ACETYLCYSTEINE,PYRIDOXAMINE DIHYDROCHLORIDE

Background and Date of Approval

Acetylcysteine with pyridoxamine dihydrochloride is approved for medical use in the treatment of diabetic nephropathy and as an antidote in paracetamol poisoning.

Uses

It is used in the management of diabetic nephropathy and as an antidote for paracetamol poisoning. Diabetic nephropathy is a crucial factor leading to end-stage kidney disease. It is a result of various factors such as poor glycaemic control, prolonged diabetes, hypertension, family history, and other complications. This medicine protects the kidney from injury caused by contrast media, ischemia and toxins. It also detoxifies the body from the effects of over-dosage of paracetamol.

How is it administered?

Take acetylcysteine + pyridoxamine dihydrochloride as your physician advises. Swallow the tablets whole and intact. This capsule should be taken with food. Your physician will decide the correct dosage and duration based on age, body weight, and disease condition. Only stop taking the medicine if your doctor advises you to stop.

Side Effects

The common side effects that are experienced while you are on the treatment with acetylcysteine + pyridoxamine dihydrochloride is nausea, vomiting and diarrhea. Report your doctor immediately, if you experience any allergic reaction like allergic reaction (difficulty with breathing, chest tightness, rash, itching, hives, swelling in the lips, tongue, or face), fever and chills, mouth or skin blisters, stomach ache.

Warnings

Individuals with allergic reactions to the ingredients and severe infections should consult their doctor before taking the medicine. Talk to your doctor immediately if you have any allergic reaction (difficulty with breathing, chest tightness rash, itching, hives, swelling lips, tongue, or face), infection (short- or long-term), tuberculosis, intestinal ulcers or diverticulitis (small bulging pouches developed in the digestive tract), liver disease, cancer, kidney function problems, and persistent headaches.

Precautions

Talk to your doctor if you have recently been vaccinated or are planning a vaccination because a certain vaccination (live vaccine) should not be given while taking acetylcysteine + pyridoxamine dihydrochloride medicine. Consult your doctor if you are planning to get pregnant or think you may be pregnant or while you are breastfeeding.

Word of Advice

Your doctor will recommend blood tests to assess white blood cell count, platelet levels, and liver enzyme values before initiating this medication. Ensure adequate water intake and electrolyte supplementation to offset fluid loss from vomiting.

References

Alniche Life Sciences Pvt Ltd., [Revised on 2021] [Accessed on Nov 2023], https://www.alniche.com/product/renosave/ Panpharma GmbH. Electronic Medicines Compendium (EMC), [Revised on December 2019] [Accessed on Nov 2023], pil.3447.pdf (medicines.org.uk) Parvin Mazraati and Mohsen Minaiyan, Hepatoprotective Effect of Metadoxine on Acetaminophen-induced Liver Toxicity in Mice, Published on 24 april 2014, [Accessed on Nov 2023], https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5952541/ E.R. Pearson, R.J. McCrimmon, Diabetes mellitus, Davidson's Principles & Practice of Medicine, 22nd Edition, 2014, 797-836.

Frequently Asked Questions

Can I take acetylcysteine + pyridoxamine dihydrochloride for paracetamol poisoning?

Yes, you can take acetylcysteine + pyridoxamine dihydrochloride. It detoxes the body from the effects of overdosage of paracetamol. It is recommended to consult your doctor.

Do I have vomiting while taking acetylcysteine + pyridoxamine dihydrochloride?

Yes, you may have vomiting during the acetylcysteine + pyridoxamine dihydrochloride medication. Drink plenty of water and take electrolytes to compensate for the water loss due to vomiting.

What is the use of acetylcysteine + pyridoxamine dihydrochloride?

Acetylcysteine + pyridoxamine dihydrochloride is used in the management of diabetic nephropathy and as an antidote for paracetamol poisoning.

How to consume acetylcysteine + pyridoxamine dihydrochloride?

Take acetylcysteine + pyridoxamine dihydrochloride as your physician advises. Swallow the tablets whole and intact. This capsule should be taken with food. Your physician will decide the correct dosage and duration based on age, body weight, and disease condition. Only stop taking the medicine if your doctor advises you to stop.

Can I take acetylcysteine + pyridoxamine dihydrochloride If I am allergic to it?

You should consult the doctor if you are allergic to acetylcysteine + pyridoxamine dihydrochloride before using it.

Written By: Muskan Patel, M.Pharm

Reviewed By: Dr. Vishwa Patel, MBBS