Includes instructions for use. Vitamin complex, tablets

Among the variety of vitamins and microelements in pharmacology, group B substances stand out. These are thiamine, riboflavin, cyanocobalamin, pyridoxine, biotin, nicotinic and folic acids. Pharmacology recognizes these substances not just as biologically active, but classifies them as drugs with medicinal effect. The names of B vitamins in ampoules vary. You can familiarize yourself with them in this article, as well as learn about the principles of their action, contraindications and side effects from taking them.

For those people who often adhere to strict diets and like to arrange therapeutic fasting, there is a high probability that a deficiency of riboflavin and thiamine will be diagnosed. With a poor diet, this is an inevitable result.

Representatives of the fair sex suffer from a deficiency of this group of vitamins several times more often than men. Therefore, they need to take a course of injections of B vitamins in ampoules (the names of which are presented below) two or three times a year as a preventive measure.

Cyanocobalamin, pyridoxine and thiamine (vitamins B 12, B 6, B 1, respectively) are practically not absorbed in gastrointestinal tract. Therefore, to achieve a therapeutic result, it is necessary to use either combined injection drugs or inject each vitamin separately intramuscularly.

Vitamin injections are painful. To reduce the discomfort from the injection, you need to relax your buttock and think about something distracted. Then the injection process will take place with a minimum of pain.

Indications for use. Why does our body need these substances?

Indications for the use of B vitamins in ampoules (the names and descriptions of each product will be presented below):

• disturbances in the functioning of the central nervous system;
• insomnia and sleep problems of any etiology;
• mental retardation in children;
• some psychiatric diagnoses;
• irregularities in work vestibular apparatus;
• chronic alcoholism and drug addiction;
• dermatitis and others skin diseases;
• alopecia (baldness) in men and women.

Each individual vitamin or drug is active to a greater or lesser extent in relation to each of listed diseases.

Thiamine preparations in ampoules and their benefits

Thiamine, or vitamin B1, is the fuel for the human central nervous system. A timely course of this vitamin can save the vital functions of hundreds of thousands nerve cells(neurons). And sometimes even restore some of what has already been destroyed.

If there is a deficiency of thiamine (this can be seen in the results of a blood test, to which a neurologist refers the patient before prescribing treatment), then it is worth taking a course of the drug “Thiamin Chloride”. It is inexpensive - a package with 10 ampoules is about fifty rubles. The drug belongs to the list of vital drugs for humans.

After a course of thiamine, the patient’s condition changes: he becomes more alert, his vitality, irritability and anxiety go away. If there were problems with sleep or insomnia, then they become much less pronounced. Thiamine also has a beneficial effect on skin quality in adolescents. In some cases, it is prescribed by dermatologists from purulent boils, seborrhea, acne.

Medicines containing cyanocobalamin

Vitamin B 12, or cyanocobalamin, affects the composition of the blood. Effective for increasing the body's resistance to viruses and infections. Has a beneficial effect on the process of mitosis and cell division. Accelerates hair and nail growth. Improves appearance skin. A course of cyanocobalamin is an excellent prevention of the development of purulent furunculosis.

Cyanocobalamin can be taken in the form of capsules and tablets, or given as injections into the gluteus maximus muscle or thigh. Tablet preparations that contain cyanocobalamin in sufficient quantities:

• "Doppelgerts active" (B vitamins);
• "Alphabet Classic";
• "Vitrum Classic";
• "Perfectil";
• "Animal Pack" (vitamins for athletes).

As for the injection form, you can use the drug "Cyanocobalamin", which contains ten ampoules with a reddish solution of the vitamin. Or try combination drugs for intramuscular administration - "Neuromultivit", "Kombilipen".

Pyridoxine in injection form: benefits and harms

Vitamin B6, or pyridoxine, is considered a beauty vitamin. Able to prevent baldness (except in cases where alopecia is caused by hormonal problems) and skin problems. Dermatologists often prescribe a course of pyridoxine in ampoules for furunculosis, psoriasis, dermatitis of various etiologies, and acne. The injections are very painful, but the results are worth the patience.

Pyridoxine in ampoules can be bought at any pharmacy without a doctor's prescription. The cost of one package (ten ampoules) is about fifty rubles. The drug is produced by many domestic pharmaceutical companies.

