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Лидокаин р-р д/ин., 20 мг/мл, 2 мл, 10 шт.

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5.0
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Дозировка: 20 мг/мл

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Коротко о товаре

Артикул Маркета
3351784714
Тип препарата
Назначение
Действующее вещество
Страна-производитель
Россия
Инструкция
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Терминальная анестезия в офтальмологии. Профилактика повторной фибрилляции желудочков при остром коронарном синдроме и повторных пароксизмов желудочковой тахикардии (обычно в течение 12-24 ч). Желудочковые аритмии, обусловленные гликозидной интоксикацией."},{"name":"Противопоказания","value":"Синдром слабости синусового узла; выраженная брадикардия; атриовентрикулярная блокада II-III степени (за исключением случаев, когда введен зонд для стимуляции желудочков): синоатриальная блокада, синдром Вольфа-Паркинсона-Уайта, острая и хроническая сердечная недостаточность (III-IV функциональный класс): кардиогенный шок, выраженное снижение артериального давления, синдром Адамса-Стокса: нарушения внутрижелудочковой проводимости, гиперчувствительность к любому из компонентов препарата; ретробульбарное введение больным с глаукомой."},{"name":"Состав","value":"1 мл раствора содержит активное вещество: лидокаина гидрохлорид (в пересчете на безводное вещество) - 20,0 мг или 100,0 мг; вспомогательные вещества: натрия хлорид - 6,0 мг, натрия гидроксид 1 М раствор - до рН 5,0-7,0, вода для инъекций - до 1 мл."},{"name":"Действующее вещество","value":"Лидокаин","transition":{"type":"catalog","params":{"categorySlug":"anesteziia-rastvoriteli-i-kontrastnye-veshchestva","categoryId":"15758037","navnodeId":"72693","glfilters":["27144131:28708280"]}}},{"name":"Способ применения и дозы","value":"Для инфильтрационной анестезии: внутрикожно, подкожно, внутримышечно. Применяют раствор лидокаина для блокады периферических нервов и нервных сплетений: периневрально, 5-10 мл раствора 20 мг/мл, для проводниковой анестезии: периневрально применяют раствор 20 мг/мл (не более 400 мг), для эпидуральной анестезии: эпидурально раствор 20 мг/мл (не более 300 мг), для спинальной анестезии: субарахноидально, 3-4 мл раствора 20 мг/мл (60-80 мг), в офтальмологии: раствор 20 мг/мл закапывают в конъюнктивальный мешок по 2 капли 2-3 раза с интервалом 30-60 секунд непосредственно перед хирургическим вмешательством или исследованием.\u003Cbr\u003E\u003Cbr\u003EДля удлинения действия лидокаина возможно добавление ex tempore 0,1 % раствора адреналина (по 1 капле на 5-10 мл раствора лидокаина, но не более 5 капель на весь объем раствора). Рекомендуется снижение дозы лидокаина у пожилых пациентов и больных с заболеваниями печени (цирроз, гепатит) или со сниженным печеночным кровотоком (хроническая сердечная недостаточность) на 40-50 %. При хронической почечной недостаточности коррекции дозы не требуется.\u003Cbr\u003E\u003Cbr\u003EВ качестве антиаритмического средства внутривенно, 25 мл раствора 100 мг/мл следует развести 100 мл физиологического раствора до концентрации лидокаина 20 мг/мл. Этот разведенный раствор используют для введения нагрузочной дозы. Введение начинается с нагрузочной дозы 1 мг/кг (в течение 2-4 мин со скоростью 25-50 мг/мин) с немедленным подключением постоянной инфузии со скоростью 1-4 мг/мин. Вследствие быстрого распределения (период полувыведения приблизительно 8 мин), через 10-20 мин после введения первой дозы происходит снижение концентрации препарата в плазме крови, что может потребовать повторного болюсного введения (на фоне постоянной инфузии) в дозе равной 1/2-1/3 нагрузочной дозы, с интервалом 8-10 мин. Максимальная доза в 1 час - 300 мг, в сутки - 2000 мг. Внутривенную инфузию обычно проводят в течение 12-24 часов с постоянным ЭКГ-мониторированием, после чего инфузию прекращают, чтобы оценить необходимость изменения антиаритмической терапии у пациента."