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Описание

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Разо таб. п/о кш/раств., 20 мг, 30 шт.

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4.9
(65)
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Коротко о товаре

Артикул Маркета
34572907
Тип препарата
Назначение
Действующее вещество
Возраст
от 12 лет
Инструкция
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Состав оболочки кишечнорастворимой: сополимер метакриловой кислоты и этилакрилата [1:1] (сополимер метакриловой кислоты (тип С)) - 19.28 мг, триэтилцитрат - 1.92 мг, тальк - 1.04 мг. Состав оболочки: Опадрай желтый OY-52945 - 5.05 мг (гипромеллоза 5 cP - 63.65%, титана диоксид (E171) - 28.55%, макрогол 400 - 6.3%, краситель железа оксид желтый (E172) - 1.5%). Состав красных чернил для нанесения надписи: шеллак глазурь (45%) - 59%, краситель красный очаровательный (E129) - 15%, бутанол - 7%, этанол денатурированный - 6%, титана диоксид (E171) - 5%, пропиленгликоль - 4%, изопропиловый спирт - 3%, аммиака раствор концентрированный 28% - 1%."},{"name":"Действующее вещество","value":"Рабепразол","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-pishchevareniia","categoryId":"15756506","navnodeId":"72470","glfilters":["27144131:28709641"]}}},{"name":"Способ применения и дозы","value":"Таблетки принимают внутрь целиком, не разжевывая и не измельчая. Установлено, что ни время суток, ни прием пищи не влияют на активность рабепразола.\u003Cbr\u003EПри язвенной болезни желудка в стадии обострения и язве анастомоза рекомендуется принимать внутрь по 10 мг или по 20 мг один раз в день. Обычно излечение наступает после 6 недель терапии, однако в некоторых случаях длительность лечения может быть увеличена еще на 6 недель.\u003Cbr\u003EПри язвенной болезни двенадцатиперстной кишки в стадии обострения рекомендуется принимать внутрь по 20 мг один раз в день. В некоторых случаях лечебный эффект наступает при приеме 10 мг один раз в день. Длительность лечения составляет от 2 до 4 недель. В случае необходимости длительность лечения может быть увеличена еще на 4 недели.\u003Cbr\u003EПри лечении эрозивной гастроэзофагеальной рефлюксной болезни или рефлюкс-эзофагите рекомендуется принимать внутрь по 10 мг или по 20 мг один раз в день. Длительность лечения составляет от 4 до 8 недель. В случае необходимости длительность лечения может быть увеличена еще на 8 недель.\u003Cbr\u003EПри поддерживающей терапии гастроэзофагеальной рефлюксной болезни рекомендуется принимать внутрь по 10 мг или по 20 мг один раз в день. Длительность лечения зависит от состояния пациента.\u003Cbr\u003EПри неэрозивной гастроэзофагеальной рефлюксной болезни рекомендуется принимать внутрь по 10 мг или по 20 мг один раз в день.\u003Cbr\u003EЕсли после четырех недель лечения симптомы не исчезают, следует провести дополнительное исследование пациента. После купирования симптомов для предупреждения их последующего возникновения следует принимать препарат внутрь в дозе 10 мг один раз в день.\u003Cbr\u003EДля лечения синдрома Золлингера-Эллисона и других состояний, характеризующихся патологической гиперсекрецией дозу подбирают индивидуально. Начальная доза - 60 мг в день, затем дозу повышают и назначают препарат в дозе до 100 мг в день при однократном приеме или по 60 мг два раза в день. Для некоторых пациентов дробное дозирование препарата является предпочтительным. Лечение должно продолжаться по мере клинической необходимости. У некоторых больных с синдромом Золлингера-Эллисона длительность лечения рабепразолом может составлять до одного года.\u003Cbr\u003EДля эрадикации Helicobacter pylori рекомендуется принимать внутрь по 20 мг два раза в день по определенной схеме с соответствующей комбинацией антибиотиков. Длительность лечения составляет 7 дней.\u003Cbr\u003EПациенты с почечной и печеночной недостаточностью.\u003Cbr\u003EКоррекция дозы пациентам с почечной недостаточностью не требуется.\u003Cbr\u003EУ пациентов с легкой и умеренной степенью печеночной недостаточности концентрация рабепразола в крови обычно выше, чем у здоровых пациентов.\u003Cbr\u003EПри назначении препарата Разо пациентам с тяжелой степенью печеночной недостаточности следует соблюдать осторожность.\u003Cbr\u003EПожилые пациенты.\u003Cbr\u003EКоррекция дозы не требуется.\u003Cbr\u003EДети.\u003Cbr\u003EБезопасность и эффективность применения рабепразола у детей в возрасте 12 лет и старше установлена для краткосрочного (до 8 недель) лечения ГЭРБ. Рекомендуемая доза для детей в возрасте 12 лет и старше составляет 20 мг 1 раз в день продолжительностью до 8 недель. Безопасность и эффективность рабепразола для применения по другим показаниям не установлена для пациентов детского возраста."},{"name":"Побочные действия","value":"Рабепразол обычно хорошо переносится пациентами. Побочные эффекты в целом слабо выраженные или умеренные и носят преходящий характер.\u003Cbr\u003EЧастота развития побочных эффектов изложена в соответствии со следующей градацией: очень часто (\u003E1/10); часто (1/10 - 1/100); нечасто (1/100 - 1/1000); редко (1/1000 - 1/10000); очень редко (\u003C1/10000).\u003Cbr\u003EНарушения со стороны нервной системы: нечасто - головная боль, головокружение.\n\n\u003Cbr\u003EНарушения со стороны желудочно-кишечного тракта: часто - запор, диарея, боль в животе, сухость слизистой оболочки полости рта, метеоризм; редко - гепатит, желтуха; у пациентов с циррозом печени - печеночная энцефалопатия.