What is Cogitum prescribed for? Cogitum for activating the central nervous system and brain - suitable for children and adults

Active substance

Potassium acetylaminosuccinate

Release form, composition and packaging

◊ Oral solution light yellow in color, transparent, with the smell of banana.

Excipients: fructose - 1000 mg, methyl parahydroxybenzoate - 15 mg, banana flavor - 7 mg, purified water - up to 10 ml.

10 ml - dark glass ampoules (10) - cardboard packaging inserts (3) - cardboard packs.

pharmachologic effect

A general tonic drug. The active principle of the drug is acetylaminosuccinic acid, a biologically active compound contained in the central nervous system.

The drug helps normalize nervous regulation processes and has a stimulating effect.

Pharmacokinetics

Data on the pharmacokinetics of the drug Cogitum are not provided.

Indications

- as part of complex therapy of asthenic syndrome.

Contraindications

- children under 7 years of age (no clinical data);

— pregnancy (insufficient clinical data);

- hypersensitivity to acetylaminosuccinic acid or any other component of the drug.

Dosage

The drug is intended for oral administration. The dose is prescribed individually by the doctor.

For adults the average dose is 3 ampoules/day: 2 in the morning and 1 at night. The maximum dose is not known.

The average duration of treatment in children and adults is 3 weeks.

If for any reason one or more doses of the drug were missed, treatment can be continued without the need for a secondary dose adjustment.

Treatment can also be stopped suddenly without any serious consequences for the patient.

To take it, you need to open the ampoule on one side, then, placing a glass or cup under the opened end, break off the opposite end of the ampoule. After this, the liquid will flow freely into the substituted container. The taste of the drug allows it to be used without prior dilution. If it is diluted with water, the banana flavor may be lost. The most preferable is to take the drug in the morning.

Side effects

Possible allergic reactions.

Overdose

Currently, no cases of overdose of the drug Cogitum have been reported. No toxic effects are expected.

Drug interactions

No interaction of the drug Cogitum with other drugs has been observed.

special instructions

The drug can be used in elderly patients.

Impact on the ability to drive vehicles and operate machinery

No data. It is unlikely that the drug can affect the ability to drive vehicles, operate machinery, or engage in other potentially hazardous activities.

Often, under the influence of external factors, a child encounters mental disorders leading to emotional problems, depression and developmental disorders. Cogitum is prescribed by neurologists, pediatricians and psychiatrists to normalize the functioning of the nervous system and brain.

Cogitum solution 25 mg/ml 30 ampoules

Release form and composition of the drug Cogitum

The drug is produced in the form of a clear liquid with a slight light yellow tint. It is packaged in 10 ml glass ampoules of dark color with sharp tips on both sides. Each milliliter of solution contains 25 mg of the active substance (potassium acetylaminosuccinate). In addition to the main active ingredient, the product includes:

• fructose to improve taste;
• purified water;
• methyl parahydroxybenzoate;
• banana flavoring.

Kogitum ampoules are packaged in plastic boxes with cells. Each cardboard package contains 3 such plates, that is, 30 bottles of the drug.

Pharmacological properties of the drug

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The drug based on amino acids has a general tonic effect and helps restore the nervous system. It has a positive effect on children in the treatment of various psychological disorders, developmental disorders and depression. The main active component of the product activates acetylaminosuccinic acid in the body, which is located in the tissues of the central nervous system and is responsible for the correct transmission of impulses.

The main substance of the medicine is the potassium salt of acetylaminosuccinic acid. This is a biologically active compound that is found in tissue cells of the nervous system. Due to it, the drug has a stimulating effect on the central nervous system and normalizes nervous regulation. It does not directly affect the functioning of cells of the nervous system and the speed of psychomotor reactions.

Why is the drug prescribed: indications

The drug is prescribed to children for various psychological disorders. It has a positive effect in the shortest possible time if used according to prescription and in the correct dosage. The use of the medicine is advisable when it is necessary to restore the functioning of the nervous system and improve the general condition of a person.

Most often, the drug is used for asthenic syndrome, in which the baby either quickly gets tired and becomes depressed, or does not experience any symptoms. Decreased mood in children is especially noticeable during age-related crises - then Cogitum can be prescribed along with antidepressants.

