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Описание

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Экталуст таб. жев., 5 мг, 28 шт.

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5.0
(6)
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Дозировка: 5 мг

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Коротко о товаре

Артикул Маркета
4567690098
Тип препарата
Назначение
Действующее вещество
Возраст
от 2 лет
Инструкция
{"widgets":{"@card/SpecsList":{"/content/page/fancyPage/productSpecsList":{"wrapperProps":{"margins":{"top":4,"bottom":4}},"specsLimit":5,"title":"Коротко о товаре","titleSize":"14","type":"minimal","offset":"s","isHealthCategory":true,"forceShowWidget":true,"withFridge":true}}},"meta":{"/content/page/fancyPage/productSpecsList":{"name":"@card/SpecsList"}},"collections":{"minimalSpecs":{"4758148671231931009":{"specItems":[{"name":"Артикул Маркета","value":"4567690098","withCopyValueButton":true},{"name":"тип препарата","value":"рецептурный лекарственный препарат","transition":{"type":"list","params":{"categorySlug":"sredstva-ot-astmy","categoryId":"15756897","navnodeId":"72498","glfilters":["27272850:1,0","34324371:35649313"]}}},{"name":"назначение","value":"аллергический ринит, бронхиальная астма","transition":{"type":"list","params":{"categorySlug":"sredstva-ot-astmy","categoryId":"15756897","navnodeId":"72498","glfilters":["36476390:36618607,36617780"]}}},{"name":"действующее вещество","value":"Монтелукаст","transition":{"type":"list","params":{"categorySlug":"sredstva-ot-astmy","categoryId":"15756897","navnodeId":"72498","glfilters":["27144131:28708731"]}}},{"name":"возраст","value":"от 2 лет"},{"name":"форма выпуска","value":"таблетки жевательные"},{"name":"страна-производитель","value":"Россия"}]}},"compactSpecs":{"4758148671231931009":{"specItems":[{"name":"Артикул Маркета","value":"4567690098","withCopyValueButton":true},{"name":"Тип препарата","value":"Рецептурный лекарственный препарат","transition":{"type":"list","params":{"categorySlug":"sredstva-ot-astmy","categoryId":"15756897","navnodeId":"72498","glfilters":["27272850:1,0","34324371:35649313"]}}},{"name":"Назначение","value":"Аллергический ринит, бронхиальная астма","transition":{"type":"list","params":{"categorySlug":"sredstva-ot-astmy","categoryId":"15756897","navnodeId":"72498","glfilters":["36476390:36618607,36617780"]}}},{"name":"Действующее вещество","value":"Монтелукаст","transition":{"type":"list","params":{"categorySlug":"sredstva-ot-astmy","categoryId":"15756897","navnodeId":"72498","glfilters":["27144131:28708731"]}}},{"name":"Возраст","value":"От 2 лет"}]}},"fullSpecs":{"4758148671231931009":{"specItems":[{"name":"Тип препарата","value":"лекарственный препарат","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-astmy","categoryId":"15756897","navnodeId":"72498","glfilters":["34324371:35649313"]}}},{"name":"Рецептурный препарат","value":"да","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-astmy","categoryId":"15756897","navnodeId":"72498","glfilters":["27272850:1,0"]}}},{"name":"Органы и системы","value":"бронхи, дыхательная система"},{"name":"Назначение","value":"аллергический ринит, бронхиальная астма","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-astmy","categoryId":"15756897","navnodeId":"72498","glfilters":["36476390:36618607,36617780"]}}},{"name":"Показания к применению","value":"- Профилактика и длительное лечение бронхиальной астмы, включая предупреждение дневных и ночных симптомов заболевания;\u003Cbr /\u003E\n- лечение бронхиальной астмы у пациентов с повышенной чувствительностью к ацетилсалициловой кислоте;\u003Cbr /\u003E\n- профилактика бронхоспазма, вызванного физической нагрузкой;\u003Cbr /\u003E\n- купирование дневных и ночных симптомов сезонных аллергических ринитов и постоянных аллергических ринитов."},{"name":"Противопоказания","value":"- Повышенная чувствительность к любому из компонентов препарата;\u003Cbr /\u003E\n- детский возраст до 2 лет (для дозировки 4 мг);\u003Cbr /\u003E\n- детский возраст до 6 лет (для дозировки 5 мг);\u003Cbr /\u003E\n- фенилкетонурия."},{"name":"Состав","value":"Состав на одну таблетку 4 мг:\u003Cbr\u003Eдействующее вещество: монтелукаст натрия 4,16 мг, в пересчете на монтелукаст 4,00 мг;\u003Cbr\u003Eвспомогательные вещества: ароматизатор земляничный 3,20 мг, аспартам 0,8 мг, декстраты 80,00 мг, магния стеарат 2,40 мг, маннитол 69,44 мг, просол в I ID 90 [целлюлоза микрокристаллическая 98%, кремния диоксид коллоидный 2%] 80,00 мг.\u003Cbr\u003EСостав на одну таблетку 5 мг:\u003Cbr\u003Eдействующее вещество: монтелукаст натрия 5,20 мг, в пересчете на монтелукаст 5,00 мг;\u003Cbr\u003Eвспомогательные вещества: ароматизатор земляничный 4,00 мг, аспартам 1,00 мг, декстраты 100,00 мг, магния стеарат 3,00 мг, маннитол 86,(S0 мг, просолв HD 90 [целлюлоза микрокристаллическая 98%, кремния диоксид коллоидный 2%] 100,00 мг."},{"name":"Действующее вещество","value":"Монтелукаст","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-astmy","categoryId":"15756897","navnodeId":"72498","glfilters":["27144131:28708731"]}}},{"name":"Способ применения и дозы","value":"Препарат Экталуст принимают внутрь 1 раз в сутки независимо от приема пищи. Таблетку можно проглатывать целиком или разжевать перед проглатыванием. \u003Cbr /\u003E\nДля лечения бронхиальной астмы монтелукаст следует принимать вечером.\nПри лечении аллергических ринитов препарат можно принимать в любое время суток. \u003Cbr /\u003E\nПри сочетанной патологии (бронхиальная астма и аллергический ринит) препарат следует принимать вечером. \u003Cbr /\u003E\nВ возрасте от 2-х до 5 лет: одна жевательная таблетка в дозе 4 мг один раз в сутки перед сном. Подбора дозы для этой возрастной группы не требуется. \u003Cbr /\u003E\nВ возрасте от 6 до 14 лет: одна жевательная таблетка в дозе 5 мг один раз в сутки. Подбора дозы для этой возрастной группы не требуется. \u003Cbr /\u003E\nДети старше 15 лет и взрослые\u003Cbr /\u003E\nДоза для взрослых и детей старше 15 лет составляет 10 мг монтелукаста в сутки.