BLEMAREN instructions for use, description of the medicinal product BLEMAREN contraindications, side effects, dosages, composition

Norms and recommendations for treatment

The normal acid-base balance is 6 to 7 to dissolve uric acid stones.
For cystine stone to decompose, it should be between 7.5 and 8.5. For the treatment of porphyria, the indicator should show from 7.2 to 7.5. The value given by the indicator must be indicated on the calendar, since this is important information for a specialist. Based on the notes, you can draw conclusions about the dynamics of treatment and prospects.

The course of treatment ranges from 1 month to six months. Throughout therapy, you need to measure the composition of urine with an indicator and monitor its condition.

During treatment with Blemaren, it is important to review your diet. It should not contain a lot of protein, so you need to give up an abundance of meat, eggs, cottage cheese, etc.

To treat urolithiasis in the absence of special recommendations from a doctor, it is important to drink a lot of water. For an adult weighing at least 60 kg, the daily fluid requirement is 2 liters. In this case, you need to drink clean water - coffee, tea and drinks are not included in the recommended 2 liters.

Blemaren combines well with other medications, so it is suitable for complex therapy. Due to the fact that its composition does not conflict with most ingredients, experts select additional means for the treatment of urolithiasis, this allows them to achieve good results in a short period of time.

Release form and composition

Blemaren is available in the form of a granular powder or white effervescent tablets for oral administration. Tablets are produced in packs of 80 pieces, powder - in plastic bags packed in a plastic container weighing 200 g.

The main active ingredients of the drug are: anhydrous citric acid; potassium bicarbonate; trisodium citrate anhydrous.
Auxiliary components: lactose monohydrate; adipic acid; mannitol; sodium saccharin; food flavoring (lemon); polyethylene glycol 6000.

Each product package contains indicator paper and a control calendar. The preparation in the form of granules comes with a measuring spoon.

Similar means

There are a number of medications that have a similar effect; their use is agreed with the doctor and is advisable if it is impossible to use Blemaren for one reason or another.

Domestic substitutes

Among modern substitutes we can note

Phytolit, which is similar in composition and form of action, is available in capsules, tablets and solution;

Foreign new generation

There are a number of medicines that have a similar effect, but have a different composition compared to Blemaren.

The list of similar analogues can include:

- Available in the form of drops, the drug is classified as a biologically active food supplement, has an anti-inflammatory, diuretic effect. With prolonged use, it dissolves stones and removes them naturally, but is most effective against sand. The cost is 400 rubles.
– a natural, herbal preparation in the form of a paste with a combined effect: it stops the process of inflammation, increases the outflow of urine, and promotes the dissolution of stones. The medicine is produced in Poland. It is used to treat urolithiasis, but only in combination with other medications. The cost is 500 rubles.
– a drug in tablet form, produced in India, consists of herbal components, is used in urology and nephrology to treat diseases of inflammatory, infectious and other nature. In particular, it is prescribed during the treatment of urolithiasis, in order to dissolve and remove formed sand particles or small stones from the body. The cost of the medicine is 390 rubles.
Quoted.
Citrokas.

If stones form in the organs of the urinary system, doctors recommend the medication Blemaren for their timely and painless removal. The principle of action of the drug is based on increasing the pH of urine to a level where stones dissolve. Before starting a course of drug therapy, you should consult your doctor.

Side effects

According to reviews of Blemaren, taking this medication can lead to some side symptoms and negative reactions:

allergic reactions to the main substances or additional components of the drug - a skin rash, itching, swelling resembling a nettle burn (urticaria), Quincke's edema may appear;
metabolic alkalosis – the formation of alkaline reactions in the blood and intercellular fluids;
dyspeptic syndrome – abdominal pain, bloating, nausea;
the occurrence of swelling of the skin as a result of a delay in the release of sodium ions from the body.

If negative symptoms occur, the medication should be discontinued and consult a specialist.

According to reviews, analogues of "Blemaren" are no less effective.

Drug compatibility

Blemaren can be used with other drugs, including for the treatment of the genitourinary system. However, you need to adhere to the rule: if medications contain aluminum compounds and citrates, then you should take them 2 hours before taking Blemaren. This is due to the fact that it dramatically reduces the effectiveness of aluminum drugs. The same should be done with medications containing glycosides. To avoid weakening the effect of drugs, Blemaren should be used separately, an interval of 2 hours is the minimum acceptable.

If you are prescribed antihypertensive drugs or analgesics, potassium compounds may be eliminated much more slowly. That is why you should prepare for your doctor a list of all the medications you are taking, including dietary supplements and vitamin complexes. This is necessary in order to prevent a decrease in the effectiveness of the medications taken. Blemaren has an enhancing effect on allopurinol, so care is required when prescribing.

Interaction with other medications

When used together with drugs based on citrates or aluminum, absorption of aluminum may occur. This effect can be prevented by maintaining a two-hour interval between medications.