},{"name":"Побочные действия","value":"Со стороны центральной и периферической нервной системы: головная боль, головокружение, слабость, двигательное беспокойство, нистагм, потеря сознания, сонливость, зрительные и слуховые нарушения, тремор, судороги (риск их развития повышается на фоне гиперкапнии и ацидоза), синдром \"конского хвоста\" (паралич ног, парестезии) - вызывает чаще других местноанестезирующих средств, паралич дыхательных мышц, остановка дыхания, блок моторный и чувствительный, респираторный паралич (чаще развивается при субарахноидальной анестезии), онемение языка (при использовании в стоматологии).\u003Cbr\u003EСо стороны сердечно-сосудистой системы: повышение или снижение артериального давления, тахикардия - при введении с вазоконстриктором, периферическая вазодилатация, коллапс, боль в грудной клетке.\u003Cbr\u003EАллергические реакции: кожная сыпь, крапивница (на коже и слизистых оболочках), зуд кожи, ангионевротический отек, анафилактический шок.\u003Cbr\u003EСо стороны мочевыделительной системы: непроизвольное мочеиспускание.\u003Cbr\u003EСо стороны пищеварительной системы: тошнота, рвота, непроизвольная дефекация.\u003Cbr\u003EСо стороны крови: метгемоглобинемия.\u003Cbr\u003EМестные реакции: при спинальной анестезии - боль в спине, при эпидуральной анестезии -\u003Cbr\u003Eслучайное попадание в субарахноидальное пространство.\u003Cbr\u003EПрочие: стойкая анестезия, снижение либидо и/или потенции, гипотермия."},{"name":"Фармакологическое действие","value":"Лидокаин по химической структуре относится к производным ацетанилида. Обладает выраженным местноанестезирующим и антиаритмическим (lb класс) действием. Местноанестезирующее действие обусловлено угнетением нервной проводимости за счет блокады натриевых каналов в нервных окончаниях и нервных волокнах. По своему анестезирующему действию лидокаин значительно (в 2-6 раз) превосходит прокаин; действие лидокаина развивается быстрее и длится дольше - до 75 минут, а при одновременном применении с эпинефрином - более 2 часов. При местном применении расширяет сосуды, не оказывает местнораздражающего действия.\u003Cbr\u003E\u003Cbr\u003EАнтиаритмические свойства лидокаина обусловлены его способностью стабилизировать клеточную мембрану, блокировать натриевые каналы, увеличивать проницаемость мембран для ионов калия. Практически не влияя на электрофизиологическое состояние предсердий, лидокаин ускоряет реполяризацию в желудочках, угнетает IV фазу деполяризации в волокнах Пуркинье (фаза диастолической деполяризации), уменьшая их автоматизм и продолжительность потенциала действия, увеличивает минимальную разность потенциалов, при которой миофибриллы реагируют на преждевременную стимуляцию. На скорость быстрой деполяризации (фаза 0) не влияет или незначительно снижает. Не оказывает существенного влияния на проводимость и сократимость миокарды (угнетает проводимость только в больших, близких к токсическим дозах). Интервалы PQ, QRS и QT под его влиянием на электрокардиограмме (ЭКГ) не изменяются. Отрицательный инотропный эффект также выражен незначительно и проявляется кратковременно лишь при быстром введении препарата в больших дозах."},{"name":"Фармакологическая группа","value":"местноанестезирующее средство"},{"name":"Форма выпуска","value":"раствор для инъекций"},{"name":"Способ применения/введения","value":"парентеральный","transition":{"type":"catalog","params":{"categorySlug":"anesteziia-rastvoriteli-i-kontrastnye-veshchestva","categoryId":"15758037","navnodeId":"72693","glfilters":["35947170:36763748"]}}},{"name":"Условия хранения","value":"В защищенном от света месте при температуре не выше 25 °С. Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"Симптомы: первые признаки интоксикации - головокружение, тошнота, рвота, эйфория; затем - судороги мимической мускулатуры лица с переходом в тонико-клонические судороги скелетной мускулатуры, психомоторное возбуждение, астения, апноэ, брадикардия, снижение артериального давления, коллапс, метгемоглобинемия; при использовании при родах у новорожденного - брадикардия, угнетение дыхательного центра, апноэ.