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Описание

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Парацетамол таб., 500 мг, 10 шт.

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4.9
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Количество штук в упаковке, шт.: 10

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3123128972
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таблетки
Инструкция
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Максимальная разовая доза - 1 г. Максимальная суточная доза - 4 г. Интервал между приемами - не менее 4 часов.\u003Cbr\u003EДети от 6 до 12 лет. Дозу рассчитывают, исходя из массы тела ребенка: максимальная разовая доза - 15 мг/кг массы тела 4 раза в сутки, максимальная суточная доза - 60 мг/кг массы тела. Интервал между приемами - не менее 4 часов.\u003Cbr\u003EДетям в возрасте 6-9 лет (вес до 30 кг): разовая доза - 250 мг (1/2 таблетки); максимальная суточная доза - 1 г; в возрасте 9-12 лет (вес 30-40 кг): разовая доза - 250- 500 мг (1/2 таблетки - 1 таблетка), максимальная суточная доза - 2 г (4 таблетки).\u003Cbr\u003EУ взрослых парацетамол не рекомендуется применять более 5 дней в качестве обезболивающего средства и более 3 дней в качестве жаропонижающего средства без назначения и наблюдения врача.\u003Cbr\u003EУ детей парацетамол не рекомендуется применять более 3 дней без назначения и наблюдения врача. Не превышать указанную дозу.\u003Cbr\u003EУ пациентов с хроническими или некомпенсированными заболеваниями печени, с печеночной недостаточностью, хроническим алкоголизмом, у истощенных пациентов и при обезвоживании суточная доза не должна превышать 3 г.\u003Cbr\u003EНе превышайте указанную дозу. Следует принимать наименьшую дозу, необходимую для достижения эффекта. Интервал между приемами должен составлять не менее 4 ч. Препарат не должен приниматься одновременно с другими парацетамол-содержащими препаратами. Увеличение суточной дозы парацетамола или продолжительности лечения возможны только под наблюдением врача."},{"name":"Побочные действия","value":"В рекомендованных дозах парацетамол обычно хорошо переносится.\u003Cbr\u003EЧастота нежелательных лекарственных реакций классифицирована в соответствии с рекомендациями Всемирной организации здравоохранения.\u003Cbr\u003EСистемно-органные классы по MedDRA:\u003Cbr\u003EЧасто: ≥ 1/100 до \u003C 1/10\u003Cbr\u003EНечасто: ≥ 1/1000 до \u003C 1/100\u003Cbr\u003EРедко: ≥ 1/10 000 до \u003C 1/1000\u003Cbr\u003EОчень редко: \u003C 1/10000.\u003Cbr\u003EЧастота неизвестна: невозможно оценить на основании имеющихся данных.\u003Cbr\u003EНарушения со стороны крови и лимфатической системы\u003Cbr\u003Eчасто: послеоперационные кровотечения;\u003Cbr\u003Eочень редко: анемия, тромбоцнтопения, лейкопения, нейтропения, агранулоцитоз; гемолитическая анемия;\u003Cbr\u003Eчастота неизвестна: панцитопения, сульфогемоглобинемия, метгемоглобинемия.\u003Cbr\u003EНарушения со стороны иммунной системы\u003Cbr\u003Eредко: аллергические реакции (в т.ч. кожная сыпь, зуд, крапивница, ангионевротический отек);\u003Cbr\u003Eочень редко: острый генерализованный экзантематозный пустулез синдром Стивенса-Джонсона, токсический эпидермальный некролиз (синдром Лайелла), анафилаксия.\u003Cbr\u003EНарушения со стороны психики\u003Cbr\u003Eчасто: бессонница, тревога.\u003Cbr\u003EНарушения со стороны нервной системы\u003Cbr\u003Eчасто: головная боль;\u003Cbr\u003Eчастота неизвестна: дистония, головокружение, психомоторное возбуждение, дезориентация (при приеме высоких доз).\u003Cbr\u003EНарушения со стороны органа зрения\u003Cbr\u003Eчасто: периорбитальный отек.\u003Cbr\u003EНарушения со стороны сердца\u003Cbr\u003Eчасто: тахикардия, боль в груди.\u003Cbr\u003EНарушения со стороны сосудов\u003Cbr\u003Eчасто: периферические отеки, гипертензия;\u003Cbr\u003Eредко: снижение артериального давления.\u003Cbr\u003EНарушения со стороны дыхательной системы, органов грудной клетки и средостения\u003Cbr\u003Eчасто: диспноэ, патологическое дыхание, отек легких, гипоксия, плевральный выпот, хрипы, одышка, кашель;\u003Cbr\u003Eочень редко: бронхоспазм (у пациентов с гиперчувствительностью к ацетилсалициловой кислоте и другим нестероидным противовоспалительным препаратам).\u003Cbr\u003EНарушения со стороны желудочно-кишечного тракта\u003Cbr\u003Eчасто: диарея, запор, диспепсия, вздутие живота;\u003Cbr\u003Eредко: боль в животе, тошнота, рвота;\u003Cbr\u003Eчастота неизвестна: сухость во рту.\u003Cbr\u003EНарушения со стороны печени и желчевыводящих путей\u003Cbr\u003Eредко: повышение активности печеночных ферментов;\u003Cbr\u003Eчастота неизвестна: печеночная недостаточность, гепатиты, некроз печени.\u003Cbr\u003EНарушения со стороны кожи и подкожных тканей\u003Cbr\u003Eчастота неизвестна: экзантема.\u003Cbr\u003EНарушения со стороны костно-мышечной и соединительной ткани\u003Cbr\u003Eчасто: мышечные спазмы, тризм.\u003Cbr\u003EНарушения со стороны почек и мочевыводящих путей\u003Cbr\u003Eчасто: олигурия;\u003Cbr\u003Eчастота неизвестна: почечная колика, неспецифическая бактериурия, интерстициальный нефрит, папиллярный некроз.\u003Cbr\u003EОбщие расстройства и нарушения в месте введения\u003Cbr\u003Eчасто: пирексия, чувство усталости;\u003Cbr\u003Eредко: общее недомогание/слабость.\u003Cbr\u003EВлияние на результаты лабораторных и инструментальных исследований\u003Cbr\u003Eчасто: гипокалиемия, гипергликемия;\u003Cbr\u003Eредко: снижение или увеличение протромбинового индекса;\u003Cbr\u003Eчастота неизвестна: увеличение креатинина (в основном вторично, по отношению к гепаторенальному синдрому).\u003Cbr\u003EПри возникновении любого из перечисленных побочных эффектов, прекратите прием парацетамола и немедленно обратитесь к врачу."},{"name":"Фармакологическое действие","value":"Парацетамол обладает жаропонижающим и болеутоляющим действием. Ненаркотический анальгетик, блокирует циклооксигеназу (ЦОГ) I и II преимущественно в центральной нервной системе, воздействуя па центры боли и терморегуляции. В воспаленных тканях клеточные пероксидазы нейтрализуют влияние парацетамола на ЦОГ, что объясняет практически полное отсутствие противовоспалительного эффекта.\u003Cbr\u003EПоскольку парацетамол обладает чрезвычайно малым влиянием на синтез простагландинов в периферических тканях, он не изменяет водно-электролитный обмен и не вызывает повреждения слизистой оболочки желудочно-кишечного тракта. Таким образом, парацетамол особенно подходит пациентам с заболеваниями желудочно-кишечного тракта в анамнезе (как. например, у пациентов с желудочно-кишечным кровотечением в анамнезе или у пациентов пожилого возраста) или пациентам, принимающим сопутствующие лекарственные препараты, когда ингибирование периферических простагландинов может быть нежелательным."},{"name":"Фармакологическая группа","value":"ненаркотические анальгетики, включая нестероидные и другие противовоспалительные средства"},{"name":"Форма выпуска","value":"таблетки"},{"name":"Способ применения/введения","value":"пероральный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-nervnoi-sistemy","categoryId":"15756525","navnodeId":"72478","glfilters":["35947170:36763744"]}}},{"name":"Условия хранения","value":"Хранить при температуре не выше 25 °С.\u003Cbr\u003EХранить в недоступном для детей месте."},{"name":"Передозировка","value":"Повреждение печени у взрослых возможно при приеме 10 г или более парацетамола, прием внутрь 5 г или более парацетамола может привести к повреждению печени при наличии факторов риска (длительное лечение карбамазепином, фенобарбиталом, фенитоином, примидоном, рифампицином, зверобоем продырявленным или другими препаратами, которые являются индукторами микросомальных ферментов печени; злоупотребление этанолом, дефицит глутатиона, нарушение пищеварения, муковисцидоз, ВИЧ-инфекция, голодание, кахексия).