форма выпуска","value":"суппозитории ректальные"},{"name":"Способ применения/введения","value":"ректальный"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"При температуре не выше 20 °С. Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"Порог передозировки может быть снижен у детей, у пациентов, страдающих истощением, пожилых людей, пациентов с заболеваниями печени, при хроническом алкоголизме, у пациентов, принимающих индукторы микросомальных ферментов печени. В подобных случаях передозировка может привести к летальному исходу.\u003Cbr\u003EВ случае передозировки следует немедленно обратиться к врачу, даже если состояние пациента не вызывает опасений.\u003Cbr\u003EСимптомы: в течение первых 24 ч после передозировки - бледность кожных покровов, тошнота, рвота, анорексия, абдоминальная боль; нарушение метаболизма глюкозы, метаболический ацидоз (вт. ч. лактоацидоз). Симптомы нарушения функции печени могут появиться через 12-48 ч после передозировки. При тяжелой передозировке - печеночная недостаточность с прогрессирующей энцефалопатией, кома, смерть; острая почечная недостаточность с тубулярным некрозом (в т. ч. при отсутствии тяжелого поражения печени); аритмия, панкреатит. Гепатотоксический эффект у взрослых проявляется при приеме 10 г и более.\u003Cbr\u003EЛечение: введение донаторов SH-групп и предшественников синтеза глутатиона - метионина и ацетилцистеина - в течение 10 часов после передозировки. Необходимость проведения дальнейших терапевтических мероприятий (дальнейшее введение метионина, внутривенное введение ацетилцистеина) определяется в зависимости от концентрации парацетамола в крови, а также времени, прошедшего после его приема. Симптоматическое лечение. Печеночные тесты следует проводить в начале лечения и затем - каждые 24 ч."},{"name":"Применение при беременности и кормлении грудью","value":"Опыт применения у человека свидетельствует о том, что парацетамол при приеме внутрь в терапевтических дозах не оказывает неблагоприятного влияния на течение беременности или здоровье плода и новорожденного. Передозировка парацетамолом во время беременности не повышает риск врожденных пороков развития. Исследования репродуктивной токсичности при пероральном введении не выявили тератогенного или фетотоксического потенциала. После тщательной оценки пользы и риска парацетамол можно применять в течение всего срока беременности. Парацетамол не следует применять во время беременности в течение длительных периодов времени, в высоких дозах или в сочетании с другими лекарственными средствами, поскольку безопасность применения в этих обстоятельствах не была установлена. Парацетамол может использоваться во время беременности, однако целесообразно использовать минимальные эффективные дозы и максимально коротким курсом.\u003Cbr\u003EПарацетамол в небольших количествах проникает в грудное молоко человека, однако при применении препарата в терапевтических дозах влияние на новорожденных/детей на грудном вскармливании не ожидается.\u003Cbr\u003EСуществуют ограниченные данные, что лекарственные средства, которые ингибируют синтез циклооксигеназы/простагландина, в том числе и парацетамол, могут привести к снижению женской фертильности вследствие влияния на овуляцию, которое является обратимым после прекращения лечения. Поскольку парацетамол, предположительно, ингибирует синтез простагландинов, это потенциально может снижать фертильность, хотя это не было продемонстрировано."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Сведения о влиянии на способность управлять транспортными средствами и работать с механизмами отсутствуют."},{"name":"Особые указания","value":"Внимательно прочтите инструкцию перед тем, как начать применение препарата. Сохраните инструкцию, она может понадобиться вновь. Если у Вас возникли вопросы, обратитесь к врачу. Лекарственное средство, которым Вы лечитесь, предназначено лично Вам, и его не следует передавать другим лицам, поскольку оно может причинить им вред даже при наличии тех же симптомов, что и у Вас.\u003Cbr\u003EПри продолжении лихорадки более 3 дней и болевого синдрома более 5 дней следует обратиться к лечащему врачу.\u003Cbr\u003EПарацетамол может вызывать серьезные кожные реакции, такие как острый генерализованный экзантематозный пустулез, синдром Стивенса-Джонсона, токсический эпидермальный некролиз, которые могут привести к летальному исходу. При появлении кожной сыпи или других признаков реакций гиперчувствительности немедленно прекратите прием препарата и обратитесь к врачу!\u003Cbr\u003EСледует избегать одновременного применения парацетамола с другими парацетамолсодержащими препаратами, поскольку это может вызвать передозировку парацетамола.