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Описание

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Но-шпа таб. п/о плен., 40 мг, 64 шт., 1 уп.

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4.8
(45)
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Коротко о товаре

Артикул Маркета
2101798664602
Тип препарата
Назначение
Действующее вещество
Возраст
от 6 лет
Инструкция
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40 мг;\u003Cbr\u003Eвспомогательные вещества: магния стеарат - 3 мг, тальк - 4 мг, повидон - 6 мг, крахмал кукурузный - 35 мг, лактозы моногидрат - 52 мг."},{"name":"Действующее вещество","value":"Дротаверин","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-pishchevareniia","categoryId":"15756506","navnodeId":"72470","glfilters":["27144131:28708899"]}}},{"name":"Способ применения и дозы","value":"Взрослые\u003Cbr\u003EОбычно средняя суточная доза у взрослых составляет 120-240 мг (суточная доза делится на 2-3 приема). Максимальная разовая доза составляет 80 мг. Максимальная суточная доза составляет 240 мг.\u003Cbr\u003EДети\u003Cbr\u003EКлинических исследований с использованием дротаверина с участием детей не проводилось.\u003Cbr\u003EВ случае назначения дротаверина детям:\u003Cbr\u003E- для детей от 6-ти до 12-ти лет максимальная, суточная доза составляет 80 мг, разделенная на 2 приема.\u003Cbr\u003E- для детей старше 12 лет максимальная, суточная доза составляет 160 мг, разделенная на 2-4 приема.\u003Cbr\u003EПродолжительность лечения без консультации с врачом\u003Cbr\u003EПри приеме препарата без консультации с врачом рекомендованная продолжительность, приёма препарата обычно составляет 1-2 дня. Если в течение этого периода болевой синдром не уменьшается, пациенту, следует обратиться к врачу, чтобы уточнить диагноз и при необходимости изменить терапию. В случаях, когда дротаверин используется, в качестве вспомогательной терапии, продолжительность лечения без консультации с врачом может быть больше (2-3 дня).\u003Cbr\u003EПри использовании флакона с полиэтиленовой пробкой, снабженной штучным дозатором: перед использованием удалить защитную полоску с верхней части флакона и наклейку со дна флакона.\u003Cbr\u003E Расположить флакон в ладони таким образом, чтобы дозирующее отверстие на донышке не упиралось в ладонь.\u003Cbr\u003E Затем надавить на верх флакона, в результате чего одна таблетка выпадет из дозирующего отверстия на донышке.\u003Cbr\u003EМетод оценки эффективности\u003Cbr\u003EЕсли пациент может легко самостоятельно диагностировать симптомы своего заболевания, так как они являются для него хорошо известными, то эффективность лечения, а именно исчезновение болей, также легко поддается оценке пациентом.\u003Cbr\u003E В случае если в течение нескольких часов после приема максимальной разовой дозы наблюдается умеренное уменьшение боли или отсутствие уменьшения боли, или если боль существенно не уменьшается после приема максимальной суточной дозы, рекомендуется обратиться к врачу."},{"name":"Побочные действия","value":"Ниже представлены неблагоприятные реакции, наблюдавшиеся в клинических исследованиях, разделенные по системам, органов с указанием частоты их возникновения в соответствии, со следующими градациями: очень частые (\u003E 10%), частые (\u003E1%, \u003C10); нечастые (\u003E0,1%, \u003C 1%); редкие (\u003E0,01%, \u003C 0,1%) и очень редкие, включая отдельные сообщения (\u003C 0,01%), неизвестная частота (по имеющимся данным частоту определить нельзя).\u003Cbr\u003EСо стороны сердечно-сосудистой системы\u003Cbr\u003EРедкие - учащение сердцебиения, снижение артериального давления.\u003Cbr\u003EСо стороны нервной системы\u003Cbr\u003EРедкие - головная боль, головокружение, бессонница.\u003Cbr\u003EСо стороны желудочно-кишечного тракта\u003Cbr\u003EРедкие - тошнота, запор\u003Cbr\u003EСо стороны иммунной системы\u003Cbr\u003EРедкие - аллергические реакции (ангионевротический отек; крапивница; сыпь, зуд)."},{"name":"Фармакологическое действие","value":"Дротаверин представляет собой производное изохинолина, которое проявляет мощное спазмолитическое действие на гладкую мускулатуру за счет ингибирования фермента, фосфодиэстеразы (ФДЭ).\u003Cbr\u003E Фермент фосфодиэстераза необходим, для гидролиза циклического аденозинмонофосфата (цАМФ) до аденозинмонофосфата (АМФ).\u003Cbr\u003E Ингибирование фермента фосфодиэстеразы приводит к повышению концентрации цАМФ; которое запускает следующую каскадную реакцию: высокие концентрации цАМФ активируют цАМФг зависимое фосфорилирование киназы легких цепей миозина (КЛЦМ).