white tablets, flat-cylindrical, with chamfer and risk.
pharmachologic effect
The spectrum of the pantogama action is associated with the presence in its structure of gamma-amine oil acid. The mechanism of action is due to the direct influence of Panthogam on the GAMKV receptor-channel complex. The drug has nootropic and anticonvulsant action. Pantogam increases the stability of the brain to hypoxia and the effects of toxic substances, stimulates anabolic processes in neurons, combines a moderate sedative effect with a soft stimulating effect, reduces motor excitability, activates mental and physical performance. Improves the metabolism of the GABC in chronic alcohol intoxication and after the cancellation of ethanol. It is capable of inhibiting the reactions of acetylation involved in the mechanisms of inactivation of procaine (novocaine) and sulfonamides, thereby reaches the prolongation of the action of the latter. Causes the braking of pathologically increased bubble reflex and the tone of the detour.
Pharmacokinetics
Pantogam is rapidly absorbed from the gastrointestinal tract, penetrates through the hemato-encephalic barrier. Its concentration in the brain reaches a maximum after 1 hour after administration. The maximum concentration in the brain is marked in the taper kernels, the cerebral core and cerebellum. The greatest concentrations are created in the liver, kidneys, in the wall of the stomach and skin. Pantogam is not cumulated in the body. It is completely excreted with urine (67.5%) and feces (28.5%) within 48 hours unchanged.
Indications for use
Cognitive disorders in organic lesions of the brain (including the effects of neuroinfection and cranial injuries) and neurotic disorders;
Schizophrenia with cerebral organic failure;
Cerebrovascular insufficiency caused by atherosclerotic changes in brain vessels;
Extrapyramidal disorders (Mioclone-epilepsy, chorerytone, hepatolenticular degeneration, Parkinson's disease, etc.), as well as for the treatment and prevention of extrapyramine syndrome (hyperkinetic and akinetic) caused by the admission of neuroleptics;
Epilepsy with a slowdown in mental processes in comprehensive anticonvulsant therapy;
Psycho-emotional overload, reducing mental and physical performance, to improve the concentration of attention and memorization;
Neurogenic urination disorders (Pollakiuria, imperative urge, imperative urinary incontinence, enuresis);
Children with perinatal encephalopathy, mental retardation of various degrees of severity, with a delay in development (mental, speech, engine or their combination), with various forms of children's cerebral paralysis, with hyperkinetic disorders (hyperactivity syndrome with a deficit of attention), neurosis-like states (when stuttering, mainly clonic form; teaks).
Contraindications
Hypersensitivity, sharp heavy kidney diseases, pregnancy, lactation, children under 6 years old.
Method of application and dose
Inside 15-30 minutes after meals.
A single dose for adults is usually 0.25-1 g, for children - 0.25-0.5 g; Daily dose for adults - 1.5-3 g, for children - 0.75-3 G. Course treatment - from 1 to 4 months, in some cases - up to 6 months. After 3-6 months, a re-course of treatment is possible. When epilepsy in combination with anticonvulsants in a dose from 0.75 to 1 g per day. Course treatment up to 1 year and more.
With an extrapyramid neuroleptic syndrome in combination with therapy
daily dose up to 3 g, treatment for several meamentans
With extrapyramidal hyperkinase * in patients with hereditary diseases of the nervous system in combination with therapy conducted from 0.5 to 3 g per day. Course treatment up to 4 or more months.
With the consequences of neuroinfection and cranial injuries of 0.25 g 3-4 times a day.
To restore performance with elevated loads and asthenic states, panthogam is prescribed by 0.25 g 3 times a day.
For the treatment of extrapyramidal syndrome caused by the admission of neuroleptics: adults 0.5-1 g 3 times a day, children - 0.25-0.5 g 3-4 times a day. Course of treatment for 1-3 months.
When ticking: Children at 0.25-0.5 g 3-6 times a day, for 1-4 months, adults 1.5-3 g per day, within 1 -5 months.
With neurogenic urinary disorders (Pollakiuria, imperative urges, imperative urinary incontinence, Enuresis): adults 0.5-1 g 2-3 times a day, children of 0.25-0.5 g (daily dose is 25-50 mg / kg). Course of treatment from 1 to 3 months.
