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Описание

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Мукоцил Солюшн Таблетс таб. дисперг., 200 мг, 20 шт.

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3.7
(6)
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Коротко о товаре

Артикул Маркета
3802151541
Тип препарата
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Форма выпуска
таблетки
Инструкция
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Вспомогательные вещества: целлюлоза микрокристаллическая - 68,20 мг, лактозы моногидрат (сахар молочный) - 10,00 мг, кросповидон - 10,00 мг, повидон-К25 - 4,00 мг, ароматизатор лимонный - 2,00 мг, натрия сахаринат - 1,65 мг, аспартам - 1,35 мг, лимонной кислоты моногидрат - 0,65 мг, кремния диоксид коллоидный - 1,50 мг, магния стеарат - 0,65 мг.\u003Cbr\u003EОдна таблетка 200 мг: Действующее вещество: ацетилцистеин - 200,00 мг. Вспомогательные вещества: целлюлоза микрокристаллическая - 136,40 мг, лактозы моногидрат (сахар молочный) - 20,00 мг, кросповидон - 20,00 мг, повидон-К25 - 8,00 мг, ароматизатор лимонный - 4,00 мг, натрия сахаринат - 3,30 мг, аспартам - 2,70 мг, лимонной кислоты моногидрат - 1,30 мг, кремния диоксид коллоидный - 3,00 мг, магния стеарат - 1,30 мг.\u003Cbr\u003EОдна таблетка 600 мг: Действующее вещество: ацетилцистеин - 600,00 мг. Вспомогательные вещества: целлюлоза микрокристаллическая - 409,20 мг, лактозы моногидрат (сахар молочный) - 60,00 мг, кросповидон - 60,00 мг, повидон-К25 - 24,00 мг, ароматизатор лимонный - 12,00 мг, натрия сахаринат - 9,90 мг, аспартам - 8,10 мг, лимонной кислоты моногидрат - 3,90 мг, кремния диоксид коллоидный - 9,00 мг, магния стеарат - 3,90 мг."},{"name":"Действующее вещество","value":"Ацетилцистеин","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-grippa-i-prostudy","categoryId":"15756357","navnodeId":"25024950","glfilters":["27144131:28708568"]}}},{"name":"Способ применения и дозы","value":"Диспергируемые таблетки могут быть приняты различными способами: таблетку можно проглотить целиком, запивая водой или предварительно, перед приёмом, растворить в воде. Таблетки следует растворять как минимум в 50 мл воды. Перед приёмом следует тщательно перемешать образовавшуюся суспензию.\u003Cbr/\u003EМуколитическая терапия\u003Cbr/\u003EВзрослые: 600 мг (в перерасчете на необходимое количество таблеток диспергируемых) 1 раз в день или 300 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2 раза в день или 200 мг (в перерасчете на необходимое количество таблеток диспергируемых) 3 раза в день.\u003Cbr/\u003EМаксимальная суточная доза апетилцистеина составляет 600 мг/день.\u003Cbr/\u003EДети:\u003Cbr/\u003E- дети от 2 до 6 лет: 100 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2-3 раза в день (соответствует 200-300 мг апетилцистеина в день).\u003Cbr/\u003E- дети от 6 до 14 лет: 100 мг (в перерасчете на необходимое количество таблеток диспергируемых) 3-4 раза в день или 200 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2 раза в день (соответствует 300-400 мг ацетилцистеина в день).\u003Cbr/\u003E- дети старше 14 лет: 300 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2 раза в день или 200 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2-3 раза в день (соответствует 400-600 мг ацетилцистеина в день).\u003Cbr/\u003EМуковисцидоз\u003Cbr/\u003E- дети от 2 до 6 лет: 100 мг (в перерасчете на необходимое количество таблеток диспергируемых) 3-4 раза в день (соответствует 300-400 мг ацетилцистеина в день);\u003Cbr/\u003E- дети от 6 до 14 лет: 100 мг (в перерасчете на необходимое количество таблеток диспергируемых) 4 раза в день или 200 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2-3 раза в день (соответствует 400-600 мг ацетилцистеина в день);\u003Cbr/\u003E- дети старше 14 лет и взрослые: 200 мг (в перерасчете на необходимое количество таблеток диспергируемых) 3 раза в день или 300 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2 раза в день (соответствует 600 мг ацетилцистеина в день).\u003Cbr/\u003EПродолжительность курса лечения следует оценивать индивидуально. При острых заболеваниях продолжительность курса лечения составляет от 5 до 10 дней; при лечении хронических заболеваний - до нескольких месяцев (по рекомендации врача)."},{"name":"Побочные действия","value":"Частота развития побочных эффектов классифицирована согласно рекомендациям Всемирной организации здравоохранения: очень часто (≥1/10), часто (≥1/100, \u003C1/10), нечасто (≥1/1000, \u003C 1/100), редко (≥1/10 000, \u003C 1/1000), очень редко (\u003C1/10 000), частота неизвестна: частота не может быть оценена на основании имеющихся данных.\u003Cbr/\u003EПо каждой группе частоты, нежелательные явления представлены в порядке убывающей серьезности.\u003Cbr/\u003EСо стороны иммунной системы: нечасто - гиперчувствительность; очень редко - анафилактический шок, анафилактическая/анафилактоидная реакция.