\nТерапевтическое действие монтелукаста на показатели, отражающие течение бронхиальной астмы, развивается в течение первого дня. Пациенту следует продолжать принимать монтелукаст как в период достижения контроля симптомов бронхиальной астмы, так и в период обострения заболевания. \u003Cbr /\u003EДля пожилых пациентов, пациентов с почечной недостаточностью, пациентов с легкими или среднетяжелыми нарушениями функции печени специального подбора дозы не требуется. \u003Cbr /\u003E\nМонтелукаст можно добавлять к лечению бронходилататорами и ингаляционными глюкокортикостероидами (ГКС)."},{"name":"Побочные действия","value":"В целом монтелукаст хорошо переносится. Побочные эффекты обычно бывают легкими и, как правило, не требуют отмены лечения. \u003Cbr /\u003E\nОбщая частота побочных эффектов при лечении препаратом сопоставима с их частотой при приеме плацебо. \u003Cbr /\u003E\nИнфекционные и паразитарные заболевания: инфекции верхних дыхательных путей.\u003Cbr /\u003E\nНарушения со стороны крови и лимфатической системы: повышение склонности к кровотечениям, тромбоцитопения.\u003Cbr /\u003E\nНарушения со стороны иммунной системы: реакции гиперчувствительности, в том числе анафилаксия, эозинофильная инфильтрация печени.\u003Cbr /\u003E\nНарушения психики: ажитация, в том числе агрессивное поведение или враждебность, тревожность, депрессия, дезориентация, тремор, нарушение внимания, необычные яркие сновидения, галлюцинации, нарушения памяти, психомоторная активность (включая раздражительность, беспокойство), утомляемость, сомнамбулизм, суицидальные мысли и суицидальное поведение (суицидальность), бессонница, тик.\u003Cbr /\u003E\nНарушения со стороны нервной системы: головокружение, сонливость, парестезия/гипестезия, очень редко судороги.\u003Cbr /\u003E\nНарушения со стороны сердца: учащенное сердцебиение.\u003Cbr /\u003E\nНарушения со стороны дыхательной системы, органов грудной клетки и средостения: носовые кровотечения, легочная эозинофилия.\u003Cbr /\u003E\nНарушения со стороны желудочно-кишечного тракта: тошнота, рвота, диарея, диспепсия, панкреатит.\u003Cbr /\u003E\nНарушения со стороны печени и желчевыводящих путей: повышение активности аланинаминотрансферазы (АЛТ) и аспартатаминотрансферазы (ACT), гепатит (включая холестатические, гепатоцеллюлярные и смешанные поражения печени).\u003Cbr /\u003E\nНарушения со стороны кожи и подкожных тканей: склонность к формированию гематом, узловатая эритема, многоформная эритема, зуд, высыпания, крапивница, ангионевротический отек.\u003Cbr /\u003E\nНарушения со стороны скелетно-мышечной и соединительной ткани:артралгия, миалгия, включая мышечные судороги.\u003Cbr /\u003E\nНарушения со стороны почек и мочевыводящих путей: энурез у детей.\u003Cbr /\u003E\nПрочие: отеки, астения (слабость)/усталость, пирексия.\u003Cbr /\u003E\nЕсли любые из указанных в инструкции побочных эффектов усугубляются, или Вы заметили любые другие побочные эффекты, не указанные в инструкции, сообщите об этом врачу."},{"name":"Фармакологическое действие","value":": Монтелукаст обладает способностью ингибировать бронхоспазм, обусловленный вдыханием LTD4 в весьма низких дозах. Бронходилатация наблюдается в течение 2-х часов после приема препарата внутрь. Эффект бронходилатации, вызванный бета-адреномиметиками, дополняется действием монтелукаста. Монтелукаст ингибирует раннюю и позднюю фазы бронхоспазма. вызванного введением антигена. Монтелукаст снижает количество эозинофилов в периферической крови, в дыхательных путях (в мокроте) взрослых пациентов и детей и улучшает контроль за течением бронхиальной астмы. Монтелукаст существенно улучшает утренний объем форсированного выдоха (ОФВ) за 1 секунду, максимальную объемную скорость выдоха (МОСВ) и существенно снижает потребность в бета-адреномиметиках.\u003Cbr\u003EМонтелукаст усиливает действие ингаляционных ГКС и существенно ослабляет бронхоспазм. возникающий на фоне физической нагрузки. У пациентов с бронхиальной астмой, чувствительных к ацетилсалициловой кислоте, и принимающих сопутствующие ингаляционные пероральпые ГКС, лечение монтелукастом приводит к существенному улучшению контроля за симптомами бронхиальной астмы. Кроме того, есть данные о некотором противовоспалительном действии монтелукаста."},{"name":"Фармакологическая группа","value":"противовоспалительное антибронхоконстрикторное средство - лейкотриеновых рецепторов блокатор"},{"name":"Форма выпуска","value":"таблетки жевательные"},{"name":"Способ применения/введения","value":"пероральный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-astmy","categoryId":"15756897","navnodeId":"72498","glfilters":["35947170:36763744"]}}},{"name":"Минимальный возраст применения","value":"от 2 лет"},{"name":"Условия хранения","value":"При температуре не выше 25 °С, во вторичной упаковке (пачке картонной). Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"Данных о симптомах передозировки при приеме препарата Экталуст пациентами с бронхиальной астмой в дозе, превышающей 200 мг/сутки, в течение 22 недель и в дозе 900 мг/сутки в течение 1 недели не выявлено. Имели место случаи острой передозировки (прием не менее 1000 мг монтелукаста в сутки) в пострегистрационный период и во время клинических исследований у взрослых и детей. Клинические и лабораторные данные при этом свидетельствуют о соответствии профиля безопасности препарата Экталуст у детей профилю безопасности у взрослых и пожилых пациентов.\nНаиболее частыми нежелательными явлениями были чувство жажды, сопливость, рвота, психомоторное возбуждение, головная боль, мидриаз, гиперкинезы и боль в животе. \u003Cbr /\u003E\nЛечение симптоматическое. \u003Cbr /\u003E\nДанных о возможности выведения монтелукаста путем перитонеального диализа или гемодиализа нет."