Children with perinatal encephalopathy, mental retardation of various degrees of severity, with a delay in development (mental, speech, engine or their combination), with various forms of children's cerebral paralysis, with hyperkinetic disorders (hyperactivity syndrome with a deficit of attention), nerity-like states (when stuttering, mainly Tonic form; teaks) Depending on age, the drug is recommended from the calculation of 50 mg / kg body weight per day (children from 6 to 12 years at a dose of 1.5-2.5 g; children over 12 years old in a dose of 2.5-3 d). Tactics of prescriptions of the drug: dose building for 7-12 days, the reception in the maximum dose for 15-40 days and a gradual decline in the dose to cancel Panthogam for 7-8 days. The break between Pantogama exchange rates, as well as for any other nootropic agent, ranges from 1 to 3 months.
Side effect
Allergic reactions (rhinitis, conjunctivitis, skin allergic reactions are possible).
In this case, reduce the dose or cancel the drug.
Unwanted unwanted reactions from the central nervous system (hyper-excitation, sleep disorders or drowsiness, lethargy, inhibition, headache, dizziness, noise in the head) are possible. In this case, reduce the dose of the drug.
LS-001667 dated 06/16/06
Trade name of the drug
Pantogam ®.
International non-proprietary title
hopanthic acid (Acidum Hopantenicum)
Dosage form
Composition:
the active ingredient: calcium Gopanenate (Pantogam ®) - 10.0 g;
auxiliary substances: glycerol (in terms of 100%) 25.8 g, sorbitol 15.0 g, citric acid monohydrate 0.1 g, sodium benzoate 0.1 g, aspartame 0.05 g, Food flavoring "Cherry 667" 0 , 01 g, purified water - up to 100 ml.
Description
Colorless or slightly yellowish liquid with cherry smell
Pharmacotherapeutic group - Nootropic tool
PBX code- N06BX
Pharmacological properties
Pharmacodynamics. The spectrum of the effect of Pantogama is associated with the presence in its structure of gamma-amine oil acid. The mechanism of action is due to the direct influence of PanTogam on GABA B - receptor-channel complex. The drug has nootropic and anticonvulsant action. Pantogam increases the stability of the brain to hypoxia and the effects of toxic substances, stimulates anabolic processes in neurons, combines a moderate sedative effect with a soft stimulating effect, reduces motor excitability, activates mental and physical performance. Improves the metabolism of the GABC in chronic alcohol intoxication and after the cancellation of ethanol. It is able to inhibit the acetylation reactions involved in the inactivation mechanisms of novocaine and sulfanimamides, which achieves the prolongation of the action of the latter. Causes the braking of pathologically increased bubble reflex and the tone of the detour.
Pharmacokinetics. Pantogam is quickly absorbed from the gastrointestinal tract, penetrates the hemato-encephalotic barrier, the greatest concentrations are created in the liver, kidneys, in the wall of the stomach and skin. The drug is not metabolized and excreted unchanged within 48 hours: 67.5% of the adopted dose is excreted by the kidneys, 28.5% is displayed with feces.
Indications for use
Contraindications
Increased sensitivity to the drug, acute severe kidney diseases, pregnancy (1 trimester), phenylketonuria (syrup contains aspartame).Method of application and dose
Pantogam syrup 100 mg / ml is taken inside 15-30 minutes after meals. 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 it is possible to conduct a re-course of treatment.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). Tactics of treatment provides for a dose building within 7 - 12 days, receiving at a maximum dose for 15 - 40 or more days with a gradual decline in the dose to cancel within 7 to 8 days. The course of treatment is 30 - 90 days (with individual diseases up to 6 months or more).
In case of schizophrenia in combination with psychotropic drugs - from 5 to 30 ml (0.5 - 3 g) per day. Course therapy - from 1 to 3 months. When epilepsy in combination with anti-wurals - 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, a daily dose - up to 30 ml (up to 3 g), treatment for several months. With extrapyramidal hyperkinases in patients with organic diseases of the nervous system - from 5 to 30 ml (0.5 - 3 g) per day. Course treatment - up to 4 or more months.
With the consequences of neuroinfection and cranial and brain injuries - from 5 to 30 ml (0.5 - 3 g) per day.
