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Описание

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Телмисартан-СЗ таб., 80 мг, 28 шт.

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4.8
(8)
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Дозировка: 80 мг

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Количество штук в упаковке, шт.: 28

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Коротко о товаре

Артикул Маркета
3123241286
Тип препарата
Назначение
Действующее вещество
Возраст
от 18 лет
Инструкция
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повидон-К30 (поливинилпирролидон среднемолекулярный) - 12,0 мг; меглюмин - 12,0 мг; маннитол - 165,2 мг; магния стеарат - 2,4 мг; тальк - 5,0 мг.\u003Cbr\u003Eдозировка 80 мг\u003Cbr\u003Eактивное вещество: телмисартан - 80 мг\u003Cbr\u003Eвспомогательные вещества: натрия гидроксид - 6,8 мг; повидон-К30 (поливинилпирролидон среднемолекулярный) - 24,0 мг; меглюмин - 24,0 мг; маннитол - 330,4 мг; магния стеарат - 4,8 мг; тальк - 10,0 мг.\u003Cbr\u003E"},{"name":"Действующее вещество","value":"Телмисартан","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["27144131:28709074"]}}},{"name":"Способ применения и дозы","value":"Внутрь, вне зависимости от времени приема пищи.\u003Cbr\u003EАртериальная гипертензия\u003Cbr\u003EНачальная рекомендованная доза препарата Телмисартан-СЗ составляет 1 таблетка (40 мг) один раз в сутки.\u003Cbr\u003EВ случаях, когда терапевтический эффект не достигается, максимальная рекомендованная доза препарата Телмисартан-СЗ может быть увеличена до 80 мг один раз в сутки.\u003Cbr\u003EПри решении вопроса об увеличении дозы следует принимать во внимание, что максимальный антигипертензивный эффект обычно достигается в течение 4-8 недель после начала лечения.\u003Cbr\u003EСнижение сердечно-сосудистой заболеваемости и смертности\u003Cbr\u003EРекомендованная доза - 1 таблетка препарата Телмисартан-СЗ 80 мг, 1 раз в сутки. В начальный период лечения может потребоваться дополнительная коррекция АД.\u003Cbr\u003EНарушение функции почек\u003Cbr\u003EУ пациентов с почечной недостаточностью, в том числе у пациентов находящихся на гемодиализе, коррекция режима дозирования не требуется.\u003Cbr\u003EУ пациентов с тяжелой почечной недостаточностью и находящихся на гемодиализе ограничен опыт применения препарата, рекомендуется начинать терапию с начальной дозы в 20 мг (1/2 таблетки по 40 мг).\u003Cbr\u003EНарушение функции печени\u003Cbr\u003EУ пациентов с легкими и умеренными нарушениями функции печени (класс А и В по шкале Чайлд-Пью, соответственно) суточная доза препарата Телмисартан-СЗ не должна превышать 40 мг.\u003Cbr\u003EПожилые пациенты\u003Cbr\u003EРежим дозирования не требует изменений.\u003Cbr\u003E"},{"name":"Побочные действия","value":"Наблюдаемые случаи побочных эффектов не коррелировали с полом, возрастом или расовой принадлежностью пациентов.\u003Cbr\u003EКлассификация частоты развития побочных эффектов Всемирной организации здравоохранения (ВОЗ): очень часто ≥1/10, часто от ≥1/100 до \u003C1/10, нечасто от ≥1/1000 до \u003C1/100, редко от ≥1/10000 до \u003C1/1000, очень редко \u003C 1/10000, частота неизвестна - не может быть оценена на основе имеющихся данных.\u003Cbr\u003EИнфекции:\u003Cbr\u003EНечасто: инфекции мочевыводящих путей (включая цистит), инфекции верхних дыхательных путей;\u003Cbr\u003EЧастота неизвестна: сепсис, включая сепсис с летальным исходом.\u003Cbr\u003EСо стороны кроветворной и лимфатической системы:\u003Cbr\u003EНечасто: анемия;\u003Cbr\u003EРедко: тромбоцитопения;\u003Cbr\u003EЧастота неизвестна: эозинофилия.\u003Cbr\u003EСо стороны центральной нервной системы:\u003Cbr\u003EНечасто: бессонница, сонливость, депрессия, вертиго;\u003Cbr\u003EРедко: обморок, тревога.\u003Cbr\u003EСо стороны органа зрения:\u003Cbr\u003EРедко: зрительные расстройства.\u003Cbr\u003EСо стороны сердечно-сосудистой системы:\u003Cbr\u003EНечасто: брадикардия, выраженное снижение АД, ортостатическая гипотензия;\u003Cbr\u003EРедко: тахикардия.\u003Cbr\u003EСо стороны дыхательной системы:\u003Cbr\u003EНечасто: одышка, кашель.\u003Cbr\u003EСо стороны пищеварительной системы:\u003Cbr\u003EНечасто: боль в животе, диарея, диспепсия, метеоризм, рвота;\u003Cbr\u003EРедко: сухость во рту, дискомфорт в области желудка, нарушения функции печени/заболевания печени*.\u003Cbr\u003E(*по результатам постмаркетинговых наблюдений, в большинстве случаев нарушения функции печени/заболевания печени были выявлены у пациентов Японии).\u003Cbr\u003EАллергические реакции:\u003Cbr\u003EНечасто: кожный зуд, сыпь, гипергидроз;\u003Cbr\u003EРедко: повышенная чувствительность (эритема, ангионевротический отек), экзема, ангионевротический отек (со смертельным исходом), лекарственная сыпь, токсическая сыпь;\u003Cbr\u003EЧастота неизвестна: анафилактические реакции, крапивница.\u003Cbr\u003EСо стороны опорно-двигательного аппарата:\u003Cbr\u003EНечасто: миалгия, боль в спине, спазмы мышц (судороги икроножных мышц);\u003Cbr\u003EРедко: артралгия, боль в нижних конечностях;\u003Cbr\u003EЧастота неизвестна: боль в сухожилиях (симптомы, схожие с проявлением тендинита).\u003Cbr\u003EСо стороны почек и мочевыводящих путей:\u003Cbr\u003EНечасто: нарушение функции почек, включая острую почечную недостаточность.\u003Cbr\u003EОбщие:\u003Cbr\u003EНечасто: боль в грудной клетке, общая слабость;\u003Cbr\u003EРедко: гриппоподобный синдром.\u003Cbr\u003EЛабораторные показатели:\u003Cbr\u003EНечасто: гиперкалиемия, повышение концентрации креатинина в крови;\u003Cbr\u003EРедко: повышение концентрации мочевой кислоты в крови, повышение активности \"печеночных\" ферментов, повышение активности креатинфосфокиназы (КФК), снижение гемоглобина, гипогликемия (у пациентов с сахарным диабетом);\u003Cbr\u003EВ постмаркетинговом периоде применения телмисатрана отмечали:\u003Cbr\u003EОчень редко: интерстициальная болезнь легких (причинно-следственная связь не установлена).\u003Cbr\u003E"},{"name":"Фармакологическое действие","value":"Телмисартан - специфический антагонист рецепторов ангиотензина II (тип АТ1), эффективный при приеме внутрь. Обладает высоким сродством к подтипу АТ1 рецепторов ангиотензина II, через которые реализуется действие ангиотензина II. Вытесняет ангиотензин II из связи с рецептором, не обладая действием агониста в отношении этого рецептора.\u003Cbr\u003EТелмисартан связывается только с подтипом АТ1 рецепторов ангиотензина II. Связь носит длительный характер. Не обладает сродством к другим рецепторам, в том числе к АТ2 рецептору и другим, менее изученным рецепторам ангиотензина. Функциональное значение этих рецепторов, а также эффект их возможной избыточной стимуляции ангиотензином II, концентрация которого увеличивается при назначении телмисартана, не изучены. Снижает концентрацию альдостерона в крови, не ингибирует ренин в плазме крови и не блокирует ионные каналы. Телмисартан не ингибирует ангиотензинпревращающий фермент (кининаза II) (фермент, который также разрушает брадикинин). Поэтому усиление вызываемых брадикинином побочных эффектов не ожидается.\u003Cbr\u003EУ пациентов телмисартан в дозе 80 мг полностью блокирует гипертензивное действие ангиотензина II.\u003Cbr\u003EНачало антигипертензивного действия отмечается в течение 3-х часов после первого приема телмисартана. Действие препарата сохраняется в течение 24 часов и остается значимым до 48 часов. Выраженный антигипертензивный эффект обычно развивается через 4-8 недель после регулярного приема внутрь.\u003Cbr\u003EУ пациентов с артериальной гипертензией телмисартан снижает систолическое и диастолическое артериальное давление (АД), не оказывая влияния на частоту сердечных сокращений (ЧСС).\u003Cbr\u003EВ случае резкой отмены телмисартана АД постепенно возвращается к исходному уровню без развития синдрома \"отмены\".\u003Cbr\u003E"},{"name":"Фармакологическая группа","value":"ангиотензина II рецепторов антагонист"},{"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 сухом, защищенном от света месте, при температуре не выше 25 °С. Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"Случаи передозировки не выявлены.\u003Cbr\u003EСимптомы: выраженное снижение АД, тахикардия, брадикардия.\u003Cbr\u003EЛечение: симптоматическая терапия, гемодиализ неэффективен.\u003Cbr\u003E"},{"name":"Применение при беременности и кормлении грудью","value":"Применение препарата Телмисартан-СЗ противопоказано во время беременности. Применение антагонистов рецепторов ангиотензина II во время первого триместра беременности не рекомендуется, эти препараты не следует назначать во время беременности. При диагностировании беременности прием препарата следует немедленно прекратить. При необходимости должна назначаться альтернативная терапия (другие классы гипотензивных препаратов, разрешенных к применению во время беременности).\u003Cbr\u003EПрименение антагонистов рецепторов ангиотензина II во время второго и третьего триместров беременности противопоказано.\u003Cbr\u003EВ доклинических исследованиях телмисартана тератогенных влияний выявлено не было, но установлена фетотоксичность. Известно, что воздействие антагонистов рецепторов ангиотензина II во время второго и третьего триместров беременности вызывает у человека фетотоксичность (снижение функции почек, олигогидроамнион, замедление оссификации черепа), а также неонатальную токсичность (почечная недостаточность, артериальная гипотензия, гиперкалиемия). Пациенткам, планирующим беременность, следует назначать альтернативную терапию. Если лечение антагонистами рецепторов ангиотензина II происходило во время второго триместра беременности, рекомендуется оценка ультразвуковым методом функции почек и состояния черепа у плода.