Thioctacid pills 600mg №100

Indications

- diabetic polyneuropathy;

- alcoholic polyneuropathy.

Dosage and administration

Inside appoint 600 mg (1 tab.) 1 time / day. pills are taken on an empty stomach, 30 minutes before breakfast, without chewing and drinking water.

In severe cases, treatment begins with the appointment of a solution for iv administration. Thioctacid^® 600 T for 2-4 weeks, then the patient is transferred to treatment with the drug Thioctacid^® BV.

Adverse effects

The incidence of side effects is defined as follows: very often (> 1/10); often (> 1/100, <1/10); infrequently (> 1/1000, <1/100); rarely (> 1/10 000, <1/1000); very rarely (<1/10 000).

From the digestive system: often - nausea; very rarely - vomiting, pain in the stomach and intestines, diarrhea, change in taste.

Allergic reactions: very rarely - skin rash, urticaria, pruritus, anaphylactic shock.

Nervous system: often dizziness.

On the part of the body as a whole: very rarely - due to an improvement in glucose utilization, the level of glucose in the blood can decrease and symptoms of hypoglycemia appear (confusion, increased sweating, headache, visual disturbances).

Contraindications

- pregnancy (there is not enough experience with the drug);

- breastfeeding period (there is not enough experience with the drug);

- childhood and adolescence (there are no clinical data on the use of the drug in children and adolescents);

- hypersensitivity to thioctic (α-lipoic) acid and other components of the drug.

Use during pregnancy and lactation

The drug is contraindicated during pregnancy and lactation, because there is insufficient experience with the drug during these periods.

Use in children

Contraindications: children and adolescents (there are no clinical data on the use of the drug in children and adolescents).

Special notes

Alcohol consumption is a risk factor for polyneuropathy and may reduce the effectiveness of Thioctacid^® BV, therefore, patients should refrain from taking alcoholic beverages both during treatment with the drug and during periods outside of treatment.

Treatment of diabetic polyneuropathy should be carried out against the background of maintaining the optimal concentration of glucose in the blood.

Due to the fact that thioctic acid binds metals, and pills Thioctacid^® BV take 30 minutes before breakfast, preparations containing metals should be taken at lunch or in the evening. For the same reason, during the treatment period with BV Thioctacid, the consumption of dairy products is recommended only in the second half of the day.

Overdosage

Symptoms: when taking thioctic (α-lipoic) acid in a dose of 10 g to 40 g, serious signs of intoxication can be observed (generalized convulsive seizures; marked disorders of CRP (leading to lactic acidosis), hypoglycemic coma, severe bleeding disorders, sometimes leading to death).

Treatment: if a substantial overdose of the drug is suspected (for example, more than 10 pills are taken by an adult or more than 50 mg / kg of body weight by a child), immediate hospitalization is necessary with symptomatic therapy, if necessary, anticonvulsant therapy, measures to maintain the functions of vital organs.

Drug interaction

With the simultaneous appointment of thioctic acid and Cisplatin, there is a decrease in the effectiveness of cisplatin.

Thioctic (α-lipoic) acid binds metals; therefore, it should not be administered concurrently with preparations containing metals (for example, preparations of iron, Magnesium, and calcium). If thioctacid^® BV is taken 30 minutes before breakfast, then preparations containing iron or magnesium can be taken during the day or in the evening.

With the simultaneous use of thioctic acid and insulin or oral hypoglycemic drugs, their action may increase, so regular monitoring of blood glucose levels is recommended, especially at the beginning of treatment with thioctic acid. In some cases, it is possible to reduce the dose of hypoglycemic drugs in order to avoid the development of symptoms of hypoglycemia.

Ethanol and its metabolites weaken the action of thioctic acid.

Terms and conditions of storage

List B. The drug should be kept out of the reach of children at a temperature not exceeding 25 ° C.