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Препарат Форлакс можно принимать в период грудного вскармливания."}},{"type":"paragraph","data":{"text":"Фертильность"}},{"type":"paragraph","data":{"text":"Исследования влияния препарата Форлакс на фертильность не проводились, однако, поскольку макрогол 4000 всасывается незначительно, его влияние на фертильность не ожидается."}}]},{"id":12,"name":"Способ применения и дозы","slug":"dosage","body":[{"type":"paragraph","data":{"text":"Внутрь, содержимое 1 - 2 пакетов (предпочтительно в виде однократного приема по утрам) или по 1 пакету (утром и вечером) в случае приема 2-х пакетов в день."}},{"type":"paragraph","data":{"text":"Ежедневная доза должна адаптироваться в соответствии с клиническим эффектом и может варьировать от 1 пакета каждый день (особенно у детей) до 2 пакетов в день."}},{"type":"paragraph","data":{"text":"Содержимое каждого пакета следует растворить в стакане воде непосредственно перед приемом."}},{"type":"paragraph","data":{"text":"Эффект от приема Форлакса® выражен в течение 24 - 48 часов после приема препарата."}},{"type":"paragraph","data":{"text":"Рекомендуемый курс лечения для детей и взрослых - 3 месяца."}},{"type":"paragraph","data":{"text":"У детей лечение не должно превышать 3 месяца в связи с недостаточностью клинических данных."}},{"type":"paragraph","data":{"text":"Поддержание эффекта после восстановления нормальной работы кишечника следует осуществлять с помощью активного образа жизни и диеты, богатой растительной клетчаткой."}},{"type":"paragraph","data":{"text":"Если симптомы запора сохраняются более 3-х месяцев, необходимо провести повторное расширенное диагностические обследование."}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"У взрослых."}},{"type":"paragraph","data":{"text":"Побочные действия, наблюдаемые при проведении клинических исследований на 600 пациентах, имели транзиторный характер, наблюдались со следующей частотой и касались, в основном желудочно-кишечного тракта:"}},{"type":"paragraph","data":{"text":"- частые побочные действия (более 1/100, менее 1/10): вздутие живота и/или боль, тошнота, диарея;"}},{"type":"paragraph","data":{"text":"- редко встречающиеся побочные действия (более 1/1000, менее 1/100): рвота, неотложный позыв на дефекацию и недержание кала."}},{"type":"paragraph","data":{"text":"Дополнительная информация, полученная из постмаркетинговых наблюдений, включала: очень редко (менее 1/10000) случаи гиперчувствительности: кожный зуд, крапивница, преходящая (транзиторная) сыпь, отек лица, отек Квинке и отдельные случаи анафилактического шока."}},{"type":"paragraph","data":{"text":"Неизвестна частота возникновения диареи, приводящей к расстройству электролитного баланса (гипонатриемия, гипокалиемия) и/или обезвоживанию, особенно у взрослых пациентов."}},{"type":"paragraph","data":{"text":"У детей."}},{"type":"paragraph","data":{"text":"Побочные действия, касающиеся желудочно-кишечного тракта, были минимальны и носили преходящий характер в клинических исследованиях при участии 147 детей в возрасте от 6 месяцев до 15 лет, выявлялись со следующей частотой:"}},{"type":"paragraph","data":{"text":"Расстройства желудочно-кишечного тракта:"}},{"type":"paragraph","data":{"text":"- частые побочные действия (более 1/100, менее 1/10): диарея и абдоминальные боли,"}},{"type":"paragraph","data":{"text":"- редко встречающиеся побочные действия (более 1/1000, менее 1/100): метеоризм, тошнота и рвота."}},{"type":"paragraph","data":{"text":"- побочные действия, которые не могут быть оценены на основе имеющихся данных: реакции гиперчувствительности."}},{"type":"paragraph","data":{"text":"Диарея может быть причиной болезненных ощущений в перианальной области."}}]},{"id":14,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"Передозировка препарата приводит к диарее с последующим исчезновением после уменьшения дозы или прекращения лечения."}},{"type":"paragraph","data":{"text":"Избыточная потеря жидкости при диарее или рвоте может требовать коррекции электролитных нарушений."