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Описание

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Метформин таб., 1000 мг, 60 шт.

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4.9
(21)
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Коротко о товаре

Артикул Маркета
3123174077
Тип препарата
Назначение
Действующее вещество
Возраст
от 18 лет
Инструкция
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у детей в возрасте 10 лет и старше - в качестве монотерапии или в комбинации с инсулином."},{"name":"Противопоказания","value":"Острый или хронический метаболический ацидоз, диабетический кетоацидоз, диабетическая прекома и кома; почечная недостаточность, нарушение функции почек (КК\u003C60 мл/мин); обезвоживание организма, тяжелая инфекция, гипогликемический шок, которые могут привести к нарушению функции почек; клинически выраженные симптомы острых и хронических заболеваний, которые могут привести к развитию тканевой гипоксии (в т.ч. сердечная недостаточность, острый инфаркт миокарда, дыхательная недостаточность); применение контрастных йодсодержащих веществ для внутрисосудистого введения (в т.ч. при проведении в/в урографии, в/в холангиографии, ангиографии, КТ); острая алкогольная интоксикация, хронический алкоголизм; повышенная чувствительность к метформину."},{"name":"Состав","value":"Каждая таблетка 500 мг содержит:\u003Cbr\u003Eдействующее вещество: метформина гидрохлорид - 500,0 мг.\u003Cbr\u003EВспомогательные вещества: целлюлоза микрокристаллическая (МКЦ-101 Премиум) - 15,0 мг, кроскармеллоза натрия - 30,0 мг, вода очищенная - 10,0 мг, повидон-К17 - 40,0 мг, магния стеарат - 5,0 мг.\u003Cbr\u003EКаждая таблетка 850 мг содержит:\u003Cbr\u003Eдействующее вещество: метформина гидрохлорид - 850,0 мг.\u003Cbr\u003EВспомогательные вещества: целлюлоза микрокристаллическая (МКЦ-101 Премиум) - 25,5 мг, кроскармеллоза натрия - 51,0 мг, вода очищенная - 17,0 мг, повидон-К17 - 68,0 мг, магния стеарат - 8,5 мг.\u003Cbr\u003EКаждая таблетка 1000 мг содержит:\u003Cbr\u003Eдействующее вещество: метформина гидрохлорид - 1000,0 мг.\u003Cbr\u003EВспомогательные вещества: целлюлоза микрокристаллическая (МКЦ-101 Премиум) - 30,0 мг, кроскармеллоза натрия - 60,0 мг, вода очищенная - 20,0 мг, повидон-К17 - 80,0 мг, магния стеарат - 10,0 мг."},{"name":"Действующее вещество","value":"Метформин","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-sakharnogo-diabeta","categoryId":"15756510","navnodeId":"72472","glfilters":["27144131:28708697"]}}},{"name":"Способ применения и дозы","value":"Внутрь.\u003Cbr\u003EВзрослые\u003Cbr\u003EМонотерапия и комбинированная терапия в сочетании с другими пероральными гипогликемическими средствами при сахарном диабете 2 типа:\u003Cbr\u003E- Обычная начальная доза составляет 500 мг или 850 мг 2-3 раза в сутки после или во время приема пищи.\u003Cbr\u003E- Через каждые 10-15 дней рекомендуется корректировать дозу на основании результатов измерения концентрации глюкозы в плазме крови. Медленное увеличение дозы способствует снижению количества побочных эффектов со стороны желудочно-кишечного тракта (ЖКТ).\u003Cbr\u003E- Поддерживающая доза метформина обычно составляет 1500-2000 мг/сут. Для уменьшения побочных явлений со стороны желудочно-кишечного тракта суточную дозу следует разделить на 2-3 приема. Максимальная доза составляет 3000 мг/сут, разделенная на три приема.\u003Cbr\u003E- Пациенты, принимающие метформин в дозах 2000-3000 мг/сут, могут быть переведены на прием препарата 1000 мг. Максимальная рекомендованная доза составляет 3000 мг/сут, разделенная на три приема.\u003Cbr\u003EВ случае планирования перехода с приема другого гипогликемического средства: необходимо прекратить прием другого средства и начать прием препарата Метформин в дозе, указанной выше.\u003Cbr\u003EКомбинация с инсулином\u003Cbr\u003EДля достижения лучшего контроля глюкозы в крови метформин и инсулин у пациентов с сахарным диабетом 2 типа можно применять в виде комбинированной терапии. Обычная начальная доза препарата Метформин составляет 500 мг или 850 мг 2-3 раза в сутки, в то время как дозу инсулина подбирают на основании концентрации глюкозы в крови.\u003Cbr\u003EДети и подростки: у детей с 10-летнего возраста препарат Метформин может применяться как в монотерапии, так и в сочетании с инсулином. Обычная начальная доза составляет 500 мг или 850 мг 1 раз в сутки после или во время приема пищи. Через 10-15 дней дозу необходимо скорректировать на основании концентрации глюкозы крови. Максимальная суточная доза составляет 2000 мг, разделенная на 2-3 приема.\u003Cbr\u003EМонотерапия при предиабете\u003Cbr\u003EОбычная доза составляет 1000-1700 мг в сутки после или во время приема пищи, разделенная на 2 приема. Рекомендуется регулярно проводить гликемический контроль для оценки необходимости дальнейшего применения метформина."},{"name":"Побочные действия","value":"Со стороны пищеварительной системы: возможны (обычно в начале лечения) тошнота, рвота, диарея, метеоризм, чувство дискомфорта в животе; в единичных случаях - нарушение показателей функции печени, гепатит (исчезают после прекращения лечения).\u003Cbr\u003EСо стороны обмена веществ: очень редко - лактат-ацидоз (требуется прекращение лечения).\u003Cbr\u003EСо стороны системы кроветворения: очень редко - нарушение всасывания витамина B12.\u003Cbr\u003EПрофиль побочных реакций у детей в возрасте 10 лет и старше такой же, как у взрослых."},{"name":"Фармакологическое действие","value":"Метформин относится к гипогликемическим средствам группы бигуанидов, снижает гипергликемию, не приводя к развитию гипогликемии. В отличие от производных сульфонилмочевины, не стимулирует секрецию инсулина и не оказывает гипогликемического эффекта у здорового человека. Повышает чувствительность периферических рецепторов к инсулину и утилизацию глюкозы клетками (особенно в мышечной ткани). Снижает выработку глюкозы печенью за счет ингибирования глюконеогенеза и гликогенолиза. Задерживает всасывание глюкозы в кишечнике. Метформин стимулирует синтез гликогена, воздействуя на гликогенсинтазу. Увеличивает транспортную емкость всех типов мембранных переносчиков глюкозы.\u003Cbr\u003EКроме того, оказывает благоприятный эффект на метаболизм липидов: снижает концентрацию общего холестерина, липопротеинов низкой плотности и триглицеридов.\u003Cbr\u003EНа фоне приема метформина масса тела пациента либо остается стабильной, либо умеренно снижается.\u003Cbr\u003EКлинические исследования показали также эффективность метформина для профилактики сахарного диабета у пациентов с предиабетом с дополнительными факторами риска развития явного сахарного диабета 2 типа, у которых изменение образа жизни не позволили достичь адекватного гликемического контроля."},{"name":"Фармакологическая группа","value":"гипогликемическое средство для перорального применения группы бигуанидов"},{"name":"Форма выпуска","value":"таблетки"},{"name":"Способ применения/введения","value":"пероральный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-sakharnogo-diabeta","categoryId":"15756510","navnodeId":"72472","glfilters":["35947170:36763744"]}}},{"name":"Минимальный возраст применения","value":"от 18 лет"},{"name":"Условия хранения","value":"Хранить в сухом, защищенном от света месте при температуре от 15° до 25°С. Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"При передозировке могут проявиться некоторые побочные действия, отчего таблетки рекомендуется принимать только в указанной дозе. При приеме метформина в дозировке 85 г был зафиксирован случай передозировки, вследствие чего развивался лактатацидоз, при котором отмечалась рвота, тошнота, боли в мышцах, понос, боль в животе. Если своевременно не будет оказана помощь, возможно развитие головокружения, нарушения сознания и комы. Наиболее эффективным методом выведения из организма метформина является гемодиализ. Далее назначают симптоматическую терапию."},{"name":"Применение при беременности и кормлении грудью","value":"Применение метформина в период беременности противопоказано. Декомпенсированный сахарный диабет во время беременности связан с повышенным риском возникновения врожденных пороков и перинатальной смертности. Ограниченное количество данных свидетельствует о том, что прием метформина у беременных женщин не увеличивает риск развития врожденных пороков у детей.