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Описание

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Ксамиол гель д/нар. прим., 15 г

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4.8

(106)

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Вес, г: 15

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Коротко о товаре

Артикул Маркета

3123330925

Тип препарата

лекарственный препарат

Назначение

псориаз

Действующее вещество

Кальципотриол+Бетаметазон

Возраст

от 18 лет

Инструкция

Внешний вид товаров и/или упаковки может быть изменён изготовителем и отличаться от изображенных на Яндекс Маркете.

Есть противопоказания, посоветуйтесь с врачом

Где купить

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Цена с картой Яндекс Пэй:1 593 ₽

Скидка: 1%

–1 %

Вместо: 1 609 ₽

Сегодня, курьер магазина • 99 ₽
Сегодня, самовывоз • 0 ₽

ЕАПТЕКА

Рейтинг 5 из 5

97Котзывов

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Препарат Ксамиол противопоказан к применению при псориатической эритродермии, эксфолиативном и пустулезном псориазе. В связи с наличием в составе препарата кальципотриола, Ксамиол противопоказан пациентам с нарушениями кальциевого обмена. В связи с наличием в составе препарата глюкокортикостероида бетаметазона, Ксамиол противопоказан при следующих состояниях: вирусные (например, герпес или ветряная оспа), грибковые, бактериальные и паразитарные инфекции кожи, кожные проявления туберкулеза, периоральный дерматит, атрофия кожи, стрии, повышенная ломкость подкожных вен, ихтиоз, вульгарные угри, розацеа (розовые угри), язвы, раны, детский возраст до 18 лет."},{"description":"","filters":[{"id":15768292,"name":"Состав"}],"isMainProperty":false,"name":"Состав","value":"В 1 г геля содержится:\u003Cbr\u003EДействующие вещества:\u003Cbr\u003Eкальципотриола моногидрат 0,052 мг (эквивалентно кальципотриолу 0,05 мг)\u003Cbr\u003Eбетаметазона дипропионат 0,643 мг (эквивалентно бетаметазону 0,5 мг)\u003Cbr\u003EВспомогательные вещества: парафин жидкий (содержит около 10 ppm альфатокоферола) 820 мг, полиоксипропилена стеариловый эфир (содержит 0,1 %\u003Cbr\u003Eбутилгидрокситолуола) 160 мг, касторовое масло гидрогенизированное 20 мг."},{"description":"","filters":[{"id":27144131,"name":"Действующее вещество"}],"isMainProperty":false,"name":"Действующее вещество","value":"Кальципотриол+Бетаметазон"},{"description":"","filters":[{"id":15768000,"name":"Способ применения и дозы"}],"isMainProperty":false,"name":"Способ применения и дозы","value":"Наружно.\u003Cbr\u003EПеред использованием препарата флакон необходимо встряхнуть. Гель наносят тонким слоем на пораженные участки волосистой части головы или на псориатические бляшки других частей тела 1 раз в сутки, предварительно выдавив небольшое количество геля на чистый палец или непосредственно на пораженный псориазом участок.\u003Cbr\u003EПокрытые гелем участки не следует закрывать плотно прилегающей тканью, повязками и окклюзией.\u003Cbr\u003EПосле применения геля Ксамиол руки необходимо помыть, если гель контактировал с пальцами рук. Это предотвратит случайное попадание геля на другие участки тела (в особенности на лицо, области рта и глаз).\u003Cbr\u003EИзлишки геля, случайно попавшие на здоровую кожу при нанесении на пораженные зоны, удаляют.\u003Cbr\u003EМыть волосы перед нанесением геля Ксамиол на волосистую часть головы не обязательно.\u003Cbr\u003EДля достижения оптимального эффекта не рекомендуется сразу после нанесения геля принимать душ или ванну. Препарат должен оставаться на коже в течение ночи или дня.\u003Cbr\u003EДозы и продолжительность лечения\u003Cbr\u003EЕсли вы используете другие препараты, содержащие кальципотриол, то суммарное количество препаратов не должно превышать 15 г в день и 100 г в неделю. Максимальная дневная доза 15 г в день. 4 г геля соответствует 1 чайной ложке.