

Midantan - anti-parkinsonian.
Amantadine has an indirect agonistic effect on striaty dopamine receptors.
Increases the extracellular concentration of dopamine through both the intensification of its production and the blockade of dopamine reuptake by presynaptic neurons.
At therapeutic concentrations, amantadine slows down the production of acetylcholine and, thus, has an anticholinergic effect.
1 tablet, film coated, contains: Amantadine sulfate 100 mg
Excipients: Microcrystalline cellulose, potato starch, gelatin, lactose monohydrate, povidone, talc, magnesium stearate, colloidal silicon dioxide, croscarmellose sodium, titanium dioxide, butyl methacrylate copolymer, orange yellow dye
Amantadine is marketed under different brands and generic names, and comes in different dosage forms:
Brand name | Manufacturer | Country | Dosage form |
---|---|---|---|
PK-Merz | Merz | Germany | pills |
Midantan | BPMP | Belarus | pills |
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Orally, after eating with a small amount of liquid, preferably in the first half of the day.
The first 3 days - 1 tablet per day, then increase the dose to 2 pills per day, with a further dose increase of 1 tablet per week.
The usual effective dose is 1 to 3 pills twice a day.
The maximum daily dose is 600 mg.
In the case of combined treatment, it is necessary to determine the dose individually.
The last dose is recommended to be taken in the afternoon, no later than 16-00.
Use in elderly patients, in particular, in patients suffering from a state of excitement and confusion, predlaring and delirium. Lower dosage required.
Mental disorders accompanied by visual hallucinations. Rarely - motor and mental excitement. Retention of urine in patients with prostate adenoma. Heart failure. Arrhythmia, tachycardia, nausea, dry mouth, dizziness, sleep disturbance. Very rarely - the appearance of bluish color of the skin of the upper and lower extremities, a decrease in visual acuity.
Hypersensitivity to the drug.
Glaucoma, prostate adenoma. Psychomotor agitation. State preddeliry and delirium, psychosis in history. Epilepsy, thyrotoxicosis, acute and chronic diseases of the liver and kidneys. Pregnancy (1 trimester) and the period of breastfeeding.
Simultaneous use of diuretics, which is a combination of triamterene / hydrochlorothizide, can lead to a change in the concentration of amantadine in plasma. In combination therapy with other anti-parkinsonian drugs, it may be necessary to change the doses of other drugs or the combination as a whole, otherwise side effects may increase.
Contraindicated in pregnancy and lactation.
Treatment of PC-Mertz should not be stopped suddenly, as this can lead to worsening of symptoms.
Patients suffering from cardiovascular diseases should be under constant medical supervision when prescribing PK Mertz.
Alcohol is contraindicated during treatment.
Influence on ability to drive motor transport and work with mechanisms. Be careful when using vehicle drivers and people whose profession is related to increased concentration of attention.
Symptoms: nausea, vomiting, tremor, ataxia, decreased visual acuity, lethargic condition, dysarthria, seizures, arrhythmia.
Treatment: gastric lavage, Activated charcoal intake, symptomatic therapy.
Studies and clinical trials of Amantadine (Click to expand)