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Гептрал таб. п/о кш/раств., 400 мг, 20 шт.

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4.8
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Коротко о товаре

Артикул Маркета
3188465684
Тип препарата
Назначение
Действующее вещество
Возраст
от 18 лет
Инструкция
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противоопухолевые, противотуберкулезные и противовирусные препараты, трициклические антидепрессанты, пероральные контрацептивы);\u003Cbr\u003E- хронический бескаменный холецистит;\u003Cbr\u003E- холангит;\u003Cbr\u003E- цирроз печени;\u003Cbr\u003E- энцефалопатия, в т.ч. ассоциированная с печеночной недостаточностью (алкогольная и др.).\u003Cbr\u003E- Внутрипеченочный холестаз у беременных.\u003Cbr\u003E- Симптомы депрессии.\u003Cbr\u003E- Повышенная утомляемость при хронических заболеваниях печени."},{"name":"Противопоказания","value":"Генетические нарушения, влияющие на метиониновый цикл, и/или вызывающие гомоцистинурию и/или гипергомоцистеинемию (дефицит цистатионин бетасинтазы, нарушение метаболизма витамина В12).\u003Cbr\u003EГиперчувствительность к любому из компонентов препарата.\u003Cbr\u003EВозраст до 18 лет (опыт медицинского применения у детей ограничен).\u003Cbr\u003EБиполярные расстройства."},{"name":"Состав","value":"Каждая таблетка содержит:\u003Cbr\u003EДействующее вещество: адеметионина 1,4-бутандисульфонат 760 мг (соответствует 400 мг иона адеметионина).\u003Cbr\u003EВспомогательные вещества: кремния диоксид коллоидный - 4,4 мг, целлюлоза микрокристаллическая - 93,6 мг, карбоксиметилкрахмал натрия (тип А) - 17,6 мг, магния стеарат - 4,4 мг;\u003Cbr\u003Eоболочка таблетки: метакриловой кислоты и этилакрилата сополимер (1:1) - 27,6 мг, макрогол-6000 - 8,07 мг, полисорбат-80 - 0,44 мг, симетикон (эмульсия 30%) - 0,13 мг, натрия гидроксид - 0,36 мг, тальк - 18,4 мг, вода - Q.S."},{"name":"Действующее вещество","value":"Адеметионин","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-pishchevareniia","categoryId":"15756506","navnodeId":"72470","glfilters":["27144131:28710768"]}}},{"name":"Способ применения и дозы","value":"Внутрь. Таблетки следует принимать целиком, не разжевывая, желательно в первой половине дня между приемами пищи.\u003Cbr\u003EТаблетки препарата Гептрал следует вынимать из блистера непосредственно перед приемом внутрь. В случае, если таблетки имеют цвет, отличный от белого до белого с желтоватым оттенком (вследствие негерметичности алюминиевой фольги), препарат Гептрал использовать не рекомендуется.\u003Cbr\u003EНачальная терапия\u003Cbr\u003EРекомендуемая доза составляет 10-25 мг/кг/сут внутрь.\u003Cbr\u003EВнутрипеченочный холестаз повышенная утомляемость при хронических заболеваниях печени\u003Cbr\u003EДоза составляет от 800 мг/сут до 1600 мг/сут.\u003Cbr\u003EДепрессия\u003Cbr\u003EДоза составляет от 800 мг/сут до 1600 мг/сут.\u003Cbr\u003EДлительность терапии определяется врачом.\u003Cbr\u003EТерапия препаратом Гептрал может быть начата с внутривенного или внутримышечного введения с последующим применением препарата Гептрал в виде таблеток или сразу с применения препарата Гептрал в виде таблеток.\u003Cbr\u003EПациенты пожилого возраста\u003Cbr\u003EКлинический опыт применения препарата Гептрал не выявил каких-либо различий в его эффективности у пациентов пожилого возраста и пациентов более молодого возраста. Однако, учитывая высокую вероятность имеющихся нарушений функции печени, почек или сердца, другой сопутствующей патологии или одновременной терапии с другими лекарственными средствами, дозу препарата Гептрал пожилым пациентам следует подбирать с осторожностью, начиная применение препарата с нижнего предела диапазона доз.\u003Cbr\u003EПочечная недостаточность\u003Cbr\u003EИмеются ограниченные клинические данные о применении препарата Гептрал у пациентов с почечной недостаточностью, в связи с этим рекомендуется соблюдать осторожность при применении препарата Гептрал у таких пациентов.\u003Cbr\u003EПеченочная недостаточность\u003Cbr\u003EПараметры фармакокинетики адеметионина сходны у здоровых добровольцев и у пациентов с хроническими заболеваниями печени.\u003Cbr\u003EДети\u003Cbr\u003EПрименение препарата Гептрал у детей противопоказано (эффективность и безопасность не установлены)."},{"name":"Побочные действия","value":"Со стороны пищеварительной системы: часто - тошнота, боли в животе, диарея; редко - рвота, сухость во рту, эзофагит, диспепсия, метеоризм, желудочно-кишечная боль, желудочно-кишечное кровотечение, печеночная колика.\u003Cbr\u003EСо стороны нервной системы: редко - спутанность сознания, бессонница, головокружение, головная боль, парестезии.\u003Cbr\u003EСо стороны костно-мышечной системы: редко - артралгии, мышечные судороги.\u003Cbr\u003EСо стороны мочевыделительной системы: редко - инфекции мочевыводящих путей.\u003Cbr\u003EСо стороны кожных покровов: редко - гипергидроз, зуд, кожная сыпь.\u003Cbr\u003EМестные реакции: редко - реакции в месте введения; очень редко - реакции в месте введения, некроз кожи в месте введения.\u003Cbr\u003EАллергические реакции: редко - анафилактические реакции; очень редко - отек Квинке, отек гортани.\u003Cbr\u003EПрочие: редко - приливы, поверхностный флебит, астения, озноб, гриппоподобные симптомы, слабость, периферические отеки, гипертермия."},{"name":"Фармакологическое действие","value":"Адеметионин относится к группе гепатопротекторов, обладает также антидепрессивной активностью.\u003Cbr\u003EОказывает холеретическое и холекинетическое действие, обладает детоксикационными, регенерирующими, антиоксидантными, антифиброзирующими и нейропротективными свойствами.\u003Cbr\u003EВосполняет дефицит S-аденозил-L-метионина (адеметионина) и стимулирует его выработку в организме, содержится во всех средах организма. Наибольшая концентрация адеметионина отмечена в печени и мозге.\u003Cbr\u003EВыполняет ключевую роль в метаболических процессах организма, принимает участие в важных биохимических реакциях: трансметилировании, транссульфурировании, трансаминировании. В реакциях трансметилирования адеметионин донирует метальную группу для синтеза фосфолипидов клеточных мембран, нейротрансмиттеров, нуклеиновых кислот, белков, гормонов и др. В реакциях транссульфурирования адеметионин является предшественником цистеина, таурина, глютатиона (обеспечивая окислительно-восстановительный механизм клеточной детоксикации), коэнзима А (включается в биохимические реакции цикла трикарбоновых кислот и восполняет энергетический потенциал клетки).\u003Cbr\u003EПовышает содержание глутамина в печени, цистеина и таурина в плазме; снижает содержание метионина в сыворотке, нормализуя метаболические реакции в печени. После декарбоксилирования участвует в реакциях аминопропилирования, как предшественник полиаминов путресцина (стимулятор регенерации клеток и пролиферации гепатоцитов), спермидина и спермина, входящих в структуру рибосом, что уменьшает риск фиброзирования.\u003Cbr\u003EОказывает холеретическое действие.\u003Cbr\u003EАдеметионин нормализует синтез эндогенного фосфатидилхолина в гепатоцитах, что повышает текучесть и поляризацию мембран. Это улучшает функцию ассоциированных с мембранами гепатоцитов транспортных систем желчных кислот и способствует пассажу желчных кислот в желчевыводящие пути. Эффективен при внутридольковом варианте холестаза (нарушение синтеза и тока желчи). Адеметионин снижает токсичность желчных кислот в гепатоците, осуществляя их конъюгирование и сульфатирование. Конъюгация с таурином повышает растворимость желчных кислот и выведение их из гепатоцита. Процесс сульфатирования желчных кислот способствует возможности их элиминации почками, облегчает прохождение через мембрану гепатоцита и выведение с желчью. Кроме этого, сами сульфатированные желчные кислоты дополнительно защищают мембраны клеток печени от токсического действия несульфатированных желчных кислот (в высоких концентрациях присутствующих в гепатоцитах при внутрипеченочном холестазе).