Противогрибковый препарат для наружного применения, обладающ... Инструкция
Показания к применению
профилактика и лечение грибковых инфекций кожи, в т.ч. микозов стоп (tinea pedis), паховой эпидермофитии (tinea cruris), грибковых поражений гладкой кожи тела (tinea corporis), вызванные дерматофитами, такими как Trichophyton (в т.ч. Trichophyton rubrum, Trichophyton mentagrophytes, Trichophyton verrucosum, Trichophyton violaceum), Microsporum canis и Epidermophyton floccosum;
Противогрибковый препарат для наружного применения, обладающий широким спектром противогрибковой активности. В небольших концентрациях тербинафин оказывает фунгицидное действие в отношении дерматофитов (Trychophyton rubrum, Trychophyton mentagrophytes, Trychophyton verrucosum, Trychophyton violaceum, Trychophyton tonsurans, Microsporum canis, Epidermophyton floccosum), плесневых (в основном Candida albicans) и некоторых диморфных грибов (Pityrosporum orbiculare). Активность в отношении дрожжевых грибов, в зависимости от их вида, может быть фунгицидной или фунгистатической.
Тербинафин специфическим образом изменяет ранний этап биосинтеза стеролов, происходящего в грибах. Это ведет к дефициту эргостерола и к внутриклеточному накоплению сквалена, что вызывает гибель клетки гриба. Действие тербинафина осуществляется путем ингибирования фермента скваленэпоксидазы, расположенного на клеточной мембране гриба.
Тербинафин не оказывает влияния на систему цитохрома Р450 у человека и, соответственно, на метаболизм гормонов или других лекарственных препаратов.
Показания к применению
профилактика и лечение грибковых инфекций кожи, в т.ч. микозов стоп (tinea pedis), паховой эпидермофитии (tinea cruris), грибковых поражений гладкой кожи тела (tinea corporis), вызванные дерматофитами, такими как Trichophyton (в т.ч. Trichophyton rubrum, Trichophyton mentagrophytes, Trichophyton verrucosum, Trichophyton violaceum), Microsporum canis и Epidermophyton floccosum;
повышенная чувствительность к тербинафину или к любому компоненту препарата.
период грудного вскармливания;
детский возраст до 18 лет.
С осторожностью
следует соблюдать осторожность при нанесении препарата на поврежденные участки кожи, т.к. спирт, содержащийся в препарате, может вызвать раздражение.
Применение при беременности и в период грудного вскармливания
Клинический опыт применения препарата Ламизил Дермгель для наружного применения при беременности очень ограничен, применение его возможно если предполагаемая польза для матери превышает потенциальный риск для плода.
Тербинафин выделяется с грудным молоком, поэтому его не следует назначать кормящим матерям.
В экспериментальных исследованиях тератогенных свойств тербинафина не выявлено. До настоящего времени не сообщалось о каких-либо пороках развития при применении препарата Ламизил Дермгель.
Способ применения и дозы
Наружно.
Перед первым применением препарата Ламизил Дермгель следует проколоть запечатывающую мембрану при помощи острия на внешней стороне колпачка.
Ламизил Дермгель применяют у взрослых 1 раз/сут по любому из показаний. Перед применением препарата необходимо тщательно очистить и подсушить пораженные участки. Препарат слегка втирают в участки как пораженной, так и прилегающей интактной кожи. В случае инфекций, сопровождающихся опрелостями (под молочными железами, между пальцев, в ягодичных и паховых складках), область нанесения геля можно прикрыть марлей, особенно в ночное время.
Продолжительность и кратность применения препарата Ламизил Дермгель при дерматомикозе туловища, голеней - 1 неделя, 1 раз/сут; при дерматомикозе стоп - 1 неделя, 1 раз/сут; при разноцветном лишае - 1 неделя, 1 раз/сут.
Уменьшение выраженности клинических проявлений обычно отмечается в первые дни лечения. В случае нерегулярного лечения или преждевременного его прекращения имеется риск рецидива инфекции. В том случае, если через неделю лечения не отмечается признаков улучшения, следует верифицировать диагноз.
Для пациентов пожилого возраста не требуется коррекции режима дозирования.
Побочное действие
Определение частоты побочных эффектов: очень часто (≥1/10), часто (≥1/100 и <1/10), нечасто (≥1/1000 и <1/100), редко (≥1/10 000 и <1/1000), очень редко (<1/10 000), включая отдельные сообщения.
Со стороны иммунной системы: отдельные сообщения - реакции гиперчувствительности (сыпь).
Со стороны органа зрения: редко - раздражение глаз.