\u003Cbr\u003E\u003Cbr\u003EЛечение: пациент должен находиться в горизонтальном положении; назначают ингаляцию кислорода. В случае проявления судорог вводят внутривенно 10 мг диазепама. При брадикардии - м-холиноблокаторы (атропин), вазоконстрикторы (норэпинефрин, фенилэфрин). Диализ неэффективен."},{"name":"Применение при беременности и кормлении грудью","value":"В периоды беременности и кормления грудью препарат следует применять, когда польза превышает риск для беременной и матери, для плода и новорожденного (проникает через плацентарный барьер, выделяется с грудным молоком)."},{"name":"Особые указания","value":"Особую осторожность следует проявлять при проведении местной анестезии богатых кровеносными сосудами органов; следует избегать внутрисосудистой инъекции во время введения.\u003Cbr\u003E\u003Cbr\u003EПри введении в васкуляризованные ткани рекомендуется проводить аспирационную пробу. Необходимо отменить ингибиторы моноаминоксидазы не менее чем за 10 дней до планирования проведения субархноидальной анестезии с помощью лидокаина. В период лечения необходимо соблюдать осторожность при вождении автотранспорта и занятии др. потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций. \u003Cbr\u003EС осторожностью:\u003Cbr\u003EХроническая сердечная недостаточность II-III функциональный класс, тяжелая печеночная и/или почечная недостаточность, гиповолемия, атриовентрикулярная блокада I-II степени, синусовая брадикардия, артериальная гипотензия, тяжелая миастения, эпилептиформные судороги (в том числе в анамнезе)."},{"name":"Взаимодействие","value":"Бета-адреноблокаторы и циметидин повышают риск развития токсических эффектов. Снижает кардиотонический эффект дигитоксина. Усиливает мышечную релаксацию курареподобных препаратов. Усиливает и удлиняет действие миорелаксантов. Аймалин, амиодарон, верапамил и хинидин усиливают отрицательный инотропный эффект. Индукторы микросомальных ферментов печени (барбитураты, фенитоин, рифампицин) снижают эффективность лидокаина. Кроме того, при совместном применении с фенитоином возможно развитие кардиодепрессивного эффекта. Вазоконстрикторы (эпинефрин, метоксамин, фенилэфрин) удлиняют местноанестезирующее действие лидокаина и могут вызывать повышение артериального давления и тахикардию. Лидокаин снижает эффект антимиастенических средств (прозерин, оксазил и др.). Совместное применение с прокаинамидом может вызвать возбуждение центральной нервной системы, галлюцинации. Гуанадрел, гуанетидин. мекамиламин, триметафан повышают риск выраженного снижения артериального давления и брадикардии. Под влиянием ингибиторов моноаминоксидазы вероятно усиление местноанестезирующего действия лидокаина и снижение артериального давления. Больным, принимающим ингибиторы моноаминоксидазы, не следует назначать лидокаин парентерально. При одновременном назначении лидокаина и полимиксина-В необходимо следить за функцией дыхания больного. При сочетанном применении лидокаина со снотворными или седативными средствами, наркотическими анальгетиками, гексеналом или тиопентал натрием возможно усиление угнетающего действия на центральную нервную систему и дыхание. При внутривенном введении лидокаина больным, принимающим циметидин, возможны такие нежелательные эффекты, как состояние оглушенности, сонливость, брадикардия, парестезии и др. Это связано с повышением уровня лидокаина в плазме крови, что объясняется высвобождением лидокаина из связи с белками крови, а также замедлением его инактивации в печени. В случае необходимости проведения комбинированной терапии этими препаратами следует уменьшать дозу лидокаина. При обработке места инъекции дезинфицирующими растворами, содержащими тяжелые металлы, повышается риск развития местной реакции в виде болезненности и отека."},{"name":"Регистрационный номер","value":"Р N003576/01"},{"name":"Дата государственной регистрации","value":"31.10.2018"},{"name":"Владелец регистрационного удостоверения","value":"Органика","transition":{"type":"catalog","params":{"categorySlug":"anesteziia-rastvoriteli-i-kontrastnye-veshchestva","categoryId":"15758037","navnodeId":"72693","glfilters":["34324371:35649313","7893318:16002709"]}}},{"name":"Изготовитель","value":"Органика"},{"name":"Фасовщик","value":"Органика"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Лидокаин","transition":{"type":"catalog","params":{"categorySlug":"anesteziia-rastvoriteli-i-kontrastnye-veshchestva","categoryId":"15758037","navnodeId":"72693","glfilters":["17796364:17879631"]}}},{"name":"Срок годности","value":"60 мес."