\u003Cbr/\u003EСо стороны нервной системы: нечасто - головная боль.\u003Cbr/\u003EСо стороны органов слуха и внутреннего уха: нечасто - шум в ушах.\u003Cbr/\u003EСо стороны сердца: нечасто - тахикардия.\u003Cbr/\u003EСо стороны сосудистой системы: очень редко - кровотечение.\u003Cbr/\u003EСо стороны органов дыхания грудной тетки и средостения: редко - бронхоспазм, диспноэ.\u003Cbr/\u003EЖелудочно-кишечные нарушения: нечасто - рвота, диарея, стоматит, боли в животе, тошнота; редко - диспепсия.\u003Cbr/\u003EСо стороны кожи и подкожных тканей: нечасто - крапивница, сыпь, ангионевротический отек, зуд.\u003Cbr/\u003EОбщие нарушения и состояния в местах применения: нечасто - пирексия; частота неизвестна - отек лица.\u003Cbr/\u003EАнализы и исследования: нечасто - пониженное артериальное давление.\u003Cbr/\u003EВ очень редких случаях сообщалось о проявлении таких серьезных кожных реакций, как синдром Стивенса-Джонсона и синдром Лайелла, в хронологической зависимости от применения ацетилцистеина. В большинстве случаев, по меньшей мере, один одновременно принимаемый препарат мог быть вовлечен в запуск вышеуказанных слизисто-кожных синдромов. По этой причине следует незамедлительно обратиться к врачу при возникновении каких-либо новых изменений кожи или слизистой оболочки, и незамедлительно прекращать прием ацетилцистеина.\u003Cbr/\u003EСнижение агрегации тромбоцитов в присутствии ацетилцистеина подтверждалось различными исследованиями. Клиническое значение до сих пор не установлено."},{"name":"Фармакологическое действие","value":"Ацетилцистеин - муколитическое, отхаркивающее средство, применяющееся для разжижения мокроты при заболеваниях дыхательной системы. Ацетилцистеин является производным природной аминокислоты цистеина (N-ацетил-L-цистеин). Обладает выраженным муколитическим действием, относится к классу прямых муколитиков. \u003Cbr/\u003EДействие ацетилцистеина связано со способностью свободной сульфгидрильной группы расщеплять внутри- и межмолекулярные дисульфидные связи агрегатов гликопротеинов мокроты, что приводит к деполимеризации мукопротеидов, оказывая сильное разжижающее действие и уменьшая вязкость слизи. Ацетилцистеин проявляет муколитическую активность в отношении любого вида мокроты - слизистой, слизисто-гнойной, гнойной. Ацетилцистеин увеличивает секрецию менее вязких сиаломуцинов бокаловидными клетками, снижает адгезию бактерий на эпителиальных клетках слизистой оболочки бронхов. Стимулирует мукозные клетки бронхов, секрет которых лизирует фибрин. \u003Cbr/\u003EАцетилцистеин разжижает мокроту, увеличивает её объем, облегчает отделение мокроты и значительно смягчает кашель. \u003Cbr/\u003EПомимо прямого муколитического действия, ацетилцистеин обладает мощным антиоксидантными пневмопротекторными свойствами, обеспечивающими эффективную защиту органов дыхания от токсического влияния негативных факторов: метаболитов воспаления, факторов окружающей среды, табачного дыма. \u003Cbr/\u003EАцетилцистеин оказывает прямое антиоксидантное воздействие, поскольку включает в себя свободную тиольную группу (-SH), способную вступать в непосредственное взаимодействие и нейтрализовать электрофильные окислительные токсины. \u003Cbr/\u003EКроме того, снижает индуцированную гиперплазию мукоидных клеток, усиливает выработку поверхностно-активных соединений путем стимуляции пневмоцитов II типа, стимулирует мукоцилиарную активность, что приводит к улучшению мукоцилиарного клиренса. \u003Cbr/\u003EСтимулирует мукозные клетки бронхов, секрет которых лизирует фибрин. Аналогичное действие оказывает на секрет, образующийся при воспалительных заболеваниях ЛОР- органов. \u003Cbr/\u003EАцетилцистеин предохраняет альфа1-антитрипсин (фермент, ингибирующий эластазы) от потери активности, которая может наступить в результате воздействия на него HOCL - мощного окислительного вещества, вырабатываемого энзимом миелопероксидазы активных фагоцитов. \u003Cbr/\u003EЛегко проникая внутрь клетки ацетилцистеин дезацетилируется, освобождая L-цистеин - аминокислоту, необходимую для синтеза глутатиона, который является важнейшим фактором внутриклеточной защиты от экзогенных и эндогенных окислительных токсинов и различных цитотоксических веществ. Эта особенность ацетилцистеина дает возможность эффективно применять последний при острых отравлениях парацетамолом и другими токсическими веществами (альдегидами, фенолами и др.). \u003Cbr/\u003EМуколитические свойства ацетилцистеина начинают проявляться в течение 1-2 дней от начала терапии."},{"name":"Фармакологическая группа","value":"отхаркивающее муколитическое средство"},{"name":"Форма выпуска","value":"таблетки"},{"name":"Способ применения/введения","value":"пероральный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-grippa-i-prostudy","categoryId":"15756357","navnodeId":"25024950","glfilters":["35947170:36763744"]}}},{"name":"Условия хранения","value":"При температуре не выше 25 °С. Хранить в недоступном для детей месте.