Фармакокинетика: Всасывание магния в желудочно-кишечном трак... Инструкция
Показания к применению
Профилактика дефицита магния и связанные с ним состояния: нервно-мышечные нарушения (мышечная слабость, дрожание, спазмы, судороги), психические нарушения (бессонница, раздражительность, состояние тревоги), нарушения сердечного ритма и деятельности желудочно-кишечного тракта (боли, спазмы, вздутие кишечника).
Противопоказания
Тяжелая почечная недостаточность (клиренс креатинина меньше 30 мл/мин.), повышенная чувствительность к компонентам препарата, детский возраст до 6 лет.
Круглые плоскоцилиндрические со скошенным краем таблетки белого или белого со слегка желтовато-зеленоватым оттенком цвета, с разделительной полоской с одной стороны, со слабым специфическим запахом.
Описание
Магний – жизненно важный элемент. Играет важную роль в деятельности нервной системы, участвует в регуляции передачи нервных импульсов и в сокращении мышц, в большинстве реакций обмена веществ, играет важную физиологическую роль в поддержании ионного баланса, участвует в энергетических процессах (АТФ, являющийся химическим источником энергии, может вступать в процесс образования энергии только в форме магниевой соли).
Витамин В6 играет важную роль в обмене веществ, способствует поддержанию структуры и функции костей, зубов, десен; оказывает влияние на эритропоэз, способствует нормальному функционированию нервной системы и дополняет эффект магния.
Витамин В12 и фолиевая кислота участвуют во многих ферментативных реакциях и оказывают благотворное влияние на нервную и кроветворные системы.
Фармакотерапевтическая группа
Магния препарат.
Фармакологические свойства
Фармакокинетика:
Всасывание магния в желудочно-кишечном тракте составляет не более 50% от принимаемой дозы. В организме 99% магния находится внутри клеток. Примерно 2/3 внутриклеточного магния распределяется в костной ткани, а 1/3 находится в гладкой и поперечно-полосатой мышечной ткани. Выводится с мочой. Клубочковая фильтрация составляет 70% от плазменной, канальцевая реабсорбция – 95-97%. С мочой выводится по меньшей мере 1/3 от принимаемой дозы магния.
Пиридоксина гидрохлорид всасывается быстро на всем протяжении тонкого кишечника, большее количество абсорбируется в тощей кишке. Метаболизируется в печени с образованием фармакологически активных метаболитов (пиридоксаль фосфат и пиридоксаминофосфат). Пиридоксаль фосфат с белками плазмы связывается на 90%. Хорошо проникает во все ткани; накапливается преимущественно в печени, меньше – в мышцах и ЦНС. Проникает через плаценту, секретируется с грудным молоком. T1/2 – 15-20 дней. Выводится почками (при в/в введении – с желчью 2%), а также в ходе гемодиализа. Около 8-10% препарата выводится с мочой в неизмененном виде.
Фолиевая кислота хорошо и полно всасывается в желудочно-кишечном тракте, преимущественно в верхних отделах 12-перстной кишки. Интенсивно связывается с белками плазмы. Проникает через гематоэнцефалический барьер, плаценту и в грудное молоко. Время достижения максимальной концентрации – 60 минут. Депонируется и метаболизируется в печени с образованием тетрагидрофолиевой кислоты (в присутствии аскорбиновой кислоты под действием дигидрофолатредуктазы). Выводится почками преимущественно в виде метаболитов.
Цианокобаламин всасывается в тонком (отчасти в толстом) кишечнике, соединяясь с внутренним фактором, становится защищенным от микрофлоры кишечника. В крови Цианокобаламин соединяется с транскобаламинами I и II, с которыми транспортируется в ткани. Депонируется Цианокобаламин в основном в печени, выводится из печени с желчью в кишечник, откуда снова всасывается. Элиминируется из организма почками. После приема внутрь до 2 мг всасывается 30-97%, абсорбция препарата (зависящая от внутреннего фактора всасывания) после приема в дозе более 2 мг заметно снижается. Связь с белками плазмы – 90%. Cmax после перорального приема достигается через 6-14 ч. T1/2 в печени – 500 дней. Выводится при нормальной функции почек – 7-10% почками, около 50% – с каловыми массами; при сниженной функции почек – 0-7% почками, 70-100% – с каловыми массами. Проникает через плацентарный барьер, в грудное молоко.
Показания к применению
Профилактика дефицита магния и связанные с ним состояния: нервно-мышечные нарушения (мышечная слабость, дрожание, спазмы, судороги), психические нарушения (бессонница, раздражительность, состояние тревоги), нарушения сердечного ритма и деятельности желудочно-кишечного тракта (боли, спазмы, вздутие кишечника).