},{"name":"Применение при беременности и кормлении грудью","value":"Экталуст следует применять при беременности только в случаях, когда ожидаемая польза для матери превышает потенциальный риск для плода. Сообщалось о развитии врожденных дефектов конечностей у новорожденных, матери которых принимали монтелукаст в период беременности. Большинство этих женщин также принимали другие препараты для лечения бронхиальной астмы в период беременности. Причинно-следственная связь между приемом монтелукаста и развитием врожденных дефектов конечностей не установлена. \u003Cbr /\u003E\nНеизвестно, проникает ли монтелукаст в грудное молоко, поэтому применение препарата в период грудного вскармливания возможно, если ожидаемая польза для матери превышает потенциальный риск для ребенка."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Данных, свидетельствующих о том, что прием препарата Экталуст влияет на способность управлять автотранспортом или движущимися механизмами, не выявлено. Однако при применении препарата имеются такие побочные эффекты, как головокружение и сонливость. Ввиду этого, следует соблюдать осторожность при управлении автотранспортом и работе, требующей быстроты психомоторных реакций."},{"name":"Особые указания","value":"Эффективность монтелукаста для приема внутрь в отношении лечения острых приступов бронхиальной астмы не установлена, поэтому монтелукаст не рекомендуется назначать для лечения острых приступов бронхиальной астмы.\nПациенты должны всегда иметь при себе препараты экстренной помощи для купирования приступов бронхиальной астмы (ингаляционные β2-агонисты короткого действия). \u003Cbr /\u003E\nНе следует прекращать прием монтелукаста в период обострения бронхиальной астмы и необходимости применения препаратов экстренной помощи для купирования приступов. \u003Cbr /\u003E\nПациенты с подтвержденной аллергией к ацетилсалициловой кислоте и другим нестероидным противовоспалительным препаратам (НПВП) не должны принимать эти препараты в период лечения монтелукастом, поскольку монтелукаст, улучшая дыхательную функцию у пациентов с аллергической бронхиальной астмой, тем не менее, не может полностью предотвратить вызванную у них НПВП бронхоконстрикцию.\nДозу применяемых одновременно с препаратом Экталуст ингаляционных ГКС можно постепенно снижать под наблюдением врача. Однако резкой замены ГКС препаратом Экталуст проводить нельзя. \u003Cbr /\u003E\nСнижение дозы системных ГКС у пациентов, получающих противоастматические средства, включая блокаторы лейкотриеновых рецепторов, сопровождалось в редких случаях появлением эозинофилии, сыпи, ухудшением легочных симптомов, кардиологических осложнений и/или нейропатии, иногда диагностируемых как синдром Черджа-Стросса - системный эозинофильный васкулит. Причинно-следственная связь развития этих нежелательных явлений с терапией антагонистами лейкотриеновых рецепторов не была доказана, тем не менее, необходимо соблюдать осторожность и проводить соответствующее клиническое наблюдение при снижении дозы системных ГКС у пациентов, принимающих монтелукаст. \u003Cbr /\u003E\nВ состав препарата входит аспартам, который является источником фенилаланина, поэтому препарат не рекомендован к применению пациентам с фенилкегонурией. Пациенты с фенилкетонурией должны быть проинформированы, что каждая жевательная таблетка содержит аспартам в количестве: таб. 4 мг - 0,8 мг, таб. 5 мг - 1 мг аспартама, что соответствует 0,45 и 0,56 мг фенилаланина соответственно. \u003Cbr /\u003E\nУ пациентов, принимающих монтелукаст, были описаны психоневрологические нарушения (см. раздел \"Побочное действие\"). Учитывая, что эти симптомы могли быть вызваны другими факторами, неизвестно, связаны ли они с приемом монтелукаста. \u003Cbr /\u003E\nВрачу необходимо обсудить данное нежелательное явление с пациентами и/или их родителями/опекунами. Пациентам и/или их родителям/опекунам необходимо объяснить, что в случае появления подобных симптомов необходимо сообщить об этом лечащему врачу."},{"name":"Взаимодействие","value":"Экталуст можно назначать вместе с другими лекарственными средствами, традиционно применяемыми для профилактики и длительного лечения бронхиальной астмы и/или аллергического ринита. \u003Cbr /\u003E\nРекомендуемая терапевтическая доза монтелукаста не оказывала клинически значимого эффекта на фармакокинетику следующих препаратов: теофиллина, преднизона, преднизолона, пероральных контрацептивов (этинилэстрадиол/норэтиндроп 35/1), терфепадина, дигоксина и варфарина.\nAUC уменьшается у лиц, одновременно получающих фенобарбитал (примерно на 40%), однако коррекции режима дозирования препарата Экталуст таким пациентам не требуется. \u003Cbr /\u003E\nВ исследованиях in vitro установлено, что монтелукаст ингибирует изофермент CYP 2С8 системы цитохрома Р450, однако при исследовании лекарственного взаимодействия in vivo монтелукаста и росиглитазона (метаболизируется с участием изофермента CYP 2С8 системы цитохрома) не получено подтверждения ингибирования монтелукастом CYP 2С8 опосредованного метаболизма ряда лекарственных препаратов, в том числе, паклитаксела, росиглитазона, репаглинида. \u003Cbr /\u003E\nИсследования in vitro показали, что монтелукаст является субстратом изоферментов CYP 2С8, 2С9 и 3А4. Данные клинического исследования лекарственного взаимодействия в отношении монтелукаста и гемфиброзила (ингибитора как CYP 2С8, так и 2С9) демонстрируют, что гемфиброзил повышает эффект системного воздействия монтелукаста в 4,4 раза. Совместный прием итраконазола, сильного ингибитора изофермента CYP 3А4, вместе с гемфиброзилом и монтелукастом не приводил к дополнительному повышению эффекта системного воздействия монтелукаста. \u003Cbr /\u003E\nВлияние гемфиброзила на системное воздействие монтелукаста не может считаться клинически значимым па основании данных по безопасности при применении в дозах, превышающих одобренную дозу 10 мг для взрослых пациентов (например, 200 мг/день для взрослых пациентов в течение 22 недель и до 900 мг/день для взрослых пациентов в течение 22 недель и до 900 мг/день для пациентов, принимающих препарат в течение примерно одной недели, не наблюдалось клинически значимых отрицательных эффектов). Таким образом, при совместном приеме с гемфиброзилом корректировка дозы монтелукаста не требуется. \u003Cbr /\u003E\nПо результатам исследований in vitro не предполагается клинически значимых лекарственных взаимодействий с другими известными ингибиторами CYP 2С8 (например, с триметопримом). Кроме того, совместный прием монтелукаста с одним только итраконазолом не приводил к существенному повышению эффекта системного воздействия монтелукаста. \u003Cbr /\u003E\nЛечение бронходилататорами\u003Cbr /\u003E\nЭкталуст можно добавить к лечению пациентов, у которых бронхиальная астма не контролируется применением одних бронходилататоров. При достижении терапевтического эффекта (обычно после первой дозы) на фоне терапии препаратом Экталуст, дозу бронходилататоров можно постепенно снижать.