Установленный дефицит магния, изолированный или связанный с другими дефицитными состояниями, сопровождающийся такими симптомами, как: повышенная раздражительность, незначительные нарушения сна, желудочно-кишечные спазмы, учащенное сердцебиение, повышенная утомляемость, боли и спазмы мышц, ощущение покалывания в мышцах.
Противопоказания
Повышенная чувствительность к компонентам препарата.
Тяжелая почечная недостаточность (клиренс креатинина менее 30 мл/минуту).
Детский возраст до 1 года.
Одновременный прием леводопы (см. раздел «Взаимодействие с другими лекарственными средствами»).
С осторожностью
При умеренной степени почечной недостаточности, так как существует риск развития гипермагниемии.
Прозрачная жидкость коричневого цвета с запахом карамели.
Раствор для приема внутрь.
По 10 мл препарата в ампулы темного стекла (гидролитический класс III ЕФ), запаянные с двух сторон, с линией разлома и нанесением двух маркировочных колец на каждую из сторон. По 10 ампул в упаковочном вкладыше из картона вместе с инструкцией по применению помещают в картонную пачку.
Фармакологические свойства
Фармакодинамика: Магний является жизненно важным элементом, который находится во всех тканях организма и необходим для нормального функционирования клеток, участвует в большинстве реакций обмена веществ. В частности, он участвует в регуляции передачи нервных импульсов и в сокращении мышц. Организм получает магний вместе с пищей. Недостаток магния в организме может наблюдаться при нарушении режима питания (диета) или при увеличении потребности в магнии (при повышенной физической и умственной нагрузке, стрессе, беременности, применении диуретиков).
Пиридоксин (витамин В6) участвует во многих метаболических процессах, в регуляции метаболизма нервной системы. Витамин В6 улучшает всасывание магния из желудочно-кишечного тракта и его проникновение в клетки.
Уровни магния в сыворотке:
от 12 до 17 мг/л (0,5 – 0,7 ммоль/л) - умеренная недостаточность магния;
ниже 12 мг/л (0,5 ммоль/л) - тяжелый дефицит магния.
Фармакокинетика
Всасывание магния в желудочно-кишечном тракте составляет не более 50% от принимаемой внутрь дозы. 99% магния в организме находится внутри клеток. Примерно 2/3 внутриклеточного магния распределяется в костной ткани, 1/3 находится в гладкой и поперечно-полосатой мышечной ткани. Магний выводится преимущественно с мочой (по меньшей мере, 1/3 от принятой дозы магния).
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, учащенное сердцебиение, повышенная утомляемость, боли и спазмы мышц, ощущение покалывания в мышцах.
Противопоказания
Повышенная чувствительность к компонентам препарата.
Тяжелая почечная недостаточность (клиренс креатинина менее 30 мл/минуту).
Детский возраст до 1 года.
Одновременный прием леводопы (см. раздел «Взаимодействие с другими лекарственными средствами»).
С осторожностью
При умеренной степени почечной недостаточности, так как существует риск развития гипермагниемии.
Применение при беременности и в период грудного вскармливания
Магний проникает в грудное молоко. Следует избегать применения препарата в период лактации и кормления грудью.
Способ применения и дозы
Перед приемом препарата необходимо проконсультироваться с врачом.
Препарат может использоваться для детей от 1 года.
Взрослым рекомендуется принимать 3-4 ампулы в сутки.
Детям старше 1 года (масса тела более 10 кг) суточная доза составляет 10-30 мг магния/кг массы тела (0,4 – 1,2 ммоль магния/кг) или 1-4 ампулы.
Суточную дозу следует разделить на 2-3 приема, принимать во время еды.
Раствор из ампул перед приемом растворяют в ½ стакана воды.
Лечение следует прекратить сразу же после нормализации концентрации магния в крови.
Побочное действие
По данным Всемирной организации здравоохранения (ВОЗ) нежелательные эффекты классифицированы в соответствии с их частотой развития следующим образом: очень часто (≥ 1/10), часто (≥1/100, <1/10), нечасто (≥1/1000, <1/100), редко (≥1/10000, <1/1000) и очень редко (<1/10000); частота неизвестна (частоту возникновения явлений нельзя определить на основании имеющихся данных).
