БАД к пище.
Полиненасыщенные жирные кислоты (ПНЖК) класса омега-3 — эйкозапентаеновая кислота (ЭПК) и докозагексаеновая кислота (ДГК) относятся к незаменимым (эссенциальным) жирным кислотам (НЭЖК). Уменьшают концентрацию триглицеридов в результате уменьшения концентрации ЛПОНП. Подавляют синтез тромбоксана А2 и незначительно увеличивает время свертываемости крови. Существенного влияния на другие факторы свертывания крови не оказывают. Задерживают синтез триглицеридов в печени (за счет ингибирования этерификации ЭПК и ДГК).
Наиболее известными и хорошо изученными ПНЖК класса омега-6 являются линолевая и арахидоновая. Адекватное содержание этих кислот в организме имеет большое значение для функционирования сердечно-сосудистой системы, углеводного обмена, в период роста и развития.
В сочетании с клетчаткой и витамином B6, полиненасыщенные жирные кислоты омега-6 устраняют сухость кожи, помогают при экземе и атопическом дерматите, улучшают обмен кальция, снижают его потерю при стрессе, стимулируют заживление ран, язв, ожогов.
Применение полиненасыщенных жирных кислот омега-6 в сочетании с витамином Е способствует снижению массы тела.
Витамин Е (α-токоферола ацетат) обладает антиоксидантными свойствами, поддерживает стабильность эритроцитов, предупреждает гемолиз; оказывает положительное влияние на функции половых желез, нервной и мышечной ткани.
Каротиноиды (бетакаротен, лютеин, ликопин, зеаксантин) являются природными органическими пигментами, синтезируемыми бактериями, грибами, водорослями, высшими растениями и коралловыми полипами; окрашены в желтый, оранжевый или красный цвета. Бетакаротен является предшественником витамина А. Оказывает антиоксидантное действие, обладает способностью инактивировать свободные радикалы в условиях гипоксии. Обладает иммуномодулирующим действием. Повышает устойчивость организма к инфекциям.
Витамин С (аскорбиновая кислота) обеспечивает синтез коллагена; участвует в формировании и поддержании структуры и функции хрящей, костей, зубов; влияет на образование гемоглобина, созревание эритроцитов.
БАД, помимо указанных активных веществ, могут содержать холин, цинк, селен.
Холин — витаминоподобное вещество. В организме человека необходим для синтеза жизненно важных веществ — ацетилхолина и лецитина (фосфатдихолина). Способствует улучшению деятельности нервной системы, психической и эмоциональной сферы. Регулирует процесс метаболизма липидов в печени.
Цинк обладает иммуномодулирующими свойствами, способствует усвоению витамина А, регенерации и росту волос.
Селен — стимулирует иммунитет, является антиоксидантом. Способствует нормальному развитию клетки.
Description
Applications of Sedergine Vit-C Efervesan Tablet
Sedergine Vit-C Efervesan Tablet serves as a versatile remedy, appreciated for its analgesic, antipyretic, and anti-inflammatory properties. Its indications encompass the symptomatic alleviation of pain and fever linked to conditions such as colds. Additionally, it proves effective in the management of mild to moderate painful conditions including neuralgia, toothache, migraine, and headaches.
Mechanism of Action
Understanding the mechanisms of the individual components within Sedergine Vit-C Efervesan Tablet is crucial:
Acetylsalicylic Acid
Acetylsalicylic acid, recognized as aspirin, exerts its influence by inhibiting the production of prostaglandins in the body. It specifically targets cyclooxygenase-1 (COX-1) and cyclooxygenase-2 (COX-2). Prostaglandins, potent substances, can incite headaches and pain when introduced into the human system. They heighten the sensitivity of pain receptors to agents like histamine and bradykinin.
By disrupting the production and release of prostaglandins, this drug impedes their action at pain receptors, ultimately mitigating pain symptoms. Furthermore, acetylsalicylic acid doubles as an antipyretic agent by interfering with the generation of brain prostaglandin E1, a formidable fever-inducing agent.
Vitamin C
Vitamin C, also known as ascorbic acid, is a water-soluble vitamin integral to collagen and intracellular material synthesis. It plays a pivotal role in biological oxidations and reductions associated with cellular respiration. A deficiency in vitamin C can lead to scurvy, a distinct syndrome characterized by capillary fragility, bleeding tendencies (especially from small blood vessels and gums), anemia, cartilage and bone lesions, and delayed wound healing. Ascorbic acid (vitamin C) finds application in the prevention and treatment of scurvy.
Sedergine Vit-C Efervesan Tablet is conveniently available in packages containing 20 effervescent tablets and is exclusively dispensed through pharmacies.
The recommended dosage for adolescents and adults over the age of 16 is 1-2 effervescent tablets every 4-8 hours. This translates to 0.33 to 0.66 grams of acetylsalicylic acid and 0.2-0.4 grams of ascorbic acid. The maximum daily dose should not exceed 7 effervescent tablets, equivalent to 2.31 grams of acetylsalicylic acid and 1.4 grams of ascorbic acid. To consume, simply dissolve the tablets in a glass of water and administer orally. It is vital not to surpass the maximum daily dosage and to seek guidance from a healthcare professional before extended use exceeding four days.
Side Effects and Considerations
The side effects associated with Sedergine Vit-C Efervesan Tablet are primarily attributed to its dual active ingredients: acetylsalicylic acid and vitamin C.
Acetylsalicylic Acid Side Effects:
- Side or lower back pain (less common or rare with high doses)
- Headache (less common or rare with high doses)
Vitamin C Side Effects:
- Diarrhea
- Nausea
- Abdominal cramps
- Other gastrointestinal disturbances
- Dizziness or faintness (in cases of injection)
- Increased urination (mild)
- Stomach cramps
These side effects are more likely to manifest if the dosage exceeds 2,000 milligrams (mg) at once. Common digestive symptoms arising from excessive vitamin C consumption include diarrhea and nausea. Typically, these side effects do not necessitate medical intervention and tend to ameliorate as the body adjusts to the medication.
It is imperative to recognize that this list is not exhaustive. In the event of experiencing other symptoms, it is advisable to promptly consult a healthcare provider. Adherence to the prescribed dosage is pivotal in minimizing the risk of side effects.
Pregnancy and Breastfeeding
For individuals who are pregnant or breastfeeding, seeking counsel from a healthcare provider before embarking on any medication, including Sedergine Vit-C Efervesan Tablet, is paramount. Acetylsalicylic acid within the tablet has been associated with alterations in maternal and fetal hemostasis. High doses have been linked to increased perinatal mortality, intrauterine growth retardation, and teratogenic effects. Prior consultation with a healthcare provider is essential to ensure the well-being of both the mother and the child.
Conclusion
In summary, Sedergine Vit-C Efervesan Tablet serves as a valuable pharmaceutical option for addressing various painful and febrile conditions. Understanding its composition, mechanisms of action, and potential side effects is vital. For those who are pregnant, breastfeeding, or have concerns, consulting a healthcare provider is the wisest course of action to ensure safe and effective usage of this medication.
