Active substanceEthyl methylhydroxypyridine succinateEthyl methylhydroxypyridine succinate
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  • Dosage form: & nbsppills
    Composition:

    1 tablet contains:

    active substance: ethylmethylhydroxypyridine succinate 125 mg;

    auxiliary substances (core): cellulose microcrystalline 40 mg, lactose monohydrate (sugar milk) 88 mg, potato starch 20 mg, povidone (polyvinylpyrrolidone) 14 mg, croscarmellose sodium 10 mg, magnesium stearate 3 mg;

    auxiliary substances (shell): hypromellose 6 mg, macrogol 1.25 mg, titanium dioxide 2.75 mg.

    Description:

    The tablets covered with a cover of white or almost white color, cylindrical, with biconcave surface, without risks.

    On the cross-section, two layers are visible: a film shell and a white or white core with a creamy shade of color.

    Pharmacotherapeutic group:Antioxidant
    ATX: & nbsp

    N.07.X.X   Other drugs for the treatment of diseases of the nervous system

    Pharmacodynamics:

    Medomex® is an inhibitor of free-radical processes, a membrane protector. It also has antihypoxic, stress-protective, nootropic, antiepileptic and anxiolytic effects. It belongs to the class of 3-hydroxypyridines.

    The mechanism of action of Medomex® is due to its antioxidant and membrane-protective action. The drug inhibits lipid peroxidation, increases the activity of superoxide oxidase, increases the ratio of lipid-protein, improves the structure and function of the membrane, cells.Medomexi® modulates the activity of membrane-bound enzymes (calcium-independent phosphodiesterase, adenylate cyclase, acetylcholinesterase), receptor complexes (benzodiazepine, GABA, acetylcholine), which enhances their ability to bind to ligands, helps preserve the structural and functional organization of biomembranes, neurotransmitter transport and improve synaptic transmission. Medomex® increases the content of dopamine in the brain. Causes increased activation of compensatory aerobic glycolysis and decreased inhibition of oxidative processes in the Krebs cycle conditions of hypoxia with increasing content of ATP and creatine phosphate, activation energosinteziruyuschih mitochondrial functions.

    Increases the resistance of the body to the effect of various damaging factors in pathological conditions (hypoxia and ischemia, cerebral circulation disorders, ethanol intoxication and antipsychotic drugs).

    In conditions of a critical decline in coronary blood flow, structurally-functional organization of membranes of cardiomyocytes, stimulates the activity of membrane enzymes, phosphodiesterase, adenylate cyclase, acetylcholinesterase. Supports the activation of acute ischemia activation of aerobic glycolysis and promotes in conditions of hypoxia, the restoration of mitochondrial oxidation-reduction processes, increases the synthesis of ATP and creatine phosphate. Ensures the integrity of the morphological structures and physiological functions of the ischemic myocardium. Improves the clinical course of myocardial infarction, improves the effectiveness of the therapy, reduces the incidence of arrhythmias and violations of intracardiac conduction. Normalizes metabolic processes in the ischemic myocardium, increases the antianginal activity of nitrates, improves the rheological properties of blood, reduces the effects of reperfusion syndrome in acute coronary insufficiency. Reduces enzymatic toxemia and endogenous intoxication in acute pancreatitis. It improves the metabolism and blood supply of the brain, microcirculation and rheological properties of blood, reduces platelet aggregation.Stabilizes the membranes of blood cells (erythrocytes and platelets), reducing the likelihood of hemolysis. Possesses lipid-lowering reduces the content of total cholesterol and low-density lipoproteins.

    Pharmacokinetics:

    Suction and distribution

    Quickly absorbed when taken orally (a half-absorption period is about 1 hour). Time to reach the maximum concentration (TCmOh) for oral administration - 0.5 hours. The maximum concentration (CmOh) when administered orally - 50-100 ng / ml.