\u003Cbr\u003EУ пациентов с диффузными заболеваниями печени (цирроз, гепатит) с синдромом внутрипеченочного холестаза адеметионин снижает выраженность кожного зуда и изменений биохимических показателей, в т.ч. концентрации прямого билирубина, активности щелочной фосфатазы, аминотрансфераз и др.\u003Cbr\u003EХолеретический и гепатопротективный эффект сохраняется до 3 месяцев после прекращения лечения.\u003Cbr\u003EПоказана эффективность при гепатопатиях, обусловленных различными гепатотоксичными препаратами.\u003Cbr\u003EАнтидепрессивная активность проявляется постепенно, начиная с конца первой недели лечения, и стабилизируется в течение 2 недель лечения.\u003Cbr\u003EВ ряде исследований была подтверждена эффективность адеметионина при лечении повышенной утомляемости у пациентов с хроническими заболеваниями печени. Объединенный анализ данных, полученный у пациентов с наличием симптомов повышенной утомляемости до начала лечения, доказал эффект лечения адеметионином в отношении уменьшения симптомов повышенной утомляемости в сочетании с рядом других симптомов, таких как депрессия, иктеричность кожных покровов и слизистых, недомогание и кожный зуд.\u003Cbr\u003EЛечение адеметионином достоверно улучшало настроение у пациентов с алкогольной болезнью печени, у которых одновременно был достигнут положительный ответ со стороны симптомов повышенной утомляемости. Кроме того, у пациентов с алкогольной болезнью печени и неалкогольной жировой болезнью печени с достигнутым ответом на лечение адеметионином со стороны симптомов повышенной утомляемости также наблюдалось достоверное ослабление таких симптомов, как иктеричность кожных покровов и слизистых, недомогание и кожный зуд."},{"name":"Фармакологическая группа","value":"прочие препараты для желудочно-кишечного тракта и обмена веществ, аминокислоты и их производные"},{"name":"Форма выпуска","value":"таблетки, покрытые кишечнорастворимой оболочкой"},{"name":"Способ применения/введения","value":"пероральный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-pishchevareniia","categoryId":"15756506","navnodeId":"72470","glfilters":["35947170:36763744"]}}},{"name":"Минимальный возраст применения","value":"от 18 лет"},{"name":"Условия хранения","value":"В защищенном от света месте, при температуре от 15 °С до 25 °С. Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"Передозировка препарата Гептрал маловероятна. В случае передозировки рекомендуется наблюдение за пациентом и проведение симптоматической терапии."},{"name":"Применение при беременности и кормлении грудью","value":"В клинических исследованиях было показано, что применение адеметионина в III триместре беременности не вызывало никаких нежелательных эффектов.\u003Cbr\u003EПрименение препарата Гептрал у беременных в I триместре и в период грудного вскармливания возможно, только если потенциальная польза для матери превышает возможный риск для плода или ребенка."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"У некоторых пациентов при приеме препарата Гептрал может возникнуть головокружение. Не рекомендуется водить автомобиль и работать с механизмами во время приема препарата до тех пор, пока у пациента не возникнет уверенность, что терапия не влияет на способность заниматься подобного вида деятельностью."},{"name":"Особые указания","value":"С осторожностью:\u003Cbr\u003EБеременность (I триместр) и период грудного вскармливания (применение возможно, только если потенциальная польза для матери превышает возможный риск для плода или ребенка).\u003Cbr\u003EОдновременный прием с селективными ингибиторами обратного захвата серотонина (СИОЗС), трициклическими антидепрессантами (такими как кломипрамин), а также препаратами растительного происхождения и препаратами, содержащими триптофан (см. раздел \"Взаимодействие с другими лекарственными препаратами\").\u003Cbr\u003EПожилой возраст.\u003Cbr\u003EПочечная недостаточность.\u003Cbr\u003EУчитывая тонизирующий эффект препарата, не рекомендуется принимать его перед сном.\u003Cbr\u003EПри применении препарата Гептрал пациентами с циррозом печени на фоне гиперазотемии необходим систематический контроль содержания азота в крови. Во время длительной терапии необходимо определять содержание мочевины и креатинина в сыворотке крови.\u003Cbr\u003EЕсть сообщения о переходе депрессии в гипоманию или манию у пациентов, принимавших адеметионин.\u003Cbr\u003EУ пациентов с депрессией имеется повышенный риск суицида и других серьезных нежелательных явлений, поэтому во время лечения адеметионином такие пациенты должны находиться под постоянным наблюдением врача для оценки и лечения симптомов депрессии. Пациенты должны информировать врача в случае, если отмечающиеся у них симптомы депрессии не уменьшаются или усугубляются при терапии адеметионином. Также имеются сообщения о внезапном появлении или нарастании тревоги у пациентов, принимающих адеметионин. В большинстве случаев отмена терапии не требуется, в нескольких случаях тревога исчезала после снижения дозы или отмены препарата.\u003Cbr\u003EПоскольку дефицит цианокобаламина и фолиевой кислоты может снизить содержание адеметионина у пациентов группы риска (с анемией, заболеваниями печени, при беременности или вероятностью витаминной недостаточности, в связи с другими заболеваниями или диетой, например, у вегетарианцев), следует контролировать содержание витаминов в плазме крови. Если недостаточность обнаружена, рекомендован прием цианокобаламина и фолиевой кислоты до начала лечения адеметионином или одновременный прием с адеметионином.\u003Cbr\u003EПри иммунологическом анализе применение адеметионина может способствовать ложному определению показателя высокого содержания гомоцистеина в крови.\u003Cbr\u003EДля пациентов, принимающих адеметионин, рекомендовано использовать неиммунологические методы анализа для определения содержания гомоцистеина."},{"name":"Взаимодействие","value":"Известных взаимодействий с другими лекарственными средствами не наблюдалось. Есть сообщение о синдроме избытка серотонина у пациента, принимавшего адеметионин и кломипрамин. Считается, что такое взаимодействие возможно, и следует с осторожностью назначать адеметионин вместе с селективными ингибиторами обратного захвата серотонина, трициклическими антидепрессантами (такими как кломипрамин), а также травами и препаратами, содержащими триптофан."},{"name":"Регистрационный номер","value":"П N011968/01"},{"name":"Дата государственной регистрации","value":"26.03.2018"},{"name":"Владелец регистрационного удостоверения","value":"Abbott Laboratories GmbH","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-pishchevareniia","categoryId":"15756506","navnodeId":"72470","glfilters":["34324371:35649313","7893318:16228944"]}}},{"name":"Изготовитель","value":"AbbVie"},{"name":"Фасовщик","value":"AbbVie"},{"name":"Страна бренда","value":"Германия"},{"name":"Страна-производитель","value":"Италия"},{"name":"Название препарата","value":"Гептрал","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-pishchevareniia","categoryId":"15756506","navnodeId":"72470","glfilters":["17796364:18008564"]}}},{"name":"Срок годности","value":"35 мес."