\u003Cbr\u003E Фосфорилирование КЛЦМ приводит к понижению ее аффинности , к Са2+-калмодулиновому - комплексу, в результате чего инактивированная форма КЛЦМ поддерживает мышечное расслабление. цАМФ кроме этого влияет на. цитозольную концентрацию иона Са2+ благодаря стимулированию транспорта Са2+ в экстрацеллюлярное пространство и саркоплазматический ретикулум.\u003Cbr\u003E Этот понижающий концентрацию иона Са2+ эффект дротаверина через цАМФ объясняет антагонистический эффект дротаверина по отношению к Са2+.\u003Cbr\u003EIn vitro дротаверин ингибирует изофермент ФДЭ IV без ингибирования изоферментов ФДЭ III и ФДЭ V.\u003Cbr\u003E Поэтому эффективность дротаверина зависит от концентрации ФДЭ IV в тканях, содержание которой в разных тканях различается. ФДЭ IV наиболее важна для подавления сократительной активности гладкой мускулатуры, в связи с чем селективное ингибирование ФДЭ IV может быть полезным для лечения гиперкинетических дискинезий и различных заболеваний, сопровождающихся спастическим состоянием желудочно-кишечного тракта.\u003Cbr\u003E Гидролиз цАМФ в миокарде и гладкой мускулатуре сосудов происходит, главным образом, с помощью изофермента ФДЭ III, чем объясняется, тот факт, что при высокой спазмолитической активности у дротаверина отсутствуют серьезные побочные эффекты со стороны сердца и сосудов и выраженные эффекты в отношении сердечно-сосудистой системы.\u003Cbr\u003EДротаверин эффективен при спазмах гладкой мускулатуры как нейрогенного, так и мышечного происхождения.\u003Cbr\u003E Независимо от типа вегетативной, иннерваций, дротаверин расслабляет, гладкую мускулатуру, желудочно-кишечного тракта, желчевыводящих путей, мочеполовой системы."},{"name":"Фармакологическая группа","value":"спазмолитическое средство"},{"name":"Форма выпуска","value":"таблетки, покрытые пленочной оболочкой"},{"name":"Способ применения/введения","value":"пероральный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-pishchevareniia","categoryId":"15756506","navnodeId":"72470","glfilters":["35947170:36763744"]}}},{"name":"Минимальный возраст применения","value":"от 6 лет"},{"name":"Условия хранения","value":"Для таблеток в блистерах Алюминий/Алюминий: хранить при температуре не выше 30 °С.\u003Cbr\u003EДля таблеток в блистерах ПВХ/Алюминий: хранить при температуре не выше 25 °С.\u003Cbr\u003E Для таблеток во флаконах: хранить в защищенном от света месте при температуре от 15°С до 25°С.\u003Cbr\u003EХранить в недоступном для детей месте."},{"name":"Передозировка","value":"Передозировка дротаверина ассоциировалась с нарушениями сердечного ритма и проводимости, включая полную блокаду ножек пучка Гиса и остановку сердца, которая может быть фатальной.\u003Cbr\u003EВ случае передозировки пациенты должны находиться под медицинским наблюдением; и при необходимости им должно проводиться симптоматическое и направленное на поддержание основных функций организма лечение, включая искусственное вызывание рвоты или промывание желудка."},{"name":"Применение при беременности и кормлении грудью","value":"Беременность и период лактации\u003Cbr\u003EКак показали репродуктивные исследования у животных и ретроспективные данные по клиническому применению дротаверина, применение дротаверина в период беременности не оказывало ни тератогенного, ни эмбриотоксического действия.\u003Cbr\u003E Несмотря на это при применении препарата во время беременности следует соотносить потенциальную пользу для матери и возможный риск для плода.\u003Cbr\u003EВ связи с отсутствием необходимых клинических данных, в период лактации, назначать не рекомендуется."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"При приеме внутрь в терапевтических дозах дротаверин не оказывает влияния на способность управлять автомобилем и выполнять работы, требующие повышенного внимания.\u003Cbr\u003E При проявлении каких-либо побочных действий вопрос о вождении транспорта и работе с механизмами требует индивидуального рассмотрения.\u003Cbr\u003EВ случае появления головокружения после приема препарата следует избегать занятия потенциально опасными видами деятельности, такими как управление автомобилем и работа с механизмами."},{"name":"Особые указания","value":"Таблетки Но-шпа 40 мг содержат 52 мг лактозы.\u003Cbr\u003E Это может вызывать желудочно- кишечные жалобы у лиц, страдающих непереносимостью лактозы.\u003Cbr\u003E Данная форма неприемлема для больных, страдающих дефицитом лактозы, галактоземией или синдромом нарушенной абсорбции глюкозы/галактозы.\u003Cbr\u003EС осторожностью:\u003Cbr\u003EПри артериальной гипотензии.\u003Cbr\u003EУ детей (недостаточность клинического опыта применения).\u003Cbr\u003EУ беременных женщин."},{"name":"Взаимодействие","value":"С леводопой\u003Cbr\u003EИнгибиторы фосфодиэстеразы, подобные папаверину, снижают антипаркинсоническое действие леводопы.