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Effect of advil: Advil Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing

Heartburn, Internal Bleeding & More

15 Ibuprofen (Advil) Side Effects: Heartburn, Internal Bleeding & More

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Medically reviewed by Alan Carter, Pharm. D. — By University of Illinois — Updated on March 8, 2019

Ibuprofen is a nonsteroidal anti-inflammatory pain reliever. It can cause minor digestive side effects. It may cause more severe side effects if you have certain health conditions or take it with other medications.

Advil is one of the name-brand versions of ibuprofen. You may know that it relieves minor aches, pains, and fever. However, you may not know the side effects of this common drug.

Learn what these effects are and when they’re most likely to occur so that you can use this drug safely.

Ibuprofen helps lower fever. It also helps relieve minor pain from:

  • headaches
  • toothaches
  • menstrual cramps
  • backaches
  • muscle aches

Ibuprofen belongs to a group of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). These drugs temporarily reduce the amount of prostaglandins made by your body.

Your body releases prostaglandins when you have an injury. These hormone-like substances contribute to inflammation, which includes swelling, fever, and increased sensitivity to pain.

Ibuprofen is so widely used that it can be easy to forget this drug can cause side effects. Still, ibuprofen is a drug, and it comes with risks like any other drug.

The more common side effects of ibuprofen are:

  • stomach pain
  • heartburn
  • nausea
  • vomiting
  • gas
  • constipation
  • diarrhea

Not everyone has these side effects. When they do occur, the effects are usually mild. Many people can prevent these side effects by taking ibuprofen with milk or food.

Serious side effects can also occur. Most of these risks are uncommon and can usually be avoided by taking ibuprofen as recommended.

However, taking too much ibuprofen or taking it for too long can make these serious side effects more likely.

For most people, the risks of heart attack and stroke are rare. However, your risks increase if you use too much ibuprofen or use it for too long. Your risk is also higher if you:

  • have other risk factors for heart attack or stroke
  • have a clotting disorder
  • take other medications that affect how your blood clots

If you have any risk factors or take other drugs, talk to your doctor before using ibuprofen.

Prostaglandins help keep the pressure in your kidneys at the right level to filter the fluids in your body and maintain your blood pressure.

Ibuprofen changes your body’s production of prostaglandins. This change can lead to an imbalance in your body fluid pressure, which can decrease your kidney function and increase your blood pressure.

Symptoms of decreased kidney function include:

  • increased blood pressure
  • fluid buildup
  • dehydration
  • urinating less frequently
  • dizziness

Your risk is increased if you:

  • are an older adult
  • have kidney disease
  • take blood pressure medications

Prostaglandins also help maintain the constant repair of your stomach lining, which protects you from damage from stomach acid.

Because ibuprofen decreases how much prostaglandin you make, stomach damage such as bleeding and ulcers in the stomach and intestines is a possible side effect.

This side effect is fairly rare. However, the risk increases the longer you use ibuprofen. Other factors that increase your risk include:

  • a history of ulcers or bleeding in your stomach or intestines
  • older age
  • use of oral steroids or the blood thinners known as anticoagulants
  • smoking
  • alcohol use, specifically more than three alcoholic beverages per day

Did you know?

If you have severe stomach pain or you notice bloody or tarry stools, you may have symptoms of an ulcer. Contact your doctor right away and stop taking ibuprofen.

Some people have an allergic reaction to ibuprofen, but this is also rare.

If you’ve had allergic reactions to aspirin, don’t take ibuprofen. If you start to have trouble breathing or your face or throat starts to swell, contact your doctor right away and stop taking ibuprofen.

There’s a very rare risk of liver failure after taking ibuprofen. If you have liver disease, talk to your doctor before taking ibuprofen. Stop taking ibuprofen and contact your doctor right away if you start to have any of the following symptoms:

  • nausea
  • tiredness
  • lack of energy
  • itchiness
  • yellowing of your skin or the whites of your eyes
  • pain in the upper right area of your abdomen
  • flu-like symptoms

These may be signs of liver damage or liver failure.

