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Microxative is indicated in the treatment of constipation due to rectal and anal causes. So how to use Microxative medicine? What precautions should be taken when using this drug? Let's find out the necessary information about Microxative drugs through the article below.
1. What is MicroxaTive?
MicroxaTive is a gastrointestinal drug with the composition Sorbitol 100% 1,875 g; Sodium citrate 100% 0.27 g; Sodium lauryl sulfate 0.02625 g; Macrogol 400 0.375 g; Sorbic Acid 0.00375 g. Drugs manufactured by TW2 Pharmaceutical Joint Stock Company circulated in Vietnam and are registered with the registration number V566-H12-05.
Pharmaceutical name: MicroxaTive Classification: Drug Registration number: V566-H12-05 Drug group: Digestive medicine Manufacturer: TW2 Pharmaceutical Joint Stock Company Ingredients: MicroxaTive medicine contains the main ingredient Sorbitol. 100% 1,875 g; Sodium citrate 100% 0.27 g; Sodium lauryl sulfate 0.02625 g; Macrogol 400 0.375 g; Sorbic acid 0.00375 g other active ingredients and excipients with sufficient drug content provided by the manufacturer.
Dosage form: gel Package: Box of 6 tubes x 6, 25g; box of 6 tubes x 3, 75 grams in gel form. Content: Need to carefully look at the drug form and content stated on the product packaging or in the instruction sheet for exact information on the drug form and content in the product.
2. Uses of Microxatives
2.1 What does MicroxaTive do?
During menopause, a decrease and then a gradual loss of estradiol secreted by the ovaries can lead to dysregulation of thermoregulation, the production of hot flashes associated with sleep disturbances and increased secretions. Sweating, atrophy of the genital mucosa leads to vaginal dryness, pain during intercourse, and urinary incontinence. There are some signs, although not specific, but also in the perimenopausal syndrome, which are patients complaining of angina pectoris, palpitations, irritability, restlessness, lethargy, decreased ability to concentrate, forgetfulness, loss of interest. sexual pleasure and joint and muscle pain.
Use of hormone replacement therapy (HRT) can relieve the above symptoms because it compensates for the lack of estrogen in postmenopausal women. The right amount of hormone in Estradiol reduces bone loss and slows or stops bone loss after menopause. HRT also has a beneficial effect on collagen content and skin thickness, which can slow down wrinkle formation in the skin. HRT also changes blood lipid composition: reducing total cholesterol and LDL-cholesterol but increasing HDL-cholesterol and triglycerides. The effect on metabolism may be reduced with the addition of progesterone.
In general, the metabolic effects of HRT can be considered beneficial because it reduces the risk of cardiovascular disease in postmenopausal women. Adding progesterone to estrogen replacement therapy such as estradiol for at least 10 days per cycle is recommended when given to women with an intact uterus. This approach reduces the risk of endometrial hyperplasia and avoids the risk of adenocarcinoma in these women.
The addition of progesterone and HRT does not prevent estrogen from being effective for the indicated indications.
How MicroxaTive works differently:
Each type of pharmaceutical product is designed to treat a specific disease or condition. That is why MicroxaTive should only be used to treat the conditions or conditions specified in the instructions for use. Although MicroxaTive may have some other effects that are not listed on the approved label, you should only use this medicine to treat certain other conditions when directed by your doctor.
2.2 Indication Subjects to use MicroxaTive:
Treatment of constipation caused by rectal and anal causes Preparation for rectal endoscopy 2.3 Dosage and administration How to use:
Open the tube cap, give the whole tube Insert the tip of the tube into the rectum, squeeze all the medicine in the tube into the rectum, while withdrawing the tip of the tube, still squeeze to hold the tube.
Dosage:
One tube a day, use 5 to 20 minutes before bowel movements
Adults: Use 6.25g tube. Children: Use 3.75g tube Dosage:
Dosage regulations are usually intended to guide adults for oral administration. Dosage for other routes is specified in the leaflet. Do not change the dose on your own without consulting your doctor or pharmacist.
Dosage of MicroxaTive for children
Differences between children and adults such as pharmacokinetics, pharmacodynamics, side effects... especially children are not allowed to be included in clinical trials ready before issuing a marketing authorization for a new drug. Therefore, using this drug for children should be very careful even with drugs that have not been warned.
2.4 Overdose, missed dose, emergency Overdose:
In case of emergency or overdose with dangerous manifestations, call 911 Emergency Center or go to the nearest local Medical Facility. Relatives need to provide the doctor with the prescription they are taking, the medicines they are taking, including prescription and non-prescription drugs.
