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Описание

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Клопидогрел таб. п/о плен., 75 мг, 90 шт.

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Коротко о товаре

Артикул Маркета
3420509069
Тип препарата
Назначение
Действующее вещество
Возраст
от 18 лет
Инструкция
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0,097875 г, в пересчете на клопидогрел -0,075000 г;\u003Cbr\u003Eвспомогательные вещества: лактозы моногидрат - 0,186275 г, повидон К 17 (поливинилпирролидон низкомолекулярный) - 0,001850 г, целлюлоза микрокристаллическая - 0,044400 г, тальк - 0,011100 г, кроскармеллоза натрия (примеллоза) - 0,014800 г, магния стеарат - 0,003700 г;\u003Cbr\u003Eвспомогательные вещества пленочной оболочки: Опадрай II Розовый - 0,0097 г (поливиниловый спирт, титана диоксид, тальк, макрогол (полиэтиленгликоль), краситель кармин красный (Е120), алюминиевый лак на основе красителя солнечного заката желтого (Е110), алюминиевый лак на основе красителя красного очаровательного (Е129), алюминиевый лак на основе красителя хинолинового желтого (Е104)), силиконовая эмульсия - 0,0003 г."},{"name":"Действующее вещество","value":"Клопидогрел","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["27144131:28710414"]}}},{"name":"Способ применения и дозы","value":"Внутрь независимо от приема пищи.\u003Cbr\u003EДля профилактики тромботических осложнений у пациентов с инфарктом миокарда, ишемическим инсультом или окклюзией периферических артерий - по 75 мг 1 раз в сутки.\u003Cbr\u003EУ больных с инфарктом миокарда лечение можно начинать с первых дней по 35-й день\u003Cbr\u003Eинфаркта миокарда, а у больных с ишемическим инсультом - в сроки от 7 дней до 6 месяцев после ишемического инсульта.\u003Cbr\u003EДля профилактики тромботических осложнений при остром коронарном синдроме без подъема сегмента ST (нестабильная стенокардия, инфаркт миокарда без зубца Q) - начинают с однократного приема нагрузочной дозы 300 мг, а затем принимают по 75 мг/сут (в сочетании с АСК в дозах 75-325 мг/сут, рекомендуемая доза - 100 мг/сут). Максимальный благоприятный эффект наступает через 3 мес. Курс лечения до 1 года.\u003Cbr\u003EДля профилактики тромботических осложнений при остром коронарном синдроме с подъемом сегмента ST (острый инфаркт миокарда с подъемом сегмента ST) - по 75 мг/сут с первоначальным однократным приемом нагрузочной дозы в комбинации с АСК и тромболитиками (или без тромболитиков).\u003Cbr\u003EКомбинированную терапию начинают как можно раньше после появления симптомов и продолжают в течение по крайней мере 4 нед. У пациентов старше 75 лет лечение клопидогрелом должно начинаться без приема его нагрузочной дозы.\u003Cbr\u003EУ пациентов с генетически обусловленным снижением функции изофермента CYP2C19 возможно уменьшение эффекта клопидогрела. Оптимальный режим дозирования у таких пациентов не установлен.\u003Cbr\u003EОпыт применения у пациентов с ХПН или умеренной степенью печеночной недостаточности ограничен."},{"name":"Побочные действия","value":"Кровотечение - наиболее частая реакция, которая встречается на протяжении первого месяца приема препарата. Случаи сильного кровотечения зарегистрированы у пациентов, принимающих клопидогрел одновременно с АСК или клопидогрел с АСК и гепарином (см. раздел \"Особые указания\").\u003Cbr\u003EЧастота побочных эффектов определена согласно следующим определениям: очень часто - более 1/10, часто - более 1/100 и менее 1/10, нечасто - более 1/1000 и менее 1/100, редко - более 1/10000 и менее 1/1000, очень редко - менее 1/10000, включая единичные случаи.\u003Cbr\u003EВ пределах каждого класса частот нежелательные эффекты представлены в порядке уменьшения степени тяжести.\u003Cbr\u003EСо стороны органов кроветворения: нечасто - тромбоцитопения, лейкопения, эозинофилия; редко - нейтропепия, в т.ч. выраженная; очень редко - тромботическая тромбоцитопеническая пурпура, анемия в т.ч. апластическая, панцитопения, агранулоцитоз, тяжелая тромбоцитопения, гранулоцитопения.\u003Cbr\u003EАллергические реакции: очень редко - анафилактические реакции, сывороточная болезнь.\u003Cbr\u003EСо стороны нервной системы: нечасто - головная боль, головокружение, парестезии, внутричерепное кровотечение, в т.ч. с летальным исходом; очень редко - спутанность сознания, галлюцинации, нарушение вкуса.\u003Cbr\u003EСо стороны органов чувств: нечасто - кровоизлияние в конъюнктиву, глаза, сетчатку; редко - вертиго.\u003Cbr\u003EСо стороны сердечно-сосудистой системы: часто - гематома; очень редко - тяжелые кровотечения, кровотечение из операционной раны, васкулит, снижение АД.\u003Cbr\u003EСо стороны дыхательной системы: очень часто - носовое кровотечение; очень редко - бронхоспазм, интерстициальный пневмонит, легочное кровотечение, кровохарканье.\u003Cbr\u003EСо стороны пищеварительной системы: часто - диарея, боль в животе, диспепсия, кровотечение из ЖКТ; нечасто - язва желудка и 12-перстной кишки, гастрит, рвота, тошнота, запор, метеоризм; редко - забрюшинное кровотечение; очень редко - панкреатит, колит, в т.ч. язвенный или лимфоцитарный, стоматит, острая печеночная недостаточность, гепатит, нарушение функциональных проб печени, кровотечение из ЖКТ с летальным исходом.