Acipol - official* instructions for use. Additional examination plan

Detailed description goods

Scientists claim that the shell of bird eggs consists of 90% calcium carbonate and, in addition, contains trace elements important for the body such as copper, fluorine, iron, manganese, molybdenum. Phosphorus, sulfur, silicon, selenium, zinc, etc. - a total of 27 elements.

However, it is not enough to simply consume calcium, the main thing is to absorb it, and this happens in ionic form. As a result chemical reaction calcium carbonate with citric acid, stands out carbon dioxide(and calcium carbonate is calcium carbonate) and a new salt is formed - calcium citrate, which actively releases ions. This calcium does not crystallize, unlike regular calcium carbonate.

Taking quail shell, you don’t have to be afraid that the excess will be deposited in the bones and joints, don’t be afraid urolithiasis. If it is not needed, it is ideally eliminated from the body.

Along with other drugs, BIO-CALCIUM “QUAIL” is used in the treatment of:

Rakhita. Anemia in children (taking the drug helps to activate hematopoiesis in bone marrow). 1 capsule – 1 time per day. Course: 1 month

Orthopedic diseases in children (for example, congenital hip dislocation, juvenile osteoporosis). 1 capsule – 1-2 times a day. Course: 1 month

Brittle nails and hair, bleeding gums, constipation, irritability, insomnia, hay fever, asthma, urticaria. 2 capsules – 2 – 3 times a day. Course: 3 months.

Diseases of cardio-vascular system. 2 capsules – 1-2 times a day. Course: 1 month – 2 times a year

during pregnancy. 1 capsule – 3 times a day. Course – 2 months

extremely valuable for children from 1 year to 6 years. 1 capsule – 1 time per day. Course – 1 month. Annually.

in adolescence and adolescence. 2 capsules – 1 - 2 times a day. Course: 2-3 months

for adults, preventive courses twice a year, in order to prevent spinal diseases, dental caries and osteoporosis in the elderly. 2 capsules - 3 times a day. Course: 2 months.

for people doing heavy lifting physical labor. 2 capsules – 3 times a day. Course: 2 months

athletes. 2 capsules – 3 times a day. Course: 2 months

to remove radionuclides from the body. 2 capsules – 3 times a day Course: 1-2 months

for the prevention of colon cancer. 2 capsules – 3 times a day. Course: 2 months – 2 times a year

with familial colon polyposis. 2 capsules – 3 times a day. Course: 2 months – 2 times a year

Ingredients: peeled quail egg shells.

When using the drug, the dosage is prescribed individually each time, taking into account individual needs! Before use, you should consult your doctor.

Contraindications: pregnancy, lactation, childhood(not carried out clinical researches in these groups), individual intolerance to the components.

Storage conditions: Store at a temperature not exceeding +25 C in a dry place, protected from light.

Shelf life: 2 years.

Correction of micronutrient deficiency (contains calcium carbonate, copper, fluorine, iron, manganese, molybdenum, phosphorus, sulfur, silicon, selenium, zinc)
Rickets
Anemia
Bone diseases

Rp: Caps. Amoxicillini 0,25

D.t. d. N. 30

S. Orally, 2 capsules 3 times a day after meals.

Pills

Pills- solid dosage form obtained by compression with an inert filler with or without the addition excipients. The weight and composition of the filler is not indicated in the recipe.

Singular instrumental case Tabulettis , plural instrumental case Tabulettas ( Tabl .) .

Among the tablets there are:

uncoated, coated(Tabulettaeobductae), covered with a film shell ( Tabuletta filmo obducta) ;

soluble effervescent -Tabuletta solubilis vivida - (usually contain acidic substances, carbonates or bicarbonates, which react in water to release carbon dioxide; intended to be dissolved immediately before use);

enteric -Tabuletta enterosolvens -(resistant to gastric juice and releasing drug substance or substances in intestinal juice);

With modified release -Tabuletta modification, Tabuletta prolongata, Tabuletta retardata- (coated or uncoated tablets obtained using a special technology that allows you to program the speed or location of release of the drug);

for use in the oral cavity -Tabuletta sublingualis - (usually uncoated tablets obtained using a special technology for the purpose of releasing a medicinal substance or substances in the oral cavity, to provide a general or local resorptive effect - buccal tablets, sublingual tablets, etc.)

Tablets are produced only at pharmaceutical factories.

EXAMPLES OF RECIPES

Write out

30 atenolol tablets ( Atenololum) 0.1 each.

