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Кеторол Экспресс таб. дисперг., 10 мг, 20 шт.

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4.9
(31)
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Коротко о товаре

Артикул Маркета
3288321117
Тип препарата
Назначение
Действующее вещество
Возраст
от 16 лет
Инструкция
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полное или неполное сочетание бронхиальной астмы, рецидивирующего полипоза носа и околоносовых пазух и непереносимости ацетилсалициловой кислоты или других НПВП (в том числе в анамнезе); эрозивно-язвенные поражения ЖКТ, активное желудочно-кишечное кровотечение; воспалительные заболевания кишечника (в том числе язвенный колит, болезнь Крона); заболевания костного мозга и крови (лейкопения, в том числе в анамнезе; тромбоцитопения; гипокоагуляция, в том числе гемофилия), миелосупрессия, кровотечения или высокий риск их развития; тяжелая почечная недостаточность (клиренс креатинина (КК) менее 30 мл/мин), подтвержденная гиперкалиемия; тяжелая печеночная недостаточность или активное заболевание печени; состояние после проведения аортокоронарного шунтирования; профилактическое обезболивание перед и во время обширных оперативных вмешательств из-за высокого риска кровотечения; активные цереброваскулярные заболевания (в том числе внутричерепное кровоизлияние или подозрение на него); беременность; период родов; период грудного вскармливания; детский возраст до 16 лет (безопасность и эффективность применения не установлены); одновременное применение с пробенецидом; одновременное применение с пентоксифиллином; одновременное применение с ацетилсалициловой кислотой и другими НПВП (включая селективные ингибиторы ЦОГ-2); одновременное применение с солями лития, одновременное применение с антикоагулянтами (включая варфарин и гепарин)."},{"name":"Состав","value":"Каждая таблетка, диспергируемая в полости рта, содержит:\u003Cbr\u003EДействующее вещество: кеторолака трометамин (кеторолака трометамол) 10,000 мг;\u003Cbr\u003EВспомогательные вещества: целлюлоза микрокристаллическая (Avicel PH101), кремния диоксид, бутилгидроксианизол, маннитол, кросповидон (тип А), сукралоза, ароматизатор мятный, краситель хинолиновый желтый (Е104), магния стеарат."},{"name":"Действующее вещество","value":"Кеторолак","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["27144131:28709744"]}}},{"name":"Способ применения и дозы","value":"Положить таблетку на язык, где она сразу же начнет растворяться. Держать во рту в течение нескольких секунд до полного растворения, при желании можно запить жидкостью.\u003Cbr\u003EПрием таблеток, диспергируемых в полости рта, не требует обязательного запивания водой, не влияет на увеличение продукции слюны, позволяет принимать препарат пациентам с отклонениями в акте глотания при поведенческих и неврологических нарушениях.\u003Cbr\u003EКеторол Экспресс применяют внутрь однократно или повторно в зависимости от тяжести болевого синдрома.\u003Cbr\u003EОднократная доза - 10 мг. при повторном приеме рекомендуется принимать по 10 мг до 4-х раз в сутки, в зависимости от выраженности боли; максимальная суточная доза не должна превышать 40 мг.\u003Cbr\u003EПри приеме внутрь продолжительность курса не должна превышать 5 дней.\u003Cbr\u003EДля снижения риска развития нежелательных явлений следует применять минимальную эффективную дозу кеторолака минимально возможным коротким курсом.\u003Cbr\u003EПри переходе с парентерального введения препарата на его прием внутрь суммарная суточная доза обеих лекарственных форм в день перевода не должна превышать 90 мг для пациентов с 16 до 65 лет и 60 мг - для пациентов старше 65 лет или с нарушенной функцией почек. При этом доза препарата в таблетках в день перехода не должна превышать 30 мг."},{"name":"Побочные действия","value":"Частота побочных эффектов классифицируется в зависимости от частоты встречаемости случая; часто (1-10%), нечасто (0,1-1%), редко (0,01-0,1%). очень редко (менее 0,01%) и частота неизвестна, включая отдельные сообщения.\u003Cbr\u003EСо стороны пищеварительной системы\u003Cbr\u003EЧасто (особенно у пожилых пациентов старше 65 лет. имеющих в анамнезе эрозивноязвенные поражения ЖКТ) - гастралгия, диарея; нечасто - стоматит, метеоризм, запор, рвота, ощущение переполнения желудка; редко - тошнота, эрозивно-язвенные поражения ЖКТ (в том числе с перфорацией и/или кровотечением - абдоминальная боль, спазм или жжение в эпигастральной области, мелена, рвота по типу \"кофейной гущи\", тошнота, изжога), холестатическая желтуха, гепатит, гепатомегалия, острый панкреатит.\u003Cbr\u003EСо стороны мочевыделительной системы\u003Cbr\u003EРедко - острая почечная недостаточность, боль в пояснице, гематурия, азотемия, гемолитико-уремический синдром (гемолитическая анемия, почечная недостаточность, тромбоцитопения, пурпура), частое мочеиспускание, олигурия, полиурия, интерстициальный нефрит, отеки почечного генеза; частота неизвестна - задержка мочеиспускания.\u003Cbr\u003EСо стороны органов чувств\u003Cbr\u003EРедко - снижение слуха, звон в ушах, нарушение зрения (в том числе нечеткость зрительного восприятия); частота неизвестна - нарушение вкуса.\u003Cbr\u003EСо стороны дыхательной системы\u003Cbr\u003EРедко - бронхоспазм или диспноэ, ринит, отек гортани (одышка, затруднение дыхания).\u003Cbr\u003EСо стороны центральной нервной системы\u003Cbr\u003EЧасто - головная боль, головокружение, сонливость; редко - асептический менингит (лихорадка, сильная головная боль, судороги, ригидность мышц шеи и/или спины), гиперактивность (изменение настроения, беспокойство), галлюцинации, депрессия, психоз.\u003Cbr\u003EСо стороны сердечно-сосудистой системы\u003Cbr\u003EНечасто - повышение артериального давления; редко - отек легких, обморочные состояния.\u003Cbr\u003EСо стороны органов кроветворения\u003Cbr\u003EРедко - анемия, эозинофилия, лейкопения.\u003Cbr\u003EСо стороны системы гемостаза\u003Cbr\u003EРедко - кровотечение из послеоперационной раны, носовое кровотечение, ректальное кровотечение.\u003Cbr\u003EСо стороны кожных покровов\u003Cbr\u003EНечасто - кожная сыпь (включая макулопапулезную сыпь), пурпура; редко - эксфолиативный дерматит (лихорадка с ознобом или без, покраснение, уплотнение или шелушение кожи, опухание и/или болезненность небных миндалин), крапивница, синдром Стивенса-Джонсона, синдром Лайелла.\u003Cbr\u003EАллергические реакции\u003Cbr\u003EРедко - анафилаксия или анафилактоидные реакции (изменение цвета кожи лица, кожная сыпь, крапивница, кожный зуд, тахипноэ или диспноэ, отеки век, отек языка, периорбитальный отек, одышка, затрудненное дыхание, тяжесть в грудной клетке, свистящее дыхание).\u003Cbr\u003EПрочие\u003Cbr\u003EЧасто - отеки (лица, голеней, лодыжек, пальцев, ступней, повышение массы тела); нечасто - повышенная потливость; редко - лихорадка; частота неизвестна - гиперкалиемия, гипонатриемия."},{"name":"Фармакологическое действие","value":"Нестероидный противовоспалительный препарат (НПВП), оказывает выраженное анальгезирующее действие, обладает противовоспалительным и умеренным жаропонижающим действием. Механизм действия связан с неселективным угнетением активности циклооксигеназы (ЦОГ) - ЦОГ-1 и ЦОГ-2, катализирующей образование простагландинов из арахидоновой кислоты, играющих важную роль в патогенезе воспаления, боли и лихорадки.