\u003Cbr/\u003E\nСрок годности: 3 года."},{"name":"Условия отпуска из аптеки","value":"Ацетилцистеин при приеме в дозе 500 мг/кг/день не вызывает признаков и симптомов передозировки.\u003Cbr/\u003EМогут наблюдаться следующие симптомы: тошнота, рвота и диарея.\u003Cbr/\u003EЛечение: Конкретный антидот отсутствует, лечение является симптоматическим."},{"name":"Передозировка","value":"Ацетилцистеин при приеме в дозе 500 мг/кг/день не вызывает признаков и симптомов передозировки.\u003Cbr/\u003EМогут наблюдаться следующие симптомы: тошнота, рвота и диарея.\u003Cbr/\u003EЛечение: Конкретный антидот отсутствует, лечение является симптоматическим."},{"name":"Применение при беременности и кормлении грудью","value":"Применение препарата в период беременности и кормления грудью противопоказано."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"В терапевтических дозах ацетилцистеин не влияет на способность управлять транспортными средствами и механизмами."},{"name":"Особые указания","value":"С осторожностью: бронхиальная астма, печеночная и/или почечная недостаточность, заболевания надпочечников, варикозное расширение вен пищевода, артериальная гипертензия, склонность к легочным кровотечениям, кровохарканью, язвенная болезнь желудка и двенадцатиперстной кишки в анамнезе, непереносимость гистамина (следует избегать длительного приема препарата, т.к. ацетилцистеин влияет на метаболизм гистамина и может привести к возникновению признаков непереносимости, таких как головная боль, вазомоторный ринит, зуд).\u003Cbr/\u003EПрепарат содержит аспартам, его применение у пациентов с фенилкетонурией противопоказано.\u003Cbr/\u003EПри растворении ацетилцистеина необходимо пользоваться стеклянной посудой, избегать контакта с металлическими, резиновыми поверхностями, кислородом и легко окисляющимися веществами.\u003Cbr/\u003EПри применении ацетилцистеина очень редко сообщалось о случаях развития тяжелых аллергических реакций, таких как синдром Стивенса-Джонсона, токсический эпидермальный некролиз (синдром Лайелла). При возникновении изменений кожи и слизистых оболочек следует немедленно обратиться к врачу, прием препарата необходимо прекратить.\u003Cbr/\u003EПациентам с бронхиальной астмой и обструктивным бронхитом ацетилцистеин следует назначать с осторожностью под систематическим контролем бронхиальной проходимости.\u003Cbr/\u003EНе следует принимать препарат непосредственно перед сном (рекомендуется принимать препарат до 18:00).\u003Cbr/\u003EАцетилцистеин может в незначительной степени влиять на гистаминный метаболизм, поэтому необходимо соблюдать осторожность при применении препарата для долгосрочного лечения пациентов, страдающих непереносимостью гистамина, при проявлении симптомов непереносимости (головная боль, вазомоторный ринит, зуд)."},{"name":"Взаимодействие","value":"Сочетанное применение ацетилцистеина с противокашлевыми средствами может усилить застой мокроты из-за подавления кашлевого рефлекса.\u003Cbr/\u003EПри одновременном применении с такими антибиотиками, как тетрациклины (исключая доксициклин), ампициллин, амфотерицин В, возможно их взаимодействие с тиоловой группой ацетилцистеина, что ведет к снижению активности обоих препаратов. Поэтому интервал между приемами этих препаратов должен составлять не менее 2 часов.\u003Cbr/\u003EОдновременный прием ацетилцистеина и нитроглицерина может вызвать выраженное снижение артериального давления и головную боль.\u003Cbr/\u003EОдновременное применение ацетилцистеина и карбамазепина может выражаться в субтерапевтических уровнях карбамазепина.\u003Cbr/\u003EАктивированный уголь способен снижать действие ацетилцистеина.\u003Cbr/\u003EАцетилцистеин устраняет токсические эффекты парацетамола.\u003Cbr/\u003EАцетилцистеин может влиять на результаты колориметрического определения салицилатов\u003Cbr/\u003E Ацетилцистеин может оказывать влияние на анализ кетонов в моче."},{"name":"Регистрационный номер","value":"ЛП-005353\nЛП-№(004264)-(РГ-RU)"},{"name":"Дата государственной регистрации","value":"18.02.2019\n12.01.2024"},{"name":"Владелец регистрационного удостоверения","value":"Атолл","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-grippa-i-prostudy","categoryId":"15756357","navnodeId":"25024950","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":"Мукоцил Солюшн Таблетс","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-grippa-i-prostudy","categoryId":"15756357","navnodeId":"25024950","glfilters":["17796364:17985254"]}}},{"name":"Срок годности","value":"35 мес."