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Кальций-Д3 Никомед таб. жев., 60 шт.

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5.0
(19)
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Количество штук в упаковке, шт.: 60

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Коротко о товаре

Артикул Маркета
3176379033
Дозировка
500 мг+200 МЕ
Вкус
мята
Количество штук в упаковке
60 шт.
Тип препарата
Инструкция
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1250 мг (эквивалентно элементарному кальцию - 500 мг), колекальциферол (витамин D3) 5,0 мкг (200 ME) в виде концентрата колекальциферола - 2,0 мг.\u003Cbr\u003EВспомогательные компоненты: сорбитол - 390 мг, ароматизатора апельсинового гранулят- 63,0 мг, повидон - 36,4 мг, магния стеарат - 6,0 мг, аспартам - 1,00 мг.\u003Cbr\u003EТаблетки жевательные (мятные)\u003Cbr\u003EДействующие вещества: кальция карбонат - 1250 мг (эквивалентно элементарному кальцию - 500 мг), колекальциферол (витамин D3) - 5,0 мкг (200 ME) в виде концентрата колекальциферола 2,0 мг.\u003Cbr\u003EВспомогательные компоненты: сорбитол - 390 мг, ароматизатора мятного гранулят - 31,8 мг, повидон - 36,4 мг, магния стеарат - 6,0 мг, аспартам - 1,00 мг.\u003Cbr\u003EТаблетки жевательные (клубнично-арбузные)\u003Cbr\u003EДействующие вещества: кальция карбонат - 1250 мг (эквивалентно элементарному кальцию - 500 мг), колекальциферол (витамин D3) - 5,0 мкг (200 ME) в виде концентрата колекальциферола - 2,0 мг.\u003Cbr\u003EВспомогательные компоненты: сорбитол - 390 мг, ароматизатора клубнично-арбузного гранулят- 10,2 мг, повидон - 36,4 мг, магния стеарат - 6,00 мг, аспартам - 1,00 мг.\u003Cbr\u003Eколичество колекальциферола (витамина D3), включая 10% избыток, составляет - 5,5 мкг, в виде концентрата колекальциферола - 2,2 мг.\u003Cbr\u003E концентрат колекальциферола содержит, включая 10% избыток: колекальциферол - 0,0055 мг, альфа-токоферол - 0,022 мг, крахмал кукурузный модифицированный - 1,607 мг, сахароза - 0,385 мг, натрия аскорбат - 0,088 мг, триглицериды среднецепочные - 0,066 мг, кремния диоксид - 0,026 мг.\u003Cbr\u003Eароматизатора апельсинового гранулят содержит: изомальт - 62,0 мг, ароматизатор апельсиновый - 0,95 мг, моно- и диглицериды жирных кислот - 0,0008 мг.\u003Cbr\u003Eароматизатора мятного гранулят содержит: изомальт - 31,0 мг, ароматизатор мятный - 0,80 мг, моно- и диглицериды жирных кислот - 0,0004 мг.\u003Cbr\u003Eароматизатора клубнично арбузного гранулят содержит: мальтодекстрин - 8,25 мг, ароматизатор клубнично-арбузный - 0,276 мг, триацетин - 0,163 мг, эфиры глицерина и диацетилвинной и жирных кислот - 0,0918 мг, триглицериды среднецепочечные - 0,0918 мг, вода - 1,33 мг."},{"name":"Взаимодействие","value":"Гиперкальциемия может потенцировать токсические эффекты сердечных гликозидов при одновременном применении с препаратами кальция и витамина D. Необходим контроль ЭКГ и содержания кальция в сыворотке крови.\u003Cbr\u003E- Препараты кальция могут уменьшать всасывание тетрациклинов из желудочно-кишечного тракта. Поэтому препараты тетрациклинового ряда следует принимать не менее чем за 2 часа до или через 4-6 часов после приема Кальций-Д3 Никомед.\u003Cbr\u003E- Для предотвращения снижения всасывания препаратов бисфосфонатов их рекомендуется принимать не менее чем за час до приема Кальций-Д3 Никомед.\u003Cbr\u003E- Глюкокортикостероиды уменьшают всасываемость кальция, поэтому лечение глюкокортикостероидами может потребовать увеличения дозы Кальций-Д3 Никомед.\u003Cbr\u003E- При одновременном применении диуретиков тиазидного ряда увеличивается риск возникновения гиперкальциемии, т.к. они увеличивают канальцевую реабсорбцию кальция. При одновременном применении тиазидных диуретиков следует регулярно контролировать содержание кальция в сыворотке крови.\u003Cbr\u003E- Кальций снижает эффективность левотироксина, уменьшая его всасывание. Период времени между приемами левотироксина и Кальций-Д3 Никомед должен составлять не менее 4-х часов.\u003Cbr\u003E- Всасывание антибиотиков группы хинолона снижается при одновременном применении с препаратами кальция. Поэтому антибиотики группы хинолона следует принимать за 2 часа до или через 6 часов после приема Кальций-Д3 Никомед.