Stugeron - instructions for use, analogs, reviews and release forms (tablets 25 mg, capsules 75 mg) of the drug for the treatment of headache, dizziness and tinnitus in adults, children (including infants and newborns) and in pregnancy

In this article, you can read the instructions for using the drug Stugeron. Presented are reviews of visitors to the site - consumers of this medication, as well as opinions of doctors of specialists on the use of Stugeron 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 Stugeron in the presence of existing structural analogs.Use to treat headaches, dizziness and tinnitus in adults, children (including infants and newborns), as well as during pregnancy and lactation.

Stugeron - a selective blocker of slow calcium channels, reduces the entry of calcium ions into cells and reduces their content in the depot of the plasmolemma, lowers the tone of the smooth muscles of arterioles, enhances the vasodilating effect of carbon dioxide. Immediately affecting the smooth muscles of blood vessels, reduces their response to nutrients (adrenaline, norepinephrine, dopamine, angiotensin, vasopressin). 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. Increases the elasticity of erythrocyte membranes, their ability to deform, reduces the viscosity of the blood. Increases muscle resistance to hypoxia.

Composition

Cinnarizine + auxiliary substances.

Pharmacokinetics

The drug is resorbed in the stomach and intestines. The connection of cinnarizine with plasma proteins is 91%.It is completely metabolized in the liver (via glucuronation). Derived in the form of metabolites: 1/3 kidney, 2/3 through the intestine.

Indications

• treatment of symptoms of cerebrovascular origin (dizziness, tinnitus, headache of vascular genesis, irritability);
• vestibular disorders (including Meniere's disease, dizziness, tinnitus, nystagmus, nausea and vomiting of labyrinthine origin);
• prevention of kinetosis ("road sickness" - sea and air sickness);
• migraine (prevention of seizures);
• violations of peripheral circulation ("intermittent" lameness, Raynaud's disease, diabetic angiopathy, thrombophlebitis, trophic disorders, including trophic and varicose ulcers).

Forms of release

Tablets 25 mg.

Capsules with a maximum dosage of 75 mg.

Instructions for use and dosing regimen

Inside, after eating.

If there is a violation of the blood circulation of the brain - 25-50 mg (1-2 tablets) 3 times a day; when peripheral circulation is disturbed - 50-75 mg (2-3 tablets) 3 times a day; with vestibular disorders - 25 mg (1 tablet) 3 times a day; with kinetosis ("road" disease): adults - 25 mg 30 minutes before the road (if necessary, repeated intake of 25 mg after 6 hours), children - 1/2 dose recommended by an adult.

With hypersensitivity 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;
• fatigue;
• headache;
• extrapyramidal disorders (limb tremor and increased muscle tone, hypokinesia in elderly patients with long-term treatment, in such cases, treatment should be discontinued);
• depression;
• dry mouth;
• pain in the epigastric region;
• dyspepsia;
• cholestatic jaundice;
• sweating;
• development of lupus-like syndrome;
• red flat lichen (extremely rare);
• skin rash;
• allergic reactions;
• increase in body weight.

Contraindications

• pregnancy and the period of breastfeeding;
• hypersensitivity to the components of the drug.

Application in pregnancy and lactation

The drug is contraindicated for use during pregnancy and during breastfeeding.

Application in elderly patients

With prolonged use in elderly patients, extrapyramidal disorders (tremor of extremities and increase of muscle tone) are possible, in such cases treatment should be discontinued.

Use in children

With kinetosis ("road" disease), children are recommended 1/2 dose recommended by adults.

special instructions

At the beginning of treatment should be refrained from potentially dangerous activities that require increased concentration of attention and psychomotor reactions, as well as from drinking alcohol.

Due to the presence of antihistamine effect, Stugeron can influence the result of the athletes' anti-doping control (false positive result), and also can neutralize positive reactions during skin diagnostic tests (for 4 days before the study the 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.

Patients suffering from Parkinson's disease should be prescribed Stugeron only when the intended benefit exceeds the potential risk of deterioration.

Drug Interactions

Strengthens the effect of alcohol and sedatives.

When used simultaneously with nootropic, antihypertensive and vasodilating agents, it enhances their effect, and with simultaneous use with drugs,prescribed by arterial hypotension - reduces their effect.

Analogues of the drug Stugeron

Structural analogs for the active substance:

• Vertizine;
• Vertizin Forte;
• Cinedal;
• Cinnarizine;
• Cinnaron;
• Cinnasan.

Analogues on the pharmacological group (means for the treatment of cerebral atherosclerosis):

• Agapurin;
• Aminalon;
• Antisclerin;
• Vestibo;
• Vinpoton;
• Vinpocetine;
• Gamalon;
• Dimephosphone;
• Zocor;
• Zokor forte;
• Instenon;
• Cavinton;
• Cavinton forte;
• Combbitropyl;
• Xantinol nicotinate;
• Mexidol;
• Memorial;
• Neurox;
• Nicergoline;
• Nootebril;
• Nootropil;
• Omaron;
• Pantogam;
• Pentoxifylline;
• Ralofect;
• Sermion;
• Simlo;
• Trental;
• Fezam;
• Cytoflavin;
• Eikonol;
• Eifitol;
• Esledin.

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