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

    1 capsule contains:

    active substance: ethylmethylhydroxypyridine succinate in terms of 100% material 100 mg,

    auxiliary substances: potato starch 54.5 mg, povidone (low molecular weight polyvinylpyrrolidone 12600 ± 2700) 4.0 mg, lactose (milky sugar) 40.0 mg, magnesium stearate 0.5 mg, cellulose microcrystalline 1.0 mg; capsules hard gelatin №2 (gelatin 59.3189 mg, titanium dioxide E171 1.22 mg, dye sunset yellow E110 0.0036 mg, quinoline yellow color E104 0.4575 mg).

    Description:

    Hard gelatin capsules number 2 of yellow color. The contents of the capsules are granules containing granules and white or white powder with a yellowish hue.

    Pharmacotherapeutic group:antioxidant
    ATX: & nbsp

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

    Pharmacodynamics:

    Mexicor® reduces manifestations of oxidative stress, inhibiting free radical peroxide oxidation of lipids and increasing the activity of the antioxidant system of enzymes. Mexicor® improves cellular energy metabolism, activating the energy-synthesizing functions of mitochondria, enhancing compensatory activation of aerobic glycolysis and reducing the degree of inhibition of oxidative processes in the Krebs cycle. The energosynthesizing effect of the drug is associated with an increase in the delivery and consumption of succinate cells, the realization of the phenomenon of rapid oxidation of succinic acid with succinate dehydrogenase,as well as activation of the mitochondrial respiratory chain. When the Mexocor® preparation is dissociated in the cell to succinate and the 3-hydroxypyridine derivative (base), the base exhibits an antioxidant effect, stabilizing the cell membranes and restoring functional activity of cells. Reduces the viscosity of the cell membrane, increases its fluidity and has a modulating effect on membrane-bound enzymes (calcium independent phosphodiesterase, adenylate cyclase, acetylcholinesterase, ion channels and receptor complexes, which contributes to the preservation of the structural and functional integrity of biomembranes, improves neurotransmitter transport and synaptic transmission. brain, microcirculation and rheological properties of blood, reduces platelet aggregation.

    It improves the functional state of the ischemic myocardium, the contractile function of the heart, and also reduces the manifestations of systolic and diastolic dysfunction of the left ventricle. In conditions of coronary insufficiency increases the collateral blood supply of the ischemic myocardium and activates the energy-synthesis processes inzone of ischemia, which contributes to maintaining the integrity of cardiomyocytes and maintaining their functional activity. Effectively restores myocardial contractility in reversible cardiac dysfunction, which represents a significant reserve of increasing the contractility of the heart in patients with coronary heart disease complicated by heart failure.

    In patients with stable angina, stress increases tolerance to physical activity and antianginal activity of nitro drugs, improves the rheological properties of blood. Adding Mexocor® to standard therapy for coronary heart disease improves the clinical state of patients, increasing exercise tolerance and improving quality of life.

    Mexicore® Stabilitysupperuet membwounded, structureuri jarhistory wall, inhibitionruet platelet aggregation normalize microcirculation disturbances in the early stages of atherogenesis has hypolipidemic effect, reduces total cholesterol and low density lipoprotein (LDL).

    Mexicor® has a neuroprotective effect on the functional activity and metabolism of the ischemic brain,increases the stability of blood circulation in the brain under conditions of hypoperfusion, prevents a decrease in the blood flow of the brain in the reperfusion period after ischemia. The drug contributes to adaptation to the damaging effect of ischemia, inhibiting the depletion of carbohydrate reserves, blocking the postischemic decline in the utilization of glucose and oxygen by the brain and preventing the progressive accumulation of lactate. At the same time, the indices of autoregulatory reactions of cerebral vessels improve.

    Mexicor® has nootropic properties, it prevents and reduces learning and memory disruptions arising from acute and chronic vascular diseases of the brain, with mild and moderate cognitive impairments of various genesis, has an antioxidant effect, increases concentration and operability.

    Inclusion of the preparation Mexicor ® in the complex therapy of patients with acute impairment of cerebral circulation reduces the severity of clinical manifestations of stroke and improves the course of the rehabilitation period.

