Круглые, плоскоцилиндрические таблетки желтого или зеленовато-желтого цвета, с фаской.
Фармакотерапевтическая группа
Противомикробное и противопротозойное средство - нитрофуран
Фармакологические свойства
Фармакодинамика:
Противомикробное и противопротозойное средство, производное нитрофуранов.
Активен в отношении следующих микроорганизмов: Trichomonas spp., Giardia lamblia, Shigella dysenteriae, Shigella flexneri, Shigella boydii, Shigella sonnei, Salmonella typhi, Salmonella paratyphi, Staphylococcus spp.
Слабо влияет на возбудителей гнойной и анаэробной инфекции.
Устойчивость микроорганизмов развивается медленно.
Блокирует моноаминоксидазу.
Нитрофураны нарушают процессы клеточного дыхания микроорганизмов, подавляют цикл трикарбоновых кислот (цикл Кребса), а также ингибируют биосинтез нуклеиновых кислот микроорганизмов, в результате чего происходит разрушение их оболочки или цитоплазматической мембраны. В результате действия нитрофуранов микроорганизмы выделяют меньше токсинов, в связи, с чем улучшение общего состояния пациента возможно еще до выраженного подавления роста микрофлоры.
В отличие от многих других противомикробных лекарственных средств они не только не угнетают, а даже активируют иммунную систему организма (повышают титр комплемента и способность лейкоцитов фагоцитировать микроорганизмы).
Фармакокинетика:
Абсорбция
Хорошо абсорбируется при приеме внутрь.
Распределение
На фоне воспаления мозговых оболочек в ликворе создаются концентрации, равные таковым в плазме крови.
Метаболизм
Быстро и интенсивно метаболизируется в основном в печени с образованием фармакологически неактивного метаболита (аминопроизводное).
Выведение
Выводится в основном почками (65%). Частично выводится с желчью, достигая высоких концентраций в просвете кишечника, что позволяет применять его при кишечных инфекциях.
При почеченой недостаточности фуразолидон кумулирует в крови вследствие замедления выведения.
Показания к применению
Острая бактериальная и протозойная диарея, дизентерия, паратифы, лямблиоз.
Противопоказания
Повышенная чувствительность к фуразолидону, компонентам препарата, к группе нитрофуранов; терминальная стадия хронической почечной недостаточности; непереносимость лактозы, дефицит лактазы, глюкозо-галактозная мальабсорбция; дефицит сахаразы/изомальтазы, непереносимость фруктозы; дефицит глюкозо-6-фосфатдегидрогеназы; беременность, период грудного вскармливания; детский возраст до 3 лет.
С осторожностью
Хроническая почечная недостаточность, заболевания печени и нервной системы, пожилой возраст.
При почечной недостаточности фуразолидон не создает терапевтических концентраций в моче, кумулируется и может оказать токсическое действие.
Применение при беременности и в период грудного вскармливания
Препарат в период беременности противопоказан.
При необходимости применения препарата в период лактации, грудное вскармливание необходимо прекратить.
Способ применения и дозы
Внутрь, после еды, запивая большим количеством жидкости (100-200 мл).
При лечении паратифа, дизентерии, острой бактериальной и протозойной диареи:
взрослым - по 100-150 мг (2-3 таблетки) 4 раза в сутки на протяжении 5-10 дней (продолжительность приема зависит от характера и тяжести патологического процесса).
детям от 3 лет - 10 мг./кг массы тела в сутки (суточную дозу распределяют на 3-4 приема).
Препарат Фуразолидон не рекомендуется принимать более 10 дней.
При лечении лямблиоза:
взрослым - по 100 мг (2 таблетки) 4 раза в день;
детям от 3 лет-в дозе 10 мг/кг массы тела в сутки (суточную дозу распределяют на 3-4 приема).
Если после лечения улучшения не наступает или симптомы усугубляются, или появляются новые симптомы, необходимо проконсультироваться с врачом.
Применяйте препарат только согласно тем показаниям, тому способу применения и в тех дозах, которые указаны в инструкции.
