The composition of 1 tablet contains active substances: 5 mg pitophenone hydrochloride400 mg ibuprofen0.1 mg fenpiverinium bromide.
Excipients: 76 mg of corn starch, 5 mg of colloidal silicon dioxide, 4 mg magnesium stearate, 55mg MCC, 12mg Talc, 2.9mg glycerol.
The composition of the film sheath: 1,124 mg macrogol 6000, 1,059 mg titanium dioxide, 0,058 mg sorbic acid5.686 mg hypromellose 6 cps, 1.957 mg talc, 0.058 mg polysorbate 80, 0.058 mg dimethicone.
The drug is available in the form of tablets in a shell of 10 pieces in a blister. A cardboard pack contains 2, 10 or 20 blisters with tablets, as well as instructions for use.
There is a release form in film-coated tablets. In one blister, there are 10 tablets. In a cardboard box there is an instruction for the use of the drug, as well as one or two blisters.
Pills render anti-inflammatory, analgesic and antispasmodic action.
Indications for use Novigan
Novigan tablets are indicated for:
- mild or mild pain observed when smooth muscles of the internal organs are exposed cramping - intestinal, biliary and renal colicas well as in the case biliary dyskinesia;
- headache, including having a migraine character;
- symptomatic short-term treatment for neuralgia, myalgia, sciatica and joint pain.
Pharmacodynamics and pharmacokinetics
Novigan is a combination drug that has antispasmodic, anti-inflammatory and analgesic effects. The medicine suppresses prostaglandin synthesis. The composition of the drug contains ibuprofenbeing a non-steroidal anti-inflammatory drug, fenpiverinium bromide - m-anticholinergic agent with peripheral and central action, as well as myotropic antispasmodic pitophenone hydrochloride.
Pitophenone hydrochloride causes relaxation of the muscles of the internal organs, exerting a direct myotropic effect on it.
Ibuprofen (derived from phenylpropionic acid) has analgesic, anti-inflammatory and antipyretic effects. The main effect of the substance is to inhibit the synthesis prostaglandinswhich are modulators of thermoregulation, pain sensitivity and inflammation in the peripheral tissues and CNS. In women suffering from primary dysmenorrhealevel decreases prostaglandins at myometriumthereby reducing heart rate and intrauterine pressure.
Fenpiverinia bromide It has an additional relaxing effect on smooth muscles due to its anticholinergic action.
Combined, these three main components mutually enhance the pharmacological effect of each other.
The components that make up Novigan are perfectly absorbed into Gastrointestinal tract. After administration, approximately 1–2 hours later, in blood plasma peak drug concentration is reached. Ibuprofen, the main component of this medicine, almost completely (99%) binds to blood plasma proteinsmay also occur in synovial fluid. This component metabolized in the liver and 90% is excreted together with urine in the form conjugates and metabolites. A small part of Novigan, along with bile, is escaped. The half-life of blood plasma is 2 hours.
The drug is contraindicated in:
- history of seizure rhinitis, urticaria, bronchial obstruction after taking acetylsalicylic acid or any other non-steroidal anti-inflammatory drug (with incomplete or complete syndrome of intolerance to acetylsolicylic acid - urticaria, bronchial asthma, rhinosinusitis, polyps mucous membrane of the nose);
- inflammatory bowel diseases in the acute phase, including ulcerative colitis;
- erosive-ulcerative changes in the mucous membrane of the duodenum or stomach, as well as with active bleeding in the digestive tract;
- active liver disease or liver failure;
- progressive kidney disease or renal failure (Cl creatinine less than 30 ml / min);
- hemophilia or any other bleeding disorders (including hypocoagulation), hemorrhagic diathesis;
- confirmed hyperkalemia;
- acute intermittent porphyria;
- scarcity glucose-b-phosphate dehydrogenase;
- angle-closure glaucoma;
- prostatic hyperplasia;
- intestinal obstruction;
- diseases optic nerve;
- period of breastfeeding or pregnancy;
- in the period after coronary artery bypass grafting;
- individual intolerance to the components contained in the drug;
- Patient age up to 16 years.
In addition, the drug should be taken with caution when:
- elderly patient;
- cerebrovascular diseases;
- heart failure;
- arterial hypertension;
- Cl creatinine 30-60 ml / min;
- coronary heart disease;
- nephrotic syndrome;
- congestive heart failure;
- diseases of the peripheral arteries;
- peptic ulcer of the duodenum and stomach (history);
- presence of infection Helicobacter pylori;
- prolonged use of non-steroidal anti-inflammatory drugs;
- heavy somatic diseases;
- alcoholism or smoking;
- blood diseases of unknown etiology (anemia, leukopenia);
- concomitant therapy with anticoagulants (eg, Warfarin), oral GKS (eg, Prednisone), antiplatelet agents (Clopidogrel, acetylsolicylic acid etc.), as well as using SSRIs (eg, Fluoxetine, Sertraline, Citalopram, Paroxetine).