\u003Cbr\u003EСимптомы: Клиническая картина острой передозировки развивается в течение 24 ч после приема парацетамола.\u003Cbr\u003EПоявляются желудочно-кишечные расстройства (тошнота, рвота, снижение аппетита, ощущение дискомфорта в брюшной полости и (или) абдоминальная боль), бледность кожных покровов. При одномоментном введении взрослым 7,5 г и более или детям более 140 мг/кг происходит цитолиз гепатоцитов с полным и необратимым некрозом печени, развитием печеночной недостаточности, метаболического ацидоза и энцефалопатии, которые могут привести к коме и летальному исходу. Через 12-48 ч после введения парацетамола отмечается повышение активности микросомальных ферментов печени, лактатдегидрогеназы, концентрации билирубина и снижение содержания протромбина. Клинические симптомы повреждения печени проявляются через 2 суток после передозировки препарата и достигают максимума на 4 6 день.\u003Cbr\u003EПри передозировке возможна интоксикация, особенно у пожилых пациентов, детей, пациентов с заболеваниями печени (вызванных хроническим алкоголизмом), у пациентов с нарушениями питания, а также у пациентов, принимающих индукторы микросомальных ферментов печени, при этом может развиться молниеносный гепатит, печеночная недостаточность, холестатический гепатит, цитолитический гепатит, иногда с летальным исходом.\u003Cbr\u003EЛечение: Немедленная госпитализация.\u003Cbr\u003EПри подозрении на передозировку, даже при отсутствии выраженных первых симптомов, необходимо прекратить применение парацетамола и немедленно обратиться за врачебной помощью. Следует определить уровень парацетамола в плазме крови, но не ранее чем через 4 часа после передозировки (более ранние результаты недостоверны).\u003Cbr\u003EОпределение количественного содержания парацетамола в плазме крови перед началом лечения в как можно более ранние сроки после передозировки.\u003Cbr\u003EВведение донаторов SH-групп и предшественников синтеза глутатиона - метионина и ацетилцистеина - наиболее эффективно в первые 8 часов. Необходимость в проведении дополнительных терапевтических мероприятий (дальнейшее введение метионина, внутривенное введение ацетилцистеина) определяется в зависимости от концентрации парацетамола в крови, а также от времени, прошедшего после его применения. Симптоматическое лечение. В течение 1 часа после передозировки рекомендуется промывание желудка и прием энтеросорбентов (активированный уголь и т.п.). В большинстве случаев активность микросомальных ферментов печени нормализуется в течение 1-2 недель. В очень тяжелых случаях может потребоваться пересадка печени. Введение ацетилцистеина в течение 24 часов после передозировки. Максимальное защитное действие обеспечивается в течение первых 8 часов после передозировки, со временем эффективность антидота резко падает. При необходимости вводят ацетилцистеин внутривенно. При отсутствии рвоты до поступления пациента в стационар возможно применение метионина. Необходимость в проведении дополнительных терапевтических мероприятий (дальнейшее введение метионина, в/в введение ацетилцистеина) определяется в зависимости от концентрации парацетамола в крови, а также от времени, прошедшего после его приема. Лечение пациентов с серьезным нарушением функции печени через 24 часа после приема парацетамола должно проводиться совместно со специалистами токсикологического центра или специализированного отделения заболеваний печени.\u003Cbr\u003EЛабораторные исследования активности микросомальных ферментов печени следует проводить в начале лечения и затем - каждые 24 ч. В большинстве случаев активность микросомальных ферментов печени нормализуется в течение 1-2 недель. В очень тяжелых случаях может потребоваться пересадка печени."},{"name":"Применение при беременности и кормлении грудью","value":"Парацетамол проникает через плацентарный барьер. В исследованиях на животных и у людей не было выявлено какого-либо риска при применении препарата в период беременности или отрицательного воздействия парацетамола на развитие эмбриона и плода. Парацетамол может использоваться во время беременности, однако целесообразно использовать минимальные эффективные дозы и максимально коротким курсом.\u003Cbr\u003EВ небольших количествах проникает в грудное молоко. В исследованиях не было установлено отрицательного воздействия парацетамола на организм ребенка при грудном вскармливании, тем не менее необходимо применять с осторожностью."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"При применении Парацетамола в рекомендуемом диапазоне доз влияние на способность к управлению транспортными средствами и занятие другими, потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций не установлено."},{"name":"Особые указания","value":"С осторожностью:\u003Cbr\u003EПочечная и печеночная недостаточность, доброкачественные гипербилирубинемии (в т.ч. синдром Жильбера), дегидратация, гиповолемия, анорексия, булимия и кахексия (недостаточный запас глутатиона в печени), дефицит фермента глюкозо-6- фосфатдегидрогеназы, вирусный гепатит, алкогольное поражение печени, алкоголизм, беременность, период грудного вскармливания, пожилой возраст.\u003Cbr\u003EВ этих случаях перед приемом препарата следует проконсультироваться с врачом.\u003Cbr\u003EПри продолжающемся лихорадочном синдроме па фоне применения парацетамола более 3 дней и болевом синдроме более 5 дней, требуется консультация врача.\u003Cbr\u003EПациенты с дефицитом глутатиона подвержены передозировке, необходимо соблюдать меры предосторожности. Зарегистрированы случаи развития печеночной недостаточности и нарушений функции печени у пациентов с низким уровнем глутатиона, в частности, у крайне истощенных пациентов, страдающих анорексией, хроническим алкоголизмом или у пациентов с низким индексом массы тела.\u003Cbr\u003EРиск развития повреждений печени возрастает у пациентов с поражением печени при алкоголизме.\u003Cbr\u003EПрием парацетамола оказывает влияние на показатели лабораторных исследований при количественном определении глюкозы и мочевой кислоты в плазме.\u003Cbr\u003EВо время длительного лечения необходим контроль картины периферической крови и функционального состояния печени.\u003Cbr\u003EПарацетамол может вызывать серьезные кожные реакции, такие как синдром Стивенса-Джонсона, токсический эпидермальный некролиз, острый генерализованный экзантематозный пустулез, которые могут быть летальными. При первом проявлении сыпи или других реакций гиперчувствительности, применение препарата должно быть прекращено, следует немедленно обратиться к врачу. При обнаружении у пациента острого вирусного гепатита необходимо отменить прием препарата.\u003Cbr\u003EДефицит глутатиона вследствие расстройства пищевого поведения, диетического фиброза, ВИЧ-инфекции, голодания, истощения обуславливает возможность развития тяжелого поражения печени при небольших передозировках парацетамола (5 г и более).\u003Cbr\u003EВо избежание токсического поражения печени парацетамол не следует сочетать с приемом алкогольных напитков, а также принимать лицам, склонным к хроническому потреблению алкоголя.\u003Cbr\u003EНе принимать одновременно с другими препаратами, содержащими парацетамол."},{"name":"Взаимодействие","value":"Если Вы или ребенок уже получаете другие лекарственные препараты, до начала приема парацетамола необходимо обратиться за консультацией к врачу.\u003Cbr\u003EИндукторы микросомальных ферментов печени\u003Cbr\u003EИндукторы микросомальных ферментов печени или потенциально гепатотоксичные вещества (например, алкоголь, рифампицин, изониазид, снотворные и противоэпилептические средства, включая фенобарбитал, фенитоин, карбамазепин и другие) повышают токсичность парацетамола, могут привести к поражению печени даже при нетоксичных дозах парацетамола, поэтому следует контролировать функцию печени.