The drug contains potassium, which can reduce the effectiveness of cardiac glycosides.

Some antihypertensive drugs, such as NSAIDs, analgesics, potassium-sparing diuretics, ACE inhibitors and aldosterone antagonists, can inhibit potassium excretion. The advisability of combining these drugs during therapy should be determined by a doctor.

How to use the product

urolithiasis disease;
when carrying out the prevention of stone formation;
with skin porphyria;
to enhance the alkaline component of urine when prescribing a cytostatic.

The drug can be used as an additional remedy for hyperuricemia as part of complex therapy as prescribed by a doctor.

Contraindications include all problems of the genitourinary system, including kidney failure, impaired excretory function of the body, and insufficient blood circulation. It is not recommended to take tablets during a strict diet and poor nutrition, when limiting salt intake, or with hyperkalemic paralysis. An individual reaction to the components of the drug, intolerance and allergic reaction is possible.

The drug Blamaren cannot be purchased or taken on your own without first consulting a doctor. The components of the medicine are active; this requires studying urine tests and, in some cases, the results of ultrasound and other studies. Before starting use, even if you have consulted a urologist, read the instructions carefully and do not throw them away until the end of therapy.

The dosage of Blemaren is determined by a specialist and cannot be changed. The number of tablets taken per day can vary from 2 to 6, that is, you can take up to 6 g of medication per day. You need to drink them after meals three times a day, dissolving them in water. You can use fruit juice to dissolve the tablet, but it is better to do this with water or weak herbal tea. Before each use of the tablet, you need to measure the level of acid-base balance in your urine; this is easily done using the indicator and measuring spoon included in the medicine package.

Indications

Blemaren is used in the treatment of a number of diseases. The active substances included in its composition have 100% bioavailability, are absorbed in the intestines and enter the blood within 20–30 minutes after administration. The components of the drug are excreted unchanged by the kidneys. This is a very important indicator in the treatment of any form of kidney disease.

The drug is prescribed in the following cases:

to dissolve and remove calcium oxalate stones, as well as to prevent their appearance if the acidity of the urine is high;
for the destruction and removal of stones partially consisting of oxalate salts - at least 25%;
for alkalinization of urine - for example, in cases where the patient is taking cytostatics or drugs to remove uric acid. In this case, its acidity increases sharply and there is a risk of precipitation of oxalate salts;
with gout - the condition of such a patient depends on the level of uric acid in the blood and urine. Taking blemarene allows you to regulate the concentration of uric acid;
in the treatment of hyperuricemia - an increase in the level of uric acid in the blood;
for skin porphyria – treatment of the erythropoietic form of the disease requires the use of large amounts of hydroxyurea. Blemaren allows you to maintain an optimal pH level.

Instructions for use

The instructions for use indicate that before oral administration, Blemaren effervescent tablets are dissolved in 200 ml of liquid (tea, fruit juices or alkaline mineral water).

The daily dose is 2-6 tablets, distributed evenly throughout the day and taken after meals.
The dose is considered correctly selected if the urine pH during the day is within the range of 6.2 -7 - to dissolve uric acid stones; 7.5 – 8.5 – for dissolving cystine stones; 7.2-7.5 – for the treatment of porphyria; at least 7.0 – when treated with cytostatics.
If the urine pH value is lower than specified, the dose must be increased, if higher, it must be reduced. The duration of treatment is 4-6 months.

Efficiency monitoring (determination of urine pH) is carried out 3 times a day, before taking each single dose, using indicator paper. The resulting color on paper is compared within 2 minutes with the scale and the resulting value is entered into the control calendar.

In the presence of cystine stones and treatment of porphyria, special indicator paper with a pH value of 7.2 to 9.7 should be used to monitor effectiveness.

Indications for use

Why does it help? Treatment with Blemaren is prescribed when it is necessary to dissolve kidney stones, namely:

dissolve mixed uric acid-oxalate stones with an oxalate content of up to 25%;
dissolve uric acid and calcium oxalate stones and prevent their formation;
perform urine alkalinization in patients who receive cytostatics and agents that can increase the excretion of uric acid;
carry out symptomatic treatment of skin porphyria.

Contraindications for use

The use of this drug in the form of effervescent tablets is unacceptable in certain pathological conditions of the body, the list of which includes:

cases of individual intolerance or high sensitivity to the main active elements or excipients of this medication;
failure of renal function of a chronic or acute course with deterioration in the formation of secondary and primary urine;
metabolic alkalosis is a condition in which an alkaline reaction of urine and blood occurs; the use of the drug in this case complicates the course of the underlying disease;
infectious and inflammatory processes in the urinary organs, the pathogens of which, against the background of their vital activity, contribute to the breakdown of lactic acid;
severe arterial hypertension or other pathological conditions that require salt-free nutrition;
in cases where the pH level in the urine is above 7.0.

