Релиф про Крем, туба, 10 г, для местного применения, ректальный

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В ряде исследований показано увеличение риска развития расщелины неба у новорожденных, чьи матери принимали глюкортикостероиды в I триместре беременности."}},{"type":"paragraph","data":{"text":"Назначение препарата во II и III триместре беременности и в период грудного вскармливания возможно только в том случае, если потенциальная польза для матери превышает риск для плода и младенца. Следует избегать длительного применения препарата Релиф Про при назначении в период беременности и грудного вскармливания."}},{"type":"paragraph","data":{"text":"\u003ci\u003eИсследования на животных\u003c/i\u003e показали репродуктивную токсичность флуокортолона пивалата."}}]},{"id":12,"name":"Способ применения и дозы","slug":"dosage","body":[{"type":"paragraph","data":{"text":"Релиф Про рекомендуется применять после дефекации. Перед использованием препарата следует провести гигиену ануса (заднего прохода)."}},{"type":"paragraph","data":{"text":"Продолжительность лечения не должна превышать 2 недели."}},{"type":"paragraph","data":{"text":"Крем ректальный следует наносить 2 раза/день (утром и вечером). В первые дни лечения крем можно наносить 3 раза/день. По мере облегчения симптомов часто бывает достаточно применять препарат 1 раз/день."}},{"type":"paragraph","data":{"text":"Выдавив на палец небольшое количество крема (размером примерно с горошину), необходимо смазать область вокруг заднего прохода и внутри анального кольца. Для преодоления сопротивления сфинктера нужно наносить крем кончиком пальца."}},{"type":"paragraph","data":{"text":"Для введения крема в прямую кишку необходимо накрутить на тюбик прилагаемый аппликатор и ввести его в задний проход. Затем, слегка нажав на тюбик, выдавить небольшое количество крема в прямую кишку."}},{"type":"paragraph","data":{"text":"Выступающие геморроидальные узлы следует обильно смазывать кремом, акккуратно вправляя обратно пальцем."}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"Ниже приведена частота нежелательных реакций, о которых сообщалось в ходе клинических исследований препарата Релиф Про. В пределах каждой группы, выделенной в зависимости от частоты возникновения, нежелательные реакции представлены в порядке уменьшения их тяжести. По частоте они разделяются на частые (≥1/100 и <1/10), нечастые (≥1/1000 и <1/100) и редкие (≥1/10000 и <1/1000)."}},{"type":"paragraph","data":{"text":"\u003ci\u003eОбщие расстройства и нарушения в месте введения:\u003c/i\u003e часто - жжение, нечасто - раздражение."}},{"type":"paragraph","data":{"text":"\u003ci\u003eСо стороны иммунной системы:\u003c/i\u003e нечасто - аллергические реакции."}},{"type":"paragraph","data":{"text":"\u003ci\u003eСо стороны кожи и подкожных тканей:\u003c/i\u003e при продолжительном лечении (более четырех недель) существует риск развития местных изменений кожи, таких как атрофия, стрии или телеангиэктазии."}}]},{"id":14,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"\u003ci\u003eСимптомы\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"Исследования действующих веществ препарата Релиф Про, показывают, что риски острой интоксикации в результате случайной передозировки при однократном ректальном или перианальном применении препарата Релиф Про отсутствуют."}},{"type":"paragraph","data":{"text":"Предполагается, что при случайном приеме препарата внутрь (например, при проглатывании нескольких граммов крема) наиболее тяжелые симптомы могут возникнуть со стороны сердечно-сосудистой системы (угнетение функции сердца, остановка сердца) и ЦНС (судороги, угнетение дыхания, остановка дыхания) в зависимости от дозы."}},{"type":"paragraph","data":{"text":"\u003ci\u003eЛечение\u003c/i\u003e"}},{"type":"paragraph","data":{"text":"Лечение передозировки включает тщательный контроль жизненных функций, применение поддерживающих процедур (подачи кислорода), а также симптоматическое лечение ЦНС и сердечно-сосудистой системы, например барбитуратами быстрого действия, бета-симпатомиметическими препаратами и атропином. Применение диализа не показывает достаточную эффективность."}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"Пациенты, получающие противоаритмические препараты, должны применять препарат Релиф Про с осторожностью, учитывая, что в состав препарат входит лидокаин. При одновременном применении лидокаина с антиаритмическими препаратами возможно удлинение интервала QT и, в очень редких случаях, возможно развитие AV-блокады или фибрилляции желудочков."