\u003Cbr\u003EНоворожденные, матери которых получали антагонисты рецепторов ангиотензина II, должны тщательно наблюдаться в отношении артериальной гипотензии.\u003Cbr\u003EТерапия препаратом Телмисартан-СЗ противопоказана в период грудного вскармливания.\u003Cbr\u003EИсследования влияния на фертильность не проводились.\u003Cbr\u003E"},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Специальных клинических исследований влияния препарата Телмисартан-СЗ на способность управлять автотранспортом и механизмами не проводились. Однако при управлении автотранспортом и работе с механизмами следует принимать во внимание возможность развития головокружения и сонливости, что требует соблюдения осторожность.\u003Cbr\u003E"},{"name":"Особые указания","value":"С осторожностью:\u003Cbr\u003E- Двусторонний стеноз почечных артерий или стеноз артерии единственной почки;\u003Cbr\u003E- нарушения функции печени и/или почек (см. раздел \"Особые указания\");\u003Cbr\u003E- снижение объема циркулирующей крови (ОЦК) вследствие предшествующей диуретической терапии, ограничения приема поваренной соли, диареи или рвоты;\u003Cbr\u003E- гипонатриемия;\u003Cbr\u003E- гиперкалиемия;\u003Cbr\u003E- состояния после трансплантации почки (опыт применения отсутствует);\u003Cbr\u003E- хроническая сердечная недостаточность;\u003Cbr\u003E- стеноз аортального и митрального клапана;\u003Cbr\u003E- гипертрофическая обструктивная кардиомиопатия;\u003Cbr\u003E- первичный альдостеронизм (эффективность и безопасность не установлены);\u003Cbr\u003E- гемодиализ.\u003Cbr\u003EУ некоторых пациентов, вследствие подавления РААС, особенно при применении комбинации средств, действующих на эту систему, нарушается функция почек (включая острую почечную недостаточность). Поэтому терапия, сопровождающаяся подобной двойной блокадой РААС (например, при добавлении иАПФ или прямого ингибитора ренина - алискирена к АРА II), должна проводиться строго индивидуально и при тщательном контроле функции почек (в том числе периодический мониторинг содержания калия и креатинина в сыворотке крови).\u003Cbr\u003EВ случаях зависимости сосудистого тонуса и функции почек преимущественно от активности РААС (например, у пациентов с хронической сердечной недостаточностью, или заболеваниями почек, в том числе, при двустороннем стенозе почечных артерий, или стенозе артерии единственной почки), назначение препаратов, влияющих на эту систему, может сопровождаться развитием острой артериальной гипотензии, гиперазотемии, олигурии, и, в редких случаях, острой почечной недостаточности.\u003Cbr\u003EОсновываясь на опыте применения других средств, влияющих на РААС, при совместном применении препарата Телмисартан-СЗ и калийсберегающих диуретиков, калийсодержащих добавок, калийсодержащей пищевой соли, других средств, повышающих содержание калия в крови (например, гепарина), следует контролировать этот показатель у пациентов.\u003Cbr\u003EУ пациентов с сахарным диабетом и дополнительным сердечно-сосудистым риском, например, у пациентов с сахарным диабетом и ишемической болезнью сердца (ИБС), в случае применения препаратов, снижающих артериальное давление, таких как антагонисты рецепторов ангиотензина II (АРА II) или ингибиторы АПФ, может повышаться риск фатального инфаркта миокарда и внезапной сердечно-сосудистой смерти. У пациентов с сахарным диабетом ИБС может протекать бессимптомно и поэтому может быть недиагностированной. У пациентов с сахарным диабетом перед началом применения препарата Телмисартан-СЗ для выявления и лечения ИБС следует проводить соответствующие диагностические исследования, в том числе пробу с физической нагрузкой.\u003Cbr\u003EВ качестве альтернативы препарат Телмисартан-СЗ может применяться в комбинации с тиазидными диуретиками, такими как гидрохлоротиазид, которые дополнительно оказывают антигипертензивный эффект.\u003Cbr\u003EУ пациентов с первичным альдостеронизмом гипотензивные лекарственные препараты, механизм действия которых состоит в ингибировании ренин-ангиотензин-альдостероновой системы, как правило, неэффективны.\u003Cbr\u003EНеобходимо соблюдать осторожность при применении препарата Телмисартан-СЗ (также как и других вазодилататоров) у пациентов с аортальным и митральным стенозом, или при гипертрофической обструктивной кардиомиопатии.\u003Cbr\u003EТелмисартан выводится главным образом с желчью. У пациентов с обструктивными заболеваниями желчных путей или печеночной недостаточностью можно ожидать уменьшения клиренса препарата.\u003Cbr\u003EУ пациентов с тяжелой степенью артериальной гипертензии доза телмисартана 160 мг/сутки и в комбинации с гидрохлоротиазидом 12,5-25 мг была хорошо переносима и эффективна.\u003Cbr\u003EНарушения функции печени при назначении телмисартана в большинстве случаев наблюдались у жителей Японии.\u003Cbr\u003EУ пациентов со снижением ОЦК и/или содержания натрия вследствие предшествующей диуретической терапии, ограничения приема поваренной соли, диареи или рвоты может возникать симптоматическая артериальная гипотензия, особенно после первого приема препарата Телмисартан-СЗ. Подобные состояния должны быть устранены до его приема. Дефицит жидкости и/или натрия должен быть устранен до начала приема препарата Телмисартан-СЗ.\u003Cbr\u003EТелмисартан-СЗ менее эффективен у пациентов негроидной расы.\u003Cbr\u003E"},{"name":"Взаимодействие","value":"Телмисартан может увеличивать антигипертензивный эффект других гипотезивных средств. Другие виды взаимодействий, имеющие клиническую значимость, не выявлены. Одновременное применение с дигоксином, варфарином, гидрохлоротиазидом, глибенкламидом, ибупрофеном, парацетамолом, симвастатином и амлодипином не приводит к клинически значимому взаимодействию. Отмечено увеличение средней концентрации дигоксина в плазме крови в среднем на 20 % (в одном случае на 39%). При одновременном применении телмисартана и дигоксина целесообразно периодическое определение концентрации дигоксина в крови.\u003Cbr\u003EПри одновременном применении телмисартана и рамиприла наблюдалось повышение AUC0-24 и Сmах рамиприла и рамиприлата в 2,5 раза. Клиническая значимость этого явления не установлена.\u003Cbr\u003EПри одновременном применении ингибиторов ангиотензинпревращающего фермента (АПФ) и препаратов лития отмечалось обратимое увеличение концентрации лития в крови, сопровождающееся токсическим действием. В редких случаях подобные изменения зарегистрированы при назначении антагонистов рецепторов ангиотензина II. При одновременном применении препаратов лития и антагонистов рецепторов ангиотензина II рекомендуется проводить определение концентрации лития в крови.\u003Cbr\u003EЛечение нестероидными противовоспалительными препаратами (НПВП), включая ацетилсалициловую кислоту в качестве противовоспалительного средства (более 3 г/сутки), ингибиторы циклооксигеназы-2 (ЦОГ-2) и неселективные НПВП, может вызвать развитие острой почечной недостаточности у обезвоженных пациентов. Препараты, действующие на ренин-ангиотензин-альдостероновую систему (РААС), могут обладать синергическим эффектом. У пациентов, получающих НПВП и телмисартан, в начале лечения должен быть компенсирован ОЦК и проведен контроль функции почек.\u003Cbr\u003EСнижение эффекта гипотензивных средств, таких как телмисартан, посредством ингибирования сосудорасширяющего эффекта простагландинов отмечалось при совместном лечении с НПВП.\u003Cbr\u003EПротивопоказано одновременное применение с алискиреном и препаратами, содержащими алискирен, у пациентов с сахарным диабетом и/или умеренными и тяжелыми нарушениями функции почек (скорость клубочковой фильтрации (СКФ) менее 60 мл/мин/1,73 м2 площади поверхности тела).\u003Cbr\u003EПрименение ингибиторов АПФ и АРА II у пациентов с диабетической нефропатией противопоказано.\u003Cbr\u003EПри одновременном применении с ингибиторами АПФ, калийсберегающими диуретиками (спиронолактон, эплеренон, триамтерен или амилорид), иммуносупрессорами (циклоспорин или такролимус), триметопримом и другими лекарственными средствами, способными повышать содержание калия в сыворотке крови, а также калийсодержащими пищевыми добавками, особенно у пациентов с почечной недостаточностью, повышается риск развития гиперкалиемии. Необходим регулярный контроль содержания калия в сыворотке крови. Совместное применение не рекомендуется.\u003Cbr\u003E"},{"name":"Регистрационный номер","value":"ЛП-003650"},{"name":"Дата государственной регистрации","value":"31.01.2023"},{"name":"Владелец регистрационного удостоверения","value":"Северная Звезда","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["34324371:35649313","7893318:16002862"]}}},{"name":"Изготовитель","value":"Северная Звезда"},{"name":"Фасовщик","value":"Северная Звезда"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Телмисартан-СЗ","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-serdtsa-i-sosudov","categoryId":"15756887","navnodeId":"72494","glfilters":["17796364:18020739"]}}},{"name":"Срок годности","value":"680 дн."}]}},"fullSpecsGrouped":{"6822228531985859153":{"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, сердце"},{"name":"Назначение","value":"артериальная гипертензия, гипертония, нормализация артериального давления, профилактика инсульта, профилактика инфаркта миокарда, профилактика основных сердечно-сосудистых осложнений, профилактика сердечно-сосудистых заболеваний, эссенциальная гипертензия"},{"name":"Показания к применению","value":"- артериальная гипертензия.\u003Cbr\u003E- снижение сердечно-сосудистой заболеваемости и смертности у пациентов в возрасте 55 лет и старше с высоким риском сердечно-сосудистых заболеваний.