}]}},"fullSpecsGrouped":{"2722969125399035067":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Назначение","value":"местная анестезия, проводниковая анестезия, хирургическая анестезия"},{"name":"Органы и системы","value":"нервная система"},{"name":"Показания к применению","value":"Инфильтрационная, проводниковая, спинальная и эпидуральная анестезия. Терминальная анестезия в офтальмологии. Профилактика повторной фибрилляции желудочков при остром коронарном синдроме и повторных пароксизмов желудочковой тахикардии (обычно в течение 12-24 ч). Желудочковые аритмии, обусловленные гликозидной интоксикацией."},{"name":"Противопоказания","value":"Синдром слабости синусового узла; выраженная брадикардия; атриовентрикулярная блокада II-III степени (за исключением случаев, когда введен зонд для стимуляции желудочков): синоатриальная блокада, синдром Вольфа-Паркинсона-Уайта, острая и хроническая сердечная недостаточность (III-IV функциональный класс): кардиогенный шок, выраженное снижение артериального давления, синдром Адамса-Стокса: нарушения внутрижелудочковой проводимости, гиперчувствительность к любому из компонентов препарата; ретробульбарное введение больным с глаукомой."},{"name":"Состав","value":"1 мл раствора содержит активное вещество: лидокаина гидрохлорид (в пересчете на безводное вещество) - 20,0 мг или 100,0 мг; вспомогательные вещества: натрия хлорид - 6,0 мг, натрия гидроксид 1 М раствор - до рН 5,0-7,0, вода для инъекций - до 1 мл."},{"name":"Действующее вещество","value":"Лидокаин"},{"name":"Способ применения и дозы","value":"Для инфильтрационной анестезии: внутрикожно, подкожно, внутримышечно. Применяют раствор лидокаина для блокады периферических нервов и нервных сплетений: периневрально, 5-10 мл раствора 20 мг/мл, для проводниковой анестезии: периневрально применяют раствор 20 мг/мл (не более 400 мг), для эпидуральной анестезии: эпидурально раствор 20 мг/мл (не более 300 мг), для спинальной анестезии: субарахноидально, 3-4 мл раствора 20 мг/мл (60-80 мг), в офтальмологии: раствор 20 мг/мл закапывают в конъюнктивальный мешок по 2 капли 2-3 раза с интервалом 30-60 секунд непосредственно перед хирургическим вмешательством или исследованием.\u003Cbr\u003E\u003Cbr\u003EДля удлинения действия лидокаина возможно добавление ex tempore 0,1 % раствора адреналина (по 1 капле на 5-10 мл раствора лидокаина, но не более 5 капель на весь объем раствора). Рекомендуется снижение дозы лидокаина у пожилых пациентов и больных с заболеваниями печени (цирроз, гепатит) или со сниженным печеночным кровотоком (хроническая сердечная недостаточность) на 40-50 %. При хронической почечной недостаточности коррекции дозы не требуется.\u003Cbr\u003E\u003Cbr\u003EВ качестве антиаритмического средства внутривенно, 25 мл раствора 100 мг/мл следует развести 100 мл физиологического раствора до концентрации лидокаина 20 мг/мл. Этот разведенный раствор используют для введения нагрузочной дозы. Введение начинается с нагрузочной дозы 1 мг/кг (в течение 2-4 мин со скоростью 25-50 мг/мин) с немедленным подключением постоянной инфузии со скоростью 1-4 мг/мин. Вследствие быстрого распределения (период полувыведения приблизительно 8 мин), через 10-20 мин после введения первой дозы происходит снижение концентрации препарата в плазме крови, что может потребовать повторного болюсного введения (на фоне постоянной инфузии) в дозе равной 1/2-1/3 нагрузочной дозы, с интервалом 8-10 мин. Максимальная доза в 1 час - 300 мг, в сутки - 2000 мг. Внутривенную инфузию обычно проводят в течение 12-24 часов с постоянным ЭКГ-мониторированием, после чего инфузию прекращают, чтобы оценить необходимость изменения антиаритмической терапии у пациента."