Milgamma substitute is inexpensive. Milgamma - analogues: instructions for use

Milgamma analogues, like the medicine itself, are intended for the treatment of neurological diseases caused by a deficiency of vitamins B1 and B6 in the patient's body. Additional components of the preparations help relieve pain caused by neuralgia, restore the functioning of the central nervous, cardiovascular and musculoskeletal systems.

Contraindications to Milgamma

Milgamma and analogues, as vitamin complexes, have few similar factors, in the presence of which the use of drugs is contraindicated:

Children's age, unless specified in the instructions for use.
Pregnancy, lactation.
Decompensated heart failure (polar mixture is also recommended).
Hypersensitivity to the components of the drug.
Preparations in the form of tablets for oral intake are produced in the form of dragees containing fructose. Fructose intolerance is also a contraindication.

Milgamma injection substitutes

The lack of Milgamma in stock indicates the need to purchase an analogue of the drug. There are many drugs that are similar in action. Milgamma substitute helps to relieve the patient of neuralgic pain, relieve pain in the nerve endings, spine, and also increases the amount of category B vitamins in the body. Solutions for injections are in various price categories. A set of ampoules of a similar Milgamma drug will cost, on average, 260 rubles.

Vitagamma

Vitagamma injection solution is a complex of vitamins, which includes substances that relieve neurological pain. The main purpose of prescribing the drug is to compensate for the lack of B vitamins in the patient. Additional components aimed at treating nerves, reducing pain in the spine or nerve endings. It is used for therapy in myalgia or neuralgic diseases accompanied by neuritis. Although the medicine speaks positively, it has many contraindications.

Kombilipen

The drug is a substitute for Milgamma, presented in the form infusion solution for intramuscular injection. Indicated in case of malfunction nerve endings, neuralgia, work disturbances musculoskeletal system, neurological diseases, which are accompanied by neuritis. The dose of the drug contains vitamins B1, 6, 12; 0.05 g of pyridoxine and thiamine, 0.5 mg of cyanocobalamin. Injections are used to treat:

Myalgia.
Neuralgia of various organs.
Plexopathies and polyneuropathies.

Combilipen is effective tool relieve cramps and pain in vertebral department in people in old age. The drug is contraindicated in patients with problems with the cardiovascular tract. Kombilipen is a Russian replacement for Milgamma in injections, and its cost is lower.

NeuroMax

Injections for intramuscular injection are used to treat neuralgia accompanied by neuritis, myalgia, polyneuropathy, paralysis of some nerves. The components of the substance, including: pyridoxine and thiamine hydrochlorides, lidocaine and others, have an effect on circulatory system organism, restoring it initial function, and on the nerves, restoring normal work. Inexpensive medicine, which is an analogue of Milgamma in ampoules, is contraindicated in children, pregnant women, and also during lactation.

Nerviplex

The complex of vitamins is intended for the treatment of diseases of a neuralgic nature, restoration of the work of nerve endings and for recovery normal operation of cardio-vascular system. The main active ingredients of Nerviplex are thiamine and vitamin B12: the first has a positive effect on the heart, the second - on metabolism and the establishment of hemostasis. The drug is prescribed for pathologies of nerve endings. Injections are not indicated for pregnant and lactating women, patients working with mechanisms. Although the medicine is a good remedy restoration of the central nervous system and gastrointestinal tract, it also provokes side effects, including: allergic skin reactions, short-term hypotension.

Trigamma

The solution for injection is an analogue of Milgamma as a means of restoring the work of nerve endings. Trigram is also prescribed for neuralgia of the joints, polyneuritis, as a vitamin complex. Among the active ingredients are lidocaine, which is an anesthetic, thiamine, which restores the work of the cardiovascular system, pyridoxine. The remedy serves as an analgesic for neuralgia. Trigamma has no contraindications, and the components of the substance, being processed, leave the body through the excretory system. The drug can provoke some side effects: secretions, itching, rarely - anaphylactic shock. Before use, you should consult with a specialist.

