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Бондронат — Bondronat (Ибандроновая кислота) 

Бондронат (Ибандроновая кислота)

Бондронат — Bondronat (Ибандроновая кислота) 

Компания Medical&Pharma предлагает современное лекарство Бондронат (Ибандроновая кислота)  — ингибитор костной резорбции, азотсодержащий бисфосфонат. Его относят к группе противоопухолевых препаратов, который содержит активное вещество Ибандроновую кислоту. Вещество проявляет особенное селективное действие на костную ткань вследствие высокой аффинности к минеральным компонентам костей. Тормозит активность остеокластов, уменьшает частоту скелетных осложнений при злокачественных образованиях.

Ибандроновая кислота тормозит развитие новых и снижает рост уже имеющихся костных метастазов, что приводит к уменьшению частоты скелетных осложнений, потребности в проведении лучевой терапии, интенсивности болевого синдрома и хирургических вмешательств по поводу метастатического процесса в костях, таким образом, приводя к значительному улучшению качества жизни.

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Описание

Компания Medical&Pharma предлагает современное лекарство Бондронат (Ибандроновая кислота)  — ингибитор костной резорбции, азотсодержащий бисфосфонат. Его относят к группе противоопухолевых препаратов, который содержит активное вещество Ибандроновую кислоту. Вещество проявляет особенное селективное действие на костную ткань вследствие высокой аффинности к минеральным компонентам костей. Тормозит активность остеокластов, уменьшает частоту скелетных осложнений при злокачественных образованиях.

Ибандроновая кислота тормозит развитие новых и снижает рост уже имеющихся костных метастазов, что приводит к уменьшению частоты скелетных осложнений, потребности в проведении лучевой терапии, интенсивности болевого синдрома и хирургических вмешательств по поводу метастатического процесса в костях, таким образом, приводя к значительному улучшению качества жизни.

Состав препарата Бондронат (Ибандроновая кислота)

1 мл концентрата для приготовления раствора для инфузий содержит:

  • действующее вещество: ибандроновая кислота 1 мг (в виде натрия ибандроната моногидрата 1.125 мг);
  • вспомогательные вещества: натрия хлорид, натрия ацетат, кислота уксусная 99%, вода для инъекций.

1 таблетка, покрытая оболочкой, содержит:

  • действующее вещество: ибандроновая кислота 50 мг (в виде натрия ибандроната моногидрата 56.25 мг);
  • вспомогательные вещества: лактозы моногидрат, кросповидон, целлюлоза микрокристаллическая, повидон, силикагель коллоидный безводный, кислота стеариновая;
  • оболочка опадрай: гипромеллоза, тальк, титана диоксид.

Показания к применению Бондроната

  • Метастатическое поражение костей с целью снижения риска патологических переломов, возникновения гиперкальциемии, уменьшения боли, снижения потребности в проведении лучевой терапии при угрозе переломов и болевом синдроме.
  • Гиперкальциемия при злокачественных новообразованиях.

 

Фармакодинамика

Ибандроновая кислота снижает остеокласт-ассоциированное освобождение факторов роста опухоли, сдерживает распространение и инвазию клеток опухоли, in vitro оказывает синергический эффект с таксанам. Ибандроновая кислота сдерживает костное разрушение, вызванную блокадой функции половых желез, ретиноидами, опухолевыми процессами.
Ибандроновая кислота не влияет на минерализацию костной ткани в дозах, значительно превышающих фармакологически эффективные. Ингибирующее действие ибандроновой кислоты при гиперкальциемии на индуцированный опухолью остеолиз и, особенно, на сопутствующую опухолевому процессу гиперкальциемию, происходит со снижением уровня кальция в сыворотке крови и выделении кальция с мочой. Во многих случаях содержание кальция в крови нормализуется в течение 4-7 дней после введения вещества. Период времени до повторного повышения сывороточного альбумин-корригированного кальция до 3 ммоль/л составляет 18-26 дней.
Ибандроновая кислота дозозависимо подавляет опухолевый остеолиз, что определяется при помощи маркеров костной резорбции: пиридинолин и дезоксипиридинолин.

