Riabal - instructions for use, analogs, reviews and release forms (solution or syrup for ingestion of 5 mg) drugs for the treatment of vomiting, flatulence, spasms and colic in adults, children (including infants and newborns) and in pregnancy
In this article, you can read the instructions for using the drug Riabal. Presented are reviews of visitors to the site - consumers of this medication, as well as opinions of doctors specialists on the use of Riabal 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 Riabal in the presence of existing structural analogues.Use to treat vomiting, flatulence, spasms and colic in the muscles of the digestive tract in adults, children (including infants and newborns), as well as during pregnancy and lactation.
Riabal - m-holinoblokator from the group of quaternary ammonium compounds. Affects the m-holinoretseptora different localization, incl. Gastrointestinal tract, biliary tract, urogenital tract: effectively eliminates and prevents spasms of smooth muscles, lowers the tone of smooth muscles, weakens peristalsis. Reduces the secretory activity of the digestive glands.
Composition
Prinfonia bromide + auxiliary substances.
Pharmacokinetics
Slowly absorbed from the digestive tract. It is excreted with bile, kidneys.
Indications
- pain syndrome associated with spasms of smooth muscles of the biliary tract, urogenital tract, gastrointestinal tract;
- premedication before instrumental and radiologic examination of the digestive tract;
- vomiting, flatulence, spasms of smooth muscles of the digestive tract in newborns and young children.
Forms of release
Solution for ingestion 5 mg (sometimes mistakenly called syrup or drops).
Instructions for use and dosing regimen
Adults inside - 45-120 mg per day in divided doses, it is possible to use in higher doses.
Inside, for children, 3 times a day. The average daily dose is 1 mg / kg of body weight (in one pipette filled to the red line, 2 mg of bromide is contained).
Side effect
- dry mouth;
- constipation;
- mydriasis;
- drowsiness;
- paralysis of accommodation;
- increased intraocular pressure.
Contraindications
- angle-closure glaucoma;
- benign prostatic hyperplasia;
- intestinal obstruction;
- intestinal atony;
- megacolon;
- gastrointestinal bleeding;
- hypersensitivity to prininiya bromide.
Application in pregnancy and lactation
The effect of Riabal on pregnant women and when breastfeeding has not been studied.
Use in children
C use caution in chronic lung diseases in young children (a decrease in bronchial secretion can lead to a thickening of the secret and the formation of congestion in the bronchi); Down's disease (perhaps unusual dilated pupils and an increase in heart rate), cerebral palsy (response to anticholinergics may be most pronounced).
Children and newborn doses are set depending on the age, body weight.
special instructions
Be wary of using Riabal in patients with cardiovascular disease, in which an increase in heart rate may be undesirable: atrial fibrillation, tachycardia, chronic heart failure, IHD, mitral stenosis, hypertension, acute bleeding; with thyrotoxicosis (tachycardia may be increased); elevated temperature (may still increase due to suppression of the activity of sweat glands); in reflux esophagitis, hiatal hernia, combined with the reflux oesophagitis (decreased motility of the esophagus and stomach and lower esophageal sphincter relaxation may help slow gastric emptying and increased gastroesophageal reflux through sphincter with impaired function); in diseases of the gastrointestinal tract accompanied by obstruction - achalasia of the esophagus, stenosis of the pylorus (there may be a decrease in motor and tone, leading to obstruction and gastric retention); with increased intraocular pressure; with NNC (high doses can inhibit the intestinal peristalsis, increasing the probability of paralytic obstruction of the intestine, in addition, the manifestation or aggravation of such a serious complication,as a toxic megacolon); when dry in the mouth (prolonged use may cause a further increase in the severity of xerostomia); with hepatic insufficiency (decreased metabolism) and renal failure (risk of side effects due to reduced excretion); with chronic lung diseases, especially in young children and weakened patients (a decrease in bronchial secretion can lead to a thickening of the secret and the formation of congestion in the bronchi); with myasthenia gravis (the condition may worsen due to inhibition of the action of acetylcholine); at gestosis (hypertension is possible); brain damage in children (effects from the central nervous system may be intensified); Down's disease (perhaps unusual dilated pupils and an increase in heart rate), cerebral palsy (response to anticholinergics may be most pronounced).
Drug Interactions
When applied simultaneously with the other m-holinoblokatorami, as well as drugs having m-anticholinergic activity (including amantadine, haloperidol, phenothiazines, MAO inhibitors, tricyclic antidepressants, some antihistamines) increases the risk of side effects.
Strengthens the effect of opioid analgesics, antidepressants, neuroleptics, antiparkinsonian and atropine-like remedies.
Analogues of the drug Riabal
Rialbal does not have structural analogs for the active substance.
Analogues on the curative effect (agents for the treatment of flatulence):
- Activated carbon;
- Baby clothes;
- Bimaral;
- Bromocriptine;
- Galidor;
- Ganaton;
- Gastenorm forte;
- Gaviscon;
- Gestid;
- Digestal;
- Diflatil;
- Domperidone;
- Iberogast;
- Itomed;
- Yogulact;
- Carbopect;
- Maalox;
- Markalact;
- Mezim;
- Mezim forte;
- Metamol;
- Metovit;
- Metoclopramide;
- Milk of magnesia;
- Motilac;
- Motion;
- But the spine;
- But the forte;
- Panzim Forte;
- Panzinorm forte;
- Pancreatin;
- Penzital;
- Perinorm;
- Rennie;
- Sub simplex;
- Simikol;
- Smecta;
- Spasmonet;
- Trimedate;
- Festal;
- Hilak forte;
- Holenzim;
- Hofitol;
- Zeolate;
- Espumizan;
- Unienzyme.
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