}]}},"fullSpecsGrouped":{"9438572667459380086":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Органы и системы","value":"дыхательная система"},{"name":"Назначение","value":"бронхит, бронхоэктатическая болезнь, муковисцидоз, пневмония, трахеит, эмфизема легких"},{"name":"Показания к применению","value":"Муколитическое средство для лечения острых и хронических заболеваний органов дыхания, связанных с чрезмерным выделением бронхиального секрета: бронхит, трахеит, бронхиолит, пневмония, бронхоэктатическая болезнь, муковисцидоз, абсцесс легких, эмфизема легких, ларинготрахеит, интерстициальные заболевания легких, ателектаз легкого (вследствие закупорки бронхов слизистой пробкой).\u003Cbr/\u003E\nКатаральный и гнойный отит, гайморит, синусит (облегчение отхождения секрета).\u003Cbr/\u003E\nУдаление вязкого секрета из дыхательных путей при посттравматических и послеоперационных состояниях."},{"name":"Противопоказания","value":"Повышенная чувствительность к ацетилцистеину и другим компонентам препарата; язвенная болезнь желудка и двенадцатиперстной кишки в стадии обострения, кровохарканье, легочное кровотечение, наследственная непереносимость лактозы, дефицит лактазы, глюкозо-галактозная мальабсорбция, фенилкетонурия, детский возраст до 2 лет (для таблеток диспергируемых 100 мг, 200 мг), детский возраст до 14 лет (для таблеток диспергируемых 600 мг), беременность и период грудного вскармливания."},{"name":"Состав","value":"Одна таблетка 100 мг: Действующее вещество: ацетилцистеин - 100,00 мг. Вспомогательные вещества: целлюлоза микрокристаллическая - 68,20 мг, лактозы моногидрат (сахар молочный) - 10,00 мг, кросповидон - 10,00 мг, повидон-К25 - 4,00 мг, ароматизатор лимонный - 2,00 мг, натрия сахаринат - 1,65 мг, аспартам - 1,35 мг, лимонной кислоты моногидрат - 0,65 мг, кремния диоксид коллоидный - 1,50 мг, магния стеарат - 0,65 мг.\u003Cbr\u003EОдна таблетка 200 мг: Действующее вещество: ацетилцистеин - 200,00 мг. Вспомогательные вещества: целлюлоза микрокристаллическая - 136,40 мг, лактозы моногидрат (сахар молочный) - 20,00 мг, кросповидон - 20,00 мг, повидон-К25 - 8,00 мг, ароматизатор лимонный - 4,00 мг, натрия сахаринат - 3,30 мг, аспартам - 2,70 мг, лимонной кислоты моногидрат - 1,30 мг, кремния диоксид коллоидный - 3,00 мг, магния стеарат - 1,30 мг.\u003Cbr\u003EОдна таблетка 600 мг: Действующее вещество: ацетилцистеин - 600,00 мг. Вспомогательные вещества: целлюлоза микрокристаллическая - 409,20 мг, лактозы моногидрат (сахар молочный) - 60,00 мг, кросповидон - 60,00 мг, повидон-К25 - 24,00 мг, ароматизатор лимонный - 12,00 мг, натрия сахаринат - 9,90 мг, аспартам - 8,10 мг, лимонной кислоты моногидрат - 3,90 мг, кремния диоксид коллоидный - 9,00 мг, магния стеарат - 3,90 мг."},{"name":"Действующее вещество","value":"Ацетилцистеин"},{"name":"Способ применения и дозы","value":"Диспергируемые таблетки могут быть приняты различными способами: таблетку можно проглотить целиком, запивая водой или предварительно, перед приёмом, растворить в воде. Таблетки следует растворять как минимум в 50 мл воды. Перед приёмом следует тщательно перемешать образовавшуюся суспензию.\u003Cbr/\u003EМуколитическая терапия\u003Cbr/\u003EВзрослые: 600 мг (в перерасчете на необходимое количество таблеток диспергируемых) 1 раз в день или 300 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2 раза в день или 200 мг (в перерасчете на необходимое количество таблеток диспергируемых) 3 раза в день.\u003Cbr/\u003EМаксимальная суточная доза апетилцистеина составляет 600 мг/день.\u003Cbr/\u003EДети:\u003Cbr/\u003E- дети от 2 до 6 лет: 100 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2-3 раза в день (соответствует 200-300 мг апетилцистеина в день).\u003Cbr/\u003E- дети от 6 до 14 лет: 100 мг (в перерасчете на необходимое количество таблеток диспергируемых) 3-4 раза в день или 200 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2 раза в день (соответствует 300-400 мг ацетилцистеина в день).\u003Cbr/\u003E- дети старше 14 лет: 300 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2 раза в день или 200 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2-3 раза в день (соответствует 400-600 мг ацетилцистеина в день).\u003Cbr/\u003EМуковисцидоз\u003Cbr/\u003E- дети от 2 до 6 лет: 100 мг (в перерасчете на необходимое количество таблеток диспергируемых) 3-4 раза в день (соответствует 300-400 мг ацетилцистеина в день);\u003Cbr/\u003E- дети от 6 до 14 лет: 100 мг (в перерасчете на необходимое количество таблеток диспергируемых) 4 раза в день или 200 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2-3 раза в день (соответствует 400-600 мг ацетилцистеина в день);\u003Cbr/\u003E- дети старше 14 лет и взрослые: 200 мг (в перерасчете на необходимое количество таблеток диспергируемых) 3 раза в день или 300 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2 раза в день (соответствует 600 мг ацетилцистеина в день).\u003Cbr/\u003EПродолжительность курса лечения следует оценивать индивидуально. При острых заболеваниях продолжительность курса лечения составляет от 5 до 10 дней; при лечении хронических заболеваний - до нескольких месяцев (по рекомендации врача)."