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Описание

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Азитромицин Экомед пор. д/приг. сусп. д/вн. приема, 100 мг/5 мл, 16.5 г, 1 шт.

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У продавца: 
нет • На Маркете: 4.8
(35)
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Дозировка: 100 мг/5 мл

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Коротко о товаре

Артикул Маркета
3123128988
Тип препарата
Назначение
Действующее вещество
Возраст
от 18 лет
Инструкция
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мигрирующая эритема (erythema migrans).\u003Cbr\u003E"},{"name":"Противопоказания","value":"- Повышенная чувствительность к азитромицину (в том числе к другим макролидам) или другим компонентам препарата;\u003Cbr\u003E- тяжелая почечная недостаточность (клиренс креатинина (КК) менее 40 мл/мин);\u003Cbr\u003E- тяжелая печеночная недостаточность (класс С по шкале Чайлд-Пью);\u003Cbr\u003E- грудное вскармливание;\u003Cbr\u003E- одновременный прием с эрготамином и дигидроэрготамином;\u003Cbr\u003E- детский возраст до 6 месяцев;\u003Cbr\u003E- дефицит сахаразы/изомальтазы, непереносимость фруктозы, глюкозо-галактозная мальабсорбция.\u003Cbr\u003E"},{"name":"Состав","value":"Состав компонентов в 5 мл суспензии:\u003Cbr /\u003EДействующее вещество:\u003Cbr /\u003Eазитромицина дигидрат 104,82 мг /209,64 мг\u003Cbr /\u003E(в пересчете на азитромицин) 100,00 мг/ 200,00 мг\u003Cbr /\u003EВспомогательные вещества:\u003Cbr /\u003Eлактитол\t200,00 мг/400,00 мг\u003Cbr /\u003Eнатрия карбонат безводный\t83,00 мг/83,00 мг\u003Cbr /\u003Eкросповидон (коллидон CL-M)/65,00 мг/65,00 мг\u003Cbr /\u003Eароматизатор клубничный/55,00 мг/55,00 мг\u003Cbr /\u003Eнатрия бензоат/16,50 мг/16,50 мг\u003Cbr /\u003Eкамедь ксантановая/15,00 мг/15,00 мг\u003Cbr /\u003Eароматизатор яблочный/13,75 мг/13,75 мг\u003Cbr /\u003Eароматизатор коричный/13,75 мг/13,75 мг\u003Cbr /\u003Eтитана диоксид/10,00 мг/10,00 мг\u003Cbr /\u003Eкремния диоксид коллоидный /5,50 мг/5,50 мг\u003Cbr /\u003Eароматизатор мятный/0,50 мг /0,50 мг\u003Cbr /\u003Eсахароза до массы/3,75 г/3,75 г\u003Cbr /\u003E"},{"name":"Действующее вещество","value":"Азитромицин","transition":{"type":"catalog","params":{"categorySlug":"antibiotiki-protivomikrobnye-i-protivoparazitarnye-sredstva","categoryId":"15756919","navnodeId":"72512","glfilters":["27144131:28710006"]}}},{"name":"Способ применения и дозы","value":"Экомед в виде суспензии для приема внутрь назначают детям с 6 месяцев. 3-х дневный курс: из расчета 10 мг/кг 1 раз в сутки (курсовая доза 30 мг/кг). 5-ти дневный курс: при болезни Лайма (боррелиоз) для лечения I стадии (erythema migrans) у детей доза составляет 20 мг/кг в первый день и 10 мг/кг со 2 по 5 день заболевания; курсовая доза 60 мг/кг.\u003Cbr\u003EСпособ приготовления суспензии\u003Cbr\u003EСуспензию готовят непосредственно перед применением.\u003Cbr\u003EПорошок во флаконе предварительно встряхивают, добавляют 12 мл кипяченой и охлажденной до комнатной температуры воды, используя шприц для дозирования, перемешивают, получая однородную суспензию. Для точной дозировки суспензии следует пользоваться дозировочной двусторонней ложкой или шприцем, которые нужно хорошо споласкивать водой после каждого применения.\u003Cbr\u003EПосле разведения готовую суспензию следует хранить не более 5 дней в холодильнике, но не замораживать.\u003Cbr\u003E"},{"name":"Побочные действия","value":"Со стороны пищеварительной системы: тошнота, рвота, диарея, боли в животе, жидкий стул, метеоризм, расстройство пищеварения, анорексия, запор, изменение цвета языка, псевдомембранозный колит, холестатическая желтуха, гепатит, изменение лабораторных показателей функции печени, печеночная недостаточность, некроз печени (возможно\u003Cbr\u003Eсо смертельным исходом), гипербилирубинемия, панкреатит, фульминантный гепатит.\u003Cbr\u003EАллергические реакции: зуд, кожные высыпания, ангионевротический отек, крапивница, фотосенсибилизация, анафилактическая реакция (в редких случаях со смертельным исходом), многоформная эритема, синдром Стивенса-Джонсона, токсический эпидермальный некролиз.\u003Cbr\u003EСо стороны сердечно-сосудистой системы: ощущение сердцебиения, аритмия, желудочковая тахикардия, увеличение интервала QT, двунаправленная желудочковая тахикардия, снижение артериального давления.\u003Cbr\u003EСо стороны нервной системы: головокружение/вертиго, головная боль, судороги, сонливость, парестезия, астения, бессонница, гиперактивность, агрессивность, беспокойство, нервозность, обморок, миастения.\u003Cbr\u003EСо стороны органов чувств: шум в ушах, обратимое нарушение слуха вплоть до глухоты (при приеме высоких доз в течение длительного времени), нарушение восприятия вкуса и запаха, нарушение четкости зрительного восприятия.