Instruction for AnviMax
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Indications
Etiotropic treatment of type A flu, symptomatic treatment of colds, flu and SARS, accompanied by fever, muscle pain, headache, chills in adults.
Contraindications
Hypersensitivity to one or more of the components that make up AnviMax effervescent tablets; erosive and ulcerative lesions of the gastrointestinal tract in the acute phase; gastrointestinal bleeding: hemophilia; hemorrhagic diathesis; hypoprothrombinemia: portal hypertension; vitamin deficiency K; renal failure; pregnancy, the period of breastfeeding; thyroid disease, acute kidney, liver disease (acute glomerulonephritis, acute pyelonephritis, acute hepatitis, or exacerbation of chronic diseases of these organs); chronic alcoholism; hypercalcemia, severe hypercalciuria, nephrourolithiasis, sarcoidosis, concomitant use of cardiac glycosides (risk of arrhythmias); fructose intolerance: phenylketonuria.
Children under 18 years old.
Carefully
Limitation of use in case of epilepsy, cerebral atherosclerosis, diabetes mellitus, deficiency of glucose-6-phosphate dehydrogenase, hemochromatosis, sideroblastic anemia, thalassemia, hyperoxaluria, kidney stone disease, dehydration, electrolyte disturbances (risk of hypercalcemia, malignant calciferous nephrolithiasis, diarrheaemia diarrhea and malabsinosis) ), hypercalciuria; simultaneous or during the previous 2 weeks, taking monoamine oxidase inhibitors, tricyclic antidepressants; while taking drugs that can adversely affect the liver (for example, inducers of microsomal liver enzymes). Caution should be exercised in the treatment of patients with recurrent formation of urate kidney stones; progressive malignant diseases; bronchial asthma.
Elderly patients with arterial hypertension (the risk of hemorrhagic stroke increases due to rimantadine, which is part of AnviMax effervescent tablets).
Pregnancy and lactation
Use during pregnancy and during breastfeeding is contraindicated.
Composition
Active substances: paracetamol, ascorbic acid, calcium gluconate monohydrate, rimantadine hydrochloride, rutoside trihydrate.
Release form: effervescent tablets No. 10 (raspberry).
Mode of application
Inside.
Dissolve the tablet in half a glass of boiled warm water. Use immediately after dissolution. Stir the solution before use.
Adults: take 1 tablet 2-3 times a day after meals for 3-5 days (no more than 5 days) until the symptoms of the disease disappear.
If there is no improvement in well-being, AnviMax effervescent tablets should be discontinued and consult a doctor.
Interactions
Paracetamol reduces the effectiveness of uricosuric drugs. The concomitant use of paracetamol in high doses increases the effect of anticoagulant drugs. Inducers of microsomal oxidation in the liver (phenytoin, barbiturates, rifampicin, phenylbutazone, tricyclic antidepressants), ethanol and hepatotoxic drugs increase the production of hydroxylated active metabolites, which makes it possible to develop severe intoxications even with a small overdose. With simultaneous use with metoclopramide, an increase in the rate of absorption of paracetamol is possible. Prolonged use of barbiturates reduces the effectiveness of paracetamol. Microsomal oxidation inhibitors reduce the risk of hepatotoxicity.
Rimantadine enhances the stimulating effect of caffeine. Cimetidine reduces the clearance of rimantadine by 18%.
Ascorbic acid increases the concentration of benzylpenicillin in the blood. Improves absorption in the intestines of iron preparations (converts ferric to ferrous); may increase iron excretion while used with deferoxamine. It increases the risk of crystalluria in the treatment of short-acting salicylates and sulfanilamides, slows the excretion of acids by the kidneys, and increases the excretion of drugs with an alkaline reaction (including alkaloids). Reduces the blood concentration of oral contraceptives. Increases the total clearance of ethanol, which in turn reduces the concentration of ascorbic acid in the body. With simultaneous use, it reduces the chronotropic effect of isoprenaline. Barbiturates and primidone increase urinary excretion of ascorbic acid. Reduces the therapeutic effect of antipsychotic drugs (antipsychotics) - phenothiazine derivatives, tubular reabsorption of amphetamine and tricyclic antidepressants.
Loratadine. CYP3A4 and CYP2D6 inhibitors increase the concentration of loratadine in the blood.
Side effects of AnviMax effervescent tablets
In accordance with the components.
From the side of the central nervous system: increased irritability, drowsiness, tremor, hyperkinesia, dizziness, headache, flushing of the face.
From the digestive system: damage to the mucous membrane of the stomach and duodenum, dyspepsia, dry mucous membrane in the mouth, lack of appetite, bloating (flatulence), diarrhea (diarrhea).
From the urinary system: moderate pollakiuria.
From the hemopoietic organs: changes in blood counts. Control needed.
Allergic reactions: angioedema, anaphylactic shock, skin rash, itching, urticaria.
From the skin: Stevens-Johnson syndrome, toxic epidermal necrolysis (Lyell's syndrome) and acute generalized exanthematous pustulosis.
Other: inhibition of the function of the insular apparatus of the pancreas (hyperglycemia, glucosuria).
If any of the side effects indicated in the instructions are aggravated, or if you notice any other side effects not listed in the instructions, inform your doctor immediately.
special instructions
Duration of use - no more than 5 days.
Do not use in the presence of metastatic tumors.
Persons prone to ethanol should consult a doctor before starting treatment with AnviMax effervescent tablets, since paracetamol can have a damaging effect on the liver.
Storage conditions - at a temperature not exceeding 25 ° C.
Terms of sell
You can buy AnviMax effervescent tablets without a prescription.