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Описание

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Верошпирон капс., 50 мг, 30 шт.

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4.9
(17)
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Коротко о товаре

Артикул Маркета
3123150473
Тип препарата
Назначение
Действующее вещество
Возраст
от 3 лет
Инструкция
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магния стеарат; крахмал кукурузный; лактозы моногидрат.\u003Cbr /\u003EТвердая желатиновая капсула:\u003Cbr /\u003EРазмер №3.\u003Cbr /\u003EКрышечка: краситель хинолиновый желтый Е 104; титана диоксид Е 171; желатин.\u003Cbr /\u003EКорпус: титана диоксид Е 171; желатин.\u003Cbr /\u003EДозировка 100 мг\u003Cbr /\u003EДействующее вещество: спиронолактон - 100 мг.\u003Cbr /\u003EВспомогательные вещества: натрия лаурилсульфат; магния стеарат; крахмал кукурузный; лактозы моногидрат.\u003Cbr /\u003EТвердая желатиновая капсула:\u003Cbr /\u003EРазмер №0.\u003Cbr /\u003EКрышечка: краситель солнечный закат желтый Е 110; титана диоксид Е 171; желатин.\u003Cbr /\u003EКорпус: краситель солнечный закат желтый Е 110; титана диоксид Е 171; краситель хинолиновый желтый Е 104; желатин.\u003Cbr /\u003E"},{"name":"Действующее вещество","value":"Спиронолактон","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["27144131:28710514"]}}},{"name":"Способ применения и дозы","value":"Внутрь.\u003Cbr\u003EПри эссенциальной гипертензии\u003Cbr\u003EСуточная доза для взрослых обычно составляет 50-100 мг однократно и может быть увеличена до 200 мг, при этом увеличивать дозу следует постепенно, 1 раз в 2 недели. Чтобы добиться адекватного ответа на терапию, препарат необходимо принимать не менее 2 недель. При необходимости проводят корректировку дозы.\u003Cbr\u003EПри идиопатическом гиперальдостеронизме 100-400 мг/сут.\u003Cbr\u003EПри выраженном гиперальдостеронизме и гипокалиемии 300 мг/сут (максимально 400 мг) за 2-3 приёма, при улучшении состояния дозу постепенно снижают до 25 мг/сут в другой лекарственной форме.\u003Cbr\u003EГипокалиемия/гипомагниемия\u003Cbr\u003EПри гипокалиемии и/или гипомагниемии, вызванных терапией диуретиками, назначают препарат в дозе 25-100 мг/сут, однократно или в несколько приёмов. Максимальная суточная доза 400 мг, если пероральные препараты калия или другие методы восполнения его дефицита неэффективны.\u003Cbr\u003EДиагностика и лечение первичного гиперальдостеронизма\u003Cbr\u003EВ качестве диагностического средства при коротком диагностическом тесте: в течение 4 дней по 400 мг/сут, распределив на несколько приёмов в день. При увеличении содержания калия в крови во время приёма препарата и снижении после отмены его можно предполагать наличие первичного гиперальдостеронизма.\u003Cbr\u003EПри длительном диагностическом тесте: в той же дозе в течение 3-4 недель. При достижении коррекции гипокалиемии и артериальной гипертензии можно предполагать наличие первичного гиперальдостеронизма.\u003Cbr\u003EКороткий курс предоперационной терапии первичного гиперальдостеронизма\u003Cbr\u003EПосле того, как диагноз гиперальдостеронизма установлен с помощью более точных диагностических методов, Верошпирон следует принимать по 100-400 мг/сут, разделив на 1-4 приёма в сутки в течение всего периода подготовки к хирургической операции. Если операция не показана, то Верошпирон применяется для проведения длительной поддерживающей терапии, при этом используется наименьшая эффективная доза, которая подбирается индивидуально для каждого пациента.\u003Cbr\u003EОтёки на фоне нефротического синдрома\u003Cbr\u003EСуточная доза для взрослых обычно составляет 100-200 мг/сут. Не выявлено влияния спиронолактона на основной патологический процесс, и потому применение данного препарата рекомендуется только в тех случаях, когда другие виды терапии оказываются неэффективны.\u003Cbr\u003EПри отёчном синдроме на фоне хронической сердечной недостаточности ежедневно, в течение 5 дней по 100-200 мг/сут в 2-3 приёма, в комбинации с \"петлевым\" или тиазидным диуретиком, в зависимости от эффекта, суточную дозу уменьшают до 25 мг. Поддерживающая доза подбирается индивидуально. Максимальная доза 200 мг/сут.\u003Cbr\u003EОтёки на фоне цирроза печени\u003Cbr\u003EЕсли в моче соотношение ионов натрия и калия (Na+/K+) превышает 1,0, то суточная доза для взрослых обычно составляет 100 мг. Если соотношение меньше 1,0, то суточная доза для взрослых обычно равна 200-400 мг. Поддерживающая доза подбирается индивидуально.\u003Cbr\u003EОтёки у детей\u003Cbr\u003EНачальная доза у детей старше 3 лет составляет 1-3,3 мг/кг массы тела или 30-90 мг/м2/сут в 1-4 приёма. Через 5 дней дозу корректируют и при необходимости увеличивают в 3 раза по сравнению с первоначальной."},{"name":"Побочные действия","value":"Со стороны желудочно-кишечного тракта: тошнота, рвота, диарея, изъязвления и кровотечения из желудочно-кишечного тракта, гастрит, кишечная колика, боль в животе, запор.\u003Cbr\u003EСо стороны печени: нарушение функции печени.\u003Cbr\u003EСо стороны центральной нервной системы: атаксия, заторможенность, головокружение, головная боль, сонливость, летаргия, спутанность сознания, мышечный спазм.\u003Cbr\u003EСо стороны кроветворной системы: агранулоцитоз, тромбоцитопения, мегалобластоз.\u003Cbr\u003EСо стороны лабораторных показателей: гиперурикемия, гиперкреатининемия, повышение концентрации мочевины, нарушение водно-электролитного баланса (гиперкалиемия, гипонатриемия) и кислотно-основного равновесия (метаболический гиперхлоремический ацидоз или алкалоз).\u003Cbr\u003EСо стороны эндокринной системы: огрубение голоса, у мужчин - гинекомастия (вероятность развития зависит от дозы, длительности лечения и, обычно, носит обратимый характер); снижение потенции и эрекции; у женщин - нарушения менструального цикла; дисменорея; аменорея; метроррагия в климактерическом периоде; гирсутизм; боли в области молочных желёз; карцинома молочной железы (наличие связи с приемом препарата не установлена).\u003Cbr\u003EПри применении препарата Верошпирон может развиться гинекомастия. Вероятность возникновения гинекомастии зависит как от дозы препарата, так и от длительности терапии. При этом гинекомастия обычно носит обратимый характер, и после отмены препарата Верошпирон исчезает, и лишь в редких случаях грудная железа остается несколько увеличенной.\u003Cbr\u003EАллергические реакции: крапивница, редко макулопапулёзная и эритематозная сыпь, лекарственная лихорадка, зуд, эозинофилия, синдром Стивена-Джонсона, токсический эпидермальный некролиз.\u003Cbr\u003EСо стороны кожных покровов: алопеция, гипертрихоз.\u003Cbr\u003EСо стороны мочевыделительной системы: острая почечная недостаточность.\u003Cbr\u003EСо стороны опорно-двигательного аппарата: судороги икроножных мышц."