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Диагностика ЖКТ

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                    [DETAIL_TEXT] => Торговое наименование: 
Бария сульфат для рентгеноскопии (Barium sulfate for renthenography)

Международное наименование:
Бария сульфат (Barium sulfate)

Формы выпуска:
порошок для приготовления суспензии для приема внутрь (стаканчики полимерные) 100 г

Состав:
бария сульфат

Фармокологичекая группа:
рентгеноконтрастное средство

Фармокологичекая группа по АТК:
V08BA02 (Бария сульфат)

Фармокологическое действие:
рентгеноконтрастное,

Показания:
Рентгенологическое исследование пищевода, желудка и кишечника (в т.ч. методом двойного контрастирования).

Режим дозирования:
Внутрь, для рентгенологического исследования пищевода, желудка и тонкого кишечника (в виде пасты или суспензии).
Для пищевода при тугом его заполнении используется неразведенная паста. Дозируется ложками. В 1 ст.ложке содержится 30 г пасты (15 г бария сульфата). При необходимости пасту можно развести, добавляя к 180 г пасты 70 мл воды комнатной температуры.
Для рентгеноскопии пищевода доза неразведенной пасты - 120-180 г, разведенной в соотношении 3:1 - 200-250 мл.
Для рентгенологического исследования желудка и тонкого кишечника готовят суспензию (из порошка или пасты).
Для приготовления суспензии из пасты к 240 г порциями добавляют 70-80 мл кипяченой воды в 2-3 приема и тщательно размешивают, на одно исследование желудка и тонкого кишечника - 300-450 мл.
Для приготовления суспензии из порошка смешивают его с теплой кипяченой или дистиллированной водой в соотношении от 2:1 до 4:1 для взрослых и от 1:1.5 до 1:2 для детей и тщательно перемешивают в течение 4-5 мин (возможно с применением миксера), доза для взрослых на одно исследование - 300 мл, для детей - 100 мл.
Ректально, для ирригоскопии используют более разведенную суспензию: к 240-360 г пасты добавляют 700-800 мл воды, на одно исследование - 1-1.5 л.

Противопоказания:
Гиперчувствительность, перфорация стенок ЖКТ (подозрение на нее), эзофаготрахеальные свищи, нарушение глотания, кишечная непроходимость, запоры, стеноз пищевода, кровотечение из органов ЖКТ, беременность, состояние после оперативных вмешательств на органах ЖКТ, синдром мальабсорбции, пищевая аллергия.

Побочные действия:
Бариевый аппендицит, запоры, аллергические реакции.
При использовании газообразующих веществ в процессе двойного контрастирования - неприятные ощущения в эпигастральной области.

Фармакодинамика:
Рентгеноконтрастное средство с низкой токсичностью. Благодаря выраженным адгезивным свойствам обволакивает слизистую оболочку ЖКТ и обеспечивает четкое изображение микрорельефа слизистой оболочки.

Фармакокинетика:
Не всасывается в ЖКТ, полностью выводится через 24-48 ч.

Особые указаня:
Для проведения двойного контрастирования у взрослых и детей старшего возраста (у детей младшего возраста проводить двойное контрастирование нецелесообразно) непосредственно перед исследованием пациенту дают, в зависимости от возраста, 1.5-3.5 г пищевой соды (в растворе или порошке), которую быстро запивают раствором 1-3 г лимонной кислоты. Общий объем дистиллированной воды не должен превышать 7-15 мл. Может использоваться для изучения моторики кишечника у детей. После перорального приема суспензия проходит тонкий кишечник у детей за 1-2 ч, что дает возможность в течение короткого времени изучить структуру и двигательную функцию тонкого кишечника и, тем самым, отказаться от специальных приемов его исследования. Длительность прохождения суспензии по толстой кишке 4 ч, что значительно сокращает время досмотра кишечника и уменьшает лучевую нагрузку в 2 раза.
С осторожностью. Общее тяжелое состояние больного.

Номер регистрации препарата:
Р №000252/01

Дата регистрации(перерегистрации) препарата:
18.11.2005

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Мовипреп пор д/р-ра вн прим x4


Код ATX: A06AD65 (Макрогол в комбинации с другими препаратами)


Лекарственная форма











МОВИПРЕП


набор порошков д/пригот. р-ра д/приема внутрь 111.896 г и 10.6 г: саше А 2 шт., саше Б 2 шт.