Prescribe 1 tablet per day.

Rp: Atenololi 0.1

D.t.d. N. 30 in tab.

A prescription starting with the word “tablets” is possible.

Rp: Tabl. Atenololi 0.1 N. 30

D. S. Orally, 1 tablet per day.

Write out

20 tablets of apressin ( Apressin), covered with a shell of 0.025 each.

Prescribe 1 tablet per day for 2–4 doses after meals.

Rp: Tabl. Apressini obd. 0.025 N. 20

D. S. Orally, 1 tablet 2 times a day after meals.

Write out

10 tablets "Kalcevit" ( « Cal - C- Vita» ). Prescribe 1 tablet 2 times a day.

Rp: Tabl. “Cal – C – Vita” N. 10

D. S. Orally, one tablet 2 times a day.

Dragee– solid dosage form obtained in layers

applying active active ingredients onto particles of inert carriers using sugar syrups.

Drag é e

Dragees are manufactured in pharmaceutical factories. There are only abbreviated recipes for pills. The prescription begins with an indication of the dosage form ( Drag é e ), name of the medicinal substance, its single dose, quantity and method of administration. Multicomponent dragees are prescribed with the indication common name, enclosed in quotation marks, in the nominative case.

EXAMPLES OF RECIPES

Write out

30 indomethacin tablets ( Indometacinum) by 0.025. Prescribe 1 - 2 tablets 4 times a day after meals.

Rp: Dragé e Indometacini 0,025 N. 30

D. S. Orally, 1 tablet 4 times a day after meals.

Write out

60 nialamide tablets ( Nialamidum) by 0.02. Prescribe 1 tablet 2 times a day.

RP: DrageeNialamidi 0.02 N. 60

D. S. Orally, 1 tablet 2 times a day after meals.

Complex drugs have an official (commercial or trade) name and are prescribed as follows:

Write out

100 festal pills ( Festal). Prescribe 1 - 2 tablets 2 times a day with meals.

Rp.: Dragée Festal N. 100

D. S. Orally, 1 - 2 tablets 2 times a day with meals.

Write out

50 Undevita tablets (“ Undevitum"). Prescribe 1 tablet 2 times a day.

Rp.: Dragée "Undevitum» N. 50

D. S. Inside, 1 tablet 2 times a day.

A simple dragee contains one medicinal substance and is prescribed in the same way as the second method of writing a prescription for tablets.

Prescribe 20 tablets containing 25 mg of promethazine. Prescribe 1 tablet 2 times a day.

Rp.: Dragee Prometazini 0.025

S. 1 tablet 2 times a day after meals.

WRITE OUT:

1. 20 tablets containing 25 mg of diprazine (Diprazinum). Prescribe 1 tablet 2 times a day.

2. 50 tablets containing 4 mg of bromhexine (Bromhexinum). Prescribe 2 tablets 3 times a day.

3. 20 tablets containing 100 mg of diazolin (Diazolinum). Prescribe 1 tablet 1 time per day after meals.

Dragee complex composition with a commercial name

Dragees of complex composition have special commercial names to avoid listing their constituents. medicinal substances. Such dragees are prescribed in the same way as complex tablets with a commercial name.

Rules for prescribing

The copy starts with the name dosage form in the genitive case plural with a capital letter (Dragee), then indicate the name of the dragee in quotation marks with a capital letter in the nominative case and their quantity. The dose for these pills is not indicated. The second line begins with the designation D.S., followed by the signature.

Prescribe 20 “Panzinorm-Forte” tablets. Prescribe 1 tablet 3 times a day with meals.

Rp.: Dragee “Panzinorm-forte”

S. 1 tablet 3 times a day with meals.

TASK for independent work.

WRITE OUT:

1. 60 dragees “Festal” (“Festalum”). Prescribe 2 tablets 3 times a day with meals.

2. 20 “Mexasa” dragees. Prescribe 1 tablet 3 times a day during or immediately after meals.

3. Ferroplex dragee. Prescribe 1 tablet 3 times a day during or immediately after meals.

CAPSULES

CAPSULAE

Capsules are shells in which dosed powder, granular, paste or liquid medicinal substances for oral administration are placed. The shape is divided into oblong, spherical or ovoid capsules. Medicinal substances are placed in capsules to eliminate their unpleasant properties (taste, smell) or to protect the mucous membranes from irritation.