\u003Cbr\u003E- Соли кальция могут уменьшить всасывание железа, цинка и стронция ранелата. Поэтому препараты железа, цинка или стронция ранелата следует принимать не менее чем за два часа до или через два часа после приема Кальций-Д3 Никомед.\u003Cbr\u003E- Лечение орлистатом может потенциально нарушать всасывание жирорастворимых витаминов (например, витамина D3)."},{"name":"Показания к применению","value":"Профилактика и лечение дефицита кальция и/или витамина D3.\u003Cbr\u003E- Дополнение к специфической терапии и профилактике остеопороза и его осложнений (переломы костей)."},{"name":"Противопоказания","value":"Гиперкальциемия (повышенная концентрация кальция в крови).\u003Cbr\u003E- Гиперкальциурия (повышенное содержание кальция в моче).\u003Cbr\u003E- Нефролитиаз.\u003Cbr\u003E- Гипервитаминоз D.\u003Cbr\u003E- Повышенная чувствительность к компонентам препарата.\u003Cbr\u003E- Повышенная чувствительность к сое или арахису.\u003Cbr\u003E- Тяжелая почечная недостаточность.\u003Cbr\u003E- Активный туберкулез.\u003Cbr\u003EПрепарат в лекарственной форме таблетки не применяется у детей в возрасте до 3-х лет.\u003Cbr\u003EКальций-Д3 Никомед содержит аспартам, который в организме трансформируется в фенилаланин. Поэтому препарат не должны принимать пациенты с фенилкетонурией.\u003Cbr\u003EТаблетки жевательные (апельсиновые, мятные) содержат сорбитол, изомальт и сахарозу. Таблетки жевательные (клубнично-арбузные) содержат сорбитол и сахарозу. Применение не рекомендовано пациентам с наследственной непереносимостью фруктозы, глюкозо-галактозной мальабсорбцией или сахаразо-изомальтазной недостаточностью."},{"name":"Способ применения и дозы","value":"Кальций-Д3 Никомед принимают внутрь.\u003Cbr\u003EТаблетки можно разжевывать или рассасывать и принимать во время еды.\u003Cbr\u003EПрофилактика и лечение дефицита кальция и/или витамина D3\u003Cbr\u003EВзрослым и детям старше 12 лет - по 1 таблетке 2 раза в день, или 2 таблетки один раз в день.\u003Cbr\u003EДетям с 5 лет до 12 лет - по 1-2 таблетки в день.\u003Cbr\u003EДетям с 3-х до 5 лет - дозировка в соответствии с рекомендациями врача.\u003Cbr\u003EДополнение к специфической терапии и профилактике остеопороза и его осложнений (переломы костей)\u003Cbr\u003EВзрослым - по 1 таблетке 2-3 раза в день.\u003Cbr\u003EОсобые группы пациентов\u003Cbr\u003EПациенты с нарушением функции печени:\u003Cbr\u003EКоррекции дозы не требуется.\u003Cbr\u003EПациенты с нарушением функции почек:\u003Cbr\u003EНе следует применять препарат Кальций-Д3 Никомед при тяжелой почечной недостаточности.\u003Cbr\u003EПожилые пациенты:\u003Cbr\u003EДоза такая же, как и для взрослых. Следует учитывать возможное снижение клиренса креатинина.\u003Cbr\u003EПродолжительность лечения\u003Cbr\u003EПри применении для профилактики и лечения дефицита кальция и/или витамина D3 средняя продолжительность курса лечения не менее 4-6 недель. Количество повторных курсов в течение года определяют индивидуально.\u003Cbr\u003EПри применении для дополнения к специфической терапии и профилактике остеопороза и его осложнений (переломы костей) длительность лечения определяется врачом индивидуально."},{"name":"Применение при беременности","value":"Кальций-Д3 Никомед применяют при беременности для восполнения дефицита кальция и витамина D3 в организме. Общее суточное поступление при беременности не должно превышать 2500 мг кальция и 4000 ME витамина D.\u003Cbr\u003EГиперкальциемия на фоне передозировки в период беременности может оказывать неблагоприятное воздействие на развивающийся плод.\u003Cbr\u003EКальций-Д3 Никомед применяют в период лактации.\u003Cbr\u003EКальций и витамин D3 могут проникать в грудное молоко, поэтому необходимо учитывать поступление кальция и витамина D из других источников у матери и ребенка."},{"name":"Пол","value":"для женщин"},{"name":"Побочные действия","value":"Частота побочных эффектов препарата расценивается следующим образом:\u003Cbr\u003EОчень частые: ≥1/10\u003Cbr\u003EЧастые: ≥1/100, \u003C 1/10\u003Cbr\u003EНечастые: ≥ 1/1000, \u003C 1/100\u003Cbr\u003EРедкие: ≥ 1/10 000, \u003C 1/1000\u003Cbr\u003EОчень редкие: \u003C 1/10 000\u003Cbr\u003EЧастота неизвестна (не может быть подсчитана по имеющимся данным)\u003Cbr\u003EНарушения со стороны обмена веществ и питания:\u003Cbr\u003EНечастые: гиперкальциемия и гиперкальциурия.