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Описание

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Тобрекс гл. капли, 0.3%, 5 мл

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5.0
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Коротко о товаре

Артикул Маркета
3123170390
Тип препарата
Назначение
Действующее вещество
Возраст
от 1 года
Инструкция
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После применения необходимо плотно закрывать флакон.\u003Cbr\u003EПосле снятия крышки флакона-капельницы необходимо удалить защелкивающийся ободок с защитой от вскрытия, если он не прилегает к горловине, перед использованием препарата.\u003Cbr\u003EВ случае совместного применения с другими лекарственными средствами для местного применения в офтальмологии необходимо соблюдать интервал 5 минут между инстилляциями. При этом глазные мази должны применяться в последнюю очередь.\u003Cbr\u003EПрименение у пожилых\u003Cbr\u003EНе требуется коррекции дозы при применении у пожилых.\u003Cbr\u003EПрименение в педиатрической популяции\u003Cbr\u003EВозможно применение глазных капель тобрамицина пациентами от 1 года и старше в тех же дозировках, что и у взрослых.\u003Cbr\u003EЭффективность и безопасность применения препарата у пациентов младше 1 года не установлена.\u003Cbr\u003EПрименение пациентами с почечной и печеночной недостаточностью\u003Cbr\u003EЭффективность и безопасность применения препарата у пациентов с почечной и печеночной недостаточностью не установлена.\u003Cbr\u003EПри местном применении тобрамицина отмечается его низкая системная экспозиция.\u003Cbr\u003EВ случае совместного применения с системными аминогликозидными антибиотиками необходимо контролировать их уровень в плазме для поддержания требуемых системных концентраций."},{"name":"Побочные действия","value":"В клинических исследованиях в числе наиболее частых нежелательных реакций отмечались конъюнктивальная инъекция и дискомфорт в глазах, которые возникли примерно у 1,4% и 1,2% пациентов соответственно.\u003Cbr\u003EСведения о нежелательных явлениях были получены в ходе клинических исследований и пострегистрационного опыта применения препарата и классифицированы согласно нижеследующей градации частоты встречаемости: очень часто (≥ 1/10), часто (от ≥ 1/100 до \u003C 1/10), нечасто (от ≥ 1/1,000 до \u003C 1/100), редко (от ≥ 1/10,000 до \u003C 1/1,000), очень редко (\u003C 1/10,000), с неизвестной частотой (частота встречаемости не может быть определена на основании имеющихся данных).\u003Cbr\u003EВ каждой группе нежелательных явлений, сгруппированных согласно частоте встречаемости, нежелательные явления представлены в порядке убывания серьезности.\u003Cbr\u003EНарушения со стороны иммунной системы\u003Cbr\u003EНечасто: гиперчувствительность.\u003Cbr\u003EС неизвестной частотой: анафилактическая реакция.\u003Cbr\u003EНарушения со стороны нервной системы\u003Cbr\u003EНечасто: головная боль.\u003Cbr\u003EНарушения со стороны органа зрения\u003Cbr\u003EЧасто: дискомфорт в глазу, конъюнктивальная инъекция, аллергические явления со стороны органа зрения, зуд век;\u003Cbr\u003EНечасто: кератит, эрозия роговицы, нарушение зрения, затуманивание зрения, эритема век, выделения из глаз, отек конъюнктивы, отек век, боль в глазу, синдром \"сухого\" глаза, зуд в глазу, слезотечение;\u003Cbr\u003EС неизвестной частотой: раздражение глаз.\u003Cbr\u003EНарушения со стороны кожи и подкожно-жировой клетчатки\u003Cbr\u003EНечасто: крапивница, дерматит, мадароз, лейкодерма, зуд, сухость кожи;\u003Cbr\u003EС неизвестной частотой: сыпь, синдром Стивенса-Джонсона, многоморфная экссудативная эритема."},{"name":"Фармакологическое действие","value":"Антибиотик широкого спектра действия из группы аминогликозидов. Оказывает бактерицидное действие, нарушая синтез белка и проницаемость цитоплазматической мембраны микробной клетки.\u003Cbr\u003EАктивен в отношении следующих восприимчивых микроорганизмов:\u003Cbr\u003E- Staphylococci, в том числе S.aureus и S.epidermidis (коагулазоотрицательные и коагулазоположительные), включая штаммы, резистентные к пенициллину.\u003Cbr\u003E- Streptococci, включая некоторые β-гемолитические штаммы группы А, негемолитические виды и Streptococcus pneumoniae.\u003Cbr\u003E- Pseudomonas Aeruginosa, Escherichia coli, Klebsiella pneumoniae, Enterobacter aerogenes, Proteus mirabilis (индол-отрицательный) и индол-положительные виды Proteus, Haemophilus influenzae и H.aegyptius, Moraxella lacunata, Acinetobacter calcoaceticus (Herellea vaginacola) и некоторые виды Neisseria."},{"name":"Фармакологическая группа","value":"антибиотик-аминогликозид"},{"name":"Форма выпуска","value":"капли"},{"name":"Способ применения/введения","value":"местный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-glaz-i-ushei","categoryId":"15756892","navnodeId":"72496","glfilters":["35947170:36763743"]}}},{"name":"Минимальный возраст применения","value":"от 1 года"},{"name":"Условия хранения","value":"Хранить при температуре не выше 30 °С.\u003Cbr\u003EХранить в недоступном для детей месте."},{"name":"Передозировка","value":"Учитывая характеристики данного препарата, не ожидается токсических эффектов при передозировке данного препарата местно или в случае непроизвольного проглатывания содержимого одного флакона.\u003Cbr\u003EВ случае местной передозировки необходимо промыть глаза теплой водой, в то время как при случайном проглатывании лечение симптоматическое."},{"name":"Применение при беременности и кормлении грудью","value":"Фертильность\u003Cbr\u003EНе было проведено исследований по оценке влияния местного офтальмологического применения тобрамицина на фертильность человека.\u003Cbr\u003EБеременность\u003Cbr\u003EДанные о местном офтальмологическом применении препарата тобрамицина беременными женщинами отсутствуют или ограничены.\u003Cbr\u003EПосле внутривенного введения беременным женщинам тобрамицин проникает через плаценту и попадает в кровоток плода. Ототоксическое действие тобрамицина в случае его применения во время беременности не ожидается.\u003Cbr\u003EВ исследованиях на животных показано, что тобрамицин обладает репродуктивной токсичностью лишь при экспозициях, которые существенно превышают его максимальную экспозицию у человека в случае применения тобрамицина, из чего следует, что эти эффекты не имеют существенного клинического значения. Тератогенного действия тобрамицина у крыс или кроликов выявлено не было.\u003Cbr\u003EПрименение препарата Тобрекс, капли глазные, в период беременности не рекомендуется.\u003Cbr\u003EПериод грудного вскармливания\u003Cbr\u003EНеизвестно, экскретируется ли тобрамицин в человеческое молоко после местного офтальмологического применения. Тобрамицин экскретируется в человеческое молоко после системного применения. Обнаружение тобрамицина в грудном молоке или его способность вызывать клинически значимые эффекты у младенцев, матери которых применяли препарат, представляются маловероятными. Однако риск для грудного ребенка исключать нельзя.