Bone resorption inhibitor for osteoporosis
Alendronic acid (alendronic acid)
Film-coated tablets white, round, biconvex, engraved with "ALN 70" on one side.
Excipients: microcrystalline cellulose - 261.25 mg, colloidal anhydrous silicon dioxide - 3.5 mg, sodium croscarmellose - 1.28 mg, magnesium stearate - 2.62 mg.
Shell composition: Luster Clear LC 103 - 7 mg (microcrystalline cellulose - 44%, carrageenan - 18%, macrogol 8000 - 38%).
2 pcs. - blisters (1) - packs of cardboard.
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4 things. - blisters (4) - packs of cardboard.
4 things. - blisters (6) - packs of cardboard.
Non-hormonal specific inhibitor of osteoclastic bone resorption, which suppresses the activity of osteoclasts. Stimulates osteogenesis, restores a positive balance between bone resorption and restoration, increases bone mineral density (regulates phosphorus-calcium metabolism), promotes the formation of bone tissue with a normal histological structure.
Suction
The bioavailability of alendronate at a dose of 70 mg when taken orally on an empty stomach 2 hours before a standard breakfast was 0.64% in women and 0.59% in men. When taken 1 hour or 30 minutes before breakfast, the bioavailability of alendronate decreased to 0.46% and 0.39%, respectively. In clinical studies, the effectiveness of alendronate has been confirmed when taken at least 30 minutes before the first meal or drink. The bioavailability of alendronate is negligible when taken with food or within 2 hours after a meal. When taken together with coffee or orange juice, the bioavailability of the drug is reduced by approximately 60%. The concentration of the drug in the blood is negligible (less than 5 ng / ml).
Distribution
Alendronate after intravenous administration at a dose of 1 mg / kg is temporarily distributed into soft tissues and then quickly redistributed to bone tissue or excreted in the urine. The average V d in an equilibrium state, excluding bone tissue, is about 28 liters in a person. Plasma protein binding is about 78%.
Metabolism
There is no evidence that alendronate is metabolized in humans.
breeding
After a single intravenous administration of alendronate labeled with carbon atoms [ 14 C], within 72 hours, about 50% is excreted by the kidneys and a small amount through the intestines. After a single intravenous administration of alendronate at a dose of 10 mg, renal clearance is 71 ml / min, and systemic clearance does not exceed 200 ml / min. After 6 hours after intravenous administration, plasma concentration decreases by more than 95%.
- treatment of osteoporosis in postmenopausal women, incl. to reduce the risk and fractures of the femoral neck;
- treatment of osteoporosis in men to prevent fractures;
- treatment of osteoporosis caused by long-term use of corticosteroids.
- strictures or achalasia of the esophagus and other conditions that slow down the movement of food through the esophagus;
- inability of the patient to stand or sit for 30 minutes;
- hypocalcemia;
- severe renal failure (CC less than 35 ml / min);
- severe violations of mineral metabolism;
- pregnancy;
- lactation period (breastfeeding);
- children's age (efficacy and safety of use have not been established);
- hypersensitivity to alendronate or other components of the drug.
Carefully: diseases of the gastrointestinal tract, such as dysphagia, gastritis, diseases of the esophagus, duodenitis, peptic ulcer in the acute phase, active gastrointestinal bleeding or surgery in the upper gastrointestinal tract during the year preceding the start of treatment; hypovitaminosis D.
The drug should be used to ensure the daily requirement of calcium and D.
The optimal duration of the drug has not been established. The need for continued bisphosphonate therapy should be reassessed on a regular basis, especially after 5 or more years of use.
To ensure proper absorption of the drug Foroza tablets should be taken in the morning on an empty stomach, at least 30 minutes before the first meal, drink or other medication, with a glass of plain water (at least 200 ml). Other drinks (including mineral water) may reduce the absorption of the drug.
To reduce the risk of irritation esophagus: 1) Foroza should be taken only after full awakening and getting out of bed; 2) swallow the tablets whole (do not chew, dissolve or dissolve them in the mouth due to the possible formation of ulcers in the oral cavity and pharynx; 3) you should not take a horizontal position before the first meal (the first meal - no earlier than 30 minutes after taking the drug); 4) you can not take the drug at bedtime or before getting up in the morning.
