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Описание

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МИГ таб. п/о плен., 400 мг, 20 шт.

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4.8
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Коротко о товаре

Артикул Маркета
4139870766
Тип препарата
Назначение
Действующее вещество
Возраст
от 6 лет
Инструкция
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Пациентам с повышенной чувствительностью желудка рекомендуется принимать препарат во время еды. Только для кратковременного применения. Таблетки следует запиватыводой. Внимательно прочтите инструкцию передвриемом препарата.\u003Cbr\u003EВзрослым и детям старше 12 лет\u003Cbr\u003EПо 200 мг (1/2 таблетки) 3-4 раза в сутки.\u003Cbr\u003EДля достижения быстрого терапевтического эффекта у взрослых разовая доза может быть увеличена до 1 таблетки (400 мг) 3 раза в сутки. При приеме 400 мг (1 таблетка) интервал между приемами препарата должен составлять не менее 6 часов.\u003Cbr\u003EДети в возрасте от 6 до 12 лет (с массой тела более 20 кг)\u003Cbr\u003EПо 200 мг (1/2 таблетки) 3-4 раза в сутки. 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В частности, риск развития желудочно-кишечного кровотечения зависит от диапазона доз и от длительности лечения.\nНижеперечисленные нежелательные реакции отмечались при кратковременном приеме ибупрофена в дозах, не превышающих 1200 мг/сутки (3 таблетки). При лечении хронических состояний и при длительном применении возможно появление других побочных реакций. Оценка частоты возникновения нежелательных реакций произведена на основании следующих критериев: очень часто (≥ 1/10), часто (от ≥ 1/100 до \u003C 1/10), нечасто (от ≥ 1/1000 до \u003C 1/100), редко (от ≥ 1/10 000 до \u003C 1/1000), очень редко (\u003C 1/10 000), частота неизвестна (данных для оценки частоты недостаточно).\u003Cbr\u003EНарушения со стороны крови и лимфатической системы\u003Cbr\u003EОчень редко: нарушение кроветворения (анемия, лейкопения, апластическая анемия, гемолитическая анемия, тромбоцитопения, панцитопения, агранулоцитоз). Первыми симптомами таких нарушений являются лихорадка, боль в горле, поверхностные язвы в полости рта, «гриппоподобные» симптомы, выраженная слабость, кровотечения из носа и подкожные кровоизлияния, кровотечения и кровоподтеки неизвестной этиологии.\u003Cbr\u003EНарушения со стороны иммунной системы\u003Cbr\u003EНечасто: реакции гиперчувствительности — неспецифические аллергические реакции и анафилактические реакции, реакции со стороны дыхательных путей (бронхиальная астма, в том числе ее обострение, бронхоспазм, одышка, диспноэ), кожные реакции (зуд, крапивница, пурпура, отек Квинке, эксфолиативные и буллезные дерматозы, в том числе токсический эпидермальный некролиз (синдром Лайелла), синдром Стивенса-Джонсона, мультиформная эритема), аллергический ринит, эозинофилия.\u003Cbr\u003EОчень редко: тяжелые общие реакции гиперчувствительности, в том числе отек лица, языка и гортани, одышка, тахикардия, артериальная гипотензия (анафилаксия, отек Квинке или тяжелый анафилактический шок).\u003Cbr\u003EНарушения со стороны кожи и подкожных тканей\u003Cbr\u003EЧастота неизвестна: острый генерализованный экзантематозный пустулез (AGEP), реакции фоточувствительности.\u003Cbr\u003EНарушения со стороны желудочно-кишечного тракта\u003Cbr\u003EНечасто: боль в животе, тошнота, диспепсия (в том числе изжога, вздутие живота).\u003Cbr\u003EРедко: диарея, метеоризм, запор, рвота.\u003Cbr\u003EОчень редко: пептическая язва, перфорация или желудочно-кишечное кровотечение, мелена, кровавая рвота, в некоторых случаях с летальным исходом, особенно у пациентов пожилого возраста, язвенный стоматит, гастрит.\u003Cbr\u003EЧастота неизвестна: обострение колита и болезни Крона.\u003Cbr\u003EНарушения со стороны печени и желчевыводящих путей\u003Cbr\u003EОчень редко: нарушения функции печени, повышение активности «печеночных» трансаминаз, гепатит и желтуха.\u003Cbr\u003EНарушения со стороны почек и мочевыводящих путей\u003Cbr\u003EОчень редко: острая почечная недостаточность (компенси ованная и декомпенсированная), особенно при длительном сочетании с повышением концентрации мочевиньг в плазме крови и появлением отеков, гематурии и протеинурии, нефритический синдром, нефротический синдром, папиллярный некроз, интерстициальный нефрит, цистит.\u003Cbr\u003EНарушения со стороны нервной системы\u003Cbr\u003EНечасто: головная боль.\u003Cbr\u003EОчень редко: асептический менингит.\u003Cbr\u003EНарушения со стороны сердечно-сосудистой системы\u003Cbr\u003EЧастота неизвестна: сердечная недостаточность, периферические отеки, при длительном применении повышен риск тромботических осложнений (например, инфаркт миокарда), повышение артериального давления.\u003Cbr\u003EНарушения со стороны дыхательной системы и органов средостения\u003Cbr\u003EЧастота неизвестна: бронхиальн астма, бронхоспазм, одышка.\u003Cbr\u003EЛабораторные показатели\u003Cbr\u003Eгематокрит или гемоглобин (могут уменьшаться);\u003Cbr\u003Eвремя кровотечения (может увеличиваться);\u003Cbr\u003Eконцентрация глюкозы в плазме крови (может уменьшаться;\u003Cbr\u003Eклиренс креатинина (может уменьшаться);\u003Cbr\u003Eплазменная концентрация креатинина (может увеличиваться);\u003Cbr\u003Eактивность «печеночных» трансаминаз (может повышаться).\u003Cbr\u003EПри появлении нежелательных реакций следует прекратить прием препарата и обратиться к врачу.\u003Cbr\u003E"},{"name":"Фармакологическое действие","value":"Механизм действия ибупрофена, производ ого пропионовой кислоты из группы нестероидных противовоспалительных препаратов (НПВП) обусловлењ ингибированием синтеза простагландинов медиаторов боли, воспаления и гипертермической реакции. Неизбирательно блокирует циклооксигеназу 1 (ЦОГ-1) и циклооксигеназу2 (ЦОГ-2), вследствие чего тормозит синтез простагл инов. Оказывает быстрое направленное действие против боли (обезболивающее), жаропонижающее и противовоспалительное действие. Кроме того, ибупрофен обратимо ингибирует агрегацию тромбоцитов.\nОбезболивающее действие препарата продолжается до 8 часов.\u003Cbr\u003E"},{"name":"Фармакологическая группа","value":"нестероидный противовоспалительный препарат (НПВП)"},{"name":"Форма выпуска","value":"таблетки, покрытые пленочной оболочкой"},{"name":"Способ применения/введения","value":"пероральный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["35947170:36763744"]}}},{"name":"Минимальный возраст применения","value":"от 6 лет"},{"name":"Условия хранения","value":"Хранить при температуре не выше 25 оС. Лекарственное средство хранить в недоступном для детей месте!"},{"name":"Передозировка","value":"У детей симптомы передозировки могут возникать после приема дозы, превышающей 400 мг/кг массы тела. У взрослых дозозависимый эффект передозировки менее выражен.\nПериод полувыведения препарата при передозировке составляет 1,5-3 часа.\nСимптомы: тошнота, рвота, боль в эпигастральной области или, реже, диарея, шум в ушах, головная боль и желудочно-кишечное кровотечение. В более тяжелых случаях наблюдаются проявления со стороны центральной нервной системы: сонливость, редко - возбуждение, судороги, дезориентация, кома. В случаях тяжелого отравления могут развиваться метаболический ацидоз и увеличение протромбинового времени, почечная недостаточность, повреждение ткани печени, снижение артериального давления, угнетение дыхания и цианоз.\nУ пациентов с бронхиальной астмой возможно обострение этого заболевания.\nЛечение: симптоматическое, с обязательным обеспечением проходимости дыхательных путей, мониторингом ЭКГ и основных показателей жизнедеятельности вплоть до нормализации состояния пациента. Рекомендуется пероральное применение активированного угля или промывание желудка в течение 1 часа после приема потенциально токсической дозы ибупрофена. Если ибупрофен уже абсорбировался, может быть назначено щелочное питье с целью выведения кислого производного ибупрофена почками, форсированный диурез. Частые или продолжительные судороги следует купировать внутривенным введением диазепама или лоразепама. При обострении бронхиальной астмы рекомендуется применение бронходилататоров.\u003Cbr\u003E"},{"name":"Применение при беременности и кормлении грудью","value":"Не следует применять НПВП женщинам с 20 недели беременности в связи с возможным развитием маловодия и/или патологии почек у новорожденных (неонатальная почечная дисфункция). Следует избегать применения препарата в сроке до 20 недель беременности, при необходимости применения препарата следует проконсультироваться с врачом.\nИмеются данные о том, что ибупрофен в незначительных количествах может проникать в грудное молоко без каких-либо отрицательных последствий для здоровья грудного ребенка, поэтому обычно при кратковременном приеме необходимости в прекращении грудного вскармливания не возникает. При необходимости длительного применения препарата следует обратиться к врачу для решения вопроса о прекращении грудного вскармливания на период применения препарата.\u003Cbr\u003E"},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Пациентам, отмечающим головокружение, сонливость, заторможенность или нарушения зрения при приеме ибупрофена, следует избегать управления транспортными средствами и механизмами."},{"name":"Особые указания","value":"С осторожностью:\u003Cbr\u003EПри наличии состояний, указанных в данном разделе перед применением препарата следует проконсультироваться с врачом.\nОдновременное применение других НПВП, наличие в анамнезе однократного эпизода язвенной болезни желудка или язвенного кровотечения ЖКТ, гастрит, энтерит, колит; наличие инфекции Helicobacter pylori, аллергические заболевания в стадии обострения или в анамнезе возможно развитие бронхоспазма, системная красная волчанка или смешанное заболевание соединительной ткани (синдром Шарпа) повышен риск асептического менингита, ветряная оспа, почечная недостаточность, в том числе при обезвоживании (клиренс креатинина 30-60 мл/мин), нефротический синдром, печеночная недостаточность, цирроз печени с портальной гипертензией, гипербилирубинемия, артериальная гипертензия и/или сердечная недостаточность, цереброваскулярные заболевания, заболевания крови неясной этиологии (лейкопения и анемия), тяжелые соматические заболевания, дислипидемия/гиперлипидемия, сахарный диабет, заболевания периферических артерий, курение, частое употребление алкоголя, фенилкетонурия или непереносимость фенилаланина, одновременное применение лекарственных средств, которые могут увеличить риск возникновения язв или кровотечения, в частности, пероральных глюкокортикостероидов (в том числе преднизолона), антикоагулянтов (в том числе варфарина), селективных ингибиторов обратного захвата серотонина (в том числе циталопрама, флуоксетина, пароксетина, сертралина) или антиагрегантов (в том числе ацетилсалициловой кислоты, клопидогрела), беременность сроке до 20 недель, период грудного вскармливания, пожилой возраст, детский возраст до 12 лет.