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The information on this page is not intended to be a substitute for professional medical advice, diagnosis, or treatment. always seek the advice for your physician or another qualified health provider with any questions you may have regarding a medical condition. Always remember to
- Ask your own doctor for medical advice.
- Names, brands, and dosage may differ between countries.
- When not feeling well, or experiencing side effects always contact your own doctor.
Cyberchondria
The truth is that when we’re sick, or worried about getting sick, the internet won’t help.
According to Wikipedia, cyberchondria is a mental disorder consisting in the desire to independently make a diagnosis based on the symptoms of diseases described on Internet sites.
Why you can’t look for symptoms on the Internet
If diagnoses could be made simply from a textbook or an article on a website, we would all be doctors and treat ourselves. Nothing can replace the experience and knowledge of specially trained people. As in any field, in medicine there are unscrupulous specialists, differences of opinion, inaccurate diagnoses and incorrect test results.
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Предоставленная в разделе Sedergine (Sodium Ascorbate)информация составлена на основе данных о другом лекарстве с точно таким же составом как лекарство Sedergine (Sodium Ascorbate). Будьте
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Sedergine (Sodium Ascorbate)
Состав
Предоставленная в разделе Состав Sedergine (Sodium Ascorbate)информация составлена на основе данных о другом лекарстве с точно таким же составом как лекарство Sedergine (Sodium Ascorbate). Будьте
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Sodium Ascorbate
Терапевтические показания
Предоставленная в разделе Терапевтические показания Sedergine (Sodium Ascorbate)информация составлена на основе данных о другом лекарстве с точно таким же составом как лекарство Sedergine (Sodium Ascorbate). Будьте
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Лиофилизат для приготовления раствора для внутривенного и внутримышечного введения; Драже; Порошок для приема внутрь; Порошок для приготовления раствора для приема внутрь; Раствор для внутривенного и внутримышечного введения; Субстанция-порошок
Таблетки; Таблетки шипучие
Таблетки жевательные
Таблетки для детей
Раствор для внутривенного введения
Гиповитаминоз C, геморрагический диатез, кровотечения (носовые, легочные, печеночные, маточные), инфекции, интоксикации, заболевания печени, надпочечниковая недостаточность, вяло заживающие раны, язвы, переломы костей, дистрофия, усиленная физическая и умственная нагрузка, беременность и лактация.
гипо- и авитаминоз витамина C (профилактика и лечение).
В качестве вспомогательного средства:
геморрагический диатез;
носовые, легочные, маточные и другие кровотечения;
острая лучевая болезнь;
передозировка антикоагулянтов;
вяло заживающие раны и переломы костей;
повышенные физические и умственные нагрузки;
в период выздоровления после тяжелых и длительных заболеваний.
Профилактика и лечение дефицита витамина C (недостаточное поступление с пищей, повышенная потребность организма); физические и умственные перегрузки; дистрофия; вяло заживающие раны; переломы костей; период реконвалесценции после перенесенных заболеваний.
Авитаминоз и гиповитаминоз C; геморрагические диатезы, кровотечения (носовые, легочные, печеночные, маточные, вызванные лучевой болезнью); передозировка антикоагулянтов; инфекционные заболевания и интоксикации; болезнь Аддисона, нефропатия беременных; вяло заживающие раны и переломы костей; дистрофия; умственное и физическое напряжение.
Гиповитаминоз витамина C, повышенные психические и физические нагрузки, снижение иммунитета, геморрагические диатезы, кровотечения, железодефицитная анемия, предрасположенность к простудным заболеваниям, нарушения формирования, отклонения от нормы состояния костной ткани, зубов, хрящей и др.
Способ применения и дозы
Предоставленная в разделе Способ применения и дозы Sedergine (Sodium Ascorbate)информация составлена на основе данных о другом лекарстве с точно таким же составом как лекарство Sedergine (Sodium Ascorbate). Будьте
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Лиофилизат для приготовления раствора для внутривенного и внутримышечного введения; Драже; Порошок для приема внутрь; Порошок для приготовления раствора для приема внутрь; Раствор для внутривенного и внутримышечного введения; Субстанция-порошок
Таблетки; Таблетки шипучие
Таблетки жевательные
Таблетки для детей
Раствор для внутривенного введения
Раствор для приема внутрь
Внутрь, для профилактики, взрослым — 50–100 мг/сут, детям — по 25 мг/сут; для лечения детям — 50–100 мг/сут после еды; при беременности и лактации — 300 мг в течение 10–15 дней, далее — по 100 мг/сут.
В/м, в/в — по 1 мл 10% или 1–3 мл 5% раствора. Высшая доза: разовая — не выше 200 мг, суточная — 500 мг.
Внутрь, после еды, предварительно растворив таблетку в половине стакана воды. В профилактических целях — 500 мг/сут, с лечебной целью — 1000 мг/сут.
Внутрь, после еды. В профилактических целях: взрослым — по 50–200 мг/сут, в лечебных целях: — до 300 мг/сут. Детям в лечебных целях — по 50–100 мг 2–3 раза в сутки.
В/м, в/в, перед введением лиофилизированный порошок растворяют в 1–2 мл стерильной воды для инъекций, взрослым — 1–3 мл 5% раствора (2–6 мл 2,5% раствора) в день; детям — 1–2 мл 5% раствора (2–4 мл 2,5% раствора) в день.
В/м или в/в (50 мл раствора Витамина C разбавляют 100 мл физиологического раствора), вводят медленно по 5 мл 1 раз в день; при терапии высокими дозами ежедневно до 50 мл дополнительно к инфузии в течение 4–6 нед (не более). Раствор необходимо использовать непосредственно после вскрытия флакона, оставшаяся часть должна быть уничтожена.
Внутрь, независимо от приема пищи.
Взрослые и дети старше 12 лет — по 2–3 мл 3 раза в день.
Дети в возрасте от 4 до 12 лет — по 1–2 мл 3 раза в день; от 1 года до 4 лет — по 1 мл 3 раза в день.
Для достижения терапевтического эффекта Иммунал® плюс С следует принимать в течение 7–10 дней. Повторные курсы возможны после 14-дневного перерыва.
Противопоказания
Предоставленная в разделе Противопоказания Sedergine (Sodium Ascorbate)информация составлена на основе данных о другом лекарстве с точно таким же составом как лекарство Sedergine (Sodium Ascorbate). Будьте
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Лиофилизат для приготовления раствора для внутривенного и внутримышечного введения; Драже; Порошок для приема внутрь; Порошок для приготовления раствора для приема внутрь; Раствор для внутривенного и внутримышечного введения; Субстанция-порошок
Таблетки; Таблетки шипучие
Таблетки жевательные
Таблетки для детей
Раствор для внутривенного введения
Тромбофлебиты, склонность к тромбозам, сахарный диабет.
