Pantogam solution instructions for use for children. Pantogam syrup for children - reviews

Pantogam

International non-proprietary name

Hopantenic acid

Dosage form

Syrup 100 mg/ml

Compound

100 ml of the drug contains:

active substance- calcium hopantenate (Pantogam®) 10.0 g;

Excipients: glycerin (in terms of 100%), sorbitol, citric acid monohydrate, sodium benzoate, aspartame, food flavor "Cherry 667", purified water

Description

Colorless or slightly yellowish liquid with a cherry odor

Pharmacotherapeutic group

Psychostimulants and nootropics others.

ATX code N06BX

Pharmacological properties

Pharmacokinetics

Pantogam is rapidly absorbed from gastrointestinal tract, crosses the blood-brain barrier, highest concentrations are created in the liver, kidneys, in the wall of the stomach and skin. The drug is not metabolized and is excreted unchanged within 48 hours: 67.5% of the dose is excreted by the kidneys, 28.5% is excreted in the faeces .

Pharmacodynamics

The spectrum of action of Pantogam is associated with the presence of gamma-aminobutyric acid in its structure. The mechanism of action is due to the direct influence of Pantogam on the GABAB-receptor-channel complex. The drug has a nootropic and anticonvulsant effect. Pantogam increases the resistance of the brain to hypoxia and the effects of toxic substances, stimulates anabolic processes in neurons, combines moderate sedative effect with a mild stimulating effect, reduces motor excitability, activates mental and physical performance. Improves GABA metabolism in chronic alcohol intoxication and after the abolition of ethanol. It is able to inhibit acetylation reactions involved in the mechanisms of inactivation of novocaine and sulfonamides, thereby prolonging the action of the latter is achieved. Causes inhibition of pathologically increased cystic reflex and detrusor tone.

Indications for use:

children with perinatal encephalopathy from the first days of life

various forms children's cerebral palsy

mental retardation varying degrees severity, including behavioral disorders

psychological status disorders in children in the form of a general delay mental development, specific speech disorders, motor functions and their combinations, the formation of school skills (reading, writing, counting, etc.)

hyperkinetic disorders including attention deficit hyperactivity disorder

neurosis-like states (with stuttering, predominantly clonic form, tics, inorganic encopresis and enuresis)

decrease in mnestic-intellectual productivity due to atherosclerotic changes in cerebral vessels, in the initial forms of senile dementia, organic brain lesions of traumatic, toxic, neuroinfectious origin

schizophrenia with cerebral organic insufficiency (in combination with psychomotor drugs)

extrapyramidal disorders in organic brain diseases (myoclonus epilepsy, Huntington's chorea, hepatolenticular degeneration, Parkinson's disease, etc.), as well as for the treatment and prevention of extrapyramidal syndrome caused by the use of neuroleptics

epilepsy with retardation mental processes and a decrease in cognitive productivity in conjunction with anticonvulsants

psycho-emotional overload, decreased mental and physical performance to improve concentration and memory

neurogenic disorders of urination (pollakiuria, imperative urge, imperative urinary incontinence)

Dosage and administration

Pantogam syrup 100 mg / ml is taken orally 15-30 minutes after a meal. A single dose for adults is usually 2.5-10 ml (0.25-1 g), for children - 2.5-5 ml (0.25-0.5 g); daily dose for adults - 15-30 ml (1.5-3 g), for children - 7.5-30 ml (0.75-3 g). The course of treatment is 1-4 months, sometimes up to 6 months. After 3-6 months, a second course of treatment is possible.

For children, depending on the age and pathology of the nervous system, the following dose range is recommended: children of the first year - 5-10 ml (0.5-1 g) per day, up to 3 years - 5-12.5 ml (0.5- 1.25 g) per day, children from 3 to 7 years old - 7.5-15 ml (0.75-1.5 g), over 7 years old - 10-20 ml (1-2 g). The tactics of treatment involves increasing the dose within 7-12 days, taking in maximum dose for 15-40 days or more with a gradual decrease in dose until cancellation within 7-8 days. The course of treatment is 30-90 days (for certain diseases up to 6 months or more).

in schizophrenia in combination with psychotropic drugs- from 5 to 30 ml (0.5-3 g) per day. The course of therapy is from 1 to 3 months. With epilepsy in combination with anticonvulsants - at a dose of 7.5 to 10 ml (0.75-1 g) per day. The course of therapy is up to 1 year or more. With neuroleptic syndrome, accompanied by extrapyramidal disorders, the daily dose is up to 30 ml (up to 3 g), treatment for several months. With extrapyramidal hyperkinesis in patients with organic diseases of the nervous system - from 5 to 30 ml (0.5-3 g) per day. The course of treatment is up to 4 or more months.

