Baralgin injections: instructions for using the drug in ampoules intramuscularly, which helps

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Author of the article

Evgeniy Nikolaevich Konoplev

Reading time: 6 minutes

Baralgin injections have an antipyretic and analgesic effect. The drug itself belongs to the group of pyrazoles. It is used to relieve severe pain when other medications are ineffective. The pharmacological effect lasts quite a long time, and the maximum amount of the administered drug appears in the blood in a short time.

Indications

According to the instructions for Baralgin, injections are quite widely used in medicine. The drug is intended to eliminate pain of varying strength, which is difficult to eliminate with the help of other medications. Can be used for fevers that are difficult to neutralize for various reasons.

The drug is used for moderate and mild pain, as well as for spasms of smooth muscles.

According to the instructions for use for injections, “Baralgin” is also used in the following situations:

Biliary dyskinesia, which manifests itself in impaired motility. May be functional or related to organic causes.
Postcholecystectomy syndrome (a specific symptom complex caused by surgery to remove the gallbladder).
Chronic colitis (an inflammatory process that affects the mucous and submucous membranes of the intestine).
Inflammation of the pelvic organs.
Algodysmenorrhea (pain syndrome that accompanies menstrual rejection of the endometrium).

What to do and how to treat a lumbago in the lower back at home?

Many middle-aged and older people are familiar with acute pain in the lumbar region. It occurs suddenly during movement, after which it is impossible to bend or straighten. If you call a doctor at home in case of acute pain, he may suggest hospitalization. Most people suffering from a lumbago in the back do not want to go to the hospital and treat the disease at home. What to do in such a situation and how to treat a lumbago in the lower back?

Shot in the lower back, what to do?
Symptoms of the disease Shot in the lower back, what to do and how to treat?

Treatment of lumbago at home What is prohibited?

Shot in the lower back, what to do?

In medicine, paroxysmal and sharp pain in the lower back has two names:

lumbago;
sciatica.

Acute back pain gradually increases, making it impossible to move normally. The pain is especially worse when sneezing or coughing. Painful sensations hinder all movements and with minor attempts to change the position of the body, they only intensify. Doctors believe that this manifestation of lumbago is associated with two main reasons:

mechanical impact on the spine;
consequence of the disease.

Most often, people over 30 years of age suffer from a lumbago in the lower back due to mechanical effects on the spine:

lifting weights;
sharp turn of the body;
after heavy sweating, staying in a draft or cold;
redistribution of the load on the spine after wearing high heels;
pregnancy and obesity;
inactive lifestyle;
after lying on a hard surface.

In the lumbar region, compression of the receptors occurs for other reasons that are associated with various diseases:

there was a displacement of the vertebrae in the lumbar region;
osteochondrosis associated with degeneration of intervertebral discs;
intervertebral hernia;
narrowing in the lumbar region of the spinal canal;
injuries in the spine;
when stretching the muscular frame of the back;
defeat of a rheumatic nature;
oncology;
malformations of the lumbar vertebrae;
infectious diseases.

Symptoms of the disease

Doctors most often diagnose acute pain in the lumbar area as lumbosacral radiculitis. In the area of the fibrous ring, irritation of the nerve endings occurs, which causes sharp pain in the lower back. The pain may be:

piercing,
shooting;
pulsating.

Most often it is aching one-sided pain with muscle spasms. The pain is very strong and it does not allow me to turn my body or move normally. Any movement only increases the pain in the back. Often in this condition, sciatica develops, which leads to pain in the sacral region along the back of the thigh.

A patient with lumbago can accurately indicate the localization zone. He will be in a forced position until the attack goes away. In terms of timing, this can take from several minutes to several days. Very often, sudden pain also passes quickly and the person immediately feels relief. Patients often note that they have the impression that something has fallen into place in the lumbar region after the attack has ended.

Shot in the lower back, what to do and how to treat?