}]}},"fullSpecsGrouped":{"22855519507371479":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Органы и системы","value":"печень, пищеварительная система"},{"name":"Назначение","value":"внутрипеченочный холестаз, депрессия, невирусный гепатит, острые гепатиты, токсические поражения печени, холангит, холецистит, хронические воспалительные заболевания печени, цирроз печени, энцефалопатия"},{"name":"Показания к применению","value":"- Внутрипеченочный холестаз при прецирротических и цирротических состояниях, который может наблюдаться при следующих заболеваниях:\u003Cbr\u003E- жировая дистрофия печени;\u003Cbr\u003E- хронический гепатит;\u003Cbr\u003E- токсические поражения печени различной этиологии, включая алкогольные, вирусные, лекарственные (антибиотики; противоопухолевые, противотуберкулезные и противовирусные препараты, трициклические антидепрессанты, пероральные контрацептивы);\u003Cbr\u003E- хронический бескаменный холецистит;\u003Cbr\u003E- холангит;\u003Cbr\u003E- цирроз печени;\u003Cbr\u003E- энцефалопатия, в т.ч. ассоциированная с печеночной недостаточностью (алкогольная и др.).\u003Cbr\u003E- Внутрипеченочный холестаз у беременных.\u003Cbr\u003E- Симптомы депрессии.\u003Cbr\u003E- Повышенная утомляемость при хронических заболеваниях печени."},{"name":"Противопоказания","value":"Генетические нарушения, влияющие на метиониновый цикл, и/или вызывающие гомоцистинурию и/или гипергомоцистеинемию (дефицит цистатионин бетасинтазы, нарушение метаболизма витамина В12).\u003Cbr\u003EГиперчувствительность к любому из компонентов препарата.\u003Cbr\u003EВозраст до 18 лет (опыт медицинского применения у детей ограничен).\u003Cbr\u003EБиполярные расстройства."},{"name":"Состав","value":"Каждая таблетка содержит:\u003Cbr\u003EДействующее вещество: адеметионина 1,4-бутандисульфонат 760 мг (соответствует 400 мг иона адеметионина).\u003Cbr\u003EВспомогательные вещества: кремния диоксид коллоидный - 4,4 мг, целлюлоза микрокристаллическая - 93,6 мг, карбоксиметилкрахмал натрия (тип А) - 17,6 мг, магния стеарат - 4,4 мг;\u003Cbr\u003Eоболочка таблетки: метакриловой кислоты и этилакрилата сополимер (1:1) - 27,6 мг, макрогол-6000 - 8,07 мг, полисорбат-80 - 0,44 мг, симетикон (эмульсия 30%) - 0,13 мг, натрия гидроксид - 0,36 мг, тальк - 18,4 мг, вода - Q.S."},{"name":"Действующее вещество","value":"Адеметионин"},{"name":"Способ применения и дозы","value":"Внутрь. Таблетки следует принимать целиком, не разжевывая, желательно в первой половине дня между приемами пищи.\u003Cbr\u003EТаблетки препарата Гептрал следует вынимать из блистера непосредственно перед приемом внутрь. В случае, если таблетки имеют цвет, отличный от белого до белого с желтоватым оттенком (вследствие негерметичности алюминиевой фольги), препарат Гептрал использовать не рекомендуется.\u003Cbr\u003EНачальная терапия\u003Cbr\u003EРекомендуемая доза составляет 10-25 мг/кг/сут внутрь.\u003Cbr\u003EВнутрипеченочный холестаз повышенная утомляемость при хронических заболеваниях печени\u003Cbr\u003EДоза составляет от 800 мг/сут до 1600 мг/сут.\u003Cbr\u003EДепрессия\u003Cbr\u003EДоза составляет от 800 мг/сут до 1600 мг/сут.\u003Cbr\u003EДлительность терапии определяется врачом.\u003Cbr\u003EТерапия препаратом Гептрал может быть начата с внутривенного или внутримышечного введения с последующим применением препарата Гептрал в виде таблеток или сразу с применения препарата Гептрал в виде таблеток.\u003Cbr\u003EПациенты пожилого возраста\u003Cbr\u003EКлинический опыт применения препарата Гептрал не выявил каких-либо различий в его эффективности у пациентов пожилого возраста и пациентов более молодого возраста. Однако, учитывая высокую вероятность имеющихся нарушений функции печени, почек или сердца, другой сопутствующей патологии или одновременной терапии с другими лекарственными средствами, дозу препарата Гептрал пожилым пациентам следует подбирать с осторожностью, начиная применение препарата с нижнего предела диапазона доз.\u003Cbr\u003EПочечная недостаточность\u003Cbr\u003EИмеются ограниченные клинические данные о применении препарата Гептрал у пациентов с почечной недостаточностью, в связи с этим рекомендуется соблюдать осторожность при применении препарата Гептрал у таких пациентов.\u003Cbr\u003EПеченочная недостаточность\u003Cbr\u003EПараметры фармакокинетики адеметионина сходны у здоровых добровольцев и у пациентов с хроническими заболеваниями печени.\u003Cbr\u003EДети\u003Cbr\u003EПрименение препарата Гептрал у детей противопоказано (эффективность и безопасность не установлены)."},{"name":"Побочные действия","value":"Со стороны пищеварительной системы: часто - тошнота, боли в животе, диарея; редко - рвота, сухость во рту, эзофагит, диспепсия, метеоризм, желудочно-кишечная боль, желудочно-кишечное кровотечение, печеночная колика.\u003Cbr\u003EСо стороны нервной системы: редко - спутанность сознания, бессонница, головокружение, головная боль, парестезии.\u003Cbr\u003EСо стороны костно-мышечной системы: редко - артралгии, мышечные судороги.\u003Cbr\u003EСо стороны мочевыделительной системы: редко - инфекции мочевыводящих путей.\u003Cbr\u003EСо стороны кожных покровов: редко - гипергидроз, зуд, кожная сыпь.\u003Cbr\u003EМестные реакции: редко - реакции в месте введения; очень редко - реакции в месте введения, некроз кожи в месте введения.\u003Cbr\u003EАллергические реакции: редко - анафилактические реакции; очень редко - отек Квинке, отек гортани.\u003Cbr\u003EПрочие: редко - приливы, поверхностный флебит, астения, озноб, гриппоподобные симптомы, слабость, периферические отеки, гипертермия."},{"name":"Фармакологическое действие","value":"Адеметионин относится к группе гепатопротекторов, обладает также антидепрессивной активностью.\u003Cbr\u003EОказывает холеретическое и холекинетическое действие, обладает детоксикационными, регенерирующими, антиоксидантными, антифиброзирующими и нейропротективными свойствами.\u003Cbr\u003EВосполняет дефицит S-аденозил-L-метионина (адеметионина) и стимулирует его выработку в организме, содержится во всех средах организма. Наибольшая концентрация адеметионина отмечена в печени и мозге.\u003Cbr\u003EВыполняет ключевую роль в метаболических процессах организма, принимает участие в важных биохимических реакциях: трансметилировании, транссульфурировании, трансаминировании. В реакциях трансметилирования адеметионин донирует метальную группу для синтеза фосфолипидов клеточных мембран, нейротрансмиттеров, нуклеиновых кислот, белков, гормонов и др. В реакциях транссульфурирования адеметионин является предшественником цистеина, таурина, глютатиона (обеспечивая окислительно-восстановительный механизм клеточной детоксикации), коэнзима А (включается в биохимические реакции цикла трикарбоновых кислот и восполняет энергетический потенциал клетки).\u003Cbr\u003EПовышает содержание глутамина в печени, цистеина и таурина в плазме; снижает содержание метионина в сыворотке, нормализуя метаболические реакции в печени. После декарбоксилирования участвует в реакциях аминопропилирования, как предшественник полиаминов путресцина (стимулятор регенерации клеток и пролиферации гепатоцитов), спермидина и спермина, входящих в структуру рибосом, что уменьшает риск фиброзирования.\u003Cbr\u003EОказывает холеретическое действие.