Фортранс Порошок, пакеты, 4 шт, 64 г, для взрослых

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После приема внутрь препарат увеличивает объем жидкости в кишечнике. Объем неабсорбированной содержащейся в кишечнике жидкости обеспечивает слабительное действие раствора препарата."}},{"type":"paragraph","data":{"text":"Входящие в состав препарата электролиты обеспечивают поддержание состава плазмы крови. Концентрация электролитов в растворе препарата Фортранс такова, что электролитный обмен между содержимым кишечника и плазмой крови практически сводится к нулю. Таким образом, присутствие электролитов в препарате Фортранс препятствует их потере из организма при прохождении большого количества жидкости через желудочно-кишечный тракт на фоне применения препарата."}},{"type":"paragraph","data":{"text":"Фармакокинетика"}},{"type":"paragraph","data":{"text":"Раствор, приготовленный при растворении 1 пакетика препарата в 1 л воды, по составу электролитов изотоничен и изоосмотичен содержимому толстой кишки."}},{"type":"paragraph","data":{"text":"Результаты фармакокинетических исследований подтверждают отсутствие абсорбции и биотрансформации Макрогола 4000 после приема внутрь.\n\n"}}]},{"id":8,"name":"Показания к применению","slug":"indications","body":[{"type":"paragraph","data":{"text":"Очищение толстой кишки при подготовке пациента к: эндоскопическому или рентгенологическому исследованию толстой кишки, оперативным вмешательствам, требующим отсутствия содержимого в толстой кишке."}}]},{"id":9,"name":"Противопоказания","slug":"contraindications","body":[{"type":"paragraph","data":{"text":"\n\n• повышенная чувствительность к действующим веществам или любому другому компоненту препарата;"}},{"type":"paragraph","data":{"text":"• тяжелое общее состояние пациента, например дегидратация или тяжелая сердечная недостаточность;"}},{"type":"paragraph","data":{"text":"• язва желудка;"}},{"type":"paragraph","data":{"text":"• распространенная злокачественная опухоль или другое заболевание толстой кишки, сопровождающееся обширным поражением слизистой оболочки кишечника;"}},{"type":"paragraph","data":{"text":"• желудочно-кишечная непроходимость;"}},{"type":"paragraph","data":{"text":"• обструкция желудочно-кишечного тракта;"}},{"type":"paragraph","data":{"text":"• перфорация или риск перфорации желудочно-кишечного тракта;"}},{"type":"paragraph","data":{"text":"• нарушения опорожнения желудка (в том числе, гастропарез);"}},{"type":"paragraph","data":{"text":"• токсический колит или токсический мегаколон;"}},{"type":"paragraph","data":{"text":"• детский возраст до 18 лет (эффективность и безопасность не установлена у данной популяции).\n\n"}}]},{"id":10,"name":"С осторожностью","slug":"cautions","body":[{"type":"paragraph","data":{"text":"При нарушении функции почек, сердечной недостаточности, у пациентов с сопутствующей мочегонной терапией; у пациентов, склонных к развитию водно- электролитного дисбаланса, включая гипонатриемию и гипокалиемию; у пациентов с неврологическими нарушениями, у лежачих пациентов и/или у пациентов с нарушением двигательных функций, у пациентов со склонностью к аспирации, и/или находящихся в полу/бессознательном состоянии (см. раздел «Особые указания»)."}}]},{"id":11,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","body":[{"type":"paragraph","data":{"text":"\n\nБеременность"}},{"type":"paragraph","data":{"text":"Опыт применения препарата Фортранс у беременных ограничен. Данные доклинических исследований репродуктивной токсичности недостаточны. Препарат может применяться в период беременности только после тщательной оценки соотношения риска для плода и пользы для матери."}},{"type":"paragraph","data":{"text":"Период грудного вскармливания"}},{"type":"paragraph","data":{"text":"Опыт применения препарата Фортранс в период грудного вскармливания ограничен. Неизвестно, выделяется ли Макрогол 4000 в грудное молоко. Нельзя исключить риск для новорожденного/младенца."}},{"type":"paragraph","data":{"text":"Препарат может применяться в период грудного вскармливания только, если полученная польза для матери превышает возможный риск для младенца."}},{"type":"paragraph","data":{"text":"Фертильность"}},{"type":"paragraph","data":{"text":"Данных о влиянии препарата Фортранс на фертильность нет.\n\n"}}]},{"id":12,"name":"Способ применения и дозы","slug":"dosage","body":[{"type":"paragraph","data":{"text":"\n\nПрепарат можно применять только у взрослых пациентов."}},{"type":"paragraph","data":{"text":"Препарат предназначен для приема внутрь."}},{"type":"paragraph","data":{"text":"Приготовление раствора препарата: содержимое одного пакетика высыпать в 1 л воды и хорошо размешать до полного растворения. Полученный раствор должен быть прозрачным и бесцветным. Аналогичным образом готовят необходимое количество раствора (3-4 л), используя только целые (неразорванные) пакетики. Для получения 4 л раствора препарата Фортранс необходимо растворить содержимое 4 пакетиков в 4 л воды."