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Описание

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Сирдалуд таб., 2 мг, 30 шт.

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4.9
(25)
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Дозировка: 2 мг

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Коротко о товаре

Артикул Маркета
3123175395
Тип препарата
Назначение
Действующее вещество
Возраст
от 18 лет
Инструкция
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Применение препарата Сирдалуд у пациентов данной популяции не рекомендовано."},{"name":"Состав","value":"1 таблетка содержит: действующее вещество: тизанидина гидрохлорид (в пересчете на основание) - 2,288 мг (2,000 мг) / 4,576 мг (4,000 мг); вспомогательные вещества: кремния диоксид коллоидный - 0,300 мг / 0,400 мг, стеариновая кислота - 3,000 мг / 4,000 мг, целлюлоза микрокристаллическая - 74,412 мг / 101,024 мг, лактоза - 80,000 мг / 110,000 мг."},{"name":"Действующее вещество","value":"Тизанидин","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["27144131:28708611"]}}},{"name":"Способ применения и дозы","value":"Препарат Сирдалуд обладает узким терапевтическим индексом и высокой вариабельностью концентрации тизанидина в плазме крови, поэтому необходим тщательный подбор дозы.\u003Cbr\u003EДозу и режим дозирования следует подбирать индивидуально в зависимости от потребностей пациента. Применение препарата в начальной дозе 2 мг 3 раза в день снижает риск развития побочных эффектов.\u003Cbr\u003EПрепарат принимают внутрь. Таблетки 2 мг и 4 мг могут быть разделены на две равные части.\u003Cbr\u003EПри болезненном мышечном спазме препарат Сирдалуд применяют, как правило, в дозе 2 мг или 4 мг 3 раза в сутки.\u003Cbr\u003EВ тяжелых случаях возможно дополнительное применение 2 мг или 4 мг (предпочтительно перед сном из-за возможного усиления сонливости).\u003Cbr\u003EПри спастичности скелетных мышц, обусловленной неврологическими заболеваниями, начальная суточная доза не должна превышать 6 мг, разделенных на 3 приема. Дозу можно повышать постепенно, на 2-4 мг, с интервалами от 3-4 до 7 дней. Как правило, оптимальный терапевтический эффект достигается при суточной дозе от 12 до 24 мг, разделенной на 3 или 4 приема через равные промежутки времени. Не следует превышать дозу 36 мг в сутки.\u003Cbr\u003EПрименение у пациентов старше 65 лет\u003Cbr\u003EОпыт применения препарата Сирдалуд у пациентов в возрасте старше 65 лет и старше ограничен. Рекомендуется начинать терапию с минимальной дозы с постепенным повышением до достижения оптимального соотношения переносимости и эффективности терапии.\u003Cbr\u003EПрименение у пациентов с нарушениями функции почек\u003Cbr\u003EЛечение пациентов с почечной недостаточностью (КК менее 25 мл/мин) рекомендуется начинать с дозы 2 мг 1 раз в день. Повышение дозы проводят малыми \"шагами\" с учетом переносимости и эффективности. При необходимости достижения более выраженного эффекта, рекомендуется сначала увеличить дозу, применяемую 1 раз в сутки, после чего увеличивают кратность применения.\u003Cbr\u003EПрименение у пациентов с нарушениями функции печени\u003Cbr\u003EПрименение препарата Сирдалуд у пациентов с нарушением функции печени тяжелой степени противопоказано.\u003Cbr\u003EУ пациентов с нарушением функции печени средней степени тяжести препарат следует применять с осторожностью; рекомендовано начинать терапию с минимальной дозы, с постепенным повышением до достижения оптимального соотношения переносимости и эффективности терапии. Рекомендации по контролю показателей функции печени указаны в разделе \"Особые указания\".\u003Cbr\u003EПрерывание лечения\u003Cbr\u003EПри прекращении терапии препаратом Сирдалуд с целью уменьшения риска развития рикошетной гипертензии и тахикардии следует медленно снижать дозу до полной отмены препарата, в особенности у пациентов, получающих высокие дозы препарата в течение длительного времени."},{"name":"Побочные действия","value":"При приеме малых доз, рекомендуемых для купирования болезненного мышечного спазма, отмечались сонливость, повышенная утомляемость, головокружение, сухость во рту, снижение АД, тошнота, желудочно-кишечные расстройства, повышение активности печеночных трансаминаз. Обычно вышеописанные побочные реакции умеренно выражены и преходящи.\u003Cbr\u003EПри приеме более высоких доз, рекомендуемых для лечения спастичности, вышеперечисленные HP возникают чаще и более выражены, однако они редко требуют прекращения отмены препарата в связи с тяжестью HP. Кроме того, могут возникать следующие явления: брадикардия, мышечная слабость, бессонница, нарушения сна, галлюцинации, гепатит.\u003Cbr\u003EНежелательные реакции (HP) сгруппированы в соответствии с классификацией органов и систем органов MedDRA, в пределах каждой группы перечислены в порядке уменьшения частоты встречаемости. Для оценки частоты развития HP использованы следующие критерии: очень часто (≥ 1/10); часто (от ≥ 1/100, \u003C 1/10); нечасто (≥ 1/1000, \u003C1/100); редко (≥ 1/10000, \u003C 1/1000); очень редко (\u003C 1/10000), включая отдельные сообщения.\u003Cbr\u003EНарушения со стороны нервной системы: очень часто - сонливость, головокружение.\u003Cbr\u003EНарушения психики: часто - бессонница, нарушения сна.\u003Cbr\u003EНарушения со стороны сердца: нечасто - брадикардия.\u003Cbr\u003EНарушения со стороны сосудов: часто - снижение АД (в отдельных случаях выраженное, вплоть до циркуляторного коллапса и потери сознания).\u003Cbr\u003EНарушения со стороны пищеварительной системы: очень часто - желудочно-кишечные расстройства, сухость во рту; часто - тошнота.\u003Cbr\u003EНарушения со стороны скелетно-мышечной и соединительной ткани: очень часто - мышечная слабость.\u003Cbr\u003EОбщие расстройства и нарушения в месте введения: очень часто - повышенная утомляемость.\u003Cbr\u003EЛабораторные и инструментальные данные: часто - повышение активности печеночных трансаминаз. При резкой отмене препарата Сирдалуд после продолжительного лечения и/или приема высоких доз препарата (а также после одновременного применения вместе с гипотензивными препаратами) отмечалось развитие тахикардии и повышения АД, способное в отдельных случаях привести к острому нарушению мозгового кровообращения, в связи с чем дозу препарата Сирдалуд следует снижать постепенно до полной отмены препарата.\u003Cbr\u003EОтдельные сообщения о HP по данным применения в клинической практике\u003Cbr\u003EПоскольку в пострегистрационном периоде сообщения о HP поступают в добровольном порядке из популяции неопределенного размера, достоверно оценить частоту их возникновения не представляется возможным (частота неизвестна).\u003Cbr\u003EНарушения со стороны иммунной системы: реакции гиперчувствительности, включая анафилактические реакции, ангионевротический отек и крапивницу.\u003Cbr\u003EНарушения психики: галлюцинации, спутанность сознания.\u003Cbr\u003EНарушения со стороны нервной системы: головокружение.\u003Cbr\u003EНарушения со стороны органа зрения: затуманивание зрения.\u003Cbr\u003EНарушения со стороны печени и желчевыводящих путей: гепатит, печеночная недостаточность.\u003Cbr\u003EНарушения со стороны кожи и подкожных тканей: кожная сыпь, эритема, кожный зуд, дерматит.\u003Cbr\u003EОбщие расстройства и нарушения в месте введения: астения, синдром отмены.\u003Cbr\u003EЕсли любые из указанных в инструкции побочных эффектов усугубляются, или Вы заметили любые другие побочные эффекты не указанные в инструкции, сообщите об этом врачу."},{"name":"Фармакологическое действие","value":"Тизанидин - миорелаксант центрального действия. Основная точка приложения его действия находится в спинном мозге. Стимулируя пресинаптические альфа2-рецепторы, он подавляет высвобождение возбуждающих аминокислот, которые стимулируют рецепторы к N-метил-D-аспартату (NMDA-рецепторы). Вследствие этого на уровне промежуточных нейронов спинного мозга происходит подавление полисинаптической передачи возбуждения. Поскольку именно этот механизм отвечает за избыточный мышечный тонус, то при его подавлении мышечный тонус снижается. В дополнение к миорелаксирующим свойствам, тизанидин оказывает также центральный умеренно выраженный анальгезирующий эффект.\u003Cbr\u003EПрепарат Сирдалуд эффективен как при остром болезненном мышечном спазме, так и при хронической спастичности спинального и церебрального генеза. Уменьшает спастичность и клонические судороги, вследствие чего снижается сопротивление пассивным движениям и увеличивается объем активных движений.\u003Cbr\u003EМиорелаксирующий эффект (измерение по шкале Ашворта и с помощью \"маятникового\" теста) и побочные действия (снижение частоты сердечных сокращений (ЧСС) и снижение артериального давления (АД)) препарата зависят от концентрации тизанидина в плазме крови."},{"name":"Фармакологическая группа","value":"миорелаксант центрального действия"},{"name":"Форма выпуска","value":"таблетки"},{"name":"Способ применения/введения","value":"пероральный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["35947170:36763744"]}}},{"name":"Минимальный возраст применения","value":"от 18 лет"},{"name":"Условия хранения","value":"При температуре не выше 25°С. Препарат следует хранить в недоступном для детей месте."},{"name":"Передозировка","value":"К настоящему времени получено несколько сообщений о передозировке препаратом Сирдалуд, включая случай, когда принятая доза составила 400 мг. Во всех случаях выздоровление прошло без особенностей.