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Диклофенак р-р для в/м введ. амп., 25 мг/мл, 3 мл, 10 шт.

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Коротко о товаре

Артикул Маркета
3543767178
Тип препарата
Назначение
Действующее вещество
Возраст
от 18 лет
Инструкция
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Препарат предназначен для симптоматической терапии, уменьшения боли и воспаления на момент использования, на прогрессирование заболевания не влияет. Болевой синдром: головная (в том числе мигрень) и зубная боль, бурсит, тендинит, люмбаго, ишиас, оссалгия, невралгия, миалгия; артралгия, радикулит, при онкологических заболеваниях, посттравматический и послеоперационный болевой синдром, сопровождающийся воспалением.\nАльгодисменорея; воспалительные процессы в малом тазу, в том числе аднексит.\nИнфекционно-воспалительные заболевания ЛОР органов с выраженным болевым синдромом (в составе комплексной терапии): фарингит, тонзиллит, отит."},{"name":"Противопоказания","value":"Гиперчувствительность (в том числе к другим НПВП), полное или неполное сочетание бронхиальной астмы, рецидивирующего полипоза носа и околоносовых пазух и непереносимости клиренс креатинина или других НПВП (в том числе в анамнезе), эрозивно-язвенные поражения желудочно-кишечного тракта и 12-перстной кишки, активное желудочно-кишечное кровотечение, воспалительные заболевания кишечника, тяжелая почечная/печеночная и сердечная недостаточность; тяжелая недостаточность лактозы; период после проведения аортокоронарного шунтирования; тяжёлая почечная недостаточность (клиренс креатинина менее 30 мл/мин), прогрессирующие заболевания почек, активное заболевание печени, подтверждённая гиперкалиемия, беременность (III триместр), период лактации, детский возраст; период проведения аортокоронального шунтирования; нарушение кроветворения; нарушения гомеостаза; бронхообструкция, ринит, крапивница, спровоцированные приемом ацетилсалициловой кислоты и другими нестероидными противовоспалительными препаратами (в т.ч. в анамнезе)."},{"name":"Состав","value":"Диклофенак натрия - 25,0 мг; вспомогательные вещества: пропиленгликоль,- 200,0 мг, маннитол (маннит) - 6,0 мг, спирт бензиловый - 40 мг, натрия дисульфит (натрий сернистокислый пиро) - 3,0 мг, натрия гидроксида раствор 1 М-до рН 8,4, вода для инъекций до 1 мл."},{"name":"Действующее вещество","value":"Диклофенак","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["27144131:28710287"]}}},{"name":"Способ применения и дозы","value":"Раствор для внутримышечного введения 25 мг/мл. Устанавливается индивидуальная доза с учетом тяжести заболевания. Взрослым обычно назначают по 1ампуле (75 мл 1-2 раза в день). Максимальная суточная доза -150 мг (2 ампулы). Инъекционный раствор вводят глубоко в ягодичную мышцу. Длительность использования не более двух дней, при необходимости далее переходят на пероральное и ректальное применение диклофенака."},{"name":"Побочные действия","value":"Часто - 1-10 %, иногда - 0,1-1 %, редко - 0,01- 0,1 %, очень редко - менее 0,001 %, включая отдельные случаи.\u003Cbr\u003E\n\u003Cbr\u003EСо стороны пищеварительной системы: часто - эпигастральная боль, тошнота, рвота, диарея, диспепсия, метеоризм; анорексия, повышение активности аминотрансфераз; редко - гастрит, проктит, кровотечение из желудочно- кишечного тракта (рвота с кровью, мелена; диарея с примесью крови), язвы желудочно-кишечного тракта (с или без кровотечения или перфорации); гепатит, желтуха, нарушение функции печени; очень редко - стоматит, глоссит, эзофагит, неспецифический геморрагический колит, обострение язвенного колита или болезни Крона, запор, панкреатит, молниеносный гепатит.\u003Cbr\u003E\n\u003Cbr\u003EСо стороны нервной системы: часто - головная боль, головокружение; редко- сонливость; очень редко -. нарушение чувствительности, в том числе парестезии, расстройства памяти, тремор, судороги, тревога, цереброваскулярные нарушения, асептический менингит, дезориентация, депрессия, бессонница, ночные \"кошмары\"; раздражительность, психические нарушения.