{"id":59387,"date":"2024-02-28T05:55:36","date_gmt":"2024-02-28T05:55:36","guid":{"rendered":"https:\/\/medsname.com\/nepalact-eye-drops\/"},"modified":"2026-04-30T10:23:58","modified_gmt":"2026-04-30T10:23:58","slug":"nepalact-eye-drops","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/nepalact-eye-drops\/","title":{"rendered":"Pic\u0103turi Oculare Nepalact"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fffbe6;border-left:4px solid #f5a623;padding:14px 18px;margin:14px 0 22px;border-radius:6px;font-size:15px;line-height:1.55;\">\n<h3 style=\"margin:0 0 6px;font-size:17px;color:#8a6d3b;\">\u26a1 R\u0103spuns rapid \u2014 Ce sunt pic\u0103turile Nepalact?<\/h3>\n<p style=\"margin:0;\">Pic\u0103turile Nepalact sunt Nepafenac 0.1%, pic\u0103turi oftalmice topice NSAID pentru durerea \u0219i inflama\u021bia post-operatorie, conjunctivita alergic\u0103 \u0219i preven\u021bia edemului macular cistoid dup\u0103 opera\u021bia de cataract\u0103. Se folosesc de 2\u20134 ori pe zi.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f6f7fb;border:1px solid #e3e5ee;border-radius:8px;padding:14px 18px;margin:18px 0;font-size:14px;line-height:1.55;\"><strong style=\"color:#1f3661;\">De ce s\u0103 comanzi de la MedsBase?<\/strong> Produs de un produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 <a href=\"\/ro\/reviews\/\" rel=\"noopener\">Peste 1.400 de recenzii verificate ale clien\u021bilor<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Pic\u0103turile Nepalact sunt procurate de la un produc\u0103tor certificat WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaj simplu \u0219i discret. Fiecare comand\u0103 este acoperit\u0103 de asigurarea noastr\u0103 de <a href=\"\/ro\/medsbase-re-shipment-assurance-policy\/\" rel=\"noopener\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a> \u2014 dac\u0103 nu a sosit \u00een 20 de zile lucr\u0103toare, expediem din nou f\u0103r\u0103 costuri suplimentare. Sus\u021binut de peste 1.400 de recenzii verificate.<\/p>\n<h2>Ce sunt pic\u0103turile Nepalact?<\/h2>\n<p>Pic\u0103turile Nepalact sunt fabricate de Sun Pharma \u0219i con\u021bin Nepafenac 0.1% ca solu\u021bie oftalmic\u0103 steril\u0103. NSAID-urile topice reduc inflama\u021bia prin blocarea enzimelor ciclo-oxigenaz\u0103 (COX), sc\u0103z\u00e2nd produc\u021bia de prostaglandine. Acestea sunt non-steroidiene \u0219i evit\u0103 problemele de cre\u0219tere a presiunii intraoculare, riscul de cataract\u0103 \u0219i problemele de imunosupresie ale steroidilor topici.<\/p>\n<h2>Cum func\u021bioneaz\u0103<\/h2>\n<p>Nepafenac inhib\u0103 at\u00e2t COX-1 c\u00e2t \u0219i COX-2 (ca un prodrug inactiv care este convertit \u00een amfenac activ \u00een ochi) \u00een \u021besuturile oculare. Rezultatul este reducerea sintezei de prostaglandine, mai pu\u021bin trafic de leucocite \u0219i sc\u0103derea miozei, durerii \u0219i inflama\u021biei.