Противогельминтное средство. Оказывает парализующее действие на нематоды, нарушая функцию их нервно-мышечной системы.
Показания к применению
Аскаридоз, энтеробиоз.
Противопоказания
Органические заболевания ЦНС, повышенная чувствительность к пиперазина адипату.
Способ применения и дозы
При аскаридозе принимают в течение 2 дней подряд по 2 раза/сут за 1 ч до или через 0.5-1 ч после еды в следующих дозах: Взрослые 1.5-2 г; Дети: 13-15 лет 1.5 г; 9-12 лет 1 г; 6-8 лет 750 мг; 4-5 лет 500 мг; 2-3 года 300 мг; до 1 года 200 мг; Возможно также применение в течение одного дня: однократно от 400 мг до 4 г (в зависимости от возраста) или 2 раза от 200 мг до 2 г. При энтеробиозе применяют в тех же дозах в течение 5 дней подряд, проводят 1-3 цикла лечения с 7-дневным перерывом. В перерывах между циклами рекомендуется назначать на ночь клизму (для удаления остриц из прямой кишки): взрослым - из 4-5 стаканов воды, детям - из 1-3 стаканов воды (с добавлением натрия гидрокарбоната по 1/2 чайной ложки на стакан воды).
Побочное действие
Со стороны пищеварительной системы: тошнота, боли в животе.; Со стороны ЦНС: преходящая головная боль. У больных с почечной недостаточностью препарат может вызывать нейротоксические осложнения. При передозировке возможны тремор и мышечная слабость.
Передозировка
Симптомы: тремор, мышечная слабость.; Лечение: промывание желудка, прием активированного угля или др. энтеросорбентов, назначение солевых слабительных. При необходимости - оксигено- и трансфузионная терапия. При неврологических симптомах вводят тиамин.
Особые указания
Применение пиперазина адипата не требует предварительной подготовки больных и назначения специальной диеты. Слабительные средства назначают лишь при склонности к запорам (в дни приема пиперазина вечером). При лечении энтеробиоза необходимо строгое соблюдение гигиенического режима.
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Информация предоставляется в справочных целях. Не занимайтесь самолечением. При первых признаках заболевания обратитесь к врачу.
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