Tablet analogues of the drug

Available in the form of tablets for oral administration, packaged in two, three or six dozen. Medicines have approximately equal composition, supplemented various additives, due to which the prices differ slightly. Being vitamin complexes, the drugs have few contraindications, and the effect on the body and side effects are similar. What can replace Milgamma:

Kombilipen

Like Milgamma, it is available in two forms - for oral administration and for intramuscular injections. The drug shows with neuralgia, disorders of the nerves, musculoskeletal locomotive system. The composition includes: vitamins of group B numbered 1, 6 and 12. Additional components of the substance help relieve pain in the spinal region, cramps, and improve heart function. The substance is produced in Russia.

Neurobion

An analogue of Milgamma in tablets serves as a treatment neurological diseases associated with neuritis. Neurobion stimulates the work of the musculoskeletal and central nervous systems, compensates for the lack of vitamins in the body. The medicine is shown to patients with neurological problems in the spinal region. Neurobion is an analgesic, like Ketorol and its substitutes, and the dosage can be changed throughout the treatment, depending on the current rate of recovery of the body, but there are many side effects. The drug is contraindicated to use simultaneously with analogues - this reduces the effectiveness of each.

Neuromultivitis

It is the closest analogue of Kombilipen. Both drugs are intended for the treatment of neurological pathologies, diseases accompanied by neuritis. Vitamin complexes of substances contain B1, B6, B12. The differences in the components of Neuromultivit and Combilipen are in different dosage the same substances. Speaking of vitamins, Neuromultivit, compared to Combilipen, contains the same amount of B1, twice as much B6 and 100 times more B12.

Each drug is prescribed depending on the complexity of the disease, in the amount of one to three tablets daily. Large quantity active ingredients in Neuromultivit determine the price of the drug.

Neurobex Forte

The complex of vitamins serves to treat diseases of the nerves. Pyridoxine contained in the preparation improves the functioning of the central nervous system, accelerates the regeneration of tissue involved in the formation of nerve endings. Vitamins B1 and B12 promote better metabolism and better performance blood vessels, although at infectious diseases blood use Neurobeks contraindicated. The tool is more effective than many analogues, but is not indicated for pregnant and lactating women.

The cost of vitamin complexes

Prices are averaged and indicated in rubles. Injections are arranged in ascending order of cost:

Neurobex Forte, 80.
Nerviplex, Combilipen, NeuroMax, Vitagamma - drugs are approximately equal in cost, 150.
Neuromultivit, 280.
Neurobion, 300.
Trigamma, 350.
NeuroMax Forte, 480.

Tablets for oral administration are arranged in ascending order of cost:

Neurobex Forte, 80.
Nerviplex, Vitagamma, 220.
NeuroMax, 240.
Combilipen, 280.
Neurobion, 320.
Trigamma, 420.
Neuromultivit, 470.
NeuroMax Forte, 660.

The use of the presented drugs without a doctor's prescription is not recommended. You should not purchase an analogue of the indicated medicine if the description of another seems more appropriate for the diagnosis, since the specialist is aware of the contraindications in a particular case.

Analogues of the drug Milgamma are drugs that have similar pharmacological properties, and also combine in their composition the same active ingredients.

This group of drugs is prescribed for neurological disorders caused by a lack of vitamins B12, B6, B1; for symptomatic treatment in pathologies of the central nervous system of various etiologies: polyneuritis and neuritis with pain syndrome, paresis peripheral nerves, polyneuropathy (alcoholic, diabetic), neuralgia, osteochondrosis and other diseases.

Consider the most popular among the analogues of this drug: Vitagamma, Binavit, Compligam B, Kombilipen, Milgamma Compositum, Neuromultivit, Binavit, Neurobion and many others.

Vitagamma

Vitagamma is a complex vitamin preparation. Produced in ampoules for intramuscular administration of the drug. Contains in its composition per ampoule:

100 mg thiamine hydrochloride;
100 mg pyridoxine hydrochloride;
10 mg lidocaine hydrochloride;
1 mg cyanocobalamin.

Contraindications for the use of Vitagamma include: pregnancy, lactation in women; erythrocytosis and erythremia ( a large number of erythrocytes in the blood); decompensated degree of heart failure; thromboembolism, thrombosis; childhood; shock; arterial hypotension(low pressure); individual intolerance drug components.