Capsules can be used for dosing medicinal substances in inhaled preparations, as well as for implantation into subcutaneous fat. Capsules are manufactured in factories, and filling them with medicinal substances can occur both in factory and in pharmacy conditions. For filling in pharmacies, more elastic gelatin capsules (Capsulae gelatinosae) can be used; in polymer capsules, drugs are produced only in a factory way.

Gelatin capsules are prepared from gelatin, water and glycerin. There are hard ones - Sarsulae durae and elastic ones - Sarsulae gelatinosae. Gelatin capsules contain from 0.1 to 1.5 g of medicinal substances. After treatment, for example, with formaldehyde vapor, gelatin capsules become resistant to the action of gastric juice, due to which they disintegrate in the intestines under conditions alkaline environment, such capsules are called glutoid (Сарsulaе glutiodales).

Starch capsules (Срsulaе amylaceae), or wafers (oblatae) are made from starch or wheat flour. Currently, they are almost never used, because... They are highly porous and quickly soften from moisture; many hygroscopic and volatile substances cannot be added to them.

When prescribing capsules, indicate the name of the medicinal substance, a single dose, the number of doses, and it must be indicated that the medicinal product is dispensed in capsules (D. t. d. No.... in capsulis).

Prescribe 20 capsules of ampicillin at a dose of 0.5 g. Prescribe 1 capsule 3 times a day.

Rp.: Ampicillini 0.5

D.t.d. N 20 in capsulis gelatinosis.

If the capsule contains a medicinal substance in a certain dosage form, then it is indicated when prescribing the capsules.

Prescribe 30 capsules containing 0.2 ml of a 50% solution of tocopherol acetate in oil. Prescribe 1 capsule per day.

Rp.: Solutionis Tocopheroli acetatis oleosae 50% - 0.2

D.t.d. N 30 in capsulis gelatinosis elasticae.

S. 1 capsule per day.

Capsules of complex composition often have commercial names and are prescribed in an abbreviated form. The prescription begins with the indication of the dosage form - Capsularum, then the name medicinal product, without indicating the dose, further on general rules registration of recipes.

Rp.: Capsularum "Lopedium"

S. 1 capsule 3 times a day.

S. Inside, 1 powder 3 times a day.

Write out

30 Digitalis leaf powder ( foliiDigitalis) by 0.015. Assign 1 powder 3 times a day. Rp: Pulv. folii Digitalis0,015

Sacchari 0,3

M.f. pulv.

D.t.d.N. 30

S. Inside, 1 powder 1 time per day.

CAPSULES

Capsules- dosage dosage form, usually official, consisting of a hard or soft gelatin shell containing one or more active ingredients with or without the addition of excipients.

Singular Nominative Capsule, plural instrumental Capsulis ( Caps.).

Among the capsules, there are: hard, soft, microcapsules, enteric-soluble.

Enteric soluble capsules provide release medicines in intestinal juice.

Microcapsules- capsules consisting of a thin shell made of polymer or other material, spherical in shape, ranging in size from 1 to 2000 microns, containing solid or liquid active ingredients with the addition of excipients.

Soft– whole capsules various shapes(spherical, ovoid, oblong, etc.) with liquid or paste-like substances.

Solid– oblong-shaped capsules, consisting of two detachable parts that fit into one another.

Taking medications in capsules allows you to hide them bad taste and odor, as well as prevent the irritating effect of drugs on mucous membranes.

When prescribing medicinal substances in capsules, expanded and abbreviated forms of recording prescriptions are used.

EXAMPLES OF RECIPES

Write out

30 capsules of cephalexin ( Cefalexinum) 0.25 each. Prescribe 1-2 capsules 4 times a day.

Rp:Caps.Cefalexini 0.25

D.t. d. N. 30

S. Orally, 2 capsules 4 times a day.

Write out

20 capsules of 1% solution of nitroglycerin in oil ( SolutioNitroglycerinioleosa) For sublingual administration 0.001 each. Prescribe 1 - 2 capsules sublingually.

Rp: Sol. Nitrogl ycerini oleosae 1% (0.001)

D.t. d. N. 20 in caps.

S. By1 capsulesublingually(underlanguage) for chest pain.

Write out

20 amoxicillin capsules ( Amoxicillinum ) by 0.25. Prescribe 1 capsule 3 times a day after meals.

Rp: Caps. Amoxicillini 0,25

D.t. d. N. 30

S. Orally, 2 capsules 3 times a day after meals.

PILLS

Pills- a solid dosage form obtained by pressing with an inert filler with or without the addition of excipients. The weight and composition of the filler is not indicated in the recipe.

