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Сонапакс таб. п/о, 10 мг, 60 шт.

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5.0
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Дозировка: 10 мг

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Коротко о товаре

Артикул Маркета
4453145146
Тип препарата
Назначение
Действующее вещество
Возраст
от 4 лет
Инструкция
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Неврозы, сопровождающиеся страхом, тревогой, психомоторным возбуждением, психоэмоциональным напряжением, нарушением сна, навязчивыми состояниями, депрессивными расстройствами; абстинентный синдром (токсикомания, алкоголизм).\u003Cbr\u003EВ детской психиатрии применяют при нарушениях поведения с повышенной психомоторной активностью."},{"name":"Противопоказания","value":"Выраженные депрессивные состояния, коматозные состояния, выраженное угнетение ЦНС, заболевания крови в анамнезе, детский возраст до 4 лет, синдром удлиненного интервала QT, одновременный прием с лекарственными средствами, удлиняющими интервал QT, аритмии в анамнезе; печеночная недостаточность, повышенная чувствительность к тиоридазину и другим производным фенотиазина, врожденная низкая активность изофермента CYP2D6. Дефицит лактазы или сахаразы/изомальтазы, непереносимость фруктозы или лактозы, глюкозо-галактозная мальабсорбция."},{"name":"Состав","value":"Таблетки, покрытые оболочкой 10 мг Состав ядра таблеток:\u003Cbr\u003EДействующее вещество: тиоридазина гидрохлорид 10 мг\u003Cbr\u003EВспомогательные вещества: крахмал кукурузный - 8,0 мг, кремния диоксид коллоидный- 1,5 мг, лактозы моногидрат - 26,4 мг, желатин - 0,1 мг, стеариновая кислота - 1,0 мг, тальк - 3,0 мг.\u003Cbr\u003EСостав оболочки: сахароза - 35,799 мг, акации камедь - 0,50 мг, тальк - 13,70 мг, краситель пунцовый [Понсо 4R] - 0,001 мг.\u003Cbr\u003EТаблетки, покрытые оболочкой 25 мг\u003Cbr\u003EСостав ядра таблеток: /\u003Cbr\u003EДействующее вещество: тиоридазина гидрохлорид 25 мг\u003Cbr\u003EВспомогательные вещества: крахмал картофельный - 46,5 мг, сахароза - 60,0 мг, желатин - 0,5 мг, магния стеарат - 2,0 мг, тальк - 6,0 мг.\u003Cbr\u003EСостав оболочки: сахароза - 85,668, акации камедь - 3,40 мг, тальк - 30,80, краситель хинолиновый желтый - 0,132 мг."},{"name":"Действующее вещество","value":"Тиоридазин","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-nervnoi-sistemy","categoryId":"15756525","navnodeId":"72478","glfilters":["27144131:28708453"]}}},{"name":"Способ применения и дозы","value":"Внутрь. Режим дозирования подбирается индивидуально с учетом тяжести заболевания.\u003Cbr\u003EПри шизофрении взрослым начинают с 50-100 мг 3 раза в сутки с постепенным повышением до максимальных 800 мг/сут (при необходимости). После достижения эффекта доза может быть снижена до минимальной поддерживающей. Общая суточная доза колеблется в пределах 200-800 мг/сут в 2-4 приема. Детям начинают с 0,5 мг/кг/сут в несколько приемов. При необходимости дозу повышают (максимальная суточная доза-3 мг/кг/сут).\u003Cbr\u003EПсихотические расстройства, сопровождающиеся гиперреактивностью и возбуждением; тяжелые нарушения поведения, связанные с агрессивностью, неспособностью к длительной концентрации внимания; психомоторное возбуждение различного генеза: в амбулаторных условиях - 150-400 мг в сутки; в стационаре - 250-800 мг в сутки. Лечение обычно начинают с низких доз, 25-75 мг в сутки, постепенно увеличивая до оптимальной терапевтической дозы, которая достигается в течение 7 дней, а антипсихотический эффект отмечается спустя 10-14 дней. Курс лечения составляет несколько недель. Поддерживающая суточная доза: 75-200 мг однократно перед сном.\u003Cbr\u003EПри лечении лиц пожилого возраста применяют обычно низкие дозы: 30-100 мг в сутки. Препарат следует отменять постепенно.\u003Cbr\u003EНеврозы, абстинентный синдром (токсикомания, алкоголизм)\u003Cbr\u003EПри неврозах с легкими когнитивными и эмоциональными нарушениями - 30-75 мг в сутки, при неэффективности дозу постепенно повышают до 50-200 мг в сутки. При неврозах с соматическим компонентом - 10-75 мг в сутки. Начинать лечение с низких доз, постепенно повышая их до оптимальной терапевтической дозы. При абстинентном синдроме, в зависимости от степени тяжести состояния от 10-75 мг/сут до 150-400 мг/сут. При нарушениях поведения с повышенной психомоторной активностью у детей:\u003Cbr\u003E4-7 лет по 10-20 мг в сутки. Кратность приема - 2-3 раза в сутки.\u003Cbr\u003E8-14 лет по 20-30 мг в сутки. Кратность приема - 3 раза в сутки.\u003Cbr\u003E15-18 лет по 30-50 мг в сутки. Кратность приема - 3 раза в сутки."},{"name":"Побочные действия","value":"Со стороны ЦHC:\u003Cbr\u003EСпутанность сознания, поздние дискинезии, ажитация, возбуждение, бессонница, экстрапирамидные и дистонические расстройства, паркинсонизм, эмоциональные нарушения, нарушения терморегуляции, снижение судорожного порога, обморок, злокачественный нейролептический синдром.\u003Cbr\u003EСо стороны желудочно-кишечного тракта:\u003Cbr\u003EГипосаливация, анорексия, повышенный аппетит, диспепсия, тошнота, рвота, диарея, паралитическая кишечная непроходимость, гипертрофия сосочков языка,\u003Cbr\u003Eхолестатический гепатит.\u003Cbr\u003EСо стороны сеудечно-сосудистой системы:\u003Cbr\u003EСнижение артериального давления, тахикардия, изменение ЭКГ, в том числе, дозозависимое удлинение интервала QT, пируэтная тахикардия.\u003Cbr\u003EСо стороны системы кроветворения:\u003Cbr\u003EАгранулоцитоз, лейкопения, гранулоцитопения, эозинофилия, тромбоцитопения, апластическая анемия, панцитопения.\u003Cbr\u003EАллергические пеакиии\u003Cbr\u003EКожные аллергические реакции, эритема, сыпь, эксфолиативный дерматит, ангионевротический отек, бронхоспастический синдром, заложенность носа, фотофобия. Со стороны мочеполовой системы:\u003Cbr\u003EСнижение либидо, нарушение эякуляции, дисменорея, гиперпролактинемия, гинекомастия, парадоксальная ишурия, дизурия, приапизм.