\u003Cbr\u003E"},{"name":"Противопоказания","value":"- повышенная чувствительность к активному веществу или вспомогательным компонентам препарата\u003Cbr\u003E- беременность\u003Cbr\u003E- период кормления грудью\u003Cbr\u003E- обструктивные заболевания желчевыводящих путей\u003Cbr\u003E- тяжелые нарушения функции печени (класс С по шкале Чайлд-Пью)\u003Cbr\u003E- одновременное применение препарата Телмисартан-СЗ с алискиреном и препаратами, содержащими алискирен, у пациентов с сахарным диабетом и/или умеренными и тяжелыми нарушениями функции почек (скорость клубочковой фильтрации (СКФ) менее 60 мл/мин/1,73 м2 площади поверхности тела) (см. раздел \"Взаимодействие с другими лекарственными средствами\").\u003Cbr\u003E- одновременное применение с ингибиторами АПФ у пациентов с диабетической нефропатией.\u003Cbr\u003E- возраст до 18 лет (эффективность и безопасность не установлены).\u003Cbr\u003E"},{"name":"Состав","value":"1 таблетка содержит:\u003Cbr\u003Eдозировка 40 мг\u003Cbr\u003Eактивное вещество: телмисартан - 40 мг\u003Cbr\u003Eвспомогательные вещества: натрия гидроксид - 3,4 мг; повидон-К30 (поливинилпирролидон среднемолекулярный) - 12,0 мг; меглюмин - 12,0 мг; маннитол - 165,2 мг; магния стеарат - 2,4 мг; тальк - 5,0 мг.\u003Cbr\u003Eдозировка 80 мг\u003Cbr\u003Eактивное вещество: телмисартан - 80 мг\u003Cbr\u003Eвспомогательные вещества: натрия гидроксид - 6,8 мг; повидон-К30 (поливинилпирролидон среднемолекулярный) - 24,0 мг; меглюмин - 24,0 мг; маннитол - 330,4 мг; магния стеарат - 4,8 мг; тальк - 10,0 мг.\u003Cbr\u003E"},{"name":"Действующее вещество","value":"Телмисартан"},{"name":"Способ применения и дозы","value":"Внутрь, вне зависимости от времени приема пищи.\u003Cbr\u003EАртериальная гипертензия\u003Cbr\u003EНачальная рекомендованная доза препарата Телмисартан-СЗ составляет 1 таблетка (40 мг) один раз в сутки.\u003Cbr\u003EВ случаях, когда терапевтический эффект не достигается, максимальная рекомендованная доза препарата Телмисартан-СЗ может быть увеличена до 80 мг один раз в сутки.\u003Cbr\u003EПри решении вопроса об увеличении дозы следует принимать во внимание, что максимальный антигипертензивный эффект обычно достигается в течение 4-8 недель после начала лечения.\u003Cbr\u003EСнижение сердечно-сосудистой заболеваемости и смертности\u003Cbr\u003EРекомендованная доза - 1 таблетка препарата Телмисартан-СЗ 80 мг, 1 раз в сутки. В начальный период лечения может потребоваться дополнительная коррекция АД.\u003Cbr\u003EНарушение функции почек\u003Cbr\u003EУ пациентов с почечной недостаточностью, в том числе у пациентов находящихся на гемодиализе, коррекция режима дозирования не требуется.\u003Cbr\u003EУ пациентов с тяжелой почечной недостаточностью и находящихся на гемодиализе ограничен опыт применения препарата, рекомендуется начинать терапию с начальной дозы в 20 мг (1/2 таблетки по 40 мг).\u003Cbr\u003EНарушение функции печени\u003Cbr\u003EУ пациентов с легкими и умеренными нарушениями функции печени (класс А и В по шкале Чайлд-Пью, соответственно) суточная доза препарата Телмисартан-СЗ не должна превышать 40 мг.\u003Cbr\u003EПожилые пациенты\u003Cbr\u003EРежим дозирования не требует изменений.\u003Cbr\u003E"},{"name":"Побочные действия","value":"Наблюдаемые случаи побочных эффектов не коррелировали с полом, возрастом или расовой принадлежностью пациентов.\u003Cbr\u003EКлассификация частоты развития побочных эффектов Всемирной организации здравоохранения (ВОЗ): очень часто ≥1/10, часто от ≥1/100 до \u003C1/10, нечасто от ≥1/1000 до \u003C1/100, редко от ≥1/10000 до \u003C1/1000, очень редко \u003C 1/10000, частота неизвестна - не может быть оценена на основе имеющихся данных.\u003Cbr\u003EИнфекции:\u003Cbr\u003EНечасто: инфекции мочевыводящих путей (включая цистит), инфекции верхних дыхательных путей;\u003Cbr\u003EЧастота неизвестна: сепсис, включая сепсис с летальным исходом.\u003Cbr\u003EСо стороны кроветворной и лимфатической системы:\u003Cbr\u003EНечасто: анемия;\u003Cbr\u003EРедко: тромбоцитопения;\u003Cbr\u003EЧастота неизвестна: эозинофилия.\u003Cbr\u003EСо стороны центральной нервной системы:\u003Cbr\u003EНечасто: бессонница, сонливость, депрессия, вертиго;\u003Cbr\u003EРедко: обморок, тревога.\u003Cbr\u003EСо стороны органа зрения:\u003Cbr\u003EРедко: зрительные расстройства.\u003Cbr\u003EСо стороны сердечно-сосудистой системы:\u003Cbr\u003EНечасто: брадикардия, выраженное снижение АД, ортостатическая гипотензия;\u003Cbr\u003EРедко: тахикардия.\u003Cbr\u003EСо стороны дыхательной системы:\u003Cbr\u003EНечасто: одышка, кашель.\u003Cbr\u003EСо стороны пищеварительной системы:\u003Cbr\u003EНечасто: боль в животе, диарея, диспепсия, метеоризм, рвота;\u003Cbr\u003EРедко: сухость во рту, дискомфорт в области желудка, нарушения функции печени/заболевания печени*.\u003Cbr\u003E(*по результатам постмаркетинговых наблюдений, в большинстве случаев нарушения функции печени/заболевания печени были выявлены у пациентов Японии).\u003Cbr\u003EАллергические реакции:\u003Cbr\u003EНечасто: кожный зуд, сыпь, гипергидроз;\u003Cbr\u003EРедко: повышенная чувствительность (эритема, ангионевротический отек), экзема, ангионевротический отек (со смертельным исходом), лекарственная сыпь, токсическая сыпь;\u003Cbr\u003EЧастота неизвестна: анафилактические реакции, крапивница.\u003Cbr\u003EСо стороны опорно-двигательного аппарата:\u003Cbr\u003EНечасто: миалгия, боль в спине, спазмы мышц (судороги икроножных мышц);\u003Cbr\u003EРедко: артралгия, боль в нижних конечностях;\u003Cbr\u003EЧастота неизвестна: боль в сухожилиях (симптомы, схожие с проявлением тендинита).\u003Cbr\u003EСо стороны почек и мочевыводящих путей:\u003Cbr\u003EНечасто: нарушение функции почек, включая острую почечную недостаточность.\u003Cbr\u003EОбщие:\u003Cbr\u003EНечасто: боль в грудной клетке, общая слабость;\u003Cbr\u003EРедко: гриппоподобный синдром.\u003Cbr\u003EЛабораторные показатели:\u003Cbr\u003EНечасто: гиперкалиемия, повышение концентрации креатинина в крови;\u003Cbr\u003EРедко: повышение концентрации мочевой кислоты в крови, повышение активности \"печеночных\" ферментов, повышение активности креатинфосфокиназы (КФК), снижение гемоглобина, гипогликемия (у пациентов с сахарным диабетом);\u003Cbr\u003EВ постмаркетинговом периоде применения телмисатрана отмечали:\u003Cbr\u003EОчень редко: интерстициальная болезнь легких (причинно-следственная связь не установлена).\u003Cbr\u003E"},{"name":"Фармакологическое действие","value":"Телмисартан - специфический антагонист рецепторов ангиотензина II (тип АТ1), эффективный при приеме внутрь. Обладает высоким сродством к подтипу АТ1 рецепторов ангиотензина II, через которые реализуется действие ангиотензина II. Вытесняет ангиотензин II из связи с рецептором, не обладая действием агониста в отношении этого рецептора.\u003Cbr\u003EТелмисартан связывается только с подтипом АТ1 рецепторов ангиотензина II. Связь носит длительный характер. Не обладает сродством к другим рецепторам, в том числе к АТ2 рецептору и другим, менее изученным рецепторам ангиотензина. Функциональное значение этих рецепторов, а также эффект их возможной избыточной стимуляции ангиотензином II, концентрация которого увеличивается при назначении телмисартана, не изучены. Снижает концентрацию альдостерона в крови, не ингибирует ренин в плазме крови и не блокирует ионные каналы. Телмисартан не ингибирует ангиотензинпревращающий фермент (кининаза II) (фермент, который также разрушает брадикинин). Поэтому усиление вызываемых брадикинином побочных эффектов не ожидается.\u003Cbr\u003EУ пациентов телмисартан в дозе 80 мг полностью блокирует гипертензивное действие ангиотензина II.\u003Cbr\u003EНачало антигипертензивного действия отмечается в течение 3-х часов после первого приема телмисартана. Действие препарата сохраняется в течение 24 часов и остается значимым до 48 часов. Выраженный антигипертензивный эффект обычно развивается через 4-8 недель после регулярного приема внутрь.\u003Cbr\u003EУ пациентов с артериальной гипертензией телмисартан снижает систолическое и диастолическое артериальное давление (АД), не оказывая влияния на частоту сердечных сокращений (ЧСС).\u003Cbr\u003EВ случае резкой отмены телмисартана АД постепенно возвращается к исходному уровню без развития синдрома \"отмены\".\u003Cbr\u003E"},{"name":"Фармакологическая группа","value":"ангиотензина II рецепторов антагонист"},{"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 сухом, защищенном от света месте, при температуре не выше 25 °С. Хранить в недоступном для детей месте."},{"name":"Передозировка","value":"Случаи передозировки не выявлены.\u003Cbr\u003EСимптомы: выраженное снижение АД, тахикардия, брадикардия.\u003Cbr\u003EЛечение: симптоматическая терапия, гемодиализ неэффективен.\u003Cbr\u003E"},{"name":"Применение при беременности и кормлении грудью","value":"Применение препарата Телмисартан-СЗ противопоказано во время беременности. Применение антагонистов рецепторов ангиотензина II во время первого триместра беременности не рекомендуется, эти препараты не следует назначать во время беременности. При диагностировании беременности прием препарата следует немедленно прекратить. При необходимости должна назначаться альтернативная терапия (другие классы гипотензивных препаратов, разрешенных к применению во время беременности).\u003Cbr\u003EПрименение антагонистов рецепторов ангиотензина II во время второго и третьего триместров беременности противопоказано.\u003Cbr\u003EВ доклинических исследованиях телмисартана тератогенных влияний выявлено не было, но установлена фетотоксичность. Известно, что воздействие антагонистов рецепторов ангиотензина II во время второго и третьего триместров беременности вызывает у человека фетотоксичность (снижение функции почек, олигогидроамнион, замедление оссификации черепа), а также неонатальную токсичность (почечная недостаточность, артериальная гипотензия, гиперкалиемия). Пациенткам, планирующим беременность, следует назначать альтернативную терапию. Если лечение антагонистами рецепторов ангиотензина II происходило во время второго триместра беременности, рекомендуется оценка ультразвуковым методом функции почек и состояния черепа у плода.