Composition
Active ingredient:
memantine hydrochloride;
Auxiliary substances:
lactose;
MCC;
colloidal silicon dioxide;
talc;
magnesium stearate bulb:
methacrylic acid copolymer;
sodium lauryl sulfate;
polysorbate 80;
triacetin;
simethicone emulsion;
talc.
Pharmacological action
Pharmacodynamics
Being a non-competitive antagonist of N-methyl-D-aspartate (NMDA) receptors, it has a modulating effect on the glutamatergic system. Regulates ion transport, blocks calcium channels, normalizes the membrane potential, and improves the process of nerve impulse transmission. Improves cognitive processes, increases daily activity.
Pharmacokinetics
After oral use, Acatinol Memantine is rapidly and completely absorbed. The maximum concentration in the blood plasma is reached within 2-6 hours. No accumulation of the drug was observed in normal renal function. Elimination proceeds in two phases. The elimination half-life is 4-9 hours in the first phase and 40-65 hours in the second phase. It is excreted in the urine.
Indications
Alzheimer’s type dementia, vascular dementia, mixed dementia of all degrees of severity.
Contraindications
- individual hypersensitivity to the drug Akatinol Memantine;
- severe renal dysfunction;
- pregnancy;
- breastfeeding;
- children under 18 years of age (due to insufficient data).
- With caution:
- thyrotoxicosis;
- epilepsy;
- convulsions (including in the anamnesis);
- myocardial infarction;
- heart failure.
Side effects
Adverse reactions are classified according to clinical manifestations (according to specific organ systems) and frequency of occurrence: very common – ≥1/10; often – ≥1/100–
From the body as a whole — aCommon side reactivatable pain, Rarely Fatigue, Infections. Rarely fungal infectieziekten disorders. Often Sleepiness. Rarely Confusion of sonnenenergieund 1 Frequency not ustanavlivayutsya reaction 2 Disorders of the cardiovascular system, Rarely Hypertension, Rarely Venous thrombosis/thromboembolization-intestinal nanosemiconductor, watchstore not ustanovlenytakie 2 Disorders of the central and peripheral nervous system. Often Dizziness. Rarely Violation of rednoseday
1 Hallucinations was observed mainly in patients with Alzheimer’s disease at the stage of severe dementia.
2 There are isolated reports of these adverse reactions occurring with the use of the drug in clinical practice (data obtained after the drug became commercially available).
Interaction
When used concomitantly with barbiturates, neuroleptics, anticholinergics, the effect of the latter may increase. When used together, it can change (increase or decrease) the effect of dantrolene or baclofen, so the dosage of drugs should be selected individually.
How to take, course of use and dosage
Acatinol Memantine is taken orally, with meals. The dosage regimen is set individually. It is recommended to start treatment with the minimum effective dose.
Adults with dementia during the 1st week of therapy — at a dose of 5 mg / day, the 2nd week-at a dose of 10 mg/day, the 3rd week-at a dose of 15-20 mg/day. If necessary, a further weekly dose increase of 10 mg is possible until the daily dose of 30 mg is reached.
The optimal dose is achieved gradually, with an increase in the dose every week.
Overdose
Symptoms: Â increased severity of side effects.
Treatment: Â gastric lavage, taking activated charcoal, symptomatic therapy.
Special instructions
Patients with moderate to severe Alzheimer’s disease usually have impaired ability to drive vehicles and manage complex mechanisms.
In addition, memantine can cause changes in the reaction rate, so patients receiving outpatient treatment should take special care when driving vehicles or operating mechanisms.
Form of production
Tablets
Storage conditions
At a temperature not exceeding 25 °C
Shelf life
4 years
Active ingredient
Memantine
Conditions of release from pharmacies
By prescription
Dosage form
Tablets
Description
For adults as directed by your doctor
Indications
Alcoholism, Alzheimer’s disease, Concussion and other traumatic brain injuries, Acquired dementia, Stroke effects
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