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Описание

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L-Тироксин Берлин-Хеми таб., 125 мкг, 100 шт.

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4.9
(68)
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Дозировка: 125 мкг

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Количество штук в упаковке, шт.: 100

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Коротко о товаре

Артикул Маркета
3129161722
Тип препарата
Назначение
Действующее вещество
Форма выпуска
таблетки
Инструкция
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0,075 мг\u003Cbr\u003EВспомогательные вещества:\u003Cbr\u003Eкальция гидрофосфат 2-водный - 23,925 мг, целлюлоза микрокристаллическая - 24,00 мг, карбоксиметилкрахмала натриевая соль, тип А - 18,00 мг, декстрин - 10,20 мг, глицериды длинноцепные парциальные - 1,80 мг.\u003Cbr\u003E\u003Cbr\u003EДля дозировки 50 мкг:\u003Cbr\u003EДействующее вещество: левотироксин натрия - 0,05 мг.\u003Cbr\u003EВспомогательные вещества: кальция гидрофосфата дигидрат, целлюлоза микрокристаллическая, карбоксиметилкрахмал натрия (тип А), декстрин, глицериды длинноцепочечные парциальные.\u003Cbr\u003EДля дозировки 100 мкг: \u003Cbr\u003EДействующее вещество: левотироксин натрия - 0,100 мг.\u003Cbr\u003EВспомогательные вещества: кальция гидрофосфата дигидрат - 31,90 мг, целлюлоза микрокристаллическая 32,00 мг, карбоксиметилкрахмал натрия (тип А) - 24,00 мг, декстрин - 13,60 мг, длинноцепочечные неполные глицериды - 2,40 мг.\u003Cbr\u003EДля дозировки 125 мкг:\u003Cbr\u003EДействующее вещество: левотироксин натрия - 0,125 мг.\u003Cbr\u003EВспомогательные вещества: кальция гидрофосфата дигидрат, целлюлоза микрокристаллическая, карбоксиметилкрахмал натрия (тип А), декстрин, глицериды длинноцепочечные парциальные.\u003Cbr\u003EДля дозировки 150 мкг:\u003Cbr\u003EДействующее вещество: левотироксин натрия - 0,15 мг.\u003Cbr\u003EВспомогательные вещества: кальция гидрофосфата дигидрат, целлюлоза микрокристаллическая, карбоксиметилкрахмал натрия (тип А), декстрин, глицериды длинноцепочечные парциальные."},{"name":"Действующее вещество","value":"Левотироксин натрия","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-shchitovidnoi-zhelezy","categoryId":"15756907","navnodeId":"72504","glfilters":["27144131:28709739"]}}},{"name":"Способ применения и дозы","value":"Суточная доза определяется индивидуально в зависимости от показаний, клинического состояния пациента и данных лабораторного обследования.\u003Cbr\u003EСуточную дозу левотироксина натрия принимают внутрь утром натощак, по крайней мере, за 30 минут до приема пищи, запивая таблетку небольшим количеством жидкости (полстакана воды) и не разжевывая. Таблетку можно делить на две равные части.\u003Cbr\u003EПри проведении заместительной терапии гипотиреоза у пациентов моложе 55 лет при отсутствии сердечно-сосудистых заболеваний левотироксин натрия применяют в суточной дозе 1.6-1.8 мкг на 1 кг массы тела; у пациентов старше 55 лет или с сердечно-сосудистыми заболеваниями - 0.9 мкг на 1 кг массы тела.\u003Cbr\u003EГрудным детям и детям до 3 лет суточную дозу левотироксина натрия дают в один прием за 30 минут до первого кормления. Таблетку растворяют в воде (10-15 мл) до тонкой взвеси, которую готовят непосредственно перед приемом препарата и дают запивать дополнительно небольшим количеством жидкости (5-10 мл).\u003Cbr\u003EУ пациентов с тяжелым длительно существующим гипотиреозом лечение следует начинать с особой осторожностью, с малых доз - с 12,5 мкг/сут, дозу увеличивают до поддерживающей через более продолжительные интервалы времени - на 12,5 мкг/сут каждые 2 недели и чаще определяют концентрацию ТТГ в крови.\u003Cbr\u003EПри гипотиреозе левотироксин натрия принимают, как правило, в течение всей жизни. При тиреотоксикозе левотироксин натрия применяют в комплексной терапии с антитиреоидными препаратами после достижения эутиреоидного состояния. Во всех случаях длительность лечения препаратом определяет врач.\u003Cbr\u003EДля точного дозирования необходимо использовать наиболее подходящую дозировку левотироксина натрия."},{"name":"Побочные действия","value":"При правильном применении левотироксина натрия под контролем врача побочные эффекты не наблюдаются. В случае передозировки, или при превышении индивидуального порога переносимости левотироксина натрия или, если дозу препарата с момента начала терапии увеличивают слишком быстро, у пациента могут появиться симптомы, характерные для гипертиреоза (см. раздел \"Передозировка\").\u003Cbr\u003EПри повышенной чувствительности к компонентам препарата возможно возникновение аллергических реакций со стороны кожных покровов (например, кожная сыпь, крапивница) и органов дыхания; ангионевротического отека; были зарегистрированы единичные случаи развития анафилактического шока. В случае возникновения указанных симптомов применение препарата следует немедленно прекратить."},{"name":"Фармакологическое действие","value":"Действующее вещество препарата L-Тироксин 75 Берлин-Хеми левотироксин натрия является синтетическим левовращающим изомером тироксина, который по своему действию идентичен природному тиреоидному гормону, синтезируемому щитовидной железой человека. Для организма человека не существует отличий между эндогенным и экзогенным левотироксинами. После частичного превращения в трийодтиронин (Тз) в печени и почках и перехода в клетки организма, левотироксин натрия оказывает влияние на развитие и рост тканей, обмен веществ. В малых дозах обладает анаболическим действием на белковый и жировой обмены. В средних суточных дозах стимулирует рост и развитие, повышает потребность тканей в кислороде, стимулирует метаболизм белков, жиров и углеводов, повышает функциональную активность сердечно-сосудистой системы и центральной нервной системы.\u003Cbr\u003EВ больших дозах левотироксин натрия угнетает выработку тиротропин-рилизинг гормона гипоталамуса и тиреотропного гормона (ТТГ) гипофиза.\u003Cbr\u003EТерапевтический эффект наблюдается через 7-12 дней после начала применения, в течение такого же времени сохраняется действие левотироксина натрия после его отмены. Клинический эффект при гипотиреозе проявляется через 3-5 сут. Проявления диффузного эутиреоидного зоба уменьшаются или исчезают в течение 3-6 мес применения препарата."},{"name":"Фармакологическая группа","value":"тиреоидное средство"},{"name":"Форма выпуска","value":"таблетки"},{"name":"Способ применения/введения","value":"пероральный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-shchitovidnoi-zhelezy","categoryId":"15756907","navnodeId":"72504","glfilters":["35947170:36763744"]}}},{"name":"Условия хранения","value":"Хранить при температуре не выше 25 °С.\u003Cbr\u003EХранить в недоступном для детей месте!"},{"name":"Передозировка","value":"Симптомы\u003Cbr\u003EПри передозировке препарата наблюдается значительное увеличение скорости обмена веществ. Клинические признаки гипертиреоза могут возникать в случае передозировки, если превышен индивидуальный порог переносимости левотироксина натрия, или если доза препарата с момента начала терапии увеличивается слишком быстро. Симптомы, характерные для гипертиреоза: нарушения ритма сердца, тахикардия, ощущение сердцебиения, стенокардия, головная боль, мышечная слабость и мышечные подергивания, гиперемия (особенно лица), лихорадка, рвота, нарушение менструального цикла, доброкачественная внутричерепная гипертензия, тремор, беспокойство, бессонница, гипергидроз, снижение массы тела, диарея.\u003Cbr\u003EПередозировка левотироксина натрия может привести к появлению симптомов острого психоза, особенно у пациентов с предрасположенностью к психотическим расстройствам. Были зарегистрированы случаи внезапной остановки сердечной деятельности у пациентов, которые принимали чрезмерно высокие дозы левотироксина натрия в течение многих лет. У предрасположенных пациентов были отмечены отдельные случаи возникновения судорог при превышении индивидуального порога переносимости.\u003Cbr\u003EЛечение\u003Cbr\u003EВ зависимости от выраженности симптомов врачом может быть рекомендовано уменьшение суточной дозы левотироксина натрия, перерыв в лечении на несколько дней, назначение бета-адреноблокаторов. В случае острой передозировки абсорбция препарата в желудочно-кишечном тракте может быть снижена путем применения активированного угля. При приеме предельно высоких доз может быть назначен плазмаферез. После исчезновения побочных эффектов лечение следует начинать с осторожностью с более низкой дозы. Передозировка левотироксина натрия требует длительного периода наблюдения. Из-за постепенного превращения левотироксина в лиотиронин симптомы могут возникать с задержкой до 6 дней."},{"name":"Применение при беременности и кормлении грудью","value":"В период беременности терапия левотироксином натрия, назначенная по поводу гипотиреоза, должна продолжаться.