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Описание

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Фламакс р-р для в/в и в/м введ. амп., 50 мг/мл, 2 мл, 5 шт.

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5.0
(3)
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Количество штук в упаковке, шт.: 5

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Коротко о товаре

Артикул Маркета
3310867580
Тип препарата
Назначение
Действующее вещество
Возраст
от 15 лет
Инструкция
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воспаления различного генеза умеренной интенсивности:\u003Cbr\u003E- воспалительные и дегенеративные заболевания опорно-двигательного аппарата: ревматоидный, псориатический, ювенильный хронический артрит, анкилозирующий спондилит (болезнь Бехтерева), подагрический артрит, ревматическое поражение мягких тканей, остеоартроз периферических суставов и позвоночника (в том числе и с корешковым синдромом);\u003Cbr\u003E- люмбаго, ишиас, невралгия;\u003Cbr\u003E- мигрень;\u003Cbr\u003E- альгодисменорея, воспалительные процессы органов малого таза, в т.ч. аднексит;\u003Cbr\u003E- посттравматический болевой синдром, сопровождающийся воспалением;\u003Cbr\u003E- послеоперационная боль;\u003Cbr\u003E- зубная боль;\u003Cbr\u003E- болевой синдром при онкологических заболеваниях.\u003Cbr\u003EНа прогрессирование заболевания не влияет."},{"name":"Противопоказания","value":"- Гиперчувствительность (в т.ч. к другим нестероидным противовоспалительным препаратам или вспомогательным компонентам);\u003Cbr\u003E- эрозивно-язвенные поражения желудочно-кишечного тракта (ЖКТ) (в фазе обострения);\u003Cbr\u003E- кровотечения из желудочно-кишечного тракта, воспалительные заболевания кишечника в фазе обострения (неспецифический язвенный колит, болезнь Крона);\u003Cbr\u003E- тяжелая печеночная недостаточность или заболевания печени в острый период;\u003Cbr\u003E- тяжелая почечная недостаточность (клиренс креатинина (КК) менее 30 мл/мин);\u003Cbr\u003E- прогрессирующие заболевания почек;\u003Cbr\u003E- гиперкалиемия;\u003Cbr\u003E- полное или неполное сочетание бронхиальной астмы, рецидивирующего полипоза носа и околоносовых пазух и непереносимости ацетилсалициловой кислоты или других нестероидных противовоспалительных препаратов (в т.ч. в анамнезе);\u003Cbr\u003E- нарушение кроветворения, нарушения гемостаза (в т.ч. гемофилия);\u003Cbr\u003E- беременность (III триместр);\u003Cbr\u003E- период лактации;\u003Cbr\u003E- детский возраст (до 15 лет);\u003Cbr\u003E- период после проведения аортокоронарного шунтирования.\u003Cbr\u003EС осторожностью:\u003Cbr\u003EБронхиальная астма, наличие факторов, повышающих токсичность в отношении ЖКТ: алкоголизм и холецистит, хроническая сердечная недостаточность, отечный синдром; артериальная гипертензия, нарушение функции почек, холестаз, сепсис, одновременное применение с другими НПВП, пожилой возраст (старше 65 лет), беременность (I-II триместр).\u003Cbr\u003EИшемическая болезнь сердца, цереброваскулярные заболевания, дислипидемия/гиперлипидемия, сахарный диабет, заболевания периферических артерий, курение, хроническая почечная недостаточность (клиренс креатинина 30-60 мл/мин).\u003Cbr\u003EАнамнестические данные о развитии язвенного поражения желудочно-кишечного тракта, подтвержденный факт наличия инфекции Helicobacter pylori, длительное применение НПВП, тяжелые соматические заболевания, сопутствующая терапия следующими препаратами:\u003Cbr\u003E- антикоагулянты (в т.ч. варфарин);\u003Cbr\u003E- антиагреганты (в т.ч. ацетилсалициловая кислота, клопидогрел);\u003Cbr\u003E- селективные ингибиторы обратного захвата серотонина (в т.ч. циталопрам, флуоксетин, пароксетин, сертралин);\u003Cbr\u003E- глюкокортикостероиды (в т.ч. преднизолон).\u003Cbr\u003EДля снижения риска развития нежелательных явлений со стороны ЖКТ следует использовать минимальную эффективную дозу минимально возможным коротким курсом."},{"name":"Состав","value":"1 мл: кетопрофен 50 мг.\u003Cbr\u003E\n1 амп.: - кетопрофен 100 мг.\u003Cbr\u003E\nВспомогательные вещества: пропиленгликоль - 800 мг, этанол (спирт этиловый 95% в пересчете на 100% вещество) - 200 мг, бензиловый спирт - 40 мг, натрия гидроксид - до рН 6.5-7.5, вода д/и - до 2 мл."},{"name":"Действующее вещество","value":"Кетопрофен","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["27144131:28709512"]}}},{"name":"Способ применения и дозы","value":"Внутривенно, внутримышечно.\u003Cbr\u003EВнутримышечное введение: по 100 мг (1 ампула) 1-2 раза в день.\u003Cbr\u003EВнутривенное инфузионное введение препарата должно проводиться только в условиях стационара. Среднее время инфузии составляет 0,5-1 час, максимальное - не более 48 часов, при этом доза препарата не должна превышать 300 мг. Непродолжительная внутривенная инфузия: 100 -200 мг (1-2 ампулы) препарата, разведенного в 100 мл 0,9% раствора натрия хлорида, вводится в течение 0,5-1 часа. Возможно повторное введение через 8 часов.\u003Cbr\u003EПродолжительная внутривенная инфузия: 100-200 мг (1-2 ампулы) препарата, разведенного в 500 мл раствора для инфузий (0,9% раствор натрия хлорида, раствор Рингера, 5% раствор декстрозы) в течение 8 часов.\u003Cbr\u003EВозможно повторное введение через 8 часов.\u003Cbr\u003EКомбинированное применение\u003Cbr\u003EФламакс можно сочетать с анальгетиками центрального действия; его можно смешивать с морфином в одном флаконе. Нельзя смешивать в одном флаконе с трамадолом из-за выпадения осадка.\u003Cbr\u003EПарентеральное введение Фламакс можно сочетать с применением пероральных форм (таблетки, капсулы) или ректальных суппозиториев, при этом суммарная суточная доза может быть увеличена до 300 мг или уменьшена до 100 мг в зависимости от характера заболевания и состояния больного.\u003Cbr\u003EСледует использовать минимальную эффективную дозу минимально возможным коротким курсом (см. раздел \"Особые указания\")."},{"name":"Побочные действия","value":"Со стороны пищеварительной системы: боль в животе, диспепсия (тошнота, рвота, изжога, метеоризм, снижение аппетита, диарея), стоматит, нарушение функции печени, изменение вкуса. При длительном применении в больших дозах - изъязвление слизистой оболочки желудочно-кишечного тракта, десневое, желудочно-кишечное, геморроидальное кровотечение.