детский возраст (эффективность и безопасность не установлены); - беременность (отсутствует достаточный опыт применения препарата); - грудное вскармливание (отсутствует достаточный опыт применения препарата); - повышенная чувствительность к компонентам препарата.
Тиоктовая (α-липоевая) кислота - эндогенный антиоксидант (связывает свободные радикалы), образуется в организме при окислительном декарбоксилировании α-кетокислот. В качестве кофермента митохондриальных мультиферментных комплексов участвует в окислительном карбоксилировании пировиноградной кислоты и α-кетокислот. Способствует снижению содержания глюкозы в крови и увеличению содержания гликогена в печени, а также преодолению инсулинорезистентности. По характеру биохимического действия близка к витаминам группы В. Участвует в регулировании липидного и углеводного обмена, стимулирует обмен холестерина, улучшает функцию печени. Оказывает гепатопротекторное, гиполипидемическое, гипохолестеринемическое, гипогликемическое действие. Использование этилендиаминовой соли тиоктовой кислоты в растворах для в/в введения (имеющей нейтральную реакцию) позволяет уменьшить выраженность побочных реакций.
детский возраст (эффективность и безопасность не установлены); - беременность (отсутствует достаточный опыт применения препарата); - грудное вскармливание (отсутствует достаточный опыт применения препарата); - повышенная чувствительность к компонентам препарата.
Применение при беременности и в период грудного вскармливания
Применение Берлитион 300 при беременности и в период лактации противопоказано из-за отсутствия достаточных клинических данных, подтверждающих безопасность и эффективность применения препарата у данной категории пациентов.
Способ применения и дозы
Суточная доза составляет 300-600 мг (1-2 ампулы). 1-2 ампулы препарата (12-24 мл раствора) разводят в 250 мл 0.9% раствора натрия хлорида и вводят в/в капельно в течение приблизительно 30 мин. В начале курса лечения препарат вводят в/в в течение 2-4 недель. Затем можно продолжить прием тиоктовой кислоты внутрь в дозе 300-600 мг/сут.
Побочное действие
Со стороны ЦНС: очень редко - судороги, диплопия; при быстром в/в введении возможны ощущения тяжести в голове (повышение внутричерепного давления) и затруднения дыхания, которые проходят самостоятельно. Со стороны свертывающей системы крови: очень редко - петехии на коже и слизистых оболочках, тромбоцитопатия, геморрагическая сыпь (пурпура), тромбофлебит. Со стороны обмена веществ: возможно - гипогликемия (в связи с улучшением усвоения глюкозы). Аллергические реакции: возможно - крапивница, системные аллергические реакции вплоть до анафилактического шока. Местные реакции: возможно - жжение в месте инъекции.
Передозировка
Симптомы: головная боль, тошнота, рвота. Лечение: симптоматическое. Специфического антидота нет.
Особые указания
У больных сахарным диабетом необходим постоянный контроль концентрации глюкозы в крови, особенно на начальной стадии терапии. В некоторых случаях необходимо уменьшить дозу инсулина или перорального гипогликемического препарата, чтобы избежать развития гипогликемии. Пациентам, получающим Берлитион 300, следует воздержаться от употребления алкоголя.
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