The problem of lack of appetite is not as simple as it may seem at first glance. A good appetite at all times was considered the key to a healthy, strong body, but its absence almost always led to a deficiency of vitamins and trace elements, and, as a result, to various diseases. And not always physical exercises or walks in the fresh air help in solving this problem.
Lack of appetite for more than two weeks is a serious cause for concern. It is not surprising that in many cases, doctors recommend solving this issue with the help of drugs. In this article we will talk about which pills for appetite are considered the most effective.
Preparations in tablets for increasing appetite
1. Peritol
This drug is an antagonist. These mediators suppress the feeling of hunger, and Peritol effectively blocks their action, thereby increasing the appetite. It is necessary to accept means on ½ – 1 tablet 3 r / day.
2. Insulin
Insulin tablets are famous for their high efficiency of increasing appetite; they must be taken in 5–10 U before eating. According to reviews, this drug has its beneficial effect after 20 minutes. It is only important to consult a doctor before taking the medicine.
3. Anabolic steroids
Almost all anabolic steroids quickly and effectively cause appetite. At the same time, Primobolan has the best reviews in solving this problem. It is only important not to forget about side effectscommon to all anabolic steroids.
4. Peptides
GHRP-6 and GHRP-2 capsules are medicines that are designed to stimulate and increase muscle mass. They act by influencing the metabolism of glucose, thanks to which they increase appetite well.
Vitamins for increased appetite
Persons who want to increase their appetite should think about taking vitamins, in particular, group B vitamins and ascorbic acid. It is possible that the lack of these biological substances caused a decrease in appetite.
Pernexin elixir to increase appetite
Let this drug is not available in pills, but in its effectiveness, it competes with many of the above means. It contains such valuable substances as: liver extract, iron gluconate, as well as thiamine, riboflavin, niacin and other vitamins of group B. By the way, all these components are of natural origin, and therefore Pernexin can be taken without fear for your own health.
Iron supplements to increase appetite
Iron-containing medications can quickly return your appetite. These are drugs such as sorbifer, Fenüls, Ferrum Lek and others. They should be taken with meals or immediately before eating. One has only to remember that such funds can provoke an upset stomach.
Bitterness for increased appetite
Having considered the pills for appetite, it is necessary to say that bitterness can be a good help in solving this problem. These include bitter herbal extracts that irritate the gastric mucosa, which reflexively increases the appetite. The advantages of using these funds include their safety for the body and the fact that they are available over the counter in pharmacies. Consider some of them.
1. Gathering Appetizing
Accepted this natural remedy in the form of infusion 3 p / day, 1 tbsp. which is diluted in a glass of water. It is best to drink the medicine for half an hour before meals.
2. Calamus rhizome
3. Tincture of wormwood
This tincture is excellent appetite, if you take it for 15-20 drops before meals for 20 days. If necessary, the course can be repeated after 10 days. Good appetite!
The information on our website is informative and educational in nature. However, this information is by no means a self-medicinal benefit. Be sure to consult your doctor.
A good appetite is a sign of excellent health. A person should want to eat, because lack of appetite turns into serious health problems. Our body does not receive the required amount of vitamins and trace elements. Today we will talk about how to quickly improve the appetite of an adult.
What causes loss of appetite?
Why does reluctance arise?
There are several reasons:
- gastrointestinal diseases - gastritis, dysbacteriosis, cholecystitis;
- stress and depression;
- viral and bacterial infections - the body focuses on this important issue;
- improper diet or fasting;
- drugs and harmful products - the use of certain medicines herbal infusions, smoking.
In any case, if such a problem is present, it is necessary to find the cause and get rid of it.
Consequences of poor appetite
If a person does not feel the desire to eat for a long time, this will have a very negative effect on his health. As a result, all organs starve, including the brain. Naturally, weakness, drowsiness, headaches and dizziness, fatigue, memory deteriorates. Our body can not work normally, because it does not receive nutrients. Accordingly, all functions are impaired.
In an adult, performance decreases, lethargy and fatigue appear. The child will grow poorly and gain weight. In a pregnant woman, such a condition is generally dangerous, since a developing baby also depends on her during this period.
How to improve our appetite?
By what means can you increase your appetite?
First of all, it is necessary to remove the main reason that interferes with the normal desire of a person to eat. If it is a diet, it is necessary to stop following it and slowly move on to proper nutrition. You can eat in small portions, the main thing - there is. If these are diseases of the gastrointestinal tract, then you need to cure them. In general, it is necessary to find the cause and make every effort to get rid of it.
In addition, there are a number of methods to help improve the appetite:
- fresh air - movement, walking on the street is very helpful in solving this problem;
- exercise - any exercise requires more nutrition;
- the right regimen of the day, getting rid of smoking, taking alcohol - all this helps;
- fasting once a week gives a favorable result;
- prepare such dishes that you would like to eat - the aroma, taste and beautiful presentation will arouse the desire to eat;
- the mood is very important - it is necessary to avoid stressful situations, take sedatives, that is, be calm, in a good mood;
- eat healthy food - some preservatives and supplements dull the body's ability to feel hunger;
- drink plenty of water - dehydration can also be a common cause;
- use vitamin-mineral complexes - vitamin deficiency can cause such a nuisance;
- eat from dishes painted in warm colors - yellow, red, orange (the color also affects the appetite);
- do not eat a lot of fiber, it gives a feeling of satiety, but the body does not receive all the nutrients, because we also need proteins, fats, vitamins;
- some herbs and spices excite the desire to eat, but they should not be abused.
Herbs and products that help solve this problem
In addition to the above methods, some herbs can increase appetite.
These include dandelion, wormwood, yarrow, bitter elm. Take these herbs should be a certain way, in the form of decoctions and infusions. Here are some recipes.
Infusion of dandelion roots
To prepare it, you need to pour two teaspoons of raw materials with one glass of cold water. After eight hours you can drink a quarter of a glass no more than four times a day. This infusion not only increases the appetite, but also strengthens the immune system.
Infusion of wormwood
One teaspoon of this herb pour a glass of boiling water. After the infusion lasts thirty minutes, drink a tablespoon before eating.
Yarrow Juice
Squeeze the juice from this plant and, adding honey, use a teaspoon before eating. This tool will provide you with energy and help cure diseases of the digestive system organs.
Rusty Elm Bark
It contains many polysaccharides that remove nausea and aid digestion.
Prepare the drink from bark powder, which in the amount of a half-spoon should be poured with a glass of boiling water and boiled for twenty minutes. After that, you can drink 1-2 glasses per day.
Chamomile Flowers Infusion
Improves mood and increases appetite, and also eliminates stress from the infusion of chamomile. It is easy to cook: pour a tablespoon of raw material with boiling water and leave for half an hour. Then drink like tea during the day.
There are also many foods and spices, after consumption, which you want to eat.
For example, pumpkin, carrot, cinnamon, ginger, mint, dill, onion, horseradish, bay leaf, basil.
Cinnamon contains hydroxychalcone, an appetite stimulant. Add cinnamon to tea, cocoa, it is very tasty and healthy. You can also do with mint or ginger. Brew tea with the addition of these products.
Make juice from carrots and drink before eating. It contains vitamin A, which not only improves the appetite, but also helps with insomnia, frequent colds.
Add onion, dill and basil to different dishes. They contain many vitamins and help not only in our problem, but also in many others.
Horseradish and bay leaves increase immunity, fight kidney and liver diseases and, of course, increase the desire to eat.
