Tablets and syrup Pantogam: instructions for use for children and adults

Pantogam is a nootropic drug used to treat and prevent most vascular and mental diseases.

Improves microcirculation in the vessels of the brain, helps improve glucose current to neurons and its assimilation. Promotes the normalization of metabolic processes in the nervous tissue, which increases its regenerative potential and reduces the consequences of cerebral ischemia. Activates anabolic processes in neurons, reduces motor excitability, stimulates physical ability to work and mental activity, combines moderate sedative effects with mild stimulating action.

With chronic alcoholism Pantogam has a calming and relaxing effect, which significantly alleviates the condition of a patient suffering from alcohol intoxication. Also, the blood supply to the brain is improved.

Clinical and pharmacological group

Nootropic agent, possesses neuro-metabolic, neuroprotective and neurotrophic properties.

Conditions of leave from pharmacies

It is released on prescription.

Price list

How much does Pantogam in pharmacies cost? The average price is at the level of450 rubles.

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Form of issue and composition

Pantogam is available in the form of tablets, syrup and capsules.

1 bottlecontains 10 g / 100 ml of hapantenic acid - the active substance.

Auxiliary Ingredients:

• 15 grams of sorbitol;
• 2, g - glycerol;
• , g - citric acid monohydrate;
• , 5 g - aspartame;
• , g - sodium benzoate;
• , 1 g - flavoring food "Cherry 667
• up to 100 ml - purified water.

1 tabletincludes 250 mg or 500 mg of gepattenic acid - an active substance.

Auxiliary ingredients according to the mass content of the active ingredient:

• , mg or, mg - calcium of stearate;
• , mg or, mg - methylcellulose;
• , mg or 1, mg - talc;
• 4, mg / 9, mg - magnesium hydroxycarbonate.

Pharmacological effect

Pantogam - a drug from the group of nootropics. A wide spectrum of action of the drug is due to the presence of a neurotransmitter - gamma-aminobutyric acid in its structure. The active substance stimulates anabolic processes in neurons and in combination with a slight sedative effect, increases resistance of the brain to various toxic effects, reduces the effects of oxygen starvation (hypoxia).

In addition, the drug exhibits anticonvulsant activity, reduces motor excitability, improves performance and improves brain activity. When chronic alcohol intoxication and during periods of refusal from alcohol, actively normalizes metabolic processes.

After ingestion, the active substance is rapidly absorbed from the digestive tract, freely penetrates through the BBB. The highest concentration is accumulated in the liver, stomach, kidneys and skin. In the body it is not metabolized, it is excreted unchanged in the main kidneys, within 2 days after administration.

Indications for use

For what purpose? It is recommended to apply pantographs in the following cases:

• neurotic disorders;
• psycho-emotional overload;
• decrease in mental and physical performance;
• cognitive disorders due to organic pathologies of the brain;
• schizophrenia, which is accompanied by organic cerebral insufficiency;
• prevention and therapy of extrapyramidal syndrome as a result of the use of neuroleptics;
• cerebrovascular insufficiency as a result of atherosclerotic pathologies of cerebral vessels;
• forms of epilepsy, which are accompanied by a decrease in the reactivity of mental processes (with the joint use of anticonvulsants);
• extrapyramidal hyperkinesis, provoked by hereditary diseases of the nervous system (myoclonic epilepsy, Parkinson's disease, etc.);
• urination disorders that are neurogenic in nature (urinary incontinence, pollakiuria, enuresis, imperative urges).

Pantogam is recommended for children in the following cases:

• perinatal encephalopathy;
• hyperkinetic disorders;
• neuro-like conditions (tics, stuttering);
• mental retardation and CPD (mental retardation);
• various forms of cerebral palsy.

Children up to three years are recommended to prescribe this remedy in the form of syrup.

Contraindications

Pantogam indicates the following contraindications to its use.

For tablets:

• patient's age up to 3 years;
• the period of breastfeeding;
• period of pregnancy.

For syrup:

• the first trimester of pregnancy;
• phenylketonuria, because of the content of aspartame in the syrup.

Are common:

• hypersensitivity to gopanthenic acid or other ingredients of syrup or tablets;
• acute kidney pathology in severe form.

Use in pregnancy and lactation

The drug Pantogam in the form of tablets is contraindicated in pregnancy and breastfeeding.

In the form of syrup, it is not recommended to take it in the first trimester of pregnancy.

Dosage and route of administration

The instructions for use indicate that the syrup or Pantogam tablets should be taken orally through 15-30 minutes after eating, given its nootropic effect - in the morning and afternoon (up to 17 hours).

In the form of tablets, the drug is prescribed for adults and children over 3 years old, it is advisable to use syrup for infants.

The average doses of Pantogam for adults are: single 5-1 g, daily -3 g; for children: single 5 g, daily 5-3 g.

Duration of treatment - from 1 to 4 months, in some cases - 6 months. If necessary, after 3-6 months of interruption appoint a second course of therapy.

