Antiulceroase

1. Sucralfat (Sucralfatum)Indicatii: numai cand exista nisa ulceroasa.Reactii adverse: greturi, hiposalivatie, constipatie, diaree, greutate epigastrica, eruptii.Administrare: 2g x 2/zi dimineata si la culcare sau 1g x 4/zi cu o ora inainte de mese si la culcare.

Medicamente: Gastrofait compr. 1g Sucralan compr. Venter compr.1g.

2. Succitrat de bismut (Bismuthi subcitras)Indicatii: tratament etiopatogenic al gastritei, ulcerului gastro-duodenal, dispepsiei.Reactii adverse: greturi, vome, scaune brune, colorarea limbii.Administrare: 240mg x 2/zi dimineata si la culcare sau 120mg x 4/zi cu o jumatate de ora inainte de mese si la culcare.

Medicament: De-Nol compr.film.120mg.

Anestezice locale

1. Lidocaina (Lidocainum)Indicatii: toate tipurile de anestezie locala, tinitus, sughit, tratamentul simptomatic al durerilor bucale sau esogastrice.Contraindicatii: hipotensiune, hipovolemie, bloc cardiac, bradicardie, miastenie, soc hipovolemic, insuficienta cardiaca, hepatica, renala.Reactii adverse: stimulare SNC, paloare, hipotensiune, colaps, greturi, vome, hipoglicemie.Administrare: injectii sau infiltratii locale 0,5-4%.

Medicamente: Lidocain spray, sol.10% Lidocaina Infosint sol.inj.1%; 2%. Lidocaina sol.inj.10mg/ml , emplastru medicamentos Versatis emplastru medicamentos 5% Xilina sol.inj.100mg/10ml, 40mg/2ml, 80mg/2ml.

2. Atropina (Atropinum)Indicatii: este utilizata ca antispastic, pentru scaderea secretiilor salivare, ca medicatie preoperatorie, in blocul atrioventricular, bradicardia sinusala, oftalmologie, intoxicatii cu anticolinesterazice.Administrare: -adulti, inj.s.c. 0,25-1mg o data x 1-2/zi -copii, inj.s.c.1-7 ani 0,2-0,4mg x 1-2/zi.

Medicament: Atropina sulfurica sol.1%0. (pentru adulti).

3. Diazepam (Diazepamum)

Indicatii: stari anxioase, hipocondriale, nevroze, stari depressive, HT, angor, ulcer gastro-duodenal, astm bronsic.Contraindicatii: glaucom, sugari, miastenie.Administrare: oral -adulti, 2-5mg x 2-3/zi -copii sub 3 ani, 1-6mg/zi.

Medicamente: Diazepam compr.10mg, sol.inj.10mg/2ml Diazepam sol.rectala 5mg/2,5ml; 10mg/2,5ml.

4. Amitriptilina (Amitriptylinum)Indicatii: depresie cu anxietate, bulimie nervoasa, atac de panica, migrena, artrita, cefalee, sughit.Contraindicatii: glaucom, sarcina, asociere cu alcool, barbiturice.Reactii adverse: hipotensiune ortostatica, tahicardie, palpitatii, faringita, rinita, tuse, confuzie, halucinatii, scaderea memoriei, ameteli, astenie.Administrare: initial 25mg x 2/zi, se creste cu 25mg la 1-2 zile pana la 150-200mg/zi in 3 prize; doza de intretinere 75-100mg/zi.

Antiacide

1. Cimetidina (Cimetidinum)Administrare: oral, -adulti 400mg x 2/zi dimineata si seara -copii peste 1 an20-30mg/kg/zi in 2-3 prize.

Medicament: Cimetidina Arena caps.200mg

2. Ranitidina (Ranitidinum)Reactii adverse: efecte adverse si interactiuni mai rare decat cimetidina.Administrare: oral, -adulti 150mg x 2/zi dimineata si seara

-copii intre 8-18 ani 150mg x 2/zi.

Medicamente: Als-Ranitidina compr.film.150mg Arnetin sol.inj.25mg/ml N-Ranitidin compr.film.150mg Ranitidin Arena caps.75mg, 300mg Ranitidin Helcor compr.film.150mg, 300mg Ranitidin compr.eff.150mg, 300mg Zantac compr.film.75mg, 150mg, sol.inj.