Ibuprofen can be a safe and easy over-the-counter remedy (OTC) for minor aches and pains. However, if you don’t use it as recommended, ibuprofen can possibly be harmful.

It’s always smart to talk to your doctor before taking ibuprofen if you’re not sure if you should use it. If you experience bothersome side effects or believe you may have taken too much, contact your doctor right away.

Most of the serious side effects result from taking the drug when you shouldn’t, taking too much of it, or taking it for too long. You can reduce your risk of side effects by using the smallest possible dose for shortest possible time.

Last medically reviewed on March 7, 2019

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

  • Advil – ibuprofen sodium tablet, coated. (2018).  
    dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5be198b8-396e-4b44-8819-e2e3b5d2ad0e
  • Ibuprofen – ibuprofen tablet, film coated. (2007).  
    dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=953cee06-5c26-4f30-870a-46b9fbb66e79
  • Risser A, et al. (2009). NSAID prescribing precautions.  
    aafp.org/afp/2009/1215/p1371.html
  • Ibuprofen. (2016).  
    medlineplus.gov/druginfo/meds/a682159. html

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

Current Version

Mar 8, 2019

Written By

University of Illinois-Chicago

Edited By

Heather Hobbs

Mar 7, 2019

Medically Reviewed By

Alan Carter, PharmD

Share this article

Medically reviewed by Alan Carter, Pharm.D. — By University of Illinois — Updated on March 8, 2019

Read this next

  • Is It Possible to Overdose on Ibuprofen?

    Medically reviewed by Femi Aremu, PharmD

    You can overdose on ibuprofen. We explain the recommended dosages plus symptoms you may experience if you’ve had too much of this medication.

    READ MORE

  • Effects of Using Ibuprofen with Alcohol

    Medically reviewed by Alan Carter, Pharm.D.

    Taking more than the recommended dosage of ibuprofen or drinking a lot of alcohol significantly raises your risk of serious problems. Find out how.

    READ MORE

  • Ibuprofen vs. Acetaminophen: How Are They Different?

    Medically reviewed by Lindsay Slowiczek, PharmD

    Ibuprofen and acetaminophen are drugs for mild to moderate pain. Learn how they compare.

    READ MORE

  • Ibuprofen vs. Naproxen: Which One Should I Use?

    Medically reviewed by Lindsay Slowiczek, PharmD

    Ibuprofen and naproxen are both NSAIDs. How different can they be? Learn more to judge for yourself.

    READ MORE

  • Everything to Know About Over-the-Counter (OTC) Anti-Inflammatories

    Over-the-counter anti-inflammatory drugs help reduce pain. Learn how they work. Also discover which ones are safe for children, warnings, and other…

    READ MORE

  • 13 Examples of Narcotic Drugs and Medications

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  • Is Cocaine a Narcotic or Controlled Substance?

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    READ MORE

  • Oxycodone vs. Hydrocodone for Pain Relief

    Oxycodone and hydrocodone are prescription pain medications. Learn their similarities and differences.

