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Нурофаст Форте таб. п/о плен., 400 мг, 20 шт.

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Коротко о товаре

Артикул Маркета
3123223203
Тип препарата
Назначение
Действующее вещество
Возраст
от 6 лет
Инструкция
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а также при лихорадочном состоянии при гриппе и простудных заболеваниях."},{"name":"Противопоказания","value":"- Гиперчувствительность к ибупрофену или любому из компонентов, входящих в состав препарата.\u003Cbr\u003E- Полное или неполное сочетание бронхиальной acтмы, рецидивирующего полипоза носа и околоносовых пазух и непереносимости ацетилсалициловой кислоты 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 подтвержденных эпизода язвенной болезни или язвенного кровотечения).\u003Cbr\u003E\n- Кровотечение или перфорация язвы желудочно-кишечного тракта в анамнезе, спровоцированные применением НПВП.\u003Cbr\u003E\n- Тяжелая сердечная недостаточность (класс IV по NYHA - классификация Нью-Йоркской Ассоциации кардиологов).\u003Cbr\u003E\n- 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 том числе гипокоагуляция), геморрагические диатезы.\u003Cbr\u003E\n- Беременность (III триместр).\u003Cbr\u003E- Детский возраст до 6 лет."},{"name":"Состав","value":"Действующее вещество: ибупрофен - 400 мг;\u003Cbr\u003Eвспомогательные вещества: натрия кроскармеллоза, натрия цитрата дигидрат, натрия лаурилсульфат, кремния диоксид коллоидный (аэросил), магния стеарат, стеариновая кислота;\u003Cbr\u003Eвспомогательные вещества для оболочки: Опадрай II 85F48105 белый (спирт поливиниловый, макрогол, тальк, титана диоксид)."},{"name":"Действующее вещество","value":"Ибупрофен","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["27144131:28710587"]}}},{"name":"Способ применения и дозы","value":"Для приема внутрь. Пациентам с повышенной чувствительностью желудка рекомендуется принимать препарат во время еды.\u003Cbr\u003E\nТолько для кратковременного применения. 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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\u003E\nНарушения со стороны иммунной системы\u003Cbr\u003E\n- Нечастые: 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\u003E\n- Очень редкие: тяжелые реакции гиперчувствительности, в том числе отек лица, языка и гортани, одышка, тахикардия, артериальная гипотензия (анафилаксия, отек Квинке или тяжелый анафилактический шок).\u003Cbr\u003E\nНарушения со стороны желудочно-кишечного тракта\u003Cbr\u003E\n- Нечастые: боль в животе, тошнота, диспепсия (в том числе изжога, вздутие живота).\u003Cbr\u003E\n- Редкие: диарея, метеоризм, запор, рвота.\u003Cbr\u003E\n- Очень редкие: 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\u003E\n- Частота неизвестна: обострение колита и болезни Крона.\u003Cbr\u003E\nНарушение со стороны печени и желчевыводящих путей\u003Cbr\u003E\n- Очень редкие: нарушения функции печени, повышение активности \"печеночных\" трансаминаз, гепатит и желтуха.\u003Cbr\u003E\nНарушение со стороны почек и мочевыводящих путей\u003Cbr\u003E\n- Очень редкие: острая почечная недостаточность (компенсированная и декомпенсированная) особенно при длительном применении, в сочетании с повышением концентрации мочевины в плазме крови и появлением отеков, гематурии и протеинурии, нефритический синдром, нефротический синдром, папиллярный некроз, интерстициальный нефрит, цистит.\u003Cbr\u003E\nНарушения со стороны нервной системы\u003Cbr\u003E\n- Нечастые: головная боль.\u003Cbr\u003E\n- Очень редкие: асептический менингит.\u003Cbr\u003E\nНарушения со стороны сердечно-сосудистой системы\u003Cbr\u003E\n- Частота неизвестна: сердечная недостаточность, периферические отеки, при длительном применении повышен риск тромботических осложнений (например, инфаркт миокарда), повышение артериального давления.\u003Cbr\u003E\nНарушение со стороны дыхательной системы и органов средостения\u003Cbr\u003E\n- Частота неизвестна: бронхиальная астма, бронхоспазм, одышка.\u003Cbr\u003E\nЛабораторные показатели\u003Cbr\u003E\n- гематокрит или гемоглобин (могут уменьшаться)\u003Cbr\u003E\n- время кровотечения (может увеличиваться)\u003Cbr\u003E\n- концентрация глюкозы в плазме крови (может снижаться)\u003Cbr\u003E\n- клиренс креатинина (может уменьшаться)\u003Cbr\u003E\n- плазменная концентрация креатинина (может увеличиваться)\u003Cbr\u003E\n- активность \"печеночных\" трансаминаз (может повышаться)\u003Cbr\u003E\nПри появлении побочных эффектов следует прекратить прием препарата и обратиться к врачу."},{"name":"Фармакологическое действие","value":"Механизм действия ибупрофена, производного пропионовой кислоты из группы нестероидных противовоспалительных препаратов (НПВП), обусловлен ингибированием синтеза простагландинов - медиаторов боли, воспаления и гипертермической реакции.\u003Cbr\u003EНеизбирательно блокирует циклооксигеназу 1 (ЦОГ-1) и циклооксигеназу 2 (ЦОГ-2), вследствие чего тормозит синтез простагландинов. Оказывает быстрое направленное действие против боли (обезболивающее), жаропонижающее и противовоспалительное действие. Кроме того, ибупрофен обратимо ингибирует агрегацию тромбоцитов. Обезболивающее действие препарата продолжается до 8 часов."},{"name":"Фармакологическая группа","value":"нестероидный противовоспалительный препарат (НПВП)"},{"name":"Форма выпуска","value":"таблетки"},{"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 °С.\u003Cbr\u003EХранить 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. Период полувыведения препарата при передозировке составляет 1,5-3 часа.