3. Nizatidina (Nizatidinum)Administrare: - adulti 300mg seara sau 150mg x 2/zi, timp 4-8 saptamani.

Medicament: Nizatidin caps.150mg.

4. Famotidina (Famotidina)Administrare: ulcer gastro-duodenal 40mg seara in doza unica sau 20mg x 2/zi dimineata si seara.

Medicamente: Famotidin compr.film.20mg, 40mg Quamatel compr.film.20mg., 40mg, liof.

+solv.pt.sol.inj.20mg/5ml.

5. Acetazolamida (Acetazolamidum)Indicatii: glaucom, formele rezistente la tratamentul topic. Dupa admn. locala efectul incepe la 60-90 minute, este maxim in 3-5 ore, dureaza 8-12 ore.Contraindicatii: insuficienta grava hepatica, renala, suprarenala, colica nefretica in antecedente, intoleranta la sulfamide.Reactii adverse: hipokaliemie, hiperuricemie, miopatie trecatoare, litiaza renala, astenie, somnolenta, alergie.Administrare: glaucom cu unghi deschis 1 compr.(250mg) x 1-2/zi, preferabil seara.

Medicament: Acetazolamida Arena compr.250mg

6. Omeprazol (Omeprazolum)Contraindicatii: sarcina si in perioada de alaptare, hipersensibilitate la omeprazol, copii sub 6 ani.Reactii adverse: meteorism, constipatie, cefalee, ameteli, somnolenta sau insomnie, vertij, leucopenie, trombocitopenie.

Administrare: 20mg/zi, timp 2-4 sapt. in ulcer duodenal, max. 8 sapt. in ulcer gastric.

Medicamente: Helicid liof.pt.sol.perf.40mg; caps.gastrorez.20mg Losec pulb.liof.pt.sol.inj.40mg/10ml Losec Mups compr.film.gastrorez.10mg, 20mg Novogast caps.gastrorez.20mg Omedar compr.film.gastrorez.20mg Omeprazol caps.gastrorez.20mg Omeran caps.gastrorez.20mg, 40mg Omez pulb.pt.sol.perf.; caps.gastrorez.20mg Ortanol caps.gastrorez.20mg, 40mg Ultop caps.gastrorez.20mg.

7. Pantoprazol (Pantoprazolum)Administrare: oral, ulcer duodenal 40mg/zi, timp 2-4 sapt.; ulcer gastric si esofagita de reflux 40mg/zi, timp 4-8 sapt.

Medicamente: Azatol compr.gastrorez.20mg, 40mg Controloc compr.film.gastrorez.20mg, 40mg;

liof.pt.sol.inj.40mg Dyspex compr.gastrorez.20mg, 40mg; pu;b.pt.sol.inj.

I.V 40mg Gesoflux compr.gastrorez.20mg Pantecta compr.gastrorez.20mg, 40mg;

pulb.pt.sol.inj.40mg Pantoloc compr.gastrorez. Pantoprazol compr.gastrorez.20mg, 40mg Seltraz compr.film.gastrorez.20mg, 40mg

Zipantola compr.gastrorez.20mg, 40mg Nolpaza compr.gastrorez.20mg, 40mg Pacid compr.gastrorez.20mg, 40mg Pamtexel compr.gastrorez.20mg, 40mg Previfect compr.gastrorez.20mg Redacib compr.gastrorez. Ulprix compr.gastrorez.

8. Lansoprazol (Lansoprazolum)Administrare: ulcer duodenal 30mg/zi, timp 2-4 sapt.; ulcer gastric si esofagita de reflux 30mg/zi, timp 4-8 sapt.

Medicamente: Lansoprazol caps.gastrorez.15mg, 30mg Lanzol caps.gastrorez.15mg, 30mg Lanzap caps.gastrorez.30mg Lanzul caps.gastrorez.30mg Levant caps.gastrorez.15mg, 30mg.

9. Esomeprazol (Esomeprazolum)Indicatii: boala de reflux gastroesofagian, eradicarea HP.Contraindicatii: hipersensibilitate la benzimidazoli, sarcina, alaptare, copii.Reactii adverse: cefalee, dureri abdominale, diaree, flatulenta, greata, vome, constipatie, ameteli, insomnii.Administrare: comprimatele se inghit intregi.