With the consequences of neuroinfections and traumatic brain injuries - from 5 to 30 ml (0.5-3 g) per day.

To restore working capacity at increased loads and asthenic conditions, Pantogam is prescribed 2.5-5 ml (0.25-0.5 g) 3 times a day.

For urinary disorders in children - 2.5-5 ml (0.25-0.5 g), the daily dose is 25-50 mg / kg, the course of treatment is 1-3 months; adults - 5-10 ml (0.5-1 g) 2-3 times a day.

Side effects

Rarely:

Allergic reactions (rhinitis, conjunctivitis, skin allergic reactions) are possible. In this case, reduce the dose or cancel the drug.

Rarely:

CNS disorders (hyperarousal, sleep disturbance or drowsiness, lethargy, lethargy, headache, dizziness, noise in the head). In this case, reduce the dose of the drug.

Contraindications

Hypersensitivity to the drug

Acute severe illness kidney

Pregnancy (1 trimester) and lactation

Phenylketonuria (syrup contains aspartame)

Drug Interactions

Prolongs the action of barbiturates, enhances the action of anticonvulsants, prevents the side effects of phenobarbital, carbamazepine, neuroleptics. The effect of Pantogam is enhanced in combination with glycine, etidronic acid. Potentiates action local anesthetics(procaine).

special instructions

In the first days of taking the drug, care should be taken when administering vehicles and mechanisms, given the possible occurrence of drowsiness.

Overdose

Symptoms: increased symptoms side effects(sleep disturbance or drowsiness, noise in the head).

Treatment: activated charcoal, gastric lavage, symptomatic therapy.

Release form and packaging

100 ml in dark glass bottles, sealed with lids with a control ring for the first opening. Each bottle, together with a measuring spoon with a nominal volume of 5 ml and with a score marked "½" (corresponding to 2.5 ml) or with a measuring spoon with a nominal volume of 5 ml with scores marked "¼" and "½" (corresponding to 1, 25 ml and 2.5 ml), with instructions for use in the state and Russian languages, are placed in a pack of cardboard.

Storage conditions

Store in a place protected from light at a temperature not exceeding 25 ° C.

After opening the package, store in the refrigerator.

Keep out of the reach of children!

Shelf life

The period of application after opening - 1 month.

Do not use after the expiration date.

Terms of dispensing from pharmacies

On prescription.

Registration certificate holder

PIK-PHARMA LLC, Russia, 125047, Moscow, per. Armory, 25, building 1.

Manufacturer

PIK-PHARMA PRO LLC, Russia, 188663, Leningrad region, Vsevolozhsky district, Kuzmolovsky settlement, building of workshop No. 92.

Address of the organization that accepts claims from consumers on the quality of products (goods) on the territory of the Republic of Kazakhstan:

"Pantogam" syrup for children is a nootropic agent, the mechanism of action of which is aimed at stimulating processes in the brain and restoring the functions of the nervous system. Taking this medication can improve the intellectual and physical condition of the child.

The basic component of the nootropic drug for children is hopantenic acid.

As additional elements added to the composition:

• sodium benzoate;
• sorbitol;
• glycerol;
• citric acid monohydrate;
• flavored additive "Cherry";
• water.

The drug is presented in the form of a clear or yellowish solution that smells like cherries. The medicine is packaged in 100 ml bottles placed in cardboard boxes.

Pharmacological action and indications for use

The active ingredients of "Pantogam" allow you to protect brain tissue from harmful factors, both external and internal, and reduce the excitability of neurons.

In addition, the drug has such an effect on the body:

• stimulates processes in brain tissues;
• increases the resistance of cells under conditions oxygen starvation;
• reduces the degree negative impact toxins;
• eliminates excessive sensitivity of the nerve centers;
• blocks convulsive manifestations;
• restores vital processes;
• speeds up metabolism;
• at long-term use has a mild sedative effect.