\u003Cbr\u003EНарушения со стороны кожи и подкожных тканей: редко - крапивница, буллезные высыпания, синдром Лайелла (токсический эпидермальный некролиз), синдром Стивенса-Джонсона (тяжелая многоформная эритема, характеризующаяся появлением пятен и пузырей на коже и слизистых оболочках на фоне высокой температуры и боли в суставах).\u003Cbr\u003EНарушения со стороны скелетно-мышечной и соединительной ткани: редко - миалгия, артралгия.\u003Cbr\u003EНарушения со стороны почек и мочевыводящих путей: очень редко - интерстициальный нефрит.\u003Cbr\u003EЛабораторные и инструментальные данные: редко - тромбоцитопения, нейтропения, лейкопения, лейкоцитоз, повышение активности \"печеночных\" ферментов (трансаминаз), гипомагниемия.\u003Cbr\u003EВозможно увеличение риска возникновения переломов костей {см. раздел \"Особые указания\")."},{"name":"Фармакологическое действие","value":"Противоязвенный препарат, ингибитор Н+-К+-АТФ-азы.\u003Cbr\u003EМеханизм действия\u003Cbr\u003EРабепразол относится к классу антисекреторных соединений, которые в химическом отношении являются замещенными бензимидазолами. Препарат угнетает активность фермента Н+-К+-АТФ-азы (протоновый насос), блокируя тем самым заключительную стадию синтеза соляной кислоты. Этот эффект носит дозозависимый характер и приводит к угнетению как базальной, так и стимулированной секреции соляной кислоты независимо от раздражителя. Как слабое основание рабепразол в любых дозах быстро абсорбируется и концентрируется в кислой среде париетальных клеток.\u003Cbr\u003EАнтисекреторная активность\u003Cbr\u003EПосле приема внутрь рабепразола в дозе 20 мг антисекреторный эффект развивается в течение 1 ч. Угнетение базальной и стимулированной секреции соляной кислоты через 23 ч после приема первой дозы рабепразола натрия составляет 62% и 82% соответственно и продолжается до 48 ч. Такая продолжительность фармакокинетического действия намного превышает предсказуемое по Т1/2, который составляет примерно 1 ч. Данный эффект возможно объясняется связыванием лекарственного вещества с Н+-К+-АТФ-азой париетальных клеток желудка. Величина ингибирующего действия рабепразола натрия на секрецию кислоты достигает плато после 3 дней приема рабепразола натрия. При прекращении приема секреторная активность восстанавливается в течение 1-2 дней.\u003Cbr\u003EВлияние на концентрацию гастрина в сыворотке крови\u003Cbr\u003EВ начале терапии рабепразолом концентрация гастрина в сыворотке крови увеличивается, что является отражением ингибирующего влияния на секрецию соляной кислоты. Концентрация гастрина возвращается к исходному уровню обычно в течение 1-2 недель после прекращения лечения.\u003Cbr\u003EВлияние на энтерохромаффиноподобные клетки\u003Cbr\u003EИзучение биоптатов дна и антрального отдела желудка более чем у 500 пациентов, получавших рабепразол натрия или препарат сравнения продолжительностью до 8 недель, не выявило изменений в морфологической структуре энтерохромаффиноподобных (ECL) клеток, степени выраженности гастрита, частоте атрофического гастрита, кишечной метаплазии или распространенности инфекции, вызванной Helicobacter pylori.\u003Cbr\u003EВ исследовании с участием более 400 пациентов, получавших рабепразол в дозе 10 мг/сут или 20 мг/сут, продолжительностью до 1 года, частота гиперплазии была низкой и сравнимой с таковой для пациентов, получавших омепразол в дозе 20 мг/сут. Не было зарегистрировано ни одного случая аденоматозных изменений или карциноидных опухолей, наблюдавшихся у крыс.\u003Cbr\u003EДругие эффекты\u003Cbr\u003EВ настоящее время нет данных о том, что рабепразол вызывает системные эффекты со стороны ЦНС, сердечно-сосудистой и дыхательной систем. При приеме внутрь в дозе 20 мг в течение 2 недель рабепразол не оказывал влияния на функцию щитовидной железы, метаболизм углеводов, а также на концентрации в крови паратиреоидного гормона, кортизола, эстрогенов, тестостерона, пролактина, секретина, глюкагона, ФСГ, ЛГ, ренина, альдостерона и соматотропного гормона."},{"name":"Фармакологическая группа","value":"ингибиторы протонного насоса"},{"name":"Форма выпуска","value":"таблетки"},{"name":"Способ применения/введения","value":"пероральный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-pishchevareniia","categoryId":"15756506","navnodeId":"72470","glfilters":["35947170:36763744"]}}},{"name":"Минимальный возраст применения","value":"от 12 лет"},{"name":"Условия хранения","value":"При температуре не выше 25 °С. Хранить в недоступном для детей месте!"},{"name":"Передозировка","value":"Данные о намеренной или случайной передозировке минимальны.\u003Cbr\u003EСимптомы: сообщалось о приеме препарата в дозе 60 мг 2 раза/сут или 160 мг однократно, при этом побочные эффекты были минимальны и обратимы и не требовали медицинского вмешательства.\u003Cbr\u003EЛечение: специфический антидот для препарата Разо неизвестен. Рабепразол хорошо связывается с белками плазмы, поэтому слабо выводится при диализе. При передозировке необходимо проводить симптоматическое и поддерживающее лечение."