рег. №: ЛП-002630 от 22.09.14 - Действующее


Форма выпуска, состав и упаковка


Порошок для приготовления раствора для приема внутрь от белого до желтого цвета, с характерным запахом лимона.




















 ,


1 саше


макрогол 3350


100 г


натрия сульфат


7.5 г


натрия хлорид


2.691 г


калия хлорид


1.015 г


Вспомогательные вещества: аспартам - 0.233 г, ацесульфам калия - 0.117 г, ароматизатор лимонный V3938-1 N-1 - 0.34 г.


Порошок для приготовления раствора для приема внутрь от белого до светло-коричневого цвета.














 ,


1 саше


аскорбиновая кислота


4.7 г


аскорбат натрия


5.9 г


111.896 г + 10.6 г - саше (1) А и саше (1) Б - пакеты полиэтиленовые (2) - пачки картонные.


Клинико-фармакологическая группа: Слабительный препарат с осмотическими свойствами


Фармако-терапевтическая группа: Слабительное средство


Показания


— подготовка к диагностическим исследованиям (эндоскопическому, рентгенологическому и другим исследованиям кишечника) и оперативным вмешательствам, требующим опорожнения кишечника.


Коды МКБ-10



 ,


Режим дозирования


Внутрь. Для приготовления одного литра раствора препарата необходимо содержимое одного саше А и одного саше Б растворить в небольшом количестве воды, затем довести объем раствора водой до одного литра. Для приготовления второго литра раствора препарата необходимо содержимое оставшихся второго саше А и второго саше В растворить в небольшом количестве воды, затем довести объем раствора водой до одного литра. Общая доза составляет 2 л раствора препарата Мовипреп. Раствор можно принять однократно (2 л вечером или 2 л утром накануне исследования) или поделить на два приема (1 л накануне вечером и 1 л утром). Перед оперативным вмешательством принимают однократно два литра раствора препарата накануне вечером. Приготовленный раствор следует выпить в течение 1-2 ч. Во время прохождения курса подготовки настоятельно рекомендуется дополнительно употребить 1 л другой жидкости (вода, бульон, фруктовый сок без мякоти, безалкогольные напитки, чай, кофе без молока). Прием препарата и других жидкостей необходимо прекратить за 1-2 ч до процедуры. Не следует употреблять твердую пищу с начата приема препарата Мовипреп и до окончания клинической процедуры.


Побочное действие


Диарея является ожидаемым эффектом при подготовке кишечника. Из-за характера воздействия препарата во время подготовки кишечника к процедуре нежелательные эффекты фиксируются у большинства пациентов. Несмотря на некоторые отличия в конкретных случаях, самыми распространенными побочными эффектами являются: тошнота, рвота, вздутие живота, боль в животе, раздражение в области ануса и нарушения сна.


Как и при приеме других продуктов, в состав которых входит макрогол, возможны различные аллергические реакции, включая сыпь, крапивницу, зуд, отек Квинке и анафилактический шок.


Побочные эффекты классифицируются в зависимости от частоты встречаемости:


Очень частые: ≥1/10


Частые: ≥1/100, <,1/10


Нечастые: ≥1/1000, <,1/100


Редкие: ≥ 1/10000, <, 1/1 000


Очень редкие: <,1/10000


Неизвестно (невозможно оценить на основании полученных данных)


Нарушения со стороны иммунной системы:


Неизвестно: анафилактический шок.


Нарушения психики:


Частые: нарушения сна.


Нарушения со стороны нервной системы:


Частые: головокружение, головная боль.


Неизвестно: судороги, связанные с острой гипонатриемией.


Нарушения со стороны сердечно-сосудистой системы:


Неизвестно: кратковременное повышение артериального давления.


Нарушения со стороны желудочно-кишечного тракта:


Очень частые: боль в животе, тошнота, вздутие живота, раздражение в области ануса,


Частые: рвота, расстройство пищеварения,


Редкие: затрудненное глотание,


Неизвестно: метеоризм, позывы на рвоту.