\u003Cbr\u003EСимптомы: тошнота, рвота, снижение АД, удлинение интервала QT (с), головокружение, сонливость, миоз, беспокойство, угнетение дыхания, кома.\u003Cbr\u003EЛечение. Для выведения препарата из организма рекомендуется многократное применение активированного угля. Форсированный диурез также, возможно, ускорит выведение тизанидина. В дальнейшем проводят симптоматическое лечение."},{"name":"Применение при беременности и кормлении грудью","value":"Беременность\u003Cbr\u003EПоскольку контролируемые исследования применения тизанидина у беременных женщин не проводились, его не следует применять в период беременности, за исключением тех случаев, когда потенциальная польза превышает возможный риск.В исследованиях у животных не выявлено явлений тератогенности. При применении в дозах 10 и 30 мг/кг в сутки у животных отмечено увеличение срока гестации, зарегистрированы случаи пренатальной и постнатальной потери плода, а также задержка развития плода. При применении вышеуказанных доз у самок отмечались выраженные признаки миорелаксации и седации. Исходя из площади поверхности тела, указанные дозы превышали максимальную рекомендуемую дозу для человека (0,72 мг/кг в сутки) в 2,2 и 6,7 раз.\u003Cbr\u003EГрудное вскармливание\u003Cbr\u003EВ исследованиях у животных тизанидин выделялся в небольших количествах с молоком лактирующих самок. Не следует применять препарат в период грудного вскармливания, так как нет данных о проникновении тизанидина в грудное молоко у человека.\u003Cbr\u003EТест на беременность\u003Cbr\u003EПеред началом применения препарата Сирдалуд у пациенток с сохраненным репродуктивным потенциалом рекомендовано получить результат теста на беременность.\u003Cbr\u003EВлияние на фертильность\u003Cbr\u003EВ исследованиях у животных не отмечалось неблагоприятного влияния на фертильность особей мужского и женского пола при применении тизанидина в дозе 10 мг/кг в сутки и 3 мг/кг/ сутки соответственно. Отмечалось уменьшение фертильности у особей мужского пола, получавших тизанидин в дозе, превышающей 30 мг/кг в сутки, и у особей женского пола - в дозе, превышающей 10 мг/кг сутки. Исходя из площади поверхности тела, указанные дозы превышали максимальную рекомендуемую дозу для человека (0,72 мг/кг в сутки) в 2,2 и 6,7 раз. При применении указанных доз со стороны матери отмечались поведенческие эффекты и клинические признаки, включающие выраженную седацию, уменьшение массы тела и атаксию.\u003Cbr\u003E"},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Пациентам, у которых на фоне применения препарата отмечается сонливость, головокружение или какие-либо признаки артериальной гипотензии следует рекомендовать воздержаться от видов деятельности, требующих высокой концентрации внимания и быстрой реакции, например, управления транспортными средствами и механизмами"},{"name":"Особые указания","value":"С осторожностью:\u003Cbr\u003EРекомендуется соблюдать осторожность при применении препарата у пациентов старше 65 лет, пациентов с нарушением функции почек, пациентов с нарушениями функции печени средней степени тяжести.\u003Cbr\u003EНеобходимо соблюдать осторожность при одновременном применении препарата Сирдалуд с препаратами, удлиняющими интервал QT (например, цизаприд, амитриптилин, азитромицин).\u003Cbr\u003EГипотензия может возникать на фоне применения препарата Сирдалуд, а также как результат лекарственного взаимодействия с ингибиторами изофермента CYP1A2 и/или гипотензивными препаратами. Выраженное снижение АД может приводить к потере сознания и циркуляторному коллапсу.\u003Cbr\u003EСообщалось о случаях нарушений функции печени, связанных с тизанидином, однако при применении суточной дозы до 12 мг эти случаи отмечались редко. В связи с этим рекомендуется контролировать функциональные \"печеночные пробы\" 1 раз в месяц в первые 4 месяца лечения у пациентов, которые получают тизанидин в суточной дозе 12 мг и выше, а также в тех случаях, когда наблюдаются клинические признаки, позволяющие предположить нарушение функции печени, такие как необъяснимая тошнота, анорексия, чувство усталости. В случае, когда активность аланинаминотрансферазы (АЛТ) и аспартатаминотрансферазы (ACT) в сыворотке стойко превышают верхнюю границу нормы в 3 раза и более, применение препарата Сирдалуд следует прекратить.\u003Cbr\u003EКонтрацепция\u003Cbr\u003EСледует информировать пациенток с сохраненным репродуктивным потенциалом о неблагоприятном влиянии препарата на развивающийся плод, выявленном в исследованиях у животных. Во время применения препарата, а также в течение 1 суток после прекращения приема препарата пациенткам с сохраненным репродуктивным потенциалом следует использовать надежные способы контрацепции (при правильном и длительном использовании которых частота наступления беременности составляет \u003C1%)."},{"name":"Взаимодействие","value":"При применении препарата Сирдалуд с ингибиторами изофермента CYP1A2 возможно повышение концентрации тизанидина в плазме крови. В свою очередь, повышение концентрации тизанидина в плазме крови может приводить к симптомам передозировки препаратом, в том числе удлинению интервала QT(c).\u003Cbr\u003EОдновременное применение препарата Сирдалуд с индукторами изофермента CYP1A2 может приводить к снижению концентрации тизанидина в плазме крови, что может приводить к уменьшению терапевтического эффекта препарата.\u003Cbr\u003EПротивопоказанные комбинации с тизанидином\u003Cbr\u003EОдновременное применение тизанидина с флувоксамином или ципрофлоксацином, ингибиторами изофермента CYP1А2, противопоказано.\u003Cbr\u003EПри применении тизанидина с флувоксамином или ципрофлоксацином отмечается соответственно 33-кратное и 10-кратное увеличению AUC тизанидина. Результатом одновременного применения может оказаться значимая и длительная гипотензия сопровождающаяся сонливостью, головокружением, снижением скорости психомоторных реакций (в отдельных случаях вплоть до циркуляторного коллапса и потери сознания).\u003Cbr\u003EНе рекомендуемые комбинации с тизанидином\u003Cbr\u003EНе рекомендуется применять тизанидин одновременно с другими ингибиторами изофермента CYP1A2 - антиаритмическими препаратами (амиодарон, мексилетин, пропафенон), циметидином, некоторыми фторхинолонами (эноксацин, пефлоксацин, норфлоксацин), рофекоксибом, пероральными контрацептивами, тиклопидином.\u003Cbr\u003EКомбинации с тизанидином, требующие соблюдения осторожности\u003Cbr\u003EНеобходимо соблюдать осторожность при одновременном применении препарата Сирдалуд с препаратами, удлиняющими интервал QT (например, цизаприд, амитриптилин, азитромицин).\u003Cbr\u003EГипотензивные препараты\u003Cbr\u003EОдновременное применение препарата Сирдалуд с гипотензивными препаратами, включая диуретики, иногда может вызывать выраженное снижение АД (в отдельных случаях вплоть до циркуляторного коллапса и потери сознания) и брадикардию.\u003Cbr\u003EПри резкой отмене препарата Сирдалуд после одновременного применения с гипотензивными препаратами отмечалось развитие тахикардии и повышение АД, которое в отдельных случаях может привести к острому нарушению мозгового кровообращения.\u003Cbr\u003EРифампицин\u003Cbr\u003EОдновременный прием тизанидина и рифампицина приводит к 50% снижению концентрации тизанидина в плазме крови. Вследствие этого терапевтическое действие препарата может снижаться, что может иметь клиническую значимость для некоторых пациентов. Следует избегать длительного одновременного применения рифампицина и тизанидина, при невозможности рекомендуется тщательный подбор дозы тизанидина (увеличение).\u003Cbr\u003EКурение табака\u003Cbr\u003EСистемная биодоступность тизанидина у курящих пациентов (более 10 сигарет в день) снижена примерно на 30%. Длительная терапия препаратом у пациентов данной категории может потребовать более высоких доз тизанидина, чем средние терапевтические.\u003Cbr\u003EАлкоголь\u003Cbr\u003EВо время терапии препаратом следует избегать приема алкоголя, так как он может повысить вероятность развития нежелательных явлений (например, снижения АД и заторможенности). Тизанидин может усиливать угнетающее действие алкоголя на центральную нервную систему.\u003Cbr\u003EДругие лекарственные средства\u003Cbr\u003EСедативные, снотворные препараты (бензодиазепин, баклофен) и другие препараты, такие как антигистаминные препараты, могут также усиливать седативный эффект тизанидина. Следует избегать приема препарата с другими агонистами альфа2-адренорецепторов (например, клонидином) вследствие потенциального усиления гипотензивного эффекта."},{"name":"Регистрационный номер","value":"П N012947/01"},{"name":"Дата государственной регистрации","value":"25.12.2018"},{"name":"Владелец регистрационного удостоверения","value":"Novartis","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["34324371:35649313","7893318:11037328"]}}},{"name":"Страна бренда","value":"Швейцария"},{"name":"Страна-производитель","value":"Турция"},{"name":"Название препарата","value":"Сирдалуд","transition":{"type":"catalog","params":{"categorySlug":"sredstva-ot-travm-boli-v-myshtsakh-i-sustavakh","categoryId":"15756903","navnodeId":"25542230","glfilters":["17796364:18025409"]}}},{"name":"Срок годности","value":"59 мес."}]}},"fullSpecsGrouped":{"122407045071098179":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Органы и системы","value":"опорно-двигательная система"},{"name":"Назначение","value":"мышечные боли и спазмы, спастичность скелетных мышц"},{"name":"Показания к применению","value":"Болезненный мышечный спазм:\u003Cbr\u003E- связанный со статическими и функциональными заболеваниями позвоночника (шейный и поясничный синдромы);\u003Cbr\u003E- после хирургических вмешательств, например, по поводу грыжи межпозвонкового диска или остеоартроза тазобедренного сустава.