Health, Preparations
A popular analogue of Tebantin. Tebantin: instructions for use, reviews and analogues
For some people, taking the drug becomes a necessity, conditioned by the state of health. But often you have to look for an analogue of Tebantin for one reason or another, usually this is a fairly high cost of the drug. In pharmacies, you can find many substitutes with similar properties, but different price categories. So, let's look at the peculiarity of Tebantin. Instructions for use, analogs are discussed in the article.
Tebantin: instructions for use
The main indication for the use of the drug Tebantine (analogs we will consider below) is epilepsy (convulsive conditions, partial seizures). Used as a primary or additional medication. Assign adults, children from 12 years, with a resistant form of epilepsy possible application for kids from 3 years. Also "Tebantinum" treats neuropathy in patients aged 18 years. The active substance of the drug is gabapentin, belonging to the group of anticonvulsants. Auxiliary components - lactose monohydrate, talc, starch, magnesium stearate , iron oxide , titanium dioxide, gelatin.
Produced in the form of tablets and capsules of 100, 300 or 400 mg. Contraindicated in cases of hypersensitivity to constituent components, pregnancy, breast-feeding, kidney disease. Take inwards, washed down with water, 300 mg three times a day (for adults and children over 12 years old). The maximum dose per day should not exceed 3600 mg. The interval between meals is not more than 12 hours.
It is possible to use the drug according to the individual scheme prescribed by the doctor. Children from 3 to 12 years of age are prescribed 25-35 mg per kilogram of body weight per day, calculated for 3 doses. There is also a treatment according to the scheme that the specialist will propose. Neuropathy in adults is treated, starting with 300 mg 3 times a day, gradually increasing the dose. The maximum should not exceed 3600 mg per day. The active substance is rapidly absorbed, regardless of the dose taken. The maximum concentration in the blood plasma is observed after 3 hours after ingestion, with repeated admission - after 1 hour. Bioavailability decreases with increasing dose. It is excreted by the kidneys in an unchanged form, and from the plasma it is removed during hemodialysis.
Side effects of "Tebantin"
Inform about the numerous side effects of the drug Tebantine instructions for use, reviews. Analogues also do not lack them. Side effects can be observed from the following systems of the body:
• Cardiovascular. Vasodilation (vasodilation due to decreased muscle tone of the vascular walls), when used with other drugs for epilepsy, it is possible to raise or lower blood pressure, tides of blood to the face.
• Nervous. Dizziness, drowsiness, fatigue, increased excitability, headache, tremor, depression, impaired coordination of movements, irritability, anxiety, anxiety. In rare cases, confusion, thinking, asthenia, nystagmus, anxiety, confusion with other similar medicines is possible.
• Genitourinary. Rarely - urinary incontinence, decreased potency.
• Digestive. Dyspepsia, nausea, vomiting, increased appetite, dry mouth, diarrhea, constipation, flatulence, anorexia, gingivitis, dry mouth, hemorrhagic pancreatitis, discoloration of tooth enamel.
• Respiratory. Rhinitis, pharyngitis, cough, pneumonia, dyspnea.
• Musculoskeletal system. Back pain, arthralgia, myalgia, excessive brittle bones.
• Sense organs. Visual disturbances, ringing in the ears.
In rare cases, taking the drug causes leukopenia (a decrease in the number of leukocytes), allergic reactions in the form of skin rashes, itching, fever. Possible peripheral edema, acne, fluctuations in blood sugar in people with diabetes. In case of an overdose, dizziness, drowsiness, impaired vision and speech, diarrhea, lethargy are observed. In this case, symptomatic treatment is performed, absorptive substances (activated charcoal), gastric lavage are applied. Removal of the drug from the body is possible with hemodialysis.
If there is a need to cancel the drug or replace it with another, you need to do this gradually, within a week, as a sharp stopping of the reception can cause an epileptic status. It is not used to treat the absence of epilepsy due to its ineffectiveness.
During pregnancy and lactation, the drug is prescribed only for absolute indications, when the benefit to the mother outweighs the risk to the fetus (possibly affecting the slow development and growth of the baby). "Tebantin" can be taken in joint therapy with other antiepileptic drugs, such as valproic acid, "carbamazepine", "phenytoin", "phenobarbital."
