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Редуксин капс., 10 мг+158,5 мг, 90 шт.

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4.9
(22)
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Дозировка: 10 мг+158,5 мг

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Количество штук в упаковке, шт.: 90

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Коротко о товаре

Артикул Маркета
4453165243
Тип препарата
Назначение
Действующее вещество
Возраст
от 18 лет
Инструкция
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снотворных препаратов, содержащих триптофан, а также других препаратов центрального действия для снижения массы тела или для лечения психических расстройств;\u003Cbr\u003E- сердечно-сосудистые заболевания (в анамнезе и в настоящее время): ишемическая болезнь сердца (инфаркт миокарда (ИМ), стенокардия); хроническая сердечная недостаточность в стадии декомпенсации, окклюзирующие заболевания периферических артерий, тахикардия, аритмия, цереброваскулярные заболевания (инсульт, транзиторные нарушения мозгового кровообращения);\u003Cbr\u003E- неконтролируемая артериальная гипертензия (артериальное давление (АД) выше 145/90 мм рт.ст.));\u003Cbr\u003E- тиреотоксикоз;\u003Cbr\u003E- тяжелые нарушения функции печени и/или почек;\u003Cbr\u003E- доброкачественная гиперплазия предстательной железы;\u003Cbr\u003E- феохромоцитома;\u003Cbr\u003E- закрытоугольная глаукома;\u003Cbr\u003E- установленная фармакологическая, наркотическая или алкогольная зависимость;\u003Cbr\u003E- беременность и период грудного вскармливания;\u003Cbr\u003E- возраст до 18 лет и старше 65 лет."},{"name":"Состав","value":"Состав на 1 капсулу для дозировки 10 мг +158.5 мг:\u003Cbr\u003EАктивные вещества:\u003Cbr\u003EСибутрамина гидрохлорида моногидрат - 10 мг; целлюлоза микрокристаллическая - 158,5 мг.\u003Cbr\u003EВспомогательные вещества:\u003Cbr\u003EКальция стеарат - 1,5 мг.\u003Cbr\u003EСостав капсулы: титана диоксид - 2,0000 %, краситель азорубин - 0,0041 %, краситель бриллиантовый голубой - 0,0441 %, желатин - до 100 %.\u003Cbr\u003EСостав на 1 капсулу для дозировки 15 мг + 153,5 мг:\u003Cbr\u003EАктивные вещества:\u003Cbr\u003EСибутрамина гидрохлорида моногидрат - 15 мг; целлюлоза микрокристаллическая - 153,5 мг.\u003Cbr\u003EВспомогательные вещества:\u003Cbr\u003EКальция стеарат - 1,5 мг.\u003Cbr\u003EСостав капсулы: титана диоксид - 2,0000 %, краситель синий патентованный - 0,2737 %, желатин - до 100 %."},{"name":"Действующее вещество","value":"Сибутрамин+[Микрокристаллическая целлюлоза]","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-pishchevareniia","categoryId":"15756506","navnodeId":"72470","glfilters":["27144131:36089417"]}}},{"name":"Способ применения и дозы","value":"Редуксин принимается внутрь 1 раз в сутки. Дозу устанавливают индивидуально, в зависимости от переносимости и клинической эффективности.\u003Cbr\u003EРекомендуется начальная доза 10 мг/сутки, при плохой переносимости возможен прием 5 мг/сут. Капсулы следует принимать утром, не разжевывая и запивая достаточным количеством жидкости (стакан воды). Препарат можно принимать как натощак, так и сочетать с приемом пищи. Если в течение 4 недель от начала лечения не достигнуто снижение массы тела менее 2 кг, то доза увеличивается до 15 мг/сут. Лечение препаратом Редуксин не должно продолжаться более 3 месяцев у пациентов, которые недостаточно хорошо реагируют на терапию, т.е. которым в течение 3 месяцев лечения не удается достичь снижения массы тела на 5 % от исходного показателя. Лечение не следует продолжать, если при дальнейшей терапии, после достигнутого снижения массы тела, пациент вновь прибавляет в массе тела 3 кг и более. Длительность лечения не должна превышать 1 года, поскольку в отношении более продолжительного периода приема сибутрамина данные об эффективности и безопасности отсутствуют. Лечение препаратом Редуксин должно осуществляться в комплексе с диетой и физическими упражнениями под контролем врача, имеющего практический опыт лечения ожирения."},{"name":"Побочные действия","value":"Чаще всего побочные эффекты возникают в начале лечения (в первые 4 недели). Их выраженность и частота с течением времени ослабевают. Побочные эффекты носят, в целом, нетяжелый и обратимый характер. Побочные эффекты, в зависимости от воздействия на органы и системы органов, представлены в следующем порядке: очень часто (\u003E 10 %), часто (≥ 1 %, но ≤ 10 %).\u003Cbr\u003EСо стороны центральной нервной системы очень частыми побочными эффектами являются сухость во рту и бессонница, часто отмечаются головная боль, головокружение, беспокойство, парестезии, а также изменение вкуса.\u003Cbr\u003EСо стороны сердечно-сосудистой системы часто встречаются тахикардия, ощущение сердцебиения, повышение артериального давления, вазодилатация.\u003Cbr\u003EСо стороны системы органов пищеварения очень часто наблюдаются потеря аппетита и запор, часто тошнота и обострение геморроя. При склонности к запорам в первые дни необходим контроль за эвакуаторной функцией кишечника. При возникновении запора прием прекращают и принимают слабительное.\u003Cbr\u003EСо стороны кожных покровов часто отмечается повышенное потоотделение.\u003Cbr\u003EВ единичных случаях при лечении сибутрамином описаны следующие нежелательные клинически значимые явления: дисменорея, отеки, гриппоподобный синдром, зуд кожи, боль в спине, боль в животе, парадоксальное повышение аппетита, жажда, ринит, депрессия, сонливость, эмоциональная лабильность, тревожность, раздражительность, нервозность, острый интерстициальный нефрит, кровотечения, пурпура Шенлейн-Геноха (кровоизлияния в кожу), судороги, тромбоцитопения, транзиторное повышение активности \"печеночных\" ферментов в крови. Изменения сердечно-сосудистой системы. Наблюдается умеренный подъем артериального давления в покое на 1-3 мм рт.ст. и умеренное увеличение пульса на 3-7 ударов в минуту. В отдельных случаях не исключаются более выраженные повышения артериального давления и частоты сердечных сокращений. Клинически значимые изменения артериального давления и пульса регистрируются преимущественно в начале лечения (в первые 4-8 недель).\u003Cbr\u003EПрименение препарата Редуксин у пациентов с повышенным артериальным давлением: смотри раздел \"Противопоказания\" и \"Особые указания\".\u003Cbr\u003EВ ходе постмаркетинговых исследований были описаны дополнительные побочные реакции, перечисленные ниже по системам органов:\u003Cbr\u003EСо стороны сердечно-сосудистой системы: мерцательная аритмия.\u003Cbr\u003EСо стороны иммунной системы: реакции гиперчувствительности (от умеренных высыпаний на коже и крапивницы до ангионевротического отека (отека Квинке) и анафилаксии).\u003Cbr\u003EПсихические расстройства: психоз, состояния суицидально направленного мышления, суицид и мания. При возникновении подобных состояний препарат необходимо отменить.\u003Cbr\u003EСо стороны нервной системы: судороги, кратковременные нарушения памяти.\u003Cbr\u003EСо стороны органа зрения: затуманивание зрения (\"пелена перед глазами\").\u003Cbr\u003EСо стороны системы органов пищеварения: диарея, рвота.\u003Cbr\u003EСо стороны кожи и подкожной клетчатки: алопеция.\u003Cbr\u003EСо стороны почек и мочевыводящих путей: задержка мочи.\u003Cbr\u003EСо стороны репродуктивной системы: нарушения эякуляции/оргазма, импотенция, нарушение менструального цикла, маточные кровотечения."},{"name":"Фармакологическое действие","value":"Редуксин - комбинированный препарат, действие которого обусловлено входящими в его состав компонентами. Сибутрамин является пролекарством и проявляет свое действие за счет метаболитов (первичных и вторичных аминов), ингибирующих обратный захват моноаминов (серотонина, норадреналина и дофамина). Увеличение содержания в синапсах нейротрансмиттеров повышает активность центральных 5НТ-серотониновых и адренергических рецепторов, что способствует увеличению чувства насыщения и снижению потребности в пище, а также увеличению термопродукции. Опосредованно активируя бета3-адренорецепторы, сибутрамин воздействует на бурую жировую ткань. Снижение массы тела сопровождается увеличением концентрации в плазме крови липопротеинов высокой плотности (ЛПВП) и понижением количества триглицеридов, общего холестерина, липопротеинов низкой плотности (ЛПНП) и мочевой кислоты. Сибутрамин и его метаболиты не влияют на высвобождение моноаминов, не ингибируют моноаминооксидазу (МАО); обладают низким сродством к большому числу нейромедиаторных рецепторов, включая серотониновые (5-HT1, 5HT1A, 5-Н1В, 5-НТ2С), адренергические (бета1, бета2, бета3, альфа1, альфа2), дофаминовые (D1, D2), мускариновые, гистаминовые (H1), бензодиазепиновые и глутаматные (NMDA) рецепторы. Целлюлоза микрокристаллическая является энтеросорбентом, обладает сорбционными свойствами и неспецифическим дезинтоксикационным действием. Связывает и выводит из организма различные микроорганизмы, продукты их жизнедеятельности, токсины экзогенной и эндогенной природы, аллергены, ксенобиотики, а также избыток некоторых продуктов обмена веществ и метаболитов, ответственных за развитие эндогенного токсикоза."},{"name":"Фармакологическая группа","value":"ожирения средство лечения"},{"name":"Форма выпуска","value":"капсулы"},{"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 18 лет"},{"name":"Условия хранения","value":"В сухом месте при температуре не выше + 25 °С. Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"Имеются крайне ограниченные данные по поводу передозировки сибутрамина. Наиболее часто встречающиеся неблагоприятные реакции, связанные с передозировкой: тахикардия, повышение артериального давления, головная боль, головокружение. Следует известить своего лечащего врача в случае предполагаемой передозировки.