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ЯндексЯндекс
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Описание

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Ипратропия бромид аэр. д/инг., 20 мкг/доза

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Коротко о товаре

Артикул Маркета
4704925498
Тип препарата
Назначение
Действующее вещество
Возраст
от 6 лет
Инструкция
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повышенная чувствительность к ипратропия бромиду или к другим компонентам препарата; беременность (I триместр)."},{"name":"Состав","value":"Состав: на 1 дозу, мг; \nНа баллон 200 доз, мг;\nДействующее вещество:\nИпратропия бромида моногидрат 0,021;\u003Cbr\u003E\n5,040;\u003Cbr\u003E\n(в пересчете на ипратропия бромид);\u003Cbr\u003E\n(0,020);\u003Cbr\u003E\n(4,800);\u003Cbr\u003E\nВспомогательные вещества;\u003Cbr\u003E\nЭтанол (спирт этиловый абсолютированный);\u003Cbr\u003E\n9,750;\u003Cbr\u003E\n2340,000;\u003Cbr\u003E\nЛимонной кислоты моногидрат;\u003Cbr\u003E\n0,005;\u003Cbr\u003E\n1,2;\u003Cbr\u003E\nТриэтилцитрат;\u003Cbr\u003E\n0,150;\u003Cbr\u003E\n36,000;\u003Cbr\u003E\nПропеллент R-134а (1,1,1,2-тетрафторэтан);\u003Cbr\u003E\n55,080;\n13219,2"},{"name":"Действующее вещество","value":"Ипратропия бромид","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-astmy","categoryId":"15756897","navnodeId":"72498","glfilters":["27144131:28709958"]}}},{"name":"Способ применения и дозы","value":"Ингаляционно.\u003Cbr\u003E Дозирование должно осуществляться индивидуально.\u003Cbr\u003E Во время лечения пациенты должны находиться под медицинским наблюдением.\u003Cbr\u003EНе следует превышать рекомендуемую суточную дозу как во время неотложной, так и поддерживающей терапии.\u003Cbr\u003E Если лечение не приводит к существенному улучшению или состояние пациента ухудшается, необходима консультация врача для выработки нового плана терапии.\u003Cbr\u003E В случае неожиданного или быстрого усиления одышки (затруднений дыхания) необходимо немедленно проконсультироваться с врачом.\u003Cbr\u003E\nРекомендуются следующие дозы\nВзрослые и дети старше 6 лет:\u003Cbr\u003E\n2 ингаляционные дозы (40 мкг) 4 раза в день.\u003Cbr\u003E Так как потребность в увеличении доз указывает на возможную необходимость применения дополнительных методов лечения, как правило, не следует применять в течение суток более 12 ингаляционных доз.\u003Cbr\u003E\nДля лечения внезапных обострений хронической обструктивной болезни легких может быть показан раствор ипратропия бромида для ингаляций.\u003Cbr\u003E\nУ детей препарат Ипратропия бромид должен применяться только после консультации врача и под наблюдением взрослых (вследствие недостаточной информации).\u003Cbr\u003E\nДети младше 6 лет - учитывая, что данных по применению препарата в данной возрастной группе недостаточно, ингаляции препарата следует применять только по назначению врача.\u003Cbr\u003E Рекомендуется следующий режим дозирования: 1 ингаляционная доза (20 мкг) 3 раза в день."},{"name":"Побочные действия","value":"Многие из перечисленных нежелательных эффектов могут быть следствием антихолинергических свойств препарата Ипратропия бромид.\u003Cbr\u003E Ипратропия бромид, как и любая ингаляционная терапия, может вызывать местное раздражение.\u003Cbr\u003E Неблагоприятные реакции препарата определялись на основании данных, полученных в клинических исследованиях и в ходе фармакологического надзора за применением ипратропия бромида после его регистрации.\u003Cbr\u003E\nСамыми частыми побочными эффектами, о которых сообщалось в клинических исследованиях, были головная боль, раздражение глотки, кашель, сухость во рту, нарушения моторики желудочно-кишечного тракта (включая запор, диарею и рвоту), тошнота и головокружение.\u003Cbr\u003E\nЧастота побочных реакций, которые могут возникать во время терапии, приведена в виде следующей градации: очень часто (≥1/10); часто (≥1/100, \u003C1/10); нечасто (≥1/1 000, \u003C1/100); редко (≥1/10 000, \u003C1/1 000); очень редко (\u003C1/10 000), частота неизвестна (частота не может быть оценена по доступным данным).\u003Cbr\u003E\nНарушения со стороны иммунной системы\nНечасто: гиперчувствительность, анафилактическая реакция.\u003Cbr\u003E\nНарушения со стороны нервной системы\nЧасто: головная боль, головокружение.\u003Cbr\u003E\nНарушения со стороны органа зрения\nНечасто: нечеткое зрение, мидриаз, увеличение внутриглазного давления, глаукома, боль в глазах, появление ореола вокруг предметов, гиперемия конъюнктивы, отек роговицы.\u003Cbr\u003E\nРедко: нарушения аккомодации.\nНарушения со стороны сердечно-сосудистой системы\nНечасто: ощущение сердцебиения, наджелудочковая тахикардия.