To improve peripheral and cerebral circulation, the doctor may prescribe the drug “Vazobral”. It increases efficiency, increases the number of active capillaries, stimulates the metabolism in the brain. Having learned about its price in a pharmacy, many begin to ask pharmacists to choose cheap analogues for Vazobral. But this is not so simple.
Description of the drug
The drug "Vazobral" is available in the form of tablets or solution. The main active ingredients in it are alpha-dihydroergocriptine mesylate (at a concentration of 4 mg) and caffeine (40 mg).
The first active element prevents the bonding of red blood cells and platelets, makes the walls of blood vessels less permeable, increases the resistance of brain tissue to hypoxia. Caffeine enhances arousal in the cerebral cortex. And this, in turn, improves both mental and physical performance, reduces the feeling of fatigue. Also, when taking the drug, the reflex excitability of the spinal cord increases, the vasomotor and respiratory centers are stimulated.
Depending on the indications, the drug is taken at ½ or 1 tablet twice a day. But keep in mind that only a doctor should prescribe and select the necessary dosage of Vazobral. The doctor can advise you on the analogues of the drug if you have contraindications for taking it. You can also ask for a replacement if this tool is too expensive for you.
Indications and contraindications
Before figuring out what kind of Vazobral analogue you can buy, you need to understand in what situations doctors recommend drinking this alpha-blocker.
It is prescribed for:
- cerebrovascular insufficiency, which arose including and as a result of cerebral atherosclerosis;
- decreased mental activity, age-related changes, impaired memory, spatial orientation, problems with attention;
- retinopathy (diabetic or hypertonic);
- diseases of Meniere, Reynaud;
- venous insufficiency;
- violations of ischemic genesis - tinnitus, dizziness.
It can also be drunk as a prophylactic to prevent migraines. All this information contains the instructions for use attached to the drug "Vazobral". Analogues of the drug, as a rule, are used for the same problems.
The drug is not prescribed only if it has been established that the patient has an individual intolerance or hypersensitivity to individual components. With caution, it is prescribed during pregnancy, since clinical studies have not been conducted. When breast-feeding a baby, one must remember that this drug can lead to a decrease in lactation.
Possible substitutes
If you are looking for a more affordable analogue of "Vazobral", then you should know that there are definitely no such drugs. There are drugs that are also prescribed to improve the tolerance of increased loads, with cerebrovascular insufficiency and other diseases caused by problems with cerebral circulation. But they contain other active substances, so they can not be called generics of the drug “Vazobral”.
If necessary, you can replace the product with such medicines as "Pikogam", "Amilonosar", "Pikanoyl." You can also use the tablets "Nicergoline", "Redergin", "Sermion." To improve blood circulation, other drugs may also be prescribed - analogues of "Vazobral". Tablets "Picamilon", "Nilorgin", "Vinpocetine", "Cinnasan", "Ginkoum", "Cavinton", "Tanakan" act almost the same way.
Price policy
People who are interested in possible substitutes for the drug are interested in the cost of these funds. The drug “Vazobral” in pharmacies costs an average of about 900 rubles per pack of 10 tablets. The solution of the same name for oral use costs a little more than 600 rubles.
At the same time, Cavinton can be bought for 180 rubles, Nicergoline for 500 rubles, Ginkoum 400 rubles, Sermion 370 rubles, Tanakan 630 rubles.
If you are looking for a Russian analogue of Vazobral, then pay attention to the Picamilon product, which costs about 70 rubles, Pikogam tablets (about 40-50 rubles), Amilonosar.
But keep in mind, if the doctor prescribed the “Vazobral” remedy for you, then it’s better to choose a replacement not with a pharmacist in a pharmacy, but with your doctor. He will be able to explain to you clearly what is the difference between drugs and why it is advisable to drink the prescribed medicine.
Russian generics
The cheapest options are domestic drugs that can be used instead of Vazobral. Analogues, the instruction to which claims that they can be drunk with cerebrovascular insufficiency, depressive disorders, asthenic conditions resulting from neuropsychiatric diseases, act somewhat differently.
The drugs "Pikanoyl", "Picamilon", "Amilonosar", "Pikogam" are nootropics, they are able to expand the vessels of the brain. They affect blood circulation in this organ. As a result of administration, metabolism in its tissues is normalized, vascular resistance decreases, platelet aggregation is suppressed, and overall microcirculation improves.
Per day, you need to take from 40 to 150 mg of the drug, divided into 2-3 doses. The course of treatment is quite long - it is at least 1 month. In some situations, the daily dose may be increased to 300 mg.
Indications for taking domestic drugs and possible restrictions
Any of the aforementioned domestic counterparts of Vazobral may be appointed in such cases:
- cerebrovascular insufficiency;
- depressive disorders that occur in old age;
- feelings of anxiety, fear, irritability.
