Cavinton - instructions for use, reviews and indications for the medicine

Dosage and method of administration

If you need a drug that improves tissue regeneration and trophism for external use, then it is better to purchase Actovegin.
By the way, it can even be used by pregnant women and nursing mothers. For ulcerative lesions, a preliminary cleansing treatment should be carried out using a gel, which must be applied in a thick layer and covered with a compress with 5% Actovegina ointment. The dressing needs to be changed once a day. In the future, it is recommended to continue therapy with a 5% cream, which must be applied to the affected area in a thin layer. To prevent bedsores, use only cream or ointment.

Directions for use and dosage

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

Pharmacokinetics

The instructions for use indicate that Cavinton Forte tablets 5 mg and 10 mg logically have exactly the same properties.

Cavinton 5 mg, Cavinton Forte 10 mg

The drug is absorbed quite quickly - within an hour or two after administration. Absorption occurs mainly in the proximal gastrointestinal tract. It is not metabolized during passage through the intestinal wall.

Maximum concentration in tissues occurs after approximately 2-4 hours.

Protein binding: 66%.

Bioavailability: 7%.

Clearance: 66.7 l/h (the liver processes fluid at a rate of 50 liters per hour, this indicates that extrahepatic metabolism also occurs).

After repeated dosing of 5 or 10 mg, the half-life of the drug may vary (on a linear basis): 4.83 hours + - 1.29.

Concentrate for infusion

If when taking the drug in tablet form, the average concentration in plasma is 10-20 ng/ml, then when injected it is 5.3 l/kg.

Half-life: 4.74 to 5 hours.

Easily passes through barriers between blood and tissues.

Excreted through the gastrointestinal tract and kidneys in a ratio of 2:3.

Cavinton Forte

"Cavintona Forte" with the active component, vinpocetine, is a drug for improving blood flow in the brain. The active rhythm of life of a modern citizen involves a huge amount of stress and an increased load on the brain. This very often leads to disruptions in its active functioning. A clear sign of such disorders is poor development of cognitive functions. You can also note:

• deterioration of memory and attention;
• difficulties with intellectual activity;
• decreased reaction speed.

In the absence of therapeutic measures, blood flow disorders will become chronic and will develop. The main role in eliminating diseases of this profile is given to therapy aimed at stabilizing metabolism in the tissues and blood vessels of the brain. For these purposes, drugs are used that prevent damage to brain neurons, one of them is Cavinton Forte.

The positive effects of vinpocetine on blood circulation, metabolic processes and cognitive functions of the brain have been demonstrated in more than one hundred trials conducted in clinical settings. First of all, the active component is distributed in the tissues responsible for the performance of higher functions of the human psyche, including memory and intellectual activity. The action of the active substance is aimed at normalizing blood circulation in the most complex areas of the brain that require oxygen.

Cavinton Forte activates blood movement in the brain, dilates its blood vessels, without causing a decrease in systemic blood pressure. In addition to this, the drug does not stimulate calcium deposition on the walls of the arteries. The main quality of the drug is its ability to stimulate blood flow in the brain by improving blood characteristics. Cavinton Forte is an antioxidant. The antioxidant activity of the drug is sufficient to ensure normal regulation of blood flow in the brain after ionizing radiation.

Cavinton Forte actively promotes the entry of oxygen and glucose into cells, controlling their stable functioning. The use of the drug helps protect nerve cells during periods of increased stress. The medication extremely rarely causes negative side effects and is well tolerated by patients with kidney and liver dysfunction.

Indications for the use of Cavinton Forte tablets are:

• reducing the severity of neurological symptoms due to poor blood flow in the brain;
• vascular eye diseases;
• treatment of hearing loss;
• treatment of a non-purulent disease of the patient's inner ear.

The drug does not harm the body if used strictly according to indications. Reviews about the use of Cavinton Forte are mostly positive. Doctors often use the medication in small doses (up to 5 mg per day) when refusing antidepressants at the end of therapy. Also, the indication for the use of Cavinton Forte is complex therapy for mental vegetative disorders, as well as therapy for uncontrolled urination in young children.

