Elcar solution 300mg/ml 100ml

Elcar user manual

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Composition

In five milliliters of a solution for oral administration of 20%, 1 gram of levocarnitine (vitamin BT) is contained.
As excipients, Elcar also includes:
    citric acid monohydrate (Citric acid monohydrate);
    methyl parahydroxybenzoate (Methyl parahydroxybenzoate);
    propyl parahydroxybenzoate (Propyl parahydroxybenzoate);
    water (Aqua).

Form of issue

The product is released in the form of a solution for ingestion of various concentrations (Elcar 20% and Elcar 30%) in vials of dark glass (100, 50 and 25 ml) or plastic (25 ml), as well as in solution for iv and / m introduction.
A solution of Elcar of 20 percent and a solution of Elcar of 30 percent have the form of a transparent liquid, colorless or slightly colored. When opening the bottle, a characteristic specific smell is allowed.

pharmachologic effect

The drug belongs to the category of drugs that affect the digestive tract and the course of metabolic processes.
Elcar is a synthetic analog of the amino acid L-Carnitine, which is being produced in the human body. Being a universal corrector and stimulator of energy metabolism, the preparation significantly improves the activity of the NS and the structure of the brain as a whole.
The medicine accelerates the recovery of the body after serious human diseases and surgical operations; improves the condition of various organs and the whole organism; provides the ability to withstand increased loads.

Pharmacodynamics and pharmacokinetics

Wikipedia indicates that the active component of Elcar - L-carnitine - is a natural substance, similar in structure to the vitamins of group B. It is also called vitamin BT or vitamin of growth.
The amino acid L-carnitine participates in metabolic processes as a carrier of aliphatic acids from the internal environment of the cell to the mitochondria, where these long chain fatty acids undergo beta oxidation (a cycle of fatty acid degradation reactions) with the formation of ATP and acetyl coenzyme A.
The action of vitamin BT is aimed at:
    normalization of protein and lipid metabolism;
    increased secretion and enzymatic activity of digestive juices;
    improving the absorption of incoming food in the body;
    Reduction of excess body weight;
    reduction in the amount of fat contained in muscle tissue;
    increase physical stamina;
    oppression of the synthesis of oxo-carboxylic acids;
    oppression of anaerobic glycolysis (a complex sequence of enzymatic reactions of glucose breakdown that proceed without oxygen consumption);
    reduction in the degree of hyperlactacidemia (lactose acidosis);
    improvement of tissue supply with energy and formation of human energy potential.
Under the influence of L-carnitine, glycogen is consumed more economically and more efficiently, while its reserves in the liver and muscle tissue increase.
Also, vitamin growth stimulates the production of proteins and ensures the breakdown of fats, thereby reducing the percentage of fat in the body.
Against the background of the use of the drug, the increased basal metabolic rate in hyperthyroidism is normalized. This effect is due to the fact that L-carnitine is an indirect antagonist produced by the thyroid gland of thyroid hormones, and does not suppress the secretion of its hormones by a direct method.
L-carnitine is well absorbed in the intestinal tract. The C max index reaches a maximum after three hours and remains within the therapeutic values ​​for another nine hours.
The substance easily penetrates into the liver and the heart muscle, somewhat more slowly - into the skeletal muscles. It is excreted from the body by the kidneys.

Indications for use

According to the annotation to the drug, Elcar is recommended:
    at conditions provoked by increased psycho-emotional and physical stress;
    with increased fatigue and reduced performance (in particular, in older people);
    in the rehabilitation period after a surgical operation, trauma and somatic diseases;
    for the treatment of pancreatic and liver diseases, digestive disorders, dermatological diseases, hyperthyroidism (in mild form);
    at conditions accompanied by a deficiency of carnitine in the body;
    patients suffering from anorexia nervosa.
The drug is used to treat brain lesions, accompanied by neurologic symptoms.
Elcar is prescribed with vitamin-deficiency deficiency, which is caused by diseases associated with metabolic disorders in muscle tissue, mitochondrial diseases or myocardial diseases accompanied by electrical or mechanical dysfunction of the heart.
Patients with heart disease taking the drug can increase tolerance to physical exertion. In elderly patients Elcar slows down the aging of the brain, improves concentration and higher mental functions.
Also, the drug can be recommended to people who adhere to a vegetarian diet, patients with reduced appetite and physical exhaustion.
L-carnitine is also shown to athletes to increase stamina and effectiveness during training, increase strength and speed, improve coordination of movements, reduce fat tissue and increase muscle mass faster.
In addition, in sports medicine, the drug is prescribed to prevent and reduce the symptoms of post-training syndrome, as well as to accelerate the regeneration of injured injuries due to muscle injuries.
The drug may also be prescribed to children born before the due date, as well as to children in the period of active growth. Against the background of treatment, the child improves appetite, normalizes body weight, normalizes the development of skeletal muscles.
In acute hypoxic conditions (for example, with ischemic stroke, acute hypoxia of the brain or transient ischemic attack); acute, subacute and rehabilitation period of circulatory disorders in the brain; DEP, lesions of the brain of various genesis, after surgical interventions; patients who are on hemodialysis, with a deficiency in their bodies of levocarnitine; with ischemic disease, hypoperfusion due to cardiogenic shock, and other pathological processes in the myocardium, Elcar IV can be appointed.

