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Как правильно принимать бетагистин

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17 августа 2019

При сильных нарушениях работы вестибулярного аппарата или воспалении ушного отдела и снижения слуха пациенту назначается «Бетагистин». Польза лекарства доказана многочисленными исследованиями. Он помогает купировать головокружение и другие признаки заболевания в ушах. В этой статье мы поделимся инструкцией по применению на таблетки «Бетагистин», а также расскажем все возможные побочные явления медикамента.

Содержание

Свойства препарата

Препарат «Бетагистин» — это прямой аналог гистамина. Действие медикамента заключается в улучшении движения крови в капиллярах ушного канала. Также сочетание активных компонентов увеличивает скорость кровотока в базилярной артерии. Такое действие позволяет нормализовать давление в среднем ухе.

Постоянный прием по назначению позволяет нормализовать работу вестибулярного аппарата. После употребления отмечается снижение приступов и устранение головокружения, а также купирование неприятного шума в ушах.

На сегодняшний день препарат выпускается только в таблетированной форме. В одну упаковку входит от 10 до 60 штук. В каждой пилюле 8, 16 или 24 миллиграмма активного компонента — дигидрохлорид бетагистина. В числе вспомогательных веществ отмечены кальций, целлюлоза и натрий карбоксиметилкрахмал.

Терапевтический эффект наступает только при длительном лечении, поэтому средство назначается курсом минимум в десять дней. Однако состояние пациента улучшиться уже на третий день после начала лечения.

Лекарство абсорбируется после приема в желудке достаточно быстро. Максимальная концентрация активного компонента наступает спустя три часа. Выведение вещества происходит в течение четырех часов естественным путем.

Когда можно применять

Медикамент включается в список комплексного воздействия при лечении головокружения. Помимо этого, «Бетагистин» назначается для купирования следующих форм воспалений:

  • нарушение работы вестибулярного аппарата;
  • невоспалительные болезни головного мозга;
  • разрушение нервных клеток из-за нарушения кровоснабжения;
  • кислородное голодания мозга;
  • энцефалопатия;
  • поражение кровеносной системы;
  • воспаление сосудов;
  • при первых симптомах развития атеросклероза;
  • неврит вестибулярного типа;
  • воспаление лабиринтита;
  • негнойное заболевание внутреннего уха.

Также препарат назначается как основной медикамент в период реабилитации после хирургического вмешательства для купирования головокружения.

Для каждого случая воспаления пациенту назначается индивидуальная дозировка, а также определенная частота приема. По этой причине применять средство самостоятельно не рекомендуется.

Побочные действия

По словам врачей, «Бетагистин» переносится хорошо и в редких случаях вызывает побочные симптомы. Препарат не имеет возрастных ограничений, поэтому им можно лечиться даже в пожилом возрасте.

Если же пациент нарушил правила лечения, у него может образоваться ряд нежелательных признаков. К числу побочных симптомов относят:

  • головные боли;
  • тошнота и рвота;
  • тяжесть в животе;
  • нарушения работы в желудке;
  • боль в боку;
  • различные высыпания на кожном покрове;
  • зуд и жжение;
  • крапивница;
  • болевые ощущения в животе.

Такие признаки появляются из-за передозировки или особой чувствительности пациента к активным составляющим препарата.

При любом случае развития симптома нужно прекратить прием таблеток, после чего пройти повторную консультацию. При осмотре врач скорректирует дозировку или заменит лекарство на аналог. Если данные правила игнорировать, состояние здоровья может заметно ухудшиться.

Узнайте, как шейный остеохондроз влияет на зрение.

Возможные ограничения

Данный препарат не опасен, но только если у пациента нет противопоказаний. Прием «Бетагистина» строго запрещен в следующих случаях:

  • выраженная аллергия на активный компонент;
  • наличие язв в организме;
  • приступы бронхиального кашля

Не стоит употреблять лекарство при лечении детей до двенадцати лет, а также в период беременности. «Бетагистин» строго запрещен при кормлении грудным молоком.

При нарушении правил существует риск развития опасных осложнений, которые негативно скажутся на всем состоянии пациента.