\u003Cbr\u003EСуществует риск передозировки у пациентов, страдающих заболеваниями печени, хроническим алкоголизмом, хронической недостаточностью питания (в связи с низким уровнем запасов глутатиона в гепатоцитах) и у пациентов, получающих индукторы микросомальных ферментов печени.\u003Cbr\u003EСуточная доза парацетамола не должна превышать 4 г у взрослых пациентов. При хронических заболеваниях печени, в том числе компенсированных, суточная доза парацетамола не должна превышать 3 г/сут!\u003Cbr\u003EПри применении препарата более 5-7 дней следует контролировать показатели периферической крови и функциональное состояние печени. Парацетамол искажает показатели лабораторных исследований при количественном определении глюкозы и мочевой кислоты в плазме.\u003Cbr\u003EДлительное применение анальгетических препаратов в высоких дозах с нарушением инструкции по применению (особенно при одновременном применении нескольких анальгетиков) может привести к развитию головной боли, не поддающейся лечению повышенными дозами данных препаратов.\u003Cbr\u003EДлительное применение анальгетических препаратов (особенно комбинированное применение нескольких анальгетиков) может привести к необратимому повреждению почек с риском развития почечной недостаточности (анальгетическая нефропатия).\u003Cbr\u003EРезкая отмена анальгетических препаратов после их длительного применения в высоких дозах может привести к развитию головной боли, а также усталости, боли в мышцах, нервозности и вегетативным симптомам. Симптомы \"отмены\" уменьшаются в течение нескольких дней. В течение этого периода следует избегать применения анальгетических препаратов и не начинать их применение без консультации врача.\u003Cbr\u003EС осторожностью:\u003Cbr\u003EТяжелая почечная недостаточность (клиренс креатинина менее 10 мл/мин), печеночная недостаточность (менее 9 баллов по шкале Чайлд-Пью), доброкачественные гипербилирубинемии (в т.ч. синдром Жильбера), вирусный гепатит, алкогольное поражение печени, хронический алкоголизм, беременность, период грудного вскармливания, одновременный прием других парацетамолсодержащих препаратов.\u003Cbr\u003EСледует соблюдать осторожность при применении препарата у пациентов с дегидратацией, при гиповолемии, анорексии, кахексии и булимии.\u003Cbr\u003EНе применяйте препарат, если у вашего ребенка диарея!"},{"name":"Взаимодействие","value":"Фенитоин снижает эффективность парацетамола и увеличивает риск развития гепатотоксичности. Пациентам, принимающим фенитоин, следует избегать частого применения парацетамола, особенно в высоких дозах. Пациентов следует мониторировать для исключения гепатотоксичности.\u003Cbr\u003EПробенецид почти в два раза снижает клиренс парацетамола, ингибируя процесс его конъюгации с глюкуроновой кислотой. При одновременном применении следует рассмотреть вопрос о снижении дозы парацетамола.\u003Cbr\u003EСледует соблюдать осторожность при одновременном применении парацетамола и индукторов микросомальных ферментов печени (например, этанол, барбитураты, изониазид, рифампицин, карбамазепин, антикоагулянты, зидовудин, амоксициллин + клавулановая кислота, фенилбутазон, трициклические антидепрессанты).\u003Cbr\u003EДлительное применение барбитуратов снижает эффективность парацетамола.\u003Cbr\u003EСалициламид увеличивает время полувыведения парацетамола.\u003Cbr\u003EСледует проводить мониторинг международного нормализованного отношения (МНО) во время и после окончания одновременного применения парацетамола (особенно в высоких дозах и/или в течение продолжительного времени) и кумаринов (например, варфарина), так как парацетамол при приеме в дозе 4 г в течение не менее 4-х суток может усиливать действие непрямых антикоагулянтов.\u003Cbr\u003EСледует информировать лечащего врача о применении парацетамола при проведении анализов на определение мочевой кислоты и уровня глюкозы в крови."},{"name":"Регистрационный номер","value":"P N001061/01"},{"name":"Дата государственной регистрации","value":"19.04.2022"},{"name":"Владелец регистрационного удостоверения","value":"Нижфарм"},{"name":"Изготовитель","value":"Нижфарм"},{"name":"Фасовщик","value":"Нижфарм"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Цефекон"},{"name":"Срок годности","value":"36 мес."}]}],"transitionId":"tr_110692212023184137"}}}}
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    Цена с картой Яндекс Пэй 160 ₽ вместо 162
    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  • Ибупрофен сусп. д/вн. приема д/детей фл., 100 мг/5 мл, 80 мл, 100 г, клубника
    –1 %
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    Ибупрофен сусп. д/вн. приема д/детей фл., 100 мг/5 мл, 80 мл, 100 г, клубника

