При болях в спине неврологи назначают "Мидокалм".Reviews of patients suggest that this tool effectively relieves muscle spasms and eliminates the unpleasant sensations in osteochondrosis, spinal hernias and nerve pinched. In the messages of people you can find information about the advantages and disadvantages of this medication. The drug helps to stop pain, but it has many contraindications and unwanted effects.
Composition, dosage form and action of the drug
The drug is produced in the form of tablets and solution for injections. The active ingredient of the drug is tolperisone hydrochloride.
Tablets contain 50 or 150 mg of activesubstances. The number "50" or "150" is engraved on one of their sides, depending on the concentration of the active component. The composition of the tablets also includes starch, lactose, compounds of silicon, stearic and citric acid, cellulose. These additional ingredients help to better assimilate the active substance.
The solution for injections contains 100 mg of activecomponent, as well as 2.5 mg of local anesthetic - lidocaine. This substance is added to the drug to enhance the analgesic effect. In addition, the composition of the solution includes additional ingredients: distilled water, esters and preservatives.
This drug belongs to muscle relaxants thatact through the central nervous system. In the reviews of "Mydocalme" reported a pronounced relaxation of the muscles after applying the medication. This helps patients with osteochondrosis, who often suffer from muscle stiffness.
The drug acts through neurons.It blocks the synaptic reflexes of the spinal cord, due to which relaxation is achieved. Tolperisone also acts as an analgesic, while it is able to protect cell membranes, dilate vessels and improve blood circulation.
Often patients are interested in how fastdrug acts. Reviews of injections "Mydocalm" indicate that after intramuscular injection of the drug anesthetic effect occurs after 20 minutes. When administered intravenously, this tool works almost instantly. But its action is short, therefore injections should be repeated daily.
If a patient takes pills, then reliefcondition occurs in about 40 minutes. The effect of the drug lasts 4-6 hours. The drug is taken several times a day in accordance with the doctor's prescription.
Indications
Instruction "Mydocalma" and reviews indicateabout the effectiveness of this medicine for illnesses accompanied by muscle spasms and pain. The use of the drug is shown in the following pathologies:
- diseases of the bones and muscles (osteochondrosis, spondylosis, spondyloarthrosis, muscle contractures, lumbago, sciatica);
- Cerebral palsy and encephalopathy with increased muscle tone;
- organic lesions of the central nervous system with impaired muscle tone (multiple sclerosis, stroke, encephalomyelitis, and others);
- during rehabilitation after injuries and operations on the bones and muscles.
The drug is used as part of complex therapy.with sclerotic and diabetic vascular lesions, disorders of the innervation of the limbs, thrombophlebitis of the legs, impaired peripheral circulation (Raynaud's disease and cyanosis of the skin).
Instructions for use "Mydocalma" and reviewsreport that this medication also helps with other syndromes accompanied by spasms: renal and hepatic colic, discomfort in the rectum with hemorrhoids. In obstetrics and gynecology, medication is used for menstrual pain and the threat of miscarriage in women with increased uterine tone.
Contraindications
Muscle relaxants can be taken by no means to all patients. Therefore, the drug has the following contraindications:
- Myasthenia gravis In this disease, muscle tone is sharply reduced, and muscle relaxants exacerbate the symptoms of pathology.
- Parkinson's disease. This disease is accompanied by the death of nerve cells. In this case, centrally acting muscle relaxants do not help, but harm.
- Epilepsy and propensity for convulsions. For the treatment of such diseases using special anticonvulsants, "Mydocalm" can only worsen the clinical picture of the disease.
- Allergy to the active ingredient and lactose.If a patient in the past had a hypersensitivity to muscle relaxants, then the medication should be abandoned. When lactose intolerance drug is used in the form of injections.
- Acute psychoses (past and present). The drug can provoke exacerbation of psychotic symptoms.
- Наркозависимость (в анамнезе и в данный момент).This drug is not addictive. But if a person in the past had experience in the use of psychoactive substances, then drug dependence may form.
- Application in pediatric practice. Muscle relaxants are not prescribed to children under the age of 1 year.
Pregnancy is relativecontraindication for medication. During this period, the drug is prescribed only if the benefit to the woman outweighs the possible risk to the unborn child. Instructions and reviews of "Mydocalm" report that this drug can prevent the risk of miscarriage. This tool is used in obstetric practice, but with caution. If the pregnant woman suffers from back pain, then it is better to use other analgesic drugs. If necessary, use of the drug during lactation should be interrupted by breastfeeding.
