Mastodon

Tameron® (Lyophilisate) Instructions for Use

Marketing Authorization Holder

Institute Of Engineering Physics Of Moscow Open University (Russia)

ATC Code

L03 (Immunostimulants)

Active Substance

Aminodihydrophtalazinedione sodium (Grouping name)

Dosage Form

Bottle Rx Icon Tameron® Lyophilizate for the preparation of a solution for intramuscular administration 100 mg: 5 vial

Dosage Form, Packaging, and Composition

Lyophilizate for the preparation of a solution for intramuscular administration in the form of a compacted mass of white or white with a yellowish tint; hygroscopic; the reconstituted solution is a clear, colorless or light yellow liquid.

1 vial
Aminodihydrophtalazinedione sodium 100 mg

Glass vials with a capacity of 5 ml (5) – cardboard packs.

Clinical-Pharmacological Group

Immunomodulating and anti-inflammatory preparation

Pharmacotherapeutic Group

Immunomodulatory and anti-inflammatory agent

Pharmacological Action

Immunostimulating agent. The mechanism of action is associated with the ability to influence the functional and metabolic activity of phagocytic cells (monocytes/macrophages, neutrophils, natural killer cells). It normalizes antibody production and indirectly stimulates the production of endogenous interferons (interferon alpha, interferon gamma).

In inflammatory diseases, it reversibly (for 6-8 hours) inhibits the excessive synthesis of TNFα, interleukin-1, interleukin-6 and other pro-inflammatory cytokines, as well as reactive oxygen species by hyperactivated macrophages; the levels of these substances determine the degree of inflammatory reactions, their cyclicity, as well as the severity of intoxication and the level of oxidative stress. Normalization of the functional state of macrophages leads to the restoration of their antigen-presenting and regulatory functions and a reduction in the level of autoaggression.

It stimulates the bactericidal activity of neutrophilic granulocytes, enhancing phagocytosis and increasing the body’s nonspecific resistance to infectious diseases.

Pharmacokinetics

It is eliminated from the body mainly by the kidneys. After intramuscular injection, the T1/2 is 30-40 minutes; after rectal administration, it is 40-60 minutes. The main pharmacological effects are observed for 72 hours.

Indications

As an immunomodulatory and anti-inflammatory agent in the complex therapy of immunodeficiency states in adults and adolescents from 12 years of age: gastric and duodenal ulcer; viral hepatitis; chronic recurrent diseases caused by the herpes virus; diseases caused by the human papillomavirus; infectious and inflammatory urogenital diseases (chlamydial and trichomonal urethritis, chlamydial prostatitis, acute and chronic salpingo-oophoritis, endometritis); purulent-inflammatory diseases of the pelvic organs; postoperative rehabilitation of patients with uterine fibroids; postoperative complications in women of reproductive age; postoperative purulent-septic complications and their prevention (including in oncological patients); chronic recurrent furunculosis, erysipelas; asthenic conditions, neurotic and somatoform disorders, reduced physical performance (including in athletes); mental, behavioral and post-abstinence disorders in alcohol and drug dependence; inflammatory diseases of the oral mucosa and throat, periodontal diseases.

In adults and adolescents from 12 years of age as monotherapy: acute and chronic infectious and inflammatory diseases of the gastrointestinal tract, accompanied by intoxication and/or diarrhea; chronic urogenital infections, including during immunorehabilitation measures in the inter-relapse period to maintain clinical remission.

As an immunomodulatory and anti-inflammatory agent in the complex therapy of immunodeficiency states in children over 6 years of age: purulent surgical diseases (burn injuries, recurrent furunculosis, chronic osteomyelitis, gangrenous appendicitis with omentitis, peritonitis, purulent pleurisy); frequent recurrent diseases of the respiratory tract and ENT organs of bacterial and viral etiology (frequent acute respiratory viral infections, bronchitis, pneumonia, chronic tonsillitis, chronic otitis media, chronic adenoiditis).