Фармакокинетика

Всасывание

После перорального приема препарат быстро поглощается в верхних отделах желудочно-кишечного тракта. Время достижения максимальной концентрации TCmax 0.5-2 часа (медиана – 1 час) после приема натощак, абсолютная биодоступность 0.6%. Одновременный прием напитков (кроме чистой воды) или пищи уменьшает биодоступность вещества на 90%. Прием напитков или пищи через 30 мин после ибандроновой кислоты уменьшает ее биодоступность на 30%. При приеме препарата за 60 мин до еды не наблюдается значимого снижения биодоступности.
В плазме концентрация ибандроновой кислоты увеличивается пропорционально дозе введенного внутривенно (в дозе до 6 мг) или принятого после перорального приема препарата (в дозе до 100 мг).
Биодоступность ибандроновой кислоты снижается до 75% при ее приеме через 2 часа после еды, в связи с чем таблетки бондроната советуется принимать натощак с дальнейшим приемом пищи не ранее чем через 30 мин.

Распределение

После того как вещество попало в системный кровоток, оно быстро всасывается в костной ткани или выводится с мочой. Кажущийся конечный Vd — 90 л, количество препарата в костной ткани, обычно, достигает 40-50% от циркулирующей в крови дозы. Связывание с белками плазмы при терапевтических концентрациях препарата составляет 87%. Из этого следует, что вероятность появления межлекарственного взаимодействия, из-за вытеснения из связи с белками, довольно низкая.

Метаболизм

Данных о том, что ибандроновая кислота метаболизируется нет.

Выведение

40-50% количества препарата, циркулирующего в крови, проникает в костную ткань и накапливается в ней, невпитавшийся препарат выводится в неизмененном виде почками. Оставшийся препарат после перорального введения выводитсяс калом в неизмененном виде.
Терминальный период полувыведения 10-60 часов. Концентрация препарата в крови снижается быстро и достигает 10% от максимальных показателей через 3 часа после в/в введения и 8 часов после перорального приема.
При в/в назначении пациентам с метастатическим поражением костей ибандроновой кислоты с интервалом 4 недели в течение 48 недель системной кумуляции не отмечено Общий клиренс ибандроновой кислоты 84-160 мл/мин. Почечный клиренс (60 мл/мин у здоровых женщин в менопаузе) обуславливает 50-60% общего клиренса и зависит от клиренса креатинина. Отличие между общим и почечным клиренсом отражает всасывание вещества в костной ткани.

Фармакокинетика у особых групп пациентов

Фармакокинетика ибандроновой кислоты не зависит от пола. Не выявлено клинически значимых межрасовых различий распределения ибандроновой кислоты у лиц азиатской расы и южно-европейской. Относительно негроидной расы данных недостаточно.

Больные с нарушением функции почек

Экспозиция бондроната у пациентов с различными нарушениями функции почек зависит от клиренса креатинина (КК). По сравнению со здоровыми добровольцами (среднее значение КК=120 мл/мин), после однократной в/в инъекции 6 мг ибандроновой кислоты (15-минутная инфузия) средняя AUC0-24 выше на 14% у пациентов с легкой степени тяжести нарушения функции почек (среднее значение КК=68.1 мл/мин) и на 86% у пациентов со средней степенью тяжести нарушений функции почек (среднее значение КК=41.2 мл/мин). Средняя концентрация не возрастает у больных с легкой степенью тяжести нарушения функции почек и увеличивается на 12% у пациентов с средней степенью тяжести нарушения функции почек. У больных с тяжелым нарушением функции почек (КК<30 мл/мин) при приеме препарата в течение 21 дня внутрь в дозе 10 мг концентрация вещества в плазме крови в 2-3 раза выше, чем у пациентов с нормальной функцией почек. Увеличение системной концентрации не ухудшает переносимость препарата. Однако пациентам с тяжелым нарушением функции почек (КК<30 мл/мин) следует снизить дозу препарата до одной таблетки 50 мг один раз в неделю. Для больных с нарушением функции почек легкой или средней степени тяжести (КК>30 мл/мин) коррекции дозы при приеме внутрь не требуется. При в/в инфузии требуется коррекция дозы и времени введения у лиц с метастатическим поражением костей при раке молочной железы. 37% ибандроновой кислоты выводится из организма во время стандартной 4-часовой процедуры гемодиализа.

