Monday, May 20, 2019

Amigrenin

Description overdue on 11/11/2014

  • Latin name: Amigrenin
  • ATC code: N02CC01
  • Active substance: Sumatriptan (Sumatriptan)
  • Manufacturer: OAO Veropharm, Russia
Photos of the drug
Tweet
  • Composition
  • Product form
  • Pharmacological action
  • Pharmacodynamics and pharmacokinetics
  • Indications
  • Contraindications
  • Side effects
  • Instructions on Amigrenin (method and dosage)
  • Overdose
  • Cooperation
  • Terms of sale
  • Storage conditions
  • Shelf life
  • Cautions
  • During pregnancy (and lactation)
  • Analogs
  • Reviews
  • Price, where to buy

 Amigrenin

Composition

The composition of the tablets: 50 or 100 mg sumatriptan   ( sumatriptan succinate ) + Additional ingredients (microcrystalline cellulose, potato starch, magnesium stearate, hypromellose, macrogol, titanium dioxide, talc, lactose, carboxymethylstarch sodium, povidone, polyethylene glycol 4000).

Product form

The drug is released in the form of white or slightly grayish round tablets, biconvex shape. If you split the tablet in half, you can clearly see the two layers. Internal - white or yellowish, appearance - the color of the shell. The drug release in two doses of 50 or 100 mg in blisters on 2 pieces each. In a cardboard bundle two tablets of the drug.

Pharmacological action

Protivomigrenoznoe .

Pharmacodynamics and pharmacokinetics

Sumatriptan   It constricts blood vessels of the brain by interacting with 5-HT1-receptors   in the brain. It is noteworthy that the material does not affect 5-HT2 - 5-HT7- receptors . Serotonin 5-HT1D-receptor   It is also involved in the mechanism of action of the drug, however, in a polling manner. Thereby, system   It is not activated, and specific stimulatory protein   kernels Trigeminal   It does not accumulate. Vessels that during a migraine attack has been extended, narrowed, the attack stops. Direct analgesic effect does not have the means.

intranasal   the application of the active ingredient means of rapidly absorbed into the systemic circulation. When administered intranasally   this occurs after 1, 5 hours.


The drug has a low degree of binding to plasma proteins, about 17%, its biotransformation in the body taking part MAO . The major metabolite sumatriptan   - him glucuronide . Withdrawal of the drug through the kidneys and GI .

Improvements in the patient begin to occur in half an hour after administration of 100 mg of the means and 15 minutes after intranasal administration.

Within one day after the onset of dosing and relapses may occur in this connection means reused.

Indications

The drug is prescribed for relief of attacks migraine Originating Wrath   or without Aura .

Contraindications

The drug is contraindicated:

  • pregnant and lactating women;
  • at hemiplegic migraine ;
  • oftalmoplegicheskoy migraine ;
  • basilar migraine ;
  • at stroke  
  • at ischemia ;
  • adolescents and the elderly;
  • in case of serious liver disease;
  • at epilepsy ;
  • allergies   on the components of the means;
  • at transient ischemic attacks ;
  • when taking drugs is not combined with Amigrenin example MAO inhibitors . ergotamine   (see. lek. Interactions).

Side effects

Side effects from the : Pressure reduction, tachycardia   and angina , Palpitations, increased Blood Pressure . bradycardia . ischemia . Very rarely possible Raynaud's syndrome .

allergy   ( hives , Skin rashes or itching).

Side effects from the ZHTK Vomiting, indigestion, pain in the stomach, nausea. Rarely ischemic colitis   or raising Hepatic transmiaz .

On the side Nervous System   may occur: weakness, drowsiness, blurred vision, apathy.

It is also observed: sensation of warmth, compression, tingling or heaviness, pain in the muscles.

Instructions on Amigrenin (method and dosage)

The medicine can only be used for sudden attacks migraine As a means of emergency.

: The drug is prescribed for adults. The maximum amount per day - 300 mg. As a general rule, appoint 50 or 100 mg at one time.

If after some time the symptoms resumed, then another dose may be taken no earlier than 2 hours, but no later than one day after the original.

If the drug does not bring relief condition should consult a doctor and take other medicines.

Overdose

If an overdose of the drug, should be carried out symptomatically. Wherein hemodialysis   It is not effective against an overdose. The clinician should observe the condition of the patient within 10 hours after ingestion.

Cooperation

The preparation pharmacologically   incompatible with MAO inhibitors .

The combination of funds from ergotamine   It can lead to the permanent vascular spasm.

Simultaneous reception Antidepressants   and increases the risk of Amigrenin hyperreflexia , Impaired coordination of movements and asthenia .

The drug increases the toxicity   and lithium preparations .

It is not recommended to combine the drug with selegiline .

Terms of sale

In order to buy medicine, require a prescription.

Storage conditions

Shelf life

2 years.

Cautions

Particular caution should be exercised when administering the drug epileptics At a controlled hypertension   or people with reduced seizure activity.

To avoid spasm coronary artery   Cardiovascular   system, the first receiving the drug should be done under medical supervision.

With increased sensitivity to sulfonamides , Severe allergic reactions are possible. The drug is not recommended to assign.

There are no pharmacokinetic   especially in patients older than 65 years have been identified.

Due to the high risk of drowsiness when receiving funds, it is advisable to refrain from driving or performing activities that require high concentration and speed of reaction.

During pregnancy and lactation

Use of the drug during pregnancy and breastfeeding is prohibited.

Analogs Amigrenin

Match code ATC 4th level:
  •  Amigrenin  Sumatriptan

The closest analogues: Sumitran, Imigran, Rapimed, Sumamik, sumatriptan, Sumig, Trimigren, Migrepam, sumamigren, Sumarin, Zomig .

The forums on the Internet has a lot of good reviews Amigrenin. The drug helps to quickly and eliminates the agonizing migraine headaches . Sometimes side effects occur, but patients still continued to take the drug, since, in their opinion, it is the only way to avoid attacks.

Price Amigrenin

Price Amigrenin - about 155 rubles for 2 tablets of 50 mg.