\u003Cbr\u003EНеобходимо принять решение о прекращении грудного вскармливания или прекращении или приостановке применения препарата, принимая во внимание пользу от грудного вскармливания для ребенка и пользу терапии для матери."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Временное затуманивание зрения или другие нарушения зрения после применения препарата могут повлиять на возможность управлять автомобилем или использовать механизмы. Если затуманивание зрения возникает после закапывания препарата, то перед вождением автотранспорта или управлением механизмами пациент должен дождаться восстановления четкости зрения."},{"name":"Особые указания","value":"У некоторых пациентов может возникать чувствительность к аминогликозидам при местном применении.\u003Cbr\u003EАллергические реакции могут быть разной степени тяжести и варьировать от местных эффектов до генерализованных реакций, включая эритему, зуд, крапивницу, сыпь, анафилаксию, анафилактоидные реакции или буллезные реакции. Если гиперчувствительность развивается во время использования препарата, лечение необходимо прекратить.\u003Cbr\u003EМожет возникать перекрестная гиперчувствительность к другим аминогликозидам, и следует учитывать возможность того, что пациенты, у которых возникла гиперчувствительность к тобрамицину при местном применении, также могут быть чувствительны к другим местным и/или системным аминогликозидам.\u003Cbr\u003EСерьезные нежелательные реакции, включая нейротоксичность, ототоксичность и нефротоксичность, могут возникнуть у пациентов, получающих системную терапию тобрамицином.\u003Cbr\u003EСледует соблюдать осторожность при совместном применении глазных капель тобрамицина и системном применении антибиотиков из группы аминогликозидов.\u003Cbr\u003EКак и при использовании других антибиотиков, длительное применение препарата Тобрекс, капли глазные, может привести к избыточному росту невосприимчивых микроорганизмов, в том числе грибов. В случае возникновения суперинфекции необходимо назначить соответствующую терапию.\u003Cbr\u003EВо время лечения глазной инфекции не рекомендуется ношение контактных линз.\u003Cbr\u003EПрепарат Тобрекс, капли глазные содержит бензалкония хлорид, который может вызвать раздражение глаза и изменять цвет мягких контактных линз. Следует избегать контакта препарата Тобрекс с мягкими контактными линзами. Пациенты, использующие контактные линзы, должны быть проинформированы о том, что перед применением препарата следует снять линзы и установить их обратно не ранее чем через 15 минут после закапывания препарата."},{"name":"Взаимодействие","value":"При местном офтальмологическом применении не было описано клинически значимых взаимодействий.\u003Cbr\u003EВ случае одновременного назначения тобрамицина местно и системных аминогликозидных антибиотиков возможно усиление побочных эффектов системного характера."},{"name":"Регистрационный номер","value":"П N014702/01"},{"name":"Дата государственной регистрации","value":"24.03.2021"},{"name":"Владелец регистрационного удостоверения","value":"Novartis","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-glaz-i-ushei","categoryId":"15756892","navnodeId":"72496","glfilters":["34324371:35649313","7893318:11037328"]}}},{"name":"Изготовитель","value":"S.A. Alcon-Couvreur N.V."},{"name":"Фасовщик","value":"S.A. Alcon-Couvreur N.V."},{"name":"Страна бренда","value":"Швейцария"},{"name":"Страна-производитель","value":"Бельгия"},{"name":"Название препарата","value":"Тобрекс","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-glaz-i-ushei","categoryId":"15756892","navnodeId":"72496","glfilters":["17796364:18047338"]}}},{"name":"Срок годности","value":"35 мес."}]}},"fullSpecsGrouped":{"15638702550844300891":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Рецептурный препарат","value":"да"},{"name":"Органы и системы","value":"глаза"},{"name":"Назначение","value":"бактериальный конъюнктивит, блефарит, иридоциклит, кератит, кератоконъюнктивит"},{"name":"Показания к применению","value":"Инфекции глаза и его придатков:\u003Cbr\u003Eблефарит;\u003Cbr\u003Eконъюнктивит;\u003Cbr\u003Eкератоконъюнктивит;\u003Cbr\u003Eблефароконъюнктивит;\u003Cbr\u003Eкератит;\u003Cbr\u003Eиридоциклит.\u003Cbr\u003EПрофилактика послеоперационных инфекций."},{"name":"Противопоказания","value":"Гиперчувствительность к компонентам препарата."},{"name":"Состав","value":"На 1 мл: Активное вещество: тобрамицин 3,00 мг; Вспомогательные вещества: бензалкония хлорид, раствор, эквивалентно бензалкония хлориду 0,10 мг; кислота борная 12,40 мг; натрия сульфат безводный 1,52 мг; натрия хлорид 2,78 мг; тилоксапол 1,00 мг; кислота серная и/или натрия гидроксид для доведения pH; вода очищенная до 1 мл."},{"name":"Действующее вещество","value":"Тобрамицин"},{"name":"Способ применения и дозы","value":"Местно.\u003Cbr\u003EВ случае легкого течения инфекционного процесса и инфекционного процесса средней тяжести 1 -2 капли в конъюнктивальный мешок каждые 4 часа.\u003Cbr\u003EВ случае тяжелого течения инфекционного процесса по 2 капли в конъюнктивальный мешок каждые 60 минут, с уменьшением частоты инстилляций препарата по мере уменьшения явлений воспаления.\u003Cbr\u003EДлительность лечения зависит от этиологии инфекции и может варьироваться от нескольких дней до нескольких недель.\u003Cbr\u003EВозможно сочетать применение мази и капель глазных.\u003Cbr\u003EДля предотвращения контаминации кончика флакона-капельницы и раствора необходимо избегать его соприкосновения с веками, окологлазничной областью или другими поверхностями. После применения необходимо плотно закрывать флакон.\u003Cbr\u003EПосле снятия крышки флакона-капельницы необходимо удалить защелкивающийся ободок с защитой от вскрытия, если он не прилегает к горловине, перед использованием препарата.\u003Cbr\u003EВ случае совместного применения с другими лекарственными средствами для местного применения в офтальмологии необходимо соблюдать интервал 5 минут между инстилляциями. При этом глазные мази должны применяться в последнюю очередь.\u003Cbr\u003EПрименение у пожилых\u003Cbr\u003EНе требуется коррекции дозы при применении у пожилых.\u003Cbr\u003EПрименение в педиатрической популяции\u003Cbr\u003EВозможно применение глазных капель тобрамицина пациентами от 1 года и старше в тех же дозировках, что и у взрослых.\u003Cbr\u003EЭффективность и безопасность применения препарата у пациентов младше 1 года не установлена.\u003Cbr\u003EПрименение пациентами с почечной и печеночной недостаточностью\u003Cbr\u003EЭффективность и безопасность применения препарата у пациентов с почечной и печеночной недостаточностью не установлена.