What trace element can improve appetite? This trace element is iron. Therefore, it is necessary to eat red meat, soybeans, eggs, pomegranates, green apples. In general, you need to eat more fresh fruits and vegetables. The body will receive more vitamins C, A, and E, as well as trace elements, which also contribute to the normal desire to eat food.
Remember that our health depends largely on what we eat. Therefore, be attentive to your diet.
In children? This question does not give rest to many parents. After all, a growing body requires a large amount of energy, vitamins and minerals. But where do they come from, if the baby eats almost nothing?
How to increase the appetite of a child? What do I need to do? What is the reason for poor appetite? The answers to these and other questions regarding this problem will be presented below.
Appetite - what is it?
Before answering the question of how to increase the appetite of a child of 2 years or of another age, it is necessary to understand what this word means in general. "Appetite" has Latin roots. According to experts, this word is translated as "desire", "desire" or "need."
In physiological terms, appetite is a kind of sensation resulting from the human body's need for food. In that case, if this need was not met, then it develops into a strong feeling of hunger.
It must be understood that the work of the digestive tract is controlled by a certain part of the brain, namely its food center. With a long absence of food, certain areas are excited in it, which, in fact, send impulses to the digestive tract organs. As a result of this process, a person begins to intensively produce saliva, as well as a desire to eat.
Main reasons
How to increase the appetite in children? Before you deal with this problem, you should identify its causes. It should be noted that there may be several. Consider the most likely right now:
- The appetite of all babies is different initially. And if the parents of the child themselves were poorly fed in childhood, then this phenomenon can also be observed in their children.
- Health problems. Teething, the presence of stomatitis, inflammation that occurs in the gastrointestinal tract, a cold and even a banal runny nose - these are the most common reasons why many children refuse to eat. How to increase the appetite of a child of 5 years or another age? If the reason for refusing food is a disease, then you should not insist on your own way and force-feed the baby. This is due to the fact that during the disease is a kind of protective reaction of the body. In this way he directs his strength to fight the disease, and also protects the liver, which is the main cleansing organ. After the child recovers, the appetite will return itself.
- Wrong actions of parents for breakfast, lunch or dinner. The dining table should not be the place where the child is constantly being scolded, given notations to him, forced to eat by force or punished. When shouting at dinner, not only the baby, but any adult will lose all appetite.
- Experiences, stress. How to increase the appetite in children? First you need to find out what your child is eating. After all, frequent discord in the family, new stages in life, the death of loved ones and quarrels with best friends can directly affect the appetite of your baby. After talking with him and identifying the cause of his bad mood, parents should reassure the child, which will contribute to the return of the desire to eat something.
- Seasonal variations. Causes of increased appetite in children and lowered may be associated with climate change. In winter, the human body requires more energy than in summer. Thus, in the cold season, the child's appetite is much better than in unbearable heat.
- The presence of worms. In addition to refusing to eat, the following symptoms are characteristic of this disease: pallor, irritability and abdominal pain. In case of helminthic invasion, blood and feces should be tested.
- Overwork, tiredness and lack of sleep are also the main causes in babies. In such situations, it is extremely important to adjust the mode of the child's day.
- If children spend little time on the street, their appetite may also decrease.
How to increase the appetite in children? Fundamental rules
What if your baby eats almost nothing? At the same time, there are no objective reasons for this behavior. To do this, we recommend to follow certain rules.
Do not force the child to use what he does not like
As you know, children often dislike certain products. This behavior is usually age-related and passes independently in the process of growing up. But if the child is forced to eat something that he does not really like, then he can develop a real phobia that is associated with a particular product. In this case, this behavior can remain for life.
Forcing the child to use what he does not want, the parents fix in him a negative reflex, and also unconsciously instill a persistent dislike for food. This is exactly what causes the problem of poor appetite.
The process of eating should cause only positive emotions in the baby.
The setting in which the meal takes place is of great importance for increasing the child's appetite. Parents at this time should forget about all their problems and show the kid how delicious everything is prepared, how pleasant it is for them to be in such good company.
If the child began to act up and you punished him, then you should put him at the dinner table only after he calms down.
During lunch, pay less attention to your child. Use the food yourself with an appetite, and then the baby will begin to imitate you.
Meal time
If possible, all meals should be held at the same time. All family members should regularly gather around the dinner table and eat food with a big appetite.
Hunger
The desire to eat is a completely natural feeling. Therefore, the child should be seated at the table only if he is hungry. Thus, it is not necessary to give in to the requests of the baby to give him something to eat, if the appointed meal time has not yet arrived.
An uneaten portion of food is not a reason for punishment.
If a child refuses to finish eating all the food laid out on a plate, then you should not force him to empty or scold him. Moreover, in order to prevent such a phenomenon, one should not place too much food on the baby. If there is a desire, he will ask for supplements himself.
Food should look appetizing and tasty.
Why does a child have an increased appetite? The reasons for this phenomenon lie in the delicious food. If the kid likes what you have prepared and served on the table, then you will not have to force him to empty the plate. He will do it himself and with great pleasure. 
Products that increase the appetite of the child
Surprisingly, there are products that are able to cause the child to exorbitant desire to eat something. For example, many parents give their child a sour apple juice, squeezed with their own hands, half an hour before the main meal. According to experts, this drink helps to develop gastric juice.
There are also other folk remedies that increase the appetite of children. For good stimulation of digestion, some experts recommend the use of medicinal berries such as black currant, and juniper, dog rose, black chokeberry, sea buckthorn, as well as seeds of cumin and anise.
These funds are good because they are very tasty, so kids do not refuse them. As for decoctions and tinctures made from wormwood, yarrow, dandelion root, calamus and chicory, they are very bitter, forcing your kid to drink is quite problematic. However, it should be noted that such means increase appetite much more, as they repeatedly increase the secretion of gastric juice.
Take mentioned tinctures, fruit drinks and decoctions should be 20-30 minutes before the main meal.
Drugstores
Drugs that increase the appetite in children, can be used only on the recommendations of the pediatrician. This is due to the fact that such agents can cause allergic reactions and other side effects.
From homeopathic medicines to improve the appetite, some doctors recommend the use of complexes with calcium and magnesium salts. It should also be noted that drugs that cause the desire to eat include: "Elkar" (L-carnitine), "Lysine", "Glycine" and various enzymes (for example, "Creon").
There are also vitamins that increase the appetite in children. Only an experienced pediatrician should tell you which complex suits your baby most of all. If you do not want to give your child synthetic vitamins, then they can be replaced by berries (for example, lingonberries, raspberries, strawberries and others).
Breast children
How to increase the appetite of a child (1 year)? The children's organism is a complex self-regulating system, which itself determines how much food it needs. If the baby does not eat well, then it means that he or she is not satisfied with certain foods that his mother uses. Having identified exactly which ingredients do not suit him, you must replace them with others.
In general, there is a whole list of what should not be consumed by a nursing mother, and which components must necessarily be present in her diet. Adhering to the recommendations of a doctor, a woman will never face such problems.
Teenagers
In adolescence, many boys and girls may experience significant changes in their appetite. Some girls begin to suddenly refuse to eat in order to preserve their figure. As for the boys, some of them also go on a diet, and some, on the contrary, consume too much food. This is due to the development of “lean-fat” complexes.
In connection with all the above, we can safely say that the reasons for the decline and increase in appetite in adolescents are more psycho-emotional in nature. Therefore, parents should be sympathetic to the behavior of their children. If you force-feed a child or forbid him to eat something, then this can only aggravate the situation. 