\nРедко: фибрилляция предсердий, увеличение частоты сердечных сокращений.\nНарушения со стороны органов дыхания, грудной клетки и средостения\nЧасто: раздражение глотки, кашель.\nНечасто: бронхоспазм, парадоксальный бронхоспазм, ларингоспазм, отек глотки, сухость глотки.\nНарушения со стороны желудочно-кишечного тракта\nЧасто: сухость во рту, тошнота, нарушение вкуса, нарушения моторики желудочно-кишечного тракта.\nНечасто: диарея, запор, рвота, стоматит, отек полости рта, боль в животе.\nНарушения со стороны кожи и подкожных тканей\nНечасто: сыпь, зуд, ангионевротический отек.\nРедко: крапивница.\nНарушения со стороны почек и мочевыводящих путей\nНечасто: задержка мочи."},{"name":"Фармакологическое действие","value":"Бронходилатирующее средство. Блокирует м-холинорецепторы гладкой мускулатуры трахеобронхиального дерева и подавляет рефлекторную бронхоконстрикцию.\u003Cbr\u003E Имея структурное сходство с молекулой ацетилхолина, является его конкурентным антагонистом.\u003Cbr\u003E Антихолинергические средства предотвращают увеличение внутриклеточной концентрации ионов кальция, что происходит вследствие взаимодействия ацетилхолина с мускариновыми рецепторами, расположенными в гладких мышцах бронхов.\u003Cbr\u003E Высвобождение ионов кальция происходит с помощью вторичных посредников (медиаторов), в число которых входит ИТФ (инозитола трифосфат) и ДАГ (диацилглицерол).\u003Cbr\u003E Эффективно предупреждает сужение бронхов, возникающее в результате вдыхания сигаретного дыма, холодного воздуха, действия различных бронхоспазмирующих веществ, а также устраняет спазм бронхов, связанный с влиянием блуждающего нерва.\u003Cbr\u003E При ингаляционном применении практически не оказывает резорбтивного действия.\u003Cbr\u003E Бронходилатация, возникающая после ингаляции препарата Ипратропия бромид, является, главным образом, следствием местного и специфичного воздействия препарата на легкие, а не результатом его системного влияния.\u003Cbr\u003E Ипратропия бромид не оказывает отрицательного влияния на секрецию слизи в дыхательных путях, мукоцилиарный клиренс и газообмен.\u003Cbr\u003E\nВ контролируемых 85-90-дневных исследованиях, проводившихся у пациентов с бронхоспазмом, обусловленным хронической обструктивной болезнью легких, хроническим бронхитом и эмфиземой легких, существенное улучшение функции легких наблюдалось в течение 15 минут, достигало максимума через 1-2 часа и сохранялось до 4-6 часов.\u003Cbr\u003E\nУ пациентов с бронхиальной астмой значительное улучшение функции внешнего дыхания отмечается у 51% пациентов."},{"name":"Фармакологическая группа","value":"м-холиноблокатор"},{"name":"Форма выпуска","value":"аэрозоль"},{"name":"Способ применения/введения","value":"ингалятивный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-astmy","categoryId":"15756897","navnodeId":"72498","glfilters":["35947170:36763738"]}}},{"name":"Минимальный возраст применения","value":"от 6 лет"},{"name":"Условия хранения","value":"При температуре не выше 25 °С, вдали от нагревательных приборов.\u003Cbr\u003E Не замораживать.\u003Cbr\u003E Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"Симптомы: специфических симптомов передозировки не выявлено.\u003Cbr\u003E Учитывая широту терапевтического действия и местный способ применения препарата, проявление каких- либо серьёзных антихолинергических симптомов маловероятно. \u003Cbr\u003EВозможны незначительные проявления системного антихолинергического действия, такие как сухость во рту, нарушения зрения, повышение частоты сердечных сокращений.\u003Cbr\u003E\nЛечение: симптоматическая терапия."},{"name":"Применение при беременности и кормлении грудью","value":"Безопасность применения препарата во время беременности у человека не установлена.\u003Cbr\u003E При назначении препарата во время возможной или подтвержденной беременности следует учитывать соотношение предполагаемой пользы от назначения препарата для матери и возможного риска для плода.\u003Cbr\u003E\nПрименение препарата Ипратропия бромид противопоказано в I триместре беременности.\u003Cbr\u003E Назначение препарата во II и III триместрах беременности возможно только в том случае, если потенциальная польза для матери превышает возможный риск для плода.\u003Cbr\u003E В доклинических исследованиях не было обнаружено эмбриотоксических или тератогенных влияний препарата после его ингаляционного применения в дозах, значительно превышающих дозы, рекомендуемые у человека.\u003Cbr\u003E\nНеизвестно, экскретируется ли ипратропия бромид в грудное молоко.