Get the best price and buy

Emergency (post-coital) contraception

March 15, 2012

Related Articles:
  • Contraception
  • Lindinet
  • Sexual function of man
  • Graves' disease in children
Tweet

 Emergency (post-coital) contraception  Although all existing diversity still exists Contraceptive That would suit everyone. Some couples prefer to have a man take care of prevention, in others - a woman. One suitable condoms Others do not accept any funds except interrupted sexual intercourse . Relatively recently expanded the list of popular methods postcoital contraception .

The name of this method was the use of time - after copulation, ie sexual intercourse. In fact, the first emergency contraception was used in ancient times. Then postcoital period women takes many bathrooms on special solutions were introduced into the vagina of plant-based substances have been used syringing . Modern medicine has gone much further, and at the disposal of women today have a whole range of possible ways to prevent pregnancy after intercourse.

Separately, there is a question about the humanity of these drugs. In the world there are entire communities that insist that emergency contraception was likened to abortion . But there is another point of view of physicians, according to which these drugs can reduce the spread abortions That a woman can bring a much greater potential for harm.


We can add that there are a number of cases in which such methods are essential. In general, they all boil down to the fact that another kind of contraception for one reason or another has not worked. This may be a ripped condom, cervical cap misused, forgetting about taking pills to prevent pregnancy. In addition, emergency contraception widely used in cases rape .

Postcoital contraception - the principle of action and effectiveness

All drugs of this group - hormonal . Their work is based on the periodic release doses of the hormone, which upsets standard changes in the female body that pregnancy brings. Condition in which the body is after the application of drugs called menstrual chaos .

It should be understood that this technique can work only once, after a single sexual intercourse without protection. It is in any case can not serve as a means of regular birth control. On the one hand, the efficiency of post-coital contraception, and on the other damage to the body can be compared with incomparable other instruments.

The very effectiveness of postcoital contraception depends on what time of intercourse occurred. For it is the menstrual cycle 74-100%   in the case of its application immediately after copulation, and 70-93%   in the case of a periovulyatorny   and / or ovulatory period .

Application of postcoital contraception

 Emergency (post-coital) contraception  Postcoital contraception, there are several kinds. We should also highlight IUD Which is popularly known as " spiral ". It is the only non-medical method.

The remaining four methods is the use of:

  • combined pills from conception;
  • progestin contraceptive (drug postinor );
  • progesterone antagonists (Preparation mifepristone );
  • antigonadotropnym drugs (drugs danoval . danazol   and Danol ).

Let us consider some of these methods in detail. But before we warn that the use of any of these methods should only be done under the supervision and the decision of a professional doctor. Moreover, control over the state of the patient should be carried out not only during the use of the drug, but also before and after it.

Thus, use of oral contraceptives is based on a certain sequence and dosage regimen. As the drugs may act Ovra . anovlar   and others. As a rule, the first two pills are taken during the first three days after unprotected intercourse. The next two pills taken 12 hours after the first two.

The number of tablets in this method depends on the drug and is determined after the expert examination of the patient. If instead be mentioned preparations, for example, Silest   or miniziston , The number of tablets is 4 when receiving the same procedure.

Progestin contraceptives   require a fast reaction. Thus, the first tablet Postinor   It should be adopted in the first hour after intercourse. Even three hours is necessary to repeat the reception if repeated sexual intercourse. The third tablet is taken the next day, if the intercourse was multiple. Postinor has a deterrent effect on kapatatsiyu sperm Alters the activity of the fallopian tubes to a reduction, produces biochemical changes in the endometrium, making implantation becomes less likely.

And we will look at the latest progesterone antagonists . These drugs can terminate pregnancy even after a month and a half after intercourse. Upon receiving the medicament group RU-486 (referred to mifepristone . penkrofton   and others) increases contractility myometrium   (i.e., the muscle layer of the uterus).

In such term physician control required for the safety of health of the patient, and to ensure the effectiveness of the drug. If the result after the first dose has not been reached, re-appointed reception.

Contraindications postcoital contraception

Of course, any expert before choosing a particular drug will analyze the condition of your body, but you also need to know about the existing Contraindications postcoital contraception .

So, welcome the methods described in this article should be discontinued if the patient renal failure . drug allergy   to any component of the preparation, asthma   in serious condition.

It makes no sense to use drugs and if the fact of pregnancy has not been confirmed. The fact that sexual intercourse took place without contraception, does not give a 100% guarantee that a woman will become pregnant. If conception fact confirmed, but it is suspected that ectopic pregnancy , The use of drugs should also be canceled due to the fact that they are designed to impact just on the muscle layer of the uterus.

Clenbuterol

Description overdue on 11/15/2014

  • Latin name: Clenbuterol
  • ATC code: R03CC13
  • Active substance: Clenbuterol (Clenbuterol)
  • Manufacturer: Balkan Pharmaceuticals UK Ltd, Moldova
Photos of the drug
Tweet
  • Composition
  • Product form
  • Pharmacological action
  • Pharmacodynamics and pharmacokinetics
  • Indications
  • Contraindications
  • Side effects
  • Clenbuterol syrup, instructions for use (method and dosage)
  • Overdose
  • Cooperation
  • Terms of sale
  • Storage conditions
  • Shelf life
  • Cautions
  • Analogs
  • Babies
  • With alcohol
  • Slimming
  • During pregnancy (and lactation)
  • Reviews
  • Price, where to buy

 Clenbuterol

Composition

1 ml of the syrup composition includes the following components:

  • clenbuterol hydrochloride   - 1 g;
  • sorbitol - 280 mg;
  • Glycerol - 200 mg;
  • propylene glycol - 100 mg;
  • citric acid monohydrate - 7 mg;
  • Sodium citrate dihydrate - 5, 8 mg;
  • ethanol solution with a concentration of 96% - 5 mg;
  • methyl parahydroxybenzoate - 0, 45 mg;
  • Propyl - 0, 05 mg;
  • butilparagidroksibenzoat - 0, 05 mg;
  • sodium benzoate - 1, 2 mg;
  • raspberry liquid form - 0, 45 mg;
  • Purified water to 1 ml.

