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Описание

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Ксефокам рапид таб. п/о плен., 8 мг, 12 шт.

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У продавца: 
нет • На Маркете: 5.0
(16)
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Коротко о товаре

Артикул Маркета
2186494328
Тип препарата
Назначение
Действующее вещество
Возраст
от 18 лет
Инструкция
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полное или неполное сочетание бронхиальной астмы, рецидивирующего полипоза носа или околоносовых пазух, ринит, ангионевротический отек, крапивница и непереносимость ацетилсалициловой кислоты и других НПВП (в т. ч. в анамнезе); тромбоцитопения; геморрагический диатез или нарушения свертываемости крови, а также тем, кто перенес операции, сопряженные с риском кровотечения или неполного гемостаза; период после проведения аортокоронарного шунтирования; декомпенсированная сердечная недостаточность; эрозивно-язвенные изменения слизистой желудка или 12-перстной кишки, активное желудочно-кишечное кровотечение; цереброваскулярное или иное кровотечение; желудочно-кишечные кровотечения или перфорация язвы в анамнезе, связанные с приемом НПВП; активная пептическая язва или рецидивирующая пептическая язва в анамнезе; воспалительные заболевания кишечника (болезнь Крона, неспецифический язвенный колит) в фазе обострения; тяжёлая печёночная недостаточность; выраженная почечная недостаточность (уровень сывороточного креатинина более 700 мкмоль/л), прогрессирующие заболевания почек, подтвержденная гиперкалиемия; беременность и период грудного вскармливания; пациентам в возрасте до 18 лет (из-за недостаточного клинического опыта)."},{"name":"Состав","value":"1 таблетка содержит: Действующее вещество: лорноксикам 8 мг Вспомогательные вещества: кальция стеарат 1,6 мг; гипролоза 16,0 мг; натрия гидрокарбонат 40,0 мг; гипролоза низкозамещенная 48,0 мг; микрокристаллическая целлюлоза 96,0 мг; кальция гидрофосфат безводный 110,4 мг. Пленочная оболочка: пропиленгликоль около 1,1 мг; тальк около 3,6 мг; титана диоксид около 3,6 мг; гипромеллоза около 5,7 мг."},{"name":"Действующее вещество","value":"Лорноксикам","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["27144131:28709396"]}}},{"name":"Способ применения и дозы","value":"Ксефокам рапид таблетки покрытые пленочной оболочкой предназначены для приёма внутрь, и их следует принимать, запивая достаточным количеством жидкости.\u003Cbr\u003EДозы и режим приема для всех пациентов должны быть основаны на индивидуальной реакции на препарат. Риск возникновения нежелательных явлений может быть значительно уменьшен, если применять препарат в наименьшей эффективной дозе в течение наиболее короткого периода, необходимого для облегчения симптомов.\u003Cbr\u003EОстрая боль Доза лорноксикама составляет 8-16 мг, разовая доза составляет 8 мг. В первые сутки может быть дана начальная доза 16 мг, а спустя 12 ч — еще 8 мг. Далее максимальная рекомендуемая суточная доза составляет 16 мг. Дополнительная информация для особых групп пациентов\u003Cbr\u003EДети\u003Cbr\u003EЛорноксикам не предназначен для применения у детей и подростков младше 18 лет, так как данных по его безопасности и эффективности недостаточно.\u003Cbr\u003EПожилые люди\u003Cbr\u003EСпециально подбирать дозу пожилым пациентам (старше 65 лет) не требуется, если нет нарушения функции почек или печени. Препарат следует назначать с осторожностью, поскольку в этой возрастной группе нежелательные явления со стороны ЖКТ переносятся хуже. Нарушение функции почек У пациентов с нарушением функции почек может потребоваться коррекция дозы. Нарушение функции печени У пациентов с нарушением функции печени может потребоваться коррекция дозы. Нежелательные эффекты можно минимизировать, используя наименьшую эффективную дозу препарата в течение наименьшего промежутка времени, достаточного для контроля симптомов."},{"name":"Побочные действия","value":"Наиболее часто встречающиеся нежелательные реакции на фоне применения НПВП отмечаются со стороны ЖКТ. В частности, могут развиваться пептические язвы, перфорация или желудочно-кишечное кровотечение (иногда со смертельным исходом, особенно у пожилых людей). После применения НПВП отмечались тошнота, рвота, диарея, метеоризм, запор, диспепсические явления, боли в животе, мелена, кровавая рвота, язвенный стоматит, обострение колита и болезни Крона. В более редких случаях наблюдался гастрит.\u003Cbr\u003EПримерно у 20 % пациентов, применяющих лорноксикам, могут развиваться нежелательные реакции. Наиболее частые реакции - тошнота, рвота и диарея, диспепсические явления, расстройство пищеварения, боли в животе. Сообщалось о случаях отека, артериальной гипертензии и сердечной недостаточности в связи с применением НПВП.\u003Cbr\u003EРезультаты клинических исследований и эпидемиологические данные дают основания предполагать, что применение НПВП (особенно длительное и применение в высоких дозах) может быть связано с повышенным риском развития сердечнососудистых тромботических осложнений (например, инфаркта миокарда или инсульта).\u003Cbr\u003EВ единичных случаях у пациентов с ветряной оспой возможно развитие серьезных инфекционных осложнений со стороны кожи и мягких тканей.\u003Cbr\u003EВ приведенной ниже таблице перечислены нежелательные реакции, которые наблюдались у более чем 0,05% пациентов из 6417, получавших лечение в клинических исследованиях.\u003Cbr\u003EНежелательные реакции сгруппированы по частоте развития в соответствии со следующей классификацией: очень часто (\u003E 1/Ю); часто (от\u003E 1/100 до \u003C 1/10); нечасто (от \u003E 1/1000 до \u003C 1/100); редко (от \u003E 1/10000 до \u003C 1/1000); очень редко (\u003C 1/10000); частота неизвестна (не может быть оценена на основе имеющихся данных).\u003Cbr\u003EИнфекционные и паразитарные заболевания: Редко-Фарингит.