Missed dose:
In case you miss a dose while taking the medicine, take it as soon as possible (usually it can be taken 1-2 hours after the time ordered by the doctor). However, if it is almost time for your next dose, skip the missed dose and take your next dose at the prescribed time. Be careful not to double the prescribed dose.
3. Notes when using MicroxaTive
Contraindications
HRT mode is not applicable if one of the following conditions is met. Treatment must be discontinued if during the use of the drug any of the following phenomena:
Pregnancy and lactation. Undiagnosed vaginal bleeding. Known or suspected breast cancer. There are elements of precancerous or suspected cancer due to the effects of sex steroids. Have a history of or current liver tumor (benign or malignant). Have serious liver disease. Active deep vein thrombosis, thromboembolic disorders or a history of these conditions. Severe hypertriglyceridemia. History of hypersensitivity to any component of Estradiol. Note
Avoid using the drug in acute exacerbations of hemorrhoids, anal fistula or hemorrhagic colitis Undesirable effects of the drug: Prolonged use may cause local burning sensation and very rarely cause pericolitis. Notes on using MicroxaTive during pregnancy
General note during pregnancy: Drugs used during pregnancy can cause adverse effects (miscarriage, teratogenicity, fetal malformation... ) to any developmental stage of pregnancy, especially the first trimester. Therefore, it is best not to use the drug for pregnant women. In the case of mandatory use, it is necessary to consult carefully with your doctor, pharmacist before making a decision.
Precautions for taking MicroxaTive while breastfeeding It is best not to or limit the use of the drug during breast-feeding. Many drugs have not yet fully determined the effects of the drug during this period, so you need to carefully read the instructions for use and consult your doctor, pharmacist before deciding to use the drug.
4. Side effects of the drug MicroxaTive
Users may also experience the following problems with oral HRT:
Reproductive system and breast disorders: change in vaginal bleeding patterns, possible irregular bleeding, flow, heavy or dripping (which usually subsides as treatment continues), amenorrhea, vaginal discharge changes, perimenopause-like symptoms, breast tenderness, tenderness, or enlargement. Digestive disorders: anorexia, bloating, nausea, vomiting, abdominal pain. Skin and subcutaneous tissue disorders: erythema, other disorders including pruritus, eczema, urticaria, acne, hirsutism, alopecia, erythema nodosum. Nervous system disorders: headache, migraine, depression, anxiety, depression, fatigue. Other symptoms: palpitations, edema, cramps, weight change, increased appetite, altered sexual arousal, visual disturbances, discomfort when wearing contact lenses, hypersensitivity reactions.
It should be noted that the above is not a complete list of all the side effects of MicroxaTive. During use may occur other side effects that have not been shown or have not been studied. If there are any other side effects of MicroxaTive that are not specified in the instructions for use, consult your doctor or pharmacist.
5. Drug interactions
When using two or more drugs at the same time, it is easy to have drug interactions leading to antagonism or synergism.
MicroxaTive drug interactions with other drugs
Contraceptive hormones must be discontinued when HRT is indicated. Patients should be instructed to use other methods of contraception if necessary. With prolonged treatment, certain drugs that induce liver enzymes (eg, some anticonvulsants and antibacterial agents) may increase sex hormone clearance and thereby reduce clinical symptoms. Such drugs that can induce liver enzymes are hydantoin, barbiturates, primidone, carbamazepine and rifampicin. Substances suspected of having this effect are oxcarbazepine, topiramate, felbamate and griseofulvin. The liver enzyme-inducing effects of these drugs are generally maximal no earlier than 2-3 weeks but persist for at least 4 weeks after discontinuation of therapy. In rare cases, estradiol levels have been reduced when certain antibiotics are given concomitantly (eg, penicillins and tetracyclines). Substances whose metabolism undergoes glucuronic conjugation (eg, paracetamol) may increase the bioavailability of estradiol by competitively inhibiting the conjugate enzyme system for drug absorption. In individual cases, the need for oral antidiabetic drugs or insulin may change due to its effect on glucose tolerance. Interactions with alcohol: Drinking large amounts of alcohol during treatment with HRT can lead to increased levels of estradiol in the blood. Interactions with laboratory tests: Use of sex steroids can affect biochemical parameters, for example when testing liver, thyroid, adrenal, and renal function; altered plasma protein levels of drug-binding proteins such as corticosteroid binding globulin and lipid/lipoprotein components, parameters of carbohydrate metabolism, coagulation parameters and fibrinolysis. MicroxaTive drug interactions with food and drinks
When using drugs with foods or alcohol, beer, tobacco... because those foods and drinks contain other active ingredients, they may affect antagonism or synergism with the drug.
Read the instructions for use carefully or consult your doctor or pharmacist about taking MicroxaTive with food, alcohol and tobacco.
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