Milgamma solution is a complex preparation containing vitamins from group B. This product is available in oral pills, as well as in the form of a solution for injection. The main purpose of the medication is the treatment of neurological pathologies, which are accompanied by impaired impulse conduction in nerve tissues. The effectiveness of the drug in the complex treatment of diseases of the supporting and motor systems is explained by the effect of B vitamins on degenerative and inflammatory processes, as well as on the relief of pain syndrome. The instructions to "Milgamma" describe only general recommendations on dosages and duration of the course, in this regard, the drug can be taken only after consulting a doctor in accordance with a personal prescription.
Release Forms
On the market, the drug is sold in two versions - these are tablets and a solution for injection. An injection type of medication is considered the most preferable due to the faster entry of substances into the bloodstream and absorption efficiency. We will talk about this form of the Milgamma drug further.
Solution composition
The complex active substance in this medicine is vitamins of group B. The product includes pyridoxine (this is B 6 ), which enhances metabolic processes in organs and tissues. This component improves the conductivity of the nerve impulse and affects the production of hemoglobin. Its combination with other representatives of group B affects the formation of serotonin, histamine and adrenaline. Thiamine (that is, vitamin B 1 ) provides regulation of the energy tissue resource and cells, the effect is reflected in the conversion of carbohydrates.
The Milgamma solution for injection is also significantly enriched with cyanocobalamin (B 12 ), which affects the severity of pain, provides moderate pain suppressing effects and reduces the risk of anemia.
Injections achieve a local pronounced analgesic effect due to the presence in the composition of the painkiller lidocaine, which quickly eliminates any discomfort. The use of this component helps to restore motor function, damaged due to neurological disease or pathologies of the supporting and motor system.
Indications
The Milgamma solution is prescribed, as a rule, as part of complex therapy to reduce the severity of inflammation and reduce the intensity of pain against the background of the diagnosis of the following pathologies:
- The presence of neuralgia, neuritis and damage to nerve tissues, which is characterized by a non-inflammatory etiology.
- The development of paresis of the facial nerves, which are accompanied by a violation of the motor function of the facial muscles.
- Against the background of a convulsive syndrome.
- Multiple lesions of nerve peripheral endings.
- In the presence of plexopathy and retrobulbar neuritis.
- In case of osteochondrosis and inflammation of the nerve ganglia.
Apply this solution also in case of night cramps of the calf muscles. With appropriate indications, the medicine can be included by the doctor in the treatment of herpesvirus-induced diseases.
Instructions for use
The use of the Milgamma solution for relief of acute attacks in patients and in the course of course therapy is different. To get rid of the pain syndrome, a single dosage is prescribed, equal to 2 milliliters (one ampoule) intramuscularly.
How to stab “Milgamma”: every day or every other day?
The duration of treatment in the presence of acute attacks directly depends on the patient's condition. As a rule, injections are performed daily until the patient reaches a stable state. Maintenance therapy is carried out at a dose of 2 milliliters per injection with a frequency of one day.
Where to stab “Milgamma”?
This drug is administered exclusively intramuscularly. Against the background of accidental intravenous administration, the supervision of a doctor is required.
Features and duration of treatment
Before starting therapy with this drug, it is imperative to consult with a neurologist who must decide how often Milgamma injections can be made, when the medicine should be injected (morning or evening), and will select the required dosage.
The duration of the course for people with severe pain can be from five to ten days. After the inflammatory process begins to subside, and the intensity of the pain decreases, patients are given the “Milgamma Compositum” orally. True, in some cases, the doctor may recommend continuing the intramuscular administration of the drug, but not more than three times a week.
How to make an injection?
I must say that this treatment is quite painful provided that the injections are performed correctly. In this regard, there are special rules of procedure, compliance with which will make it possible to significantly minimize any uncomfortable sensations:
- As part of the intramuscular injection of the Milgamma preparation, it is recommended to use the thinnest needle, since the oily consistency of the solution makes it difficult to perform the manipulation.
- In order to reduce the risk of needle damage to blood vessels and nerve bundles, it must be inserted very deep into the muscle. In this regard, the choice must be stopped on the longest rod.
- A smooth and slow pressure should be applied to the syringe plunger. The medicine should be administered within one and a half minutes, which will make it possible to significantly reduce pain.
