Ceraxon is a synthetic nootropic. It has a wide range of effects. The drug reduces the severity of neurological symptoms, inhibits the phospholipase action and regenerates the membrane part of the cells. In the instructions for use of "Ceraxon" (in a sachet), the main indications for admission are: hemorrhagic and ischemic strokes, brain and head injuries, as well as cognitive and behavioral disorders.
Issue form
The drug is marketed in the following forms:
- oral solution (by mouth) pinkish;
- injection solution (intramuscular, intravenous and intravenous drip) colorless;
- tablets whitish color, oval shape.
Also in pharmacies you can see the drug packaged in a sachet. This is a bag of loose medicine from which a suspension is prepared.
Composition of the drug
One injection vial contains 1000 mg or 500 mg of the main substance - citicoline. Water for injection, sodium hydroxide or hydrochloric acid are used as auxiliary components. The solution is packaged in ampoules of 4 ml, which are placed in the cells of the contour packaging. After everything is sealed in cardboard boxes.
100 ml oral solution contains 10 g of citicoline and additional excipients.
The solution is poured into a glass container with a volume of 30 ml.
Tablets contain 500 mg citicoline and excipients.
These include:
- magnesium stearate and hydrogenated castor oil;
- colloidal silicon dioxide (anhydrous) and croscarmellose sodium;
- talc.
Pills are sold in blister packs placed in cardboard boxes.
The composition of "Ceraxon" sachets and tablets is identical.
Pharmacology
Due to the main substance, the drug has a nootropic effect and has a large spectrum:
- enhances transmission of the cholinergic type in the head brain;
- regenerates membrane areas of cells;
- inhibits phospholipase action;
- stops the formation of active oxygen molecules without a paired electrode (free radical);
- reduces the number of damaged cells in the brain of the head during a stroke (acute);
- slows down and pausesneurological symptoms in traumatic brain injuries, and shortens the duration of post-traumatic coma.
The use of "Ceraxon" in a sachet, according to reviews from specialists in medicine, is especially effective in the treatment of neurological disorders (motor or sensory), which are of a vascular or degenerative origin.
The drug during oxygen starvation (hypoxia) of chronic brain tissues gives good results in the treatment of cognitive disorders (lack of initiative, memory impairment, difficulty in performing self-care activities). The instructions for use of "Ceraxon" in a sachet of 1000 mg say that taking the drug slows down the manifestations of amnesia and increases attentiveness.
This product is well absorbed. Metabolism occurs in the liver and intestinal tract, followed by the formation of cytidine and choline. After entering the body, the active substance enters the brain and is embedded in the membranes of cells of the cytoplasmic and mitochondrial type. Excretion occurs in a small volume (approximately 15%), 3% in the urine and 12% in the exhaled air.
Indications for use
Doctors identify the main indications for "Ceraxon" in a sachet.
These include:
- stroke (hemorrhagic or ischemic) during recovery;
- stroke (ischemic) in the acute period;
- head and brain injuries (during recovery and during the acute period).
Alsotaking "Ceraxon" is necessary for violations of the intellectual and behavioral type that have arisen with degenerative and vascular disorders in the brain of the head.
Contraindications
This drug should not be used by children under the age of 18 and patients with hypersensitivity to the components of the product. Also, reception is prohibited with vagotonia of a pronounced type.
However, in certain cases (the threat of cerebral palsy, prematurity, congenital pathologies, developmental delay), the doctor may prescribe this remedy for children. Before that, he makes a forecast and, if the benefit outweighs the risk, "Ceraxon" is prescribed. Treatment in this case takes place under the close supervision of a doctor. The dosage is individual for each child, taking into account diseases.
Instructions for the use of "Ceraxon" in sachets and other forms
The drug in the form of a sachet is used 20 minutes before or after meals. To prepare the suspension, it is necessary to open 1 sachet, after separating it from the rest. Then the contents are dissolved in 50 ml of water and drunk. The dosage of "Ceraxon" in a sachet should not exceed 2-3 sachets of medicine per 24 hours. The exact dosage for treatment is determined by the doctor depending on the patient's problem.