\u003Cbr\u003EПри планировании беременности, а также в случае наступления беременности на фоне приема метформина при предиабете и сахарном диабете 2 типа, метформин должен быть отменен, и в случае сахарного диабета 2 типа назначена инсулинотерапия. Необходимо поддерживать концентрацию глюкозы в плазме крови на уровне, наиболее близком к норме для снижения риска возникновения пороков развития плода.\u003Cbr\u003EМетформин проникает в грудное молоко. Нежелательные реакции у новорожденных при грудном вскармливании на фоне приема метформина не наблюдались. Однако в связи с ограниченным количеством данных, применение метформина в период грудного вскармливания не рекомендовано. Решение о прекращении грудного вскармливания должно быть принято с учетом пользы от грудного вскармливания и потенциального риска возникновения нежелательных реакций у ребенка."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Монотерапия препаратом Метформин не вызывает гипогликемии, поэтому не влияет на способность управлять транспортными средствами и механизмами.\u003Cbr\u003EТем не менее, следует предостеречь пациентов о риске гипогликемии при применении метформина в сочетании с другими гипогликемическими препаратами (производными сульфонилмочевины, репаглинидом, инсулином), при которой ухудшается способность к управлению транспортными средствами и занятиям другими потенциально опасными видами деятельности, требующими повышенного внимания и быстрых психомоторных реакций."},{"name":"Особые указания","value":"Не рекомендуется применение при острых инфекциях, обострении хронических инфекционно-воспалительных заболеваний, травмах, острых хирургических заболеваниях, опасности дегидратации.\u003Cbr\u003EНе применяют перед хирургическими операциями и в течение 2 дней после их проведения.\u003Cbr\u003EС осторожностью следует применять метформин у пациентов пожилого возраста и лиц, выполняющих тяжелую физическую работу, что связано с повышенным риском развития молочнокислого ацидоза. У пациентов старческого возраста часто наблюдается бессимптомное нарушение функции почек. Особая осторожность требуется, если нарушение функции почек спровоцировано приемом антигипертензивных препаратов или диуретиков, а также НПВС.\u003Cbr\u003EЕсли во время лечения у пациента появились мышечные судороги, нарушение пищеварения (боли в животе) и выраженная астения, то следует иметь в виду, что эти симптомы могут свидетельствовать о начале развития лактацидоза.\u003Cbr\u003EВ период лечения необходимо контролировать функцию почек; определение содержания лактата в плазме следует проводить не реже 2 раз в год, а также при появлении миалгии.\u003Cbr\u003EПри применении метформина в виде монотерапии в соответствии с режимом дозирования гипогликемия, как правило, не возникает. Однако при комбинации с инсулином или с производными сульфонилмочевины имеется риск развития гипогликемии. В таких случаях необходим особо тщательный контроль концентрации глюкозы в крови.\u003Cbr\u003EВ период лечения пациентам следует избегать употребления алкоголя из-за риска развития лактат-ацидоза.\u003Cbr\u003EВ доклинических исследованиях показано, что метформин не обладает канцерогенным потенциалом."},{"name":"Взаимодействие","value":"При одновременном применении с производными сульфонилмочевины, акарбозой, инсулином, салицилатами, ингибиторами МАО, окситетрациклином, ингибиторами АПФ, с клофибратом, циклофосфамидом возможно усиление гипогликемического действия метформина.\u003Cbr\u003EПри одновременном применении с ГКС, гормональными контрацептивами для приема внутрь, даназолом, эпинефрином, глюкагоном, гормонами щитовидной железы, производными фенотиазина, тиазидными диуретиками, производными никотиновой кислоты возможно уменьшение гипогликемического действия метформина.\u003Cbr\u003EУ пациентов, получающих метформин, применение йодсодержащих контрастных веществ с целью проведения диагностических исследований (в т.ч. в/в урографии, в/в холангиографии, ангиографии, КТ) повышает риск развития острого нарушения функции почек и лактат-ацидоза. Данные комбинации противопоказаны.\u003Cbr\u003EБета2-адреномиметики в виде инъекций повышают концентрацию глюкозы в крови вследствие стимуляции β2-адренорецепторов. В этом случае необходим контроль концентрации глюкозы в крови. При необходимости рекомендуется назначить инсулин.\u003Cbr\u003EОдновременный прием циметидина может усилить риск развития лактат-ацидоза.\u003Cbr\u003EОдновременный прием \"петлевых\" диуретиков может привести к развитию лактат-ацидоза из-за возможной функциональной почечной недостаточности.\u003Cbr\u003EПро одновременном приеме с этанолом повышается риск развития лактат-ацидоза.\u003Cbr\u003EНифедипин повышает абсорбцию и Cmax метформина.\u003Cbr\u003EКатионные лекарственные средства (амилорид, дигоксин, морфин, прокаинамид, хинидин, хинин, ранитидин, триамтерен, триметоприм и ванкомицин), секретирующиеся в почечных канальцах, конкурируют с метформином за канальцевые транспортные системы и могут приводить к увеличению его Cmax."},{"name":"Регистрационный номер","value":"ЛП-002189"},{"name":"Дата государственной регистрации","value":"16.06.2021"},{"name":"Владелец регистрационного удостоверения","value":"Атолл","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-sakharnogo-diabeta","categoryId":"15756510","navnodeId":"72472","glfilters":["34324371:35649313","7893318:17601668"]}}},{"name":"Изготовитель","value":"ОЗОН"},{"name":"Фасовщик","value":"ОЗОН"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Метформин","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-sakharnogo-diabeta","categoryId":"15756510","navnodeId":"72472","glfilters":["17796364:18050256"]}}},{"name":"Срок годности","value":"1 г."}]}},"fullSpecsGrouped":{"14114713179798636336":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Органы и системы","value":"поджелудочная железа, эндокринная система"},{"name":"Назначение","value":"сахарный диабет 2 типа"},{"name":"Показания к применению","value":"Сахарный диабет 2 типа (инсулиннезависимый) при неэффективности диетотерапии и физической нагрузки, у пациентов с ожирением: у взрослых - в качестве монотерапии или в комбинации с другими пероральными гипогликемическими средствами или с инсулином; у детей в возрасте 10 лет и старше - в качестве монотерапии или в комбинации с инсулином."},{"name":"Противопоказания","value":"Острый или хронический метаболический ацидоз, диабетический кетоацидоз, диабетическая прекома и кома; почечная недостаточность, нарушение функции почек (КК\u003C60 мл/мин); обезвоживание организма, тяжелая инфекция, гипогликемический шок, которые могут привести к нарушению функции почек; клинически выраженные симптомы острых и хронических заболеваний, которые могут привести к развитию тканевой гипоксии (в т.ч. сердечная недостаточность, острый инфаркт миокарда, дыхательная недостаточность); применение контрастных йодсодержащих веществ для внутрисосудистого введения (в т.ч. при проведении в/в урографии, в/в холангиографии, ангиографии, КТ); острая алкогольная интоксикация, хронический алкоголизм; повышенная чувствительность к метформину."},{"name":"Состав","value":"Каждая таблетка 500 мг содержит:\u003Cbr\u003Eдействующее вещество: метформина гидрохлорид - 500,0 мг.\u003Cbr\u003EВспомогательные вещества: целлюлоза микрокристаллическая (МКЦ-101 Премиум) - 15,0 мг, кроскармеллоза натрия - 30,0 мг, вода очищенная - 10,0 мг, повидон-К17 - 40,0 мг, магния стеарат - 5,0 мг.\u003Cbr\u003EКаждая таблетка 850 мг содержит:\u003Cbr\u003Eдействующее вещество: метформина гидрохлорид - 850,0 мг.\u003Cbr\u003EВспомогательные вещества: целлюлоза микрокристаллическая (МКЦ-101 Премиум) - 25,5 мг, кроскармеллоза натрия - 51,0 мг, вода очищенная - 17,0 мг, повидон-К17 - 68,0 мг, магния стеарат - 8,5 мг.\u003Cbr\u003EКаждая таблетка 1000 мг содержит:\u003Cbr\u003Eдействующее вещество: метформина гидрохлорид - 1000,0 мг.\u003Cbr\u003EВспомогательные вещества: целлюлоза микрокристаллическая (МКЦ-101 Премиум) - 30,0 мг, кроскармеллоза натрия - 60,0 мг, вода очищенная - 20,0 мг, повидон-К17 - 80,0 мг, магния стеарат - 10,0 мг."},{"name":"Действующее вещество","value":"Метформин"},{"name":"Способ применения и дозы","value":"Внутрь.