For elderly patients and patients with impaired liver function, moderate renal impairment (CC more than 35 ml / min), dose adjustment is not required.
In a one-year study in postmenopausal women with osteoporosis, the overall safety profiles of alendronic acid once a week at a dose of 70 mg (n=519) and at a dose of 10 mg/day (n=370) were similar.
In two three-year studies of almost identical design in postmenopausal women (alendronic acid 10 mg/day: n=196; placebo: n=397), the overall safety profiles of alendronic acid and placebo were similar.
Side effects noted by researchers as possibly related to the use of alendronate, probably related and clearly due to the action of the drug, are presented below. The incidence of side effects was ≥1% in one of the therapeutic groups (in a one-year study or in one of the three-year studies of alendronate at a daily dose of 10 mg / day) and higher than the incidence of side effects in patients receiving placebo:
| Side effects | One year study | Triennial studies | ||
| Alendronate 70 mg 1 time per week (n=519) % |
Alendronate 10 mg daily (n=370) % |
Alendronate 10 mg daily (n=196) % |
placebo (n=397) % |
|
| Digestive system | ||||
| 3.7 | 3.0 | 6.6 | 4.8 | |
| Dyspepsia | 2.7 | 2.2 | 3.6 | 3.5 |
| acid regurgitation | 1.9 | 2.4 | 2.0 | 4.3 |
| Nausea | 1.9 | 2.4 | 3.6 | 4.0 |
| Bloating | 1.0 | 1.4 | 1.0 | 0.8 |
| Constipation | 0.8 | 1.6 | 3.1 | 1.8 |
| Dysphagia | 0.4 | 0.5 | 1.0 | 0.0 |
| Flatulence | 0.4 | 1.6 | 2.6 | 0.5 |
| Gastritis | 0.2 | 1.1 | 0.5 | 1.3 |
| stomach ulcer | 0.0 | 1.1 | 0.0 | 0.0 |
| Esophageal ulcer | 0.0 | 0.0 | 1.5 | 0.0 |
| Musculoskeletal system | ||||
| Musculoskeletal pain (bones, muscles or joints) |
2.9 | 3.2 | 4.1 | 2.5 |
| Muscle spasms | 0.2 | 1.1 | 0.0 | 1.0 |
| Nervous system | ||||
| Headache | 0.4 | 0.3 | 2.6 | 1.5 |
In wide clinical practice (including data from clinical studies and post-marketing data), the following undesirable effects have been reported, which are classified according to their frequency of development (WHO classification): very often (≥1 / 10); often (≥1/100,<1/10), нечасто (≥1/1000, < 1/100), редко (≥1/10 000, <1/1000) и очень редко (<1/10 000), частота неизвестна - по имеющимся данным установить частоту возникновения не представлялось возможным.
From the immune system: rarely - hypersensitivity reactions (including flushing of the skin, urticaria, angioedema).
From the side of metabolism: rarely - symptomatic hypocalcemia (often associated with conditions predisposing to it); very rarely - asymptomatic transient hypophosphatemia.
From the nervous system: often - dizziness, headache; infrequently - a perversion of taste; frequency unknown - irritability.
From the side of the organ of vision: infrequently - scleritis, uveitis (inflammation of the choroid of the eye) and episcleritis (inflammation of the connective tissue between the sclera and the conjunctiva).
On the part of the organ of hearing and labyrinth disorders: often - vertigo (dizziness).
So aspects of the digestive system: often - abdominal pain, dyspeptic disorders (constipation, diarrhea, flatulence), dysphagia, esophageal ulcer, bloating, heartburn; infrequently - nausea, vomiting, esophagitis, gastritis, ulceration of the esophageal mucosa, melena; rarely - strictures of the esophagus, ulceration of the mucous membrane of the mouth, throat, stomach and duodenum, bleeding from the upper gastrointestinal tract, perforation of the esophagus.
From the skin and subcutaneous tissues: often - alopecia, itching of the skin; infrequently - rash, redness of the skin; rarely - increased photosensitivity, severe skin reactions, including Stevens-Johnson syndrome (malignant exudative erythema) and Lyell's syndrome (toxic epidermal necrolysis).
