Ингибитор АПФ. Подавляет образование ангиотензина II из ангеотензина I. Снижает содержание ангеотензина II ведет к прямому уменьшению выделения альдостерона. Уменьшает деградацию брадикинина и увеличивает синтез простагландина. Снижает общее периферическое сосудистое сопротивление, АД, преднагрузку, давление легочных капиллярах, вызывает увеличение сердечного выброса и повышение толерантности миокарда к нагрузкам у больных с сердечной недостаточностью. Расширяет артерии в большей степени, чем вены. Некоторые эффекты объясняются воздействием на тканевые ренин-ангиотензиновые системы. При длительном применении уменьшается гипертрофия миокарда и стенок артерий резистивного типа. Улучшает кровоснабжение ишемизированного миокарда. Ингибиторы АПФ удлиняют продолжительность жизни у больных сердечной недостаточностью, замедляют прогрессирование дисфункции левого желудочка у больных, перенесших инфаркт миокарда без клинических проявлений сердечной недостаточности.; Начало действия - через 1 час. Максимальный эффект определяется через 6-7 часов, длительность - 24 часа. При артериальной гипертензии эффект отмечается в первые дни после начала лечения, стабильное действие развивается через 1-2 месяца
Показания к применению
Артериальная гипертензия (в виде монотерапии или в комбинации с другими антигипертензивными средствами)
Хроническая сердечная недостаточность (в составе комбинированной терапии для лечения больных, принимающих препараты наперстянки и /или диуретики)
Противопоказания
Повышенная чувствительность к лизиноприлу и другим ингибиторам АПФ
Выраженные нарушения функции почек
Двусторонний стеноз почечных артерий или стеноз артерии единственной почки с прогрессирующей азотемией
Состояние после трансплантации почки
Азотемия
Первичный гиперальдостеронизм
Аортальный стеноз (и аналогичные препятствия току крови)
Наследственный отек Квинке
Беременность, период лактации
Возраст ло 18 лет (эффективность и безопасность не установлены)
С осторожностью:
Артериальная гипотензия
Угнетение костномозгового кроветворения
Гипонатриемия (повышенный риск развития артериальной гипотензии у пациентов, находящихся на малосолевой или бессолевой диете)
Системные заболевания соединительной ткани
Сахарный диабет
Подагра
Гиперурикемия
Ишемическая болезнь сердца
Цереброваскулярныя недостаточность
Тяжелая хроническая сердечная недостаточность
Гиперкалиемия
Пожилой возраст
Применение при беременности и в период грудного вскармливания
Противопоказано при беременности и в период лактации.
Способ применения и дозы
Принимать внутрь до, во время или после еды.; Артериальная гипертензия; Начальная доза Лизорила - 5 мг 1 раз/сут. Доза изменяется в соответствии с изменением АД. Обычная доза - 10 мгсут при однократном приеме. Если адекватной реакции нет, дозу можно увеличить до 20-40 мгсут. Максимальная суточная доза - 80 мг. Пациентам, принимающим диуретики, дозу подбирают индивидуально.; При нарушении функции почек дозу устанавливают в зависимости от значений КК. При КК более 30 мл/мин рекомендуемая начальная доза Лизорила составляет 5-10 мгсут. При КК от 30 до 10 мл/мин - начальная доза составляет 2.5-5 мг/сут. При КК менее 10 мл/мин - 2.5 мг/сут.; Хроническая сердечная недостаточность; Рекомендуется начальная доза 2.5 мг/сут. Такая доза оказывается эффективной для некоторых пациентов, но чаще достигается дозами 5-20 мг/сут.