},{"name":"Фармакологическое действие","value":"Спиронолактон является калийсберегающим диуретиком, специфическим антагонистом альдостерона пролонгированного действия (минералокортикостероидный гормон коры надпочечников). В дистальных отделах нефрона спиронолактон препятствует задержке альдостероном натрия и воды и подавляет калийвыводящий эффект альдостерона, снижает синтез пермеаз в альдостерон-зависимом участке собирательных трубочек и дистальных канальцев. Связываясь с рецепторами альдостерона, увеличивает экскрецию ионов натрия, хлора и воды с мочой, уменьшает выведение ионов калия и мочевины, снижает кислотность мочи.\nУсиление диуреза обусловлено наличием мочегонного эффекта, который непостоянен; диуретический эффект проявляется на 2-5 день лечения."},{"name":"Фармакологическая группа","value":"диуретическое калийсберегающее средство"},{"name":"Форма выпуска","value":"капсулы"},{"name":"Способ применения/введения","value":"пероральный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["35947170:36763744"]}}},{"name":"Минимальный возраст применения","value":"от 3 лет"},{"name":"Условия хранения","value":"При температуре не выше 30 °С.\u003Cbr\u003EХранить в недоступном для детей месте!"},{"name":"Передозировка","value":"Симптомы: тошнота, рвота, головокружение, диарея, кожная сыпь, гиперкалиемия (парестезии, мышечная слабость, аритмии), гипонатриемия (сухость слизистой оболочки полости рта, жажда, сонливость) гиперкальциемия, дегидратация, увеличение концентрации мочевины.\u003Cbr\u003EЛечение: промывание желудка, симптоматическое лечение дегидратации и артериальной гипотензии. При гиперкалиемии необходимо нормализовать водно-электролитный баланс с помощью калийвыводящих диуретиков, быстрого парентерального введения раствора декстрозы (5-20 % растворы) с инсулином из расчёта 0,25-0,5 ЕД на 1 г декстрозы; при необходимости можно ввести повторно. В тяжёлых случаях проводят гемодиализ."},{"name":"Применение при беременности и кормлении грудью","value":"При беременности\u003Cbr\u003EПрепарат противопоказан при беременности.\u003Cbr\u003EВ период лактации\u003Cbr\u003EПрепарат противопоказан в период лактации. Грудное вскармливание следует прекратить в случае невозможности отмены спиронолактона."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"В начальном периоде лечения запрещается управление транспортными средствами и заниматься видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций. Длительность ограничений устанавливается в индивидуальном порядке."},{"name":"Особые указания","value":"Возможно временное повышение содержания азота мочевины в сыворотке крови, особенно при сниженной функции почек и гиперкалиемии. Возможен обратимый гиперхлоремический метаболический ацидоз.\u003Cbr\u003EПри болезнях почек и печени, а также в пожилом возрасте, необходим регулярный контроль электролитов сыворотки крови и функции почек.\u003Cbr\u003EПрепарат затрудняет определение дигоксина, кортизола и адреналина в крови. Несмотря на отсутствие прямого воздействия на углеводный обмен, наличие сахарного диабета, особенно с диабетической нефропатией, требует особой осторожности из-за возможности развития гиперкалиемии.\u003Cbr\u003EПри лечении нестероидными противовоспалительными препаратами следует контролировать функцию почек и концентрацию электролитов крови. Следует избегать употребления пищи, богатой калием.\u003Cbr\u003EВо время лечения употребление алкоголя противопоказано."},{"name":"Взаимодействие","value":"Снижает эффект антикоагулянтов, непрямых антикоагулянтов (гепарина, производных кумарина, идандиона) и токсичность сердечных гликозидов (т.к. нормализация содержания калия в крови препятствует развитию токсичности).\u003Cbr\u003EУсиливает метаболизм феназола (антипирина).\u003Cbr\u003EСнижает чувствительность сосудов к норэпинефрину (требует соблюдения осторожности при проведении анестезии), увеличивает период полувыведения дигоксина - возможна интоксикация дигоксином.\u003Cbr\u003EУсиливает токсическое действие лития из-за снижения его клиренса.\u003Cbr\u003EВозможно усиливает действие недеполяризующих миорелаксантов (например, тубокурарина).\u003Cbr\u003EУскоряет метаболизм и выведение карбеноксолона.\u003Cbr\u003EКарбеноксолон способствует задержке натрия спиронолактоном.\u003Cbr\u003EГлюкокортикостероидные препараты и диуретики (производные бензотиазина, фуросемид, этакриновая кислота) усиливают и ускоряют диуретический и натрийуретический эффекты.\u003Cbr\u003EУсиливает действие диуретических и антигипертензивных лекарственных средств. Нестероидные противовоспалительные средства снижают диуретический и натрийуретический эффекты, увеличивается риск развития гиперкалиемии.\u003Cbr\u003EАлкоголь (этанол), барбитураты, наркотические вещества усиливают ортостатическую гипотензию.\u003Cbr\u003EГлюкокортикостероидные препараты усиливают диуретический и натрийуретический эффект при гипоальбуминемии и/или гипонатриемии.\u003Cbr\u003EВозрастает риск развития гиперкалиемии при приёме с препаратами калия, калиевыми добавками и калийсберегающими диуретиками, ингибиторами ангиотензинпревращающего фермента (ацидоз), антагонистами ангиотензина II, блокаторами альдостерона, индометацина, циклоспорина.\u003Cbr\u003EСалицилаты, индометацин снижают диуретический эффект.\u003Cbr\u003EХлорид аммония, холестирамин способствуют развитию гиперкалиемического метаболического ацидоза.\u003Cbr\u003EФлудрокортизон вызывает парадоксальное усиление канальцевой секреции калия.\u003Cbr\u003EСнижает эффект митотана.\u003Cbr\u003EУсиливает действие трипторелина, бузерелина, гонадорелина."},{"name":"Регистрационный номер","value":"П N011953/01"},{"name":"Дата государственной регистрации","value":"05.09.2019"},{"name":"Владелец регистрационного удостоверения","value":"Гедеон Рихтер ОАО","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["34324371:35649313","7893318:17672958"]}}},{"name":"Страна бренда","value":"Венгрия"},{"name":"Страна-производитель","value":"Венгрия"},{"name":"Название препарата","value":"Верошпирон","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["17796364:17999317"]}}},{"name":"Срок годности","value":"365 дн."}]}},"fullSpecsGrouped":{"6628525599510036501":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Органы и системы","value":"кровеносная система, кровеносные сосуды, печень, почки, сердце"},{"name":"Назначение","value":"артериальная гипертензия, гиперальдостеронизм, гипокалиемия, гипомагниемия, отечный синдром, хроническая сердечная недостаточность, эссенциальная гипертензия"},{"name":"Показания к применению","value":"Эссенциальная артериальная гипертензия (в составе комбинированной терапии).\u003Cbr\u003E- Отёчный синдром при хронической сердечной недостаточности (может применяться в виде монотерапии и в комбинации со стандартной терапией);\u003Cbr\u003E- Состояния, при которых может обнаруживаться вторичный гиперальдостеронизм, включая цирроз печени, сопровождающийся асцитом и/или отёками, нефротический синдром, а также другие состояния, сопровождающиеся отёками.