Legalon 70, capsules 70 mg 30 pcs

Interacts with free radicals in the liver and converts them into less toxic compounds, interrupting the process of lipid peroxidation, prevents the destruction of cellular structures.

In damaged hepatocytes it stimulates the synthesis of structural and functional proteins and phospholipids (by specific stimulation of RNA-polymerase A), stabilizes cell membranes, prevents the loss of cell components (transaminases), accelerates regeneration of liver cells.

Inhibits cell penetration of some hepatotoxic substances.

Pharmacokinetics.

Absorption is low and slow (half-absorption period is 2.2 hours), metabolized in the liver by conjugation, elimination half-life is 6 hours. It is excreted mainly with bile in the form of glucuronides and sulfates. It does not accumulate in the body. Intestinal-hepatic circulation is noted.

Indications

In the complex therapy of chronic inflammatory liver diseases, liver cirrhosis and toxic liver damage (caused by substances toxic to the liver) and their prevention.

Pharmacological effect

Milk thistle fruit dry extract is standardized for silymarin content.
Therapeutic effect of silymarin:
Detoxifying. The antitoxic effects of silymarin have been demonstrated in studies in various models of liver injury, such as the toadstool toxin phalloidin and alpha-amanitin, lanthanides, carbon tetrachloride, galactosamine, thioacetamide, and the hepototoxic virus FV3. Cytoprotective. Silymarin inhibits the penetration of certain hepatotoxic substances (poison of the toadstool) into the cell.
Antioxidant. Due to the ability of silymarin to bind free radicals, it has antioxidant activity. The pathophysiological process of lipid peroxidation, which is responsible for the destruction of cell membranes, is interrupted or prevented. 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. Membrane stabilizing. Silymarin stimulates the synthesis of proteins and phospholipids. Cell membranes are stabilized. Own proteins and phospholipids restore damaged hepatocyte structures. The recovery ability is improved and the regeneration of liver cells is accelerated. This effect is not observed in undamaged cells.
Hypocholesterolemic. Silymarin normalizes hyperlipidemia, reduces the level of cholesterol and low-density lipoprotein (LDL) in the blood plasma.
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 the formation of leukotriene.

The main component of silymarin is silibinin. When taken orally, silibinin 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 in the bile in combination with glucuronides and sulfates. Due to deconjugation in the intestine, up to 40% of silibinin excreted in the bile is reabsorbed and enters the enterohepatic circulation, the elimination period is 6.3 hours. The bioavailability of the drug Legalon® 70 is 85%.
When taking milk thistle fruit extract in therapeutic doses (140 mg silymarin 3 times a day), the level of silibinin in bile is the same after taking repeated doses and after taking a single dose. The results showed that silibinin does not accumulate in the body.
After repeated oral administration of silymarin 140 mg 3 times a day, a stable level of excretion in bile is achieved.

Active ingredient

Milk thistle fruit extract

Composition

One capsule contains:

Active ingredient: milk thistle fruit extract dry (36-44:1) – 86.5-93.35 mg, equivalent to 70 mg of silymarin, equivalent to 54.1 mg of silymarin per silibinin.

Excipients: polysorbate 80, povidone K 25, mannitol, sodium carboxymethyl starch (type A), magnesium stearate.

Shell: hard gelatin capsule, size “2”, which contains: gelatin, red iron oxide dye (E172), titanium dioxide (E171), sodium lauryl sulfate, black iron oxide dye (E172).

Pregnancy

Studies have not revealed any direct or indirect toxic effects on reproductive function. As a precautionary measure, it is advisable to avoid using the drug during pregnancy and breastfeeding.

Contraindications

Hypersensitivity to the components of the drug (milk thistle fruits and/or other asteraceous plants, or to any of the excipients). Children up to 12 years of age (for this dosage form).

Side Effects

The incidence of side effects is determined as follows:
Very often: > 1/10;
Often: 1/100;
Uncommon: 1/1000;
Rare: 1/10000;
Very rare: <1/10000.
Immune system disorders: very rarely – hypersensitivity reactions, rash.
Respiratory tract disorders: very rarely – shortness of breath.
Gastrointestinal disorders: rarely – gastrointestinal disorders, soft stools.

Interaction

Not studied.

Overdose

No cases of overdose have been reported.
The side effects of the drug may increase.
Treatment: in case of overdose, symptomatic therapy should be carried out.

Short product description

Pharmacotherapeutic group: hepatoprotective agent.

ATX code: A05BA03.

Recommendations for use

Inside, after meals, with a small amount of water

Storage conditions

In a place protected from light, at a temperature not exceeding 30°C
Keep out of the reach of children.

Shelf life

5 years.
Do not use after the expiration date stated on the package.

Manufacturer

Madaus GmbH, Germany