Нарушения со стороны печени и желчевыводящих путей:


Нечастые: отклонения функциональных печеночных проб.


Нарушения со стороны кожи и подкожных тканей:


Неизвестно: зуд, крапивница, сыпь.


Общие расстройства:


Очень частые: недомогание:


Частые: озноб, жажда, голод,


Нечастые: дискомфорт.


Лабораторные исследования:


Неизвестно: изменение содержания электролитов, включая снижение содержания бикарбоната в крови, гипер- и гипокальциемня, гинофосфатемия. гипокалиемия и гипонатриемия (чаще встречается у пациентов, применяющих сопутствующую терапию, оказывающую влияние на почки, такую как ингибиторы ЛПФ или диуретики) и изменение содержания хлоридов в крови.


Если любые из указанных в инструкции побочных эффектов усугубляются, или Вы заметили любые другие побочные эффекты, не указанные в инструкции, сообщите об этом врачу.


Противопоказания к применению


— гиперчувствительность к любому из компонентов препарата,


— нарушение опорожнения желудка (гастропарез),


— кишечная непроходимость,


— перфорация или риск перфорации органов ЖКТ,


— фенилкетонурия (из-за содержания в составе аспартама),


— дефицит глюкозо-6-фосфат дегидрогеназы (из-за содержания в составе аскорбиновой кислоты),


— тяжелые воспалительные заболевания кишечника или токсический мегаколон, являющийся осложнением выраженных воспалительных процессов в кишечнике, включая болезнь Крона и язвенный колит,


— возраст до 18 лет,


— бессознательное состояние.


С осторожностью


— нарушенный рвотный рефлекс, склонность к аспирации или отрыжке,


— нарушения сознания,


— дегидратация,


— тяжелая сердечная недостаточность (III-IVфункциональный класс по классификации NYHA),


— тяжелая почечная недостаточность (КК <, 30 мл/мин),


— тяжелые острые воспалительные заболевания,


— боль в животе неясной этиологии,


Если у Вас одно из перечисленных заболеваний, перед приемом препарата Мовипреп обязательно проконсультируйтесь с врачом.


Применение при беременности и кормлении грудью


Опыт применения препарата Мовипреп во время беременности и в период грудного вскармливания ограничен. Препарат Мовипреп следует использовать только в случаях, если предполагаемая польза для матери превышает потенциальный риск для плода или ребенка (необходима консультация врача).


Применение при нарушениях функции почек


Осторожно при тяжелой почечной недостаточности (КК <, 30 мл/мин),


Применение у детей


Противопоказано детям до 18 лет.


Применение у пожилых пациентов


Пациентам пожилого возраста препарат следует применять под медицинским контролем.


Особые указания


Пациентам пожилого возраста, ослабленным или истощенным пациентам с различными сопутствующими заболеваниями, пациентам, склонным к аспирации либо отрыжке, с нарушением сознания, особенно в случае, если препарат вводят через назогастральный зонд, препарат следует применять под медицинским контролем.


Влияние на способность управлять транспортными средствами и механизмами


В период проведения курса подготовки к медицинским манипуляциям препаратом Мовипреп рекомендуется воздержаться от управления транспортными средствами и другими механизмами (см. раздел «Побочное действие»).


Передозировка


Симптомы: тяжелая диарея, которая может привести к нарушению водно-электролитного баланса


Лечение: обычно достаточно употребить большое количество жидкости, предпочтительно фруктовые соки. При необходимости - внутривенное введение инфузионных растворов для восстановления водно-электролитного баланса.


Лекарственное взаимодействие


Диарея, вызванная приемом препарата Мовипреп, может привести к нарушению абсорбции других одновременно принимаемых препаратов. Лекарственные препараты, принятые перорально в течение одного часа до начала слабительного действия препарата (например, оральные контрацептивы), выводятся из ЖКТ, не абсорбируясь.


Условия отпуска из аптек


По рецепту врача.


Условия и сроки хранения


При температуре не выше 25°С. Восстановленный раствор хранить при температуре не выше 8°С. Хранить в недоступном для детей месте.


Срок годности- 3 года. Восстановленный раствор - 24 часа. Не использовать после истечения срока годности.