Medicamente: Emanera caps.gastrorez.20mg, 40mg Esomeprazol compr.gastrorez.20mg, 40mg Helides caps.gastrorez.20mg

Nexium compr.gastrorez.20mg, 40mg; pulb.pt.sol.inj./perf. 40mg.

Medicamente cu reactie adversa vomitiva

Chimioterapice antitumorale:

1. Cisplatina (Cisplatinum)Indicatii: tumori testiculare, sarcom oestogenetic, carcinom vezical, tumori ovariene, epidermoide, neoplasm pulmonar.Reactii adverse: toxicitate renala, otica, reactii anafilactice, hiperuricemie, neuropatie periferica.Administrare: perfuzii I.V 20mg/mp zilnic, timp 5 zile.

Medicamente: Cisplatin ebewe conc.pt.sol.perf. 0,5mg/ml- 20ml,

50ml, 100ml Sinplatin liof.pt.sol.perf.10mg, 50mg; conc.pt.sol.perf.

1mg/ml.

2. Dacarbazina (Dacarbazinum)Indicatii: neoplasm pulmonary, renal, de colon, melanoma.Administrare: perfuzie I.V 150-250mg/mp/zi, serii de 4-5 zile si pauze de 21 de zile.

Medicament: Dacarbazin liof.inj.200mg, 500mg.

Antiparkinsoniene dopaminergice:

1. Levodopa (Levodopum)Indicatii: boala Parkinson idiopatica.Contraindicatii: psihonevroze, leucopenie, ulcer gastro-duodenal, sarcina, insuficienta renala, hepatica, cardiaca.Reactii adverse: anorexie, greturi, vome, hipotensiune, tahicardie, aritmii, agitatie, diskinezie, trombopenie, leucopenie.

2. Bromocriptina (Bromocriptinum)Indicatii: Parkinson .Reactii adverse: hipotensiune, greturi, constipatie, halucinatii, ulcer gastric, pleurezie.Administrare: oral, 1,25mg x 2/zi.

Medicament: Brocriptina draj.2,5mg.

Antivomitive

1. Clorpromazina (Chlorpromazinum)Indicatii: agitatie psihomotorie, mania acuta, schizofrenie cu delir si halucinatii.Contraindicatii: stari depressive, melancolie, hipokinezii, insuficienta hepatica si renala, hipotonoe, hipotensiune, leucopenii, come prin deprimante SNC.

Reactii adverse: somnolenta, astenie, sindrom neuropeltic, tulburari alergice, endocrine, oculare.Precautii: glaucom, hipertrofie de prostata, epilepsie, gravide in primele 3 luni de sarcina.Administrare: oral, -adulti 150-300mg/zi -copii 1-3mg/kg/zi in 3 prize.

Medicament: Plegomazin sol.inj.5mg/ml.

2. Proclorperazina (Prochlorperazinum)Indicatii: psihoze, vome de orice etiologie.Administrare: -adulti 50-250mg/zi in 2-3 prize -copii peste 6 ani 0,3-0,5mg/kg/zi

Medicament: Emetiral compr.film.5mg.

3. Metoclopramid (Metoclopramidum)Indicatii: varsaturi de etiologii variate.Contraindicatii: hemoragii digestive, ocluzii si perforatii gastrointestinale, epilepsie, asociere cu levodopa.Reactii adverse: efecte extrapiramidale mai frecvente la batrani, copii, tineri.Sarcina, alaptare: poate fi folosita in varsaturile de sarcina, poate favoriza secretia lactata.Precautii: nu se administreaza imediat dupa interventii chirurgicale pe abdomen.Administrare: oral, rectal, I.M, I.V -adulti 10mg x 1-3/zi -copii 5-14 ani 2,5-5mg x 1-3/zi.

Medicamente: N-Metoclopramid compr.10mg Metoclopramid pic.orale, sol.0,7%; sirop 1mg/5ml;

sol.inj.0,01g/2ml.

4. Domperidon (Domperidonum)Indicatii: antivomitivReactii adverse: f. rar efecte extrapiramidalePrecautii: aritmii cardiace si hipokaliemie, chimioterapie antitumorala.