\u003Cbr\u003E Однако маловероятно, что ипратропия бромид, особенно когда он применяется путем ингаляций, может поступать с молоком в организм ребенка в существенных количествах.\u003Cbr\u003E Но во время применения препарата кормящим грудью матерям следует соблюдать осторожность."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Исследования по изучения влияния препарата на способность управлять транспортными средствами и механизмами не проводились.\u003Cbr\u003E Следует соблюдать осторожность при выполнении данных видов деятельности, так как возможно развитие головокружения, тремора, нарушения аккомодации глаз, мидриаза и нечеткого зрения.\u003Cbr\u003E При возникновении указанных выше нежелательных ощущений следует воздержаться от таких потенциально опасных действий, как управление транспортными средствами и механизмами."},{"name":"Особые указания","value":"Гиперчувствительность\nПосле применения препарата Ипратропия бромид могут возникать реакции немедленной гиперчувствительности, на что указывают редкие случаи сыпи, крапивницы, ангионевротического отека, отека ротоглотки, бронхоспазма и анафилаксии.\u003Cbr\u003E\nПарадоксальный бронхоспазм\nИпратропия бромид, как и другие ингаляционные лекарственные препараты, способен вызывать парадоксальный бронхоспазм, который может угрожать жизни.\u003Cbr\u003EВ случае возникновения парадоксального бронхоспазма применение препарата Ипратропия бромид следует немедленно прекратить и назначить альтернативную терапию.\u003Cbr\u003E\nОсложнения со стороны глаз\nПрепарат Ипратропия бромид у пациентов, предрасположенных к развитию остроугольной глаукомы, должен использоваться с осторожностью.\u003Cbr\u003E\nИзвестны отдельные сообщения об осложнениях со стороны глаз (в том числе, о развитии мидриаза, увеличении внутриглазного давления, развитии остроугольной глаукомы, болей в глазах) в тех случаях, когда ингалируемый ипратропия бромид (применявшийся изолированно или в комбинации с агонистом β2-адренорецепторов) попадал в глаза.\u003Cbr\u003E Симптомами острой остроугольной глаукомы могут быть боль или дискомфорт в глазах, нечеткое зрение, появление ореола у предметов и цветных пятен перед глазами в сочетании с покраснением глаз вследствие инъекции сосудов конъюнктивы и отеком роговицы.\u003Cbr\u003E Если развивается любая комбинация этих симптомов, показано применение глазных капель, снижающих внутриглазное давление, и немедленная консультация специалиста.\u003Cbr\u003E\nСледует соблюдать осторожность в целях предотвращения попадания аэрозоля в глаза.\u003Cbr\u003E Поскольку аэрозоль выделяется из баллончика только при нажатии на него и поступает из мундштука в полость рта, риск его попадания в глаза невелик.\u003Cbr\u003E\nВлияния на функцию почек и мочевыделение\nПрепарат должен использоваться с осторожностью у пациентов с имеющейся обструкцией мочевыводящих путей (например, при гиперплазии предстательной железы или обструкции шейки мочевого пузыря).\u003Cbr\u003E\nНарушения моторики желудочно-кишечного тракта\nПациенты с муковисцидозом могут быть предрасположены к нарушениям моторики желудочно-кишечного тракта.\u003Cbr\u003E\nСледует учитывать, что препарат содержит небольшое количество этанола (9,750 мг в одной дозе).\u003Cbr\u003E\nЕсли ингаляции недостаточно эффективны или произошло ухудшение состояния, следует обратиться к врачу для изменения плана лечения.\u003Cbr\u003E В случае внезапного возникновения и быстрого прогрессирования одышки также следует немедленно обратиться к врачу."},{"name":"Взаимодействие","value":"Длительное совместное применение ингаляций препарата Ипратропия бромид с другими антихолинергическими препаратами не изучалось.\u003Cbr\u003E Поэтому длительное совместное применение препарата Ипратропия бромид с другими антихолинергическими препаратами не рекомендуется.\u003Cbr\u003E\nβ-адренергические средства и ксантиновые производные могут усиливать бронхорасширяющий эффект препарата Ипратропия бромид.\u003Cbr\u003E\nАнтихолинергический эффект усиливается противопаркинсоническими средствами, хинидином, трициклическими антидепрессантами."},{"name":"Регистрационный номер","value":"ЛП-008612"},{"name":"Дата государственной регистрации","value":"12.10.2022"},{"name":"Владелец регистрационного удостоверения","value":"Кировская фармацевтическая фабрика","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-astmy","categoryId":"15756897","navnodeId":"72498","glfilters":["34324371:35649313","7893318:13891797"]}}},{"name":"Изготовитель","value":"\"Кировская фармацевтическая фабрика\""},{"name":"Фасовщик","value":"Кировская фармацевтическая фабрика"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Срок годности","value":"1 г."