\u003Cbr\u003EПри местном применении тобрамицина отмечается его низкая системная экспозиция.\u003Cbr\u003EВ случае совместного применения с системными аминогликозидными антибиотиками необходимо контролировать их уровень в плазме для поддержания требуемых системных концентраций."},{"name":"Побочные действия","value":"В клинических исследованиях в числе наиболее частых нежелательных реакций отмечались конъюнктивальная инъекция и дискомфорт в глазах, которые возникли примерно у 1,4% и 1,2% пациентов соответственно.\u003Cbr\u003EСведения о нежелательных явлениях были получены в ходе клинических исследований и пострегистрационного опыта применения препарата и классифицированы согласно нижеследующей градации частоты встречаемости: очень часто (≥ 1/10), часто (от ≥ 1/100 до \u003C 1/10), нечасто (от ≥ 1/1,000 до \u003C 1/100), редко (от ≥ 1/10,000 до \u003C 1/1,000), очень редко (\u003C 1/10,000), с неизвестной частотой (частота встречаемости не может быть определена на основании имеющихся данных).\u003Cbr\u003EВ каждой группе нежелательных явлений, сгруппированных согласно частоте встречаемости, нежелательные явления представлены в порядке убывания серьезности.\u003Cbr\u003EНарушения со стороны иммунной системы\u003Cbr\u003EНечасто: гиперчувствительность.\u003Cbr\u003EС неизвестной частотой: анафилактическая реакция.\u003Cbr\u003EНарушения со стороны нервной системы\u003Cbr\u003EНечасто: головная боль.\u003Cbr\u003EНарушения со стороны органа зрения\u003Cbr\u003EЧасто: дискомфорт в глазу, конъюнктивальная инъекция, аллергические явления со стороны органа зрения, зуд век;\u003Cbr\u003EНечасто: кератит, эрозия роговицы, нарушение зрения, затуманивание зрения, эритема век, выделения из глаз, отек конъюнктивы, отек век, боль в глазу, синдром \"сухого\" глаза, зуд в глазу, слезотечение;\u003Cbr\u003EС неизвестной частотой: раздражение глаз.\u003Cbr\u003EНарушения со стороны кожи и подкожно-жировой клетчатки\u003Cbr\u003EНечасто: крапивница, дерматит, мадароз, лейкодерма, зуд, сухость кожи;\u003Cbr\u003EС неизвестной частотой: сыпь, синдром Стивенса-Джонсона, многоморфная экссудативная эритема."},{"name":"Фармакологическое действие","value":"Антибиотик широкого спектра действия из группы аминогликозидов. Оказывает бактерицидное действие, нарушая синтез белка и проницаемость цитоплазматической мембраны микробной клетки.\u003Cbr\u003EАктивен в отношении следующих восприимчивых микроорганизмов:\u003Cbr\u003E- Staphylococci, в том числе S.aureus и S.epidermidis (коагулазоотрицательные и коагулазоположительные), включая штаммы, резистентные к пенициллину.\u003Cbr\u003E- Streptococci, включая некоторые β-гемолитические штаммы группы А, негемолитические виды и Streptococcus pneumoniae.\u003Cbr\u003E- Pseudomonas Aeruginosa, Escherichia coli, Klebsiella pneumoniae, Enterobacter aerogenes, Proteus mirabilis (индол-отрицательный) и индол-положительные виды Proteus, Haemophilus influenzae и H.aegyptius, Moraxella lacunata, Acinetobacter calcoaceticus (Herellea vaginacola) и некоторые виды Neisseria."},{"name":"Фармакологическая группа","value":"антибиотик-аминогликозид"},{"name":"Форма выпуска","value":"капли"},{"name":"Способ применения/введения","value":"местный"},{"name":"Минимальный возраст применения","value":"от 1 года"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"Хранить при температуре не выше 30 °С.\u003Cbr\u003EХранить в недоступном для детей месте."},{"name":"Передозировка","value":"Учитывая характеристики данного препарата, не ожидается токсических эффектов при передозировке данного препарата местно или в случае непроизвольного проглатывания содержимого одного флакона.\u003Cbr\u003EВ случае местной передозировки необходимо промыть глаза теплой водой, в то время как при случайном проглатывании лечение симптоматическое."},{"name":"Применение при беременности и кормлении грудью","value":"Фертильность\u003Cbr\u003EНе было проведено исследований по оценке влияния местного офтальмологического применения тобрамицина на фертильность человека.\u003Cbr\u003EБеременность\u003Cbr\u003EДанные о местном офтальмологическом применении препарата тобрамицина беременными женщинами отсутствуют или ограничены.\u003Cbr\u003EПосле внутривенного введения беременным женщинам тобрамицин проникает через плаценту и попадает в кровоток плода. Ототоксическое действие тобрамицина в случае его применения во время беременности не ожидается.\u003Cbr\u003EВ исследованиях на животных показано, что тобрамицин обладает репродуктивной токсичностью лишь при экспозициях, которые существенно превышают его максимальную экспозицию у человека в случае применения тобрамицина, из чего следует, что эти эффекты не имеют существенного клинического значения. Тератогенного действия тобрамицина у крыс или кроликов выявлено не было.\u003Cbr\u003EПрименение препарата Тобрекс, капли глазные, в период беременности не рекомендуется.\u003Cbr\u003EПериод грудного вскармливания\u003Cbr\u003EНеизвестно, экскретируется ли тобрамицин в человеческое молоко после местного офтальмологического применения. Тобрамицин экскретируется в человеческое молоко после системного применения. Обнаружение тобрамицина в грудном молоке или его способность вызывать клинически значимые эффекты у младенцев, матери которых применяли препарат, представляются маловероятными. Однако риск для грудного ребенка исключать нельзя.\u003Cbr\u003EНеобходимо принять решение о прекращении грудного вскармливания или прекращении или приостановке применения препарата, принимая во внимание пользу от грудного вскармливания для ребенка и пользу терапии для матери."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Временное затуманивание зрения или другие нарушения зрения после применения препарата могут повлиять на возможность управлять автомобилем или использовать механизмы. Если затуманивание зрения возникает после закапывания препарата, то перед вождением автотранспорта или управлением механизмами пациент должен дождаться восстановления четкости зрения."},{"name":"Особые указания","value":"У некоторых пациентов может возникать чувствительность к аминогликозидам при местном применении.\u003Cbr\u003EАллергические реакции могут быть разной степени тяжести и варьировать от местных эффектов до генерализованных реакций, включая эритему, зуд, крапивницу, сыпь, анафилаксию, анафилактоидные реакции или буллезные реакции. Если гиперчувствительность развивается во время использования препарата, лечение необходимо прекратить.\u003Cbr\u003EМожет возникать перекрестная гиперчувствительность к другим аминогликозидам, и следует учитывать возможность того, что пациенты, у которых возникла гиперчувствительность к тобрамицину при местном применении, также могут быть чувствительны к другим местным и/или системным аминогликозидам.