}},{"type":"paragraph","data":{"text":"Для улучшения вкуса раствор лучше принимать охлажденным."}},{"type":"paragraph","data":{"text":"Рекомендуемая доза составляет 1 пакетик/1 л раствора на 15-20 кг массы тела пациента или, в среднем, от 3 до 4 л полученного раствора."}},{"type":"paragraph","data":{"text":"Рекомендуется выпивать по одному полному стакану (250 мл) полученного раствора препарата каждые 15 мин до полного употребления приготовленного объема раствора. Обычно прием препарата занимает 4-6 часов. Полную дозу можно разделить на два приема (2 л вечером и от 1 до 2 л на следующее утро). Обычно рекомендуется последний прием препарата завершить не позднее, чем за 3 ч до проведения обследования или хирургического вмешательства. При однократном приеме полной дозы 3-4 л раствора принимают вечером накануне назначенной процедуры."}},{"type":"paragraph","data":{"text":"При введении препарата через желудочный зонд скорость введения должна составлять 15-20 мл в мин."}},{"type":"paragraph","data":{"text":"Фортранс предназначен для очищения желудочно-кишечного тракта и способствует эвакуации содержимого кишечника как при диарее. Первый жидкий стул должен появиться в течение 1-2 часов после начала процедуры."}},{"type":"paragraph","data":{"text":"Особенности применения у отдельных групп пациентов"}},{"type":"paragraph","data":{"text":"Пациенты с нарушениями функций почек"}},{"type":"paragraph","data":{"text":"Необходимо соблюдать предосторожности при приеме данного препарата у пациентов с измененной функцией почек."}},{"type":"paragraph","data":{"text":"Пожилые пациенты"}},{"type":"paragraph","data":{"text":"Изменение дозы не требуется.\n\n"}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"Со стороны пищеварительной системы: возможно - тошнота и рвота в начале приема, которые прекращались при продолжении приема, вздутие живота."}},{"type":"paragraph","data":{"text":"Аллергические реакции: очень редко - кожная сыпь, отек; в единичных случаях - анафилактический шок."}}]},{"id":14,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"  Опыт лечения передозировки препаратом Фортранс ограничен. При передозировке могут наблюдаться тошнота, рвота, диарея и электролитный дисбаланс. Для лечения симптомов передозировки рекомендуется симптоматическая терапия, в том числе, прием жидкости внутрь. В редких случаях передозировки, сопровождающейся тяжелыми метаболическими нарушениями, рекомендуется проведение внутривенной регидратации.  "}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"  Диарея, вызванная приемом препарата Фортранс вероятно, может привести к нарушению абсорбции других одновременно принимаемых препаратов. Эффективность препаратов, имеющих узкий терапевтический индекс или короткий период полувыведения, может быть снижена. В связи с этим, врач, назначающий Фортранс, должен быть проинформирован обо всех одновременно принимаемых пациентом препаратах.  "}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"\n\nЛицам пожилого возраста, имеющим слабое состояние здоровья, рекомендуется применять препарат только под наблюдением медицинского персонала."}},{"type":"paragraph","data":{"text":"Нужно избегать приема твердой пищи, по крайней мере, за два часа до применения препарата Фортранс и до окончания обследования. Допускается прием таких напитков, как чай, кофе (без молока) и других безалкогольных напитков."}},{"type":"paragraph","data":{"text":"Пациент должен выдерживать интервал не менее 1 часа между приемом препарата Фортранс и других лекарственных препаратов."}},{"type":"paragraph","data":{"text":"Препарат содержит Макрогол 4000 (полиэтиленгликоль). Аллергические реакции (анафилактический шок, ангионевротический отек, крапивница, высыпания на коже) были зарегистрированы после назначения препаратов, содержащих полиэтиленгликоль."}},{"type":"paragraph","data":{"text":"Необходимо соблюдать осторожность при назначении препарата Фортранс пациентам с воспалением слизистой оболочки кишечника, в том числе, прямой кишки."}},{"type":"paragraph","data":{"text":"Препарат должен применяться с осторожностью и только под наблюдением медицинского персонала у пациентов со склонностью к аспирации, у лежачих пациентов, у пациентов с неврологическими нарушениями и/или у пациентов с нарушением двигательных функций из-за риска развития аспирационной пневмонии. Таким пациентам препарат вводят в состоянии «сидя» и через назогастральный зонд."}},{"type":"paragraph","data":{"text":"Пациентов, находящихся в полу/бессознательном состоянии, необходимо тщательно мониторировать во время применения препарата. При появлении симптомов боли или вздутия живота следует уменьшить скорость введения препарата или приостановить применение до момента исчезновения этих симптомов."