Is it possible to drink valerian and Mexidol? Mexidol tablets and injections: composition, active ingredient, indications, instructions for use, contraindications, side effects, analogues, reviews. Mexidol: what does this drug help with, what is it prescribed for, is it possible


Vegetative-vascular dystonia is a fairly common syndrome and is a disorder of the autonomic functions of the nervous system. Today there is no clear and only correct direction in the treatment of such a syndrome, and debates about how to cure VSD continue to this day. Its treatment is selected taking into account the psycho-emotional etiology of the disorder and includes many nuances. In general, in order to get rid of VSD forever, it is necessary to comprehensively influence the mechanisms of development of the syndrome and eliminate the factors that provoke it.

General principles of treatment

Treatment of VSD requires maintaining a carefully thought-out lifestyle. To do this, you need to get rid of habits that are harmful to your health, balance your rest-work regime, and regularly engage in sports (just not at a professional level) such as running, fitness, swimming or aerobics.


To always eliminate VSD syndrome, in addition to the main therapy, a rationally balanced diet, walks in the fresh air, 8 hours of sleep, spa neurological therapy, and psychotherapy sessions are recommended.
Since the main culprits of dystonia are stress, it is logical to assume that the pathology should be dealt with by eliminating or at least partially protecting the patient from stress. In most cases, it is impossible to completely get rid of such situations, especially for patients whose field of professional activity is associated with emotional and psychological stress. Such patients need psychological help, which involves increasing adaptation to such situations and learning to control their psycho-emotional state.

Attention! Tobacco smoking depletes the nervous system functions, since it adversely affects vascular tone, and alcohol abuse inhibits autonomic regulation. Therefore, the primary task of a patient who wants to get rid of VSD forever is to eradicate habits that are detrimental to health.

Adequate balanced nutrition will help to overcome VSD syndrome, ensuring the uninterrupted production of hormones and enzymes, without which the normal, full course of the most important processes for the body in the autonomic nervous system is impossible.


The body will not be able to fight external stress influences if the nervous system processes do not proceed harmoniously. Simply put, the body does not have the resources to fight external stimuli if its owner does not eat properly. Therefore, it is important to enrich the diet - take vitamin complexes and biological supplements, consume more fruit and vegetable dishes and freshly squeezed drinks. In addition, it should be taken into account that the abuse of coffee and tea often provokes an attack in patients with VSD.

Vegetative-vascular dystonia is closely related to physical activity. Lack of physical activity (hypodynamia), as well as excessive overexertion, can contribute to the occurrence of various kinds of shifts in nervous system functions. Therefore, treatment of VSD involves training the nervous system, which will be helped by swimming, physical therapy, slow running, race walking, or at least just walking every night for half an hour to an hour.

Drugs for the treatment of VSD

To defeat dystonia forever, it is necessary to include medications prescribed by a neurologist and psychotherapist in the treatment. Medicines, as confirmed by patient reviews, help patients overcome the feeling of fear, calm down and get distracted, get rid of anxiety and normalize brain activity.


In general, drug treatment of dystonia involves taking drugs from various pharmaceutical groups: antidepressants, antipsychotics, tranquilizers, sedatives. These drugs help fight fear, which causes attacks of dystonia. Often, treatment of VSD is supplemented with nootropic drugs that normalize brain activity. Among such drugs, the most popular are drugs like Aminalon, Dopamine, Piracetam, Tenoten, Phenotropil, etc. Metabolic drugs like Glycine and Riboxin, Neoton and Actovegin, Riboflavin, etc. are also used in the treatment of vegetative-vascular dystonia.

Attention! You cannot take several drugs from the same pharmacological group at the same time; you should choose one type of drug from different groups.

Other medications, the action of which is aimed primarily at eliminating external symptoms, also help to get rid of dystonia syndrome forever. Such drugs increase the body's immune defense and have a general strengthening effect on it. Among such medications it is worth highlighting:

Medicinal herbs with a calming effect also help combat panic attacks, attacks of fear and anxiety. Among such plants, the leaders are motherwort and valerian, St. John's wort and hawthorn, thyme and oregano. Such drugs help to get rid of VSD syndrome forever, since they affect the immediate cause of the pathological condition. But for treatment with such drugs to be long-term and require strict dosage.

Popular effective remedies for dystonia

Afobazole

A similar remedy for VSD, as confirmed by reviews, copes very effectively with certain symptoms of vegetative-vascular syndrome. Afobazole has an anti-anxiety and mild stimulating effect. It reduces or completely eliminates irritability and anxiety, fear and bad feelings, relieves tension and tearfulness, and helps the patient say no to fears and excessive worries. Afobazole successfully copes with somatic symptoms, eliminating sensory and muscular, respiratory and cardiovascular, as well as gastrointestinal signs of VSD, which is also proven by reviews. Afobazole negates the clinical vegetative and cognitive manifestations of vegetative-vascular syndrome such as dizziness and sweating, dry mouth, weakened memory and impaired concentration.

Attention! Afobazole has contraindications such as individual hypersensitivity to the drug; Afobazole should not be taken by nursing or pregnant women, or before the age of 18.

Afobazole is especially recommended for patients with asthenic personal characteristics such as increased vulnerability and excessive suspiciousness, high emotionality and a tendency to stress reactions. Treatment of vegetative-vascular dystonia syndrome often includes taking Afobazol tablets. Such a remedy for VSD eliminates the manifestations of anxiety disorders, adaptation disorders and neurasthenia. In rare cases, treatment with Afobazole tablets can cause allergic reactions.

Mexidol

Experts quite often include this remedy for VSD in the complex treatment of vegetative-vascular syndrome. Mexidol injections, as reviews and doctors say, are recommended to be administered with caution to persons whose professional activities require quick psychophysical reactions, for example, drivers and those working with machinery. Mexidol has anticonvulsant and nootropic, antihypoxic and anxiolytic effects. By taking Mexidol, patients increase the body's resistance to shock and oxygen starvation, various types of disorders in cerebral circulation and ischemia, and to the intoxicating effects of neuroleptic drugs and alcohol.

Attention! When using Mexidol injections in therapy, it is necessary to take into account the possibility of adverse reactions such as allergies or drowsiness, dry mouth or nausea.

Mexidol improves metabolic processes and blood circulation in the brain, reduces platelet aggregation. The injections have a lipid-lowering ability, and also reduce the level of total cholesterol, and have membrane protective and antioxidant effects.


Xidol is indicated for VSD and encephalopathy, atherosclerotic cognitive disorders and circulatory disorders in brain tissue, as well as for neuroses and neurotic conditions. Mexidol is contraindicated in acute disorders of renal and hepatic function, breastfeeding and pregnancy, hypersensitivity to the drug and childhood.