\u003Cbr\u003EСимптомы: 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 может развиваться метаболический ацидоз и увеличение протромбинового времени, почечная недостаточность, повреждение ткани печени, снижение артериального давления, угнетение дыхания и цианоз. У пациентов с бронхиальной астмой возможно обострение этого заболевания.\u003Cbr\u003EЛечение: 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 выведение кислого производного ибупрофена почками, форсированный диурез. Частые или продолжительные судороги следует купировать внутривенным введением диазепама или лоразепама. При ухудшении бронхиальной астмы рекомендуется применение бронходилататоров."},{"name":"Применение при беременности и кормлении грудью","value":"Противопоказано применение препарата в III триместре беременности.\u003Cbr\u003EСледует избегать применения препарата в I-II триместрах беременности, при необходимости приема препарата следует проконсультироваться с врачом.\u003Cbr\u003EИмеются 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."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Пациентам, отмечающим головокружение, сонливость, заторможенность или нарушения зрения при приеме ибупрофена, следует избегать вождения автотранспорта или управления механизмами."},{"name":"Особые указания","value":"Рекомендуется принимать препарат максимально возможным коротким курсом и в минимальной эффективной дозе, необходимой для устранения симптомов. В случае необходимости приема препарата более 10 дней, необходимо обратиться к врачу.\u003Cbr\u003E\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.\u003Cbr\u003E\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.\u003Cbr\u003E\nПациентам с почечной недостаточностью необходимо проконсультироваться с врачом перед применением препарата, поскольку существует риск ухудшения функционального состояния почек.\u003Cbr\u003E\nПациентам с гипертензией, в том числе в анамнезе и/или хронической сердечной недостаточностью, необходимо проконсультироваться с врачом перед применением препарата, поскольку препарат может вызвать задержку жидкости, повышение артериального давления и отеки.\u003Cbr\u003E\nПациентам с неконтролируемой артериальной гипертензией, застойной сердечной недостаточностью II-III класса по NYHA, 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).\u003Cbr\u003E\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\u003E\nИнформация для женщин, планирующих беременность: препарат подавляет циклооксигеназу и синтез простагландинов, воздействует на овуляцию, нарушая женскую репродуктивную функцию (обратимо после отмены лечения)."},{"name":"Взаимодействие","value":"Следует избегать одновременного применения ибупрофена со следующими лекарственными средствами:\u003Cbr\u003E\n- Ацетилсалициловая кислота: за исключением низких доз ацетилсалициловой кислоты (не более 75 мг сутки), назначенных врачом, поскольку совместное применение может повысить риск возникновения побочных эффектов. При одновременном применении ибупрофен снижает противовоспалительное и антиагрегатное действие ацетилсалициловой кислоты (возможно повышение частоты развития острой коронарной недостаточности у пациентов, получающих в качестве антиагрегантного средства малые дозы ацетилсалициловой кислоты, после начала приема ибупрофена).\u003Cbr\u003E\n- Другие НПВП, в частности, селективные ингибиторы ЦОГ-2: следует избегать одновременного применения двух и более препаратов из группы НПВП из-за возможного увеличения риска возникновения побочных эффектов.\u003Cbr\u003E\nС осторожностью применять одновременно со следующими лекарственными средствами:\u003Cbr\u003E\n- Антикоагулянты и тромболитические препараты: НПВП могут усиливать эффект антикоагулянтов, в частности, варфарина и тромболитических препаратов.\u003Cbr\u003E\n- Антигипертензивные 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 назначение 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, совместное 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.\u003Cbr\u003E\nДиуретики и ингибиторы АПФ могут повышать нефротоксичность НПВП.\u003Cbr\u003E\n- Глюкокортикостероиды: повышенный риск образования язв ЖКТ и желудочно-кишечного кровотечения.\u003Cbr\u003E\n- Антиагреганты и селективные ингибиторы обратного захвата серотонина: повышенный риск возникновения желудочно-кишечного кровотечения.\u003Cbr\u003E\n- Сердечные гликозиды: одновременное назначение НПВП и сердечных гликозидов может привести к усугублению сердечной недостаточности, снижению скорости клубочковой фильтрации и увеличению концентрации сердечных гликозидов в плазме крови.\u003Cbr\u003E\n- Препараты лития: существуют данные о вероятности увеличения концентрации лития в плазме крови на фоне применения НПВП.\u003Cbr\u003E\n- Метотрексат: существуют данные о вероятности увеличения концентрации метотрексата в плазме крови на фоне применения HПBП,\u003Cbr\u003E\n- Циклоспорин: увеличение риска нефротоксичности при одновременном назначении НПВП и циклоспорина.\u003Cbr\u003E\n- Мифепристон: прием НПВП следует назначать не ранее, чем через 8-12 дней после приема мифепристона, поскольку НПВП могут снижать эффективности мифепристона.\u003Cbr\u003E\n- Такролимус: при одновременном назначении НПВП и такролимуса возможно увеличение риска нефротоксичности.\u003Cbr\u003E\n- Зидовудин: 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 совместное лечение зидовудином и ибупрофеном.\u003Cbr\u003E\n- Антибиотики хинолонового ряда: у пациентов, получающих совместное лечение НПВП и антибиотиками хинолонового ряда, возможно увеличение риска возникновения судорог.