\u003Cbr\u003EВ период беременности может потребоваться увеличение дозы левотироксина натрия из-за повышения содержания тироксин-связывающего глобулина. Нет данных о возникновении тератогенных и фетотоксичных эффектов при приеме левотироксина натрия в рекомендуемых терапевтических дозах. Прием левотироксина натрия в период беременности в чрезмерно высоких дозах может негативно влиять на плод и постнатальное развитие. Применение при беременности левотироксина натрия в комбинации с антитиреоидными средствами противопоказано, так как прием левотироксина натрия может потребовать увеличения доз антитиреоидных средств. Поскольку антитиреоидные средства, в отличие от левотироксина натрия, могут проникать через плаценту, то у плода может развиться гипотиреоз. Проведение теста тиреоидной супрессии во время беременности противопоказано.\u003Cbr\u003EПериод грудного вскармливания\u003Cbr\u003EВ период грудного вскармливания левотироксин натрия следует принимать строго в рекомендованных дозах, под наблюдением врача. При приеме в рекомендованных терапевтических дозах концентрация тиреоидного гормона, секретируемого с грудным молоком при лактации, недостаточна для того, чтобы вызвать гипертиреоз и подавить секрецию ТТГ у ребенка.\u003Cbr\u003EПроведение теста тиреоидной супрессии во время грудного вскармливания противопоказано."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Исследований влияния левотироксина натрия на способность к управлению транспортными средствами и механизмами не проводилось. Тем не менее, так как левотироксин натрия идентичен природному тиреоидному гормону, влияния на способность управлять транспортными средствами и другими механизмами не ожидается."},{"name":"Особые указания","value":"С осторожностью:\u003Cbr\u003EЛевотироксин натрия следует назначать с осторожностью при заболеваниях сердечно¬сосудистой системы:ишемической болезни сердца (ИБС) (атеросклероз, стенокардия, ин¬фаркт миокарда в анамнезе), артериальной гипертензии, нарушениях ритма сердца;при гипофизарной и/или надпочечниковой недостаточности, при сахарном диабете, тяжелом длительно существующем гипотиреозе, тиреоидной автономии, синдроме мальабсорбции (может потребоваться коррекция дозы);у пациентов с предрасположенностью к психоти¬ческим реакциям.\u003Cbr\u003E"},{"name":"Взаимодействие","value":"Применение трициклических антидепрессантов с левотироксином натрия может привести к усилению действия антидепрессантов.\u003Cbr\u003EЛевотироксин натрия снижает действие сердечных гликозидов.\u003Cbr\u003EПри одновременном применении колестирамин и колестипол (ионообменные смолы) уменьшают плазменную концентрацию левотироксина натрия за счет торможения его всасывания в кишечнике. В связи с этим левотироксин натрия необходимо принимать за 4-5 ч до приема указанных препаратов.\u003Cbr\u003EКолесевелам связывает левотироксин натрия и, таким образом, уменьшает абсорбцию левотироксина натрия из желудочно-кишечного тракта. Хотя не было установлено никаких взаимодействий при применении левотироксина натрия как минимум за 4 ч до приема колесевелама, левотироксин натрия следует принимать как минимум за 4 ч до приема колесевелама.\u003Cbr\u003EПри одновременном применении с анаболическими стероидами, аспарагиназой, тамоксифеном возможно фармакокинетическое взаимодействие на уровне связывания с белками плазмы крови.\u003Cbr\u003EИнгибиторы протеазы (например, ритонавир, индинавир, лопинавир) могут оказывать влияние на эффективность левотироксина натрия. Рекомендуется тщательный мониторинг концентрации тиреоидных гормонов. Тиреотропный гормон (ТТГ) следует контролировать у пациентов, принимающих левотироксин натрия, по крайней мере, в течение первого месяца после начала и/или прекращения лечения ритонавиром. При необходимости следует скорректировать дозу левотироксина натрия.\u003Cbr\u003EФенитоин может оказывать влияние на эффективность левотироксина натрия вследствие вытеснения левотироксина натрия из связи с белками плазмы, что может привести к повышению концентрации свободного Т4 и Т3. С другой стороны фенитоин повышает интенсивность метаболизма левотироксина натрия в печени. Рекомендуется тщательный мониторинг концентрации тиреоидных гормонов.\u003Cbr\u003EЛевотироксин натрия может способствовать снижению эффективности гипогликемических препаратов. Поэтому необходим частый мониторинг концентрации глюкозы в крови с момента начала заместительной терапии гормоном щитовидной железы. При необходимости дозу гипогликемического препарата следует скорректировать.\u003Cbr\u003EЛевотироксин натрия может усиливать эффект антикоагулянтов (производных кумарина) путем вытеснения их из связи с белками плазмы, что может повысить риск развития кровотечения, например, кровоизлияния в головной мозг или желудочно-кишечного кровотечения, особенно у пожилых пациентов. Поэтому необходим регулярный мониторинг параметров коагуляции как в начале, так и в ходе сочетанной терапии указанными препаратами. При необходимости дозу антикоагулянта следует скорректировать.\u003Cbr\u003EСалицилаты, дикумарол, фуросемид в высоких дозах (250 мг), клофибрат и другие препараты могут вытеснять левотироксин натрия из связи с белками плазмы, что приводит к повышению концентрации свободного Т4.\u003Cbr\u003EСевеламер и карбонат лантана могут уменьшать всасывание левотироксина натрия. Ингибиторы тирозинкиназы (например, иматиниб, сунитиниб) могут снижать эффективность левотироксина натрия. Поэтому в начале или в конце курса одновременной терапии указанными препаратами рекомендуется мониторинг изменения функции щитовидной железы у пациентов. При необходимости дозу левотироксина натрия корректируют. Алюминийсодержащие лекарственные препараты (антациды, сукральфат) в литературе описаны как потенциально снижающие эффективность левотироксина натрия. Поэтому\u003Cbr\u003Eприем левотироксина натрия рекомендуется осуществлять, по меньшей мере, за 2 ч до применения данных лекарственных препаратов. Данная рекомендация также относится к применению лекарственных препаратов, содержащих соли железа и кальция.\u003Cbr\u003EСоматропин при одновременном применении с левотироксином натрия может ускорить закрытие эпифизарных зон роста.\u003Cbr\u003EПропилтиоурацил, глюкокортикостероиды, бета-симпатолитики, йодсодержащие контрастные препараты и амиодарон ингибируют превращение Т4 в Т3. Ввиду высокого содержания йода применение амиодарона может сопровождаться развитием как гипертиреоза, так и гипотиреоза. Особое внимание следует уделять узловому зобу с возможным развитием нераспознанной функциональной автономии.\u003Cbr\u003EСертралин, хлорохин/прогуанил снижают эффективность левотироксина натрия и повышают концентрацию ТТГ в плазме крови.\u003Cbr\u003EЛекарственные препараты, способствующие индукции печеночных ферментов (например, барбитураты, карбамазепин), могут способствовать печеночному клиренсу левотироксина натрия.\u003Cbr\u003EУ женщин, применяющих эстрогенсодержащие контрацептивы, или у женщин в постменопаузе, получающих заместительную гормональную терапию, может возрастать потребность в левотироксине натрия.\u003Cbr\u003EУпотребление соесодержащих продуктов может способствовать снижению всасывания в кишечнике левотироксина натрия. Поэтому может потребоваться коррекция дозы, особенно в начале или после прекращения употребления продуктов, содержащих сою.\u003Cbr\u003EПри одновременном применении орлистата и левотироксина натрия может развиться гипотиреоз и/или произойти снижение контроля гипотиреоза. Причиной этого может быть снижение всасывания солей йода и/или левотироксина натрия. Пациенты, принимающие лево- тироксин натрия, должны проконсультироваться с врачом до начала применения орлистата, так как, возможно, потребуется принимать орлистат и левотироксин натрия в разное время суток, и скорректировать дозу левотироксина натрия. В дальнейшем рекомендуется проводить мониторинг функции щитовидной железы."},{"name":"Регистрационный номер","value":"П N008963, П N008964, ЛСР-001294/08, ЛСР-001484/08, ЛСР-001807/08"},{"name":"Дата государственной регистрации","value":"22.01.2021, 05.11.2019, 31.10.2019, 11.11.2019, 11.11.2019"},{"name":"Владелец регистрационного удостоверения","value":"Berlin-Chemie","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-shchitovidnoi-zhelezy","categoryId":"15756907","navnodeId":"72504","glfilters":["34324371:35649313","7893318:16002727"]}}},{"name":"Изготовитель","value":"Berlin-Chemie"},{"name":"Фасовщик","value":"Berlin-Chemie"},{"name":"Страна бренда","value":"Германия"},{"name":"Страна-производитель","value":"Германия"},{"name":"Название препарата","value":"L-Тироксин","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-shchitovidnoi-zhelezy","categoryId":"15756907","navnodeId":"72504","glfilters":["17796364:18054077"]}}},{"name":"Срок годности","value":"24 мес."