}]}},"fullSpecsGrouped":{"13028331745643552455":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Органы и системы","value":"бронхи"},{"name":"Назначение","value":"бронхиальная астма, бронхит, хроническая обструктивная болезнь легких, эмфизема легких"},{"name":"Показания к применению","value":"Хроническая обструктивная болезнь легких, хронический бронхит, эмфизема легких, бронхиальная астма, особенно с сопутствующими заболеваниями сердечно-сосудистой системы."},{"name":"Противопоказания","value":"Повышенная чувствительность к атропину и его производным; повышенная чувствительность к ипратропия бромиду или к другим компонентам препарата; беременность (I триместр)."},{"name":"Состав","value":"Состав: на 1 дозу, мг; \nНа баллон 200 доз, мг;\nДействующее вещество:\nИпратропия бромида моногидрат 0,021;\u003Cbr\u003E\n5,040;\u003Cbr\u003E\n(в пересчете на ипратропия бромид);\u003Cbr\u003E\n(0,020);\u003Cbr\u003E\n(4,800);\u003Cbr\u003E\nВспомогательные вещества;\u003Cbr\u003E\nЭтанол (спирт этиловый абсолютированный);\u003Cbr\u003E\n9,750;\u003Cbr\u003E\n2340,000;\u003Cbr\u003E\nЛимонной кислоты моногидрат;\u003Cbr\u003E\n0,005;\u003Cbr\u003E\n1,2;\u003Cbr\u003E\nТриэтилцитрат;\u003Cbr\u003E\n0,150;\u003Cbr\u003E\n36,000;\u003Cbr\u003E\nПропеллент R-134а (1,1,1,2-тетрафторэтан);\u003Cbr\u003E\n55,080;\n13219,2"},{"name":"Действующее вещество","value":"Ипратропия бромид"},{"name":"Способ применения и дозы","value":"Ингаляционно.\u003Cbr\u003E Дозирование должно осуществляться индивидуально.\u003Cbr\u003E Во время лечения пациенты должны находиться под медицинским наблюдением.\u003Cbr\u003EНе следует превышать рекомендуемую суточную дозу как во время неотложной, так и поддерживающей терапии.\u003Cbr\u003E Если лечение не приводит к существенному улучшению или состояние пациента ухудшается, необходима консультация врача для выработки нового плана терапии.\u003Cbr\u003E В случае неожиданного или быстрого усиления одышки (затруднений дыхания) необходимо немедленно проконсультироваться с врачом.\u003Cbr\u003E\nРекомендуются следующие дозы\nВзрослые и дети старше 6 лет:\u003Cbr\u003E\n2 ингаляционные дозы (40 мкг) 4 раза в день.\u003Cbr\u003E Так как потребность в увеличении доз указывает на возможную необходимость применения дополнительных методов лечения, как правило, не следует применять в течение суток более 12 ингаляционных доз.\u003Cbr\u003E\nДля лечения внезапных обострений хронической обструктивной болезни легких может быть показан раствор ипратропия бромида для ингаляций.\u003Cbr\u003E\nУ детей препарат Ипратропия бромид должен применяться только после консультации врача и под наблюдением взрослых (вследствие недостаточной информации).\u003Cbr\u003E\nДети младше 6 лет - учитывая, что данных по применению препарата в данной возрастной группе недостаточно, ингаляции препарата следует применять только по назначению врача.\u003Cbr\u003E Рекомендуется следующий режим дозирования: 1 ингаляционная доза (20 мкг) 3 раза в день."},{"name":"Побочные действия","value":"Многие из перечисленных нежелательных эффектов могут быть следствием антихолинергических свойств препарата Ипратропия бромид.\u003Cbr\u003E Ипратропия бромид, как и любая ингаляционная терапия, может вызывать местное раздражение.\u003Cbr\u003E Неблагоприятные реакции препарата определялись на основании данных, полученных в клинических исследованиях и в ходе фармакологического надзора за применением ипратропия бромида после его регистрации.\u003Cbr\u003E\nСамыми частыми побочными эффектами, о которых сообщалось в клинических исследованиях, были головная боль, раздражение глотки, кашель, сухость во рту, нарушения моторики желудочно-кишечного тракта (включая запор, диарею и рвоту), тошнота и головокружение.\u003Cbr\u003E\nЧастота побочных реакций, которые могут возникать во время терапии, приведена в виде следующей градации: очень часто (≥1/10); часто (≥1/100, \u003C1/10); нечасто (≥1/1 000, \u003C1/100); редко (≥1/10 000, \u003C1/1 000); очень редко (\u003C1/10 000), частота неизвестна (частота не может быть оценена по доступным данным).\u003Cbr\u003E\nНарушения со стороны иммунной системы\nНечасто: гиперчувствительность, анафилактическая реакция.\u003Cbr\u003E\nНарушения со стороны нервной системы\nЧасто: головная боль, головокружение.\u003Cbr\u003E\nНарушения со стороны органа зрения\nНечасто: нечеткое зрение, мидриаз, увеличение внутриглазного давления, глаукома, боль в глазах, появление ореола вокруг предметов, гиперемия конъюнктивы, отек роговицы.\u003Cbr\u003E\nРедко: нарушения аккомодации.\nНарушения со стороны сердечно-сосудистой системы\nНечасто: ощущение сердцебиения, наджелудочковая тахикардия.