The use of effervescent tablets under the age of 12 is not recommended, since there is no clinical evidence of the absence of their negative effects on the child’s body. Contraindications must be determined before starting to use this medication.

basic information

The drug is available in the form of large tablets; they are usually dissolved in water before use. When used correctly, the drug has the following effects on the human body:

normalizes the acid-base level of urine;
promotes the dissolution and removal of stones and sand;
prevents the formation of new stones by maintaining normal urine acidity.

Due to its combined action, it is prescribed to patients of various groups; it includes the following components:

lemon acid;
sodium citrate;
sodium bicarbonate.

These are active substances, but they also contain auxiliary substances that do not have a medicinal effect on the human body.

Blemaren is used over a long period of time, the duration of course therapy is determined individually. With long-term use, it is recommended to monitor the acidity level of urine using specialized strips.

In some cases, the use of the drug may not lead to the desired result. The effectiveness of therapy is monitored using appropriate methods ().

During treatment, it is advised to follow a salt-free diet or significantly reduce sodium intake. This will improve the effectiveness of treatment. Will have a positive effect on the effect.

Indications and contraindications

The medicine is used for several purposes; its use is advisable:

for kidney diseases, as part of complex therapy;
during the presence of stones or sand in the pelvis, bladder;
in the presence of high urine acidity (but not higher than 7).

But you should not resort to pills if obstruction has occurred and the ureter has been blocked by a stone. In such a situation, the medication is ineffective, since it is intended for long-term use, and in case of emergency assistance is required.

The following conditions are listed as contraindications:

period of pregnancy and lactation (effectiveness in this group of people is unproven);
metabolic alkalosis;
a history of inflammatory or infectious diseases of the urinary system;
hypersensitivity to components, individual intolerance;
diseases of the endocrine system (with caution in diabetes mellitus);
acute and chronic renal failure with impaired filtration function of organs.

If there are contraindications, the use of tablets is prohibited, since there is a high probability of developing unwanted side effects.

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Cystenal

The medicinal product “Cystenal” is a powerful diuretic (diuretic), anti-inflammatory and antispasmodic drug. It has a direct effect on smooth muscles and promotes the destruction of kidney stones. The drug "Cystenal" is used to treat pathological disorders of the urinary system, among which are: crystalluria, urolithiasis, which is accompanied by secondary inflammatory changes and spasms of the smooth muscles of the urinary tract. The use of the medication is strictly contraindicated in chronic or acute forms of glomerulonephritis, ulcerative lesions of the duodenum or stomach, renal failure, as well as in cases where the patient has various pathologies requiring surgical interventions.

Analogs

There are a number of drugs that can be considered analogues of the drug. The most popular among them are:

"Urolesan". It has a diuretic, antiseptic and antispasmodic effect. The main difference from the original is the ability to increase the acid level in urine.
"Cistenal". Helps facilitate the natural passage of small stones. When taken systematically, the drug transforms stones into sand.
"Phytolysin". The effectiveness of the drug is due to the removal of urea from the body, as well as the prevention of the formation of kidney stones. In addition, “Fitolysin” has an anti-inflammatory effect. This is what the instructions for the Blemaren analogue tell us.
"Uronefron." Helps wash away sand and small stones from the kidneys, and also prevents the crystallization of mineral salts.
"K-Na hydrogen citrate" is capable of increasing urine alkalinity. The drug helps dissolve stones that occur in the urinary system and their further excretion in urine.
"Soluran." Prescribed for urolithiasis. Promotes the transformation of kidney stones and their excretion in urine.

A fairly popular question among patients is about the differences between Blemaren and Uralit U. The composition of both drugs is quite similar, as well as the properties. The release form of the drugs differs; Uralit U is produced in the form of a powder. It is believed that effervescent tablets are a more convenient form of the drug, since there is no need to verify the required dosage.

How to effectively and quickly dissolve kidney stones?

The appearance of kidney stones is characterized by severe pain and discomfort, after which the patient consults a doctor. Statistics show that kidney stones occur in both children and older people, especially men. The main problem for such patients is how to dissolve kidney stones to avoid surgery.

Indeed, in medical practice several methods are used to dissolve stones without surgery, which are successfully used at an early stage of the disease, while the formations are not so dense and large. However, not all methods should be taken on faith, since, together with an unfounded declaration of stone removal, these methods can harm the patient’s health. Let's figure out what means you can use to dissolve stones without surgery, and what procedures will not bring the expected result.

Methods for dissolving stones with zero efficiency

In order not to call such methods simply charlatan, we note that they do not bring the expected effect, and in some cases they can harm human health. Nevertheless, such methods of dissolving kidney stones at home are spreading in the media, on the Internet, and people learn about them from friends. Let's debunk the myth about the most common methods of dissolving stones without surgery.

