Средство оказывает анальгезирующее, корректирующее действие... Инструкция
Показания к применению
для увеличения подвижности сустава и устранения боли, обусловленной
дегенеративно-дистрофическими или посттравматическими изменениями суставов; для реабилитации после артроскопии; для лечения пациентов, имеющих повышенные физические нагрузки и регулярно
нагружающих пораженный сустав.
Противопоказания
повышенная чувствительность к компонентам средства; наличие инфекции или повреждений кожного покрова в области инъекции;
Инструкция
Состав
Состав на 1 мл: натрия гиалуронат - 20,7-25,3 мг/мл (2,3 %), натрия хлорид - 8,55 мг/мл,
натрия гидрофосфата дигидрат - 0,33 мг/мл, натрия дигидрофосфата дигидрат - 0,060 мг/мл,
вода для инъекций - до 1 мл
Описание
Средство Армавискон Форте является протектором синовиальной жидкости сустава.
Применяется на фоне дегенеративных изменений поверхности синовиального хряща для
улучшения подвижности суставов, уменьшения болевого синдрома, снижения
воспалительных реакций и восстановления гомеостаза в хряще
Фармакологические свойства
Средство оказывает анальгезирующее, корректирующее действие на метаболизм костной
и хрящевой ткани.
Армавискон Форте представляет собой стерильный вязкий раствор натриевой соли
гиалуроновой кислоты (натрия гиалуроната) высокой степени очистки,
высокомолекулярный. Гиалуроновая кислота – необходимый компонент
экстрацеллюлярного матрикса, присутствует в высоких концентрациях в составе хряща и
синовиальной жидкости. Гиалуроновая кислота обеспечивает вязкость и эластичность
синовиальной жидкости, а также она необходима для формирования хряща. При
остеоартрозе отмечаются дефицит и качественные изменения гиалуроновой кислоты в
составе синовиальной жидкости и хряща. Внутрисуставное введение гиалуроновой
кислоты приводит к улучшению функционального состояния сустава. При использовании
средства Армавискон Форте при остеоартрозе коленного сустава отмечается улучшение
клинического течения остеоартроза до шести месяцев с момента применения,
наблюдается противовоспалительный и анальгетический эффект за счет восполнения
объема и восстановления вязкости и эластичности синовиальной жидкости, которая
заполняет полость сустава и выполняет роль внутрисуставной смазки. Она предотвращает
трение суставных поверхностей, что позволяет устранить болевые ощущения и
воспаление. А также защищает от преждевременного изнашивания и разрушения
гиалинового хряща, обеспечивает подвижность, имеет амортизационные способности
(гасит внешние удары, защищая компоненты сустава от повреждения).
Раствор натрия гиалуроната распределяется местно в полости сустава, где он подвергается
локальным преобразованиям, оказывая смазывающее действие.
Извлечение или замена средства неприменима, так как он неотделимо смешивается с
синовиальной жидкостью сустава.
Показания к применению
для увеличения подвижности сустава и устранения боли, обусловленной
дегенеративно-дистрофическими или посттравматическими изменениями суставов; для реабилитации после артроскопии; для лечения пациентов, имеющих повышенные физические нагрузки и регулярно
нагружающих пораженный сустав.
Противопоказания
повышенная чувствительность к компонентам средства; наличие инфекции или повреждений кожного покрова в области инъекции;
Применение при беременности и в период грудного вскармливания
Не рекомендуется применять средство при беременности и в период грудного
вскармливания по причине отсутствия клинических данных. Назначение средства во
время беременности и в период грудного вскармливания на усмотрение хирурга-ортопеда.
Способ применения и дозы
Внутрисуставно. В коленный сустав содержимое одного заполненного шприца - 3 мл
(69 мг). Необходима 1 инъекция на курс лечения по описанной ниже стандартной
методике. Обычно для коленного сустава используется игла 1,5 дюйма 21G, для других
суставов рекомендуется использовать иглу необходимого размера (от 17G до 22G) в
зависимости от сустава.