The absorption of the components takes place in the stomach and intestines, through the walls of these organs they move into the blood. After 2-3 days, the bulk of the drug is excreted during urination and defecation.

Why is Pantogam syrup prescribed for children?

It is used in the treatment of the following conditions:

• encephalopathy of the perinatal type;
• mental retardation;
• the initial stage of senile dementia;
• pathologies of cerebral vessels;
• brain damage due to exposure to toxins or infections;
• epileptic seizures under the condition of inhibition intellectual development;
• enuresis of neurogenic origin;
• schizophrenic illness;
• neurosis-like states (stuttering and tics);
• extrapyramidal disorders (Parkinson's disease, Huntington's syndrome and others);
• extrapyramidal syndrome against the background of taking antipsychotic drugs;
• brain injuries, acquired and birth;
• hyperactivity with lack of attention;
• difficulties in acquiring primary school skills;
• disorders of the motor and speech apparatus;
• reduced memory.

On a note. As a rule, Pantogam syrup is drunk together with other medicines as part of complex treatment.

At what age can children be given

Pantogam syrup can also be used for newborns in the minimum dosage. Moreover, for children under 3 years old, this remedy is prescribed, only in liquid form.

At an older age, the doctor may prescribe the tablet "Pantogam" to the patient. In most cases, it is prescribed upon reaching the age of 12-14 years.

Instructions for use of the nootropic drug

You need to give the baby syrup 15-20 minutes after eating 2-3 times a day. The number of receptions is determined by the attending physician.

Method of application and dosage

For children at different ages, a certain dosage of a single use is provided:

• from birth to 12 months - 5-10 ml;
• from 1 to 3 years - 5-12 ml;
• from 3 to 7 years - 7-15 ml;
• from 7 years - 10-25 ml.

Most often, the first dose of the drug is prescribed in the minimum dosage with a daily increase for 7 days. When the volume reaches its maximum, the child is given this amount of medication for 4 to 8 weeks, and then the dose is reduced until it is completely discontinued.

Attention! The volumes of the drug are indicated in accordance with the instructions for use, but the attending physician may make his own adjustments depending on the type of disease.

Special instructions for taking syrup

For ease of use, a special syringe with measured divisions is attached to the syrup. It can be used not only to measure the right amount of the drug, but also to give medicine to the child using this device. It is important that the baby swallows the syrup on his own and does not spit it out.

The drug has a pleasant taste, so you can drink it in its pure form, without diluting it with water. The last appointment should be no later than 18 hours, because medicine has a slight stimulating effect.

Attention! To achieve the maximum effect, it is necessary to give the child the medicine at the same time.

How long does a course of treatment with syrup last?

The course of treatment with the use of Pantogam syrup lasts from 1-3 months, and in some cases can be extended up to six months. At the end of the reception, they take a break for 3-7 months, and then you can prescribe the drug again.

Drug interactions with other drugs

When Pantogam syrup is taken in combination with barbiturates, this allows its effect to be prolonged.

Glycine and medicinal formulations with etidronic acid enhance the effect of this nootropic agent.

When the drug is combined with anticonvulsant drugs, the effectiveness of the latter increases.

If "Pantogam" is taken together with analgesics, their effectiveness increases.

When the syrup interacts with neuroleptic drugs, as well as drugs containing carbamazepine and phenobarbital, they are neutralized side effects resulting from their intake.

Attention! You can not combine "Pantogam" with other medicines of the nootropic group, the action of which is aimed at stimulating the central nervous system.

Contraindications, side effects and overdose

It is forbidden to use "Pantogam" in any dosage form if the baby is diagnosed with the following conditions:

• severe kidney and liver diseases;
• the presence of chronic renal or hepatic insufficiency;
• signs of intolerance to the components of the remedy.

This medicine, even in the absence of contraindications, can have a side effect, which is manifested by the following symptoms:

• the appearance of a rash;
• runny nose;
• conjunctivitis;
• other signs of allergies.

In addition, the following problems may occur:

• noise in ears;
• sleep disorders;
• weakness and drowsiness during the day.

Such side effects are classified as short-term cases and are not considered grounds for discontinuing the medication.

With an overdose, these symptoms increase. In this situation, it is required to wash the patient's stomach and give an enterosorbent. If necessary, symptomatic therapy is carried out.