\u003Cbr\u003EОсобые указания:\u003Cbr\u003EДля купирования симптомов следует применять наименьшую эффективную дозу в течение минимального времени.\nУ пациентов с бронхиальной астмой или аллергическим заболеванием в стадии обострения, а также у пациентов с анамнезом бронхиальной астмы/аллергического заболевания препарат может спровоцировать бронхоспазм. Применение препарата у пациентов с системной красной волчанкой или смешанным заболеванием соединительной ткани связано с повышенным риском развития асептического менингита.\nВо время длительного лечения необходим контроль картины периферической крови и функционального состояния печени и почек. При появлении симптомов гастропатии показан тщательный контроль, включающий проведение эзофагогастродуоденоскопии, общий анализ крови (определение гемоглобина), анализ кала на скрытую кровь. При необходимости определения 17-кетостероидов препарат следует отменить за 48 часов до исследования. В период лечения не рекомендуется прием этанола.\nПациентам почечной недостаточностью необходимо проконсультироваться с врачом перед применением препарата, поскольку существует риск ухудшения функционального состояния почек.\nПациентам с гипертензией, в том числе в анамнезе и/или хронической сердечной недостаточностью, необходимо проконсультироваться с врачом перед применением препарата, поскольку препарат может вызывать задержку жидкости, повышение артериального давления и отеки.\nПациентам с неконтролируемой артериальной гипертензией, застойной сердечной недостаточностью II-III класса по NYНА, ишемической болезнью сердца, заболеваниями периферических артерий и/или цереброваскулярными заболеваниями назначать ибупрофен следует только после тщательной оценки соотношения польза-риск, при этом следует избегать применения высоких доз ибупрофена (≥ 2400 мг/сутки).\nВ редких случаях на фоне применения НПВП наблюдались серьезные кожные реакции (некоторые из которых закончились летальным исходом), включая эксфолиативный дерматит, синдром Стивенса - Джонсона, а также токсический эпидермальный некролиз. По-видимому, наибольшему риску пациенты подвержены в начале лечения, т.к. у большинства пациентов указанные реакции развивались в первый месяц терапии. Имеются сообщения о случаях острого генерализованного экзантематозного пустулеза (AGEP), связанных с применением препаратов, содержащих ибупрофен. При первом появлении кожной сыпи, поражении слизистых оболочек или любых других признаков гиперчувствительности применение препарата МИГ400 следует прекратить.\nПрименение НПВП у пациентов с ветряной оспой может быть связано с повышенным риском развития тяжелых гнойных осложнений инфекционно-воспалительных заболеваний кожи и подкожно-жировой клетчатки (например, некротизирующего фасциита). В связи с этим рекомендуется избегать применения препарата при ветряной оспе.\u003Cbr\u003EМаскировка симптомов инфекционных заболеваний\u003Cbr\u003EПрепарат МИГ400 может маскировать важные симптомы инфекционных заболеваний, что может приводить к более позднему назначению соответствующего лечения и тем самым ухудшать исход инфекционного заболевания. Это наблюдалось при бактериальной внебольничной пневмонии и при бактериальном осложнении ветряной оспы. Когда препарат МИГ400 применяется для облегчения лихорадки и боли, вызванными инфекционным заболеванием, рекомендуется контроль состояния пациента. В амбулаторных условиях (вне больницы) пациенту следует проконсультироваться с врачом, если симптомы сохраняются или усугубляются.\nИнформация для женщин, планирующих беременность: подобные лекарственные средства подавляют циклооксигеназу и синтез простагландинов, воздействуют на овуляцию, нарушая женскую репродуктивную функцию (обратимо после отмены лечения).\nПрепарат содержит менее 1 ммоль (23 мг) натрия в 1 таблетке, покрытой пленочной оболочкой, то есть фактически не содержит натрия.\u003Cbr\u003E"},{"name":"Взаимодействие","value":"Следует избегать одновременного применения ибупрофена со следующими лекарственными средствами:\u003Cbr\u003EАцетилсалициловая кислота: исключением низких доз ацетилсалициловой кислоты (не более 75 мг в сутки), назначенных врачом, поскольку одновременное применение может повышать риск возникновения нежелательных реакций. При одновременном применении ибупрофен снижает противовоспалительное и антиагрегантное действие ацетилсалициловой кислоты (после начала приема ибупрофена у пациентов, получающих в качестве антиагрегантного средства малые дозы ацетилсалициловой кислоты, возможно повышение частоты развития острой коронарной недостаточности ).\nДругие НПВП, в частности, селективные ингибиторы ЦОГ-2: следует избегать одновременного применения двух и более препаратов из группы НПВП из-за возможного увеличения риска возникновения нежелательных реакций.\nС осторожностью применять одновременно со следующими лекарственными средствами:\nАнтикоагулянты и тромболитические препараты: НПВП могут усиливать эффект антикоагулянтов, в частности, варфарина и тромболитических препаратов.\nАнтигипертензивные средства (ингибиторы АПФ и антагонисты ангиотензина II) и диуретики: НПВП могут снижать эффективность препаратов этих групп. У некоторых пациентов с нарушением почечной функции (например, у пациентов с обезвоживанием или у пациентов пожилого возраста с нарушением почечной функции) одновременное применение ингибиторов АПФ или антагонистов ангиотензина II и средств, ингибирующих циклооксигеназу, может привести к ухудшению почечной функции, включая развитие острой почечной недостаточности (обычно обратимой). Эти взаимодействия следует учитывать у пациентов, принимающих коксибы одновременно с ингибиторами АПФ или антагонистами ангиотензина II. В связи с этим одновременное применение вышеуказанных средств следует назначать с осторожностью, особенно у пожилых лиц. Необходимо предотвращать обезвоживание у пациентов, а также рассмотреть возможность мониторинга почечной функции после начала такого комбинированного лечения и периодически в дальнейшем. Диуретики и ингибиторы АПФ могут повышать нефротоксичность НПВП.\nГлюкокортикостероиды: повышенный риск образования язв ЖКТ и желудочно-кишечного кровотечения.\nАнтиагреганты и селективные ингибиторы обратного захвата серотонина: повышенный риск возникновения желудочно-кишечного кровотечения.\nСердечные гликозиды: одновременное применение НПВП и сердечных гликозидов может привести к усугублению сердечной недостаточности, снижению скорости клубочковой фильтрации и увеличению концентрации сердечных гликозидов в плазме крови.\nПрепараты лития: существуют данные о вероятности увеличения концентрации лития в плазме крови на фоне применения НПВП.\nМетотрексат: сущ ствуют данные о вероятности увеличения концен ации метотрексата в плазме крови на фо е применения НПВП.\nЦиклоспорин: увеличение риска нефротоксичности при одновременном применении НПВП и циклоспорина.\nМифепристон: прием НПВП следует начать не ранее, чем через 8-12 дней после приема мифепристона, поскольку НПВП могут снижать эффективность мифепристона.\nТакролимус: при одновременном применении НПВП и такролимуса возможно увеличение риска нефротоксичности.\nЗидовудин: одновременное применение НПВП и зидовудина может привести к повышению гематотоксичности. Имеются данные о повышенном риске возникновения гемартроза и гематом у ВИЧ-положительных пациентов с гемофилией, получавших одновременное лечение зидовудином и ибупрофеном.\nАнтибиотики хинолонового ряда: у пациентов, получающих одновременное лечение НПВП и антибиотиками хинолонового ряда, возможно увеличение риска возникновения судорог.\nМиелотоксические препараты: усиливают проявления гематотоксичности препарата.\nКофеин: усиливает анальгезирующий эффект.\u003Cbr\u003E"},{"name":"Регистрационный номер","value":"ЛС-002211"},{"name":"Дата государственной регистрации","value":"23.03.2022"},{"name":"Владелец регистрационного удостоверения","value":"Berlin-Chemie","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["34324371:35649313","7893318:16002727"]}}},{"name":"Изготовитель","value":"Новартис Нева"},{"name":"Страна бренда","value":"Германия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"МИГ","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["17796364:18042672"]}}},{"name":"Срок годности","value":"1 г."}]}},"fullSpecsGrouped":{"14495358022358600563":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Органы и системы","value":"нервная система"},{"name":"Назначение","value":"головная боль, зубная боль, лихорадочные состояния, межреберная невралгия, менструальные боли, мигрень, мышечные боли и спазмы, невралгия, симптоматическое лечение простудных заболеваний, гриппа, ОРВИ"},{"name":"Показания к применению","value":"Препарат МИГ 400 применяют при головной и зубной боли, мигрени, болезненных менструациях, невралгии, боли в спине, боли в суставах, мышечных и ревматических болях, а также при лихорадочном состоянии при гриппе и простудных заболеваниях.\u003Cbr\u003E"},{"name":"Противопоказания","value":"- гиперчувствительность к ибупрофену или любому из компонентов входящих в состав препарата;\u003Cbr\u003E- полное или неполное сочетание бронхиальной астмы, рецидивирующего полипоза носа и околоносовых пазух и непереносимости ацетилсалициловой киcлоты или других НПВП(в том числе в анамнезе);\u003Cbr\u003E- эрозивно-язвенные заболевания органов желудочно-кишечного тракта (в том числе язвенная болезнь желудка и двенадцатиперстной кишки, болезнь Крона, язвенный колит) или язвенное кровотечение в активной фазе или в анамнезе (два или более подтвержденнь эпизода язвенной болезни или язвенного кровотечения);\u003Cbr\u003E- кровотечение или перфорация язвы желудочно-кишечного тракта в анамнезе, спровоцированные применением НПВП\u003Cbr\u003E- тяжелая сердечная недостаточность (класс IV по классификации Нью - Йоркской Ассоциации кардиологов (NYHA);\u003Cbr\u003E- тяжелая печеночная недостаточность или заболевание печени в активной фазе;\u003Cbr\u003E- почечная недостаточность тяжелой степени тяжести (клиренс креатинина \u003C 30 мл/мин); подтвержденная гиперкалиемия;\u003Cbr\u003E- декомпенсированная сердечная недостаточность; период после проведения аортокоронарного шунтирования;\u003Cbr\u003E- цереброваскулярное или иное кровотечение;\u003Cbr\u003E- гемофилия и другие нарушения свертываемости крови (в т.