\u003Cbr\u003EСерьезные нежелательные реакции, включая нейротоксичность, ототоксичность и нефротоксичность, могут возникнуть у пациентов, получающих системную терапию тобрамицином.\u003Cbr\u003EСледует соблюдать осторожность при совместном применении глазных капель тобрамицина и системном применении антибиотиков из группы аминогликозидов.\u003Cbr\u003EКак и при использовании других антибиотиков, длительное применение препарата Тобрекс, капли глазные, может привести к избыточному росту невосприимчивых микроорганизмов, в том числе грибов. В случае возникновения суперинфекции необходимо назначить соответствующую терапию.\u003Cbr\u003EВо время лечения глазной инфекции не рекомендуется ношение контактных линз.\u003Cbr\u003EПрепарат Тобрекс, капли глазные содержит бензалкония хлорид, который может вызвать раздражение глаза и изменять цвет мягких контактных линз. Следует избегать контакта препарата Тобрекс с мягкими контактными линзами. Пациенты, использующие контактные линзы, должны быть проинформированы о том, что перед применением препарата следует снять линзы и установить их обратно не ранее чем через 15 минут после закапывания препарата."},{"name":"Взаимодействие","value":"При местном офтальмологическом применении не было описано клинически значимых взаимодействий.\u003Cbr\u003EВ случае одновременного назначения тобрамицина местно и системных аминогликозидных антибиотиков возможно усиление побочных эффектов системного характера."},{"name":"Регистрационный номер","value":"П N014702/01"},{"name":"Дата государственной регистрации","value":"24.03.2021"},{"name":"Владелец регистрационного удостоверения","value":"Novartis"},{"name":"Изготовитель","value":"S.A. Alcon-Couvreur N.V."},{"name":"Фасовщик","value":"S.A. Alcon-Couvreur N.V."},{"name":"Страна бренда","value":"Швейцария"},{"name":"Страна-производитель","value":"Бельгия"},{"name":"Название препарата","value":"Тобрекс"},{"name":"Срок годности","value":"35 мес."}]}],"transitionId":"tr_5"}}}}
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После применения необходимо плотно закрывать флакон.\u003Cbr\u003EПосле снятия крышки флакона-капельницы необходимо удалить защелкивающийся ободок с защитой от вскрытия, если он не прилегает к горловине, перед использованием препарата.\u003Cbr\u003EВ случае совместного применения с другими лекарственными средствами для местного применения в офтальмологии необходимо соблюдать интервал 5 минут между инстилляциями. При этом глазные мази должны применяться в последнюю очередь.\u003Cbr\u003EПрименение у пожилых\u003Cbr\u003EНе требуется коррекции дозы при применении у пожилых.\u003Cbr\u003EПрименение в педиатрической популяции\u003Cbr\u003EВозможно применение глазных капель тобрамицина пациентами от 1 года и старше в тех же дозировках, что и у взрослых.\u003Cbr\u003EЭффективность и безопасность применения препарата у пациентов младше 1 года не установлена.\u003Cbr\u003EПрименение пациентами с почечной и печеночной недостаточностью\u003Cbr\u003EЭффективность и безопасность применения препарата у пациентов с почечной и печеночной недостаточностью не установлена.\u003Cbr\u003EПри местном применении тобрамицина отмечается его низкая системная экспозиция.\u003Cbr\u003EВ случае совместного применения с системными аминогликозидными антибиотиками необходимо контролировать их уровень в плазме для поддержания требуемых системных концентраций."},{"description":"","filters":[{"id":15767998,"name":"Побочные действия"}],"isMainProperty":false,"name":"Побочные действия","value":"В клинических исследованиях в числе наиболее частых нежелательных реакций отмечались конъюнктивальная инъекция и дискомфорт в глазах, которые возникли примерно у 1,4% и 1,2% пациентов соответственно.\u003Cbr\u003EСведения о нежелательных явлениях были получены в ходе клинических исследований и пострегистрационного опыта применения препарата и классифицированы согласно нижеследующей градации частоты встречаемости: очень часто (≥ 1/10), часто (от ≥ 1/100 до \u003C 1/10), нечасто (от ≥ 1/1,000 до \u003C 1/100), редко (от ≥ 1/10,000 до \u003C 1/1,000), очень редко (\u003C 1/10,000), с неизвестной частотой (частота встречаемости не может быть определена на основании имеющихся данных).\u003Cbr\u003EВ каждой группе нежелательных явлений, сгруппированных согласно частоте встречаемости, нежелательные явления представлены в порядке убывания серьезности.\u003Cbr\u003EНарушения со стороны иммунной системы\u003Cbr\u003EНечасто: гиперчувствительность.\u003Cbr\u003EС неизвестной частотой: анафилактическая реакция.\u003Cbr\u003EНарушения со стороны нервной системы\u003Cbr\u003EНечасто: головная боль.\u003Cbr\u003EНарушения со стороны органа зрения\u003Cbr\u003EЧасто: дискомфорт в глазу, конъюнктивальная инъекция, аллергические явления со стороны органа зрения, зуд век;\u003Cbr\u003EНечасто: кератит, эрозия роговицы, нарушение зрения, затуманивание зрения, эритема век, выделения из глаз, отек конъюнктивы, отек век, боль в глазу, синдром \"сухого\" глаза, зуд в глазу, слезотечение;\u003Cbr\u003EС неизвестной частотой: раздражение глаз.\u003Cbr\u003EНарушения со стороны кожи и подкожно-жировой клетчатки\u003Cbr\u003EНечасто: крапивница, дерматит, мадароз, лейкодерма, зуд, сухость кожи;\u003Cbr\u003EС неизвестной частотой: сыпь, синдром Стивенса-Джонсона, многоморфная экссудативная эритема."},{"description":"","filters":[{"id":15768001,"name":"Фармакологическое действие"}],"isMainProperty":false,"name":"Фармакологическое действие","value":"Антибиотик широкого спектра действия из группы аминогликозидов. Оказывает бактерицидное действие, нарушая синтез белка и проницаемость цитоплазматической мембраны микробной клетки.\u003Cbr\u003EАктивен в отношении следующих восприимчивых микроорганизмов:\u003Cbr\u003E- Staphylococci, в том числе S.aureus и S.epidermidis (коагулазоотрицательные и коагулазоположительные), включая штаммы, резистентные к пенициллину.\u003Cbr\u003E- Streptococci, включая некоторые β-гемолитические штаммы группы А, негемолитические виды и Streptococcus pneumoniae.\u003Cbr\u003E- Pseudomonas Aeruginosa, Escherichia coli, Klebsiella pneumoniae, Enterobacter aerogenes, Proteus mirabilis (индол-отрицательный) и индол-положительные виды Proteus, Haemophilus influenzae и H.aegyptius, Moraxella lacunata, Acinetobacter calcoaceticus (Herellea vaginacola) и некоторые виды Neisseria."