Caution should be given when:

menopause and premenopausal period;
neoplasms of benign and malignant nature (especially in cases of vitamin B12 deficiency and megaloblastic anemia);
over 65 years of age;
increased thrombosis.

Side effects may appear as acne, tachycardia, increased sweating. Allergic skin and systemic reactions are also possible.

The price of Vitagamma can be different, but on average it is about 150 rubles.

Kombilipen

Combilipen is another effective Russian counterpart Milgamma. Produced in the form of injection solutions in ampoules. This drug contains:

50 mg thiamine hydrochloride (vitamin B1);
50 mg pyridoxine hydrochloride (vit. B6);
500 mcg cyanocobalamin (vitamin B12);
10 mg lidocaine hydrochloride.

Combilipen is indicated for diseases of a neurological nature: polyneuropathy, neuralgia trigeminal nerve, pain syndrome in pathologies of the spine, inflammation facial nerve.

Combilipen is contraindicated during pregnancy and lactation, in children, in cases of decompensated heart failure.

The cost of this drug is on average about 250 rubles for 10 ampoules and about 400 rubles for 60 tablets.

Binavit

Binavit is a combination drug.

50 mg pyridoxine hydrochloride;
50 mg thiamine hydrochloride;
500 mcg cyanocobalamin;
10 mg lidocaine hydrochloride.

Contraindications for treatment with this medication include:

Side effects may also be represented by allergic reactions, tachycardia, increased sweating, difficulty breathing.

With the rapid introduction of this medication may be observed systemic reactions in the form of arrhythmia, headache, dizziness, convulsions.

Neurobion

Neurobion is a complex vitamin preparation, which is available in the form of tablets and injections. The composition of the drug is represented by the following components:

100 mg thiamine disulfide;
200 mg pyridoxine hydrochloride;
240 mcg cyanocobalamin.

This drug is contraindicated in children under 18 years of age and persons with hypersensitivity to the constituent components of the drug. It can also not be used in the treatment of patients with hereditary fructose and galactose intolerance, glucose-galactose malabsorption, lactase deficiency, sucrose and isomaltase deficiency.

Side effects may include tachycardia, sweating, allergic manifestations, nausea, vomiting, abdominal pain, diarrhea.

The average cost of the drug leaves about 300-350 rubles for 3 ampoules or 20 tablets.

Neurorubin

Neurorubin is another analogue of Milgamma. Available in tablet form or injection solution. One ampoule contains:

100 mg thiamine hydrochloride (vitamin B1);
100 mg pyridoxine hydrochloride (vitamin B6);
1 mg cyanocobalamin (vitamin B12).

The drug is contraindicated in persons sensitive to the components of the drug, as well as in children. The use of B12-containing medications in patients with psoriasis is not recommended, as an exacerbation is possible.

Side effects may appear in the form allergic reactions, tachycardia, circulatory collapse, urticaria.

The average price of Neurorubin is about 100 rubles for 20 tablets or 5 ampoules.

Neuromultivitis

Neuromultivit is an Austrian complex B-vitamin preparation.

Produced in the form of tablets. Has in its composition:

100 mg thiamine hydrochloride (vit. B 1);
200 mg pyridoxine hydrochloride (vit. B 6);
200 mcg of cyanocobalamin (vit. B 12).

The drug is contraindicated for use in children, pregnant and lactating women, as well as in people with hypersensitivity to the components of the drug.

The drug is well tolerated, but in some cases tachycardia, nausea, urticaria and itching may occur.

Studies have shown that taking a complex of vitamins B1, B6, B12 has positive action on the nervous tissue in diseases such as neuritis, sciatica and various kinds neuralgia. For an analgesic effect and restoration of the nerve structure, it is recommended to use Neuromultivit, a drug containing a combination of vitamins B1 (100 mg), B6 (200 mg) and B12 (200 mcg) in dosages that are higher than in standard multivitamin preparations.

Application complex means more efficient use analgesics: the drug not only relieves unpleasant symptoms but also eliminates the cause of the pain. The drug is available in the form of tablets, which is especially convenient for use at home and at work, and a package of 60 tablets is enough for full course treatment.

