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- Pharmacology For Alpha-lipoic acid + Mecobalamin +Gamma linolenic acid + Benfotiamine + Pyridoxine + Folic acid
Alpha-lipoic acid + Mecobalamin +Gamma linolenic acid + Benfotiamine + Pyridoxine + Folic acid Pharmacology
Alpha-lipoic acid + Mecobalamin +Gamma linolenic acid + Benfotiamine + Pyridoxine + Folic acid
About Alpha-lipoic acid + Mecobalamin +Gamma linolenic acid + Benfotiamine + Pyridoxine + Folic acidN/AMechanism of Action of Alpha-lipoic acid + Mecobalamin +Gamma linolenic acid + Benfotiamine + Pyridoxine + Folic acidN/APharmacokinets of Alpha-lipoic acid + Mecobalamin +Gamma linolenic acid + Benfotiamine + Pyridoxine + Folic acidN/AOnset of Action for Alpha-lipoic acid + Mecobalamin +Gamma linolenic acid + Benfotiamine + Pyridoxine + Folic acidN/ADuration of Action for Alpha-lipoic acid + Mecobalamin +Gamma linolenic acid + Benfotiamine + Pyridoxine + Folic acidN/AHalf Life of Alpha-lipoic acid + Mecobalamin +Gamma linolenic acid + Benfotiamine + Pyridoxine + Folic acidN/ASide Effects of Alpha-lipoic acid + Mecobalamin +Gamma linolenic acid + Benfotiamine + Pyridoxine + Folic acidN/AContra-indications of Alpha-lipoic acid + Mecobalamin +Gamma linolenic acid + Benfotiamine + Pyridoxine + Folic acidN/ASpecial Precautions while taking Alpha-lipoic acid + Mecobalamin +Gamma linolenic acid + Benfotiamine + Pyridoxine + Folic acidN/APregnancy Related InformationUse with cautionOld Age Related InformationN/ABreast Feeding Related InformationUse with cautionChildren Related InformationN/AIndications for Alpha-lipoic acid + Mecobalamin +Gamma linolenic acid + Benfotiamine + Pyridoxine + Folic acid1.Diabetic neuropathy
2.Nutritional supplement
Interactions for Alpha-lipoic acid + Mecobalamin +Gamma linolenic acid + Benfotiamine + Pyridoxine + Folic acidN/ATypical Dosage for Alpha-lipoic acid + Mecobalamin +Gamma linolenic acid + Benfotiamine + Pyridoxine + Folic acidN/ASchedule of Alpha-lipoic acid + Mecobalamin +Gamma linolenic acid + Benfotiamine + Pyridoxine + Folic acidN/AStorage Requirements for Alpha-lipoic acid + Mecobalamin +Gamma linolenic acid + Benfotiamine + Pyridoxine + Folic acidN/AEffects of Missed Dosage of Alpha-lipoic acid + Mecobalamin +Gamma linolenic acid + Benfotiamine + Pyridoxine + Folic acidN/AEffects of Overdose of Alpha-lipoic acid + Mecobalamin +Gamma linolenic acid + Benfotiamine + Pyridoxine + Folic acidN/AAlpha-Lipoic acid
About Alpha-Lipoic acidNaturally occurring dithiol compound , antioxidant, Agent for neuropathies.Mechanism of Action of Alpha-Lipoic acidAlpha-lipoic acid and its reduced metabolite, Dihydrolipoic acid (DHLA), form a redox couple and may scavenge a wide range of reactive oxygen species. Alpha-lipoic acid has been found to decrease urinary isoprostanes, O-LDL and plasma protein carbonyls, markers of oxidative stress. Further, alpha-lipoic acid and its redox couple DHLA have been found to have antioxidant activity in aqueous, as well as in lipophilic regions, and in extra cellular and intracellular environments. Alpha-lipoic acid participates in the recycling of other important biologic antioxidants, such as vitamins E and C, Ubiquinone and glutathione.
Both alpha-lipoic acid and DHLA can scavenge hydroxyl radicals, the nitric oxide radical, peroxynitrite, hydrogen peroxide and hypochlorite. Alpha-lipoic acid may scavenge singlet oxygen, and DHLA may scavenge super oxide and peroxyl reactive oxygen species.
