Симптоматическое лечение диспепсии, связанной с повышенной кислотностью желудочного сока и гастроэзофагеальным рефлюксом (изжога, кислая отрыжка), ощущение тяжести в желудке после приема пищи, в том числе в период беременности.
Противопоказания
Повышенная чувствительность к любому из компонентов препарата.
Инструкция
Регистрационный номер
ЛС-002445
Торговое название препарата
Гевискон
Лекарственная форма
таблетки жевательные [лимонные, мятные]
Состав
Одна таблетка жевательная содержит:
активные вещества: натрия алгинат 250 мг, натрия гидрокарбонат 133,5 мг, и кальция карбонат 80 мг; и вспомогательные вещества:
Круглые, плоские со скошенными краями таблетки, от почти белого до кремового цвета с небольшими вкраплениями, с лимонным или мятным запахом. На одной стороне таблетки: изображение круга и шпаги, па другой стороне: G 250.
Фармакотерапевтическая группа
средство лечения рефлюкс-эзофагита.
Фармакологические свойства
Фармакодинамика
При приёме внутрь Гевискон быстро реагирует с кислым содержимым желудка. При этом образуется гель альгината, имеющий почти нейтральное значение рН. Гель образует защитный барьер на поверхности содержимого желудка, препятствуя возникновению гастроэзофагеального рефлюкса. В случае регургитации гель попадает в пищевод, где он уменьшает раздражение слизистой оболочки.
Фармакокинетика
Механизм действия препарата Гевискон является физическим процессом и не зависит от всасывания в системный кровоток.
Показания к применению
Симптоматическое лечение диспепсии, связанной с повышенной кислотностью желудочного сока и гастроэзофагеальным рефлюксом (изжога, кислая отрыжка), ощущение тяжести в желудке после приема пищи, в том числе в период беременности.
Противопоказания
Повышенная чувствительность к любому из компонентов препарата.
Применение при беременности и в период грудного вскармливания
Открытые контролируемые исследования с участием 281 беременной женщины и накопленный опыт применения не продемонстрировали каких-либо значимых нежелательных эффектов препарата Гевискон на течение беременности или на здоровье плода и новорожденного ребёнка. Гевискон может применяться во время беременности и в период грудного вскармливания.
Способ применения и дозы
Внутрь после тщательного разжёвывания.
Взрослые и дети старше 12 лет: но 2 - 4 таблетки после приёмов пищи и перед сном.
Дети до 12 лет: по назначению врача.
Пациенты пожилого возраста: для этой возрастной группы изменения дозы не требуется.
Побочное действие
Возможны аллергические реакции (крапивница, бронхоспазм, анафилактические реакции).
Передозировка
Симптомы: Может отмечаться вздутие живота.
Лечение: симптоматическое.
Взаимодействие с другими лекарственными средствами
Так как кальция карбонат, входящий в состав препарата проявляет антацидную активность, то между приемом Гевискона и других препаратов должно пройти не менее 2 часов (особенно при одновременном приеме с блокаторами H2-гистаминовых рецепторов, антибиотиков из группы тетрациклина, дигоксина, фторхинолона, солей железа, кетоконазола, нейролептиков, тироксина, пеницилламина, бета-адреноблокаторов, глюкокортикостероидов, хлорохина и дифосфатов).
Особые указания
В дозе из четырёх таблеток содержание натрия составляет 246 мг (10,6 ммоль). Это следует учитывать при необходимости соблюдения диеты с очень ограниченным содержанием соли, например, в некоторых случаях застойной сердечной недостаточности и при нарушениях функции почек.
Каждая доза из четырех таблеток содержит 320 мг (3,2 ммоль) кальция карбоната. Необходимо проявлять осторожность при лечении пациентов с гиперкальцемией, нефрокальципозом и рецидивирующим образованием почечных камней, содержащих кальций. Из-за содержания в составе аспартама данный препарат не следует назначать пациентам с фенилкетонурией. Существует возможность снижения эффективности препарата у пациентов с очень низкими уровнями кислотности желудочного сока. Если после лечения в течение семи дней симптомы не исчезнут, то необходимо провести повторную оценку клинического состояния.
Влияние на способность управлять автомобилем и движущимися механизмами
Препарат не оказывает влияния на способность управлять автотранспортом и механизмами, а также на занятия другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты писихомоторных реакций.
Форма выпуска
Таблетки жевательные [лимонные, мятные].