\nРедко: фибрилляция предсердий, увеличение частоты сердечных сокращений.\nНарушения со стороны органов дыхания, грудной клетки и средостения\nЧасто: раздражение глотки, кашель.\nНечасто: бронхоспазм, парадоксальный бронхоспазм, ларингоспазм, отек глотки, сухость глотки.\nНарушения со стороны желудочно-кишечного тракта\nЧасто: сухость во рту, тошнота, нарушение вкуса, нарушения моторики желудочно-кишечного тракта.\nНечасто: диарея, запор, рвота, стоматит, отек полости рта, боль в животе.\nНарушения со стороны кожи и подкожных тканей\nНечасто: сыпь, зуд, ангионевротический отек.\nРедко: крапивница.\nНарушения со стороны почек и мочевыводящих путей\nНечасто: задержка мочи."},{"name":"Фармакологическое действие","value":"Бронходилатирующее средство. Блокирует м-холинорецепторы гладкой мускулатуры трахеобронхиального дерева и подавляет рефлекторную бронхоконстрикцию.\u003Cbr\u003E Имея структурное сходство с молекулой ацетилхолина, является его конкурентным антагонистом.\u003Cbr\u003E Антихолинергические средства предотвращают увеличение внутриклеточной концентрации ионов кальция, что происходит вследствие взаимодействия ацетилхолина с мускариновыми рецепторами, расположенными в гладких мышцах бронхов.\u003Cbr\u003E Высвобождение ионов кальция происходит с помощью вторичных посредников (медиаторов), в число которых входит ИТФ (инозитола трифосфат) и ДАГ (диацилглицерол).\u003Cbr\u003E Эффективно предупреждает сужение бронхов, возникающее в результате вдыхания сигаретного дыма, холодного воздуха, действия различных бронхоспазмирующих веществ, а также устраняет спазм бронхов, связанный с влиянием блуждающего нерва.\u003Cbr\u003E При ингаляционном применении практически не оказывает резорбтивного действия.\u003Cbr\u003E Бронходилатация, возникающая после ингаляции препарата Ипратропия бромид, является, главным образом, следствием местного и специфичного воздействия препарата на легкие, а не результатом его системного влияния.\u003Cbr\u003E Ипратропия бромид не оказывает отрицательного влияния на секрецию слизи в дыхательных путях, мукоцилиарный клиренс и газообмен.\u003Cbr\u003E\nВ контролируемых 85-90-дневных исследованиях, проводившихся у пациентов с бронхоспазмом, обусловленным хронической обструктивной болезнью легких, хроническим бронхитом и эмфиземой легких, существенное улучшение функции легких наблюдалось в течение 15 минут, достигало максимума через 1-2 часа и сохранялось до 4-6 часов.\u003Cbr\u003E\nУ пациентов с бронхиальной астмой значительное улучшение функции внешнего дыхания отмечается у 51% пациентов."},{"name":"Фармакологическая группа","value":"м-холиноблокатор"},{"name":"Форма выпуска","value":"аэрозоль"},{"name":"Способ применения/введения","value":"ингалятивный"},{"name":"Минимальный возраст применения","value":"от 6 лет"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"При температуре не выше 25 °С, вдали от нагревательных приборов.\u003Cbr\u003E Не замораживать.\u003Cbr\u003E Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"Симптомы: специфических симптомов передозировки не выявлено.\u003Cbr\u003E Учитывая широту терапевтического действия и местный способ применения препарата, проявление каких- либо серьёзных антихолинергических симптомов маловероятно. \u003Cbr\u003EВозможны незначительные проявления системного антихолинергического действия, такие как сухость во рту, нарушения зрения, повышение частоты сердечных сокращений.\u003Cbr\u003E\nЛечение: симптоматическая терапия."},{"name":"Применение при беременности и кормлении грудью","value":"Безопасность применения препарата во время беременности у человека не установлена.\u003Cbr\u003E При назначении препарата во время возможной или подтвержденной беременности следует учитывать соотношение предполагаемой пользы от назначения препарата для матери и возможного риска для плода.\u003Cbr\u003E\nПрименение препарата Ипратропия бромид противопоказано в I триместре беременности.\u003Cbr\u003E Назначение препарата во II и III триместрах беременности возможно только в том случае, если потенциальная польза для матери превышает возможный риск для плода.\u003Cbr\u003E В доклинических исследованиях не было обнаружено эмбриотоксических или тератогенных влияний препарата после его ингаляционного применения в дозах, значительно превышающих дозы, рекомендуемые у человека.\u003Cbr\u003E\nНеизвестно, экскретируется ли ипратропия бромид в грудное молоко.\u003Cbr\u003E Однако маловероятно, что ипратропия бромид, особенно когда он применяется путем ингаляций, может поступать с молоком в организм ребенка в существенных количествах.