Ingavirin is a modern drug with antiviral, immunomodulatory and anti-inflammatory activity. It has successfully proven itself in the prevention of ARVI and influenza, as well as in their treatment. It is distinguished by ease of use and a range of release forms. Registered in Russia and included in the list of vital drugs.
Ingavirin - use of capsules for adults
The use of the drug in capsule form (30 mg) is allowed from 3 years of age. But children under 6 years of age do not always know how to swallow a capsule whole. For this reason, it is permitted to open the form. Pour the powder into a cup, pour in 50-70 ml of apple juice or water (the temperature of the liquid should be room temperature), and then immediately give it to the baby to drink.
Dosages according to age:
- adult patients - 90 mg once a day;
- patients 7-17 years old - 60 mg once a day;
- patients 3-6 years of age - 30 mg once a day.
Course therapy for patients over 7 years of age is 5-7 days (flu - 7 days). Patients aged 3-6 years are indicated to be treated for 5 days (flu - 5 days).
If the symptoms of the disease are severe, patients are advised to take a double dosage in the first 3 days. This will ensure a rapid reduction in the pathogen population. The following days you can take the standard dose.
If therapy is not effective, the condition becomes worse within 5 days, you should consult a doctor. The doctor will conduct an examination and prescribe other therapy.
Description of the drug
The main active component is pentanedioic acid imidazolylethanamide (in other words, vitaglutam); the excipients present are colloidal silicon dioxide compound, potato starch and white crystals of magnesium stearate. The capsule shell consists of titanium dioxide, gelatin, azorubine and safe dyes.
Pharmacy chains offer customers:
- Ingavirin capsules with a dosage of 90 mg and 60 mg, which are packaged in blister packs of 10 capsules and in cardboard boxes. This amount is enough for a course of treatment for one person. Inside the capsules there is white or slightly cream-colored powder and granules.
- Syrup containing 30 mg of the main substance in 5 ml. Sold in 90 ml bottles with a measuring syringe and instructions included.
The medicine is intended to activate one's own immunity by enhancing the production of a special protein responsible for the reaction to the invasion of an infectious agent. Suppresses the reproduction of viruses and delays their further advancement in the intercellular space. Due to the production of cytotoxic lymphocytes during the use of Ingavirin, the following occurs:
- Reducing the duration of fever.
- Reducing the symptoms of intoxication - weakness, headache, drowsiness.
- Reducing the inflammatory process.
- Relieving nasal congestion, stopping watery eyes, sore throat and cough.
- Normalization of body temperature.
- Strengthening the immune system.
- Reducing the risk of complications.
Ingavirin has found wide use in therapeutic practice and pediatrics, its effectiveness has been proven in preclinical and clinical studies.
The drug is available from pharmacies without a prescription, has minimal toxicity, combines well with antibiotics and enhances their effect. Stored at temperatures up to 25 °C for two years. An open bottle of syrup should be used within a week.
Is it possible to give Ingavirin to a child - rules for taking syrup?
Ingavirin for children 60 mg
The syrup is used more in pediatric practice, but is also acceptable in adult patients. To draw up the medicine, insert a special measuring syringe into the neck of the bottle. Next, the container is turned over, the syringe piston is pulled down to the required mark. A measuring syringe allows you to accurately measure the dosage of the drug. After using the syringe, it is recommended to rinse it with warm water and dry it so that the piston does not stick. Washing is also necessary to prevent the accumulation of bacteria.
Medication dosages depending on age:
- adult patients - 15 ml once a day;
- 7-17 years old - 10 ml once a day;
- 3-6 years of age - 5 ml once a day.
The duration of therapy in patients over 7 years of age is 5-7 days. In patients under 6 years of age - 5 days.
Instructions for use
Ingavirin is used orally, regardless of food intake.
The prescription depends on the patient’s age, indications and severity of the disease:
- Adults are prescribed capsules at a dosage of 90 mg, 1 piece per day.
- Children 7-18 years old – 60 mg, 1 capsule per day.
- Children 3-6 years old - 30 mg/5 ml syrup once a day.
As a general rule, capsules with medicinal powder cannot be chewed; they must be washed down with a sufficient amount of water. If children of primary school age have difficulty swallowing the capsule, its contents can be dissolved in apple juice or water. It is allowed to add a little sugar to smooth out the unpleasant taste. The prepared solution cannot be stored.
