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Cinarizine - instructions for use, reviews, analogs and formulations (tablets 25 mg) of the drug for the treatment of vascular disorders in adults, children (including infants and newborns) and in pregnancy

Cinarizine - instructions for use, reviews, analogs and formulations (tablets 25 mg) of the drug for the treatment of vascular disorders in adults, children (including infants and newborns) and in pregnancy

In this article, you can read the instructions for using the drug Cinnarizine. There are reviews of visitors to the site - consumers of this medication, as well as opinions of doctors specialists on the use of Cinnarizine 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 Cinnarizine in the presence of existing structural analogues. Use to treat vascular disorders (strokes and encephalopathies) in adults, children (including infants and newborns), as well as during pregnancy and lactation.

 

Cinnarizine - a selective blocker of "slow" calcium channels, reduces the entry of calcium ions into cells and reduces their concentration in the depot of plasmolemmas, reduces the tone of the smooth muscles of arterioles, strengthens the vasodilating effect of carbon dioxide. Directly affecting the smooth muscles of blood vessels, reduces their response to biogenic vasoconstrictor substances (adrenaline and norepinephrine). It has a vasodilating effect (especially with respect to cerebral vessels), without having a significant effect on blood pressure. It shows moderate antihistamine activity, reduces the excitability of the vestibular apparatus, lowers the tone of the sympathetic nervous system.

 

Effective in patients with latent insufficiency of cerebral circulation, initial atherosclerosis of cerebral vessels and chronic diseases of cerebral vessels with postinsultaneous focal symptoms. In patients with impaired peripheral circulation improves blood supply to organs and tissues (including myocardium), enhances postischemic vasodilation. Increases the elasticity of erythrocyte membranes, their ability to deform, reduces the viscosity of the blood. Increases muscle resistance to hypoxia.

 

Pharmacokinetics

 

It is excreted in the form of metabolites: 1/3 - kidney, 2/3 - intestine.

 

Indications

  • the period of convalescence after a previous ischemic and hemorrhagic stroke, craniocerebral trauma;
  • encephalopathy;
  • labyrinthine disorders (including for maintenance therapy for dizziness, tinnitus, nystagmus, nausea, vomiting of a labyrinthine origin);
  • migraine, (prevention of seizures);
  • Meniere's disease;
  • sea ​​and air sickness (prevention);
  • violation of peripheral circulation (prevention and treatment) - obliterating endarteritis, obliterating thromboangiitis, Raynaud's disease, diabetic angiopathy, thrombophlebitis, trophic disorders, trophic and varicose ulcers, pregangrenous conditions, paresthesia, night spasms and cold extremities.

 

Forms of release

 

Tablets 25 mg.

 

Other forms of a pure preparation Cinnarizine whether be nyxes in ampoules, capsules, etc. does not occur, it is possible that these medications are fakes.

 

Instructions for use and dosage

 

Inside, after eating. For violations of the cerebral circulation - 25-50 mg 3 times a day; with violations of peripheral circulation - 50-75 mg 3 times a day; with labyrinthine disorders - 25 mg 3 times a day; in marine andair illness, before the upcoming trip to adults - 25 mg, if necessary, dose reception is repeated after 6 hours. Children are prescribed half the dose for adults. The maximum daily dose should not exceed 225 mg.

 

With high sensitivity to the drug, treatment starts with 1/2 dose, increasing it gradually. The course of treatment is from several weeks to several months.

 

Side effect

  • drowsiness;
  • increased fatigue;
  • headache;
  • extrapyramidal disorders (limb tremor and increased muscle tone, hypokinesia);
  • depression;
  • dry mouth;
  • pain in the epigastric region;
  • dyspepsia;
  • cholestatic jaundice;
  • increased sweating;
  • red flat lichen (extremely rare);
  • skin rash;
  • a decrease in blood pressure;
  • increase in body weight.

 

Contraindications

  • pregnancy;
  • lactation period;
  • Children under 12 years of age (use of the drug in infants and infants is contraindicated);
  • hypersensitivity to the drug.

 

Application in pregnancy and lactation

 

Contraindicated during pregnancy and lactation.

 

Use in children

 

Contraindicated in children under 12 years.

 

special instructions

 

At the beginning of treatment should refrain from taking ethanol (alcohol).