\u003Cbr\u003EВзрослые\u003Cbr\u003EМонотерапия и комбинированная терапия в сочетании с другими пероральными гипогликемическими средствами при сахарном диабете 2 типа:\u003Cbr\u003E- Обычная начальная доза составляет 500 мг или 850 мг 2-3 раза в сутки после или во время приема пищи.\u003Cbr\u003E- Через каждые 10-15 дней рекомендуется корректировать дозу на основании результатов измерения концентрации глюкозы в плазме крови. Медленное увеличение дозы способствует снижению количества побочных эффектов со стороны желудочно-кишечного тракта (ЖКТ).\u003Cbr\u003E- Поддерживающая доза метформина обычно составляет 1500-2000 мг/сут. Для уменьшения побочных явлений со стороны желудочно-кишечного тракта суточную дозу следует разделить на 2-3 приема. Максимальная доза составляет 3000 мг/сут, разделенная на три приема.\u003Cbr\u003E- Пациенты, принимающие метформин в дозах 2000-3000 мг/сут, могут быть переведены на прием препарата 1000 мг. Максимальная рекомендованная доза составляет 3000 мг/сут, разделенная на три приема.\u003Cbr\u003EВ случае планирования перехода с приема другого гипогликемического средства: необходимо прекратить прием другого средства и начать прием препарата Метформин в дозе, указанной выше.\u003Cbr\u003EКомбинация с инсулином\u003Cbr\u003EДля достижения лучшего контроля глюкозы в крови метформин и инсулин у пациентов с сахарным диабетом 2 типа можно применять в виде комбинированной терапии. Обычная начальная доза препарата Метформин составляет 500 мг или 850 мг 2-3 раза в сутки, в то время как дозу инсулина подбирают на основании концентрации глюкозы в крови.\u003Cbr\u003EДети и подростки: у детей с 10-летнего возраста препарат Метформин может применяться как в монотерапии, так и в сочетании с инсулином. Обычная начальная доза составляет 500 мг или 850 мг 1 раз в сутки после или во время приема пищи. Через 10-15 дней дозу необходимо скорректировать на основании концентрации глюкозы крови. Максимальная суточная доза составляет 2000 мг, разделенная на 2-3 приема.\u003Cbr\u003EМонотерапия при предиабете\u003Cbr\u003EОбычная доза составляет 1000-1700 мг в сутки после или во время приема пищи, разделенная на 2 приема. Рекомендуется регулярно проводить гликемический контроль для оценки необходимости дальнейшего применения метформина."},{"name":"Побочные действия","value":"Со стороны пищеварительной системы: возможны (обычно в начале лечения) тошнота, рвота, диарея, метеоризм, чувство дискомфорта в животе; в единичных случаях - нарушение показателей функции печени, гепатит (исчезают после прекращения лечения).\u003Cbr\u003EСо стороны обмена веществ: очень редко - лактат-ацидоз (требуется прекращение лечения).\u003Cbr\u003EСо стороны системы кроветворения: очень редко - нарушение всасывания витамина B12.\u003Cbr\u003EПрофиль побочных реакций у детей в возрасте 10 лет и старше такой же, как у взрослых."},{"name":"Фармакологическое действие","value":"Метформин относится к гипогликемическим средствам группы бигуанидов, снижает гипергликемию, не приводя к развитию гипогликемии. В отличие от производных сульфонилмочевины, не стимулирует секрецию инсулина и не оказывает гипогликемического эффекта у здорового человека. Повышает чувствительность периферических рецепторов к инсулину и утилизацию глюкозы клетками (особенно в мышечной ткани). Снижает выработку глюкозы печенью за счет ингибирования глюконеогенеза и гликогенолиза. Задерживает всасывание глюкозы в кишечнике. Метформин стимулирует синтез гликогена, воздействуя на гликогенсинтазу. Увеличивает транспортную емкость всех типов мембранных переносчиков глюкозы.\u003Cbr\u003EКроме того, оказывает благоприятный эффект на метаболизм липидов: снижает концентрацию общего холестерина, липопротеинов низкой плотности и триглицеридов.\u003Cbr\u003EНа фоне приема метформина масса тела пациента либо остается стабильной, либо умеренно снижается.\u003Cbr\u003EКлинические исследования показали также эффективность метформина для профилактики сахарного диабета у пациентов с предиабетом с дополнительными факторами риска развития явного сахарного диабета 2 типа, у которых изменение образа жизни не позволили достичь адекватного гликемического контроля."},{"name":"Фармакологическая группа","value":"гипогликемическое средство для перорального применения группы бигуанидов"},{"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":"Хранить в сухом, защищенном от света месте при температуре от 15° до 25°С. Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"При передозировке могут проявиться некоторые побочные действия, отчего таблетки рекомендуется принимать только в указанной дозе. При приеме метформина в дозировке 85 г был зафиксирован случай передозировки, вследствие чего развивался лактатацидоз, при котором отмечалась рвота, тошнота, боли в мышцах, понос, боль в животе. Если своевременно не будет оказана помощь, возможно развитие головокружения, нарушения сознания и комы. Наиболее эффективным методом выведения из организма метформина является гемодиализ. Далее назначают симптоматическую терапию."},{"name":"Применение при беременности и кормлении грудью","value":"Применение метформина в период беременности противопоказано. Декомпенсированный сахарный диабет во время беременности связан с повышенным риском возникновения врожденных пороков и перинатальной смертности. Ограниченное количество данных свидетельствует о том, что прием метформина у беременных женщин не увеличивает риск развития врожденных пороков у детей.\u003Cbr\u003EПри планировании беременности, а также в случае наступления беременности на фоне приема метформина при предиабете и сахарном диабете 2 типа, метформин должен быть отменен, и в случае сахарного диабета 2 типа назначена инсулинотерапия. Необходимо поддерживать концентрацию глюкозы в плазме крови на уровне, наиболее близком к норме для снижения риска возникновения пороков развития плода.\u003Cbr\u003EМетформин проникает в грудное молоко. Нежелательные реакции у новорожденных при грудном вскармливании на фоне приема метформина не наблюдались. Однако в связи с ограниченным количеством данных, применение метформина в период грудного вскармливания не рекомендовано. Решение о прекращении грудного вскармливания должно быть принято с учетом пользы от грудного вскармливания и потенциального риска возникновения нежелательных реакций у ребенка."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Монотерапия препаратом Метформин не вызывает гипогликемии, поэтому не влияет на способность управлять транспортными средствами и механизмами.\u003Cbr\u003EТем не менее, следует предостеречь пациентов о риске гипогликемии при применении метформина в сочетании с другими гипогликемическими препаратами (производными сульфонилмочевины, репаглинидом, инсулином), при которой ухудшается способность к управлению транспортными средствами и занятиям другими потенциально опасными видами деятельности, требующими повышенного внимания и быстрых психомоторных реакций."},{"name":"Особые указания","value":"Не рекомендуется применение при острых инфекциях, обострении хронических инфекционно-воспалительных заболеваний, травмах, острых хирургических заболеваниях, опасности дегидратации.\u003Cbr\u003EНе применяют перед хирургическими операциями и в течение 2 дней после их проведения.\u003Cbr\u003EС осторожностью следует применять метформин у пациентов пожилого возраста и лиц, выполняющих тяжелую физическую работу, что связано с повышенным риском развития молочнокислого ацидоза. У пациентов старческого возраста часто наблюдается бессимптомное нарушение функции почек. Особая осторожность требуется, если нарушение функции почек спровоцировано приемом антигипертензивных препаратов или диуретиков, а также НПВС.\u003Cbr\u003EЕсли во время лечения у пациента появились мышечные судороги, нарушение пищеварения (боли в животе) и выраженная астения, то следует иметь в виду, что эти симптомы могут свидетельствовать о начале развития лактацидоза.\u003Cbr\u003EВ период лечения необходимо контролировать функцию почек; определение содержания лактата в плазме следует проводить не реже 2 раз в год, а также при появлении миалгии.\u003Cbr\u003EПри применении метформина в виде монотерапии в соответствии с режимом дозирования гипогликемия, как правило, не возникает. Однако при комбинации с инсулином или с производными сульфонилмочевины имеется риск развития гипогликемии. В таких случаях необходим особо тщательный контроль концентрации глюкозы в крови.