The medicine in the form of syrup can also be used by school-age children and adults, in this case it is prescribed:
- Adults – 15 ml of syrup once a day.
- Children 3-7 years old - 10 ml of syrup.
To draw the required volume of liquid, you need to insert a measuring syringe into the neck of the bottle, turn it upside down and slowly pull the plunger until the medicine is drawn to the desired level. After use, the syringe is washed with warm water and dried.
The duration of treatment for influenza and ARVI is 5-7 days, for preschool children - no more than 5 days. Prophylactic doses and duration of administration are the same as for treatment.
In case of severe symptoms and concomitant diseases of the respiratory system or heart, the doctor may prescribe a double dose of Ingavirin in the first three days of illness, followed by a reduction to the usual dosage for another 2-4 days.
Important! Do not use the drug with other antiviral drugs at the same time.
Similar medicines
The drug has non-structural analogues that are active against viral agents. These include:
- Viferon - a medication that enhances immune defense mechanisms, is produced in the form of rectal suppositories, contains interferon alpha-2b; allowed for use by newborns, premature babies, pregnant and lactating women, as it does not cause complications and is safe to use; The medication is quite effective against different strains of viral agents.
- Anaferon - acceptable for use in children from 1 month and adults; less effective than Viferon and Ingavirin.
- Arbidol - allowed for use only from 2 years of age, indicated no later than 2 days from the onset of the disease; There is a form of tablets and syrup; fights viruses, preventing them from entering the cell; can be used to treat coronavirus infection.
- Kagocel - is a stimulator of the production of endogenous interferons, indicated for use in patients over 3 years of age; works well against any strains of viral agents.
Anaferon for children, lozenges, 20 pcs.
MATERIA MEDICA HOLDING NPF, Russia
Price from 191₽
Arbidol, 100 mg, capsules, antiviral against influenza and ARVI, 40 pcs.
OTC Pharm, Russia
Price from 813₽
Kagocel, 12 mg, tablets, 20 pcs.
Nearmedic Plus, Russia
Price from 458₽
There are contraindications. Specialist consultation is required.
The cost of these drugs is much lower.
The antiviral drug Ingavirin has become very popular today. The drug can be used for various viral diseases, including coronavirus infection, due to its wide spectrum of effects. The peculiarity of the drug’s action is to prevent further formation of new virions, reduce inflammation and increase immune defense. The medication is indicated for both adults and children over 3 years of age. The drug should be used as recommended by a doctor, despite its over-the-counter sale.
Ingavirin syrup 30 mg/5 ml 90 ml bottle 1 pc. in Voronezh
Preclinical and clinical studies have shown the effectiveness of the drug Ingavirin® against influenza viruses type A (A(H1N1), including the pandemic strain A(H1N1)pdm09 (“swine”), A(H3N2), A(H5N1 )) and type B, adenovirus, parainfluenza virus, respiratory syncytial virus; in preclinical studies: coronavirus, metapneumovirus, enteroviruses, including Coxsackie virus and rhinovirus.
Ingavirin® reduces the viral load, accelerates the elimination of viruses, shortens the duration of the disease, and reduces the risk of complications. The mechanism of action is realized at the level of infected cells due to the activation of innate immune factors suppressed by viral proteins. In experimental studies, in particular, it was shown that the drug Ingavirin® increases the expression of the first type interferon receptor IFNAR on the surface of epithelial and immunocompetent cells. An increase in the density of interferon receptors leads to an increase in the sensitivity of cells to endogenous interferon signals. The process is accompanied by activation (phosphorylation) of the transmitter protein STAT1, which transmits a signal to the cell nucleus to induce synthesis
antiviral genes. It has been shown that under conditions of infection, the drug activates the synthesis of the antiviral effector protein MxA (an early factor of the antiviral response that inhibits the intracellular transport of ribonucleoprotein complexes of various viruses) and the phosphorylated form of PKR, which suppresses the translation of viral proteins, thus slowing down and stopping the process of viral reproduction.