 

In connection with the presence of antihistamine effect, cinnarizine can affect the result of the study in the case of anti-doping control of athletes (false positive result), and also neutralize positive reactions in conducting skin diagnostic tests (4 days before the study treatment should be canceled).

 

With prolonged use, it is recommended that a check examination of liver function, kidney function, and peripheral blood picture is recommended.

 

Women who take cinnarizine are not recommended breast-feeding. Patients with Parkinson's disease should be appointed only in cases where the benefits from his appointment exceed the possible risk of deterioration.

 

Impact on the ability to drive vehicles and manage mechanisms

 

During the treatment period, care must be taken when driving vehicles and engaging in other potentially dangerous activities that require an increased concentration of attention and speed of psychomotor reactions.

 

Drug Interactions

 

Pharmaceutical: Chemical incompatibility is not known.

 

Pharmacodynamic: Strengthens the effect of alcohol, sedatives and antidepressant drugs.At simultaneous application with nootropic, antihypertensive and vasodilating agents strengthens their effect, and with simultaneous application with drugs prescribed for arterial hypotension - reduces their effect.

 

Analogues of the drug Cinnarizine

 

Structural analogs for the active substance:

  • Vertizine;
  • Vertizin Forte;
  • Stugeron;
  • Cinedal;
  • Cinnarizin Sopharma;
  • Cinnaron;
  • Cinnasan.

 

In combination with Piracetam (enhancing nootropic action):

  • Combbitropyl;
  • NooCam;
  • Omaron;
  • Piracesine;
  • Fezam.

 

Analogues on the effect (nootropic effect):

  • Amylonosar;
  • Aminalon;
  • Ampasse;
  • Anvifen;
  • Bilobil;
  • Gamalon;
  • Glaser;
  • Gliatilin;
  • Glycine;
  • Gopantam;
  • Hopantenic acid;
  • Delecite;
  • Demanol;
  • Idebenon;
  • Intelland;
  • Cortexin;
  • Lucetsam;
  • Mexipridol;
  • Memotropized;
  • Minisem;
  • Nootropil;
  • Noocetam;
  • Pantogam;
  • Piraben;
  • Piracetam;
  • Semax;
  • Tenoten;
  • Fenibut;
  • Phenotropil;
  • Cerebrosolate;
  • Cerebrolysin;
  • Encephalabol.

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Reviews (68):
Guests
Irina
There is one thing that can be said about cinnarizine. Read carefully the annotations to the drug. Where the Internet community has met, that this drug can be given to infants - I do not know. It is clearly written that children under 12 years of age are forbidden to use. Why look for problems on your head and the head of your sick child, herself in despair almost tried this drug on the Internet recommendation, well at least read the ban on time. Now only authorized I will use and according to the doctor's prescription.
Administrators
admin
Yes, all medicines should be used as directed by a doctor, or carefully read the instructions to them, and not online fiction, where the miraculous properties of a given medicine are not on the topic and fully custom-made. No one then will still not answer, if you personally took this drug without an appointment, you never know what in advertisements they write.
Guests
Vladimir
The neurologist has appointed or nominated on 1/4 tablets 3 times a day. And how to be? The doctor has appointed or nominated, and the Internet and the instruction speak to not drink.

Forgot to write. The doctor prescribed a baby at 3 months.
Administrators
admin
Vladimir, it is necessary to believe instructions. If it is written contraindicated for children under 12, then so it is. The doctor can forget or confuse, but the instruction for which the manufacturer warrants is unlikely. The doctor then can escape responsibility and then everything will fall on the consumer of this medicine, because the instructions were written in black and white.

So I see only one way out - to go with the instructions to the doctor who appointed Cinnarizin to the child, and try to find out the motives and adjust the treatment. If there is an opportunity to consult another specialist - then it's better to him.
Guests
Rita
We are 1,5 months old. Also have appointed or nominated this preparation we do not know, that now to do or make.
Administrators
admin
Rita, my opinion and my colleagues are unequivocal - if the instructions say,that is impossible - it means impossible (with respect to Tsinnarizina it is written that it is recommended to children after 12 years, it means only after 12, the rest you do at your own peril and risk).

