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Описание

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Цитрамон-экстракап капс. (блистер в пачке), 10 шт.

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У продавца: 
нет • На Маркете: 4.7
(39)
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Коротко о товаре

Артикул Маркета
3288362380
Тип препарата
Назначение
Действующее вещество
Форма выпуска
капсулы
Инструкция
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Капсулы твердые желатиновые №00.\u003Cbr\u003EСостав оболочки капсулы (корпус и крышечка): титана диоксид (Е 171) - 2,6666%, хинолиновый желтый (Е 104) - 1,8394%, краситель солнечный закат желтый (Е 110) - 0,0088%, желатин - до 100%."},{"name":"Действующее вещество","value":"Ацетилсалициловая кислота+Кофеин+Парацетамол","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-nervnoi-sistemy","categoryId":"15756525","navnodeId":"72478","glfilters":["27144131:36089920"]}}},{"name":"Способ применения и дозы","value":"Препарат не следует принимать более 5 дней в качестве анальгезирующего лекарственного средства и более 3 дней - жаропонижающего (без назначения и наблюдения врача).\u003Cbr\u003EВнутрь (во время или после еды, запивая достаточным количеством воды при приеме каждой дозы).\u003Cbr\u003EПри головной боли рекомендуемая доза 1 -2 капсулы, в случае сильной головной боли следующий прием через 4-6 ч.\u003Cbr\u003EПри мигрени рекомендуемая доза 2 капсулы при появлении симптомов, при необходимости повторный прием через 4-6 ч. Для лечения головной боли и мигрени препарат применяют не более 4 дней.\u003Cbr\u003EПри болевом синдроме - 1-2 капсулы; средняя суточная доза - 3-4 капсулы, максимальная суточная доза - 8 капсул.\u003Cbr\u003EКурс лечения - не более 3-5 дней.\u003Cbr\u003EПожилые (старше 65 лет)\u003Cbr\u003EУ пожилых пациентов, особенно при низкой массе тела, следует соблюдать осторожность.\u003Cbr\u003EПациенты с печеночной и почечной недостаточностью\u003Cbr\u003EВлияние нарушения функции печени или почек на фармакокинетику препарата не изучалось. Учитывая механизм действия ацетилсалициловой кислоты и парацетамола, их применение может усугубить почечную и печеночную недостаточность. В связи с этим препарат противопоказан у пациентов с тяжелой печеночной или почечной недостаточностью (см. раздел \"Противопоказания\"), а при печеночной и почечной недостаточности легкой и средней степени его следует применять с осторожностью (см. раздел \"С осторожностью\")."},{"name":"Побочные действия","value":"Гастралгия, тошнота, рвота, гепатотоксичность, нефротоксичность, эрозивно-язвенные поражения ЖКТ, аллергические реакции (в т.ч. синдром Стивенса-Джонсона, Лайелла), тахикардия, повышение АД, бронхоспазм. При длительном применении - головокружение, головная боль, нарушения зрения, шум в ушах, снижение агрегации тромбоцитов, гипокоагуляция, геморрагический синдром (носовое кровотечение, кровоточивость десен, пурпура и др.), поражение почек с папиллярным некрозом; глухота; синдром Рейе у детей (гиперпирексия, метаболический ацидоз, нарушения со стороны нервной системы и психики, рвота, нарушения функции печени)."},{"name":"Фармакологическое действие","value":"Комбинированный препарат.\u003Cbr\u003EАцетилсалициловая кислота (АСК) обладает жаропонижающим и противовоспалительным действием, ослабляет боль, особенно вызванную воспалительным процессом, а также угнетает тромбообразование, улучшает микроциркуляцию в очаге воспаления.\u003Cbr\u003EКофеин повышает рефлекторную возбудимость спинного мозга, возбуждает дыхательный и сосудодвигательный центры, расширяет кровеносные сосуды скелетных мышц, головного мозга, сердца, почек, снижает агрегацию тромбоцитов; уменьшает сонливость, чувство усталости, повышает умственную и физическую работоспособность. В данной комбинации кофеин в малой дозе практически не оказывает стимулирующего действия на центральную нервную систему, повышает тонус сосудов головного мозга и способствует ускорению кровотока.\u003Cbr\u003EПарацетамол обладает анальгезирующим, жаропонижающим и слабым противовоспалительным действием, что связано с его влиянием на центр терморегуляции в гипоталамусе и слабовыраженной способностью ингибировать синтез простагландинов в периферических тканях."},{"name":"Фармакологическая группа","value":"анальгезирующее средство комбинированное (НПВП+анальгезирующее ненаркотическое средство+психостимулирующее средство)"},{"name":"Форма выпуска","value":"капсулы"},{"name":"Способ применения/введения","value":"пероральный","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-nervnoi-sistemy","categoryId":"15756525","navnodeId":"72478","glfilters":["35947170:36763744"]}}},{"name":"Условия хранения","value":"Хранить при температуре не выше 25 °С.\u003Cbr\u003EХранить в недоступном для детей месте."},{"name":"Передозировка","value":"Ацетилсалициловая кислота\u003Cbr\u003EПри легких интоксикациях - головокружение, шум в ушах, глухота, повышенное потоотделение, тошнота, рвота, головная боль и спутанность сознания. Возникает при плазменной концентрации 150-300 мкг/мл.\u003Cbr\u003EЛечение - снижение дозы или отмена терапии. При концентрациях выше 300 мкг/мл возникает более тяжелая интоксикация, проявляющаяся гипервентиляцией, лихорадкой, беспокойством, кетоацидозом, респираторным алкалозом и метаболическим ацидозом. Угнетение центральной нервной системы может привести к коме, также могут возникнуть сердечно-сосудистый коллапс и дыхательная недостаточность.\u003Cbr\u003EНаибольший риск развития хронической интоксикации отмечается у детей и лиц пожилого возраста при приеме в течение нескольких суток более 100 мг/кг/сут.\u003Cbr\u003EЛечение\u003Cbr\u003EПри подозрении на поступление более 120 мг/кг салицилатов в течение последнего часа многократно вводят активированный уголь внутрь.\u003Cbr\u003EПри приеме более 120 мг/кг салицилатов следует определять их плазменную концентрацию, хотя спрогнозировать ее тяжесть лишь на основании этого показателя невозможно, необходимо также учитывать клинические и биохимические показатели.\u003Cbr\u003EЕсли плазменная концентрация превышает 500 мкг/мл (350 мкг/мл для детей младше 5 лет), внутривенное введение натрия гидрокарбоната эффективно удаляет салицилаты из плазмы. Если плазменная концентрация превышает 700 мкг/мл (более низкие концентрации у детей и пожилых) или при тяжелом метаболическом ацидозе, терапией выбора является гемодиализ или гемоперфузия.\u003Cbr\u003EПередозировка парацетамолом\u003Cbr\u003EПри передозировке возможна интоксикация, особенно у пожилых пациентов, детей, пациентов с заболеваниями печени (вызванных хроническим алкоголизмом), у пациентов с нарушениями питания, а также у пациентов, принимающих индукторы микросомальных ферментов печени, при которой могут развиться молниеносный гепатит, печеночная недостаточность, холестатический гепатит, цитолитический гепатит, в указанных выше случаях - иногда с летальным исходом.\u003Cbr\u003EКлиническая картина острой передозировки развивается в течение 24 ч после приема парацетамола.\u003Cbr\u003EСимптомы: желудочно-кишечные расстройства (тошнота, рвота, снижение аппетита, ощущение дискомфорта в брюшной полости и (или) абдоминальная боль), бледность кожных покровов. При одномоментном введении взрослым 7,5 г и более или детям более 140 мг/кг происходит цитолиз гепатоцитов с полным и необратимым некрозом печени, развитием печеночной недостаточности, метаболического ацидоза и энцефалопатии, которые могут привести к коме и летальному исходу. Через 12-48 ч после введения парацетамола отмечается повышение активности микросомальных ферментов печени, лактатдегидрогеназы, концентрации билирубина и снижение содержания протромбина. Клинические симптомы повреждения печени проявляются через 2 суток после передозировки препарата и достигают максимума на 4-6 день.\u003Cbr\u003EЛечение\u003Cbr\u003EНемедленная госпитализация.\u003Cbr\u003EОпределение количественного содержания парацетамола в плазме крови перед началом лечения в как можно более ранние сроки после передозировки; Введение донаторов SH-групп и предшественников синтеза глутатиона - метионина и ацетилцистеина - наиболее эффективно в первые 8 часов.\u003Cbr\u003EНеобходимость в проведении дополнительных терапевтических мероприятий (дальнейшее введение метионина, в/в введение ацетилцистеина) определяется в зависимости от концентрации парацетамола в крови, а также от времени, прошедшего после его введения.