After acute back pain occurs, the thought immediately arises: how to help yourself in this situation and reduce the pain? Any movement only increases the pain. Experts advise patients in such cases to take the following measures:

you need to lie down on a hard surface and raise your legs, this will help relax the muscle frame;
using a roller, you need to lie on your side and place it under your lower back, and bend your legs slightly;
the roller is also used while lying on your stomach to relieve some pain;
It helps a lot in this condition to hang on the crossbar, turning your body to the right and left, if your condition allows. The exercise is aimed at stretching the spine and relaxing the muscles. It helps relieve pinched nerves after sudden movements or heavy lifting.

At the very beginning of the attack, you must try to relieve the pain. To do this, you need to take a comfortable position, but do not try to forcefully straighten your back. It is advisable to use painkillers:

Baralgin;
Sedalgin;
Solpadeine;
Trigan.

The next stage of treatment for lumbago is prescribed by the doctor. These can be antispasmodics and muscle relaxants. Diuretics are also prescribed to relieve swelling from the pinched nerve. Typically, treatment for urchin is carried out in several directions:

spinal stretch;
anti-inflammatory therapy;
taking B vitamins;
ointments and alcohol rubbing;
massage and physical therapy;
acupuncture and treatment with leeches;
physiotherapy and hydrotherapy.

Treatment of lumbago at home

The lumbar region responds well to heat in treatment; it can provide pain relief for pain in the lower back. You can wrap your back area in a warm blanket and lie on your side in this position. A dog hair belt is often used for this purpose. This folk method has a pain-relieving effect in the lumbar region.

Another way to alleviate the patient’s condition is to apply a warm heating pad to the lumbar region. Instead of a heating pad, a plastic flask with hot water is also used. It needs to be wrapped in cloth and applied to the lower back. Warmth has a positive effect on the patient's condition.

It is advisable for the patient to remain in bed and move less. The lumbar region can be swaddled tightly to avoid stress in the lumbar region during sleep. If the pain continues for a week and does not improve, it is best to seek medical advice again.

There are traditional methods for treating lumbago. If the case is not advanced, then you can use the most popular traditional medicine recipes. For acute pain, make a compress of black radish. The peeled fruit is crushed on a coarse grater and spread on a cloth in a thin layer; the cloth must be placed on the lumbar area in advance. You need to put a sheet of paper or plastic on a layer of black radish and wrap your lower back. After this, wrap yourself in a woolen product to feel the warmth like from mustard plasters. After removing the compress, rest and bed rest are necessary.

You can also apply a burdock leaf to your lower back. It needs to be washed and applied wet to the lumbar area, and the area of the back should be wrapped in a woolen scarf or blanket. The bandage must be kept on for 10-12 hours to feel relief.

What's prohibited?

Even the best home treatment methods cannot always be used for acute pain after a shooting in the lower back. If the cause of the sudden pain is not determined, it is better to refrain from certain measures:

edematous tissue cannot be heated, this will only increase the swelling and the pain will become stronger;
It is better not to make unnecessary movements in case of severe pain, as the pain will increase;
sauna and bathhouse, as well as massages are contraindicated at first.

If the patient leads an inactive lifestyle and has a sedentary job, he needs to change his position more often to avoid fatigue in the lumbar region. It is good to use a corset or belt to avoid another lumbago when bending over and working for long periods of time.

After three days, the pain should decrease, but if this does not happen, it is better to seek medical help to find out the cause and begin treatment.

When else is the drug used?

According to the instructions, Baralgin in ampoules is effective for:

Myalgia (a disease characterized by muscle pain of various locations and origins).
Sciatica (pain syndrome resulting from compression or irritation of the sciatic nerve).
Arthralgia (a pathological condition characterized by the appearance of pronounced pain in one joint or in several at once).
Neuralgia (pathological condition that progresses due to damage to certain parts of the peripheral nerves).

Terms of sale (recipe in Latin)

Baralgin M is available with a prescription.

Tab. Baralgini 500 mg Dtd N (the number of tablets is indicated) S. 1 tablet. for pain.

Sol. Baralgini 5ml Dtd N (the number of ampoules is indicated) S. 5 ml for pain.

