Pantogam and other similar syrups. Pantogam: instructions for use, analogues and reviews, prices in Russian pharmacies

Pantogam is a well-known metabolic psychostimulant with anticonvulsant effects. Improves human intellectual abilities, memory properties, attentiveness, and metabolism in the body. Most often prescribed to mentally retarded children, patients suffering from epilepsy, and with traumatic brain injuries. Effective as a prophylactic agent.

The drug contains in its structure a biogenic substance that affects the functioning of the brain, improving the quality of its functionality. Increases the brain's resistance to hypoxia and the influence of harmful toxic substances. Under the influence of the drug, glucose utilization in the cerebral cortex improves and motor excitability decreases.

Activates intellectual and muscular work, is indispensable for alcohol intoxication, and has an analgesic effect. It has the ability to be quickly absorbed from the gastrointestinal tract, passes through the blood-brain barrier, concentrating in the liver, kidneys, skin and stomach walls.

Active substance

The active component of Pantogam is hopantenic acid.

Composition and release form

The drug is available in syrup and tablets. Depending on the form of manufacture, it contains different amounts of active substance and additional components.

Pills

The active component of the product is calcium hopantenate, in a volume of 500 or 250 mg. Secondary ingredients are:

  • magnesium hydroxycarbonate – 93.6 mg
  • methylcellulose – 1.6 mg
  • calcium stearate – 6.2 mg
  • medical talc – 18.6 mg

The tablets are placed in blister packs of 10 pieces, each pack contains 5 blisters.

Syrup

The active component of the form is hopantenic acid, in a volume of 10 g. Secondary elements are presented:


The syrup is produced in bottles with tinted glass, which have a screw neck with a lid and a ring to control the first opening. Each of them is supplemented with a measuring spoon (5 ml). Bottles with a volume of 100 ml.

Indications for use

Monural during lactation: effect of the medication, contraindications

Contraindications to the use of Pantogam

When the product should not be consumed:

  • Individual intolerance to the constituent substances included in the components of the drug
  • People suffering from kidney disease should not use the medicine under any circumstances, especially if the disease is in an acute phase.
  • Pregnant and nursing mothers
  • It is prohibited to give medicines in tablet form to children under three years of age.

Impact on the ability to drive cars and machinery

During the first 48-72 hours from the start of use, patients complain of a half-asleep state. During this period, the manufacturer advises to be extremely careful when driving a personal vehicle and working with moving mechanical devices.

Side effects and overdose

The use of Pantogam can sometimes cause a severe allergic reaction in the body in the form of skin rash, conjunctivitis, and rhinitis. In this case, you should immediately stop taking it or significantly reduce the dose.

Problems of a neurological nature may appear - noise in the head, sleep disturbances, or, conversely, excessive drowsiness, general fatigue (usually these side effects pass quite quickly, so you should not stop taking the medication).

These side effects may intensify if the patient overdoses. In this case, you need to do a gastric lavage by drinking a large amount of water. It is also advised to take several tablets of activated carbon, which can effectively absorb harmful substances (an indispensable remedy for alcohol intoxication).

To avoid overdose, you must carefully read the instructions or carefully write down all the doctor’s recommendations.

Brief instructions for use

The dosage method and duration of medication directly depends on the severity of the disease. At the very beginning of treatment, it is not recommended to drive any vehicle - there is always a risk of a side effect in the form of increased drowsiness (it will go away on its own in a few days).

The duration of use of the drug can last from one month to four. In some particularly severe cases, it can take up to six months.

Pathology Dose Duration
EpilepsyThe recommended dose is 0.75-1 g (8-10 ml syrup) Duration of use is quite long - about a year
For disorders of muscle tone and motor functions of the body The dosage can reach 3 g (5-10 ml of syrup) per day Taking the drug can last several months and be used in combination with other medications
To restore the normal functioning of the body, due to excessive physical and mental stress, with pronounced asthenic conditions The drug is prescribed 0.25 g three times a day.

It should be said that the drug has a high degree of impact on the disease, therefore it is issued by prescription as prescribed by a doctor.

About the rules for admission to video:

Drug interactions Pantogam

If the nature of the disease requires a long course of treatment, the use of the drug in combination with other similar medications is not recommended. Neglecting this advice is fraught with problems associated with the central nervous system (excessive stimulation will occur).

The use of the drug together with barbiturates has a positive effect on the duration of action of the drugs. The drug significantly enhances the therapeutic effect of glycine and Xydiphon.

Use in combination with anticonvulsants enhances their effectiveness, and has the same effect on the quality of local painkillers - novocaine, icecaine, etc.