\u003Cbr\u003EСпастичность скелетных мышц при неврологических заболеваниях, например, при рассеянном склерозе, хронической миелопатии, дегенеративных заболеваниях спинного мозга, последствиях нарушений мозгового кровообращения и детском церебральном параличе (пациенты старше 18 лет)."},{"name":"Противопоказания","value":"Повышенная чувствительность к тизанидину или к любому другому компоненту препарата.\u003Cbr\u003EНарушение функции печени тяжелой степени.\u003Cbr\u003EОдновременное применение с мощными ингибиторами изофермента CYP1A2, такими как флувоксамин или ципрофлоксацин.\u003Cbr\u003EНе рекомендовано пациентам с редкими наследственными заболеваниями, такими как дефицит лактазы, непереносимость лактозы, глюкозо-галактозная мальабсорбция, так как лекарственная форма содержит лактозу.\u003Cbr\u003EОпыт применения препарата у пациентов младше 18 лет ограничен. Применение препарата Сирдалуд у пациентов данной популяции не рекомендовано."},{"name":"Состав","value":"1 таблетка содержит: действующее вещество: тизанидина гидрохлорид (в пересчете на основание) - 2,288 мг (2,000 мг) / 4,576 мг (4,000 мг); вспомогательные вещества: кремния диоксид коллоидный - 0,300 мг / 0,400 мг, стеариновая кислота - 3,000 мг / 4,000 мг, целлюлоза микрокристаллическая - 74,412 мг / 101,024 мг, лактоза - 80,000 мг / 110,000 мг."},{"name":"Действующее вещество","value":"Тизанидин"},{"name":"Способ применения и дозы","value":"Препарат Сирдалуд обладает узким терапевтическим индексом и высокой вариабельностью концентрации тизанидина в плазме крови, поэтому необходим тщательный подбор дозы.\u003Cbr\u003EДозу и режим дозирования следует подбирать индивидуально в зависимости от потребностей пациента. Применение препарата в начальной дозе 2 мг 3 раза в день снижает риск развития побочных эффектов.\u003Cbr\u003EПрепарат принимают внутрь. Таблетки 2 мг и 4 мг могут быть разделены на две равные части.\u003Cbr\u003EПри болезненном мышечном спазме препарат Сирдалуд применяют, как правило, в дозе 2 мг или 4 мг 3 раза в сутки.\u003Cbr\u003EВ тяжелых случаях возможно дополнительное применение 2 мг или 4 мг (предпочтительно перед сном из-за возможного усиления сонливости).\u003Cbr\u003EПри спастичности скелетных мышц, обусловленной неврологическими заболеваниями, начальная суточная доза не должна превышать 6 мг, разделенных на 3 приема. Дозу можно повышать постепенно, на 2-4 мг, с интервалами от 3-4 до 7 дней. Как правило, оптимальный терапевтический эффект достигается при суточной дозе от 12 до 24 мг, разделенной на 3 или 4 приема через равные промежутки времени. Не следует превышать дозу 36 мг в сутки.\u003Cbr\u003EПрименение у пациентов старше 65 лет\u003Cbr\u003EОпыт применения препарата Сирдалуд у пациентов в возрасте старше 65 лет и старше ограничен. Рекомендуется начинать терапию с минимальной дозы с постепенным повышением до достижения оптимального соотношения переносимости и эффективности терапии.\u003Cbr\u003EПрименение у пациентов с нарушениями функции почек\u003Cbr\u003EЛечение пациентов с почечной недостаточностью (КК менее 25 мл/мин) рекомендуется начинать с дозы 2 мг 1 раз в день. Повышение дозы проводят малыми \"шагами\" с учетом переносимости и эффективности. При необходимости достижения более выраженного эффекта, рекомендуется сначала увеличить дозу, применяемую 1 раз в сутки, после чего увеличивают кратность применения.\u003Cbr\u003EПрименение у пациентов с нарушениями функции печени\u003Cbr\u003EПрименение препарата Сирдалуд у пациентов с нарушением функции печени тяжелой степени противопоказано.\u003Cbr\u003EУ пациентов с нарушением функции печени средней степени тяжести препарат следует применять с осторожностью; рекомендовано начинать терапию с минимальной дозы, с постепенным повышением до достижения оптимального соотношения переносимости и эффективности терапии. Рекомендации по контролю показателей функции печени указаны в разделе \"Особые указания\".\u003Cbr\u003EПрерывание лечения\u003Cbr\u003EПри прекращении терапии препаратом Сирдалуд с целью уменьшения риска развития рикошетной гипертензии и тахикардии следует медленно снижать дозу до полной отмены препарата, в особенности у пациентов, получающих высокие дозы препарата в течение длительного времени."},{"name":"Побочные действия","value":"При приеме малых доз, рекомендуемых для купирования болезненного мышечного спазма, отмечались сонливость, повышенная утомляемость, головокружение, сухость во рту, снижение АД, тошнота, желудочно-кишечные расстройства, повышение активности печеночных трансаминаз. Обычно вышеописанные побочные реакции умеренно выражены и преходящи.\u003Cbr\u003EПри приеме более высоких доз, рекомендуемых для лечения спастичности, вышеперечисленные HP возникают чаще и более выражены, однако они редко требуют прекращения отмены препарата в связи с тяжестью HP. Кроме того, могут возникать следующие явления: брадикардия, мышечная слабость, бессонница, нарушения сна, галлюцинации, гепатит.\u003Cbr\u003EНежелательные реакции (HP) сгруппированы в соответствии с классификацией органов и систем органов MedDRA, в пределах каждой группы перечислены в порядке уменьшения частоты встречаемости. Для оценки частоты развития HP использованы следующие критерии: очень часто (≥ 1/10); часто (от ≥ 1/100, \u003C 1/10); нечасто (≥ 1/1000, \u003C1/100); редко (≥ 1/10000, \u003C 1/1000); очень редко (\u003C 1/10000), включая отдельные сообщения.\u003Cbr\u003EНарушения со стороны нервной системы: очень часто - сонливость, головокружение.\u003Cbr\u003EНарушения психики: часто - бессонница, нарушения сна.\u003Cbr\u003EНарушения со стороны сердца: нечасто - брадикардия.\u003Cbr\u003EНарушения со стороны сосудов: часто - снижение АД (в отдельных случаях выраженное, вплоть до циркуляторного коллапса и потери сознания).\u003Cbr\u003EНарушения со стороны пищеварительной системы: очень часто - желудочно-кишечные расстройства, сухость во рту; часто - тошнота.\u003Cbr\u003EНарушения со стороны скелетно-мышечной и соединительной ткани: очень часто - мышечная слабость.\u003Cbr\u003EОбщие расстройства и нарушения в месте введения: очень часто - повышенная утомляемость.\u003Cbr\u003EЛабораторные и инструментальные данные: часто - повышение активности печеночных трансаминаз. При резкой отмене препарата Сирдалуд после продолжительного лечения и/или приема высоких доз препарата (а также после одновременного применения вместе с гипотензивными препаратами) отмечалось развитие тахикардии и повышения АД, способное в отдельных случаях привести к острому нарушению мозгового кровообращения, в связи с чем дозу препарата Сирдалуд следует снижать постепенно до полной отмены препарата.\u003Cbr\u003EОтдельные сообщения о HP по данным применения в клинической практике\u003Cbr\u003EПоскольку в пострегистрационном периоде сообщения о HP поступают в добровольном порядке из популяции неопределенного размера, достоверно оценить частоту их возникновения не представляется возможным (частота неизвестна).\u003Cbr\u003EНарушения со стороны иммунной системы: реакции гиперчувствительности, включая анафилактические реакции, ангионевротический отек и крапивницу.\u003Cbr\u003EНарушения психики: галлюцинации, спутанность сознания.\u003Cbr\u003EНарушения со стороны нервной системы: головокружение.\u003Cbr\u003EНарушения со стороны органа зрения: затуманивание зрения.\u003Cbr\u003EНарушения со стороны печени и желчевыводящих путей: гепатит, печеночная недостаточность.\u003Cbr\u003EНарушения со стороны кожи и подкожных тканей: кожная сыпь, эритема, кожный зуд, дерматит.\u003Cbr\u003EОбщие расстройства и нарушения в месте введения: астения, синдром отмены.\u003Cbr\u003EЕсли любые из указанных в инструкции побочных эффектов усугубляются, или Вы заметили любые другие побочные эффекты не указанные в инструкции, сообщите об этом врачу."},{"name":"Фармакологическое действие","value":"Тизанидин - миорелаксант центрального действия. Основная точка приложения его действия находится в спинном мозге. Стимулируя пресинаптические альфа2-рецепторы, он подавляет высвобождение возбуждающих аминокислот, которые стимулируют рецепторы к N-метил-D-аспартату (NMDA-рецепторы). Вследствие этого на уровне промежуточных нейронов спинного мозга происходит подавление полисинаптической передачи возбуждения. Поскольку именно этот механизм отвечает за избыточный мышечный тонус, то при его подавлении мышечный тонус снижается. В дополнение к миорелаксирующим свойствам, тизанидин оказывает также центральный умеренно выраженный анальгезирующий эффект.\u003Cbr\u003EПрепарат Сирдалуд эффективен как при остром болезненном мышечном спазме, так и при хронической спастичности спинального и церебрального генеза. Уменьшает спастичность и клонические судороги, вследствие чего снижается сопротивление пассивным движениям и увеличивается объем активных движений.\u003Cbr\u003EМиорелаксирующий эффект (измерение по шкале Ашворта и с помощью \"маятникового\" теста) и побочные действия (снижение частоты сердечных сокращений (ЧСС) и снижение артериального давления (АД)) препарата зависят от концентрации тизанидина в плазме крови."