\u003Cbr\u003EВ период лечения пациентам следует избегать употребления алкоголя из-за риска развития лактат-ацидоза.\u003Cbr\u003EВ доклинических исследованиях показано, что метформин не обладает канцерогенным потенциалом."},{"name":"Взаимодействие","value":"При одновременном применении с производными сульфонилмочевины, акарбозой, инсулином, салицилатами, ингибиторами МАО, окситетрациклином, ингибиторами АПФ, с клофибратом, циклофосфамидом возможно усиление гипогликемического действия метформина.\u003Cbr\u003EПри одновременном применении с ГКС, гормональными контрацептивами для приема внутрь, даназолом, эпинефрином, глюкагоном, гормонами щитовидной железы, производными фенотиазина, тиазидными диуретиками, производными никотиновой кислоты возможно уменьшение гипогликемического действия метформина.\u003Cbr\u003EУ пациентов, получающих метформин, применение йодсодержащих контрастных веществ с целью проведения диагностических исследований (в т.ч. в/в урографии, в/в холангиографии, ангиографии, КТ) повышает риск развития острого нарушения функции почек и лактат-ацидоза. Данные комбинации противопоказаны.\u003Cbr\u003EБета2-адреномиметики в виде инъекций повышают концентрацию глюкозы в крови вследствие стимуляции β2-адренорецепторов. В этом случае необходим контроль концентрации глюкозы в крови. При необходимости рекомендуется назначить инсулин.\u003Cbr\u003EОдновременный прием циметидина может усилить риск развития лактат-ацидоза.\u003Cbr\u003EОдновременный прием \"петлевых\" диуретиков может привести к развитию лактат-ацидоза из-за возможной функциональной почечной недостаточности.\u003Cbr\u003EПро одновременном приеме с этанолом повышается риск развития лактат-ацидоза.\u003Cbr\u003EНифедипин повышает абсорбцию и Cmax метформина.\u003Cbr\u003EКатионные лекарственные средства (амилорид, дигоксин, морфин, прокаинамид, хинидин, хинин, ранитидин, триамтерен, триметоприм и ванкомицин), секретирующиеся в почечных канальцах, конкурируют с метформином за канальцевые транспортные системы и могут приводить к увеличению его Cmax."},{"name":"Регистрационный номер","value":"ЛП-002189"},{"name":"Дата государственной регистрации","value":"16.06.2021"},{"name":"Владелец регистрационного удостоверения","value":"Атолл"},{"name":"Изготовитель","value":"ОЗОН"},{"name":"Фасовщик","value":"ОЗОН"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Метформин"},{"name":"Срок годности","value":"1 г."}]}],"transitionId":"tr_13485494390779083745"}}}}
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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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Премиум) - 15,0 мг, кроскармеллоза натрия - 30,0 мг, вода очищенная - 10,0 мг, повидон-К17 - 40,0 мг, магния стеарат - 5,0 мг.\u003Cbr\u003EКаждая таблетка 850 мг содержит:\u003Cbr\u003Eдействующее вещество: метформина гидрохлорид - 850,0 мг.\u003Cbr\u003EВспомогательные вещества: целлюлоза микрокристаллическая (МКЦ-101 Премиум) - 25,5 мг, кроскармеллоза натрия - 51,0 мг, вода очищенная - 17,0 мг, повидон-К17 - 68,0 мг, магния стеарат - 8,5 мг.\u003Cbr\u003EКаждая таблетка 1000 мг содержит:\u003Cbr\u003Eдействующее вещество: метформина гидрохлорид - 1000,0 мг.\u003Cbr\u003EВспомогательные вещества: целлюлоза микрокристаллическая (МКЦ-101 Премиум) - 30,0 мг, кроскармеллоза натрия - 60,0 мг, вода очищенная - 20,0 мг, повидон-К17 - 80,0 мг, магния стеарат - 10,0 мг."},{"description":"","filters":[{"id":27144131,"name":"Действующее вещество"}],"isMainProperty":false,"name":"Действующее вещество","value":"Метформин"},{"description":"","filters":[{"id":15768000,"name":"Способ применения и дозы"}],"isMainProperty":false,"name":"Способ применения и дозы","value":"Внутрь.\u003Cbr\u003EВзрослые\u003Cbr\u003EМонотерапия и комбинированная терапия в сочетании с другими пероральными гипогликемическими средствами при сахарном диабете 2 типа:\u003Cbr\u003E- Обычная начальная доза составляет 500 мг или 850 мг 2-3 раза в сутки после или во время приема пищи.\u003Cbr\u003E- Через каждые 10-15 дней рекомендуется корректировать дозу на основании результатов измерения концентрации глюкозы в плазме крови. Медленное увеличение дозы способствует снижению количества побочных эффектов со стороны желудочно-кишечного тракта (ЖКТ).\u003Cbr\u003E- Поддерживающая доза метформина обычно составляет 1500-2000 мг/сут. Для уменьшения побочных явлений со стороны желудочно-кишечного тракта суточную дозу следует разделить на 2-3 приема. Максимальная доза составляет 3000 мг/сут, разделенная на три приема.\u003Cbr\u003E- Пациенты, принимающие метформин в дозах 2000-3000 мг/сут, могут быть переведены на прием препарата 1000 мг. Максимальная рекомендованная доза составляет 3000 мг/сут, разделенная на три приема.\u003Cbr\u003EВ случае планирования перехода с приема другого гипогликемического средства: необходимо прекратить прием другого средства и начать прием препарата Метформин в дозе, указанной выше.\u003Cbr\u003EКомбинация с инсулином\u003Cbr\u003EДля достижения лучшего контроля глюкозы в крови метформин и инсулин у пациентов с сахарным диабетом 2 типа можно применять в виде комбинированной терапии. Обычная начальная доза препарата Метформин составляет 500 мг или 850 мг 2-3 раза в сутки, в то время как дозу инсулина подбирают на основании концентрации глюкозы в крови.\u003Cbr\u003EДети и подростки: у детей с 10-летнего возраста препарат Метформин может применяться как в монотерапии, так и в сочетании с инсулином. Обычная начальная доза составляет 500 мг или 850 мг 1 раз в сутки после или во время приема пищи. Через 10-15 дней дозу необходимо скорректировать на основании концентрации глюкозы крови. Максимальная суточная доза составляет 2000 мг, разделенная на 2-3 приема.\u003Cbr\u003EМонотерапия при предиабете\u003Cbr\u003EОбычная доза составляет 1000-1700 мг в сутки после или во время приема пищи, разделенная на 2 приема. Рекомендуется регулярно проводить гликемический контроль для оценки необходимости дальнейшего применения метформина."},{"description":"","filters":[{"id":15767998,"name":"Побочные действия"}],"isMainProperty":false,"name":"Побочные действия","value":"Со стороны пищеварительной системы: возможны (обычно в начале лечения) тошнота, рвота, диарея, метеоризм, чувство дискомфорта в животе; в единичных случаях - нарушение показателей функции печени, гепатит (исчезают после прекращения лечения).\u003Cbr\u003EСо стороны обмена веществ: очень редко - лактат-ацидоз (требуется прекращение лечения).\u003Cbr\u003EСо стороны системы кроветворения: очень редко - нарушение всасывания витамина B12.\u003Cbr\u003EПрофиль побочных реакций у детей в возрасте 10 лет и старше такой же, как у взрослых."},{"description":"","filters":[{"id":15768001,"name":"Фармакологическое действие"}],"isMainProperty":false,"name":"Фармакологическое действие","value":"Метформин относится к гипогликемическим средствам группы бигуанидов, снижает гипергликемию, не приводя к развитию гипогликемии. В отличие от производных сульфонилмочевины, не стимулирует секрецию инсулина и не оказывает гипогликемического эффекта у здорового человека. Повышает чувствительность периферических рецепторов к инсулину и утилизацию глюкозы клетками (особенно в мышечной ткани). Снижает выработку глюкозы печенью за счет ингибирования глюконеогенеза и гликогенолиза. Задерживает всасывание глюкозы в кишечнике. Метформин стимулирует синтез гликогена, воздействуя на гликогенсинтазу. Увеличивает транспортную емкость всех типов мембранных переносчиков глюкозы.\u003Cbr\u003EКроме того, оказывает благоприятный эффект на метаболизм липидов: снижает концентрацию общего холестерина, липопротеинов низкой плотности и триглицеридов.\u003Cbr\u003EНа фоне приема метформина масса тела пациента либо остается стабильной, либо умеренно снижается.\u003Cbr\u003EКлинические исследования показали также эффективность метформина для профилактики сахарного диабета у пациентов с предиабетом с дополнительными факторами риска развития явного сахарного диабета 2 типа, у которых изменение образа жизни не позволили достичь адекватного гликемического контроля."