Attention! If the baby has symptoms associated with exceeding the recommended dose, you should not take any action on your own, but immediately call an ambulance.

Analogues of children's syrup "Pantogam"

If Pantogam is contraindicated for the baby, you can replace it with one of the following:

• "Aminalon". This is a tablet medicine used in the treatment of cerebral palsy, with brain damage and intellectual retardation. Can be prescribed for babies after a year.
• "Anvifen". This remedy is packaged in capsules and contains aminophenylbutyric acid. Effective for enuresis, stuttering, sleep difficulties and other neurological disorders. It is allowed to appoint kids who have reached the age of three.
• "Glycine". This drug is presented in the form of lozenges. Helps eliminate insomnia and nervousness, stimulates memory and mental capacity, prevents stress in the background increased loads. The medicine can also be prescribed to newborns, but in these cases, until the child reaches the age of 3 years, treatment with the drug is carried out under the strict supervision of specialists.
• Calcium hopantenate. Means of Russian production in tablet form. Its difference from "Pantogam" is only in the type auxiliary components included in the composition. May cause severe allergic reactions, which must be considered before taking. Recommended for children over 3 years old.
• "Cogitum". This medicine is presented in the form of a solution with a pleasant banana flavor, packaged in glass ampoules. The active substance is acetylaminosuccinic acid. Effective in the treatment of pathologies of the nervous system and developmental delays. We can assign as independent remedy or within complex therapy children from 7 years old. Sometimes it can be recommended for babies who have reached the age of three.
• "Cortexin". The drug is available as an injectable solution and helps improve brain function in the treatment of neurological disorders. It can be applied with early age, as well as prescribe to newborns in cases of birth injuries.
• "Pantocalcin". This medicine is available in the form of syrup and tablets and is considered practically complete analogue"Pantogama". indications for prescribing and pharmacological effect match.
• "Piracetam". In composition and effect, this nootropic drug is close to Pantogam and is available in tablets, capsules and injection solutions. Approved for use from an early age.

Attention! Only a specialist should be engaged in the selection of an analogue, practicing self-treatment, you can cause irreparable harm to the health of the baby.

It happens that a doctor prescribes Pantogam to a healthy-looking baby, but the medicine is also used to treat older children. This is a drug that belongs to nootropics - medical supplies affecting brain function. Most parents are concerned about the question of how dangerous is intervention in the work of the central nervous system? Will this medicine harm the baby? We will figure out what the main functions of Pantogam are, why it is prescribed for babies, and learn about possible side effects.

In case of violations of the highest nervous activity in children, Pantogam is often prescribed

Description of Pantogam

Pantogam is an anticonvulsant nootropic. Its action is described in the annotation:

• activates brain activity, which awakens the child's interest in learning, knowledge of the world around;
• clears emotional imbalance psychological condition the patient in balance;
• helps to establish a healthy sleep;
• helps to avoid convulsive conditions;
• ensures the safety nerve cells;
• promotes the regeneration of neurons and activates the emergence of new ones;
• normalizes the blood circulation of the brain and ensures the removal of substances formed during the breakdown of glucose;
• works as a brain protection against hypoxia and toxic effects.

Release form and composition

The drug is produced in two forms - in the form of syrup and tablets. The second option is used to treat adult patients and children older than 3 years.

Pantogam syrup for newborns and infants is used for therapy in children under 3 years of age, for older babies - only tablets.

As part of the drug active substance calcium hopantenate (pantogam) acts, and auxiliary ingredients are also present. Consider the composition of the tablets:

• calcium hopantenate - 0.25 or 0.5 g;
• magnesium hydroxycarbonate;
• calcium stearate;
• methylcellulose;
• talc.

Pantogam syrup for newborns and babies

The composition of the syrup is much richer - consider what exactly is included in 100 ml of the drug. Except active substance, as auxiliary ingredients there is a whole list of components:

• calcium hopantenate - 10 g (basic substance);
• sorbitol;
• glycerol;
• citric acid monohydrate;
• cherry flavor;
• sodium benzoate;
• aspartame;
• water.

When is Pantogam prescribed?