Singular instrumental case Tabulettis, plural instrumental Tabulettas ( Tabl.).

Among the tablets there are:

uncoated, coated(Tabulettae obductae), covered with a film shell ( Tabuletta filmo obducta) ;

enteric-soluble -Tabuletta enterosolvens - (stable in gastric juice and releasing drug substance or substances in intestinal juice);

modified release -Tabuletta modificata Tabuletta prolongata, Tabuletta retardata - (coated or uncoated tablets obtained using a special technology that allows you to program the speed or location of release of the drug);

Tablets are produced only at pharmaceutical factories.

EXAMPLES OF RECIPES

Write out

30 tablets of atenolol ( Atenololum) by 0.1 in each.

Prescribe 1 tablet per day.

Rp: Atenololi 0.1

D.t.d. No. 30 in tabl.

A prescription is possible that begins with the word "tablets".

Rp:Table.Atenololi 0.1 N. 30

D.S. Orally, 1 tablet per day.

Write out

20 tablets of apressin ( Apressin), covered with a shell of 0.025 each.

Prescribe 1 tablet per day for 2–4 doses after meals.

Rp: Tabl. Apressini obd. 0.025 N. 20

D.S. Orally, 1 tablet 2 times a day after meals.

Write out

10 tablets "Kalcevit" ( « Cal-C-Vita"). Prescribe 1 tablet 2 times a day.

Rp:Tabl. “Cal – C – Vita” N. 10

D.S. Orally, one tablet 2 times a day.

DROGETS

Dragee– solid dosage form obtained in layers

applying active ingredients to particles of inert carriers using sugar syrups.

Drag e e

Dragees are manufactured in pharmaceutical factories. There are only abbreviated recipes for pills. The prescription begins with an indication of the dosage form ( Drag e e ), name of the medicinal substance, its single dose, quantity and method of administration. Multicomponent dragees are written out with the common name enclosed in quotation marks in the nominative case.

EXAMPLES OF RECIPES

Write out

30 indomethacin tablets ( Indometacinum) 0.0 each 25. Prescribe 1 - 2 tablets 4 times a day after meals.

Rp:Drag eeIndometacini 0.025N. thirty

D.S. Orally, 1 tablet 4 times a day after meals.

Write out

60 nialamide tablets ( Nialamidum) by 0.02. Prescribe 1 tablet 2 times a day.

RP: DrageeNialamidi 0.02 N. 60

D.S. Orally, 1 tablet 2 times a day after meals.

Complex drugs have an official (commercial or trade) name and are prescribed as follows:

Write out

100 festal pills ( Festal). Prescribe 1 - 2 tablets 2 times a day with meals.

Rp.: Dragée Festal N. 100

D.S. Orally, 1 - 2 tablets 2 times a day with meals.

Write out

50 Undevita tablets (“ Undevitum"). Prescribe 1 tablet 2 times a day.

Rp.: Dragée "Undevitum" N. 50

D.S. Inside, 1 tablet 2 times a day.

Write out:

1. 50.0 powder containing 10% anesthesin (Anaesthesinum) and 90% talc (Taclcum). Apply to damaged areas of skin.

2. 30 ascorbic acid powders (Acidum ascorbinicum) 0.3 each.

Prescribe 1 powder 5 times a day.

3. 40 folic acid powders (Acidum folicum) 0.001 each.

Take 1 powder 2 times a day.

5. 50 tablets of furosemidum (Furosemidum) 0.04 each. Prescribe 1 tablet 1 time every 2 days

6. 30 tablets of ferrogradumet (Ferrogradumet), coated, 0.1 each.

Prescribe 1 tablet per day in the morning for 10 to 30 days.

7. 30 tablets Vasobral (Vasobral). Prescribe 1 - 2 tablets 2 times a day with

a small amount of water.

8. 5.0 thick male fern extract (Extractum Filicis maris spissum) in

gelatin capsules 0.5 each. Take within an hour and then take

saline laxative.

9. 20 capsules of loperamide 0.002 each (Loperamide um). Prescribe 1 – 2 capsules after

everyone loose stool(no more than 6 capsules per day).

Ticlopidine tablets 0.25 (Ticlopidin um). Prescribe 0.5 2 times a day after

amlodipine tablets (Amlodipinum) 0.01. Prescribe 1 tablet 2 times a day.