\u003Cbr\u003EНоворожденные, матери которых получали антагонисты рецепторов ангиотензина II, должны тщательно наблюдаться в отношении артериальной гипотензии.\u003Cbr\u003EТерапия препаратом Телмисартан-СЗ противопоказана в период грудного вскармливания.\u003Cbr\u003EИсследования влияния на фертильность не проводились.\u003Cbr\u003E"},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Специальных клинических исследований влияния препарата Телмисартан-СЗ на способность управлять автотранспортом и механизмами не проводились. Однако при управлении автотранспортом и работе с механизмами следует принимать во внимание возможность развития головокружения и сонливости, что требует соблюдения осторожность.\u003Cbr\u003E"},{"name":"Особые указания","value":"С осторожностью:\u003Cbr\u003E- Двусторонний стеноз почечных артерий или стеноз артерии единственной почки;\u003Cbr\u003E- нарушения функции печени и/или почек (см. раздел \"Особые указания\");\u003Cbr\u003E- снижение объема циркулирующей крови (ОЦК) вследствие предшествующей диуретической терапии, ограничения приема поваренной соли, диареи или рвоты;\u003Cbr\u003E- гипонатриемия;\u003Cbr\u003E- гиперкалиемия;\u003Cbr\u003E- состояния после трансплантации почки (опыт применения отсутствует);\u003Cbr\u003E- хроническая сердечная недостаточность;\u003Cbr\u003E- стеноз аортального и митрального клапана;\u003Cbr\u003E- гипертрофическая обструктивная кардиомиопатия;\u003Cbr\u003E- первичный альдостеронизм (эффективность и безопасность не установлены);\u003Cbr\u003E- гемодиализ.\u003Cbr\u003EУ некоторых пациентов, вследствие подавления РААС, особенно при применении комбинации средств, действующих на эту систему, нарушается функция почек (включая острую почечную недостаточность). Поэтому терапия, сопровождающаяся подобной двойной блокадой РААС (например, при добавлении иАПФ или прямого ингибитора ренина - алискирена к АРА II), должна проводиться строго индивидуально и при тщательном контроле функции почек (в том числе периодический мониторинг содержания калия и креатинина в сыворотке крови).\u003Cbr\u003EВ случаях зависимости сосудистого тонуса и функции почек преимущественно от активности РААС (например, у пациентов с хронической сердечной недостаточностью, или заболеваниями почек, в том числе, при двустороннем стенозе почечных артерий, или стенозе артерии единственной почки), назначение препаратов, влияющих на эту систему, может сопровождаться развитием острой артериальной гипотензии, гиперазотемии, олигурии, и, в редких случаях, острой почечной недостаточности.\u003Cbr\u003EОсновываясь на опыте применения других средств, влияющих на РААС, при совместном применении препарата Телмисартан-СЗ и калийсберегающих диуретиков, калийсодержащих добавок, калийсодержащей пищевой соли, других средств, повышающих содержание калия в крови (например, гепарина), следует контролировать этот показатель у пациентов.\u003Cbr\u003EУ пациентов с сахарным диабетом и дополнительным сердечно-сосудистым риском, например, у пациентов с сахарным диабетом и ишемической болезнью сердца (ИБС), в случае применения препаратов, снижающих артериальное давление, таких как антагонисты рецепторов ангиотензина II (АРА II) или ингибиторы АПФ, может повышаться риск фатального инфаркта миокарда и внезапной сердечно-сосудистой смерти. У пациентов с сахарным диабетом ИБС может протекать бессимптомно и поэтому может быть недиагностированной. У пациентов с сахарным диабетом перед началом применения препарата Телмисартан-СЗ для выявления и лечения ИБС следует проводить соответствующие диагностические исследования, в том числе пробу с физической нагрузкой.\u003Cbr\u003EВ качестве альтернативы препарат Телмисартан-СЗ может применяться в комбинации с тиазидными диуретиками, такими как гидрохлоротиазид, которые дополнительно оказывают антигипертензивный эффект.\u003Cbr\u003EУ пациентов с первичным альдостеронизмом гипотензивные лекарственные препараты, механизм действия которых состоит в ингибировании ренин-ангиотензин-альдостероновой системы, как правило, неэффективны.\u003Cbr\u003EНеобходимо соблюдать осторожность при применении препарата Телмисартан-СЗ (также как и других вазодилататоров) у пациентов с аортальным и митральным стенозом, или при гипертрофической обструктивной кардиомиопатии.\u003Cbr\u003EТелмисартан выводится главным образом с желчью. У пациентов с обструктивными заболеваниями желчных путей или печеночной недостаточностью можно ожидать уменьшения клиренса препарата.\u003Cbr\u003EУ пациентов с тяжелой степенью артериальной гипертензии доза телмисартана 160 мг/сутки и в комбинации с гидрохлоротиазидом 12,5-25 мг была хорошо переносима и эффективна.\u003Cbr\u003EНарушения функции печени при назначении телмисартана в большинстве случаев наблюдались у жителей Японии.\u003Cbr\u003EУ пациентов со снижением ОЦК и/или содержания натрия вследствие предшествующей диуретической терапии, ограничения приема поваренной соли, диареи или рвоты может возникать симптоматическая артериальная гипотензия, особенно после первого приема препарата Телмисартан-СЗ. Подобные состояния должны быть устранены до его приема. Дефицит жидкости и/или натрия должен быть устранен до начала приема препарата Телмисартан-СЗ.\u003Cbr\u003EТелмисартан-СЗ менее эффективен у пациентов негроидной расы.\u003Cbr\u003E"},{"name":"Взаимодействие","value":"Телмисартан может увеличивать антигипертензивный эффект других гипотезивных средств. Другие виды взаимодействий, имеющие клиническую значимость, не выявлены. Одновременное применение с дигоксином, варфарином, гидрохлоротиазидом, глибенкламидом, ибупрофеном, парацетамолом, симвастатином и амлодипином не приводит к клинически значимому взаимодействию. Отмечено увеличение средней концентрации дигоксина в плазме крови в среднем на 20 % (в одном случае на 39%). При одновременном применении телмисартана и дигоксина целесообразно периодическое определение концентрации дигоксина в крови.\u003Cbr\u003EПри одновременном применении телмисартана и рамиприла наблюдалось повышение AUC0-24 и Сmах рамиприла и рамиприлата в 2,5 раза. Клиническая значимость этого явления не установлена.\u003Cbr\u003EПри одновременном применении ингибиторов ангиотензинпревращающего фермента (АПФ) и препаратов лития отмечалось обратимое увеличение концентрации лития в крови, сопровождающееся токсическим действием. В редких случаях подобные изменения зарегистрированы при назначении антагонистов рецепторов ангиотензина II. При одновременном применении препаратов лития и антагонистов рецепторов ангиотензина II рекомендуется проводить определение концентрации лития в крови.\u003Cbr\u003EЛечение нестероидными противовоспалительными препаратами (НПВП), включая ацетилсалициловую кислоту в качестве противовоспалительного средства (более 3 г/сутки), ингибиторы циклооксигеназы-2 (ЦОГ-2) и неселективные НПВП, может вызвать развитие острой почечной недостаточности у обезвоженных пациентов. Препараты, действующие на ренин-ангиотензин-альдостероновую систему (РААС), могут обладать синергическим эффектом. У пациентов, получающих НПВП и телмисартан, в начале лечения должен быть компенсирован ОЦК и проведен контроль функции почек.\u003Cbr\u003EСнижение эффекта гипотензивных средств, таких как телмисартан, посредством ингибирования сосудорасширяющего эффекта простагландинов отмечалось при совместном лечении с НПВП.\u003Cbr\u003EПротивопоказано одновременное применение с алискиреном и препаратами, содержащими алискирен, у пациентов с сахарным диабетом и/или умеренными и тяжелыми нарушениями функции почек (скорость клубочковой фильтрации (СКФ) менее 60 мл/мин/1,73 м2 площади поверхности тела).\u003Cbr\u003EПрименение ингибиторов АПФ и АРА II у пациентов с диабетической нефропатией противопоказано.\u003Cbr\u003EПри одновременном применении с ингибиторами АПФ, калийсберегающими диуретиками (спиронолактон, эплеренон, триамтерен или амилорид), иммуносупрессорами (циклоспорин или такролимус), триметопримом и другими лекарственными средствами, способными повышать содержание калия в сыворотке крови, а также калийсодержащими пищевыми добавками, особенно у пациентов с почечной недостаточностью, повышается риск развития гиперкалиемии. Необходим регулярный контроль содержания калия в сыворотке крови. Совместное применение не рекомендуется.\u003Cbr\u003E"},{"name":"Регистрационный номер","value":"ЛП-003650"},{"name":"Дата государственной регистрации","value":"31.01.2023"},{"name":"Владелец регистрационного удостоверения","value":"Северная Звезда"},{"name":"Изготовитель","value":"Северная Звезда"},{"name":"Фасовщик","value":"Северная Звезда"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Телмисартан-СЗ"},{"name":"Срок годности","value":"680 дн."}]}],"transitionId":"tr_12428173563345841956"}}}}
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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  • Телмисартан таб., 40 мг, 28 шт.
    –9 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-4evppomemo8/toggleWishlist":{"skuId":"101760484253","productId":1401075956,"offerId":"J4GGtDJB0EcASKIe3JosIQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcI9PGKnAUQnYeXi/sCGISpsggg19zBBw==","sign":"fUerlmkx8dwQmeYQG0+pVOe5DD4U10VTx420zmK7M98="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-4evppomemo8/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Телмисартан таб., 40 мг, 28 шт.

