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Симзия — Cimzia (цертолизумаба пэгол)

Симзия — Cimzia (цертолизумаба пэгол)

Препарат Симзия — это современный препарат, используемый для лечения при болезни Крона, ревматоидном, спондилоартрите, а также псориатическом артрите. Препарат Симзия благотворно влияет на позвоночник и другие физические способности больного. Пожилые люди, страдающие псориатическим артритом, отмечали положительные эффекты главных показателей: через месяц терапии, спадала опухлость на суставах, скованность и боль. Дальнейшее использование препарата возвращало утраченные физические функции. Пациенты сообщали, как после терапии улучшилось качество их жизни.

Основное действующее вещество препарата — цертолизумаба пэгол. Применение это вещества, также характеризуется заметным улучшением основных показателей эффективности, таких как: мобильность позвоночника, интенсивность болевых ощущений, выраженность слабости, качество жизни и физические функции.

Описание

Препарат Симзия — это современный препарат, используемый для лечения при болезни Крона, ревматоидном, спондилоартрите, а также псориатическом артрите. Препарат Симзия благотворно влияет на позвоночник и другие физические способности больного. Пожилые люди, страдающие псориатическим артритом, отмечали положительные эффекты главных показателей: через месяц терапии, спадала опухлость на суставах, скованность и боль. Дальнейшее использование препарата возвращало утраченные физические функции. Пациенты сообщали, как после терапии улучшилось качество их жизни.

После терапии Симзией у больных с болезнью Крона отмечено понижение концентрации С-реактивного белка (СРБ) в крови. На фоне приема препарата у лиц, у которых аксиальный спондилоартрит появился в зрелом возрасте, отмечалось выраженное снижение симптомов воспаления и в крестцово-подвздошных сочленениях, и в межпозвоночных суставах.

Основное действующее вещество препарата — цертолизумаба пэгол. Применение это вещества, также характеризуется заметным улучшением основных показателей эффективности, таких как: мобильность позвоночника, интенсивность болевых ощущений, выраженность слабости, качество жизни и физические функции.

Лица с активным псориатическим артритом, который проявился в зрелом возрасте, показали значительное улучшение всех основных показателей на фоне применения цертолизумаба пэголом, таких как: количество болезненных/скованных суставов, количество припухших суставов, распространенность энтезита и выраженность дактилита, отмечалось существенное улучшение физической функции, уменьшение артритической боли. Пациенты, принимавшие препарат Симзия, сообщали о существенном улучшении их качества жизни.

Состав Симзия

На 1 мл препарата

  • активное вещество: цертолизумаба пэгол 200,0 мг;
  • вспомогательные вещества:натрия ацетат, натрия хлорид, вода для инъекции.

Показания препарата Симзия

  • Ревматоидный артрит у взрослых (с 18 лет):

в комбинации с метотрексатом ;

в качестве монотерапии.

  • Болезнь Крона у взрослых при неэффективности терапии БПВП.
  • Аксиальный спондилоартрит у взрослых, включая:

тяжелый активный анкилозирующий спондилит (при недостаточном ответе на терапию НПВП);

  • Псориатический артрит у взрослых:

в терапии с метотрексатом при недостаточном ответе на терапию БПВП;

в монотерапии.

Фармакодинамика

Цертолизумаба пэгол — ингибитор фактора некроза опухоли альфа (ФНОα). ФНОα — основной цитокин, играющий главную роль в воспалительных процессах при ревматоидном артрите, болезни Крона, аксиальном спондилоартрите и псориатическом артрите. Цертолизумаба пэгол характеризуется высокой специфичностью в отношении ФНОα. Цертолизумаба пэгол избирательно взаимодействует с цитокином ФНОα, ингибируя его роль, как главного медиатора воспаления.

In vitro было показано, что цертолизумаба пэгол не содержит кристаллизующего фрагмента (Fc), обычно присутствующего в полном антителе и следовательно не фиксирует комплемент и не приводит к развитию антителозависимой клеточной цитотоксичности.

Также in vitro было показано, что цертолизумаба пэгол не приводит к дегрануляции нейтрофилов, не вызывает апоптоз моноцитов и лимфоцитов периферической крови человека.

