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იხილეთ აფთიაქების ჩამონათვალი

ბლესტარ ფორტე / BLESTAR FORTE

შემადგენლობა
ძირითადი ფიზიკურ-ქიმიური თვისებები:
თეთრი ფერის, მრგვალი ფორმის, ბრტყელი ზედაპირის მქონე შემოუგარსავი ტაბლეტები ნაზოლითა და ჭდით. 
შემადგენლობა:
1 ტაბლეტი შეიცავს:
ბლესტარი 
ბეტაჰისტინის დიჰიდროქლორიდს – 8 მგ;
ბლესტარ ფორტე
ბეტაჰისტინის დიჰიდროქლორიდს – 16 მგ;
დამხმარე ნივთიერებები: ბეტა-ციკლოდექსტრინი, სიმინდის სახამებელი, მიკროკრისტალური ცელულოზა, კოლოიდური სილიციუმის დიოქსიდი, ნატრიუმის ლაურილ სულფატი, ნატრიუმის მეთილჰიდროქსიბენზოატი, ნატრიუმის პროპილჰიდროქსიბენზოატი, მაგნიუმის სტეარატი, ტალკი, ნატრიუმის სახამებლის გლიკოლატი.

ფარმაკოლოგიური თვისებები
ბეტაჰისტინის დიჰიდროქლორიდი წარმოადგენს ჰისტამინის სინთეზურ ანალოგს, იგი მოქმედებს ცნს-ის ვესტიბულური ბირთვების და შიგნითა ყურის H1 და H3 რეცეპტორებზე. პრეპარატი პრეკაპილარული სფინქტერების მოდუნების საშუალებით აუმჯობესებს კაპილარების გამტარობასა და მიკროცირკულაციას. ახდენს ენდოლიმფური წნევის ნორმალიზებას ლაბირინთსა და ლოკოკინაში, ასევე აუმჯობესებს სისხლის მიმოქცევას ბაზილარულ არტერიებში. ბლესტარი აინჰიბირებს აგზნებადობის პიკების წარმოქმნას ლატერალური და მედიალური ვესტიბულური ბირთვების ნეირონებში.

ფარმაკოკინეტიკა
პერორალურად მიღების შემდეგ ბლესტარი სწრაფად და სრულად აბსორბირდება კუჭ-ნაწლავის ტრაქტიდან. ღვიძლში განიცდის მეტაბოლიზმს ორი მეტაბოლიტის წარმოქმნით. ბლესტარის ნახევარგამოყოფის პერიოდი შეადგენს 3.5 სთ-ს. პრეპარატის მაქსიმალური კონცენტრაცია სისხლის პლაზმაში მიიღწევა 3-5 სთ-ში, მისი უმეტესი ნაწილი გამოიყოფა ორგანიზმიდან თირკმელების საშუალებით სამი დღის განმავლობაში.

ჩვენებები
- მენიერის დაავადება;
- სხვადასხვა გენეზის ვესტიბულური თავბრუსხვევა;
- სინდრომები, რომლებიც მიმდინარეობენ თავის ტკივილითა და თავბრუსხვევით, ყურებში შუილითა და სმენის პროგრესული დარღვევით, გულისრევითა და ღებინებით.

მიღების წესები და დოზები
პრეპარატის საწყისი დოზა შეადგენს – 8-16 მგ-ს სამჯერ დღეში ჭამის დროს. შემანარჩუნებელი დოზა შეადგენს – 24-48 მგ-ს დღეში.
მკურნალობის ხანგრძლივობისა და დოზის შერჩევა ხდება ინდივიდუალურად.

გვერდითი მოვლენები
ბლესტარი ხასიათდება კარგი ამტანობით, მაგრამ იშვიათად შეიძლება აღინიშნებოდეს კუჭ-ნაწლავის ფუნქციის დარღვევა, გულისრევა, სიმძიმის შეგრძნება ეპიგასტრიუმის მიდამოში, თავის ტკივილი, პირის სიმშრალე, კანზე გამონაყარი, ტრემორი, პერიფერიული ვაზოდილატაცია, გაძლიერებული პულსაცია და ტაქიკარდია.

უკუჩვენება
მომატებული მგრძნობელობა პრეპარატის რომელიმე კომპონენტის მიმართ, კუჭის ან თორმეტგოჯა ნაწლავის წყლულოვანი დაავადება გამწვავების ფაზაში, ფეოქრომოციტომა.

ორსულობა და ლაქტაცია
ორსულობისა და ლაქტაციის პერიოდში პრეპარატის გამოყენება არ არის რეკომენდებული, რადგან არ არსებობს პრეპარატის კლინიკურ პრაქტიკაში გამოყენების გამოცდილება. 

გამოყენების თავისებურებები:
პრეპარატი სიფრთხილით ინიშნება ბრონქული ასთმის, ღვიძლის პათოლოგიების მქონე პაციენტებში, ასევე ანამნეზში წყლულოვანი დაავადების არსებობის დროს. 
პრეპარატის ზემოქმედება ავტოტრანსპორტისა და მექანიზმების მართვის უნარზე: 
პრეპარატი არ მოქმედებს ყურადღების კონცენტრაციასა და სატრანსპორტო საშუალებების მართვის უნარზე.

ჭარბი დოზირება
სიმპტომები: გულისრევა, ღებინება.
მკურნალობა: მკურნალობა სიმპტომურია, საჭიროა კუჭის ამორეცხვა, გააქტივებული ნახშირის მიღება.

სხვა წამლებთან ურთიერთქმედება
ურთიერთსაწინააღმდეგო მოქმედების გამო ბლესტარი არ ინიშნება ანტიჰისტამინურ პრეპარატებთან კომბინაციაში.

შენახვის პირობები და ვადები
ინახება არა უმეტეს 25ºC ტემპერატურაზე, მშრალ, სინათლისა და ბავშვებისაგან დაცულ ადგილას.
ვარგისიანობის ვადა:
2 წელი. შეფუთვაზე აღნიშნული ვადის გასვლის შემდეგ პრეპარატის გამოყენება დაუშვებელია.

აფთიაქში გაცემის წესი
გაიცემა რეცეპტით.

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