Medicamente: Motilium compr.film.10mg Oroperidys compr.orodisp.10mg.

5. Ondasetron (Ondasetronum)Indicatii: greturi si varsaturi produse de antitumorale, radioterapie si postoperator.Reactii adverse: cefalee, constipatie, aritmii, hipotensiune, dureri toracice.Administrare: -adulti 8mg I.V lent sau 8mg oral cu 1-2 ore inainte -copii 5mg/m2 sau oral 4mg la 12 ore.

Medicamente: Emeset sol.inj./perf.2mg/ml -2ml, 4ml Ondaran MD compr.orodisp.4mg, 8mg Osetron compr.film.4mg, 8mg; sol.inj.2mg/ml -2ml,

4ml

Setronon compr.film.4mg, 8mg; sol.inj./perf. 4mg/2ml; 8mg/4ml

Zofran compr.4mg; sol.inj.4mg/2ml; 8mg/4ml.

6. Granisetron (Granisetronum)Administrare: perfuzie I.V 3mg.

Medicamente: Granegis compr.film.1mg Kytril compr.film.1mg; sol.inj.3mg/3ml Granisetron compr.film.1mg.

7. Prometazina (Promethaznium)Indicatii: rinite alergice, urticarie, boala serului, eczeme.Contraindicatii: stari depresive, somnolenta, asociere cu alte deprimante centrale, alcool, primul trimestru de sarcina.Reactii adverse: sedare, somnolenta, ameteli, stari confuzionale, agitatie, diaree, anorexie.Administrare: -adulti 25mg x 2-3/zi -copii 0,5-1mg/kg/zi. Medicamente:

Prometazina Arena compr.film.30mg Romergan sirop 5mg/5ml.

8. Cinarizina (Cinarizinum)Indicatii: tulburari circulatorii cerebrale, rau de miscare, migrena.Contraindicatii: glaucom, adenoma de prostate, ileus paralitic.

Reactii adverse: somnolenta, fenomene dispeptice, tulburari extrapiramidale.Administrare: oral, -adulti, initial 25mg x 3/zi crescand pana la 50mg x 3/zi -copii 5-7 ani, 15-20mg/zi. Medicamente:

Cinarizin compr.25mg Stugeron compr.25mg.

Reglatoare ale motilitatii gastro-intestinale

1. Trimebutin (Trimebutinum)Indicatii: colon iritabil, tulburari functionale, intestinale si biliare, manifestate prin dureri abdominale, balonari, diaree, constipatie.Administrare: -adulti 1-2compr. X 3/zi; 1-2 linguri susp.buvabila x 3/zi -copii 1ml/kg/zi in 2-3 prize.

Medicamente: Colperin compr.100mg Debridat compr.film.100mg; gran.pt.susp.orala

24mg/5ml Ibutin compr.elib.prel.300mg Trimebutin compr.100mg Promebutin compr.100mg.

Antidiareice

1. Loperamid (Loperamidum)Indicatii: diarei acute nespecifice, diarei cornice din boli inestinale inflamatorii.Contraindicatii: copii sub 6 ani, scaune cu sange (risc de ileus paralitic).Reactii adverse: constipatie, somnolenta, ameteli, greturi, vome.Precautii: diaree de origine bacilara la copii, copii sub 6 ani.Administrare: oral, -adulti initial 4mg, apoi cate 2 mg dupa fiecare scaun nereglat. -copii peste 6 ani, initial 2mg, max.6mg/zi.

Medicamente: Loperamid caps.2mg; sol.orala 0,02% Imodium caps.2mg Lopedium caps.2mg Loprid compr.2mg Neo-Enteroseptol caps.2mg.

2. DiosmectitaIndicatii: tratament symptomatic al afectiunilor esogastro-duodenocolice: diaree, durere, balonare.Administrare: -sugar, copil inainte de 1 an, 1pachet/zi -adult 3 pachete/zi.

Medicament: Smecta pulb.pt.sol.orala.

3. Mesalazina (Mesalazinum)Indicatii: colita ulcerativa acuta, usoara si moderata, stomatita, mentine remisiunile si previne recaderile.Reactii adverse: cefalee, febra, tulburari gastro-intestinale, reactii de hipersensibilitate, nefrita.Administrare: oral, doza initiala –adult 1g x 4/zi, apoi 2g/zi in 2 prize. -copii 20-30mg/kg/zi.