\u003Cbr\u003E\n\u003Cbr\u003EСо стороны органов чувств: часто - вертиго; очень редко - нарушение зрения (затуманивание зрения, диплопия), нарушение слуха, шум в ушах, нарушение вкусовых ощущений;\u003Cbr\u003E\n\u003Cbr\u003EСо стороны мочевыделительной системы: очень редко - острая почечная недостаточность, гематурия, протеинурия, интерстициальный нефрит, нефротический синдром, папиллярный некроз.\u003Cbr\u003E\n\u003Cbr\u003EСо стороны органов кроветворения: очень редко - тромбоцитопения, лейкопения, гемолитическая и апластическая анемия, агранулоцитоз.\u003Cbr\u003E\n\u003Cbr\u003EАллергические реакции: анафилактические/анафилактоидные реакции, включая выраженное снижение артериальное давление и шок; очень редко - ангионевротический отек (в том числе лица).\u003Cbr\u003E\n\u003Cbr\u003EСо стороны сердечно-сосудистой системы: очень редко - сердцебиение, боль в груди, повышение артериального давления, васкулит, сердечная недостаточность, инфаркт миокарда.\u003Cbr\u003E\n\u003Cbr\u003EСо стороны дыхательной системы: редко - бронхиальная астма (включая одышку); очень редко - пневмонит.\u003Cbr\u003E\n\u003Cbr\u003EСо стороны кожных покровов: часто - кожная сыпь; редко - крапивница; очень редко - буллезные высыпания; экзема, в том числе мультиформная и синдром Стивенса-Джонсона, синдром Лайелла, эксфолиативный дерматит, зуд, выпадение волос, фотосенсибилизация, пурпура, в том числе аллергическая.\u003Cbr\u003E\n\u003Cbr\u003EПрочие: часто - раздражение в месте инъекции; очень редко - абсцесс в месте введения; редко - отеки."},{"name":"Фармакологическое действие","value":"НПВП, производное фенилуксуснои кислоты; оказывает противовоспалительное, анальгезирующее и жаропонижающее действие. Неизбирательно угнетая циклооксигеназу 1 и циклооксигеназу 2, нарушает метаболизм арахидоновой кислоты, уменьшает количество простогландина в очаге воспаления. Наиболее эффективен при болях воспалительного характера. Как все НПВП, препарат оказывает антиагрегантную активность."},{"name":"Фармакологическая группа","value":"нестероидный противовоспалительный препарат (НПВП)"},{"name":"Форма выпуска","value":"раствор для инъекций"},{"name":"Способ применения/введения","value":"парентеральный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["35947170:36763748"]}}},{"name":"Минимальный возраст применения","value":"от 18 лет"},{"name":"Условия хранения","value":"В защищенном от света и недоступном для детей месте при температуре не выше 25 °С."},{"name":"Передозировка","value":"Симптомы: рвота, кровотечение из желудочно-кишечного тракта, диарея; головокружение, шум в ушах,судороги, при значительной передозировке - острая почечная недостаточность, гепатотоксическое действие.\u003Cbr\u003E\n\u003Cbr\u003EЛечение: симптоматическая терапия, направленная на устранение повышения артериального давления, нарушения функции почек, судорог, раздражения из желудочно-кишечного тракта, угнетения дыхания. Форсированный диурез, гемодиализ малоэффективны (в связи со значительной связью с белками и интенсивным метаболизмом)."},{"name":"Применение при беременности и кормлении грудью","value":"I- II семестр в случае крайней необходимости (по строгим показаниям врача). В первые 6 месяцев должен применяться в наименьшей дозировке. Запрещено применять препарат в III семестре беременности. Не применять препарат во время кормления грудью (поступает в грудное молоко)."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"В период лечения возможно снижение скорости психомоторных реакций. При ухудшении четкости зрения после применения глазных капель не следует управлять автомобилем и заниматься другими потенциально опасными видами деятельности."