Neobutin - instructions for use, reviews, analogs and formulations (100 mg and 300 mg retard tablets) for the treatment of constipation, spasms, pain in irritable bowel syndrome in adults, children and pregnancy. Composition
In this article, you can read the instructions for using the drug Neobutin. There are reviews of visitors to the site - consumers of this medication, as well as opinions of doctors of specialists on the use of Neurotin in their practice. A big request is to actively add their feedback on the drug: the medicine helped or did not help get rid of the disease, which were observed complications and side effects, possibly not declared by the manufacturer in the annotation. Analogs of Neboutine in the presence of existing structural analogs. Use to treat constipation, spasms, pain in irritable bowel syndrome in adults, children, as well as during pregnancy and lactation. Composition of the preparation.
Neobutin - a means regulating peristalsis of the gastrointestinal tract.
Trimebutin (the active substance of the drug Neobutin), acting on the enkephalinergic system of the intestine, is the regulator of its peristalsis. Acting on peripheral receptors, incl. located directly in the smooth muscles throughout the gastrointestinal tract, it regulates the motor function without affecting the central nervous system. Thus, trimebutin restores normal physiological activity of the intestinal musculature for various gastrointestinal disorders associated with motor disorders.
Normalizing visceral sensitivity, Nesutin provides analgesic effect in abdominal pain syndrome.
Composition
Trimebutina maleate + excipients.
Pharmacokinetics
After ingestion, Neobutin is rapidly absorbed from the digestive tract. Bioavailability is 4-6%. The degree of binding to plasma proteins is low - about 5%. Trimebutin penetrates insignificantly through the placental barrier. Trimebutin is metabolized in the liver and excreted through the kidneys mainly in the form of metabolites (approximately 70% within the first 24 hours).
Indications
Disorders of GI motility in the following functional diseases and conditions:
- gastroesophageal reflux disease;
- dyspeptic disorders in gastroduodenal diseases (abdominal pain, digestive disorders, nausea, vomiting);
- irritable bowel syndrome (IBS), manifested by pain, colic in the abdominal cavity, intestinal spasms, flatulence, diarrhea and / or constipation;
- postoperative paralytic intestinal obstruction;
- preparation for X-ray / endoscopic examination of the digestive tract;
- Dyspeptic disorders in children associated with a violation of GI motility.
Forms of release
Tablets of 100 mg.
Tablets of prolonged action, coated with 300 mg (Neobutin retard).
Instructions for use and dosage
Inside, before eating.
Adults and children over 12 years of age - 100-200 mg 3 times a day.
To prevent the recurrence of irritable bowel syndrome after the course of treatment during remission, it is recommended to continue taking the drug at a dose of 300 mg per day for 12 weeks.
Children 5-12 years - 50 mg 3 times a day.
Children 3-5 years - 25 mg 3 times a day.
Side effect
- dry mouth;
- unpleasant taste sensations;
- diarrhea, constipation;
- dyspepsia;
- nausea;
- drowsiness;
- fatigue;
- dizziness;
- headache;
- anxiety;
- feeling of heat or cold;
- short-term syncope;
- skin rash;
- menstrual cycle disorders;
- painful enlargement of the mammary glands;
- retention of urine.
Contraindications
- lactose intolerance, lactase deficiency, glucose-galactose malabsorption;
- pregnancy;
- children under 3 years (for tablets);
- increased sensitivity to trimebutin.
Application in pregnancy and lactation
In the experimental studies, there was no evidence of teratogenicity and embryotoxicity of trimebutin. Nevertheless, in connection with the lack of necessary clinical data, the use of the drug Neurobutin during pregnancy is contraindicated.
It is not recommended to use the drug Neobutin during lactation (breastfeeding) due to the lack of reliable clinical data confirming the safety of the drug during this period. If trimebutin is needed during breastfeeding, breastfeeding should be discontinued.
Use in children
Neobutin in the form of tablets is contraindicated in children under the age of 3 years. In children, the dose is set depending on the age.
special instructions
The course of treatment of irritable bowel syndrome in the acute period at a dose of 600 mg per day for 4 weeks and continuation of treatment after the course at a dose of 300 mg per day for 12 weeks can avoid relapse of the disease.
Impact on the ability to drive vehicles and mechanisms
Given possible side effects that may affect these abilities (dizziness and others), care should be taken when driving vehicles and engaging in other potentially hazardous activities.
Drug Interactions
Not described.
Analogues of the drug
Structural analogs for the active substance:
- Neboutin Retard;
- Trimedat.
Analogues on the curative effect (remedies for the treatment of irritable bowel syndrome):
- Bactistatin;
- Betamax;
- Galidor;
- Guttalax;
- Guttasil;
- Dicetel;
- Duspatalin;
- Irmalax;
- Colorado;
- Lactofiltrum;
- Meteopazmil;
- Mukofalk;
- Neobutin retard;
- Neointestopan;
- But the spine;
- But the forte;
- Novo-Passit;
- Novobispol;
- Papaverine;
- Platyphylline and papaverine;
- Probiophore;
- Spasmonet;
- Spasmonet forte;
- Spacock;
- Sparex;
- Trimedate;
- Ulkavis;
- Phytomycyl;
- Eglek;
- Enterosan.
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