В синовиальной жидкости у пациентов с ревматоидным артритом определяется ФНО-α, это играет важную роль в процессе воспалительных реакций и деструктивных изменений в суставах, что является признаком проявлением заболевания.

Повышение концентрации ФНО-α играет основную роль в патологических процессах развития таких болезней, как ревматоидный артрит, болезь Крона. Цертолизумаба пэгол способен избирательно взаимодействовать с ФНО-α, ингибируя его роль как медиатора воспаления. При терапии цертолизумабом пэголом у пациентов подтверждается снижение концентрации С-реактивного белка (СРБ) в анализах крови.

Фармакокинетика

Всасывание:

Цертолизумаба пэгол медленно всасывается из места введения, после подкожного введения максимальной концентрации в плазме крови достигается через 54-171 ч после применения однократной дозы Цертолизумаба пэгола. Абсолютная биодоступность составляет около 80% (от 76 до 88%).

Распределение:

Согласно результатам популяционного анализа параметров фармакокинетики цертолизумаба пэгола равновесный объем распределения оценивался в диапазоне от 6 до 8 литров у лиц с болезнью Крона и ревматоидным артритом, и на уровне 4,71 литров у лиц с бляшечным псориазом.

Метаболизм:

метаболизм Цертолизумаба пэгола в клинических исследованиях не изучался. Согласно экспериментальным экспериментам на животных было показано, что в основном выведение осуществляется почками.

Элиминация:

пэгилированием (ковалентное слияние полимеров полиэтиленгликоля (ПЭГ) с белками), что способствует торможению метаболизма и элиминации этих соединений из организма вследствие различных процессов, включая снижение почечного клиренса, протеолиза и иммуногенности. Цертолизумаб пэгол является Fab-фрагментом антитела, конъюгированного с ПЭГ. Конъюгация увеличивает период полувыведения (Т1/2) Fab-фрагмента до значения, сопоставимого с периодом полувыведения целого антитела.

Период полувыведения цертолизумаба пэгола при внутривенном введении составляет около 14 дней. У здоровых людей скорость элиминации цертолизумаба пэгола при внутривенном введении составляет от 9,21 мл/ч до 14,38 мл/ч. При подкожном введении у лиц с болезнью Крона клиренс цертолизумаба пэгола — около 17 мл/ч.

При ревматоидном артрите при подкожном введении цертолизумаба пэгола клиренс составил около 21,0 мл/ч.

При сравнении пациентов с различной массой тела было показано, что у лиц с массой тела 70 кг клиренс цертолизумаба пэгола на 29% ниже и на 38% выше, чем у больных массой тела 40 кг и 120 кг соответственно.

Освобожденный ПЭГ быстро элиминируется почками, не установлена скорость его выведения. Концентрация цертолизумаба пэгола в плазме крови пропорциональна величине дозы.

Параметры фармакокинетики у лиц с болезнью Крона и ревматоидным артритом не отличались от соответствующих показателей у здоровых добровольцев.

Особые группы пациентов

Пациенты с нарушением функций почек

Не проводились специальные клинические исследования для оценки влияния почечной недостаточности на фармакокинетику цертолизумаба пэгола. Есть предположение, что фармакокинетика ПЭГ находится в зависимости от почечной функции. Данных, позволяющих рекомендовать особый режим дозирования препарата при почечной недостаточности средней и тяжелой степени тяжести недостаточно. Популяционный фармакокинетический анализ не выявил влияния показателя клиренса креатинина на фармакокинетику препарата среди пациентов с легкой степенью почечной недостаточности.

Пожилые пациенты (≥ 65 лет)

По результатам популяционного фармакокинетического анализа влияния возраста пациентов на фармакокинетику цертолизумаба пэгола не было показано. По данным клинических исследованиях выявлена более высокая частота инфекционных заболеваний у бoльных в возрасте 65 лет и старше по сравнению с более молодыми пaциентами. У пожилых пациентов рекомендуется соблюдать осторожность при применении препарата Симзия, особенно в отношении возможного развития инфекционного заболевания.