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pharmachologic effect

Mexidol is an antioxidant that helps stimulate blood circulation in the brain, eliminating neurological disorders. For VSD, the medication has the following pharmacological effect:

  • prevents brain hypoxia;
  • improves memory, concentration, ability to perceive and master new information;
  • serves as a prevention of the development of ischemia;
  • increases intelligence, facilitates intellectual work;
  • prevents the extinction of conditioned reflexes;
  • reduces the natural sensitivity threshold of nerve endings to pain;
  • improves oxygen absorption by brain cells;
  • increases the body's resistance to stress;
  • improves sleep.

The active components of the drug prevent blood thickening and therefore improve its circulation.

Indications for use

This is a broad-spectrum drug. Mexidol helped get rid of alcohol addiction. A course of therapy with the drug is prescribed to patients with cardiac pathologies. Indications for use of the drug are extensive:

  • vegetative-vascular dystonia;
  • atherosclerosis;
  • hypertension;
  • encephalopathy;
  • disturbances in cerebral blood flow processes;
  • neurotic disorders;
  • neurasthenia;
  • vascular collapse;
  • post-traumatic syndrome;
  • headaches associated with neurological disorders;
  • alcohol intoxication of the body.

Taking tablets (injections) in courses allows you to strengthen the walls of blood vessels, stabilize the condition of seriously ill patients with cardiac pathologies, and prevent the progression of diseases.

Dosage for vegetative-vascular disorder

The medicine is available in two forms - capsules and solutions for injection. Injections are prescribed intramuscularly three times a day. The dosage of capsules depends on the clinical picture of the progression of the pathology. For VSD, doctors recommend taking pills according to the following regimen:

  • from 125 mg to 250 mg up to 3 times a day;
  • after achieving the desired therapeutic effect, the dosage is reduced gradually.

How to take Mexidol, the duration of the course of therapy is determined by the attending physician. With positive dynamics of treatment, the dosage and frequency of taking capsules is reduced.

Contraindications

Despite the fact that Mexidol helps with vegetative-vascular dystonia, the medicine has a number of contraindications:

  • congenital and acquired pathologies of the kidneys and liver. The active components of the drug provoke an enlargement of the liver, which may cause pain in the membrane or internal organs located next to it;
  • during pregnancy, the drug is not prescribed for VSD, since the degree of influence of the active substances on the development of the baby is unknown;
  • lactation period. The substances included in the medication pass into breast milk and can affect the baby’s well-being;
  • Mexidol is not used by pediatricians for VSD, since the effect of the active ingredients of the medication on the developing child’s body is unknown.

The medication is contraindicated for people with hypersensitivity to one (several) components of the drug.

Side effects

When treating vegetative-vascular dystonia with this medication, patients may experience changes in well-being. Among the most common side effects recorded while taking capsules (injections) are:

  • nausea. This is one of the symptoms of vegetative-vascular dystonia. However, Mexidol for this disease in some cases only intensifies its manifestations;
  • vomiting;
  • dry mouth, sore throat;
  • lack of air;
  • increased drowsiness, rapid fatigue;
  • rarely recorded dermatitis (small rash, redness of the skin, itching);
  • The active ingredients of the drug affect the ability to concentrate. Capsules and injections should not be taken by people whose work involves operating machinery or vehicles.

The medicine is addictive. With long-term treatment, it is difficult for the patient to stop taking pills (injections) regularly.

Compatibility of the drug and alcohol

As reviews show, most patients mistakenly believe that the medication neutralizes the harmful effects of alcohol that it has on the body, so the tablets can be taken along with alcoholic beverages. Such assumptions are nothing more than delusions. The capsules actually promote the regeneration of liver cells damaged by alcohol.

However, when using alcohol and pills at the same time:

  • Damaged liver and brain cells are not renewed. Their structure is further damaged;
  • vegetative symptoms, which the drug eliminates, intensify;
  • There may be manifestations of adverse reactions that were not observed before drinking alcohol.

It is difficult to predict the clinical picture of the condition of a patient who has taken capsules with alcohol. Each individual recorded case is individual.

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Mexidol against VSD

At first glance, the drug may cause mistrust among hypochondriacal patients with VSD. It really performs too many functions, and, as we know, there is no panacea in the world. The main “points of influence” of Mexidol:

  1. Brain.
  2. Heart.
  3. Cell membranes.

If everything is clear with the first two points (the brain and heart always suffer during VSD), then what is the advantage of the drug’s effect on cells? The answer will please the patient. Every VSD sufferer has problems with blood vessels, resulting in persistent hypoxia.

The whole body suffers from a lack of oxygen, and in particular the brain, which “thanks” the patient with dizziness, insomnia and instability to stress.

Mexidol reduces the oxygen demand of cells, thereby improving blood flow in large and medium-sized arteries, and the body tolerates stress more resistantly. The blood becomes less viscous, and the brain and heart cease to suffer from its deficiency. So, Mexidol for VSD:

  • Protects the body from hypoxia;
  • Repairs brain neurons;
  • Activates blood flow;
  • Increases stress resistance;
  • Stabilizes cell membranes;
  • Cleanses the body of harmful toxins;

Like any other medicine, Mexidol does not guarantee 100% relief (let alone cure) for every VSD sufferer. But in most cases, the drug provides significant assistance if the patient:

  • VSD of cardiac type;
  • Neurasthenia and stress;
  • Poor circulation;
  • Frequent hypertension;
  • Anxiety and depression;
  • Problems with blood vessels;

The drug stimulates a person’s performance, helps improve overall well-being and cope with psycho-emotional stress. Sometimes the patient even feels an increase in strength and activation of all the internal reserves of the body.

Medical observations have also established that antidepressants and tranquilizers while taking Mexidol have a more active effect on the patient.

Release form

Mexidol is available in two forms: tablets and ampoules for injection. The first form of the drug is preferred by most patients, although doctors more often prescribe injections to VSD patients.

The tablets have the most common appearance - a round white shape - and contain 125 mg of the active substance (ethylmethylhydroxypyridine succinate). It also contains lactose monohydrate, which allergy sufferers should pay attention to.

The ampoules are transparent vessels with three stripes on the top. They contain 2 ml of a 5% solution of the active substance, as well as water for injection and the excipient sodium metabisulfite.

How exactly to take Mexidol for VSD is usually decided by the doctor. Its prescriptions depend on the severity of the condition. If the patient has a history of severe panic attacks and loss of consciousness, then he may be prescribed Mexidol even in the form of a drip.

The tablets are taken three times a day on a full stomach, washed down with plenty of water. A single dose can be up to 2 tablets. The course of treatment is long-term – 1-3 months. them. Injections are also given three times a day, and this is not convenient for every patient in whose home environment there are no doctors. The course of injections lasts up to 10 days, then the patient is transferred to tablets.

Doctors advise taking Mexidol during “acute” periods of VSD: in autumn and spring. It is during the demi-season period that the body reacts more severely to changes in weather conditions and any shocks.

The instructions do not say a word about the patient’s age, so doctors often prescribe Mexidol for children/teenagers. Although there are experts who are categorically against this practice.

