Фармакологическое действие — гипотензивное. Блокирует АПФ, п... Инструкция
Показания к применению
Артериальная гипертензия (в т.ч. реноваскулярная), хроническая сердечная недостаточность.
Противопоказания
Гиперчувствительность, ангионевротический отек в анамнезе, прогрессирующая азотемия при двустороннем стенозе почечных артерий или стенозе почечной артерии единственной почки, беременность, кормление грудью, детский возраст.
Инструкция
Фармакологические свойства
Фармакологическое действие — гипотензивное. Блокирует АПФ, подавляет образование ангиотензина II и устраняет его сосудосуживающее влияние. Уменьшает ОПСС, АД, давление в правом предсердии и малом круге кровообращения, пред- и постнагрузку на сердце, тонус выносящих артериол клубочков почек.
Показания к применению
Артериальная гипертензия (в т.ч. реноваскулярная), хроническая сердечная недостаточность.
Противопоказания
Гиперчувствительность, ангионевротический отек в анамнезе, прогрессирующая азотемия при двустороннем стенозе почечных артерий или стенозе почечной артерии единственной почки, беременность, кормление грудью, детский возраст.
Применение при беременности и в период грудного вскармливания
Противопоказано. На время лечения следует прекратить грудное вскармливание.
Способ применения и дозы
Внутрь, независимо от приема пищи, начальная доза— 0,0025–0,005г 1 раз в сутки, средняя— 0,01–0,02г/сут в 1 прием; максимальная доза— 0,04г/сут в 1–2 приема.
Побочное действие
Головокружение, головная боль, усталость, повышенная утомляемость, нарушение сна, депрессия, парестезия, сухой кашель, ортостатическая гипотензия, сердцебиение, тахикардия, боль в области сердца, боль в животе, тошнота, нарушение функции печени и/или почек, гиперкалиемия, протеинурия, аллергические реакции (кожная сыпь, зуд).
Взаимодействие с другими лекарственными средствами
Диуретики усиливают гипотензию, НПВС— уменьшают. Калийсберегающие диуретики способствуют развитию гиперкалиемии.
Особые указания
В целях уменьшения риска развития гипотензии следует начинать лечение с малых доз и назначать их на ночь. У больных с заболеваниями почек и пациентов, принимающих высокие дозы препарата, необходим регулярный контроль наличия белка в моче. Способствует развитию ложноположительной реакции на ацетон в моче.
Условия хранения
В сухом, защищенном от света месте, при температуре не выше 25°C. Хранить в недоступном для детей месте.
Срок годности
2 года. Не применять по истечении срока годности, указанного на упаковке.2000-2017. Регистр лекарственных средств России
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Информация предоставляется в справочных целях. Не занимайтесь самолечением. При первых признаках заболевания обратитесь к врачу.
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