In the article, we consider the instructions for use and reviews for tablets and Pantogam syrup. It is a medication that is part of the group of nootropic drugs. Against the background of its use, blood circulation in the brain and cognitive functions improve. As a result, increased mental performance, improves attention and memory. The drug allows you to deal with psycho-emotional overload and stress. It is allowed for use in the treatment of children from a very young age.
According to the instructions for use, Pantogam syrup looks like a thin liquid, there is no color, there is a smell of cherry. Packed in 100 ml in bottles made of glass. Each bottle of medicine is equipped with a special measuring spoon, which holds 5 ml. Divisions of 2.5 and 1.25 ml are also present on the spoon, which is convenient when dosing the drug.
Structure
As indicated by the instructions for use with Pantogam syrup, the main active ingredient is hopantenic acid. In the preparation, hopantenic acid is in the form of calcium hapontenate. This compound is patented and is called Pantogam. Each milliliter of syrup contains 100 mg of calcium hapontainate, in each tablet it can be present in an amount of 250 or 500 mg.
As auxiliary components in the manufacture of syrup are used: cherry flavor, citric acid, purified water, aspartame, sodium benzoate, glycerin, sorbitol.
Mechanism of action
According to the instructions for use, the Pantogam syrup is able to have a nootropic effect due to the calcium hapontenate contained in it, which protects neurons from the influence of such undesirable factors as lack of oxygen or toxic substances. When using the drug, a positive effect is formed on the metabolic processes that occur in the brain cells. Against the background of the use of the medication, the excitability of brain tissues is normalized, and working capacity improves.
In addition, Pantogam has some anticonvulsant effect. This allows you to use it in the treatment of epileptic conditions. In addition, therapy with this nootropic agent allows you to inhibit the cystic reflex (if its pathological increase is noted), reduce the tone of the bladder detrusor.
Both pharmacological forms of Pantogam are intended for oral administration. Absorption occurs in the digestive tract rather quickly. After entering the systemic circulation, hopantenic acid is transferred to the cells that form the brain, skin, kidneys and other organs. In the body, the active component is not metabolized, therefore it is evacuated from the body unchanged in about 2 days. About a third of the entire dose is excreted together with feces, about two-thirds - together with urine. This is confirmed by the instructions for use for Pantogam syrup.
Indications for use
“Pantogam” experts recommend for use in the presence of the following conditions:
- Damage to brain structures under the influence of toxic compounds.
- Cognitive impairment on the background of neuroinfection.
- Traumatic brain injuries.
- Problems trying to remember new information.
- Mental overload.
- Enuresis.
- Damage to the brain of a perinatal nature.
- Extrapyramidal disorders.
- Concussion.
- Schizophrenia.
- Reduced performance.
- Developmental delay.
- Disorders of urination of a neurological nature.
- Cerebral palsy.
- Epilepsy.
- Nerve tics.
- Stuttering.
- Hyperactivity accompanied by attention deficit.
- Mental retardation.
Can Pantogam syrup be used for children? Instructions for use report that there are no age restrictions on the use of the drug. It can be prescribed from infancy, to preschoolers and schoolchildren.
Contraindications
Any of the pharmacological forms of Pantogam should not be used in certain specific cases, including:
- Serious pathological conditions of the kidneys.
- Individual immunity of the active or any auxiliary component of the medication.
It is not allowed to use the Pantogama syrup form if the patient is diagnosed with phenicetonuria. A similar ban is due to the presence of aspartame in the syrup.
Negative impact
Against the background of the use of Pantogam, the development of negative symptoms from the side of the NS is not ruled out, which can be expressed by noise in the head, headache, excited state, and insomnia. Some children, on the contrary, become drowsy, inhibited, lethargic. The appearance of this symptomatology is a good reason to consult a doctor. Most often, experts advise lowering the dosage, after which the unpleasant manifestations irrevocably disappear.
In rare cases, Pantogam therapy is accompanied by the development of an allergic reaction. If a child conjunctiva becomes inflamed after the first use of the drug, a skin rash occurs, allergic rhinitis appears, its use should be abandoned.