Side effects and warnings

Mexidol for vegetative-vascular dystonia very rarely creates problems for the patient, however, there is a list of individual conditions for which this medicine should not be taken in any form:

  1. Severe liver failure.
  2. Serious kidney pathologies.
  3. Lactose intolerance.
  4. Vitamin B6 intolerance.
  5. Individual rejection of the drug by the body.

Some patients during treatment with Mexidol noted such manifestations as allergies, dry mucous membranes, nausea, and increased thirst. Drowsiness occurred extremely rarely, which led to deterioration of attention.

In any case, while treatment with the drug is in progress, it is better not to drive and stop work that requires quick reactions. And, of course, you should never prescribe medications to yourself. The risk of side effects is minimized if the leader in treatment is a specialist, and not the patient himself.

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What it is

Vegetative-vascular dystonia primarily affects the general condition. Excessive fatigue and neurotic disorders are common phenomena that accompany this disorder. Therefore, a drug that relieves such symptoms must have a corresponding effect. Mexidol is an antioxidant that directly affects brain activity, simulating the necessary processes, and also helping to cope with neurotic disorders.

The beneficial effects of antioxidants on the human body have long been proven by scientists. These substances are useful and vital for the normal functioning of the body. However, remember that before using any medications you should consult your doctor to make sure there are no contraindications to the use of this drug.

The positive effect of Mexidol has been noticed by many people suffering from vegetative-vascular dystonia. This is an affordable medicine, not as toxic as its analogues may be. Therefore, the drug is used quite often for the treatment of VSD.

The main active ingredient of Mexidol is ethylmethylhydroxypyridine succinate. This antioxidant is convenient to use in different forms - both in capsules and tablets, and in solutions for intramuscular injections. It is a salvation for the majority of those suffering from vegetative-vascular dystonia, although there are people for whom its effect was not so obvious.

Properties of the drug:

  • helps with lack of oxygen in the brain;
  • helps improve memory;
  • improves concentration and attention;
  • increases intellectual activity;
  • prevents coronary disease;
  • improves sleep;
  • partially relieves pain by reducing the sensitivity threshold;
  • increases resistance to stress and anxiety;
  • preserves reflexes.

All this happens due to Mexidol’s activation of processes involving free radicals. The medicine helps protect cell membranes from the negative influences of the environment, which is very important for normal brain function.

This drug helps thin the blood, ridding blood vessels of cholesterol plaques. This property also helps reduce the risk of hemolysis. But these are not the only advantages this drug can boast of. It has also been proven that it can reduce toxicity in the body. In general, it turns out that this is a cure for many diseases that accompany prolonged untreated vegetative-vascular dystonia. It is very convenient to have such medicine on hand.

Due to its beneficial effects, Mexidol also helps with weakened immunity. After all, an organism with vegetative-vascular dystonia is not able to resist external stimuli so well. So, due to the normalization of all processes in the body, the immune system restores its function, which means fewer diseases such as colds and acute respiratory viral infections.

Instructions for use

The dosage and number of doses per day determines the problem to be solved. But how to take Mexidol if you need to relieve the symptoms of vegetative-vascular dystonia? There are two ways to take the drug:

  • orally (for tablet form);
  • intramuscularly (for injection form).

An important fact is that this drug must be taken in courses of 10–15 days with breaks of 4–6 months (the exact duration of the course should be determined by the attending physician). This method will not cause addiction, but will have the desired therapeutic effect.

If you choose the injection form, you need from 2 to 4 ml of the substance. Injections are required to be given intramuscularly 1-2 times a day. If you prefer the tablet form, you should take the medicine for VSD 125–200 mg up to 3 times a day. The number of appointments is determined by your physical condition and progress from treatment with the drug.

Indications for use

Mexidol helps with a large number of diseases, including helping to get rid of VSD.

But not only this pathology can be treated with this medicine; the following are also well cured:

  • neurotic conditions;
  • circulatory disorders in the brain;
  • intellectual-mnestic disorders;
  • purulent-inflammatory processes in the abdominal cavity;
  • withdrawal syndrome.

And this is an incomplete list of diseases for which the drug is used as an accompanying remedy.

Neurotic conditions include anxiety, insomnia, general unconditional irritability and, of course, vegetative-vascular dystonia. Memory loss and confusion are attributed to intellectual-mnestic disorders. That is, Mexidol relieves not only vegetative-vascular dystonia, but also its negative consequences.

Contraindications

Firstly, the medicine should be taken only as prescribed by a doctor, since it affects the functions of the body, and, accordingly, the number and volume of doses must be strictly regulated.

Secondly, there are no medications that are suitable for everyone. And Mexidol has a certain risk group that should not use it. These include:

  • people under 18 years of age;
  • pregnant women;
  • women during breastfeeding;
  • people with kidney failure;
  • people with serious liver problems;
  • suffering from an allergy to any of the components of the drug.

It is important not to change the dosage without a doctor's prescription. One of the most common effects of overdose is drowsiness. And although the drug is low-toxic, its excessive use can cause minor disturbances in the body.

Medicine for cerebral vessels Pain in the heart what to take Injections to dilate cerebral vessels

With vegetative-vascular dystonia, patients are often susceptible to fear of death and panic attacks. The list of medications for VSD is extensive. Any pills can be taken solely on the basis of a doctor’s opinion. He will also tell you which of them will be the most effective, taking into account what type of VSD the patient’s condition belongs to (hypertensive, hypotonic or mixed). The specialist will select the required dosage. All drugs last as long as they are taken.

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Classification of prescribed medications

If there is a disorder in the vegetative-vascular system of a mixed type, breathing exercises are recommended for treatment. Mixed disorder can be countered by focusing on deep and measured breathing. Mixed conditions require work on strengthening the nervous system. The best thing that is recommended for those suffering from mixed disorder is to brew herbal teas.

For dystonia of the hypertensive type, sedatives are used for treatment. Salt, caffeine, fats and alcohol are contraindicated for hypertensive dystonic patients. Hypertensive patients need physical activity, reflexology and water treatments. Vegetables and fruits, chocolate are recommended for hypertension.

For patients with hypotonic disorders, ginseng and eleutherococcus will alleviate the condition. They are not prescribed to a hypotensive patient with increased excitability or insomnia. Baths and showers are recommended for a hypotonic state. Hypotonic dystonics need exercise therapy and reflexology.

For the treatment of VSD the following drugs are prescribed:

  • Antidepressants are a group of psychotropic substances. Antidepressants improve mood, reduce or completely eliminate depression and apathy. Antidepressants relieve irritability and emotional stress. Antidepressants are taken for a course of at least six months. Antidepressants begin to act within 10-14 days from the start of treatment. Only a doctor will determine which antidepressant medications to prescribe;
  • neuroleptics are psychotropic drugs;
  • Tranquilizers are designed to relieve anxiety and relieve fear. Medicines are characterized by sedative, anticonvulsant, muscle relaxant and hypnotic effects;
  • sedatives.

The mildest are sedatives, the strongest are antidepressants.