\u003Cbr\u003E При назначении дротаверина одновременно с леводопой возможно усиление ригидности и тремора.\u003Cbr\u003EС другими спазмолитическими средствами, включая м-холиноблокаторы\u003Cbr\u003EВзаимное усиление спазмолитического действия.\u003Cbr\u003EПрепараты, значительно связывающиеся с белками плазмы (более 80%)\u003Cbr\u003EДротаверин значительно связывается с белками плазмы, преимущественно альбумином, у-и р-глобулинами.\u003Cbr\u003EОтсутствуют данные по взаимодействию дротаверина с препаратами, значительно связывающимися с белками плазмы, однако существует гипотетическая возможность их взаимодействия с дротаверином на уровне связи с белком (вытеснение одного из препаратов другим из связи с белком и увеличение концентрации свободной фракции в крови препарата с менее сильной; связью с белком), что гипотетически может повышать риск возникновения фармакодинамических и/или токсических побочных эффектов этого препарата."},{"name":"Регистрационный номер","value":"П N011854/02\nЛП- N(002264)-(РГ-RU)"},{"name":"Дата государственной регистрации","value":"21.09.2021\n28.04.2023"},{"name":"Владелец регистрационного удостоверения","value":"OPELLA HEALTHCARE COMMERCIAL, Ltd.","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-pishchevareniia","categoryId":"15756506","navnodeId":"72470","glfilters":["34324371:35649313","7893318:37667590"]}}},{"name":"Изготовитель","value":"Opella Healthcare Hungary Ltd."},{"name":"Фасовщик","value":"Opella Healthcare Hungary Ltd."},{"name":"Страна бренда","value":"Венгрия"},{"name":"Страна-производитель","value":"Венгрия"},{"name":"Название препарата","value":"Но-шпа","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-pishchevareniia","categoryId":"15756506","navnodeId":"72470","glfilters":["17796364:18008488"]}}},{"name":"Срок годности","value":"59 мес."}]}},"fullSpecsGrouped":{"7078230338818998891":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Органы и системы","value":"пищеварительная система, половая система"},{"name":"Назначение","value":"головная боль, желудочно-кишечные спазмы, колит, первичная дисменорея, холангит, холецистит, цистит, энтероколит, язвенная болезнь желудка и двенадцатиперстной кишки"},{"name":"Показания к применению","value":"Спазмы гладкой мускулатуры при заболеваниях желчевыводящих путей: холецистолитиаз, холангиолитиаз, холецистит, перихолецистит, холангит, папиллит.\u003Cbr\u003EСпазмы гладкой мускулатуры мочевого тракта: нефролитиаз, уретролитиаз, пиелит, цистит, спазмы мочевого пузыря.\u003Cbr\u003EВ качестве вспомогательной терапии\u003Cbr\u003EПри спазмах гладкой мускулатуры желудочно-кишечного тракта: язвенная, болезнь желудка и двенадцатиперстной кишки, гастрит/ спазмы кардии и привратника, энтерит, колит, спастический, колит с запором и синдром раздраженного кишечника с метеоризмом после исключения заболеваний, проявляющихся синдромом \"острого живота\" (аппендицит, перитонит, перфорация язвы, острый панкреатит и др.).\u003Cbr\u003EПри головных болях напряжения.\u003Cbr\u003EПри дисменорее."},{"name":"Противопоказания","value":"Гиперчувствительность, к действующему, веществу или к любому из вспомогательных веществ препарата.\u003Cbr\u003EТяжелая печёночная или почечная недостаточность.\u003Cbr\u003EТяжелая сердечная недостаточность (синдром низкого сердечного выброса).\u003Cbr\u003EДетский возраст до 6 лет.\u003Cbr\u003EПериод кормления грудью (отсутствие клинических данных).\u003Cbr\u003EРедкая наследственная непереносимость галактозы, дефицит лактазы и синдром мальабсорбции глюкозы-галактозы (из-за присутствия в, составе препарата лактозы)."},{"name":"Состав","value":"В 1 таблетке содержится:\u003Cbr\u003Eдействующее вещество: дротаверина гидрохлорид - 40 мг;\u003Cbr\u003Eвспомогательные вещества: магния стеарат - 3 мг, тальк - 4 мг, повидон - 6 мг, крахмал кукурузный - 35 мг, лактозы моногидрат - 52 мг."},{"name":"Действующее вещество","value":"Дротаверин"},{"name":"Способ применения и дозы","value":"Взрослые\u003Cbr\u003EОбычно средняя суточная доза у взрослых составляет 120-240 мг (суточная доза делится на 2-3 приема). Максимальная разовая доза составляет 80 мг. Максимальная суточная доза составляет 240 мг.\u003Cbr\u003EДети\u003Cbr\u003EКлинических исследований с использованием дротаверина с участием детей не проводилось.\u003Cbr\u003EВ случае назначения дротаверина детям:\u003Cbr\u003E- для детей от 6-ти до 12-ти лет максимальная, суточная доза составляет 80 мг, разделенная на 2 приема.\u003Cbr\u003E- для детей старше 12 лет максимальная, суточная доза составляет 160 мг, разделенная на 2-4 приема.