\u003Cbr\u003EСо стороны нервной системы: головная боль, головокружение, бессонница, возбуждение, нервозность, сонливость, депрессия, астения, спутанность или потеря сознания, нарушение памяти, мигрень, периферическая невропатия.\u003Cbr\u003EСо стороны органов чувств: шум или звон в ушах, нечеткость зрительного восприятия, конъюнктивит, сухость слизистой оболочки глаза, боль в глазах, гиперемия конъюнктивы, снижение слуха, вертиго.\u003Cbr\u003EСо стороны сердечно-сосудистой системы: повышение артериального давления, тахикардия.\u003Cbr\u003EСо стороны органов кроветворения: агранулоцитоз, анемия, гемолитическая анемия, тромбоцитопения, лейкопения.\u003Cbr\u003EСо стороны мочевыделительной системы: отечный синдром, цистит, уретрит, нарушение функции почек, интерстициальный нефрит, нефротический синдром, гематурия.\u003Cbr\u003EАллергические реакции: кожная сыпь (в т.ч. эритематозная, крапивница), зуд кожи, ринит, ангионевротический отек, бронхоспазм, эксфолиативный дерматит, анафилактический шок.\u003Cbr\u003EПрочие: усиление потоотделения, кровохарканье, носовое кровотечение, миалгия, мышечные подергивания, одышка, жажда, фотосенсибилизация, при длительном применении в больших дозах - вагинальное кровотечение."},{"name":"Фармакологическое действие","value":"НПВС, производное пропионовой кислоты. Оказывает анальгезирующее, противовоспалительное и жаропонижающее действие, подавляет агрегацию тромбоцитов.\u003Cbr\u003EВоздействуя на циклооксигеназное и липооксигеназное звено метаболизма арахидоновой кислоты, кетопрофен ингибирует синтез простагландинов, лейкотриенов и тромбоксанов. Анальгезирующее действие обусловлено как центральным, так и периферическим механизмами."},{"name":"Фармакологическая группа","value":"нестероидный противовоспалительный препарат (НПВП)"},{"name":"Форма выпуска","value":"раствор для инъекций"},{"name":"Способ применения/введения","value":"парентеральный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["35947170:36763748"]}}},{"name":"Минимальный возраст применения","value":"от 15 лет"},{"name":"Условия хранения","value":"Препарат следует хранить в недоступном для детей месте при температуре не выше 25°С."},{"name":"Передозировка","value":"Случаи передозировки не описаны. \u003Cbr\u003EСимптомы: возможно появление головокружения, рвоты, головной боли, одышки, болей в животе, кровотечений, нарушений функции печени и почек. \u003Cbr\u003EЛечение: проведение симптоматической терапии."},{"name":"Применение при беременности и кормлении грудью","value":"Применение Фламакс в III триместре беременности и при кормлении грудью противопоказано (следует отказаться от кормления на период применения препарата).\u003Cbr\u003EПрименение в I и II триместрах беременности допускается, если потенциальная польза для матери превышает потенциальный риск для плода."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"В период лечения необходимо соблюдать осторожность при вождении автотранспорта и занятии другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций."},{"name":"Особые указания","value":"При одновременном применении Фламакс и варфарина или препаратов лития пациенты должны находиться под строгим наблюдением врача.\u003Cbr\u003EНеобходимо соблюдать осторожность при назначении препарата больным с язвенными заболеваниями желудочно-кишечного тракта в анамнезе, почечной или печеночной недостаточностью, а также получающим кумариновые антикоагулянты. Как и остальные препараты данной группы, может маскировать симптомы инфекционных заболеваний.\u003Cbr\u003EВо время лечения необходим контроль картины периферической крови и функционального состояния печени и почек.\u003Cbr\u003EПри необходимости определения 17-кетостероидов препарат следует отменить за 48: часов до исследования.\u003Cbr\u003EПри нарушении функции печени, почек необходимо снижение дозы и тщательное наблюдение.\u003Cbr\u003EДля снижения риска развития нежелательных явлений со стороны ЖКТ следует использовать минимальную эффективную дозу минимально возможным коротким курсом (см. раздел \"Способ применения и дозы\")."},{"name":"Взаимодействие","value":"При одновременном применении Фламакс и \"петлевых\" диуретиков нефротоксическое действие обоих препаратов усиливается. Снижает эффективность урикозурических препаратов, усиливает действие антикоагулянтов, антиагрегантов, фибринолитиков, этанола, побочные эффекты глюкокортикостероидов и минералокортикостероидов, эстрогенов; снижает эффективность гипотензивных препаратов и диуретиков.\u003Cbr\u003EОдновременное применение с другими НПВП, глюкокортикостероидами, этанолом, кортикотропином может привести к образованию язв и развитию желудочно- кишечных кровотечений, к увеличению риска развития нарушений функций почек. Одновременное применение с пероральными антикоагулянтами, гепарином, тромболитиками, антиагрегантами, цефаперазоном, цефамандолом и цефотетаном повышает риск развития кровотечений.\u003Cbr\u003EПовышает гипогликемическое действие инсулина и пероральных гипогликемических лекарственных средств (необходим перерасчет дозы).\u003Cbr\u003EИндукторы микросомального окисления в печени (фенитоин, этанол, барбитураты, рифампицин, фенилбутазон, трициклические антидепрессанты) увеличивают продукцию гидроксилированных активных метаболитов.\u003Cbr\u003EСовместное применение с вальпроатом натрия приводит к снижению агрегации тромбоцитов.\u003Cbr\u003EПовышает концентрацию в плазме верапамила и нифедипина, препаратов лития, метотрексата.\u003Cbr\u003EАнтациды и колестирамин снижают абсорбцию.\u003Cbr\u003EУсиливает гематотоксичность миелотоксичных лекарственных средств.\u003Cbr\u003EВо избежание осадка не следует смешивать в одном флаконе Фламакс и трамадол."},{"name":"Регистрационный номер","value":"ЛП-№(000459)-(РГ-RU)"},{"name":"Дата государственной регистрации","value":"15.12.2021"},{"name":"Владелец регистрационного удостоверения","value":"Сотекс","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["34324371:35649313","7893318:14955808"]}}},{"name":"Изготовитель","value":"Сотекс"},{"name":"Фасовщик","value":"Сотекс"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Фламакс","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["17796364:18043881"]}}},{"name":"Срок годности","value":"60 мес."