Дозировка

Таблетки «Бетагистин» назначаются для приема внутрь. Употреблять средство нужно только во время еды. Таблетки нельзя разжевывать или измельчать. Запивать пилюлю нужно небольшим количеством воды.

Для лечения взрослых назначается по две таблетки три раза в день. При сильном головокружении дозирование увеличивается до трех таблеток, но в сутки запрещено принимать больше шести таблеток.

При беременности

«Бетагистин» считается безопасным средством, но при беременности применять медикамент без предварительной консультации не стоит. Откажитесь от лечения данным средством в первые два триместра, так как присутствует риск развития серьезных патологий.

Для справки! Действие активного компонента может спровоцировать неправильное строение внутренних органов и стать причиной тяжелых осложнений.

Также врачи не рекомендуют принимать таблетки при грудном вскармливании. По показаниям исследований, активный компонент проникает в грудное молоко. При попадании вещества в организм ребенка, возможно развитие тяжелых форм аллергической реакции.

При невозможности заменить таблетки, женщине рекомендуется воздержаться от кормления малыша.

Передозировка

При употреблении повышенной дозы препарата у больного может появиться ряд неприятных симптомов. Для передозировки характерно образование следующих признаков:

  • сильная тошнота;
  • головные и височные боли;
  • судороги;
  • изменение цвета лица;
  • боли в боку;
  • тремор.

При появлении любых перечисленных симптомов нужно промыть желудок и выпить активированный уголь. После чего обратитесь за медицинской помощью и пройдите симптоматическое лечение.

Особые указания

«Бетагистин» нельзя принимать без консультации с врачом при воспалении слизистой желудка. При язвах назначается корректировка дозы.

При бронхиальной астме лечение проводится под контролем специалиста, так как возможно обострение заболевания.

По многочисленным исследованиям было выявлено, что препарат не оказывает влияния на управление транспортом.

При соблюдении всех правил лечения и выполнения рекомендаций врача, терапия пройдет без осложнений и образования побочных симптомов.

Взаимодействие

Медицинский препарат можно применять одновременно с другими противовоспалительными лекарственными средствами, так как опасность развития побочных признаков в таком случае минимальна. В крайнем варианте возможно проявление незначительных реакций.

«Бетагистин» нельзя назначать одновременно с антигистаминными средствами, так как они замедляют процесс лечения.

При приеме медикаментов, предназначенных для врачевания других патологий, расскажите о них лечащему врачу. В таком случае специалист скорректирует дозу таким образом, чтобы защитить желудок от лишней нагрузки.

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Правила хранения

Хранить препарат нужно в темном месте, куда не попадают прямые солнечные лучи. При этом температура вдолжна быть не ниже пятнадцати градусов Цельсия.

Средство должно быть вне зоны доступа детей.

Не храните «Бетагистин» в холодильнике или в влажной части квартиры, например, в шкафчике в ванной.

Срок годности препарата – два года с момента его производства.

Похожие препараты

При необходимости специалисты могут посоветовать аналоги «Бетагистина». Аналогичный активный компонент способен восстановить функции вестибулярного аппарата и снять надоедливые признаки заболевания. Как правило, похожие препараты назначаются при аллергической реакции на «Бетагистин».

Список самых популярных средств:

Для справки! Самый известный аналог — это «Бетасерк».

Имейте в виду, что каждый представленный медикамент обладает определенными побочными действиями и рядом ограничений. По этой причине применять средство можно только после тщательного изучения аннотации и консультации с лечащим врачом.

Стоимость

Средняя цена препарата составляет от 200 до 250 рублей. «Бетагистин» выпускается в таблетированной форме блистерной упаковке. Купить медикамент можно без рецепта.

Отзывы о препарате

Лекарство справляется с головокружением и приступами энцефалопатии, а также устраняет болезненные ощущения в ушном отделе. Перед покупкой медикамента вы можете прочитать отзывы о «Бетагистине» при шейном остеохондрозе.

Алина, 28 лет: «Еще с детства страдаю от частых головокружений. Чаще всего они появляются в летнее время при сильной жаре. Поэтому в данный сезон теряю работоспособность и быстро утомляюсь. Чтобы восстановить функции вестибулярного аппарата пробовала множество лекарств, но лучшим оказался «Бетагистин».