\u003Cbr\u003EФенитоин снижает эффективность парацетамола, следовательно, пациентам, принимающим фенитоин, следует избегать частого применения парацетамола, особенно в высоких дозах.\u003Cbr\u003EУрикозурические лекарственные средства\u003Cbr\u003EПарацетамол снижает эффективность урикозурических лекарственных средств.\u003Cbr\u003EХлорамфеникол\u003Cbr\u003EПарацетамол может увеличивать риск повышенной концентрации хлорамфеникола.\u003Cbr\u003EЗидовудин\u003Cbr\u003EПарацетамол может увеличивать риск развития нейтропении, в связи с чем, следует контролировать гематологические показатели. Одновременное применение возможно лишь после консультации врача.\u003Cbr\u003EПробенецид\u003Cbr\u003EПробенецид уменьшает почти в два раза клиренс парацетамола, что требует снижения дозы парацетамола.\u003Cbr\u003EНепрямые антикоагулянты\u003Cbr\u003EМногократный прием парацетамола в течение более чем 4 дней увеличивает антикоагулянтный эффект. Следует проводить мониторинг международного нормализованного отношения (МНО) во время и после окончания одновременного применения парацетамола (особенно в высоких дозах и/или в течение продолжительного времени) и производных кумарина. Нерегулярный прием парацетамола не оказывает значимого влияния.\u003Cbr\u003EПропантелин и другие препараты, замедляющие эвакуацию из желудка\u003Cbr\u003EПропантелин и другие препараты, замедляющие эвакуацию из желудка, снижают скорость всасывания парацетамола, что может отсрочить или уменьшить наступление эффекта.\u003Cbr\u003EМетоклопрамид и домперидон\u003Cbr\u003EМетоклопрамид и домперидон увеличивает скорость всасывания парацетамола и, соответственно, начало обезболивающего и жаропонижающего действия.\u003Cbr\u003EБарбитураты\u003Cbr\u003EДлительное применение барбитуратов снижает эффективность парацетамола.\u003Cbr\u003EЭтанол\u003Cbr\u003EЭтанол способствует развитию острого панкреатита.\u003Cbr\u003EНестероидные противовоспалительные препараты (НПВП)\u003Cbr\u003EДлительное совместное использование парацетамола и других НПВП повышает риск развития \"анальгетической\" нефропатии и почечного папиллярного некроза, наступления терминальной стадии почечной недостаточности.\u003Cbr\u003EСалицилаты\u003Cbr\u003EОдновременное длительное назначение парацетамола в высоких дозах и салицилатов повышает риск развития рака почки или мочевого пузыря.\u003Cbr\u003EДифлунисал\u003Cbr\u003EДифлунисал повышает плазменную концентрацию парацетамола на 50% - риск развития гепатотоксичности.\u003Cbr\u003EМиелотоксичные препараты\u003Cbr\u003EМиелотоксичные препараты усиливают проявления гематотоксичности препарата."},{"name":"Регистрационный номер","value":"ЛC-001364"},{"name":"Дата государственной регистрации","value":"02.12.2020"},{"name":"Владелец регистрационного удостоверения","value":"Фармстандарт-Лексредства","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-nervnoi-sistemy","categoryId":"15756525","navnodeId":"72478","glfilters":["34324371:35649313","7893318:16227855"]}}},{"name":"Изготовитель","value":"Фармстандарт-Лексредства"},{"name":"Фасовщик","value":"Фармстандарт-Лексредства"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Парацетамол","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-nervnoi-sistemy","categoryId":"15756525","navnodeId":"72478","glfilters":["17796364:17982393"]}}},{"name":"Срок годности","value":"1 г."}]}},"fullSpecsGrouped":{"4858342762173086231":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Органы и системы","value":"нервная система, опорно-двигательная система"},{"name":"Назначение","value":"альгодисменорея, артралгия, боль в суставах, головная боль, зубная боль, лихорадочные состояния, менструальные боли, миалгия, мигрень, невралгия, повышенная температура тела, симптоматическое лечение простудных заболеваний, гриппа, ОРВИ"},{"name":"Показания к применению","value":"Жаропонижающее средство при острых респираторных заболеваниях и других инфекционно-воспалительных заболеваниях, сопровождающихся повышением температуры тела.\u003Cbr\u003EОбезболивающее средство при болевом синдроме слабой и умеренной выраженности: артралгия, миалгия, невралгия, мигрень, зубная и головная боль, альгодисменорея, боль при травмах и ожогах."},{"name":"Противопоказания","value":"- Повышенная чувствительность к парацетамолу или любому другому ингредиенту препарата;\u003Cbr\u003E- тяжелые нарушения функции печени или почек;\u003Cbr\u003E- детский возраст до 6 лет (для данной лекарственной формы)."},{"name":"Состав","value":"На одну таблетку:\u003Cbr\u003EДействующее вещество: парацетамол - 500,0 мг;\u003Cbr\u003Eвспомогательные вещества: крахмал картофельный - 24,3 мг, повидон (поливинилпирролидон низкомолекулярный медицинский) - 10,2 мг, стеариновая кислота - 5,3 мг, кроскармеллоза натрия (натрия кроскармеллоза) - 5,2 мг, тальк - 5,0 мг."},{"name":"Действующее вещество","value":"Парацетамол"},{"name":"Способ применения и дозы","value":"Внутрь, с большим количеством жидкости, через 1-2 ч после приёма пищи (приём сразу после еды приводит к задержке наступления действия).\u003Cbr\u003EВзрослые (включая пожилых) и дети старше 12 лет (масса тела более 40 кг) 500 мг - 1 г до 4 раз в сутки, если необходимо. Максимальная разовая доза - 1 г. Максимальная суточная доза - 4 г. Интервал между приемами - не менее 4 часов.\u003Cbr\u003EДети от 6 до 12 лет. Дозу рассчитывают, исходя из массы тела ребенка: максимальная разовая доза - 15 мг/кг массы тела 4 раза в сутки, максимальная суточная доза - 60 мг/кг массы тела. Интервал между приемами - не менее 4 часов.\u003Cbr\u003EДетям в возрасте 6-9 лет (вес до 30 кг): разовая доза - 250 мг (1/2 таблетки); максимальная суточная доза - 1 г; в возрасте 9-12 лет (вес 30-40 кг): разовая доза - 250- 500 мг (1/2 таблетки - 1 таблетка), максимальная суточная доза - 2 г (4 таблетки).\u003Cbr\u003EУ взрослых парацетамол не рекомендуется применять более 5 дней в качестве обезболивающего средства и более 3 дней в качестве жаропонижающего средства без назначения и наблюдения врача.\u003Cbr\u003EУ детей парацетамол не рекомендуется применять более 3 дней без назначения и наблюдения врача. Не превышать указанную дозу.\u003Cbr\u003EУ пациентов с хроническими или некомпенсированными заболеваниями печени, с печеночной недостаточностью, хроническим алкоголизмом, у истощенных пациентов и при обезвоживании суточная доза не должна превышать 3 г.\u003Cbr\u003EНе превышайте указанную дозу. Следует принимать наименьшую дозу, необходимую для достижения эффекта. Интервал между приемами должен составлять не менее 4 ч. Препарат не должен приниматься одновременно с другими парацетамол-содержащими препаратами. Увеличение суточной дозы парацетамола или продолжительности лечения возможны только под наблюдением врача."},{"name":"Побочные действия","value":"В рекомендованных дозах парацетамол обычно хорошо переносится.\u003Cbr\u003EЧастота нежелательных лекарственных реакций классифицирована в соответствии с рекомендациями Всемирной организации здравоохранения.\u003Cbr\u003EСистемно-органные классы по MedDRA:\u003Cbr\u003EЧасто: ≥ 1/100 до \u003C 1/10\u003Cbr\u003EНечасто: ≥ 1/1000 до \u003C 1/100\u003Cbr\u003EРедко: ≥ 1/10 000 до \u003C 1/1000\u003Cbr\u003EОчень редко: \u003C 1/10000.\u003Cbr\u003EЧастота неизвестна: невозможно оценить на основании имеющихся данных.\u003Cbr\u003EНарушения со стороны крови и лимфатической системы\u003Cbr\u003Eчасто: послеоперационные кровотечения;\u003Cbr\u003Eочень редко: анемия, тромбоцнтопения, лейкопения, нейтропения, агранулоцитоз; гемолитическая анемия;\u003Cbr\u003Eчастота неизвестна: панцитопения, сульфогемоглобинемия, метгемоглобинемия.\u003Cbr\u003EНарушения со стороны иммунной системы\u003Cbr\u003Eредко: аллергические реакции (в т.ч. кожная сыпь, зуд, крапивница, ангионевротический отек);\u003Cbr\u003Eочень редко: острый генерализованный экзантематозный пустулез синдром Стивенса-Джонсона, токсический эпидермальный некролиз (синдром Лайелла), анафилаксия.