Больные с нарушением функций печени

Отсутствуют данные о фармакокинетике бондроната у пациентов с нарушением функций печени. Печень не играет существенной роли в клиренсе препарата, который не метаболизируется, а связывается в костной ткани или выводится через почки. У лиц с нарушением функции печени коррекции дозы не требуется. Кроме того, в терапевтических концентрациях ибандроновая кислота слабо взаимодействует с белками плазмы крови, поэтому вероятно, что гипопротеинемия при тяжелых заболеваниях печени не приводит к клинически значимому увеличению концентрации ибандроновой кислоты в крови.

Пожилой возраст

Изученные фармакокинетические параметры не зависят от возраста. Следует учитывать возможное снижение функции почек у пожилых пациентов.

Дети

Отсутствуют данные о применении бондроната у лиц младше 18 лет.

Фармацевтические характеристики

  • Концентрат для приготовления раствора для инфузий: прозрачная бесцветная жидкость.
  • Таблетки: белого или почти белого цвета, продолговатой формы, покрытые оболочкой, на одной стороне таблетки гравировка «L2», на другой «IT».

 

Упаковка, срок годности, условия хранения Бондронат

  • Концентрат для приготовления раствора для инфузий: 2 мг/2 мл и 6 мг/6 мл. По 2 мл или 6 мл препарата во флакон из бесцветного стекла гидролитического типа 1 (ЕФ), укупоренный резиновой пробкой, ламинированной пленкой и обжатый колпачком алюминиевым с отрываемой крышкой. Флакон вместе с инструкцией помещен в пачку картонную.
  • Таблетки, покрытые оболочкой.

Срок годности 5 лет. Не использовать по истечении срока годности, указанного на упаковке. Концентрат для приготовления раствора для инфузий хранить при температуре не выше 30°С. Препарат хранить в недоступном для детей месте.

 

 

 

 

Наша компания работает как на территории Казахстана, так и осуществляет доставку в страны ближнего зарубежья. Обращайтесь к нам за консультациями по контактным телефонам.

Заказать и купить Бондронат (Ибандроновая кислота) в Алматы

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Позвоните и узнайте цену Бондронат (Ибандроновая кислота)

Работаем и отправляем Бондронат (Ибандроновая кислота) по странам СНГ: Россия, Украина, Кыргызстан (Бишкек), Белоруссия, Узбекистан (Ташкент),
а также можем отправить Бондронат (Ибандроновая кислота) по регионам Казахстана: Нур-Султан (Астана), Шымкент, Талдыкорган, Актау и другие.

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    pectoralis main muscle. Compared to the convention bench press, it
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    throughout the movement. Cable crossover workout routines, for example, could
    be altered and twisted to concentrate on totally different
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    On February 18, 2025, he broke down his 30-minute full exercise
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    To avoid damage in the course of the Incline Cable Press, it’s advisable to progressively improve the intensity of the exercise.