}]}},"fullSpecsGrouped":{"15506319651096775453":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Органы и системы","value":"щитовидная железа"},{"name":"Назначение","value":"гипотиреоз, гипофункция щитовидной железы, диффузный токсический зоб, заместительная терапия после оперативных вмешательств на щитовидной железе, подготовка к обследованию или операции, профилактика развития эндемического зоба, рак щитовидной железы, супрессивная и заместительная терапия при злокачественных новообразованиях щитовидной железы, эутиреоидный зоб"},{"name":"Показания к применению","value":"- гипотиреоз;\u003Cbr\u003E- эутиреоидный зоб;\u003Cbr\u003E- в качестве заместительной терапии и для профилактики рецидива зоба после оперативных вмешательств на щитовидной железе;\u003Cbr\u003E- в качестве супрессивной и заместительной терапии при злокачественных новообразованиях щитовидной железы, в основном после оперативного лечения;\u003Cbr\u003E- диффузный токсический зоб: после достижения эутиреоидного состояния антитиреоидными средствами (в виде комбинированной или монотерапии);\u003Cbr\u003E- в качестве диагностического средства при проведении теста тиреоидной супрессии."},{"name":"Противопоказания","value":"- повышенная индивидуальная чувствительность к любому из компонентов препарата;\u003Cbr\u003E- нелеченный тиреотоксикоз;\u003Cbr\u003E- нелеченная недостаточность надпочечников;\u003Cbr\u003E- нелеченная гипофизарная недостаточность;\u003Cbr\u003E- применение в период беременности в комбинации с антитиреоидными средствами.\u003Cbr\u003EНе следует начинать лечение препаратом при наличии острого инфаркта миокарда, острого миокардита, острого панкардита."},{"name":"Состав","value":"Для дозировки 75 мкг: в одной таблетке содержится:\u003Cbr\u003EДействующее вещество: левотироксин натрия - 0,075 мг\u003Cbr\u003EВспомогательные вещества:\u003Cbr\u003Eкальция гидрофосфат 2-водный - 23,925 мг, целлюлоза микрокристаллическая - 24,00 мг, карбоксиметилкрахмала натриевая соль, тип А - 18,00 мг, декстрин - 10,20 мг, глицериды длинноцепные парциальные - 1,80 мг.\u003Cbr\u003E\u003Cbr\u003EДля дозировки 50 мкг:\u003Cbr\u003EДействующее вещество: левотироксин натрия - 0,05 мг.\u003Cbr\u003EВспомогательные вещества: кальция гидрофосфата дигидрат, целлюлоза микрокристаллическая, карбоксиметилкрахмал натрия (тип А), декстрин, глицериды длинноцепочечные парциальные.\u003Cbr\u003EДля дозировки 100 мкг: \u003Cbr\u003EДействующее вещество: левотироксин натрия - 0,100 мг.\u003Cbr\u003EВспомогательные вещества: кальция гидрофосфата дигидрат - 31,90 мг, целлюлоза микрокристаллическая 32,00 мг, карбоксиметилкрахмал натрия (тип А) - 24,00 мг, декстрин - 13,60 мг, длинноцепочечные неполные глицериды - 2,40 мг.\u003Cbr\u003EДля дозировки 125 мкг:\u003Cbr\u003EДействующее вещество: левотироксин натрия - 0,125 мг.\u003Cbr\u003EВспомогательные вещества: кальция гидрофосфата дигидрат, целлюлоза микрокристаллическая, карбоксиметилкрахмал натрия (тип А), декстрин, глицериды длинноцепочечные парциальные.\u003Cbr\u003EДля дозировки 150 мкг:\u003Cbr\u003EДействующее вещество: левотироксин натрия - 0,15 мг.\u003Cbr\u003EВспомогательные вещества: кальция гидрофосфата дигидрат, целлюлоза микрокристаллическая, карбоксиметилкрахмал натрия (тип А), декстрин, глицериды длинноцепочечные парциальные."},{"name":"Действующее вещество","value":"Левотироксин натрия"},{"name":"Способ применения и дозы","value":"Суточная доза определяется индивидуально в зависимости от показаний, клинического состояния пациента и данных лабораторного обследования.\u003Cbr\u003EСуточную дозу левотироксина натрия принимают внутрь утром натощак, по крайней мере, за 30 минут до приема пищи, запивая таблетку небольшим количеством жидкости (полстакана воды) и не разжевывая. Таблетку можно делить на две равные части.\u003Cbr\u003EПри проведении заместительной терапии гипотиреоза у пациентов моложе 55 лет при отсутствии сердечно-сосудистых заболеваний левотироксин натрия применяют в суточной дозе 1.6-1.8 мкг на 1 кг массы тела; у пациентов старше 55 лет или с сердечно-сосудистыми заболеваниями - 0.9 мкг на 1 кг массы тела.\u003Cbr\u003EГрудным детям и детям до 3 лет суточную дозу левотироксина натрия дают в один прием за 30 минут до первого кормления. Таблетку растворяют в воде (10-15 мл) до тонкой взвеси, которую готовят непосредственно перед приемом препарата и дают запивать дополнительно небольшим количеством жидкости (5-10 мл).\u003Cbr\u003EУ пациентов с тяжелым длительно существующим гипотиреозом лечение следует начинать с особой осторожностью, с малых доз - с 12,5 мкг/сут, дозу увеличивают до поддерживающей через более продолжительные интервалы времени - на 12,5 мкг/сут каждые 2 недели и чаще определяют концентрацию ТТГ в крови.\u003Cbr\u003EПри гипотиреозе левотироксин натрия принимают, как правило, в течение всей жизни. При тиреотоксикозе левотироксин натрия применяют в комплексной терапии с антитиреоидными препаратами после достижения эутиреоидного состояния. Во всех случаях длительность лечения препаратом определяет врач.\u003Cbr\u003EДля точного дозирования необходимо использовать наиболее подходящую дозировку левотироксина натрия."},{"name":"Побочные действия","value":"При правильном применении левотироксина натрия под контролем врача побочные эффекты не наблюдаются. В случае передозировки, или при превышении индивидуального порога переносимости левотироксина натрия или, если дозу препарата с момента начала терапии увеличивают слишком быстро, у пациента могут появиться симптомы, характерные для гипертиреоза (см. раздел \"Передозировка\").\u003Cbr\u003EПри повышенной чувствительности к компонентам препарата возможно возникновение аллергических реакций со стороны кожных покровов (например, кожная сыпь, крапивница) и органов дыхания; ангионевротического отека; были зарегистрированы единичные случаи развития анафилактического шока. В случае возникновения указанных симптомов применение препарата следует немедленно прекратить."},{"name":"Фармакологическое действие","value":"Действующее вещество препарата L-Тироксин 75 Берлин-Хеми левотироксин натрия является синтетическим левовращающим изомером тироксина, который по своему действию идентичен природному тиреоидному гормону, синтезируемому щитовидной железой человека. Для организма человека не существует отличий между эндогенным и экзогенным левотироксинами. После частичного превращения в трийодтиронин (Тз) в печени и почках и перехода в клетки организма, левотироксин натрия оказывает влияние на развитие и рост тканей, обмен веществ. В малых дозах обладает анаболическим действием на белковый и жировой обмены. В средних суточных дозах стимулирует рост и развитие, повышает потребность тканей в кислороде, стимулирует метаболизм белков, жиров и углеводов, повышает функциональную активность сердечно-сосудистой системы и центральной нервной системы.\u003Cbr\u003EВ больших дозах левотироксин натрия угнетает выработку тиротропин-рилизинг гормона гипоталамуса и тиреотропного гормона (ТТГ) гипофиза.\u003Cbr\u003EТерапевтический эффект наблюдается через 7-12 дней после начала применения, в течение такого же времени сохраняется действие левотироксина натрия после его отмены. Клинический эффект при гипотиреозе проявляется через 3-5 сут. Проявления диффузного эутиреоидного зоба уменьшаются или исчезают в течение 3-6 мес применения препарата."},{"name":"Фармакологическая группа","value":"тиреоидное средство"},{"name":"Форма выпуска","value":"таблетки"},{"name":"Способ применения/введения","value":"пероральный"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"Хранить при температуре не выше 25 °С.\u003Cbr\u003EХранить в недоступном для детей месте!"},{"name":"Передозировка","value":"Симптомы\u003Cbr\u003EПри передозировке препарата наблюдается значительное увеличение скорости обмена веществ. Клинические признаки гипертиреоза могут возникать в случае передозировки, если превышен индивидуальный порог переносимости левотироксина натрия, или если доза препарата с момента начала терапии увеличивается слишком быстро. Симптомы, характерные для гипертиреоза: нарушения ритма сердца, тахикардия, ощущение сердцебиения, стенокардия, головная боль, мышечная слабость и мышечные подергивания, гиперемия (особенно лица), лихорадка, рвота, нарушение менструального цикла, доброкачественная внутричерепная гипертензия, тремор, беспокойство, бессонница, гипергидроз, снижение массы тела, диарея.\u003Cbr\u003EПередозировка левотироксина натрия может привести к появлению симптомов острого психоза, особенно у пациентов с предрасположенностью к психотическим расстройствам. Были зарегистрированы случаи внезапной остановки сердечной деятельности у пациентов, которые принимали чрезмерно высокие дозы левотироксина натрия в течение многих лет. У предрасположенных пациентов были отмечены отдельные случаи возникновения судорог при превышении индивидуального порога переносимости.\u003Cbr\u003EЛечение\u003Cbr\u003EВ зависимости от выраженности симптомов врачом может быть рекомендовано уменьшение суточной дозы левотироксина натрия, перерыв в лечении на несколько дней, назначение бета-адреноблокаторов. В случае острой передозировки абсорбция препарата в желудочно-кишечном тракте может быть снижена путем применения активированного угля. При приеме предельно высоких доз может быть назначен плазмаферез. После исчезновения побочных эффектов лечение следует начинать с осторожностью с более низкой дозы. Передозировка левотироксина натрия требует длительного периода наблюдения. Из-за постепенного превращения левотироксина в лиотиронин симптомы могут возникать с задержкой до 6 дней."