\u003Cbr\u003EОчень редкие: молочно-щелочной синдром (синдром Бернетта). Обычно отмечается только при передозировке (см. раздел \"Передозировка\").\u003Cbr\u003EНарушения со стороны желудочно-кишечного тракта:\u003Cbr\u003EРедко: запор, метеоризм, тошнота, боль в животе, диарея, диспепсия.\u003Cbr\u003EНарушения со стороны кожи и подкожной клетчатки:\u003Cbr\u003EОчень редко: зуд, сыпь, крапивница.\u003Cbr\u003EНарушения со стороны иммунной системы:\u003Cbr\u003EЧастота неизвестна: реакции гиперчувствительности, такие как ангионевротический отек или отек гортани."},{"name":"Передозировка","value":"Передозировка может привести к гиперкальциемии и гипервитаминозу D.\u003Cbr\u003EСимптомы передозировки (гиперкальциемии): анорексия, жажда, полиурия, мышечная слабость, тошнота, рвота, запор, боль в животе, повышенная утомляемость, боли в костях, психические расстройства, полидипсия, нефрокальциноз, мочекаменная болезнь и, в тяжелых случаях, сердечные аритмии.\u003Cbr\u003EПри длительном применении избыточных доз (свыше 2500 мг кальция) - повреждения почек, кальциноз мягких тканей.\u003Cbr\u003EМолочно-щелочной синдром (синдром Бернетта) может возникать у пациентов при приеме внутрь большого количества кальция и хорошо всасываемых щелочных растворов.\u003Cbr\u003EВ случае обнаружения признаков передозировки необходимо прекратить прием кальция и витамина D3, а также тиазидных диуретиков и сердечных гликозидов, и обратиться к врачу.\u003Cbr\u003EЛечение: промывание желудка, восполнение потери жидкости, применение петлевых диуретиков (например, фуросемида), глюкокортикостероидов, кальцитонина, бисфосфонатов. Необходимо контролировать содержание электролитов в плазме крови, функцию почек и диурез.\u003Cbr\u003EВ тяжелых случаях необходимо измерение центрального венозного давления (ЦВД) и контроль электрокардиограммы (ЭКГ)."},{"name":"Условия хранения","value":"Хранить флакон плотно закрытым, при температуре не выше 25 °С.\u003Cbr\u003EХранить в недоступном для детей месте."},{"name":"Особые указания","value":"При длительной терапии следует контролировать содержание кальция и креатинина в сыворотке крови. Наблюдение особенно важно у пациентов пожилого возраста при одновременном лечении сердечными гликозидами и диуретиками (см. раздел \"Взаимодействие с другими лекарственными препаратами и пищевыми продуктами\") и у пациентов с повышенной склонностью к образованию камней в почках. В случаях гиперкальциемии или признаков нарушения функции почек следует уменьшить дозу или прекратить лечение.\u003Cbr\u003E- Витамин D3 следует принимать с осторожностью пациентам с почечной недостаточностью. В этом случае необходимо контролировать содержание кальция и фосфатов в сыворотке крови. Также необходимо учитывать риск возникновения кальциноза мягких тканей.\u003Cbr\u003E- Во избежание передозировки, необходимо учитывать дополнительное поступление витамина D и кальция из других источников.\u003Cbr\u003E- Кальций и витамин D3 должны с осторожностью применяться у иммобилизированных пациентов с остеопорозом в связи с риском развития гиперкальциемии.\u003Cbr\u003E- Одновременное применение с антибиотиками группы тетрациклина или хинолона обычно не рекомендуется, или должно осуществляться с осторожностью (см. раздел \"Взаимодействие с другими лекарственными препаратами и пищевыми продуктами\")."},{"name":"Страна бренда","value":"Россия"},{"name":"Страна производства","value":"Россия"},{"name":"Владелец регистрационного удостоверения","value":"Нижфарм"},{"name":"Изготовитель","value":"Такеда Фармасьютикалс"},{"name":"Фасовщик","value":"Такеда Фармасьютикалс"}]}},"fullSpecsGrouped":{"14634860204245524353":{"groups":[{"name":"Регистрационные данные","items":[{"name":"Дозировка","value":"500 мг+200 МЕ"},{"name":"Вкус","value":"мята"},{"name":"Количество штук в упаковке","value":"60 шт."}]},{"name":"Тип препарата","items":[{"name":"Особенности","value":"для детей"},{"name":"Способ применения/введения","value":"пероральный"},{"name":"Минимальный возраст","value":"от 12 лет"},{"name":"Форма выпуска","value":"таблетки жевательные"}]},{"name":"Применение и информация","items":[{"name":"Действующее вещество","value":"Кальция карбонат+Колекальциферол"},{"name":"Фармакологическая группа","value":"кальциево-фосфорного обмена регулятор"},{"name":"Фармакологическое действие","value":"Комбинированный препарат, регулирующий обмен кальция и фосфора в организме (костях, зубах, ногтях, волосах, мышцах).