Я принимала средство в течение двадцати дней по две таблетки. Не почувствовала никаких побочных симптомов или других отклонений. Препарат действительно помог справиться с головокружением».

Ирина, 51 год: «Из-за инфекционного воспаления начались проблемы с ушами и работой вестибулярного аппарата. Сильно кружилась голова, тошнило, образовалось еще несколько неприятных симптомов. На консультации врач посоветовал пройти курс с «Бетагистином». Эффект от лечения меня приятно удивил! Уже в конце первой недели самочувствие изменилось в лучшую сторону».

Узнайте, как питаться при остеохондрозе.

Заключение

При постоянном головокружении больному нужно установить причины такого процесса. Часто нарушение работы вестибулярного аппарата – это только первый сигнал, который предупреждает о возможном развитии опасного процесса. Купировать заболевание вовремя поможет комплексное обследование.

Это лекарственное средство, которое положительно влияет на микроциркуляцию в лабиринте внутреннего уха, применяется при нарушениях функции вестибулярного аппарата, лечении головокружений различного происхождения.

Дигидрохлорид бетагистина – это искусственный аналог гистамина, слабый антагонист Н1- и Н2-рецепторов и достаточно сильный антагонист Н3-гистаминовых рецепторов вегетативной и центральной нервной системы.

Благодаря свойству прямой нейтрализации действия Н1-рецепторов и опосредованной – Н3-рецепторов, высвобождается гистамин, снижается уровень его синтеза, и в результате улучшается проницаемость и микроциркуляция капилляров внутреннего уха, нормализуется давление в эндолимфе, в улитке и лабиринте, кровоток в базилярной артерии увеличивается.

Препарат улучшает проводимость сигналов в нейронах ядер вестибулярного аппарата (в стволе головного мозга) благодаря ингибирующему действию на генерацию пиковых потенциалов в ядрах (снижает их возбудимость). Однако подобное влияние является дозозависимым.

Исследования выявили, что Бетагистин улучшает мозговой кровоток и оказывает сосудорасширяющее действие.

Клинические проявления описанных свойств: снижение интенсивности и частоты головокружений, улучшение слуха, уменьшение уровня шума в ушах, общее положительное влияние на вестибулярную систему, активизация восстановительных процессов в ЦНС.

Что происходит после приема препарата

После приема перорально, Бетагистин быстро и в полном объеме всасывается в ЖКТ.

Максимальная концентрация в крови: зафиксирована в течение 1-3 часов после приема на пустой желудок.

Связывание с белками крови: менее 5%.

Биодоступность препарата: 97-99%.

Время полувывода: 10-12 часов.

Практически полностью выводится почками в виде 2-пиридилуксусной кислоты (вместе с уриной — более 90% активного вещества), на протяжении суток.

Показания к применению

Инструкция по применению указывает на широкий спектр применения лекарства Бетагистин:

  • синдром или болезнь Меньера;
  • заболевания, сопровождающиеся внезапными головокружениями, рвотой, тошнотой, шумом в ушах, понижением слуха (сходные с болезнью Меньера);
  • недостаточное кровообращение в головном мозге после перенесения ишемического инсульта;
  • для повышения уровня памяти и мыслительной активности у пожилых пациентов;
  • возрастные нарушения равновесия;
  • укачивания в транспорте;
  • профилактика возникновения поражений сосудов головного мозга.

А также лечение головокружений, вызванных нарушением вестибулярного аппарата различной этиологии:

  • инфекционные заболевания;
  • посттравматическая энцефалопатия;
  • сильные нарушения мозгового кровообращения;
  • атеросклероз сосудов головного мозга (в качестве одного из компонентов комплексной терапии);
  • поражения органов шеи;
  • нарушения, вызванные приемом лекарственных препаратов;
  • кровоизлияния в мозжечок;
  • вертебробазилярная недостаточность;
  • вестибулярный неврит;
  • доброкачественное позиционное головокружение после нейрохирургических и офтальмологических вмешательств;
  • лабиринтит;
  • сердечнососудистые заболевания;
  • психогении.