    Рейтинг товара: 5 из 5
    на основе 17 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 113 ₽ вместо 114
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  • Ибуклин таб. п/о плен., 400 мг+325 мг, 10 шт.
    –12 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-3z5uj0di2ld/toggleWishlist":{"skuId":"101392133740","productId":186882821,"offerId":"O034OnFMdCnHGEs7sulgYg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQgracneHiv8d9EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYIhbaOWRDs3MTb+QIYwKLVByDn3MEH","sign":"3CRaQslWxmB/9vzCe91U8a6vLStFm0u04rLAmzeS3yc="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-3z5uj0di2ld/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Ибуклин таб. п/о плен., 400 мг+325 мг, 10 шт.

    Рейтинг товара: 4.9 из 5
    на основе 172 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 192 ₽ вместо 194
    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таб. п/о плен., 400 мг+325 мг, 10 шт.","label":"ngbdzzq17w","count":0,"features":[],"imageMeta":{"namespace":"mpic","groupId":5236248,"key":"img_id2494083118970784507.jpeg"}},"quantity":{"step":1,"minimum":1,"maximum":999},"cpaUrl":"/safeclick/data=TxNGOK9vJEN7oLFLeCTKEixJYuEMI0EzvZFs82AjjgjhTwweZ7mRXd_AQ0K184sfZmy5nQz7U8xIc-qdVOMFoxnoSww2ObzLEs1KJpltGipDSanCui6QCo8GXRHxAQaqQQZbzp5kb0bdQDXqQiIIDEwL4INEBUjrbUNtjxqZ96UWkyu_L0koKYok6hYzEHW1XZFGfxnS2l9tgr2WDgBNpPBwZXQOdR02DJV0Lh9nir4XkXw9nZhtClqAcIVSmxMNa0237MBIz_xTDpvq1nTQ9X7okMLeLe2zXHGj-PpQ18QmXOlLEzgXyyiy3e3k8jEhXt7ONZJoo6Gkltxqi0PqgWJ7J2ZcShUGK_7OUycea_Z8MFgVbDKsKJPRA1lhxqihXepsYLYOjY7HxwhoRBkK7aFlV0g7_C6UArgmPAwnNWiOJjU2zBahRCXXrRDgIGWPfsSVs_qyC2hl8eq0CLm8tWhVdR_YtxM97E1GjIZvHfOWhvaL4WB_SowytstCXAZNn8TGOfBssafneeGjdsIQ13iP98hxl9ij-vgAJDuiNfQ0s9y_5Uv-LQ_wY9tKeKTHsoAqXJszHNxt1zQ_OHs1ONgoXB7giBH2dp22MNKUCrt6VMA4COUjyDSP06in6kPdrNY7Mxfe56fhRrMm_27mDEJfLGBDVUG0MDk12DLPGj0nJuUir71Jg6ZFTh8SD68f9FHZVY3QnroBZDH8_B17Z23UZa9CLJOaH6vH7YVd74QGMf1ilZ-mhR5DsUUeqMsdKI6YolpbiL8lBk0jsiMpqeOB0SRG7fpQFNZTvpmmlupXc7IjkXiZStET_NJ-GtJaJByH3_ll8TfH4tcG0pnTyjJIBK_3i8yNft0J5sXXh4ezDZthZ1l9crHyxhxLL0jOlj93ucmcScXSyMvM9