<\/p>\n<h2>Indica\u021bii<\/h2>\n<ul>\n<li><strong>Inflama\u021bie ocular\u0103 postoperatorie<\/strong> dup\u0103 opera\u021bia de cataract\u0103, chirurgie refractiv\u0103, cross-linking corneal<\/li>\n<li><strong>Profilaxia edemului macular cistoid (CME)<\/strong> dup\u0103 opera\u021bia de cataract\u0103 \u2014 \u00een special la pacien\u021bii diabetici, cu antecedente de CME sau membran\u0103 epiretinian\u0103<\/li>\n<li><strong>Men\u021binerea midriazei intraoperatorii<\/strong> \u00een timpul opera\u021biei de cataract\u0103 (reduce mioza cauzat\u0103 de eliberarea de prostaglandine)<\/li>\n<li><strong>Conjunctivita alergic\u0103 sezonier\u0103<\/strong> \u2014 nu este de prim\u0103 inten\u021bie, dar util\u0103 atunci c\u00e2nd antihistaminicele sunt insuficiente<\/li>\n<li><strong>Controlul durerii postoperatorii<\/strong> \u2014 reduce utilizarea de narcotice dup\u0103 chirurgia refractiv\u0103<\/li>\n<\/ul>\n<h2>Doza<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:14px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;text-align:left;border:1px solid #ddd;\">Indica\u021bie<\/th>\n<th style=\"padding:8px;text-align:left;border:1px solid #ddd;\">Doza<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Inflama\u021bia post-cataract\u0103<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">1 pic\u0103tur\u0103 de trei ori pe zi timp de 2 s\u0103pt\u0103m\u00e2ni<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Profilaxia CME (pacien\u021bi cu risc crescut)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">Preoperator timp de 1\u20133 zile, apoi continuare 4\u20136 s\u0103pt\u0103m\u00e2ni postoperator<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Conjunctivita alergic\u0103<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">1 pic\u0103tur\u0103 de 4 ori pe zi dup\u0103 necesitate<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:4px;font-size:14px;line-height:1.55;\"><strong style=\"color:#a94442;\">Risc de topire corneean\u0103 la utilizarea prelungit\u0103.<\/strong> AINS-urile topice au cauzat rareori deteriorarea epiteliului cornean, sub\u021bierea stromului \u0219i perfora\u021bie corneean\u0103, \u00een special la utilizare prelungit\u0103 (&gt; 2 s\u0103pt\u0103m\u00e2ni), la pacien\u021bi cu boli corneene preexistente (ochi uscat, cheratit\u0103 neurotrofic\u0103, herpes) \u0219i la diabetici cu pierdere a sensibilit\u0103\u021bii corneene. Monitoriza\u021bi apari\u021bia durerii neexplicate, sc\u0103derea vederii sau apari\u021bia de colora\u021bii corneene \u2014 \u00eentrerupe\u021bi imediat \u0219i consulta\u021bi un oftalmolog.<\/div>\n<h2>Efecte Secundare<\/h2>\n<p><strong>Local:<\/strong> \u00een\u021bep\u0103tur\u0103 la instilare (cea mai frecvent\u0103), hiperemie conjunctival\u0103, senza\u021bie de corp str\u0103in, vedere \u00eence\u021bo\u0219at\u0103 temporar\u0103, prurit ocular, colora\u021bii corneene la utilizare prelungit\u0103.<\/p>\n<p><strong>Hipersensibilitate:<\/strong> bronhospasm rar la pacien\u021bii sensibili la aspirin\u0103, urticarie, angioedem.<\/p>\n<h2>Avertismente &amp; Contraindica\u021bii<\/h2>\n<ul>\n<li>Astm indus de aspirin\u0103 sau AINS \u2014 contraindicatie relativ\u0103<\/li>\n<li>Boal\u0103 cornean\u0103 preexistent\u0103 (ochi uscat sever, cheratit\u0103 neurotrofic\u0103, boal\u0103 herpetic\u0103) \u2014 risc crescut de topire cornean\u0103<\/li>\n<li>Cheratopatie diabetic\u0103 \u2014 risc crescut de topire<\/li>\n<li>Utilizare concomitent\u0103 de steroid topic \u2014 toxicitate cornean\u0103 aditiv\u0103<\/li>\n<li>Diatez\u0103 hemoragic\u0103 sau utilizare de anticoagulante \u2014 risc minor de s\u00e2ngerare intraoperatorie dac\u0103 este utilizat preoperator<\/li>\n<li>Sarcin\u0103 avansat\u0103 (trimestrul al treilea) \u2014 evita\u021bi (risc teoretic de \u00eenchidere prematur\u0103 a ductusului arterios dac\u0103 este absorbit sistemic; minim din pic\u0103turi oculare)<\/li>\n<li>Copii \u2014 de obicei sigur peste v\u00e2rsta de 3 ani; rar utilizat sub aceast\u0103 v\u00e2rst\u0103<\/li>\n<\/ul>\n<h2>Depozitare<\/h2>\n<p>Se p\u0103streaz\u0103 la 15\u201325\u00b0C, protejat de lumin\u0103. Se elimin\u0103 dup\u0103 28 de zile de la prima deschidere.