"Midokalm" - a medicine that is a muscle relaxant of central action. It is in the form of tablets coated with a white film coating. Their shape is round, biconvex, the smell is weak specific. On one side there is an engraving “50” or “150” (depending on the weight of the tablet). In addition, Midokalm solution is on sale (the medicine is colorless or slightly greenish, there are no mechanical inclusions).
The active substance is tolperisone. Additional components (in tablets) are citric acid monohydrate, anhydrous colloidal silicone, corn starch, stearin, titanium dioxide, talc, lactose monohydrate, microcrystalline cellulose, hydroxypropyl methyl cellulose 2910 and macrogol 6000.
The medication is distributed in blisters of ten pieces (there are three in one cardboard pack).
The main components of the injection solution are lidocaine and tolperisone, the auxiliary components are methyl paraben, diethylene glycol monoethylether and purified water.
In one cardboard box - five ampoules of one milliliter each.
"Midokalm" is a medicine that produces a membrane-stabilizing and local anesthetic effect. It provides a decrease in pain sensitivity of nerve endings (peripheral).
The drug is characterized by rapid absorption from the gastrointestinal tract. The maximum content in the blood is noted after thirty to sixty minutes. Midokalm is a medicine with a bioavailability of twenty percent. The drug is excreted through the kidneys (99%).
The pharmaceutical agent under consideration is prescribed for the treatment of increased muscle tone, which is pathological in nature, as well as for the treatment of striated muscle spasms that develop due to organic ailments of the central nervous system ( pyramidal lesions , multiple sclerosis, stroke, myelopathy, encephalomyelitis). In addition, this drug is able to eliminate muscle cramps and increased tone accompanying diseases of the musculoskeletal system such as arthrosis of large joints, spondylarthrosis, spondylosis, lumbar and cervical syndrome.
"Midokalm" is a medicine widely used in rehabilitation therapy after traumatological and orthopedic surgeries. It also has a specific pediatric indication - cerebral palsy (Little disease) and other encephalopathies, accompanied by muscle dystonia (in these cases, only tablets are prescribed).
The drug "Midokalm." Contraindications
The indicated remedy is not prescribed for patients with hypersensitivity, myasthenia gravis, in childhood up to twelve months (both solution and tablets).
Instructions for use and dosage
The medication is administered orally after a meal. You do not need to chew it; you can drink it with a small amount of liquid. The initial dose for adult patients is fifty milligrams two to three times a day. Babies from one to six years old - five mg per kilogram (3 times a day), from seven to fourteen - from two to four mg / kg (the frequency of administration is similar). If the patient is not able to swallow the tablet, it can be grinded and take the resulting powder with boiled water.
The drug "Midokalm." The course of treatment with a solution
A medication in this form is administered intravenously (slowly) or intramuscularly. In the first case - one hundred milligrams once a day, in the second - a similar amount twice a day.
The drug can cause muscle weakness, headache, lowering blood pressure, nausea, vomiting, abdominal discomfort.