    Mexicor ® has a selective, not accompanied by sedation and miorelaxation, anxiolytic action, eliminates anxiety, fear, tension, anxiety,improves adaptation and emotional status.

    Pharmacokinetics:

    After oral administration, it is quickly and completely absorbed from the gastrointestinal tract. Quickly distributed in organs and tissues. The time to reach the maximum concentration (TmOh) in blood plasma is 0.46-0.50 hours. The average time of drug distribution in the body is 4.9-5.2 hours.

    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 on the 1-2 days after taking the drug; 3rd - is excreted in large quantities by the kidneys; 4-th and 5-th - glucuronconjugates.

    The half-life is 4.7-5 hours. On average for 12 hours by the kidneys 0.3% of the unchanged drug is withdrawn and 50% as glucuronoconjugate from the administered dose. The most intensively excreted within the first 4 hours after taking the drug. The indicators of excretion of the unchanged drug and Metabolites by the kidneys have a significant individual variability.

    Indications:

    - Ischemic heart disease (as part of complex therapy);

    - complex therapy of ischemic stroke;

    - encephalopathy;

    - mild to moderate cognitive impairment.

    Contraindications:

    Hypersensitivity to the drug, severe violations of liver and kidney function, age of 18 years (effectiveness and safety have not been established), pregnancy, breastfeeding.

    Dosing and Administration:

    Inside. Begin treatment with a dose of 100 mg (1 capsule) 3 times a day, gradually increasing the dose, depending on the clinical course of the disease and the tolerability of the therapy. The maximum daily dose should not exceed 800 mg, single 200 mg. The daily dose of the drug is preferably divided into several doses during the day. Course therapy with the drug is completed gradually, reducing the daily dose of the drug by 100 mg (1 capsule).

    The duration of the course of therapy in patients with coronary heart disease and circulatory disorders of the brain is not less than 1.5-2 months. Repeated courses (on the recommendation of a doctor), preferably in the spring-autumn periods.

    In the complex therapy of dyscirculatory encephalopathy,light and moderate cognitive disorders, the drug is prescribed without restriction of the course of treatment for duration, in a dose of 100 mg 3-4 times a day.

    Side effects:

    Usually the drug is well tolerated.

    In rare cases, there may be allergic reactions, dyspeptic disorders, nausea and dry mouth, diarrhea, which quickly disappear on their own or when the drug is withdrawn.

    With prolonged use, manifestation of flatulence, sleep disturbance (drowsiness or falling asleep) is possible.

    Overdose:

    Due to the low toxicity of the drug, an overdose is unlikely. In case of an accidental overdose, there may be symptoms of sleep disturbance - drowsiness, insomnia.

    Treatment symptomatic.

    Interaction:

    - Strengthens the action of antiepileptic drugs (carbamazepine), antiparkinsonian drugs (levodopa) and benzodiazepine anxiolytics;

    - increases antianginal activity of nitro drugs and antihypertensive ACE inhibitors and beta-blockers;

    - reduces the toxic effects of ethanol.

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

    During the treatment period, care must be taken when driving vehicles and engaging in other potentially hazardous activities that require increased concentration and speed of psychomotor reactions.

    Form release / dosage:

    Capsules, 100 mg.

    Packaging:

    10 capsules per contour cell packaging made of polyvinylchloride film and aluminum foil.

    By 2 contour packs (JSC "Moshimfarmpreparaty" them. NA Semashko ") or 2, 3 or 6 contour packages (CJSC "MiraxBioPharma") together with the instruction for use is placed 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:

    3 years.

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

    Terms of leave from pharmacies:On prescription
    Registration number:P N001245 / 01
    Date of registration:10.09.2008
    The owner of the registration certificate:EcoFarmInvest, LLC EcoFarmInvest, LLC Russia
    Manufacturer: & nbsp
    Representation: & nbspEcoFarmInvest Ltd. EcoFarmInvest Ltd. Russia
    Information update date: & nbsp11.10.2015
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