Побочное действие
Нарушения со стороны крови и лимфатической системы: лейкопения, агранулоцитоз, гемолиз у лиц с дефицитом глюкозо-6-фосфатдегидрогеназы.
Нарушения со стороны иммунной системы: реакции гиперчувствительности (включая снижение артериального давления, крапивница, лихорадка, артралгия, кореподобная сыпь), кожный зуд, сыпь, в том числе пятнисто-папулезная.
Нарушения со стороны нервной системы: головная боль, головокружение, периферическая нейропатия.
Нарушения со стороны сосудов: ортостатическая гипотензия, снижение артериального давления.
Нарушения со стороны желудочно-кишечного тракта: боль в животе, тошнота, рвота, диарея, анорексия, колит, проктит, анальный зуд, стафилококковый энтерит.
Нарушения со стороны печени и желчевыводящих путей: нарушение функции печени, холестаз.
Нарушения со стороны почек и мочевыводящих путей: нарушение функции почек.
Общие расстройства и нарушения в месте введения: гипогликемия, темно-желтое окрашивание мочи, слабость, недомогание, дисульфирамоподобная реакция ("прилив" крови к лицу, незначительное повышение температуры, одышка, чувство сдавливания в грудной клетке).
При длительном применении - неврит.
Если у Вас отмечаются побочные эффекты, указанные в инструкции или они усугубляются. или Вы заметили любые другие побочные эффекты не указанные в инструкции, сообщите об этом врачу.
Лечение: отмена лекарственного препарата, прием большого количества жидкости, симптоматическая терапия.
Взаимодействие с другими лекарственными средствами
Фуразолидон в сочетании с этанолом может привести к развитию сульфирамоподобных реакций, в связи с чем одновременный их прием не рекомендуется.
При одновременном применении фуразолидона с ингибиторами моноаминоксидазы, симпатомиметиками, трициклическими антидепрессантами и пищевыми продуктами, содержащими тирамин, возникает риск резкого повышения артериального давления, в связи с чем их одновременный прием не рекомендуется.
Аминогликозиды и тетрациклины усиливают противомикробные свойства препарата Фуразолидон.
Фуразолидон увеличивает угнетение кроветворения на фоне хлорамфеникола и ристомицина.
Если Вы применяете вышеперечисленные или другие лекарственные препараты (в том числе безрецептурные), перед применением препарата проконсультируйтесь с врачом.
Особые указания
У людей пожилого возраста необходимо применять с осторожностью, в связи с возможными изменениями функции почек (может потребоваться уменьшение дозы).
При исходной патологии печени возрастает риск гепатотоксического действия.
В связи с риском дисульфирамоподобных реакций, во время терапии фуразолидоном и в течение 4 дней после ее прекращения принимать этанол не рекомендуется. Не применяется при инфекциях мочевыводящих путей.
Избегать употребления продуктов, содержащих тирамин (сыр, пиво, вино, фасоль, копчености, крепкий кофе, сливки, маринованная сельдь) и другие сосудосуживающие амины, так как возникает риск развития гипертонического криза.
Риск периферических полинейропатий повышается при анемии, сахарном диабете, нарушениях электролитного баланса, гиповитаминозах В. С целью профилактики требуется назначение витаминов группы В.
Содержит 10,00 мг сахарозы на 1 таблетку, что в пересчете на разовую дозу (2-3 таблетки) составляет 0,002-0,003 ХЕ, на суточную дозу препарата - 0,012 ХЕ, что необходимо учитывать пациентам с сахарным диабетом.
Влияние на способность управлять автомобилем и движущимися механизмами
Не следует применять во время работы лицам, которые управляют транспортными средствами и работают с потенциально опасными механизмами, из-за возможности снижения концентрации внимания.
Форма выпуска
Таблетки, 50 мг.
Условия хранения
В пачке при температуре не выше 25 °С.
Хранить в недоступном для детей месте.
Срок годности
3 года.
Не использовать по истечении срока годности.