\u003Cbr\u003EНарушения со стороны психики\u003Cbr\u003Eчасто: бессонница, тревога.\u003Cbr\u003EНарушения со стороны нервной системы\u003Cbr\u003Eчасто: головная боль;\u003Cbr\u003Eчастота неизвестна: дистония, головокружение, психомоторное возбуждение, дезориентация (при приеме высоких доз).\u003Cbr\u003EНарушения со стороны органа зрения\u003Cbr\u003Eчасто: периорбитальный отек.\u003Cbr\u003EНарушения со стороны сердца\u003Cbr\u003Eчасто: тахикардия, боль в груди.\u003Cbr\u003EНарушения со стороны сосудов\u003Cbr\u003Eчасто: периферические отеки, гипертензия;\u003Cbr\u003Eредко: снижение артериального давления.\u003Cbr\u003EНарушения со стороны дыхательной системы, органов грудной клетки и средостения\u003Cbr\u003Eчасто: диспноэ, патологическое дыхание, отек легких, гипоксия, плевральный выпот, хрипы, одышка, кашель;\u003Cbr\u003Eочень редко: бронхоспазм (у пациентов с гиперчувствительностью к ацетилсалициловой кислоте и другим нестероидным противовоспалительным препаратам).\u003Cbr\u003EНарушения со стороны желудочно-кишечного тракта\u003Cbr\u003Eчасто: диарея, запор, диспепсия, вздутие живота;\u003Cbr\u003Eредко: боль в животе, тошнота, рвота;\u003Cbr\u003Eчастота неизвестна: сухость во рту.\u003Cbr\u003EНарушения со стороны печени и желчевыводящих путей\u003Cbr\u003Eредко: повышение активности печеночных ферментов;\u003Cbr\u003Eчастота неизвестна: печеночная недостаточность, гепатиты, некроз печени.\u003Cbr\u003EНарушения со стороны кожи и подкожных тканей\u003Cbr\u003Eчастота неизвестна: экзантема.\u003Cbr\u003EНарушения со стороны костно-мышечной и соединительной ткани\u003Cbr\u003Eчасто: мышечные спазмы, тризм.\u003Cbr\u003EНарушения со стороны почек и мочевыводящих путей\u003Cbr\u003Eчасто: олигурия;\u003Cbr\u003Eчастота неизвестна: почечная колика, неспецифическая бактериурия, интерстициальный нефрит, папиллярный некроз.\u003Cbr\u003EОбщие расстройства и нарушения в месте введения\u003Cbr\u003Eчасто: пирексия, чувство усталости;\u003Cbr\u003Eредко: общее недомогание/слабость.\u003Cbr\u003EВлияние на результаты лабораторных и инструментальных исследований\u003Cbr\u003Eчасто: гипокалиемия, гипергликемия;\u003Cbr\u003Eредко: снижение или увеличение протромбинового индекса;\u003Cbr\u003Eчастота неизвестна: увеличение креатинина (в основном вторично, по отношению к гепаторенальному синдрому).\u003Cbr\u003EПри возникновении любого из перечисленных побочных эффектов, прекратите прием парацетамола и немедленно обратитесь к врачу."},{"name":"Фармакологическое действие","value":"Парацетамол обладает жаропонижающим и болеутоляющим действием. Ненаркотический анальгетик, блокирует циклооксигеназу (ЦОГ) I и II преимущественно в центральной нервной системе, воздействуя па центры боли и терморегуляции. В воспаленных тканях клеточные пероксидазы нейтрализуют влияние парацетамола на ЦОГ, что объясняет практически полное отсутствие противовоспалительного эффекта.\u003Cbr\u003EПоскольку парацетамол обладает чрезвычайно малым влиянием на синтез простагландинов в периферических тканях, он не изменяет водно-электролитный обмен и не вызывает повреждения слизистой оболочки желудочно-кишечного тракта. Таким образом, парацетамол особенно подходит пациентам с заболеваниями желудочно-кишечного тракта в анамнезе (как. например, у пациентов с желудочно-кишечным кровотечением в анамнезе или у пациентов пожилого возраста) или пациентам, принимающим сопутствующие лекарственные препараты, когда ингибирование периферических простагландинов может быть нежелательным."},{"name":"Фармакологическая группа","value":"ненаркотические анальгетики, включая нестероидные и другие противовоспалительные средства"},{"name":"Форма выпуска","value":"таблетки"},{"name":"Способ применения/введения","value":"пероральный"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"Хранить при температуре не выше 25 °С.\u003Cbr\u003EХранить в недоступном для детей месте."},{"name":"Передозировка","value":"Повреждение печени у взрослых возможно при приеме 10 г или более парацетамола, прием внутрь 5 г или более парацетамола может привести к повреждению печени при наличии факторов риска (длительное лечение карбамазепином, фенобарбиталом, фенитоином, примидоном, рифампицином, зверобоем продырявленным или другими препаратами, которые являются индукторами микросомальных ферментов печени; злоупотребление этанолом, дефицит глутатиона, нарушение пищеварения, муковисцидоз, ВИЧ-инфекция, голодание, кахексия).\u003Cbr\u003EСимптомы: Клиническая картина острой передозировки развивается в течение 24 ч после приема парацетамола.\u003Cbr\u003EПоявляются желудочно-кишечные расстройства (тошнота, рвота, снижение аппетита, ощущение дискомфорта в брюшной полости и (или) абдоминальная боль), бледность кожных покровов. При одномоментном введении взрослым 7,5 г и более или детям более 140 мг/кг происходит цитолиз гепатоцитов с полным и необратимым некрозом печени, развитием печеночной недостаточности, метаболического ацидоза и энцефалопатии, которые могут привести к коме и летальному исходу. Через 12-48 ч после введения парацетамола отмечается повышение активности микросомальных ферментов печени, лактатдегидрогеназы, концентрации билирубина и снижение содержания протромбина. Клинические симптомы повреждения печени проявляются через 2 суток после передозировки препарата и достигают максимума на 4 6 день.\u003Cbr\u003EПри передозировке возможна интоксикация, особенно у пожилых пациентов, детей, пациентов с заболеваниями печени (вызванных хроническим алкоголизмом), у пациентов с нарушениями питания, а также у пациентов, принимающих индукторы микросомальных ферментов печени, при этом может развиться молниеносный гепатит, печеночная недостаточность, холестатический гепатит, цитолитический гепатит, иногда с летальным исходом.\u003Cbr\u003EЛечение: Немедленная госпитализация.\u003Cbr\u003EПри подозрении на передозировку, даже при отсутствии выраженных первых симптомов, необходимо прекратить применение парацетамола и немедленно обратиться за врачебной помощью. Следует определить уровень парацетамола в плазме крови, но не ранее чем через 4 часа после передозировки (более ранние результаты недостоверны).\u003Cbr\u003EОпределение количественного содержания парацетамола в плазме крови перед началом лечения в как можно более ранние сроки после передозировки.\u003Cbr\u003EВведение донаторов SH-групп и предшественников синтеза глутатиона - метионина и ацетилцистеина - наиболее эффективно в первые 8 часов. Необходимость в проведении дополнительных терапевтических мероприятий (дальнейшее введение метионина, внутривенное введение ацетилцистеина) определяется в зависимости от концентрации парацетамола в крови, а также от времени, прошедшего после его применения. Симптоматическое лечение. В течение 1 часа после передозировки рекомендуется промывание желудка и прием энтеросорбентов (активированный уголь и т.п.). В большинстве случаев активность микросомальных ферментов печени нормализуется в течение 1-2 недель. В очень тяжелых случаях может потребоваться пересадка печени. Введение ацетилцистеина в течение 24 часов после передозировки. Максимальное защитное действие обеспечивается в течение первых 8 часов после передозировки, со временем эффективность антидота резко падает. При необходимости вводят ацетилцистеин внутривенно. При отсутствии рвоты до поступления пациента в стационар возможно применение метионина. Необходимость в проведении дополнительных терапевтических мероприятий (дальнейшее введение метионина, в/в введение ацетилцистеина) определяется в зависимости от концентрации парацетамола в крови, а также от времени, прошедшего после его приема. Лечение пациентов с серьезным нарушением функции печени через 24 часа после приема парацетамола должно проводиться совместно со специалистами токсикологического центра или специализированного отделения заболеваний печени.