The metabolic disturbance of the body isa very common disease. A huge number of diseases is accompanied by the development of metabolic syndrome. One such disease is diabetes mellitus. The main therapy of this pathological condition is aimed at reducing the occurring metabolic disorders and a qualitative increase in the functional state of the nervous system. A highly effective drug that is used to treat such disorders is the drug "Berlion" and its analogue "Dialipon".
Let's look at how the main component of these drugs works: lipoic acid, its application in various situations.
The main active component included in thethe drug "Berlion", analogues of this drug, alpha-lipoic acid, is a coenzyme synthesized by almost all cells of our body. The main function of this enzyme is the oxidative decarboxylation of alpha-keto acids, which determines its active role in maintaining the energy balance of the cell. Taking active part in metabolic reactions of cells, lipoic acid promotes optimal reduction of blood sugar level (due to increased utilization of this energy substrate), as well as enhancement of glycogen synthesis in hepatocytes. Since this coenzyme takes an active part in the reactions of the tricarboxylic acid cycle, its lack (for example, associated with an increase in the level of ketones) leads to a decrease in the intensity of the processes of aerobic decay of glucose.
Due to pharmacological similarity with the drugsvitamins of group B lipoic acid is able not only to have antitoxic and antioxidant effects, but also to influence cholesterol metabolism in the body, lipid metabolism and to provide hepatoprotective action. The latter effects are due to the ability of the drug to affect the so-called SH-groups of proteins.
After entering the body, lipoic acidundergoes significant changes due to primary metabolism in hepatocytes. The structure changes mainly due to the oxidation of the side chains and the formation of conjugates. Systemic availability varies in different groups of patients, which is due to the individual characteristics of the organism and the effect of the disease. Excretion of lipoic acid and its metabolites is carried out mainly by the kidneys, but also partially the drug is secreted with bile. The half-life of plasma from the blood ranges from 10 to 20 minutes.
Lipoic acid is indicated for use inpatients with diabetes mellitus to improve sensitivity in developing diabetic polyneuropathy. There are data on the effectiveness of thioctic acid in the complex treatment of atherosclerosis of the coronary arteries and diseases of the hepato-biliary system. The drug is also effective in the treatment of poisoning with salts of heavy metals (due to the ability to restore SH-groups).
For lipoic acid, "Berlion" or itsanalog, preparation "Dialipon", the instruction on application informs that they are contraindicated in case of hypersensitivity to components, in case of acute cardiac and respiratory insufficiency. Also, they are forbidden to take with chronic alcoholism and cerebral hemodynamics, during breastfeeding.
Drugs are administered intravenously, from the vial, withoutpreliminary dilution. The daily dosage of these medicines for adults is 600 mg. The dropper "Berlion" or "Dialipon" is put and drips for at least half an hour. The approximate course of treatment is two to four weeks. If necessary, continue taking the drug can be in the form of capsules in a similar dosage.
Tablets "Berlition" are used for adults at the rate of 25-50 mg two or three times a day, for children, dosage of 12 or 24 mg is possible.
Side effects arising from the nervoussystem and analyzers, are manifested in the form of double vision, a violation of taste sensations. Low probability is the appearance of convulsive syndrome. In this case, the latter occurs in the form of small attacks or the type of absences.
On the part of the blood system, hemorrhagic eruptions may appear as a thrombocytopenic purpura, thrombosis in the veins of the lower limbs.
Allergic reactions to the administration of drugthe drug manifest itself in the form of redness, eczema at the injection site. Perhaps the development of allergic reactions at the organism level, proceeding according to the type of anaphylactic shock.
On the part of the whole organism, it is possible to reduce the level of glucose in the blood plasma, violations from the vestibular analyzer, headaches and dizziness.
Patients who receive injections for the first timedrug, it is necessary to inform that it is possible to develop compressive pains in the region of the head and heart, which self-resolve and do not require additional therapy.
Do not think that the manufacturer and the namedepends on the frequency of adverse reactions. "Berlion", the analogs of this drug are equally capable of causing side effects depending on the characteristics of the body and the course of the disease.
In view of the high instability of the drug atexposure to sunlight, drug bottles should be covered with black opaque material or a cover. In the conditions of separation, it is convenient to use special light-protective covers.
In view of the hypoglycemic effect that occurs after the administration of the drug, special attention should be paid to monitoring the glucose level in the blood plasma of patients with diabetes mellitus.
In the treatment preparation "Dialipon" should abstain from alcohol, as this may reduce the therapeutic efficacy of the drug.
It must be remembered that the drug enters intointeraction with sugars and metal ions, therefore, the combination of alpha-lipoic acid with solutions of Ringer, glucose, fructose is counter-indicative. Also, the drug can not be shared with drugs containing magnesium and iron ions.
Dialipone is not used during the period of feedingbreast and lactation. In the absence of data on the effectiveness of this drug in children, the use of the latter is contraindicated.
Data on the effect of the drug on the reaction rate and the ability to control the mechanisms there.
Lipoic acid enhances the therapeutic effect of insulin and hypoglycemic drugs. This should be taken into account in patients with diabetes mellitus.
Symptoms of overdose are nausea,dizziness and headaches, vomiting, psychomotor agitation up to the development of generalized convulsive syndrome. In the case of taking high doses of the drug, it is possible to develop conditions such as hypoglycemic shock, necrosis of the striated skeletal muscle, oppression of the central nervous system and impaired functioning of the internal organs until the development of multi-organ failure.
Therapy for poisoning is symptomatic, based on the rules of emergency medical care. There is no specific antidote. The effectiveness of dialysis methods has not been proven.
Due to the high effectiveness of the drug, doctorsrecommend it to use, especially when treating complications of diabetes. In turn, patients who take "Berlion", the analogs of this drug, do not note a special difference in the effectiveness of the action between them.
Depending on the mark-up, it can significantlythe cost of this type of drugs is different. On average, from 650 to 950 rubles is the drug "Berlition" (analogs). The price depends on the dosage (smaller dose - less cost), and also from the manufacturer.
The drug "Berlition", analogues in the form of "Dialipon"or "Dialipona Turbo" are effective medicines in the fight against complications of diabetes mellitus in patients of different age groups. Due to its high therapeutic efficacy, alpha-lipoic acid can also be used for the symptomatic treatment of alcoholism.
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