The effect of the drug Ingavirin® is to significantly reduce the signs of the cytopathic and cytodestructive effects of the virus, reduce the number of infected cells, limit the pathological process, normalize the composition and structure of cells and the morphological picture of tissues in the area of the infectious process, both in its early and late stages . The anti-inflammatory effect is due to the suppression of the production of key pro-inflammatory cytokines (tumor necrosis factor (TNF-α), interleukins (IL-1β and IL-6)), and a decrease in the activity of myeloperoxidase.
Experimental toxicological studies conducted indicate a low level of toxicity and a high safety profile of the drug.
Experimental studies have shown that the combined use of the drug Ingavirin® with antibiotics increases the effectiveness of therapy in a model of bacterial sepsis, including that caused by penicillin-resistant strains of staphylococcus.
According to the parameters of acute toxicity, the drug Ingavirin® belongs to toxicity class 4 - “Low toxic substances” (when determining LD50 in acute toxicity experiments, lethal doses of the drug could not be determined).
The drug does not have mutagenic, immunotoxic, allergenic or carcinogenic properties, and does not have a local irritant effect. The drug Ingavirin® does not affect reproductive function and does not have embryotoxic or teratogenic effects.
There is no effect of the drug Ingavirin® on the hematopoietic system when taking the age-appropriate dose in the recommended regimen and course.
Sources
- ON THE. Malyshev, L.N. Merkulova, E.I. Burtseva, M.Yu. Shchelkanov // Study of the effectiveness and safety of the new antiviral drug Ingavirin in the treatment of patients with influenza // Russian Medical Journal // 2008
- V.V. Zarubaev, A.V. Slita // Experimental study of the antiviral activity of Ingavirin against human adenovirus // journal “Antibiotics and Chemotherapy” // 2010.
- A.G. Malyavin, N.I. Krikheli, I.V. Rogova, P.O. Asadulin, S.A. Kucher, V.A. Kharkovsky // Therapy of patients with COVID-19: results of assessing the effectiveness and safety of including the drug Ingavirin® in the recommended standard therapy regimen in real clinical practice // Journal “Therapy” // 2022.
Instructions and dosage of the drug Ingavirin
Ingavirin, 10 pcs., 90 mg, capsules
Antiviral drug. Preclinical and clinical studies have shown the effectiveness of the drug Ingavirin® against influenza viruses type A (A(H 1N1), including “swine” A(I-IlNl)pdm09, A(M3N2), A(H5N1)) and type B, adenovirus, parainfluenza virus, respiratory syncytial virus; in preclinical studies: coronavirus, metapneumovirus, enteroviruses, including Coxsackie virus and riovirus. The drug Ingavirin® promotes accelerated elimination of viruses, reduces the duration of the disease, and reduces the risk of complications. The mechanism of action is realized at the level of infected cells due to the stimulation of innate immune factors suppressed by viral proteins. In experimental studies, in particular, it was shown that the drug Ingavirin® increases the expression of the first type interferon receptor IFNAR on the surface of epithelial and immunocompetent cells. An increase in the density of interferon receptors leads to an increase in the sensitivity of cells to endogenous interferon signals. The process is accompanied by activation (phosphorylation) of the transmitter protein STAT1, which transmits a signal to the cell nucleus to induce antiviral genes. It has been shown that under conditions of infection, the drug stimulates the production of the antiviral effector protein MxA, which inhibits the intracellular transport of ribonucleoproteins of various viruses, slowing down the process of viral replication.
The drug Iigavirin® causes an increase in the level of interferon in the blood to the physiological norm, stimulates and normalizes the reduced α-interferon producing ability of blood leukocytes, and stimulates the γ-interferon producing ability of leukocytes. Causes the generation of cytotoxic lymphocytes and increases the content of NK-T cells, which have high killer activity against virus-infected cells.
The anti-inflammatory effect is due to the suppression of the production of key pro-inflammatory cytokines (tumor necrosis factor (TNF-a), interleukins (IL-1 (3 and IL-6)), a decrease in the activity of myeloperoxidase. Experimental studies have shown that the combined use of the drug Ingavirin® with antibiotics increases the effectiveness of therapy in a model of bacterial sepsis, including that caused by penicillin-resistant strains of staphylococcus. Experimental toxicological studies indicate a low level of toxicity and a high safety profile of the drug. According to the parameters of acute toxicity, the drug Ingavirin® belongs to toxicity class 4 - “Low toxic substances” (When determining LD50 in acute toxicity experiments, lethal doses of the drug could not be determined).