\u003Cbr\u003EКеторолак представляет собой рацемическую смесь [-]S и [+]R энантиомеров, при этом обезболивающее действие обусловлено [-]S формой.\u003Cbr\u003EПо силе анальгезирующего эффекта кеторолак сопоставим с морфином, значительно превосходя другие НПВП. Препарат не влияет на опиоидные рецепторы, не угнетает дыхания, не вызывает лекарственной зависимости, не обладает седативным и анксиолитическим действием.\u003Cbr\u003EПосле приема внутрь начало обезболивающего действия отмечается через 1 ч, максимальный эффект достигается через 1-2 ч."},{"name":"Фармакологическая группа","value":"нестероидный противовоспалительный препарат (НПВП)"},{"name":"Форма выпуска","value":"таблетки диспергируемые"},{"name":"Способ применения/введения","value":"пероральный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["35947170:36763744"]}}},{"name":"Минимальный возраст применения","value":"от 16 лет"},{"name":"Условия хранения","value":"При температуре не выше 25 °С.\u003Cbr\u003EХранить в недоступном для детей месте."},{"name":"Передозировка","value":"Симптомы: боль в животе, тошнота, рвота, эрозивно-язвенное поражение ЖКТ, нарушение функции почек, метаболический ацидоз.\u003Cbr\u003EЛечение: промывание желудка, введение адсорбентов (активированный уголь) и проведение симптоматической терапии (поддержание жизненно важных функций организма). Гемодиализ малоэффективен."},{"name":"Применение при беременности и кормлении грудью","value":"Беременность\u003Cbr\u003EПротивопоказано применение препарата в период беременности (неблагоприятное влияние на сердечно-сосудистую систему плода - преждевременное закрытие аортального протока), во время родов и в раннем послеродовом периоде (ингибируя синтез простагландинов, кеторолак может отрицательно повлиять на кровообращение плода и ослабить сократительную деятельность матки, что повышает риск маточных кровотечений).\u003Cbr\u003EПериод грудного вскармливания\u003Cbr\u003EПрименение кеторолака в период грудного вскармливания противопоказано. Кеторолак приникает в материнское молоко."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"В период лечения необходимо соблюдать осторожность при вождении автотранспорта и занятии другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций."},{"name":"Особые указания","value":"Выбор лекарственной формы препарата зависит от степени выраженности болевого синдрома и состояния пациента. Препарат Кеторол выпускается в следующих лекарственных формах: гель для наружного применения: таблетки, покрытые пленочной оболочкой; таблетки, диспергируемые в полости рта; раствор для внутривенного и внутримышечного введения.\u003Cbr\u003EПеред применением препарата необходимо выяснить вопрос о предшествующей аллергии на препарат или другие НПВП. Из-за риска развития аллергических реакций прием первой дозы проводят под тщательным наблюдением врача.\u003Cbr\u003EКеторолак подавляет агрегацию тромбоцитов и увеличивает время свертывания крови. Влияние на агрегацию тромбоцитов прекращается через 24-48 ч после приема препарата. Пациентам с нарушением свертывания крови назначают препарат только при постоянном контроле числа тромбоцитов, что особенно важно в послеоперационном периоде, когда требуется тщательный контроль гемостаза.\u003Cbr\u003EГиповолемия повышает риск развития нефротоксических побочных реакций.\u003Cbr\u003EПри необходимости можно применять в комбинации с наркотическими анальгетиками. Не применять с парацетамолом более 2 дней.\u003Cbr\u003EРиск развития нежелательных реакций возрастает при удлинении курса лечения и повышении пероральной дозы кеторолака более 40 мг/сут.\u003Cbr\u003EОдновременный прием кеторолака с пробенецидом, пентоксифиллином, ацетилсалициловой кислотой и другими НПВП (включая ингибиторы ЦОГ-2), солями лития, антикоагулянтами (включая варфарин и гепарин) противопоказан.\u003Cbr\u003EПротивопоказано применение кеторолака для профилактического обезболивания перед и во время обширных оперативных вмешательств из-за высокого риска кровотечения.\u003Cbr\u003EКеторолак не рекомендуется применять в качестве средства для премедикации и поддерживающей анестезии.\u003Cbr\u003EПри применении кеторолака сообщалось о случаях задержки жидкости, повышении артериального давления и отеках.\u003Cbr\u003EНеобходимо соблюдать осторожность при назначении пациентам с сердечной недостаточностью, артериальной гипертензией.\u003Cbr\u003EОдновременное применение кеторолака с другими НПВП может приводить к таким нарушениям, как декомпенсация сердечной недостаточности и повышение артериального давления.\u003Cbr\u003EПо данным клинических исследований, использование некоторых НПВП в высоких дозах может привести к увеличению риска артериальных тромботических осложнений (например, инфаркт миокарда, инсульт). Несмотря на то, что о подобных осложнениях при применении кеторолака не сообщалось, существующих данных недостаточно для исключения риска таких осложнений.\u003Cbr\u003EДля снижения риска развития НПВП-индуцированной гастропатии рекомендовано применение антацидных лекарственных средств, мизопростола, а также препаратов, снижающих желудочную секрецию (блокаторов Н-рецепторов гистамина, ингибиторов протоновой помпы). Для снижения риска развития нежелательных явлений следует применять минимальную эффективную дозу кеторолака минимально возможным коротким курсом.\u003Cbr\u003EС осторожностью:\u003Cbr\u003EБронхиальная астма; наличие факторов, повышающих токсичность в отношении ЖКТ: алкоголизм, табакокурение и холецистит; послеоперационный период; хроническая сердечная недостаточность; отечный синдром; артериальная гипертензия; почечная недостаточность средней степени тяжести (клиренс креатинина 30-60 мл/мин); холестаз; активный гепатит; сепсис; системная красная волчанка; ишемическая болезнь сердца; цереброваскулярные заболевания; дислипидемия/гиперлипидемия; сахарный диабет; заболевания периферических артерии; язвенные поражения ЖКТ в анамнезе; наличие инфекции Helicobacter pylori; длительное применение НПВП; тяжелые соматические заболевания: заболевания щитовидной железы; туберкулез; одновременный прием пероральных глюкокортикостероидов (в том числе преднизолона), антиагрегантов (в том числе клопидогрела), селективных ингибиторов обратного захвата серотонина (в том числе циталопрама, флуоксетина, пароксетина, сергралина); пожилой возраст (старше 65 лет)."},{"name":"Взаимодействие","value":"Одновременное применение кеторолака с ацетилсалициловой кислотой или другими НПВП, препаратами кальция, глюкокортикостероидами, этанолом, кортикотропином может привести к существенному увеличению риска побочных реакций, в том числе образованию язв ЖКТ и развитию желудочно-кишечных кровотечений.\u003Cbr\u003EПри одновременном применении кеторолака с другими НПВП (включая ингибиторы ЦОГ-2) может наблюдаться задержка жидкости, декомпенсация сердечной деятельности, повышение артериального давления.\u003Cbr\u003EОдновременное применение кеторолака с непрямыми антикоагулянтами, тромболитиками, антиагрегантами, цефоперазоном, цефотетаном и пентоксифиллином повышает риск кровотечения.