\u003Cbr\u003EАдеметионин нормализует синтез эндогенного фосфатидилхолина в гепатоцитах, что повышает текучесть и поляризацию мембран. Это улучшает функцию ассоциированных с мембранами гепатоцитов транспортных систем желчных кислот и способствует пассажу желчных кислот в желчевыводящие пути. Эффективен при внутридольковом варианте холестаза (нарушение синтеза и тока желчи). Адеметионин снижает токсичность желчных кислот в гепатоците, осуществляя их конъюгирование и сульфатирование. Конъюгация с таурином повышает растворимость желчных кислот и выведение их из гепатоцита. Процесс сульфатирования желчных кислот способствует возможности их элиминации почками, облегчает прохождение через мембрану гепатоцита и выведение с желчью. Кроме этого, сами сульфатированные желчные кислоты дополнительно защищают мембраны клеток печени от токсического действия несульфатированных желчных кислот (в высоких концентрациях присутствующих в гепатоцитах при внутрипеченочном холестазе).\u003Cbr\u003EУ пациентов с диффузными заболеваниями печени (цирроз, гепатит) с синдромом внутрипеченочного холестаза адеметионин снижает выраженность кожного зуда и изменений биохимических показателей, в т.ч. концентрации прямого билирубина, активности щелочной фосфатазы, аминотрансфераз и др.\u003Cbr\u003EХолеретический и гепатопротективный эффект сохраняется до 3 месяцев после прекращения лечения.\u003Cbr\u003EПоказана эффективность при гепатопатиях, обусловленных различными гепатотоксичными препаратами.\u003Cbr\u003EАнтидепрессивная активность проявляется постепенно, начиная с конца первой недели лечения, и стабилизируется в течение 2 недель лечения.\u003Cbr\u003EВ ряде исследований была подтверждена эффективность адеметионина при лечении повышенной утомляемости у пациентов с хроническими заболеваниями печени. Объединенный анализ данных, полученный у пациентов с наличием симптомов повышенной утомляемости до начала лечения, доказал эффект лечения адеметионином в отношении уменьшения симптомов повышенной утомляемости в сочетании с рядом других симптомов, таких как депрессия, иктеричность кожных покровов и слизистых, недомогание и кожный зуд.\u003Cbr\u003EЛечение адеметионином достоверно улучшало настроение у пациентов с алкогольной болезнью печени, у которых одновременно был достигнут положительный ответ со стороны симптомов повышенной утомляемости. Кроме того, у пациентов с алкогольной болезнью печени и неалкогольной жировой болезнью печени с достигнутым ответом на лечение адеметионином со стороны симптомов повышенной утомляемости также наблюдалось достоверное ослабление таких симптомов, как иктеричность кожных покровов и слизистых, недомогание и кожный зуд."},{"name":"Фармакологическая группа","value":"прочие препараты для желудочно-кишечного тракта и обмена веществ, аминокислоты и их производные"},{"name":"Форма выпуска","value":"таблетки, покрытые кишечнорастворимой оболочкой"},{"name":"Способ применения/введения","value":"пероральный"},{"name":"Минимальный возраст применения","value":"от 18 лет"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"В защищенном от света месте, при температуре от 15 °С до 25 °С. Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"Передозировка препарата Гептрал маловероятна. В случае передозировки рекомендуется наблюдение за пациентом и проведение симптоматической терапии."},{"name":"Применение при беременности и кормлении грудью","value":"В клинических исследованиях было показано, что применение адеметионина в III триместре беременности не вызывало никаких нежелательных эффектов.\u003Cbr\u003EПрименение препарата Гептрал у беременных в I триместре и в период грудного вскармливания возможно, только если потенциальная польза для матери превышает возможный риск для плода или ребенка."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"У некоторых пациентов при приеме препарата Гептрал может возникнуть головокружение. Не рекомендуется водить автомобиль и работать с механизмами во время приема препарата до тех пор, пока у пациента не возникнет уверенность, что терапия не влияет на способность заниматься подобного вида деятельностью."},{"name":"Особые указания","value":"С осторожностью:\u003Cbr\u003EБеременность (I триместр) и период грудного вскармливания (применение возможно, только если потенциальная польза для матери превышает возможный риск для плода или ребенка).\u003Cbr\u003EОдновременный прием с селективными ингибиторами обратного захвата серотонина (СИОЗС), трициклическими антидепрессантами (такими как кломипрамин), а также препаратами растительного происхождения и препаратами, содержащими триптофан (см. раздел \"Взаимодействие с другими лекарственными препаратами\").\u003Cbr\u003EПожилой возраст.\u003Cbr\u003EПочечная недостаточность.\u003Cbr\u003EУчитывая тонизирующий эффект препарата, не рекомендуется принимать его перед сном.\u003Cbr\u003EПри применении препарата Гептрал пациентами с циррозом печени на фоне гиперазотемии необходим систематический контроль содержания азота в крови. Во время длительной терапии необходимо определять содержание мочевины и креатинина в сыворотке крови.\u003Cbr\u003EЕсть сообщения о переходе депрессии в гипоманию или манию у пациентов, принимавших адеметионин.\u003Cbr\u003EУ пациентов с депрессией имеется повышенный риск суицида и других серьезных нежелательных явлений, поэтому во время лечения адеметионином такие пациенты должны находиться под постоянным наблюдением врача для оценки и лечения симптомов депрессии. Пациенты должны информировать врача в случае, если отмечающиеся у них симптомы депрессии не уменьшаются или усугубляются при терапии адеметионином. Также имеются сообщения о внезапном появлении или нарастании тревоги у пациентов, принимающих адеметионин. В большинстве случаев отмена терапии не требуется, в нескольких случаях тревога исчезала после снижения дозы или отмены препарата.\u003Cbr\u003EПоскольку дефицит цианокобаламина и фолиевой кислоты может снизить содержание адеметионина у пациентов группы риска (с анемией, заболеваниями печени, при беременности или вероятностью витаминной недостаточности, в связи с другими заболеваниями или диетой, например, у вегетарианцев), следует контролировать содержание витаминов в плазме крови. Если недостаточность обнаружена, рекомендован прием цианокобаламина и фолиевой кислоты до начала лечения адеметионином или одновременный прием с адеметионином.\u003Cbr\u003EПри иммунологическом анализе применение адеметионина может способствовать ложному определению показателя высокого содержания гомоцистеина в крови.\u003Cbr\u003EДля пациентов, принимающих адеметионин, рекомендовано использовать неиммунологические методы анализа для определения содержания гомоцистеина."},{"name":"Взаимодействие","value":"Известных взаимодействий с другими лекарственными средствами не наблюдалось. Есть сообщение о синдроме избытка серотонина у пациента, принимавшего адеметионин и кломипрамин. Считается, что такое взаимодействие возможно, и следует с осторожностью назначать адеметионин вместе с селективными ингибиторами обратного захвата серотонина, трициклическими антидепрессантами (такими как кломипрамин), а также травами и препаратами, содержащими триптофан."},{"name":"Регистрационный номер","value":"П N011968/01"},{"name":"Дата государственной регистрации","value":"26.03.2018"},{"name":"Владелец регистрационного удостоверения","value":"Abbott Laboratories GmbH"},{"name":"Изготовитель","value":"AbbVie"},{"name":"Фасовщик","value":"AbbVie"},{"name":"Страна бренда","value":"Германия"},{"name":"Страна-производитель","value":"Италия"},{"name":"Название препарата","value":"Гептрал"},{"name":"Срок годности","value":"35 мес."}]}],"transitionId":"tr_16937619541958766844"}}}}
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1 950 ₽