Neurontin: instructions for use
Like the drug itself, the analogue of Tebantin, manufactured in Germany, has gabapentin as an active substance. It belongs to the group of antiepileptic drugs, it is prescribed for localized idiopathic, symptomatic epilepsy, as well as epileptic syndromes with simple and complex convulsive seizures. Indications for use, in addition, is neuralgia in adults. Usually acts as an additional therapy in the complex treatment. Produced in the form of tablets, coated with a shell, 600 or 800 mg.
The price of this drug ranges from 900 to 1600 rubles per package. Excipients - crospovidone, poloxamer 407, magnesium stearate, corn starch, talc, wax. Neurontin has a similar instruction with Tebantin, which has the same active ingredient. Take it inside 300 mg three times a day, if necessary, the daily maximum can be equal to 3600 mg. As a rule, the attending physician prescribes the taking of the medicine according to a certain scheme. The maximum concentration of the substance after ingestion is reached after 2-3 hours. Food intake during treatment does not affect the pharmacological properties.
Features of the application of "Neurontin"
Like Tebantin, analogues are contraindicated in children under 3 years of age, with hypersensitivity to the components of the drug. With caution and only under the supervision of a doctor take the drug for kidney disease. During pregnancy, taking medication is possible only in extreme cases, because it can slow the growth and development of the fetus. The same applies to the lactation period, since gabapentin enters the body of a child with milk.
"Neurontin" - an analogue of "Tebantin", the instruction for its use contains the same list of side effects affecting all body systems:
• vasodilation, arterial hypertension;
• malfunctions in the digestive system (flatulence, constipation, diarrhea, dental disease, etc.);
• purpura, leukopenia;
• pain in the back, brittle bones, arthralgia;
• dizziness, confusion, hostility, depression, drowsiness, general malaise;
• pneumonia, rhinitis, cough, otitis media;
• impaired vision, diplopia;
• disruption of the genitourinary system.
Overdose can cause dizziness, speech and vision impairment, drowsiness, lethargy, in this case symptomatic treatment is used. With a sharp withdrawal of the drug, such body reactions as nausea, insomnia, a sense of anxiety, excessive sweating and pains of various locations, the development of seizures are possible. To combat absense epilepsy, the drug is ineffective. Treatment of neuralgia in patients under the age of 18 years has not been conducted, there is no safety data. It is necessary to refrain from driving the vehicle to identify possible reactions of the body to the drug.
"Kovalis"
This is an analogue of Tebantin, produced by the Russian firm Pharmstandard. The instruction says that the active substance in its composition is also gabapentin. Auxiliary components - magnesium stearate, titanium dioxide, iron oxide, talc, corn starch, gelatin, lactose monohydrate. Available in the form of yellow capsules with white powder inside of 30 or 50 pieces in a package. The price of the drug is in the range of 550 rubles, it differs in different pharmacies. Has antiepileptic and analgesic effect. Analogues of "Tebantin" indications for use have the same - with epilepsy as a primary or additional remedy for adults and children over 12 years old, as well as with neuropathy accompanied by pain.
The drug is taken regardless of food intake, inside, washed down with water. The initial dose is 300 mg, further increases to 900 mg per day (in equal parts at intervals of 8 hours). The daily maximum is 3600 mg. Like any other analogue of Tebantin, "Kovalis" requires strict adherence to the scheme prescribed by the doctor. Possible simultaneous reception with other anticonvulsants, as well as oral contraceptives. In combination with ethanol, the risk of side effects increases.
Contra-indications and side effects of "Convalisa"
Like tablets Tebantin, analogues have contraindications. Do not take children under 12 years of age with acute pancreatitis, persons with hypersensitivity to the components of the drug and lactose intolerance. With caution - with kidney disease. Side effects during the treatment of neuropathic pain can be as follows:
• dizziness, drowsiness, tremor, confusion, memory loss, hyposthenia, ataxia;
• nausea, diarrhea, flatulence, constipation, dry mouth, abdominal pain;
• skin rashes, shortness of breath;
• Headache, weakness, puffiness, weight gain.
During the treatment of partial seizures, these side effects are possible:
• Diseases of the mouth, digestive system disorders;
• dizziness, depression, insomnia, anxiety;
• purpura, leukopenia;
• skin itching, rashes, acne;
• Rhinitis, pneumonia, cough;
• diseases of the genitourinary system, problems with potency;
• disorders of the nervous system, visual impairment, rapid fatigue.