\u003Cbr\u003EСимптоматическое лечение.\u003Cbr\u003EЛабораторные исследования активности микросомальных ферментов печени следует проводить в начале лечения и затем - каждые 24 ч.\u003Cbr\u003EВ большинстве случаев активность микросомальных ферментов печени нормализуется в течение 1-2 недель. В очень тяжелых случаях может потребоваться пересадка печени.\u003Cbr\u003EКофеин\u003Cbr\u003EРаспространенными симптомами являются гастралгия, ажитация, делирий, тревога, нервозность, беспокойство, бессонница, психическое возбуждение, мышечные подергивания, спутанность сознания, судороги, обезвоживание, учащенное мочеиспускание, гипертермия, головная боль, повышенная тактильная или болевая чувствительность, тошнота и рвота (иногда с кровью), шум в ушах. При выраженной передозировке может возникать гипергликемия. Кардиологические нарушения проявляются тахикардией и аритмией.\u003Cbr\u003EЛечение - снижение дозы или отмена кофеина.\u003Cbr\u003E"},{"name":"Применение при беременности и кормлении грудью","value":"Несмотря на то, что ацетилсалициловую кислоту можно применять в II триместре беременности, безопасность данной комбинации у беременных и кормящих грудью не изучалась, поэтому препарат Цитрамон-ЭкстраКап противопоказан у беременных (во всех триместрах).\u003Cbr\u003EПериод грудного вскармливания\u003Cbr\u003EБезопасность данной комбинации у кормящих грудью не изучалась, поэтому препарат Цитрамон-ЭкстраКап противопоказан при кормлении грудью. При необходимости применения в период кормления грудью следует решать вопрос о прекращении грудного вскармливания."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Во время применения препарата следует воздержаться от управления транспортными средствами и работы с другими механизмами, т.к. кофеин, входящий в состав препарата, может вызывать нарушения концентрации внимания и скорости реакций, а ацетилсалициловая кислота, также входящая в состав препарата, может в редких случаях вызвать головокружение."},{"name":"Особые указания","value":"Общие\u003Cbr\u003EЭтот лекарственный препарат не следует одновременно принимать с лекарственными препаратами, содержащими АСК или парацетамол.\u003Cbr\u003EПодобно другим средствам для лечения мигрени, до начала лечения предполагаемой мигрени у пациентов, которым ранее не выставлялся диагноз мигрень, или тем пациентам, у которых мигрень проявляется нетипичными симптомами, следует соблюдать осторожность, чтобы исключить другие потенциально серьезные неврологические расстройства.\u003Cbr\u003EЕсли у пациентов в ходе \u003E20% приступов мигрени возникает рвота или в \u003E50% приступов им требуется постельный режим, препарат применять не следует.\u003Cbr\u003EЕсли мигрень после приема первых двух таблеток препарата не купируется, необходимо обратиться за медицинской помощью.\u003Cbr\u003EПрепарат не следует применять, если в течение, по меньшей мере, последних трех месяцев у пациента возникало более 10 приступов головной боли в месяц. В этом случае следует заподозрить головную боль вследствие избыточного применения лекарств и отменить лечение. Кроме того, пациентам следует обратиться за медицинской помощью. Следует соблюдать осторожность у пациентов с факторами риска дегидратации, например, с рвотой, диарей или до или после крупной операции.\u003Cbr\u003EВ силу своих фармакодинамических свойств препарат может маскировать признаки и симптомы инфекции.\u003Cbr\u003EВследствие содержания в препарате ацетилсалициловой кислоты\u003Cbr\u003EПрепарат следует с осторожностью применять у пациентов с подагрой, нарушением функции почек или печени, дегидратацией, неконтролируемой артериальной гипертензией, дефицитом глюкозо-6-фосфатдегидрогензы и сахарным диабетом.\u003Cbr\u003EВ силу ингибирования АСК агрегации тромбоцитов препарат может приводить к удлинению времени кровотечения в ходе и после хирургических вмешательств (в том числе небольших, например, экстракции зуба).\u003Cbr\u003EПрепарат не следует одновременно применять с антикоагулянтами и другими лекарственными препаратами, нарушающими свертывание крови, без контроля врача (см. раздел \"Взаимодействие с другими лекарственными средствами\"). За пациентами с нарушением свертывания крови следует установить тщательное наблюдение. Следует соблюдать осторожность при метро- или меноррагии.\u003Cbr\u003EЕсли у пациента на фоне приема препарата развивается кровотечение или изъязвление ЖКТ, необходимо немедленно его отменить. В любой момент лечения любыми НПВП могут возникать потенциально летальные кровотечения, изъязвления и перфорации ЖКТ как с предвестниками и тяжелыми желудочно-кишечными осложнениями в анамнезе, так и без них. Эти осложнения, как правило, более тяжело проявляются у пожилых пациентов. Алкоголь, глюкокортикостероиды и НПВП могут повышать риск желудочно-кишечных кровотечений (см. раздел \"Взаимодействие с другими лекарственными средствами\").\u003Cbr\u003EПрепарат может способствовать развитию бронхоспазма и возникновению обострения бронхиальной астмы (в т.ч. бронхиальная астма, обусловленная непереносимостью анальгетиков) или других реакций гиперчувствительности. К факторам риска относятся бронхиальная астма, сезонный аллергический ринит, полипоз носа, хроническая обструктивная болезнь легких, хронические инфекции дыхательных путей (особенно ассоциированные симптомами, характерными для аллергического ринита). Такие явления также могут возникать у пациентов с аллергическими реакциями (например, кожными, включая зуд и крапивницу) на другие вещества. У таких пациентов рекомендуется соблюдать особую осторожность.\u003Cbr\u003EДетям до 18 лет нельзя назначать лекарственные средства, содержащие ацетилсалициловую кислоту в качестве жаропонижающего, поскольку в случае вирусной инфекции они способны увеличить риск возникновения синдрома Рейе. Симптомами синдрома Рейе являются гиперпирексия, продолжительная рвота, метаболический ацидоз, нарушения со стороны нервной системы и психики, гепатомегалия и нарушения функции печени, острая энцефалопатия, нарушение дыхания, судороги, кома.\u003Cbr\u003EАСК может искажать результаты лабораторных анализов функции щитовидной железы вследствие ложноположительной низкой концентрации левотироксина (Т4) и трийодтиронина (Т3) (см. раздел \"Взаимодействие с другими лекарственными средствами\").\u003Cbr\u003EВследствие содержания в препарате парацетамола\u003Cbr\u003EСледует проявлять осторожность при назначении препарата пациентам с нарушением функции почек или печени или алкогольной зависимостью.\u003Cbr\u003EРиск отравления парацетамолом повышается у пациентов, принимающих другие потенциально гепатотоксичные лекарственные препараты или лекарственные препараты, индуцирующие микросомальные ферменты печени (например, рифампицин, изониазид, хлорамфеникол, снотворные и противосудорожные средства, включая фенобарбитал, фенитоин и карбамазепин). Пациенты с алкоголизмом в анамнезе входят в особую группу риска по поражению печени (см. раздел \"Взаимодействие с другими лекарственными средствами\").\u003Cbr\u003EПри применении препарата могут развиваться серьезные кожные реакции, такие как острый генерализованный экзантематозный пустулез, синдром Стивенса-Джонсона, токсический эпидермальный некролиз, которые могут приводить к летальному исходу. Пациенты должны быть информированы о признаках серьезных кожных реакций. Прием препарата должен быть прекращен при первых проявлениях кожных реакций или любых иных признаках гиперчувствительности.\u003Cbr\u003EВследствие содержания в препарате кофеина\u003Cbr\u003EПрепарат следует с осторожностью назначать пациентам с подагрой, гипертиреозом и аритмией.\u003Cbr\u003EПри применении препарата следует ограничить потребление продуктов, содержащих кофеин, поскольку избыточное поступление кофеина может привести к нервозности, раздражительности, бессоннице и, в некоторых случаях, учащению сердцебиения.\u003Cbr\u003EВлияние на лабораторные исследования\u003Cbr\u003EВысокие дозы АСК могут искажать результаты ряда клинико-биохимических лабораторных исследований.\u003Cbr\u003EПрименение парацетамола может повлиять на результаты определения мочевой кислоты по методу фосфорновольфрамовой кислоты и гликемии глюкозооксидазным/пероксидазным методом.