\u003Cbr\u003EСпециального лечения и специфических антидотов не существует. Необходимо выполнять общие мероприятия: обеспечить свободное дыхание, наблюдать за состоянием сердечно-сосудистой системы, а также, при необходимости, осуществить поддерживающую симптоматическую терапию. Своевременное применение активированного угля, а также промывание желудка может уменьшить поступление сибутрамина в организм. Пациентам с повышенным артериальным давлением и тахикардией можно назначить бета-адреноблокаторы. Эффективность форсированного диуреза или гемодиализа не установлена."},{"name":"Применение при беременности и кормлении грудью","value":"Поскольку до настоящего времени не имеется достаточно большого количества исследований в отношении безопасности воздействия сибутрамина на плод, данный препарат противопоказан в период беременности. Женщины, находящиеся в репродуктивном возрасте, во время приема препарата Редуксин должны пользоваться контрацептивными средствами.\u003Cbr\u003EПротивопоказано принимать Редуксин во время грудного вскармливания."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Прием препарата Редуксин может ограничить способность к управлению транспортными средствами и механизмами. В период применения препарата Редуксин необходимо соблюдать осторожность при управлении транспортными средствами и занятии другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций."},{"name":"Особые указания","value":"С осторожностью следует назначать препарат при следующих состояниях: аритмии в анамнезе, хронической недостаточности кровообращения, заболеваниях коронарных артерий (в том числе в анамнезе), кроме ишемической болезни сердца (ИМ, стенокардии); глаукоме, кроме закрытоугольной глаукомы, холелитиазе, артериальной гипертензии (контролируемой и в анамнезе), неврологических нарушениях, включая задержку умственного развития и судороги (в том числе в анамнезе), эпилепсии, нарушении функции печени и/или почек легкой и средней степени тяжести, моторных и вербальных тиках в анамнезе, склонности к кровотечению, нарушению свертываемости крови, приеме препаратов, влияющих на гемостаз или функцию тромбоцитов.\u003Cbr\u003EРедуксин следует применять только в тех случаях, когда все немедикаментозные мероприятия по снижению массы тела малоэффективны - если снижение массы тела в течение 3 месяцев составило менее 5 кг. Лечение препаратом Редуксин должно осуществляться в рамках комплексной терапии по снижению массы тела под контролем врача, имеющего практический опыт лечения ожирения. Комплексная терапия включает в себя как изменение диеты и образа жизни, так и увеличение физической активности. Важным компонентом терапии является создание предпосылок к стойкому изменению пищевого поведения и образа жизни, которые необходимы для сохранения достигнутого снижения массы тела и после отмены медикаментозной терапии. Пациентам необходимо в рамках терапии препаратом Редуксин® изменить свой жизненный уклад и привычки таким образом, чтобы после завершения лечения обеспечить сохранение достигнутого уменьшения массы тела.\u003Cbr\u003EПациенты должны четко представлять себе, что несоблюдение этих требований приведет к повторному увеличению массы тела и повторным обращениям к лечащему врачу. У пациентов, принимающих Редуксин®, необходимо регулярно измерять артериальное давление и частоту сердечных сокращений. В первые 3 месяца лечения эти параметры следует контролировать каждые 2 недели, а затем ежемесячно. Если во время двух визитов подряд выявляется увеличение частоты сердечных сокращений в покое ≥ 10 ударов в минуту или систолического/диастолического давления ≥ 10 мм рт.ст., необходимо прекратить лечение. У пациентов с артериальной гипертензией, у которых на фоне гипотензивной терапии артериальное давление выше 145/90 мм рт.ст., этот контроль должен проводиться особенно тщательно и, при необходимости, через более короткие интервалы. У пациентов, у которых артериальное давление дважды при повторном измерении превышало уровень 145/90 мм рт.ст., лечение препаратом Редуксин® должно быть отменено (см. раздел \"Побочное действие\").\u003Cbr\u003EУ пациентов с синдромом апноэ во сне необходимо особенно тщательно контролировать артериальное давление.\u003Cbr\u003EОсобого внимания требует одновременное назначение препаратов, увеличивающих интервал QT. К этим препаратам относятся Н1-гистаминоблокаторы (астемизол, терфенадин); антиаритмические препараты, увеличивающие интервал QT (амиодарон, хинидин, флекаинид, мексилетин, пропафенон, соталол); стимулятор моторики желудочно-кишечного тракта цизаприд; пимозид, сертиндол и трициклические антидепрессанты. Это касается и состояний, которые способны приводить к увеличению интервала QT, таких как, гипокалиемия и гипомагниемия (см. также раздел \"Взаимодействие с другими лекарственными средствами\").\u003Cbr\u003EИнтервал между приемом ингибиторов МАО (в том числе фуразолидона, прокарбазина, селегилина) и препарата Редуксин должен составлять не менее 2 недель.\u003Cbr\u003EХотя не установлена связь между приемом препарата Редуксин и развитием первичной легочной гипертензии, однако, учитывая общеизвестный риск препаратов данной группы, при регулярном медицинском контроле необходимо особое внимание обращать на такие симптомы, как прогрессирующее диспноэ (нарушение дыхания), боль в грудной клетке и отеки на ногах.\u003Cbr\u003EПри пропуске дозы препарата Редуксин не следует принимать в следующий прием двойную дозу препарата, рекомендовано продолжать дальнейший прием препарата по предписанной схеме.\u003Cbr\u003EДлительность приема препарата Редуксин не должна превышать 1 года.\u003Cbr\u003EПри совместном приеме сибутрамина и других ингибиторов обратного захвата серотонина существует повышенный риск развития кровотечений. У пациентов, предрасположенных к кровотечениям, а также принимающих препараты, влияющие на гемостаз или функцию тромбоцитов, сибутрамин следует применять с осторожностью.\u003Cbr\u003EХотя клинические данные о привыкании к сибутрамину отсутствуют, следует выяснить, не было ли в анамнезе пациента случаев лекарственной зависимости, и обратить внимание на возможные признаки злоупотребления лекарственными препаратами."},{"name":"Взаимодействие","value":"Ингибиторы микросомального окисления, в том числе ингибиторы изофермента CYP3 А4 (кетоконазол, эритромицин, циклоспорин и др.) повышают в плазме крови концентрации метаболитов сибутрамина с повышением частоты сердечных сокращений и клинически несущественным увеличением интервала QT. Рифампицин, антибиотики из группы макролидов, фенитоин, карбамазепин, фенобарбитал и дексаметазон могут ускорять метаболизм сибутрамина. Одновременное применение нескольких препаратов, повышающих содержание серотонина в плазме крови, может привести к развитию серьезного взаимодействия. Так называемый серотониновый синдром может развиться в редких случаях при одновременном применении препарата Редуксин® с селективными ингибиторами обратного захвата серотонина (препаратами для лечения депрессии), с некоторыми препаратами для лечения мигрени (суматриптан, дигидроэрготамин), с сильнодействующими анальгетиками (пентазоцин, петидин, фентанил) или противокашлевыми препаратами (декстрометорфан). Сибутрамин не влияет на действие пероральных контрацептивных средств. При одновременном приеме сибутрамина и алкоголя не было отмечено усиления негативного действия алкоголя. Однако алкоголь абсолютно не сочетается с рекомендуемыми при приеме сибутрамина диетическими мероприятиями.\u003Cbr\u003EПри одновременном применении с сибутрамином других препаратов, влияющих на гемостаз или функцию тромбоцитов, увеличивается риск развития кровотечений. Лекарственное взаимодействие при одновременном применении сибутрамина с препаратами, повышающими артериальное давление и частоту сердечных сокращений, в настоящее время недостаточно полно изучено. Эта группа препаратов включает деконгестанты, противокашлевые, противопростудные и противоаллергические препараты, в состав которых входят эфедрин или псевдоэфедрин. Поэтому в случаях одновременного приема этих препаратов с сибутрамином следует соблюдать осторожность. Совместное применение сибутрамина с препаратами для снижения массы тела, действующими на центральную нервную систему, или препаратами для лечения психических расстройств противопоказано."},{"name":"Регистрационный номер","value":"ЛС-002110"},{"name":"Дата государственной регистрации","value":"17.09.2019"},{"name":"Владелец регистрационного удостоверения","value":"Промомед Холдингс (Сайпрус) Лимитед","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-pishchevareniia","categoryId":"15756506","navnodeId":"72470","glfilters":["34324371:35649313","7893318:35816890"]}}},{"name":"Изготовитель","value":"ОЗОН"},{"name":"Фасовщик","value":"ОЗОН"},{"name":"Страна бренда","value":"Кипр"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Редуксин","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-pishchevareniia","categoryId":"15756506","navnodeId":"72470","glfilters":["17796364:17852897"]}}},{"name":"Срок годности","value":"718 дн."}]}},"fullSpecsGrouped":{"5595755281989701266":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Органы и системы","value":"пищеварительная система"},{"name":"Назначение","value":"алиментарное ожирение, похудение"},{"name":"Показания к применению","value":"Редуксин показан для снижения массы тела при следующих состояниях:\u003Cbr\u003E- алиментарное ожирение с индексом массы тела (ИМТ) 30 кг/м2 и более;\u003Cbr\u003E- алиментарное ожирение с индексом массы тела 27 кг/м2 и более в сочетании с сахарным диабетом 2 типа и дислипидемией."