Фезам относится к группе ноотропных препаратов, которые улучшают мозговое кровообращение, обладают сосудорасширяющим и антигипоксическим действием.
Основные действующие вещества – пирацетам 400 мг и циннаризин 25 мг.
Пирацетам – ноотропное средство. Активирует метаболические процессы в головном мозге посредством усиления энергетического и белкового обмена, ускорения утилизации глюкозы клетками и повышения их устойчивости к гипоксии. Улучшает межнейрональную передачу в ЦНС и регионарный кровоток в ишемизированной зоне.
Циннаризин эффективно блокирует кальций в клетках и увеличивает стойкость стенок сосудов головного мозга к гипоксии. Проявляет умеренную антигистаминную активность, уменьшает возбудимость вестибулярного аппарата, повышает тонус симпатической нервной системы. Повышает эластичность мембран эритроцитов, их способность к деформации, снижает вязкость крови.
Быстро и полностью абсорбируется из ЖКТ. Сmах циннаризина в плазме достигается через 1-4 ч, Сmах пирацетама – через 2-6 ч. Биодоступность составляет 100%.
Связывание циннаризина с белками плазмы составляет 91%. Пирацетам не связывается с белками плазмы. Проникает во все органы и ткани, проникает через плацентарный барьер. Избирательно накапливается в коре головного мозга, в основном, в лобных, теменных и затылочных долях, мозжечке и базальных ганглиях.
После перорального приема абсорбция циннаризина медленная. Максимальная концентрация циннаризина в плазме создается через 1-4 часа. С белками плазмы связывается на 91%. Активно и полностью метаболизируется изоферментами печени CYP2D6 посредством дезалкилирования. Т1/2 составляет 4 часа. 1/3 метаболитов выводится почками, 2/3 — через кишечник.
Показания к применению
От чего помогает Фезам? Назначают препарат в случае диагностики следующих болезней или состояний:
- Недостаточность мозгового кровообращения (атеросклероз сосудов мозга, восстановительный период ишемического и геморрагического инсультов, черепно-мозговых травм, энцефалопатии различного генеза).
- Интоксикации.
- Другие заболевания ЦНС, сопровождающиеся снижением интеллектуально-мнестических функций (нарушения памяти, внимания, настроения).
- Психоорганический синдром с преобладанием признаков астении и адинамии, астенический синдром.
- Лабиринтопатии, синдром Меньера.
- Отставание интеллектуального развития у детей.
- Профилактика мигрени и кинетозов.
У детей от 8 лет Фезам применяют для терапии дизлексии в составе комплексного лечения (включая логопедию).
Инструкция по применению Фезам и дозировки
Принимают капсулы внутрь (перорально) после еды, не измельчая предварительно и запивая водой. Стандартные дозировки, согласно инструкции по применению Фезам:
- взрослым при нарушениях равновесия – по 1 капсуле 3 раза в сутки. Взрослым при болезни движения – по 1йкапсуле за 30 минут до прогулки, а затем каждые 6 часов при необходимости;
- взрослым при нарушениях мозгового кровообращения – по 1капсуле 3 раза в сутки;
- детям при дизлексии – по 1-2 капсулы 1 или 2 раза в день (зависит от степени тяжести нарушений) в течение 1-3 месяцев, но не более 3 месяцев подряд, при необходимости проводят 2-3 курса терапии в год.
- При одновременном применении с Фезам возможно усиление седативного действия средств, угнетающих деятельность ЦНС, а также этанола, ноотропных и гипотензивных средств.
- Во время применения недопустимо принимать алкогольные напитки.
- При проведении специальных тестов, препарат может давать ложные результаты на радиоактивный йод и допинг.
- При одновременном применении вазодилататоры усиливают действие препарата.
- Препарат улучшает переносимость антипсихотических лекарственных средств и трициклических антидепрессантов.
