Aktivnыye veщyestva glyukozamin (glucosamine) Rec.INN zaregistrirovannoye VOZ xondroitina sulfat natriya (chondroitin sulfate sodium) Ph.Eur. Yevropeyskaya Farmakopeya
Artra® (Artra®) instruktsiya po primeneniyu
Kliniko-farmakologicheskaya gruppa: Preparat, stimuliruyuщiy protsess regeneratsii xryaщyevoy tkani
Stimuliruyet regeneratsiyu xryaщyevoy tkani. Glyukozamin i xondroitina sulfat natriya prinimayut uchastiye v biosinteze soyedinitelnoy tkani, sposobstvuya predotvraщyeniyu protsessov razrusheniya xryaщa, stimuliruya regeneratsiyu tkani. Vvedeniye ekzogennogo glyukozamina usilivayet vыrabotku xryaщyevogo matriksa i obespechivayet nespetsificheskuyu zaщitu, v t.ch. ot NPVP i GKS. Preparat obladayet umerennыm protivovospalitelnыm deystviyem.
Xondroitina sulfat natriya, nezavisimo ot togo, vsasыvayetsya li on v intaktnoy forme ili je v vide otdelnыx komponentov, slujit dopolnitelnыm substratom dlya obrazovaniya zdorovogo xryaщyevogo matriksa. Stimuliruyet obrazovaniye proteoglikanov i kollagena tipa II, a takje zaщiщayet xryaщyevoy matriks ot fermentativnogo rasщyepleniya (putem podavleniya aktivnosti gialuronidazы) i ot povrejdayuщyego deystviya svobodnыx radikalov; podderjivayet vyazkost sinovialnoy jidkosti, stimuliruyet mexanizmы reparatsii xryaщa i podavlyayet aktivnost tex fermentov (elastaza, gialuronidaza), kotorыye rasщyeplyayut xryaщ. Pri lechenii osteoartrita oblegchayet simptomы zabolevaniya i umenshayet potrebnost v NPVP.
Vsasыvaniye
Biodostupnost glyukozamina pri priyeme vnutr – 25% (za schet effekta "pervogo proxojdeniya" cherez pechen). Biodostupnost xondroitina sulfata - 13%.
Raspredeleniye
Raspredelyayetsya v tkanyax: naibolshiye kontsentratsii glyukozamina obnarujivayutsya v pecheni, pochkax i sustavnom xryaщye. Okolo 30% prinyatoy dozы dlitelno persistiruyut v kostnoy i mыshechnoy tkani.
Vыvedeniye
Glyukozamin vыvoditsya preimuщyestvenno s mochoy v neizmenennom vide; chastichno - s kalom. T1/2 glyukozamina - 68 ch.
Preparat prinimayut vnutr.
Vzroslыm i detyam starshe 15 let naznachayut po 1 tab. 2 raza/sut v techeniye trex pervыx nedel; po 1 tab. 1 raz/sut v techeniye posleduyuщix nedel i mesyatsev.
Ustoychivыy lechebnыy effekt dostigayetsya pri priyeme preparata ne meneye 6 mes.
Glyukozamin
So storonы piщyevaritelnoy sistemы: vozmojnы legkiye narusheniya funktsii JKT - boli v epigastrii, meteorizm, diareya, zapor.
So storonы nervnoy sistemы: golovokrujeniye.
Glyukozamin i xondroitin
Prochiye: allergicheskiye reaktsii.
S ostorojnostyu: krovotecheniya ili sklonnost k krovotecheniyam, bronxialnaya astma, saxarnыy diabet.
Pri odnovremennom primenenii vozmojno usileniye deystviya antikoagulyantov i antiagregantov.
Artra® uvelichivayet absorbtsiyu tetratsiklinov, umenshayet deystviye polusinteticheskix penitsillinov.
Preparat sovmestim s GKS.
Vliyaniye na sposobnost k upravleniyu transportnыmi sredstvami i mexanizmami
Net dannыx.
Preparat sleduyet xranit v nedostupnom dlya detey meste pri temperature ne vыshe 25°C.
Sluchai peredozirovki neizvestnы.
Lecheniye: promыvaniye jeludka, simptomaticheskaya terapiya.