\u003Cbr\u003EПродолжительность лечения без консультации с врачом\u003Cbr\u003EПри приеме препарата без консультации с врачом рекомендованная продолжительность, приёма препарата обычно составляет 1-2 дня. Если в течение этого периода болевой синдром не уменьшается, пациенту, следует обратиться к врачу, чтобы уточнить диагноз и при необходимости изменить терапию. В случаях, когда дротаверин используется, в качестве вспомогательной терапии, продолжительность лечения без консультации с врачом может быть больше (2-3 дня).\u003Cbr\u003EПри использовании флакона с полиэтиленовой пробкой, снабженной штучным дозатором: перед использованием удалить защитную полоску с верхней части флакона и наклейку со дна флакона.\u003Cbr\u003E Расположить флакон в ладони таким образом, чтобы дозирующее отверстие на донышке не упиралось в ладонь.\u003Cbr\u003E Затем надавить на верх флакона, в результате чего одна таблетка выпадет из дозирующего отверстия на донышке.\u003Cbr\u003EМетод оценки эффективности\u003Cbr\u003EЕсли пациент может легко самостоятельно диагностировать симптомы своего заболевания, так как они являются для него хорошо известными, то эффективность лечения, а именно исчезновение болей, также легко поддается оценке пациентом.\u003Cbr\u003E В случае если в течение нескольких часов после приема максимальной разовой дозы наблюдается умеренное уменьшение боли или отсутствие уменьшения боли, или если боль существенно не уменьшается после приема максимальной суточной дозы, рекомендуется обратиться к врачу."},{"name":"Побочные действия","value":"Ниже представлены неблагоприятные реакции, наблюдавшиеся в клинических исследованиях, разделенные по системам, органов с указанием частоты их возникновения в соответствии, со следующими градациями: очень частые (\u003E 10%), частые (\u003E1%, \u003C10); нечастые (\u003E0,1%, \u003C 1%); редкие (\u003E0,01%, \u003C 0,1%) и очень редкие, включая отдельные сообщения (\u003C 0,01%), неизвестная частота (по имеющимся данным частоту определить нельзя).\u003Cbr\u003EСо стороны сердечно-сосудистой системы\u003Cbr\u003EРедкие - учащение сердцебиения, снижение артериального давления.\u003Cbr\u003EСо стороны нервной системы\u003Cbr\u003EРедкие - головная боль, головокружение, бессонница.\u003Cbr\u003EСо стороны желудочно-кишечного тракта\u003Cbr\u003EРедкие - тошнота, запор\u003Cbr\u003EСо стороны иммунной системы\u003Cbr\u003EРедкие - аллергические реакции (ангионевротический отек; крапивница; сыпь, зуд)."},{"name":"Фармакологическое действие","value":"Дротаверин представляет собой производное изохинолина, которое проявляет мощное спазмолитическое действие на гладкую мускулатуру за счет ингибирования фермента, фосфодиэстеразы (ФДЭ).\u003Cbr\u003E Фермент фосфодиэстераза необходим, для гидролиза циклического аденозинмонофосфата (цАМФ) до аденозинмонофосфата (АМФ).\u003Cbr\u003E Ингибирование фермента фосфодиэстеразы приводит к повышению концентрации цАМФ; которое запускает следующую каскадную реакцию: высокие концентрации цАМФ активируют цАМФг зависимое фосфорилирование киназы легких цепей миозина (КЛЦМ).\u003Cbr\u003E Фосфорилирование КЛЦМ приводит к понижению ее аффинности , к Са2+-калмодулиновому - комплексу, в результате чего инактивированная форма КЛЦМ поддерживает мышечное расслабление. цАМФ кроме этого влияет на. цитозольную концентрацию иона Са2+ благодаря стимулированию транспорта Са2+ в экстрацеллюлярное пространство и саркоплазматический ретикулум.\u003Cbr\u003E Этот понижающий концентрацию иона Са2+ эффект дротаверина через цАМФ объясняет антагонистический эффект дротаверина по отношению к Са2+.\u003Cbr\u003EIn vitro дротаверин ингибирует изофермент ФДЭ IV без ингибирования изоферментов ФДЭ III и ФДЭ V.\u003Cbr\u003E Поэтому эффективность дротаверина зависит от концентрации ФДЭ IV в тканях, содержание которой в разных тканях различается. ФДЭ IV наиболее важна для подавления сократительной активности гладкой мускулатуры, в связи с чем селективное ингибирование ФДЭ IV может быть полезным для лечения гиперкинетических дискинезий и различных заболеваний, сопровождающихся спастическим состоянием желудочно-кишечного тракта.\u003Cbr\u003E Гидролиз цАМФ в миокарде и гладкой мускулатуре сосудов происходит, главным образом, с помощью изофермента ФДЭ III, чем объясняется, тот факт, что при высокой спазмолитической активности у дротаверина отсутствуют серьезные побочные эффекты со стороны сердца и сосудов и выраженные эффекты в отношении сердечно-сосудистой системы.\u003Cbr\u003EДротаверин эффективен при спазмах гладкой мускулатуры как нейрогенного, так и мышечного происхождения.\u003Cbr\u003E Независимо от типа вегетативной, иннерваций, дротаверин расслабляет, гладкую мускулатуру, желудочно-кишечного тракта, желчевыводящих путей, мочеполовой системы."