For some people, taking the drug becomes a necessity, due to health conditions. But often you have to look for an analogue of āTebantinā for one reason or another, usually this is a rather high cost of the drug. In pharmacies, you can find many substitutes with similar properties, but of different price categories. So, we will consider what is the peculiarity of the Tebantin preparation. Instructions for use, analogues are discussed in the article.
"Tebantin": instructions for use
The main indication for the use of the Tebantin drug (we will consider analogues later) is epilepsy (convulsive states, partial seizures). Used as a primary or secondary treatment. Assign to adults, children from 12 years old, with a resistant form of epilepsy, it is possible to use for babies from 3 years. Tebantin also treats neuropathy in patients over the age of 18. The active substance of the drug is gabapentin, which belongs to the group of anticonvulsants. Auxiliary components - lactose monohydrate, talc, starch, magnesium stearate, iron oxide, titanium dioxide, gelatin.
It is produced in the form of tablets and capsules of 100, 300 or 400 mg. Contraindicated in case of hypersensitivity to the constituent components, pregnancy, breast-feeding, kidney disease. Take orally, with water, 300 mg three times a day (for adults and children over 12 years old). The maximum dose per day should not exceed 3600 mg. The interval between receptions is not more than 12 hours.
It is possible to use the drug according to an individual scheme prescribed by a doctor. Children from 3 to 12 years old are prescribed 25-35 mg per kilogram of body weight per day, designed for 3 doses. There is also treatment according to the scheme that the specialist will offer. Neuropathy in adults is treated, starting with 300 mg 3 times a day, gradually increasing the dose. The maximum should not exceed 3600 mg per day. The active substance is rapidly absorbed, regardless of the dose taken. The maximum concentration in blood plasma is observed 3 hours after ingestion, with repeated admission - after 1 hour. Bioavailability decreases with increasing dose. It is excreted by the kidneys unchanged, and is removed from plasma during hemodialysis.
Side effects "Tebantina"
Inform about the numerous side effects of the drug "Tebantin" instructions for use, reviews. Analogs are also not without them. Side effects can be observed by the following body systems:
ā¢ Cardiovascular. Vasodilation (vasodilation due to a decrease in muscle tone of the vascular walls), when used with other drugs for epilepsy, it is possible to increase or decrease blood pressure, flushing of the face.
ā¢ Nervous. Dizziness, drowsiness, fatigue, irritability, headache, tremor, depression, lack of coordination of movements, irritability, anxiety, anxiety. In rare cases, confusion, thinking, asthenia, nystagmus, anxiety is observed, and insomnia is possible when taken with other similar drugs.
ā¢ Genitourinary. Rarely - urinary incontinence, decreased potency.
ā¢ Digestive. Dyspepsia, nausea, vomiting, increased appetite, dry mouth, diarrhea, constipation, flatulence, anorexia, gingivitis, dry mouth, hemorrhagic pancreatitis, discoloration of tooth enamel.
ā¢ Respiratory. Rhinitis, pharyngitis, cough, pneumonia, shortness of breath.
ā¢ Musculoskeletal system. Back pain, arthralgia, myalgia, excessive brittle bones.
ā¢ Sense organs. Visual impairment, tinnitus.
In rare cases, taking the drug causes leukopenia (a decrease in the number of leukocytes), allergic reactions in the form of a skin rash, itching, and fever. Possible peripheral edema, acne, fluctuations in blood sugar in patients with diabetes. In case of an overdose, dizziness, drowsiness, impaired vision and speech, diarrhea, lethargy are observed. In this case, symptomatic treatment is carried out, absorbent substances (activated carbon), gastric lavage are used. Withdrawal of the drug from the body is possible using hemodialysis.
If there is a need to cancel the drug or replace it with another, you need to do this gradually, within a week, since a sharp cessation of admission can cause an epileptic status. It is not used to treat the abscess type of epilepsy due to its inefficiency.
During pregnancy and lactation, the drug is prescribed only according to absolute indications, when the benefit to the mother outweighs the risk to the fetus (possibly affecting the slow development and growth of the baby). "Tebantin" can be taken in conjunction with other antiepileptic drugs, such as valproic acid, "Carbamazepine", "Phenytoin", "Phenobarbital."
"Neurontin": instructions for use
Like the drug itself, the Tebantin analogue, produced in Germany, has gabapentin as the active ingredient. It belongs to the group of antiepileptic drugs, is prescribed for localized idiopathic, symptomatic epilepsy, as well as epileptic syndromes with simple and complex convulsive seizures. Indication for use, in addition, is neuralgia in adults. Usually acts as an adjunctive therapy as part of a comprehensive treatment. Available in the form of coated tablets, 600 or 800 mg.