Application
Both pharmacological forms of the drug are intended for oral use. Taking a tablet or syrup Pantogam is important after a meal. The instructions noted that the most optimal time for using the medicine will be in the morning, 20 minutes after breakfast. It is not recommended to take the drug later than 17.00. This is due to the ability of the medication to affect the patient’s activity in the evening and disturb his sleep.
This is stated in the instructions for use with Pantogam 10% syrup. It should be dosed using the included measuring spoon. It is allowed to use a syringe without a needle. Dilution of the syrup is not required, but it will be easier for the child to swallow the medicine if a small amount of clean water is added to it.
The course of Pantogam therapy is most often long. The minimum treatment period is 30 days. However, experts recommend a course of therapy lasting up to two months, and some patients are shown the use of the drug for up to a year. If necessary, the course of treatment can be repeated, but this should be done no earlier than 3 months after the completion of the previous treatment.
During therapy using Pantogam, a certain scheme should be followed. Over the course of several days, it is necessary to take the minimum dose of the drug, which is increased within two weeks to the maximum used in a particular pathological condition. The maximum dosage should be taken over two-thirds of the entire course, after which it begins to gradually decrease. At least a week should pass from the moment the dosage is reduced to the complete withdrawal of the drug.
Daily and single dosages of Pantogam are calculated taking into account the weight and age of the child, the diagnosis present. The average single dosage is considered to be 2.5-5 ml of syrup, up to 500 mg of tabletted medicine. The daily dosage of syrup should not exceed 30 ml, tablets - 3 grams. More precisely, the required dosage should be determined by the attending physician. With caution, Pantogam Syrup is prescribed for children. Instructions for use with it should be strictly observed.
Overdose
If the dosage is accidentally exceeded, an increase in the negative effects of the drug on the NS can occur. The child has very pronounced manifestations of drowsiness, noise in the head, lethargy and nervous excitement. If the child has an overdose, it is important to immediately rinse his stomach, ensure that activated charcoal is taken, and prescribe (if necessary) symptomatic therapy.
Interaction with other medicines
Pantogam can be prescribed in combination with anticonvulsant drugs, as it is able to enhance their therapeutic effect and at the same time reduce the severity of the negative effects of these drugs. A similar interaction is noted in "Pantogam" with drugs based on barbiturates. The therapeutic effect of any form of Pantogam is enhanced when taken concurrently with Glycine.
The combined use of Pantogam with other drugs of the group of nootropics or CNS simulators should occur under the supervision of a physician. This will prevent excessive stimulating effects. The use of "Pantogam" helps prevent side effects of antipsychotics, eliminate the negative consequences from their use. For this, Pantogam should be used in conjunction with these drugs or after they are canceled.
The combination of Pantogama with Magne B6 is allowed. Similar combinations are often used to treat ADHD, tics, and RRD. In accordance with the instructions for use of Pantogam, 10 percent syrup is able to increase the therapeutic effect of local anesthetic drugs.
Terms of purchase, cost
Any pharmacological form of the drug is dispensed from pharmacy points only with a prescription from a doctor. The average cost of one bottle of syrup or tablets with a dosage of 250 mg in Russian pharmacies is about 400 rubles. Tablets with a dosage of 500 mg will cost about 700 rubles. Such information is not in the instructions for use. A photo of Pantogam syrup is presented in the article.
Analogs
If necessary, the product can be replaced by one of the following drugs: Encephabol, Tiocetam, Cerebrolysin, Piracetam, Nootropil, Cortexin, Lutzetam, Cavinton, Glycine, Ginkgo Biloba ”,“ Vinpocetine ”,“ Gopantam ”,“ Pantocalcin ”.
Each of these analogues of Pantogam syrup, the instructions for the use of which we have already examined, has specific contraindications, and therefore the transition to these drugs should be coordinated with a specialist.
Usage Reviews
The drug is a well-established remedy for various neurological disorders. Patients note that against the background of using the drug, their memory improves, their ability to remember information increases.
No less positive are reviews of the experience of using Pantogama in the treatment of children. The drug has an affordable price, effective, rarely provokes negative effects, can be combined with other medicines. Be that as it may, the advisability of using the medication should be determined by the doctor, taking into account the disease.
We reviewed the instructions for use and reviews of Pantogam syrup for children and adults.