},{"name":"Фармакологическая группа","value":"миорелаксант центрального действия"},{"name":"Форма выпуска","value":"таблетки"},{"name":"Способ применения/введения","value":"пероральный"},{"name":"Минимальный возраст применения","value":"от 18 лет"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"При температуре не выше 25°С. Препарат следует хранить в недоступном для детей месте."},{"name":"Передозировка","value":"К настоящему времени получено несколько сообщений о передозировке препаратом Сирдалуд, включая случай, когда принятая доза составила 400 мг. Во всех случаях выздоровление прошло без особенностей.\u003Cbr\u003EСимптомы: тошнота, рвота, снижение АД, удлинение интервала QT (с), головокружение, сонливость, миоз, беспокойство, угнетение дыхания, кома.\u003Cbr\u003EЛечение. Для выведения препарата из организма рекомендуется многократное применение активированного угля. Форсированный диурез также, возможно, ускорит выведение тизанидина. В дальнейшем проводят симптоматическое лечение."},{"name":"Применение при беременности и кормлении грудью","value":"Беременность\u003Cbr\u003EПоскольку контролируемые исследования применения тизанидина у беременных женщин не проводились, его не следует применять в период беременности, за исключением тех случаев, когда потенциальная польза превышает возможный риск.В исследованиях у животных не выявлено явлений тератогенности. При применении в дозах 10 и 30 мг/кг в сутки у животных отмечено увеличение срока гестации, зарегистрированы случаи пренатальной и постнатальной потери плода, а также задержка развития плода. При применении вышеуказанных доз у самок отмечались выраженные признаки миорелаксации и седации. Исходя из площади поверхности тела, указанные дозы превышали максимальную рекомендуемую дозу для человека (0,72 мг/кг в сутки) в 2,2 и 6,7 раз.\u003Cbr\u003EГрудное вскармливание\u003Cbr\u003EВ исследованиях у животных тизанидин выделялся в небольших количествах с молоком лактирующих самок. Не следует применять препарат в период грудного вскармливания, так как нет данных о проникновении тизанидина в грудное молоко у человека.\u003Cbr\u003EТест на беременность\u003Cbr\u003EПеред началом применения препарата Сирдалуд у пациенток с сохраненным репродуктивным потенциалом рекомендовано получить результат теста на беременность.\u003Cbr\u003EВлияние на фертильность\u003Cbr\u003EВ исследованиях у животных не отмечалось неблагоприятного влияния на фертильность особей мужского и женского пола при применении тизанидина в дозе 10 мг/кг в сутки и 3 мг/кг/ сутки соответственно. Отмечалось уменьшение фертильности у особей мужского пола, получавших тизанидин в дозе, превышающей 30 мг/кг в сутки, и у особей женского пола - в дозе, превышающей 10 мг/кг сутки. Исходя из площади поверхности тела, указанные дозы превышали максимальную рекомендуемую дозу для человека (0,72 мг/кг в сутки) в 2,2 и 6,7 раз. При применении указанных доз со стороны матери отмечались поведенческие эффекты и клинические признаки, включающие выраженную седацию, уменьшение массы тела и атаксию.\u003Cbr\u003E"},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Пациентам, у которых на фоне применения препарата отмечается сонливость, головокружение или какие-либо признаки артериальной гипотензии следует рекомендовать воздержаться от видов деятельности, требующих высокой концентрации внимания и быстрой реакции, например, управления транспортными средствами и механизмами"},{"name":"Особые указания","value":"С осторожностью:\u003Cbr\u003EРекомендуется соблюдать осторожность при применении препарата у пациентов старше 65 лет, пациентов с нарушением функции почек, пациентов с нарушениями функции печени средней степени тяжести.\u003Cbr\u003EНеобходимо соблюдать осторожность при одновременном применении препарата Сирдалуд с препаратами, удлиняющими интервал QT (например, цизаприд, амитриптилин, азитромицин).\u003Cbr\u003EГипотензия может возникать на фоне применения препарата Сирдалуд, а также как результат лекарственного взаимодействия с ингибиторами изофермента CYP1A2 и/или гипотензивными препаратами. Выраженное снижение АД может приводить к потере сознания и циркуляторному коллапсу.\u003Cbr\u003EСообщалось о случаях нарушений функции печени, связанных с тизанидином, однако при применении суточной дозы до 12 мг эти случаи отмечались редко. В связи с этим рекомендуется контролировать функциональные \"печеночные пробы\" 1 раз в месяц в первые 4 месяца лечения у пациентов, которые получают тизанидин в суточной дозе 12 мг и выше, а также в тех случаях, когда наблюдаются клинические признаки, позволяющие предположить нарушение функции печени, такие как необъяснимая тошнота, анорексия, чувство усталости. В случае, когда активность аланинаминотрансферазы (АЛТ) и аспартатаминотрансферазы (ACT) в сыворотке стойко превышают верхнюю границу нормы в 3 раза и более, применение препарата Сирдалуд следует прекратить.\u003Cbr\u003EКонтрацепция\u003Cbr\u003EСледует информировать пациенток с сохраненным репродуктивным потенциалом о неблагоприятном влиянии препарата на развивающийся плод, выявленном в исследованиях у животных. Во время применения препарата, а также в течение 1 суток после прекращения приема препарата пациенткам с сохраненным репродуктивным потенциалом следует использовать надежные способы контрацепции (при правильном и длительном использовании которых частота наступления беременности составляет \u003C1%)."},{"name":"Взаимодействие","value":"При применении препарата Сирдалуд с ингибиторами изофермента CYP1A2 возможно повышение концентрации тизанидина в плазме крови. В свою очередь, повышение концентрации тизанидина в плазме крови может приводить к симптомам передозировки препаратом, в том числе удлинению интервала QT(c).\u003Cbr\u003EОдновременное применение препарата Сирдалуд с индукторами изофермента CYP1A2 может приводить к снижению концентрации тизанидина в плазме крови, что может приводить к уменьшению терапевтического эффекта препарата.\u003Cbr\u003EПротивопоказанные комбинации с тизанидином\u003Cbr\u003EОдновременное применение тизанидина с флувоксамином или ципрофлоксацином, ингибиторами изофермента CYP1А2, противопоказано.\u003Cbr\u003EПри применении тизанидина с флувоксамином или ципрофлоксацином отмечается соответственно 33-кратное и 10-кратное увеличению AUC тизанидина. Результатом одновременного применения может оказаться значимая и длительная гипотензия сопровождающаяся сонливостью, головокружением, снижением скорости психомоторных реакций (в отдельных случаях вплоть до циркуляторного коллапса и потери сознания).\u003Cbr\u003EНе рекомендуемые комбинации с тизанидином\u003Cbr\u003EНе рекомендуется применять тизанидин одновременно с другими ингибиторами изофермента CYP1A2 - антиаритмическими препаратами (амиодарон, мексилетин, пропафенон), циметидином, некоторыми фторхинолонами (эноксацин, пефлоксацин, норфлоксацин), рофекоксибом, пероральными контрацептивами, тиклопидином.\u003Cbr\u003EКомбинации с тизанидином, требующие соблюдения осторожности\u003Cbr\u003EНеобходимо соблюдать осторожность при одновременном применении препарата Сирдалуд с препаратами, удлиняющими интервал QT (например, цизаприд, амитриптилин, азитромицин).\u003Cbr\u003EГипотензивные препараты\u003Cbr\u003EОдновременное применение препарата Сирдалуд с гипотензивными препаратами, включая диуретики, иногда может вызывать выраженное снижение АД (в отдельных случаях вплоть до циркуляторного коллапса и потери сознания) и брадикардию.\u003Cbr\u003EПри резкой отмене препарата Сирдалуд после одновременного применения с гипотензивными препаратами отмечалось развитие тахикардии и повышение АД, которое в отдельных случаях может привести к острому нарушению мозгового кровообращения.\u003Cbr\u003EРифампицин\u003Cbr\u003EОдновременный прием тизанидина и рифампицина приводит к 50% снижению концентрации тизанидина в плазме крови. Вследствие этого терапевтическое действие препарата может снижаться, что может иметь клиническую значимость для некоторых пациентов. Следует избегать длительного одновременного применения рифампицина и тизанидина, при невозможности рекомендуется тщательный подбор дозы тизанидина (увеличение).\u003Cbr\u003EКурение табака\u003Cbr\u003EСистемная биодоступность тизанидина у курящих пациентов (более 10 сигарет в день) снижена примерно на 30%. Длительная терапия препаратом у пациентов данной категории может потребовать более высоких доз тизанидина, чем средние терапевтические.\u003Cbr\u003EАлкоголь\u003Cbr\u003EВо время терапии препаратом следует избегать приема алкоголя, так как он может повысить вероятность развития нежелательных явлений (например, снижения АД и заторможенности). Тизанидин может усиливать угнетающее действие алкоголя на центральную нервную систему.\u003Cbr\u003EДругие лекарственные средства\u003Cbr\u003EСедативные, снотворные препараты (бензодиазепин, баклофен) и другие препараты, такие как антигистаминные препараты, могут также усиливать седативный эффект тизанидина. Следует избегать приема препарата с другими агонистами альфа2-адренорецепторов (например, клонидином) вследствие потенциального усиления гипотензивного эффекта."},{"name":"Регистрационный номер","value":"П N012947/01"},{"name":"Дата государственной регистрации","value":"25.12.2018"},{"name":"Владелец регистрационного удостоверения","value":"Novartis"},{"name":"Страна бренда","value":"Швейцария"},{"name":"Страна-производитель","value":"Турция"},{"name":"Название препарата","value":"Сирдалуд"},{"name":"Срок годности","value":"59 мес."}]}],"transitionId":"tr_8864073241441678167"}}}}
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173 ₽