Pharmacokinets of Alpha-Lipoic acidAbsorption: Alpha-lipoic acid is absorbed from the small intestine. The natural R-entantiomer is more readily absorbed than the L-entantiomer and is the more active form.
Distribution:It is distributed to the liver via the portal circulation and to various tissues in the body via the systemic circulation. . Alpha-lipoic acid readily crosses the blood-brain barrier. It is found, after its distribution to the various body tissues, intracellularly, intramitochondrialy and extracellularly.Metabolism: Alpha-lipoic acid is metabolized to its reduced form, dihydrolipoic acid (DHLA), by mitochondrial lipoamide dehydrogenase enzyme. DHLA, together with lipoic acid, form a redox couple. It is also metabolized to lipoamide, which functions as the lipoic acid cofactor in the multienzyme complexes that catalyze the oxidative decarboxylations of pyruvate and alpha-ketoglutarate. Alpha-lipoic acid may be metabolized to dithiol octanoic acid, which can undergo catabolism.
Onset of Action for Alpha-Lipoic acidN/ADuration of Action for Alpha-Lipoic acidN/AHalf Life of Alpha-Lipoic acidN/ASide Effects of Alpha-Lipoic acid1.Nausea
2.VomitingContra-indications of Alpha-Lipoic acid1.Contraindicated during radiotherapySpecial Precautions while taking Alpha-Lipoic acidPatient with diabetes and problems with glucose intolerancePregnancy Related InformationUse with cautionOld Age Related InformationN/ABreast Feeding Related InformationUse with cautionChildren Related InformationN/AIndications for Alpha-Lipoic acid1.Diabetic neuropathy
2.It may help prevent the oxidation of LDL cholesterol and may be protective, generally, against oxidative stress and, specifically, against atherosclerosis, ischemia-reperfusion injury and various radiologic and chemical toxins.
3.It may also be useful in some inborn metabolic disordersInteractions for Alpha-Lipoic acidN/ATypical Dosage for Alpha-Lipoic acidAdult: up to 600 milligrams daily
Diabetic neuropathy: 300 milligrams daily taken in divided doses.Schedule of Alpha-Lipoic acidN/AStorage Requirements for Alpha-Lipoic acidStore at room temperature away from moisture and heat.Keep out of the reach of children. Keep the medicine from freezing. Do not refrigerate.Effects of Missed Dosage of Alpha-Lipoic acidTake the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose.Continue the regular schedule.Do not double the dose.Effects of Overdose of Alpha-Lipoic acidGive supportive measures and symptomatic treatment.Mecobalamin
About MecobalaminWater soluble, Form of Vitamin B12Mechanism of Action of MecobalaminMecobalamin is the neurologically active form of vitamin B12 and occurs as a water-soluble vitamin in the body. It is a cofactor in the enzyme methionine synthase, which functions to transfer methyl groups for the regeneration of methionine from homocysteine. In anaemia, it increases erythrocyte production by promoting nucleic acid synthesis in the bone marrow and by promoting maturation and division of erythrocytes.Pharmacokinets of MecobalaminAbsorption: Absorbed after oral, sublingual, injection
Excretion: Excretion via urine
Onset of Action for MecobalaminN/ADuration of Action for MecobalaminN/AHalf Life of MecobalaminN/ASide Effects of Mecobalamin1.Oral: Anorexia, nausea, vomiting and diarrhea
2.Parenteral: Rash, headache, hot sensation, diaphoresis and pain/induration at IM inj site
Contra-indications of MecobalaminN/ASpecial Precautions while taking MecobalaminN/APregnancy Related InformationMay be usedOld Age Related InformationMay be usedBreast Feeding Related InformationMay be usedChildren Related InformationN/AIndications for Mecobalamin1.Peripheral neuropathies
2.Megaloblastic anaemia
Interactions for Mecobalamin1.Decreased GI tract absorption with neomycin, aminosalicylic acid, H2-blockers and colchicines
2.Reduced serum concentrations with oral contraceptives
3.Reduced effects in anaemia with parenteral chloramphenicol
Typical Dosage for MecobalaminPeripheral neuropathies
Oral: Adult: 1500 mcg/day in 3 divided doses
Parenteral: 500 mcg daily IM/IV 3 times/wk
Megaloblastic anaemia caused by vitamin B12 deficiency
Parenteral: Adult: 500 mcg daily IM/IV 3 times/wk. Maintenance dose: After about 2 mth of therapy, reduce dose to single admin of 500 mcg every 1-3 mth.Schedule of MecobalaminN/AStorage Requirements for MecobalaminOral: Store at room temperature. Protect from moisture and light.