},{"name":"Противопоказания","value":"- установленная повышенная чувствительность к сибутрамину или к другим компонентам препарата;- наличие органических причин ожирения (например, гипотиреоз);\u003Cbr\u003E- серьезные нарушения питания - нервная анорексия или нервная булимия;\u003Cbr\u003E- психические заболевания;\u003Cbr\u003E- синдром Жиль де ля Туретта (генерализованные тики);\u003Cbr\u003E- одновременный прием ингибиторов МАО (например, фентермина, фенфлурамина, дексфенфлурамина, этиламфетамина, эфедрина) или применение в течение 2 недель до приема препарата Редуксин и 2 недель после окончания его приема других препаратов, действующих на центральную нервную систему, ингибирующих обратный захват серотонина (например, антидепрессантов, нейролептиков); снотворных препаратов, содержащих триптофан, а также других препаратов центрального действия для снижения массы тела или для лечения психических расстройств;\u003Cbr\u003E- сердечно-сосудистые заболевания (в анамнезе и в настоящее время): ишемическая болезнь сердца (инфаркт миокарда (ИМ), стенокардия); хроническая сердечная недостаточность в стадии декомпенсации, окклюзирующие заболевания периферических артерий, тахикардия, аритмия, цереброваскулярные заболевания (инсульт, транзиторные нарушения мозгового кровообращения);\u003Cbr\u003E- неконтролируемая артериальная гипертензия (артериальное давление (АД) выше 145/90 мм рт.ст.));\u003Cbr\u003E- тиреотоксикоз;\u003Cbr\u003E- тяжелые нарушения функции печени и/или почек;\u003Cbr\u003E- доброкачественная гиперплазия предстательной железы;\u003Cbr\u003E- феохромоцитома;\u003Cbr\u003E- закрытоугольная глаукома;\u003Cbr\u003E- установленная фармакологическая, наркотическая или алкогольная зависимость;\u003Cbr\u003E- беременность и период грудного вскармливания;\u003Cbr\u003E- возраст до 18 лет и старше 65 лет."},{"name":"Состав","value":"Состав на 1 капсулу для дозировки 10 мг +158.5 мг:\u003Cbr\u003EАктивные вещества:\u003Cbr\u003EСибутрамина гидрохлорида моногидрат - 10 мг; целлюлоза микрокристаллическая - 158,5 мг.\u003Cbr\u003EВспомогательные вещества:\u003Cbr\u003EКальция стеарат - 1,5 мг.\u003Cbr\u003EСостав капсулы: титана диоксид - 2,0000 %, краситель азорубин - 0,0041 %, краситель бриллиантовый голубой - 0,0441 %, желатин - до 100 %.\u003Cbr\u003EСостав на 1 капсулу для дозировки 15 мг + 153,5 мг:\u003Cbr\u003EАктивные вещества:\u003Cbr\u003EСибутрамина гидрохлорида моногидрат - 15 мг; целлюлоза микрокристаллическая - 153,5 мг.\u003Cbr\u003EВспомогательные вещества:\u003Cbr\u003EКальция стеарат - 1,5 мг.\u003Cbr\u003EСостав капсулы: титана диоксид - 2,0000 %, краситель синий патентованный - 0,2737 %, желатин - до 100 %."},{"name":"Действующее вещество","value":"Сибутрамин+[Микрокристаллическая целлюлоза]"},{"name":"Способ применения и дозы","value":"Редуксин принимается внутрь 1 раз в сутки. Дозу устанавливают индивидуально, в зависимости от переносимости и клинической эффективности.\u003Cbr\u003EРекомендуется начальная доза 10 мг/сутки, при плохой переносимости возможен прием 5 мг/сут. Капсулы следует принимать утром, не разжевывая и запивая достаточным количеством жидкости (стакан воды). Препарат можно принимать как натощак, так и сочетать с приемом пищи. Если в течение 4 недель от начала лечения не достигнуто снижение массы тела менее 2 кг, то доза увеличивается до 15 мг/сут. Лечение препаратом Редуксин не должно продолжаться более 3 месяцев у пациентов, которые недостаточно хорошо реагируют на терапию, т.е. которым в течение 3 месяцев лечения не удается достичь снижения массы тела на 5 % от исходного показателя. Лечение не следует продолжать, если при дальнейшей терапии, после достигнутого снижения массы тела, пациент вновь прибавляет в массе тела 3 кг и более. Длительность лечения не должна превышать 1 года, поскольку в отношении более продолжительного периода приема сибутрамина данные об эффективности и безопасности отсутствуют. Лечение препаратом Редуксин должно осуществляться в комплексе с диетой и физическими упражнениями под контролем врача, имеющего практический опыт лечения ожирения."},{"name":"Побочные действия","value":"Чаще всего побочные эффекты возникают в начале лечения (в первые 4 недели). Их выраженность и частота с течением времени ослабевают. Побочные эффекты носят, в целом, нетяжелый и обратимый характер. Побочные эффекты, в зависимости от воздействия на органы и системы органов, представлены в следующем порядке: очень часто (\u003E 10 %), часто (≥ 1 %, но ≤ 10 %).\u003Cbr\u003EСо стороны центральной нервной системы очень частыми побочными эффектами являются сухость во рту и бессонница, часто отмечаются головная боль, головокружение, беспокойство, парестезии, а также изменение вкуса.\u003Cbr\u003EСо стороны сердечно-сосудистой системы часто встречаются тахикардия, ощущение сердцебиения, повышение артериального давления, вазодилатация.\u003Cbr\u003EСо стороны системы органов пищеварения очень часто наблюдаются потеря аппетита и запор, часто тошнота и обострение геморроя. При склонности к запорам в первые дни необходим контроль за эвакуаторной функцией кишечника. При возникновении запора прием прекращают и принимают слабительное.\u003Cbr\u003EСо стороны кожных покровов часто отмечается повышенное потоотделение.\u003Cbr\u003EВ единичных случаях при лечении сибутрамином описаны следующие нежелательные клинически значимые явления: дисменорея, отеки, гриппоподобный синдром, зуд кожи, боль в спине, боль в животе, парадоксальное повышение аппетита, жажда, ринит, депрессия, сонливость, эмоциональная лабильность, тревожность, раздражительность, нервозность, острый интерстициальный нефрит, кровотечения, пурпура Шенлейн-Геноха (кровоизлияния в кожу), судороги, тромбоцитопения, транзиторное повышение активности \"печеночных\" ферментов в крови. Изменения сердечно-сосудистой системы. Наблюдается умеренный подъем артериального давления в покое на 1-3 мм рт.ст. и умеренное увеличение пульса на 3-7 ударов в минуту. В отдельных случаях не исключаются более выраженные повышения артериального давления и частоты сердечных сокращений. Клинически значимые изменения артериального давления и пульса регистрируются преимущественно в начале лечения (в первые 4-8 недель).\u003Cbr\u003EПрименение препарата Редуксин у пациентов с повышенным артериальным давлением: смотри раздел \"Противопоказания\" и \"Особые указания\".\u003Cbr\u003EВ ходе постмаркетинговых исследований были описаны дополнительные побочные реакции, перечисленные ниже по системам органов:\u003Cbr\u003EСо стороны сердечно-сосудистой системы: мерцательная аритмия.\u003Cbr\u003EСо стороны иммунной системы: реакции гиперчувствительности (от умеренных высыпаний на коже и крапивницы до ангионевротического отека (отека Квинке) и анафилаксии).\u003Cbr\u003EПсихические расстройства: психоз, состояния суицидально направленного мышления, суицид и мания. При возникновении подобных состояний препарат необходимо отменить.\u003Cbr\u003EСо стороны нервной системы: судороги, кратковременные нарушения памяти.\u003Cbr\u003EСо стороны органа зрения: затуманивание зрения (\"пелена перед глазами\").\u003Cbr\u003EСо стороны системы органов пищеварения: диарея, рвота.\u003Cbr\u003EСо стороны кожи и подкожной клетчатки: алопеция.\u003Cbr\u003EСо стороны почек и мочевыводящих путей: задержка мочи.\u003Cbr\u003EСо стороны репродуктивной системы: нарушения эякуляции/оргазма, импотенция, нарушение менструального цикла, маточные кровотечения."},{"name":"Фармакологическое действие","value":"Редуксин - комбинированный препарат, действие которого обусловлено входящими в его состав компонентами. Сибутрамин является пролекарством и проявляет свое действие за счет метаболитов (первичных и вторичных аминов), ингибирующих обратный захват моноаминов (серотонина, норадреналина и дофамина). Увеличение содержания в синапсах нейротрансмиттеров повышает активность центральных 5НТ-серотониновых и адренергических рецепторов, что способствует увеличению чувства насыщения и снижению потребности в пище, а также увеличению термопродукции. Опосредованно активируя бета3-адренорецепторы, сибутрамин воздействует на бурую жировую ткань. Снижение массы тела сопровождается увеличением концентрации в плазме крови липопротеинов высокой плотности (ЛПВП) и понижением количества триглицеридов, общего холестерина, липопротеинов низкой плотности (ЛПНП) и мочевой кислоты. Сибутрамин и его метаболиты не влияют на высвобождение моноаминов, не ингибируют моноаминооксидазу (МАО); обладают низким сродством к большому числу нейромедиаторных рецепторов, включая серотониновые (5-HT1, 5HT1A, 5-Н1В, 5-НТ2С), адренергические (бета1, бета2, бета3, альфа1, альфа2), дофаминовые (D1, D2), мускариновые, гистаминовые (H1), бензодиазепиновые и глутаматные (NMDA) рецепторы. Целлюлоза микрокристаллическая является энтеросорбентом, обладает сорбционными свойствами и неспецифическим дезинтоксикационным действием. Связывает и выводит из организма различные микроорганизмы, продукты их жизнедеятельности, токсины экзогенной и эндогенной природы, аллергены, ксенобиотики, а также избыток некоторых продуктов обмена веществ и метаболитов, ответственных за развитие эндогенного токсикоза."},{"name":"Фармакологическая группа","value":"ожирения средство лечения"},{"name":"Форма выпуска","value":"капсулы"},{"name":"Способ применения/введения","value":"пероральный"},{"name":"Минимальный возраст применения","value":"от 18 лет"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"В сухом месте при температуре не выше + 25 °С. Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"Имеются крайне ограниченные данные по поводу передозировки сибутрамина. Наиболее часто встречающиеся неблагоприятные реакции, связанные с передозировкой: тахикардия, повышение артериального давления, головная боль, головокружение. Следует известить своего лечащего врача в случае предполагаемой передозировки.\u003Cbr\u003EСпециального лечения и специфических антидотов не существует. Необходимо выполнять общие мероприятия: обеспечить свободное дыхание, наблюдать за состоянием сердечно-сосудистой системы, а также, при необходимости, осуществить поддерживающую симптоматическую терапию. Своевременное применение активированного угля, а также промывание желудка может уменьшить поступление сибутрамина в организм. Пациентам с повышенным артериальным давлением и тахикардией можно назначить бета-адреноблокаторы. Эффективность форсированного диуреза или гемодиализа не установлена."},{"name":"Применение при беременности и кормлении грудью","value":"Поскольку до настоящего времени не имеется достаточно большого количества исследований в отношении безопасности воздействия сибутрамина на плод, данный препарат противопоказан в период беременности. Женщины, находящиеся в репродуктивном возрасте, во время приема препарата Редуксин должны пользоваться контрацептивными средствами.\u003Cbr\u003EПротивопоказано принимать Редуксин во время грудного вскармливания."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Прием препарата Редуксин может ограничить способность к управлению транспортными средствами и механизмами. В период применения препарата Редуксин необходимо соблюдать осторожность при управлении транспортными средствами и занятии другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций."},{"name":"Особые указания","value":"С осторожностью следует назначать препарат при следующих состояниях: аритмии в анамнезе, хронической недостаточности кровообращения, заболеваниях коронарных артерий (в том числе в анамнезе), кроме ишемической болезни сердца (ИМ, стенокардии); глаукоме, кроме закрытоугольной глаукомы, холелитиазе, артериальной гипертензии (контролируемой и в анамнезе), неврологических нарушениях, включая задержку умственного развития и судороги (в том числе в анамнезе), эпилепсии, нарушении функции печени и/или почек легкой и средней степени тяжести, моторных и вербальных тиках в анамнезе, склонности к кровотечению, нарушению свертываемости крови, приеме препаратов, влияющих на гемостаз или функцию тромбоцитов.\u003Cbr\u003EРедуксин следует применять только в тех случаях, когда все немедикаментозные мероприятия по снижению массы тела малоэффективны - если снижение массы тела в течение 3 месяцев составило менее 5 кг. Лечение препаратом Редуксин должно осуществляться в рамках комплексной терапии по снижению массы тела под контролем врача, имеющего практический опыт лечения ожирения. Комплексная терапия включает в себя как изменение диеты и образа жизни, так и увеличение физической активности. Важным компонентом терапии является создание предпосылок к стойкому изменению пищевого поведения и образа жизни, которые необходимы для сохранения достигнутого снижения массы тела и после отмены медикаментозной терапии. Пациентам необходимо в рамках терапии препаратом Редуксин® изменить свой жизненный уклад и привычки таким образом, чтобы после завершения лечения обеспечить сохранение достигнутого уменьшения массы тела.\u003Cbr\u003EПациенты должны четко представлять себе, что несоблюдение этих требований приведет к повторному увеличению массы тела и повторным обращениям к лечащему врачу. У пациентов, принимающих Редуксин®, необходимо регулярно измерять артериальное давление и частоту сердечных сокращений. В первые 3 месяца лечения эти параметры следует контролировать каждые 2 недели, а затем ежемесячно. Если во время двух визитов подряд выявляется увеличение частоты сердечных сокращений в покое ≥ 10 ударов в минуту или систолического/диастолического давления ≥ 10 мм рт.ст., необходимо прекратить лечение. У пациентов с артериальной гипертензией, у которых на фоне гипотензивной терапии артериальное давление выше 145/90 мм рт.ст., этот контроль должен проводиться особенно тщательно и, при необходимости, через более короткие интервалы. У пациентов, у которых артериальное давление дважды при повторном измерении превышало уровень 145/90 мм рт.ст., лечение препаратом Редуксин® должно быть отменено (см. раздел \"Побочное действие\").\u003Cbr\u003EУ пациентов с синдромом апноэ во сне необходимо особенно тщательно контролировать артериальное давление.\u003Cbr\u003EОсобого внимания требует одновременное назначение препаратов, увеличивающих интервал QT. К этим препаратам относятся Н1-гистаминоблокаторы (астемизол, терфенадин); антиаритмические препараты, увеличивающие интервал QT (амиодарон, хинидин, флекаинид, мексилетин, пропафенон, соталол); стимулятор моторики желудочно-кишечного тракта цизаприд; пимозид, сертиндол и трициклические антидепрессанты. Это касается и состояний, которые способны приводить к увеличению интервала QT, таких как, гипокалиемия и гипомагниемия (см. также раздел \"Взаимодействие с другими лекарственными средствами\").\u003Cbr\u003EИнтервал между приемом ингибиторов МАО (в том числе фуразолидона, прокарбазина, селегилина) и препарата Редуксин должен составлять не менее 2 недель.\u003Cbr\u003EХотя не установлена связь между приемом препарата Редуксин и развитием первичной легочной гипертензии, однако, учитывая общеизвестный риск препаратов данной группы, при регулярном медицинском контроле необходимо особое внимание обращать на такие симптомы, как прогрессирующее диспноэ (нарушение дыхания), боль в грудной клетке и отеки на ногах.\u003Cbr\u003EПри пропуске дозы препарата Редуксин не следует принимать в следующий прием двойную дозу препарата, рекомендовано продолжать дальнейший прием препарата по предписанной схеме.\u003Cbr\u003EДлительность приема препарата Редуксин не должна превышать 1 года.\u003Cbr\u003EПри совместном приеме сибутрамина и других ингибиторов обратного захвата серотонина существует повышенный риск развития кровотечений. У пациентов, предрасположенных к кровотечениям, а также принимающих препараты, влияющие на гемостаз или функцию тромбоцитов, сибутрамин следует применять с осторожностью.\u003Cbr\u003EХотя клинические данные о привыкании к сибутрамину отсутствуют, следует выяснить, не было ли в анамнезе пациента случаев лекарственной зависимости, и обратить внимание на возможные признаки злоупотребления лекарственными препаратами."},{"name":"Взаимодействие","value":"Ингибиторы микросомального окисления, в том числе ингибиторы изофермента CYP3 А4 (кетоконазол, эритромицин, циклоспорин и др.) повышают в плазме крови концентрации метаболитов сибутрамина с повышением частоты сердечных сокращений и клинически несущественным увеличением интервала QT. Рифампицин, антибиотики из группы макролидов, фенитоин, карбамазепин, фенобарбитал и дексаметазон могут ускорять метаболизм сибутрамина. Одновременное применение нескольких препаратов, повышающих содержание серотонина в плазме крови, может привести к развитию серьезного взаимодействия. Так называемый серотониновый синдром может развиться в редких случаях при одновременном применении препарата Редуксин® с селективными ингибиторами обратного захвата серотонина (препаратами для лечения депрессии), с некоторыми препаратами для лечения мигрени (суматриптан, дигидроэрготамин), с сильнодействующими анальгетиками (пентазоцин, петидин, фентанил) или противокашлевыми препаратами (декстрометорфан). Сибутрамин не влияет на действие пероральных контрацептивных средств. При одновременном приеме сибутрамина и алкоголя не было отмечено усиления негативного действия алкоголя. Однако алкоголь абсолютно не сочетается с рекомендуемыми при приеме сибутрамина диетическими мероприятиями.\u003Cbr\u003EПри одновременном применении с сибутрамином других препаратов, влияющих на гемостаз или функцию тромбоцитов, увеличивается риск развития кровотечений. Лекарственное взаимодействие при одновременном применении сибутрамина с препаратами, повышающими артериальное давление и частоту сердечных сокращений, в настоящее время недостаточно полно изучено. Эта группа препаратов включает деконгестанты, противокашлевые, противопростудные и противоаллергические препараты, в состав которых входят эфедрин или псевдоэфедрин. Поэтому в случаях одновременного приема этих препаратов с сибутрамином следует соблюдать осторожность. Совместное применение сибутрамина с препаратами для снижения массы тела, действующими на центральную нервную систему, или препаратами для лечения психических расстройств противопоказано."},{"name":"Регистрационный номер","value":"ЛС-002110"},{"name":"Дата государственной регистрации","value":"17.09.2019"},{"name":"Владелец регистрационного удостоверения","value":"Промомед Холдингс (Сайпрус) Лимитед"},{"name":"Изготовитель","value":"ОЗОН"},{"name":"Фасовщик","value":"ОЗОН"},{"name":"Страна бренда","value":"Кипр"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Редуксин"},{"name":"Срок годности","value":"718 дн."}]}],"transitionId":"tr_4077245350356005570"}}}}
Внешний вид товаров и/или упаковки может быть изменён изготовителем и отличаться от изображенных на Яндекс Маркете.
Есть противопоказания, посоветуйтесь с врачом. Отпускается по рецепту врача. Приобретение лекарственных препаратов осуществляется только в торговом зале аптеки

