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Описание

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Фотил форте гл. капли, 40 мг/мл+5 мг/мл, 5 мл, 1 шт.

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У продавца: 
нет • На Маркете: 4.6
(10)
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Коротко о товаре

Артикул Маркета
3123944826
Тип препарата
Назначение
Действующее вещество
Возраст
от 18 лет
Инструкция
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У некоторых больных стабильное снижение внутриглазного давления достигается только через несколько недель терапии. Поэтому при оценке результатов лечения следует провести измерение внутриглазного давления примерно через 4 недели после начала лечения. Если не происходит ожидаемого снижения внутриглазного давления, то следует назначить Фотил® форте по 1 капле 2 раза/сут."},{"name":"Побочные действия","value":"Местные реакции: затуманивание зрения, раздражение глаза, быстро проходящие чувство жжения и боль в глазу, усиление слезотечения, синдром сухого глаза, дерматит век, покраснение конъюнктивы, спазм цилиарной мышцы и индуцированная миопия, снижение остроты зрения при недостаточном освещении (вследствие миоза), снижение чувствительности роговицы, точечный кератит, аллергический блефароконъюнктивит; очень редко - диплопия и птоз.\u003Cbr\u003EНесколько случаев отслойки сетчатки, ригидность радужки или формирование кисты в радужной оболочке глаза были отмечены в связи с использованием миотических средств. При длительном использовании пилокарпина наблюдалось обратимое помутнение хрусталика.\u003Cbr\u003EСистемные реакции: тошнота, диарея, повышенное потоотделение, повышенное слюноотделение, снижение АД, обострение бронхиальной астмы, сердечная недостаточность, брадикардия, аритмия, височные и супраорбитальные головные боли, кожная сыпь.\u003Cbr\u003EТимолол проникает через ГЭБ и оказывает воздействие на ЦНС.\u003Cbr\u003EУ всех пациентов с сердечной недостаточностью тимолол может вызвать астенический синдром, тошноту, головокружение, беспокойство, галлюцинации, головную боль и депрессию.\u003Cbr\u003EОчень редко отмечалась заложенность носа."},{"name":"Фармакологическое действие","value":"Комбинированный противоглаукомный препарат.\u003Cbr\u003EПилокарпин - м-холиномиметик. При закапывании в глаз пилокарпин вызывает миоз, спазм аккомодации и снижает внутриглазное давление. Снижение внутриглазного давления обусловлено сокращением цилиарной мышцы и мышцы радужной оболочки глаза, которое приводит к расширению угла передней камеры глаза и изменяет физическую структуру трабекулярной сети, облегчая отток водянистой влаги. Этот эффект сохраняется от 4 ч до 14 ч.\u003Cbr\u003EТимолола малеат, являясь бета-адреноблокатором, предотвращает связывание симпатомиметических нейромедиаторов с ?1- и ?2-адренорецепторами в цилиарном теле. Снижает внутриглазное давление, уменьшая продукцию водянистой влаги. Гипотензивный эффект наступает через 20 мин после инстилляции, достигает максимума через 2 ч и продолжается около 24 ч."},{"name":"Фармакологическая группа","value":"противоглаукомное средство комбинированное (м-холиномиметик+бета-адреноблокатор)"},{"name":"Форма выпуска","value":"капли"},{"name":"Способ применения/введения","value":"конъюктивальный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-glaz-i-ushei","categoryId":"15756892","navnodeId":"72496","glfilters":["35947170:36763746"]}}},{"name":"Минимальный возраст применения","value":"от 18 лет"},{"name":"Условия хранения","value":"Препарат следует хранить при температуре от 2° до 8°C. После вскрытия упаковки препарат можно хранить при комнатной температуре."},{"name":"Передозировка","value":"Симптомы: брадикардия, артериальная гипотензия, бронхоспазм, острая сердечная недостаточность.\u003Cbr\u003EЛечение: проводят симптоматическую терапию. Атропин может быть использован как антидот пилокарпина. Показано назначение изопреналина в/в при выраженной брадикардии, бронхоспазме; добутамина - при артериальной гипотензии."