    Quickly distributed in organs and tissues. The average retention time of ethylmethylhydroxypyridine succinate in the body with oral administration is about 5 hours.

    Metabolism

    Metabolized in the liver by glucuronation. Five metabolites were identified: 3-hydroxypyridine phosphate - is formed in the liver and, with the participation of alkaline phosphatase, decomposes into phosphoric acid and 3-hydroxypyridine; The second metabolite, pharmacologically active, is formed in large quantities and is found in the urine for 1-2 days. after administration; 3rd - is excreted in large quantities with urine; 4-th and 5-th - glucuronconjugates.

    Excretion

    The half-life at ingestion (T1/2) - 4-5 hours.It is quickly excreted in the urine mainly in the form of metabolites (50% in 12 hours) and in an insignificant amount - unchanged (0.3% per 12 hours). The most intense withdrawal within the first 4 hours after taking the drug. The indices of urinary excretion of unchanged drug and metabolites have individual variability.

    Indications:

    - Anxious states with neurotic and neurosis-like conditions;

    - vegetative-vascular dystonia;

    - encephalopathy;

    - light cognitive disorders of atherosclerotic origin;

    - acute disorders of cerebral circulation (as part of combination therapy);

    - An abstinence syndrome with alcoholism with a predominance of neurosis-like and vegetative-vascular disorders;

    - in the complex therapy of acute intoxication with antipsychotic drugs.

    Contraindications:

    - Hypersensitivity to the drug;

    - acute liver failure;

    - acute renal insufficiency;

    - childhood;

    - lactose intolerance, lactase deficiency and glucose-galactose malabsorption syndrome.

    Pregnancy and lactation:

    Medomex® is contraindicated in pregnancy and lactation (breastfeeding) due to insufficient data oneffectiveness of the drug in these periods.

    Dosing and Administration:

    The drug is administered orally 125-250 mg 3 times a day. The initial dose is 125-250 mg (1-2 tab) 1-2 times a day with a gradual increase to obtain a therapeutic effect. The maximum daily dose is 750 mg (6 tab). Duration of treatment is 2-6 weeks.

    In complex therapy in the treatment of withdrawal symptoms, inside 250-500 mg 3 times a day. Treatment is stopped gradually, reducing the dose within 2-3 days.

    Side effects:

    From the digestive system: nausea, dryness of the oral mucosa, diarrhea.

    Other: allergic reactions, drowsiness.

    Overdose:

    When an overdose is possible, sleep disturbances (insomnia, in some cases, drowsiness).

    Treatment: as a rule, is not required - the symptoms disappear on their own within 24 hours. In severe cases with insomnia - nitrazepam 10 mg, oxazepam 10 mg or diazepam 5 mg. With excessive increase in blood pressure (BP) - antihypertensive drugs under the control of blood pressure.

    Interaction:

    When combined, Medomex® enhances the action of benzodiazepine anxiolytics, antiepileptic (carbamazepine), antiparkinsonian (levodopa) of medicines, nitrates.

    Medomex® reduces the toxic effect of ethanol.

    Special instructions:

    Pediatric Use

    Medomex® is not prescribed to children due to insufficient knowledge of the drug's effect.

    Form release / dosage:

    Tablets, film-coated, 125 mg.

    Packaging:

    For 10, 30 tablets are placed in a contour mesh box made of a polyvinylchloride film and aluminum foil printed lacquered.

    10, 20, 30, 40, 50 or 100 tablets are placed in a polymer container for medicinal products.

    One container or 1, 2, 3, 4, 5 or 10 contour mesh packages together with the instruction for use are placed in a pack of cardboard.

    Storage conditions:

    In a dry, protected from light 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.

    Terms of leave from pharmacies:On prescription
    Registration number:LSR-006252/10
    Date of registration:01.07.2010 / 17.05.2017
    Expiration Date:Unlimited
    Manufacturer: & nbsp
    Information update date: & nbsp26.04.2018
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