\nИнгаляционные ГКС\u003Cbr /\u003E\nЛечение препаратом Экталуст обеспечивает дополнительный терапевтический эффект пациентам, получающим лечение ингаляционными ГКС. При достижении стабилизации состояния пациента возможно снижение дозы ГКС. Дозу ГКС нужно снижать постепенно, под наблюдением врача. У некоторых пациентов прием ингаляционных ГКС может быть полностью отменен. Не рекомендуется резкая замена терапии ингаляционными ГКС назначением препарата Экталуст."},{"name":"Регистрационный номер","value":"ЛП-002248"},{"name":"Дата государственной регистрации","value":"30.12.2019"},{"name":"Владелец регистрационного удостоверения","value":"Канонфарма продакшн","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-astmy","categoryId":"15756897","navnodeId":"72498","glfilters":["34324371:35649313","7893318:16146766"]}}},{"name":"Изготовитель","value":"Канонфарма продакшн"},{"name":"Фасовщик","value":"Канонфарма продакшн"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Экталуст","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-astmy","categoryId":"15756897","navnodeId":"72498","glfilters":["17796364:18053326"]}}},{"name":"Срок годности","value":"24 мес."}]}},"fullSpecsGrouped":{"4758148671231931009":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Органы и системы","value":"бронхи, дыхательная система"},{"name":"Назначение","value":"аллергический ринит, бронхиальная астма"},{"name":"Показания к применению","value":"- Профилактика и длительное лечение бронхиальной астмы, включая предупреждение дневных и ночных симптомов заболевания;\u003Cbr /\u003E\n- лечение бронхиальной астмы у пациентов с повышенной чувствительностью к ацетилсалициловой кислоте;\u003Cbr /\u003E\n- профилактика бронхоспазма, вызванного физической нагрузкой;\u003Cbr /\u003E\n- купирование дневных и ночных симптомов сезонных аллергических ринитов и постоянных аллергических ринитов."},{"name":"Противопоказания","value":"- Повышенная чувствительность к любому из компонентов препарата;\u003Cbr /\u003E\n- детский возраст до 2 лет (для дозировки 4 мг);\u003Cbr /\u003E\n- детский возраст до 6 лет (для дозировки 5 мг);\u003Cbr /\u003E\n- фенилкетонурия."},{"name":"Состав","value":"Состав на одну таблетку 4 мг:\u003Cbr\u003Eдействующее вещество: монтелукаст натрия 4,16 мг, в пересчете на монтелукаст 4,00 мг;\u003Cbr\u003Eвспомогательные вещества: ароматизатор земляничный 3,20 мг, аспартам 0,8 мг, декстраты 80,00 мг, магния стеарат 2,40 мг, маннитол 69,44 мг, просол в I ID 90 [целлюлоза микрокристаллическая 98%, кремния диоксид коллоидный 2%] 80,00 мг.\u003Cbr\u003EСостав на одну таблетку 5 мг:\u003Cbr\u003Eдействующее вещество: монтелукаст натрия 5,20 мг, в пересчете на монтелукаст 5,00 мг;\u003Cbr\u003Eвспомогательные вещества: ароматизатор земляничный 4,00 мг, аспартам 1,00 мг, декстраты 100,00 мг, магния стеарат 3,00 мг, маннитол 86,(S0 мг, просолв HD 90 [целлюлоза микрокристаллическая 98%, кремния диоксид коллоидный 2%] 100,00 мг."},{"name":"Действующее вещество","value":"Монтелукаст"},{"name":"Способ применения и дозы","value":"Препарат Экталуст принимают внутрь 1 раз в сутки независимо от приема пищи. Таблетку можно проглатывать целиком или разжевать перед проглатыванием. \u003Cbr /\u003E\nДля лечения бронхиальной астмы монтелукаст следует принимать вечером.\nПри лечении аллергических ринитов препарат можно принимать в любое время суток. \u003Cbr /\u003E\nПри сочетанной патологии (бронхиальная астма и аллергический ринит) препарат следует принимать вечером. \u003Cbr /\u003E\nВ возрасте от 2-х до 5 лет: одна жевательная таблетка в дозе 4 мг один раз в сутки перед сном. Подбора дозы для этой возрастной группы не требуется. \u003Cbr /\u003E\nВ возрасте от 6 до 14 лет: одна жевательная таблетка в дозе 5 мг один раз в сутки. Подбора дозы для этой возрастной группы не требуется. \u003Cbr /\u003E\nДети старше 15 лет и взрослые\u003Cbr /\u003E\nДоза для взрослых и детей старше 15 лет составляет 10 мг монтелукаста в сутки.\nТерапевтическое действие монтелукаста на показатели, отражающие течение бронхиальной астмы, развивается в течение первого дня. Пациенту следует продолжать принимать монтелукаст как в период достижения контроля симптомов бронхиальной астмы, так и в период обострения заболевания. \u003Cbr /\u003EДля пожилых пациентов, пациентов с почечной недостаточностью, пациентов с легкими или среднетяжелыми нарушениями функции печени специального подбора дозы не требуется. \u003Cbr /\u003E\nМонтелукаст можно добавлять к лечению бронходилататорами и ингаляционными глюкокортикостероидами (ГКС)."},{"name":"Побочные действия","value":"В целом монтелукаст хорошо переносится. Побочные эффекты обычно бывают легкими и, как правило, не требуют отмены лечения. \u003Cbr /\u003E\nОбщая частота побочных эффектов при лечении препаратом сопоставима с их частотой при приеме плацебо. \u003Cbr /\u003E\nИнфекционные и паразитарные заболевания: инфекции верхних дыхательных путей.\u003Cbr /\u003E\nНарушения со стороны крови и лимфатической системы: повышение склонности к кровотечениям, тромбоцитопения.\u003Cbr /\u003E\nНарушения со стороны иммунной системы: реакции гиперчувствительности, в том числе анафилаксия, эозинофильная инфильтрация печени.\u003Cbr /\u003E\nНарушения психики: ажитация, в том числе агрессивное поведение или враждебность, тревожность, депрессия, дезориентация, тремор, нарушение внимания, необычные яркие сновидения, галлюцинации, нарушения памяти, психомоторная активность (включая раздражительность, беспокойство), утомляемость, сомнамбулизм, суицидальные мысли и суицидальное поведение (суицидальность), бессонница, тик.