The manufacturer recommends storing ampoules and tablets away from light, maintaining a temperature range of 8-28 degrees.

The storage temperature of the drug should be 8-25 degrees. Tablets and ampoules should be protected from direct light. The storage location should be chosen as inaccessible to children as possible. The drug must be used within four years from the date of its manufacture.

Contraindications

According to the instructions for use, “Baralgin” in ampoules is prohibited for use in the following conditions:

Bronchial asthma (inflammation of the respiratory system with the participation of various cellular microelements).
Sensitivity reaction to pyrazolidines.
Pregnancy.
Serious allergic manifestations.
Anaphylactic reactions (clinical manifestation of systemic allergy).
Edema.
Rhinitis (inflammatory process in the nasal mucosa).
Urticaria (skin lesion of allergic origin, which is characterized by the sudden appearance of severely itchy formations).
Patients are up to three months old and weigh no more than five kilograms.
Bone marrow dysfunction.
The development of attacks of porphyrin disease (a group of congenital diseases caused by an increase in the level of porphyrins in the body, as well as the substances that form them).
Lactation.
Decreased blood pressure.
Impaired kidney or liver function.

"Katadolon"

This is also a potent non-narcotic drug. However, due to its high cost, it is not so widely known. The active ingredient flupirtine relieves pain, relieves muscle spasms and protects the nervous system.

Pain relief with Katadolon, even with a single dose, occurs quickly and lasts a long time: in young people - about 7 hours, in older people - twice as long.

There is also no addiction to this drug. However, its use is contraindicated in cases of bile stagnation, severe liver damage, myasthenia gravis, alcoholism, and ringing in the ears. There is also an age restriction: Ketodolon cannot relieve headaches in children and adolescents under 18 years of age. And elderly people over 65 years of age should use it with caution.

And the last warning, which applies to all painkillers and capsules: their use is contraindicated during pregnancy and breastfeeding.

Urolithiasis is one of the most common kidney pathologies. The trend is due to a number of factors, ranging from an unbalanced diet to immune or genetic disorders in the human body. It is worth knowing that when stones pass from the renal pelvis, the patient may experience severe colicky pain. This is why it is so necessary to take antispasmodics for renal colic. Otherwise, a patient with urolithiasis may experience painful shock.

Important: Considering that all antispasmodic drugs are divided into several groups, they should be taken only according to the indications of the attending physician and strictly in accordance with the instructions.

How to take the drug correctly?

According to the instructions for use for Baralgin injections, for adolescents over 15 years of age and adult patients, a single dose varies from 500 mg to 1 g.

The daily concentration of the drug should not exceed two grams. It must be divided into three injections. The medication can be used intravenously or intramuscularly.

According to the instructions for use of Baralgin, the injection is administered intramuscularly for the treatment of children from three months to one year, weighing from five to nine kilograms.

The recommended dosage ranges from 50 to 100 ml per 10 kg of weight (approximately 0.1–0.2 ml solution). This concentration of the drug can be administered no more than three times during the day.

According to the instructions for use of Baralgin in ampoules, you need to heat the solution to body temperature before using the drug. Intensive administration of the drug can cause shock. For intravenous infusion, the rate should be no more than one milliliter per minute strictly with the patient in a supine position.

In this case, it is necessary to monitor breathing, pulse and blood pressure. Particular care should be taken when administering Baralgin in dosages exceeding 2 milliliters. A significant decrease in blood pressure readings is possible. The duration of treatment is regulated by the doctor on an individual basis.

Properties and composition

The effectiveness of Baralgin injections for acute attacks is explained by the composition of the drug. The medicine can be administered either intravenously or intramuscularly. In most cases, the second option is practiced with pre-heating the ampoule in your hands. The drug is administered into a vein in rare cases, and only by a qualified doctor. Using the medicine for self-medication is strictly prohibited.