},{"name":"Особые указания","value":"Из-за важной роли простогландина в поддержании почечного кровотока следует проявлять особую осторожность при назначении пациентам с сердечной или почечной недостаточностью, а также при терапий пожилых пациентов, принимающих диуретики, и больных, у которых по какой-либо причине наблюдается снижение объем циркулирующей крови (в том числе после обширного хирургического вмешательства). Если в таких случаях назначают диклофенак, рекомендуют в качестве меры предосторожности контролировать функцию почек. У пациентов с почечной недостаточностью при клиренс креатинина менее 10 мл/мин Css метаболитов в плазме теоретически должна быть значительно выше, чем у пациентов с нормальной функцией почек, однако этого реально не наблюдается, поскольку в этой ситуации усиливается выведение метаболитов с желчью.\u003Cbr\u003E\n\u003Cbr\u003EУ пациентов с печеночной недостаточностью (хронический гепатит, компенсированный цирроз печени) кинетика и метаболизм не отличаются от аналогичных процессов у пациентов с нормальной функцией печени. При проведении длительной терапии необходимо' контролировать функцию печени, картину периферической крови, анализ кала на скрытую кровь. В связи с отрицательным действием на фертильность, женщинам, желающим забеременеть, препарат применять не рекомендуется. У пациенток с бесплодием (в том числе проходящих обследование) рекомендуется отменить препарат. В период лечения возможно снижение скорости психических и двигательных реакций, поэтому необходимо воздерживаться от вождения автотранспорта и занятий другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций.\u003Cbr\u003E\n\u003Cbr\u003EДля снижения риска развития нежелательных явлений со стороны желудочно-кишечного тракта следует использовать минимальную эффективную дозу минимально возможным коротким курсом."},{"name":"Взаимодействие","value":"Повышает концентрацию в плазме дигоксина, препаратов лития.\u003Cbr\u003E\n\u003Cbr\u003EСнижает эффект диуретиков, на фоне калийсберегающих диуретиков усиливается риск развития гиперкалиемии; на фоне антикоагулянтов, антиагрегантных и тромболитических лекарственных средств (алтеплаза, стрептокиназа, урокиназа) повышается риск развития кровотечений (чаще в желудочно-кишёчном тракте).\u003Cbr\u003E\n\u003Cbr\u003EУменьшает эффект гипотензивных и снотворных лекарственных средств. Увеличивает вероятность возникновения побочных эффектов других НПВП и гликокортикостероиды (кровотечения в желудочно-кишечного тракта), токсичность метотрексата и нефротоксичность циклоспорина (за счет повышения их концентрации в плазме).\u003Cbr\u003E\n\u003Cbr\u003EАцетилсалециловая кислота снижает концентрацию диклофенака в крови. Одновременное использование с парацетамолом повышает риск развития нефротоксичных эффектов диклофенака.\u003Cbr\u003E\n\u003Cbr\u003EУменьшает эффект гипогликемических лекарственных средств. Цефамандол, цефоперазон, цефотетан, вальпроевая кислота и пликамицин увеличивают частоту развитая гипопротромбинемий. Циклоспорин и препараты золота повышают влияние диклофенака на синтез простогландина в почках, что проявляется повышением нефротоксичности.\u003Cbr\u003E\n\u003Cbr\u003EСелективные ингибиторы обратного захвата серотонина повышают риск развития кровотечений из желудочно-кишечного тракта. Одновременное назначение с этанолом, колхицином, кортикотропином и препаратами зверобоя повышает риск развития кровотечений в желудочно-кишечном тракте. Лекарственные средства, вызывающие фотосенсибилизацию, повышают сенсибилизирующее действие диклофенака к УФ-облучению.\u003Cbr\u003E\n\u003Cbr\u003EЛекарственные средства, блокирующие канальцевую секрецию, повышают концентрацию в плазме диклофенака, тем самым повышая его эффективность и токсичность. Антибактериальные лекарственные средства из группы хинолона - риск развития судорог."},{"name":"Регистрационный номер","value":"ЛC-001402"},{"name":"Дата государственной регистрации","value":"08.10.2018"},{"name":"Владелец регистрационного удостоверения","value":"Промомед РУС","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["34324371:35649313","7893318:35816830"]}}},{"name":"Изготовитель","value":"Биохимик"},{"name":"Фасовщик","value":"Биохимик"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Диклофенак","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["17796364:18025399"]}}},{"name":"Срок годности","value":"1 г."