\u003Cbr\u003E- Гипокалиемия/гипомагниемия (в качестве вспомогательного средства для её профилактики во время лечения диуретиками и при невозможности применения других способов коррекции содержания калия).\u003Cbr\u003E- Первичный гиперальдостеронизм (синдром Конна) - для короткого предоперационного курса лечения.\u003Cbr\u003E- Для установления диагноза первичного гиперальдостеронизма."},{"name":"Противопоказания","value":"Повышенная чувствительность к какому-либо из компонентов препарата;\u003Cbr\u003E- Болезнь Аддисона;\u003Cbr\u003E- Гиперкалиемия;\u003Cbr\u003E- Гипонатриемия;\u003Cbr\u003E- Тяжёлая почечная недостаточность (клиренс креатинина менее 10 мл/мин);\u003Cbr\u003E- Анурия;\u003Cbr\u003E- Беременность, период кормления грудью;\u003Cbr\u003E- Детский возраст до 3 лет (твердая лекарственная форма);\u003Cbr\u003E- Дефицит лактазы, непереносимость лактозы, глюкозо-галактозная мальабсорбция."},{"name":"Состав","value":"1 капсула содержит:\u003Cbr /\u003EДозировка 50 мг\u003Cbr /\u003EДействующее вещество: спиронолактон - 50 мг.\u003Cbr /\u003EВспомогательные вещества: натрия лаурилсульфат; магния стеарат; крахмал кукурузный; лактозы моногидрат.\u003Cbr /\u003EТвердая желатиновая капсула:\u003Cbr /\u003EРазмер №3.\u003Cbr /\u003EКрышечка: краситель хинолиновый желтый Е 104; титана диоксид Е 171; желатин.\u003Cbr /\u003EКорпус: титана диоксид Е 171; желатин.\u003Cbr /\u003EДозировка 100 мг\u003Cbr /\u003EДействующее вещество: спиронолактон - 100 мг.\u003Cbr /\u003EВспомогательные вещества: натрия лаурилсульфат; магния стеарат; крахмал кукурузный; лактозы моногидрат.\u003Cbr /\u003EТвердая желатиновая капсула:\u003Cbr /\u003EРазмер №0.\u003Cbr /\u003EКрышечка: краситель солнечный закат желтый Е 110; титана диоксид Е 171; желатин.\u003Cbr /\u003EКорпус: краситель солнечный закат желтый Е 110; титана диоксид Е 171; краситель хинолиновый желтый Е 104; желатин.\u003Cbr /\u003E"},{"name":"Действующее вещество","value":"Спиронолактон"},{"name":"Способ применения и дозы","value":"Внутрь.\u003Cbr\u003EПри эссенциальной гипертензии\u003Cbr\u003EСуточная доза для взрослых обычно составляет 50-100 мг однократно и может быть увеличена до 200 мг, при этом увеличивать дозу следует постепенно, 1 раз в 2 недели. Чтобы добиться адекватного ответа на терапию, препарат необходимо принимать не менее 2 недель. При необходимости проводят корректировку дозы.\u003Cbr\u003EПри идиопатическом гиперальдостеронизме 100-400 мг/сут.\u003Cbr\u003EПри выраженном гиперальдостеронизме и гипокалиемии 300 мг/сут (максимально 400 мг) за 2-3 приёма, при улучшении состояния дозу постепенно снижают до 25 мг/сут в другой лекарственной форме.\u003Cbr\u003EГипокалиемия/гипомагниемия\u003Cbr\u003EПри гипокалиемии и/или гипомагниемии, вызванных терапией диуретиками, назначают препарат в дозе 25-100 мг/сут, однократно или в несколько приёмов. Максимальная суточная доза 400 мг, если пероральные препараты калия или другие методы восполнения его дефицита неэффективны.\u003Cbr\u003EДиагностика и лечение первичного гиперальдостеронизма\u003Cbr\u003EВ качестве диагностического средства при коротком диагностическом тесте: в течение 4 дней по 400 мг/сут, распределив на несколько приёмов в день. При увеличении содержания калия в крови во время приёма препарата и снижении после отмены его можно предполагать наличие первичного гиперальдостеронизма.\u003Cbr\u003EПри длительном диагностическом тесте: в той же дозе в течение 3-4 недель. При достижении коррекции гипокалиемии и артериальной гипертензии можно предполагать наличие первичного гиперальдостеронизма.\u003Cbr\u003EКороткий курс предоперационной терапии первичного гиперальдостеронизма\u003Cbr\u003EПосле того, как диагноз гиперальдостеронизма установлен с помощью более точных диагностических методов, Верошпирон следует принимать по 100-400 мг/сут, разделив на 1-4 приёма в сутки в течение всего периода подготовки к хирургической операции. Если операция не показана, то Верошпирон применяется для проведения длительной поддерживающей терапии, при этом используется наименьшая эффективная доза, которая подбирается индивидуально для каждого пациента.\u003Cbr\u003EОтёки на фоне нефротического синдрома\u003Cbr\u003EСуточная доза для взрослых обычно составляет 100-200 мг/сут. Не выявлено влияния спиронолактона на основной патологический процесс, и потому применение данного препарата рекомендуется только в тех случаях, когда другие виды терапии оказываются неэффективны.\u003Cbr\u003EПри отёчном синдроме на фоне хронической сердечной недостаточности ежедневно, в течение 5 дней по 100-200 мг/сут в 2-3 приёма, в комбинации с \"петлевым\" или тиазидным диуретиком, в зависимости от эффекта, суточную дозу уменьшают до 25 мг. Поддерживающая доза подбирается индивидуально. Максимальная доза 200 мг/сут.\u003Cbr\u003EОтёки на фоне цирроза печени\u003Cbr\u003EЕсли в моче соотношение ионов натрия и калия (Na+/K+) превышает 1,0, то суточная доза для взрослых обычно составляет 100 мг. Если соотношение меньше 1,0, то суточная доза для взрослых обычно равна 200-400 мг. Поддерживающая доза подбирается индивидуально.\u003Cbr\u003EОтёки у детей\u003Cbr\u003EНачальная доза у детей старше 3 лет составляет 1-3,3 мг/кг массы тела или 30-90 мг/м2/сут в 1-4 приёма. Через 5 дней дозу корректируют и при необходимости увеличивают в 3 раза по сравнению с первоначальной."},{"name":"Побочные действия","value":"Со стороны желудочно-кишечного тракта: тошнота, рвота, диарея, изъязвления и кровотечения из желудочно-кишечного тракта, гастрит, кишечная колика, боль в животе, запор.\u003Cbr\u003EСо стороны печени: нарушение функции печени.\u003Cbr\u003EСо стороны центральной нервной системы: атаксия, заторможенность, головокружение, головная боль, сонливость, летаргия, спутанность сознания, мышечный спазм.\u003Cbr\u003EСо стороны кроветворной системы: агранулоцитоз, тромбоцитопения, мегалобластоз.\u003Cbr\u003EСо стороны лабораторных показателей: гиперурикемия, гиперкреатининемия, повышение концентрации мочевины, нарушение водно-электролитного баланса (гиперкалиемия, гипонатриемия) и кислотно-основного равновесия (метаболический гиперхлоремический ацидоз или алкалоз).\u003Cbr\u003EСо стороны эндокринной системы: огрубение голоса, у мужчин - гинекомастия (вероятность развития зависит от дозы, длительности лечения и, обычно, носит обратимый характер); снижение потенции и эрекции; у женщин - нарушения менструального цикла; дисменорея; аменорея; метроррагия в климактерическом периоде; гирсутизм; боли в области молочных желёз; карцинома молочной железы (наличие связи с приемом препарата не установлена).