Dissolving urates with water is one of the popular myths, which is only partly true. Indeed, drinking large amounts of water significantly normalizes the chemical composition of urine and reduces the concentration of salts. In terms of preventing stone formation, the method may work, but with already formed stones, water does not help in any way, since even specialized preparations do not always cope with urate stones, not like ordinary water.
Dissolving stones with acidic drinks - there is a popular myth that in order to remove stones without surgery, you need to drink as much acidic liquid as possible. In light of this attitude, patients begin to drink those acidic liquids that they previously did not drink without sugar. The most popular recipes are lemon and cranberry juices. These are the most accessible acidic foods from which you can get a “healing” drink. However, drinking acidic drinks not only does not remove kidney stones, but also provokes gastric and duodenal ulcers and internal bleeding.
The use of diuretics - at first glance, their use is quite reasonable for urate stones in the kidneys, but with increased urine production, the stones can move and block the exit from the renal pelvis, and then serious complications arise - nephritis, renal colic, tissue necrosis.

Drug treatment

Dissolution of kidney stones is possible in a conservative way, that is, without surgery. For this purpose, there are a number of medications that have a destructive effect on kidney stones. On the part of the patient, it is necessary to understand that the dissolution of stones may take more than one week, so you need to prepare for long-term use of drugs. During the entire course of conservative therapy, the patient must be observed by a doctor to monitor the process of stone growth, its movement from the renal pelvis to the ureter, and the presence of possible complications.

The folk way to cleanse the kidneys! Our grandmothers were treated using this recipe...

Cleaning your kidneys is easy! You need to add it during meals...

Madder extract is an effective remedy, especially in relation to phosphate stones. When you consume this plant, the color of your urine changes - it becomes rusty-red, but you should not be afraid of this. Madder is a natural herbal remedy, but in case of overdose it can cause serious poisoning. Therefore, the drug is not prescribed with the drug Cyston, which also contains this component.
The drugs Asparkam and Panangin are active against urate stones and oxalates. They can dissolve kidney stones quite effectively, but the drugs are prescribed with caution to heart patients, since this negatively affects the health of such patients. At the same time, side effects may include burning, thirst, vomiting or nausea, and diarrhea. These tablets are not recommended for use by pregnant women.
Blemaren is another drug that helps dissolve oxalates and urates. With the help of Blemaren, the urine is saturated with alkali, which subsequently provokes a destructive effect on kidney stones. Side effects of taking this drug include an allergic skin rash, swelling, and dyspeptic disorders, but such negative consequences rarely occur. They prefer not to prescribe the drug to small children, and to pregnant women only if absolutely necessary.
Allopurinol - like Blemaren, is aimed at reducing uric acid levels. The drug copes well with dissolving multiple stones, especially urate stones. Allopurinol promotes the rapid removal of feces from the renal pelvis. Such processes can provoke allergic manifestations on the skin and somewhat worsen the functioning of the liver and brain, so Allopurinol is prescribed with extreme caution.
Cystone is active in dissolving oxalates. A huge advantage of this drug is that it does not affect the chemical composition of urine. The drug Prolit has a similar effect. Usually the drug is prescribed after meals, but there are no special restrictions on its use. Please note that in rare cases, allergies may occur after using Cyston.

Traditional methods

The problem of hard deposits in the kidneys is so old that our ancestors tried to solve it. Therefore, in folk medicine there are recipes that can be used to dissolve kidney stones. Here are a few examples that can be life-saving for people with small-sized stones for whom surgery is not indicated:

You can dissolve kidney stones using rosehip root. Finely chop a few roots, add water and boil for 15 minutes. You need to take one teaspoon 3 times a day before meals. According to experts in the field of traditional medicine, if all requirements are correctly followed, kidney stones leave the kidneys by the end of the second week of using the product.
You can also dissolve stones using bloodroot juice. The plant is washed and finely chopped - the juice is squeezed out through cheesecloth, mixing it in equal quantities with rye juice. You can take the resulting product 3 times a day, one tablespoon at a time.
Parsley is used in the treatment of many pathologies, including urolithiasis. To prepare the product, you need to take 20 g of parsley along with the roots, rinse thoroughly under running water, then pour in 2 cups of boiling water. The resulting mixture should boil for 2 minutes, after which the saucepan is removed from the heat and allowed to cool naturally. A slightly warm decoction should be drunk before meals three times a day.
Treatment with apple cider vinegar should be carried out under the strict supervision of a doctor, since the acid in large quantities can damage the stomach. A couple of tablespoons of apple cider vinegar should be diluted in a glass of water, and then taken 2 times a day - morning and evening, for 12 days.
Treatment with flax seeds is a popular folk remedy known for its gentle effect on the stomach. To prepare it, you need to pour 12 teaspoons of flax seeds into one liter of boiling water, then boil for 10 minutes. The resulting product is steamed in a thermos; the entire volume must be drunk within six hours.

Treatment of kidney stones without surgery is a difficult and responsible process. Conservative treatment of the disease, although rarely used, brings good results in the case of small stones. When using drugs to dissolve kidney stones, the patient must take great responsibility to monitor the time of administration and dosage.