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3>Pentru ce se folosesc pic\u0103turile Nepalact?<\/h3>\n<p>Cel mai frecvent dup\u0103 opera\u021bia de cataract\u0103 pentru a reduce inflama\u021bia, a controla durerea \u0219i a preveni edemul macular cistoid. De asemenea, este utilizat pentru conjunctivita alergic\u0103, recuperarea dup\u0103 chirurgia refractiv\u0103 \u0219i ca alternativ\u0103 la steroizi la pacien\u021bii cu r\u0103spuns la steroizi.<\/p>\n<h3>Cum difer\u0103 pic\u0103turile Nepalact de pic\u0103turile oculare cu steroizi?<\/h3>\n<p>AINS-urile blocheaz\u0103 sinteza prostaglandinelor f\u0103r\u0103 a afecta r\u0103spunsul imun mai larg. Nu cresc tensiunea intraocular\u0103, nu provoac\u0103 cataract\u0103 \u0219i nu favorizeaz\u0103 infec\u021biile virale sau fungice \u2014 ceea ce le face mai sigure pentru utilizarea prelungit\u0103. Sunt, de asemenea, mai pu\u021bin potente pentru inflama\u021bii severe; steroizii sunt \u00eenc\u0103 prefera\u021bi pentru uveita activ\u0103.<\/p>\n<h3>De ce se folosesc pic\u0103turile Nepalact dup\u0103 opera\u021bia de cataract\u0103?<\/h3>\n<p>Prostaglandinele eliberate \u00een timpul opera\u021biei provoac\u0103 durere, mioz\u0103 \u0219i contribuie la edemul macular cistoid (o cauz\u0103 frecvent\u0103 a pierderii vederii dup\u0103 cataract\u0103). AINS-urile atenueaz\u0103 acest r\u0103spuns. Mul\u021bi oftalmologi utilizeaz\u0103 AINS-uri al\u0103turi de steroizi \u00een primele 2 s\u0103pt\u0103m\u00e2ni, apoi continu\u0103 doar cu AINS timp de 4\u20136 s\u0103pt\u0103m\u00e2ni la ochii cu risc ridicat de EMC.<\/p>\n<h3>Ce este topirea corneean\u0103?<\/h3>\n<p>Rar\u0103, dar grav\u0103 \u2014 epiteliul corneean se degradeaz\u0103 \u0219i stroma subiacent\u0103 se sub\u021biaz\u0103, uneori progres\u00e2nd p\u00e2n\u0103 la perfora\u021bie. Factorii de risc: tratamente lungi, boli corneene preexistente, diabet, utilizare concomitent\u0103 de steroizi topici. \u00centrerupe\u021bi pic\u0103turile \u0219i solicita\u021bi consult \u00een aceea\u0219i zi pentru orice agravare neexplicat\u0103 a durerii sau sc\u0103dere a vederii.<\/p>\n<h3>Pot conduce dup\u0103 utilizarea pic\u0103turilor Nepalact?<\/h3>\n<p>Vedere \u00eence\u021bo\u0219at\u0103 u\u0219oar\u0103 timp de 5\u201310 minute dup\u0103 instilare. A\u0219tepta\u021bi p\u00e2n\u0103 c\u00e2nd vederea se clarific\u0103.<\/p>\n<h3>Sunt pic\u0103turile Nepalact sigure \u00een timpul sarcinii?<\/h3>\n<p>Absorb\u021bia topic\u0103 este minim\u0103. Evita\u021bi \u00een trimestrul al treilea (\u00eenchiderea prematur\u0103 teoretic\u0103 a ductusului cu AINS-uri sistematice). \u00cen general sigure \u00een sarcinile timpurii c\u00e2nd sunt clar indicate.<\/p>\n<h3>Pot folosi pic\u0103turile Nepalact \u00eempreun\u0103 cu pic\u0103turi oculare cu steroizi?<\/h3>\n<p>Da, dar fi\u021bi aten\u021bi la toxicitatea cornean\u0103 aditiv\u0103. Combina\u021bia este standard dup\u0103 opera\u021bia de cataract\u0103 \u00een multe clinici. A\u0219tepta\u021bi 5 minute \u00eentre flacoane.