\u003Cbr\u003EСо стороны кожных покровов: часто - подкожные кровоизлияния; нечасто - кожная сыпь,зуд, пурпура; очень редко - ангионевротический отек, крапивница, эритематозная сыпь, многоформная эритема, синдром Стивенса-Джонсона, токсический эпидермальный некролиз, экзема, красный плоский лишай.\u003Cbr\u003EСо стороны опорно-двигательного аппарата: очень редко - гемартроз, артрит, артралгия, миалгия.\u003Cbr\u003EСо стороны мочеполовой системы: нечасто - гематурия; очень редко - гломерулонефрит, гиперкреатининемия.\u003Cbr\u003EЛабораторные показатели: нечасто - удлинение времени кровотечения.\u003Cbr\u003EПрочее: очень редко: артралгия, артрит, миалгия, анафилактоидные реакции, сывороточная болезнь, повышение температуры, нарушения функциональных проб печени, повышение концентрации креатинина крови, гломерулонефрит, лихорадка, гемартроз, гематурия."},{"name":"Фармакологическое действие","value":"Клопидогрел - специфический и активный ингибитор агрегации тромбоцитов. Избирательно уменьшает связывание аденозиндифосфата (АДФ) с рецепторами на тромбоцитах и активацию рецепторов гликопротеина IIb/IIIа под действием АДФ, ослабляя агрегацию тромбоцитов.\u003Cbr\u003EУменьшает агрегацию тромбоцитов, вызванную другими агонистами, предотвращая их активацию освобожденным АДФ, не влияет на активность фосфодиэстеразы (ФДЭ). Необратимо связывается с АДФ-рецепторами тромбоцитов, которые остаются невосприимчивыми к стимуляции АДФ на протяжении жизненного цикла (около 7 дней).\u003Cbr\u003EТорможение агрегации тромбоцитов наблюдается через 2 часа после приема (40% ингибирование) начальной дозы 400 мг. Максимальный эффект (60% подавление агрегации) развивается через 4-7 дней постоянного приема в дозе 50-100 мг/сут. Антиагрегантный эффект сохраняется весь период жизни тромбоцитов (7-10 дней).\u003Cbr\u003EПри наличии атеросклеротического поражения сосуда препятствует развитию атеротромбоза независимо от локализации сосудистого процесса (цереброваскулярные, кардиоваскулярные или периферические поражения)."},{"name":"Фармакологическая группа","value":"антиагреганты"},{"name":"Форма выпуска","value":"таблетки, покрытые пленочной оболочкой"},{"name":"Способ применения/введения","value":"пероральный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["35947170:36763744"]}}},{"name":"Минимальный возраст применения","value":"от 18 лет"},{"name":"Условия хранения","value":"В сухом, защищенном от света месте, при температуре не выше 25 °С.\u003Cbr\u003EХранить в недоступном для детей месте."},{"name":"Передозировка","value":"Передозировка клопидогрелом может привести к удлинению времени кровотечения и последующим осложнениям. При обнаружении кровотечения должно быть применено соответствующее лечение.\u003Cbr\u003EНе обнаружено антидотов фармацевтической активности клопидогрела.\u003Cbr\u003EЕсли необходима быстрая коррекция удлинившегося времени кровотечения, рекомендуется переливание тромбоцитарной массы."},{"name":"Применение при беременности и кормлении грудью","value":"Ввиду отсутствия данных не рекомендуется принимать клопидогрел во время беременности и лактации."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Клопидогрел может вызвать побочные эффекты со стороны нервной системы (головная боль, головокружение, системное головокружение, спутанность сознания, галлюцинации, которые могут повлиять на способность управлять транспортными средствами и на занятия другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций."},{"name":"Особые указания","value":"В период лечения необходимо контролировать показатели системы гемостаза (активированное частичное тромбопластиновое время (АЧТВ), число тромбоцитов, тесты функциональной активности тромбоцитов), регулярно исследовать функциональную активность печени.\u003Cbr\u003EКлопидогрел следует применять с осторожностью у пациентов с риском выраженного кровотечения при травме, хирургическом вмешательстве, у пациентов, имеющих повреждения, склонные к кровотечению (особенно желудочно-кишечные и внутриглазные), а также у пациентов, получающих АСК, нестероидные противовоспалительные препараты (в том числе ингибиторы ЦОГ-2), гепарин или ингибиторы гликопротеина IIb/IIIa. За пациентами необходимо тщательно наблюдать для выявления любых признаков кровотечения, в том числе скрытого, особенно на протяжении первых недель применения препарата и/или после инвазивных процедур на сердце или хирургических операций. Одновременное применение клопидогрела и варфарина не рекомендуется, так как оно может усилить кровотечение;\u003Cbr\u003EВ случае хирургических вмешательств, если антиагрегантное действие нежелательно, курс лечения следует прекратить за 7 дней до операции.\u003Cbr\u003EБольных следует предупредить о том, что поскольку остановка возникающего на фоне применения клопидогрела (в сочетании с АСК или без нее) кровотечения требует большего времени, они должны сообщать врачу о каждом случае кровотечения. Больные должны также информировать врача о приеме препарата, если им предстоят оперативные вмешательства.\u003Cbr\u003EПосле приема клопидогрела тромботическая тромбоцитопеническая пурпура (ТТП) обнаруживалась очень редко, иногда после кратковременного применения. Это состояние характеризуется тромбоцитопенией и микроангиопатической гемолитической анемией в сочетании с неврологическими признаками нарушением функции почек или лихорадкой. ТТП - потенциально смертельное, состояние, требующее немедленного лечения в том числе с применением плазмафереза.