Structum: instructions for use. Brief instructions for use of the drug structum All about the drug structum

And osteochondrosis is widespread in modern world. Approximately twenty percent of the population worldwide suffers from these diseases. They are very difficult to treat, which takes many years. The new drug “Structum 500” can help get rid of these diseases, instructions for use and reviews of which will be presented below.

Structum capsules

This drug is a chondroprotector. It is designed to protect cartilage tissue from destruction. The drug contains chondroitin sulfate, which normally makes up cartilage tissue.

The drug has a therapeutic effect and, by stimulating the reproduction of hyaluronic acid, maintains the viscosity of the synovial fluid, which affects the structure of cartilage tissue. Due to the presence of an antiseptic effect, the medicine prevents inflammation.

The constituent components of the drug prevent changes in the structure of cartilage tissue and the degeneration of cartilage. The chondroprotector helps improve joint mobility and relieve pain, which, over time, completely goes away. The chondroprotector also strengthens bone tissue by depositing calcium in it.

Indications for use

Indications for use of Structum

What are Structum tablets for? The medicine is intended for the treatment of pathologies of the spine and joints:

  • Primary arthrosis;
  • Osteoarthritis of the spine and joints;
  • Osteochondrosis of joints and intervertebral;
  • Other degenerative-dystrophic diseases of the spine and joints.

Contraindications

Structum 500 mg is contraindicated for use in:

  • Pregnancy and lactation;
  • Under 15 years of age (no studies have been conducted);
  • Tendency to bleed;
  • Intolerance to the components of the drug.
Release forms - Structum

Side effects

The use of this chondroprotector is usually not complicated by side effects, however, in rare cases, they may occur. While taking the medicine, nausea, bloating, diarrhea, and constipation may occur. An allergic reaction to the drug, rashes and swelling is possible. If side effects do occur, then use should be discontinued.

Release form

The drug is available in the form of coated tablets, blue capsules containing cream-colored powder and injection solution.

Mode of application


Effects of the drug Structum

How to use Structum? The doctor will tell you about the method of use and the required doses after diagnosis. The most common regimen for prescribing this chondroprotector is one capsule (500 mg) twice a day.

The drug should be taken regardless of food, swallowing the capsule completely with plenty of water. On initial stages treatment (three weeks), the doctor may prescribe 1500 mg per day. It is better to take a capsule of half a gram and 250 mg at the same time in the morning and the same capsules in the evening. Further, the dose can be reduced to 500 mg.

The duration of therapy depends on the severity of the disease and the initial condition of the patient and can last from three months to six months. Then a break is taken for four months and the course can be repeated again. The instructions for using Structum tablets are no different.

The injection solution is intended for intramuscular administration. Injections must be given once every other day. The dose is 0.1 mg, and if well tolerated - 0.2 mg. A course requires 25-30 injections. If necessary, the same course can be carried out after six months.

When will the drug start working?

Absorption of the active substance occurs in the intestines after four hours. After five hours, the medicine will enter the cartilage and synovial fluid, where it accumulates. Due to the long accumulation period, the effect can be expected no earlier than three to four weeks. The therapeutic effect is observed for seven months, then the course of injections should be repeated.

Structum 500: price

The price of Structum tablets fluctuates around a thousand rubles for sixty pieces. 500 mg capsules in the same quantity have the same price. The price of Structum injections is also one thousand rubles. You can purchase the drug at a pharmacy. The cost may differ by one hundred to two hundred rubles.

Patient reviews about Structum

Maria N., 49 years old:
“Since childhood, I have had problems with posture, so recently I began to experience pain and discomfort while moving. The doctor prescribed this medicine and massage. After four months the pain went away. But I can’t connect this specifically with the medicine, since I attended massage courses, so I don’t know what exactly helped”;

Ekaterina Z., 56 years old:
“I have osteochondrosis. I used this drug on the advice of my doctor. Passed full course, however, there was no effect";

Alena E, 53 years old:
“I suffer from osteoarthritis of the hip joint. The quality of life suffers greatly. I tried many different remedies. On the recommendation of a doctor, I purchased this chondroprotector. I drank it for five months. I began to live like everyone else! As the doctor said, I was lucky because I was one of those for whom the drug helps get rid of all the symptoms. Many doctors prescribe this drug in combination therapy”;

Peter S, 60 years old:
“The doctor prescribed this medicine in connection with osteochondrosis. A couple of weeks after I started taking it, I began to feel a stabbing sensation in my right side. It turned out that liver parameters were elevated. I don’t drink or smoke, so the doctor couldn’t figure out what was wrong for a long time. It turned out that this was due to the chondroprotector. It turned out that there have already been similar cases and I was far from the first. Therefore, I recommend checking your liver while taking this medicine.”

Structum: analogues are cheaper

In Russia, analogues of Structum in tablets are as follows:

  • The therapeutic effect is provided by Chondroitin sulfate (Chondrolone, Chondroxide, Mucosat);
  • Chondroitin sulfate and Glucosamine (Teraflex, Artra) have a therapeutic effect;
  • Preparations based on natural ingredients: fish and animal cartilage (Piaskledin, Rumalon).
Analogue of Structum - drug Dona

As an alternative, Dona is a drug consisting of the same components, but its price is higher. But in terms of efficiency, Dona is more preferable.

What is the price for analogues of Structum tablets?

