Composition
Active ingredients:
Piracetam 400 mg;
Cinnarizine 25 mg;
Auxiliary substances:
Lactose monohydrate 23.5 mg;
Magnesium hydroxycarbonate pentahydrate 46.8 mg;
Povidone (collidone 30) 3.9 mg;
Colloidal silicon dioxide (aerosil A-380) 5.2 mg,
Calcium stearate monohydrate 5.2 mg;
Crospovidone (collidone CL-M) 10.4 mg
Pharmacological action
OMARON is a combined drug with antihypoxic, nootropic and vasodilating effects. Piracetam activates metabolic processes in the brain by enhancing energy and protein metabolism, accelerating glucose utilization by cells and increasing their resistance to hypoxia, improves interneuronal transmission to the central nervous system, and improves regional blood flow in the ischemic zone. Cinnarizine is a selective blocker of slow calcium channels, inhibits the entry of calcium ions into cells and reduces their content in the plasmolemma depot, reduces the smooth muscle tone of arterioles, reduces
their response to biogenic vasoconstrictors (epinephrine, norepinephrine, dopamine, angiotensin, vasopressin).
It has a vasodilating effect (especially in relation to the cerebral vessels, increasing the antihypoxic effect of piracetam), without significantly affecting blood pressure.
It shows moderate antihistamine activity, reduces the excitability of the vestibular apparatus, lowers the tone of the sympathetic nervous system.
Increases the elasticity of red blood cell membranes, their ability to deform, and reduces blood viscosity.
Active ingredients
Piracetam + Cinnarizine
Indications
- indications for primeneniya Omaron: cerebrovascular insufficiency (atherosclerosis of brain vessels, the recovery period of ischemic and hemorrhagic stroke, traumatic brain injury, encephalopathy of different Genesis), intoxication
- and other diseases of the Central nervous system, accompanied by a decrease in intellectual-mental functions (memory impairment, attention, mood), psycho-organic syndrome with prevalence of signs of fatigue and weakness, asthenia
- of labyrinthodontia, Meniere’s syndrome
- , the backlog of intellectual development in children, prevention of migraine and kinetoses.
Use during pregnancy and lactation
The drug is contraindicated for use during pregnancy and lactation.
Contraindications
Hypersensitivity to the main and/or auxiliary components of the drug; severe hepatic insufficiency; severe renal insufficiency (creatinine clearance less than 20 ml/min);hemorrhagic stroke; Parkinsonism (including Parkinson’s disease); psychomotor agitation; Huntington’s disease; pregnancy; lactation; children under 5 years of age; lactose intolerance, lactase deficiency, glucose-galactose malabsorption syndrome (the drug contains lactose). With caution, liver and/or kidney diseases, chronic renal failure (creatinine clearance 20-80 ml / min); increased intraocular pressure; porphyria; impaired hemostasis; extensive surgical interventions;severe bleeding; hyperthyroidism; epilepsy; severe cerebral vascular atherosclerosis; a tendency to neurotic reactions.
Side effects
From the central and peripheral nervous system: motor disinhibition, irritability, drowsiness, depression, asthenia, headache.
In isolated cases, dizziness, ataxia, exacerbation of epilepsy, extrapyramidal disorders, tremor, unbalance, decreased ability to concentrate, insomnia, agitation, anxiety, hallucinations, increased sexuality are noted.
From the cardiovascular system: decrease or increase in blood pressure.
From the digestive system: dyspeptic symptoms, dry mouth; in isolated cases-nausea, vomiting, diarrhea, abdominal pain, cholestatic jaundice.
From the skin: in isolated cases, dermatitis, pruritus, skin rash.
From the side of metabolism: weight gain.
Allergic reactions: angioedema.
Others: increased sweating; in isolated cases — lupus-like syndrome, lichen planus.
Interaction
When used concomitantly with Omarone, it is possible to increase the sedative effect of drugs that inhibit the activity of the central nervous system, as well as nootropic, antihypertensive agents, and ethanol. Vasodilators enhance the effect of the drug. Omarone ® improves the tolerability of antipsychotic medications and tricyclic antidepressants.