Скидка: 14%
–14 %
Вместо:201 ₽
  • Сегодня, самовывоз • 0 ₽
ЕАПТЕКА
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  • Сирдалуд таб., 4 мг, 30 шт.
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    Сирдалуд таб., 4 мг, 30 шт.

    Рейтинг товара: 4.9 из 5
    на основе 7 оценок
    Цена 289 ₽
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  • Мидокалм таб. п/о плен., 150 мг, 30 шт.
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    Мидокалм таб. п/о плен., 150 мг, 30 шт.

    Рейтинг товара: 4.5 из 5
    на основе 94 оценки
    Цена 532 ₽
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  • Тизанидин таб., 2 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-y3pne78obi/toggleWishlist":{"skuId":"228091072","productId":1422663516,"offerId":"ek7Pas-GW0F7SbU_RgZGhg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUI3L6wpgUQwMnhbBif49AHIOfcwQc=","sign":"y/SXJwgKMkg4fCyOQsQgS93p4XIQn+9wPKAwnrQ6jaI="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-y3pne78obi/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Тизанидин таб., 2 мг, 30 шт.

    Рейтинг товара: 4.8 из 5
    на основе 27 оценок
    Цена 136 ₽
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  • Тизанидин-СЗ таб., 4 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-11zibx4vfptg/toggleWishlist":{"skuId":"101522419924","productId":955689315,"offerId":"gbQue3-KIdC2X4sLNtTygQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcI49LaxwMQ1OHUmfoCGK7e0Acg59zBBw==","sign":"1ffovUA53eq/RAT1E7IJKc3bBMl0bS9+SA+NuAGRIjQ="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-11zibx4vfptg/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Тизанидин-СЗ таб., 4 мг, 30 шт.

    Рейтинг товара: 5 из 5
    на основе 4 оценки
    Цена 196 ₽
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  • Тизалуд таб., 2 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-rv2xvfbuvdm/toggleWishlist":{"skuId":"227830487","productId":1422663474,"offerId":"9lJjHMVqtoLcqxAW1uZ1CQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIsr6wpgUQ19XRbBja1KEFIOfcwQc=","sign":"vRePf6Lgkbn4Dcwq9kurcL+9elY793S48vDFgW9tfIE="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-rv2xvfbuvdm/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Тизалуд таб., 2 мг, 30 шт.

    Рейтинг товара: 5 из 5
    на основе 2 оценки
    Цена 183 ₽
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  • Нимесулид таб., 100 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-s4ka3lr4n3o/toggleWishlist":{"skuId":"101392588730","productId":453476060,"offerId":"_RUp34lINLV-SD-pi_i4_w","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcI3P2d2AEQur/g2/kCGOvL9Qcg59zBBw==","sign":"YD9Hy5lyotZ6s1mo8xSnhaZzMoR5l4MWBBtm3aXnvgM="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-s4ka3lr4n3o/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Нимесулид таб., 100 мг, 30 шт.

    Рейтинг товара: 4.8 из 5
    на основе 362 оценки
    Цена 90 ₽
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  • Аркоксиа таб. п/о. плен., 90 мг, 7 шт.
    –20 %
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    Аркоксиа таб. п/о. плен., 90 мг, 7 шт.

    Рейтинг товара: 4.9 из 5
    на основе 39 оценок
    Цена 603 ₽ вместо 754
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  • Глюкозамин-хондроитиновый комплекс капс., 90 шт.
    –1 %
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    Глюкозамин-хондроитиновый комплекс капс., 90 шт.

    Рейтинг товара: 4.8 из 5
    на основе 110 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 389 ₽ вместо 393
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  • Милурит таб., 100 мг, 100 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-ij0br07gb8i/toggleWishlist":{"skuId":"103057077074","productId":1422663453,"offerId":"szy9w8yy7Z2HwF7ZBOLO6A","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcInb6wpgUQ0ua49f8CGJLd0Acg59zBBw==","sign":"/P2UbFJjshvBZz2IRdO4G+Ad22Gy8N9DyrP4E0jWo9g="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-ij0br07gb8i/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Милурит таб., 100 мг, 100 шт.

    Рейтинг товара: 4.8 из 5
    на основе 39 оценок
    Цена 359 ₽
    {"widgets":{"@light/AddToCartButtonSnippet":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-ij0br07gb8i/addToCartButton":{"offerId":"szy9w8yy7Z2HwF7ZBOLO6A","skuId":"103057077074","pendingCartItem":{"productId":1422663453,"offerId":"szy9w8yy7Z2HwF7ZBOLO6A","showPlaceId":"OTNDnItfwRMjN9MRHuEMMrCjLoNSniCsC5__6C1MFzmHhc0z_To9pwMy7r3WrJ9lHFBMz35r5en-dmcGZ-Q0dq1y88TV8cI2iuSLbOW8h_lPshGfvN-536aFDPNIqQViPSkVkUwAZOvbB9td6SboknRpO0ZfoDhgzi33goiqF9SZks-uNSsNuzgPFz4Ui0TDefncmTLXe05TiWWTlN2bWA,,","feeShow":"OTNDnItfwRMjN9MRHuEMMrCjLoNSniCsC5__6C1MFzmHhc0z_To9pwMy7r3WrJ9lHFBMz35r5en-dmcGZ-Q0dq1y88TV8cI2iuSLbOW8h_lPshGfvN-536aFDPNIqQViPSkVkUwAZOvbB9td6SboknRpO0ZfoDhgzi33goiqF9SZks-uNSsNuzgPFz4Ui0TDefncmTLXe05TiWWTlN2bWA,,","skuId":"103057077074","shopId":55106433,"price":{"applicablePriceDiscounts":[],"value":"359","currency":"RUR"},"hid":"15756903","name":"Милурит таб., 100 мг, 100 шт.","label":"pgq3l88zzs","count":0,"features":[],"imageMeta":{"namespace":"mpic","groupId":12217350,"key":"img_id5744841292442720486.jpeg"}},"quantity":{"step":1,"minimum":1,"maximum":999},"cpaUrl":"/safeclick/data=TxNGOK9vJEN7oLFLeCTKEixJYuEMI0EzvZFs82AjjgjhTwweZ7mRXd_AQ0K184sfZmy5nQz7U8xIc-qdVOMFoxnoSww2ObzLEs1KJpltGipDSanCui6QCo8GXRHxAQaqQQZbzp5kb0bdQDXqQiIIDEwL4INEBUjrbUNtjxqZ96WFVmZtSFtMyb3yJJ0vvI_f_VoLwr8_fQDSzGtzWieo530T8WVI7gdN6pFUiyhfBeV0qnonw5v75xQKT8lgkuaxT2V6GWtUMNiHU9IC9OwiueG5nkImGEUk-nfNNBUBcQtQGw9NUWhhlid2lxEQr4NU4_JcGeh6QEOHIJdUbwD4WopB5x2PMfUr83u0UsYfoaXvqJUpOKRnWXtyvPDLIfRokwZ6-DVqtKglVHJx38EhZ1X9IbC8yt-3AQITGtb5Znks0AdxV3d-UJrXBQbRrxj7-0lqj70xKMMZYBNQu4RxvZvk0Cx_2FMyJAtBSnigyXzdDJXJXUzgP6-6jflBwZtXXpYuntfyM2V43GTJ218FtDTTyhW9NsYyeBjpH_5GW2yoy6-Yw_Qn8K8hrfJQ61niyqxlzVXqgJFEGPN2Ctl3T74aYDweE5-1AmGrMGV1wdQC33prQclpugQkYv5P0VEZtqkAYhM-IGVZTgqKEHG7E1n0V8wS6-kndeLjy_CMT1_BEqFGVhNJ303ZIe7OoC_K5fd9PduATTNlj_OPdVrFWSy8qCSEgNTtslt-DlcOI8XQq25GCWKoA-cJfLadMtItuifbJkozlCOPDxkF-Y5ccsro5YF-4us3pqt5-Kion1OKbIyW0-Q_-hN5V7jQ7SxE8enMnHX5YDkwJzxZEzLxtEi46-R2yOfTTwHoAnGdjFxLI4MHpjV0ev7b905A-oohoFmwUiklQEqwFIpX9-q8pz13mJcWpVcf0Dd1KMheDXtUObp-Ppb3rMU_ZeNswr8nLIhr9XCV52BqHNDt8XfADFgJyTJrAjvGUjIjdpYp6aXywSr-_Ar1NXST_MfBhCajsjpvaoPZAQBWZa6c-WdqvOWN3p3eyQ-sWqVakS4uNrNHbKGckzM70zFmpOhQDtOeukH6CV7oAeY8eesR_Mne8r4HtfjslOM022fUqHW9RyxC7L_DxjdMTpegemBHfFnphiA7kIvF6rUukOWaXgVYVfu_Q0Bkw1wkWUlxBeKrCFm_-RLnSApiWN4Z1y93Y9gb8aaof4pK6mvANclIJeaYReWY3b0LO4J6gDmhRRRAbl-FOO-O9W05b8Vla_eeH-wQVWLW8JvBaPJ-r1EvK2ZbesKtn4_gnkWKSbH72aI6LVupQTKnJA-w3nVCYlC18wYr9eE0TwaWhcqpRqyXU0qzIUxJqvEn-GUZpZtLNT3DFdfDVV67M7s-LUSOSzDwrzYNfwEWu5_qtXdqr2QWBInuo0jr_8gt26xRhGSRG4ZFRxdKFeoZJD-J1SSQb4gXJ5vMS0xMFJ6_XMnQwN67xccfD3_Iit1pKxrd6r2PNWdawmhAf7IsQz2ZUe0I8oxNjTL-uYDTLZmb1guf7bYZd2-IvkXfEXbp_4fY0Quf7zL9EiW09sqLnSfCIRCOCtsnccav0EJA6lDTx4DzFCkaV0HlHFGWVu9tNtgC74XNv_kI8p8D25SXdKHDzO-EJToZ8wioY5Rz2ZeAuVsfh5mYR9vg3qajoxIRwBAoPY7-knZIp_kaeiYUcx5SRWdnp10VVKoTwqHf7z9LpuPA5ruODLYlH-dSSbV3oD4lP0YtziG515EcbbS5vPDeAPAybbmTc8eNl9fBQhXXCHuhLJqVg0sG07YGB0tLcxxw_Bj5AGagaoBTOVj_drKGvGbAMXz4DB8eN5Kboi7O0N2up5yv3lhVAw9tOKuhm4ZZI7ceZVlSGk4UFK_2WfvGVn3l5Ip-__ggQO5dRwL_Tlh1IvDy-8ERLogJ9NuPcJWsc0TC4b1PodIM9aOfoQUBIvg7zD-_TzhroJSmrZwb32tibDuQ2IX5Wdg_j0B5vJBmL9rb5Rqq5TSJzJOnJLW-ds9ol2EYhAPdfgDyvwqpuZJC0Ef7sUqbHEOpKDYHtgtpFsA4MoiaLWTHvpSl9vJ6T30OJLE2mzyR_4mk79hmWDL66AEuEzQhH4Go4Nu906BEe4yHf0Hxh5Y5WgD8eDgfyV89wXvzz1Z32UDQHTV9H_BY-cIBztZGKO_y1h-kbLhsfAPllt4EA1QV7MglDGatreFyMf6AGxbUZr_1mPLibLJRxxyUVYgb9xwGXnaHK_esqPZByefwLGLVPJ04zrdB87MSjDggL2v-Q2jTcFqgR3KhljPPVtykQUtXgtRYIESznoIY3yvr9ysbFZx9GUylVCYsL0gJ9QGKBRmlOXFjUSlpPs670-PyByOWqEVQzK7V3miT2DPvdL9cI3WGR2IiOA_FaWHiDVDEtpNPkiIvGo5OxgsdMnhV46m5Fte-9BLPDEawdAcjvx7tulEDNrKLWmBFWMnzbc2LR_hlvUqkfaxwGPWFZZa-p7OVjcgz16VAmQNyLxmAzmyHG8epYR9tPbRm3yFUh1pmie3ilXrTCrq35_VZ6JA9dJfhVDqaMC_InJxTPHQLGI15UIcQ_ACUanHJnNIbNlTZJQQ_n7zOkbBuKTyp8Ox56EmdAEHpTEOec6SU7hZk0p0w6R8xOTO_2N50cSm0gqiKN2-Q9VEAqu-6Ep6qhwAipGO9DywhIgHofRHG4aVyfpV2hMen7cu0P4ZUEsL5FBglKzU5F38sGkeBWZRjBSasqpCc5W8_0dNtuYk9QH2xiGncEw_U8foTVH55ByO-timv7hi_3nDjc5UVqCZrSA4UhGHHJGJ0CInICgzGR_DOfUjfA7XdeCfU9L1_35GL1Z0F7s4dkbxy0wzjJoomaqGQWEgznyCm47GZFGUC2Cq6JqpeDntE0mIMKEDrKAUEvfiXDJBGNNLqjI7S9t7M5WLpHqYR0jrgtJlCB9z2v-OumWqZSBKoXjNL-pvfwOg1NjFFOv5TuxlohemRwIOQgwL8wNoSeAf3CJ74M-4xruOrZy9Bt_Qwkz3ZXKgOo68QuuKRsFxT8bnGxqa4p8UC3VDKVkVxyfRLXacE1K0IKdkYC2jwZy7BrS7RRxDH9EavO0yxMjBubxidZuAH_MfzeHLVBemzL5SzndqRimJ_snPeluSyILzCeW7pfre4-LFk1LvNCXq9pxgHRnjrhJvna1WzWkV18tt344PVosLS2J-0FpL_5kMVFFhUZ1wNp3VjD07EPfS-3-p-FtQ-LtqzC9tJqtFdisYIfpSVVfugcIf03idBsfpF4rbmTR5NbosY3qdlN19I2F-TLltCSd0lyfvvMTEdmeuIwkW9CyYwT4U2zcRvz66jVRUS4P1iKKP2PuNM6369MWdrMeVgGeVkRpOcOmsOv-XHw9Dgg4LnGEyk4EWImK9Gk1mIagVPGhDpnNgKemrd1ME3NvPUve4jgLGAfX0TjuahtPdE5mInMbRBhDU,/b64e=1/sign=e4bc00129d23b99234e22f2b3f19cc58/keyno=MARKET_1/*","showUid":"17178230860715450287106009","cartLink":"/my/cart","showNotificationWhenDeleteItem":true,"isLavka":false,"isError":false,"isEats":false,"isCR":false,"isM2bEdoOnlyEnable":false,"isEatsMarketIntegration":true,"isCartButtonNext":false,"isUpsalePopupCRExp":false,"baobabClientDataAdditionToCart":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcInb6wpgUQ0ua49f8CGJLd0Acg59zBBw==","sign":"/P2UbFJjshvBZz2IRdO4G+Ad22Gy8N9DyrP4E0jWo9g="},"target":"cart_addition"},"baobabClientDataDeletionFromCart":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcInb6wpgUQ0ua49f8CGJLd0Acg59zBBw==","sign":"/P2UbFJjshvBZz2IRdO4G+Ad22Gy8N9DyrP4E0jWo9g="},"target":"cart_deletion"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-ij0br07gb8i/addToCartButton":{"name":"@light/AddToCartButtonSnippet"}}}
  • Мелоксикам таб., 15 мг, 20 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-a9lysnbcna8/toggleWishlist":{"skuId":"101762712884","productId":186849727,"offerId":"iUb0WzW8HlrNRGl3p8bR8g","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYIv7OMWRC0ip+M+wIYzsLZByDn3MEH","sign":"8OcY31e1S9r0dfu0kdGCa9hHziR0TjIiMhdIxzRRJiU="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-a9lysnbcna8/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Мелоксикам таб., 15 мг, 20 шт.