  • Chondrolon – 699-920 rubles;
  • Chondroxide tablets – 451 rubles;
  • Mukosat – 466 rubles;
  • Teraflex 100 capsules – 1313 rubles;
  • Artra tablets – 644 rubles;
  • Piaskledin – 1087 rubles;
  • Rumalon – 1440 rubles;
  • Don - 1350 rubles.

Which is better: Dona or Structum?

According to doctors, Dona has an advantage in terms of effectiveness. Also, the advantages of Dona are that it needs to be taken once a day, its effect is softer, high-quality European production. However, for each patient the drug must be selected individually, in accordance with the characteristics of the body and the disease. Therefore, it is impossible to answer this question unambiguously. The manufacturer of Structum is PharmFirma Sotex, the country of origin is Russia.

Structum is a chondroprotector that helps restore the structure of the cartilage matrix.

Regulates metabolism in cartilage tissue and improves its restoration process. The active substance, sodium chondroitin sulfate, is obtained from the tracheal cartilage of young chickens through deep purification and fermentation.

In Structum chondroitin capsules, there is a high degree of sulfate, which allows it to attract and retain the maximum amount of fluid in the cartilage, increasing the firmness and elasticity of cartilage in the joints.

The structure of chondroitin in the preparation is similar to human + has low molecular weight, due to which it penetrates more actively into the synovial fluid. Structum nourishes and restores cartilage in joints, normalizes the structure of hyaluronic acid, which reduces friction of articular surfaces by lubricating them.

The drug inhibits the resorption of bone tissue, retains calcium in the bones, preventing it from being washed out of the body.

Composition of 1 capsule Structum:

  • sodium chondroitin sulfate – 250 mg or 500 mg;
  • talc;
  • titanium dioxide, indigo carmine dye, gelatin.

It influences metabolic processes in fibrous and hyaline cartilage, stimulates the biosynthesis of glycosaminoglycans, helps reduce degenerative processes in the cartilage tissue of joints, slow down bone resorption and reduce calcium loss, and accelerate bone tissue restoration processes.

Indications for use

What does Structum help with? According to the instructions, the drug is prescribed in the following cases:

  • osteoarthritis and other degenerative diseases of the spine and joints;
  • periodontopathy;
  • osteoporosis;
  • intervertebral osteochondrosis;
  • fractures (for faster formation of callus).

Instructions for use Structum 500 mg, dosage

Capsules are intended for oral administration. They are taken whole, without chewing and with plenty of water.

The standard dosage according to the instructions for use is 1 capsule of Structum 500 mg per day. The duration of treatment is 6 months.

In some cases, during the first 3 weeks it is possible to take an increased dosage - 750 mg (capsule 500 mg + 250 mg), then switch to the standard dosage.

The instructions warn that after starting to use Structum 500 mg healing effect it is not felt immediately, but after several weeks, since time must pass for the accumulation of chondroitin in the synovial fluid.

The therapeutic effect usually lasts for several months (3-5 months). If necessary, the course of treatment can be re-prescribed.

When used simultaneously with other drugs, it is possible to enhance the effect of indirect anticoagulants, antiplatelet agents, and fibrinolytics.

Side effects

The instruction warns about the possibility of developing the following side effects when prescribing Structum:

  • Digestive system – nausea, accompanied by periodic vomiting.
  • Allergic reactions - skin rash, itching, characteristic changes resembling a nettle burn (urticaria), the appearance of red spots (erythema).

Contraindications

It is contraindicated to prescribe Structum in the following cases:

  • hypersensitivity to chondroitin sulfate or other components;
  • tendency to bleed;
  • thrombophlebitis;
  • pregnancy, lactation period (breastfeeding);
  • children under 15 years of age.

Overdose

The main symptoms of overdose are diarrhea, vomiting, nausea. With prolonged use in excessively high doses (from 3000 mg per day) - hemorrhagic rashes.

Treatment is symptomatic.

Structum analogues, price in pharmacies

If necessary, you can replace Structum 500 mg with an analogue of the active substance - these are the following drugs:

  1. Artradol,
  2. Glucosamine,
  3. Arthroker,
  4. Sustilak,

When choosing analogs, it is important to understand that the instructions for use of Structum 500 mg, price and reviews do not apply to drugs with similar effects. It is important to consult a doctor and not change the drug yourself.

Price in Russian pharmacies: Structum capsules 500 mg 60 pcs. – from 1450 to 1803 rubles, according to 508 pharmacies.

Store at a temperature not exceeding 25 °C. Keep away from children. Shelf life – 3 years. Conditions for dispensing from pharmacies - without a prescription.

Artra or Structum - which is more effective?

Based on a comparison of the compositions and Structum, we can conclude that the effect of Artra is more complex, since it additionally contains glucosamine, which protects cartilage tissue from various damages. Otherwise, it is worth remembering that injectable drugs have greater bioavailability, and the treatment of joint pathology must be multicomponent.

A medicine that improves the process of cartilage tissue restoration is Structum. Instructions for use indicate that 500 mg capsules or tablets normalize metabolism in cartilage. Reviews from rheumatologists confirm that this drug helps in the treatment of arthrosis and osteochondrosis.

Release form and composition

Structum is prepared in the dosage form of gelatin capsules for oral administration (oral administration). They have a blue shell, the contents are in the form of a whitish-cream powder, and are small in size (size No. 0). The main active component of the drug is chondroitin sulfate in the form of sodium salt; its content in one capsule is 500 mg. It also contains excipients.

