ІНСТРУКЦІЯ
для медичного застосування лікарського засоб=
у
ТУРУСОЛ®=
(TURUSOL)
Склад:
=
діючі
речовини: сорбіт, маніт;
1 мл розчину містить сорбіту 27 мг і маніту 5,4 =
мг;
=
допоміжна
речовина:
вода для ін’єкцій.
Лікарська форма. Розчин для іригацій.
Основні
фізико-хімічні властивості: прозора, безбарвна рідина.
=
Фармакотерапевтична
група.
Розчинники та засоби для розведення, включаючи
іригаційні розчини.
Код АТХ V=
07.
Фармакологічні властивості.
Фармакодинаміка.
При абсорбції препарату в суд=
инне
русло манітол незначною мірою
метаболізується у печінці з утворенням глікогену та екскретується
нирками. Абсорбція сорбітолу спричиняє незначне підвищення рівня лактату
плазми, оскільки сорбітол бере участь у метаболізмі лактату з пірувату, рів=
ень
лактату плазми недостатній для розвитку метаболічного ацидозу. У разі абсор=
бції
препарату його складові швидко екскретуються нирками.
=
Фармакокінетика.
Не досліджувалась.
Клінічні характеристики.
Показання.
Застосовується як іригаційна рідина при ендоскоп=
ічних
операціях та діагностичних процедурах: трансуретральній резекції простати та
інших трансуретральних хірургічних процедурах, гістероскопії, артроскопії.<=
o:p>
Протипоказання.
Підвищена чутливість до препарату, тяжка серц=
ева
недостатність, дегідратація, гіперосмолярний стан, ниркова недостатність із
порушенням фільтраційної функції нирок, гостра ниркова недостатність з
тривалістю анурії понад 12 годин, набряк легенів, геморагічний інсульт,
гіпонатріємія, гіпохлоремія, гіпокаліємія, коматозні стани.
Взаємодія з іншими лікарськими засобами та і=
нші
види взаємодій.
Не вивчалась.
Особливості застосування.
З обережністю застосовувати
пацієнтам із захворюваннями серцево-судинної системи та нирковою недостатні=
стю.
<=
/p>
Застосування у період вагітності а=
бо
годування груддю.
Зас=
тосування
у період вагітності або годування груддю не вивчено, тому не рекомендується
застосовувати препарат цій категорії пацієнтів.
Здатність впливати на швидкість ре=
акції
при керуванні автотранспортом або іншими механізмами.=
Препарат застосовувати
тільки в умовах стаціонару.
Спосіб застосування та дози.
При застосуванні препа=
рату
Турусол® використовується одноразова стерильна система.
Рекомендована висота контейнера над рівнем операційного поля – не вище 60 см, це мінімізує можливість внутрішньосудин=
ної
абсорбції препарату. Кількість препарату залежить від об’єму і тривалості
оперативного втручання.
Діти.
Зас=
тосування
дітям не вивчено, тому не рекомендується застосовувати препарат цій категор=
ії
пацієнтів.
Передозування.
Швидке введення препарату у дозах, що перевищують
5000 мл, може призвести до збільшення об’єму позаклітинної рідини,
гіпонатріємії і гіперкаліємії, а також до перенавантаження серця об’ємом,
особливо у хворих з гострою або хронічною нирковою недостатністю, зневоднен=
ня
організму.
Ліку=
вання
симптоматичне.
Побічні реакції.
Порушення обміну речовин, метаболізму: зневоднення організму, порушення водно-сольового
балансу, гіпонатріємія, гіпокаліємія, гіперосмолярність плазми крові.<=
/o:p>
Кардіальні порушення: тахікардія, біль за грудниною, зниження артеріального тиску, набряк
легенів, посилення недостатності кровообігу.
Неврологічні розлади: судоми, галюцинації, головний біль.
Шлунково-кишкові розлади: диспепсія, нудота, блювання, діарея.
Інші: слабкість, набряк обличчя.
Термін придатності.
3 роки.
Умови зберігання.
Зберігати при температурі не вище 25 °С.
Зберігати у =
недоступному
для дітей місці.
Упаковка.
По 1000 мл, 3000 мл у пакетах полімерних<=
span
lang=3DUK style=3D'font-size:12.0pt;font-family:"Times New Roman","serif";
mso-fareast-font-family:"Times New Roman";mso-fareast-language:RU;mso-bidi-=
font-weight:
bold'>
Категорія відпуску.
За рецептом.
Виробник.
ТОВ «Юрія-Фарм».
Місцезнаходження виробника та адреса місця провадження його діяльності.=
Україна, 18030, Черкаська обл., м. Черкаси, =
вул.
Кобзарська, 108. Тел.:
(044) 281-01-01.
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