From the musculoskeletal system: very often - pain in muscles, bones, joints; often - swelling of the joints; rarely - osteonecrosis of the jaw (see section "Special Instructions"), atypical fractures of the proximal femoral diaphysis; very rarely - osteonecrosis of the external auditory canal.
General disorders: often - asthenia, peripheral edema; infrequently - transient flu-like symptoms (muscle pain, fatigue, rarely - fever), usually occurring at the beginning of therapy.
Symptoms: abdominal pain, dyspeptic disorders, dysphagia, heartburn, esophagitis, gastritis; hypocalcemia and hypophosphatemia may develop.
Treatment symptomatic. The use of milk and antacids to bind alendronate is shown. Due to the risk of damage to the esophagus, vomiting should not be induced, the patient should be in an upright position.
Simultaneous use of calcium preparations (including nutritional supplements), and certain other drugs for
ingestion, as well as food and liquid intake (including mineral water) impairs the absorption of alendronic acid. In this regard, it is recommended to take other drugs no earlier than 30 minutes after using the drug Foroza. NSAIDs (including) can increase the side effects of alendronic acid on the gastrointestinal mucosa.
In clinical studies in patients taking preparations containing estrogen (intravaginally, transdermally or orally) concomitantly with alendronate, no clinically significant interaction was found.
Although no specific drug interaction studies have been conducted, the use of alendronate in clinical trials with a large number of widely used drugs has not been associated with the development of a clinically significant interaction.
Foroz tablets should be washed down with plain water only, because. other drinks (including mineral water, tea, coffee, fruit juices) impair the absorption of the drug.
Taking alendronate at bedtime or while lying down increases the risk of developing esophagitis.
Taking alendronic acid at bedtime or while lying down increases the risk of developing esophagitis.
Alendronate can cause local irritation of the mucous membrane of the upper gastrointestinal tract. Foroza should be used with caution in patients with exacerbation of upper GI diseases such as dysphagia, esophageal disease, gastritis, duodenitis, ulcers, active gastrointestinal bleeding, surgery in the upper GI tract during the year preceding the start of treatment, with the exception of pyloroplasty, tk. the use of the drug can lead to a deterioration in the course of the underlying disease.
Treatment decisions must be made on a patient-by-patient basis after a careful risk/benefit assessment, especially in patients with Barrett's esophagus.
In the treatment of alendronate, cases of adverse reactions from the esophagus (esophagitis, ulcer or erosion of the esophagus) are known, sometimes occurring in severe form and requiring inpatient treatment and in rare cases complicated
stricture formation.
It is necessary to control the possibility of any adverse reactions from the esophagus. The patient should be informed about the need to stop taking the drug and consult a doctor if dysphagia, pain when swallowing, chest pain and heartburn develop.
Rare cases of gastric and duodenal ulcers have been reported in post-marketing reports, sometimes
severe and complicated, although no increase in this risk was noted in the extended clinical trials of alendronate.
The risk of severe esophageal side effects is higher in patients taking alendronic acid in violation of the instructions in this leaflet and / or continuing to take it after the onset of symptoms indicating irritation of the esophagus. It is important to explain in detail to the patient the rules for taking the drug and make sure that he understands them. Patients should be aware of the increased risk of adverse events from the esophagus in case of deviation from the requirements of the instructions.
Correction of hypocalcemia and other metabolic disorders (such as vitamin D deficiency) is necessary before starting therapy with Forose. Due to the increase in bone mineral density during therapy with alendronic acid, a slight clinically asymptomatic decrease in serum calcium and phosphate concentrations is possible, especially in patients receiving corticosteroids, in which calcium absorption may be reduced. Therefore, it is important to ensure that sufficient amounts of calcium and vitamin D are supplied to the body, which is especially important in patients receiving corticosteroids.
Patients should be warned that if they accidentally skip taking the drug according to the 1 time per week regimen, they should take 1 tablet in the morning of the next day (it is unacceptable to take 2 tablets on the same day). In the future, you should continue to take 1 tablet on the day of the week that was chosen at the beginning of therapy.