\u003Cbr\u003EСо стороны эндокринной системы: ложноположительные тесты на беременность, увеличение массы тела.\u003Cbr\u003EСо стороны органов чувств:\u003Cbr\u003EНарушения зрения, фотофобия.\u003Cbr\u003EПрочие:\u003Cbr\u003EМеланоз кожи (при длительном применении в высоких дозах)."},{"name":"Фармакологическое действие","value":"Тиоридазин является пиперидиновым производным фенотиазина, оказывающим влияние на центральную и периферическую нервную систему. Оказывает антипсихотическое, транквилизирующее, антидепрессивное, противозудное и противорвотное действие. Механизм антипсихотического действия обусловлен блокадой постсинаптических дофаминовых рецепторов в мезолимбических структурах головного мозга. Центральное противорвотное действие обусловлено угнетением или блокадой дофаминовых D2- рецепторов в хеморецепторной триггерной зоне ствола головного мозга, периферическое - блокадой блуждающего нерва в желудочно-кишечном тракте (ЖКТ). Также обладает а-адреноблокирующим и м-холиноблокирующим действием. Блокада Hi-гистаминовых и м-холинорецепторов наиболее выражена среди всех нейролептиков. В малых дозах оказывает анксиолитическое действие, снижает чувство напряженности и тревоги, в более высоких дозах проявляет антипсихотические (нейролептические) свойства. Увеличивает выделение гипофизом пролактина. ,\u003Cbr\u003EТиоридазин дозозависимо удлиняет интервал QTc, что может привести к тяжелым жизнеугрожающим желудочковым аритмиям, включая \"пируэтную\" тахикардию."},{"name":"Фармакологическая группа","value":"нейролептики"},{"name":"Форма выпуска","value":"таблетки"},{"name":"Способ применения/введения","value":"пероральный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-nervnoi-sistemy","categoryId":"15756525","navnodeId":"72478","glfilters":["35947170:36763744"]}}},{"name":"Минимальный возраст применения","value":"от 4 лет"},{"name":"Условия хранения","value":"Хранить в сухом месте при температуре не выше 25 °С. Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"Симптомы:\u003Cbr\u003EСо стороны сердечно-сосудистой системы: аритмии, снижение артериального давления (АД), шок, изменения на ЭКГ, удлинение интервалов QT и PR, неспецифические изменения сегмента ST и зубца Т, брадикардия, синусовая стенокардия,\u003Cbr\u003Eатриовентрикулярная блокада, желудочковая тахикардия, фибрилляция желудочков, \"пируэтная\" тахикардия, угнетение функции миокарда.\u003Cbr\u003EСо стороны центральной нервной системы: седативный эффект, экстрапирамидные расстройства, спутанность сознания, ажитация, гипотермия, гипертермия, судороги, арефлексия, кома.\u003Cbr\u003EСо стороны вегетативной нервной системы: мидриаз, миоз, сухость кожи и , слизистой оболочки полости рта, заложенность носа, задержка мочи, нечеткость зрения.\u003Cbr\u003EСо стороны дыхательной системы: угнетение дыхания, апноэ, отек легких.\u003Cbr\u003EСо стороны пищеварительной системы: снижение моторики, запор, кишечная\u003Cbr\u003Eнепроходимость.\u003Cbr\u003EСо стороны мочевыделительной системы: олигурия, уремия.\u003Cbr\u003EТоксичность начинает проявляться при концентрации тиоридазина в плазме более 10 мг/л, при концентрации 20-80 мг/л наступает смерть.\u003Cbr\u003EЛечение:\u003Cbr\u003EНеобходимо обеспечить проходимость дыхательных путей и наладить адекватную оксигенацию и легочную вентиляцию. Немедленно начать длительный мониторинг сердечно-сосудистой деятельности (ЭКГ). Лечение заключается в коррекции электролитных нарушений и кислотно-щелочного баланса, введении лидокаина (рекомендуется соблюдать осторожность вследствие повышенного риска возникновения судорог), фенитоина, изопротеренола, вплоть до установки искусственных водителей ритма и дефибрилляции. Ввиду возможного дополнительного удлинения интервала QT следует избегать применения дизопирамида, прокаинамида и хинидина.\u003Cbr\u003EКоррекция сниженного АД может потребовать введения инфузионных растворов и вазопрессоров. При устойчиво низком АД показано введение фенилэфрина, норэпинефрина или метараминола. а-адреноблокирующее свойства производных фенотиазина не позволяют применять неселективные а- и p-адреномиметики (эпинефрин, допамин) - риск парадоксальной вазодилатации.\u003Cbr\u003EДля удаления неабсорбированной дозы препарата рекомендуется проводить промывание желудка с применением активированного угля. Индукция рвоты менее предпочтительна ввиду риска дистонии и потенциальной аспирации рвотных масс.\u003Cbr\u003EОстрые экстрапирамидные расстройства купируют дифенгидрамином или тригексифенидилом.\u003Cbr\u003EПри купировании судорог следует избегать введения барбитуратов (риск усугубления угнетения дыхания).\u003Cbr\u003EЗа счет высокого объема распределения и сильного связывания с белками плазмы форсированный диурез, гемоперфузия, гемодиализ и изменение pH мочи, скорее всего, не влияют на выведение производных фенотиазина из организма."},{"name":"Применение при беременности и кормлении грудью","value":"При беременности применение препарата возможно только в том случае, если ожидаемая польза для матери превышает потенциальный риск для плода. Адекватные и хорошо контролируемые исследования безопасности препарата при беременности не проводилось. При необходимости назначения препарата в период лактации грудное вскармливание следует прекратить."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Препарат ослабляет двигательную координацию и снижает скорость психомоторных реакций, особенно в начале лечения, поэтому в период лечения препаратом следует воздержаться от управления транспортных средств и обслуживания движущихся механизмов."},{"name":"Особые указания","value":"В период лечения необходимо осуществлять контроль морфологического состава крови; воздерживаться от употребления этанола."},{"name":"Взаимодействие","value":"Синергизм действия с общими анестетиками, наркотическими анальгетиками, барбитуратами, этанолом, атропином.\u003Cbr\u003EУсиливает гепатотоксическое действие гипогликемических средств.\u003Cbr\u003EС амфетамином - действует антагонистически.\u003Cbr\u003EС леводопой - уменьшает противопаркинсоническое действие.