Пол

Влияния на параметры фармакокинетики цертолизумаба пэгола пол пациентов не оказывал. Ввиду того, что с уменьшением массы тела клиренс снижается, у женщин есть вероятность определения несколько большей системной экспозиции препарата.

Сопутствующее применение метотрексата, равно как и расовая принадлежность пациентов, на параметры фармакокинетики цертолизумаба пэгола у пациентов с болезнью Крона и ревматоидным артритом не влияли.

Масса тела и наличие антител к цертолизумаба пэголу доказано,что оказывали значительное влияние на фармакокинетику лекартсва. Однако, применения дозовых режимов, рассчитанных по массе тела пациентов не подтвердили терапевтического преимущества на результаты фармакодинамического анализа. Наличие антител к препарату повышало клиренс препарата в 3,6 раза.

Применение при нарушениях функции печени

Перед применением препарата Симзия больным надо пройти обследование для выявления вируса гепатита В. Лицам, у которых результаты тестов на вируса гепатита В оказались положительными, рекомендуют консультацию специалиста в лечении гепатита В.

Применение у детей

Противопоказан в детском и подростковом возрасте до 18 лет.

Фармацевтические характеристики

Прозрачная или опалесцирующая, бесцветная или желтого цвета жидкость. свободная от видимых частиц.

Упаковка, срок годности, условия хранения

Раствор для подкожного введения 200 мг/мл. По 1,0 мл препарата в однодозовые шприцы из прозрачного бесцветного боросиликатного стекла, с асимметричным упором для пальцев и шток-поршнем с инъекционной иглой 25Gх 1/2 с резиновым защитным колпачком и внешним колпачком из полипропилена, оборудованным кольцом для удобства открытия. По 2 шприца помещены в контурную упаковку из листового пластика (коррекс). Вместе с инструкцией по применению по 1 коррексу в комплекте с 2 индивидуально упакованными сaлфетками, пропитанными изопропанолом 70 % помещают в картонную упаковку-книжечку типa «Бумажник».

Не замораживать. Препарат следует хранить в недоступном для детей месте. В защищенном от света месте при температуре от 2° до 8°С.

Срок годности 2 года. Не использовать по истечении срока годности, указанного на упаковке.

 

 

 

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Позвоните и узнайте цену Симзия (цертолизумаба пэгол)

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

 

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    and even handed use of Anavar is essential to avoid the unwanted consequences that
    can result from overdosing. Overdoing it with Anavar can result
    in unwanted facet effects starting from hair loss to
    critical liver issues.
    Oily skin isn’t anything to be concerned about; nonetheless, pimples may be extreme and excessive in customers
    who’re genetically susceptible to it. Hair loss, thinning, or recession on the scalp is
    frequent when utilizing these two steroids as a outcome of
    heightened levels of DHT (causing damaged hair follicles).
    We commonly see androgenic side effects from this stack,
    as tren and test each have robust androgenic properties. This
    could additionally be within the form of oily skin, pimples, hair loss, or problem
    urinating. We find trenbolone is more commonly utilized
    when bulking and attempting to add mass, as its anabolic effects considerably outweigh its fat-burning properties.

    Unlike baldness, which is usually permanent until handled, zits should be decreased and clear when you stop utilizing Anavar.
    Anavar is a kind of oral steroids that I knew I’d be pretty comfy
    taking again once I began all this. Figuring out why you want to take Anavar ought to be one of the first steps you are taking.

    If you’ve never lifted a weight in your life earlier than then is
    there any need? If nevertheless you’ve lots of coaching experience, and are competing for
    a show and looking to acquire every benefit you can then for those kind
    of people it could be worth considering. The same may be mentioned with Anavar or any other efficiency enhancing drug, there are benefits
    but as we’ve discussed there are dangers too.

    Nevertheless, individuals in these countries need to be cautious to not abuse
    this steroid, as like with any drug – should you abuse it, you’re in bother.