Parenteral: Store at room temperature. Do not expose to direct light.
Effects of Missed Dosage of MecobalaminN/AEffects of Overdose of MecobalaminN/AGamma linolenic acid
About Gamma linolenic acidAn essential Fatty acid(omega-6 family), A dietary supplement with antiinflammatory.Mechanism of Action of Gamma linolenic acidGLA is metabolized to the 20-carbon polyunsaturated fatty acid DGLA, which is cyclooxygenated to prostaglandin E1 (PGE1). PGE1 elicits biologic activities by binding to surface receptors on smooth muscle cells, increasing intracellular cAMP.
GLA, via conversion to PGE1, exhibits anti-inflammatory, antithrombotic, antiproliferative, and lipid-lowering potential. It also enhances smooth muscle relaxation and vasodilation. In addition, EFAs including GLA are important constituents of membrane phospholipids, including the mitochondrial membrane, where they enhance the integrity and the fluidity of the membrane. Studies have shown that GLA has a role in management of Dry eye, Atopic eczema and cyclical mastalgia (pre-menstrual breast pain).
Pharmacokinets of Gamma linolenic acidN/AOnset of Action for Gamma linolenic acidN/ADuration of Action for Gamma linolenic acidN/AHalf Life of Gamma linolenic acidN/ASide Effects of Gamma linolenic acid1.Upset stomach
2.Diarrhea
3.Soft stool
4.Bloating
5.Gas
Contra-indications of Gamma linolenic acidN/ASpecial Precautions while taking Gamma linolenic acidN/APregnancy Related InformationN/AOld Age Related InformationN/ABreast Feeding Related InformationN/AChildren Related InformationN/AIndications for Gamma linolenic acidN/AInteractions for Gamma linolenic acid1.Phenothiazines and anticonvulsants due to an increased incidence of seizures.
2.Even though no cases are known of interaction with anticoagulant medications, it may be prudent to closely monitor concomitant usage.
3.Gamma Linolenic acid is shown to reduce tremors from lithium use in manic depressives.
Typical Dosage for Gamma linolenic acidN/ASchedule of Gamma linolenic acidN/AStorage Requirements for Gamma linolenic acidN/AEffects of Missed Dosage of Gamma linolenic acidN/AEffects of Overdose of Gamma linolenic acidN/ABenfotiamine
About BenfotiamineSynthetic S-acyl derivative of thiamine (vitamine B1), Antioxidant ,anti-AGE(Advanced glycation end product) supplement, Treating Diabetic Complications.Mechanism of Action of BenfotiamineN/APharmacokinets of BenfotiamineN/AOnset of Action for BenfotiamineN/ADuration of Action for BenfotiamineN/AHalf Life of BenfotiamineN/ASide Effects of BenfotiamineN/AContra-indications of BenfotiamineN/ASpecial Precautions while taking BenfotiamineN/APregnancy Related InformationN/AOld Age Related InformationN/ABreast Feeding Related InformationN/AChildren Related InformationN/AIndications for Benfotiamine1.Management of diabetic neuropathy, diabetic nephropathy and diabetic retinopathy
2.Beri Beri
3.Wenicke-korsakoff syndrome
Interactions for BenfotiamineN/ATypical Dosage for BenfotiamineN/ASchedule of BenfotiamineN/AStorage Requirements for BenfotiamineN/AEffects of Missed Dosage of BenfotiamineN/AEffects of Overdose of BenfotiamineN/APyridoxine
About PyridoxineWater soluble vitamin(Vit B6), In Vitamin B6 deficiency ,Neuropathy.Mechanism of Action of PyridoxineN/APharmacokinets of PyridoxineN/AOnset of Action for PyridoxineN/ADuration of Action for PyridoxineN/AHalf Life of PyridoxineN/ASide Effects of PyridoxineN/AContra-indications of PyridoxineN/ASpecial Precautions while taking PyridoxineN/APregnancy Related InformationN/AOld Age Related InformationN/ABreast Feeding Related InformationN/AChildren Related InformationN/AIndications for PyridoxineN/AInteractions for PyridoxineN/ATypical Dosage for PyridoxineN/ASchedule of PyridoxineN/AStorage Requirements for PyridoxineN/AEffects of Missed Dosage of PyridoxineN/AEffects of Overdose of PyridoxineN/AFolic Acid