Which sedative pills are better: a review of drugs for adults, children, during pregnancy

Combined use with phenobarbital and neuroleptics prevents various side effects.

Comparison of drugs on video:

Pantogam's analogs

Preparations containing similar active substances:

  • Calcium salt of hopantenic acid
  • Gopantham
  • Pantocalcin
  • Hopantenic acid
  • Calcium hopantenate
  • Pantogam for hyperactivity in children

During long-term studies that lasted about eight months, several dozen children with a common diagnosis of attention deficit hyperactivity disorder (ADHD) were studied. They were given Pantogam in doses of 5-10 g per day throughout the entire period. The results of the experiment were assessed using a special symptom scale - ADHD-DSM-IV.

After just two months, the first positive aspects were discovered - a significant reduction in the main symptoms. After another two months, the children’s self-esteem, ability to communicate, and social activity significantly improved. Six months later, the positive dynamics continued - behavior and school performance improved.

Conclusion: To achieve significant improvements, a longer period of treatment is necessary.

This medicine is considered harmless, easy to buy, and very inexpensive. We did not experience any allergies or other side effects. A month later, at a follow-up appointment with the doctor, having recorded a positive effect from the use, he advised carrying out these courses every spring and autumn.

Which is better: Pantogam or Pantocalcin

Both medications contain a similar active ingredient (hopantenic acid), but Pantocalcin still contains calcium. The composition of the drugs differs in additional ingredients.

Both medications are intended for the treatment of mental and neurological pathologies, when taken:


The medications have identical indications for use. Pantocalcin is also used to treat residual effects from traumatic brain injuries, infectious processes in the central nervous system that cause the patient problems with speech, clarity of consciousness and behavior.

There are slight differences in the list of contraindications: Pantocalcin is prohibited for use by pregnant women, Pantogam is allowed during pregnancy (from the 2nd trimester) only in the form of syrup. Tablets are prohibited in both cases.

Medicines are approved for use during breastfeeding, but during the course of treatment the child is transferred to artificial formulas. Children with developmental delays are prescribed one of the indicated medications.

  • with neuroses and accompanying symptoms such as nervous tics, repetitive movements, stuttering
  • with ADHD or after perinatal encephalopathy
  • with cerebral palsy – the calcium contained in the product has a positive effect on the musculoskeletal system

The medicine is not used for children with spontaneous allergic reactions; Pantocalcin can cause them to occur. For children in older kindergarten groups, treatment with tablet forms of Pantogam is recommended.

For patients with vegetative-vascular dystonia, Pantocalcin is more suitable, and for problems with urination (due to neurological disorders), any of the drugs is prescribed. The medication is included in a course of complex therapy, which easily copes with pathology. Patients with senile dementia of the Alzheimer's type are prescribed Pantogam.

The medicines are practically the same in price, the difference in cost is from 100 to 200 rubles.

Use for enuresis in children

Enuresis largely occurs due to disturbances in the central nervous system. The most effective means of influencing areas in the brain responsible for regulating urination are currently recognized as nootropic drugs, one of which is Pantogam.

The drug has a tranquilizing effect, can increase control of subcortical areas, stimulate the work of areas of the brain responsible for the formation of the necessary conditioned reflex connections. A number of laboratory studies prove the effectiveness of the drug in correcting the patient’s neurotic conditions. This circumstance often causes enuresis in children.

The use of Pantogam also helps to expand the child’s adaptive abilities - it normalizes the mental state. For children with various abnormalities of the central nervous system, the dosage is prescribed taking into account their age (usually 1-3 g).

The recommended tactics for taking the medication involve gradually increasing the dose over 8-10 days. Then continue using the drug for one and a half months, after which reduce the dose also in the interval of 8-10 days until complete withdrawal.

According to reviews from parents, Pantogam really helps their children a lot, while it is always available and is very inexpensive.

Features of use for VSD

The cause of vegetative-vascular dystonia lies in the psyche - various fears, stress, phobias, natural suspiciousness, predisposition to experiences. It manifests itself in the form of constant headaches that turn into migraines. Various antispasmodics and analgesics relieve pain only for a very short time.

In such cases, it is necessary to treat the cause of the disease, not the effect. Suppression of emotions, mental depression, and any other psychological problems cause a failure of the body’s autonomic system. Only psychotropic medications that completely eliminate or significantly reduce this fear can truly help in such a situation.

An aggravating factor of this terrible disease is that after stopping the use of psychotropic drugs, the disease returns again. You can defeat the disease only by self-practicing meditation, practicing self-hypnosis, coming to terms with the fear of death, and so on.

Drugs that reduce VSD - tranquilizers, antidepressants, sedatives, antipsychotics. Nootropic drugs, including Pantogam, also have a positive effect.