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  • Редуксин Форте таб. п/о плен., 850 мг+10 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-1reuk0fj4a7/toggleWishlist":{"skuId":"651472024","productId":1400799715,"offerId":"ITm4bz3b5QHxBwa2XA2FRw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQmaPtuMLw56dFEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYI44P6mwUQmNnStgIYuouKESDa2cEH","sign":"r/WPudLlRSTEdEqo2u+3pwf8PVlUfPPrFuU5dHFZ/3I="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-1reuk0fj4a7/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Редуксин Форте таб. п/о плен., 850 мг+10 мг, 30 шт.

    Рейтинг товара: 4.3 из 5
    на основе 13 оценок
    Цена 2 679 ₽
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  • Листата мини таб. п/о плен., 60 мг, 20 шт.
    –1 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-3eyvt2uyg4d/toggleWishlist":{"skuId":"663764014","productId":1400799514,"offerId":"1xdPHctTVcJ36ZFLYcn1sA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQmaPtuMLw56dFEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYImoL6mwUQrvjAvAIY1qzBCCDa2cEH","sign":"02VlDtDmxEjqYOrQ7FNJn/63LWIIx2+Pm8Thx5mFJRw="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-3eyvt2uyg4d/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Листата мини таб. п/о плен., 60 мг, 20 шт.