},{"name":"Побочные действия","value":"Со стороны центральной и периферической нервной системы: головная боль, головокружение, слабость, двигательное беспокойство, нистагм, потеря сознания, сонливость, зрительные и слуховые нарушения, тремор, судороги (риск их развития повышается на фоне гиперкапнии и ацидоза), синдром \"конского хвоста\" (паралич ног, парестезии) - вызывает чаще других местноанестезирующих средств, паралич дыхательных мышц, остановка дыхания, блок моторный и чувствительный, респираторный паралич (чаще развивается при субарахноидальной анестезии), онемение языка (при использовании в стоматологии).\u003Cbr\u003EСо стороны сердечно-сосудистой системы: повышение или снижение артериального давления, тахикардия - при введении с вазоконстриктором, периферическая вазодилатация, коллапс, боль в грудной клетке.\u003Cbr\u003EАллергические реакции: кожная сыпь, крапивница (на коже и слизистых оболочках), зуд кожи, ангионевротический отек, анафилактический шок.\u003Cbr\u003EСо стороны мочевыделительной системы: непроизвольное мочеиспускание.\u003Cbr\u003EСо стороны пищеварительной системы: тошнота, рвота, непроизвольная дефекация.\u003Cbr\u003EСо стороны крови: метгемоглобинемия.\u003Cbr\u003EМестные реакции: при спинальной анестезии - боль в спине, при эпидуральной анестезии -\u003Cbr\u003Eслучайное попадание в субарахноидальное пространство.\u003Cbr\u003EПрочие: стойкая анестезия, снижение либидо и/или потенции, гипотермия."},{"name":"Фармакологическое действие","value":"Лидокаин по химической структуре относится к производным ацетанилида. Обладает выраженным местноанестезирующим и антиаритмическим (lb класс) действием. Местноанестезирующее действие обусловлено угнетением нервной проводимости за счет блокады натриевых каналов в нервных окончаниях и нервных волокнах. По своему анестезирующему действию лидокаин значительно (в 2-6 раз) превосходит прокаин; действие лидокаина развивается быстрее и длится дольше - до 75 минут, а при одновременном применении с эпинефрином - более 2 часов. При местном применении расширяет сосуды, не оказывает местнораздражающего действия.\u003Cbr\u003E\u003Cbr\u003EАнтиаритмические свойства лидокаина обусловлены его способностью стабилизировать клеточную мембрану, блокировать натриевые каналы, увеличивать проницаемость мембран для ионов калия. Практически не влияя на электрофизиологическое состояние предсердий, лидокаин ускоряет реполяризацию в желудочках, угнетает IV фазу деполяризации в волокнах Пуркинье (фаза диастолической деполяризации), уменьшая их автоматизм и продолжительность потенциала действия, увеличивает минимальную разность потенциалов, при которой миофибриллы реагируют на преждевременную стимуляцию. На скорость быстрой деполяризации (фаза 0) не влияет или незначительно снижает. Не оказывает существенного влияния на проводимость и сократимость миокарды (угнетает проводимость только в больших, близких к токсическим дозах). Интервалы PQ, QRS и QT под его влиянием на электрокардиограмме (ЭКГ) не изменяются. Отрицательный инотропный эффект также выражен незначительно и проявляется кратковременно лишь при быстром введении препарата в больших дозах."},{"name":"Фармакологическая группа","value":"местноанестезирующее средство"},{"name":"Форма выпуска","value":"раствор для инъекций"},{"name":"Способ применения/введения","value":"парентеральный"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"В защищенном от света месте при температуре не выше 25 °С. Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"Симптомы: первые признаки интоксикации - головокружение, тошнота, рвота, эйфория; затем - судороги мимической мускулатуры лица с переходом в тонико-клонические судороги скелетной мускулатуры, психомоторное возбуждение, астения, апноэ, брадикардия, снижение артериального давления, коллапс, метгемоглобинемия; при использовании при родах у новорожденного - брадикардия, угнетение дыхательного центра, апноэ.\u003Cbr\u003E\u003Cbr\u003EЛечение: пациент должен находиться в горизонтальном положении; назначают ингаляцию кислорода. В случае проявления судорог вводят внутривенно 10 мг диазепама. При брадикардии - м-холиноблокаторы (атропин), вазоконстрикторы (норэпинефрин, фенилэфрин). Диализ неэффективен."