Sabelnik is a perennial plant, a valuable source of raw materials for the needs of the pharmaceutical industry. The dry extract of their rhizomes is used to make various dosage forms. In rheumatological, orthopedic and traumatological practice, Evalar cinquefoil tablets are actively used. They have a pronounced anti-inflammatory, analgesic and anti-edematous effect. The dietary supplement (dietary supplement) is prescribed to patients with arthritis, tendinitis, spondyloarthrosis, arthrosis, and osteochondrosis of various locations.
Compound
- One capsule of Sabelnik-Evalar contains 5 mg of extract from the roots of the marsh cinquefoil . Additional substances: microcrystalline cellulose.
- One Sabelnik-Evalar tablet contains 10 mg of extract from the roots of the marsh cinquefoil . Additional substances: microcrystalline cellulose.
- 100 ml of liquid for oral administration contains 150 mg of extract from the roots of cinquefoil . Additional substances: ethyl alcohol, water.
- Cream (ointment) Sabelnik-Evalar also contains aqueous-alcoholic and oil extracts from the roots of cinquefoil. Additional substances: badger fat, vegetable oils, pork fat, emulsion wax, mink fat, glycerol monostearate, glycerin, lanolin, methyl ether, triethanolamine, water.
Release forms and composition of the drug
The drug is available in several dosage forms, but tablets are considered the most popular among patients due to their ease of use.
They are small in size, brown in color with small dark patches. The tablets are packaged in blisters of 20 pieces or in polyethylene bottles of 60 pieces. The blisters are always in an individual cardboard box, where you can also find instructions for the correct use of the medication. Each box contains 3 blisters.
Polyethylene bottles are also placed in cardboard packages; instructions are attached to them, which describe the features of using the medication. The product contains cinquefoil extract as the main active ingredient, which has a therapeutic effect on the patient’s body.
Additionally, the composition contains microcrystalline cellulose. The auxiliary ingredient does not have medicinal properties.
In addition to tablets, capsules with a similar composition and therapeutic properties are produced, packaged in bottles of 60 pieces. On pharmacy shelves you can find a liquid form of the drug intended for oral use. The liquid is packaged in bottles of 50, 100 or 250 ml, it also contains cinquefoil extract as the main active ingredient.
For external use, the pharmaceutical company produces a cream packaged in tubes of 100 or 50 g. All dosage forms of the product have pronounced therapeutic properties and contain cinquefoil extract. Auxiliary ingredients may be different, depending on the specific form.
Pharmacodynamics and pharmacokinetics
The drug is based on the plant of the same name, which contains a complex of tannins with anti-inflammatory, analgesic and regenerating properties.
The drug helps relieve pain, joint swelling and muscle tension; has a strong anti-inflammatory effect in arthritis of various etiologies; helps reduce the dose of non-steroidal anti-inflammatory drugs and hormones ; almost no unwanted effects.
Side effects
Typically, treatment does not provoke negative reactions, provided all recommendations are followed. Violation of instructions increases the risk of side effects. However, their absence cannot be completely guaranteed if all rules are followed.
| Organs and systems | Common Negative Reactions |
| Nervous system | When using the medicine, headaches and dizziness may occur. In addition, patients with neurological disorders have an increased risk of developing seizures and worsening the course of the underlying disease. Only in some cases the drug provokes insomnia, increased activity with simultaneous fatigue. If symptoms persist for a long time, the patient’s condition noticeably worsens and medical attention is required. |
| Vessels and heart | Fluctuations in blood pressure in one direction or another are considered the most common complication of blood vessels and the heart. Some patients report tachycardia, heart rhythm disturbances and pain in the sternum. Such reactions in most cases occur in those who suffer from chronic heart disease. |
| Digestive tract | When used separately from food, the risk of exacerbation of chronic gastritis, peptic ulcer, enteritis or colitis increases. Sometimes patients are bothered by vomiting, constant nausea and stool upset. |
| Genitourinary system | Increased urination and exacerbation of chronic prostatitis are observed in men over 40 years of age. Women may notice menstrual irregularities. Such complications occur extremely rarely. |
| Skin | An allergic reaction to pills is considered the most common complication. It manifests itself in the form of a rash and itching of the skin, peeling and irritation. The severity of the manifestations depends on the dose taken and the duration of use of the drug. |
Adverse reactions if the instructions are followed are quite rare. When it is violated, they appear quite often. The degree of their severity may depend on the dose taken and the duration of treatment with the herbal remedy.
Contraindications
- Sensitization to the components of the drug.
- Pregnancy and lactation .