\u003Cbr\u003EСо стороны органов кроветворения: тромбоцитопения, нейтропения, эозинофилия, лимфопения, гемолитическая анемия.\u003Cbr\u003EСо стороны опорно-двигательного аппарата: артралгия.\u003Cbr\u003EСо стороны мочеполовой системы: интерстициальный нефрит, острая почечная недостаточность, повышение концентрации мочевины и креатинина в плазме крови.\u003Cbr\u003EПрочие: вагинит, кандидоз, слабость, периферические отеки, недомогание.\u003Cbr\u003E"},{"name":"Фармакологическое действие","value":"Антибактериальный препарат широкого спектра действия из группы макролидов-азалидов, оказывает бактериостатическое действие. Связываясь с 50S субъединицей рибосом, угнетает пептидтранслоказу на стадии трансляции, подавляет синтез белка, замедляет рост и размножение бактерий, в высоких концентрациях оказывает бактерицидный эффект. Действует на вне- и внутриклеточно расположенных возбудителей. Микроорганизмы могут быть изначально устойчивыми к действию антибиотика или могут приобретать устойчивость к нему. Чувствительны: аэробные грамположительные микроорганизмы: Staphylococcus aureus (метициллинчувствительные), Streptococcus pneumoniae (пенициллинчувствительные), Streptococcus pyogenes; аэробные грамотрицательные микроорганизмы: Haemophilus influenzae, Haemophilus parainfluenzae, Legionella pneumophila, Moraxella catarrhalis, Pasteurella multocida, Neisseria gonorrhoeae; анаэробные микроорганизмы: Clostridium perfringens, Fusobacterium spp., Prevotella spp., Porphyromonas spp.; прочие: Chlamydia trachomatis, Chlamydia pneumoniae, Chlamydia psittaci, Mycoplasma pneumoniae, Mycoplasma hominis, Borrelia burgdorferi. Умеренно чувствительны или нечувствительны: аэробные грамположительные микроорганизмы: Streptococcus pneumoniae (умеренно чувствительные или резистентные к пенициллину). Устойчивы: аэробные грамположительные микроорганизмы: Enterococcus faecalis, Staphylococci зрр.(метициллинустойчивые). Анаэробы: группа Bacteroides fragilis. Streptococcus pneumoniae, бета-гемолитические Streptococcus spp. группы A, Enterococcus faecalis и Staphylococcus aureus (включая метициллинчувствительные штаммы), резистентные к эритромицину и прочим макролидам, линкозамидам, устойчивы и к азитромицину."},{"name":"Фармакологическая группа","value":"антибиотики"},{"name":"Форма выпуска","value":"порошок для приготовления суспензии для приема внутрь"},{"name":"Способ применения/введения","value":"пероральный","transition":{"type":"catalog","params":{"categorySlug":"antibiotiki-protivomikrobnye-i-protivoparazitarnye-sredstva","categoryId":"15756919","navnodeId":"72512","glfilters":["35947170:36763744"]}}},{"name":"Минимальный возраст применения","value":"от 18 лет"},{"name":"Условия хранения","value":"В защищенном от влаги и света месте при температуре не выше 25 °С. \u003Cbr /\u003EГотовую суспензию хранят при температуре от 2 ºС до 8 ºС в плотно закрытом флаконе.\u003Cbr /\u003EХранить в недоступном для детей месте."},{"name":"Передозировка","value":"Симптомы: временная потеря слуха, тошнота, рвота, диарея. Лечение симптоматическое."},{"name":"Применение при беременности и кормлении грудью","value":"При беременности азитромицин применяют только в случае, если предполагаемая польза для матери превышает потенциальный риск для плода.\u003Cbr /\u003EПериод грудного вскармливания\u003Cbr /\u003EВ период грудного вскармливания применяют только в случае, если предполагаемая польза для матери превышает потенциальный риск для ребенка. При необходимости применения азитромицина в период грудного вскармливания рекомендуется приостановить грудное вскармливание."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"В период лечения необходимо соблюдать осторожность при управлении транспортными средствами и занятии другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций."},{"name":"Особые указания","value":"С осторожностью:\u003Cbr\u003E- почечная недостаточность (клиренс креатинина (КК) более 40 мл/мин);\u003Cbr\u003E- печеночная недостаточность (класс А и В по шкале Чайлд-Пью);\u003Cbr\u003E- при аритмиях или предрасположенности к аритмиям и удлинению интервала QT;\u003Cbr\u003E- при совместном применении терфенадина, варфарина, дигоксина;\u003Cbr\u003E- миастения.\u003Cbr\u003EВ случае пропуска приема дозы пропущенную дозу следует принять как можно раньше, а последующие - с интервалом в 24 ч. Азитромицин следует принимать за 1 ч до или 2 ч после приема антацидных лекарственных средств.\u003Cbr\u003EПринимать с осторожностью пациентам с умеренной печеночной недостаточностью из-за возможности развития фульминантного гепатита и тяжелой печеночной недостаточности. При наличии симптомов нарушения функции печени (быстро нарастающая астения, желтуха, потемнение мочи, склонность к кровотечениям, печеночная энцефалопатия) терапию азитромицином следует прекратить и провести исследование функционального состояния печени.