Противопоказания

Препарат не советуют принимать, если:

  • дефицит лактозы;
  • непереносимость лактозы, синдром слабого всасывания глюкозы-галактозы;
  • повышенная чувствительность к бетагистину и/или к отдельным компонентам препарата.

Назначать с осторожностью при следующих заболеваниях:

  • язвенная болезнь желудка или двенадцатиперстной кишки;
  • бронхиальная астма;
  • феохромоцитома (опухоль надпочечников).

Дополнительные противопоказания

В связи с отсутствием проведенных исследований, препарат не назначается детям (до 18 лет).

Препарат не назначается в период беременности и грудного вскармливания, поскольку данные о влиянии на формирование плода отсутствуют.

Также неизвестно, выделяется ли препарат с грудным молоком.

Негативного влияния на работу почек и печени Бетагистин не оказывает. Корректировать дозу больным с почечной или печеночной недостаточностью нет необходимости.

Способ применения

Препарат применяют внутрь, не разжевывая, во время или после приема пищи, запив достаточным количеством воды.

Рекомендуемая начальная дозировка: 24 – 48 мг дигидрохлорида бетагистина в день. Указанное количество разделяют на 2-3 порции, которые принимаются в течение дня.

Курс может быть достаточно длительным (от нескольких недель до нескольких месяцев), поскольку терапевтический эффект может усиливаться при продолжительном лечении.

Первые улучшения состояния могут быть заметны уже на 2 день лечения.

Длительность приема препарата определяется индивидуально.

Формы выпуска

Существуют следующие формы выпуска лекарства:

  1. Таблетки 8 мг, белого или бело-желтого цвета, круглые, плоская поверхность, № 5, 7, 10, 12, 14, 30, 100, 500 (для стационаров), 1000 (для стационаров), 2000 (для стационаров).
  2. Таблетки 16 мг, белого или бело-желтого цвета, круглые, плоская поверхность, № 5, 7, 10, 12, 14, 15, 30, 100, 500 (для стационаров), 1000 (для стационаров), 2000 (для стационаров).
  3. Таблетки 24 мг, белого или бело-желтого цвета, круглые, плоская поверхность, № 5, 7, 10, 12, 14, 20, 100, 500 (для стационаров), 1000 (для стационаров), 2000 (для стационаров).
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Выпускаются в картонной пачке (блистеры) или в банке (пластмасса или темное стекло).

Побочные действия и передозировка

В инструкции по применению к лекарству Бетагистин указаны такие проявления:

  • со стороны ЖКТ: тяжесть в желудке, тошнота, изжога, расстройства пищеварения;
  • кожные реакции (редко): сыпь, крапивница, отек Квинке;
  • сердечнососудистая система: тахикардия, повышение внутричерепного давления;
  • ЦНС: сонливость, головная боль;
  • иммунная система: реакции гиперчувствительности, например, анафилаксия;
  • прочие проявления: ощущение жара.

Статистически, препарат переносится достаточно хорошо пациентами.

Передозировка

Симптомы: рвота, судороги, тошнота, сухость во рту, боли в животе.

Могут также возникнуть признаки, характерные для слишком высокого уровня гистамина: покраснение лица, понижение АД, отеки, тахикардия.

Лечение: специфического антидота нет. Проводится симптоматическое лечение и общие мероприятия по выведению токсинов (прием активированного угля, промывание желудка).

Особые указания

Что еще нужно помнить:

  1. По мере увеличения продолжительности приема препарата, его эффективность возрастает.
  2. Не вызывает зависимости.
  3. Результативность лечения Бетагистином усиливается при регулярных вестибулярных тренировках.
  4. Поскольку лекарство не имеет седативного эффекта, курс лечения можно проводить при необходимости управления автотранспортом и выполнении деятельности, которая требуют скорости психомоторных реакций. Однако желательно в первую неделю приема препарата воздержаться от подобных занятий (опасность передозировки или индивидуальной непереносимости компонентов препарата, что может вызвать ряд побочных эффектов, отражающихся на данных видах деятельности).