General characteristics

The drug Blemaren is actively used in the treatment of urolithiasis. It is prescribed due to the formation of stones in the genitourinary system. The drug is recommended for use only as prescribed by a doctor.

Blemaren neutralizes urine and maintains a normal level of acid-base balance for the body. Because of this, stones with a uric acid structure decompose and pass painlessly. New ones are no longer formed. The drug is excreted by the kidneys and does not have significant side effects.

Blemaren can be found in any pharmacy, the release form is soluble effervescent tablets. They have a white color, a round flat shape, and an unobtrusive lemon aroma. The packaging is plastic, resembling a tube. The medicine is available in a format of 80 tablets. The packaging is durable, you can carry it in your bag, the cap closes tightly.

The medicine kit contains a calendar indicator, it is needed to track the acid-base balance, and there is a measuring spoon.

The popularity of the drug Blemaren is associated with its simple and effective composition. The instructions for use say that the medicine contains citric acid, potassium bicarbonate, anhydrous trisodium citrate. This is the actual active part. Excipients include mannitol, lactose monohydrate, macrogol, adipic acid, lemon flavor, sodium saccharin.

4 effervescent tablets of Blemaren contain 1.5 mg of potassium and 0.9 g of sodium

Patients who refuse to consume salt should take this fact into account

Opinion on the use of the drug by doctors and patients

On various forums you can read the points of view of specialists and reviews of patients who took Blemaren:

The doctor I went to prescribed Allopurinol for a long time and persistently, but it didn’t help much. I came across Blemaren and bought it myself. The disadvantages are that they are expensive, but they turn into advantages because the price includes test strips for determining the acidity of urine. According to tests for uric acid levels before and after administration, there was a change almost to normal (it was 100 units above the upper limit of normal).

Maksim

The instructions say that it does not help with all types of stones - I didn’t know my type, but the doctor prescribed it and within a month the stone shrank and passed. Of the minuses, you need to monitor the acidity of the urine when taking Blemaren and, in my opinion, the acidity of the oral cavity. I found a way out - drink through a juice straw.

Andrey

A two-month course of Belarmen got rid of a 4-millimeter oxolate stone, he took 3 tablets a day, and didn’t even use auxiliary acidity measurements.

Sergey

The price is high, but the packaging is large and there are many extras - convenient tubes, a diary-calendar, indicators. I like these things, the treatment turns out to be interesting and it’s easy to follow the recommendations when you can conduct a self-examination yourself and see the results. Therefore, the price is justified (I found the cheapest option - a little more than a thousand), despite the simple composition. Simple but effective! After a month of treatment, I underwent diagnostics: everything that was more than 3 mm was not detected on ultrasound.

Marina

Blemaren dissolved my urate stones and was prescribed by my doctor. There was pain when the flakes came out - but I think there would be much more pain when the stones began to come out as they were. I take it in courses prophylactically, since the body is prone to forming stones on a constant basis.

Daniel

After Blemaren’s course, not only did the urate resolve, but my joints also felt better.

Sofia

My husband took 3 tablets a day; there were two courses as prescribed by the doctor. It didn't help. It's also a shame because it's very expensive.

Valentina

Didn't help with the stone. But I paid more than a thousand rubles for stomach problems. The composition is strange, there is almost nothing except acid - why so much money?

Kate

The scheme is too complicated, you need to keep a diary, even with the minimum dose (less than 1/4 tablet) I developed increased acidity. The strips must be cut into four parts, otherwise there will not be enough of them. And it didn’t help with the stone in the end.

Alexander

My story with Blémarin continued throughout my youth, the stone became larger and smaller, reaching up to one and a half centimeters, but it never dissolved. For about 10 years I took it in six-month courses, an oxalate stone. Too expensive for a useless drug.

Contraindications

Blemaren has a number of contraindications that must be taken into account when prescribing it. This medication is not prescribed for severe renal failure, the presence of infections and pathogens in the urinary system that can break down urea, or severe arterial hypertension. The drug is contraindicated in case of acid-base imbalance - metabolic alkalosis. You should stop taking the medicine if you are hypersensitive to its components. Due to the lack of clinical trial data, it is not recommended to use this medication during pregnancy and lactation.

Pharmacodynamics and pharmacokinetics

Blemaren is a medical drug with nephrolitholytic, urine-alkalinizing properties, which is characterized by a local effect in the body. The components alkalinize the acid-base state of urine, thereby reducing the intensity of the formation of crystals of calcium salts, oxalates, and uric acid. Elimination of such pathogenic factors reduces the number of relapses of nephrolithiasis (urolithiasis).

This medication dissolves existing small stones and prevents the formation of new ones. According to the instructions, when administered orally, a single dose of Blemaren is quickly absorbed from the digestive tract. Bioavailability indicator – 100%. The maximum concentration in the blood plasma of the active substances is reached 20–30 minutes after taking the tablet. Blemaren is excreted unchanged through the kidneys and urine.