To restore performance at elevated loads and asthenic states, panthogam is prescribed 2.5 - 5 ml (0.25 -0.5 g) 3 times a day.
With urination disorders to children - 2.5 - 5 ml (0.25 - 0.5 g), the daily dose is 25 - 50 mg / kg, a course of treatment 1 - 3 months; Adults - 5 - 10 ml (0.5 - 1 g) 2 - 3 times a day.
Side effect
Allergic reactions (rhinitis, conjunctivitis, skin allergic reactions are possible). In this case, cancel the drug. Unwanted unwanted reactions from the central nervous system (hyper-excitation, sleep disorders or drowsiness, lethargy, inhibition, headache, dizziness, noise in the head) are noted very rarely. In this case, reduce the dose of the drug.Overdose
Strengthening the symptoms of side effects (sleep disorders or drowsiness, noise in the head). Treatment: Activated coal, stomach wash, symptomatic therapy. Interaction with other medicines
The action of barbiturates is prolonging, increases the effect of anticulate agents, prevents side effects of phenobarbital, carbamazepine, neuroleptics. The effect of Pantogama is enhanced in combination with glycine, ethydron acid. Potenties the action of local anesthetics (skill).Form release
Syrup 100 mg / ml. 100 ml in dark glass vials, clapped with covers with the first opening control ring. Each bottle along with a dimensional spoon with a nominal volume of 5 ml with a risk with a "%" marking (which corresponds to 2.5 ml) or with a dimensional spoon with a nominal volume of 5 ml with risks with "%" and "%" labeling (which corresponds to 1.25 ml and 2.5 ml), with instructions for use are placed in a pack of cardboard.Storage conditions
Store in the place protected from light at a temperature not higher than 25 ° C. After opening, stored in the refrigerator no more than 1 month. Keep out of the reach of children.It is known that the health of newborns for parents is in the first place, and before they become the appointment of the doctor, they will think prey on their feasibility. Special cases are specialized drugs, for example, from a neuropathologist who are sometimes prescribed to infants. To such a category of drugs are pantogam. This medical preparation can be called relatively new, and therefore not everyone can have the necessary information about him.
Pantogam is a new generation medicine. Nodules of nootropic action are designed to stimulate brain activity. Therefore, it is clear that parents have doubts about the need for their use and some concerns.
Hurry to calm everyone. Pantogam is offered for infants not in tablets, but in the form of a syrup with various taste additives.
If you figure it out in more detail, the main active substance in this drug for kids is gopanenic acid. Its main functions include improving the situation with the absorption of oxygen with the brain. The impact occurs in a soft form, soothing, without a side effect in the form of drowsiness.
What can serve as an indication for PanTogam's appointment
Pantogams are prescribed to children to infants with various deviations in the development and diseases of a neurological nature.
Among the frequent evidence for the use of the drug, you can list the following:
- some types of injuries and lesions of the nervous system in infants obtained during childbirth;
- deviations in the development and damage to the nervous system acquired by the fruit in the process of pregnancy;
- convulsions or epileptic seizures;
- serious disorders of the nervous system of infants, such as cerebral palsy and hydrocephalus;
- brain injury;
- frequent state of excitation, nervousness and disorders of sleep mode.
Methods for taking drug PanTogam
For the convenience of taking drugs of infants, manufacturers of various medical devices have developed the form of special preparations in the form of syrups. They have a pleasant, adaptable taste for children, which makes it easier for drugs in infants.
The course of therapy, multiplicity and dose of reception will depend on the severity of the disease and the state of the kid.
But most often the multiplicity of pantogama for infants is two to three times. As for the dose, then to exclude overdose by the drug, the child should not take more than 1 mg of syrup.
In order for the treatment process to bring the desired result, it is necessary to adhere to the reception scheme of this drug. Such a scheme implies a gradual increase in the dosage of Pantogama, which lasts about a week, before receiving the maximum possible dose for the child. Then follows the period of receiving the installed maximum pantogam dosage. The final stage of drug reception implies a decrease in dosage within 12 days, after which the full cancellation of Pantogama should be.
The instruction gives comprehensive drug information. In it, you can read the recommendations to take the medicine 15 minutes after feeding the baby. A full course of therapy will depend on the state of the baby and the reaction of its body for treatment. As a rule, the treatment time can last from one month to six months.