повышенная чувствительность к компонентам препарата;
повышенная свертываемость крови;
тромбофлебит;
склонность к тромбозам;
сахарный диабет.
Гиперчувствительность, гипергликемия, глюкозурия.
Гиперчувствительность.
Гиперчувствительность; для терапии высокими дозами — повышенная свертываемость крови, тромбофлебит, предрасположенность к тромбозам, сахарный диабет, почечнокаменная болезнь, детский возраст (до 12 лет).
Побочные эффекты
Предоставленная в разделе Побочные эффекты Sedergine (Sodium Ascorbate)информация составлена на основе данных о другом лекарстве с точно таким же составом как лекарство Sedergine (Sodium Ascorbate). Будьте
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Лиофилизат для приготовления раствора для внутривенного и внутримышечного введения; Драже; Порошок для приема внутрь; Порошок для приготовления раствора для приема внутрь; Раствор для внутривенного и внутримышечного введения; Субстанция-порошок
Таблетки; Таблетки шипучие
Таблетки жевательные
Таблетки для детей
Раствор для внутривенного введения
Гипергликемия, глюкозурия, артериальная гипертензия.
Аллергические реакции. Раздражение слизистой оболочки ЖКТ, артериальная гипертензия, нарушение обмена веществ, угнетение функции инсулярного аппарата поджелудочной железы, тромбоцитоз, тромбообразование.
Симптомы мочекаменной болезни, гипергликемия и глюкозурия (при назначении в высоких дозах — более 1 г/сут).
Угнетение функции инсулярного аппарата поджелудочной железы (при длительном применении).
Аллергические реакции.
Передозировка
Предоставленная в разделе Передозировка Sedergine (Sodium Ascorbate)информация составлена на основе данных о другом лекарстве с точно таким же составом как лекарство Sedergine (Sodium Ascorbate). Будьте
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О случаях острой передозировки не сообщалось.
Симптомы: возможны нарушения со стороны ЖКТ, что не приведет к возникновению гиперкальциемии, за исключением случаев одновременного назначения высоких доз витамина D и его производных.
Лечение: симптоматическое.
Фармакодинамика
Предоставленная в разделе Фармакодинамика Sedergine (Sodium Ascorbate)информация составлена на основе данных о другом лекарстве с точно таким же составом как лекарство Sedergine (Sodium Ascorbate). Будьте
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Лиофилизат для приготовления раствора для внутривенного и внутримышечного введения; Драже; Порошок для приема внутрь; Порошок для приготовления раствора для приема внутрь; Раствор для внутривенного и внутримышечного введения; Субстанция-порошок
Таблетки; Таблетки шипучие
Таблетки для детей
Раствор для внутривенного введения
Оказывает метаболическое действие. Участвует в регулировании окислительно-восстановительных процессов, углеводного обмена, свертываемости крови, регенерации тканей, в синтезе стероидных гормонов, повышает устойчивость организма к инфекциям, уменьшает сосудистую проницаемость, снижает потребность в витаминах В1, В2, А, Е, фолиевой кислоте, пантотеновой кислоте. Компенсирует повышенные потребности организма в витамине С при заболеваниях, сопровождающихся лихорадкой.
Аскорбиновая кислота играет важную роль в регулировании окислительно-восстановительных процессов, углеводного обмена, свертываемости крови, регенерации ткани; участвует в синтезе ГКС, коллагена и проколлагена; нормализует проницаемость капилляров, снижает потребность в витаминах В1, В2, А, Е, фолиевой кислоте, пантотеновой кислоте. Обладает антиагрегантными и выраженными антиоксидантными свойствами. Активирует протеолитические ферменты, участвует в обмене ароматических аминокислот, пигментов и холестерина, способствует накоплению в печени гликогена. За счет активации дыхательных ферментов в печени усиливает ее дезинтоксикационную и белковообразовательную функции, повышает синтез протромбина. Улучшает желчеотделение, восстанавливает внешнесекреторную функцию поджелудочной железы и инкреторную — щитовидной. Способствует фагоцитозу, повышает сопротивляемость организма инфекциям.
Участвует в регуляции углеводного обмена окислительно-восстановительных процессов, свертываемости крови, проницаемости капилляров, регенерации тканей, синтезе стероидных гормонов, коллагена, проколлагена.
Активирует синтез коллагена, образование межклеточного вещества, белкового матрикса хрящей и костей, дентина зубов и др., модулирует образование ПГ, ингибирует свободнорадикальные реакции, стимулирует синтез антител, интерферона, способствует фагоцитозу, усиливает процессы миграции и хемотаксиса полиморфно-ядерных лейкоцитов, ускоряет заживление ран, травм и др.
Фармакокинетика
Предоставленная в разделе Фармакокинетика Sedergine (Sodium Ascorbate)информация составлена на основе данных о другом лекарстве с точно таким же составом как лекарство Sedergine (Sodium Ascorbate). Будьте
внимательны и обязательно уточняйте информацию по разделу Фармакокинетика
в инструкции к лекарству Sedergine (Sodium Ascorbate) непосредственно из упаковки или у фармацевта в аптеке.
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Antigrippine (ascorbic acid_Paracetamol)® Рино
При местном применении практически не абсорбируется, концентрации в плазме настолько малы, что их невозможно определить современными аналитическими методами.
Взаимодействие
Предоставленная в разделе Взаимодействие Sedergine (Sodium Ascorbate)информация составлена на основе данных о другом лекарстве с точно таким же составом как лекарство Sedergine (Sodium Ascorbate). Будьте
внимательны и обязательно уточняйте информацию по разделу Взаимодействие
в инструкции к лекарству Sedergine (Sodium Ascorbate) непосредственно из упаковки или у фармацевта в аптеке.
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Лиофилизат для приготовления раствора для внутривенного и внутримышечного введения; Драже; Порошок для приема внутрь; Порошок для приготовления раствора для приема внутрь; Раствор для внутривенного и внутримышечного введения; Субстанция-порошок
Таблетки; Таблетки шипучие
Таблетки жевательные
Раствор для внутривенного введения
Повышает всасывание пенициллина, железа, уменьшает эффективность гепарина, непрямых антикоагулянтов, антибиотиков; увеличивает риск возникновения кристаллурии при лечении салицилатами. Ацетилсалициловая кислота, пероральные контрацептивы, свежие соки, щелочное питье — снижают всасывание и усвоение.
Повышает концентрацию в крови бензилпенициллина и тетрациклинов. Уменьшает антикоагуляционный эффект производных кумарина и гепарина. Улучшает всасывание в кишечнике препаратов железа. Препараты хинолинового ряда, кальция хлорид, салицилаты, ГКС при длительном применении истощают запасы витамина C. Ацетилсалициловая кислота, пероральные контрацептивы, свежие соки и щелочное питье снижают всасывание и усвоение. Увеличивает риск развития кристаллурии при лечении салицилатами и сулфаниламидами короткого действия, замедляет выведение почками кислот, снижает концентрацию в крови пероральных контрацептивов.