Possible side effects

Like any drug, Blemaren has contraindications and side effects. If the function of the urinary tract is impaired, the drug may cause gastrointestinal disorders. This is expressed in heartburn, belching, increased flatulence, diarrhea, and abdominal pain. In some cases, if the medicine is used correctly, edema and dyspeptic symptoms may occur. In this case, you need to consult a doctor.

If an overdose of Blemaren occurs, you need to return to the correct dose and consult a doctor for symptomatic treatment procedures. The better you understand how a particular substance works, the more conscious your actions will be. Blemaren is not intended for the treatment of pregnant women and patients in the lactation stage. There have been insufficient studies on the effects of the active components of the drug on the fetus, so it is better not to risk your health.

Blemaren is not suitable for children, since studies have not revealed accurate data on the effect of the active part of the drug components on the children's body. However, this drug can be prescribed by a pediatrician to treat a disease that requires special means.

In case of overdose, you should not rinse the stomach, as the drug is quickly absorbed into the blood and begins to work quickly. First of all, you need to lower the dose, but do not stop taking it yourself and seek help from a doctor to find out what further steps to take.

Features of tablets and release form

Doctors prefer Blemaren due to its high effectiveness, unlikely overdose and lack of significant side effects. However, the drug should not be taken by pregnant or lactating women; it is difficult to combine with other strong medications. Blemaren does not have a low cost compared to analogues. The drug is used as a therapeutic and prophylactic agent; it is not an aggressive drug, so it is prescribed to people of all ages.

Side effects rarely include swelling due to sodium, allergic reactions to citric acid and flavoring. Dyspepsia and metabolic alkalosis are rare. Blemaren works well as a medicine and prophylactic; it gives good results in the treatment of nephrolithiasis, urolithiasis, and muscular dystrophy.

Due to the specific composition of the medicine, you should drink Blemaren only in the form of a solution, dipping the tablet in water or other liquid. It is quickly absorbed and begins to work actively. Blemaren does not contain carbohydrates, so it is safe for patients with diabetes. This medicine is modern and safe, does not clog the body with excipients.

There are not only the form of effervescent tablets, which is the most convenient, but also powder and granules. You can choose the option that will be convenient for you. The method for preparing a solution from a tablet, powder or granule is the same, only the dosages will differ. Effervescent tablets are convenient to carry with you, and powders can be used at home. It is necessary to measure the acid-base balance of urine before and after taking the drug.

Tablets, ointments and other drugs for kidney stones

Urolithiasis requires urgent treatment to avoid complications. Is there a cure for kidney stones that would allow you to get rid of the stones without surgery? Yes, treatment of kidney stones with medications is widespread in the practice of traditional medicine. Urologists recommend that patients take medications to crush hard formations and remove them from the body naturally.

Drugs that help dissolve kidney stones

Treatment with medications, as opposed to fighting stones with folk remedies, is more convenient. It is enough to take the tablets according to the prescription drawn up by the doctor at a certain time. With infusions, decoctions and tinctures, everything is more complicated: you need to prepare the mixtures, brew them yourself, strictly following the recipe. If the product is not prepared correctly, then no effect should be expected from it. However, drug treatment involves significant financial costs.

Tablets that dissolve stones

Treatment of kidney stones is effective with the following tablets:

Madder extract. Used to dissolve phosphate stones. The tablets turn the urine red - this is not blood. Cannot be combined with Cyston;

Asparkam (expensive analogue - Panangin). Effective in the fight against oxalates and urates. These are heart pills, so they should be taken with caution. But this is one of the most effective drugs that fights oxalates;

Blemaren. Oxalate and urate dissolving agent. These are white effervescent tablets that help alkalize urine;

Allopurinol, like Blemaren, is designed to fight urate and oxalate stones. Helps reduce the concentration of uric acid in urine;

Purinol. Copes well with urates;

Cyston is a drug intended to dissolve oxalate stones. Tablets can be used for urolithiasis with solid formations of a different composition, so they do not change the acid-base balance of urine;

Prolit is similar in action to Cyston.

Hard deposits in the kidneys are formed due to deviations of the acid-base balance from the norm and the characteristics of metabolism in the body. Therefore, individual preparations intended for dissolving stones should be used only to combat a specific type of stone. If you do not follow this rule, or take tablets in larger or smaller quantities than the doctor prescribed, then deviations in the acid-base balance from the norm will persist in one direction or another. This will lead to the growth of existing stones or the formation of new ones.

Other medicines

Not all drugs are sold in tablet form. Treatment of kidney stones is also carried out using the following means:

Xidifon is a solution for oral administration. Used to dissolve phosphate and oxalate stones;
Urolesan is a solution in drops. Promotes the removal of stones from the kidneys naturally due to diuretic and antispasmodic effects;
Phytolysin is a paste that washes away sediment from kidney stones.