Lo9MeSYK9Ispjqx3Ec4ZMXEBwUO31uFMwzrg5tQt9K0wt8SvScRz_xmuzaOCKvhjNlDh26TqTNFnSbiSsTq7hPTCQ6nvkBr6rQX2anhHZnWRcA9PGJmp7KuGCorZ-koB4_NKg9Fu-kL61uqBjV193qIpOZycHaQMkK74lfkryikDI_BzkLXDyAB_Hx4Nm9wTdTq98EpHUdoaxYg7Mu_wRf-b4oZvJhNV8EmQTMFnRFT2tdHwqKOtrE0TZwY1SUcvWV1Asc2Wga6-ymhdb_uRaTAVqsaaV7A02B7XKA5oVOOKbpXootfWpn_kp-tYyKvzwZcQo1yNyIByHniPUd_xh4iQOcSdob7HbXSrQtsOvzvCUHFdWZurbh5xK1fDlTdZyJJVtmFx5Otg6DAsqy4akKtQ6dRE1CCjveg_mqom00Mz0X0SFIrdk1brcrteiu5rvFtaupbWlIlI9LlpQ3qxej_Dj5BG_6EkpA-YpFyFny3W4GnQg5gb3DDzX4UhqzZsTV1_uIVBCczPh0qhpxnl3TmLjfeWB2LMkvdPvzNa3rZFWBh1gXS7XWYqr-8FGxAo8sZ82FdUVkJmbOjRqj_BPVHNSwwlcXqOlhJnUibdqVnqdh18L7OtyN-p7BdugMZQtrFw0YARB4BwADH8bmlsK1lh9Sbpp6Cp5VhnmaJuZLHaxx8HrVFXsGzqvBlx-MkrPE6DzlrUfqoqZmd9rJ7e3fOAM1vKOmkEOhl5WbQTUjhvxz6wfO9H1PAnWQ-Km_xQ38mPIUUTIzuVZRoaMucGSiuFgshEYa6NABu4vTI_R2SE021-lroWPifmDxwuNIRscsoTmKxcND2_gQbSzxSE-hh3BQnIlrALz_IxjnU8G_nJoMOdc1EIXUCWlBmSHUrqk-YsEq3B30LlgcsIBvBvkvGplZltICpdo-zt1mj5jChFuojLeRXJU0uGKZMHb-V9wBYiWNScg-qQs545UFiepWRK0F9_BjnxlMV2Dxspx-XMkIw513m0rLq9pLf9JO_z8-eIDWsqXK4rdNB5RDiNQYyIjcyZg7tlrkKHIm7XNhuvIUXy-Dx8BPy-HFwgscy-x3nnEQTCPln8zPr8stLTo-EYBqkbgMfc6GhGlt7iBrIxO6ue9S4UR3ANAXhK6o00Np2PqGpfZG1nCwVTdl1FLx7zAhyQmNwLfy9tGmpLV2vItUqH5Qf5q63HMVIfEDDADIJYpgRlS-nfPLEAu95mzoezJRQdV5Ceq5E6AYuy4k2AtpgP_3ySrIu_Mb2vcRrEFUOZ1r3eapA7XMyJ2pAHzs-kqnf1p1X5BA_dFP8WVTWWh_IR4npgN0kmLwuC8WsdfqO3pL5WUnIEiEEDnjXE3oZ3nBb-Q2OrSoo402wLQ08Q2f-4DlSVZIwdypp36a3yz2Rs1f7xvu5wP1_-pCkgromAOhPajF8ODoNu4NQdsQaePzz1nZyXWJfhRJApRPICzHA6a187hxDHSb16lARHEh83lWTYWzydNFJwXl4HqIEkcILZW95qpIXEX6en-tV7VTJDerhZrRHywiEKM6k-YshMK4ft9dXGaOZwmCJmMdjQxOVe999VycdFN47gxupzXKOx_8t3pOBWGlesFxbOu4U-HkyU4ubWKZFX5B_VupD87SS9gJcRuAPiwKwqZK4rAatJrGU2SPvQ1hFUrH3OxuiF_gFPSVY1KNgKIlPBTw4n7UgqDc1fkjtyocPMUgLwLTFGrxbppqNTT5Yk9PuIi9EwkzHghe8k0OCpTqwl_DzA7cN4lIZ1aXB0sEO01Ahsv8sEvt7ldkPDmlr-wLFZhG9YZb5LbDajDeDjLXMMuACW0FOHbLseIaSlUFztudhsq0t4gQBLnjf1bYd6AltNju_M7t_Vja10CVyw4lrjamD_HjH-UgXpC-qgH5p9XxoSSegxya3qekjv2VZtei6Pm4-l-EYMgJ-1OFY3qh7oW-k7HeziZ2DHuOmBSoMizt3Tx-jc2PVlM1GxdkZ1gPDtgI9llcGoDfPfezvkyXsB5w6upRx4EU7Eo0dFnkq1Q9rtusB8GeiEf5ep_dBu6V0EbVSUFibO4vFkl70tRC_tf-zRRAmuFp-VA3CZyeNo6Q3xCsrqZv36hgCE2US1lKpj5otkWJJKYaJXw6fq4guxpJzXyLUlWMqfDN2xG4YsDv99wcBCYLcJJnMy2SO8f4bVJqpDKo4nfBayea8gZB7utJuMKgv1e7-hRMPgvtvLrv6ow3h-cZRzp23o1pMTd7EK8MnFicypJpLSzhlwTxctumwEncf2hM0beiPODUO8Y6rKKfqHv6QT2RGuwuwoJLR8Ohzqg_KDbtdDj2GVm2yd6GIvIv9R0QeZEv79M1duvyZb_gks_4KIg1PDQji1J7Ag4rvvb29-L2Rklu-xbsVIGWF2Xk34sO_e0zsg2ouQzQ8orUPh9u7YRGCYXf0bvSR3i9r3_9_ki1Nej971habbqyyZsy5xs2PGdy5vDhij60CdtkaGFvaMTTNdvCg4bYC8ycQ1KwX1sqclaEfg9slg-kURvSsn2AHmf3LJndcPChrq0PRTuKWyHnNKdUUkhydZ8N8ILkSbDe9sjHQSYkr-XPHW0uZdqPh6-WDlaI,/b64e=1/sign=35680688158d9eb6b72e7d869831e978/keyno=MARKET_1/*","showUid":"17179870752610778431206003","cartLink":"/my/cart","showNotificationWhenDeleteItem":true,"isLavka":false,"isError":false,"isEats":false,"isCR":false,"isM2bEdoOnlyEnable":false,"isEatsMarketIntegration":true,"isCartButtonNext":false,"isUpsalePopupCRExp":false,"baobabClientDataAdditionToCart":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQgracneHiv8d9EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYIhbaOWRDs3MTb+QIYwKLVByDn3MEH","sign":"3CRaQslWxmB/9vzCe91U8a6vLStFm0u04rLAmzeS3yc="},"target":"cart_addition"},"baobabClientDataDeletionFromCart":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQgracneHiv8d9EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYIhbaOWRDs3MTb+QIYwKLVByDn3MEH","sign":"3CRaQslWxmB/9vzCe91U8a6vLStFm0u04rLAmzeS3yc="},"target":"cart_deletion"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-3z5uj0di2ld/addToCartButton":{"name":"@light/AddToCartButtonSnippet"}}}
  • Ибупрофен таб. п/о плен., 400 мг, 50 шт.
    –17 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-36isv6fw9il/toggleWishlist":{"skuId":"101392533732","productId":186557805,"offerId":"oIuRGZYDDFpf2-Hd5fu6jw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQgracneHiv8d9EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYI7cr6WBDkkd3b+QIYsc2dBSDn3MEH","sign":"okmCcBB3E4QvC5ZredCCPx9mKPogpYg004+9O1YwSVE="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-36isv6fw9il/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Ибупрофен таб. п/о плен., 400 мг, 50 шт.