In transitional age, not only the appearance of a teenager changes, but also his behavior. Very often it becomes unpredictable. In a child there is a lot of aggression, there is dissatisfaction with his body. To change this, he tries to eat less or more. Such behavior can adversely affect the health of a teenager, including on his digestive tract.
To support your child, parents should talk to him in a friendly way. The teenager needs to be explained that proper and rational nutrition is the key to success, including beautiful appearance. If a young man or girl is overweight, then it should be said that for losing weight it is not necessary to refuse to eat. It is only necessary to reduce the consumption of sweet and flour, and also a lot of movement.
In the event that a teenager is too thin, his diet should consist of a large amount of protein and fiber. Also, to build muscle is recommended to visit the gym.
As for drugs that contribute to an increase in appetite, among them the most popular are vitamin formulations and biologically active supplements with zinc content. As is known, the lack of the latter quite often leads to impaired sense of smell and sense of taste. 
When zinc is replenished in the body, appetite normalization occurs after 30–60 days after the start of its use. It should also be noted that the child begins to eat food when using vitamin complexes containing citric and succinic acids.
Today I will tell you how to increase the appetite of an adult and an elderly person. Anorexia in adults and seniors - manifested by a complete lack of appetite. Often occurs at the age of 75-80 years. Arises suddenly. The old man says that he does not hurt anything, he is not upset by anything, he has a normal sleep, he did not have any worries, but he does not want to eat.
What is fraught with
If anorexia cannot be eliminated immediately, it is very difficult and sometimes impossible to do so in the future. There are weakness, apathy, dizziness. The gait becomes shaky, exhaustion develops, and death occurs.
How to treat
Of the drugs you need to take tonic type tinctures Aralia, zamanihi, Eleutherococcus, Levzey, Schizandra Chinese.
Bitterness in food
Wormwood stimulates the appetite very well. Infusion of wormwood give a teaspoon to half a glass of warm water for half an hour before meals. In the same way can be given infusion of dandelion root.
Chicory before dinner
Perfectly whets the appetite of a cup of chicory, drunk half an hour before dinner. Chicory does not increase blood pressure, so you can drink it without age restrictions.
In addition to enhancing gastric secretion, bitterness also stimulates the secretion of bile, which is also extremely important, especially in the elderly.
Lemon juice for appetite
Delicious teas
Imaginary refusal of food
But remember also about the possibility of imaginary anorexia, when patients who consider that they are not given proper attention, defiantly refuse to eat. Most often this happens in men 70-80 years old, and they can eat food in secret.
MEDICINAL MEANS INCREASING APPETITE
See also apilac, hepatitis, juwal, karnkgina chloride, liv-52,
limoitar , chilibuha tincture.
Herbal remedies that increase appetite (bitterness)
Calamus rhizome ( Rhizoma Calami)
Contains essential oil (in crude raw materials 2%, in purified 1.5%), bitter substance acorin, tannins.
Indications for use. As a means of increasing appetite and improving digestion.
Dosage and administration. In the form of infusion (10.0: 200.0) 1/4 cup 3 times a day half an hour before meals.
Contraindications.
Form release. Sliced rhizome in a package of 100 g
Storage conditions. In a dry, cool place.
GRASS GRASS ( Herba Centaurii)
Contains bitter glycosides (genciopicrin, erythaurine, erythrocentaurin), alkaloids (erythricin, genciamine), flavonoid glycoside centaurein.
Indications for use. To stimulate appetite and improve digestion with reduced function of the gastrointestinal tract.
Dosage and administration. In the form of infusion (10.0: 200.0) in a tablespoon 3-4 times a day for half an hour before meals.
Contraindications. Hyperacid gastritis (inflammation of the stomach due to a persistent increase in acidity), peptic ulcer with increased acidity.
Form release. In the package of 100 g
Storage conditions. In a cool dry place.
Centaury grass is also included in the drug depuraflux.
MONTANA HOME DROPS ( Montana home drops)
Pharmachologic effect. Stimulates the secretion of digestive juices, enhances the motility of the gastrointestinal tract. It has a choleretic, laxative and antimicrobial effect.
Indications for use. Decreased appetite, flatulence (gas accumulation in the intestines), discomfort in the gastrointestinal tract, hypoacid gastritis (inflammation of the stomach, accompanied by a reduced release of hydrochloric acid).
Dosage and administration. Inside with a small amount of water 1-2 teaspoons after a meal; with reduced appetite - 10-20 minutes before meals. For constipation - 2 teaspoons diluted in a glass with slightly warmed water and taken on an empty stomach before breakfast.
Contraindications. Alcoholism. Not recommended for use during lactation.
Form release. Drops in bottles of 50, 200 and 500 ml. 100 ml of the solution is 48% alcohol extract of the following herbs: hop cones - 1 g, gentian root - 2 g, Ceylon cinnamon roots - 1 g, bitter orange peel extract - 2 g, caraway seeds - 1 g, dandelion root - 3 g , mint oil - 0.06 g, red sandalwood bark - 1g.
Storage conditions. In the dark place.
DAWN ROOT (Radix Taraxaci)
Contains bitter glycoside (taraxacin), tar, inulin (up to 40%) and other substances.
Indications for use. Like bitterness to whet your appetite, like choleretic with constipation.
Dosage and administration. In the form of an infusion (a teaspoon per cup of boiling water) for "/ 4 glasses for half an hour before meals 3-4 times a day.
Contraindications. Hyperacid gastritis (inflammation of the stomach due to a persistent increase in acidity), peptic ulcer with increased acidity.
Form release. Dandelion root whole and cut.
Storage conditions. In a cool dry place.
Dandelion root is also included in the preparation Montana Home Drops.
HALF MOUNTAIN HALF (Herba Absinthii)
Contains bitter substances (absintin and anabsintin), essential oil (0.5-2%), tannins, flavonoid artemizetin, etc.
Indications for use. As a means of increasing appetite and improving digestion, while lowering the function of the gastrointestinal tract.
Dosage and administration. Half an hour before meals 3 times a day infusion (10.0: 200.0) for a tablespoon or tincture of 15-20 drops.
Contraindications. Hyperacid gastritis (inflammation of the stomach due to a persistent increase in acidity), peptic ulcer with increased acidity.
Form release. Cut grass in a package of 100 g; tincture in vials of 25 ml; thick extract.
Storage conditions. In a dry, cool place.
- TASTE BITTER (Tinctura amara)
Indications for use. Assign as bitterness to stimulate the appetite, with hypatsidny (inflammation of the stomach, accompanied by a reduced release of hydrochloric acid) and chronic atrophic (inflammation of the stomach with thinning of the mucous membrane) gastritis, with anorexia (lack of appetite) associated with diseases of the nervous system, etc.
Dosage and administration. Apply inside of 10-20 drops at the reception for 30 minutes before eating.
Contraindications. Hyperacid gastritis (inflammation of the stomach due to a persistent increase in acidity), peptic ulcer with increased acidity.
Form release. In dark glass bottles of 25 ml. It is obtained from centaury herb (60 g), water trefoil leaves (60 g), calamus rhizomes (30 g), grass of wormwood (30 g), coriander fruits (15 g) and ethyl alcohol 40% in the amount necessary to produce 1 l tincture.
Storage conditions. In the dark place.
COLLECTION APPETITE
(Species amarae)
Indications for use. Like bitterness to whet your appetite.
Dosage and administration. In the form of infusion (a tablespoon in a glass of boiling water) in a tablespoon 3-4 times a day for half an hour before meals.
