Баклосан применяют для терапии пациентов с повышением мышечного тонуса при рассеянном склерозе, цереброваскулярных заболеваниях, менингите, церебральном параличе, а также заболеваниях спинного мозга, в том числе болезни двигательных мотонейронов, опухолях, сирингомиелии и миелите.
Баклосан может быть назначен пациентам с повышением мышечного тонуса, ...
; Баклосан – миорелаксант центрального действия. Баклосан содержит активный компонент баклофен – производное гамма-аминомасляной кислоты. Баклофен снижает возбудимость концевых отделов афферентных чувствительных волокон и подавляет промежуточные нейроны, вследствие чего угнетается моно- и полисинаптическая передача нервных импульсов. Баклофен способствует уменьшению предварительного напряжения мышечных веретен. ; Препарат Баклосан не оказывает действия на нервномышечную передачу. ; У пациентов с неврологическими заболеваниями, которые сопровождаются спастичностью скелетных мышц, препарат Баклосан уменьшает клонические судороги и болезненные спазмы. Баклофен способствует увеличению объема движения в суставах и облегчению проведения активной и пассивной кинезотерапии (в том числе массажа, мануальной терапии и физических упражнений). ; После перорального применения баклофен хорошо абсорбируется в пищеварительном тракте и достигает пиковых концентраций в плазме в течение 2-3 часов после приема. Порядка 30% принятой дозы баклофена связывается с белками плазмы. ; Активный компонент препарата Баклосан проникает через гематоплацентарный барьер и определяется в грудном молоке. ; Незначительная часть баклофена метаболизируется в печени. Экскретируется преимущественно почками в форме неизменного вещества. ;
Показания к применению
Баклосан применяют для терапии пациентов с повышением мышечного тонуса при рассеянном склерозе, цереброваскулярных заболеваниях, менингите, церебральном параличе, а также заболеваниях спинного мозга, в том числе болезни двигательных мотонейронов, опухолях, сирингомиелии и миелите.
Баклосан может быть назначен пациентам с повышением мышечного тонуса, которое развилось вследствие черепно-мозговой травмы или травмы спинного мозга.
Противопоказания
психозы; болезнь Паркинсона; эпилепсия; судороги (в т.ч. анамнезе); язвенная болезнь желудка и двенадцатиперстной кишки; дефицит лактазы, непереносимость лактозы, глюкозо-галактозная мальабсорбция; беременность; лактация (грудное вскармливание); повышенная чувствительность к баклофену.
С осторожностью назначают препарат при цереброваскулярной недостаточности, атеросклерозе сосудов головного мозга, хронической почечной недостаточности, у пациентов пожилого возраста, детям в возрасте до 3 лет.
Применение при беременности и в период грудного вскармливания
; Препарат противопоказан к применению при беременности и в период лактации (грудного вскармливания). ;
Способ применения и дозы
; Баклосан предназначен для перорального применения. Рекомендуется принимать препарат Баклосан во время приема пищи, запивая достаточным количеством питьевой воды или чая. При необходимости таблетку можно делить (таблетки, содержащие 10 мг активного вещества, имеют разделительную риску). При пропуске очередной дозы не следует принимать двойную дозу баклофена. Продолжительность терапии и дозы препарата Баклосан определяет врач. ; Взрослым, как правило, в начале терапии назначают прием 5 мг баклофена трижды в сутки. Спустя 3 дня после начала терапии дозу увеличивают до 20 мг в сутки. При необходимости дальнейшее увеличение дозы проводят с интервалом 3 дня, увеличивая суточную дозу не более чем на 5 мг баклофена за одно повышение дозы. Пациентам с повышенной чувствительностью, а также пациентам пожилого возраста рекомендуется проводить повышение дозы более медленно. ; Окончательную дозу устанавливают таким образом, чтобы уменьшение мышечного тонуса не вызывало развитие чрезмерной миастении и не снижало двигательные функции. ; Средняя терапевтическая доза препарата Баклосан составляет 30-75 мг. ; Рекомендованная доза для пациентов с хронической почечной недостаточностью составляет 5 мг баклофена в сутки. ; Высшая суточная доза баклофена для взрослых составляет 100 мг. ; Детям, как правило, в начале терапии назначают прием 5 мг баклофена трижды в сутки. При необходимости дозу постепенно повышают (при обязательном контроле за состоянием пациента дозу увеличивают с интервалом 3 дня не более чем на 5 мг за одно повышение дозы). ; Средняя терапевтическая доза для детей от 3 до 6 лет составляет 20-30 мг баклофена в сутки. ; Средняя терапевтическая доза для детей от 6 до 10 лет составляет 30-60 мг баклофена в сутки. ; Средняя терапевтическая доза баклофена для детей старше 10 лет составляет 2,5 мг/кг массы тела в сутки, но не более 75 мг в сутки. ; Отмену препарата Баклосан следует проводить постепенно (рекомендуется проводить снижение дозы баклофена в течение 1-2 недель).