},{"name":"Побочные действия","value":"Частота развития побочных эффектов классифицирована согласно рекомендациям Всемирной организации здравоохранения: очень часто (≥1/10), часто (≥1/100, \u003C1/10), нечасто (≥1/1000, \u003C 1/100), редко (≥1/10 000, \u003C 1/1000), очень редко (\u003C1/10 000), частота неизвестна: частота не может быть оценена на основании имеющихся данных.\u003Cbr/\u003EПо каждой группе частоты, нежелательные явления представлены в порядке убывающей серьезности.\u003Cbr/\u003EСо стороны иммунной системы: нечасто - гиперчувствительность; очень редко - анафилактический шок, анафилактическая/анафилактоидная реакция.\u003Cbr/\u003EСо стороны нервной системы: нечасто - головная боль.\u003Cbr/\u003EСо стороны органов слуха и внутреннего уха: нечасто - шум в ушах.\u003Cbr/\u003EСо стороны сердца: нечасто - тахикардия.\u003Cbr/\u003EСо стороны сосудистой системы: очень редко - кровотечение.\u003Cbr/\u003EСо стороны органов дыхания грудной тетки и средостения: редко - бронхоспазм, диспноэ.\u003Cbr/\u003EЖелудочно-кишечные нарушения: нечасто - рвота, диарея, стоматит, боли в животе, тошнота; редко - диспепсия.\u003Cbr/\u003EСо стороны кожи и подкожных тканей: нечасто - крапивница, сыпь, ангионевротический отек, зуд.\u003Cbr/\u003EОбщие нарушения и состояния в местах применения: нечасто - пирексия; частота неизвестна - отек лица.\u003Cbr/\u003EАнализы и исследования: нечасто - пониженное артериальное давление.\u003Cbr/\u003EВ очень редких случаях сообщалось о проявлении таких серьезных кожных реакций, как синдром Стивенса-Джонсона и синдром Лайелла, в хронологической зависимости от применения ацетилцистеина. В большинстве случаев, по меньшей мере, один одновременно принимаемый препарат мог быть вовлечен в запуск вышеуказанных слизисто-кожных синдромов. По этой причине следует незамедлительно обратиться к врачу при возникновении каких-либо новых изменений кожи или слизистой оболочки, и незамедлительно прекращать прием ацетилцистеина.\u003Cbr/\u003EСнижение агрегации тромбоцитов в присутствии ацетилцистеина подтверждалось различными исследованиями. Клиническое значение до сих пор не установлено."},{"name":"Фармакологическое действие","value":"Ацетилцистеин - муколитическое, отхаркивающее средство, применяющееся для разжижения мокроты при заболеваниях дыхательной системы. Ацетилцистеин является производным природной аминокислоты цистеина (N-ацетил-L-цистеин). Обладает выраженным муколитическим действием, относится к классу прямых муколитиков. \u003Cbr/\u003EДействие ацетилцистеина связано со способностью свободной сульфгидрильной группы расщеплять внутри- и межмолекулярные дисульфидные связи агрегатов гликопротеинов мокроты, что приводит к деполимеризации мукопротеидов, оказывая сильное разжижающее действие и уменьшая вязкость слизи. Ацетилцистеин проявляет муколитическую активность в отношении любого вида мокроты - слизистой, слизисто-гнойной, гнойной. Ацетилцистеин увеличивает секрецию менее вязких сиаломуцинов бокаловидными клетками, снижает адгезию бактерий на эпителиальных клетках слизистой оболочки бронхов. Стимулирует мукозные клетки бронхов, секрет которых лизирует фибрин. \u003Cbr/\u003EАцетилцистеин разжижает мокроту, увеличивает её объем, облегчает отделение мокроты и значительно смягчает кашель. \u003Cbr/\u003EПомимо прямого муколитического действия, ацетилцистеин обладает мощным антиоксидантными пневмопротекторными свойствами, обеспечивающими эффективную защиту органов дыхания от токсического влияния негативных факторов: метаболитов воспаления, факторов окружающей среды, табачного дыма. \u003Cbr/\u003EАцетилцистеин оказывает прямое антиоксидантное воздействие, поскольку включает в себя свободную тиольную группу (-SH), способную вступать в непосредственное взаимодействие и нейтрализовать электрофильные окислительные токсины. \u003Cbr/\u003EКроме того, снижает индуцированную гиперплазию мукоидных клеток, усиливает выработку поверхностно-активных соединений путем стимуляции пневмоцитов II типа, стимулирует мукоцилиарную активность, что приводит к улучшению мукоцилиарного клиренса. \u003Cbr/\u003EСтимулирует мукозные клетки бронхов, секрет которых лизирует фибрин. Аналогичное действие оказывает на секрет, образующийся при воспалительных заболеваниях ЛОР- органов. \u003Cbr/\u003EАцетилцистеин предохраняет альфа1-антитрипсин (фермент, ингибирующий эластазы) от потери активности, которая может наступить в результате воздействия на него HOCL - мощного окислительного вещества, вырабатываемого энзимом миелопероксидазы активных фагоцитов. \u003Cbr/\u003EЛегко проникая внутрь клетки ацетилцистеин дезацетилируется, освобождая L-цистеин - аминокислоту, необходимую для синтеза глутатиона, который является важнейшим фактором внутриклеточной защиты от экзогенных и эндогенных окислительных токсинов и различных цитотоксических веществ. Эта особенность ацетилцистеина дает возможность эффективно применять последний при острых отравлениях парацетамолом и другими токсическими веществами (альдегидами, фенолами и др.). \u003Cbr/\u003EМуколитические свойства ацетилцистеина начинают проявляться в течение 1-2 дней от начала терапии."