Cerebrovascular insufficiency, Dementia, Peripheral circulatory disorders
Adult: 30 mg 1-2 times daily. Dosage recommendations may vary among countries or individual products. Refer to specific product guidelines.
Chỉ định và Liều dùng
Oral
Cerebrovascular insufficiency, Dementia, Peripheral circulatory disorders Adult: 30 mg 1-2 times daily. Dosage recommendations may vary among countries or individual products. Refer to specific product guidelines.
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Cách dùng
Should be taken on an empty stomach.
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Thận trọng
Patient with hyperuricaemia or history of gout. Renal impairment. Pregnancy.
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Tác dụng không mong muốn
Significant: Hypotension, hyperuricaemia.
Gastrointestinal disorders: Gastric distress, pyrosis, constipation, diarrhoea, vomiting. General disorders and administration site conditions: Tiredness. Nervous system disorders: Dizziness, cephalea. Psychiatric disorders: Insomnia, drowsiness. Reproductive system and breast disorders: Sexual impotence, decreased libido. Vascular disorders: Flushing. |
Tương tác
May potentiate the effect of antihypertensive drugs.
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Tác dụng
Description:
Mechanism of Action: Nicergoline is a semisynthetic ergot derivative that produces arteriolar vasodilatation both by direct vascular mechanism and by changes in tissue metabolism. At the cerebral level, it increases arterial flow and consumption of oxygen and glucose, thus reducing vascular resistance. It also exerts serotonergic and dopaminergic effects, antiplatelet activity, and improves EEG patterns. Pharmacokinetics: Absorption: Rapidly and well-absorbed. Bioavailability: 5%. Time to peak plasma concentration: 1.5-3 hours (nicergoline); 3-5 hours (MDL); 0.5-1 hour (MMDL). Distribution: Volume of distribution: 224 L. Plasma protein binding: 34.7% (MDL); 14.7% (MMDL). Metabolism: Metabolised mainly via hydrolysis to 1-methyl-10 alpha-methoxy-9,10-dihydrolysergol (MMDL), then demethylated by CYP2D6 to form the main active metabolite 10-alpha-methoxy-9, 10-dihydrolysergol (MDL). Excretion: Mainly via urine (82%); faeces (10%). Elimination half-life: 11-20 hours (MDL). |
Đặc tính
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Bảo quản
Store below 30°C. Protect from moisture.
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Phân loại MIMS
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Phân loại ATC
C04AE02 - nicergoline ; Belongs to the class of ergot alkaloids. Used as peripheral vasodilators.
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Tài liệu tham khảo
Anon. Nicergoline. Lexicomp Online. Hudson, Ohio. Wolters Kluwer Clinical Drug Information, Inc. https://online.lexi.com. Accessed 09/11/2021. Buckingham R (ed). Nicergoline. Martindale: The Complete Drug Reference [online]. London. Pharmaceutical Press. https://www.medicinescomplete.com. Accessed 09/11/2021. Sermion (Pfizer). MIMS Thailand. http://www.mims.com/thailand. Accessed 09/11/2021.
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