\u003Cbr\u003EИз-за отсутствия данных клопидогрел нельзя рекомендовать при острых (менее 7 дней) ишемических инсультах.\u003Cbr\u003EОпыт применения клопидогрела у пациентов с нарушением функции почек ограничен, поэтому этим больным клопидогрел следует назначать с осторожностью.\u003Cbr\u003EПри тяжелых нарушениях функции печени следует помнить о риске развития геморрагического диатеза, опыт применения препарата у пациентов с умеренным нарушением функции печени ограничен, поэтому этим пациентам клопидогрел следует назначать с осторожностью.\u003Cbr\u003EС осторожностью:\u003Cbr\u003EУмеренная печеночная недостаточность.\u003Cbr\u003EХроническая печеночная недостаточность (ХПН).\u003Cbr\u003EПатологические состояния, повышающие риск развития кровотечения (в том числе, травма, операции).\u003Cbr\u003EОдновременный прием АСК, варфарина, нестероидных противовоспалительных препаратов (НПВП) (включая ингибиторы ЦОГ-2), гепарина, ингибиторов гликопротеина IIb/IIIa.\u003Cbr\u003EНаследственное снижение функции изофермента CYP2C19."},{"name":"Взаимодействие","value":"Одновременный прием варфарина с клопидогрелом может увеличить интенсивность кровотечений, поэтому применение этой комбинации не рекомендуется.\u003Cbr\u003EНазначение ингибиторов гликопротеина IIb/IIIa, АСК, гепарина совместно с клопидогрелом повышает риск развития кровотечений.\u003Cbr\u003EПри одновременном применении с НПВП может повышаться риск кровотечений.\u003Cbr\u003EОдновременный прием с ингибиторами CYP2C19 (например, омепразол) не рекомендуется.\u003Cbr\u003EАктивный метаболит клопидогрела ингибирует активность изофермента CYP2C9, в результате чего могут повышаться концентрации фенитоина, толбутамида и НПВП в плазме."},{"name":"Регистрационный номер","value":"ЛП-000076"},{"name":"Дата государственной регистрации","value":"21.01.2019"},{"name":"Владелец регистрационного удостоверения","value":"Биоком","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["34324371:35649313","7893318:16002982"]}}},{"name":"Изготовитель","value":"Биоком"},{"name":"Фасовщик","value":"Биоком"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Клопидогрел","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["17796364:17998814"]}}},{"name":"Срок годности","value":"36 мес."}]}},"fullSpecsGrouped":{"13107209285707255530":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Органы и системы","value":"кровеносные сосуды, сердце"},{"name":"Назначение","value":"предотвращение атеротромботических осложнений, профилактика атеротромботических событий"},{"name":"Показания к применению","value":"Профилактика тромботических осложнений у пациентов с инфарктом миокарда, ишемическим инсультом или окклюзией периферических артерий.\u003Cbr\u003EВ комбинации с ацетилсалициловой кислотой для профилактики тромботических осложнений при остром коронарном синдроме:\u003Cbr\u003E- с подъемом сегмента ST при возможности проведения тромболитической терапии;\u003Cbr\u003E- без подъема сегмента ST (нестабильная стенокардия или инфаркт миокарда без зубца Q), в т.ч. у больных, подвергающихся стентированию."},{"name":"Противопоказания","value":"Повышенная чувствительность к активному или любому вспомогательному компоненту препарата.\u003Cbr\u003EДефицит лактазы, непереносимость лактозы, глюкозогалакгозная мальабсорбция.\u003Cbr\u003EВозраст до 18 лет (эффективность и безопасность применения не установлены).\u003Cbr\u003EТяжелая печеночная недостаточность.\u003Cbr\u003EАктивное патологическое кровотечение (пептическая язва или внутричерепное кровоизлияние).\u003Cbr\u003EБеременность и период лактации."},{"name":"Состав","value":"1 таблетка, покрытая пленочной оболочкой, содержит:\u003Cbr\u003Eдействующее вещество: клопидогрела гидросульфата - 0,097875 г, в пересчете на клопидогрел -0,075000 г;\u003Cbr\u003Eвспомогательные вещества: лактозы моногидрат - 0,186275 г, повидон К 17 (поливинилпирролидон низкомолекулярный) - 0,001850 г, целлюлоза микрокристаллическая - 0,044400 г, тальк - 0,011100 г, кроскармеллоза натрия (примеллоза) - 0,014800 г, магния стеарат - 0,003700 г;\u003Cbr\u003Eвспомогательные вещества пленочной оболочки: Опадрай II Розовый - 0,0097 г (поливиниловый спирт, титана диоксид, тальк, макрогол (полиэтиленгликоль), краситель кармин красный (Е120), алюминиевый лак на основе красителя солнечного заката желтого (Е110), алюминиевый лак на основе красителя красного очаровательного (Е129), алюминиевый лак на основе красителя хинолинового желтого (Е104)), силиконовая эмульсия - 0,0003 г."},{"name":"Действующее вещество","value":"Клопидогрел"},{"name":"Способ применения и дозы","value":"Внутрь независимо от приема пищи.\u003Cbr\u003EДля профилактики тромботических осложнений у пациентов с инфарктом миокарда, ишемическим инсультом или окклюзией периферических артерий - по 75 мг 1 раз в сутки.\u003Cbr\u003EУ больных с инфарктом миокарда лечение можно начинать с первых дней по 35-й день\u003Cbr\u003Eинфаркта миокарда, а у больных с ишемическим инсультом - в сроки от 7 дней до 6 месяцев после ишемического инсульта.\u003Cbr\u003EДля профилактики тромботических осложнений при остром коронарном синдроме без подъема сегмента ST (нестабильная стенокардия, инфаркт миокарда без зубца Q) - начинают с однократного приема нагрузочной дозы 300 мг, а затем принимают по 75 мг/сут (в сочетании с АСК в дозах 75-325 мг/сут, рекомендуемая доза - 100 мг/сут). Максимальный благоприятный эффект наступает через 3 мес. Курс лечения до 1 года.