}]}},"fullSpecsGrouped":{"7689834436996192993":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Органы и системы","value":"опорно-двигательная система"},{"name":"Назначение","value":"аднексит, альгодисменорея, анкилозирующий спондилит, артрит, зубная боль, ишиас, люмбаго, мигрень, невралгия, остеоартроз, ревматоидный артрит"},{"name":"Показания к применению","value":"Для симптоматического лечения болей и воспаления различного генеза умеренной интенсивности:\u003Cbr\u003E- воспалительные и дегенеративные заболевания опорно-двигательного аппарата: ревматоидный, псориатический, ювенильный хронический артрит, анкилозирующий спондилит (болезнь Бехтерева), подагрический артрит, ревматическое поражение мягких тканей, остеоартроз периферических суставов и позвоночника (в том числе и с корешковым синдромом);\u003Cbr\u003E- люмбаго, ишиас, невралгия;\u003Cbr\u003E- мигрень;\u003Cbr\u003E- альгодисменорея, воспалительные процессы органов малого таза, в т.ч. аднексит;\u003Cbr\u003E- посттравматический болевой синдром, сопровождающийся воспалением;\u003Cbr\u003E- послеоперационная боль;\u003Cbr\u003E- зубная боль;\u003Cbr\u003E- болевой синдром при онкологических заболеваниях.\u003Cbr\u003EНа прогрессирование заболевания не влияет."},{"name":"Противопоказания","value":"- Гиперчувствительность (в т.ч. к другим нестероидным противовоспалительным препаратам или вспомогательным компонентам);\u003Cbr\u003E- эрозивно-язвенные поражения желудочно-кишечного тракта (ЖКТ) (в фазе обострения);\u003Cbr\u003E- кровотечения из желудочно-кишечного тракта, воспалительные заболевания кишечника в фазе обострения (неспецифический язвенный колит, болезнь Крона);\u003Cbr\u003E- тяжелая печеночная недостаточность или заболевания печени в острый период;\u003Cbr\u003E- тяжелая почечная недостаточность (клиренс креатинина (КК) менее 30 мл/мин);\u003Cbr\u003E- прогрессирующие заболевания почек;\u003Cbr\u003E- гиперкалиемия;\u003Cbr\u003E- полное или неполное сочетание бронхиальной астмы, рецидивирующего полипоза носа и околоносовых пазух и непереносимости ацетилсалициловой кислоты или других нестероидных противовоспалительных препаратов (в т.ч. в анамнезе);\u003Cbr\u003E- нарушение кроветворения, нарушения гемостаза (в т.ч. гемофилия);\u003Cbr\u003E- беременность (III триместр);\u003Cbr\u003E- период лактации;\u003Cbr\u003E- детский возраст (до 15 лет);\u003Cbr\u003E- период после проведения аортокоронарного шунтирования.\u003Cbr\u003EС осторожностью:\u003Cbr\u003EБронхиальная астма, наличие факторов, повышающих токсичность в отношении ЖКТ: алкоголизм и холецистит, хроническая сердечная недостаточность, отечный синдром; артериальная гипертензия, нарушение функции почек, холестаз, сепсис, одновременное применение с другими НПВП, пожилой возраст (старше 65 лет), беременность (I-II триместр).\u003Cbr\u003EИшемическая болезнь сердца, цереброваскулярные заболевания, дислипидемия/гиперлипидемия, сахарный диабет, заболевания периферических артерий, курение, хроническая почечная недостаточность (клиренс креатинина 30-60 мл/мин).\u003Cbr\u003EАнамнестические данные о развитии язвенного поражения желудочно-кишечного тракта, подтвержденный факт наличия инфекции Helicobacter pylori, длительное применение НПВП, тяжелые соматические заболевания, сопутствующая терапия следующими препаратами:\u003Cbr\u003E- антикоагулянты (в т.ч. варфарин);\u003Cbr\u003E- антиагреганты (в т.ч. ацетилсалициловая кислота, клопидогрел);\u003Cbr\u003E- селективные ингибиторы обратного захвата серотонина (в т.ч. циталопрам, флуоксетин, пароксетин, сертралин);\u003Cbr\u003E- глюкокортикостероиды (в т.ч. преднизолон).\u003Cbr\u003EДля снижения риска развития нежелательных явлений со стороны ЖКТ следует использовать минимальную эффективную дозу минимально возможным коротким курсом."},{"name":"Состав","value":"1 мл: кетопрофен 50 мг.\u003Cbr\u003E\n1 амп.: - кетопрофен 100 мг.\u003Cbr\u003E\nВспомогательные вещества: пропиленгликоль - 800 мг, этанол (спирт этиловый 95% в пересчете на 100% вещество) - 200 мг, бензиловый спирт - 40 мг, натрия гидроксид - до рН 6.5-7.5, вода д/и - до 2 мл."},{"name":"Действующее вещество","value":"Кетопрофен"},{"name":"Способ применения и дозы","value":"Внутривенно, внутримышечно.\u003Cbr\u003EВнутримышечное введение: по 100 мг (1 ампула) 1-2 раза в день.\u003Cbr\u003EВнутривенное инфузионное введение препарата должно проводиться только в условиях стационара. Среднее время инфузии составляет 0,5-1 час, максимальное - не более 48 часов, при этом доза препарата не должна превышать 300 мг. Непродолжительная внутривенная инфузия: 100 -200 мг (1-2 ампулы) препарата, разведенного в 100 мл 0,9% раствора натрия хлорида, вводится в течение 0,5-1 часа. Возможно повторное введение через 8 часов.\u003Cbr\u003EПродолжительная внутривенная инфузия: 100-200 мг (1-2 ампулы) препарата, разведенного в 500 мл раствора для инфузий (0,9% раствор натрия хлорида, раствор Рингера, 5% раствор декстрозы) в течение 8 часов.\u003Cbr\u003EВозможно повторное введение через 8 часов.\u003Cbr\u003EКомбинированное применение\u003Cbr\u003EФламакс можно сочетать с анальгетиками центрального действия; его можно смешивать с морфином в одном флаконе. Нельзя смешивать в одном флаконе с трамадолом из-за выпадения осадка.\u003Cbr\u003EПарентеральное введение Фламакс можно сочетать с применением пероральных форм (таблетки, капсулы) или ректальных суппозиториев, при этом суммарная суточная доза может быть увеличена до 300 мг или уменьшена до 100 мг в зависимости от характера заболевания и состояния больного.\u003Cbr\u003EСледует использовать минимальную эффективную дозу минимально возможным коротким курсом (см. раздел \"Особые указания\")."},{"name":"Побочные действия","value":"Со стороны пищеварительной системы: боль в животе, диспепсия (тошнота, рвота, изжога, метеоризм, снижение аппетита, диарея), стоматит, нарушение функции печени, изменение вкуса. При длительном применении в больших дозах - изъязвление слизистой оболочки желудочно-кишечного тракта, десневое, желудочно-кишечное, геморроидальное кровотечение.