},{"name":"Применение при беременности и кормлении грудью","value":"В период беременности терапия левотироксином натрия, назначенная по поводу гипотиреоза, должна продолжаться.\u003Cbr\u003EВ период беременности может потребоваться увеличение дозы левотироксина натрия из-за повышения содержания тироксин-связывающего глобулина. Нет данных о возникновении тератогенных и фетотоксичных эффектов при приеме левотироксина натрия в рекомендуемых терапевтических дозах. Прием левотироксина натрия в период беременности в чрезмерно высоких дозах может негативно влиять на плод и постнатальное развитие. Применение при беременности левотироксина натрия в комбинации с антитиреоидными средствами противопоказано, так как прием левотироксина натрия может потребовать увеличения доз антитиреоидных средств. Поскольку антитиреоидные средства, в отличие от левотироксина натрия, могут проникать через плаценту, то у плода может развиться гипотиреоз. Проведение теста тиреоидной супрессии во время беременности противопоказано.\u003Cbr\u003EПериод грудного вскармливания\u003Cbr\u003EВ период грудного вскармливания левотироксин натрия следует принимать строго в рекомендованных дозах, под наблюдением врача. При приеме в рекомендованных терапевтических дозах концентрация тиреоидного гормона, секретируемого с грудным молоком при лактации, недостаточна для того, чтобы вызвать гипертиреоз и подавить секрецию ТТГ у ребенка.\u003Cbr\u003EПроведение теста тиреоидной супрессии во время грудного вскармливания противопоказано."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Исследований влияния левотироксина натрия на способность к управлению транспортными средствами и механизмами не проводилось. Тем не менее, так как левотироксин натрия идентичен природному тиреоидному гормону, влияния на способность управлять транспортными средствами и другими механизмами не ожидается."},{"name":"Особые указания","value":"С осторожностью:\u003Cbr\u003EЛевотироксин натрия следует назначать с осторожностью при заболеваниях сердечно¬сосудистой системы:ишемической болезни сердца (ИБС) (атеросклероз, стенокардия, ин¬фаркт миокарда в анамнезе), артериальной гипертензии, нарушениях ритма сердца;при гипофизарной и/или надпочечниковой недостаточности, при сахарном диабете, тяжелом длительно существующем гипотиреозе, тиреоидной автономии, синдроме мальабсорбции (может потребоваться коррекция дозы);у пациентов с предрасположенностью к психоти¬ческим реакциям.\u003Cbr\u003E"},{"name":"Взаимодействие","value":"Применение трициклических антидепрессантов с левотироксином натрия может привести к усилению действия антидепрессантов.\u003Cbr\u003EЛевотироксин натрия снижает действие сердечных гликозидов.\u003Cbr\u003EПри одновременном применении колестирамин и колестипол (ионообменные смолы) уменьшают плазменную концентрацию левотироксина натрия за счет торможения его всасывания в кишечнике. В связи с этим левотироксин натрия необходимо принимать за 4-5 ч до приема указанных препаратов.\u003Cbr\u003EКолесевелам связывает левотироксин натрия и, таким образом, уменьшает абсорбцию левотироксина натрия из желудочно-кишечного тракта. Хотя не было установлено никаких взаимодействий при применении левотироксина натрия как минимум за 4 ч до приема колесевелама, левотироксин натрия следует принимать как минимум за 4 ч до приема колесевелама.\u003Cbr\u003EПри одновременном применении с анаболическими стероидами, аспарагиназой, тамоксифеном возможно фармакокинетическое взаимодействие на уровне связывания с белками плазмы крови.\u003Cbr\u003EИнгибиторы протеазы (например, ритонавир, индинавир, лопинавир) могут оказывать влияние на эффективность левотироксина натрия. Рекомендуется тщательный мониторинг концентрации тиреоидных гормонов. Тиреотропный гормон (ТТГ) следует контролировать у пациентов, принимающих левотироксин натрия, по крайней мере, в течение первого месяца после начала и/или прекращения лечения ритонавиром. При необходимости следует скорректировать дозу левотироксина натрия.\u003Cbr\u003EФенитоин может оказывать влияние на эффективность левотироксина натрия вследствие вытеснения левотироксина натрия из связи с белками плазмы, что может привести к повышению концентрации свободного Т4 и Т3. С другой стороны фенитоин повышает интенсивность метаболизма левотироксина натрия в печени. Рекомендуется тщательный мониторинг концентрации тиреоидных гормонов.\u003Cbr\u003EЛевотироксин натрия может способствовать снижению эффективности гипогликемических препаратов. Поэтому необходим частый мониторинг концентрации глюкозы в крови с момента начала заместительной терапии гормоном щитовидной железы. При необходимости дозу гипогликемического препарата следует скорректировать.\u003Cbr\u003EЛевотироксин натрия может усиливать эффект антикоагулянтов (производных кумарина) путем вытеснения их из связи с белками плазмы, что может повысить риск развития кровотечения, например, кровоизлияния в головной мозг или желудочно-кишечного кровотечения, особенно у пожилых пациентов. Поэтому необходим регулярный мониторинг параметров коагуляции как в начале, так и в ходе сочетанной терапии указанными препаратами. При необходимости дозу антикоагулянта следует скорректировать.\u003Cbr\u003EСалицилаты, дикумарол, фуросемид в высоких дозах (250 мг), клофибрат и другие препараты могут вытеснять левотироксин натрия из связи с белками плазмы, что приводит к повышению концентрации свободного Т4.\u003Cbr\u003EСевеламер и карбонат лантана могут уменьшать всасывание левотироксина натрия. Ингибиторы тирозинкиназы (например, иматиниб, сунитиниб) могут снижать эффективность левотироксина натрия. Поэтому в начале или в конце курса одновременной терапии указанными препаратами рекомендуется мониторинг изменения функции щитовидной железы у пациентов. При необходимости дозу левотироксина натрия корректируют. Алюминийсодержащие лекарственные препараты (антациды, сукральфат) в литературе описаны как потенциально снижающие эффективность левотироксина натрия. Поэтому\u003Cbr\u003Eприем левотироксина натрия рекомендуется осуществлять, по меньшей мере, за 2 ч до применения данных лекарственных препаратов. Данная рекомендация также относится к применению лекарственных препаратов, содержащих соли железа и кальция.\u003Cbr\u003EСоматропин при одновременном применении с левотироксином натрия может ускорить закрытие эпифизарных зон роста.\u003Cbr\u003EПропилтиоурацил, глюкокортикостероиды, бета-симпатолитики, йодсодержащие контрастные препараты и амиодарон ингибируют превращение Т4 в Т3. Ввиду высокого содержания йода применение амиодарона может сопровождаться развитием как гипертиреоза, так и гипотиреоза. Особое внимание следует уделять узловому зобу с возможным развитием нераспознанной функциональной автономии.\u003Cbr\u003EСертралин, хлорохин/прогуанил снижают эффективность левотироксина натрия и повышают концентрацию ТТГ в плазме крови.\u003Cbr\u003EЛекарственные препараты, способствующие индукции печеночных ферментов (например, барбитураты, карбамазепин), могут способствовать печеночному клиренсу левотироксина натрия.\u003Cbr\u003EУ женщин, применяющих эстрогенсодержащие контрацептивы, или у женщин в постменопаузе, получающих заместительную гормональную терапию, может возрастать потребность в левотироксине натрия.\u003Cbr\u003EУпотребление соесодержащих продуктов может способствовать снижению всасывания в кишечнике левотироксина натрия. Поэтому может потребоваться коррекция дозы, особенно в начале или после прекращения употребления продуктов, содержащих сою.\u003Cbr\u003EПри одновременном применении орлистата и левотироксина натрия может развиться гипотиреоз и/или произойти снижение контроля гипотиреоза. Причиной этого может быть снижение всасывания солей йода и/или левотироксина натрия. Пациенты, принимающие лево- тироксин натрия, должны проконсультироваться с врачом до начала применения орлистата, так как, возможно, потребуется принимать орлистат и левотироксин натрия в разное время суток, и скорректировать дозу левотироксина натрия. В дальнейшем рекомендуется проводить мониторинг функции щитовидной железы."},{"name":"Регистрационный номер","value":"П N008963, П N008964, ЛСР-001294/08, ЛСР-001484/08, ЛСР-001807/08"},{"name":"Дата государственной регистрации","value":"22.01.2021, 05.11.2019, 31.10.2019, 11.11.2019, 11.11.2019"},{"name":"Владелец регистрационного удостоверения","value":"Berlin-Chemie"},{"name":"Изготовитель","value":"Berlin-Chemie"},{"name":"Фасовщик","value":"Berlin-Chemie"},{"name":"Страна бренда","value":"Германия"},{"name":"Страна-производитель","value":"Германия"},{"name":"Название препарата","value":"L-Тироксин"},{"name":"Срок годности","value":"24 мес."}]}],"transitionId":"tr_6792433926573194908"}}}}
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    Цена с картой Яндекс Пэй 410 ₽ вместо 414
    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  • Эндокринол Йод капс., 30 шт.
    ВАМ–24 %
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    Эндокринол Йод капс., 30 шт.

