Pharmacological properties
Movex active has anti-inflammatory, analgesic, chondroprotective and regenerative effects. slows down the processes of damage to cartilage tissue and resorption of bone tissue, restores cartilaginous tissue, accelerates the formation of callus in trauma, and helps to restore the function of joints.
Pharmacodynamics. Glucosamine is a substrate for the construction of articular cartilage and stimulates the regeneration of cartilage tissue. Any adverse effect (disease, age-related metabolic disorders, injuries) reduces its synthesis and concentration in the connective tissue, which leads to disruption of the structure, function of the joints and the appearance of pain. Glycosaminoglycans and proteoglycans are part of the complex matrix that makes up cartilage.
Glucosamine is a part of endogenous glycosaminoglycans in cartilage tissue, stimulates the production of proteoglycans and increases the absorption of sulfate by the articular cartilage.
Thus, glucosamine compensates for endogenous glucosamine deficiency. Takes part in the biosynthesis of proteoglycans and hyaluronic acid, which counteracts the progression of degenerative processes in the joints, spine and surrounding soft tissues; stimulates the formation of chondroitinsulfuric acid, normalizes the accumulation of calcium in bone tissue, helps to restore the functions of the joints and the disappearance of pain.
Chondroitin sulfate is a high molecular weight mucopolysaccharide that affects phosphorus-calcium metabolism in cartilage tissue. It slows down bone resorption, cartilage degeneration processes and reduces calcium loss. It has a chondroprotective effect under normal conditions and under conditions of destruction of cartilaginous tissue, stimulates the regeneration of cartilage tissue, has an anti-inflammatory, analgesic effect. It prevents the compression of connective tissue, “lubricates” the articular surfaces and normalizes the production of joint fluid.
Potassium diclofenac is an NSAID with analgesic, anti-inflammatory and antipyretic action, has a rapid onset of action, which is especially important for the treatment of acute pain in inflammation. The mechanism of action is based on the inhibition of the synthesis of prostaglandins, which play a major role in the development of inflammation, pain and fever. The anti-inflammatory, analgesic and antipyretic properties of NSAIDs are associated with their ability to inhibit prostaglandin synthesis by blocking the synthesis of the COX enzyme. Reduces pain at rest and during movement, reduces the manifestations of morning stiffness in the joints, swelling of soft tissues, improves the functional state of the musculoskeletal system. Diclofenac potassium predominantly suppresses the phase of exudation, to a lesser extent - proliferation, reducing collagen synthesis and the associated tissue hardening.
Pharmacokinetics. Glucosamine sulfate. Oral bioavailability of glucosamine is 25–26%. After distribution in tissues, the highest concentrations are determined in the liver, kidneys and cartilage tissue. About 90% of the glucosamine that enters the body after oral administration is absorbed in the small intestine in the form of the glucosamine salt and enters the liver through the portal bloodstream. A significant portion of the glucosamine that is absorbed is metabolized in the liver. Decomposes to urea, water and carbon dioxide. About 30% of the dose taken persists for a long time in the connective tissue. It is excreted mainly by the kidneys and in a very small amount - with feces.
Chondroitin sulfate. After a single dose of chondroitin Cmax in the blood plasma is achieved after 3-4 hours, in the synovial fluid - after 4-5 hours. The concentration in the synovial fluid exceeds that in the blood plasma. The bioavailability of chondroitin sulfate is 13-15%. Excreted by the kidneys for 24 hours.
Potassium diclofenac is not cumulated. Cmax in blood plasma is achieved 2 hours after administration. Plasma protein binding - 99.7%. Penetrates into synovial fluid. The systemic clearance of the active substance is 263 ml / min. T1 / 2 from blood plasma - 1–2 hours. 60% is excreted by the kidneys in the form of metabolites, less than 1% - by the kidneys in unchanged form, the remainder - in the form of metabolites with bile.