In the case of taking the drug in recommended dosages, side effects should not occur.
For the digestive tract: pain in the mouth aphthous stomatitisulceration of the gastrointestinal mucosa, sometimes complicated by bleeding and perforation, ulceration of the mucous membrane of the gums, NSAIDs gastropathy (nausea, heartburn, vomiting, loss of appetite, abdominal pain, flatulence, diarrhea, constipation), dryness and irritation of the mucous membrane may appear in the oral cavity, pancreatitis.
For the respiratory system: bronchospasmshortness of breath.
For the hepatobiliary system: hepatitis.
For peripheral and central nervous system: anxiety, dizziness, confusion, insomnia, irritability and nervousness, depressionhallucinations psychomotor agitationheadache, drowsiness, and butseptic meningitis, which is most often observed in patients suffering from autoimmune diseases.
For the cardiovascular system: tachycardiaincreased blood pressure heart failure.
For the sensory organs: visual impairment - fuzzy visual perception, irritation and dry eyes, scotoma, swelling of the eyelids and conjunctiva, paresis of accommodation, as well as hearing impairment - its deterioration, as well as ringing or tinnitus.
For blood forming organs: leukopenia, anemia (including also hemolytic aplastic), agranulocytosis, thrombocytopenic purpura and thrombocytopenia.
For the urinary system: acute renal failure allergic jade, oliguria, proteinurianephrotic syndrome (edema), anuria, polyuriaand urine turns red.
Allergic reactions: fever, anaphylactoid reactions, dyspnea or bronchospasmitchy skin erythema multiforme exudative (including Stevens-Johnson syndrome), eosinophiliaskin rash (usually hives or erythematous), anaphylactic shock, Quincke's edema, toxic epidermal necrolysis, allergic rhinitis.
Laboratory indicators: serum concentration may decrease glucose, bleeding time may increase, clearance may decrease creatinine, a drop in level may occur hemoglobin or hematocritmay increase liver activity transaminaseand may also increase serum concentration creatinine.
Other side effects: decreased or increased sweating.
If in the normal state when taking the drug there have been changes, you must immediately stop taking the drug and immediately seek help from a doctor.
Instructions for use Novigan (Method and dosage)
The drug is taken orally one hour before a meal or after a meal three hours later. To avoid the negative irritating effect of the drug on the stomach, you can take Novigan immediately after a meal or you can drink tablets with milk.
In the absence of any prescription, spastic pain Novigan is recommended to take one tablet three times a day. The maximum dose of the drug per day is three Novigan tablets.
The instructions for use also warns that, without consulting a doctor, the course of taking the tablets should not last more than five days. If you want to use the drug for a longer time, then this is done only under the supervision of a doctor and strict control of the functional state of the liver and peripheral blood.
Symptoms of an overdose are: lethargy, nausea, abdominal pain, drowsiness, vomiting, depression, metabolic acidosis, tinnitus, lowering blood pressure, atrial fibrillation, headache, acute renal failurestopping breathing and coma.
As a treatment it is used: alkaline drink, gastric lavage (maximum - after 3 hours), forced diuresis, and activated charcoal is prescribed or symptomatic therapy is applied (blood pressure, acid-base condition are adjusted). There is no specific antidote a drug that could be used in case of an overdose.
If the recommended dosage is exceeded, consult a doctor immediately. You must have a package of the drug with you.
When taking Novigan in therapeutic doses with other commonly used drugs, significant interactions do not occur.
Microsomal oxidation inhibitors reduce the risk of what will develop hepatotoxic effect.
In the liver, inducers of microsomal oxidation enzymes (ethanol, flumecinol, phenylbutazone, phenytonin, rifampicin, tricyclic antidepressants, barbiturates) increases the production of hydroxylated active metabolites, thereby increasing the risk that heavy intoxication will develop.
Is going down natriuretic effect hydrochlorothiazide and furosemide, as well as hypotensive activity of vasodilators.
Efficiency uricosuric drugs are reduced.
There is an increased risk that bleeding will develop due to increased drug action fibrinolyticsindirect anticoagulants and antiplatelet agents.
Absorption ibuprofen is reduced cholestyramine and antacids.
The drug enhances the likely side effects. estrogen, ethanol, GKS (increased risk of gastrointestinal bleeding) mineralocorticosteroids; derivatives sulfonylureas when interacting with the drug, they strengthen their hypoglycemic effect.