Пероральные контрацептивы, свежие овощные и фруктовые соки, щелочное питье уменьшают всасывание. Повышает абсорбцию пенициллина, железа. Ослабляет эффект гепарина, непрямых антикоагулянтов, увеличивает риск возникновения кристаллурии при совместном применении с салицилатами.
Повышает всасывание пенициллина и железа, уменьшает эффект гепарина и непрямых антикоагулянтов. Несовместим с салицилатами (увеличивается риск развития кристаллурии).
Фармокологическая группа
Предоставленная в разделе Фармокологическая группа Sedergine (Sodium Ascorbate)информация составлена на основе данных о другом лекарстве с точно таким же составом как лекарство Sedergine (Sodium Ascorbate). Будьте
внимательны и обязательно уточняйте информацию по разделу Фармокологическая группа
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- Другие иммуномодуляторы в комбинациях
Источники:
- https://www.drugs.com/search.php?searchterm=sedergine-sodium-ascorbate
- https://pubmed.ncbi.nlm.nih.gov/?term=sedergine-sodium-ascorbate
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Trade Name | Sedergine |
Generic | Acetylsalicylic acid |
Acetylsalicylic acid Other Names | Acetylsalicylate, Acetylsalicylsäure, Acide acétylsalicylique, ácido acetilsalicílico, Acidum acetylsalicylicum, Aspirin, Aspirina, Azetylsalizylsäure, Polopiryna, Salicylic acid acetate |
Type | |
Formula | C9H8O4 |
Weight | Average: 180.1574 Monoisotopic: 180.042258744 |
Protein binding |
50% to 90% of a normal therapeutic concentration salicylate (a main metabolite of acetylsalicylic acid ) binds plasma proteins, particularly albumin, while acetylsalicylic acid itself binds negligibly . Acetylsalicylic acid has the ability to bind to and acetylate many proteins, hormones, DNA, platelets, and hemoglobin . |
Groups | Approved, Vet approved |
Therapeutic Class | Anti-platelet drugs |
Manufacturer | URIACH AQUILEA OTC, SL |
Available Country | Spain |
Last Updated: | September 19, 2023 at 7:00 am |
Sedergine
By decreasing platelet aggregation, Aspirin inhibits thrombus formation on the arterial side of the circulation, where thrombi are formed by platelet aggregation and anticoagulants have little effect. Aspirin is the analgesic of choice for headache, transient musculoskeletal pain and dysmenorrhoea. It has anti-inflammatory and antipyretic properties, which may be useful. Enteric coating reduces the intestinal disturbance and gastrointestinal ulceration due to aspirin.
Effects on pain and fever
Sedergine disrupts the production of prostaglandins throughout the body by targeting cyclooxygenase-1 (COX-1) and cyclooxygenase-2 (COX-2) . Prostaglandins are potent, irritating substances that have been shown to cause headaches and pain upon injection into humans. Prostaglandins increase the sensitivity of pain receptors and substances such as histamine and bradykinin. Through the disruption of the production and prevention of release of prostaglandins in inflammation, this drug may stop their action at pain receptors, preventing symptoms of pain. Sedergine is considered an antipyretic agent because of its ability to interfere with the production of brain prostaglandin E1. Prostaglandin E1 is known to be an extremely powerful fever-inducing agent .
Effects on platelet aggregation
Uses
Aspirin is used for its antiplatelet activity in the initial treatment of cardiovascular disorders such as angina pectoris and myocardial infarction and for the prevention of cardiovascular events in a variety of conditions or procedures for patients at risk.
- Aspirin is used as part of the initial treatment of unstable angina.
- It is given in the early treatment of myocardial infarction.
- It may also be of some benefit in the initial treatment of acute ischaemic stroke.
- It is of value for the secondary prevention of cardiovascular events in patients with stable or unstable angina or those with acute or prior myocardial infarction.
- Aspirin reduces the risk of future serious vascular events, including stroke, in patients who have already suffered an ischaemic stroke or transient ischaemic attack.
- It is of use in the long-term management of atrial fibrillation, for the prevention of stroke in patients with contraindications to warfarin or if there are no other risk factors for stroke.
- It is recommended for use in preventing thrombotic complications associated with procedures such as angioplasty and coronary bypass grafting.
Sedergine is also used to associated treatment for these conditions:
Acute Coronary Syndrome (ACS), Anxiety, Arthritis, Atherothrombotic cerebral infarction, Cardiovascular Disease (CVD), Cardiovascular Events, Cardiovascular Mortality, Colorectal Adenomas, Colorectal Cancers, Common Cold, Coronary artery reocclusion, Death, Dyspeptic signs and symptoms, Fever, Flu Like Symptom, Flu caused by Influenza, Headache, Heterozygous Familial Hypercholesterolemia, Inflammation, Juvenile Idiopathic Arthritis (JIA), Kawasaki Syndrome, Major Adverse Cardiovascular and Cerebrovascular Events (MACCE), Migraine, Morbidity, Mucocutaneous Lymph Node Syndrome, Muscle Contraction, Myocardial Infarction, Myocardial Infarction (MI), first occurrence, Neuralgia, Pain, Pain caused by Common Cold, Pain, Menstrual, Pericarditis, Polycythemia Vera (PV), Preeclampsia, Rheumatic Pain, Rheumatism, Rheumatoid Arthritis, Rhinosinusitis, Severe Pain, Soreness, Muscle, Spondyloarthropathies, Stroke, Systemic Lupus Erythematosus (SLE), Tension Headache, Thromboembolism, Toothache, Transient Ischemic Attack, Venous Thromboembolism, Acute Inflammation, Atherothrombotic events, Death by myocardial infarction, Moderate Pain, Thrombotic events, Antiplatelet Therapy, Hemodialysis Treatment, Secondary Prevention
How Sedergine works
Sedergine (ASA) blocks prostaglandin synthesis. It is non-selective for COX-1 and COX-2 enzymes . Inhibition of COX-1 results in the inhibition of platelet aggregation for about 7-10 days (average platelet lifespan). The acetyl group of acetylsalicylic acid binds with a serine residue of the cyclooxygenase-1 (COX-1) enzyme, leading to irreversible inhibition. This prevents the production of pain-causing prostaglandins. This process also stops the conversion of arachidonic acid to thromboxane A2 (TXA2), which is a potent inducer of platelet aggregation . Platelet aggregation can result in clots and harmful venous and arterial thromboembolism, leading to conditions such as pulmonary embolism and stroke.
It is important to note that there is 60% homology between the protein structures of COX-1 and COX-2. ASA binds to serine 516 residue on the active site of COX-2 in the same fashion as its binding to the serine 530 residue located on the active site of COX-1. The active site of COX-2 is, however, slightly larger than the active site of COX-1, so that arachidonic acid (which later becomes prostaglandins) manages to bypass the aspirin molecule inactivating COX-2 . ASA, therefore, exerts more action on the COX-1 receptor rather than on the COX-2 receptor . A higher dose of acetylsalicylic acid is required for COX-2 inhibition .