\u003Cbr\u003EПри применении препарата Верошпирон может развиться гинекомастия. Вероятность возникновения гинекомастии зависит как от дозы препарата, так и от длительности терапии. При этом гинекомастия обычно носит обратимый характер, и после отмены препарата Верошпирон исчезает, и лишь в редких случаях грудная железа остается несколько увеличенной.\u003Cbr\u003EАллергические реакции: крапивница, редко макулопапулёзная и эритематозная сыпь, лекарственная лихорадка, зуд, эозинофилия, синдром Стивена-Джонсона, токсический эпидермальный некролиз.\u003Cbr\u003EСо стороны кожных покровов: алопеция, гипертрихоз.\u003Cbr\u003EСо стороны мочевыделительной системы: острая почечная недостаточность.\u003Cbr\u003EСо стороны опорно-двигательного аппарата: судороги икроножных мышц."},{"name":"Фармакологическое действие","value":"Спиронолактон является калийсберегающим диуретиком, специфическим антагонистом альдостерона пролонгированного действия (минералокортикостероидный гормон коры надпочечников). В дистальных отделах нефрона спиронолактон препятствует задержке альдостероном натрия и воды и подавляет калийвыводящий эффект альдостерона, снижает синтез пермеаз в альдостерон-зависимом участке собирательных трубочек и дистальных канальцев. Связываясь с рецепторами альдостерона, увеличивает экскрецию ионов натрия, хлора и воды с мочой, уменьшает выведение ионов калия и мочевины, снижает кислотность мочи.\nУсиление диуреза обусловлено наличием мочегонного эффекта, который непостоянен; диуретический эффект проявляется на 2-5 день лечения."},{"name":"Фармакологическая группа","value":"диуретическое калийсберегающее средство"},{"name":"Форма выпуска","value":"капсулы"},{"name":"Способ применения/введения","value":"пероральный"},{"name":"Минимальный возраст применения","value":"от 3 лет"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"При температуре не выше 30 °С.\u003Cbr\u003EХранить в недоступном для детей месте!"},{"name":"Передозировка","value":"Симптомы: тошнота, рвота, головокружение, диарея, кожная сыпь, гиперкалиемия (парестезии, мышечная слабость, аритмии), гипонатриемия (сухость слизистой оболочки полости рта, жажда, сонливость) гиперкальциемия, дегидратация, увеличение концентрации мочевины.\u003Cbr\u003EЛечение: промывание желудка, симптоматическое лечение дегидратации и артериальной гипотензии. При гиперкалиемии необходимо нормализовать водно-электролитный баланс с помощью калийвыводящих диуретиков, быстрого парентерального введения раствора декстрозы (5-20 % растворы) с инсулином из расчёта 0,25-0,5 ЕД на 1 г декстрозы; при необходимости можно ввести повторно. В тяжёлых случаях проводят гемодиализ."},{"name":"Применение при беременности и кормлении грудью","value":"При беременности\u003Cbr\u003EПрепарат противопоказан при беременности.\u003Cbr\u003EВ период лактации\u003Cbr\u003EПрепарат противопоказан в период лактации. Грудное вскармливание следует прекратить в случае невозможности отмены спиронолактона."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"В начальном периоде лечения запрещается управление транспортными средствами и заниматься видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций. Длительность ограничений устанавливается в индивидуальном порядке."},{"name":"Особые указания","value":"Возможно временное повышение содержания азота мочевины в сыворотке крови, особенно при сниженной функции почек и гиперкалиемии. Возможен обратимый гиперхлоремический метаболический ацидоз.\u003Cbr\u003EПри болезнях почек и печени, а также в пожилом возрасте, необходим регулярный контроль электролитов сыворотки крови и функции почек.\u003Cbr\u003EПрепарат затрудняет определение дигоксина, кортизола и адреналина в крови. Несмотря на отсутствие прямого воздействия на углеводный обмен, наличие сахарного диабета, особенно с диабетической нефропатией, требует особой осторожности из-за возможности развития гиперкалиемии.\u003Cbr\u003EПри лечении нестероидными противовоспалительными препаратами следует контролировать функцию почек и концентрацию электролитов крови. Следует избегать употребления пищи, богатой калием.\u003Cbr\u003EВо время лечения употребление алкоголя противопоказано."},{"name":"Взаимодействие","value":"Снижает эффект антикоагулянтов, непрямых антикоагулянтов (гепарина, производных кумарина, идандиона) и токсичность сердечных гликозидов (т.к. нормализация содержания калия в крови препятствует развитию токсичности).\u003Cbr\u003EУсиливает метаболизм феназола (антипирина).\u003Cbr\u003EСнижает чувствительность сосудов к норэпинефрину (требует соблюдения осторожности при проведении анестезии), увеличивает период полувыведения дигоксина - возможна интоксикация дигоксином.\u003Cbr\u003EУсиливает токсическое действие лития из-за снижения его клиренса.\u003Cbr\u003EВозможно усиливает действие недеполяризующих миорелаксантов (например, тубокурарина).\u003Cbr\u003EУскоряет метаболизм и выведение карбеноксолона.\u003Cbr\u003EКарбеноксолон способствует задержке натрия спиронолактоном.\u003Cbr\u003EГлюкокортикостероидные препараты и диуретики (производные бензотиазина, фуросемид, этакриновая кислота) усиливают и ускоряют диуретический и натрийуретический эффекты.\u003Cbr\u003EУсиливает действие диуретических и антигипертензивных лекарственных средств. Нестероидные противовоспалительные средства снижают диуретический и натрийуретический эффекты, увеличивается риск развития гиперкалиемии.\u003Cbr\u003EАлкоголь (этанол), барбитураты, наркотические вещества усиливают ортостатическую гипотензию.\u003Cbr\u003EГлюкокортикостероидные препараты усиливают диуретический и натрийуретический эффект при гипоальбуминемии и/или гипонатриемии.\u003Cbr\u003EВозрастает риск развития гиперкалиемии при приёме с препаратами калия, калиевыми добавками и калийсберегающими диуретиками, ингибиторами ангиотензинпревращающего фермента (ацидоз), антагонистами ангиотензина II, блокаторами альдостерона, индометацина, циклоспорина.\u003Cbr\u003EСалицилаты, индометацин снижают диуретический эффект.\u003Cbr\u003EХлорид аммония, холестирамин способствуют развитию гиперкалиемического метаболического ацидоза.\u003Cbr\u003EФлудрокортизон вызывает парадоксальное усиление канальцевой секреции калия.\u003Cbr\u003EСнижает эффект митотана.\u003Cbr\u003EУсиливает действие трипторелина, бузерелина, гонадорелина."},{"name":"Регистрационный номер","value":"П N011953/01"},{"name":"Дата государственной регистрации","value":"05.09.2019"},{"name":"Владелец регистрационного удостоверения","value":"Гедеон Рихтер ОАО"},{"name":"Страна бренда","value":"Венгрия"},{"name":"Страна-производитель","value":"Венгрия"},{"name":"Название препарата","value":"Верошпирон"},{"name":"Срок годности","value":"365 дн."}]}],"transitionId":"tr_3372666694747234298"}}}}
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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230 ₽