In high dosages, Neuromultivit can be used for up to 4 weeks. During treatment with Neuromultivit, it is not recommended to take multivitamin complexes that include B vitamins.

The cost of the drug is about 550 rubles for 20 tablets.

Neurobex

Neurobeks is a Bulgarian analogue of the drug Milgamma. Produced in the form of tablets. Contains in the composition of 1 tablet: pyridoxine hydrochloride, thiamine nitrate, cyanocobalamin.

Contraindicated in persons with hypersensitivity to the components of this drug, as well as in erythremia, erythrocytosis and acute thromboembolism. It is not recommended to prescribe to patients with lactase deficiency, malabsorption or galactosemia.

Neurobeks is usually well tolerated. However, sometimes tachycardia, sweating, urticaria may occur. Rarely develop anaphylactic shock, suffocation, rash.

Today in the pharmacological market you can find great amount analogues of Milgamma. Each of them has its own characteristics, advantages and disadvantages. Any of the analogues should be prescribed exclusively by a doctor, since only a specialist can choose the most optimal drug for the patient individually.

The average cost of this drug is 65 rubles for 30 tablets.

So, Milgamma analogues can be much cheaper than this drug. The cost of Milgamma averages about 600-800 rubles for 10 ampoules, Milgamma Compositum dragees - about 1200 rubles for 60 pieces. Due to the presence of such a variety of analogues, the doctor can prescribe best option price and composition for each patient.

The main components of all modern drugs with vitamins belonging to the B group are thiamine (vitamin B1), pyridoxine (vitamin B6) and cyanocobolamin (vitamin B12). Perhaps the most famous of them this moment is Milgamma. It is produced by German companies in the form of dragees and injections. In addition to the above vitamin components, the injection solution contains lidocaine, which helps to make the injection less painful. The composition of the dragee includes a derivative of vitamin B1 - benfotiamine and pyridoxine. Vitamin B12, or cyanocobolamin, is absent in this form.

However, on modern market in last years a huge number of analogues of "Milgamma" appeared. As a rule, their composition completely coincides, with the exception of additional components.

The most widely used analogues are Neurobion, Neuromultivit, Kombilipen and CompligamV. Less often you can find the drug "Trigamma". The composition of the solutions for injections "Kombilipen" and "KompligamV" completely coincides with the composition of "Milgamma". The drug "Neurobion" has a completely similar vitamin composition, but does not contain lidocaine.

Neuromultivit tablets include the normal forms of vitamins B1, B6 and B12, and not their conformational forms, as in the Milgamma dragee.

However, despite being insignificant in their composition, these drugs have a beneficial effect on inflammatory and degenerative diseases nerves and locomotor system. In addition, people who are constantly exposed to stress and physical activity B vitamins are needed in large quantities.

It should be noted that these drugs may cause adverse reactions in the form of sweating, tachycardia, acne, allergies.

B vitamins

It is known that vitamin B was discovered in Poland by the scientist Kazemir Funk. Initially, it was isolated as a separate compound, but after a series of studies, it became clear that it was a complex of substances. In addition, it turned out that he carries a very important features. Being in the body normal amount These vitamins are responsible for the proper functioning of the nervous system. In addition, they contribute to the growth and reproduction of body cells. It has been proven that B vitamins should be used as a complex, and not separately, so their effectiveness will be much more pronounced.

Milgamma is a drug complex action for the treatment of diseases of the nervous system, musculoskeletal system. The complex includes neurotropic compounds, which are the main active ingredients: thiamine, pyridoxine, cyanocobalamin. The medicine helps in the treatment of various neurological pathologies, osteochondrosis of the spine. For injections into muscles, you can purchase Milgamma substitutes - analogues containing B vitamins.

Analogue of Milgamma in ampoules

If a this medicine is not commercially available, you can replace it with other products with the same vitamin complexes. Pharmacies have a large number of drugs similar to Milgamma - analogues for the treatment of neuralgia. Prices for solutions vary between 120-400 rubles. Milgamma analogues in ampoules have similar composition and effect on the body.