},{"description":"","filters":[{"id":34045110,"name":"Фармакологическая группа"}],"isMainProperty":false,"name":"Фармакологическая группа","value":"антибиотик-аминогликозид"},{"description":"","filters":[{"id":27141511,"name":"Форма выпуска для карточки"}],"isMainProperty":false,"name":"Форма выпуска","value":"капли"},{"description":"","filters":[{"id":35947170,"name":"Способ применения/введения"}],"isMainProperty":false,"name":"Способ применения/введения","value":"местный"},{"description":"","filters":[{"id":23679511,"name":"Минимальный возраст применения"},{"id":16082123,"name":"С рождения"}],"isMainProperty":false,"name":"Минимальный возраст применения","value":"от 1 года"}]},{"name":"Дополнительно","specs":[{"description":"","filters":[{"id":15767999,"name":"Условия хранения"}],"isMainProperty":false,"name":"Условия хранения","value":"Хранить при температуре не выше 30 °С.\u003Cbr\u003EХранить в недоступном для детей месте."},{"description":"","filters":[{"id":15768014,"name":"Передозировка"}],"isMainProperty":false,"name":"Передозировка","value":"Учитывая характеристики данного препарата, не ожидается токсических эффектов при передозировке данного препарата местно или в случае непроизвольного проглатывания содержимого одного флакона.\u003Cbr\u003EВ случае местной передозировки необходимо промыть глаза теплой водой, в то время как при случайном проглатывании лечение симптоматическое."},{"description":"","filters":[{"id":15768015,"name":"Применение при беременности и кормлении грудью"}],"isMainProperty":false,"name":"Применение при беременности и кормлении грудью","value":"Фертильность\u003Cbr\u003EНе было проведено исследований по оценке влияния местного офтальмологического применения тобрамицина на фертильность человека.\u003Cbr\u003EБеременность\u003Cbr\u003EДанные о местном офтальмологическом применении препарата тобрамицина беременными женщинами отсутствуют или ограничены.\u003Cbr\u003EПосле внутривенного введения беременным женщинам тобрамицин проникает через плаценту и попадает в кровоток плода. Ототоксическое действие тобрамицина в случае его применения во время беременности не ожидается.\u003Cbr\u003EВ исследованиях на животных показано, что тобрамицин обладает репродуктивной токсичностью лишь при экспозициях, которые существенно превышают его максимальную экспозицию у человека в случае применения тобрамицина, из чего следует, что эти эффекты не имеют существенного клинического значения. Тератогенного действия тобрамицина у крыс или кроликов выявлено не было.\u003Cbr\u003EПрименение препарата Тобрекс, капли глазные, в период беременности не рекомендуется.\u003Cbr\u003EПериод грудного вскармливания\u003Cbr\u003EНеизвестно, экскретируется ли тобрамицин в человеческое молоко после местного офтальмологического применения. Тобрамицин экскретируется в человеческое молоко после системного применения. Обнаружение тобрамицина в грудном молоке или его способность вызывать клинически значимые эффекты у младенцев, матери которых применяли препарат, представляются маловероятными. Однако риск для грудного ребенка исключать нельзя.\u003Cbr\u003EНеобходимо принять решение о прекращении грудного вскармливания или прекращении или приостановке применения препарата, принимая во внимание пользу от грудного вскармливания для ребенка и пользу терапии для матери."},{"description":"","filters":[{"id":17360993,"name":"Влияние на способность управлять транспортом и механизмами"}],"isMainProperty":false,"name":"Влияние на способность управлять транспортом и механизмами","value":"Временное затуманивание зрения или другие нарушения зрения после применения препарата могут повлиять на возможность управлять автомобилем или использовать механизмы. Если затуманивание зрения возникает после закапывания препарата, то перед вождением автотранспорта или управлением механизмами пациент должен дождаться восстановления четкости зрения."},{"description":"","filters":[{"id":15771167,"name":"Особые указания"}],"isMainProperty":false,"name":"Особые указания","value":"У некоторых пациентов может возникать чувствительность к аминогликозидам при местном применении.\u003Cbr\u003EАллергические реакции могут быть разной степени тяжести и варьировать от местных эффектов до генерализованных реакций, включая эритему, зуд, крапивницу, сыпь, анафилаксию, анафилактоидные реакции или буллезные реакции. Если гиперчувствительность развивается во время использования препарата, лечение необходимо прекратить.\u003Cbr\u003EМожет возникать перекрестная гиперчувствительность к другим аминогликозидам, и следует учитывать возможность того, что пациенты, у которых возникла гиперчувствительность к тобрамицину при местном применении, также могут быть чувствительны к другим местным и/или системным аминогликозидам.\u003Cbr\u003EСерьезные нежелательные реакции, включая нейротоксичность, ототоксичность и нефротоксичность, могут возникнуть у пациентов, получающих системную терапию тобрамицином.\u003Cbr\u003EСледует соблюдать осторожность при совместном применении глазных капель тобрамицина и системном применении антибиотиков из группы аминогликозидов.\u003Cbr\u003EКак и при использовании других антибиотиков, длительное применение препарата Тобрекс, капли глазные, может привести к избыточному росту невосприимчивых микроорганизмов, в том числе грибов. В случае возникновения суперинфекции необходимо назначить соответствующую терапию.\u003Cbr\u003EВо время лечения глазной инфекции не рекомендуется ношение контактных линз.\u003Cbr\u003EПрепарат Тобрекс, капли глазные содержит бензалкония хлорид, который может вызвать раздражение глаза и изменять цвет мягких контактных линз. Следует избегать контакта препарата Тобрекс с мягкими контактными линзами. Пациенты, использующие контактные линзы, должны быть проинформированы о том, что перед применением препарата следует снять линзы и установить их обратно не ранее чем через 15 минут после закапывания препарата."},{"description":"","filters":[{"id":15768012,"name":"Взаимодействие"}],"isMainProperty":false,"name":"Взаимодействие","value":"При местном офтальмологическом применении не было описано клинически значимых взаимодействий.\u003Cbr\u003EВ случае одновременного назначения тобрамицина местно и системных аминогликозидных антибиотиков возможно усиление побочных эффектов системного характера."},{"description":"","filters":[{"id":16435314,"name":"Регистрационный номер"}],"isMainProperty":false,"name":"Регистрационный номер","value":"П N014702/01"},{"description":"","filters":[{"id":16435315,"name":"Дата государственной регистрации"}],"isMainProperty":false,"name":"Дата государственной регистрации","value":"24.03.2021"},{"description":"","filters":[{"id":34324371,"name":"Тип препарата"},{"id":7893318,"name":"Производитель"}],"isMainProperty":false,"name":"Владелец регистрационного удостоверения","value":"Novartis"},{"description":"","filters":[{"id":35771390,"name":"Изготовитель"}],"isMainProperty":false,"name":"Изготовитель","value":"S.A. 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  • Сульфацил натрия (Альбуцид) гл. капли, 20%, 10 мл
    –2 %
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    Сульфацил натрия (Альбуцид) гл. капли, 20%, 10 мл