Sedergine
Table Of contents
- Sedergine
- Uses
- Dosage
- Side Effect
- Precautions
- Interactions
- Uses during Pregnancy
- Uses during Breastfeeding
- Accute Overdose
- Food Interaction
- Half Life
- Volume of Distribution
- Clearance
- Interaction With other Medicine
- Contradiction
- Storage
Dosage
Sedergine dosage
Pain, Inflammatory diseases and as Antipyretic: Aspirin 300 mg 1-3 tablets 6 hourly with a maximum daily dose of 4 g.
Thrombotic cerebrovascular or Cardiovascular disease: Aspirin 300 mg 1 tablet or Aspirin 75 mg 4 tablets daily.
After Myocardial infarction: Aspirin 75 mg 2 tablets daily for 1 month.
Following By-pass surgery: Aspirin 75 mg 1 tablet daily.
Side Effects
Side effects for usual dosage of Aspirin are mild including nausea, dyspepsia, gastrointestinal ulceration and bronchospasm etc.
Toxicity
Lethal doses
Acute oral LD50 values have been reported as over 1.0 g/kg in humans, cats, and dogs, 0.92 g/kg — 1.48 g/kg in albino rats, 1.19 g/kg in guinea pigs, 1.1 g/kg in mice, and 1.8 g/kg in rabbit models .
Acute toxicity
Salicylate toxicity is a problem that may develop with both acute and chronic salicylate exposure .
Multiple organ systems may be affected by salicylate toxicity, including the central nervous system, the pulmonary system, and the gastrointestinal system. Severe bleeding may occur. In the majority of cases, patients suffering from salicylate toxicity are volume-depleted at the time of presentation for medical attention. Fluid resuscitation should occur immediately and volume status should be monitored closely. Disruptions in acid-base balance are frequent in ASA toxicity .
The acute toxicity of acetylsalicylic in animals has been widely studied. The signs of poisoning in rats from lethal doses are mild to severe gastroenteritis, hepatitis, nephritis, pulmonary edema, encephalopathy, shock and some toxic effects on other organs and tissues. Mortality has been observed following convulsions or cardiovascular shock. An important differentiating property between various animal species is the ability to vomit toxic doses. Humans, cats and dogs have this ability, but rodents or rabbits do not .
Chronic toxicity and carcinogenesis
Chronic ASA toxicity is frequently accompanied by atypical clinical presentations that may be similar to diabetic ketoacidosis, delirium, cerebrovascular accident (CVA), myocardial infarction (MI) or cardiac failure. Plasma salicylate concentrations should be measured if salicylate intoxication is suspected, even if there no documentation available to suggest ASA was ingested. In older age, nephrotoxicity from salicylates increases, and the risk of upper gastrointestinal hemorrhage is increased, with higher rates of mortality . It is also important to note that ASA toxicity may occur even with close to normal serum concentrations. Prevention of chronic ASA includes the administration of smallest possible doses, avoidance of concurrent use of salicylate drugs, and therapeutic drug monitoring. Renal function should be regularly monitored and screening for gastrointestinal bleeding should be done at regular intervals .
Chronic toxicity studies were performed in rodents. ASA was administered at doses measured to be 2 to 20 times the maximum tolerated clinical dose to mice for up to one year. Negative dose-related effects were seen. These include decreased mean survival time, decreased number of births and progeny reaching an appropriate age for weaning. No evidence of carcinogenesis was found in 1-year studies . At daily doses of 0.24 g/kg/day given for 100 days to albino rats, ASA led to signs to excessive thirst, aciduria, diuresis, drowsiness, hyperreflexia, piloerection, changes in respiration, tachycardia, followed by soft stools, epistaxis, sialorrhea, dacryorrhea and mortality during hypothermic coma in the second study month .
Use in pregnancy and lactation
While teratogenic effects were observed in animals nearly lethal doses, no evidence suggests that this drug is teratogenic in humans . It is advisable, however, to avoid ASA use the first and second trimester of pregnancy, unless it is clearly required. If acetylsalicylic acid containing drugs are ingested by a patient attempting to conceive, or during the first and second trimester of pregnancy, the lowest possible dose at the shortest possible duration should be taken . This drug is contraindicated in the 3rd trimester of pregnancy .
Precaution
It should be administered cautiously in asthma, uncontrolled blood pressure and pregnant women.It is specially important not to use aspirin during the last 3 months of pregnancy unless specifically directed to do so by a doctor because it may cause problems in unborn child or complication during delivery. It should be administered with caution to patients in nasal polyp and nasal allergy. Aspirin penetrates into breast milk. So, it should be administered with caution to lactating mothers.
Interaction
Salicylates may enhance the effect of anticoagulants, oral hypoglycaemic agents, phenytoin and sodium valporate. They inhibit the uricosuric effect of probenecid and may increase the toxicity of sulphonamides. They may also precipitate bronchospasm or induce attacks of asthma in susceptible subjects.
Food Interaction
- Avoid alcohol. Alcohol increases the risk of gastrointestinal bleeding.
- Avoid herbs and supplements with anticoagulant/antiplatelet activity. Examples include garlic, ginger, bilberry, danshen, piracetam, and ginkgo biloba.
- Take after a meal. This reduces irritating gastrointestinal effects.
- Take with a full glass of water.
Volume of Distribution
This drug is distributed to body tissues shortly after administration. It is known to cross the placenta. The plasma contains high levels of salicylate, as well as tissues such as spinal, peritoneal and synovial fluids, saliva and milk. The kidney, liver, heart, and lungs are also found to be rich in salicylate concentration after dosing. Low concentrations of salicylate are usually low, and minimal concentrations are found in feces, bile, and sweat .
Elimination Route
Absorption is generally rapid and complete following oral administration but absorption may be variable depending on the route, dosage form, and other factors including but not limited to the rate of tablet dissolution, gastric contents, gastric emptying time, and gastric pH .
Detailed absorption information
When ingested orally, acetylsalicylic acid is rapidly absorbed in both the stomach and proximal small intestine. The non-ionized acetylsalicylic acid passes through the stomach lining by passive diffusion. Ideal absorption of salicylate in the stomach occurs in the pH range of 2.15 — 4.10. Intestinal absorption of acetylsalicylic acid occurs at a much faster rate. At least half of the ingested dose is hydrolyzed to salicylic acid in the first-hour post-ingestion by esterases found in the gastrointestinal tract. Peak plasma salicylate concentrations occur between 1-2 hours post-administration .
Half Life
The half-life of ASA in the circulation ranges from 13 — 19 minutes. Blood concentrations drop rapidly after complete absorption. The half-life of the salicylate ranges between 3.5 and 4.5 hours .