There is also evidence of the development of osteonecrosis of the jaw in patients with osteoporosis receiving oral bisphosphonates. When assessing the individual risk of developing osteonecrosis of the jaw, risk factors such as:
bisphosphonate activity (highest in zoledronic acid), route of administration and total dose of the drug; oncological diseases, chemotherapy, radiation therapy, taking corticosteroids, taking angiogenesis inhibitors, smoking; history of dental disease, poor oral hygiene, gum disease, invasive dental procedures, ill-fitting dentures. Before starting therapy with oral bisphosphonates, patients should undergo a dental examination with appropriate preventive dental care. During treatment, these patients should, if possible, avoid invasive dental intervention. For patients who develop osteonecrosis of the jaw during treatment with bisphosphonates, dental surgery may exacerbate the condition.
Data on a possible reduction in the risk of developing osteonecrosis of the jaw after discontinuation of bisphosphonates in patients who require dental intervention are not available. In every case
the decision should be made by the attending physician based on an assessment of the ratio of the expected benefit to the possible risk for a particular patient. Patients should be educated on the importance of good hygiene during bisphosphonate therapy.
oral health check-ups, as well as a warning to report any oral symptoms such as tooth mobility, pain or swelling.
Osteonecrosis of the external auditory canal has been reported and has been predominantly associated with long-term use of alendronate. Possible risk factors for osteonecrosis of the external auditory canal include steroid use, chemotherapy, infections, and trauma.
Bone, joint and/or muscle pain has been reported in patients receiving bisphosphonates. These symptoms were rarely severe and/or disabling. The time of onset of symptoms ranged from one day to several months from the start of therapy. In most patients, symptoms resolved after discontinuation of treatment. In some patients, symptoms reappeared when the same drug or another bisphosphonate was restarted.
Patients taking alendronic acid for a long time may experience pathological (i.e., with little force or spontaneous) subtrochanteric fractures, as well as fractures of the proximal femoral shaft. Fractures can occur after minimal or no trauma. Some patients may develop hip pain, often with outward signs of stress fractures weeks/months before a complete femoral fracture occurs.
Atypical fractures of the proximal femoral shaft were often bilateral, so patients
with a long-term fracture of the shaft of the femur, taking bisphosphonates, the examination of the opposite hip should be performed. It is known that the fractures described do not heal well. Discontinuation
bisphosphonates in patients with stress fractures, it is advisable to carry out after assessing their condition based on an individual assessment of the risk/benefit ratio.
During post-marketing use, there have been rare reports of severe skin reactions, including Stevens-Johnson syndrome and Lyell's syndrome (toxic epidermal necrolysis).
Other causes of osteoporosis, in addition to estrogen deficiency and age, should be taken into account.
Influence on the ability to drive vehicles and mechanisms
Studies on the effect of alendronic acid on the ability to drive vehicles and
work with mechanisms was not carried out. However, since against the background of taking alendronic acid, dizziness may develop, as well as other side effects, care should be taken when driving vehicles, mechanisms and refrain from performing these activities in case of side effects.
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Foroza is contraindicated during pregnancy and during breastfeeding.
There are no data on the effect of alendronic acid on the fetus when using the drug during pregnancy. However, there is a theoretical risk of negative effects on the fetus (especially bone tissue) if pregnancy occurs after a course of bisphosphonate therapy. Once ingested, bisphosphonates are incorporated into the bone matrix, from where they are gradually released over several years. The amount of bisphosphonates embedded in the bone matrix and able to get back into the systemic circulation directly depends on the dose and duration of the drug.
In animal studies, disturbances in the formation of fetal bone tissue have been identified with the use of high doses of alendronic acid and dysfunction of labor activity associated with hypocalcemia.
It is not known whether alendronic acid passes into breast milk, so the use of the drug during breastfeeding is contraindicated.
Foros is a small urban-type settlement located just 40 km from Yalta. Despite the centuries-old history, and these places were inhabited as early as the 5th century BC. e., now it looks modern and cannot boast of very ancient monuments. But of great interest is its geographical location - this is the southernmost resort of Crimea. It is quiet and not too crowded, so even in the high season you can relax in relative privacy. And if you want a rich cultural program, then you should go around the neighborhood and neighboring cities.
The history of the resort is connected with the name of the tea tycoon of the late 19th century A. G. Kuznetsov, it was he who built a mansion here and laid out a park that still attracts tourists.