\u003Cbr\u003EНарушения со стороны крови и лимфатической системы: Редко-Анемия, тромбоцитопения, лейкопения, удлинение времени кровотечения; Очень редко- Экхимозы. Сообщалось о том, что НПВП могут вызывать потенциально тяжелые гематологические нарушения, например, нейтропению, агранулоцитоз, апластическую анемию и гемолитическую анемию (класс-специфические эффекты)\u003Cbr\u003EНарушения со стороны иммунной системы: Редко - Гиперчувствительность, включая анафилактоидные и анафилактические реакции;\u003Cbr\u003EНарушения со стороны обмена: веществ и питания: Нечасто: Анорексия, изменения веса;\u003Cbr\u003EНарушения психики: Нечасто- Бессонница, депрессия; Редко -Спутанность сознания, нервозность, тревожное возбуждение;\u003Cbr\u003EНарушения со стороны нервной системы: Часто - Кратковременные головные боли слабой интенсивности, головокружение; Редко Сонливость, парестезии, нарушения вкуса, тремор, мигрень; Очень редко- Асептический менингит у больных СКВ и смешанными заболеваниями соединительной ткани; \u003Cbr\u003EНарушения со стороны органа зрения: Часто – Конъюнктивит; Редко - Расстройств зрения;\u003Cbr\u003EНарушения со стороны органа слуха и равновесия: Нечасто - Шум в ушах, вертиго \u003Cbr\u003EНарушения со стороны сердца: Нечасто - Сердцебиение, тахикардия, отеки, сердечная недостаточность;\u003Cbr\u003EНарушения со стороны сосудов: Нечасто - Прилив крови к лицу, отеки; Редко-Артериальная гипертензия, приливы крови, кровоизлияние, гематомы;\u003Cbr\u003EНарушения со стороны дыхательной системы, органов грудной клетки и средостения: Нечасто – Ринит; Редко - Диспноэ, кашель, бронхоспазм;\u003Cbr\u003EНарушения со стороны желудочно-кишечного тракта: Часто - Тошнота, боль в животе, диспепсические явления, диарея, рвота; Нечасто - Запор, метеоризм, отрыжка, сухость во рту, гастрит, язвенная болезнь желудка, боли в эпигастральной области, язвенная болезнь двенадцатипер стной кишки, изъязвления в полости рта; Редко - Мелена, кровавая рвота, стоматит, эзофагит, гастроэзофагеальный рефлюкс, дисфагия, афтозный стоматит, глоссит, перфоративная пептическая язва, желудочно-кишечное кровотечение;\u003Cbr\u003EНарушения со стороны печени и желчевыводящих путей: Нечасто - Повышение активности печеночных ферментов аланинаминотрансферазы (АлАТ) или аспартатаминотрансферазы (АсАТ); Очень редко - Гепатотоксичность, которая может привести к печеночной недостаточности, гепатиту, желтухе и холестазу;\u003Cbr\u003EНарушения со стороны кожи и подкожных тканей: Нечасто - Сыпь, зуд, потливость, эритематозная сыпь, крапивница, ангионевротический отек, алопеция; Редко - Дерматит, экзема, пурпура; Очень редко - Отек и реакции буллезного типа, синдром Стивенса-Джонсона, токсический эпидермальный некролиз;\u003Cbr\u003EНарушения со стороны скелетно-мышечной и соединительной ткани: Нечасто-Артралгия; Редко - Боль в костях, спазмы мышц, миалгия;\u003Cbr\u003EНарушения со стороны почек и мочевыводящих путей: Редко - Никтурия, нарушения мочеиспуска НИЯ, повышение уровня мочевины и креатинине крови; Очень редко - У пациентов с уже имеющимся нарушением функции почек, которым для поддержания почечного кровотока необходимы почечные простагландины, лорноксикам может спровоцировать острую почечную недостаточность. Нефротоксичность в различных формах, включая нефрит и нефротический синдром, является класс-специфическим эффектом НПВП.\u003Cbr\u003EОбщие расстройства и нарушения в месте введения: Нечасто – Недомогание, отек лица, Редко – Астения; \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."},{"name":"Фармакологическое действие","value":"Лорноксикам является нестероидным противовоспалительнымсредством, обладает выраженным обезболивающим и противовоспалительнымдействием, относится к классу оксикамов. В основе механизма действия лежит подавление синтеза простагландинов (ингибированиефермента циклооксигеназы (ЦОГ)), приводящее к уменьшению воспаления.\u003Cbr\u003EЛорноксикам не оказывает влияния на основные показатели состояния организма: температуру тела, частоту дыхания, частоту сердечных сокращений (ЧСС), артериальное давление (АД), данные электрокардиограммы(ЭКГ), спирометрию.\u003Cbr\u003EАнальгетический эффект лорноксикама не связан с наркотическим действием. Препарат Ксефокам рапид не оказывает опиатоподобного действия на центральную нервную систему (ЦНС) и, в отличие от наркотических анальгетиков, не угнетает дыхания, не вызывает лекарственной зависимости.\u003Cbr\u003EВследствие наличия местно¬раздражающего действия в отношении желудочно-кишечного тракта (ЖКТ) и системного ульцерогенного эффекта, связанных с подавлением синтеза простагландинов, нарушения со стороны ЖКТ являются частыми нежелательными эффектами при лечении НПВП."},{"name":"Фармакологическая группа","value":"нестероидный противовоспалительный препарат (НПВП)"},{"name":"Форма выпуска","value":"таблетки"},{"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 18 лет"},{"name":"Условия хранения","value":"При температуре не выше 30 °С. Хранить в недоступном для детей месте.\u003Cbr\u003E"},{"name":"Передозировка","value":"В случае передозировки препарата Ксефокам рапид могут наблюдаться следующие симптомы: тошнота и рвота, церебральные симптомы (головокружение, расстройство зрения, атаксия, переходящая в кому, и судороги). Возможны изменения функции печени и почек и нарушения свёртываемости крови. При реальной или предполагаемой передозировке следует прекратить приём лекарства. Благодаря короткому периоду полувыведения, лорноксикам быстро выводится из организма. Диализ неэффективен. До настоящего времени специфического антидота не известно. Необходимо предусмотреть проведение обычных неотложных мероприятий, включая промывание желудка. Исходя из общих принципов, применение активированного угля только при условии его приёма сразу же после приёма препарата Ксефокам рапид может привести к уменьшению всасываемости препарата. Для лечения желудочно-кишечных расстройств могут применяться аналоги простагландина или ранитидин."},{"name":"Применение при беременности и кормлении грудью","value":"Из-за отсутствия данных по применению\u003Cbr\u003Eпрепарата Ксефокам рапид при беременности и в период грудного вскармливания, не следует применять препарат беременным женщинам и женщинам, кормящим грудью.\u003Cbr\u003EБеременность\u003Cbr\u003EПодавление синтеза простагландинов может оказать отрицательное влияние на течение беременности и/или развитие плода.\u003Cbr\u003EДанные эпидемиологических исследований указывают\tна\tповышенный\tриск самопроизвольного аборта и пороков сердца у плода после применения ингибиторов синтеза простагландинов на раннем сроке беременности. Считается, что риск возрастает с ростом дозы и увеличением продолжительности лечения. У животных введение ингибитора синтеза простагландинов приводило к повышению частоты пред- и постимплантационной потери эмбрионов и гибели эмбрионов на разных сроках беременности.\u003Cbr\u003EПрименение ингибиторов синтеза простагландинов в третьем триместре беременности может привести токсичному влиянию на сердце и легкие плода (преждевременное закрытие артериального протока и развитие легочной гипертензии), а также нарушению функции почек и снижению амниотической жидкости. Применение ингибиторов синтеза простагландинов на поздних сроках беременности может вызвать удлинение времени кровотечения у матери и\tплода,\tа\tтакже\tподавление сократительной активности матки, что может отсрочить или удлинить период родов.