Ornidazole-vero
Ornidazole-vero: instructions for use and reviews
- 1. Release form and composition
- 2. Pharmacological properties
- 3. Indications for use
- 4. Contraindications
- 5. Method of application and dosage
- 6. Side effects
- 7. Overdose
- 8. Special instructions
- 9. Application during pregnancy and lactation
- 10. Use in childhood
- 11. For violations of liver function
- 12. Drug interactions
- 13. Analogs
- 14. Terms and conditions of storage
- 15. Terms of dispensing from pharmacies
- 16. Reviews
- 17. Price in pharmacies
Latin name: Ornidazole-Vero
ATX code: G01AF06
Active ingredient: ornidazole (ornidazole)
Manufacturer: VEROPHARM, JSC (Russia)
Description and photo update: 2018-21-11
Prices in pharmacies: from 158 rubles.
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Ornidazole-vero is an antiprotozoal drug with antibacterial action.
Release form and composition
The dosage form of the drug Ornidazole-vero is film-coated tablets: biconvex, round, from white to white with a yellowish tinge, two layers are noticeable in the cross section (in a cell contour packaging or a polymer can 10 pcs., In a cardboard box 1 package or bank).
Composition of one tablet:
- active substance: ornidazole - 500 mg;
- auxiliary components (core): microcrystalline cellulose, corn starch, polyvinylpyrrolidone (povidone), primogel (sodium carboxymethyl starch), magnesium stearate;
- shell: hydroxypropyl methylcellulose (hypromellose), polyvinylpyrrolidone (povidone), polysorbate 80 (tween-80), talc, titanium dioxide.
Pharmacological properties
Pharmacodynamics
Ornidazole belongs to antiprotozoal agents derived from 5-nitroimidazole. It has a bactericidal (death of microorganisms) and bacteriostatic (stopping the growth of bacteria) action. By biochemical reduction of the 5-nitro group of ornidazole by transport intracellular proteins of anaerobic microorganisms, further interaction of the reduced 5-nitro group with deoxyribonucleic acid (DNA) of bacteria and inhibition of the synthesis of their nucleic acids, death of anaerobic microbes and protozoa occurs. In addition, the active substance has a toxic effect on microorganisms, inhibiting the process of their cellular respiration.
Ornidazole is active against Giardia lamblia, Gardnerella vaginalis, Trichomonas vaginalis, Entamoeba histolytica, gram-negative anaerobic rod-shaped bacteria (including Bacteroides ovatus, Bacteroides distasonis, Bacteroides fragilisgatus, Bacteroides vulgaris)., Fusobacterium spp., And Prevotella spp. (including Prevotella disiens, Prevotella buccae, Prevotella bivia).
Aerobic bacteria are not sensitive to ornidazole.
Pharmacokinetics
- absorption: well absorbed in the gastrointestinal tract. Bioavailability is 90%, the maximum concentration in blood plasma is reached after 1-2 hours;
- distribution: at least 15% of the active substance binds to blood plasma proteins. Ornidazole is able to penetrate the blood-brain barrier;
- metabolism: through reactions of hydroxylation, oxidation and glucuronidation is metabolized in the liver;
- Excretion: T 1/2 (half-life) is approximately 13 hours. In the form of metabolites, 60–65% of the substance is excreted by the kidneys, 20–22% through the intestines, approximately 5% of the dose is excreted unchanged.
Ornidazole has cumulative properties.
Indications for use
- giardiasis;
- amoebic dysentery, extraintestinal forms of amebiasis (including amoebic abscess of the liver, lungs, skin amebiasis);
- trichomoniasis;
- prevention of postoperative infections caused by anaerobic microorganisms, during surgery on the colon and in gynecology.
Contraindications
Absolute:
- age up to 3 years;
- increased individual sensitivity to ornidazole, other nitroimidazole derivatives or any of the auxiliary components of the drug.
Relative (the use of the drug Ornidazole-vero requires caution):
- organic diseases of the central nervous system (including multiple sclerosis, epilepsy);
- liver disease;
- pregnancy, lactation period;
- alcoholism.
Instructions for use of Ornidazole-vero: method and dosage
Ornidazole-vero 500 mg tablets are taken orally, after meals.
The dosage regimen depends on the disease, age and weight of the patient.