}},{"type":"paragraph","data":{"text":"Благодаря изотоническому составу препарата Фортранс, у пациентов не ожидается развития электролитного дисбаланса после его приема, за исключением пациентов из группы риска расстройства водно-электролитного баланса. Пациентам с нарушениями водно-электролитного баланса необходимо провести соответствующую терапию для их устранения перед проведением процедуры очищения кишечника. Препарат следует применять с осторожностью у пациентов, склонных к развитию водно-электролитного дисбаланса, включая гипонатриемию и гипокалиемию, а также у пациентов, у которых риск развития побочных эффектов выше (у пациентов с нарушенной функцией почек, с сердечной недостаточностью или у пациентов с сопутствующей мочегонной терапией). Применение препарата у таких пациентов нужно тщательно мониторировать."}},{"type":"paragraph","data":{"text":"Особую осторожность необходимо соблюдать у пациентов с сердечной и почечной недостаточностью, так как в связи с перегрузкой жидкостью у них существует риск развития острого отека легких. Опыт медицинского применения препарата у пациентов с нарушениями функций почек ограничен."}},{"type":"paragraph","data":{"text":"Эффективность и безопасность препарата Фортранс у детей в возрасте до 18 лет не установлена.\n\n"}}]},{"id":17,"name":"Влияние на способность управлять автомобилем и движущимися механизмами","slug":"","body":[{"type":"paragraph","data":{"text":"\n\nНе установлено."}},{"type":"paragraph","data":{"text":"Однако, учитывая фармакологическое действие препарата и возможность проявления нежелательных реакций, следует соблюдать осторожность при управлении автомобилем и работе с механизмами.\n\n"}}]},{"id":18,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"\n\nПорошок для приготовления раствора для приема внутрь 64 г."}},{"type":"paragraph","data":{"text":"По 73,69 г препарата помещают в пакетики из бумаги, ламинированной алюминиевой фольгой и полиэтиленом. 4 пакетика вместе с инструкцией помещают в картонную пачку.\n\n"}}]},{"id":19,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"\n\nПри температуре не выше 30°С."}},{"type":"paragraph","data":{"text":"Хранить в недоступном для детей месте.\n\n"}}]},{"id":20,"name":"Срок годности","slug":"expiry_date","body":[{"type":"paragraph","data":{"text":"\n\n3 года."}},{"type":"paragraph","data":{"text":"Не применять по истечении срока годности, указанного на упаковке.\n\n"}}]},{"id":21,"name":"Условия отпуска","slug":"release_condition","body":[{"type":"paragraph","data":{"text":"Отпускают без рецепта."}}]},{"id":22,"name":"Производитель","slug":"","body":[{"type":"paragraph","data":{"text":"Бофур Ипсен Индастри (адрес: Франция, 28100, Дре)."}},{"type":"paragraph","data":{"text":"В случае необходимости претензии потребителей направлять в адрес представительства фирмы в РФ:"}},{"type":"paragraph","data":{"text":"109147, Москва, ул. Таганская, 19"}}]}],"source":null},"description_toggle":false,"short_description":"Фармакодинамика Фортранс представляет собой осмотическое слабительное средство, в состав которого входят Макрогол 4000 (полиэтиленгликоль) и электролиты (натрий, калий, бикарбонат и хлориды). Высокомолекулярное соединение Макрогол 4000 представляет собой длинные линейные полимеры, которые с помощью водородных связей способны удерживать молекулы воды. После приема внутрь препарат увеличивает объем жидкости в кишечнике. Объем неабсорбированной содержащейся в кишечнике жидкости обеспечивает слабительное действие раствора препарата. Входящие в состав препарата электролиты обеспечивают поддержание состава плазмы крови. Концентрация электролитов в растворе препарата Фортранс такова, что электролитный обмен между содержимым кишечника и плазмой крови практически сводится к нулю. Таким образом, присутствие электролитов в препарате Фортранс препятствует их потере из организма при прохождении большого количества жидкости через желудочно-кишечный тракт на фоне применения препарата. Фармакокинетика Раствор, приготовленный при растворении 1 пакетика препарата в 1 л воды, по составу электролитов изотоничен и изоосмотичен содержимому толстой кишки. Результаты фармакокинетических исследований подтверждают отсутствие абсорбции и биотрансформации Макрогола 4000 после приема внутрь.","substance":[{"id":362,"title":"Макрогол","title_latin":"Macrogolum","slug":"makrogol_362"}],"branding":null,"valid_for_quick_buy":true,"is_available_to_delivery":false,"comments":{"count":71,"url":"/review/1584-fortrans/"},"image_alt":"Фортранс - фото упаковки","image_share":{"isTouch":{"default":"https://vseapteki.ru/cropping/thumbnails/101/50200/share_default/"},"isFromTablet":{"default":"https://vseapteki.ru/cropping/thumbnails/101/50200/share_default/"}},"diseases":[{"id":"1400","title":"Подготовительные процедуры для последующего лечения или обследования, не классифицированные в других 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