    Рейтинг товара: 4.9 из 5
    на основе 105 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 346 ₽ вместо 349
    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  • Эутирокс таб., 88 мкг, 100 шт.
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    Эутирокс таб., 88 мкг, 100 шт.

    Рейтинг товара: 4.9 из 5
    на основе 70 оценок
    Цена 150 ₽
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  • L-Тироксин таб., 100 мкг, 100 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-jg95axs84em/toggleWishlist":{"skuId":"661310032","productId":1436733420,"offerId":"oG-8cN4_VyD69YY2ezQWlQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYI7J+LrQUQ0JSruwIY1/HPBiDr3MEH","sign":"QnaiITRn+f3hPiRYh8957RSCN/pkLLnBbnGhUNohA+g="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-jg95axs84em/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    L-Тироксин таб., 100 мкг, 100 шт.

    Рейтинг товара: 5 из 5
    на основе 35 оценок
    Цена 145 ₽
    {"widgets":{"@light/AddToCartButtonSnippet":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-jg95axs84em/addToCartButton":{"offerId":"oG-8cN4_VyD69YY2ezQWlQ","skuId":"661310032","pendingCartItem":{"productId":1436733420,"offerId":"oG-8cN4_VyD69YY2ezQWlQ","showPlaceId":"OTNDnItfwRMjN9MRHuEMMtLW_t9Dpe2RKPoqRFNLPYGrGNS3FFGl7-AAgi2-tJp7dTVBFxYlmgIGqBRzYsJNrfoFqUQzPeuBbulcM778VXQnMX2QNSflOx-3lYmQKSc2lUiIOnjrXMd_pxi4Yj4qR1AmFccr-HZUOFMaUpcmZoOHhSEbu5aB2JT6VySW6kqf1EP6KqIMv16ZWlxRFB8Wqw,,","feeShow":"OTNDnItfwRMjN9MRHuEMMtLW_t9Dpe2RKPoqRFNLPYGrGNS3FFGl7-AAgi2-tJp7dTVBFxYlmgIGqBRzYsJNrfoFqUQzPeuBbulcM778VXQnMX2QNSflOx-3lYmQKSc2lUiIOnjrXMd_pxi4Yj4qR1AmFccr-HZUOFMaUpcmZoOHhSEbu5aB2JT6VySW6kqf1EP6KqIMv16ZWlxRFB8Wqw,,","skuId":"661310032","shopId":77075781,"price":{"applicablePriceDiscounts":[],"value":"145","currency":"RUR"},"hid":"15756907","name":"L-Тироксин таб., 100 мкг, 100 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  • Йодомарин таб., 0.1 мг, 100 шт.
    –20 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-pjzipc1nlzj/toggleWishlist":{"skuId":"101303515759","productId":265140229,"offerId":"Q6knNLbG4BnzNmUeTLTInw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYIhfC2fhDv9KOx+QIYp93QByDr3MEH","sign":"Y283a7Y382bUgxX15eiB6t/Wr6D/kaUjPQ94FHmhESw="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-pjzipc1nlzj/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Йодомарин таб., 0.1 мг, 100 шт.

    Рейтинг товара: 5 из 5
    на основе 318 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 136 ₽ вместо 137
    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таб., 0.1 мг, 100 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  • L-тироксин Реневал таб., 100 мкг, 200 г, 56 шт.
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    L-тироксин Реневал таб., 100 мкг, 200 г, 56 шт.

    Рейтинг товара: 5 из 5
    на основе 3 оценки
    Цена 84 ₽
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  • Эутирокс таб., 25 мкг, 100 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-ifekja93jh/toggleWishlist":{"skuId":"101833266800","productId":1769759243,"offerId":"B4OSjUM-54Ugid6PbjCplA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcIi8TxywYQ8KzxrfsCGOjOhwQg69zBBw==","sign":"bcQLzPfvhdLkRkiVdu2ehHgeskt6Yh0BPRRtZoZaxzg="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-ifekja93jh/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Эутирокс таб., 25 мкг, 100 шт.

