Tribestan - instructions for use, doses, side effects, contraindications

Active substanceTribulus herb extractsTribulus herb extracts

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Tribestan®

pills inwards

Sopharma, AO Bulgaria

EFFEX® Tribulus

pills inwards

EVALAR, CJSC Russia

Dosage form: & nbsptablets, film-coated.

Composition:

B 1 tablet, film-coated, contains:

Active substance: cropland herbs extract dry 250.0 mg (ratio of raw material and extract (35 - 45): 1 + extractant - 70% ethanol) (the content of the sum of furostanol saponins in terms of protodioscin is not less than 112.5 mg).

Excipients: cellulose microcrystalline (Avicel pH 101) - 287.0 mg, silicon dioxide colloid - 6.0 mg, povidone (colidon K25) - 30.0 mg, crospovidone (polyplazhnon XL) - 40.0 mg, magnesium stearate - 5, 0 mg, talc - 12.0 mg.

Shell:
Opadry (Opadry AMB brown) 25.0 mg: polyvinyl alcohol (partially hydrolyzed) 11.3800 mg, talc 5.0000 mg, titanium dioxide 4.0425 mg, iron oxide red 3.11250 mg, iron oxide black - 0.8300 mg, iron oxide yellow 0.0025 mg, soy lecithin 0.5000 mg, gum
xanthan - 0.1200 mg.

Description:Tablets are round, biconvex, covered with a film membrane, brown.

Pharmacotherapeutic group:Means of plant origin

ATX: & nbsp

C.10.A.X Other lipid-lowering drugs

Pharmacodynamics:Tribestane is a plant-derived product obtained from the above-ground part of the plant by the Tribulus terrestris L., containing mostly furostanol-type steroid saponins.It has a general tonic effect and stimulates some functions of the reproductive system. In men, restores and improves sexual libido, lengthening the time of erection. Stimulates spermatogenesis, increasing the number of spermatozoa and their mobility.
The mechanism of action of the extract of anchovy creeping is still unknown.
It is assumed that the predominant substance protodioscin is metabolized in the body to dehydroepiandrosterone (DHEA), which has a beneficial effect on the immunity, integrity of the cell membrane, erectile function and cholesterol metabolism. It is known that cholesterol is the starting material for the synthesis of all steroids, including DNEA, testosterone and estradiol, which explains the hypolipidemic effect of Tribestan. Other active furostanol saponins, which are part of the extract of anchovies of the creeping, probably modulate the effect of protodioscin.
Tribestane has a hypolipidemic effect, and in patients with lipoproteinemia lowers total cholesterol and low density lipoprotein (LDL), does not affect the values of serum triglycerides and high-density lipoproteins.

Pharmacokinetics:Pharmacological studies in humans have not been conducted. Tribulus herb extracts dry contains a complex of biologically active substances, in connection with which the conduct of pharmacokinetic studies is not possible.

Indications:Tribestan use B complex therapy for:
- erectile dysfunction, including accompanied by a decrease in libido;
- Infertility in men, due to idiopathic oligoasthenoteratozoospermia (reduction of the quantity and quality of spermatozoa in the isolated semen), surgical intervention for varicocele (varicose veins of the testicle of the testicle), immunological infertility;
- dyslipidemia for lowering the level of total cholesterol.

Contraindications:Hypersensitivity to all components of the drug.
Hyperplasia of the prostate.
Severe cardiovascular diseases (stroke, myocardial infarction during the past year or severe, unstable and uncontrolled cardiovascular diseases (unstable angina, chronic heart failure with symptoms at rest, sinus node weakness syndrome, or such conduction abnormalities as the sinoatrial block,atrioventricular block II or III degree, bradycardia <50 beats / min) and renal disease (severe renal failure (creatinine clearance <25 mL / min or creatinine> 180 umol / L).
Allergies to peanut protein or soy.
Pregnancy and the period of breastfeeding.
Age to 18 years.

Pregnancy and lactation:It is not recommended to use Tribestan during pregnancy and during breastfeeding because of the lack of clinical data confirming the safety of the drug during these periods.

Dosing and Administration:Inside, after eating.
With erectile dysfunction and infertility:
1-2 tablets 3 paz per day. Duration of treatment is not less than 90 days. The course of treatment can be repeated on the recommendation of a doctor.
With dyslipidemia to reduce the level of total cholesterol: 2 tablets 3 paz per day. Course - not less than 3 months.
Repeated courses - on the advice of a doctor.

Side effects:Allergic reactions are possible. Irritant effect on the gastric mucosa (nausea).
In case of side effects, including those not described in the instructions, you should consult your doctor.

Overdose:There are no reports of cases of overdose by Tristain.When the drug is used in doses exceeding the recommended dose, dyspeptic disorders (nausea, vomiting) may occur. Treatment is symptomatic.

Interaction:Tribestan can strengthen the action of diuretics and potentiate the antihypertensive effect of antihypertensive agents.

Special instructions:Before you start taking the drug, you should consult your doctor.
If there is no effect on the background of taking the drug within 1 month, you should consult a doctor.
To avoid the possible irritant effect of the drug Tribestan on the gastric mucosa, it is recommended to take the drug after eating.
The shell of the drug contains soy lecithin. Patients who are allergic to peanut protein or soybeans should not use this medication because of the increased risk of severe allergic reactions (including anaphylactic shock).

Effect on the ability to drive transp. cf. and fur:Tribestan does not affect the ability to carry out potentially dangerous activities requiring an increased concentration of attention and speed of psychomotor reactions (vehicle management, work with moving mechanisms).

Form release / dosage:Tablets, film-coated, 250 mg.

Packaging:For 10 tablets, coated with a film sheath, in a blister of PVC film and aluminum foil.
For 6 blisters with instructions for use in a pack of cardboard. For 18 blisters with instructions for use in a pack of cardboard, with a partition of cardboard, dividing it into two parts (9 blisters each).

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 the expiry date printed on the package!

Terms of leave from pharmacies:Without recipe

Registration number:P N014043 / 01

Date of registration:18.09.2008

The owner of the registration certificate:Sopharma, AOSopharma, AO Bulgaria

Manufacturer: & nbsp

SOPHARMA, AD Bulgaria

Representation: & nbspSOFARMA SA SOFARMA SA Bulgaria

Information update date: & nbsp01.09.2015

Illustrated instructions

Instructions

Tribestan® (Tribestan®)