Take the instruction and go to the doctor who appointed this drug. Let cancels and changes to the one that fits in your situation. Instructions to the drugs are written in blood, do not try to inscribe yourself or your child.
Guests
region
We also appointed a neurologist, a child for a month. The pediatrician says, if you have appointed - drink. I do not even know what to think.
Administrators
admin
region, Correctly, the pediatrician for the appointment of a neurologist is not in charge (there are no zemstvo doctors like once who viewed a person in a complex, rather than in parts as now). The neurologist will answer, and they like to appoint Cinnarizin to small children. Apparently the instructions do not read.
Guests
Alyona
We appointed him at 4 months, in a complex with a pantogam, and here it is written that this analogy ...
Administrators
admin
Alyona, Analogues on the effect - this is not the same as structural analogues and it must be distinguished. Sometimes it is necessary and 2 and 3 preparations from one group to appoint for potentiation of effect from application of medical products.
Guests
Natalia
I sincerely wish everyone to find their doctor. Study first the doctor you are applying to, so as not to waste time exploring instructions. My 4-year-old child drank the Cinnarizine prescribed by a doctor. No side effects and "special" consequences. By the way, this neurologist leads us from birth. Dynamics only positive. Compare is with what. The doctor disappeared from our field of vision for about a year, we had to look for other specialists. I remained dissatisfied. Some prescribed drugs (eg nicotinic acid) did not even give.
So, if you believe the doctor - drink, if not - believe the annotations better, then do not look for the guilty! With HI. and all health!
Guests
hope
My daughter is 1 month old. There were difficult births. The meconium waters were swallowed and a double tight cord. Constantly crying for no reason.I wear all day on my hands. Yesterday the neurologist prescribed drops of Semax, pantogam, Elcar and cinnarizine. The first three started to take, but the last one does not even know ....... I'm afraid to harm my baby by taking or not taking this medicine. Then, for my illiteracy and negligence of the neurologist, the child will suffer. A neurologist from a polyclinic can also be experienced, but he is free. Rough and words can not be stretched! With respect, Nadezhda.
Administrators
admin
Hope, it is difficult to advise something, the instructions are periodically rewritten, but I observe the tendency of appointment by neurologists of cinnarizine. How to comment on this - I do not know, maybe other drugs for children do not know or at the seminars doctors are updated with some fresh information, but the instruction is forbidden: Children under 12 years of age are not allowed to take the drug. The trouble is that this drug is cheap and especially even an authoritative source (usually it is the sites of companies that produce original drugs), there is no to confirm the information from the directories.
Guests
Sasha
Yes, ... a good drug, my daughter-in-law took it.Helped her very much.
Guests
Julia
To us too have registered tsinarizin. We received 1.5 months for the first day of 1) 4. Son sleepy, that's all day asleep. I'm thinking of giving it at all or not.
Guests
Elena
A good drug. I drink one night and sleep like a child and wake up with a clear head. But if you wrote that you can not children, then you can not, do not experiment on them, find safer analogs. After all, changing the formula of the blood is not a joke.
Guests
Elena
Annotations do not write to children under 12 years of age, due to the fact that clinical experiments have not been conducted (they were not put on children). And if the neurologist has appointed or nominated, it is necessary to drink, if in infancy do not correct a situation, further only more problems at the child will (

