Clinical and pharmacological group: & nbsp

Opioids, their analogs and antagonists

Included in the formulation
  • Celinkro
    pills inwards 
    H. Lundbeck A / S     Denmark
  • АТХ:

    N.07.B.B.05   Nalmefen

    Pharmacodynamics:

    Selectively binds to opioid μ-, δ- and κ-receptors. Modulates cortico-mesolimbic functions, reducing the desire drinking alcohol.

    Pharmacokinetics:

    After ingestion, up to 41% is absorbed in the gastrointestinal tract. The maximum concentration in the blood plasma is reached after 1.5 hours. The connection with plasma proteins is 30%.

    Metabolism in the liver.

    The half-life is 12.5 hours. Elimination by the kidneys.

    Indications:

    It is used for the treatment of alcohol dependence.

    XXI.Z70-Z76.Z72.1   Alcohol consumption

    Contraindications:

    Pregnancy and lactation, opioid dependence, abstinence syndrome after opioid withdrawal, severe renal and hepatic insufficiency, alcohol delirium, age under 18, individual intolerance.

    Carefully:

    Epilepsy and convulsions in the anamnesis, moderate and mild renal and hepatic insufficiency, hypersensitivity.

    Pregnancy and lactation:

    Recommendations for FDA - Category B. Contraindicated in pregnancy and lactation.

    Dosing and Administration:

    Inside of the morning, 18 mg.

    The highest daily dose: 18 mg.

    The highest single dose: 18 mg.

    Side effects:

    Central and peripheral nervous system: headache, dizziness, hallucinations, drowsiness, tremor, paresthesia.

    The cardiovascular system: tachycardia.

    Digestive system: dry mouth, nausea, vomiting, anorexia, weight loss.

    Musculoskeletal system: muscle spasms.

    Dermatological reactions: Hyperhidrosis.

    Reproductive system: decreased or absent libido.

    Allergic reactions.

    Overdose:

    Increased side effects.

    Treatment is symptomatic.

    Interaction:

    With simultaneous use reduces the effect of opioid agonists: antitussive, anti-cold, antidiarrhoeal agents, and opioid analgesics.

    Simultaneous use with alcohol does not prevent the development of alcohol intoxication.

    Special instructions:

    When taking the drug is not recommended driving and working with moving machinery.

    Instructions
    Up