Unfortunately, pyridoxine causes an allergic reaction in approximately 15% of the adult population. This is the most problematic vitamin of group B, which often provokes itchy skin and urticaria. After stopping the injections or tablets, the symptoms disappear immediately. So people prone to allergic reactions should be careful with pyridoxine.

Use of riboflavin in ampoules

Vitamin B 2, or riboflavin, is a leader among its fellow beneficial properties. This drug has the following indications for use:

• keratitis, iritis, conjunctivitis;
• viral hepatitis;
• intoxication due to alcohol abuse;
• chronic cholecystitis;
• chronic diseases liver;
• endocrine diseases;
• myopia, astigmatism;
• diseases of the nervous system.

Patients are often surprised by the fact that riboflavin is prescribed for liver diseases. In fact, this vitamin has a very beneficial effect on the cells of this organ, preventing fatty degeneration.

Of all the other B vitamins for children, riboflavin is the most beneficial. It is optimal to use it in injection form, since this substance is not completely absorbed from capsules and tablets. Regardless of age, you need to use at least one ampoule per day, which is equivalent to 50 mg of riboflavin.

B vitamins can cause allergic reactions in a child. Therefore, before starting use, you should consult your doctor and determine the optimal duration of use and dosage.

Nicotinic acid in injection form

This substance also belongs to the B vitamins and is part of many combined injection complexes. Nicotinic acid is used in complex therapy of the following conditions:

• alopecia (baldness) in men and women;
• purulent furunculosis, dermatitis, eczema, psoriasis, acne;
• myopia, astigmatism;
• obesity;
• delayed psycho-speech development in children;
• traumatic brain injuries;
• chronic alcoholism and drug addiction.

At the pharmacy you can purchase a package of this drug without a prescription, which contains ten ampoules. Nicotinic acid is injected in the standard manner, into the gluteus maximus muscle or thigh. The cost of one package of the drug is about one hundred rubles.

Nicotinic acid perfectly stimulates blood circulation in the head and upper body, so after the injection, tingling sensations may occur in the face, shoulders, and neck. Don't be afraid of this effect. On the contrary, it indicates that in this moment the bloodstream spreads useful material and microelements to every corner of the body.

"Kombilipen" - B vitamins in ampoules

The name of this drug is rarely known to anyone. Meanwhile, this is one of the most effective and cheapest combined injection medicines, which include the entire range of B vitamins.

"Kombilipen" contains per 1 ml:

• 50 mg thiamine hydrochloride;
• 50 mg pyridoxine hydrochloride;
• 500 mcg cyanocobalamin;
• 10 mg lidocaine;
• sodium hydroxide;
• potassium hexacyanoferrate;
• water for injections.

The solution for injections "Beviplex" has a similar composition. In terms of price, "Kombilipen" and "Beviplex" are approximately the same. For Beviplex you will have to purchase additional water for injection and dilute the powder inside the ampoules yourself. The injections are very painful. Among the advantages of Beviplex, it should be noted that it contains riboflavin, which is absent in Kombilipen.

"Neuromultivit" is the most popular injectable preparation of B vitamins

The drug is produced abroad, which explains its relatively high cost. Release form: ampoules for injection and capsules for oral administration. Neurologists usually prescribe the drug in injections, so it is better absorbed.

One ampoule contains:

• thiamine hydrochloride 100.00 mg;
• pyridoxine hydrochloride 200.00 mg;
• cyanocobalamin 0.20 mg.

As can be seen from the composition, the drug does not contain riboflavin - it will have to be additionally taken in tablets or injected.

"Milgamma" and "Trigamma": what is the difference

"Milgamma" is a drug complex action for the treatment of diseases of the nervous system and musculoskeletal system. The complex includes neurotropic compounds, which are the main active ingredients: thiamine, pyridoxine, cyanocobalamin. According to the instructions for use for "Milgamma", when intramuscular injection possible development allergic reactions on the components of the drug.

Due to foreign production, the cost of "Milgamma" is quite high. Neurologists often recommend replacing this drug with cheaper analogues Russian production, for example, "Trigamma", "Kombilipen", "Beviplex".

The composition of "Trigamma" is in no way inferior to "Milgamma", and in terms of cost it is more profitable to buy a domestic drug.