    A 10mg every day dosage is a mild yet effective place to begin for many users.
    At this level, individuals sometimes experience a considerable
    enhance in strength and a extra defined muscular look.
    This dosage is usually enough for those in search of a leaner look while selling a optimistic and well-tolerated expertise.
    Trenbolone has never been permitted for human consumption as a result of its toxic nature, and due to this fact, users are risking their short- and long-term
    health when taking this compound.
    Everyone’s genetics are totally different, thus it will be a
    good suggestion to monitor your liver enzymes on any
    steroid cycle. Additionally, it would be sensible to restrict alcohol intake when taking
    Anavar or other oral steroids. Anavar is an oral steroid, thus a few of the drug has to
    move through the liver earlier than getting into the
    bloodstream. This could cause some stress on the
    liver, however, this effect is considered mild,
    as a outcome of steroid also being metabolized by the kidneys.

    This testosterone-suppressing effect however is prone to be gentle, with endogenous testosterone ranges normally recovering in a matter
    of weeks or a couple of months. For males who are new to Anavar it’s advised to take
    30mg a day for the first week. Depending on your
    outcomes and how you’re feeling you presumably can then start to improve the dosage
    for the following couple of weeks.
    This is due to the truth that anavar reduces the quantity of fat that covers your veins and increases glycogen levels
    in your muscles, giving them a fuller appearance. Your
    vascularity will enhance as your physique fat share decreases,
    allowing you to flaunt your onerous work. Anavar is among the best anabolic steroids to use if you’re
    trying to set new private information for power
    in the fitness center, as it causes its customers to expertise incredible ranges of
    strength.
    You see, since Anavar helps the upkeep of muscle mass while promoting fats loss, its
    effects on the dimensions might not be outstanding. But, don’t
    be deceived by the dial on the dimensions; the transformation is extra muscle and less
    fats, resulting in a leaner, more healthy physique composition. As
    opposed to purely bulking steroids that focus solely on muscle acquire, Anavar
    assists in fat burn as nicely, particularly within the belly region. This dual advantage of
    promoting muscle growth while burning fats makes it a preferred selection amongst
    athletes and bodybuilders looking to achieve a lean, well-shaped physique.
    As an Anavar consumer, it’s crucial to understand the significance of Post Cycle Therapy (PCT) in sustaining your positive aspects and
    minimizing the risk of unwanted side effects. Anavar is understood for its
    gentle nature, however it still suppresses natural testosterone manufacturing.
    With Out correct PCT, you might experience a significant drop in testosterone ranges, resulting in loss of muscle
    mass, low libido, and other adverse results.

    Consequently, as extracellular water is
    now not obscuring superficial veins, they become extra visible.
    Loopy Bulk is our beneficial source for authorized steroid alternate options, based on 1000’s
    of positive reviews on verified platforms similar to
    Trustpilot and Feefo. However, in 1995, Anavar
    made a comeback, returning to pharmacies beneath the model name Oxandrin, now produced by BTG (Biotechnology General Corp.).

    BTG arranged a deal with Searle where they might continue
    manufacturing the steroid however would distribute it exclusively to BTG, thus promoting it under a new company
    name.

    References:

    beginner steroid cycle results (Williams)

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    For this reason, if you’re shopping for steroids for the primary time, you should order a small
    quantity. A small quantity allows you to see if the steroids are good without
    committing too much. If you’re shopping for steroids online, always go for the one that offers you worth for
    cash.
    Over time, it gained recognition in the bodybuilding group because of its capability to promote muscle growth, enhance power, and enhance fat loss.

    In Distinction To many other steroids, Anavar doesn’t trigger important water retention, making it particularly well-liked throughout chopping cycles.

    When looking on the direct features and traits of Anavar®, an important revolve around its capacity to increase nitrogen retention within the muscle, decrease SHBG and inhibit glucocorticoid
    hormones. The increase in nitrogen retention will promote the anabolic ambiance as
    reduced ranges usually result in a catabolic state.
    The lower in SHBG will yield a higher stage of free testosterone
    in the physique, not solely providing extra of an anabolic punch but promoting a free or
    unbound state of all circulating anabolic hormones.

