Composition
One tablet contains:
Active ingredient:
umifenovir hydrochloride monohydrate-51.75 mg (based on umifenovir hydrochloride -50.00 mg);
excipients:
core: potato starch-31.860 mg, microcrystalline cellulose -57.926 mg, povidone (povidone K 30) – 8.137 mg, calcium stearate-0.535 mg, croscarmellose (croscarmellose sodium) – 1.542 mg;
shell: Opadry 10F280003 White (Opadry 10F280003 White) – 6.000 mg, Hypromellose (hydroxypropylmethylcellulose 2910) -3.54 mg, macrogol (polyethylene glycol) – 0.48 mg, polysorbate-80 (twin-80) – 0.06 mg, titanium dioxide-1.92 mg
Pharmacological action
Pharmacotherapy group: antiviral agent.
ATX code: J05AX13
Pharmacological properties
Pharmacodynamics .
Antiviral agent. Specifically inhibits in vitro influenza A and B viruses (Influenzavirus A, B), including highly pathogenic subtypes A(H1N1)pdm09 and A(H5N1), as well as other viruses that cause acute respiratory viral infections (SARS associated with severe acute respiratory syndrome (SARS), rhinovirus, adenovirus, respiratory syncytial virus (Pneumovirus) and parainfluenza virus (Paramyxovirus)).
According to the mechanism of antiviral action, it belongs to fusion inhibitors (fusions), interacts with viral hemagglutinin and prevents the fusion of the lipid envelope of the virus and cell membranes. It has a moderate immunomodulatory effect, increases the body’s resistance to viral infections.
It has interferon-inducing activity – in a mouse study, interferon induction was observed as early as 16 hours, and high interferon titers persisted in the blood up to 48 hours after use.
It stimulates cellular and humoral immune responses: increases the number of lymphocytes in the blood, especially T-cells (CD3), increases the number of T-helper cells (CD4), without affecting the level of T-suppressors (CD8), normalizes the immunoregulatory index, stimulates the phagocytic function of macrophages and increases the number of natural killers (NK cells).
Therapeutic efficacy in viral infections is manifested in reducing the duration and severity of the course of the disease and its main symptoms, as well as in reducing the frequency of complications associated with viral infection and exacerbations of chronic bacterial diseases.
In the treatment of influenza or ARVI in adult patients, a clinical study showed that the effect of Arbidol® in adult patients is most pronounced in the acute period of the disease and is manifested by a reduction in the time of resolution of symptoms of the disease, a decrease in the severity of disease manifestations and a reduction in the time of virus elimination.
Arbidol®therapy It leads to a higher rate of relief of symptoms on the third day of therapy compared to placebo: 60 hours after the start of therapy, the resolution of all symptoms of laboratory-confirmed influenza is more than 5 times higher than in the placebo group.
A significant effect of Arbidol®has been established the rate of elimination of the influenza virus, which, in particular, was manifested by a decrease in the frequency of detection of RNA of the virus on the 4th day.
It belongs to low-toxic drugs (LD50>4 g / kg). It does not have any negative effects on the human body when administered orally at the recommended doses.
Pharmacokinetics.
It is quickly absorbed and distributed to organs and tissues. The maximum concentration in blood plasma when taken at a dose of 50 mg is reached in 1.2 hours, at a dose of 100 mg – in 1.5 hours. It is metabolized in the liver. The elimination half-life is 17-21 hours. About 40% is excreted unchanged, mainly in the bile (38.9%) and in a small amount by the kidneys (0.12%). During the first day,90% of the administered dose is removed.
Indications
-
Prevention and treatment in adults and children: influenza A and B, other acute respiratory infections.
-
Complex therapy of acute intestinal infections of rotavirus etiology in children older than 3 years.
-
Complex therapy of chronic bronchitis, pneumonia and recurrent herpetic infection.
- Prevention of postoperative infectious complications.
Use during pregnancy and lactation
In animal studies, no harmful effects on the course of pregnancy, embryo and fetal development, labor and postnatal development were found.
The use of Arbidol®in the first trimester of pregnancy is contraindicated.
In the second and third trimester of pregnancy, Arbidol® can only be used for the treatment and prevention of influenza and if the intended benefit to the mother exceeds the potential risk to the fetus. The benefit / risk ratio is determined by the attending physician.