\u003Cbr\u003E\n- Миелотоксические препараты: усиление гематотоксичности.\u003Cbr\u003E\n- Цефамандол, цефаперазон, цефотетан, валъпроевая кислота, пликамицин: увеличение частоты развития гипопротромбинемии.\u003Cbr\u003E\n- Лекарственные средства, блокирующие канальцевую секрецию: снижение выведения и повышения плазменной концентрации ибупрофена.\u003Cbr\u003E\n- Индукторы микросомального окисления (фенитоин, этанол, барбитураты, рифампицин, фенилбутазон, трициклические антидепрессанты): увеличение продукции гидроксилированных активных метаболитов, увеличение риска развития тяжелых интоксикаций.\u003Cbr\u003E\n- Ингибиторы микросомального окисления: снижение риска гепатотоксического действия.\u003Cbr\u003E\n- Пероральные гипогликемические лекарственные средства и инсулин, производные сульфонилмочевины: усиление действия препаратов.\u003Cbr\u003E\n- Антациды и колестирамин: снижение абсорбции.\u003Cbr\u003E\n- Урикозурические препараты: снижение эффективности препаратов.\u003Cbr\u003E\n- Кофеин: усиление анальгезирующего эффекта."},{"name":"Регистрационный номер","value":"ЛП-005173"},{"name":"Дата государственной регистрации","value":"15.09.2021"},{"name":"Владелец регистрационного удостоверения","value":"Оболенское фармацевтическое предприятие","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["34324371:35649313","7893318:16002667"]}}},{"name":"Изготовитель","value":"Оболенское фармацевтическое предприятие"},{"name":"Фасовщик","value":"Оболенское фармацевтическое предприятие"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Нурофаст","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["17796364:18050284"]}}},{"name":"Срок годности","value":"927 дн."}]}},"fullSpecsGrouped":{"4503939889333291934":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Органы и системы","value":"нервная система, опорно-двигательная система"},{"name":"Назначение","value":"боль в мышцах, боль в суставах, головная боль, зубная боль, лихорадочные состояния, менструальные боли"},{"name":"Показания к применению","value":"Нурофаст применяют при головной боли, мигрени, зубной боли, болезненных менструациях, невралгии, боли в спине, мышечной боли, ревматической боли и боли в суставах; а также при лихорадочном состоянии при гриппе и простудных заболеваниях."},{"name":"Противопоказания","value":"- Гиперчувствительность к ибупрофену или любому из компонентов, входящих в состав препарата.\u003Cbr\u003E- Полное или неполное сочетание бронхиальной acтмы, рецидивирующего полипоза носа и околоносовых пазух и непереносимости ацетилсалициловой кислоты 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 подтвержденных эпизода язвенной болезни или язвенного кровотечения).\u003Cbr\u003E\n- Кровотечение или перфорация язвы желудочно-кишечного тракта в анамнезе, спровоцированные применением НПВП.\u003Cbr\u003E\n- Тяжелая сердечная недостаточность (класс IV по NYHA - классификация Нью-Йоркской Ассоциации кардиологов).\u003Cbr\u003E\n- 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 том числе гипокоагуляция), геморрагические диатезы.\u003Cbr\u003E\n- Беременность (III триместр).\u003Cbr\u003E- Детский возраст до 6 лет."},{"name":"Состав","value":"Действующее вещество: ибупрофен - 400 мг;\u003Cbr\u003Eвспомогательные вещества: натрия кроскармеллоза, натрия цитрата дигидрат, натрия лаурилсульфат, кремния диоксид коллоидный (аэросил), магния стеарат, стеариновая кислота;\u003Cbr\u003Eвспомогательные вещества для оболочки: Опадрай II 85F48105 белый (спирт поливиниловый, макрогол, тальк, титана диоксид)."},{"name":"Действующее вещество","value":"Ибупрофен"},{"name":"Способ применения и дозы","value":"Для приема внутрь. Пациентам с повышенной чувствительностью желудка рекомендуется принимать препарат во время еды.\u003Cbr\u003E\nТолько для кратковременного применения. Внимательно прочтите инструкцию перед приемом препарата.\u003Cbr\u003E\nВзрослым и детям старше 12 лет внутрь по 1 таблетке (400 мг) до 3 раз в сутки.\u003Cbr\u003E\nТаблетки следует запивать водой.\u003Cbr\u003E\nИнтервал между приемом таблеток должен составлять не менее 4 часов.\u003Cbr\u003E\nМаксимальная суточная доза для взрослых составляет 1200 мг (3 таблетки).\u003Cbr\u003E\nМаксимальная суточная доза для детей от 12 до 18 лет составляет 800 мг (2 таблетки).\u003Cbr\u003E\nЕсли при приеме препарата в течение 2-3 дней симптомы сохраняются или усиливаются, необходимо прекратить лечение и обратиться к врачу."},{"name":"Побочные действия","value":"Риск возникновения побочных эффектов можно свести к минимуму, если принимать препарат коротким курсом, в минимальной эффективной дозе, необходимой для устранения симптомов.\u003Cbr\u003E\nУ людей пожилого возраста наблюдается повышенная частота побочных реакций на фоне применения НПВП, особенно желудочно-кишечного кровотечений и перфораций, в некоторых случаях с летальным исходом.\u003Cbr\u003E\nПобочные эффекты преимущественно являются дозозависимыми.\u003Cbr\u003E\nНижеперечисленные побочные реакции отмечались при кратковременном приеме ибупрофена в дозах, не превышающих 1200 мг/сутки (6 таблеток).\u003Cbr\u003E\nПри лечении хронических состояний и при длительном применении возможно появление других побочных реакций.\u003Cbr\u003E\nОценка частоты возникновения побочных реакций произведена на основании следующих критериев: очень частые (≥ 1/10), частые (от ≥ 1/100 до \u003C 1/10), нечастые (от≥1/1000 до \u003C 1/100), редкие (от≥ 1/10 000 до \u003C 1/1000), очень редкие (1/10 000), частота неизвестна (данных для оценки частоты недостаточно).