},{"name":"Применение при беременности и кормлении грудью","value":"Данных по безопасности применения рабепразола во время беременности нет. Исследования репродуктивности на крысах и кроликах не выявили признаков нарушения фертильности или дефектов развития плода, обусловленных рабепразолом; однако у крыс в небольших количествах препарат проникает через плацентарный барьер. Рабепразол не следует применять при беременности. Неизвестно, выделяется ли рабепразол с грудным молоком. Соответствующие исследования у кормящих женщин не проводились. Вместе с тем рабепразол обнаружен в молоке лактирующих крыс, поэтому препарат нельзя применять в период грудного вскармливания."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Исходя из особенностей фармакодинамики рабепразола и его профиля нежелательных эффектов, маловероятно, что препарат Разо оказывает влияние на способность управлять транспортными средствами и выполнять другие виды деятельности, требующие концентрации внимания и быстроты психомоторных реакций. Однако в случае появления сонливости и головокружения следует избегать этих видов деятельности."},{"name":"Особые указания","value":"Ответ пациента на терапию рабепразолом натрия не исключает наличие злокачественных новообразований в желудке. До и после лечения обязателен эндоскопический контроль для исключения злокачественного новообразования, т.к. лечение препаратом может маскировать симптоматику и отстрочить правильную диагностику.\u003Cbr\u003EРекомендуется соблюдать осторожность при первом назначении препарата Разо пациентам с тяжелыми нарушениями функции печени.\u003Cbr\u003EПациентам с нарушениями функции почек или печени коррекция дозы препарата Разо не требуется. AUC рабепразола натрия у пациентов с тяжелым нарушением функции печени примерно в 2 раза выше, чем у здоровых пациентов.\u003Cbr\u003EПрепарат не оказывает влияния на функцию щитовидной железы, метаболизм углеводов, концентрацию в крови паратиреоидного гормона, кортизола, эстрогена, тестостерона, пролактина, холецистокинина, секретина, глюкагона, ФСГ, ЛГ, ренина, альдостерона и соматотропного гормона.\u003Cbr\u003EСогласно данным наблюдательных исследований терапия ингибиторами протоновой помпы может привести к возрастанию риска связанных с остеопорозом переломов бедра, запястья, позвоночника. Риск переломов был увеличен у пациентов, получавших ингибиторы протоновой помпы в высоких дозах 1 год и более."},{"name":"Взаимодействие","value":"В исследованиях in vitro на микросомах печени человека было показано, что рабепразол метаболизируется в печени изоферментами CYP2C19 и CYP3A4.\u003Cbr\u003E\nРабепразол не вступает в клинически значимое взаимодействие с амоксициллином и с другими лекарственными средствами, метаболизируемыми изоферментами системы цитохрома Р450 в печени: варфарином, фенитоином, теофиллином и диазепамом.\u003Cbr\u003E\nВ связи с тем, что рабепразол вызывает выраженное и длительное снижение выработки соляной кислоты, отмечалось взаимодействие при одновременном приеме с препаратами, абсорбция которых зависит от кислотности содержимого желудка. У здоровых добровольцев прием рабепразола вызывал снижение концентрации кетоконазола в плазме крови на 30% и повышение Cmin дигоксина на 22%. При одновременном приеме рабепразола с кетоконазолом или дигоксином необходимо корректировать их дозы.\u003Cbr\u003E\nПри одновременном применении атазанавира 300 мг/ритонавира 100 мг с омепразолом (40 мг 1 раз/сут) или атазанавира 400 мг с лансопразолом (60 мг 1 раз/сут) здоровыми добровольцами наблюдалось существенное снижение воздействия атазанавира. Абсорбция атазанавира зависит от рН. Таким образом, не рекомендуется одновременный прием атазанавира с ингибиторами протонового насоса, включая рабепразол.\u003Cbr\u003E\nПри совместном применении рабепразола с кларитромицином показатели AUC и Сmах в сравнении с монотерапией увеличились для рабепразола на 11% и 34%, а для активного метаболита кларитромицина на 42% и 46% соответственно. Данный эффект используется при проведении эрадикации Helicobacter pylori.\u003Cbr\u003E\nОдновременный прием рабепразола и метотрексата может привести к повышению концентрации метотрексата и его метаболита гидроксиметотрексата и увеличить время их выведения.\u003Cbr\u003E\nНе наблюдалось клинически значимого взаимодействия рабепразола натрия с антацидными препаратами, содержащими гидроксид алюминия или с гидроксид магния.\u003Cbr\u003E\nНе выявлено клинически значимого взаимодействия рабепразола с пищей.\u003Cbr\u003E"},{"name":"Регистрационный номер","value":"ЛП-002666"},{"name":"Дата государственной регистрации","value":"19.10.2022"},{"name":"Владелец регистрационного удостоверения","value":"Dr. Reddy's Laboratories","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-pishchevareniia","categoryId":"15756506","navnodeId":"72470","glfilters":["34324371:35649313","7893318:16077120"]}}},{"name":"Изготовитель","value":"Dr. Reddy's"},{"name":"Фасовщик","value":"Dr. Reddy's"},{"name":"Страна бренда","value":"Индия"},{"name":"Страна-производитель","value":"Индия"},{"name":"Название препарата","value":"Разо","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-pishchevareniia","categoryId":"15756506","navnodeId":"72470","glfilters":["17796364:18008653"]}}},{"name":"Срок годности","value":"35 мес."