    However, many women barely notice any unfavorable effects from such
    dosages. Women additionally need to be cautious that the Anavar they are taking is truly 100 percent Anavar (oxandrolone) and not one other substance.
    This is as a result of our tests present that Anavar is often counterfeited on the black market, being replaced with Dianabol (a much cheaper steroid
    to produce).
    However, it’s necessary to notice that using anabolic
    steroids, including Anavar, should be approached with warning due to
    potential unwanted side effects and health dangers. Anavar
    is an anabolic steroid that’s often used to help people gain muscle mass and enhance athletic performance.
    It can also be typically prescribed to treat certain medical circumstances,
    corresponding to weight loss because of surgery, an infection,
    or persistent illnesses. By stimulating the synthesis of phosphocreatine inside your muscles, Anvarol
    works identical to the anabolic steroid Anavar to extend power and vitality.
    During cutting cycles, you’ll shred fat while retaining lean muscle, making you look lean and minimize.

    These threads are extraordinarily useful as an archive for
    new customers, and for experienced users researching a new compound.
    This is all anecdotal, in fact, and you want to take these critiques with a grain of
    salt. Of course, even in these circumstances, there are better options out there.

    This is an anabolic steroid that can promote the growth
    of muscle tissue within the body and allow you to acquire the burden you should be as wholesome as possible.
    While Anavar is considered delicate, it can still suppress pure testosterone manufacturing.
    Some users select to implement post-cycle therapy to help
    restore hormonal stability after finishing an Anavar cycle.
    Session with a healthcare professional is beneficial to determine the need for PCT.
    It thrives in aiding athletes with present
    muscle mass, because it shines within the realm of fats burning,
    chiseling out definition, and solidifying muscle texture.

    The Anavar/Clen combo is sweet enough to get you some impressive
    weight reduction outcomes. Keep Clenbuterol to 50mcg daily and run it in 2
    weeks on/2 weeks off pattern. Right Here is a strong Anavar chopping stack
    that features Clenbuterol and HGH. Anavar at 10mg/day for 6-8
    weeks is nice, and also you in all probability won’t have any unwanted effects.

    As for the best time to take Oxandrolone, break up it into
    two doses daily at 5mg/each (once with breakfast and
    again before bedtime). Women can anticipate excellent results from an Anavar cycle, including pretty strength features.
    You’ll be lifting heavier weights and may discover your lifting action improves with that
    strength enhance.
    You will then have to take one other dose around six to eight hours later.
    This second dose will ensure that you’ve enough Anavar in your system to get
    you through your workout. Lastly, you need to make positive that
    you are taking Anavar at the right time of day. I know I can search the darkish internet, however as somebody who has by no means
    visited the darkish net, how can you make sure you
    don’t get scammed. I assume whenever you purchase something, you’re shopping for something on-line along with your credit card.
    I work out at my home health club so I don’t have connections with any one at a big globo fitness center.

    Anavar, Oxandrin, or Oxandrolone are androgenic anabolic steroids that belong to the class
    of therapeutic medicine. It made its means into the medical area in 1964 and has since turn into well-liked within the US.
    The dosage protocol is different for female Oxandrolone users as usually, this is going
    to fall in the vary of 5 to 10 mg per day. More
    just isn’t really helpful because doses which would possibly be surpassing 20
    mg per day are nearly going to guarantee the reality that some degree of virilization goes to appear.

    Anavar produces nice results, notably when it comes to power and
    pumps. Take 3+ grams of fish oil and do your cardio, and
    ldl cholesterol shouldn’t be an issue, even if you’re sensitive to your
    lipids. Anavar is awesome, yet costly, since you should take lots for results.

    Men produce testosterone in their testes, whereas girls produce testosterone of their ovaries.

    Whether you want to enhance your physique or
    enhance your efficiency, ordering Anavar on-line is handy
    and popular. Nonetheless, earlier than you make a buy order, you must know how to order it safely and responsibly.
    In this weblog, we’ll information you thru the process of ordering Anavar on-line, what to suppose about before shopping for,
    and how to ensure you’re buying a high-quality product.

    References:

    2ahukewjkv_v5usvnahvlip4khu09akmq420oa3oecakqcq|the best steroids for muscle growth —
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