Комбинированный препарат, оказывает антисептическое и местно... Инструкция
Показания к применению
Для облегчения боли при инфекционно-воспалительных заболеваниях полости рта и глотки (фарингит, ларингит, тонзиллит, воспаление десен и слизистой оболочки полости рта (гингивит, стоматит).
Противопоказания
повышенная чувствительность к компонентам, входящим в состав препарата;
повышенная чувствительность к местноанестезирующим средствам в анамнезе;
алкогольная зависимость;
метгемоглобинемия;
возраст до 18 лет (в связи отсутствием данных по эффективности и безопасности).
С осторожностью: заболевания печени, ЧМТ или заболевания головного мозга, заболевания органов дыхания (например, бронхиальная астма, бронхит), курение, заболевания ССС, пациенты пожилого возраста (риск развития метгемоглобинемии), наличие открытых ран полости рта, т.к. цетилпиридиния хлорид замедляет заживление ран.
Бензокаин 10 мгцетилпиридиния хлорид (в форме моногидрата) 2 мг
Вспомогательные вещества: этанол 96% - 330 мг, глицерол - 200 мг, натрия сахаринат - 0.9 мг, масло мяты перечной - 1 мг, вода - до 1 мл.
Описание
Прозрачный раствор от бесцветного до светло-желтого цвета.
Фармакологические свойства
Комбинированный препарат, оказывает антисептическое и местноанестезирующее действие.
Цетилпиридиния хлорид — антисептик, который обладает противомикробным, противогрибковым и вирулицидным действием.
Бензокаин является местноанестезирующим средством, уменьшающим боль при глотании, которая часто сопровождает инфекционно-воспалительные процессы полости рта и глотки.
Показания к применению
Для облегчения боли при инфекционно-воспалительных заболеваниях полости рта и глотки (фарингит, ларингит, тонзиллит, воспаление десен и слизистой оболочки полости рта (гингивит, стоматит).
Противопоказания
повышенная чувствительность к компонентам, входящим в состав препарата;
повышенная чувствительность к местноанестезирующим средствам в анамнезе;
алкогольная зависимость;
метгемоглобинемия;
возраст до 18 лет (в связи отсутствием данных по эффективности и безопасности).
С осторожностью: заболевания печени, ЧМТ или заболевания головного мозга, заболевания органов дыхания (например, бронхиальная астма, бронхит), курение, заболевания ССС, пациенты пожилого возраста (риск развития метгемоглобинемии), наличие открытых ран полости рта, т.к. цетилпиридиния хлорид замедляет заживление ран.
Применение при беременности и в период грудного вскармливания
Данные о применении препарата Септолете® плюс при беременности и в период грудного вскармливания отсутствуют, поэтому не рекомендуется применение препарата при беременности и в период грудного вскармливания.
Способ применения и дозы
Местно.
При проведении каждой процедуры выполняют по 2 распыления (0,3 мл).
Рекомендуется применять каждые 2–3 ч до 8 раз в сутки. Длительность терапии не более 7 дней подряд.
Перед первым применением препарата Септолете® плюс, или если спрей не применялся длительное время, следует несколько раз (5–9 раз) нажать на распылительную головку спрея и выпустить некоторое количество лекарственного препарата до появления равномерного распыления.
Перед применением снять цветной защитный колпачок из полипропилена.
Широко открыть рот, направить трубку аппликатора в полость рта, задержать дыхание и нажать на распылительную головку.
После каждого применения спрея закрывать распылительную головку цветным защитным колпачком из полипропилена.
1 пластиковый фл. препарата Септолете® плюс должен использоваться только одним пациентом.
При однократном нажатии на распылительную головку выпускается 0,15 мл раствора в виде спрея, который содержит 1,5 мг бензокаина и 0,3 мг цетилпиридиния хлорида.
Побочное действие
Классификация частоты развития побочных эффектов, рекомендуемая ВОЗ:
очень часто — ≥ 1 / 10; часто — от ≥ 1 / 100 до < 1 / 10; нечасто — от ≥ 1 / 1000 до < 1 / 100; редко — от ≥ 1 / 10000 до < 1 / 1000; очень редко — < 1 / 10000; частота неизвестна — не может быть оценена на основе имеющихся данных.