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    Even if I by no means had injured my chest though,
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    The dumbbell fly takes benefit of arm rotation to actually
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    features. Sure, a cable machine offers fixed tension throughout
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    with away from you as you go. Maintain for a second, and then retract the cable and rotate your physique
    back to beginning position. «Since training with Mike at EverFlex for the past couple of years, my overall strength and fitness has improved dramatically.
    The focus is very much on the center of your chest, however the exercise ball engages smaller muscle groups to keep you steady all through. Cable machines supply a a lot more complete vary of movement than free weights. This lets you goal different muscle teams and can improve your functional strength and adaptability. Most would agree that the best rep vary for chest coaching can be 6-12 reps, as it’s not too heavy or too gentle for accumulating volume successfully.
    From newbie to superior, Fitness Volt has obtained you covered with effective workout routines and sets and repetition suggestions. In addition to focused activation of key muscle teams, cable workouts engage major and secondary stabilizer muscles resulting in higher overall activation and functional energy. After that, you probably can observe the identical sample every 8-to-10 weeks of training or create your own workouts utilizing the chest cable workouts above. Whether you must solely do cable machine chest exercises is barely extra sophisticated. Not simply barbell workout routines, but dumbbell workout routines, kettlebell workout routines, body weight exercises, and, after all, cable machine exercises.
    Higher chest workouts target the clavicular portion of the pectoralis major, bringing a few well-rounded and fuller look to your pecs. These movements are crucial for athletes and bodybuilders seeking symmetry and power of their upper bodies. Look no further, as a outcome of on this article, we are going to explore 6 effective upper chest cable workouts that can help you achieve your objectives. As a certified personal trainer with years of expertise in power training and conditioning, I understand the significance of concentrating on particular muscle teams to maximize results. Not Like conventional pressing movements, cable crossovers enable for continuous tension all through the entire range of movement, providing a unique stimulus for muscle development. The versatility of this train also permits you to regulate the pulley peak to focus on completely different areas of the chest, making it an all-in-one resolution for comprehensive chest training. A push-up research demonstrated that you simply maintain 69% of your weight within the up place and 75% in the down place.
    Let’s dive into the technique, benefits, and the method to incorporate this exercise along with effective dietary supplements into your routine for max results. I love dips and firmly consider it’s top-of-the-line, perhaps the most effective, workout routines for your chest and triceps. In order to hit the chest more, you will make a simple adjustment, which principally amounts to leaning ahead barely. The main job of the pectoralis minor is to help in stabilizing the scapula.
    First, begin with lighter weights to get accustomed to the movement and steadily improve the resistance as your energy improves. Moreover, pay attention to your kind, keeping your back straight and interesting your core for stability. Lastly, seek the advice of with a healthcare professional or fitness expert before making an attempt Svend press if you have any pre-existing shoulder or chest accidents. With proper approach and precautions, Svend press may be an efficient addition to your chest workout routine. Elevate your chest workout with the Cable Standing Chest Press, a dynamic exercise that targets the pectoral muscles while participating the shoulders and triceps. Begin by setting the cable machine at chest height, attaching the handles to the cables. Stand with feet shoulder-width apart, maintaining a slight bend in your knees for stability.
    In summary, these 6 higher chest cable workouts supply sensible and environment friendly methods to strengthen and define your chest muscle tissue. By incorporating these workout routines into your exercise routine, you’ll have the ability to expect important enhancements in muscle activation, stability, and general upper body energy. The finest chest exercises for ladies are versatile and additional outline and tone the chest and higher physique. There are two precautions girls ought to keep in mind concerning chest exercises to keep away from creating improper form or getting injured.
    Keep a slight bend in your elbows throughout the movement, so that you’re only partaking your chest. You Will additionally assist to flex and develop your pecs if you hold your palms facing in the direction of each other after they meet within the middle. Press ahead with one or each arms until your arms are at full extension.
    For instance, Face Pulls are a type of cable pull train that successfully targets the rear deltoids, which are crucial for shoulder well being and stability. They present constant application of rigidity all through the movement, which might result in increased muscle activation compared to free weights. When you’re performing the concentric part, give attention to partaking the shoulder muscular tissues, ensuring they’re doing the heavy lifting (literally). The versatility of cable stations is considered one of my favourite things about them, permitting you to work your shoulders from varied angles and with a full range of motion. A lighter load helps you keep proper form and really goal those shoulder muscle tissue without letting other muscle groups take over. There are plenty of cable shoulder actions to select from, but here are my prime picks for shoulder cable workouts.