Nootropics are used to get rid of fears. They have a positive effect on the brain - normalize its functions and stimulate blood flow. Nootropics are Tenoten, Phenibut, Phezam, Phenotropil, Pantogam, etc. The metabolic group to which Glycine belongs also has an anxiolytic effect.

  • mineral complexes containing magnesium, zinc and selenium;
  • enzyme;
  • beta-blockers (Mexidol, Anaprilin, Propranol);
  • metabolic compounds (Actovegin, Riboxin);
  • vitamins C and B,
  • medications that normalize the functionality of the cardiovascular system;
  • adaptogens are any compounds that increase resistance to negative external influences.

Phytotherapy

At the initial stage of the disease, VSD is treated with soothing herbs: valerian root, hawthorn, motherwort, peony tincture, oregano, lemon balm, thyme.

Medicines prepared from herbal preparations using an industrial method are also effective - Novopassit, Negrustin, Persen.

Vitamins and homeopathy

Vitamins are useful regardless of what type of disease (hypertensive, hypotonic or mixed) the disease has developed. The patient needs vitamins B and C. Vitamins A and E are also needed.

To achieve a general strengthening effect, not only vitamins are prescribed; in mild cases, homeopathy helps well. The course of treatment is drawn up on the basis of examination data, as well as what type - hypertensive, mixed or hypotonic - VSD is manifested in the patient. The dosage is determined by the same principle.

Homeopathy is aimed at eliminating the causes of the disease. When selecting a course of treatment for adult patients, the possibility of adjusting the consequences of the condition is taken into account. Homeopathy has no side effects.

Just like vitamins, patients need other auxiliary substances. For tachycardia, a regimen that includes both vitamins and compounds containing potassium is more often prescribed. Homeopathists will also recommend Cardio-gran, Pumpan, Neurohel, etc. Vitamins will give you strength, but everything else is both a sedative, a vasodilator, and an antispasmodic. For intracranial hypertension, both vitamins and diuretics are prescribed.

Adaptol

Adaptol are tranquilizers. The medicine helps increase the level of serotonin in brain tissue. Adaptol directly affects the central nervous system without affecting its peripheral parts. Based on the effects of Adaptol, it resembles antidepressants.

Adaptol has a specific taste. Adaptol should be combined with caution with other medications that have a psychotropic and sedative effect, as well as with alcohol. This remedy enhances their effect. In case of overdose, Adaptol complicates bowel function and leads to a decrease in body temperature and blood pressure.

Adaptol is most effective in the initial stages of development of vegetative-vascular dystonia. Treatment with it at the time of exacerbation of the condition is ineffective. Adaptol is used on an ongoing basis to prevent attacks.

Actovegin

Actovegin contains minerals and fatty acids. Actovegin has a strong antioxidant effect. Actovegin helps eliminate metabolic and vascular abnormalities in the functioning of the brain.

For vegetative-vascular dystonia, Actovegin is prescribed intramuscularly. The prescribed release form, dosage and course duration are determined depending on the severity of the condition.

Actovegin can cause urticaria and fever. Actovegin can provoke anaphylactic shock. Actovegin does not affect attention.

Anaprilin

Anaprilin - relieves angina attacks. Anaprilin also slows down the speed of transmission of nerve impulses to the myocardium. Anaprilin increases the tone of the uterus and bronchi. Anaprilin should not be prescribed for hypotonic VSD, asthma, depression, or heart failure. Anaprilin is also contraindicated in case of cardiac conduction disorders.

Afobazole

Afobazole is a selective anxiolytic. Afobazol is not endowed with muscle relaxant capabilities. In case of vegetative-vascular dystonia, Afobazole is necessary for the prevention and treatment of anxiety conditions. Afobazol gives effect after 3-4 weeks of use.

Afobazole does not interact with Thiopental or ethanol-containing compounds. Afobazole can enhance the anti-anxiety effect of Diazepam.

Tablets are prescribed to patients with unstable mental health and suspiciousness. Afobazole should not be taken by pregnant, lactating women, or children.

In case of overdose, Afobazole produces a pronounced sedative effect.

Valocordin

Valocordin, like Corvalol, contains barbiturates. These are excellent sedatives.

Glycine

Glycine is a sedative that simultaneously normalizes cerebral circulation. Glycine is an amino acid.

Glycine is ineffective when taken once. Course required. Glycine provides the greatest benefit when the autonomic system is disrupted by the cerebral type. With dysfunction of the hypertensive or hypotonic type, the effectiveness of therapy will be less noticeable.

Grandaxin

Grandaxin is a muscle relaxant with an anticonvulsant effect. Grandaxin is a mild tranquilizer. Grandaxin relieves withdrawal symptoms, relieves insomnia and obsessive worries. Grandaxin is taken in a course, the result of its effects appears after some time.

Grandaxin goes well with hormone therapy. With a well-chosen therapeutic regimen, Grandaxin has no side effects. If the dosage is exceeded, muscle spasms and cramps are possible. Grandaxin can lead to depression of the respiratory center. Grandaxin is allergic.

Corvalol

Corvalol has a complex effect on the body. It is used to treat heart pathologies. Corvalol has a calming effect.

Mexidol

Mexidol facilitates mental activity and activates blood supply to the brain. Mexidol also has membrane protective and antioxidant capabilities. Mexidol is used to treat neuroses and anxiety disorders.

Mexidol is administered intramuscularly or intravenously. Mexidol should not be taken if the liver or kidneys are impaired. Mexidol is not prescribed to children either. Mexidol enhances the effects of anticonvulsants, antipakinsonics and anti-anxiety compounds of the benzodiazepine series.

Persen

Persen is a calming composition. Persen contains extracts:

  • valerian root;
  • lemon balm;
  • peppermint.

Persen helps with headaches and dizziness. Persen is also indicated for cerebral vascular spasms. Persen helps normalize sleep. Persen enhances the effect of painkillers.

Piracetam

Piracetam has a wide spectrum of action. Piracetam enhances glycolytic processes and facilitates the utilization of glucose. Piracetam increases the integral activity of the brain and facilitates learning. Piracetam restores and stabilizes cerebral functions (consciousness, speech, memory). Piracetam accelerates microcirculation without constricting blood vessels.

Piracetam should not be prescribed for renal failure, acute stage of hemorrhagic stroke, agitated depression, Huntington's chorea.

Piracetam is contraindicated in children under 1 year of age, pregnant and nursing mothers.

Tenoten

Tenoten is a homeopathic medicine with a pronounced anti-anxiety effect with an activation effect. Tenoten activates mechanisms that can limit stress. Tenoten is neither a muscle relaxant nor a sedative. Tenoten is used to treat asthenia and neuroses with an anxiety component, as well as for vegetative-vascular dystonia.

Tenoten relieves tension, instability of the psycho-emotional state, and dizziness. During intoxication, as well as during hypoxia, Tenoten acts as a neuroprotector.

Tenoten is compatible with other medications.

Fezam

Due to the fact that Phezam contains Cinnarizine, the drug stimulates blood circulation. Phezam also contains Piracetam.