ICD codes

ICD-10 code Indication
A09 Other and unspecified gastroenteritis and colitis of infectious origin
A46 Erysipelas
A56.0 Chlamydial infections of lower genitourinary tract
A56.1 Chlamydial infections of pelvic organs and other genitourinary organs
A59 Trichomoniasis
A60 Anogenital herpesviral infection [herpes simplex]
B00 Herpesviral [herpes simplex] infections
B15 Acute hepatitis A
B16 Acute hepatitis B
B17.1 Acute hepatitis C
B18.0 Chronic viral hepatitis B with delta-agent
B18.1 Chronic viral hepatitis B without delta-agent
B18.2 Chronic viral hepatitis C
B97.7 Papillomaviruses as the cause of diseases classified to other chapters
F10 Mental and behavioral disorders due to alcohol use
F11 Mental and behavioral disorders due to opioid use
F12 Mental and behavioral disorders due to use of cannabinoids
F45.3 Somatoform dysfunction of the autonomic nervous system
F48.0 Neurasthenia
F48.9 Unspecified neurotic disorder
H66 Suppurative and unspecified otitis media
J02 Acute pharyngitis
J03 Acute tonsillitis
J04.0 Acute laryngitis
J06.9 Acute upper respiratory infection, unspecified
J15 Bacterial pneumonia, not elsewhere classified
J20 Acute bronchitis
J31.2 Chronic pharyngitis
J35.0 Chronic tonsillitis
J35.8 Other chronic diseases of tonsils and adenoids
J37.0 Chronic laryngitis
J42 Unspecified chronic bronchitis
J86 Pyothorax (pleural empyema)
K05 Gingivitis and periodontal diseases
K12 Stomatitis and related lesions
K25 Gastric ulcer
K26 Duodenal ulcer
K27 Peptic ulcer
K35 Acute appendicitis
K65.0 Acute peritonitis (including abscess)
L02 Cutaneous abscess, furuncle and carbuncle
M86 Osteomyelitis
N37.0 Urethritis in diseases classified elsewhere
N41 Inflammatory diseases of prostate
N70 Salpingitis and oophoritis
N71 Inflammatory disease of uterus, excluding cervix (including endometritis, myometritis, metritis, pyometra, uterine abscess)
N73.5 Unspecified female pelvic peritonitis
T30 Burns and corrosions of unspecified body region
T88.8 Other specified complications of surgical and medical care, not elsewhere classified
Z29.8 Other specified prophylactic measures
Z73.3 Stress, not elsewhere classified (physical and mental strain)
Z98.8 Other specified postprocedural states
ICD-11 code Indication
1A40.Z Infectious gastroenteritis or colitis, unspecified
1A81.0 Chlamydial infection of lower genitourinary tract
1A81.1 Chlamydial infection of internal reproductive organs
1A92 Trichomoniasis
1A94.Z Anogenital herpes simplex virus infection without further specification
1B70.0Z Erysipelas, unspecified
1B70.Z Bacterial cellulitis or lymphangitis caused by unspecified bacterium
1B75.0 Furuncle
1B75.1 Carbuncle
1B75.2 Furunculosis
1B75.3 Pyogenic skin abscess
1E50.0 Acute hepatitis A
1E50.1 Acute hepatitis B
1E50.2 Acute hepatitis C
1E51.0Z Chronic hepatitis B, unspecified
1E51.1 Chronic viral hepatitis C
1E51.2 Chronic hepatitis D
1F00.Z Infections due to herpes simplex virus, unspecified
6A8Z Affective disorders, unspecified
6B6Z Dissociative disorders, unspecified
6C20.Z Bodily distress disorder, unspecified
6C40.Z Disorders due to alcohol use, unspecified
6C41.Z Other mental and behavioral disorders due to use of cannabinoids, unspecified
6C43.Z Disorders due to opioid use, unspecified
AA9Z Unspecified suppurative otitis media
CA02.Z Acute pharyngitis, unspecified
CA03.Z Acute tonsillitis, unspecified
CA05.0 Acute laryngitis
CA07.0 Acute upper respiratory tract infection of unspecified site
CA09.2 Chronic pharyngitis
CA0F.Y Other specified chronic diseases of the palatine tonsils and adenoids
CA0F.Z Chronic diseases of tonsils and adenoids, unspecified
CA0G Chronic laryngitis or laryngotracheitis
CA20.1Z Chronic bronchitis, unspecified
CA40.0Z Bacterial pneumonia, unspecified
CA42.Z Acute bronchitis, unspecified
CA44 Pyothorax
DA01.Z Diseases of the oral mucosa, unspecified
DA0B.Z Gingival diseases, unspecified
DA0C.Z Periodontal diseases, unspecified
DA0Z Diseases or disorders of the orofacial complex, unspecified
DA60.Z Gastric ulcer, unspecified
DA61 Peptic ulcer of unspecified site
DA63.Z Duodenal ulcer, unspecified
DB10.0 Acute appendicitis
DC50.0 Primary peritonitis
DC50.2 Peritoneal abscess
DC50.Z Peritonitis, unspecified
FB84.Z Osteomyelitis or osteitis, unspecified
GA01.Z Inflammatory diseases of uterus, except cervix, unspecified
GA05.2 Unspecified pelvic peritonitis in women
GA07.Z Salpingitis and oophoritis, unspecified
GA91.Z Inflammatory and other diseases of prostate, unspecified
GC02.1 Nonspecific urethritis
NE11 Burn of unspecified body region
NE8Z Injury or harm caused as a result of surgical or therapeutic interventions, not elsewhere classified, unspecified
QB6Z Surgical or postprocedural conditions, unspecified
QC05.Z Prophylactic measures, unspecified
QE01 Stress, not elsewhere classified
XN8JY Human papillomavirus

