беременность; - период грудного вскармливания (отсутствует достаточный опыт применения препарата); - детский возраст (эффективность и безопасность применения не установлены); - повышенная чувствительность к компонентам препарата.
Препарат представляет собой эндогенный антиоксидант, связывающий свободные радикалы. Тиоктовая (α-липоевая) кислота участвует в митохондриальном обмене веществ клетки, она выполняет функцию коэнзима в комплексе превращения веществ, обладающих выраженным антитоксическим действием. Они защищают клетку от реактивных радикалов, возникающих при промежуточном обмене веществ или при распаде экзогенных чужеродных веществ, и от тяжелых металлов. Тиоктовая кислота проявляет синергизм по отношению к инсулину, что связано с повышением утилизации глюкозы. У больных сахарным диабетом тиоктовая кислота приводит к изменению концентрации пировиноградной кислоты в крови.
беременность; - период грудного вскармливания (отсутствует достаточный опыт применения препарата); - детский возраст (эффективность и безопасность применения не установлены); - повышенная чувствительность к компонентам препарата.
Применение при беременности и в период грудного вскармливания
При беременности возможно, если ожидаемый эффект терапии превышает потенциальный риск для плода. Категория действия на плод по FDA - не определена. На время лечения следует прекратить грудное вскармливание.
Способ применения и дозы
Препарат назначают по 600 мг (2 таб.) 1 раз/сут. Таблетки принимают утром, натощак, приблизительно за 30 мин до первого приема пищи, не разжевывая и запивая небольшим количеством жидкости. Длительность курса лечения определяет врач.
Побочное действие
Со стороны пищеварительной системы: возможно - диспепсия, тошнота, рвота, изжога. Со стороны обмена веществ: возможно - развитие гипогликемии (в связи с улучшением усвоения глюкозы). Аллергические реакции: в отдельных случаях - кожные проявления (в т.ч. крапивница). Обычно препарат хорошо переносится пациентами.
При одновременном применении возможно усиление гипогликемического действия инсулина и пероральных гипогликемических средств. При одновременном применении с цисплатином возможно уменьшение его эффективности.
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Информация предоставляется в справочных целях. Не занимайтесь самолечением. При первых признаках заболевания обратитесь к врачу.
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