    READ MORE

Heartburn, Internal Bleeding & More

15 Ibuprofen (Advil) Side Effects: Heartburn, Internal Bleeding & More

  • Health Conditions
    • Featured
      • Breast Cancer
      • IBD
      • Migraine
      • Multiple Sclerosis (MS)
      • Rheumatoid Arthritis
      • Type 2 Diabetes
    • Articles
      • Acid Reflux
      • ADHD
      • Allergies
      • Alzheimer’s & Dementia
      • Bipolar Disorder
      • Cancer
      • Crohn’s Disease
      • Chronic Pain
      • Cold & Flu
      • COPD
      • Depression
      • Fibromyalgia
      • Heart Disease
      • High Cholesterol
      • HIV
      • Hypertension
      • IPF
      • Osteoarthritis
      • Psoriasis
      • Skin Disorders and Care
      • STDs
  • Discover
    • Wellness Topics
      • Nutrition
      • Fitness
      • Skin Care
      • Sexual Health
      • Women’s Health
      • Mental Well-Being
      • Sleep
    • Product Reviews
      • Vitamins & Supplements
      • Sleep
      • Mental Health
      • Nutrition
      • At-Home Testing
      • CBD
      • Men’s Health
    • Original Series
      • Fresh Food Fast
      • Diagnosis Diaries
      • You’re Not Alone
      • Present Tense
    • Video Series
      • Youth in Focus
      • Healthy Harvest
      • No More Silence
      • Future of Health
  • Plan
    • Health Challenges
      • Mindful Eating
      • Sugar Savvy
      • Move Your Body
      • Gut Health
      • Mood Foods
      • Align Your Spine
    • Find Care
      • Primary Care
      • Mental Health
      • OB-GYN
      • Dermatologists
      • Neurologists
      • Cardiologists
      • Orthopedists
    • Lifestyle Quizzes
      • Weight Management
      • Am I Depressed? A Quiz for Teens
      • Are You a Workaholic?
      • How Well Do You Sleep?
    • Tools & Resources
      • Health News
      • Find a Diet
      • Find Healthy Snacks
      • Drugs A-Z
      • Health A-Z
  • Connect
      • Breast Cancer
      • Inflammatory Bowel Disease
      • Psoriatic Arthritis
      • Migraine
      • Multiple Sclerosis
      • Psoriasis

Medically reviewed by Alan Carter, Pharm. D. — By University of Illinois — Updated on March 8, 2019

Ibuprofen is a nonsteroidal anti-inflammatory pain reliever. It can cause minor digestive side effects. It may cause more severe side effects if you have certain health conditions or take it with other medications.

Advil is one of the name-brand versions of ibuprofen. You may know that it relieves minor aches, pains, and fever. However, you may not know the side effects of this common drug.

Learn what these effects are and when they’re most likely to occur so that you can use this drug safely.

Ibuprofen helps lower fever. It also helps relieve minor pain from:

  • headaches
  • toothaches
  • menstrual cramps
  • backaches
  • muscle aches

Ibuprofen belongs to a group of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). These drugs temporarily reduce the amount of prostaglandins made by your body.

Your body releases prostaglandins when you have an injury. These hormone-like substances contribute to inflammation, which includes swelling, fever, and increased sensitivity to pain.

Ibuprofen is so widely used that it can be easy to forget this drug can cause side effects. Still, ibuprofen is a drug, and it comes with risks like any other drug.

The more common side effects of ibuprofen are:

  • stomach pain
  • heartburn
  • nausea
  • vomiting
  • gas
  • constipation
  • diarrhea

Not everyone has these side effects. When they do occur, the effects are usually mild. Many people can prevent these side effects by taking ibuprofen with milk or food.

Serious side effects can also occur. Most of these risks are uncommon and can usually be avoided by taking ibuprofen as recommended.

However, taking too much ibuprofen or taking it for too long can make these serious side effects more likely.

For most people, the risks of heart attack and stroke are rare. However, your risks increase if you use too much ibuprofen or use it for too long. Your risk is also higher if you:

  • have other risk factors for heart attack or stroke
  • have a clotting disorder
  • take other medications that affect how your blood clots

If you have any risk factors or take other drugs, talk to your doctor before using ibuprofen.

Prostaglandins help keep the pressure in your kidneys at the right level to filter the fluids in your body and maintain your blood pressure.

Ibuprofen changes your body’s production of prostaglandins. This change can lead to an imbalance in your body fluid pressure, which can decrease your kidney function and increase your blood pressure.

Symptoms of decreased kidney function include:

  • increased blood pressure
  • fluid buildup
  • dehydration
  • urinating less frequently
  • dizziness

Your risk is increased if you:

  • are an older adult
  • have kidney disease
  • take blood pressure medications

Prostaglandins also help maintain the constant repair of your stomach lining, which protects you from damage from stomach acid.

