Pimidel

Пимидель Drug photo

The description is actual on 14.07.2016

  • Latin name: Pimidel
  • ATH code: J01MB04
  • Active ingredient: Pipemidovy acid (Pipemidic acid)
  • Producer: KRKA (Slovenia)

Structure

In 1 capsule of pipemidovy acid of 200 mg. Lactoses monohydrate, sodium krakhmalglikolit, silicon dioxide, magnesium stearate as excipients.

Release form

Capsules on 200 mg.

Pharmacological action

Antimicrobic.

Pharmacodynamics and pharmacokinetics

Pharmacodynamics

Treats hinolonovy drugs, has bactericidal effect. Active agent inhibits DNA replication of bacteria, contacting the DNK-girazoy enzyme participating in process of reduplication of DNA. Action on the microorganisms which are in a proliferation phase is more expressed. Synthesis of bacterial proteins is inhibited by high concentration of active ingredient. Shows activity concerning Proteus vulgaris, Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae, Neisseria. Gram-positive microorganisms are insensitive to pipemidovy acid.

Pharmacokinetics

At intake it is well soaked up, bioavailability of 30-60%. The maximum concentration at reception of 400 mg is defined in 70 minutes. The highest concentration are defined in kidneys. Gets through a placenta.

Pipemidovy acid in an invariable look is emitted from an organism mainly with kidneys. In daily urine about 80% of a dose of drug are found. Time of a poluvyveleniye makes 2 hours. At a renal failure higher concentration in blood are defined and the elimination half-life is extended — 6-16 hours.

Indications to use

Diseases of urinary tract (cystitis, urethritis, pyelonephritis), prostatitis. It is applied to prevention of infections at tool interventions (catheterization, endoscopy of a bladder).

Contraindications

  • Hypersensitivity;
  • pregnancy;
  • abnormal liver function and kidneys;
  • children's age;
  • existence of an oliguria and anury;
  • lactation period;
  • defeats of TsNS.

Side effects

With care it is applied at persons with deficit of glucose-6-dihydrogenase as there is a risk of hemolitic anemia, and also at persons 70 years, at patients with a hematencephalon in the anamnesis and epilepsy are more senior.

Pimidel, application instruction (Way and dosage)

Drug is accepted inside, on 2 capsules by 2 times a day before food. In the presence of steady microorganisms the dose increases twice. Treatment duration at cystitis of 10 days, according to the recommendation of the doctor longer reception is possible. At pyelonephritises a course of treatment of 3-6 weeks, and at prostatitis till 8 weeks. Plentiful drink is recommended.

At emergence of allergic reactions stop its reception. At prolonged use it is desirable to check function of a liver and kidneys.

Overdose

Overdose is shown by nausea, vomiting, confusion of consciousness, a headache, a tremor. In more hard cases emergence of spasms is possible. The gastric lavage and control of function of blood circulation and breath is recommended.

There is no specific antidote. Removal can be accelerated an artificial diuresis. Drug is well removed by a hemodialysis.

Interaction

Active ingredient of drug inhibits P450 enzyme therefore significant reactions of interaction are observed at reception with caffeine and theophylline which concentration in blood considerably increase. Delay of their metabolism is shown by undesirable reactions.

Terms of sale

According to the recipe.

Storage conditions

Temperature is up to 25 °C.

Period of validity

5 years.

Pimidel's analogs

Coincidence on the ATH code of the 4th level:

Palinum, Pilamin, Pipegal, Urotraktin, Vero-Pipemidin, Uropimid, Pipem, Pipelin.

About Pimidel

The first generation of not fluorinated hinolon includes drugs of nalidixic, oxolinic and pipemidovy acid which also Pimidel treats. Drugs of pipemidovy acid are the most active for treatment of diseases of urinary tract. This drug is uroseptiky — well gets into fabrics of urinogenital system, and in urine creates sufficient concentration for therapeutic effect. Possesses a wide range of activity (the majority of gram-negative microorganisms and staphylococcus), 2 times a day are accepted that is acceptable for patients.

The majority of positive responses is connected with reception of this drug at cystitis. At this disease it is appointed a short course (3-7 days).

  • "… There was acute cystitis, severe pains. Pimidel very much helped me".
  • "… Helps me, after one reception in 2 hours it becomes better".
  • "… Accepted at cystitis — helps quickly, already 3 hours later it becomes easier, pains and discomfort in the bottom of a stomach leave".

Besides at cystitis reception of vegetable uroantiseptik and plentiful drink is necessary. When the effect of treatment is not observed by this drug, it is necessary to make bacteriological crops of urine and determination of sensitivity to antibiotics.

BIOSPHERE

  • Pimidel of 200 mg No. 20 kaps.
to show still
Section: Antibiotics Urological
in more detail

Education: Graduated from Sverdlovsk medical school (1968 - 1971) as "Paramedic". Graduated from the Donetsk medical institute (1975 - 1981) as "An epidemiologist, a hygienist". Passed postgraduate study in the Central scientific research institute of epidemiology Moscow (1986 - 1989). An academic degree – the candidate of medical sciences (degree is awarded in 1989, protection – the Central scientific research institute of epidemiology Moscow). Numerous advanced training courses are studied in epidemiology and infectious diseases.

Experience: Work as the manager of department of disinfection and sterilization of 1981 - 1992. Work as the manager of department of especially dangerous infections of 1992 - 2010. Teaching activity at Medical institute 2010 - 2013.

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