Со стороны кожных покровов: часто - шелушение кожи, зуд; нечасто - повреждение кожи, образование корки, поражение кожи, нарушение пигментации, эритема, ощущение жжения кожи; редко - ощущение сухости кожи, контактный дерматит, экзема; отдельные сообщения - сыпь.
Местные реакции: нечасто - боль, боль в месте нанесения, раздражение в месте нанесения; редко - обострение симптомов заболевания. В местах нанесения препарата возможны наблюдаться зуд, шелушение кожи, болевые ощущения, раздражение, изменение пигментации кожи, жжение, эритема, корки. Эти незначительные симптомы следует отличать от реакций гиперчувствительности, таких как сыпь, возникающих в редких случаях и требующих отмены терапии. В редких случаях течение грибковой инфекции может обостряться.
Передозировка
О случаях передозировки препарата Ламизил Дермгель не сообщалось.
Симптомы: случайный прием внутрь тубы препарата массой 30 г, содержащего 300 мг тербинафина основания, сравним с приемом 1 таблетки препарата Ламизил с дозировкой 250 мг (разовая доза для взрослого человека). При случайном приеме большего количества препарата Ламизил Дермгель внутрь можно ожидать развития таких же побочных явлений, как и при передозировке таблеток Ламизил (головная боль, тошнота, боли в эпигастрии и головокружение). Следует также учитывать, что спрей содержит этиловый спирт (9.4% (об./об.).
Лечение: активированный уголь, при необходимости проводят симптоматическую терапию.
Взаимодействие с другими лекарственными средствами
В настоящее время лекарственное взаимодействие препарата Ламизил Дермгель не описано.
Особые указания
Ламизил Дермгель предназначен только для наружного применения.
Препарат не следует наносить на лицо.
Следует избегать попадания препарата в глаза, т.к. он может вызвать раздражение. При случайном попадании глаза следует немедленно промыть проточной водой, а в случае развития стойких явлений раздражения необходимо обратиться к врачу.
Препарат содержит бутилгидрокситолуол, что может вызвать в местах нанесения местные аллергические реакции (контактный дерматит), а также раздражение глаз и слизистых оболочек.
Следует учитывать, что препарат содержит этанол 96%.
Следует соблюдать осторожность при нанесении препарата Ламизил Дермгель на поврежденные участки кожи, т.к. спирт, входящий в его состав, может вызвать раздражение.
Влияние на способность управлять автомобилем и движущимися механизмами
Не влияет.
Форма выпуска
Гель для наружного применения 1% блестящий, от белого до почти белого цвета.
Условия хранения
Препарат следует хранить в недоступном для детей месте при температуре не выше 30°С.
Для описания товара использована информация от партнера 36.6
Мобильное приложение «Все аптеки»
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Информация предоставляется в справочных целях. Не занимайтесь самолечением. При первых признаках заболевания обратитесь к врачу.
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N013364/01"}}]},{"id":3,"name":"Лекарственная форма","slug":"","body":[{"type":"paragraph","data":{"text":"Гель для наружного применения"}}]},{"id":4,"name":"Состав","slug":"ingredients","body":[{"type":"paragraph","data":{"text":"\u003ci\u003e1 г геля содержит:\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"\u003ci\u003eАктивное вещество\u003c/i\u003e:"}},{"type":"paragraph","data":{"text":"тербинафин (в форме основания)10 мг;"}},{"type":"paragraph","data":{"text":"\u003ci\u003eВспомогательные вещества:\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"бензиловый спирт;"}},{"type":"paragraph","data":{"text":"карбомер (карбопол 974 Р);"}},{"type":"paragraph","data":{"text":"изопропил миристат;"}},{"type":"paragraph","data":{"text":"бутилгидрокситолуол;"}},{"type":"paragraph","data":{"text":"сорбитана лаурат;"}},{"type":"paragraph","data":{"text":"полисорбат 20;"}},{"type":"paragraph","data":{"text":"натрия гидроксид;"}},{"type":"paragraph","data":{"text":"этанол;"}},{"type":"paragraph","data":{"text":"очищенная вода;"}},{"type":"paragraph","data":{"text":"азот."}}]},{"id":5,"name":"Описание","slug":"common_description","body":[{"type":"paragraph","data":{"text":"Ламизил Дермгель - противогрибковый препарат в форме геля."}},{"type":"paragraph","data":{"text":"Активное вещество геля Ламизил тербинафин применяется для профилактики и лечения грибковых инфекций кожи, в том числе грибка стопы."