\u003Cbr\u003EЛабораторные исследования активности микросомальных ферментов печени следует проводить в начале лечения и затем - каждые 24 ч. В большинстве случаев активность микросомальных ферментов печени нормализуется в течение 1-2 недель. В очень тяжелых случаях может потребоваться пересадка печени."},{"name":"Применение при беременности и кормлении грудью","value":"Парацетамол проникает через плацентарный барьер. В исследованиях на животных и у людей не было выявлено какого-либо риска при применении препарата в период беременности или отрицательного воздействия парацетамола на развитие эмбриона и плода. Парацетамол может использоваться во время беременности, однако целесообразно использовать минимальные эффективные дозы и максимально коротким курсом.\u003Cbr\u003EВ небольших количествах проникает в грудное молоко. В исследованиях не было установлено отрицательного воздействия парацетамола на организм ребенка при грудном вскармливании, тем не менее необходимо применять с осторожностью."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"При применении Парацетамола в рекомендуемом диапазоне доз влияние на способность к управлению транспортными средствами и занятие другими, потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций не установлено."},{"name":"Особые указания","value":"С осторожностью:\u003Cbr\u003EПочечная и печеночная недостаточность, доброкачественные гипербилирубинемии (в т.ч. синдром Жильбера), дегидратация, гиповолемия, анорексия, булимия и кахексия (недостаточный запас глутатиона в печени), дефицит фермента глюкозо-6- фосфатдегидрогеназы, вирусный гепатит, алкогольное поражение печени, алкоголизм, беременность, период грудного вскармливания, пожилой возраст.\u003Cbr\u003EВ этих случаях перед приемом препарата следует проконсультироваться с врачом.\u003Cbr\u003EПри продолжающемся лихорадочном синдроме па фоне применения парацетамола более 3 дней и болевом синдроме более 5 дней, требуется консультация врача.\u003Cbr\u003EПациенты с дефицитом глутатиона подвержены передозировке, необходимо соблюдать меры предосторожности. Зарегистрированы случаи развития печеночной недостаточности и нарушений функции печени у пациентов с низким уровнем глутатиона, в частности, у крайне истощенных пациентов, страдающих анорексией, хроническим алкоголизмом или у пациентов с низким индексом массы тела.\u003Cbr\u003EРиск развития повреждений печени возрастает у пациентов с поражением печени при алкоголизме.\u003Cbr\u003EПрием парацетамола оказывает влияние на показатели лабораторных исследований при количественном определении глюкозы и мочевой кислоты в плазме.\u003Cbr\u003EВо время длительного лечения необходим контроль картины периферической крови и функционального состояния печени.\u003Cbr\u003EПарацетамол может вызывать серьезные кожные реакции, такие как синдром Стивенса-Джонсона, токсический эпидермальный некролиз, острый генерализованный экзантематозный пустулез, которые могут быть летальными. При первом проявлении сыпи или других реакций гиперчувствительности, применение препарата должно быть прекращено, следует немедленно обратиться к врачу. При обнаружении у пациента острого вирусного гепатита необходимо отменить прием препарата.\u003Cbr\u003EДефицит глутатиона вследствие расстройства пищевого поведения, диетического фиброза, ВИЧ-инфекции, голодания, истощения обуславливает возможность развития тяжелого поражения печени при небольших передозировках парацетамола (5 г и более).\u003Cbr\u003EВо избежание токсического поражения печени парацетамол не следует сочетать с приемом алкогольных напитков, а также принимать лицам, склонным к хроническому потреблению алкоголя.\u003Cbr\u003EНе принимать одновременно с другими препаратами, содержащими парацетамол."},{"name":"Взаимодействие","value":"Если Вы или ребенок уже получаете другие лекарственные препараты, до начала приема парацетамола необходимо обратиться за консультацией к врачу.\u003Cbr\u003EИндукторы микросомальных ферментов печени\u003Cbr\u003EИндукторы микросомальных ферментов печени или потенциально гепатотоксичные вещества (например, алкоголь, рифампицин, изониазид, снотворные и противоэпилептические средства, включая фенобарбитал, фенитоин, карбамазепин и другие) повышают токсичность парацетамола, могут привести к поражению печени даже при нетоксичных дозах парацетамола, поэтому следует контролировать функцию печени.\u003Cbr\u003EФенитоин снижает эффективность парацетамола, следовательно, пациентам, принимающим фенитоин, следует избегать частого применения парацетамола, особенно в высоких дозах.\u003Cbr\u003EУрикозурические лекарственные средства\u003Cbr\u003EПарацетамол снижает эффективность урикозурических лекарственных средств.\u003Cbr\u003EХлорамфеникол\u003Cbr\u003EПарацетамол может увеличивать риск повышенной концентрации хлорамфеникола.\u003Cbr\u003EЗидовудин\u003Cbr\u003EПарацетамол может увеличивать риск развития нейтропении, в связи с чем, следует контролировать гематологические показатели. Одновременное применение возможно лишь после консультации врача.\u003Cbr\u003EПробенецид\u003Cbr\u003EПробенецид уменьшает почти в два раза клиренс парацетамола, что требует снижения дозы парацетамола.\u003Cbr\u003EНепрямые антикоагулянты\u003Cbr\u003EМногократный прием парацетамола в течение более чем 4 дней увеличивает антикоагулянтный эффект. Следует проводить мониторинг международного нормализованного отношения (МНО) во время и после окончания одновременного применения парацетамола (особенно в высоких дозах и/или в течение продолжительного времени) и производных кумарина. Нерегулярный прием парацетамола не оказывает значимого влияния.\u003Cbr\u003EПропантелин и другие препараты, замедляющие эвакуацию из желудка\u003Cbr\u003EПропантелин и другие препараты, замедляющие эвакуацию из желудка, снижают скорость всасывания парацетамола, что может отсрочить или уменьшить наступление эффекта.\u003Cbr\u003EМетоклопрамид и домперидон\u003Cbr\u003EМетоклопрамид и домперидон увеличивает скорость всасывания парацетамола и, соответственно, начало обезболивающего и жаропонижающего действия.\u003Cbr\u003EБарбитураты\u003Cbr\u003EДлительное применение барбитуратов снижает эффективность парацетамола.\u003Cbr\u003EЭтанол\u003Cbr\u003EЭтанол способствует развитию острого панкреатита.\u003Cbr\u003EНестероидные противовоспалительные препараты (НПВП)\u003Cbr\u003EДлительное совместное использование парацетамола и других НПВП повышает риск развития \"анальгетической\" нефропатии и почечного папиллярного некроза, наступления терминальной стадии почечной недостаточности.\u003Cbr\u003EСалицилаты\u003Cbr\u003EОдновременное длительное назначение парацетамола в высоких дозах и салицилатов повышает риск развития рака почки или мочевого пузыря.\u003Cbr\u003EДифлунисал\u003Cbr\u003EДифлунисал повышает плазменную концентрацию парацетамола на 50% - риск развития гепатотоксичности.\u003Cbr\u003EМиелотоксичные препараты\u003Cbr\u003EМиелотоксичные препараты усиливают проявления гематотоксичности препарата."},{"name":"Регистрационный номер","value":"ЛC-001364"},{"name":"Дата государственной регистрации","value":"02.12.2020"},{"name":"Владелец регистрационного удостоверения","value":"Фармстандарт-Лексредства"},{"name":"Изготовитель","value":"Фармстандарт-Лексредства"},{"name":"Фасовщик","value":"Фармстандарт-Лексредства"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Парацетамол"},{"name":"Срок годности","value":"1 г."}]}],"transitionId":"tr_13298032361496912657"}}}}
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  • Сегодня, курьер магазина • 249 ₽
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  • Вечернее Плюс др., 60 шт., нейтральный, 1 уп.
    –51 %
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    Вечернее Плюс др., 60 шт., нейтральный, 1 уп.