    Рейтинг товара: 4.6 из 5
    на основе 51 оценка
    Цена 299 ₽ вместо 329
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  • Телмиста таб., 40 мг, 28 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-lyy4q4l2wsr/toggleWishlist":{"skuId":"228067843","productId":1401075787,"offerId":"sLZuFP-1BQ0skOzRjuaxKw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIy/CKnAUQg5TgbBi21YcEINfcwQc=","sign":"5ljqxMqDgvheGw+frGrB7iz/2BkcWE7yx38agMj79VE="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-lyy4q4l2wsr/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Телмиста таб., 40 мг, 28 шт.

    Рейтинг товара: 5 из 5
    на основе 9 оценок
    Цена 457 ₽
    {"widgets":{"@light/AddToCartButtonSnippet":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-lyy4q4l2wsr/addToCartButton":{"offerId":"sLZuFP-1BQ0skOzRjuaxKw","skuId":"228067843","pendingCartItem":{"productId":1401075787,"offerId":"sLZuFP-1BQ0skOzRjuaxKw","showPlaceId":"OTNDnItfwRMjN9MRHuEMMmdyeEF43W0ES62f_BDXNZSRIfvhZtmLJBBRz5IZhea9OAlOkFPG7WpyNWl2YqLcLWFdSCOoyjkJNcu8Hn6zxvEJEZB4CT83bo6ZufbvbpxFgEObUuWAbHEhXa5kISv-KAH5U3VbOY6tntYgqXrFVTA1umMxbjBiYTy1tmYqm7nbJvHaqUQkd8Oe8B-FaFfi5w,,","feeShow":"OTNDnItfwRMjN9MRHuEMMmdyeEF43W0ES62f_BDXNZSRIfvhZtmLJBBRz5IZhea9OAlOkFPG7WpyNWl2YqLcLWFdSCOoyjkJNcu8Hn6zxvEJEZB4CT83bo6ZufbvbpxFgEObUuWAbHEhXa5kISv-KAH5U3VbOY6tntYgqXrFVTA1umMxbjBiYTy1tmYqm7nbJvHaqUQkd8Oe8B-FaFfi5w,,","skuId":"228067843","shopId":55106433,"price":{"applicablePriceDiscounts":[],"value":"457","currency":"RUR"},"hid":"15756887","name":"Телмиста таб., 40 мг, 28 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  • Телсартан таб., 40 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-bzcl306ktb8/toggleWishlist":{"skuId":"227814499","productId":1401075623,"offerId":"PdEggAqxHAjGUPVCCUnl6Q","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIp++KnAUQ49jQbBjAotUHINfcwQc=","sign":"xF8a9AB7sIeb3eMPJ2i7bR3NApGJcFaDdswnAP4eKzA="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-bzcl306ktb8/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Телсартан таб., 40 мг, 30 шт.