\u003Cbr\u003E Но во время применения препарата кормящим грудью матерям следует соблюдать осторожность."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Исследования по изучения влияния препарата на способность управлять транспортными средствами и механизмами не проводились.\u003Cbr\u003E Следует соблюдать осторожность при выполнении данных видов деятельности, так как возможно развитие головокружения, тремора, нарушения аккомодации глаз, мидриаза и нечеткого зрения.\u003Cbr\u003E При возникновении указанных выше нежелательных ощущений следует воздержаться от таких потенциально опасных действий, как управление транспортными средствами и механизмами."},{"name":"Особые указания","value":"Гиперчувствительность\nПосле применения препарата Ипратропия бромид могут возникать реакции немедленной гиперчувствительности, на что указывают редкие случаи сыпи, крапивницы, ангионевротического отека, отека ротоглотки, бронхоспазма и анафилаксии.\u003Cbr\u003E\nПарадоксальный бронхоспазм\nИпратропия бромид, как и другие ингаляционные лекарственные препараты, способен вызывать парадоксальный бронхоспазм, который может угрожать жизни.\u003Cbr\u003EВ случае возникновения парадоксального бронхоспазма применение препарата Ипратропия бромид следует немедленно прекратить и назначить альтернативную терапию.\u003Cbr\u003E\nОсложнения со стороны глаз\nПрепарат Ипратропия бромид у пациентов, предрасположенных к развитию остроугольной глаукомы, должен использоваться с осторожностью.\u003Cbr\u003E\nИзвестны отдельные сообщения об осложнениях со стороны глаз (в том числе, о развитии мидриаза, увеличении внутриглазного давления, развитии остроугольной глаукомы, болей в глазах) в тех случаях, когда ингалируемый ипратропия бромид (применявшийся изолированно или в комбинации с агонистом β2-адренорецепторов) попадал в глаза.\u003Cbr\u003E Симптомами острой остроугольной глаукомы могут быть боль или дискомфорт в глазах, нечеткое зрение, появление ореола у предметов и цветных пятен перед глазами в сочетании с покраснением глаз вследствие инъекции сосудов конъюнктивы и отеком роговицы.\u003Cbr\u003E Если развивается любая комбинация этих симптомов, показано применение глазных капель, снижающих внутриглазное давление, и немедленная консультация специалиста.\u003Cbr\u003E\nСледует соблюдать осторожность в целях предотвращения попадания аэрозоля в глаза.\u003Cbr\u003E Поскольку аэрозоль выделяется из баллончика только при нажатии на него и поступает из мундштука в полость рта, риск его попадания в глаза невелик.\u003Cbr\u003E\nВлияния на функцию почек и мочевыделение\nПрепарат должен использоваться с осторожностью у пациентов с имеющейся обструкцией мочевыводящих путей (например, при гиперплазии предстательной железы или обструкции шейки мочевого пузыря).\u003Cbr\u003E\nНарушения моторики желудочно-кишечного тракта\nПациенты с муковисцидозом могут быть предрасположены к нарушениям моторики желудочно-кишечного тракта.\u003Cbr\u003E\nСледует учитывать, что препарат содержит небольшое количество этанола (9,750 мг в одной дозе).\u003Cbr\u003E\nЕсли ингаляции недостаточно эффективны или произошло ухудшение состояния, следует обратиться к врачу для изменения плана лечения.\u003Cbr\u003E В случае внезапного возникновения и быстрого прогрессирования одышки также следует немедленно обратиться к врачу."},{"name":"Взаимодействие","value":"Длительное совместное применение ингаляций препарата Ипратропия бромид с другими антихолинергическими препаратами не изучалось.\u003Cbr\u003E Поэтому длительное совместное применение препарата Ипратропия бромид с другими антихолинергическими препаратами не рекомендуется.\u003Cbr\u003E\nβ-адренергические средства и ксантиновые производные могут усиливать бронхорасширяющий эффект препарата Ипратропия бромид.\u003Cbr\u003E\nАнтихолинергический эффект усиливается противопаркинсоническими средствами, хинидином, трициклическими антидепрессантами."},{"name":"Регистрационный номер","value":"ЛП-008612"},{"name":"Дата государственной регистрации","value":"12.10.2022"},{"name":"Владелец регистрационного удостоверения","value":"Кировская фармацевтическая фабрика"},{"name":"Изготовитель","value":"\"Кировская фармацевтическая фабрика\""},{"name":"Фасовщик","value":"Кировская фармацевтическая фабрика"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Срок годности","value":"1 г."}]}],"transitionId":"tr_10203356522611363585"}}}}
Внешний вид товаров и/или упаковки может быть изменён изготовителем и отличаться от изображенных на Яндекс Маркете.
Есть противопоказания, посоветуйтесь с врачом. Отпускается по рецепту врача. Приобретение лекарственных препаратов осуществляется только в торговом зале аптеки

