In the article, we consider the instructions for use and analogues for the Neuromultivit medication. This is a complex preparation, the composition of which includes B vitamins. This medicine is made in the form of white tablets for oral use, which are coated with a protective film. At the fracture of each tablet, pink blotches are noticeable.
Instructions for use with Neuromultivit are in each pack. Tablets are packaged in blisters of 10 pieces, in cardboard packs of 1 or 3 blisters, which additionally contains detailed instructions with a description.
The composition of one tablet includes the following active substances:
- pyridoxine (B6) - 200 mg;
- thiamine (B1) - 100 mg;
- cyanocobalamin (B12) - 200 mcg.
Excipients of this drug are microcrystalline cellulose, magnesium stearate and povidone. The composition of the tablet shell includes: hypromellose, macrogol, titanium dioxide, talc, a copolymer of methyl methacrylate and ethyl acrylate.
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 2 ml. It contains thiamine, pyridoxine and cyancobalamin, 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 of important enzymes that act in nerve tissues. This substance is involved in the biosynthesis of neurotransmitters such as GABA, dopamine, adrenaline, norepinephrine, histamine.
Thiamine (B1) as a result of phosphorylation processes in the body is converted to 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 blood formation and the formation of red blood cells, and is also involved in many biochemical reactions that ensure vital activity (in the synthesis of protein and nucleic acids, in the transfer of methyl groups, in the metabolism of carbohydrates, amino acids, lipids). It has an effect on processes in the nervous system (in the synthesis of DNA, RNA) and on the lipid composition of phospholipids and cerebrosides. Coenzyme types of cyanocobalamin - adenosylcobalamin and methylcobalamin are necessary for cell growth and replication.
Indications for use
As indicated by the instructions for use, "Neuromultivitis" is prescribed to patients upon detection of the following conditions:
- intercostal neuralgia;
- osteochondrosis with radicular syndrome ;
- trigeminal neuralgia;
- polyneuropathies of various origins;
- pain along the nerve of various etiologies;
- inflammation in the nerve roots in the cervical spine;
- pain in the lumbar region due to infringement of the nerve roots.
Contraindications
According to the instructions for use of Neuromultivit in ampoules and tablets, the drug has certain contraindications, therefore, if therapy is necessary, it is necessary to consult a specialist and study the annotation of the drug in detail. The main contraindications are:
- hypervitaminosis with B vitamins (determined by laboratory tests);
- high individual sensitivity to this medication;
- children under 14 years old.
With caution, the medication should be prescribed during pregnancy and during breastfeeding.
Dosage and route of administration
The drug is taken orally, one tablet 3 times a day. It is recommended to swallow the tablet immediately, without chewing, with a large amount of any liquid after a meal. The duration of the therapeutic course with this medication is determined by the doctor individually.
In ampoules
Injection is used for very severe pain. The medication 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 administered intravenously. This is confirmed by the instructions for use with Neuromultivit.
Use during pregnancy and lactation
There is no experience with the use of the drug in pregnant women, therefore, to avoid the risk to the fetus of this category of patients, it is not recommended to take this drug.
The constituent elements of the drug are able to be excreted in breast 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 with Neuromultivit, it is usually well tolerated by patients, however, in some cases, with high individual sensitivity, the following adverse reactions may occur:
- dyspepsia;
- stomach ache;
- lack of appetite and excessive salivation;
- heart palpitations;
- urticaria, skin itching.
If such pathological phenomena occur, the dosage of the drug should be reduced, and with increased side effects, therapy should be discontinued.
Overdose symptoms
With prolonged use of this medication or accidentally taking a high dosage, 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 an electrocardiogram;
- hypochromic anemia;
- eczematous rashes.
If these adverse effects occur, medication should be discontinued. If necessary, the patient should arrange for symptomatic treatment.
Instructions for use with Neuromultivit tablets and ampoules confirm this.
Interaction with other medicines
"Neuromultivitis" with simultaneous use with "Levodopa" can reduce the therapeutic effects of the latter.
When drinking alcohol or medications containing ethanol, the absorption of vitamin B1 in the body is critically reduced.
The simultaneous administration of the Neuromultivitis preparation with other vitamin complexes is also not recommended, since in this case the likelihood of developing overdose symptoms increases.
In addition, it is not recommended to combine the tablets of the drug with antacid medications or enterosorbents, since in such cases the therapeutic effect will be significantly reduced.
special instructions
This drug is not able to affect 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 medicine in the form of tablets leaves about 220 rubles. A solution for i / m administration in the amount of 5 ampoules costs 189 rubles, 10 ampoules - 342 rubles.
Use in childhood
In modern medical practice, children often lack vitamins, which 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, vitamin deficiency and hypovitaminosis of B vitamins, for prophylactic purposes, a specialist can prescribe a multivitamin medication “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 of a large number of vitamins B, it is categorically not allowed to give children under one year of age. This is due to the fact that in the composition of the drug the daily dosage of these substances is increased three times, therefore, in children up to a year signs of overdose may occur.
A neurologist can prescribe this medicine to infants, but this happens in extremely rare cases after an accurate diagnosis is established in a child.
Analogs
The following drugs belong to the analogues of the drug “Neuromultivit”:
- “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 paralysis. What other analogues of Neuromultivit tablets are there? The instructions for use do not contain such information.
- Combilipen is one of the relatively inexpensive medications that replace the multivitamin drug Neuromultivit. In composition, it is identical to Benfolipen, but it has various forms of release: injectable solutions, which contain, 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, inflammatory lesions, which in most cases are associated with diseases of the spine (especially with severe pain), herpes zoster, and so on.
- 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 pains and various types of polyneuritis, with skin lesions of an inflammatory nature (dermatitis).
There are also analogues of injections "Neuromultivit". Instructions for use with 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.
We learn what people think about the Neuromultivit vitamins. Instructions for use with the tool we reviewed.
Reviews
Many patients who were prescribed the multivitamin Neuromultivit drug left good reviews about it. During treatment with the drug, they noted a significant improvement in the general condition, especially with a variety of pathological conditions of the nervous system, with symptoms of osteochondrosis, muscle pain of various origins, as well as with signs of exhaustion after suffering severe stressful situations. They note that they have significantly increased their ability to work, they have a feeling of vigor and a surge of energy, and unpleasant manifestations of weakness and back pain began to disappear. This is also indicated in the instructions for use with Neuromultivit.
There are negative reviews about pills and ampoules. Patients say that this tool has low efficiency and high cost compared to other similar medicines. They claim that multivitamins did not help them, and the specialist was forced to resort to the appointment of more serious medications. In addition, in this category of patients, severe adverse reactions were observed in the form of severe nausea, upset stool, 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 adjuvant in the development of the above diseases, and not as an independent medication. According to doctors, during complex therapy, these vitamins are able to enhance the effect of essential drugs on the body, as well as normalize metabolism, nerve impulses, and blood flow to the 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.
The article was presented to the tool "Neuromultivit" instructions for use, analogues and reviews.