When removing stones, you should take not only drugs that help break them up, but also drugs that help remove them through the urinary tract. Therefore, treatment must be comprehensive. You shouldn’t prescribe it yourself. You should visit a urologist to determine which medications for kidney stones should be taken and in what quantities.

Mineral water

Mineral water can help you dissolve stones. It can be neutral, acidic or alkaline. Water should be selected depending on the types of stones deposited in the kidneys:

Medicinal alkaline water – for oxalates and urates (Dilijan, Polyana Kvasova, Borjomi, Essentuki 17);
Acidic mineral water – with phosphates. These include Narzan, Smirnovskaya or Mirgorodskaya.

Mineral water may have its own number. If there is a number 4 after the name, then it is slightly alkaline. If water has the number 17 in its name, then it is considered alkaline. Thus, a mineral water with the same name may have a different acid-base balance depending on the number next to it.

Prognosis for treating kidney stones with medications

Treatment of kidney stones with medications and medicinal waters is very effective if you follow a number of rules:

Before taking medications, it is necessary to undergo a urological examination in order to identify the nature of the stones, their size and the possibility of dissolution with the help of medications;
Consult your doctor to prescribe medications. The urologist determines which medications are needed and in what quantity for each patient individually;
There is no need to self-medicate or take medications about which you have not consulted with a doctor. They may reduce the effect of the main drug;
Take the pills at the same time, following all your doctor's recommendations.

Typically, stones begin to dissolve 2 weeks after starting medication. But improvements may not be achieved if treatment is interrupted in the middle of the course or a special diet is not followed. If crushing stones with medications is not very effective, the doctor may prescribe lithotripsy. In some cases, surgery to remove stones.

Dosage regimen and method of administration

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The tablets should be taken orally after meals, after dissolving in 200 ml of any liquid (water, tea, juice, mineral water). The recommended dosage is from two to six tablets, in several doses throughout the day, at regular intervals. The dose is set by a specialist depending on the acid state of urine. This indicator is monitored using special test strips that change color depending on the pH level (the color range is compared with the scale printed on the sample). The average duration of a treatment course with the drug "Blemarena" is 14-20 days.

Special instructions for the use of the drug Blemaren

When dissolving urate stones, prolonged excessive alkalization of urine (pH 7.8) should not be allowed, given the possible appearance of a sediment of phosphate salts on the surface of the stone, which may prevent its further dissolution. The drug can be used for compensated renal failure, which is not accompanied by potassium retention in the body. Before use, it is necessary to determine the level of electrolytes in the blood serum and check renal function. If renal tubular acidosis is suspected, a COR study should be performed. Patients with heart failure should take into account that 1 effervescent tablet or measuring spoon of the drug contains 380 mg or 9.7 mmol of potassium, which can affect the action of cardiac glycosides (an increase in the extracellular concentration of potassium reduces the effectiveness of glycosides, and a decrease increases the arrhythmogenic effect). For patients with uric acid metabolism disorders, it is recommended to combine the drug with allopurinol. Persons who follow a sodium-restricted diet should take into account that 1 effervescent tablet of Blemaren contains 220 mg or 9.7 mmol of sodium. During therapy with Blemaren, it is recommended to follow a low-protein diet, limiting the consumption of foods rich in purines (meat, sausages, offal, sardines). Every day you need to drink 2-3 liters of fluid in the form of tea, fruit juice or alkaline mineral water in order to reduce the risk of stone formation by producing a sufficient amount of urine. The drug does not contain carbohydrates and can be used to treat patients with diabetes. Changes in color of unused test strips do not affect pH results. When using the drug in accordance with the instructions, no negative effects were observed during pregnancy and lactation.

Blemaren for stones - when to take, which stones it dissolves

Patients with chronic renal failure planning to take Blemaren should have a blood test for electrolytes and determine the functional state of the kidneys. A normal potassium level indicates that there is no retention of potassium in the body and allows you to avoid adjusting the dose in any way.

The presence of potassium bicarbonate salt in the drug serves as an excellent prevention of arrhythmias 0.4 g of potassium in 1 tablet, but in people who constantly take digitalis and its derivatives digoxin, digitoxin, etc. 1 tablet contains about 0.2 g of sodium - pay attention to this for whom a salt-free diet is indicated. Diabetes mellitus is not an obstacle to taking Blemaren.

One 3g tablet corresponds to 0.02 XE.

Composition and release form of the drug

During the period of treatment with this drug, an enhanced drinking regimen is required; ideally, you should consume at least liters of alkaline liquid per day and some restrictions in the diet - in particular, reduce the amount of proteins and foods rich in purines in the diet; meat and offal, sardines, herring, chocolate, legumes etc. If the goal is the removal and dissolution of urate stones, then the course of treatment with medication is on average months, after which ultrasound monitoring is carried out. After complete cleansing of the kidneys, the medicine is taken for another month.