Побочные действия
Применение препарата вызывать следующие побочные действия:
- головная боль и головокружение;
- рвота, тошнота, диарея, диспепсия;
- нарушения координации, заторможенность и снижение психомоторных реакций;
- аллергические реакции – крапивница, зуд, отек Квинке, бронхоспазм, экзема, кожная сыпь.
При возникновении побочных эффектов прием рекомендуется прекратить и обратиться за консультацией к врачу.
Противопоказания
Гиперчувствительность к пирацетаму, циннаризину или к какому-либо из вспомогательных веществ, включенных в состав препарата. Другие противопоказания к назначению Фезам:
-
Тяжелая почечная (клиренс креатинина
4 отзывов к “Фезам”
Почему-то врачи рекомендуют (а должны выписывать на рецептурном бланке) именно Фезам .В ведь есть более дешевые аналоги – мемозам, ноозам…. К тому же это препарат с недоказанной терапевтической эффективностью
Из побочных эффектов могу четко заявить только один – Фезам у меня вызывал сонливость. Особенно тяжело было на работе, хотелось подремать хоть несколько минут.
Но через 2 месяца мне стало гораздо лучше, стала более стрессоустойчивой, перестали мучить тревожность и раздражительность, пропала постоянная зевота.
10 дней я принимаю Фезам, и вот голова стала светлее, память лучше, а главное, головокружение ушло!
Отличный препарат, у меня остеохондроз, частое головокружение. препарат мне помог уже через несколько дней, мне стало лучше, головокружение прошло, головные боли ушли, память даже улучшилась.
Фезам 400мг+25мг 60 шт. капсулы
Балканфарма-Дупница АД (Болгария) Препарат: Фезам
Фезам 400мг+25мг 60 шт. капсулы
Балканфарма-Дупница АД (Сербия) Препарат: Фезам
Аналоги по действующему веществу
Омарон 60 шт. таблетки
Нижфарм (Россия) Препарат: Омарон
Омарон 90 шт. таблетки
Нижфарм (Россия) Препарат: Омарон
Комбитропил 400мг+25мг 30 шт. капсулы
Синтез ОАО (Россия) Препарат: Комбитропил
Фесцетам капсулы 60 шт.
Адифарм (Болгария) Препарат: Фесцетам
Аналоги из категории Ноотропы
Пирацетам 20% 5мл 10 шт. раствор для инъекций
Пирацетам буфус 200мг/мл 5мл 10 шт. раствор для внутривенного и внутримышечного введения
Обновление (Россия) Препарат: Пирацетам буфус
Ноотропил 1200мг 20 шт. таблетки покрытые оболочкой
ЮСБ Фарма С.А. (Бельгия) Препарат: Ноотропил
Глиатилин 1000мг 4мл 3 шт. раствор для инфузий и в/мышечного введения
Италфармако (Италия) Препарат: Глиатилин
Глицин-био фармаплант 100мг 50 шт. таблетки подъязычные
Аналоги из категории Заболевания нервной системы
Ноотропил 800мг 30 шт. таблетки покрытые оболочкой
ЮСБ Фарма С.А. (Бельгия) Препарат: Ноотропил
Глиатилин 400мг 14 шт. капсулы
Италфармако (Италия) Препарат: Глиатилин
Пирацетам 200мг 60 шт. таблетки
Аминалон 250мг 100 шт. таблетки покрытые пленочной оболочкой
Акрихин (Россия) Препарат: Аминалон
Церебролизин 10мл 5 шт. раствор для инъекций ампулы
ЭВЕР Нейро Фарма ГмбХ (Австрия) Препарат: Церебролизин
Инструкция по применению Фезам
Состав и форма выпуска
Показания к применению Фезам
- нарушения мозгового кровообращения;
- ухудшение памяти;
- для улучшение переносимости психотропных препратов.
Противопоказания к применению Фезам
Фезам Применение при беременности и детям
Фезам Побочные действия
- Повышенная раздражительность, нарушения сна;
- тошнота, сухость во рту.