},{"name":"Фармакологическая группа","value":"отхаркивающее муколитическое средство"},{"name":"Форма выпуска","value":"таблетки"},{"name":"Способ применения/введения","value":"пероральный"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"При температуре не выше 25 °С. Хранить в недоступном для детей месте.\u003Cbr/\u003E\nСрок годности: 3 года."},{"name":"Условия отпуска из аптеки","value":"Ацетилцистеин при приеме в дозе 500 мг/кг/день не вызывает признаков и симптомов передозировки.\u003Cbr/\u003EМогут наблюдаться следующие симптомы: тошнота, рвота и диарея.\u003Cbr/\u003EЛечение: Конкретный антидот отсутствует, лечение является симптоматическим."},{"name":"Передозировка","value":"Ацетилцистеин при приеме в дозе 500 мг/кг/день не вызывает признаков и симптомов передозировки.\u003Cbr/\u003EМогут наблюдаться следующие симптомы: тошнота, рвота и диарея.\u003Cbr/\u003EЛечение: Конкретный антидот отсутствует, лечение является симптоматическим."},{"name":"Применение при беременности и кормлении грудью","value":"Применение препарата в период беременности и кормления грудью противопоказано."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"В терапевтических дозах ацетилцистеин не влияет на способность управлять транспортными средствами и механизмами."},{"name":"Особые указания","value":"С осторожностью: бронхиальная астма, печеночная и/или почечная недостаточность, заболевания надпочечников, варикозное расширение вен пищевода, артериальная гипертензия, склонность к легочным кровотечениям, кровохарканью, язвенная болезнь желудка и двенадцатиперстной кишки в анамнезе, непереносимость гистамина (следует избегать длительного приема препарата, т.к. ацетилцистеин влияет на метаболизм гистамина и может привести к возникновению признаков непереносимости, таких как головная боль, вазомоторный ринит, зуд).\u003Cbr/\u003EПрепарат содержит аспартам, его применение у пациентов с фенилкетонурией противопоказано.\u003Cbr/\u003EПри растворении ацетилцистеина необходимо пользоваться стеклянной посудой, избегать контакта с металлическими, резиновыми поверхностями, кислородом и легко окисляющимися веществами.\u003Cbr/\u003EПри применении ацетилцистеина очень редко сообщалось о случаях развития тяжелых аллергических реакций, таких как синдром Стивенса-Джонсона, токсический эпидермальный некролиз (синдром Лайелла). При возникновении изменений кожи и слизистых оболочек следует немедленно обратиться к врачу, прием препарата необходимо прекратить.\u003Cbr/\u003EПациентам с бронхиальной астмой и обструктивным бронхитом ацетилцистеин следует назначать с осторожностью под систематическим контролем бронхиальной проходимости.\u003Cbr/\u003EНе следует принимать препарат непосредственно перед сном (рекомендуется принимать препарат до 18:00).\u003Cbr/\u003EАцетилцистеин может в незначительной степени влиять на гистаминный метаболизм, поэтому необходимо соблюдать осторожность при применении препарата для долгосрочного лечения пациентов, страдающих непереносимостью гистамина, при проявлении симптомов непереносимости (головная боль, вазомоторный ринит, зуд)."},{"name":"Взаимодействие","value":"Сочетанное применение ацетилцистеина с противокашлевыми средствами может усилить застой мокроты из-за подавления кашлевого рефлекса.\u003Cbr/\u003EПри одновременном применении с такими антибиотиками, как тетрациклины (исключая доксициклин), ампициллин, амфотерицин В, возможно их взаимодействие с тиоловой группой ацетилцистеина, что ведет к снижению активности обоих препаратов. Поэтому интервал между приемами этих препаратов должен составлять не менее 2 часов.\u003Cbr/\u003EОдновременный прием ацетилцистеина и нитроглицерина может вызвать выраженное снижение артериального давления и головную боль.\u003Cbr/\u003EОдновременное применение ацетилцистеина и карбамазепина может выражаться в субтерапевтических уровнях карбамазепина.\u003Cbr/\u003EАктивированный уголь способен снижать действие ацетилцистеина.\u003Cbr/\u003EАцетилцистеин устраняет токсические эффекты парацетамола.\u003Cbr/\u003EАцетилцистеин может влиять на результаты колориметрического определения салицилатов\u003Cbr/\u003E Ацетилцистеин может оказывать влияние на анализ кетонов в моче."},{"name":"Регистрационный номер","value":"ЛП-005353\nЛП-№(004264)-(РГ-RU)"},{"name":"Дата государственной регистрации","value":"18.02.2019\n12.01.2024"},{"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":"Мукоцил Солюшн Таблетс"},{"name":"Срок годности","value":"35 мес."}]}],"transitionId":"tr_455529169062355080"}}}}
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Цена с картой Яндекс Пэй:131 ₽