},{"description":"","filters":[{"id":34045110,"name":"Фармакологическая группа"}],"isMainProperty":false,"name":"Фармакологическая группа","value":"гипогликемическое средство для перорального применения группы бигуанидов"},{"description":"","filters":[{"id":27141511,"name":"Форма выпуска для карточки"}],"isMainProperty":false,"name":"Форма выпуска","value":"таблетки"},{"description":"","filters":[{"id":35947170,"name":"Способ применения/введения"}],"isMainProperty":false,"name":"Способ применения/введения","value":"пероральный"},{"description":"","filters":[{"id":23679511,"name":"Минимальный возраст применения"},{"id":16082123,"name":"С рождения"}],"isMainProperty":false,"name":"Минимальный возраст применения","value":"от 18 лет"}]},{"name":"Дополнительно","specs":[{"description":"","filters":[{"id":15767999,"name":"Условия хранения"}],"isMainProperty":false,"name":"Условия хранения","value":"Хранить в сухом, защищенном от света месте при температуре от 15° до 25°С. Хранить в недоступном для детей месте."},{"description":"","filters":[{"id":15768014,"name":"Передозировка"}],"isMainProperty":false,"name":"Передозировка","value":"При передозировке могут проявиться некоторые побочные действия, отчего таблетки рекомендуется принимать только в указанной дозе. При приеме метформина в дозировке 85 г был зафиксирован случай передозировки, вследствие чего развивался лактатацидоз, при котором отмечалась рвота, тошнота, боли в мышцах, понос, боль в животе. Если своевременно не будет оказана помощь, возможно развитие головокружения, нарушения сознания и комы. Наиболее эффективным методом выведения из организма метформина является гемодиализ. Далее назначают симптоматическую терапию."},{"description":"","filters":[{"id":15768015,"name":"Применение при беременности и кормлении грудью"}],"isMainProperty":false,"name":"Применение при беременности и кормлении грудью","value":"Применение метформина в период беременности противопоказано. Декомпенсированный сахарный диабет во время беременности связан с повышенным риском возникновения врожденных пороков и перинатальной смертности. Ограниченное количество данных свидетельствует о том, что прием метформина у беременных женщин не увеличивает риск развития врожденных пороков у детей.\u003Cbr\u003EПри планировании беременности, а также в случае наступления беременности на фоне приема метформина при предиабете и сахарном диабете 2 типа, метформин должен быть отменен, и в случае сахарного диабета 2 типа назначена инсулинотерапия. Необходимо поддерживать концентрацию глюкозы в плазме крови на уровне, наиболее близком к норме для снижения риска возникновения пороков развития плода.\u003Cbr\u003EМетформин проникает в грудное молоко. Нежелательные реакции у новорожденных при грудном вскармливании на фоне приема метформина не наблюдались. Однако в связи с ограниченным количеством данных, применение метформина в период грудного вскармливания не рекомендовано. Решение о прекращении грудного вскармливания должно быть принято с учетом пользы от грудного вскармливания и потенциального риска возникновения нежелательных реакций у ребенка."},{"description":"","filters":[{"id":17360993,"name":"Влияние на способность управлять транспортом и механизмами"}],"isMainProperty":false,"name":"Влияние на способность управлять транспортом и механизмами","value":"Монотерапия препаратом Метформин не вызывает гипогликемии, поэтому не влияет на способность управлять транспортными средствами и механизмами.\u003Cbr\u003EТем не менее, следует предостеречь пациентов о риске гипогликемии при применении метформина в сочетании с другими гипогликемическими препаратами (производными сульфонилмочевины, репаглинидом, инсулином), при которой ухудшается способность к управлению транспортными средствами и занятиям другими потенциально опасными видами деятельности, требующими повышенного внимания и быстрых психомоторных реакций."},{"description":"","filters":[{"id":15771167,"name":"Особые указания"}],"isMainProperty":false,"name":"Особые указания","value":"Не рекомендуется применение при острых инфекциях, обострении хронических инфекционно-воспалительных заболеваний, травмах, острых хирургических заболеваниях, опасности дегидратации.\u003Cbr\u003EНе применяют перед хирургическими операциями и в течение 2 дней после их проведения.\u003Cbr\u003EС осторожностью следует применять метформин у пациентов пожилого возраста и лиц, выполняющих тяжелую физическую работу, что связано с повышенным риском развития молочнокислого ацидоза. У пациентов старческого возраста часто наблюдается бессимптомное нарушение функции почек. Особая осторожность требуется, если нарушение функции почек спровоцировано приемом антигипертензивных препаратов или диуретиков, а также НПВС.\u003Cbr\u003EЕсли во время лечения у пациента появились мышечные судороги, нарушение пищеварения (боли в животе) и выраженная астения, то следует иметь в виду, что эти симптомы могут свидетельствовать о начале развития лактацидоза.\u003Cbr\u003EВ период лечения необходимо контролировать функцию почек; определение содержания лактата в плазме следует проводить не реже 2 раз в год, а также при появлении миалгии.\u003Cbr\u003EПри применении метформина в виде монотерапии в соответствии с режимом дозирования гипогликемия, как правило, не возникает. Однако при комбинации с инсулином или с производными сульфонилмочевины имеется риск развития гипогликемии. В таких случаях необходим особо тщательный контроль концентрации глюкозы в крови.\u003Cbr\u003EВ период лечения пациентам следует избегать употребления алкоголя из-за риска развития лактат-ацидоза.\u003Cbr\u003EВ доклинических исследованиях показано, что метформин не обладает канцерогенным потенциалом."},{"description":"","filters":[{"id":15768012,"name":"Взаимодействие"}],"isMainProperty":false,"name":"Взаимодействие","value":"При одновременном применении с производными сульфонилмочевины, акарбозой, инсулином, салицилатами, ингибиторами МАО, окситетрациклином, ингибиторами АПФ, с клофибратом, циклофосфамидом возможно усиление гипогликемического действия метформина.\u003Cbr\u003EПри одновременном применении с ГКС, гормональными контрацептивами для приема внутрь, даназолом, эпинефрином, глюкагоном, гормонами щитовидной железы, производными фенотиазина, тиазидными диуретиками, производными никотиновой кислоты возможно уменьшение гипогликемического действия метформина.\u003Cbr\u003EУ пациентов, получающих метформин, применение йодсодержащих контрастных веществ с целью проведения диагностических исследований (в т.ч. в/в урографии, в/в холангиографии, ангиографии, КТ) повышает риск развития острого нарушения функции почек и лактат-ацидоза. Данные комбинации противопоказаны.\u003Cbr\u003EБета2-адреномиметики в виде инъекций повышают концентрацию глюкозы в крови вследствие стимуляции β2-адренорецепторов. В этом случае необходим контроль концентрации глюкозы в крови. При необходимости рекомендуется назначить инсулин.\u003Cbr\u003EОдновременный прием циметидина может усилить риск развития лактат-ацидоза.\u003Cbr\u003EОдновременный прием \"петлевых\" диуретиков может привести к развитию лактат-ацидоза из-за возможной функциональной почечной недостаточности.\u003Cbr\u003EПро одновременном приеме с этанолом повышается риск развития лактат-ацидоза.\u003Cbr\u003EНифедипин повышает абсорбцию и Cmax метформина.\u003Cbr\u003EКатионные лекарственные средства (амилорид, дигоксин, морфин, прокаинамид, хинидин, хинин, ранитидин, триамтерен, триметоприм и ванкомицин), секретирующиеся в почечных канальцах, конкурируют с метформином за канальцевые транспортные системы и могут приводить к увеличению его Cmax."},{"description":"","filters":[{"id":16435314,"name":"Регистрационный номер"}],"isMainProperty":false,"name":"Регистрационный номер","value":"ЛП-002189"},{"description":"","filters":[{"id":16435315,"name":"Дата государственной 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    Цена 99 ₽
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  • Сиофор таб. п/о плен., 1000 мг, 60 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-nsxyoq2ql2o/toggleWishlist":{"skuId":"101372395736","productId":656559067,"offerId":"DKwlN8OWk9uiJe71dbIXLg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcI25eJuQIQ2IGQ0vkCGKfd0Acg3tnBBw==","sign":"oyaWq+hLeER/Do1ZfnqbbFJ27dzVYDuyvqLnI10Huwk="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-nsxyoq2ql2o/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Сиофор таб. п/о плен., 1000 мг, 60 шт.