ч. гипокоагуляция), геморрагические диатезы;\u003Cbr\u003E- беременность в сроке более 20 недель;\u003Cbr\u003E- детский возраст до 6 лет.\u003Cbr\u003E"},{"name":"Состав","value":"Состав на 1 таблетку:\u003Cbr\u003EЯдро:\u003Cbr\u003EДействующее вещество: ибупрофен — 400,00 мг.\u003Cbr\u003EВспомогательные вещества: крахмал кукурузный, кремния диоксид коллоидный безводный, карбоксиметилкрахмал натрия (тип А), магния стеарат.\u003Cbr\u003EПленочная оболочка: гипромеллоза (вязкость 6 мПа с), макрогол 4000, повидон (значение К = 30), титана диоксид (Е 171).\u003Cbr\u003E"},{"name":"Действующее вещество","value":"Ибупрофен"},{"name":"Способ применения и дозы","value":"Для купирования симптомов следует применять наименьшую эффективную дозу в течение минимального времени (см. раздел «Особые указания).\nДля приема внутрь. Пациентам с повышенной чувствительностью желудка рекомендуется принимать препарат во время еды. Только для кратковременного применения. Таблетки следует запиватыводой. Внимательно прочтите инструкцию передвриемом препарата.\u003Cbr\u003EВзрослым и детям старше 12 лет\u003Cbr\u003EПо 200 мг (1/2 таблетки) 3-4 раза в сутки.\u003Cbr\u003EДля достижения быстрого терапевтического эффекта у взрослых разовая доза может быть увеличена до 1 таблетки (400 мг) 3 раза в сутки. При приеме 400 мг (1 таблетка) интервал между приемами препарата должен составлять не менее 6 часов.\u003Cbr\u003EДети в возрасте от 6 до 12 лет (с массой тела более 20 кг)\u003Cbr\u003EПо 200 мг (1/2 таблетки) 3-4 раза в сутки. Препарат можно применять только если масса тела ебенка более 20 кг.\u003Cbr\u003EИнтервал между приемом таблеток должен составлять не менее 6 часов.\u003Cbr\u003EПрием препарата в разовой дозе 400 мг не разрешен для применения у детей младше 12 лет.\u003Cbr\u003EМаксимальная суточная доза для взрослых составляет 1200 мг.\u003Cbr\u003EМаксимальная суточная доза для детей от 6 до 18 лет составляет 800 мг.\u003Cbr\u003EЕсли при приеме препарата в течение 2-3 дней симптомы сохраняются или усиливаются, необходимо прекратить лечение и обратиться к врачу.\u003Cbr\u003E"},{"name":"Побочные действия","value":"Риск возникновения нежелательных реакций можно свести к минимуму, если принимать препарат коротким курсом, в минимальной эффективной дозе, необходимой для устранения симптомов.\nУ людей пожилого возраста наблюдается повышенная частота нежелательных реакций на фоне применения НПВП, особенно желудочно-кишечных кровотечений и перфораций, в некоторых случаях с летальным исходом.\nНежелательные реакции преимущественно являются дозозависимыми. В частности, риск развития желудочно-кишечного кровотечения зависит от диапазона доз и от длительности лечения.\nНижеперечисленные нежелательные реакции отмечались при кратковременном приеме ибупрофена в дозах, не превышающих 1200 мг/сутки (3 таблетки). При лечении хронических состояний и при длительном применении возможно появление других побочных реакций. Оценка частоты возникновения нежелательных реакций произведена на основании следующих критериев: очень часто (≥ 1/10), часто (от ≥ 1/100 до \u003C 1/10), нечасто (от ≥ 1/1000 до \u003C 1/100), редко (от ≥ 1/10 000 до \u003C 1/1000), очень редко (\u003C 1/10 000), частота неизвестна (данных для оценки частоты недостаточно).\u003Cbr\u003EНарушения со стороны крови и лимфатической системы\u003Cbr\u003EОчень редко: нарушение кроветворения (анемия, лейкопения, апластическая анемия, гемолитическая анемия, тромбоцитопения, панцитопения, агранулоцитоз). Первыми симптомами таких нарушений являются лихорадка, боль в горле, поверхностные язвы в полости рта, «гриппоподобные» симптомы, выраженная слабость, кровотечения из носа и подкожные кровоизлияния, кровотечения и кровоподтеки неизвестной этиологии.\u003Cbr\u003EНарушения со стороны иммунной системы\u003Cbr\u003EНечасто: реакции гиперчувствительности — неспецифические аллергические реакции и анафилактические реакции, реакции со стороны дыхательных путей (бронхиальная астма, в том числе ее обострение, бронхоспазм, одышка, диспноэ), кожные реакции (зуд, крапивница, пурпура, отек Квинке, эксфолиативные и буллезные дерматозы, в том числе токсический эпидермальный некролиз (синдром Лайелла), синдром Стивенса-Джонсона, мультиформная эритема), аллергический ринит, эозинофилия.\u003Cbr\u003EОчень редко: тяжелые общие реакции гиперчувствительности, в том числе отек лица, языка и гортани, одышка, тахикардия, артериальная гипотензия (анафилаксия, отек Квинке или тяжелый анафилактический шок).\u003Cbr\u003EНарушения со стороны кожи и подкожных тканей\u003Cbr\u003EЧастота неизвестна: острый генерализованный экзантематозный пустулез (AGEP), реакции фоточувствительности.\u003Cbr\u003EНарушения со стороны желудочно-кишечного тракта\u003Cbr\u003EНечасто: боль в животе, тошнота, диспепсия (в том числе изжога, вздутие живота).\u003Cbr\u003EРедко: диарея, метеоризм, запор, рвота.\u003Cbr\u003EОчень редко: пептическая язва, перфорация или желудочно-кишечное кровотечение, мелена, кровавая рвота, в некоторых случаях с летальным исходом, особенно у пациентов пожилого возраста, язвенный стоматит, гастрит.\u003Cbr\u003EЧастота неизвестна: обострение колита и болезни Крона.\u003Cbr\u003EНарушения со стороны печени и желчевыводящих путей\u003Cbr\u003EОчень редко: нарушения функции печени, повышение активности «печеночных» трансаминаз, гепатит и желтуха.\u003Cbr\u003EНарушения со стороны почек и мочевыводящих путей\u003Cbr\u003EОчень редко: острая почечная недостаточность (компенси ованная и декомпенсированная), особенно при длительном сочетании с повышением концентрации мочевиньг в плазме крови и появлением отеков, гематурии и протеинурии, нефритический синдром, нефротический синдром, папиллярный некроз, интерстициальный нефрит, цистит.\u003Cbr\u003EНарушения со стороны нервной системы\u003Cbr\u003EНечасто: головная боль.\u003Cbr\u003EОчень редко: асептический менингит.\u003Cbr\u003EНарушения со стороны сердечно-сосудистой системы\u003Cbr\u003EЧастота неизвестна: сердечная недостаточность, периферические отеки, при длительном применении повышен риск тромботических осложнений (например, инфаркт миокарда), повышение артериального давления.\u003Cbr\u003EНарушения со стороны дыхательной системы и органов средостения\u003Cbr\u003EЧастота неизвестна: бронхиальн астма, бронхоспазм, одышка.\u003Cbr\u003EЛабораторные показатели\u003Cbr\u003Eгематокрит или гемоглобин (могут уменьшаться);\u003Cbr\u003Eвремя кровотечения (может увеличиваться);\u003Cbr\u003Eконцентрация глюкозы в плазме крови (может уменьшаться;\u003Cbr\u003Eклиренс креатинина (может уменьшаться);\u003Cbr\u003Eплазменная концентрация креатинина (может увеличиваться);\u003Cbr\u003Eактивность «печеночных» трансаминаз (может повышаться).\u003Cbr\u003EПри появлении нежелательных реакций следует прекратить прием препарата и обратиться к врачу.\u003Cbr\u003E"},{"name":"Фармакологическое действие","value":"Механизм действия ибупрофена, производ ого пропионовой кислоты из группы нестероидных противовоспалительных препаратов (НПВП) обусловлењ ингибированием синтеза простагландинов медиаторов боли, воспаления и гипертермической реакции. Неизбирательно блокирует циклооксигеназу 1 (ЦОГ-1) и циклооксигеназу2 (ЦОГ-2), вследствие чего тормозит синтез простагл инов. Оказывает быстрое направленное действие против боли (обезболивающее), жаропонижающее и противовоспалительное действие. Кроме того, ибупрофен обратимо ингибирует агрегацию тромбоцитов.\nОбезболивающее действие препарата продолжается до 8 часов.\u003Cbr\u003E"},{"name":"Фармакологическая группа","value":"нестероидный противовоспалительный препарат (НПВП)"},{"name":"Форма выпуска","value":"таблетки, покрытые пленочной оболочкой"},{"name":"Способ применения/введения","value":"пероральный"},{"name":"Минимальный возраст применения","value":"от 6 лет"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"Хранить при температуре не выше 25 оС. Лекарственное средство хранить в недоступном для детей месте!"},{"name":"Передозировка","value":"У детей симптомы передозировки могут возникать после приема дозы, превышающей 400 мг/кг массы тела. У взрослых дозозависимый эффект передозировки менее выражен.\nПериод полувыведения препарата при передозировке составляет 1,5-3 часа.\nСимптомы: тошнота, рвота, боль в эпигастральной области или, реже, диарея, шум в ушах, головная боль и желудочно-кишечное кровотечение. В более тяжелых случаях наблюдаются проявления со стороны центральной нервной системы: сонливость, редко - возбуждение, судороги, дезориентация, кома. В случаях тяжелого отравления могут развиваться метаболический ацидоз и увеличение протромбинового времени, почечная недостаточность, повреждение ткани печени, снижение артериального давления, угнетение дыхания и цианоз.\nУ пациентов с бронхиальной астмой возможно обострение этого заболевания.\nЛечение: симптоматическое, с обязательным обеспечением проходимости дыхательных путей, мониторингом ЭКГ и основных показателей жизнедеятельности вплоть до нормализации состояния пациента. Рекомендуется пероральное применение активированного угля или промывание желудка в течение 1 часа после приема потенциально токсической дозы ибупрофена. Если ибупрофен уже абсорбировался, может быть назначено щелочное питье с целью выведения кислого производного ибупрофена почками, форсированный диурез. Частые или продолжительные судороги следует купировать внутривенным введением диазепама или лоразепама. При обострении бронхиальной астмы рекомендуется применение бронходилататоров.\u003Cbr\u003E"},{"name":"Применение при беременности и кормлении грудью","value":"Не следует применять НПВП женщинам с 20 недели беременности в связи с возможным развитием маловодия и/или патологии почек у новорожденных (неонатальная почечная дисфункция). Следует избегать применения препарата в сроке до 20 недель беременности, при необходимости применения препарата следует проконсультироваться с врачом.\nИмеются данные о том, что ибупрофен в незначительных количествах может проникать в грудное молоко без каких-либо отрицательных последствий для здоровья грудного ребенка, поэтому обычно при кратковременном приеме необходимости в прекращении грудного вскармливания не возникает. При необходимости длительного применения препарата следует обратиться к врачу для решения вопроса о прекращении грудного вскармливания на период применения препарата.