The active ingredient in the injection solution is metamizole sodium . The composition also contains pitofenone hydrochloride and fenpiverinium bromide. The first component is needed to maintain smooth muscle tone and blood flow. It has a strong antispasmodic effect. Phenpiverinium bromide is needed to block nerve impulses.

1 ml of the drug contains 500 mg of the main active ingredient. Water is used as an additional component. One cardboard box contains 5 ampoules of 5 ml each.

Adverse reactions

The following negative manifestations during therapy were recorded:

Phlebitis (acute or chronic inflammation of the venous wall).
A burning sensation that is accompanied by itching.
Leukopenia (decreased number of white blood cells in the blood).
Quincke's edema (a disease characterized by the occurrence of clearly limited swelling of the skin).
Proteinuria (increased protein content).
Oliguria (decreased amount of urine excreted compared to normal).
Interstitial nephritis (acute or chronic non-purulent inflammation of the stroma and tubules of the kidneys, caused by a hyperergic immune reaction).
Bronchospasm (a pathological condition that occurs when the smooth muscles of the bronchi contract and their lumen decreases).
Anaphylactoid manifestations (the body's reaction to a specific allergen, accompanied by muscle spasms, swelling, severe pain and suffocation).
The occurrence of arrhythmia (a pathology that leads to a failure in the frequency, as well as the rhythm and sequence of excitation and contraction of the heart).
Reduced blood pressure.
Lyell's syndrome (the most severe manifestation of allergic bullous dermatitis).
Stevens-Johnson syndrome (an acute toxic-allergic disease, the main characteristic of which is rashes on the skin and mucous membranes).

special instructions

Mixing with other medications in one syringe is unacceptable. Temporary red coloration of urine may occur (no clinical significance).

There is no negative effect on psychomotor reactions.

Baralgin is strictly contraindicated for use in the first and last trimester of pregnancy. At other times, it is also recommended to refrain from taking the drug (only a doctor can make an exception based on the individual clinical picture of the woman’s health condition). Breastfeeding is one of the absolute contraindications to the use of the drug.

It is not recommended to use the drug for children in the first months of life. For babies from the first year, minimal dosages are used.

The drug is prescribed to eliminate renal colic. If you have other kidney pathologies, consultation with a specialist is necessary.

Contraindications for taking Baralgin are hepatic porphyria in the acute stage and liver failure.

A prescription is required.

Peculiarities

According to the instructions for use for Baralgin injections, with the parallel use of cytostatic medications, injection treatment is carried out strictly under the supervision of a doctor.

If a longer course of therapy is required, then constant monitoring of the blood condition is considered necessary.

The instructions for use for Baralgin injections indicate that it is necessary to stop using the drug if there is a sharp increase in temperature, which is accompanied by chills, as well as pain in the oral cavity, and the appearance of erosions on the oral mucosa. The occurrence of severe neutropenia also requires discontinuation of the drug.

Recorded situations of anaphylactic shock, as a rule, occurred in people who are prone to allergies and have a history of bronchial asthma.

The risk group includes patients suffering from the following ailments:

Hives.
Rhinosinusitis (a disease in which the sinuses and mucous membranes are affected by a bacterial infection or viruses).
Alcohol intolerance.

Intravenous injections are given slowly to reduce the likelihood of complications. Baralgin is used with extreme caution when there is low blood pressure or high temperature. Particular attention should be paid to those people who suffer from heart failure, as well as glomerulonephritis and other kidney diseases.

It is unacceptable to use the drug if severe pain occurs in the abdominal area without a diagnosis.

Long needles are used to administer the drug intramuscularly. In pediatrics, intravenous injections are contraindicated for use in patients under one year of age.

You can drive a car while on medication, but you still need to be careful.

According to the instructions for use for Baralgin injections, an overdose requires complex therapy. There is no antidote for poisoning with this drug. Hemodialysis and forced diuresis are possible. If a convulsive syndrome occurs, it is necessary to administer Diazepam intravenously.