About Folic AcidDietary supplement, Folate derivative( B9 ), Water Soluble Vitamin.Mechanism of Action of Folic AcidFolic acid reduced by enzymes folate reductase and dihydrofolate reductase and forms dihydrofolic acid tetrahydrofolic acid respectively. Tetrahydrofolic acid acts as a coenzyme which mediates a number of one carbon transfer reactions by carrying a methyl group as an adduct. It involves a number of reactions such as 1).conversion of homocysteine to methionine. 2).synthesis of thymidylate which is an essential constituent of DNA from methylene-tetrahydrofolic acid. 3). Conversion of serine to glycine by tetrahydrofolic acid and forms methylene-tetrahydrofolic acid. 4).to introduce carbon units at position 2 and 8 during de novo purine synthesis requires formyl-tetrahydrofolic acid and methenyl-tetrahydrofolic acid.5).generation and utilization of "formate pool". 6).For mediating formino group transfer in histidine metabolism. Folic acid is required to maintain normal erythropoiesis and nucleoprotein synthesis.Pharmacokinets of Folic AcidAbsorption: Well absorbed orally
Distribution: Widely distributed in the body and highest concentration is seen in liver. It appears in the CSF and breast milk
Metabolism: Metabolized in to N-methyl tetrahydrofolic acid in liver
Excretion: Extra drug is excreted unchanged in urine. A small portion of folate is lost by a combination of urinary and fecal excretion and oxidative cleavage of molecule.
Onset of Action for Folic AcidOral: 20 to 30minutes
I.V.: 5 minutes
I.M.:10 to 20minutes
Duration of Action for Folic AcidOral: 3 to 6 hours
I.V.:3 to 6minutes
I.M.:3 to 6hours
Half Life of Folic AcidN/ASide Effects of Folic AcidN/AContra-indications of Folic AcidN/ASpecial Precautions while taking Folic Acid1. In patients with undiagnosed anaemia; because it may mask pernicious anaemia
2. In pernicious anaemia and other megaloblastic where vitamin B12 is deficient
Pregnancy Related InformationMay be usedOld Age Related InformationMay be usedBreast Feeding Related InformationMay be usedChildren Related InformationMay be usedIndications for Folic Acid1. Megaloblastic anaemia
2. Folic acid deficiency
3. Anaemias of pregnancy
4. Nutritional anaemia
5. Alcoholism
6. Tropical sprue
7. Non tropical sprue
Interactions for Folic Acid1. Hypersensitivity reactions with injection form
2. Bronchospasm
Typical Dosage for Folic AcidOral: 5mg 1 to 4 times daily; depending up on the severity of deficiency.
Maintenance dosage: Half of the therapeutic dosage.
Children: 2.5 to 5mg 1 to 2 times daily.
Schedule of Folic AcidC1 (Oral)
C (Parenteral)
Storage Requirements for Folic AcidStore at controlled room temperature at a range of 15 to 25 degree C in a well closed container. Protect from excess heat, light and moisture.Effects of Missed Dosage of Folic AcidTake the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.Effects of Overdose of Folic AcidRelatively non toxic. Provide symptomatic treatment and supportive measures.Home Delivery for Alpha-lipoic acid + Mecobalamin +Gamma linolenic acid + Benfotiamine + Pyridoxine + Folic acid in Your City
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