Pantogam is very popular among drugs of nootropic action. The instructions say that it can be used for a variety of problems and diagnoses. Due to the fact that among the indications for its use there is mental retardation and epilepsy, parents of babies sometimes refuse this medication. Therefore, it is worthwhile to understand its purpose, properties and composition. It is also important to find out how it acts on the body, study patient reviews and find out about possible analogues of the drug.
Pantogam tablets
For patients older than three years, the medicine may be prescribed in the form of pills. They have a white color and a round shape. The main active ingredient is hopantenic acid. The preparation also includes excipients:
- hoist;
- methyl cellulose;
- calcium stearate ;
- magnesium hydroxycarbonate.
The basis of the drug is hopantenic acid. A tablet may contain 250 or 500 mg of active ingredient. Depending on the diagnosis and age of the patient, the doctor prescribes an increased or reduced dosage.
Syrup medicine
For children under three years of age, Pantogam syrup is intended. The instructions describe its full composition. The main substance is hopantenic acid. 100 mg of syrup accounts for 10 mg of the active ingredient. To avoid side effects, you should carefully study the auxiliary composition:
- glycerol;
- sodium benzoate;
- sorbitol;
- aspartame;
- citric acid monohydrate;
- cherry flavor;
- purified water.
The syrup is intended for the treatment of children under three years of age, but as prescribed by a doctor, it can also be used at an older age.
The principle of action of the drug
The drug "Pantogam" in the composition has a substance that has a nootropic effect on the body. As a result, medication helps protect brain cells from oxygen deficiency and the effects of toxic components on it. As a result, drug treatment leads to:
- acceleration of metabolic processes;
- normalization of neurons;
- increase efficiency.
Also, experts note an anticonvulsant effect, therefore, they are prescribed for the manifestation of epilepsy. The active substance has the following functions:
- reduces detrusor tone;
- inhibits pathologically elevated cystic reflex.
It is known that the drug is rapidly absorbed through the gastrointestinal tract and enters the bloodstream. In addition, the active component in large quantities is found in:
- liver
- the brain;
- kidneys;
- skin cells.
But after two days, hopantenic acid is excreted by the kidneys unchanged. The remainder enters the feces and is excreted through the stool.
Prescribing Goals
Pantogam tablets, indications are very diverse, but all are associated with impaired brain activity. Despite the fact that the diagnoses vary from serious to quite mild, the drug is effective and safe in any case. So, tablets can be prescribed for adult patients with the following problems:
- Neurotic disorders and consequences of cerebrovascular accident caused by injuries. (craniocerebral or associated with neuroinfection).
- Extrapyramidal pathology (parkinsonism).
- Cerebrovascular insufficiency.
- Epilepsy, characterized by inhibition of mental processes.
- Excessive stress in the psycho-emotional sense.
- With a decrease in performance.
- With a clear decrease in mental activity, to enhance concentration and improve memory processes.
- Violations in the process of controlling urination (enuresis, peremptory urination, too frequent urination).
- Schizophrenia and related organic cerebral insufficiency.
It has Pantogam indications for children after three years. The drug in the form of tablets can be prescribed in the following cases:
- mental retardation;
- delayed psychomotor and speech development;
- neurosis-like pathologies (stuttering, stuttering, tics);
- various forms of cerebral palsy;
- hyperactivity syndrome;
- attention deficit.
Indications for taking syrup
Pantogam has found widespread use in pediatric neurology. Why the medicine is prescribed is described in detail in the instructions. For patients from birth to three years, only syrup is intended. However, older children may also be prescribed medicine. It must be taken with the following conditions and diagnoses:
- Encephalopathy is perinatal. In this case, a newborn is prescribed.
- Cerebral palsy of varying severity.
- Delayed mental or physical development.
- Delayed mental development (deviations in behavior are also included).
- Violations in the development of school skills (writing, counting and reading).
- Decrease in intellectual activity.
- Tics and stuttering.
- Mental and emotional overload.
- Decreased physical activity.
- Epilepsy, expressed by inhibition of mental processes.
- Disorders in urination.
Features of admission in childhood
From birth, Pantogam can be written out. Why prescribe the medicine for children is described above, but it should be understood that the drug is allowed to the newborn only in the form of a syrup.
