Active substanceDesloratadineDesloratadine
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  • Dosage form: & nbsporal solution
    Composition:

    1 ml of solution contains:

    active substance: desloratadine - 0.50 mg;

    Excipients: sorbitol 147.15 mg, propylene glycol 102.30 mg, citric acid monohydrate 21.06 mg, sodium citrate dihydrate 16.38 mg, hypromellose 2910-2.00 mg, sucralose 1.00 mg, disodium edetate - 0,04 mg, tutti-frutti flavoring - 0,03 mg.

    Description:

    Transparent, colorless solution, free from foreign particles.

    Pharmacotherapeutic group:Antiallergic agent - H1-histamine receptor blocker
    ATX: & nbsp

    R.06.A.X   Other antihistamines for systemic use

    R.06.A.X.27   Desloratadine

    Pharmacodynamics:

    Antihistamine long-acting drug, blocker of peripheral histamine H1receptors. Desloratadine is the primary active metabolite of loratadine. Inhibits the cascade of reactions of allergic inflammation, including the release of proinflammatory cytokines, including interleukins IL-4, IL-6, IL-8, IL-13, the release of pro-inflammatory chemokines, the production of superoxide anions by activated polymorphonuclear neutrophils, the adhesion and chemotaxis of eosinophils, the release of adhesion molecules such as P-selectin, IgE-mediated release of histamine, prostaglandin D2 and leukotriene C4. Thus, it prevents development and facilitates the course of allergic reactions, has antipruritic and antiexcudative action, reduces permeability of capillaries, prevents the development of edema of tissues, spasm of smooth muscles.

    The drug has no effect on the central nervous system with practically no sedative effect (does not cause drowsiness) and does not affect the speed of psychomotor reactions when taken at the recommended doses.

    In klinikofarmakologicheskih studies of desloratadine in recommended therapeutic dose were observed lengthening the interval QT on an electrocardiogram.

    The action of desloratadine begins within 30 minutes after ingestion and lasts for 24 hours.

    Pharmacokinetics:

    Admission of desloratadine in the form of a solution equivalent to its use in tablet form, containing a similar amount of active ingredient.

    Suction

    After taking the drug inside desloratadine well absorbed from the gastrointestinal tract. It is determined in the blood plasma after 30 minutes, and the maximum concentration in the blood plasma (FROMmOh) is reached in about 3 hours.Bioavailability of desloratadine is dose-proportional when taking a dose in the range from 5 mg to 20 mg.

    Distribution

    The connection with plasma proteins is 83-87%. When used in adults and adolescents for 14 days at a dose of 5 mg to 20 mg once a day, there are no signs of a clinically significant cumulation of desloratadine. The degree of accumulation of desloratadine is consistent with the value of the half-life and frequency of its application once a day. In a single dose study conducted using a dose of desloratadine 7.5 mg, no food effect (high-fat breakfast with a high fat content) and grapefruit juice on the desloratadine distribution was observed. Does not penetrate the blood-brain barrier.

    Metabolism

    Is not an inhibitor of isoenzymes CYP3A4 in vivo and CYP2D6 in vitro and is not a substrate or an inhibitor of P-glycoprotein. Intensively metabolized in the liver by hydroxylation to form 3-hydroxydeslorotadine, which is then glucuronized.

    Excretion

    The terminal phase of the half-life period is about 27 hours. Only a small part of the dose taken internally is excreted by the kidneys (less than 2%) and through the intestine (less than 7%).

    Indications:

    To ease or eliminate symptoms:

    - allergic rhinitis (sneezing, nasal congestion, rhinorrhea, itching in the nose, itching of the palate, itching and redness of the eyes, lacrimation);

    - urticaria (skin itching, rash).

    Contraindications:

    - Hypersensitivity - to desloratadine, other components of the drug or loratadine;

    - pregnancy and the period of breastfeeding;

    - children under 1 year of age (efficacy and safety not established);

    - hereditary diseases (intolerance to fructose, impaired absorption of glucose / galactose, or insufficiency of sucrose / isomaltase in the body) due to the presence of sorbitol in the formulation.

    Carefully:

    - Severe renal insufficiency;

    - simultaneous reception of alcohol.

    Pregnancy and lactation:

    The use of the drug in pregnancy is contraindicated due to the lack of clinical data on the safety of its use in this period.

    Desloratadine is excreted in breast milk, so its use during breastfeeding is contraindicated.

    Dosing and Administration:

    The solution is taken orally, regardless of food intake.

    Adults and adolescents (12 years and older) - 10 ml (5 mg) of the solution once a day.

    Children aged 1 to 5 years Assign 2.5 ml (1.25 mg) of the solution 1 time / day.

    Children aged 6 to 11 years - 5 ml (2.5 mg) of the solution once a day.

    Treatment of seasonal (intermittent) allergic rhinitis (the presence of symptoms lasting less than 4 days a week or less than 4 weeks per year) should be conducted in accordance with the patient's medical history, assessing the course of the disease. With the disappearance of symptoms, the drug should be stopped and resumed after they reappear.

    When year-round (persistent) allergic rhinitis (the presence of symptoms lasting more than 4 days a week or more than 4 weeks per year), long-term treatment is assumed during the entire period of exposure to the allergen.

    Side effects:

    In clinical trials of desloratadine, 246 patients aged from 6 months to 11 years old received the oral solution. In children aged 2 to 11 years with the use of desloratadine, the incidence of side effects was the same as with placebo. In infants and young children (6 to 23 months), the following undesirable effects were observed with desloratadine, which were slightly higher than with placebo: diarrhea (3.7%), fever (2.3% ),insomnia (2.3%). In the additional study, no adverse events were observed in patients aged 6 to 1 1 years with desloratadine administered at a dose of 2.5 mg as an oral solution.