Medicamente: Pentasa compr.elib.prel.500mg; supoz.1g Salofalk compr.gastrorez.250mg, 500mg; susp.rectala

4g/60ml; supoz.250mg, 500mg.

4. Sulfasalazina (Sulfasalazinum)Indicatii: tratament specific in colta ulceroasa, boala Crohn, colopatii, artita reumatoida.Reactii adverse: greturi, cefalee, hiposalivatie, insomnie, hipersensibilizare, trombopenie, toxicitate hepatica, pancreatica, pulmonara.Administrare: oral, -adulti 1-2g x 4-6/zi, timp 3 sapt. -copii 150mg/zi in 4-6 prize. Medicamente:

Salazidin compr.film.500mg Salazopyrin –EN compr.film.gastrorez.500mg Sulfasalazin –EN compr.film.gastrorez. 500mg.

5. Budesonid (Budesonidum)

Indicatii: inducerea si mentinerea remisiunilor in maladia Crohn, la pacientii cu afectare usoara si moderata a ileonului si/sau colonului ascendent.Administrare: 9mg dimineata intr-o singura priza sau in doua prize dimineata su dupa-amiaza inainte de masa, timp 8 sapt.

Medicament: Budenofalk spuma rectala 2mg/doza;

caps.gastrorez.3mg.

6. Saccharomyces BoulardiiIndicatii: profilaxia tulburarilor digestive secundare antibioterapiei, enterite, enterocolite la nou-nascut si adult.Precautii: imunodeprimati poate apare infectie sistemica cu Saccharomyces Boulardi.Administrare: 1-4 caps.(plicuri)/zi.

Medicament: Enterol pulb.liof.de cellule vii pt.sol.orala;

caps.250mg; plic.250mg.7. Nistatina (Nystatinum)

Indicatii: candidoze bucale, faringiene, digestive.Reactii adverse: produce rar efecte adverse.Administrare: -adulti 500.000-1.000.000 u.i x 3-6/zi. -copii 500.000-1.000.000 u.i/zi, timp 3 zile.

Medicamente: Nistatina compr.film.500.000 u.i Stamicin compr.film.500.000 u.i.

8. Rifaximin (Rifaximinum)Indicatii: infectii digestive, profilaxia infectiilor in chirurgia tubului digestive, encefalopatia hepatica.Contraindicatii: obstructii intestinale, leziuni ulceroase intestinale.Reactii adverse: vome tranzitorii, urticarie, ameteli, insomnie.Administrare:oral, adulti 10-15mg/kg/zi.

Medicament: Normix compr.film.200mg; gran.pt.susp.orala

100mg/5ml.

9. Nifuroxazid (Nifuroxazidum)Indicatii: diarei acute presupuse de cauza bacteriana, fara semen invazive.Contraindicatii: prematuri, nou-nascuti, interactiune cu alcoolul.Reactii adverse:reactii alergice, tulburari digestive.

Administrare: oral, 2-4 prize zilnice –adulti 800mg/zi -copii peste 30 luni600-800mg/zi.

Medicament: Ercefuryl caps.200mg.

10. Furazolidon (Furazolidonum)Indicatii: enterite, enterocolite, toxiinfectii alimentare, trichomoniaza, lambliaza.

Reactii adverse: frecvent greturi, vome.Administrare: oral, la mese –adulti 100mg x 4/zi (la 6 ore) -copii sub 1 an 8-16mg x 4/zi. Medicamente:

Furazolidon Terapia compr.0,10g (adulti), 0,025g (copii)

Furazolidona Arena compr.25mg, 100mg (Forte).

11. Clorchinaldol (Chlorquinaldolum)Indicatii: infectii inestinale, bacteriene, micotice.Reactii adverse: greturi, ameteli, cefalee.Administrare: oral, dupa masa –adulti 100-200mg x 3/zi -copii 10mg/kg/zi.

Medicamente: Clorchinaldol draj.100mg Saprosan draj.100mg.