Nerviplex

it combination drug for the treatment of neurological pathologies. The solution contains thiamine, necessary for the normal functioning of the nervous system, the heart. Cyanocobalamin (vitamin B12) improves blood clotting, promotes lipid metabolism. Indications for the use of Nerviplex are pathologies of nervous tissues, diabetic and peripheral neuropathy.

During pregnancy and lactation, the drug is not prescribed. The instruction prescribes not to take it while working with any mechanisms. The disadvantage of the drug can be considered the possibility of the appearance skin irritations, rashes, decreased pressure. Plus of the drug - quickly normalizes the work of the central nervous system, stabilizes activity digestive tract improves metabolism.

Kombilipen or Milgamma

Kombilipen is a liquid substitute for Milgamma in injections, it contains vitamins B1, B6, B12. It is used for diseases of the nerves, neuralgic pathologies of the musculoskeletal system. The dose of pyridoxine in injections is 50 mg, thiamine - 50 mg, cyanocobalamin - 500 mcg. Ampoules with a solution of a fat-soluble form are used for injection in the treatment of such diseases:

myalgia;
neuralgia;
plexopathy;
polyneuropathy.

The advantage of the drug is that it effectively eliminates muscle cramps occurring in the elderly. Milgamma injections are also prescribed for other neurological symptoms that accompany neuritis. Minus Kombilipen - it can not be taken by persons with cardiovascular insufficiency, tachycardia. Injections of Milgamma and this substitute relieve pain well in all parts of the spine. This domestic analogue in the form of a solution has another plus: it is cheaper than Milgamma.

Trigamma

These ampoules are suitable as a substitute for the Milgamma complex - its analogue acts in a similar way. It helps with polyneuritis, neurological pathologies of the joints, herpes infection. The solution contains B vitamins, it contains lidocaine, which provides an anesthetic effect. Liquid in ampoules for the introduction of Trigamma solution effectively reduces pain that occurs in diseases of the central nervous system.

The active substances of the drug (thiamine, pyridoxine) upon entering the liver are transformed there into acids and excreted along with the urine. The tool is well tolerated by the body, has almost no contraindications, which is a plus. A minus can be considered the possibility of the appearance of such reactions as: sweating, pruritus, anaphylactic shock. During the course of therapy, injections should be given daily, the dose is 2 ml of the solution.

Neuromax

Ampoules with a solution for intramuscular injection contain: pyridoxine hydrochloride, cyanocobalamin, thiamine hydrochloride, lidocaine, auxiliary compounds. The liquid is used to treat the following neurological diseases:

neuritis;
myalgia;
polyneuropathy;
paralysis of the facial nerve.

Active ingredients The drug normalizes the activity of the nervous system, positively affects the process of blood circulation. The disadvantage of the drug is that it should not be taken by children, as it contains a small amount of alcohol. Pregnant women and during the period of feeding the drug is not prescribed. The advantages of the drug include high efficiency, small cost.

Vitagamma

it multivitamin complex, containing the same substances as the previous substitutes for Milgamma - analogues. It is used to compensate for the lack of class B vitamins in humans, the treatment of osteochondrosis of the spine. The drug has a positive effect on the functioning of the nervous system, has an analgesic effect. For the purpose of therapy, it is prescribed to patients with neuritis, myalgia. Minus drugs - availability a large number contraindications. Patients treated with Vitagamma injections respond positively to this remedy.

Milgamma analogue in tablets

Milgamma and analogues can be produced in tablet form. Tablets are packed in blisters of 20, 30, 60 cells. Milgamma compositum and its substitutes are sold by pharmacies in the form of dragees. All drugs in this group have a similar effect, contraindications, side effects. The number of analogues and prices for vitamin complexes different regions may differ significantly.

Neurobion

The agent is prescribed as part of therapy for neuritis, so that the body begins to receive the missing substances. Admission essential vitamins provides stabilization of the patient's CNS. The drug can be prescribed for symptoms of osteochondrosis. If the medicine is taken longer than a month the doctor changes the dosage. The disadvantage of this tool is big list unwanted effects. The pluses include the presence of an analgesic effect. At simultaneous reception Neurobion and levodopa, its effectiveness is reduced. Do not use the drug with antacids.