\u003Cbr\u003EПрименение с эпинефрином - может привести к внезапному и выраженному снижению АД. .\u003Cbr\u003EС гуанетидином - уменьшает антигипертензивное действие последнего, но усиливает\u003Cbr\u003Eдействие других антигипертензивных средств, что увеличивает риск появления значительной ортостатической гипотензии.\u003Cbr\u003EУменьшает действие антикоагулянтов.\u003Cbr\u003EДействие тиоридазина могут ослаблять противосудорожные препараты, циметидин. Хинидин - потенцирует кардиодепрессивное действие.\u003Cbr\u003EЭфедрин - способствует парадоксальному снижению АД.\u003Cbr\u003EСимпатомиметики - усиливают аритмогенное действие.\u003Cbr\u003EПробукол, астемизол, цизаприд, дизопирамид, эритромицин, пимозид, прокаинамид и хинидин способствуют дополнительному удлинению интервала QT, что увеличивает риск развития желудочковой тахикардии.\u003Cbr\u003EАнтитиреоидные препараты увеличивают риск развития агранулоцитоза.\u003Cbr\u003EУменьшает эффект средств, понижающих аппетит (за исключением фенфлурамина). Снижает эффективность рвотного действия апоморфина, усиливает его угнетающее действие на ЦНС.\u003Cbr\u003EПовышает концентрацию в плазме пролактина и препятствует действию бромокриптина. При одновременном применении с трициклическими антидепрессантами, мапротилином, ингибиторами МАО, блокаторами Hi-гистаминовых рецепторов возможно удлинение и усиление седативного и м-холиноблокирующего эффектов.\u003Cbr\u003EС тиазидными диуретиками - усиление гипонатриемии.\u003Cbr\u003EС препаратами лития - снижение всасывания в ЖКТ, увеличение скорости выведения ионов лития почками, усиление выраженности экстрапирамидных нарушений, ранние признаки интоксикации литием (тошнота и рвота) могут маскироваться противорвотным эффектом тиоридазина.\u003Cbr\u003EВ комбинации с бета-адреноблокаторами способствует усилению гипотензивного эффекта, повышается риск развития необратимой ретинопатии, аритмий и поздней дискинезии. Взаимодействие с лекарственными средствами, удлиняющими интервал QT (цизаприд), и ингибиторами изофермента CYP2D6 (флуоксетин, пароксетин), может способствовать возникновению аритмий, в том числе, пируэтной тахикардии.\u003Cbr\u003EПри взаимодействии с флувоксамином. пропранололом. пиндололом, может повышаться содержание тиоридазина в плазме крови, что увеличивает риск возникновения аритмий."},{"name":"Регистрационный номер","value":"П N015031/01"},{"name":"Дата государственной регистрации","value":"02.04.2020"},{"name":"Владелец регистрационного удостоверения","value":"Bausch Health","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-nervnoi-sistemy","categoryId":"15756525","navnodeId":"72478","glfilters":["34324371:35649313","7893318:35809850"]}}},{"name":"Страна-производитель","value":"Польша"},{"name":"Название препарата","value":"Сонапакс","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-nervnoi-sistemy","categoryId":"15756525","navnodeId":"72478","glfilters":["17796364:18021062"]}}},{"name":"Срок годности","value":"48 мес."}]}},"fullSpecsGrouped":{"16254732230100933446":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Органы и системы","value":"нервная система"},{"name":"Назначение","value":"депрессия, лечение и профилактика обострений шизофрении, нарушение сна, невроз, синдром алкогольной абстиненции, тревожные расстройства при невротических и неврозоподобных состояниях"},{"name":"Показания к применению","value":"Шизофрения (в качестве' препарата второй линии терапии у пациентов, которым противопоказаны другие препараты, или отсутствует лечебный эффект при приеме других лекарственных средств).\u003Cbr\u003EПсихотические расстройства, сопровождающиеся гиперреактивностью и возбуждением; тяжелые нарушения поведения, связанные с агрессивностью, неспособностью к длительной концентрации внимания; психомоторное возбуждение различного генеза. Неврозы, сопровождающиеся страхом, тревогой, психомоторным возбуждением, психоэмоциональным напряжением, нарушением сна, навязчивыми состояниями, депрессивными расстройствами; абстинентный синдром (токсикомания, алкоголизм).\u003Cbr\u003EВ детской психиатрии применяют при нарушениях поведения с повышенной психомоторной активностью."},{"name":"Противопоказания","value":"Выраженные депрессивные состояния, коматозные состояния, выраженное угнетение ЦНС, заболевания крови в анамнезе, детский возраст до 4 лет, синдром удлиненного интервала QT, одновременный прием с лекарственными средствами, удлиняющими интервал QT, аритмии в анамнезе; печеночная недостаточность, повышенная чувствительность к тиоридазину и другим производным фенотиазина, врожденная низкая активность изофермента CYP2D6. Дефицит лактазы или сахаразы/изомальтазы, непереносимость фруктозы или лактозы, глюкозо-галактозная мальабсорбция."},{"name":"Состав","value":"Таблетки, покрытые оболочкой 10 мг Состав ядра таблеток:\u003Cbr\u003EДействующее вещество: тиоридазина гидрохлорид 10 мг\u003Cbr\u003EВспомогательные вещества: крахмал кукурузный - 8,0 мг, кремния диоксид коллоидный- 1,5 мг, лактозы моногидрат - 26,4 мг, желатин - 0,1 мг, стеариновая кислота - 1,0 мг, тальк - 3,0 мг.\u003Cbr\u003EСостав оболочки: сахароза - 35,799 мг, акации камедь - 0,50 мг, тальк - 13,70 мг, краситель пунцовый [Понсо 4R] - 0,001 мг.\u003Cbr\u003EТаблетки, покрытые оболочкой 25 мг\u003Cbr\u003EСостав ядра таблеток: /\u003Cbr\u003EДействующее вещество: тиоридазина гидрохлорид 25 мг\u003Cbr\u003EВспомогательные вещества: крахмал картофельный - 46,5 мг, сахароза - 60,0 мг, желатин - 0,5 мг, магния стеарат - 2,0 мг, тальк - 6,0 мг.\u003Cbr\u003EСостав оболочки: сахароза - 85,668, акации камедь - 3,40 мг, тальк - 30,80, краситель хинолиновый желтый - 0,132 мг."},{"name":"Действующее вещество","value":"Тиоридазин"},{"name":"Способ применения и дозы","value":"Внутрь. Режим дозирования подбирается индивидуально с учетом тяжести заболевания.