"Vinpotropil" is a nootropic combined medication with vasodilating properties. Against the background of its use, blood circulation in the brain improves, systemic blood pressure decreases slightly, and the resistance of cells of the nervous system to hypoxia increases.
Pharmacological forms and composition
According to the instructions for use, Vinpotropil is available in several pharmacological forms: concentrate intended for the manufacture of a solution, which is then administered intravenously, tablets and capsules.
Capsules of the drug are of zero size, a yellow body and a red cap. Inside the capsule is a powder of almost white or pure white color. Powder clumping is allowed.
Vinpotropil tablets have a white slice; on top they are covered with a light brown sheath with a gray tint.
The concentrate looks like a colorless or slightly colored liquid.
The therapeutic effect of using the drug develops thanks to the active substances present in it - piracetam and vinpocetine.
Auxiliary components in the manufacture of the powder in the capsule are talc and milk sugar. The capsule body is made of E110, E104, gelatin and titanium white. The components of the lid are azorubine, titanium white, gelatin.
Excipients in tablets - croscarmellose sodium, talc, povidone, E572, calcium hydrogen phosphate dihydrate, MCC. The tablet shell is made from E171, E172, milk sugar, propylene glycol, hypromellose.
Additional components in the composition of the concentrate are injection water, sodium disulfate, butanedic acid, vitamin C.
Indications for use
As indicated by the instructions for use, Vinpotropil is prescribed to adult patients for the treatment of the following pathological conditions:
- Psycho-organic syndrome, in which adynamia and asthenia predominate.
- Asthenia.
- Meniere's disease, labyrinthopathy.
- Brain injuries, other CNS pathologies, accompanied by a decrease in mnestic-intellectual functions.
- Intoxication.
- Parkinsonism with vascular etiology.
- Inadequate blood circulation in the brain.
The list of indications from Vinpotropil is quite extensive.
In addition, the medication can be used as a prophylactic to prevent the development of kinetosis and migraine.
For children, the drug in capsule form can be prescribed from the age of 14, in tablet and injection form from 18. The indications are similar to those in adult patients.
The use of the drug in the lactation period and during pregnancy is strictly prohibited.
Contraindications
In accordance with the instructions for use with Vinpotropil, any pharmacological form of the medication is contraindicated if the patient has the following physiological or pathological conditions:
- Intolerance to the individual nature of the components of the drug.
- Renal failure, hepatic activity.
- Hemorrhagic stroke.
- IHD with a severe course.
- Serious heart rhythm disturbances.
The injection form of the drug is forbidden to use in the following cases:
- Extensive surgery.
- Renal failure, which is in chronic form and is accompanied by a glomerular type filtration rate of 20-80 ml / min.
- Violation of hemostasis.
- Severe bleeding.
Vinpotropil analogs will be presented at the end of the article.
Use of medication
Vinpotropil capsules are prescribed to patients for three times a day in an amount of up to 2 pieces. With maintenance therapy, it is indicated to take 1 capsule three times a day. They should be swallowed whole, without opening the case and without chewing, drinking plenty of water. Use should be done before meals.
A tablet preparation can be taken regardless of meals. Take them shown twice or three times a day for 1 piece, and the last application should be carried out no later than 4 hours before bedtime. The duration of therapy can be different - from 3 to 24 weeks.
Injection "Vinpotropil" is injected into a vein drip. Before its introduction, the concentrate should be diluted using an infusion solution in an amount of 500 ml. Up to 3 ampoules of the drug are used for such a volume. As an infusion solution, glucose or saline may act. The introduction is carried out at a speed of 80 drops / min. Therapy takes an average of 2 weeks. If necessary, the doctor may recommend a repeat of the course 2 months after completion of the previous one. When significant improvements in the patient's condition appear, it is recommended to switch to the use of oral forms of the drug.
This is confirmed by the instructions for use with Vinpotropil.
Negative impact
Against the background of the use of oral forms of the drug, the following reactions of a negative nature may develop:
- Strengthening of angina pectoris, extrasystole, slowing of antrioventricular conduction, increased heart rate.
- Increased libido.
- Motor, mental agitation, extrapyramidal disorders, imbalance, decreased concentration, irritability, anxiety, headache, vertigo, sleep disturbance.
- Loss of appetite, loose stools, vomiting, constipation, nausea, abdominal pain.
Against the background of the use of the injectable form, such side effects of Vinpotropil may develop as:
- General weakness, fever.
- Thrombophlebitis at the injection site.
- Angioneurotic edema, anaphylactic reaction, allergic manifestations.
- Hyperemia of the dermis, urticaria, pruritus, dermatitis.
- Weight gain.
- Pain in the peritoneum, heartburn.
- Hallucinations, anxiety, exacerbation of epilepsy, impaired consciousness, imbalance, impotence, depression.
- Changes in ECG.
- Lability of blood pressure, more often - in the direction of its decrease.
If these adverse effects occur, it is important to consult a doctor.
Overdose
Exceeding the recommended dosage can provoke intoxication, manifested in the form of the appearance of loose stools, in which there is blood, pain in the peritoneum.
The specific antidote to medicine is unknown, therefore, the patient is shown hemodialysis and the appointment of symptomatic treatment when an overdose occurs.
Analogs of Vinpotropil
Vinpotropil, if necessary, can be replaced by drugs with a similar effect or composition. The most popular analogues of the drug are: “Combitropil”, “Vinpocetine”, “Omaron”, “Fezam”. However, it should be remembered that any replacement of drugs can be carried out only after agreement with the doctor.
Cost
The average cost of packing a drug in Russian drugstores is 285 rubles. The price depends on the pharmacological form, region of distribution and other factors.