- Age less than 18 years (for oral liquid)
- Severe kidney or liver disease (for oral liquid)
- Epilepsy (for oral liquid)
- Alcoholism (for oral liquid)
- Traumatic brain injury (for oral fluid)
- Local skin irritation at the site of application (for cream)
Overdose
Sabelnik (Evalar) - tablets, reviews of which confirm that the medication rarely provokes an overdose. When taking a large amount of the drug at a time, it is possible that all negative reactions will worsen, as well as a deterioration in the general condition.
An overdose may be accompanied by repeated vomiting during the day, as well as stool upset. The patient reports severe thirst and dry mouth mucous membranes. Complications from the skin are most pronounced.
An allergic reaction is accompanied by severe symptoms; large spots appear on the skin. At the initial stages they are white, but a little later they turn red, severe itching and burning appear when scratching the skin.
The condition is accompanied by allergic rhinitis and conjunctivitis. In this case, the patient is concerned about itching of the skin of the eyelids, swelling of the mucous membranes and a runny nose with the release of a large amount of mucus from the nose.
In very rare cases, an overdose is accompanied by Quincke's edema. The condition threatens not only the health, but also the life of the patient, since it is accompanied by swelling of the mucous membrane of the throat, which impairs the passage of air to the lungs. Such symptoms are considered a reason to immediately stop treatment and seek medical help.
Instructions for use (Method and dosage)
Instructions for Sabelnik tablets (capsules)
Sabelnik tablets are taken 1 piece per day with food. Take 2 capsules per day. Duration of treatment is 3-4 weeks. If necessary, you can repeat the course of treatment after a 10-day break.
Instructions for ointment
The ointment (cream) is applied 2-3 times a day, rubbing in a circular motion into the affected area until completely absorbed. To enhance the therapeutic effect, the treated area is wrapped in woolen cloth. The duration of treatment is 3-4 weeks. To achieve greater effectiveness, simultaneous use of tablets and cream is recommended.
Instructions for oral solution
Take one teaspoon orally (diluted in 20-30 ml of water) twice a day before meals. The duration of treatment is two months. If necessary, you can repeat the course of treatment.
Indications for use
Sabelnik is used for various diseases. Tablets from the company Evalar are considered very effective, as confirmed by numerous reviews.
Main indications for their use:
- Rheumatoid arthritis of varying severity. In this case, the drug cannot be used as the only method of therapy, but it helps to significantly alleviate the patient’s condition.
- Arthritis affecting large joints.
- Polyarthritis, when several small joints are involved in the pathological process at once.
- Gout at different stages. In most cases, the remedy is indicated at the initial stage, when there are no complications as a result of disease progression.
- Osteochondrosis is of a mild form, in which there are no pronounced changes in the nerve endings.
- Arthrosis stages 1 and 2. The medicine is especially often used for damage to the knee and hip joints.
- Damage to muscles or bone tissue as a result of injury. It is worth remembering that the medicine is included in complex treatment in the acute and recovery periods in order to stimulate tissue regeneration.
Quite often, the drug is used as a prophylaxis for pathologies of the musculoskeletal system during regular and intense physical activity. For example, professional athletes may take pills to improve physical strength and endurance.
Drug interactions
Sabelnik (Evalar) - tablets, reviews of which are mostly positive. The drug can be combined with other medications, which is explained by its herbal composition, which does not have a negative effect on the effect of synthetic drugs.
It is allowed to combine the medicine with antibiotics, anti-inflammatory and painkillers. In addition, no negative effects are observed when combined with vascular, cardiac glycosides, or antihypertensive drugs.
It is not recommended to use tablets simultaneously with other products that contain cinquefoil extract. This can lead to complications. When using the drug in combination with glucocorticosteroids, an increase in the effect of both drugs is observed.
It is imperative to consult a specialist before using any medication, especially if the patient takes medications on an ongoing basis.
special instructions
When taking the drug, there may be a slight decrease or increase in appetite. If the symptom is not accompanied by other negative reactions, it is allowed to continue therapy.
If adverse reactions or signs of overdose occur, it is important to consult a doctor immediately. In a hospital setting, the patient is prescribed symptomatic therapy and, if necessary, the stomach is washed if the person confirms the fact of consuming a large number of tablets at a time.
It is worth remembering that in the first 5-7 days after starting use, increased pain in the area of the affected joints is possible. However, these manifestations disappear. If this does not happen, it is worth visiting a doctor who will identify the cause of the deterioration.
During drug therapy, it is not recommended to perform work related to the control of any mechanisms or requiring extreme concentration. While taking the pills, you should also not drive vehicles, despite the minimal effect on the nervous system.
The herbal composition of the drug is not considered absolutely safe for the patient’s body. This is why the tablets are not prescribed to pregnant and lactating women. It is noted that the active substance penetrates the placental barrier and enters breast milk.