Overdose

In case of overdose, you should immediately contact a specialist, but you should know that there is no antidote. If the optimal dose is exceeded, the following symptoms may occur:

hypothermia;
vomit;
stomach ache;
nausea;
a sharp drop in blood pressure;
tachycardia;
renal or liver failure;
hemorrhagic syndrome;
convulsions;
drowsiness;
dizziness;
noise in ears.

To eliminate negative manifestations, symptomatic therapy is carried out. In some cases, the doctor may prescribe hemodialysis or forced diuresis.

Can the drug be used during pregnancy?

Baralgin is not used in the last and first trimesters. In other cases, the use of the drug is permitted under the supervision of a doctor and for medical reasons, since there is a possibility of premature closure of the functioning pathological communication between the aorta and the pulmonary circulation vessel in the first hours after birth.

During lactation, after administration of the solution, it is not recommended to breastfeed for two days.

Antispasmodics for acute renal colic in pregnant women

Pregnant women should be especially careful when taking medications from the antispasmodics group. And although no special research has been conducted in this direction, it is still highly recommended not to take such medications on your own. The only exception is the potential benefit to the life of the mother versus the possible risk to the life of the unborn baby. It is especially not recommended for pregnant women to take the following drugs:

Important: during lactation, if you are forced to take antispasmodics, breastfeeding should be stopped for the period of treatment.

Interaction with other drugs

"Baralgin" enhances the sedative effect of alcoholic drinks, and the parallel use of non-narcotic painkillers leads to an increase in toxic symptoms. When used with Cyclosporine, it is necessary to monitor its content in the blood.

Increased toxicity of the drug and changes in metabolism occur during interactions with oral contraceptives, as well as tricyclic antidepressants.

When treating with Baralgin, you cannot simultaneously use radiopaque agents, penicillin drugs and colloidal blood substitutes.

"Baralgin" increases the effect of "Indomethacin", as well as indirect anticoagulants and glucocorticosteroid substances. This drug should not be mixed with other medications in the same syringe.

Bottom line

before using Baralgin, it is recommended to consult a specialist and identify possible contraindications;
The drug should be taken no longer than five days;
Baralgin relieves most types of pain syndromes;
during pregnancy, the drug is contraindicated (even in the second trimester it is better to replace it with more affordable means);
You should take the medication before meals, 1-2 tablets;
Baralgin should be combined with other drugs only after studying the relevant information.

Author of the article: Tomov Pavel Vasilievich

Gastroenterologist, Therapist

The doctor conducts a general diagnosis of internal organs. Draws conclusions about disorders in the gastrointestinal tract based on the results of the examination and prescribes appropriate treatment. Among the diagnoses that the specialist deals with: stomach and duodenal ulcers, gastritis, dysbiosis, etc. Other authors

Analogs

Baralgin has a number of substitute drugs that are available in different dosage forms, for example:

"Spazgan";
"Zologan";
"Spazmalgon";
"Combispasm";
"Spakovin";
"Maxigan";
"Trigan";
"Nebalgan";
"Buskopan";
"Spazmoverin";
"Novigan";
"Papaverine";
"Optalgin";
"Spazdolzin";
"Dexalgin";
"Rapten";
"Minaralgin";
"Platifillin."

Before replacing a medicine with a similar product, you should consult a doctor.

Reviews

Patients in their responses to Baralgin report its positive characteristics. For example, the drug has an immediate effect, since it contains an analgesic and an antispasmodic.

The advantages of the medication also include a variety of dosage forms - each person will be able to choose the one they need according to their desire or depending on the situation.

"Baralgin" perfectly helps eliminate muscle and radiculitis pain. Recommended for use for painful periods and neuralgia.

Baralgin or Analgin – which is better?

Analgin and Baralgin are analogues with similar composition and release forms. The drugs differ in manufacturer, price, degree of purification, quality and frequency of adverse reactions.

According to reviews from patients and doctors, Baralgin acts stronger and faster, is less toxic, and is painful in the form of injections. The cost of the drug is up to 10 times higher.

If it is impossible to purchase an expensive medicine, choose trusted manufacturers.