\u003Cbr\u003EДля профилактики тромботических осложнений при остром коронарном синдроме с подъемом сегмента ST (острый инфаркт миокарда с подъемом сегмента ST) - по 75 мг/сут с первоначальным однократным приемом нагрузочной дозы в комбинации с АСК и тромболитиками (или без тромболитиков).\u003Cbr\u003EКомбинированную терапию начинают как можно раньше после появления симптомов и продолжают в течение по крайней мере 4 нед. У пациентов старше 75 лет лечение клопидогрелом должно начинаться без приема его нагрузочной дозы.\u003Cbr\u003EУ пациентов с генетически обусловленным снижением функции изофермента CYP2C19 возможно уменьшение эффекта клопидогрела. Оптимальный режим дозирования у таких пациентов не установлен.\u003Cbr\u003EОпыт применения у пациентов с ХПН или умеренной степенью печеночной недостаточности ограничен."},{"name":"Побочные действия","value":"Кровотечение - наиболее частая реакция, которая встречается на протяжении первого месяца приема препарата. Случаи сильного кровотечения зарегистрированы у пациентов, принимающих клопидогрел одновременно с АСК или клопидогрел с АСК и гепарином (см. раздел \"Особые указания\").\u003Cbr\u003EЧастота побочных эффектов определена согласно следующим определениям: очень часто - более 1/10, часто - более 1/100 и менее 1/10, нечасто - более 1/1000 и менее 1/100, редко - более 1/10000 и менее 1/1000, очень редко - менее 1/10000, включая единичные случаи.\u003Cbr\u003EВ пределах каждого класса частот нежелательные эффекты представлены в порядке уменьшения степени тяжести.\u003Cbr\u003EСо стороны органов кроветворения: нечасто - тромбоцитопения, лейкопения, эозинофилия; редко - нейтропепия, в т.ч. выраженная; очень редко - тромботическая тромбоцитопеническая пурпура, анемия в т.ч. апластическая, панцитопения, агранулоцитоз, тяжелая тромбоцитопения, гранулоцитопения.\u003Cbr\u003EАллергические реакции: очень редко - анафилактические реакции, сывороточная болезнь.\u003Cbr\u003EСо стороны нервной системы: нечасто - головная боль, головокружение, парестезии, внутричерепное кровотечение, в т.ч. с летальным исходом; очень редко - спутанность сознания, галлюцинации, нарушение вкуса.\u003Cbr\u003EСо стороны органов чувств: нечасто - кровоизлияние в конъюнктиву, глаза, сетчатку; редко - вертиго.\u003Cbr\u003EСо стороны сердечно-сосудистой системы: часто - гематома; очень редко - тяжелые кровотечения, кровотечение из операционной раны, васкулит, снижение АД.\u003Cbr\u003EСо стороны дыхательной системы: очень часто - носовое кровотечение; очень редко - бронхоспазм, интерстициальный пневмонит, легочное кровотечение, кровохарканье.\u003Cbr\u003EСо стороны пищеварительной системы: часто - диарея, боль в животе, диспепсия, кровотечение из ЖКТ; нечасто - язва желудка и 12-перстной кишки, гастрит, рвота, тошнота, запор, метеоризм; редко - забрюшинное кровотечение; очень редко - панкреатит, колит, в т.ч. язвенный или лимфоцитарный, стоматит, острая печеночная недостаточность, гепатит, нарушение функциональных проб печени, кровотечение из ЖКТ с летальным исходом.\u003Cbr\u003EСо стороны кожных покровов: часто - подкожные кровоизлияния; нечасто - кожная сыпь,зуд, пурпура; очень редко - ангионевротический отек, крапивница, эритематозная сыпь, многоформная эритема, синдром Стивенса-Джонсона, токсический эпидермальный некролиз, экзема, красный плоский лишай.\u003Cbr\u003EСо стороны опорно-двигательного аппарата: очень редко - гемартроз, артрит, артралгия, миалгия.\u003Cbr\u003EСо стороны мочеполовой системы: нечасто - гематурия; очень редко - гломерулонефрит, гиперкреатининемия.\u003Cbr\u003EЛабораторные показатели: нечасто - удлинение времени кровотечения.\u003Cbr\u003EПрочее: очень редко: артралгия, артрит, миалгия, анафилактоидные реакции, сывороточная болезнь, повышение температуры, нарушения функциональных проб печени, повышение концентрации креатинина крови, гломерулонефрит, лихорадка, гемартроз, гематурия."},{"name":"Фармакологическое действие","value":"Клопидогрел - специфический и активный ингибитор агрегации тромбоцитов. Избирательно уменьшает связывание аденозиндифосфата (АДФ) с рецепторами на тромбоцитах и активацию рецепторов гликопротеина IIb/IIIа под действием АДФ, ослабляя агрегацию тромбоцитов.\u003Cbr\u003EУменьшает агрегацию тромбоцитов, вызванную другими агонистами, предотвращая их активацию освобожденным АДФ, не влияет на активность фосфодиэстеразы (ФДЭ). Необратимо связывается с АДФ-рецепторами тромбоцитов, которые остаются невосприимчивыми к стимуляции АДФ на протяжении жизненного цикла (около 7 дней).\u003Cbr\u003EТорможение агрегации тромбоцитов наблюдается через 2 часа после приема (40% ингибирование) начальной дозы 400 мг. Максимальный эффект (60% подавление агрегации) развивается через 4-7 дней постоянного приема в дозе 50-100 мг/сут. Антиагрегантный эффект сохраняется весь период жизни тромбоцитов (7-10 дней).\u003Cbr\u003EПри наличии атеросклеротического поражения сосуда препятствует развитию атеротромбоза независимо от локализации сосудистого процесса (цереброваскулярные, кардиоваскулярные или периферические поражения)."},{"name":"Фармакологическая группа","value":"антиагреганты"},{"name":"Форма выпуска","value":"таблетки, покрытые пленочной оболочкой"},{"name":"Способ применения/введения","value":"пероральный"},{"name":"Минимальный возраст применения","value":"от 18 лет"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"В сухом, защищенном от света месте, при температуре не выше 25 °С.