Active substanceArginine glutamateArginine glutamate
Similar drugsTo uncover
  • Glutargin
    pills inwards 
  • Glutargin
    pills inwards 
  • Glutargin
    solution d / infusion 
  • Glutargin
    concentrate d / infusion 
  • Glutargin alkocline
    pills inwards 
  • Glutargin alkocline
    powder inwards 
  • Dosage form: & nbspsolution for infusions
    Composition:

    In 1 ml:

    Active Ingredient: arginine glutamate (in terms of dry matter) 40 mg.

    Excipients: water for injections.

    Description:Transparent colorless liquid.
    Pharmacotherapeutic group:Hepatoprotective agent
    ATX: & nbsp

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

    Pharmacodynamics:

    The drug Glutargin is a compound of arginine and glutamic acid, which play an important role in providing biochemical processes of neutralizing and removing from the body a highly toxic metabolite of nitrogen metabolism - ammonia. Hypoammonemic effects of the drug are realized by activating the elimination of ammonia in the ornithine cycle of urea synthesis,binding of ammonia to non-toxic glutamine, as well as enhancing 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.

    The drug Glutargin has a hepatoprotective effect, possessing antioxidant, antihypoxic and membrane-stabilizing activity, positively influences the energy supply in hepatocytes.

    When alcohol intoxication drug 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.

    In the pathology of pregnancy due to endothelium-protective action, the drug Glutargin reduces the impaired permeability and thrombore resistance of blood vessels, prevents hypercoagulation, reduces the sensitivity of the vessels to vasoconstrictors (endothelium, angiotensin, thromboxane),causing generalized vasospasm. Arginine after preliminary biotransformation into nitric oxide has a vasodilating effect, positively affects the blood coagulation and the functional properties of the circulating elements of the blood. As a result of vasodilator and antihypoxic effects of the drug Glutargin, fetoplacental hemodynamics improves, intrauterine hypoxia of the fetus decreases. In the pathology of pregnancy, the drug also exhibits antitoxic and hepatoprotective activity, acts as a nonspecific metabolic regulator of metabolic processes. Due to these properties of the drug Glutargin during pregnancy, the level of immune complexes circulating in the blood decreases, the severity of the syndrome of "metabolic" intoxication and immunotoxicosis decreases, the compensatory-adaptive reactions of the organism increase. The drug Glutargin has no embryotoxic, gonadotoxic, mutagenic and teratogenic effects, does not cause allergic and immunotoxic reactions.

    Pharmacokinetics:Not studied.
    Indications:

    In the complex therapy of acute and chronic hepatitis of various etiologies, poisonings with hepatotropic poisons (pale toadstool, chemical and medicinal substances), liver cirrhosis, leptospirosis; hepatic encephalopathy, precoma and coma accompanied by hyperammonemia. The state of acute alcohol poisoning of medium and severe degree, including alcoholic encephalopathy and coma. Post-toxicity disorders caused by alcohol intake. Complications in the III trimester of pregnancy: late gestosis, including severe forms - pre-eclampsia and eclampsia; fetoplacental insufficiency.

    Contraindications:

    - hypersensitivity to the components of the drug

    - children under 18 years of age

    -1 and II trimesters of pregnancy

    - the period of breastfeeding

    Carefully:

    feverish condition

    - increased excitability

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

    Pregnancy and lactation:

    The safety of the clinical use of the drug in the first and second trimesters of pregnancy and during breastfeeding has not been investigated.

    Dosing and Administration:

    The drug is administered to adults intravenously.Enter drip 2 times a day for 50 ml (2 g) for 150-250 ml of 0.9% solution of sodium chloride at a rate of 60-70 drops per minute. In severe cases, the daily dose of the drug is increased to 150-200 ml (6-8 g), in this case it is advisable to use the drug form of the drug Glutargin, a concentrate for the preparation of a solution for infusions.

    The course of treatment is 5-10 days. The maximum daily dose is 200 ml (8 g).

    To treat alcohol poisoning, appoint 20 ml (0.8 g) and drop by 150-250 ml of 0.9% solution of sodium chloride at a rate of 60-70 drops per minute 2 times a day for 2-3 days, then a dose reduce to 10 ml (0.4 g) 2 times a day for 10 days. In severe cases (alcoholic coma), the daily dose rises to 50 ml (2 g) 2 times a day.

    After the course of treatment with Glutargin, a solution of 40 mg / ml, if necessary, go to the Glutargin tablet.

    In the pathology of pregnancy in the third trimester, inject 50 ml (2 grams) per day to 150-250 ml of a 0.9% solution of sodium chloride at a rate of 60-70 drops per minute. The course of treatment is 5-7 days. The maximum daily dose is 100 ml (4 g).

    Side effects:Rarely, severe weakness, shortness of breath, chest pain, chills, heart rhythm disturbances (atrial fibrillation), arterial hypotension, urticaria, and Quincke's edema are rare.
    Overdose:

    Symptoms: pain in the thorax, atrioventricular block.

    Treatment: intravenous administration of 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:

    Solution for infusions 40 mg / ml.

    Packaging:5 ml in ampoules. For 10 ampoules together with instructions for medical use and a disc with a ceramic or knife ampoule ceramic in a pack with cardboard partitions.5 ampoules per blister of a polyvinylchloride film or a polyvinylchloride film and aluminum foil. For 1 or 2 blisters together with instructions for medical use and a disc with a ceramic or knife ampoule ceramic in a pack of cardboard.

    It is allowed when packing the drug in ampoules with a ring of fracture or a point and a notch disc cutting ceramic does not invest.

    Storage conditions:

    Store in a dark place at a temperature of 15-25 ° C.

    Keep out of the reach of children.

    Shelf life:

    2 years.

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

    Terms of leave from pharmacies:On prescription
    Registration number:LSR-000879/09
    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
    Illustrated instructions
      Instructions
      Up