There are clear indications for the use of the drug. We list those that are indicated in the instructions:

Perinatal encephalopathy - an indication for the use of Pantogam from birth (we recommend reading:)

• Perinatal encephalopathy - with this diagnosis, they begin to give syrup to newborns.
• In various variants of cerebral palsy, they are also given to drink to newborns.
• Delay mental development against the background of behavioral deviations.
• Psychological pathologies, they include various developmental delays - mental, physical, deviations in motor and speech functions (ZRR).
• Hyperactivity and other hyperkinetic disorders.
• mental disorders due to neurotic disorders associated with cognitive (cognitive) processes. Sometimes such disorders are caused by brain injuries or occur during the recovery period after neuroinfections.
• Tic, stuttering, inorganic neoprene and other neurotic conditions.
• Schizophrenia and associated cerebral organic disorders. In these cases, the drug is used in combination with psychotropic drugs.
• Huntington's syndrome, Parkinson's disease and diseases of a similar kind.
• Epileptic seizures, as a result of which deterioration in mental perception is possible, as well as inhibition of cognitive processes. In such situations, Pantogam is prescribed along with other medicines that have an anticonvulsant effect.
• Deviations in work genitourinary system neurogenic character. These include enuresis, frequent urination, and other imperative-type disorders.

Pantogam is prescribed for excessive excitability and during stressful situations

• To support psycho-emotional balance during stressful situations, as well as to improve physical condition, increasing efficiency, enhancing mental activity.
• As an "assistant" in the development of reading, writing, numeracy and logical thinking necessary for school children.

Contraindications to the use of the drug

Despite a lot of positive effects and good tolerance, Pantogam has contraindications. We will list the most important ones. Tablets are not recommended:

• children under three years of age;
• women during pregnancy and lactation.

The syrup is also contraindicated in pregnant and lactating women. In addition, this drug is not suitable for people diagnosed with phenylketonuria, since aspartame is indicated in the composition of the syrup.

• individual sensitivity to one or more components of the drug;
• renal dysfunction in the acute phase.

Side effects

In what cases do side effects occur? They are possible with prolonged use of the drug, as well as in violation of the recommendations listed in the instructions. Consider the possible side effects:

Long-term use Pantogam or its overdose can cause insomnia

• allergic reaction - urticaria, rash, conjunctivitis;
• insomnia;
• lethargy or, conversely, hyperactivity.

With an overdose of the drug, psychoemotional disorders are also possible. Such deviations can be expressed in a lethargic or overly active behavior of the patient. In addition, an overdose can cause allergies and symptoms of intoxication - nausea, vomiting, diarrhea.

It is important to consider the interaction of the drug with other medicines. Anticonvulsants, barbiturates, sedatives will become more effective in collaboration with Pantogam. At the same time, the drug reduces the manifestations of side effects of neuroleptics and Phenobarbital.

Experts warn parents: Pantogams are not given to children in preventive purposes. This medicine is used for treatment only.

Methods of application with dosage calculation

The drug should be given to the patient, correctly calculating the dosage. The duration of administration, the daily dose is determined by the age of the child, the severity of his condition, as well as the presence concomitant diseases.

Pantogam must be taken strictly according to the instructions

If a we are talking about the baby, the syrup should be given to him twice a day after feeding. It is desirable that the interval between eating and taking the medicine is at least a quarter of an hour. Experts do not recommend medicine for use at bedtime, as it can cause nervous excitement in the baby.

Up to 12 months, the regimen of the drug and the dosage are calculated based on the body weight of the baby: from 30 to 50 mg of Pantogam per 1 kg of baby weight. If the baby is older than a year, the following recommendations should be followed:

• At one time, the child should receive at least 250 mg of the active substance. For syrup, this means 2.5 ml, but if we are talking about tablets, then 1 piece of 250 mg, or ½ - 500 mg.
• The upper limit of a single use of the active substance is 500 mg. This means - 5 ml of syrup / 2 tablets of 250 mg or 1 piece of 500 mg.
• In the course of therapy in one day, the baby cannot receive less than 750 mg of the active substance. This means - 7.5 ml of syrup, or 3 tablets of 250 mg, 1.5 pieces of 500 mg.
• A child should not take more than 3000 mg of calcium hopantenate per day. This amount of the substance is contained in 30 ml of syrup, 12 tablets of 250 mg, or in 6 pieces of 500 mg.

The duration of taking Pantogam is determined by the attending physician.

On average, the drug is limited to 3 months (at least 1 month). In exceptional cases, the doctor may recommend continuing to take Pantogam for up to six months or even a year. So much time may be required for the treatment of epilepsy and other serious diseases.