If, with further observation of the child, the doctor will decide to appoint a repeated course of treatment, then it will be possible to give the drug again only 3 months.
What side effects can be after taking Panthogam
Before giving pantogam syrup, you should familiarize yourself with its side effect.
It is necessary to recognize that pellets or pantogam syrup is an effective medicine that can cause the minimum amount of unwanted side effects.
The most obvious side effects from Pangestogama:
- nausea and excessive drowsiness;
- allergic rash;
- the appearance of rhinitis or conjunctivitis in infants.
About all the new symptoms that appeared in infants should immediately inform the doctor. But it often happens that the side effects are very quickly passing: the sleep enters into its normal phase, the rash disappears, and the redness of the eyes and runny nose pass. In this case, you can again give infant pantogam. Parents may not worry, giving syrup even to small children, because its use most of the doctors calls rational and efficient.
Pantogams in tablets are prescribed to children of older, teenagers who have problems with learning and obvious cognitive violations are observed.
Newborn and infants prescribe syrup, which is more adapted for this age category of patients.
It is necessary to immediately focus on the fact that, despite the slight probability of adverse side effects, the Pantogam does not accept in preventive measures, but only after consulting a specialist and its appointment.
Panthogam is a lightweight preparation of nootropic action, in a soft form impact on the patient's brain. It contributes to the acceleration of oxygen penetration to brain cells. In addition, the drug can be called sedative, capable of removing excessive irritability and infant infancy.
Often, this drug can be appointed as an anticonvulsant drug, warning oxygen starvation of brain cells.
It is also found effective in the treatment of enuresis, speech delays and epilepsy.
In addition, pantogam may contribute to the development of the body's stability to the effect of toxic substances. Why do the drug take with different and sometimes contradictory disorders? This is because pantogam is able to simultaneously perform a sedative effect and stimulation of cerebral activity.
The basis of this drug is the gopanenic acid, which has a positive effect on the children's body. It is explained by the fact that it includes vitamin 15, and at the same time is a brain mediator; affects physiological processes such as sleep, nerve braking and excitation processes.
A distinctive feature of Pantogama, in addition to its high efficiency, is the lack of an excessive sedative action that causes drowsiness in patients. That is why this drug can be given to infants from the first days of life (according to the special purpose of the doctor).
The instruction clear makes it clear that the syrup pantogam is the smallest should be taken in the first half of the day. Most often, the evening taking medication is not welcomed due to its properties slightly excite the nervous system, which should be avoided before bedtime. But the attending physician will explain in detail the parents of the infants of the Panthogama reception scheme. It is also not worth using the described drug to take other drugs that can affect the nervous system.
Unfortunately, quite often children meet deviations associated with the activity of the nervous system of the body. If another twenty years ago, such a diagnosis was almost a sentence, now doctors use modern drugs, which during long-term use allow you to restore and maintain a normal health condition. This is the natural drug PanToga for children, which contains active ingredients directly affecting the central nervous system.
Some parents, the instructions for use of the drug seems frightening, as it contains information about the treatment of a plurality of serious diseases, including those with lifetime. You should not be afraid - doctors prescribe pantogam, in most cases it is associated with the correction of a minor deviation from the norm, but you still need to learn more about this preparation.
The active substance in the pantogama is gopanene acid. Theoretically, it is a pantothenic acid produced by a synthetic way - we know it under the name of vitamin B15. However, part of the molecule of this beneficial compound is replaced by gamma-aminobacing acid, which is used to stimulate the work of the nervous system. That is why the syrup of pantogam or tablets based on a similar active substance are prescribed with violations in this part of the human body.
Instructions for use indicates that pantogam stimulates the neural brain network, improving its conductivity for electrical signals. Partially gopanene acid, which contains syrup and similar tablets affects the vegetative nervous system, also allowing the best conditions for the passage of nerve signals that control the muscles and organs.
Some people have an anabolic response, that is, a significant increase in physical force is achieved due to the use of pantogama, which is also a consequence of impact on the nervous system.