Побочное действие
; В зависимости от частоты возникновения выделяют следующие группы побочных эффектов: очень редкие - менее 0.01%, редкие - более 0.01% и менее 0.1%, нечастые - более 0.1% и менее 1%, частые - более 1% и менее 10%, очень частые - более 10%. ; Со стороны нервной системы: очень частые - сонливость, седативный эффект; частые головокружение, слабость, усталость, спутанность сознания, нарушение походки, бессонница, эйфория, депрессия, астения, атаксия, тремор, галлюцинации, ночные кошмары, нистагм, сухость во рту; редкие - парестезии, дизартрия. ; Со стороны сердечно-сосудистой системы: частые - снижение сердечного выброса, артериальная гипотензия. ; Со стороны ЖКТ: очень частые - тошнота; частые - рвота, запор, диарея, диспепсические явления; редкие - абдоминальные боли, дисгевзия, нарушение функции печени. ; Со стороны дыхательной системы: частые - угнетение дыхания. ; Со стороны костно-мышечной системы: частые - миалгия. ; Со стороны органов чувств: частые - парез аккомодации, зрительные нарушения. ; Со стороны кожи и подкожной клетчатки: частые - гипергидроз, сыпь. ; Со стороны почек и мочевыделительной системы: частые - полиурия, энурез, дизурия; редкие - задержка мочи. ; Со стороны репродуктивной системы: редкие - эректильная дисфункция. ; Общие нарушения: очень редкие - гипотермия. ; В единичных случаях наблюдалось повышение спастичности, что расценивалось как парадоксальная реакция на препарат.
Передозировка
; Симптомы: мышечная гипотония, угнетение дыхательного центра, спутанность сознания, кома (после возвращения сознания мышечная гипотония может сохраняться в течение 72 ч). ; Лечение: обильное питье, прием диуретиков, при угнетении дыхания - ИВЛ. Специфического антидота не существует.
Особые указания
; Побочные действия часто имеют транзиторный характер, их следует отличать от симптомов заболевания, по поводу которого проводится лечение: при сопутствующей эпилепсии лечение проводят без отмены противоэпилептических средств. ; У пациентов с заболеваниями печени и сахарным диабетом необходимо периодически контролировать активность печеночных трансаминаз и ЩФ, а также содержание глюкозы в крови. ; Влияние на способность к вождению автотранспорта и управлению механизмами ; Пациентам, принимающим Баклосан, следует воздерживаться от потенциально опасных видов деятельности, связанных с необходимостью повышенного внимания и быстрых психомоторных реакций.
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Баклосан содержит активный компонент баклофен – производное гамма-аминомасляной кислоты. Баклофен снижает возбудимость концевых отделов афферентных чувствительных волокон и подавляет промежуточные нейроны, вследствие чего угнетается моно- и полисинаптическая передача нервных импульсов. Баклофен способствует уменьшению предварительного напряжения мышечных веретен. ; Препарат Баклосан не оказывает действия на нервномышечную передачу. ; У пациентов с неврологическими заболеваниями, которые сопровождаются спастичностью скелетных мышц, препарат Баклосан уменьшает клонические судороги и болезненные спазмы. Баклофен способствует увеличению объема движения в суставах и облегчению проведения активной и пассивной кинезотерапии (в том числе массажа, мануальной терапии и физических упражнений). ; После перорального применения баклофен хорошо абсорбируется в пищеварительном тракте и достигает пиковых концентраций в плазме в течение 2-3 часов после приема. Порядка 30% принятой дозы баклофена связывается с белками плазмы. ; Активный компонент препарата Баклосан проникает через гематоплацентарный барьер и определяется в грудном молоке. ; Незначительная часть баклофена метаболизируется в печени. Экскретируется преимущественно почками в форме неизменного вещества. ;"}}]},{"id":3,"name":"Показания к применению","slug":"indications","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Баклосан применяют для терапии пациентов с повышением мышечного тонуса при рассеянном склерозе, цереброваскулярных заболеваниях, менингите, церебральном параличе, а также заболеваниях спинного мозга, в том числе болезни двигательных мотонейронов, опухолях, сирингомиелии и миелите."}},{"type":"paragraph","data":{"text":"Баклосан может быть назначен пациентам с повышением мышечного тонуса, которое развилось вследствие черепно-мозговой травмы или травмы спинного мозга."}}]},{"id":4,"name":"Противопоказания","slug":"contraindications","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"психозы; болезнь Паркинсона; эпилепсия; судороги (в т.ч. анамнезе); язвенная болезнь желудка и двенадцатиперстной кишки; дефицит лактазы, непереносимость лактозы, глюкозо-галактозная мальабсорбция; беременность; лактация (грудное вскармливание); повышенная чувствительность к баклофену."}},{"type":"paragraph","data":{"text":"С осторожностью назначают препарат при цереброваскулярной недостаточности, атеросклерозе сосудов головного мозга, хронической почечной недостаточности, у пациентов пожилого возраста, детям в возрасте до 3 лет."