The dosage for treatment is indicated separately infectious diseases, consequences of brain injuries, various tics. It ranges from 1000 to 3000 mg of the active substance per day. The course of treatment should not be less than 30 and more than 45 days.

Name of the disease	Single dose / per day, mg	Duration of treatment
Asthenia	250-1500 mg / 750 - 3000 mg	Determined by the doctor
developmental delay	250-1000mg/250-2000mg	At least 30 days, treatment up to 3 months is possible
cognitive deviations	250-1500mg/750-3000mg	At least 45 days, the duration of treatment may be more than 4 months
Organic pathologies of the brain (injuries, infections)	250 mg/750-1000 mg	At least 45 days
Psycho-emotional disorders, overload	500 mg/750-1000 mg	Determined by the doctor
Attention Deficit Hyperactivity Disorder	250-1000 mg/250-2000 mg	From 45 days to 4 months
Tiki of various types	250-500 mg/750-3000 mg	From 30 days to 4 months
Mental retardation	120-1000 mg/1000-3000 mg	Determined by the doctor
Schizophrenia	500 mg/3000 mg	Determined by the doctor
Extrapyramidal hyperkinesis	250-500 mg/500-3000 mg	Determined by the doctor
Epilepsy	250-500 mg/750-1000 mg	At least a year or more

Drug analogues

Pantogam is produced by the Russian company PIK-PharmaPro LLC. If you need to replace it and choose an analogue, it makes sense to pay attention to the following items:

Calcium Gopantheonate is an analogue of Pantogam and is used for children over 3 years old.

• Gopantam - this medicine is made on the basis of the same active substance as Pantogam. Available in the form of tablets of 250 and 500 mg.
• Calcium Gopantheonate - is produced in the form of tablets of 250 mg. The instructions indicate that the drug is not intended for children under 3 years of age.
• Pantocalcin - is available in the form of tablets of 0.25 and 0.5 g. It is not used for children under 3 years old.

Note that not all experts consider Pantogam effective drug. Some reputable doctors, including Dr. Komarovsky, note that this remedy does not have evidence base, and its effect is doubtful. At the same time, you can use it as directed by a doctor - the medicine will not bring harm.

Other experts believe that Pantogam justifies its purpose, especially in cases of urinary disorders in children. Due to the ambiguous opinions of experts, it is not recommended to use the medicine without consulting a doctor.

Among the nootropic drugs that have a positive effect on nervous system, a medicine called Pantogam is in high demand. Children are more likely to buy such a drug in the form of a syrup, but it is also available in tablets. When can they be used in childhood, at what diseases, in what dose and how to give this medicine to a child correctly?

Release form

Tablets "Pantogam" are characterized by round and flat shape, white, the presence of risks. They are packaged in blisters of ten and sold in packs of 50.

Compound

The action of Pantogam is provided by a substance called hopantenic acid. In the composition of tablets, it is represented by a form of calcium hopantenate (it is this form of acid that is called “pantogam”). The amount of such an ingredient in one tablet is 250 mg or 500 mg. It is supplemented with substances that give the drug a dense structure - calcium stearate, magnesium hydroxycarbonate, methylcellulose and talc.

Operating principle

"Pantogam" represents a group of nootropics, since such tablets have the ability to protect the brain from lack of oxygen or exposure to various toxic compounds. As a result of taking Pantogam, metabolic processes in the brain tissues are accelerated, performance increases, and the excitability of neurons normalizes. Such a drug has some anticonvulsant effect, as well as the ability to reduce the tone of the detrusor and inhibit the cystic reflex, if it is pathologically elevated.

The ingredients of the tablets are absorbed quickly in the gastrointestinal tract and penetrate into the cells of the liver, stomach, skin, kidneys, brain and others. Within 2 days after taking calcium hopantenate leaves the patient's body unchanged. About 2/3 of the drug is excreted by the kidneys, and the rest enters the feces.

Indications

At what age are children prescribed?

The solid form of "Pantogam" is not used in children under 3 years of age. If treatment is required for a child who is under 3 years of age (for example, baby), appoint "Pantogam" in syrup. Such a sweet liquid medicine is allowed from birth.