    Рейтинг товара: 4.7 из 5
    на основе 99 оценок
    Цена 87 ₽
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  • Баклосан таб., 10 мг, 50 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-ub7p2x3db6/toggleWishlist":{"skuId":"265152847","productId":1422663531,"offerId":"RrXF1q-0L6NG7cS_8sBQiQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUI676wpgUQz9K3fhi53dAHIOfcwQc=","sign":"1dIJgzL6hMV/cdH1aZHe3n91t0Xzmn8kNBcGSFmbhho="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-ub7p2x3db6/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Баклосан таб., 10 мг, 50 шт.

    Рейтинг товара: 4.7 из 5
    на основе 10 оценок
    Цена 303 ₽
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  • Аллопуринол таб., 300 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-qr7dki792wp/toggleWishlist":{"skuId":"226693586","productId":1422663455,"offerId":"PI3D9jGbKEgLiAJ50HbEmQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIn76wpgUQ0qOMbBiV3dAHIOfcwQc=","sign":"qbVmcgQ9DrW3/2J3jDq4J0aTg8LtUqUGOmuv6Jy69VM="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-qr7dki792wp/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Аллопуринол таб., 300 мг, 30 шт.

    Рейтинг товара: 5 из 5
    на основе 27 оценок
    Цена 182 ₽
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Инструкция

Показания к применению

Болезненный мышечный спазм:
- связанный со статическими и функциональными заболеваниями позвоночника (шейный и поясничный синдромы);
- после хирургических вмешательств, например, по поводу грыжи межпозвонкового диска или остеоартроза тазобедренного сустава.
Спастичность скелетных мышц при неврологических заболеваниях, например, при рассеянном склерозе, хронической миелопатии, дегенеративных заболеваниях спинного мозга, последствиях нарушений мозгового кровообращения и детском церебральном параличе (пациенты старше 18 лет).

Противопоказания

Повышенная чувствительность к тизанидину или к любому другому компоненту препарата.
Нарушение функции печени тяжелой степени.
Одновременное применение с мощными ингибиторами изофермента CYP1A2, такими как флувоксамин или ципрофлоксацин.
Не рекомендовано пациентам с редкими наследственными заболеваниями, такими как дефицит лактазы, непереносимость лактозы, глюкозо-галактозная мальабсорбция, так как лекарственная форма содержит лактозу.
Опыт применения препарата у пациентов младше 18 лет ограничен. Применение препарата Сирдалуд у пациентов данной популяции не рекомендовано.

Способ применения и дозы

Препарат Сирдалуд обладает узким терапевтическим индексом и высокой вариабельностью концентрации тизанидина в плазме крови, поэтому необходим тщательный подбор дозы.
Дозу и режим дозирования следует подбирать индивидуально в зависимости от потребностей пациента. Применение препарата в начальной дозе 2 мг 3 раза в день снижает риск развития побочных эффектов.
Препарат принимают внутрь. Таблетки 2 мг и 4 мг могут быть разделены на две равные части.
При болезненном мышечном спазме препарат Сирдалуд применяют, как правило, в дозе 2 мг или 4 мг 3 раза в сутки.
В тяжелых случаях возможно дополнительное применение 2 мг или 4 мг (предпочтительно перед сном из-за возможного усиления сонливости).
При спастичности скелетных мышц, обусловленной неврологическими заболеваниями, начальная суточная доза не должна превышать 6 мг, разделенных на 3 приема. Дозу можно повышать постепенно, на 2-4 мг, с интервалами от 3-4 до 7 дней. Как правило, оптимальный терапевтический эффект достигается при суточной дозе от 12 до 24 мг, разделенной на 3 или 4 приема через равные промежутки времени. Не следует превышать дозу 36 мг в сутки.
Применение у пациентов старше 65 лет
Опыт применения препарата Сирдалуд у пациентов в возрасте старше 65 лет и старше ограничен. Рекомендуется начинать терапию с минимальной дозы с постепенным повышением до достижения оптимального соотношения переносимости и эффективности терапии.
Применение у пациентов с нарушениями функции почек
Лечение пациентов с почечной недостаточностью (КК менее 25 мл/мин) рекомендуется начинать с дозы 2 мг 1 раз в день. Повышение дозы проводят малыми "шагами" с учетом переносимости и эффективности. При необходимости достижения более выраженного эффекта, рекомендуется сначала увеличить дозу, применяемую 1 раз в сутки, после чего увеличивают кратность применения.
Применение у пациентов с нарушениями функции печени
Применение препарата Сирдалуд у пациентов с нарушением функции печени тяжелой степени противопоказано.
У пациентов с нарушением функции печени средней степени тяжести препарат следует применять с осторожностью; рекомендовано начинать терапию с минимальной дозы, с постепенным повышением до достижения оптимального соотношения переносимости и эффективности терапии. Рекомендации по контролю показателей функции печени указаны в разделе "Особые указания".
Прерывание лечения
При прекращении терапии препаратом Сирдалуд с целью уменьшения риска развития рикошетной гипертензии и тахикардии следует медленно снижать дозу до полной отмены препарата, в особенности у пациентов, получающих высокие дозы препарата в течение длительного времени.
Полная инструкция
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Сирдалуд таб.
Сирдалуд таб., 2 мг, 30 шт.
4.9
(25)
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3 вопроса
Инструкция