Product form

  • The pharmacy Clenbuterol from company sold the Balkans as a clear, slightly viscous Syrup Which has a light yellow color with a characteristic smell of raspberry. This form is packaged in drug vials are of dark glass (or dark terephthalate) in 100 ml. Carton contains 1 bottle with a pharmaceutical preparation, measuring cup and spoon set.
  • You can also find the company's products in the form Vermodzhe tablets tradename Clenbuterol Ver. But this form of the pharmaceutical agent is not gained wide popularity due to unreasonably high prices.

Pharmacological action

Clenbuterol - active drug, which is based on the eponymous selective beta2-agonists   - Biological active component stimulating corresponding receptors of the human body, preferably located in the bronchial tree of the respiratory system.


Mechanism of action   Biochemical not very complex, it can be represented as a series of sequential reactions. In response, the local penetration of the components of the pharmaceutical formulation into the lumen of the bronchi activated cycle secondary messengers : Adenylyl cyclase - cAMP - Protinkinaza A. Next Clenbuterol influence extend to the myosin, which is localized in the smooth muscle fibers that interact with actin leads to a relaxation of the bronchi. Thus docked abnormal narrowing of the breathing tube during attacks of asthma or chronic obstructive pulmonary disease.

Clenbuterol also affect secretory feature respiratory system. As is known, the reaction of inflammation or other pathological mechanisms are closely related to the allocation of appropriate biological mediators or other active agents that promote bronchoconstriction. The therapeutic effect of the drug slows their release, which is manifested in the elimination of stagnation, reduce edema and normalization mucociliary clearance .

Note that Clenbuterol used in sports medicine In particular the widespread use of a pharmaceutical formulation found in bodybuilders. Active drug ingredients have anabolic effect   Like natural or artificial steroids However they exhibit with a smaller force. Because cough syrup can be used as a fat burner when drying in order to increase the relief of muscular body. The visual effects of the use of a pharmaceutical formulation compared with an incredibly long low-calorie diet.

Pharmacodynamics and pharmacokinetics

The drug is used enterally Then completely absorbed from the digestive tube. Clenbuterol begins to act 10-15 minutes after oral administration, and the maximum therapeutic properties manifest themselves in 2-3 hours. Metabolized active ingredients of the pharmaceutical formulation in the liver. 78 percent of metabolites excreted in the urine. The remainder of the metabolites is eliminated with bile into the lumen of the gastrointestinal tract.

Indications

  • bronchial asthma ;
  • chronic obstructive pulmonary disease.

Contraindications

  • increased individual sensitivity to the constituent components of the drug;
  • tachycardia   and tachyarrhythmia;
  • severe coronary artery disease;
  • thyrotoxicosis ;
  • acquired or hereditary intolerance biologically active substances Clenbuterol;
  • idiopathic hypertrophic subaortic stenosis of the aorta;
  • acute phase myocardial infarction .

Also, the appointment of a pharmaceutical preparation should consider not absolute contraindications, the presence of which recommended a course of conservative therapy in rehabilitation departments under the supervision of medical personnel and must conduct clinical trials:

  • diabetes ;
  • chronic ischemic heart disease;
  • hyperthyroidism ;
  • expressed arterial hypertension ;
  • cardiomyopathy;
  • the presence or susceptibility to arrhythmias ;
  • heart defects:
  • other dangerous diseases of the cardiovascular system.

Side effects Clenbuterol

Side effects of pharmaceutical formulation affect many organs and systems, as after the absorption of active ingredients carried by the main blood flow. There may be:

  • On the part of the cardiovascular system - tachycardia and other kinds of heart palpitations up to the subjective sensations, increased Blood Pressure , Arrythmia, pain in the heart muscle.
  • From the nervous system - headache   dizziness, anxiety, insomnia and other sleep disorders, tremor   fingers with deliberate motor act (for example, during the finger-nose test).
  • Gastrointestinal tract - dry oral spilled abdominal pain . nausea and following vomiting.
  • Local and generalized allergic reactions - hives , Skin rash, acute localized angioedema , Abnormal transient narrowing of the bronchial lumen.
  • From the other systems of organs and tissues - muscle spasms   and cramps, intense flow of blood to the face (clearly visible pink cheeks), increased sweating, hypokalemia, and, as a consequence, muscle pain, patients characterized as "body aches."

Of special note is the development of muscle cramps   when using Clenbuterol bodybuilders, since the dosage of the pharmaceutical preparation in the sport is much higher than therapeutic. This side effect is caused by depletion of endogenous reserves Taurine , Deficiency of electrolytes sodium and potassium, with a total lack of water-salt metabolism. To relieve muscle spasms recommended the following changes in the diet:

  • use copious amounts of fruit (particularly bananas, since they contain a lot of potassium);
  • excessive drinking;
  • additional incorporation of taurine in an amount of 3-5 grams per day;
  • potassium supplements tablet daily at bedtime on an empty stomach (at least 200-400 mg).

Clenbuterol syrup, instructions for use (method and dosage)

Instructions for clenbuterol for therapeutic purposes

Syrup for use enterally inwardly. Optimal dosage category for adult patients of 15 ml 2-3 times a day in the early conservative therapy of pharmaceuticals. Further, after the elimination of the major symptoms of asthma or chronic obstructive lung disease, supports the applied dosage of 10 ml, 2 times a day.

Duration conservative rehabilitation is 8-10 weeks, but the drug should be taken under the special scheme since anabolic properties of existing components. The course consists of 2 weeks of continuous reception and 2 weeks of "rest" when the syrup is not used alternately, until the attending physician deems it necessary to stop further use of the syrup.

Clenbuterol can be used in pediatric practice. Dosage for children It depends on age and body weight, and makes the following figures:

  • children up to 8 months, with a mass of 4.8 kg - 2, 5 ml 2 times a day;
  • from 8 months to 2 years old (weighing about 8-12 kg) - 5 ml, 2 times a day;
  • the age group of 2 to 4 years of age (12-16 kg) - 7, 5 ml, 2 times a day;
  • children of 4 to 6 years of age and weighing 16-22 kg under - 10 ml, 2 times a day;
  • from 6 to 12 years (22-35 kg) - 15 ml 2 times a day;
  • children over 12 years weighing more than 35 kg - 15 ml 2-3 times a day.