Скидка: 21%
–21 %
Вместо:2 468 ₽
  • 19-21 июня, самовывоз • 0 ₽
POLZAru
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  • Овесол таб. п/о, 40 шт.
    –2 %
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    Овесол таб. п/о, 40 шт.

    Рейтинг товара: 5 из 5
    на основе 28 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 544 ₽ вместо 556
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  • Эссенциальные фосфолипиды Макси формула капс., 1.4 г, 60 шт., 1 уп.
    ВАМ–44 %
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    Эссенциальные фосфолипиды Макси формула капс., 1.4 г, 60 шт., 1 уп.

    Рейтинг товара: 4.4 из 5
    на основе 86 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 465 ₽ вместо 475
    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фосфолипиды Макси формула капс., 1.4 г, 60 шт., 1 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  • Липотропный фактор таб. п/о, 1.2 г, 60 шт., 1 уп.
    –22 %
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    Липотропный фактор таб. п/о, 1.2 г, 60 шт., 1 уп.

    Рейтинг товара: 4.5 из 5
    на основе 1299 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 812 ₽ вместо 820
    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фактор таб. п/о, 1.2 г, 60 шт., 1 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  • Hepato Complex SW капс., 20 шт.
    –23 %
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    Hepato Complex SW капс., 20 шт.

    Рейтинг товара: 4.8 из 5
    на основе 117 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 253 ₽ вместо 259
    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  • Овесол усиленная формула таб. п/о, 20 шт.
    –2 %
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    Овесол усиленная формула таб. п/о, 20 шт.

    Рейтинг товара: 3.9 из 5
    на основе 11 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 704 ₽ вместо 718
    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усиленная формула таб. п/о, 20 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  • Эссенциальные фосфолипиды капс., 60 шт.
    –1 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-lkza5oezu3/toggleWishlist":{"skuId":"617628229","productId":1780857362,"offerId":"GGQ5pd1t-zfuDMIwK75YqQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ3ISmv8LW3pcrEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYIkvSW0QYQxYTBpgIY1buhBiDa2cEH","sign":"X+041Fl/4bCRZPm2Vvv5XpQq9F7B4vrUl1iI5/5rd3s="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-lkza5oezu3/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Эссенциальные фосфолипиды капс., 60 шт.

    Рейтинг товара: 5 из 5
    на основе 2 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 687 ₽ вместо 694
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  • Хелинорм капс., 28 шт., 1 уп.
    –2 %
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    Хелинорм капс., 28 шт., 1 уп.

    Рейтинг товара: 5 из 5
    на основе 8 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 2 134 ₽ вместо 2 178
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  • Гепатамин таб., 40 шт., 3 уп.
    –17 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-0qktqtojvl0n/toggleWishlist":{"skuId":"102946313809","productId":1778171455,"offerId":"_Xs4WzJxgUpmKXWMa74wIA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ3ISmv8LW3pcrEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcIv/zyzwYQ0azQwP8CGNao2Qcg2tnBBw==","sign":"44T5NXJx0HS/7SQhwd5Ml0SXE5gncu4WWfM4Oh7KCNM="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-0qktqtojvl0n/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Гепатамин таб., 40 шт., 3 уп.

    Рейтинг товара: 4.8 из 5
    на основе 5 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 2 493 ₽ вместо 2 518
    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  • Бак-сет форте капс., 10 шт., нейтральный, 1 уп.
    –15 %
    ПРОМОКОД –25 %
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    Бак-сет форте капс., 10 шт., нейтральный, 1 уп.

    Рейтинг товара: 4.8 из 5
    на основе 1739 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 989 ₽ вместо 1 009
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  • California Gold Nutrition Silymarin Complex капс., 20 г, 120 шт., нейтральный, 1 уп.
    –30 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-dpnma7wcuuk/toggleWishlist":{"skuId":"101614477838","productId":1481779341,"offerId":"6UuIVTBqcsiMqgiQuiRw9Q","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ3ISmv8LW3pcrEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcIjdHIwgUQjsTHxfoCGJKXgA4g2tnBBw==","sign":"jliicBKg9pwlkfEN7XRYhdbfUWGRlZvZYqARQ1IWyhU="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-dpnma7wcuuk/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    California Gold Nutrition Silymarin Complex капс., 20 г, 120 шт., нейтральный, 1 уп.

