Всасывания магния происходит дозозависимо, преимущественно в... Инструкция
Показания к применению
Установленный дефицит магния, изолированный или связанный с другими дефицитными состояниями, сопровождающийся такими симптомами, как повышенная раздражительность, незначительные нарушения сна, желудочно-кишечные спазмы, повышенная утомляемость, боли и спазмы мышц, ощущения покалывания в мышцах. Если через месяц лечения отсутствует уменьшение этих симптомов, ...
Повышенная индивидуальная чувствительность к компонентам препарата, тяжелая почечная недостаточность (клиренс креатинина менее 30 мл\мин), атриовентрикулярная блокада, миастения, гипермагниемия, детский возраст (данные о безопасности применения препарата Магний Диаспорал® 300 у детей отсутствуют). В связи с присутствием в препарате сахарозы Магний Диаспорал® ...
Магний участвует в большинстве реакций обмена, активизирует более 300 ферментов. Незаменимый элемент в процессах, обеспечивающих поступление и расходование энергии. Участвует в балансе электролитов, транспорте ионов, проницаемости мембран, в регуляции передачи нервных импульсов и в сокращении мышц. Является естественным антагонистом кальция.
Фармакотерапевтическая группа
Магний является жизненно важным элементом, участвует в большинстве реакций обмена, активизирует ферменты, включая холин и холинэстеразу, в роли кофактора принимает участие во многих ферментативных процессах. Участвует в процессах эн6ергообеспечения мышц, является мембранопротектором, стабилизирует фосфолипиды клеточной мембраны. Магний является «физиологическим» блокатором «медленных» кальциевых каналов и способен вытеснять его из мест связывания. Регулирует обменные процессы, межнейрональную передачу и мышечную возбудимость, препятствует поступлению ионов кальция через пресинаптическую мембрану, снижает количество ацетилхолина в периферической нервной системе и центральной нервной системе (ЦНС).
Фармакологические свойства
Всасывания магния происходит дозозависимо, преимущественно в тонком кишечнике. Величина абсорбции зависит от концентрации магния в сыворотке крови. Неабсорбированная часть может оказать слабительное действие. При синдроме мальабсорбции и употреблении пищи, богатой жирами, абсорбция магния снижается. Выводится магний почками. В сыворотке крови содержится около 1 % абсорбированного магния (0,8 - 1,0 ммоль/л). Из них около 45 % магния связывается с альбумином. Физиологической активностью обладает ионизированный магний. Приблизительно половина всего магния локализована внутри клеток, другая часть - в костях. Величина сывороточного магния подвержена суточным колебаниям. Так как между концентрацией магния в сыворотке крови и его содержанием в костях поддерживается равновесие, о дефиците магния невозможно судить по сывороточной концентрации магния. На дефицит магния может указывать нарушение нервно-мышечной возбудимости.
Показания к применению
Установленный дефицит магния, изолированный или связанный с другими дефицитными состояниями, сопровождающийся такими симптомами, как повышенная раздражительность, незначительные нарушения сна, желудочно-кишечные спазмы, повышенная утомляемость, боли и спазмы мышц, ощущения покалывания в мышцах. Если через месяц лечения отсутствует уменьшение этих симптомов, продолжение лечения нецелесообразно.
Противопоказания
Повышенная индивидуальная чувствительность к компонентам препарата, тяжелая почечная недостаточность (клиренс креатинина менее 30 мл\мин), атриовентрикулярная блокада, миастения, гипермагниемия, детский возраст (данные о безопасности применения препарата Магний Диаспорал® 300 у детей отсутствуют). В связи с присутствием в препарате сахарозы Магний Диаспорал® 300 противопоказан при непереносимости фруктозы, синдроме нарушенного всасывания глюкозы или галактозы, или при дефиците сахаразы - изомальтазы. С осторожностью Умеренная почечная недостаточность (опасность развития гипермагниемии). Применение при беременности и во время грудного вскармливания. Беременность. Клинический опыт применения магния цитрата у достаточного количества беременных женщин не выявил какого-либо неблагоприятного влияния на возникновение пороков развития плода или фетотоксического действия. Препарат Магний Диаспорал® 300 может применяться в период беременности только при необходимости, по рекомендации врача, в случае, если предполагаемая польза для матери превышает потенциальный риск для плода. Период кормления грудью. Принимая во внимание, что магний проникает в материнское молоко, при необходимости приема препарата рекомендуется прекратить кормление.
Способ применения и дозы
Внутрь. Взрослым по 1 пакету ежедневно. Растворить содержимое 1 пакета в ½ стакана фруктового сока, чая или воды. В среднем продолжительность лечения составляет 1 месяц. Лечение следует прекратить после нормализации уровня магния в крови.
