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Описание

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Спиронолактон таб., 25 мг, 20 шт.

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4.9
(10)
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Коротко о товаре

Артикул Маркета
3176302165
Тип препарата
Назначение
Действующее вещество
Возраст
от 18 лет
Инструкция
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для короткого предоперационного курса лечения;\n- для установления диагноза первичного гиперальдостеронизма;\n- тяжелая хроническая сердечная недостаточность (III-IV функциональный класс по классификации NYHA) на фоне стандартной терапии"},{"name":"Противопоказания","value":"- повышенная чувствительность к спиронолактону и любому из компонентов препарата;\n- болезнь Аддисона;\n- гиперкалиемия;\n- гипонатриемия;\n- тяжелая почечная недостаточность (клиренс креатинина менее 10 мл/мин);\n- анурия;\n- дефицит лактозы, непереносимость лактазы, синдром глюкозо-галактозной мальабсорбции;\n- беременность;\n- период лактации (грудное вскармливание);\n- детский возраст до 3 лет (твердая лекарственная форма);\n- одновременное применение эплеренона и других калийсберегающих диуретиков, препаратов калия (риск развития гиперкалиемии)"},{"name":"Состав","value":"Действующее вещество: спиронолактон – 25 мг\u003Cbr\u003EВспомогательные вещества: лактозы моногидрат (сахар молочный) - 117 мг, крахмал кукурузный - 50 мг, повидон К25 - 5 мг, магния стеарат - 2 мг, кремния диоксид коллоидный - 1 мг\u003Cbr/\u003E"},{"name":"Действующее вещество","value":"Спиронолактон","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["27144131:28710514"]}}},{"name":"Способ применения и дозы","value":"Внутрь. Одновременно с приемом пищи.\u003Cbr /\u003EПри эссенциальной гипертензии:\u003Cbr /\u003EСуточная доза для взрослых обычно составляет 50-100 мг однократно и может быть увеличена до 200 мг, при этом увеличивать дозу следует постепенно, 1 раз в 2 недели. Чтобы добиться адекватного ответа на терапию, препарат необходимо принимать не менее 2 недель. При необходимости проводят коррекцию дозы.\u003Cbr /\u003EПри идиопатическом гиперальдостеронизме:\u003Cbr /\u003E100-400 мг/сут.\u003Cbr /\u003EПри выраженном гиперальдостеронизме и гипокалиемии:\u003Cbr /\u003EСуточная доза составляет 300 мг/сут (максимально 400 мг) за 2-3 приёма, при улучшении состояния дозу постепенно снижают до 25 мг/сут.\u003Cbr /\u003EПри гипокалиемии и/или гипомагниемии, вызванных терапией диуретиками:\u003Cbr /\u003EНазначают препарат в дозе 25-100 мг/сут однократно или в несколько приёмов. Максимальная суточная доза 400 мг, если препараты калия для приема внутрь или другие методы восполнения его дефицита неэффективны.\u003Cbr /\u003EПри диагностике и лечении первичного гиперальдостеронизма в качестве диагностического средства при коротком диагностическом тесте:\u003Cbr /\u003EПрепарат назначают в течение 4 дней по 400 мг/сут, распределив суточную дозу на несколько приёмов в день. При увеличении содержания калия в крови во время приёма препарата и снижении после отмены его, можно предполагать наличие первичного гиперальдостеронизма.\u003Cbr /\u003EПри длительном диагностическом тесте:\u003Cbr /\u003EПрепарат назначают в той же дозе в течение 3-4 недель. При достижении коррекции гипокалиемии и артериальной гипертензии можно предполагать наличие первичного гиперальдостеронизма.\u003Cbr /\u003EКороткий курс предоперационной терапии первичного гиперальдостеронизма:\u003Cbr /\u003EПосле того как диагноз гиперальдостеронизма установлен с помощью более точных диагностических методов, Спиронолактон следует принимать по 100-400 мг/сут. разделив на 1-4 приёма в сутки в течение всего периода подготовки к хирургическому вмешательству. Если операция не показана, то Спиронолактон применяется для проведения длительной поддерживающей терапии, при этом применяется наименьшая эффективная доза, которая подбирается индивидуально для каждого пациента.\u003Cbr /\u003EОтеки на фоне нефротического синдрома:\u003Cbr /\u003EСуточная доза для взрослых обычно составляет 100-200 мг. Не выявлено влияния спиронолактона на основной патологический процесс, и поэтому применение данного препарата рекомендуется только в тех случаях, когда другие виды терапии оказываются неэффективны.\u003Cbr /\u003EПри отёчном синдроме на фоне хронической сердечной недостаточности:\u003Cbr /\u003EПрепарат назначают ежедневно, в течение 5 дней по 100-200 мг/сут в 2-3 приёма.\u003Cbr /\u003EВ зависимости от эффекта, суточную дозу уменьшают до 25 мг. Поддерживающая доза подбирается индивидуально. Максимальная доза 200 мг/сут.\u003Cbr /\u003EОтеки на фоне цирроза печени:\u003Cbr /\u003EЕсли в моче соотношение ионов натрия и калия (Na+/K+) превышают 1,0, то суточная доза для взрослых обычно составляет 100 мг. Если соотношение меньше 1,0, то суточная доза для взрослых обычно равна 200-400 мг. Поддерживающая доза подбирается индивидуально.\u003Cbr /\u003EПри отеках у детей:\u003Cbr /\u003EНачальная доза составляет 1-3,3 мг/кг массы тела или 30-90 мг/м2/сут. в 1-4 приёма. Через 5 дней дозу корректируют и при необходимости увеличивают в 3 раза по сравнению с первоначальной.\u003Cbr /\u003EПрименение у пожилых пациентов:\u003Cbr /\u003EРекомендуется начинать лечение с минимальной дозы и титровать ее до достижения максимально необходимой дозы под контролем функции печени/почек.\u003Cbr /\u003EТяжелая хроническая сердечная недостаточность (III-IV функциональный класс по классификации NYHA) на фоне стандартной терапии:\u003Cbr /\u003EЛечение начинают с 25 мг 1 раз в сутки, если калий сыворотки крови менее 5,0 мг-экв/л и креатинина крови менее 2,5 мг/л. Пациентам, которые хорошо переносят дозу 25 мг 1 раз/сутки дозу возможно увеличить до 50 мг 1 раз/сутки. Лечение проводят под контролем содержания калия и креатинина крови через одну неделю после начала терапии или увеличения дозы, затем ежемесячно в течение первых 3-х месяцев, затем ежеквартально в течение года, а затем каждые 6 месяцев."},{"name":"Побочные действия","value":"Со стороны пищеварительной системы: тошнота, рвота, диарея, изъязвления и кровотечения желудочно-кишечного тракта, гастрит, кишечная колика, боль в животе, диарея или запор, нарушение функции печени.\u003Cbr /\u003EСо стороны нервной системы: атаксия, заторможенность, головокружение, головная боль, сонливость, летаргия, спутанность сознания, мышечный спазм.\u003Cbr /\u003EСо стороны эндокринной системы: при длительном применении - гинекомастия, нарушение эрекции у мужчин, снижение потенции; у женщин - дисменорея, аменорея, метроррагия в климактерическом периоде, гирсутизм, гипертрихоз, огрубление голоса, боли в области молочных желёз, карцинома молочной железы.\u003Cbr /\u003EСо стороны мочевыделительной системы: острая почечная недостаточность.\u003Cbr /\u003EСо стороны органов кроветворения: агранулоцитоз, тромбоцитопения, мегалобластоз.\u003Cbr /\u003EАллергические реакции: лекарственная лихорадка, крапивница, макулопапулезная и эритематозная сыпь, синдром Стивенса-Джонсона, токсический эпидермальный некролиз.\u003Cbr /\u003EСо стороны кожных покровов: алопеция, кожный зуд.\u003Cbr /\u003EСо стороны лабораторных показателей: повышение концентрации мочевины, гиперкреатининемия, гиперурикемия, нарушение водно-электролитного обмена и кислотно-основного состояния (метаболический гипохлоремический ацидоз или алкалоз).\u003Cbr /\u003EПрочие: судороги икроножных мышц, мышечный спазм."},{"name":"Фармакологическое действие","value":"Калий-, магнийсберегающий диуретик. Является конкурентным антагонистом альдостерона по влиянию на дистальные отделы нефрона (конкурирует за места связывания на цитоплазматических белковых рецепторах, снижает синтез пермеаз в альдостерон-зависимом участке собирательных трубочек и дистальных канальцев), повышает выведение Na+, Cl- и воды и уменьшает выведение K+ и мочевины, снижает титруемую кислотность мочи. Усиление диуреза вызывает гипотензивный эффект, который непостоянен. Гипотензивный эффект не зависит от уровня ренина в плазме крови и не проявляется при нормальном АД.\u003Cbr\u003EДиуретический эффект проявляется на 2-5 день лечения."},{"name":"Фармакологическая группа","value":"диуретическое калийсберегающее средство"},{"name":"Форма выпуска","value":"таблетки"},{"name":"Способ применения/введения","value":"пероральный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["35947170:36763744"]}}},{"name":"Минимальный возраст применения","value":"от 18 лет"},{"name":"Условия хранения","value":"В защищенном от света месте, при температуре не выше 25 °С. Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"Симптомы: тошнота, рвота, головокружение, диарея, кожная сыпь, гиперкалиемия (парестезии, мышечная слабость, аритмии), гипонатриемия (сухость во рту, жажда, сонливость), гиперкальциемия, дегидратация, увеличение концентрации мочевины.\u003Cbr\u003EЛечение: промывание желудка, симптоматическое лечение дегидратации и артериальной гипотензии. При гиперкалиемии необходимо нормализовать водно-электролитный обмен с помощью калийвыводящих диуретиков, быстрого парентерального введения раствора декстрозы (5-20 % растворы) с инсулином из расчёта 0.25-0.5 ЕД на 1 г декстрозы; при необходимости возможно повторное введение декстрозы. В тяжелых случаях проводят гемодиализ."