Instructions for use in bodybuilding

Drying Body   - Slang expression, which recently used not only in professional sports and bodybuilding, but also ubiquitous in gyms or youth. Sportswiki It explains this neologism as getting rid of the subcutaneous fat, to give the body "carved" muscle relief. The ultimate goal of drying is dry, smart appearance, and not just getting rid of the extra kilos.

In order to achieve the desired results, in addition to physical exercise can be used: Sports nutrition   or Pharmaceutical preparations Accelerating metabolism and metabolic processes incorporating more fat than normal. So, for example, clenbuterol sportviki and other related sites is as firm as the optimal drug with a short list of possible side effects and is well marked positive effect on the athlete's body.

Course Clenbuterol drying

The dosage of the pharmaceutical preparation contains in micrograms, which corresponds to the dry residue of the active ingredients of syrup to be calculated independently or with the assistance of qualified professionals. It is strictly forbidden to equate the weight and bulk of the drug.

Driving, drinking Clenbuterol for drying:

  • 1 day - 20 mg;
  • Day 2 - 40 g;
  • Day 3 - 60 mg;
  • Day 4 - 80 mg;
  • Day 5 - 100 g;
  • 6-12 days - 120 mg;
  • Day 13 - 80 g;
  • Day 14 - 40 micrograms.

Next, you need to do, at least, two-week break   before going through the next course of treatment with a pharmaceutical preparation. The optimal time for the reception syrup drying   morning As well as the absorptive capacity of higher organisms. Moreover, thus avoiding the possible development of insomnia.

How to increase the effectiveness of the course

Clenbuterol - a strong anabolic pharmaceutical preparation, but for the development of the effects noticeable to the naked eye it requires a certain amount of time. Depending on the individual sensitivity may take several courses drying. Because experienced athletes, bodybuilders   I recommend taking it along with some other drugs and elements of sports nutrition. First muscle definition will be evident much earlier in this case, on the other hand - there are pharmaceutical preparations that minimize the risk of side effects.

For example, drying can be presented as a course of Clenbuterol + Yohimbine + Ketotifen. The first component is used on the basis of its anabolic effects, ie directly to satisfy the desire to spend the subcutaneous fat and achieve the desired shape and muscle relief. Why use Ketotifen   described below. Yohimbine In turn, it is a plant alkaloid with a pronounced stimulating action. For therapeutic purposes it is used as aphrodisiac recovery of erectile dysfunction. Bodybuilders Yohimbine is used to increase the effect of anabolic steroids and prevention of genital problems.

How to take Clenbuterol and Ketotifen

Ketotifen - pharmaceutical drug that is often used in bodybuilding. Its active ingredients have almost unique therapeutic properties - they allow restore sensitivity andrenoretseptorov   to drugs and anabolic clenbuterol in particular. This ability of the drug more than once proved in clinical trials. With Ketotifenum can be 10-20 percent increase efficiency   conservative course and greatly accelerate the process of drying or weight loss. Another positive feature of the drug is possible to compensate for such adverse effects as mental stimulation, rhythm disorders of sleep and wakefulness, and some others.

The recommended course of Clenbuterol and ketotifen on drying:

  • 1 day - 20 mg Clenbuterol;
  • Day 2 - 40 mcg Clenbuterol;
  • Day 3 - 60 mcg Clenbuterol;
  • Day 4 - 80 mcg Clenbuterol;
  • Day 5 - 100 mcg of Clenbuterol and 1 mg ketotifen;
  • 6-27 days - 120 mcg of Clenbuterol and 2 mg ketotifen;
  • Day 28 - 80 mcg Clenbuterol and 2 mg ketotifen;
  • Day 29 - 50 mcg Clenbuterol ketotifen and 1-2 mg, depending on the subjective sensation;
  • Day 30 - 33-35 mcg Clenbuterol and 1 mg ketotifen.

Preferably use Clenbuterol in the morning, and Ketotifen - at night, before bedtime. Break before the next course of use of pharmaceuticals should be at least two weeks.

How to take Clenbuterol + Yohimbine + Thyroxine

The high efficiency of the complex due to the inclusion in it Thyroxine   - this thyroid hormone Which is produced normally in a healthy body. For drying, it is used for two reasons - first of all an active thyroxine physiological fat burner Capable of self-accelerating metabolism and launch relevant metabolic processes. Second, its effects extend to the adrenergic receptors, which act through Clenbuterol and Yohimbine, ie indirectly Thyroxine enhances the effect of other fat burners metabolism. Thus, to create an optimal biochemical environment for the rapid disposal of unnecessary kilograms.

1 operating unit of the complex is:

  • Clenbuterol 40 mg (syrup should be recalculated on the dry residue);
  • Thyroxine - 25 g;
  • Yohimbine - 5 mg.

The recommended course of taking must comply with the following scheme:

  • 1-3 day - 1 unit;
  • 4-6 day - 1, 5 units;
  • 7-9 day - 1 unit 1 unit in the morning and afternoon;
  • 10-12 days - 1, 5 units;
  • Day 13-15 - 1 unit;
  • Day 16-19 - 0, 5 units;
  • 20-21 days - 0, 25 units.

This is followed by a break of at least 3-4 weeks, and you can repeat the course under the same scheme. Take pharmaceuticals recommended 30 minutes before breakfast, with a small amount of ordinary drinking water.

With the development of side effects Such as fever, should consult a doctor or trainer. You also need to implement prophylactic 1-2 mg Ketotifenum after noon. To avoid possible problems with the heart and reduce the incidence of myocardial contractions necessary to use beta-blockers - Metoprolol   50 mg 2 times a day.

Clenbuterol is prohibited or not in sports?

In addition to the external effects associated with a decrease in body fat, a pharmaceutical formulation enhances the body's performance and to some extent increase the power rates. Since 1992 Anti-Doping Committee banned the use of the drug by professional athletes. However, bodybuilders at the amateur level Clenbuterol remains popular and still, as its effects are clearly visible after passing the respective course.