I gave my child the prescription of a doctor for adults, only the dosage was prescribed by weight and age. I never regretted it, it was not worse. If you do not entrap your doctor, go to another.
Guests
Alyona
To a daughter 1,5 years, there were neurologic problems (ICD and a hydrocephalus in easy or light; mild).Consequences - a strong tone. They drank different drugs, prescribed a neurologist for children, a neurological center. Almost all drugs are adults and in the instructions it is indicated that children under 6 (12) are not to be taken. But apparently nothing else is produced for children. Cinnarizine was administered 2 times, at 3 months at 1/6, in 1.4 g by 1/5. There are no side effects, not even sleepiness
Guests
KATE
I just want to sleep much from him.
Guests
Lyudmila
In my practice, I prescribed cinnarizine for noise in my ears. 60% of patients had a good effect, the noise decreased significantly.
Guests
Regina
My son was also prescribed 1.6 months for us, at night we sleep badly for one hour, he asks for a nipple, the neurologist prescribed Cinnarizin. I do not know what I'm afraid to do for my son, no matter how worse it is.
Administrators
admin
Regina, You for yourself at first decide - there is a problem for you as a mother or not from the fact that the son does not periodically sleep at night. Not always in small children doctors are able to deliver an adequate diagnosis. And then think about the treatment of this disease and condition.
Guests
Galina
I really liked the drug. I had a noise in my left ear, the nervous system was tense, anxious, the pressure went down badly, the work was connected with nervous tension, I did not sleep well, the noise in my ear was intense, I could not sleep. The therapist appointed cinnarizine, bought a Bulgarian, I drink one pill at night and now the dream has improved, the noise in my ear has disappeared, I feel that the nervous system has calmed down.
Guests
Irina
Cinnarizin was taken back in Soviet times. And then all the drugs passed the necessary control. And the children were assigned a small one. The result was good. Good for migraine prevention. In addition, the noise in the head disappears, the pressure normalizes. Only it is necessary to drink all the packaging. I sleep from him. Therefore, at first I take 1/2 tablet for the night, then, when the body gets used a little, and on the whole tablet. And who does not have drowsiness from him, take the instructions. Now they write that it does not help with violations of cerebral circulation and other indications, but I believe that this is because of its low price, and analogues are times more expensive.
Visitors
Avel
I take 25 mg together with piracetam 800 mg 3 times a day, after alcohol intoxication and I feel fine, while driving, it seems the reactions are not slowed down. Did I choose the right dosage?
Administrators
admin
Avel, Already answered you deployed in a similar issue to Piracetam. If briefly: there is no sense in your situation to take one of these drugs, for this particular case they are weak. You can tell the body itself was tuned and you do not spoil it more with alcohol, otherwise the white fever and special hospital are provided.
Visitors
Avel
Thank you, of course, for the answer, but still I think there will be no harm if I drink a course of 2 weeks in the dosage I chose, i.e. piracetam 1.2 g per day, cinnarizine 75 mg. The fact is that the noise in the ears disappears, and brains like that are lightened, but with alcohol it is finished forever, but actually I did not use it just happened a breakdown after the death of my mother.
Administrators
admin
Avel, You decide. But at least to the neurologist could apply for advice, especially noise is present.
Visitors
Avel
There is a familiar neurologist, I will definitely consult.
Guests
olympiad
Very good drug. Periodically I drink, calms, the flies before my eyes stopped running, my head stopped spinning. Particularly good in combination with picamylon. I drink one tablet of picamilon + cinnarizine periodically, but I drink for two months. I recommend.
Guests
Inna
I always drink Cinnarizin, it helps me from nausea in the car and in the airplane. No side effects.
Guests
Raisa
Pew Fezam (cinnarizine and piracetam). I was advised by a very good doctor.
Guests
Leila
We are three years old, we prescribed one-third tablets of cinnarizine, the effect is beautiful. The son began to sleep at night, the tantrums stopped. Now that's finished. Now we drink tenoten, here from him we have the opposite effect, let's go to the doctor. The son with every day of reception less and less sleeps, screams more and generally as in the morning will rise, so to run begins like a madman or to cry for two hours.
Visitors
s.rozova
To a daughter 4 months, tone of an ankle is lowered, independently does not overturn, only by means of the adult. The neurologist prescribed cinnarizine for 1/4 t 3 r per day. Today is the third day of reception. The daughter is very tired, became inactive, decreased appetite, became drowsy, plays an hour, sleeps, constantly on hands, screams and cries. Previously, this was not. The pediatrician can not say anything, recommended to cancel and see the reaction. Whether it is necessary to stop taking the drug.
Which of the analogs will suit a four-month-old child?
Administrators
admin
s.rozova, Cinnarizine is contraindicated in children under the age of 12 years and all attempts to prescribe this medicine in incomprehensible dosages I consider only as testing on children. Our pediatricians and neurologists for some reason like this. Drugs on the market are now a great many, find yourself an intelligent pediatric neurologist (possibly paid) and are treated with special medications appropriate to your child's age. And so to understand what are related to your problems - with the drug itself or with the progression of the disease is difficult.
Guests
lads
s / rozova. Rather, look for a good children's neurologist. The pediatrician for such backlogs is not a doctor. Decreased tone - this is very serious and noticeable lag. You need to beat all the bells, if you want a normal development. I'm a grandmother, I had a live example before my eyes. I wish you all the best.
Dear admin, tell me, please.