    Рейтинг товара: 4.6 из 5
    на основе 296 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 708 ₽ вместо 715
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  • Орлистат-Акрихин капс., 60 мг, 42 шт.
    –1 %
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    Орлистат-Акрихин капс., 60 мг, 42 шт.

    Рейтинг товара: 4.6 из 5
    на основе 73 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 800 ₽ вместо 808
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  • Редуксин Лайт Усиленная Формула капс., 0.65 г, 30 шт., 1 уп.
    –1 %
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    Редуксин Лайт Усиленная Формула капс., 0.65 г, 30 шт., 1 уп.

    Рейтинг товара: 3.7 из 5
    на основе 23 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 3 306 ₽ вместо 3 339
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  • Редуксин лайт капс., 30 шт.
    –35 %
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    Редуксин лайт капс., 30 шт.

    Рейтинг товара: 3.8 из 5
    на основе 5 оценок
    Цена 2 164 ₽ вместо 3 313
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  • Листата таб. п/о плен., 120 мг, 20 шт.
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    Листата таб. п/о плен., 120 мг, 20 шт.

    Рейтинг товара: 4.7 из 5
    на основе 52 оценки
    Цена 1 096 ₽
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  • Орсотен Слим капс., 60 мг, 42 шт.
    –1 %
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    Орсотен Слим капс., 60 мг, 42 шт.

    Рейтинг товара: 4.1 из 5
    на основе 17 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 1 220 ₽ вместо 1 232
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  • Турбослим блокатор калорий таб., 40 шт.
    –20 %
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    Турбослим блокатор калорий таб., 40 шт.

    Рейтинг товара: 4.4 из 5
    на основе 109 оценок
    Цена 584 ₽ вместо 730
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  • Ксеникал капс., 120 мг, 21 шт.
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    Ксеникал капс., 120 мг, 21 шт.

    Рейтинг товара: 4.8 из 5
    на основе 27 оценок
    Цена 1 012 ₽
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Инструкция

Показания к применению

Редуксин показан для снижения массы тела при следующих состояниях:
- алиментарное ожирение с индексом массы тела (ИМТ) 30 кг/м2 и более;
- алиментарное ожирение с индексом массы тела 27 кг/м2 и более в сочетании с сахарным диабетом 2 типа и дислипидемией.

