Противогрибковое. Представитель класса триазольных противогр... Инструкция
Показания к применению
Криптококкоз, включая криптококковый менингит и другие локализации данной инфекции. Генерализованный кандидоз, включая кандидемию, диссеминированный кандидоз и другие формы инвазивных кандидозных инфекций. Кандидоз слизистых оболочек, генитальный кандидоз. Профилактика грибковых инфекций у больных со злокачественными новообразованиями. Микозы кожи, ...
Флуконазол - противогрибковое средство. Препарат оказывает специфическое действие на грибковые ферменты, зависимые от цитохрома Р450. Активен при микозах вызванных Candida spp. (включая висцеральный кандидоз), Cryptococcus neoformans (включая внутричерепные инфекции), Microsporum spp., Trichophyton spp., Blastomyces dermatitides, Coccidioides immitis (включая внутричерепные инфекции), Histoplasma capsulatum.
Фармакологические свойства
Противогрибковое. Представитель класса триазольных противогрибковых средств, является мощным селективным ингибитором синтеза стеролов в клетке грибов.
Показания к применению
Криптококкоз, включая криптококковый менингит и другие локализации данной инфекции. Генерализованный кандидоз, включая кандидемию, диссеминированный кандидоз и другие формы инвазивных кандидозных инфекций. Кандидоз слизистых оболочек, генитальный кандидоз. Профилактика грибковых инфекций у больных со злокачественными новообразованиями. Микозы кожи, глубокие эндемические микозы.
Противопоказания
Повышенная чувствительность к препарату или близким по структуре азольным соединениям. Детский возраст до 3 лет.
Применение при беременности и в период грудного вскармливания
Противопоказан при беременности и в период лактации.
Способ применения и дозы
Внутрь. Взрослым при криптококковом менингите и криптококковых инфекциях других локализаций в первый день обычно назначают 400 мг (8 капсул по 50 мг), а затем продолжают лечение в дозе 200 мг (4 капсулы по 5 мг)- 400 мг (8 капсул по 50 мг) 1 раз в сутки. При кандидемии, диссеминированном кандидозе и других форахы инвазивных кандидозных инфекций доха обычно составляет 400 мг в первые сутки, а затем по 200 мг. Длительность терапии зависит от клинической эффективности. При вагинальном кандидозе флуконазол принимают в дозе 150 мг однократно. При микозах кожи рекомендуемая доза составляет 150 мг 1 раз в неделю или по 50 мг 1 раз/сут. При глубоких эндемических микозах может потребоваться применение препарата в дозе 200-400 мг/сут в течение до 2 лет. У детей, как и при сходных инфекциях у взрослых, длительность лечения зависит от клинического и микологического эффекта. У детей препарат не следует применять в суточной дозе, которая превышала бы таковую у взрослых. Препарат применяют ежедневно 1 раз в сутки.
Побочное действие
Возможны тошнота, боль в животе, диарея, метеоризм, головная боль, головокружение. Аллергические реакции: кожная сыпь, анафилактические реакции. Возможен гепатотоксический эффект.
Передозировка
Симптомы: тошнота, боль в животе, диарея, метеоризм, головная боль, головокружение. Могут также наблюдаться кожная сыпь, анафилактические реакции. Лечение: симптоматическая терапия (промывание желудка, поддерживающая терапия), форсированный диурез может ускорить выведение препарата.
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