How to take Medocamm: instructions for use

Mydocalm refers to the muscle relaxant drugs that affect various structures of the nervous system.

This is an effective and safe miorelaxing agent of central action, designed for treatment of neurological syndromes associated with trophic disorders, pain and increased skeletal tonus muscles. The main active substance of the drug - tolperisone hydrochloride, has a local anesthetic effect and helps reduce hypertonicity and muscle rigidity.

Its action is carried out through the central nervous system. Suppressing the increased excitability of the spinal cord, it inhibits the transmission of pathological nerve impulses. Due to this, relaxation of muscles is achieved, puffiness is eliminated and painful sensations are removed. In addition to reducing musculoskeletal tension, the drug promotes vasodilation, improves blood circulation and lymph flow.

Clinical and pharmacological group

Miorelaxant of central action.

Conditions of leave from pharmacies

It is released on prescription.

Price list

How much does Amaril cost? The average price in pharmacies is at the level of350 rubles.

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Form of issue and composition

Midokalm is produced in tablets coated with a film coating of 50 mg and 150 mg.

Issue injection for injections (injections) (in ampoules of 100 mg and, mg / ml) called Midokalm-Richter.

The active ingredient: tolperisone hydrochloride, contains 50 or 150 mg in each film-coated tablet.

Pharmacological effect

Midokalm is used to eliminate the neurological syndrome, which provokes pain, trophic disorders, increased muscle tone. The active component shows a local effect, copes with the clinical picture in osteochondrosis, patients who have suffered a heart attack and other pathologies.

Regular use of the drug shows a lot of positive effects:

• promotes the appearance of indirect analgesic action;
• effectively eliminates muscle tension;
• it starts blood circulation, lymph drainage;
• promotes the expansion of blood vessels.

After oral administration, the drug is rapidly absorbed in the gastrointestinal tract, the maximum concentration of the active substance is observed after half an hour after ingestion. The drug is metabolized in the kidneys and liver, excreted by the kidneys.

Indications for use

Indications for the appointment of Midokalm are:

1. Traumatic and orthopedic operations - with the goal of prompt recovery of the patient.
2. Muscular contractures, muscle spasms and increased tone that accompany organ diseases movement (for example, arthrosis of large joints, spondylarthrosis, spondylosis, lumbar and cervical syndromes).
3. Spasm and pathologically elevated tone of the striated muscles, developing as a result organic diseases of the central nervous system (multiple sclerosis, myelopathy, affection of pyramidal pathways, encephalomyelitis, cerebral stroke).
4. Pathologies that arise from a violation of the innervation of blood vessels (intermittent angioedema, acrocyanosis) are part of a combination therapy.
5. Obliterating vascular diseases (diffuse scleroderma, diabetic angiopathy, obliterating arteriosclerosis, Raynaud's disease, obliterating thromboangiitis) - as a combined treatment.
6. Children's cerebral spastic paralysis and other encephalopathies that cause muscular dystonia.

Why is Midokalm appointed for osteochondrosis?

Like other muscle relaxants of the central action, Midokalm can be prescribed for osteochondrosis.

Developing with osteochondrosis pain syndrome provokes compensatory spasm of deep layers of back muscles. And this, in turn, causes the myofixation of the vertebral column and the limitation of the mobility of the vertebral-motor segments. The consequence of such a muscular-tonic imbalance is a worsening of the course of the disease and a decrease in the therapeutic efficacy of all measures taken.

Miorelaxants in osteochondrosis are appointed in order to eliminate this imbalance.

Preparations from this pharmacotherapeutic group:

• suppress spinal reflexes;
• have a sedative effect;
• relieve the symptoms of pain;
• relieve muscle tension.

Due to these qualities, muscle relaxants increase the effectiveness of other therapeutic measures: massage, physiotherapy, traction therapy, etc. They also have the ability to potentiate the action of blockades, other pain medications and physiotherapy procedures.

Contraindications

Tablet intake Miodocal is contraindicated in several pathological and physiological conditions of the body, which include:

• Myasthenia gravis is a pathological muscle weakness.
• Children up to 3 years.
• Hypersensitivity to the active ingredient and auxiliary components of the drug.

Before you start taking Meadolm tablets, you should make sure there are no contraindications to their use.

Use in pregnancy and lactation

Studies on pregnant and lactating women were not conducted. The drug is safe enough, there is no evidence of a teratogenic effect. Medoccal is given with caution if the intended benefit to the mother exceeds the risk to the fetus or newborn.

Most neurologists recommend that you suspend breastfeeding at the time of admission.

Dosage and route of administration

In the instructions for use, it is indicated that the pills of Midokalm are taken inside, after eating, without chewing, with a small amount of water.