Противопоказания

- установленная повышенная чувствительность к сибутрамину или к другим компонентам препарата;- наличие органических причин ожирения (например, гипотиреоз);
- серьезные нарушения питания - нервная анорексия или нервная булимия;
- психические заболевания;
- синдром Жиль де ля Туретта (генерализованные тики);
- одновременный прием ингибиторов МАО (например, фентермина, фенфлурамина, дексфенфлурамина, этиламфетамина, эфедрина) или применение в течение 2 недель до приема препарата Редуксин и 2 недель после окончания его приема других препаратов, действующих на центральную нервную систему, ингибирующих обратный захват серотонина (например, антидепрессантов, нейролептиков); снотворных препаратов, содержащих триптофан, а также других препаратов центрального действия для снижения массы тела или для лечения психических расстройств;
- сердечно-сосудистые заболевания (в анамнезе и в настоящее время): ишемическая болезнь сердца (инфаркт миокарда (ИМ), стенокардия); хроническая сердечная недостаточность в стадии декомпенсации, окклюзирующие заболевания периферических артерий, тахикардия, аритмия, цереброваскулярные заболевания (инсульт, транзиторные нарушения мозгового кровообращения);
- неконтролируемая артериальная гипертензия (артериальное давление (АД) выше 145/90 мм рт.ст.));
- тиреотоксикоз;
- тяжелые нарушения функции печени и/или почек;
- доброкачественная гиперплазия предстательной железы;
- феохромоцитома;
- закрытоугольная глаукома;
- установленная фармакологическая, наркотическая или алкогольная зависимость;
- беременность и период грудного вскармливания;
- возраст до 18 лет и старше 65 лет.

Способ применения и дозы

Редуксин принимается внутрь 1 раз в сутки. Дозу устанавливают индивидуально, в зависимости от переносимости и клинической эффективности.
Рекомендуется начальная доза 10 мг/сутки, при плохой переносимости возможен прием 5 мг/сут. Капсулы следует принимать утром, не разжевывая и запивая достаточным количеством жидкости (стакан воды). Препарат можно принимать как натощак, так и сочетать с приемом пищи. Если в течение 4 недель от начала лечения не достигнуто снижение массы тела менее 2 кг, то доза увеличивается до 15 мг/сут. Лечение препаратом Редуксин не должно продолжаться более 3 месяцев у пациентов, которые недостаточно хорошо реагируют на терапию, т.е. которым в течение 3 месяцев лечения не удается достичь снижения массы тела на 5 % от исходного показателя. Лечение не следует продолжать, если при дальнейшей терапии, после достигнутого снижения массы тела, пациент вновь прибавляет в массе тела 3 кг и более. Длительность лечения не должна превышать 1 года, поскольку в отношении более продолжительного периода приема сибутрамина данные об эффективности и безопасности отсутствуют. Лечение препаратом Редуксин должно осуществляться в комплексе с диетой и физическими упражнениями под контролем врача, имеющего практический опыт лечения ожирения.
Полная инструкция
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Редуксин капс.
Редуксин капс., 10 мг+158,5 мг, 90 шт.
4.9
(22)
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49 вопросов
Инструкция

6 179 ₽

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4.9
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У продавца:22 оценки·4 отзыва
У всех продавцов:1298 оценок·369 отзывов
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user avatar
4 месяца назад • Имя скрыто • Куплен на Маркете
Достоинства: действует. принимаю натощак рано утром и стакан воды. кофе без сахара. далее обед и ужин овощи и нежирное мясо. нет алкоголю и сахару. естественно подсчет ккалорий согласно потребностей. помогают не испытывать голод. активируют. пью 1 капсулу рано утром и все. вечером и после обеда нельзя принимать иначе сна не будет. вечером конечно приходится силу воли проявить чтобы не сойти с дистанции. хороший вариант если приложить усилия. волшебства не будет.
Недостатки: обязательно консультация врача. вы должны быть относительно здоровы.
user avatar
3 месяца назад • Надежда • Куплен на Маркете
Достоинства: Качество
Недостатки: Нет
Комментарий: Отлично помогает справиться с аппетитом !
user avatar
2 месяца назад • Имя скрыто • Куплен на Маркете
Достоинства: Работает
Недостатки: Не обнаружено
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    Цена 1 210 ₽ вместо 2 455
  • ЛимфоТранзит концентрат напитка фл., 100 мл
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    ЛимфоТранзит концентрат напитка фл., 100 мл

    Цена 332 ₽ вместо 390
  • Редуксин Форте таб. п/о плен., 850 мг+10 мг, 30 шт.
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    Редуксин Форте таб. п/о плен., 850 мг+10 мг, 30 шт.

    Цена 2 679 ₽
  • Жидкий пластырь Fixplast c пантенолом, 60 мл
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    Жидкий пластырь Fixplast c пантенолом, 60 мл

    Цена 355 ₽ вместо 399
  • Вата стерильная хирургическая 100 г
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1835654219_4/content/content/toggleWishlist":{"skuId":"102068156482","productId":1835654219,"offerId":"_6RczJv64P6Y4mZ2x0VCUg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQmaPtuMLw56dFEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCMu4p+sGEMLw8Z38Ahi/kekGIJ/DBQ==","sign":"/P35HxSNWfs2Hq2GXVW+Z1Exx3veybw/2XjnUsQ5W9k="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1835654219_4/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Вата стерильная хирургическая 100 г

    Цена 173 ₽ вместо 198
  • Эвалар Чай Эвалар БИО при повышенном содержании мочевой кислоты, 20 фильтр-пакетов
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1822884153_5/content/content/gallery":{"title":"Эвалар Чай Эвалар БИО при повышенном содержании мочевой кислоты, 20 фильтр-пакетов","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/11378054/2a0000018b379385e9fc1009e4c696ab8d03/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/11378054/2a0000018b379385e9fc1009e4c696ab8d03/120x160 120w, https://avatars.mds.yandex.net/get-mpic/11378054/2a0000018b379385e9fc1009e4c696ab8d03/180x240 180w, https://avatars.mds.yandex.net/get-mpic/11378054/2a0000018b379385e9fc1009e4c696ab8d03/240x320 240w, https://avatars.mds.yandex.net/get-mpic/11378054/2a0000018b379385e9fc1009e4c696ab8d03/300x400 300w, https://avatars.mds.yandex.net/get-mpic/11378054/2a0000018b379385e9fc1009e4c696ab8d03/600x800 600w","sizes":"(max-width: 1456px) 15vw, 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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1822884153_5/content/content/toggleWishlist":{"skuId":"101964073048","productId":1822884153,"offerId":"qoHywOm9gCjCQpP5zOt1wA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQmaPtuMLw56dFEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCLmCnOUGENiQoez7AhjVu6EGIIv+MQ==","sign":"Lt17q1qxGke4Fov4S58KIXGV0DFLrD2mDvh1MjZJDqg="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1822884153_5/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Эвалар Чай Эвалар БИО при повышенном содержании мочевой кислоты, 20 фильтр-пакетов

    Цена 194 ₽ вместо 224
  • Голдлайн плюс капс., 10 мг+158,5 мг, 10 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1400799532_6/content/content/toggleWishlist":{"skuId":"101456495220","productId":1400799532,"offerId":"A5eudsU7m7ul_RVNxfFhcA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQmaPtuMLw56dFEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCKyC+psFEPSEnfr5AhjWrMEIINrZwQc=","sign":"FNDZ2Bq9JzcBTo+rOH+zzSurpqLV/OOUFfhQnZ3InDI="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1400799532_6/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Голдлайн плюс капс., 10 мг+158,5 мг, 10 шт.

    Цена 702 ₽
  • Листата мини таб. п/о плен., 60 мг, 20 шт.
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    Листата мини таб. п/о плен., 60 мг, 20 шт.

