Дальнева Таблетки, коробка, 90 шт, 5 + 4 мг + мг, для приема внутрь

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наследственный/идиопатический ангионевротический отек; - возраст до 18 лет (эффективность и безопасность не установлены); - повышенная чувствительность к периндоприлу или другим ингибиторам АПФ. Амлодипин- выраженная артериальная гипотензия (систолическое АД менее 90 мм рт.ст.); - шок, включая кардиогенный шок; - обструкция выходного тракта левого желудочка (например, выраженный стеноз аорты); - нестабильная стенокардия (за исключением стенокардии Принцметала); - возраст до 18 лет (эффективность и безопасность не установлены); - гемодинамически нестабильная сердечная недостаточность после острого инфаркта миокарда; - повышенная чувствительность к амлодипину или другим производным дигидропиридина. Дальнева- почечная недостаточность (КК менее 60 мл/мин); - возраст до 18 лет (эффективность и безопасность не установлены); - повышенная чувствительность к компонентам препарата. 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Необходимо соблюдать осторожность при применении препарата Дальнева у пациентов с печеночной недостаточностью, т.к. отсутствуют рекомендации по дозам препарата у таких пациентов. При применении препарата Дальнева у пациентов пожилого возраста коррекция дозы не требуется. Препарат Дальнева не следует назначать детям и подросткам в возрасте до 18 лет, т.к. отсутствуют данные об эффективности и безопасности применения периндоприла и амлодипина у данных групп пациентов как в монотерапии, так и в составе комбинированной терапии."}}]},{"id":5,"name":"Побочное действие","slug":"side_effects","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Классификация частоты развития побочных эффектов (ВОЗ): очень часто (≥1/10); часто (от ≥1/100 до меньше1/10); нечасто (от ≥1/1000 до меньше1/100); редко (от ≥1/10 000 до меньше1/1000); очень редко (меньше1/10 000), частота неизвестна (не может быть оценена на основе имеющихся данных). 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Со стороны сердечно-сосудистой системы: часто - ощущение сердцебиения, приливы крови к коже лица, выраженное снижение АД; нечасто - обморок; редко - боль за грудиной; очень редко - стенокардия, инфаркт миокарда, возможно, вследствие избыточного снижения АД у пациентов из группы высокого риска, аритмии (в т.ч. брадикардия, желудочковая тахикардия и мерцательная аритмия), инсульт, возможно, вследствие избыточного снижения АД у пациентов из группы высокого риска, васкулит. Со стороны дыхательной системы: часто - одышка, кашель; нечасто - ринит, бронхоспазм; очень редко - эозинофильная пневмония. Со стороны пищеварительной системы: часто - боль в животе, тошнота, рвота, диспепсия, диарея, запор; нечасто - сухость слизистой оболочки полости рта, нарушение вкусового восприятия, изменение ритма дефекации; очень редко - панкреатит, гиперплазия десен, гастрит, гепатит, холестатическая желтуха, цитолитический или холестатический гепатит. Со стороны кожных покровов: часто - кожный зуд, кожная сыпь; нечасто - ангионевротический отек лица, конечностей, губ, слизистых оболочек, языка, голосовых складок и/или гортани, алопеция, геморрагическая сыпь, фотосенсибилизация, повышенная потливость; очень редко - отек Квинке, многоформная эритема, синдром Стивенса-Джонсона. Со стороны костно-мышечной системы: часто - спазмы мышц; нечасто - артралгия, миалгия, боль в спине. Со стороны мочевыделительной системы: нечасто - нарушение мочеиспускания, никтурия, учащенное мочеиспускание, почечная недостаточность; очень редко - острая почечная недостаточность. Со стороны репродуктивной системы: нечасто - импотенция, гинекомастия. Прочие: часто - периферические отеки, астения, повышенная утомляемость; нечасто - боль в грудной клетке, недомогание. Лабораторные показатели: редко - повышение концентрации билирубина; очень редко - повышение активности ACT, АЛТ (наиболее часто - в сочетании с холестазом); частота неизвестна - повышение концентрации мочевины и креатинина в сыворотке крови. Дополнительные данные по амлодипину: зарегистрированы отдельные случаи экстрапирамидного синдрома при применении блокаторов медленных кальциевых каналов."}}]}],"source":{"title":"36.6","url":"https://366.ru"}},"description_toggle":false,"short_description":"","substance":[{"id":87,"title":"Амлодипин","title_latin":"Amlodipinum","slug":"amlodipin_87"},{"id":441,"title":"Периндоприл","title_latin":"Perindoprilum","slug":"perindopril_441"}],"branding":null,"valid_for_quick_buy":true,"is_available_to_delivery":false,"comments":null,"image_alt":"Дальнева - фото упаковки","image_share":{"isTouch":{"default":"https://vseapteki.ru/cropping/thumbnails/101/24837/share_default/"},"isFromTablet":{"default":"https://vseapteki.ru/cropping/thumbnails/101/24837/share_default/"}},"diseases":[{"id":"717","title":"Эссенциальная [первичная] гипертензия","slug":"717-essentsialnaya_pervichnaya_gipertenziya"},{"id":"718","title":"Вторичная 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