ADAPTOL®

by Antons Pavlovs on March 10, 2014 Comments Off on ADAPTOL®

ADAPTOL®

Product INN: Mebicarum

Deva: ADAPTOL® 300 mg Tablets, ADAPTOL® 500 mg Tabletes, ADAPTOL® 300 mg Capsules

Product ATC Code: N05BX

Product Description

Neuroses and neurotic disturbances (irritability, emotional excitability, anxiety, fear).
Cardialgias of different genesis, which are not connected with ischemic heart disease.
To improve tolerability of neuroleptics and tranquilizers.
Complex therapy to decrease addiction to smoking.

Product Mechanism of Action

Medicinal preparation Adaptol® active substance mebicar refer to a pharmacotherapeutic group, which is called anxiolytics.
Mebicar is proved to have anxiolytic and nootropic characteristics, it decreases unfavourable side effects caused by other tranquilizers of neuroleptic and benzodiazepine group (emotional despondency, excessive calming effect, muscles weakness), it has antialcoholic effect.
Mebicar has an effect on the structure of limbic-reticular activity, particularly on hypothalamus emotional zone, as well as on all 4 basic neuromediator systems – γ aminobutyric acid (GASS), choline -, serotonin- and adrenergic activity.
The preparation has moderate tranquilizing (anxiolytic) activity, eliminates or weakens anxiety, anxious hypochondria, fear, an internal emotional pressure and irritability. Tranquilizing effect of the preparation is not accompanied by myorelaxation and infringement of coordination of movements, it does not disturb mental or physical activity, therefore Adaptol can be administered not interrupting work or study. The preparation has no direct hypnotic effect, but it increases activity of hypnotics and normalizes duration of the disturbed night dream.
Mebicar relieves or takes off nicotine abstinence.
Alcoholic patients have a decreased level of endogen ethyl alcohol in the blood, and this is one of the reasons of inclination towards alcohol. Mebicar increases endogen alcohol level more than other tranquilizers diminishing inclination towards alcohol.
Mebicar does not cause increase of the mood or euphoria, no drug dependence or syndrome of withdrawal has been observed during its administration.
Besides nootropic activity mebicar has also nootropic characteristics. It was observed in the clinical studies that mebicar increases logic, associative thinking, improves attention and ability to work and productivity not stimulating productive symptomatics – delirium and pathologic emotional activity.

Dosage

The drugs are administered orally independently of meals.
Adults use 300-500 mg 2-3 times a day. The highest single dose is 3 g, the highest daily dose – 10 g. The course of treatment – from a few days up to 2-3 months.
Complex therapy to decrease the addiction to smoking – 600-1000 mg a day for 5-6 weeks.
Elderly should not adjust the dose.
Patients with liver impairment should not diminish the dose.
Dose adjustment is not studied in patients with kidneys deficiency. These patients should use the drugs with caution.

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ADAPTOL®

ETACIZIN®

by Antons Pavlovs on March 6, 2014 Comments Off on ETACIZIN®

ETACIZIN®

Product INN: Aethacizinum

Deva: 50 mg coated tablets

Product ATC Code: C01BC

Product Description

Etacizin is antiarrhythmic treatment for heart rhythm disturbances. Therapeutic indications are extrasystoles (ventricular and supraventricular), supraventricular tachycardia, ventricular tachycardia, atrial flutter and fibrillation.

Product Mechanism of Action

According to Vaughan Williams antiarrhythmic agents’ classification, Etacizin is IC class antiarrhythmic (membranes stabilizers). Etacizin inhibits “fast” sodium ions current through cell membranes of sodium channels. It has an effect on sodium channels, which are on the surface of cell membranes, and on this part of channels that are on the inner surface of cell membranes. These additional places of binding provide etacizin long-term activity. To a less extent etacizin inhibits calcium ions current through “slow” calcium channels. Negative nootropic activity of etacizin is connected with blockade of “slow” calcium channels.
Etacizin has moderate antiischemic activity. It slows down distribution of excitation in the conduction system of myocardium. Electrocardiogram (ECG) shows prolongation of the P-Q, P-R interval and QRS complex.
Etacizin inhibits increase of activity potential speed (Vmax), does not change the potential of rest.
Etacizin has cholinolytic characteristics, therefore it is very effective in the treatment of arrhythmia, which is connected with n. Vagus activation. Etacizin has also local anesthetic activity.

Dosage

Tablets are usually administered orally, independent on meal.

Adults: The dose is adjusted individually. Usually the dose is 50 mg two-three times daily. In case of insufficient clinical effect, the dose can be increased to 50 mg four times daily. Combined therapy of etacizin and adrenoblockers is necessary to achieve the stable antiarrhythmic effect in individual patients.
Elderly: The elderly should use the medicine with caution, it is necessary to decrease the starting dose and cautiously increase the dose.
Children and adolescents (younger than 18 years): Etacizin administration is contraindicated as there are no sufficient data on administration safety and efficacy.
Hepatic failure: Patients with liver disorders should use etacizin for long-term therapy with caution as the hepatotoxic effect is possible (hard disturbances of liver activity if administration is contraindicated).

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ETACIZIN®