YMANA 20 mg. 28 tablets
YMANA belongs to a group of medicines known as anti-dementia drugs. Memory loss in Alzheimer's disease is due to disturbances in the signal message in the brain. The brain contains so. Pomegranate. N-methyl-D-aspartate (NMDA) -petseptori involved in transmitting nerve signals important in learning and memory. Iman belongs to a group of medicines called antagonists, NMDA-receptors. Iman acts on these NMDA-receptors improving the transmission of nerve signals and the memory. Imani is used to treat patients with moderate to severe Alzheimer's disease.
2. What you need to know before taking your treasure?
Do not take Iman:
if you are allergic (hypersensitive) to memantinov hydrochloride or any of the other ingredients of Iman film-coated tablets (see section 6).
If you are unsure, talk to your doctor or pharmacist before taking Iman tablets.
Warnings and Precautions
Talk to your doctor or pharmacist before taking Iman:
if you have a history of epileptic seizures
If you have recently experienced a myocardial infarction (heart attack) or if you suffer from congestive heart failure or uncontrolled hypertension (high blood pressure).
In these situations the treatment should be carefully supervised, and the clinical benefit of treasure to be regularly reassessed by your doctor.
If you suffer from renal impairment (kidney problems), your doctor should closely monitor your kidney function and if necessary adjust doses accordingly Iman. The use of medicinal products amantadine (for the treatment of Parkinson's disease), ketamine (a substance generally used as an anesthetic), dextromethorphan (generally used to treat cough) and other NMDA-antagonists should be avoided.
Children and adolescents
Iman is not recommended in children and adolescents aged under 18 years.
Other medicines and Iman
Tell your doctor or pharmacist if you are taking, you have recently taken or might take any other medicines.
More specifically, Iman may alter the effects of these drugs and may need your doctor may adjust their dose:
amantadine, ketamine, dextramethorphan
cimetidine, ranitidine, procainamide, quinidine, quinine, nicotine
hydrochlorothiazide (or any combination with hydrochlorothiazide)
anticholinergic agents (substances that are generally used to treat movement disorders or intestinal cramps)
anticonvulsants (substances that are used to prevent or treat seizures)
barbiturates (substances that are commonly used to induce sleep) dopaminergic agonists (substances such as L-dopa, bromocriptine)
neuroleptics (substances that are used to treat psychiatric disorders)
If you go into hospital, let your doctor that you are taking treasure.
Iman food, beverages and alcohol
Tell your doctor if you have recently changed or intend to change your diet substantially (eg from normal diet to strict vegetarian diet) or if you suffer from renal tubular acidosis (RTA, an excess of acid-forming substances in the blood due to renal dysfunction (malfunction kidney)) or severe infections of the urinary tract (structure that carries urine), as it may be necessary to adjust the dose of the drug.
Pregnancy, lactation and fertility
If you are pregnant or breast-feeding, you think you may be pregnant or planning to become pregnant, ask your doctor or pharmacist before taking this medicine. Iman is not recommended for use in pregnant women. Women taking treasure, should not breastfeed.
Driving and using machines
The doctor will tell you whether your illness allows you to safely drive or operate machinery. Furthermore, treasure can change your reactivity, making driving or operating machinery.
3. How to take treasure?
Always take this medicine exactly as your doctor has told you. If you're not sure, ask your doctor or pharmacist.
The recommended dose treasure for adults and elderly patients is 20 mg daily. To reduce the risk of side effects this dose is achieved gradually by the following daily schedule:
Week 1 (day 1-7) 5 mg daily
Week 2 (day 8-14) 10 mg daily
Week 3 (day 15-21) 15 mg daily
week 4 and then 20 mg
The usual starting dose is 5 mg daily during the first week.
It was increased to 10 mg per day during the second week and 15 mg once daily for the third week. From the fourth week on, the usual dose is 20 mg daily.
The recommended daily dose is 20 mg once daily.
Duration of treatment, please consult your doctor.
In patients with impaired renal function
If you have impaired kidney function, your doctor will decide what dose is appropriate for your condition. In this case, the physician should monitor your kidney function at regular intervals.
Iman should be administered orally once daily. To benefit from your medicine, you should take it regularly every day at the same time of day. The tablets should be swallowed with some water. The tablets can be taken with or without food.
10mg tablets can be divided into two equal doses.
Duration of treatment
Taking Iman continues until there is an effect. Your doctor should assess your treatment on a regular basis.
If you take more than the amount of treasure
If you accept Iman at a dose several times higher than prescribed, contact your doctor or get medical advice, as you may need medical attention.
In general, taking too much treasure should not harm you. It may experience increased symptoms as described in section 4. "Possible side effects".
If you forget to take treasure
- If you find that you forgot to take your dose Iman, wait and take the next dose at the usual time.
Do not take a double dose to make up the missed dose.
If you have further questions on the use of this product, ask your doctor or pharmacist.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
If you notice any effects such as seizures, suicidal ideation and suicidal thoughts, talk to your doctor or pharmacist.
Usually, the observed side effects are mild to moderate.
Common (affects up to 1 in 10 users):
- Headache, drowsiness, constipation, elevated liver enzymes, dizziness, balance disorder, shortness of breath, high blood pressure and drug hypersensitivity.
Uncommon (affects up to 1 in 100 users):
Tiredness, fungal infections, confusion, hallucinations, vomiting, abnormal gait, heart failure and venous blood clotting (thrombosis / embolism)
Very rare (affects less than 1 in 10,000 users):
Not known (from the available data can not be estimated frequency):
Inflammation of the pancreas, liver inflammation (hepatitis) and psychotic reactions.
Alzheimer's disease is associated with depression, suicidal thoughts and suicide attempts. These events have been reported in patients treated with Iman.
If any of the side effects gets serious, or you notice other effects not listed in this leaflet, please tell your doctor or pharmacist.
5. How to store treasure?
Do not store above 25 ° C. Store in the original container to protect from light. Keep out of reach of children.
Do not use this medicine after the expiry date stated on the carton and blister after "EXP". The expiry date refers to the last day of that month.
Do not dispose of medications in wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer use. These measures will help to protect the environment.
6. Contents of the pack and other information
The active substance is memantinov hydrochloride
Each 20 mg tablet contains 20 mg memantinov hydrochloride equivalent to 16,62 mg memantine.
- The other ingredients are:
Tablet core: silitsifitsirana microcrystalline cellulose, croscarmellose sodium, talc, magnesium stearate.
Tablet coating: hypromellose, macrogol 400, titanium dioxide (E171) and red iron oxide (E172).
Iman looks like and contents of the pack?
Iman 20 mg tablets are white to off-white, oval film-coated tablets engraved with "20" on one side and scored on the other side. The dimensions of each tablet are approximately 14x7 mm.
Iman of 20 mg tablet containers: aluminum / PVC blister packs containing 7, 10 or 14 tablets. Available in packs of 7, 28 and 30 tablets.