It is most convenient to get to Foros from Simferopol, because almost all travelers fly there.
There are no direct routes from the airport to the village, first you need to be at the Kurortnaya station. Minibus No. 115 and bus No. 98 go to it, the travel time is a little more than half an hour, the ticket price is 9-14 RUB. In addition, Transexpress buses and trolleybuses (like the familiar Aeroexpress) run from the airport, they move non-stop and run around the clock. The fare in a trolley bus costs 27 RUB, in a bus 50 RUB.
Then from the station "Kurortnaya" you can either go directly to Foros, or get to it with a change in Yalta. Direct flights are more convenient, but depart only a couple of times a day. The bus takes about 3 hours, the trip will cost 207 RUB. Those who travel without luggage can take passing flights and get off at the turn to Foros, but from there it is about 2 km to go to the city. If there are no direct buses in the next few hours, you should go to Yalta, where transport runs every half an hour. The ticket price is 150 RUB, the journey takes about 2 hours. From Yalta minibuses to the resort also run frequently, they travel about 50 minutes and cost only 20 RUB. Since the railway station is located 200 meters from the bus station "Kurortnaya", the route for those arriving by train is similar.
For those who want to get to the resort with comfort and without transfers, a taxi is suitable. A two-hour trip will cost about 2050-2150 RUB, but it is better to book a car in advance, because prices at the airport are much higher. Prices on the page are for October 2018.
Foros is a small village, so most travelers and locals move around it on foot. There is no internal public transport network here, but on some passing minibuses you can get from one end of the resort to the other. Most often, tourists want to drive to the Foros Church (not far, but uphill), in this case, you can take any minibus to Yalta and get off at the Foros-Baydarsky Gate crossroads.
There is a taxi service in Foros. It is better to agree on the price of the trip in advance, but it almost always fits into 150 RUB. Cars drive without a meter, the fare is usually paid in cash.
A convenient way to get around is by bike. It can be rented at special rental points or a hotel. It is better to give preference to mountain models, since the village itself and the area around it are mountainous. A day of rental costs from 450 RUB, renting for a long time is usually more profitable.
All beaches of the resort are rocky, covered with pebbles. You can enter the water barefoot, but especially sensitive swim in special rubber slippers. The main pride of Foros is the purest water in the entire Crimea. This is due to two strong currents passing here and constantly renewing the water. True, the low sea temperature is also associated with the same currents, which, moreover, can change in just a couple of days.
Despite the compact size of the village, there are several public beaches. The most popular is Green, it is located in the center and is considered the main one. The Pink Beach, which is located near the Foros sanatorium, is very good. A little to the east, there is a small-pebbled section of the coast - Kholodny. And in the Quiet Bay there is a picturesque, but quiet piece of coast only in name. All beaches are mastered by tourists, the necessary infrastructure is available: toilets and showers, cafes, changing cabins, paid sunbeds and umbrellas (from 150 RUB per day). Entrance to some private sanatorium beaches may be paid, while others are not allowed at all.
There is a wild coast in the resort. For example, a small secluded area near Cape Chekhov or the famous Derevyashka among nudists. There is no infrastructure in these territories, but there are few vacationers either.
The most popular accommodation option in Foros is guest houses. A double room in them will cost 2000 RUB per day, and indeed, quite decent housing comes across. Apartments with a sea view are more expensive: from 4500 RUB, but even a small company or family can settle in them.
There are few expensive hotels in the resort, the rooms are sorted out quickly, the cost of living is 6000-10000 RUB per day for a double room. But there are no classic hostels in Foros at all. Many travelers prefer to stay not in the very center of the village, but in its surroundings - it's cheaper, and often more secluded and comfortable.
As already mentioned, a very large contribution to the development of the resort was made in the 19th century by the Russian tea magnate A.G. Kuznetsov, so Crimean tea “with history” will be the best souvenir from Foros. Otherwise, the products are traditionally Crimean: handicrafts made from shells and pebbles, essential oils, products made from juniper wood and onyx. A good present would be Crimean wines and local specialties: honey, sweets, dried fruits, etc.
It is worth remembering that the juniper is under the protection of environmentalists, as the number of trees is rapidly decreasing precisely because of cutting down for souvenirs. Therefore, it is better to refrain from buying such products.