• Adults and children from 14 years of age are prescribed at the beginning of treatment 50 mg 2-3 times / day, gradually increasing the dose to 150 mg / day 2-3 times / day.
• Children aged 3 to 6 years are prescribed Medocalm in a daily dose of 5 mg / kg (in 3 divided doses during the day); at the age of 7-14 years - in a daily dose of 2-4 mg / kg (in 3 divided doses during the day).

When applying injections, Miodocalm is administered:

1. Intramuscularly - 200 mg per day, divided into two doses;
2. Intravenously, the drug is administered slowly, once a day for 100 mg.

There are no data limiting the use of Miodocalm with other medications. The drug can be used simultaneously with sedatives, hypnotics and drugs containing ethanol. However, it should be borne in mind that Midocalm strengthens the action of niflumic acid.

Use Midokalm during pregnancy, especially in the first trimester, as well as during lactation can only by strict indications.

Side effects

Side effects of Midokalma are few, they develop, as a rule, with an individual high response of the body to the active substance. Among them, most often occur:

• nausea, vomiting;
• feeling of discomfort in the abdomen;
• headache;
• itching;
• erythema;
• hives;
• angioedema;
• anaphylactic shock;
• bronchospasm;
• muscle weakness;
• arterial hypotension.

Rapid parenteral administration can lead to lower blood pressure. Reduction of dosage levels all negative events in 95% of cases.

Overdose

Cases of overdose are extremely rare, as the maximum therapeutic threshold of Midokalma is quite high. The dose up to 600 mg does not, as a rule, cause signs of an overdose. If, however, the patient has an overdose, then this is manifested by ataxia, convulsions, dyspnea, paralysis of the respiratory center. Immediately after the appearance of these signs, gastric lavage may become an effective treatment.

Specific antidote therapy for Midokalma does not exist.

special instructions

Use the drug strictly following the recommendations of the doctor in order to avoid complications.

Studies have not been carried out, but for many years of practice of applying information about the effect of the drug Midokalm on ability of patients to perform work that requires increased attention and speed of psychomotor reactions, not attaching.

Drug Interactions

Does not affect the effect of ethanol on the central nervous system.

Data on the interaction that limits the use of the drug Midokalm, is not available.

Although tolperisone has an effect on the central nervous system, the drug does not cause sedation, so it is possible to use in combination with sedatives, hypnotics and preparations containing ethanol.

Means for general anesthesia, peripheral muscle relaxants, psychotropic drugs, clonidine enhance the effect of tolperisone.

With the simultaneous use of Miodocalm strengthens the action of niflumic acid, therefore, if necessary, this combination may require a reduction in the dose of niflumic acid.

Reviews

We picked up some responses from people who took the drug:

1. Olga. After the first injection I almost went to God. Dizziness began, dizziness, cold, cold sweat, a complete collapse. Has left somehow hour through 4. Then she began to read everything about this drug. As a result, I realized that I was injected intravenously very quickly, as an ordinary medicine. And it should be administered very slowly, within 3-4 minutes. This is mainly the action of lidocaine. The truth is I then finished injections intramuscularly. So I recommend, before you enter any drug, read all about side effects, and about the correct administration of drugs.. And then the doctors will hope and die. We need to control them, do not be shy. I think that many will agree with me.
2. Jeanne.Three years ago, doctors meddled me with the diagnosis of "arthrosis of the right forearm." The hand was very sick, there were strong spasms. When there is an exacerbation of the disease, I am saved by special injections. The course of Midokalma well relieves pain, gives anti-inflammatory effect, "softens" the muscles. There are no side effects, only a positive result.
3. Tatyana. I was assigned "Midokalm" after I had been tortured for a long time with a purged neck. For a long time I could not turn my head, my neck muscles were very inflamed. Have appointed the given preparation with the purpose of a relaxation of muscles of a neck. She started to take it immediately, but after a few things I felt worse: my neck was practically gone, but very strong weakness appeared, shortness of breath, palpitation heavy and felt, slow. In general, me "Midokalm" did not come, apparently. Relaxed not only the neck, but also the heart muscle. I do not think that I will ever agree to accept it.

Analogues

Complete analogues are:

1. Tolperisone hydrochloride.
2. Tolizor.
3. Tolperisone.

Analogues have a similar effect:

1. Sirdalud.
2. Miolgin.
3. Lexotan.
4. Baclofen.

Before using analogues, consult your doctor.

Storage conditions and shelf life

The shelf life of Meadkalm tablets is 3 years from the date of their manufacture.

The drug should be stored in a dark and dry place at an air temperature of +15 to +30 ° C. Keep away from children.

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