Противопоказания
Тяжелая почечная недостаточность (клиренс креатинина меньше 30 мл/мин.), повышенная чувствительность к компонентам препарата, детский возраст до 6 лет.
С осторожностью
Следует назначать препарат при умеренных нарушениях функции почек из-за риска развития гипермагниемии.
Способ применения и дозы
Внутрь.
Взрослые и дети от 12 лет: по 1-2 таблетки.
Дети от 6 до 12 лет – 1/2 таблетки.
Принимать в первой половине дня, предварительно растворив в стакане воды.
Побочное действие
Аллергические реакции, диспепсические расстройства (диарея, боли в животе). При применении в повышенных дозах возможно развитие гипермагниемии.
Лечение: регидратация, форсированный диурез. При почечной недостаточности необходим гемодиализ или перитонеальный диализ.
Взаимодействие с другими лекарственными средствами
Фосфаты и соли кальция уменьшают всасывание магния в желудочно-кишечном тракте. Препараты магния снижают всасывание тетрациклина, рекомендуется делать интервал 3 часа перед применением МАГНИЙ ПЛЮС. Пиридоксин может ослаблять действие леводопы.
Особые указания
В случае сопутствующего дефицита кальция, дефицит магния должен быть устранен до начала введения дополнительного приема кальция.
При частом употреблении слабительных средств, алкоголя, повышенных физических и психических нагрузках потребность в магнии возрастает.
Влияние на способность управлять автомобилем и движущимися механизмами
Препарат не влияет на способность управлять транспортными средствами и работе с потенциально опасными механизмами.
Форма выпуска
Таблетки шипучие.
По 10, 12 таблеток в пластиковом пенале. По 1 пеналу в картонной пачке или в пачке-конверте с приспособлением для подвешивания с инструкцией по применению.
Условия хранения
Хранить при температуре не выше 25C.
Срок годности
3 года. Не применять по истечении срока годности.
Условия отпуска
Без рецепта.
Производитель
NATUR PRODUKT PHARMA. Страна производства: Польша.
Для описания товара использована информация от партнера 36.6
Мобильное приложение «Все аптеки»
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Играет важную роль в деятельности нервной системы, участвует в регуляции передачи нервных импульсов и в сокращении мышц, в большинстве реакций обмена веществ, играет важную физиологическую роль в поддержании ионного баланса, участвует в энергетических процессах (АТФ, являющийся химическим источником энергии, может вступать в процесс образования энергии только в форме магниевой соли)."}},{"type":"paragraph","data":{"text":"Витамин В6 играет важную роль в обмене веществ, способствует поддержанию структуры и функции костей, зубов, десен; оказывает влияние на эритропоэз, способствует нормальному функционированию нервной системы и дополняет эффект магния."}},{"type":"paragraph","data":{"text":"Витамин В12 и фолиевая кислота участвуют во многих ферментативных реакциях и оказывают благотворное влияние на нервную и кроветворные системы."}}]},{"name":"Фармакотерапевтическая группа","slug":"","id":28,"body":[{"type":"paragraph","data":{"text":"Магния препарат."}}]},{"name":"Фармакологические свойства","slug":"pharmacologic_effects","id":29,"body":[{"type":"paragraph","data":{"text":"Фармакокинетика:"}},{"type":"paragraph","data":{"text":"Всасывание магния в желудочно-кишечном тракте составляет не более 50% от принимаемой дозы. В организме 99% магния находится внутри клеток. Примерно 2/3 внутриклеточного магния распределяется в костной ткани, а 1/3 находится в гладкой и поперечно-полосатой мышечной ткани. Выводится с мочой. Клубочковая фильтрация составляет 70% от плазменной, канальцевая реабсорбция – 95-97%. С мочой выводится по меньшей мере 1/3 от принимаемой дозы магния."}},{"type":"paragraph","data":{"text":"Пиридоксина гидрохлорид всасывается быстро на всем протяжении тонкого кишечника, большее количество абсорбируется в тощей кишке. Метаболизируется в печени с образованием фармакологически активных метаболитов (пиридоксаль фосфат и пиридоксаминофосфат). Пиридоксаль фосфат с белками плазмы связывается на 90%. Хорошо проникает во все ткани; накапливается преимущественно в печени, меньше – в мышцах и ЦНС. Проникает через плаценту, секретируется с грудным молоком. T1/2 – 15-20 дней. Выводится почками (при в/в введении – с желчью 2%), а также в ходе гемодиализа. Около 8-10% препарата выводится с мочой в неизмененном виде."