\u003Cbr\u003EПробенецид уменьшает плазменный клиренс и объем распределения кеторолака, повышает его концентрацию в плазме крови и увеличивает его T1/2.\u003Cbr\u003EСовместное применение кеторолака с вальпроатом вызывает нарушение агрегации тромбоцитов.\u003Cbr\u003EПри применении кеторолака с другими нефротоксичными лекарственными средствами (в том числе с препаратами золота) повышается риск развития нефротоксичности. Совместное применение с парацетамолом повышает нефротоксичность кеторолака.\u003Cbr\u003EЛекарственные средства, блокирующие канальцевую секрецию, снижают клиренс кеторолака и повышают его концентрацию в плазме крови.\u003Cbr\u003EСовместное применение кеторолака с метотрексатом повышает гепато- и нефротоксичность метотрексата. Совместное применение кеторолака и метотрексата возможно только при применении низких доз последнего. Возможно уменьшение клиренса метотрексата (необходимо контролировать концентрацию метотрексата в плазме крови).\u003Cbr\u003EНа фоне применения кеторолака возможно уменьшение клиренса лития, увеличение его концентрации в плазме крови и усиление токсического действия лития. Одновременное применение с солями лития противопоказано.\u003Cbr\u003EКеторолак снижает эффект гипотензивных и диуретических препаратов (снижается синтез простагландинов в почках).\u003Cbr\u003EКеторолак усиливает эффект наркотических анальгетиков. При комбинировании с опиоидными анальгетиками дозы последних могут быть существенно снижены. Кеторолак усиливает гипогликемическое действие инсулина и пероральных гипогликемических препаратов, в связи с чем необходим перерасчет дозы указанных препаратов.\u003Cbr\u003EКеторолак повышает концентрацию в плазме крови верапамила и нифедипина. Одновременное применение НПВП и мифепристона может снижать эффективность мифепристона. НПВП не рекомендуется применять в течение 8-12 дней после применения мифепристона.\u003Cbr\u003EОдновременное применение НПВП и циклоспорина увеличивает риск развития нефротоксичности.\u003Cbr\u003EОдновременное применение НПВП и антибиотиков хинолонового ряда увеличивает риск развития судорог.\u003Cbr\u003EОдновременное применение НПВП и такролимуса увеличивает риск развития нефротоксичности.\u003Cbr\u003EОдновременное применение НПВП и зидовудина увеличивает риск развития гематологической токсичности.\u003Cbr\u003EПри одновременном применении с дигоксином кеторолак не нарушает связывание дигоксина с белками плазмы крови. Терапевтические концентрации дигоксина не влияют на связывание кеторолака с белками плазмы крови.\u003Cbr\u003EАнтацидные средства не влияют на всасывание кеторолака.\u003Cbr\u003EМиелотоксичные лекарственные средства усиливают проявления гематотоксичности кеторолака."},{"name":"Регистрационный номер","value":"ЛП-004929"},{"name":"Дата государственной регистрации","value":"01.11.2019"},{"name":"Владелец регистрационного удостоверения","value":"Dr. Reddy's Laboratories","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["34324371:35649313","7893318:16077120"]}}},{"name":"Изготовитель","value":"Dr. Reddy's"},{"name":"Фасовщик","value":"Dr. Reddy's"},{"name":"Страна бренда","value":"Индия"},{"name":"Страна-производитель","value":"Индия"},{"name":"Название препарата","value":"Кеторол","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["17796364:18042643"]}}},{"name":"Срок годности","value":"23 мес."}]}},"fullSpecsGrouped":{"16515396006892066594":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Органы и системы","value":"опорно-двигательная система"},{"name":"Назначение","value":"артралгия, болевой синдром средней и высокой интенсивности различной этиологии, боль в мышцах, боль в суставах, интенсивный хронический болевой синдром, миалгия, невралгия, посттравматический болевой синдром, радикулит, растяжения, ревматоидный артрит, сопровождающая терапия онкологических заболеваний"},{"name":"Показания к применению","value":"Болевой синдром сильной и умеренной выраженности: травмы, зубная боль, боли в послеоперационном периоде, онкологические заболевания, миалгия, артралгия. невралгия, радикулит, вывихи, растяжения, ревматические заболевания.\u003Cbr\u003EПредназначен для симптоматической терапии, уменьшения интенсивности боли и воспаления на момент использования, не влияет на прогрессирование заболевания."},{"name":"Противопоказания","value":"Гиперчувствительность (в том числе к другим ННВП); полное или неполное сочетание бронхиальной астмы, рецидивирующего полипоза носа и околоносовых пазух и непереносимости ацетилсалициловой кислоты или других НПВП (в том числе в анамнезе); эрозивно-язвенные поражения ЖКТ, активное желудочно-кишечное кровотечение; воспалительные заболевания кишечника (в том числе язвенный колит, болезнь Крона); заболевания костного мозга и крови (лейкопения, в том числе в анамнезе; тромбоцитопения; гипокоагуляция, в том числе гемофилия), миелосупрессия, кровотечения или высокий риск их развития; тяжелая почечная недостаточность (клиренс креатинина (КК) менее 30 мл/мин), подтвержденная гиперкалиемия; тяжелая печеночная недостаточность или активное заболевание печени; состояние после проведения аортокоронарного шунтирования; профилактическое обезболивание перед и во время обширных оперативных вмешательств из-за высокого риска кровотечения; активные цереброваскулярные заболевания (в том числе внутричерепное кровоизлияние или подозрение на него); беременность; период родов; период грудного вскармливания; детский возраст до 16 лет (безопасность и эффективность применения не установлены); одновременное применение с пробенецидом; одновременное применение с пентоксифиллином; одновременное применение с ацетилсалициловой кислотой и другими НПВП (включая селективные ингибиторы ЦОГ-2); одновременное применение с солями лития, одновременное применение с антикоагулянтами (включая варфарин и гепарин)."},{"name":"Состав","value":"Каждая таблетка, диспергируемая в полости рта, содержит:\u003Cbr\u003EДействующее вещество: кеторолака трометамин (кеторолака трометамол) 10,000 мг;\u003Cbr\u003EВспомогательные вещества: целлюлоза микрокристаллическая (Avicel PH101), кремния диоксид, бутилгидроксианизол, маннитол, кросповидон (тип А), сукралоза, ароматизатор мятный, краситель хинолиновый желтый (Е104), магния стеарат."},{"name":"Действующее вещество","value":"Кеторолак"},{"name":"Способ применения и дозы","value":"Положить таблетку на язык, где она сразу же начнет растворяться. Держать во рту в течение нескольких секунд до полного растворения, при желании можно запить жидкостью.\u003Cbr\u003EПрием таблеток, диспергируемых в полости рта, не требует обязательного запивания водой, не влияет на увеличение продукции слюны, позволяет принимать препарат пациентам с отклонениями в акте глотания при поведенческих и неврологических нарушениях.\u003Cbr\u003EКеторол Экспресс применяют внутрь однократно или повторно в зависимости от тяжести болевого синдрома.\u003Cbr\u003EОднократная доза - 10 мг. при повторном приеме рекомендуется принимать по 10 мг до 4-х раз в сутки, в зависимости от выраженности боли; максимальная суточная доза не должна превышать 40 мг.\u003Cbr\u003EПри приеме внутрь продолжительность курса не должна превышать 5 дней.\u003Cbr\u003EДля снижения риска развития нежелательных явлений следует применять минимальную эффективную дозу кеторолака минимально возможным коротким курсом.