\u003Cbr\u003EПри шизофрении взрослым начинают с 50-100 мг 3 раза в сутки с постепенным повышением до максимальных 800 мг/сут (при необходимости). После достижения эффекта доза может быть снижена до минимальной поддерживающей. Общая суточная доза колеблется в пределах 200-800 мг/сут в 2-4 приема. Детям начинают с 0,5 мг/кг/сут в несколько приемов. При необходимости дозу повышают (максимальная суточная доза-3 мг/кг/сут).\u003Cbr\u003EПсихотические расстройства, сопровождающиеся гиперреактивностью и возбуждением; тяжелые нарушения поведения, связанные с агрессивностью, неспособностью к длительной концентрации внимания; психомоторное возбуждение различного генеза: в амбулаторных условиях - 150-400 мг в сутки; в стационаре - 250-800 мг в сутки. Лечение обычно начинают с низких доз, 25-75 мг в сутки, постепенно увеличивая до оптимальной терапевтической дозы, которая достигается в течение 7 дней, а антипсихотический эффект отмечается спустя 10-14 дней. Курс лечения составляет несколько недель. Поддерживающая суточная доза: 75-200 мг однократно перед сном.\u003Cbr\u003EПри лечении лиц пожилого возраста применяют обычно низкие дозы: 30-100 мг в сутки. Препарат следует отменять постепенно.\u003Cbr\u003EНеврозы, абстинентный синдром (токсикомания, алкоголизм)\u003Cbr\u003EПри неврозах с легкими когнитивными и эмоциональными нарушениями - 30-75 мг в сутки, при неэффективности дозу постепенно повышают до 50-200 мг в сутки. При неврозах с соматическим компонентом - 10-75 мг в сутки. Начинать лечение с низких доз, постепенно повышая их до оптимальной терапевтической дозы. При абстинентном синдроме, в зависимости от степени тяжести состояния от 10-75 мг/сут до 150-400 мг/сут. При нарушениях поведения с повышенной психомоторной активностью у детей:\u003Cbr\u003E4-7 лет по 10-20 мг в сутки. Кратность приема - 2-3 раза в сутки.\u003Cbr\u003E8-14 лет по 20-30 мг в сутки. Кратность приема - 3 раза в сутки.\u003Cbr\u003E15-18 лет по 30-50 мг в сутки. Кратность приема - 3 раза в сутки."},{"name":"Побочные действия","value":"Со стороны ЦHC:\u003Cbr\u003EСпутанность сознания, поздние дискинезии, ажитация, возбуждение, бессонница, экстрапирамидные и дистонические расстройства, паркинсонизм, эмоциональные нарушения, нарушения терморегуляции, снижение судорожного порога, обморок, злокачественный нейролептический синдром.\u003Cbr\u003EСо стороны желудочно-кишечного тракта:\u003Cbr\u003EГипосаливация, анорексия, повышенный аппетит, диспепсия, тошнота, рвота, диарея, паралитическая кишечная непроходимость, гипертрофия сосочков языка,\u003Cbr\u003Eхолестатический гепатит.\u003Cbr\u003EСо стороны сеудечно-сосудистой системы:\u003Cbr\u003EСнижение артериального давления, тахикардия, изменение ЭКГ, в том числе, дозозависимое удлинение интервала QT, пируэтная тахикардия.\u003Cbr\u003EСо стороны системы кроветворения:\u003Cbr\u003EАгранулоцитоз, лейкопения, гранулоцитопения, эозинофилия, тромбоцитопения, апластическая анемия, панцитопения.\u003Cbr\u003EАллергические пеакиии\u003Cbr\u003EКожные аллергические реакции, эритема, сыпь, эксфолиативный дерматит, ангионевротический отек, бронхоспастический синдром, заложенность носа, фотофобия. Со стороны мочеполовой системы:\u003Cbr\u003EСнижение либидо, нарушение эякуляции, дисменорея, гиперпролактинемия, гинекомастия, парадоксальная ишурия, дизурия, приапизм.\u003Cbr\u003EСо стороны эндокринной системы: ложноположительные тесты на беременность, увеличение массы тела.\u003Cbr\u003EСо стороны органов чувств:\u003Cbr\u003EНарушения зрения, фотофобия.\u003Cbr\u003EПрочие:\u003Cbr\u003EМеланоз кожи (при длительном применении в высоких дозах)."},{"name":"Фармакологическое действие","value":"Тиоридазин является пиперидиновым производным фенотиазина, оказывающим влияние на центральную и периферическую нервную систему. Оказывает антипсихотическое, транквилизирующее, антидепрессивное, противозудное и противорвотное действие. Механизм антипсихотического действия обусловлен блокадой постсинаптических дофаминовых рецепторов в мезолимбических структурах головного мозга. Центральное противорвотное действие обусловлено угнетением или блокадой дофаминовых D2- рецепторов в хеморецепторной триггерной зоне ствола головного мозга, периферическое - блокадой блуждающего нерва в желудочно-кишечном тракте (ЖКТ). Также обладает а-адреноблокирующим и м-холиноблокирующим действием. Блокада Hi-гистаминовых и м-холинорецепторов наиболее выражена среди всех нейролептиков. В малых дозах оказывает анксиолитическое действие, снижает чувство напряженности и тревоги, в более высоких дозах проявляет антипсихотические (нейролептические) свойства. Увеличивает выделение гипофизом пролактина. ,\u003Cbr\u003EТиоридазин дозозависимо удлиняет интервал QTc, что может привести к тяжелым жизнеугрожающим желудочковым аритмиям, включая \"пируэтную\" тахикардию."},{"name":"Фармакологическая группа","value":"нейролептики"},{"name":"Форма выпуска","value":"таблетки"},{"name":"Способ применения/введения","value":"пероральный"},{"name":"Минимальный возраст применения","value":"от 4 лет"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"Хранить в сухом месте при температуре не выше 25 °С. Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"Симптомы:\u003Cbr\u003EСо стороны сердечно-сосудистой системы: аритмии, снижение артериального давления (АД), шок, изменения на ЭКГ, удлинение интервалов QT и PR, неспецифические изменения сегмента ST и зубца Т, брадикардия, синусовая стенокардия,\u003Cbr\u003Eатриовентрикулярная блокада, желудочковая тахикардия, фибрилляция желудочков, \"пируэтная\" тахикардия, угнетение функции миокарда.\u003Cbr\u003EСо стороны центральной нервной системы: седативный эффект, экстрапирамидные расстройства, спутанность сознания, ажитация, гипотермия, гипертермия, судороги, арефлексия, кома.\u003Cbr\u003EСо стороны вегетативной нервной системы: мидриаз, миоз, сухость кожи и , слизистой оболочки полости рта, заложенность носа, задержка мочи, нечеткость зрения.\u003Cbr\u003EСо стороны дыхательной системы: угнетение дыхания, апноэ, отек легких.\u003Cbr\u003EСо стороны пищеварительной системы: снижение моторики, запор, кишечная\u003Cbr\u003Eнепроходимость.