Contraindications. Hyperacid gastritis (inflammation of the stomach due to a persistent increase in acidity), peptic ulcer with increased acidity.
Form release. In a package of 100 g. Ingredients: herbs of wormwood - 8 parts, yarrow herbs - 2 parts.
Storage conditions. In a dry, cool place.
Wormwood herb is also included in the preparations. ari-stochol, vitaon, tincture of valerian, wormwood, belladonna, tincture of valerian, wormwood, belladonna and peppermint, stomach tablets with belladonna extract.
TRILISTIC WATER SHEET (Folium Menyanthidis)
Synonyms: Three-Leaf Watch Sheet, Trifolia Sheet.
Contains glycosides, flavonoids (rutin) and tannins.
Indications for use. As a means of stimulating the appetite, while lowering the function of the gastrointestinal tract and as a choleretic agent.
Dosage and administration. In the form of infusion (2 teaspoons per cup of boiling water) 1/4 cup 2-3 times a day for half an hour before meals.
Contraindications. Hyperacid gastritis (inflammation of the stomach due to a persistent increase in acidity), peptic ulcer with increased acidity.
Form release. In the package of 100 g
Storage conditions. In a dry, cool place.
Ferrovin Cranberry Wine with Iron (Ferrovin)
Pharmachologic effect. Increases appetite. Stimulates hemopoiesis (blood formation).
Indications for use. Lack of appetite (in weakened patients), anemia (decrease in red blood cell count), increased need for iron.
Dosage and administration. Inside for 1 hour before meals or during meals 1 tablespoon 2-3 times a day, adolescents - 1 time per day.
Side effect. Unpleasant sensations in the epigastrium (abdominal area, located directly under the point of convergence of the rib arches and sternum), feeling of fullness of the stomach, constipation, diarrhea, staining of feces in black.
Contraindications. Diabetes mellitus, aclogism, pregnancy, breastfeeding. Be wary of prescribing patients with diabetes mellitus, since 15 ml contain about 2.1 g of sugar.
Form release. In bottles of 700 ml. 100 g of the solution contains 500 mg of iron-containing citrate, magnesium hypophosphate 5 mg, liquid extract of hinn 500 mg, orange peel extract(Auranti amari) 200 mg, sugar 200 mg, wine up to 100 g
Storage conditions. In a cool, dark place.
Drugs of various groups
PERIAKTIN (Periactin)
Synonyms: Peritol, Cyproheptadine hydrochloride, Adekin, Apetigen, Astonin, Tsipraktin, Tsiprodin, Istabin, Pariaktin, Supersan, Vieldrin, Vinoreks, etc.
Pharmachologic effect. Is an antagonist of serotonin and histamine, has the ability to stimulate appetite (see also Cyproheptadine).
Indications for use. To increase your appetite (see also Cyproheptadine).
Dosage and administration. To increase the appetite, adults are prescribed 1 / 2-1 tablet 3-4 times a day or 1-2 teaspoons of syrup 3-4 times a day; children from 2 to 6 years old - no more than 2 tablets or 4 teaspoons of syrup per day; children from 6 to 14 years old - no more than 3 tablets or 6 teaspoons of syrup per day.
Contraindications. Glaucoma (increased intraocular pressure), gastric ulcer, asthma attack, old age. The drug is not prescribed to children under 2 years.
Form release. 4 mg tablets; syrup in bottles of 100 ml containing 2 mg per teaspoon (5 ml).
Storage conditions. List B. In a cool, dark place.
PERNEXIN ELIXIR (Pernexin elixir)
Combined product containing liver extract, cyanocobalamin (vitamin B), thiamine hydrochloride (vitaminbi), riboflavin (vitamin B), pyridoxine hydrochloride (vitamin Wb), nicotinamide (vitamin PP), calcium pantothenate, sodium glycerophosphate, iron gluconate.
Pharmachologic effect. It has hepatoprotective (protecting liver tissue) action, stimulates blood formation in the presence of vitamin B deficiency and iron, improves body tone.
Indications for use. Lack of appetite, exhaustion, low concentration of attention, symptoms of vitamin B deficiency, recovery period, pregnancy and lactation, anemia (decrease in hemoglobin in the blood).
Dosage and administration. The drug is prescribed to adults and children over the age of 3 years and 1 teaspoon (5 ml) 3 times a day, preferably with meals. Children from 1 year to 3 years old - / ½ teaspoon 3 times a day. Good tolerability of the drug allows adults and children to take it for a long time.
Contraindications. Increased iron content in the blood and tissues, disorders of iron absorption, cardiac decompensation, recent myocardial infarction, acute bleeding.
Form release. Bottles of 100 ml of elixir. 100 ml contains: liver extract - 3 g, cyanocobalamin - 0.04 mg, thiamine hydrochloride - 15 mg, riboflavin - 10 mg, pyridoxine hydrochloride - 5 mg, nicotinamide 160 mg, calcium pantothenate - 12 mg, sodium glycerol phosphate - 1000 mg, iron gluconate - 340 ml.
Storage conditions.
PRIMOBOLAN-DEPOT (Primobolan Depot)
Pharmachologic effect. Increases physical activity and appetite, increases body weight, stimulates the synthesis of endogenous (formed in the body) protein, improves the overall condition, reduces the release of urea.
Indications for use. To increase physical activity and appetite, weight gain, after heavy operations and severe chronic infectious diseases; cachexia (extreme depletion), the state after radiation and cytostatic (suppressing cell division in cancer tumors) therapy, breast and genital cancer in women, impaired hematopoiesis (hematopoiesis), prolonged treatment with corticosteroids, osteoporosis
(malnutrition of bone tissue, accompanied by an increase in its fragility), slow formation of callus, chronic hepatitis, cirrhosis, muscular dystrophy (decrease in muscle volume and strength), impaired growth and development of children.
Dosage and administration. Prescribed to adults in 1 ampoule intramuscularly 1 time in 2 weeks, then 1 ampoule 1 time in 3 weeks, for children - 1 mg / kg body weight
Once every 14 days, which corresponds to 0.07 mg / kg body weight per day.
Contraindications. Pregnancy, prostate cancer.
Form release. Ampoules of 1 ml (100 mg); ampoules for children in 1 ml (20 mg).
Storage conditions. List B. In a dry, dark place.
ANOREOXYGEN (PLUGGING APPETITIS) MEDICINES
dizopimon (Desopimon)
Synonyms: Chlorfenterphine hydrochloride, Aderan, Apsedon, Avicol, Avipron, Lukofen, Rebal, Teramin, etc.
Pharmachologic effect. On chemical structure and pharmacological properties is similar to phenamine and fepranon. Like fepranon, it has anorexigenic (appetite suppressant) action, without causing pronounced excitation of the central nervous system and only increasing blood pressure to a small extent.
Indications for use. As an anorectic agent, mainly in exogenous alimentary obesity (obesity associated with overeating); It can also be used for adiposogenital dystrophy (obesity associated with metabolic disorders) (in combination with hormonal therapy), for hypothyroidism (thyroid disease) (in combination with thyroidin) and other forms of obesity. The treatment is carried out in combination with a low-calorie diet, if necessary, with fasting days.
Dosage and administration. Assign inside tablets of 0.025 g (25 mg) 1-2-3 times a day with meals in combination with a low-calorie diet.
. Possible complications, precautions and contraindications are the same as when using Fepranon.
Form release. Tablets of 0.025 g.
Storage conditions. List A. In a dry place.
ISOLIPAN (Isolipan)
Synonyms: Dexafenfluramine.