\u003Cbr\u003EНе следует применять НПВП женщинам с 20-ой недели беременности в связи с возможным развитием маловодия и/или патологии почек у новорожденных (неонатальная почечная дисфункция).\u003Cbr\u003EПериод грудного вскармливания\u003Cbr\u003EДанных о том, проникает ли лорноксикам в грудное молоко человека, нет.\u003Cbr\u003EЛорноксикам обнаруживается в молоке самок крыс в сравнительно высоких концентрациях. Лорноксикам не следует применять женщинам, кормящим грудью.\u003Cbr\u003EФертильность\u003Cbr\u003EПрименение лорноксикама, как и любого другого препарата, ингибирующего ЦОГ или синтез простагландинов, может ухудшить фертильность и не рекомендуется применять\tженщинам,\tпытающимся забеременеть. У женщин, испытывающих трудности с зачатием или проходящих обследование по поводу бесплодия, следует рассмотреть\tвозможность\tотмены лорноксикама.\u003Cbr\u003E"},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Пациентам, применяющим препарат, необходимо воздерживаться от видов действия, требующих повышенного внимания, быстрых психических и двигательный реакций, употребления алкоголя."},{"name":"Особые указания","value":"Не следует применять препарат одновременно с другими НПВП. При появлении признаков поражения печени (кожный зуд, пожелтение кожных покровов, тошнота, рвота, боли в животе, потемнение мочи, повышение уровня «печеночных трансаминаз») следует прекратить прием препарата и обратиться к лечащему врачу. Препарат может изменять свойства тромбоцитов, однако не заменяет профилактического действия ацетилсалициловой кислоты при сердечно-сосудистых заболеваниях. Прием лорноксикама следует прекратить в случае ухудшения функции почек в процессе лечения нарушения функции почек: легкой степени (креатинин сыворотки 150 — 300 мкмоль/л) и умеренной степени (креатинин сыворотки 300-700 мкмоль/л), так как поддержание почечного кровотока зависит от уровня почечных простагландинов."},{"name":"Взаимодействие","value":"Взаимодействие с другими лекарственными средствами Одновременное применение препарата Ксефокам рапид:\u003Cbr\u003E-циметидина - повышает концентрацию лорноксикама в плазме крови, что может увеличить риск развития побочных эффектов лорноксикама. Взаимодействия с ранитидином и антацидными препаратами не выявлено;\u003Cbr\u003E-антикоагулянтов (например, варфарин) или ингибиторов агрегации тромбоцитов – возможно увеличение времени кровотечения(повышенныйриск\u003Cbr\u003Eкровотечения, необходим контроль международного нормализованного отношения (МНО);\u003Cbr\u003E-фенпрокумона:снижение эффективности лечения фенпрокумоном; \u003Cbr\u003E-гепарина: НПВП повышают риск кровотечения и развития спинальной или эпидуральной гематом при одновременном применении с гепарином при проведении спинальной или эпидуральной анестезии;\u003Cbr\u003E-ингибиторов АПФ - может приводить к снижению гипотензивного действия ингибитора АПФ;\u003Cbr\u003E-бета-адреноблокаторов - снижает гипотензивную эффективность бета- адреноблокаторов;\u003Cbr\u003E-блокатороврецепторов\u003Cbr\u003Eангиотензина II - снижает гипотензивную эффективность блокаторов рецепторов ангиотензина II;\u003Cbr\u003E-диуретиков - снижает мочегонный\u003Cbr\u003Eэффект и гипотензивное действие петлевых и тиазидных диуретикови\u003Cbr\u003Eкалий сберегающих диуретиков (повышенный риск развития\u003Cbr\u003Eгиперкалиемии и нефротоксичности);\u003Cbr\u003E-дигоксина - снижает почечный клиренс дигоксина, что повышает риск токсичности дигоксина;\u003Cbr\u003E-хинолоновых антибиотиков (например, левофлоксацин, офлоксацин) - повышает риск развития судорожного синдрома;\u003Cbr\u003E-антиагрегантов(например, клопидогрел):повышает риск кровотечения;\u003Cbr\u003E-других НПВП - увеличивает риск развития язвенной болезни или ЖКТ кровотечений;\u003Cbr\u003E-глюкокортикостероидов увеличивает риск изъязвления ЖКТ или кровотечений;\u003Cbr\u003E-метотрексата - повышает концентрацию\u003Cbr\u003Eметотрексата в сыворотке. Это может привести к усилению токсичности. При необходимости одновременного\u003Cbr\u003Eприменения этих препаратов требуется пристальное наблюдение за пациентом;\u003Cbr\u003Eселективных ингибиторов обратного захвата серотонина (например, циталопрам, флуоксетин, пароксетин, сертралин) повышает риск кровотечений;\u003Cbr\u003E-солей лития - может вызывать увеличение пиковых концентраций лития в плазме крови и, тем самым, усиливать известные побочные эффекты лития. Необходимо постоянное наблюдение за уровнем ионов лития в сыворотке крови, особенно на первоначальном этапе лечения, при изменении дозы и прекращении лечения;\u003Cbr\u003E-циклоспорина-повышает сывороточную концентрацию циклоспорина.Нефротоксичность циклоспорина может усиливаться вследствие влияния лорноксикама на синтез почечных простагландинов. При совместном применении препаратов необходимо следить за функцией почек;\u003Cbr\u003E-производных сульфонил мочевины (например, глибенкламида) - повышается риск гипогликемии;\u003Cbr\u003E-цефамандол, цефоперазон, цефотетан, вальпроевая кислота увеличивают риск кровотечения;\u003Cbr\u003E-веществ, являющихся индукторами и ингибиторами изофермента CYP2C9: лорноксикам (как и другие НПВП, метаболизируемые изоферментом CYP2C9 взаимодействует с его индукторами и ингибиторами; такролимуса - повышение риска нефротоксичного эффекта вследствие угнетения синтеза простациклина в почках; При совместном применении препаратов необходимо следить за функцией почек;\u003Cbr\u003E-пеметрекседа: НПВП могут снижать почечный клиренс пеметрекседа, что приводит к возрастанию нефротоксичности и желудочно-кишечной токсичности препарата, а также к угнетению кроветворения.\u003Cbr\u003EВ случае приема препарата Ксефокам рапид таблетки, покрытые пленочной оболочкой, с пищей, всасывание лорноксикама замедляется. Поэтому препарат не следует принимать вместе с пищей,если требуется быстрое\u003Cbr\u003Eнаступление действия препарата (снятие болевого синдрома). Прием с пищей может снижать всасывание лорноксикама примерно на 20 % и повышать Тmах."},{"name":"Регистрационный номер","value":"ЛC-000323"},{"name":"Дата государственной регистрации","value":"25.08.2021"},{"name":"Владелец регистрационного удостоверения","value":"Takeda Pharma A/S","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["34324371:35649313","7893318:16227833"]}}},{"name":"Изготовитель","value":"Takeda GmbH"},{"name":"Страна бренда","value":"Германия"},{"name":"Страна-производитель","value":"Германия"},{"name":"Название препарата","value":"Ксефокам","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["17796364:18025441"]}}},{"name":"Срок годности","value":"470 дн."