The general condition is influenced by various factors that significantly change life: a change of team, starting school, moving, divorce of parents, etc. Doctors usually prescribe the drug to children who do not have significant disturbances in the functioning of the nervous system, but there are deviations in behavior, problems with memory and learning material. The drug is used in the following cases:

• neurotic disorders;
• asthenic syndrome;
• mental retardation of the child (more details in the article:);
• short-term depression and neuroses;
• high emotional excitability;
• delayed speech development (we recommend reading:);
• rapid fatigue of the baby after suffering from viral diseases;
• perinatal damage to the central nervous system;
• adaptation disorder and inability to concentrate for long periods of time;
• recovery from skull injuries.

The drug Cogitum is a good helper if a child has difficulty perceiving speech

Children who have difficulty learning to speak and do not perceive oral speech well require immediate treatment, for which Cogitum is one of the first remedies prescribed. The medication is most often taken in combination. If a child by the age of 3-4 cannot form several words into a coherent sentence, his speech is slurred, then parents should consult a neurologist and speech therapist.

Contraindications for use

Before starting a course of treatment, adults should carefully study the instructions. The drug is available without a prescription, but cannot be used without the advice of a specialist. The product is contraindicated:

• children who are allergic to the main or additional components of the solution;
• children under 7 years of age (since no studies have been conducted on the effect of Cogitum on children under 7 years of age).

Instructions for use with dosage calculation

Cogitum is taken orally, drinking one ampoule at a time.

The drug must be taken orally, drinking the contents of the ampoule at one time. The liquid has a pleasant taste; it does not need to be diluted, but you can add clean still water to the solution. It is advisable to use Cogitum in the morning. For safe use, you must perform the following steps:

• the ampoule must be opened immediately before administration, making a notch with a nail file;
• Having broken off the upper part, place a glass under the ampoule;
• The glass container is turned over and its other end is broken off - the solution is poured into the container.

The duration of treatment is determined by a specialist, since it is necessary to take into account the baby’s health condition, as well as diseases that are present in his medical history. On average, the course lasts 21 days. If necessary, the doctor may increase the duration of therapy and adjust the dose. After a short break, a second course is allowed. The recommended dosage for children is:

• 1 ampoule per day for schoolchildren 7-10 years old;
• 2 ampoules (at one time) for a child over ten years of age.

Despite the prohibition in the instructions on the use of Cogitum by children under 7 years of age, in pediatrics it is prescribed to children from 4 years of age (sometimes at 3 years of age). Doctors make an exception for speech disorders and noticeable mental retardation in the child. Cogitum shows good results even with short-term use.

Conveniently, treatment with the drug can be extended without the need for dosage adjustment if the patient misses one or more doses of the solution. When a child misses one day, it is not worth doubling the amount of product. Therapy can be stopped at any time without consequences for the patient.

Side effects

To date, not a single case of drug overdose has been reported. Patients generally tolerate therapy well. Very rarely, an allergic reaction may occur in the form of urticaria and itching of the skin. In this case, you must contact your doctor to replace the drug or change the dosage.

After taking the medication, some parents noted side effects in the form of hysteria or manifestations of aggression in the child. If such signs are detected, doctors recommend either reducing the dosage of the drug or stopping its use altogether.

The active substances of the drug have the ability to accumulate in the tissues of the body, due to which side effects may increase.

If, during an electroencephalogram, sensors detect the presence of epiwaves, then the use of the drug can cause convulsions. Some children experience headaches after taking the solution.

Cost of the drug and analogues of the drug

The price of the product is its main drawback. Not everyone can afford to purchase expensive medicine. How much does the drug cost? You will have to pay about 4,500 rubles for packaging. For this reason, many parents are looking for a child-safe analogue that will have a similar effect.

An alternative to the product is acetylaminosuccinic acid - it is available in its pure form. There is no other substance that can replace Cogitum 100%. If the cost of Cogitum is too high for parents or its use does not meet the expectations of specialists, the doctor may prescribe:

Mexidol tablets 125 mg, 30 pieces

• products with other active substances that have similar soothing and restorative properties (Kudesan, Acefen, Hypoxen, Magne B6), Mexidol, Noocetam, Ribovital are considered the most effective;
• drugs against fatigue and malaise (Antoxinate, Verona, Cortexin, Galavit, Amylonosar solution, etc.) (we recommend reading:).

The drug Pantogam has proven itself well in the treatment of nervous disorders (more details in the article:). It is used in parallel with sedatives (for example, Glycine) and has a positive effect on the baby’s central nervous system. This complex is well tolerated by the child's body.

- tonic. Manufacturer: Patheon France, France. The drug is in the form of a transparent light yellow solution for oral administration with a banana odor.

