Элевит® Пронаталь представляет собой лекарственный препарат,... Инструкция
Показания к применению
Профилактика и лечение гиповитаминоза, дефицита минеральных веществ и микроэле- ментов на этапе планирования беременности, в период беременности, после родов и в пе- риод грудного вскармливания.
Противопоказания
Повышенная индивидуальная чувствительность к компонентам препарата, гипервитами- ноз витамина А, гипервитаминоз витамина D, гиперкальциемия, гиперкальциурия, тяже- лая форма почечной недостаточности, нарушения обмена железа, нарушения обмена меди (болезнь Вильсона), непереносимость лактозы, дефицит лактазы или глюкозо-галактозная мальабсорбция (препарат ...
1 таблетка содержит Действующие вещества: Витамины: Витамин А (ретинола пальми- 3600 МЕ тат)*1*, Витамин D3 (колекальциферол)*2* 500 МЕ, Витамин Е (альфа-токоферола 15 мг ацетат)*3*, Витамин С (аскорбиновая кисло- 100 мг та)*4*, Фолиевая кислота 0,8 мг, Витамин В1 (тиамина мононитрат 1,6 мг), Витамин В2 (рибофлавин) 1,8 мг, Витамин В6 (пиридоксина гидрохлорид)*5* 2,6 мг, Витамин В12 (цианокобаламин)*6* 4 мкг, Никотинамид 19 мг, Биотин 0,2 мг, Кальция пантотенат 10 мг. Минеральные вещества и микроэлементы: Кальций (в форме кальция гидрофосфата, кальция пантотената, кальция аскорбата) 125 мг, Магний (в форме магния оксида, магния гидрофосфата тригидрата, магния стеарата) 100 мг, Фосфор (в форме кальция гидро-фосфата, магния гидрофосфата тригидрата) 125 мг, Железо (в форме железа фумарата) 60 мг, Цинк (в форме цинка сульфата моногидрата)7,5 мг, Медь (в форме меди сульфата) 1 мг, Марганец (в форме марганца сульфата моногидрата) 1 мг. Вспомогательные вещества: глицерил дистеарат 8,25 мг, желатин 1,71 мг, целлюлоза микрокристаллическая 66,12 мг, карбоксиметил крахмал натрия 55 мг, повидон К90 32,2 мг, повидон К30 1,67 мг, лактозы моногидрат 45,78 мг, маннитол 58,9 мг, магния стеарат 15 мг, макрогол-400 10 мг, этилцеллюлоза 10 мг. Оболочка: гипромеллоза 9 мг, этилцеллюлозы водная дисперсия 3 мг, макрогол-6000 2,5 мг, тальк 6 мг, титана диоксид (Е171) 3 мг, краситель железа оксид желтый (Е172) 1,5 мг. Примечания: *1* в форме сухого ретинола пальмитата 250 CWS (1 г содержит: витамин А пальмитат 148 мг, бутилгидроксианизол 2 мг, бутилгидрокситолуол 9 мг, альфа-токоферол 3 мг, желатин 330 мг, сахароза 330 мг, крахмал кукурузный 178 мг). *2* в форме колекальциферола 100 CWS (1 г содержит: колекальциферол 2,5 мг, альфа-токоферол 2,0 мг, соевых бобов масло 75 мг, желатин 380 мг, сахароза 380 мг, крахмал кукурузный 160,5 мг). *3* в форме сухого витамина Е 50 % CWS/S (1 г содержит: альфа-токоферола ацетат 500 мг, модифицированный пищевой крахмал 245 мг, мальтодекстрин 245 мг, кремния диоксид 10 мг).*4*в форме кальция аскорбата. *5*в форме пиридоксина гидрохлорида 33 1/3 % (пиридоксина гидрохлорид 333 мг, моно- и диглицериды пищевых жирных кислот 667 мг). *6* в форме водного раствора цианокобаламина 0,1 % WS (1 г содержит: цианокобаламин 1,0 мг, натрия цитрат 30 мг, лимонная кислота безводная 10 мг, мальтодекстрин 959 мг).