12.10 tablets of nitroglycerin (Nitroglycerinum) 0.0005 each. Prescribe 1 tablet for

sublingual administration.

bisacodyl tablets (Bisacodylum) 0.005 each. Assign 1 tablet at night.

Pentoxifylline dragee (Pentoxyphyllinum) 0.1 each. 2 tablets 3 times a day.

riboflavin powders (Riboflavinum) 0.003 each. Assign 1 powder 3 times

SOFT DOSAGE FORMS

Soft dosage forms include ointments (and their varieties: creams and gels), pastes, liquid ointments, suppositories.

OINTMENTS

Ointment– a dosage form for application to the skin, wound surfaces, mucous membranes, obtained by mixing one or more medicinal substances with so-called ointment bases.

Singular Nominative Unguentum, Genitive Unguenti (Ung.).

As ointment bases Vaseline is most often used - white or yellow ( Vaselinumalbums.flavum), lanolin ( Lanolinum), lard (AdepsSuilluss.Axungia porcina), fat-like oils, beeswax, spermaceti, polyethylene glycols and other substances that have a soft consistency. The amount of ointment prescribed depends on the method of application. Eye ointments prescribed in the amount of 5.0 - 10.0; ointments for lips, nose, ears in the amount of 10.0 - 20.0; for lubrication of affected areas of the skin - from 15.0 to 100.0 or more.

When prescribing ointments, the main prescriptions indicate the medicinal substance included in the ointment and the ointment base. In ointment powdery substances should be no more than 25%.

An ointment consisting of one medicinal substance and an ointment base is called simple ointment. If Vaseline is used as an ointment base (the most common option), then such an ointment can be prescribed in an abbreviated version. The recipe begins with the word Ung. (ointment).

The concentration of the drug substance is indicated as a percentage.

EXAMPLE RECIPE

Write out

50.0 ointment containing 2% salicylic acid (AcidumSalicylicum)

Apply to affected areas of skin

Rp: Ung. acidi Salicylici 2% - 50.0

D.S. Apply to affected areas of skin.

A simple ointment cannot be prescribed in an abbreviated version in cases where: the ointment base is not petroleum jelly, but other substances (or a mixture of them); the ointment contains substances whose activity is expressed in units of action ( ED), in this case they use expanded form copybook

EXAMPLES OF RECIPES

Write out

50.0 ointment containing 750,000 units of mycoheptin ( Mycoheptinum). Assign to lubricate the affected areas of the skin 2 times a day.

Rp: Mycoheptini 750000 ED

Vaselini ad 50.0

M.f.ung.

D.S. Lubricate the affected areas of the skin 2 times a day.

B write down

30.0 ointment containing 5.0 potassium iodide ( Kaliiiodidum) and lanolin ( Lanolinum). Spread on the nail plates to soften them

Rp: Kalii iodidi 5.0

Lanoliniad 30,0

M.f. ung.

D.S. Spread on nail plates

to soften them.

If the ointment contains several medicinal substances, then such an ointment is called complex. An ointment that contains one medicinal substance and a mixture of ointment bases (vaseline and lanolin) is also complex.

A complex ointment can only be prescribed in a detailed prescription - it is necessary to indicate the weight quantities of both the medicinal substances and the ointment base. The recipe ends with a sentence M. f. ung. (Miscefiatunguentum - « Mix, let it become an ointment»).

EXAMPLE RECIPE

Write out

100.0 ointment containing 10% ichthyol ( Ichthyolum), petroleum jelly and lanolin in equal quantities. Apply to affected areas of skin.

Rp: Ichthyoli 10,0

Vselini

Lanolini ana ad10 0,0

M.f.ung.

D.S. Apply to affected areas of skin 3 times a day

day.

Currently, most simple and complex ointments are produced by the pharmaceutical industry in finished form. Such ointments are official and are written out only in abbreviated form without indicating them full composition and, in some cases, concentration. In this case, the recipe begins with the word Unguentum V genitive case singular ( Unguenti ).

EXAMPLE RECIPE

Write out

25.0 Triderm ointment ( Triderm). Apply to affected areas of skin.

Rp:Ung.Triderm 25.0

Write out

20.0 Finalgon ointment (finalgon). Apply 3 times a day to the affected joint area.

Rp.:Ung.Finalgon 20.0

D.S. Apply 3 times daily to area

affected joint.