Pharmachologic effect. Anorexigenic (suppress appetite), serotoninomimetic agent (causes inhibition of reuptake and increased release of serotonin). Unlike amphetamine anorexigenic drugs does not have a psychostimulant effect, does not cause an increase in blood pressure.
Indications for use. Obesity, including resistant (resistant) to treatment with other drugs.
Dosage and administration. Inside in the morning and in the evening on 1 capsule, preferably with meals, for 3 months.
Side effect. Dry mouth, nausea, constipation, diarrhea, frequent urination, dizziness, headache, asthenia (weakness), mood disorders, reactive depression (depression, melancholy in response to mental trauma), drowsiness or insomnia, irritability.
Contraindications. Glaucoma (increased intraocular pressure), depression (state of depression) and psychogenic anorexia (loss of appetite caused by mental illness) even in history (former), pharmacomania (painful inclination to take the drug), alcoholism. One should avoid taking the drug for the first 3 months of pregnancy. Be wary of prescribing to patients with impaired
heart rhythm, liver and kidney failure.
Incompatible with anorectic drugs of central action (see Dezopimon, Mazindol, Mirapront, Fepranon) and MAO inhibitors. Potentiates (enhances) the effect of sedatives (sedatives) and hypotensive (lowering blood pressure) drugs, the hypotensive effect of tricyclic antidepressants and the hypoglycemic (lowering blood sugar levels) effect of sulfonamides.
Form release. Capsules containing 15 mg of dexafenfluramine, in a package of 60 pieces.
Storage conditions. List B. In a dry place.
MAZINDOL (Mazindol)
Synonyms: Terenak, Teronak, Afilan, Dimagr, Maggrylan, Samonter, Sanorex.
Pharmachologic effect. It has anorexigenic (appetite suppressant) effect. Facilitates low-calorie diet.
The main factors in the mechanism of anorexigenic action of mazindol are an increase in the activity of the saturation center in the hypothalamus (brain region) and a decrease in stimuli for the need for food, which is associated with the effect of the drug on the adrenergic systems of the brain.
Indications for use. Applied in the complex treatment of obesity in adults and children over 12 years.
Dosage and administration. Assign inside with food at the beginning l / i tablets (0.5 mg) per day (in the first 4-5 days), then 1 tablet 1 or 2 times a day (during breakfast and lunch). The maximum daily dose is 3 tablets. The course of treatment usually lasts from 4 to 12 weeks.
Side effect. When taking the drug may dry mouth, nausea, headache, sleep disorders, urinary retention, sweating, allergic skin rash, increased arthritis pressure. The dose of the drug in these cases, reduce or stop taking. In the course of treatment (at the 8th-10th week), some addiction to the drug and a decrease in its anorexigenic effect may develop.
Contraindications. The drug is contraindicated in glaucoma (elevated intraocular pressure), renal, hepatic and cardiac failure, cardiac arrhythmias, increased excitability. You should not assign mazindol simultaneously with MAO inhibitors (see Nialamide).
Form release. Tablets of 1 mg in a package of 20 and 100 pieces.
Storage conditions. List A. In a dry place.
MIRAPRONT (Mirapront)
Pharmachologic effect. Affects the centers of the hypothalamic region (brain), regulating the feeling of saturation. Suppresses excessive appetite; the action lasts 10-12 hours
Indications for use. Exogenous (alimentary - associated with overeating) obesity.
Dosage and administration. Assign 1 capsule after breakfast.
Side effect. Dry mouth, sweating, irritability, insomnia.
Form release. Capsules on 15 mg.
Storage conditions. List B. In a dry, dark place.
INNER (Ponderal)
Pharmachologic effect. Reduces lipogenesis (the process of formation of fat) by increasing peripheral glucose intake; increases fat splitting. The result of treatment is a progressive decrease in reserve fat deposits in the subcutaneous fatty tissue. It has the ability to reduce appetite, while not stimulating the central nervous system.
Indications for use. Obesity in adults and children; obesity on the background of hypertension (persistent increase in blood pressure) and diseases of the cardiovascular system, mental illness; obesity, difficult to treat; obesity during menopause (the phase of menopause, occurring after the last menstrual bleeding) and diabetes mellitus.
Dosage and administration. In obesity I adult degrees are prescribed 1 tablet in the morning and 2 tablets in the evening; with obesityII degree - 2 tablets in the morning and 2 tablets in the evening; with obesityIII degree - 2 tablets 3 times a day.
Children from 6 to 10 years prescribed 1 tablet per day; from 10 to 12 years - 2 tablets per day. The dose for children can be increased to 3 tablets per day if there is significant obesity. A decrease in body weight as a result of treatment usually occurs from the 2nd to 3rd week from the start of treatment.
Side effect. Dyspeptic disorders (indigestion), dizziness.
Contraindications. The first 3 months of pregnancy. The drug should not be prescribed together with MAO inhibitors, as well as patients with depressive syndrome (in a state of depression).
Form release. 20 mg tablets.
Storage conditions. List B. In a dry, dark place.
FENFLURAMINE (Fenfluramine)
Synonyms: Minifage.
Pharmachologic effect. Anorexic (suppressive appetite), serotonergic agent.
Indications for use. Obesity.
Dosage and administration. Ingested 1 capsule per day; in 3-4 weeks - up to 2 capsules in one step. The course of treatment from 6 weeks to 3-9 months.
Side effect. Dizziness, headache, asthenia (weakness), depression (state of depression), irritability, insomnia, drowsiness, nightmares, dry mouth, nausea, diarrhea, frequent urination.
Contraindications. Glaucoma (increased intraocular pressure), mental anorexia (loss of appetite caused by mental illness), depressive states (states of depression), pharmacomania (a painful inclination to take the drug), alcoholism. It is not recommended to take the drug during pregnancy and lactation.
Incompatible with neuroleptics, antidepressants; potentiates (strengthens) the hypoglycemic (lowering blood sugar level) effect of sulfonamides.
Form release. Retard (long-acting) capsules, containing 60 mg of fenfluramine hydrochloride, in a package of 30 pieces.
Storage conditions. List B. In a dry place.
PEPRANON (Phepranonum)
Synonyms: Afepramon, Abulemin, Anorex “Ortho”, Danulen, Diethylpropion, Dobezin, Keramm, Natoreksik, Parabolin, Regenon, Tenuat, Tepanil, etc.
Pharmachologic effect. The drug has anorexigenic (appetite suppressant) activity.
Indications for use. The indications for the use of Phepranon are mainly alimentary obesity (transmission related obesity); It can also be used for adiposogenital dystrophy (obesity associated with metabolic disorders) - in combination with hormonal therapy, for hypothyroidism (thyroid disease) - in combination with thyroidin and other forms of obesity. The treatment is carried out in combination with a low-calorie diet, if necessary, with fasting days.
Dosage and administration. Assign inwards in the form of tablets of 0.025 g (25 mg) 2-3 times a day for half an hour or an hour before meals (breakfast and lunch). With good tolerance and insufficient effect, you can increase the dose to 4 tablets per day. The course of treatment is 1.5-2.5 months. If necessary, repeat courses with breaks of 3 months.
Side effect. Fepranon is usually well tolerated. However, irritability, insomnia, dry mouth, nausea, constipation or diarrhea and other side effects may occur in individuals with hypersensitivity and overdose. When prescribing the drug to persons with cardiovascular diseases and hyperthyroidism (thyroid disease), caution is needed.
Treatment must be carried out under the close supervision of a physician.