Дозировка Фезам
Когитум цена в аптеках
Риванол цена в аптеке
Постоянный шум в ушах заставил меня обратится к терапевту, а то направил к вертебрологу, в итоге — шейный остеохондроз. Так как работа и меня сидячая, но нервно-напряженная, прописали мне для улучшения мозгового кровообращения и предотвращения кислородного голодания фезам. Принимал три раза в день после еды. Два месяца я его принимал, и не пожалел. Ушли тревога и раздражительность, нормализовался сон !
Нельзя допускать кислородное голодание головного мозга. "Фезам" – это тот препарат, который повысит кровообращение и одновременно понизит сопротивление сосудов мозга. «Фезам» снимает головокружение устраняет шум в ушах. Также продуктивным будет принятие данного препарата при тревожности, растерянности, рассеянности и другими проблемами, связанными с нарушением концентрации внимания. Его основной компонент – пирацетам – восстановит память.
Фезам состоит из двух препаратов – циннаризина и пирацетама. Пирацетам в свою очередь помогает восстановить память. Циннеризин способствует хорошему кровообращению, снижая вязкость крови.Ну а в общем Фезам снимает головокружение и устраняет шум в ушах. Препарат применяют много еще от чего. Вызывает равнодушное отношение у лиц, его использовавших
Пару месяцев назад меня стал беспокоить шум в ушах, я заметила, что стала забывать какие-то элементарные вещи. Врач сказал, что всему виной частые стрессы, которые случались у меня на работе, и прописал Фезам. Я принимала препарат по три раза в день на протяжении двух месяцев и за это время все проблемы с головой разрешились. Учитывая невысокую стоимость таблеток и их эффективность, думаю, что в случае рецидивов вернусь именно к ним.
Мне Фезам назначил врач, когда я пожаловалась на расстройство памяти, а еще на чувство беспокойства. Средство очень хорошее помогает мне от моей мигрени, не зря мне его врач назначил, после приема также стало меньше проблем с памятью. Даже мое чувство беспокойства пропало это средство, действительно работает и стоит не очень дорого, я довольна препаратом.
После травмы головы в далёком 2005 году, только им и спасаюсь. Вообще врачи назначали много препаратов, но только Фезам реально помогает. Принимаю два раза в год по две упаковки. Головные боли проходят, сон богатырский. Да и общее психологическое состояние улучшается. Препарат не дорогой и побочных действий не ощущаю. Как говорится моё!
После травмы головы в далёком 2005 году, только им и спасаюсь. Вообще врачи назначали много препаратов, но только Фезам реально помогает. Принимаю два раза в год по две упаковки. Головные боли проходят, сон богатырский. Да и общее психологическое состояние улучшается. Препарат не дорогой и побочных действий не ощущаю. Как говорится моё!
Препарат "Фезам" мне выписал врач невролог.Я к нему обратилась с проблемой головокружения и плохим, беспокойным сном.Эти проблемы у меня стали появляться с наступлением климактрического периода.Сделав МРТ сосудов головного мозга, врач назначил препарат "Фезам", по одной капсуле на ночь, а затем постепенно прейти на прием по инструкции и пропить в течении трех месяцев и понаблюдать за собой.Начав пить на ночь по одной капсуле, на второй день уже стала лучше спать. Значит этот препарат оказывает седативное действие почти сразу.Головокружение еще присутствует, особенно когда приходится за что — то нервничать.Буду продолжать принимать препарат, потом напишу результат.
Препарат "Фезам" мне выписал врач невролог.Я к нему обратилась с проблемой головокружения и плохим, беспокойным сном.Эти проблемы у меня стали появляться с наступлением климактрического периода.Сделав МРТ сосудов головного мозга, врач назначил препарат "Фезам", по одной капсуле на ночь, а затем постепенно прейти на прием по инструкции и пропить в течении трех месяцев и понаблюдать за собой.Начав пить на ночь по одной капсуле, на второй день уже стала лучше спать. Значит этот препарат оказывает седативное действие почти сразу.Головокружение еще присутствует, особенно когда приходится за что — то нервничать.Буду продолжать принимать препарат, потом напишу результат.