\u003Cbr\u003EСо стороны мочевыделительной системы: олигурия, уремия.\u003Cbr\u003EТоксичность начинает проявляться при концентрации тиоридазина в плазме более 10 мг/л, при концентрации 20-80 мг/л наступает смерть.\u003Cbr\u003EЛечение:\u003Cbr\u003EНеобходимо обеспечить проходимость дыхательных путей и наладить адекватную оксигенацию и легочную вентиляцию. Немедленно начать длительный мониторинг сердечно-сосудистой деятельности (ЭКГ). Лечение заключается в коррекции электролитных нарушений и кислотно-щелочного баланса, введении лидокаина (рекомендуется соблюдать осторожность вследствие повышенного риска возникновения судорог), фенитоина, изопротеренола, вплоть до установки искусственных водителей ритма и дефибрилляции. Ввиду возможного дополнительного удлинения интервала QT следует избегать применения дизопирамида, прокаинамида и хинидина.\u003Cbr\u003EКоррекция сниженного АД может потребовать введения инфузионных растворов и вазопрессоров. При устойчиво низком АД показано введение фенилэфрина, норэпинефрина или метараминола. а-адреноблокирующее свойства производных фенотиазина не позволяют применять неселективные а- и p-адреномиметики (эпинефрин, допамин) - риск парадоксальной вазодилатации.\u003Cbr\u003EДля удаления неабсорбированной дозы препарата рекомендуется проводить промывание желудка с применением активированного угля. Индукция рвоты менее предпочтительна ввиду риска дистонии и потенциальной аспирации рвотных масс.\u003Cbr\u003EОстрые экстрапирамидные расстройства купируют дифенгидрамином или тригексифенидилом.\u003Cbr\u003EПри купировании судорог следует избегать введения барбитуратов (риск усугубления угнетения дыхания).\u003Cbr\u003EЗа счет высокого объема распределения и сильного связывания с белками плазмы форсированный диурез, гемоперфузия, гемодиализ и изменение pH мочи, скорее всего, не влияют на выведение производных фенотиазина из организма."},{"name":"Применение при беременности и кормлении грудью","value":"При беременности применение препарата возможно только в том случае, если ожидаемая польза для матери превышает потенциальный риск для плода. Адекватные и хорошо контролируемые исследования безопасности препарата при беременности не проводилось. При необходимости назначения препарата в период лактации грудное вскармливание следует прекратить."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Препарат ослабляет двигательную координацию и снижает скорость психомоторных реакций, особенно в начале лечения, поэтому в период лечения препаратом следует воздержаться от управления транспортных средств и обслуживания движущихся механизмов."},{"name":"Особые указания","value":"В период лечения необходимо осуществлять контроль морфологического состава крови; воздерживаться от употребления этанола."},{"name":"Взаимодействие","value":"Синергизм действия с общими анестетиками, наркотическими анальгетиками, барбитуратами, этанолом, атропином.\u003Cbr\u003EУсиливает гепатотоксическое действие гипогликемических средств.\u003Cbr\u003EС амфетамином - действует антагонистически.\u003Cbr\u003EС леводопой - уменьшает противопаркинсоническое действие.\u003Cbr\u003EПрименение с эпинефрином - может привести к внезапному и выраженному снижению АД. .\u003Cbr\u003EС гуанетидином - уменьшает антигипертензивное действие последнего, но усиливает\u003Cbr\u003Eдействие других антигипертензивных средств, что увеличивает риск появления значительной ортостатической гипотензии.\u003Cbr\u003EУменьшает действие антикоагулянтов.\u003Cbr\u003EДействие тиоридазина могут ослаблять противосудорожные препараты, циметидин. Хинидин - потенцирует кардиодепрессивное действие.\u003Cbr\u003EЭфедрин - способствует парадоксальному снижению АД.\u003Cbr\u003EСимпатомиметики - усиливают аритмогенное действие.\u003Cbr\u003EПробукол, астемизол, цизаприд, дизопирамид, эритромицин, пимозид, прокаинамид и хинидин способствуют дополнительному удлинению интервала QT, что увеличивает риск развития желудочковой тахикардии.\u003Cbr\u003EАнтитиреоидные препараты увеличивают риск развития агранулоцитоза.\u003Cbr\u003EУменьшает эффект средств, понижающих аппетит (за исключением фенфлурамина). Снижает эффективность рвотного действия апоморфина, усиливает его угнетающее действие на ЦНС.\u003Cbr\u003EПовышает концентрацию в плазме пролактина и препятствует действию бромокриптина. При одновременном применении с трициклическими антидепрессантами, мапротилином, ингибиторами МАО, блокаторами Hi-гистаминовых рецепторов возможно удлинение и усиление седативного и м-холиноблокирующего эффектов.\u003Cbr\u003EС тиазидными диуретиками - усиление гипонатриемии.\u003Cbr\u003EС препаратами лития - снижение всасывания в ЖКТ, увеличение скорости выведения ионов лития почками, усиление выраженности экстрапирамидных нарушений, ранние признаки интоксикации литием (тошнота и рвота) могут маскироваться противорвотным эффектом тиоридазина.\u003Cbr\u003EВ комбинации с бета-адреноблокаторами способствует усилению гипотензивного эффекта, повышается риск развития необратимой ретинопатии, аритмий и поздней дискинезии. Взаимодействие с лекарственными средствами, удлиняющими интервал QT (цизаприд), и ингибиторами изофермента CYP2D6 (флуоксетин, пароксетин), может способствовать возникновению аритмий, в том числе, пируэтной тахикардии.\u003Cbr\u003EПри взаимодействии с флувоксамином. пропранололом. пиндололом, может повышаться содержание тиоридазина в плазме крови, что увеличивает риск возникновения аритмий."},{"name":"Регистрационный номер","value":"П N015031/01"},{"name":"Дата государственной регистрации","value":"02.04.2020"},{"name":"Владелец регистрационного удостоверения","value":"Bausch Health"},{"name":"Страна-производитель","value":"Польша"},{"name":"Название препарата","value":"Сонапакс"},{"name":"Срок годности","value":"48 мес."}]}],"transitionId":"tr_12871143121284382246"}}}}
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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332 ₽