\u003Cbr\u003EПри умеренной почечной недостаточности (КК более 40 мл/мин) применение азитромицина следует проводить под контролем функции почек.\u003Cbr\u003EПротивопоказан одновременный прием азитромицина с производными эрготамина и дигидроэрготамина из-за возможного развития эрготизма. При применении препарата, как на фоне приема, так и через 2-3 недели после прекращения лечения, возможно развитие диареи, вызванной Clostridium difficile (псевдомембранозный колит). В легких случаях достаточно отмены лечения и применения Ионообменных смол (колестирамин, колестипол), в тяжелых случаях показано возмещение потери жидкости, электролитов и белка, назначение ванкомицина, бацитрацина или метронидазола. Нельзя применять лекарственные средства, тормозящие перистальтику кишечника.\u003Cbr\u003EПоскольку возможно удлинение интервала Q-T у пациентов, получавших макролиды, при применении азитромицина следует соблюдать осторожность у пациентов с известными факторами риска удлинения интервала Q-T: пожилой возраст; нарушение электролитного баланса (гипокалиемия, гипомагниемия); синдром врождённого удлинения интервала Q-T; заболевания сердца (сердечная недостаточность, инфаркт миокарда, брадикардия); одновременный прием лекарственных средств, способных удлинять интервал Q-T (в том числе антиаритмические лекарственные средства IA и III классов, трициклические и тетрациклические антидепрессанты, нейролептики, фторхинолоны).\u003Cbr\u003EПри применении азитромицина возможно развитие миастенического синдрома или обострение миастении.\u003Cbr\u003E"},{"name":"Взаимодействие","value":"Антациды (алюминий- и магнийсодержащие) не влияют на биодоступность, но снижают концентрацию азитромицина в крови на 30 %, поэтому интервал между их приемом должен составлять 1 ч до или 2 ч после приема указанных препаратов.\u003Cbr\u003EПри одновременном применении с производными эрготамина и дигидроэрготамина возможно усиление токсического действия последних (вазоспазм, дизестезия).\u003Cbr\u003EПри совместном применении с антикоагулянтами непрямого действия кумаринового ряда (варфарин) пациентам необходим тщательный контроль протромбинового времени.\u003Cbr\u003EНеобходимо соблюдать осторожность при совместном назначении терфенадина и азитромицина, поскольку было установлено, что одновременный прием терфенадина и макролидов вызывает аритмию и удлинение Q-T интервала. Исходя из этого, нельзя исключить вышеуказанных осложнений при совместном приеме терфенадина и азитромицина.\u003Cbr\u003EПри одновременном применении с циклоспорином необходимо контролировать концентрацию циклоспорина в крови.\u003Cbr\u003EПри одновременном применении с дигоксином необходим контроль концентрации дигоксина в крови (возможно повышение всасывания дигоксина в кишечнике).\u003Cbr\u003EПри одновременном применении с нелфинавиром возможно увеличение частоты побочных реакций азитромицина (снижение слуха, повышение активности \"печеночных\" трансаминаз). При одновременном применении с зидовудином азитромицин не влияет на фармакокинетические параметры зидовудина в плазме крови или на выведение почками его и его метаболита - глюкуронида, но увеличивается концентрация активного метаболита фосфорилированного зидовудина в моноядерных клетках периферических сосудов. Клиническое значение данного факта не определено.\u003Cbr\u003EСледует учитывать возможность ингибирования изофермента CYP3A4 азитромицина при одновременном применении с циклоспорином, терфенадином, алкалоидами спорыньи, цизапридом, пимозидом, хинидином, астемизолом и другими лекарственными средствами, метаболизм которых происходит с участием этого фермента.\u003Cbr\u003EАзитромицин не влияет на концентрацию карбамазепина, циметидина, диданозина, эфавиренза, флуконазола, индинавира, мидазолама, теофиллина, триазолама, триметоприма/сульфаметоксазола, цетиризина, силденафила, аторвастатина, рифабутина и метилпреднизолона в крови при одновременном применении.\u003Cbr\u003E"},{"name":"Регистрационный номер","value":"ЛП-002025\nЛП-№(002322)-(РГ-RU)"},{"name":"Дата государственной регистрации","value":"14.03.2018\n16.11.2023"},{"name":"Владелец регистрационного удостоверения","value":"AVVA RUS","transition":{"type":"catalog","params":{"categorySlug":"antibiotiki-protivomikrobnye-i-protivoparazitarnye-sredstva","categoryId":"15756919","navnodeId":"72512","glfilters":["34324371:35649313","7893318:16606699"]}}},{"name":"Изготовитель","value":"AVVA RUS"},{"name":"Фасовщик","value":"AVVA RUS"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Азитромицин","transition":{"type":"catalog","params":{"categorySlug":"antibiotiki-protivomikrobnye-i-protivoparazitarnye-sredstva","categoryId":"15756919","navnodeId":"72512","glfilters":["17796364:18036872"]}}},{"name":"Срок годности","value":"24 мес."