}]}},"fullSpecsGrouped":{"11949638708757445796":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Органы и системы","value":"желудок, пищеварительная система"},{"name":"Назначение","value":"гастроэзофагиальный рефлюкс, язвенная болезнь желудка и двенадцатиперстной кишки"},{"name":"Показания к применению","value":"Показания к применению\u003Cbr\u003E- язвенная болезнь желудка в стадии обострения и язва анастомоза;\u003Cbr\u003E- язвенная болезнь двенадцатиперстной кишки в стадии обострения;\u003Cbr\u003E- эрозивная и язвенная гастроэзофагеальная рефлтоксная болезнь или рефлюкс-эзофагит;\u003Cbr\u003E- поддерживающая терапия гастроэзофагеальной рефлюксной болезни;\u003Cbr\u003E- неэрозивная гастроэзофагеальная рефлюксная болезнь;\u003Cbr\u003E- синдром Золлингера-Эллисона и другие состояния, характеризуюшиеся патологической гиперсекрецией.\u003Cbr\u003E\n\u003Cbr\u003EВ составе комбинированной терапии:\u003Cbr\u003E- эрадикация Helicobacter pylori у пациентов с язвенной болезнью желудка и двенадцатиперстной кишки или хроническим гастритом."},{"name":"Противопоказания","value":"Повышенная чувствительность к рабепразолу, замещенным бензимидазолам или к вспомогательным компонентам препарата; беременность; период грудного вскармливания (лактации); детский возраст до 12 лет."},{"name":"Состав","value":"1 таб.: рабепразол натрия - 20 мг.\u003Cbr\u003E\nВспомогательные вещества: маннитол - 97.01 мг, гипролоза низкозамещенная - 14.4 мг, магния оксид тяжелый - 40 мг, гипромеллоза (5cps) - 3 мг, натрия лаурилсульфат - 1.8 мг, тальк - 1.54 мг, магния стеарат - 2.25 мг.\u003Cbr\u003E\nСостав оболочки: зеин - 4.9 мг, триэтилцитрат - 0.49 мг. Состав оболочки кишечнорастворимой: сополимер метакриловой кислоты и этилакрилата [1:1] (сополимер метакриловой кислоты (тип С)) - 19.28 мг, триэтилцитрат - 1.92 мг, тальк - 1.04 мг. Состав оболочки: Опадрай желтый OY-52945 - 5.05 мг (гипромеллоза 5 cP - 63.65%, титана диоксид (E171) - 28.55%, макрогол 400 - 6.3%, краситель железа оксид желтый (E172) - 1.5%). Состав красных чернил для нанесения надписи: шеллак глазурь (45%) - 59%, краситель красный очаровательный (E129) - 15%, бутанол - 7%, этанол денатурированный - 6%, титана диоксид (E171) - 5%, пропиленгликоль - 4%, изопропиловый спирт - 3%, аммиака раствор концентрированный 28% - 1%."},{"name":"Действующее вещество","value":"Рабепразол"},{"name":"Способ применения и дозы","value":"Таблетки принимают внутрь целиком, не разжевывая и не измельчая. Установлено, что ни время суток, ни прием пищи не влияют на активность рабепразола.\u003Cbr\u003EПри язвенной болезни желудка в стадии обострения и язве анастомоза рекомендуется принимать внутрь по 10 мг или по 20 мг один раз в день. Обычно излечение наступает после 6 недель терапии, однако в некоторых случаях длительность лечения может быть увеличена еще на 6 недель.\u003Cbr\u003EПри язвенной болезни двенадцатиперстной кишки в стадии обострения рекомендуется принимать внутрь по 20 мг один раз в день. В некоторых случаях лечебный эффект наступает при приеме 10 мг один раз в день. Длительность лечения составляет от 2 до 4 недель. В случае необходимости длительность лечения может быть увеличена еще на 4 недели.\u003Cbr\u003EПри лечении эрозивной гастроэзофагеальной рефлюксной болезни или рефлюкс-эзофагите рекомендуется принимать внутрь по 10 мг или по 20 мг один раз в день. Длительность лечения составляет от 4 до 8 недель. В случае необходимости длительность лечения может быть увеличена еще на 8 недель.\u003Cbr\u003EПри поддерживающей терапии гастроэзофагеальной рефлюксной болезни рекомендуется принимать внутрь по 10 мг или по 20 мг один раз в день. Длительность лечения зависит от состояния пациента.\u003Cbr\u003EПри неэрозивной гастроэзофагеальной рефлюксной болезни рекомендуется принимать внутрь по 10 мг или по 20 мг один раз в день.\u003Cbr\u003EЕсли после четырех недель лечения симптомы не исчезают, следует провести дополнительное исследование пациента. После купирования симптомов для предупреждения их последующего возникновения следует принимать препарат внутрь в дозе 10 мг один раз в день.\u003Cbr\u003EДля лечения синдрома Золлингера-Эллисона и других состояний, характеризующихся патологической гиперсекрецией дозу подбирают индивидуально. Начальная доза - 60 мг в день, затем дозу повышают и назначают препарат в дозе до 100 мг в день при однократном приеме или по 60 мг два раза в день. Для некоторых пациентов дробное дозирование препарата является предпочтительным. Лечение должно продолжаться по мере клинической необходимости. У некоторых больных с синдромом Золлингера-Эллисона длительность лечения рабепразолом может составлять до одного года.\u003Cbr\u003EДля эрадикации Helicobacter pylori рекомендуется принимать внутрь по 20 мг два раза в день по определенной схеме с соответствующей комбинацией антибиотиков. Длительность лечения составляет 7 дней.\u003Cbr\u003EПациенты с почечной и печеночной недостаточностью.\u003Cbr\u003EКоррекция дозы пациентам с почечной недостаточностью не требуется.\u003Cbr\u003EУ пациентов с легкой и умеренной степенью печеночной недостаточности концентрация рабепразола в крови обычно выше, чем у здоровых пациентов.\u003Cbr\u003EПри назначении препарата Разо пациентам с тяжелой степенью печеночной недостаточности следует соблюдать осторожность.\u003Cbr\u003EПожилые пациенты.\u003Cbr\u003EКоррекция дозы не требуется.\u003Cbr\u003EДети.\u003Cbr\u003EБезопасность и эффективность применения рабепразола у детей в возрасте 12 лет и старше установлена для краткосрочного (до 8 недель) лечения ГЭРБ. Рекомендуемая доза для детей в возрасте 12 лет и старше составляет 20 мг 1 раз в день продолжительностью до 8 недель. Безопасность и эффективность рабепразола для применения по другим показаниям не установлена для пациентов детского возраста."