Ascorbic acid chewable tablets (with kiwi flavor) 25mg №10

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Ascorbic acid tabl.zhev (with kiwi flavor) 25mg in pack No. 10
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Pills of white color with a yellowish tint, flat-cylindrical, with a chamfer, with a taste of raspberry (or kiwi, or strawberry, or tropical fruits, or blackcurrant). The main active ingredient Ascorbic acid Release form chewable tablets Dosage 25 mg Indications for use Prevention and treatment of beriberi C. Conditions of increased need for ascorbic acid: a period of intensive growth, unbalanced nutrition, increased mental and physical stress, a period of convalescence after serious illness, febrile conditions against the background of acute respiratory diseases, acute respiratory viral infections, long-term chronic infections. Dosage and administration Tablets are taken orally after meals, chewed beforehand. For the purpose of prevention, adults are prescribed 2-4 tablets (50-100 mg) per day, children from 3 to 10 years old – 1 tablet (25 mg) per day, children from 11 to 14 years old – 2 tablets (50 mg) in a day. Therapeutic doses for adults are 50-100 mg 3-5 times a day; therapeutic doses for children are prescribed by a doctor. The course of treatment is determined by the doctor depending on the nature of the disease and the effectiveness of therapy. The maximum daily dose of ascorbic acid for adults is 900 mg. Application during pregnancy and lactation During pregnancy and lactation, they are used only if the intended benefit to the mother outweighs the risk to the fetus and child. Theoretically, there is a danger to the child when the mother uses high doses of ascorbic acid. The minimum daily requirement for ascorbic acid in the II-III trimesters of pregnancy is about 60 mg. The minimum daily requirement during breastfeeding is 80 mg. A mother’s diet containing an adequate amount of ascorbic acid is sufficient to prevent vitamin C deficiency in an infant (it is recommended that the nursing mother not exceed the maximum daily requirement for ascorbic acid). Precautions Be careful when prescribing ascorbic acid to patients with increased blood clotting, hemochromatosis, sideroblastic anemia, sickle cell anemia, thalassemia, hyperoxaluria, nephrolithiasis, polycythemia, leukemia, progressive malignant diseases. In patients with high iron content in the body, ascorbic acid should be used in minimal doses. When taking large doses and long-term use of the drug, kidney function and blood pressure levels, as well as pancreatic function, should be monitored. Simultaneous intake of ascorbic acid and deferoxamine increases the excretion of iron. In patients with idiopathic hemochromatosis and thalassemia treated with deferoxamine, cases of cardiomyopathy and congestive heart failure have been recorded after taking ascorbic acid. In these situations, ascorbic acid should be administered with caution, monitoring of cardiac function is necessary. Ascorbic acid, as a reducing agent, can distort the results of various laboratory tests (blood glucose, bilirubin, activity of “liver” transaminases and lactate dehydrogenase). The drug is not recommended to be used simultaneously with other drugs containing ascorbic acid. Intensive consumption of chewable tablets can cause damage to tooth enamel. The absorption of ascorbic acid can be impaired in intestinal dyskinesias, enteritis and achilia. Concomitant use of vitamin C with antacids containing aluminum may increase the excretion of aluminum in the urine. Simultaneous use of antacids and ascorbic acid for a long period can lead to an increase in renal clearance and deficiency of ascorbic acid upon abrupt withdrawal of the drug. Large doses of ascorbic acid are associated with the formation of calcium oxalate stones in the kidneys. The use of ascorbic acid in therapeutic doses can distort the results of tests to determine glucosuria, uric acid concentration and creatinine. Children. The drug is used in children from 3 years of age. Interaction with other drugs Ascorbic acid increases the concentration of benzylpenicillin and tetracyclines in the blood. Improves intestinal absorption of Fe preparations (converts ferric iron to ferrous); May increase iron excretion when used concomitantly with deferoxamine. Reduces