Creams And gels are a type of ointment. Therefore, the abbreviated prescription for these dosage forms begins with the word Unguenti , then indicate the consistency in brackets ( Gel, Creame ).

Cream (Creame ) - an ointment of soft consistency, which is an emulsion of the oil-in-water or water-in-oil type. The content of powdery substances in creams in accordance with regulatory requirements should be no more than 5%.

Gel (Gel ) is a colloidal solution with a jelly-like consistency that can retain its shape and has elasticity and plasticity.

EXAMPLE RECIPE

Write out

20.0 5% official ointment (cream) Acyclovir ( Acyclovir). Apply to affected areas.

Rp:Ung. (creame)Acyclovir 5% - 20.0

D.S. Apply to affected areas.

Write out

40.0 2% ointment (gel) Troxevasin ( Troxevasin). Apply to skin lower limbs with superficial thrombophlebitis.

Rp:Ung. (gel)“ Troxevasin” 2% - 40.0

D.S. Apply to the skin of the lower extremities when

superficial thrombophlebitis.

PASTES

Pastes- these are types of ointments in which the amount of powdery substances contains from 25% to 65%, As a result, pastes have a thicker consistency and, when applied to the skin, can be more long time stay in place of the application.

Pasta, singular genitive Pastae ( past).

The therapeutic advantage of pastes over ointments is that they have a more pronounced adsorbing and drying ability, which is useful in the presence of effusions. If the amount of medicinal substance included in the paste is less than 25%, then to give the required consistency, add some indifferent powdery substances (most often starch - Amylum, talc – Talcum,

zinc oxide – Zincioxydum, white clay – Bolusalba and etc.)

Official pastes are prescribed in recipes similar to official ointments.

EXAMPLES OF RECIPES

Write out

25.0 zinc official paste ( PastaZinci). Prescribe for application to affected areas of the skin.

Rp:Past.Zinci 25.0

D.S. Apply to affected areas of skin.

Write out

107.0 paste containing 2.0 boric acid (Acidumboricum); 5.0 naftalan ( Naphthalanum) and equally 25.0 zinc oxide ( Zincumoxydum), talc ( Talcum), Vaseline ( Vaselinum), lanolin ( Lanolinum). Apply to affected areas of the skin.

Rp: Acidi borici 2.0

Naphthalani 5.0

Zinci oxydi

Talci

Vaselini

Lanolini ana 25.0

M. f. past.

D.S. Apply to affected areas of skin.

Write out

20.0 paste containing 5% anesthesin ( Anaesthesinum). Lubricate the affected areas.

Rp: Anaesthesini 1.0

Zinci oxydi

Amyli ana 5.0

Vaselini ad 20.0

M.f. past.

D.S. Lubricate the affected areas of the skin.

LIQUID OINTMENTS (LINEMENTS ).

Liniments– a dosage form for external use, which is a thick liquid or gelatinous mass that melts at body temperature.

Singular Nominative Linimentum, genitive case Linimenti ( Lin.).

The basis for liniment is taken liquid oils : sunflower ( Oleum Helianthi ), olive ( Oleum Olivarum ), peach ( Oleum Persicorum ), castor ( Oleum Ricini ) etc. These liquid oils penetrate the skin well, do not irritate or dry it. Glycerin can also be used as a base.

Liniments must be shaken before use.

Official liniments are prescribed similarly to official ointments.

M ajstral liniments are written out in expanded form.

After indicating the liniment ingredients and their quantities, write M. f. lin. – « Mix to make liniment". If the recipe does not specify the base and the liniment is unofficial, then it is prepared in sunflower oil.

EXAMPLE RECIPE

Write out

100.0 liquid ointment per castor oil (Oleum Ricini), containing 3.0 liquid birch tar ( PixliquidaBetullae) and xeroform ( Xerophormium). Apply to infected areas of skin.

Rp.:PicisliquidaeBetullae

Xerophormiiana 3.0

Ol. Ricini ad 100.0

M.f. lin.

D.S. Lubricate infected areas of skin.

SUPPOSITORIES

Suppositories– a soft dosage form, consisting of a base and medicinal substances, initially solid, but melting (dissolving, disintegrating) at body temperature.

Singular, nominative case - Suppositorium, plural, accusative – Suppositoria ( Supp.).

There are suppositories rectal (candles) - Suppositoriarectalia And vaginal (balloons) - Suppositoriavaginalia, globuli.