Побочное действие
Со стороны сердечно-сосудистой системы: снижение АД. боль в груди, редко - ортостатическая гипотензия, тахикардия, брадикардия, появление симптомов сердечной недостаточности, нарушение атриовентрикулярной проводимости.; Со стороны нервной системы: головокружение, головная боль, повышенная утомляемость, сонливость, судорожные подергивания мышц конечностей и губ, редко - астенический синдром, лабильность настроения, спутанность сознания; Со стороны ЖКТ: тошнота, диспепсия, анорексия, изменение вкуса, боли в животе, диарея, сухость во рту.; Со стороны органов кроветворения: лейкопения, тромбоцитопения, нейтропения, агранулоцитоз, анемия (снижение содержания гемоглобина, эритроцитопения).; Со стороны дыхательной системы: диспноэ, бронхоспазм, апноэ.; Аллергические реакции: ангионевротический отек, кожные высыпания, зуд.; Лабораторные показатели: гиперкалиемия, гиперурикемия, редко - повышение активности печеночных трансаминаз, гипербилибинемия.; Прочие: сухой кашель, снижение потенции, редко - острая почечная недостаточность, артралгия, миалгия, лихорадка, отек (языка, губ, конечностей), нарушение развития почек плода.
Во время лечения необходим регулярный врачебный контроль. Для больных с нарушением функции почек необходимо снизить дозу или уменьшить частоту приема препарата Лизорил.; У больных, принимавших Лизорил, сообщалось о развитии ангионевротического отека лица, губ, языка, голосовой щели и/или гортани. В таких случаях необходимо сразу же прекратить прием Лизорила.; У больных с хронической сердечной недостаточностью и сопутствующей почечной недостаточностью после приема Лизорила наблюдается резкое снижение артериального давления. Лечение таких больных следует начинать под тщательным наблюдением врача с минимальной дозы 2.5 мг Лизорила.
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Максимальный эффект определяется через 6-7 часов, длительность - 24 часа. При артериальной гипертензии эффект отмечается в первые дни после начала лечения, стабильное действие развивается через 1-2 месяца"}}]},{"id":3,"name":"Показания к применению","slug":"indications","displayInMenu":true,"body":[{"type":"list","data":{"style":"unordered","items":["Артериальная гипертензия (в виде монотерапии или в комбинации с другими антигипертензивными средствами)","Хроническая сердечная недостаточность (в составе комбинированной терапии для лечения больных, принимающих препараты наперстянки и /или диуретики)"]}}]},{"id":4,"name":"Противопоказания","slug":"contraindications","displayInMenu":true,"body":[{"type":"list","data":{"style":"unordered","items":["Повышенная чувствительность к лизиноприлу и другим ингибиторам АПФ","Выраженные нарушения функции почек","Двусторонний стеноз почечных артерий или стеноз артерии единственной почки с прогрессирующей азотемией","Состояние после трансплантации почки","Азотемия","Первичный гиперальдостеронизм","Аортальный стеноз (и аналогичные препятствия току крови)","Наследственный отек Квинке","Беременность, период лактации","Возраст ло 18 лет (эффективность и безопасность не установлены)"]}},{"type":"paragraph","data":{"text":"С осторожностью:"}},{"type":"list","data":{"style":"unordered","items":["Артериальная гипотензия","Угнетение костномозгового кроветворения","Гипонатриемия (повышенный риск развития артериальной гипотензии у пациентов, находящихся на малосолевой или бессолевой диете)","Системные заболевания соединительной ткани","Сахарный диабет","Подагра","Гиперурикемия","Ишемическая болезнь сердца","Цереброваскулярныя недостаточность","Тяжелая хроническая сердечная недостаточность","Гиперкалиемия","Пожилой возраст"]}}]},{"id":5,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Противопоказано при беременности и в период лактации."}}]},{"id":6,"name":"Способ применения и дозы","slug":"dosage","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Принимать внутрь до, во время или после еды.; Артериальная гипертензия; Начальная доза Лизорила - 5 мг 1 раз/сут. Доза изменяется в соответствии с изменением АД. Обычная доза - 10 мгсут при однократном приеме. Если адекватной реакции нет, дозу можно увеличить до 20-40 мгсут. Максимальная суточная доза - 80 мг. Пациентам, принимающим диуретики, дозу подбирают индивидуально.; При нарушении функции почек дозу устанавливают в зависимости от значений КК. При КК более 30 мл/мин рекомендуемая начальная доза Лизорила составляет 5-10 мгсут. При КК от 30 до 10 мл/мин - начальная доза составляет 2.5-5 мг/сут. При КК менее 10 мл/мин - 2.5 мг/сут.; Хроническая сердечная недостаточность; Рекомендуется начальная доза 2.5 мг/сут. 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