Structum capsules are packaged in blister packs of 12 pieces. The cardboard pack contains 5 blisters with capsules (60 capsules), as well as instructions for use of the drug.

pharmachologic effect

Structum influences metabolic processes in fibrous and hyaline cartilage, stimulates the biosynthesis of glycosaminoglycans, helps reduce degenerative processes in the cartilage tissue of joints, slow down bone resorption and reduce calcium loss, and accelerate bone tissue restoration processes.

As a result of using the drug, the mobility of the affected joints improves and their pain decreases. After completion of the course of treatment, the therapeutic effect lasts for a long time.

Indications for use

What does Structum help with? Tablets are indicated for use if:

  • intervertebral osteochondrosis;
  • fractures (for faster formation of callus);
  • osteoarthritis and other degenerative diseases of the spine and joints;
  • periodontopathy;
  • osteoporosis.

Instructions for use

Structum for adults and adolescents aged 15 years and older is prescribed at a dose of 1 g per day - 500 mg 2 times a day. The recommended duration of the initial course of treatment is 6 months. The therapeutic effect of the drug lasts for 3-5 months after its discontinuation, depending on the location and stage of the disease.

If necessary, repeated courses of treatment are possible, the duration of which is determined individually. Capsules are taken orally with water.

Contraindications

An absolute medical contraindication to taking Structum capsules is individual intolerance to any of the components medicine, which mainly leads to the development of an allergic reaction.

Also, the drug is not used in patients under the age of 15 years, since its safety and effectiveness for children remain unproven.

Side effects

Often, the drug is well tolerated by most patients without causing side effects. However, sometimes an allergic reaction, nausea and vomiting may develop.

Children, pregnancy and breastfeeding

Structum is not recommended for use during pregnancy and lactation (breastfeeding) due to the lack of sufficient clinical data. Admission to persons under fifteen years of age is prohibited.

special instructions

Caution Structum is prescribed to patients with increased bleeding of various origins.

Drug interactions

If the drug is used simultaneously with indirect anticoagulants, fibrinolytics and antiplatelet agents, the effect of the latter is enhanced.

Analogues of the drug Structum

Analogues are determined by structure:

  1. Artradol.
  2. Kartilag Vitrum.
  3. Chondroitin.
  4. Chondrolone.
  5. Khonsurid.
  6. Mucosat.
  7. Chondroitin sulfate sodium.
  8. Artra Chondroitin.
  9. Artrin.

Drugs for the treatment of arthrosis include analogues:

  1. Sabelnik Evalar.
  2. DONA.
  3. Brufen retard.
  4. Elderin.
  5. Donalgin.
  6. Indomethacin.
  7. Ketonal.
  8. Chondrolone.
  9. Terfalex.
  10. Voltaren Emulgel.
  11. Naproxen.
  12. Revma gel.
  13. Cartilago compositum.
  14. Dikloberl.
  15. Triamsinolone.
  16. Piroxicam.
  17. Actasulide.
  18. Ronidaza.
  19. Rumalon.
  20. Junium.
  21. Brufen.
  22. Artra.
  23. Ortofen.
  24. Kenalog.
  25. Humisol.
  26. Diclofenac.
  27. Coxib.
  28. Ibuprofen.
  29. Glucosamine sulfate.
  30. Mesulide.
  31. Fastum gel.
  32. Dicloran.
  33. Dexamethasone phosphate.
  34. Diprospan.
  35. Cigapan.
  36. Arthrovitis.
  37. Diphen.
  38. Alflutop.

Vacation conditions and price

The average cost of Structum (capsules No. 60) in Moscow is 1,485 rubles. Dispensed by prescription.

The shelf life of the capsules is 3 years. They must be stored in an undamaged original packaging, dark, dry place, out of reach of children, at an air temperature no higher than +25 C.

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Diseases of the joints and spine usually develop after 40–50 years of age as a result of natural age-related changes. Less often - because metabolic disorders in young people, as a result of occupational injuries and sports stress.

First of all, cartilage tissue is affected: arthrosis and intervertebral hernia. Fortunately, modern medicine has effective chondroprotectors, among which the French drug Structum has proven itself well.

Price, instructions for use, patient reviews and analogues are further in the article.

Structum belongs to the group of chondroprotectors, i.e. it protects joints from destruction (chondros - cartilage, protect - protect).

The main component of Structum is chondroitin (sodium chondroitin sulfate). Normally, the substance is produced in sufficient quantities inside the joint capsule.

With its deficiency, viscosity and density are impaired and the volume of joint fluid decreases, tissue regeneration slows down - cartilage is deformed and destroyed.

With age, the production of chondroitin decreases, and with increased loads, the normal amount may not be enough, and then an additional source is required.

The drug stimulates the regeneration and growth of cartilage, inhibits the processes of their destruction.

  • Due to the synthesis of hyaluronic acid, it normalizes the density, viscosity and volume of joint fluid.
  • Promotes the accumulation and retention of calcium in bone tissue, thereby restoring it.
  • Stimulates the active growth of cartilage tissue.
  • Relieves local inflammation, reduces pain, returns mobility to the organ.

Release forms of Structum

Registered as a medicinal product and produced by the French company Pierre Fabre Medicine Production in capsules of 250 and 500 mg in blisters or bottles:

  • 250 mg – 100, 60 or 30 pcs/pack;
  • 500 mg – 60 pcs/pack.

Despite the fact that the medicine is freely available without a prescription, its use should be previously agreed with your doctor.

Structum is prescribed as an independent remedy or as part of complex therapy for the treatment of diseases and pathological conditions:

  • osteoarthritis;
  • osteochondrosis;
  • osteoporosis;
  • injuries during the rehabilitation period.