    Рейтинг товара: 5 из 5
    на основе 1 оценка
    С картой  Пэй
    Цена с картой Яндекс Пэй 197 ₽ вместо 199
    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Плюс др., 60 шт., нейтральный, 1 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  • GLS Триптофан капс., 500 мг, 0.25 г, 90 шт.
    –10 %
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    GLS Триптофан капс., 500 мг, 0.25 г, 90 шт.

    Рейтинг товара: 4.8 из 5
    на основе 24 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 540 ₽ вместо 550
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Триптофан капс., 500 мг, 0.25 г, 90 шт.","label":"3mkajhxmopv","count":0,"features":[],"imageMeta":{"namespace":"mpic","groupId":5221857,"key":"img_id1562047820691514187.png"}},"quantity":{"step":1,"minimum":1,"maximum":999},"cpaUrl":"/safeclick/data=TxNGOK9vJEN7oLFLeCTKEixJYuEMI0EzvZFs82AjjgjhTwweZ7mRXd_AQ0K184sfZmy5nQz7U8xIc-qdVOMFoxnoSww2ObzLEs1KJpltGipDSanCui6QCo8GXRHxAQaqQQZbzp5kb0bdQDXqQiIIDEwL4INEBUjrbUNtjxqZ96UWkyu_L0koKW5VxYJwLdqeRn1xx81e4kMLLKyBkC9NuFED1voe9zs2yo691_KyAA5dKmkh4OlhGLldcZa_JQ5XQ0MsM5Bn-MluSVSh1JaKZ6q8e5oEvCpB6ZKyu-up25csOlVs1MfzM8M004AZ2lo7fqtJrnxZjh3Afd-6ju3Cdm45DZEX6KNj7nmAF_Y-BJytREC-W1dGHYrC83mCVmCAJijVdz49302ymD0EEs5mF5CE-_D379BZWUYy_6KqCGylPaZAfv54Xiw32jr_vXSyLWb4Vp4du6-gpFjZ8U9btJoR_UOR9kg2vE4g5hCU5X7hid1THTNyfNP5uBaNJMhMYDk6afWAnaJPAh7lz2-9ATTsjBAOMmajpkf9fZ28NwBW1gEEI8m2Yqiz_j-K21QMDyR83952qtHQPwoRmh4dSyBt0m7exL-_AqEsomO68yQgkha1URS9Wv4LHgeoOaKmDnpXeedc2SQrJqkUuogYu6zD6FTxBZ6cPMJm6LCgjerTCxY9FTrPKknUQYj8sdX-_62j3Q3miyjNRqnhE9WplpJi_VTPxagh1YP0Z-yvuQmqpDDODYY-ZG7AFwOFf4pzl9bU-TPUkWzIlEC4oXVXxgmPc_UMsixuCu7H6KpJDErRZUW_8oVAAMfFaBFyvvzF6lrBIe2b8rZi9LJ6XyPhmgnzoc_tf13TeDLl2WkHn-PMg6s5mkE4k72T9P2tbKyHjB2qZhcX4esfT29uzECN8tMoGaPPlEvDZE2Zr62J9VSTpwX1VYNl59JfNKha6_o1gVC9VvU3UQWV8HzbmMkrf7d_qPXLz340RxR8KZ6Fyv_FpzF5XzBem6XAWnC_K3iWIyQa9oCkZUETgz8euz2sT6yxTeH2wUnwxctw3dNiuhs7rdp9Z8xWriSKivK8_v1V7JQjww2D0CgYRsyFPum0lJpJAJOW8K2d_YZQQc44s6lRe5IAAShWyy_aVf2qAeKwdzgBGwFF2KghLvEy8L57KLRbHmsVINMeIzK02x2qT9zRlI7ntnxTBZmxte0tyEAjF4HI6cxu0LaH5u6uLvEWw0xFBuKt6A07tZ86sY_Q01Ev5DSAgxqMbqj3cRdpj11l6kos-GQ3-KJjW_ma1rAKwP7dvj8r1Ry6p3_WiebzqOyYZeic4u4JWiLkuP9M837bUrp5kj6q_njCaQmkcHf6_szTxQJh21mtKySzGLC54DBzhvDdi8A1HEcWeChknGkwRHAp44OB22aNUsaIm6T49PyOuDvfY7Gq3DblDoi6AncK3WZa5kU7CWhTLjPJzDSFjmY-LxtFkSpTa0lK3c0Qvbd9G1YyIzNNs_CCt0gHGKDqIH22mu_dtSK6nHLBVxKatOrsWDBvzrWxt86WZfOS2Her6F-iLtPpdYZsriu6U24biL6afy9PY5HIQSaVcB3ysEvHQb64TE0H4J46BAH_ajmxW1b6V2F4A7bwIguderT5blEuHHPkS-QpNJmCBoNRbTi1zqBkz43EL-hWMUVpOnGJmqcums7jTcv33mQ9ADz6biG3KA30zLE4ldVqJ3x5Cu9ht73nGX7HTOESiWtXBz_2GeZwL8Fm0_PW6M1aJIf0dEHN-zGluW09EVGP3x0fU8-uIFmoeVr7F_HCvpwSl2fCGYG4DlSCxuKl2odbI8QjA8jiX1AmdSmQDXqU2pI-rGaGXHlO8QSGmzvGUQ1AGm9fAreEYjPAOqU1gf1BdBQXE9qcVc0B4kfl9V1UvgqiDmuImCrIwUrGf8P319SnbK3R8Ll7_rkiZx_GDr30cbHM7ijpsn7snjS2Ry2J9mqjvM1lXdn1R1h7ma_yoDZQZyTGTZ1nR_E_v4PFMFY2Au-iQ3INkqWzYohNGNUPhURuLsECJKXbA97rrHYm2oB_c-IiVSOCAENk768fVpWOicIq5TuUXJFtMbEvuNyLZXXq2QIa32gaBHKgPsTfMBw0vcK13rTOCBuwu7N0MsUrLnNzv24urfnNw56En415VMZ3FOZNtwSXNS2HL_KXJJbRIWl8m9ElbRPJrA-Os-lsOYxofuy35EC28ZRhfT48Nl1iRvMZMads5bkQw4hrdd-YRegQ07EN1vnHgzcMPOn64BlEYhilt5tlBP5H28eiH8BRB3zD-0BM0lpyA728LMKMJCoHEjZZTFBrGX99yji3dXZb3Wh1k0bhyKHTBs6o_fBthZGy9zYyVNCGqrBjy57hG7JJgXKbglwLD1Cx6PL92cKv7CQdU0DN5HJ0Dwsr8n1cMbApDWdxePymQ4TX7JMb5IejgjcWAXoIiQsdu_IPGbh_-0WqvRAq3pl5xlxH87tGqHN_uDR9d2O1eY4BPuXv-l-iLJoqY_kZpaqPXqz1VlPVw2LevSSXeGcLS-ou1YWMaBNAmSNS86e16rH_XMXRIdFxgsi1RCuiI5innCYTwz2yDs5wbcZxt8sUmQPaIPhsQIjmow406DzQDUsStWoj75IPpEuQLkH32vFapejhVkMOVBTZ4uJocc0qCbgsmUwxO1W82rFYc_pAFgJqTkCAWSR6XXHjq3e6bR-IrU1qPwl1cV1cjUiNdUIMBzYzTMK1Dm3w3yatS_aW4sYt6yeDIHHe4peNZcDVqKvQrgSCaaVx57ECB0sUZo3eRc_hkjtJ9e4AKpAglvHKSkTRNION9pU_df9dyCT35G_z77QzVv0f3wCQG96AHQ7NXA737ktclCdGD8fs_TYoMH4jzkKzz2M0IXEQgCPjhLbrFd4HjbQrq06Z_QwWFh0sfKtL3pEaToacU4WmTUZ8HPonx-j_7wl7aKMTo_0vWfyuxg2W5ncou4evpPBjmU1d8Rh1CVkZjA71rar3tV9wHCAR7UoJetPtbR49615GygNbXNndG2-jbQvx749XN12OyYYjStmucdp-55EpssEJh9_Z7WpEIk4c4Pzm2znpagIvw6OD8NLkb19D-zwqgLKe20DcQ-4A91pgtyi1Uj3mNxySIjn0aIY44jJ7uq6tfVqhUEpQ_BLa9cEuW8p86adizNrpXEv1oag1PfPn_btZqBaPusssPl5QK_WSFhbiU0rIs3uIDJvAQajxioIcOUsebmceAW7Iqd25lpabsNclfnBE3Yr29zhSmSAKQ33LqAOgV53T4vRkwGyWRoFR0rr1T0ldeoxk-dCWvdI6lz3OBdbElkUk8T-JgodRL4MDi9uZigSWs-cltSRnTx-dJ3D73gRBPoxNMiUChNwOZFzyKhXkIR-zzDvU_PxJFtm5hHrx2662u--fNA9wMts542Yt0eulqaq6eW2MFxR81XlIUmMFR_Tw9tmLcWXUofpQj2lAy2DwQKnpEprqt9X-RQn8hXmKb0eh0PwjqIGedVEp0bJ2NYh1cFZmnZXjvGI89CFz6EgiQ4y8jnBcZlX6vRhVDAT2GNs4e2Qv9V9GYnIW_v8GtWNkSw,,/b64e=1/sign=eb6ca3b0a4c2f05b98c2fe62fc3d6144/keyno=MARKET_1/*","showUid":"17184955062194076541406003","cartLink":"/my/cart","showNotificationWhenDeleteItem":true,"isLavka":false,"isError":false,"isEats":false,"isCR":false,"isM2bEdoOnlyEnable":false,"isEatsMarketIntegration":true,"isCartButtonNext":false,"isUpsalePopupCRExp":false,"baobabClientDataAdditionToCart":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQkfrNvoHModl5EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcIrNGrmQUQ0On3/voCGOjl1gog7dnBBw==","sign":"3AGL1gEdxXSpY6g1Se4l9SlSJ73+vb1Cjxlt1Kzn+7Q="},"target":"cart_addition"},"baobabClientDataDeletionFromCart":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQkfrNvoHModl5EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcIrNGrmQUQ0On3/voCGOjl1gog7dnBBw==","sign":"3AGL1gEdxXSpY6g1Se4l9SlSJ73+vb1Cjxlt1Kzn+7Q="},"target":"cart_deletion"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-9zse448pidt/addToCartButton":{"name":"@light/AddToCartButtonSnippet"}}}
  • Glycine капс., 1000 мг, 250 мл, 150 г, 100 шт., нейтральный, 1 уп.
    –20 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-m52c3hej3i/toggleWishlist":{"skuId":"101419793733","productId":228043954,"offerId":"hz2fJuhYsBXTVGl7NOGTuQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQkfrNvoHModl5EjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYIstnebBDF+tzo+QIY8cm2BCDt2cEH","sign":"QevdVoEYK0ezAI3mlv/t9IyniEk8UyCzLqSktel4hSI="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-m52c3hej3i/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Glycine капс., 1000 мг, 250 мл, 150 г, 100 шт., нейтральный, 1 уп.