}]}},"fullSpecsGrouped":{"2502842771354033327":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Органы и системы","value":"опорно-двигательная система"},{"name":"Назначение","value":"альгодисменорея, анкилозирующий спондилит, артралгия, артрит, бурсит, головная боль, зубная боль, ишиас, люмбаго, миалгия, мигрень, невралгия, остеоартроз, ревматоидный артрит, тендинит"},{"name":"Показания к применению","value":"Воспалительные и дегенеративные заболевания опорно-двигательного аппарата: ревматоидный, псориатический, ювенильный хронический артрит, анкилозирующий спондилит (болезнь Бехтерева), остеоартроз, подагрический артрит, артрит при болезни Рейтера. Препарат предназначен для симптоматической терапии, уменьшения боли и воспаления на момент использования, на прогрессирование заболевания не влияет. Болевой синдром: головная (в том числе мигрень) и зубная боль, бурсит, тендинит, люмбаго, ишиас, оссалгия, невралгия, миалгия; артралгия, радикулит, при онкологических заболеваниях, посттравматический и послеоперационный болевой синдром, сопровождающийся воспалением.\nАльгодисменорея; воспалительные процессы в малом тазу, в том числе аднексит.\nИнфекционно-воспалительные заболевания ЛОР органов с выраженным болевым синдромом (в составе комплексной терапии): фарингит, тонзиллит, отит."},{"name":"Противопоказания","value":"Гиперчувствительность (в том числе к другим НПВП), полное или неполное сочетание бронхиальной астмы, рецидивирующего полипоза носа и околоносовых пазух и непереносимости клиренс креатинина или других НПВП (в том числе в анамнезе), эрозивно-язвенные поражения желудочно-кишечного тракта и 12-перстной кишки, активное желудочно-кишечное кровотечение, воспалительные заболевания кишечника, тяжелая почечная/печеночная и сердечная недостаточность; тяжелая недостаточность лактозы; период после проведения аортокоронарного шунтирования; тяжёлая почечная недостаточность (клиренс креатинина менее 30 мл/мин), прогрессирующие заболевания почек, активное заболевание печени, подтверждённая гиперкалиемия, беременность (III триместр), период лактации, детский возраст; период проведения аортокоронального шунтирования; нарушение кроветворения; нарушения гомеостаза; бронхообструкция, ринит, крапивница, спровоцированные приемом ацетилсалициловой кислоты и другими нестероидными противовоспалительными препаратами (в т.ч. в анамнезе)."},{"name":"Состав","value":"Диклофенак натрия - 25,0 мг; вспомогательные вещества: пропиленгликоль,- 200,0 мг, маннитол (маннит) - 6,0 мг, спирт бензиловый - 40 мг, натрия дисульфит (натрий сернистокислый пиро) - 3,0 мг, натрия гидроксида раствор 1 М-до рН 8,4, вода для инъекций до 1 мл."},{"name":"Действующее вещество","value":"Диклофенак"},{"name":"Способ применения и дозы","value":"Раствор для внутримышечного введения 25 мг/мл. Устанавливается индивидуальная доза с учетом тяжести заболевания. Взрослым обычно назначают по 1ампуле (75 мл 1-2 раза в день). Максимальная суточная доза -150 мг (2 ампулы). Инъекционный раствор вводят глубоко в ягодичную мышцу. Длительность использования не более двух дней, при необходимости далее переходят на пероральное и ректальное применение диклофенака."},{"name":"Побочные действия","value":"Часто - 1-10 %, иногда - 0,1-1 %, редко - 0,01- 0,1 %, очень редко - менее 0,001 %, включая отдельные случаи.\u003Cbr\u003E\n\u003Cbr\u003EСо стороны пищеварительной системы: часто - эпигастральная боль, тошнота, рвота, диарея, диспепсия, метеоризм; анорексия, повышение активности аминотрансфераз; редко - гастрит, проктит, кровотечение из желудочно- кишечного тракта (рвота с кровью, мелена; диарея с примесью крови), язвы желудочно-кишечного тракта (с или без кровотечения или перфорации); гепатит, желтуха, нарушение функции печени; очень редко - стоматит, глоссит, эзофагит, неспецифический геморрагический колит, обострение язвенного колита или болезни Крона, запор, панкреатит, молниеносный гепатит.\u003Cbr\u003E\n\u003Cbr\u003EСо стороны нервной системы: часто - головная боль, головокружение; редко- сонливость; очень редко -. нарушение чувствительности, в том числе парестезии, расстройства памяти, тремор, судороги, тревога, цереброваскулярные нарушения, асептический менингит, дезориентация, депрессия, бессонница, ночные \"кошмары\"; раздражительность, психические нарушения.