Overdose

Be sure to consult how to take Clenbuterol for drying, slimming or therapeutic purposes in the presence of an active pathological process with the respective qualified personnel or pharmacists, because the drug can cause an overdose condition, characterized by the following symptoms:

  • heart palpitations ;
  • cardiac arrhythmias;
  • hypokalemia;
  • hypertension (up to hypertensive crises);
  • kardialgiya;
  • trembling of the upper and lower extremities.

Pharmaceutical antidote for Clenbuterol is not because an overdose of a drug used symptomatic and detoxification therapy. First of all, if the above symptoms occur, you should clean the upper gastrointestinal tract of active chemical components in all possible ways (gastric lavage, oral adsorbents, and so on). Further, to restore the disturbed metabolic properties of the body, which are generally used water and brine. Well, it is imperative in overdose contact your doctor.

Cooperation

The drug has a very broad list of clinical interaction, which is required to be taken into account when Clenbuterol is used for drying or for therapeutic purposes:

  • in combination with monoamine oxidase inhibitors   (MAO) and Theophylline violates conduction of impulses to the heart muscle;
  • antagonism (the opposite direction of action) with beta-blockers ;
  • It raises the possibility of arrhythmic condition at admission cardiac glycosides ;
  • hypoglycemics   loses much of its therapeutic efficacy, respectively, an increase in dosage is required at the time of the course Clenbuterol;
  • in combination with simpatomimetikami increases the toxicity of the active ingredients of the pharmaceutical formulation.

Terms of sale

Buy Clenbuterol syrup can only be certified by the attending physician for a prescription.

Storage conditions

Keep a pharmaceutical formulation should be protected from light, with a moderate regime of humidity and temperatures above 25 degrees Celsius. Also dosage pills should be out of reach of young children place.

Shelf life

3 years.

Cautions

Match code ATC 4th level:

 

Babies

During pregnancy and lactation

Get the best price and buy

Serrata

Description overdue on 09/11/2014

  • Latin name: Serrata
  • ATC code: M09AB
  • Active substance: Serratiopeptidase
  • Manufacturer: Kusum Healthcare Pvt. Ltd., India
Photos of the drug
Tweet
  • Composition
  • Product form
  • Pharmacological action
  • Pharmacodynamics and pharmacokinetics
  • Indications
  • Contraindications
  • Side effects
  • Tablets serrata, instructions for use
  • Overdose
  • Cooperation
  • Terms of sale
  • Storage conditions
  • Shelf life
  • Cautions
  • Analogs
  • Babies
  • During pregnancy (and lactation)
  • Reviews
  • Price, where to buy

 Serrata

Composition

The active substance is serratiopeptidase At 10 mg per tablet.

Additional ingredients: sodium starch glycolate, lactose monohydrate, light magnesium carbonate, corn starch, magnesium stearate.

Product form

The tablets are available in enteric serrata (a / p) of the shell 10, 30, 100 pieces in one package.

Pharmacological action

Anti-inflammatory, fibrinolytic, anti.

Pharmacodynamics and pharmacokinetics

Serratiopeptidase , The active component of the drug serrata is enzyme Extracted from Escherichia bacteria Serratia E15   non-pathogenic nature, exhibiting proteolytic activity. This group of microorganisms able to break down bradykinin . fibrin and other inflammatory mediators, decongestants and exhibits anti-inflammatory function, as well as due to the release of inflammatory tissue pain amines It characterized analgesic effect.

The drug serrata has good penetrating power in places subjected to the inflammatory process, lyse necrotic tissue And also their breakdown products, reducing hyperemia and catalyzes activity and learning antibiotics . Also contributes to thinning nasal secretions and saliva reduces the viscosity than facilitates the procedure of their removal.

Serratiopeptidase and α--2 macroglobulins   Blood form the active complex in a ratio of 1: 1, which leads to masking antigenicity of the enzyme   without loss of pharmacological activity. Over time, the concentration of serratiopeptidase in the blood decreases because of the transition enzyme In areas of inflammation in exudate .


Due to the splitting of substances such as Serotonin . histamine and bradykinin serratiopeptidase Decreases dilation of the capillaries   and reduces permeability. Inhibits blockers plasmin Thus improving its fibrinolytic activity. Due to the reduction of swelling and decrease microcirculation It contributes to the successful separation Sputum .

Current and additional drug substance enclosed in a special enteric-coated tablets of which Serrat not destroyed in the stomach. The process Absorption It occurs in the intestine. The maximum content of blood plasma serratiopeptidase It detected 60 minutes after administration. A small amount of the drug is excreted in the urine.

Indications

Thanks to its versatile action serrata pills prescribed for the treatment of various diseases in different areas of medicine.

  • In traumatology and surgery: with dislocation . Fractures . tension ligaments and other injuries. With edema of different origin, including postoperative. In order to prevent possible transplant rejection .
  • In dermatology: at acute dermatosis Proceeding with pain.
  • In plastic surgery for lifting microcirculation prophylaxis transplant rejection To reduce puffiness after the operation.
  • In ENT practice: the sinusitis . otitis and other inflammatory pathologies (including TTP), manifested by increased slizeobrazovaniem and labored sputum As well as to improve the absorption of antibiotics .
  • In gynecology: to eliminate breast edema , Developed as a result of various diseases, as well as to accelerate the process of resorption hematomas , Such as mastitis .

Contraindications

  • hypersensitivity serratiopeptidase or other components of the drug serrata;
  • pathological conditions in which an increased risk of bleeding or broken blood clotting .

Side effects

Upon receipt of Serrat, in rare cases, there is violation of the chair, nausea Pain in the gastrointestinal tract, vomiting .

Patients predisposed to bleeding Perhaps more frequent development nosebleeds And the emergence of Blood sputum .

In some cases, it has been identified allergic reactions Manifested in the form of itching and / or rash on the skin, hives .

Tablets serrata, instructions for use

Instructions on Serrat recommends internal (oral) pills. Per day, usually prescribe 30 mg, 1 tablet comprising 10 mg serratiopeptidase In three steps. Food intake has no effect on absorption Serrat and efficiency. The tablet should be swallowed whole, nor in any way to the liquid / p shell, and drink water.