\u003Cbr\u003EСнижает резорбцию (рассасывание) и увеличивает плотность костной ткани, восполняя недостаток кальция и витамина D3 в организме, необходим для минерализации зубов.\u003Cbr\u003EКальций участвует в регуляции нервной проводимости, мышечных сокращений, выработки гормонов и является компонентом системы свертывания крови.\u003Cbr\u003EАдекватное потребление кальция особенно важно в период роста, беременности и лактации.\u003Cbr\u003EВитамин D3 увеличивает всасываемость кальция в кишечнике.\u003Cbr\u003EПрименение кальция и витамина D3 препятствует увеличению выработки паратиреоидного гормона (ПТГ), который является стимулятором повышенной костной резорбции (вымывания кальция из костей)."},{"name":"Состав","value":"1 таблетка содержит:\u003Cbr\u003EТаблетки жевательные (апельсиновые)\u003Cbr\u003EДействующие вещества: кальция карбонат - 1250 мг (эквивалентно элементарному кальцию - 500 мг), колекальциферол (витамин D3) 5,0 мкг (200 ME) в виде концентрата колекальциферола - 2,0 мг.\u003Cbr\u003EВспомогательные компоненты: сорбитол - 390 мг, ароматизатора апельсинового гранулят- 63,0 мг, повидон - 36,4 мг, магния стеарат - 6,0 мг, аспартам - 1,00 мг.\u003Cbr\u003EТаблетки жевательные (мятные)\u003Cbr\u003EДействующие вещества: кальция карбонат - 1250 мг (эквивалентно элементарному кальцию - 500 мг), колекальциферол (витамин D3) - 5,0 мкг (200 ME) в виде концентрата колекальциферола 2,0 мг.\u003Cbr\u003EВспомогательные компоненты: сорбитол - 390 мг, ароматизатора мятного гранулят - 31,8 мг, повидон - 36,4 мг, магния стеарат - 6,0 мг, аспартам - 1,00 мг.\u003Cbr\u003EТаблетки жевательные (клубнично-арбузные)\u003Cbr\u003EДействующие вещества: кальция карбонат - 1250 мг (эквивалентно элементарному кальцию - 500 мг), колекальциферол (витамин D3) - 5,0 мкг (200 ME) в виде концентрата колекальциферола - 2,0 мг.\u003Cbr\u003EВспомогательные компоненты: сорбитол - 390 мг, ароматизатора клубнично-арбузного гранулят- 10,2 мг, повидон - 36,4 мг, магния стеарат - 6,00 мг, аспартам - 1,00 мг.\u003Cbr\u003Eколичество колекальциферола (витамина D3), включая 10% избыток, составляет - 5,5 мкг, в виде концентрата колекальциферола - 2,2 мг.\u003Cbr\u003E концентрат колекальциферола содержит, включая 10% избыток: колекальциферол - 0,0055 мг, альфа-токоферол - 0,022 мг, крахмал кукурузный модифицированный - 1,607 мг, сахароза - 0,385 мг, натрия аскорбат - 0,088 мг, триглицериды среднецепочные - 0,066 мг, кремния диоксид - 0,026 мг.\u003Cbr\u003Eароматизатора апельсинового гранулят содержит: изомальт - 62,0 мг, ароматизатор апельсиновый - 0,95 мг, моно- и диглицериды жирных кислот - 0,0008 мг.\u003Cbr\u003Eароматизатора мятного гранулят содержит: изомальт - 31,0 мг, ароматизатор мятный - 0,80 мг, моно- и диглицериды жирных кислот - 0,0004 мг.\u003Cbr\u003Eароматизатора клубнично арбузного гранулят содержит: мальтодекстрин - 8,25 мг, ароматизатор клубнично-арбузный - 0,276 мг, триацетин - 0,163 мг, эфиры глицерина и диацетилвинной и жирных кислот - 0,0918 мг, триглицериды среднецепочечные - 0,0918 мг, вода - 1,33 мг."},{"name":"Взаимодействие","value":"Гиперкальциемия может потенцировать токсические эффекты сердечных гликозидов при одновременном применении с препаратами кальция и витамина D. Необходим контроль ЭКГ и содержания кальция в сыворотке крови.\u003Cbr\u003E- Препараты кальция могут уменьшать всасывание тетрациклинов из желудочно-кишечного тракта. Поэтому препараты тетрациклинового ряда следует принимать не менее чем за 2 часа до или через 4-6 часов после приема Кальций-Д3 Никомед.\u003Cbr\u003E- Для предотвращения снижения всасывания препаратов бисфосфонатов их рекомендуется принимать не менее чем за час до приема Кальций-Д3 Никомед.\u003Cbr\u003E- Глюкокортикостероиды уменьшают всасываемость кальция, поэтому лечение глюкокортикостероидами может потребовать увеличения дозы Кальций-Д3 Никомед.\u003Cbr\u003E- При одновременном применении диуретиков тиазидного ряда увеличивается риск возникновения гиперкальциемии, т.к. они увеличивают канальцевую реабсорбцию кальция. При одновременном применении тиазидных диуретиков следует регулярно контролировать содержание кальция в сыворотке крови.