Active substanceArginine glutamateArginine glutamate
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  • Dosage form: & nbsppills
    Composition:

    In 1 tablet:

    Active Ingredient: arginine glutamate (in terms of dry matter) 250 mg.

    Excipients: potato starch, calcium stearate.

    Description:Tablets of white color, with a flat surface, a risk and a facet. Marble is allowed on the surface of the tablets.
    Pharmacotherapeutic group:Hepatoprotective agent
    ATX: & nbsp

    A.05.B.A   Preparations for the treatment of liver diseases

    Pharmacodynamics:

    Glutargin is a compound of arginine and glutamic acid, which play an important role in providing biochemical processes of neutralization and excretion of the highly toxic metabolite of nitrogen metabolism - ammonia.Hypoammonemic effects of the drug are realized by activating the neutralization of ammonia in the ornithine cycle of urea synthesis, the binding of ammonia to non-toxic glutamine, as well as increasing the excretion of ammonia from the central nervous system and its excretion from the body. As a result, general toxic, including neurotoxic, effects of ammonia are reduced.

    Glutargin has a hepatoprotective effect, possessing antioxidant, antihypoxic and membrane-stabilizing activity, positively affects the energy supply in hepatocytes. With alcohol intoxication, Glutargin stimulates the utilization of alcohol in the monooxygenase system of the liver, prevents the inhibition of the key enzyme for the utilization of ethanol - alcohol dehydrogenase; accelerates inactivation and elimination of toxic products of ethanol metabolism as a result of increased formation and oxidation of succinic acid; reduces the inhibitory effect of alcohol on the CNS due to the neurotransmitter properties of the excitatory glutamic acid. Glutargin has no embryotoxic, gonadotoxic and mutagenic effects, does not cause allergic and immunotoxic reactions.

    Pharmacokinetics:

    Not studied.

    Indications:

    Applied in the complex therapy of acute and chronic hepatitis of various etiologies, poisoning with hepatotropic poisons (pale toadstool, chemical and medicinal substances), liver cirrhosis, leptospirosis; hepatic encephalopathy, precoma and coma accompanied by hyperammonemia. State of acute alcoholic poisoning of mild and moderate degree, hangover syndrome, post-toxication disorders caused by alcohol intake.

    Contraindications:

    - hypersensitivity to drug components

    - children under 18 years of age

    - During pregnancy and breastfeeding

    Carefully:

    - febrile condition

    - increased excitability

    - severe violations of the filtration (nitrogen excretory) function of the kidneys (creatinine clearance less than 30 ml / min).

    Pregnancy and lactation:

    The safety of clinical use of the drug during pregnancy and lactation has not been investigated.

    Dosing and Administration:

    The drug is prescribed by adults for 2-3 tablets (0.5-0.75 g) 3 times a day for 14 days, regardless of food intake. If necessary, the dose of the drug and the course of treatment can be increased to 21 days.The highest single dose is 2 g, the highest daily intake is 8 g.

    To treat alcohol poisoning appoint 4 tablets (1.0 g) 4 times a day at intervals of 1-2.5 h, the next 2-3 days - 2 tablets (0.5 g) 3 times a day. When alcohol poisoning is severe, after a course of intravenous administration with Glutargin preparations, Glutargin tablets are given - 3 tablets (0.75 g) 2 times a day for 20 days. For the prevention of alcohol intoxication - 2 g for 60-120 minutes before drinking alcohol.

    Side effects:

    Seldom can there be a feeling of mild discomfort in the epigastric region and nausea immediately after using the drug, which pass on their own.

    Overdose:

    Symptoms: pain in the thorax, atrioventricular block.

    Treatment: intravenous corticosteroids.

    Interaction:

    Care should be taken when Glutargin is combined with the following medicines:

    Aminophylline increases the concentration of endogenous insulin in the blood under the influence of Glutargin. Glutargin can enhance the effect of antiplatelet agents (dipyridamole , etc.), prevents and weakens neurotoxic phenomena that can occur with isoniazid therapy, weakens the effect of vinblastine.

    Special instructions:

    When appointing patients with impaired functions of the endocrine glands, it should be taken into account that the drug may slightly increase the secretion of insulin and growth hormone, which does not require correction of medical therapy in patients with diabetes mellitus and / or acromegaly.

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

    The drug does not affect the ability to drive vehicles.

    Form release / dosage:

    Tablets 250 mg.

    Packaging:For 10 or 30 tablets in a planar cell package. For 3 or 6 out-of-round cell packs of 10 tablets or 1 or 2 contour packs of 30 tablets together with instructions for medical use in a pack of cardboard.
    Storage conditions:

    Store in a dry, dark place at a temperature of no higher than 25 ° C.

    Keep out of the reach of children.

    Shelf life:

    2 years.

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

    Terms of leave from pharmacies:On prescription
    Registration number:LSR-000881/09
    Date of registration:09.02.2009
    Expiration Date:Unlimited
    The owner of the registration certificate:HEALTH PHARMACEUTICAL COMPANY, LTD. HEALTH PHARMACEUTICAL COMPANY, LTD. Ukraine
    Manufacturer: & nbsp
    Information update date: & nbsp01.05.2017
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