    Рейтинг товара: 4.9 из 5
    на основе 50 оценок
    Цена 110 ₽
    {"widgets":{"@light/AddToCartButtonSnippet":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-ifekja93jh/addToCartButton":{"offerId":"B4OSjUM-54Ugid6PbjCplA","skuId":"101833266800","pendingCartItem":{"productId":1769759243,"offerId":"B4OSjUM-54Ugid6PbjCplA","showPlaceId":"OTNDnItfwRMjN9MRHuEMMtLW_t9Dpe2RNy1C0UhOpm8FadLw6IfJK8ul6NyCsFJrM5Hrlzf8RGUdKULT4QrM_BWvtNzSpBk_ADkESHPb3vmytwDcNbPXy7Xi611VVeZ7QmIkoWazjfV-3jOAwtak0tdcPXVef4tcKi9CJvXoNOaaKXroLiqKwj9m4hCO4vQkPiw0DIpNQZNnVYuiIEKBaQ,,","feeShow":"OTNDnItfwRMjN9MRHuEMMtLW_t9Dpe2RNy1C0UhOpm8FadLw6IfJK8ul6NyCsFJrM5Hrlzf8RGUdKULT4QrM_BWvtNzSpBk_ADkESHPb3vmytwDcNbPXy7Xi611VVeZ7QmIkoWazjfV-3jOAwtak0tdcPXVef4tcKi9CJvXoNOaaKXroLiqKwj9m4hCO4vQkPiw0DIpNQZNnVYuiIEKBaQ,,","skuId":"101833266800","shopId":77075781,"price":{"applicablePriceDiscounts":[],"value":"110","currency":"RUR"},"hid":"15756907","name":"Эутирокс таб., 25 мкг, 100 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  • Тирамин таб. п/о кш/раств., 10 мг, 40 шт.
    –22 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-uly88yppl7n/toggleWishlist":{"skuId":"265149857","productId":1778175943,"offerId":"KECLcyuIYsoPuumPlYTe_g","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIx5/zzwYQobu3fhjWqNkHIOvcwQc=","sign":"FfN91sBmXOf7uWwgrBb3ANjwsuEsEea+ByutQbZhgw4="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-uly88yppl7n/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Тирамин таб. п/о кш/раств., 10 мг, 40 шт.

    Рейтинг товара: 4.9 из 5
    на основе 10 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 1 243 ₽ вместо 1 269
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  • Тиреоген капс., 20 шт.
    –23 %
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    Тиреоген капс., 20 шт.

    Рейтинг товара: 4.8 из 5
    на основе 59 оценок
    Цена 1 900 ₽ вместо 2 470
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  • Тирозол таб. п/о плен., 5 мг, 50 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-xg9364j6xx/toggleWishlist":{"skuId":"228089445","productId":1436733415,"offerId":"y2-tgDzlMWFxCeE8tlB1rg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUI55+LrQUQ5bzhbBjozocEIOvcwQc=","sign":"cRm2pR5iFSiYa1KazcTzC95l2Agi6+9r4uSQjpA6A1o="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-xg9364j6xx/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Тирозол таб. п/о плен., 5 мг, 50 шт.

    Рейтинг товара: 5 из 5
    на основе 5 оценок
    Цена 181 ₽
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  • Тирео-вит лапчатка белая плюс таб. п/о, 44 г, 100 шт., нейтральный
    –64 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-wfic92aawqh/toggleWishlist":{"skuId":"458460247","productId":1778175945,"offerId":"4Mv3QoeJQw-8qCZr94UGEA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYIyZ/zzwYQ15jO2gEYkvP7BSDr3MEH","sign":"BR8aLhjv+UzsS9KbLIG7ClgFCJFeA1uymOA3eW6T1X0="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-wfic92aawqh/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Тирео-вит лапчатка белая плюс таб. п/о, 44 г, 100 шт., нейтральный

    Рейтинг товара: 5 из 5
    на основе 2 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 618 ₽ вместо 630
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Инструкция

Показания к применению

- гипотиреоз;
- эутиреоидный зоб;
- в качестве заместительной терапии и для профилактики рецидива зоба после оперативных вмешательств на щитовидной железе;
- в качестве супрессивной и заместительной терапии при злокачественных новообразованиях щитовидной железы, в основном после оперативного лечения;
- диффузный токсический зоб: после достижения эутиреоидного состояния антитиреоидными средствами (в виде комбинированной или монотерапии);
- в качестве диагностического средства при проведении теста тиреоидной супрессии.

Противопоказания

- повышенная индивидуальная чувствительность к любому из компонентов препарата;
- нелеченный тиреотоксикоз;
- нелеченная недостаточность надпочечников;
- нелеченная гипофизарная недостаточность;
- применение в период беременности в комбинации с антитиреоидными средствами.
Не следует начинать лечение препаратом при наличии острого инфаркта миокарда, острого миокардита, острого панкардита.

Способ применения и дозы

Суточная доза определяется индивидуально в зависимости от показаний, клинического состояния пациента и данных лабораторного обследования.
Суточную дозу левотироксина натрия принимают внутрь утром натощак, по крайней мере, за 30 минут до приема пищи, запивая таблетку небольшим количеством жидкости (полстакана воды) и не разжевывая. Таблетку можно делить на две равные части.
При проведении заместительной терапии гипотиреоза у пациентов моложе 55 лет при отсутствии сердечно-сосудистых заболеваний левотироксин натрия применяют в суточной дозе 1.6-1.8 мкг на 1 кг массы тела; у пациентов старше 55 лет или с сердечно-сосудистыми заболеваниями - 0.9 мкг на 1 кг массы тела.
Грудным детям и детям до 3 лет суточную дозу левотироксина натрия дают в один прием за 30 минут до первого кормления. Таблетку растворяют в воде (10-15 мл) до тонкой взвеси, которую готовят непосредственно перед приемом препарата и дают запивать дополнительно небольшим количеством жидкости (5-10 мл).
У пациентов с тяжелым длительно существующим гипотиреозом лечение следует начинать с особой осторожностью, с малых доз - с 12,5 мкг/сут, дозу увеличивают до поддерживающей через более продолжительные интервалы времени - на 12,5 мкг/сут каждые 2 недели и чаще определяют концентрацию ТТГ в крови.
При гипотиреозе левотироксин натрия принимают, как правило, в течение всей жизни. При тиреотоксикозе левотироксин натрия применяют в комплексной терапии с антитиреоидными препаратами после достижения эутиреоидного состояния. Во всех случаях длительность лечения препаратом определяет врач.
Для точного дозирования необходимо использовать наиболее подходящую дозировку левотироксина натрия.
Полная инструкция
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L-Тироксин Берлин-Хеми таб.
L-Тироксин Берлин-Хеми таб., 125 мкг, 100 шт.
4.9
(68)
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36 вопросов
Инструкция

177 ₽

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4.9
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У продавца:68 оценок·7 отзывов
У всех продавцов:1474 оценки·294 отзыва
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user avatar
7 месяцев назад • Elemen • Куплен на Маркете
Достоинства: Германия плохие лекарства не делает, - покупайте, гипотиреозники, смело!
Недостатки: нет
Комментарий: пожизненный препарат, - надо, чтобы был в продаже!
user avatar
2 месяца назад • Мусатова Татьяна • Куплен на Маркете
Комментарий: по рецепту врача для лечения щитовидной железы.
user avatar
Неделю назад • Лев Олевсон • Куплен на Маркете
Достоинства: Качественное лекарство.
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Рекомендуем

  • Эутирокс таб., 88 мкг, 100 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436733414_0/content/content/toggleWishlist":{"skuId":"101454680752","productId":1436733414,"offerId":"v3wEx1oGvpXFUy0Kl2w2yg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCOafi60FELClrvn5AhjozocEIOvcwQc=","sign":"PfpmXpNh2sfEaDkraANtIE77oJU7plLWiaaGNLd+GzI="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436733414_0/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Эутирокс таб., 88 мкг, 100 шт.

    Цена 150 ₽
  • L-Тироксин таб., 100 мкг, 100 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436733420_1/content/content/gallery":{"title":"L-Тироксин таб., 100 мкг, 100 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5167413/img_id8831747304452652296.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5167413/img_id8831747304452652296.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5167413/img_id8831747304452652296.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5167413/img_id8831747304452652296.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5167413/img_id8831747304452652296.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5167413/img_id8831747304452652296.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5177644/img_id6630530616500424303.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5177644/img_id6630530616500424303.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5177644/img_id6630530616500424303.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5177644/img_id6630530616500424303.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5177644/img_id6630530616500424303.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5177644/img_id6630530616500424303.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCOyfi60FENCUq7sCGNfxzwYg69zBBw==","sign":"BijGopH5a+U4nvAqWMIRC63mjFuXZqhdIXoWYkQNpbI="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436733420_1/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436733420_1/content/content/toggleWishlist":{"skuId":"661310032","productId":1436733420,"offerId":"oG-8cN4_VyD69YY2ezQWlQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCOyfi60FENCUq7sCGNfxzwYg69zBBw==","sign":"BijGopH5a+U4nvAqWMIRC63mjFuXZqhdIXoWYkQNpbI="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436733420_1/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    L-Тироксин таб., 100 мкг, 100 шт.