\u003Cbr\u003E- Кальций снижает эффективность левотироксина, уменьшая его всасывание. Период времени между приемами левотироксина и Кальций-Д3 Никомед должен составлять не менее 4-х часов.\u003Cbr\u003E- Всасывание антибиотиков группы хинолона снижается при одновременном применении с препаратами кальция. Поэтому антибиотики группы хинолона следует принимать за 2 часа до или через 6 часов после приема Кальций-Д3 Никомед.\u003Cbr\u003E- Соли кальция могут уменьшить всасывание железа, цинка и стронция ранелата. Поэтому препараты железа, цинка или стронция ранелата следует принимать не менее чем за два часа до или через два часа после приема Кальций-Д3 Никомед.\u003Cbr\u003E- Лечение орлистатом может потенциально нарушать всасывание жирорастворимых витаминов (например, витамина D3)."},{"name":"Показания к применению","value":"Профилактика и лечение дефицита кальция и/или витамина D3.\u003Cbr\u003E- Дополнение к специфической терапии и профилактике остеопороза и его осложнений (переломы костей)."},{"name":"Противопоказания","value":"Гиперкальциемия (повышенная концентрация кальция в крови).\u003Cbr\u003E- Гиперкальциурия (повышенное содержание кальция в моче).\u003Cbr\u003E- Нефролитиаз.\u003Cbr\u003E- Гипервитаминоз D.\u003Cbr\u003E- Повышенная чувствительность к компонентам препарата.\u003Cbr\u003E- Повышенная чувствительность к сое или арахису.\u003Cbr\u003E- Тяжелая почечная недостаточность.\u003Cbr\u003E- Активный туберкулез.\u003Cbr\u003EПрепарат в лекарственной форме таблетки не применяется у детей в возрасте до 3-х лет.\u003Cbr\u003EКальций-Д3 Никомед содержит аспартам, который в организме трансформируется в фенилаланин. Поэтому препарат не должны принимать пациенты с фенилкетонурией.\u003Cbr\u003EТаблетки жевательные (апельсиновые, мятные) содержат сорбитол, изомальт и сахарозу. Таблетки жевательные (клубнично-арбузные) содержат сорбитол и сахарозу. Применение не рекомендовано пациентам с наследственной непереносимостью фруктозы, глюкозо-галактозной мальабсорбцией или сахаразо-изомальтазной недостаточностью."},{"name":"Способ применения и дозы","value":"Кальций-Д3 Никомед принимают внутрь.\u003Cbr\u003EТаблетки можно разжевывать или рассасывать и принимать во время еды.\u003Cbr\u003EПрофилактика и лечение дефицита кальция и/или витамина D3\u003Cbr\u003EВзрослым и детям старше 12 лет - по 1 таблетке 2 раза в день, или 2 таблетки один раз в день.\u003Cbr\u003EДетям с 5 лет до 12 лет - по 1-2 таблетки в день.\u003Cbr\u003EДетям с 3-х до 5 лет - дозировка в соответствии с рекомендациями врача.\u003Cbr\u003EДополнение к специфической терапии и профилактике остеопороза и его осложнений (переломы костей)\u003Cbr\u003EВзрослым - по 1 таблетке 2-3 раза в день.\u003Cbr\u003EОсобые группы пациентов\u003Cbr\u003EПациенты с нарушением функции печени:\u003Cbr\u003EКоррекции дозы не требуется.\u003Cbr\u003EПациенты с нарушением функции почек:\u003Cbr\u003EНе следует применять препарат Кальций-Д3 Никомед при тяжелой почечной недостаточности.\u003Cbr\u003EПожилые пациенты:\u003Cbr\u003EДоза такая же, как и для взрослых. Следует учитывать возможное снижение клиренса креатинина.\u003Cbr\u003EПродолжительность лечения\u003Cbr\u003EПри применении для профилактики и лечения дефицита кальция и/или витамина D3 средняя продолжительность курса лечения не менее 4-6 недель. Количество повторных курсов в течение года определяют индивидуально.\u003Cbr\u003EПри применении для дополнения к специфической терапии и профилактике остеопороза и его осложнений (переломы костей) длительность лечения определяется врачом индивидуально."},{"name":"Применение при беременности","value":"Кальций-Д3 Никомед применяют при беременности для восполнения дефицита кальция и витамина D3 в организме. Общее суточное поступление при беременности не должно превышать 2500 мг кальция и 4000 ME витамина D.\u003Cbr\u003EГиперкальциемия на фоне передозировки в период беременности может оказывать неблагоприятное воздействие на развивающийся плод.\u003Cbr\u003EКальций-Д3 Никомед применяют в период лактации.\u003Cbr\u003EКальций и витамин D3 могут проникать в грудное молоко, поэтому необходимо учитывать поступление кальция и витамина D из других источников у матери и ребенка."