"Neurobion" - B vitamins in ampoules

The name of this drug immediately indicates that it is neuroactive. Most often, this drug in ampoules is prescribed by neurologists to their patients with insomnia, increased anxiety, irritability. It is also effective for pain caused by osteochondrosis.

Neurobion solution for injections contains the entire complex of B vitamins, with the exception of nicotinic acid and riboflavin. This is an excellent analogue to the more expensive Neuromultivit. Neurobion injections are quite painful when administered, so you can put 0.1 mg of lidocaine into the syringe - this will reduce the intensity pain. The drug should be administered intramuscularly - into the gluteus maximus muscle or thigh.

"Blagomax": benefits and harm

This drug is a biologically active drug and not a drug. used as a dietary supplement to food - an additional source of vitamins B 2, B 3, B 5, B 6, B 9, B 12, and inositol (B 8).

"Blagomax" is a complex of B vitamins that will help both students and schoolchildren during a busy exam period, and an elderly person during a period of anxiety. The range of effects of this dietary supplement is wide: it is prescribed for osteochondrosis, dementia, and impaired cognitive abilities. "Blagomax" is a complex of B vitamins that has virtually no side effects or contraindications.

Foods rich in B vitamins

If you bring your diet to the ideal, taking pills or injections will no longer be necessary. What foods contain B vitamins:

• chicken and quail eggs;
• nuts: peanuts, almonds, pistachios;
• turkey;
• cod;
• spinach and celery.

001882/01-030309

Tradename: Pentovit

International nonproprietary name:

multivitamin

Dosage form:

film-coated tablets

Compound:

One tablet contains:
Excipients: sucrose (sugar), talc, calcium stearate, potato starch;
shell: sucrose (sugar), wax, talc, magnesium hydroxycarbonate, wheat flour, povidone (Kollidon 25), gelatin, titanium dioxide, polysorbate (Tween 80).

Description:
film-coated tablets, biconvex, white with a specific odor, cross section 2 layers are visible.

Pharmacotherapeutic group:

multivitamin remedy.

CodeATX:[A11BA]

Pharmacological properties
The vitamins included in the drug Pentovit belong to the group of water-soluble vitamins. The effect of the drug is due to the effects of its constituent vitamins.

Vitamin B 1
Actively influences neuromuscular regulation, affects the conduction nervous excitement in cholinergic synapses, necessary for the synthesis of the neurotransmitter acetylcholine.

Vitamin B 6
Necessary for the normal functioning of the central and peripheral nervous system. Participates in carbohydrate, lipid and protein metabolism, participates in the synthesis of neurotransmitters (dopamine, norepinephrine, adrenaline, histamine).

Vitamin B 12 (cyanocobalamin)
It has a beneficial effect on the functions of the nervous system and liver, is a growth factor and stimulator of hematopoiesis, activates blood clotting processes, carbohydrate and lipid metabolism, and participates in the synthesis of various amino acids.

Folic acid
Necessary for the synthesis of nucleic acids, amino acids, and is a stimulator of erythropoiesis.

Nicotinamide (vitamin PP)
Participates in the processes of tissue nutrition, fat and carbohydrate metabolism.

Indications for use
Prevention of B vitamin deficiency.
Complex therapy asthenic conditions of various origins.

Contraindications
Increased individual sensitivity to the components of the drug, childhood, period of pregnancy, lactation.

Directions for use and doses
Pentovit is taken orally after meals, 2-4 tablets 3 times a day (after meals) for 3-4 weeks. Repeated courses of admission - on the recommendation of a doctor.

Side effects
Allergic reactions to the components of the drug (itching, urticaria). In isolated cases, nausea and tachycardia may occur.

Interaction with others medicines
Vitamin B6, included in this complex, reduces the antiparkinsonian activity of levodopa.
Alcohol sharply reduces the absorption of vitamin B1

special instructions
While taking the drug, it is not recommended to take multivitamin complexes containing B vitamins.
There are no data on the use of the drug during pregnancy and lactation.

Release form:

film-coated tablets.
10 tablets in a blister pack made of polyvinyl chloride film and printed varnished aluminum foil.
100 tablets in polymer jars with a screw neck, complete with screw caps.
Each jar, 5 or 10 blister packs, along with instructions for use, are placed in a cardboard pack.
Polymer cans may be placed in corrugated cardboard boxes with each row separated by corrugated gaskets with instructions for use attached.