    Рейтинг товара: 4.8 из 5
    на основе 727 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 1 103 ₽ вместо 1 114
    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Gold Nutrition Silymarin Complex капс., 20 г, 120 шт., нейтральный, 1 уп.","label":"ew0w3uo8104","count":0,"features":[],"imageMeta":{"namespace":"mpic","groupId":6354718,"key":"img_id8004295141363628822.jpeg"}},"quantity":{"step":1,"minimum":1,"maximum":999},"cpaUrl":"/safeclick/data=TxNGOK9vJEN7oLFLeCTKEixJYuEMI0Ezwrn9zWWETQBC1Kbhe6OqDpinj8qW0-3-HxY7BxwwBvmwpIzdsqzdU78y0jc2x6Cc304zWAVHnab45Ph7yKgRTqZqGx_O4zXFd4ilCOIx0rqkPQAuEOj5ASCRUNqjj7kAuJIgvXWu91TEtw2DdCqFwbQSYVjTN6Q__BMNS_qjeUGU3EJWGNlx3rIQ1c7YSHweDm_wNn5ILq-64M1iPcd4WsbQj09Z6d-tNPa6FLyQ8W9xUXEW0RN6hQGg7gNmarH0apIfss0h4A0p0hidqP20G2wWkrIFUgtOXzfEj_bCZbw4Tgp6fpdmjuieQsqxiK2F456jZZaw92hEtHNPvBlP6Vjbm7eG153izUlCAoMp5CqyLt3LcwOIg8k5Y6rtUcDeXXG8bAFbvrP2LPQ33p2JEPHYdf6EpQAjPFkWPxm1M497uhFdKA__VLiM1gxkUIY9gWan_fBvz7_zEsosbUIkoi_rGifarIBLkJcmjlTT1MXLM204TK4QrKC3YfwJpeZ6bQ982kuPx9C6ROczwMxSuZu3xTq_sUqyTUYfSIJWRbBUdXoBhJqehPUB98FzkUJj0LvLxm8UYtlnU9MfjJ6sQmio9PQWRc49ov5Ze0BFqWKtCxkRBdbgudfzOOy4r099sJjdyNOZ8tWa7q4g7eH92EorHbfyT42w38jR1Mbz_OFIPh8jic03f41E3uZ8KKOJcWnsd9alLiOTV4tGSzaSkRxAOWPELyQVfoxH6WKtazl3QKupHRextu0PM5-yTS-D8R5yHdyXw4ZqHMu2nSsNQxn5QsJNIp6lBsyCUHNIgI4heuXdZ7HYypGbcLzyqc1jIM4POlRJGVyBJg_8Bkugf4TJ82GVwHcT-ztjDwT4VYSQShtSpqkL1eZtpLbNuMyXmv3y0Lg9SgkvZxERTQN012DtncB9HrOCRVT0GKx3Zl-CWAPWEOSNB9AtfQpN3DWf5OhGd6lA0cXBv6TGbnbtLi54ae66Ay5GqPW89V_aMLWekUnZr_ebCtOemPGkI7VIAlh5uTdHbgUNJxFRdsyj9YKJcN8SO3eYl6dVJ-HRQYsFKljehFirVGXgismOAE09JuuYUlD7tg49loIkuwukiHy2qITVmGfwq2uJVomKr6XWmYAviVoWQFGGMzlXW_oincN1kd7F7wh_jKQ8_UyOa86CadrJxyjx4rXw276-Tg-No5_brHDiv6t85LkxX6Z_oBZVOS5hivyUQeu3a3STJcjOgVq1sWPrfRJXSFiaP6oygzO6kod1bjcAySbo3nu1jWFWFHU0uWEpZNxetFuz0u_IAJA-Iap0n1DHm94938GHoMLsArs7MUUXiOyxbZP4EgfWm3EdZoeukrJsvKwIujwYz6s-mI7pg1ODhWhrUNPf1ZCbDDavwPzwF9kzJoSnxP5SGM1V4TwzaGePHTIQpUml0og1EH0hzZWHkAy9YkM_-xFFW8R-sLaiuFeK99HXvaJA4QtDsHdyn4sFFXuZLGZqiStVFk2ibl4UrSyFbYmZuKfk7VAYeu2Wr8pEb5Cin_EYLjmXhYrw1netsWYW7kbLN20qh2YfVhoi74cBE5vbQLQcAwFSW4cisHt8s6SSGUDuV7bO-mwf-fPh4KOFNEIg7-Bh-K7OdcFPYMIdP-NvKo6SZumQ6nBVmv_GmPUvkoc3xXJbNvPz3ZGXg3SuXODG2ojT0bjb70PCulja6-eqd4Lj6L6FONlNx7J5_2fCZ9C52wVmJsjBqH_BHQEBYITvrZocmOEzm6UPrL1NXdHsiSu9X5Jp94tQVROBJn_Yjo4AEag1_YL4PfRurum-EKJFNOnt0YcZpaP3ZVnzxzLrqZb_g7cVNT6TZYnD0Z-XPB97SmofB9o9A9pRPVdOyiReTezQYDqCrRgdn8zl0uLqdxneqg3W7ZXfVKgpX6tcAWmgWm1ynvsSSw6N3n09tFJxC9szgsEk6KkCcEWmFCLButz7WlnI7shC0yVl_NI9tq91Kv1T9lf0E9hj_ijNsrhm0OvlFa-OkKJpLry3UYnX086SMQJNbeB-1Xq_6LlGEarbLdT_Vu7I1eu0utQ89GRBDGHUi_W-ZS24hnC1MEB6xosRj0904_cPbSAQqobKFkXrtaPTNva6S2dAfxhuUndLD9c40G8_eyOFWE7VSo-AU8Oq4cGJsGFUrRKGKH3RtyALN7Ci8bZe2__-mP1cvP71GsqMyO3UMat93v4xdcKOOkEVaAspCvpPkmYZu2CqQ7dwqETrFoCJ6cAAdLR85HbZPqWqM_HxsD33CXRhD8KJhB-Sh83aQxoEhCCMdbYxBB4rkqNEfEWAqIcybszcs88Od_yzjtYuRWlO5iWjand_DmSnjg1kyiZJR2Gz7ZAalR9IB2eM9pgOfNAlTn5YEnsIsxqe8cy-sfj5oTpuRDZPdBMffAcL_cvT2AtofkNvcQcMce901aDf48tsd8JIxBadM-sNOrtrKbo_RnnuRHlqS9oPYBGt0kDR5n6SPqXaIjN7uKElbtbYeFs5va9CfVhRQbunR2Yyrg2UVEwlQnRKMplxm5f4DA8UkUHeypBl5ypP-ALT9xOjPdBwlt2wh9DgWPRTyrvWUXG7DXBfWsj-YuXWuOE7cguKqmm88tNYwX6aTP4moXmQDt_PV6zLTVgmzuBFTJwlt44ZZmzh46m0oSh81GjCXGqES6GxHn7VdG2COUllGNOpv-UwEwbouEi_ddIbakbha7p3K5lYyqG9vL7duhYBB-6npUxET97MYFfTEvsgxQD6YRWzFKnXqYd1q6kfUqQPFCxDSz4iiuB9No98vmbh7bRW9z8Gpk9vgyQSTQlbbZjmdp9tfpNMxlPsjJT4bGs1zx5m9d31N_beQvqoUxS5IBvU9utkp7SFRhikEH-E1CjlD82illdKrysbTzUEC-AWEejBoQur33WF4tQtIJ9mE89nwSgMLq9i0V21z6yU73nCNZsG8FKDVGUQh2qZAkp8KRKIOd1WvZ4rzvUZiDY5ic7RdWSgDaXI4O3dW_dIkBzJQx1oMoNFUglKvSIpvnRnboBgkGsozsPEWbruxTdNDyMw_n3Ti_3FqZXs-HjuctAWM_Mwgtx9FuYYzVGr0jQWbH6azJi1DnM5zs25NKpBRK6SmR6BIU17_A_ykY-pjuV7PmsRyysVQcqJVuWG5-wW5tEFBjbnmKY9_xtbRkNLLNM4rGx2Dsndq0sdzWgvC4_m-cYf1y8IhnCZAvod_IrsRosJnQ9U8ZfVsoDjA6hCO-JlUhWHjvm952SHEFH0jp6MoXa9hUP43WnW97YXgKJ735d5kfehi2NPMrqacFXc_lhj1DEsQXs9qjaHni4YdxKErvRZyODJhzNOkS9xcPrQnhfmFD41sT76_6QvjYpWHWaePyrUvdSUA2VPuNuSr3Q,/b64e=1/sign=bd19f46abed1712133997ce712a60d01/keyno=MARKET_1/*","showUid":"17186187174894130926406011","cartLink":"/my/cart","showNotificationWhenDeleteItem":true,"isLavka":false,"isError":false,"isEats":false,"isCR":false,"isM2bEdoOnlyEnable":false,"isEatsMarketIntegration":true,"isCartButtonNext":false,"isUpsalePopupCRExp":false,"baobabClientDataAdditionToCart":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ3ISmv8LW3pcrEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcIjdHIwgUQjsTHxfoCGJKXgA4g2tnBBw==","sign":"jliicBKg9pwlkfEN7XRYhdbfUWGRlZvZYqARQ1IWyhU="},"target":"cart_addition"},"baobabClientDataDeletionFromCart":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ3ISmv8LW3pcrEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcIjdHIwgUQjsTHxfoCGJKXgA4g2tnBBw==","sign":"jliicBKg9pwlkfEN7XRYhdbfUWGRlZvZYqARQ1IWyhU="},"target":"cart_deletion"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-dpnma7wcuuk/addToCartButton":{"name":"@light/AddToCartButtonSnippet"}}}
  • Гепатрин-детокс пор. саше, 10 шт., манго
    –1 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-2krgvccevnb/toggleWishlist":{"skuId":"617630237","productId":1780857364,"offerId":"YWiOO-U4KYFX342Z6mwaWQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ3ISmv8LW3pcrEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYIlPSW0QYQnZTBpgIY1buhBiDa2cEH","sign":"I50BYlhDATNPsLW2gSSdDk+7hK+9F8eifv0jaB7RP0Q="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-2krgvccevnb/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Гепатрин-детокс пор. саше, 10 шт., манго

    Рейтинг товара: 4.9 из 5
    на основе 93 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 982 ₽ вместо 992
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Инструкция

Показания к применению

- Внутрипеченочный холестаз при прецирротических и цирротических состояниях, который может наблюдаться при следующих заболеваниях:
- жировая дистрофия печени;
- хронический гепатит;
- токсические поражения печени различной этиологии, включая алкогольные, вирусные, лекарственные (антибиотики; противоопухолевые, противотуберкулезные и противовирусные препараты, трициклические антидепрессанты, пероральные контрацептивы);
- хронический бескаменный холецистит;
- холангит;
- цирроз печени;
- энцефалопатия, в т.ч. ассоциированная с печеночной недостаточностью (алкогольная и др.).
- Внутрипеченочный холестаз у беременных.
- Симптомы депрессии.
- Повышенная утомляемость при хронических заболеваниях печени.

Противопоказания

Генетические нарушения, влияющие на метиониновый цикл, и/или вызывающие гомоцистинурию и/или гипергомоцистеинемию (дефицит цистатионин бетасинтазы, нарушение метаболизма витамина В12).
Гиперчувствительность к любому из компонентов препарата.
Возраст до 18 лет (опыт медицинского применения у детей ограничен).
Биполярные расстройства.