Описание
Продолговатые, двояковыпуклые таблетки, покрытые оболочкой, серовато-желтого цвета, с риской для разламывания на одной стороне таблетки. Запах отсутствует или едва обна- руживается.
Фармакологические свойства
Элевит® Пронаталь представляет собой лекарственный препарат, содержащий 12 основ- ных витаминов, 4 минерала и 3 микроэлемента. Количественное содержание витаминов и минералов соответствует дозам, которые рекомендованы к применению в период бере- менности и грудного вскармливания. Витамин А участвует в синтезе различных веществ (белков, липидов, мукополисахаридов) и обеспечивает нормальную функцию кожи, слизистых оболочек, а также органов зрения. Витамин В1 нормализует деятельность сердца и способствует нормальному функциони- рованию нервной системы. Витамин В2 способствует процессам регенерации тканей, в том числе клеток кожи. Витамин В6 способствует поддержанию структуры и функции костей, зубов, десен, ока- зывает влияние на эритропоэз. Витамин В12 участвует в эритропоэзе, способствует нормальному функционированию нервной системы. Витамины группы В участвуют в образовании различных ферментов, которые регулируют разные виды обмена веществ в организме. Витамин С участвует в окислении ряда биологически активных веществ, регуляции обме- на в соединительной ткани, углеводного обмена, свертываемости крови и регенерации тканей, стимулирует образование стероидных гормонов, нормализует проницаемость ка- пилляров. Витамин D3 играет важную роль в поддержании баланса кальция и фосфора в организме беременной. При дефиците витамина D у детей развивается рахит. Витамин Е является природным антиоксидантом. Биотин принимает участие в обменных процессах, способствует усвоению белка. Кальция пантотенат участвует в процессах метаболизма жиров, белков и углеводов. Фолиевая кислота стимулирует эритропоэз, предотвращает развитие у плода врожденных пороков развития (дефектов нервной трубки). Никотинамид принимает участие в окислительно-восстановительных процессах, обеспе- чивает перенос водорода и фосфата. Кальций участвует в формировании костной ткани, свертываемости крови, передаче нерв- ных импульсов, сокращении скелетных и гладких мышц. Магний участвует в формировании мышечной и костной тканей, а также принимает участие в синтезе белка. Железо является частью молекулы гемоглобина, участвует в переносе кислорода в орга- низме и предупреждает развитие анемии, в том числе, в период беременности. Фосфор, наряду с кальцием, участвует в формировании костей и зубов, а также участвует в процессах энергетического обмена. Марганец способствует минерализации костной ткани. Медь необходима для нормальной функции эритроцитов и обмена железа. Цинк необходим для нормального формирования скелета плода и регенерации тканей, входит в состав некоторых гормонов, включая инсулин
Показания к применению
Профилактика и лечение гиповитаминоза, дефицита минеральных веществ и микроэле- ментов на этапе планирования беременности, в период беременности, после родов и в пе- риод грудного вскармливания.
Противопоказания
Повышенная индивидуальная чувствительность к компонентам препарата, гипервитами- ноз витамина А, гипервитаминоз витамина D, гиперкальциемия, гиперкальциурия, тяже- лая форма почечной недостаточности, нарушения обмена железа, нарушения обмена меди (болезнь Вильсона), непереносимость лактозы, дефицит лактазы или глюкозо-галактозная мальабсорбция (препарат содержит лактозу).
Применение при беременности и в период грудного вскармливания
Препарат рекомендован к применению в период беременности и лактации в рекомендо- ванных дозах: 1 таблетка в сутки. Необходимо учитывать дополнительное поступление витаминов А и D во избежание передозировки.
Способ применения и дозы
Перед применением проконсультируйтесь с врачом. Женщинам на этапе планирования беременности, в период беременности, после родов и в период грудного вскармливания рекомендуется принимать внутрь по 1 таблетке в сутки во время еды, запивая небольшим количеством воды. Рекомендуемая продолжительность приема составляет один месяц до наступления беременности (в случае планирования беременности), в течение всего перио- да беременности и грудного вскармливания.