    Рейтинг товара: 5 из 5
    на основе 2 оценки
    Цена 411 ₽
    {"widgets":{"@light/AddToCartButtonSnippet":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-bzcl306ktb8/addToCartButton":{"offerId":"PdEggAqxHAjGUPVCCUnl6Q","skuId":"227814499","pendingCartItem":{"productId":1401075623,"offerId":"PdEggAqxHAjGUPVCCUnl6Q","showPlaceId":"OTNDnItfwRMjN9MRHuEMMmdyeEF43W0EnaGleVQ2lUEWE2bNHyeEAzmAvUCrQsnEfUL4_HJAH1FhHzyFIqbzuLW7wxzbRMGJqgVWsVhNxgx99hjthQieta525SFThE8jGrUMunuvRrB4EXB2rEcJ69h9CCrx4FxHZ7L7oBHCRZqm7rB5_Ch9TaXyLzLSmoarcK5azVEp5T_rEGpUrgvtPw,,","feeShow":"OTNDnItfwRMjN9MRHuEMMmdyeEF43W0EnaGleVQ2lUEWE2bNHyeEAzmAvUCrQsnEfUL4_HJAH1FhHzyFIqbzuLW7wxzbRMGJqgVWsVhNxgx99hjthQieta525SFThE8jGrUMunuvRrB4EXB2rEcJ69h9CCrx4FxHZ7L7oBHCRZqm7rB5_Ch9TaXyLzLSmoarcK5azVEp5T_rEGpUrgvtPw,,","skuId":"227814499","shopId":55106433,"price":{"applicablePriceDiscounts":[],"value":"411","currency":"RUR"},"hid":"15756887","name":"Телсартан таб., 40 мг, 30 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  • Телзап таб., 40 мг, 30 шт.
    –10 %
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-wmh8lt3udh/toggleWishlist":{"skuId":"228091062","productId":1401075621,"offerId":"PyiIxv2DQvy3GfnvcY6YBA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIpe+KnAUQtsnhbBjJy/UHINfcwQc=","sign":"zRcXVoGOyz2mVJsv3MB8/ZTV5oGgqz6jj9rW6BIyztk="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-wmh8lt3udh/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Телзап таб., 40 мг, 30 шт.

    Рейтинг товара: 5 из 5
    на основе 17 оценок
    Цена 444 ₽ вместо 494
    {"widgets":{"@light/AddToCartButtonSnippet":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-wmh8lt3udh/addToCartButton":{"offerId":"PyiIxv2DQvy3GfnvcY6YBA","skuId":"228091062","pendingCartItem":{"productId":1401075621,"offerId":"PyiIxv2DQvy3GfnvcY6YBA","showPlaceId":"OTNDnItfwRMjN9MRHuEMMmdyeEF43W0EUS1iU_QVFDBc_sQSNihLNe-ldenpRpYqHvNHGu3pH-fXQ9cY0-bTTJ2CvaczxDyIYK5ZUhs0_TFsE15muuRR73DTkCj5hsuZdmnnSZipzQ1tzub_IgILS_0YO_wl-XMacZTGvy7qXzWtq1CN2UEJGv7pNC1nE_ZpAbarVcR9LxaC2cULu8gyIw,,","feeShow":"OTNDnItfwRMjN9MRHuEMMmdyeEF43W0EUS1iU_QVFDBc_sQSNihLNe-ldenpRpYqHvNHGu3pH-fXQ9cY0-bTTJ2CvaczxDyIYK5ZUhs0_TFsE15muuRR73DTkCj5hsuZdmnnSZipzQ1tzub_IgILS_0YO_wl-XMacZTGvy7qXzWtq1CN2UEJGv7pNC1nE_ZpAbarVcR9LxaC2cULu8gyIw,,","skuId":"228091062","shopId":4035369,"price":{"applicablePriceDiscounts":[],"discount":{"oldMin":"494","percent":10},"value":"444","currency":"RUR"},"hid":"15756887","name":"Телзап таб., 40 мг, 30 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  • Телпрес таб., 20 мг, 28 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-anyimz0zq4e/toggleWishlist":{"skuId":"228073246","productId":1401075664,"offerId":"SlQ7ng8b8ZmDRlEO5nyv0w","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUI0O+KnAUQnr7gbBiq/YYRINfcwQc=","sign":"5JJPkyABK+qvxMMvEiYi80AgN1rUyBuwh95+hUc+CLo="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-anyimz0zq4e/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Телпрес таб., 20 мг, 28 шт.

    Рейтинг товара: 5 из 5
    на основе 8 оценок
    Цена 409 ₽
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  • Телмисартан-тева таб., 40 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-cavicy6r5sa/toggleWishlist":{"skuId":"102002149743","productId":1847666154,"offerId":"fTR7wChuBXVDtrO15fYCEQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcI6suE8QYQ75K1/vsCGNb9jQcg19zBBw==","sign":"m8MJ/B7W8IJHNFvxKWWq27L3S9hr8Y2VMVNxT5OQ4js="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-cavicy6r5sa/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Телмисартан-тева таб., 40 мг, 30 шт.

    Рейтинг товара: 4.8 из 5
    на основе 20 оценок
    Цена 323 ₽
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  • Телмиста АМ таб., 5 мг + 40 мг, 28 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-0h7v6yxsglx9/toggleWishlist":{"skuId":"944981228","productId":1401076033,"offerId":"mzHHH3RAYY7AP1k8oMHVeQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhYIwfKKnAUQ7InNwgMYttWHBCDX3MEH","sign":"RCGJEO5gwm54o79vphxxsNo+e4z53i4tZnP0tTVLcaQ="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-0h7v6yxsglx9/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Телмиста АМ таб., 5 мг + 40 мг, 28 шт.

    Рейтинг товара: 5 из 5
    на основе 2 оценки
    Цена 466 ₽
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  • Телзап плюс таб., 12.5 мг+80 мг, 30 шт.
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    Телзап плюс таб., 12.5 мг+80 мг, 30 шт.

    Рейтинг товара: 5 из 5
    на основе 7 оценок
    Цена 565 ₽
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  • Валсартан-СЗ таб. п/о плен., 80 мг, 60 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-zz72me2q68/toggleWishlist":{"skuId":"101841527743","productId":1401075640,"offerId":"RTbVMDQHxgGxlJ7xcSsd8w","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhcIuO+KnAUQv8fpsfsCGK7e0Acg19zBBw==","sign":"G7qzEpC1sFyD4IcXxxa4G6HCZ4DG0LhuixbT98S9jks="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-zz72me2q68/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Валсартан-СЗ таб. п/о плен., 80 мг, 60 шт.

    Рейтинг товара: 4.8 из 5
    на основе 54 оценки
    Цена 296 ₽
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  • Лерканидипин-СЗ таб. п/о плен., 10 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-pa8cdbxgcl8/toggleWishlist":{"skuId":"228041475","productId":1401075744,"offerId":"fYoJ_PpW4UlKxzl2NJ_WQw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEjEKL0NvbXBldGl0aXZlQW5hbG9nc19NYXJrZXRNb2RlbENhcmRfRnJvbnRTbmlwcGV0MhUIoPCKnAUQg8bebBiu3tAHINfcwQc=","sign":"Hq/KC1Uj4hnOzekAj8f9qiShNPK42D4lXOIuDR0cSuo="},"waitWishlistCollections":false,"place":{"page":"product","widget":"scrollbox"}}}},"meta":{"/content/page/fancyPage/kkmCarousel/kkmCarousel/content/content/slot-pa8cdbxgcl8/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Лерканидипин-СЗ таб. п/о плен., 10 мг, 30 шт.