Взаимодействие с другими препаратами

Антигистаминные средства и препараты-ингибиторы МАО (например, селегилин) снижают действие Бетагистина.

Отзывы пациентов и врачей

Отзывы врачей и пациентов имеют в основном положительный характер:

  1. Пациент Тая: «Не знаю, что произошло после родов в моем организме, но у меня каждый день были сильные головокружения. Врачи говорили, что виной всему усталость. На страх и риск я купила препарат, который первый попался в аптеке (с необходимой фармакологией и показаниями). Это были таблетки Бетагистина. Сперва пила по 2 таблетки в день. Потом уменьшила дозу до одной. Препарат очень хорошо помогает. Побочных действий не было – наверное, мне повезло».
  2. Пациент Надежда: «После наступления климакса, у меня начались внезапные головокружения, из-за которых я испытывала большой дискомфорт. С постели еле вставала по утрам. Бетагистин пью уже где-то 5-ую неделю, улучшения ощутимы: сил стало больше, приступов – меньше, но иногда испытываю изжогу. Есть подозрение, что это побочное явление».
  3. Пациент Оксана: «У меня большие проблемы с вестибулярным аппаратом: даже если просто смотрю на быстро движущиеся предметы, сразу начинает тошнить, голова кружится. Доктор прописала мне Бетагистин. После первого дня приема был сильный понос, поэтому дозу уменьшила. Принимаю препарат уже 3 недели. Ощущается, что голова кружится гораздо реже, да и тошнить перестало вовсе».
  4. Пациент Артем: «Головокружение прошло, но начались головные боли. Теперь приходится пить еще и лекарства от головных болей».
  5. Доктор Вениамин Петрович: «В целом препарат весьма положительно действует на головокружения различной этиологии. Данное средство характеризуется отличным соотношением цены и качества. При всей его эффективности, количество побочных действий и зафиксированных отрицательных проявлений на практике минимальное».
  6. Доктор Владимир: «С успехом назначаем пациентам, перенесшим травмы мозга и нейрохирургические операции».

Советы по приему от пациентов:

  • снижать дозировку, в случае возникновения проблем с ЖКТ;
  • в случае отсутствия результата в течение нескольких недель, отменить препарат.

Положительные и отрицательные характеристики

Плюсы:

  • приятная, доступная цена;
  • незначительное количество возможных побочных эффектов;
  • разнообразие предлагаемой концентрации активного вещества (форм выпуска);
  • хорошо устраняет головокружения и нарушения координации;
  • в общем, достаточно положительный опыт практического применения.

Минусы:

  • иногда возможна изжога, головные боли;
  • не на всех пациентов препарат оказывает должный эффект;
  • возможны ремиссии головокружений;
  • низкая биодоступность, в сравнении с препаратами-аналогами.

Стоимость в аптеках

Цена на таблетки Бетагистин зависит от размера упаковки и производителя. В среднем составляет:

  • таблетки 8 мг, 30 т.: 25-35 рублей;
  • таблетки 16 мг, 30 шт.: 40-45 рублей;
  • таблетки 24 мг: 45-55 рублей.

Однако вы можете встретить Бетагистин от таких фирм-производителей, как КАНОФАРМА, Оболенское. Цены от данных поставщиков будут в 2-3 раза больше тех, что указаны выше.

Условия и сроки хранения

Хранить в защищенном от света, недоступном для детей месте при температуре 15-25 С.

Срок годности таблеток 16 мг – 3 года от даты изготовления, таблеток 24 мг – 2 года.

Отпуск в аптеке

Препарат отпускается по рецепту от врача.

Доступные аналоги препарата

Препараты-аналоги Бетагистина содержат в различных концентрациях тот же активный компонент – бетагистина дигидрохлорид, поэтому показания по применению и противопоказания медикаментов будут фактически одинаковые.

Однако поскольку разные препараты имеют в составе разные вспомогательные компоненты, такие показатели как биодоступность (усвояемость), эффективность, время полувывода и индивидуальная непереносимость составляющих будут разниться. Еще цена будет отличаться, естественно.