Phezam is a nootropic. Fezam is also characterized by a vasodilating effect.

Phezam is prescribed for a variety of problems with the central nervous system. Phezam is used for prevention of headaches. Taking Phezam reduces the incidence of depression.

Phenibut

Phenibut is a nootropic. Phenibut is intended to relieve anxiety and tension. Phenibut reduces irritability. Phenibut relieves headaches.

Phenibut improves mental and physical performance. Phenibut is indicated for patients with asthenia.

Phenibut should not be prescribed if the patient has an ulcer or liver failure.

Phenazepam

Phenazepam is a tranquilizer. The tablets have a relaxing effect on the muscles. Phenazepam relieves anxiety and levels emotional stress.

The tablets provide relief for reactive psychoses, psychopathic states, neuroses and vegetative-vascular dystonia. Phenazepam is needed for obsessive states. In case of VSD, Phenazepam is valuable as a means of influencing sympathoadrenal crises.

Phenazepam should not be taken during pregnancy or while breastfeeding. Phenazepam tablets are not prescribed to children. Phenazepam can have a negative effect in case of organic brain damage, renal and liver failure.

Release form: tablets or solution. Phenazepam should not be combined with ethanol-containing products.

Phenotropil

Phenotropil has a characteristic anti-amnestic effect. Phenotropil activates the integrative activity of the brain. Phenotropil facilitates learning. Phenotropil accelerates the exchange of information between the cerebral hemispheres. Phenotropil increases physical and mental performance. Phenotropil increases stress resistance and pain threshold. Phenotropil is not addictive.

Cinnarizine

Cinnarizine is not an antidepressant or tranquilizer. This is a restorative. Cinnarizine is indicated to normalize the functioning of the vestibular apparatus. That is, Cinnarizine helps with motion sickness. Cinnarizine is also prescribed to children with developmental delays.

Cinnarizine is an auxiliary medication in the treatment regimen for vegetative-vascular dystonia. Cinnarizine normalizes blood circulation. Cinnarizine is prescribed exclusively by specialists.

Eltacin

Eltacin is a three-component composition. It contains Glycine, Cystine and Glutamic acid. By forming Eltacin, they contribute to the fact that the body independently begins to produce glutathione.

Each component included in Eltacin - Glycine, Cystine and Glutamic acid - works as a self-sufficient agent. Eltacin contains these components in optimal proportions. Eltacin also contains Glycine, which normalizes the functioning of the nervous system.

Eltacin adequately copes with autonomic dysfunction. Eltacin has one contraindication – hypersensitivity to its individual components. Eltacin is most often prescribed to adolescents.

Efficacy of therapy

Drugs: effectiveness according to patient reviews on the Internet.

Medicines Efficacy in VSD
Adaptol 69%
Actovegin 72%
Anaprilin 89%
Afobazole 54%
Glycine 69%
Grandaxin 72%
Corvalol 87%
Mexidol 80%
Piracetam 79%
Tenoten 68%
Fezam 76%
Phenazepam 95%
Phenibut 86%
Phenotropil 82%
Cinnarizine 75%
Eltacin 68%

The role of drugs in the treatment of VSD

Doctors do not consider medications to be the main method of treating vegetative-vascular dystonia. The main emphasis is on a healthy lifestyle and psychotherapy, and medications for VSD are designed to help restore balance in the functioning of the patient’s ANS. If you treat VSD only with the help of medications, after you stop taking them, the symptoms of the disease will return, because vegetative-vascular dystonia is based on disturbances in the functioning of the nervous system. If you do not find the cause of VSD with the help of psychotherapy and do not change your lifestyle, it is impossible to achieve recovery.

To combat the symptoms of VSD, various drugs are used that have a calming effect, normalize blood supply to the brain, antidepressants, tranquilizers and vitamin preparations. What drugs to take to treat the symptoms of vegetative-vascular dystonia can only be determined by a doctor, and for each patient all this is selected individually, taking into account contraindications.

What medications do doctors most often recommend for patients with VSD to take?

Anaprilin

Anaprilin is a beta-blocker that acts on beta-1 and beta-2 receptors. Anaprilin, by blocking beta-1 receptors, relieves an attack of angina. If you take anaprilin, the nerve impulse to the myocardium will travel more slowly, this reduces the number of heart contractions and prevents arrhythmia. These symptoms often bother patients with VSD.

Anaprilin, by blocking beta-2 receptors, increases the tone of the bronchi and uterus. Therefore, anaprilin has limited use for pregnant women and for patients with asthma.

Anaprilin, acting on the cardiovascular system, is widely used to treat hypertension. Anaprilin has an effect on the sympathetic nervous system, therefore it allows you to cope with sympathoadrenal crises (panic attacks) - one of the manifestations of vegetative-vascular dystonia.

Anaprilin is contraindicated if the patient has impaired cardiac conduction, hypotension, heart failure, asthma or depression.

Afobazole

Afobazole is a selective anxiolytic (relieves anxiety). Afobazole does not have muscle relaxant properties. Afobazole is used to treat anxiety conditions that also occur in patients with VSD.

In its action, Afobazol combines anti-anxiety and stimulating effects. Afobazole eliminates or reduces tension and anxiety, i.e. symptoms that also appear in vegetative-vascular dystonia. The maximum effect from taking afobazole is achieved by the end of 4 weeks of use.

Afobazole is prescribed to treat a patient’s uncertainty, suspiciousness, and emotional instability.

Afobazole is a non-toxic drug. Afobazole is taken orally after meals.

What contraindications does Afobazole have? Do not take during pregnancy or lactation; afobazole is not prescribed to children.

When interacting with ethanol and thiopental, afobazole does not affect the effect produced by these drugs. Afobazole enhances the anti-anxiety effect of diazepam.

In case of overdose, afobazole promotes drowsiness and sedation.

Gidazepam

Gidazepam is a drug that relieves anxiety. When taken, Gidazepam enhances inhibition processes in the central nervous system. Gidazepam also reduces the excitability of subcortical brain structures. Gidazepam is able to reduce the following symptoms of vegetative-vascular dystonia: anxiety, restlessness, fear, emotional stress. In addition, gidazepam has a vegetative stabilizing and activating effect.

Gidazepam has no effect on affective and hallucinatory disorders. In stressful situations, gidazepam can have a positive effect on the vascular system.

Doctors recommend gidazepam for the treatment of patients with neuroses, which are accompanied by irritability, anxiety and fear. Gidazepam is also effective for migraines, insomnia, and psychopathy, and therefore helps patients with VSD.

Gidazepam is contraindicated in patients with liver disease and myasthenia gravis. Gidazepam is not prescribed during pregnancy and lactation.

Gidazepam is produced in the form of white tablets and should be taken orally.

What side effects does gidazepam have? Slows down the speed of reactions, provokes lethargy, drowsiness, and is addictive. Also, those taking gidazepam have a decrease in concentration and allergic reactions.