Нарушения со стороны иммунной системы:
Очень редко: аллергические реакции. Частота неизвестна: кожные реакции (крапивница, зуд), тяжелые аллергические реакции, в том числе, бронхоспазм
Нарушения со стороны желудочно-кишечного тракта:
Частота неизвестна: диарея, боли в животе.
Передозировка
Симптомы
При нормальной функции почек передозировка магния при его приеме внутрь обычно не приводит к возникновению токсических реакций. Однако в случае почечной недостаточности возможно развитие отравления магнием.
Симптомы передозировки, выраженность которых зависит от концентрации магния в 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
Регидратация, форсированный диурез. При почечной недостаточности необходим гемодиализ или перитонеальный диализ.
Взаимодействие с другими лекарственными средствами
Противопоказанные комбинации
‒ С леводопой: активность леводопы ингибируется пиридоксином (если прием этого препарата не сочетается с приемом ингибиторов периферической декарбоксилазы ароматических L-аминокислот). Следует избегать приема любого количества пиридоксина, если леводопа не принимается в сочетании с ингибиторами периферической декарбоксилазы ароматических L-аминокислот.
Нерекомендуемые комбинации
‒ Одновременное применение препаратов, содержащих фосфаты или соли кальция, может ухудшать всасывание магния в кишечнике.
Комбинации, которые следует принимать во внимание
‒ При назначении внутрь тетрациклинов необходимо соблюдать интервал не менее трех 4
часов между приемом внутрь тетрациклина и Магне В6, так как препараты магния уменьшают всасывание тетрациклинов.
Особые указания
В случае тяжелой степени дефицита магния или синдрома мальабсорбции, лечение начинают с внутривенного введения препаратов магния.
В случае сопутствующего дефицита кальция, рекомендуется устранить дефицит магния до начала приема препаратов кальция или пищевых добавок, содержащих кальций.
При частом употреблении слабительных средств, алкоголя, напряженных физических и психических нагрузках потребность в магнии возрастает, что может привести к развитию дефицита магния в организме.
Раствор для приема внутрь содержит сульфит, который может вызывать или усиливать проявления аллергических реакций, включая анафилактические реакции, особенно у пациентов группы риска.
При применении пиридоксина в высоких дозах (более 200 мг в сутки) в течение длительного времени (в течение нескольких месяцев или в некоторых случаях - лет) может развиться сенсорная аксональная нейропатия, которая сопровождается такими симптомами, как онемение, нарушения проприоцептивной чувствительности, тремор дистальных отделов конечностей и постепенно развивающаяся сенсорная атаксия (нарушения координации движений). Эти нарушения обычно являются обратимыми и проходят после прекращения приема витамина В6.
Условия хранения
В защищенном от света месте при температуре не выше 25 °С. Хранить в недоступном для детей месте.
Срок годности
3 года. Препарат нельзя применять после истечения срока годности.
Условия отпуска
Отпускается без рецепта.
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вещества:\u003cbr /\u003e\nмагния лактата дигидрат* - 186 мг;\u003cbr /\u003e\nмагния пидолат* - 936 мг;\u003cbr /\u003e\nпиридоксина гидрохлорид - 10 мг;\u003cbr /\u003e\nВспомогательные вещества:\u003cbr /\u003e\nнатрия дисульфит - 15 мг,\u003cbr /\u003e\nнатрия сахаринат - 15 мг,\u003cbr /\u003e\nароматизатор вишнево-карамельный - 0,3 мл,\u003cbr /\u003e\nвода очищенная до 10 мл.\u003cbr /\u003e\n* - эквивалентно суммарному содержанию магния (Mg++) 100 мг."}}]},{"id":2,"name":"Описание","slug":"common_description","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Прозрачная жидкость коричневого цвета с запахом карамели. \u003cbr /\u003e\nРаствор для приема внутрь.\u003cbr /\u003e\nПо 10 мл препарата в ампулы темного стекла (гидролитический класс III ЕФ), запаянные с двух сторон, с линией разлома и нанесением двух маркировочных колец на каждую из сторон. По 10 ампул в упаковочном вкладыше из картона вместе с инструкцией по применению помещают в картонную пачку."