Со стороны крови и лимфатической системы: редко — метгемоглобинемия.
Со стороны иммунной системы: нечасто — реакции гиперчувствительности. (кожная сыпь, кожный зуд, отек кожи, затрудненное дыхание)
Со стороны нервной системы: частота неизвестна — онемение слизистой оболочки полости рта и глотки.
Со стороны ЖКТ: желудочно-кишечные расстройства2, затруднение глотания и чувство жжения в полости рта и глотки.
Передозировка
Симптомы: учитывая низкие концентрации активных компонентов в препарате Септолете® плюс, возможность передозировки минимальная. При длительном приеме доз, превышающих рекомендуемые, или при частом применении с небольшим временным интервалом возможно развитие метгемоглобинемии. При появлении признаков интоксикации следует немедленно прекратить применение препарата. Симптомы метгемоглобинемии могут развиться уже через 45–60 мин после применения препарата Септолете® плюс. В зависимости от степени окисления гемоглобина могут развиться: головная боль, цианоз, повышенная утомляемость, слабость и одышка. При более тяжелой степени метгемоглобинемии возможно развитие сердцебиения, судорог, аритмии и комы. При приеме доз, превышающих рекомендуемые, могут развиться желудочно-кишечные расстройства, такие как: тошнота, рвота и диарея.
Цетилпиридиния хлорид может вызвать рвоту и тошноту вследствие раздражения слизистой оболочки ЖКТ.
Лечение: в тяжелых случаях показано промывание желудка, назначение активированного угля, ингаляции кислорода. В тяжелых случаях следует обратиться к врачу.
Взаимодействие с другими лекарственными средствами
Ненаркотические анальгетики и ингибиторы холинэстеразы усиливают действие бензокаина.
Бензокаин снижает антибактериальную активность местных сульфаниламидов.
Нет данных о лекарственном взаимодействии цетилпиридиния хлорида с другими ЛС.
Особые указания
Препарат Септолете® плюс не следует применять вместе с молоком, поскольку молоко уменьшает противомикробную активность цетилпиридиния хлорида.
Вследствие повышенного риска развития метгемоглобинемии, препарат Септолете® плюс следует применять с осторожностью у пациентов с затрудненным дыханием (в т. ч. при бронхиальной астме или бронхите), пожилого возраста, курящих пациентов, с заболеваниями ССС. Поэтому такие пациенты должны применять препарат Септолете® плюс только после консультации врача.
Препарат Септолете® плюс не следует применять при открытых ранах полости рта, поскольку цетилпиридиния хлорид замедляет заживление ран.
При тяжелых инфекционных процессах, сопровождающихся повышением температуры тела, головной болью и рвотой, обратитесь к врачу, особенно если состояние не улучшается в течение трех дней.
Следует избегать контакта препарата Септолете® плюс со слизистой оболочкой глаз.
Спрей нельзя вдыхать.
После применения препарата может возникнуть временное ощущение жжения, онемения слизистой оболочки полости рта или затруднение глотания (проглатывание пищи или напитков), возможно прикусывание языка или губ. В связи с этим, в течение часа после применения препарата следует воздержаться от употребления пищи, напитков, жевательной резинки или чистки зубов.
Препарат Септолете® плюс (спрей для местного применения дозированный) не содержит сахарозу, поэтому он может применяться пациентами с сахарным диабетом.
Препарат Септолете® плюс содержит небольшое количество этанола 96%: 0,099 г в разовой дозе (два распыления) и 0,792 г — в максимальной суточной дозе. В 1 мл препарата Септолете® плюс содержится 0,330 г этанола 96%.
Препарат необходимо использовать в течение 3 мес после вскрытия флакона.
Влияние на способность управлять автотранспортом и работу со сложными механизмами. Нет данных о влиянии препарата Септолете® плюс на способность управлять транспортными средствами и работу с техническими устройствами, требующую повышенной концентрации внимания и быстроты психомоторных реакций.
Условия хранения
При температуре не выше 25 °C, в оригинальной упаковке.
Хранить в недоступном для детей месте.
Срок годности
3 года.
Не применять по истечении срока годности, указанного на упаковке.
Условия отпуска
Без рецепта.
Для описания товара использована информация от партнера 36.6
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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