Скидка: 12%
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Вместо:260 ₽
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  • Верошпирон капс., 50 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-jckx2jobace/toggleWishlist":{"skuId":"227814119","productId":1778173811,"offerId":"cFiUMsrX2wbIV7ElMT0P8g","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQj7qDyq6vnYwoEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUI847zzwYQ59XQbBj+1bYIINfcwQc=","sign":"D2VHzPynwOekMZ7zMACLFlyG6zqjBGkOV2Cs+iLuakg="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-jckx2jobace/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Верошпирон капс., 50 мг, 30 шт.

    Рейтинг товара: 4.9 из 5
    на основе 29 оценок
    Цена 217 ₽
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  • Верошпирон капс., 100 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-gl3il878ml4/toggleWishlist":{"skuId":"228043824","productId":1778173711,"offerId":"m1ACYiJIReYcCYOna_xV_Q","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQj7qDyq6vnYwoEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIj47zzwYQsNjebBj+1bYIINfcwQc=","sign":"KzgyElMy7y2nD9W2EHAjoGf399BTTSTjh2INH4+qiKw="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-gl3il878ml4/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Верошпирон капс., 100 мг, 30 шт.

    Рейтинг товара: 5 из 5
    на основе 5 оценок
    Цена 376 ₽
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  • Верошпилактон таб., 25 мг, 20 шт.
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    Верошпилактон таб., 25 мг, 20 шт.

    Рейтинг товара: 5 из 5
    на основе 5 оценок
    Цена 96 ₽
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  • Верошпилактон капс., 50 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-lb39qcw7ge/toggleWishlist":{"skuId":"228007366","productId":1401075679,"offerId":"RnrtDTjCh3gZu8nNYfePoQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQj7qDyq6vnYwoEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUI3++KnAUQxrvcbBjr3NAHINfcwQc=","sign":"Rr85pO92LhuCBUYlP/gProvdbbFPwFpO/jz9EdTT7eQ="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-lb39qcw7ge/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Верошпилактон капс., 50 мг, 30 шт.

    Рейтинг товара: 5 из 5
    на основе 1 оценка
    Цена 232 ₽
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  • Торасемид-СЗ таб., 10 мг, 30 шт.
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    Торасемид-СЗ таб., 10 мг, 30 шт.

    Рейтинг товара: 5 из 5
    на основе 11 оценок
    Цена 326 ₽
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  • Диротон таб., 10 мг, 56 шт.
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    Диротон таб., 10 мг, 56 шт.