},{"name":"Применение при беременности и кормлении грудью","value":"Применение препарата во время беременности и в период грудного вскармливания противопоказано. При необходимости применения в период лактации грудное вскармливание необходимо прекратить."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"В начальном периоде лечения запрещается управлять транспортными средствами и заниматься другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций. Длительность ограничений устанавливается в индивидуальном порядке."},{"name":"Особые указания","value":"C осторожностью применять при AV-блокаде (возможность усиления в связи с развитием гиперкалиемии), декомпенсированном циррозе печени, хирургических вмешательствах, приеме препаратов, вызывающих гинекомастию, при приеме местных и общих анестетиков, у пациентов пожилого возраста.\u003Cbr\u003EНа фоне применения спиронолактона не следует назначать препараты, содержащие калий, а также другие диуретические средства, вызывающие задержку калия в организме. Следует избегать применения спиронолактона с карбеноксолоном, вызывающим задержку натрия.\u003Cbr\u003EВ период лечения следует проводить периодическое определение содержания электролитов и мочевины в крови.\u003Cbr\u003EПри применении спиронолактона в комбинации с другими диуретическими или антигипертензивными средствами дозу последних рекомендуется уменьшить. При применении спиронолактона одновременно с дигоксином может возникнуть необходимость уменьшения как насыщающей, так и поддерживающей дозы последнего."},{"name":"Взаимодействие","value":"При одновременном применении с антигипертензивными препаратами потенцируется гипотензивное действие спиронолактона.\u003Cbr\u003EПри одновременном применении с ингибиторами АПФ возможно развитие гиперкалиемии (особенно у пациентов с нарушениями функции почек), т.к. ингибиторы АПФ уменьшают содержание альдостерона, что приводит к задержке калия в организме на фоне ограничения выведения калия.\u003Cbr\u003EПри одновременном применении с препаратами калия, другими калийсберегающими диуретиками, заменителями поваренной соли и БАД к пище, содержащими калий, возможно развитие гиперкалиемии.\u003Cbr\u003EПри одновременном применении с салицилатами уменьшается диуретический эффект спиронолактона вследствие блокады экскреции канренона почками.\u003Cbr\u003EИндометацин и мефенамовая кислота ингибируют экскрецию канренона почками.\u003Cbr\u003EПри одновременном применении уменьшается гипопротромбинемический эффект пероральных антикоагулянтов.\u003Cbr\u003EПри одновременном применении с дигитоксином возможно как усиление, так и уменьшение эффектов дигитоксина.\u003Cbr\u003EПри одновременном применении спиронолактон ингибирует экскрецию дигоксина почками и, вероятно, уменьшает его объем распределения. Это может вызывать повышение концентрации дигоксина в плазме крови.\u003Cbr\u003EПри одновременном применении с кандесартаном, лозартаном, эпросартаном возникает риск развития гиперкалиемии.\u003Cbr\u003EПри одновременном применении с колестирамином описаны случаи гипохлоремического алкалоза.\u003Cbr\u003EПри одновременном применении с лития карбонатом возможно повышение концентрации лития в плазме крови.\u003Cbr\u003EПри одновременном применении с норадреналином возможно уменьшение чувствительности сосудов к норадреналину.\u003Cbr\u003EПри одновременном применении усиливается действие трипторелина, бусерелина, гонадорелина."},{"name":"Источник","value":"\u003Ca href=\"https://www.vidal.ru\" target=\"_blank\"\u003EСправочник лекарственных препаратов Видаль<\u002Fa\u003E"},{"name":"Регистрационный номер","value":"ЛП-003702"},{"name":"Дата государственной регистрации","value":"26.10.2021"},{"name":"Владелец регистрационного удостоверения","value":"Атолл","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["34324371:35649313","7893318:17601668"]}}},{"name":"Изготовитель","value":"ОЗОН"},{"name":"Фасовщик","value":"ОЗОН"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Спиронолактон","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["17796364:18003812"]}}},{"name":"Срок годности","value":"1 г."}]}},"fullSpecsGrouped":{"10290272429623764934":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Органы и системы","value":"кровеносная система, кровеносные сосуды, половая система, почки"},{"name":"Назначение","value":"гиперальдостеронизм, гипокалиемия, нефротический синдром, отечный синдром, предменструальный синдром, синдром поликистозных яичников, хроническая сердечная недостаточность"},{"name":"Показания к применению","value":"- эссенциальная гипертензия (в составе комбинированной терапии);\n- отечный синдром при хронической сердечной недостаточности (может применяться в монотерапии и в составе комбинированной терапии);\n- состояния, при которых может обнаруживаться вторичный гиперальдостеронизм, включая цирроз печени, сопровождающийся асцитом и/или отеками, нефротический синдром, а также другие состояния, сопровождающиеся отеками;\n- гипокалиемия/гипомагниемия (в качестве вспомогательного средства для ее профилактики во время лечения диуретиками при невозможности применения других способов коррекции содержания калия);\n- первичный гиперальдостеронизм (синдром Конна) - для короткого предоперационного курса лечения;\n- для установления диагноза первичного гиперальдостеронизма;\n- тяжелая хроническая сердечная недостаточность (III-IV функциональный класс по классификации NYHA) на фоне стандартной терапии"},{"name":"Противопоказания","value":"- повышенная чувствительность к спиронолактону и любому из компонентов препарата;\n- болезнь Аддисона;\n- гиперкалиемия;\n- гипонатриемия;\n- тяжелая почечная недостаточность (клиренс креатинина менее 10 мл/мин);\n- анурия;\n- дефицит лактозы, непереносимость лактазы, синдром глюкозо-галактозной мальабсорбции;\n- беременность;\n- период лактации (грудное вскармливание);\n- детский возраст до 3 лет (твердая лекарственная форма);\n- одновременное применение эплеренона и других калийсберегающих диуретиков, препаратов калия (риск развития гиперкалиемии)"},{"name":"Состав","value":"Действующее вещество: спиронолактон – 25 мг\u003Cbr\u003EВспомогательные вещества: лактозы моногидрат (сахар молочный) - 117 мг, крахмал кукурузный - 50 мг, повидон К25 - 5 мг, магния стеарат - 2 мг, кремния диоксид коллоидный - 1 мг\u003Cbr/\u003E"},{"name":"Действующее вещество","value":"Спиронолактон"},{"name":"Способ применения и дозы","value":"Внутрь. Одновременно с приемом пищи.\u003Cbr /\u003EПри эссенциальной гипертензии:\u003Cbr /\u003EСуточная доза для взрослых обычно составляет 50-100 мг однократно и может быть увеличена до 200 мг, при этом увеличивать дозу следует постепенно, 1 раз в 2 недели. Чтобы добиться адекватного ответа на терапию, препарат необходимо принимать не менее 2 недель. При необходимости проводят коррекцию дозы.\u003Cbr /\u003EПри идиопатическом гиперальдостеронизме:\u003Cbr /\u003E100-400 мг/сут.\u003Cbr /\u003EПри выраженном гиперальдостеронизме и гипокалиемии:\u003Cbr /\u003EСуточная доза составляет 300 мг/сут (максимально 400 мг) за 2-3 приёма, при улучшении состояния дозу постепенно снижают до 25 мг/сут.\u003Cbr /\u003EПри гипокалиемии и/или гипомагниемии, вызванных терапией диуретиками:\u003Cbr /\u003EНазначают препарат в дозе 25-100 мг/сут однократно или в несколько приёмов. Максимальная суточная доза 400 мг, если препараты калия для приема внутрь или другие методы восполнения его дефицита неэффективны.\u003Cbr /\u003EПри диагностике и лечении первичного гиперальдостеронизма в качестве диагностического средства при коротком диагностическом тесте:\u003Cbr /\u003EПрепарат назначают в течение 4 дней по 400 мг/сут, распределив суточную дозу на несколько приёмов в день. При увеличении содержания калия в крови во время приёма препарата и снижении после отмены его, можно предполагать наличие первичного гиперальдостеронизма.\u003Cbr /\u003EПри длительном диагностическом тесте:\u003Cbr /\u003EПрепарат назначают в той же дозе в течение 3-4 недель. При достижении коррекции гипокалиемии и артериальной гипертензии можно предполагать наличие первичного гиперальдостеронизма.\u003Cbr /\u003EКороткий курс предоперационной терапии первичного гиперальдостеронизма:\u003Cbr /\u003EПосле того как диагноз гиперальдостеронизма установлен с помощью более точных диагностических методов, Спиронолактон следует принимать по 100-400 мг/сут. разделив на 1-4 приёма в сутки в течение всего периода подготовки к хирургическому вмешательству. Если операция не показана, то Спиронолактон применяется для проведения длительной поддерживающей терапии, при этом применяется наименьшая эффективная доза, которая подбирается индивидуально для каждого пациента.\u003Cbr /\u003EОтеки на фоне нефротического синдрома:\u003Cbr /\u003EСуточная доза для взрослых обычно составляет 100-200 мг. Не выявлено влияния спиронолактона на основной патологический процесс, и поэтому применение данного препарата рекомендуется только в тех случаях, когда другие виды терапии оказываются неэффективны.