\u003Cbr\u003E\nНарушения со стороны крови и лимфатической системы\u003Cbr\u003E\n- Очень редкие: нарушения 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\u003E\nНарушения со стороны иммунной системы\u003Cbr\u003E\n- Нечастые: 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\u003E\n- Очень редкие: тяжелые реакции гиперчувствительности, в том числе отек лица, языка и гортани, одышка, тахикардия, артериальная гипотензия (анафилаксия, отек Квинке или тяжелый анафилактический шок).\u003Cbr\u003E\nНарушения со стороны желудочно-кишечного тракта\u003Cbr\u003E\n- Нечастые: боль в животе, тошнота, диспепсия (в том числе изжога, вздутие живота).\u003Cbr\u003E\n- Редкие: диарея, метеоризм, запор, рвота.\u003Cbr\u003E\n- Очень редкие: 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\u003E\n- Частота неизвестна: обострение колита и болезни Крона.\u003Cbr\u003E\nНарушение со стороны печени и желчевыводящих путей\u003Cbr\u003E\n- Очень редкие: нарушения функции печени, повышение активности \"печеночных\" трансаминаз, гепатит и желтуха.\u003Cbr\u003E\nНарушение со стороны почек и мочевыводящих путей\u003Cbr\u003E\n- Очень редкие: острая почечная недостаточность (компенсированная и декомпенсированная) особенно при длительном применении, в сочетании с повышением концентрации мочевины в плазме крови и появлением отеков, гематурии и протеинурии, нефритический синдром, нефротический синдром, папиллярный некроз, интерстициальный нефрит, цистит.\u003Cbr\u003E\nНарушения со стороны нервной системы\u003Cbr\u003E\n- Нечастые: головная боль.\u003Cbr\u003E\n- Очень редкие: асептический менингит.\u003Cbr\u003E\nНарушения со стороны сердечно-сосудистой системы\u003Cbr\u003E\n- Частота неизвестна: сердечная недостаточность, периферические отеки, при длительном применении повышен риск тромботических осложнений (например, инфаркт миокарда), повышение артериального давления.\u003Cbr\u003E\nНарушение со стороны дыхательной системы и органов средостения\u003Cbr\u003E\n- Частота неизвестна: бронхиальная астма, бронхоспазм, одышка.\u003Cbr\u003E\nЛабораторные показатели\u003Cbr\u003E\n- гематокрит или гемоглобин (могут уменьшаться)\u003Cbr\u003E\n- время кровотечения (может увеличиваться)\u003Cbr\u003E\n- концентрация глюкозы в плазме крови (может снижаться)\u003Cbr\u003E\n- клиренс креатинина (может уменьшаться)\u003Cbr\u003E\n- плазменная концентрация креатинина (может увеличиваться)\u003Cbr\u003E\n- активность \"печеночных\" трансаминаз (может повышаться)\u003Cbr\u003E\nПри появлении побочных эффектов следует прекратить прием препарата и обратиться к врачу."},{"name":"Фармакологическое действие","value":"Механизм действия ибупрофена, производного пропионовой кислоты из группы нестероидных противовоспалительных препаратов (НПВП), обусловлен ингибированием синтеза простагландинов - медиаторов боли, воспаления и гипертермической реакции.\u003Cbr\u003EНеизбирательно блокирует циклооксигеназу 1 (ЦОГ-1) и циклооксигеназу 2 (ЦОГ-2), вследствие чего тормозит синтез простагландинов. Оказывает быстрое направленное действие против боли (обезболивающее), жаропонижающее и противовоспалительное действие. Кроме того, ибупрофен обратимо ингибирует агрегацию тромбоцитов. Обезболивающее действие препарата продолжается до 8 часов."},{"name":"Фармакологическая группа","value":"нестероидный противовоспалительный препарат (НПВП)"},{"name":"Форма выпуска","value":"таблетки"},{"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 °С.\u003Cbr\u003EХранить 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. Период полувыведения препарата при передозировке составляет 1,5-3 часа.\u003Cbr\u003EСимптомы: 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 может развиваться метаболический ацидоз и увеличение протромбинового времени, почечная недостаточность, повреждение ткани печени, снижение артериального давления, угнетение дыхания и цианоз. У пациентов с бронхиальной астмой возможно обострение этого заболевания.\u003Cbr\u003EЛечение: 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 выведение кислого производного ибупрофена почками, форсированный диурез. Частые или продолжительные судороги следует купировать внутривенным введением диазепама или лоразепама. При ухудшении бронхиальной астмы рекомендуется применение бронходилататоров."},{"name":"Применение при беременности и кормлении грудью","value":"Противопоказано применение препарата в III триместре беременности.\u003Cbr\u003EСледует избегать применения препарата в I-II триместрах беременности, при необходимости приема препарата следует проконсультироваться с врачом.\u003Cbr\u003EИмеются 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."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Пациентам, отмечающим головокружение, сонливость, заторможенность или нарушения зрения при приеме ибупрофена, следует избегать вождения автотранспорта или управления механизмами."},{"name":"Особые указания","value":"Рекомендуется принимать препарат максимально возможным коротким курсом и в минимальной эффективной дозе, необходимой для устранения симптомов. В случае необходимости приема препарата более 10 дней, необходимо обратиться к врачу.\u003Cbr\u003E\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.\u003Cbr\u003E\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.\u003Cbr\u003E\nПациентам с почечной недостаточностью необходимо проконсультироваться с врачом перед применением препарата, поскольку существует риск ухудшения функционального состояния почек.