}]}},"fullSpecsGrouped":{"1746733133216499411":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Органы и системы","value":"нервная система, опорно-двигательная система"},{"name":"Назначение","value":"боль в мышцах, боль в суставах, посттравматический болевой синдром"},{"name":"Показания к применению","value":"Кратковременное симптоматическое лечение легкого или умеренного болевого синдрома у взрослых."},{"name":"Противопоказания","value":"гиперчувствительность к лорноксикаму или любому из вспомогательных веществ; полное или неполное сочетание бронхиальной астмы, рецидивирующего полипоза носа или околоносовых пазух, ринит, ангионевротический отек, крапивница и непереносимость ацетилсалициловой кислоты и других НПВП (в т. ч. в анамнезе); тромбоцитопения; геморрагический диатез или нарушения свертываемости крови, а также тем, кто перенес операции, сопряженные с риском кровотечения или неполного гемостаза; период после проведения аортокоронарного шунтирования; декомпенсированная сердечная недостаточность; эрозивно-язвенные изменения слизистой желудка или 12-перстной кишки, активное желудочно-кишечное кровотечение; цереброваскулярное или иное кровотечение; желудочно-кишечные кровотечения или перфорация язвы в анамнезе, связанные с приемом НПВП; активная пептическая язва или рецидивирующая пептическая язва в анамнезе; воспалительные заболевания кишечника (болезнь Крона, неспецифический язвенный колит) в фазе обострения; тяжёлая печёночная недостаточность; выраженная почечная недостаточность (уровень сывороточного креатинина более 700 мкмоль/л), прогрессирующие заболевания почек, подтвержденная гиперкалиемия; беременность и период грудного вскармливания; пациентам в возрасте до 18 лет (из-за недостаточного клинического опыта)."},{"name":"Состав","value":"1 таблетка содержит: Действующее вещество: лорноксикам 8 мг Вспомогательные вещества: кальция стеарат 1,6 мг; гипролоза 16,0 мг; натрия гидрокарбонат 40,0 мг; гипролоза низкозамещенная 48,0 мг; микрокристаллическая целлюлоза 96,0 мг; кальция гидрофосфат безводный 110,4 мг. Пленочная оболочка: пропиленгликоль около 1,1 мг; тальк около 3,6 мг; титана диоксид около 3,6 мг; гипромеллоза около 5,7 мг."},{"name":"Действующее вещество","value":"Лорноксикам"},{"name":"Способ применения и дозы","value":"Ксефокам рапид таблетки покрытые пленочной оболочкой предназначены для приёма внутрь, и их следует принимать, запивая достаточным количеством жидкости.\u003Cbr\u003EДозы и режим приема для всех пациентов должны быть основаны на индивидуальной реакции на препарат. Риск возникновения нежелательных явлений может быть значительно уменьшен, если применять препарат в наименьшей эффективной дозе в течение наиболее короткого периода, необходимого для облегчения симптомов.\u003Cbr\u003EОстрая боль Доза лорноксикама составляет 8-16 мг, разовая доза составляет 8 мг. В первые сутки может быть дана начальная доза 16 мг, а спустя 12 ч — еще 8 мг. Далее максимальная рекомендуемая суточная доза составляет 16 мг. Дополнительная информация для особых групп пациентов\u003Cbr\u003EДети\u003Cbr\u003EЛорноксикам не предназначен для применения у детей и подростков младше 18 лет, так как данных по его безопасности и эффективности недостаточно.\u003Cbr\u003EПожилые люди\u003Cbr\u003EСпециально подбирать дозу пожилым пациентам (старше 65 лет) не требуется, если нет нарушения функции почек или печени. Препарат следует назначать с осторожностью, поскольку в этой возрастной группе нежелательные явления со стороны ЖКТ переносятся хуже. Нарушение функции почек У пациентов с нарушением функции почек может потребоваться коррекция дозы. Нарушение функции печени У пациентов с нарушением функции печени может потребоваться коррекция дозы. Нежелательные эффекты можно минимизировать, используя наименьшую эффективную дозу препарата в течение наименьшего промежутка времени, достаточного для контроля симптомов."},{"name":"Побочные действия","value":"Наиболее часто встречающиеся нежелательные реакции на фоне применения НПВП отмечаются со стороны ЖКТ. В частности, могут развиваться пептические язвы, перфорация или желудочно-кишечное кровотечение (иногда со смертельным исходом, особенно у пожилых людей). После применения НПВП отмечались тошнота, рвота, диарея, метеоризм, запор, диспепсические явления, боли в животе, мелена, кровавая рвота, язвенный стоматит, обострение колита и болезни Крона. В более редких случаях наблюдался гастрит.\u003Cbr\u003EПримерно у 20 % пациентов, применяющих лорноксикам, могут развиваться нежелательные реакции. Наиболее частые реакции - тошнота, рвота и диарея, диспепсические явления, расстройство пищеварения, боли в животе. Сообщалось о случаях отека, артериальной гипертензии и сердечной недостаточности в связи с применением НПВП.\u003Cbr\u003EРезультаты клинических исследований и эпидемиологические данные дают основания предполагать, что применение НПВП (особенно длительное и применение в высоких дозах) может быть связано с повышенным риском развития сердечнососудистых тромботических осложнений (например, инфаркта миокарда или инсульта).\u003Cbr\u003EВ единичных случаях у пациентов с ветряной оспой возможно развитие серьезных инфекционных осложнений со стороны кожи и мягких тканей.\u003Cbr\u003EВ приведенной ниже таблице перечислены нежелательные реакции, которые наблюдались у более чем 0,05% пациентов из 6417, получавших лечение в клинических исследованиях.\u003Cbr\u003EНежелательные реакции сгруппированы по частоте развития в соответствии со следующей классификацией: очень часто (\u003E 1/Ю); часто (от\u003E 1/100 до \u003C 1/10); нечасто (от \u003E 1/1000 до \u003C 1/100); редко (от \u003E 1/10000 до \u003C 1/1000); очень редко (\u003C 1/10000); частота неизвестна (не может быть оценена на основе имеющихся данных).\u003Cbr\u003EИнфекционные и паразитарные заболевания: Редко-Фарингит.