Undesirable effects
Reviews on the use of "Mydocalma" indicatethat this medicine often causes side effects. The most common unwanted symptoms of the nervous system, muscles and gastrointestinal tract are:
- sleep disturbances (insomnia or drowsiness);
- drop in blood pressure;
- headache;
- dizziness;
- pain in the legs;
- muscle weakness;
- feeling tired;
- dyspeptic phenomena;
- excessive weight loss.
Allergic reactions are more rare(up to anaphylaxis), dermatitis, asthenic depression, enuresis, tachycardia, tremor. Some patients have a feeling of intoxication and heat after an injection or taking pills. The drug can affect the results of biochemical and general blood tests.
It is rarely observed a sharp drop in hemoglobin level, an increase in lymph nodes, a decrease in bone mineral density, confusion.
In order to avoid undesirable effects, doctors try to prescribe "Mydocalm" courses.
Cases of drug overdose were noted.This medicine is not considered toxic. However, the recommended dose of the drug should not be exceeded, as this may cause side effects. If a person has taken an excessive amount of pills, you must rinse out your stomach and take activated charcoal. Then you need to seek medical attention. Symptomatic overdose treatment.
How to use the drug
Таблетки "Мидокалма" лучше усваиваются, если take them after meals. The dosage is selected by the doctor individually for each patient. The amount of the drug depends on muscle tone and severity of pain. On average, adults are prescribed 100-150 mg of medication per day. This dose is divided into 3 doses. The course of treatment lasts no more than 10 days.
For a child it is better to buy pills indosage of 50 mg, so they are easier to divide into parts. In childhood, apply the minimum amount of the drug. The daily dose for a child 1-6 years old is about 5 mg per 1 kg of weight, and at the age of 7-14 years - from 2 mg to 4 mg per 1 kg of body weight. Daily amount of medication is divided into 3 doses. If it is difficult for a child to swallow a pill, then it is crushed and given along with water.
Instruction "Mydocalma" and reviews about injections saythat in the form of an injection the drug acts faster. In those cases when it is necessary to stop acute pain urgently, it is preferable to use the drug in the form of a solution. This medication is injected into the muscle of the buttock or into the vein (through the dropper).
Intramuscular injections are made twice a day, 100 mg (1 ampoule). For intravenous drip infusion, use 1 ampoule per day. Drug administration should be slow.
special instructions
Mydocalm does not interact withalcohol. However, the use of alcohol during treatment is better to refuse. Ethanol enhances the excitation process in the central nervous system, and muscle relaxants decrease it. Thus, alcohol reduces the therapeutic effect of the drug. In addition, ethanol and Mydocalm are processed in the liver and excreted through the kidneys. Their joint reception creates a double burden on these organs.
The instructions indicate that the drug does not affectability to drive a car and engage in activities requiring high concentration of attention and quick response. However, in the reviews of "Mydocalme" you can find information that some patients have drowsiness and fatigue after using the medication (especially in the form of injections). In such cases, get behind the wheel and engage in complex types of work should not be. You need to focus on your well-being.
Interaction with other medicines
"Mydocalm" is well compatible with other drugs. It does not potentiate the inhibitory effects of sedatives, so it can be used together with hypnotics and tranquilizers.
Some medicines enhance the effect of the use of "Mydocalm". These include:
- agents for general anesthesia;
- peripheral muscle relaxants;
- drug for hypertension "Clonidine";
- sedative medications.
"Midokalm" enhances the effects of drugs with niflumic acid. These drugs are used for inflammatory diseases of the joints, for example with rheumatoid arthritis.
При патологиях опорно-двигательного аппарата often a mixture of drugs is administered: Mydocalm, Movalis and Milgamma. This combination of drugs effectively relieves pain. Mydocalm relieves muscle spasms, Movalis eliminates inflammation, and Milgamma vitamin remedy is a neuroprotector. These drugs are well compatible and complement each other. The mixture of drugs is administered intramuscularly, the dosage is determined by the doctor.
How to store medicine
Tablets are stored at a temperature not exceeding +30degrees. They are suitable for use within 3 years from the date of manufacture. Ampoules with a solution are stored at a temperature of +8 to +15 degrees. They can also be used for 3 years.