\u003Cbr\u003EСо стороны нервной системы: головная боль, головокружение, бессонница, возбуждение, нервозность, сонливость, депрессия, астения, спутанность или потеря сознания, нарушение памяти, мигрень, периферическая невропатия.\u003Cbr\u003EСо стороны органов чувств: шум или звон в ушах, нечеткость зрительного восприятия, конъюнктивит, сухость слизистой оболочки глаза, боль в глазах, гиперемия конъюнктивы, снижение слуха, вертиго.\u003Cbr\u003EСо стороны сердечно-сосудистой системы: повышение артериального давления, тахикардия.\u003Cbr\u003EСо стороны органов кроветворения: агранулоцитоз, анемия, гемолитическая анемия, тромбоцитопения, лейкопения.\u003Cbr\u003EСо стороны мочевыделительной системы: отечный синдром, цистит, уретрит, нарушение функции почек, интерстициальный нефрит, нефротический синдром, гематурия.\u003Cbr\u003EАллергические реакции: кожная сыпь (в т.ч. эритематозная, крапивница), зуд кожи, ринит, ангионевротический отек, бронхоспазм, эксфолиативный дерматит, анафилактический шок.\u003Cbr\u003EПрочие: усиление потоотделения, кровохарканье, носовое кровотечение, миалгия, мышечные подергивания, одышка, жажда, фотосенсибилизация, при длительном применении в больших дозах - вагинальное кровотечение."},{"name":"Фармакологическое действие","value":"НПВС, производное пропионовой кислоты. Оказывает анальгезирующее, противовоспалительное и жаропонижающее действие, подавляет агрегацию тромбоцитов.\u003Cbr\u003EВоздействуя на циклооксигеназное и липооксигеназное звено метаболизма арахидоновой кислоты, кетопрофен ингибирует синтез простагландинов, лейкотриенов и тромбоксанов. Анальгезирующее действие обусловлено как центральным, так и периферическим механизмами."},{"name":"Фармакологическая группа","value":"нестероидный противовоспалительный препарат (НПВП)"},{"name":"Форма выпуска","value":"раствор для инъекций"},{"name":"Способ применения/введения","value":"парентеральный"},{"name":"Минимальный возраст применения","value":"от 15 лет"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"Препарат следует хранить в недоступном для детей месте при температуре не выше 25°С."},{"name":"Передозировка","value":"Случаи передозировки не описаны. \u003Cbr\u003EСимптомы: возможно появление головокружения, рвоты, головной боли, одышки, болей в животе, кровотечений, нарушений функции печени и почек. \u003Cbr\u003EЛечение: проведение симптоматической терапии."},{"name":"Применение при беременности и кормлении грудью","value":"Применение Фламакс в III триместре беременности и при кормлении грудью противопоказано (следует отказаться от кормления на период применения препарата).\u003Cbr\u003EПрименение в I и II триместрах беременности допускается, если потенциальная польза для матери превышает потенциальный риск для плода."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"В период лечения необходимо соблюдать осторожность при вождении автотранспорта и занятии другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций."},{"name":"Особые указания","value":"При одновременном применении Фламакс и варфарина или препаратов лития пациенты должны находиться под строгим наблюдением врача.\u003Cbr\u003EНеобходимо соблюдать осторожность при назначении препарата больным с язвенными заболеваниями желудочно-кишечного тракта в анамнезе, почечной или печеночной недостаточностью, а также получающим кумариновые антикоагулянты. Как и остальные препараты данной группы, может маскировать симптомы инфекционных заболеваний.\u003Cbr\u003EВо время лечения необходим контроль картины периферической крови и функционального состояния печени и почек.\u003Cbr\u003EПри необходимости определения 17-кетостероидов препарат следует отменить за 48: часов до исследования.\u003Cbr\u003EПри нарушении функции печени, почек необходимо снижение дозы и тщательное наблюдение.\u003Cbr\u003EДля снижения риска развития нежелательных явлений со стороны ЖКТ следует использовать минимальную эффективную дозу минимально возможным коротким курсом (см. раздел \"Способ применения и дозы\")."},{"name":"Взаимодействие","value":"При одновременном применении Фламакс и \"петлевых\" диуретиков нефротоксическое действие обоих препаратов усиливается. Снижает эффективность урикозурических препаратов, усиливает действие антикоагулянтов, антиагрегантов, фибринолитиков, этанола, побочные эффекты глюкокортикостероидов и минералокортикостероидов, эстрогенов; снижает эффективность гипотензивных препаратов и диуретиков.\u003Cbr\u003EОдновременное применение с другими НПВП, глюкокортикостероидами, этанолом, кортикотропином может привести к образованию язв и развитию желудочно- кишечных кровотечений, к увеличению риска развития нарушений функций почек. Одновременное применение с пероральными антикоагулянтами, гепарином, тромболитиками, антиагрегантами, цефаперазоном, цефамандолом и цефотетаном повышает риск развития кровотечений.\u003Cbr\u003EПовышает гипогликемическое действие инсулина и пероральных гипогликемических лекарственных средств (необходим перерасчет дозы).\u003Cbr\u003EИндукторы микросомального окисления в печени (фенитоин, этанол, барбитураты, рифампицин, фенилбутазон, трициклические антидепрессанты) увеличивают продукцию гидроксилированных активных метаболитов.\u003Cbr\u003EСовместное применение с вальпроатом натрия приводит к снижению агрегации тромбоцитов.\u003Cbr\u003EПовышает концентрацию в плазме верапамила и нифедипина, препаратов лития, метотрексата.\u003Cbr\u003EАнтациды и колестирамин снижают абсорбцию.\u003Cbr\u003EУсиливает гематотоксичность миелотоксичных лекарственных средств.\u003Cbr\u003EВо избежание осадка не следует смешивать в одном флаконе Фламакс и трамадол."},{"name":"Регистрационный номер","value":"ЛП-№(000459)-(РГ-RU)"},{"name":"Дата государственной регистрации","value":"15.12.2021"},{"name":"Владелец регистрационного удостоверения","value":"Сотекс"},{"name":"Изготовитель","value":"Сотекс"},{"name":"Фасовщик","value":"Сотекс"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Фламакс"},{"name":"Срок годности","value":"60 мес."}]}],"transitionId":"tr_6585060702453887031"}}}}
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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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174 ₽