Contraindications

The drug is not prescribed if it is known that the patient has a history of increased sensitivity to any of its components.
Children who are under 3 years old, Elcar drops are appointed with extreme caution. The treatment is carried out under the constant supervision of the doctor.

Side effects

As a rule, patients respond well to the reception of Elcar.
Single cases were recorded, when against the background of the drug the patient had pain in the epigastric region, dyspeptic symptoms and allergic reactions developed. In patients with uremia of the kidneys, muscle weakness may develop.
If unwanted side effects occur, it is recommended that you consult your doctor.

Drops Elcar: instructions for use (Method and dosage)

For adult patients, the instruction for use of Elkara recommends taking drops as an adjunct to basic therapy. As a rule, young children are prescribed Elcar 20%, older children and adults - Elcar 30%.
They are drunk about half an hour before a meal, previously diluted with a small amount of liquid (for example, juice, compote or 5% glucose solution).
For patients who are exhausted by prolonged physical and psychoemotional loads, the recommended daily dose is from 1 to 4.5 measuring spoons (from 1.5 to 6.75 g or from 5 to 22.5 ml). It should be divided into 2 or 3 receptions.
In the rehabilitation period after the transferred somatic diseases, surgical operations and traumas, in the presence of symptoms of anorexia nervosa, the drug is taken twice a day for 1.5 g (corresponding to one measuring spoon or 5 ml). Reception is recommended to continue for 1-2 months.
Treatment of chronic forms of gastritis and pancreatitis, characterized by a decreased secretory function, is supplemented by taking 0.75 g (half a measuring spoon or 2.5 ml) per day for 1-1.5 months. This daily dose is divided into 2 divided doses.
For the treatment of skin diseases, patients are prescribed for 2-4 weeks to take 0.75 g (half a measuring spoon or 2.5 ml) of the drug.
Treatment of a mild form of hyperthyroidism suggests taking 0.5-0.75 g (26 to 39 drops) per day for 20 days. The dose is divided into 2 or 3 doses. Course treatment is repeated a month or two (in some situations, the drug is prescribed to take without interruption for 3 months).
In cerebral lesions caused by vascular diseases, exposure to toxic substances and trauma, the daily dose is 0.75 g (half a measuring spoon or 2.5 ml). The drug is taken from 3 to 5 days. If necessary, the treatment is repeated after 12-14 days.
In conditions characterized by primary and secondary carnitine deficiency, patients are shown to take from 0.05 to 0.1 g / kg body weight (2 to 5 drops / kg). The recommended frequency of reception is 2-3 times a day. To normalize the level of carnitine, Elcar drops continue to take within 3-4 months.
For athletes during periods of intensive training, the daily dose, equal to 2.5 to 7.5 g of Levocarnitine, is considered optimal. Take it for 1-3 hours.
If the drug is prescribed for medical purposes, Elcar is taken in a dose of 70 to 100 mg / kg / day (equivalent to 5-7.5 g of levocarnitine per day).
Before the competition, the drug is recommended to drink for 3-4 weeks, during the training process the course of admission is from 6 to 8 weeks.

Instructions for the use of Elcar children

Children are prescribed drops as an additive to sweet dishes (the drug can be mixed with kissel, compotes or juices). For children under 3 years of age, the physician determines the daily dose.
To treat children up to a year, Elcar drops 20%. The recommended daily dose is 30 drops with the frequency of administration three times a day.
Children from 3 to 6 years of age, the drug is prescribed to take 10-16 drops per day (0.2-0.3 g of levocarnitine) for one month. The daily dose should be divided into 2-3 times.
Children from 6 to 12 years of age show Elcar receiving a single dose of 0.2 to 0.3 g (i.e., 11 to 16 drops) 2 or 3 times a day. To the effect of taking the drug was more pronounced, it should take at least one month.
Children who are lagging behind in growth are prescribed within 20 days to take from 0.5 to 0.75 g (26-39 drops) of Elcar per day with a frequency of intake two or three times a day. Course treatment is repeated after a month or two (or immediately appoint the patient a continuous intake of the solution for 3 months).

Overdose

An overdose of the drug is accompanied by dyspeptic symptoms: pain, a feeling of early satiety, heaviness or overfilling of the stomach, localized in the epigastric region, bloating, nausea.
Patients with uremia may have symptoms of myasthenic disorders.
Treatment of an overdose involves washing the stomach and taking out activated charcoal adsorbents.

Interaction

Elcar is characterized by good tolerability and does not provoke any cross reactions with drugs, whose action is aimed at optimizing homeostasis and secondary prevention of stroke.
Glucocorticosteroid drugs contribute to cumulation of levocarnitine in various tissues (with the exception of the liver). Other anabolic drugs enhance its effect on the body.

Terms of sale

You can buy Elcar without a prescription.