Contraindications. The drug is contraindicated in pregnancy, advanced forms of hypertension (persistent increase in blood pressure), marked disorders of the cerebral and coronary (cardiac) circulation, myocardial infarction, thyrotoxicosis (thyroid disease), glaucoma (elevated intraocular pressure, myopic tumors, tumors, hip masters, and hip masters), in cases of hysteromycosis (hyperthyroidism); diabetes, increased nervous excitability, epilepsy, psychosis, sudden sleep disorders. It is not necessary to appoint drug to the patient accepting MAO inhibitors (see. Nialamid).
Form release. Tablets of 0.025 g (25 mg) in a package of 50 pieces.
Storage conditions. List A. In a dry, dark place.
VOCAL MEDICINES
See also bromocriptine, medisulphate, zinc sulfate.
APOMORPHINE HYDROCHLORIDE
(Apomorphini hydrochloridum)
Pharmachologic effect. Apomorphine retains some pharmacological properties of morphine. is he
has weak analgesic analgesic activity, has a depressant effect on the respiratory center. The effect of apomorphine on the chemoreceptor trigger area of the medulla oblongata,
excitement which causes its strong emetic action. Directly emetic center apomorphine, like morphine, is depressing. If the first dose of apomorphine emetic action has not had, then re-introduction is ineffective. The use of apomorphine also does not give effect if the excitability of the emetic center is suppressed (for example, during deep anesthesia) or a chemoreceptor trigger zone (for example, under the influence of neuroleptic substances).
Indications for use. As an emetic, apomorphine hydrochloride is used when it is necessary to quickly remove toxic substances and poor-quality food from the stomach, especially when it is not possible to wash the stomach.
Dosage and administration. Action occurs within a few minutes after subcutaneous injection. Injected into the skin of adults in the 0.002-0.005 g (0.2-0.5 ml of 1% solution), children (from 2 years of age) -to 0.001-0.003 g.
Higher doses for adults: single under the skin - 0.005 g, daily under the skin - 0.01 g.
Side effect. Use apomorphine with caution; individual patients may develop collapse (a sharp drop in blood pressure), visual hallucinations may occur (visions that take on the character of reality), especially in those who have had a delirium tremens in the past; individuals with traumatic encephalopathy (a complication of craniocerebral injury) may have neurological disorders. Allergic reactions (skin rash, itching, etc.) are possible.
With a sharp decrease in blood pressure, it is necessary to prescribe cardiovascular agents, give the patient a horizontal position.
Contraindications. Apomorphine is contraindicated in severe heart disease, atherosclerosis, open forms
pulmonary tuberculosis and other diseases with a tendency to pulmonary bleeding, gastric ulcer and duodenal ulcer, with burns of the stomach with strong acids and alkalis, with organic diseases of the central nervous system, in old age.
Children under 2 years of age do not prescribe apomorphine.
When using apomorphine should beware of vomiting in the respiratory tract.
Form release. 1% solution in 1 ml ampoules in a package of 5 or 10 pieces.
Storage conditions. List A. In the dark spot.
AMMONIA SOLUTION (Solutio Ammonii caustici)
Synonyms: Ammonia.
Pharmachologic effect. When inhaled, it reflexively stimulates the respiratory center. When ingestion has an emetic effect.
Indications for use. Emetic means.
Dosage and administration. Assign inside of 5-10 drops per 100 ml of water.
Attention! Use only in diluted form! Acceptance of undiluted drug causes burns of the esophagus and stomach. When using a solution of ammonia should beware of vomiting in the respiratory tract.
Side effect. In large doses, it can cause reflex respiratory arrest.
Form release. 10% solution in vials (with ground stoppers) of 10; 40 and 100 ml and in 1 ml ampoules (with braid) in a package of 10 pieces.
Storage conditions. In a cool place.S
ANTI-TRAFFIC MEDICINES
See also aminazin, anesthesin, haloperidol, droperidol, peppermint tincture, neuleptil, prefinium bromide, mint tablets,
chlorprothixen , ztaperazin.
BROMOPRID (Bromopride)
Synonyms: Bimaral, Albeks, Antemeks, Bromil, Digesan, Ameprid, Lemetik, Mepramid, Modulan, Opridan, Preditsil, Viaben, Viadil, Anauzin, Emedian, Pridetsil, etc.
Pharmachologic effect. Soothes hiccups and improves the tone of the digestive organs.
Indications for use. As an antiemetic.
Assign mainly with nausea and vomiting associated with disorders of the gastrointestinal tract (lowering the tone of the stomach and intestines, belching, flatulence - the accumulation of gases in the intestines, etc.), with gastritis, dyskinesia (impaired mobility) of the biliary tract, etc.
Dosage and administration. Is ingested 1 capsule (10 mg) 3 times a day before meals; in more severe cases, 2 capsules 3 times a day.
It can be used in the form of suppositories (suppositories) 20 mg 1-2 times a day, as well as intramuscularly or intravenously in 1 ampoule (10 mg) 1-2 times a day.
Side effect. In rare cases, headache, dizziness, weakness, dry mouth are possible.
Contraindications. Pregnancy.
Form release. Capsules of 0.01 g (10 mg) in a package of 60 pieces; suppositories for children at 0.01 g (10 mg) and for adults at 0.02 g (20 mg); 0.5% solution in ampoules of 2 mg (10 mg in the ampoule).
Storage conditions. In the dark place.
VOGALEN (Vogalen)
Pharmachologic effect. Antiemetic. Influencing the vomiting center, prevents nausea and vomiting of various origins.
Indications for use. Vomiting and nausea of any origin in adults, children and newborns.
Dosage and administration. Adults are usually prescribed from 5 to 20 mg (2-8 tablets) per day; children, depending on age, in drops from 5 to 15 mg (50 or 150 drops) per day; newborns — from O, 5 to 1 mg (5 or 6 drops) per day per 1 kg of body weight. Drops are recommended for use in 15-20 minutes before a meal.
Form release. 2.5 mg tablets; ampoules of 10 mg.
Storage conditions. List B.
DIMENHYDRINAT (Dimenhydrinatum)
Synonyms: Dedalon, Dedalon, Adrazin, .Anautin, Andramin, Antemin, Antivomit, Aviomarin, Hloranautin, Daldalon, Difengidraminteoklat, DRAMAMINE, Drama, Emőd, haze Mengidrinat, Nauzeal, Permigal, Teodramin, Travelin, Vertirozan, Vomidrin and other
Pharmachologic effect. Hi Blocker -receptors. Shows pronounced antiemetic activity.
Indications for use. For the prevention and relief (removal) of manifestations of sea and air sickness, with nausea and vomiting of various origins, with Meniere's disease, etc.
Dosage and administration. Assign inside (before meals), depending on the condition of the patient, 0.05-0.1 g (1-2 tablets) 4-6 times a day. For the prevention of airborne and seasickness, 1-2 tablets are prescribed for half an hour before boarding the aircraft or the ship.
Side effect. Dry mouth, drowsiness, disturbance of accommodation (violation of visual perception). These phenomena are eliminated by reducing the dose.
Form release. Tablets of 0.05 g (50 mg) in a package of 10 pieces.
Storage conditions. List B. In a dry place.
DIMETPRAMID (Dimethpramidum)
Pharmachologic effect. It has an antiemetic effect.
Indications for use. To prevent and relieve (relieve) nausea and vomiting in the postoperative period, with radiation treatment and chemotherapy for cancer patients, etc.