Contraindications

"Pantogam" in tablets is not prescribed not only for small children, but also in such situations:

• If the child has an intolerance to any ingredient of the medicine.
• If a small patient is diagnosed with a serious acute illness kidneys.

Side effects

Taking the tablet "Pantogam" can lead to the appearance negative reactions The patient's central nervous system, which are manifested by severe agitation, insomnia, dizziness, noise in the head, lethargy, lethargy and other symptoms. Often, when they occur, the dosage of the drug is reduced, and such an undesirable reaction disappears.

In some children, treatment with "Pantogam" in tablets provokes an allergy in the form skin reaction, runny nose or inflammation of the conjunctiva. If symptoms of intolerance appear, the drug should be discontinued.

Application

According to the instructions for use, "Pantogam" is recommended to be taken in the morning or daytime(not later than 17 hours) after eating in about 15-30 minutes. A single dosage of tablets in childhood is 0.25-0.5 g. Per day, children usually receive from 0.75 g (three tablets of 250 mg) to 3 g (6 tablets of 500 mg). The dose is determined based on the disease for which the drug is prescribed.

For example, if a small patient has epilepsy and is additionally prescribed anticonvulsants, then it is enough for him to receive 0.75-1 g of Pantogam per day (3-4 tablets of 250 mg each). The same dosage is prescribed to eliminate the consequences of an infectious brain injury or traumatic brain injury. At nervous tick the medicine is given in a dose of 0.25-0.5 g three to six times a day.

The duration of treatment also depends on the diagnosis - on average, the medication is taken for 1-3 months, although in some cases, therapy is extended for up to 6-12 months. Between courses of Pantogam, if this drug needs to be given repeatedly, take a break of 1-3 months.

The medicine should be drunk according to a special scheme: for the first 7-12 days, the dose is increased, starting with the minimum, then from 15 to 40 days the patient should take the pills in the largest dosage that is used for his illness. After that, the dose is gradually reduced until it is completely canceled (such a decrease takes about a week).

Overdose

In case of exceeding the dose of tablets in a child, side effects from the central nervous system (lethargy, dizziness, etc.) appear. For the treatment of overdose, gastric lavage, activated charcoal, and other symptomatic agents are used.

Combination with other medicines

• Children should not be given "Pantogam" and other nootropics or drugs that stimulate the nervous system at the same time, especially if the treatment with "Pantogam" is long.
• The drug enhances healing effect from anticonvulsant drugs, so they are often prescribed together.
• Reception "Pantogam" reduces the risk side effects on the body of neuroleptics and barbiturates.
• In combination with "Glycine", the drug acts more effectively.
• The use of "Pantogam" also increases the effectiveness of local anesthetics.

Terms of sale

The tablet form of Pantogam, like syrup, is sold according to a prescription issued by a pediatrician, neurologist or other specialist. A pack of 250 mg tablets costs about 370-420 rubles, and average price a pack of medicine containing 500 mg of calcium hopantenate in each tablet varies from 580 to 700 rubles.

Storage conditions

The shelf life of 250 mg tablets is 4 years, and the drug with a dosage of 500 mg is stored a little less - 3 years from the date of manufacture. Keep the medicine in a place hidden from children, and the storage temperature should not exceed +25 degrees.

Violations that occur in the work of the brain are diagnosed in newborns. The causes of such pathologies are different: infections, hypoxia during the period of bearing a child or during childbirth, trauma, hereditary predisposition.

Such violations should not be ignored, since in the future it can negatively affect the physical development of the baby and his mental characteristics. As a means of therapy in such situations, drugs are used to improve the functioning of blood vessels and brain cells. One of them is Pantogam.

Composition, instructions for use of Pantogam syrup for children, how much this drug costs, parents' reviews - you will learn all the details by reading our article.

Composition and description

Pantogam is a syrup based on hopantenic acid. It is a nootropic (brain enhancing) remedy designed to treat neurological diseases in children. The drug is also known for its anticonvulsant action.

Pantogam has several dosage forms, one of them is a colorless or slightly yellowish syrup with a cherry smell.

This form is the most suitable for the treatment of young children. who are not yet able to swallow the pill.

The main active ingredient of the syrup is hopantenic acid calcium salt. One dose, which is determined by a measuring spoon with a volume of 5 ml, contains 500 mg of the main active ingredient. Auxiliary components include the following compounds:

• glycerol;
• sorbitol;
• citric acid monohydrate;
• aspartame;
• sodium benzoate;
• food flavoring "Cherry 667"
• purified water.