Скидка: 1%
–1 %
Вместо: 132 ₽
  • Сегодня, курьер магазина • 249 ₽
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Ещё может подойти

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Инструкция

Показания к применению

Муколитическое средство для лечения острых и хронических заболеваний органов дыхания, связанных с чрезмерным выделением бронхиального секрета: бронхит, трахеит, бронхиолит, пневмония, бронхоэктатическая болезнь, муковисцидоз, абсцесс легких, эмфизема легких, ларинготрахеит, интерстициальные заболевания легких, ателектаз легкого (вследствие закупорки бронхов слизистой пробкой).
Катаральный и гнойный отит, гайморит, синусит (облегчение отхождения секрета).
Удаление вязкого секрета из дыхательных путей при посттравматических и послеоперационных состояниях.

Противопоказания

Повышенная чувствительность к ацетилцистеину и другим компонентам препарата; язвенная болезнь желудка и двенадцатиперстной кишки в стадии обострения, кровохарканье, легочное кровотечение, наследственная непереносимость лактозы, дефицит лактазы, глюкозо-галактозная мальабсорбция, фенилкетонурия, детский возраст до 2 лет (для таблеток диспергируемых 100 мг, 200 мг), детский возраст до 14 лет (для таблеток диспергируемых 600 мг), беременность и период грудного вскармливания.

Способ применения и дозы

Диспергируемые таблетки могут быть приняты различными способами: таблетку можно проглотить целиком, запивая водой или предварительно, перед приёмом, растворить в воде. Таблетки следует растворять как минимум в 50 мл воды. Перед приёмом следует тщательно перемешать образовавшуюся суспензию.
Муколитическая терапия
Взрослые: 600 мг (в перерасчете на необходимое количество таблеток диспергируемых) 1 раз в день или 300 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2 раза в день или 200 мг (в перерасчете на необходимое количество таблеток диспергируемых) 3 раза в день.
Максимальная суточная доза апетилцистеина составляет 600 мг/день.
Дети:
- дети от 2 до 6 лет: 100 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2-3 раза в день (соответствует 200-300 мг апетилцистеина в день).
- дети от 6 до 14 лет: 100 мг (в перерасчете на необходимое количество таблеток диспергируемых) 3-4 раза в день или 200 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2 раза в день (соответствует 300-400 мг ацетилцистеина в день).
- дети старше 14 лет: 300 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2 раза в день или 200 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2-3 раза в день (соответствует 400-600 мг ацетилцистеина в день).
Муковисцидоз
- дети от 2 до 6 лет: 100 мг (в перерасчете на необходимое количество таблеток диспергируемых) 3-4 раза в день (соответствует 300-400 мг ацетилцистеина в день);
- дети от 6 до 14 лет: 100 мг (в перерасчете на необходимое количество таблеток диспергируемых) 4 раза в день или 200 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2-3 раза в день (соответствует 400-600 мг ацетилцистеина в день);
- дети старше 14 лет и взрослые: 200 мг (в перерасчете на необходимое количество таблеток диспергируемых) 3 раза в день или 300 мг (в перерасчете на необходимое количество таблеток диспергируемых) 2 раза в день (соответствует 600 мг ацетилцистеина в день).
Продолжительность курса лечения следует оценивать индивидуально. При острых заболеваниях продолжительность курса лечения составляет от 5 до 10 дней; при лечении хронических заболеваний - до нескольких месяцев (по рекомендации врача).
Полная инструкция
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Мукоцил Солюшн Таблетс таб. дисперг.
Мукоцил Солюшн Таблетс таб. дисперг., 200 мг, 20 шт.
3.7
(6)
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Инструкция

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3.7
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У продавца:6 оценок·2 отзыва
У всех продавцов:28 оценок·14 отзывов
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user avatar
5 месяцев назад • Ольга К. • Куплен на Маркете
Достоинства: Хороший препарат. Быстро помогает избавиться от кашля
Недостатки: Из нет
Комментарий: Рекомендую
user avatar
2 месяца назад • Наталья В. • Куплен на Маркете
Достоинства: Нет
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Рекомендуем

  • Таблетница из 14 секций на семь дней Утро-вечер
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1883422910_0/content/content/toggleWishlist":{"skuId":"102066600726","productId":1883422910,"offerId":"MF1mPo1TjMmUyA9JACu0Ng","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQvcfq2IGn78ooEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCL6Bi4IHEJb2kp38AhicnfkEIM3OPQ==","sign":"2lpzmZO0IXRNJB05mCnJoIU1kWT7dhsvAY2J//QRS5E="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1883422910_0/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Таблетница из 14 секций на семь дней Утро-вечер

    Цена 167 ₽ вместо 200
  • Флуимуцил таб. шип., 600 мг, 10 шт.
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    Флуимуцил таб. шип., 600 мг, 10 шт.

    Цена 347 ₽ вместо 418
  • Таблетница на 7 дней Органайзер для лекарств
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    Таблетница на 7 дней Органайзер для лекарств

    Цена 273 ₽ вместо 279
  • Ацетилцистеин Канон гран. д/пригот. р-ра д/вн. приема пак., 100 мг, 3 г, 20 шт.
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    Ацетилцистеин Канон гран. д/пригот. р-ра д/вн. приема пак., 100 мг, 3 г, 20 шт.

    Цена 130 ₽ вместо 180
  • Таблетница 7 секций прямоугольная 15*3*2,5 см, пластик, цвет прозрачный
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    Таблетница 7 секций прямоугольная 15*3*2,5 см, пластик, цвет прозрачный

    Цена 119 ₽ вместо 240
  • Таблетница на 7 дней 3 приема черная
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    Таблетница на 7 дней 3 приема черная

    Цена 733 ₽ вместо 1 000
  • Флуимуцил гран. д/приг. р-ра д/вн. приема, 200 мг, 30 шт.
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    Флуимуцил гран. д/приг. р-ра д/вн. приема, 200 мг, 30 шт.

    Цена 340 ₽ вместо 343
  • АЦЦ Лонг таб. шип., 600 мг, 20 шт.
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    АЦЦ Лонг таб. шип., 600 мг, 20 шт.