},{"name":"Применение при беременности и кормлении грудью","value":"В периоды беременности и кормления грудью препарат следует применять, когда польза превышает риск для беременной и матери, для плода и новорожденного (проникает через плацентарный барьер, выделяется с грудным молоком)."},{"name":"Особые указания","value":"Особую осторожность следует проявлять при проведении местной анестезии богатых кровеносными сосудами органов; следует избегать внутрисосудистой инъекции во время введения.\u003Cbr\u003E\u003Cbr\u003EПри введении в васкуляризованные ткани рекомендуется проводить аспирационную пробу. Необходимо отменить ингибиторы моноаминоксидазы не менее чем за 10 дней до планирования проведения субархноидальной анестезии с помощью лидокаина. В период лечения необходимо соблюдать осторожность при вождении автотранспорта и занятии др. потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций. \u003Cbr\u003EС осторожностью:\u003Cbr\u003EХроническая сердечная недостаточность II-III функциональный класс, тяжелая печеночная и/или почечная недостаточность, гиповолемия, атриовентрикулярная блокада I-II степени, синусовая брадикардия, артериальная гипотензия, тяжелая миастения, эпилептиформные судороги (в том числе в анамнезе)."},{"name":"Взаимодействие","value":"Бета-адреноблокаторы и циметидин повышают риск развития токсических эффектов. Снижает кардиотонический эффект дигитоксина. Усиливает мышечную релаксацию курареподобных препаратов. Усиливает и удлиняет действие миорелаксантов. Аймалин, амиодарон, верапамил и хинидин усиливают отрицательный инотропный эффект. Индукторы микросомальных ферментов печени (барбитураты, фенитоин, рифампицин) снижают эффективность лидокаина. Кроме того, при совместном применении с фенитоином возможно развитие кардиодепрессивного эффекта. Вазоконстрикторы (эпинефрин, метоксамин, фенилэфрин) удлиняют местноанестезирующее действие лидокаина и могут вызывать повышение артериального давления и тахикардию. Лидокаин снижает эффект антимиастенических средств (прозерин, оксазил и др.). Совместное применение с прокаинамидом может вызвать возбуждение центральной нервной системы, галлюцинации. Гуанадрел, гуанетидин. мекамиламин, триметафан повышают риск выраженного снижения артериального давления и брадикардии. Под влиянием ингибиторов моноаминоксидазы вероятно усиление местноанестезирующего действия лидокаина и снижение артериального давления. Больным, принимающим ингибиторы моноаминоксидазы, не следует назначать лидокаин парентерально. При одновременном назначении лидокаина и полимиксина-В необходимо следить за функцией дыхания больного. При сочетанном применении лидокаина со снотворными или седативными средствами, наркотическими анальгетиками, гексеналом или тиопентал натрием возможно усиление угнетающего действия на центральную нервную систему и дыхание. При внутривенном введении лидокаина больным, принимающим циметидин, возможны такие нежелательные эффекты, как состояние оглушенности, сонливость, брадикардия, парестезии и др. Это связано с повышением уровня лидокаина в плазме крови, что объясняется высвобождением лидокаина из связи с белками крови, а также замедлением его инактивации в печени. В случае необходимости проведения комбинированной терапии этими препаратами следует уменьшать дозу лидокаина. При обработке места инъекции дезинфицирующими растворами, содержащими тяжелые металлы, повышается риск развития местной реакции в виде болезненности и отека."},{"name":"Регистрационный номер","value":"Р N003576/01"},{"name":"Дата государственной регистрации","value":"31.10.2018"},{"name":"Владелец регистрационного удостоверения","value":"Органика"},{"name":"Изготовитель","value":"Органика"},{"name":"Фасовщик","value":"Органика"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Лидокаин"},{"name":"Срок годности","value":"60 мес."}]}],"transitionId":"tr_12399826328435002948"}}}}
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Есть противопоказания, посоветуйтесь с врачом. Отпускается по рецепту врача. Приобретение лекарственных препаратов осуществляется только в торговом зале аптеки