    Рейтинг товара: 4.8 из 5
    на основе 95 оценок
    Цена 188 ₽
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  • Метформин Канон таб. п/о плен., 850 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-69vdv2juy3b/toggleWishlist":{"skuId":"227814305","productId":998360003,"offerId":"j7T4I0f8-8LhELJiTOFh3A","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIw4eH3AMQodfQbBjOwtkHIN7ZwQc=","sign":"OhVDd6ODSWcvU4ZqcphR67p8twljoXHMNsb8CAMI3Pg="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-69vdv2juy3b/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Метформин Канон таб. п/о плен., 850 мг, 30 шт.

    Рейтинг товара: 4.9 из 5
    на основе 47 оценок
    Цена 86 ₽
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  • Метформин Санофи таб. п/о плен., 500 мг, 60 шт.
    –32 %
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    Метформин Санофи таб. п/о плен., 500 мг, 60 шт.

    Рейтинг товара: 4.8 из 5
    на основе 74 оценки
    Цена 105 ₽ вместо 155
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  • Метформин-СЗ таб. пролонг. высвоб., 750 мг, 60 шт.
    –15 %
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    Метформин-СЗ таб. пролонг. высвоб., 750 мг, 60 шт.

    Рейтинг товара: 4.7 из 5
    на основе 14 оценок
    Цена 288 ₽ вместо 338
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  • Метформин-ВЕРТЕКС таб. п/о плен., 1000 мг, 60 шт.
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    Метформин-ВЕРТЕКС таб. п/о плен., 1000 мг, 60 шт.

    Рейтинг товара: 4.9 из 5
    на основе 45 оценок
    Цена 181 ₽
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  • Глюкофаж лонг таб. пролонг. действ., 1000 мг, 60 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-tknsvif7cs/toggleWishlist":{"skuId":"228004154","productId":998360030,"offerId":"mPIBmy4cgiOtGm60Lf0esg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUI3oeH3AMQuqLcbBjozocEIN7ZwQc=","sign":"b0Z/PbkkiAYENL2w67Zdt2MUlFYeclkQOeR0p+F+ybg="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-tknsvif7cs/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Глюкофаж лонг таб. пролонг. действ., 1000 мг, 60 шт.

    Рейтинг товара: 4.8 из 5
    на основе 21 оценка
    Цена 657 ₽
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  • Метформин таб. п/о плен., 500 мг, 60 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-moe9g55c96c/toggleWishlist":{"skuId":"228057922","productId":998360049,"offerId":"T7F0jsZZWRfjvqgeyuvdpw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUI8YeH3AMQwsbfbBiWg9gHIN7ZwQc=","sign":"667ayeDfYY5Qy9+Nnic9dEHJbwaTge+h/3VQR0GjL0A="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-moe9g55c96c/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Метформин таб. п/о плен., 500 мг, 60 шт.

    Рейтинг товара: 4.4 из 5
    на основе 27 оценок
    Цена 126 ₽
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  • Метформин Лонг таб. пролонг. высвоб., 500 мг, 60 шт.
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    Метформин Лонг таб. пролонг. высвоб., 500 мг, 60 шт.

    Рейтинг товара: 5 из 5
    на основе 1 оценка
    Цена 365 ₽
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  • Глюкофаж Лонг таб. пролонг. действ., 750 мг, 30 шт.
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    Глюкофаж Лонг таб. пролонг. действ., 750 мг, 30 шт.

    Рейтинг товара: 4.9 из 5
    на основе 148 оценок
    Цена 279 ₽
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  • Метформин канон таб. п/о плен., 500 мг, 60 шт.
    –32 %
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    Метформин канон таб. п/о плен., 500 мг, 60 шт.

    Рейтинг товара: 4.9 из 5
    на основе 16 оценок
    Цена 104 ₽ вместо 154
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  • Метформин таб. п/о плен., 1000 мг, 60 шт.
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    Метформин таб. п/о плен., 1000 мг, 60 шт.

    Рейтинг товара: 4.8 из 5
    на основе 30 оценок
    Цена 164 ₽
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Инструкция

Показания к применению

Сахарный диабет 2 типа (инсулиннезависимый) при неэффективности диетотерапии и физической нагрузки, у пациентов с ожирением: у взрослых - в качестве монотерапии или в комбинации с другими пероральными гипогликемическими средствами или с инсулином; у детей в возрасте 10 лет и старше - в качестве монотерапии или в комбинации с инсулином.

Противопоказания

Острый или хронический метаболический ацидоз, диабетический кетоацидоз, диабетическая прекома и кома; почечная недостаточность, нарушение функции почек (КК<60 мл/мин); обезвоживание организма, тяжелая инфекция, гипогликемический шок, которые могут привести к нарушению функции почек; клинически выраженные симптомы острых и хронических заболеваний, которые могут привести к развитию тканевой гипоксии (в т.ч. сердечная недостаточность, острый инфаркт миокарда, дыхательная недостаточность); применение контрастных йодсодержащих веществ для внутрисосудистого введения (в т.ч. при проведении в/в урографии, в/в холангиографии, ангиографии, КТ); острая алкогольная интоксикация, хронический алкоголизм; повышенная чувствительность к метформину.

Способ применения и дозы

Внутрь.
Взрослые
Монотерапия и комбинированная терапия в сочетании с другими пероральными гипогликемическими средствами при сахарном диабете 2 типа:
- Обычная начальная доза составляет 500 мг или 850 мг 2-3 раза в сутки после или во время приема пищи.
- Через каждые 10-15 дней рекомендуется корректировать дозу на основании результатов измерения концентрации глюкозы в плазме крови. Медленное увеличение дозы способствует снижению количества побочных эффектов со стороны желудочно-кишечного тракта (ЖКТ).
- Поддерживающая доза метформина обычно составляет 1500-2000 мг/сут. Для уменьшения побочных явлений со стороны желудочно-кишечного тракта суточную дозу следует разделить на 2-3 приема. Максимальная доза составляет 3000 мг/сут, разделенная на три приема.
- Пациенты, принимающие метформин в дозах 2000-3000 мг/сут, могут быть переведены на прием препарата 1000 мг. Максимальная рекомендованная доза составляет 3000 мг/сут, разделенная на три приема.
В случае планирования перехода с приема другого гипогликемического средства: необходимо прекратить прием другого средства и начать прием препарата Метформин в дозе, указанной выше.
Комбинация с инсулином
Для достижения лучшего контроля глюкозы в крови метформин и инсулин у пациентов с сахарным диабетом 2 типа можно применять в виде комбинированной терапии. Обычная начальная доза препарата Метформин составляет 500 мг или 850 мг 2-3 раза в сутки, в то время как дозу инсулина подбирают на основании концентрации глюкозы в крови.
Дети и подростки: у детей с 10-летнего возраста препарат Метформин может применяться как в монотерапии, так и в сочетании с инсулином. Обычная начальная доза составляет 500 мг или 850 мг 1 раз в сутки после или во время приема пищи. Через 10-15 дней дозу необходимо скорректировать на основании концентрации глюкозы крови. Максимальная суточная доза составляет 2000 мг, разделенная на 2-3 приема.
Монотерапия при предиабете
Обычная доза составляет 1000-1700 мг в сутки после или во время приема пищи, разделенная на 2 приема. Рекомендуется регулярно проводить гликемический контроль для оценки необходимости дальнейшего применения метформина.
Полная инструкция
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Метформин таб.
Метформин таб., 1000 мг, 60 шт.
4.9
(21)
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8 вопросов
Инструкция

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4.9
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У продавца:21 оценка·2 отзыва
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3 месяца назад • Оксана Шнуряева • Куплен на Маркете
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3 месяца назад • Константин Причисленко • Куплен на Маркете
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    Цена 63 ₽
  • Метформин-Тева таб. п/о плен., 1000 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360013_1/content/content/gallery":{"title":"Метформин-Тева таб. п/о плен., 1000 мг, 30 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/4012462/img_id7472158855793115051.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4012462/img_id7472158855793115051.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4012462/img_id7472158855793115051.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4012462/img_id7472158855793115051.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4012462/img_id7472158855793115051.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4012462/img_id7472158855793115051.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4880383/img_id1360645709329533789.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4880383/img_id1360645709329533789.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4880383/img_id1360645709329533789.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4880383/img_id1360645709329533789.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4880383/img_id1360645709329533789.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4880383/img_id1360645709329533789.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCM2Hh9wDELDIjVkY1v2NByDe2cEH","sign":"OpnSibzm6LLPy/0WPuka3+PFvYEL61WbYcCGC+Ay4LI="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360013_1/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
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    Метформин-Тева таб. п/о плен., 1000 мг, 30 шт.