},{"name":"Побочные действия","value":"Рабепразол обычно хорошо переносится пациентами. Побочные эффекты в целом слабо выраженные или умеренные и носят преходящий характер.\u003Cbr\u003EЧастота развития побочных эффектов изложена в соответствии со следующей градацией: очень часто (\u003E1/10); часто (1/10 - 1/100); нечасто (1/100 - 1/1000); редко (1/1000 - 1/10000); очень редко (\u003C1/10000).\u003Cbr\u003EНарушения со стороны нервной системы: нечасто - головная боль, головокружение.\n\n\u003Cbr\u003EНарушения со стороны желудочно-кишечного тракта: часто - запор, диарея, боль в животе, сухость слизистой оболочки полости рта, метеоризм; редко - гепатит, желтуха; у пациентов с циррозом печени - печеночная энцефалопатия.\u003Cbr\u003EНарушения со стороны кожи и подкожных тканей: редко - крапивница, буллезные высыпания, синдром Лайелла (токсический эпидермальный некролиз), синдром Стивенса-Джонсона (тяжелая многоформная эритема, характеризующаяся появлением пятен и пузырей на коже и слизистых оболочках на фоне высокой температуры и боли в суставах).\u003Cbr\u003EНарушения со стороны скелетно-мышечной и соединительной ткани: редко - миалгия, артралгия.\u003Cbr\u003EНарушения со стороны почек и мочевыводящих путей: очень редко - интерстициальный нефрит.\u003Cbr\u003EЛабораторные и инструментальные данные: редко - тромбоцитопения, нейтропения, лейкопения, лейкоцитоз, повышение активности \"печеночных\" ферментов (трансаминаз), гипомагниемия.\u003Cbr\u003EВозможно увеличение риска возникновения переломов костей {см. раздел \"Особые указания\")."},{"name":"Фармакологическое действие","value":"Противоязвенный препарат, ингибитор Н+-К+-АТФ-азы.\u003Cbr\u003EМеханизм действия\u003Cbr\u003EРабепразол относится к классу антисекреторных соединений, которые в химическом отношении являются замещенными бензимидазолами. Препарат угнетает активность фермента Н+-К+-АТФ-азы (протоновый насос), блокируя тем самым заключительную стадию синтеза соляной кислоты. Этот эффект носит дозозависимый характер и приводит к угнетению как базальной, так и стимулированной секреции соляной кислоты независимо от раздражителя. Как слабое основание рабепразол в любых дозах быстро абсорбируется и концентрируется в кислой среде париетальных клеток.\u003Cbr\u003EАнтисекреторная активность\u003Cbr\u003EПосле приема внутрь рабепразола в дозе 20 мг антисекреторный эффект развивается в течение 1 ч. Угнетение базальной и стимулированной секреции соляной кислоты через 23 ч после приема первой дозы рабепразола натрия составляет 62% и 82% соответственно и продолжается до 48 ч. Такая продолжительность фармакокинетического действия намного превышает предсказуемое по Т1/2, который составляет примерно 1 ч. Данный эффект возможно объясняется связыванием лекарственного вещества с Н+-К+-АТФ-азой париетальных клеток желудка. Величина ингибирующего действия рабепразола натрия на секрецию кислоты достигает плато после 3 дней приема рабепразола натрия. При прекращении приема секреторная активность восстанавливается в течение 1-2 дней.\u003Cbr\u003EВлияние на концентрацию гастрина в сыворотке крови\u003Cbr\u003EВ начале терапии рабепразолом концентрация гастрина в сыворотке крови увеличивается, что является отражением ингибирующего влияния на секрецию соляной кислоты. Концентрация гастрина возвращается к исходному уровню обычно в течение 1-2 недель после прекращения лечения.\u003Cbr\u003EВлияние на энтерохромаффиноподобные клетки\u003Cbr\u003EИзучение биоптатов дна и антрального отдела желудка более чем у 500 пациентов, получавших рабепразол натрия или препарат сравнения продолжительностью до 8 недель, не выявило изменений в морфологической структуре энтерохромаффиноподобных (ECL) клеток, степени выраженности гастрита, частоте атрофического гастрита, кишечной метаплазии или распространенности инфекции, вызванной Helicobacter pylori.\u003Cbr\u003EВ исследовании с участием более 400 пациентов, получавших рабепразол в дозе 10 мг/сут или 20 мг/сут, продолжительностью до 1 года, частота гиперплазии была низкой и сравнимой с таковой для пациентов, получавших омепразол в дозе 20 мг/сут. Не было зарегистрировано ни одного случая аденоматозных изменений или карциноидных опухолей, наблюдавшихся у крыс.\u003Cbr\u003EДругие эффекты\u003Cbr\u003EВ настоящее время нет данных о том, что рабепразол вызывает системные эффекты со стороны ЦНС, сердечно-сосудистой и дыхательной систем. При приеме внутрь в дозе 20 мг в течение 2 недель рабепразол не оказывал влияния на функцию щитовидной железы, метаболизм углеводов, а также на концентрации в крови паратиреоидного гормона, кортизола, эстрогенов, тестостерона, пролактина, секретина, глюкагона, ФСГ, ЛГ, ренина, альдостерона и соматотропного гормона."},{"name":"Фармакологическая группа","value":"ингибиторы протонного насоса"},{"name":"Форма выпуска","value":"таблетки"},{"name":"Способ применения/введения","value":"пероральный"},{"name":"Минимальный возраст применения","value":"от 12 лет"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"При температуре не выше 25 °С. Хранить в недоступном для детей месте!"},{"name":"Передозировка","value":"Данные о намеренной или случайной передозировке минимальны.\u003Cbr\u003EСимптомы: сообщалось о приеме препарата в дозе 60 мг 2 раза/сут или 160 мг однократно, при этом побочные эффекты были минимальны и обратимы и не требовали медицинского вмешательства.