Pharmacological properties

The mechanism of pharmacological action of the drug is as follows:

1. Suppression of the phosphodiesterase enzyme, which regulates the level of cyclic nucleotides in tissues.
2. An increase in the concentration of guanosine monophosphate, which leads to relaxation of the muscle fibers lining the blood vessels from the inside.
3. Dilatation of blood arteries.
4. Strengthening and redistribution of blood flow, increase in blood volume velocity in ischemic tissues.
5. Reducing the “stickiness” of platelets, the deformability of erythrocytes, as well as pathologically increased blood viscosity.

   

6. Blocking the activity of ion channels, anticonvulsant effect.
7. Reducing the level of inflammatory macrophages, exhibiting an anti-inflammatory effect.
8. Reducing the activity of amino acids that have a toxic effect on cells, neuroprotective effect.
9. Increased absorption and transport of oxygen and glucose, as well as the production of essential nucleotides involved in energy metabolism. Improving metabolic functions in brain tissue.
10. Stimulation of the activity of cerebral structures.
11. Improving memory and other higher brain functions.

Cavinton (reviews from patients who took the drug show that a decrease in the positive effect of its use is most often associated with the presence of a combination of vascular pathologies - atherosclerosis and hypertension) provides the best treatment result in patients with:

• transient and temporary disorders of cerebral circulation (87-100% of patients);
• ischemic stroke (67% of cases);
• ischemic foci in the vertebrobasilar system and carotid system (86 and 74%, respectively).

Compound

Cavinton injections are available in the form of an infusion solution, 1 ml of which contains the active compound - 5 mg of vinpocetine. The product contains additional ingredients:

• vitamin C;
• purified injection water;
• benzyl alcohol;
• antioxidant: tartaric or dioxysuccinic acid;
• sodium disulfite;
• sorbitol.

The release form of the medicine is ampoules of 2, 5 and 10 ml, made of dark thick glass. The fracture site is marked with a white line on the neck. There are 5 ampoules in a package. They contain inside a clear liquid for intravenous administration, colorless or light green.

Release forms

Cavinton is available in the following forms: Cavinton tablets, Kafinton concentrate for the preparation of solution for infusion, Kavinton Forte tablets.

They differ in the content of the active substance “vinpocetine” and auxiliary components that affect the rate and volume of absorption of the drug, and additional indications.

Tablets 5 mg

White or yellow-tinged tablets, round, flat, odorless, with a bevel and the name “CAVINTON” engraved on one side.

Additional ingredients: magnesium stearate, starch, talc, colloidal anhydrous silica, lactose.

There are 25 pieces in 1 blister.

Concentrate for the preparation of solution for infusion 0.5%

​Transparent, colorless or greenish solution.

Additional ingredients: ascorbic and tartaric acids, sodium metabisulfite, benzene alcohol, water for injection, sorbitol.

Each ampoule contains 2 mg. There are 10 ampoules in a box.

Cavinton Forte 10 mg

Long-acting form of the drug Kaviton.

White or yellow-tinged tablets, disc-shaped with slightly beveled edges, with the words “10 mg” engraved on one side.

Additional ingredients: magnesium stearate, starch, talc, colloidal anhydrous silica, lactose.

There are 15 pieces in 1 blister.

special instructions

Cavinton - special instructions for use include a section of instructions that you should pay close attention to:

• in case of long QT syndrome or taking drugs with the function of prolonging it, it is necessary to periodically conduct an electrocardiogram to monitor heart function, which may dilate blood vessels;
• in case of increased intracranial pressure, arrhythmia, or while taking antiarrhythmic drugs, treatment with the drug begins after analyzing the benefits and risks for the patient;
• Cavinton contains lactose (140 mg of lactose), several mg of glucose, so patients with lactose intolerance, galactose, or impaired glucose-galactose metabolism should not take the drug;
• the drug is not used for children;
• studies on the ability of the drug to influence the speed of psychomotor reactions have not been conducted, but there is a risk of drowsiness and dizziness when using it.

special instructions

When prescribing Cavinton to patients with a long QT interval, it is necessary to regularly monitor the heartbeat using an ECG. It is forbidden to use the medication if you are intolerant to fruit sugar and have a deficiency of fructose 1,6-biphosphatase. Vinpocetine increases the sensitivity of cells to fast carbohydrates, which in this situation can lead to a deterioration in the general condition of the body.