Laxative

1. Lactuloza (Lactulosum)Indicatii: constipatie, encefalopatia hepatica.Contraindicatii: galactozemie, intoleranta la fructoza, colopatii organice inflamatorii, sindrom ocluziv.Reactii adverse: vome, diaree, flatulenta, crampe abdominale.Adminsitrare: oral, -adulti 10-30g/zi ca laxativ -copii 2,5-7,5g.

Medicamente: Duphalac lichid oral 66,7g/100ml Lactulak sol.orala 660mg/ml Lactulose –MIP sirop 650mg/ml Lactulose sirop 65g/100ml Laevolac sol.orala 67%.

2. Macrogol (Macrogolum)Indicatii: tratament symptomatic al constipatiei functionale cornice la adulti, poate fi folosit la diabetici si hipertensivi.Contraindicatii: colita ulceroasa, sindrom ocluziv, dureri abdominale de cause nedeterminate, megacolon toxic.Reactii adverse: diaree, dureri abdominale.Administrare: 3-4 plicuri/zi pana la aparitia primului scaun, apoi se continua cu 1-2 plicuri/zi ca tratament de intretinere.

Medicament: Forlax macrogol 4000 10g/plic.; pulv.pt.sol.orala.3. Senna

Indicatii: tratament de scurta durata a constipatiei cornice care nu raspunde la alte purgative, mai blande.Contraindicatii: inflamatii sau obstructii intestinale, ileus paralitic, dureri abdominale, greata, vome.Reactii adverse: colici abdominale, diaree, deshidratare, pierdere de electroliti, urina poate fi colorata in galben-brun sau rosu.Administrare: oral, -adulti 15-30mg -copii peste 6 ani jumatate din doza adultului.

Medicament: Tisasen compr.film.10mg.

4. Bisacodil (Bisacodylum)Administrare: oral, efect in 10-12 ore -adulti 5-10mg seara -copii peste 6 ani 2,5g rectal.

Medicamente: Bisacodil Terapia draj.gastrorez.5mg Dulcolax draj.gastrorez.5mg Laxamag supoz.10mg Stadalax draj.gastrorez.5mg.

5. Glicerina (Glycerolum)Administrare: intrarectal, un supozitor la nevoie, umezit cu apa inainte de utilizare.

Medicament: Supozitoare cu glicerina supoz.pt.adulti (2,09g),

supoz.pt copii (1,39g).

Antiflatulente

1. Carbune medicinal (Carbo medicinalis)Indicatii: flatulenta.

Administrare: -adulti 2-4g/zi -copii 7-15 ani 1-2g/zi singur sau asociat.

Medicament: Norit caps.200mg.

Antispastice

1. Atropina (Atropinum)Indicatii: antispastic, scaderea secretiilor salivare,oftalmologie, intoxicatii cu anticolinesterazice.Administrare: -adulti inj.sc.0,25-1mg o data x 1-2/zi -copii inj.s.c 1-7 ani 0,2-0,4mg x 1-2/zi.

Medicament: Atropina sulfurica sol.1%0. (pt.adulti).

2. Butilscopolamina (Butylscopolammonii)Indicatii: antispastic predominant pe aparatul digestive, cai urinare, uter.Contraindicatii: glaucom, abdomen acut.Reactii adverse: hiposalivatie, tahicardie, somnolenta, diminuarea reflectivitatii.Administrare: oral, -adulti 10-20mg x 3-4/zi -copii de la 3 ani 5-10mg x 1-3/zi.

Medicamente: Buscopan draj.10mg; sol.inj.20mg/ml Buscorem compr.10mg Buscotil compr.10mg Scobunord compr.10mg

Scobutil compr.10mg; sol.inj.0,01g/1ml Scopantil compr.10mg Uscosin supoz.10mg.

3. Papaverina (Papaverinum)Indicatii: colici biliare, renale, gastrice, intestinale, dismenoree.Precautii: glaucom, aritmii cardiace, hipertensiune intracraniana.Administrare: oral, -adulti 100mg x 2-3/zi -copii 6mg/kg/zi.

Medicament: Papaverina compr.200mg.

4. Mebeverina (Mebeverinum)Indicatii: intestine iritabil, colopatii asociate cu diverticulozei, enterite regionale, ulcer peptic.Precautii: porfirie.Administrare: oral, 100mg x 3-4/zi cu 20 minute inainte de mese si la culcare. Nu se recomanda sub 18 ani.