Terms and conditions of storage

Any form of medication is stored in rooms without direct sunlight, at temperatures up to 25 degrees. The medicine should be kept out of the reach of children. Shelf life depends on the form of manufacture:

  • for 250 mg tablets – 4 years
  • 500 mg tablets – 3 years
  • syrup - 24 months, after opening the package it is good for 30 days

The liquid form is stored only in the refrigerator - after opening the package.

Release from pharmacies

The drug is a prescription drug and is sold only upon presentation of a prescription from the attending physician.

Product prices

The average cost of a medicine depends on the form of release:

  • for a package of tablets of 50 pieces with a dosage of 250 mg - from 367 to 394 rubles, with a dosage of 500 mg - from 628 to 633 rubles
  • for syrup (100 mg bottle) – from 367 to 402 rubles
  • High bioavailability of the drug;
  • Low price compared to analogues;
  • A fairly complete selection of release forms: tablets, syrup and powder;
  • There is a release form for children - 250 mg tablets.

Flaws:

  • The drug, compared to its analogues, reaches therapeutic concentrations in the blood over a long period of time.
  • Pantogam® syrup 100 mg/ml, 1 piece

    378.00 rub.
  • Pantogam® tablets 250 mg, 50 pcs.

    358.00 rub.

* The maximum permissible retail price of medicines is indicated, calculated in accordance with Decree of the Government of the Russian Federation No. 865 of October 29, 2010 (For those medicines that are on the list)

Tablet forms of the drug: children are prescribed 250–500 mg 3 to 6 times a day. The maximum daily dose of the drug should not exceed 750 - 3000 mg.

For adults, the drug is prescribed 250–1000 mg 3–6 times a day. The maximum daily dose is 1500 – 3000 mg.

The release form in syrup is prescribed to children 2.5 - 5 ml 3 - 6 times a day. The maximum daily dose is 7.5 – 30 ml.

For adults, the drug is prescribed 2.5 - 10 ml 3 - 6 times a day. The maximum daily dose is 15 – 30 ml.

The course of treatment is 1 - 4 months, a longer period of taking the drug is possible - 6 - 8 months, followed by a break of 3 - 6 months and the resumption of a second course of treatment.

The use of the drug is prohibited in the first trimester of pregnancy (up to 12 - 13 weeks) and during breastfeeding.

Children are allowed to take the drug from 3 years of age.

comparison table

Drug name

Bioavailability, %

Bioavailability, mg/l

Time to reach maximum concentration, h

Half-life, h

Pantogam

2 – 3

Because it stimulates their metabolism. As a result, cells consume less glucose and oxygen and work more economically, which improves the condition of patients who have certain changes in the central nervous system. The drug "Pantogam" helps stimulate the functioning of the entire central nervous system, restoring memory, reducing motor and neuropsychiatric disorders and improving the learning process. After a course of taking this drug, children improve their concentration and ability to remember, and they become less excitable.

Use of the drug

This drug is widely used for various changes in the blood vessels of the brain. Pantogam tablets can force rational use of resources in neurons, which relieves irritability and leads to improved concentration and memory. Therefore, this drug is almost always included in the treatment of patients suffering from Alzheimer's disease and atherosclerosis.

Medicine "Pantogam". Pharmacological properties

Used to treat children and adults. It is prescribed to children for epilepsy attacks, if the child has mental retardation, traumatic brain injury and clonic stuttering. It is recommended for adult patients to reduce motor excitability, activate mental activity and physical performance, with parkinsonism. In addition, the drug short-term and moderately reduces blood pressure. Pantogam tablets are taken 10-30 minutes after meals. For adults, the dosage is 1.5-3.0 g per day, and children need to take from 0.75 to 3.0 g. Treatment is prescribed for a course of up to 3 months.

Let's talk about the pharmacological action of the drug. It is an antidysuric, anticonvulsant, antihypoxic and cerebroprotective agent. Increases the utilization of oxygen and glucose by the brain and stimulates various anabolic processes in neurons, increases the resistance of the brain and cerebellum to the effects of toxic substances and hypoxia, and also has neurotrophic, neuroprotective and neurometabolic effects. The drug "Pantogam", analogues of which also perform similar functions, restores lost functions in neurons, significantly reduces motor excitability of a person, and also has an anticonvulsant effect, increases physical and mental performance, inhibits detrusor tone and an increased vesical reflex. Pantogam also does not have embryotoxic effects.