  • 15-17 июня, самовывоз • 0 ₽
POLZAru
Рейтинг 4.9 из 5
38Котзывов
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    Цена 234 ₽
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    Рейтинг товара: 5 из 5
    на основе 2 оценки
    Цена 415 ₽
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  • Кетонал р-р для в/в и в/м введ. амп., 50 мг/мл, 2 мл, 5 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-h4i7st7sh4o/toggleWishlist":{"skuId":"667778002","productId":1422663522,"offerId":"2l8YBbunnnsp1o12RD5zbA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ0snihM+D26kdEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYI4r6wpgUQ0ve1vgIYxJzQByDn3MEH","sign":"GoAOEUPeneEqISOkbd6xLtNqzoQ3LwVBqlQQzp4vjp4="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-h4i7st7sh4o/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Кетонал р-р для в/в и в/м введ. амп., 50 мг/мл, 2 мл, 5 шт.

    Рейтинг товара: 5 из 5
    на основе 3 оценки
    Цена 131 ₽
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  • Велдексал р-р для в/в и в/м введ. амп., 25 мг/мл, 2 мл, 5 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-xzz8u91ibl/toggleWishlist":{"skuId":"101824454730","productId":833179113,"offerId":"UClWAqDwGmaAZ9Sf88aN-w","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ0snihM+D26kdEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcI6ZuljQMQysDXqfsCGKev2Acg59zBBw==","sign":"gO7uN+5AELsWakPI9f4D36Ss6wj4VlhAtNW0DgHGxBQ="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-xzz8u91ibl/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Велдексал р-р для в/в и в/м введ. амп., 25 мг/мл, 2 мл, 5 шт.