Vinpocetine does not have a toxic effect on the fetus during pregnancy, but a high dosage of the drug can cause bleeding of the placenta. Therefore, a woman must be administered the drug in a strictly specified volume, preferably in a hospital setting. During lactation, IV drips with Cavinton are prohibited. If vinpocetine enters the body of a newborn with the mother's blood, it can provoke the development of allergies or internal bleeding.

Interaction with other drugs

Cavinton is not recommended for use with hypotonic drugs and beta-blockers. When used in parallel, both medications will lead to a sharp drop in blood pressure, fainting, and precoma. If the kidneys and liver are functioning normally, such medications are used with an interval of 6 or more hours.

When giving injections, the simultaneous use of anticoagulants, especially those containing heparin, is unacceptable. This combination of medications provokes the development of internal bleeding. They arise due to strong dilution of the blood, which begins to flow from vessels with high permeability. If there are problems with the cerebral arteries, cerebral edema and intracranial hemorrhage may develop.

Cavinton should not be used in conjunction with solutions containing amino acids. The latter reduce the bioavailability of the drug and inhibit the binding of the active substance to plasma proteins.

Alcohol compatibility

When carrying out drug therapy, which includes regular administration of Cavinton, it is prohibited to drink alcoholic beverages. The ethanol they contain destroys vinpocetine, narrows cerebral arteries, and increases the risk of stroke and heart attack. Therefore, the therapeutic effect is not achieved. Ethyl alcohol partially thins the blood, which, when taken together with Cavinton, can lead to internal bleeding.

Drug interactions

Interactions with other drugs include the following:

• when taking the antihypertensive drug Methyldopa at the same time, it increases the hypotensive effect, which requires monitoring blood pressure in patients;
• complex treatment with beta-blockers, diuretics (Clopamide, hydrochlorothiazide), hypoglycemic agents (glibenclamide), cardiac glycosides (digoxin), anticoagulants (acenocoumarol), tricyclic antidepressants (imipramine) did not reveal any interaction between these drugs.

Despite the possibility of combination with many groups of drugs, when taking Cavinton, it is recommended to exercise caution when simultaneously prescribing other drugs that inhibit the activity of the blood coagulation system and are intended for the treatment of arrhythmia.

Side effects of Cavinton Forte

The use of the drug can lead to negative reactions from various body systems, these include:

1. Dry mouth.
2. Heartburn.
3. Nausea.
4. Tachycardia (sharp increase in heart rate).
5. Extrasystole (heart rhythm disturbance, which is characterized by extraordinary contractions of the heart or its individual parts).
6. Arterial hypotension (a long-term condition of the body, which is caused by low blood pressure and various autonomic disorders).

What other unwanted reactions can be caused by Cavinton tablets? Side effects are as follows:

1. Phlebitis (inflammatory process in the walls of the vein).
2. Insomnia (disturbances in the functioning of the “biological clock”, which is responsible for the alternation of waking and dreaming).
3. Increased sleepiness.
4. General weakness.
5. Migraine (a neurological disease characterized by periodic or regular attacks of headache on one side).
6. Vertigo (a disease known as vertigo, which is characteristic of ear pathology or, less commonly, brain damage).
7. Redness of the skin.
8. Rashes.
9. Itching.
10. Angioedema angioedema (reaction to various biological and chemical factors, often having an allergic etiology).
11. Anaphylactic shock (immediate type allergy, a state of sharply increased sensitivity of the body).

What undesirable reactions can develop when using droppers with Cavinton? Side effects in this case manifest themselves in the form of increased sweating. The occurrence of undesirable reactions is considered a reason to reduce the concentration of the active substance or completely discontinue the drug.

Indications for use

• chronic and acute cerebral circulatory failure;
• neurological and mental disorders in patients with cerebrovascular insufficiency;
• vasovegetative manifestations of menopausal syndrome.

In ophthalmology it is used for the following pathologies:

• eye diseases caused by vasospasm, atherosclerosis, ocular embolism, arterial or venous thrombosis;
• degenerative disorders of the retina, choroid, or macula;
• secondary glaucoma (post-traumatic nature, due to inflammatory diseases or partial thrombosis of eye vessels).