}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"Не описаны. Возможно замедление абсорбции лекарственных средств, принимаемых одновременно с Форлаксом. Поэтому рекомендуется назначать Форлакс спустя, по меньшей мере, 2 ч после назначения других препаратов."}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"Органические расстройства желудочно-кишечного тракта должны быть исключены до начала терапии."}},{"type":"paragraph","data":{"text":"Предупреждение."}},{"type":"paragraph","data":{"text":"Лечение запоров с помощью лекарственных препаратов рекомендовано только как вспомогательное средство к здоровому образу жизни и диете, например:"}},{"type":"paragraph","data":{"text":"- увеличение потребления жидкостей и клетчатки,"}},{"type":"paragraph","data":{"text":"- адекватная физическая активность, которая способствует восстановлению моторики пищеварительного тракта."}},{"type":"paragraph","data":{"text":"В случае развития диареи с особой осторожностью следует относиться к пациентам, предрасположенным к нарушению водно-электролитного баланса (например, у пожилых пациентов, у пациентов с нарушением функции печени или почек, или пациентов, принимающих диуретики) и необходимо проводить электролитный контроль."}},{"type":"paragraph","data":{"text":"Форлакс не содержит значительных количеств углеводов и/или полиолов (сахарных спиртов) и может применяться у больных сахарным диабетом или у пациентов, из рациона которых исключена"}},{"type":"paragraph","data":{"text":"галактоза."}},{"type":"paragraph","data":{"text":"Особые предупреждения."}},{"type":"paragraph","data":{"text":"Были зарегистрированы очень редкие случаи гиперчувствительности (включающие сыпь, крапивницу, отек) при приеме препаратов, содержащих"}},{"type":"paragraph","data":{"text":"макрогол (полиэтиленгликоль). В исключительных случаях наблюдался анафилактический шок."}},{"type":"paragraph","data":{"text":"Из-за присутствия сорбитола, пациентам с врожденной непереносимостью фруктозы не следует принимать этот препарат."}},{"type":"paragraph","data":{"text":"Из-за присутствия серы диоксида в редких случаях возможно возникновение серьезных аллергических реакций и бронхоспазма."}},{"type":"paragraph","data":{"text":"Сообщалось о случаях аспирации, когда большой объем макрогола и электролитов вводился с помощью назогастрального зонда."}},{"type":"paragraph","data":{"text":"Дети с неврологическими нарушениями, у которых есть нарушение глотания, подвержены риску аспирации."}}]},{"id":17,"name":"Влияние на способность управлять автомобилем и движущимися механизмами","slug":"","body":[{"type":"paragraph","data":{"text":"Не влияет на способность управлять автотранспортом и механизмами."}}]},{"id":18,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"Порошок для приготовления раствора для приема внутрь 10 г."}}]},{"id":19,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"При температуре не выше 30 °С, в недоступном для детей месте."}}]},{"id":20,"name":"Срок годности","slug":"expiry_date","body":[{"type":"paragraph","data":{"text":"3 года."}},{"type":"paragraph","data":{"text":"Не использовать по истечении срока годности, указанного на упаковке."}}]},{"id":21,"name":"Условия отпуска","slug":"release_condition","body":[{"type":"paragraph","data":{"text":"Без рецепта"}}]},{"id":22,"name":"Производитель","slug":"","body":[{"type":"paragraph","data":{"text":"ИПСЕН ФАРМА"}}]},{"id":23,"name":"Организация, принимающая претензии потребителей","body":[{"type":"paragraph","data":{"text":"ИПСЕН ФАРМА"}}]}],"source":null},"description_toggle":false,"short_description":"Большая молекулярная масса макрогола 4000 обусловлена длинными линейными полимерами, которые удерживают молекулы воды посредством водородных связей. Благодаря этому после перорального приема препарата увеличивается объем кишечного содержимого. Объем неабсорбированной жидкости, находящейся в просвете кишечника, поддерживает слабительное действие раствора. 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