По 8 таблеток в блистер из ПBX/Алюминиевой фольги. 1, 2, 3 или 4 блистера вкладываются в картонную пачку вместе с инструкцией по применению.
Но 16 или 20 таблеток в полипропиленовый контейнер с крышкой типа "flip top". Инструкция по медицинскому применению наклеивается на контейнер в виде складывающегося листка. 1 контейнер без вложения в пачку картонную.
ООО "Рекитт Беикизер Хэлскэр" Россия, 115114, г. Москва, Кожевническая ул., д. 14.
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мг.\n\n"}}]},{"id":5,"name":"Описание","slug":"common_description","body":[{"type":"paragraph","data":{"text":"Круглые, плоские со скошенными краями таблетки, от почти белого до кремового цвета с небольшими вкраплениями, с лимонным или мятным запахом. На одной стороне таблетки: изображение круга и шпаги, па другой стороне: G 250."}}]},{"id":6,"name":"Фармакотерапевтическая группа","slug":"","body":[{"type":"paragraph","data":{"text":"средство лечения рефлюкс-эзофагита."}}]},{"id":7,"name":"Фармакологические свойства","slug":"pharmacologic_effects","body":[{"type":"paragraph","data":{"text":"Фармакодинамика"}},{"type":"paragraph","data":{"text":" При приёме внутрь Гевискон быстро реагирует с кислым содержимым желудка. При этом образуется гель альгината, имеющий почти нейтральное значение рН. Гель образует защитный барьер на поверхности содержимого желудка, препятствуя возникновению гастроэзофагеального рефлюкса. В случае регургитации гель попадает в пищевод, где он уменьшает раздражение слизистой оболочки. "}},{"type":"paragraph","data":{"text":"Фармакокинетика"}},{"type":"paragraph","data":{"text":"Механизм действия препарата Гевискон является физическим процессом и не зависит от всасывания в системный кровоток."}}]},{"id":8,"name":"Показания к применению","slug":"indications","body":[{"type":"paragraph","data":{"text":"Симптоматическое лечение диспепсии, связанной с повышенной кислотностью желудочного сока и гастроэзофагеальным рефлюксом (изжога, кислая отрыжка), ощущение тяжести в желудке после приема пищи, в том числе в период беременности."}}]},{"id":9,"name":"Противопоказания","slug":"contraindications","body":[{"type":"paragraph","data":{"text":"Повышенная чувствительность к любому из компонентов препарата."}}]},{"id":11,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","body":[{"type":"paragraph","data":{"text":" Открытые контролируемые исследования с участием 281 беременной женщины и накопленный опыт применения не продемонстрировали каких-либо значимых нежелательных эффектов препарата Гевискон на течение беременности или на здоровье плода и новорожденного ребёнка. 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"}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"\n\nВ дозе из четырёх таблеток содержание натрия составляет 246 мг (10,6 ммоль). Это следует учитывать при необходимости соблюдения диеты с очень ограниченным содержанием соли, например, в некоторых случаях застойной сердечной недостаточности и при нарушениях функции почек."}},{"type":"paragraph","data":{"text":"Каждая доза из четырех таблеток содержит 320 мг (3,2 ммоль) кальция карбоната. Необходимо проявлять осторожность при лечении пациентов с гиперкальцемией, нефрокальципозом и рецидивирующим образованием почечных камней, содержащих кальций. Из-за содержания в составе аспартама данный препарат не следует назначать пациентам с фенилкетонурией. Существует возможность снижения эффективности препарата у пациентов с очень низкими уровнями кислотности желудочного сока. Если после лечения в течение семи дней симптомы не исчезнут, то необходимо провести повторную оценку клинического состояния.\n\n"}}]},{"id":17,"name":"Влияние на способность управлять автомобилем и движущимися механизмами","slug":"","body":[{"type":"paragraph","data":{"text":"Препарат не оказывает влияния на способность управлять автотранспортом и механизмами, а также на занятия другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты писихомоторных реакций."}}]},{"id":18,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"\n\nТаблетки жевательные [лимонные, мятные]."}},{"type":"paragraph","data":{"text":"По 8 таблеток в блистер из ПBX/Алюминиевой фольги. 1, 2, 3 или 4 блистера вкладываются в картонную пачку вместе с инструкцией по применению."}},{"type":"paragraph","data":{"text":"Но 16 или 20 таблеток в полипропиленовый контейнер с крышкой типа \"flip top\". 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