    Рейтинг товара: 4.7 из 5
    на основе 3 оценки
    Цена 433 ₽
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  • Беталок Зок таб. с замедл. высвоб. п/о, 50 мг, 30 шт.
    –9 %
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    Беталок Зок таб. с замедл. высвоб. п/о, 50 мг, 30 шт.

    Рейтинг товара: 4.9 из 5
    на основе 43 оценки
    Цена 319 ₽ вместо 351
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  • Верошпилактон капс., 25 мг, 20 шт.
    –34 %
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    Верошпилактон капс., 25 мг, 20 шт.

    Рейтинг товара: 5 из 5
    на основе 3 оценки
    Цена 95 ₽ вместо 145
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  • Кардиомагнил таб. п/о плен., 75 мг+15.2 мг, 30 шт.
    –1 %
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    Кардиомагнил таб. п/о плен., 75 мг+15.2 мг, 30 шт.

    Рейтинг товара: 4.9 из 5
    на основе 62 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 234 ₽ вместо 236
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  • Бисопролол таб. п/о плен., 5 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-b4efwlb9pl/toggleWishlist":{"skuId":"228004076","productId":1401075592,"offerId":"9kyVvI7gZcH-bFX9LEdtxA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQj7qDyq6vnYwoEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIiO+KnAUQ7KHcbBi01YcEINfcwQc=","sign":"g0wNYl06/BOeB+O53tFiFQUJM+jV4eiVPmTdSHTS0XQ="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-b4efwlb9pl/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Бисопролол таб. п/о плен., 5 мг, 30 шт.

