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Description
Transparent orange liquid.
Active ingredients
Desloratadine
Release form
Syrup
Composition
Active ingredient: desloratadine (micronized) 0.5 mg. Excipients: propylene glycol 100 mg, sorbitol 150 mg, citric acid 0.5 mg, sodium citrate dihydrate 1.26 mg, sodium benzoate 1 mg, disodium edetate 0.25 mg, sucrose 490 mg, flavoring No. 15864 0.75 mg, dye sundown yellow 0,023 mg, purified water to 1 ml.
Pharmacological effect
Non-sedative long-acting antihistamine. It is the primary active metabolite of loratadine. Suppresses the release of histamine from mast cells. Inhibits a cascade of reactions of allergic inflammation, including the release of proinflammatory cytokines, including interleukins IL-4, IL-6, IL-8, IL-13, the release of adhesion molecules such as P-selectin. Thus, it prevents the development and facilitates the course of allergic reactions, has antipruritic and anti-exudative action, reduces capillary permeability, prevents the development of tissue edema, and smooth muscle spasm. The drug does not affect the central nervous system, does not cause drowsiness (the use of desloratadine at the recommended dose of 5 mg per day is not accompanied by an increase in the frequency of drowsiness compared with the placebo group) and does not affect the speed of psychomotor reactions. Does not cause lengthening of the QT interval on the ECG. The effect of the drug Erius begins within 30 minutes after ingestion and lasts for 24 hours.
Pharmacokinetics
Desloratadine is well absorbed in the gastrointestinal tract. Determined in blood plasma 30 minutes after ingestion. The maximum concentration is reached on average 3 hours after ingestion. Does not penetrate the blood-brain barrier. Communication with plasma proteins is 83-87%. When used in adults and adolescents for 14 days at a dose of 5 mg to 20 mg 1 time per day, there is no clinically significant cumulation of the drug. Simultaneous ingestion of food or grapefruit juice does not affect the distribution of desloratadine when used at a dose of 7.5 mg 1 time per day. Desloratadine is not a CYP3A4 and CYP2D6 inhibitor and is not a substrate or inhibitor of the P-glycoprotein.It is extensively metabolized in the liver by hydroxylation to form 3-OH-desloratadine, coupled with the glucuronide. Only a small part of the ingested dose is excreted by the kidneys (<2%) and through the intestines (<7%) unchanged. The half-life is an average of 27 hours.
Indications
Allergic rhinitis (elimination or relief of sneezing, nasal congestion, discharge of mucus from the nose, itching of the nose, itching of the palate, itching and redness of the eyes, tearing). Urticaria (reduction or elimination of pruritus, rash).
Contraindications
Hypersensitivity to desloratadine, other components of the drug or loratadine. Pregnancy and breastfeeding period. Children age up to 6 months. Hereditarily transmitted diseases: fructose intolerance, impaired glucose-galactose absorption or insufficiency of sucrase-isomaltase in the body (due to the presence of sucrose and sorbitol in the composition).
Precautionary measures
Severe renal failure.
Use during pregnancy and lactation
The use of the drug in pregnant women is not recommended due to the lack of clinical data on the safety of the use of the drug Erius during pregnancy. Desloratadine is excreted in breast milk, so it is not recommended to use Erius during breastfeeding.
Dosage and administration
Inside, regardless of meal times, with a small amount of water. Children aged 6 to 12 months - 1 mg (2 ml of syrup) 1 time per day. Children aged 1 to 5 years old - 1.25 mg (2.5 ml of syrup) 1 time per day. Children aged 6 to 11 years - 2.5 mg (5 ml of syrup) 1 time per day. Adults and adolescents from 12 years old - 5 mg (10 ml of syrup) 1 time per day.
Side effects
In children under 2 years of age, the following adverse events were noted, the frequency of which was slightly higher than with placebo (≥ 1/100 to <1/10): diarrhea (in 3.7% of cases), fever (2, 3%), insomnia (2.3%). In children aged 2 to 11 years with the use of the drug Erius syrup, the frequency of side effects was the same as with placebo. In adults and adolescents (12 years and older), the frequency of side effects was slightly higher compared with placebo (≥ 1/100 to <1/10), of which the most frequently observed were: increased fatigue (1.2%), dry mouth (0.8%), headache (0.6%). When using the drug Erius syrup in adults and adolescents in the recommended dose of 5 mg per day, the frequency of drowsiness was not higher than when using placebo.Among the very rare side effects (<1/10 000) the following were noted: on the part of the nervous system: hallucinations, dizziness, drowsiness, insomnia, psychomotor hyperactivity, seizures; on the part of the liver and biliary tract: an increase in the activity of liver enzymes, an increase in the concentration of bilirubin, hepatitis; on the part of the digestive system: abdominal pain, nausea, vomiting, dyspepsia, diarrhea; on the part of the cardiovascular system: tachycardia, palpitations; from the musculoskeletal system: myalgia; Allergic reactions: anaphylaxis, angioedema, dyspnea, pruritus, rash, including urticaria. From the skin and subcutaneous tissues photosensitivity is possible.
Overdose
Symptoms Receiving a dose exceeding the recommended 5 times, did not lead to the appearance of any symptoms. During clinical trials, daily use of desloratadine in a dose of up to 20 mg for 14 days in adults and adolescents was not accompanied by statistically or clinically significant changes in the cardiovascular system. In a clinical pharmacological study, the use of desloratadine at a dose of 45 mg per day (9 times higher than recommended) for 10 days did not cause prolongation of the QT interval and was not accompanied by the appearance of serious side effects. Treatment. In case of accidental ingestion of a large amount of the drug should immediately consult a doctor. Recommended gastric lavage, taking activated carbon; if necessary, symptomatic therapy. Desloratadine is not excreted by hemodialysis, the effectiveness of peritoneal dialysis has not been established.
Interaction with other drugs
Interaction with other drugs was not detected in studies with azithromycin, ketoconazole, erythromycin, fluoxetine and cimetidine. Eating does not affect the effectiveness of the drug. Erius does not increase the effect of alcohol on the central nervous system.
special instructions
Pediatric use The efficacy and safety of the use of the drug Erius syrup in children under the age of 6 months has not been established. Research on the effectiveness of the drug Erius in rhinitis infectious etiology was not conducted.Effects on ability to drive vehicles and mechanisms: The potential for side effects such as dizziness and drowsiness should be taken into account. At the occurrence of the described adverse events should refrain from performing the specified activities.
Storage conditions
At a temperature not higher than 30 ºС. Keep out of the reach of children.