    In clinical studies, with desloratadine taken by adults and adolescents, according to indications, including allergic rhinitis and chronic idiopathic urticaria, adverse reactions were reported in 3% of patients, which exceeded the same value in the placebo group. More often than others the following undesirable reactions are noted, their frequency exceeded in the placebo group: increased fatigue (1.2%), dryness of the oral mucosa (0.8%), headache (0,6%).

    In clinical studies involving 578 adolescents from 12 to 17 years, the most common reported headache. It occurred in 5.9% of patients receiving desloratadine and in 6.9% of patients taking placebo.

    The incidence of undesirable reactions revealed during the clinical study of desloratadine, which exceeded the frequency of occurrence of similar values ​​in the placebo group, as well as other undesirable reactions reported during the post-detection period, are listed below.

    The incidence of adverse events was classified as follows: very often (≥1 / 10), often (≥1 / 100, <1/10), infrequently (≥1 / 1000, <1/100), rarely (≥1 / 10,000 , <1/1000), very rarely (<1/10000, including individual cases), the frequency is unknown (can not be estimated from the available data).

    Disorders of the psyche: very rarely - hallucinations.

    From the nervous system: often - headache, insomnia (for children younger than 2 years); very rarely - dizziness, drowsiness, insomnia, psychomotor hyperactivity, convulsions.

    From the heart: very rarely - tachycardia, palpitation; frequency unknown - interval elongation QT.

    From the gastrointestinal tract: often - dryness of the oral mucosa, diarrhea (for children younger than 2 years); very rarely - abdominal pain, nausea, vomiting, indigestion, diarrhea.

    From the liver and bile ducts: very rarely - increased activity of liver enzymes, increased concentrations of bilirubin, hepatitis; frequency is unknown - jaundice.

    From the skin and subcutaneous tissues: frequency unknown - photosensitivity.

    From the osteomuscular system and connective tissue: very rarely - myalgia.

    General disorders and disorders at the site of administration: often - increased fatigue, increased body temperature (for children under 2 years); very rarely - hypersensitivity reactions (such as anaphylaxis, angioedema, dyspnea, pruritus, rash, urticaria); frequency unknown - asthenia.

    Postpayment period

    Childhood: frequency unknown - interval elongation QT, arrhythmia, bradycardia.

    If any of the side effects listed in the manual are aggravated, or if you notice any other side effects not listed in the instructions, tell your doctor.

    Overdose:

    Symptoms: taking a dose that exceeded the recommended dose 9 times (45 mg) did not lead to any clinically significant symptoms.

    Treatment: need gastric lavage, reception of activated charcoal; at necessary - symptomatic therapy. Desloratadine is not excreted in hemodialysis, the effectiveness of peritoneal dialysis is not established.

    In case of accidental ingestion of a large amount of the drug, you must immediately consult a doctor.

    Interaction:

    Clinically significant interaction with other drugs was not detected (including azithromycin, ketoconazole, fluoxetine, cimetidine and erythromycin).

    Simultaneous intake of food or grapefruit juice does not affect the effectiveness of the drug.

    Desloratadine does not increase the effect of ethanol on the central nervous system. Nevertheless, during the post-registration use cases of alcohol and alcohol intolerance were reported. therefore desloratadine Alcohol should be used with caution.

    Childhood

    Studies of the interaction of desloratadine were conducted only with the participation of adult patients.

    Special instructions:

    In the case of pronounced impairment of renal function, the drug Desal should be taken with caution (see section "Pharmacokinetics ").

    Differential diagnosis between allergic rhinitis and rhinitis of a different origin in children under 2 years of age presents certain difficulties. When making a differential diagnosis, attention should be paid to the presence or absence of foci of infection or structural anomalies of the upper respiratory tract, to conduct a careful history, examination, as well as appropriate laboratory tests and skin tests.

    In about 6% of adults and children aged 2 to 11 years, a low capacity for metabolism of desloratadine, desloratadine in this group of patients has a higher exposure (see section Pharmacokinetics).

    The safety profile of desloratadine in children aged 2 to 11 years with a low level of metabolism is similar to that in children with normal metabolism of desloratadine. The effect of desloratadine on children younger than 2 years with a low level of metabolism has not been studied.

    A study of the effectiveness of desloratadine in rhinitis of infectious etiology was not conducted.

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

    Consideration should be given to the potential for the development of side effects such as dizziness and drowsiness. When these undesirable phenomena appear, one should refrain from performing these activities.

    Form release / dosage:Solution for oral administration, 0.5 mg / ml.
    Packaging:

    For 50, 60, 100, 120, 150 or 300 ml in the bottles of dark glass (type III), closed with a plastic lid with a child safety system, together with a measuring spoon for 2.5 ml or 5 ml or a syringe dispenser for oral use with a volume of 5 ml and instructions for use in cardboardpack.

    Storage conditions:

    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:Without recipe
    Registration number:LP-002258
    Date of registration:01.10.2013 / 15.12.2016
    Expiration Date:01.10.2018
    The owner of the registration certificate:Actavis PTS ehf GroupActavis PTS ehf Group Iceland
    Manufacturer: & nbsp
    Representation: & nbspAktavis, Open Company Aktavis, Open Company
    Information update date: & nbsp22.04.2017
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