Combilipen or Neuromultivit - which is better

Both complexes have the same purpose. They are used to treat neuralgia, saturation with vitamins B1, B6, B12 of the human body. Medicines are analogues of Milgamma. They contain the same substances, but have different concentration. Comparative characteristics given by the table:

These drugs are taken 1-3 tablets daily. A more accurate dosage, as well as the duration of treatment, is prescribed by the doctor. Neuromultivit has more high concentration active substances, from which we can conclude that this medicine has a more powerful effect on the human body. The cost is about twice as high as its counterpart - Kombilipen.

Neurobex Forte

Vitamin preparation in the form of tablets consists of thiamine, cyanocobalamin, pyridoxine. These substances are necessary for the normal functioning of the body. They produce the exchange of amino acids, lipids, carbohydrates, participate in the processes of cell growth. The effect of pyridoxine is that it is involved in the biosynthesis of nerve tissue compounds. Vitamin B6 actively supports the activity of the central nervous system. The disadvantages of the drug include the fact that it is not prescribed during pregnancy, blood diseases. A plus is the high efficiency of the tool.

Prohibited during pregnancy

Prohibited at breastfeeding

Forbidden for children

Has restrictions for the elderly

Has limitations for liver problems

Has limitations for kidney problems

Pain is the most common symptom accompanying many pathological conditions. Pain syndrome, depending on the pathophysiological features, can be nociceptive and neuropathic. Nociceptive pain is caused by the impact of a specific damaging factor on peripheral nociceptive receptors, neuropathic is organic lesion parts of the nervous system responsible for the occurrence and control of the pain reaction.

There are many causes of neuropathic pain, for example: trophic disorders nerve fiber or department of the National Assembly, trauma, exposure to an infectious agent, and others.

Among the drugs used primarily for neuropathic pain and other pathologies that violate normal functioning nervous tissue, allocate the combined preparation Milgamma, containing vitamins of group B (B1 / B6 / B12). Often the need to search for analogues of Milgamma, which will cost less with the same efficiency, becomes urgent.

Until recently, such a complex of vitamins was prescribed only for two indications: hypovitaminosis and genetically determined disorders in the synthesis of vitamins. However, at present, there are convincing data on the effectiveness of such vitamin therapy in patients with trophic disorders and inflammatory changes. various departments NS.

Of the benefits of this vitamin therapy can be identified different ways administration (parenteral and enteral in the form of Milgamma compositum) as well as a small list of main contraindications: heart failure, myocardial conduction disorders, age limit up to 16 years.

Milgamma is available in two forms: parenteral, intended for injection into the muscle (in ampoules of 2 ml of solution) and enteral (in tablets). Structural analogs(i.e. with a similar content of active ingredients) are represented by the following trade names.

For injections

Medications-analogues are available in ampoules for injections (intramuscular injection), among which are:

In tablets

It is possible to use Milgamma substitutes in tablet form for oral administration:

Vitakson;
Neurobion;
Neuromax;
Neuromultvit;
Neurorubin-forte Lactab;
Neovitam;
Neurobex Forte-Teva;

Let us consider in more detail the most effective and cheap analogues of Milgamma.

AT itagamma

neurotropic multivitamin preparation Russian production. Active ingredients: thiamine 50 mg, cyanocobalamin 0.5 mg, pyridoxine 50 mg, lidocaine 10 mg. It performs its action by regulating protein, lipid and carbohydrate metabolism.

Vitamin B1 (thiamine) by phosphorylation forms thiamine diphosphate (TDP) and thiamine triphosphate (TTP), which ensure adequate conduction nerve impulse in synapses, as well as preventing excessive accumulation of lactate and pyruvate, which can disrupt the activity of the nervous system.

Vitamin B6 (pyridoxine) is part of many enzymes involved in the conversion of amino acids necessary for the synthesis of biologically important amines (adrenaline, norepinephrine, dopamine, serotonin, histamine, tyramine). Vitamin B12 (cyanocobalamin) has an anti-anemic effect, is involved in the synthesis of protein structure substances necessary to maintain homeostasis.

Method of application: the drug is intended for intramuscular injection of 2 ml 1 time per day with severe pain. As complex therapy 2 ml 2-3 times a week. Indicated for symptomatic therapy pathologies of the National Assembly, including neuropathy, neuritis, paresis of peripheral origin and in cases of proven vitamin deficiency, manifested by neurological symptoms.