Условия отпуска
Без рецепта
Производитель
АО "Производственная фармацевтическая компания Обновление" (АО "ПФК Обновление"), г. Новосибирск, ул. Станционная, д.80, Россия
Организация, принимающая претензии потребителей
АО "ПФК Обновление"
Для описания товара использована информация от партнера 36.6
Мобильное приложение «Все аптеки»
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номер","slug":"","body":[{"type":"paragraph","data":{"text":"ЛП-005381"}}]},{"id":2,"name":"Торговое название препарата","slug":"","body":[{"type":"paragraph","data":{"text":"Фуразолидон"}}]},{"id":3,"name":"Лекарственная форма","slug":"","body":[{"type":"paragraph","data":{"text":"таблетки"}}]},{"id":4,"name":"Состав","slug":"ingredients","body":[{"type":"paragraph","data":{"text":"1 таблетка содержит:"}},{"type":"paragraph","data":{"text":"\u003ci\u003eДействующее вещество\u003c/i\u003e:"}},{"type":"paragraph","data":{"text":"Фуразолидон- 50,0 мг"}},{"type":"paragraph","data":{"text":"\u003ci\u003eВспомогательные вещества\u003c/i\u003e:"}},{"type":"paragraph","data":{"text":"крахмал картофельный- 20,0 мг"}},{"type":"paragraph","data":{"text":"лактозы моногидрат- 18,8 мг"}},{"type":"paragraph","data":{"text":"сахароза (сахар)- 10,0 мг"}},{"type":"paragraph","data":{"text":"кальция стеарат- 1,0 мг"}},{"type":"paragraph","data":{"text":"полисорбат 80 (твин 80)- 0,2 мг"}}]},{"id":5,"name":"Описание","slug":"common_description","body":[{"type":"paragraph","data":{"text":"Круглые, плоскоцилиндрические таблетки желтого или зеленовато-желтого цвета, с фаской."}}]},{"id":6,"name":"Фармакотерапевтическая группа","slug":"","body":[{"type":"paragraph","data":{"text":"Противомикробное и противопротозойное средство - нитрофуран"}}]},{"id":7,"name":"Фармакологические свойства","slug":"pharmacologic_effects","body":[{"type":"header","data":{"text":"Фармакодинамика:","level":3}},{"type":"paragraph","data":{"text":"Противомикробное и противопротозойное средство, производное нитрофуранов."}},{"type":"paragraph","data":{"text":"Активен в отношении следующих микроорганизмов: \u003ci\u003eTrichomonas spp., Giardia lamblia, Shigella dysenteriae, Shigella flexneri, Shigella boydii, Shigella sonnei, Salmonella typhi, Salmonella paratyphi, Staphylococcus spp\u003c/i\u003e."}},{"type":"paragraph","data":{"text":"Слабо влияет на возбудителей гнойной и анаэробной инфекции."}},{"type":"paragraph","data":{"text":"Устойчивость микроорганизмов развивается медленно."}},{"type":"paragraph","data":{"text":"Блокирует моноаминоксидазу."}},{"type":"paragraph","data":{"text":"Нитрофураны нарушают процессы клеточного дыхания микроорганизмов, подавляют цикл трикарбоновых кислот (цикл Кребса), а также ингибируют биосинтез нуклеиновых кислот микроорганизмов, в результате чего происходит разрушение их оболочки или цитоплазматической мембраны. В результате действия нитрофуранов микроорганизмы выделяют меньше токсинов, в связи, с чем улучшение общего состояния пациента возможно еще до выраженного подавления роста микрофлоры."}},{"type":"paragraph","data":{"text":"В отличие от многих других противомикробных лекарственных средств они не только не угнетают, а даже активируют иммунную систему организма (повышают титр комплемента и способность лейкоцитов фагоцитировать микроорганизмы)."}},{"type":"header","data":{"text":"Фармакокинетика:","level":3}},{"type":"paragraph","data":{"text":"\u003ci\u003eАбсорбция\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"Хорошо абсорбируется при приеме внутрь."}},{"type":"paragraph","data":{"text":"\u003ci\u003eРаспределение\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"На фоне воспаления мозговых оболочек в ликворе создаются концентрации, равные таковым в плазме крови."}},{"type":"paragraph","data":{"text":"\u003ci\u003eМетаболизм\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"Быстро и интенсивно метаболизируется в основном в печени с образованием фармакологически неактивного метаболита (аминопроизводное)."