    Цена 99 ₽
  • Сиофор таб. п/о плен., 1000 мг, 60 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:656559067_2/content/content/gallery":{"title":"Сиофор таб. п/о плен., 1000 мг, 60 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5235907/img_id748416701017798492.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5235907/img_id748416701017798492.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5235907/img_id748416701017798492.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5235907/img_id748416701017798492.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5235907/img_id748416701017798492.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5235907/img_id748416701017798492.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5232557/img_id7282510688873786601.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5232557/img_id7282510688873786601.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5232557/img_id7282510688873786601.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5232557/img_id7282510688873786601.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5232557/img_id7282510688873786601.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5232557/img_id7282510688873786601.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCNuXibkCENiBkNL5Ahin3dAHIN7ZwQc=","sign":"nvO5cvEhs3FTybbZ6lR+do+P5o/cZrmj+/kFwK8+KP4="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:656559067_2/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
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    Сиофор таб. п/о плен., 1000 мг, 60 шт.

    Цена 188 ₽
  • Метформин Канон таб. п/о плен., 850 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360003_3/content/content/gallery":{"title":"Метформин Канон таб. п/о плен., 850 мг, 30 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/1864685/img_id556678224789798719.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1864685/img_id556678224789798719.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1864685/img_id556678224789798719.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1864685/img_id556678224789798719.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1864685/img_id556678224789798719.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1864685/img_id556678224789798719.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/1912364/img_id7434336806213840725.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1912364/img_id7434336806213840725.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1912364/img_id7434336806213840725.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1912364/img_id7434336806213840725.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1912364/img_id7434336806213840725.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1912364/img_id7434336806213840725.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCMOHh9wDEKHX0GwYzsLZByDe2cEH","sign":"yZvPUPh8e1XjLygxBKAjBRB/qL5FL1y2bJEmlqD/hos="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360003_3/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360003_3/content/content/toggleWishlist":{"skuId":"227814305","productId":998360003,"offerId":"j7T4I0f8-8LhELJiTOFh3A","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCMOHh9wDEKHX0GwYzsLZByDe2cEH","sign":"yZvPUPh8e1XjLygxBKAjBRB/qL5FL1y2bJEmlqD/hos="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360003_3/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Метформин Канон таб. п/о плен., 850 мг, 30 шт.

    Цена 86 ₽
  • Метформин Санофи таб. п/о плен., 500 мг, 60 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360060_4/content/content/toggleWishlist":{"skuId":"575819006","productId":998360060,"offerId":"9HCJJJb5YK0wc2zHsJxlaQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCPyHh9wDEP6ZyZICGMnL9Qcg3tnBBw==","sign":"ZhyM9Ugqat1An6dvS7v6T4wJzupYF1hugb9/S/EQEUc="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360060_4/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Метформин Санофи таб. п/о плен., 500 мг, 60 шт.

    Цена 105 ₽ вместо 155
  • Индапамид таб. п/о плен., 2.5 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401076037_5/content/content/gallery":{"title":"Индапамид таб. п/о плен., 2.5 мг, 30 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5320264/img_id3292803567462019995.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5320264/img_id3292803567462019995.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5320264/img_id3292803567462019995.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5320264/img_id3292803567462019995.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5320264/img_id3292803567462019995.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5320264/img_id3292803567462019995.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/986077/img_id7657492366685870427.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/986077/img_id7657492366685870427.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/986077/img_id7657492366685870427.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/986077/img_id7657492366685870427.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/986077/img_id7657492366685870427.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/986077/img_id7657492366685870427.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCMXyipwFEO/k3mwY1/HPBiDX3MEH","sign":"/ZvjTFkILFJg5gs/uG7SIH7yO7aOC5F3sWCzu/kalCQ="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401076037_5/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401076037_5/content/content/toggleWishlist":{"skuId":"228045423","productId":1401076037,"offerId":"ZUMZMzJyFoOZIR2RjrJyTg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCMXyipwFEO/k3mwY1/HPBiDX3MEH","sign":"/ZvjTFkILFJg5gs/uG7SIH7yO7aOC5F3sWCzu/kalCQ="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401076037_5/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Индапамид таб. п/о плен., 2.5 мг, 30 шт.

    Цена 84 ₽
  • Бисопролол Канон таб. п/о плен., 5 мг, 30 шт.
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    Бисопролол Канон таб. п/о плен., 5 мг, 30 шт.

    Цена 99 ₽
  • Метформин-СЗ таб. пролонг. высвоб., 750 мг, 60 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1490735927_7/content/content/toggleWishlist":{"skuId":"101531083153","productId":1490735927,"offerId":"SeQlPc7akNXUZcpLaKPDJw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCLem68YFEJHD5Z36Ahiu3tAHIN7ZwQc=","sign":"xrPW49TsE3vxrF+6lAGYrTV5pqGT09oPMmF/kOwI6A4="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1490735927_7/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Метформин-СЗ таб. пролонг. высвоб., 750 мг, 60 шт.

    Цена 288 ₽ вместо 338
  • Реклама
    {"widgets":{"@light/AdLabel":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_101_8/content/content/content/adLabel":{"adLabel":{"adLabelText":"Реклама","advertizer":"ОБЩЕСТВО С ОГРАНИЧЕННОЙ ОТВЕТСТВЕННОСТЬЮ \"ЭЙДЖИАЙ ЭЛЕКТРОНИКС\", ИНН 9725032535, ID #e-1g-12881-VND-ADV","adLabel":1},"advertisementId":1826181,"allowDebug":false,"borderRadius":5,"indents":6}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_101_8/content/content/content/adLabel":{"name":"@light/AdLabel"}}}
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  • Аторвастатин таб. п/о плен., 20 мг, 30 шт.
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    Аторвастатин таб. п/о плен., 20 мг, 30 шт.

    Цена 110 ₽ вместо 160
  • Метформин-ВЕРТЕКС таб. п/о плен., 1000 мг, 60 шт.
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    Метформин-ВЕРТЕКС таб. п/о плен., 1000 мг, 60 шт.

    Цена 181 ₽
  • Метопролол таб., 25 мг, 60 шт.
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075650_11/content/content/toggleWishlist":{"skuId":"453477142","productId":1401075650,"offerId":"Nnrmm0Qd4F6U1HhhRx4LmQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCMLvipwFEJaGntgBGNfxzwYg19zBBw==","sign":"GwEiBfxIm8eahBnFTqS+VsJMo2aIxTcPUwkT39swPbs="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075650_11/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Метопролол таб., 25 мг, 60 шт.

