Mexidol, 125 mg 30 pcs.

An antioxidant agent.

Pharmacodynamics

Mexidol® is an inhibitor of free radical processes, membrane protector with antihypoxic, stress-protective, nootropic, anticonvulsant and anxiolytic action. The drug increases resistance of the body to the effects of various damaging factors (shock, hypoxia and ischemia, disorders of cerebral circulation, intoxication with alcohol and antipsychotic drugs (neuroleptics)).

The mechanism of action of Mexidol® is due to its antioxidant, antihypoxant and membrane-protective actions. It inhibits lipid peroxidation, increases the activity of superoxide dismutase, increases the lipid/protein ratio, reduces membrane viscosity and increases its fluidity. Mexidol® modulates the activity of membrane-bound enzymes (calcium independent phosphodiesterase, adenylate cyclase, acetylcholinesterase), receptor complexes (benzodiazepine, GABA, acetylcholine), which increases their ability to bind to ligands, maintains structural and functional organization of biomembranes, transports neurotransmitters and improves synaptic transmission.

Mexidol® increases the content of dopamine in the brain. It causes enhancement of compensatory activation of aerobic glycolysis and reduction of the degree of inhibition of oxidative processes in the Krebs cycle under hypoxia with increase of ATP and creatine phosphate content, activation of energy-synthesizing functions of mitochondria and stabilization of cell membranes.

The drug improves metabolism and blood supply of the brain, improves microcirculation and blood rheology, reduces platelet aggregation. Stabilizes membrane structures of blood cells (erythrocytes and platelets) in hemolysis. It has hypolipidemic effect, reduces the content of total cholesterol and low-density lipoproteins.

The anti-stressor effect is shown in normalization of post-stress behavior, somatovegetative disorders, restoration of sleep-wake cycles, disturbed learning and memory processes, decrease of dystrophic and morphological changes in different structures of the brain.

Mexidol® has a pronounced anti-toxic effect during withdrawal syndrome. It eliminates neurological and neurotoxic manifestations of acute alcohol intoxication, restores disturbances of behavior, vegetative functions and is able to remove cognitive disorders caused by prolonged intake of ethanol and its withdrawal. Under the influence of Mexidol® the effects of tranquilizers, neuroleptics, antidepressants, hypnotics and anticonvulsants are increased, which allows reducing their dosages and side effects. Mexidol® improves functional state of ischemic myocardium. In conditions of coronary insufficiency it increases collateral blood supply of ischemic myocardium, promotes preservation of integrity of cardiomyocytes and maintenance of their functional activity. Effectively restores myocardial contractility in reversible cardiac dysfunction.

Pharmacokinetics

Absorption

Ingestion of Mexidol at doses of 400-500 mg, the Cmax in plasma is 3.5-4.0 µg/mL and is reached within 0.45-0.5 h.

Distribution

The drug is detected in plasma for 4 hours after IV/m administration. Average retention time of the drug in the body is 0.7-1.3 h.

Elimination

Extracted from the body with urine mainly in glucuron-conjugated form and in small amounts unchanged.

Indications

Consequences of acute cerebral circulation disorders, including after transient ischemic attacks, in the subcompensation phase as a preventive course;

mild traumatic brain injury, consequences of craniocerebral injuries;

encephalopathies of various genesis (discirculatory, dysmetabolic, post-traumatic, mixed);

dietary dystonia syndrome;

mild cognitive disorders of atherosclerotic genesis;

anxiety disorders in neurotic and neurosis-like conditions;

state after acute intoxication with antipsychotic drugs;

asthenic conditions, as well as for the prevention of the development of somatic diseases under extreme factors and stress;

exposure to extreme (stressor) factors.

ischemic heart disease as part of the complex therapy;

management of withdrawal syndrome in alcoholism with predominant neurosis and vegetative-vascular disorders, post-abstinence disorders

Active ingredient

Composition

Covered white to white with a creamy tint, round, biconvex.

1 tablet contains:

Active substances:

Ethylmethylhydroxypyridine succinate 125 mg.

Associates:

Lactose monohydrate,

Sodium carboxymethylcellulose (sodium carmellose),

Magnesium stearate.

Composition of the shell:

Opadray II white (macrogol (polyethylene glycol),

p> polyvinyl alcohol,

talk,

titanium dioxide).

There are 10 tablets in a carton pack.

In a carton pack of 3 or 5 contour cell packs.

How to take, the dosage

Manual administration and dosage regimen depending on symptoms

Ingestion 125-250 mg 3 times per day; maximum daily dose – 800 mg (6 tablets). Duration of treatment is 2-6 weeks; for relief of alcohol withdrawal – 5-7 days. Treatment is discontinued gradually, reducing the dose over 2-3 days.

The initial dose is 125-250 mg (1-2 tablets) 1-2 times a day with gradual increase until therapeutic effect; the maximum daily dose is 800 mg (6 tablets).

The duration of therapy in patients with CHD is at least 1.5-2 months. Repeated courses (as recommended by the doctor) are advisable in the spring and autumn periods.

Interaction

When used together, Mexidol® increases the effect of benzodiazepine derivatives, antidepressants, anxiolytics, anti-Parkinsonian and anticonvulsants.

Mexidol® reduces the toxic effects of ethanol.

Special Instructions

Precautions when taking the drug

Mexidol® can be combined with all drugs used to treat somatic diseases.

Pediatric use

Mexidol® is not indicated for children because of insufficient study of the drug.

Impact on ability to drive vehicles and other mechanisms requiring increased concentration

When using the drug, caution must be exercised while driving vehicles and engaging in other potentially dangerous activities requiring increased concentration and quick psychomotor reactions.

Interaction with alcohol

Mexidol® decreases toxic effects of ethanol.

Prescription conditions

The drug is available with a prescription.

Contraindications

The contraindication to the use of Mexidol is:

In relation to the insufficient study of the drug action:

Side effects

When using the drug:

Digestive system: Individual adverse reactions of a dyspeptic or dyspeptic nature may occur.

Others: allergic reactions are possible.

Overdose

In case of overdose, drowsiness may develop.

Pregnancy use

Strictly controlled clinical studies of safety of Mexidol® use during pregnancy and lactation have not been conducted.

Similarities