It is also recommended for the prevention of exacerbation of migraine, to increase endurance, with open-angle glaucoma (in order to stabilize vision), and with urination disorders.
Another indication is alcohol intoxication: drugs are able to stop all acute syndromes with which it is accompanied.
With increased sensitivity to nicotinoyl gamma-aminobutyric acid, chronic renal failure, pregnancy, and during breastfeeding, these drugs can not be drunk.
Nicergoline-based drugs
Alpha-adrenergic blocking agents include Nicergoline, Sermion, Nicergoline Ferein. They are intended to improve the processes of metabolism and blood circulation in the brain. The drugs are also able to improve blood flow in the vessels of the brain and limbs of a person, slightly reduce blood pressure, stimulate increased tissue glucose and oxygen consumption. They act almost the same way as the “Vazobral” remedy.
Analogues of the drug are prescribed for such indications:
- circulatory failure in the brain resulting from atherosclerosis, embolism or thrombosis of blood vessels of this organ (it can be acute or chronic);
- Raynaud's disease;
- obliterating lesions of blood vessels passing in the limbs, which are characterized by their narrowing up to impaired patency;
- hypertensive crisis or arterial hypertension (as an adjuvant).
But these drugs can not be taken with hypersensitivity to nicergoline, during pregnancy, lactation. Also, they are not prescribed after myocardial infarction, with arterial hypotension, severe bradycardia.
Vinpocetine
In some cases, doctors may prescribe drugs based on other active substances. If you are looking for an analogue of “Vazobral”, but cheaper, and at the same time you want to purchase a quality imported product, then you can pay attention to medicines with vinpocetine. These are such drugs as Cavinton, Vinpocetin, Telektol, Bravinton, Corsavin, Hypothef, Vinpotropil.
All of these tools can increase the resistance of brain neurons to hypoxia, improve tissue metabolism and glucose uptake. They are also antioxidants, reduce blood viscosity, increase the level of oxygen return by red blood cells.
Indications and contraindications
Vinpocetine-based drugs can be prescribed for severe mental and neuralgic symptoms caused by a deterioration in the nutrition of cerebral vessels. They are often prescribed after strokes, transient ischemic attacks, with atherosclerosis, encephalopathy (resulting from trauma or hypertension). They also recommend drugs and oculists for chronic eye diseases, accompanied by damage to the retina and choroid. Otolaryngologists prescribe them in cases where perceptive hearing loss is diagnosed, with Meniere's disease, the occurrence of tinnitus.
You can not take vinpocetine in the acute phase of hemorrhagic stroke, with a severe form of coronary heart disease, arrhythmias. Do not prescribe it to pregnant women, nursing women and children under the age of 18 years.
Ginkgo Leaf Extract
If you, together with your doctor, select an analogue of “Vazobrala”, then you can pay attention to such drugs as “Tanakan”, “Ginos”, “Ginkgo biloba”, “Gingium”, “Vitrum Memori”. All of these products are made from ginkgo biloba leaf extract.
They contribute to the fact that blood circulation in the brain tissues and peripheral vessels improves, their walls become more elastic and less permeable, rheological blood parameters improve. Also, when they are taken, the metabolism improves at the cellular level, all small arteries expand, the tone of the veins increases.
They are prescribed for encephalopathy resulting from a previous head injury, stroke, or due to age-related changes. This disease is characterized by impaired intellectual abilities, decreased attention, the appearance of feelings of causeless anxiety and fear. Also, drugs are recommended for Raynaud's syndrome and circulatory disorders in the peripheral vessels, with dizziness, gait instability, and tinnitus.
You can not take ginkgo leaf extract for peptic ulcers of the stomach and intestines, gastritis, low blood coagulation, sensitivity to the active substance, pregnancy and lactation.
Patient Reviews
Before starting to drink certain medicines, many want to know if they have helped others. If you decide to find analogues for Vazobral, the patient reviews will help you figure out how effective each of the drugs is.
Most agree that all medications that improve cerebral circulation are effective. True, to achieve the effect they must be drunk for a long time. The course of treatment can last from 1 to 3 months, periodically it must be repeated. Given that therapy lasts long enough, many are interested in the possibility of selecting cheaper drugs. It is quite possible, but it is better to make a choice together with the doctor. The fact is that the patient is not able to evaluate the effectiveness of a particular remedy; he does not know how they influence in various situations. The practitioner knows all the advantages of individual drugs and can choose the best option.
It is also important to find out if the patient has contraindications to taking a specific drug, because in this case it will be necessary to choose an analogue.
Patient reviews indicate that the result is not only from taking the drug "Vazobral", but also from domestic inexpensive medicines.