Storage conditions:

In a dry place, protected from light, at a temperature not exceeding 25 ° C. Keep out of the reach of children.

Best before date:

3 years.
Do not use after expiration date.

Conditions for dispensing from pharmacies
Over the counter.

The manufacturer accepts claims from buyers:
OJSC "Valenta Pharmaceuticals" 141101, Shchelkovo, Moscow region, Fabrichnaya str., 2.

Pharmacological action

• Not indicated. See instructions

Description of pharmacological action

B vitamins are water soluble vitamins, their presence in the body is an important condition its optimal functioning; All B vitamins, except inositol, are involved in protein synthesis in the body; For best results, B vitamins should be taken together, not separately.

Compound

Thiamine (vitamin B1) (1.4 mg); Riboflavin (vitamin B2) (2 mg); Niacinamide (vitamin B3) (17 mg); Pyridoxine (vitamin B6) (2 mg); Folic acid (vitamin B9) (130 mcg); Cobalamin (vitamin B12) (3 mcg); Biotin (vitamin B8) (25 mcg); Pantothenic acid (vitamin B5, calcium pantothenate) (5 mg); Choline bitartrate (vitamin B4); Inositol; PABA (para-aminobenzoic acid, vitamin H1); Dicalcium phosphate; Microcrystalline cellulose; Stearic acid; Silica; Hydrogenated vegetable oil; Cellulose; Acerola berries; Alfalfa; Cabbage; Chamomile; Goldenseal; Algae; Papaya; Parsley; Rice bran; Rose hip; Sarsaparilla; Oat fiber; Watercress; Wheat bran.

Indications for use

Great mental and emotional stress;
- Chronic diseases;
- For psycho-emotional stress;
- Diseases of the nervous system;
- Cardiovascular diseases;
- Diseases of the gastrointestinal tract and skin.

Release form

tablets 925 mg;

Contraindications for use

Individual intolerance to product components

Side effects

Not identified.

Directions for use and doses

1 tablet 3 times a day with meals

Overdose

Not described.

Storage conditions

In a dry place, at a temperature not exceeding 25 °C.

Keep out of the reach of children.

Best before date

Description of the vitamin B complex vitamins is intended for informational purposes only. Before starting to use any drug, it is recommended to consult a doctor and read the instructions for use. To get more complete information Please refer to the manufacturer's instructions. Do not self-medicate; EUROLAB is not responsible for the consequences caused by the use of information posted on the portal. Any information on the project does not replace consultation with a specialist and cannot be a guarantee of the positive effect of the drug you use. The opinions of EUROLAB portal users may not coincide with the opinions of the site Administration.

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Content

Medical drug Pentovit enriches the body with vital B vitamins, calms the nervous system, normalizes metabolism, and improves immunity. This multivitamin complex is recommended for adults and children over 12 years of age. Vitamins Pentovit can be bought at a pharmacy, but before starting a treatment or preventive course you need to consult a doctor.

Composition of vitamins Pentovit

The medical drug Pentovit is a multivitamin complex that is available in the form of film-coated tablets. Intended for oral administration in full course. Sold in packs of 10, 50 and 100 tablets. The composition of Pentovit includes five B vitamins, which determine its stable therapeutic and preventive effect.

Pharmacological properties

According to the instructions, you can take Pentovit vitamins independently for the purpose of prevention or as part of drug therapy. The therapeutic effect determines the action of the active components:

1. Vitamin B1 activates the transmission of neuromuscular impulses and stimulates the production of the neurotransmitter acetylcholine. Thiamine is absorbed into the duodenum and small intestine, metabolized in the liver. Output inactive metabolites kidneys.
2. Vitamin B6 is involved in the synthesis of neurotransmitters, stimulates fatty, carbohydrate, protein metabolism, normalizes the functioning of the peripheral nervous system. Pyridoxine is quickly absorbed from the gastrointestinal tract (gastrointestinal tract), and in the liver it acquires its active form - pyridoxal phosphate. The main product of metabolism is 4-pyridoxylic acid, which is excreted by the kidneys.
3. Folic acid accelerates the production of nucleic acids, red blood cells, and amino acids. Has a beneficial effect on reproductive function women, improves immunity and work bone marrow. Folic acid is adsorbed through diffusion. Absorbed in the form of simple hydrolysates, distributed evenly throughout all tissues. The metabolic process has not been studied.
4. Cyanocobalamin improves the functioning of the nervous system and liver, activates the process of blood clotting, and participates in the synthesis of amino acids. Moved to ileum with the help of a glycoprotein, it is absorbed in large volumes through diffusion. The metabolism of cyanocobalamin is slow, and inactive metabolites are excreted in the bile.
5. Vitamin PP improves tissue respiration, carbohydrate and lipid metabolism. Nicotinamide is productively absorbed from the gastrointestinal tract, penetrates the systemic bloodstream, and is evenly distributed throughout tissues and organs.

