Фармакологическое действие — сосудорасширяющее, антиагрегаци... Инструкция
Показания к применению
нарушение периферического кровообращения на фоне атеросклеротических, диабетических и воспалительных процессов (в т.ч. при перемежающейся хромоте, обусловленной атеросклерозом, диабетической ангиопатией, облитерирующим эндартериитом);трофические нарушения тканей вследствие нарушения артериальной или венозной микроциркуляции (варикозные язвы, гангрена, ...
повышенная чувствительность к пентоксифиллину и веществам из группы ксантиновых производных;выраженный коронарный или церебральный атеросклероз;острый инфаркт миокарда;выраженные нарушения ритма сердца;неконтролируемая артериальная гипотензия;порфирия;массивное кровотечение;кровоизлияние в сетчатку глаза;острый геморрагический инсульт;беременность;период ...
Фармакологическое действие — сосудорасширяющее, антиагрегационное, улучшающее микроциркуляцию.
Показания к применению
нарушение периферического кровообращения на фоне атеросклеротических, диабетических и воспалительных процессов (в т.ч. при перемежающейся хромоте, обусловленной атеросклерозом, диабетической ангиопатией, облитерирующим эндартериитом);трофические нарушения тканей вследствие нарушения артериальной или венозной микроциркуляции (варикозные язвы, гангрена, отморожения);ангионейропатия (парестезия, акроцианоз, болезнь Рейно);острое и хроническое нарушение мозгового кровообращения ишемического генеза (в т.ч. при церебральном атеросклерозе);состояния после геморрагического или ишемического инсульта;нарушение кровообращения в сосудах глаза (острая и хроническая недостаточность кровообращения сетчатой и сосудистой оболочек глаза);нарушение функции среднего уха сосудистого генеза, сопровождающееся тугоухостью.
Противопоказания
повышенная чувствительность к пентоксифиллину и веществам из группы ксантиновых производных;выраженный коронарный или церебральный атеросклероз;острый инфаркт миокарда;выраженные нарушения ритма сердца;неконтролируемая артериальная гипотензия;порфирия;массивное кровотечение;кровоизлияние в сетчатку глаза;острый геморрагический инсульт;беременность;период лактации;возраст до 18 лет (эффективность и безопасность не установлены).С осторожностью: больным с лабильным АД, склонностью к артериальной гипотензии, хронической сердечной недостаточности, склонностью к геморрагиям, при состоянии после недавно перенесенных оперативных вмешательств, печеночной и/или почечной недостаточности.
Применение при беременности и в период грудного вскармливания
Противопоказано при беременности. На время лечения следует прекратить грудное вскармливание.
Способ применения и дозы
В/в, внутриартериально, в/м.При проведении инфузий больной должен находиться в положении «лежа».В/в, капельно в течение 1,5–3 ч. 100 мг (1 ампула) растворить в 250–500 мл 0,9% раствора натрия хлорида или 5% раствора декстрозы (глюкозы). При хорошей переносимости дозу можно увеличить на 100 мг в сутки. Максимальная суточная доза— 300 мг.ВнутриартериальноВначале 100 мг препарата растворить в 20–50 мл 0,9% раствора натрия хлорида, в последующие дни— по 200–300 мг в 30–50 мл растворителя. Вводят со скоростью 100 мг (5 мл 2% раствора препарата) в течение 10 мин. При выраженном атеросклерозе сосудов головного мозга нельзя вводить в сонную артерию.Больным с хронической почечной недостаточностью (Cl креатинина— менее 10 мл/мин) вводят 50–70% от обычной дозы.В/м по 100 мг (1 ампула) 1–2 раза в сутки.
Побочное действие
Со стороны ЦНС: головная боль, головокружение, тревожность, нарушения сна, судороги.Со стороны сердечно-сосудистой системы: тахикардия, аритмия, кардиалгии, редко— прогрессирование симптомов стенокардии, снижение АД.Со стороны кожных покровов: гиперемия кожи лица, приливы крови к лицу и верхней части грудной клетки, отеки, повышенная ломкость ногтей. Со стороны пищеварительного тракта: тошнота, рвота, чувство тяжести в желудке, снижение аппетита, атония кишечника, обострение холецистита, холестатический гепатит, кровотечение из слизистых оболочек желудка, кишечника.Со стороны органов чувств: нарушение зрения, скотома.Со стороны системы гемостаза и органов кроветворения: тромбоцитопения, лейкопения, панцитопения, гипофибриногенемия; кровотечения из сосудов кожи.Аллергические реакции: редко— зуд, гиперемия кожи, крапивница, ангионевротический отек, анафилактический шок.Лабораторные показатели: повышение активности печеночных трансаминаз— АЛТ, АСТ, ЛДГ и ЩФ.
Передозировка
Симптомы: слабость, головокружение, выраженное снижение артериального давления, обморочное состояние, тахикардия, сонливость, потеря сознания, тонико-клонические судороги, повышенная нервная возбудимость, гипертермия, арефлексия, признаки желудочно-кишечного кровотечения (рвота типа «кофейной гущи»).Лечение: симптоматическое, направленное на поддержание функции дыхания и АД.
Взаимодействие с другими лекарственными средствами
Пентоксифиллин может усиливать действие ЛС, влияющих на свертывающую систему крови (непрямые и прямые антикоагулянты, тромболитики), антибиотиков (в т.ч. цефалоспоринов— цефамандола, цефоперазона, цефотетана), вальпроевой кислоты.Увеличивает эффективность гипотензивных средств, инсулина и пероральных гипогликемических средств.Циметидин повышает концентрацию пентоксифиллина в плазме и риск возникновения побочных эффектов.Совместное назначение с другими ксантинами может приводить к чрезмерному нервному возбуждению.
Условия хранения
В сухом месте, при температуре 10–25°C. Хранить в недоступном для детей месте.
Срок годности
3 года. Не применять по истечении срока годности, указанного на упаковке.2000-2017. Регистр лекарственных средств России
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