Because ibuprofen decreases how much prostaglandin you make, stomach damage such as bleeding and ulcers in the stomach and intestines is a possible side effect.

This side effect is fairly rare. However, the risk increases the longer you use ibuprofen. Other factors that increase your risk include:

  • a history of ulcers or bleeding in your stomach or intestines
  • older age
  • use of oral steroids or the blood thinners known as anticoagulants
  • smoking
  • alcohol use, specifically more than three alcoholic beverages per day

Did you know?

If you have severe stomach pain or you notice bloody or tarry stools, you may have symptoms of an ulcer. Contact your doctor right away and stop taking ibuprofen.

Some people have an allergic reaction to ibuprofen, but this is also rare.

If you’ve had allergic reactions to aspirin, don’t take ibuprofen. If you start to have trouble breathing or your face or throat starts to swell, contact your doctor right away and stop taking ibuprofen.

There’s a very rare risk of liver failure after taking ibuprofen. If you have liver disease, talk to your doctor before taking ibuprofen. Stop taking ibuprofen and contact your doctor right away if you start to have any of the following symptoms:

  • nausea
  • tiredness
  • lack of energy
  • itchiness
  • yellowing of your skin or the whites of your eyes
  • pain in the upper right area of your abdomen
  • flu-like symptoms

These may be signs of liver damage or liver failure.

Ibuprofen can be a safe and easy over-the-counter remedy (OTC) for minor aches and pains. However, if you don’t use it as recommended, ibuprofen can possibly be harmful.

It’s always smart to talk to your doctor before taking ibuprofen if you’re not sure if you should use it. If you experience bothersome side effects or believe you may have taken too much, contact your doctor right away.

Most of the serious side effects result from taking the drug when you shouldn’t, taking too much of it, or taking it for too long. You can reduce your risk of side effects by using the smallest possible dose for shortest possible time.

Last medically reviewed on March 7, 2019

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

  • Advil – ibuprofen sodium tablet, coated. (2018).  
    dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5be198b8-396e-4b44-8819-e2e3b5d2ad0e
  • Ibuprofen – ibuprofen tablet, film coated. (2007).  
    dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=953cee06-5c26-4f30-870a-46b9fbb66e79
  • Risser A, et al. (2009). NSAID prescribing precautions.  
    aafp.org/afp/2009/1215/p1371.html
  • Ibuprofen. (2016).  
    medlineplus.gov/druginfo/meds/a682159. html

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

Current Version

Mar 8, 2019

Written By

University of Illinois-Chicago

Edited By

Heather Hobbs

Mar 7, 2019

Medically Reviewed By

Alan Carter, PharmD

Share this article

Medically reviewed by Alan Carter, Pharm.D. — By University of Illinois — Updated on March 8, 2019

Read this next

  • Is It Possible to Overdose on Ibuprofen?

    Medically reviewed by Femi Aremu, PharmD

    You can overdose on ibuprofen. We explain the recommended dosages plus symptoms you may experience if you’ve had too much of this medication.

    READ MORE

  • Effects of Using Ibuprofen with Alcohol

    Medically reviewed by Alan Carter, Pharm.D.

    Taking more than the recommended dosage of ibuprofen or drinking a lot of alcohol significantly raises your risk of serious problems. Find out how.

    READ MORE

  • Ibuprofen vs. Acetaminophen: How Are They Different?

    Medically reviewed by Lindsay Slowiczek, PharmD

    Ibuprofen and acetaminophen are drugs for mild to moderate pain. Learn how they compare.

    READ MORE

  • Ibuprofen vs. Naproxen: Which One Should I Use?

    Medically reviewed by Lindsay Slowiczek, PharmD

    Ibuprofen and naproxen are both NSAIDs. How different can they be? Learn more to judge for yourself.