Побочное действие
Частота встречаемости нежелательных реакций определяется следующим образом:
очень часто (>1/10), часто (>1/100 и <1/10), нечасто (> 1/1 000 и <1/100), редко (>1\10 000 и <1/1 000), очень редко (<1/10 000, включая отдельные случаи), частота неизвестна (на основании имеющихся данных оценить частоту возникновения не представляется возможным)
Со стороны желудочно-кишечного тракта:
Нечасто: жидкий стул до диареи в начале лечения (обычно исчезает при продолжении лечения без специального лечения).
Со стороны нервной системы:
Очень редко: слабость (возникает при длительном применении препарата). При возникновении такой нежелательной реакции прием препарата Магний Диаспорал® 300 необходимо прекратить. После улучшения состояния, терапия препаратом может быть возобновлена в сниженной дозировке.
Частота неизвестна: аллергические реакции, включая кожные реакции, боли в животе, тошнота, метеоризм.
Если любые из указанных в инструкции побочных эффектов усугубляются или Вы заметили любые другие побочные эффекты, не указанные в инструкции, сообщите об этом врачу.
Передозировка
При нормальной функции почек пероральный прием магния не вызывает токсических реакций. Только на фоне тяжелой почечной недостаточности могут возникнуть симптомы. Симптомы передозировки, выраженность которых, зависит от концентрации магния в плазме крови: снижение артериального давления, тошнота, рвота; угнетение центральной нервной системы, снижение рефлексов; изменения на электрокардиограмме; угнетение дыхания, кома, остановка сердца и паралич дыхания; анурический синдром. Лечение: Внутривенное введение кальция и внутримышечное или подкожное введение 1 - 2 ампул (0,5 - 1 мг/мл) неостигмина метилсульфата; внутривенное или пероральное введение 0,9 % натрия хлорида; в случае почечной недостаточности - гемодиализ или перитонеальный диализ.
Взаимодействие с другими лекарственными средствами
При необходимости одновременного применения других лекарственных средств следует проконсультироваться с врачом о возможности их одновременного приема с препаратом Магний Диаспорал® 300. Соли магния могут усиливать действие мышечных релаксантов. Аминогликозидные антибиотики, диуретики (тиазиды, фуросемид), препараты, угнетающие секрецию желудочного сока (омепразол, пантопразол), цисплатин и циклоспорин А, фоскарнет, цетуксимаб и эрлотиниб, пентамидин, рапамицин и амфотерицин ускоряют выведение магния и могут вызывать его дефицит в организме. Ионы магния, железа, фторидов и тетрациклин взаимно влияет на абсорбцию друг друга, поэтому необходимо соблюдать 2-3 часовой интервал между приемом Магний Диаспорал® 300 и препаратов, содержащих вышеперечисленные вещества. Магний ослабляет действие непрямых антикоагулянтов. Одновременное применение препаратов, содержащих фосфаты или соли кальция, может значительно уменьшить всасывание магния в желудочно-кишечном тракте.
Особые указания
Применяйте препарат согласно тому способу применения и в тех дозах, которые указаны в инструкции по применению. В случае необходимости, пожалуйста, проконсультируйтесь с врачом перед применением лекарственного препарата. Содержит сахарозу (сахар). Пациентам с редкими наследственными проблемами непереносимости фруктозы, мальабсорбции глюкозо-галактозы или недостаточности сахарозы-изомальтозы не следует принимать Магний Диаспорал® 300. Один пакет Магний Диаспорал® 300 содержит 1,75 ммоль (40 мг) натрия, что необходимо учитывать пациентам, находящимся на диете с низким содержанием соли. При одновременном дефиците кальция и магния, дефицит магния следует восполнять до начала приема препаратов кальция или пищевых добавок, содержащих кальций. Влияние на способность управлять транспортными средствами и механизмами Препарат не влияет на способность управления машинами и механизмами. Препарат не влияет на способность управления машинами и механизмами.