Various diseases, as well as the severity of the daily dose should be adjusted Serrat in one direction or another. Selection of the minimum effective dose, duration of administration as determined by the attending physician based on the particular situation.

Overdose

Admission excessive doses can cause Serrat strengthening of its side effects and in some cases lead to internal bleeding .

Recommend to renounce the use of tablets and conduct symptomatic treatment.

Cooperation

Proven to strengthen action anticoagulants when they are combined with the admission serratiopeptidase . If necessary, combination therapy with these drugs, the patient should be under the supervision of experienced medical personnel, who, if necessary, will adjust the dose anticoagulant .

Terms of sale

Serrata drug prescription.

Storage conditions

Storage temperature should not exceed 25 ° C.

Shelf life

24 months.

Cautions

The drug affects the Serrata blood clotting In this connection, it should be used with caution during therapy anticoagulants Predisposed the patient to bleeding , Pathologies clotting .

Also, you must be careful when taking serratiopeptidase patients with painful conditions of liver and kidney.

Analogs

Match code ATC 4th level:
  •  Serrata  Wobenzym

Among peers Serrat, the most famous are Fibrin stabilizing factor and Movinaza .

Babies

It is not necessary to appoint Cerrato to 18 years, as its effect on the child's body has not been fully studied.

During pregnancy (and lactation)

In periods Lactation and pregnancy Perhaps Serrat appointment only in extreme cases.

Reviews of Serrate

Reviews of tablets serrata in the treatment of various inflammatory processes in gynecology, surgery, trauma, etc., most of the talk about high efficiency of the drug. His appointment in combination with antibiotics It shows the reduction in the time course of the disease and a rapid decrease in the symptoms of the pathological process. Liquefaction Sputum in diseases of the TTP, release secret   pathologies of upper respiratory tract, reduction of swelling and bruising Also are among disease states, which successfully handles the drug, which is confirmed by reviews of Serrate forums.

Price Serrat, where to buy

Price Serrat in Ukraine several different depending on the region, for example, to buy pills in Kharkov can be cheaper compared with Kiev.

The average price in the country is: №10 - 40 hryvnia; №30 - 50 hryvnia; №100 - 130 hryvnia.

Get the best price and buy

Otinum

Description overdue on 21.11.2011

Related Articles:
  • Instructions for Flamaksa
  • Retarpen, instructions for use
  • The analogue Imudon
  • Nanotechnology in Russian medicine
Tweet

 Otinum  Ear drops. Active Ingredient - choline salicylate . Otinum belongs to the group of NSAIDs, anti-inflammatory, analgesic, antipyretic effect. Otinum inhibits the activity of cyclooxygenase (1, 2), neutrophil , Macrophages, inhibits the production and synthesis prostaglandins . In acidic and alkaline medium has anti-fungal and anti-microbial action.

Indications:

Otinum prescribed for catarrh middle ear   and the eardrum, inflammation of the external auditory passage (including complications of bacterial infection). The solution is applied before the washing procedure the external auditory meatus. The components of the drug dissolved earwax.

Contraindications:

Aspirin asthma Allergic to NSAIDs, salicylates. Otinum not prescribed for the perforation of the tympanic membrane (risk of deafness, hearing impairment). The drug is contraindicated in pregnancy. Do not use in pediatrics (1 year).

Side effect:

Rarely noted a burning sensation at the injection site, allergic.

Mode of application:

Adults are recommended to use the drug three times otinum 3-4 drops into the ear canal. When backfilling the patient should be in a position lying on its side. After a few minutes the procedure recommended not to change the position of the head.

Special instructions:


After contact with salicylic acid derivatives in the middle ear through the damaged portion of the tympanic membrane develops hearing loss, deafness. Before applying the necessary inspection otolaryngologist.

Drug Interactions:

Otinum enhances the effects of other pain relievers, anti-inflammatory and antipyretic drugs.

Friday, May 17, 2019

Urolesan

Description overdue on 05/08/2014

  • Latin name: Urolesanum
  • ATC code: G04BX
  • Active substance: Castor oil, fir and peppermint extracts + hops, seeds of wild carrots and marjoram
  • Manufacturer: Halychpharm PAO, Ukraine
Photos of the drug
Tweet
  • Composition
  • Product form
  • Pharmacological action
  • Pharmacodynamics and pharmacokinetics
  • Indications
  • Contraindications
  • Side effects
  • Instructions for use Urolesana (method and dosage)
  • Overdose
  • Cooperation
  • Terms of sale
  • Storage conditions
  • Shelf life
  • Analogs
  • With alcohol
  • During pregnancy (and lactation)
  • Reviews
  • Price, where to buy

 Urolesan

Composition

One capsule formulation   It contains the active substance ( castor oil, peppermint oil, fir oil, hops extract, wild carrot and oregano ) + 10 mg of excipients ( magnesium carbonate, magnesium aluminometasilicate, monohydrate, talc, Trilon B, lactose, potato starch ).

Part Syrup   include other auxiliary substances ( citric acid, sugar syrup, monohydrate, polysorbate, water ).

100 ml drop Urolesan   contains active ingredients + Auxiliary ( Trilon B ).

Product form

Green capsules   in gelatin package with the contents - powder yellow color with inclusions and characteristic smell of spruce, 40 pieces per pack.

Light green, yellow syrup , With a specific smell and taste, in cans of 180 ml or 90.

Drops   in banks of 25 ml brown-green liquid.

Pharmacological action

Combined preparation of vegetable origin, antiseptic . urea   and cholagogic . antispasmodic   effect.

Pharmacodynamics and pharmacokinetics

The drug contains a number of natural herbal ingredients that have a direct impact on the functioning of the genitourinary system The composition and quantity urea .

It has antispasmodic   action. The drug changes pH   urine towards more acidic environment and thus facilitates the removal of excess salts ( chlorides ) From the kidney. The drug directly affects the liver, increased allocation bile .


Also, the drug exhibits high antimicrobial   activity.