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86 ₽

  • 11-13 июня, самовывоз • 0 ₽
POLZAru
Рейтинг 4.9 из 5
38Котзывов
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    на основе 11 оценок
    Цена 72 ₽
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  • Лидокаин р-р д/ин., 20 мг/мл, 2 мл, 10 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-74j5kb11csm/toggleWishlist":{"skuId":"228049999","productId":1778177958,"offerId":"Mf7THl1IqA8rChCWuJbC2Q","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQ+YLbhMGi0I+EARIxCi9Db21wZXRpdGl2ZUFuYWxvZ3NfTWFya2V0TW9kZWxDYXJkX0Zyb250U25pcHBldDIVCKav888GEM+I32wYh97QByDV5cEH","sign":"HjJKtTyJMe9Z7Y6cN6a54bnPB7xrXsSRLn6PW2leW3o="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-74j5kb11csm/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Лидокаин р-р д/ин., 20 мг/мл, 2 мл, 10 шт.

    Рейтинг товара: 5 из 5
    на основе 4 оценки
    Цена 119 ₽
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  • Лидокаин буфус р-р д/ин., 100 мг/мл, 2 мл, 10 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-omcadi1ros/toggleWishlist":{"skuId":"228046137","productId":1404816470,"offerId":"E97sOKLNJT6CO5BDj4VokQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQ+YLbhMGi0I+EARIxCi9Db21wZXRpdGl2ZUFuYWxvZ3NfTWFya2V0TW9kZWxDYXJkX0Zyb250U25pcHBldDIVCNaY750FELnq3mwY8qyCCCDV5cEH","sign":"rmNt5hHWMvWx2ld1wLlvVilJ1DJo6aRJlc99Y94AD48="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-omcadi1ros/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Лидокаин буфус р-р д/ин., 100 мг/мл, 2 мл, 10 шт.

    Рейтинг товара: 5 из 5
    на основе 4 оценки
    Цена 174 ₽
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  • Лидокаин спрей д/мест. прим., 4.6 мг/доза, 38 г
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-a55b42tm4he/toggleWishlist":{"skuId":"101418701728","productId":1415913415,"offerId":"VBjt3ma71Sbf0cVtjv54Rg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQ+YLbhMGi0I+EARIxCi9Db21wZXRpdGl2ZUFuYWxvZ3NfTWFya2V0TW9kZWxDYXJkX0Zyb250U25pcHBldDIXCMe/lKMFEKCnmuj5AhiS3dAHINXlwQc=","sign":"DjXobBXH7LCi/DnO9ynLPy4o6x3RWAypBO9N2cpXP80="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-a55b42tm4he/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Лидокаин спрей д/мест. прим., 4.6 мг/доза, 38 г

    Рейтинг товара: 4.7 из 5
    на основе 14 оценок
    Цена 424 ₽
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  • Лидокаин р-р д/ин., 20 мг/мл, 2 мл, 10 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-9k6wn6ap7rf/toggleWishlist":{"skuId":"228041478","productId":1778177953,"offerId":"FKg4VhwhOzJmLgqqQFHwUg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQ+YLbhMGi0I+EARIxCi9Db21wZXRpdGl2ZUFuYWxvZ3NfTWFya2V0TW9kZWxDYXJkX0Zyb250U25pcHBldDIVCKGv888GEIbG3mwYnYHPBiDV5cEH","sign":"4Zyhf7/lvG53tfWN7P7lcJz0+hIa2mpFFFZSs9LwTMw="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-9k6wn6ap7rf/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Лидокаин р-р д/ин., 20 мг/мл, 2 мл, 10 шт.

    Рейтинг товара: 4.7 из 5
    на основе 13 оценок
    Цена 54 ₽
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  • Лидокаин р-р д/ин., 20 мг/мл, 2 мл, 10 шт.
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    Лидокаин р-р д/ин., 20 мг/мл, 2 мл, 10 шт.

    Рейтинг товара: 5 из 5
    на основе 3 оценки
    Цена 52 ₽
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  • Лидокаин р-р д/ин., 20 мг/мл, 2 мл, 10 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-g2okwhbghfh/toggleWishlist":{"skuId":"447972118","productId":1404816456,"offerId":"pwNc4JqKnKA9shZVJ2gJIg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQ+YLbhMGi0I+EARIxCi9Db21wZXRpdGl2ZUFuYWxvZ3NfTWFya2V0TW9kZWxDYXJkX0Zyb250U25pcHBldDIWCMiY750FEJaGztUBGL7h0Acg1eXBBw==","sign":"KPWmcbsybMtRRYGYzM1VhJ60aCh2R3sJCpv2KlJ0GAU="},"waitWishlistCollections":false}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-g2okwhbghfh/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Лидокаин р-р д/ин., 20 мг/мл, 2 мл, 10 шт.

    Рейтинг товара: 3 из 5
    на основе 4 оценки
    Цена 97 ₽
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  • Лидокаин р-р д/ин., 20 мг/мл, 2 мл, 5 шт.
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    Лидокаин р-р д/ин., 20 мг/мл, 2 мл, 5 шт.