Clearance
The clearance rate of acetylsalicylic acid is extremely variable, depending on several factors . Dosage adjustments may be required in patients with renal impairment . The extended-release tablet should not be administered to patients with eGFR of less than 10 mL/min .
Elimination Route
Excretion of salicylates occurs mainly through the kidney, by the processes of glomerular filtration and tubular excretion, in the form of free salicylic acid, salicyluric acid, and, additionally, phenolic and acyl glucuronides .
Salicylate can be found in the urine soon after administration, however, the entire dose takes about 48 hours to be completely eliminated. The rate of salicylate is often variable, ranging from 10% to 85% in the urine, and heavily depends on urinary pH. Acidic urine generally aids in reabsorption of salicylate by the renal tubules, while alkaline urine increases excretion .
After the administration of a typical 325mg dose, the elimination of ASA is found to follow first order kinetics in a linear fashion. At high concentrations, the elimination half-life increases .
Pregnancy & Breastfeeding use
Aspirin should be avoided during the last 3 months of pregnancy. As aspirin is excreted in breast milk, aspirin should not be taken by patients who are breast-feeding.
Contraindication
Aspirin is contraindicated to the children (Reye’s syndrome) under 12 years, in breast-feeding and active peptic ulcer. It is also contraindicated in bleeding due to haemophilia and other ulceration. Hypersensitivity to aspirin, hypoprothrombinaemia is also contraindicated
Acute Overdose
Overdosage produces dizziness, tinnitus, sweating, nausea and vomiting, confusion and hyperventilation. Gross overdosage may lead to CNS depression with coma, cardiovascular collapse and respiratory depression. If overdosage is suspected, the patient should be kept under observation for at least 24 hours, as symptoms and salicylate blood levels may not become apparent for several hours. Treatment of overdosage consists of gastric lavage and forced alkaline diuresis. Haemodialysis may be necessary in severe cases.
Storage Condition
Store in a cool and dry place, protected from light.
Innovators Monograph
You find simplified version here Sedergine
FAQ
What is Sedergine used for?
Sedergine is a pharmaceutical drug used to reduce pain or inflammation. It is classified as a non-steroidal anti-inflammatory drug (NSAID).Sedergine can be used to treat, mild to moderate pain.
How safe is Sedergine?
Safety issues related both to the risk of bleeding and to that of developing rare but serious liver and brain damage mostly among children should be considered.
How does Sedergine work?
Sedergine works by blocking the production of prostaglandins, the on-off switch in cells that regulate pain and inflammation, among other things.
What are the common side effects of Sedergine?
The common side effects of Sedergine are include:
- ringing in your ears, confusion, hallucinations, rapid breathing, seizure (convulsions);
- severe nausea, vomiting, or stomach pain;
- bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;
- fever lasting longer than 3 days; or
- swelling, or pain lasting longer than 10 days.
Is Sedergine safe during pregnancy?
Experts caution against taking adult Sedergine during pregnancy because studies have linked it to various complications. A few studies show that taking Sedergine around the time of conception and in early pregnancy is associated with an increased risk of miscarriage.
What happens if I take Sedergine while pregnant?
Taking higher doses of Sedergine during the third trimester increases the risk of the premature closure of a vessel in the fetus’s heart. Use of high-dose Sedergine for long periods in pregnancy also increases the risk of bleeding in the brain of premature infants.
Is Sedergine safe during breastfeeding?
Sedergine is best avoided during breastfeeding; however, some expert opinion indicates that low-dose Sedergine may be considered as an antiplatelet drug for use in breastfeeding women.
Can I drink alcohol with Sedergine?
Do not drink alcohol while taking Sedergine. Alcohol can increase your risk of stomach bleeding caused by Sedergine.
When should I take Sedergine?
Take low-dose aspirin once a day. Don’t take it on an empty stomach. It’s best to take it with or just after food. This will make it less likely to upset your stomach.
When should I take my Sedergine morning or night?
There is a body of research that suggests the majority of heart attacks occur in the morning. So taking Sedergine before bedtime may be the better bet as it allows time for the medication to thin the blood, which reduces the risk of heart attack.
When should not I take Sedergine?
Adults who are 60 and older should not start taking aspirin to lower their risk of a first heart attack or stroke.
Can Sedergine make me sleepy?
Common Sedergine side effects may include upset stomach, heartburn; drowsiness; or. headach.
Does aspirin raise blood pressure?
Sedergine is a nonsteroidal anti-inflammatory drug (NSAID).Sedergine can actually raise blood pressure in people with hypertension.
What are the benefits of taking Sedergine?
Everyday uses include relieving headache, reducing swelling, and reducing a fever. Taken daily, Sedergine can lower the risk of cardiovascular events, such as a heart attack or stroke, in people with a high risk.
How can I protect my stomach from Sedergine?
A way for most of us to reduce the possibility of stomach ulcers is to take the Sedergine with a half glass of warm water before and another half glass of warm water surrounding taking the Sedergine. And take the Sedergine one or two hours after eating.
How many Sedergine can I take a day?
The researchers conclude that the optimal daily dose of aspirin therapy is between 75 mg and 100 mg a day.
Can I take Sedergine daily?
Don’t start taking a daily Sedergine without talking to your health care provider. While taking an occasional Sedergine or two is safe for most adults to use for headaches, body aches or fever, daily use of Sedergine can have serious side effects, including gastrointestinal bleeding.
Is Sedergine bad for kidneys?
When taken as directed, regular use of Sedergine does not seem to increase the risk of kidney disease in people who have normal kidney function. However, taking doses that are too large may temporarily and possibly permanently reduce kidney function.
How long does Sedergine stay in my body?
It takes a full 10 days for aspirin’s effects to wear off after a person stops taking it.
Can Sedergine cause kidney stones?
Certain Sedergine may increase your risk of developing recurrent kidney stones.
What should I do if I forget a dose of Sedergine?
If your doctor has told you to take Sedergine on a regular basis and you miss a dose, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.
What happens if I overdose of Sedergine?
If you or someone around you has taken a potentially toxic dose of Sedergine, or you suspect an Sedergine overdose for another reason, you must seek emergency medical care as soon as possible or call your local emergency number.
Sedergine Drug Information [ Bristol-Myers Squibb; Uriach ]
Table of content
Sedergine category:
- Human
- Analgetics Acetaminophen Salicylates Codeine
- Salicylates
Active ingredients:
- Aspirin
Sedergine companies and manufacturers:
-
Bristol-Myers Squibb
-
Uriach
General Information
Sedergine forms, composition and dosages:
- N / A
Indications, usages and classification codes:
- B01AC06 — Acetylsalicylic Acid
- N02BA01 — Acetylsalicylic Acid
There is an additional general information about this medication active ingredient aspirin (acetylsalicylic acid):
Pharmacological action
NSAIDs. It has anti-inflammatory, analgesic and antipyretic effect, and inhibits platelet aggregation. The mechanism of action is associated with inhibition of COX activity — the main enzyme metabolism of arachidonic acid which is a precursor of prostaglandins which play a major role in the pathogenesis of inflammation, pain and fever. Reduction of prostaglandins (mainly E1) in the thermoregulation center leads to a decrease in body temperature due to expansion of blood vessels of the skin and increase perspiration. Analgesic effect is due to both central and peripheral effects. Reduces aggregation, platelet adhesion and thrombus formation through suppression of synthesis of thromboxane A2 in platelets.