In addition, pantogam children are prescribed for diseases or development deviations that cause strong convulsions. Syrup helps to improve oxygen penetration into brain cells, which makes it possible to prevent an abnormal response of muscle tissue reduction. The application instruction indicates that such an effect also contributes to the prevention of the death of nerve cells as a result of the impact of various negative factors. As a result, the potential of the nervous system is improved and the likelihood of failures in its operation is significantly reduced.
When is PanToga appointed?
Children
Recently, the syrup pantogam often began to be appointed by pediatricians and neuropathologists. Many young parents have a question - is not a consequence of a certain conspiracy, because the drug is massively produced since 1998, but is also designed at the end of the 1980s. Nothing like this does not really happen, simply due to certain reasons, Pantogam did not have widespread proliferation until recently, therefore, the statistically sound data regarding the effectiveness of its application was not possible.
Most often, pantogams for children are prescribed when attention deficit syndrome. It allows you to eliminate the hyperactivity of the nervous system and significantly reduce the intensity of the manifestation of sleep disorders. Instructions for use also indicate that in this case the drug helps to increase the progressiveness and facilitate the process of obtaining knowledge by a child in ordinary educational institutions without a special mode.
Also, syrup is given to children who have psychegetative syndrome - both congenital and acquired. The application instruction indicates that this disease manifests itself in the form of an overnight response to stressful situations, including the following symptoms:
- sharp and sharp headaches;
- involuntary urination;
- the appearance of tremors and convulsion;
- emotional instability;
- heart rhythm.
Practically in 80% of cases, pantogam reduces the intensity of the manifestation of the indicated manifestations of the disease. Thanks to this, the child may return to normal social activity, attend educational institutions, as well as absorb new information and develop in accordance with the norm.
For children under the age of year, Pantogam syrup is prescribed quite rarely - one of the few exceptions is the hypoxium of the brain, which may be a consequence of a generic injury or influence on the organism of other factors in the subsequent period. In addition, the application instructions contains an indication of the need to use the drug under cerebral paralysis and many other forms of dysfunction of the nervous system. This case is also an exception at which the syrup pantogam gives babies under the age of one year.
By the way, if you are afraid to give a child the drug, you should remember that it does not contain unfulfilled components that could cause its body significant harm - this confirms the instructions for use.
In addition, Pantogam syrup is not a stimulant that causes euphoria with loss of fear, self-preservation instinct and other dangerous mental states. In foreign medicine, children in the above disorders can produce ritaline - this drug contains substances for chemical composition similar cocaine. It has a huge many side effects, including addiction that develops in a painful dependence. In comparison with him, pantogam is a huge step forward - although their scope and are not identical, both drugs are often used in solving some of the same problems.
Adults
Pantogam is often prescribed and adults - but it uses no longer syrup, but tablets created on the basis of a fully identical active ingredient. In particular, among cases of prescribing the drug, the following can be distinguished:
Use of medicine
Unlike many other drugs, Pantogam syrup does not give significant side effects. Only in 1% of cases there are non-leaveal allergic reactions, under which it is recommended to refuse to use the drug.
In addition, the application instruction indicates the possibility of too much a strong manifestation of some effects, in particular, the appearance of hyperactivity, or vice versa - drowsiness and inhibition. With any manifestations of the nervous system, the dose is adjusted towards the decrease.
If we are talking about the syrup pantogam, the reception scheme is as follows:
- for children under the age of 1, it is prescribed 5 ml a day, breaking this amount by 2 receptions after eating;
- from 1 to 3 years, syrup is used in an amount of 5-10 ml, separated by 2-3 receptions.;
- up to 7 years use an average dose of 15 ml, breaking 3 times;
- children over 7 years old and adults are prescribed on 20 ml of syrup Pantogam or 2 grams of drug in tablets.
The duration of treatment during the correction of light deviations ranges from 14 to 30 days. For the prevention of diseases with an increased probability of such pantogam, it is shown for use for 20-60 days. If we are talking about the treatment of consequences of essential injuries and congenital deviations, the drug can be prescribed within 90 days with periodic repetition of the course. In addition, in certain cases, the Pantogama dose can be significantly increased, but only a neuropathologist can do such appointments.
Available in two dosage forms in tablets of 0.25 g and syrup of 100 mg / ml. Syrup is a colorless or slightly yellowish liquid, a pleasant taste with the aroma of Cherry.