There have been cases of development of kidney diseases, mastopathy, gynecomastia, hallucinations, pancreatic diseases. Some patients had symptoms such as dystonia, rapid heartbeat, tinnitus. After a sharp cessation of reception there is a withdrawal syndrome - pain of different localization, nausea, sweating, sleep disturbance, depression. Overdose causes dizziness, drowsiness, diarrhea, dysarthria, diplopia. It is treated by washing the stomach (in the first hours), enterosorbents, symptomatic therapy, if necessary, using hemodialysis.
"Catena"
Another analogue of Tebantin is Katan. Produced in the Republic of Croatia by the company "Belupo", the price - from 300 to 800 rubles, depending on the size of the packaging, the city and the supplier. It is used for epilepsy, partial seizures with secondary generalization, and also without it.
special instructions
"Katena" is a rather popular analogue of Tebantin. Reviews about the drug are mostly positive, suggest a marked improvement in the condition and a reduction in seizures. Indications and contraindications are similar to previous drugs, because the active ingredient in these medicines is the same. It is used strictly according to the scheme, with an overdose the patient needs symptomatic treatment. Side effects are as numerous as in analogues, and can arise from all systems of the body. During treatment it is necessary to refrain from management of transport and performance of dangerous works requiring concentration of attention. During pregnancy, take only when there is an urgent need, since the drug negatively affects the fetus, its growth and full development. The same applies to breastfeeding, the main component is excreted with milk, harming the baby.
Other analogues of Tebantine
On the pharmacological market a fairly large number of drugs containing gabapentin. They are produced under different brands, have a fairly broad price category and are imported from many producing countries. The most popular among them is the preparation "Tebantin", produced in Hungary by JSC "Gedeon Richter". Analogues are also often purchased by patients, mainly because of their lower price. Its cost varies from 800 to 3000 rubles, depending on the dosage, the number of capsules and a pharmacy.
Another analogue of "Tebantin", doctors' reviews about which are mostly positive, is called the most active substance - "Gabapentin". It is produced in Russia and India, is available in the form of capsules (50 pieces per pack) of 300 mg. Its price is within 500 rubles.
"Gababamma" - a preparation produced in Germany, is available in the form of capsules of 100, 300 and 400 mg. The average price for a large package of 50 capsules of 400 mg is 1100 rubles.
"Gapentec" - a preparation in the form of capsules of 100 or 300 mg. Popular in our country does not use.
Despite the fact that in the composition of all listed drugs one active ingredient, when prescribing Teabantine, analogues and substitutes should be used only after consultation and with the permission of the attending physician.
Reviews about Tebantin and its analogues
Despite the fact that this drug is antiepileptic, it is often prescribed for pain of a neuropathic nature. Many patients with similar problems note a rapid effect that did not occur when using other pain medications. However, it should be taken only according to the doctor's prescription (in pharmacies, it must be dispensed on prescription), since the drug is serious, with a mass of possible side effects and strong influence on the body.
People who took "Tebantin", analogs, reviews leave the opposite character: someone likes his high effectiveness against pain, while others are afraid of addiction or side effects. Are fears justified? Indeed, drugs gabapentin can be addictive, as evidenced by the reviews of people who have taken them for a long time. Therefore, the abrupt withdrawal of the drug is prohibited, it should be done gradually, following the recommendations of the doctor. Some people note the short-term effect of taking the medicine, that is, it only helps during the period when you take it. The disease is not cured, but only symptoms and painful pains disappear. That is, you have to take the drug all the time, so that there is an effect. This is most often the case with epilepsy patients who are forced to sit on tablets continuously to avoid the occurrence of convulsive seizures.
Such drugs are often taken by elderly people, who are characterized by painful conditions when weather changes, with exacerbation of chronic diseases. Assign and with inflammation of the trigeminal nerve Tebantin, analogues. The patients' comments on this are positive, they call it a salvage drug. If the doctor has appointed "Tebantin" (or its analog), then there are compelling reasons for this and should listen to him. But you can not make a decision on taking such serious medications yourself, without proper supervision of a specialist, you may have health problems. Serious complications from taking such medications are rare, but they are severe, so you need to closely monitor your health and overall health in order to notice the deterioration of the body in time and seek help from a specialist. Independently stop taking the drug is strongly discouraged, as this will cause even more serious consequences.
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