}},{"type":"paragraph","data":{"text":"\u003ci\u003eВыведение\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"Выводится в основном почками (65%). Частично выводится с желчью, достигая высоких концентраций в просвете кишечника, что позволяет применять его при кишечных инфекциях."}},{"type":"paragraph","data":{"text":"При почеченой недостаточности фуразолидон кумулирует в крови вследствие замедления выведения."}}]},{"id":8,"name":"Показания к применению","slug":"indications","body":[{"type":"paragraph","data":{"text":"Острая бактериальная и протозойная диарея, дизентерия, паратифы, лямблиоз."}}]},{"id":9,"name":"Противопоказания","slug":"contraindications","body":[{"type":"paragraph","data":{"text":"Повышенная чувствительность к фуразолидону, компонентам препарата, к группе нитрофуранов; терминальная стадия хронической почечной недостаточности; непереносимость лактозы, дефицит лактазы, глюкозо-галактозная мальабсорбция; дефицит сахаразы/изомальтазы, непереносимость фруктозы; дефицит глюкозо-6-фосфатдегидрогеназы; беременность, период грудного вскармливания; детский возраст до 3 лет."}}]},{"id":10,"name":"С осторожностью","slug":"cautions","body":[{"type":"paragraph","data":{"text":"Хроническая почечная недостаточность, заболевания печени и нервной системы, пожилой возраст."}},{"type":"paragraph","data":{"text":"При почечной недостаточности фуразолидон не создает терапевтических концентраций в моче, кумулируется и может оказать токсическое действие."}}]},{"id":11,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","body":[{"type":"paragraph","data":{"text":"Препарат в период беременности противопоказан."}},{"type":"paragraph","data":{"text":"При необходимости применения препарата в период лактации, грудное вскармливание необходимо прекратить."}}]},{"id":12,"name":"Способ применения и дозы","slug":"dosage","body":[{"type":"paragraph","data":{"text":"Внутрь, после еды, запивая большим количеством жидкости (100-200 мл)."}},{"type":"paragraph","data":{"text":"\u003ci\u003eПри лечении паратифа, дизентерии, острой бактериальной и протозойной диареи:\u003c/i\u003e"}},{"type":"list","data":{"style":"ordered","items":["взрослым - по 100-150 мг (2-3 таблетки) 4 раза в сутки на протяжении 5-10 дней (продолжительность приема зависит от характера и тяжести патологического процесса).","детям от 3 лет - 10 мг./кг массы тела в сутки (суточную дозу распределяют на 3-4 приема)."]}},{"type":"paragraph","data":{"text":"Препарат Фуразолидон не рекомендуется принимать более 10 дней."}},{"type":"paragraph","data":{"text":"\u003ci\u003eПри лечении лямблиоза\u003c/i\u003e:"}},{"type":"list","data":{"style":"ordered","items":["взрослым - по 100 мг (2 таблетки) 4 раза в день;","детям от 3 лет-в дозе 10 мг/кг массы тела в сутки (суточную дозу распределяют на 3-4 приема)."]}},{"type":"paragraph","data":{"text":"Для взрослых: высшая разовая доза - 200 мг, суточная - 800 мг."}},{"type":"paragraph","data":{"text":"\u003ci\u003eЕсли после лечения улучшения не наступает или симптомы усугубляются, или появляются новые симптомы, необходимо проконсультироваться с врачом.\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"\u003ci\u003eПрименяйте препарат только согласно тем показаниям, тому способу применения и в тех дозах, которые указаны в инструкции.\u003c/i\u003e"}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения со стороны крови и лимфатической системы:\u003c/i\u003e лейкопения, агранулоцитоз, гемолиз у лиц с дефицитом глюкозо-6-фосфатдегидрогеназы."}},{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения со стороны иммунной системы:\u003c/i\u003e реакции гиперчувствительности (включая снижение артериального давления, крапивница, лихорадка, артралгия, кореподобная сыпь), кожный зуд, сыпь, в том числе пятнисто-папулезная."}},{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения со стороны нервной системы:\u003c/i\u003e головная боль, головокружение, периферическая нейропатия."