Instructions for Protecon film-coated tablets No. 30
Composition
active ingredients: 1 film-coated tablet contains glucosamine sulfate sodium chloride in terms of glucosamine sulfate 500 mg, chondroitin sulfate sodium 400 mg;
Excipients: microcrystalline cellulose, colloidal anhydrous silica, talc, croscarmellose sodium, hypromellose, polyethylene glycol (PEG-6000), titanium dioxide (E 171), tartrazine (E 102), hydrogenated castor oil.
Dosage form
Film-coated tablets.
Main physicochemical properties: film-coated tablets, yellow, oval, biconvex, with a score on one side.
Pharmacotherapeutic group
Means used for pathologies of the musculoskeletal system.
ATX code M09A X.
Pharmacological properties
Pharmacodynamics
Glucosamine is a substrate for the construction of articular cartilage and stimulates the regeneration of cartilage tissue. Glucosaminoglycans and proteoglycans are part of the complex matrix that makes up cartilage.
Glucosamine is a part of endogenous glycosaminoglycans of cartilage tissue and stimulates the production of proteoglycans and increases the absorption of sulfate by articular cartilage. Thus, glucosamine replenishes the endogenous deficiency of glucosamine. It participates in the biosynthesis of proteoglycans and hyaluronic acid, thereby counteracting the progression of degenerative processes in the joints, spine and surrounding soft tissues. Stimulates the formation of chondroitin sulfate, normalizes calcium deposition in bone tissue, promotes the restoration of joint functions and the disappearance of pain syndrome.
Chondroitin is a high-molecular mucopolysaccharide that exhibits chondroprotective, anti-inflammatory and analgesic effects. It also stimulates the regeneration of cartilage tissue and affects the phosphorus-calcium metabolism in it. Chondroitin slows down the resorption of bone tissue and reduces calcium loss, slows down the processes of cartilage degeneration. It prevents the compression of connective tissue and "lubricates" joint surfaces, normalizes the production of joint fluid.
Pharmacokinetics
When taken orally, glucosamine is rapidly and completely absorbed from the digestive tract, with a bioavailability of 25-26%. Approximately 90% of glucosamine administered orally is absorbed from the small intestine in the form of glucosamine salt and from there through the portal circulation to the liver. It is metabolized in the liver to form urea, water and carbon dioxide. About 30% of the dose taken persists in the connective tissue for a long time. It is excreted mainly by the kidneys, and in a very small amount by the intestines.
When administered orally, the bioavailability of chondroitin is 13-15%. The maximum concentration in blood plasma (Cmax) is reached after 3-4 hours, in synovial fluid - after 4-5 hours (after a single administration). It accumulates mainly in cartilage tissue (the maximum concentration in articular cartilage is reached after 48 hours); the synovial membrane is not an obstacle to its penetration into the joint cavity. It is excreted by the kidneys within 24 hours.
Indication
Degenerative-dystrophic diseases of the joints and spine; primary and secondary osteoarthritis, osteochondrosis, shoulder-scapular periarthritis; fractures (to accelerate the formation of bone callus).
Contraindication
Hypersensitivity to the active substances or to other components of the drug; bleeding tendency; thrombophlebitis; diabetes mellitus; renal/hepatic insufficiency in the stage of decompensation.
Interaction with other medicinal products and other types of interactions
When using the drug simultaneously with other medicines, the following interactions are possible:
with indirect anticoagulants, antiplatelet agents, fibrinolytics - the effect of the latter may be enhanced; with simultaneous use, blood coagulation parameters should be monitored;
with nonsteroidal anti-inflammatory drugs, corticosteroids - reducing the need for them, as well as for painkillers.
with tetracycline group drugs – increased absorption of the latter;
with penicillins, chloramphenicol - reduced absorption of the latter.
The effectiveness of treatment with the drug increases when the diet is enriched with vitamins A, C and salts of manganese, magnesium, copper, zinc and selenium.
Application features
When using the drug, do not exceed the recommended doses.
If necessary, the drug can be used as part of combination therapy with corticosteroids and nonsteroidal anti-inflammatory drugs.
The drug should be used with caution in patients with bronchial asthma, as worsening of symptoms of the disease is possible. Such patients should be monitored and warned about the possibility of worsening asthma symptoms.
The drug should be used with caution in patients with impaired liver and/or kidney function.
Use during pregnancy or breastfeeding
Safety and efficacy have not been established, therefore the drug should not be used during pregnancy or breastfeeding. If necessary, breastfeeding should be discontinued.
Ability to influence reaction speed when driving vehicles or other mechanisms
Studies on the effect of the drug on the reaction speed when driving vehicles or other mechanisms have not been conducted. If drowsiness, fatigue, dizziness and/or visual disturbances occur during the use of the drug, you should refrain from driving vehicles or other mechanisms.
Method of administration and doses
The drug should be used by adults during the first 3 weeks at a dose of 1 tablet 3 times a day, then 1 tablet 2 times a day. The duration of treatment is 2-3 months. The course should be repeated 2-3 times a year.
Children
Safety and efficacy have not been established, so the drug should not be used in children.
Overdose
Cases of overdose have not been described. Possible exacerbation of adverse reactions. In case of symptoms of overdose, symptomatic therapy is recommended.
Adverse reactions
From the nervous system: dizziness, drowsiness, headache, insomnia, feeling of fatigue, weakness, visual disturbances.
On the part of the digestive tract: pain in the epigastric region of moderate or moderate severity, flatulence, diarrhea, constipation, nausea, vomiting, dyspepsia.
Immune system, skin and subcutaneous tissue disorders: hypersensitivity reactions, including rash, itching, erythema, urticaria, angioedema; dermatitis, eczema, hair loss.
Other: edema.
All manifestations are moderate and disappear after discontinuation of the drug.
Expiration date
3 years.
Storage conditions
Store in the original packaging at a temperature not exceeding 25 °C, out of the reach of children.
Packaging
10 tablets in a blister; 3 blisters in a cardboard pack;
10 tablets in a blister; 3 blisters in a cardboard pack; 3 packs in a cardboard pack;
60 tablets in containers; 1 container in a cardboard pack.
Vacation category
Without a prescription.
Producer
Evertogen Life Sciences Limited.
Location of the manufacturer and its business address
Plot No. S-8, S-9, S-13 and S-14, A.P.I.C, S.I.Z Pharma, Green Industrial Park, Polepally (BI), Yedcherla (EM), Mahabubnagar, IN - 509 301, India/
Plot No. S-8, S-9, S-13 & S-14, APIIC, Pharma Sez, Green Industrial Park, Polepally (V), Jadcherla (M), Mahabubnagar, In-509 301, India.