Storage conditions

The medicine is stored in a place protected from light and hard to reach at a temperature not exceeding 25 ° С.
After opening the bottle, Elcar retains its pharmacological properties for 2 months. Use the drug after this period is impossible.
The open vial should be stored in the refrigerator.
Shelf life - 36 months. Do not use the drug after the expiration date.

special instructions

The greatest increase in working capacity is noted in the interval 2-6 hours after taking the drug. Therefore, athletes are advised to take it at least 2 hours before training.
Drops should be drunk 30 minutes before meals, because the active substance of the drug is poorly absorbed by the digestive tract while being taken with protein food

Elcar for children

The dose of Elcar for children is selected depending on the age of the patient, the disease and the overall clinical situation. Children over the age of three prescribe the drug Elcar 30%. Newborns and children under three years of age are recommended to take Elcar drops of 20%.
Elcar children can be appointed at any age. Indications are lag in growth, low body weight, the need to accelerate the recovery of the child's body after suffering severe illnesses or surgical intervention.
When taking children - reviews about Elcar confirm this fact - the appetite and weight are normalized. Children with mental retardation and physical development improve coordination of movements and improve their acquired skills (children under one year, for example, begin to hold their heads better, crawl, sit down on their own, etc.).
In children of school age, activity increases, concentration and stamina increase, memory and general well-being improve, headaches disappear.
In cases when the child has symptoms of dysbacteriosis or irritable bowel syndrome, Elcar is used in combination with enzyme preparations (this allows improving the absorption of levokarnitina in the intestine).

Elcar for newborns

Elcar drops of newborns are allowed to apply from the first days of life.
The instruction indicates that it is advisable to prescribe the drug for RDS (respiratory distress syndrome), for nursing premature babies born with low body weight and on parenteral nutrition, as well as children who have received a birth trauma or have undergone asphyxiation.
In a hospital setting, the drug is injected into a vein or muscle, at home, therapy is continued using a solution for oral administration. It is important to remember that infants are prescribed a solution with a concentration of 20%, Elcar 30% is contraindicated.
Reviews about Elcar for newborns indicate the high effectiveness of this remedy: in children with insufficient body weight and digestive function disorders in more than 65% of cases, after two weeks of admission there is a noticeable increase in weight.

Elcar for weight loss

It is well known that the problem of excess weight is directly related to metabolic disorders. For the regulation of it is responsible for the carnitine substance produced in the body by the kidneys and the liver.
The lack of vitamins B, iron, ascorbic acid, certain enzymes in the diet provokes a decrease in its production, and this in turn leads to the fact that the incoming fats begin to be cumulated in the tissues, and not converted into energy.
Elcar is a means, whose action is directed to the performance of certain restorative processes in the body. Its active substance promotes the conversion of fats and the formation of energy from them.
As a result, the processes of fat tissue splitting are activated in the body, fat concentration in muscles decreases, digestion of food improves, weight is normalized. This is the basis for the application of Elcar for weight loss.

How to take Elcar for weight loss?

Experts in the formulation of the diet believe that the effectiveness of the diet can be significantly increased, taking from one to one and a half grams of L-carnitine per day.
Reviews about Elcar for weight loss suggest that the drug really helps to keep the weight in the norm. It helps to reduce body weight due to the normalization of protein and fat metabolism.
However, almost all who tried to lose weight with this tool, note that the best effect can be achieved by supplementing the intake of drops with regular active training and balanced nutrition.

Reception at pregnancy

Since studies of the use of Elcar for the treatment of pregnant and lactating women have not been conducted, the drug is not prescribed during pregnancy and lactation.

Reviews about Elcar

The doctors' comments about Elcar indicate that the drug positively affects metabolism and allows to normalize the digestive system. The drug is often prescribed as a general restorative after serious illnesses, during periods of spleen and decrease in efficiency, mentally and physically overworking people.
A big plus of the drug is that it can be prescribed literally from the first days of life. Reviews about Elcar for babies confirm the high effectiveness of the remedy in cases when the child received a birth trauma, or he had asphyxia.
No less effective for babies with a weak tone and for newborns born with a small body weight (including premature infants). Also appoint it to children who refuse to eat and do not gain weight.
Many mothers in the reviews of the drug write that against the background of taking Elcar, the child noticeably improves appetite and increases activity (due to the fact that fat tissue is getting smaller and muscles are bigger).
There are, however, negative comments about Elcar for children. Most of them are associated with the appearance of the child's allergic reactions. In some of them the negative action declared by the manufacturer is indicated-an increase in the excitability of the child and a violation of sleep.
The drug is often used in sports medicine. Athletes respond well about Elcar, noting its ability to quickly restore muscles and cope with fatigue after intense training.
In addition, people often suffer from excess weight. Reviews about Elcar for weight loss are quite diverse: someone assures that without him could not achieve such good results, someone, on the contrary, says that no effect was not noticeable.
Experts, however, argue that the benefits of taking Elcar will be greater if used as an addition to the main therapy: for example, those who want to lose weight should combine the drops with the right diet and sports loads, for children and recently ill patients along with taking the drug often prescribe a course of physiotherapy, etc ..