\u003Cbr /\u003EПри отёчном синдроме на фоне хронической сердечной недостаточности:\u003Cbr /\u003EПрепарат назначают ежедневно, в течение 5 дней по 100-200 мг/сут в 2-3 приёма.\u003Cbr /\u003EВ зависимости от эффекта, суточную дозу уменьшают до 25 мг. Поддерживающая доза подбирается индивидуально. Максимальная доза 200 мг/сут.\u003Cbr /\u003EОтеки на фоне цирроза печени:\u003Cbr /\u003EЕсли в моче соотношение ионов натрия и калия (Na+/K+) превышают 1,0, то суточная доза для взрослых обычно составляет 100 мг. Если соотношение меньше 1,0, то суточная доза для взрослых обычно равна 200-400 мг. Поддерживающая доза подбирается индивидуально.\u003Cbr /\u003EПри отеках у детей:\u003Cbr /\u003EНачальная доза составляет 1-3,3 мг/кг массы тела или 30-90 мг/м2/сут. в 1-4 приёма. Через 5 дней дозу корректируют и при необходимости увеличивают в 3 раза по сравнению с первоначальной.\u003Cbr /\u003EПрименение у пожилых пациентов:\u003Cbr /\u003EРекомендуется начинать лечение с минимальной дозы и титровать ее до достижения максимально необходимой дозы под контролем функции печени/почек.\u003Cbr /\u003EТяжелая хроническая сердечная недостаточность (III-IV функциональный класс по классификации NYHA) на фоне стандартной терапии:\u003Cbr /\u003EЛечение начинают с 25 мг 1 раз в сутки, если калий сыворотки крови менее 5,0 мг-экв/л и креатинина крови менее 2,5 мг/л. Пациентам, которые хорошо переносят дозу 25 мг 1 раз/сутки дозу возможно увеличить до 50 мг 1 раз/сутки. Лечение проводят под контролем содержания калия и креатинина крови через одну неделю после начала терапии или увеличения дозы, затем ежемесячно в течение первых 3-х месяцев, затем ежеквартально в течение года, а затем каждые 6 месяцев."},{"name":"Побочные действия","value":"Со стороны пищеварительной системы: тошнота, рвота, диарея, изъязвления и кровотечения желудочно-кишечного тракта, гастрит, кишечная колика, боль в животе, диарея или запор, нарушение функции печени.\u003Cbr /\u003EСо стороны нервной системы: атаксия, заторможенность, головокружение, головная боль, сонливость, летаргия, спутанность сознания, мышечный спазм.\u003Cbr /\u003EСо стороны эндокринной системы: при длительном применении - гинекомастия, нарушение эрекции у мужчин, снижение потенции; у женщин - дисменорея, аменорея, метроррагия в климактерическом периоде, гирсутизм, гипертрихоз, огрубление голоса, боли в области молочных желёз, карцинома молочной железы.\u003Cbr /\u003EСо стороны мочевыделительной системы: острая почечная недостаточность.\u003Cbr /\u003EСо стороны органов кроветворения: агранулоцитоз, тромбоцитопения, мегалобластоз.\u003Cbr /\u003EАллергические реакции: лекарственная лихорадка, крапивница, макулопапулезная и эритематозная сыпь, синдром Стивенса-Джонсона, токсический эпидермальный некролиз.\u003Cbr /\u003EСо стороны кожных покровов: алопеция, кожный зуд.\u003Cbr /\u003EСо стороны лабораторных показателей: повышение концентрации мочевины, гиперкреатининемия, гиперурикемия, нарушение водно-электролитного обмена и кислотно-основного состояния (метаболический гипохлоремический ацидоз или алкалоз).\u003Cbr /\u003EПрочие: судороги икроножных мышц, мышечный спазм."},{"name":"Фармакологическое действие","value":"Калий-, магнийсберегающий диуретик. Является конкурентным антагонистом альдостерона по влиянию на дистальные отделы нефрона (конкурирует за места связывания на цитоплазматических белковых рецепторах, снижает синтез пермеаз в альдостерон-зависимом участке собирательных трубочек и дистальных канальцев), повышает выведение Na+, Cl- и воды и уменьшает выведение K+ и мочевины, снижает титруемую кислотность мочи. Усиление диуреза вызывает гипотензивный эффект, который непостоянен. Гипотензивный эффект не зависит от уровня ренина в плазме крови и не проявляется при нормальном АД.\u003Cbr\u003EДиуретический эффект проявляется на 2-5 день лечения."},{"name":"Фармакологическая группа","value":"диуретическое калийсберегающее средство"},{"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":"В защищенном от света месте, при температуре не выше 25 °С. Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"Симптомы: тошнота, рвота, головокружение, диарея, кожная сыпь, гиперкалиемия (парестезии, мышечная слабость, аритмии), гипонатриемия (сухость во рту, жажда, сонливость), гиперкальциемия, дегидратация, увеличение концентрации мочевины.\u003Cbr\u003EЛечение: промывание желудка, симптоматическое лечение дегидратации и артериальной гипотензии. При гиперкалиемии необходимо нормализовать водно-электролитный обмен с помощью калийвыводящих диуретиков, быстрого парентерального введения раствора декстрозы (5-20 % растворы) с инсулином из расчёта 0.25-0.5 ЕД на 1 г декстрозы; при необходимости возможно повторное введение декстрозы. В тяжелых случаях проводят гемодиализ."},{"name":"Применение при беременности и кормлении грудью","value":"Применение препарата во время беременности и в период грудного вскармливания противопоказано. При необходимости применения в период лактации грудное вскармливание необходимо прекратить."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"В начальном периоде лечения запрещается управлять транспортными средствами и заниматься другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций. Длительность ограничений устанавливается в индивидуальном порядке."},{"name":"Особые указания","value":"C осторожностью применять при AV-блокаде (возможность усиления в связи с развитием гиперкалиемии), декомпенсированном циррозе печени, хирургических вмешательствах, приеме препаратов, вызывающих гинекомастию, при приеме местных и общих анестетиков, у пациентов пожилого возраста.\u003Cbr\u003EНа фоне применения спиронолактона не следует назначать препараты, содержащие калий, а также другие диуретические средства, вызывающие задержку калия в организме. Следует избегать применения спиронолактона с карбеноксолоном, вызывающим задержку натрия.\u003Cbr\u003EВ период лечения следует проводить периодическое определение содержания электролитов и мочевины в крови.\u003Cbr\u003EПри применении спиронолактона в комбинации с другими диуретическими или антигипертензивными средствами дозу последних рекомендуется уменьшить. При применении спиронолактона одновременно с дигоксином может возникнуть необходимость уменьшения как насыщающей, так и поддерживающей дозы последнего."},{"name":"Взаимодействие","value":"При одновременном применении с антигипертензивными препаратами потенцируется гипотензивное действие спиронолактона.\u003Cbr\u003EПри одновременном применении с ингибиторами АПФ возможно развитие гиперкалиемии (особенно у пациентов с нарушениями функции почек), т.к. ингибиторы АПФ уменьшают содержание альдостерона, что приводит к задержке калия в организме на фоне ограничения выведения калия.\u003Cbr\u003EПри одновременном применении с препаратами калия, другими калийсберегающими диуретиками, заменителями поваренной соли и БАД к пище, содержащими калий, возможно развитие гиперкалиемии.\u003Cbr\u003EПри одновременном применении с салицилатами уменьшается диуретический эффект спиронолактона вследствие блокады экскреции канренона почками.\u003Cbr\u003EИндометацин и мефенамовая кислота ингибируют экскрецию канренона почками.\u003Cbr\u003EПри одновременном применении уменьшается гипопротромбинемический эффект пероральных антикоагулянтов.\u003Cbr\u003EПри одновременном применении с дигитоксином возможно как усиление, так и уменьшение эффектов дигитоксина.\u003Cbr\u003EПри одновременном применении спиронолактон ингибирует экскрецию дигоксина почками и, вероятно, уменьшает его объем распределения. Это может вызывать повышение концентрации дигоксина в плазме крови.\u003Cbr\u003EПри одновременном применении с кандесартаном, лозартаном, эпросартаном возникает риск развития гиперкалиемии.\u003Cbr\u003EПри одновременном применении с колестирамином описаны случаи гипохлоремического алкалоза.\u003Cbr\u003EПри одновременном применении с лития карбонатом возможно повышение концентрации лития в плазме крови.\u003Cbr\u003EПри одновременном применении с норадреналином возможно уменьшение чувствительности сосудов к норадреналину.\u003Cbr\u003EПри одновременном применении усиливается действие трипторелина, бусерелина, гонадорелина."},{"name":"Источник","value":"\u003Ca href=\"https://www.vidal.ru\" target=\"_blank\"\u003EСправочник лекарственных препаратов Видаль<\u002Fa\u003E"},{"name":"Регистрационный номер","value":"ЛП-003702"},{"name":"Дата государственной регистрации","value":"26.10.2021"},{"name":"Владелец регистрационного удостоверения","value":"Атолл"},{"name":"Изготовитель","value":"ОЗОН"},{"name":"Фасовщик","value":"ОЗОН"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Спиронолактон"},{"name":"Срок годности","value":"1 г."}]}],"transitionId":"tr_3842776150617917445"}}}}
Внешний вид товаров и/или упаковки может быть изменён изготовителем и отличаться от изображенных на Яндекс Маркете.
Есть противопоказания, посоветуйтесь с врачом. Отпускается по рецепту врача. Приобретение лекарственных препаратов осуществляется только в торговом зале аптеки