    Working one hand at a time maximizes core engagement and will do wonders to strengthen all your core muscles. When you’re employed just one facet at a time, you create a severe amount of instability that forces your core muscular tissues to interact to counteract. Do not set the angle of the bench too high or the focus will shift from the pecs to the anterior deltoids. Set your feet solidly on the floor and arch your upper body over the fitness ball all through the movement. For instance, one examine found the unrestricted cable machine to enhance 1RM strength to a greater degree than the mounted machine. Moreover, the cable machine maintains a more consistent resistance throughout the motion.
    As with any exercise, you will want to use proper kind and technique to make sure security and maximize the effectiveness of the exercise. Cable chest workout routines are additionally useful for extra advanced athletes who want to concentrate on isolating the pecs. Overall, cable machines supply versatility, effectiveness, and effectivity for training the chest. One of one of the best cable workouts is the low-to-high cable chest fly, which has a variation referred to as the high-to-low chest fly, which engages more of the lower chest. Begin your chest exercise with cables on the beginner stage to gradually ease into building strength and dimension in your chest muscles. Focus on mastering proper form and approach for each exercise to forestall damage and guarantee efficient muscle engagement.
    In Distinction To compound workouts such as bench presses, which target the chest, triceps and shoulders, the low Cable Chest Fly solely targets the chest. Here are the 14 greatest cable chest exercises for building larger and wider chests. Incorporating totally different cable workouts can successfully goal numerous areas of the chest, offering a more complete workout. By adjusting the angle and grip on the cable machine, you presumably can concentrate on creating specific components of the chest while also addressing any muscle imbalances. Various rep ranges is important for maximizing the effectiveness of cable chest workouts. By incorporating a combination of low, average, and high rep ranges, you presumably can goal totally different muscle fibers, selling total muscle development and progress. It’s crucial to take care of correct kind throughout to effectively engage the chest muscles.
    Also called the «lats» this muscle wraps round our again from our sides to our midback the place it is partly covered by the trapezius. A variation of the seated row, the shut grip row shifts the focus to the mid again. With this exercise you must have the ability to carry heavier weight in contrast with the broad grip row because your lats are doing a lot of the work right here. By lying face down on the bench, you won’t be ready to cheat and use momentum to pull the cable back. Focus on pulling back by way of your elbows to minimize the engagement of your biceps.
    Firstly, strengthening the chest muscle tissue via regular workouts might help forestall accidents, especially within the shoulders and upper back. Chest workouts for present stability and support to the higher body, lowering the chance of strains or imbalances. Secondly, energy coaching workout routines, including chest workouts, assist promote bone health and density. It’s necessary for women to undertake way of life decisions to combat the chance of osteoporosis because ladies are at the next threat of the disease. Thirdly, performing chest workout routines as part of a well-rounded workout routine may help ladies enhance their metabolic price. Chest workouts stimulate muscle growth and development, and as muscular tissues require more vitality to maintain, the body’s resting metabolic fee can enhance, which promotes calorie burn even at rest. The Cable Chest Fly is a variation of the standard dumbbell fly, but it makes use of cable machines as an alternative of free weights.
    Stay updated with the most recent insights, specialists tips, and confirmed strategies to boost your powerlifting efficiency and elevate your power coaching journey. The workout under is a common chest exercise designed with shaping, toning and muscular endurance in mind. I truly have put collectively a group of the above-introduced exercises to kind a ‘Cable Chest Day Workout’ that you could try out! If there are a few of these you haven’t carried out before, watch the video hyperlinks provided within the train descriptions to provide you some additional steering. The best approach to progress is to stay to one variable for a given period of time. Reps might be elevated as well, however only till you attain the max in your rep range, so actually the main focus is weight load. In regards to the actual load, the cable machine is exclusive in two methods.
    I hardly ever use free weights for my chest exercises anymore as a outcome of I’ve torn my pecs three times now. In common push-ups, you might be pushing at a slight incline, meaning that they primarily goal your decrease and center chest. By inserting your feet on an elevation (like a low bench or box) and performing decline push-ups, you presumably can target your center and upper chest instead. Lastly, you’re employed your complete chest again with some cable chest flyes. These can of course be done from a low to excessive position if you need to goal your higher chest even further. The machine chest fly is another chest fly variant that isolates your chest and entrance delts. Simply like the lying dumbbell chest fly, the machine chest fly works all muscle fibers in your pecs, together with the higher chest.

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