Recommended dosage regimens Pantogam:

1. Tiki in children: по, 5 г 3-6 times a day, the course is from 1 to 4 months;
2. The consequences of craniocerebral trauma and neuroinfections: по, 5 g 3-4 times a day;
3. Schizophrenia(as part of complex therapy with psychotropic drugs): -3 g per day for 1-3 months;
4. AStenic conditions and increased loads(for restoration of working capacity): by, 5 g 3 times a day;
5. Epilepsy(in combination with anticonvulsant drugs): by, 5-1 g per day, treatment can last up to 1 year or more;
6. Extrapyramidal neuroleptic syndrome(simultaneously with the main therapy): up to 3 g per day for several months;
7. Violations of urination: adults - on, -1 g 2-3 times a day, children - on, 5 g per day (25 5 mg / kg) for 1-3 months;
8. Extrapyramidal syndrome due to the use of neuroleptics: adults - on, -1 g 3 times a day, children - on, 5 g 3-4 times a day, treatment is carried out for 1-3 months;
9. Extrapyramidal hyperkinesisin patients with hereditary diseases of the nervous system (simultaneously with the main therapy): -3 g per day, the duration of treatment - up to 4 months or more;

Pathologies of the nervous system in children: up to 1 year - by, -1 g per day, 1-3 years - by, 5 g per day, 3-7 years - by, 5 g per day, over 7 years - 1-2 g in day. Treatment always begins with a minimal dose and gradually, within 7-12 days, it is increased. At the maximum dose Pantogam is used for 15-40 days, after which gradually, within 7-8 days, gradually reduce the dose until the drug is completely discontinued. The general course of treatment lasts from 30 to 90 days, in some cases can reach 6 months or more.

Side effects

Possible side effects:

• Allergic reactions: conjunctivitis, rhinitis, skin rashes (the development of these disorders can cause a decrease in dose or drug withdrawal);
• Other: drowsiness, sleep disturbances, noise in the head (violations, as a rule, are of short duration, and cancellation of treatment does not require).

Overdose

When using the drug for a long time in large doses, the patient develops signs of an overdose, which are manifested by the following clinical symptoms:

1. Drowsiness, lethargy;
2. Nausea, vomiting;
3. Increased irritability, disorientation in space.

With the development of such side effects, the drug should be discontinued immediately and consult a doctor. If you accidentally use a large number of tablets in a patient, you should promptly vomit yourself, wash your stomach, give activated charcoal. If necessary, symptomatic treatment is performed.

special instructions

With prolonged therapy, the combined use of Pantogam with other nootropic drugs and central nervous system-stimulating drugs is not recommended.

In the first days of treatment, taking into account the possible occurrence of drowsiness, care must be taken when controlling mechanisms and vehicles.

Drug Interactions

When using the drug, it is necessary to take into account the interaction with other drugs:

1. The action of gopanthenic acid is enhanced in combination with glycine, xyediphon.
2. Prevents side effects of phenobarbital, carbamazepine, antipsychotic drugs (neuroleptics).
3. Lengthens the effect of barbiturates, enhances the effects of anticonvulsants, nootropics and CNS stimulating agents, the action of local anesthetics (procaine).

Reviews

We picked up some reviews of people who used the drug Pantogam:

1. Sofia. I myself drank Pantogam in my youth. I was preparing for the students at the institute and diploma, I thought the roof would go and I would not give anything away. Became nervous, stopped sleeping at night, my mother then to the neurologist literally took her hand. Pantogam drank a month. Surrendered safely and the roof in place remained)))
2. Valya. Hyperactivity in a child caused night enuresis. For a long time they could not find out this very reason, they examined the child completely for infection, pathology, and hormones, but the whole reason for hyperactivity turned out to be. The treatment was prescribed as a pantogam, the course was designated for the beginning for two months. We started with a minimum dosage and gradually increased to, g. After this course, the child stopped writing at night in bed. I want to note changes in the behavior of the child, he became more calm and sociable, tantrums and moods ceased and now he can easily make new friends.
3. Katerina. We were assigned Pantogam to drink 2 times. Side effects did not notice, but the daughter immediately began to roll over independently, for the second time began to crawl and climb the legs and bark,. noticed progress in the physical and mental development. I advise you to take it. We did not have any side effects. You just need to choose the dosage and do not drink it after 16 hours.
4. Alexandra. Our baby had problems with speech development, he is 5 years old. This worried us a lot, there could be difficulties in school because of this. The doctor prescribed the Pantogam course, observed the rules of application according to the instructions, the course lasted almost 2 years. No side effects were observed, the son is already 8, excellent studying, like all the children in the group, teachers are praised.

Analogues

• According to the active ingredient: Gopantam, Calcium Gopantenate, Pantokaltsin;
• By the mechanism of action: Amylonosar, Nootropil, Acefen, Omaron, Bravinton, Cavinton, Vinpotropil, Vinpocetine, Idebenon, Noopept, Ginkgo Biloba, Glycine, Demanol, Ginkoum, Pikogam, Kogitum, Cortexin, Lucetam, Carnitine, Memotropil, NooKam, Minisem, Pikamelon, Nooclerin, Pyracetam, Semax, Teletol, Pyriditol, Phenotropil, Ceraxon, Escrotropyl, Celestab.

Before using analogues, consult your doctor.

Storage conditions and shelf life

Store in a dry place, out of the reach of children, at a temperature of up to 25 ° C.

Shelf life:

• Tablets of 250/500 mg - 4/3 years;
• Syrup - 2 years.

Syrup after opening the vial should be stored in the refrigerator for no longer than 30 days.

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