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мальабсорбции;\n- беременность;\n- период лактации (грудное вскармливание);\n- детский возраст до 3 лет (твердая лекарственная форма);\n- одновременное применение эплеренона и других калийсберегающих диуретиков, препаратов калия (риск развития гиперкалиемии)"},{"description":"","filters":[{"id":15768292,"name":"Состав"}],"isMainProperty":false,"name":"Состав","value":"Действующее вещество: спиронолактон – 25 мг\u003Cbr\u003EВспомогательные вещества: лактозы моногидрат (сахар молочный) - 117 мг, крахмал кукурузный - 50 мг, повидон К25 - 5 мг, магния стеарат - 2 мг, кремния диоксид коллоидный - 1 мг\u003Cbr/\u003E"},{"description":"","filters":[{"id":27144131,"name":"Действующее вещество"}],"isMainProperty":false,"name":"Действующее вещество","value":"Спиронолактон"},{"description":"","filters":[{"id":15768000,"name":"Способ применения и дозы"}],"isMainProperty":false,"name":"Способ применения и дозы","value":"Внутрь. Одновременно с приемом пищи.\u003Cbr /\u003EПри эссенциальной гипертензии:\u003Cbr /\u003EСуточная доза для взрослых обычно составляет 50-100 мг однократно и может быть увеличена до 200 мг, при этом увеличивать дозу следует постепенно, 1 раз в 2 недели. Чтобы добиться адекватного ответа на терапию, препарат необходимо принимать не менее 2 недель. При необходимости проводят коррекцию дозы.\u003Cbr /\u003EПри идиопатическом гиперальдостеронизме:\u003Cbr /\u003E100-400 мг/сут.\u003Cbr /\u003EПри выраженном гиперальдостеронизме и гипокалиемии:\u003Cbr /\u003EСуточная доза составляет 300 мг/сут (максимально 400 мг) за 2-3 приёма, при улучшении состояния дозу постепенно снижают до 25 мг/сут.\u003Cbr /\u003EПри гипокалиемии и/или гипомагниемии, вызванных терапией диуретиками:\u003Cbr /\u003EНазначают препарат в дозе 25-100 мг/сут однократно или в несколько приёмов. Максимальная суточная доза 400 мг, если препараты калия для приема внутрь или другие методы восполнения его дефицита неэффективны.\u003Cbr /\u003EПри диагностике и лечении первичного гиперальдостеронизма в качестве диагностического средства при коротком диагностическом тесте:\u003Cbr /\u003EПрепарат назначают в течение 4 дней по 400 мг/сут, распределив суточную дозу на несколько приёмов в день. При увеличении содержания калия в крови во время приёма препарата и снижении после отмены его, можно предполагать наличие первичного гиперальдостеронизма.\u003Cbr /\u003EПри длительном диагностическом тесте:\u003Cbr /\u003EПрепарат назначают в той же дозе в течение 3-4 недель. При достижении коррекции гипокалиемии и артериальной гипертензии можно предполагать наличие первичного гиперальдостеронизма.\u003Cbr /\u003EКороткий курс предоперационной терапии первичного гиперальдостеронизма:\u003Cbr /\u003EПосле того как диагноз гиперальдостеронизма установлен с помощью более точных диагностических методов, Спиронолактон следует принимать по 100-400 мг/сут. разделив на 1-4 приёма в сутки в течение всего периода подготовки к хирургическому вмешательству. Если операция не показана, то Спиронолактон применяется для проведения длительной поддерживающей терапии, при этом применяется наименьшая эффективная доза, которая подбирается индивидуально для каждого пациента.\u003Cbr /\u003EОтеки на фоне нефротического синдрома:\u003Cbr /\u003EСуточная доза для взрослых обычно составляет 100-200 мг. Не выявлено влияния спиронолактона на основной патологический процесс, и поэтому применение данного препарата рекомендуется только в тех случаях, когда другие виды терапии оказываются неэффективны.\u003Cbr /\u003EПри отёчном синдроме на фоне хронической сердечной недостаточности:\u003Cbr /\u003EПрепарат назначают ежедневно, в течение 5 дней по 100-200 мг/сут в 2-3 приёма.\u003Cbr /\u003EВ зависимости от эффекта, суточную дозу уменьшают до 25 мг. Поддерживающая доза подбирается индивидуально. Максимальная доза 200 мг/сут.\u003Cbr /\u003EОтеки на фоне цирроза печени:\u003Cbr /\u003EЕсли в моче соотношение ионов натрия и калия (Na+/K+) превышают 1,0, то суточная доза для взрослых обычно составляет 100 мг. Если соотношение меньше 1,0, то суточная доза для взрослых обычно равна 200-400 мг. Поддерживающая доза подбирается индивидуально.\u003Cbr /\u003EПри отеках у детей:\u003Cbr /\u003EНачальная доза составляет 1-3,3 мг/кг массы тела или 30-90 мг/м2/сут. в 1-4 приёма. Через 5 дней дозу корректируют и при необходимости увеличивают в 3 раза по сравнению с первоначальной.\u003Cbr /\u003EПрименение у пожилых пациентов:\u003Cbr /\u003EРекомендуется начинать лечение с минимальной дозы и титровать ее до достижения максимально необходимой дозы под контролем функции печени/почек.\u003Cbr /\u003EТяжелая хроническая сердечная недостаточность (III-IV функциональный класс по классификации NYHA) на фоне стандартной терапии:\u003Cbr /\u003EЛечение начинают с 25 мг 1 раз в сутки, если калий сыворотки крови менее 5,0 мг-экв/л и креатинина крови менее 2,5 мг/л. Пациентам, которые хорошо переносят дозу 25 мг 1 раз/сутки дозу возможно увеличить до 50 мг 1 раз/сутки. Лечение проводят под контролем содержания калия и креатинина крови через одну неделю после начала терапии или увеличения дозы, затем ежемесячно в течение первых 3-х месяцев, затем ежеквартально в течение года, а затем каждые 6 месяцев."},{"description":"","filters":[{"id":15767998,"name":"Побочные действия"}],"isMainProperty":false,"name":"Побочные действия","value":"Со стороны пищеварительной системы: тошнота, рвота, диарея, изъязвления и кровотечения желудочно-кишечного тракта, гастрит, кишечная колика, боль в животе, диарея или запор, нарушение функции печени.\u003Cbr /\u003EСо стороны нервной системы: атаксия, заторможенность, головокружение, головная боль, сонливость, летаргия, спутанность сознания, мышечный спазм.\u003Cbr /\u003EСо стороны эндокринной системы: при длительном применении - гинекомастия, нарушение эрекции у мужчин, снижение потенции; у женщин - дисменорея, аменорея, метроррагия в климактерическом периоде, гирсутизм, гипертрихоз, огрубление голоса, боли в области молочных желёз, карцинома молочной железы.\u003Cbr /\u003EСо стороны мочевыделительной системы: острая почечная недостаточность.\u003Cbr /\u003EСо стороны органов кроветворения: агранулоцитоз, тромбоцитопения, мегалобластоз.\u003Cbr /\u003EАллергические реакции: лекарственная лихорадка, крапивница, макулопапулезная и эритематозная сыпь, синдром Стивенса-Джонсона, токсический эпидермальный некролиз.\u003Cbr /\u003EСо стороны кожных покровов: алопеция, кожный зуд.\u003Cbr /\u003EСо стороны лабораторных показателей: повышение концентрации мочевины, гиперкреатининемия, гиперурикемия, нарушение водно-электролитного обмена и кислотно-основного состояния (метаболический гипохлоремический ацидоз или алкалоз).\u003Cbr /\u003EПрочие: судороги икроножных мышц, мышечный спазм."},{"description":"","filters":[{"id":15768001,"name":"Фармакологическое действие"}],"isMainProperty":false,"name":"Фармакологическое действие","value":"Калий-, магнийсберегающий диуретик. Является конкурентным антагонистом альдостерона по влиянию на дистальные отделы нефрона (конкурирует за места связывания на цитоплазматических белковых рецепторах, снижает синтез пермеаз в альдостерон-зависимом участке собирательных трубочек и дистальных канальцев), повышает выведение Na+, Cl- и воды и уменьшает выведение K+ и мочевины, снижает титруемую кислотность мочи. Усиление диуреза вызывает гипотензивный эффект, который непостоянен. Гипотензивный эффект не зависит от уровня ренина в плазме крови и не проявляется при нормальном АД.\u003Cbr\u003EДиуретический эффект проявляется на 2-5 день лечения."},{"description":"","filters":[{"id":34045110,"name":"Фармакологическая группа"}],"isMainProperty":false,"name":"Фармакологическая группа","value":"диуретическое калийсберегающее средство"},{"description":"","filters":[{"id":27141511,"name":"Форма выпуска для карточки"}],"isMainProperty":false,"name":"Форма выпуска","value":"таблетки"},{"description":"","filters":[{"id":35947170,"name":"Способ применения/введения"}],"isMainProperty":false,"name":"Способ применения/введения","value":"пероральный"},{"description":"","filters":[{"id":23679511,"name":"Минимальный возраст применения"},{"id":16082123,"name":"С рождения"}],"isMainProperty":false,"name":"Минимальный возраст применения","value":"от 18 лет"}]},{"name":"Дополнительно","specs":[{"description":"","filters":[{"id":15767999,"name":"Условия хранения"}],"isMainProperty":false,"name":"Условия хранения","value":"В защищенном от света месте, при температуре не выше 25 °С. Хранить в недоступном для детей месте."},{"description":"","filters":[{"id":15768014,"name":"Передозировка"}],"isMainProperty":false,"name":"Передозировка","value":"Симптомы: тошнота, рвота, головокружение, диарея, кожная сыпь, гиперкалиемия (парестезии, мышечная слабость, аритмии), гипонатриемия (сухость во рту, жажда, сонливость), гиперкальциемия, дегидратация, увеличение концентрации мочевины.\u003Cbr\u003EЛечение: промывание желудка, симптоматическое лечение дегидратации и артериальной гипотензии. При гиперкалиемии необходимо нормализовать водно-электролитный обмен с помощью калийвыводящих диуретиков, быстрого парентерального введения раствора декстрозы (5-20 % растворы) с инсулином из расчёта 0.25-0.5 ЕД на 1 г декстрозы; при необходимости возможно повторное введение декстрозы. В тяжелых случаях проводят гемодиализ."},{"description":"","filters":[{"id":15768015,"name":"Применение при беременности и кормлении грудью"}],"isMainProperty":false,"name":"Применение при беременности и кормлении грудью","value":"Применение препарата во время беременности и в период грудного вскармливания противопоказано. При необходимости применения в период лактации грудное вскармливание необходимо прекратить."},{"description":"","filters":[{"id":17360993,"name":"Влияние на способность управлять транспортом и механизмами"}],"isMainProperty":false,"name":"Влияние на способность управлять транспортом и механизмами","value":"В начальном периоде лечения запрещается управлять транспортными средствами и заниматься другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций. Длительность ограничений устанавливается в индивидуальном порядке."},{"description":"","filters":[{"id":15771167,"name":"Особые указания"}],"isMainProperty":false,"name":"Особые указания","value":"C осторожностью применять при AV-блокаде (возможность усиления в связи с развитием гиперкалиемии), декомпенсированном циррозе печени, хирургических вмешательствах, приеме препаратов, вызывающих гинекомастию, при приеме местных и общих анестетиков, у пациентов пожилого возраста.\u003Cbr\u003EНа фоне применения спиронолактона не следует назначать препараты, содержащие калий, а также другие диуретические средства, вызывающие задержку калия в организме. Следует избегать применения спиронолактона с карбеноксолоном, вызывающим задержку натрия.\u003Cbr\u003EВ период лечения следует проводить периодическое определение содержания электролитов и мочевины в крови.\u003Cbr\u003EПри применении спиронолактона в комбинации с другими диуретическими или антигипертензивными средствами дозу последних рекомендуется уменьшить. При применении спиронолактона одновременно с дигоксином может возникнуть необходимость уменьшения как насыщающей, так и поддерживающей дозы последнего."},{"description":"","filters":[{"id":15768012,"name":"Взаимодействие"}],"isMainProperty":false,"name":"Взаимодействие","value":"При одновременном применении с антигипертензивными препаратами потенцируется гипотензивное действие спиронолактона.\u003Cbr\u003EПри одновременном применении с ингибиторами АПФ возможно развитие гиперкалиемии (особенно у пациентов с нарушениями функции почек), т.к. ингибиторы АПФ уменьшают содержание альдостерона, что приводит к задержке калия в организме на фоне ограничения выведения калия.\u003Cbr\u003EПри одновременном применении с препаратами калия, другими калийсберегающими диуретиками, заменителями поваренной соли и БАД к пище, содержащими калий, возможно развитие гиперкалиемии.\u003Cbr\u003EПри одновременном применении с салицилатами уменьшается диуретический эффект спиронолактона вследствие блокады экскреции канренона почками.\u003Cbr\u003EИндометацин и мефенамовая кислота ингибируют экскрецию канренона почками.\u003Cbr\u003EПри одновременном применении уменьшается гипопротромбинемический эффект пероральных антикоагулянтов.\u003Cbr\u003EПри одновременном применении с дигитоксином возможно как усиление, так и уменьшение эффектов дигитоксина.\u003Cbr\u003EПри одновременном применении спиронолактон ингибирует экскрецию дигоксина почками и, вероятно, уменьшает его объем распределения. Это может вызывать повышение концентрации дигоксина в плазме крови.\u003Cbr\u003EПри одновременном применении с кандесартаном, лозартаном, эпросартаном возникает риск развития гиперкалиемии.\u003Cbr\u003EПри одновременном применении с колестирамином описаны случаи гипохлоремического алкалоза.\u003Cbr\u003EПри одновременном применении с лития карбонатом возможно повышение концентрации лития в плазме крови.\u003Cbr\u003EПри одновременном применении с норадреналином возможно уменьшение чувствительности сосудов к норадреналину.\u003Cbr\u003EПри одновременном применении усиливается действие трипторелина, бусерелина, гонадорелина."},{"description":"","filters":[{"id":50164710,"name":"Источник"}],"isMainProperty":false,"name":"Источник","value":"\u003Ca href=\"https://www.vidal.ru\" target=\"_blank\"\u003EСправочник лекарственных препаратов Видаль<\u002Fa\u003E"},{"description":"","filters":[{"id":16435314,"name":"Регистрационный номер"}],"isMainProperty":false,"name":"Регистрационный 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    Спиронолактон таб., 25 мг, 20 шт.

