Active substanceZinc bisvinylimidazole diacetateZinc bisvinylimidazole diacetate
Dosage form: & nbspsolution for intramuscular injection
Composition:

Zinc bisvinilimidazole diacetate (Acisol®) in terms of dry matter 60.0 g; acetic acid 5 ml, water for injection up to 1 liter.

Description:

Colorless transparent liquid.

Pharmacotherapeutic group:Antidote
ATX: & nbsp

V.03.A.B   Antidotes

Pharmacodynamics:

It is known that under the influence of elevated concentrations of carbon monoxide (II), the so-called Holden effect is manifested when, as a result of cooperative interaction of the heme 4 hemoglobin, the hemoglobin molecule is deprived of the ability to give oxygen, if the remaining 3 heme bound carbon monoxide (II). Atsizol®, being integrated organozinc compound by reducing the cooperativity and relative affinity of the heme of hemoglobin to carbon monoxide (II), inhibits the formation of carboxyhemoglobin, resulting in improved oxygen-binding and transmission properties of the blood when poisoned by carbon monoxide (II), the elimination of carbon monoxide (II) is accelerated from the body. Increase in the affinity of hemoglobin for oxygen (O2) and the shift of the dissociation curve of oxyhemoglobin to the left allow hemoglobin to be completely saturated with oxygen at much lower values ​​of the partial pressure O2, resulting in increased resistance of the body to a lack of oxygen in the environment. Difficulty in recoil2 tissue leads to a relative deterioration in the supply of O2 only organs and tissues with a high threshold of its assimilation, while vital organs with a low threshold of assimilation of O2, for example, the brain, are in a better situation than in the absence of a left shift.

Acizol®, contributing to the acceleration of elimination of carbon monoxide from the body, reduces the severity of intoxication during carbon monoxide (II) poisoning in terms of the severity of metabolic acidosis. It replenishes zinc deficiency in the body.

Pharmacokinetics:

Maximum concentration of zinc bisvinilimidazole diacetate in the blood is achieved 20-30 minutes after intramuscular injection of 1 ml (60 mg) of the drug Acizol® and stored in blood plasma for 4-5 hours. It is mainly metabolized by the liver. Metabolism products are excreted from the body mainly through the gastrointestinal tract.The half-life is 1-1.5 hours.

Indications:

Poisoning with carbon monoxide (II) of varying severity (treatment and prevention).

Contraindications:
  • Hypersensitivity to the main and / or auxiliary components of the drug;
  • breast-feeding;
  • children under 18 years of age (due to insufficient data).
Carefully:

Deficiency of copper.

Pregnancy and lactation:

In experimental studies on animals, embryotoxic and teratogenic properties, as well as adverse effect on the reproductive function of zinc bisvinilimidazole diacetate, were not revealed. Adequate and strictly controlled studies involving pregnant women were not conducted. The use of the drug Acizol® in pregnant women as an antidote for poisoning with carbon monoxide (II) is justified.

There are no data on the penetration of zinc bisvinilimidazole diacetate into breast milk. During the period of using the drug Acizol®, breastfeeding should be stopped.

Dosing and Administration:

With the preventive purpose, 1 ml of the drug Acizol® is injected under the threat of poisoning 20-30 minutes before the expected impact - entering the smoke / gas contamination zone, with a high risk of inhalation of carbon monoxide (II) during the work to eliminate the consequences of accidents and disasters accompanied by fires, or in extinguishing the fires themselves and saving the victims. The protective effect of the drug is maintained for 1.5-2 hours. Repeated use of the drug Acizol® is allowed 1 hour after the first administration.

As a therapeutic agent, the drug Acizol® is recommended for use in poisoning with carbon monoxide (II) at the earliest possible time, regardless of the severity of the lesion. 1 ml of the drug is injected immediately after removal of the victim from the fire / gassed area; After 1 hour, repeated administration is allowed. In the subsequent - 1 ml 2-4 times a day. The maximum daily dose for an adult is 240 mg (4 ml). The average course of treatment is 7-10 days.

Side effects:

Moderate soreness in the injection site is possible.

Overdose:

Symptoms. Metallic taste in the mouth, headache, nausea.

Treatment. These phenomena occur after the drug is withdrawn and do not require special treatment.

Interaction:

It is not recommended to be used together with sodium dimercaptopropanesulfonate.

When combined with other drugs, no negative effects were observed.

Effect on the ability to drive transp. cf. and fur:

The drug Acizol® does not adversely affect the ability to drive vehicles and mechanisms.

Form release / dosage:

Solution for intramuscular injection 60 mg / ml. 1 ml of solution in an ampoule.

Packaging:

1 or 5 ampoules in a contour cell box made of a polyvinyl chloride film. For 1 or 2 contour packs of 5 ampoules together with the instruction for use and a knife for opening ampoules are placed in a pack of cardboard (in case of using ampoules with a dot or ring of breakage, the knife is not inserted).

For hospitals. For 50 or 100 contour cell packs of 5 ampoules, together with instructions for medical use and knives for opening ampoules are placed in a box of cardboard (in the case of using ampoules with a dot or a ring of breakage, the knife is not inserted). The number of instructions should correspond to the number of contiguous cell packs.

For the formation of first-aid kits of special purpose. For 50 or 100 contour cell packs of 1 ampoule, along with instructions for the medicalapplication and knives for opening ampoules are placed in a box of cardboard (in case of using ampoules with a dot or a ring of breakage, the knife is not inserted). The number of instructions should correspond to the number of contiguous cell packs.

Storage conditions:

In the dark place at a temperature of no higher than 25 ° C.

Keep out of the reach of children.

Shelf life:

3 years. Do not use after the expiration date printed on the package.

Terms of leave from pharmacies:On prescription
Registration number:LS-001060
Date of registration:23.06.2011 / 16.04.2014
Expiration Date:Unlimited
The owner of the registration certificate:Nizhny Novgorod Chemical and Pharmaceutical Plant, OJSCNizhny Novgorod Chemical and Pharmaceutical Plant, OJSC
Manufacturer: & nbsp
Information update date: & nbsp30.09.2017
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