    Рейтинг товара: 5 из 5
    на основе 5 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 273 ₽ вместо 279
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  • Тобрадекс гл. капли, 5 мл
    –20 %
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    Тобрадекс гл. капли, 5 мл

    Рейтинг товара: 5 из 5
    на основе 14 оценок
    Цена 615 ₽ вместо 769
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  • Левомицетин гл. капли, 0,25%, 5 мл, 1 шт.
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    Левомицетин гл. капли, 0,25%, 5 мл, 1 шт.

    Рейтинг товара: 5 из 5
    на основе 14 оценок
    Цена 15 ₽
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  • Искусственная слеза гл. капли фл., 0.5%, 10 мл
    –2 %
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    Искусственная слеза гл. капли фл., 0.5%, 10 мл

    Рейтинг товара: 4.8 из 5
    на основе 106 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 344 ₽ вместо 352
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  • Тетрациклин гл. мазь, 1%, 5 г, 1 шт.
    –2 %
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    Тетрациклин гл. мазь, 1%, 5 г, 1 шт.

    Рейтинг товара: 5 из 5
    на основе 42 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 64 ₽ вместо 65
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  • Ципролет гл. капли, 3 мг/мл, 5 мл, 1 шт.
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    Ципролет гл. капли, 3 мг/мл, 5 мл, 1 шт.

    Рейтинг товара: 4.8 из 5
    на основе 12 оценок
    Цена 57 ₽
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  • Макситрол гл. капли фл.-капельница, 1 мг/мл, 5 мл
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    Макситрол гл. капли фл.-капельница, 1 мг/мл, 5 мл

    Рейтинг товара: 5 из 5
    на основе 4 оценки
    Цена 770 ₽
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  • Сульфацил натрия-ДИА гл. капли, 20%, 10 мл, 1 шт.
    –10 %
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    Сульфацил натрия-ДИА гл. капли, 20%, 10 мл, 1 шт.

    Рейтинг товара: 4.7 из 5
    на основе 68 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 120 ₽ вместо 121
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Инструкция

Показания к применению

Инфекции глаза и его придатков:
блефарит;
конъюнктивит;
кератоконъюнктивит;
блефароконъюнктивит;
кератит;
иридоциклит.
Профилактика послеоперационных инфекций.