It is not known whether Arbidol®penetrates into breast milk in women during lactation. If necessary, the use of Arbidol® should stop breastfeeding.
Contraindications
Hypersensitivity to umifenovir or any component of the drug, children under 3 years of age. First trimester of pregnancy. Breast-feeding.
With caution
Second and third trimesters of pregnancy.
Side effects
Arbidol®is a low-toxicity drug and is usually well tolerated.
Side effects are rare, usually mild to moderate, and transient.
The incidence of adverse drug reactions identified in accordance with the who classification: very often (with a frequency greater than 1/10), often (with a frequency of at least 1/100, but less than 1/10), infrequently (speed of at least 1/1000, but less than 1/100), rarely (with a frequency of not less than 1/10000, but less than 1/1000), very rare (with a frequency of less than 1/10000), frequency unknown (cannot be installed according to the available data).
Immune system disorders: rarely-allergic reactions.
If any of the side effects listed in the instructions get worse, or you notice any other side effects not listed in the instructions, tell your doctor.
Interaction
When prescribed with other drugs, no negative effects were observed.
No specific clinical studies have been conducted to investigate the interactions of Arbidol with other medicinal products.
Data on the presence of undesirable interactions with antipyretic, mucolytic and local vasoconstrictor drugs in the clinical study were not revealed.
How to take, course of use and dosage
Inside, before meals.
Single dose (depending on age):
Age group |
Single dose of the drug |
from 3 to 6 years |
50 mg (1 tablet) |
from 6 to 12 years |
of age 100 mg (2 tablets) |
older than 12 years and adults |
200 mg (4 tablets) |
Indication |
Drug use schedule |
For children from 3 years of age and adults: |
|
Non-specific prevention during the epidemic of influenza and other acute respiratory |
viral infections in a single dose 2 times a week for 3 weeks. |
Non-specific prophylaxis in direct contact with patients with influenza and other acute respiratory |
viral infections in a single dose 1 time a day for 10-14 days. |
Treatment of influenza and other acute respiratory |
viral infections in a single dose 4 times a day (every 6 hours) for 5 days. |
For children from 3 years of age: |
|
Complex therapy of acute intestinal infections of rotavirus etiology |
in a single dose 4 times a day (every 6 hours) for 5 days. |
For children from 3 years of age and adults: |
|
Complex therapy of chronic bronchitis, pneumonia, herpetic infection |
in a single dose 4 times a day (every 6 hours) for 5-7 days, then a single dose 2 times a week for 4 weeks. |
Prevention of postoperative infectious complications |
in a single dose 2 days before surgery, then on the 2nd and 5th days after surgery. |
Taking the drug begins from the moment the first symptoms of influenza and other acute respiratory viral infections appear, preferably no later than 3 days after the onset of the disease.
If after using Arbidol® for three days in the treatment of influenza and other acute respiratory viral infections, the severity of symptoms of the disease persists, including a high temperature (38 °C or more), then you should consult a doctor to assess the validity of taking the drug.
Use the drug only according to the indications, the method of use and in the doses indicated in the instructions.
In the treatment of influenza and acute respiratory viral infections, concomitant symptomatic therapy is possible, including the use of antipyretics, mucolytic and local vasoconstrictors.
Overdose
No data available.
Special instructions
It is necessary to follow the scheme recommended in the instructions and the duration of taking the drug. If you miss one dose of the drug, the missed dose should be taken as early as possible and continue the course of taking the drug according to the scheme you started.
If after the use of the drug Arbidol® during three days in the treatment of influenza and other acute respiratory viral infections, the severity of symptoms of the disease remains, including a high temperature (38 °C or more), then you should consult a doctor to assess the validity of taking the drug.
Influence on the ability to drive vehicles and mechanisms
It does not show central neurotropic activity and can be used in medical practice for people of various professions, including those requiring increased attention and coordination of movements (transport drivers, operators, etc. ).
Form of production
Tablets
Storage conditions
Store in a dry place, protected from light, at a temperature not exceeding 25 °C
Shelf
life is 3 years.
Active ingredient
Umifenovir
Dosage form
Tablets
Purpose
For adults, Children over 3 years old
Indications
Prevention of flu and colds, SARS, Flu, Cold
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