Indications
Treatment of diseases of the musculoskeletal system, which are accompanied by signs of inflammation, pain, degenerative-dystrophic changes in the cartilage tissue of the joints and spine, decreased joint mobility; osteoarthritis, periarthritis (including knee, hip joints, intervertebral osteochondrosis, spondyloarthritis), rheumatoid arthritis, fractures and injuries (to accelerate the formation of callus), post-traumatic inflammation of soft tissues and musculoskeletal system (due to stretching, shock).
Application
From 18 years old. during the first 3 weeks, 1 tablet is prescribed 3 times a day. the treatment regimen is selected individually. tablets are taken orally with a small amount of liquid.
According to the doctor's prescription, the treatment may be longer.
Contraindications
Hypersensitivity to the components of the preparation. do not use if you are allergic to shellfish. phenylketonuria, bleeding tendency, thrombophlebitis, diabetes mellitus, stomach or intestinal ulcer, etc. during pregnancy and lactation. age up to 18 years.
Side effects
The preparation is usually well tolerated.
From the gastrointestinal tract: pain in the epigastric region, nausea, vomiting, diarrhea, cramps, dyspepsia, bloating, anorexia, gastrointestinal bleeding (bloody vomiting, melena, diarrhea mixed with blood), stomach and intestinal ulcers, which are accompanied or not accompanied by bleeding or perforation, aphthous stomatitis, glossitis, disorders of the esophagus, the occurrence of diaphragmatic strictures in the intestine, disorders of the lower intestines, such as nonspecific hemorrhagic colitis, exacerbation of ulcerative colitis or Crohn's disease, constipation, pancreatitis.
From the side of the central nervous system: headache, dizziness, drowsiness, sensory disturbances, including paresthesia, memory impairment, disorientation, insomnia, irritability, convulsions, depression, anxiety, nightmares, tremors, mental disorders, aseptic meningitis, etc.
From the senses: visual impairment (blurred vision, diplopia), hearing impairment, tinnitus, impaired taste.
Skin disorders: skin rash, urticaria, bullous rashes, eczema, erythema multiforme, Stevens-Johnson syndrome, Lyell's syndrome (acute toxic epidermal necrolysis), erythroderma (exfoliative dermatitis), hair loss, photosensitivity, purpura, including allergic purpura.
From the side of the kidneys: edema, acute renal failure, hematuria, proteinuria, interstitial nephritis, nephrotic syndrome, papillary necrosis.
From the liver: an increase in the level of aminotransferases in the blood plasma, hepatitis, accompanied or not accompanied by jaundice, fulminant hepatitis, etc.
From the hematopoietic system: thrombocytopenia, leukopenia, hemolytic anemia, aplastic anemia, agranulocytosis.
Hypersensitivity reactions: systemic anaphylactic / anaphylactoid reactions, including arterial hypotension, vasculitis, pneumonitis.
From the side of the cardiovascular system: palpitations, chest pain, hypertension, congestive heart failure, etc.
Special instructions
Do not exceed the recommended dose.
Use during pregnancy and lactation. The preparation is not used during pregnancy and lactation.
Children. The preparation is used in patients over the age of 18.
The ability to influence the reaction rate when driving or working with other mechanisms. The preparation can affect the reaction rate, therefore it is not recommended to use it when driving or working with complex mechanisms.
Interactions
Increases the absorption of tetracyclines, reduces the absorption of penicillins and chloramphenicol.
Overdose
Symptoms: lethargy, drowsiness, nausea, vomiting, pain in the epigastric region, which are mostly reversible and disappear after symptomatic therapy. possible gastrointestinal bleeding, ag, opn, respiratory depression, coma. anaphylactoid reactions that occur when taking the preparation in therapeutic doses can also be the result of an overdose.
In case of overdose, symptomatic and supportive therapy should be carried out. There is no specific antidote. Patients with symptoms of an overdose in the first 4 hours after taking the preparation are recommended to artificially induce vomiting and / or take activated charcoal. Forced diuresis, urinary alkalization, hemodialysis, or hemoperfusion may be ineffective due to the high protein binding capacity.
Storage conditions
At a temperature of 25 ° c.