    Рейтинг товара: 5 из 5
    на основе 4 оценки
    Цена 203 ₽
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  • Дексонал р-р для в/в и в/м введ., 25 мг/мл, 2 мл, 5 шт.
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    Дексонал р-р для в/в и в/м введ., 25 мг/мл, 2 мл, 5 шт.

    Рейтинг товара: 4.9 из 5
    на основе 30 оценок
    Цена 274 ₽
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  • Амелотекс р-р для в/м введ., 10 мг/мл, 1.5 мл, 3 шт.
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    Амелотекс р-р для в/м введ., 10 мг/мл, 1.5 мл, 3 шт.

    Рейтинг товара: 4.8 из 5
    на основе 5 оценок
    Цена 490 ₽
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  • Аркетал Ромфарм р-р д/инф. и в/м введ. амп., 50 мг/мл, 2 мл, 10 шт.
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    Аркетал Ромфарм р-р д/инф. и в/м введ. амп., 50 мг/мл, 2 мл, 10 шт.

    Рейтинг товара: 5 из 5
    на основе 1 оценка
    Цена 219 ₽
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  • Фламакс капс., 50 мг, 25 шт.
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    Фламакс капс., 50 мг, 25 шт.

    Рейтинг товара: 4.8 из 5
    на основе 5 оценок
    Цена 133 ₽
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  • Риклинг р-р для в/в и в/м введ. амп., 25 мг/мл, 2 мл, 5 шт.
    –19 %
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    Риклинг р-р для в/в и в/м введ. амп., 25 мг/мл, 2 мл, 5 шт.