\u003Cbr\u003E\n\u003Cbr\u003EСо стороны органов чувств: часто - вертиго; очень редко - нарушение зрения (затуманивание зрения, диплопия), нарушение слуха, шум в ушах, нарушение вкусовых ощущений;\u003Cbr\u003E\n\u003Cbr\u003EСо стороны мочевыделительной системы: очень редко - острая почечная недостаточность, гематурия, протеинурия, интерстициальный нефрит, нефротический синдром, папиллярный некроз.\u003Cbr\u003E\n\u003Cbr\u003EСо стороны органов кроветворения: очень редко - тромбоцитопения, лейкопения, гемолитическая и апластическая анемия, агранулоцитоз.\u003Cbr\u003E\n\u003Cbr\u003EАллергические реакции: анафилактические/анафилактоидные реакции, включая выраженное снижение артериальное давление и шок; очень редко - ангионевротический отек (в том числе лица).\u003Cbr\u003E\n\u003Cbr\u003EСо стороны сердечно-сосудистой системы: очень редко - сердцебиение, боль в груди, повышение артериального давления, васкулит, сердечная недостаточность, инфаркт миокарда.\u003Cbr\u003E\n\u003Cbr\u003EСо стороны дыхательной системы: редко - бронхиальная астма (включая одышку); очень редко - пневмонит.\u003Cbr\u003E\n\u003Cbr\u003EСо стороны кожных покровов: часто - кожная сыпь; редко - крапивница; очень редко - буллезные высыпания; экзема, в том числе мультиформная и синдром Стивенса-Джонсона, синдром Лайелла, эксфолиативный дерматит, зуд, выпадение волос, фотосенсибилизация, пурпура, в том числе аллергическая.\u003Cbr\u003E\n\u003Cbr\u003EПрочие: часто - раздражение в месте инъекции; очень редко - абсцесс в месте введения; редко - отеки."},{"name":"Фармакологическое действие","value":"НПВП, производное фенилуксуснои кислоты; оказывает противовоспалительное, анальгезирующее и жаропонижающее действие. Неизбирательно угнетая циклооксигеназу 1 и циклооксигеназу 2, нарушает метаболизм арахидоновой кислоты, уменьшает количество простогландина в очаге воспаления. Наиболее эффективен при болях воспалительного характера. Как все НПВП, препарат оказывает антиагрегантную активность."},{"name":"Фармакологическая группа","value":"нестероидный противовоспалительный препарат (НПВП)"},{"name":"Форма выпуска","value":"раствор для инъекций"},{"name":"Способ применения/введения","value":"парентеральный"},{"name":"Минимальный возраст применения","value":"от 18 лет"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"В защищенном от света и недоступном для детей месте при температуре не выше 25 °С."},{"name":"Передозировка","value":"Симптомы: рвота, кровотечение из желудочно-кишечного тракта, диарея; головокружение, шум в ушах,судороги, при значительной передозировке - острая почечная недостаточность, гепатотоксическое действие.\u003Cbr\u003E\n\u003Cbr\u003EЛечение: симптоматическая терапия, направленная на устранение повышения артериального давления, нарушения функции почек, судорог, раздражения из желудочно-кишечного тракта, угнетения дыхания. Форсированный диурез, гемодиализ малоэффективны (в связи со значительной связью с белками и интенсивным метаболизмом)."},{"name":"Применение при беременности и кормлении грудью","value":"I- II семестр в случае крайней необходимости (по строгим показаниям врача). В первые 6 месяцев должен применяться в наименьшей дозировке. Запрещено применять препарат в III семестре беременности. Не применять препарат во время кормления грудью (поступает в грудное молоко)."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"В период лечения возможно снижение скорости психомоторных реакций. При ухудшении четкости зрения после применения глазных капель не следует управлять автомобилем и заниматься другими потенциально опасными видами деятельности."