Способ применения и дозы

Внутрь. Таблетки следует принимать целиком, не разжевывая, желательно в первой половине дня между приемами пищи.
Таблетки препарата Гептрал следует вынимать из блистера непосредственно перед приемом внутрь. В случае, если таблетки имеют цвет, отличный от белого до белого с желтоватым оттенком (вследствие негерметичности алюминиевой фольги), препарат Гептрал использовать не рекомендуется.
Начальная терапия
Рекомендуемая доза составляет 10-25 мг/кг/сут внутрь.
Внутрипеченочный холестаз повышенная утомляемость при хронических заболеваниях печени
Доза составляет от 800 мг/сут до 1600 мг/сут.
Депрессия
Доза составляет от 800 мг/сут до 1600 мг/сут.
Длительность терапии определяется врачом.
Терапия препаратом Гептрал может быть начата с внутривенного или внутримышечного введения с последующим применением препарата Гептрал в виде таблеток или сразу с применения препарата Гептрал в виде таблеток.
Пациенты пожилого возраста
Клинический опыт применения препарата Гептрал не выявил каких-либо различий в его эффективности у пациентов пожилого возраста и пациентов более молодого возраста. Однако, учитывая высокую вероятность имеющихся нарушений функции печени, почек или сердца, другой сопутствующей патологии или одновременной терапии с другими лекарственными средствами, дозу препарата Гептрал пожилым пациентам следует подбирать с осторожностью, начиная применение препарата с нижнего предела диапазона доз.
Почечная недостаточность
Имеются ограниченные клинические данные о применении препарата Гептрал у пациентов с почечной недостаточностью, в связи с этим рекомендуется соблюдать осторожность при применении препарата Гептрал у таких пациентов.
Печеночная недостаточность
Параметры фармакокинетики адеметионина сходны у здоровых добровольцев и у пациентов с хроническими заболеваниями печени.
Дети
Применение препарата Гептрал у детей противопоказано (эффективность и безопасность не установлены).
Полная инструкция
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Гептрал таб. п/о кш/раств.
Гептрал таб. п/о кш/раств., 400 мг, 20 шт.
4.8
(41)
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26 вопросов
Инструкция

1 950 ₽

Скидка: 21%
–21 %
Вместо:2 468 ₽
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4.8
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У продавца:41 оценка·8 отзывов
У всех продавцов:922 оценки·191 отзыв
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user avatar
Месяц назад • Елена Гальцева • Куплен на Маркете
Достоинства: переодически принемаю ,для профилактики.
Недостатки: не обнаружено
Комментарий: не знаю это ведь лекарство каждому индивидуальный подход
user avatar
9 месяцев назад • Имя скрыто • Куплен на Маркете
Комментарий: читала на разных форумах можно ли их грызть или нет. мнения 50/50. кому сложно глотать большие капсулы смело разгрызайте, но запивайте большим количеством воды
user avatar
8 месяцев назад • алексей иванов • Куплен на Маркете
Комментарий: Раз в год нужно прописать курс в 30 дней, это 3 пачки, около 5,5к
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  • Овесол таб. п/о, 40 шт.
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    Овесол таб. п/о, 40 шт.

    Цена 478 ₽ вместо 483
  • Дибикор таб., 250 мг, 60 шт.
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    Дибикор таб., 250 мг, 60 шт.

    Цена 374 ₽ вместо 378
  • Эссенциальные фосфолипиды Макси формула капс., 1.4 г, 60 шт., 1 уп.
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    Эссенциальные фосфолипиды Макси формула капс., 1.4 г, 60 шт., 1 уп.

    Цена 465 ₽ вместо 824
  • Эвалар Чай Эвалар БИО при повышенном содержании мочевой кислоты, 20 фильтр-пакетов
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    Эвалар Чай Эвалар БИО при повышенном содержании мочевой кислоты, 20 фильтр-пакетов

    Цена 194 ₽ вместо 224
  • Кардиомагнил таб. п/о плен., 75 мг+15.2 мг, 30 шт.
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    Кардиомагнил таб. п/о плен., 75 мг+15.2 мг, 30 шт.

    Цена 234 ₽ вместо 236
  • Липотропный фактор таб. п/о, 1.2 г, 60 шт., 1 уп.
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    Липотропный фактор таб. п/о, 1.2 г, 60 шт., 1 уп.

    Цена 812 ₽ вместо 1 039
  • {"widgets":{"@light/BannerCurtain":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_101_8/content/content/content/bannerCurtain":{"advertisementId":2110601,"impression":"/safeclick/data=SpQw45JhDGE6zDtOdUQO_D_IQ2AhH2r2VgiqFExVJ6IGvi1QmFllDe4jTHBtocvd1DIfzUb-25MlldusLA2_2EViREf3-jOk6HhGjofP_luMOXFJAvmXJZefHL0SqXgrMGw347y8-AkPly466_aiI8BkBU59o-Jvguol2-dGtBnGGtZJvRcP-rWcrSODIBfvZajyAnVbzfiQLzSwlrxTaUuWmub9hCyzIODTPoZDQy9jegIcnUvAsXlR8joulwpzbSOY4v0lbZXHbm1hgLLnrBrb-4j6zqwQY65Hqv9tHP_RSN7wBLAbXPqoUqJqYLDGbwcZHIreQaNkREa85YcnD7mkO8C4jF1yky9LhQ5oit3vm84GZzlKwQHwaMwYZp31ZWOBlCuUw-nx4Ir17E6PLfnzxARefz74xqtNwBEQdU1TOs_ZWfdy4Wx9n89NKtCA94mKq5RhloDS8t469Onm78I-9GpGG1RFD-_oNOMT1GXdHwSACiiSWDVU1g75V0051b-8oDbIbZQi5gv_AVVfCS1X4WLyNwuUDhp8v1pNRLuxF-0hOIuIcse-4H-ADS0ry6yhnsGO66OAmY3yzC5q9Vwwey615xXiRTnAomzDF9wRhKZOiI0b_ukFCTn8msjBRTS_5zSW2IepnbAJU7WLF1y_I2_GO9wD-Yg0W1xL3f7FL4HaGbU4kCGI_9_gTnhy17nqUOE8kAGhzoWdz8Xy-HQvbaIYb8koITsfTVvdiIvn0r6rlASAso4x1_dGtlIPLMR6UfJRvwXgQar00VL5Kf2_w5AYxnlEUo1hkQZMx5XlIPUkBdcTJb6RCwyRCq0KYcoQ2VqTirjwuj7dhY5mfZ2Mb3Rmx18UOY_NAs7sIesriSQ28lmbLtrC0_EMtUdbk159keRDG3Dt0HJH5HOUIxcl6kcYZ9X0-1rtBwc1aIt-7Sy4_Rh4fv1pXJld8l5gb2lk-yulkaGsUk8JvJnSuIuVenV39-ITQ-6ZbAOdpqgKh_KHpSBBtI_73fW7gWNCXtSS24_zxn9461PKnSLVmUZmGWUurA2uSEqpmzTRmIIl9qxYF5jj0RuRAK456w6Fp2o3G4Wm88Shlo-Pv1SYNw,,/b64e=1/sign=18f1aed80df0a310b0d8ac3a83a234f4/keyno=MARKET_1/*"}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_101_8/content/content/content/bannerCurtain":{"name":"@light/BannerCurtain"}}}
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    Реклама
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  • Эссенциальные фосфолипиды капс., 60 шт.
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    Эссенциальные фосфолипиды капс., 60 шт.

    Цена 687 ₽ вместо 694
  • Липримар таб. п/о плен., 40 мг, 30 шт.
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075512_10/content/content/toggleWishlist":{"skuId":"186920051","productId":1401075512,"offerId":"21FzS7kDDbNyGY4syKlhGQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ3ISmv8LW3pcrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCLjuipwFEPPYkFkYu5OMBiDX3MEH","sign":"hR52AiB4uTBoOcWEmPHQOudPVuemUPhLZ7vMRy6u2y0="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075512_10/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Липримар таб. п/о плен., 40 мг, 30 шт.

    Цена 505 ₽ вместо 601
  • Глицин таб. подъязыч., 100 мг, 50 шт.
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1404748577_11/content/content/toggleWishlist":{"skuId":"228007641","productId":1404748577,"offerId":"MOaMXq1nWEjEH1TXamEiEg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ3ISmv8LW3pcrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCKGG650FENm93GwYy+DQByDt2cEH","sign":"Or07pYAAYjvGcRv/AIcn5OLOH8krEHhPG0sVTGbHnNI="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1404748577_11/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Глицин таб. подъязыч., 100 мг, 50 шт.

    Цена 50 ₽
  • Хелинорм капс., 28 шт., 1 уп.
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    Хелинорм капс., 28 шт., 1 уп.