\u003Cbr\u003EПри переходе с парентерального введения препарата на его прием внутрь суммарная суточная доза обеих лекарственных форм в день перевода не должна превышать 90 мг для пациентов с 16 до 65 лет и 60 мг - для пациентов старше 65 лет или с нарушенной функцией почек. При этом доза препарата в таблетках в день перехода не должна превышать 30 мг."},{"name":"Побочные действия","value":"Частота побочных эффектов классифицируется в зависимости от частоты встречаемости случая; часто (1-10%), нечасто (0,1-1%), редко (0,01-0,1%). очень редко (менее 0,01%) и частота неизвестна, включая отдельные сообщения.\u003Cbr\u003EСо стороны пищеварительной системы\u003Cbr\u003EЧасто (особенно у пожилых пациентов старше 65 лет. имеющих в анамнезе эрозивноязвенные поражения ЖКТ) - гастралгия, диарея; нечасто - стоматит, метеоризм, запор, рвота, ощущение переполнения желудка; редко - тошнота, эрозивно-язвенные поражения ЖКТ (в том числе с перфорацией и/или кровотечением - абдоминальная боль, спазм или жжение в эпигастральной области, мелена, рвота по типу \"кофейной гущи\", тошнота, изжога), холестатическая желтуха, гепатит, гепатомегалия, острый панкреатит.\u003Cbr\u003EСо стороны мочевыделительной системы\u003Cbr\u003EРедко - острая почечная недостаточность, боль в пояснице, гематурия, азотемия, гемолитико-уремический синдром (гемолитическая анемия, почечная недостаточность, тромбоцитопения, пурпура), частое мочеиспускание, олигурия, полиурия, интерстициальный нефрит, отеки почечного генеза; частота неизвестна - задержка мочеиспускания.\u003Cbr\u003EСо стороны органов чувств\u003Cbr\u003EРедко - снижение слуха, звон в ушах, нарушение зрения (в том числе нечеткость зрительного восприятия); частота неизвестна - нарушение вкуса.\u003Cbr\u003EСо стороны дыхательной системы\u003Cbr\u003EРедко - бронхоспазм или диспноэ, ринит, отек гортани (одышка, затруднение дыхания).\u003Cbr\u003EСо стороны центральной нервной системы\u003Cbr\u003EЧасто - головная боль, головокружение, сонливость; редко - асептический менингит (лихорадка, сильная головная боль, судороги, ригидность мышц шеи и/или спины), гиперактивность (изменение настроения, беспокойство), галлюцинации, депрессия, психоз.\u003Cbr\u003EСо стороны сердечно-сосудистой системы\u003Cbr\u003EНечасто - повышение артериального давления; редко - отек легких, обморочные состояния.\u003Cbr\u003EСо стороны органов кроветворения\u003Cbr\u003EРедко - анемия, эозинофилия, лейкопения.\u003Cbr\u003EСо стороны системы гемостаза\u003Cbr\u003EРедко - кровотечение из послеоперационной раны, носовое кровотечение, ректальное кровотечение.\u003Cbr\u003EСо стороны кожных покровов\u003Cbr\u003EНечасто - кожная сыпь (включая макулопапулезную сыпь), пурпура; редко - эксфолиативный дерматит (лихорадка с ознобом или без, покраснение, уплотнение или шелушение кожи, опухание и/или болезненность небных миндалин), крапивница, синдром Стивенса-Джонсона, синдром Лайелла.\u003Cbr\u003EАллергические реакции\u003Cbr\u003EРедко - анафилаксия или анафилактоидные реакции (изменение цвета кожи лица, кожная сыпь, крапивница, кожный зуд, тахипноэ или диспноэ, отеки век, отек языка, периорбитальный отек, одышка, затрудненное дыхание, тяжесть в грудной клетке, свистящее дыхание).\u003Cbr\u003EПрочие\u003Cbr\u003EЧасто - отеки (лица, голеней, лодыжек, пальцев, ступней, повышение массы тела); нечасто - повышенная потливость; редко - лихорадка; частота неизвестна - гиперкалиемия, гипонатриемия."},{"name":"Фармакологическое действие","value":"Нестероидный противовоспалительный препарат (НПВП), оказывает выраженное анальгезирующее действие, обладает противовоспалительным и умеренным жаропонижающим действием. Механизм действия связан с неселективным угнетением активности циклооксигеназы (ЦОГ) - ЦОГ-1 и ЦОГ-2, катализирующей образование простагландинов из арахидоновой кислоты, играющих важную роль в патогенезе воспаления, боли и лихорадки.\u003Cbr\u003EКеторолак представляет собой рацемическую смесь [-]S и [+]R энантиомеров, при этом обезболивающее действие обусловлено [-]S формой.\u003Cbr\u003EПо силе анальгезирующего эффекта кеторолак сопоставим с морфином, значительно превосходя другие НПВП. Препарат не влияет на опиоидные рецепторы, не угнетает дыхания, не вызывает лекарственной зависимости, не обладает седативным и анксиолитическим действием.\u003Cbr\u003EПосле приема внутрь начало обезболивающего действия отмечается через 1 ч, максимальный эффект достигается через 1-2 ч."},{"name":"Фармакологическая группа","value":"нестероидный противовоспалительный препарат (НПВП)"},{"name":"Форма выпуска","value":"таблетки диспергируемые"},{"name":"Способ применения/введения","value":"пероральный"},{"name":"Минимальный возраст применения","value":"от 16 лет"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"При температуре не выше 25 °С.\u003Cbr\u003EХранить в недоступном для детей месте."},{"name":"Передозировка","value":"Симптомы: боль в животе, тошнота, рвота, эрозивно-язвенное поражение ЖКТ, нарушение функции почек, метаболический ацидоз.\u003Cbr\u003EЛечение: промывание желудка, введение адсорбентов (активированный уголь) и проведение симптоматической терапии (поддержание жизненно важных функций организма). Гемодиализ малоэффективен."},{"name":"Применение при беременности и кормлении грудью","value":"Беременность\u003Cbr\u003EПротивопоказано применение препарата в период беременности (неблагоприятное влияние на сердечно-сосудистую систему плода - преждевременное закрытие аортального протока), во время родов и в раннем послеродовом периоде (ингибируя синтез простагландинов, кеторолак может отрицательно повлиять на кровообращение плода и ослабить сократительную деятельность матки, что повышает риск маточных кровотечений).\u003Cbr\u003EПериод грудного вскармливания\u003Cbr\u003EПрименение кеторолака в период грудного вскармливания противопоказано. Кеторолак приникает в материнское молоко."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"В период лечения необходимо соблюдать осторожность при вождении автотранспорта и занятии другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций."},{"name":"Особые указания","value":"Выбор лекарственной формы препарата зависит от степени выраженности болевого синдрома и состояния пациента. Препарат Кеторол выпускается в следующих лекарственных формах: гель для наружного применения: таблетки, покрытые пленочной оболочкой; таблетки, диспергируемые в полости рта; раствор для внутривенного и внутримышечного введения.\u003Cbr\u003EПеред применением препарата необходимо выяснить вопрос о предшествующей аллергии на препарат или другие НПВП. Из-за риска развития аллергических реакций прием первой дозы проводят под тщательным наблюдением врача.\u003Cbr\u003EКеторолак подавляет агрегацию тромбоцитов и увеличивает время свертывания крови. Влияние на агрегацию тромбоцитов прекращается через 24-48 ч после приема препарата. Пациентам с нарушением свертывания крови назначают препарат только при постоянном контроле числа тромбоцитов, что особенно важно в послеоперационном периоде, когда требуется тщательный контроль гемостаза.\u003Cbr\u003EГиповолемия повышает риск развития нефротоксических побочных реакций.