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    Цена 72 ₽
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  • Спиронолактон капс., 50 мг, 30 шт.
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    Спиронолактон капс., 50 мг, 30 шт.

    Рейтинг товара: 4.8 из 5
    на основе 10 оценок
    Цена 154 ₽
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  • Верошпирон таб., 25 мг, 20 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-925smc0pynh/toggleWishlist":{"skuId":"101811674794","productId":1768328956,"offerId":"u_qJWSwtxlS6mUKOuIrxvQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQirT1xPzs0KtiEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcI/J2aywYQqr3Lo/sCGP7Vtggg19zBBw==","sign":"W8ZGpsO/45orUGjD2/putfJL+fVl7Xp2Sph1fjXASsE="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-925smc0pynh/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Верошпирон таб., 25 мг, 20 шт.

    Рейтинг товара: 4.8 из 5
    на основе 51 оценка
    Цена 123 ₽
    {"widgets":{"@light/AddToCartButtonSnippet":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-925smc0pynh/addToCartButton":{"offerId":"u_qJWSwtxlS6mUKOuIrxvQ","skuId":"101811674794","pendingCartItem":{"productId":1768328956,"offerId":"u_qJWSwtxlS6mUKOuIrxvQ","showPlaceId":"OTNDnItfwRMjN9MRHuEMMhW8iGE9IK0rZ8192cGJYH0T2e2qIhy2lNmBF2V3FjsHGtHBADQ6GMye6XvARCzmwVy7mSD9PGOz22tv1WS-wHaKlDAhMwEtyl_6v1y2U9uyLrIqjqC2P9EjRAsFJHf7lSgE7JNHzC-qWNvW2RVbK_40lnetfp3A_nmI0JLrXf94umEt_H8qiJaRKp08OtIzHQ,,","feeShow":"OTNDnItfwRMjN9MRHuEMMhW8iGE9IK0rZ8192cGJYH0T2e2qIhy2lNmBF2V3FjsHGtHBADQ6GMye6XvARCzmwVy7mSD9PGOz22tv1WS-wHaKlDAhMwEtyl_6v1y2U9uyLrIqjqC2P9EjRAsFJHf7lSgE7JNHzC-qWNvW2RVbK_40lnetfp3A_nmI0JLrXf94umEt_H8qiJaRKp08OtIzHQ,,","skuId":"101811674794","shopId":77075781,"price":{"applicablePriceDiscounts":[],"value":"123","currency":"RUR"},"hid":"15756887","name":"Верошпирон таб., 25 мг, 20 шт.","label":"hfqdbxu7m3d","count":0,"features":[],"imageMeta":{"namespace":"mpic","groupId":5538428,"key":"img_id128995793672923423.jpeg"}},"quantity":{"step":1,"minimum":1,"maximum":999},"cpaUrl":"/safeclick/data=TxNGOK9vJEN7oLFLeCTKEixJYuEMI0EzvZFs82AjjgjhTwweZ7mRXd_AQ0K184sfZmy5nQz7U8xIc-qdVOMFoxnoSww2ObzLEs1KJpltGipDSanCui6QCo8GXRHxAQaqQQZbzp5kb0bdQDXqQiIIDEwL4INEBUjrbUNtjxqZ96WFVmZtSFtMyZQgwYujECEA4_RBXD3v21PJNtmyVuji81tBFtE-YWd9zWx-IDqBkASryKkgS4tCrW1T1l-W-uQHhdM4w_l4AFCqAz5XzkqJ9jxZJE3BJm3lQJUUeTM-PRDeuYNZaehWE1TxsL2Sc-tjveMhbsC9ZNJ-7abZnO9r44YpliVSMa7L_C1mcXH6NvaOiN_hZepwXnfMZjvtYZ_roNIL2XN0GS-9WTqXJRj8UaRJxgd3llU869GoFi3fxD_2yCWnfxCKKG9YdPsbZTYolM71vU82rE6hmqK8YZpv9q5Pe-0PS4Y-pcfv7tzM_vLUWIu1MkQx18LQXTqalw6Y7ApuU37R9oVCQI01FOHPH4HAWkANt9YKRY9VkQMmk2yartgjjRZJW_-dukPsPbrrB-yNKGVpjj8edm3zvqfIf_2ayYrSR6gtZTAQss8sD_kuvXvtvcpoyY1SgG1cubfe1uXrQ3M9rgrNKzsCvnYq-fTA_4YFW71ew21HfdbnHKmvMHD0w8XtSFifxHVsWJjfssHMwELjH_kkdwQg9SnBtvbR3FjO40GrOTRQ7Y-dDNYQ2J7OBjJbM6DKIkScw87X-nqyN9ATwjcawdNqSdM13IueHEJphjnOD_oTOh0H17JkDOrO41jw-2Ow7mVjHeNzn_wI0VYTbabBHwFwgrklRMI9iNlSRGsgHHFzrTINAhfkOlnnCCYQN_-DRm6e5ri6VtJkUbdnoQymd9nGnLu9k2I-YP8zrgajl9vUQgc18WUdZYzvm8zB5oXI1Se1FLIvKzO4yPtUe2r7yKS6j816Rd2NDTQHetmMzN-YpvctbJ26mp0a851V4AYOD3z_k7MD03HiwMMsF_sf-vZjkL8Knma5_NooLS2PzoU4nWABW7h1dXK0r4dj8HuZCKPUJ8AfTc4Dx0pxrz2eEKau87ayvJqo0DGZncxweiFirQlcRRGk0RNVfe_zRVIFGaeZG3OX12jXKTLE_sOqS3BwLn55JSTvAX7Xmj-26VcVf90ccXDtETygKF_8J5DGXGwzBW3wigYv7UzsdZYnPFoMEVxjfkbxPTihuDoZAe0Mx3_SVl3Hare0Zv60BovjmSEZ4p3B3orY_nlNjikqLwsW8qnHXmn42fHF9L36xk2wPIQ8X1Rso5P1DwYIyhC1BVNqUbkkjFQByUoOXt7PONNV2REh0hyfNbTB3b6PR027stPNAY48euXQW-r3k33fM2SdXu_ZyVyjZDT-zlO2XjRpxWEl2v-a59HkoAI8hzdGkVf7fyjYmmkAe8wLKa9UL2d1yxJRsD0LoUJwwSwkq1P1r1fz40qVpAll-RK_N-cL3uYnyvip7kAn4nKN4Uw3gUVnMKcVj5VsDJV9DmQkekpM9TLqMfuPIeDU9QWiYg9G8CsahnIYRrvvJy4-GBrnCtuYQWRLDxrBjfkwCi8Y21W21T4rRkAAf-OyUmxLYaDGAT7STpya5xRqZrFZ9qGPZwwBUFUwPxDhm6DtaDlGVlLiqW3KvGZDiopk9SgD0Az_LVy8EXs4IIRuazzaVGFv-GO9jqdHXeCrwySPP8KlXwX16iXRqSw6salcL68vXJDxS_mcDFPBGh5DufO7fwtva9SZ6x1Xo85eTMnOHxijLT4aJVcn2qC6Y-xhhQ-ffT17JZZMI2RxoQAV4O1GvBVmYGnO3IIUsPpD0-yVpsA-TMoc1cdC84IbzsJyz1gDaHMTDzg2r8cRl1rrYmhs0AaWTYz_M-w-pijRau670JAdMDR8Eznw6XlXpqMy_ZObVf47lQM_zin_eX0d8W-CWzp9fWfoAiPZb4ClAT9Q1nbTNxsBBbV5mm9zwK8y31YUa2EeBu4MLNZTvoH5sQrPSZJWrHfdkWI5qKnH6ag91IrqENoqf2V7ogpvvapVMpE--PujkpJsmL4U2Ube8eYhVD7X88N0zFY3N0801OaZm0c2vyIr-JZd5wh2KcRO2lbIRkWFJjjzX3AezqZYvMAfyeMw_dDoicE8vUPrQoV-v8fyz1awxziKvcgHEA1o5XJ1BMim-sh6u6_kbGTHaCYnSOtm1ysUN1wnFiQzZ-SQyCcoPLKDqOek230VrK517z5wPLHEwZbcCcn7UMFAgXaswXSUmEgOFO6Rg4LDPafshFRpsfBFJBkFRR_uPI-mgk9yRNKMZJ3ju2S9L6_OpFgegQbTUPJz2xy2GpdSF1ufB0APt_fXzB5IxPSJFDNDPK5we-vCk83hn4uHFtm3pgyxL3C_Uy3xtaj3c314aakMIogTt9sCi_-RY33gE33MrLi7tjR9qg0F9tAtqXpPxnxpXkzJWp-oW9luQ0vkAzOyknBr_5B-XMtHA0Gb10aUB2e3FOiFhbC78CtEvWlWpII5NgbVGKHts_cryTKKb21Tb55gFQbtkJTf0X9MJhAnEoLdFbTGWBf02khPro958UJV8EdoMlAouM1HCMS_H6YOdOcFqK1CdKMF4WK6McBL_yEv87Fk-GSAbpSqWMtTvT67WVCttPcERpnfiR6ak6p9V-0QWalAg6zmbgiEerH3-vY9jTaSNayhBWzJL-MYfUkPZz7n8aYvr4mjLITzmkMQjvIKpnfDW6jB0RhL4-K9uNiMzghsgEmPGyTeYUP-G5OGnqOoXJZ2HPYAI3xNUP_BmuvVnPgxEtZhjIgJxZ8OzybiVcZpoW6-61Tn4zUFTdJASN5Id6GUvztJdC3FWRjUAouecFQ09FYBhWsp8jNtOCaqZHbidgWfcBP9Zv3Xt4NIkp-q-AmpdenwJds5x3f4rsZkp01yLv9u16escBvJ6hnNWnpdf6KdrItwktKlR7XXAvyBLalsfJDiWfcfGfZspqMcW4Tf1HRRQgq8nXwhM5dOjjLb-UBqBtpUP_6Pvx44ormqRWyKfm9oN90dG1gTvdlLRdyOdH_3R7QnxJ483MLMLS4mqORE1FmE6ChxOHyCHu6zxhzDeTNCiZgdFQvrLiq4c5SGjJwnwYN82lWAa1Gqn4HJx9AR76zPE5ksIS_fUUhCfCPwhyYfOdDUWlyUvU2kcyoKyTQL8OjoawAtvIDWCboVkfNUY-AOCYXNes_qQBpn4xurLJqQrPUqrR9hT8jZNYyF6nJ9td-Mfv5r6PvUNijG7YTfu2Ea-Zhx347HxTQn5IKPPKhNsRmFJp0fTqJgfgHM5qDLV90KD2NBcXhehPvS_umBwYdZkaNZ2KuseJvFwbYhcUFw0K8hcv1yjzBkp_WBm0zx_0tLl9CwlN83UVrP8FLdDGzKqlWA_i6XEKxazLuLgi--PZqv520w1HktIxU0izZ27-U1f8r1WtgL4wltTfcyeZmTjg38HQjU_rM-c3oO5JVgdEzWrWSLijQY7GgPAtltZg,,/b64e=1/sign=d8fa441b2007f1d93c82d76baf4394e4/keyno=MARKET_1/*","showUid":"17172127763678765698706003","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":"CgoQirT1xPzs0KtiEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcI/J2aywYQqr3Lo/sCGP7Vtggg19zBBw==","sign":"W8ZGpsO/45orUGjD2/putfJL+fVl7Xp2Sph1fjXASsE="},"target":"cart_addition"},"baobabClientDataDeletionFromCart":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQirT1xPzs0KtiEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcI/J2aywYQqr3Lo/sCGP7Vtggg19zBBw==","sign":"W8ZGpsO/45orUGjD2/putfJL+fVl7Xp2Sph1fjXASsE="},"target":"cart_deletion"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-925smc0pynh/addToCartButton":{"name":"@light/AddToCartButtonSnippet"}}}
  • Верошпирон капс., 50 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-sjwcrmkv4o/toggleWishlist":{"skuId":"227814119","productId":1778173811,"offerId":"cFiUMsrX2wbIV7ElMT0P8g","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQirT1xPzs0KtiEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUI847zzwYQ59XQbBj+1bYIINfcwQc=","sign":"YWOG5JevK7YgK9bHfdOIBJRBDvF2J4nqusERJIb3+dQ="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-sjwcrmkv4o/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Верошпирон капс., 50 мг, 30 шт.