},{"name":"Особые указания","value":"Из-за важной роли простогландина в поддержании почечного кровотока следует проявлять особую осторожность при назначении пациентам с сердечной или почечной недостаточностью, а также при терапий пожилых пациентов, принимающих диуретики, и больных, у которых по какой-либо причине наблюдается снижение объем циркулирующей крови (в том числе после обширного хирургического вмешательства). Если в таких случаях назначают диклофенак, рекомендуют в качестве меры предосторожности контролировать функцию почек. У пациентов с почечной недостаточностью при клиренс креатинина менее 10 мл/мин Css метаболитов в плазме теоретически должна быть значительно выше, чем у пациентов с нормальной функцией почек, однако этого реально не наблюдается, поскольку в этой ситуации усиливается выведение метаболитов с желчью.\u003Cbr\u003E\n\u003Cbr\u003EУ пациентов с печеночной недостаточностью (хронический гепатит, компенсированный цирроз печени) кинетика и метаболизм не отличаются от аналогичных процессов у пациентов с нормальной функцией печени. При проведении длительной терапии необходимо' контролировать функцию печени, картину периферической крови, анализ кала на скрытую кровь. В связи с отрицательным действием на фертильность, женщинам, желающим забеременеть, препарат применять не рекомендуется. У пациенток с бесплодием (в том числе проходящих обследование) рекомендуется отменить препарат. В период лечения возможно снижение скорости психических и двигательных реакций, поэтому необходимо воздерживаться от вождения автотранспорта и занятий другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций.\u003Cbr\u003E\n\u003Cbr\u003EДля снижения риска развития нежелательных явлений со стороны желудочно-кишечного тракта следует использовать минимальную эффективную дозу минимально возможным коротким курсом."},{"name":"Взаимодействие","value":"Повышает концентрацию в плазме дигоксина, препаратов лития.\u003Cbr\u003E\n\u003Cbr\u003EСнижает эффект диуретиков, на фоне калийсберегающих диуретиков усиливается риск развития гиперкалиемии; на фоне антикоагулянтов, антиагрегантных и тромболитических лекарственных средств (алтеплаза, стрептокиназа, урокиназа) повышается риск развития кровотечений (чаще в желудочно-кишёчном тракте).\u003Cbr\u003E\n\u003Cbr\u003EУменьшает эффект гипотензивных и снотворных лекарственных средств. Увеличивает вероятность возникновения побочных эффектов других НПВП и гликокортикостероиды (кровотечения в желудочно-кишечного тракта), токсичность метотрексата и нефротоксичность циклоспорина (за счет повышения их концентрации в плазме).\u003Cbr\u003E\n\u003Cbr\u003EАцетилсалециловая кислота снижает концентрацию диклофенака в крови. Одновременное использование с парацетамолом повышает риск развития нефротоксичных эффектов диклофенака.\u003Cbr\u003E\n\u003Cbr\u003EУменьшает эффект гипогликемических лекарственных средств. Цефамандол, цефоперазон, цефотетан, вальпроевая кислота и пликамицин увеличивают частоту развитая гипопротромбинемий. Циклоспорин и препараты золота повышают влияние диклофенака на синтез простогландина в почках, что проявляется повышением нефротоксичности.\u003Cbr\u003E\n\u003Cbr\u003EСелективные ингибиторы обратного захвата серотонина повышают риск развития кровотечений из желудочно-кишечного тракта. Одновременное назначение с этанолом, колхицином, кортикотропином и препаратами зверобоя повышает риск развития кровотечений в желудочно-кишечном тракте. Лекарственные средства, вызывающие фотосенсибилизацию, повышают сенсибилизирующее действие диклофенака к УФ-облучению.\u003Cbr\u003E\n\u003Cbr\u003EЛекарственные средства, блокирующие канальцевую секрецию, повышают концентрацию в плазме диклофенака, тем самым повышая его эффективность и токсичность. Антибактериальные лекарственные средства из группы хинолона - риск развития судорог."},{"name":"Регистрационный номер","value":"ЛC-001402"},{"name":"Дата государственной регистрации","value":"08.10.2018"},{"name":"Владелец регистрационного удостоверения","value":"Промомед РУС"},{"name":"Изготовитель","value":"Биохимик"},{"name":"Фасовщик","value":"Биохимик"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Диклофенак"},{"name":"Срок годности","value":"1 г."}]}],"transitionId":"tr_17720462220500036946"}}}}
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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92 ₽/шт