\u003Cbr\u003EХранить в недоступном для детей месте."},{"name":"Передозировка","value":"Передозировка клопидогрелом может привести к удлинению времени кровотечения и последующим осложнениям. При обнаружении кровотечения должно быть применено соответствующее лечение.\u003Cbr\u003EНе обнаружено антидотов фармацевтической активности клопидогрела.\u003Cbr\u003EЕсли необходима быстрая коррекция удлинившегося времени кровотечения, рекомендуется переливание тромбоцитарной массы."},{"name":"Применение при беременности и кормлении грудью","value":"Ввиду отсутствия данных не рекомендуется принимать клопидогрел во время беременности и лактации."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Клопидогрел может вызвать побочные эффекты со стороны нервной системы (головная боль, головокружение, системное головокружение, спутанность сознания, галлюцинации, которые могут повлиять на способность управлять транспортными средствами и на занятия другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций."},{"name":"Особые указания","value":"В период лечения необходимо контролировать показатели системы гемостаза (активированное частичное тромбопластиновое время (АЧТВ), число тромбоцитов, тесты функциональной активности тромбоцитов), регулярно исследовать функциональную активность печени.\u003Cbr\u003EКлопидогрел следует применять с осторожностью у пациентов с риском выраженного кровотечения при травме, хирургическом вмешательстве, у пациентов, имеющих повреждения, склонные к кровотечению (особенно желудочно-кишечные и внутриглазные), а также у пациентов, получающих АСК, нестероидные противовоспалительные препараты (в том числе ингибиторы ЦОГ-2), гепарин или ингибиторы гликопротеина IIb/IIIa. За пациентами необходимо тщательно наблюдать для выявления любых признаков кровотечения, в том числе скрытого, особенно на протяжении первых недель применения препарата и/или после инвазивных процедур на сердце или хирургических операций. Одновременное применение клопидогрела и варфарина не рекомендуется, так как оно может усилить кровотечение;\u003Cbr\u003EВ случае хирургических вмешательств, если антиагрегантное действие нежелательно, курс лечения следует прекратить за 7 дней до операции.\u003Cbr\u003EБольных следует предупредить о том, что поскольку остановка возникающего на фоне применения клопидогрела (в сочетании с АСК или без нее) кровотечения требует большего времени, они должны сообщать врачу о каждом случае кровотечения. Больные должны также информировать врача о приеме препарата, если им предстоят оперативные вмешательства.\u003Cbr\u003EПосле приема клопидогрела тромботическая тромбоцитопеническая пурпура (ТТП) обнаруживалась очень редко, иногда после кратковременного применения. Это состояние характеризуется тромбоцитопенией и микроангиопатической гемолитической анемией в сочетании с неврологическими признаками нарушением функции почек или лихорадкой. ТТП - потенциально смертельное, состояние, требующее немедленного лечения в том числе с применением плазмафереза.\u003Cbr\u003EИз-за отсутствия данных клопидогрел нельзя рекомендовать при острых (менее 7 дней) ишемических инсультах.\u003Cbr\u003EОпыт применения клопидогрела у пациентов с нарушением функции почек ограничен, поэтому этим больным клопидогрел следует назначать с осторожностью.\u003Cbr\u003EПри тяжелых нарушениях функции печени следует помнить о риске развития геморрагического диатеза, опыт применения препарата у пациентов с умеренным нарушением функции печени ограничен, поэтому этим пациентам клопидогрел следует назначать с осторожностью.\u003Cbr\u003EС осторожностью:\u003Cbr\u003EУмеренная печеночная недостаточность.\u003Cbr\u003EХроническая печеночная недостаточность (ХПН).\u003Cbr\u003EПатологические состояния, повышающие риск развития кровотечения (в том числе, травма, операции).\u003Cbr\u003EОдновременный прием АСК, варфарина, нестероидных противовоспалительных препаратов (НПВП) (включая ингибиторы ЦОГ-2), гепарина, ингибиторов гликопротеина IIb/IIIa.\u003Cbr\u003EНаследственное снижение функции изофермента CYP2C19."},{"name":"Взаимодействие","value":"Одновременный прием варфарина с клопидогрелом может увеличить интенсивность кровотечений, поэтому применение этой комбинации не рекомендуется.\u003Cbr\u003EНазначение ингибиторов гликопротеина IIb/IIIa, АСК, гепарина совместно с клопидогрелом повышает риск развития кровотечений.\u003Cbr\u003EПри одновременном применении с НПВП может повышаться риск кровотечений.\u003Cbr\u003EОдновременный прием с ингибиторами CYP2C19 (например, омепразол) не рекомендуется.\u003Cbr\u003EАктивный метаболит клопидогрела ингибирует активность изофермента CYP2C9, в результате чего могут повышаться концентрации фенитоина, толбутамида и НПВП в плазме."},{"name":"Регистрационный номер","value":"ЛП-000076"},{"name":"Дата государственной регистрации","value":"21.01.2019"},{"name":"Владелец регистрационного удостоверения","value":"Биоком"},{"name":"Изготовитель","value":"Биоком"},{"name":"Фасовщик","value":"Биоком"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Клопидогрел"},{"name":"Срок годности","value":"36 мес."}]}],"transitionId":"tr_10527576477342327614"}}}}
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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1 432 ₽