\u003Cbr\u003EКофеин может обращать эффекты дипиридамола на кровоток в миокарде, искажая, таким образом, результаты этого исследования. При проведении исследования необходимо в течение 8-12 ч воздержаться от приема кофеина.\u003Cbr\u003EС осторожностью:\u003Cbr\u003EПодагра, гиперурикемия, язвенная болезнь желудка и 12-перстной кишки, хроническая обструктивная болезнь легких, сенная лихорадка, полипоз носа, лекарственная аллергия, одновременный прием метотрексата в дозе менее 15 мг/нед, сопутствующая терапия антикоагулянтами нестероидными противовоспалительными препаратами, глюкокортикостероидами, антиагрегантами, селективными ингибиторами обратного захвата серотонина.\u003Cbr\u003EПочечная недостаточность легкой и средней степени, печеночная недостаточность легкой и средней степени с повышением уровня трансаминаз, доброкачественные гипербилирубинемии (в т.ч. синдром Жильбера, алкогольное поражение печени), алкоголизм, эпилепсия и склонность к судорожным припадкам, пожилой возраст, подагра, артериальная гипертензия, хроническая сердечная недостаточность I-II функционального класса по NYHA, ишемическая болезнь сердца, цереброваскулярные заболевания, заболевания периферических артерий, курение.\u003Cbr\u003EЕсли у Вас одно из перечисленных заболеваний/состояний, перед приемом препарата обязательно проконсультируйтесь с врачом."},{"name":"Взаимодействие","value":"Ацетилсалициловая кислота Усиливает действие гепарина, пероральных антикоагулянтов, резерпина, стероидных гормонов, гипогликемических средств. Одновременное применение с метотрексатом и нестероидными противовоспалительными препаратами увеличивает риск развития побочных эффектов. Одновременное применение уменьшает эффективность: спиронолактона, фуросемида, гипотензивных лекарственных средств, противоподагрических средств, способствующих выведению мочевой кислоты. Парацетамол Одновременное применение с барбитуратами, рифампицином, салициламидом, противоэпилептическими лекарственными средствами, другими стимуляторами микросомального окисления способствуют образованию токсичных метаболитов парацетамола, влияющих на функцию печени. Одновременный прием с этанолом повышает риск развития гепатотоксических эффектов. При совместном применении с метоклопрамидом, последний ускоряет всасывание парацетамола. Под воздействием парацетамола период полувыведения хлорамфеникола увеличивается в 5 раз. При повторном приеме парацетамол может усилить действие антикоагулянтов (производных кумарина). Кофеин Ускоряет всасывание эрготамина."},{"name":"Регистрационный номер","value":"ЛП-004126"},{"name":"Дата государственной регистрации","value":"21.12.2017"},{"name":"Владелец регистрационного удостоверения","value":"Фармстандарт-Лексредства","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-nervnoi-sistemy","categoryId":"15756525","navnodeId":"72478","glfilters":["34324371:35649313","7893318:16227855"]}}},{"name":"Изготовитель","value":"Фармстандарт-Лексредства"},{"name":"Фасовщик","value":"Фармстандарт-Лексредства"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Цитрамон","transition":{"type":"catalog","params":{"categorySlug":"sredstva-dlia-nervnoi-sistemy","categoryId":"15756525","navnodeId":"72478","glfilters":["17796364:18043900"]}}},{"name":"Срок годности","value":"25 мес."}]}},"fullSpecsGrouped":{"5364626190050505498":{"groups":[{"name":"Общие характеристики","items":[{"name":"Тип препарата","value":"лекарственный препарат"},{"name":"Органы и системы","value":"нервная система, опорно-двигательная система"},{"name":"Назначение","value":"альгодисменорея, артралгия, головная боль, зубная боль, лихорадочные состояния, миалгия, мигрень, невралгия"},{"name":"Показания к применению","value":"Болевой синдром слабой и умеренной выраженности (различного генеза): головная боль, мигрень, зубная боль, невралгия, миалгия, артралгия, альгодисменорея.\u003Cbr\u003EЛихорадочный синдром: при острых респираторных заболеваниях, гриппе."},{"name":"Противопоказания","value":"- Язвенная болезнь желудка и двенадцатиперстной кишки в фазе обострения;\u003Cbr\u003E- Желудочно-кишечное кровотечение или перфорация, пептическая язва в анамнезе;\u003Cbr\u003E- Тяжелая почечная или печеночная недостаточность;\u003Cbr\u003E- Геморрагические диатезы, гипокоагуляция (в том числе гемофилия, гипопротромбинемия);\u003Cbr\u003E- Хирургические вмешательства, сопровождающиеся обильным кровотечением;\u003Cbr\u003E- Беременность, период грудного вскармливания;\u003Cbr\u003E- Дефицит глюкозо-6-фосфатдегидрогеназы;\u003Cbr\u003E- Глаукома;\u003Cbr\u003E- Гиперчувствительность к компонентам препарата;\u003Cbr\u003E- Полное и неполное сочетание бронхиальной астмы, рецидивирующего полипоза носа и околоносовых пазух и непереносимости АСК или других нестероидных противовоспалительных препаратов (в том числе в анамнезе);\u003Cbr\u003E- Детский возраст до 15 лет в качестве обезболивающего средства, при лихорадочном синдроме - до 18 лет;\u003Cbr\u003E- Повышенная возбудимость, нарушения сна;\u003Cbr\u003E- Органические заболевания сердечно-сосудистой системы (в т.ч. острый инфаркт миокарда, атеросклероз);\u003Cbr\u003E- Выраженная артериальная гипертензия;\u003Cbr\u003E- Портальная гипертензия;\u003Cbr\u003E- Хроническая сердечная недостаточность III-IV функционального класса по NYHA;\u003Cbr\u003E- Одновременный прием метотрексата более 15 мг в неделю;\u003Cbr\u003E- Авитаминоз К;\u003Cbr\u003E- Гипопротеинемия."},{"name":"Состав","value":"На одну капсулу:\u003Cbr\u003EДействующие вещества: ацетилсалициловая кислота - 240,0 мг, парацетамол - 180,0 мг, кофеин - 27,45 мг;\u003Cbr\u003Eвспомогательные вещества: лимонная кислота (лимонной кислоты моногидрат) - 5,00 мг, крахмал картофельный - 20,95 мг, тальк - 10,00 мг, повидон низкомолекулярный (поливинилпирролидон низкомолекулярный медицинский 12600±2700 или К-17) - 3,00 мг, кальция стеарат - 1,00 мг, кремния диоксид коллоидный (аэросил) - 2,60 мг. Капсулы твердые желатиновые №00.\u003Cbr\u003EСостав оболочки капсулы (корпус и крышечка): титана диоксид (Е 171) - 2,6666%, хинолиновый желтый (Е 104) - 1,8394%, краситель солнечный закат желтый (Е 110) - 0,0088%, желатин - до 100%."},{"name":"Действующее вещество","value":"Ацетилсалициловая кислота+Кофеин+Парацетамол"},{"name":"Способ применения и дозы","value":"Препарат не следует принимать более 5 дней в качестве анальгезирующего лекарственного средства и более 3 дней - жаропонижающего (без назначения и наблюдения врача).\u003Cbr\u003EВнутрь (во время или после еды, запивая достаточным количеством воды при приеме каждой дозы).\u003Cbr\u003EПри головной боли рекомендуемая доза 1 -2 капсулы, в случае сильной головной боли следующий прием через 4-6 ч.\u003Cbr\u003EПри мигрени рекомендуемая доза 2 капсулы при появлении симптомов, при необходимости повторный прием через 4-6 ч. Для лечения головной боли и мигрени препарат применяют не более 4 дней.\u003Cbr\u003EПри болевом синдроме - 1-2 капсулы; средняя суточная доза - 3-4 капсулы, максимальная суточная доза - 8 капсул.\u003Cbr\u003EКурс лечения - не более 3-5 дней.\u003Cbr\u003EПожилые (старше 65 лет)\u003Cbr\u003EУ пожилых пациентов, особенно при низкой массе тела, следует соблюдать осторожность.\u003Cbr\u003EПациенты с печеночной и почечной недостаточностью\u003Cbr\u003EВлияние нарушения функции печени или почек на фармакокинетику препарата не изучалось. Учитывая механизм действия ацетилсалициловой кислоты и парацетамола, их применение может усугубить почечную и печеночную недостаточность. В связи с этим препарат противопоказан у пациентов с тяжелой печеночной или почечной недостаточностью (см. раздел \"Противопоказания\"), а при печеночной и почечной недостаточности легкой и средней степени его следует применять с осторожностью (см. раздел \"С осторожностью\")."},{"name":"Побочные действия","value":"Гастралгия, тошнота, рвота, гепатотоксичность, нефротоксичность, эрозивно-язвенные поражения ЖКТ, аллергические реакции (в т.ч. синдром Стивенса-Джонсона, Лайелла), тахикардия, повышение АД, бронхоспазм. При длительном применении - головокружение, головная боль, нарушения зрения, шум в ушах, снижение агрегации тромбоцитов, гипокоагуляция, геморрагический синдром (носовое кровотечение, кровоточивость десен, пурпура и др.), поражение почек с папиллярным некрозом; глухота; синдром Рейе у детей (гиперпирексия, метаболический ацидоз, нарушения со стороны нервной системы и психики, рвота, нарушения функции печени)."