    Рейтинг товара: 5 из 5
    на основе 5 оценок
    Цена 421 ₽
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  • Телмиста Н таб., 12.5 мг + 40 мг, 28 шт.
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    Телмиста Н таб., 12.5 мг + 40 мг, 28 шт.

    Рейтинг товара: 5 из 5
    на основе 5 оценок
    Цена 540 ₽
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Инструкция

Показания к применению

- артериальная гипертензия.
- снижение сердечно-сосудистой заболеваемости и смертности у пациентов в возрасте 55 лет и старше с высоким риском сердечно-сосудистых заболеваний.

Противопоказания

- повышенная чувствительность к активному веществу или вспомогательным компонентам препарата
- беременность
- период кормления грудью
- обструктивные заболевания желчевыводящих путей
- тяжелые нарушения функции печени (класс С по шкале Чайлд-Пью)
- одновременное применение препарата Телмисартан-СЗ с алискиреном и препаратами, содержащими алискирен, у пациентов с сахарным диабетом и/или умеренными и тяжелыми нарушениями функции почек (скорость клубочковой фильтрации (СКФ) менее 60 мл/мин/1,73 м2 площади поверхности тела) (см. раздел "Взаимодействие с другими лекарственными средствами").
- одновременное применение с ингибиторами АПФ у пациентов с диабетической нефропатией.
- возраст до 18 лет (эффективность и безопасность не установлены).

Способ применения и дозы

Внутрь, вне зависимости от времени приема пищи.
Артериальная гипертензия
Начальная рекомендованная доза препарата Телмисартан-СЗ составляет 1 таблетка (40 мг) один раз в сутки.
В случаях, когда терапевтический эффект не достигается, максимальная рекомендованная доза препарата Телмисартан-СЗ может быть увеличена до 80 мг один раз в сутки.
При решении вопроса об увеличении дозы следует принимать во внимание, что максимальный антигипертензивный эффект обычно достигается в течение 4-8 недель после начала лечения.
Снижение сердечно-сосудистой заболеваемости и смертности
Рекомендованная доза - 1 таблетка препарата Телмисартан-СЗ 80 мг, 1 раз в сутки. В начальный период лечения может потребоваться дополнительная коррекция АД.
Нарушение функции почек
У пациентов с почечной недостаточностью, в том числе у пациентов находящихся на гемодиализе, коррекция режима дозирования не требуется.
У пациентов с тяжелой почечной недостаточностью и находящихся на гемодиализе ограничен опыт применения препарата, рекомендуется начинать терапию с начальной дозы в 20 мг (1/2 таблетки по 40 мг).
Нарушение функции печени
У пациентов с легкими и умеренными нарушениями функции печени (класс А и В по шкале Чайлд-Пью, соответственно) суточная доза препарата Телмисартан-СЗ не должна превышать 40 мг.
Пожилые пациенты
Режим дозирования не требует изменений.
Полная инструкция
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Телмисартан-СЗ таб.
Телмисартан-СЗ таб., 80 мг, 28 шт.
4.8
(8)
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1 вопрос
Инструкция

471 ₽

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4.8
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У продавца:8 оценок·2 отзыва
У всех продавцов:85 оценок·28 отзывов
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user avatar
Неделю назад • марина к. • Куплен на Маркете
Достоинства: Снижает давление
Недостатки: нет
Комментарий: Препарат отличный
user avatar
8 месяцев назад • николай голубев • Куплен на Маркете
Достоинства: Цена приемлема, давление стабилизировалось, принимаю около 2х недель пока еще рано говорить будем смотреть, веду дневник давления, утром и вечером меряю.
Недостатки: О недостатках сложно говорить в таком вопросе все индивидуально.
Комментарий: возможно откажусь в пользу прежнего
Посмотреть все отзывы на Маркете
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  • Vitamin D3, 50000 МЕ, 50 мл, 50 шт.
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    Vitamin D3, 50000 МЕ, 50 мл, 50 шт.

    Цена 1 355 ₽ вместо 1 940
  • Милурит таб., 100 мг, 100 шт.
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    Милурит таб., 100 мг, 100 шт.

    Цена 350 ₽
  • Телсартан таб., 40 мг, 30 шт.
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    Телсартан таб., 40 мг, 30 шт.

    Цена 411 ₽
  • Телзап таб., 40 мг, 30 шт.
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    Телзап таб., 40 мг, 30 шт.

    Цена 444 ₽ вместо 494
  • 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 1 777 ₽ вместо 1 813
  • Гилан ультра комфорт увлажн. гл. р-р, 0.3%, 0.4 мл, 50 г, 10 шт.
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    Гилан ультра комфорт увлажн. гл. р-р, 0.3%, 0.4 мл, 50 г, 10 шт.

    Цена 288 ₽ вместо 331
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    Реклама
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  • БиоГая Пробиотик капли детск. фл., 5 мл, 1 уп.
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    БиоГая Пробиотик капли детск. фл., 5 мл, 1 уп.

    Цена 1 752 ₽ вместо 3 500
  • Эвалар Чай Эвалар БИО при повышенном содержании мочевой кислоты, 20 фильтр-пакетов
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    Эвалар Чай Эвалар БИО при повышенном содержании мочевой кислоты, 20 фильтр-пакетов

    Цена 194 ₽ вместо 224
  • Марля медицинская повышенной плотности, отрез 3 метра
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:722968060_11/content/content/toggleWishlist":{"skuId":"101077341943","productId":722968060,"offerId":"gMC4B7fICnVMuDewAYvWbg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCPy73tgCEPett8X4Ahiy8LYJIJ3DBQ==","sign":"9PunDZjGO3dL+iu77wQQimPPThwB0bLFLutuC6wC1/0="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:722968060_11/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Марля медицинская повышенной плотности, отрез 3 метра

    Цена 157 ₽ вместо 199
  • Гилан Комфорт увлажн. гл. р-р, 0.18%, 0.4 мл, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417729452_12/content/content/gallery":{"title":"Гилан Комфорт увлажн. гл. р-р, 0.18%, 0.4 мл, 30 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/4932805/img_id8148706369646761136.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4932805/img_id8148706369646761136.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4932805/img_id8148706369646761136.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4932805/img_id8148706369646761136.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4932805/img_id8148706369646761136.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4932805/img_id8148706369646761136.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/11382628/img_id597855710443907940.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/11382628/img_id597855710443907940.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/11382628/img_id597855710443907940.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/11382628/img_id597855710443907940.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/11382628/img_id597855710443907940.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/11382628/img_id597855710443907940.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCKyrg6QFEK+7mNsBGIfe0Acg3NzBBw==","sign":"AAL+9fv+dcVYWubzDP/jh8YMrBbyv3mhqkarC8V7aqg="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417729452_12/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417729452_12/content/content/toggleWishlist":{"skuId":"459677103","productId":1417729452,"offerId":"tKnuZ73uh7X7MlWZw8Ez7w","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCKyrg6QFEK+7mNsBGIfe0Acg3NzBBw==","sign":"AAL+9fv+dcVYWubzDP/jh8YMrBbyv3mhqkarC8V7aqg="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417729452_12/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Гилан Комфорт увлажн. гл. р-р, 0.18%, 0.4 мл, 30 шт.

    Цена 359 ₽
  • Телпрес таб., 20 мг, 28 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075664_13/content/content/toggleWishlist":{"skuId":"228073246","productId":1401075664,"offerId":"SlQ7ng8b8ZmDRlEO5nyv0w","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCNDvipwFEJ6+4GwYqv2GESDX3MEH","sign":"eiJHy25wTg8X6CuCDnVcU0UVmUotLD3rwMfVEoWMS7g="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075664_13/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Телпрес таб., 20 мг, 28 шт.

    Цена 409 ₽
  • Телмисартан-тева таб., 40 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1847666154_14/content/content/toggleWishlist":{"skuId":"102002149743","productId":1847666154,"offerId":"fTR7wChuBXVDtrO15fYCEQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCOrLhPEGEO+Stf77AhjW/Y0HINfcwQc=","sign":"M+y2JRfMeDWsspNnjzraQqi6aUcewJQvVeiq49ixoY4="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1847666154_14/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Телмисартан-тева таб., 40 мг, 30 шт.