Dosage and administration. Assign inside (before meals) to 0.02 g 2-3 times a day; intramuscularly - 1 ml of 2% solution 2-3 times a day.
Higher doses: when administered orally - 0.1 g per day, with intramuscular injection - 5 ml of 2% solution (0.1 g) per day.
Side effect. Allergic reactions are possible.
Contraindications. Hypersensitivity to the drug, pregnancy, breastfeeding.
Form release. Tablets of 0.02 g (20 mg); 2% solution in 1 ml ampoules (20 mg).
Storage conditions. List B. In the dark place at a temperature not exceeding +20 ° C.
DIXAFEN (Dixaphenum)
Pharmachologic effect. It has an antiemetic effect and stimulates the cardiovascular system.
Indications for use. As an antiemetic.
Dosage and administration. Injected intramuscularly 1 ml 1-2 times daily before meals.
Side effects and contraindications the same as for dimetramid.
Form release. Aqueous solution (bright orange) containing dimetramid, caffeine and ephedrine in ampoules.
Storage conditions.
DIMETKARB (Dimetcarbum)
Pharmachologic effect. It has an antiemetic effect.
Indications for use. Used as an antiemetic to prevent and relieve (relieve) nausea and vomiting.
Dosage and administration. 1 tablet 3-4 times daily before meals.
Side effects and contraindications the same as for dimetramid.
Form release. Coated tablets containing dimetramid and sydnocarb.
Storage conditions. List B. In the dark spot.
DOMPERIDON (Domperidone)
Synonyms: Motilium, Tsilroton, Eutsiton, Nauzelin, Peridal, Peridon, etc.
Pharmachologic effect. It has an antiemetic effect, calms the hiccups and eliminates nausea in some cases. It has a regulating and normalizing effect on the motor activity of the gastrointestinal tract, which is associated with a blocking effect
on dopamine receptors (D2) of the gastrointestinal tract. By action close to metoclopramide. Unlike metoclopramide, it does not penetrate the blood-brain barrier (the barrier between the blood and brain tissue) and does not cause extrapyramidal disorders (impaired coordination of movements with a decrease in their volume and tremor).
Indications for use. Apply domperidone for functional disorders of the gastro-duodenal area (the place of transition of the stomach into the duodenum), hypotension (lowering the tone of smooth muscles) of the stomach, reflux esophagitis (inflammation of the esophagus due to the abandonment of gastric contents). The drug alleviates dyspeptic symptoms (digestive disorders) associated with a decrease in gastric emptying. Apply also at the vomiting caused by the various reasons.
Dosage and administration. Adults appoint 10 mg 3-4 times daily before meals. In severe nausea and vomiting, 20 mg is prescribed 3-4 times a day. For children weighing 20–30 kg, give “/ 2 tablets 2 times a day, over 30 kg - 1 tablet 2 times a day. Children can be given 1% oral solution 1 drop per 1 kg of body weight 3-4 times per day or 2.5 ml of suspension for oral administration (through the mouth) use per 10 kg of body weight 3 times a day. The drug is recommended to be taken before meals. If necessary, the dose of the drug can be doubled. Rectal (in the rectum) adults are prescribed 2 - 4 candles on 60 mg; for children over 2 years old - 2-4 candles on 30 mg, for children under 2 years of age - 2-4 candles on 10 mg.
Side effect. Dry mouth, headache, diarrhea (diarrhea), allergic reactions (skin rash, itching), spasms of smooth muscles of the stomach are possible.
Contraindications. Bleeding from the gastrointestinal tract, mechanical intestinal obstruction, perforation (through defect) of the stomach or intestines, pregnancy, breast-feeding, hypersensitivity to the drug. Newborns, infants and children weighing up to 20 kg are not prescribed the drug. Do not appoint domperidone with anticholinergics (atropine, antispasmodic, platifillin, etc.) due to the fact that the latter inhibit the intestinal tone.
Form release. Tablets of 0.01 g (10 mg), film-coated, in a package of 50 pieces. Granules. Solution for oral administration. Suspension in bottles. Candles 60, 30 and 10 mg.
Storage conditions. List B. In the dark spot.
MECLOSINE (Meclozine)
Synonyms: Meklosin hydrochloride, Bonin.
Pharmachologic effect. Meklosin has antihistamine and anticholinergic properties. The place and mechanism of action of meklozin in dizziness of various nature is not clearly defined. Pharmacological studies of other antihistamines have shown that the possible place of their action are peripheral labyrinth structures (formations of the inner ear, containing the receptors of the auditory and vestibular apparatus); it can be assumed that they are also the scene of meklozin.
Indications for use. Prevention and symptomatic (relieving, but not eliminating the cause) treatment of nausea, vomiting and dizziness.
Dosage and administration. Adults and children over 12 years old for the prevention and symptomatic treatment of nausea, vomiting and dizziness are prescribed in a daily dose of 25-100 mg in several doses, depending on the clinical effect.
A single dose of 25-50 mg of the drug prevents the manifestation of motion sickness for about
24 h. The initial dose should be taken at least 1 hour before traveling to ensure the absorption of the drug. Subsequently, the drug can be taken again every 24 hours if there is evidence during the trip.
With nausea and vomiting in pregnant women, the drug is usually effective in a daily dose of 25-50 mg.
With labyrinth and vestibular disorders (in this case, diseases characterized by nausea, vomiting, dizziness, imbalance due to a disease of the receptor apparatus of the inner ear), the optimal dose is usually 25-100 mg per day, depending on the clinical effect.
Side effect. Drowsiness, dry mouth, fatigue, vomiting and, in rare cases, blurred vision are possible. Like all antihistamines, it can cause anxiety in children.
Contraindications. Hypersensitivity to the drug. Patients with glaucoma (eye disease, accompanied by increased intraocular pressure) and with an increase in the prostate gland, take meklozin only as prescribed by a doctor. When prescribing meklozin pregnant women should compare the possible risk and potential benefits from the use of medication. The extensive and long-term experience of using meklozin in women experiencing nausea and vomiting during pregnancy did not reveal any teratogenic (causing fetal development impairment) actions associated with taking the drug.
Due to the possibility of drowsiness, it is necessary to take the drug with caution in the case of driving or dangerous machinery.
Form release. Tablets containing 25 mg of meclozine hydrochloride, in a package of 10 pieces.
Storage conditions. In a dry, cool place.
METHOCLOPRAMID (Metoclopramidum)
Synonyms: Metoclopramide hydrochloride, Raglan, Zerakal, Perinorm, Klometol, Bimaral, Komportan, Gastrobids, Imperal, Maxolon, Regastrol, Rimethin, Terperan, Viskal, Klopan, Emetizan, Lehirn, Mehparan, Metoklol, Moriperan, Kepan, Emetizan, Legiren, Meploran , Pramin, Primperan, Primperil, Reliverin, etc.
Pharmachologic effect. Metoclopramide is a specific blocker of dopamine receptors, as well as serotonin receptors.
The drug has an antiemetic effect, calms the hiccups and, in addition, has a regulating effect on the function of the gastrointestinal tract. The tone and motor activity of the digestive system is enhanced. The secretion of the stomach does not change. There are indications that the drug contributes to the healing of gastric and duodenal ulcers.
Indications for use. Metoclopramide is used as an antiemetic for nausea, vomiting associated with anesthesia, radiation therapy, side effects of drugs (digitalis drugs, cytotoxic drugs / substances that suppress cell division), antibiotics, etc.), impaired diet, etc.
It does not affect emesis of vestibular origin (caused by motion sickness).