\u003Cbr\u003EПри необходимости можно применять в комбинации с наркотическими анальгетиками. Не применять с парацетамолом более 2 дней.\u003Cbr\u003EРиск развития нежелательных реакций возрастает при удлинении курса лечения и повышении пероральной дозы кеторолака более 40 мг/сут.\u003Cbr\u003EОдновременный прием кеторолака с пробенецидом, пентоксифиллином, ацетилсалициловой кислотой и другими НПВП (включая ингибиторы ЦОГ-2), солями лития, антикоагулянтами (включая варфарин и гепарин) противопоказан.\u003Cbr\u003EПротивопоказано применение кеторолака для профилактического обезболивания перед и во время обширных оперативных вмешательств из-за высокого риска кровотечения.\u003Cbr\u003EКеторолак не рекомендуется применять в качестве средства для премедикации и поддерживающей анестезии.\u003Cbr\u003EПри применении кеторолака сообщалось о случаях задержки жидкости, повышении артериального давления и отеках.\u003Cbr\u003EНеобходимо соблюдать осторожность при назначении пациентам с сердечной недостаточностью, артериальной гипертензией.\u003Cbr\u003EОдновременное применение кеторолака с другими НПВП может приводить к таким нарушениям, как декомпенсация сердечной недостаточности и повышение артериального давления.\u003Cbr\u003EПо данным клинических исследований, использование некоторых НПВП в высоких дозах может привести к увеличению риска артериальных тромботических осложнений (например, инфаркт миокарда, инсульт). Несмотря на то, что о подобных осложнениях при применении кеторолака не сообщалось, существующих данных недостаточно для исключения риска таких осложнений.\u003Cbr\u003EДля снижения риска развития НПВП-индуцированной гастропатии рекомендовано применение антацидных лекарственных средств, мизопростола, а также препаратов, снижающих желудочную секрецию (блокаторов Н-рецепторов гистамина, ингибиторов протоновой помпы). Для снижения риска развития нежелательных явлений следует применять минимальную эффективную дозу кеторолака минимально возможным коротким курсом.\u003Cbr\u003EС осторожностью:\u003Cbr\u003EБронхиальная астма; наличие факторов, повышающих токсичность в отношении ЖКТ: алкоголизм, табакокурение и холецистит; послеоперационный период; хроническая сердечная недостаточность; отечный синдром; артериальная гипертензия; почечная недостаточность средней степени тяжести (клиренс креатинина 30-60 мл/мин); холестаз; активный гепатит; сепсис; системная красная волчанка; ишемическая болезнь сердца; цереброваскулярные заболевания; дислипидемия/гиперлипидемия; сахарный диабет; заболевания периферических артерии; язвенные поражения ЖКТ в анамнезе; наличие инфекции Helicobacter pylori; длительное применение НПВП; тяжелые соматические заболевания: заболевания щитовидной железы; туберкулез; одновременный прием пероральных глюкокортикостероидов (в том числе преднизолона), антиагрегантов (в том числе клопидогрела), селективных ингибиторов обратного захвата серотонина (в том числе циталопрама, флуоксетина, пароксетина, сергралина); пожилой возраст (старше 65 лет)."},{"name":"Взаимодействие","value":"Одновременное применение кеторолака с ацетилсалициловой кислотой или другими НПВП, препаратами кальция, глюкокортикостероидами, этанолом, кортикотропином может привести к существенному увеличению риска побочных реакций, в том числе образованию язв ЖКТ и развитию желудочно-кишечных кровотечений.\u003Cbr\u003EПри одновременном применении кеторолака с другими НПВП (включая ингибиторы ЦОГ-2) может наблюдаться задержка жидкости, декомпенсация сердечной деятельности, повышение артериального давления.\u003Cbr\u003EОдновременное применение кеторолака с непрямыми антикоагулянтами, тромболитиками, антиагрегантами, цефоперазоном, цефотетаном и пентоксифиллином повышает риск кровотечения.\u003Cbr\u003EПробенецид уменьшает плазменный клиренс и объем распределения кеторолака, повышает его концентрацию в плазме крови и увеличивает его T1/2.\u003Cbr\u003EСовместное применение кеторолака с вальпроатом вызывает нарушение агрегации тромбоцитов.\u003Cbr\u003EПри применении кеторолака с другими нефротоксичными лекарственными средствами (в том числе с препаратами золота) повышается риск развития нефротоксичности. Совместное применение с парацетамолом повышает нефротоксичность кеторолака.\u003Cbr\u003EЛекарственные средства, блокирующие канальцевую секрецию, снижают клиренс кеторолака и повышают его концентрацию в плазме крови.\u003Cbr\u003EСовместное применение кеторолака с метотрексатом повышает гепато- и нефротоксичность метотрексата. Совместное применение кеторолака и метотрексата возможно только при применении низких доз последнего. Возможно уменьшение клиренса метотрексата (необходимо контролировать концентрацию метотрексата в плазме крови).\u003Cbr\u003EНа фоне применения кеторолака возможно уменьшение клиренса лития, увеличение его концентрации в плазме крови и усиление токсического действия лития. Одновременное применение с солями лития противопоказано.\u003Cbr\u003EКеторолак снижает эффект гипотензивных и диуретических препаратов (снижается синтез простагландинов в почках).\u003Cbr\u003EКеторолак усиливает эффект наркотических анальгетиков. При комбинировании с опиоидными анальгетиками дозы последних могут быть существенно снижены. Кеторолак усиливает гипогликемическое действие инсулина и пероральных гипогликемических препаратов, в связи с чем необходим перерасчет дозы указанных препаратов.\u003Cbr\u003EКеторолак повышает концентрацию в плазме крови верапамила и нифедипина. Одновременное применение НПВП и мифепристона может снижать эффективность мифепристона. НПВП не рекомендуется применять в течение 8-12 дней после применения мифепристона.\u003Cbr\u003EОдновременное применение НПВП и циклоспорина увеличивает риск развития нефротоксичности.\u003Cbr\u003EОдновременное применение НПВП и антибиотиков хинолонового ряда увеличивает риск развития судорог.\u003Cbr\u003EОдновременное применение НПВП и такролимуса увеличивает риск развития нефротоксичности.\u003Cbr\u003EОдновременное применение НПВП и зидовудина увеличивает риск развития гематологической токсичности.\u003Cbr\u003EПри одновременном применении с дигоксином кеторолак не нарушает связывание дигоксина с белками плазмы крови. Терапевтические концентрации дигоксина не влияют на связывание кеторолака с белками плазмы крови.\u003Cbr\u003EАнтацидные средства не влияют на всасывание кеторолака.\u003Cbr\u003EМиелотоксичные лекарственные средства усиливают проявления гематотоксичности кеторолака."},{"name":"Регистрационный номер","value":"ЛП-004929"},{"name":"Дата государственной регистрации","value":"01.11.2019"},{"name":"Владелец регистрационного удостоверения","value":"Dr. Reddy's Laboratories"},{"name":"Изготовитель","value":"Dr. Reddy's"},{"name":"Фасовщик","value":"Dr. Reddy's"},{"name":"Страна бренда","value":"Индия"},{"name":"Страна-производитель","value":"Индия"},{"name":"Название препарата","value":"Кеторол"},{"name":"Срок годности","value":"23 мес."}]}],"transitionId":"tr_13586738864728918224"}}}}
Внешний вид товаров и/или упаковки может быть изменён изготовителем и отличаться от изображенных на Яндекс Маркете.
Есть противопоказания, посоветуйтесь с врачом. Отпускается по рецепту врача. Приобретение лекарственных препаратов осуществляется только в торговом зале аптеки