\u003Cbr /\u003E\nНарушения со стороны нервной системы: головокружение, сонливость, парестезия/гипестезия, очень редко судороги.\u003Cbr /\u003E\nНарушения со стороны сердца: учащенное сердцебиение.\u003Cbr /\u003E\nНарушения со стороны дыхательной системы, органов грудной клетки и средостения: носовые кровотечения, легочная эозинофилия.\u003Cbr /\u003E\nНарушения со стороны желудочно-кишечного тракта: тошнота, рвота, диарея, диспепсия, панкреатит.\u003Cbr /\u003E\nНарушения со стороны печени и желчевыводящих путей: повышение активности аланинаминотрансферазы (АЛТ) и аспартатаминотрансферазы (ACT), гепатит (включая холестатические, гепатоцеллюлярные и смешанные поражения печени).\u003Cbr /\u003E\nНарушения со стороны кожи и подкожных тканей: склонность к формированию гематом, узловатая эритема, многоформная эритема, зуд, высыпания, крапивница, ангионевротический отек.\u003Cbr /\u003E\nНарушения со стороны скелетно-мышечной и соединительной ткани:артралгия, миалгия, включая мышечные судороги.\u003Cbr /\u003E\nНарушения со стороны почек и мочевыводящих путей: энурез у детей.\u003Cbr /\u003E\nПрочие: отеки, астения (слабость)/усталость, пирексия.\u003Cbr /\u003E\nЕсли любые из указанных в инструкции побочных эффектов усугубляются, или Вы заметили любые другие побочные эффекты, не указанные в инструкции, сообщите об этом врачу."},{"name":"Фармакологическое действие","value":": Монтелукаст обладает способностью ингибировать бронхоспазм, обусловленный вдыханием LTD4 в весьма низких дозах. Бронходилатация наблюдается в течение 2-х часов после приема препарата внутрь. Эффект бронходилатации, вызванный бета-адреномиметиками, дополняется действием монтелукаста. Монтелукаст ингибирует раннюю и позднюю фазы бронхоспазма. вызванного введением антигена. Монтелукаст снижает количество эозинофилов в периферической крови, в дыхательных путях (в мокроте) взрослых пациентов и детей и улучшает контроль за течением бронхиальной астмы. Монтелукаст существенно улучшает утренний объем форсированного выдоха (ОФВ) за 1 секунду, максимальную объемную скорость выдоха (МОСВ) и существенно снижает потребность в бета-адреномиметиках.\u003Cbr\u003EМонтелукаст усиливает действие ингаляционных ГКС и существенно ослабляет бронхоспазм. возникающий на фоне физической нагрузки. У пациентов с бронхиальной астмой, чувствительных к ацетилсалициловой кислоте, и принимающих сопутствующие ингаляционные пероральпые ГКС, лечение монтелукастом приводит к существенному улучшению контроля за симптомами бронхиальной астмы. Кроме того, есть данные о некотором противовоспалительном действии монтелукаста."},{"name":"Фармакологическая группа","value":"противовоспалительное антибронхоконстрикторное средство - лейкотриеновых рецепторов блокатор"},{"name":"Форма выпуска","value":"таблетки жевательные"},{"name":"Способ применения/введения","value":"пероральный"},{"name":"Минимальный возраст применения","value":"от 2 лет"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"При температуре не выше 25 °С, во вторичной упаковке (пачке картонной). Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"Данных о симптомах передозировки при приеме препарата Экталуст пациентами с бронхиальной астмой в дозе, превышающей 200 мг/сутки, в течение 22 недель и в дозе 900 мг/сутки в течение 1 недели не выявлено. Имели место случаи острой передозировки (прием не менее 1000 мг монтелукаста в сутки) в пострегистрационный период и во время клинических исследований у взрослых и детей. Клинические и лабораторные данные при этом свидетельствуют о соответствии профиля безопасности препарата Экталуст у детей профилю безопасности у взрослых и пожилых пациентов.\nНаиболее частыми нежелательными явлениями были чувство жажды, сопливость, рвота, психомоторное возбуждение, головная боль, мидриаз, гиперкинезы и боль в животе. \u003Cbr /\u003E\nЛечение симптоматическое. \u003Cbr /\u003E\nДанных о возможности выведения монтелукаста путем перитонеального диализа или гемодиализа нет."},{"name":"Применение при беременности и кормлении грудью","value":"Экталуст следует применять при беременности только в случаях, когда ожидаемая польза для матери превышает потенциальный риск для плода. Сообщалось о развитии врожденных дефектов конечностей у новорожденных, матери которых принимали монтелукаст в период беременности. Большинство этих женщин также принимали другие препараты для лечения бронхиальной астмы в период беременности. Причинно-следственная связь между приемом монтелукаста и развитием врожденных дефектов конечностей не установлена. \u003Cbr /\u003E\nНеизвестно, проникает ли монтелукаст в грудное молоко, поэтому применение препарата в период грудного вскармливания возможно, если ожидаемая польза для матери превышает потенциальный риск для ребенка."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Данных, свидетельствующих о том, что прием препарата Экталуст влияет на способность управлять автотранспортом или движущимися механизмами, не выявлено. Однако при применении препарата имеются такие побочные эффекты, как головокружение и сонливость. Ввиду этого, следует соблюдать осторожность при управлении автотранспортом и работе, требующей быстроты психомоторных реакций."},{"name":"Особые указания","value":"Эффективность монтелукаста для приема внутрь в отношении лечения острых приступов бронхиальной астмы не установлена, поэтому монтелукаст не рекомендуется назначать для лечения острых приступов бронхиальной астмы.\nПациенты должны всегда иметь при себе препараты экстренной помощи для купирования приступов бронхиальной астмы (ингаляционные β2-агонисты короткого действия). \u003Cbr /\u003E\nНе следует прекращать прием монтелукаста в период обострения бронхиальной астмы и необходимости применения препаратов экстренной помощи для купирования приступов. \u003Cbr /\u003E\nПациенты с подтвержденной аллергией к ацетилсалициловой кислоте и другим нестероидным противовоспалительным препаратам (НПВП) не должны принимать эти препараты в период лечения монтелукастом, поскольку монтелукаст, улучшая дыхательную функцию у пациентов с аллергической бронхиальной астмой, тем не менее, не может полностью предотвратить вызванную у них НПВП бронхоконстрикцию.