Similar drugsTo uncover
Dosage form: & nbspsolution for intravenous administration
Composition:

1 liter of solution contains:

active components: succinic acid 100 g, nicotinamide 10 g, riboxin (inosine) 20 g, riboflavin mononucleotide (riboflavin) 2 g;

Excipients: N-methylglucamine (meglumine) 165 g, sodium hydroxide 34 g, water for injection.

Description:Transparent liquid of yellow color.
Pharmacotherapeutic group:metabolic
ATX: & nbsp
  • Other drugs for the treatment of diseases of the nervous system
  • Pharmacodynamics:

    Pharmacological effects are due to the complex effect of the components of the preparation CITOFLAVIN® components.

    CITOFLAVIN® promotes the activation of aerobic cell metabolism, which leads to an increase in the level of glucose utilization, promotes an increased level of beta-oxidation of fatty acids and the resynthesis of γ-aminobutyric acid in neurons.

    CYTOFLAVIN® increases the resistance of membranes of nerve and glial cells to the effects of ischemia, which is manifested in a decrease in the concentration of neurospecific proteins, characterizing the level of destruction of the basic structural components of the nervous tissue.

    Cytoflavin improves coronary and cerebral blood flow, activates metabolic processes in the central nervous system,restores the disturbed consciousness, promotes regress of neurologic symptoms and improvement of cognitive functions of the brain. It has a quick awakening effect in post-amniotic oppression of consciousness.

    With the use of CITOFLAVIN® in the first 12 hours from the onset of stroke, a favorable course of ischemic and necrotic processes in the affected area (reduction of the focus), restoration of the neurological status and a decrease in the level of disability in the long-term period are observed.

    Pharmacokinetics:

    With intravenous infusion at a rate of about 2 ml / min (in terms of undiluted CITOFLAVIN®) succinic acid and inosine are utilized almost instantly and are not detected in the blood plasma.

    succinic acid - peak concentration is determined within the first minute after administration, with further rapid decrease without cumulation and return of its level to background values ​​due to metabolism to water and carbon dioxide.

    Inosine metabolized in the liver with the formation of inosine monophosphate, followed by its oxidation to uric acid. In a small amount is excreted by the kidneys.

    Nicotinamide quickly distributed in all tissues, penetrates through the placenta and into breast milk, is metabolized in the liver with the formation of N-methyl nicotinamide, is excreted by the kidneys. The half-life of plasma is about 1.3 hours, the equilibrium volume of distribution is about 60 liters, the total clearance is about 0.6 liters per minute.

    Riboflavin distributed unevenly: the largest number in the myocardium, liver, kidneys. The half-life of plasma is about 2 hours, the equilibrium volume of distribution is about 40 liters, the total clearance is about 0.3 liters per minute. Penetrates through the placenta and into breast milk. Connection with plasma proteins - 60%. It is excreted by the kidneys, partly in the form of a metabolite; in high doses - mostly unchanged.

    Indications:

    In adults in complex therapy:

    - Acute disorders of cerebral circulation;

    - consequences of cerebrovascular diseases (consequences of cerebral infarction, cerebral atherosclerosis);

    - Toxic and hypoxic encephalopathy in acute and chronic poisoning, endotoxicosis, post-amyric oppression of consciousness, and also for the prevention and treatment of hypoxic encephalopathy in cardiosurgical operations using artificial circulation.

    In children (including prematurity with a gestation period of 28-36 weeks) in complex therapy in the neonatal period:

    - with cerebral ischemia.

    Contraindications:

    Individual intolerance of the components of the drug, pregnancy, lactation.

    It is not assigned to patients (except for the neonatal period) in critical condition, before stabilization of central hemodynamics and / or when the partial pressure of oxygen in the arterial blood decreases less than 60 mm. gt; Art.

    Carefully:

    With nephrolithiasis, gout, hyperuricemia.

    If you have any of these diseases, consult a doctor before taking Cytoflavin®.

    Dosing and Administration:

    In adults: Cytoflavin® is used only intravenously drip in dilution for 100-200 ml of 5-10% dextrose solution or 0.9% solution of sodium chloride.

    With acute impairment of cerebral circulation the drug is administered as soon as possible from the onset of the development of the disease in a volume of 10 ml for administration at an interval of 8-12 hours for 10 days. With a severe form of the disease, a single dose is increased to 20 ml.

    With the consequences of cerebrovascular diseases (the consequences of cerebral infarction, cerebral atherosclerosis) the drug is administered in a volume of 10 ml per administration once a day for 10 days.