}}]},{"id":3,"name":"Фармакологические свойства","slug":"pharmacologic_effects","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Фармакодинамика: Магний является жизненно важным элементом, который находится во всех тканях организма и необходим для нормального функционирования клеток, участвует в большинстве реакций обмена веществ. В частности, он участвует в регуляции передачи нервных импульсов и в сокращении мышц. Организм получает магний вместе с пищей. Недостаток магния в организме может наблюдаться при нарушении режима питания (диета) или при увеличении потребности в магнии (при повышенной физической и умственной нагрузке, стрессе, беременности, применении диуретиков). \u003cbr /\u003e\n\u003cbr /\u003e\nПиридоксин (витамин В6) участвует во многих метаболических процессах, в регуляции метаболизма нервной системы. Витамин В6 улучшает всасывание магния из желудочно-кишечного тракта и его проникновение в клетки.\n\u003cbr /\u003e\nУровни магния в сыворотке:\u003cbr /\u003e\n\u003cbr /\u003e\nот 12 до 17 мг/л (0,5 – 0,7 ммоль/л) - умеренная недостаточность магния;\nниже 12 мг/л (0,5 ммоль/л) - тяжелый дефицит магния.\u003cbr /\u003e\n\u003cbr /\u003e\nФармакокинетика\n\u003cbr /\u003e\nВсасывание магния в желудочно-кишечном тракте составляет не более 50% от принимаемой внутрь дозы. 99% магния в организме находится внутри клеток. Примерно 2/3 внутриклеточного магния распределяется в костной ткани, 1/3 находится в гладкой и поперечно-полосатой мышечной ткани. Магний выводится преимущественно с мочой (по меньшей мере, 1/3 от принятой дозы магния)."}}]},{"id":4,"name":"Показания к применению","slug":"indications","displayInMenu":true,"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, учащенное сердцебиение, повышенная утомляемость, боли и спазмы мышц, ощущение покалывания в мышцах."}}]},{"id":5,"name":"Противопоказания","slug":"contraindications","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Повышенная чувствительность к компонентам препарата.\u003cbr /\u003e\nТяжелая почечная недостаточность (клиренс креатинина менее 30 мл/минуту).\u003cbr /\u003e\nДетский возраст до 1 года.\u003cbr /\u003e\nОдновременный прием леводопы (см. раздел «Взаимодействие с другими лекарственными средствами»).\u003cbr /\u003e\n\u003cbr /\u003e\nС осторожностью\u003cbr /\u003e\nПри умеренной степени почечной недостаточности, так как существует риск развития гипермагниемии."}}]},{"id":6,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Магний проникает в грудное молоко. Следует избегать применения препарата в период лактации и кормления грудью."}}]},{"id":7,"name":"Способ применения и дозы","slug":"dosage","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Перед приемом препарата необходимо проконсультироваться с врачом.\u003cbr /\u003e\nПрепарат может использоваться для детей от 1 года.\u003cbr /\u003e\nВзрослым рекомендуется принимать 3-4 ампулы в сутки.\u003cbr /\u003e\nДетям старше 1 года (масса тела более 10 кг) суточная доза составляет 10-30 мг магния/кг массы тела (0,4 – 1,2 ммоль магния/кг) или 1-4 ампулы.\u003cbr /\u003e\nСуточную дозу следует разделить на 2-3 приема, принимать во время еды.\u003cbr /\u003e\nРаствор из ампул перед приемом растворяют в ½ стакана воды.\u003cbr /\u003e\nЛечение следует прекратить сразу же после нормализации концентрации магния в крови."}}]},{"id":8,"name":"Побочное действие","slug":"side_effects","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"По данным Всемирной организации здравоохранения (ВОЗ) нежелательные эффекты классифицированы в соответствии с их частотой развития следующим образом: очень часто (≥ 1/10), часто (≥1/100, \u003c1/10), нечасто (≥1/1000, \u003c1/100), редко (≥1/10000, \u003c1/1000) и очень редко (\u003c1/10000); частота неизвестна (частоту возникновения явлений нельзя определить на основании имеющихся данных).\u003cbr /\u003e\nНарушения со стороны иммунной системы:\u003cbr /\u003e\nОчень редко: аллергические реакции. Частота неизвестна: кожные реакции (крапивница, зуд), тяжелые аллергические реакции, в том числе, бронхоспазм\u003cbr /\u003e\nНарушения со стороны желудочно-кишечного тракта:\u003cbr /\u003e\nЧастота неизвестна: диарея, боли в животе."}}]},{"id":9,"name":"Передозировка","slug":"overdose","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Симптомы\u003cbr /\u003e\nПри нормальной функции почек передозировка магния при его приеме внутрь обычно не приводит к возникновению токсических реакций. Однако в случае почечной недостаточности возможно развитие отравления магнием.