Concentration digoxin in the blood as well as drugs methotrekstatand lithiumincreases.
The simultaneous administration of the drug with other non-steroidal anti-inflammatory drugs increases the frequency of possible side effects.
Action is intensified butyrophenones, quinidine, phenothiazinesblockers H1-histamine receptors, amantadine, m-anticholinergic blockers.
When the drug interacts with caffeine is increasing analgesic effect.
In case of simultaneous reception with acetylsalicylic acid dropping her antiaggregant and anti-inflammatory action (in patients who receive small doses of acetylsalicylic acid as an antiplatelet agent, after the use of Novigan acute coronary insufficiency can develop with increased frequency).
Manifestations of hematotoxicity of the drug are enhanced myelotoxic drugs.
In case of simultaneous use of Novigan with cefoperazone, valproic acid, cefamandol, cefotetane or plicamycin development frequency increases hypoprothrombinemia.
Gold preparations and cyclosporin enhance the effect of ibuprofen on the synthesis in the kidneys of PG, the effect of which is manifested in an increase nephrotoxicity. Plasma concentration of cyclosporine, as well as the likelihood that hepatotoxic effects will develop, increase with ibuprofen.
Drugs that block tubular secretionincrease the plasma concentration of ibuprofen, and also reduce its excretion.
Terms of sale
The drug is dispensed in pharmacies without a prescription.
Novigan should be stored out of the reach of children in a dry, dark place. Storage temperature should not exceed 25 ° C.
In the case of prolonged use of the drug, careful monitoring of the picture of the functional state of the kidneys and liver and peripheral blood is required.
To reduce the risk of developing negative phenomena for the gastrointestinal tract, you need to take the minimum effective dose of the drug. In case of symptoms gastropathy careful monitoring is required, which includes analysis of feces for the presence of occult blood, a blood test, which includes the definition hematocrit and hemoglobinas well as esophagogastroduodenoscopy.
In case determination is required 17-ketosteroids, you need to stop taking the drug 48 hours before the start of the study.
During treatment with Novigan, you need to refrain from drinking alcohol.
Patients taking the drug should refrain from potentially dangerous activities, which require a speed of psychomotor reactions and increased concentration of attention (driving vehicles, etc.).
The drug is contraindicated for use in infants under the age of 4 months.
During the course of treatment with Novigan, you should refrain from drinking alcoholic beverages.
During pregnancy and lactation
During pregnancy, the drug is contraindicated (especially should refrain from use in the first trimester and in the last six weeks of pregnancy), and it is also not recommended to take Novigan during breastfeeding.
Reviews about Novigan
Most often, this drug is taken by girls during cramping during menstruation. It is noted that the drug copes with its task perfectly, the difference is only in time, after how long the medicine begins to act: it helps one within literally 10-20 minutes after administration, and some wait about an hour for the effect. But still, most note the effectiveness of Novigan tablets.
What the drug also helps from is headache. Although there are also reviews that say that the drug did not help with migraines. But still, it is most often noted for its effectiveness in all types of pain, including headaches.
Some also say that after application, drawing pains in the heart area begin, although there are only a few such reviews - usually everything happens without side effects.
The network has a lot of reviews, from which Novigan tablets, but there are also many concerns about those side effects that go “in the appendage” to the benefits that the composition of the drug gives. But the majority still notes that these were unfounded fears - most often there were no side effects when taken.
Novigan price, where to buy
Buy Novigan packaging at 10 tablets can be priced from 81 to 115r.
The cost of the drug Novigan per pack on 20 tablets ranges from 105 to 165 rubles per pack.
- Online Pharmacies in Russia
- Online pharmacies in UkraineUkraine
- Online pharmacies in Kazakhstan
- Novigan Tab. p.p.o. n10Dr. Reddy's lab. 129 rub. Order
- Novigan Tab. p.p.o. n20Dr. Reddy's lab. 193 RUB to order
- Novigan tablets 400mg №20179 rub.order
- Novigan tablets 400mg No. 1098 rub. Order
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- Novigan No. 10 tab. Dr. Reddy's Laboratories Ltd. 125 rub. Order
- Novigan 20 pcs. Dr. Reddy's Laboratories Ltd. 210 rub.order
- Novigan N10 tablets Dr. Reddy's Laboratories Ltd., India 33 UAH.order
- Novigan Table No. 10 Ukraine, Dr. Reddis 42 UAH to order
- Novigan Neo 400 mg No. 20 tablets of Laboratorios Normon S.A. (Spain) 595 tg.order
- Novigan No. 20 tablets Reddy's Laboratories (India) 1 tg.order