    Рейтинг товара: 4.9 из 5
    на основе 35 оценок
    Цена 105 ₽
    {"widgets":{"@light/AddToCartButtonSnippet":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-b4efwlb9pl/addToCartButton":{"offerId":"9kyVvI7gZcH-bFX9LEdtxA","skuId":"228004076","pendingCartItem":{"productId":1401075592,"offerId":"9kyVvI7gZcH-bFX9LEdtxA","showPlaceId":"OTNDnItfwRMjN9MRHuEMMl--LFVVpCxRuDT4qkOFh2hQALGy4xolecYQfbFAsIq9JYPzt6wB_Cq-PlRzobA4rQ3LJrfdb6BvozGTcJ6vSHBo2g9YrOjchqYFCtsfuLszhhLlbGSndmtkrkjdBsMse2K0Lcs-cbdYaW8xxhdop1T7Jf0yxJxadRw0bXCpS5KFWnBHpKuNMQekUXjiLROc9A,,","feeShow":"OTNDnItfwRMjN9MRHuEMMl--LFVVpCxRuDT4qkOFh2hQALGy4xolecYQfbFAsIq9JYPzt6wB_Cq-PlRzobA4rQ3LJrfdb6BvozGTcJ6vSHBo2g9YrOjchqYFCtsfuLszhhLlbGSndmtkrkjdBsMse2K0Lcs-cbdYaW8xxhdop1T7Jf0yxJxadRw0bXCpS5KFWnBHpKuNMQekUXjiLROc9A,,","skuId":"228004076","shopId":55106433,"price":{"applicablePriceDiscounts":[],"value":"105","currency":"RUR"},"hid":"15756887","name":"Бисопролол таб. п/о плен., 5 мг, 30 шт.","label":"z8ag6tl0iig","count":0,"features":[],"imageMeta":{"namespace":"mpic","groupId":933699,"key":"img_id5597329221013917859.jpeg"}},"quantity":{"step":1,"minimum":1,"maximum":999},"cpaUrl":"/safeclick/data=TxNGOK9vJEN7oLFLeCTKEixJYuEMI0EzvZFs82AjjgjhTwweZ7mRXd_AQ0K184sfZmy5nQz7U8xIc-qdVOMFoxnoSww2ObzLEs1KJpltGipDSanCui6QCo8GXRHxAQaqQQZbzp5kb0bdQDXqQiIIDEwL4INEBUjrbUNtjxqZ96WFVmZtSFtMyb3yJJ0vvI_f_VoLwr8_fQDSzGtzWieo57uOoFgXKxDu2JUr6_wuDHSdWHdQxzKjQOYi9dso1IXLt4skCG0U51Qyes02-oZDZHSPlIbeHumSZzezchgPC_sorPjBp7i7LXHvr-WGXDVUzvFsnv2hmTxyvfTOMGOmsv6LNl6ynMYPG19J9PAB6S2KjPVh6o7GDJ9eQjqRBy_ny1ReFYanXJG8FMoRBbYSEESv1YQA33T7teFhk5-FTBHplaNcaHoLCNIjfYc7QYZo2HdoPrn54Qrz8aeXOmC9iaZG5j7PNYkvuaJXVs-eyHsP6ANsc0hzZP1FakEXpZN3I09fz5SvNwC3WYTMoe4o7IuB_TCrhw2SZhnLG-c5_ZONrtykvQ9H2vWBBDCETW8NQ1ODyt1TfZx1NNwtPz_jJsCRzjV8HShotxfR13RHMAV660wlJH0CadaF3xAL6NvOqw5c4qevjVcp0R_r2yn2oVFklW3EMFnlGwg5wYDllbWSrwIiYLo_MAcARZ9laFm8xlACMQqIrgkvviauvqRzMJtIbz7zoNlS9ivd-ysgMJIz8QRaRg-qpI64EmjRePeE-X3yscCRRsYLRdNUyDUXb7A2hILouK8U5WO_ULj1gq5zvUXHsFxheHIz21uL13112UFmW3oYSm5Ap08gWHREhUCOkPOLu5_wIAA9YdaTxgB108AHPkeOH1V5EMLr2UIINpKcX90BpIrCrzUqBdVU3yJhaDcO264PV3gvu8qgfloJS5SbuuADZNENXMwv_NT_Os3E0CLAis39kw-PeLA0VwH9oMOxle_7BSxkgqNKhE2UN4kpa2yODJnXzrqJtTk7KQLs8uGT0YTUAk1KGjuq2VKdMt6rGFa_ngfvJcTjQcFVfJx1e9iBKA6jumLJcDDL_dQNfH9nOKxberZiKV5op9l0u2hvvrySWNK1GpJmD9UHWyqxOoIjvtoy-tRYEpJfPuCX5SvU0qGTAgtRG7VOR606k73LCwAlhofMsnriIIKnKVBMB_UDfJAQv1fQEff7LCi7651ArEqWKX2WLGp7IyIyY0MbiZG17Z_jNImMlP3urCrGNALDQ9FioIKSDmuYGJSi-kP7Hp6j5tooLr7zX_dAvUygDMF5dudA3wPc1DtoG4NbmzYzDc6WAAwlK_Yg35djbfG_NtVcrkFwD_1dR6FWGLYYqzZiAezByMvcBAqtsF_mqYIZZTlNrRlAFUuI2TF_CXjn9aHaS2TffcQJSXLqu5MvscbEe9-CuaOvTnzIQBEw77DU78Ttx8pm5myXg9aJ7gpSK-DH_SFhWDZHEK3AoGE3FS4lYCZlNv8WAOmInTbefm9WiT1L1w9DdH0_y90lxLWsjlFL95LEtIs2brFwTmukSmeEWlz5FD8cucD92rdSLIEEj_OKgy__Jxoy9M5lhfTshlp5CahSF4qrK1YJWw72W1Tr3o9KbaveYfQbkNMP6sRtqjgqb3T9Aj4knngsZEYdHw8_quz00l5FudnKdi2pYv-43q7FU1ot2Mb9w0rreAwC1j3dg-_TV2M_FGUG70Hmxj3mYQzY_WWYVR8nQGhzGiOJKj6WUXwSWRI21T8BGddVM3r96fFIx5UOkvz4KQ2S1DdCkxV7W0lOadT6AaXmYBboZTQbUgMfNzcM71oF_7pAR7siEmS7bXrtiGgSluFNIpMu1rvJPcdXZ5hhmqvdlK6WaO950wa-jJWgwRAMgX7QrkIygJLQQWLYmS6yMKTz5Dcv4LHF2X_aRCWVgKHaey7zPUuGo-9Op4tEV9yrsMxhUIW5uwHZUplZQgwnY9SVxHOgIKZtqGZHg8VdjjDx9bIyXA4i9Y-qJ4WNQKE8j9-V5D9dmVlpfT3Smj6a9nQNVNFPl7K7GRMly1EOoKXjdxz162HW8XMQqiTC9o4stl-XyaiZCYFDxYVt4-sywf9WO8cFQm1IbNIGhEdFcJ8esoE0BZCrKV_9oBry0DN6rfuVJ0DpFO3VQJ0tsxxfSV9qiOdyhgCOvJnD2dF0TYzMVUulDMSpjXhFhRMFXP_FhLRf51Uy9lBqpq45XAfoYximIN5twJ3H5XzYWE0kiK-mGmvGkNBu8JW97hawVmLzuMqoarU1wA2U4Nk9cgUfbSyt73ni7pS9FGdAaFKlIcwojsNUDLTp2-KYLL1vVl9pt3T-vzOABsBBfmxiHLMNYbuj_YXYs9bYVczoQkhI42doaIiUQXH8ehKwYx5xt3l8KoXRbxA1NJjk5MdWMoe0aw9m_Vv3thiVAIJEZbbmbXvSRXydl5kCu6HCRNUkcu7zfEYzuk44ODz-OQ6xcqlJREYgkVRLh2YZGUSfwGnvb1euv_xEeprc8ZBAujScBN2TF2xflchQNfUcHc5OQ9LJoaf5ERM2fPyJo32xmJoxAdMwJpYE29I-DTvatTkO0IqF1nZ2-9ZftQjHDYW-eEGLdXWcT--IT8rsN7Q-a-6rKUyAvUR6seEqlZYCexUlQ3GJHBxkMfx9kHMC2b2HFMquZy4R1h3VWMHv5Cf3Jyuk31DrPSd7qLZ2uroPAQB6HUQXN31a3aMBJhZoYBfM2ZiSGGffkOtkwyMMmIAXMqongx6HFQsjw6XIgVFFRFYDJdXXCWvF4WbGD6pm68PriVFju8UGaHOFheiyM7NabwR_s1OC8mlSyzV2oOZn0F_wIlX_HToiPYU-kFgWGzIJB5_fAH0W5w0oX2Oxb6bWHLEZ4TVSQiWcBAo9oeL45Ugkv87NCoDnNGIqc_y_MgmQSDGtYd2gl8It8ScmWKj_yf8yRnYHoqRCVHkDPps5DqJJjBF6QTmbFxaDC5aVO8nBx9iT-SFaxsOZy5V_4Z2WP1icvIagX8DNwi58gTIIqJGtayFCQ47Du0lyEj8uRTELDHFrz_W9QY_s1Bit4ThHHqeX4B0Lt4xzMoh-LaGj17l97xPhITWB3ahjOwfVtQLGLCrk6WaDOpCZKPA-ZS9ZFEvo01XmHBbBUMZvlknzndx3TiiacfsqB2AnzGvpdWPeJ5DEJzHpxhCdw-PEAbK-RP6OZKLERMIMxpsIoGdoRfws7f68nYV901oQK3Hb-9Jfez-PSHehDZGqVRZkqzYZa4n_wCVO3DnQB2I-jkPRPOAaVK0L5mdIbBoe7D8aalYBafSiGkCT91i7VQIM-EzyZnSpJtXux_8s-gAaXt2zrqMyClGuYH2G2fRGZrSZ4f4uXMQw1LhA_UvAX2vLq0XaEYrC8UERFKEaDn5icME1bmsvCVE3env1yFHMGLkte4-EVGHInJ5qMYhJT1jLExG0IJek1kHqBo3UVEwMjPjmlPI,/b64e=1/sign=89bb82830c2c37a160c4d0ad20057171/keyno=MARKET_1/*","showUid":"17179753748003684066506011","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":"CgoQj7qDyq6vnYwoEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIiO+KnAUQ7KHcbBi01YcEINfcwQc=","sign":"g0wNYl06/BOeB+O53tFiFQUJM+jV4eiVPmTdSHTS0XQ="},"target":"cart_addition"},"baobabClientDataDeletionFromCart":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQj7qDyq6vnYwoEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIiO+KnAUQ7KHcbBi01YcEINfcwQc=","sign":"g0wNYl06/BOeB+O53tFiFQUJM+jV4eiVPmTdSHTS0XQ="},"target":"cart_deletion"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-b4efwlb9pl/addToCartButton":{"name":"@light/AddToCartButtonSnippet"}}}
  • Диротон таб., 20 мг, 56 шт.
    –21 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-seu1v8fxyyn/toggleWishlist":{"skuId":"664101008","productId":1780857946,"offerId":"MLcm7YdjcH2lQU6wBPjuKg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQj7qDyq6vnYwoEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYI2viW0QYQkMHVvAIY/tW2CCDX3MEH","sign":"vfJvAF9uDwyWVUKnhZCGgVAreTYAQkeDONTWwAXiUqA="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-seu1v8fxyyn/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Диротон таб., 20 мг, 56 шт.