\u003Cbr\u003EЛечение: специфический антидот для препарата Разо неизвестен. Рабепразол хорошо связывается с белками плазмы, поэтому слабо выводится при диализе. При передозировке необходимо проводить симптоматическое и поддерживающее лечение."},{"name":"Применение при беременности и кормлении грудью","value":"Данных по безопасности применения рабепразола во время беременности нет. Исследования репродуктивности на крысах и кроликах не выявили признаков нарушения фертильности или дефектов развития плода, обусловленных рабепразолом; однако у крыс в небольших количествах препарат проникает через плацентарный барьер. Рабепразол не следует применять при беременности. Неизвестно, выделяется ли рабепразол с грудным молоком. Соответствующие исследования у кормящих женщин не проводились. Вместе с тем рабепразол обнаружен в молоке лактирующих крыс, поэтому препарат нельзя применять в период грудного вскармливания."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Исходя из особенностей фармакодинамики рабепразола и его профиля нежелательных эффектов, маловероятно, что препарат Разо оказывает влияние на способность управлять транспортными средствами и выполнять другие виды деятельности, требующие концентрации внимания и быстроты психомоторных реакций. Однако в случае появления сонливости и головокружения следует избегать этих видов деятельности."},{"name":"Особые указания","value":"Ответ пациента на терапию рабепразолом натрия не исключает наличие злокачественных новообразований в желудке. До и после лечения обязателен эндоскопический контроль для исключения злокачественного новообразования, т.к. лечение препаратом может маскировать симптоматику и отстрочить правильную диагностику.\u003Cbr\u003EРекомендуется соблюдать осторожность при первом назначении препарата Разо пациентам с тяжелыми нарушениями функции печени.\u003Cbr\u003EПациентам с нарушениями функции почек или печени коррекция дозы препарата Разо не требуется. AUC рабепразола натрия у пациентов с тяжелым нарушением функции печени примерно в 2 раза выше, чем у здоровых пациентов.\u003Cbr\u003EПрепарат не оказывает влияния на функцию щитовидной железы, метаболизм углеводов, концентрацию в крови паратиреоидного гормона, кортизола, эстрогена, тестостерона, пролактина, холецистокинина, секретина, глюкагона, ФСГ, ЛГ, ренина, альдостерона и соматотропного гормона.\u003Cbr\u003EСогласно данным наблюдательных исследований терапия ингибиторами протоновой помпы может привести к возрастанию риска связанных с остеопорозом переломов бедра, запястья, позвоночника. Риск переломов был увеличен у пациентов, получавших ингибиторы протоновой помпы в высоких дозах 1 год и более."},{"name":"Взаимодействие","value":"В исследованиях in vitro на микросомах печени человека было показано, что рабепразол метаболизируется в печени изоферментами CYP2C19 и CYP3A4.\u003Cbr\u003E\nРабепразол не вступает в клинически значимое взаимодействие с амоксициллином и с другими лекарственными средствами, метаболизируемыми изоферментами системы цитохрома Р450 в печени: варфарином, фенитоином, теофиллином и диазепамом.\u003Cbr\u003E\nВ связи с тем, что рабепразол вызывает выраженное и длительное снижение выработки соляной кислоты, отмечалось взаимодействие при одновременном приеме с препаратами, абсорбция которых зависит от кислотности содержимого желудка. У здоровых добровольцев прием рабепразола вызывал снижение концентрации кетоконазола в плазме крови на 30% и повышение Cmin дигоксина на 22%. При одновременном приеме рабепразола с кетоконазолом или дигоксином необходимо корректировать их дозы.\u003Cbr\u003E\nПри одновременном применении атазанавира 300 мг/ритонавира 100 мг с омепразолом (40 мг 1 раз/сут) или атазанавира 400 мг с лансопразолом (60 мг 1 раз/сут) здоровыми добровольцами наблюдалось существенное снижение воздействия атазанавира. Абсорбция атазанавира зависит от рН. Таким образом, не рекомендуется одновременный прием атазанавира с ингибиторами протонового насоса, включая рабепразол.\u003Cbr\u003E\nПри совместном применении рабепразола с кларитромицином показатели AUC и Сmах в сравнении с монотерапией увеличились для рабепразола на 11% и 34%, а для активного метаболита кларитромицина на 42% и 46% соответственно. Данный эффект используется при проведении эрадикации Helicobacter pylori.\u003Cbr\u003E\nОдновременный прием рабепразола и метотрексата может привести к повышению концентрации метотрексата и его метаболита гидроксиметотрексата и увеличить время их выведения.\u003Cbr\u003E\nНе наблюдалось клинически значимого взаимодействия рабепразола натрия с антацидными препаратами, содержащими гидроксид алюминия или с гидроксид магния.\u003Cbr\u003E\nНе выявлено клинически значимого взаимодействия рабепразола с пищей.\u003Cbr\u003E"},{"name":"Регистрационный номер","value":"ЛП-002666"},{"name":"Дата государственной регистрации","value":"19.10.2022"},{"name":"Владелец регистрационного удостоверения","value":"Dr. Reddy's Laboratories"},{"name":"Изготовитель","value":"Dr. Reddy's"},{"name":"Фасовщик","value":"Dr. Reddy's"},{"name":"Страна бренда","value":"Индия"},{"name":"Страна-производитель","value":"Индия"},{"name":"Название препарата","value":"Разо"},{"name":"Срок годности","value":"35 мес."}]}],"transitionId":"tr_2460592309978576996"}}}}
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Инструкция