\u003Cbr\u003EОбычно для лечения волосистой части головы достаточно количества 1 г до 4 г геля в сутки. Рекомендуемая продолжительность курса лечения составляет 4 недели при псориазе волосистой части головы и 8 недель при псориазе других частей тела. В большинстве случаев видимое улучшение наступает спустя 2 недели после начала лечения, хотя к этому времени полного исчезновения псориаза еще не отмечается.\u003Cbr\u003EОбщая площадь нанесения препарата не должна превышать 30% поверхности тела (включая как волосистую часть головы, так и другие части тела). Для достижения оптимального терапевтического действия препарат должен оставаться на коже в течение всей ночи или всего дня.\u003Cbr\u003EЕсли рекомендованный период лечения оказался недостаточным, проконсультируйтесь с врачом. Продолжение лечения или повторный курс лечения возможны только под наблюдением врача!\u003Cbr\u003EПрименение препарата Ксамиол в более высоких дозах и/или более длительный период может вызвать повышение уровня кальция в крови, нарушение нормальной работы надпочечников.\u003Cbr\u003EЕсли прием препарата пропущен, нельзя наносить двойную дозу при следующем применении, чтобы компенсировать пропущенную дозу.\u003Cbr\u003EПрекращать применение геля Ксамиол необходимо постепенно, особенно если он применялся длительное время.\u003Cbr\u003EПеред прекращением лечения проконсультируйтесь с врачом."},{"description":"","filters":[{"id":15767998,"name":"Побочные действия"}],"isMainProperty":false,"name":"Побочные действия","value":"Побочное действие\u003Cbr\u003EНаиболее часто сообщаемой нежелательной лекарственной реакцией (НЛР) во время лечения являлся зуд.\u003Cbr\u003EКлассификация побочных реакций по органам и системам дана в соответствии с MedDRA, а также индивидуальные НЛР были классифицированы начиная с наиболее часто встречаемых: очень часто (≥1/10), часто (≥1/100, \u003C1/10), нечасто (≥1/1000, \u003C1/100), редко (≥1/10000, \u003C1/1000), очень редко (\u003C1/10000), в том числе отдельные сообщения, частота неизвестна (частота не может быть оценена на основе имеющихся данных).\u003Cbr\u003EИнфекционные и паразитарные заболевания:\u003Cbr\u003Eнечасто: инфекции кожи (включая бактериальные, грибковые, вирусные инфекции кожи), фолликулит.\u003Cbr\u003EНарушения со стороны иммунной системы:\u003Cbr\u003Eредко: гиперчувствительность.\u003Cbr\u003EНарушения со стороны органа зрения:\u003Cbr\u003Eнечасто: раздражение глаз.\u003Cbr\u003EНарушения со стороны кожи и подкожных тканей:\u003Cbr\u003Eчасто: зуд.\u003Cbr\u003Eнечасто: обострение псориаза, дерматит, эритема, сыпь (сообщалось о различных видах\u003Cbr\u003Eсыпи, таких как эритематозная сыпь, пустулезная сыпь), акне, ощущение жжения кожи раздражение кожи, сухость кожи.\u003Cbr\u003Eредко: кожные стрии, шелушение.\u003Cbr\u003EОбщие расстройства и нарушения в месте введения:\u003Cbr\u003Eнечасто: Боль в месте нанесения (включая ощущение жжения)\u003Cbr\u003Eредко: эффект отмены\u003Cbr\u003EСледующие побочные эффекты связывают с применением кальципотриола и\u003Cbr\u003Eбетаметазона, соответственно:\u003Cbr\u003EКальципотриол:\u003Cbr\u003EПобочные реакции включают местные реакции, зуд, раздражение кожи, чувство жжения и пощипывания, сухость кожи, эритему, сыпь, дерматит, экзему, обострение псориаза, реакции фото- и гиперчувствительности, включающие очень редкие случаи ангионевротического отека и отека лица.\u003Cbr\u003EСистемные реакции, связанные с наружным применением кальципотриола очень редкие:\u003Cbr\u003Eгиперкальциемия или гиперкальциурия.\u003Cbr\u003EБетаметазон (дипропионат):\u003Cbr\u003EПри наружном, в особенности при длительном, применении бетаметазона\u003Cbr\u003E(дипропионата), возможны местные реакции, включающие атрофию кожи, телеангиоэктазии, стрии, фолликулит, гипертрихоз, периоральный дерматит, аллергический контактный дерматит, депигментацию и коллоидную дегенерацию кожи, а также повышение риска развития генерализованного пустулезного псориаза.