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    Цена 120 ₽
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  • Сонные+ таб., 30 шт., 1 уп.
    –31 %
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    Сонные+ таб., 30 шт., 1 уп.

    Рейтинг товара: 4.1 из 5
    на основе 147 оценок
    Цена 275 ₽ вместо 399
    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  • Донормил таб. п/о плен., 15 мг, 30 шт.
    –17 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-ch5uneux9c4/toggleWishlist":{"skuId":"101594757795","productId":228046100,"offerId":"rXU55gkFAKS4S3BvuBHNyQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQo8WaoebJqLJ2EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYIlOrebBCj9ZO8+gIYneHQByDt2cEH","sign":"Ec1M1rY4FtuyCUYyTrLGdJGSyDcj5Dg6jFinTm8mj8I="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-ch5uneux9c4/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

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

    Рейтинг товара: 4.9 из 5
    на основе 35 оценок
    Цена 516 ₽ вместо 619
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  • Атаракс таб. п/о плен., 25 мг, 25 шт.
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    Атаракс таб. п/о плен., 25 мг, 25 шт.

    Рейтинг товара: 4.6 из 5
    на основе 153 оценки
    Цена 122 ₽
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  • Пикамилон таб., 20 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-pprqih4u57i/toggleWishlist":{"skuId":"101612090883","productId":227830379,"offerId":"SMgT44x6hQHFi29MgUhd5w","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQo8WaoebJqLJ2EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYI69TRbBCD7LXE+gIYrsLZByDt2cEH","sign":"tnDxl9eqhHJIvhDRKKO7wOx1fP1X3upnmB8m4GFpuIw="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-pprqih4u57i/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Пикамилон таб., 20 мг, 30 шт.

    Рейтинг товара: 4.9 из 5
    на основе 37 оценок
    Цена 250 ₽
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  • Доксиламин-СЗ таб. п/о плен., 15 мг, 30 шт.
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    Доксиламин-СЗ таб. п/о плен., 15 мг, 30 шт.

    Рейтинг товара: 5 из 5
    на основе 3 оценки
    Цена 299 ₽
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  • СонНорм Дуо таб. п/о плен., 20 шт.
    –2 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-l49y526q9kc/toggleWishlist":{"skuId":"101809292934","productId":1767864030,"offerId":"A33ED4WN-jGK5VUOZ-ztEQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQo8WaoebJqLJ2EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcI3u39ygYQho26ovsCGI+83gcg7dnBBw==","sign":"//htTCWGTvgEZPLhBMgaX+ekfSE9A6JUqTPR89oEMi4="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-l49y526q9kc/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    СонНорм Дуо таб. п/о плен., 20 шт.