}},{"type":"paragraph","data":{"text":"Фолиевая кислота хорошо и полно всасывается в желудочно-кишечном тракте, преимущественно в верхних отделах 12-перстной кишки. Интенсивно связывается с белками плазмы. Проникает через гематоэнцефалический барьер, плаценту и в грудное молоко. Время достижения максимальной концентрации – 60 минут. Депонируется и метаболизируется в печени с образованием тетрагидрофолиевой кислоты (в присутствии аскорбиновой кислоты под действием дигидрофолатредуктазы). Выводится почками преимущественно в виде метаболитов. "}},{"type":"paragraph","data":{"text":"Цианокобаламин всасывается в тонком (отчасти в толстом) кишечнике, соединяясь с внутренним фактором, становится защищенным от микрофлоры кишечника. В крови Цианокобаламин соединяется с транскобаламинами I и II, с которыми транспортируется в ткани. Депонируется Цианокобаламин в основном в печени, выводится из печени с желчью в кишечник, откуда снова всасывается. Элиминируется из организма почками. После приема внутрь до 2 мг всасывается 30-97%, абсорбция препарата (зависящая от внутреннего фактора всасывания) после приема в дозе более 2 мг заметно снижается. Связь с белками плазмы – 90%. Cmax после перорального приема достигается через 6-14 ч. T1/2 в печени – 500 дней. Выводится при нормальной функции почек – 7-10% почками, около 50% – с каловыми массами; при сниженной функции почек – 0-7% почками, 70-100% – с каловыми массами. Проникает через плацентарный барьер, в грудное молоко."}}]},{"name":"Показания к применению","slug":"indications","id":30,"body":[{"type":"paragraph","data":{"text":"Профилактика дефицита магния и связанные с ним состояния: нервно-мышечные нарушения (мышечная слабость, дрожание, спазмы, судороги), психические нарушения (бессонница, раздражительность, состояние тревоги), нарушения сердечного ритма и деятельности желудочно-кишечного тракта (боли, спазмы, вздутие кишечника)."}}]},{"name":"Противопоказания","slug":"contraindications","id":31,"body":[{"type":"paragraph","data":{"text":"Тяжелая почечная недостаточность (клиренс креатинина меньше 30 мл/мин.), повышенная чувствительность к компонентам препарата, детский возраст до 6 лет."}}]},{"name":"С осторожностью","slug":"cautions","id":32,"body":[{"type":"paragraph","data":{"text":"Следует назначать препарат при умеренных нарушениях функции почек из-за риска развития гипермагниемии."}}]},{"name":"Способ применения и дозы","slug":"dosage","id":34,"body":[{"type":"paragraph","data":{"text":"Внутрь."}},{"type":"paragraph","data":{"text":"Взрослые и дети от 12 лет: по 1-2 таблетки."}},{"type":"paragraph","data":{"text":"Дети от 6 до 12 лет – 1/2 таблетки."}},{"type":"paragraph","data":{"text":"Принимать в первой половине дня, предварительно растворив в стакане воды. "}}]},{"name":"Побочное действие","slug":"side_effects","id":35,"body":[{"type":"paragraph","data":{"text":"Аллергические реакции, диспепсические расстройства (диарея, боли в животе). При применении в повышенных дозах возможно развитие гипермагниемии."}}]},{"name":"Передозировка","slug":"overdose","id":36,"body":[{"type":"paragraph","data":{"text":"Симптомы передозировки: падение артериального давления, тошнота, рвота, замедление рефлексов, угнетение дыхания, кома, остановка сердца и паралич сердца, анурия."}},{"type":"paragraph","data":{"text":"Лечение: регидратация, форсированный диурез. При почечной недостаточности необходим гемодиализ или перитонеальный диализ."}}]},{"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","id":37,"body":[{"type":"paragraph","data":{"text":"Фосфаты и соли кальция уменьшают всасывание магния в желудочно-кишечном тракте. Препараты магния снижают всасывание тетрациклина, рекомендуется делать интервал 3 часа перед применением МАГНИЙ ПЛЮС. Пиридоксин может ослаблять действие леводопы."}}]},{"name":"Особые указания","slug":"","id":38,"body":[{"type":"paragraph","data":{"text":"В случае сопутствующего дефицита кальция, дефицит магния должен быть устранен до начала введения дополнительного приема кальция."}},{"type":"paragraph","data":{"text":"При частом употреблении слабительных средств, алкоголя, повышенных физических и психических нагрузках потребность в магнии возрастает. 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