\u003Cbr\u003E"},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Пациентам, отмечающим головокружение, сонливость, заторможенность или нарушения зрения при приеме ибупрофена, следует избегать управления транспортными средствами и механизмами."},{"name":"Особые указания","value":"С осторожностью:\u003Cbr\u003EПри наличии состояний, указанных в данном разделе перед применением препарата следует проконсультироваться с врачом.\nОдновременное применение других НПВП, наличие в анамнезе однократного эпизода язвенной болезни желудка или язвенного кровотечения ЖКТ, гастрит, энтерит, колит; наличие инфекции Helicobacter pylori, аллергические заболевания в стадии обострения или в анамнезе возможно развитие бронхоспазма, системная красная волчанка или смешанное заболевание соединительной ткани (синдром Шарпа) повышен риск асептического менингита, ветряная оспа, почечная недостаточность, в том числе при обезвоживании (клиренс креатинина 30-60 мл/мин), нефротический синдром, печеночная недостаточность, цирроз печени с портальной гипертензией, гипербилирубинемия, артериальная гипертензия и/или сердечная недостаточность, цереброваскулярные заболевания, заболевания крови неясной этиологии (лейкопения и анемия), тяжелые соматические заболевания, дислипидемия/гиперлипидемия, сахарный диабет, заболевания периферических артерий, курение, частое употребление алкоголя, фенилкетонурия или непереносимость фенилаланина, одновременное применение лекарственных средств, которые могут увеличить риск возникновения язв или кровотечения, в частности, пероральных глюкокортикостероидов (в том числе преднизолона), антикоагулянтов (в том числе варфарина), селективных ингибиторов обратного захвата серотонина (в том числе циталопрама, флуоксетина, пароксетина, сертралина) или антиагрегантов (в том числе ацетилсалициловой кислоты, клопидогрела), беременность сроке до 20 недель, период грудного вскармливания, пожилой возраст, детский возраст до 12 лет.\u003Cbr\u003EОсобые указания:\u003Cbr\u003EДля купирования симптомов следует применять наименьшую эффективную дозу в течение минимального времени.\nУ пациентов с бронхиальной астмой или аллергическим заболеванием в стадии обострения, а также у пациентов с анамнезом бронхиальной астмы/аллергического заболевания препарат может спровоцировать бронхоспазм. Применение препарата у пациентов с системной красной волчанкой или смешанным заболеванием соединительной ткани связано с повышенным риском развития асептического менингита.\nВо время длительного лечения необходим контроль картины периферической крови и функционального состояния печени и почек. При появлении симптомов гастропатии показан тщательный контроль, включающий проведение эзофагогастродуоденоскопии, общий анализ крови (определение гемоглобина), анализ кала на скрытую кровь. При необходимости определения 17-кетостероидов препарат следует отменить за 48 часов до исследования. В период лечения не рекомендуется прием этанола.\nПациентам почечной недостаточностью необходимо проконсультироваться с врачом перед применением препарата, поскольку существует риск ухудшения функционального состояния почек.\nПациентам с гипертензией, в том числе в анамнезе и/или хронической сердечной недостаточностью, необходимо проконсультироваться с врачом перед применением препарата, поскольку препарат может вызывать задержку жидкости, повышение артериального давления и отеки.\nПациентам с неконтролируемой артериальной гипертензией, застойной сердечной недостаточностью II-III класса по NYНА, ишемической болезнью сердца, заболеваниями периферических артерий и/или цереброваскулярными заболеваниями назначать ибупрофен следует только после тщательной оценки соотношения польза-риск, при этом следует избегать применения высоких доз ибупрофена (≥ 2400 мг/сутки).\nВ редких случаях на фоне применения НПВП наблюдались серьезные кожные реакции (некоторые из которых закончились летальным исходом), включая эксфолиативный дерматит, синдром Стивенса - Джонсона, а также токсический эпидермальный некролиз. По-видимому, наибольшему риску пациенты подвержены в начале лечения, т.к. у большинства пациентов указанные реакции развивались в первый месяц терапии. Имеются сообщения о случаях острого генерализованного экзантематозного пустулеза (AGEP), связанных с применением препаратов, содержащих ибупрофен. При первом появлении кожной сыпи, поражении слизистых оболочек или любых других признаков гиперчувствительности применение препарата МИГ400 следует прекратить.\nПрименение НПВП у пациентов с ветряной оспой может быть связано с повышенным риском развития тяжелых гнойных осложнений инфекционно-воспалительных заболеваний кожи и подкожно-жировой клетчатки (например, некротизирующего фасциита). В связи с этим рекомендуется избегать применения препарата при ветряной оспе.\u003Cbr\u003EМаскировка симптомов инфекционных заболеваний\u003Cbr\u003EПрепарат МИГ400 может маскировать важные симптомы инфекционных заболеваний, что может приводить к более позднему назначению соответствующего лечения и тем самым ухудшать исход инфекционного заболевания. Это наблюдалось при бактериальной внебольничной пневмонии и при бактериальном осложнении ветряной оспы. Когда препарат МИГ400 применяется для облегчения лихорадки и боли, вызванными инфекционным заболеванием, рекомендуется контроль состояния пациента. В амбулаторных условиях (вне больницы) пациенту следует проконсультироваться с врачом, если симптомы сохраняются или усугубляются.\nИнформация для женщин, планирующих беременность: подобные лекарственные средства подавляют циклооксигеназу и синтез простагландинов, воздействуют на овуляцию, нарушая женскую репродуктивную функцию (обратимо после отмены лечения).\nПрепарат содержит менее 1 ммоль (23 мг) натрия в 1 таблетке, покрытой пленочной оболочкой, то есть фактически не содержит натрия.\u003Cbr\u003E"},{"name":"Взаимодействие","value":"Следует избегать одновременного применения ибупрофена со следующими лекарственными средствами:\u003Cbr\u003EАцетилсалициловая кислота: исключением низких доз ацетилсалициловой кислоты (не более 75 мг в сутки), назначенных врачом, поскольку одновременное применение может повышать риск возникновения нежелательных реакций. При одновременном применении ибупрофен снижает противовоспалительное и антиагрегантное действие ацетилсалициловой кислоты (после начала приема ибупрофена у пациентов, получающих в качестве антиагрегантного средства малые дозы ацетилсалициловой кислоты, возможно повышение частоты развития острой коронарной недостаточности ).\nДругие НПВП, в частности, селективные ингибиторы ЦОГ-2: следует избегать одновременного применения двух и более препаратов из группы НПВП из-за возможного увеличения риска возникновения нежелательных реакций.\nС осторожностью применять одновременно со следующими лекарственными средствами:\nАнтикоагулянты и тромболитические препараты: НПВП могут усиливать эффект антикоагулянтов, в частности, варфарина и тромболитических препаратов.\nАнтигипертензивные средства (ингибиторы АПФ и антагонисты ангиотензина II) и диуретики: НПВП могут снижать эффективность препаратов этих групп. У некоторых пациентов с нарушением почечной функции (например, у пациентов с обезвоживанием или у пациентов пожилого возраста с нарушением почечной функции) одновременное применение ингибиторов АПФ или антагонистов ангиотензина II и средств, ингибирующих циклооксигеназу, может привести к ухудшению почечной функции, включая развитие острой почечной недостаточности (обычно обратимой). Эти взаимодействия следует учитывать у пациентов, принимающих коксибы одновременно с ингибиторами АПФ или антагонистами ангиотензина II. В связи с этим одновременное применение вышеуказанных средств следует назначать с осторожностью, особенно у пожилых лиц. Необходимо предотвращать обезвоживание у пациентов, а также рассмотреть возможность мониторинга почечной функции после начала такого комбинированного лечения и периодически в дальнейшем. Диуретики и ингибиторы АПФ могут повышать нефротоксичность НПВП.\nГлюкокортикостероиды: повышенный риск образования язв ЖКТ и желудочно-кишечного кровотечения.\nАнтиагреганты и селективные ингибиторы обратного захвата серотонина: повышенный риск возникновения желудочно-кишечного кровотечения.\nСердечные гликозиды: одновременное применение НПВП и сердечных гликозидов может привести к усугублению сердечной недостаточности, снижению скорости клубочковой фильтрации и увеличению концентрации сердечных гликозидов в плазме крови.\nПрепараты лития: существуют данные о вероятности увеличения концентрации лития в плазме крови на фоне применения НПВП.\nМетотрексат: сущ ствуют данные о вероятности увеличения концен ации метотрексата в плазме крови на фо е применения НПВП.\nЦиклоспорин: увеличение риска нефротоксичности при одновременном применении НПВП и циклоспорина.\nМифепристон: прием НПВП следует начать не ранее, чем через 8-12 дней после приема мифепристона, поскольку НПВП могут снижать эффективность мифепристона.\nТакролимус: при одновременном применении НПВП и такролимуса возможно увеличение риска нефротоксичности.\nЗидовудин: одновременное применение НПВП и зидовудина может привести к повышению гематотоксичности. Имеются данные о повышенном риске возникновения гемартроза и гематом у ВИЧ-положительных пациентов с гемофилией, получавших одновременное лечение зидовудином и ибупрофеном.\nАнтибиотики хинолонового ряда: у пациентов, получающих одновременное лечение НПВП и антибиотиками хинолонового ряда, возможно увеличение риска возникновения судорог.\nМиелотоксические препараты: усиливают проявления гематотоксичности препарата.\nКофеин: усиливает анальгезирующий эффект.\u003Cbr\u003E"},{"name":"Регистрационный номер","value":"ЛС-002211"},{"name":"Дата государственной регистрации","value":"23.03.2022"},{"name":"Владелец регистрационного удостоверения","value":"Berlin-Chemie"},{"name":"Изготовитель","value":"Новартис Нева"},{"name":"Страна бренда","value":"Германия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"МИГ"},{"name":"Срок годности","value":"1 г."}]}],"transitionId":"tr_8964879072731376065"}}}}
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  • Лошадиная сила бальзам-гель Релаксирующий, 125 мл, 125 г, 1 шт., ментол, 1 уп.
    –40 %
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    Лошадиная сила бальзам-гель Релаксирующий, 125 мл, 125 г, 1 шт., ментол, 1 уп.