\u003Cbr\u003EСистемные реакции, связанные с наружным применением глюкокортикостероидов у взрослых пациентов проявляются редко, однако они могут быть серьезными: подавление функции коры надпочечников, катаракта, инфекции, гипергликемия, повышение внутриглазного давления, особенно при длительном применении.\u003Cbr\u003EСистемные реакции возникают более часто при нанесении препарата под окклюзию (полиэтиленовую пленку, в кожаные складки), а так же во время длительного лечения при нанесении на большие участки кожи.\u003Cbr\u003EЕсли любые из указанных в инструкции побочных эффектов усугубляются, или Вы заметили любые другие побочные эффекты не указанные в инструкции, сообщите об этом врачу."},{"description":"","filters":[{"id":15768001,"name":"Фармакологическое действие"}],"isMainProperty":false,"name":"Фармакологическое действие","value":"Кальципотриол - синтетический аналог активного метаболита витамина D. Вызывает торможение пролиферации кератиноцитов и ускоряет их морфологическую дифференциацию. Бетаметазон – глюкокортикостероид (ГКС) для наружного применения; оказывает местное противовоспалительное, противозудное, вазоконстрикторное и иммуносупрессивное действие, однако, точные механизмы противовоспалительного действия глюкокортикостероидов для наружного применения до конца не ясны."},{"description":"","filters":[{"id":34045110,"name":"Фармакологическая группа"}],"isMainProperty":false,"name":"Фармакологическая группа","value":"псориаза средство лечения"},{"description":"","filters":[{"id":27141511,"name":"Форма выпуска для карточки"}],"isMainProperty":false,"name":"Форма выпуска","value":"гель"},{"description":"","filters":[{"id":35947170,"name":"Способ применения/введения"}],"isMainProperty":false,"name":"Способ применения/введения","value":"наружный"},{"description":"","filters":[{"id":23679511,"name":"Минимальный возраст применения"},{"id":16082123,"name":"С рождения"}],"isMainProperty":false,"name":"Минимальный возраст применения","value":"от 18 лет"}]},{"name":"Дополнительно","specs":[{"description":"","filters":[{"id":15767999,"name":"Условия хранения"}],"isMainProperty":false,"name":"Условия хранения","value":"При температуре не выше 25 °С. Не хранить в холодильнике. Хранить в картонной пачке для защиты от света.\u003Cbr\u003EХранить в недоступном для детей месте."},{"description":"","filters":[{"id":15768014,"name":"Передозировка"}],"isMainProperty":false,"name":"Передозировка","value":"Применение препарата в дозах, превышающих рекомендованную, может привести к гиперкальциемии (повышенное содержания кальция в крови); при прекращении лечения состояние нормализуется.\u003Cbr\u003EСимптомы гиперкальциемии включают полиурию (увеличенное образование мочи), запор, мускульную слабость, спутанность сознания и кому.\u003Cbr\u003EЧрезмерно длительное применение ГКС для наружного применения может подавлять функции гипофизарно-надпочечниковой системы с развитием обратимой вторичной надпочечниковой недостаточности. В этих случаях назначается симптоматическое лечение. В случаях хронической токсичности ГКС следует отменять постепенно."},{"description":"","filters":[{"id":15768015,"name":"Применение при беременности и кормлении грудью"}],"isMainProperty":false,"name":"Применение при беременности и кормлении грудью","value":"Беременность\u003Cbr\u003EАдекватные и контролируемые исследования у беременных женщин не проводились.\u003Cbr\u003EКлинические данные о применении препарата у беременных ограничены. В экспериментальных исследованиях на животных было установлено наличие репродуктивной токсичности, в том числе тератогенного действия. Риск для плода или ребенка полностью не исключен. Вопрос о целесообразности применения препарата при беременности должен решаться индивидуально после консультации врача, если потенциальная польза для матери превосходит возможный риск для плода.\u003Cbr\u003EПериод грудного вскармливания\u003Cbr\u003EБетаметазон проникает через плацентарный барьер и экскретируется в грудное молоко.