    Рейтинг товара: 4.9 из 5
    на основе 28 оценок
    Цена 211 ₽
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  • Метопролол таб., 25 мг, 60 шт.
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    Метопролол таб., 25 мг, 60 шт.

    Рейтинг товара: 5 из 5
    на основе 10 оценок
    Цена 76 ₽
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  • Торасемид-СЗ таб., 5 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-euyu6lq8fvs/toggleWishlist":{"skuId":"186616873","productId":1401075464,"offerId":"AMgDY_AwIq2M-EtK296DuA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQirT1xPzs0KtiEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIiO6KnAUQqZj+WBiu3tAHINfcwQc=","sign":"IF8yMG3ZiZfjdICnbr3Oz/Yd+anZr35BVPpJwl+Tk0I="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-euyu6lq8fvs/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Торасемид-СЗ таб., 5 мг, 30 шт.

    Рейтинг товара: 5 из 5
    на основе 9 оценок
    Цена 172 ₽
    {"widgets":{"@light/AddToCartButtonSnippet":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-euyu6lq8fvs/addToCartButton":{"offerId":"AMgDY_AwIq2M-EtK296DuA","skuId":"186616873","pendingCartItem":{"productId":1401075464,"offerId":"AMgDY_AwIq2M-EtK296DuA","showPlaceId":"OTNDnItfwRMjN9MRHuEMMhW8iGE9IK0rMJs9-reOgInG_dbFmJTZHhMHttvVHr9FKztH-PES-HTB8JcGuKJe_uHwfYfOsbYFIk34OXqYdEsZl_s8xuVHKMGkLdBoV1pqF6M30VPmmzyzqak_42871FZEy1Updo1VzT1bH4is7cBb8ZfWUB0E2Oyq-wrewmZNtylGaRMYsvIZMBfnZM7irg,,","feeShow":"OTNDnItfwRMjN9MRHuEMMhW8iGE9IK0rMJs9-reOgInG_dbFmJTZHhMHttvVHr9FKztH-PES-HTB8JcGuKJe_uHwfYfOsbYFIk34OXqYdEsZl_s8xuVHKMGkLdBoV1pqF6M30VPmmzyzqak_42871FZEy1Updo1VzT1bH4is7cBb8ZfWUB0E2Oyq-wrewmZNtylGaRMYsvIZMBfnZM7irg,,","skuId":"186616873","shopId":77075781,"price":{"applicablePriceDiscounts":[],"value":"172","currency":"RUR"},"hid":"15756887","name":"Торасемид-СЗ таб., 5 мг, 30 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  • Верошпилактон таб., 25 мг, 20 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-mbzx39idoc/toggleWishlist":{"skuId":"102051877507","productId":1875643863,"offerId":"qrJmMtFAXUhGYnNgX1i2ZA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQirT1xPzs0KtiEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcI15uw/gYQg6WQlvwCGLGLuggg19zBBw==","sign":"1HSc8lmdu9y+0JhZQ68Y+8Z7EYsL+x+qsCQd4BqGkvI="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-mbzx39idoc/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Верошпилактон таб., 25 мг, 20 шт.

    Рейтинг товара: 5 из 5
    на основе 5 оценок
    Цена 96 ₽
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  • Симвастатин таб. п/о плен., 10 мг, 30 шт.
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    Симвастатин таб. п/о плен., 10 мг, 30 шт.

    Рейтинг товара: 4.3 из 5
    на основе 3 оценки
    Цена 53 ₽
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  • Аторвастатин таб. п/о плен., 20 мг, 30 шт.
    –31 %
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    Аторвастатин таб. п/о плен., 20 мг, 30 шт.

    Рейтинг товара: 4.9 из 5
    на основе 197 оценок
    Цена 110 ₽ вместо 160
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  • Верошпилактон капс., 50 мг, 30 шт.
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    Верошпилактон капс., 50 мг, 30 шт.

    Рейтинг товара: 5 из 5
    на основе 1 оценка
    Цена 232 ₽
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  • Амиодарон таб., 200 мг, 30 шт.
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    Амиодарон таб., 200 мг, 30 шт.

    Рейтинг товара: 5 из 5
    на основе 4 оценки
    Цена 210 ₽
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Инструкция

Показания к применению

- эссенциальная гипертензия (в составе комбинированной терапии); - отечный синдром при хронической сердечной недостаточности (может применяться в монотерапии и в составе комбинированной терапии); - состояния, при которых может обнаруживаться вторичный гиперальдостеронизм, включая цирроз печени, сопровождающийся асцитом и/или отеками, нефротический синдром, а также другие состояния, сопровождающиеся отеками; - гипокалиемия/гипомагниемия (в качестве вспомогательного средства для ее профилактики во время лечения диуретиками при невозможности применения других способов коррекции содержания калия); - первичный гиперальдостеронизм (синдром Конна) - для короткого предоперационного курса лечения; - для установления диагноза первичного гиперальдостеронизма; - тяжелая хроническая сердечная недостаточность (III-IV функциональный класс по классификации NYHA) на фоне стандартной терапии

Противопоказания

- повышенная чувствительность к спиронолактону и любому из компонентов препарата; - болезнь Аддисона; - гиперкалиемия; - гипонатриемия; - тяжелая почечная недостаточность (клиренс креатинина менее 10 мл/мин); - анурия; - дефицит лактозы, непереносимость лактазы, синдром глюкозо-галактозной мальабсорбции; - беременность; - период лактации (грудное вскармливание); - детский возраст до 3 лет (твердая лекарственная форма); - одновременное применение эплеренона и других калийсберегающих диуретиков, препаратов калия (риск развития гиперкалиемии)

Способ применения и дозы

Внутрь. Одновременно с приемом пищи.
При эссенциальной гипертензии:
Суточная доза для взрослых обычно составляет 50-100 мг однократно и может быть увеличена до 200 мг, при этом увеличивать дозу следует постепенно, 1 раз в 2 недели. Чтобы добиться адекватного ответа на терапию, препарат необходимо принимать не менее 2 недель. При необходимости проводят коррекцию дозы.
При идиопатическом гиперальдостеронизме:
100-400 мг/сут.
При выраженном гиперальдостеронизме и гипокалиемии:
Суточная доза составляет 300 мг/сут (максимально 400 мг) за 2-3 приёма, при улучшении состояния дозу постепенно снижают до 25 мг/сут.
При гипокалиемии и/или гипомагниемии, вызванных терапией диуретиками:
Назначают препарат в дозе 25-100 мг/сут однократно или в несколько приёмов. Максимальная суточная доза 400 мг, если препараты калия для приема внутрь или другие методы восполнения его дефицита неэффективны.
При диагностике и лечении первичного гиперальдостеронизма в качестве диагностического средства при коротком диагностическом тесте:
Препарат назначают в течение 4 дней по 400 мг/сут, распределив суточную дозу на несколько приёмов в день. При увеличении содержания калия в крови во время приёма препарата и снижении после отмены его, можно предполагать наличие первичного гиперальдостеронизма.
При длительном диагностическом тесте:
Препарат назначают в той же дозе в течение 3-4 недель. При достижении коррекции гипокалиемии и артериальной гипертензии можно предполагать наличие первичного гиперальдостеронизма.
Короткий курс предоперационной терапии первичного гиперальдостеронизма:
После того как диагноз гиперальдостеронизма установлен с помощью более точных диагностических методов, Спиронолактон следует принимать по 100-400 мг/сут. разделив на 1-4 приёма в сутки в течение всего периода подготовки к хирургическому вмешательству. Если операция не показана, то Спиронолактон применяется для проведения длительной поддерживающей терапии, при этом применяется наименьшая эффективная доза, которая подбирается индивидуально для каждого пациента.
Отеки на фоне нефротического синдрома:
Суточная доза для взрослых обычно составляет 100-200 мг. Не выявлено влияния спиронолактона на основной патологический процесс, и поэтому применение данного препарата рекомендуется только в тех случаях, когда другие виды терапии оказываются неэффективны.
При отёчном синдроме на фоне хронической сердечной недостаточности:
Препарат назначают ежедневно, в течение 5 дней по 100-200 мг/сут в 2-3 приёма.
В зависимости от эффекта, суточную дозу уменьшают до 25 мг. Поддерживающая доза подбирается индивидуально. Максимальная доза 200 мг/сут.
Отеки на фоне цирроза печени:
Если в моче соотношение ионов натрия и калия (Na+/K+) превышают 1,0, то суточная доза для взрослых обычно составляет 100 мг. Если соотношение меньше 1,0, то суточная доза для взрослых обычно равна 200-400 мг. Поддерживающая доза подбирается индивидуально.
При отеках у детей:
Начальная доза составляет 1-3,3 мг/кг массы тела или 30-90 мг/м2/сут. в 1-4 приёма. Через 5 дней дозу корректируют и при необходимости увеличивают в 3 раза по сравнению с первоначальной.
Применение у пожилых пациентов:
Рекомендуется начинать лечение с минимальной дозы и титровать ее до достижения максимально необходимой дозы под контролем функции печени/почек.
Тяжелая хроническая сердечная недостаточность (III-IV функциональный класс по классификации NYHA) на фоне стандартной терапии:
Лечение начинают с 25 мг 1 раз в сутки, если калий сыворотки крови менее 5,0 мг-экв/л и креатинина крови менее 2,5 мг/л. Пациентам, которые хорошо переносят дозу 25 мг 1 раз/сутки дозу возможно увеличить до 50 мг 1 раз/сутки. Лечение проводят под контролем содержания калия и креатинина крови через одну неделю после начала терапии или увеличения дозы, затем ежемесячно в течение первых 3-х месяцев, затем ежеквартально в течение года, а затем каждые 6 месяцев.
Полная инструкция
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Спиронолактон таб.
Спиронолактон таб., 25 мг, 20 шт.
4.9
(10)
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1 вопрос
Инструкция