<\/p>\n<h3>Ce se \u00eent\u00e2mpl\u0103 dac\u0103 sunt sensibil la aspirin\u0103?<\/h3>\n<p>Este posibil\u0103 reac\u021bie \u00eencruci\u0219at\u0103. Evita\u021bi AINS topice dac\u0103 ave\u021bi antecedente de astm indus de aspirin\u0103 sau anafilaxie la AINS orale.<\/p>\n<h3>Ce se \u00eent\u00e2mpl\u0103 dac\u0103 uit o doz\u0103?<\/h3>\n<p>Lua\u021bi-l c\u00e2t mai cur\u00e2nd v\u0103 aminti\u021bi, cu excep\u021bia cazului \u00een care urm\u0103toarea doz\u0103 programat\u0103 este aproape.<\/p>\n<h3>C\u00e2t dureaz\u0103 de obicei un tratament?<\/h3>\n<p>2\u20136 s\u0103pt\u0103m\u00e2ni, \u00een func\u021bie de indica\u021bie. Evita\u021bi tratamentele mai lungi de 6 s\u0103pt\u0103m\u00e2ni, dec\u00e2t sub supraveghere specializat\u0103, din cauza toxicit\u0103\u021bii corneene cumulative.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3>Alte medicamente pentru \u00eengrijirea ochilor<\/h3>\n<p>Clien\u021bii care vizualizeaz\u0103 acest produs iau \u00een considerare \u0219i aceste alternative din gama noastr\u0103 <a href=\"\/ro\/eye-care\/\">\u00cengrijirea ochilor<\/a> de:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/pred-forte-eye-drops\/\">Pred Forte (acetat de prednisolon)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/fml-eye-drop\/\">FML Eye Drop (fluorometolon)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/lotepred-eye-drop\/\">Lotepred Eye Drop (loteprednol)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/acular-ls-drop\/\">Acular LS (ketorolac)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/megabrom-eye-drop\/\">Megabrom (bromfenac)<\/a><\/li>\n<\/ul>\n<h3>Declinare de responsabilitate medical\u0103<\/h3>\n<p style=\"font-size:13px;color:#555;\">Informa\u021biile de pe aceast\u0103 pagin\u0103 au scop educa\u021bional \u0219i nu \u00eenlocuiesc sfatul medical al unui oftalmolog sau optometrist calificat. Afec\u021biunile oculare pot amenin\u021ba rapid vederea \u2014 pierderea brusc\u0103 a vederii, durerea intens\u0103 sau trauma reprezint\u0103 urgen\u021be oftalmologice. Consulta\u021bi \u00eentotdeauna un specialist \u00een \u00eengrijirea ochilor \u00eenainte de a \u00eencepe, \u00eentrerupe sau modifica orice tratament.<\/p>","protected":false},"excerpt":{"rendered":"<p>Nepalact (nepafenac 0.1%) \u2014 pic\u0103turi oftalmice NSAID prodrog activate la amfenac \u00een interiorul corneei. De trei ori pe zi pentru inflama\u021bia post-cataract\u0103 \u0219i profilaxia edemului macular.<\/p>","protected":false},"featured_media":59388,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3343,3342],"product_tag":[4687,4688],"class_list":{"0":"post-59387","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-eye-care","8":"product_cat-general-health","9":"product_tag-nepafenac","10":"product_tag-nepalact-eye-drops","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/59387","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=59387"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/59388"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=59387"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=59387"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=59387"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=59387"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}