The price of this drug ranges from 900 to 1600 rubles per package. Excipients - crospovidone, poloxamer 407, magnesium stearate, corn starch, talc, wax. Neurontin has instructions for use similar to the Tebantin drug (analogues have the same active substance). It is taken orally at 300 mg three times a day, if necessary, the daily maximum may be equal to 3600 mg. As a rule, the attending physician prescribes a medication according to a certain scheme. The maximum concentration of a substance after ingestion is reached after 2-3 hours. Eating during treatment does not affect the pharmacological properties.
Features of the use of Neurontin
Like Tebantin, analogues are contraindicated for use by children under 3 years of age, persons with hypersensitivity to the components of the drug. With caution and only under the supervision of a doctor, take the drug for kidney diseases. During pregnancy, taking the medication is possible only in extreme cases, because it can slow down the growth and development of the fetus. The same applies to the lactation period, as gabapentin enters the body of a child with milk.
"Neurontin" is an analogue of "Tebantin", the instruction for its use contains the same list of side effects that affect all body systems:
ā¢ vasodilation, arterial hypertension;
ā¢ failures in the digestive system (flatulence, constipation, diarrhea, dental diseases, etc.);
ā¢ purpura, leukopenia;
ā¢ back pain, brittle bones, arthralgia;
ā¢ dizziness, confusion, hostility, depression, drowsiness, general malaise;
ā¢ pneumonia, rhinitis, cough, otitis media;
ā¢ visual impairment, diplopia;
ā¢ violation of the genitourinary system.
An overdose can cause dizziness, impaired speech and vision, drowsiness, lethargy, in this case, symptomatic treatment is used. With a sharp withdrawal of the drug, such body reactions as nausea, insomnia, anxiety, excessive sweating and pain of various localization, the development of seizures are possible. To combat abscess epilepsy, the drug is ineffective. The treatment of neuralgia in patients younger than 18 years of age has not been carried out; safety data are not available. It is necessary to refrain from driving vehicles until possible reactions of the body to the drug are identified.
Konvalis
This is an analogue of āTebantinā produced by the Russian company Pharmstandard. The instruction reports that the active substance in its composition is also gabapentin. Auxiliary components are magnesium stearate, titanium dioxide, iron oxide, talc, corn starch, gelatin, lactose monohydrate. Available in the form of yellow capsules with white powder inside in the amount of 30 or 50 pieces per pack. The price of the drug is within 550 rubles, it differs in different pharmacies. It has antiepileptic and analgesic effects. The analogue of āTebantinā has the same indications for use - with epilepsy as the main or additional remedy for adults and children over 12 years of age, as well as with neuropathy accompanied by pain.
The drug is taken regardless of the meal, inside, washed down with water. The initial dose is 300 mg, then it is increased to 900 mg per day (in equal parts at intervals of 8 hours). The daily maximum is 3600 mg. Like any other analogue of āTebantinā, āKonvalisā requires strict adherence to the scheme prescribed by the doctor. Possible simultaneous administration with other anticonvulsants, as well as oral contraceptives. In combination with ethanol, the risk of side effects increases.
Contraindications and side effects of Konvalis
Like Tebantin tablets, analogues have contraindications. Do not take children under 12 years old, patients with acute pancreatitis, persons with hypersensitivity to the components of the drug and lactose intolerance. With caution - with kidney disease. Side effects during the treatment of neuropathic pain can be as follows:
ā¢ dizziness, drowsiness, tremor, confusion, memory loss, hyposthesia, ataxia;
ā¢ nausea, diarrhea, flatulence, constipation, dry mouth, abdominal pain;
ā¢ skin rashes, shortness of breath;
ā¢ headache, weakness, swelling, weight gain.
During the treatment of partial seizures, the following side effects are possible:
ā¢ diseases of the oral cavity, digestive system disorders;
ā¢ dizziness, depression, insomnia, anxiety;
ā¢ purpura, leukopenia;
ā¢ skin itching, rash, acne;
ā¢ rhinitis, pneumonia, cough;
ā¢ diseases of the genitourinary system, problems with potency;
ā¢ disorders of the nervous system, visual impairment, rapid fatigue.
There have been cases of the development of renal diseases, mastopathy, gynecomastia, hallucinations, pancreatic diseases. Some patients experienced symptoms such as dystonia, palpitations, tinnitus. After a sharp cessation of intake, withdrawal syndrome occurs - pains of different localization, nausea, sweating, sleep disturbance, depression. An overdose causes dizziness, drowsiness, diarrhea, dysarthria, diplopia. It is treated by gastric lavage (in the first hours), enterosorbents, symptomatic therapy, hemodialysis is used if necessary.