Методика введения
Средство должно вводиться только медицинским персоналом, прошедшим специальное
обучение. Режим введения в тазобедренный и др. суставы определяется врачом
индивидуально с учетом тяжести дегенеративных или травматических изменений в
суставе. Рекомендуется выполнять инъекции в тазобедренный и др. суставы под
ультразвуковым или рентгеноскопическим контролем. Средство перед применением
рекомендуется нагреть до комнатной температуры. Вводить средство следует точно в
полость сустава по стандартным методикам, учитывая анатомические особенности. Перед
введением средства следует удалить выпот из суставной сумки. Для удаления выпота и
введения средства может использоваться одна и та же игла, однократно введенная перед
аспирацией. При этом шприц со средством присоединяется к освобожденной от шприца
игле. Для подтверждения нахождения иглы в полости сустава следует аспирировать
доступное количество синовиальной жидкости перед медленным введением. Следует
соблюдать правила асептики и антисептики при выполнении процедуры. Введение
средства в полость сустава должно быть прекращено при появлении боли во время
инъекции. При введении иглы, особенно для осуществления инъекций в тазобедренный
сустав рекомендуется применение местной анестезии. Следует избегать попадания
воздуха в шприц.
Неиспользованное до конца средство не подлежит хранению.
Продолжительность терапевтического эффекта – до 6 месяцев. При необходимости
возможно проведение повторного курса инъекций после консультации с врачом.
Побочное действие
Возможно возникновение умеренной болезненности, отека, повышение температуры и
покраснение в области инъекции, увеличение содержания экссудата в полости сустава.
Вышеуказанные симптомы носят преходящий характер и обычно исчезают спустя 24 ч.
При возникновении указанных симптомов рекомендуется разгрузить пораженный сустав
и приложить лед.
Крайне редко могут наблюдаться аллергические реакции.
Особые указания
Натрия гиалуронат получен путем ферментации бактерий Streptococcus equi и тщательно
очищен. Тем не менее, врач должен учитывать потенциальный риск, связанный с
инъекционным введением любых биологических веществ.
Экстраартикулярное введение Армавискона Форте в капсулу сустава или синовиальные
ткани не допускается. Это может вызвать локальные побочные эффекты. Недопустимо
попадание средства в кровеносные сосуды.
В течение первых 2 суток после проведения процедуры рекомендуется не перегружать
сустав, особенно следует избегать длительной нагрузки.
Армавискон Форте не влияет на способность человека управлять автотранспортом,
заниматься другими потенциально опасными видами деятельности, требующими
повышенной концентрации внимания и быстроты психомоторных реакций.
Больным с воспалительными заболеваниями, в частности, с болезнью Бехтерева и
ревматоидным артритом, Армавискон Форте не назначают.
Не предназначен для детей.
Только для однократного применения.
В комплект может входить 2 иглы инъекционных одноразовых стерильных для
возможности выбора врачом иглы необходимого размера в зависимости от сустава, в
который будет вводиться средство.
Для безопасного использования и ликвидации использованных игл соблюдайте
общегосударственные и региональные правила и нормы.
Условия хранения
3 года.
Не применять после окончания срока годности!
Срок годности
Хранить при температуре от + 2 °С до + 25 °С.
Не замораживать.
Хранить в недоступном для детей месте.
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Мобильное приложение «Все аптеки»
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Информация предоставляется в справочных целях. Не занимайтесь самолечением. При первых признаках заболевания обратитесь к врачу.
