Повышенная чувствительность к ксилометазолину или другим компонентам препарата; - сухой ринит; - применение после гипофизэктомии или других хирургических вмешательств, осуществляемых через твердую мозговую оболочку; - детский возраст до 15 лет. Санорин-Ксило применяют с осторожностью у пациентов с артериальной гипертензией, сердечно-сосудистыми заболеваниями, ...
Сосудосуживающее средство для местного применения в ЛОР-практике. Альфа-адреномиметик. При нанесении на слизистые оболочки вызывает сужение сосудов, в результате этого уменьшается местная гиперемия и отек. При ринитах облегчает носовое дыхание.
Повышенная чувствительность к ксилометазолину или другим компонентам препарата; - сухой ринит; - применение после гипофизэктомии или других хирургических вмешательств, осуществляемых через твердую мозговую оболочку; - детский возраст до 15 лет. Санорин-Ксило применяют с осторожностью у пациентов с артериальной гипертензией, сердечно-сосудистыми заболеваниями, нарушениями обмена веществ (в том числе гипертиреозом, сахарным диабетом), повышенным внутриглазным давлением (особенно при закрытоугольной глаукоме), феохромоцитомой, порфирией, гиперплазией предстательной железы, при одновременном приеме ингибиторов моноаминоксидазы (МАО) и трициклических антидепрессантов, а также во время беременности и в период лактации
Применение при беременности и в период грудного вскармливания
Препарат Санорин-Ксило можно принимать при беременности только после тщательной оценки соотношения пользы и риска. Поскольку передозировка может нарушить кровоснабжение плода, в период беременности нельзя превышать рекомендуемую дозу. В период грудного вскармливания препарат Санорин-Ксило следует принимать с осторожностью. Вследствие возможного снижения выработки молока не следует превышать рекомендованную дозу
Способ применения и дозы
Интраназально. Взрослым и детям старше 6 лет закапывают по 1-2 капли Санорина-Ксило не более 3 раз в день в каждый носовой ход. Продолжительность непрерывного применения препарата не должна превышать 6 дней. Применение препарата можно возобновить только через несколько дней после перерыва. В связи с опасностью атрофии слизистой оболочки носа использование капель при хроническом насморке осуществляется только под врачебным контролем. Перед использованием флакон следует повернуть дозирующим устройством вниз. Перед применением необходимо снять защитный колпачок, лечь на спину или запрокинуть голову назад, ввести верхушку дозатора в носовой ход и надавить 1-2 раза. Повторить процедуру в другой носовой ход. После применения следует вытереть верхушку дозатора чистой бумажной салфеткой и надеть на нее защитный колпачок. Перед первым применением следует несколько раз надавить на флакон до появления первой капли. При последующем использовании препарат готов к применению сразу после снятия защитного колпачка. Перед закапыванием препарата рекомендуется освободить носовой ход от секрета. Последнее введение препарата желательно осуществлять в конце каждого дня перед отходом ко сну. Перед первым впрыскиванием спрея рекомендуется нажать на дозирующее устройство несколько раз до появления компактного облачка аэрозоля. Перед применением необходимо снять защитный колпачок и, удерживая флакон в вертикальном положении, ввести концевую часть устройства в носовой ход, затем быстро и резко нажать на аппликатор. Сразу после впрыскивания произвести легкий вдох носом и закрыть аппликатор защитным колпачком
Побочное действие
Частота развития побочных эффектов классифицирована согласно рекомендациям Всемирной организации здравоохранения: очень часто - не менее 10%; часто - не менее 1%, но менее 10%; нечасто - не менее 0,1%, но менее 1%; редко - не менее 0,01%, но менее 0,1%; очень редко - менее 0,01%. Нарушения со стороны иммунной системы: нечасто - реакция гиперчувствительности, сосудистый отек, кожная сыпь, зуд. Нарушения со стороны центральной нервной системы (ЦНС): очень редко - беспокойство, бессонница, утомляемость, вялость, апатия, головная боль, головокружение, тошнота, галлюцинации (преимущественно у детей). Нарушения со стороны сердечно-сосудистой системы: редко - ощущение сердцебиения, тахикардия, повышение артериального давления; очень редко - аритмия. Нарушения со стороны дыхательной системы, органов грудной клетки и средостения: часто - жжение, сухость слизистой оболочки носа, чихание; нечасто - после ослабления терапевтического эффекта повышенная отечность слизистой оболочки носа, носовые кровотечения. Нарушения со стороны скелетно-мышечной и соединительной ткани: очень редко - судороги (преимущественно у детей). При передозировке Санорина-Ксило могут развиваться чувство страха, тревоги, галлюцинации, судороги, снижение температуры тела, апатия, сонливость, кома, миоз, мидриаз, повышенное потоотделение, лихорадка, бледность, цианоз, тошнота, тахикардия, брадикардия, сердечная аритмия, нарушение дыхания и апноэ, резкое снижение артериального давления, отек легких, повышение артериального давления, остановка сердца. Для лечения передозировки назначают симптоматическую терапию, при случайном приеме препарата внутрь - введение активированного угля, натрия сульфата (слабительное), промывание желудка. В серьезных случаях могут быть применены неселективные альфа-адреноблокаторы для снижения артериального давления, а также интубация и искусственная вентиляция легких. Сосудосуживающие препараты противопоказаны.
Передозировка
Симптомы: чувство страха, тревоги, галлюцинации, судороги, снижение температуры тела, апатия, сонливость, кома, миоз, мидриаз, повышенное потоотделение, лихорадка, бледность, цианоз, тошнота, тахикардия, брадикардия, сердечная аритмия, нарушение дыхания и апноэ, резкое снижение артериального давления, отек легких, повышение артериального давления, остановка сердца. Лечение: при передозировке показано симптоматическое лечение под наблюдением. В серьезных случаях могут быть применены неселективные альфа-адреноблокаторы для снижения АД, а также интубация и искусственная вентиляция легких. Сосудосуживающие препараты противопоказаны. При случайном приеме умеренного или большого количества препарата внутрь следует принять активированный уголь (адсорбент) и натрия сульфат (слабительное средство), сделать промывание желудка
Особые указания
При длительном применении Санорина-Ксило возможно ослабление терапевтического эффекта, а также повышается риск возникновения реактивной гиперемии и атрофии слизистой оболочки носа (медикаментозный ринит). Не отмечалось влияния на способность к управлению транспортом и работу с техникой. При развитии нежелательных реакций со стороны центральной нервной системы следует соблюдать осторожность при выполнении действий, требующих повышенной концентрации внимания и быстроты психомоторных реакций
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