(этилендиаминтетрауксусная кислота), вода для инъекций.
Описание
Прозрачная бесцветная или слегка желтоватого цвета жидкость со слабым характерным запахом.
Фармакотерапевтическая группа
витамин
Фармакологические свойства
Фармакодинамика:
Витамин В1 (тиамин) относится к водорастворимым витаминам. В организме человека в результате процессов фосфорилирования превращается в кокарбоксилазу которая является коферментом многих ферментативных реакций. Играет важную роль в углеводном белковом и жировом обмене в процессах проведения нервного возбуждения в синапсах.
Фармакокинетика:
. В крови концентрация сравнительно низкая при этом в плазме циркулирует преимущественно свободный тиамин в эритроцитах и лейкоцитах - его фосфорные эфиры. Фосфорилирование происходит в печени. Наиболее активным фосфорным эфиром является тиаминдифосфат обладающий коэнзимной активностью. Накапливается в основном в печени сердце мозге почках селезенке. 1/2 общего количества содержится в поперечно-полосатых мышцах и миокарде и около 40% - во внутренних органах. Выводится через кишечник и почками.
Показания к применению
Гиповитаминоз и авитаминоз В1.
В комплексной терапии:
-невриты радикулит; невралгия; периферический парез и паралич;
-язвенная болезнь желудка и двенадцатиперстной кишки; понижение секреторной и моторной функции желудка анорексия атония кишечника; атонические запоры;
-миокардиодистрофия; нарушение коронарного кровообращения;
-сахарный диабет;
-дерматозы (экзема нейродермит псориаз красный плоский лишай) с нейротрофическими изменениями и нарушениями обмена веществ.
Противопоказания
Повышенная индивидуальная чувствительность.
С осторожностью
энцефолопатии Вернике женщинам в предклимактерическом и климактерическом периодах
Способ применения и дозы
Раствор тиамина вводят внутримышечно (глубоко в мышцу).
Начинать введение препарата рекомендуется с малых доз (не более 05 мл 5 % (50 мг/мл) раствора) и только при хорошей переносимости переходить на более высокие дозы.
Взрослым назначают по 25-50 мг тиамина хлорида (05 мл или 1 мл 5 % (50 мг/мл) раствора) 1 раз в день ежедневно. Курс лечения - 10-30 инъекций.
Побочное действие
Возможны аллергические реакции (кожный зуд крапивница отёк Квинке анафилактический шок) повышенное потоотделение тахикардия иногда болезненность в месте введения (из-за низкого pH раствора).
Взаимодействие с другими лекарственными средствами
Не рекомендуется одновременное парентеральное введение тиамина и пиридоксина (витамин В6) или цианокобаламина (витамин В12). В12 усиливает аллергизирующее действие тиамина. В6 затрудняет превращение тиамина в биологически активную форму. Не следует смешивать в одном шприце витамин В1 и бензилпенициллин или стрептомицин (разрушение антибиотиков) витамин В1 и никотиновую кислоту (разрушение витамина В1).
Тиамин уменьшает фармакологическую активность суксаметония иодида фентоламина пропранолола симпатолитиков (резерпин) снотворных средств (уменьшается снотворный и гипотензивный эффекты).
Раствор тиамина не следует смешивать с растворами содержащими сульфиты т.к. в них он полностью распадается.
Тиамин нестабилен в щелочном и нейтральном растворах; назначение с карбонатами цитратами барбитуратами препаратами меди не рекомендовано.
Особые указания
При определении теофиллина в сыворотке крови спектрофотометрическим методом уробилиногена с помощью реагента Эрлиха может искажать результаты (при принятии высоких доз).
При энцефалопатии Вернике назначение декстрозы должно предшествовать приему тиамина.
Форма выпуска
Раствор для внутримышечного введения 50 мг/мл.
Условия хранения
В защищённом от света месте при температуре не выше 25°С.
Хранить в недоступном для детей месте.
Срок годности
3 года.
Не использовать по истечении срока годности.
Условия отпуска
По рецепту
Производитель
Шаньдун Шэнлу Фармасьютикал Ко., Лтд, Северная сторона, ул. Сыхэ, Сыхэбань, округ Сышуй, Шаньдун, Китай, Китай
Организация, принимающая претензии потребителей
Виал ООО
Для описания товара использована информация от партнера 36.6
Мобильное приложение «Все аптеки»
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Информация предоставляется в справочных целях. Не занимайтесь самолечением. При первых признаках заболевания обратитесь к врачу.
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