Mexidol

Mexidol slows down free radical processes. Mexidol helps increase the body's resistance to hypoxia, has an anti-anxiety effect, and improves mental activity. Mexidol increases dopamine levels in the brain. Mexidol increases the human body's resistance to hypoxia and shock. Mexidol improves metabolism and blood supply to the brain. All this helps patients with VSD.

Mexidol acts due to its antioxidant and membrane protective properties.

Mexidol is used to treat patients with cerebral circulatory disorders, vegetative-vascular dystonia, and mild cognitive disorders. Mexidol has a positive effect in the treatment of anxiety disorders and neuroses.

Mexidol is contraindicated in patients with impaired liver and kidney function. Mexidol is not prescribed during pregnancy or lactation, or for children.

Mexidol is taken intravenously or intramuscularly, selecting the dose individually.

Mexidol enhances the effect of benzodiazepine anti-anxiety drugs, anti-parkinsonian and anticonvulsant drugs. In case of overdose, Mexidol promotes the development of drowsiness.

Mexidol can cause allergic reactions, nausea, drowsiness and dry mouth as side effects.

Neuromultivitis

Neuromultivit belongs to the group of multivitamins and is a combined preparation of B vitamins. What vitamins does Neuromultivit contain? Thiamine plays an important role in the metabolism of proteins, carbohydrates and fats.

Pyridoxine and cyanocobalamin, which neuromultivit contains, are necessary for the normal functioning of the nervous system. Neuromultivit is used to treat neuropathy, various types of neuralgia and vegetative-vascular dystonia.

All vitamins that neuromultivit contains are soluble in water.

Neuromultivitis is taken orally after meals, one tablet one to three times a day. It is not recommended for pregnant or breastfeeding women.

Neuromultivitis in isolated cases can provoke side effects such as tachycardia, nausea, itching and urticaria.

Novopassit

Novopassit is a combined drug with sedative and anti-anxiety effects. Novopassit is an extract from medicinal plants. Novopassit is available in the form of an oral solution or tablets. Novopassit helps reduce anxiety in the patient.

Novopassit is used to treat mental stress, neurasthenia, insomnia, vegetative-vascular dystonia, and diseases of the gastrointestinal tract. Novopassit is contraindicated in myasthenia gravis and children.

The side effects that novopassitis causes are dizziness, drowsiness, stomach problems and weakness.

Novopassit is taken orally, three times a day. The drug can be added to drinks or taken with meals.

Tenoten

Tenoten is a homeopathic medicine. Tenoten has a pronounced anti-anxiety effect with an activation effect. Tenoten leads to increased activity of stress-limiting systems.

Tenoten relieves tension, tearfulness, unstable mood, sweating and dizziness - typical symptoms of vegetative-vascular dystonia. Tenoten does not have a muscle relaxant or sedative effect on the patient. Tenoten can have a neuroprotective effect during hypoxia or intoxication. Tenoten normalizes the levels of serotonin, dopamine and norepinephrine.

Tenoten is used to treat neuroses with manifestations of anxiety symptoms, asthenia and vegetative-vascular dystonia. Tenoten is contraindicated during pregnancy or lactation. Tenoten has the following side effects: heartburn, flatulence, allergic reactions, sweating.

Tenoten is produced in the form of white flat-cylindrical tablets. Tenoten is taken orally. Most often, tenoten begins to work within a few hours after administration. Tenoten is compatible with other medications.

Phenibut

Phenibut is a nootropic drug. Phenibut helps relieve anxiety, fear, tension and restlessness. Phenibut normalizes sleep, reduces headaches, a feeling of heaviness in the head, irritability, which helps with vegetative-vascular dystonia. Phenibut can improve both mental and physical performance. Phenibut helps patients with asthenia, increases interest and initiative.

Phenibut is used to treat asthenic and anxiety conditions, fear, psychopathy, and symptoms of VSD. Phenibut is available in tablet form. Phenibut is taken orally regardless of food intake. Phenibut is low toxic.

If the patient has liver failure or an ulcer, then phenibut is contraindicated. Phenibut is not prescribed during pregnancy and lactation.

When taken, phenibut increases irritability and anxiety, dizziness, and nausea. In case of overdose, phenibut provokes drowsiness, vomiting, and nausea.

Phenazepam

Phenazepam is a tranquilizer. Phenazepam has a hypnotic and muscle relaxant effect. Phenazepam relieves anxiety, restlessness, fear, and emotional stress. Phenazepam is used to treat neuroses in vegetative-vascular dystonia, psychopathic conditions and reactive psychoses. Phenazepam helps with obsession and insomnia. Phenazepam also affects sympathoadrenal crises, therefore it is used to treat this manifestation of VSD.

Phenazepam is contraindicated in case of hypersensitivity, acute respiratory failure, severe depression. Phenazepam is not prescribed during pregnancy and lactation. Phenazepam is also not recommended for children. Phenazepam can cause problems with kidney and liver failure, and brain diseases.

Phenazepam is available in the form of a solution or tablets. Phenazepam is taken intramuscularly or intravenously. Taking ethanol is strictly contraindicated.

When taken, phenazepam can cause the following side effects: dizziness, drowsiness, slower reactions, and others.

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The site provides reference information for informational purposes only. Diagnosis and treatment of diseases must be carried out under the supervision of a specialist. All drugs have contraindications. Consultation with a specialist is required!

Compound

Active ingredient Mexidol is ethylmethylhydroxypyridine succinate(2-ethyl-6-methyl-3-hydroxypyridine succinate). An injection solution (50 g/l) or tablets containing 125 mg of active substance are available. This is a domestic drug, one of the drugs- antioxidants new generation.

As excipients, the Mexidol injection solution includes sodium metabisulfite (1 g) and injection water (up to 1 l).

The excipients in the tablets are magnesium stearate, sodium carboxymethylcellulose (otherwise known as carmellose), lactose monohydrate, as well as the components that make up the tablet shell - talc, macrogol, polyvinyl alcohol and titanium dioxide.

Release form

Mexidol tablets are available in packs of 10 tablets and in plastic jars of 90 tablets.

Mexidol injection solution is available in clear or dark glass ampoules with a break point of 2 ml, which are packaged in a strip pack of 5 pieces, and boxes of 5 or 10 ampoules.

pharmachologic effect

Ethylmethylhydroxypyridine succinate is a substance that protects membranes and reduces the level of free radicals in the body. It has an antihypoxic (saturates the blood with oxygen), anti-stress, anticonvulsant effect. This medicine is a nootropic substance (Greek noos - mind, reason + tropos - direction), improves memory, mental activity, stimulates learning, and neutralizes negative external influences on these processes. Restores the sleep-wake cycle, reduces the rate of degenerative processes in the brain.

Mexidol enhances the effect of tranquilizers, neuroleptics and antidepressants, as well as substances with hypnotic and anticonvulsant effects. This allows you to reduce their doses and remove most side effects.

Indications

Mexidol is used as an antioxidant drug.

