"Alflutop" is a bioactive concentrate of whiting from the black sea, the black sea anchovy, sea fish, and black sea shad. In the active part of the drug also contains amino acids, polypeptides, mucopolysaccharides, chondroitin sulfate, hyaluronic acid, keratan sulfate, magnesium ions, copper, zinc, potassium and sodium. The auxiliary components include phenol and water for injection. The most important are proteoglycans, chondroitin sulfate. The drug is available only in the form of solution for injection.
"Alflutop" is prescribed for degenerative and dystrophic lesions of joints: osteochondrosis, osteoarthritis of the joints of the feet and hands, spondylosis, coxarthrosis, gonarthrosis, fibromyalgia, parodontopatii, as well as after surgery on the joints. Osteochondrosis, polyosteoarthrosis the drug has to be administered intramuscularly in the amount of 1 ml per day. You need to make 20 shots. It is recommended to repeat the course in about 3 months. Damage to the joints the drug is injected intra-articular, in the amount of 1-2 ml in each. Between shots the interval with a duration of 3-4 days. The course of therapy you will need to do in each diseased joint, five or six injections. After six months, repeat the treatment. The most effective is a combination of intraarticular and intramuscular injections.
Injections into the joint must be performed by the doctor or nurse, as this requires knowledge of anatomy. Injections do in diarthrodial joints, superficial and deep articular handbags, a connective tissue structure. The injection is accurate, if the needle can move freely inside the joint. Most injections in the wrist and elbow joints perform needle 27-gauge, having a length of 13 mm. For injections in the knee and shoulder joints use a needle of 21 gauge, having a length of 35 or 38 mm. For injection in the hip joint may require a spinal needle.
Some experts do not use local anesthesia prior to intraarticular injection, others recommend the use of 2% lidocaine solution. Common side reactions following injection include palpitations and skin redness. These symptoms can last up to 4 hours. At the beginning of the use of "Alflutop" there may be a temporary increase in pain in the joints by enhancing blood circulation, metabolism. Sometimes there are allergic reactions, transient myalgia, irritation at the injection site.