    Рейтинг товара: 5 из 5
    на основе 6 оценок
    Цена 511 ₽ вместо 646
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Инструкция

Показания к применению

Эссенциальная артериальная гипертензия (в составе комбинированной терапии).
- Отёчный синдром при хронической сердечной недостаточности (может применяться в виде монотерапии и в комбинации со стандартной терапией);
- Состояния, при которых может обнаруживаться вторичный гиперальдостеронизм, включая цирроз печени, сопровождающийся асцитом и/или отёками, нефротический синдром, а также другие состояния, сопровождающиеся отёками.
- Гипокалиемия/гипомагниемия (в качестве вспомогательного средства для её профилактики во время лечения диуретиками и при невозможности применения других способов коррекции содержания калия).
- Первичный гиперальдостеронизм (синдром Конна) - для короткого предоперационного курса лечения.
- Для установления диагноза первичного гиперальдостеронизма.

Противопоказания

Повышенная чувствительность к какому-либо из компонентов препарата;
- Болезнь Аддисона;
- Гиперкалиемия;
- Гипонатриемия;
- Тяжёлая почечная недостаточность (клиренс креатинина менее 10 мл/мин);
- Анурия;
- Беременность, период кормления грудью;
- Детский возраст до 3 лет (твердая лекарственная форма);
- Дефицит лактазы, непереносимость лактозы, глюкозо-галактозная мальабсорбция.

Способ применения и дозы

Внутрь.
При эссенциальной гипертензии
Суточная доза для взрослых обычно составляет 50-100 мг однократно и может быть увеличена до 200 мг, при этом увеличивать дозу следует постепенно, 1 раз в 2 недели. Чтобы добиться адекватного ответа на терапию, препарат необходимо принимать не менее 2 недель. При необходимости проводят корректировку дозы.
При идиопатическом гиперальдостеронизме 100-400 мг/сут.
При выраженном гиперальдостеронизме и гипокалиемии 300 мг/сут (максимально 400 мг) за 2-3 приёма, при улучшении состояния дозу постепенно снижают до 25 мг/сут в другой лекарственной форме.
Гипокалиемия/гипомагниемия
При гипокалиемии и/или гипомагниемии, вызванных терапией диуретиками, назначают препарат в дозе 25-100 мг/сут, однократно или в несколько приёмов. Максимальная суточная доза 400 мг, если пероральные препараты калия или другие методы восполнения его дефицита неэффективны.
Диагностика и лечение первичного гиперальдостеронизма
В качестве диагностического средства при коротком диагностическом тесте: в течение 4 дней по 400 мг/сут, распределив на несколько приёмов в день. При увеличении содержания калия в крови во время приёма препарата и снижении после отмены его можно предполагать наличие первичного гиперальдостеронизма.
При длительном диагностическом тесте: в той же дозе в течение 3-4 недель. При достижении коррекции гипокалиемии и артериальной гипертензии можно предполагать наличие первичного гиперальдостеронизма.
Короткий курс предоперационной терапии первичного гиперальдостеронизма
После того, как диагноз гиперальдостеронизма установлен с помощью более точных диагностических методов, Верошпирон следует принимать по 100-400 мг/сут, разделив на 1-4 приёма в сутки в течение всего периода подготовки к хирургической операции. Если операция не показана, то Верошпирон применяется для проведения длительной поддерживающей терапии, при этом используется наименьшая эффективная доза, которая подбирается индивидуально для каждого пациента.
Отёки на фоне нефротического синдрома
Суточная доза для взрослых обычно составляет 100-200 мг/сут. Не выявлено влияния спиронолактона на основной патологический процесс, и потому применение данного препарата рекомендуется только в тех случаях, когда другие виды терапии оказываются неэффективны.
При отёчном синдроме на фоне хронической сердечной недостаточности ежедневно, в течение 5 дней по 100-200 мг/сут в 2-3 приёма, в комбинации с "петлевым" или тиазидным диуретиком, в зависимости от эффекта, суточную дозу уменьшают до 25 мг. Поддерживающая доза подбирается индивидуально. Максимальная доза 200 мг/сут.
Отёки на фоне цирроза печени
Если в моче соотношение ионов натрия и калия (Na+/K+) превышает 1,0, то суточная доза для взрослых обычно составляет 100 мг. Если соотношение меньше 1,0, то суточная доза для взрослых обычно равна 200-400 мг. Поддерживающая доза подбирается индивидуально.
Отёки у детей
Начальная доза у детей старше 3 лет составляет 1-3,3 мг/кг массы тела или 30-90 мг/м2/сут в 1-4 приёма. Через 5 дней дозу корректируют и при необходимости увеличивают в 3 раза по сравнению с первоначальной.
Полная инструкция
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Верошпирон капс.
Верошпирон капс., 50 мг, 30 шт.
4.9
(17)
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1 вопрос
Инструкция

230 ₽

Скидка: 12%
–12 %
Вместо:260 ₽
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4.9
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У продавца:17 оценок·5 отзывов
У всех продавцов:23 оценки·9 отзывов
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user avatar
3 месяца назад • Анна Егорова • Куплен на Маркете
Достоинства: Рабочее средство. Годами проверенное лекарство. Не покупайте на основе отзывов, идите к врачу. Спросите, нужно ли вам и подойдёт ли. Моя бабушка пила, как мочегонное. Я пью при мигрени.
Недостатки: Все очень индивидуально
Комментарий: Мне помогает от головной боли. Отеки не снимает, но я пью нерегулярно. Тяжесть в голове убирает хорошо.
user avatar
3 месяца назад • Станислав К. • Куплен на Маркете
Достоинства: Удобная форма выпуска, небольшие капсулы если сравнивать с аналогичными препаратами.
Недостатки: Нет, самое безопасное мочегонное.
Комментарий: Мягкий диуретик, принимаю на постоянной основе, что бы снять отёки из-за проблем с почками. Не такой сильный и выраженный эффект, как у торасемида, но и практически нет побочек.
user avatar
3 месяца назад • Дмитрий • Куплен на Маркете
Достоинства: Рабочие, эффективные
Недостатки: Недостатков нет
Комментарий: Рабочие таблетки, без фото
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