    Цена 708 ₽ вместо 715
  • Реклама
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  • Салфетка с нашатырем для стимуляции дыхания 3х6, 20 шт
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    Салфетка с нашатырем для стимуляции дыхания 3х6, 20 шт

    Цена 199 ₽ вместо 250
  • Орлистат-Акрихин капс., 60 мг, 42 шт.
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    Орлистат-Акрихин капс., 60 мг, 42 шт.

    Цена 800 ₽ вместо 808
  • Редуксин Лайт Усиленная Формула капс., 0.65 г, 30 шт., 1 уп.
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    Редуксин Лайт Усиленная Формула капс., 0.65 г, 30 шт., 1 уп.

    Цена 3 306 ₽ вместо 3 339
  • Пастилки California Gold Nutrition Vitamin D3 gummies со вкусом фруктов и ягод, 280 г, 90 шт.
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    Пастилки California Gold Nutrition Vitamin D3 gummies со вкусом фруктов и ягод, 280 г, 90 шт.

    Цена 421 ₽ вместо 425
  • Флексотрон Соло импл. вязкоэластич. стер. для в/суст. ин., 22 мг/мл, 2 мл, 1 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778175374_13/content/content/gallery":{"title":"Флексотрон Соло импл. вязкоэластич. стер. для в/суст. ин., 22 мг/мл, 2 мл, 1 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/4544006/img_id4573924690977915558.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4544006/img_id4573924690977915558.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4544006/img_id4573924690977915558.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4544006/img_id4573924690977915558.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4544006/img_id4573924690977915558.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4544006/img_id4573924690977915558.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5251502/img_id7830085049915648000.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5251502/img_id7830085049915648000.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5251502/img_id7830085049915648000.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5251502/img_id7830085049915648000.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5251502/img_id7830085049915648000.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5251502/img_id7830085049915648000.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQmaPtuMLw56dFEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCI6b888GELq15cMDGMGn2Aog59zBBw==","sign":"HV47/bRQGKRTZmyNeG1cXAOwT+kuYxo54R/DODxyby8="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778175374_13/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778175374_13/content/content/toggleWishlist":{"skuId":"947477178","productId":1778175374,"offerId":"QLOf5agZyFClTwbQmI-0bQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQmaPtuMLw56dFEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCI6b888GELq15cMDGMGn2Aog59zBBw==","sign":"HV47/bRQGKRTZmyNeG1cXAOwT+kuYxo54R/DODxyby8="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778175374_13/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Флексотрон Соло импл. вязкоэластич. стер. для в/суст. ин., 22 мг/мл, 2 мл, 1 шт.

    Цена 15 939 ₽ вместо 16 100
  • Акваназаль Софт аэр., 150 мл, 120 г, 1 шт., 1 уп.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1767665215_14/content/content/gallery":{"title":"Акваназаль Софт аэр., 150 мл, 120 г, 1 шт., 1 уп.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5220188/img_id8950206855638525611.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5220188/img_id8950206855638525611.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5220188/img_id8950206855638525611.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5220188/img_id8950206855638525611.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5220188/img_id8950206855638525611.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5220188/img_id8950206855638525611.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4370207/img_id2444190599973659561.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4370207/img_id2444190599973659561.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4370207/img_id2444190599973659561.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4370207/img_id2444190599973659561.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4370207/img_id2444190599973659561.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4370207/img_id2444190599973659561.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4345877/img_id5133760612892526506.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4345877/img_id5133760612892526506.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4345877/img_id5133760612892526506.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4345877/img_id5133760612892526506.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4345877/img_id5133760612892526506.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4345877/img_id5133760612892526506.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5232557/img_id3396566504635398323.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5232557/img_id3396566504635398323.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5232557/img_id3396566504635398323.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5232557/img_id3396566504635398323.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5232557/img_id3396566504635398323.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5232557/img_id3396566504635398323.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/7388241/img_id3853740688187439600.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/7388241/img_id3853740688187439600.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/7388241/img_id3853740688187439600.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/7388241/img_id3853740688187439600.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/7388241/img_id3853740688187439600.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/7388241/img_id3853740688187439600.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQmaPtuMLw56dFEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCL/c8coGENym2KH7AhjV1M8GIMXYwQc=","sign":"PUQtvxzGs9847w0Cbz9ZSjByDuQEaKdYGvhdRfiLOGc="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1767665215_14/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
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    Акваназаль Софт аэр., 150 мл, 120 г, 1 шт., 1 уп.

    Цена 285 ₽ вместо 520
  • Силденафил-СЗ таб. п/о плен., 25 мг, 20 шт.
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    Силденафил-СЗ таб. п/о плен., 25 мг, 20 шт.

    Цена 217 ₽
  • Фенибут таб., 250 мг, 10 шт.
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    Фенибут таб., 250 мг, 10 шт.

    Цена 93 ₽
  • Редуксин лайт капс., 30 шт.
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    Редуксин лайт капс., 30 шт.

    Цена 2 164 ₽ вместо 3 313
  • Хило-комод р-р увлажняющий офтальмологический конт., 1 мг/мл, 10 мл, 1 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:459677079_18/content/content/gallery":{"title":"Хило-комод р-р увлажняющий офтальмологический конт., 1 мг/мл, 10 мл, 1 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5252557/img_id3392939239751098261.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5252557/img_id3392939239751098261.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5252557/img_id3392939239751098261.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5252557/img_id3392939239751098261.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5252557/img_id3392939239751098261.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5252557/img_id3392939239751098261.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5318100/img_id1593619127879336567.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5318100/img_id1593619127879336567.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5318100/img_id1593619127879336567.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5318100/img_id1593619127879336567.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5318100/img_id1593619127879336567.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5318100/img_id1593619127879336567.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4076910/img_id2570751416643479510.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4076910/img_id2570751416643479510.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4076910/img_id2570751416643479510.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4076910/img_id2570751416643479510.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4076910/img_id2570751416643479510.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4076910/img_id2570751416643479510.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQmaPtuMLw56dFEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCJe7mNsBEPKYlbz6AhjzwuYGINzcwQc=","sign":"EHRx7LtFIOjl5LF0T/CQQ/kAMiFWMXZs9vu0wc6QuKI="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:459677079_18/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
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    Хило-комод р-р увлажняющий офтальмологический конт., 1 мг/мл, 10 мл, 1 шт.

    Цена 754 ₽ вместо 762
  • Листата таб. п/о плен., 120 мг, 20 шт.
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    Листата таб. п/о плен., 120 мг, 20 шт.

    Цена 1 096 ₽
  • Орсотен Слим капс., 60 мг, 42 шт.
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    Орсотен Слим капс., 60 мг, 42 шт.

    Цена 1 220 ₽ вместо 1 232
  • Реклама
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  • Nutrison (Nutricia) Эдванс, сухая смесь, 332 мл, 322 г, нейтральный
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    Nutrison (Nutricia) Эдванс, сухая смесь, 332 мл, 322 г, нейтральный

    Цена 1 064 ₽ вместо 1 075
  • Магне B6 таб. п/о, 60 шт.
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    Магне B6 таб. п/о, 60 шт.

    Цена 696 ₽ вместо 865
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