Another nice gift from the trip are herbs, some of which can be used for cooking, and others as a home fragrance.
Travelers of any income will not have a question where to eat in Foros - there are cafes and restaurants of various price categories. At the same time, most of the establishments are located either by the sea or near the main attractions.
Those who want to relax economically will like budget dining rooms. Lunch in them costs from 300-400 RUB per person. You can eat in a cafe by the sea for about 700-800 RUB per person, and dinner in expensive restaurants will cost 1000-1500 RUB per person. There is little fast food in the village, but they usually have a snack on the street with local pastries or dishes of the Crimean Tatar cuisine (from chebureks, which bear little resemblance to those sold here, to a juicy pie with lamb "kubete" - within 100 RUB). The restaurants mainly offer European, Ukrainian and Russian cuisines, and the quality of the dishes will not disappoint tourists. Guests of the peninsula are happy to try Black Sea rapana, red mullet and other dishes prepared from the inhabitants of coastal waters.
Those who wish to cook on their own will have no problems either: fresh products can be bought both in stores and in street markets.
One of the main attractions of the village is Forossky Park. Once it was a garden around the mansion of Alexander Kuznetsov, the house was built in the style of Russian classicism, and the green zone appeared even before the arrival of the tea magnate, in 1834. Now more than half of the territory is a forest park zone, and about 30 hectares are occupied by well-groomed cultural plantings. Particularly beautiful is "Paradise" or "Paradise", where, in addition to an abundance of plants, there are cascading fountains and access to the sea.
Rest in Foros is distinguished by its tranquility and warm welcome. The famous Foros Park, the azure coast, the warm sea and stunning views of the majestic mountains are the main attractions of Foros. And now more about what this village is, as well as what you can see in Foros.
The village of Foros is considered to be the most southern exact southern coast of Crimea. It is located between Yalta and Sevastopol. More specifically, Yalta is 50 km away from Foros, and Sevastopol is 40 km away. If you do not have a personal car and you travel by public transport, it will be more convenient to get to Sevastopol. Buses run more frequently in this direction. Although it is unlikely that when you come to rest in Foros, you will have a desire to leave this fabulously picturesque place. By itself, the village of Foros in the Crimea is small. There are few apartment buildings here.
Most of the residential area of the village is occupied by private sector. Housing can be rented both in private houses or apartments on the ad, and in local hotels of Foros. The infrastructure here is quite developed.
There is a food and clothing market, shops, restaurants and cafes. You can also buy on the market Home wine And delicious figs. For the most part, people come here to improve their health and improve their health. Since ancient times, people came to Foros, sick tuberculosis. The local needles and juniper have a healing effect on the lungs. What else is remarkable about the village and where can you go here?
Guest house ‘Grand Fleur’ — Photo 03
Everyone who comes to the village for the first time or just passes by along the Sevastopol highway cannot but pay attention to the proudly towering Church of the Ascension of Christ, better known as the Foros Church. This church can be seen from all corners of the village, and the entire route. The golden dome of the church is illuminated by powerful lanterns at night.
True, it is unrealistic to get to the church on foot. But in the center of Foros, you can order an excursion from experienced guides. You will be taken by comfortable transport to the church itself, they will tell you about the history of its creation. From above, a breathtaking view of the entire village, the beaches of Foros and the nearby settlements opens up. Breathe incredibly fresh and easy at altitude.
Foros Church — Photo 05
This place was opened to tourists recently. There is a cave near the Foros church. The Skelskaya Cave is in no way inferior to the famous Marble Cave in its beauty and mystery.
To get here, you can book a sightseeing trip called "Baidar Gates". This tour includes a stop at the Foros Church, a drive through the Baydar Valley and a visit to the Skelskaya Cave. Just bring comfortable shoes and a jacket. The cave, although small, is rather damp and cool.
It is the duty of every guest of the village of Foros in Crimea to visit the Foros Park. This is a historically valuable and picturesque place. The founder of this park was the merchant Alexander Grigoryevich Kuznetsov. This is a man who made tea accessible to all segments of the population, significantly reducing its price for sale.