\u003Cbr\u003E\nПациентам с гипертензией, в том числе в анамнезе и/или хронической сердечной недостаточностью, необходимо проконсультироваться с врачом перед применением препарата, поскольку препарат может вызвать задержку жидкости, повышение артериального давления и отеки.\u003Cbr\u003E\nПациентам с неконтролируемой артериальной гипертензией, застойной сердечной недостаточностью II-III класса по NYHA, 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).\u003Cbr\u003E\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\u003E\nИнформация для женщин, планирующих беременность: препарат подавляет циклооксигеназу и синтез простагландинов, воздействует на овуляцию, нарушая женскую репродуктивную функцию (обратимо после отмены лечения)."},{"name":"Взаимодействие","value":"Следует избегать одновременного применения ибупрофена со следующими лекарственными средствами:\u003Cbr\u003E\n- Ацетилсалициловая кислота: за исключением низких доз ацетилсалициловой кислоты (не более 75 мг сутки), назначенных врачом, поскольку совместное применение может повысить риск возникновения побочных эффектов. При одновременном применении ибупрофен снижает противовоспалительное и антиагрегатное действие ацетилсалициловой кислоты (возможно повышение частоты развития острой коронарной недостаточности у пациентов, получающих в качестве антиагрегантного средства малые дозы ацетилсалициловой кислоты, после начала приема ибупрофена).\u003Cbr\u003E\n- Другие НПВП, в частности, селективные ингибиторы ЦОГ-2: следует избегать одновременного применения двух и более препаратов из группы НПВП из-за возможного увеличения риска возникновения побочных эффектов.\u003Cbr\u003E\nС осторожностью применять одновременно со следующими лекарственными средствами:\u003Cbr\u003E\n- Антикоагулянты и тромболитические препараты: НПВП могут усиливать эффект антикоагулянтов, в частности, варфарина и тромболитических препаратов.\u003Cbr\u003E\n- Антигипертензивные 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 назначение 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, совместное 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.\u003Cbr\u003E\nДиуретики и ингибиторы АПФ могут повышать нефротоксичность НПВП.\u003Cbr\u003E\n- Глюкокортикостероиды: повышенный риск образования язв ЖКТ и желудочно-кишечного кровотечения.\u003Cbr\u003E\n- Антиагреганты и селективные ингибиторы обратного захвата серотонина: повышенный риск возникновения желудочно-кишечного кровотечения.\u003Cbr\u003E\n- Сердечные гликозиды: одновременное назначение НПВП и сердечных гликозидов может привести к усугублению сердечной недостаточности, снижению скорости клубочковой фильтрации и увеличению концентрации сердечных гликозидов в плазме крови.\u003Cbr\u003E\n- Препараты лития: существуют данные о вероятности увеличения концентрации лития в плазме крови на фоне применения НПВП.\u003Cbr\u003E\n- Метотрексат: существуют данные о вероятности увеличения концентрации метотрексата в плазме крови на фоне применения HПBП,\u003Cbr\u003E\n- Циклоспорин: увеличение риска нефротоксичности при одновременном назначении НПВП и циклоспорина.\u003Cbr\u003E\n- Мифепристон: прием НПВП следует назначать не ранее, чем через 8-12 дней после приема мифепристона, поскольку НПВП могут снижать эффективности мифепристона.\u003Cbr\u003E\n- Такролимус: при одновременном назначении НПВП и такролимуса возможно увеличение риска нефротоксичности.\u003Cbr\u003E\n- Зидовудин: 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 совместное лечение зидовудином и ибупрофеном.\u003Cbr\u003E\n- Антибиотики хинолонового ряда: у пациентов, получающих совместное лечение НПВП и антибиотиками хинолонового ряда, возможно увеличение риска возникновения судорог.\u003Cbr\u003E\n- Миелотоксические препараты: усиление гематотоксичности.\u003Cbr\u003E\n- Цефамандол, цефаперазон, цефотетан, валъпроевая кислота, пликамицин: увеличение частоты развития гипопротромбинемии.\u003Cbr\u003E\n- Лекарственные средства, блокирующие канальцевую секрецию: снижение выведения и повышения плазменной концентрации ибупрофена.\u003Cbr\u003E\n- Индукторы микросомального окисления (фенитоин, этанол, барбитураты, рифампицин, фенилбутазон, трициклические антидепрессанты): увеличение продукции гидроксилированных активных метаболитов, увеличение риска развития тяжелых интоксикаций.\u003Cbr\u003E\n- Ингибиторы микросомального окисления: снижение риска гепатотоксического действия.\u003Cbr\u003E\n- Пероральные гипогликемические лекарственные средства и инсулин, производные сульфонилмочевины: усиление действия препаратов.\u003Cbr\u003E\n- Антациды и колестирамин: снижение абсорбции.\u003Cbr\u003E\n- Урикозурические препараты: снижение эффективности препаратов.\u003Cbr\u003E\n- Кофеин: усиление анальгезирующего эффекта."},{"name":"Регистрационный номер","value":"ЛП-005173"},{"name":"Дата государственной регистрации","value":"15.09.2021"},{"name":"Владелец регистрационного удостоверения","value":"Оболенское фармацевтическое предприятие"},{"name":"Изготовитель","value":"Оболенское фармацевтическое предприятие"},{"name":"Фасовщик","value":"Оболенское фармацевтическое предприятие"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Нурофаст"},{"name":"Срок годности","value":"927 дн."}]}],"transitionId":"tr_9303042766005346555"}}}}
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  • Нурофаст Форте таб. п/о плен., 400 мг, 20 шт.
    –8 %
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    Нурофаст Форте таб. п/о плен., 400 мг, 20 шт.