}},{"type":"paragraph","data":{"text":"Обладает фунгицидным действием, при помощи которого борется с инфекцией, вызывающей грибок (микоз) стопы\n\n"}}]},{"id":6,"name":"Фармакотерапевтическая группа","slug":"","body":[{"type":"paragraph","data":{"text":"\u003ca href=\"https://www.vidal.ru/drugs/pharm-group/453\"\u003eПротивогрибковое средство\u003c/a\u003e"}}]},{"id":7,"name":"Фармакологические свойства","slug":"pharmacologic_effects","body":[{"type":"paragraph","data":{"text":"Противогрибковый препарат для наружного применения, обладающий широким спектром противогрибковой активности. В небольших концентрациях тербинафин оказывает фунгицидное действие в отношении дерматофитов (Trychophyton rubrum, Trychophyton mentagrophytes, Trychophyton verrucosum, Trychophyton violaceum, Trychophyton tonsurans, Microsporum canis, Epidermophyton floccosum), плесневых (в основном Candida albicans) и некоторых диморфных грибов (Pityrosporum orbiculare). Активность в отношении дрожжевых грибов, в зависимости от их вида, может быть фунгицидной или фунгистатической."}},{"type":"paragraph","data":{"text":"Тербинафин специфическим образом изменяет ранний этап биосинтеза стеролов, происходящего в грибах. Это ведет к дефициту эргостерола и к внутриклеточному накоплению сквалена, что вызывает гибель клетки гриба. Действие тербинафина осуществляется путем ингибирования фермента скваленэпоксидазы, расположенного на клеточной мембране гриба."}},{"type":"paragraph","data":{"text":"Тербинафин не оказывает влияния на систему цитохрома Р450 у человека и, соответственно, на метаболизм гормонов или других лекарственных препаратов."}}]},{"id":8,"name":"Показания к применению","slug":"indications","body":[{"type":"list","data":{"style":"ordered","items":["профилактика и лечение грибковых инфекций кожи, в т.ч. микозов стоп (tinea pedis), паховой эпидермофитии (tinea cruris), грибковых поражений гладкой кожи тела (tinea corporis), вызванные дерматофитами, такими как Trichophyton (в т.ч. Trichophyton rubrum, Trichophyton mentagrophytes, Trichophyton verrucosum, Trichophyton violaceum), Microsporum canis и Epidermophyton floccosum;","разноцветный лишай (Pityriasis versicolor), вызываемый Pityrosporum orbiculare (Malassezia furfur)."]}}]},{"id":9,"name":"Противопоказания","slug":"contraindications","body":[{"type":"list","data":{"style":"ordered","items":["повышенная чувствительность к тербинафину или к любому компоненту препарата.","период грудного вскармливания;","детский возраст до 18 лет."]}}]},{"id":10,"name":"С осторожностью","slug":"cautions","body":[{"type":"paragraph","data":{"text":"следует соблюдать осторожность при нанесении препарата на поврежденные участки кожи, т.к. спирт, содержащийся в препарате, может вызвать раздражение."}}]},{"id":11,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","body":[{"type":"paragraph","data":{"text":"Клинический опыт применения препарата Ламизил Дермгель для наружного применения при беременности очень ограничен, применение его возможно если предполагаемая польза для матери превышает потенциальный риск для плода."}},{"type":"paragraph","data":{"text":"Тербинафин выделяется с грудным молоком, поэтому его не следует назначать кормящим матерям."}},{"type":"paragraph","data":{"text":"В \u003ci\u003eэкспериментальных исследованиях\u003c/i\u003e тератогенных свойств тербинафина не выявлено. До настоящего времени не сообщалось о каких-либо пороках развития при применении препарата Ламизил Дермгель."}}]},{"id":12,"name":"Способ применения и дозы","slug":"dosage","body":[{"type":"paragraph","data":{"text":"Наружно."}},{"type":"paragraph","data":{"text":"Перед первым применением препарата Ламизил Дермгель следует проколоть запечатывающую мембрану при помощи острия на внешней стороне колпачка."}},{"type":"paragraph","data":{"text":"Ламизил Дермгель применяют у \u003cb\u003eвзрослых \u003c/b\u003e1 раз/сут по любому из показаний. Перед применением препарата необходимо тщательно очистить и подсушить пораженные участки. Препарат слегка втирают в участки как пораженной, так и прилегающей интактной кожи. В случае инфекций, сопровождающихся опрелостями (под молочными железами, между пальцев, в ягодичных и паховых складках), область нанесения геля можно прикрыть марлей, особенно в ночное время."}},{"type":"paragraph","data":{"text":"Продолжительность и кратность применения препарата Ламизил Дермгель при \u003ci\u003eдерматомикозе туловища, голеней\u003c/i\u003e - 1 неделя, 1 раз/сут; при \u003ci\u003eдерматомикозе стоп\u003c/i\u003e - 1 неделя, 1 раз/сут; при \u003ci\u003eразноцветном лишае\u003c/i\u003e - 1 неделя, 1 раз/сут."