Analogues "Cavinton": the price and instructions for use. What can replace Cavinton? Which is better: "Cavinton" or "Vinpocetine"?

What are the analogues of Cavinton in the pharmaceutical market? Before answering this question, it is necessary to find out what the given preparation is for, what its pharmacological properties, indications for use, etc. In addition, your attention will be given detailed instructions on the use of the analogues of "Cavinton", as well as their differences, Composition and other information.

Pharmacodynamics

Medication Cavinton significantly improves brain metabolism due to increased oxygen consumption. It increases the resistance of neurons to hypoxia, and also enhances the transport of glucose through the blood-brain barrier, translating its decay into a more economical aerobic pathway.

This drug is prescribed by a doctor as an antioxidant, which is designed to lower platelet aggregation, cerebral vascular resistance, increase blood viscosity, promote oxygen release of erythrocytes and increase cerebral blood flow. It is also worth noting that the Cavinton drug enhances blood flow in the ischemic areas of the brain.

Indications for use

Before you find out which Cavinton substitute is the most effective and inexpensive, you should talk about why this drug is generally prescribed to patients.

In neurology, such a device is prescribed to reduce the severity of mental and neurological signs in the absence of cerebral circulation (for example, in ischemic stroke, transient ischemic attack, vascular dementia, vertebrobasilar insufficiency, cerebral arteriosclerosis, posttraumatic and hypertensive encephalopathy, and also in the recovery stage of hemorrhagic Stroke).

In ophthalmology, some analogues of "Cavinton" and the drug itself is prescribed for chronic vascular diseases, damage to the retina and the eye (for example, with vein thrombosis of the retina or central artery). In addition, this medication is recommended in the complex treatment of Meniere's disease, hearing loss and idiopathic noise in the ears.

Instructions for use

This drug is intended not only for oral administration, but also for intravenous infusion (drop). Enter it must be very slow (the speed should not exceed 80 drops per minute). It is forbidden to use the given medication intravenously and intramuscularly without prior dilution.

For the preparation of infusion, it is permitted to use physiological saline or agents that contain dextrose, for example, Salsol, Reomacrodex, Ringer or Rindex. It should be specially noted that the medicine based on "Cavinton", should be used for its intended purpose only in the first 3 hours after its preparation.

The usual daily dose of the drug is 20 mg (or 2 ampoules) per 500 milliliters of the infusion solution. Within 2-3 days this amount can be increased, but no more than up to 1 mg / kg / day (depending on tolerability). The duration of therapy is about 10-13 days. At the end of the course of intravenous treatment, it is advisable to proceed with oral administration of the drug (2 tablets three times a day).

Contraindications and side effects

All the analogues of "Cavinton" (below we will consider them in more detail) and the original itself have their side effects and contraindications. So, this tool is not recommended for use in the acute phase of hemorrhagic stroke, severe form of coronary heart disease and arrhythmia, as well as hypersensitivity to vinpocetine. Due to the lack of research and data, this drug should also not be taken by pregnant women, nursing mothers and children under 18 years of age.

Side effects after using the drug "Cavinton" were revealed extremely rarely. So, from the side of the cardiovascular system, there were some changes in the ECG, extrasystole and tachycardia. From the side of the central nervous system, sleep disorders (increased drowsiness or insomnia), dizziness, headaches and general weakness were detected. From the gastrointestinal tract, nausea, dry mouth and heartburn were noted.

The drug "Vinpocetine"

Which is better: Cavinton or Vinpocetine? It is rather difficult to answer the question unambiguously. After all, in both cases the main active ingredient is vinpocetine. As for the efficacy and safety of drugs, these indicators depend on the degree of purification of the agent and the amount of excipients used. But most often patients get the second option. This choice is due to the fact that the price of the analogues of "Cavinton" is much lower (sometimes 10 or even 20 times).

Pharmacological action of the drug "Vinpocetine"

This remedy improves blood circulation and metabolism. Possessing spasmolytic properties, it has a vasodilating effect on the vessels of the brain. Arterial pressure during the intake of this medication is reduced slightly. At the same time the preparation quickly improves blood supply, including microcirculation in the brain tissues. In addition, this medication reduces platelet aggregation, promotes the transport of oxygen to organs, etc.

Dosing and Administration

Patients quite often wonder what is better: "Cavinton" or "Vinpocetine"? Doctors answer this question, that "Cavinton" is more effective. But if you need a cheaper analog, then it is better to use the drug "Vinpocetine". For oral administration, it is prescribed 5 or 10 milligrams three times a day. In the form of intravenous injection (for example, in acute conditions), a single dose of this drug should be 20 mg. If the tolerance of "Vinpocetin" is good, then its amount is increased for 2-4 days to 1 mg / kg. The treatment period should last no more than 10-13 days.