},{"name":"Пол","value":"для женщин"},{"name":"Побочные действия","value":"Частота побочных эффектов препарата расценивается следующим образом:\u003Cbr\u003EОчень частые: ≥1/10\u003Cbr\u003EЧастые: ≥1/100, \u003C 1/10\u003Cbr\u003EНечастые: ≥ 1/1000, \u003C 1/100\u003Cbr\u003EРедкие: ≥ 1/10 000, \u003C 1/1000\u003Cbr\u003EОчень редкие: \u003C 1/10 000\u003Cbr\u003EЧастота неизвестна (не может быть подсчитана по имеющимся данным)\u003Cbr\u003EНарушения со стороны обмена веществ и питания:\u003Cbr\u003EНечастые: гиперкальциемия и гиперкальциурия.\u003Cbr\u003EОчень редкие: молочно-щелочной синдром (синдром Бернетта). Обычно отмечается только при передозировке (см. раздел \"Передозировка\").\u003Cbr\u003EНарушения со стороны желудочно-кишечного тракта:\u003Cbr\u003EРедко: запор, метеоризм, тошнота, боль в животе, диарея, диспепсия.\u003Cbr\u003EНарушения со стороны кожи и подкожной клетчатки:\u003Cbr\u003EОчень редко: зуд, сыпь, крапивница.\u003Cbr\u003EНарушения со стороны иммунной системы:\u003Cbr\u003EЧастота неизвестна: реакции гиперчувствительности, такие как ангионевротический отек или отек гортани."},{"name":"Передозировка","value":"Передозировка может привести к гиперкальциемии и гипервитаминозу D.\u003Cbr\u003EСимптомы передозировки (гиперкальциемии): анорексия, жажда, полиурия, мышечная слабость, тошнота, рвота, запор, боль в животе, повышенная утомляемость, боли в костях, психические расстройства, полидипсия, нефрокальциноз, мочекаменная болезнь и, в тяжелых случаях, сердечные аритмии.\u003Cbr\u003EПри длительном применении избыточных доз (свыше 2500 мг кальция) - повреждения почек, кальциноз мягких тканей.\u003Cbr\u003EМолочно-щелочной синдром (синдром Бернетта) может возникать у пациентов при приеме внутрь большого количества кальция и хорошо всасываемых щелочных растворов.\u003Cbr\u003EВ случае обнаружения признаков передозировки необходимо прекратить прием кальция и витамина D3, а также тиазидных диуретиков и сердечных гликозидов, и обратиться к врачу.\u003Cbr\u003EЛечение: промывание желудка, восполнение потери жидкости, применение петлевых диуретиков (например, фуросемида), глюкокортикостероидов, кальцитонина, бисфосфонатов. Необходимо контролировать содержание электролитов в плазме крови, функцию почек и диурез.\u003Cbr\u003EВ тяжелых случаях необходимо измерение центрального венозного давления (ЦВД) и контроль электрокардиограммы (ЭКГ)."},{"name":"Условия хранения","value":"Хранить флакон плотно закрытым, при температуре не выше 25 °С.\u003Cbr\u003EХранить в недоступном для детей месте."},{"name":"Особые указания","value":"При длительной терапии следует контролировать содержание кальция и креатинина в сыворотке крови. Наблюдение особенно важно у пациентов пожилого возраста при одновременном лечении сердечными гликозидами и диуретиками (см. раздел \"Взаимодействие с другими лекарственными препаратами и пищевыми продуктами\") и у пациентов с повышенной склонностью к образованию камней в почках. В случаях гиперкальциемии или признаков нарушения функции почек следует уменьшить дозу или прекратить лечение.\u003Cbr\u003E- Витамин D3 следует принимать с осторожностью пациентам с почечной недостаточностью. В этом случае необходимо контролировать содержание кальция и фосфатов в сыворотке крови. Также необходимо учитывать риск возникновения кальциноза мягких тканей.\u003Cbr\u003E- Во избежание передозировки, необходимо учитывать дополнительное поступление витамина D и кальция из других источников.\u003Cbr\u003E- Кальций и витамин D3 должны с осторожностью применяться у иммобилизированных пациентов с остеопорозом в связи с риском развития гиперкальциемии.\u003Cbr\u003E- Одновременное применение с антибиотиками группы тетрациклина или хинолона обычно не рекомендуется, или должно осуществляться с осторожностью (см. раздел \"Взаимодействие с другими лекарственными препаратами и пищевыми продуктами\")."},{"name":"Страна бренда","value":"Россия"},{"name":"Страна производства","value":"Россия"},{"name":"Владелец регистрационного удостоверения","value":"Нижфарм"},{"name":"Изготовитель","value":"Такеда Фармасьютикалс"},{"name":"Фасовщик","value":"Такеда Фармасьютикалс"}]}],"transitionId":"tr_11051451837699411975"}}}}
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Цена с картой Яндекс Пэй:794 ₽/уп