    Рейтинг товара: 4.8 из 5
    на основе 268 оценок
    Цена 470 ₽ вместо 780
    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  • Ревмафлекс капс., 60 шт., нейтральный, 1 уп.
    –1 %
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    Ревмафлекс капс., 60 шт., нейтральный, 1 уп.

    Рейтинг товара: 4.5 из 5
    на основе 14 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 948 ₽ вместо 958
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  • Хонда Нейро таб., 20 шт., нейтральный
    –2 %
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    Хонда Нейро таб., 20 шт., нейтральный

    Рейтинг товара: 4.6 из 5
    на основе 221 оценка
    С картой  Пэй
    Цена с картой Яндекс Пэй 914 ₽ вместо 932
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  • Глюкозамин-хондроитиновый комплекс капс., 90 шт.
    –1 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-uckvlg6wpuj/toggleWishlist":{"skuId":"228004152","productId":1422663471,"offerId":"YWF3XGpOqRTcgPueIe9MRw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQtaCg++ma3Y5wEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIr76wpgUQuKLcbBif3tAHIOfcwQc=","sign":"JO2qljUF/av0O9AZ9LUUvcUgYVcV3dQA4hse5ISNdN0="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-uckvlg6wpuj/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Глюкозамин-хондроитиновый комплекс капс., 90 шт.