Побочное действие
Возможны аллергические реакции к компонентам препарата (крапивница, отек лица, ги- перемия кожи, сыпь, анафилактический шок). При возникновении аллергических реакций необходимо прекратить прием препарата и обратиться к врачу. Расстройства со стороны желудочно-кишечного тракта (абдоминальная боль, запор, диарея, тошнота, рвота). Ги- перкальциурия. Могут наблюдаться головная боль, головокружение, бессонница, повы- шенная возбудимость. Может отмечаться окрашивание мочи в ярко желтый цвет. Этот эффект является безвред- ным и объясняется содержанием рибофлавина в составе препарата. Препарат содержит железо, которое может привести к окрашиванию стула в черный цвет. Этот эффект является безвредным и не имеет клинического значения.
Передозировка
Передозировка препарата может вызывать гипервитаминоз витамина A и D, гиперкальци- емию, а также передозировку железа и меди. Острая передозировка сопровождается такими симптомами, как: внезапная головная боль, спутанность сознания, а также нарушениями со стороны желудочно-кишечного тракта, такими как запор, диарея, тошнота, рвота. При возникновении таких симптомов необходимо прекратить прием препарата и обра- титься к врачу. Передозировка витамина C (более 15 г) может вызывать гемолитическую анемию у неко- торых пациенток с дефицитом глюкозы-6-фосфатдегидрогеназы. Лечение: отмена препа- рата, промывание желудка, симптоматическое.
Особые указания
Препарат следует принимать в соответствии с рекомендуемыми дозами. При приеме других витаминов или поливитаминно-минеральных комплексов, включая пищевые добавки и/или обогащенные продукты/напитки, содержащие витамин D, вита- мин A, синтетические изомеры изотретиноин и этретинат или бета-каротин, необходима консультация врача, поскольку повышенные дозы последних, могут вызывать гипервита- миноз витаминов D и A. Влияние на способность управлять автомобилем и движущимися механизмами: Отсутствуют данные о влиянии препарата на скорость психомоторных реакций при вождении автомобиля и работе с точными механизмами.
Условия хранения
При температуре не выше 25 °С. Хранить в недоступном для детей месте.
Срок годности
2 года. Не использовать по истечении срока годности.
Условия отпуска
Без рецепта.
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таблетка содержит Действующие вещества: Витамины: Витамин А (ретинола пальми- 3600 МЕ тат)*1*, Витамин D3 (колекальциферол)*2* 500 МЕ, Витамин Е (альфа-токоферола 15 мг ацетат)*3*, Витамин С (аскорбиновая кисло- 100 мг та)*4*, Фолиевая кислота 0,8 мг, Витамин В1 (тиамина мононитрат 1,6 мг), Витамин В2 (рибофлавин) 1,8 мг, Витамин В6 (пиридоксина гидрохлорид)*5* 2,6 мг, Витамин В12 (цианокобаламин)*6* 4 мкг, Никотинамид 19 мг, Биотин 0,2 мг, Кальция пантотенат 10 мг. Минеральные вещества и микроэлементы: Кальций (в форме кальция гидрофосфата, кальция пантотената, кальция аскорбата) 125 мг, Магний (в форме магния оксида, магния гидрофосфата тригидрата, магния стеарата) 100 мг, Фосфор (в форме кальция гидро-фосфата, магния гидрофосфата тригидрата) 125 мг, Железо (в форме железа фумарата) 60 мг, Цинк (в форме цинка сульфата моногидрата)7,5 мг, Медь (в форме меди сульфата) 1 мг, Марганец (в форме марганца сульфата моногидрата) 1 мг. Вспомогательные вещества: глицерил дистеарат 8,25 мг, желатин 1,71 мг, целлюлоза микрокристаллическая 66,12 мг, карбоксиметил крахмал натрия 55 мг, повидон К90 32,2 мг, повидон К30 1,67 мг, лактозы моногидрат 45,78 мг, маннитол 58,9 мг, магния стеарат 15 мг, макрогол-400 10 мг, этилцеллюлоза 10 мг. Оболочка: гипромеллоза 9 мг, этилцеллюлозы водная дисперсия 3 мг, макрогол-6000 2,5 мг, тальк 6 мг, титана диоксид (Е171) 3 мг, краситель железа оксид желтый (Е172) 1,5 мг. Примечания: *1* в форме сухого ретинола пальмитата 250 CWS (1 г содержит: витамин А пальмитат 148 мг, бутилгидроксианизол 2 мг, бутилгидрокситолуол 9 мг, альфа-токоферол 3 мг, желатин 330 мг, сахароза 330 мг, крахмал кукурузный 178 мг). *2* в форме колекальциферола 100 CWS (1 г содержит: колекальциферол 2,5 мг, альфа-токоферол 2,0 мг, соевых бобов масло 75 мг, желатин 380 мг, сахароза 380 мг, крахмал кукурузный 160,5 мг). *3* в форме сухого витамина Е 50 % CWS/S (1 г содержит: альфа-токоферола ацетат 500 мг, модифицированный пищевой крахмал 245 мг, мальтодекстрин 245 мг, кремния диоксид 10 мг).