}]}},"fullSpecsGrouped":{"7185972440366629250":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Назначение","value":"бактериальные инфекции верхних отделов дыхательных путей и ЛОР-органов, болезнь Лайма, бронхит, дерматозы, импетиго, инфекции кожи, пневмония, рожистое воспаление, синусит, средний отит, тонзиллит, фарингит"},{"name":"Органы и системы","value":"кожа, легкие, носоглотка, ротовая полость"},{"name":"Показания к применению","value":"Инфекционно-воспалительные заболевания, вызванные чувствительными к азитромицину микроорганизмами:\u003Cbr\u003E- инфекции верхних дыхательных путей и ЛОР-органов: фарингит, тонзиллит, синусит, средний отит;\u003Cbr\u003E- инфекции нижних дыхательных путей: острый бронхит, обострение хронического бронхита, пневмония, в т.ч. вызванная атипичными возбудителями;\u003Cbr\u003E- инфекции кожи и мягких тканей: рожа, импетиго, вторично инфицированные дерматозы;\u003Cbr\u003E- начальная стадия болезни Лайма (боррелиоз) - мигрирующая эритема (erythema migrans).\u003Cbr\u003E"},{"name":"Противопоказания","value":"- Повышенная чувствительность к азитромицину (в том числе к другим макролидам) или другим компонентам препарата;\u003Cbr\u003E- тяжелая почечная недостаточность (клиренс креатинина (КК) менее 40 мл/мин);\u003Cbr\u003E- тяжелая печеночная недостаточность (класс С по шкале Чайлд-Пью);\u003Cbr\u003E- грудное вскармливание;\u003Cbr\u003E- одновременный прием с эрготамином и дигидроэрготамином;\u003Cbr\u003E- детский возраст до 6 месяцев;\u003Cbr\u003E- дефицит сахаразы/изомальтазы, непереносимость фруктозы, глюкозо-галактозная мальабсорбция.\u003Cbr\u003E"},{"name":"Состав","value":"Состав компонентов в 5 мл суспензии:\u003Cbr /\u003EДействующее вещество:\u003Cbr /\u003Eазитромицина дигидрат 104,82 мг /209,64 мг\u003Cbr /\u003E(в пересчете на азитромицин) 100,00 мг/ 200,00 мг\u003Cbr /\u003EВспомогательные вещества:\u003Cbr /\u003Eлактитол\t200,00 мг/400,00 мг\u003Cbr /\u003Eнатрия карбонат безводный\t83,00 мг/83,00 мг\u003Cbr /\u003Eкросповидон (коллидон CL-M)/65,00 мг/65,00 мг\u003Cbr /\u003Eароматизатор клубничный/55,00 мг/55,00 мг\u003Cbr /\u003Eнатрия бензоат/16,50 мг/16,50 мг\u003Cbr /\u003Eкамедь ксантановая/15,00 мг/15,00 мг\u003Cbr /\u003Eароматизатор яблочный/13,75 мг/13,75 мг\u003Cbr /\u003Eароматизатор коричный/13,75 мг/13,75 мг\u003Cbr /\u003Eтитана диоксид/10,00 мг/10,00 мг\u003Cbr /\u003Eкремния диоксид коллоидный /5,50 мг/5,50 мг\u003Cbr /\u003Eароматизатор мятный/0,50 мг /0,50 мг\u003Cbr /\u003Eсахароза до массы/3,75 г/3,75 г\u003Cbr /\u003E"},{"name":"Действующее вещество","value":"Азитромицин"},{"name":"Способ применения и дозы","value":"Экомед в виде суспензии для приема внутрь назначают детям с 6 месяцев. 3-х дневный курс: из расчета 10 мг/кг 1 раз в сутки (курсовая доза 30 мг/кг). 5-ти дневный курс: при болезни Лайма (боррелиоз) для лечения I стадии (erythema migrans) у детей доза составляет 20 мг/кг в первый день и 10 мг/кг со 2 по 5 день заболевания; курсовая доза 60 мг/кг.\u003Cbr\u003EСпособ приготовления суспензии\u003Cbr\u003EСуспензию готовят непосредственно перед применением.\u003Cbr\u003EПорошок во флаконе предварительно встряхивают, добавляют 12 мл кипяченой и охлажденной до комнатной температуры воды, используя шприц для дозирования, перемешивают, получая однородную суспензию. Для точной дозировки суспензии следует пользоваться дозировочной двусторонней ложкой или шприцем, которые нужно хорошо споласкивать водой после каждого применения.\u003Cbr\u003EПосле разведения готовую суспензию следует хранить не более 5 дней в холодильнике, но не замораживать.\u003Cbr\u003E"},{"name":"Побочные действия","value":"Со стороны пищеварительной системы: тошнота, рвота, диарея, боли в животе, жидкий стул, метеоризм, расстройство пищеварения, анорексия, запор, изменение цвета языка, псевдомембранозный колит, холестатическая желтуха, гепатит, изменение лабораторных показателей функции печени, печеночная недостаточность, некроз печени (возможно\u003Cbr\u003Eсо смертельным исходом), гипербилирубинемия, панкреатит, фульминантный гепатит.\u003Cbr\u003EАллергические реакции: зуд, кожные высыпания, ангионевротический отек, крапивница, фотосенсибилизация, анафилактическая реакция (в редких случаях со смертельным исходом), многоформная эритема, синдром Стивенса-Джонсона, токсический эпидермальный некролиз.\u003Cbr\u003EСо стороны сердечно-сосудистой системы: ощущение сердцебиения, аритмия, желудочковая тахикардия, увеличение интервала QT, двунаправленная желудочковая тахикардия, снижение артериального давления.