Indications

From what drops of Urolesan? The drug is prescribed for:

  • pyelonephritis ;
  • dyskinesia of the gallbladder   and Biliary ;
  • unspecified liver disease ;
  • rocks and sand in the kidneys   and biliary tract.

Contraindications

  • drug allergy   some components of the formulation;
  • heartburn, diarrhea   and nausea ;
  • drug drops and capsules are not indicated for children up to 7 years;
  • traumatic brain injury . alcoholism .

Side effects

There are allergic reactions   on the skin or by Digestive System .

Instructions for use Urolesana (method and dosage)

The dosage and duration of drug administration determines the physician depending on the disease and its course.

Instructions on Urolesan capsules The drug in tablets prescribed only for the age of 14 years 3 tablets a day, divided into 3 doses. If necessary, it is possible to accept at once 2, then having returned to the normal dosage. The course may be from 5 days to a month.

Syrup   adults appoint 5 ml (teaspoon capacity) three times a day, from 5 to 30 days. Children under 2 years of daily dose of 3-6 ml 2-7 years - 6-12 ml, 7-14 years - 12-15 ml.

How to take the drug in drops ? Before the meal for 8-10 drops applied on a lump of sugar. The drug is carried out 3 times a day.

Overdose

Dizziness, nausea, vomiting   and loose stools   may be symptoms of overdose. Treatment of - in accordance to manifested symptoms, reception Oe nterosorbentov   and 0 001 g atropine sulfate Warm drinking plenty of fluids.

Cooperation

Not studied, or not happening.

Terms of sale

It does not require a prescription.

Storage conditions

Pills   and drops : In a dark, cool, the children, the temperature regime - no higher than 25 degrees.

Syrup : Temperature regime - 8-15 degrees. After opening the the vial store not more than a month.

Shelf life

3 years - pills .

2 years - drops   and syrup .

Analogs Urolesana

Match code ATC 4th level:
  •  Urolesan  Brusniver
  •  Urolesan  Speman Forte
  •  Urolesan  Speman
  •  Urolesan  Tribestan
  •  Urolesan  Phytolysinum
  •  Urolesan  Kanefron
  •  Urolesan  Gentos

Analogues of:   apiprost, baytach, Gentos, Qatar, vitaprost, aflazin, kanefron .

Urolesan or Kanefron - which is better?

Kanefron can be used by pregnant women, it is more harmless. However, incoming in composition fructose and lactose create difficulties for treating patients with intolerance data components.

With alcohol

Keep in mind that the drop Urolesan contain about 60% ethyl alcohol, so they are not prescribed to patients with alcoholism. We do not recommend the combination of the drug with alcohol.

During pregnancy and lactation

Most often Urolesan during pregnancy is not indicated because of the lack of clinical trials. However, pregnancy and breast-feeding is not a contraindication to receiving direct drug.

Reviews Urolesane

Reviews on Capsules:   drops and syrup are very good. Many people are very happy with the results of treatment with the drug. Effectively chronic administration, in combination with antibiotics . The only drawback is the peculiar taste of syrup and drops, capsules such problems do not arise.

Reviews cystitis:   too good, helping many women to cope with such a common ailment. Many people use when Urolesan cystitis As a means of emergency aid to quickly remove the unpleasant symptoms. More often prescribed in combination with other drugs for cystitis. It is important to drink a course of the drug completely.

Price Urolesana (Where to buy)

Cost drops   Urolesan in Ukraine is about 53 USD per bottle of 25 ml. Purchase capsules , №40, you can for 69 UAH. The average cost of 180 ml syrup - 52 UAH.

Price in Kharkiv drops   - 50 UAH. Price tablets   65 UAH per 40 pieces. Syrup   It costs about 48 UAH per 180 ml.

Get the best price and buy

Trifas

Description overdue on 11/17/2014

  • Latin name: Trifas
  • ATC code: C03CA04
  • Active substance: Torasemide
  • Manufacturer: Berlin-Chemie AG (Menarini Group), Germany
Photos of the drug
Tweet
  • Composition
  • Product form
  • Pharmacological action
  • Pharmacodynamics and pharmacokinetics
  • Indications
  • Contraindications
  • Side effects
  • Tablets Trifas, instructions for use
  • Overdose
  • Cooperation
  • Terms of sale
  • Storage conditions
  • Shelf life
  • Cautions
  • Analogs
  • Babies
  • During pregnancy (and lactation)
  • Reviews
  • Price, where to buy

 Trifas

Composition

Tablets Trifas (Trifas 10) include 10 mg torasemide - Active substance.

Additional ingredients:

  • fumed silica;
  • lactose monohydrate;
  • magnesium stearate;
  • corn starch.

Product form

Trifas 10mg available in tablet form from 30, 50 or 100 pieces in one pack.

Pharmacological action

Diuretic.

Pharmacodynamics and pharmacokinetics

Torasemide It refers to the group saluretics Whose action is inhibition renal reabsorption   ions Chlorine and sodium Upstream knee loop of Henle . It has fast diuretic action   After the inner and / in use, which reaches its maximum at 2-3 hours and is effective for almost 12 hours. Diuretic action is quite strong and is celebrated even in cases where other diuretics ineffective. Torasemide eliminating the edema, with Heart Failure   reduces symptoms of the disease and has beneficial effects on the function infarction By means of pre- and afterload reduction.

When an internal reception shows antihypertensive action That develops slowly and is at the most effective for 3 months. Antihypertensive Trifasa efficiency is achieved by lowering PR   due to the normalization of previously impaired electrolyte balance   and substantially lowering activity in the muscles of the arteries of free Ca2 +. It is known that torasemide reduces susceptibility to internal vessels vasopressor Substances such as catecholamines .


Suction torasemide after internal reception complete, rapid and extends over 60-120 minutes, regardless of the meal.

Bioavailability - 80-90% of the plasma protein binding of about 99%.

The end products of the transformation - metabolite M1, M3 (active) and M5 (inactive).

Kinetics of torasemide and its metabolites are characterized by linear, that is, Cmax in plasma and AUC increases in accordance with the highest dose.

in healthy volunteers was equal to 3-4 hours.