    READ MORE

  • Everything to Know About Over-the-Counter (OTC) Anti-Inflammatories

    Over-the-counter anti-inflammatory drugs help reduce pain. Learn how they work. Also discover which ones are safe for children, warnings, and other…

    READ MORE

  • 13 Examples of Narcotic Drugs and Medications

    From codeine to heroin, there are many narcotic substances. Some have medical uses and are prescribed, while others do not. Here are some examples.

    READ MORE

  • Is Cocaine a Narcotic or Controlled Substance?

    Medically reviewed by Alyssa Peckham, PharmD, BCPP

    READ MORE

  • Oxycodone vs. Hydrocodone for Pain Relief

    Oxycodone and hydrocodone are prescription pain medications. Learn their similarities and differences.

    READ MORE

Vitamins AEVIT – CJSC FP MELIGEN

In our age, many people know firsthand what poor (irregular) nutrition, stress and frequent diets are. All these factors negatively affect our body, forcing it to work for wear and tear. As a result, there is inevitably a shortage of substances necessary for the body, including beauty vitamins – A and E. The lack of these vitamins entails a whole trail of diseases. AEvit has powerful immunostimulating and antioxidant effects, improves the condition of hair follicles and skin in general, and has a beneficial effect on vision. This drug does not contain any extra components, which virtually eliminates allergic reactions and contributes to the formation of a low price compared to similar drugs.

However, it should be understood that AEvit is not a panacea. AEvit is an auxiliary element in the body care system and cannot be a substitute for a healthy lifestyle.

Vitamins AEvit:
composition, properties and effects on the body

AEvit – transparent yellowish gelatin capsules filled with an oily solution.

The combination of vitamins A and E, the main components of the drug, has an effective effect on the vital activity of the body. The separate use of these vitamins gives a weak result, since vitamin E helps the body absorb vitamin A.
Vitamin E does not interfere with the process of vitamin A oxidation in the intestine. Vitamin A (retinol) contributes to the preservation of immunity, is necessary for the regeneration of the epithelium. That is why vitamin A is so popular in cosmetology in the treatment of acne, sunburn, and stimulation of collagen production.
Vitamin A takes an active part in the formation of visual pigments and ensures the adaptation of the eye in conditions of different levels of illumination (photoreception), contributing to the preservation and restoration of vision.

Another important area of ​​activity of vitamin A is the development of the human skeletal system, as well as the correct embryonic development of the fetus.

Vitamin E is a powerful antioxidant that prevents the formation of harmful substances that adversely affect the body. Vitamin E is responsible for maintaining the normal functioning of the peripheral and central nervous systems, strengthens the walls of blood vessels and has an anti-sclerotic effect, stimulates the immune system, accelerates tissue regeneration, prevents premature aging of the body, and reduces fatigue.

Application of AEvit for the face

AEvit is a mixture of vitamins A and E in oil solution. Preservation of youthful skin directly depends on the sufficient content of vitamins A and E in the body, their combined use increases the elasticity and firmness of the skin, which is the main indicator of its youth.

Vitamin A has the following properties:

  • enhancing the antioxidant properties of vitamin E;
  • full restoration of all functions of the epithelium;
  • ensuring a full exchange in tissues at the cellular level;
  • moisture retention in epithelial cells;
  • strengthening of cellular immunity and strengthening of protective epidermal tissues;
  • stimulation of epithelial cell renewal processes;
  • inhibition of the development of viruses and bacteria;
  • improved capillary circulation.

Vitamin E has the following effect:

  • in combination with vitamin A prevents the latter from being oxidized;
  • gives an antioxidant effect;
  • restores tissue trophism and improves microcirculation;
  • regulates metabolic processes in tissues;
  • penetrates deep into the layers of the dermis, moisturizes and renews cells;
  • has a pronounced whitening effect, fights age spots;
  • stimulates regenerating processes and has a general rejuvenating effect.

