Врожденные или приобретенные нарушения свертывания крови (в т.ч. гемофилия); - Детский возраст (опыт применения отсутствует); - Индивидуальная непереносимость препарата. С осторожностью применять при проведении гемодиализа.
Флогэнзим представляет собой комбинацию ферментов (бромелаин и трипсин) и рутина. Бромелаин и трипсин способствуют быстрому расщеплению клеточных фрагментов и метаболических продуктов воспалительного процесса, рутин восстанавливает проницаемость стенок сосудов, что приводит к уменьшению отеков и гематом. Флогэнзим оказывает противовоспалительное, фибринолитическое, антиагрегантное, иммуномодулирующее и противоотечное действие, комплексно воздействуя на физиологические и патофизиологические процессы. Улучшает функциональное состояние клеток крови и сосудистой стенки; снижает вязкость крови и риск образования тромбов в сосудах, способствует лизису уже образовавшихся тромбов. Улучшает микроциркуляцию в очагах хронического воспаления, повышает доставку кислорода и питательных веществ, стимулируя тем самым репаративные процессы при хронических заболеваниях и в послеоперационном периоде. В результате этого уменьшается отек, быстрее рассасываются гематомы и уменьшается болевой синдром. Флогэнзим улучшает кровоснабжение бронхов и легких при хронических заболеваниях верхних дыхательных путей, в т.ч. обусловленных курением; разжижает мокроту, улучшает функцию мерцательного эпителия и восстанавливает дренажную функцию бронхов. Препарат повышает эффективность антибиотикотерапии.
Показания к применению
В составе комплексной терапии:- Лечение послеоперационных осложнений в хирургии, стоматологии и при пластических операциях (нагноение, тромбозы, спайки); с целью профилактики спаечной болезни, лимфатических отеков, микроциркуляторных расстройств; при ожогах; - Повреждения сухожилий, связок, спортивные травмы; - Лечение острого тромбоза глубоких вен, тромбофлебитов поверхностных вен, постфлебитического синдрома, хронических артериопатий (в т.ч. облитерирующий атеросклероз артерий нижних конечностей); - Лечение острых и хронических воспалений мочеполового тракта (уретрит, цистит, цистопиелит, простатит); - Лечение острых и хронических воспалительных заболеваний органов малого таза (аднексит, сальпингоофорит), сосудистых осложнений климактерического периода, для снижения частоты и выраженности побочных эффектов заместительной гормональной терапии в гинекологии; - ИБС, профилактика приступов стенокардии; - Хронический гепатит; - Ревматоидный артрит, анкилозирующий спондилоартрит, реактивный артрит, ревматическое поражение мягких тканей.
Противопоказания
Врожденные или приобретенные нарушения свертывания крови (в т.ч. гемофилия); - Детский возраст (опыт применения отсутствует); - Индивидуальная непереносимость препарата. С осторожностью применять при проведении гемодиализа.
Применение при беременности и в период грудного вскармливания
С осторожностью следует назначать Флогэнзим при беременности и в период лактации.
Способ применения и дозы
Взрослым с целью лечения препарат назначают по 3 таб. 3 раза/сут в течение 2 недель. С целью профилактики рекомендуется применять по 2 таб. 3 раза/сут в течение 2 недель. Изменение дозы препарата или курса лечения врач определяет индивидуально. Таблетки следует принимать не менее чем за 30 мин до еды, не разжевывая, запивая водой (200 мл).
Побочное действие
Флогэнзим хорошо переносится пациентами. В отдельных случаях наблюдаются учащение стула, изменения консистенции и запаха кала, которые быстро купируются при временном снижении дозы препарата. Редко возникают аллергические реакции (кожная сыпь, зуд), которые исчезают после прекращения лечения препаратом. При применении препарата отмечались тошнота, метеоризм, боли в животе, головная боль, головокружение, экзантема, общая слабость. Возможно появление временного ощущения переполнения кишечника. Это можно предотвратить, разделив суточную дозу на большее количество разовых доз.
Передозировка
О случаях передозировки препарата Флогэнзим не сообщалось.
Особые указания
При инфекционно-воспалительных заболеваниях Флогэнзим не заменяет лечения антибиотиками. При обострении симптомов заболевания на фоне приема Флогэнзима рекомендуется временное уменьшение дозы. В таких случаях пациент должен обратиться к врачу. Препарат не является допингом. Влияние на способность к вождению автотранспорта и управлению механизмамиПрепарат не оказывает негативного влияния на способность к вождению автомобиля и выполнению работ, требующих высокой скорости психомоторных реакций.
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Информация предоставляется в справочных целях. Не занимайтесь самолечением. При первых признаках заболевания обратитесь к врачу.
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