Показания к применению

Показания к применению
- язвенная болезнь желудка в стадии обострения и язва анастомоза;
- язвенная болезнь двенадцатиперстной кишки в стадии обострения;
- эрозивная и язвенная гастроэзофагеальная рефлтоксная болезнь или рефлюкс-эзофагит;
- поддерживающая терапия гастроэзофагеальной рефлюксной болезни;
- неэрозивная гастроэзофагеальная рефлюксная болезнь;
- синдром Золлингера-Эллисона и другие состояния, характеризуюшиеся патологической гиперсекрецией.

В составе комбинированной терапии:
- эрадикация Helicobacter pylori у пациентов с язвенной болезнью желудка и двенадцатиперстной кишки или хроническим гастритом.

Противопоказания

Повышенная чувствительность к рабепразолу, замещенным бензимидазолам или к вспомогательным компонентам препарата; беременность; период грудного вскармливания (лактации); детский возраст до 12 лет.

Способ применения и дозы

Таблетки принимают внутрь целиком, не разжевывая и не измельчая. Установлено, что ни время суток, ни прием пищи не влияют на активность рабепразола.
При язвенной болезни желудка в стадии обострения и язве анастомоза рекомендуется принимать внутрь по 10 мг или по 20 мг один раз в день. Обычно излечение наступает после 6 недель терапии, однако в некоторых случаях длительность лечения может быть увеличена еще на 6 недель.
При язвенной болезни двенадцатиперстной кишки в стадии обострения рекомендуется принимать внутрь по 20 мг один раз в день. В некоторых случаях лечебный эффект наступает при приеме 10 мг один раз в день. Длительность лечения составляет от 2 до 4 недель. В случае необходимости длительность лечения может быть увеличена еще на 4 недели.
При лечении эрозивной гастроэзофагеальной рефлюксной болезни или рефлюкс-эзофагите рекомендуется принимать внутрь по 10 мг или по 20 мг один раз в день. Длительность лечения составляет от 4 до 8 недель. В случае необходимости длительность лечения может быть увеличена еще на 8 недель.
При поддерживающей терапии гастроэзофагеальной рефлюксной болезни рекомендуется принимать внутрь по 10 мг или по 20 мг один раз в день. Длительность лечения зависит от состояния пациента.
При неэрозивной гастроэзофагеальной рефлюксной болезни рекомендуется принимать внутрь по 10 мг или по 20 мг один раз в день.
Если после четырех недель лечения симптомы не исчезают, следует провести дополнительное исследование пациента. После купирования симптомов для предупреждения их последующего возникновения следует принимать препарат внутрь в дозе 10 мг один раз в день.
Для лечения синдрома Золлингера-Эллисона и других состояний, характеризующихся патологической гиперсекрецией дозу подбирают индивидуально. Начальная доза - 60 мг в день, затем дозу повышают и назначают препарат в дозе до 100 мг в день при однократном приеме или по 60 мг два раза в день. Для некоторых пациентов дробное дозирование препарата является предпочтительным. Лечение должно продолжаться по мере клинической необходимости. У некоторых больных с синдромом Золлингера-Эллисона длительность лечения рабепразолом может составлять до одного года.
Для эрадикации Helicobacter pylori рекомендуется принимать внутрь по 20 мг два раза в день по определенной схеме с соответствующей комбинацией антибиотиков. Длительность лечения составляет 7 дней.
Пациенты с почечной и печеночной недостаточностью.
Коррекция дозы пациентам с почечной недостаточностью не требуется.
У пациентов с легкой и умеренной степенью печеночной недостаточности концентрация рабепразола в крови обычно выше, чем у здоровых пациентов.
При назначении препарата Разо пациентам с тяжелой степенью печеночной недостаточности следует соблюдать осторожность.
Пожилые пациенты.
Коррекция дозы не требуется.
Дети.
Безопасность и эффективность применения рабепразола у детей в возрасте 12 лет и старше установлена для краткосрочного (до 8 недель) лечения ГЭРБ. Рекомендуемая доза для детей в возрасте 12 лет и старше составляет 20 мг 1 раз в день продолжительностью до 8 недель. Безопасность и эффективность рабепразола для применения по другим показаниям не установлена для пациентов детского возраста.
Полная инструкция
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Разо таб. п/о кш/раств.
Разо таб. п/о кш/раств., 20 мг, 30 шт.
4.9
(65)
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2 вопроса
Инструкция