},{"name":"Фармакологическая группа","value":"спазмолитическое средство"},{"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":"Для таблеток в блистерах Алюминий/Алюминий: хранить при температуре не выше 30 °С.\u003Cbr\u003EДля таблеток в блистерах ПВХ/Алюминий: хранить при температуре не выше 25 °С.\u003Cbr\u003E Для таблеток во флаконах: хранить в защищенном от света месте при температуре от 15°С до 25°С.\u003Cbr\u003EХранить в недоступном для детей месте."},{"name":"Передозировка","value":"Передозировка дротаверина ассоциировалась с нарушениями сердечного ритма и проводимости, включая полную блокаду ножек пучка Гиса и остановку сердца, которая может быть фатальной.\u003Cbr\u003EВ случае передозировки пациенты должны находиться под медицинским наблюдением; и при необходимости им должно проводиться симптоматическое и направленное на поддержание основных функций организма лечение, включая искусственное вызывание рвоты или промывание желудка."},{"name":"Применение при беременности и кормлении грудью","value":"Беременность и период лактации\u003Cbr\u003EКак показали репродуктивные исследования у животных и ретроспективные данные по клиническому применению дротаверина, применение дротаверина в период беременности не оказывало ни тератогенного, ни эмбриотоксического действия.\u003Cbr\u003E Несмотря на это при применении препарата во время беременности следует соотносить потенциальную пользу для матери и возможный риск для плода.\u003Cbr\u003EВ связи с отсутствием необходимых клинических данных, в период лактации, назначать не рекомендуется."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"При приеме внутрь в терапевтических дозах дротаверин не оказывает влияния на способность управлять автомобилем и выполнять работы, требующие повышенного внимания.\u003Cbr\u003E При проявлении каких-либо побочных действий вопрос о вождении транспорта и работе с механизмами требует индивидуального рассмотрения.\u003Cbr\u003EВ случае появления головокружения после приема препарата следует избегать занятия потенциально опасными видами деятельности, такими как управление автомобилем и работа с механизмами."},{"name":"Особые указания","value":"Таблетки Но-шпа 40 мг содержат 52 мг лактозы.\u003Cbr\u003E Это может вызывать желудочно- кишечные жалобы у лиц, страдающих непереносимостью лактозы.\u003Cbr\u003E Данная форма неприемлема для больных, страдающих дефицитом лактозы, галактоземией или синдромом нарушенной абсорбции глюкозы/галактозы.\u003Cbr\u003EС осторожностью:\u003Cbr\u003EПри артериальной гипотензии.\u003Cbr\u003EУ детей (недостаточность клинического опыта применения).\u003Cbr\u003EУ беременных женщин."},{"name":"Взаимодействие","value":"С леводопой\u003Cbr\u003EИнгибиторы фосфодиэстеразы, подобные папаверину, снижают антипаркинсоническое действие леводопы.\u003Cbr\u003E При назначении дротаверина одновременно с леводопой возможно усиление ригидности и тремора.\u003Cbr\u003EС другими спазмолитическими средствами, включая м-холиноблокаторы\u003Cbr\u003EВзаимное усиление спазмолитического действия.\u003Cbr\u003EПрепараты, значительно связывающиеся с белками плазмы (более 80%)\u003Cbr\u003EДротаверин значительно связывается с белками плазмы, преимущественно альбумином, у-и р-глобулинами.\u003Cbr\u003EОтсутствуют данные по взаимодействию дротаверина с препаратами, значительно связывающимися с белками плазмы, однако существует гипотетическая возможность их взаимодействия с дротаверином на уровне связи с белком (вытеснение одного из препаратов другим из связи с белком и увеличение концентрации свободной фракции в крови препарата с менее сильной; связью с белком), что гипотетически может повышать риск возникновения фармакодинамических и/или токсических побочных эффектов этого препарата."},{"name":"Регистрационный номер","value":"П N011854/02\nЛП- N(002264)-(РГ-RU)"},{"name":"Дата государственной регистрации","value":"21.09.2021\n28.04.2023"},{"name":"Владелец регистрационного удостоверения","value":"OPELLA HEALTHCARE COMMERCIAL, Ltd."},{"name":"Изготовитель","value":"Opella Healthcare Hungary Ltd."},{"name":"Фасовщик","value":"Opella Healthcare Hungary Ltd."},{"name":"Страна бренда","value":"Венгрия"},{"name":"Страна-производитель","value":"Венгрия"},{"name":"Название препарата","value":"Но-шпа"},{"name":"Срок годности","value":"59 мес."}]}],"transitionId":"tr_7263139079764337263"}}}}
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  • Фитолакс ягоды мармеладные (на основе сенны) пастилки жев., 4 г, 30 шт., клубника, 1 уп.
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    Фитолакс ягоды мармеладные (на основе сенны) пастилки жев., 4 г, 30 шт., клубника, 1 уп.