The use of the drug has an intense rejuvenating effect on the skin:

  • Wrinkles are smoothed out, while deep wrinkles become less noticeable.
  • Accelerates cell regeneration and repair.
  • Improves skin elasticity and firmness.
  • Improves complexion.
  • Reduces the sensitivity of the skin.
  • Pores shrink.
  • There is a curative effect on acne.

Lack of vitamins A and E in the body is reflected, first of all, on the face: dryness, peeling, acne and pustules, inflammation, wrinkles.
In cosmetology, AEvit is used in the treatment of dermatological diseases, including psoriasis and seborrhea.

How to use

AEvit for the face is applied in its pure form directly to problem areas of the epidermis, including the delicate and sensitive area around the eyes. The drug is best applied in the evening, on cleansed facial skin, for about 45-60 minutes, after which the residue is removed with a paper towel. Such use of the drug is carried out in a course of 10 procedures. After all the procedures, you will notice a significant improvement in the condition of the skin: wrinkles will become less noticeable, the complexion will improve, and the skin itself will become more velvety and toned. This procedure is also good because it is suitable for all skin types.

AEvit can be added to night restorative products (creams, serums, gels, etc. ) For a single use, 2-3 drops of the drug are enough (you can get the composition of the capsule by piercing it with a needle).

AEvit is the best ingredient to add to home masks.
Recipes for face masks with AEvit

Anti-inflammatory mask for acne

Ingredients:

  • Boiled potatoes in their skins – 1 pc.
  • AEvit – 1 capsule.

Mash potatoes until smooth, add vitamins AEvit. Apply the warm mixture on a clean face and leave on for 20 minutes. Wash off the mask with cool water and apply a cream that matches the skin type and age category.

Nourishing mask for oily skin.

Composition:

  • Butter – 50 g.
  • Beeswax – 10g
  • Olive oil – 15 ml.
  • AEvit – 2 capsules.
  • Fresh strawberries – 3 pcs.

Melt butter and wax in a water bath, then add olive oil, strawberry puree (rub through a sieve to get rid of seeds) and AEvit. Spread a homogeneous mass on a clean face and hold for 15 minutes. Wash off the mask with water at room temperature and apply a moisturizing cream.

Purifying mask for oily skin.

Composition:

  • Lemon peel – from 2 pcs.
  • Boiling water – 1 cup.
  • Butter – 30 g.
  • Olive oil – 50 ml.
  • Egg yolk -1 pc.
  • Village honey – 1 tbsp. l.
  • Lemon juice – 10 drops.
  • AEvit – 2 capsules.
  • Camphor alcohol – 15 ml.
  • Mayonnaise – 15 ml.

Infuse lemon zest in boiling water for one hour. After that, strain, add the rest of the ingredients to the finished infusion and stir. Then turn on AEvit and stir again. Apply the mixture every evening, two hours before bedtime, on cleansed skin and keep for half an hour. Wash off with warm water. At the end of the procedure, apply a moisturizer.

Rejuvenating mask for dry skin.

Composition:

  • Cosmetic yellow clay – 20 g
  • Warm milk – 20 ml.
  • Fresh mint leaves chopped – 2 pcs.
  • AEvit – 1 capsule.
  • Egg yolk – 1 pc.

Dissolve the clay in milk until a homogeneous mass without lumps, add the remaining components, at the end of AEvit. Apply the mask on a pre-cleansed face and leave for 25 minutes. Wash off with room temperature water. After the procedure, moisturize the face with a cream appropriate for skin type and age.

Purifying mask for dry skin.

Composition:

  • AEvit – 4 capsules.
  • Egg yolk – 1 pc.
  • Finely ground sea salt – a pinch.
  • Mix AEvit with the rest of the ingredients and spread on a clean face. After 10 minutes, rinse with cool water and apply cream on the face.
  • Nourishing mask.

Composition:

  • AEvit – 1 capsule.
  • Fresh country honey – 1 tsp.
  • Olive oil (almond, linseed) – 1 tbsp. l.