Скидка: 3%
–3 %
Вместо: 818 ₽/уп
  • Завтра, курьер магазина • 99 ₽
1 уп = 60 шт
POLZAru
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Инструкция

Показания к применению

Профилактика и лечение дефицита кальция и/или витамина D3.
- Дополнение к специфической терапии и профилактике остеопороза и его осложнений (переломы костей).

Противопоказания

Гиперкальциемия (повышенная концентрация кальция в крови).
- Гиперкальциурия (повышенное содержание кальция в моче).
- Нефролитиаз.
- Гипервитаминоз D.
- Повышенная чувствительность к компонентам препарата.
- Повышенная чувствительность к сое или арахису.
- Тяжелая почечная недостаточность.
- Активный туберкулез.
Препарат в лекарственной форме таблетки не применяется у детей в возрасте до 3-х лет.
Кальций-Д3 Никомед содержит аспартам, который в организме трансформируется в фенилаланин. Поэтому препарат не должны принимать пациенты с фенилкетонурией.
Таблетки жевательные (апельсиновые, мятные) содержат сорбитол, изомальт и сахарозу. Таблетки жевательные (клубнично-арбузные) содержат сорбитол и сахарозу. Применение не рекомендовано пациентам с наследственной непереносимостью фруктозы, глюкозо-галактозной мальабсорбцией или сахаразо-изомальтазной недостаточностью.

Способ применения и дозы

Кальций-Д3 Никомед принимают внутрь.
Таблетки можно разжевывать или рассасывать и принимать во время еды.
Профилактика и лечение дефицита кальция и/или витамина D3
Взрослым и детям старше 12 лет - по 1 таблетке 2 раза в день, или 2 таблетки один раз в день.
Детям с 5 лет до 12 лет - по 1-2 таблетки в день.
Детям с 3-х до 5 лет - дозировка в соответствии с рекомендациями врача.
Дополнение к специфической терапии и профилактике остеопороза и его осложнений (переломы костей)
Взрослым - по 1 таблетке 2-3 раза в день.
Особые группы пациентов
Пациенты с нарушением функции печени:
Коррекции дозы не требуется.
Пациенты с нарушением функции почек:
Не следует применять препарат Кальций-Д3 Никомед при тяжелой почечной недостаточности.
Пожилые пациенты:
Доза такая же, как и для взрослых. Следует учитывать возможное снижение клиренса креатинина.
Продолжительность лечения
При применении для профилактики и лечения дефицита кальция и/или витамина D3 средняя продолжительность курса лечения не менее 4-6 недель. Количество повторных курсов в течение года определяют индивидуально.
При применении для дополнения к специфической терапии и профилактике остеопороза и его осложнений (переломы костей) длительность лечения определяется врачом индивидуально.
Полная инструкция
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Кальций-Д3 Никомед таб. жев.
Кальций-Д3 Никомед таб. жев., 60 шт.
5.0
(19)
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4 вопроса
Инструкция