    Рейтинг товара: 5 из 5
    на основе 1 оценка
    Цена 219 ₽ вместо 269
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  • Калмирекс р-р для в/в введ. и в/м введ. амп., 100 мг/мл+2.5 мг/мл, 1 мл, 5 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-00k0zxwbtqwvp/toggleWishlist":{"skuId":"101392540729","productId":265134753,"offerId":"giOrHBrK4Wrdzzdh5rQ8vg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ0snihM+D26kdEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYIocW2fhC5yN3b+QIYoOqQByDn3MEH","sign":"f77Ggt9RP1HO+KHosehf15GcMotiHEfy+Gx6BK7SlsQ="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-00k0zxwbtqwvp/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Калмирекс р-р для в/в введ. и в/м введ. амп., 100 мг/мл+2.5 мг/мл, 1 мл, 5 шт.

    Рейтинг товара: 4.3 из 5
    на основе 3 оценки
    Цена 552 ₽
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  • Хондрогард р-р для в/м и в/суст. введ., 100 мг/мл, 1 мл, 10 шт.
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    Хондрогард р-р для в/м и в/суст. введ., 100 мг/мл, 1 мл, 10 шт.

    Рейтинг товара: 4.9 из 5
    на основе 47 оценок
    Цена 1 795 ₽
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Инструкция

Показания к применению

Для симптоматического лечения болей и воспаления различного генеза умеренной интенсивности:
- воспалительные и дегенеративные заболевания опорно-двигательного аппарата: ревматоидный, псориатический, ювенильный хронический артрит, анкилозирующий спондилит (болезнь Бехтерева), подагрический артрит, ревматическое поражение мягких тканей, остеоартроз периферических суставов и позвоночника (в том числе и с корешковым синдромом);
- люмбаго, ишиас, невралгия;
- мигрень;
- альгодисменорея, воспалительные процессы органов малого таза, в т.ч. аднексит;
- посттравматический болевой синдром, сопровождающийся воспалением;
- послеоперационная боль;
- зубная боль;
- болевой синдром при онкологических заболеваниях.
На прогрессирование заболевания не влияет.

Противопоказания

- Гиперчувствительность (в т.ч. к другим нестероидным противовоспалительным препаратам или вспомогательным компонентам);
- эрозивно-язвенные поражения желудочно-кишечного тракта (ЖКТ) (в фазе обострения);
- кровотечения из желудочно-кишечного тракта, воспалительные заболевания кишечника в фазе обострения (неспецифический язвенный колит, болезнь Крона);
- тяжелая печеночная недостаточность или заболевания печени в острый период;
- тяжелая почечная недостаточность (клиренс креатинина (КК) менее 30 мл/мин);
- прогрессирующие заболевания почек;
- гиперкалиемия;
- полное или неполное сочетание бронхиальной астмы, рецидивирующего полипоза носа и околоносовых пазух и непереносимости ацетилсалициловой кислоты или других нестероидных противовоспалительных препаратов (в т.ч. в анамнезе);
- нарушение кроветворения, нарушения гемостаза (в т.ч. гемофилия);
- беременность (III триместр);
- период лактации;
- детский возраст (до 15 лет);
- период после проведения аортокоронарного шунтирования.
С осторожностью:
Бронхиальная астма, наличие факторов, повышающих токсичность в отношении ЖКТ: алкоголизм и холецистит, хроническая сердечная недостаточность, отечный синдром; артериальная гипертензия, нарушение функции почек, холестаз, сепсис, одновременное применение с другими НПВП, пожилой возраст (старше 65 лет), беременность (I-II триместр).
Ишемическая болезнь сердца, цереброваскулярные заболевания, дислипидемия/гиперлипидемия, сахарный диабет, заболевания периферических артерий, курение, хроническая почечная недостаточность (клиренс креатинина 30-60 мл/мин).
Анамнестические данные о развитии язвенного поражения желудочно-кишечного тракта, подтвержденный факт наличия инфекции Helicobacter pylori, длительное применение НПВП, тяжелые соматические заболевания, сопутствующая терапия следующими препаратами:
- антикоагулянты (в т.ч. варфарин);
- антиагреганты (в т.ч. ацетилсалициловая кислота, клопидогрел);
- селективные ингибиторы обратного захвата серотонина (в т.ч. циталопрам, флуоксетин, пароксетин, сертралин);
- глюкокортикостероиды (в т.ч. преднизолон).
Для снижения риска развития нежелательных явлений со стороны ЖКТ следует использовать минимальную эффективную дозу минимально возможным коротким курсом.