    Рейтинг товара: 4.9 из 5
    на основе 320 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 139 ₽ вместо 140
    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таб. п/о плен., 400 мг, 50 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  • Ибупрофен таб. п/о плен., 200 мг, 50 шт.
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    Ибупрофен таб. п/о плен., 200 мг, 50 шт.

    Рейтинг товара: 5 из 5
    на основе 239 оценок
    Цена 50 ₽
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  • Эффералган таб. шип., 500 мг, 16 шт.
    –1 %
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    Эффералган таб. шип., 500 мг, 16 шт.

    Рейтинг товара: 4.9 из 5
    на основе 16 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 234 ₽ вместо 236
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  • МИГ 400 таб. п/о плен., 400 мг, 20 шт.
    –1 %
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    МИГ 400 таб. п/о плен., 400 мг, 20 шт.

    Рейтинг товара: 4.9 из 5
    на основе 93 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 145 ₽ вместо 146
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  • Нурофен форте таб. п/о, 400 мг, 24 шт.
    –21 %
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    Нурофен форте таб. п/о, 400 мг, 24 шт.

    Рейтинг товара: 4.9 из 5
    на основе 176 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 215 ₽ вместо 217
    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  • Ибупрофен сусп. д/вн. приема, 100 мг/5 мл, 100 мл, апельсин
    –1 %
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    Ибупрофен сусп. д/вн. приема, 100 мг/5 мл, 100 мл, апельсин

    Рейтинг товара: 4.9 из 5
    на основе 16 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 95 ₽ вместо 96
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  • Ибупрофен Форте сусп. д/вн. приема д/детей фл., 40 мг/мл, 80 мл, 100 г, клубника
    –1 %
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    Ибупрофен Форте сусп. д/вн. приема д/детей фл., 40 мг/мл, 80 мл, 100 г, клубника

    Рейтинг товара: 5 из 5
    на основе 5 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 158 ₽ вместо 160
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  • Кеторол Экспресс таб. дисперг., 10 мг, 20 шт.
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    Кеторол Экспресс таб. дисперг., 10 мг, 20 шт.

    Рейтинг товара: 4.8 из 5
    на основе 113 оценок
    Цена 77 ₽
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Инструкция

Показания к применению

Применяют у детей с 3-х месяцев до 12 лет в качестве: жаропонижающего средства при острых респираторных заболеваниях, гриппе, детских инфекциях, поствакцинальных реакциях и других состояниях, сопровождающихся повышением температуры тела; болеутоляющего средства при болевом синдроме слабой и умеренной интенсивности, в том числе: головной и зубной боли, боли в мышцах, невралгии, боли при травмах и ожогах. У детей от 1 до 3 месяцев возможен однократный прием препарата для снижения температуры после вакцинации, применение препарата по всем показаниям возможно только по назначению врача. В случае необходимости, пожалуйста, проконсультируйтесь с врачом перед применением лекарственного препарата.