    With toxic and hypoxic encephalopathies the drug is administered in a volume of 10 ml for administration twice a day after 8-12 hours for 5 days. In a comatose state in a volume of 20 ml per injection in a dilution of 200 ml of a solution of dextrose.

    With post-canker depression once in the same doses.

    In the treatment of hypoxic encephalopathy cardiosurgery operations using of artificial circulation, 20 ml of the drug are diluted in 200 ml of dilution 5% solution of dextrose 3 days prior to surgery, on the day of surgery, 3 days after the operation.

    Children (including prematurity) in the neonatal period with cerebral ischemia, the daily dose of CITOFLAVIN® is 2 ml / kg / day. The calculated daily dose of the drug is administered intravenously drip (slowly) after dilution in a 5% or 10% solution of dextrose (in a ratio of not less than 1: 5). The time of the first administration is the first 12 hours after birth; The optimal time to start therapy is the first 2 hours of life. It is recommended to inject the prepared solution with an infusion pump at a rate of 1 to 4 ml / h,ensuring a uniform supply of the drug in the bloodstream during the day, depending on the estimated daily volume of solutions for basic therapy, the patient's hemodynamic state, and the acid-base state. The average course of treatment is 5 days.

    Side effects:

    With the rapid drop introduction, undesirable reactions that do not require drug cancellation are possible: hyperemia of the skin of varying severity, a feeling of heat, bitterness and dryness in the mouth, a sore throat.

    Rare undesirable reactions include: short-term pain and discomfort in the epigastric region and chest area, difficulty breathing, nausea, headache, dizziness, tingling in the nose, dysosmia, blanching of the skin of varying severity.

    It is also possible allergic reactions in the form of skin itching, transient hypoglycemia, hyperuricemia, exacerbation of gout.

    In children (including premature babies), in the newborn period, the development of violations from the acid-base balance (alkalosis) is possible.

    Overdose:

    Cases of overdose were not observed.

    In case of an overdose, carry out symptomatic therapy.

    Interaction:

    Succinic acid, inosine, nicotinamide compatible with other medicines.

    Riboflavin:

    Reduces the activity of doxycycline, tetracycline, oxytetracycline, erythromycin and lincomycin.

    Incompatible with streptomycin.

    Chlorpromazine, imipramine, amitriptyline due to blockade of flavinokinase, disrupt the incorporation of riboflavin into flavinadenine mononucleotide and flavinadenine dinucleotide and increase its excretion in the urine.

    Thyroid hormones accelerate the metabolism of riboflavin.

    Reduces and prevents side effects of chloramphenicol (violation of hemopoiesis, optic neuritis).

    Compatible with drugs that stimulate hemopoiesis, antihypoxants, anabolic steroids.

    Special instructions:

    Introduction of the drug to the newborn (premature) children under the control of the acid-base state of capillary blood at least 2 times a day (both before and during therapy). If possible, the serum lactate and glucose should be monitored.

    The rate of administration of a solution containing CITOFLAVIN® should reduce or temporarily discontinue infusion in newborns (premature babies):

    - located on artificial ventilation of the lungs, with the appearance of signs of mixed (respiratory-metabolic) alkalosis, threatened by the development of disorders of the brain blood circulation;

    - with saved spontaneous breathing and respiratory support by CPAP or in patients receiving an air-oxygen mixture through a mask when laboratory signs of metabolic alkalosis appear, threatened by the appearance or frequency of apneas.

    In patients with diabetes mellitus, the treatment should be performed under the control of blood glucose.

    Intensive staining of urine in yellow color is possible.

    CITOFLAVIN® does not affect the ability to drive vehicles.

    Form release / dosage:Solution for intravenous administration.
    Packaging:

    In ampoules of 5 or 10 ml of colorless or brown glass.

    For 5 ampoules in a single-sided contour pack, a contoured, open or thermobonded package with a cover film or aluminum foil, 1 or 2 contour packs, along with instructions for use in a cardboard bundle.

    Storage conditions:

    In the dark place at a temperature of 0-25 ° C.

    Keep out of the reach of children
    Shelf life:

    2 years.

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

    Terms of leave from pharmacies:On prescription
    Registration number:P N003135 / 01
    Date of registration:21.11.2008
    The owner of the registration certificate:POLISAN NTPF, LLC POLISAN NTPF, LLC Russia
    Manufacturer: & nbsp
    Information update date: & nbsp23.10.2015
    Illustrated instructions
      Instructions
      Up