    Рейтинг товара: 4.8 из 5
    на основе 764 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 569 ₽ вместо 575
    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  • Хелинорм капс., 28 шт., 1 уп.
    –2 %
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    Хелинорм капс., 28 шт., 1 уп.

    Рейтинг товара: 5 из 5
    на основе 8 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 2 134 ₽ вместо 2 178
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  • БиоГая Пробиотик капли детск. фл., 5 мл, 1 уп.
    –50 %
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    БиоГая Пробиотик капли детск. фл., 5 мл, 1 уп.

    Рейтинг товара: 4.7 из 5
    на основе 582 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 1 752 ₽ вместо 1 770
    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Пробиотик капли детск. фл., 5 мл, 1 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  • Гепатрин капс., 120 шт.
    –11 %
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    Гепатрин капс., 120 шт.

    Рейтинг товара: 4.8 из 5
    на основе 883 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 886 ₽ вместо 895
    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капс., 120 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  • Овесол таб. п/о, 40 шт.
    –2 %
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    Овесол таб. п/о, 40 шт.

    Рейтинг товара: 5 из 5
    на основе 2 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 544 ₽ вместо 556
    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таб. п/о, 40 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  • Фитолакс таб. жев., 20 шт., абрикос, 1 уп.
    –2 %
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    Фитолакс таб. жев., 20 шт., абрикос, 1 уп.

    Рейтинг товара: 4.9 из 5
    на основе 35 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 350 ₽ вместо 358
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  • Бак-сет форте капс., 20 шт., 1 уп.
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    Бак-сет форте капс., 20 шт., 1 уп.

    Цена 870 ₽
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  • Овесол усиленная формула таб. п/о, 20 шт.
    –2 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-v2yj3ia68qc/toggleWishlist":{"skuId":"101588590776","productId":265151643,"offerId":"ZbvRgffeWDK0zJVe0MuRfQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ/KOklo3eiL5MEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYIm8m3fhC4wZu5+gIY1buhBiDa2cEH","sign":"PUSilQ+ST7SqaAaJ7J3848fQrAInJ+Otrmr9mXNGUtk="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-v2yj3ia68qc/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Овесол усиленная формула таб. п/о, 20 шт.

    Рейтинг товара: 5 из 5
    на основе 4 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 704 ₽ вместо 718
    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усиленная формула таб. п/о, 20 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  • California Gold Nutrition Silymarin Complex капс., 20 г, 120 шт., нейтральный, 1 уп.
    –30 %
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    California Gold Nutrition Silymarin Complex капс., 20 г, 120 шт., нейтральный, 1 уп.

    Рейтинг товара: 4.8 из 5
    на основе 723 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 1 103 ₽ вместо 1 114
    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Gold Nutrition Silymarin Complex капс., 20 г, 120 шт., нейтральный, 1 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  • Бак-сет беби саше, 10 шт.
    –1 %
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    Бак-сет беби саше, 10 шт.

    Рейтинг товара: 4.7 из 5
    на основе 395 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 1 071 ₽ вместо 1 082
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Инструкция

Показания к применению

Спазмы гладкой мускулатуры при заболеваниях желчевыводящих путей: холецистолитиаз, холангиолитиаз, холецистит, перихолецистит, холангит, папиллит.
Спазмы гладкой мускулатуры мочевого тракта: нефролитиаз, уретролитиаз, пиелит, цистит, спазмы мочевого пузыря.
В качестве вспомогательной терапии
При спазмах гладкой мускулатуры желудочно-кишечного тракта: язвенная, болезнь желудка и двенадцатиперстной кишки, гастрит/ спазмы кардии и привратника, энтерит, колит, спастический, колит с запором и синдром раздраженного кишечника с метеоризмом после исключения заболеваний, проявляющихся синдромом "острого живота" (аппендицит, перитонит, перфорация язвы, острый панкреатит и др.).
При головных болях напряжения.
При дисменорее.