At noise in ears to the age patient the chronic reception of cinnarizine was registered. We note that, coinciding in time with the onset of cinnarizine, her emotional state has changed dramatically in the direction of worsening, she cries almost every day. This can be due to the use of cinnarizine?

Thank you very much in advance.
Administrators
admin
Natalia 08042015, Replace Cinnarizine with indifferent tablets (calcium gluconate, for example, and better ones that are exactly the same size as the original, for the purity of the experiment) and try to give such a replacement to your mother somewhere for a week. If depressive episodes and latency of mood persist, then the reason is either in a similar mood for treating the patient or in developing some kind of organic mental illness.If it disappears, it means that the pill is to blame and you need to replace the treatment regimen.
Guests
Guizy
My child is 1 year old. Neurologist also prescribed cinnarizine 1/4 tab 2 times a day for 1 month. The instructions say before 12 years not to take. I do not know what to do?
Administrators
admin
Guizy, Nothing has changed in the instructions so far. The drug Cinnarizine is contraindicated in children under the age of 12 due to the inadequacy of clinical data on the use in this age group of patients. Therefore, the doctor always needs to evaluate whether the drug is really necessary for the child and whether it can not be replaced by the drug that is permitted for use in children with a similar therapeutic effect (depends on the disease). If not, then there is no choice, we will have to participate in the experiment.
Visitors
olga67
Is it possible to use cinnarizine in discircular hydrocephalus?
Administrators
admin
olga67, I understand the patient is a child.I already wrote that the appointment of drugs prohibited for children is made under the personal responsibility of the doctor, I myself do not comment on such appointments. Radical treatment of hydrocephalus is a bypass, that is an operation. Conservative treatment is the use of drugs with unproven efficacy in this disease.
Guests
Tatyana
A good drug. I have discirculatory encephalopathy, I drink twice a day. It helps ...
Guests
nechaev evgeny
Only good. I've been doing chemistry since the 90s, I asked a friend of an endocrinologist about cinnarizin, he told me, you listened to the song of Viktor Tsoi - my mother's anarchy, daddy's glass of port - I'll also say the same thing about the danger of cinnarizine at a dose of 200 mg per day.
Guests
Elena 12
I had such an experience. To the child somewhere in the third class the neurologist tsinnarizin has registered for memory. After the course of treatment (1 month) the child became much better able to learn. When the second grew up, I gave him myself, without an appointment. Same. My mother took him for many years.First, a month a year, then alternating with other medicines. She had problems with blood vessels. She lived to 91 years.
Guests
Fields
I took cinnarizine from headaches, which often accompanied me during my student years. On the preparation there was a double impression - a headache removes, but on replacement to it terrible drowsiness and delicacy comes. Therefore, most often drank it by evening, and in the daytime it was replaced with other drugs. With the prevention of seasickness a little helped, in a small sea cruise I was terribly hardened, so judge for yourself ...
Guests
Biba
I liked the drug very much, drank at night, slept well and woke up rested with a bright head. But I had to refuse, because I started to gain weight. At first, I did not associate with taking the drug, and then re-read the side effects and saw a "set of body weight". Sorry ... Substitutions have not yet found, although I tried different analogs, it's not that.
Guests
Valentine 777
It helps very well from noise in the ears, but in fact, the body weight significantly increases.
Guests
Alla
Can I apply cinnarizine with piracetam medication?
Administrators
admin
Alla, Can. This combination is even recognized as useful. There are even specially developed preparations with a similar combination of active substances - Fezam, Piratsin, and others.
Guests
Nina Sibiryachka
I had severe headaches. Has started to accept Tsinnarizin and I have got rid it is possible to tell or say absolutely from headaches. But I've been drinking them for 5 months already. I'm afraid that these pains will return if I stop taking these pills.
Guests
Lena
About 20 years ago, I was prescribed for severe headaches, my head began to ache even more, so now, after the appointment of the neurologist, I did not dare to take it for a long time (I had a headache, then a headache, then dizziness and unsteadiness of gait), after recommending another neurologist decided . It helped with headaches.

