Таблетки 1 таб. медроксипрогестерон (в форме ацетата) 500 мг.
Фармакологические свойства
Гестаген. Не обладает андрогенной и эстрогенной активностью. Угнетает секрецию гонадотропных гормонов (особенно ЛГ). В малых дозах подавляет овуляцию. Оказывает тормозящее действие на изменения, необходимые для подготовки эндометрия к имплантации оплодотворенной яйцеклетки и повышает вязкость слизи шейки матки. В более высоких дозах оказывает противоопухолевое действие при гормоночувствительных злокачественных новообразованиях. Этот эффект обусловлен, по-видимому, действием на рецепторы стероидных гормонов и на гипофизарно-гонадную систему.
Противопоказания
Беременность, повышенная чувствительность к медроксипрогестерону.
Применение при беременности и в период грудного вскармливания
Противопоказан при беременности. Не влияет на лактацию. Выделяется с грудным молоком в незначительном количестве, при этом отрицательных явлений в развитии детей, получающих это молоко, не наблюдается.
Способ применения и дозы
Устанавливают индивидуально, в зависимости от показаний, стадии заболевания, схемы терапии.
Побочное действие
Со стороны ЦНС: головная боль, раздражительность, нарушения сна, сонливость, чувство усталости, депрессия, головокружение. Со стороны пищеварительной системы: тошнота. Аллергические реакции: крапивница, зуд, сыпь, анафилактоидные реакции. Со стороны системы кроветворения: тромбоэмболические нарушения. Со стороны эндокринной системы: повышенная чувствительность молочной железы, галакторея, эрозия и изменение секреции шейки матки. При применении в дозе 500 мг/сут и более возможны акне, гирсутизм, увеличение массы тела, "лунообразное" лицо. Прочие: гипертермия.
Особые указания
Необходимо строго соблюдать соответствие используемой лекарственной формы препарата показаниям к применению. С особой осторожностью медроксипрогестерон следует применять у пациентов с тромбофлебитом, тромбоэмболическими осложнениями, тяжелыми нарушениями функции печени, гиперкальциемией. Перед применением медроксипрогестерона для лечения гинекологических заболеваний и контрацепции необходимо исключить наличие у пациентки опухоли половых органов или молочных желез. При проведении патогистологического исследования определенных органов и тканей необходимо предупредить гистолога о предыдущем лечении прогестагенами. На фоне применения медроксипрогестерона возможны изменения результатов следующих исследований: определение уровня гонадотропинов определение уровня прогестерона, кортизола, тестостерона (у мужчин), эстрогенов (у женщин) в плазме крови определение уровня прегнандиола в моче проведение пробы с сахарной нагрузкой проведение теста с метапироном.
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