Analogues of the drug "Pantogam"

This miraculous remedy also has analogues, among which the medications “Gopantam”, “Hopantenic acid”, “Pantocalcin”, “Calcium hopantenate” occupy the proper level. All of them belong to the group of nootropic drugs that improve a person’s mental activity, memory, metabolic processes and are To choose one of these medications, of course, you need to read the instructions for each. They belong to the same group, but each of them has its own “zest”.

Medicine "Pantocalcin"

The drug "Pantocalcin", analogues of which are difficult to find, is used for urinary disorders (for example, daytime urinary incontinence or enuresis). It is prescribed to children from 2 years of age. It is also taken after meals and in the same dose. A possible reaction to the drug is skin rashes and an allergic reaction in the form of conjunctivitis or rhinitis. You need to make a decision about which drug to choose: Pantocalcin or Pantogam, based on data on the presence of kidney disease, hypersensitivity of the body, or pregnancy. The spectrum of action of this drug is due to the presence of hopantenic acid in its composition. It enhances inhibitory processes in GABAergic synapses. There is evidence of the direct effect of this medication on the neurotransmitter, serotonin, dopamine, glutamate and norepinephrine systems. It is because of the activity in the body that glucose metabolism returns to normal, and its utilization in the hypothalamus, cerebral cortex, subcortical ganglia or in the cerebellum improves. In addition, anabolic processes in brain cells are stimulated and nucleic acid metabolism is restored.

Medicine "Phenibut"

The drug is also a nootropic agent and affects the improvement of cerebral circulation and the reduction of cerebral vascular tone in exactly the same way as Pantogam tablets, analogues of which have a sedative effect. This medication is taken for sleep disorders, motor and speech disorders, anxiety and fear. It relieves tension, disappears or reduces feelings of anxiety. It is recommended for use by elderly people suffering from insomnia and nightmares, due to the fact that it does not cause lethargy. It is prescribed for treatment for both adults and children, only in different dosages (depending on age and disease). You can take it both before and after meals. If the use is long-term, then you need to keep your liver function and blood composition under control, and not engage in activities that require concentration. If you have a choice between the drugs “Pantogam” or “Phenibut”, then you need to consult a specialist so as not to harm your health.

Contraindications

Almost every medicine in the instructions can be seen in the column “contraindications”, which also need to be paid attention to, not least. The drug "Pantogam" (analogues of which are also meant) has them - these are diseases of the kidneys, liver, and gastrointestinal tract. There is also the question of taking the product by pregnant women and during lactation. All these tablets enhance and prolong the effect of other medications taken: sleeping pills, anticonvulsants, narcotics and others. In case of overdose, it is urgent to rinse the stomach and take activated charcoal.

If you are interested in the drug "Pantogam", its analogues, price and quality should not disappoint you. Everything depends on the manufacturer and packaging. Basically, the cost starts from 100 rubles and above.

I often write about nootropic drugs, but this topic is quite close to me.

Since the first child was born with problems due to a difficult birth, and like any mother, I needed to pull the child out, and help him develop and, of course, prepare him for regular school (which means it was necessary not only to constantly work with the child) but also to carry out treatment , and be observed by specialists.

I always say, and now I would like to emphasize, any treatment should be comprehensive (especially if the child has neurological problems) and this includes not only medications, but also physical treatment, exercise therapy, massage, and just exercises.

One of the first drugs that had to be given to the child was pantogam (at first it was taken in the form of syrup, and then as the child matured) it was taken in the form of tablets.

If we consider it in terms of effectiveness in terms of application. The drug Pantogam is not unique in its kind, but in terms of its effect on the body it is suitable for children almost from birth (no matter what type of syrup or tablets you choose), the most important thing is to follow the dosage.

But the older the child gets, the treatment should be changed in accordance with the age and needs of the baby.

The closest (and slightly better in effect) is the drug Pantocalcin.

It contains 2 substances that stimulate the development of the central nervous system (improve blood circulation).

It is not bad if the child does not have behavioral problems, but has developmental delays.

And when communicating with many mothers who have problem children, everyone notes one thing: after a full course of this drug, the child begins to speak (of course, this is all relative), but activity in speech appears.

Of course, nootropic drugs are aimed at one thing - to support the body and nervous system in both adults and children.

If we compare Pantogam and Pantocalcin, we should still expect a greater effect from the second drug...


Another analogue of the drug (pantocalcin, pantogam) and its price is several times lower, but I honestly doubt their effectiveness.

Even for the reason that neurologists practically don’t talk about them, and most importantly, they don’t even offer it for admission.

I understand that sometimes you want to save a little money, but 200-150 rubles will not play a big role, but it is quite possible to miss time and effectiveness in treatment.

I would like to say the same about drugs with various prefixes “Forte”, “Active”, etc.

they just have a slightly higher dosage and all the active ingredients are the same.

