In this article, we consider the instructions and reviews for the drug "Tanakan".
A medication is a herbal medicine that helps improve peripheral and cerebral circulation. It is often prescribed to people suffering from various disorders of this process, which is accompanied by specific symptoms. Despite the fact that this pharmacological agent, as a rule, is not used as an independent treatment, but is used as part of complex therapeutic prescriptions, it is very effective. It should be noted that the drug has some specific features regarding contraindications and side effects, therefore, before use, the patient is recommended to study the instructions for him.
Reviews about "Tanakan" are abundant.
Release form
This drug is available in tablet form, as well as in the form of oral solutions . The tablets are film-coated and have a convex on both sides, a rounded shape and a specific smell. The color of the tablets is brick red, at the break - light brown. They are packed in blisters, each of which contains 15 tablets, and in cardboard packs - two or six of these blisters.
The solution for internal use is a brownish-orange clear liquid, as well as tablets with a characteristic odor. The solution is poured into bottles of darkened glass, each of which contains 30 ml of the drug. The bottles, in turn, are in cardboard packaging, and in addition to them, a pipette-dispenser with a capacity of 1 ml and instructions are included. Reviews and analogues to "Tanakan" will be presented below.
Structure
The main active ingredients of this medicine are bilobate ginkgo leaf extract, flavonol glycosides 23–26.5% and ginkgolides bilobalides 5.5–6.8%. In one tablet, the content of ginkgo extract is 40 mg. As additional ingredients, the medication includes:
- corn starch;
- magnesium stearate;
- microcrystalline cellulose;
- colloidal silicon dioxide;
- talc;
- lactose monohydrate;
- macrogol 6000;
- macrogol 400,
- titanium dioxide;
- hypromellose;
- iron oxide is red.
The composition of 1 ml of oral solution includes ginkgo extract - 40 mg, flavonol glycosides - 23%, ginkgolides-bilobalides - 7%, as well as some excipients - purified water, sodium saccharin, ethanol 96%, lemon and orange flavors. Reviews about Tanakan are mostly positive.
Indications for use of the drug
The main indications for the use of a pharmacological agent are:
- Intermittent claudication with obliterating arteriopathies of the lower extremities of a chronic nature (2 degrees according to Fontaine).
- Visual impairment of vascular nature.
- Decreased vision and hearing.
- Dizziness and tinnitus.
- Impaired coordination of movements mainly of vascular etiology.
- Cognitive and sensorineural deficits of various origins (with the exception of Alzheimer's disease).
- Raynaud's Syndrome.
When is it prescribed more often?
This drug is prescribed mainly for a variety of neurological disorders that are observed in patients with pathologies of the cardiovascular system, accompanied by the above symptoms, as well as in many varieties of depressive and neuropsychiatric disorders, in which similar symptoms can also be observed. In addition, the drug is often used as an additional component of the complex treatment of pathologies of the vessels of the head and cervical spine, after traumatic brain injuries, with concussions and many other pathological conditions. The doctors' comments about Tanakan confirm this.
Contraindications
Despite the fact that the pharmacological agent contains exclusively natural substances, like any other medicinal product, it has a certain list of conditions in the presence of which it is not recommended to be used. Such phenomena include:
- Reducing blood coagulation.
- Exacerbation of erosive gastritis.
- Circulatory disorders in the brain, especially in acute periods.
- Exacerbation of peptic ulcer of the duodenum or stomach.
- Myocardial infarction in acute form.
- Galactose or glucose malabsorption syndrome.
- Lactose intolerance.
- Congenital forms of galactosemia.
- Lactase deficiency (when using the tablet form of the drug).
- The period of pregnancy and lactation.
- Age at least 18 years.
- Hypersensitivity to one of the phytocomponents of a drug.
This is stated in the instructions for use. Reviews on "Tanakan" confirm that the drug is most often well tolerated, but it should be taken with caution.
Use with caution
The medicine in the form of a solution for oral administration should be used with caution in the event of the following pathological disorders:
- liver disease
- diseases of the kidneys and digestive tract;
- head injuries;
- chronic alcoholism.
Dosage and administration
Adult patients “Tanakan” is prescribed, as a rule, 40 mg, that is, 1 tablet or 1 ml of oral solution 3 times a day, with meals. The tablets should be swallowed whole and washed down with half a glass of water, and the drug solution should be diluted previously in the same amount of water. For accurate dosage of the drug solution, the use of a pipette-dispenser attached to it is necessary.
The duration of therapy is determined in each case individually. The patient's condition improves about a month after its onset, however, the minimum recommended duration is three months. During this period, the patient must carefully follow all the recommendations of the doctor, and when using certain medications of other pharmacological groups, this should be done only after the appointment of a specialist, since not all medicines can be combined with the Tanakan medicine.