*4*в форме кальция аскорбата. *5*в форме пиридоксина гидрохлорида 33 1/3 % (пиридоксина гидрохлорид 333 мг, моно- и диглицериды пищевых жирных кислот 667 мг). *6* в форме водного раствора цианокобаламина 0,1 % WS (1 г содержит: цианокобаламин 1,0 мг, натрия цитрат 30 мг, лимонная кислота безводная 10 мг, мальтодекстрин 959 мг)."}}]},{"id":2,"name":"Описание","slug":"common_description","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Продолговатые, двояковыпуклые таблетки, покрытые оболочкой, серовато-желтого цвета, с риской для разламывания на одной стороне таблетки. Запах отсутствует или едва обна- руживается."}}]},{"id":3,"name":"Фармакологические свойства","slug":"pharmacologic_effects","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Элевит® Пронаталь представляет собой лекарственный препарат, содержащий 12 основ- ных витаминов, 4 минерала и 3 микроэлемента. Количественное содержание витаминов и минералов соответствует дозам, которые рекомендованы к применению в период бере- менности и грудного вскармливания. Витамин А участвует в синтезе различных веществ (белков, липидов, мукополисахаридов) и обеспечивает нормальную функцию кожи, слизистых оболочек, а также органов зрения. Витамин В1 нормализует деятельность сердца и способствует нормальному функциони- рованию нервной системы. Витамин В2 способствует процессам регенерации тканей, в том числе клеток кожи. Витамин В6 способствует поддержанию структуры и функции костей, зубов, десен, ока- зывает влияние на эритропоэз. Витамин В12 участвует в эритропоэзе, способствует нормальному функционированию нервной системы. Витамины группы В участвуют в образовании различных ферментов, которые регулируют разные виды обмена веществ в организме. Витамин С участвует в окислении ряда биологически активных веществ, регуляции обме- на в соединительной ткани, углеводного обмена, свертываемости крови и регенерации тканей, стимулирует образование стероидных гормонов, нормализует проницаемость ка- пилляров. Витамин D3 играет важную роль в поддержании баланса кальция и фосфора в организме беременной. При дефиците витамина D у детей развивается рахит. Витамин Е является природным антиоксидантом. Биотин принимает участие в обменных процессах, способствует усвоению белка. Кальция пантотенат участвует в процессах метаболизма жиров, белков и углеводов. Фолиевая кислота стимулирует эритропоэз, предотвращает развитие у плода врожденных пороков развития (дефектов нервной трубки). Никотинамид принимает участие в окислительно-восстановительных процессах, обеспе- чивает перенос водорода и фосфата. Кальций участвует в формировании костной ткани, свертываемости крови, передаче нерв- ных импульсов, сокращении скелетных и гладких мышц. Магний участвует в формировании мышечной и костной тканей, а также принимает участие в синтезе белка. Железо является частью молекулы гемоглобина, участвует в переносе кислорода в орга- низме и предупреждает развитие анемии, в том числе, в период беременности. Фосфор, наряду с кальцием, участвует в формировании костей и зубов, а также участвует в процессах энергетического обмена. Марганец способствует минерализации костной ткани. Медь необходима для нормальной функции эритроцитов и обмена железа. Цинк необходим для нормального формирования скелета плода и регенерации тканей, входит в состав некоторых гормонов, включая инсулин"}}]},{"id":4,"name":"Показания к применению","slug":"indications","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Профилактика и лечение гиповитаминоза, дефицита минеральных веществ и микроэле- ментов на этапе планирования беременности, в период беременности, после родов и в пе- риод грудного вскармливания."