Скидка: 21%
–21 %
Вместо:1 812 ₽
  • 8-10 июня, самовывоз • 0 ₽
POLZAru
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    Цена 213 ₽ вместо 263
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  • Клопидогрел-СЗ таб. п/о плен., 75 мг, 28 шт.
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    Клопидогрел-СЗ таб. п/о плен., 75 мг, 28 шт.

    Рейтинг товара: 4.8 из 5
    на основе 13 оценок
    Цена 487 ₽
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  • Клопидогрел Канон таб. п/о плен., 75 мг, 14 шт.
    –19 %
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    Клопидогрел Канон таб. п/о плен., 75 мг, 14 шт.

    Рейтинг товара: 4.8 из 5
    на основе 6 оценок
    Цена 211 ₽ вместо 261
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  • Клопидогрел таб. п/о плен., 75 мг, 28 шт.
    –17 %
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    Клопидогрел таб. п/о плен., 75 мг, 28 шт.

    Рейтинг товара: 4.9 из 5
    на основе 32 оценки
    Цена 242 ₽ вместо 292
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  • Клопидогрел таб. п/о плен., 75 мг, 30 шт.
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    Клопидогрел таб. п/о плен., 75 мг, 30 шт.

    Рейтинг товара: 5 из 5
    на основе 2 оценки
    Цена 761 ₽
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  • Клопидогрел таб. п/о плен., 75 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-7ezpr88bc2f/toggleWishlist":{"skuId":"101510478986","productId":1484170658,"offerId":"jF7ROPA2ayToNILhUeweug","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQyaD1zKaz3oyJARIxCi9Db21wZXRpdGl2ZUFuYWxvZ3NfTWFya2V0TW9kZWxDYXJkX0Zyb250U25pcHBldDIXCKLL2sMFEIr5+5P6AhiXtvsFINfcwQc=","sign":"9xrc/eZZII0xlE+9+IWgDftu9omxAL9dN32qWKJHdJE="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-7ezpr88bc2f/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Клопидогрел таб. п/о плен., 75 мг, 30 шт.

    Рейтинг товара: 5 из 5
    на основе 4 оценки
    Цена 372 ₽
    {"widgets":{"@light/AddToCartButtonSnippet":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-7ezpr88bc2f/addToCartButton":{"offerId":"jF7ROPA2ayToNILhUeweug","skuId":"101510478986","pendingCartItem":{"productId":1484170658,"offerId":"jF7ROPA2ayToNILhUeweug","showPlaceId":"OTNDnItfwRMjN9MRHuEMMmQNf0xXVgDLdvqrEcYRLnsLIYWwY8fnWUri0bFaIrLgPEp_VWWBei-p9IPoqZPSo-aNofznPnKF3sqSQkm8b4AXju0VsbE3sqxBaUDPqkKdXR0m8e6iRsYwwBI6rGFXXaCo7z3fuRuNAALgWOAnq-a6XMwdfoe5DYrHb9mVnJ45UHIuIrskyQkzp2HPE-aJAg,,","feeShow":"OTNDnItfwRMjN9MRHuEMMmQNf0xXVgDLdvqrEcYRLnsLIYWwY8fnWUri0bFaIrLgPEp_VWWBei-p9IPoqZPSo-aNofznPnKF3sqSQkm8b4AXju0VsbE3sqxBaUDPqkKdXR0m8e6iRsYwwBI6rGFXXaCo7z3fuRuNAALgWOAnq-a6XMwdfoe5DYrHb9mVnJ45UHIuIrskyQkzp2HPE-aJAg,,","skuId":"101510478986","shopId":77075781,"price":{"applicablePriceDiscounts":[],"value":"372","currency":"RUR"},"hid":"15756887","name":"Клопидогрел таб. п/о плен., 75 мг, 30 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  • Клопидогрел таб. п/о плен., 75 мг, 14 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-iovemlpy8t/toggleWishlist":{"skuId":"102045034084","productId":1768738060,"offerId":"NmStbWDr20orCKC2wmimkA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQyaD1zKaz3oyJARIxCi9Db21wZXRpdGl2ZUFuYWxvZ3NfTWFya2V0TW9kZWxDYXJkX0Zyb250U25pcHBldDIXCIyas8sGEOTM7pL8AhiEqbIIINfcwQc=","sign":"9C1fWwxPD+NC0lgTVc0nDWr+/fVb3sKBBYR4RdNAe+A="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-iovemlpy8t/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Клопидогрел таб. п/о плен., 75 мг, 14 шт.

    Цена 370 ₽
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  • Клопидогрел-Акрихин таб. п/о плен., 75 мг, 30 шт.
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    Клопидогрел-Акрихин таб. п/о плен., 75 мг, 30 шт.

    Рейтинг товара: 4.7 из 5
    на основе 3 оценки
    Цена 442 ₽
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  • Зилт таб. п/о плен., 75 мг, 28 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-7zr39zcle0j/toggleWishlist":{"skuId":"227830242","productId":1401075542,"offerId":"fcVvpyFtKiKPVWb3RcLNpA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQyaD1zKaz3oyJARIxCi9Db21wZXRpdGl2ZUFuYWxvZ3NfTWFya2V0TW9kZWxDYXJkX0Zyb250U25pcHBldDIVCNbuipwFEOLT0WwYoMTeByDX3MEH","sign":"7kkomANAq9FEICgdtnLIWRyCyU25gx75vjVIPWMQ49o="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-7zr39zcle0j/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Зилт таб. п/о плен., 75 мг, 28 шт.