\nДозу применяемых одновременно с препаратом Экталуст ингаляционных ГКС можно постепенно снижать под наблюдением врача. Однако резкой замены ГКС препаратом Экталуст проводить нельзя. \u003Cbr /\u003E\nСнижение дозы системных ГКС у пациентов, получающих противоастматические средства, включая блокаторы лейкотриеновых рецепторов, сопровождалось в редких случаях появлением эозинофилии, сыпи, ухудшением легочных симптомов, кардиологических осложнений и/или нейропатии, иногда диагностируемых как синдром Черджа-Стросса - системный эозинофильный васкулит. Причинно-следственная связь развития этих нежелательных явлений с терапией антагонистами лейкотриеновых рецепторов не была доказана, тем не менее, необходимо соблюдать осторожность и проводить соответствующее клиническое наблюдение при снижении дозы системных ГКС у пациентов, принимающих монтелукаст. \u003Cbr /\u003E\nВ состав препарата входит аспартам, который является источником фенилаланина, поэтому препарат не рекомендован к применению пациентам с фенилкегонурией. Пациенты с фенилкетонурией должны быть проинформированы, что каждая жевательная таблетка содержит аспартам в количестве: таб. 4 мг - 0,8 мг, таб. 5 мг - 1 мг аспартама, что соответствует 0,45 и 0,56 мг фенилаланина соответственно. \u003Cbr /\u003E\nУ пациентов, принимающих монтелукаст, были описаны психоневрологические нарушения (см. раздел \"Побочное действие\"). Учитывая, что эти симптомы могли быть вызваны другими факторами, неизвестно, связаны ли они с приемом монтелукаста. \u003Cbr /\u003E\nВрачу необходимо обсудить данное нежелательное явление с пациентами и/или их родителями/опекунами. Пациентам и/или их родителям/опекунам необходимо объяснить, что в случае появления подобных симптомов необходимо сообщить об этом лечащему врачу."},{"name":"Взаимодействие","value":"Экталуст можно назначать вместе с другими лекарственными средствами, традиционно применяемыми для профилактики и длительного лечения бронхиальной астмы и/или аллергического ринита. \u003Cbr /\u003E\nРекомендуемая терапевтическая доза монтелукаста не оказывала клинически значимого эффекта на фармакокинетику следующих препаратов: теофиллина, преднизона, преднизолона, пероральных контрацептивов (этинилэстрадиол/норэтиндроп 35/1), терфепадина, дигоксина и варфарина.\nAUC уменьшается у лиц, одновременно получающих фенобарбитал (примерно на 40%), однако коррекции режима дозирования препарата Экталуст таким пациентам не требуется. \u003Cbr /\u003E\nВ исследованиях in vitro установлено, что монтелукаст ингибирует изофермент CYP 2С8 системы цитохрома Р450, однако при исследовании лекарственного взаимодействия in vivo монтелукаста и росиглитазона (метаболизируется с участием изофермента CYP 2С8 системы цитохрома) не получено подтверждения ингибирования монтелукастом CYP 2С8 опосредованного метаболизма ряда лекарственных препаратов, в том числе, паклитаксела, росиглитазона, репаглинида. \u003Cbr /\u003E\nИсследования in vitro показали, что монтелукаст является субстратом изоферментов CYP 2С8, 2С9 и 3А4. Данные клинического исследования лекарственного взаимодействия в отношении монтелукаста и гемфиброзила (ингибитора как CYP 2С8, так и 2С9) демонстрируют, что гемфиброзил повышает эффект системного воздействия монтелукаста в 4,4 раза. Совместный прием итраконазола, сильного ингибитора изофермента CYP 3А4, вместе с гемфиброзилом и монтелукастом не приводил к дополнительному повышению эффекта системного воздействия монтелукаста. \u003Cbr /\u003E\nВлияние гемфиброзила на системное воздействие монтелукаста не может считаться клинически значимым па основании данных по безопасности при применении в дозах, превышающих одобренную дозу 10 мг для взрослых пациентов (например, 200 мг/день для взрослых пациентов в течение 22 недель и до 900 мг/день для взрослых пациентов в течение 22 недель и до 900 мг/день для пациентов, принимающих препарат в течение примерно одной недели, не наблюдалось клинически значимых отрицательных эффектов). Таким образом, при совместном приеме с гемфиброзилом корректировка дозы монтелукаста не требуется. \u003Cbr /\u003E\nПо результатам исследований in vitro не предполагается клинически значимых лекарственных взаимодействий с другими известными ингибиторами CYP 2С8 (например, с триметопримом). Кроме того, совместный прием монтелукаста с одним только итраконазолом не приводил к существенному повышению эффекта системного воздействия монтелукаста. \u003Cbr /\u003E\nЛечение бронходилататорами\u003Cbr /\u003E\nЭкталуст можно добавить к лечению пациентов, у которых бронхиальная астма не контролируется применением одних бронходилататоров. При достижении терапевтического эффекта (обычно после первой дозы) на фоне терапии препаратом Экталуст, дозу бронходилататоров можно постепенно снижать.\nИнгаляционные ГКС\u003Cbr /\u003E\nЛечение препаратом Экталуст обеспечивает дополнительный терапевтический эффект пациентам, получающим лечение ингаляционными ГКС. При достижении стабилизации состояния пациента возможно снижение дозы ГКС. Дозу ГКС нужно снижать постепенно, под наблюдением врача. У некоторых пациентов прием ингаляционных ГКС может быть полностью отменен. Не рекомендуется резкая замена терапии ингаляционными ГКС назначением препарата Экталуст."},{"name":"Регистрационный номер","value":"ЛП-002248"},{"name":"Дата государственной регистрации","value":"30.12.2019"},{"name":"Владелец регистрационного удостоверения","value":"Канонфарма продакшн"},{"name":"Изготовитель","value":"Канонфарма продакшн"},{"name":"Фасовщик","value":"Канонфарма продакшн"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Экталуст"},{"name":"Срок годности","value":"24 мес."}]}],"transitionId":"tr_8461258079054702251"}}}}
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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530 ₽