We produce it in a bottle of dark glass, which is packed in a paper box.
Each bottle is attached a measuring spoon and detailed instructions for use. An active substance is a gopanene acid.
Mechanism of impact and pharmacokinetics
The therapeutic effect of the pantogam syrup is due to the presence in its structure of γ-aminobacing acid (GAMK). The drug has a nootropic and anticonvulsant action.
The active substance increases the stability of the brain to the deficiency of oxygen and the effects of toxins, activates the anabolic reactions in neurons, combines a moderate soothing effect with a neuropal stimulating effect, eliminates excessive motor activity, increases mental and physical activity.
Normalizes the exchange of GABC in patients with chronic alcoholism. In addition, the current start inhibits the acetylation process, which participates in the mechanisms of inactivation of procaine and sulfanimamides, as a result, there is a prolongation of their action. When taking medication, a bubble reflex and a deduster of the detour is normalized.
Under oral intake, syrup is quickly adsorbed from the digestive tract. The active substance migrates through the BC, the maximum concentration is observed in the skin cover, liver, in the walls of the stomach, kidneys. The medicine is excreted for 2 days at an initial form with urine (67.5%) and with carte masses (28.5%).
Application area
Pantogam syrup is prescribed with the following pathologies:
What pathologies should it be abandoned by applying?
From taking syrup, it is necessary to refuse if the following states and diseases are observed:
- individual intolerance;
- serious kidney pathologies in the aggravation stage;
- pregnancy up to 13 weeks;
- phenylketonuria, since one of the auxiliary substances of the syrup is aspartame.
Appointment with special categories of patients
Pantogam syrup can be prescribed for newborns from the first day of life. The dosage of them is chosen individually depending on the age of the patient and its overall well-being.
The drug cannot be prescribed patients with severe kidney pathologies.
Do not take a medicine in the first trimester when the internal organs of the fetus are being published.
Unwanted effects and overdose cases
Despite the fact that adults, Pantogama can provoke emotional breakdowns, Lunatism, in children from adverse reactions only allergic processes are observed in the form of conjunctivitis, rhinitis, skin manifestations. In this case, immediate cancellation of treatment and the purpose of antihistamine is required.
If the dosage of the medication for the child is incorrect, then the appearance of unwanted reactions from the brain, such as:
- excitability or vice versa;
In the development of the above-described phenomena, it is necessary to reduce the dosage of the drug.
With a deliberate or random overdose of the syrup, an increase in negative reactions from the spinal and brain (noise in the ears, headaches) is observed.
In this case, the stomach washing, the reception of adsorbing agents (polysorb, smect, neosmectin) is shown. The treatment is symptomatic, specific antidote does not exist.
Pharmaceutical interaction
The active substance of Pantogama enhances the effect of anti-wurals, the therapeutic effect of barbiturates is prolonging. With parallel reception, unwanted reactions from antipsychotic drugs.
In case of simultaneous use, the effect of local anesthetics, such as novocaine potentiate, such as novocaine.
The therapeutic effect of the drug is enhanced if it is simultaneously taken with ethydron acid.
Dosing mode
Pantogam syrup is allowed to accept children from birth. Take it you need 30 minutes after feeding. Since the drug has nootropic effects to take it better in the first half of the day.
Dosage and duration of treatment Children's doctor, each child picks up individually, depending on the pathology of the central nervous system and age:
- in children under 1 The daily dose may vary from 5 to 10 ml (500-1000 mg);
- up to 3 years from 5 to 12.5 ml;
- up to 7 years old from 7.5 to 15 ml;
- schoolchildren from 10 to 20 ml.
One-time dose for children of any age should be 2.5-5 ml, the maximum daily dosage 3 g.
The course of treatment may vary from 1 to 4 months, and sometimes to six months. Another reception is permissible after 3-6 months.
During the first 7-12 days of receiving a dose, it is necessary to gradually increase, then during 15-40 days the drug must be drunk in the most recommended dosage, then during the week a daily dose to gradually reduce up to full cancellation.
Syrope dosages depending on the disease:
With long-term treatment with syrup pantogam, it is not necessary to simultaneously accept other, as it is possible to strengthen the negative effects from each of them.
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