}},{"type":"paragraph","data":{"text":"Совместное применение препарата и ингибиторов цитохрома Р450 3А4 может повысить риск развития системных побочных реакций на применение кортикостероидов, включая супрессию гипоталамо-гипофизарно-адреналовой системы. Следует избегать комбинации этих препаратов, за исключением тех случаев, когда польза терапии превышает риск развития системных побочных реакций на кортикостероиды. В случае необходимости применения препарата Релиф Про в комбинации с ингибиторами цитохрома Р450 3А4 следует осуществлять тщательное наблюдение за пациентом в связи с риском развития системных реакций на кортикостероиды."}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"Следует избегать попадания препарата Релиф Про внутрь и контакта препарата с глазами. Необходимо тщательно вымыть руки после применения препарата."}},{"type":"paragraph","data":{"text":"Цетостеариловый спирт может вызвать местную кожную реакцию (например, контактный дерматит)."}},{"type":"paragraph","data":{"text":"Следует избегать контакта препарата с изделиями из латекса (контрацептивные диафрагмы и презервативы) во избежание снижения их эффективности."}},{"type":"paragraph","data":{"text":"\u003ci\u003eИспользование аппликатора. \u003c/i\u003eНе используйте аппликатор, если он поврежден. Навинтите аппликатор полностью на тубу. После каждого применения очистите аппликатор снаружи бумажным полотенцем, затем удалите оставшийся препарат ватным тампоном и очистите его снова бумажным полотенцем. Промойте аппликатор под теплой водой в течение 1 минуты и высушите бумажной салфеткой."}}]},{"id":17,"name":"Влияние на способность управлять автомобилем и движущимися механизмами","slug":"","body":[{"type":"paragraph","data":{"text":"Препарат не влияет на способность управлять транспортом или заниматься другими потенциально опасными видами деятельности, требующими повышенной концентрации внимания и быстроты психомоторных реакций."}}]},{"id":18,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"Крем ректальный"}}]},{"id":19,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"При температуре не выше 30 °С."}}]},{"id":20,"name":"Срок годности","slug":"expiry_date","body":[{"type":"paragraph","data":{"text":"Срок годности - 3 года."}}]},{"id":21,"name":"Условия отпуска","slug":"release_condition","body":[{"type":"paragraph","data":{"text":"Препарат отпускается по рецепту."}}]},{"id":22,"name":"Производитель","slug":"","body":[{"type":"paragraph","data":{"text":"\u003ca href=\"https://www.vidal.ru/drugs/firm/5567\"\u003eБАЙЕР \u003c/a\u003e(Россия)  "}}]}],"source":null},"description_toggle":false,"short_description":"Флуокортолон- ГКС, при воздействии на кожу предупреждает краевое скопление нейтрофилов, приводит к уменьшению числа лимфокинов и торможению миграции макрофагов, способствуя уменьшению процессов инфильтрации, экссудации и грануляции. Подавляет воспалительные и аллергические реакции кожи и облегчает зуд, жжение и боль; уменьшает дилатацию капилляров, интерстициальный отек и инфильтрацию тканей.Лидокаин- местный анестетик; обезболивание достигается за счет подавления образования и проведения нервных импульсов по афферентным нервным волокнам путем деполяризации натриевых каналов. Местный терапевтический эффект достигается при низком уровне активных компонентов в плазме крови.Флуокортолона пивалатВсасываниеПосле однократной ректальной аппликации 1 г крема ректального всасывание флуокортолона пивалата составляло максимально 5% от нанесенного или введенного количества препарата.МетаболизмФлуокортолона пивалат гидролизуется эстеразами и ферментами очага воспаления с образованием флуокортолона, 11-кетофлуокортолона и триметилуксусной кислоты.ВыведениеT1/2флуокортолона и его метаболитов после ректального введения составляли примерно 1, 3 и 4 ч соответственно. Флуокортолон выводится из организма в виде метаболитов преимущественно вместе с мочой.ЛидокаинВсасываниеАбсорбция и биодоступность лидокаина после ректального введения крема составляет около 30%.Метаболизм и выведениеT1/2составляет 1-2 ч. Лидокаин метаболизируется путем окислительного N-дезалкилирования, гидролиза амидной связи и гидроксилирования ароматического кольца с образованием 4-гидрокси-2,6-ксилидина, который является основным метаболитом. 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