    Цена 2 134 ₽ вместо 2 178
  • Силденафил-СЗ таб. п/о плен., 100 мг, 10 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1430912451_13/content/content/gallery":{"title":"Силденафил-СЗ таб. п/о плен., 100 мг, 10 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/1808939/img_id813981560823735298.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1808939/img_id813981560823735298.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1808939/img_id813981560823735298.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1808939/img_id813981560823735298.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1808939/img_id813981560823735298.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1808939/img_id813981560823735298.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4012150/img_id3278721824200293661.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4012150/img_id3278721824200293661.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4012150/img_id3278721824200293661.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4012150/img_id3278721824200293661.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4012150/img_id3278721824200293661.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4012150/img_id3278721824200293661.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ3ISmv8LW3pcrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCMP7p6oFEKOk3GwYrt7QByDu3MEH","sign":"BlZOvkxMx/Tf5uBcdtI3920EvIkev8yfT1KZwggd30U="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1430912451_13/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
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    Силденафил-СЗ таб. п/о плен., 100 мг, 10 шт.

    Цена 314 ₽
  • Бак-сет форте капс., 10 шт., нейтральный, 1 уп.
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    Бак-сет форте капс., 10 шт., нейтральный, 1 уп.

    Цена 989 ₽ вместо 1 160
  • Овесол усиленная формула таб. п/о, 20 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:265151643_15/content/content/gallery":{"title":"Овесол усиленная формула таб. п/о, 20 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/1859495/img_id6208532798300708768.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1859495/img_id6208532798300708768.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1859495/img_id6208532798300708768.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1859495/img_id6208532798300708768.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1859495/img_id6208532798300708768.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1859495/img_id6208532798300708768.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5236204/img_id5760698723228221342.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5236204/img_id5760698723228221342.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5236204/img_id5760698723228221342.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5236204/img_id5760698723228221342.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5236204/img_id5760698723228221342.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5236204/img_id5760698723228221342.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5257660/img_id5930199651707090237.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5257660/img_id5930199651707090237.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5257660/img_id5930199651707090237.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5257660/img_id5930199651707090237.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5257660/img_id5930199651707090237.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5257660/img_id5930199651707090237.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ3ISmv8LW3pcrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCJvJt34QuMGbufoCGNW7oQYg2tnBBw==","sign":"iGp0fZxXWpiZKRN0lD0A6QLZcSuJ/WyTYj+52TO39Qg="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:265151643_15/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
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    Овесол усиленная формула таб. п/о, 20 шт.

    Цена 630 ₽ вместо 636
  • California Gold Nutrition Silymarin Complex капс., 20 г, 120 шт., нейтральный, 1 уп.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1481779341_16/content/content/gallery":{"title":"California Gold Nutrition Silymarin Complex капс., 20 г, 120 шт., нейтральный, 1 уп.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/6354718/img_id8004295141363628822.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/6354718/img_id8004295141363628822.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/6354718/img_id8004295141363628822.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/6354718/img_id8004295141363628822.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/6354718/img_id8004295141363628822.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/6354718/img_id8004295141363628822.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5031100/img_id8906405200100329163.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5031100/img_id8906405200100329163.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5031100/img_id8906405200100329163.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5031100/img_id8906405200100329163.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5031100/img_id8906405200100329163.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5031100/img_id8906405200100329163.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/7400882/img_id4732972583457583912.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/7400882/img_id4732972583457583912.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/7400882/img_id4732972583457583912.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/7400882/img_id4732972583457583912.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/7400882/img_id4732972583457583912.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/7400882/img_id4732972583457583912.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ3ISmv8LW3pcrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCI3RyMIFEI7Ex8X6AhiSl4AOINrZwQc=","sign":"NyEXr3AbAU7ZLq5UuprUuUK+Nfeef9KluYWuaW3U4rc="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1481779341_16/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
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    California Gold Nutrition Silymarin Complex капс., 20 г, 120 шт., нейтральный, 1 уп.

    Цена 1 103 ₽ вместо 1 581
  • Фенибут таб., 250 мг, 10 шт.
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    Фенибут таб., 250 мг, 10 шт.

    Цена 92 ₽
  • Гепатрин-детокс пор. саше, 10 шт., манго
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    Гепатрин-детокс пор. саше, 10 шт., манго

    Цена 982 ₽ вместо 992
  • Йодомарин таб., 0.1 мг, 100 шт.
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    Йодомарин таб., 0.1 мг, 100 шт.

    Цена 136 ₽ вместо 164
  • Лимфомиозот капли д/вн. приема, 30 мл
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    Лимфомиозот капли д/вн. приема, 30 мл

    Цена 910 ₽ вместо 1 081
  • {"widgets":{"@light/BannerCurtain":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_102_21/content/content/content/bannerCurtain":{"advertisementId":2100381,"impression":"/safeclick/data=SpQw45JhDGE6zDtOdUQO_JEPZX-is9Ha1SG4O5G62HgKf7dX91ox8P0a1dqA0IERS5ubptQhpN7FpSKYU-8U3upFtZ-POIE_Ap8jupvfbiARIzJp181dCfiie7UA4Fi-uUVJ35it-5u9wugSuhg1WOdpX5XNgPo1Z9V2z0EYCC31xOOPmvw5NyU960cFb8I8CS8683sVN1u5KCmJsLHM_YFy68pO7n8o6rAjr74XQXjFrO6Pj06ap_5CnGOUmErnQ6G5NlsHSCgndnqche8KaEfDMJ_QJj1ZluHBGIjqCGjYf3nynUj2A_UlmIoilaeWd8Q5GIj1ZzQ2dEVFrxaJ71Nl_mkBAii7vFW4UEysID3smnPy7g5Uc1X6DqNmjybovNzUMv6cwfAXslwIuT7y3PoiGxDo8LbodEO3uciFasvTsFUirPTJLR-1BjH0JC2CJhHil11T1xd5nnHLQcrtYOe78CFoRRG6uH_yZiutHkZJQ2MQCEo4j9h5TUBg0Iuy4aKRhtOjCbzH7oE7orafKSYZpdwysxdxPRS0oRdhBlfREaBouow-PUR7tKyQKHuRD_fbz9yEcG1F039Ia3KBvS-fahrPaHnPRtEBa2tJV1nQ3lBT0_KFKo9wkGrlyGsloOGsG4dgFyjVak-kSP81N-APx0zE7nxcYxVDD-FhjOtJ6UQ9Y-WZ6n-ZVg5XCjmXs49sKPZVmowW98GgQED2K2_x1ojxRqV38stwVhAdg7o-c9y04nxyxGkM5Ysxz6mM5_pv5QVaS3rb_dWkqzr-IcUIt6pmOUOskYsSYU1z-LJpyc0tPqNwWwBY7VMsE0HANJcGdCMI-zLK-tGEgzxv_i9_vRTAKG3F26-o454IBdq9xmvGZKKR3eCXs8eFZtIVYjqjL8pjnz3BtAWxlt-14NAFOQhxeIiuunkXoEctKbMcMAz3ytQ9MT5xZfiLE9HuaTA1FFNQGFaI7uYPUiRdBbKFULLF-HkpvqjMO0Myk5mgoyfDBiEvIlt75fA9lmXs9JLbB01uy5saBHCXbqULroNESm0eKZfCtm2FD98IqhMfBAWl3GZDB1_E2Tr5OuR7GNUvXlf0k9a-JlGpGzrazEoxtnoyZM4G/b64e=1/sign=13ca7af97bf60b92b5345a409cea41f6/keyno=MARKET_1/*"}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_102_21/content/content/content/bannerCurtain":{"name":"@light/BannerCurtain"}}}
    {"widgets":{"@monetize/Kebab":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_102_21/content/content/content/kebab":{"adLabel":{"adLabelText":"Реклама","advertizer":"Общество с ограниченной ответственностью «Смарт», ИНН 7810657710, ID #e-1g-109483-VND-ADV","adLabel":1},"advertisementId":2100381}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_102_21/content/content/content/kebab":{"name":"@monetize/Kebab"}}}
    Реклама
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    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  • Олиджим таб., 30 г, 100 шт.
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    Олиджим таб., 30 г, 100 шт.

    Цена 462 ₽ вместо 599
  • Гепатамин таб., 10 мг, 40 шт., 1 уп.
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    Гепатамин таб., 10 мг, 40 шт., 1 уп.

    Цена 630 ₽ вместо 682
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