Indications for use of Pentovit

This medication is prescribed for seasonal hypovitaminosis and increased nervousness of the patient. According to the instructions, there are several indications for use of Pentovit:

• chronic stress;
• asthenic conditions;
• neuralgia, polyneuritis;
• dermatosis, dermatitis;
• recovery period after infectious diseases.

How to take Pentovit

The medication in tablet form is intended for oral administration. According to the instructions, the course of treatment or prevention lasts at least 3–4 weeks and involves oral administration. The tablets must be swallowed whole, preferably during meals, with plenty of water.. Patients over 12 years of age are recommended to drink 2-4 tablets. three times a day. A repeated course of treatment or prevention can be taken on the individual recommendation of the attending physician. Self-medication is contraindicated.

special instructions

If you use Pentovit strictly according to the instructions, its use has a positive effect on the state of the nervous system: it reduces increased nervousness, helps to achieve emotional balance. Taking tablets does not inhibit the function of the central nervous system (CNS) organs, so during treatment or prevention you can control vehicle, study intellectual activity and types of work associated with increased concentration. The instructions for use contain other recommendations and instructions:

1. It is prohibited to take several multivitamin complexes at the same time to avoid symptoms of overdose.
2. To avoid intoxication of the body, it is not recommended to exceed the daily dosage.
3. Since the tablet shell contains sugar, this point is important to consider when prescribing a multivitamin complex to patients with diabetes.

Pentovit during pregnancy

According to the instructions, the multivitamin complex is not recommended for use by pregnant women, since clinical trials This category of patients was not carried out. The active components of Pentovit are released from breast milk, therefore the drug is not prescribed to women during lactation. If during such treatment there is urgency, you need to temporarily stop breastfeeding.

Pentovit for children

In early childhood, this multivitamin complex is not recommended. Because the clinical researches this category of patients were also not produced; pediatricians avoid such pharmaceutical prescriptions. IN detailed instructions The age restrictions for use are clearly indicated: Pentovit vitamins are contraindicated for children under 12 years of age.

Drug interactions

The instructions for use of Pentovit say that in combination with representatives of other pharmacological groups severe side effects may occur, decreases healing effect. Information about drug interactions:

• in combination of Pentovit with Colchicine or biguanides, a decrease in the absorption of cyanocobalamin (vitamin B12) is observed;
• it is prohibited to combine Pentovit with medications that increase blood clotting and Cyanocobalamin;
• complex reception of Pentovit with anticonvulsants leads to acute thiamine deficiency.
• It is better not to combine Pentovit and alcohol, since this interaction significantly reduces the absorption of the active components of Pentovit.

Side effects

The instructions for use of Pentovit describe in detail the side effects of the drug, which may occur from the first days of the course:

• skin itching, swelling, small rash, hyperemia of the skin;
• paroxysmal heart pain;
• increased excitability of the central nervous system;
• symptoms of tachycardia;
• insomnia;
• convulsions (rare).

Overdose

If the instructions are violated and the daily doses are systematically exceeded, symptoms of hypervitaminosis develop, associated with an increased concentration of B vitamins in the blood. The patient complains of attacks of dizziness, signs of dyspepsia, migraines, insomnia, and feels a rush of blood to the neck and face. Violated heartbeat, numbness of the limbs appears. Treatment is symptomatic, begins with reducing the dose of Pentovit. Cases of overdose are rare in practice.

Contraindications

Pentovit tablets are not allowed to be used by all patients with severe symptoms seasonal hypovitaminosis, there are medical restrictions. Medical contraindications:

• age restrictions up to 12 years;
• increased sensitivity of the body to active components multivitamin complex;
• pregnancy period;
• breast-feeding.