The headache helped, but the weight really adds, though I do not have drowsiness, but insomnia, so I refused the third pill, and the second I try to drink no later than 16 hours.
Guests
Alexey.
Whatever feedbacks were from friends - read the instructions. If there are differences with the appointment of a doctor - do not hesitate to ask the doctor who prescribes this medication. Now appointments are done according to standards, standards can change repeatedly. Much depends on the preparedness of the doctor (as in any profession there are specialists of different levels on professional literacy and in relation to his work). Your health is your capital, your property and you decide how to dispose of it. If you need to be treated - you are treated by a competent doctor. Where and how to find such a doctor is another matter. If you have money, go to a country with well-developed medicine.
Administrators
admin
Alexey., A country with well-developed medicine is not always an indicator of the quality of care. In any country it all depends on a specific specialist and even in the same Switzerland there are doctors who treat bronchitis or pneumonia with aerosols based on sea water (from own experience). Although it is unclear, and to this topic Cinnarizine :)
Guests
olga
I have this rash - Cinnarizine - a rash and terrible itching. Draw a conclusion.
Guests
Zaira
I also drink it. Very much pulls to a dream and delicacy has appeared.
Guests
Valentina777
Is it possible to take cinnarizine with a drug tioktatsid if the instruction says that tioktatsid binds metals, and cinnarizine blocks calcium? Can there be any negative consequences? Cinnarizine, I drink monthly courses from noise in my head, it helps, but it's much more complete, and thioctacid protects the liver from fatty dystrophy. Thank you in advance for your response.
Administrators
admin
Valentina777, There should be no consequences. Tioctacid and Cinnarizine do not interact negatively in the human body and can be used in joint therapy schemes on the recommendation of the attending physician.
Guests
Valentina777
The recommendation of the attending physician: "Look for something on the Internet, it is necessary to search for the medicine which helps or assists" and appoints vascular preparations (Cavintonum, piracetamum,etc.), from which the hum and noise become even more intense. Helps cinnarizin slightly and strangely enough phlebodia (drank in the spring 2 months from varices), but for 2 years added 14 kg, and the buzz does not go away and just drives me crazy.
Administrators
admin
Valentina777Irresponsibility and indifference of some of our doctors amaze. Why do you need to go to the profession? Why not prescribe the medication itself in turn, track the dynamics and adjust depending on the outcome of the therapy scheme. A lot of time it does not take.
Guests
Tatyana
Yes, I from tsinnarizina too have recovered strongly, but signs have disappeared. There was a noise in the ears ...
Guests
Valentina777
Hello, dear administrator. I did not correctly put it, she was a good doctor, she prescribed all sorts of examinations, tests (all within the age limit) and different treatment regimens, but nothing helps or helps for a short while, so she suggested looking for people with a similar problem on the Internet. The matter is that at me otosclerosis (stapedoplastika in 2003), there is a forum of deaf people, otosclerozniks all "rustle with ears" and it is difficult to treat.Those who are closer to the center are consulted by leading Moscow otosurgeons and professors, then they share what helped: cinnarizine helps many, and also tioctacid + gliatilin, but I have not tried this scheme yet. I'm not a hypochondriac, I'm just so tortured by the rumble and noise, I want to stay in silence for a while.
Visitors
belle
Hello. One acquaintance was prescribed Cinnarizine in the treatment of strabismus in a child, they helped. Tell me, does Cinnarizine really help with this disease if the strabismus is associated with the nervous system? Thank you
Administrators
admin
belleIf it did not pass by itself, it means it helped, although there is no such testimony from Tsinnarizin. The reasons for strabismus can be many, many at this level of medicine do not lend themselves to direct treatment, the option with self-healing can not be ruled out. Cinnarizine acts on the nervous system indirectly, through the vascular component of the brain tissue.
Guests
Lyudmila
Hello.Does the cinnarizine drug contribute to weight gain, which is highly undesirable in my case? Sincerely, Ludmila.
Administrators
admin
Lyudmila, One of the side effects of taking Cinnarizine may be weight gain, but like any other side effect this is nothing more than a probability that is a fraction of a percent.
Guests
Olga
The doctor prescribed the therapist, the first pill at night, just "cut out", the last two mornings and the day - drowsiness and apathy, and in addition to all the strong stomach pains to tears (I suffer from the gastrointestinal tract).
Guests
Tatyana
I do not recommend it. M.b. drug and relieves dizziness, but pobochka in the form of 20 extra pounds per month - that's too much. It is better to look for something more innocuous.

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