The use of this drug should be avoided if you have individual hypersensitivity to citrates and are prohibited from eating salt for medical reasons. Blemaren is also contraindicated in case of infection of the urinary tract with bacteria that process urea - in this case, its use is fraught with the formation of struvite.

The official instructions do not provide guidance on this matter, from which we can conclude that it is safe to take alcohol together with Blemaren. However, there is evidence of a decrease in the effectiveness of citrate when interacting with alcohol, the appearance of edema, an excessive increase in the pH of the internal environments of the body (metabolic alkalosis), cases of allergic reactions and severe depression.

Potassium neutralizes the effect of digitalis derivatives prescribed for heart failure, digoxin, digitoxin, etc.

pharmachologic effect

Blemaren has a nephrolitholytic effect. Taking the drug leads to alkalinization of urine. The active ingredients dissolve and prevent the formation of uric acid stones, as they lead to the establishment of an optimal urine pH value of 6.6-6.8. These limits of urine acidity are favorable for stopping growth and activating the process of dissolving uric acid salts.
Provides neutralization of urine through citrate metabolism. The remaining citrate undergoes oxidation to form bicarbonate. Hydrolysis of citrates promotes the release of excess alkali, which leads to alkalinization of urine and an increase in its pH. Excess alkali is excreted by the kidneys.
Blemaren reduces the excretion of calcium in the urine, increases the solubility of calcium oxalate in urine, slows down crystal formation, thereby preventing the formation of calcium oxalate stones.
The drug is characterized by almost 100% bioavailability, since the main volume of citrate is metabolized and only a small proportion is excreted unchanged by the kidneys. Reception does not cause changes in gas composition or blood electrolyte balance.

Blémarin

Almost all compounds found in urine are water soluble. However, like any salt, these substances have a certain solubility limit. It is determined by the acidity of urine. Normally the pH level is around 6, but when this value decreases, some oxalate salts cannot dissolve sufficiently and precipitate. These sediments accumulate and form stones.

Blemaren belongs to the type of medicine that tends to prevent the appearance of stones, as well as dissolve them by increasing the pH level of urine to 6.6–6.8.

Release form

The drug is available in 2 types:

dry granular powder for dissolution in water. Packaging - usually 200 g, complete with a measuring spoon - for 3 g. Packaging cost - from 1390 rubles;
effervescent soluble tablets - before use, the tablets are also dissolved in liquid: water, tea, compote. The plastic tube contains 20, 80 and 100 tablets. The price depends on the capacity of the package: a tube with 80 tablets costs on average 1077 rubles, 100 – from 1230 rubles.

Composition and release forms

The medicine is produced in the form of effervescent tablets (white, flat), 20 pieces each in plastic tubes, as well as in the form of granules (white, coarse-grained) for the preparation of solutions for oral administration, in plastic bags of 200 g. The composition of effervescent tablets contains the following active elements:

lemon acid;
potassium bicarbonate;
sodium citrate.

Additional components included in the medication in tablets are:

lactose monohydrate;
mannitol;
adipic acid;
macrogol;
sodium saccharinate;
lemon flavoring.

The contents of medicinal granules include citric acid, potassium bicarbonate, sodium citrate. The kit with the medicine in the form of granules includes a special indicator paper, with which you can determine the acidity of urine, as well as a measuring spoon and a control calendar.

We will consider reviews of Blemaren tablets below.

Special instructions: diet and drinking regimen

When taking Blemaren, you must follow a diet with a reduced content of protein products (no meat, fish), as well as a drinking regime with plenty of liquid (due to the passage of stones).

The tablet can be dissolved in mineral water, and, according to reviews, this helps to avoid stomach pain. However, it should be borne in mind that not every mineral water has the desired composition.

While taking Blemaren you can drink alkaline water:

Essentuki-4;
Borjomi;
Volzhanka Jermuk;
Berezovskaya;
Soirmi.

You should not drink mineral water, which reduces urine pH:

Naftusya;
Narzan dolomite;
Essentuki-20;
Arzni.

pharmachologic effect

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The drug has a nephrolitholytic effect, alkalinizes urine, dissolves uric acid stones and prevents their formation, normalizing the pH level, which rises to 6.5-6.9. At this value, the breakdown of acid salts in urine is significantly enhanced.

In addition, this drug reduces the excretion of calcium from the body, the formation of crystals and increases the solubility of calcium oxalates in the urine, which prevents the formation of calcium oxalate stones.

The bioavailability of this medicine is approximately 100%. The drug is completely excreted by the kidneys.

Pharmacological effect

The urological drug is recommended for alkalizing urine and dissolving stones of various chemical compositions. Optimal pH values are from 6.6 to 6.8. The drug Blemaren is used to prevent exacerbations of urolithiasis.

If the daily dosage is strictly followed, most patients note the active dissolution and removal of cystine, urate, and oxalate stones naturally. An important point is monitoring the pH of the urine, adjusting the dosage when the acidity level of the liquid decreases or increases.