Medicamente: Colospasmin draj.100mg Duspatalin caps.elib.prel.200mg.

5. Drotaverina (Drotaverinum)Indicatii: antispastic in litiaza biliara, colecistita, colangita, pielita, cistita, enterita, colita.

Administrare: oral, -adulti 40-80mg x 3/zi -copii peste 6 ani 40-120mg/zi in 2-3 prize. Medicamente:

No-Spa compr.40mg; sol.inj.20mg/ml -2ml, 4ml Spasmocalm compr.40mg.

Antiasmotice bronhodilatatoare

1. Teofilina (Theophyllinum)Indicatii: bronsita astmatiforma, astm bronsic, emfizem pulmonar.Contraindicatii: infarct miocardic recent, hemoragie cerebrala, tahiaritmii, ulcer gastro-duodenal, hipertiroidie, epilepsie, insuficienta renala acuta.Reactii adverse: tahicardie, palpitatii, anorexie, greturi, insomnie, aritmii, convulsii.

Medicamente: Teofilina SR caps.cu elib.prel.50mg, 100mg, 200mg,

300mg. Teotard caps.elib.prel.200mg, 350mg Theo caps.elib.prel.100mg, 200mg, 300mg.

2. TiotropiumIndicatii: tratament de intretinere al BPOC, permite scaderea dozei de salbutamol.Contraindicatii: episoade acute de bronhospasm, glaucoma, hipertrofie de prostata.Reactii adverse: uscaciunea gurii, constipatie, faringita, dificultati de prostata.

Administrare: inhalarea continutului unei capsule, o data pe zi, zilnic, folosind dispozitivul de inhalare.

Medicament: Spiriva caps.pulb.inhal.

3. Ipratropin (Ipratropii)Indicatii: bronhodilatator , emfizem pulmonar.Contraindicatii: glaucoma.Administrare: 2 pufuri x 3-4/zi.

Medicamente: Atrovent susp.inhal.presurizata 20mcg/doza;

sol.inhal. 0,26mg/ml Ipravent aerosol 20mcg/doza Ipraxa sol.de inhalat prin nebuliz.500mcg/2ml.

Anorexigene

1. Amfepramona (Amfepramonum)Indicatii: obezitate asociata cu hipotensiune si astenie, la pacienti adinamici.Administrare: oral, 25mg x 3/zi inaintea fiecarei mese.

Medicament: Regenon caps.moi 25mg; caps.elib.prel.60mg.

2. Sibutramina (Sibutraminum)Indicatii: obezitate la personae cu IMC peste 30kg/m2.

Contraindicatii: boli psihice, insuficienta cardiaca, aritmii, aterita, HTA, AVC, glaucom, copii sub 18 ani, varstnici peste 65 ani.Reactii adverse: aritmii cardiace, hipertensiune, bufeuri, constipatie, greata, uscaciune a gurii, insomnie, ameteli, alterarea gustului.Administrare: 10mg/zi intr-o priza dimineata.

Medicamente: Reductil caps.10mg, 15mg Lindaxa caps.10mg, 15mg Minimacin caps.10mg Sibutramina caps.10mg, 15mg Siluton caps.10mg, 15mg.3. Orlistat (Orlistatum)

Indicatii: obezitate.Contraindicatii: colestaza, sindrom de malabsorbtie.Reactii adverse: meteorism, scaune bogate in grasimi, abundente, incontinenta a fecalelor.Administrare: oral, 120mg x 3/zi, imediat inainte, in timpul sau pana la o ora dupa fiecare masa.

Medicamente: Alli caps.60mg Xenical caps.120mg.

Orexigene

1. Ciproheptadina (Cyproheptadinum)

Indicatii: stimularea apetitului in anorexia nervoasa sau idiopatica.Contraindicatii: glaucom, retentie urinara, asociere cu alte deprimante centrale, copii sub 2 ani.Reactii adverse: somnolenta, cefalee, greturi, confuzie.Administare: -adulti 4mg x 3/zi -copii 2-6 ani o lingurita de sirop x 3-4/zi.

Medicamente: Biohept sirop 2mg/5ml Ciproheptadina compr.4mg Peritol compr.4mg; sirop 2mg/5ml.