Противопоказания

Гиперчувствительность, к действующему, веществу или к любому из вспомогательных веществ препарата.
Тяжелая печёночная или почечная недостаточность.
Тяжелая сердечная недостаточность (синдром низкого сердечного выброса).
Детский возраст до 6 лет.
Период кормления грудью (отсутствие клинических данных).
Редкая наследственная непереносимость галактозы, дефицит лактазы и синдром мальабсорбции глюкозы-галактозы (из-за присутствия в, составе препарата лактозы).

Способ применения и дозы

Взрослые
Обычно средняя суточная доза у взрослых составляет 120-240 мг (суточная доза делится на 2-3 приема). Максимальная разовая доза составляет 80 мг. Максимальная суточная доза составляет 240 мг.
Дети
Клинических исследований с использованием дротаверина с участием детей не проводилось.
В случае назначения дротаверина детям:
- для детей от 6-ти до 12-ти лет максимальная, суточная доза составляет 80 мг, разделенная на 2 приема.
- для детей старше 12 лет максимальная, суточная доза составляет 160 мг, разделенная на 2-4 приема.
Продолжительность лечения без консультации с врачом
При приеме препарата без консультации с врачом рекомендованная продолжительность, приёма препарата обычно составляет 1-2 дня. Если в течение этого периода болевой синдром не уменьшается, пациенту, следует обратиться к врачу, чтобы уточнить диагноз и при необходимости изменить терапию. В случаях, когда дротаверин используется, в качестве вспомогательной терапии, продолжительность лечения без консультации с врачом может быть больше (2-3 дня).
При использовании флакона с полиэтиленовой пробкой, снабженной штучным дозатором: перед использованием удалить защитную полоску с верхней части флакона и наклейку со дна флакона.
Расположить флакон в ладони таким образом, чтобы дозирующее отверстие на донышке не упиралось в ладонь.
Затем надавить на верх флакона, в результате чего одна таблетка выпадет из дозирующего отверстия на донышке.
Метод оценки эффективности
Если пациент может легко самостоятельно диагностировать симптомы своего заболевания, так как они являются для него хорошо известными, то эффективность лечения, а именно исчезновение болей, также легко поддается оценке пациентом.
В случае если в течение нескольких часов после приема максимальной разовой дозы наблюдается умеренное уменьшение боли или отсутствие уменьшения боли, или если боль существенно не уменьшается после приема максимальной суточной дозы, рекомендуется обратиться к врачу.
Полная инструкция
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Но-шпа таб. п/о плен.
Но-шпа таб. п/о плен., 40 мг, 64 шт., 1 уп.
4.8
(45)
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3 вопроса
Инструкция
Нет в продаже
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4.8
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У продавца:45 оценок·7 отзывов
У всех продавцов:53 оценки·14 отзывов
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user avatar
11 месяцев назад • Дмитрий • Куплен на Маркете
Достоинства: - Цена. - Эффективность. - Форма.
Недостатки: - Не может быть у подобного лекарственного средства.
Комментарий: Давно зарекомендовавший себя препарат в форме мелких таблеток. Отлично выполняет возложенные на него функции. Должен быть почти в любой аптечке.
user avatar
4 месяца назад • Татьяна Цареня • Куплен на Маркете
Достоинства: Самая низкая цена на Яндекс Маркете.
Недостатки: Не обнаружила.
Комментарий: Продукт работает 👍
user avatar
5 месяцев назад • Имя скрыто • Куплен на Маркете
Достоинства: Помогает
Комментарий: Интересная упаковка
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    Хелинорм капс., 28 шт., 1 уп.

    Цена 2 134 ₽ вместо 2 178
  • Липотропный фактор таб. п/о, 1.2 г, 60 шт., 1 уп.
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    Липотропный фактор таб. п/о, 1.2 г, 60 шт., 1 уп.

    Цена 812 ₽ вместо 1 039
  • Ацетилсалициловая кислота таб., 500 мг, 20 шт.
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    Ацетилсалициловая кислота таб., 500 мг, 20 шт.

    Цена 40 ₽
  • БиоГая Пробиотик капли детск. фл., 5 мл, 1 уп.
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    БиоГая Пробиотик капли детск. фл., 5 мл, 1 уп.

    Цена 1 752 ₽ вместо 3 500
  • Фитолакс ягоды мармеладные (на основе сенны) пастилки жев., 4 г, 30 шт., клубника, 1 уп.
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    Фитолакс ягоды мармеладные (на основе сенны) пастилки жев., 4 г, 30 шт., клубника, 1 уп.

    Цена 569 ₽ вместо 616
  • Фитолакс таб. жев., 20 шт., абрикос, 1 уп.
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    Фитолакс таб. жев., 20 шт., абрикос, 1 уп.

    Цена 350 ₽ вместо 358
  • Пенталгин таб. п/о плен., 18 г, 12 шт.
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    Пенталгин таб. п/о плен., 18 г, 12 шт.

    Цена 138 ₽ вместо 172
  • Бак-сет форте капс., 20 шт., 1 уп.
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    Бак-сет форте капс., 20 шт., 1 уп.