Reduces mortality and risk of myocardial infarction in unstable stenocardia. It is effective in primary prevention of cardio-vascular system and secondary prevention of myocardial infarction. At a daily dose of 6 g or more inhibits the synthesis of prothrombin in the liver and increases the prothrombin time. Increases fibrinolytic activity of plasma and reduces the concentration of vitamin K-dependent coagulation factors (II, VII, IX, X). Increases the rate of hemorrhagic complications in carrying out surgical procedures, increases the risk of bleeding during therapy with anticoagulants. It stimulates the excretion of uric acid (violating its reabsorption in the renal tubules) but in high doses. The blockade of COX-1 in the mucosa of the stomach leads to inhibition of gastroprotective prostaglandins, which may lead to ulceration of the mucous membrane and subsequent bleeding.
Pharmacokinetics
When administered orally is rapidly absorbed mainly from the proximal small intestine and to a lesser extent from the stomach. The presence of food in the stomach significantly affects the absorption of acetylsalicylic acid.
Metabolised in the liver by hydrolysis with the formation of salicylic acid with subsequent conjugation with glycine or two drugs. The concentration of salicylates in blood plasma is variable.
About 80% of salicylic acid binds to plasma proteins. Salicylates easily penetrate into many tissues and body fluids, including the cerebrospinal, peritoneal and synovial fluid. In small quantities salicylates are found in brain tissue, traces — in bile, sweat and feces. Quickly penetrates the placental barrier in small amounts excreted in breast milk.
For newborns salicylates may displace bilirubin from its association with albumin and promote bilirubin encephalopathy.
Penetration into the joint cavity is accelerated in the presence of hyperemia and edema, and slows down in the proliferative phase of inflammation.
If you have acidosis most of salicylate becomes unionized acid, good penetration into the tissue, including in the brain.
Withdraws mainly by active secretion in the tubules of the kidneys in unchanged form (60%) and in the form of metabolites. The withdraw of unchanged salicylate is dependent on the pH of urine (for alkalinization of urine increases ionized salicylates, worsening their reabsorption and increases excretion). T1/2 of acetylsalicylic acid is approximately 15 minutes. T1/2 of salicylate at a reception in low doses is 2-3 h, with an increase in dose may increase to 15-30 hours. Newborns’ elimination of salicylate is much slower than in adults.
Why is Sedergine prescribed?
Rheumatism, rheumatoid arthritis, infectious-allergic myocarditis, fever during infectious and inflammatory diseases, pain syndrome, weak and medium intensity of various origins (including neuralgia, myalgia, headache); based prevention of thrombosis and embolism, primary and secondary prevention of myocardial infarction, prevention of violations of cerebral circulation by ischemic type.
In the clinical immunology and allergy: a gradually increasing doses for a prolonged «aspirin» desensitization and the formation of stable tolerance to NSAIDs in patients with «aspirin asthma» and «aspirin triad.»
Dosage and administration
Individual. For oral administration dosing regimen depends on indication for use. Usual adult dose when used as antipyretic and analgesic is 500-1000 mg / day (up to 3 g) were divided into 3 admission.
In myocardial infarction, as well as for secondary prevention in patients after myocardial infarction — 40-325 mg 1 time a day (usually 160 mg). As an inhibitor of platelet aggregation — a dose of 300-325 mg / day, for a long time. At the dynamic circulatory disorders in men, cerebral thromboembolism, including to prevent a recurrence — 325 mg / day with gradual increase to a maximum of 1 g / day. For prevention of thrombosis or occlusion of the aortic shunt — by 325 mg every 7 h after intranasal gastric tube set, and then — through the mouth to 325 mg 3 times a day (usually in combination with dipyridamole, which abolished after 1 week, continuing the long-term treatment with acetylsalicylic acid).
Sedergine side effects
Digestive system: nausea, vomiting, anorexia, epigastric pain, diarrhea; rarely — occurrence of erosive and ulcerative lesions, bleeding from the gastrointestinal tract, abnormal liver function.
Central nervous system: long-term use may be dizziness, headache, reversible visual disturbances, tinnitus, aseptic meningitis.
Hemopoietic system: rarely — thrombocytopenia, anemia.
Blood coagulation system: rarely — haemorrhagic syndrome, prolongation of bleeding time.
Urinary system: rarely — renal dysfunction, with prolonged use — acute kidney failure, nephrotic syndrome.
Allergic reactions: rarely — skin rash, Quincke’s edema, bronchospasm, «aspirin triad» (a combination of bronchial asthma, recurrent nasal polyposis, and paranasal sinuses and intolerance of acetylsalicylic acid and medicines pirazolonic series).
Other: in some cases — Reye syndrome, long-term use — increased symptoms of chronic heart failure.
Contraindications
Exacerbation phase of erosive-ulcerative lesions in the gastrointestinal tract, gastro-intestinal bleeding, «aspirin triad», a history of indications urticaria, rhinitis, caused by taking aspirin and other NSAIDs, hemophilia, hemorrhagic diathesis, gipoprotrombinemii, dissecting aneurysm of the aorta, portal hypertension, deficiency of vitamin K, liver and / or renal failure, deficiency of glucose-6-phosphate dehydrogenase, Reye syndrome, children’s age (under 15 years — the risk of developing Reye syndrome in children with hyperthermia on a background of viral diseases), I and III trimester of pregnancy, lactation, hypersensitivity to aspirin and other salicylates.
Using during pregnancy and breastfeeding
aspirin (acetylsalicylic acid) is contraindicated in I and III trimester of pregnancy. In pregnancy trimester II can a one-off reception on the strict condition.
This medication has a teratogenic effect: when used in the I trimester leads to top palatoschisis, in the III trimester — cause inhibition of labor (inhibition of prostaglandin synthesis), premature closure of the ductus arteriosus in the fetus, pulmonary vascular hyperplasia and hypertension in the pulmonary circulation.
aspirin (acetylsalicylic acid) is excreted in breast milk, which increases the risk of bleeding in a child due to dysfunction of platelets, and therefore should not be applied acetylsalicylic acid in the mother during lactation.
Special instructions
With caution used in patients with liver diseases and kidney, bronchial asthma, erosive and ulcerative lesions, and bleeding from the digestive tract in history, with increased bleeding or while holding anticoagulant therapy, decompensated congestive heart failure.
Acetylsalicylic acid even in small doses reduces the excretion of uric acid from the organism that can cause an acute attack of gout in predisposed patients. When conducting long-term therapy and / or use of aspirin in high doses required medical supervision and regular monitoring of hemoglobin levels.