In gastroenterological practice, the drug is also used in the complex treatment of gastric ulcer and duodenal ulcer, gastritis, dyskinesias (mobility impairment) of the abdominal organs, postoperative paresis (decrease in strength and / or amplitude of movements) of the intestine, with flatulence (gas accumulation) and other diseases.
The therapeutic effect is associated with an increase in the tone of the stomach and intestines, acceleration of gastric emptying and
pylorus (narrowed part of the stomach at the place of its transition into the duodenum), a decrease in hyperacid stasis (stopping the movement of food in the stomach due to acidification).
There is evidence of the effectiveness of metoclopramide in the treatment of dyspepsia (multiple vomiting, nausea) in severe cardiac patients (myocardial infarction, heart failure) and in vomiting of pregnant women.
The drug has also been used as a means to facilitate and improve the X-ray diagnosis of diseases of the stomach and small intestine.
There is evidence of the high efficacy of metoclopramide in migraine and the successful use of the drug in Tourette syndrome (generalized tics - involuntary facial twitches - in children).
Dosage and administration. Apply Metoclopramide inside, and in severe cases, parenterally (intramuscularly or intravenously).
Inside adults usually give 10 mg (1 tablet) 3 times a day (before meals). Intramuscularly (or intravenously) administered in 1 ampoule (2 ml = 10 mg of the drug) 1-3 times a day. Children are prescribed in smaller doses according to age (children over 6 years old using a "/ 2-1 tablet 3 times a day).
Tablets are swallowed without chewing, with a small amount of water.
For X-ray studies, adults are administered in 1-2 ampoules (10-20 mg) intravenously or given inside (5-15 minutes before the start of the study) 15-30 mg.
Side effect. The drug is usually well tolerated. In rare cases, possible extrapyramidal disorders (impaired coordination of movements with a decrease in their volume and tremor) characteristic of parkinsonism. The mechanism of these side effects seems to play the role of the antagonistic effect of metoclopramide on the dopamine receptors of the brain. To relieve these phenomena, caffeine is injected parenterally (see page 73).
Children under the age of 14 should be prescribed the drug with caution due to possible side effects.
Drugs, tinnitus, and dry mouth are also possible with the drug. To reduce these phenomena, the drug is sometimes prescribed after a meal.
Contraindications. When using the drug in the form of injections, the ability to drive cars and perform work that requires special attention concentration may be impaired.
Form release. Tablets of 10 mg per pack of 50 pieces; in ampoules of 2 ml (10 mg in the ampoule) in a package of 10 pieces.
Storage conditions. In the dark place.
RODAVAN (Rodavan)
Combined preparation containing chlorophenoxamine hydrochloride, 8-chlorophyllin and caffeine.
Pharmachologic effect. Has an antiemetic effect, affecting the emetic center.
Indications for use. Prevention and treatment of nausea and vomiting in sea and air sickness, pregnancy, radiation sickness and chemotherapy; after anesthesia.
Dosage and administration. Adults are prescribed for the prevention of sea and air sickness by 1-2 tablets or 1 candle per day / 2 hours before departure. This dose can be repeated immediately after departure.
For the treatment of 1 candle in the rectum 3-4 times a day or 1-2 tablets 2-3 times a day.
Side effect. Dry mouth, dizziness, impaired coordination. Possible reduction of the reaction.
Form release. Tablets of composition: chlorophenoxamine hydrochloride - 20 mg, 8 chlortheophyllin - 20 mg, caffeine - 50 mg; candles for adults composition: chlorophenoxamine hydrochloride - 80 mg, 8-chlorotheophyllin - 40 mg, caffeine - 100 mg; candles for children composition: chlorophenoxamine hydrochloride - 24 mg, 8-chlorotheophyllin - 16 mg, caffeine - 20 mg.
Storage conditions. List B. In the dark spot.
thiethylperazine (Thiethylperazinum)
Synonyms: Torekan, Tietilperazina maleate, "Gorestan, Tresten.
Pharmachologic effect. The drug is effective in vomiting of various origins. Under the experimental conditions, it suppresses vomiting caused by stimulation of the vomiting center (apomorphine) and irritation of the receptors of the gastrointestinal tract (copper sulfate). The mechanism of antiemetic action of tietilperazin consists of the calming effect on the emetic center and the simultaneous action on the chemoreceptor starting area of the medulla oblongata.
Indications for use. Thiethyl perzin is used to prevent and stop vomiting of various origin, including radiation therapy and chemotherapy of malignant neoplasms, during surgical interventions, diseases of the gastrointestinal tract, sea and air sickness, migraines, and vomiting of pregnant women. Positive results (cessation of nausea and vomiting, reduction or cessation of dizziness, nystagmus of involuntary movements of the eyeballs, gait disturbances) were observed in vestibular and coordination disorders associated with disorders of cerebral circulation, vascular dystonia, Meniere's disease.
Dosage and administration. Assign thiethyl perzin inside 1 dragee (6.5 mg) 1-3 times a day or injected 1 candle (6.5 mg) 2 times a day (morning and evening), in acute cases, apply intramuscularly 1-2 ml ( 6.5-13 mg) per day. The course of treatment is continued if necessary for 2-4 weeks. To prevent postoperative vomiting, intramuscular injection of 1 ml (6.5 mg) is administered approximately half an hour before the end of the operation.
Side effect. The drug is usually well tolerated. Sometimes there is dry mouth, drowsiness. In rare cases (more often in children), extrapyramidal disorders may develop (impaired coordination of movements with a decrease in their volume and trembling), therefore it is not recommended to prescribe the drug to children under 15 years of age.
Contraindications. The drug is contraindicated in case of a sharp depression of the central nervous system, with a comatose (unconscious) state.
Form release. Dragee (6.5 mg each); candles (6.5 mg each); 1 ml ampoules (6.5 mg).
Storage conditions. List B. In the dark spot.
TROPISETRON (Tropisetron)
Synonyms: Novoban.
Pharmachologic effect. An antiemetic, effective in vomiting caused by chemotherapy with anticancer drugs. The mechanism of action is associated with selective blocking of peripheral and central serotonin receptors.
Indications for use. Tropisterone is used to prevent nausea and vomiting during chemotherapy of tumors.
Dosage and administration. Assign adults as six-day courses in a daily dose of 0.005 g (5 mg). On day 1, they are injected intravenously shortly before the start of a course of chemotherapy. From the 2nd to the 6th day, take the drug inside.
For intravenous infusions, dilute the contents of one ampoule (5 ml, containing 5 mg of tropisetron, equal to 5.64 mg of tropisetron hydrochloride) in 100 ml of isotonic sodium chloride solution or 5% glucose solution; enter slowly. Inside prescribed in the form of capsules containing 5 mg of tropisetron.
Capsules are taken on an empty stomach (1 hour before breakfast), washed down with water.
Side effect. The drug is usually well tolerated. Possible side effects: headache, dizziness, fatigue, constipation, or diarrhea; in patients with hypertension (high blood pressure), blood pressure may increase; in rare cases, visual hallucinations are possible (delusions, visions, acquiring the character of reality).
Contraindications. Pregnancy, breastfeeding.
It should be borne in mind that rifampicin, phenobarbital and other drugs that induce (increase) the activity of liver enzymes, reduce the concentration of tropisetron in the blood plasma.
Form release. 0.1% solution in ampoules of 5 ml (5 mg of the drug in the ampoule) in a package of 5 pieces; capsules containing 5 mg of tropisetron.
Storage conditions. List B. In the dark spot.
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