    Цена 76 ₽
  • Глюкофаж лонг таб. пролонг. действ., 1000 мг, 60 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360030_12/content/content/gallery":{"title":"Глюкофаж лонг таб. пролонг. действ., 1000 мг, 60 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/7979862/img_id8205091370348031197.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/7979862/img_id8205091370348031197.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/7979862/img_id8205091370348031197.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/7979862/img_id8205091370348031197.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/7979862/img_id8205091370348031197.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/7979862/img_id8205091370348031197.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4355034/img_id3102128262876066280.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4355034/img_id3102128262876066280.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4355034/img_id3102128262876066280.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4355034/img_id3102128262876066280.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4355034/img_id3102128262876066280.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4355034/img_id3102128262876066280.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5173149/img_id5195024625986556543.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5173149/img_id5195024625986556543.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5173149/img_id5195024625986556543.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5173149/img_id5195024625986556543.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5173149/img_id5195024625986556543.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5173149/img_id5195024625986556543.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCN6Hh9wDELqi3GwY6M6HBCDe2cEH","sign":"zY1P6T+r3QgMKSp9Xy6h7NK3C4x45WJENCjvb8oiDoU="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360030_12/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360030_12/content/content/toggleWishlist":{"skuId":"228004154","productId":998360030,"offerId":"mPIBmy4cgiOtGm60Lf0esg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCN6Hh9wDELqi3GwY6M6HBCDe2cEH","sign":"zY1P6T+r3QgMKSp9Xy6h7NK3C4x45WJENCjvb8oiDoU="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360030_12/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Глюкофаж лонг таб. пролонг. действ., 1000 мг, 60 шт.

    Цена 657 ₽
  • Метформин таб. п/о плен., 500 мг, 60 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360049_13/content/content/toggleWishlist":{"skuId":"228057922","productId":998360049,"offerId":"T7F0jsZZWRfjvqgeyuvdpw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCPGHh9wDEMLG32wYloPYByDe2cEH","sign":"HIu/YCL/IAn6RD/h3WQT4qJais8SkiGuZaCi4Y/NpKw="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360049_13/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Метформин таб. п/о плен., 500 мг, 60 шт.

    Цена 126 ₽
  • Метформин Лонг таб. пролонг. высвоб., 500 мг, 60 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360061_14/content/content/gallery":{"title":"Метформин Лонг таб. пролонг. высвоб., 500 мг, 60 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5344223/img_id868415835315295687.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5344223/img_id868415835315295687.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5344223/img_id868415835315295687.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5344223/img_id868415835315295687.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5344223/img_id868415835315295687.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5344223/img_id868415835315295687.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/1673800/img_id6217442675072158569.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1673800/img_id6217442675072158569.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1673800/img_id6217442675072158569.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1673800/img_id6217442675072158569.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1673800/img_id6217442675072158569.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1673800/img_id6217442675072158569.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCP2Hh9wDEJKayZICGISpsggg3tnBBw==","sign":"yiBKM1tmBeiHtyRjmTVIW3h6ognyk8HKDmfIbtQ9jg8="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360061_14/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360061_14/content/content/toggleWishlist":{"skuId":"575819026","productId":998360061,"offerId":"nf75RzT-i_BcN_qdIhJWgg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCP2Hh9wDEJKayZICGISpsggg3tnBBw==","sign":"yiBKM1tmBeiHtyRjmTVIW3h6ognyk8HKDmfIbtQ9jg8="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360061_14/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Метформин Лонг таб. пролонг. высвоб., 500 мг, 60 шт.

    Цена 365 ₽
  • Глюкофаж Лонг таб. пролонг. действ., 750 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360044_15/content/content/toggleWishlist":{"skuId":"664135032","productId":998360044,"offerId":"3kRoPR9LE5Md8kocJ2bwiw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCOyHh9wDEPjK17wCGOjOhwQg3tnBBw==","sign":"w1Qp5TpSV+G6pBUppvEx+94WlgI5Al4lgjBg7CNkago="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360044_15/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Глюкофаж Лонг таб. пролонг. действ., 750 мг, 30 шт.

    Цена 279 ₽
  • Эналаприл таб., 2.5 мг, 20 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1784969488_16/content/content/toggleWishlist":{"skuId":"101949852836","productId":1784969488,"offerId":"2CUvdWyDIabEKyuBzqyxew","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCJDykdMGEKSZveX7AhiXtvsFINfcwQc=","sign":"59P4/Rj/CKX93hsmQbxI56HlzevQ+T2mJ4qU0ltlru0="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1784969488_16/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Эналаприл таб., 2.5 мг, 20 шт.

    Цена 26 ₽
  • Метформин канон таб. п/о плен., 500 мг, 60 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360017_17/content/content/toggleWishlist":{"skuId":"227830307","productId":998360017,"offerId":"P9D3ERp9wNqoFa-e3tlxwA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCNGHh9wDEKPU0WwYzsLZByDe2cEH","sign":"nbk5TZM88aHSDeP5CgBVJOflhGG9mFwHlBnGBgvKyYE="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360017_17/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Метформин канон таб. п/о плен., 500 мг, 60 шт.

    Цена 104 ₽ вместо 154
  • Метформин таб. п/о плен., 1000 мг, 60 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360079_18/content/content/gallery":{"title":"Метформин таб. п/о плен., 1000 мг, 60 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5289292/img_id1131225945946297035.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5289292/img_id1131225945946297035.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5289292/img_id1131225945946297035.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5289292/img_id1131225945946297035.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5289292/img_id1131225945946297035.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5289292/img_id1131225945946297035.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5221807/img_id6110027673821573933.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5221807/img_id6110027673821573933.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5221807/img_id6110027673821573933.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5221807/img_id6110027673821573933.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5221807/img_id6110027673821573933.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5221807/img_id6110027673821573933.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCI+Ih9wDEMWl3LsCGNSp2Acg3tnBBw==","sign":"rXnftsbMEaxkUTZSNN5naKyoYM92ryPSjLERn6Ut28k="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360079_18/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360079_18/content/content/toggleWishlist":{"skuId":"662115013","productId":998360079,"offerId":"AJiMW_zcXiuSuMlIHgZ5gg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCI+Ih9wDEMWl3LsCGNSp2Acg3tnBBw==","sign":"rXnftsbMEaxkUTZSNN5naKyoYM92ryPSjLERn6Ut28k="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:998360079_18/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Метформин таб. п/о плен., 1000 мг, 60 шт.

    Цена 164 ₽
  • Бисопролол таб. п/о плен., 5 мг, 50 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075581_19/content/content/gallery":{"title":"Бисопролол таб. п/о плен., 5 мг, 50 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/6434027/img_id4346337235112450094.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/6434027/img_id4346337235112450094.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/6434027/img_id4346337235112450094.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/6434027/img_id4346337235112450094.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/6434027/img_id4346337235112450094.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/6434027/img_id4346337235112450094.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/3986581/img_id240912899205469435.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/3986581/img_id240912899205469435.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/3986581/img_id240912899205469435.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/3986581/img_id240912899205469435.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/3986581/img_id240912899205469435.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/3986581/img_id240912899205469435.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4901324/img_id7844336000463193786.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4901324/img_id7844336000463193786.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4901324/img_id7844336000463193786.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4901324/img_id7844336000463193786.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4901324/img_id7844336000463193786.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4901324/img_id7844336000463193786.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4441046/img_id8914589486258923069.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4441046/img_id8914589486258923069.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4441046/img_id8914589486258923069.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4441046/img_id8914589486258923069.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4441046/img_id8914589486258923069.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4441046/img_id8914589486258923069.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/372220/img_id4286361814077939425.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/372220/img_id4286361814077939425.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/372220/img_id4286361814077939425.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/372220/img_id4286361814077939425.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/372220/img_id4286361814077939425.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/372220/img_id4286361814077939425.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCP3uipwFEKm73GwYhKmyCCDX3MEH","sign":"Q5JT2Bad8GNSo6Hbxs3shufgDcpJZ4iJvmQLVDHbjxc="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075581_19/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075581_19/content/content/toggleWishlist":{"skuId":"228007337","productId":1401075581,"offerId":"Y5dJi8CU-A4J39LTYJKpfA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQlJesmfji/ZtgEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCP3uipwFEKm73GwYhKmyCCDX3MEH","sign":"Q5JT2Bad8GNSo6Hbxs3shufgDcpJZ4iJvmQLVDHbjxc="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075581_19/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

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

    Цена 142 ₽
  • Амлодипин таб., 10 мг, 30 шт.
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    Амлодипин таб., 10 мг, 30 шт.

    Цена 85 ₽
  • Реклама
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  • Аторвастатин таб. п/о плен., 40 мг, 30 шт.
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    Аторвастатин таб. п/о плен., 40 мг, 30 шт.

    Цена 121 ₽
  • Бисопролол таб. п/о плен., 5 мг, 30 шт.
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    Бисопролол таб. п/о плен., 5 мг, 30 шт.

    Цена 105 ₽
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