\u003Cbr\u003EСо стороны нервной системы: головокружение/вертиго, головная боль, судороги, сонливость, парестезия, астения, бессонница, гиперактивность, агрессивность, беспокойство, нервозность, обморок, миастения.\u003Cbr\u003EСо стороны органов чувств: шум в ушах, обратимое нарушение слуха вплоть до глухоты (при приеме высоких доз в течение длительного времени), нарушение восприятия вкуса и запаха, нарушение четкости зрительного восприятия.\u003Cbr\u003EСо стороны органов кроветворения: тромбоцитопения, нейтропения, эозинофилия, лимфопения, гемолитическая анемия.\u003Cbr\u003EСо стороны опорно-двигательного аппарата: артралгия.\u003Cbr\u003EСо стороны мочеполовой системы: интерстициальный нефрит, острая почечная недостаточность, повышение концентрации мочевины и креатинина в плазме крови.\u003Cbr\u003EПрочие: вагинит, кандидоз, слабость, периферические отеки, недомогание.\u003Cbr\u003E"},{"name":"Фармакологическое действие","value":"Антибактериальный препарат широкого спектра действия из группы макролидов-азалидов, оказывает бактериостатическое действие. Связываясь с 50S субъединицей рибосом, угнетает пептидтранслоказу на стадии трансляции, подавляет синтез белка, замедляет рост и размножение бактерий, в высоких концентрациях оказывает бактерицидный эффект. Действует на вне- и внутриклеточно расположенных возбудителей. Микроорганизмы могут быть изначально устойчивыми к действию антибиотика или могут приобретать устойчивость к нему. Чувствительны: аэробные грамположительные микроорганизмы: Staphylococcus aureus (метициллинчувствительные), Streptococcus pneumoniae (пенициллинчувствительные), Streptococcus pyogenes; аэробные грамотрицательные микроорганизмы: Haemophilus influenzae, Haemophilus parainfluenzae, Legionella pneumophila, Moraxella catarrhalis, Pasteurella multocida, Neisseria gonorrhoeae; анаэробные микроорганизмы: Clostridium perfringens, Fusobacterium spp., Prevotella spp., Porphyromonas spp.; прочие: Chlamydia trachomatis, Chlamydia pneumoniae, Chlamydia psittaci, Mycoplasma pneumoniae, Mycoplasma hominis, Borrelia burgdorferi. Умеренно чувствительны или нечувствительны: аэробные грамположительные микроорганизмы: Streptococcus pneumoniae (умеренно чувствительные или резистентные к пенициллину). Устойчивы: аэробные грамположительные микроорганизмы: Enterococcus faecalis, Staphylococci зрр.(метициллинустойчивые). Анаэробы: группа Bacteroides fragilis. Streptococcus pneumoniae, бета-гемолитические Streptococcus spp. группы A, Enterococcus faecalis и Staphylococcus aureus (включая метициллинчувствительные штаммы), резистентные к эритромицину и прочим макролидам, линкозамидам, устойчивы и к азитромицину."},{"name":"Фармакологическая группа","value":"антибиотики"},{"name":"Форма выпуска","value":"порошок для приготовления суспензии для приема внутрь"},{"name":"Способ применения/введения","value":"пероральный"},{"name":"Минимальный возраст применения","value":"от 18 лет"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"В защищенном от влаги и света месте при температуре не выше 25 °С. \u003Cbr /\u003EГотовую суспензию хранят при температуре от 2 ºС до 8 ºС в плотно закрытом флаконе.\u003Cbr /\u003EХранить в недоступном для детей месте."},{"name":"Передозировка","value":"Симптомы: временная потеря слуха, тошнота, рвота, диарея. Лечение симптоматическое."},{"name":"Применение при беременности и кормлении грудью","value":"При беременности азитромицин применяют только в случае, если предполагаемая польза для матери превышает потенциальный риск для плода.\u003Cbr /\u003EПериод грудного вскармливания\u003Cbr /\u003EВ период грудного вскармливания применяют только в случае, если предполагаемая польза для матери превышает потенциальный риск для ребенка. При необходимости применения азитромицина в период грудного вскармливания рекомендуется приостановить грудное вскармливание."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"В период лечения необходимо соблюдать осторожность при управлении транспортными средствами и занятии другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций."},{"name":"Особые указания","value":"С осторожностью:\u003Cbr\u003E- почечная недостаточность (клиренс креатинина (КК) более 40 мл/мин);\u003Cbr\u003E- печеночная недостаточность (класс А и В по шкале Чайлд-Пью);\u003Cbr\u003E- при аритмиях или предрасположенности к аритмиям и удлинению интервала QT;\u003Cbr\u003E- при совместном применении терфенадина, варфарина, дигоксина;\u003Cbr\u003E- миастения.\u003Cbr\u003EВ случае пропуска приема дозы пропущенную дозу следует принять как можно раньше, а последующие - с интервалом в 24 ч. Азитромицин следует принимать за 1 ч до или 2 ч после приема антацидных лекарственных средств.