    Рейтинг товара: 4.8 из 5
    на основе 114 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 389 ₽ вместо 393
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  • Геладринк форте пор. д/приг. р-ра д/вн. приема, 420 г, апельсин
    –1 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-rk48agz80ug/toggleWishlist":{"skuId":"455745964","productId":1422663546,"offerId":"Fj27OPRbpfuTxJvgrbRwCw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQtaCg++ma3Y5wEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYI+r6wpgUQrMOo2QEY1oCNBiDn3MEH","sign":"Bi/yDakxEPfyi4GEVH84FHMSRtSNqW9l3/4aFoKqA8s="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-rk48agz80ug/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Геладринк форте пор. д/приг. р-ра д/вн. приема, 420 г, апельсин

    Рейтинг товара: 4.8 из 5
    на основе 444 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 3 748 ₽ вместо 3 786
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  • Капсилен бальзам д/тела, 50 мл, 65 г, 1 шт., 1 уп.
    –48 %
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    Капсилен бальзам д/тела, 50 мл, 65 г, 1 шт., 1 уп.

    Рейтинг товара: 5 из 5
    на основе 2 оценки
    Цена 154 ₽ вместо 299
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  • Артро-Актив бальзам масляный согревающий д/нар. прим., 20 г, 1 шт., 1 уп.
    –1 %
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    Артро-Актив бальзам масляный согревающий д/нар. прим., 20 г, 1 шт., 1 уп.

    Рейтинг товара: 5 из 5
    на основе 2 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 324 ₽ вместо 327
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  • Флексотрон Соло импл. вязкоэластич. стер. для в/суст. ин., 22 мг/мл, 2 мл, 1 шт.
    –1 %
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    Флексотрон Соло импл. вязкоэластич. стер. для в/суст. ин., 22 мг/мл, 2 мл, 1 шт.

    Рейтинг товара: 4.8 из 5
    на основе 171 оценка
    С картой  Пэй
    Цена с картой Яндекс Пэй 15 939 ₽ вместо 16 100
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  • Армавискон форте р-р для в/суст. введ. шприц, 2.3%, 3 мл, 1 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-gjxku7kkvp5/toggleWishlist":{"skuId":"649710050","productId":1780858117,"offerId":"U27WXaG_82TCVSaklu_ygw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQtaCg++ma3Y5wEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYIhfqW0QYQ4pPntQIYh97QByDn3MEH","sign":"Z4pVEtdAR9EkRPiU6M8nuikKo/oennfhtB2cTbmauEE="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-gjxku7kkvp5/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Армавискон форте р-р для в/суст. введ. шприц, 2.3%, 3 мл, 1 шт.