Цена с картой Яндекс Пэй:794 ₽/уп

Скидка: 3%
–3 %
Вместо: 818 ₽/уп
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5.0
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У продавца:19 оценок·3 отзыва
У всех продавцов:125 оценок·44 отзыва
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user avatar
Месяц назад • Ольга А. • Куплен на Маркете
Достоинства: жевательные таблетки кальция Д3 никомед необходимо принимать для профилактики остеопароза, с добавками это более привлекательно мята не худший вариант. я предпочитаю апельсиновую добавку, но в этом месяце при покупке стоимость 120таблеток составила 860руб.а с мятой-713руб. Согласитесь, что разница существенная
user avatar
Месяц назад • Екатерина Шелякина • Куплен на Маркете
Достоинства: Хорошо.
Недостатки: Нет.
Комментарий: Рекомендую давно пользуемся. Ребёнку нравится.
user avatar
Месяц назад • Светлана *** • Куплен на Маркете
Достоинства: Качество товара. Большой объем по хорошей цене со скидкой.
Посмотреть все отзывы на Маркете
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    Gentle Iron (Iron Bisglycinate) капс., 25 мг, 15 г, 90 шт.

    Цена 1 460 ₽ вместо 1 490
  • Железо+Витамин В12 BioForte, капсулы 275 мг, 30 шт.
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    Железо+Витамин В12 BioForte, капсулы 275 мг, 30 шт.

    Цена 215 ₽ вместо 221
  • Гинкго Билоба форте + Глицин + Витамин В6 BioForte, капсулы, 30 шт
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    Гинкго Билоба форте + Глицин + Витамин В6 BioForte, капсулы, 30 шт

    Цена 270 ₽ вместо 279
  • Магний хелат, магнезиум + витамин B6 Б6, 90 капсул Magnesium Biocaps MISHIDO БАД Комплекс витаминов для сердца, нервной системы, от стресса, судорог
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    Магний хелат, магнезиум + витамин B6 Б6, 90 капсул Magnesium Biocaps MISHIDO БАД Комплекс витаминов для сердца, нервной системы, от стресса, судорог

    Цена 481 ₽ вместо 1 276
  • Янтарная кислота для укрепления иммунитета, нормализации сна, для стрессоустойчивости, для похудения 60 капс
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    Янтарная кислота для укрепления иммунитета, нормализации сна, для стрессоустойчивости, для похудения 60 капс

    Цена 328 ₽ вместо 721
  • Нормотим успокоительное от стресса, для нормализации сна, со вкусом мяты 60 шт
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    Нормотим успокоительное от стресса, для нормализации сна, со вкусом мяты 60 шт

    Цена 500 ₽ вместо 840
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    Реклама
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  • Возбудитель для мужчин Сила императора 8шт. Виагра быстродействующие таблетки для потенции эрекции продления секса увеличение члена
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    Nature's Plus, Hema-Plex, 60 софт гелей 20 порций

    Цена 1 310 ₽ вместо 2 300
  • Лимфотранзит Эвалар капсулы 0,46г 30шт
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    Лимфотранзит Эвалар капсулы 0,46г 30шт

    Цена 586 ₽ вместо 592
  • Магний хелат таб., 85 мл, 1.4 г, 60 шт.
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    Магний хелат таб., 85 мл, 1.4 г, 60 шт.

    Цена 1 395 ₽ вместо 1 409
  • Капсулы NOW Sunflower Lecithin 1200 мг, 150 г, 1200 мг, 100 шт.
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    Капсулы NOW Sunflower Lecithin 1200 мг, 150 г, 1200 мг, 100 шт.

    Цена 1 360 ₽ вместо 1 388
  • Ежовик гребенчатый мицелий Lions mane 180 капсул, капсулы 600 мг, 100% мицелий, Nutrived
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    Ежовик гребенчатый мицелий Lions mane 180 капсул, капсулы 600 мг, 100% мицелий, Nutrived

    Цена 838 ₽ вместо 1 598
  • В -комплекс Эвалар/Витамины группы В таблетки покрыт. об. по 0,2 г 90 шт
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    В -комплекс Эвалар/Витамины группы В таблетки покрыт. об. по 0,2 г 90 шт

    Цена 610 ₽ вместо 616
  • Бэби Формула Мишки Мультивитамины пастилки жев., 60 шт.
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    Бэби Формула Мишки Мультивитамины пастилки жев., 60 шт.

    Цена 560 ₽ вместо 686
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