\u003Cbr\u003EНарушения со стороны крови и лимфатической системы: Редко-Анемия, тромбоцитопения, лейкопения, удлинение времени кровотечения; Очень редко- Экхимозы. Сообщалось о том, что НПВП могут вызывать потенциально тяжелые гематологические нарушения, например, нейтропению, агранулоцитоз, апластическую анемию и гемолитическую анемию (класс-специфические эффекты)\u003Cbr\u003EНарушения со стороны иммунной системы: Редко - Гиперчувствительность, включая анафилактоидные и анафилактические реакции;\u003Cbr\u003EНарушения со стороны обмена: веществ и питания: Нечасто: Анорексия, изменения веса;\u003Cbr\u003EНарушения психики: Нечасто- Бессонница, депрессия; Редко -Спутанность сознания, нервозность, тревожное возбуждение;\u003Cbr\u003EНарушения со стороны нервной системы: Часто - Кратковременные головные боли слабой интенсивности, головокружение; Редко Сонливость, парестезии, нарушения вкуса, тремор, мигрень; Очень редко- Асептический менингит у больных СКВ и смешанными заболеваниями соединительной ткани; \u003Cbr\u003EНарушения со стороны органа зрения: Часто – Конъюнктивит; Редко - Расстройств зрения;\u003Cbr\u003EНарушения со стороны органа слуха и равновесия: Нечасто - Шум в ушах, вертиго \u003Cbr\u003EНарушения со стороны сердца: Нечасто - Сердцебиение, тахикардия, отеки, сердечная недостаточность;\u003Cbr\u003EНарушения со стороны сосудов: Нечасто - Прилив крови к лицу, отеки; Редко-Артериальная гипертензия, приливы крови, кровоизлияние, гематомы;\u003Cbr\u003EНарушения со стороны дыхательной системы, органов грудной клетки и средостения: Нечасто – Ринит; Редко - Диспноэ, кашель, бронхоспазм;\u003Cbr\u003EНарушения со стороны желудочно-кишечного тракта: Часто - Тошнота, боль в животе, диспепсические явления, диарея, рвота; Нечасто - Запор, метеоризм, отрыжка, сухость во рту, гастрит, язвенная болезнь желудка, боли в эпигастральной области, язвенная болезнь двенадцатипер стной кишки, изъязвления в полости рта; Редко - Мелена, кровавая рвота, стоматит, эзофагит, гастроэзофагеальный рефлюкс, дисфагия, афтозный стоматит, глоссит, перфоративная пептическая язва, желудочно-кишечное кровотечение;\u003Cbr\u003EНарушения со стороны печени и желчевыводящих путей: Нечасто - Повышение активности печеночных ферментов аланинаминотрансферазы (АлАТ) или аспартатаминотрансферазы (АсАТ); Очень редко - Гепатотоксичность, которая может привести к печеночной недостаточности, гепатиту, желтухе и холестазу;\u003Cbr\u003EНарушения со стороны кожи и подкожных тканей: Нечасто - Сыпь, зуд, потливость, эритематозная сыпь, крапивница, ангионевротический отек, алопеция; Редко - Дерматит, экзема, пурпура; Очень редко - Отек и реакции буллезного типа, синдром Стивенса-Джонсона, токсический эпидермальный некролиз;\u003Cbr\u003EНарушения со стороны скелетно-мышечной и соединительной ткани: Нечасто-Артралгия; Редко - Боль в костях, спазмы мышц, миалгия;\u003Cbr\u003EНарушения со стороны почек и мочевыводящих путей: Редко - Никтурия, нарушения мочеиспуска НИЯ, повышение уровня мочевины и креатинине крови; Очень редко - У пациентов с уже имеющимся нарушением функции почек, которым для поддержания почечного кровотока необходимы почечные простагландины, лорноксикам может спровоцировать острую почечную недостаточность. Нефротоксичность в различных формах, включая нефрит и нефротический синдром, является класс-специфическим эффектом НПВП.\u003Cbr\u003EОбщие расстройства и нарушения в месте введения: Нечасто – Недомогание, отек лица, Редко – Астения; \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."},{"name":"Фармакологическое действие","value":"Лорноксикам является нестероидным противовоспалительнымсредством, обладает выраженным обезболивающим и противовоспалительнымдействием, относится к классу оксикамов. В основе механизма действия лежит подавление синтеза простагландинов (ингибированиефермента циклооксигеназы (ЦОГ)), приводящее к уменьшению воспаления.\u003Cbr\u003EЛорноксикам не оказывает влияния на основные показатели состояния организма: температуру тела, частоту дыхания, частоту сердечных сокращений (ЧСС), артериальное давление (АД), данные электрокардиограммы(ЭКГ), спирометрию.\u003Cbr\u003EАнальгетический эффект лорноксикама не связан с наркотическим действием. Препарат Ксефокам рапид не оказывает опиатоподобного действия на центральную нервную систему (ЦНС) и, в отличие от наркотических анальгетиков, не угнетает дыхания, не вызывает лекарственной зависимости.\u003Cbr\u003EВследствие наличия местно¬раздражающего действия в отношении желудочно-кишечного тракта (ЖКТ) и системного ульцерогенного эффекта, связанных с подавлением синтеза простагландинов, нарушения со стороны ЖКТ являются частыми нежелательными эффектами при лечении НПВП."},{"name":"Фармакологическая группа","value":"нестероидный противовоспалительный препарат (НПВП)"},{"name":"Форма выпуска","value":"таблетки"},{"name":"Способ применения/введения","value":"пероральный"},{"name":"Минимальный возраст применения","value":"от 18 лет"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"При температуре не выше 30 °С. Хранить в недоступном для детей месте.\u003Cbr\u003E"},{"name":"Передозировка","value":"В случае передозировки препарата Ксефокам рапид могут наблюдаться следующие симптомы: тошнота и рвота, церебральные симптомы (головокружение, расстройство зрения, атаксия, переходящая в кому, и судороги). Возможны изменения функции печени и почек и нарушения свёртываемости крови. При реальной или предполагаемой передозировке следует прекратить приём лекарства. Благодаря короткому периоду полувыведения, лорноксикам быстро выводится из организма. Диализ неэффективен. До настоящего времени специфического антидота не известно. Необходимо предусмотреть проведение обычных неотложных мероприятий, включая промывание желудка. Исходя из общих принципов, применение активированного угля только при условии его приёма сразу же после приёма препарата Ксефокам рапид может привести к уменьшению всасываемости препарата. Для лечения желудочно-кишечных расстройств могут применяться аналоги простагландина или ранитидин."},{"name":"Применение при беременности и кормлении грудью","value":"Из-за отсутствия данных по применению\u003Cbr\u003Eпрепарата Ксефокам рапид при беременности и в период грудного вскармливания, не следует применять препарат беременным женщинам и женщинам, кормящим грудью.\u003Cbr\u003EБеременность\u003Cbr\u003EПодавление синтеза простагландинов может оказать отрицательное влияние на течение беременности и/или развитие плода.\u003Cbr\u003EДанные эпидемиологических исследований указывают\tна\tповышенный\tриск самопроизвольного аборта и пороков сердца у плода после применения ингибиторов синтеза простагландинов на раннем сроке беременности. Считается, что риск возрастает с ростом дозы и увеличением продолжительности лечения. У животных введение ингибитора синтеза простагландинов приводило к повышению частоты пред- и постимплантационной потери эмбрионов и гибели эмбрионов на разных сроках беременности.\u003Cbr\u003EПрименение ингибиторов синтеза простагландинов в третьем триместре беременности может привести токсичному влиянию на сердце и легкие плода (преждевременное закрытие артериального протока и развитие легочной гипертензии), а также нарушению функции почек и снижению амниотической жидкости. Применение ингибиторов синтеза простагландинов на поздних сроках беременности может вызвать удлинение времени кровотечения у матери и\tплода,\tа\tтакже\tподавление сократительной активности матки, что может отсрочить или удлинить период родов.