Скидка: 35%
–35 %
Вместо:142 ₽
  • 11-13 июня, самовывоз • 0 ₽
POLZAru
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    Диклофенак р-р д/ин., 25 мг/мл, 3 мл, 5 шт.

    Рейтинг товара: 5 из 5
    на основе 20 оценок
    Цена 78 ₽
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  • Диклофенак р-р для в/м введ. введ. амп., 25 мг/мл, 3 мл, 5 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-xflzu2383/toggleWishlist":{"skuId":"227830208","productId":1778170670,"offerId":"7BZW5QkNsrP007GBAYtXqw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQgprD+M/SsvIuEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIrvbyzwYQwNPRbBiH3tAHIOfcwQc=","sign":"zUB7BZD/jbqC99q8JONwQNMPbYI/WAqmGFT9GLTEcG8="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-xflzu2383/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Диклофенак р-р для в/м введ. введ. амп., 25 мг/мл, 3 мл, 5 шт.

    Рейтинг товара: 5 из 5
    на основе 2 оценки
    Цена 119 ₽
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  • Диклофенак р-р для в/м введ. амп., 25 мг/мл, 3 мл, 5 шт.
    –26 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-o8j7lwv9kbj/toggleWishlist":{"skuId":"457101361","productId":1778170727,"offerId":"uVn2oJVVTTRDxZGlbSU0Zg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQgprD+M/SsvIuEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYI5/byzwYQsaD72QEYhKmyCCDn3MEH","sign":"MUBnRZiV5XVxOT9m/e3K/HKdr0BNBi5b94rRpYHndXI="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-o8j7lwv9kbj/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Диклофенак р-р для в/м введ. амп., 25 мг/мл, 3 мл, 5 шт.

    Рейтинг товара: 5 из 5
    на основе 2 оценки
    Цена 142 ₽ вместо 192
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  • Диклофенак Велфарм р-р для в/м введ., 25 мг/мл, 3 мл, 5 шт.
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    Диклофенак Велфарм р-р для в/м введ., 25 мг/мл, 3 мл, 5 шт.

    Рейтинг товара: 4.3 из 5
    на основе 19 оценок
    Цена 146 ₽
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  • Вольтарен р-р для в/м введ. амп., 75 мг/3 мл, 3 мл, 5 шт.
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    Вольтарен р-р для в/м введ. амп., 75 мг/3 мл, 3 мл, 5 шт.

    Рейтинг товара: 5 из 5
    на основе 2 оценки
    Цена 153 ₽
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  • Диклофенак супп. рект., 50 мг, 10 шт.
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    Диклофенак супп. рект., 50 мг, 10 шт.

    Рейтинг товара: 5 из 5
    на основе 1 оценка
    Цена 159 ₽
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  • Диклофенак таб. п/о кш/раств., 50 мг, 20 шт.
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    Диклофенак таб. п/о кш/раств., 50 мг, 20 шт.

    Рейтинг товара: 4 из 5
    на основе 2 оценки
    Цена 53 ₽
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  • Кетопрофен р-р для в/в введ. и в/м введ., 50 мг/мл, 2 мл, 10 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-1gjxzn5nqmt/toggleWishlist":{"skuId":"101476809730","productId":265159717,"offerId":"kpDyVsYfQ0iYHUpaKWQBOw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQgprD+M/SsvIuEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYIpYi4fhCC+PSD+gIY/oqKESDn3MEH","sign":"lPiKmo13QF1n+XqXiYsgVydzph2gioJRpkveEkjVH4U="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-1gjxzn5nqmt/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Кетопрофен р-р для в/в введ. и в/м введ., 50 мг/мл, 2 мл, 10 шт.