Contraindications:

Of all the analogues of Milgamma in ampoules, Vitagamma is cheaper. Another difference is that Vitagamma is not produced in tablet form. Side effects include hyperhidrosis, increased heart rate, facial rash, immediate and delayed hypersensitivity reactions.

Rapid administration of the solution may be accompanied by dizziness, cephalgia, vomiting, changes in heart rate, convulsive syndrome, pain in the region of the heart, agitation.

Neuromultivitis

The patented Austrian multivitamin preparation contains vitamins B1, B6, B12 in dosages of 100/100/1 mg in 2 ml ampoules and 100/200/0.2 mg in tablets, respectively. Action: B1 is involved in the formation of cocarboxylase and TTP, which improve synaptic impulse transmission, metabolic processes in neurons.

Prevents excessive accumulation toxic substances in tissues. B6 in the form of pyridoxal phosphate is part of the enzymatic systems that regulate amino acid metabolism. B12 is external factor Castle, which is necessary for the normal synthesis of red blood cells.

In the injectable form, it is taken for acute pain syndromes, 2 ml 1 time per day until the symptoms stop. It is prescribed for a course of up to 1 month by injection into the gluteal muscle 2-3 times a week. Neuromultivit tablets are taken after meals, 1 tablet per day. AT rare cases it is allowed to increase the dosage to 1 tablet three times a day. The duration of therapy is decided by the doctor individually for each patient, but usually it does not exceed 4 weeks.

Neuromultivit is indicated for vitamin deficiency states, neuropathies caused by various etiological factor, including diabetic and alcoholic, with neuritis, degenerative-dystrophic diseases of the spine, radiculoneuritis, neuritis of the facial nerve, neuralgia (trigeminal nerve, intercostal, sciatica).

Contraindications include hypersensitivity reactions, decompensated heart failure, cardiac conduction pathologies, gastric ulcer and 12 PK in the acute stage, thromboembolism, relative and absolute increase in the content of red blood cells.

Neuromultivit in ampoules and tablets is a cheaper analogue of Milgamma. Does not contain lidocaine in injectable form. Dosages and composition of tablet preparations differ: Milgamma tablets contain benfotiamine 100 mg and pyridoxine 100 mg. The composition of the analog includes thiamine 100 mg, pyridoxine 200 mg, cyanocobalamin 0.2 mg.

Unwanted Effects:

Neuromax

Combination of thiamine with pyridoxine and cyanocobalamin. The composition of Ukrainian-made vitamins includes 50 mg of thiamine (in 1 ml of solution), cyanocobalamin 0.5 mg, pyridoxine 50 mg. Produced in 2 ml ampoules for intramuscular application. Tablets contain pyridoxine 100 mg, benfotiamine 100 mg.

Pharmacoaction: the drug has positive effect on neuromuscular transmission, the state of the National Assembly and the musculoskeletal system.

AT large doses exhibits a pronounced analgesic effect, affects hematopoiesis and improves microcirculation

Thiamine prevents excessive accumulation of toxic substances in tissues.

With the participation of pyridoxine, by decarboxylation from amino acids, such important substances, like adrenaline, histamine, serotonin, etc. By transamination, the synthesis of other vital essential substances such as transaminases and GABA. With the help of cyanocobalamin, choline, methionine, creatinine, nucleic acids are synthesized.

The drug has an analgesic effect. It is taken intramuscularly at 2 ml daily for acute pain. In symptomatic therapy, 2 ml is used 2-3 times a week. Course - 1 month. In tablets - 1 tablet daily, maximum - up to 3 tablets per day. The duration of treatment is at least 4 weeks.

Indications: neuritis, neuropathy, neuralgia, radicular syndrome, damage to the facial nerve. Contraindications:

decompensated heart failure.
Conduction system disorders of the heart.
Peptic ulcer of the stomach and duodenum in the acute stage.
Thromboembolism, erythremia, erythrocytosis.
Hypersensitivity reactions.

