Active substanceMeldoneyMeldoney
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  • Dosage form: & nbspcapsules
    Composition:

    Composition per 1 capsule:

    active substance: meldonia dihydrate 250.00 mg;

    Excipients: Potato starch 18.125 mg colloidal silicon dioxide 5.50 mg, 1.375 mg of calcium stearate,

    composition of the capsule: titanium dioxide (E171) 2.0%, gelatin of up to 100%.

    Description:Hard gelatin capsules №1 white / white powder containing white or almost white color.
    Pharmacotherapeutic group:Metabolic means
    ATX: & nbsp

    C.01.E.B.22   Meldoney

    C.01.E.B   Other drugs for the treatment of heart disease

    Pharmacodynamics:

    Meldonium - an analog of gamma-butyrobetaine, inhibits gamma butirobetaingidroksinazu, reduces the synthesis of carnitine and transportation of long chain fatty acids across cell membranes and prevents the accumulation of cells in the activated forms of unoxidized fatty acids - acylcarnitine derivatives and atsilkoenzima A. ischemia restores equilibrium oxygen delivery processes and consumption in cells, prevents disruption of transport of adenosine triphosphate; simultaneously, it activates glycolysis, which proceeds without additional consumption of oxygen.As a result of a decrease in the concentration of carnitine, the synthesis of gamma-butyrobetaine is enhanced, which has vasodilating properties. The mechanism of action determines the variety of pharmacological, meldonia effects: increasing efficiency, reducing symptoms of mental and physical overstrain, activation of tissue and humoral immunity, cardioprotective action. In the case of acute ischemic damage, the myocardium slows the formation of the necrotic zone, shortens the rehabilitation period. With heart failure increases contractility, myocardium, increases tolerance to physical activity, reduces the frequency of angina attacks. In acute and chronic ischemic disorders of cerebral circulation improves blood circulation in the ischemic focus, promotes redistribution of blood in favor of the ischemic site. Effective in the case of vascular and dystrophic pathology of the fundus. Characteristic is also a tonic effect on the central nervous system, elimination of functional disorders of somatic and autonomic nervous systems in patients with chronic alcoholism during the period of abstinence.

    Pharmacokinetics:

    After oral intake quickly absorbed, bioavailability 78%. The maximum concentration in the blood plasma is achieved 1-2 hours after ingestion. Metabolized in the body with the formation of two major metabolites, which are excreted by the kidneys. The half-life at ingestion depends on the dose and is 3-6 hours.

    Indications:

    In neurology in complex therapy: ischemic stroke, hemorrhagic stroke in the recovery period, transient disorders of cerebral circulation, chronically insufficiency of cerebral circulation.

    In cardiology in complex therapy: ischemic heart disease (angina pectoris, myocardial infarction), chronic heart failure, dyshormonal cardiomyopathy.

    Reduced performance; physical overvoltage, incl. athletes; Postoperative period to accelerate rehabilitation.

    Abstinence alcohol syndrome (in combination with specific therapy).

    Contraindications:

    Hypersensitivity.

    Increase in intracranial pressure (with violation of venous outflow and intracranial tumors).

    Pregnancy and lactation.

    Children under 18 years.

    Carefully:

    With caution in diseases of the liver and / or kidney.

    Dosing and Administration:

    Inside.

    Violation of cerebral circulation: in the acute phase of cerebrovascular pathology, the injection form of the drug is used for 10 days, after which it is prescribed by mouth 500 mg per day. The course of treatment is 4-6 weeks.

    Chronic disorders of cerebral circulation: 500 mg once a day, preferably in the morning. The course of treatment is 4-6 weeks. Repeated courses - 2-3 times a year.

    In cardiology in complex therapy: 500 mg of 1 g per day. The course of treatment is 4-6 weeks.

    Cardialgia on the background of dyshormonal myocardial dystrophy: 250 mg twice a day (morning and evening). The course of treatment is 12 days.

    Mental and physical overload (including athletes): adults 250 mg 4 times a day. The course of treatment is 10-14 days. If necessary, the treatment is repeated after 2-3 weeks.

    500 mg 1 g 2 times a day before training; preferably in the morning. The duration of the course in the preparatory period is 14-21 days, during the competition - 10-14 days.

    An abstinent alcoholic syndrome: 500 mg 4 times a day. The course of treatment is 7-10 days.
    Side effects:

    Rarely - allergic reactions (skin itching, rashes, redness and swelling of the face), indigestion, tachycardia, agitation, lowering of blood pressure.

    Overdose:

    Cases of overdose are not established.

    Interaction:

    Do not apply simultaneously with other dosage forms containing meldoon (risk of side effects).

    Strengthens the coronarodilating and some antihypertensive agents, cardiac glycosides.

    In view of the possible development of moderate tachycardia and arterial hypotension, caution should be exercised when combined with nitroglycerin, nifedipine, alpha-adrenoblockers, antihypertensive agents and peripheral vasodilators.

    You can combine with antianginal drugs, anticoagulants, antiaggregants, antiarrhythmics, diuretics, bronchodilators.

    Special instructions:Idrinol® is not a first-line preparation in acute coronary syndrome, therefore its use in the treatment of acute myocardial infarction and unstable angina in cardiac units is not an urgent need.
    Effect on the ability to drive transp. cf. and fur:

    There are no data on the adverse effect of the drug on the ability to drive vehicles.

    Form release / dosage:

    Capsules 250 mg.

    Packaging:

    10 capsules per contour cell package.By 2; 4 contour mesh packages together with instructions for use are placed in a pack of cardboard.

    Storage conditions:

    In a dry 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 expiry date.
    Terms of leave from pharmacies:On prescription
    Registration number:LSR-006449/09
    Date of registration:13.08.2009 / 21.02.2017
    Expiration Date:Unlimited
    The owner of the registration certificate:Olainfarm, AOOlainfarm, AO Latvia
    Manufacturer: & nbsp
    Representation: & nbspOLAINFARM JSC OLAINFARM JSC Latvia
    Information update date: & nbsp23.10.2017
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