Для наружного применения: во второй фазе раневого процесса (отсутствие гноя, некротических тканей), длительно незаживающие трофические язвы, ожоги II-III степени.
Противопоказания
Индивидуальная непереносимость беременность и лактация угнетение костномозгового кроветворения острая интермиттирующая порфирия дефицит глюкозо-6-фосфатдегидрогеназы печеночная почечная недостаточность заболевания кожи (грибковые заболевания псориаз экзема) период новорожденности (до 4 недель).
Антибиотик широкого спектра действия. Механизм противомикробного действия связан с нарушением синтеза белка в микробной клетке на стадии переноса аминокислот т-РНК на рибосомы. Оказывает бактериостатическое действие. Активен в отношении грамположительных бактерий: Staphylococcus spp., Streptococcus spp.; грамотрицательных бактерий: Neisseria gonorrhoeae, Neisseria meningitidis, Escherichia coli, Haemophilus influenzae, Salmonella spp., Shigella spp., Klebsiella spp., Serratia spp., Yersinia spp., Proteus spp., Rickettsia spp.; активен также в отношении Spirochaetaceae, некоторых крупных вирусов.
Хлорамфеникол активен в отношении штаммов, устойчивых к пенициллину, стрептомицину, сульфаниламидам.
Устойчивость микроорганизмов к хлорамфениколу развивается относительно медленно.
Показания к применению
Для наружного применения: во второй фазе раневого процесса (отсутствие гноя, некротических тканей), длительно незаживающие трофические язвы, ожоги II-III степени.
Противопоказания
Индивидуальная непереносимость беременность и лактация угнетение костномозгового кроветворения острая интермиттирующая порфирия дефицит глюкозо-6-фосфатдегидрогеназы печеночная почечная недостаточность заболевания кожи (грибковые заболевания псориаз экзема) период новорожденности (до 4 недель).
С осторожностью
Ранний детский возраст; проводимое ранее лечение цитостатическими препаратами или лучевая терапия.
Применение при беременности и в период грудного вскармливания
При местном применении возможна системная абсорбция. В связи с этим кормящим женщинам следует прекратить либо грудное вскармливание либо применение препарата. Противопоказан к применению при беременности.
Способ применения и дозы
Наружно. Поврежденные участки обрабатывают ватным тампоном смоченным в растворе несколько раз в сутки.
Побочное действие
Аллергические реакции: кожная сыпь ангионевротический отек.
Со стороны органов кроветворения: редко - тромбоцитопения ретикулоцитопения лейкопения ранулоцитопения эритропения апластическая анемия агранулоцитоз.
Передозировка
Может возникнуть при случайном приеме препарата внутрь.
Симптомы: "серый синдром" (кардиоваскулярный синдром) у недоношенных и новорожденных при лечении высокими дозами (причиной развития является накопление хлорамфеникола обусловленное незрелостью ферментов печени и его прямое токсическое действие на миокард) - голубовато-серый цвет кожи пониженная температура тела неритмичное дыхание отсутствие реакций сердечно-сосудистая недостаточность (летальность достигает 40 %).
Лечение: гемосорбция симптоматическая терапия.
Взаимодействие с другими лекарственными средствами
При одновременном применении с эритромицином клиндамицином линкомицином отмечается взаимное ослабление действия за счет того что хлорамфеникол может вытеснять эти препараты из связанного состояния или препятствовать их связыванию с субъединицей 50S бактериальных рибосом.
Снижает антибактериальный эффект пенициллинов и цефалоспоринов.
Лекарственные средства угнетающие костномозговое кроветворение увеличивают риск миелбсупрессии.
Особые указания
В процессе лечения необходим систематический контроль картины периферической крови. С осторожностью назначают пациентам получившим ранее лечение цитостатическими препаратами или лучевую терапию. При одновременном приеме этанола возможно развитие дисульфирамоподобной реакции (гиперемия кожных покровов тахикардия тошнота рвота рефлекторный кашель судороги).
Влияние на способность управлять автомобилем и движущимися механизмами
Препарат не влияет на скорость нервно-мышечной проводимости в рекомендованных дозах его можно применять лицам управляющим транспортными средствами и другими механизмами.
Форма выпуска
Раствор для наружного применения спиртовой 1%
Условия хранения
В защищенном от света месте 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
Производитель
ЗАО "Производственная фармацевтическая компания Обновление" (ЗАО "ПФК Обновление")
Организация, принимающая претензии потребителей
ЗАО "ПФК Обновление"
Для описания товара использована информация от партнера 36.6
Мобильное приложение «Все аптеки»
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