Противопоказания

Гиперчувствительность к компонентам препарата.

Способ применения и дозы

Местно.
В случае легкого течения инфекционного процесса и инфекционного процесса средней тяжести 1 -2 капли в конъюнктивальный мешок каждые 4 часа.
В случае тяжелого течения инфекционного процесса по 2 капли в конъюнктивальный мешок каждые 60 минут, с уменьшением частоты инстилляций препарата по мере уменьшения явлений воспаления.
Длительность лечения зависит от этиологии инфекции и может варьироваться от нескольких дней до нескольких недель.
Возможно сочетать применение мази и капель глазных.
Для предотвращения контаминации кончика флакона-капельницы и раствора необходимо избегать его соприкосновения с веками, окологлазничной областью или другими поверхностями. После применения необходимо плотно закрывать флакон.
После снятия крышки флакона-капельницы необходимо удалить защелкивающийся ободок с защитой от вскрытия, если он не прилегает к горловине, перед использованием препарата.
В случае совместного применения с другими лекарственными средствами для местного применения в офтальмологии необходимо соблюдать интервал 5 минут между инстилляциями. При этом глазные мази должны применяться в последнюю очередь.
Применение у пожилых
Не требуется коррекции дозы при применении у пожилых.
Применение в педиатрической популяции
Возможно применение глазных капель тобрамицина пациентами от 1 года и старше в тех же дозировках, что и у взрослых.
Эффективность и безопасность применения препарата у пациентов младше 1 года не установлена.
Применение пациентами с почечной и печеночной недостаточностью
Эффективность и безопасность применения препарата у пациентов с почечной и печеночной недостаточностью не установлена.
При местном применении тобрамицина отмечается его низкая системная экспозиция.
В случае совместного применения с системными аминогликозидными антибиотиками необходимо контролировать их уровень в плазме для поддержания требуемых системных концентраций.
Полная инструкция
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Тобрекс гл. капли
Тобрекс гл. капли, 0.3%, 5 мл
5.0
(17)
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4 вопроса
Инструкция

138 ₽

Скидка: 19%
–19 %
Вместо:171 ₽
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5.0
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У продавца:17 оценок·1 отзыв
У всех продавцов:151 оценка·55 отзывов
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user avatar
8 месяцев назад • Юлия • Куплен на Маркете
Достоинства: постоянно использую для людей и для моих 12ти кошек, по назначен\ю врачей
Недостатки: и ветврачей. Действуют эффективно.
Посмотреть все отзывы на Маркете
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    Цена 615 ₽ вместо 769
  • Таурин гл. капли, 4%, 5 мл
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    Таурин гл. капли, 4%, 5 мл

    Цена 175 ₽ вместо 179
  • Фурацилин пор. д/приг. р-ра д/нар. прим., 20 мг, 10 шт., 1 уп.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1430987488_2/content/content/toggleWishlist":{"skuId":"265177472","productId":1430987488,"offerId":"Rnajsm8hpWDixLY6iP1riQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQs5Cb+8fj1Pl3EhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCODFrKoFEICTuX4Y58mQByDl2cEH","sign":"FzkjW+xB9GS7sA4SSHrlaZvbdOFIK6YIOLnfflUAkXY="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1430987488_2/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Фурацилин пор. д/приг. р-ра д/нар. прим., 20 мг, 10 шт., 1 уп.

    Цена 69 ₽ вместо 70
  • Левомицетин гл. капли, 0,25%, 5 мл, 1 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417729416_3/content/content/toggleWishlist":{"skuId":"265133272","productId":1417729416,"offerId":"DrOmcIYsIZslK7drioHgAA","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQs5Cb+8fj1Pl3EhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCIirg6QFENi5tn4YhNTQByDc3MEH","sign":"lPJuZ6nbzINczRZPWu19WWCQWRyLsOVYMKM4Dk55IZw="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417729416_3/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Левомицетин гл. капли, 0,25%, 5 мл, 1 шт.

    Цена 15 ₽
  • Сульфацил натрия (Альбуцид) гл. капли, 20%, 10 мл
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417729453_4/content/content/gallery":{"title":"Сульфацил натрия (Альбуцид) гл. капли, 20%, 10 мл","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/3725687/img_id4216301760757129873.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/3725687/img_id4216301760757129873.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/3725687/img_id4216301760757129873.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/3725687/img_id4216301760757129873.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/3725687/img_id4216301760757129873.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/3725687/img_id4216301760757129873.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5252277/img_id3408376532900929452.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5252277/img_id3408376532900929452.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5252277/img_id3408376532900929452.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5252277/img_id3408376532900929452.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5252277/img_id3408376532900929452.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5252277/img_id3408376532900929452.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQs5Cb+8fj1Pl3EhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCK2rg6QFEI2cmNsBGITU0Acg3NzBBw==","sign":"gyIIRDLVpztuVJyzwZwPgLra6ZEDFbVEZPYRQeA3f8s="},"target":"model_card"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417729453_4/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417729453_4/content/content/toggleWishlist":{"skuId":"459673101","productId":1417729453,"offerId":"5HbqDvt2osd1Sy0bGhq8zg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQs5Cb+8fj1Pl3EhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCK2rg6QFEI2cmNsBGITU0Acg3NzBBw==","sign":"gyIIRDLVpztuVJyzwZwPgLra6ZEDFbVEZPYRQeA3f8s="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417729453_4/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Сульфацил натрия (Альбуцид) гл. капли, 20%, 10 мл

    Цена 273 ₽ вместо 279
  • Супрастин таб., 25 мг, 40 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417730446_5/content/content/gallery":{"title":"Супрастин таб., 25 мг, 40 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5363183/img_id7840497460951259865.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5363183/img_id7840497460951259865.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5363183/img_id7840497460951259865.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5363183/img_id7840497460951259865.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5363183/img_id7840497460951259865.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5363183/img_id7840497460951259865.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/3698270/img_id89707931562578521.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/3698270/img_id89707931562578521.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/3698270/img_id89707931562578521.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/3698270/img_id89707931562578521.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/3698270/img_id89707931562578521.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/3698270/img_id89707931562578521.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQs5Cb+8fj1Pl3EhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCI6zg6QFEIPiuf4BGJLd0Acg1tnBBw==","sign":"R/x9GUI+1b4NI7BGhZVZiWjTfwuTj2PZfhYhaHFNPwQ="},"target":"model_card"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417730446_5/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417730446_5/content/content/toggleWishlist":{"skuId":"533623043","productId":1417730446,"offerId":"yd_3Mf_OGt5uI0v9ERt9_Q","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQs5Cb+8fj1Pl3EhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCI6zg6QFEIPiuf4BGJLd0Acg1tnBBw==","sign":"R/x9GUI+1b4NI7BGhZVZiWjTfwuTj2PZfhYhaHFNPwQ="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417730446_5/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Супрастин таб., 25 мг, 40 шт.