    Цена 145 ₽
  • Йодомарин таб., 0.1 мг, 100 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:265140229_2/content/content/toggleWishlist":{"skuId":"101303515759","productId":265140229,"offerId":"Q6knNLbG4BnzNmUeTLTInw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCIXwtn4Q7/SjsfkCGKfd0Acg69zBBw==","sign":"d8DIVEpajeK5a8hEGuU44A7EZm15q/U5gjDHC6XpAi8="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:265140229_2/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Йодомарин таб., 0.1 мг, 100 шт.

    Цена 136 ₽ вместо 169
  • Конкор Кор таб. п/о плен., 2.5 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1780857792_3/content/content/gallery":{"title":"Конкор Кор таб. п/о плен., 2.5 мг, 30 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5218055/img_id4278992585883330694.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5218055/img_id4278992585883330694.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5218055/img_id4278992585883330694.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5218055/img_id4278992585883330694.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5218055/img_id4278992585883330694.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5218055/img_id4278992585883330694.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4516625/img_id631011216289012784.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4516625/img_id631011216289012784.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4516625/img_id631011216289012784.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4516625/img_id631011216289012784.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4516625/img_id631011216289012784.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4516625/img_id631011216289012784.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCMD3ltEGEIG/t34Y6M6HBCDX3MEH","sign":"yMsJF/Wor1aiLUUhBvREi8poLQF88Y5qBKs4oAIc8R4="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1780857792_3/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1780857792_3/content/content/toggleWishlist":{"skuId":"265150337","productId":1780857792,"offerId":"lY0oNuzvC055gKKEqvxmMQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCMD3ltEGEIG/t34Y6M6HBCDX3MEH","sign":"yMsJF/Wor1aiLUUhBvREi8poLQF88Y5qBKs4oAIc8R4="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1780857792_3/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Конкор Кор таб. п/о плен., 2.5 мг, 30 шт.

    Цена 165 ₽
  • L-тироксин Реневал таб., 100 мкг, 200 г, 56 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1755910359_4/content/content/gallery":{"title":"L-тироксин Реневал таб., 100 мкг, 200 г, 56 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/1567763/img_id2697828698221308286.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1567763/img_id2697828698221308286.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1567763/img_id2697828698221308286.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1567763/img_id2697828698221308286.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1567763/img_id2697828698221308286.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1567763/img_id2697828698221308286.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/10933212/img_id6818054305044282938.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/10933212/img_id6818054305044282938.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/10933212/img_id6818054305044282938.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/10933212/img_id6818054305044282938.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/10933212/img_id6818054305044282938.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/10933212/img_id6818054305044282938.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCNehpMUGEJbD3/n8AhjyrIIIIOvcwQc=","sign":"IqP2VPNYQyh3M0ckg5U/PCb7OluV2E318CMWgp9fi+U="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1755910359_4/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1755910359_4/content/content/toggleWishlist":{"skuId":"102260793750","productId":1755910359,"offerId":"mOflgPHYDZ65rS1jvie-jQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCNehpMUGEJbD3/n8AhjyrIIIIOvcwQc=","sign":"IqP2VPNYQyh3M0ckg5U/PCb7OluV2E318CMWgp9fi+U="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1755910359_4/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    L-тироксин Реневал таб., 100 мкг, 200 г, 56 шт.

    Цена 84 ₽
  • Эндокринол капс., 0.275 г, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436733417_5/content/content/gallery":{"title":"Эндокринол капс., 0.275 г, 30 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5236045/img_id7762565844981518108.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5236045/img_id7762565844981518108.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5236045/img_id7762565844981518108.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5236045/img_id7762565844981518108.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5236045/img_id7762565844981518108.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5236045/img_id7762565844981518108.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/1522540/img_id2940123835150587558.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1522540/img_id2940123835150587558.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1522540/img_id2940123835150587558.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1522540/img_id2940123835150587558.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1522540/img_id2940123835150587558.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1522540/img_id2940123835150587558.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCOmfi60FELnnt34Y1buhBiDr3MEH","sign":"9Pqlwjd+8ww60K+NYt28aK4/i9G58Uz9kBtLZF2DUsY="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436733417_5/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436733417_5/content/content/toggleWishlist":{"skuId":"265155513","productId":1436733417,"offerId":"j7DA440Tn5UtvQxSa94EYg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCOmfi60FELnnt34Y1buhBiDr3MEH","sign":"9Pqlwjd+8ww60K+NYt28aK4/i9G58Uz9kBtLZF2DUsY="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436733417_5/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Эндокринол капс., 0.275 г, 30 шт.

    Цена 410 ₽ вместо 460
  • Верошпирон капс., 50 мг, 30 шт.
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    Верошпирон капс., 50 мг, 30 шт.

    Цена 217 ₽
  • Розувастатин-СЗ таб. п/о плен., 20 мг, 30 шт.
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    Розувастатин-СЗ таб. п/о плен., 20 мг, 30 шт.

    Цена 292 ₽
  • {"widgets":{"@light/BannerCurtain":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_101_8/content/content/content/bannerCurtain":{"advertisementId":2022901,"impression":"/safeclick/data=SpQw45JhDGE6zDtOdUQO_PXJ0D5pSqaut_FhUYhNT6kUlMTI1VwErJJNVxVucIOXiLcRpKmuZZenoBBO7OzV-pVA04mjcOJ_DZE2jPqkFQMhlLjKIhlcyU7vehP9yBGX629MHKXLSvPX-L8fycBM29DnbZzpeBh7EVfTU3pK-oOv_sFkZ9KuYdOkvWyKEj9itFe-budrLlp7-kwoF0Lo4eeqt2UDPsbBoAlo6HaLD9ae-Vvgmho5bF_tOGK16SD2z_saSwxcwWDRoaxKrBYqKuUv6wjov_9Mqjgs_Lg1Rpa6CQytyYK-N8CtbkbEgSovbOb6aYV6z4BdUcnVyQD5DdNJWHGIFgG42SVr9zb1tp5kWK_AQKfiSNd34F3YkbG0j0eALcOU4m83SJTrV-Zob6L8i3YuruLER14pY3FxvknblUC7zKcpA1N3rxFOIsV_91LhuD9FMki7Q2Q0PtyZtxCXHMWt2EYKYp3gnRL7w7mZhcHCUfzNzzSkUvob-GdM5k8o_dm-O4oiYw8RZmFbYRG7mjxuzO5cNg5CiXbus5ou8CDcnjkQRBewbmWeiHk8yRiRM0j1bwutSEtBOSqxEI1P2bCD-JIWb-aCZg11MOX-HD0QkApYGVeLFgKte2IVkv_yW0MAg16dQEALPvrf6p_rnxEQS2yiaDJYwUK8E4y4B84XviLw9x0k_GTcbyANTJ24ZZyH3Jmous3e_HZg5Yt4s02SZ40zhog7F2oM1rKwAk2KAySQcF-TOjYJrza1gfsLGQV02xkSF7GjFpWqQW5NsYH5W4QQ_JuKD1WgFI2QM-pU0ZU6rzMC77eo2R3h2Qa1F1o9sDhn8jLD0dOw2nhcDyxeHSOChwR11zvL7YeAOXgprce19-5tOv-w-7ZF0sSteUEIl53iuVcsphLLyXmwLPbbdlb_rFmL4XBJRDXOUh_C4niIQPKcH5CM7ZTmDCO7S_1iMD6jb12i20xd0_VJ-li93r8lxheHlHbnlRb0BddaSpHCPG7DsX32Xxa-CAVXfK8Aw4RdPVTMPk2voZI2pKSGeC-2XYlgYjH4wOS5jP3WCdPXQ0TTf8vjyKK-DYoFYumGpM-qDJJ4BaVviw,,/b64e=1/sign=e5b1a5efb81c4e37c2112f7b504f9069/keyno=MARKET_1/*"}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_101_8/content/content/content/bannerCurtain":{"name":"@light/BannerCurtain"}}}
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    Реклама
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  • Detrimax Active р-р д/вн. приема фл., 500 МЕ, 30 мл
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:651848228_9/content/content/toggleWishlist":{"skuId":"101321467751","productId":651848228,"offerId":"dMefl5931LeC7mxNvyQ9Jw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCKTU6bYCEOfO67n5AhjAmtEHIJnDBQ==","sign":"1zsdEMfRuFWKEVLaAwMoPfylNJmv5gOT2bo7D2WGbv8="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:651848228_9/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Detrimax Active р-р д/вн. приема фл., 500 МЕ, 30 мл

    Цена 506 ₽ вместо 660
  • Конкор таб. п/о плен., 5 мг, 50 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075821_10/content/content/toggleWishlist":{"skuId":"265146235","productId":1401075821,"offerId":"MBQ3MXTd-5dXvCoYzwLedw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCO3wipwFEPuet34Y6M6HBCDX3MEH","sign":"RLrMypLN/HqQzpGjR7vtC54xLm4Y5uRSqhVxdAd3K+U="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075821_10/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Конкор таб. п/о плен., 5 мг, 50 шт.