    Рейтинг товара: 5 из 5
    на основе 2 оценки
    Цена 737 ₽
    {"widgets":{"@light/AddToCartButtonSnippet":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-7zr39zcle0j/addToCartButton":{"offerId":"fcVvpyFtKiKPVWb3RcLNpA","skuId":"227830242","pendingCartItem":{"productId":1401075542,"offerId":"fcVvpyFtKiKPVWb3RcLNpA","showPlaceId":"OTNDnItfwRMjN9MRHuEMMmQNf0xXVgDLhSvGK65H9ApKOvIxD07vnd3TUqWj_0rSacpy9jbjZ7Ap6Z53UtWoRDA4eiWPGZ7PxdK9cj4PGoKDtjcia2L_1K84d9RmsO8YrWjcYJPKyZIgKLoKj50ZQkNvwkq8dqHpdqtgjpiC6oHh_UIgafs_lcCc6Hguxv1EH1FbTGr99sAcT4UEWAIbZg,,","feeShow":"OTNDnItfwRMjN9MRHuEMMmQNf0xXVgDLhSvGK65H9ApKOvIxD07vnd3TUqWj_0rSacpy9jbjZ7Ap6Z53UtWoRDA4eiWPGZ7PxdK9cj4PGoKDtjcia2L_1K84d9RmsO8YrWjcYJPKyZIgKLoKj50ZQkNvwkq8dqHpdqtgjpiC6oHh_UIgafs_lcCc6Hguxv1EH1FbTGr99sAcT4UEWAIbZg,,","skuId":"227830242","shopId":55106433,"price":{"applicablePriceDiscounts":[],"value":"737","currency":"RUR"},"hid":"15756887","name":"Зилт таб. п/о плен., 75 мг, 28 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  • Клопидогрел Велфарм таб п/о плен., 75 мг, 28 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-1qtikwyto1n/toggleWishlist":{"skuId":"101786178887","productId":1701601970,"offerId":"ZiAZJITyDW76lbdAT5Basg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQyaD1zKaz3oyJARIxCi9Db21wZXRpdGl2ZUFuYWxvZ3NfTWFya2V0TW9kZWxDYXJkX0Zyb250U25pcHBldDIXCLLFsasGEMeqt5f7Ahinr9gHINfcwQc=","sign":"ir379bSMOr6ujgSoR1FHEUu9j6EgqwBQIJg6ubefeIs="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-1qtikwyto1n/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Клопидогрел Велфарм таб п/о плен., 75 мг, 28 шт.

    Рейтинг товара: 5 из 5
    на основе 3 оценки
    Цена 299 ₽
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  • Клопидогрел-АКОС таб. п/о плен., 75 мг, 28 шт.
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    Клопидогрел-АКОС таб. п/о плен., 75 мг, 28 шт.

    Рейтинг товара: 4 из 5
    на основе 1 оценка
    Цена 609 ₽
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  • Плавикс таб. п/о плен., 75 мг, 28 шт.
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    Плавикс таб. п/о плен., 75 мг, 28 шт.

    Рейтинг товара: 5 из 5
    на основе 14 оценок
    Цена 893 ₽
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Инструкция

Показания к применению

Профилактика тромботических осложнений у пациентов с инфарктом миокарда, ишемическим инсультом или окклюзией периферических артерий.
В комбинации с ацетилсалициловой кислотой для профилактики тромботических осложнений при остром коронарном синдроме:
- с подъемом сегмента ST при возможности проведения тромболитической терапии;
- без подъема сегмента ST (нестабильная стенокардия или инфаркт миокарда без зубца Q), в т.ч. у больных, подвергающихся стентированию.

Противопоказания

Повышенная чувствительность к активному или любому вспомогательному компоненту препарата.
Дефицит лактазы, непереносимость лактозы, глюкозогалакгозная мальабсорбция.
Возраст до 18 лет (эффективность и безопасность применения не установлены).
Тяжелая печеночная недостаточность.
Активное патологическое кровотечение (пептическая язва или внутричерепное кровоизлияние).
Беременность и период лактации.

Способ применения и дозы

Внутрь независимо от приема пищи.
Для профилактики тромботических осложнений у пациентов с инфарктом миокарда, ишемическим инсультом или окклюзией периферических артерий - по 75 мг 1 раз в сутки.
У больных с инфарктом миокарда лечение можно начинать с первых дней по 35-й день
инфаркта миокарда, а у больных с ишемическим инсультом - в сроки от 7 дней до 6 месяцев после ишемического инсульта.
Для профилактики тромботических осложнений при остром коронарном синдроме без подъема сегмента ST (нестабильная стенокардия, инфаркт миокарда без зубца Q) - начинают с однократного приема нагрузочной дозы 300 мг, а затем принимают по 75 мг/сут (в сочетании с АСК в дозах 75-325 мг/сут, рекомендуемая доза - 100 мг/сут). Максимальный благоприятный эффект наступает через 3 мес. Курс лечения до 1 года.
Для профилактики тромботических осложнений при остром коронарном синдроме с подъемом сегмента ST (острый инфаркт миокарда с подъемом сегмента ST) - по 75 мг/сут с первоначальным однократным приемом нагрузочной дозы в комбинации с АСК и тромболитиками (или без тромболитиков).
Комбинированную терапию начинают как можно раньше после появления симптомов и продолжают в течение по крайней мере 4 нед. У пациентов старше 75 лет лечение клопидогрелом должно начинаться без приема его нагрузочной дозы.
У пациентов с генетически обусловленным снижением функции изофермента CYP2C19 возможно уменьшение эффекта клопидогрела. Оптимальный режим дозирования у таких пациентов не установлен.
Опыт применения у пациентов с ХПН или умеренной степенью печеночной недостаточности ограничен.
Полная инструкция
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Клопидогрел таб. п/о плен.
Клопидогрел таб. п/о плен., 75 мг, 90 шт.
5.0
(6)
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4 вопроса
Инструкция

1 432 ₽

Скидка: 21%
–21 %
Вместо:1 812 ₽
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5.0
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У продавца:6 оценок·1 отзыв
У всех продавцов:27 оценок·6 отзывов
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user avatar
9 месяцев назад • Лиза • Куплен на Маркете
Достоинства: Доставка в срок, без повреждений, хороший срок годности.
Посмотреть все отзывы на Маркете
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    Цена 372 ₽
  • Таблетница органайзер на неделю, контейнер для таблеток, бокс, на 7 дней, 4 приема, 28 ячеек
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    Таблетница органайзер на неделю, контейнер для таблеток, бокс, на 7 дней, 4 приема, 28 ячеек

    Цена 361 ₽ вместо 690
  • Реклама
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    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  • Клопидогрел таб. п/о плен., 75 мг, 14 шт.
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    Клопидогрел таб. п/о плен., 75 мг, 14 шт.