- After the procedure, the patient needs to have a massage in the injection area, thanks to this, the solution will be distributed faster in the muscle tissues and the likelihood of hematomas will decrease.
- With the formation of bumps in the injection area, a warming compress can be applied, and a lotion based on magnesia is also suitable.
Contraindications
Why prescribe Milgamma injections for adults is now understandable. The main prohibitions on the use of the drug in question include heart failure in the decompensated stage, along with impaired conduction of this organ, as well as individual sensitivity to the ingredients of the drug.
Milgamma Injection Solution is contraindicated in children under sixteen due to the increased content of vitamins. The use of this tool at a young age can lead to hypervitaminosis and the appearance of all kinds of deviations in the functioning of systems and organs.
The use of the drug against the background of the gestational period is not contraindicated, but due to the lack of information on testing the composition for this category of recipients, it is not recommended by the manufacturers.
With great care, the described medication is prescribed with simultaneous treatment with other drugs and vitamin complexes that contain pyridoxine, cyanocobalamin and thiamine because of the danger of an overdose.
Side effects
The likelihood of such reactions is extremely low, but increased individual sensitivity to the composition of the drug cannot be ruled out. Often, with the manifestation of side effects in patients, reactions from the integument of the skin in the form of itching, rash, and urticaria are noted. With the injection method of administering the drug, local manifestations are not excluded, which, as a rule, are due to an excessively high rate of injection of the solution or non-compliance with standard aseptic requirements. Less common are the effects of the following types:
- The digestive system can respond to nausea or vomiting.
- Perhaps the appearance of a feeling of dryness, peeling, mainly complaints arise on the skin of the face and lips.
- The presence of depressed breathing.
- Increased drowsiness along with episodes of confusion.
- Violations in the rhythm of the heartbeat.
- The occurrence of convulsive syndrome and increased sweating.
- Anaphylactic shock is not excluded.
Any side effects when using this drug are a reason for contacting a doctor. Normally, the medication in question does not adversely affect the speed of reactions and mental function, which allows it to be used when driving a car and work that requires special attention.
Prices
The average cost of a medicine in pharmacies is as follows:
- Five ampoules of an injection solution will cost three hundred rubles.
- Twenty five Milgamma ampoules of 2 ml each cost an average of one thousand two hundred rubles.
Compatibility
So, let's find out what the compatibility of Milgamma with other medicines is. I must say that thiamine is incompatible with reducing and oxidizing compounds, including carbonates, iodides, acetates, phenobarbital and tannic acid. It does not combine with such drugs as Riboflavin, Benzylpenicillin, Dextrose, or Disulfitamine. The drug "Riboflavin" also has a destructive effect, especially with the simultaneous influence of light.
Copper accelerates the destruction of thiamine. Among other things, thiamine loses its effectiveness if acidity values increase (more than 3). Against the background of parenteral use of lidocaine as part of the additional use of epinephrine, an increase in side effects on the heart is likely.
Cyanocobalamin is incompatible with the salt of heavy metals. Nicotinamide accelerates photolysis, while antioxidants produce an inhibitory effect.
special instructions
In the event that Milgamma was accidentally administered to a patient intravenously, then he should be under the strict supervision of a doctor who will prescribe symptomatic treatment of side symptoms.
Reception "Milgamma" should be appointed exclusively by a qualified specialist who is familiar with the characteristics of the patient's body, its accurate diagnosis and various diseases in history. The physician selects the necessary dosage, and only the doctor decides how long to inject this drug.
Are there any analogues of Milgamma in ampoules? About it further.
Analogs
There are a large number of structural substitutes that contain B vitamins. If necessary, you can buy Binavit or Combilipen, and in addition, individual B vitamins with lidocaine are suitable. Before purchasing the Milgamma analogue in ampoules, it is very important to consult a doctor, since not all medicines contain the same number of components, and any substitution with a set of vitamins will require compliance with the rules for administering various active substances to achieve the desired therapeutic effect.
Thus, B vitamins are responsible for the processes of hematopoiesis, the functioning of the motor apparatus and nerve fibers in the human body. In order to make up for their deficiency, Milgamma is used: intramuscularly or orally (we remind you that this medicine is not administered intravenously). Injections allow you to quickly eliminate any painful sensations, since with this method of administration the necessary therapeutic concentration is reached already fifteen minutes after the manipulation.