How to take, course of use and dosage
Inside, during or after a meal. Adults: 1-2 tablets 3 times a day for 1-3 months, depending on the severity of the disease. It is possible to conduct repeated courses of treatment — 2-3 times a year. Children over 5 years of age: 1-2 tablets 1-2 times a day. Do not use for more than 3 months. For prevention of kinetosis: in adults-1 tablet, in children over 5 years-1/2 tablet 30 minutes before the start of the trip, with repeated intake (if necessary) every 6-8 hours. Patients with impaired renal function: with chronic renal failure (creatinine clearance 20-80 ml / min) – 1 tablet 2 times a day.
Overdose
Symptoms of overdose caused mainly by the m-holinoblocking activity of cinnarizine include: impaired consciousness, vomiting, extrapyramidal symptoms, and decreased blood pressure.
After oral use of piracetam at a dose of 75 g, diarrhea with blood and abdominal pain were observed.
Treatment: There is no specific antidote.
In case of overdose, gastric lavage and use of activated charcoal, symptomatic and maintenance therapy are necessary.
The effectiveness of hemodialysis for piracetam is 50-60%.
Description
Nootropic agent
Description
Tablets are flat-cylindrical in shape with a risk, white in color. Marbling of the surface is allowed.
Functional features
Suction. After oral use, piracetam and cinnarizine are rapidly and almost completely absorbed in the gastrointestinal tract. The bioavailability of piracetam is about 100%. The maximum concentration (Cmax) of piracetam is reached in 0.5-1 hour after use. The maximum concentration of cinnarizine in plasma is reached after 1-3 hours. The bioavailability of cinnarizine increases in an acidic environment. Distribution. Piracetam does not bind to plasma proteins. The volume of distribution is about 0.6 l / kg. Penetrates through the blood-brain and placental barriers, into all organs and tissues, as well as through the filter membranes used in hemodialysis. Animal studies have shown that piracetam selectively accumulates in the cerebral cortex, mainly in the frontal, parietal and occipital lobes, cerebellum and basal ganglia. Cinnarizine. The binding to plasma proteins is 91%.1-4 hours after ingestion, it is found in the liver, kidneys, heart, lungs, spleen and brain. Metabolism. Piracetam is practically not metabolized in the body. Cinnarizine is actively and completely metabolized by dealkylation; the process of metabolism begins 30 minutes after ingestion. Output. Piracetam. More than 95% of the oral dose is excreted unchanged by the kidneys by renal filtration within 30 hours. The renal clearance of piracetam in healthy volunteers is 86 ml/min. The elimination half-life (T 1/2) is 4-5 hours from blood plasma and 8.5 hours from cerebrospinal fluid. In patients with renal insufficiency, the T 1/2 lengthens. In patients with hepatic insufficiency, the pharmacokinetics of piracetam do not change. Cinnarizine is excreted from the body in the form of metabolites (1/3-by the kidneys,2/3 – through the intestines), T 1/2 – about 4 hours.
Complete set
Tablets 400 mg+25 mg. 10 tablets in a contour cell package made of polyvinyl chloride film and aluminum foil printed varnished. 3,6 or 9 contour cell packages together with instructions for medical use of the drug are placed in a pack of cardboard.
Special instructions
From the central and peripheral nervous system: motor disinhibition, irritability, drowsiness, depression, asthenia, headache.
In isolated cases, dizziness, ataxia, exacerbation of epilepsy, extrapyramidal disorders, tremor, unbalance, decreased ability to concentrate, insomnia, agitation, anxiety, hallucinations, increased sexuality are noted.
From the cardiovascular system: decrease or increase in blood pressure.
From the digestive system: dyspeptic symptoms, dry mouth; in isolated cases-nausea, vomiting, diarrhea, abdominal pain, cholestatic jaundice.
From the skin: in isolated cases, dermatitis, pruritus, skin rash.
From the side of metabolism: weight gain.
Allergic reactions: angioedema.
Others: increased sweating; in isolated cases — lupus-like syndrome, lichen planus.
Form of production
Tablets
Storage conditions
Store in a dry place, protected from light, at a temperature not exceeding 25 °C
Shelf
life is 3 years. Do not use after the expiration date indicated on the package.
Active ingredient
Piracetam, Cinnarizine
Conditions of release from pharmacies
By prescription
Dosage form
Tablets
Description
Children over 5 years of age, Children as prescribed by a doctor, Adults as prescribed by a doctor
Indications
Cerebral circulation disorders, Stroke consequences, Prevention of heart attacks and strokes, Atherosclerosis, Asthenia, Concussion and other traumatic brain injuries, Meniere ‘s disease
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