    Цена 370 ₽
  • Таблетница с лезвием-делителем для таблеток, одно отделение
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1937765302_10/content/content/toggleWishlist":{"skuId":"102347786492","productId":1937765302,"offerId":"k5easT_zYDp6xlFaav6dag","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQyaD1zKaz3oyJARIaChhyZW1peF9kZXNrdG9wX21vZGVsX2NhcmQyFgi25/+bBxD8kZ2j/QIYkvb3ByDNzj0=","sign":"v8crLiXxR6/ZSMxqvWlv9ecHkWoiiAeOVTbfMCrMGQM="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1937765302_10/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Таблетница с лезвием-делителем для таблеток, одно отделение

    Цена 233 ₽ вместо 294
  • Клопидогрел-Акрихин таб. п/о плен., 75 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1780857806_11/content/content/toggleWishlist":{"skuId":"265159729","productId":1780857806,"offerId":"E4b2k0f_taGA-xwoD9dGmw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQyaD1zKaz3oyJARIaChhyZW1peF9kZXNrdG9wX21vZGVsX2NhcmQyFQjO95bRBhCxiLh+GJ7UoQUg19zBBw==","sign":"33RT+zPIG7hHC3mKbhhxOGufN/qOK+umPoQUCh5BgA8="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1780857806_11/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Клопидогрел-Акрихин таб. п/о плен., 75 мг, 30 шт.

    Цена 442 ₽
  • Таблетница из 14 секций на семь дней Утро-вечер
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1883422910_12/content/content/toggleWishlist":{"skuId":"102066600726","productId":1883422910,"offerId":"MF1mPo1TjMmUyA9JACu0Ng","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQyaD1zKaz3oyJARIaChhyZW1peF9kZXNrdG9wX21vZGVsX2NhcmQyFgi+gYuCBxCW9pKd/AIYnJ35BCDNzj0=","sign":"97WN4b+7M2mf7IA1o9go25889Vu2dbJ+UcfLvi0WcNY="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1883422910_12/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Таблетница из 14 секций на семь дней Утро-вечер

    Цена 167 ₽ вместо 200
  • Зилт таб. п/о плен., 75 мг, 28 шт.
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075542_13/content/content/toggleWishlist":{"skuId":"227830242","productId":1401075542,"offerId":"fcVvpyFtKiKPVWb3RcLNpA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQyaD1zKaz3oyJARIaChhyZW1peF9kZXNrdG9wX21vZGVsX2NhcmQyFQjW7oqcBRDi09FsGKDE3gcg19zBBw==","sign":"wVG9S712vE8/kG5W1aDZrsHj3x6361IORZ7LnJ174q8="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075542_13/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Зилт таб. п/о плен., 75 мг, 28 шт.

    Цена 737 ₽
  • Клопидогрел Велфарм таб п/о плен., 75 мг, 28 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1701601970_14/content/content/toggleWishlist":{"skuId":"101786178887","productId":1701601970,"offerId":"ZiAZJITyDW76lbdAT5Basg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQyaD1zKaz3oyJARIaChhyZW1peF9kZXNrdG9wX21vZGVsX2NhcmQyFwiyxbGrBhDHqreX+wIYp6/YByDX3MEH","sign":"5wbAUOgHGcDlSfscEbqNXU/Cnh+Tq5uE3XiScYRhKD4="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1701601970_14/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Клопидогрел Велфарм таб п/о плен., 75 мг, 28 шт.

    Цена 299 ₽
  • Клопидогрел-АКОС таб. п/о плен., 75 мг, 28 шт.
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    Клопидогрел-АКОС таб. п/о плен., 75 мг, 28 шт.

    Цена 609 ₽
  • Контейнер для хранения/таблетница/кейс для таблеток
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    Контейнер для хранения/таблетница/кейс для таблеток

    Цена 365 ₽ вместо 699
  • Плавикс таб. п/о плен., 75 мг, 28 шт.
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    Плавикс таб. п/о плен., 75 мг, 28 шт.

    Цена 893 ₽
  • Таблетница компактная /органайзер аптечка/ контейнер для таблеток БАД Panda_Home (синего цвета)
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    Таблетница компактная /органайзер аптечка/ контейнер для таблеток БАД Panda_Home (синего цвета)

    Цена 245 ₽ вместо 263
  • Таблетница на 7 дней / органайзер / бокс / контейнер на неделю для хранения таблеток и лекарств 4 приема Clear Daswerk
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    Таблетница на 7 дней / органайзер / бокс / контейнер на неделю для хранения таблеток и лекарств 4 приема Clear Daswerk

    Цена 418 ₽ вместо 637
  • Таблетница, контейнер для лекарств Fruit avocado
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    Таблетница, контейнер для лекарств Fruit avocado

    Цена 308 ₽ вместо 710
  • Реклама
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  • Таблетница с делителем, делитель таблеток
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    Таблетница с делителем, делитель таблеток

    Цена 228 ₽ вместо 300
  • Таблетница органайзер на неделю утро / день / вечер; Органайзер для таблеток на 7 дней; Карманная аптечка
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    Таблетница органайзер на неделю утро / день / вечер; Органайзер для таблеток на 7 дней; Карманная аптечка

    Цена 773 ₽ вместо 1 890
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