Terms of sale and storage

The medication is available without a prescription. Pentovit must be stored in a dark, dry place at a temperature of 15-20 degrees. Before using the medicine according to the instructions, you need to check the expiration date.

Analogs

If Pentovit causes side effects or desired therapeutic effect is completely absent, the attending physician suggests introducing a replacement. Effective analogues:

1. Benfolipen. Tablets are prescribed for complex treatment trigeminal neuralgia and facial neuritis. You should take 1 tablet. 1-3 times a day after meals. Course – 4 weeks.
2. Neuromultivitis. The multivitamin complex must be taken 1 tablet. up to 3 times per day. Side effects occur extremely rarely. Duration of therapy is 4 weeks.
3. Pikovit. The medication is recommended for use in cases of vitamin deficiency, unbalanced diet, after an illness. Children are prescribed 1 tablet. 4-5 times a day, for adults in the same dose, but in 5-7 approaches. Course – 30 days. Price – 125 rubles.
4. Aerovit. The medication regulates metabolism, replenishes vitamin deficiencies, and eliminates symptoms of vitamin deficiency. You should take 1 tablet. per day for a course of 2 to 9 weeks.
5. Makrovit. The medication is available in tablet form and is approved for children over 6 years of age. You should take 1 tablet. 2-3 times a day. The duration of treatment is 20-30 days.
6. Vitasharm. You need to drink 1 tablet. per day, always after meals, preferably in the morning. Course – 30 days.
7. Undevit. For treatment, adults and children over 12 years of age are required to take 1 tablet twice a day. For prevention, taking 1 tablet per day for 30 days is sufficient.

Pentovit price

The medication can be purchased at a pharmacy or ordered through an online store at a discount. average price– 120-150 rubles. Pentovit prices in Moscow.

With complex treatment various diseases with damage to nerves and spinal roots, B vitamins are often prescribed. And although vitamins are not drugs, their use improves functional state nervous system and influences the course of the main pathological process.

One of the frequently used drugs is Neuromultivit - an original tablet product produced by the Austrian company pharmaceutical company Lannacher Heilmittel (Lannacher Heilmittel).

Composition of Neuromultivit

Neuromultivit is a combined patented multivitamin complex. Main components of the drug:

• 100 mg thiamine or vitamin B1;

• 200 mg pyridoxine or vitamin B6;

• 200 mg cyanocobalamin;

• excipients intended to stabilize the composition and give tablet required density (cellulose, povidone, magnesium stearate);

• substances that form a protective film shell.

All vitamins in composition Neuromultivita are water-soluble, they do not compete with each other and do not accumulate in tissues human body. In addition, these substances are not synthesized by the body itself and come mainly from food. True, small amounts of thiamine and pyridoxine can be produced by intestinal microflora. But this is not enough to ensure normal functioning of the nervous system even in the absence of any diseases. It also happens that it is the deficiency of certain vitamins that causes or supports the appearance of neurological symptoms.

Thiamine after absorption in the upper intestines, it undergoes biotransformation and turns into cocarboxylase. This substance is an important coenzyme of many reactions and therefore participates in the regulation of the metabolism of proteins, fats and carbohydrates. It is also necessary for the conduction of nerve impulses and synaptic transmission of excitation to muscle fibers.

Pyridoxine also absorbed into small intestine and quickly integrates into a variety of metabolic processes in organism. With its participation, the synthesis of many enzymes, hormones, biological active substances and neurotransmitters (compounds necessary for the subtle processes of impulse transmission in the brain). Thus, with the help of vitamin B6, histamine, adrenaline, norepinephrine, serotonin, GABA, and dopamine are produced. This substance also improves muscle contractility, prevents the degeneration of pyramidal nerve cells and liver cells, and affects the content of cholesterol and lipids of different densities in the blood. Pyridoxine also promotes the activation of molecules folic acid– another vitamin necessary for normal hematopoiesis and nervous system function.

Cyanocobalamin in the human body it is spent primarily on the process of formation of red blood cells, which provide oxygen to all tissues. In addition, its metabolites are involved in the processes of replication (reproduction) of nucleic acids, which affects cell reproduction and growth. In the nervous system, vitamin B12 is necessary for the regulation of lipid metabolism, the level of phospholipids and cerebrosides. Thanks to it, a normal myelin sheath is formed around the long processes of neurons, which provides high speed conduction of nerve impulses.