Способ применения и дозы

Внутривенно, внутримышечно.
Внутримышечное введение: по 100 мг (1 ампула) 1-2 раза в день.
Внутривенное инфузионное введение препарата должно проводиться только в условиях стационара. Среднее время инфузии составляет 0,5-1 час, максимальное - не более 48 часов, при этом доза препарата не должна превышать 300 мг. Непродолжительная внутривенная инфузия: 100 -200 мг (1-2 ампулы) препарата, разведенного в 100 мл 0,9% раствора натрия хлорида, вводится в течение 0,5-1 часа. Возможно повторное введение через 8 часов.
Продолжительная внутривенная инфузия: 100-200 мг (1-2 ампулы) препарата, разведенного в 500 мл раствора для инфузий (0,9% раствор натрия хлорида, раствор Рингера, 5% раствор декстрозы) в течение 8 часов.
Возможно повторное введение через 8 часов.
Комбинированное применение
Фламакс можно сочетать с анальгетиками центрального действия; его можно смешивать с морфином в одном флаконе. Нельзя смешивать в одном флаконе с трамадолом из-за выпадения осадка.
Парентеральное введение Фламакс можно сочетать с применением пероральных форм (таблетки, капсулы) или ректальных суппозиториев, при этом суммарная суточная доза может быть увеличена до 300 мг или уменьшена до 100 мг в зависимости от характера заболевания и состояния больного.
Следует использовать минимальную эффективную дозу минимально возможным коротким курсом (см. раздел "Особые указания").
Полная инструкция
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Фламакс р-р для в/в и в/м введ. амп.
Фламакс р-р для в/в и в/м введ. амп., 50 мг/мл, 2 мл, 5 шт.
5.0
(3)
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Инструкция

174 ₽

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5.0
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    Цена 415 ₽
  • Кетонал р-р для в/в и в/м введ. амп., 50 мг/мл, 2 мл, 5 шт.
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    Кетонал р-р для в/в и в/м введ. амп., 50 мг/мл, 2 мл, 5 шт.

    Цена 131 ₽
  • Велдексал р-р для в/в и в/м введ. амп., 25 мг/мл, 2 мл, 5 шт.
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    Велдексал р-р для в/в и в/м введ. амп., 25 мг/мл, 2 мл, 5 шт.

    Цена 203 ₽
  • Дексонал р-р для в/в и в/м введ., 25 мг/мл, 2 мл, 5 шт.
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    Дексонал р-р для в/в и в/м введ., 25 мг/мл, 2 мл, 5 шт.

    Цена 274 ₽
  • Амелотекс р-р для в/м введ., 10 мг/мл, 1.5 мл, 3 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663435_5/content/content/toggleWishlist":{"skuId":"186854014","productId":1422663435,"offerId":"nJk6BGm14ZbOt-PfhsYV8A","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ0snihM+D26kdEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCIu+sKYFEP7UjFkYoOqQByDn3MEH","sign":"icz1XG6OAddmplQwuTyt04so/r1yVZCaWkr+sXEjWYo="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663435_5/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Амелотекс р-р для в/м введ., 10 мг/мл, 1.5 мл, 3 шт.

    Цена 490 ₽
  • Аркетал Ромфарм р-р д/инф. и в/м введ. амп., 50 мг/мл, 2 мл, 10 шт.
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    Аркетал Ромфарм р-р д/инф. и в/м введ. амп., 50 мг/мл, 2 мл, 10 шт.

    Цена 219 ₽
  • Фламакс капс., 50 мг, 25 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:549337021_7/content/content/gallery":{"title":"Фламакс капс., 50 мг, 25 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/4393885/img_id6464316687852894021.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4393885/img_id6464316687852894021.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4393885/img_id6464316687852894021.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4393885/img_id6464316687852894021.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4393885/img_id6464316687852894021.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4393885/img_id6464316687852894021.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4614113/img_id1072435214082698035.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4614113/img_id1072435214082698035.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4614113/img_id1072435214082698035.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4614113/img_id1072435214082698035.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4614113/img_id1072435214082698035.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4614113/img_id1072435214082698035.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ0snihM+D26kdEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCL3v+IUCEOrB2tv5Ahig6pAHIOfcwQc=","sign":"SoBdK/PWsXzvdD3rabjKZG6b8R3dRKZNEYo4IYHFhtU="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:549337021_7/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
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    Фламакс капс., 50 мг, 25 шт.

    Цена 133 ₽
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    Реклама
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  • Риклинг р-р для в/в и в/м введ. амп., 25 мг/мл, 2 мл, 5 шт.
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    Риклинг р-р для в/в и в/м введ. амп., 25 мг/мл, 2 мл, 5 шт.

    Цена 219 ₽ вместо 269
  • Калмирекс р-р для в/в введ. и в/м введ. амп., 100 мг/мл+2.5 мг/мл, 1 мл, 5 шт.
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    Калмирекс р-р для в/в введ. и в/м введ. амп., 100 мг/мл+2.5 мг/мл, 1 мл, 5 шт.

    Цена 552 ₽
  • Хондрогард р-р для в/м и в/суст. введ., 100 мг/мл, 1 мл, 10 шт.
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    Хондрогард р-р для в/м и в/суст. введ., 100 мг/мл, 1 мл, 10 шт.

    Цена 1 795 ₽
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