Instructions Neuroxon oral solution 100 mg/ml bottle 45 ml
Composition
active ingredient: citicoline;
1 ml of solution contains citicoline sodium in terms of citicoline – 100 mg;
Excipients: methyl parahydroxybenzoate (E 218); propyl parahydroxybenzoate (E 216); potassium sorbate; glycerin; sorbitol (E 420); glycerin informal; sodium citrate; sodium saccharin; citric acid, monohydrate; purified water.
Dosage form
Solution for oral use.
Main physicochemical properties: transparent or with a yellow tint liquid with a specific odor. Opalescence is allowed.
Pharmacotherapeutic group
Psychostimulants, drugs used for attention deficit hyperactivity disorder (ADHD), nootropics. Other psychostimulants and nootropics.
ATX code N06B X06
Pharmacological properties
Pharmacodynamics
Citicoline stimulates the biosynthesis of structural phospholipids of neuronal membranes, which is confirmed by magnetic resonance spectroscopy. Due to this mechanism of action, citicoline improves the functioning of such membrane mechanisms as the work of ion exchange pumps and receptors, the modulation of which is necessary for the normal conduction of nerve impulses.
Due to its stabilizing effect on the neuronal membrane, citicoline exhibits anti-edema properties that help reduce brain edema.
Experimental studies have shown that citicoline inhibits the activation of some phospholipases (A1, A2, C, and D), reduces the formation of free radicals, prevents the destruction of membrane systems, and preserves antioxidant defense systems such as glutathione.
Citicoline preserves the energy reserves of neurons, inhibits apoptosis, and stimulates the synthesis of acetylcholine.
It has been experimentally proven that citicoline also exhibits a preventive neuroprotective effect in focal cerebral ischemia.
Clinical studies have shown that citicoline significantly increases functional recovery in patients with acute ischemic stroke, which coincides with a slowdown in the growth of ischemic brain damage volume according to neuroimaging data.
In patients with traumatic brain injury, citicoline accelerates recovery and reduces the duration and intensity of post-traumatic syndrome.
Citicoline improves the level of attention and consciousness, cognitive and neurological disorders associated with cerebral ischemia, and helps reduce the manifestations of amnesia.
Pharmacokinetics
Citicoline is almost completely absorbed after oral administration. After administration of the drug, a significant increase in the level of choline in the blood plasma is observed. The drug is metabolized in the intestine and liver with the formation of choline and cytidine.
After administration, citicoline is widely distributed in brain structures with rapid incorporation of the choline fraction into structural phospholipids and the cytidine fraction into cytidine nucleotides and nucleic acids. In the brain, citicoline is incorporated into cellular, cytoplasmic and mitochondrial membranes, integrating into the structure of the phospholipid fraction.
Only a small amount of the dose is found in the urine and feces (less than 3%). Approximately 12% of the dose is excreted through exhaled CO2. During the excretion of the drug with urine, two phases are distinguished: the first phase - within 36 hours, in which the rate of excretion decreases rapidly, and the second phase - in which the rate of excretion decreases much more slowly. The same phasic nature is observed in excretion through the respiratory tract. The rate of CO2 excretion decreases rapidly, for about 15 hours, then decreases much more slowly.
Indication
Stroke, acute phase of cerebrovascular disorders and treatment of complications and consequences of cerebrovascular disorders. Traumatic brain injury and its neurological consequences. Cognitive and behavioral disorders due to chronic vascular and degenerative cerebral disorders.
Contraindication
Hypersensitivity to citicoline or other components of the drug. Increased tone of the parasympathetic nervous system.
Interaction with other medicinal products and other types of interactions
Citicoline enhances the effect of levodopa. It should not be administered simultaneously with drugs containing meclofenoxate.
Application features
Patients with hereditary fructose intolerance should not take Neuroxon, oral solution, as it contains sorbitol. Methyl parahydroxybenzoate and propyl parahydroxybenzoate, which are contained in the preparation, may cause allergic reactions (usually delayed).
Ability to influence reaction speed when driving vehicles or other mechanisms
In individual cases, some adverse reactions from the central nervous system may affect the ability to drive or operate complex machinery.
Use during pregnancy or breastfeeding
There are no adequate data on the use of citicoline in pregnant women. Data on the excretion of citicoline into breast milk and its effect on the fetus are unknown. Therefore, during pregnancy or breastfeeding, the drug should be prescribed only if the expected benefit to the mother outweighs the potential risk to the fetus.
Method of administration and doses
For oral use. The recommended dose of Neuroxon®, oral solution, for adults is 500 mg (5 ml) to 2000 mg (20 ml) per day, which should be divided into 2-3 doses.
The drug should be taken using a dosing syringe according to the following scheme:
Before use, fully depress the plunger of the dosing syringe; pull back the plunger and draw the required dose, taking into account that the amount of liquid in the syringe must correspond to the prescribed dose; take the drug directly or dilute it in half a glass of water (120 ml), regardless of meals.
It is necessary to rinse the dosing syringe with water after each use.
The dosage of the drug and the duration of treatment depend on the severity of the brain lesions and are determined individually by the doctor.
Elderly patients do not require dose adjustment.
Children
Experience with the use of the drug in children is limited.
Overdose
No cases of overdose have been reported.
Adverse reactions
Adverse reactions occur very rarely (<1/10,000), including isolated cases.
From the side of the central and peripheral nervous systems: severe headache, vertigo, hallucinations.
From the cardiovascular system: arterial hypertension, arterial hypotension, tachycardia.
Respiratory system: shortness of breath.
From the digestive tract: nausea, vomiting, diarrhea.
On the part of the immune system: allergic reactions, including: rash, hyperemia, exanthema, urticaria, purpura, itching, angioedema, anaphylactic shock.
General reactions: chills.
Expiration date
3 years.
Storage conditions
Store in the original packaging at a temperature not exceeding 30 °C. Keep out of the reach of children. Do not freeze or refrigerate! During storage, a slight opalescence may occur, which disappears when the drug is kept at room temperature (≈ 20 °C).
Packaging
45 ml in glass bottles, sealed with lids. The bottles are labeled. Each bottle with a dispenser is included in a pack.
Vacation category
According to the recipe.
Producer
PJSC "Halychpharm".
Location of the manufacturer and its business address
Ukraine, 79024, Lviv, Opryshkivska St., 6/8.