In 10 ml of solution - active substance: potassium salt of acetylaminosuccinic acid or potassium acetylaminosuccinate 250 mg, excipients: methyl parahydroxybenzoate 15 mg, fructose 1000 mg, banana flavor 7 mg, as well as purified water up to 10 ml.

A solution of 25 mg/ml, 10 ml is available in a darkened glass ampoule (type III), which is sealed on both sides, has break lines and a marking ring on both sides. In quantities of 10, ampoules are placed in a cardboard insert. 3 inserts are packed in a cardboard pack.

The drug Cogitum has adapting, general tonic, as well as some immunomodulatory effects.

Pharmacodynamics: due to the fact that the active substance of Cogitum is represented by acetylaminosuccinic acid, which by its nature is a biologically active substance contained in the central nervous system, this drug has the ability to influence the normalization of the neuroregulation process, and also has a stimulating effect.

Indications

The drug Cogitum is intended for use as part of the complex treatment of asthenic syndrome.

Contraindications

Contraindications may include allergic reactions or hypersensitivity reactions to both the active and any of the excipients of Cogitum.

Due to insufficient data, use is contraindicated in case of pregnancy, as well as in children under 7 years of age. Breastfeeding women need to temporarily stop breastfeeding during the period of using Cogitum.

Mode of application

As a rule, the dosage is prescribed by the attending physician and is individual for each case. For adult patients: the average dose is 3 ampoules per day, with 2 ampoules taken in the morning and 1 ampoule in the evening. The maximum doses of the drug are unknown.

Children: 7-10 years old are usually prescribed 1 ampoule in the morning; 10-18 years old, 2 ampoules are also recommended in the morning.

On average, the treatment period for both children and adult patients can be 21 days. In case of use, first one tip of the ampoule is broken off, then the ampoule is turned over over the mug and the second tip is broken off. In this case, the solution is poured into a placed container and is ready for use. If desired, the solution can be diluted in a small amount of water.

The most acceptable is the morning use of Cogitum.

If one or more doses of the drug Cogitum were missed for reasons, therapy continues without a secondary dose adjustment. Sudden cessation of therapy is allowed; this does not have any serious consequences for the patient's health.

Side effects

Allergic reactions to the use of Cogitum may occur.

Overdose

At the moment, there are no known cases of drug overdose. Also, no toxic effects are expected to develop.

special instructions

There have been no cases of interaction between Cogitum and other drugs. Cogitum can be used by patients in the older age group.

The effect of the drug on the ability to drive vehicles and operate complex mechanisms is unknown. However, it is unlikely that Cogitum therapy will affect these abilities of the patient.

Storage conditions

Cogitum is stored in a dark place, storage temperature up to 25 ° C. It is necessary to limit access to the storage area for children. Shelf life: 3 years.

Analogues

There are no direct analogues of the drug Cogitum. There are indirect analogues, which include other tonics.

Price

Cogitum is an over-the-counter product. Average prices for the drug range from 4,000 to 5,360 rubles per package of 30 ampoules of oral solution.

You cannot self-medicate. Before taking Cogitum, consult your doctor!

The composition of the drug Cogitum (1 ampoule containing 10 ml) includes: 250 mg dipotassium salt of acetylaminosuccinate , as well as additional components, including fructose .

Release form

The medicine is available as a solution for oral administration. The solution is in 10 ml ampoules made of dark glass. The ampoules are sealed on both sides. A cardboard pack contains 30 ampoules, which are placed in cellular polymer packaging.

pharmachologic effect

Cogitum has an effect on the body adaptogenic And general tonic impact, it helps to normalize the processes of regulation of the nervous system. The drug Cogitum contains acetylaminosuccinic acid (in the form of dipotassium salt of acetylaminosuccinate), which is a synthetic analogue aspartic acid . This is an amino acid that is predominantly found in the tissues of the central nervous system. A pronounced immunomodulatory effect of aspartic acid was noted, in particular, its ability to activate production processes and. In addition, it takes an active part in the processes of DNA and RNA synthesis, normalizes the manifestation of excitation and inhibition in the central nervous system, and helps improve physical endurance.

Aspartic acid is involved in various metabolic processes. It determines the regulation of carbohydrate metabolism, stimulating the transformation of carbohydrates into glucose and creating a glycogen reserve.

Aspartic acid, like glycine , and , is a neurotransmitter in the central nervous system. It acts by providing a psychostimulating and hepatoprotective effect, reduces the effects of radiation on the body, and accelerates the process of elimination of neurotoxic ammonia from the body.