\u003Cbr\u003EСведения о проникновении кальципотриола в грудное молоко отсутствуют. При необходимости применения препарата в период грудного вскармливания, не следует наносить препарат на молочные железы.\u003Cbr\u003EФертильность\u003Cbr\u003EИсследования пероральных доз кальципотриола и бетаметазона на животных не выявили нарушения фертильности у самцов и самок крыс."},{"description":"","filters":[{"id":17360993,"name":"Влияние на способность управлять транспортом и механизмами"}],"isMainProperty":false,"name":"Влияние на способность управлять транспортом и механизмами","value":"Препарат Ксамиол не оказывает негативного влияния на возможность управлять транспортными средствами или движущимися механизмами."},{"description":"","filters":[{"id":15771167,"name":"Особые указания"}],"isMainProperty":false,"name":"Особые указания","value":"Следует избегать нанесения препарата на площадь, превышающую 30% поверхности\u003Cbr\u003Eтела, а также использовать более 15 г препарата в день или 100 г в неделю.\u003Cbr\u003EНе рекомендуется наносить препарат под купальную шапочку, накладывать бандаж, повязки, так как это приводит к увеличению абсорбции глюкокортикостероидов.\u003Cbr\u003EНе следует применять на больших участках поврежденной кожи, слизистых оболочках, складках кожи (области паха, подмышек, под грудью), так как это приводит к увеличению абсорбции глюкокортикостероидов.\u003Cbr\u003EКсамиол содержит сильнодействующую группу стероидов, поэтому не рекомендуется проводить совместное лечение с другими стероидными препаратами. Следует избегать нанесения препарата на кожу лица и в области гениталий (половых органов), так как эти области чувствительны к ГКС. Лекарственный препарат не рекомендуется применять на этих участках кожи. Следует проинформировать пациента о правильном использовании лекарственного препарата. Необходимо избегать нанесения или случайного переноса препарата на лицо, рот и глаза. Руки должны быть тщательно вымыты после каждого нанесения во избежание случайного попадания препарата на эти участки тела.\u003Cbr\u003EВ период лечения препаратом Ксамиол пациенту рекомендуется ограничивать или избегать чрезмерного облучения естественным или искусственным солнечным светом.\u003Cbr\u003EКальципотриол (и содержащие его препараты) разрешено применять местно в комбинации с ультрафиолетовым облучением только в тех случаях, когда лечащий врач сочтет оправданным сопряженный с таким лечением риск.\u003Cbr\u003EПрепарат Ксамиол содержит вспомогательное вещество бутилгидрокситолуол (Е321), которое может вызывать местные кожные реакции (например, контактный дерматит) или раздражение глаз и слизистых оболочек.\u003Cbr\u003EНеобходима консультация с врачом в случаях:\u003Cbr\u003E- если Вы принимаете другие препараты, содержащие глюкокортикостероиды, ввиду повышения риска развития побочных эффектов;\u003Cbr\u003E- если Вы использовали более 15 г в день или 100 г в неделю;\u003Cbr\u003E- прекращение лечения псориаза местными препаратами, содержащими глюкокортикостероиды, может быть сопряжено с риском развития генерализованного пустулезного псориаза и эффектом отмены. Поэтому прекращение лечения рекомендуется проводить под наблюдением врача;\u003Cbr\u003E- если у Вас сахарный диабет, так как глюкокортикостероиды влияют на уровень сахара (глюкозы) в крови в связи с системным всасыванием;\u003Cbr\u003E- при инфицировании кожи, так как может потребоваться антимикробная терапия. В случае усугубления инфекции, лечение препаратом Ксамиол необходимо прекратить;\u003Cbr\u003E- при каплевидном псориазе, поскольку опыт лечения каплевидного псориаза препаратом Ксамиол отсутствует.\u003Cbr\u003EУровень сывороточного кальция приходит в норму после прекращения лечения. Риск развития гиперкальциемии минимален если соответствующие рекомендации были соблюдены.\u003Cbr\u003EПри длительном применении препарата увеличивается риск развития местных и системных кортикостероидных нежелательных лекарственных реакций. 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Инструкция