82 ₽/шт

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4.9
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У продавца:10 оценок·2 отзыва
У всех продавцов:50 оценок·14 отзывов
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10 месяцев назад • Ольга Шадрина • Куплен на Маркете
Комментарий: выписал кардиолог, вместо верошпирона, отеков на ногах нет!
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Месяц назад • Ирина Сересева • Куплен на Маркете
Достоинства: доставка, цена и качество просто супер
Недостатки: нет
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    Цена 72 ₽
  • Спиронолактон капс., 50 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075931_1/content/content/toggleWishlist":{"skuId":"663671090","productId":1401075931,"offerId":"_096kKEAq29iElS4BA56Sg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQirT1xPzs0KtiEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCNvxipwFELKiu7wCGJe2+wUg19zBBw==","sign":"aZLzUO434KNTP0JAaFJASp7+0smtfIRMv/4JqbLE65w="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075931_1/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Спиронолактон капс., 50 мг, 30 шт.

    Цена 154 ₽
  • Верошпирон таб., 25 мг, 20 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1768328956_2/content/content/toggleWishlist":{"skuId":"101811674794","productId":1768328956,"offerId":"u_qJWSwtxlS6mUKOuIrxvQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQirT1xPzs0KtiEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCPydmssGEKq9y6P7Ahj+1bYIINfcwQc=","sign":"bJg3qXjhSy3RhPVm6iR6+3+TaWkNy3kcuph70PC0ZbA="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1768328956_2/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Верошпирон таб., 25 мг, 20 шт.

    Цена 123 ₽
  • Верошпирон капс., 50 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778173811_3/content/content/gallery":{"title":"Верошпирон капс., 50 мг, 30 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5226473/img_id2785766583022388593.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5226473/img_id2785766583022388593.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5226473/img_id2785766583022388593.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5226473/img_id2785766583022388593.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5226473/img_id2785766583022388593.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5226473/img_id2785766583022388593.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5236407/img_id915049380414571866.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5236407/img_id915049380414571866.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5236407/img_id915049380414571866.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5236407/img_id915049380414571866.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5236407/img_id915049380414571866.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5236407/img_id915049380414571866.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQirT1xPzs0KtiEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCPOO888GEOfV0GwY/tW2CCDX3MEH","sign":"yBFJvEDZIWYtfc+naXCJnlA+l+mEpaOHAKKhwjsa0SM="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778173811_3/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778173811_3/content/content/toggleWishlist":{"skuId":"227814119","productId":1778173811,"offerId":"cFiUMsrX2wbIV7ElMT0P8g","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQirT1xPzs0KtiEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCPOO888GEOfV0GwY/tW2CCDX3MEH","sign":"yBFJvEDZIWYtfc+naXCJnlA+l+mEpaOHAKKhwjsa0SM="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778173811_3/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Верошпирон капс., 50 мг, 30 шт.

    Цена 211 ₽
  • Метопролол таб., 25 мг, 60 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075650_4/content/content/gallery":{"title":"Метопролол таб., 25 мг, 60 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5283489/img_id663201239948424119.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5283489/img_id663201239948424119.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5283489/img_id663201239948424119.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5283489/img_id663201239948424119.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5283489/img_id663201239948424119.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5283489/img_id663201239948424119.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4399094/img_id8499504271507406557.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4399094/img_id8499504271507406557.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4399094/img_id8499504271507406557.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4399094/img_id8499504271507406557.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4399094/img_id8499504271507406557.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4399094/img_id8499504271507406557.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQirT1xPzs0KtiEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCMLvipwFEJaGntgBGNfxzwYg19zBBw==","sign":"xS4bjRt/+SgffkGzreXLZCzq2FSDUyQnfDmVewz2ERE="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075650_4/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075650_4/content/content/toggleWishlist":{"skuId":"453477142","productId":1401075650,"offerId":"Nnrmm0Qd4F6U1HhhRx4LmQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQirT1xPzs0KtiEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCMLvipwFEJaGntgBGNfxzwYg19zBBw==","sign":"xS4bjRt/+SgffkGzreXLZCzq2FSDUyQnfDmVewz2ERE="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075650_4/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Метопролол таб., 25 мг, 60 шт.

    Цена 76 ₽
  • Торасемид-СЗ таб., 5 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075464_5/content/content/toggleWishlist":{"skuId":"186616873","productId":1401075464,"offerId":"AMgDY_AwIq2M-EtK296DuA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQirT1xPzs0KtiEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCIjuipwFEKmY/lgYrt7QByDX3MEH","sign":"R9kHlmtu9hu/Gxclk3ArAt8xXsUU4fAA8qeOerSd99k="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075464_5/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Торасемид-СЗ таб., 5 мг, 30 шт.

    Цена 172 ₽
  • Верошпилактон таб., 25 мг, 20 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1875643863_6/content/content/toggleWishlist":{"skuId":"102051877507","productId":1875643863,"offerId":"qrJmMtFAXUhGYnNgX1i2ZA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQirT1xPzs0KtiEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCNebsP4GEIOlkJb8Ahixi7oIINfcwQc=","sign":"AelbwIjcTpPODHF8cSJPrtQ3VYKzMK8rtIxOliRqSgw="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1875643863_6/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Верошпилактон таб., 25 мг, 20 шт.

    Цена 96 ₽
  • Симвастатин таб. п/о плен., 10 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1660221893_7/content/content/gallery":{"title":"Симвастатин таб. п/о плен., 10 мг, 30 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5204675/img_id3938765656044792156.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5204675/img_id3938765656044792156.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5204675/img_id3938765656044792156.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5204675/img_id3938765656044792156.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5204675/img_id3938765656044792156.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5204675/img_id3938765656044792156.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5232180/img_id6259526798634882436.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5232180/img_id6259526798634882436.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5232180/img_id6259526798634882436.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5232180/img_id6259526798634882436.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5232180/img_id6259526798634882436.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5232180/img_id6259526798634882436.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQirT1xPzs0KtiEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCMXz05cGEPP/2Yr7AhiEqbIIINfcwQc=","sign":"l1ftX3aZOhR10Xvmj4euzBLB3o7QHr/Aho9k9HNupgY="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1660221893_7/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1660221893_7/content/content/toggleWishlist":{"skuId":"101759483891","productId":1660221893,"offerId":"CC5zFLzBCZcGu0mqNh3OKQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQirT1xPzs0KtiEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCMXz05cGEPP/2Yr7AhiEqbIIINfcwQc=","sign":"l1ftX3aZOhR10Xvmj4euzBLB3o7QHr/Aho9k9HNupgY="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1660221893_7/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Симвастатин таб. п/о плен., 10 мг, 30 шт.