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Торговое наименование:
Фортранс (Fortrans)


Код ATX: (Macrogol)

Активное вещество: (macrogol)
зарегистрированное ВОЗ


Лекарственная форма









ФОРТРАНС®
порошок д/пригот. р-ра д/приема внутрь 64 г: пакетики 4 шт.
рег. №: П N014306/01 от 17.08.07 - Бессрочно


Форма выпуска, состав и упаковка




Порошок для приготовления раствора для приема внутрь белого цвета, легко растворимый в воде.









1 пак.
макрогол 400064 г

Вспомогательные вещества: натрия хлорид - 1.46 г, калия хлорид - 0.75 г, натрия гидрокарбонат - 1.68 г, натрия сульфат безводный - 5.7 г, натрия сахаринат - 0.1 г.



Фармако-терапевтическая группа:



Фармакологическое действие



Слабительный препарат. Макрогол 4000 представляет собой линейный полимер, который посредством водородных связей удерживает молекулы воды. За счет этого увеличивается осмотическое давление и объем кишечного содержимого.


Электролиты, входящие в состав препарата, препятствуют нарушению водно-электролитного баланса организма.



Фармакокинетика


Макрогол 4000 не абсорбируется из ЖКТ и не подвергается метаболизму.


Показания



— подготовка к эндоскопическому или рентгенологическому исследованию толстой кишки,


— подготовка к оперативным вмешательствам, требующим отсутствия содержимого в кишечнике.


 ,



Режим дозирования



Препарат назначают внутрь взрослым и подросткам старше 15 лет. Перед применением содержимое 1 пакета полностью растворяют в 1 л воды.


Дозу препарата устанавливают из расчета 1 л приготовленного раствора на 15-20 кг массы тела (в среднем 3-4 л раствора).


Необходимую дозу можно принять однократно - 4 л вечером, накануне исследования или операции. Этот объем можно разделить на 2 приема - 2 л накануне вечером и 2 л утром. Прием препарата необходимо закончить за 3-4 ч до процедуры.



Побочное действие



Со стороны пищеварительной системы: возможно - тошнота и рвота в начале приема, которые прекращались при продолжении приема, вздутие живота.


Аллергические реакции: очень редко - кожная сыпь, отек, в единичных случаях - анафилактический шок.



Противопоказания к применению



— тяжелое состояние пациента, например, дегидратация или тяжелая сердечная недостаточность,


— наличие злокачественной опухоли или другого заболевания толстой кишки, сопровождающегося обширным поражением слизистой оболочки кишечника,


— полная или частичная кишечная непроходимость,


— возраст до 15 лет (в связи с отсутствием данных о клиническом применении),


— повышенная чувствительность к полиэтиленгликолю, поскольку имеются сообщения об очень редких аллергических реакциях (сыпь, отек, в единичных случаях - анафилактический шок) на прием препаратов, содержащих полиэтиленгликоль.



Применение при беременности и кормлении грудью



В настоящее время нет достаточных данных для оценки влияния макрогола 4000 на мальформацию плода при применении препарата у беременных женщин. Поэтому Фортранс® можно применять при беременности только в случае необходимости.


Поскольку макрогол 4000 не абсорбируется из ЖКТ, Фортранс® можно применять в период лактации (грудного вскармливания) по показаниям.



Применение при нарушениях функции почек


Противопоказан при нарушениях функции почек.


Применение у детей


Противопоказание: возраст до 15 лет (в связи с отсутствием данных о клиническом применении),


Применение у пожилых пациентов


Пациентам пожилого возраста с различными сопутствующими заболеваниями препарат рекомендуют применять под медицинским контролем.


Особые указания



Пациентам пожилого возраста с различными сопутствующими заболеваниями препарат рекомендуют применять под медицинским контролем.



Передозировка


Данных о передозировке препарата Фортранс® не имеется.


Лекарственное взаимодействие


Диарея, вызванная применением Фортранса, может привести к нарушению абсорбции других одновременно принимаемых лекарственных средств.


Условия и сроки хранения



Препарат следует хранить в недоступном для детей месте при температуре не выше 30°C. Срок годности - 5 лет.