},{"name":"Применение при беременности и кормлении грудью","value":"Глазные капли Фотил форте могут использоваться в течение беременности и в период грудного вскармливания, если только ожидаемый лечебный эффект для матери оправдывает потенциальный риск для плода или ребенка."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Миотический эффект может вызвать преходящее ухудшение зрения (ощущение близорукости), поэтому в период лечения необходимо соблюдать осторожность при вождении автотранспорта или эксплуатации любого сложного оборудования, требующего повышенной концентрации внимания и быстроты психомоторных реакций."},{"name":"Особые указания","value":"С осторожностью следует назначать препарат при сердечной недостаточности, цереброваскулярных расстройствах, сахарном диабете, гипогликемии, отслойке сетчатки, миопии, тиреотоксикозе, перед хирургическими операциями под общей анестезией.\u003Cbr\u003EГлазные капли Фотил не следует применять одновременно с другими глазными каплями, содержащими бета-адреноблокаторы.\u003Cbr\u003EИспользование других глазных капель следует прекратить прежде, чем начата терапия препаратом Фотил. Предыдущий противоглаукомный препарат следует отменить, а терапию глазными каплями Фотил начать на следующий день.\u003Cbr\u003EОценку эффективности действия препарата следует проводить через 4 недели после начала лечения при регулярном контроле внутриглазного давления. Дальнейшее лечение также следует проводить при регулярном контроле внутриглазного давления.\u003Cbr\u003EГлазные капли Фотил содержат в качестве консерванта бензалкония хлорид, и их не рекомендуется использовать при ношении контактных линз. Перед применением препарата следует снять контактные линзы и снова установить их не ранее, чем через 15 мин после инстилляции препарата.\u003Cbr\u003EТимолол, входящий в состав препарата, может маскировать симптомы гипогликемии у пациентов с сахарным диабетом или симптомы гиперфункции щитовидной железы.\u003Cbr\u003EВ случае предстоящего оперативного вмешательства под общей анестезией, необходимо отменить Фотил за 48 ч до операции, т.к. препарат усиливает действие миорелаксантов и общих анестетиков."},{"name":"Взаимодействие","value":"При одновременном применении Фотила с препаратами, способствующими высвобождению катехоламинов (например, с резерпином), наблюдались артериальная гипотензия (в т.ч. ортостатическая), брадикардия, головокружение.\u003Cbr\u003EОдновременное применение бета-адреноблокаторов и блокаторов медленных кальциевых каналов системного действия приводит к усилению их фармакологического эффекта и повышает риск развития нарушений сердечной проводимости и артериальной гипотензии.\u003Cbr\u003EИнгибиторы изофермента CYP2D6, такие как хинидин и циметидин, могут увеличить концентрацию тимолола в плазме."},{"name":"Регистрационный номер","value":"П N015333/01"},{"name":"Дата государственной регистрации","value":"03.06.2019"},{"name":"Владелец регистрационного удостоверения","value":"Santen","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-glaz-i-ushei","categoryId":"15756892","navnodeId":"72496","glfilters":["34324371:35649313","7893318:16003075"]}}},{"name":"Изготовитель","value":"Santen"},{"name":"Страна-производитель","value":"Китай"},{"name":"Название препарата","value":"Фотил","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-glaz-i-ushei","categoryId":"15756892","navnodeId":"72496","glfilters":["17796364:18048928"]}}},{"name":"Срок годности","value":"36 мес."}]}},"fullSpecsGrouped":{"8965591418833987644":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Органы и системы","value":"глаза"},{"name":"Назначение","value":"закрытоугольная глаукома, открытоугольная глаукома, повышение внутриглазного давления"},{"name":"Показания к применению","value":"Глаукома или повышенное внутриглазное давление, когда необходима комбинация тимолола и пилокарпина:\u003Cbr\u003E— открытоугольная глаукома;\u003Cbr\u003E— закрытоугольная глаукома;\u003Cbr\u003E— вторичная глаукома;\u003Cbr\u003E— повышение внутриглазного давления после офтальмологических операций."