    Рейтинг товара: 5 из 5
    на основе 2 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 164 ₽ вместо 168
    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  • Нурофаст таб. п/о плен., 200 мг, 20 шт.
    –1 %
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    Нурофаст таб. п/о плен., 200 мг, 20 шт.

    Рейтинг товара: 5 из 5
    на основе 3 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 161 ₽ вместо 163
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  • МИГ 400 таб. п/о плен., 400 мг, 20 шт.
    –12 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-vogeqj490yo/toggleWishlist":{"skuId":"101822953725","productId":549337011,"offerId":"lRtzxeXgJ7E8U1SJS9rfKg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQzv75sP3G9PmHARIxCi9Db21wZXRpdGl2ZUFuYWxvZ3NfTWFya2V0TW9kZWxDYXJkX0Zyb250U25pcHBldDIXCLPv+IUCEP3x+6j7Ahin3dAHIOfcwQc=","sign":"PCMtHNQMg047R8zzW4XTI9X+Locrx4Pb4WE210wszi4="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-vogeqj490yo/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    МИГ 400 таб. п/о плен., 400 мг, 20 шт.

    Рейтинг товара: 5 из 5
    на основе 249 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 156 ₽ вместо 158
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400 таб. п/о плен., 400 мг, 20 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  • Нурофен Экспресс Форте капс., 400 мг, 20 шт.
    –14 %
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    Нурофен Экспресс Форте капс., 400 мг, 20 шт.

    Рейтинг товара: 5 из 5
    на основе 145 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 412 ₽ вместо 416
    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  • Ибупрофен таб. п/о плен., 400 мг, 50 шт.
    –14 %
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    Ибупрофен таб. п/о плен., 400 мг, 50 шт.