}}]},{"id":5,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"; Препарат противопоказан к применению при беременности и в период лактации (грудного вскармливания). ;"}}]},{"id":6,"name":"Способ применения и дозы","slug":"dosage","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"; Баклосан предназначен для перорального применения. Рекомендуется принимать препарат Баклосан во время приема пищи, запивая достаточным количеством питьевой воды или чая. При необходимости таблетку можно делить (таблетки, содержащие 10 мг активного вещества, имеют разделительную риску). При пропуске очередной дозы не следует принимать двойную дозу баклофена. Продолжительность терапии и дозы препарата Баклосан определяет врач. ; Взрослым, как правило, в начале терапии назначают прием 5 мг баклофена трижды в сутки. Спустя 3 дня после начала терапии дозу увеличивают до 20 мг в сутки. При необходимости дальнейшее увеличение дозы проводят с интервалом 3 дня, увеличивая суточную дозу не более чем на 5 мг баклофена за одно повышение дозы. Пациентам с повышенной чувствительностью, а также пациентам пожилого возраста рекомендуется проводить повышение дозы более медленно. ; Окончательную дозу устанавливают таким образом, чтобы уменьшение мышечного тонуса не вызывало развитие чрезмерной миастении и не снижало двигательные функции. ; Средняя терапевтическая доза препарата Баклосан составляет 30-75 мг. ; Рекомендованная доза для пациентов с хронической почечной недостаточностью составляет 5 мг баклофена в сутки. ; Высшая суточная доза баклофена для взрослых составляет 100 мг. ; Детям, как правило, в начале терапии назначают прием 5 мг баклофена трижды в сутки. При необходимости дозу постепенно повышают (при обязательном контроле за состоянием пациента дозу увеличивают с интервалом 3 дня не более чем на 5 мг за одно повышение дозы). ; Средняя терапевтическая доза для детей от 3 до 6 лет составляет 20-30 мг баклофена в сутки. ; Средняя терапевтическая доза для детей от 6 до 10 лет составляет 30-60 мг баклофена в сутки. ; Средняя терапевтическая доза баклофена для детей старше 10 лет составляет 2,5 мг/кг массы тела в сутки, но не более 75 мг в сутки. ; Отмену препарата Баклосан следует проводить постепенно (рекомендуется проводить снижение дозы баклофена в течение 1-2 недель)."}}]},{"id":7,"name":"Побочное действие","slug":"side_effects","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"; В зависимости от частоты возникновения выделяют следующие группы побочных эффектов: очень редкие - менее 0.01%, редкие - более 0.01% и менее 0.1%, нечастые - более 0.1% и менее 1%, частые - более 1% и менее 10%, очень частые - более 10%. ; Со стороны нервной системы: очень частые - сонливость, седативный эффект; частые головокружение, слабость, усталость, спутанность сознания, нарушение походки, бессонница, эйфория, депрессия, астения, атаксия, тремор, галлюцинации, ночные кошмары, нистагм, сухость во рту; редкие - парестезии, дизартрия. ; Со стороны сердечно-сосудистой системы: частые - снижение сердечного выброса, артериальная гипотензия. ; Со стороны ЖКТ: очень частые - тошнота; частые - рвота, запор, диарея, диспепсические явления; редкие - абдоминальные боли, дисгевзия, нарушение функции печени. ; Со стороны дыхательной системы: частые - угнетение дыхания. ; Со стороны костно-мышечной системы: частые - миалгия. ; Со стороны органов чувств: частые - парез аккомодации, зрительные нарушения. ; Со стороны кожи и подкожной клетчатки: частые - гипергидроз, сыпь. ; Со стороны почек и мочевыделительной системы: частые - полиурия, энурез, дизурия; редкие - задержка мочи. ; Со стороны репродуктивной системы: редкие - эректильная дисфункция. ; Общие нарушения: очень редкие - гипотермия. ; В единичных случаях наблюдалось повышение спастичности, что расценивалось как парадоксальная реакция на препарат."}}]},{"id":8,"name":"Передозировка","slug":"overdose","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"; Симптомы: мышечная гипотония, угнетение дыхательного центра, спутанность сознания, кома (после возвращения сознания мышечная гипотония может сохраняться в течение 72 ч). ; Лечение: обильное питье, прием диуретиков, при угнетении дыхания - ИВЛ. Специфического антидота не существует."}}]},{"id":9,"name":"Особые указания","slug":"cautions","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"; Побочные действия часто имеют транзиторный характер, их следует отличать от симптомов заболевания, по поводу которого проводится лечение: при сопутствующей эпилепсии лечение проводят без отмены противоэпилептических средств. ; У пациентов с заболеваниями печени и сахарным диабетом необходимо периодически контролировать активность печеночных трансаминаз и ЩФ, а также содержание глюкозы в крови. ; Влияние на способность к вождению автотранспорта и управлению механизмами ; Пациентам, принимающим Баклосан, следует воздерживаться от потенциально опасных видов деятельности, связанных с необходимостью повышенного внимания и быстрых психомоторных реакций."}}]}],"source":{"title":"36.6","url":"https://366.ru"}},"description_toggle":false,"short_description":"; Баклосан – миорелаксант центрального действия. 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Порядка 30% принятой дозы баклофена связывается с белками плазмы. ; Активный компонент препарата Баклосан проникает через гематоплацентарный барьер и определяется в грудном молоке. ; Незначительная часть баклофена метаболизируется в печени. 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