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Totem 20s 10 ml oral solution

$14.80

8b3615d26234

Description

The instruction for medical use of medicine of the Totem the Trade name of the Totem the International unlicensed name Is not present the Dosage form Solution for intake, 10 ml Structure of 10 ml of drug contain active agents: iron (in the form of gluconate iron) 50.00 mg manganese (in the form of gluconate manganese) 1.33 mg copper (in the form of gluconate copper) 0.70 mg, excipients: glitserol, glucose liquid, sucrose, anhydrous citric acid, sodium citrate, Natrium benzoicum, polysorbate 80, dye caramel (E150s) (glucose, ammonium hydroxide), Tutti-frutti fragrance (isoamyl acetate, isoamyl butyrate, benzaldehyde, etilmetilfenilglitsidat, gamma undecalactone, ethylvanillin), the water purified. The description Transparent, dark brown liquid with a characteristic smell. Pharmacotherapeutic group Iron preparations. Iron preparations in a combination with other drugs. Iron preparations in a combination with other drugs. The ATX B03AE10 code the Pharmacological Pharmacokinetics Absorption properties of iron in digestive tract makes 10-20% of the dose accepted inside. Extent of absorption increases at decrease in reserves of iron in an organism. Absorption of iron happens, first of all, in a duodenum and an upper part of a jejunum. Iron is late in cells mucous a ciliate epithelium of intestines thanks to presence of active enzymes. A part of iron comes to a blood stream at once, other part is postponed, in particular, in the form of ferritin in cells mucous, then as required, comes to plasma. A pharmacodynamics Iron is necessary for synthesis of a gem, a myoglobin and other metalproteins of an organism. Copper and manganese are a part of the enzymes improving digestion of iron and also participating in oxidation-reduction processes in an organism. At course administration of drug there is a gradual regression of the clinical and laboratory symptoms of anemia caused by deficit of these microelements. Indications – treatment of an iron deficiency anemia – prevention of deficiency of iron at the pregnant women, premature children, twins, babies who were born from mothers having an iron deficiency anemia when there is no an opportunity to provide receipt in an organism of necessary amount of iron with food the Route of administration and doses For intake. To crack an ampoule since two ends, to pour out contents of an ampoule in a glass, to dissolve in enough idle time or the sweetened water, or in any other soft drink. It is not recommended to dissolve drug in tea, coffee, milk. Contents of an ampoule have to be used during 24 h after its opening. Treatment One ampoule contains 10 ml of drug of the Totem that corresponds to 50 mg of elementary iron. Adult: 100-200 mg of iron, i.e. 2-4 ampoules a day. To children is more senior than the 1st month at the rate of 5-10 mg/kg of body weight a day. Preventive use to Women during pregnancy: 50 mg of iron i.e. 1 ampoule a day during the II-III trimesters of pregnancy. Duration of administration of drug: the period has to be rather long to eliminate anemia and to restore iron reserves which at adults make 600 mg for women and 1,200 mg for men. Iron deficiency anemia: 3-6 months depending on exhaustion of reserves, however the period can be prolonged if the cause of anemia is not removed. Monitoring of efficiency should be carried out, at least, 3 months later after an initiation of treatment. Monitoring includes definition of extent of elimination of anemia (hemoglobin, average corpuscular volume) and replacement level of reserves of iron and also saturation indicators serumal iron and transferrin. Side effects – nausea, vomiting, heartburn, a constipation, diarrhea – coloring a calla in black color (is not harmful to an organism and does not demand drug withdrawal) – enamel darkening (the brown or black spots disappearing upon termination of treatment) – is possible development of allergic, anaphylactic reactions of the Contraindication – the anemias which are not connected with deficiency of iron – hemochromatosis, a hemosiderosis, the thalassemia, zhelezorefrakterny anemia, anemia caused by oppression of a red sprout of a hemopoiesis – hypersensitivity to drug components – a peptic ulcer of a stomach and duodenum in an aggravation stage – the children’s age up to 1 month leads Medicinal interactions of the Totem to decrease in absorption of bisfosfonat, ciprofloxacin, tetracyclines at intake. Salts, oxides and hydroxides of magnesium, aluminum and calcium reduce absorption of salts of iron. It is necessary to accept the Totem not earlier than in 2 hours after intake of the specified drugs. It is impossible to combine drug with other iron preparations, including, entered parenterally. Special instructions of Giposideremiya, connected with inflammatory syndromes, does not react to treatment by iron preparations. As far as possible, treatment of deficiency of iron has to be directed to treatment of the reason. To take the drug up to one meal better, however time of reception and a dosage can be modified depending on individual tolerance of drug. The use of a large number of tea suppresses iron absorption. In order to avoid darkening of enamel of teeth it is not necessary to detain for a long time drug solution in an oral cavity. Coloring of teeth in dark color can be prevented at the use of drug by means of a straw. The persons having diabetes need to consider that in 10 ml of drug, 80 mg of glucose and 3 g of sucrose contain. Use of the Totem is not recommended for patients with intolerance of fructose, disturbance of absorption of glucose and a galactose or suffering from a lack of invertase/isomaltase. A totem contains ethanol (less than 100 mg on an ampoule). Coloring a calla in black color is considered normal. Pregnancy and the period of a lactation the Available data on special number of pregnancies do not show any undesirable effect on pregnant women either on a fruit or on the newborn child. Features of influence of medicine on ability to run the vehicle or potentially dangerous mechanisms the Overdose Symptoms does not influence: signs of irritation of digestive tract and necrosis which are followed, nausea, vomiting, a state of shock. Treatment: gastric lavage by means of 1% of solution of sodium of bicarbonate. At increase in concentration of iron in blood serum more than 5 mkg/ml enter Deferoxaminum. At emergence of a state of shock carry out antishock therapy. The form of release and packing On 10 ml of drug place in the ampoules from yellow II glass pointed from two parties which easily break. On 10 ampoules pack in cardboard holders. On 2 holders together with the instruction for medical use in the state and Russian languages place in a cardboard box. To Store storage conditions at a temperature not above 25 °C. To store in the place inaccessible for children! A period of storage 2 years it is not necessary to use medicine after the expiration date specified on packing. Prescription status Without prescription the Producer Innotera Shuzi, Rue Rene Shantero, Shuzi-Sur-Cis, 41150 Valuar-sur-Cis, France the Owner of the registration certificate Innotek Internasional Laboratory, France the Address of the organization accepting in the territory of the Republic of Kazakhstan claims from consumers on quality of products Representation Innotek Internasional Laboratory of S.A.S. in RK 050059, Republic of Kazakhstan, Almaty, Al-Farabi Ave., 17, business center of Nurla Tau, the block of 4 B, office 606, ph./fax: +7-727-311-09-71, +7-727-311-09-72, e-mail: innotech@innotech.kz

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