Neurology:

  • acute cerebral circulatory disorders and dyscirculatory encephalopathy (otherwise known as cerebral atherosclerosis);
  • cognitive problems of atherosclerotic origin (impaired speech, memory, attention, intelligence and other symptoms associated with the development of atherosclerosis).
Psychiatry:
  • relief of withdrawal symptoms (otherwise known as withdrawal) in alcoholism;
  • intoxication with antipsychotics (drugs intended to treat psychosis);
  • anxiety in neuroses.
Surgery: used for acute purulent-inflammatory processes of the peritoneum (necrotizing pancreatitis and peritonitis) as part of a complex of therapeutic treatments.

Mexidol - instructions for use

Prescribe one or two tablets three times a day. The initial dose is 1-2 tablets twice a day, the maximum dose is two tablets three times a day (600 mg). The course of treatment is 2-6 weeks, for the treatment of alcoholism - 5-7 days. Treatment is discontinued gradually, reducing the daily dose to zero over two to three days.

In dentistry, Mexidol is used topically in the form of applications and rinses with a 5% injection solution in the oral cavity and periodontal pocket. Perform the procedure 2-3 times a day until the expected therapeutic effect.

The use of injection solution is in the appropriate section.

Contraindications

The drug should not be used by persons with hypersensitivity to the active substance or auxiliary components, as well as in case of acute dysfunction of the liver and kidneys.

Mexidol 5

A 5% solution of Mexidol is available in 2 ml clear or dark glass ampoules. Ampoules of 5 pieces are in contour packs. The box contains one contour package (5 ampoules).

Used for intravenous injection, drip or jet administration. Solvent – ​​injection water. Jet administration is 5-7 minutes, and drip administration is 60 drops per minute. The dose is selected individually.

At the beginning of treatment, 0.05-0.1 g is administered 1 to 3 times a day, after which the dose is slowly increased. You can take no more than 0.8 g per day.

In older patients, intramuscular injections of 0.1-0.3 g per day are used to treat dementia.

Mexidol toothpaste is available in several varieties:

  • MEXIDOL dent Complex – against caries.
  • MEXIDOL dent Sensitive – sensitive teeth.
  • MEXIDOL dent Professional White – for professional whitening.
  • MEXIDOL dent Fito – against bleeding.
  • MEXIDOL dent Aktiv – against gum inflammation.
The paste is produced by the Russian pharmaceutical company Pharmasoft. In addition to toothpaste, the company also produces a dental elixir for mouth rinsing.

These are not only hygiene products. The Mexidol line of oral hygiene products has a pronounced therapeutic effect in the presence of gingivitis, stomatitis, periodontitis, and caries.

Mexidol White (toothpaste)

MEXIDOL dent Professional White toothpaste is intended for teeth whitening. Suitable for patients with sensitive teeth.

Cleaning teeth from plaque occurs with the help of papain. Contains hydroxyapatite and calcium citrate, which penetrate well into tooth enamel after plaque removal. Mexidol, which is part of the paste, relieves inflammation of the mouth and gums, eliminates bleeding.

Side effects

The side effects of Mexidol are minor. The drug has low toxicity. Even in large doses, it does not affect involuntary motor activity, does not change the coordination of movements, does not affect reflexes, rectal temperature, and does not cause drowsiness. In animals, its use does not change orienting-exploratory behavior. Even in high doses, the medicine does not produce a muscle relaxant effect and improves memory.

The drug does not have a negative effect on the liver, does not affect blood pressure, hemodynamics, respiratory rhythm, blood composition and heart rate.

Side effects were identified in individual animals, and were expressed in a decrease in motor activity and failures in coordination of movements. These effects were observed when large doses were administered (300 mg/kg of the drug), as well as when the drug was administered into the peritoneum in doses above 400 μ/kg.

People with a large overdose experience nausea, drowsiness, and dry mouth mucous membranes, which go away on their own. In case of individual hypersensitivity to the components of the drug, allergic reactions may occur.

Mexidol during pregnancy

There have been no reliable studies on the use of Mexidol in pregnant women. Some instructions indicate that it is contraindicated during pregnancy.

Mexidol for children

The use of Mexidol in pediatrics is indicated in the treatment of purulent neuroinfections, traumatic brain injuries, as well as for emergency care in case of childhood traumatic brain injuries (100 mg once). For children, the drug should be prescribed by a doctor who will monitor the child throughout its use. There are no statistically reliable studies of the use of the drug in children.

Local application in dental practice occurs without complications.

Compatibility with other medications

This medicine can be used in conjunction with other psychotropic drugs, enhances the effect of benzodiazepines, carbamazepine and drugs for the treatment of Parkinson's disease, anticonvulsants, analgesics, tranquilizers. Compatible with all components of therapeutic treatment regimens in which it is used. Reduces the toxicity of ethyl alcohol.

Comparison with other drugs

Actovegin and Mexidol

The drugs have similar uses and are often prescribed together. Actovegin is produced on the basis of an extract from calf blood, so allergic reactions are more likely to develop to it. Improves nutrition and tissue regeneration. Unlike Mexidol, Actovegin is used for disorders in peripheral vessels, and to treat the consequences of such disorders - trophic ulcers and angiopathy.

What's better than Mexidol?

Since the drug has recently appeared on the market, its research is ongoing. In the case of a particular patient, those remedies that give the maximum effect are always good. If there is no improvement within two to three days of using Mexidol, it is better to replace it with other drugs. There is no clear answer to the question of which drugs are better. The selection of a treatment regimen is individual and depends on the level of qualifications of the attending physician.

Mexidol or Mexiprim?

Mexiprim is a German analogue of the domestic drug Mexidol. Produced by the Stada Arzneimittel concern. It differs only in the excipients included in the shell and core of the tablets.

Mexidol or Cavinton?

The active ingredient of Cavinton is a semi-synthetic derivative of vincamine (devincan) contained in periwinkle - vinpocetine. It is a vasodilator used to improve blood circulation in the brain. Slightly reduces blood pressure, improves the supply of glucose and oxygen to the brain. It is also used in ophthalmology and the treatment of age-related diseases of the ENT organs.

Both drugs complement each other and are often used together in the treatment of cerebrovascular problems. It is not advisable to mix these drugs in one dropper; it is better to administer them separately.

Mexidol or Mildronate?

Mildronate (trimethylhydrazinium propionate) is a vasodilator, improves oxygen supply to tissues, increases humoral and tissue immunity, lowers blood pressure, and is used in the treatment of coronary artery disease. It can be prescribed together with Mexidol for withdrawal symptoms and disorders of the blood supply to the brain, since the drugs complement each other.

Mexidol or Neurox?

These two drugs are analogues and contain the same active ingredient.

Mexidol or Cortexin?

Cortexin contains an extract from bovine brain polypeptides. The choice of drug depends on the individual reaction of the patient’s body to it. Together, both drugs are used in the treatment of acute brain hypoxia in newborns. Prescribed only by the attending physician.

Mexidol or Nootropil?

The active ingredient of the drug Nootropil is piracetam. The drugs are often prescribed together to treat memory impairment, the consequences of ischemic stroke, alcoholism, and improving learning ability in children.