Medication "Actovegin"

This is another analogue of the drug considered at the beginning of the article. "Cavinton" or "Actovegin" - which is better? This question is often asked by neurologists. But each specialist answers it in his own way. Someone recommends using only a remedy called "Cavinton", and someone more trusts "Actovegin". So, let's figure out together which of the named medicines is the best.

pharmachologic effect

The agent "Actovegin" activates the metabolism in the tissues, improves the trophic, and also stimulates the regeneration process. This preparation is a deproteinized calf blood extract with the addition of low molecular weight peptides and nucleic acid derivatives. It activates the cellular metabolism by increasing the transport and accumulation of oxygen and glucose.

It should be specially noted that such a remedy can be used either orally or intravenously, or externally.

Dosage and route of administration

If you need a drug that improves regeneration and trophic tissue for external use, it is better to buy Actovegin. By the way, it can be used even for pregnant women and nursing mothers.

In case of ulcerative lesions, a preliminary cleansing treatment should be carried out with a gel, which must be applied in a thick layer and covered with a compress with 5% ointment of Actovegin. Change dressing required to produce 1 time per day. In future, it is recommended to continue therapy with 5% cream, which must be applied to the affected area with a thin layer. For prophylaxis of bedsores use only a cream or ointment.

"Cavinton" or "Mexidol": what is better?

The active substance of the medicine "Mexidol" is ethylmethylhydroxypyridine succinate. This is a domestic medicinal product that relates to antioxidant drugs of a new generation. In solution for injection "Mexidol" as auxiliary substances are sodium metabisulphite (about 1 g) and injection water (up to 1 l). As for the tablets, they include sodium carboxymethyl cellulose, magnesium stearate, lactose monohydrate and components that make up the shell (talc, polyvinyl alcohol, macrogol and titanium dioxide).

The active substance of the "Cavinton" is a semi-synthetic vincomamine derivative, vinpocetine. It is a vasodilator, which is often used to improve blood circulation. It slightly reduces blood pressure, and also improves the supply of oxygen and glucose to the brain. In addition, "Cavinton" is used in ophthalmology and for the treatment of age-related diseases of the ENT organs.

Both of these drugs complement each other. Quite often they are used together to treat problems of cerebral circulation. It should be specially noted that it is undesirable to mix these medications in a single dropper. It is better to enter them separately.

Cinnarizine

Often happens so that patients are observed at different doctors who quite often prescribe different preparations. Let's discuss what is better: "Cinnarizine" or "Cavinton"? These medicines are analogues. The medicine "Cinnarizin", as well as "Cavinton", is prescribed orally or intravenously for violations of cerebral circulation, including with residual phenomena after a stroke. Which one is better - it's rather difficult to say, because each has its own characteristics and properties. It should be specially noted that the drug "Cinnarizine" is cheaper, but low cost does not affect its quality and effectiveness. The drug is actively used for labyrinthine disorders, dizziness, noise in the ears, nausea, vomiting and nystagmus. In addition, this medication is prescribed for the prevention of migraine attacks, Ménière's disease and for the treatment of peripheral circulatory disorders (Raynaud's disease, obliterating atherosclerosis, diabetic angiopathy, thromboangiitis obliterans and acrocyanosis).

Cost and method of application

The tool "Cinnarizine" is the cheapest analog of "Cavinton". In pharmacy chains, you can buy this drug (50 tablets) for only 15-25 Russian rubles.

Take the medication should be inside by 1, 2 or 3 tablets (25 mg) three times a day after meals. If necessary, therapy is allowed to begin with 1/2 dose, and then gradually increase. To achieve a better effect, the drug "Cinnarizine" should be taken continuously for 1-2 (sometimes more) months.

The drug "Fezam"

This remedy is prescribed by doctors no less often. And, as in previous cases, patients can not decide what to choose: "Fezam" or "Cavinton". What is better, more efficient, cheaper? Presented drugs have the following effects:

• Nootropic;
• Antihypoxic;
• Vasodilator.

But unlike the "Cavinton", the active ingredient of which is vinpocetine, the drug "Fezam" includes piracetam (about 400 mg) and cinnarizine (about 25 mg).

Dosage and side effects

Adults "Fezam" appoint 1-2 capsules three times a day for 1-3 months (depending on the severity of the disease). Children over 5 years of age are prescribed 1-2 capsules once or twice a day for 1.5-3 months.

It should be especially noted that, in contrast to the "Cavinton", the drug "Fezam" has quite a few side effects. For example, from the side of the central nervous system, the patient may experience hyperkinesia, drowsiness, nervousness and depression. And also dizziness, ataxia, headaches, insomnia, imbalance, anxiety, confusion, agitation and hallucinations. From the digestive tract - increased salivation, diarrhea, nausea, vomiting and abdominal pain. In addition, people taking the medication "Fezam" may exhibit allergic reactions (dermatitis, skin rash, swelling, itching, photosensitivity, etc.).

So we looked at the analogues of Cavinton for today, compared their characteristics. Which of the above drugs to buy - you choose. Someone, when buying a particular medicine, adheres to the recommendations of a doctor, someone is more concerned about the financial component. Therefore, to advise something specific in this situation is quite difficult, and it is not right. To do this, there are qualified specialists, and they need to seek help. Be healthy!