Used in the treatment of otolaryngological diseases:

• hearing loss of toxic, vascular or other origin;
• senile hearing loss;
• cochleovestibular neuritis;
• dizziness of labyrinthine origin;
• noise in ears;
• Meniere's disease.

Cavinton in ampoules instructions for use

Injections of the medication do not need to be given intramuscularly, because in this case it will not have a therapeutic effect. The drug contains no excipients that allow vinpocetine to quickly penetrate the local bloodstream without loss of bioavailability. The medicine cannot be administered in concentrated form. It must be diluted with physiological and any other compatible solution.

Each ampoule is intended for one-time use, but if necessary, the single dosage can be increased 3 times. As soon as a person’s condition improves, the daily dose of Cavinton is reduced.

The drug is rarely used to treat seriously ill and intensive care patients. This phenomenon is due to the effect of vinpocetine on the rheological properties of the blood - it thins it, provoking internal bleeding. A patient with a serious condition in this case may die.

Cavinton injections are given only in the hospital. When the solution is administered, doctors simultaneously monitor brain activity and monitor indicators of the cardiovascular system. This approach allows us to assess the severity of the therapeutic effect.

Method of administration and dosage

Cavinton is given as a dropper. The rate of introduction of the solution should be slow. To prepare the daily infusion dosage, use 1-2 ampoules of Cavinton and 500 ml of solution:

• Ringer;
• Salsola;
• Reomacrodexa;
• 5% glucose;
• physiological.

After the ampoule with vinpocetine is diluted in solution, you need to put in a dropper within 3 hours from the moment the mixture is prepared. If necessary, the daily dose of the medication is increased to 1 mg of vinpocetine for every 1 kg of the patient’s weight. Treatment is continued for 10 to 14 days.

The dosage of Cavinton depends on the type of pathology:

• disturbance of blood flow in the cerebral arteries - 1 ampoule no more than 3 times a day;
• hypertension complicated by encephalopathy requires administration of 5 mg of the drug 2 times a day for 3 weeks;
• rehabilitation in the post-stroke period - 5-10 mg of vinpocetine 3 times a day for 2 months;
• against the background of atherosclerosis, 3 droppers per day with 5 mg of vinpocetine are given for 3 weeks.

For the treatment of vision organs, Cavinton is administered 10 mg 2 times a day. Therapy continues for a month.

Is it possible to administer Cavinton intravenously?

During infusion, the rate of drug administration should not be increased beyond 80 drops/min. Otherwise, the risk of side effects increases, the blood thins, and convulsions may occur. Cavinton is administered by drip rather than stream in order to prevent a deterioration in the patient’s general condition.

Overdose and side effects

No cases of overdose were identified during preclinical studies. Theoretically, the drug in high doses can cause a range of internal bleeding, swelling of the brain, a drop in blood pressure and hemorrhages inside the skull.

Cavinton (injections), the instructions for use of which require strict adherence to the daily dosage, if administered incorrectly leads to the development of negative reactions:

Opinions

Reviews about the drug are mixed. Patients who took Cavinton report that it helps, but there are statements that no positive effect from the therapy was noticed. The advantage is the low cost of the drug. In addition, patients note the occurrence of adverse reactions.

It must be remembered that Cavinton should not be given to children. But at the same time, doctors still take risks and prescribe this medication to young patients. Feedback from parents indicates that when children take the drug, unwanted side effects appear, such as irritability and insomnia.

According to patient reviews of Cavinton, side effects most often manifest themselves in the form of high blood pressure. Some doctors still note this condition in their patients.

And yet, the drug is well tolerated in most cases, but since it not only reduces, but sometimes also increases blood pressure, it should not be used by people with unstable blood pressure.

According to reviews, while using the drug, you must completely avoid taking alcoholic beverages and ethyl alcohol-based medications. Since Cavinton provokes vasodilation, alcohol will be absorbed into the blood much faster. According to reviews of Cavinton, side effects after discontinuation are eliminated quickly.

Is it possible to overdose?

Cases of overdose with this drug are very rare. However, there are reviews in which such situations are mentioned. An overdose of Cavinton manifests itself in increased side effects.

The main side effects that can increase with an overdose:

• 
  Arrhythmia.

• Headache.
• Nausea.
• Severe decrease in pressure.

If symptoms of overdose occur, gastric lavage should be performed. In addition, measures may be needed to overcome the symptoms that arise.