    Рейтинг товара: 4.9 из 5
    на основе 521 оценка
    С картой  Пэй
    Цена с картой Яндекс Пэй 1 663 ₽ вместо 1 680
    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капс., 1000 мг, 250 мл, 150 г, 100 шт., нейтральный, 1 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  • 5-HTP капс., 50 мг, 0.44 г, 30 шт., 1 уп.
    –55 %
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    5-HTP капс., 50 мг, 0.44 г, 30 шт., 1 уп.

    Рейтинг товара: 4.7 из 5
    на основе 88 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 689 ₽ вместо 710
    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  • Невронорм таб., 30 шт.
    –1 %
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    Невронорм таб., 30 шт.

    Рейтинг товара: 5 из 5
    на основе 12 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 277 ₽ вместо 280
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  • Валериана Экстра Биокор таб., 50 шт., 1 уп.
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    Валериана Экстра Биокор таб., 50 шт., 1 уп.

    Рейтинг товара: 5 из 5
    на основе 16 оценок
    Цена 44 ₽
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  • Вечернее др. (валериана+хмель+мята), 100 шт., 1 уп.
    –1 %
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    Вечернее др. (валериана+хмель+мята), 100 шт., 1 уп.

    Рейтинг товара: 4.7 из 5
    на основе 33 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 221 ₽ вместо 223
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  • Вечернее Биокор др., 60 шт., 1 уп.
    –1 %
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    Вечернее Биокор др., 60 шт., 1 уп.

    Рейтинг товара: 4.6 из 5
    на основе 19 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 119 ₽ вместо 120
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  • Формула Спокойствия Триптофан капс., 15 шт.
    –1 %
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    Формула Спокойствия Триптофан капс., 15 шт.

    Рейтинг товара: 4.6 из 5
    на основе 29 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 452 ₽ вместо 457
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  • PILULI Стрессанет таб., 20 шт., 1 уп.
    –1 %
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    PILULI Стрессанет таб., 20 шт., 1 уп.

    Рейтинг товара: 5 из 5
    на основе 1 оценка
    С картой  Пэй
    Цена с картой Яндекс Пэй 256 ₽ вместо 259
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  • Сироп зайчонок успокаивающий д/детей лет (Страна Здравландия), 100 мл, 115 г, 1 шт., 1 уп.
    –1 %
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    Сироп зайчонок успокаивающий д/детей лет (Страна Здравландия), 100 мл, 115 г, 1 шт., 1 уп.

    Рейтинг товара: 4.7 из 5
    на основе 85 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 247 ₽ вместо 249
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Инструкция

Показания к применению

Жаропонижающее средство при острых респираторных заболеваниях и других инфекционно-воспалительных заболеваниях, сопровождающихся повышением температуры тела.
Обезболивающее средство при болевом синдроме слабой и умеренной выраженности: артралгия, миалгия, невралгия, мигрень, зубная и головная боль, альгодисменорея, боль при травмах и ожогах.

Противопоказания

- Повышенная чувствительность к парацетамолу или любому другому ингредиенту препарата;
- тяжелые нарушения функции печени или почек;
- детский возраст до 6 лет (для данной лекарственной формы).

Способ применения и дозы

Внутрь, с большим количеством жидкости, через 1-2 ч после приёма пищи (приём сразу после еды приводит к задержке наступления действия).
Взрослые (включая пожилых) и дети старше 12 лет (масса тела более 40 кг) 500 мг - 1 г до 4 раз в сутки, если необходимо. Максимальная разовая доза - 1 г. Максимальная суточная доза - 4 г. Интервал между приемами - не менее 4 часов.
Дети от 6 до 12 лет. Дозу рассчитывают, исходя из массы тела ребенка: максимальная разовая доза - 15 мг/кг массы тела 4 раза в сутки, максимальная суточная доза - 60 мг/кг массы тела. Интервал между приемами - не менее 4 часов.
Детям в возрасте 6-9 лет (вес до 30 кг): разовая доза - 250 мг (1/2 таблетки); максимальная суточная доза - 1 г; в возрасте 9-12 лет (вес 30-40 кг): разовая доза - 250- 500 мг (1/2 таблетки - 1 таблетка), максимальная суточная доза - 2 г (4 таблетки).
У взрослых парацетамол не рекомендуется применять более 5 дней в качестве обезболивающего средства и более 3 дней в качестве жаропонижающего средства без назначения и наблюдения врача.
У детей парацетамол не рекомендуется применять более 3 дней без назначения и наблюдения врача. Не превышать указанную дозу.
У пациентов с хроническими или некомпенсированными заболеваниями печени, с печеночной недостаточностью, хроническим алкоголизмом, у истощенных пациентов и при обезвоживании суточная доза не должна превышать 3 г.
Не превышайте указанную дозу. Следует принимать наименьшую дозу, необходимую для достижения эффекта. Интервал между приемами должен составлять не менее 4 ч. Препарат не должен приниматься одновременно с другими парацетамол-содержащими препаратами. Увеличение суточной дозы парацетамола или продолжительности лечения возможны только под наблюдением врача.
Полная инструкция
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Парацетамол таб.
Парацетамол таб., 500 мг, 10 шт.
4.9
(643)
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4 вопроса
Инструкция

11 ₽

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4.9
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У продавца:643 оценки·87 отзывов
У всех продавцов:955 оценок·206 отзывов
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user avatar
3 месяца назад • Лена Lena • Куплен на Маркете
Достоинства: Мне помогает при головной боли, и при начальных симптомах простуды. Если вовремя принять лекарство, то не заболеваю)
Недостатки: Нет
Комментарий: Покупаю постоянно
user avatar
6 месяцев назад • Имя скрыто • Куплен на Маркете
Достоинства: Очень эффективно при повышенной температуре у взрослых
Недостатки: таблетки сложно проглотить, в капсулах конечно удобнее было бы
Комментарий: Цена отличная, и действие видео сразу
user avatar
Месяц назад • Виктор Филиппенков • Куплен на Маркете
Достоинства: Обыкновенный парацетамол,свою функцию выполняет
Недостатки: нет
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Рекомендуем

  • Ацетилсалициловая кислота таб., 500 мг, 30 шт.
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    Ацетилсалициловая кислота таб., 500 мг, 30 шт.

    Цена 61 ₽ вместо 62
  • Уголь активированный таб., 250 мг, 50 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1400799524_1/content/content/gallery":{"title":"Уголь активированный таб., 250 мг, 50 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5255974/img_id212897786359369354.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5255974/img_id212897786359369354.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5255974/img_id212897786359369354.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5255974/img_id212897786359369354.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5255974/img_id212897786359369354.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5255974/img_id212897786359369354.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5320546/img_id9142168312826723126.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5320546/img_id9142168312826723126.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5320546/img_id9142168312826723126.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5320546/img_id9142168312826723126.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5320546/img_id9142168312826723126.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5320546/img_id9142168312826723126.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4393885/img_id4091930958205705547.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4393885/img_id4091930958205705547.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4393885/img_id4091930958205705547.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4393885/img_id4091930958205705547.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4393885/img_id4091930958205705547.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4393885/img_id4091930958205705547.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQkfrNvoHModl5EhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCKSC+psFEIDZ0GwYj7zeByDa2cEH","sign":"WD+0bW5I6ATTO3CCpKLhzu086sw7pNlKa1X8ydN73ec="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1400799524_1/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
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    Уголь активированный таб., 250 мг, 50 шт.

    Цена 50 ₽
  • Лоперамид таб., 2 мг, 10 шт.
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1400799574_2/content/content/toggleWishlist":{"skuId":"228041509","productId":1400799574,"offerId":"unCgccOdFGBKDdZp4rpmaQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQkfrNvoHModl5EhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCNaC+psFEKXG3mwY1/HPBiDa2cEH","sign":"b4X925V/7CHvzSkw5rOEr8sCWtIViDBezMv64KYaqFI="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1400799574_2/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Лоперамид таб., 2 мг, 10 шт.

    Цена 28 ₽
  • 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 160
  • Аскорбиновая к-та др., 50 мг, 200 шт.
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    Аскорбиновая к-та др., 50 мг, 200 шт.

    Цена 50 ₽ вместо 51
  • GLS Триптофан капс., 500 мг, 0.25 г, 90 шт.
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    GLS Триптофан капс., 500 мг, 0.25 г, 90 шт.

    Цена 540 ₽ вместо 600
  • Glycine капс., 1000 мг, 250 мл, 150 г, 100 шт., нейтральный, 1 уп.
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    Glycine капс., 1000 мг, 250 мл, 150 г, 100 шт., нейтральный, 1 уп.

    Цена 1 663 ₽ вместо 2 080
  • Вечернее Плюс др., 60 шт., нейтральный, 1 уп.
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    Вечернее Плюс др., 60 шт., нейтральный, 1 уп.

    Цена 199 ₽ вместо 201
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    Реклама
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  • Ибупрофен таб. п/о плен., 200 мг, 50 шт.
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:526201043_9/content/content/toggleWishlist":{"skuId":"101392442741","productId":526201043,"offerId":"RDKDj6asWl4IoGrJQobyjw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQkfrNvoHModl5EhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCNPh9PoBEPXK19v5Ahj7lpAHIOfcwQc=","sign":"FhJn/ptDL8LR8k6PnkBRw0k48RvKUhUvd8Ttpk47jzk="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:526201043_9/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Ибупрофен таб. п/о плен., 200 мг, 50 шт.