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участвует в большинстве реакций обмена, активизирует более 300 ферментов. Незаменимый элемент в процессах, обеспечивающих поступление и расходование энергии. Участвует в балансе электролитов, транспорте ионов, проницаемости мембран, в регуляции передачи нервных импульсов и в сокращении мышц. Является естественным антагонистом кальция."}}]},{"id":5,"name":"Фармакотерапевтическая группа","slug":"","body":[{"type":"paragraph","data":{"text":"Магний является жизненно важным элементом, участвует в большинстве реакций обмена, активизирует ферменты, включая холин и холинэстеразу, в роли кофактора принимает участие во многих ферментативных процессах. Участвует в процессах эн6ергообеспечения мышц, является мембранопротектором, стабилизирует фосфолипиды клеточной мембраны. Магний является «физиологическим» блокатором «медленных» кальциевых каналов и способен вытеснять его из мест связывания. Регулирует обменные процессы, межнейрональную передачу и мышечную возбудимость, препятствует поступлению ионов кальция через пресинаптическую мембрану, снижает количество ацетилхолина в периферической нервной системе и центральной нервной системе (ЦНС)."}}]},{"id":6,"name":"Фармакологические свойства","slug":"pharmacologic_effects","body":[{"type":"paragraph","data":{"text":"Всасывания магния происходит дозозависимо, преимущественно в тонком кишечнике. Величина абсорбции зависит от концентрации магния в сыворотке крови. Неабсорбированная часть может оказать слабительное действие. При синдроме мальабсорбции и употреблении пищи, богатой жирами, абсорбция магния снижается. Выводится магний почками. В сыворотке крови содержится около 1 % абсорбированного магния (0,8 - 1,0 ммоль/л). Из них около 45 % магния связывается с альбумином. Физиологической активностью обладает ионизированный магний. Приблизительно половина всего магния локализована внутри клеток, другая часть - в костях. Величина сывороточного магния подвержена суточным колебаниям. Так как между концентрацией магния в сыворотке крови и его содержанием в костях поддерживается равновесие, о дефиците магния невозможно судить по сывороточной концентрации магния. На дефицит магния может указывать нарушение нервно-мышечной возбудимости."}}]},{"id":7,"name":"Показания к применению","slug":"indications","body":[{"type":"paragraph","data":{"text":"Установленный дефицит магния, изолированный или связанный с другими дефицитными состояниями, сопровождающийся такими симптомами, как повышенная раздражительность, незначительные нарушения сна, желудочно-кишечные спазмы, повышенная утомляемость, боли и спазмы мышц, ощущения покалывания в мышцах. Если через месяц лечения отсутствует уменьшение этих симптомов, продолжение лечения нецелесообразно."}}]},{"id":8,"name":"Противопоказания","slug":"contraindications","body":[{"type":"paragraph","data":{"text":"Повышенная индивидуальная чувствительность к компонентам препарата, тяжелая почечная недостаточность (клиренс креатинина менее 30 мл\\мин), атриовентрикулярная блокада, миастения, гипермагниемия, детский возраст (данные о безопасности применения препарата Магний Диаспорал® 300 у детей отсутствуют). В связи с присутствием в препарате сахарозы Магний Диаспорал® 300 противопоказан при непереносимости фруктозы, синдроме нарушенного всасывания глюкозы или галактозы, или при дефиците сахаразы - изомальтазы. С осторожностью Умеренная почечная недостаточность (опасность развития гипермагниемии). Применение при беременности и во время грудного вскармливания. Беременность. Клинический опыт применения магния цитрата у достаточного количества беременных женщин не выявил какого-либо неблагоприятного влияния на возникновение пороков развития плода или фетотоксического действия. Препарат Магний Диаспорал® 300 может применяться в период беременности только при необходимости, по рекомендации врача, в случае, если предполагаемая польза для матери превышает потенциальный риск для плода. Период кормления грудью. Принимая во внимание, что магний проникает в материнское молоко, при необходимости приема препарата рекомендуется прекратить кормление."}}]},{"id":11,"name":"Способ применения и дозы","slug":"dosage","body":[{"type":"paragraph","data":{"text":"Внутрь. Взрослым по 1 пакету ежедневно. Растворить содержимое 1 пакета в ½ стакана фруктового сока, чая или воды. В среднем продолжительность лечения составляет 1 месяц. Лечение следует прекратить после нормализации уровня магния в крови."}}]},{"id":12,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"Частота встречаемости нежелательных реакций определяется следующим образом:"}},{"type":"paragraph","data":{"text":"очень часто (>1/10), часто (>1/100 и <1/10), нечасто (> 1/1 000 и <1/100), редко (>1\\10 000 и <1/1 000), очень редко (<1/10 000, включая отдельные случаи), частота неизвестна (на основании имеющихся данных оценить частоту возникновения не представляется возможным)"}},{"type":"paragraph","data":{"text":"Со стороны желудочно-кишечного тракта:"}},{"type":"paragraph","data":{"text":"Нечасто: жидкий стул до диареи в начале лечения (обычно исчезает при продолжении лечения без специального лечения)."