},{"name":"Противопоказания","value":"— передний увеит;\u003Cbr\u003E— синусовая брадикардия;\u003Cbr\u003E— AV-блокада II и III степени;\u003Cbr\u003E— декомпенсированная сердечная недостаточность;\u003Cbr\u003E— кардиогенный шок;\u003Cbr\u003E— бронхиальная астма;\u003Cbr\u003E— ХОБЛ;\u003Cbr\u003E— детский и подростковый возраст до 18 лет (в связи с отсутствием данных по эффективности и безопасности применения препарата у детей и подростков);\u003Cbr\u003E— состояние непосредственно после офтальмологических операций и другие заболевания глаз, при которых сужение зрачка нежелательно;\u003Cbr\u003E— повышенная чувствительность к компонентам препарата."},{"name":"Состав","value":"Действующее вещество: тимолол малеат 6,84 г, пилокарпина гидрохлорид 20 мг.\u003Cbr\u003EВспомогательные вещества: Вспомогательные вещества: бензалкония хлорид - 0.1 мг, лимонная кислота - 0.88 мг, натрия цитрат - 6.13 мг, гипромеллоза - 5 мг, вода д/и - до 1 мл.\u003Cbr/\u003E"},{"name":"Действующее вещество","value":"Пилокарпин+Тимолол"},{"name":"Способ применения и дозы","value":"Назначают по 1 капле в пораженный глаз 2 раза/сут. У некоторых больных стабильное снижение внутриглазного давления достигается только через несколько недель терапии. Поэтому при оценке результатов лечения следует провести измерение внутриглазного давления примерно через 4 недели после начала лечения. Если не происходит ожидаемого снижения внутриглазного давления, то следует назначить Фотил® форте по 1 капле 2 раза/сут."},{"name":"Побочные действия","value":"Местные реакции: затуманивание зрения, раздражение глаза, быстро проходящие чувство жжения и боль в глазу, усиление слезотечения, синдром сухого глаза, дерматит век, покраснение конъюнктивы, спазм цилиарной мышцы и индуцированная миопия, снижение остроты зрения при недостаточном освещении (вследствие миоза), снижение чувствительности роговицы, точечный кератит, аллергический блефароконъюнктивит; очень редко - диплопия и птоз.\u003Cbr\u003EНесколько случаев отслойки сетчатки, ригидность радужки или формирование кисты в радужной оболочке глаза были отмечены в связи с использованием миотических средств. При длительном использовании пилокарпина наблюдалось обратимое помутнение хрусталика.\u003Cbr\u003EСистемные реакции: тошнота, диарея, повышенное потоотделение, повышенное слюноотделение, снижение АД, обострение бронхиальной астмы, сердечная недостаточность, брадикардия, аритмия, височные и супраорбитальные головные боли, кожная сыпь.\u003Cbr\u003EТимолол проникает через ГЭБ и оказывает воздействие на ЦНС.\u003Cbr\u003EУ всех пациентов с сердечной недостаточностью тимолол может вызвать астенический синдром, тошноту, головокружение, беспокойство, галлюцинации, головную боль и депрессию.\u003Cbr\u003EОчень редко отмечалась заложенность носа."},{"name":"Фармакологическое действие","value":"Комбинированный противоглаукомный препарат.\u003Cbr\u003EПилокарпин - м-холиномиметик. При закапывании в глаз пилокарпин вызывает миоз, спазм аккомодации и снижает внутриглазное давление. Снижение внутриглазного давления обусловлено сокращением цилиарной мышцы и мышцы радужной оболочки глаза, которое приводит к расширению угла передней камеры глаза и изменяет физическую структуру трабекулярной сети, облегчая отток водянистой влаги. Этот эффект сохраняется от 4 ч до 14 ч.\u003Cbr\u003EТимолола малеат, являясь бета-адреноблокатором, предотвращает связывание симпатомиметических нейромедиаторов с ?1- и ?2-адренорецепторами в цилиарном теле. Снижает внутриглазное давление, уменьшая продукцию водянистой влаги. Гипотензивный эффект наступает через 20 мин после инстилляции, достигает максимума через 2 ч и продолжается около 24 ч."