Страдаю периодически сильными головокружения, мигренями, шумом в голове и плохим самочувствием с тошнотой и слабостью. Невролог выписала кучу всего + фезам. Из всего того, что я пила оставила только его и бетагистин. Эффект был только от Фезама. Через 20-30 минут после приема таблетки в голове "светлеет", голова перестает болеть. Но пропить нужно курс — месяц точно. У меня не было поблочных эффектов, за исключением небольшой сонливости, которая проходит через несколько дней приема. Пропиваю его осень-весна.
Страдаю периодически сильными головокружения, мигренями, шумом в голове и плохим самочувствием с тошнотой и слабостью. Невролог выписала кучу всего + фезам. Из всего того, что я пила оставила только его и бетагистин. Эффект был только от Фезама. Через 20-30 минут после приема таблетки в голове "светлеет", голова перестает болеть. Но пропить нужно курс — месяц точно. У меня не было поблочных эффектов, за исключением небольшой сонливости, которая проходит через несколько дней приема. Пропиваю его осень-весна.
После приема Фезама у меня начались проблемы. Засыпала на совещаниях. появилась сонливость. вляпалась в аварию (сбивает концентрацию внимания). стала раздражительной. агрессивной.
После приема Фезама у меня начались проблемы. Засыпала на совещаниях. появилась сонливость. вляпалась в аварию (сбивает концентрацию внимания). стала раздражительной. агрессивной.
Данный препарат назначен был для борьбе с шаткой походкой, причиной которой был мышечный спазм и шейный меня будто бы качало в лодке при ходьбе- состояние не из приятных. Кроме того плохо засыпал по ночам. Препарат относится к категории ноотропов и согласно инструкции должен был улучшить мозговое кровообращение, устранить проблемы с засыпанием по ночам и убрать внесистемные головокружения. Препарат я принимал 2 месяца по 2-3 капсуле в день. Эффект начал ощущать через месяц после начала приема- это единственный препарат, который помогал справиться с шаткой походкой! Правда состояние облегчения длилось максимум неделю, таким образом когда бросаешь пить фезам- все болячки возвращались. Таким образом тут многое зависит от внутренней восприимчивости вашим организмом ноотропа! Попробовать стоит- . читать ещё может помочь
Данный препарат назначен был для борьбе с шаткой походкой, причиной которой был мышечный спазм и шейный меня будто бы качало в лодке при ходьбе- состояние не из приятных. Кроме того плохо засыпал по ночам. Препарат относится к категории ноотропов и согласно инструкции должен был улучшить мозговое кровообращение, устранить проблемы с засыпанием по ночам и убрать внесистемные головокружения. Препарат я принимал 2 месяца по 2-3 капсуле в день. Эффект начал ощущать через месяц после начала приема- это единственный препарат, который помогал справиться с шаткой походкой! Правда состояние облегчения длилось максимум неделю, таким образом когда бросаешь пить фезам- все болячки возвращались. Таким образом тут многое зависит от внутренней восприимчивости вашим организмом ноотропа! Попробовать стоит- может помочь
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Первый раз стою перед таким выбором: сколько поставить звезд и что нажать: рекомендую или нет? Вообще, конечно, всем рекомендую только здоровья. И сразу скажу: пить или не пить это лекарство — решать только врачу и пациенту. Потому просто расскажу свою историю, а также то, какой эффект оказал на меня фезам. Кому-то это будет просто любопытно прочитать, а кто-то найдет что-то общее со своими ощущениями и найдет объяснение своему состоянию на фоне приема фезама. Случилась неприятность. Я упала и ударилась сильно затылком. Потеряла сознание. Врачи поставили сотрясения мозга. Все это в моей жизни произошло впервые — первый раз сотрясение, первый раз потеря сознания. Первоначальное лечение я, как и полагается, получала в стационаре. а потом была направлена под присмотр поликлинического невропатолога. Вот он-то и выписал мне в купе с другими препаратами фезам. Средняя