In the village of Foros in the Crimea, Kuznetsov built himself a cozy house, where tours are now held, and also laid out a magnificent garden with exotic varieties of various plants and trees. There are currently 200 plant species.
But in addition to vegetation in the park there are " paradise" or " Paradise”, where excursion groups come from all over the peninsula. In this place you will see a cascade of six lakes. Water lilies grow in each of the lakes. Tourists like to be photographed against the backdrop of a sculpture in the form of deer. Also, it's very quiet and peaceful here. The aroma of juniper trees, spread throughout the park, has healing properties.
The park is located on the territory Crimean sanatorium "Foros". Previously, only the Soviet elite rested in this sanatorium. Now anyone can rent a room in the Foros sanatorium in Crimea. By the way, the entrance to the park through the sanatorium is absolutely free. Payment is made only for a tour of the park or the Kuznetsov Palace. In the house of the tea magnate Kuznetsov, there is also something to stare at. Panels embroidered on fabric, a huge dining table for the whole room and, of course, a view of the azure sea from the windows.
Lilies in Foros park — Photo 09
The beaches in Foros, as in most of the Crimean peninsula, are pebbly. There are six beaches in the village: Green, Cold, Pink, wild beach « piece of wood and near Cape Chekhov. At the end of the village, if you go through the tunnel in the wall, you can go to the sixth beach " quiet bay". This is a small beach, fenced on all sides by breakwaters and hills. Because of this, there are almost never big waves and storms.
The water temperature in Foros depends on the season. During the season, water sports are available on the beach. Divers are very fond of the local depths. On the "Quiet Bay" you can rent a boat, a boat, a catamaran or a jet ski. Excursion boats and steamboats depart from the Foros sanatorium, making boat trips to the very Cape Aya. Some of them, at the request of tourists, even call in Balaklava Bay. Along the way, you will pass the famous "Brezhnev's Dacha", where no one lives yet. Politicians have been very superstitious about this place since Brezhnev was removed from his post while he was resting in this dacha.
Brezhnev dacha - Photo 12
It is known that the presidents of Ukraine celebrated their birthdays here. Tourists are not brought here, since the dacha is under state control. And the guide of the steamboat will show you the beach under the strange name "Stone River". It got its name because of the stone mudflow, that is, the crumbling rock. Only daredevils rest on this beach, because one wrong move up this “stone river” can cost their lives.
The unique nature, excellent climate and magnificent beaches make the Crimean peninsula an ideal place for a vacation. On its coast there are many recognized resort centers, one of which is the village of Foros. Crimea has always attracted tourists with such mini-tourism centers, where you can arrange an unforgettable vacation.
The city of Foros is the southernmost point on the map of Crimea, occupying part of the most beautiful coastline between Yalta and the hero city. The mild Mediterranean climate makes it possible to have a comfortable stay in these parts all year round. The village is known for its unique park where you can enjoy the healing air. It is no coincidence that the first and last president of the USSR, and later the top leadership of Ukraine, liked to relax here. The first mention of the settlement, found in the treasury papers of the Genoese, date back to 1360. Now about two thousand people live in the town.
As in all resort corners of the coast of the Crimean peninsula, rest in Foros means accommodation in one of or within the private sector, where there are many guest houses, houses and apartments. If you negotiate with the owners directly, that is, without intermediaries, you can save a lot on accommodation.
Even in Soviet times, it was revered as one of the best health resorts in the country. And now the ships should come to people who have problems with the circulatory and respiratory systems. The institution has all the conditions for a comfortable stay. The housing stock includes both VIP suites and rooms for families. There is a swimming pool and tennis court on site.
You can perfectly accommodate the whole family in small cozy rooms, some of which have access to the terraces. Equipped with no frills, they have everything you need for a comfortable stay. A clean private beach with sun loungers is literally a three-minute walk away. Nearby are inexpensive cafes and bars.
You can comfortably stay during your vacation in Foros in Forossea. It has only five rooms, but they are all deluxe. The interiors are beautiful and have climate control systems. The apartments are furnished with quality furniture and equipped with the necessary household appliances. You can eat on your own, cooking in a compact shared kitchen or in a restaurant located next door.