Где купить

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271 ₽

  • Сегодня, самовывоз • 0 ₽
ЕАПТЕКА
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    на основе 3 оценки
    Цена 404 ₽
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  • Сальбутамол-мхфп аэрозоль д/инг. дозир., 100 мкг/доза
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    Сальбутамол-мхфп аэрозоль д/инг. дозир., 100 мкг/доза

    Рейтинг товара: 4.8 из 5
    на основе 16 оценок
    Цена 142 ₽
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  • Респирафен р-р д/инг., 20 мл
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-wdt41rq3q6/toggleWishlist":{"skuId":"101823375729","productId":1770561699,"offerId":"uOR1ENaZYSyb61-tD-B2uA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ0LztmKW7pbAbEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcIo8GizAYQ8dKVqfsCGIaInA4g4dzBBw==","sign":"vTr3LmiW/9yhfx/Eosrt1pEdETHFNQstpHHKZHP59uc="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-wdt41rq3q6/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Респирафен р-р д/инг., 20 мл

    Рейтинг товара: 4.7 из 5
    на основе 3 оценки
    Цена 293 ₽
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  • Ипратерол аэрозоль д/инг. дозир. доз, 20 мкг/доза+50 мкг/доза, 100 г, 1 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-bpg297es9ip/toggleWishlist":{"skuId":"265181419","productId":1778174506,"offerId":"UHo_4GAcnZ0qJ_0iM-DneA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ0LztmKW7pbAbEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIqpTzzwYQ67G5fhiPvN4HIOHcwQc=","sign":"MjC5rbuX65+82Y+LTHdLqnVg/wY9Ecc07xCSzNiDEpI="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-bpg297es9ip/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Ипратерол аэрозоль д/инг. дозир. доз, 20 мкг/доза+50 мкг/доза, 100 г, 1 шт.