173 ₽

Скидка: 14%
–14 %
Вместо:201 ₽
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4.9
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У продавца:25 оценок·6 отзывов
У всех продавцов:172 оценки·84 отзыва
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user avatar
Месяц назад • Лина • Куплен на Маркете
Достоинства: Хороший миорелаксант, отлично снимает мышечную боль
Недостатки: Вызывает сонливость, осторожнее
Комментарий: Принимаю по назначению врача в период правки спины, снимает боль, расслабляет, даёт выспаться
user avatar
4 месяца назад • Лилия Лопатина • Куплен на Маркете
Достоинства: Действует хорошо , расслабляет мышечную систему , кто много физически работает , у кого бывают судороги.
Недостатки: Не обнаружила.
Комментарий: Пью на ночь и судорог не бывает.
user avatar
3 месяца назад • Анна Абрамова • Куплен на Маркете
Достоинства: смягчает боль после операции
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Рекомендуем

  • Сирдалуд таб., 4 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1770813963_0/content/content/toggleWishlist":{"skuId":"101825189755","productId":1770813963,"offerId":"IyIXU7lSE7oSmhSEXYLxmA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCIv0scwGEPuuhKr7AhiQ1aEFIOfcwQc=","sign":"vIvYnonCCIl0SlBFnvKAltqwQeRhBdWuw5GxT4N12xw="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1770813963_0/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Сирдалуд таб., 4 мг, 30 шт.

    Цена 289 ₽
  • Мидокалм таб. п/о плен., 150 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663416_1/content/content/gallery":{"title":"Мидокалм таб. п/о плен., 150 мг, 30 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/4441046/img_id8907723315782039268.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4441046/img_id8907723315782039268.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4441046/img_id8907723315782039268.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4441046/img_id8907723315782039268.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4441046/img_id8907723315782039268.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4441046/img_id8907723315782039268.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5344223/img_id2253265240362406450.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5344223/img_id2253265240362406450.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5344223/img_id2253265240362406450.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5344223/img_id2253265240362406450.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5344223/img_id2253265240362406450.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5344223/img_id2253265240362406450.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4343092/img_id4516567246169985452.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4343092/img_id4516567246169985452.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4343092/img_id4516567246169985452.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4343092/img_id4516567246169985452.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4343092/img_id4516567246169985452.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4343092/img_id4516567246169985452.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCPi9sKYFEPql9lgY/tW2CCDn3MEH","sign":"iF0X69ltcYfHfqErEqZDUapqxjOZWmf3YXBYqKs44Dk="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663416_1/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663416_1/content/content/toggleWishlist":{"skuId":"186487546","productId":1422663416,"offerId":"vyOMkKioKqYnhmJmg4rpHw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCPi9sKYFEPql9lgY/tW2CCDn3MEH","sign":"iF0X69ltcYfHfqErEqZDUapqxjOZWmf3YXBYqKs44Dk="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663416_1/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Мидокалм таб. п/о плен., 150 мг, 30 шт.

    Цена 532 ₽
  • Тизанидин таб., 2 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663516_2/content/content/toggleWishlist":{"skuId":"228091072","productId":1422663516,"offerId":"ek7Pas-GW0F7SbU_RgZGhg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCNy+sKYFEMDJ4WwYn+PQByDn3MEH","sign":"iv6E6yvy8y+gGWIYkxjzmhaZG5iIUP3/Ffc9JTmFbH8="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663516_2/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Тизанидин таб., 2 мг, 30 шт.

    Цена 136 ₽
  • Тизанидин-СЗ таб., 4 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:955689315_3/content/content/toggleWishlist":{"skuId":"101522419924","productId":955689315,"offerId":"gbQue3-KIdC2X4sLNtTygQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCOPS2scDENTh1Jn6Ahiu3tAHIOfcwQc=","sign":"loP0DBHLNGuv4h3tLEe+uQo0dE5hcy3Nbo7IIKw4Vjc="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:955689315_3/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Тизанидин-СЗ таб., 4 мг, 30 шт.

    Цена 196 ₽
  • Омепразол капс., 20 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1400799622_4/content/content/gallery":{"title":"Омепразол капс., 20 мг, 30 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/4580278/img_id9062277251401801626.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4580278/img_id9062277251401801626.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4580278/img_id9062277251401801626.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4580278/img_id9062277251401801626.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4580278/img_id9062277251401801626.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4580278/img_id9062277251401801626.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4219828/img_id4616058566707128396.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4219828/img_id4616058566707128396.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4219828/img_id4616058566707128396.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4219828/img_id4616058566707128396.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4219828/img_id4616058566707128396.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4219828/img_id4616058566707128396.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/6425823/img_id7244626295602644969.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/6425823/img_id7244626295602644969.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/6425823/img_id7244626295602644969.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/6425823/img_id7244626295602644969.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/6425823/img_id7244626295602644969.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/6425823/img_id7244626295602644969.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4466970/img_id3053171073301595904.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4466970/img_id3053171073301595904.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4466970/img_id3053171073301595904.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4466970/img_id3053171073301595904.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4466970/img_id3053171073301595904.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4466970/img_id3053171073301595904.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCIaD+psFEKTI5mwY5KTVByDa2cEH","sign":"/uqq9cwek5lQoJcWPDx74Eg5L+b+bdFrkXb5kkZX1mc="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1400799622_4/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1400799622_4/content/content/toggleWishlist":{"skuId":"228172836","productId":1400799622,"offerId":"Iy2jd5C7_EecxlF2xHVJ4Q","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCIaD+psFEKTI5mwY5KTVByDa2cEH","sign":"/uqq9cwek5lQoJcWPDx74Eg5L+b+bdFrkXb5kkZX1mc="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1400799622_4/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Омепразол капс., 20 мг, 30 шт.

    Цена 37 ₽
  • Комбилипен табс таб. п/о плен., 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:187403134_5/content/content/gallery":{"title":"Комбилипен табс таб. п/о плен., 30 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5217690/img_id7717029530913748984.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5217690/img_id7717029530913748984.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5217690/img_id7717029530913748984.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5217690/img_id7717029530913748984.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5217690/img_id7717029530913748984.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5217690/img_id7717029530913748984.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5236535/img_id313549928534530091.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5236535/img_id313549928534530091.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5236535/img_id313549928534530091.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5236535/img_id313549928534530091.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5236535/img_id313549928534530091.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5236535/img_id313549928534530091.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4353087/img_id4238183271539718384.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4353087/img_id4238183271539718384.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4353087/img_id4238183271539718384.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4353087/img_id4238183271539718384.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4353087/img_id4238183271539718384.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4353087/img_id4238183271539718384.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5326769/img_id3451040207413218036.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5326769/img_id3451040207413218036.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5326769/img_id3451040207413218036.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5326769/img_id3451040207413218036.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5326769/img_id3451040207413218036.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5326769/img_id3451040207413218036.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5219059/img_id6270739719169989249.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5219059/img_id6270739719169989249.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5219059/img_id6270739719169989249.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5219059/img_id6270739719169989249.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5219059/img_id6270739719169989249.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5219059/img_id6270739719169989249.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/7979270/img_id6166127761440986016.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/7979270/img_id6166127761440986016.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/7979270/img_id6166127761440986016.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/7979270/img_id6166127761440986016.jpeg/240x320 240w, 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217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/1923211/img_id6184263231877503750.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1923211/img_id6184263231877503750.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1923211/img_id6184263231877503750.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1923211/img_id6184263231877503750.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1923211/img_id6184263231877503750.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1923211/img_id6184263231877503750.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5249393/img_id1711394076432751335.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5249393/img_id1711394076432751335.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5249393/img_id1711394076432751335.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5249393/img_id1711394076432751335.jpeg/240x320 240w, 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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:187403134_5/content/content/toggleWishlist":{"skuId":"101302304743","productId":187403134,"offerId":"T3kypAvZt0I_yeM4VJz_OA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCP6WrlkQ5//ZsPkCGK7C2QcgnP6jGA==","sign":"k6qV/oTOX7BsbBRKTAV8AjwE1V24ZO+ZMOVkyiV1lIo="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:187403134_5/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Комбилипен табс таб. п/о плен., 30 шт.

    Цена 422 ₽
  • Нейробион таб. п/о, 20 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:186870040_6/content/content/gallery":{"title":"Нейробион таб. п/о, 20 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/4304169/img_id2785167164665643563.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4304169/img_id2785167164665643563.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4304169/img_id2785167164665643563.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4304169/img_id2785167164665643563.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4304169/img_id2785167164665643563.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4304169/img_id2785167164665643563.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/2017291/img_id1393844460567093974.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/2017291/img_id1393844460567093974.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/2017291/img_id1393844460567093974.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/2017291/img_id1393844460567093974.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/2017291/img_id1393844460567093974.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/2017291/img_id1393844460567093974.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4589539/img_id3702806798789266364.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4589539/img_id3702806798789266364.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4589539/img_id3702806798789266364.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4589539/img_id3702806798789266364.jpeg/240x320 240w, 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217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4559636/img_id3930773437251822689.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4559636/img_id3930773437251822689.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4559636/img_id3930773437251822689.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4559636/img_id3930773437251822689.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4559636/img_id3930773437251822689.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4559636/img_id3930773437251822689.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5284145/img_id8694074224921699258.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5284145/img_id8694074224921699258.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5284145/img_id8694074224921699258.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5284145/img_id8694074224921699258.jpeg/240x320 240w, 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217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCJjSjVkQise3svkCGLiOoQYgnP6jGA==","sign":"cNSrwX9kMzDKICBqiSP68SkUuuX1OJvFo+mI8i5QaUY="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:186870040_6/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:186870040_6/content/content/toggleWishlist":{"skuId":"101305934730","productId":186870040,"offerId":"Wd0cFyRvcUqPz_iqGJahpg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCJjSjVkQise3svkCGLiOoQYgnP6jGA==","sign":"cNSrwX9kMzDKICBqiSP68SkUuuX1OJvFo+mI8i5QaUY="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:186870040_6/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Нейробион таб. п/о, 20 шт.