If necessary, a specialist may recommend a repeated treatment with this medication.
Side effects
According to the instructions and reviews for "Tanakan", the use of the drug may cause some negative manifestations, which include:
- Allergic and dermatological reactions of the body in the form of skin rashes, eczema, swelling of the skin, redness, urticaria, which in most cases is accompanied by itching.
- There may also be some reactions associated with blood coagulation, especially with prolonged use of the pharmacological preparation "Tanakan" - a decrease in blood coagulation, the occurrence of bleeding.
- From the side of the digestive tract, abdominal pains, symptoms of dyspepsia, diarrhea, vomiting and nausea can occur.
- Manifestations associated with the functionality of the central nervous system are headaches, severe tinnitus, and symptoms of dizziness.
- Memory impairment, especially with the use of certain tranquilizers or antidepressants, which may also be accompanied by such manifestations as drowsiness, disorders of nervous reactions. Instructions and reviews about the Tanakan confirm this.
special instructions
One medicinal dose of the solution contains 450 milligrams of ethyl alcohol, in the highest daily dose - 1350 milligrams. The pharmacological preparation “Tanakan” can cause dizziness, and therefore, during the treatment period, patients are not recommended to engage in hazardous activities that require increased attention and speed of psychophysical reactions, including driving and working with some complex mechanisms. Reviews of neurologists about Tanakan confirm that this drug interacts poorly with other drugs.
Interaction with other medicinal substances
Medication "Tanakan" is not recommended for patients who systemically take indirect or direct anticoagulants, as well as drugs containing acetylsalicylic acid as an antiplatelet agent. The same goes for any other medications that lower blood coagulation. Biloba ginkgo leaf extract can both induce and inhibit cytochrome P450 isoenzymes. With the parallel use of midazolam, its level may change, presumably due to exposure to CYP3A4. Given this phenomenon, some caution should be exercised when using the Tanakan medication in combination with medications that have a low therapeutic index and are metabolized using the CYP3A4 isoenzyme.
Given that ethanol is included in this pharmacological product, Tanakan in the form of a solution significantly increases the likelihood of adverse reactions such as heart palpitations, vomiting, hyperthermia and hyperemia of the skin, with the concomitant use of the following drugs:
- tranquilizers;
- thiazide diuretics;
- anticonvulsant drugs;
- antibacterial agents of the cephalosporin group (for example, “Latamoxef”, “Cefamandol”, “Cefoperazone”);
- cytostatics ("Procarbazine");
- tricyclic antidepressants;
- antifungal drugs ("Griseofulvin");
- “Ketoconazole”;
- Disulfiram
- Gentamicin;
- 5-nitroimidazole derivatives (for example, Tinidazole, Secnidazole, Ornidazole, Metronidazole);
- "Chloramphenicol."
When using the drug “Tanakan” in the form of a solution during parallel therapy with oral hypoglycemic drugs (“Chlorpropamide”, “Glibenclamide”, “Glipizid”, “Tolbutamide”, “Metformin”), a pathology such as lactacidosis may occur.
Next, consider the analogues and reviews of the "Tanakan".
Analogs
Analog preparations of the Tanakan medication are:
- "Ginkgo biloba";
- "Gingium";
- Ginos
- "Vitrum Memori."
Reviews about the "Tanakan" from doctors and patients
This drug is often used in clinical neurological practice to treat a wide variety of diseases. At the same time, neurologists emphasize the undoubted benefit of taking this pharmaceutical drug, which is due not only to the naturalness of its main active ingredients, but their direct effect on many organs and systems of the body, in particular on the central nervous and peripheral system.
According to neurologists about Tanakan, it is often used in the treatment of various manifestations of vegetative-vascular dystonia. Experts argue that the positive effect of the use of the drug in the treatment of such pathologies cannot be underestimated, and explain this by the fact that the active substances of the drug contribute to the improvement of the nerve fibers, restore the functioning of the brain and have a positive effect on the visual and auditory functions by nourishing the fibers of the optic nerves and affecting the human hearing system.
In addition, judging by the reviews of “Tanakan,” the remedy is very effective in the appearance of noise in the head of various origins, as it improves blood circulation in the brain and improves its functioning.
Negative reviews
Despite the huge number of positive reviews about this medication, neurologists indicate that the negative effect of the drug on the body is also present to some extent and is expressed mainly in the frequent cases of all kinds of allergic manifestations, as well as intolerance to this medication. Other adverse reactions from the use of "Tanakan", according to reviews, also occur, however, they occur in patients much less often. They include headaches, dyspepsia and kidney disorders.
In addition, neurologists note that the drug must be used exclusively as one of the components of a comprehensive treatment, since this medication cannot be used as the main treatment for the above diseases.
We reviewed the "Tanakan" instructions for use, reviews and analogues.