Contraindications and restrictions

  • Intolerance to the components of the drug or the gelatin shell.
  • Age less than 15 years.

According to the instructions, it is not recommended to use the drug during pregnancy and lactation.

Use with caution in patients with bleeding.

In rare cases, Structum may cause allergic skin reactions, vomiting or nausea.

Overdose is possible with a single use of a large amount of the drug or after long-term use, when the daily dose exceeds 3 g per day.

Symptoms:

  • digestive tract disorders – diarrhea, nausea, vomiting;
  • hemorrhagic rash.

Method of administration and duration of treatment

The drug must be taken orally 500 mg 2 times a day in the morning and evening, with a sufficient amount of water - Structum capsule 500 mg or 2 250 mg capsules at a time.

The duration of the first course of treatment with the drug is at least six months.

For a month, 60 capsules of Structum 500 mg or 120 capsules of 250 mg are enough.

The therapeutic effect lasts for a long time, so a repeat course should be discussed with your doctor. The manufacturer guarantees a therapeutic effect for 3–5 months after discontinuation, but in fact the period is determined individually according to the patient’s condition.

Average prices in Russian pharmacies

The cost of the drug Structum depends not only on the form of release, but also on the wholesale and retail markups of the network where the medicine is purchased. The price range can reach several hundred rubles.

  • Structum 500 mg (60 pcs/pack) – from 1500 to 2000 rubles;
  • Structum 250 mg (60 pcs/pack) – from 900 to 1500 rubles.

Means that can replace the drug are divided into two groups:

  1. synonyms (otherwise called generics), medicines with the same active ingredient and dosage;
  2. analogues that, in addition to chondroitin, contain other active components (for example, glucosamine).

Synonyms

Chondroitin sulfate.
Under this international name, the medicine with a share of the active substance of 250 and 500 mg is produced by Russian manufacturers. It differs from Structum only in its lower price (1000–1500 rubles); a monthly course is cheaper than its French counterpart.

Also sold in ampoules of 100 mg for injection. Chondroxide (Russia).
Tablets 250 mg in packs of 30–100 pcs. from the company Nizhpharm. The only disadvantage of this synonym is that there is no convenient dosage of 500 mg; however, it is more than compensated for by the favorable price - 450–500 rubles.

per pack 60 pcs.

Analogues

Kondronova (India).

Tablets with 200 mg of chondroitin and 250 mg of glucosamine. Due to the reduced dosage, the drug will have to be taken according to the instructions, 2 tablets 2-3 times a day. Average price – 350–450 rubles. per package 30 tablets, which is enough for a week. Artras (France).

It features an increased dosage of active ingredients - 500 mg of chondroitin and 500 mg of glucosamine. Cost – 1400–1600 for 60 capsules. Teraflex (USA).
Contains 400 mg of chondroitin and 500 mg of glucosamine, which also protects cartilage tissue and promotes its regeneration.

Since the drug is not synonymous with Structum, the choice should be previously agreed with your doctor.

Complex dietary supplements with chondroitin for athletes are produced in the USA and Europe under different brands: Cybermass, Weider, Ultimate Nutrition, etc.

They can be bought in pharmacies and specialized stores, having determined for yourself the optimal dosage of the active substance.

Typically, supplements contain 300-400 mg of chondroitin - this is the standard preventative dose.

Dietary supplements are taken to support joints under high loads, but not for treatment.

When choosing an affordable analogue of Structum 500, you need to read the instructions for use, study the reviews of those patients who have already taken similar drugs, and choose the optimal daily dosage recommended by the doctor.

Reviews about the drug

Anna, 30 years old.

“I had a serious knee injury, I damaged the meniscus. The doctor prescribed Structum 500 to restore cartilage.

I took it for 3 months, every morning and before bed, and didn’t notice any side effects. The cartilage, indeed, began to grow rapidly from the very first weeks, as the x-ray showed.

Vera Ivanovna, 63 years old.

“Structum is a good medicine, with it I hardly remember problems with joints, but for pensioners it turns out to be expensive if you take it constantly.

I switched to domestic Chondroitin, and did not notice any difference. It helps in the same way, the instructions are no different, the indications for use are the same, but the price is several times cheaper.

Now I only buy this.”

Maxim, 35 years old.

“A couple of years ago my back started hurting. I underwent an examination and found intervertebral hernia. The doctor prescribed physiotherapeutic procedures, swimming and Structum 500. I took it twice for six months, and as a result my back doesn’t bother me at all!”

Maria, 45 years old.

“I suffer from arthrosis of the foot joints. There is no cure for it, and you need to support and protect your joints all the time so that the disease does not progress. I periodically take courses of Structum 500 (3 times a year). Helps! Over the course of two years, the pain has decreased, and now I hardly feel it during exercise.”

Igor Nikolaevich, 68 years old.

“I have been suffering from osteochondrosis for ten years now. On the advice of a doctor, I once took Structum 500, hoping for relief.

A package for a month costs more than 1,500 rubles, which is high for me. About 10 thousand were spent on treatment. No benefit, just throwing money away.

I don’t recommend it to anyone.”

Source: http://pomogispine.com/lechenie/lekarstva/struktum.html

Structum: instructions for use

The drug Structum represents a pharmacological group of medications - drugs that regulate metabolic processes in cartilage tissue, as well as protect it from negative impacts(chondroprotectors). It is used to treat various pathologies of the structures of the musculoskeletal system, accompanied by damage to cartilage tissue.