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91 ₽/шт

Скидка: 35%
–35 %
Вместо:141 ₽
  • 19-21 июня, самовывоз • 0 ₽
POLZAru
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  • Коллаген для суставов капс., 120 шт.
    –18 %
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    Коллаген для суставов капс., 120 шт.

    Рейтинг товара: 4.7 из 5
    на основе 686 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 811 ₽ вместо 827
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  • Глюкозамин-хондроитиновый комплекс капс., 90 шт.
    –1 %
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    Глюкозамин-хондроитиновый комплекс капс., 90 шт.

    Рейтинг товара: 4.8 из 5
    на основе 113 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 389 ₽ вместо 393
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  • Нанопласт Форте пластырь лечебный обезбол. противовосп., 30 г, 3 шт., 7 х 9 см, 1 уп.
    –1 %
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    Нанопласт Форте пластырь лечебный обезбол. противовосп., 30 г, 3 шт., 7 х 9 см, 1 уп.

    Рейтинг товара: 4.8 из 5
    на основе 58 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 190 ₽ вместо 192
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  • Лошадиная сила бальзам-гель Релаксирующий, 125 мл, 125 г, 1 шт., ментол, 1 уп.
    –40 %
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    Лошадиная сила бальзам-гель Релаксирующий, 125 мл, 125 г, 1 шт., ментол, 1 уп.

    Рейтинг товара: 4.8 из 5
    на основе 265 оценок
    Цена 470 ₽ вместо 780
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  • Живокост форте бальзам восстанавливающий д/тела усиленная формула, 100 мл, 1 уп.
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    Живокост форте бальзам восстанавливающий д/тела усиленная формула, 100 мл, 1 уп.

    Рейтинг товара: 4.8 из 5
    на основе 391 оценка
    Цена 449 ₽
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  • Долгит лосьон д/тела с камфорой фл., 100 мл
    –13 %
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    Долгит лосьон д/тела с камфорой фл., 100 мл

    Рейтинг товара: 4.8 из 5
    на основе 17 оценок
    Цена 480 ₽ вместо 550
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  • Артнео капс., 35 г, 30 шт., нейтральный, 1 уп.
    –68 %
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    Артнео капс., 35 г, 30 шт., нейтральный, 1 уп.

    Рейтинг товара: 4.8 из 5
    на основе 305 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 1 362 ₽ вместо 1 390
    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капс., 35 г, 30 шт., нейтральный, 1 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  • Лошадиное здоровье Настоящий бычий хондроитин с глюкозамином крем д/нар. прим., 200 мл, 1 уп.
    –1 %
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    Лошадиное здоровье Настоящий бычий хондроитин с глюкозамином крем д/нар. прим., 200 мл, 1 уп.

    Рейтинг товара: 4.5 из 5
    на основе 46 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 241 ₽ вместо 243
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  • Картилокс пор., 45 г, 30 шт., апельсин, 1 уп.
    –1 %
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    Картилокс пор., 45 г, 30 шт., апельсин, 1 уп.

    Рейтинг товара: 4.6 из 5
    на основе 38 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 2 359 ₽ вместо 2 383
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  • Extraplast От головной боли лейкопластырь, 2 шт., 1 уп.
    –1 %
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    Extraplast От головной боли лейкопластырь, 2 шт., 1 уп.

    Рейтинг товара: 4.9 из 5
    на основе 8 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 230 ₽ вместо 232
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  • Артро-Актив Первая помощь капс., 36 шт.
    –1 %
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    Артро-Актив Первая помощь капс., 36 шт.

    Рейтинг товара: 4.6 из 5
    на основе 22 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 247 ₽ вместо 249
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Инструкция

Показания к применению

Болевой синдром сильной и умеренной выраженности: травмы, зубная боль, боли в послеоперационном периоде, онкологические заболевания, миалгия, артралгия. невралгия, радикулит, вывихи, растяжения, ревматические заболевания.
Предназначен для симптоматической терапии, уменьшения интенсивности боли и воспаления на момент использования, не влияет на прогрессирование заболевания.