Deserves special attention, where you can arrange an elite stay in the village. Crimea can not always boast of such establishments. Holidaymakers will appreciate the large restaurant, where several cuisines of the world are presented, an excellent spa center where it is easy to order wellness treatments, and a fitness room equipped with the latest sports.
The main attraction of the city is called, located on a stone cliff above the sea. It was erected in 1892 in honor of the miraculous salvation from death during the railway accident of Emperor Alexander III. Temple - 
this is a beautiful building, which is crowned with eight mini-domes, arranged in two tiers and surrounding the main dome, it can be seen from the sea from afar.
In the center of Foros Park there is a beautiful building built in the middle of the 19th century for the tea magnate Alexander Kuznetsov. made in the traditional Russian architectural stylistic direction. Its luxurious terrace is surrounded by a stone balcony, which offers wonderful views of the park and the Black Sea. In the halls you can see magnificent wall panels.
Another place that is recommended to visit is those erected at the highest point of the pass, along which the old road from Sevastopol to passes. The massive gate, decorated with two large semi-columns, has two porticos of impressive size. The whole building looks majestic. Sitting on the observation deck, you can admire the views of Foros and the Foros Church against the backdrop of the sea landscape.
Undoubtedly, you need to spend a day with the whole family in, which was broken in the first third of the 19th century. It is considered the pearl of the landscape design of the Crimean peninsula. In Foros, relaxing along the shady alleys surrounded by plane trees, magnolias and cedars, you can enjoy the wonderful air, admiring the luxurious flower beds. In the park area there are many small forms in the form of gazebos, openwork bridges and sculptures. 
In small ponds you will see large carps.
A real adventure for a child will be an excursion to, located in the vicinity of the village. In this original natural formation, you can wander along the ladders surrounded by stalactites, sometimes taking the most unexpected forms, resembling the figures of people or fantastic creatures. The entire route with a tour of the high vaulted galleries is easy to complete in an hour. Children are just crazy about acoustic effects and love to be photographed against the backdrop of stalactites.
Not a single child will remain indifferent to. There are many of them, although they are all pebbly. Most of all, the children love to frolic on the coastal edge of the children's camp of the same name with the town of Crimea. Entering the sea is convenient here - reviews confirm this, so families often settle down for passive pastime here. You can also note other beaches - Green and Derevyashka. Children are always delighted with sea bathing!
For gourmets who prefer fish dishes, the A’More restaurant will be an ideal meal option. Order here dishes from a kakan, a flounder, a sea bass or a dorado. In addition to amazing taste, they will be exquisitely decorated and served. It is not difficult to order a unique treat from the chef. After a meal, treat yourself to a cup of aromatic coffee or a cigar with a glass of elite cognac.
The Shalash restaurant, whose building is stylized as this simple structure, 
will offer guests to dine dishes of the Crimean Tatar cuisine prepared according to old recipes. You won’t find a better barbecue or pasties than here, on vacation in Foros. The wine list includes excellent drinks made in the Crimea.
In the cafe "Grand Fleur" you can always eat inexpensively, treating yourself to dishes of Ukrainian and Russian cuisine. The service here is fast and the atmosphere is very comfortable. The establishment makes excellent coffee and offers delicious desserts. The staff treats visitors with great respect, often discounts are provided here to save money.
True connoisseurs of culinary masterpieces will appreciate the Fondue cafe-bar, located at 9 Kosmonavtov Street. The regulars of the establishment celebrate the music that sounds here in the evenings, hearty portions of dishes served by efficient waitresses. The helpfulness of the staff also plays a big role - it is clear that the owners make sure that due attention is paid to customer service.
You can get to Foros from Yalta by minibus number 128, departing from the Yalta bus station literally every half hour. Travel time will be about 1 hour. It is easy to get there by any transport going to Sevastopol. From - from the bus station "Kurortnaya", which is near the Railway Station - regular buses also go here. Here is the schedule of the nearest bus routes:
By car, you can get to Foros from Yalta in this way:
From Sevastopol by car you will have to overcome the following route:
Today it is easy to arrange a measured and relaxing holiday in the Crimea. Foros is one of the best villages on the peninsula for such a pastime. Here you can have a wonderful rest with health benefits, getting a lot of positive emotions. In conclusion, we offer a short video review of the resort town. Enjoy watching!
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