}}]},{"id":5,"name":"Противопоказания","slug":"contraindications","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Повышенная индивидуальная чувствительность к компонентам препарата, гипервитами- ноз витамина А, гипервитаминоз витамина D, гиперкальциемия, гиперкальциурия, тяже- лая форма почечной недостаточности, нарушения обмена железа, нарушения обмена меди (болезнь Вильсона), непереносимость лактозы, дефицит лактазы или глюкозо-галактозная мальабсорбция (препарат содержит лактозу)."}}]},{"id":6,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Препарат рекомендован к применению в период беременности и лактации в рекомендо- ванных дозах: 1 таблетка в сутки. Необходимо учитывать дополнительное поступление витаминов А и D во избежание передозировки."}}]},{"id":7,"name":"Способ применения и дозы","slug":"dosage","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Перед применением проконсультируйтесь с врачом. Женщинам на этапе планирования беременности, в период беременности, после родов и в период грудного вскармливания рекомендуется принимать внутрь по 1 таблетке в сутки во время еды, запивая небольшим количеством воды. Рекомендуемая продолжительность приема составляет один месяц до наступления беременности (в случае планирования беременности), в течение всего перио- да беременности и грудного вскармливания."}}]},{"id":8,"name":"Побочное действие","slug":"side_effects","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Возможны аллергические реакции к компонентам препарата (крапивница, отек лица, ги- перемия кожи, сыпь, анафилактический шок). При возникновении аллергических реакций необходимо прекратить прием препарата и обратиться к врачу. Расстройства со стороны желудочно-кишечного тракта (абдоминальная боль, запор, диарея, тошнота, рвота). Ги- перкальциурия. Могут наблюдаться головная боль, головокружение, бессонница, повы- шенная возбудимость. Может отмечаться окрашивание мочи в ярко желтый цвет. Этот эффект является безвред- ным и объясняется содержанием рибофлавина в составе препарата. Препарат содержит железо, которое может привести к окрашиванию стула в черный цвет. Этот эффект является безвредным и не имеет клинического значения."}}]},{"id":9,"name":"Передозировка","slug":"overdose","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Передозировка препарата может вызывать гипервитаминоз витамина A и D, гиперкальци- емию, а также передозировку железа и меди. Острая передозировка сопровождается такими симптомами, как: внезапная головная боль, спутанность сознания, а также нарушениями со стороны желудочно-кишечного тракта, такими как запор, диарея, тошнота, рвота. При возникновении таких симптомов необходимо прекратить прием препарата и обра- титься к врачу. Передозировка витамина C (более 15 г) может вызывать гемолитическую анемию у неко- торых пациенток с дефицитом глюкозы-6-фосфатдегидрогеназы. Лечение: отмена препа- рата, промывание желудка, симптоматическое."}}]},{"id":10,"name":"Особые указания","slug":"cautions","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Препарат следует принимать в соответствии с рекомендуемыми дозами. При приеме других витаминов или поливитаминно-минеральных комплексов, включая пищевые добавки и/или обогащенные продукты/напитки, содержащие витамин D, вита- мин A, синтетические изомеры изотретиноин и этретинат или бета-каротин, необходима консультация врача, поскольку повышенные дозы последних, могут вызывать гипервита- миноз витаминов D и A. Влияние на способность управлять автомобилем и движущимися механизмами: Отсутствуют данные о влиянии препарата на скорость психомоторных реакций при вождении автомобиля и работе с точными механизмами."}}]},{"id":11,"name":"Условия хранения","slug":"storage","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"При температуре не выше 25 °С. Хранить в недоступном для детей месте."}}]},{"id":12,"name":"Срок годности","slug":"expiry_date","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"2 года. 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