},{"name":"Фармакологическое действие","value":"Комбинированный препарат.\u003Cbr\u003EАцетилсалициловая кислота (АСК) обладает жаропонижающим и противовоспалительным действием, ослабляет боль, особенно вызванную воспалительным процессом, а также угнетает тромбообразование, улучшает микроциркуляцию в очаге воспаления.\u003Cbr\u003EКофеин повышает рефлекторную возбудимость спинного мозга, возбуждает дыхательный и сосудодвигательный центры, расширяет кровеносные сосуды скелетных мышц, головного мозга, сердца, почек, снижает агрегацию тромбоцитов; уменьшает сонливость, чувство усталости, повышает умственную и физическую работоспособность. В данной комбинации кофеин в малой дозе практически не оказывает стимулирующего действия на центральную нервную систему, повышает тонус сосудов головного мозга и способствует ускорению кровотока.\u003Cbr\u003EПарацетамол обладает анальгезирующим, жаропонижающим и слабым противовоспалительным действием, что связано с его влиянием на центр терморегуляции в гипоталамусе и слабовыраженной способностью ингибировать синтез простагландинов в периферических тканях."},{"name":"Фармакологическая группа","value":"анальгезирующее средство комбинированное (НПВП+анальгезирующее ненаркотическое средство+психостимулирующее средство)"},{"name":"Форма выпуска","value":"капсулы"},{"name":"Способ применения/введения","value":"пероральный"}]},{"name":"Дополнительно","items":[{"name":"Условия хранения","value":"Хранить при температуре не выше 25 °С.\u003Cbr\u003EХранить в недоступном для детей месте."},{"name":"Передозировка","value":"Ацетилсалициловая кислота\u003Cbr\u003EПри легких интоксикациях - головокружение, шум в ушах, глухота, повышенное потоотделение, тошнота, рвота, головная боль и спутанность сознания. Возникает при плазменной концентрации 150-300 мкг/мл.\u003Cbr\u003EЛечение - снижение дозы или отмена терапии. При концентрациях выше 300 мкг/мл возникает более тяжелая интоксикация, проявляющаяся гипервентиляцией, лихорадкой, беспокойством, кетоацидозом, респираторным алкалозом и метаболическим ацидозом. Угнетение центральной нервной системы может привести к коме, также могут возникнуть сердечно-сосудистый коллапс и дыхательная недостаточность.\u003Cbr\u003EНаибольший риск развития хронической интоксикации отмечается у детей и лиц пожилого возраста при приеме в течение нескольких суток более 100 мг/кг/сут.\u003Cbr\u003EЛечение\u003Cbr\u003EПри подозрении на поступление более 120 мг/кг салицилатов в течение последнего часа многократно вводят активированный уголь внутрь.\u003Cbr\u003EПри приеме более 120 мг/кг салицилатов следует определять их плазменную концентрацию, хотя спрогнозировать ее тяжесть лишь на основании этого показателя невозможно, необходимо также учитывать клинические и биохимические показатели.\u003Cbr\u003EЕсли плазменная концентрация превышает 500 мкг/мл (350 мкг/мл для детей младше 5 лет), внутривенное введение натрия гидрокарбоната эффективно удаляет салицилаты из плазмы. Если плазменная концентрация превышает 700 мкг/мл (более низкие концентрации у детей и пожилых) или при тяжелом метаболическом ацидозе, терапией выбора является гемодиализ или гемоперфузия.\u003Cbr\u003EПередозировка парацетамолом\u003Cbr\u003EПри передозировке возможна интоксикация, особенно у пожилых пациентов, детей, пациентов с заболеваниями печени (вызванных хроническим алкоголизмом), у пациентов с нарушениями питания, а также у пациентов, принимающих индукторы микросомальных ферментов печени, при которой могут развиться молниеносный гепатит, печеночная недостаточность, холестатический гепатит, цитолитический гепатит, в указанных выше случаях - иногда с летальным исходом.\u003Cbr\u003EКлиническая картина острой передозировки развивается в течение 24 ч после приема парацетамола.\u003Cbr\u003EСимптомы: желудочно-кишечные расстройства (тошнота, рвота, снижение аппетита, ощущение дискомфорта в брюшной полости и (или) абдоминальная боль), бледность кожных покровов. При одномоментном введении взрослым 7,5 г и более или детям более 140 мг/кг происходит цитолиз гепатоцитов с полным и необратимым некрозом печени, развитием печеночной недостаточности, метаболического ацидоза и энцефалопатии, которые могут привести к коме и летальному исходу. Через 12-48 ч после введения парацетамола отмечается повышение активности микросомальных ферментов печени, лактатдегидрогеназы, концентрации билирубина и снижение содержания протромбина. Клинические симптомы повреждения печени проявляются через 2 суток после передозировки препарата и достигают максимума на 4-6 день.\u003Cbr\u003EЛечение\u003Cbr\u003EНемедленная госпитализация.\u003Cbr\u003EОпределение количественного содержания парацетамола в плазме крови перед началом лечения в как можно более ранние сроки после передозировки; Введение донаторов SH-групп и предшественников синтеза глутатиона - метионина и ацетилцистеина - наиболее эффективно в первые 8 часов.\u003Cbr\u003EНеобходимость в проведении дополнительных терапевтических мероприятий (дальнейшее введение метионина, в/в введение ацетилцистеина) определяется в зависимости от концентрации парацетамола в крови, а также от времени, прошедшего после его введения.\u003Cbr\u003EСимптоматическое лечение.\u003Cbr\u003EЛабораторные исследования активности микросомальных ферментов печени следует проводить в начале лечения и затем - каждые 24 ч.\u003Cbr\u003EВ большинстве случаев активность микросомальных ферментов печени нормализуется в течение 1-2 недель. В очень тяжелых случаях может потребоваться пересадка печени.\u003Cbr\u003EКофеин\u003Cbr\u003EРаспространенными симптомами являются гастралгия, ажитация, делирий, тревога, нервозность, беспокойство, бессонница, психическое возбуждение, мышечные подергивания, спутанность сознания, судороги, обезвоживание, учащенное мочеиспускание, гипертермия, головная боль, повышенная тактильная или болевая чувствительность, тошнота и рвота (иногда с кровью), шум в ушах. При выраженной передозировке может возникать гипергликемия. Кардиологические нарушения проявляются тахикардией и аритмией.\u003Cbr\u003EЛечение - снижение дозы или отмена кофеина.\u003Cbr\u003E"},{"name":"Применение при беременности и кормлении грудью","value":"Несмотря на то, что ацетилсалициловую кислоту можно применять в II триместре беременности, безопасность данной комбинации у беременных и кормящих грудью не изучалась, поэтому препарат Цитрамон-ЭкстраКап противопоказан у беременных (во всех триместрах).\u003Cbr\u003EПериод грудного вскармливания\u003Cbr\u003EБезопасность данной комбинации у кормящих грудью не изучалась, поэтому препарат Цитрамон-ЭкстраКап противопоказан при кормлении грудью. При необходимости применения в период кормления грудью следует решать вопрос о прекращении грудного вскармливания."},{"name":"Влияние на способность управлять транспортом и механизмами","value":"Во время применения препарата следует воздержаться от управления транспортными средствами и работы с другими механизмами, т.к. кофеин, входящий в состав препарата, может вызывать нарушения концентрации внимания и скорости реакций, а ацетилсалициловая кислота, также входящая в состав препарата, может в редких случаях вызвать головокружение."},{"name":"Особые указания","value":"Общие\u003Cbr\u003EЭтот лекарственный препарат не следует одновременно принимать с лекарственными препаратами, содержащими АСК или парацетамол.\u003Cbr\u003EПодобно другим средствам для лечения мигрени, до начала лечения предполагаемой мигрени у пациентов, которым ранее не выставлялся диагноз мигрень, или тем пациентам, у которых мигрень проявляется нетипичными симптомами, следует соблюдать осторожность, чтобы исключить другие потенциально серьезные неврологические расстройства.\u003Cbr\u003EЕсли у пациентов в ходе \u003E20% приступов мигрени возникает рвота или в \u003E50% приступов им требуется постельный режим, препарат применять не следует.\u003Cbr\u003EЕсли мигрень после приема первых двух таблеток препарата не купируется, необходимо обратиться за медицинской помощью.