    Цена 870 ₽
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    Реклама
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  • Гепатрин капс., 120 шт.
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    Гепатрин капс., 120 шт.

    Цена 886 ₽ вместо 1 000
  • Парацетамол таб., 500 мг, 10 шт.
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    Парацетамол таб., 500 мг, 10 шт.

    Цена 11 ₽
  • California Gold Nutrition Silymarin Complex капс., 20 г, 120 шт., нейтральный, 1 уп.
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    California Gold Nutrition Silymarin Complex капс., 20 г, 120 шт., нейтральный, 1 уп.

    Цена 1 103 ₽ вместо 1 581
  • Афобазол таб., 10 мг, 60 шт.
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    Афобазол таб., 10 мг, 60 шт.

    Цена 513 ₽ вместо 518
  • Нурофен Экспресс Форте капс., 400 мг, 20 шт.
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    Нурофен Экспресс Форте капс., 400 мг, 20 шт.

    Цена 412 ₽ вместо 503
  • Овесол таб. п/о, 40 шт.
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:265146315_14/content/content/toggleWishlist":{"skuId":"101588584805","productId":265146315,"offerId":"N7ZoKpLMK33KaItrNe3Lzg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ/KOklo3eiL5MEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCMuft34Q5ZKbufoCGNW7oQYg2tnBBw==","sign":"kpBlJ8UaeBKOr9IwDzj5FAfD2oS/aHBEtjVNktwbBRs="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:265146315_14/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Овесол таб. п/о, 40 шт.

    Цена 478 ₽ вместо 483
  • Бак-сет беби саше, 10 шт.
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1776700312_15/content/content/toggleWishlist":{"skuId":"227843659","productId":1776700312,"offerId":"b_shmQKorYUgop-LuSYyFA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ/KOklo3eiL5MEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCJiXmc8GEMu80mwYx474ByDa2cEH","sign":"xvojBI/kIe1d6cFSNSLNTopcbXX8hWAey9NjmyGHtFE="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1776700312_15/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Бак-сет беби саше, 10 шт.

    Цена 1 071 ₽ вместо 1 082
  • Овесол усиленная формула таб. п/о, 20 шт.
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    Овесол усиленная формула таб. п/о, 20 шт.

    Цена 630 ₽ вместо 636
  • Нурофен Экспресс капс., 200 мг, 8 шт.
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    Нурофен Экспресс капс., 200 мг, 8 шт.

    Цена 150 ₽ вместо 175
  • Фенибут таб., 250 мг, 10 шт.
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    Фенибут таб., 250 мг, 10 шт.

    Цена 92 ₽
  • 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
  • Бинт когезивный (самофиксирующийся) "Вариант", 4м х 6см , белый, 2 шт. в наборе
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1847840173_20/content/content/gallery":{"title":"Бинт когезивный (самофиксирующийся) \"Вариант\", 4м х 6см , белый, 2 шт. в наборе","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/6354718/img_id7788464836561515330.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/6354718/img_id7788464836561515330.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/6354718/img_id7788464836561515330.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/6354718/img_id7788464836561515330.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/6354718/img_id7788464836561515330.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/6354718/img_id7788464836561515330.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/6439030/img_id4359766314476018838.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/6439030/img_id4359766314476018838.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/6439030/img_id4359766314476018838.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/6439030/img_id4359766314476018838.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/6439030/img_id4359766314476018838.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/6439030/img_id4359766314476018838.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/7979606/img_id8446050353719108702.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/7979606/img_id8446050353719108702.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/7979606/img_id8446050353719108702.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/7979606/img_id8446050353719108702.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/7979606/img_id8446050353719108702.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/7979606/img_id8446050353719108702.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/6425823/img_id5496364030633310314.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/6425823/img_id5496364030633310314.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/6425823/img_id5496364030633310314.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/6425823/img_id5496364030633310314.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/6425823/img_id5496364030633310314.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/6425823/img_id5496364030633310314.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5326769/img_id8347244777856889905.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5326769/img_id8347244777856889905.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5326769/img_id8347244777856889905.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5326769/img_id8347244777856889905.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5326769/img_id8347244777856889905.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5326769/img_id8347244777856889905.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ/KOklo3eiL5MEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCK2bj/EGEKSfw6/7AhjGn4IHIJ3DBQ==","sign":"weTw9/j9pzAP+27bLjnH3xvwNihkmqp80Cb43CvBwJI="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1847840173_20/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
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    Бинт когезивный (самофиксирующийся) "Вариант", 4м х 6см , белый, 2 шт. в наборе

    Цена 353 ₽ вместо 389
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    Реклама
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  • Лимфомиозот капли д/вн. приема, 30 мл
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    Лимфомиозот капли д/вн. приема, 30 мл

    Цена 910 ₽ вместо 1 081
  • Силденафил-СЗ таб. п/о плен., 100 мг, 10 шт.
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    Силденафил-СЗ таб. п/о плен., 100 мг, 10 шт.

    Цена 314 ₽
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