\u003Cbr\u003EНе следует применять НПВП женщинам с 20-ой недели беременности в связи с возможным развитием маловодия и/или патологии почек у новорожденных (неонатальная почечная дисфункция).\u003Cbr\u003EПериод грудного вскармливания\u003Cbr\u003EДанных о том, проникает ли лорноксикам в грудное молоко человека, нет.\u003Cbr\u003EЛорноксикам обнаруживается в молоке самок крыс в сравнительно высоких концентрациях. Лорноксикам не следует применять женщинам, кормящим грудью.\u003Cbr\u003EФертильность\u003Cbr\u003EПрименение лорноксикама, как и любого другого препарата, ингибирующего ЦОГ или синтез простагландинов, может ухудшить фертильность и не рекомендуется применять\tженщинам,\tпытающимся забеременеть. У женщин, испытывающих трудности с зачатием или проходящих обследование по поводу бесплодия, следует рассмотреть\tвозможность\tотмены лорноксикама.\u003Cbr\u003E"},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Пациентам, применяющим препарат, необходимо воздерживаться от видов действия, требующих повышенного внимания, быстрых психических и двигательный реакций, употребления алкоголя."},{"name":"Особые указания","value":"Не следует применять препарат одновременно с другими НПВП. При появлении признаков поражения печени (кожный зуд, пожелтение кожных покровов, тошнота, рвота, боли в животе, потемнение мочи, повышение уровня «печеночных трансаминаз») следует прекратить прием препарата и обратиться к лечащему врачу. Препарат может изменять свойства тромбоцитов, однако не заменяет профилактического действия ацетилсалициловой кислоты при сердечно-сосудистых заболеваниях. Прием лорноксикама следует прекратить в случае ухудшения функции почек в процессе лечения нарушения функции почек: легкой степени (креатинин сыворотки 150 — 300 мкмоль/л) и умеренной степени (креатинин сыворотки 300-700 мкмоль/л), так как поддержание почечного кровотока зависит от уровня почечных простагландинов."},{"name":"Взаимодействие","value":"Взаимодействие с другими лекарственными средствами Одновременное применение препарата Ксефокам рапид:\u003Cbr\u003E-циметидина - повышает концентрацию лорноксикама в плазме крови, что может увеличить риск развития побочных эффектов лорноксикама. Взаимодействия с ранитидином и антацидными препаратами не выявлено;\u003Cbr\u003E-антикоагулянтов (например, варфарин) или ингибиторов агрегации тромбоцитов – возможно увеличение времени кровотечения(повышенныйриск\u003Cbr\u003Eкровотечения, необходим контроль международного нормализованного отношения (МНО);\u003Cbr\u003E-фенпрокумона:снижение эффективности лечения фенпрокумоном; \u003Cbr\u003E-гепарина: НПВП повышают риск кровотечения и развития спинальной или эпидуральной гематом при одновременном применении с гепарином при проведении спинальной или эпидуральной анестезии;\u003Cbr\u003E-ингибиторов АПФ - может приводить к снижению гипотензивного действия ингибитора АПФ;\u003Cbr\u003E-бета-адреноблокаторов - снижает гипотензивную эффективность бета- адреноблокаторов;\u003Cbr\u003E-блокатороврецепторов\u003Cbr\u003Eангиотензина II - снижает гипотензивную эффективность блокаторов рецепторов ангиотензина II;\u003Cbr\u003E-диуретиков - снижает мочегонный\u003Cbr\u003Eэффект и гипотензивное действие петлевых и тиазидных диуретикови\u003Cbr\u003Eкалий сберегающих диуретиков (повышенный риск развития\u003Cbr\u003Eгиперкалиемии и нефротоксичности);\u003Cbr\u003E-дигоксина - снижает почечный клиренс дигоксина, что повышает риск токсичности дигоксина;\u003Cbr\u003E-хинолоновых антибиотиков (например, левофлоксацин, офлоксацин) - повышает риск развития судорожного синдрома;\u003Cbr\u003E-антиагрегантов(например, клопидогрел):повышает риск кровотечения;\u003Cbr\u003E-других НПВП - увеличивает риск развития язвенной болезни или ЖКТ кровотечений;\u003Cbr\u003E-глюкокортикостероидов увеличивает риск изъязвления ЖКТ или кровотечений;\u003Cbr\u003E-метотрексата - повышает концентрацию\u003Cbr\u003Eметотрексата в сыворотке. Это может привести к усилению токсичности. При необходимости одновременного\u003Cbr\u003Eприменения этих препаратов требуется пристальное наблюдение за пациентом;\u003Cbr\u003Eселективных ингибиторов обратного захвата серотонина (например, циталопрам, флуоксетин, пароксетин, сертралин) повышает риск кровотечений;\u003Cbr\u003E-солей лития - может вызывать увеличение пиковых концентраций лития в плазме крови и, тем самым, усиливать известные побочные эффекты лития. Необходимо постоянное наблюдение за уровнем ионов лития в сыворотке крови, особенно на первоначальном этапе лечения, при изменении дозы и прекращении лечения;\u003Cbr\u003E-циклоспорина-повышает сывороточную концентрацию циклоспорина.Нефротоксичность циклоспорина может усиливаться вследствие влияния лорноксикама на синтез почечных простагландинов. При совместном применении препаратов необходимо следить за функцией почек;\u003Cbr\u003E-производных сульфонил мочевины (например, глибенкламида) - повышается риск гипогликемии;\u003Cbr\u003E-цефамандол, цефоперазон, цефотетан, вальпроевая кислота увеличивают риск кровотечения;\u003Cbr\u003E-веществ, являющихся индукторами и ингибиторами изофермента CYP2C9: лорноксикам (как и другие НПВП, метаболизируемые изоферментом CYP2C9 взаимодействует с его индукторами и ингибиторами; такролимуса - повышение риска нефротоксичного эффекта вследствие угнетения синтеза простациклина в почках; При совместном применении препаратов необходимо следить за функцией почек;\u003Cbr\u003E-пеметрекседа: НПВП могут снижать почечный клиренс пеметрекседа, что приводит к возрастанию нефротоксичности и желудочно-кишечной токсичности препарата, а также к угнетению кроветворения.\u003Cbr\u003EВ случае приема препарата Ксефокам рапид таблетки, покрытые пленочной оболочкой, с пищей, всасывание лорноксикама замедляется. Поэтому препарат не следует принимать вместе с пищей,если требуется быстрое\u003Cbr\u003Eнаступление действия препарата (снятие болевого синдрома). Прием с пищей может снижать всасывание лорноксикама примерно на 20 % и повышать Тmах."},{"name":"Регистрационный номер","value":"ЛC-000323"},{"name":"Дата государственной регистрации","value":"25.08.2021"},{"name":"Владелец регистрационного удостоверения","value":"Takeda Pharma A/S"},{"name":"Изготовитель","value":"Takeda GmbH"},{"name":"Страна бренда","value":"Германия"},{"name":"Страна-производитель","value":"Германия"},{"name":"Название препарата","value":"Ксефокам"},{"name":"Срок годности","value":"470 дн."}]}],"transitionId":"tr_1290945407526693482"}}}}
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Есть противопоказания, посоветуйтесь с врачом. Отпускается по рецепту врача. Приобретение лекарственных препаратов осуществляется только в торговом зале аптеки