\u003Cbr\u003EПрепарат не следует применять, если в течение, по меньшей мере, последних трех месяцев у пациента возникало более 10 приступов головной боли в месяц. В этом случае следует заподозрить головную боль вследствие избыточного применения лекарств и отменить лечение. Кроме того, пациентам следует обратиться за медицинской помощью. Следует соблюдать осторожность у пациентов с факторами риска дегидратации, например, с рвотой, диарей или до или после крупной операции.\u003Cbr\u003EВ силу своих фармакодинамических свойств препарат может маскировать признаки и симптомы инфекции.\u003Cbr\u003EВследствие содержания в препарате ацетилсалициловой кислоты\u003Cbr\u003EПрепарат следует с осторожностью применять у пациентов с подагрой, нарушением функции почек или печени, дегидратацией, неконтролируемой артериальной гипертензией, дефицитом глюкозо-6-фосфатдегидрогензы и сахарным диабетом.\u003Cbr\u003EВ силу ингибирования АСК агрегации тромбоцитов препарат может приводить к удлинению времени кровотечения в ходе и после хирургических вмешательств (в том числе небольших, например, экстракции зуба).\u003Cbr\u003EПрепарат не следует одновременно применять с антикоагулянтами и другими лекарственными препаратами, нарушающими свертывание крови, без контроля врача (см. раздел \"Взаимодействие с другими лекарственными средствами\"). За пациентами с нарушением свертывания крови следует установить тщательное наблюдение. Следует соблюдать осторожность при метро- или меноррагии.\u003Cbr\u003EЕсли у пациента на фоне приема препарата развивается кровотечение или изъязвление ЖКТ, необходимо немедленно его отменить. В любой момент лечения любыми НПВП могут возникать потенциально летальные кровотечения, изъязвления и перфорации ЖКТ как с предвестниками и тяжелыми желудочно-кишечными осложнениями в анамнезе, так и без них. Эти осложнения, как правило, более тяжело проявляются у пожилых пациентов. Алкоголь, глюкокортикостероиды и НПВП могут повышать риск желудочно-кишечных кровотечений (см. раздел \"Взаимодействие с другими лекарственными средствами\").\u003Cbr\u003EПрепарат может способствовать развитию бронхоспазма и возникновению обострения бронхиальной астмы (в т.ч. бронхиальная астма, обусловленная непереносимостью анальгетиков) или других реакций гиперчувствительности. К факторам риска относятся бронхиальная астма, сезонный аллергический ринит, полипоз носа, хроническая обструктивная болезнь легких, хронические инфекции дыхательных путей (особенно ассоциированные симптомами, характерными для аллергического ринита). Такие явления также могут возникать у пациентов с аллергическими реакциями (например, кожными, включая зуд и крапивницу) на другие вещества. У таких пациентов рекомендуется соблюдать особую осторожность.\u003Cbr\u003EДетям до 18 лет нельзя назначать лекарственные средства, содержащие ацетилсалициловую кислоту в качестве жаропонижающего, поскольку в случае вирусной инфекции они способны увеличить риск возникновения синдрома Рейе. Симптомами синдрома Рейе являются гиперпирексия, продолжительная рвота, метаболический ацидоз, нарушения со стороны нервной системы и психики, гепатомегалия и нарушения функции печени, острая энцефалопатия, нарушение дыхания, судороги, кома.\u003Cbr\u003EАСК может искажать результаты лабораторных анализов функции щитовидной железы вследствие ложноположительной низкой концентрации левотироксина (Т4) и трийодтиронина (Т3) (см. раздел \"Взаимодействие с другими лекарственными средствами\").\u003Cbr\u003EВследствие содержания в препарате парацетамола\u003Cbr\u003EСледует проявлять осторожность при назначении препарата пациентам с нарушением функции почек или печени или алкогольной зависимостью.\u003Cbr\u003EРиск отравления парацетамолом повышается у пациентов, принимающих другие потенциально гепатотоксичные лекарственные препараты или лекарственные препараты, индуцирующие микросомальные ферменты печени (например, рифампицин, изониазид, хлорамфеникол, снотворные и противосудорожные средства, включая фенобарбитал, фенитоин и карбамазепин). Пациенты с алкоголизмом в анамнезе входят в особую группу риска по поражению печени (см. раздел \"Взаимодействие с другими лекарственными средствами\").\u003Cbr\u003EПри применении препарата могут развиваться серьезные кожные реакции, такие как острый генерализованный экзантематозный пустулез, синдром Стивенса-Джонсона, токсический эпидермальный некролиз, которые могут приводить к летальному исходу. Пациенты должны быть информированы о признаках серьезных кожных реакций. Прием препарата должен быть прекращен при первых проявлениях кожных реакций или любых иных признаках гиперчувствительности.\u003Cbr\u003EВследствие содержания в препарате кофеина\u003Cbr\u003EПрепарат следует с осторожностью назначать пациентам с подагрой, гипертиреозом и аритмией.\u003Cbr\u003EПри применении препарата следует ограничить потребление продуктов, содержащих кофеин, поскольку избыточное поступление кофеина может привести к нервозности, раздражительности, бессоннице и, в некоторых случаях, учащению сердцебиения.\u003Cbr\u003EВлияние на лабораторные исследования\u003Cbr\u003EВысокие дозы АСК могут искажать результаты ряда клинико-биохимических лабораторных исследований.\u003Cbr\u003EПрименение парацетамола может повлиять на результаты определения мочевой кислоты по методу фосфорновольфрамовой кислоты и гликемии глюкозооксидазным/пероксидазным методом.\u003Cbr\u003EКофеин может обращать эффекты дипиридамола на кровоток в миокарде, искажая, таким образом, результаты этого исследования. При проведении исследования необходимо в течение 8-12 ч воздержаться от приема кофеина.\u003Cbr\u003EС осторожностью:\u003Cbr\u003EПодагра, гиперурикемия, язвенная болезнь желудка и 12-перстной кишки, хроническая обструктивная болезнь легких, сенная лихорадка, полипоз носа, лекарственная аллергия, одновременный прием метотрексата в дозе менее 15 мг/нед, сопутствующая терапия антикоагулянтами нестероидными противовоспалительными препаратами, глюкокортикостероидами, антиагрегантами, селективными ингибиторами обратного захвата серотонина.\u003Cbr\u003EПочечная недостаточность легкой и средней степени, печеночная недостаточность легкой и средней степени с повышением уровня трансаминаз, доброкачественные гипербилирубинемии (в т.ч. синдром Жильбера, алкогольное поражение печени), алкоголизм, эпилепсия и склонность к судорожным припадкам, пожилой возраст, подагра, артериальная гипертензия, хроническая сердечная недостаточность I-II функционального класса по NYHA, ишемическая болезнь сердца, цереброваскулярные заболевания, заболевания периферических артерий, курение.\u003Cbr\u003EЕсли у Вас одно из перечисленных заболеваний/состояний, перед приемом препарата обязательно проконсультируйтесь с врачом."},{"name":"Взаимодействие","value":"Ацетилсалициловая кислота Усиливает действие гепарина, пероральных антикоагулянтов, резерпина, стероидных гормонов, гипогликемических средств. Одновременное применение с метотрексатом и нестероидными противовоспалительными препаратами увеличивает риск развития побочных эффектов. Одновременное применение уменьшает эффективность: спиронолактона, фуросемида, гипотензивных лекарственных средств, противоподагрических средств, способствующих выведению мочевой кислоты. Парацетамол Одновременное применение с барбитуратами, рифампицином, салициламидом, противоэпилептическими лекарственными средствами, другими стимуляторами микросомального окисления способствуют образованию токсичных метаболитов парацетамола, влияющих на функцию печени. Одновременный прием с этанолом повышает риск развития гепатотоксических эффектов. При совместном применении с метоклопрамидом, последний ускоряет всасывание парацетамола. Под воздействием парацетамола период полувыведения хлорамфеникола увеличивается в 5 раз. При повторном приеме парацетамол может усилить действие антикоагулянтов (производных кумарина). Кофеин Ускоряет всасывание эрготамина."},{"name":"Регистрационный номер","value":"ЛП-004126"},{"name":"Дата государственной регистрации","value":"21.12.2017"},{"name":"Владелец регистрационного удостоверения","value":"Фармстандарт-Лексредства"},{"name":"Изготовитель","value":"Фармстандарт-Лексредства"},{"name":"Фасовщик","value":"Фармстандарт-Лексредства"},{"name":"Страна бренда","value":"Россия"},{"name":"Страна-производитель","value":"Россия"},{"name":"Название препарата","value":"Цитрамон"},{"name":"Срок годности","value":"25 мес."}]}],"transitionId":"tr_5999270238461127352"}}}}
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Цена с картой Яндекс Пэй:253 ₽/шт