Pharmacodynamics and pharmacokinetics

There are no data on the pharmacokinetics and pharmacodynamics of the drug.

Indications for use

Indications for use of the drug for adults and children are as follows:

• high level of fatigue, asthenic condition ;
• as an aid to people taking antidepressants.

Contraindications

The drug is not prescribed to people who have a high sensitivity to acetylaminosuccinic acid or to additional ingredients of the drug.

Prescribing Cogitum to children is possible only after the age of seven, since no studies have been conducted on the effect of the drug on children under 7 years of age.

Side effects

As a rule, patients tolerate Cogitum well. In rare cases, a high sensitivity reaction to drugs may occur and, as a consequence, manifestation itchy skin , .

Instructions for use of Cogitum (Method and dosage)

The instructions for Cogitum are as follows: the drug is administered orally. The ampoule containing the solution must be opened immediately before use. Initially, you need to break off the top part of the ampoule, then place the container under the opened part and break off its other end. This way the solution will easily pour into the container.

The product should be taken undiluted, but it can be diluted with drinking water. It is advisable to take the medicine in the first half of the day, as it has a stimulating effect on the human nervous system to some extent. The duration of therapy for children and adults is determined by a specialist.

On average, treatment with the drug lasts three weeks. The doctor may also prescribe a second course of taking Cogitum after some time.

If a dose is missed, it should not be doubled. You can stop taking the drug at any time without experiencing any undesirable consequences.

Overdose

There is no information about an overdose of Cogitum.

Interaction

There is no interaction of the drug Cogitum with other drugs.

Terms of sale

The drug is sold in pharmacies with a doctor's prescription.

Storage conditions

Cogitum should be stored in a dark and dry place, the temperature should not exceed 25 °C. The drug cannot be frozen.

Best before date

The shelf life is 3 years.

For children

Not used to treat children under 7 years of age.

During pregnancy and lactation

It is possible to prescribe the drug for the treatment of pregnant women, since no negative effects have been noted on either the fetus or the woman’s condition. During lactation, the drug is used only after a doctor’s prescription and strictly according to his recommendations.

The medicine Cogitum belongs to the adaptogenic and general tonic drugs that stimulate and normalize the activity of the central nervous system.

It contains acetylaminosuccinic acid, which affects the functioning of nerve cells.

The drug also helps to enhance a number of metabolic processes responsible for the normal functioning of the central nervous system.

Pharmacological action and composition of the product

The drug has a general tonic effect. The biologically active drug is acetylaminosuccinic acid. Helps stabilize nervous regulation. Affects cerebral metabolism in brain tissue.

It has a slight antidepressant and psychostimulating effect. The active nootropic and neuroprotective effects of the drug have also been proven. Actively corrects energy metabolism in the nervous system.

Data on the pharmacokinetics of the drug are not provided.

One ampoule of this drug (10 milliliters) includes:

Acetylaminosuccinic acid

• Dipotassium N-acetylaminosuccinate (0.25 grams);
• levulose (1 g);
• methyl p-hydroxybenzoate (15 mg);
• banana flavor (7 mg).

Available in the form of a clear solution.

Mechanism of action

The active basis of this drug is potassium acetylaminosulfate, which activates acetylaminosuccinic acid. This acid is found in nerve tissues. Without it, normal transmission of nerve impulses is impossible.

This effect of Cogitum leads to the activation of many processes in the central nervous system. In addition, the participation of this drug in the synthesis of deoxyribonucleic and ribonucleic acids has been proven. It also helps to increase the body's endurance and activate metabolic processes. The drug accelerates the removal of ammonia from the body, which indicates the possibility of taking it during intoxication.

Application area

Cogitum is indicated for use in the following cases:

How to use Cogitum correctly: instructions and dosages

Cogitum is intended for internal use only. The ampoule with the solution is opened immediately before use. It is recommended to take the drug in undiluted form. You can dilute it with drinking water.

It is best to drink the solution in the first half of the day. This is due to the fact that it stimulates the activity of the central nervous system. Taking the drug in the afternoon can provoke phenomena of increased nervous excitability. The duration of taking such a drug, as well as its dosage, is determined only by a doctor.

The recommended dosage per day is three ampoules. Of these, two ampoules should be taken in the morning, and one in the evening. It is not recommended to give the product to children under seven years of age. Children under ten years old need to take one ampoule per day, and over ten years old – two. This remedy should be used in the morning.

The duration of treatment is no more than three weeks. If necessary, an additional dose of the drug may be prescribed. If a dose is missed, the dosage should not be increased because of this.

