Zesam
Zesam Uses, Dosage, Side Effects, Food Interaction and all others data.
Physiologic methyl radical donor involved in enzymatic transmethylation reactions and present in all living organisms. It possesses anti-inflammatory activity and has been used in treatment of chronic liver disease. (From Merck, 11th ed)
S-adenosylmethionine is an intermediate metabolite of methionine. Its involvement in methylation assists in cellular growth and repair, maintains the phospho-bilipid layer in cell membranes. It also helps in the maintenance of the action of several hormones and neurotransmitters that affect mood. Highest concentration are found in the brain and the liver.
| Trade Name | Zesam |
| Generic | Ademetionine |
| Ademetionine Other Names | Ademetionine, AdoMet, L-S-Adenosylmethionine, S-Adenosylmethionine, SAM-e, SAMe |
| Weight | 400mg, 200mg |
| Type | Tablet |
| Formula | C15H22N6O5S |
| Weight | Average: 398.44 Monoisotopic: 398.137239006 |
| Groups | Approved, Investigational, Nutraceutical |
| Therapeutic Class | |
| Manufacturer | Alkem Laboratories Ltd |
| Available Country | India |
| Last Updated: | September 19, 2023 at 7:00 am |
Uses
S-Adenosylmethionine (SAMe) is used as a drug in Europe for the treatment of depression, liver disorders, fibromyalgia, and osteoarthritis. It has also been introduced into the United States market as a dietary supplement for the support of bone and joint health, as well as mood and emotional well being.
Zesam is also used to associated treatment for these conditions: Fatigue, Intrahepatic, Cholestasis, Major Depressive Disorder (MDD)
How Zesam works
S-Adenosylmethionine (SAMe) is a natural substance present in the cells of the body. It is a direct metabolite of the essential amino acid L-methionine. SAMe plays a crucial biochemical role in the body by donating a one-carbon methyl group in a process called transmethylation. SAMe, formed from the reaction of L-methionine and adenosine triphosphate catalyzed by the enzyme S-adenosylmethionine synthetase, is the methyl-group donor in the biosynthesis of both DNA and RNA nucleic acids, phospholipids, proteins, epinephrine, melatonin, creatine and other molecules.
Toxicity
Irritating to mucus membranes and upper respiratory tract. Can cause CNS depression.
Elimination Route
S-Adenosylmethionine is absorbed from the small intestine following oral intake. As absorption is affected by food, it is best to take on an empty stomach. Bioavailability is low following oral intake.
Innovators Monograph
You find simplified version here Zesam
FAQ
How safe is Zesam?
Zesam is used in the treatment of liver disease. It is used in liver condition associated with reduced bile formation. Zesam protects the liver cells from toxins and helps the liver to perform its normal function.
How safe is Zesam?
Zesam is considered safe for most adults. However, it can worsen symptoms in patients with certain disorders, such as bipolar disorder or Parkinson's disease.
What are the common side effects of Zesam?
Common side effects of Zesam are include:
- gas
- constipation
- diarrhea
- vomiting
- dry mouth
- headache
- mild insomnia
- anorexia
- sweating
- dizziness
- nervousness
- skin rashes
- serotonin syndrome
Is Zesam safe during pregnancy?
Pregnant women should not take Zesam.
Is Zesam safe during breastfeeding?
Zesam is considered safe for most adults.
Can I drink alcohol with Zesam?
Avoid consumption of alcohol while taking Zesam as it may cause increased dizziness and liver damage.
How do I take Zesam?
Zesam tablets should be swallowed whole. For better absorption of ademetionine and complete therapeutic effect, ademetionine tablets should not be taken with meals.
How long does Zesam take to work?
The effects of IV or IM treatment are evident after 1-2 weeks of therapy, whereas, oral treatment is suitable for maintenance therapy.
What is the common side effects of Zesam?
The half-life is about 100 minutes.
Can I take Zesam for a long time?
You are advised to take Zesam for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side-effects such as abdominal discomfort, abdominal pain, diarrhea, nausea, dizziness, insomnia.
Can I stop taking Zesam?
Do not discontinue Zesam without consulting your doctor. To treat your condition effectually, continue taking Zesam for as long as prescribed.
Who should not take Zesam?
Do not take Zesam if you are allergic to any of its contents, if you have used an MAO inhibitor in the past 14 days, inflammation of gall bladder and bile ducts, narrowing or blockage bile ducts, biliary colic, calcified gallstones, improper constriction of the gallbladder, gastric or duodenal ulcer.
What happens if I miss a dose?
Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra Zesam to make up the missed dose.
Can I overdose on Zesam?
Cases of overdose with Zesam appear to be rare. Physicians should contact local poison control centers. In general, patients should be monitored and supportive care provided. Known hypersensitivity to ademetionine or to any of the excipients of Heptral.
Can Zesam affect my heart?
Side effects can include heart problems, shivering, and anxiety.
Can Zesam affects my liver?
Zesam can be given to children with caution if prescribed by the doctor. Avoid consuming alcohol along with Zesam as it could lead to increased drowsiness and liver damage.
Does Zesam cause weight loss?
Zesam works more rapidly and does not cause weight gain, sexual dysfunction, sedation, or cognitive interference.
Is Zesam safe for kidneys?
The established nephroprotective properties of Zesam that are potentiated by Meldonium are probably due to the ability of these Zesam to eliminate endothelial dysfunction, improve microcirculation, and prevent the progression of kidney fibrosis.
Does Zesam increase dopamine?
Zesam increases turnover of serotonin and may increase levels of dopamine and norepinephrine.