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Вместо: 259 ₽/шт
  • 19 июня, курьер Маркета • 249 ₽
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  • 5-HTP капс., 50 мг, 0.44 г, 30 шт., 1 уп.
    –55 %
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    5-HTP капс., 50 мг, 0.44 г, 30 шт., 1 уп.

    Рейтинг товара: 4.7 из 5
    на основе 88 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 689 ₽ вместо 710
    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  • GLS Триптофан капс., 500 мг, 0.25 г, 90 шт.
    –10 %
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    GLS Триптофан капс., 500 мг, 0.25 г, 90 шт.

    Рейтинг товара: 4.8 из 5
    на основе 24 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 540 ₽ вместо 550
    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Триптофан капс., 500 мг, 0.25 г, 90 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  • Формула Спокойствия Триптофан капс., 15 шт.
    –1 %
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    Формула Спокойствия Триптофан капс., 15 шт.

    Рейтинг товара: 4.6 из 5
    на основе 29 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 452 ₽ вместо 457
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  • Natrol Melatonin таб., 3 мг, 100 г, 60 шт.
    –28 %
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    Natrol Melatonin таб., 3 мг, 100 г, 60 шт.

    Рейтинг товара: 5 из 5
    на основе 1 оценка
    С картой  Пэй
    Цена с картой Яндекс Пэй 1 558 ₽ вместо 1 590
    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Melatonin таб., 3 мг, 100 г, 60 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  • Гинкго Билоба Эвалар таб., 0.5 г, 40 шт., 1 уп.
    –1 %
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    Гинкго Билоба Эвалар таб., 0.5 г, 40 шт., 1 уп.

    Рейтинг товара: 4.6 из 5
    на основе 7 оценок
    С картой  Пэй
    Цена с картой Яндекс Пэй 428 ₽ вместо 432
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  • Церебрамин таб., 40 шт., 1 уп.
    –1 %
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    Церебрамин таб., 40 шт., 1 уп.

    Рейтинг товара: 4.7 из 5
    на основе 31 оценка
    С картой  Пэй
    Цена с картой Яндекс Пэй 674 ₽ вместо 681
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  • Когнивия фосфатидилсерин капс., 60 шт., 1 уп.
    –21 %
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    Когнивия фосфатидилсерин капс., 60 шт., 1 уп.

    Рейтинг товара: 4.7 из 5
    на основе 173 оценки
    С картой  Пэй
    Цена с картой Яндекс Пэй 2 820 ₽ вместо 2 848
    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фосфатидилсерин капс., 60 шт., 1 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  • Реасон Мелатонин капс., 2 мг, 60 шт., 1 уп.
    –1 %
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    Реасон Мелатонин капс., 2 мг, 60 шт., 1 уп.