Oral solution can be taken with or after meals. It is pre-diluted in a small amount of water without gas (maximum 100 ml can be used). During the day, take 1 g twice. Durationtreatment is determined by a neurologist (usually it lasts no more than 10 days).
When using the oral solution, follow the sequence (to use a special syringe).
- It is necessary to immerse the syringe vertically into the drug vial.
- By pulling the piston up, you should draw the required amount of liquid.
- It can be dissolved in a small amount of warm water without gas or consumed undiluted.
- After taking the syringe, rinse thoroughly and dry. After that, it can be collected for further use.
According to the instructions, the tablets can be taken regardless of meals. The maximum dosage is 4 tablets. The number of appointments is individual for each patient.
Injection solution is used in several ways. It can be administered intravenously, intramuscularly and intravenously-drip. All manipulations are carried out by a nurse in a medical institution.
Side effects
In rare cases, side effects occur when the drug is taken correctly.
These include:
- mental disorders that manifest as hallucinations;
- from the side of the nervous system, headaches and dizziness are possible;
- dyspnea, respiratory;
- decrease or increase in blood pressure;
- nausea and vomiting, rarely diarrhea;
- possible manifestation of allergic reactions (urticaria, itching, burning, peeling of the skin), Quincke's edema may occur less oftenand an anaphylactic type of shock.
In rare cases, a side effect may manifest as a general deterioration in well-being with chills and swelling of the limbs.
Interaction
The main component of the drug (citicoline) is able to increase the effectiveness of levodopa. Therefore, doctors do not recommend the simultaneous use of "Ceraxon" with drugs that include meclofenoxate.
Overdose
In the instructions for use of "Ceraxon" in sachet and other forms, data on the consequences of excessive use of the drug are not indicated. In 98% of cases, the drug is well tolerated.
Pregnancy and lactation
Currently, in the instructions for use of "Ceraxon" in sachets, there is no data on the effect of the drug on the fetus and child during breastfeeding. The doctor may prescribe medication for the woman after assessing the risks to the baby. If the risk of harm outweighs the benefit, then the woman will have to stop breastfeeding.
Analogues and cost
Currently, there are several analogues of "Ceraxon" in a sachet 1000 mg.
These include:
- "Tanakan", "Cogitum", "Nooklerin", "Nootropil" - oral solutions;
- Ginkoum, Neuromet, Phezam, Vinpotropil, Noben - capsules;
- "Omaron", "Vincetin", "Ginos", "Acephen","Memotropil" - tablets;
- "Escotropil", "Cerebrolysin", "Cerebrolysate" - solutions for administering drugs into the body by injection;
- "Cortexin" - dry type extract.
Substitutes are similar in composition to the drug "Ceraxon". Before buying an analogue, you must agree with the doctor on a replacement.
The price of "Ceraxon" in a sachet varies from 1,270 to 1,490 rubles.
Terms and conditions of storage
In the instructions for use of "Ceraxon" in a sachet of 1000 mg and tablets of 1000 and 500 mg, it is indicated that the drug must be stored at a temperature not exceeding 30 degrees Celsius.
Oral solution should not be frozen or exposed to low temperatures (refrigerate). This can cause opalescence, but at temperatures above 20 degrees this phenomenon disappears.
Special Instructions
Small crystals may form in small amounts in the oral solution. This is due to preservatives that can start the crystallization process. With proper storage, they dissolve over time, and their appearance does not affect the quality of the drug.
When taking "Ceraxon" it is necessary to avoid actions associated with a high concentration of attention (driving a vehicle, working with dangerous mechanisms). This is due to a decrease in the reaction rate when using the drug. After a course of treatment, everything is normal.
Doctors in the reviews of the drug "Ceraxon" note the following positive qualities.
- It is effective in the complex therapy of chronic and acute forms of circulatory disorders in the brain of the head.
- It has a restorative function of cell membranes, and because of this, reduces damage to brain tissue.
- Effective and affordable drug available at every pharmacy.
- The product is well tolerated with few side effects.
- Ceraxon has many forms, making therapy easier.
- Used for many neurological conditions.
- The drug has a large evidence base (it is well studied).
Many doctors see no bad qualities in Ceraxon, except for the high cost.