Composition and release form

The drug Structum is prepared in the dosage form of gelatin capsules for oral administration (oral administration).

They have a blue shell, the contents are in the form of a whitish-cream powder, and are small in size (size No. 0).

The main active component of the drug is chondroitin sulfate in the form of sodium salt; its content in one capsule is 500 mg. It also contains excipients, which include:

  • Carmine indigo.
  • Gelatin.
  • Titanium dioxide.

Structum capsules are packaged in blister packs of 12 pieces. The cardboard pack contains 5 blisters with capsules (60 capsules), as well as instructions for use of the drug.

Pharmacodynamics and pharmacokinetics

The main active component of Structum chondroitin capsules regulates metabolic processes (metabolic processes) in the tissues of hyaline and fibrocartilage.

It stimulates synthetic processes, in particular the formation of glycosaminoglycans, which are the main structural component intercellular substance of cartilage tissue.

Due to this, the drug reduces the intensity of degenerative processes accompanied by damage to cells and the intercellular substance of cartilage tissue.

To a lesser extent, chondroitin affects metabolic processes in bone tissue, it promotes its rapid recovery, and also reduces the severity of resorption (leaching) of calcium salts, which give strength to the mineral matrix. Due to such biological effects, this drug has a protective effect on cartilage tissue (chondroprotective effect), and also reduces the severity of the inflammatory reaction.

After taking the Structum capsule orally, the active ingredient is absorbed quite quickly and 70% into the systemic bloodstream from the intestinal lumen. Chondroitin is evenly distributed in tissues with subsequent accumulation in cartilage and bones. It is partially excreted in the urine by the kidneys.

Indications for use

Taking Structum capsules is indicated as a means of pathogenetic therapy (treatment aimed at reducing the severity of manifestations of the pathological process by restoring the functional state of cartilage and bone tissue) for diseases accompanied by malnutrition and destruction of cartilage tissue (degenerative-dystrophic processes) - osteochnodrosis, osteoarthritis with localization in any joints.

Contraindications for use

An absolute medical contraindication to taking Structum capsules is individual intolerance to any of the components of the drug, which mainly leads to the development of an allergic reaction. Also, the drug is not used in patients under the age of 15 years, since its safety and effectiveness for children remain unproven.

Directions for use and dosage

Structum capsules are intended for oral administration. They are taken whole, without chewing and with plenty of water.

The average therapeutic dosage and regimen for taking the drug for adults and adolescents over 15 years of age is 50 mg (1 capsule) 2 times a day. The duration of the initial course of therapy should be at least six months.

The therapeutic effect after a course of therapy usually lasts for several months (3-5 months).

If necessary, after a certain period of time, the course of treatment can be re-prescribed, while its duration and regimen of use of the drug are determined by the doctor individually, depending on the severity and effectiveness of the previous course of therapy.

Side effects

While taking the drug Structum capsule, it is possible to develop negative pathological reactions from various organs and systems, these include:

  • Digestive system – nausea, accompanied by periodic vomiting.
  • Allergic reactions - skin rash, itching, characteristic changes resembling a nettle burn (urticaria), the appearance of red spots (erythema).

If negative side reactions occur, you should stop taking the capsules and contact a medical specialist who will determine the possibility of continuing a further course of therapy.

special instructions

Before you start taking Structum capsules, it is important to carefully read the instructions for the drug. There are several special instructions that you should pay attention to when using this medicine, these include:

  • With extreme caution, under medical supervision, as well as laboratory monitoring of the functional state of the blood coagulation system (hemostasis), the drug is used in persons with concomitant disorders of blood clot formation.
  • The active component of Structum capsules can increase the therapeutic effects of drugs of the pharmacological group indirect coagulants, fibrinolytics and antiplatelet agents, therefore, when used together, medical supervision and laboratory control functional state of hemostasis.
  • Since there is no reliable confirmed data regarding the safety of this drug on the body of the developing fetus and infant, its use for pregnant and breastfeeding women is not recommended.
  • The active component of this medicinal product does not have a direct effect on nervous system Therefore, while using it, it is allowed to engage in work that requires sufficient concentration of attention and speed of psychomotor reactions.

In the pharmacy chain, Structum capsules are sold without a doctor's prescription. If you have any doubts about the use of this medicine, it is recommended to consult a medical specialist.

Overdose

If the dose taken exceeds 3 g, pinpoint hemorrhages in the skin (hemorrhagic rashes) may occur.

In such cases, gastric and intestinal lavage is performed, intestinal sorbents (activated carbon) are taken, as well as symptomatic therapy in a hospital setting.

Analogs of Structum capsules

Similar in composition and therapeutic effect to Structum capsules are the drugs Artradol, Mucosat, Chondroguard.

Terms and conditions of storage

The shelf life of Structum capsules is 3 years. They must be stored in undamaged original packaging, in a dark, dry place, out of reach of children, at an air temperature not exceeding +25° C.

Structum price

The average cost of a package of Structum capsules (60 capsules) in Moscow pharmacies varies between 1419-1735 rubles.

Source: http://bezboleznej.ru/struktum

What does Structum help with? Instructions for use, price, analogues

A drug with anti-inflammatory and chondroprotective action is Structum. Instructions for use indicate that the medicine regulates metabolism in cartilage tissue and stimulates their regeneration. What Strutcum tablets help with can be found in the instructions.

Release form and composition

The drug is produced in the form of capsules of 250 and 500 mg. Tablets as a release form are not used in the production of the drug.