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на 1 мл: натрия гиалуронат - 20,7-25,3 мг/мл (2,3 %), натрия хлорид - 8,55 мг/мл,\nнатрия гидрофосфата дигидрат - 0,33 мг/мл, натрия дигидрофосфата дигидрат - 0,060 мг/мл,\nвода для инъекций - до 1 мл"}}]},{"id":2,"name":"Описание","slug":"common_description","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Средство Армавискон Форте является протектором синовиальной жидкости сустава.\u003cbr /\u003e\nПрименяется на фоне дегенеративных изменений поверхности синовиального хряща для\nулучшения подвижности суставов, уменьшения болевого синдрома, снижения\nвоспалительных реакций и восстановления гомеостаза в хряще"}}]},{"id":3,"name":"Фармакологические свойства","slug":"pharmacologic_effects","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Средство оказывает анальгезирующее, корректирующее действие на метаболизм костной\nи хрящевой ткани.\u003cbr /\u003e\nАрмавискон Форте представляет собой стерильный вязкий раствор натриевой соли\nгиалуроновой кислоты (натрия гиалуроната) высокой степени очистки,\nвысокомолекулярный. Гиалуроновая кислота – необходимый компонент\nэкстрацеллюлярного матрикса, присутствует в высоких концентрациях в составе хряща и\nсиновиальной жидкости. Гиалуроновая кислота обеспечивает вязкость и эластичность\nсиновиальной жидкости, а также она необходима для формирования хряща. При\nостеоартрозе отмечаются дефицит и качественные изменения гиалуроновой кислоты в\nсоставе синовиальной жидкости и хряща. Внутрисуставное введение гиалуроновой\nкислоты приводит к улучшению функционального состояния сустава. При использовании\nсредства Армавискон Форте при остеоартрозе коленного сустава отмечается улучшение\nклинического течения остеоартроза до шести месяцев с момента применения,\nнаблюдается противовоспалительный и анальгетический эффект за счет восполнения\nобъема и восстановления вязкости и эластичности синовиальной жидкости, которая\nзаполняет полость сустава и выполняет роль внутрисуставной смазки. \u003cbr /\u003eОна предотвращает\nтрение суставных поверхностей, что позволяет устранить болевые ощущения и\nвоспаление. А также защищает от преждевременного изнашивания и разрушения\nгиалинового хряща, обеспечивает подвижность, имеет амортизационные способности\n(гасит внешние удары, защищая компоненты сустава от повреждения).\nРаствор натрия гиалуроната распределяется местно в полости сустава, где он подвергается\nлокальным преобразованиям, оказывая смазывающее действие.\nИзвлечение или замена средства неприменима, так как он неотделимо смешивается с\nсиновиальной жидкостью сустава."}}]},{"id":4,"name":"Показания к применению","slug":"indications","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"для увеличения подвижности сустава и устранения боли, обусловленной\nдегенеративно-дистрофическими или посттравматическими изменениями суставов;\u003cbr\u003eдля реабилитации после артроскопии;\u003cbr\u003eдля лечения пациентов, имеющих повышенные физические нагрузки и регулярно\nнагружающих пораженный сустав."}}]},{"id":5,"name":"Противопоказания","slug":"contraindications","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"повышенная чувствительность к компонентам средства;\u003cbr\u003eналичие инфекции или повреждений кожного покрова в области инъекции;"}}]},{"id":6,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Не рекомендуется применять средство при беременности и в период грудного\nвскармливания по причине отсутствия клинических данных. Назначение средства во\nвремя беременности и в период грудного вскармливания на усмотрение хирурга-ортопеда."}}]},{"id":7,"name":"Способ применения и дозы","slug":"dosage","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Внутрисуставно. В коленный сустав содержимое одного заполненного шприца - 3 мл\n(69 мг). Необходима 1 инъекция на курс лечения по описанной ниже стандартной\nметодике. Обычно для коленного сустава используется игла 1,5 дюйма 21G, для других\nсуставов рекомендуется использовать иглу необходимого размера (от 17G до 22G) в\nзависимости от сустава.\u003cbr /\u003e\nМетодика введения\u003cbr /\u003e\nСредство должно вводиться только медицинским персоналом, прошедшим специальное\nобучение. Режим введения в тазобедренный и др. суставы определяется врачом\nиндивидуально с учетом тяжести дегенеративных или травматических изменений в\nсуставе. Рекомендуется выполнять инъекции в тазобедренный и др. суставы под\nультразвуковым или рентгеноскопическим контролем. Средство перед применением\nрекомендуется нагреть до комнатной температуры. Вводить средство следует точно в\nполость сустава по стандартным методикам, учитывая анатомические особенности. Перед\nвведением средства следует удалить выпот из суставной сумки. Для удаления выпота и\nвведения средства может использоваться одна и та же игла, однократно введенная перед\nаспирацией. При этом шприц со средством присоединяется к освобожденной от шприца\nигле. Для подтверждения нахождения иглы в полости сустава следует аспирировать\nдоступное количество синовиальной жидкости перед медленным введением. Следует\nсоблюдать правила асептики и антисептики при выполнении процедуры. Введение\nсредства в полость сустава должно быть прекращено при появлении боли во время\nинъекции. При введении иглы, особенно для осуществления инъекций в тазобедренный\nсустав рекомендуется применение местной анестезии. Следует избегать попадания\nвоздуха в шприц.