Katena
Another analogue of Tebantin is Katena. It is produced in the Republic of Croatia by Belupo, the price is from 300 to 800 rubles, depending on the size of the package, city and supplier. It is used for epilepsy, partial seizures with secondary generalization, as well as without it.
According to the doctorās testimony, it is used as the main or additional means of therapy. Available in the form of coated tablets and 300 or 400 mg capsules. The active substance is the same - gabapentin. Additional components - lactose monohydrate, talc, corn starch, titanium dioxide, dye iron oxide, gelatin. Contraindication is hypersensitivity to the components of the drug. The method of application does not differ from other similar preparations containing gabapentin. It is prescribed according to the scheme, which must be strictly observed by the patient.
special instructions
Katena is a pretty popular analogue of Tebantin. Reviews about the drug are mostly positive, indicating a noticeable improvement in the condition and reduction of convulsive attacks. Indications and contraindications are similar to previous drugs, because the active ingredient in these drugs is the same. It is used strictly according to the scheme, with an overdose, the patient needs symptomatic treatment. Side effects are as numerous as in analogues, and can occur from all body systems. During treatment, it is worthwhile to refrain from driving and performing hazardous work requiring attention. During pregnancy, take only when absolutely necessary, since the drug negatively affects the fetus, its growth and full development. The same applies to breastfeeding, the main component is excreted in milk, harming the baby.
Other analogues of "Tebantin"
On the pharmacological market, a fairly large number of drugs containing gabapentin. They are produced under different brands, have a fairly wide price category and are imported from many manufacturing countries. The most popular among them is the Tebantin drug manufactured in Hungary by the company Gedeon Richter. Analogs are also often purchased by patients, mainly because of their lower price. Its cost varies from 800 to 3000 rubles, depending on the dosage, the number of capsules and the pharmacy.
Another analogue of āTebantinā, the reviews of doctors about which are mostly positive, is called the most active substance - āGabapentinā. It is produced in Russia and India, is available in the form of capsules (50 pieces per pack) 300 mg each. Its price is within 500 rubles.
"Gabagamma" - a drug manufactured in Germany, is available in the form of capsules of 100, 300 and 400 mg. The average price for a large package of 50 capsules of 400 mg is 1100 rubles.
"Gapentek" - a preparation in the form of capsules of 100 or 300 mg. It is not popular in our country.
Despite the fact that the composition of all the listed medicines contains one active substance, when prescribing the Tebantin preparation, analogues and substitutes should be used only after consultation and with the permission of the attending physician.
Reviews about "Tebantin" and analogues
Despite the fact that this drug is antiepileptic, it is often prescribed for pains of a neuropathic nature. Many patients suffering from similar problems, note a quick effect that did not occur when using other pain medication. However, it should be taken only as prescribed by the doctor (in pharmacies, it should be dispensed with a prescription), since the drug is serious, with a lot of possible side effects and a strong effect on the body.
People who took āTebantinā, analogues, reviews leave the opposite nature: someone likes its high effectiveness against pain, while others fear addiction or side effects. Are fears justified? Indeed, gabapentin preparations can be addictive, as evidenced by the reviews of people who have taken them for a long time. Therefore, a sharp abolition of the drug is prohibited, this should be done gradually, following the recommendations of the doctor. Some note a short effect from taking the medicine, that is, it helps only during the period when you take it. The disease cannot be cured, but the symptoms and excruciating pains only disappear. That is, you have to take the drug constantly, so that there is an effect. This most often concerns the reviews of patients with epilepsy, who are forced to sit on tablets continuously to avoid the occurrence of convulsive seizures.
Such drugs are often taken by elderly people who are characterized by painful conditions during weather changes, with exacerbation of chronic diseases. Appoint and with inflammation of the trigeminal nerve "Tebantin", analogues. Patient reviews on this score are positive, it is called a life-saving drug. If the doctor prescribed Tebantin (or its equivalent), then there are good reasons and it is worth listening to it. But it is impossible to make a decision on taking such serious drugs on your own, health problems may arise without proper supervision of a specialist. Serious complications from taking such medicines are rare, but they are severe, so you need to carefully monitor your health and general well-being in order to notice a deterioration in the body's condition and seek help from a specialist in time. It is strongly discouraged to independently stop taking the drug, as this will cause even more serious consequences.