},{"name":"Фармакологическая группа","value":"противоглаукомное средство комбинированное (м-холиномиметик+бета-адреноблокатор)"},{"name":"Форма выпуска","value":"капли"},{"name":"Способ применения/введения","value":"конъюктивальный"},{"name":"Минимальный возраст применения","value":"от 18 лет"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"Препарат следует хранить при температуре от 2° до 8°C. После вскрытия упаковки препарат можно хранить при комнатной температуре."},{"name":"Передозировка","value":"Симптомы: брадикардия, артериальная гипотензия, бронхоспазм, острая сердечная недостаточность.\u003Cbr\u003EЛечение: проводят симптоматическую терапию. Атропин может быть использован как антидот пилокарпина. Показано назначение изопреналина в/в при выраженной брадикардии, бронхоспазме; добутамина - при артериальной гипотензии."},{"name":"Применение при беременности и кормлении грудью","value":"Глазные капли Фотил форте могут использоваться в течение беременности и в период грудного вскармливания, если только ожидаемый лечебный эффект для матери оправдывает потенциальный риск для плода или ребенка."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Миотический эффект может вызвать преходящее ухудшение зрения (ощущение близорукости), поэтому в период лечения необходимо соблюдать осторожность при вождении автотранспорта или эксплуатации любого сложного оборудования, требующего повышенной концентрации внимания и быстроты психомоторных реакций."},{"name":"Особые указания","value":"С осторожностью следует назначать препарат при сердечной недостаточности, цереброваскулярных расстройствах, сахарном диабете, гипогликемии, отслойке сетчатки, миопии, тиреотоксикозе, перед хирургическими операциями под общей анестезией.\u003Cbr\u003EГлазные капли Фотил не следует применять одновременно с другими глазными каплями, содержащими бета-адреноблокаторы.\u003Cbr\u003EИспользование других глазных капель следует прекратить прежде, чем начата терапия препаратом Фотил. Предыдущий противоглаукомный препарат следует отменить, а терапию глазными каплями Фотил начать на следующий день.\u003Cbr\u003EОценку эффективности действия препарата следует проводить через 4 недели после начала лечения при регулярном контроле внутриглазного давления. Дальнейшее лечение также следует проводить при регулярном контроле внутриглазного давления.\u003Cbr\u003EГлазные капли Фотил содержат в качестве консерванта бензалкония хлорид, и их не рекомендуется использовать при ношении контактных линз. Перед применением препарата следует снять контактные линзы и снова установить их не ранее, чем через 15 мин после инстилляции препарата.\u003Cbr\u003EТимолол, входящий в состав препарата, может маскировать симптомы гипогликемии у пациентов с сахарным диабетом или симптомы гиперфункции щитовидной железы.\u003Cbr\u003EВ случае предстоящего оперативного вмешательства под общей анестезией, необходимо отменить Фотил за 48 ч до операции, т.к. препарат усиливает действие миорелаксантов и общих анестетиков."},{"name":"Взаимодействие","value":"При одновременном применении Фотила с препаратами, способствующими высвобождению катехоламинов (например, с резерпином), наблюдались артериальная гипотензия (в т.ч. ортостатическая), брадикардия, головокружение.\u003Cbr\u003EОдновременное применение бета-адреноблокаторов и блокаторов медленных кальциевых каналов системного действия приводит к усилению их фармакологического эффекта и повышает риск развития нарушений сердечной проводимости и артериальной гипотензии.\u003Cbr\u003EИнгибиторы изофермента CYP2D6, такие как хинидин и циметидин, могут увеличить концентрацию тимолола в плазме."},{"name":"Регистрационный номер","value":"П N015333/01"},{"name":"Дата государственной регистрации","value":"03.06.2019"},{"name":"Владелец регистрационного удостоверения","value":"Santen"},{"name":"Изготовитель","value":"Santen"},{"name":"Страна-производитель","value":"Китай"},{"name":"Название препарата","value":"Фотил"},{"name":"Срок годности","value":"36 мес."}]}],"transitionId":"tr_17535396859633049470"}}}}
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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533 ₽