    Рейтинг товара: 5 из 5
    на основе 8 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 412 ₽ вместо 420
    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Дуо таб. п/о плен., 20 шт.","label":"zt5uhqxyzy","count":0,"features":[],"imageMeta":{"namespace":"mpic","groupId":5378193,"key":"img_id1239283123714836283.jpeg"}},"quantity":{"step":1,"minimum":1,"maximum":999},"cpaUrl":"/safeclick/data=TxNGOK9vJEN7oLFLeCTKEkrTZoQadGRtjQLqzTxCAYEl31AulbEt2kortXjyKfbNlOHXuzHA2qYTX4CI06xS9iWpu6KHXI6gbTAmtpmWMnkH_Cl5cJEzXJjXSfJ7Fjm_-9orCVf-JdyERCtsBsVBDfltAJtuG7YS-TvbIyQFM4m1dCtgPsTabz2jQJZbFCJX1pqV5vD42gksfisIVv3UNeRtcqpO8Km4A4QfNe4CWb9tDXaoeWqn2Sxw1MkwsVW00QxqKjAkmXjXBQn3G3ejra8bA841d_PraXlWI5kGaCbtoODLo7mwX-T5qIvImrfuscYsp9JAtcXBrfdZsr16XSNgz7sAjqEjCTV70GlONtzxGPg3hxv9M-29Xud6ZGhhg58rc2TrRQ0PtfQ2euPL2KV3l4G09ZKF89_48mq46-UgxbpZYR_rLpVyBzY970vZob_OZalE4xYyaEvi4mKOL4QxS31wWfkVOvUQutMNukQ5JSHD0cjPx57r8w1fp0JG3vU4g5zr_hQUIYS54ZhUBbm_fTvSG4FzNICAiRpXyODqI6nZkmKOGkG3dG2v-yANf5sSJGwjJ4KfOUoFDBXJpHX1ItJACeLDLvtz_Mu_0J3tvhVpDqu6jE5_tfRzcJOnnwkF5rR2rI36zUEudcqP9iOyt3Neuv1C55mTNg2RBDpmG6d9olnalZ-8xYyU9ERTkLTwJmXHgcVS_-6VsSqoaMwBinlaOxAzeq-WlJWdrEI5tQjmV-xEhT3k6ClpoYY5yFUks0lp-8aWR29f8LnpzaQAZy5_mu6mWjgbRKBbV5BdBp3jCuGYMyuDDKWRgmd2BdTsgMcRVAPP-OiFgvcdSDphX26aXqbT0DrgjiSng-t4qJpSdoSY12FXxJy-pd3PoZrn7SVTy_yvocs1zCjBsO5gD7tEgJrgPDlyrcuXc-Zy0WkT9jWQWeCbE2_J0U5yrXpAHm4etorecU30pf_z7FSAjLsPq6loPHENU_He-EqofeZpfanA5yN3Vbn9AqT_luSHDltDAHmkDlEvW4pS1lCVWQ9V6dw2OmFmuVHQ4QH1CzWL6FOXr_kXDi4qrh9UcvYgDeQLlJ2bz1aK4C450ty_aYXKLotlWEqyVONKkvOQ-EhbrfchzRTUAnqSWfmsolxVRwVxbyuLswJBYXl18qP_5gLDO1v5TVA1PcexWr1D-QA45IPL3kMX50OQarWEVuDY3dxVrp1Vr2jAOQzsqplkZ_ZH5BwXpMrDf_rLxCVM1ndHr3hYF0hski-ZpEE8rjGk37HUeMzSU517yik-xg-wGk0gKmHGpwbSX4GAuLWVlm7l7AlZ1QDVQnv7iDn6WAdfCbo1QLrWFcqSk-bigBCBA7nn6PNbZ4ZFJsr-RpdAbpPb2oz6ahFLtSHBNbg1xYYGj4dLsPvqbqMqYqBJgY16-wZhfy01tZLYbw_bWnTyEeKXP1dpR5mXGBtmu9D_RGmkkwI5yzg0Lq9DNIVhqv_yGQqD06OXBd8CmYIBFvZEntOVVkv7dZEYZpZ0zrkb9jjCdPtqv_uqhYcDd0j58uCCwLBahp7cwdmseii0RZi1w-by2HUBYehp8UBstaLYi57UOIyvLxrHvEemWQcTCBw_C4OjeMdQ_3Ukd_EeQ9OV0IyjSeD6fmptqrW2ZM2cTk35L_FOWUyMf5j2UOovUsollbJlpHxgRULS-AiIxl_Yht6goTIFEUqZ7COfLPBWOctxAW-7joz5UDIjLlGsLMPScXM-81FoZCqrlQ55NtcpT7U1aMOVB75jZeIrkc4MBvt--sW4v_LpoDkFKUaJDTQWUJLx20qeaD6ha2LF1lq_OysfT33mUN0wan3gKBAUGjxXkOx5V-q4birVt-tipBWvRKTg6ookv0WBg5A57yP0w24P86noBHGqGrzoeHw_ci19lG_7MuPDxaP8SxA4bOGbXFGRiy6i8oKavHLoteniBGwsoSzw_IpbQ0eTnzs8bnumEFf38KJknUG24wrbCdSeUpCDLxpi8QYrQ6-c1wkBqPbpBj8f0xBppT7l9RWa5fd2Tk-BJIAY6ykx33nfyo0Z3FoIPIrwdsg-eGOJWCNuR9NCtzAadxcXf2uvj__-Jc3zoWIkM7rSFNch-ixj7dHoMxJKw1bm6kROAc_65U3ITvumtQh7F4u5Uo4mD0ih61tBr21XYAI6VyYWjkUuBrL4R7ifc4U0HxHZL08AuOz_gehm-9NtG6hmqXbyWOd0j-a5tNZgcEpDT3ZSqJQoxecYIrbHikN6Izo3ZKiVY8dcKdjJEsTlGnIssv9LKOH0H7RAeFXcZp00wO_G-08UYAtjZLm00BdHR-pRCwl4oXf_dBcPnsU97DpA3MFdExmT0THQBDKML55wvnYDuED_paM_ktKGaKAHW4FAIb2dS-jVWlT7yyPR7e4IbQk5BBpq_9RUHnVK6BRXPqx-mD7EaXeeFEc5KRA_cGOE-FIVGgZXGEpS15XO5jJoA_5HQJv1QGus7Nqv4tW3aFpZJdYEODuGrQudikYwlnRwBsjfuukKgVQ0oXdfPiK8nUZVEZyF2j16U_8Z--i_RX0CWGJC8uiNaFh27On6e8RdM7XHj32VKh7KY8lsxE0rbsrzSDqUe5f6iFBnsElQpafjIj52r8a4l72vPuZ1cDoJg4JP53Gz9jNFKq_qo7QQkdPadU70CMlxWO2vTXHICEE1nhfCYjElDCX62l3F6OLCO8Wm8_AHegcKuDJ78HQgRcIJtFfh9bd-Lvo0rztgdS2SXoYBy4Tu_cJ0Ehj9GC-JGYn82TZFohtDClVGTdD5qEhu7hfys5wTm7zUM2tk_L29IRZjlPSCKv30XNPyFA2S5obTWOCXrnh4q3IfD6p_2zm4y2NRVedcjyoi_8k7El2m9KBkjMdIFMELkXX30cdXpD5x1ZcvzX_cStTz8QFSQtGIfC74BZAJUapwAkfvYsBmgAgUqwdnb3rZAiL-5raQe_Xir7S2cVk4apW862TNfRyfoqIFtVECMzjSiBdH8tp-BJ4UgiOHWSat5i5hOWzdphVhngjgOzNmLg_p9nYtm7ZNjqg_PzCTkgvuuksyYG5JzWNifwP3UfeFtgZ9cAbchZ3aO3KjGOp0duXM0ru0LZ0kVop5lopXdeCFueEns7ZVokNM5ACoTt7P4FNbFja2PrOfiPbLoG5F-FsnDhIM1QUaOYezAlT6ik2la1HF8_9wZcoy70Zgw3nLlVZFtmBXYsne368a9RRLphP8tuGXDC4hGaFA0mDYH-vCllW5m8hENak3PExIKi0h2QhCEU83iQfT7HK_uSlaDj7pvk-Pvq9I9lVasdtQ_DHH7qLw3gAw3RmXGZs0lPzn6L4HYqgz6Qb3QQXA0PHstApoZymqfzIob189BrJooR3dEG819nD4qkQT8M9d6RevFOmL/b64e=1/sign=8a581b75c876af45d02e025e38d5195b/keyno=MARKET_1/*","showUid":"17179645129391081509206007","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":"CgoQo8WaoebJqLJ2EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcI3u39ygYQho26ovsCGI+83gcg7dnBBw==","sign":"//htTCWGTvgEZPLhBMgaX+ekfSE9A6JUqTPR89oEMi4="},"target":"cart_addition"},"baobabClientDataDeletionFromCart":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQo8WaoebJqLJ2EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcI3u39ygYQho26ovsCGI+83gcg7dnBBw==","sign":"//htTCWGTvgEZPLhBMgaX+ekfSE9A6JUqTPR89oEMi4="},"target":"cart_deletion"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-l49y526q9kc/addToCartButton":{"name":"@light/AddToCartButtonSnippet"}}}
  • Мелатонин-СЗ таб. п/о плен., 3 мг, 60 шт., 1 уп.
    –2 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-3f75s6vh9fh/toggleWishlist":{"skuId":"662552169","productId":1404748723,"offerId":"rnpRK6Q6MiukNN9NmdQFyA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQo8WaoebJqLJ2EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYIs4frnQUQ6fz2uwIYrt7QByDt2cEH","sign":"NEq7rBy+1I25IUmRNbVa324G5u2FNTawU6jetjOhnz8="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-3f75s6vh9fh/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Мелатонин-СЗ таб. п/о плен., 3 мг, 60 шт., 1 уп.

