In the article, we will consider the instructions for use and analogues for the drug "Neuromultivit". This is a complex preparation, which includes vitamins of group B. This drug is produced in the form of white tablets for oral use, which are covered with a protective film. Pink blotches are visible at the break of each tablet.
Instructions for use for "Neuromultivit" is in each pack. Tablets are packaged in blisters of 10 pieces, in cardboard packs of 1 or 3 blisters, which additionally includes detailed instructions with a description.
One tablet contains the following active ingredients:
- pyridoxine (B6) - 200 mg;
- thiamine (B1) - 100mg;
- cyanocobalamin (B12) - 200 mcg.
The excipients of this drug are microcrystalline cellulose, magnesium stearate and povidone. The composition of the shell of the tablets includes: hypromellose,macrogol, titanium dioxide, talc, methyl methacrylate-ethyl acrylate copolymer.
Also in the instructions for use about injections "Neuromultivit" there is important information. The solution for injection is presented in glass ampoules, the volume of each is 2 ml. As part of thiamine, pyridoxine and cyanocobalamin, as well as excipients diethanolamine and purified water. The package contains 5 or 10 ampoules.
Pharmacological properties
This is a complex remedy consisting of B vitamins.
Pyridoxine (B6) is necessary for the proper functioning of all parts of the nervous system. In phosphorylated form, it is a coenzyme in the metabolism of amino acids (transamination, decarboxylation). It acts as a coenzyme for important enzymes that act in nerve tissues. This substance is involved in the biosynthesis of neurotransmitters such as GABA, dopamine, adrenaline, norepinephrine, histamine.
Thiamin (B1) as a result of phosphorylation processes in the body is converted into cocarboxylase, which is a coenzyme of various reactions. Thiamine plays an extremely important role in protein, carbohydrate and fat metabolism. And takes an active part in the process of conducting nerve impulses in synapses.
Cyanocobalamin (B12) is necessary for the normalization of hematopoietic processes and the formation of red blood cells, and also participates in many biochemical reactions that provide life (in protein and nucleic acid synthesis, in the transfer of methyl groups, in the metabolism of carbohydrates, amino acids,lipids). It affects the processes in the nervous system (during the synthesis of DNA, RNA) and the lipid composition of phospholipids and cerebrosides. Coenzymatic types of cyanocobalamin - adenosylcobalamin and methylcobalamin are necessary for cell growth and replication.
Indications for use
As indicated by the instructions for use, Neuromultivit is prescribed to patients when they have the following conditions:
- intercostal neuralgia;
- osteochondrosis with radicular syndrome;
- trigeminal neuralgia;
- polyneuropathies of various origins;
- pain syndrome along the nerve of various etiologies;
- inflammation in the nerve roots in the cervical spine;
- pain in the lumbar region due to pinched nerve roots.
Contraindications
As we are informed by the instructions for use for "Neuromultivit" in ampoules and tablets, the drug has certain contraindications to the appointment, so if therapy is necessary, it is necessary to consult a specialist and study the annotation to the drug in detail. The main contraindications are:
- hypervitaminosis with B vitamins (determined by laboratory testing);
- high individual sensitivity to this medication;
- Children under 14 years of age.
Medication should be used with caution during pregnancy and breastfeeding.
Doses and method of administration
The drug is taken orally, one tablet 3 times a day. The tablet is recommended to be swallowed at once, without chewing, washing down with a large amount of any liquid after food. The duration of the therapeutic course with this medication is determined by the doctor on an individual basis.
In ampoules
Injection is used for very severe pain. The drug is administered intramuscularly. In 5-10 days of therapy, 2 ml once. The duration of treatment is determined by the doctor. Then the injections become more rare - 2-3 times a week, but not more than three weeks. The drug is not used intravenously. This is confirmed by the instructions for use for Neuromultivit.
Use during pregnancy and lactation
There is no experience of using the drug in pregnant women, therefore, in order to avoid risk to the fetus of this category of patients, it is not recommended to take this remedy.
The constituent elements of the drug are capable of being excreted with mother's milk, so the use of the drug during lactation is prohibited so as not to harm the baby.
Adverse reactions
In accordance with the instructions for use for Neuromultivit, it is usually well tolerated by patients, however, in some cases, with high individual sensitivity, the following adverse reactions may occur:
- dyspepsia;
- stomach pain;
- lack of appetite and excessive salivation;
- increased heart rate;
- urticaria, pruritus.
If such pathological phenomena occur, the dosage of the drug should be reduced, and if side effects increase, therapy should be discontinued.
Overdose symptoms
When using this medication for a long time or accidentally taking a high dose, patients may experience overdose symptoms, which are expressed in the form of the following clinical symptoms:
- ataxia;
- neuropathy;
- heart rhythm disturbances;
- seborrheic dermatitis;
- convulsive syndrome;
- changing data on the electrocardiogram;
- hypochromic anemia;
- eczematous eruptions.
If these negative effects occur, treatment with the drug should be discontinued. If necessary, the patient should be given symptomatic treatment.