Prices and analogues
Midokalm is sold in pharmacies with a prescription.Use this tool without a doctor’s prescription is unacceptable. The price of 30 tablets of 50 mg is from 280 to 310 rubles. This amount of drug is usually enough for one course of treatment. Tablets of 150 mg (30 pieces) cost from 400 to 550 rubles. The price of 5 ampoules of solution is from 450 to 650 rubles.
Patients are often interested in analogues of Midokalm. Such drugs include medicines, which also include tolperisone:
- Tolperyl;
- "Tolperisone OBL";
- Kalmyrex
- Tolizor.
These drugs have indications, contraindications and side effects, which are indicated in the instructions for use "Midokalma". Reviews of analogues indicate that these funds are no less effective.
However, not all drugs can be used asinjection. The medicine "Tolperisone OBL" is produced only in tablet form, and "Tolizor" in the form of capsules. The preparations Kalmireks and Tolperil can be used for injections, they are available in tablets and ampoules.
Indications for injection and dosage are the same as in the instructions for use "Midokalma". Reviews of analog injections indicate that these drugs have a similar effect.
The price of Tolperil tablets is about 200 rubles, and the solution in ampoules is 300-400 rubles. Kalmireks tablets cost 250-300 rubles, and the injection form costs from 350 to 700 rubles.
The price of Tolizor capsules is from 310 to 350 rubles, and Tolperizon OBL tablets are from 210 to 310 rubles.
We can conclude that the structural analogues of the drug have the same effect, and at the same time their price does not significantly differ from the cost of "Midokalm".
If the patient has intolerance to tolperisone, then it is possible to choose drugs with another active component, but with a similar therapeutic effect. These medicines include:
- Baklosan
- Sirdalud;
- Miolgin.
"Baklosan" (active substance - baclofen)released in tablet form. In the form of ampoules, this medicine is produced under the name "Lyorezal", it is administered only intrathecal - through a catheter directly into the spinal cord. The drug relieves spasms well, but its analgesic effect is weakly expressed. It is rarely used for back pain, the area of application of this remedy is spastic phenomena in cases of damage to the spinal cord and brain (trauma, multiple sclerosis, cerebral palsy). The drug has a pronounced sedative effect and depressing effect on the central nervous system. The price of Baklosan tablets is from 250 to 380 rubles, of Lyorezal - from 200 to 500 rubles.
Sirdalud is produced in the form of tablets and solutionin ampoules. Indications for use are the same as those of Midokalm. Reviews of analog injections indicate that Sirdalud quickly relieves spasms and pain, but drowsiness appears. This remedy has a strong sedative effect. When you stop taking the medicine, withdrawal syndrome may develop. The price of the drug in tablets is from 180 to 350 rubles, and in ampoules - from 480 to 600 rubles.
"Myolgin" is a combinationa drug. It includes the muscle relaxant chlorzoxanol, as well as the analgesic, antipyretic and anti-inflammatory drug paracetamol. The medicine is produced only in the form of tablets. Reviews about the analogue of "Midokalm" indicate that "Myolgin" helps well with back pain of various origins, but as a muscle relaxant it acts weaker. The price of tablets is from 230 to 350 rubles.
Reviews about the drug
You can find many positive reviews aboutMidokalme. Patients report that this tool helps to quickly get rid of pain with osteochondrosis, pinching of nerves and other musculoskeletal diseases. To achieve a therapeutic effect, sometimes a short course of injections or taking pills is enough. If you combine the use of medication with painkillers, then relief comes even faster.
There are reviews about Midokalm tablets from peoplesuffering from cerebral palsy and multiple sclerosis. In these cases, the medicine is used as part of complex therapy. Most patients note that it has become easier for them to walk after using this remedy.
The drug also helps with internal diseases.organs accompanied by spastic pain. There are reports from men suffering from chronic prostatitis. They indicate amelioration after the use of injections or tablets. The pain disappears due to relieving spasm.
However, you can find negative reviews.Some patients experienced side effects, especially after injecting the drug. Patients complain of jumps in blood pressure, gastrointestinal upsets, blurred consciousness, body tremors, shortness of breath and tachycardia. It is possible that these patients had concomitant diseases of the cardiovascular system and gastrointestinal tract. Before prescribing the drug, it is necessary to notify the attending physician about chronic pathologies. This will help you choose the safest medicine.