    Цена 298 ₽ вместо 361
  • Искусственная слеза гл. капли фл., 0.5%, 10 мл
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778174783_6/content/content/gallery":{"title":"Искусственная слеза гл. капли фл., 0.5%, 10 мл","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/4785755/img_id7864864840106782991.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4785755/img_id7864864840106782991.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4785755/img_id7864864840106782991.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4785755/img_id7864864840106782991.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4785755/img_id7864864840106782991.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4785755/img_id7864864840106782991.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4353087/img_id6329645516989764619.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4353087/img_id6329645516989764619.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4353087/img_id6329645516989764619.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4353087/img_id6329645516989764619.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4353087/img_id6329645516989764619.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4353087/img_id6329645516989764619.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5210379/img_id7075537869710194200.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5210379/img_id7075537869710194200.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5210379/img_id7075537869710194200.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5210379/img_id7075537869710194200.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5210379/img_id7075537869710194200.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5210379/img_id7075537869710194200.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQs5Cb+8fj1Pl3EhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCL+W888GEMP7usICGN3i0Acg3NzBBw==","sign":"wnhh/nIT6IXzQ/qizkpEzNXTCErMed9kXU4sX3haqhE="},"target":"model_card"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778174783_6/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778174783_6/content/content/toggleWishlist":{"skuId":"676249027","productId":1778174783,"offerId":"JyD8ikfObQM4XA8PPu-XLw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQs5Cb+8fj1Pl3EhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIWCL+W888GEMP7usICGN3i0Acg3NzBBw==","sign":"wnhh/nIT6IXzQ/qizkpEzNXTCErMed9kXU4sX3haqhE="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1778174783_6/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Искусственная слеза гл. капли фл., 0.5%, 10 мл

    Цена 344 ₽ вместо 352
  • Тетрациклин гл. мазь, 1%, 5 г, 1 шт.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417729439_7/content/content/toggleWishlist":{"skuId":"228073251","productId":1417729439,"offerId":"bZMbYKr2O18o6gTo8kXaVQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQs5Cb+8fj1Pl3EhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCJ+rg6QFEKO+4GwYjIHPBiDc3MEH","sign":"GagR8XuDvGPf/OxNr7DJpzeIgZuLXOQZuH45mwSQ68s="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1417729439_7/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Тетрациклин гл. мазь, 1%, 5 г, 1 шт.

    Цена 64 ₽ вместо 65
  • Реклама
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  • Смекта пор. д/приг. сусп. д/вн. приема, 3 г, 20 шт., ваниль
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    Смекта пор. д/приг. сусп. д/вн. приема, 3 г, 20 шт., ваниль

    Цена 207 ₽ вместо 209
  • Мирамистин р-р д/мест. прим. фл. с распыл., 0.01%, 50 мл
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    Мирамистин р-р д/мест. прим. фл. с распыл., 0.01%, 50 мл

    Цена 422 ₽ вместо 430
  • Ципролет гл. капли, 3 мг/мл, 5 мл, 1 шт.
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    Ципролет гл. капли, 3 мг/мл, 5 мл, 1 шт.

    Цена 57 ₽
  • Макситрол гл. капли фл.-капельница, 1 мг/мл, 5 мл
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    Макситрол гл. капли фл.-капельница, 1 мг/мл, 5 мл

    Цена 770 ₽
  • Левомеколь мазь д/нар. прим., 40 мг/г+7.5 мг/г, 10 г
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    Левомеколь мазь д/нар. прим., 40 мг/г+7.5 мг/г, 10 г

    Цена 157 ₽ вместо 159
  • Кетоконазол шампунь лекарственный, 2%, 75 г
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    Кетоконазол шампунь лекарственный, 2%, 75 г

    Цена 352 ₽ вместо 360
  • Полисорб МП пор. д/приг. сусп. д/вн. приема, 25 г
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    Полисорб МП пор. д/приг. сусп. д/вн. приема, 25 г

    Цена 396 ₽ вместо 400
  • Сульфацил натрия-ДИА гл. капли, 20%, 10 мл, 1 шт.
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    Сульфацил натрия-ДИА гл. капли, 20%, 10 мл, 1 шт.

    Цена 120 ₽ вместо 134
  • Йодомарин таб., 0.1 мг, 100 шт.
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    Йодомарин таб., 0.1 мг, 100 шт.

    Цена 138 ₽ вместо 160
  • Энтеросгель паста д/вн.приема, 22.5 г, 10 шт., нейтральный
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    Энтеросгель паста д/вн.приема, 22.5 г, 10 шт., нейтральный

    Цена 668 ₽ вместо 682
  • Драмина таб., 50 мг, 10 шт.
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    Драмина таб., 50 мг, 10 шт.

    Цена 376 ₽ вместо 384
  • Уголь активированный таб., 250 мг, 10 шт.
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    Уголь активированный таб., 250 мг, 10 шт.

    Цена 177 ₽ вместо 179
  • Реклама
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  • Зиртек капли д/вн. приема, 10 мг/мл, 20 мл
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    Зиртек капли д/вн. приема, 10 мг/мл, 20 мл

    Цена 218 ₽ вместо 266
  • Мезим Форте таб. п/о, 80 шт.
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    Мезим Форте таб. п/о, 80 шт.

    Цена 365 ₽ вместо 373
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