Domestic drugs

The list of Cavinton analogues produced by Russian enterprises is quite large:

• Bravinton - this drug also has vinpocetine as an active substance. It works very effectively, but costs 3-4 times less. It is used to improve brain metabolic processes and also as an antispasmodic. In addition, this drug helps with dizziness, headaches, memory impairment, encephalopathy, vascular disorders in the retina, and hearing impairment. Bravinton can be purchased in the form of tablets, solution or concentrate for its preparation for intravenous injection. Cost 65-80 rubles;
• Vinpocetine is the main Russian analogue of Cavinton, which improves blood circulation in the brain, its oxygen supply, and also reduces platelet aggregation. Vinpocetine has the structure and all the characteristics of Cavinton, including effectiveness. The price of a package of tablets is 30-140 rubles, a solution for injections is ~45 rubles;
• Cinnarizine is the cheapest analogue of Cavinton in tablets. You can buy it for 25-55 rubles, but such a low price does not affect its effectiveness at all. The active ingredient, cinnarizine, improves cerebral, coronary and peripheral blood circulation. It is prescribed for dizziness, tinnitus, labyrinthine disorders, vomiting, nausea;
• Telektol - most often used in the acute phase of a stroke. But it cannot be used during pregnancy and breastfeeding. The drug has a vasodilating, antihypoxic, antiplatelet effect, increases blood flow and optimizes the metabolism of brain cells. Price – 130-160 rubles;
• Korsavin - created on the basis of vinpocetine, available in tablets. By dilating blood vessels, it increases blood flow and blood supply to the brain, reducing the risk of stroke;
• Actovegin is a deproteinized calf blood extract containing low molecular weight peptides derived from nucleic acids. The drug activates cellular metabolism due to an increased supply of oxygen and glucose to cells. The price of Actovegin is ~120 rubles. But its main advantage over its analogues is the possibility of not only intravenous and oral use, but also external use;
• Mexidol is a drug with ethylmethylhydroxypyridine succinate as an active substance. This is a new generation antioxidant. It is often used in parallel with Caventin for cerebrovascular disorders in patients. The price of tablets is 200 rubles, solution – 400 rubles.

Analogs

Cavinton (reviews from patients who took the drug show the high effectiveness of this drug) has analogues in the presence of the same active substance:

• Bravinton (concentrate);
• Vinpocetine (tablets, con src=»https://healthperfect.ru/wp-content/uploads/2020/01/kavinton-6.jpg» class=»aligncenter» width=»500″ height=»331″[/img ]
• Telektol (tablets);
• Vinpotropil (tablets, capsules, concentrate);
• Hypotef (tablets).

Dosage and method of administration

"Cavinton" is taken by patients after meals. The usual dosage is two tablets (with a dosage of 5 mg), which must be taken three times a day. The initial dose per day is 15 mg. The highest dose per day is 30 mg. The therapeutic effect occurs no earlier than a week from the start of drug therapy. The course of therapy ranges from one to three months. In case of kidney and liver dysfunction in a patient, the drug is prescribed in a standard dose; the uniform distribution and removal of the active substance from the body allows for long courses of treatment.

To prepare the substance for injection into a vein, the concentrate is diluted with saline or a solution containing dextrose. The infusion is carried out slowly, with a maximum rate of 80 drops per minute. The initial dose per day is 20 mg (two ampoules), which must be dissolved in 500 ml of solution for infusion. Depending on personal tolerance to the medication, over the next two days the dosage can be increased to no more than 1 mg per 1 kg of patient weight per day. The duration of therapy takes from ten days to two weeks. The average dose per day, for a patient weighing 70 kilograms, is 50 mg (five ampoules in 500 ml of solution). In the presence of liver and kidney diseases, dosage adjustment is not required.

Upon completion of the course of treatment, it is necessary to continue therapy with Cavinton Forte tablets (one tablet three times a day) or Cavinton tablets (two tablets three times a day). The solution containing Cavinton should be used within the first three hours after preparation. Remember: only the use of injections with Cavinton according to indications can lead to the desired effect without harm to the body. You should not use the drug yourself; you should use the medicine only as directed and under the supervision of your doctor.