    Рейтинг товара: 5 из 5
    на основе 3 оценки
    Цена 514 ₽
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  • Эуфиллин таб., 150 мг, 30 шт.
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    Эуфиллин таб., 150 мг, 30 шт.

    Цена 29 ₽
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  • Тримбоу аэр. д/инг. доз., 120 шт.
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    Тримбоу аэр. д/инг. доз., 120 шт.

    Рейтинг товара: 4.8 из 5
    на основе 5 оценок
    Цена 4 506 ₽
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  • Ипратерол р-р д/инг., 0.25 мг+0.5 мг/мл, 20 мл
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    Ипратерол р-р д/инг., 0.25 мг+0.5 мг/мл, 20 мл

    Рейтинг товара: 5 из 5
    на основе 1 оценка
    Цена 287 ₽
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  • Беклоспир аэрозоль д/инг. дозир., 100 мкг/доза, 200 шт.
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    Беклоспир аэрозоль д/инг. дозир., 100 мкг/доза, 200 шт.

    Рейтинг товара: 5 из 5
    на основе 4 оценки
    Цена 360 ₽
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  • Респирафен Эйр аэр. д/инг. дозир., 20 мкг/доза+50 мкг/доза
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    Респирафен Эйр аэр. д/инг. дозир., 20 мкг/доза+50 мкг/доза

    Рейтинг товара: 4.7 из 5
    на основе 3 оценки
    Цена 522 ₽
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  • Инспиракс аэрозоль д/инг. дозир., 20 мкг+50 мкг/доза
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    Инспиракс аэрозоль д/инг. дозир., 20 мкг+50 мкг/доза

    Рейтинг товара: 5 из 5
    на основе 1 оценка
    Цена 481 ₽
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  • Сальбутамол-мхфп аэрозоль д/инг. дозир., 100 мкг/доза, 200 шт.
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    Сальбутамол-мхфп аэрозоль д/инг. дозир., 100 мкг/доза, 200 шт.

    Рейтинг товара: 4.9 из 5
    на основе 13 оценок
    Цена 159 ₽
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Инструкция

Показания к применению

Хроническая обструктивная болезнь легких, хронический бронхит, эмфизема легких, бронхиальная астма, особенно с сопутствующими заболеваниями сердечно-сосудистой системы.

Противопоказания

Повышенная чувствительность к атропину и его производным; повышенная чувствительность к ипратропия бромиду или к другим компонентам препарата; беременность (I триместр).

Способ применения и дозы

Ингаляционно.
Дозирование должно осуществляться индивидуально.
Во время лечения пациенты должны находиться под медицинским наблюдением.
Не следует превышать рекомендуемую суточную дозу как во время неотложной, так и поддерживающей терапии.
Если лечение не приводит к существенному улучшению или состояние пациента ухудшается, необходима консультация врача для выработки нового плана терапии.
В случае неожиданного или быстрого усиления одышки (затруднений дыхания) необходимо немедленно проконсультироваться с врачом.
Рекомендуются следующие дозы Взрослые и дети старше 6 лет:
2 ингаляционные дозы (40 мкг) 4 раза в день.
Так как потребность в увеличении доз указывает на возможную необходимость применения дополнительных методов лечения, как правило, не следует применять в течение суток более 12 ингаляционных доз.
Для лечения внезапных обострений хронической обструктивной болезни легких может быть показан раствор ипратропия бромида для ингаляций.
У детей препарат Ипратропия бромид должен применяться только после консультации врача и под наблюдением взрослых (вследствие недостаточной информации).
Дети младше 6 лет - учитывая, что данных по применению препарата в данной возрастной группе недостаточно, ингаляции препарата следует применять только по назначению врача.
Рекомендуется следующий режим дозирования: 1 ингаляционная доза (20 мкг) 3 раза в день.
Полная инструкция
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Ипратропия бромид аэр. д/инг.
Ипратропия бромид аэр. д/инг., 20 мкг/доза
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Задать вопрос
Инструкция

271 ₽

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