Противопоказания

Гиперчувствительность (в том числе к другим ННВП); полное или неполное сочетание бронхиальной астмы, рецидивирующего полипоза носа и околоносовых пазух и непереносимости ацетилсалициловой кислоты или других НПВП (в том числе в анамнезе); эрозивно-язвенные поражения ЖКТ, активное желудочно-кишечное кровотечение; воспалительные заболевания кишечника (в том числе язвенный колит, болезнь Крона); заболевания костного мозга и крови (лейкопения, в том числе в анамнезе; тромбоцитопения; гипокоагуляция, в том числе гемофилия), миелосупрессия, кровотечения или высокий риск их развития; тяжелая почечная недостаточность (клиренс креатинина (КК) менее 30 мл/мин), подтвержденная гиперкалиемия; тяжелая печеночная недостаточность или активное заболевание печени; состояние после проведения аортокоронарного шунтирования; профилактическое обезболивание перед и во время обширных оперативных вмешательств из-за высокого риска кровотечения; активные цереброваскулярные заболевания (в том числе внутричерепное кровоизлияние или подозрение на него); беременность; период родов; период грудного вскармливания; детский возраст до 16 лет (безопасность и эффективность применения не установлены); одновременное применение с пробенецидом; одновременное применение с пентоксифиллином; одновременное применение с ацетилсалициловой кислотой и другими НПВП (включая селективные ингибиторы ЦОГ-2); одновременное применение с солями лития, одновременное применение с антикоагулянтами (включая варфарин и гепарин).

Способ применения и дозы

Положить таблетку на язык, где она сразу же начнет растворяться. Держать во рту в течение нескольких секунд до полного растворения, при желании можно запить жидкостью.
Прием таблеток, диспергируемых в полости рта, не требует обязательного запивания водой, не влияет на увеличение продукции слюны, позволяет принимать препарат пациентам с отклонениями в акте глотания при поведенческих и неврологических нарушениях.
Кеторол Экспресс применяют внутрь однократно или повторно в зависимости от тяжести болевого синдрома.
Однократная доза - 10 мг. при повторном приеме рекомендуется принимать по 10 мг до 4-х раз в сутки, в зависимости от выраженности боли; максимальная суточная доза не должна превышать 40 мг.
При приеме внутрь продолжительность курса не должна превышать 5 дней.
Для снижения риска развития нежелательных явлений следует применять минимальную эффективную дозу кеторолака минимально возможным коротким курсом.
При переходе с парентерального введения препарата на его прием внутрь суммарная суточная доза обеих лекарственных форм в день перевода не должна превышать 90 мг для пациентов с 16 до 65 лет и 60 мг - для пациентов старше 65 лет или с нарушенной функцией почек. При этом доза препарата в таблетках в день перехода не должна превышать 30 мг.
Полная инструкция
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Кеторол Экспресс таб. дисперг.
Кеторол Экспресс таб. дисперг., 10 мг, 20 шт.
4.9
(31)
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6 вопросов
Инструкция

91 ₽/шт

Скидка: 35%
–35 %
Вместо:141 ₽
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4.9
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У продавца:31 оценка·2 отзыва
У всех продавцов:285 оценок·112 отзывов
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user avatar
Неделю назад • Вера Николаевна • Куплен на Маркете
Достоинства: не надо запивать, быстро рассацивается на языке. при спазме помогает.
Недостатки: ? у каждого свои нюансы.
Комментарий: принимать без фанатизма.
user avatar
Год назад • Имя скрыто • Куплен на Маркете
Достоинства: Единственный препарат, который помогает при болях
Недостатки: Выпускается по рецепту
Посмотреть все отзывы на Маркете
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  • Глюкозамин-хондроитиновый комплекс капс., 90 шт.
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  • Парацетамол таб., 500 мг, 10 шт.
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    Цена 11 ₽
  • Аскофен-П таб., 20 шт.
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    Аскофен-П таб., 20 шт.

    Цена 82 ₽ вместо 83
  • Амоксициллин капс., 500 мг, 16 шт.
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    Амоксициллин капс., 500 мг, 16 шт.

    Цена 115 ₽
  • Дротаверин таб., 40 мг, 20 шт.
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    Дротаверин таб., 40 мг, 20 шт.

    Цена 44 ₽
  • Мезим Форте таб. п/о, 20 шт.
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    Мезим Форте таб. п/о, 20 шт.

    Цена 103 ₽ вместо 105
  • {"widgets":{"@light/BannerCurtain":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_101_8/content/content/content/bannerCurtain":{"advertisementId":1943301,"impression":"/safeclick/data=SpQw45JhDGE6zDtOdUQO_BXRRRqTbhFwrGudKs4sv9jm9HdaoSc5fKclbgp2I6FmhC2NxdM-GlRDh74w_qs-LF0cGryXogXhActWpSYs55dZiH8XAQ0JoGJsCXyDNDR2pwvx0-PPFROSj-6ueXGyVMcP8RHLUtOuOBnCUbMxGvY3_j9FysDBjD6zo_ahd0Il6qwmN5bwmZr-Kdt2WvLCsDfNtq8nWKIP-uJydgv0adKUN42r1J3a1Yw5FteD4iWor75uOEL1rLJAURgSqhqEjgtan39eb60d4WPx9abjt2QpEjUvvsiHJ7-qYN1qQo4QTJAaRFg_OUX58QUnbvnpZRsh0_2hPPLztpHhnHUUlRSO913zfjHoueLPlFe7dYKG7vBgla6xafHmjpRIpsd2YGTAJ3PTo_vody8vJs3KaM8-PvqWS3LPmFyd2nXpQnRaGIXESNLzf3X0eJOnbkJEEMQvxRulIHJRwIuO9XZHDTDUC61D-CXIyp6UZhkVSeXiA-DgtEG20ZEfnZduaZOCfCGnai0g1YpvYIs9g0XJyjO3o_ck30ivORx-dRxF3-pprPTc3EH179Fa_jmWhYbfEfZVEsC8_I4IfphihQ9zRkVUCcGLYu6ruY3F7rWSsT9ocef3MNaaKarQgcBhrfCY9CAjl1xssmYVsis0yxC2AWKHS4siJ5k18k1UmltfljhJ4BFuuU-LM8Wq5EBcufcKTYX6qjPReYrP_uV6KvnuLjbMIeEJKU2vgBC2eGTLv7dLyDioqNZuOnTW6gEn3wAQAaNUdkF4n4H6kK7-3vl0mAOq-e2rjYCKDcJ2pwduqEZprHZjHiJJO-mt59q7MFUm05IrS61MCu-2YE78_Zum8XU5bVI9Hoxo2UOss4R0E6dOzaHuk23sGAASw2zzZQgP4pwTAyNYxP9xB0VZZhoRLRrnzoa8tzH6d2uPr1jqXG2KHDyYPLkKpeV40s6DTV0t8nvt75bgxy-3lAed8EAOvx534krvpOBvuxAGzjLTityPkbYXO-a5Hp6o_mnbt-QrgT-u58E2GDMCUl8iLCireVm3rguYfxZlaOiPQw0WOz8ahe39UIYhps7ruMfQ29phnw,,/b64e=1/sign=2618f77167fb5cad0952afd23e03ed71/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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  • Нанопласт Форте пластырь лечебный обезбол. противовосп., 30 г, 3 шт., 7 х 9 см, 1 уп.
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    Нанопласт Форте пластырь лечебный обезбол. противовосп., 30 г, 3 шт., 7 х 9 см, 1 уп.