Показания к применению

Псориаз волосистой части головы.
Псориаз легкой и средней степени тяжести других частей тела.

Противопоказания

Гиперчувствительность к бетаметазону, кальципотриолу, к любому вспомогательному веществу препарата. Препарат Ксамиол противопоказан к применению при псориатической эритродермии, эксфолиативном и пустулезном псориазе. В связи с наличием в составе препарата кальципотриола, Ксамиол противопоказан пациентам с нарушениями кальциевого обмена. В связи с наличием в составе препарата глюкокортикостероида бетаметазона, Ксамиол противопоказан при следующих состояниях: вирусные (например, герпес или ветряная оспа), грибковые, бактериальные и паразитарные инфекции кожи, кожные проявления туберкулеза, периоральный дерматит, атрофия кожи, стрии, повышенная ломкость подкожных вен, ихтиоз, вульгарные угри, розацеа (розовые угри), язвы, раны, детский возраст до 18 лет.

Способ применения и дозы

Наружно.
Перед использованием препарата флакон необходимо встряхнуть. Гель наносят тонким слоем на пораженные участки волосистой части головы или на псориатические бляшки других частей тела 1 раз в сутки, предварительно выдавив небольшое количество геля на чистый палец или непосредственно на пораженный псориазом участок.
Покрытые гелем участки не следует закрывать плотно прилегающей тканью, повязками и окклюзией.
После применения геля Ксамиол руки необходимо помыть, если гель контактировал с пальцами рук. Это предотвратит случайное попадание геля на другие участки тела (в особенности на лицо, области рта и глаз).
Излишки геля, случайно попавшие на здоровую кожу при нанесении на пораженные зоны, удаляют.
Мыть волосы перед нанесением геля Ксамиол на волосистую часть головы не обязательно.
Для достижения оптимального эффекта не рекомендуется сразу после нанесения геля принимать душ или ванну. Препарат должен оставаться на коже в течение ночи или дня.
Дозы и продолжительность лечения
Если вы используете другие препараты, содержащие кальципотриол, то суммарное количество препаратов не должно превышать 15 г в день и 100 г в неделю. Максимальная дневная доза 15 г в день. 4 г геля соответствует 1 чайной ложке.
Обычно для лечения волосистой части головы достаточно количества 1 г до 4 г геля в сутки. Рекомендуемая продолжительность курса лечения составляет 4 недели при псориазе волосистой части головы и 8 недель при псориазе других частей тела. В большинстве случаев видимое улучшение наступает спустя 2 недели после начала лечения, хотя к этому времени полного исчезновения псориаза еще не отмечается.
Общая площадь нанесения препарата не должна превышать 30% поверхности тела (включая как волосистую часть головы, так и другие части тела). Для достижения оптимального терапевтического действия препарат должен оставаться на коже в течение всей ночи или всего дня.
Если рекомендованный период лечения оказался недостаточным, проконсультируйтесь с врачом. Продолжение лечения или повторный курс лечения возможны только под наблюдением врача!
Применение препарата Ксамиол в более высоких дозах и/или более длительный период может вызвать повышение уровня кальция в крови, нарушение нормальной работы надпочечников.
Если прием препарата пропущен, нельзя наносить двойную дозу при следующем применении, чтобы компенсировать пропущенную дозу.
Прекращать применение геля Ксамиол необходимо постепенно, особенно если он применялся длительное время.
Перед прекращением лечения проконсультируйтесь с врачом.

Полная инструкция

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Инструкция

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Достоинства: Помог, мне подошёл, красные зудящие пятна прошли. Использовала на волосистой части головы и на лбу. Сухость и стянутость тоже про...Недостатки: Дороговат

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Белосалик лосьон фл. с распыл., 20 мл

Цена 514 ₽ вместо 519

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Кето плюс шампунь, 150 мл, 1 шт.

Цена 1 487 ₽ вместо 1 502

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Пикладол крем противопсориазный, 30 мл, 100 г, 1 шт., 1 уп.

Цена 364 ₽

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Лостерин крем, 75 мл, 102 г, 1 шт., 1 уп.

Цена 1 007 ₽ вместо 1 515

Жидкий пластырь Fixplast c пантенолом, 60 мл

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Жидкий пластырь Fixplast c пантенолом, 60 мл

Цена 313 ₽ вместо 399

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Азелик гель д/нар. прим., 15%, 30 мл, 30 г

Цена 912 ₽ вместо 984

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Карталин крем д/нар. прим., 100 мл, 100 г, 1 шт., 1 уп.

Цена 851 ₽

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Vitamin D3, 10000 МЕ, 120 шт.

Цена 1 148 ₽ вместо 2 455

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Белосалик мазь, 15 мл, 15 г

Цена 412 ₽ вместо 416

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Псоридонт крем противопсориазный, 50 мл, 50 г, 1 шт.

Цена 329 ₽ вместо 412

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Скин-кап крем д/нар. прим., 0,2 %, 15 мл, 15 г

Цена 1 741 ₽ вместо 2 204

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Низорал шампунь, 2%, 120 мл, 1 шт.

Цена 1 065 ₽ вместо 1 076

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Флексотрон Соло импл. вязкоэластич. стер. для в/суст. ин., 22 мг/мл, 2 мл, 1 шт.

Цена 18 387 ₽ вместо 18 763

Пластырь-повязка 10*8 см медицинская стерильная на рану и шов 20 штук, Fixplast с сорбционной подушечкой

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Пластырь-повязка 10*8 см медицинская стерильная на рану и шов 20 штук, Fixplast с сорбционной подушечкой

Цена 222 ₽ вместо 279

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Описание

Ксамиол гель д/нар. прим., 15 г

Вес, г: 15

Коротко о товаре

Где купить

Цена с картой Яндекс Пэй:1 593 ₽

Дайвобет мазь, 30 г