    Цена 529 ₽ вместо 624
  • Тизалуд таб., 2 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663474_7/content/content/toggleWishlist":{"skuId":"227830487","productId":1422663474,"offerId":"9lJjHMVqtoLcqxAW1uZ1CQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCLK+sKYFENfV0WwY2tShBSDn3MEH","sign":"b9QvgA+GyuMChlg/xWNetOZmM603qctz3aLvF0kmlYo="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663474_7/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Тизалуд таб., 2 мг, 30 шт.

    Цена 183 ₽
  • Реклама
    {"widgets":{"@light/AdLabel":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_101_8/content/content/content/adLabel":{"adLabel":{"adLabelText":"Реклама","advertizer":"ОБЩЕСТВО С ОГРАНИЧЕННОЙ ОТВЕТСТВЕННОСТЬЮ \"ДИДЖ ТРЕЙД\", ИНН 5024182207, ID #e-1g-19141-VND-ADV","adLabel":1},"advertisementId":1936901,"allowDebug":false,"borderRadius":5,"indents":6}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_101_8/content/content/content/adLabel":{"name":"@light/AdLabel"}}}
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  • Нейромультивит таб. п/о плен., 200 мг + 100 мг + 0.2 мг, 20 шт.
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    Нейромультивит таб. п/о плен., 200 мг + 100 мг + 0.2 мг, 20 шт.

    Цена 511 ₽ вместо 598
  • Мильгамма композитум таб. п/о, 100 мг+100 мг, 30 шт.
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:228007872_10/content/content/toggleWishlist":{"skuId":"101302247757","productId":228007872,"offerId":"pLnNi9Usmo85FmW7-VLrKw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCMC/3GwQzcLWsPkCGLqCoQYgnP6jGA==","sign":"RUIiyYZwEnmRxh/kHY4SbiAFJgdK5q3qGDoKk/3l5MA="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:228007872_10/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Мильгамма композитум таб. п/о, 100 мг+100 мг, 30 шт.

    Цена 762 ₽ вместо 770
  • Габапентин Канон капс., 300 мг, 30 шт.
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    Габапентин Канон капс., 300 мг, 30 шт.

    Цена 282 ₽
  • Нимесулид таб., 100 мг, 30 шт.
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    Нимесулид таб., 100 мг, 30 шт.

    Цена 90 ₽
  • Аркоксиа таб. п/о. плен., 90 мг, 7 шт.
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    Аркоксиа таб. п/о. плен., 90 мг, 7 шт.

    Цена 603 ₽ вместо 754
  • Глюкозамин-хондроитиновый комплекс капс., 90 шт.
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    Глюкозамин-хондроитиновый комплекс капс., 90 шт.

    Цена 389 ₽ вместо 393
  • Комбилипен р-р д/ин., 5 шт.
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:265150447_15/content/content/toggleWishlist":{"skuId":"101302302739","productId":265150447,"offerId":"toaduQwiZm32HyFgYL6nGg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCO+/t34Qk/DZsPkCGK7C2QcgnP6jGA==","sign":"QwybPod+wCvz9jXoY2+7fK5l9apvGmEuTEC/2Wnf1HU="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:265150447_15/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Комбилипен р-р д/ин., 5 шт.

    Цена 337 ₽
  • Милурит таб., 100 мг, 100 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663453_16/content/content/gallery":{"title":"Милурит таб., 100 мг, 100 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/12217350/img_id5744841292442720486.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/12217350/img_id5744841292442720486.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/12217350/img_id5744841292442720486.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/12217350/img_id5744841292442720486.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/12217350/img_id5744841292442720486.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/12217350/img_id5744841292442720486.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4409630/img_id1920656864762858703.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4409630/img_id1920656864762858703.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4409630/img_id1920656864762858703.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4409630/img_id1920656864762858703.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4409630/img_id1920656864762858703.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4409630/img_id1920656864762858703.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/12200529/img_id3453710814806049367.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/12200529/img_id3453710814806049367.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/12200529/img_id3453710814806049367.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/12200529/img_id3453710814806049367.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/12200529/img_id3453710814806049367.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/12200529/img_id3453710814806049367.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCJ2+sKYFENLmuPX/AhiS3dAHIOfcwQc=","sign":"hHNRR5UKu+7TxosPPa8via+0whykCSLrMg+5rliQsEo="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663453_16/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663453_16/content/content/toggleWishlist":{"skuId":"103057077074","productId":1422663453,"offerId":"szy9w8yy7Z2HwF7ZBOLO6A","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCJ2+sKYFENLmuPX/AhiS3dAHIOfcwQc=","sign":"hHNRR5UKu+7TxosPPa8via+0whykCSLrMg+5rliQsEo="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663453_16/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Милурит таб., 100 мг, 100 шт.

    Цена 359 ₽
  • Мексидол таб. п/о плен., 125 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1404748441_17/content/content/gallery":{"title":"Мексидол таб. п/о плен., 125 мг, 30 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5251231/img_id7904680617177569775.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5251231/img_id7904680617177569775.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5251231/img_id7904680617177569775.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5251231/img_id7904680617177569775.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5251231/img_id7904680617177569775.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5251231/img_id7904680617177569775.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5236248/img_id7022193557611552722.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5236248/img_id7022193557611552722.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5236248/img_id7022193557611552722.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5236248/img_id7022193557611552722.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5236248/img_id7022193557611552722.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5236248/img_id7022193557611552722.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/1733932/img_id4016919253603601542.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1733932/img_id4016919253603601542.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1733932/img_id4016919253603601542.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1733932/img_id4016919253603601542.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1733932/img_id4016919253603601542.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1733932/img_id4016919253603601542.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/7552302/img_id7252453480823567390.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/7552302/img_id7252453480823567390.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/7552302/img_id7252453480823567390.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/7552302/img_id7252453480823567390.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/7552302/img_id7252453480823567390.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/7552302/img_id7252453480823567390.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/1081556/img_id8851580815583959802.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1081556/img_id8851580815583959802.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1081556/img_id8851580815583959802.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1081556/img_id8851580815583959802.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1081556/img_id8851580815583959802.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1081556/img_id8851580815583959802.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCJmF650FEI7X0GwYre38BSDt2cEH","sign":"wASsIXeUNp3GiJ1KoI+o3Iae4IX1CJsR6i0RCDJJKrs="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1404748441_17/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1404748441_17/content/content/toggleWishlist":{"skuId":"227814286","productId":1404748441,"offerId":"iIgpwbogG37ZliD9Uhh9hA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCJmF650FEI7X0GwYre38BSDt2cEH","sign":"wASsIXeUNp3GiJ1KoI+o3Iae4IX1CJsR6i0RCDJJKrs="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1404748441_17/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Мексидол таб. п/о плен., 125 мг, 30 шт.

    Цена 293 ₽ вместо 355
  • Мелоксикам таб., 15 мг, 20 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:186849727_18/content/content/gallery":{"title":"Мелоксикам таб., 15 мг, 20 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5246132/img_id5023359964888852673.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5246132/img_id5023359964888852673.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5246132/img_id5023359964888852673.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5246132/img_id5023359964888852673.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5246132/img_id5023359964888852673.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5246132/img_id5023359964888852673.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/12301852/img_id8211830998042766074.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/12301852/img_id8211830998042766074.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/12301852/img_id8211830998042766074.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/12301852/img_id8211830998042766074.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/12301852/img_id8211830998042766074.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/12301852/img_id8211830998042766074.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/1042102/img_id1493993691082571488.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1042102/img_id1493993691082571488.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1042102/img_id1493993691082571488.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1042102/img_id1493993691082571488.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1042102/img_id1493993691082571488.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1042102/img_id1493993691082571488.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCL+zjFkQtIqfjPsCGM7C2Qcg59zBBw==","sign":"B2yxJn1p8/bCYRO5xS3OXZdsSgPSLfkr39PiAhVV6bc="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:186849727_18/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:186849727_18/content/content/toggleWishlist":{"skuId":"101762712884","productId":186849727,"offerId":"iUb0WzW8HlrNRGl3p8bR8g","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCL+zjFkQtIqfjPsCGM7C2Qcg59zBBw==","sign":"B2yxJn1p8/bCYRO5xS3OXZdsSgPSLfkr39PiAhVV6bc="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:186849727_18/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Мелоксикам таб., 15 мг, 20 шт.

    Цена 87 ₽
  • Баклосан таб., 10 мг, 50 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663531_19/content/content/toggleWishlist":{"skuId":"265152847","productId":1422663531,"offerId":"RrXF1q-0L6NG7cS_8sBQiQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCOu+sKYFEM/St34Yud3QByDn3MEH","sign":"yDISdX9SfdrpoINRv93e14WkqSz2wktgVhNxgxSF00o="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663531_19/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Баклосан таб., 10 мг, 50 шт.

    Цена 303 ₽
  • Аллопуринол таб., 300 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663455_20/content/content/toggleWishlist":{"skuId":"226693586","productId":1422663455,"offerId":"PI3D9jGbKEgLiAJ50HbEmQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQ9uv/nsmewqhrEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCJ++sKYFENKjjGwYld3QByDn3MEH","sign":"2hycxxkTJy0iEqZfZ6ndR7dC83iqVo1iHpDXGZt7z/4="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663455_20/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Аллопуринол таб., 300 мг, 30 шт.

    Цена 182 ₽
  • Реклама
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  • 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
  • Кокарнит лиоф. д/приг. р-ра для в/м введ. + р-ль лидокаина р-р амп., 3 шт.
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    Кокарнит лиоф. д/приг. р-ра для в/м введ. + р-ль лидокаина р-р амп., 3 шт.

    Цена 1 071 ₽
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