цена за упаковку — 26 рублей. Фезам — это ноотропное средство. Что это значит? Это препараты, направленные на улучшение мозгового кровообращения (которое в результате травмы головы нарушается), и как следствие — на улучшение памяти, восприимчивости большого объема информации, на улучшение умственной деятельности в целом. Отсюда еще один нехитрый секрет — эти препараты показаны не только тем, кто, пардон, стукнулся головой. Но и тем, кто просто стал плохо учится или так завален работой, что мозги нужно встряхнуть (не стучать головой о стену, а попить эти самые ноотропные препараты). Но это я уже узнала все позже. Потому как сама впервые столкнулась вообще со всем этим головным лекарственным багажом. И вот как оказалось, этот самый фезам попивает (или попивало в свое время) большое количество моих знакомых, который им выписали по тем или иным причинам, не связанным с сотрясениями. На основе своих впечатлений и немного отзывов моих знакомых я и расскажу о действии фезама. В упаковке 6 капсул. Лично для меня они гигантского размера. Я люблю таблетки поменьше. При глотании таких лошадей у меня возникают рвотные позывы. В общем не самые приятные таблетки в плане глотания. Фезам мне был назначен по три капсулы в день — одну утром, днем и вечером. в таком режиме я успела попить фезам 5 дней. Все эти дни я чувствовала себя хуже, чем до выписки из больницы, где фезам я не принимала. С утра я не могла поднять голову с подушки — просто было не проснуться. Причем можно было из пушек рядом стрелять — я ничего не слышала. Обычно, если ребенок проснулся, то доспать у меня не получится — я все буду слышать и не засну ни на секунду. Здесь же по мне можно было прыгать и скакать — я спала и хоть бы что. Кое как раскачивалась в половине . Но после 6 вечера уже сидела, смотрела в одну точку, глаза в кучу и мне жутко хотелось спать. Стоит найти точку опоры — и все, я проваливалась в сон. На повторном приеме пожаловалась врачу на такое состояние. Виновником был назначен фезам. У него в побочных эффектах — именно это: оно вызывает сонливость. Вообще-то фезам я должна была допить до конца, но поскольку выпросилась на работу, врач разрешила оставить его только на ночь ( таблетку) или вовсе отменить. Но я для начала остановилась все же на одной таблетке — зря что ли покупала. Выпила на ночь. С утра — снова тоже самое состояние — не встать. Весь день на работе как ванька-встанька. В итоге решила оставить его только на выходные — выпить в пятницу, чтоб к понедельнику точно протрезветь. Спится с него великолепно! Когда на приеме я жаловалась на эту самую сонливость, медсестра сказала: а может мне попить? врач подхватила: вот, мол, и я сижу и думаю — может мне тоже?. На работе народ, узнав о том, чем я баловалась во время болезни, тоже запросил попробовать. Пришлось поделиться с теми, кто страдает бессонницей. Кроме того, оказалось, что моя мама некоторое время назад тоже пила фезам. Но в итоге так и выбросила полторы пачки, не допив. Именно потому, что она с него также не могла проснуться. А ведь еще и машину надо водить. Так что тем, кто за рулем — прям знайте об этом эффекте и балуйтесь фезамом только при отказе от вождения. Бдительность теряется! Затем выяснилось, что такие же таблетки были у свекрови и у целого семейства еще одних моих знакомых — там его выписали всей семье для памяти))). Но, видимо, тоже что-то пошло не так, потому как та самая память не смогла воспроизвести: почему же семья перестала его пить))). Вот такая метаморфоза. В общем в моем опыте фезам оказался очень сомнительным ноотропным препаратом. Возможно, мозговое кровообращение он и улучшает, но воспользоваться мозгами в сонном состоянии он не позволяет. В общем если мне когда-нибудь, не дай Бог, его снова выпишут для улучшения работы мозгов, я предпочту узнать об аналогах — потому что сейчас получилось: фезам — деньги на ветер. Но если бы мне надо было впасть в спячку — я бы попила).
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