Heat the oil in a water bath, mix with honey, add AEvit. Apply the mask for 15 minutes on the face, then rinse with warm water. At the end of the procedure, lubricate the face with a suitable cream.

Nourishing and rejuvenating masks with AEvit are recommended to be done 2 times, and cleansing masks once a week.

Aevit (LUMI)

The high quality sunflower oil used in our products helps to increase the absorption of vitamins. In the production of capsules, we use gelatin from the best Swiss manufacturer, due to which the exact dissolution time in the gastrointestinal tract is achieved.

The dosage of vitamins and products in our production is strictly controlled at all stages: from testing substances for activity to testing finished products for bioequivalence of maintaining control samples from the beginning of production to the present day.

Each batch is tested by an independent laboratory and has a conclusion from the laboratory.

Aevita capsules are available in 2 types: blisters and cardboard packs of 2 blisters.

Instructions for medical use of the drug AEVIT

Registration number : P N001776 / 01-2002 dated November 21, 2008

Trade name: Aevit

International Nonproprietary Name: Vitamin E + Retinol

Dosage form: capsules S

Composition per 1 capsule

Active substances:

  • Alpha-tocopherol acetate (vitamin E) 100 mg
  • Retinol palmitate (vitamin A) * 100000 IU

Excipients:

  • Soybean oil – up to 200 mg

Composition of the shell in terms of absolute dry matter:

  • Gelatin – 52.75 mg
  • Glycerol – 16.80 mg
  • Methyl parahydroxybenzoate – 0.45 mg*
  • * Composition – 1.7 million IU/g
  • Vitamin A palmitate – 990 mg
  • dl-alpha-tocopherol acetate – 10 mg

Description: Yellow to light brown spherical capsules filled with light yellow to dark yellow oily liquid without rancid odor.

Pharmacotherapeutic group: Multivitamin

Code ath : A11ja

Pharmacological action: Combined drug, the action of which is determined by the properties of fat -soluble vitamins A and E. Retinol (vitamin A) necessary to regulate the division and differentiation of the epithelium (enhances the division of epithelial cells of the skin of the skin of the skin of the skin of the skin of the skin of the skin , rejuvenates the cell population, inhibits keratization processes, takes part as a cofactor in various biochemical processes). Alpha-tocopherol (vitamin E) has antioxidant properties, inhibits the development of free radical reactions, prevents the formation of peroxides that damage cell membranes, which is important for development of the body, the normal function of the nervous and muscular systems. It is a cofactor of some enzyme systems. Normalizes capillary and tissue permeability, increases tissue resistance to hypoxia.

Pharmacokinetics: Retinol palmitate is well absorbed in the upper small intestine, penetrates into the lymphatic tract and enters the liver. After administration, the maximum plasma concentration is reached after 4 hours. Retinol is distributed unevenly in the body. Its largest amount is found in the liver and retina, it is found in the kidneys, adrenal glands and other endocrine glands. Retinol metabolic products are excreted by the kidneys. The half-life is 9.1 hours. Alpha-tocopherol acetate is absorbed in the gastrointestinal tract, most of it enters the lymph, quickly distributed in all tissues, excreted in the bile and in the form of metabolites in the urine.

Indications for use: Avitaminosis A, E. In complex therapy:

skin lesions and diseases accompanied by tissue trophism disorders (psoriasis, some forms of eczema, ichthyosis, seborrheic dermatitis).

Contraindications: Hypersensitivity to the components of the drug, hypervitaminosis A and / or E, children’s age (up to 18 years), pregnancy, lactation.

Method of administration and doses: Use only on the advice of a doctor. Inside, regardless of food intake, 1 caps / day. The course of treatment is 20-40 days at intervals of 3-6 months. It is possible to conduct repeated courses on the recommendation of a doctor.

Side effects: Allergic reactions (including skin rash), epigastric pain, dyspeptic disorders (nausea, vomiting, diarrhea).