the effectiveness of heparin and indirect anticoagulants. Acetylsalicylic acid, oral contraceptives, fresh juices and alkaline drinks reduce the absorption and absorption of ascorbic acid. With simultaneous use with acetylsalicylic acid, the excretion of ascorbic acid in the urine increases and the excretion of acetylsalicylic acid decreases. Increases the risk of developing crystalluria in the treatment of salicylates and short-acting sulfonamides, slows down the excretion of acids by the kidneys, increases the excretion of drugs that have an alkaline reaction (including alkaloids), reduces the concentration of oral contraceptives in the blood. Increases the overall clearance of ethanol, which in turn reduces the concentration of ascorbic acid in the body. With the simultaneous use of ascorbic acid and isoprenaline, the chronotropic effect of isoprenaline decreases. Barbiturates and primidone increase the excretion of ascorbic acid in the urine. Reduces the therapeutic effect of antipsychotic drugs (neuroleptics) – phenothiazine derivatives, tubular reabsorption of amphetamine and tricyclic antidepressants. The combined intake of vitamin C and deferoxamine increases the tissue toxicity of iron, especially in the heart muscle, which can lead to decompensation of the circulatory system. Vitamin C can be taken 2 hours after deferoxamine injection. Preparations of the quinoline series (fluoroquinolones, etc.), calcium chloride, salicylates, glucocorticosteroids with prolonged use deplete the reserves of ascorbic acid. Contraindications Hypersensitivity to ascorbic acid and other components of the drug. Thrombosis, thrombophlebitis, diabetes mellitus, tendency to thrombosis, hyperoxaluria, nephrolithiasis, hemochromatosis, deficiency of glucose-6-phosphate dehydrogenase. Composition Each tablet contains ascorbic acid – 25.0 mg; excipients: white sugar, glucose monohydrate, calcium stearate, citric acid monohydrate, potato starch, flavoring: “Raspberry” (dextrose, flavoring component, silicon dioxide E 551) – for tablets with raspberry flavor; “Kiwi” (dextrose, flavoring component , silicon dioxide E 551) – for tablets with kiwi flavor; “Strawberry” (maltodextrin, flavoring component) – for tablets with strawberry flavor; “Tropic” (dextrose, flavoring component, silicon dioxide E 551) – for tablets with tropical fruit flavor ; “Blackcurrant” (dextrose, flavoring component, silicon dioxide E 551) – for tablets with blackcurrant flavor. . Symptoms: diarrhea, nausea, irritation of the mucous membrane of the gastrointestinal tract, flatulence, spastic abdominal pain, frequent urination, nephrolithiasis, insomnia, irritability, hypoglycemia. If any side effects occur, stop taking the medicine and consult a doctor. Treatment: drug withdrawal, gastric lavage, alkaline drinking, activated charcoal or other sorbents, symptomatic therapy. Side effects If any side effects occur, stop taking the medicine and consult a doctor. Allergic reactions: skin rashes, angioedema, urticaria, sometimes anaphylactic shock with sensitization. From the side of the central nervous system: headache, irritability, sleep disturbances. From the urinary system: moderate pollakiuria (when taking a dose of more than 600 mg / day), damage to the glomerular apparatus of the kidneys, crystalluria, the formation of urate and / or oxalate stones in the kidneys and urinary tract. From the digestive system: when taken at a dose of more than 1000 mg – heartburn, nausea, vomiting, diarrhea, hyperacid gastritis, ulceration of the gastrointestinal mucosa. On the part of the endocrine system: damage to the pancreatic insular apparatus up to the appearance of diabetes mellitus. On the part of the cardiovascular system: arterial hypertension, myocardial dystrophy. Laboratory indicators: thrombocytosis, hyperprothrombinemia, erythropenia, neutrophilic leukocytosis, hypokalemia. Others: hypervitaminosis, sensation of heat, with prolonged use of large doses – sodium (Na +) and fluid retention, impaired metabolism of zinc (Zn2 +), copper (Сu2 +). Storage conditions In a place protected from light and moisture at a temperature not exceeding 25 ° C. Keep out of the reach of children. Shelf life – 18 months. Do not use later than the period indicated on the package. Buy Ascorbic acid chewable tablets (with kiwi flavor) 25mg No. 10 ten