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  • Артнео капс., 35 г, 30 шт., нейтральный, 1 уп.
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-xzt81td5m8r/toggleWishlist":{"skuId":"925352018","productId":1778175351,"offerId":"Dtww0LlWKdfSHVTt2bhjqg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQxpqq0Zfso4NQEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYI95rzzwYQ0oCfuQMYn+ajByDn3MEH","sign":"ZX95onU5ZZm/Zqkz8lMf3mgM8v5kShyxt0GAnBWXpFw="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-xzt81td5m8r/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

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

    Рейтинг товара: 4.8 из 5
    на основе 310 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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  • Лошадиная сила бальзам-гель Релаксирующий, 125 мл, 125 г, 1 шт., ментол, 1 уп.
    –40 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-ljbn54vosnf/toggleWishlist":{"skuId":"101601801911","productId":974572456,"offerId":"3_KI8NomllUEgFM1y5hFXw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQxpqq0Zfso4NQEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcIqJfb0AMQt+3Bv/oCGJrfoxEg59zBBw==","sign":"2H6jaKfba+kWVBZsRQMc3hCswZBXxLC42e8CXqzpkCc="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-ljbn54vosnf/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Лошадиная сила бальзам-гель Релаксирующий, 125 мл, 125 г, 1 шт., ментол, 1 уп.

    Рейтинг товара: 4.8 из 5
    на основе 267 оценок
    Цена 470 ₽ вместо 780
    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  • Bang De Li ZB Pain Relief Orthopedic Plaster, 7.5 г, 5 шт., 12 х 18 см, 1 уп.
    –56 %
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    Bang De Li ZB Pain Relief Orthopedic Plaster, 7.5 г, 5 шт., 12 х 18 см, 1 уп.

    Рейтинг товара: 4.5 из 5
    на основе 23 оценки
    Цена 700 ₽ вместо 1 600
    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  • Флексотер крем, 75 мл, нейтральный, 1 уп.
    –58 %
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    Флексотер крем, 75 мл, нейтральный, 1 уп.

    Рейтинг товара: 4.7 из 5
    на основе 20 оценок
    Цена 249 ₽ вместо 599
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  • Ревмафлекс капс., 60 шт., нейтральный, 1 уп.
    –1 %
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    Ревмафлекс капс., 60 шт., нейтральный, 1 уп.

    Рейтинг товара: 4.5 из 5
    на основе 14 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 948 ₽ вместо 958
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  • Глюкозамин-Хондроитиновый комплекс с коллагеном капс., 90 шт.
    –1 %
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    Глюкозамин-Хондроитиновый комплекс с коллагеном капс., 90 шт.

    Рейтинг товара: 4.8 из 5
    на основе 59 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 869 ₽ вместо 878
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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 114 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 389 ₽ вместо 393
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  • Флексотрон Соло импл. вязкоэластич. стер. для в/суст. ин., 22 мг/мл, 2 мл, 1 шт.
    –1 %
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    Флексотрон Соло импл. вязкоэластич. стер. для в/суст. ин., 22 мг/мл, 2 мл, 1 шт.

    Рейтинг товара: 4.8 из 5
    на основе 168 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 15 939 ₽ вместо 16 100
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  • Геладринк форте пор. д/приг. р-ра д/вн. приема, 420 г, апельсин
    –1 %
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    Геладринк форте пор. д/приг. р-ра д/вн. приема, 420 г, апельсин

    Рейтинг товара: 4.8 из 5
    на основе 443 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 3 748 ₽ вместо 3 786
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  • Армавискон Platinum р-р для в/суст. введ., 3%, 3 мл, 1 шт.
    –35 %
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    Армавискон Platinum р-р для в/суст. введ., 3%, 3 мл, 1 шт.

    Рейтинг товара: 4.7 из 5
    на основе 174 оценки
    Цена 18 404 ₽ вместо 28 170
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  • Хонда капс., 30 шт., 1 уп.
    –1 %
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    Хонда капс., 30 шт., 1 уп.

    Рейтинг товара: 4.8 из 5
    на основе 9 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 407 ₽ вместо 411
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  • Флексотрон Плюс импл. вязкоэл. стерил. в/суст. шприц, 20 мг/мл, 3 мл, 1 шт., 1 уп.
    –1 %
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    Флексотрон Плюс импл. вязкоэл. стерил. в/суст. шприц, 20 мг/мл, 3 мл, 1 шт., 1 уп.

    Рейтинг товара: 4.9 из 5
    на основе 131 оценка
    С картой  Пэй
    Цена с картой Яндекс Пэй 7 970 ₽ вместо 8 050
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Инструкция

Показания к применению

Кратковременное симптоматическое лечение легкого или умеренного болевого синдрома у взрослых.

Противопоказания

гиперчувствительность к лорноксикаму или любому из вспомогательных веществ; полное или неполное сочетание бронхиальной астмы, рецидивирующего полипоза носа или околоносовых пазух, ринит, ангионевротический отек, крапивница и непереносимость ацетилсалициловой кислоты и других НПВП (в т. ч. в анамнезе); тромбоцитопения; геморрагический диатез или нарушения свертываемости крови, а также тем, кто перенес операции, сопряженные с риском кровотечения или неполного гемостаза; период после проведения аортокоронарного шунтирования; декомпенсированная сердечная недостаточность; эрозивно-язвенные изменения слизистой желудка или 12-перстной кишки, активное желудочно-кишечное кровотечение; цереброваскулярное или иное кровотечение; желудочно-кишечные кровотечения или перфорация язвы в анамнезе, связанные с приемом НПВП; активная пептическая язва или рецидивирующая пептическая язва в анамнезе; воспалительные заболевания кишечника (болезнь Крона, неспецифический язвенный колит) в фазе обострения; тяжёлая печёночная недостаточность; выраженная почечная недостаточность (уровень сывороточного креатинина более 700 мкмоль/л), прогрессирующие заболевания почек, подтвержденная гиперкалиемия; беременность и период грудного вскармливания; пациентам в возрасте до 18 лет (из-за недостаточного клинического опыта).