The duration of the course of therapy and dosage are selected individually. Indications for the use of droppers with Cavinton are determined according to the patient’s condition and are clarified using diagnostic studies.

Reviews from patients and doctors

Reviews from doctors and patients about Cavinton Forte are mostly positive :

1. Patient Igor: “I’ve been taking Cavinton for 5 years now - one tablet in the morning and evening - and no side effects!”
2. Patient Maria: “My child was diagnosed with increased intracranial pressure at 2 months. He screamed constantly, and was quieter only when he ate or slept a little. This problem arose as a result of encephalopathy acquired during childbirth (a consequence of hypoxia). We were prescribed Cavinton and have been taking it for 2 months now. Within a week, improvements were noticeable - the screams went away, the baby became calm and there was no neurology!”
3. Dr. Natalya Ivanovna : “The good thing about the drug is that it has a fairly wide spectrum of action for neurological, ophthalmological and auditory disorders of various etiologies. In general, it has a positive effect on microcirculation and restores metabolic processes in post-ischemic areas of the brain.”
4. Dr. Inessa: “It is very important to use Cavinton not according to symptoms, but after diagnosis.”

Reviews indicate that Cavinton can be used for children, even for infants.

Positive and negative characteristics based on practical experience

Pros:

• copes very well with many problems of the central nervous system and circulatory disorders;
• affordable price;
• the therapeutic effect is noticeable after the first week;
• variety of release forms.

Minuses:

• does not work on days 1-4;
• the number of side effects observed in practice, as a percentage, is greater than indicated on the relevant resources and in the instructions;
• some notice the effect only after completing the course;
• does not always help with hyperexcitability.

In general, patients are satisfied with the effectiveness of this product.

Therapeutic effect

Medication "Cavinton":

• Improves metabolism by increasing the absorption of glucose and oxygen by brain tissue.
• Increases the resistance of neurons to hypoxia.
• Increases the flow of glucose to the brain.
• Transforms the process of glucose breakdown into a more economical way.
• Increases the concentration of a universal source of energy for all actions in brain tissue; enhances the metabolism of serotonin in the brain.
• Has an antioxidant effect.
• Reduces the effect of platelets and blood viscosity, increases the changing ability of red blood cells and helps to increase the release of oxygen by red blood cells;
• Increases the preventive effect of adenosine on brain neuron damage.
• Increases blood flow in the vessels of the brain, reduces the resistance of the vessels of the brain without adjusting indicators of systemic blood flow (blood pressure, minute volume, heart rate, peripheral vascular resistance).
• It does not have a robbing effect, it increases blood supply, primarily in areas of the brain damaged by diseases.

What side effects does it have?

Various side effects are observed relatively rarely during treatment with Cavinton. However, they can still be observed.

From different organs and systems of the body, these can be:

• The hematopoietic and lymphatic systems can respond with a decrease in the number of leukocytes and platelets; extremely rarely, the phenomenon of red blood cell agglutination and anemia can be observed.
• Hypersensitivity reactions from the immune system are very rare.
• Metabolic disorders are also possible - increased cholesterol levels in the blood, changes in appetite.
• Reactions from the psyche are also quite rare. Here side effects may include sleep disorders, insomnia, and agitation. In rare cases, depression.
• The nervous system, despite the fact that the drug is most often used to treat its pathology, may in some cases react with headache, disorders of taste perception, dizziness, drowsiness, and tremor.
• On the part of the eyes, symptoms of papilledema and conjunctival hyperemia are possible.
• On the part of the organs of hearing and balance, severe dizziness, a temporary decrease, or vice versa, an increase in hearing acuity are possible, and a sensation of ringing in the ears is possible.
• The heart and blood vessels may respond to Cavinton treatment with angina pectoris, a decrease, or, conversely, an increase in heart rate and blood pressure.
• From the digestive system, nausea, various kinds of discomfort in the abdomen, constipation, or, conversely, diarrhea, and dyspepsia are possible.
• Among the skin manifestations, the most common are skin redness, itching, rash, and increased sweating is also possible. However, such phenomena are observed quite rarely.

Treatment with Cavinton may also lead to certain changes in the results of some laboratory and instrumental studies.

The drug may affect blood pressure, some points on the electrocardiogram, cholesterol and triglycide levels in the blood, the activity of liver enzymes and the content of some blood elements.