}},{"type":"paragraph","data":{"text":"Уменьшение выраженности клинических проявлений обычно отмечается в первые дни лечения. В случае нерегулярного лечения или преждевременного его прекращения имеется риск рецидива инфекции. В том случае, если через неделю лечения не отмечается признаков улучшения, следует верифицировать диагноз."}},{"type":"paragraph","data":{"text":"Для \u003cb\u003eпациентов пожилого возраста\u003c/b\u003e не требуется коррекции режима дозирования."}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"Определение частоты побочных эффектов: очень часто (≥1/10), часто (≥1/100 и <1/10), нечасто (≥1/1000 и <1/100), редко (≥1/10 000 и <1/1000), очень редко (<1/10 000), включая отдельные сообщения."}},{"type":"paragraph","data":{"text":"\u003ci\u003eСо стороны иммунной системы: \u003c/i\u003eотдельные сообщения - реакции гиперчувствительности (сыпь)."}},{"type":"paragraph","data":{"text":"\u003ci\u003eСо стороны органа зрения: \u003c/i\u003eредко - раздражение глаз."}},{"type":"paragraph","data":{"text":"\u003ci\u003eСо стороны кожных покровов: \u003c/i\u003eчасто - шелушение кожи, зуд; нечасто - повреждение кожи, образование корки, поражение кожи, нарушение пигментации, эритема, ощущение жжения кожи; редко - ощущение сухости кожи, контактный дерматит, экзема; отдельные сообщения - сыпь."}},{"type":"paragraph","data":{"text":"\u003ci\u003eМестные реакции: \u003c/i\u003eнечасто - боль, боль в месте нанесения, раздражение в месте нанесения; редко - обострение симптомов заболевания. В местах нанесения препарата возможны наблюдаться зуд, шелушение кожи, болевые ощущения, раздражение, изменение пигментации кожи, жжение, эритема, корки. Эти незначительные симптомы следует отличать от реакций гиперчувствительности, таких как сыпь, возникающих в редких случаях и требующих отмены терапии. В редких случаях течение грибковой инфекции может обостряться."}}]},{"id":14,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"О случаях передозировки препарата Ламизил Дермгель не сообщалось."}},{"type":"paragraph","data":{"text":"\u003ci\u003eСимптомы:\u003c/i\u003e случайный прием внутрь тубы препарата массой 30 г, содержащего 300 мг тербинафина основания, сравним с приемом 1 таблетки препарата Ламизил с дозировкой 250 мг (разовая доза для взрослого человека). При случайном приеме большего количества препарата Ламизил Дермгель внутрь можно ожидать развития таких же побочных явлений, как и при передозировке таблеток Ламизил (головная боль, тошнота, боли в эпигастрии и головокружение). Следует также учитывать, что спрей содержит этиловый спирт (9.4% (об./об.)."}},{"type":"paragraph","data":{"text":"\u003ci\u003eЛечение:\u003c/i\u003e активированный уголь, при необходимости проводят симптоматическую терапию."}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":" В настоящее время лекарственное взаимодействие препарата Ламизил Дермгель не описано. "}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"Ламизил Дермгель предназначен только для наружного применения."}},{"type":"paragraph","data":{"text":"Препарат не следует наносить на лицо."}},{"type":"paragraph","data":{"text":"Следует избегать попадания препарата в глаза, т.к. он может вызвать раздражение. При случайном попадании глаза следует немедленно промыть проточной водой, а в случае развития стойких явлений раздражения необходимо обратиться к врачу."}},{"type":"paragraph","data":{"text":"Препарат содержит бутилгидрокситолуол, что может вызвать в местах нанесения местные аллергические реакции (контактный дерматит), а также раздражение глаз и слизистых оболочек."}},{"type":"paragraph","data":{"text":"Следует учитывать, что препарат содержит этанол 96%."}},{"type":"paragraph","data":{"text":"Следует соблюдать осторожность при нанесении препарата Ламизил Дермгель на поврежденные участки кожи, т.к. спирт, входящий в его состав, может вызвать раздражение."}}]},{"id":17,"name":"Влияние на способность управлять автомобилем и движущимися механизмами","slug":"","body":[{"type":"paragraph","data":{"text":"Не влияет."}}]},{"id":18,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"\u003ci\u003e\u003cb\u003eГель для наружного применения 1%\u003c/b\u003e\u003c/i\u003e блестящий, от белого до почти белого цвета. 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