    Рейтинг товара: 5 из 5
    на основе 1 оценка
    С картой  Пэй
    Цена с картой Яндекс Пэй 772 ₽ вместо 780
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Инструкция

Показания к применению

Болевой синдром слабой и умеренной выраженности (различного генеза): головная боль, мигрень, зубная боль, невралгия, миалгия, артралгия, альгодисменорея.
Лихорадочный синдром: при острых респираторных заболеваниях, гриппе.

Противопоказания

- Язвенная болезнь желудка и двенадцатиперстной кишки в фазе обострения;
- Желудочно-кишечное кровотечение или перфорация, пептическая язва в анамнезе;
- Тяжелая почечная или печеночная недостаточность;
- Геморрагические диатезы, гипокоагуляция (в том числе гемофилия, гипопротромбинемия);
- Хирургические вмешательства, сопровождающиеся обильным кровотечением;
- Беременность, период грудного вскармливания;
- Дефицит глюкозо-6-фосфатдегидрогеназы;
- Глаукома;
- Гиперчувствительность к компонентам препарата;
- Полное и неполное сочетание бронхиальной астмы, рецидивирующего полипоза носа и околоносовых пазух и непереносимости АСК или других нестероидных противовоспалительных препаратов (в том числе в анамнезе);
- Детский возраст до 15 лет в качестве обезболивающего средства, при лихорадочном синдроме - до 18 лет;
- Повышенная возбудимость, нарушения сна;
- Органические заболевания сердечно-сосудистой системы (в т.ч. острый инфаркт миокарда, атеросклероз);
- Выраженная артериальная гипертензия;
- Портальная гипертензия;
- Хроническая сердечная недостаточность III-IV функционального класса по NYHA;
- Одновременный прием метотрексата более 15 мг в неделю;
- Авитаминоз К;
- Гипопротеинемия.

Способ применения и дозы

Препарат не следует принимать более 5 дней в качестве анальгезирующего лекарственного средства и более 3 дней - жаропонижающего (без назначения и наблюдения врача).
Внутрь (во время или после еды, запивая достаточным количеством воды при приеме каждой дозы).
При головной боли рекомендуемая доза 1 -2 капсулы, в случае сильной головной боли следующий прием через 4-6 ч.
При мигрени рекомендуемая доза 2 капсулы при появлении симптомов, при необходимости повторный прием через 4-6 ч. Для лечения головной боли и мигрени препарат применяют не более 4 дней.
При болевом синдроме - 1-2 капсулы; средняя суточная доза - 3-4 капсулы, максимальная суточная доза - 8 капсул.
Курс лечения - не более 3-5 дней.
Пожилые (старше 65 лет)
У пожилых пациентов, особенно при низкой массе тела, следует соблюдать осторожность.
Пациенты с печеночной и почечной недостаточностью
Влияние нарушения функции печени или почек на фармакокинетику препарата не изучалось. Учитывая механизм действия ацетилсалициловой кислоты и парацетамола, их применение может усугубить почечную и печеночную недостаточность. В связи с этим препарат противопоказан у пациентов с тяжелой печеночной или почечной недостаточностью (см. раздел "Противопоказания"), а при печеночной и почечной недостаточности легкой и средней степени его следует применять с осторожностью (см. раздел "С осторожностью").
Полная инструкция
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Цитрамон-экстракап капс. (блистер в пачке)
Цитрамон-экстракап капс. (блистер в пачке), 10 шт.
У продавца: 
нет • На Маркете: 4.7
(39)
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1 вопрос
Инструкция

Цена с картой Яндекс Пэй:253 ₽/шт

Скидка: 2%
–2 %
Вместо: 259 ₽/шт
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  • Смекта пор. д/приг. сусп. д/вн. приема, 3 г, 20 шт., ваниль
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1400799466_3/content/content/gallery":{"title":"Смекта пор. д/приг. сусп. д/вн. приема, 3 г, 20 шт., ваниль","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/4904293/img_id8558252060248835480.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4904293/img_id8558252060248835480.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4904293/img_id8558252060248835480.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4904293/img_id8558252060248835480.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4904293/img_id8558252060248835480.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4904293/img_id8558252060248835480.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5307434/img_id8128836980838044751.png/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5307434/img_id8128836980838044751.png/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5307434/img_id8128836980838044751.png/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5307434/img_id8128836980838044751.png/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5307434/img_id8128836980838044751.png/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5307434/img_id8128836980838044751.png/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQhbidqdb2xqtLEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCOqB+psFENrzs4z7Ahj73dAHINrZwQc=","sign":"7FeL91+8YINGviMuWar1mls3N+0EYIjF2UHHM8MHnfA="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1400799466_3/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
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    Смекта пор. д/приг. сусп. д/вн. приема, 3 г, 20 шт., ваниль

    Цена 202 ₽ вместо 247
  • Формула Спокойствия Триптофан капс., 15 шт.
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    Формула Спокойствия Триптофан капс., 15 шт.

    Цена 452 ₽ вместо 457
  • 5-HTP капс., 50 мг, 0.44 г, 30 шт., 1 уп.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1774398206_5/content/content/gallery":{"title":"5-HTP капс., 50 мг, 0.44 г, 30 шт., 1 уп.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/7979270/img_id2925668237767584805.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/7979270/img_id2925668237767584805.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/7979270/img_id2925668237767584805.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/7979270/img_id2925668237767584805.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/7979270/img_id2925668237767584805.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/7979270/img_id2925668237767584805.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/7519991/img_id8431974542747931695.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/7519991/img_id8431974542747931695.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/7519991/img_id8431974542747931695.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/7519991/img_id8431974542747931695.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/7519991/img_id8431974542747931695.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/7519991/img_id8431974542747931695.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQhbidqdb2xqtLEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCP7VjM4GEI6HsbD7AhjxybYEIO3ZwQc=","sign":"hPaqO2QJDp+jc5xduW+e7Ejm6AG+gqejaxE9BpeYwJk="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1774398206_5/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1774398206_5/content/content/toggleWishlist":{"skuId":"101838504846","productId":1774398206,"offerId":"OqUca93cG3lIzI3av8SMsw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQhbidqdb2xqtLEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCP7VjM4GEI6HsbD7AhjxybYEIO3ZwQc=","sign":"hPaqO2QJDp+jc5xduW+e7Ejm6AG+gqejaxE9BpeYwJk="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1774398206_5/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    5-HTP капс., 50 мг, 0.44 г, 30 шт., 1 уп.

    Цена 689 ₽ вместо 1 546
  • Natrol Melatonin таб., 3 мг, 100 г, 60 шт.
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1467295415_6/content/content/toggleWishlist":{"skuId":"101488341730","productId":1467295415,"offerId":"WQKD1LRMa62ac5YWsxSEiw","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQhbidqdb2xqtLEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCLfN1LsFEOLltIn6AhjWruwRIO3ZwQc=","sign":"ExeFRFIXPu5rS6tQZ1ayCZBtaErGf/eKGei6VlmoDqg="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1467295415_6/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Natrol Melatonin таб., 3 мг, 100 г, 60 шт.

    Цена 1 558 ₽ вместо 2 150
  • Гинкго Билоба Эвалар таб., 0.5 г, 40 шт., 1 уп.
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217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/7464534/img_id6630636380081252403.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/7464534/img_id6630636380081252403.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/7464534/img_id6630636380081252403.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/7464534/img_id6630636380081252403.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/7464534/img_id6630636380081252403.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/7464534/img_id6630636380081252403.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/5289692/img_id8992956942179781360.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5289692/img_id8992956942179781360.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5289692/img_id8992956942179781360.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5289692/img_id8992956942179781360.jpeg/240x320 240w, 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    Гинкго Билоба Эвалар таб., 0.5 г, 40 шт., 1 уп.