Противопоказания

- Повышенная чувствительность к парацетамолу или другим компонентам препарата;
- период новорожденности (до 1 месяца);
- тяжелые нарушения функции печени (9 и более баллов по шкале Чайлд-Пью);
- воспаление прямой кишки, кровотечение из прямой кишки;
- дефицит глюкозо-6-фосфатдегидрогеназы.

Способ применения и дозы

Ректально. После самопроизвольного опорожнения кишечника или очистительной клизмы, суппозиторий освобождают от контурной ячейковой упаковки и вводят в прямую кишку.
Дозировка препарата рассчитывается в зависимости от возраста и массы тела, в соответствии с таблицей. Разовая доза составляет 10-15 мг/кг массы тела ребенка; интервал между каждой дозой должен составлять не менее 6 часов.
Максимальная суточная доза парацетамола (в т. ч. при одновременном применении других парацетамолсодержащих препаратов) не должна превышать 60 мг/кг массы тела ребенка.
У детей в возрасте до 3 месяцев данный препарат применяется однократно (1 суппозиторий) в случае развития лихорадки на фоне прививок, которые проводятся в возрасте 2 месяцев. Препарат применяется только по назначению врача!
4-6 кг 1 суппозиторий по 50 мг однократно. Только по назначению врача! 3-12 месяцев
7-10 кг 1 суппозиторий по 100 мг
1-3 года 11-16 кг
1-2 суппозитория по 100 мг
3-10 лет 17-30 кг 1 суппозиторий по 250 мг
10-12 лет 31-35 кг 2 суппозитория по 250 мг
Длительность курса лечения: 3 дня в качестве жаропонижающего и до 5 дней, как анальгетического средства. Продление курса при необходимости после консультации с врачом.
Пациенты с нарушением функции почек
При нарушении функции почек временной интервал между приемом препарата должен составлять не менее 8 часов при клиренсе креатинина менее 10 мл/мин, не менее 6 часов при клиренсе креатинина более 10 мл/мин.
Пациенты с нарушением функции печени
У пациентов с хроническими заболеваниями печени, в том числе компенсированными, особенно у пациентов с гепатоцеллюлярной недостаточностью, хроническим алкоголизмом, хронической недостаточностью питания (недостаточным запасом глутатиона в печени) или обезвоживанием суточная доза парацетамола не должна превышать 3 г/сут.
Если после лечения улучшения не наступает или появляются новые симптомы, необходимо проконсультироваться с врачом.
Применяйте препарат только согласно тому способу применения и в тех дозах, которые указаны в инструкции. В случае необходимости, пожалуйста, проконсультируйтесь с врачом перед применением лекарственного препарата.
Вы должны обратиться к врачу, если симптомы ухудшаются или не улучшаются после 2-3 дней лечения.
Полная инструкция
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Цефекон Д супп. рект.
Цефекон Д супп. рект., 100 мг, 10 шт.
4.8
(115)
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3 вопроса
Инструкция

Цена с картой Яндекс Пэй:55 ₽

Скидка: 2%
–2 %
Вместо: 56 ₽
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4.8
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У продавца:115 оценок·8 отзывов
У всех продавцов:196 оценок·66 отзывов
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user avatar
6 месяцев назад • Имя скрыто • Куплен на Маркете
Достоинства: Действенный препарат, особенно для самых маленьких детей
Недостатки: Это не очень приятно, конечно ставить свечку в попу, когда ребенок да ещё и такой маленький болеет.
Комментарий: Цена у данного препарата значительно ниже, чем у других аналогов, и в связи с этим выбор делаю в пользу него. Так как действие у всех одинаковое.
user avatar
Неделю назад • Ирина М. • Куплен на Маркете
Достоинства: Быстрое действие, удобно применять.
Недостатки: Недостатков не найдено.
Комментарий: Быстрое действие, удобно применять.
user avatar
6 месяцев назад • Есения Махонина • Куплен на Маркете
Достоинства: очень быстро понижает температуру ребёнку, безопасен и удобен в использовании в силу специфики воздействия и введения в организм
Недостатки: дорогой
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