    Рейтинг товара: 4.6 из 5
    на основе 24 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 584 ₽ вместо 596
    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таб. п/о плен., 3 мг, 60 шт., 1 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  • Мексидол таб. п/о плен., 125 мг, 30 шт.
    –17 %
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    Мексидол таб. п/о плен., 125 мг, 30 шт.

    Рейтинг товара: 5 из 5
    на основе 62 оценки
    Цена 293 ₽ вместо 355
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  • GLS Триптофан капс., 500 мг, 0.25 г, 90 шт.
    –21 %
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    GLS Триптофан капс., 500 мг, 0.25 г, 90 шт.

    Рейтинг товара: 4.8 из 5
    на основе 17 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 503 ₽ вместо 508
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  • Амитриптилин таб., 25 мг, 50 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-rz8gau6afqh/toggleWishlist":{"skuId":"228018659","productId":1778172743,"offerId":"EGZx6pRP_quF0XgKIidvqw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQo8WaoebJqLJ2EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIx4bzzwYQ45PdbBjX8c8GIO3ZwQc=","sign":"GBewkEK8mcABJNoLMIGAU8Tg/P/iq058xxc+CCZla2k="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-rz8gau6afqh/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Амитриптилин таб., 25 мг, 50 шт.

    Рейтинг товара: 4.7 из 5
    на основе 34 оценки
    Цена 83 ₽
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  • Омарон таб., 400 мг+25 мг, 60 шт.
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    Омарон таб., 400 мг+25 мг, 60 шт.

    Рейтинг товара: 4.8 из 5
    на основе 4 оценки
    Цена 279 ₽
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Инструкция

Показания к применению

Шизофрения (в качестве' препарата второй линии терапии у пациентов, которым противопоказаны другие препараты, или отсутствует лечебный эффект при приеме других лекарственных средств).
Психотические расстройства, сопровождающиеся гиперреактивностью и возбуждением; тяжелые нарушения поведения, связанные с агрессивностью, неспособностью к длительной концентрации внимания; психомоторное возбуждение различного генеза. Неврозы, сопровождающиеся страхом, тревогой, психомоторным возбуждением, психоэмоциональным напряжением, нарушением сна, навязчивыми состояниями, депрессивными расстройствами; абстинентный синдром (токсикомания, алкоголизм).
В детской психиатрии применяют при нарушениях поведения с повышенной психомоторной активностью.

Противопоказания

Выраженные депрессивные состояния, коматозные состояния, выраженное угнетение ЦНС, заболевания крови в анамнезе, детский возраст до 4 лет, синдром удлиненного интервала QT, одновременный прием с лекарственными средствами, удлиняющими интервал QT, аритмии в анамнезе; печеночная недостаточность, повышенная чувствительность к тиоридазину и другим производным фенотиазина, врожденная низкая активность изофермента CYP2D6. Дефицит лактазы или сахаразы/изомальтазы, непереносимость фруктозы или лактозы, глюкозо-галактозная мальабсорбция.

Способ применения и дозы

Внутрь. Режим дозирования подбирается индивидуально с учетом тяжести заболевания.
При шизофрении взрослым начинают с 50-100 мг 3 раза в сутки с постепенным повышением до максимальных 800 мг/сут (при необходимости). После достижения эффекта доза может быть снижена до минимальной поддерживающей. Общая суточная доза колеблется в пределах 200-800 мг/сут в 2-4 приема. Детям начинают с 0,5 мг/кг/сут в несколько приемов. При необходимости дозу повышают (максимальная суточная доза-3 мг/кг/сут).
Психотические расстройства, сопровождающиеся гиперреактивностью и возбуждением; тяжелые нарушения поведения, связанные с агрессивностью, неспособностью к длительной концентрации внимания; психомоторное возбуждение различного генеза: в амбулаторных условиях - 150-400 мг в сутки; в стационаре - 250-800 мг в сутки. Лечение обычно начинают с низких доз, 25-75 мг в сутки, постепенно увеличивая до оптимальной терапевтической дозы, которая достигается в течение 7 дней, а антипсихотический эффект отмечается спустя 10-14 дней. Курс лечения составляет несколько недель. Поддерживающая суточная доза: 75-200 мг однократно перед сном.
При лечении лиц пожилого возраста применяют обычно низкие дозы: 30-100 мг в сутки. Препарат следует отменять постепенно.
Неврозы, абстинентный синдром (токсикомания, алкоголизм)
При неврозах с легкими когнитивными и эмоциональными нарушениями - 30-75 мг в сутки, при неэффективности дозу постепенно повышают до 50-200 мг в сутки. При неврозах с соматическим компонентом - 10-75 мг в сутки. Начинать лечение с низких доз, постепенно повышая их до оптимальной терапевтической дозы. При абстинентном синдроме, в зависимости от степени тяжести состояния от 10-75 мг/сут до 150-400 мг/сут. При нарушениях поведения с повышенной психомоторной активностью у детей:
4-7 лет по 10-20 мг в сутки. Кратность приема - 2-3 раза в сутки.
8-14 лет по 20-30 мг в сутки. Кратность приема - 3 раза в сутки.
15-18 лет по 30-50 мг в сутки. Кратность приема - 3 раза в сутки.
Полная инструкция
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Сонапакс таб. п/о
Сонапакс таб. п/о, 10 мг, 60 шт.
5.0
(8)
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4 вопроса
Инструкция

332 ₽

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5.0
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У продавца:8 оценок·2 отзыва
У всех продавцов:64 оценки·24 отзыва
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user avatar
4 месяца назад • Александр Бондарев • Куплен на Маркете
Комментарий: Отличное средство
user avatar
7 месяцев назад • Оксана Ерохина • Куплен на Маркете
Достоинства: все ок
Недостатки: нет
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