The main difference is the relatively inexpensive cost of Neuromax in comparison with the branded drug. Side effects:

Neurobex

This is a multivitamin neurotropic tableted preparation of Bulgarian production. Neurobex-Teva contains 15 mg of vitamin B1, 10 mg of B6, 0.02 mg of B12 in 1 enteric tablet. The company also produces Neurobeks Forte-Teva, with dosages of 100/200/0.3 mg, respectively. Neurobeks NEO includes a complex of vitamins B1, B2, B6, B12, B3, B5, B9, C and has more extensive indications for use. The drug has the following pharmacological actions:

Neurobeks-Teva is taken orally during or after meals. Children over 14 years old and adults - 2-3 tablets 3-4 times a day. 8-14 years - 1 tablet 2-3 times daily. 3-8 years - 1 tablet 1-2 times a day. The duration of therapy and the correct dosage are selected by the doctor individually.

Indications: neuritis, neuralgia, polyneuropathy, plegia and other lesions of the nervous tissue. Contraindications:

Allergies in history, especially to the components of the drug.
Exacerbation of gastric ulcer and duodenum(since the drug increases the acidity of gastric juice).
True polycythemia, an increase in the number of red blood cells.
Thromboembolism.

Neurobex-Teva from original drug is distinguished by the absence of an injection form, the possibility of using children from 3 years of age due to low dosages, as well as the presence of tablets with high dosage(Neurobeks Forte-Teva), combinations with other vitamins (Neurobeks NEO).

Side effects: allergies, agitation, sensory neuropathy, syncope, cephalgia, gastralgia, dyspepsia, increased pH of the stomach, hypersensitivity, hyperhidrosis, shortness of breath, tachycardia.

Vitakson

Neurotropic vitamin preparation of Ukrainian production. Active ingredients: B1 - 50 mg, B6 - 50 mg, B12 - 0.5 mg in 1 ml of solution. Produced in ampoules for parenteral use of 2 ml. Tablets contain 100 mg of benfotiamine and pyridoxine.

B vitamins are involved in the regulation of the functions of the muscular and autonomic nervous system, in the synthesis of vital biogenic amines, enhance tissue respiration, facilitate the conduction of a nerve impulse in the synapse, and regulate hematopoietic and phagocytic function.

Method of application: due to the fact that the drug as excipient contains lidocaine, the manufacturer recommends performing an allergy skin test before use. At acute pain injected into the muscle 2 ml 1 time per day until the symptoms subside. Usually therapy consists of 2-3 doses of 2 ml per week. Tablets are taken 1 tablet 1-3 times a day before or during meals. The course is compiled individually by a doctor.

Indications: neurological pathologies with various etiological factors (neuropathy, neuritis, neuralgia, radicular syndrome, etc.) Contraindications: hypersensitivity, heart failure in the stage of decompensation, pathology of cardiac conduction, thromboembolism, peptic ulcer duodenum and stomach during an exacerbation, a relative and absolute increase in the content of red blood cells.

Side effects:

The main difference from Milgamma is the relatively low cost of Vitakson.

Binavit

A complex of B vitamins of Russian production. 1 ml of solution contains thiamine 50 mg, lidocaine 10 mg, cyanocobalamin 0.5 mg, pyridoxine 50 mg. A complex vitamin preparation has an effect on the metabolic processes of macroergs and the synthesis of the most important biogenic amines, improves hematopoietic function, neuronal trophism and transmission of a nerve impulse, and has an analgesic effect when using high dosages.

The drug is injected deep into the gluteal muscle, 2 ml daily (with strong pain syndrome). Usually prescribed 2 ml three times a week. The course is at least 4 weeks.

It is indicated in the symptomatic therapy of the following areas:

Contraindications:

severe, uncompensated heart failure;
peptic ulcer of the stomach and duodenum in the acute stage;
dysfunction of the conduction system of the heart;
pathological sensitivity reactions;
thromboembolism, relative and absolute erythremia, true polycythemia.

Binavit is not produced in dosage form, intended for enteral use, and is less expensive in comparison with Milgamma. Undesirable effects: hyperhidrosis, rashes on the face and skin allergic nature, increased heart rate, immediate and delayed hypersensitivity reactions, dyspepsia, diarrhea, shortness of breath.