    Рейтинг товара: 4.7 из 5
    на основе 13 оценок
    Цена 104 ₽
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  • Мелоксикам р-р для в/м введ. введ. амп., 10 мг/мл, 1.5 мл, 5 шт.
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    Мелоксикам р-р для в/м введ. введ. амп., 10 мг/мл, 1.5 мл, 5 шт.

    Рейтинг товара: 4.8 из 5
    на основе 20 оценок
    Цена 205 ₽
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  • Кетонал р-р для в/в и в/м введ. амп., 50 мг/мл, 2 мл, 5 шт.
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    Кетонал р-р для в/в и в/м введ. амп., 50 мг/мл, 2 мл, 5 шт.

    Рейтинг товара: 5 из 5
    на основе 3 оценки
    Цена 131 ₽
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Инструкция

Показания к применению

Воспалительные и дегенеративные заболевания опорно-двигательного аппарата: ревматоидный, псориатический, ювенильный хронический артрит, анкилозирующий спондилит (болезнь Бехтерева), остеоартроз, подагрический артрит, артрит при болезни Рейтера. Препарат предназначен для симптоматической терапии, уменьшения боли и воспаления на момент использования, на прогрессирование заболевания не влияет. Болевой синдром: головная (в том числе мигрень) и зубная боль, бурсит, тендинит, люмбаго, ишиас, оссалгия, невралгия, миалгия; артралгия, радикулит, при онкологических заболеваниях, посттравматический и послеоперационный болевой синдром, сопровождающийся воспалением. Альгодисменорея; воспалительные процессы в малом тазу, в том числе аднексит. Инфекционно-воспалительные заболевания ЛОР органов с выраженным болевым синдромом (в составе комплексной терапии): фарингит, тонзиллит, отит.

Противопоказания

Гиперчувствительность (в том числе к другим НПВП), полное или неполное сочетание бронхиальной астмы, рецидивирующего полипоза носа и околоносовых пазух и непереносимости клиренс креатинина или других НПВП (в том числе в анамнезе), эрозивно-язвенные поражения желудочно-кишечного тракта и 12-перстной кишки, активное желудочно-кишечное кровотечение, воспалительные заболевания кишечника, тяжелая почечная/печеночная и сердечная недостаточность; тяжелая недостаточность лактозы; период после проведения аортокоронарного шунтирования; тяжёлая почечная недостаточность (клиренс креатинина менее 30 мл/мин), прогрессирующие заболевания почек, активное заболевание печени, подтверждённая гиперкалиемия, беременность (III триместр), период лактации, детский возраст; период проведения аортокоронального шунтирования; нарушение кроветворения; нарушения гомеостаза; бронхообструкция, ринит, крапивница, спровоцированные приемом ацетилсалициловой кислоты и другими нестероидными противовоспалительными препаратами (в т.ч. в анамнезе).

Способ применения и дозы

Раствор для внутримышечного введения 25 мг/мл. Устанавливается индивидуальная доза с учетом тяжести заболевания. Взрослым обычно назначают по 1ампуле (75 мл 1-2 раза в день). Максимальная суточная доза -150 мг (2 ампулы). Инъекционный раствор вводят глубоко в ягодичную мышцу. Длительность использования не более двух дней, при необходимости далее переходят на пероральное и ректальное применение диклофенака.
Полная инструкция
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Диклофенак р-р для в/м введ. амп.
Диклофенак р-р для в/м введ. амп., 25 мг/мл, 3 мл, 10 шт.
5.0
(16)
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Инструкция

92 ₽/шт

Скидка: 35%
–35 %
Вместо:142 ₽
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5.0
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У продавца:16 оценок·4 отзыва
У всех продавцов:17 оценок·5 отзывов
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user avatar
10 месяцев назад • Елена Блинова • Куплен на Маркете
Достоинства: хороший противовоспалительный препарат
Недостатки: нет
Комментарий: очень радует цена
user avatar
7 месяцев назад • Елена Зудилова • Куплен на Маркете
Комментарий: Товар рекомендую. Снимает боль очень быстро.
user avatar
2 месяца назад • Инкогнито 7501 • Куплен на Маркете
Достоинства: Отличное лекарство.
Комментарий: Спасибо.
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