\u003cbr /\u003e\nНеиспользованное до конца средство не подлежит хранению.\nПродолжительность терапевтического эффекта – до 6 месяцев. При необходимости\nвозможно проведение повторного курса инъекций после консультации с врачом."}}]},{"id":8,"name":"Побочное действие","slug":"side_effects","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Возможно возникновение умеренной болезненности, отека, повышение температуры и\nпокраснение в области инъекции, увеличение содержания экссудата в полости сустава.\u003cbr /\u003e\nВышеуказанные симптомы носят преходящий характер и обычно исчезают спустя 24 ч.\u003cbr /\u003e\nПри возникновении указанных симптомов рекомендуется разгрузить пораженный сустав\nи приложить лед.\u003cbr /\u003e\nКрайне редко могут наблюдаться аллергические реакции."}}]},{"id":9,"name":"Особые указания","slug":"cautions","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Натрия гиалуронат получен путем ферментации бактерий Streptococcus equi и тщательно\nочищен. Тем не менее, врач должен учитывать потенциальный риск, связанный с\nинъекционным введением любых биологических веществ.\nЭкстраартикулярное введение Армавискона Форте в капсулу сустава или синовиальные\nткани не допускается. Это может вызвать локальные побочные эффекты. Недопустимо\nпопадание средства в кровеносные сосуды.\nВ течение первых 2 суток после проведения процедуры рекомендуется не перегружать\nсустав, особенно следует избегать длительной нагрузки.\nАрмавискон Форте не влияет на способность человека управлять автотранспортом,\nзаниматься другими потенциально опасными видами деятельности, требующими\nповышенной концентрации внимания и быстроты психомоторных реакций.\u003cbr /\u003e\nБольным с воспалительными заболеваниями, в частности, с болезнью Бехтерева и\nревматоидным артритом, Армавискон Форте не назначают.\u003cbr /\u003e\nНе предназначен для детей.\u003cbr /\u003e\nТолько для однократного применения.\u003cbr /\u003e\nВ комплект может входить 2 иглы инъекционных одноразовых стерильных для\nвозможности выбора врачом иглы необходимого размера в зависимости от сустава, в\nкоторый будет вводиться средство.\u003cbr /\u003e\nДля безопасного использования и ликвидации использованных игл соблюдайте\nобщегосударственные и региональные правила и нормы."}}]},{"id":10,"name":"Условия хранения","slug":"storage","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"3 года.\u003cbr /\u003e\nНе применять после окончания срока годности!"}}]},{"id":11,"name":"Срок годности","slug":"expiry_date","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Хранить при температуре от + 2 °С до + 25 °С.\u003cbr /\u003e\nНе замораживать.\u003cbr /\u003e\nХранить в недоступном для детей месте."}}]}],"source":null},"description_toggle":false,"short_description":"Средство оказывает анальгезирующее, корректирующее действие на метаболизм костной и хрящевой ткани. Армавискон Форте представляет собой стерильный вязкий раствор натриевой соли гиалуроновой кислоты (натрия гиалуроната) высокой степени очистки, высокомолекулярный. Гиалуроновая кислота – необходимый компонент экстрацеллюлярного матрикса, присутствует в высоких концентрациях в составе хряща и синовиальной жидкости. Гиалуроновая кислота обеспечивает вязкость и эластичность синовиальной жидкости, а также она необходима для формирования хряща. При остеоартрозе отмечаются дефицит и качественные изменения гиалуроновой кислоты в составе синовиальной жидкости и хряща. Внутрисуставное введение гиалуроновой кислоты приводит к улучшению функционального состояния сустава. При использовании средства Армавискон Форте при остеоартрозе коленного сустава отмечается улучшение клинического течения остеоартроза до шести месяцев с момента применения, наблюдается противовоспалительный и анальгетический эффект за счет восполнения объема и восстановления вязкости и эластичности синовиальной жидкости, которая заполняет полость сустава и выполняет роль внутрисуставной смазки. Она предотвращает трение суставных поверхностей, что позволяет устранить болевые ощущения и воспаление. А также защищает от преждевременного изнашивания и разрушения гиалинового хряща, обеспечивает подвижность, имеет амортизационные способности (гасит внешние удары, защищая компоненты сустава от повреждения). Раствор натрия гиалуроната распределяется местно в полости сустава, где он подвергается локальным преобразованиям, оказывая смазывающее действие. 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