    Рейтинг товара: 4.7 из 5
    на основе 289 оценок
    Цена 14 900 ₽
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  • Нанопласт Форте пластырь лечебный обезбол. противовосп., 30 г, 3 шт., 7 х 9 см, 1 уп.
    –1 %
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    Нанопласт Форте пластырь лечебный обезбол. противовосп., 30 г, 3 шт., 7 х 9 см, 1 уп.

    Рейтинг товара: 4.8 из 5
    на основе 61 оценка
    С картой  Пэй
    Цена с картой Яндекс Пэй 190 ₽ вместо 192
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  • Сто рецептов красоты Радикулитный бальзам гель д/массажа, 70 мл, 80 г, 1 шт., 1 уп.
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    Сто рецептов красоты Радикулитный бальзам гель д/массажа, 70 мл, 80 г, 1 шт., 1 уп.

    Рейтинг товара: 4.8 из 5
    на основе 91 оценка
    Цена 244 ₽
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Инструкция

Показания к применению

Препарат МИГ 400 применяют при головной и зубной боли, мигрени, болезненных менструациях, невралгии, боли в спине, боли в суставах, мышечных и ревматических болях, а также при лихорадочном состоянии при гриппе и простудных заболеваниях.

Противопоказания

- гиперчувствительность к ибупрофену или любому из компонентов входящих в состав препарата;
- полное или неполное сочетание бронхиальной астмы, рецидивирующего полипоза носа и околоносовых пазух и непереносимости ацетилсалициловой киcлоты или других НПВП(в том числе в анамнезе);
- эрозивно-язвенные заболевания органов желудочно-кишечного тракта (в том числе язвенная болезнь желудка и двенадцатиперстной кишки, болезнь Крона, язвенный колит) или язвенное кровотечение в активной фазе или в анамнезе (два или более подтвержденнь эпизода язвенной болезни или язвенного кровотечения);
- кровотечение или перфорация язвы желудочно-кишечного тракта в анамнезе, спровоцированные применением НПВП
- тяжелая сердечная недостаточность (класс IV по классификации Нью - Йоркской Ассоциации кардиологов (NYHA);
- тяжелая печеночная недостаточность или заболевание печени в активной фазе;
- почечная недостаточность тяжелой степени тяжести (клиренс креатинина < 30 мл/мин); подтвержденная гиперкалиемия;
- декомпенсированная сердечная недостаточность; период после проведения аортокоронарного шунтирования;
- цереброваскулярное или иное кровотечение;
- гемофилия и другие нарушения свертываемости крови (в т.ч. гипокоагуляция), геморрагические диатезы;
- беременность в сроке более 20 недель;
- детский возраст до 6 лет.

Способ применения и дозы

Для купирования симптомов следует применять наименьшую эффективную дозу в течение минимального времени (см. раздел «Особые указания). Для приема внутрь. Пациентам с повышенной чувствительностью желудка рекомендуется принимать препарат во время еды. Только для кратковременного применения. Таблетки следует запиватыводой. Внимательно прочтите инструкцию передвриемом препарата.
Взрослым и детям старше 12 лет
По 200 мг (1/2 таблетки) 3-4 раза в сутки.
Для достижения быстрого терапевтического эффекта у взрослых разовая доза может быть увеличена до 1 таблетки (400 мг) 3 раза в сутки. При приеме 400 мг (1 таблетка) интервал между приемами препарата должен составлять не менее 6 часов.
Дети в возрасте от 6 до 12 лет (с массой тела более 20 кг)
По 200 мг (1/2 таблетки) 3-4 раза в сутки. Препарат можно применять только если масса тела ебенка более 20 кг.
Интервал между приемом таблеток должен составлять не менее 6 часов.
Прием препарата в разовой дозе 400 мг не разрешен для применения у детей младше 12 лет.
Максимальная суточная доза для взрослых составляет 1200 мг.
Максимальная суточная доза для детей от 6 до 18 лет составляет 800 мг.
Если при приеме препарата в течение 2-3 дней симптомы сохраняются или усиливаются, необходимо прекратить лечение и обратиться к врачу.
Полная инструкция
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МИГ таб. п/о плен.
МИГ таб. п/о плен., 400 мг, 20 шт.
4.8
(83)
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Инструкция

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4.8
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У продавца:83 оценки·16 отзывов
У всех продавцов:115 оценок·35 отзывов
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user avatar
3 месяца назад • Андрей Илюшкин • Куплен на Маркете
Достоинства: цена/качество
Недостатки: нет
Комментарий: рекомендую
user avatar
9 месяцев назад • Анна Ф. • Куплен на Маркете
Достоинства: Отлично помогает при головной боли
Комментарий: Буду брать ещё
user avatar
2 месяца назад • Оксана С. • Куплен на Маркете
Комментарий: Удалось заказать здесь по приятной цене с самовывозом из аптеки. Давно знаем и принимаем это лекарство при головной боли.
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Рекомендуем

  • Лоперамид таб., 2 мг, 10 шт.
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    Лоперамид таб., 2 мг, 10 шт.

    Цена 28 ₽
  • Парацетамол таб., 500 мг, 10 шт.
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    Парацетамол таб., 500 мг, 10 шт.

    Цена 11 ₽
  • Ревмафлекс капс., 60 шт., нейтральный, 1 уп.
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778175162_2/content/content/toggleWishlist":{"skuId":"667507001","productId":1778175162,"offerId":"veIMuHCKIEyGMGUKd6mWeg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQtaCg++ma3Y5wEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCLqZ888GELmypb4CGNW7oQYg59zBBw==","sign":"7O5Y3D4Och9zvmznFHJAcQofTpc/FF01NLFKBlw+oPs="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778175162_2/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Ревмафлекс капс., 60 шт., нейтральный, 1 уп.

    Цена 948 ₽ вместо 958
  • Глюкозамин-хондроитиновый комплекс капс., 90 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663471_3/content/content/gallery":{"title":"Глюкозамин-хондроитиновый комплекс капс., 90 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/4413406/img_id5866561566922224661.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4413406/img_id5866561566922224661.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4413406/img_id5866561566922224661.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4413406/img_id5866561566922224661.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4413406/img_id5866561566922224661.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4413406/img_id5866561566922224661.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4012462/img_id8880451272468183401.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4012462/img_id8880451272468183401.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4012462/img_id8880451272468183401.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4012462/img_id8880451272468183401.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4012462/img_id8880451272468183401.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4012462/img_id8880451272468183401.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4412310/img_id4231296969438792049.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4412310/img_id4231296969438792049.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4412310/img_id4231296969438792049.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4412310/img_id4231296969438792049.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4412310/img_id4231296969438792049.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4412310/img_id4231296969438792049.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4977072/img_id412234780137245775.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4977072/img_id412234780137245775.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4977072/img_id412234780137245775.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4977072/img_id412234780137245775.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4977072/img_id412234780137245775.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4977072/img_id412234780137245775.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQtaCg++ma3Y5wEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCK++sKYFELii3GwYn97QByDn3MEH","sign":"gK28I5GQxcss5RH9x1aMsvVyeA2FdIrvMcQGiGfT/NU="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663471_3/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
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    Глюкозамин-хондроитиновый комплекс капс., 90 шт.

    Цена 389 ₽ вместо 393
  • Анальгин таб., 500 мг, 10 шт.
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    Анальгин таб., 500 мг, 10 шт.