Use of the drug in pediatrics

There is practice of using this drug in pediatrics.

In pediatric practice, Cogitum is used for the following diseases and disorders in children:

The dosage of the drug for children is carried out on a strictly individual basis. There is evidence of the use of this drug for neurological deficits as a result, as well as adaptation disorders, anxiety and mixed reactions, depressive episodes, disorders of learning skills, and motor function. The drug dosage regimen in these cases is usual.

Children can also be prescribed a drug to stimulate mental activity, provided there are no persistent somatic pathologies.

Side effects and special instructions

This drug is usually well tolerated. Very rarely there may be side effects in the form of allergic reactions. With the development of such reactions, skin itching and very rarely – urticaria are possible. There are no cases of drug overdose described.

The drug is contraindicated in persons who have severe sensitivity or intolerance to acetylaminosuccinic acid.

There is no practice of using Cogitum by children under seven years of age.

Since the drug does not have a toxic effect on the embryo and does not affect the processes of gestation, it can be taken by pregnant women. Cogitum can only be used during breastfeeding if prescribed by a doctor.

No effects of the drug with other drugs have been observed. There is also no evidence of a possible overdose drug.

The interaction of the drug with the liver and kidneys has not been established: it can also be taken by patients with diseases of these organs. No interaction with alcohol has been established.

Cogitum can be used by elderly people. No negative effects were observed when driving a car or operating precision machinery. The medication can also be used together with other medications prescribed by a doctor.

Practical application experience

Reviews from doctors and parents about the drug Cogitum vary - from positive to sharply negative. There is evidence that some patients purchased low-quality or counterfeit products.

I am a pediatric neurologist, and I often have to deal with delayed development of speech, memory and thought processes in children.

Prescribing potent drugs to young patients is risky due to the huge number of side effects. At the same time, the experience of using the drug Cogitum in such cases shows that the functions of the central nervous system are restored more quickly in the child.

With long-term use, it is possible to minimize the consequences of traumatic brain injury and birth injuries, and improve the condition of patients with. That's why I recommend it to many of my patients.

Ivan Gennadievich, neurologist

The use of the drug Cogitum in many patients with disorders of the central nervous system can significantly improve their condition.

It is indispensable for long-term treatment of neurological disorders and perfectly prevents the development of depression. I recommend it to many patients with similar problems, since it has no contraindications.

Valentina Lvovna, neurologist

The doctor prescribed the drug Cogitum to correct delayed speech development in my son, who is 7 years old. After several years of taking this drug, I noticed that my child’s speech function had improved and his vocabulary had expanded. It became easier for the child to construct sentences.

Marina, 29 years old

After a one and a half month course of treatment, the child finally spoke in syllables, although the results of the traumatic brain injury greatly affected his speech function.

No allergic reaction or other side effects were detected. Now, after a short break, we will again drink Cogitum as the doctor prescribed last time.

Evgeniya, 32 years old

After taking this drug, I noticed tearfulness, hyperactivity, tearfulness, and increased nervous excitability in my ten-year-old child. Such side effects were noticed after taking two ampoules of Cogitum.

When we lowered the dose, the symptoms I mentioned stopped and the child became more balanced. So if the child shows signs of increased activity, the dose can be reduced.

Elena, 35 years old

According to the instructions, Cogitum is recommended to be taken undissolved. However, diluting the contents of the ampoule with water will not reduce the effect of the medicine. The contents have an excellent taste and therefore go well with drinks. This dosage form of the drug is very suitable for treating children.

Alexander, 34 years old

According to many doctors, no negative effects of Cogitum on the body have been noted. A large number of neurologists and pediatricians recommend this drug to their patients for varying degrees of developmental delay, as well as symptoms of increased fatigue.

In some cases, doctors prescribed the drug to children under 7 years of age. The condition of young patients suffering from developmental delays improved markedly.

The only drawback of this drug, according to patients, is its high price...

...and what is it like?

The drug is produced in the form of ampoules of 10 milliliters, made of dark glass. The solution is transparent, yellowish in color with pleasant taste, reminiscent of banana. The ampoules are sealed on both sides. The package contains 30 ampoules. There are currently no substitutes for the drug.

The price of a package of the drug Cogitum (30 ampoules) is from 2400 to 3400 rubles. The drug is available only with a doctor's prescription.

The medicine must be stored in a dark and cool place, at a temperature no higher than 25 degrees. Keep out of reach of children. Do not freeze the medicine. Shelf life - no more than three years.