Renal clearance   about 10 ml / min total clearance   - 40 ml / min.

Displays 80% of the urine, bile otherwise.

Availability renal failure   almost no effect on and Total clearance of torasemide.

Indications

The drug is used in therapy Trifas essential hypertension As well as in the prophylaxis or treatment of relapsed effusions and / or edema That developed because Heart Failure .

Contraindications

  • hypovolemia ;
  • hypersensitivity   to Torasemide Trifasa or other ingredients;
  • with renal insufficiency anuriei ;
  • hyponatremia ;
  • hypotension ;
  • state hepatic coma   or prekomatosnoe;
  • hypokalemia ;
  • expressed pathology system micturition , such as prostatauxe ;
  • children's age;
  • during breast feeding.

Side effects

  • itch skin, photosensitization . eczema ;
  • anemia . leukopenia . thrombocytopenia ;
  • predisposition to thrombosis . hypotension ;
  • metabolic alkalosis , Hypovolemia, hypokalemia, hypomagnesemia, hyperlipidemia, hyperglycemia, hyperuricemia;
  • azotemia , Acute urinary retention;
  • dryness of the mouth, pancreatitis , Weakening appetite, diarrhea . vomiting , Elevated liver enzymes, constipation ;
  • paresthesia . headache , Feeling of weakness, feeling sleepiness . dizziness , Confusion, convulsions ;
  • visual impairment , noise in ears, deafness .

Tablets Trifas, instructions for use

Trifas in the form of tablets taken orally (po), one tablet can be divided into two or four parts.

With essential hypertension , Instructions for use Trifas 10 mg recommends to start with a quarter pill (2, 5 mg) per day. Due to the fact that the action of the drug is gradually, and the maximum efficiency is observed only after 3 months, this dose should be taken during this period. After 3 months, in the case of lack of effectiveness of reduction BP Dose can be increased twice Trifasa (5 mg). Also, the dose of 5 mg is recommended as the initial failure at renal function   or severe hypertension . A further increase in dosage is not appropriate and can take place only after consultation with your doctor.

With effusions and / or edema therapy should be initiated with 5 mg per day Trifasa (half tablets). In severe cases, the dosage may be increased torasemide Up to 20 mg per day.

Overdose

In case of overdose observed an increase diuresis In this connection, the possible development of dehydration violations electrolyte metabolism . Also exhibit drowsiness , Impaired consciousness, cardiovascular failure Symptomatic hypotension . dyspeptic violations.

Typically, symptoms intoxication runs alone at low doses Trifasa or its abolition. Displaying holding infusion therapy   to adjust electrolyte balance . Hemodialysis It does not output Torasemide from blood.

Cooperation

Admission Trifasa enhances the effects of other antihypertensive means, including ACE inhibitors .

In parallel with taking drugs digitalis ( Digoxin ) shortcoming Potassium It caused torasemide can cause increased side effects of both drugs.

Action antidiabetic funds may be reduced when taking torasemide .

NSAIDs and Probenecid lower diuretic and as a consequence hypotensive action.

Perhaps greater toxic effect salicylates When co-administered with Trifasom.

Torasemide, especially in high doses, leads to increased Oto-and nephrotoxicity cytostatics and antibiotics aminoglycoside series ( kanamycin . Tobramycin . Gentamicin ) And nephrotoxicity cephalosporins .

Laxatives, glucocorticoids and mineralocorticoid , When combined with the admission Trifasom, increase potassium loss.

Treatment with Trifasa may enhance the effects of curariform relaxants   and Theophylline .

At the same time pursued therapy preparations lithium It can increase its concentration in blood.

Torasemide may reduce the vasoconstrictor effect catecholamines ( Epinephrine . Norepinephrine ).

Kolestiramin It reduces the absorption of torasemide and thus its effectiveness.

Terms of sale

To purchase Trifasa in the pharmacy requires a prescription.

Storage conditions

The preparation can be stored at room temperature, away from children and sunlight.

Shelf life

5 years.

Cautions

Trifasom therapy should be under constant monitoring electrolyte balance , including Potassium in plasma. Also, it is necessary to control the levels of Uric acid . Glucose . lipids and creatinine .

With diabetes   We need to monitor the metabolism of carbohydrates.

There should be regular evaluation of the blood picture (content erythrocyte . leukocytes . Platelet ), As well as to monitor the symptoms of blood clots and loss electrolytes , Particularly for elderly patients.

It is not necessary to prescribe medication use torasemide at arrhythmias . anemia , Disorders of acid-base balance, gout . thrombocytopenia .

Analogs

Match code ATC 4th level:
  •  Trifas  Diuver
  •  Trifas  Lasix
  •  Trifas  Furosemide

If you can not find Trifas in the free market, you can buy its analogs. In Russia, these drugs are:

  • Torasemide Canon;
  • Britomar;
  • Trigrim;
  • Diuver;
  • Furosemide.

Babies

Trifas, due to the lack of experience of application, do not prescribe in childhood.

During pregnancy (and lactation)

Do not use this during Trifasa Lactation .

During pregnancy It can be administered only in extreme cases, under strict control and in minimal doses.

Reviews Trifas

In the circle of doctors applying loop diuretics , Drug Trifas gets positive reviews and is the drug of choice. According to many studies of its use can not only increase the effectiveness of diuretic therapy, but also to avoid the serious complications associated with its purpose. Trifas has a less pronounced effect on the excretion of potassium, magnesium, calcium, etc., And greater efficiency in comparison with Furosemide Easier tolerated in elderly patients and patients with heart and other diseases.

Among the reviews of patients can be met and a negative opinion about the effectiveness of Trifasa. You can often read complaints of not passing swelling or insufficient diuretic effect. Recall that the action of torasemide develops gradually improved and disease states can be seen, most often a month or two of continuous use.

Price Trifasa where to buy

In Ukraine, the price Trifas 10 mg on average №30 - 160 hryvnia; №50 - 200 hryvnia; №100 - 270 hryvnia.

The average price in rubles, not including delivery in Russia is 1,400 rubles for 30 tablets.

Get the best price and buy