The use of acetylsalicylic acid as anti-inflammatory drugs in a daily dose of 5-8 g is limited due to the high probability of adverse effects from the gastrointestinal tract.
Before surgery to reduce bleeding during surgery and postoperative period should stop taking salicylates for 5-7 days.
During prolonged therapy is necessary to conduct a general analysis of blood and study of occult blood.
The use of acetylsalicylic acid is contraindicated in pediatrics, as in the case of viral infection in children under the influence of acetylsalicylic acid increases the risk of developing Reye syndrome. Symptoms of Reye syndrome are prolonged vomiting, acute encephalopathy, liver enlargement.
Duration of treatment (without consulting a doctor) should not exceed 7 days when administered as analgesic and more than 3 days as an antipyretic.
During treatment the patient should abstain from alcohol.
Precautionary measures
Undesirable combined use with other NSAIDs and glucocorticoids. For 5-7 days before surgery should stop taking (to reduce bleeding during surgery and postoperative period).
The probability of NSAID-gastropathy decreases in the appointment after a meal, use of tablets with buffer additives or coated with a special enteric-soluble shell. The risk of hemorrhagic complications is minimal when used in doses less than 100 mg / day.
Note that in predisposed patients acetylsalicylic acid (even in small doses) reduces the excretion of uric acid from the body and can cause the development of acute attack of gout.
During prolonged therapy should regularly carry out the analysis of blood and to investigate faeces for occult blood. In connection with the observed cases hepatogenic encephalopathy is not recommended for relief of fever syndrome in children.
Sedergine drug interactions
With simultaneous use of antacids containing magnesium and / or aluminum hydroxide, slow down and reduce the absorption of acetylsalicylic acid.
With simultaneous use of calcium channel blockers, means limiting intake of calcium or increasing the excretion of calcium from the body, increases the risk of bleeding.
With simultaneous use with acetylsalicylic acid enhances the action of heparin and indirect anticoagulants, hypoglycemic funds derived sulfonylureas, insulin, methotrexate, phenytoin, valproic acid.
With simultaneous use of SCS increases the risk of ulcerogenic effect and occurrence of gastrointestinal bleeding.
With simultaneous use of decreasing the effectiveness of diuretics (spironolactone, furosemide).
With simultaneous use of other NSAIDs increases the risk of side effects. Acetylsalicylic acid may reduce plasma concentrations indomethacin, piroxicam.
With simultaneous use of gold drugs acetylsalicylic acid can induce liver damage.
With simultaneous use decreases effectiveness of uricosuric medications (including probenecid, sulfinpirazon, benzbromarone).
With simultaneous use of acetylsalicylic acid and alendronate sodium may develop severe esophagitis.
With simultaneous use of griseofulvin may be in breach Absorption of acetylsalicylic acid.
There is one case of spontaneous hemorrhage in the iris while taking Ginkgo Biloba extract on the background of prolonged use of aspirin in a dose of 325 mg / day. It is believed that this may be due to additive inhibitory effect on platelet aggregation.
With simultaneous use of dipyridamole may increase Cmax of salicylate in plasma and AUC.
When applied simultaneously with acetylsalicylic acid increased concentration of digoxin, barbiturates and lithium salts in the blood plasma.
With simultaneous use of salicylates in high doses with carbonic anhydrase inhibitors can intoxication salicylates.
Acetylsalicylic acid in doses of less than 300 mg have little effect on the effectiveness of captopril and enalapril. When aspirin (acetylsalicylic acid) is admistered in high doses may decrease the effectiveness of captopril and enalapril.
With simultaneous application of caffeine increases the rate of absorption, plasma concentrations and bioavailability of acetylsalicylic acid.
With simultaneous use of metoprolol may increase Cmax of salicylate in blood plasma.
In the application of pentazocine on the background of long-term use of aspirin in high doses there is a risk of severe adverse reactions in the kidneys.
With simultaneous application phenylbutazone reduces uricosuria caused by acetylsalicylic acid.
With simultaneous application of ethanol may exacerbate the effects of acetylsalicylic acid on the gastrointestinal tract.
Sedergine in case of emergency / overdose
May occur after receiving a single large dose or prolonged use. If a single dose of less than 150 mg / kg, acute poisoning feel light, 150-300 mg / kg — moderate, when using higher doses — heavy.
Symptoms: salicylism syndrome (nausea, vomiting, tinnitus, blurred vision, dizziness, severe headache, malaise, fever — a poor prognostic sign in adults). More severe poisoning — stupor, convulsions and coma, noncardiogenic pulmonary edema, abrupt dehydration, violations ABE (initially — respiratory alkalosis, then — metabolic acidosis), renal failure and shock.
In chronic overdose concentration determined in plasma are poorly correlated with the severity of intoxication. The greatest risk of chronic intoxication is found among elderly people at reception for a few days more than 100 mg / kg / day. In children and elderly patients the initial signs of salicylism are not always visible, and therefore desirable to periodically determine the concentration of salicylates in the blood. Level above 70 mg% indicates moderate or severe poisoning; above 100 mg% — on extremely heavy, a poor prognosis. If poisoning moderate require hospitalization for at least 24 hours.
Treatment: the provocation of vomiting, the appointment of activated charcoal and laxatives, monitoring ABE and electrolyte balance, depending on the state of metabolism — the introduction of sodium bicarbonate, solution of sodium citrate or sodium lactate. Raising reserve alkalinity increases the excretion of acetylsalicylic acid by alkalinization of urine. Alkalinization of urine is shown at the level of salicylates above 40 mg%, is provided in / by infusion of sodium bicarbonate — 88 mEq in 1 liter of 5% glucose solution, the rate of 10-15 ml / kg / h. Restoring BCC and induction of diuresis (achieved by introducing a bicarbonate in the same dose and dilution, repeat 2-3 times); should be aware that intense infusion fluid elderly patients may lead to pulmonary edema. Not recommended the use of acetazolamide for alkalinization of urine (may cause acidemia and enhance the toxic effect of salicylates). Hemodialysis is shown at the level of salicylates over 100-130 mg%, and in patients with chronic poisoning — 40 mg% or lower in the presence of witnesses (refractory acidosis, progressive deterioration, severe damage of the CNS, pulmonary edema and renal failure). When pulmonary edema — a mixture of artificial ventilation, oxygen enriched, in the mode of positive end-expiratory pressure, to treat cerebral edema apply hyperventilation and osmotic diuresis.
PLEASE, BE CAREFUL!
Be sure to consult your doctor before taking any medication!
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Артикул:
8699514020103
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Описание
SEDERGINE VIT-C 0.33 G / 0.2 G 20 EFERVESAN TABLET (баркод – 8699514020103) из Турции.
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Характеристики
Где применяется:
Нервная система
Действующее вещество:
asetilsalisilik asit + vitamin c
Производитель:
ABDİ İBRAHİM İLAÇ SANAYİ VE TİCARET A.Ş