Instructions for use for Neuromultivit tablets and ampoules confirms this.
Interaction with other drugs
"Neuromultivit" when used simultaneously with "Levodopa" may reduce the therapeutic effects of the latter.
When drinking alcohol or medicines containing ethanol, the absorption of vitamin B1 in the body is critically reduced.
It is also not recommended to take the drug "Neuromultivit" simultaneously with other vitamin complexes, since in this case the likelihood of developingoverdose symptoms.
In addition, it is not advised to combine the drug tablets with antacid drugs or enterosorbents, since in such cases the therapeutic effect will be significantly reduced.
Special Instructions
This drug is not able to influence the speed of psychomotor reactions. Due to the lack of clinical experience, the drug is not recommended for use in pediatric practice. For people with reduced body weight, the dosage is less than indicated in the instructions.
Medication cost
The average price of a drug in the form of tablets is about 220 rubles. A solution for intramuscular injection in the amount of 5 ampoules costs 189 rubles, 10 ampoules - 342 rubles
Use in childhood
In modern medical practice, children often lack vitamins that are necessary for the proper development of the body. Frequent physical and mental stress, increased fatigue during study provoke a variety of disorders in the functioning of the nervous system.
For the treatment of neurological diseases of various origins, beriberi and hypovitaminosis of B vitamins, for preventive purposes, a specialist can prescribe a multivitamin drug "Neuromultivit" for children according to the instructions for use. It contributes to the proper development of the child and supports the activity of his nervous system.
Nevertheless, due to the presence in the compositiona large amount of B vitamins, it is strictly not allowed to give to children under one year old. This is due to the fact that the daily dosage of these substances in the composition of the drug is tripled, so children under one year old may experience signs of an overdose.
For infants, a neuropathologist can prescribe this medication, but this happens in extremely rare cases after an accurate diagnosis has been made in a child.
Analogues
The analogues of the drug "Neuromultivit" include the following drugs:
- "Benfolipen" - is available in the form of tablets, which contain a similar amount of vitamin B1, other components (B6 and B12) - several times less. This medication is prescribed for the complex treatment of such neurological pathologies as trigeminal neuralgia, polyneuropathy, pain in various diseases of the spine, Bell's palsy. What other analogues of Neuromultivit tablets are there? The instructions for use do not contain such information.
- Combilipen is one of the relatively inexpensive drugs that replace the multivitamin preparation Neuromultivit. In composition, it is identical to the drug "Benfolipen", however, it has different forms of release: solutions for injection, which contains, in addition to the main substances, lidocaine, and tablets. This medication is indicated for a number of neurological diseases, for example, polyneuritis caused by intoxication, lesions of inflammatory origin, which in most cases are associated with diseases of the spine (especially with severe painsyndrome), shingles, etc.
- Pentovit, which is a domestic analogue of Neuromultivit, however, in addition to B vitamins, it also contains some other organic substances, such as folic and nicotinic acids. This medication is most often included in the complex treatment of hypovitaminosis in order to prevent stress, to recover from infectious diseases, with neuralgic pain and various types of polyneuritis, with skin lesions of an inflammatory nature (dermatitis).
There are also analogues of Neuromultivit injections. Instructions for use for these tools are similar. The most popular substitute is Milgama. This medication has an almost identical composition, is widely used in the treatment and prevention of diseases of the motor system, helps with neuritis, myalgia, neuralgia and other neuralgic pathologies.
Find out what people think about Neuromultivit vitamins. We reviewed the instructions for use for the product.
Reviews
Many patients who were prescribed the Neuromultivit multivitamin have left good reviews about it. During treatment with the drug, they noted a significant improvement in their general condition, especially in various pathological conditions of the nervous system, with symptoms of osteochondrosis, muscle pain of various origins, and also when signs of exhaustion of the body appeared after suffering severe stressful situations. They note thatThey significantly increased their ability to work, there was a feeling of cheerfulness and a surge of energy, and unpleasant manifestations of weakness and back pain gradually began to disappear. This is also indicated in the instructions for use for Neuromultivit.
Reviews about tablets and ampoules are also negative. Patients say that this remedy has low efficacy and high cost compared to other similar medicines. They claim that multivitamins did not help them, and the specialist was forced to resort to prescribing more serious drugs. In addition, in this category of patients, pronounced adverse reactions were observed in the form of severe nausea, stool disorders, and skin manifestations.
However, the reviews of the doctors themselves say the opposite. Experts are confident in the high effectiveness of this medication, but note that it should be used as an aid in the development of the above diseases, and not as an independent medication. With complex therapy, according to doctors, these vitamins are able to enhance the effect of essential drugs on the body, as well as normalize metabolism, conduct nerve impulses, and blood flow to brain tissue. Doctors say that they prescribe this medicine for almost all pathologies of the nervous system, for osteochondrosis and muscle pain syndromes of unknown origin.
In the article, instructions for use, analogues and reviews were presented to the Neuromultivit tool.