"Midokalm" - analogues. "Midokalm": instructions for use, analogues, reviews

"Midokalm" is a muscle relaxant, which affects the structures that make up the nervous system. This is a modern drug designed to eliminate pain, which is a symptom of many diseases. The medicine is well perceived by the body, its use does not lead to the development of a sedative effect. The medication is available in the form of tablets and a solution for injection. "Midokalm", analogues are selected and appointed by a doctor. The form of the drug and the necessary dose depend on the severity of the disease and the general state of health.

Pharmacokinetics

As a result of penetration into the digestive tract, the active component of the drug is well absorbed by the body. Its metabolism is carried out in the kidneys and liver. Excretion of "Midokalma" is carried out in the form of metabolites, which are found in the urine.

Indications for use

"Midokalm" is often used in neurological practice. Its use is necessary in the following cases:

• Raynaud's disease and systemic diseases, in which trophic ulcers are formed on the limbs;
• Diseases manifested by spasticity of muscles, their increased tone, for example, multiple sclerosis and processes affecting the pyramidal pathways of the spinal cord; Here also include disorders that are the result of neuroinfection, myelopathy, stroke;
• Muscular dystonia and spastic paralysis in children;
• Diseases that affect the musculoskeletal system and lead to muscle contracture;
• Posttraumatic phenomena and other pathologies.

Contraindications

"Midokalm" (analogues is not an exception) is contraindicated with high sensitivity to its components. The medicine in the form of tablets is not prescribed for children under one year of age, the drug in the form of injections do not administer to children up to three months. The use of "Midokalma" is unacceptable in the presence of myasthenia gravis and myasthenic syndrome, the same applies to muscle hypotension, the cause of which is not clear.

The medication is contraindicated in patients whose body affects tolperisone, lidocaine and other components reacts with allergic reactions. The effect of the drug on the body of pregnant women and breastfeeding patients has not been investigated, but there is the possibility of its use in the first trimester. Despite the fact that "Midokalm", the analogues of the drug are safe, they are used with caution during the period of gestation and breastfeeding. Usually, pills and injections are prescribed in those cases when the benefits for the future mother's organism significantly exceed the risks for the fetus and the newborn. During the therapy, breastfeeding is suspended.

Use of medicinal product, dosage

Pills

The preparation of this form of release is taken with eating, dividing the daily norm by 3 times and squeezed with a small amount of water (the tablet can be grinded into powder). In a day, adult patients are not recommended to exceed the dosage of 450 mg. Treatment begins gradually with a minimum dose of 50 mg. Observing the patient's health, the dose is gradually brought up to the amount that the necessary therapeutic effect on the body. After the end of the first course of treatment, the doctor can decide on the appointment of a second course.

Injections

"Midokalm", analogues of "Midokalm" in ampoules are administered intravenously and intramuscularly. In the first case, the drug in a volume of 100 mg is administered at a time, in the second - a dose of 200 mg is divided into two.

Anti-inflammatory and analgesic action of the drug is enhanced by niflumic acid, so during treatment there is a need for its use.

Treatment of children

As mentioned earlier, the minimum age for a child may be 3 months. Up to 7 years in the children's body, you can not inject the medication in a daily dosage of more than 5 mg / kg of body weight. In this case, the daily rate should be divided into three steps. Children from 7 to 15 years three times a day, administered a dose of 2 to 4 mg per kilogram of body weight.

If necessary, the doctor will choose an analogue. "Midokalm" - injections or pills of medicines, which are full-value substitutes for the original drug.

Side effects

The medicine rarely causes unwanted reactions of the body. The highest risk of side effects is present in patients with increased sensitivity to the main component of "Midokalma". Possible manifestations are:

• headache;
• The appearance of nausea followed by vomiting;
• Sensation of weakness in the muscles and discomfort in the abdomen;
• Skin reactions, puffiness, anaphylaxis, other allergic reactions;
• Low blood pressure with rapid administration of the drug.

Usually a reduction in dosage leads to the elimination of the negative effects of treatment.

If the dose has exceeded the recommended dose, the patient may experience shortness of breath, choking and convulsions. Negative manifestations resulting from overdose are easily eliminated by washing the stomach.

special instructions

The drug does not reduce the attention and quickness of reactions, so you can engage in any activity during treatment with the medicine "Midokalm". Instructions for the use of analogues also permit to be taken during the execution of responsible works.

Drug Interactions

Since "Midokalm" when combined with niflumic acid enhances the effect it exerts on the body, the dose of this substance should be minimal.

The active component does not lead to the development of sedation, so the drug can be used with hypnotics and sedatives, as well as with drugs containing ethanol.

The effect of tolperisone is more pronounced when combined treatment with the use of "Clonidine", peripheral muscle relaxants and the means designed to provide general anesthesia.

Analogs: reviews, prices

More profitable than the means of "Midokalm", analogs. The price of substitutes is often lower. The cost of tablets "Midokalm" for 50 and 150 mg on average is 250 and 300 rubles. Accordingly, the price of ampoules is 370-515 rubles.

As analogs, "Tolperisone hydrochloride", "Tolperisone" and "Tolperil" are mainly used. Their cost is approximately the same, the action is no less effective than that of "Midokalm". These drugs, being in the body of a sick person, quickly lead to anesthesia. They contain the same active ingredient, which is included in the medicament "Midokalm". Analogues can be used as a substitute.

As the reviews show, muscle relaxant helps to combat negative manifestations of herniated discs, especially in cases when non-steroid drugs, whose action is directed to the removal of inflammation, does not eliminate the completely present pain sensations. In such situations, combined treatment is the best option. You can study, before taking "Midokalm", reviews. Analogues are cheaper, but they also give an effect. Although there is an opinion that the muscle relaxant "Midokalm" copes with the task in the best possible way. In some cases, the effect of its use can be seen after the first pill. This is an excellent remedy for the treatment of inflamed joints. The reviews characterize the medicine as one of the popular drugs for improving well-being in osteochondrosis (breast and neck).