Drug dosage and side effects

It should be especially noted that, unlike Cavinton, the drug Phezam has quite a lot of side effects. For example, from the central nervous system, the patient may experience hyperkinesia, drowsiness, nervousness and depression. As well as dizziness, ataxia, headaches, insomnia, imbalance, anxiety, confusion, agitation and hallucinations. From the gastrointestinal tract - increased salivation, diarrhea, nausea, vomiting and abdominal pain. In addition, people taking Phezam may experience allergic reactions (dermatitis, skin rash, swelling, itching, photosensitivity, etc.).

So we looked at what analogues of Cavinton exist today and compared their characteristics. Which of the above medications to purchase is up to you. When purchasing this or that product, some people adhere to the doctor’s recommendations, while others are more concerned about the financial component. Therefore, it is quite difficult and wrong to advise something specific in this situation. There are qualified specialists for this, and you need to turn to them for help. Be healthy!

Indications for use

The indication for the use of Cavinton, according to reviews, is the need to improve cerebral circulation and metabolism. The medication is prescribed to reduce the severity of negative symptoms in neuralgia in various forms of insufficiently stable blood circulation in the brain. This may include:

• Stroke and its negative consequences.
• Recovery stage after a stroke.
• A central nervous system disorder that represents acquired dementia in a patient.
• Disruption of brain activity due to weakening of blood flow in its vessels.
• Atherosclerosis of cerebral vessels.
• Hypertensive or acquired pathology after brain injury.
• Thrombosis of the central artery or vein of the retina.
• Dysfunction of the hearing organs of the perceptual type.
• Diseases of the inner ear of a non-inflammatory nature.
• Tinnitus.

Price in pharmacies in Moscow, St. Petersburg, regions

The average price for medicine in pharmacies is as follows:

• Cavinton (5 mg each, 50 tablets) – 110 rubles;
• Cavinton forte (10 mg each, 30 tablets) – 145 rubles;
• Cavinton comfort (10 mg each, 30 tablets) – 360 rubles;
• Cavinton (2 ml, 10 ampoules, injections) – 220 rub.

Cavinton is a drug whose main pharmacological effect is to improve cerebral circulation.

According to reviews from patients who took it, it is well tolerated and has few side effects. The complex effect on biological processes in the central nervous system also makes it possible to increase the cognitive abilities of patients and reduce cephalgic syndrome.

Article design: Vladimir the Great

Contraindications and side effects

All analogues of Cavinton (we will look at them in more detail below) and the original itself have their own side effects and contraindications. Thus, this drug is not recommended for use in the acute phase of hemorrhagic stroke, severe coronary heart disease and arrhythmia, as well as hypersensitivity to vinpocetine. Due to insufficient 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 detected extremely rarely. Thus, from the cardiovascular system, some ECG changes, extrasystole and tachycardia were observed. From the central nervous system, sleep disturbances (excessive drowsiness or insomnia), dizziness, headaches and general weakness were identified. From the gastrointestinal tract, nausea, dry mouth and heartburn were noted.

Features of use during pregnancy and breastfeeding

Cavinton is not used during pregnancy. This can be dangerous for both mother and baby. Excessive amounts of vinpocetine in the baby's blood and placenta can cause bleeding or miscarriage.

When breastfeeding, the use of this medicine is also undesirable, since the active substances of the drug can harm the baby’s body. Therefore, if during lactation there is a need to take these tablets, you need to stop feeding your baby breast milk.

These tablets are not recommended for young children. Although there are reviews indicating the successful use of this drug for the treatment of infants. However, here the opinions of doctors differ. Some do not see anything dangerous in the use of this drug, others prefer to avoid its use.

If you have to treat a child with Cavinton, such a doctor keeps the patient under close supervision.

According to some pediatricians, in some cases children need to be treated with this remedy. Most often I use it for children in the treatment of encephalopathy. This disease is characterized by the following symptoms:

• 
  Frequent headaches.

• Nervousness.
• Attacks of irritability.
• Recurrent dizziness.
• Sleep problems.
• Memory impairment.
• Problems with coordination.

This disease can occur in both newborns and adolescents. In very young children, it is usually caused by trauma received during childbirth. In this case, the newborn needs medical attention.