Способ применения и дозы

Ксефокам рапид таблетки покрытые пленочной оболочкой предназначены для приёма внутрь, и их следует принимать, запивая достаточным количеством жидкости.
Дозы и режим приема для всех пациентов должны быть основаны на индивидуальной реакции на препарат. Риск возникновения нежелательных явлений может быть значительно уменьшен, если применять препарат в наименьшей эффективной дозе в течение наиболее короткого периода, необходимого для облегчения симптомов.
Острая боль Доза лорноксикама составляет 8-16 мг, разовая доза составляет 8 мг. В первые сутки может быть дана начальная доза 16 мг, а спустя 12 ч — еще 8 мг. Далее максимальная рекомендуемая суточная доза составляет 16 мг. Дополнительная информация для особых групп пациентов
Дети
Лорноксикам не предназначен для применения у детей и подростков младше 18 лет, так как данных по его безопасности и эффективности недостаточно.
Пожилые люди
Специально подбирать дозу пожилым пациентам (старше 65 лет) не требуется, если нет нарушения функции почек или печени. Препарат следует назначать с осторожностью, поскольку в этой возрастной группе нежелательные явления со стороны ЖКТ переносятся хуже. Нарушение функции почек У пациентов с нарушением функции почек может потребоваться коррекция дозы. Нарушение функции печени У пациентов с нарушением функции печени может потребоваться коррекция дозы. Нежелательные эффекты можно минимизировать, используя наименьшую эффективную дозу препарата в течение наименьшего промежутка времени, достаточного для контроля симптомов.
Полная инструкция
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Ксефокам рапид таб. п/о плен.
Ксефокам рапид таб. п/о плен., 8 мг, 12 шт.
У продавца: 
нет • На Маркете: 5.0
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У других продавцов:16 оценок·5 отзывов
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    Эвалар Чай Эвалар БИО при повышенном содержании мочевой кислоты, 20 фильтр-пакетов

    Цена 194 ₽ вместо 224
  • Лошадиная сила бальзам-гель Релаксирующий, 125 мл, 125 г, 1 шт., ментол, 1 уп.
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    Лошадиная сила бальзам-гель Релаксирующий, 125 мл, 125 г, 1 шт., ментол, 1 уп.

    Цена 470 ₽ вместо 780
  • Дипроспан сусп. д/ин., 2мг+5мг/мл, 1 мл, 1 шт.
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    Дипроспан сусп. д/ин., 2мг+5мг/мл, 1 мл, 1 шт.

    Цена 796 ₽
  • Глюкозамин-Хондроитиновый комплекс с коллагеном капс., 90 шт.
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    Глюкозамин-Хондроитиновый комплекс с коллагеном капс., 90 шт.

    Цена 869 ₽ вместо 878
  • Лимфомиозот капли д/вн. приема, 30 мл
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    Лимфомиозот капли д/вн. приема, 30 мл

    Цена 910 ₽ вместо 1 081
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    Реклама
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  • Тербинафин крем, 1%, 15 г, 1 шт.
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    Тербинафин крем, 1%, 15 г, 1 шт.

    Цена 79 ₽ вместо 80
  • Флексотер крем, 75 мл, нейтральный, 1 уп.
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    Флексотер крем, 75 мл, нейтральный, 1 уп.

    Цена 249 ₽ вместо 599
  • Глюкозамин-хондроитиновый комплекс капс., 90 шт.
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    Глюкозамин-хондроитиновый комплекс капс., 90 шт.

    Цена 389 ₽ вместо 393
  • БиоГая Пробиотик капли детск. фл., 5 мл, 1 уп.
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    БиоГая Пробиотик капли детск. фл., 5 мл, 1 уп.

    Цена 1 752 ₽ вместо 3 500
  • Артнео капс., 35 г, 30 шт., нейтральный, 1 уп.
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    Артнео капс., 35 г, 30 шт., нейтральный, 1 уп.

    Цена 1 362 ₽ вместо 4 225
  • Флексотрон Соло импл. вязкоэластич. стер. для в/суст. ин., 22 мг/мл, 2 мл, 1 шт.
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    Флексотрон Соло импл. вязкоэластич. стер. для в/суст. ин., 22 мг/мл, 2 мл, 1 шт.

    Цена 15 939 ₽ вместо 16 100
  • Бинт когезивный (самофиксирующийся) "Вариант", 4м х 6см , белый, 2 шт. в наборе
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    Бинт когезивный (самофиксирующийся) "Вариант", 4м х 6см , белый, 2 шт. в наборе

    Цена 354 ₽ вместо 389
  • Bang De Li ZB Pain Relief Orthopedic Plaster, 7.5 г, 5 шт., 12 х 18 см, 1 уп.
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    Bang De Li ZB Pain Relief Orthopedic Plaster, 7.5 г, 5 шт., 12 х 18 см, 1 уп.

    Цена 700 ₽ вместо 1 600
  • Геладринк форте пор. д/приг. р-ра д/вн. приема, 420 г, апельсин
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    Геладринк форте пор. д/приг. р-ра д/вн. приема, 420 г, апельсин

    Цена 3 748 ₽ вместо 3 786
  • ЛимфоТранзит концентрат напитка фл., 100 мл
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    ЛимфоТранзит концентрат напитка фл., 100 мл

    Цена 361 ₽ вместо 365
  • Армавискон Platinum р-р для в/суст. введ., 3%, 3 мл, 1 шт.
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    Армавискон Platinum р-р для в/суст. введ., 3%, 3 мл, 1 шт.

    Цена 18 404 ₽ вместо 28 170
  • Хонда капс., 30 шт., 1 уп.
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    Хонда капс., 30 шт., 1 уп.

    Цена 407 ₽ вместо 411
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    Реклама
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  • Флексотрон Плюс импл. вязкоэл. стерил. в/суст. шприц, 20 мг/мл, 3 мл, 1 шт., 1 уп.
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    Флексотрон Плюс импл. вязкоэл. стерил. в/суст. шприц, 20 мг/мл, 3 мл, 1 шт., 1 уп.

    Цена 7 970 ₽ вместо 8 050
  • Жидкий пластырь Fixplast c пантенолом, 60 мл
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    Жидкий пластырь Fixplast c пантенолом, 60 мл

    Цена 318 ₽ вместо 399
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