Giardiasis
- adults and children weighing over 35 kg: 3 tablets (1500 mg) once a day, the course of treatment is 1-2 days;
- children over 3 years old weighing less than 35 kg: at the rate of 40 mg / kg body weight 1 time per day for 1-2 days.
Amebic dysentery
- adults and children weighing 35 kg or more: 3 tablets (1500 mg) once a day, the course of treatment is 3 days;
- adults weighing more than 60 kg: 4 tablets (2000 mg) once a day for 3 days;
- children over 3 years old with a body weight of up to 35 kg: at the rate of 40 mg / kg body weight once a day, the course of treatment is 3 days.
Extraintestinal forms of amebiasis
- adults and children weighing over 35 kg: 1 tablet (500 mg) 2 times a day for 5-10 days;
- children over 3 years old with a body weight of up to 35 kg: at the rate of 25 mg / kg weight 1 time per day for a course of 5 to 10 days.
Trichomoniasis
- adults: 1 tablet (500 mg) 2 times a day for 5 days;
- children over 3 years old with a body weight of less than 35 kg: at the rate of 25 mg / kg body weight once.
Prevention of postoperative infections
It is recommended to take one tablet (500 mg) before surgery, then 1 tablet every 12 hours for 3-5 days.
Side effects
- from the digestive system: nausea, vomiting, diarrhea, perversion of taste, impaired activity of liver enzymes;
- from the central and peripheral nervous system: dizziness, headache, drowsiness, tremors, temporary loss of consciousness, muscle stiffness, impaired coordination of movements, convulsions, sensory or mixed variants of peripheral neuropathy.
Overdose
In case of an overdose of Ornidazole-vero, symptoms such as depression, epileptiform seizures, and peripheral neuritis may occur.
In these cases, symptomatic treatment is recommended.
special instructions
When treating trichomoniasis, it is necessary to carry out simultaneous treatment of sexual partners.
Influence on the ability to drive vehicles and complex mechanisms
When driving and performing actions associated with an increased risk of accidents, the likelihood of the effect of Ornidazol-vero on the central nervous system should be taken into account.
Application during pregnancy and lactation
In this experiment, no embryotoxic or teratogenic effects of ornidazole were found.
Since there have been no controlled studies in pregnant / breastfeeding women, use of Ornidazole-vero during pregnancy (especially in the first trimester) / breastfeeding should be done with caution and only if the intended benefit to the mother is higher than the potential risk to the fetus / baby.
Pediatric use
According to the instructions, Ornidazole-vero is contraindicated for use in children under 3 years of age.
For violations of liver function
Patients with liver disease should be prescribed Ornidazole-vero with caution.
Drug interactions
When used simultaneously with coumarin anticoagulants, ornidazole can enhance their effect, therefore, in such cases, an appropriate dose adjustment of anticoagulants is required.
Ornidazole-vero prolongs the muscle relaxant effect of vecuronium bromide.
Since ornidazole does not suppress acetaldehyde dehydrogenase in the liver, it is compatible with alcohol, unlike other imidazole derivatives.
Analogs
Ornidazol-vero analogs are: Gairo, Dazolik, Quinisol, Ornidazole, Ornisid, Tiberal and others.
Terms and conditions of storage
Store at a temperature not exceeding 30 ° C.
Keep out of the reach of children.
Shelf life is 5 years.
Terms of dispensing from pharmacies
Dispensed by prescription.
Reviews about Ornidazole-vero
In reviews of Ornidazole-vero, users often complain of its side effects: headache, drowsiness, weakness, nausea, abdominal pain, severe dizziness and even fainting. In addition, many experience depressed mood and depressed psychological states. Some patients refuse the drug without completing the course of treatment recommended by the doctor.
The price of Ornidazole-vero in pharmacies
The price of Ornidazole-vero 500 mg on average is 168 rubles per pack of 10 tablets.
Ornidazole-vero: prices in online pharmacies
Drug name Price Pharmacy |
Ornidazole-Vero 500 mg film-coated tablets 10 pcs. 158 RUB Buy |
Ornidazole-Vero tablets p.o. 500mg 10 pcs. 163 r Buy |
Maria Kulkes Medical journalist About the author
Education: First Moscow State Medical University named after I. M. Sechenov, specialty "General Medicine".
Information about the drug is generalized, provided for informational purposes only and does not replace the official instructions. Self-medication is hazardous to health!