    Цена 428 ₽ вместо 432
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    Реклама
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  • Церебрамин таб., 40 шт., 1 уп.
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    Церебрамин таб., 40 шт., 1 уп.

    Цена 674 ₽ вместо 681
  • Когнивия фосфатидилсерин капс., 60 шт., 1 уп.
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    Когнивия фосфатидилсерин капс., 60 шт., 1 уп.

    Цена 2 820 ₽ вместо 3 560
  • Ацетилсалициловая кислота таб., 500 мг, 20 шт.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663477_11/content/content/gallery":{"title":"Ацетилсалициловая кислота таб., 500 мг, 20 шт.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/4408567/img_id6425464911595609478.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4408567/img_id6425464911595609478.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4408567/img_id6425464911595609478.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4408567/img_id6425464911595609478.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4408567/img_id6425464911595609478.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4408567/img_id6425464911595609478.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/7726747/img_id5148537973380345550.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/7726747/img_id5148537973380345550.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/7726747/img_id5148537973380345550.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/7726747/img_id5148537973380345550.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/7726747/img_id5148537973380345550.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/7726747/img_id5148537973380345550.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQhbidqdb2xqtLEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCLW+sKYFELWQ3GwYj7zeByDt2cEH","sign":"gBgZ1YC96lE7WtPKkpE+Nx/a5cc6ki9irSWKYQXFD2s="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663477_11/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663477_11/content/content/toggleWishlist":{"skuId":"228001845","productId":1422663477,"offerId":"ELeYYiQwt3hl295tICl9QQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQhbidqdb2xqtLEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIVCLW+sKYFELWQ3GwYj7zeByDt2cEH","sign":"gBgZ1YC96lE7WtPKkpE+Nx/a5cc6ki9irSWKYQXFD2s="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1422663477_11/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Ацетилсалициловая кислота таб., 500 мг, 20 шт.

    Цена 40 ₽
  • Реасон Мелатонин капс., 2 мг, 60 шт., 1 уп.
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1823829062_12/content/content/toggleWishlist":{"skuId":"101967576139","productId":1823829062,"offerId":"3eS3wriM-RxhFnzr7m6jyQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQhbidqdb2xqtLEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCMbY1eUGEMv49u37AhjVu6EGIO3ZwQc=","sign":"+Q5yQLKqr4wC7UZYtAkXua2t2Ac3dIfp78HyoO+eHc4="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1823829062_12/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Реасон Мелатонин капс., 2 мг, 60 шт., 1 уп.

    Цена 772 ₽ вместо 780
  • Пенталгин таб. п/о плен., 18 г, 12 шт.
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    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1831677470_13/content/content/toggleWishlist":{"skuId":"101989998819","productId":1831677470,"offerId":"7kgQQq8aF_Vu7IWfGW1osQ","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQhbidqdb2xqtLEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCJ7ctOkGEOPBz/j7AhielIkRIOfcwQc=","sign":"N0Jy81Crc9npcvg+07fXafna2EHFiUdzuhMy38C/2IM="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:1831677470_13/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    Пенталгин таб. п/о плен., 18 г, 12 шт.

    Цена 138 ₽ вместо 172
  • БиоГая Пробиотик капли детск. фл., 5 мл, 1 уп.
    {"widgets":{"@marketfront/SnippetConstructor/Gallery":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:997279548_14/content/content/gallery":{"title":"БиоГая Пробиотик капли детск. фл., 5 мл, 1 уп.","images":[{"src":"https://avatars.mds.yandex.net/get-mpic/5131700/img_id5468924246027050142.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/5131700/img_id5468924246027050142.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/5131700/img_id5468924246027050142.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/5131700/img_id5468924246027050142.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/5131700/img_id5468924246027050142.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/5131700/img_id5468924246027050142.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"},{"src":"https://avatars.mds.yandex.net/get-mpic/4408567/img_id147222889702037708.jpeg/orig","srcSet":"https://avatars.mds.yandex.net/get-mpic/4408567/img_id147222889702037708.jpeg/120x160 120w, https://avatars.mds.yandex.net/get-mpic/4408567/img_id147222889702037708.jpeg/180x240 180w, https://avatars.mds.yandex.net/get-mpic/4408567/img_id147222889702037708.jpeg/240x320 240w, https://avatars.mds.yandex.net/get-mpic/4408567/img_id147222889702037708.jpeg/300x400 300w, https://avatars.mds.yandex.net/get-mpic/4408567/img_id147222889702037708.jpeg/600x800 600w","sizes":"(max-width: 1456px) 15vw, 217px"}],"firstImageLazyLoading":false,"baobabClientData":{"realTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQhbidqdb2xqtLEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCLyOxdsDEPTRh9H5Ahj03/kHINrZwQc=","sign":"S33EJO32w9I+d7iHKSKvnRGc6dTUec6ScGM+eqiUGzg="},"target":"model_card"},"isNoPicturePadding":true}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:997279548_14/content/content/gallery":{"name":"@marketfront/SnippetConstructor/Gallery"}}}
    {"widgets":{"@marketfront/SnippetConstructor/ToggleWishlist":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:997279548_14/content/content/toggleWishlist":{"skuId":"101370161396","productId":997279548,"offerId":"DNTgLfhb2SFZHNJpMz1ccg","size":24,"color":"#BDBDBC","wishlistLink":"/my/wishlist","baobabRealTimeEventPayload":{"version":"EPV_BRT_V1","payload":"CgoQhbidqdb2xqtLEhoKGHJlbWl4X2Rlc2t0b3BfbW9kZWxfY2FyZDIXCLyOxdsDEPTRh9H5Ahj03/kHINrZwQc=","sign":"S33EJO32w9I+d7iHKSKvnRGc6dTUec6ScGM+eqiUGzg="},"waitWishlistCollections":false,"place":{"page":"product","widget":"feed"}}}},"meta":{"/content/page/fancyPage/recommendationRoll/content/lazyGenerator/initialContent/recomLayoutItem_21#1:997279548_14/content/content/toggleWishlist":{"name":"@marketfront/SnippetConstructor/ToggleWishlist"}}}

    БиоГая Пробиотик капли детск. фл., 5 мл, 1 уп.

    Цена 1 752 ₽ вместо 3 500
  • Римантадин таб., 50 мг, 20 шт.
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    Римантадин таб., 50 мг, 20 шт.

    Цена 56 ₽ вместо 57
  • 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
  • Мезим Форте таб. п/о, 20 шт.
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    Мезим Форте таб. п/о, 20 шт.

    Цена 103 ₽ вместо 105
  • Силденафил-СЗ таб. п/о плен., 100 мг, 10 шт.
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    Силденафил-СЗ таб. п/о плен., 100 мг, 10 шт.

    Цена 314 ₽
  • ЛимфоТранзит концентрат напитка фл., 100 мл
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    ЛимфоТранзит концентрат напитка фл., 100 мл

    Цена 361 ₽ вместо 365
  • Квасцы жженые пор. д/нар. прим., 50 г, 1 уп.
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    Квасцы жженые пор. д/нар. прим., 50 г, 1 уп.

    Цена 167 ₽ вместо 169
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    Реклама
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  • Пастилки California Gold Nutrition Vitamin D3 gummies со вкусом фруктов и ягод, 280 г, 90 шт.
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    Пастилки California Gold Nutrition Vitamin D3 gummies со вкусом фруктов и ягод, 280 г, 90 шт.

    Цена 2 005 ₽ вместо 2 800
  • Тербинафин крем, 1%, 15 г, 1 шт.
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    Тербинафин крем, 1%, 15 г, 1 шт.

    Цена 79 ₽ вместо 80
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