}},{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения со стороны сосудов: \u003c/i\u003eортостатическая гипотензия, снижение артериального давления."}},{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения со стороны желудочно-кишечного тракта:\u003c/i\u003e боль в животе, тошнота, рвота, диарея, анорексия, колит, проктит, анальный зуд, стафилококковый энтерит."}},{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения со стороны печени и желчевыводящих путей:\u003c/i\u003e нарушение функции печени, холестаз."}},{"type":"paragraph","data":{"text":"\u003ci\u003eНарушения со стороны почек и мочевыводящих путей:\u003c/i\u003e нарушение функции почек."}},{"type":"paragraph","data":{"text":"\u003ci\u003eОбщие расстройства и нарушения в месте введения:\u003c/i\u003e гипогликемия, темно-желтое окрашивание мочи, слабость, недомогание, дисульфирамоподобная реакция (\"прилив\" крови к лицу, незначительное повышение температуры, одышка, чувство сдавливания в грудной клетке)."}},{"type":"paragraph","data":{"text":"При длительном применении - неврит."}},{"type":"paragraph","data":{"text":"\u003ci\u003eЕсли у Вас отмечаются побочные эффекты, указанные в инструкции или они усугубляются. или Вы заметили любые другие побочные эффекты не указанные в инструкции, сообщите об этом врачу.\u003c/i\u003e"}}]},{"id":14,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"\u003ci\u003eСимптомы\u003c/i\u003e: острый токсический гепатит, гематотоксичность, нейротоксичность (полиневрит)."}},{"type":"paragraph","data":{"text":"\u003ci\u003eЛечение\u003c/i\u003e: отмена лекарственного препарата, прием большого количества жидкости, симптоматическая терапия."}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"Фуразолидон в сочетании с этанолом может привести к развитию сульфирамоподобных реакций, в связи с чем одновременный их прием не рекомендуется."}},{"type":"paragraph","data":{"text":"При одновременном применении фуразолидона с ингибиторами моноаминоксидазы, симпатомиметиками, трициклическими антидепрессантами и пищевыми продуктами, содержащими тирамин, возникает риск резкого повышения артериального давления, в связи с чем их одновременный прием не рекомендуется."}},{"type":"paragraph","data":{"text":"Аминогликозиды и тетрациклины усиливают противомикробные свойства препарата Фуразолидон."}},{"type":"paragraph","data":{"text":"Фуразолидон увеличивает угнетение кроветворения на фоне хлорамфеникола и ристомицина."}},{"type":"paragraph","data":{"text":"Лекарственные средства, подщелачивающие мочу (антациды, содержащие кальций и магний, ингибиторы карбоангидразы, цитраты, натрия гидрокарбонат) снижают эффект, а подкисляющие (аммония хлорид, кальция хлорид, соляная кислота, аскорбиновая кислота, метионин) - повышают эффект препарата Фуразолидон."}},{"type":"paragraph","data":{"text":"\u003ci\u003eЕсли Вы применяете вышеперечисленные или другие лекарственные препараты (в том числе безрецептурные), перед применением препарата проконсультируйтесь с врачом.\u003c/i\u003e"}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"У людей пожилого возраста необходимо применять с осторожностью, в связи с возможными изменениями функции почек (может потребоваться уменьшение дозы)."}},{"type":"paragraph","data":{"text":"При исходной патологии печени возрастает риск гепатотоксического действия."}},{"type":"paragraph","data":{"text":"В связи с риском дисульфирамоподобных реакций, во время терапии фуразолидоном и в течение 4 дней после ее прекращения принимать этанол не рекомендуется. Не применяется при инфекциях мочевыводящих путей."}},{"type":"paragraph","data":{"text":"Избегать употребления продуктов, содержащих тирамин (сыр, пиво, вино, фасоль, копчености, крепкий кофе, сливки, маринованная сельдь) и другие сосудосуживающие амины, так как возникает риск развития гипертонического криза."}},{"type":"paragraph","data":{"text":"Риск периферических полинейропатий повышается при анемии, сахарном диабете, нарушениях электролитного баланса, гиповитаминозах В. 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