But remember that you should not exceed the dosage in treatment and you are simply overpaying for these “add-ons”. There is a minimal increase in effectiveness and dose, and the result is almost the same in treatment.

Of course, there are more effective drugs. But their application should be:

Justified

Prescribed only by a doctor.

I’ll say right away that this is not even exactly an analogue of Pantocalcin; rather, they can be described as “compatible drugs”

The price of the drug is not cheap; moreover, it is a prescription drug, and naturally prescribed by a doctor.

Of course, I cannot say that it will help and the child’s problems will go away immediately.

But while taking this drug, I always watched my son. And unfortunately, I noted several features:

The child was calm, and encephabol “calmed the nervous system”; the son became lethargic and drowsy. So I can say that this drug is more suitable for those children who have problems with behavior and daily routine.

It doesn’t matter whether you take it in the form of syrup or tablets, the effect will be approximately the same.

There are quite a lot of treatment regimens that are selected individually, but all this is done by the doctor.

And in the case of nootropics, I advise you to purchase exactly those drugs that were prescribed to you.

4.8

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    A good nootropic for kids, but for us it was not enough to stimulate speech in a three-year-old. But after adding Cortexin injections to the regimen, my daughter began to appear new words, and her speech finally began to develop well.

    Christina

    We took Pantogam as prescribed by the doctor because of our daughter’s hysterics. She was capricious and hysterical for any reason, she felt sorry for the child and herself. There were no side effects in the form of poor sleep, we tried to drink, as the doctor said, before 15 hours, so as not to cause unnecessary excitability. At the end of the appointment, the child was simply replaced, so he could calmly play, give... We took Pantogam as prescribed by the doctor because of our daughter’s hysterics. She was capricious and hysterical for any reason, she felt sorry for the child and herself. There were no side effects in the form of poor sleep, we tried to drink, as the doctor said, before 15 hours, so as not to cause unnecessary excitability. At the end of the appointment, the child was simply replaced, so he could play quietly and give me the opportunity to do something around the house. Makes contact.

    Guest

    I'm buying Pantogam for my grandfather. He has been drinking it for the last five years in courses every six months. I believe that thanks to this particular drug, my grandfather, despite his years (and he is already 90!), retained an excellent memory, a bright mind and is still able to fully take care of himself.

    Pantogam helped us get rid of hyperactivity. The child was so active, energetic and emotional that I thought I would go crazy while he grew up. But after he broke his head, we turned to a doctor for help and, as part of a comprehensive treatment, we were prescribed Pantogam to drink. We took it for two months in a row, already... Pantogam helped us get rid of hyperactivity. The child was so active, energetic and emotional that I thought I would go crazy while he grew up. But after he broke his head, we turned to a doctor for help and, as part of a comprehensive treatment, we were prescribed Pantogam to drink. We took it for two months in a row, after the main treatment, but it had a good effect on the child. Now my son won't know. Little Napoleon)) Smart, reasonable, perseverance and even learning became better.

    This is the second time I give Pantogam to my child. We treat urinary incontinence. After the first month of taking it, real improvements became visible. The child began asking to go to the toilet at night. I was happy and stopped the drug myself, I decided that the body would cope on its own. But alas..... A week later it got worse. Again the doctor, and all over again. It's better now. A drug... This is the second time I give Pantogam to my child. We treat urinary incontinence. After the first month of taking it, real improvements became visible. The child began asking to go to the toilet at night. I was happy and stopped the drug myself, I decided that the body would cope on its own. But alas..... A week later it got worse. Again the doctor, and all over again. It's better now. The drug is great, but don't be an idiot like me. Treat yourself to the end. And follow all doctor's orders.

    Our child is very shy, I was like that as a child. I was very worried that when the child went to kindergarten, that adaptation would occur as least vulnerable as possible for the child. In addition, my son, at only 3 years old, speaks poorly. I don't see any developmental abnormalities. At home the child is active, energetic, cheerful.... Our child is very shy, I was like that as a child. I was very worried that when the child went to kindergarten, that adaptation would occur as least vulnerable as possible for the child. In addition, my son, at only 3 years old, speaks poorly. I don't see any developmental abnormalities. At home, the child is active, energetic, and cheerful. But the new situation is problematic for him. He immediately shuts down and doesn’t take a step away from mom or dad. The pediatrician does not make any diagnoses, and I don’t think that the child has problems. The doctor advised me to give Pantogam syrup. We drank for about a month. Gradually the child adapted to kindergarten and now behaves like all children. Well, it’s too early to judge the speech. In general, changes in behavior are noticeable.