Mexidol and alcohol

Mexidol reduces the toxic effect of alcohol, removes it from the body, and is used to treat withdrawal symptoms (withdrawal) during recovery from alcohol addiction.

Synonyms and analogues

Synonyms:
  • Mexidant;
  • Mexico;
  • Mexiprim;
  • Mexicofin;
  • Armadin.
Analogues:
  • Medomexy;
  • Mexipridol;
  • Metostabil;
  • Neurox;
  • Cerecard.

Reviews

Reviews from doctors

Dana Igorevna, surgeon, Kharkov. Mexidol as part of postoperative therapy significantly speeds up the recovery of patients, especially when there is a threat of peritonitis. The drug goes well with any medications.

Alexandra, dentist, Donetsk. I am very pleased with the use of Mexidol applications and toothpastes containing this substance by my patients. They protect the oral cavity from various infections, the effect of use is obvious already on the second or third day.

Petr Nikolaevich, pediatrician. Kremenchug. I work in an ambulance. We use Mexidol injections when visiting children with traumatic brain injuries. The drug helps stabilize the child’s condition and also relieves symptoms of insufficient oxygen supply to the brain.

Mexidol for children
Sergey Dmitrievich, obstetrician, Odessa. The use of Mexidol for newborns with hypoxia quickly stabilizes their condition and restores normal nutrition to the brain. The effect of the drug is noticeable within 1-2 hours after administration.

Natalya Vladimirovna, psychiatrist. I use Mexidol for depression and sleep disorders in teenagers. It helps a lot and also relieves headaches and anxiety.

Will validol help, what you need to know about nitroglycerin and why a doctor should prescribe medications to lower blood pressure

We are publishing an excerpt from the new book by cardiologist Anton Rodionov, “Medicines: how to choose the right and safe drug.”

...Let's try to look at the problem not from the point of view of a doctor, but from the point of view of a person who came, say, to a pharmacy for medicine “for the heart”, and was given a pacifier.

Are you surprised? What else can a pharmacy worker give without a prescription? There are two basic principles in medicine: “Do good” and “Do no harm.” So, a pharmacy worker cannot do good (i.e., give a drug that actually heals) - to do this, it is necessary to examine the patient and conduct further examination, therefore, all that remains is not to harm. However, does this always work out?

My heart hurts, what can I drink?

Let's start with the fact that pain is not typical for most heart diseases. A typical heart pain is an attack of angina. With angina, pain behind the sternum (or not even pain, but a feeling of pressure, constriction, and sometimes shortness of breath) occurs during exertion, lasts no more than 20 minutes and goes away with rest. Most often, “heart pain” is a symptom of a disease of the spine, gastrointestinal tract, or even a neurotic disorder. It is often very difficult even for a doctor to recognize the cause. What can a pharmacist do in a pharmacy? Really - nothing. And then they will offer you (or you yourself will ask) something from this arsenal:

Validol. This is an analogue of the children's candy "Kholodok", only there is more menthol. Back in the textbooks of the 80s it was written that this drug has a purely distracting effect and works well only on neurotics.

Nitroglycerine. But this is a serious drug. It is not for nothing that, again, it is written in classical textbooks: “For the first time, the patient should take nitroglycerin under the supervision of a doctor.” Correctly written. The fact is that nitroglycerin really works not just for “heart pain”, but specifically for angina pectoris, but at the same time it has several unpleasant side effects, primarily a decrease in blood pressure and a rather severe headache. So if your doctor has not personally recommended that you take nitroglycerin for chest pain, then you should not start treatment on your own. It is strictly unacceptable to give nitroglycerin to strangers somewhere in a public place. Often a person faints in transport, in a stuffy room, precisely because of low pressure. By giving him “nitroglycerin under the tongue” in addition, you can simply finish him off. I myself have repeatedly had to drive away such well-wishers in a very harsh manner on the subway.

Valocordin (Corvalol, Valoserdin). Contrary to popular belief, these drugs have nothing to do with the heart except linguistically (cor means “heart” in Latin). Russian pensioners drink tanks of these drugs, not even suspecting that the potent sleeping pill phenobarbital, which is part of these drugs, is banned in many countries around the world. Phenobarbital, when used continuously, causes depression, insomnia, and it can weaken or enhance the effect of other medications that the patient is taking. So, when our healthcare administrators come up with the bright idea of ​​removing these drugs from circulation, I will be the first to vote “for”.

Preductal, mildronate, mexidol. Well, they got rid of you spectacularly for your own money. Popularly, these drugs are called “vitamins for the heart,” although it is more correct to call a spade a spade - these are drugs with an unproven effect on the prognosis. These medications most likely will not save you from heart pain, unless as part of psychotherapy.

How to reduce blood pressure?

This is another painfully popular question for pharmacy workers. I’ll say right away that there is no answer to this and there cannot be one. In order to select an initial one for you, I need at least 15-20 minutes of time and knowledge of about 20 indicators (heredity, concomitant diseases, examination data, tests, etc.). Even so, there is a certain chance that the treatment will have to be adjusted, perhaps more than once. For some reason, some people want a panacea from a pharmacist in 30 seconds. The most that an exhausted pharmacist will give you under threat of a complaint is either a short-acting drug or a dummy.

Dibazole, papazole. A relic from the last century, when hypertension was considered the result of vasospasm and was treated accordingly with antispasmodics. In fact, the effect of these drugs is zero, it’s just that in some people the pressure drops on its own while they think that the drug is working. Decent people do not use these “medicines” either in tablets or in injections.

Andipal. The same antispasmodics in combination with analgin and the already familiar phenobarbital. It has nothing to do with hypertension. Another disgrace of the Russian pharmacopoeia.

Nifedipine (Corinfar). A favorite remedy for all Russian hypertensive patients to quickly lower blood pressure. In the first book, in the chapter “Hypertensive Crisis,” I explained in detail why you should not use Corinfar, that the harm from a rapid “collapse” of pressure outweighs the benefits, that Corinfar increases, and does not at all reduce, the risk of stroke, that it is much better to reduce the pressure gradually and gradually, and not with a dashing cavalry charge... The vessels do not withstand sudden pressure surges, for a rapid drop from 220 to 140 mm Hg. Art. they won't say thank you.

Captopril (capoten). This is a lesser evil in terms of treating a hypertensive crisis than Corinfar; it is even included in international recommendations as an “ambulance” drug, but there is an important nuance here. Hypertensive patients often confuse a hypertensive crisis with simply high blood pressure in an untreated person. A hypertensive crisis is a situation when a patient receiving good, regular, obviously effective therapy suddenly experiences a sharp one-time rise in blood pressure (for example, against the background of severe stress). In this case, captopril is suitable. But if we are talking about a person who is constantly not treated, but simply “knocks down” randomly measured high values ​​of high blood pressure, then this is no longer the path FROM a stroke, but TO a stroke. Hypertension requires constant, daily, usually lifelong treatment.

EXMO



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