    Рейтинг товара: 5 из 5
    на основе 2 оценки
    Цена 34 ₽
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  • Акриол Про крем д/мест. и нар. прим., 2,5%+2,5%, 5 г
    –1 %
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    Акриол Про крем д/мест. и нар. прим., 2,5%+2,5%, 5 г

    Рейтинг товара: 4.8 из 5
    на основе 116 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 299 ₽ вместо 302
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Инструкция

Показания к применению

Инфильтрационная, проводниковая, спинальная и эпидуральная анестезия. Терминальная анестезия в офтальмологии. Профилактика повторной фибрилляции желудочков при остром коронарном синдроме и повторных пароксизмов желудочковой тахикардии (обычно в течение 12-24 ч). Желудочковые аритмии, обусловленные гликозидной интоксикацией.

Противопоказания

Синдром слабости синусового узла; выраженная брадикардия; атриовентрикулярная блокада II-III степени (за исключением случаев, когда введен зонд для стимуляции желудочков): синоатриальная блокада, синдром Вольфа-Паркинсона-Уайта, острая и хроническая сердечная недостаточность (III-IV функциональный класс): кардиогенный шок, выраженное снижение артериального давления, синдром Адамса-Стокса: нарушения внутрижелудочковой проводимости, гиперчувствительность к любому из компонентов препарата; ретробульбарное введение больным с глаукомой.

Способ применения и дозы

Для инфильтрационной анестезии: внутрикожно, подкожно, внутримышечно. Применяют раствор лидокаина для блокады периферических нервов и нервных сплетений: периневрально, 5-10 мл раствора 20 мг/мл, для проводниковой анестезии: периневрально применяют раствор 20 мг/мл (не более 400 мг), для эпидуральной анестезии: эпидурально раствор 20 мг/мл (не более 300 мг), для спинальной анестезии: субарахноидально, 3-4 мл раствора 20 мг/мл (60-80 мг), в офтальмологии: раствор 20 мг/мл закапывают в конъюнктивальный мешок по 2 капли 2-3 раза с интервалом 30-60 секунд непосредственно перед хирургическим вмешательством или исследованием.

Для удлинения действия лидокаина возможно добавление ex tempore 0,1 % раствора адреналина (по 1 капле на 5-10 мл раствора лидокаина, но не более 5 капель на весь объем раствора). Рекомендуется снижение дозы лидокаина у пожилых пациентов и больных с заболеваниями печени (цирроз, гепатит) или со сниженным печеночным кровотоком (хроническая сердечная недостаточность) на 40-50 %. При хронической почечной недостаточности коррекции дозы не требуется.

В качестве антиаритмического средства внутривенно, 25 мл раствора 100 мг/мл следует развести 100 мл физиологического раствора до концентрации лидокаина 20 мг/мл. Этот разведенный раствор используют для введения нагрузочной дозы. Введение начинается с нагрузочной дозы 1 мг/кг (в течение 2-4 мин со скоростью 25-50 мг/мин) с немедленным подключением постоянной инфузии со скоростью 1-4 мг/мин. Вследствие быстрого распределения (период полувыведения приблизительно 8 мин), через 10-20 мин после введения первой дозы происходит снижение концентрации препарата в плазме крови, что может потребовать повторного болюсного введения (на фоне постоянной инфузии) в дозе равной 1/2-1/3 нагрузочной дозы, с интервалом 8-10 мин. Максимальная доза в 1 час - 300 мг, в сутки - 2000 мг. Внутривенную инфузию обычно проводят в течение 12-24 часов с постоянным ЭКГ-мониторированием, после чего инфузию прекращают, чтобы оценить необходимость изменения антиаритмической терапии у пациента.
Полная инструкция
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Лидокаин р-р д/ин.
Лидокаин р-р д/ин., 20 мг/мл, 2 мл, 10 шт.
5.0
(8)
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8 вопросов
Инструкция

86 ₽

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5.0
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У продавца:8 оценок·3 отзыва
У всех продавцов:59 оценок·14 отзывов
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user avatar
Месяц назад • Станислав • Куплен на Маркете
Достоинства: Быстрая доставка
Недостатки: Нет
Комментарий: Быстрая доставка выгодная стоимость
user avatar
3 месяца назад • Имя скрыто • Куплен на Маркете
Достоинства: Очень помогло
Недостатки: Нету
Комментарий: Очень оперативная доставка
user avatar
2 месяца назад • Евгений • Куплен на Маркете
Достоинства: то что нужно
Посмотреть все отзывы на Маркете
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