Medicines introduced into the body in the form of suppositories have both local and resorptive effects (many drugs are easily absorbed in the rectum, bypassing the liver portal system), therefore, when prescribing potent and toxic substances compliance is required exact dosage. The balls are inserted into the vagina and have only a local effect.

basis used for making candles and balls cacao butter (Ol. C acao ),

used as hydrophilic bases gelatin-glycerin gels , polyethylene oxide alloys and other substances permitted for medical use. Weight rectal suppository should be between 1.0 and 4.0. If the weight is not indicated, then suppositories are made with a weight of 3.0. The mass of the balls should be between 1.5 and 6.0. When the mass is not specified, vaginal suppositories are manufactured in weight 4.0.

Prescriptions for candles and balls are made in the same way; the substances included in their composition are usually indicated in the recipe per candle (ball).

The amount of base in the recipe may not be indicated, in which case you should write: q.s. (quantum satis – how much is needed).

M a gistral suppositories are prescribed in recipes in expanded form, listing all the ingredients and their doses per one suppository.

EXAMPLE RECIPE

Write out

10 rectal suppositories(suppositories) containing 0.03 dry belladonna extract ( ExtractumBelladonnaesiccum). Prescribe one suppository to the rectum at night.

Rp: Extracti Belladonnae sicci 0.0 3

Ol.Cacao q. s.ut f. supp.

D.t.d.N.10

Write out

6 rectal suppositories (suppositories) containing 0.015 dry belladonna extract ( ExtractumBelladonnaesiccum) and 0.25 ichthyol ( Ichthyolum). One suppository per night into the rectum.

Rp: Extracti Belladonnae sicci 0.015

Ichthyoli 0.25

Ol.Cacao q. s.

ut f.supp.

D.t. d. N. 6

S. One suppository per night into the rectum.

Currently, most suppositories are produced in finished form by pharmaceutical industry enterprises (official suppositories).

Suppositories produced by the pharmaceutical industry, like all other official dosage forms, are prescribed in abbreviated form. In this case, the prescription begins with an indication of the dosage form - Supp., further, after the preposition cum (c), followed by the name of the drug substance ( V instrumental case singular) and its dose.

EXAMPLES OF RECIPES

Write out

10 rectal suppositories (suppositories) with bisacodyl ( Bisacodylum) by 0.01 each. Prescribe one suppository at night.

Rp: Supp. cum Bisacodylo 0.01 N. 10

D.S. One suppository per night into the rectum.

Write out

20 rectal suppositories (suppositories) with theophylline ( Theophyllinum) by 0.2 in each. Prescribe one suppository at night.

Rp: Supp. cum Theophyllino0.2 N. 20

D.S. One suppository per night into the rectum.

In some cases, official suppositories of complex composition are given commercial name e.g. suppositories Anuzol", Betiol etc. When prescribing such suppositories, the prescription is limited to indicating the dosage form in accusative case plural ( Suppositoria), names in the nominative case and number of suppositories. Doses of medicinal substances are not given in this prescription.

EXAMPLES OF RECIPES

Write out

10 suppositories " Anuzol» (« Anusolum"). Prescribe one suppository for pain.

Rp:Supp. "Anusolum"N. 10

D.S. One suppository for pain in the rectum.

ASSIGNMENTS FOR INDEPENDENT PREPARATION

Write out:

1. 20.0 ointment containing 10% iodoform (I odoformium). Prescribe for treatment

infected wounds.

2. 30.0 ointment containing 1% diphenhydramine (Dimedrolum), 10% streptocidum (Streptocidum),

5% zinc oxide (Zinci oxydum) on lanolin (Lanolinum) and petroleum jelly (Vaselinum)

equally. Apply to affected areas of skin 2 times a day.

3. 20.0 ointment Solcoseryl (Solcoseryl). On the affected surface of the skin 3 times a day.

4. 100.0 paste containing 10.0 ichthyol (Ichthyolum), 20.0 zinc oxide (Zinci oxydum)

and talc (Talcum) and 25.0 each of petroleum jelly and lanolin. Prescribe for application to

the affected area of the skin.

5. 30.0 paste containing 10% anesthesin (Anaesthesinum). Assign for lubrication

the affected surface.

6. 100.0 liniment containing tar (Pix liquida) and xeroform (Xeroformium)

This drug contains iron + multivitamins.

Part of hemoglobin, myoglobin and various enzymes. Ascorbic acid improves iron absorption in the intestines. Vitamins B12 and folic acid participate in the formation and maturation of red blood cells. Good tolerability of the drug from the gastrointestinal tract, absence side effects, allergic reactions And negative influence on the body. Used for chronic blood loss, iron and folic acid deficiency.