\u003Cbr\u003EПринимать с осторожностью пациентам с умеренной печеночной недостаточностью из-за возможности развития фульминантного гепатита и тяжелой печеночной недостаточности. При наличии симптомов нарушения функции печени (быстро нарастающая астения, желтуха, потемнение мочи, склонность к кровотечениям, печеночная энцефалопатия) терапию азитромицином следует прекратить и провести исследование функционального состояния печени.\u003Cbr\u003EПри умеренной почечной недостаточности (КК более 40 мл/мин) применение азитромицина следует проводить под контролем функции почек.\u003Cbr\u003EПротивопоказан одновременный прием азитромицина с производными эрготамина и дигидроэрготамина из-за возможного развития эрготизма. При применении препарата, как на фоне приема, так и через 2-3 недели после прекращения лечения, возможно развитие диареи, вызванной Clostridium difficile (псевдомембранозный колит). В легких случаях достаточно отмены лечения и применения Ионообменных смол (колестирамин, колестипол), в тяжелых случаях показано возмещение потери жидкости, электролитов и белка, назначение ванкомицина, бацитрацина или метронидазола. Нельзя применять лекарственные средства, тормозящие перистальтику кишечника.\u003Cbr\u003EПоскольку возможно удлинение интервала Q-T у пациентов, получавших макролиды, при применении азитромицина следует соблюдать осторожность у пациентов с известными факторами риска удлинения интервала Q-T: пожилой возраст; нарушение электролитного баланса (гипокалиемия, гипомагниемия); синдром врождённого удлинения интервала Q-T; заболевания сердца (сердечная недостаточность, инфаркт миокарда, брадикардия); одновременный прием лекарственных средств, способных удлинять интервал Q-T (в том числе антиаритмические лекарственные средства IA и III классов, трициклические и тетрациклические антидепрессанты, нейролептики, фторхинолоны).\u003Cbr\u003EПри применении азитромицина возможно развитие миастенического синдрома или обострение миастении.\u003Cbr\u003E"},{"name":"Взаимодействие","value":"Антациды (алюминий- и магнийсодержащие) не влияют на биодоступность, но снижают концентрацию азитромицина в крови на 30 %, поэтому интервал между их приемом должен составлять 1 ч до или 2 ч после приема указанных препаратов.\u003Cbr\u003EПри одновременном применении с производными эрготамина и дигидроэрготамина возможно усиление токсического действия последних (вазоспазм, дизестезия).\u003Cbr\u003EПри совместном применении с антикоагулянтами непрямого действия кумаринового ряда (варфарин) пациентам необходим тщательный контроль протромбинового времени.\u003Cbr\u003EНеобходимо соблюдать осторожность при совместном назначении терфенадина и азитромицина, поскольку было установлено, что одновременный прием терфенадина и макролидов вызывает аритмию и удлинение Q-T интервала. Исходя из этого, нельзя исключить вышеуказанных осложнений при совместном приеме терфенадина и азитромицина.\u003Cbr\u003EПри одновременном применении с циклоспорином необходимо контролировать концентрацию циклоспорина в крови.\u003Cbr\u003EПри одновременном применении с дигоксином необходим контроль концентрации дигоксина в крови (возможно повышение всасывания дигоксина в кишечнике).\u003Cbr\u003EПри одновременном применении с нелфинавиром возможно увеличение частоты побочных реакций азитромицина (снижение слуха, повышение активности \"печеночных\" трансаминаз). При одновременном применении с зидовудином азитромицин не влияет на фармакокинетические параметры зидовудина в плазме крови или на выведение почками его и его метаболита - глюкуронида, но увеличивается концентрация активного метаболита фосфорилированного зидовудина в моноядерных клетках периферических сосудов. Клиническое значение данного факта не определено.\u003Cbr\u003EСледует учитывать возможность ингибирования изофермента CYP3A4 азитромицина при одновременном применении с циклоспорином, терфенадином, алкалоидами спорыньи, цизапридом, пимозидом, хинидином, астемизолом и другими лекарственными средствами, метаболизм которых происходит с участием этого фермента.\u003Cbr\u003EАзитромицин не влияет на концентрацию карбамазепина, циметидина, диданозина, эфавиренза, флуконазола, индинавира, мидазолама, теофиллина, триазолама, триметоприма/сульфаметоксазола, цетиризина, силденафила, аторвастатина, рифабутина и метилпреднизолона в крови при одновременном применении.\u003Cbr\u003E"},{"name":"Регистрационный номер","value":"ЛП-002025\nЛП-№(002322)-(РГ-RU)"},{"name":"Дата государственной регистрации","value":"14.03.2018\n16.11.2023"},{"name":"Владелец регистрационного удостоверения","value":"AVVA RUS"},{"name":"Изготовитель","value":"AVVA RUS"},{"name":"Фасовщик","value":"AVVA RUS"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Азитромицин"},{"name":"Срок годности","value":"24 мес."}]}],"transitionId":"tr_18262604804863617625"}}}}
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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164 ₽