\u003cbr /\u003e\nСимптомы передозировки, выраженность которых зависит от концентрации магния в 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.\u003cbr /\u003e\n\u003cbr /\u003e\nЛечение\u003cbr /\u003e\n\u003cbr /\u003e\nРегидратация, форсированный диурез. При почечной недостаточности необходим гемодиализ или перитонеальный диализ."}}]},{"id":10,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Противопоказанные комбинации\u003cbr /\u003e\n‒ С леводопой: активность леводопы ингибируется пиридоксином (если прием этого препарата не сочетается с приемом ингибиторов периферической декарбоксилазы ароматических L-аминокислот). Следует избегать приема любого количества пиридоксина, если леводопа не принимается в сочетании с ингибиторами периферической декарбоксилазы ароматических L-аминокислот.\u003cbr /\u003e\nНерекомендуемые комбинации\u003cbr /\u003e\n‒ Одновременное применение препаратов, содержащих фосфаты или соли кальция, может ухудшать всасывание магния в кишечнике.\nКомбинации, которые следует принимать во внимание\u003cbr /\u003e\n‒ При назначении внутрь тетрациклинов необходимо соблюдать интервал не менее трех 4\nчасов между приемом внутрь тетрациклина и Магне В6, так как препараты магния уменьшают всасывание тетрациклинов."}}]},{"id":11,"name":"Особые указания","slug":"cautions","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"В случае тяжелой степени дефицита магния или синдрома мальабсорбции, лечение начинают с внутривенного введения препаратов магния.\u003cbr /\u003e\nВ случае сопутствующего дефицита кальция, рекомендуется устранить дефицит магния до начала приема препаратов кальция или пищевых добавок, содержащих кальций.\u003cbr /\u003e\nПри частом употреблении слабительных средств, алкоголя, напряженных физических и психических нагрузках потребность в магнии возрастает, что может привести к развитию дефицита магния в организме.\u003cbr /\u003e\nРаствор для приема внутрь содержит сульфит, который может вызывать или усиливать проявления аллергических реакций, включая анафилактические реакции, особенно у пациентов группы риска.\u003cbr /\u003e\nПри применении пиридоксина в высоких дозах (более 200 мг в сутки) в течение длительного времени (в течение нескольких месяцев или в некоторых случаях - лет) может развиться сенсорная аксональная нейропатия, которая сопровождается такими симптомами, как онемение, нарушения проприоцептивной чувствительности, тремор дистальных отделов конечностей и постепенно развивающаяся сенсорная атаксия (нарушения координации движений). Эти нарушения обычно являются обратимыми и проходят после прекращения приема витамина В6."}}]},{"id":12,"name":"Условия хранения","slug":"storage","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"В защищенном от света месте при температуре не выше 25 °С. Хранить в недоступном для детей месте."}}]},{"id":13,"name":"Срок годности","slug":"expiry_date","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"3 года. Препарат нельзя применять после истечения срока годности."}}]},{"id":14,"name":"Условия отпуска","slug":"release_condition","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Отпускается без рецепта."}}]}],"source":null},"description_toggle":false,"short_description":"Фармакодинамика: Магний является жизненно важным элементом, который находится во всех тканях организма и необходим для нормального функционирования клеток, участвует в большинстве реакций обмена веществ. В частности, он участвует в регуляции передачи нервных импульсов и в сокращении мышц. Организм получает магний вместе с пищей. Недостаток магния в организме может наблюдаться при нарушении режима питания (диета) или при увеличении потребности в магнии (при повышенной физической и умственной нагрузке, стрессе, беременности, применении диуретиков). Пиридоксин (витамин В6) участвует во многих метаболических процессах, в регуляции метаболизма нервной системы. Витамин В6 улучшает всасывание магния из желудочно-кишечного тракта и его проникновение в клетки. Уровни магния в сыворотке: от 12 до 17 мг/л (0,5 – 0,7 ммоль/л) - умеренная недостаточность магния; ниже 12 мг/л (0,5 ммоль/л) - тяжелый дефицит магния. Фармакокинетика Всасывание магния в желудочно-кишечном тракте составляет не более 50% от принимаемой внутрь дозы. 99% магния в организме находится внутри клеток. 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