Dosage Regimen

The method of application and dosage regimen for a specific drug depend on its form of release and other factors. The optimal dosage regimen is determined by the doctor. It is necessary to strictly adhere to the compliance of the dosage form of a specific drug with the indications for use and dosage regimen.

Administer Tameron®intramuscularly or rectally as directed.

Determine the dose and treatment schedule individually based on the patient’s age, specific indication, and clinical response.

For adults and adolescents from 12 years of age, use a 100 mg vial. Reconstitute the lyophilisate with 2-3 ml of water for injection or 0.9% sodium chloride solution immediately before administration.

For complex therapy of immunodeficiency states, administer 100 mg intramuscularly every 48-72 hours. The typical course consists of 5 to 10 injections.

For monotherapy of gastrointestinal or urogenital infections, administer 100 mg rectally daily for 10 days. For immunorehabilitation, use a prolonged regimen of 100 mg rectally once every 72 hours for up to 30 days.

For children over 6 years of age, calculate the dose based on 1.5 mg per kg of body weight. Administer intramuscularly every 48 hours. The course typically includes 5 to 7 injections.

Do not exceed the recommended single and course doses. Adjust the interval between injections based on tolerability and therapeutic effect.

For postoperative complication prevention in adults, administer 100 mg intramuscularly 24-48 hours before surgery and again 24-48 hours after surgery.

Complete the full prescribed course of treatment unless otherwise directed by a physician. Do not mix with other medications in the same syringe.

Adverse Reactions

Rarely, allergic reactions are possible.

Contraindications

Pregnancy, breastfeeding period; children under 6 years of age.

In children over 6 years of age, it is used in appropriate dosage forms.

Use in Pregnancy and Lactation

Use during pregnancy and breastfeeding is contraindicated.

Pediatric Use

Use in children under 6 years of age is contraindicated. In children over 6 years of age, it is used in appropriate dosage forms.

Special Precautions

To prevent urogenital infection, it is recommended to consider simultaneous treatment of the sexual partner.

Drug Interactions

With simultaneous use, a reduction in the course doses of antibiotics is possible.

Storage Conditions

Store at 2°C (36°F) to 25°C (77°F). Keep in original packaging, protected from light. Keep out of reach of children.

Dispensing Status

Rx Only

Important Safety Information

This information is for educational purposes only and does not replace professional medical advice. Always consult your doctor before use. Dosage and side effects may vary. Use only as prescribed.

Medical Disclaimer

TABLE OF CONTENTS