Contraindications: Increased individual sensitivity to vitamins A and E. Children under 14 years of age.

Overdose: Symptoms of acute vitamin A overdose (develop 6 hours after administration): in adults – drowsiness, lethargy, diplopia, dizziness, severe headache, nausea, severe vomiting, diarrhea, irritability, osteoporosis, bleeding from the gums, dryness and ulceration of the oral mucosa, peeling of the lips, skin (especially of the palms), agitation, confusion.

Symptoms of chronic vitamin A intoxication: anorexia, bone pain, cracked and dry skin, lips, dryness of the oral mucosa, gastralgia, vomiting, hyperthermia, asthenia, headache, photosensitivity, pollakiuria, nocturia, polyuria, irritability, hair loss , yellow-orange spots on the soles, palms, in the region of the nasolabial triangle, hepatotoxic phenomena, increased intraocular pressure, oligomenorrhea, portal hypertension, hemolytic anemia, changes in bone radiographs, convulsions.

Symptoms of an overdose of vitamin E: when taken for a long period in doses of 400-800 IU / day – blurred vision, dizziness, headache, nausea, diarrhea, gastralgia, asthenia; when taking more than 800 IU / day for a long period – an increase in the risk of bleeding in patients with hypovitaminosis K, impaired metabolism of thyroid hormones, sexual dysfunction, thrombophlebitis, thromboembolism, necrotizing colitis, sepsis, hepatomegaly, hyperbilirubinemia, renal failure, retinal hemorrhage the membrane of the eye, hemorrhagic stroke, ascites. Treatment: withdrawal of the drug, symptomatic therapy.

Interaction with other drugs: Vitamin A increases the risk of hypercalcemia. Colstyramine, colestipol, mineral oils, neomycin reduce the absorption of vitamin A and E (their dose may need to be increased). Oral contraceptives increase the concentration of vitamin A in plasma. Isotretinoin increases the risk of developing vitamin A intoxication.

The simultaneous use of tetracycline and vitamin A in high doses (50 thousand units and above) increases the risk of developing intracranial hypertension.

Vitamin E enhances the effect of glucocorticosteroid drugs, non-steroidal anti-inflammatory drugs, antioxidants, increases the effectiveness and reduces the toxicity of vitamins A, D, cardiac glycosides.

Administration of high doses of vitamin E can cause vitamin A deficiency in the body. Vitamin E increases the effectiveness of antiepileptic drugs in patients with epilepsy (in whom the content of lipid peroxidation products in the blood is increased).

Simultaneous use of vitamin E at a dose of more than 400 IU / day with anticoagulants (coumarin and indandione derivatives) increases the risk of hypoprothrombinemia and bleeding. High doses of iron increase oxidative processes in the body, which increases the need for vitamin E.

Special instructions: In order to avoid the development of hypervitaminosis A and E, the recommended doses should not be exceeded. When using the drug, one should take into account the high content of vitamin A (100 thousand IU) in it, and also that it is a therapeutic, not a prophylactic drug . A diet with a high content of selenium and sulfur-containing amino acids reduces the need for vitamin E.

Packing: Capsules. 10 capsules in a blister pack made of PVC film and polymer-coated paper or printed lacquered aluminum foil. 2, 3, 4 blister packs together with instructions for use are placed in a pack of chrome-ersatz cardboard or box cardboard. a sealed bag made of an opaque polyethylene film, or from a combined material “Bouflen”, or from a two-layer combined material. 50, 100, 200, 400, 600 blister packs, together with an equal number of instructions for use, are placed in a sealed polyethylene bag made of an opaque polyethylene film .It is allowed to apply instructions for use on the package. Polyethylene packages are placed in a cardboard box.

Storage conditions: Store in a dry, dark place at a temperature not exceeding 25°C. Keep out of the reach of children.

Shelf life: 2 years. Do not use after the expiration date.