Glucosamine
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Clinical Pharmacology
Clinico-pharmacological group: A drug that affects the metabolism in cartilage tissue. Stimulator of biosynthesis of proteoglycans
Pharmaco-therapeutic group: tissue regeneration stimulator
pharmachologic effect
Glucosamine helps to prevent the destruction of cartilage, stimulates the restoration of cartilage, has anti-inflammatory and analgesic effect, normalizes the production of intra-articular fluid. Improves mobility of joints, reduces the need for NSAIDs.
Pharmacokinetics
Suction and distribution
After ingestion quickly and completely absorbed in the digestive tract; prolonged form provides continuous release of the active substance and its uniform absorption; bioavailability of glucosamine after ingestion is 25-26% (exposed to the effect of "first passage" through the liver). After distribution in tissues, the highest concentrations are observed in the liver, kidneys and cartilage tissue.
Metabolism and excretion
Metabolized to water, carbon dioxide and urea. Excreted mainly by the kidneys.
Indications
- Osteoarthritis of the peripheral joints and spine.
Composition
1 tab.
Glucosamine hydrochloride 1500 mg
Excipients: calcium hydrophosphate - 62 mg, hypromellose (K200M) - 40 mg, povidone K90 - 40 mg, microcrystalline cellulose - 83 mg, hypromellose (K100M) - 80 mg, colloidal silicon dioxide - 5 mg, stearic acid - 40 mg
The composition of the shell: hypromellose E-5 - 20 mg, macrogol-6000 - 6 mg, opadry white (titanium dioxide, macrogol, hypromellose) - 11 mg.
Glucosamine is marketed under different brands and generic names, and comes in different dosage forms:
Brand name | Manufacturer | Country | Dosage form |
---|---|---|---|
Glucosamine | Medrick Limited | India | pills |
Sustagard | Sotex | Russia | solution |
Dona | Rottapharm | Italy | pills |
Elbona | Ellara | Russia | ampoules |
Dona | Rottapharm | Italy | ampoules |
Dona | Rottapharm | Italy | sachet |
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Dosage and Administration
The drug is taken orally. pills are swallowed whole with water.
The recommended dose is 1 tab. 1 time / day, for 6-12 weeks. On the recommendation of the doctor, the treatment is repeated at intervals of 2 months. A sustained therapeutic effect is achieved when taking the drug for 6 months.
Adverse reactions
The tolerability of the drug is good, in some cases possible: dysfunction of the gastrointestinal tract (epigastric pain, flatulence, constipation or diarrhea, nausea; allergic skin reactions (urticaria, pruritus).
Contraindications
- Severe renal dysfunction;
- pregnancy;
- lactation period;
- age up to 18 years (efficacy and safety have not been established);
- hypersensitivity to glucosamine and other components of the drug.
Precautions should be prescribed the drug for bronchial asthma, diabetes, intolerance to seafood (shrimp, clams).
Drug interactions
Increases the absorption of tetracyclines, reduces the effect of semi-synthetic penicillins, chloramphenicol.
The drug is compatible with paracetamol, NSAIDs and corticosteroids. When combined with NSAIDs, it enhances the anti-inflammatory and analgesic effects of the latter.
Pregnancy and Lactation
The drug is contraindicated in pregnancy and lactation.
Special instructions
The risk of allergic reactions increases with intolerance to seafood.
Influence on ability to drive motor transport and control mechanisms
There are no restrictions regarding the management of autotr
Overdosage
Cases of overdose are unknown.
Treatment: gastric lavage, symptomatic therapy.
- Brand name: Glucosamine
- Active ingredient: Glucosamine
- Dosage form: pills of the modified release, film coated white or almost white color, oval.
- Manufacturer: Medrick Limited
- Country of Origin: India
Studies and clinical trials of Glucosamine (Click to expand)
- Ammonium ion and glucosamine dependent increases of oligosaccharide complexity in recombinant glycoproteins secreted from cultivated BHK-21 cells
- Controlled synthesis of glycopolymers with pendant D-glucosamine residues by living cationic polymerization
- The Dimethylmaleoyl Group as Amino Protective Group – Application to the Synthesis of Glucosamine-Containing Oligosaccharides
- Differences in metabolism of 5-fluorouracil and 5-fluorouridine and regulation by glucosamine in human colon cancer multicell tumor spheroids
- A Comparison of Glucose- and Glucosamine-Related Inhibitors: Probing the Interaction of the 2-Hydroxy Group with Retaining β-Glucosidases
- A Clean Conversion of D-Glucosamine Hydrochloride to a Pyrazine in the Presence of Phenylboronate or Borate
- Prearranged Glycosides, Part 13, Intramolecular Mannosylations of Glucosamine, Galactose, Mannose, and Rhamnose Derivatives via Prearranged Glycosides
- Glucosamine and chondroitin for osteoarthritis: To recommend or not to recommend?
- Potential side effects of treatment with glucosamine and chondroitin
- Interleukin-1β down-regulates the expression of glucuronosyltransferase I, a key enzyme priming glycosaminoglycan biosynthesis: Influence of glucosamine on interleukin-1β–mediated effects in rat chondrocytes
- Glucosamine and chondroitin for osteoarthritis
- Preferential incorporation of glucosamine into the galactosamine moieties of chondroitin sulfates in articular cartilage explants
- Possible association between glucosamine treatment and renal toxicity: Comment on the letter by Danao-Camara
- Glucosamine and chondroitin sulfate for the treatment of osteoarthritis: Comment on the article by Akama and Saito
- Precolumn Derivatization Liquid Chromatography with Mass Spectrometry Assay for the Determination of Glucosamine in Small Volume Human Plasma
- A New Pyridyl Bis(oxazoline) Ligand Prepared from D-Glucosamine for Asymmetric Alkynylation of Imines
- Kinetics of carbon dioxide absorption into aqueous glucosamine solutions
- Insights into Neuronal Cell Metabolism Using NMR Spectroscopy: Uridyl Diphosphate N-Acetyl-Glucosamine as a Unique Metabolic Marker
- Synthesis of D-Glucosamine-3-phosphate
- Osazone Formation by D-Glucosamine
- Reaction of D-Glucosamine with Carbon Disulfide
- Configuratively Stable Dipeptide Aldehydes from D-Glucosamine Hydrochloride
- Insights into Neuronal Cell Metabolism Using NMR Spectroscopy: Uridyl Diphosphate N-Acetyl-Glucosamine as a Unique Metabolic Marker
- Synthesis of polystyrene-supported glucosamine resin and its adsorption properties for metal ions