    Цена 190 ₽ вместо 192
  • Долгит лосьон д/тела с камфорой фл., 100 мл
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    Долгит лосьон д/тела с камфорой фл., 100 мл

    Цена 480 ₽ вместо 550
  • Лоперамид таб., 2 мг, 10 шт.
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    Лоперамид таб., 2 мг, 10 шт.

    Цена 28 ₽
  • Атаракс таб. п/о плен., 25 мг, 25 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1404748557_12/content/content/gallery":{"title":"Атаракс таб. п/о плен., 25 мг, 25 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5304425/img_id8909894021387505109.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5304425/img_id8909894021387505109.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5304425/img_id8909894021387505109.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5304425/img_id8909894021387505109.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5304425/img_id8909894021387505109.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5304425/img_id8909894021387505109.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/1360852/img_id5491532994935583260.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1360852/img_id5491532994935583260.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1360852/img_id5491532994935583260.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1360852/img_id5491532994935583260.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1360852/img_id5491532994935583260.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1360852/img_id5491532994935583260.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/1345185/img_id7422559388813749822.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1345185/img_id7422559388813749822.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1345185/img_id7422559388813749822.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1345185/img_id7422559388813749822.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1345185/img_id7422559388813749822.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1345185/img_id7422559388813749822.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/1855911/img_id5234741004676163133.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1855911/img_id5234741004676163133.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1855911/img_id5234741004676163133.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1855911/img_id5234741004676163133.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1855911/img_id5234741004676163133.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1855911/img_id5234741004676163133.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/1360806/img_id145161386130837198.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1360806/img_id145161386130837198.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1360806/img_id145161386130837198.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1360806/img_id145161386130837198.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1360806/img_id145161386130837198.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1360806/img_id145161386130837198.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfvI/4uGsOweEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCI2G650FENXD4GwYoNquCCDt2cEH","sign":"OftDR10PVojsfvWyQ0nbI7bhHOT9S7T5thzqfVgUok8="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1404748557_12/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
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    Атаракс таб. п/о плен., 25 мг, 25 шт.

    Цена 120 ₽
  • Цитрамон П Медисорб таб., 20 шт.
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    Цитрамон П Медисорб таб., 20 шт.

    Цена 59 ₽ вместо 60
  • Артнео капс., 35 г, 30 шт., нейтральный, 1 уп.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778175351_14/content/content/gallery":{"title":"Артнео капс., 35 г, 30 шт., нейтральный, 1 уп.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/4399094/img_id776283217581357403.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4399094/img_id776283217581357403.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4399094/img_id776283217581357403.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4399094/img_id776283217581357403.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4399094/img_id776283217581357403.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4399094/img_id776283217581357403.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4289990/img_id9222271772234188717.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4289990/img_id9222271772234188717.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4289990/img_id9222271772234188717.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4289990/img_id9222271772234188717.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4289990/img_id9222271772234188717.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4289990/img_id9222271772234188717.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4372348/img_id3384749552902378275.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4372348/img_id3384749552902378275.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4372348/img_id3384749552902378275.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4372348/img_id3384749552902378275.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4372348/img_id3384749552902378275.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4372348/img_id3384749552902378275.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/10206808/img_id8439283396475633684.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/10206808/img_id8439283396475633684.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/10206808/img_id8439283396475633684.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/10206808/img_id8439283396475633684.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/10206808/img_id8439283396475633684.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/10206808/img_id8439283396475633684.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfvI/4uGsOweEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCPea888GENKAn7kDGJ/mowcg59zBBw==","sign":"FMsg/9hGL9b5fR/H2kN+7gS6i158LHRfGJo3z4ETmEs="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778175351_14/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778175351_14/content/content/toggleWishlist":{"skuId":"925352018","productId":1778175351,"offerId":"Dtww0LlWKdfSHVTt2bhjqg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfvI/4uGsOweEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCPea888GENKAn7kDGJ/mowcg59zBBw==","sign":"FMsg/9hGL9b5fR/H2kN+7gS6i158LHRfGJo3z4ETmEs="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778175351_14/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Артнео капс., 35 г, 30 шт., нейтральный, 1 уп.

    Цена 1 362 ₽ вместо 4 225
  • Цитрамон П таб., 10 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:530947001_15/content/content/toggleWishlist":{"skuId":"101392504797","productId":530947001,"offerId":"7C3CN92hAXAFa9Dg7Z6mXg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfvI/4uGsOweEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCLm3lv0BEN2v29v5AhiK49AHIO3ZwQc=","sign":"8rt+DalLDreODAESZfHDSn28iyJF95EgrLd8eKR2ZHc="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:530947001_15/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Цитрамон П таб., 10 шт.

    Цена 27 ₽
  • Азитромицин капс., 250 мг, 6 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1434054437_16/content/content/toggleWishlist":{"skuId":"186882187","productId":1434054437,"offerId":"SpJ0LUDKY_Bz7nu0CBi7UQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfvI/4uGsOweEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCKXe56sFEIuxjlkY5KTVByD33MEH","sign":"gBIoBTK/or1hpeQ/sHhjUxaiusMD1+I9hebR2mQoZBM="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1434054437_16/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Азитромицин капс., 250 мг, 6 шт.

    Цена 83 ₽
  • Уголь активированный таб., 250 мг, 50 шт.
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1400799524_17/content/content/toggleWishlist":{"skuId":"227814528","productId":1400799524,"offerId":"KkOVGo34GqOLg_niVEjiVA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfvI/4uGsOweEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCKSC+psFEIDZ0GwYj7zeByDa2cEH","sign":"x0twVR52wg+qYJlfjrmrjth0tco8oh2K4Jza116kURw="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1400799524_17/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Уголь активированный таб., 250 мг, 50 шт.

    Цена 52 ₽ вместо 53
  • Лошадиное здоровье Настоящий бычий хондроитин с глюкозамином крем д/нар. прим., 200 мл, 1 уп.
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    Лошадиное здоровье Настоящий бычий хондроитин с глюкозамином крем д/нар. прим., 200 мл, 1 уп.

    Цена 241 ₽ вместо 243
  • Римантадин таб., 50 мг, 20 шт.
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    Римантадин таб., 50 мг, 20 шт.

    Цена 56 ₽ вместо 57
  • Картилокс пор., 45 г, 30 шт., апельсин, 1 уп.
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    Картилокс пор., 45 г, 30 шт., апельсин, 1 уп.

    Цена 2 359 ₽ вместо 2 383
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    Реклама
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  • Супрастин таб., 25 мг, 1 мл, 20 шт.
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    Супрастин таб., 25 мг, 1 мл, 20 шт.

    Цена 141 ₽ вместо 142
  • Живокост форте бальзам восстанавливающий д/тела усиленная формула, 100 мл, 1 уп.
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    Живокост форте бальзам восстанавливающий д/тела усиленная формула, 100 мл, 1 уп.

    Цена 449 ₽
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