The syrup is packaged in 100 ml bottles made of dark glass.

Read from our articles about symptoms in children - how to recognize dangerous disease what are the preventive measures.

Indications

The action of the drug

The syrup actively affects the brain cells, adjusting in them metabolic processes and reducing their need for oxygen. Under the influence of Pantogam, neurons are able to better absorb glucose - this carbohydrate is considered the main source of energy for brain tissues.

The drug has the following effect:

• restores the balance between the processes of inhibition and excitation occurring in the brain;
• improves anabolic processes in neurons, protein synthesis and other biologically important compounds;
• improves thought processes, memory and performance;
• increases the resistance of nerve cells to negative influences;
• balances the mental state;
• accelerates the process of recovery of brain cells after damage;
• protects the brain from oxygen starvation and exposure to toxic compounds, improves the process of oxygen absorption;
• has a calming effect, prevents the occurrence of convulsions;
• has a mild stimulating and at the same time moderate sedative effect;
• produces a moderate analgesic effect;
• increases the efficiency of energy processes in brain cells;
• increases the level of activity;
• promotes learning and simplifies adaptation in the team.

The action of Pantogam does not cause lethargy and drowsiness in the child.

Dosage

A single dose for a child is from 2.5 to 5 ml, and the size of the daily should not exceed 30 ml.



The course of therapy usually lasts from 1 to 4 months., in some cases can be extended up to six months. After 3-6 months, an additional course of therapy is possible.

For infants under one year old, the drug is prescribed 5-10 ml per day, up to 3 years - 5-12.5 ml, and from 3 to 7 years - 7.5-15 ml per day.

After 7 years you can assign from 10 to 20 ml per day.

A gradual increase in the dose is provided for a period of 7-12 days, then taking the drug at a maximum dosage lasting from 15 to 40 or even more days. The dosage is gradually reduced, up to the complete withdrawal of the remedy within a week.

With schizophrenia syrup is prescribed together with psychotropic drugs at a dosage of 5 to 30 ml per day, and the treatment period is from 1 to 3 months.

With epilepsy the drug is prescribed together with anticonvulsants at a dosage of 7.5 to 10 ml daily, long-term treatment - up to 1 year or more.

When is extrapyramidal neuroleptic syndrome diagnosed?, the drug is prescribed 30 ml per day, and the period of therapy is several months.

In case of traumatic brain injury and neurogenic infections, the daily dose is 5-30 ml.

To restore performance after increasing loads, in asthenic conditions, the agent is prescribed 2.5-5 ml three times a day.

With enuresis- 2.5-5 ml three times daily, and the course of therapy itself lasts for 1-3 months.

How to take, special instructions

The syrup must be taken orally 15-30 minutes after eating.



Presented dosage form suitable for children under 3 years old.

The agent is drawn into a special syringe with measured divisions, and then poured into the child's mouth in small portions so that he swallows it himself.

Pantogam like others nootropic drugs, you can take it again 1-3 months after the previous course of therapy.

The drug has a slight stimulating effect, therefore, its reception is prescribed in the morning and afternoon (up to 17 hours).

Interaction with other substances

The drug enhances the work of anticonvulsants, prolongs the effect of barbiturates, reduces the risk of side effects after taking carbamazepine, phenobarbital and neuroleptics.

Combination with xydiphone,

Side effects

Possible occurrence allergic reaction(, rhinitis, conjunctivitis). In this case, the dosage of the drug is reduced or completely stopped taking it.

Sleep disturbance, drowsiness, a sensation of noise in the head are temporary phenomena and do not require discontinuation.

Overdose

With an overdose, there is an increase in side effects: noise in the head, sleep disturbance or drowsiness. The therapy is carried out with activated carbon , wash the stomach, and if necessary, carry out symptomatic treatment.

Price

average price baby syrup Pantogam in the Russian Federation is 310-380 rubles.

Storage conditions and dispensing from pharmacies, expiration date

The syrup must be stored in a place protected from exposure sun rays, keep it out of the reach of children. Storage temperature - 15-25 °С.



The syrup is sold to customers by prescription.

Pantogam is stored for 2 years. Do not use the drug after the expiration date indicated on the label.