Скидка: 21%
–21 %
Вместо:671 ₽
  • 15-17 июня, самовывоз • 0 ₽
POLZAru
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Ещё может подойти

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Инструкция

Показания к применению

- Профилактика и длительное лечение бронхиальной астмы, включая предупреждение дневных и ночных симптомов заболевания;
- лечение бронхиальной астмы у пациентов с повышенной чувствительностью к ацетилсалициловой кислоте;
- профилактика бронхоспазма, вызванного физической нагрузкой;
- купирование дневных и ночных симптомов сезонных аллергических ринитов и постоянных аллергических ринитов.

Противопоказания

- Повышенная чувствительность к любому из компонентов препарата;
- детский возраст до 2 лет (для дозировки 4 мг);
- детский возраст до 6 лет (для дозировки 5 мг);
- фенилкетонурия.

Способ применения и дозы

Препарат Экталуст принимают внутрь 1 раз в сутки независимо от приема пищи. Таблетку можно проглатывать целиком или разжевать перед проглатыванием.
Для лечения бронхиальной астмы монтелукаст следует принимать вечером. При лечении аллергических ринитов препарат можно принимать в любое время суток.
При сочетанной патологии (бронхиальная астма и аллергический ринит) препарат следует принимать вечером.
В возрасте от 2-х до 5 лет: одна жевательная таблетка в дозе 4 мг один раз в сутки перед сном. Подбора дозы для этой возрастной группы не требуется.
В возрасте от 6 до 14 лет: одна жевательная таблетка в дозе 5 мг один раз в сутки. Подбора дозы для этой возрастной группы не требуется.
Дети старше 15 лет и взрослые
Доза для взрослых и детей старше 15 лет составляет 10 мг монтелукаста в сутки. Терапевтическое действие монтелукаста на показатели, отражающие течение бронхиальной астмы, развивается в течение первого дня. Пациенту следует продолжать принимать монтелукаст как в период достижения контроля симптомов бронхиальной астмы, так и в период обострения заболевания.
Для пожилых пациентов, пациентов с почечной недостаточностью, пациентов с легкими или среднетяжелыми нарушениями функции печени специального подбора дозы не требуется.
Монтелукаст можно добавлять к лечению бронходилататорами и ингаляционными глюкокортикостероидами (ГКС).
Полная инструкция
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Экталуст таб. жев.
Экталуст таб. жев., 5 мг, 28 шт.
5.0
(6)
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Задать вопрос
Инструкция

530 ₽

Скидка: 21%
–21 %
Вместо:671 ₽
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5.0
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У продавца:6 оценок·1 отзыв
У всех продавцов:29 оценок·8 отзывов
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user avatar
6 дней назад • Умида Наимова • Куплен на Маркете
Достоинства: отлично
Недостатки: нет
Комментарий: помогает
Посмотреть все отзывы на Маркете
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  • Монтелукаст таб. п/о плен., 10 мг, 30 шт.
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    Монтелукаст таб. п/о плен., 10 мг, 30 шт.

    Цена 627 ₽
  • Экталуст таб. п/о плен., 10 мг, 28 шт.
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    Экталуст таб. п/о плен., 10 мг, 28 шт.

    Цена 506 ₽
  • Таблетница, 14 секций (007751)
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    Таблетница, 14 секций (007751)

    Цена 218 ₽ вместо 301
  • Монтелукаст-ВЕРТЕКС таб. п/о плен., 10 мг, 15 шт.
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    Монтелукаст-ВЕРТЕКС таб. п/о плен., 10 мг, 15 шт.

    Цена 329 ₽
  • Таблетница органайзер на неделю, контейнер для таблеток, бокс, на 7 дней, 4 приема, 28 ячеек
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    Таблетница органайзер на неделю, контейнер для таблеток, бокс, на 7 дней, 4 приема, 28 ячеек

    Цена 361 ₽ вместо 690
  • Сингуляр таб. жев., 4 мг, 14 шт.
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    Сингуляр таб. жев., 4 мг, 14 шт.

    Цена 1 399 ₽
  • Таблетница органайзер на неделю утро / день / вечер; Органайзер для таблеток на 7 дней; Карманная аптечка
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    Таблетница органайзер на неделю утро / день / вечер; Органайзер для таблеток на 7 дней; Карманная аптечка

    Цена 773 ₽ вместо 1 890
  • Таблетница на 7 дней / органайзер / бокс / контейнер на неделю для хранения таблеток и лекарств 4 приема Clear Daswerk
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    Таблетница на 7 дней / органайзер / бокс / контейнер на неделю для хранения таблеток и лекарств 4 приема Clear Daswerk

    Цена 457 ₽ вместо 637
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    Реклама
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  • Монтелукаст таб. жев., 5 мг, 28 шт.
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    Монтелукаст таб. жев., 5 мг, 28 шт.

    Цена 953 ₽ вместо 1 122
  • Таблетница 1секц d4*6,5см с таблеторезкой бел от 655398
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:675124810_10/content/content/toggleWishlist":{"skuId":"100973581091","productId":675124810,"offerId":"yW_pMSPsXAL9W8xES5rrFw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQtdvXjZ+zqdaHARIaChhyZW1peF9kZXNrdG9wX21vZGVsX2NhcmQyFgjKrPbBAhCjpvqT+AIYhO2iBSDNzj0=","sign":"PEoYm+eCSSSLPLakwcnn1kFf7HtbgGKUboIqeaNRXdA="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:675124810_10/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Таблетница 1секц d4*6,5см с таблеторезкой бел от 655398

    Цена 199 ₽ вместо 600
  • Таблетница компактная /органайзер аптечка/ контейнер для таблеток БАД Panda_Home (синего цвета)
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1697098837_11/content/content/gallery":{"title":"Таблетница компактная /органайзер аптечка/ контейнер для таблеток БАД Panda_Home (синего цвета)","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5232043/img_id7017230458924859337.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5232043/img_id7017230458924859337.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5232043/img_id7017230458924859337.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5232043/img_id7017230458924859337.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5232043/img_id7017230458924859337.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5232043/img_id7017230458924859337.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1697098837_11/content/content/toggleWishlist":{"skuId":"101610320198","productId":1697098837,"offerId":"aS77pnTlGEnfCAS-2gxsfg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQtdvXjZ+zqdaHARIaChhyZW1peF9kZXNrdG9wX21vZGVsX2NhcmQyFgjV2J6pBhDG4snD+gIYkvb3ByDNzj0=","sign":"p+HJO+h6fQAlpsU6IeUWRzGs1I/Zq+ThttqnPv/PhBc="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1697098837_11/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Таблетница компактная /органайзер аптечка/ контейнер для таблеток БАД Panda_Home (синего цвета)

    Цена 245 ₽ вместо 263
  • Монтелар таб. жев., 5 мг, 14 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436721440_12/content/content/toggleWishlist":{"skuId":"661262024","productId":1436721440,"offerId":"igYQMuTK2IE28dcjf0rWUQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQtdvXjZ+zqdaHARIaChhyZW1peF9kZXNrdG9wX21vZGVsX2NhcmQyFgigwoqtBRDInai7AhjEnNAHIOHcwQc=","sign":"2hOo7uIjNM+Jv5vUMWNo/oZu6DiJ1czsoRA3QtUS+d8="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436721440_12/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Монтелар таб. жев., 5 мг, 14 шт.

    Цена 815 ₽
  • Монтелукаст таб. жев., 5 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:70549826_13/content/content/toggleWishlist":{"skuId":"102786847802","productId":70549826,"offerId":"KTNXE5D4twRlfjv0PSpwfQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQtdvXjZ+zqdaHARIaChhyZW1peF9kZXNrdG9wX21vZGVsX2NhcmQyFgjCgtIhELqoy/T+AhjsmdQZIOHcwQc=","sign":"73P6TeEv5SAFFqVcRVMX8Z9ltzwojTl9IVqkhCC/53A="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:70549826_13/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Монтелукаст таб. жев., 5 мг, 30 шт.

    Цена 998 ₽
  • Алмонт таб. жев., 4 мг, 28 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436721414_14/content/content/toggleWishlist":{"skuId":"186530292","productId":1436721414,"offerId":"6HkfEJZRAZf1oRork_a1xA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQtdvXjZ+zqdaHARIaChhyZW1peF9kZXNrdG9wX21vZGVsX2NhcmQyFQiGwoqtBRD08/hYGMaujBEg4dzBBw==","sign":"MsfSEiPZKiZy6tyLKUPcj+TtbhNzhu0eeJ3okLCYnJ4="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436721414_14/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Алмонт таб. жев., 4 мг, 28 шт.