    Цена 53 ₽
  • 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 \"Рентсофт\", ИНН 7736607968, ID #e-1g-102894-VND-ADV","adLabel":1},"advertisementId":1791861,"allowDebug":false,"borderRadius":5,"indents":6}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_101_8/content/content/content/adLabel":{"name":"@light/AdLabel"}}}
    {"widgets":{"@marketfront/CreativeBanner":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_101_8/content/content/content":{"cpcLink":"/safeclick/data=SpQw45JhDGEtO5qMksCMdCT6PbT1wOtXqPHe_TGGhRMPVAZVAceHuMN3sWbrtUGMkffAa7OKGfxsagRx0uv8alCHcgJZDMqMPGZRK45pigB8FoFzx7FyNY_UzBhRoSragQUDjks6enMQG7W9ywuwBVyOTJIE79iDpLw2zOvLYU8ksgHno8fGUvNoesjNuy_u2FX-6W-cyodq4pr8PUvCoyaZ4duN6K0qLRgMXHCYJvVx9HY_li7z0A0rL_7_fH1u8sdczYDRvJcHFsz1LxO5CQM2xZvelQdN_ZeHSE52K-8WsV7dmy6RHcPcu-jIN5F0X3uHy8fa8VZ5I0ptL0zMbMw2flFbOUXgswWcOMAuU9eHYyyvT7D4hBO85Es59Sy8j6Y883YwYIrpHF1s-rKmmFfxdqBHk5-ditYex35fdPUOnEt9_-SCVFDrKalKS5Tw2JeWdh8pCsFQB_XrAHxXWd7nmJrOS-uVOyEusxwG1wcITJ4Ol8onmayg7r3d2mpITIus6_oZ5gO_p8RtWVnawEtl0RstQv3ckjTqKZjMZaYT_FgfxvxArThr2P1Lxl3QnlKWA8gCE42xHWYfWFqcMyS2DZduWaIsMfo3VnTwNhzYLI8d2w79uwWJaNT2IeCBlcXiD2DcaA2edvbFep8nE0n-RXfFkjG9OvWsdLKaqPI2szaVTXt285o1rn9OTslSBStK0jNYJRpUUIHigEjX5WNH3JkhGREliyQ1BLYajikCzIIHF3f39Z1MWDnQh4Mqjv5pZsivg__fCVY5NySwFOoHEQbvwGoA3vD3znkcRthqZRESC3lew7if8-qk4Yln3FilozMSRUC629O_9PfFt3i8BTBvkyjTXrYrpumWOQ1v5Q5x2ANuvFdYl_wERYelOZKt_XCxMwYdXArOZwWqQcbUoZefsv503KylHJZxynvHj6eaykniV_QT_Ixex2R7jrPPworrMoEZOmWppwcMENg4-JgLSdw_MBK14ZjK_EVUFGm_fbAc2SjbbBCREi4igF5U7zl4ZTkeZHl8jEUlubaF0LOKnQoS-D9Rf4pXKe6huQKEaRfn3gAgkr-pb08CKheNF_Ktg4rrefqfokSkMyJKtG9Q6WzNVJtQ2yaPuNOb_YUYZj-dHYeN6sJ1D2-AGtsoS2XDsF2VOwn1ItujvslZ8-VLrRwT2Kwv2ajCJXSf5Tq-GhTz8cyIV-hL2CU-yWXgE-oIL7JK4CXgcDmIITphRcLBhaLAncngGiX-Xk81bmonjLao_ht8CG0eL48sSXyH3UV6lDh7x_C0Z47sUaEBVstXpDYPquOaVcDscBDeW6nTxLXsM9J9sLQO9TCni-s5JG6TmZC3kgAJW5-Nlm_ZZKwUlHWimr0ACI07ZfZtiFag6q-Z3lVZHFWcSc015PMgf8Qve444qPfcbm0YCuBp6GJ49jYbkm08g-sVu68EvevcmpbeDO7owvUfvhrCviGjL0fD76GyfL2Z0Q6orKa17W4rr8yTxXaDOEONaUhPHS0ME3SdhbtE1Nn_QcL0CBKxeKhDYcovzD5nsiow6CWxY8MVLWITUP-y9OGJV4_CawKTx6Q_NRdvEvLY96ewJcMa5ATDGWmA3Ehvkij0Qyr0qKBaM-xWBfVh7S9BsZUZsr5xjZvKh83SKH9FHKxQ-oNnx8w-d6gHycDif_Im5MdGlxyEd_kucJpbn655S75QBxu19OfcbbQeJdzT_dNejczgiCDmD-CBUUg1e4zjivC7dd5uMErEwVd7R0gYNmUinR2PLzCRdzdhhNpVtKAKCleWDhJJcVGYnUdAEyn7r0AE7ihqutm5v0V_Mstz9Ksl1Xm5WPcmi7vkJTTT3KVl5o-VPnjrInDWlnj7WAWmCa_eHzkT26PHg5GGxSovh-pxJtGKU1_PRfR-YhcowSv4maS__ebJWipsjx1L6oHqyRFJ7NVf5Y4GYcd-khpUPlM_hWaOKSMEE-tDo0HB4z4y3cUXjbDlD5v7e-FN7Mqid8h7zQ0tGNSsX_yVFhoiDbhQs8sFMcrv8FfcCiWG1cisjFbdE2AWRIdHAkQEkjKBxHZvsB1qeHtP1mQzaGKXBZZfcTJcOUo7KZF_1ZICE-ZbnKa7oY3n_wcYoIHXa-aybrmmcG-ikdrs6Ev7kYAaQAa7x8fsd_uUOGUDUc-CeMdfoqh0UbKtaqh5z_x15RdZrykXAOyd0gfnY0YdhTT7OdAxQPKeUJ-CweKDHA4GWXEHsv03yFc1a1Avq3BCuTRXYprKUvFcT6KQFQb3_DLqaOYoBvmsfjzNXs-b8SjSYv2V9xYY6kmKa3rabczMuym3MKJ0enfzD7M9TWfVB_8Z7nEBvo9NPaA4ensQHmGCXfvr3GoOdm2lCpwuIguPjRYfNEs6cckrgBHEYpj2wYt2p4Hq0xsIrUPl8ndaG5J6TG3G_txq0cD_Y40bVUlqunNcAOBLQ1I1dmTc83b6NxYaxuV70gsr7C0aneiNmMUh9ZvRRhp6k1AdkqWwZztsBoAHySmFyRe3mZLutRkvoKlr2HCGupBIiU-W5BajS8-CdU3PnTKK3RVWicEI1i999EsxteKWMHNQhnYvbprAqwwa_L-2HjyQ2oisJv8APTzekO0vn6kBIR2tmvZU4k1l7bP24lhogsH2vdJz48jwt_l8LOFNzNcMnOpJoewVCPZLqfiVM5zM0IpMJpoJhfr5qy94SWiYl9RsyI-2CbBpdcHRCvRrTAYCPpgzIrBGFXSEM0EvKjB7l5Td2xIJyo54MPrzIKVdywTkke00ufUISL5cLj2T4sUaYLHdrsQV26aKRCFYsnvCPOjGyBuEjzdHjcOnM9z75wKXNAiJtVC6VrzNrhrBuU653TEsid4Sg05cnP_kApf0qAAKSb5c3puJoL5h3qplkKbfi0TliOR3YR3QbCeO5n2MZLgiv5lvVh5TJE-2u5dUXf4YQF9tse4ecDBMF4J82jdMYeaUj0L35GEXVCVj1TahOkQ3nKEKfB8vNp-tDWx71mUZCHs,/b64e=1/sign=f9f3c1784506c5ade9d409a7c3bd7cb4/keyno=MARKET_1/*","url":"https://market.yandex.ru/special/pozitronika24?fromSins=1&erid=nyi26TK8Sq2EHejwvBWdRnPrvhw3qPnm","isClickoutExternal":true,"src":"https://avatars.mds.yandex.net/get-market-adv/8282799/2650f9a7-abbe-4373-8bf8-e66b0fd11191/470x762","srcSet":"https://avatars.mds.yandex.net/get-market-adv/8282799/2650f9a7-abbe-4373-8bf8-e66b0fd11191/470x762 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  • Аторвастатин таб. п/о плен., 20 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075580_9/content/content/gallery":{"title":"Аторвастатин таб. п/о плен., 20 мг, 30 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/1705228/img_id5205981013867746371.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/1705228/img_id5205981013867746371.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/1705228/img_id5205981013867746371.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/1705228/img_id5205981013867746371.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/1705228/img_id5205981013867746371.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/1705228/img_id5205981013867746371.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/7631660/img_id1078174375542203633.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/7631660/img_id1078174375542203633.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/7631660/img_id1078174375542203633.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/7631660/img_id1078174375542203633.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/7631660/img_id1078174375542203633.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/7631660/img_id1078174375542203633.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4370207/img_id6481468469444227794.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4370207/img_id6481468469444227794.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4370207/img_id6481468469444227794.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4370207/img_id6481468469444227794.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4370207/img_id6481468469444227794.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4370207/img_id6481468469444227794.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5363183/img_id6111764109037247274.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5363183/img_id6111764109037247274.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5363183/img_id6111764109037247274.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5363183/img_id6111764109037247274.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5363183/img_id6111764109037247274.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5363183/img_id6111764109037247274.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQirT1xPzs0KtiEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCPzuipwFEPKj/Jb8AhiEqbIIINfcwQc=","sign":"hzLv5VqwpEgLTFiwcsjafAaetV1eB9rZASW6u1dDNus="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075580_9/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075580_9/content/content/toggleWishlist":{"skuId":"102053646834","productId":1401075580,"offerId":"9SoBPqXvms9BZmD6TwLc-Q","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQirT1xPzs0KtiEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCPzuipwFEPKj/Jb8AhiEqbIIINfcwQc=","sign":"hzLv5VqwpEgLTFiwcsjafAaetV1eB9rZASW6u1dDNus="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075580_9/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Аторвастатин таб. п/о плен., 20 мг, 30 шт.

    Цена 110 ₽ вместо 160
  • Верошпилактон капс., 50 мг, 30 шт.
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    Верошпилактон капс., 50 мг, 30 шт.

    Цена 232 ₽
  • Амиодарон таб., 200 мг, 30 шт.
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1780857907_11/content/content/toggleWishlist":{"skuId":"662112004","productId":1780857907,"offerId":"7tnLmoRQQRo-chPmUAQZog","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQirT1xPzs0KtiEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCLP4ltEGEISO3LsCGISpsggg19zBBw==","sign":"kddBT1x6bokNDvWs/7yuCXddsbWtWaBvsJhaZqeso0A="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1780857907_11/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Амиодарон таб., 200 мг, 30 шт.

    Цена 210 ₽
  • Аллопуринол таб., 300 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663455_12/content/content/toggleWishlist":{"skuId":"226693586","productId":1422663455,"offerId":"FXHDNdy24cfVC41MuGsvPQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQirT1xPzs0KtiEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCJ++sKYFENKjjGwYld3QByDn3MEH","sign":"kWveqDeO5AhpkeyJnqcecyFokiNIHUJshHefIkwCgd8="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663455_12/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Аллопуринол таб., 300 мг, 30 шт.

    Цена 170 ₽
  • Форсига таб. п/о плен., 10 мг, 30 шт.
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    Форсига таб. п/о плен., 10 мг, 30 шт.

    Цена 2 523 ₽
  • Таблетница пилюля С делителем
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    Таблетница пилюля С делителем

    Цена 461 ₽ вместо 665
  • БиоГая Пробиотик капли детск. фл., 5 мл, 1 уп.
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    БиоГая Пробиотик капли детск. фл., 5 мл, 1 уп.

    Цена 2 025 ₽ вместо 3 500
  • Кетоконазол шампунь лекарственный, 2%, 75 г, 75 мл
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    Кетоконазол шампунь лекарственный, 2%, 75 г, 75 мл

    Цена 352 ₽ вместо 360
  • Vitamin D3, 10000 МЕ, 120 шт.
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    Vitamin D3, 10000 МЕ, 120 шт.

    Цена 1 148 ₽ вместо 2 455
  • Скин-кап аэрозоль фл., 0,2 %, 35 мл, 35 г, 1 уп.
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    Скин-кап аэрозоль фл., 0,2 %, 35 мл, 35 г, 1 уп.

    Цена 2 189 ₽ вместо 3 351
  • Argitos Коллоидное серебро спрей д/мест. прим. фл., 30 мл, 40 г, нейтральный
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    Argitos Коллоидное серебро спрей д/мест. прим. фл., 30 мл, 40 г, нейтральный

    Цена 365 ₽ вместо 395
  • Антипапиллом гель д/нар. прим. туба, 5 мл, 1 уп.
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    Антипапиллом гель д/нар. прим. туба, 5 мл, 1 уп.

    Цена 169 ₽ вместо 171
  • Реклама
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  • Хило-комод р-р увлажняющий офтальмологический конт., 1 мг/мл, 10 мл, 1 шт.
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    Хило-комод р-р увлажняющий офтальмологический конт., 1 мг/мл, 10 мл, 1 шт.

    Цена 659 ₽ вместо 666
  • Йодомарин таб., 0.2 мг, 100 шт.
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    Йодомарин таб., 0.2 мг, 100 шт.

    Цена 196 ₽
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