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  • Фотил гл. капли, 20 мг/мл+5 мг/мл, 5 мл, 1 шт.
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    Фотил гл. капли, 20 мг/мл+5 мг/мл, 5 мл, 1 шт.

    Рейтинг товара: 5 из 5
    на основе 13 оценок
    Цена 484 ₽
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  • Трусопт гл. капли, 20 мг/мл, 5 мл
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-il9292pckj/toggleWishlist":{"skuId":"265146232","productId":1778174410,"offerId":"FaMpUo94_m0pTTM-8a_sbQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ1IKio5aJyO48EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIypPzzwYQ+J63fhiD4NAHINzcwQc=","sign":"4pOrwiAAl6ib6qmWoVizGMNq9dHy0B1bTgSX9xI8tqk="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-il9292pckj/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Трусопт гл. капли, 20 мг/мл, 5 мл

    Рейтинг товара: 4.5 из 5
    на основе 2 оценки
    Цена 359 ₽
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  • Косопт гл. капли фл., 20 мг+5 мг/мл, 5 мл
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    Косопт гл. капли фл., 20 мг+5 мг/мл, 5 мл

    Рейтинг товара: 4.7 из 5
    на основе 7 оценок
    Цена 1 219 ₽
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  • Дорзопт Плюс гл. капли фл.-капельница, 20 мг/мл+5 мг/мл, 5 мл, 1 шт.
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    Дорзопт Плюс гл. капли фл.-капельница, 20 мг/мл+5 мг/мл, 5 мл, 1 шт.

    Рейтинг товара: 4.9 из 5
    на основе 9 оценок
    Цена 1 090 ₽
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  • Азарга гл. капли фл.-капельница, 10 мг/мл+5 мг/мл, 5 мл
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    Азарга гл. капли фл.-капельница, 10 мг/мл+5 мг/мл, 5 мл

    Рейтинг товара: 5 из 5
    на основе 5 оценок
    Цена 1 269 ₽
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  • Латанопрост-Оптик гл. капли фл., 0.005%, 2.5 мл
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    Латанопрост-Оптик гл. капли фл., 0.005%, 2.5 мл

    Рейтинг товара: 5 из 5
    на основе 4 оценки
    Цена 356 ₽
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  • Окумед гл. капли, 0.5%, 5 мл
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    Окумед гл. капли, 0.5%, 5 мл

    Рейтинг товара: 5 из 5
    на основе 2 оценки
    Цена 59 ₽
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  • Эмокси-оптик гл. капли фл., 1%, 5 мл, 1 шт.
    –16 %
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    Эмокси-оптик гл. капли фл., 1%, 5 мл, 1 шт.

    Рейтинг товара: 5 из 5
    на основе 8 оценок
    Цена 269 ₽ вместо 319
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Инструкция

Показания к применению

Глаукома или повышенное внутриглазное давление, когда необходима комбинация тимолола и пилокарпина:
— открытоугольная глаукома;
— закрытоугольная глаукома;
— вторичная глаукома;
— повышение внутриглазного давления после офтальмологических операций.

Противопоказания

— передний увеит;
— синусовая брадикардия;
— AV-блокада II и III степени;
— декомпенсированная сердечная недостаточность;
— кардиогенный шок;
— бронхиальная астма;
— ХОБЛ;
— детский и подростковый возраст до 18 лет (в связи с отсутствием данных по эффективности и безопасности применения препарата у детей и подростков);
— состояние непосредственно после офтальмологических операций и другие заболевания глаз, при которых сужение зрачка нежелательно;
— повышенная чувствительность к компонентам препарата.

Способ применения и дозы

Назначают по 1 капле в пораженный глаз 2 раза/сут. У некоторых больных стабильное снижение внутриглазного давления достигается только через несколько недель терапии. Поэтому при оценке результатов лечения следует провести измерение внутриглазного давления примерно через 4 недели после начала лечения. Если не происходит ожидаемого снижения внутриглазного давления, то следует назначить Фотил® форте по 1 капле 2 раза/сут.
Полная инструкция
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Фотил форте гл. капли
Фотил форте гл. капли, 40 мг/мл+5 мг/мл, 5 мл, 1 шт.
У продавца: 
нет • На Маркете: 4.6
(10)
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1 вопрос
Инструкция

533 ₽

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