    Цена 514 ₽ вместо 576
  • Реклама
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  • Эйфа АЦ гран. д/приг. р-ра д/вн. приема пак., 600 мг, 3 г, 10 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:828622641_9/content/content/gallery":{"title":"Эйфа АЦ гран. д/приг. р-ра д/вн. приема пак., 600 мг, 3 г, 10 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/3985831/img_id1438331224021807174.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/3985831/img_id1438331224021807174.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/3985831/img_id1438331224021807174.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/3985831/img_id1438331224021807174.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/3985831/img_id1438331224021807174.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/3985831/img_id1438331224021807174.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4737085/img_id3063819321304222233.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4737085/img_id3063819321304222233.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4737085/img_id3063819321304222233.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4737085/img_id3063819321304222233.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4737085/img_id3063819321304222233.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4737085/img_id3063819321304222233.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQvcfq2IGn78ooEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCLGOj4sDENrlzan5AhjyrIIIIMXYwQc=","sign":"MGxAIW36XVxvBWWf+/q2NKmoocDVrJObucSYuyZOo5A="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:828622641_9/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
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    Эйфа АЦ гран. д/приг. р-ра д/вн. приема пак., 600 мг, 3 г, 10 шт.

    Цена 223 ₽ вместо 273
  • Флуимуцил р-р для в/в введ. и ингал. амп., 100 мг/мл, 3 мл, 5 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:228092779_10/content/content/gallery":{"title":"Флуимуцил р-р для в/в введ. и ингал. амп., 100 мг/мл, 3 мл, 5 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/4314340/img_id3702287505551945134.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4314340/img_id3702287505551945134.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4314340/img_id3702287505551945134.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4314340/img_id3702287505551945134.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4314340/img_id3702287505551945134.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4314340/img_id3702287505551945134.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/7735364/img_id917395992486697535.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/7735364/img_id917395992486697535.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/7735364/img_id917395992486697535.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/7735364/img_id917395992486697535.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/7735364/img_id917395992486697535.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/7735364/img_id917395992486697535.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5257755/img_id7676862571205699323.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5257755/img_id7676862571205699323.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5257755/img_id7676862571205699323.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5257755/img_id7676862571205699323.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5257755/img_id7676862571205699323.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5257755/img_id7676862571205699323.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQvcfq2IGn78ooEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCOvW4WwQxoL5qPkCGO7f0AcgxdjBBw==","sign":"1lOWB+rpuHJTwU1gGImBCi3yM49rfBYgyWwhqA/RYQ0="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:228092779_10/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
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    Флуимуцил р-р для в/в введ. и ингал. амп., 100 мг/мл, 3 мл, 5 шт.

    Цена 196 ₽
  • Эспа-Нац пор. д/приг. р-ра д/вн. приема, 600 мг, 20 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:545542013_11/content/content/toggleWishlist":{"skuId":"101287428763","productId":545542013,"offerId":"DrsXm74fkiHxkETiaqkIfA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQvcfq2IGn78ooEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCP2ekYQCEJuFzqn5Ahj4vvwFIMXYwQc=","sign":"Z/yZZq/hk4/UoFFPKPE9r1AHh8FMvSWGANViWGlu9Uw="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:545542013_11/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Эспа-Нац пор. д/приг. р-ра д/вн. приема, 600 мг, 20 шт.

    Цена 429 ₽ вместо 437
  • Таблетница пенал - органайзер ABORNS на неделю 7 ячеек 7 дней
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    Таблетница пенал - органайзер ABORNS на неделю 7 ячеек 7 дней

    Цена 206 ₽ вместо 350
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    Таблетница компактная /органайзер аптечка/ контейнер для таблеток БАД Panda_Home (синего цвета)

    Цена 245 ₽ вместо 263
  • Таблетница - брелок на день, 1 раздел, контейнер для таблеток металлический маленький (черный матовый)
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    Таблетница - брелок на день, 1 раздел, контейнер для таблеток металлический маленький (черный матовый)

    Цена 235 ₽ вместо 599
  • Таблетки от кашля, 10 шт.
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    Таблетки от кашля, 10 шт.

    Цена 60 ₽ вместо 61
  • Таблетница органайзер на неделю утро / день / вечер; Органайзер для таблеток на 7 дней; Карманная аптечка
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    Таблетница органайзер на неделю утро / день / вечер; Органайзер для таблеток на 7 дней; Карманная аптечка

    Цена 773 ₽ вместо 1 890
  • Мукалтин таб., 50 мг, 20 шт.
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    Мукалтин таб., 50 мг, 20 шт.

    Цена 56 ₽ вместо 57
  • Таблетница на 7 дней / органайзер / бокс / контейнер на неделю для хранения таблеток и лекарств 4 приема Clear Daswerk
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    Таблетница на 7 дней / органайзер / бокс / контейнер на неделю для хранения таблеток и лекарств 4 приема Clear Daswerk

    Цена 418 ₽ вместо 637
  • Таблетница пенал - органайзер ABORNS на неделю 7 ячеек 7 дней
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    Таблетница пенал - органайзер ABORNS на неделю 7 ячеек 7 дней

    Цена 176 ₽ вместо 400
  • Бромгексин таб., 8 мг, 20 шт.
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    Бромгексин таб., 8 мг, 20 шт.

    Цена 215 ₽ вместо 219
  • Реклама
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  • Контейнер для хранения/таблетница/кейс для таблеток
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    Контейнер для хранения/таблетница/кейс для таблеток

    Цена 365 ₽ вместо 699
  • Амбробене таб., 30 мг, 20 шт.
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    Амбробене таб., 30 мг, 20 шт.

    Цена 152 ₽ вместо 154
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