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Vitrum® Vitamin E (Capsules) Instructions for Use

Marketing Authorization Holder

Unipharm, Inc. (USA)

ATC Code

A11HA03 (Tocopherol (Vitamin E))

Active Substance

Tocopherol (Ph.Eur. European Pharmacopoeia)

Dosage Form

Bottle OTC Icon Vitrum® Vitamin E Capsules 400 IU: 12, 24, 30 or 60 pcs.

Dosage Form, Packaging, and Composition

Capsules 1 caps.
D,L-α-Tocopheryl Acetate 400 IU

12 pcs. – blister packs (1) – cardboard packs.
12 pcs. – blister packs (2) – cardboard packs.
60 pcs. – polyethylene bottles (1) – cardboard packs.

Clinical-Pharmacological Group

Vitamin preparation

Pharmacotherapeutic Group

Vitamin

Pharmacological Action

It has antioxidant activity, participates in heme and protein biosynthesis, cell proliferation, tissue respiration, and other crucial processes of tissue metabolism.

It prevents increased permeability and fragility of capillaries, the development of atherosclerosis, degenerative-dystrophic changes in the heart muscle and skeletal muscles; normalizes reproductive function.

Pharmacokinetics

Approximately 50% is slowly absorbed from the gastrointestinal tract, with the maximum blood level reached in about 4 hours.

Bile acids are necessary for absorption.

During absorption, it forms a complex with lipoproteins, which are carriers of vitamin E.

It is stored in the adrenal glands, adipose and muscle tissue, and the liver.

It is metabolized and excreted from the body unchanged and as metabolites with bile (90%) and urine (6%).

Indications

  • Treatment of hypovitaminosis, convalescent states after diseases accompanied by febrile syndrome, physical exertion;
  • As part of complex therapy for the treatment of cardiovascular diseases, eye diseases;
  • As part of measures to prevent atherosclerosis and other diseases of the cardiovascular system in elderly patients;
  • Muscular dystrophies, dermatomyositis, amyotrophic lateral sclerosis;
  • Degenerative and proliferative changes in the joints and ligamentous apparatus of the spine and large joints;
  • Neurasthenia due to overwork, asthenic syndrome;
  • Menstrual cycle disorders, climacteric vegetative disorders;
  • Dysfunction of the gonads in men;
  • Treatment of skin diseases, burns.

ICD codes

ICD-10 code Indication
E28 Ovarian dysfunction
E29 Testicular dysfunction
E56.0 Vitamin E deficiency
F48.0 Neurasthenia
G12.2 Motor neuron disease
G71.0 Muscular dystrophy
I70 Atherosclerosis
M15 Polyosteoarthritis
M16 Coxarthrosis [arthrosis of the hip joint]
M17 Gonarthrosis [arthrosis of the knee]
M19.9 Unspecified arthrosis
M33 Dermatopolymyositis
M42 Spinal osteochondrosis
M47 Spondylosis
N95.1 Menopausal and other perimenopausal disorders
N95.3 States associated with artificial menopause
T30 Burns and corrosions of unspecified body region
Z54 Convalescence
Z73.0 Burn-out
Z73.3 Stress, not elsewhere classified (physical and mental strain)
ICD-11 code Indication
4A41.Z Idiopathic inflammatory myopathy, unspecified
5A80.Z Ovarian dysfunction, unspecified
5A81.Z Testicular dysfunction or diseases associated with impaired testosterone production, unspecified
5B58 Vitamin E deficiency
6A8Z Affective disorders, unspecified
8B60.Z Motor neuron disease, unspecified
8B6Y Other specified motor neuron diseases or related disorders
8B6Z Motor neuron diseases or related disorders, unspecified
8C70.Z Muscular dystrophy, unspecified
8D40.1 Neuropathy due to nutritional deficiency
BD40.Z Atherosclerosis of peripheral arteries, unspecified
FA00.Z Osteoarthritis of hip, unspecified
FA01.Z Osteoarthritis of knee, unspecified
FA05 Polyosteoarthritis
FA0Z Osteoarthritis, unspecified
FA85.Z Defects of vertebral end-plates, unspecified
FA8Z Degenerative disease of spine, unspecified
GA30.00 Menopausal or climacteric states in women
GA30.3 States associated with artificial menopause
NE11 Burn of unspecified body region
QB7Z Convalescence, unspecified
QD85 Burn-out
QE01 Stress, not elsewhere classified

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.

Consult a doctor before use to determine the appropriate dosage and duration of therapy.

Take orally, one 400 IU capsule per day. Swallow the capsule whole with a small amount of water.

Administer during or immediately after a meal to enhance absorption, which requires the presence of bile.

Adhere strictly to the course of administration as prescribed by your physician. Do not exceed the recommended daily dose.

For long-term use at doses exceeding 400 IU daily, do so only under direct medical supervision.

Space the intake of oral iron-containing preparations by at least 8 hours after taking this capsule.

Discontinue use and consult a physician if symptoms of overdose or allergic reactions occur.

Adverse Reactions

When taken in high doses (more than 1 g/day), pain in the upper abdomen, diarrhea, and allergic reactions are possible.

Contraindications

  • Hypersensitivity to the drug.

Special Precautions

Exercise caution when using vitamin E in high doses in cases of severe cardiosclerosis, increased risk of embolism, and in the acute period of myocardial infarction.

Overdose

Symptoms: creatinuria, diarrhea, epigastric pain.

If an allergic reaction occurs due to hypersensitivity to the drug, the dose should be reduced or a doctor should be consulted.

Drug Interactions

It enhances the effect of corticosteroids and NSAIDs, cardiac glycosides.

Iron-containing preparations are recommended to be taken orally no earlier than 8 hours after taking vitamin E.

Storage Conditions

Store at room temperature in a dry place, protected from light (ultraviolet rays destroy vitamin E), out of the reach of children, at a temperature below 30°C (86°F).

Shelf Life

Shelf life – 3 years. The drug should not be used after the expiration date.

Dispensing Status

Over-the-counter.

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

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