Legalon 140, 140 mg capsules 60 pcs

The milk thistle fruit dry extract is standardized for the content of silymarin.

Therapeutic effects of silymarin:

Detoxifying. The anti-toxic effect of silymarin has been found in studies in various models of liver damage, such as the pale grebe toxin phalloidin and alpha-amanitin, lanthanides, carbon tetrachloride, galactosamine, thioacetamide and the hepatotoxic FV3 virus.

Cytoprotective. Silymarin inhibits the penetration into the cell of some hepatotoxic substances (pale grebes venom).

Antioxidant. Due to the ability of silymarin to bind free radicals, it has antioxidant activity. It interrupts or prevents the pathophysiological process of lipid peroxidation responsible for the destruction of cell membranes. Silymarin acts not only as an antioxidant – reducing the generation of free radicals – but also as a means of stimulating the regeneration of the glutathione system, one of the most important protective systems of the liver.

Regenerative. Membranostabilizing. Silymarin stimulates the synthesis of proteins and phospholipids. Cell membranes are stabilized. Proprietary proteins and phospholipids restore the damaged structures of the hepatocyte. Restorative capacity is improved and regeneration of liver cells is accelerated. No such effect is noted in undamaged cells.

Hypocholesterolemic. Silymarin normalizes hyperlipidemia, reduces plasma levels of cholesterol and low-density lipoproteins (LDL).

Antifibrotic. Silymarin inhibits collagenase and elastase in the liver, helping to reduce the degree of fibrosis.

Anti-inflammatory. A key feature of silymarin/silibinin is the ability to block the 5-lipoxygenase pathway and have an inhibitory effect on leukotriene formation.

Pharmacokinetics

The main component of silymarin is silybinin. When taken orally, silybinin quickly dissolves and enters the intestine, then through the portal vein system 85% of it enters the liver and is selectively distributed in hepatocytes, where it is metabolized by conjugation. Up to 80% of the active substance during the first passage through the liver is excreted with bile in combination with glucuronides and sulfates. Due to deconjugation in the intestine, up to 40% of silybinin excreted with bile is reabsorbed and enters enter enterohepatic circulation, excretion period is 6.3 h. The bioavailability of the drug Legalon® 140 is 85%.

When taking milk thistle fruit extract at therapeutic doses (140 mg silymarin 3 times daily), the level of silybinin in bile is the same after repeated doses and after taking a single dose. The results showed that silybinin does not cumulate in the body.

After repeated oral doses of silymarin at 140 mg 3 times a day, a stable level of excretion with bile is achieved.

Indications

In the treatment of chronic inflammatory liver disease, cirrhosis and toxic liver injury (caused by liver toxic substances).

Active ingredient

Milk thistle fruit extract

Composition

One capsule contains:

The active ingredient:

The milk thistle fruit extract dry (36-44:1) – 173.0-186.7 mg, equivalent to 140 mg silymarin (DNFG), equivalent to 108.2 mg silymarin (HPLC/Herm.F.) per silybinin.

Excipients: polysorbate 80, povidone, mannitol, sodium carboxymethyl starch (type A), magnesium stearate.

The hard gelatin capsule shell, size “1”, which includes: gelatin, iron oxide red dye (E172), titanium dioxide (E171), sodium lauryl sulfate, iron oxide black dye (E172).

How to take, the dosage

Orally, after meals, with plenty of liquid.

1 capsule 3 times a day. The maintenance dose is 1 capsule 2 times a day.

The duration of therapy is determined by the doctor.

Special Instructions

There are no special requirements.

Effect of the medication on the ability to drive vehicles, machines

The drug does not affect the ability to drive vehicles or engage in other potentially dangerous activities that require increased concentration and rapid psychomotor reactions.

Synopsis

Capsule appearance: hard gelatin capsules, size “1”, the body and cap are brown. Capsule contents appearance: yellow powder.

Contraindications

Hypersensitivity to the components of the drug (fruits of milk thistle and/or other complex flowering plants, or any of the excipients).

Under 12 years of age (for this dosage form).

Side effects

The frequency of side effects is defined as follows:

• Very often: > 1/10;
• Frequently: < 1/10 > 1/100;
• Infrequently: < 1/100 > 1/1000;
• Rarely: < 1/1000> 1/10000;
• Very rare: < 1/10000.

Immune system disorders:Very rare – hypersensitivity reactions, rash.

Respiratory system disorders:Very rare – shortness of breath.

Gastrointestinal tract disorders:Rarely – gastrointestinal disorders, soft stool.

Overdose

No cases of overdose have been reported.

Increased side effects of the drug may occur.

Treatment: in case of overdose symptomatic therapy should be carried out.

Pregnancy use

No direct or indirect toxic effects on reproductive function have been found in studies. As a preventive measure, it is desirable to avoid using the drug during pregnancy and breastfeeding.

Similarities

Carsil, Legalon 70, Silimar, Legalon, Forliver Help