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    Азитромицин капс., 250 мг, 6 шт.

    Рейтинг товара: 4.7 из 5
    на основе 158 оценок
    Цена 83 ₽
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  • Сумамед пор. д/приг. сусп. д/вн. прим., 100 мг/5 мл, 20 мл, 20.925 г, 1 шт.
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    Сумамед пор. д/приг. сусп. д/вн. прим., 100 мг/5 мл, 20 мл, 20.925 г, 1 шт.

    Рейтинг товара: 5 из 5
    на основе 2 оценки
    Цена 206 ₽
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  • Зинфоро пор. д/приг. конц. д/приг. р-ра д/инф. фл., 600 мг, 10 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-jfbcnhoshyk/toggleWishlist":{"skuId":"186523966","productId":1778176869,"offerId":"KGl6sGVmSSeJBrCj6NWJmA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ3omkh76Fs5QwEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUI5abzzwYQvsL4WBi7k4wGIPfcwQc=","sign":"5E4Ivzrp/ieLC+cLJuLOQzBhvmiwJBK8hmssiWveeXM="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-jfbcnhoshyk/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Зинфоро пор. д/приг. конц. д/приг. р-ра д/инф. фл., 600 мг, 10 шт.

    Цена 29 579 ₽
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  • Сумамед форте пор. д/приг. сусп. д/вн. приема, 200 мг/5 мл, 15 мл, 16.74 г, 1 шт., банан
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    Сумамед форте пор. д/приг. сусп. д/вн. приема, 200 мг/5 мл, 15 мл, 16.74 г, 1 шт., банан

    Рейтинг товара: 4.8 из 5
    на основе 8 оценок
    Цена 261 ₽
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  • Азитромицин капс., 250 мг, 6 шт.
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    Азитромицин капс., 250 мг, 6 шт.