    Цена 18 ₽
  • Геладринк форте пор. д/приг. р-ра д/вн. приема, 420 г, апельсин
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    Геладринк форте пор. д/приг. р-ра д/вн. приема, 420 г, апельсин

    Цена 3 748 ₽ вместо 3 786
  • Мезим Форте таб. п/о, 20 шт.
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    Мезим Форте таб. п/о, 20 шт.

    Цена 103 ₽ вместо 105
  • Капсилен бальзам д/тела, 50 мл, 65 г, 1 шт., 1 уп.
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    Капсилен бальзам д/тела, 50 мл, 65 г, 1 шт., 1 уп.

    Цена 154 ₽ вместо 299
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    Реклама
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  • Артро-Актив бальзам масляный согревающий д/нар. прим., 20 г, 1 шт., 1 уп.
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    Артро-Актив бальзам масляный согревающий д/нар. прим., 20 г, 1 шт., 1 уп.

    Цена 324 ₽ вместо 327
  • Флексотрон Соло импл. вязкоэластич. стер. для в/суст. ин., 22 мг/мл, 2 мл, 1 шт.
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    Флексотрон Соло импл. вязкоэластич. стер. для в/суст. ин., 22 мг/мл, 2 мл, 1 шт.

    Цена 15 939 ₽ вместо 16 100
  • Таблетки от кашля, 20 шт.
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    Таблетки от кашля, 20 шт.

    Цена 47 ₽
  • Армавискон форте р-р для в/суст. введ. шприц, 2.3%, 3 мл, 1 шт.
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    Армавискон форте р-р для в/суст. введ. шприц, 2.3%, 3 мл, 1 шт.

    Цена 14 900 ₽
  • Коллаген для суставов капс., 120 шт.
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    Коллаген для суставов капс., 120 шт.

    Цена 811 ₽ вместо 992
  • Нанопласт Форте пластырь лечебный обезбол. противовосп., 30 г, 3 шт., 7 х 9 см, 1 уп.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663555_14/content/content/gallery":{"title":"Нанопласт Форте пластырь лечебный обезбол. противовосп., 30 г, 3 шт., 7 х 9 см, 1 уп.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/1927422/img_id6309766304999446241.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1927422/img_id6309766304999446241.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1927422/img_id6309766304999446241.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1927422/img_id6309766304999446241.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1927422/img_id6309766304999446241.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1927422/img_id6309766304999446241.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5139700/img_id4946992729532077179.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5139700/img_id4946992729532077179.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5139700/img_id4946992729532077179.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5139700/img_id4946992729532077179.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5139700/img_id4946992729532077179.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5139700/img_id4946992729532077179.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/7552302/img_id7197005451366749776.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/7552302/img_id7197005451366749776.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/7552302/img_id7197005451366749776.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/7552302/img_id7197005451366749776.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/7552302/img_id7197005451366749776.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/7552302/img_id7197005451366749776.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/1886132/img_id6573484568276718898.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1886132/img_id6573484568276718898.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1886132/img_id6573484568276718898.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1886132/img_id6573484568276718898.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1886132/img_id6573484568276718898.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1886132/img_id6573484568276718898.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQtaCg++ma3Y5wEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCIO/sKYFEPOuudsBGOKG0ggg59zBBw==","sign":"4gog7NkVSy2mcpI8pE8FICu3ksLCmBsPjXMaUM1uUms="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663555_14/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
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    Нанопласт Форте пластырь лечебный обезбол. противовосп., 30 г, 3 шт., 7 х 9 см, 1 уп.

    Цена 190 ₽ вместо 192
  • Уголь активированный таб., 250 мг, 50 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1400799524_15/content/content/gallery":{"title":"Уголь активированный таб., 250 мг, 50 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5255974/img_id212897786359369354.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5255974/img_id212897786359369354.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5255974/img_id212897786359369354.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5255974/img_id212897786359369354.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5255974/img_id212897786359369354.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5255974/img_id212897786359369354.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5320546/img_id9142168312826723126.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5320546/img_id9142168312826723126.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5320546/img_id9142168312826723126.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5320546/img_id9142168312826723126.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5320546/img_id9142168312826723126.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5320546/img_id9142168312826723126.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4393885/img_id4091930958205705547.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4393885/img_id4091930958205705547.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4393885/img_id4091930958205705547.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4393885/img_id4091930958205705547.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4393885/img_id4091930958205705547.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4393885/img_id4091930958205705547.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQtaCg++ma3Y5wEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCKSC+psFEIDZ0GwYj7zeByDa2cEH","sign":"8gKBIHhijOlCeYsEpqp6zM29geOSq8BrJzVEHnctRBk="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1400799524_15/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1400799524_15/content/content/toggleWishlist":{"skuId":"227814528","productId":1400799524,"offerId":"KkOVGo34GqOLg_niVEjiVA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQtaCg++ma3Y5wEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCKSC+psFEIDZ0GwYj7zeByDa2cEH","sign":"8gKBIHhijOlCeYsEpqp6zM29geOSq8BrJzVEHnctRBk="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1400799524_15/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Уголь активированный таб., 250 мг, 50 шт.

    Цена 52 ₽ вместо 53
  • Цитрамон П таб., 30 шт.
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    Цитрамон П таб., 30 шт.

    Цена 95 ₽ вместо 96
  • Сто рецептов красоты Радикулитный бальзам гель д/массажа, 70 мл, 80 г, 1 шт., 1 уп.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1784710436_17/content/content/toggleWishlist":{"skuId":"101871452066","productId":1784710436,"offerId":"GpZzNBt1PAZRFU89YT_bnQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQtaCg++ma3Y5wEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCKSKgtMGEKL/i8D7Ahj20cIPIOfcwQc=","sign":"iUHwY8oiK47EaHRbkPoptWiT/D3gUGq/dzpMuZMrWkM="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1784710436_17/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Сто рецептов красоты Радикулитный бальзам гель д/массажа, 70 мл, 80 г, 1 шт., 1 уп.

    Цена 244 ₽
  • Хонда Нейро таб., 20 шт., нейтральный
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    Хонда Нейро таб., 20 шт., нейтральный

    Цена 802 ₽ вместо 810
  • Римантадин таб., 50 мг, 20 шт.
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    Римантадин таб., 50 мг, 20 шт.

    Цена 56 ₽ вместо 57
  • Римантадин таб., 50 мг, 20 шт.
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:228054997_20/content/content/toggleWishlist":{"skuId":"101286030810","productId":228054997,"offerId":"iHMDDxi4CTm4hMmkPDKMew","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQtaCg++ma3Y5wEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCNWv32wQ2tv4qPkCGLPg0AcgxdjBBw==","sign":"5s0D5s/lqS3fgCEUbToy5OxGWSmhFkLWLSX89Jr5wYU="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:228054997_20/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Римантадин таб., 50 мг, 20 шт.

    Цена 63 ₽ вместо 64
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    {"widgets":{"@monetize/Kebab":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_102_21/content/content/content/kebab":{"adLabel":{"adLabelText":"Реклама","advertizer":"ООО \"Маревен Фуд Сэнтрал\", ИНН 5077018948, ID #e-1g-109249-VND-ADV","adLabel":1},"advertisementId":2059081}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_102_21/content/content/content/kebab":{"name":"@monetize/Kebab"}}}
    Реклама
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  • Лошадиная сила бальзам-гель Релаксирующий, 125 мл, 125 г, 1 шт., ментол, 1 уп.
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    Лошадиная сила бальзам-гель Релаксирующий, 125 мл, 125 г, 1 шт., ментол, 1 уп.

    Цена 470 ₽ вместо 780
  • Эвалар Чай Эвалар БИО при повышенном содержании мочевой кислоты, 20 фильтр-пакетов
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    Эвалар Чай Эвалар БИО при повышенном содержании мочевой кислоты, 20 фильтр-пакетов

    Цена 194 ₽ вместо 224
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