Structum 500 mg is available in 12 capsules in blisters.

One capsule of Structum, the instructions for use indicate this, contains the active substance - sodium chondroitin sulfate - 250 mg or 500 mg.

pharmachologic effect

Chondroitin sulfate sodium, the main active substance of Structum, is a complex mucopolysaccharide belonging to the group of glycosaminoglycans. Chondroitin sulfate is obtained from the tracheal cartilage of healthy young chickens by deep purification and fermentation.

Most Structum analogues contain chondroitin with a lower degree of sulfate.

It is due to the high degree of sulfate of chondroitin contained in Structum that this substance is able to attract and retain the maximum permissible amount of fluid in the cartilage. This increases the elasticity and firmness of cartilage in the joints.

The pharmacological market today provides a large number of different chondroprotectors, but it is in Structum that the structure of chondroitin is most similar to human.

In addition, chondroitin normalizes the structure of hyaluronic acid, as it is the main component for its formation.

In turn, high-quality hyaluronic acid reduces friction of articular surfaces, lubricating them.

Thanks to such an effective complex effect, this drug has a stronger therapeutic effect on the joints in comparison with Structum’s analogues, promoting their rapid recovery.

The drug inhibits the process of bone resorption, activates their healing, for example, during fractures, and also reduces the removal of calcium from the body during osteoporosis. When taking Structum, the original thickness of the cartilage is preserved, thereby better absorbing the load on the joints.

After taking the drug, more than 70 percent of it is absorbed in the digestive tract. The maximum concentration in blood plasma is observed after 3-4 hours, in synovial fluid - after 4-5 hours. Bioavailability is about 13%.

Structum tablets: what does the medicine help with?

Indications for use include:

  • periodontopathy;
  • osteoarthritis and other degenerative diseases of the spine and joints;
  • osteoporosis;
  • fractures (for faster formation of callus);
  • intervertebral osteochondrosis.

Contraindications according to instructions

The instructions for use prohibit taking the medicine Structum in the following cases:

  • thrombophlebitis;
  • bleeding and tendency to bleed;
  • hypersensitivity to the ingredients of the drug Structum, from which the tablets can cause allergies;
  • period of pregnancy and breastfeeding (due to insufficient data);
  • children under 15 years of age (since there is no accurate data on the safety and effectiveness of the drug);
  • breastfeeding period.

The drug Structum: instructions for use

Structum is allowed to be used by patients over 15 years of age. Adults and adolescents begin taking the drug at a dosage of 1 g per day (500 mg 2 times a day).

The duration of treatment is usually 6 months. The therapeutic effect of the drug lasts for 3-5 months after the end of the course of treatment.

If necessary, repeated courses may be prescribed, the duration of which is determined individually. Structum is used orally only; capsules should be taken with water.

After starting to use Structum, the therapeutic effect is not felt immediately, but after several weeks, since time must pass for the accumulation of chondroitin in the synovial fluid. It should be taken into account that the metabolic process in osteochondral tissues is not so intense.

However, after a long course of treatment, patients will continue to feel the positive effects of the drug for many months.

Side effects

The medicine may cause in some cases:

  1. nausea;
  2. vomiting;
  3. hives;

Interaction

If the drug is used simultaneously with indirect anticoagulants, fibrinolytics and antiplatelet agents, the effect of the latter is enhanced.

During pregnancy and breastfeeding

Analogues of the drug Structum

Identical active substance have analogues:

  • Chondroxide.
  • Mucosat.
  • Chondrolone.
  • Chondroitin sulfate sodium.
  • Artradol.
  • Chondrogard.
  • Kartilag Vitrum.
  • Artra Chondroitin.
  • Artrin.
  • Chondroitin.
  • Khonsurid.

Drugs intended for the treatment of arthrosis include analogues:

  1. Coxib.
  2. Don.
  3. Ortofen.
  4. Artra.
  5. Revma gel.
  6. Dicloran.
  7. Triamsinolone.
  8. Humisol.
  9. Dexamethasone phosphate.
  10. Diphen.
  11. Piroxicam.
  12. Brufen.
  13. Terfalex.
  14. Actasulide.
  15. Cartilago compositum.
  16. Rumalon.
  17. Kenalog.
  18. Arthrovitis.
  19. Dikloberl.
  20. Alflutop.
  21. Voltaren Emulgel.
  22. Brufen retard.
  23. Fastum gel.
  24. Cigapan.
  25. Chondrolone.
  26. Ibuprofen.
  27. Diclofenac.
  28. Nimesil.
  29. Sabelnik Evalar.
  30. Elderin.
  31. Ronidaza.
  32. Donalgin.
  33. Junium.
  34. Ketonal.
  35. Indomethacin.
  36. Diprospan.
  37. Mesulide.
  38. Glucosamine sulfate.
  39. Naproxen.

Which is better: Artra or Structum?

Based on a comparison of the compositions of the drugs, we can conclude that the effect of Artra is more complex, since it additionally contains glucosamine, which protects cartilage tissue from various damages. Otherwise, it is worth remembering that injectable drugs have greater bioavailability, and the treatment of joint pathology must be multicomponent.

Price

You can buy Structum tablets in Moscow for 1,600 rubles. The price of the drug in Kyiv and Ukrainian cities reaches 750 hryvnia. In Minsk, pharmacies offer to buy the product for 64-90 bel. rubles In Kazakhstan it costs 8830 tenge.

