Ganaton tabs 50mg #40

Instruction for Ganaton

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Composition

One tablet of Ganaton contains, as active substance, the hydrochloride of tautopride in an amount of 50 mg. As auxiliary substances contain: corn starch - 15 mg, lactose - 34.975 mg, carmellose - 20 mg, silicon anhydrous acid - 4 mg, magnesium stearate - 1 mg, hypromellose - 4.4 mg, titanium dioxide - 0.2 mg, macrogol 6000 - 0.4 mg, carnauba wax - 0.025 mg.

Form of issue

The drug is available in tablets coated with a light colored coating, rounded, with a strip on one edge and the inscription "HC 803". Seven, ten or fourteen such tablets in a blister. Five, four, three, two or one such blister in a cardboard box.

pharmachologic effect

The drug has a stimulating tone and motility of the stomach and intestines action.

Pharmacodynamics and pharmacokinetics

Pharmacodynamics

Mechanism of action. Etymopolid hydrochloride activates gastric motility by suppressing D2-dopamine receptors and acetylcholinesterase. Itopride inhibits the destruction of acetylcholine and enhances its release.
Tetropride hydrochloride also has an antiemetic effect by inhibiting the D2 receptors localized in the trigger region and causes a dose-dependent depression of emesis caused by apomorphine.
The drug activates the propulsive motility of the stomach and accelerates the transit of food through the stomach and its emptying. Does not affect the concentration of gastrin in the blood serum.

Pharmacokinetics

Suction. The drug is quickly and almost completely absorbed from the stomach and intestines. Bioavailability is 60% - this is due to the transformation of the molecule during the first passage through the liver tissue. Eating does not affect bioavailability.
After ingestion of 50 mg of aseptide hydrochloride, the maximum concentration is achieved in half an hour. In the following doses of the drug from 50 to 200 mg three times a day for a week, the pharmacokinetics of the drug itself and its derivatives did not change, and the cumulation effect was not observed.
Itopride binds to plasma proteins (albumins, to a lesser extent with alpha-1-acid glycoproteins) by 96%. Actively carried on the tissues and detected in large concentrations in the small intestine, kidneys, adrenal glands, liver and stomach. Penetrates into the dorsal and the brain in small amounts. Capable of penetrating into breast milk.
Metabolism. The drug undergoes an active transformation in the liver. Three metabolites are known, only one of them exhibits weak activity, which does not have much significance.
Itopride is decomposed by flavine-dependent monooxygenase, its concentration and efficacy in humans depends on congenital polymorphism. In patients with trimethylaminuria, the half-life of the isotope increases.
Excretion. The drug and its metabolites are excreted in the urine. The terminal half-life of the endopride is 6 hours.

Indications for the use of Ganaton

The drug is used to treat functional dyspepsia of non-ulcerative nature (chronic gastritis). The use of the drug is justified for cupping:
    sensations of rapid saturation;
    bloating;
    discomfort and pain in the upper abdomen floor;
    anorexia;
    nausea;
    heartburn;
    vomiting.

Contraindications

    Gastric or intestinal bleeding, mechanical obstruction or perforation of the gastrointestinal tract.
    The period of breastfeeding (lactation).
    Pregnancy.
    Children under the age of 16 years.
    Sensitization to taepride or other component of the drug.

Side effects

Before you buy Ganaton you should know side effects.
In the period of clinical studies (1-3 phases), tared up was tolerated well, no serious side effects were reported. The bulk of complaints about adverse reactions were: headache, diarrhea, abdominal pain.
The deviation of blood values ​​observed during the research: leukopenia, an increase in the level of prolactin.
Most often this drug can cause the following side effects:
    from the side of the immunity system - anaphylactic shock;
    endocrine glands - gynecomastia, an increase in the level of prolactin;
    from the peripheral and central nervous system - headache, dizziness, tremor;
    on the part of the digestive system - diarrhea, abdominal pain, constipation, salivation, nausea;
    from the hepatobiliary system - jaundice;
    from the skin - rash, hyperemia, itching;
    abnormalities on the part of clinical tests - increased levels of ALT, AST, alkaline phosphatase, GGT, bilirubin.

Instructions for using Ganaton

Instructions for using Ganaton recommend taking this medication internally at 50 mg (1 tablet) three times daily before meals. The recommended daily dose of the drug is 3 tablets. This dose can be reduced based on the age of the patient.

Overdose

There are no reports of overdose. If it does, it is necessary to rinse the stomach and begin symptomatic treatment.

Interaction

With the simultaneous administration of ganaton with diazepam, warfarin, diclofenac, ticlopidine hydrochloride, nifedipine and nicardipine hydrochloride, there are no disturbances in the interaction between itopride and blood proteins.
Itopride improves gastric motility, as a result of which it affects the absorption of other substances simultaneously used with Ganaton. Particular care should be taken when using drugs with a small therapeutic index, prolonged release of the active ingredient and enteric coating.
Anticholinergic drugs weaken the effect of itopride.

Storage conditions

Keep out of the reach of children.
Shelf life - three years.

special instructions

Itopride hydrochloride must be administered with caution to the elderly. It is necessary to monitor the state of health of such patients, since they have more frequent kidney, liver and other diseases or parallel therapy with other medicines.
When deciding whether to drive a car, it is necessary to take into account the possibility of developing dizziness.

Children

Safety of use in children under the age of sixteen is not proven.

In pregnancy and lactation

The safety of the use of isoplodic hydrochloride during pregnancy is not established. Therefore, do not take drug therapy during this period, except for cases of appointment by a doctor if necessary.
In the period of breastfeeding it is necessary to refuse reception of Ganaton.

Reviews of Ganaton

At various forums, you can read quite conflicting reviews about Ganaton and the experience of taking this medication. In general, the overwhelming majority of reports confirm the efficacy of the drug, but there is no infrequent information about the occurrence of side effects.

Which is better: Ganaton or Motilium?

In independent studies in patients with dyspeptic phenomena during the month, Ganaton showed greater effectiveness in stopping pathological symptoms than Motilium.