Условия отпуска из аптек


Препарат отпускается по рецепту.
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Торговое наименование:
Фортранс (Fortrans)


Код ATX: (Macrogol)

Активное вещество: (macrogol)
зарегистрированное ВОЗ


Лекарственная форма









ФОРТРАНС®
порошок д/пригот. р-ра д/приема внутрь 64 г: пакетики 4 шт.
рег. №: П N014306/01 от 17.08.07 - Бессрочно


Форма выпуска, состав и упаковка




Порошок для приготовления раствора для приема внутрь белого цвета, легко растворимый в воде.









1 пак.
макрогол 400064 г

Вспомогательные вещества: натрия хлорид - 1.46 г, калия хлорид - 0.75 г, натрия гидрокарбонат - 1.68 г, натрия сульфат безводный - 5.7 г, натрия сахаринат - 0.1 г.



Фармако-терапевтическая группа:



Фармакологическое действие



Слабительный препарат. Макрогол 4000 представляет собой линейный полимер, который посредством водородных связей удерживает молекулы воды. За счет этого увеличивается осмотическое давление и объем кишечного содержимого.


Электролиты, входящие в состав препарата, препятствуют нарушению водно-электролитного баланса организма.



Фармакокинетика


Макрогол 4000 не абсорбируется из ЖКТ и не подвергается метаболизму.


Показания



— подготовка к эндоскопическому или рентгенологическому исследованию толстой кишки,


— подготовка к оперативным вмешательствам, требующим отсутствия содержимого в кишечнике.


 ,



Режим дозирования



Препарат назначают внутрь взрослым и подросткам старше 15 лет. Перед применением содержимое 1 пакета полностью растворяют в 1 л воды.


Дозу препарата устанавливают из расчета 1 л приготовленного раствора на 15-20 кг массы тела (в среднем 3-4 л раствора).


Необходимую дозу можно принять однократно - 4 л вечером, накануне исследования или операции. Этот объем можно разделить на 2 приема - 2 л накануне вечером и 2 л утром. Прием препарата необходимо закончить за 3-4 ч до процедуры.



Побочное действие



Со стороны пищеварительной системы: возможно - тошнота и рвота в начале приема, которые прекращались при продолжении приема, вздутие живота.


Аллергические реакции: очень редко - кожная сыпь, отек, в единичных случаях - анафилактический шок.



Противопоказания к применению



— тяжелое состояние пациента, например, дегидратация или тяжелая сердечная недостаточность,


— наличие злокачественной опухоли или другого заболевания толстой кишки, сопровождающегося обширным поражением слизистой оболочки кишечника,


— полная или частичная кишечная непроходимость,


— возраст до 15 лет (в связи с отсутствием данных о клиническом применении),


— повышенная чувствительность к полиэтиленгликолю, поскольку имеются сообщения об очень редких аллергических реакциях (сыпь, отек, в единичных случаях - анафилактический шок) на прием препаратов, содержащих полиэтиленгликоль.



Применение при беременности и кормлении грудью



В настоящее время нет достаточных данных для оценки влияния макрогола 4000 на мальформацию плода при применении препарата у беременных женщин. Поэтому Фортранс® можно применять при беременности только в случае необходимости.


Поскольку макрогол 4000 не абсорбируется из ЖКТ, Фортранс® можно применять в период лактации (грудного вскармливания) по показаниям.



Применение при нарушениях функции почек


Противопоказан при нарушениях функции почек.


Применение у детей


Противопоказание: возраст до 15 лет (в связи с отсутствием данных о клиническом применении),


Применение у пожилых пациентов


Пациентам пожилого возраста с различными сопутствующими заболеваниями препарат рекомендуют применять под медицинским контролем.


Особые указания



Пациентам пожилого возраста с различными сопутствующими заболеваниями препарат рекомендуют применять под медицинским контролем.



Передозировка


Данных о передозировке препарата Фортранс® не имеется.


Лекарственное взаимодействие


Диарея, вызванная применением Фортранса, может привести к нарушению абсорбции других одновременно принимаемых лекарственных средств.


Условия и сроки хранения



Препарат следует хранить в недоступном для детей месте при температуре не выше 30°C. Срок годности - 5 лет.



Условия отпуска из аптек


Препарат отпускается по рецепту.
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