Pills are allowed when the baby is three years old, but doctors most often recommend medicine. In any case, the form of the product depends not only on age, but also on the problem that needs to be solved. If a child has a history of cerebral palsy, epilepsy, or other serious disorders in the cerebral circulation, then after three years a large dosage of the active substance is necessary, so they switch to tablets. If the baby has a slight stutter, impaired behavior or had great psycho-emotional stress, then syrup can be prescribed even after three years.
Contraindications
Pantogam for adults is prescribed in tablets. They contain a rather large dose of the active substance, which penetrates into multiple tissues and organs. Also, the drug has its contraindications, depending on the form of release.
Tablets are prohibited for use:
- during breastfeeding;
- with severe renal failure;
- during pregnancy.
Syrup has several other contraindications:
- pregnancy (only the first trimester);
- a history of phenylketonuria (due to the presence of aspartame in the composition).
Pantogam is not prescribed for adults, as well as for children, in the presence of acute sensitivity to any component of the drug. You need to study the instructions before using it.
"Pantogam" - side effects
Usually, drug treatment does not cause persistent adverse reactions. But still, side effects are recorded by doctors. Moreover, poor health may vary depending on the form of medication taken.
After taking the tablets, there may be a malfunction in the central nervous system. Side effects can be expressed in:
- dizziness
- insomnia;
- lethargy;
- lethargy or intense excitement;
- noise in the head.
If such conditions are pronounced, then the doctor usually recommends reducing the dosage. In this case, all side effects become weak and completely disappear.
Pantogam syrup can also cause side effects and effects. First of all, the child may be disturbed by an allergic reaction if the baby is sensitive to flavorings. Moreover, the symptoms can be expressed both in skin rash, and in inflammation of the conjunctiva and runny nose. If symptoms of intolerance are pronounced, then drug treatment is canceled.
Tablet dosage
For adults and children after three years, Pantogam tablets may be prescribed. Dosage depends on the diagnosis and age of the patient.
Children are prescribed pills with an active substance of 250 or 500 mg. Moreover, the daily dosage should not exceed 3000 mg. The course of treatment is usually long and can last up to six months. Moreover, if necessary, the treatment is repeated after a three or six-month break.
The doctor prescribes the drug in accordance with the problem being solved, so there are no exact recommendations. So, for the treatment of epilepsy, the daily dosage is from 750 to 1000 mg. Taking pills is signed by a specialist for a year. If there are problems with urination, then adult patients need to take pills 2-3 times a day, children 1-2 times a day. The exact dosage for babies is calculated according to weight. The full course is 1-3 months.
Syrup regimen
Pantogam syrup is recommended from birth. A single dose for infants should not exceed 500 mg, daily - 1000 mg. Treatment involves a long course, but most often doctors prescribe therapy for 4 months. If reappointment is necessary, then it is necessary to wait up to 3 to 6 months.
For various diagnoses, Pantogam is recommended. Dosage also depends on age:
- From birth to one year, from 500 to 1000 mg.
- From a year to three years - up to 1250 mg.
- From three to seven years - up to 1500 mg.
- From seven years - up to 2000 mg.
When “Pantogam” is prescribed in syrup, the tactics for gradually increasing the dosage are usually followed. Over the course of 10-12 days, the daily intake is gradually increased, and then they drink the largest dose. At the end of treatment, the amount of syrup consumed is reduced throughout the week.
Danger of overdose
If you do not follow the doctor’s recommendations and exceed the prescribed norm, then an overdose of Pantogam is possible. The instructions clearly describe the symptoms that will immediately follow:
- dizziness;
- lethargy;
- blurred consciousness.
If the patient accidentally exceeds the dosage, then standard procedures and symptomatic preparations are recommended:
- gastric lavage;
- Activated carbon.
Possibility of sharing
The Pantogam medicine can be combined with other medicines, but some features should be studied:
- Anticonvulsants increase their effectiveness. They are often prescribed together.
- You can not combine "Pantogam" with other nootropic drugs or stimulating nervous activity means. Especially this item applies to a long course.
- Joint administration with barbiturates and antipsychotics is justified due to the reduction of side effects from these drugs.