Reviews

Opinions about Structum are not fundamentally different from reviews about other drugs of identical composition.

Reviews from doctors indicate that injectable drugs are more effective than other forms of release (tablets and capsules).

“Surprisingly, after taking the capsules, my joints began to hurt more.”

“I’ve been taking it for almost a month now, the pain and clicking have gone away. I think after taking this course I will forget about my joints for a long time.”

“I took this chondroprotector together with artron flex glucosamine 750 mg for 6 months. At the same time, injections of Alflutop, Movalis, Thymalin. I'm satisfied with the result."

“Positive dynamics appeared already during the first course of treatment - after about a month of treatment, I began to notice greater mobility of the joints, which allowed me to be more active in physical exercise.”

“The drug really works, and it really helps. The only thing that’s depressing is the fact that the price of Structum continues to creep up, and therefore, I still plan to return to the no less time-tested Piaskledin.”

“You shouldn’t rely entirely on “magic” capsules - you need to literally take care of your physical condition, and start with at least minor walking, and if you have the opportunity, then resort to massage. This is an important and necessary feature of the use of any chondroprotector.”

Source: http://remedy.ucoz.ru/index/struktum_instrukcija_po_primeneniju_analogi_cena_ot_chego_pomogaet/0-509

Structum (500 mg): instructions for use of the drug and its analogues

  • Action of the medicine
  • Indications and contraindications for use
  • Release form of the drug. Mode of application
  • Efficiency
  • Prices and reviews
  • Analogues and reviews

Today, the problem of diseases of the musculoskeletal system has become urgent. Unfortunately, they affect not only older people, but also young people.

Therefore, new drugs are being developed to eliminate such problems. One such medicine is Structum.

Instructions for use, reviews and price are presented below.

Effect of the drug

Structum tablets belong to the group of chondroprotectors, that is, agents that protect cartilage and joints from destruction.

This effect occurs due to the content of the substance chondroitin sulfate in the drug, namely its main active component - sodium salt.

It is worth noting that chondroitin is practically the basis of cartilage tissue, therefore it is extremely important for the normal condition of cartilage.

Another effect of the drug is the stimulation of the synthesis of hyaluronic acid, which is responsible for the normal viscosity of synovial fluid (and this fluid also has a direct effect on the condition of cartilage). There is also an antiseptic effect of chondroitin, which helps fight tissue inflammation.

Indications for use, contraindications and side effects

In what cases is the medicine “Structum” indicated? It can help with some diseases of the musculoskeletal system. It is worth listing some of them:

  1. arthrosis (in particular primary);
  2. osteoarthritis of large joints;
  3. spinal osteoarthritis;
  4. intervertebral osteochondrosis;
  5. osteochondrosis of the joints;
  6. other diseases of the joints and spine of a degenerative-dystrophic nature.

Now about contraindications. Here is their list:

  • phlebitis and thrombophlebitis;
  • pregnancy;
  • breastfeeding period;
  • age up to 15 years (there are no data on the use of the product by people in this age category);
  • bleeding of any nature and tendency to it;
  • hypersensitivity to some components and substances of the drug.

As for side effects, they occur in rare cases, but still occur.

Most often, those taking the drug experience digestive disorders: nausea, flatulence, sometimes diarrhea or, on the contrary, constipation.

If the patient is prone to allergic reactions, he may experience a rash or minor swelling. In all these cases, the drug should be stopped.

Release form and method of application

The drug is available in three dosage forms: in the form of blue capsules with a volume of 500 mg (“Structum 500”) and 250 mg (“Structum 250”), in the form of film-coated tablets, and also in the form of an injection solution.

How and in what doses should you take the drug? The attending physician should tell you about this after a thorough examination. But more often, doctors recommend taking 1 capsule of the drug (500 mg) twice a day. The use does not depend on food intake.

The capsule should be swallowed whole, without chewing, and washed down with a sufficient amount of water.

Sometimes in the first three weeks of the course the patient should take 1500 mg per day (it is better to divide the dose into two times and take two capsules at a time: 500 mg and 250 mg at the same time). Then the daily dose can be reduced to 500 mg.

The course of treatment can last from 3 to 6 months (depending on the specific disease and condition of the patient). Therapy can be resumed after 3-4 months. As for tablets, the recommendations are the same.

Now about the injections. The solution is administered intramuscularly at 0.1 mg at a time. Injections are given every other day. if the drug is well tolerated, the doctor may double the dose. usually the course of treatment includes 25-35 injections. Repeated therapy may be prescribed after six months.

Efficacy of the drug

When should you expect the effect of using the product? The main substance is well absorbed in the intestines and enters the bloodstream after 3-4 hours.

And the components reach their main goal, namely cartilage and synovial fluid, in about 5 hours. This is where the drug will accumulate.

And taking into account this very cumulative effect, it can be noted that changes will be observed only 3-4 weeks (sometimes later) after the start of use. But the effect lasts for a long time.

Over the next 5-7 months, the substances will still be contained in the cartilage, then they will gradually begin to be removed from there (and then the course of treatment will need to be repeated).

Prices and reviews

What is the price of Structum tablets? They cost about 1000 rubles (for 60 tablets of 500 mg each). Capsules have approximately the same cost (the quantities and volumes are the same).

As for ampoules with injection solution, they can be purchased for about the same price. You can buy the drug at any pharmacy, as well as order it online.

It is worth noting that prices may vary (within 100-200 rubles).