5. After hemoglobin increases to 110 g/l, maintenance therapy is needed. Continue taking iron-containing preparations up to 6 months, reanalysis blood with determination of iron metabolism in dynamics. Observation by a gynecologist.

Problem No. 135

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A man, 47 years old, was taken to admission department with complaints of an increase in body temperature up to 38.5 degrees, cough with sputum difficult to separate "rusty" color, pain in the right side chest aggravated by coughing, feeling of lack of air, dizziness.

From the anamnesis it is known that the patient fell ill 3 days ago - after hypothermia, the body temperature increased, a cough appeared. He was treated independently (aspirin, paracetamol), but his condition worsened: the above listed complaints appeared. The ambulance team took him to the hospital.

On examination: the condition is serious. Skin clean, cyanosis of lips, fingertips. The right half of the chest lags behind when breathing. Dullness of percussion sound, increased bronchophony in the 4th-5th intercostal space along the midclavicular line on the right. On auscultation in the same region, breathing with a bronchial tinge and crepitus. Heart sounds are muffled and rapid. Heart rate – 96 beats. per minute, blood pressure – 85/50 mm Hg. Saturation – 80% The abdomen is soft, painless on palpation in all parts.

In the UBC: leukocytes – 22×10 9 /l, young – 10%, band – 23%, TZN – 88%. SRP – 125 mg/l.

An X-ray of the chest was performed in frontal and lateral projections

1. Presumable most probable diagnosis: Community-acquired acute midlobar pneumonia. Moderate to severe. Donkey Respiratory failure 1st degree.

2. Rationale for the preliminary diagnosis:

1) Based on complaints: rise in body temperature to 38.5 degrees Celsius, cough with difficult-to-discharge “rusty” sputum; pain in the right side of the chest, which gets worse when coughing; feeling of lack of air and dizziness, tachycardia; 2) medical history – considers himself sick 3 days after hypothermia.

2) Objective data : the condition is serious. The skin is clean, cyanosis of the lips and fingertips. The right half of the chest lags behind when breathing. Dullness of percussion sound, increased bronchophony in the IV-V intercostal space along the midclavicular line on the right. On auscultation in the same region, there is bronchial breathing and crepitus. Heart sounds are muffled and rapid. Heart rate – 96 beats per minute, blood pressure – 85/50 mm Hg. Art. Saturation – 80%. The abdomen is soft and painless on palpation in all parts.

3) Instrumental and laboratory studies: X-ray – infiltration lung tissue S 5- 4 on the right; in the general blood test: leukocytes - 22 × 109/l, young forms - 10%, band neutrophils - 23%, segmented neutrophils - 30%, eosinophils - 2%, lymphocytes - 30%, monocytes -5%. SRP – 125 mg/l.

Based on all of the above, a preliminary diagnosis is made: community-acquired acute midlobar pneumonia, moderate to severe.

Donkey Respiratory failure 1st degree.

3) Plan additional examination:

A) CT scan(CT), fibrobronchoscopy with biopsy and histological examination; b) Bacteriological research sputum – for flora and sensitivity to antibiotics; c) Study of gases arterial blood(PO 2 , PCO 2 , pH, bicarbonates); G) general analysis blood with determination of the level of red blood cells, hematocrit, leukocytes, platelets, leukocyte formula in dynamics; d) Biochemical analysis blood (urea, creatinine, electrolytes, LDH, haptoglobin, glucose, albumin); f) ECG in standard leads – monitoring of heart function.

4) Treatment tactics:

Shows the purpose of the system antimicrobials(AMP) and adequate infusion therapy.

Antibacterial therapy

Starting antibacterial therapy(ABT)

cephalosporins III generation- cefepime in combination with macrolides for intravenous administration. An alternative regimen is a combination of moxifloxacin or levofloxacin with a third generation cephalosporin, β-lactams (piperacillin/tazobactam, cefepime, meropenem, imipenem), fluoroquinolones.

For documented/suspected aspiration, the drugs of choice are inhibitor-protected β-lactams, carbapenems, or a combination of a third-generation cephalosporin without antipseudomonal activity with clindamycin or metronidazole.

In patients with clinical and/or epidemiological evidence suggesting infection with influenza viruses, oseltamivir or zanamivir is recommended in addition to antibiotics.