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Vestinorm - instructions for use, reviews, analogs and formulations (tablets 8 mg, 16 mg, 24 mg Neo) drug for the treatment of dizziness, tinnitus, hearing loss in Meniere's syndrome and other diseases in adults, children and pregnancy

Vestinorm - instructions for use, reviews, analogs and formulations (tablets 8 mg, 16 mg, 24 mg Neo) drug for the treatment of dizziness, tinnitus, hearing loss in Meniere's syndrome and other diseases in adults, children and pregnancy

In this article, you can read the instructions for using the drug Westinorm. There are reviews of visitors to the site - consumers of this medication, as well as opinions of doctors specialists on the use of Vestinorm 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. Analogues of Vestinorm if there are existing structural analogues.Use to treat dizziness, tinnitus, hearing loss in Meniere's syndrome and other diseases in adults, children, as well as during pregnancy and lactation.

 

Westinorm - a synthetic analog of histamine. It acts like histamine, mainly on histamine H1 receptors. It causes the expansion of precapillaries, in particular, facilitates microcirculation in the labyrinth of the inner ear. In addition, Betagistin (active substance of the drug Westinorm) regulates the pressure of the endolymph in the labyrinth and cochlea, leading to a clinical improvement in the dizziness of various etiologies. Reduces the frequency and intensity of dizziness, reduces tinnitus, helps improve hearing in cases of its decline. Increases the tone of smooth muscles of the bronchi, gastrointestinal tract (GIT). Vestinorm can cause increased secretion of gastric juice.

 

Composition

 

Betagistin + excipients.

 

Pharmacokinetics

 

When administered orally, Westinorm is rapidly and almost completely absorbed into the digestive tract. After absorption, the drug is quickly and almost completely metabolized to form an inactive metabolite (2-pyridylacetic acid).Binding of betahistine to plasma proteins is less than 5%. The excretion of betagistin by the kidneys or through the intestine is insignificant; 2-pyridylacetic acid is rapidly excreted in the urine. When taking the drug at a dose of 8-48 mg, about 85% of the initial dose is found in the urine as 2-pyridylacetic acid.

 

Indications

  • disease or Ménière syndrome;
  • edema of the labyrinth of the inner ear;
  • vestibular and labyrinthine disorders, including dizziness, noise and pain in the ears, headache, nausea, vomiting, hearing loss;
  • vestibular neuritis;
  • labyrinthitis (inflammation of the labyrinth of the inner ear);
  • benign positional dizziness, including after neurosurgical operations;
  • vertebrobasilar insufficiency;
  • post-traumatic encephalopathy;
  • atherosclerosis of cerebral vessels (as part of complex therapy).

 

Forms of release

 

Tablets 8 mg, 16 mg, 24 mg Neo.

 

Instructions for use and dosing regimen

 

Vestinorm taken inside, with food. Treatment is long.

 

The dose of the drug for adults is 24-48 mg of betahistine per day.

 

Vestinorm 8 mg should be taken 1-2 tablets 3 times a day.

 

Vestinorm 16 mg should be taken 1 / 2-1 tablet 3 times a day.

 

Vestinorm 24 mg Neo should be taken 1 tablet 2 times a day.

 

The dose should be selected individually, depending on the response to treatment. Improvement can be observed only after a few weeks. The best results are sometimes achieved after several months of treatment. There is evidence that the appointment of Vestinorm at the onset of the disease prevents its progression and / or hearing loss at later stages.

 

Side effect

  • nausea, vomiting;
  • feeling of heaviness in the epigastrium;
  • bloating;
  • skin rash, itching, urticaria;
  • angioedema.

 

Contraindications

  • pheochromocytoma;
  • peptic ulcer of the stomach and duodenum in the phase of exacerbation;
  • bronchial asthma;
  • 1 trimester of pregnancy;
  • increased sensitivity to betagistin.

 

Application in pregnancy and lactation

 

It is not recommended to use Vestinorm in the first trimester of pregnancy and during lactation (breastfeeding). With caution should be used in the 2nd and 3rd trimesters of pregnancy.

 

Use in children

 

Vestinorm is not recommended for use in children under the age of 18 due to inadequate data on efficacy and safety.

 

Application in elderly patients

 

Older patients do not need a dose adjustment.

 

special instructions

 

With caution should be used Vestinorm in patients with peptic ulcer of the stomach or duodenum in history, in the 2 and 3 trimesters of pregnancy, as well as in children.

 

It should be noted that the desired clinical effect is achieved after several months of treatment.

 

With dyspeptic symptoms, it is recommended to take betagistin during or after a meal.

 

Impact on the ability to drive vehicles and manage mechanisms

 

Vestinorm does not influence or slightly affects the ability to drive vehicles and work with mechanisms. In clinical trials, undesirable reactions that could affect this ability have not been identified.

 

Drug Interactions

 

Antihistamines while taking with Westinorm reduce the effect of betahistine.

 

Analogues of the drug Westinorm

 

Structural analogs for the active substance:

  • Betaver;
  • Betagistin;
  • Betaserc;
  • Betacentrine;
  • Werthran;
  • Vestibo;
  • Vestap;
  • Westinorm Neo;
  • The micrometer;
  • Tagist.

 

Analogues of Westinorm for pharmacological group (angioprotectors and microcirculation correctors):

  • Agapurin;
  • Actovegin;
  • Alprostan;
  • Antistaks;
  • Arbiflex;
  • Ascorutin;
  • Betaver;
  • Betagistin;
  • Betaserc;
  • Betacentrine;
  • Bilobil;
  • Vazaprostan;
  • Vazonite;
  • Venarus;
  • Venoruton;
  • Vestibo;
  • Vestap;
  • Westinorm Neo;
  • Hesperidin;
  • Gingiium;
  • Ginkgo biloba;
  • Glivenol;
  • Detravenol;
  • Detraleks;
  • Diosmin;
  • Dipyridamole;
  • Doxylek;
  • Duzopharm;
  • Cardiocipine;
  • Complymine;
  • Xantinol nicotinate;
  • Courantil;
  • Mexidol;
  • Memoplant;
  • The micrometer;
  • Muse;
  • A nicotinic acid;
  • Oxygenyl;
  • Parebal;
  • Pentamon;
  • Pentylin;
  • Pentohexal;
  • Pentoxifylline;
  • Pentomer;
  • Persantin;
  • Radomine;
  • Ralofect;
  • Rutin;
  • Rutozid;
  • Sulgan;
  • Tagist;
  • Tanakan;
  • Trental;
  • Troxevasin;
  • Troxsevenol;
  • Troxerutin;
  • Flebaven;
  • Flebodia;
  • Phlebopress;
  • Phlebofa;
  • Flexitale;
  • Emoxibel;
  • Emoxipine;
  • Endothelon;
  • Enduracin;
  • Escuzan;
  • Eszizan;
  • Etamsylate.

 

Review of the neurologist's doctor

 

I use the drug Westinorm in my practice and I was convinced that its effectiveness directly depends on the duration of therapy. Those patients who have been taking Vestinorm tablets for many months,really mark improvement of state of health. They note an improvement in hearing, the disappearance of noise in the ears and dizziness. And who does not follow the recommendations for treatment in bad faith, argues that this medicine is absolutely useless. Adverse reactions, of course, happen. And then you have to cancel the drug and look for an analog that is suitable for this particular patient.

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