    Цена 323 ₽
  • Телмиста АМ таб., 5 мг + 40 мг, 28 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401076033_15/content/content/toggleWishlist":{"skuId":"944981228","productId":1401076033,"offerId":"mzHHH3RAYY7AP1k8oMHVeQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCMHyipwFEOyJzcIDGLbVhwQg19zBBw==","sign":"Da16WvoNshQRx6Tw+H3rBDKlAyh2yEmiNH5GmsT7K+k="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401076033_15/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Телмиста АМ таб., 5 мг + 40 мг, 28 шт.

    Цена 466 ₽
  • Телзап плюс таб., 12.5 мг+80 мг, 30 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075801_16/content/content/toggleWishlist":{"skuId":"228092161","productId":1401075801,"offerId":"27mHV4m2SdDPuJ8aNAPiOQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCNnwipwFEIHS4WwYycv1ByDX3MEH","sign":"TgMGH6LpNqWM2aFGDDn8gHjjxl6PoRgwCbytsty1a30="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075801_16/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Телзап плюс таб., 12.5 мг+80 мг, 30 шт.

    Цена 565 ₽
  • Валсартан-СЗ таб. п/о плен., 80 мг, 60 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075640_17/content/content/toggleWishlist":{"skuId":"101841527743","productId":1401075640,"offerId":"RTbVMDQHxgGxlJ7xcSsd8w","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCLjvipwFEL/H6bH7Ahiu3tAHINfcwQc=","sign":"fFTYljV/YwHw/bMYwkYhWuDDW1QqRrTX+MwRHJ2CKyA="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1401075640_17/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Валсартан-СЗ таб. п/о плен., 80 мг, 60 шт.

    Цена 296 ₽
  • IKENA Нафтифин р-р противогрибковый фл., 1%, 37 г, 10 мл, 1 шт., нейтральный, 1 уп.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1697497178_18/content/content/toggleWishlist":{"skuId":"101618007386","productId":1697497178,"offerId":"iqtqSf-sBfwRtDaaagRYUQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCNqAt6kGENr6nsf6AhjVu6EGIOHZwQc=","sign":"3nhxqMp1hRrypVcGScF4VZ2NPBKS5muV9lS6lrJo9/s="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1697497178_18/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    IKENA Нафтифин р-р противогрибковый фл., 1%, 37 г, 10 мл, 1 шт., нейтральный, 1 уп.

    Цена 399 ₽ вместо 480
  • Симбикорт турбухалер пор. д/инг. дозир., 80 мкг+4.5 мкг/доза, 60 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:227814464_19/content/content/gallery":{"title":"Симбикорт турбухалер пор. д/инг. дозир., 80 мкг+4.5 мкг/доза, 60 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5314345/img_id7242283157811407151.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5314345/img_id7242283157811407151.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5314345/img_id7242283157811407151.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5314345/img_id7242283157811407151.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5314345/img_id7242283157811407151.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5314345/img_id7242283157811407151.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4696638/img_id8452890276713208179.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4696638/img_id8452890276713208179.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4696638/img_id8452890276713208179.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4696638/img_id8452890276713208179.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4696638/img_id8452890276713208179.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4696638/img_id8452890276713208179.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5169675/img_id7984725447563324335.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5169675/img_id7984725447563324335.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5169675/img_id7984725447563324335.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5169675/img_id7984725447563324335.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5169675/img_id7984725447563324335.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5169675/img_id7984725447563324335.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4580278/img_id3332283055657877468.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4580278/img_id3332283055657877468.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4580278/img_id3332283055657877468.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4580278/img_id3332283055657877468.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4580278/img_id3332283055657877468.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4580278/img_id3332283055657877468.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCMDY0GwQ3MnwmvoCGI/d0Acg4dzBBw==","sign":"kiDeHlDta5quV4IAnT/eKlp4yjq8E1UvZFhAihPqaag="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:227814464_19/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:227814464_19/content/content/toggleWishlist":{"skuId":"101524972764","productId":227814464,"offerId":"ghdd9TaQoaQ11PCNmlx1wg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCMDY0GwQ3MnwmvoCGI/d0Acg4dzBBw==","sign":"kiDeHlDta5quV4IAnT/eKlp4yjq8E1UvZFhAihPqaag="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:227814464_19/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Симбикорт турбухалер пор. д/инг. дозир., 80 мкг+4.5 мкг/доза, 60 шт.

    Цена 1 114 ₽
  • Мизол спрей, 50 мл
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778172303_20/content/content/toggleWishlist":{"skuId":"752254031","productId":1778172303,"offerId":"lKhCA1e5pgctb1CKqop8mA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQrfLlz/OtnJ1DEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCI+D888GEM/42eYCGNW7oQYg4dnBBw==","sign":"VTsXm1Byr/GW0NzijanOYKl9VNvv4hTa/ImBWhwss8M="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778172303_20/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Мизол спрей, 50 мл

    Цена 734 ₽ вместо 815
  • {"widgets":{"@light/BannerCurtain":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_102_21/content/content/content/bannerCurtain":{"advertisementId":1936901,"impression":"/safeclick/data=SpQw45JhDGE6zDtOdUQO_MPe8zw3SWiKekuQgSip2F0AoSVFlSINC7KzBSLpfImS8K_NNKCvpHg_7WGrgjDOyyFsOAmUbHYQ_ykUnTvxVoRprt8kaHgZrCH__rQrTKG6belE1sAQEy23gDuFTFaOvaFFb0zTHfQu7gU7JC_vzEb7qRycEITM88S_eW9lkpLsTaSdD_HCDlixvzkXDrs8c6dXxxlt2bIosIJRS7dAaaFLG_60sNvS1tObD5LXL35bXMXjxuUFZWsq7BrlU4Hxu8NZVg7TANBxpBpgBuxPcw6AT7NZV3hMrgVIDA6V3eTUk8B_lW8PPLt66tzWq7WTDzTWi15S4Ed-ON1Ym382YbgKvKlyNRBqfxEM91iMIFUVh3D3tHmHvYLrgESHk4EEk_se0sj_8Es3NgIkkQEFVz77GNGD9zMfpzvFugrlNEb-DG11arCCCEFX0jloAzfozK9Op4scgO3peZazlKKC0UZvEy9-fZkh6ThPh9npSciPPeJT1oYv6yr0h8QMYriHIbdD8PlWxlTL5qLlvDIKbHvoX2eEGH0L1DAoCS_HHjHk6S8M1-2ZCk1ThBCP--w1vcZ9fWdg9owjgXMKpbn9bhIqMGnKm_Ag1Y7jmTxVQu-RKnsmfDe4jJkLy77DlXR5O7PGxTGu43CD03_BYalwYNLsUKSqKUl95WFrcD24f3qh7h1N4QeOKDW57kbabSJCPwLflQhFCsy0gvsKYxZatDQY0ViA-AwCudnKdky2AtRcMMqkJ_u23OgBVZnkXKm06NTo3NTc8shUTXTD3ZCVvPRVSFmqTaNYtjUqRPz1UjGyFbDjGNsU1vLipdyOfGlkLdVv1JjIlPS65w3KM0LIHA4qI6fscAU_VtrBRPpF096Yb9eCBKH0NfI5MAkLCrKCguQeykthkTzyQ1E_a9mC75sJ_2f6FsjPJCunEWITrlEBu1Z7-tH4rpJKnKp23vm_GFq-Cq-isStDJzR9-ulwz6xsXRTUjjsqWNP42UFRbi7xEGdgkQua8EzxW_O_VPGZh2ev1mWOPhWkbBlOMcstn1-WCrKjCrJWv4NpSpLtJWM04lLiuMvw0wkh1jauv5LMpQ,,/b64e=1/sign=2c082bc51a3f63d8f9cbac47e3d767d8/keyno=MARKET_1/*"}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_102_21/content/content/content/bannerCurtain":{"name":"@light/BannerCurtain"}}}
    {"widgets":{"@monetize/Kebab":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_102_21/content/content/content/kebab":{"adLabel":{"adLabelText":"Реклама","advertizer":"ОБЩЕСТВО С ОГРАНИЧЕННОЙ ОТВЕТСТВЕННОСТЬЮ \"ДИДЖ ТРЕЙД\", ИНН 5024182207, ID #e-1g-19141-VND-ADV","adLabel":1},"advertisementId":1936901}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_102_21/content/content/content/kebab":{"name":"@monetize/Kebab"}}}
    Реклама
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  • Кленбутерол Софарма таб., 0.02 мг, 50 шт.
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    Кленбутерол Софарма таб., 0.02 мг, 50 шт.

    Цена 686 ₽
  • Лерканидипин-СЗ таб. п/о плен., 10 мг, 30 шт.
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    Лерканидипин-СЗ таб. п/о плен., 10 мг, 30 шт.

    Цена 421 ₽
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