    Рейтинг товара: 4.9 из 5
    на основе 321 оценка
    С картой  Пэй
    Цена с картой Яндекс Пэй 139 ₽ вместо 140
    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таб. п/о плен., 400 мг, 50 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  • Нурофен Экспресс капс., 200 мг, 8 шт.
    –18 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-l4z9myxiqpn/toggleWishlist":{"skuId":"101392377739","productId":537864039,"offerId":"27ENwThlpLlkZdXfZE13VQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQzv75sP3G9PmHARIxCi9Db21wZXRpdGl2ZUFuYWxvZ3NfTWFya2V0TW9kZWxDYXJkX0Zyb250U25pcHBldDIXCOfOvIACEIvP09v5AhjRraoIIOfcwQc=","sign":"mnxPYVQ22mF+P1MlBHXrmXo/HXYEGTSDjg98J/h2xOo="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-l4z9myxiqpn/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Нурофен Экспресс капс., 200 мг, 8 шт.

    Рейтинг товара: 5 из 5
    на основе 160 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 150 ₽ вместо 152
    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  • Некст уно экспресс капс., 200 мг, 10 шт.
    –1 %
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    Некст уно экспресс капс., 200 мг, 10 шт.

    Рейтинг товара: 4.8 из 5
    на основе 41 оценка
    С картой  Пэй
    Цена с картой Яндекс Пэй 172 ₽ вместо 174
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  • Нурофаст таб. п/о плен., 200 мг, 20 шт.
    –1 %
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    Нурофаст таб. п/о плен., 200 мг, 20 шт.

    Рейтинг товара: 5 из 5
    на основе 1 оценка
    С картой  Пэй
    Цена с картой Яндекс Пэй 158 ₽ вместо 160
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  • Нурофен Экспресс Леди таб. п/о, 400 мг, 12 шт.
    –1 %
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    Нурофен Экспресс Леди таб. п/о, 400 мг, 12 шт.

    Рейтинг товара: 4.9 из 5
    на основе 21 оценка
    С картой  Пэй
    Цена с картой Яндекс Пэй 218 ₽ вместо 220
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  • Нурофен таб. п/о, 200 мг, 20 шт.
    –13 %
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    Нурофен таб. п/о, 200 мг, 20 шт.

    Рейтинг товара: 5 из 5
    на основе 77 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 218 ₽ вместо 220
    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  • Ибупрофен-АКОС таб. п/о плен., 400 мг, 20 шт.
    –2 %
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    Ибупрофен-АКОС таб. п/о плен., 400 мг, 20 шт.

    Рейтинг товара: 4.9 из 5
    на основе 96 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 63 ₽ вместо 64
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Инструкция

Показания к применению

Нурофаст применяют при головной боли, мигрени, зубной боли, болезненных менструациях, невралгии, боли в спине, мышечной боли, ревматической боли и боли в суставах; 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 acтмы, рецидивирующего полипоза носа и околоносовых пазух и непереносимости ацетилсалициловой кислоты 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 подтвержденных эпизода язвенной болезни или язвенного кровотечения).
- Кровотечение или перфорация язвы желудочно-кишечного тракта в анамнезе, спровоцированные применением НПВП.
- Тяжелая сердечная недостаточность (класс IV по NYHA - классификация Нью-Йоркской Ассоциации кардиологов).
- 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 том числе гипокоагуляция), геморрагические диатезы.
- Беременность (III триместр).
- Детский возраст до 6 лет.

Способ применения и дозы

Для приема внутрь. Пациентам с повышенной чувствительностью желудка рекомендуется принимать препарат во время еды.
Только для кратковременного применения. Внимательно прочтите инструкцию перед приемом препарата.
Взрослым и детям старше 12 лет внутрь по 1 таблетке (400 мг) до 3 раз в сутки.
Таблетки следует запивать водой.
Интервал между приемом таблеток должен составлять не менее 4 часов.
Максимальная суточная доза для взрослых составляет 1200 мг (3 таблетки).
Максимальная суточная доза для детей от 12 до 18 лет составляет 800 мг (2 таблетки).
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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Нурофаст Форте таб. п/о плен.
Нурофаст Форте таб. п/о плен., 400 мг, 20 шт.
5.0
(8)
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Инструкция

Цена с картой Яндекс Пэй:148 ₽

Скидка: 1%
–1 %
Вместо: 149 ₽
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5.0
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У продавца:8 оценок·2 отзыва
У всех продавцов:26 оценок·12 отзывов
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user avatar
5 месяцев назад • Алена • Куплен на Маркете
Недостатки: нет
Комментарий: от всего обезболивает за пол часа ,давно искала такие таблетки
user avatar
2 месяца назад • Светлана Ш. • Куплен на Маркете
Достоинства: отлично обезболивающее средство, быстро действует
Посмотреть все отзывы на Маркете
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    Цена 355 ₽ вместо 399
  • Vitamin D3, 2000 ME, 30 мл, 30 г, 30 шт.
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    Vitamin D3, 2000 ME, 30 мл, 30 г, 30 шт.

    Цена 452 ₽ вместо 790
  • Нурофен форте таб. п/о, 400 мг, 24 шт.
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    Нурофен форте таб. п/о, 400 мг, 24 шт.

    Цена 215 ₽ вместо 263
  • Нурофаст Форте таб. п/о плен., 400 мг, 20 шт.
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    Нурофаст Форте таб. п/о плен., 400 мг, 20 шт.