Now reviews from patients about the drug "Structum". We invite you to familiarize yourself with some of them:

Larisa writes: “Since childhood, my posture was incorrect, so already in adulthood I encountered problems with my spine.

I went to see a doctor, he recommended Structum and a massage course. After 4 months I actually saw results. But it is not clear what exactly helped: the massage or the medicine.

I think a comprehensive approach played a role.”

And here is what Albina writes: “For a long time I have been suffering from osteochondrosis of the thoracic and cervical spine. The doctor recommended Structum. I took it for six months, but saw absolutely no results.”

Maria: “I have osteoarthritis of the hip joint, which really interferes with my life. What have I not tried! And then the doctor suggested trying to start taking Structum. I drank it for 5 months and realized that I was living a normal life.

The doctor said that I was in a small percentage of patients for whom this drug actually helps so much that all the symptoms of the disease disappear.”

Doctors are quite skeptical about the remedy, but it is still often prescribed as an additional therapy.

Analogues of the drug

There are some analogues of the drug "Structum". The first group also contains chondroitin sulfate as the main substance. These are drugs such as: “Chondrolone”, “Chondroxid”, “Chondroitin”, “Mukosat”, “Struknotin”, “Arthrocelsus” and others.

The second group of analogues contains not only chondroitin sulfate, but also glucosamine, which also has positive impact on the joints. Similar products include: “Teraflex”, “Arthra” and others.

And the third group of analogues contains natural components, namely concentrates of cartilage tissue of marine fish and animals, as well as soybean extracts. Let us list the following medications: “Aflutop”, “Piaskledin”, “Rumalon”.

Which is better: Structum or Teraflex? Even a doctor cannot answer such a question, since everything depends on the individual person, his illness and the body’s reaction to the components of the drug. So you can find out everything only through experience.

5458 0

In the modern world it is very actual question- diseases of the musculoskeletal system.

Unfortunately, such diseases affect not only the elderly, but increasingly young people and even children.

The pharmaceutical industry produces a sufficient number of drugs of varying effectiveness to treat such problems.

One of the strongest medicines is Structum, the main property of which is to restore lost or damaged motor function.

The drug Structum is an auxiliary drug for the complex treatment of joint diseases; it belongs to the group of chondroprotective drugs.

This group significantly increases the resistance of joint tissue to harmful influences that destroy it, also stabilizes the functioning of the ligamentous apparatus and controls metabolism.

Effect of Structum on joints

This drug stimulates the normalization of metabolic processes in hyaline and fibrous cartilage and significantly reduces degenerative processes in cartilage tissue.

Structum reduces the loss of calcium by the body to a minimum, while restoring bone tissue. As a result, joint pain disappears and joint mobility improves.

The effect after completion of treatment is positively stable.

The drug is absorbed by the intestines by 65-75% and enters the joint tissues after 4-6 hours. The active substance chondroitin accumulates in the joint fluid.

Another action of Structum is noted - ability to stimulate the synthesis of hyaluronic acid, responsible for the viscosity of the so-called synovial fluid. An antiseptic effect is also noted.

Indications and contraindications for use of the product

Considered medicine is used in therapy degenerative and dystrophic diseases of the spinal trunk and working joints:

  • primary arthrosis;
  • spinal osteoarthritis;
  • osteochondrosis of the joints;
  • intervertebral osteochondrosis;
  • other diseases of the spine and joints.

The drug is contraindicated and may cause side effects in the following situations:

  1. increased bleeding;
  2. pregnancy and lactation;
  3. sensitivity to certain components;
  4. thrombophlebitis;
  5. children under 15 years of age.

Form of release of Structum and method of its use

This medicine is sold by pharmacists Available in three forms:

  • blue colored capsules;
  • coated tablets (500 mg, 250 mg);
  • solution for injection.

In what doses and how is the medicine Structum taken?

This will be determined by the attending physician after examination.

The classic dose is 1 capsule or tablet twice a day.

The duration of treatment is from 3 months to 6.

Injections are administered intramuscularly at 0.1 mg at a time.

The injections have prolonged (extended) action, that’s why they install them every other day. The course of treatment may consist of 25-40 injections.

Prices and reviews about the drug

The cost of tableted Structum varies between 950 - 1100 rubles.

Capsules and injections cost about the same.

Reviews about the use of this drug are positive, there is a noticeable effect some time after the course of treatment. Older people note a decrease in joint pain and improved joint mobility.

Alesya I., (36 years old)

“I was involved in sports professionally, but one day I felt pain in the spine, which became stronger with each workout. I turned to a doctor for help and was diagnosed with osteoarthritis of the spine.

One of the drugs prescribed for treatment was Structum. I took the drug for 3 months, but after the first three to four weeks of taking it, I began to pay less attention to spinal pain and after 1.5 months I felt like a completely healthy person.

However, she continued to use Structum as prescribed by the doctor in order to consolidate the effect and avoid relapse.”

Alla Ivanovna, (68 years old)

“I have problems with my knee and hip joints - my constant physical work has taken its toll. Once every 2-3 years I take a 3-month course of Structum, the pain gradually subsides and I feel like an ordinary healthy person.”

Drug analogues

There are many analogues of the drug Structum, which also contain chondroitin as a base.

First group: Chondrolone, Strucnotin, Mucosat, etc. Contains only chondroitin sulfate.

Second group: Artra, Teraflex. In addition to chondroitin, the composition includes glucosamine.

Third group: Aflutop, Rumalon, Piasledin, etc. The composition includes natural substances: cartilage of marine fish tissues, soybean extract.