- For more effective use, "Glycine" is often prescribed.
- The effect of local anesthetics from co-administration is increased.
Terms of sale and storage
"Pantogam" in tablets, as well as in syrup, should be prescribed by a doctor and write a prescription for its purchase. For an appointment, you can contact a neurologist or pediatrician. Of course, the drug is not cheap, given the long course of treatment. The average price tag varies from 400 to 700 rubles, depending on the form of release and the number of tablets in the package.
Keep the medicine in a place where children are denied access. No special conditions are required. Tablets must be protected from moisture and observe a temperature regime of not higher than 25 degrees. The syrup should be stored in a dark place at the same temperature.
Reviews of adult patients and parents of babies
A lot of controversy is caused by the appointment of Pantogam. When it starts to act, the reviews indicate, but opinions vary widely. If the reception is necessary in childhood, then the parents are confused by the terrible diagnoses that exist in the testimony. However, judging by medical practice and the responses of patients, the reception does not cause harm, but has obvious benefits.
Despite the fact that syrup is very popular and is indicated for children, tablets are also in demand. It is convenient to take them as adult patients, and also to offer those children who easily swallow the whole pill. This approach is justified if the child is intolerant of aspartame or an allergic reaction to the flavor has been identified.
The medicine "Pantogam" is considered by many to be effective. After treatment, fatigue decreases, the patient regains vitality. In children, attention and concentration increase. The drug is well tolerated, and with a delay in development has a beneficial effect. If brain injuries are diagnosed and tormented by their consequences, then the medication eliminates side effects.
Pantogam tablets do not contain harmful compounds, so it is prescribed for epilepsy and cerebral palsy. If dye is present in the syrup, then the pills, in addition to the main component, consist only of formative substances that do not have any effect on the body.
But there are still negative reviews. Some parents did not reveal any visible improvements in the setting. In addition, side effects and complaints of the child about feeling unwell are recorded. The disadvantages also include a completely non-budget price, because the course of administration is long, which means that more than one package of the medicine will be required.
Possible replacement
How to replace "Pantogam"? Analogues exist with him. The most accurate is Pantocalcin. But the drug is available only in tablets, so it is not suitable for the treatment of newborns. Assign it to children over three years of age and adults for the same reasons. If there is a need for another nootropic remedy, then a specialist can recommend a replacement. It is necessary if for some reason Pantogam does not fit. Analogs can be the following:
1. "Glycine." Available in the form of small, sweet-tasting tablets. Kids do not refuse to take them, because they have a pleasant aroma. Assign a remedy in order to calm the child after increased psycho-emotional and physical stress. Also indications are:
- normalization of sleep;
- stimulation of mental activity;
- calming the baby after an overly active day;
- brain protection during increased workload.
The drug is available in tablets, but provided from birth. In this case, the pill is diluted in water and given under full control by the doctor.
2. "Anvifen." Capsules containing aminophenylbutyric acid. Shown only after three years and are intended in the following cases:
- enuresis for children and adults;
- insomnia due to anxiety and excessive psycho-emotional stress;
- stuttering, stuttering and tics.
3. "Cogitum." It differs in that it is available in the form of a solution and is supplied in ampoules. Indicated for oral administration. The active ingredient is acetylamino-succinic acid. The product has a pleasant banana flavor. However, the medicine is indicated for administration to patients older than 7 years, but the doctor may prescribe it earlier. It helps with the following disorders:
- neurosis;
- mental retardation or speech development;
- brain injuries.
4. "Cortexin." The medication is available only in the form of a solution for injection. It is indicated for various neurological pathologies and is recommended for disorders in the functioning of the brain. Assign to patients of different age categories. Newborns are indicated for birth trauma to the brain.
5. "Aminalon". The drug is recommended for the treatment of complex forms of cerebral palsy, developmental delays and traumatic brain injuries. Up to a year do not appoint.
Conclusion
For many neurological problems, Pantogam is indicated. The instructions clearly indicate all possible indications and dosage. But the doctor usually prescribes treatment, so you must adhere to the recommended regimen. Do not be afraid of the destination and terrible diagnoses in the annotation. The drug is well tolerated and brings noticeable improvements with proper admission.