    Рейтинг товара: 5 из 5
    на основе 14 оценок
    Цена 94 ₽
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  • Хемомицин пор. д/приг. сусп д/вн. приема, 200 мг/5 мл, 20 мл, 10 г, 1 шт.
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    Хемомицин пор. д/приг. сусп д/вн. приема, 200 мг/5 мл, 20 мл, 10 г, 1 шт.

    Рейтинг товара: 4.9 из 5
    на основе 21 оценка
    Цена 191 ₽
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  • Сумамед таб. п/о плен., 125 мг, 6 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-vjsgjwiqdo/toggleWishlist":{"skuId":"227830469","productId":1434054474,"offerId":"3_TkWVvLChzVUlFiB4pZAQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ3omkh76Fs5QwEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIyt7nqwUQxdXRbBjI3dAHIPfcwQc=","sign":"kcTTly72CxUnilMdTk/U7/LnuisFnocYj/B66O2FMVE="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-vjsgjwiqdo/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Сумамед таб. п/о плен., 125 мг, 6 шт.

    Рейтинг товара: 4.9 из 5
    на основе 33 оценки
    Цена 219 ₽
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  • Азитромицин Экомед таб. п/о плен., 250 мг, 6 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-ra4zrcd16ve/toggleWishlist":{"skuId":"661435021","productId":1434054553,"offerId":"0K_O3IM-HMpToWUG4sSM-Q","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ3omkh76Fs5QwEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYImd/nqwUQjeWyuwIY68v1ByD33MEH","sign":"DHGZGaD9Bxui34HI8uOlIKNBrKz4+oosieyc9tvnNlA="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-ra4zrcd16ve/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Азитромицин Экомед таб. п/о плен., 250 мг, 6 шт.

    Рейтинг товара: 5 из 5
    на основе 1 оценка
    Цена 220 ₽
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  • Амоксициллин капс., 500 мг, 16 шт.
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    Амоксициллин капс., 500 мг, 16 шт.

    Рейтинг товара: 4.9 из 5
    на основе 64 оценки
    Цена 115 ₽
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  • Азитромицин таб. п/о плен., 500 мг, 3 шт.
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    Азитромицин таб. п/о плен., 500 мг, 3 шт.

    Рейтинг товара: 4.9 из 5
    на основе 8 оценок
    Цена 216 ₽
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Инструкция

Показания к применению

Инфекционно-воспалительные заболевания, вызванные чувствительными к азитромицину микроорганизмами:
- инфекции верхних дыхательных путей и ЛОР-органов: фарингит, тонзиллит, синусит, средний отит;
- инфекции нижних дыхательных путей: острый бронхит, обострение хронического бронхита, пневмония, в т.ч. вызванная атипичными возбудителями;
- инфекции кожи и мягких тканей: рожа, импетиго, вторично инфицированные дерматозы;
- начальная стадия болезни Лайма (боррелиоз) - мигрирующая эритема (erythema migrans).

Противопоказания

- Повышенная чувствительность к азитромицину (в том числе к другим макролидам) или другим компонентам препарата;
- тяжелая почечная недостаточность (клиренс креатинина (КК) менее 40 мл/мин);
- тяжелая печеночная недостаточность (класс С по шкале Чайлд-Пью);
- грудное вскармливание;
- одновременный прием с эрготамином и дигидроэрготамином;
- детский возраст до 6 месяцев;
- дефицит сахаразы/изомальтазы, непереносимость фруктозы, глюкозо-галактозная мальабсорбция.

Способ применения и дозы

Экомед в виде суспензии для приема внутрь назначают детям с 6 месяцев. 3-х дневный курс: из расчета 10 мг/кг 1 раз в сутки (курсовая доза 30 мг/кг). 5-ти дневный курс: при болезни Лайма (боррелиоз) для лечения I стадии (erythema migrans) у детей доза составляет 20 мг/кг в первый день и 10 мг/кг со 2 по 5 день заболевания; курсовая доза 60 мг/кг.
Способ приготовления суспензии
Суспензию готовят непосредственно перед применением.
Порошок во флаконе предварительно встряхивают, добавляют 12 мл кипяченой и охлажденной до комнатной температуры воды, используя шприц для дозирования, перемешивают, получая однородную суспензию. Для точной дозировки суспензии следует пользоваться дозировочной двусторонней ложкой или шприцем, которые нужно хорошо споласкивать водой после каждого применения.
После разведения готовую суспензию следует хранить не более 5 дней в холодильнике, но не замораживать.
Полная инструкция
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Азитромицин Экомед пор. д/приг. сусп. д/вн. приема
Азитромицин Экомед пор. д/приг. сусп. д/вн. приема, 100 мг/5 мл, 16.5 г, 1 шт.
У продавца: 
нет • На Маркете: 4.8
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4 вопроса
Инструкция

164 ₽

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