    Цена 47 ₽
  • Невронорм таб., 30 шт.
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    Невронорм таб., 30 шт.

    Цена 277 ₽ вместо 280
  • Фурацилин таб. д/приг. р-ра д/мест. и нар. прим., 20 мг, 20 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1430987581_11/content/content/gallery":{"title":"Фурацилин таб. д/приг. р-ра д/мест. и нар. прим., 20 мг, 20 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/1860966/img_id7339625767044944316.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1860966/img_id7339625767044944316.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1860966/img_id7339625767044944316.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1860966/img_id7339625767044944316.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1860966/img_id7339625767044944316.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1860966/img_id7339625767044944316.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4407413/img_id5871966472416543313.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4407413/img_id5871966472416543313.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4407413/img_id5871966472416543313.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4407413/img_id5871966472416543313.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4407413/img_id5871966472416543313.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4407413/img_id5871966472416543313.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQkfrNvoHModl5EhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCL3GrKoFEOSCyMkCGNSp2Acg5dnBBw==","sign":"Mx35AtASPwO53vnrtLGwKsqgqIuWzbkOBPiogjSjcKw="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1430987581_11/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1430987581_11/content/content/toggleWishlist":{"skuId":"691143012","productId":1430987581,"offerId":"mipoYk33C6RIYzzpo73BtA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQkfrNvoHModl5EhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCL3GrKoFEOSCyMkCGNSp2Acg5dnBBw==","sign":"Mx35AtASPwO53vnrtLGwKsqgqIuWzbkOBPiogjSjcKw="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1430987581_11/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Фурацилин таб. д/приг. р-ра д/мест. и нар. прим., 20 мг, 20 шт.

    Цена 27 ₽
  • Валериана Экстра Биокор таб., 50 шт., 1 уп.
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    Валериана Экстра Биокор таб., 50 шт., 1 уп.

    Цена 44 ₽
  • Римантадин таб., 50 мг, 20 шт.
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    Римантадин таб., 50 мг, 20 шт.

    Цена 56 ₽ вместо 57
  • Солодки сироп фл., 100 г
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    Солодки сироп фл., 100 г

    Цена 70 ₽ вместо 120
  • Вечернее др. (валериана+хмель+мята), 100 шт., 1 уп.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1404748693_15/content/content/gallery":{"title":"Вечернее др. (валериана+хмель+мята), 100 шт., 1 уп.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/4012150/img_id6683087084432721363.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4012150/img_id6683087084432721363.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4012150/img_id6683087084432721363.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4012150/img_id6683087084432721363.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4012150/img_id6683087084432721363.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4012150/img_id6683087084432721363.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5235182/img_id9154699481341152269.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5235182/img_id9154699481341152269.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5235182/img_id9154699481341152269.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5235182/img_id9154699481341152269.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5235182/img_id9154699481341152269.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5235182/img_id9154699481341152269.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5228105/img_id3488934658933837007.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5228105/img_id3488934658933837007.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5228105/img_id3488934658933837007.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5228105/img_id3488934658933837007.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5228105/img_id3488934658933837007.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5228105/img_id3488934658933837007.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5251330/img_id4655711202312246247.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5251330/img_id4655711202312246247.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5251330/img_id4655711202312246247.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5251330/img_id4655711202312246247.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5251330/img_id4655711202312246247.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5251330/img_id4655711202312246247.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4581218/img_id2199774477964913746.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4581218/img_id2199774477964913746.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4581218/img_id2199774477964913746.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4581218/img_id2199774477964913746.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4581218/img_id2199774477964913746.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4581218/img_id2199774477964913746.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4794494/img_id1420357584893433399.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4794494/img_id1420357584893433399.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4794494/img_id1420357584893433399.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4794494/img_id1420357584893433399.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4794494/img_id1420357584893433399.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4794494/img_id1420357584893433399.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQkfrNvoHModl5EhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCJWH650FEO7CqNkBGJLz+wUg7dnBBw==","sign":"3TkFtfDNwJOGnSjt8FMNEKU8ZS4FgBFbuhCSe//FbxI="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1404748693_15/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
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    Вечернее др. (валериана+хмель+мята), 100 шт., 1 уп.

    Цена 221 ₽ вместо 223
  • Кеторол Экспресс таб. дисперг., 10 мг, 20 шт.
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    Кеторол Экспресс таб. дисперг., 10 мг, 20 шт.

    Цена 77 ₽
  • Вечернее Биокор др., 60 шт., 1 уп.
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    Вечернее Биокор др., 60 шт., 1 уп.

    Цена 119 ₽ вместо 120
  • Формула Спокойствия Триптофан капс., 15 шт.
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    Формула Спокойствия Триптофан капс., 15 шт.

    Цена 452 ₽ вместо 457
  • 5-HTP капс., 50 мг, 0.44 г, 30 шт., 1 уп.
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    5-HTP капс., 50 мг, 0.44 г, 30 шт., 1 уп.

    Цена 689 ₽ вместо 1 546
  • Мукалтин таб., 50 мг, 20 шт.
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    Мукалтин таб., 50 мг, 20 шт.

    Цена 56 ₽ вместо 57
  • {"widgets":{"@light/BannerCurtain":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_102_21/content/content/content/bannerCurtain":{"advertisementId":2009641,"impression":"/safeclick/data=SpQw45JhDGE6zDtOdUQO_BCjNavyd1dXfVqV-C5og9_LFohPYfjKNBABYcQLGwKRCjlBaBv9nXWTNIARchS-xWKA1drFqiE_LFfFkOzg7tdTg4jSMcXKB4_KdGGpPr3pB35tnIU7HdF6uon3e8DBuZm4FdOEQWRrtDCPvP782VtJZdOFiDYM5x24zINmPUYJNMVvAyYSqf2QqnfUDkJ3MuhAy0WJHQPJxwwkl8m3c4LsyF9v1hMiNtEoUTQtdG1_5CIiMaKqQuvWWelcaJY1boSKw1KfJoB4rC7gmPgRc1M0Jtw3lcYFJ3ZuKcQG3AgUz3p5BGy-wBJCBjVqH-eLTHxglP5k5whSYdm6Mfe5cPjpfAAc1YfMzXahXdrshKDrs8zQAxcO4x_YLtOnbKA5xIkZGkzZsJY6e2pokmH1vABhxVCKgRrnHdoaOGtXTa1fHDVGlrd_fzLw2gEhE4t0d3YwopnY4OTakj2wvBCwgGAbMMdThuX8RKS91AcS-P3yQ8TV2rY-rswGuLjwoLdkUlVe0hqvukTESBbvFk-rdhvbFPUSxqQ64yH4c18kUoJHfjPLGKVyclUgcqB6j7SjAZFhaEPB_qVY_le-MpkOkT2Ev_kz0CRqyd0jA-COEPfL-I8boHfDjb7gXaQnbVUDRgWy5LHkjiyttZ7DDZZrC6XTRSQiFuI1zu6qGjkKPxMZ5hcEiCxRQYz_112vorgkkST6Sduy9c8atjVKxsQ2loJvNWwfmVBooYH1WHNY_KnjC-OYrKyrU5cfnY9hmGqWMt0hSvgJI7AGPTtiWpDwIo2ZlHF3VUVu8PJPcPzVRaYYbyjtEUNv58547P9wIT9Qr9mKX8F2k-eAEuiyAiatWBQBBnONLZ8djwW6OLJ0BeaSBq2KnQZ65hj4kP0VIWcyeaYFckmhqppU6bwzx4jcAtGoY0vyiBt43U2-v_t3Sugglc5ekvPPnzrNpH1h1rStiqgVJgiSjb1JMj1oHOkt0EaorjEuaVQyWbDSx-80JEqgUi6TdYnsaIr7ARwPTXoTexyyoSApL7VsgR1WZnPjGn3IsImfgg-3JfqQpeQlAmjFn-LGlY26iefnl0L3L8Ml_g,,/b64e=1/sign=9c6aba30b6788f6e28a4cd71bf41ac80/keyno=MARKET_1/*"}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_102_21/content/content/content/bannerCurtain":{"name":"@light/BannerCurtain"}}}
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    Реклама
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  • PILULI Стрессанет таб., 20 шт., 1 уп.
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    PILULI Стрессанет таб., 20 шт., 1 уп.

    Цена 256 ₽ вместо 259
  • Сироп зайчонок успокаивающий д/детей лет (Страна Здравландия), 100 мл, 115 г, 1 шт., 1 уп.
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    Сироп зайчонок успокаивающий д/детей лет (Страна Здравландия), 100 мл, 115 г, 1 шт., 1 уп.

    Цена 247 ₽ вместо 249
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