Indications

Thanks to the vitamins B1, B6 and B12 included in the drug, Neuromultivit has neurotrophic and regenerative properties. It helps restore damaged and inflamed nerve fibers, improves metabolism in all tissues and especially in the central nervous system. The production of neurotransmitters is normalized, the work of nerve cells is harmonized. In addition, Neuromultivit is capable of exerting a moderate analgesic effect in cases of damage to the peripheral nervous system.

For what diseases and what helps Neuromultivitis? Indications for its use are:

• plexites of various origins;

• obturator canal syndrome, in which strangulation occurs sciatic nerve spasmodic muscle at the level of the pelvic outlet;

• polyneuritis (polyneuropathy) of diabetic, toxic, alcoholic and other etiology;

• neuritis of peripheral nerves;

• neuropathy facial nerve, which also includes Bell's palsy and prosoplegia;

• trigeminal neuralgia (syndrome caused by pathology trigeminal nerve), also called Fothergill's disease;

• intercostal neuralgia.

In addition, Neuromultivit is often used by neurologists in the complex treatment of various brain diseases. Although they are not direct indications for prescribing this drug, the use of this vitamin complex can have a beneficial effect on the functioning of the central nervous system. According to doctors, Neuromultivit can also be useful in recovery period after injuries, operations, stress, with a diagnosed deficiency of B vitamins.

Features of application

Neuromultivitis is usually prescribed in daily dose 1–3 tablets, recommendations depend on clinical picture underlying disease. The duration of treatment and frequency of administration are determined by the doctor.

Since the tablets are coated with a protective film coating, Neuromultivit should be taken as a whole. Chewing or breaking may affect the pharmacokinetics of the drug. To reduce the irritant effect on the gastric mucosa, tablets are taken after meals.

Contraindications and side effects

Side effects when using Neuromultivit develop infrequently. This may include a rash and itching of an allergic nature, nausea, and tachycardia. If such reactions occur, you should inform your doctor about this; the drug will most likely be discontinued. Moreover, the emergence of such side effects may indicate an overdose of certain vitamins.

Contraindications for prescribing Neuromultivit are intolerance to at least one component, children under 12 years of age. Research on the effectiveness and safety of the drug for children were not carried out. In addition, the presence of a film coating eliminates the possibility of dividing the tablet and selecting the dosage of Neuromultivit in accordance with the age of the child. During pregnancy and lactation, the drug is not prescribed due to the lack of proven safety of the drug for the body of a woman and child.

Precautionary measures

To avoid overdose, you should not take the drug for more than 4 weeks in a row, unless your doctor recommends a different treatment regimen. It is also undesirable to use other vitamin complexes. While taking Neuromultivit, you should avoid drinking alcohol, which is associated with poor compatibility of ethanol with vitamins and a decrease in the absorption of thiamine. Strong black tea works in a similar way.

It is important to remember the mutual influence of drugs. For example, simultaneous use of Neuromultivit and levodopa drugs can lead to a decrease in the effectiveness of antiparkinsonian therapy. Loop diuretics increase the excretion of thiamine (vitamin B1) from the body, and antacids impair its absorption in the gastrointestinal tract. The cytostatic 5-fluorouracil competes with thiamine and suppresses its transformation into cocarboxylase. Isoniazid, Cycloserine, Penicillamine, Hydrolasine and oral contraceptives increase the body's need for pyridoxine (vitamin B6).

What can be replaced

Autolysate of purified brewer's yeast.

Milgamma is available in tablets and ampoules.

In some cases choice liquid form release is an advantage of the drug over Neuromultivit.

When deciding to replace the original Neuromultivit with another drug, differences in the composition of vitamin complexes should be taken into account. They may contain other vitamins (in addition to B1, B6 and B12), and the concentration of the main components may be different from Neuromultivit. Only generics are its structural analogues, but these drugs do not undergo clinical trials.

It is impossible to answer unequivocally the question of what is better - Neuromultivit, Milgamma, Pentovit or other vitamin complexes of similar composition. A certain concentration of individual components, release form, and even the pharmaceutical company producing it - all this can serve as selection criteria. Therefore, you should listen to the recommendations of your doctor and consult him when replacing Neuromultivit with other drugs.