554 ₽

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4.9
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У продавца:65 оценок·15 отзывов
У всех продавцов:184 оценки·57 отзывов
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user avatar
2 года назад • Роман Соргин • Куплен на Маркете
Достоинства: Лекарство прописал врач по рецепту, как могу оценить достоинства? Принимайте только по рецепту!!!
Недостатки: Все недостатки- это возможная побочка от препарата, она описана в инструкции, принимайте только по назначению врача.
Комментарий: Таблетки привезли быстро, они качественные.
user avatar
6 месяцев назад • Елизавета Н. • Куплен на Маркете
Достоинства: Отлично помогают при гастрите
Недостатки: Их просто нет , может только цена
Комментарий: Хорошее средство при гастрите, мне назначила гастроэнтеролог , теперь при обострении всегда его беру
user avatar
7 месяцев назад • Елена Смирнова • Куплен на Маркете
Комментарий: хороший препарат ,помогает при курсовом лечении от изжоги....
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    Мильгамма р-р для в/м введ., 5 шт.

    Цена 516 ₽ вместо 593
  • Сорбифер дурулес таб. п/о, 50 шт.
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    Сорбифер дурулес таб. п/о, 50 шт.

    Цена 930 ₽ вместо 1 042
  • Янтарная кислота для укрепления иммунитета, нормализации сна, для стрессоустойчивости, для похудения 60 капс
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    Янтарная кислота для укрепления иммунитета, нормализации сна, для стрессоустойчивости, для похудения 60 капс

    Цена 371 ₽ вместо 721
  • 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 236 ₽ вместо 238
  • 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 396 ₽ вместо 606
  • Жидкий пластырь Fixplast c пантенолом, 60 мл
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    Жидкий пластырь Fixplast c пантенолом, 60 мл

    Цена 318 ₽ вместо 399
  • Газоотводная трубка для новорожденных "Longmed+", розовая
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    Газоотводная трубка для новорожденных "Longmed+", розовая

    Цена 351 ₽ вместо 650
  • Вата медицинская, хирургическая, стерильная фасованная, 100 г
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    Вата медицинская, хирургическая, стерильная фасованная, 100 г

    Цена 230 ₽ вместо 944
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    Реклама
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  • Магне-В6 р-р д/вн. приема амп., 10 шт.
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    Магне-В6 р-р д/вн. приема амп., 10 шт.

    Цена 660 ₽ вместо 667
  • Марля медицинская повышенной плотности, отрез 3 метра
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    Марля медицинская повышенной плотности, отрез 3 метра

    Цена 157 ₽ вместо 199
  • Nutrien Стандарт стерилизованный, готовое к употреблению, 200 мл, карамель
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:242789617_11/content/content/toggleWishlist":{"skuId":"100491850271","productId":242789617,"offerId":"AXs7XLvSp07lgUlrvrVLtg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ/Zf86Kihyrc1EhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCPHZ4nMQn+SfrvYCGPiMkgUgmI/VBw==","sign":"ZAnJ41xGARj9v7raZ5x/u0g17huHqCzZfk9TnICD6Yw="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:242789617_11/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Nutrien Стандарт стерилизованный, готовое к употреблению, 200 мл, карамель

    Цена 195 ₽ вместо 221
  • Марля медицинская, отрез 10 метров
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    Марля медицинская, отрез 10 метров

    Цена 307 ₽ вместо 350
  • Таблетница на 1 день, контейнер для таблеток и витаминов на 1 день Immunit/ в упаковке 3 штуки
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    Таблетница на 1 день, контейнер для таблеток и витаминов на 1 день Immunit/ в упаковке 3 штуки

    Цена 154 ₽ вместо 234
  • Газоотводная трубка для новорожденных "Longmed+", белая
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    Газоотводная трубка для новорожденных "Longmed+", белая

    Цена 351 ₽ вместо 650
  • Магне B6 таб. п/о, 100 шт.
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    Магне B6 таб. п/о, 100 шт.

    Цена 1 179 ₽ вместо 1 267
  • Спринцовка / Спринцовка эротик / Клизма
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    Спринцовка / Спринцовка эротик / Клизма

    Цена 459 ₽ вместо 999
  • Эвалар чай Турбослим Очищение ф/п, 2 г, 20 шт.
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    Эвалар чай Турбослим Очищение ф/п, 2 г, 20 шт.

    Цена 358 ₽ вместо 362
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