    Цена 1 188 ₽
  • Таксорест капс., 0.2 г, 20 шт., нейтральный
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436721453_15/content/content/gallery":{"title":"Таксорест капс., 0.2 г, 20 шт., нейтральный","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/4705079/img_id6296047812407474786.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4705079/img_id6296047812407474786.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4705079/img_id6296047812407474786.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4705079/img_id6296047812407474786.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4705079/img_id6296047812407474786.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4705079/img_id6296047812407474786.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/12579532/img_id5962217712376900488.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/12579532/img_id5962217712376900488.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/12579532/img_id5962217712376900488.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/12579532/img_id5962217712376900488.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/12579532/img_id5962217712376900488.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/12579532/img_id5962217712376900488.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQtdvXjZ+zqdaHARIaChhyZW1peF9kZXNrdG9wX21vZGVsX2NhcmQyFgitwoqtBRCQ2+OdAhjDgKAIIOHcwQc=","sign":"2twm3Y9H0q5D6w5Z1kNk0bjp/YVaqZB/H+i1L0Yu66w="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436721453_15/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436721453_15/content/content/toggleWishlist":{"skuId":"599322000","productId":1436721453,"offerId":"vTebfMr9dUOvY6LfPOEt7Q","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQtdvXjZ+zqdaHARIaChhyZW1peF9kZXNrdG9wX21vZGVsX2NhcmQyFgitwoqtBRCQ2+OdAhjDgKAIIOHcwQc=","sign":"2twm3Y9H0q5D6w5Z1kNk0bjp/YVaqZB/H+i1L0Yu66w="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436721453_15/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Таксорест капс., 0.2 г, 20 шт., нейтральный

    Цена 1 900 ₽ вместо 2 470
  • Респисальф капс. с пор. д/инг. (с ингалятором), 50 мкг+100 мкг/доза, 60 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1734819674_16/content/content/toggleWishlist":{"skuId":"101770866088","productId":1734819674,"offerId":"iFjnE_Q9vqgb-dhdokrWsQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQtdvXjZ+zqdaHARIaChhyZW1peF9kZXNrdG9wX21vZGVsX2NhcmQyFwja/py7BhCo25CQ+wIYhoicDiDh3MEH","sign":"Ae1FCCpW/v01XesUfg0t58XZ7Xn6Um7lN6k3ZVqr4TQ="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1734819674_16/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Респисальф капс. с пор. д/инг. (с ингалятором), 50 мкг+100 мкг/доза, 60 шт.

    Цена 919 ₽
  • Монтрал МЛ таб. п/о плен., 5 мг+10 мг, 10 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417730509_17/content/content/toggleWishlist":{"skuId":"785660029","productId":1417730509,"offerId":"pfv8yyqvNDv9t5j5CcClrQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQtdvXjZ+zqdaHARIaChhyZW1peF9kZXNrdG9wX21vZGVsX2NhcmQyFgjNs4OkBRD98ND2Ahix3tAHIOHcwQc=","sign":"FaiBQwNMa6QBVYebZKwa3s9TaugtRqrHewFUdU7d5ig="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417730509_17/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Монтрал МЛ таб. п/о плен., 5 мг+10 мг, 10 шт.

    Цена 420 ₽
  • Монтелар таб. п/о плен., 10 мг, 28 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436721452_18/content/content/gallery":{"title":"Монтелар таб. п/о плен., 10 мг, 28 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/1539743/img_id8005263717567369194.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1539743/img_id8005263717567369194.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1539743/img_id8005263717567369194.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1539743/img_id8005263717567369194.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1539743/img_id8005263717567369194.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1539743/img_id8005263717567369194.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4399094/img_id8160030810157716302.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4399094/img_id8160030810157716302.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4399094/img_id8160030810157716302.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4399094/img_id8160030810157716302.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4399094/img_id8160030810157716302.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4399094/img_id8160030810157716302.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5347553/img_id2660141825646226480.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5347553/img_id2660141825646226480.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5347553/img_id2660141825646226480.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5347553/img_id2660141825646226480.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5347553/img_id2660141825646226480.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5347553/img_id2660141825646226480.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQtdvXjZ+zqdaHARIaChhyZW1peF9kZXNrdG9wX21vZGVsX2NhcmQyFgiswoqtBRCl7p3YARjEnNAHIOHcwQc=","sign":"pCzSUy/EMr0u1c9cHEOyKrEyqFadFwr5zZzU0JcXjHc="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436721452_18/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436721452_18/content/content/toggleWishlist":{"skuId":"453474085","productId":1436721452,"offerId":"8wYvrgOo0FPpZyZPJiR0Jw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQtdvXjZ+zqdaHARIaChhyZW1peF9kZXNrdG9wX21vZGVsX2NhcmQyFgiswoqtBRCl7p3YARjEnNAHIOHcwQc=","sign":"pCzSUy/EMr0u1c9cHEOyKrEyqFadFwr5zZzU0JcXjHc="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436721452_18/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Монтелар таб. п/о плен., 10 мг, 28 шт.

    Цена 1 099 ₽
  • Пилюля Таблетница, с делителем ( 2 отделения )
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1777978324_19/content/content/gallery":{"title":"Пилюля Таблетница, с делителем ( 2 отделения )","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/4407413/img_id1643619678814315713.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4407413/img_id1643619678814315713.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4407413/img_id1643619678814315713.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4407413/img_id1643619678814315713.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4407413/img_id1643619678814315713.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4407413/img_id1643619678814315713.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 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217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4428744/img_id4233790029534609958.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4428744/img_id4233790029534609958.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4428744/img_id4233790029534609958.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4428744/img_id4233790029534609958.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4428744/img_id4233790029534609958.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4428744/img_id4233790029534609958.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/6458782/img_id5829425662852840729.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/6458782/img_id5829425662852840729.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/6458782/img_id5829425662852840729.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/6458782/img_id5829425662852840729.jpeg/240x320 240w, 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    Пилюля Таблетница, с делителем ( 2 отделения )

    Цена 201 ₽ вместо 291
  • Таблетница - брелок на день, 1 раздел, контейнер для таблеток металлический маленький (черный матовый)
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    Таблетница - брелок на день, 1 раздел, контейнер для таблеток металлический маленький (черный матовый)

    Цена 209 ₽ вместо 599
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    Реклама
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  • Таблетница карманная Folca утро/день/вечер/ночь голубая
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    Таблетница карманная Folca утро/день/вечер/ночь голубая

    Цена 324 ₽ вместо 490
  • Медхелп таблетница Аптечка 6 отделений
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    Медхелп таблетница Аптечка 6 отделений

    Цена 295 ₽
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