    Цена 298 ₽
  • Эутирокс таб., 25 мкг, 100 шт.
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    Эутирокс таб., 25 мкг, 100 шт.

    Цена 110 ₽
  • Бисопролол таб. п/о плен., 5 мг, 30 шт.
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075592_12/content/content/toggleWishlist":{"skuId":"228004076","productId":1401075592,"offerId":"9kyVvI7gZcH-bFX9LEdtxA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCIjvipwFEOyh3GwYtNWHBCDX3MEH","sign":"MLcMCtiw008OIpnpetidZOShPlHdFAxLg6lz/Ywlzf4="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075592_12/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Бисопролол таб. п/о плен., 5 мг, 30 шт.

    Цена 105 ₽
  • Конкор Кор таб. п/о плен., 2.5 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1697099756_13/content/content/gallery":{"title":"Конкор Кор таб. п/о плен., 2.5 мг, 30 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/4709279/img_id590838468113134174.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4709279/img_id590838468113134174.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4709279/img_id590838468113134174.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4709279/img_id590838468113134174.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4709279/img_id590838468113134174.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4709279/img_id590838468113134174.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5259100/img_id3280388497603927337.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5259100/img_id3280388497603927337.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5259100/img_id3280388497603927337.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5259100/img_id3280388497603927337.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5259100/img_id3280388497603927337.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5259100/img_id3280388497603927337.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCOzfnqkGENGZssT6AhjozocEINfcwQc=","sign":"/IrTbZ8RkICnfQAk3J29mkFJlXmqxhjKMqcCZfSD8eE="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1697099756_13/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1697099756_13/content/content/toggleWishlist":{"skuId":"101612031185","productId":1697099756,"offerId":"slA0_mot_8fG3bLQkR28Lw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCOzfnqkGENGZssT6AhjozocEINfcwQc=","sign":"/IrTbZ8RkICnfQAk3J29mkFJlXmqxhjKMqcCZfSD8eE="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1697099756_13/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Конкор Кор таб. п/о плен., 2.5 мг, 30 шт.

    Цена 175 ₽ вместо 201
  • Тирамин таб. п/о кш/раств., 10 мг, 40 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778175943_14/content/content/gallery":{"title":"Тирамин таб. п/о кш/раств., 10 мг, 40 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/7631660/img_id5125075183752824856.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/7631660/img_id5125075183752824856.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/7631660/img_id5125075183752824856.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/7631660/img_id5125075183752824856.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/7631660/img_id5125075183752824856.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/7631660/img_id5125075183752824856.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4579830/img_id3574827141946001141.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4579830/img_id3574827141946001141.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4579830/img_id3574827141946001141.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4579830/img_id3574827141946001141.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4579830/img_id3574827141946001141.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4579830/img_id3574827141946001141.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4465918/img_id2762936393090646110.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4465918/img_id2762936393090646110.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4465918/img_id2762936393090646110.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4465918/img_id2762936393090646110.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4465918/img_id2762936393090646110.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4465918/img_id2762936393090646110.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5218438/img_id2957021173087099224.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5218438/img_id2957021173087099224.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5218438/img_id2957021173087099224.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5218438/img_id2957021173087099224.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5218438/img_id2957021173087099224.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5218438/img_id2957021173087099224.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCMef888GEKG7t34Y1qjZByDr3MEH","sign":"R7zXw1FGY4TR2RBULT7/xTR9Kq+PLSLisI8jVGYzzhA="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778175943_14/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
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    Тирамин таб. п/о кш/раств., 10 мг, 40 шт.

    Цена 1 243 ₽ вместо 1 594
  • Леркамен таб. п/о плен., 10 мг, 28 шт.
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075489_15/content/content/toggleWishlist":{"skuId":"186849746","productId":1401075489,"offerId":"BFx7pFO6rks3gotywx-Sdg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCKHuipwFENKzjFkYp93QByDX3MEH","sign":"kXsmoL8IGf/skVA+ffu9Z19uVq6aJFZtSEDjCWfI4Ko="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075489_15/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Леркамен таб. п/о плен., 10 мг, 28 шт.

    Цена 474 ₽ вместо 524
  • Глюкофаж Лонг таб. пролонг. действ., 750 мг, 30 шт.
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    Глюкофаж Лонг таб. пролонг. действ., 750 мг, 30 шт.

    Цена 292 ₽
  • Верошпирон таб., 25 мг, 20 шт.
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    Верошпирон таб., 25 мг, 20 шт.

    Цена 117 ₽
  • Vitamin D3, 50000 МЕ, 50 мл, 50 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1775010076_18/content/content/gallery":{"title":"Vitamin D3, 50000 МЕ, 50 мл, 50 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/1544149/img_id5867755162625813203.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1544149/img_id5867755162625813203.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1544149/img_id5867755162625813203.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1544149/img_id5867755162625813203.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1544149/img_id5867755162625813203.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1544149/img_id5867755162625813203.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5323398/img_id1010989838095213243.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5323398/img_id1010989838095213243.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5323398/img_id1010989838095213243.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5323398/img_id1010989838095213243.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5323398/img_id1010989838095213243.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5323398/img_id1010989838095213243.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4120567/img_id3739716375983165764.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4120567/img_id3739716375983165764.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4120567/img_id3739716375983165764.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4120567/img_id3739716375983165764.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4120567/img_id3739716375983165764.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4120567/img_id3739716375983165764.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCJyCss4GEO7Om8cGGPHJtgQgmcMF","sign":"fFM5WJyvO8HWiiDMG54wnyDS+Ifx+ldQFdf/xFa5F2Y="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1775010076_18/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1775010076_18/content/content/toggleWishlist":{"skuId":"1759962990","productId":1775010076,"offerId":"JqVJbeEMIv_28EdhT_faPQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCJyCss4GEO7Om8cGGPHJtgQgmcMF","sign":"fFM5WJyvO8HWiiDMG54wnyDS+Ifx+ldQFdf/xFa5F2Y="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1775010076_18/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Vitamin D3, 50000 МЕ, 50 мл, 50 шт.

    Цена 1 355 ₽ вместо 1 940
  • Аллопуринол таб., 300 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663455_19/content/content/toggleWishlist":{"skuId":"226693586","productId":1422663455,"offerId":"PI3D9jGbKEgLiAJ50HbEmQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCJ++sKYFENKjjGwYld3QByDn3MEH","sign":"6QbH0MKqG99VN/gjBmLf5fxjqB9fG47N24M2LvAhku0="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663455_19/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Аллопуринол таб., 300 мг, 30 шт.

    Цена 182 ₽
  • Тиреоген капс., 20 шт.
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436733419_20/content/content/toggleWishlist":{"skuId":"599289000","productId":1436733419,"offerId":"7JTagsTDUvlk5snYmF0QpA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQloOu0uW+i5NCEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCOufi60FEKjZ4Z0CGMOAoAgg69zBBw==","sign":"wvVzena8XxTWR7+5Lzqzlu5TlKRB0jbmdo+SbsRjfjY="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1436733419_20/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Тиреоген капс., 20 шт.

    Цена 1 900 ₽ вместо 2 470
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    Реклама
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  • Тирозол таб. п/о плен., 5 мг, 50 шт.
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    Тирозол таб. п/о плен., 5 мг, 50 шт.

    Цена 181 ₽
  • Престариум А таб. п/о плен., 5 мг, 30 шт.
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    Престариум А таб. п/о плен., 5 мг, 30 шт.

    Цена 320 ₽ вместо 400
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