}},{"type":"paragraph","data":{"text":"Со стороны нервной системы:"}},{"type":"paragraph","data":{"text":"Очень редко: слабость (возникает при длительном применении препарата). При возникновении такой нежелательной реакции прием препарата Магний Диаспорал® 300 необходимо прекратить. После улучшения состояния, терапия препаратом может быть возобновлена в сниженной дозировке."}},{"type":"paragraph","data":{"text":"Частота неизвестна: аллергические реакции, включая кожные реакции, боли в животе, тошнота, метеоризм."}},{"type":"paragraph","data":{"text":"Если любые из указанных в инструкции побочных эффектов усугубляются или Вы заметили любые другие побочные эффекты, не указанные в инструкции, сообщите об этом врачу."}}]},{"id":13,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"При нормальной функции почек пероральный прием магния не вызывает токсических реакций. Только на фоне тяжелой почечной недостаточности могут возникнуть симптомы. Симптомы передозировки, выраженность которых, зависит от концентрации магния в плазме крови: снижение артериального давления, тошнота, рвота; угнетение центральной нервной системы, снижение рефлексов; изменения на электрокардиограмме; угнетение дыхания, кома, остановка сердца и паралич дыхания; анурический синдром. Лечение: Внутривенное введение кальция и внутримышечное или подкожное введение 1 - 2 ампул (0,5 - 1 мг/мл) неостигмина метилсульфата; внутривенное или пероральное введение 0,9 % натрия хлорида; в случае почечной недостаточности - гемодиализ или перитонеальный диализ."}}]},{"id":14,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"При необходимости одновременного применения других лекарственных средств следует проконсультироваться с врачом о возможности их одновременного приема с препаратом Магний Диаспорал® 300. Соли магния могут усиливать действие мышечных релаксантов. Аминогликозидные антибиотики, диуретики (тиазиды, фуросемид), препараты, угнетающие секрецию желудочного сока (омепразол, пантопразол), цисплатин и циклоспорин А, фоскарнет, цетуксимаб и эрлотиниб, пентамидин, рапамицин и амфотерицин ускоряют выведение магния и могут вызывать его дефицит в организме. Ионы магния, железа, фторидов и тетрациклин взаимно влияет на абсорбцию друг друга, поэтому необходимо соблюдать 2-3 часовой интервал между приемом Магний Диаспорал® 300 и препаратов, содержащих вышеперечисленные вещества. Магний ослабляет действие непрямых антикоагулянтов. Одновременное применение препаратов, содержащих фосфаты или соли кальция, может значительно уменьшить всасывание магния в желудочно-кишечном тракте."}}]},{"id":15,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"Применяйте препарат согласно тому способу применения и в тех дозах, которые указаны в инструкции по применению. В случае необходимости, пожалуйста, проконсультируйтесь с врачом перед применением лекарственного препарата. Содержит сахарозу (сахар). Пациентам с редкими наследственными проблемами непереносимости фруктозы, мальабсорбции глюкозо-галактозы или недостаточности сахарозы-изомальтозы не следует принимать Магний Диаспорал® 300. Один пакет Магний Диаспорал® 300 содержит 1,75 ммоль (40 мг) натрия, что необходимо учитывать пациентам, находящимся на диете с низким содержанием соли. При одновременном дефиците кальция и магния, дефицит магния следует восполнять до начала приема препаратов кальция или пищевых добавок, содержащих кальций. Влияние на способность управлять транспортными средствами и механизмами Препарат не влияет на способность управления машинами и механизмами. Препарат не влияет на способность управления машинами и механизмами."}}]},{"id":18,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"от 15℃ до 25℃."}}]}],"source":{"title":"ЗдравСити","url":"https://zdravcity.ru"}},"description_toggle":false,"short_description":"Всасывания магния происходит дозозависимо, преимущественно в тонком кишечнике. Величина абсорбции зависит от концентрации магния в сыворотке крови. Неабсорбированная часть может оказать слабительное действие. При синдроме мальабсорбции и употреблении пищи, богатой жирами, абсорбция магния снижается. Выводится магний почками. В сыворотке крови содержится около 1 % абсорбированного магния (0,8 - 1,0 ммоль/л). Из них около 45 % магния связывается с альбумином. Физиологической активностью обладает ионизированный магний. Приблизительно половина всего магния локализована внутри клеток, другая часть - в костях. Величина сывороточного магния подвержена суточным колебаниям. Так как между концентрацией магния в сыворотке крови и его содержанием в костях поддерживается равновесие, о дефиците магния невозможно судить по сывороточной концентрации магния. 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