    Цена 164 ₽ вместо 178
  • Нурофаст таб. п/о плен., 200 мг, 20 шт.
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    Нурофаст таб. п/о плен., 200 мг, 20 шт.

    Цена 161 ₽ вместо 163
  • Гилан ультра комфорт увлажн. гл. р-р, 0.3%, 0.4 мл, 50 г, 10 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417729433_5/content/content/gallery":{"title":"Гилан ультра комфорт увлажн. гл. р-р, 0.3%, 0.4 мл, 50 г, 10 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/4493501/img_id518890055591967969.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4493501/img_id518890055591967969.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4493501/img_id518890055591967969.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4493501/img_id518890055591967969.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4493501/img_id518890055591967969.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4493501/img_id518890055591967969.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/1538707/img_id7406584760491012505.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1538707/img_id7406584760491012505.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1538707/img_id7406584760491012505.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1538707/img_id7406584760491012505.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1538707/img_id7406584760491012505.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1538707/img_id7406584760491012505.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQzv75sP3G9PmHARIaChhyZW1peF9kZXNrdG9wX21vZGVsX2NhcmQyFgiZq4OkBRCrnJjbARiH3tAHINzcwQc=","sign":"ox3+SIy/ZVSzBnPG//jtVGft62WCIOPe4LN2XolFjpE="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417729433_5/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417729433_5/content/content/toggleWishlist":{"skuId":"459673131","productId":1417729433,"offerId":"UBfQcstXjheSpOoAYOfXvw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgsQzv75sP3G9PmHARIaChhyZW1peF9kZXNrdG9wX21vZGVsX2NhcmQyFgiZq4OkBRCrnJjbARiH3tAHINzcwQc=","sign":"ox3+SIy/ZVSzBnPG//jtVGft62WCIOPe4LN2XolFjpE="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417729433_5/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Гилан ультра комфорт увлажн. гл. р-р, 0.3%, 0.4 мл, 50 г, 10 шт.

    Цена 288 ₽ вместо 331
  • Пастилки California Gold Nutrition Vitamin D3 gummies со вкусом фруктов и ягод, 280 г, 90 шт.
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    Пастилки California Gold Nutrition Vitamin D3 gummies со вкусом фруктов и ягод, 280 г, 90 шт.

    Цена 1 733 ₽ вместо 1 999
  • 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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    Реклама
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  • МИГ 400 таб. п/о плен., 400 мг, 20 шт.
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    МИГ 400 таб. п/о плен., 400 мг, 20 шт.

    Цена 156 ₽ вместо 177
  • Нурофен Экспресс Форте капс., 400 мг, 20 шт.
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    Нурофен Экспресс Форте капс., 400 мг, 20 шт.

    Цена 412 ₽ вместо 478
  • 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
  • ЛимфоТранзит концентрат напитка фл., 100 мл
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    ЛимфоТранзит концентрат напитка фл., 100 мл

    Цена 329 ₽ вместо 390
  • Ибупрофен таб. п/о плен., 400 мг, 50 шт.
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    Ибупрофен таб. п/о плен., 400 мг, 50 шт.

    Цена 139 ₽ вместо 161
  • Таблетница Пилюля "Аптечка" ( 6 отделений)
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    Таблетница Пилюля "Аптечка" ( 6 отделений)

    Цена 145 ₽ вместо 201
  • Нурофен Экспресс капс., 200 мг, 8 шт.
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    Нурофен Экспресс капс., 200 мг, 8 шт.

    Цена 150 ₽ вместо 184
  • Мизол спрей, 50 мл
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    Мизол спрей, 50 мл

    Цена 734 ₽ вместо 815
  • IKENA Нафтифин р-р противогрибковый фл., 1%, 37 г, 10 мл, 1 шт., нейтральный, 1 уп.
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    IKENA Нафтифин р-р противогрибковый фл., 1%, 37 г, 10 мл, 1 шт., нейтральный, 1 уп.

    Цена 399 ₽ вместо 480
  • Салфетка с нашатырем для стимуляции дыхания 3х6, 20 шт
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    Салфетка с нашатырем для стимуляции дыхания 3х6, 20 шт

    Цена 199 ₽ вместо 250
  • Препарат для суставов и связок GCM JOINТ, глюкозамин хондроитин, msm, 90 капсул
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    Препарат для суставов и связок GCM JOINТ, глюкозамин хондроитин, msm, 90 капсул

    Цена 932 ₽ вместо 1 920
  • Симбикорт турбухалер пор. д/инг. дозир., 80 мкг+4.5 мкг/доза, 60 шт.
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    Симбикорт турбухалер пор. д/инг. дозир., 80 мкг+4.5 мкг/доза, 60 шт.

    Цена 1 114 ₽
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    Реклама
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  • Некст уно экспресс капс., 200 мг, 10 шт.
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    Некст уно экспресс капс., 200 мг, 10 шт.

    Цена 172 ₽ вместо 174
  • Нурофаст таб. п/о плен., 200 мг, 20 шт.
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    Нурофаст таб. п/о плен., 200 мг, 20 шт.

    Цена 158 ₽ вместо 160
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