Бетасерк таблетки 8, 16, 24 мг

К преимуществам Бетасерка можно отнести:

  • самая высокая биодоступность среди препаратов данной группы;
  • время достижения максимального содержания в крови самое короткое, в сравнении с другими препаратами-аналогами;
  • дольше срок хранения (5 лет).

Недостатки:

  • это самый дорогой препарат данной серии (400 – 640 рублей за 30 штук, в зависимости от концентрации активного вещества);
  • Бетасерк дольше выводится из организма, в сравнении со всеми аналогами.

Вестибо таблетки 8, 16, 24 мг

Преимущества Вестибо такие:

  • средняя стоимость (200-300 рублей за 30 штук, в зависимости от дозировки);
  • ддостаточно высокая биодоступность.

Недостатки:

  • время достижения предельного количества активного вещества в сыворотке крови такая же, как и у препарата Бетагистин;
  • отсутствие упаковок с большим количеством таблеток.

Бетавер таблетки 8, 16, 24 мг

Преимущества: средняя цена (от 120 до 250 рублей за 30 штук, в зависимости от концентрации активного вещества).

Недостатки:

  • по вспомогательным компонентам почти ничем не отличается от Бетагистина;
  • минимальная биодоступность;
  • максимальная концентрация в крови достигается едва ли быстрее, чем при приеме Бетагистина.

Тагиста таблетки 8, 16, 24 мг

Преимущества:

  • низкая цена (70-130 рублей за 30 штук, в зависимости от концентрации активного вещества);
  • очень высокая биодоступность.

Недостатки: нужно достаточно много времени для достижения максимального содержания препарата в плазме крови, в сравнении с более дорогими аналогами Бетагистина.

Бетагистин относят к лекарственным препаратам, применяемым в неврологии при головокружениях и вестибулярных отклонениях. Если обеспечить правильный прием лекарства с соблюдениями рекомендаций, которые содержит инструкция по применению, добиваются высокой эффективности лечения за короткий промежуток времени. Дополнительно приводятся отзывы пациентов, докторов, возможные российские и зарубежные аналоги Бетагистина и цены.

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Состав

Активным веществом Бетагистина (международное название Betagistin) является химическое соединение Бетагистина гидрохлорид (на латыни МНН Betagistini hydrochloridi). Количество действующего вещества может быть 8, 16 и 24 мг в одной дозе.

Прочие компоненты средства:

  • целлюлоза;
  • пирролидоны;
  • Са стеараты;
  • производные крахмала.

Форма выпуска

Различные производители выпускают Бетагистин в форме таблеток, которые принимают внутрь. Каждая таблетка от головокружения имеет округлую форму, окрашена в беловато-желтый цвет.

В оригинальных упаковках разных производителей содержится 20 или 30 доз, а также официальная инструкция, которая является утвержденной на территории России.

Фармакологическое действие

Фармакологическая группа — лекарства, назначаемые при вестибулярных отклонениях. Механизм действия аналогичен гистамину, поскольку активное вещество средства — его производное.

Фармакологические действия средства:

  • стимуляция рецепторов к гистамину в полости внутреннего уха и в отделах центральной нервной системы;
  • нормализация микроциркуляции и проницаемости сосудов в области внутреннего уха;
  • нормализация давления в разных отделах органов слуха;
  • влияние на нормализацию передачи нервных импульсов в вестибулярных нервах, которые расположены в головном мозге;
  • устранение нарушений функционирования вестибулярного аппарата;
  • уменьшение выраженности головокружений, ощущений шума в ушах;
  • нормализация слуха;
  • расширение центральных кровеносных сосудов.

Эффективность медицинского препарата отмечается уже с первых суток приема. Выводится Бетагистин с мочой.

Показания к применению

Показаниями к применению, утвержденными производителями, являются такие заболевания:

  • профилактика и терапия головокружения разной этиологии, в том числе при ВСД;
  • вертебробазиддярные недостаточности;
  • энцефалопатии посттравматичные;
  • атеросклеротические поражения мозга;
  • вестибулярные невриты;
  • лабиринтиты;
  • головокружение, вызванное офтальмологическими или нейрохирургическими операциями;
  • ощущение дискомфорта в органах слуха. Бетагистин часто назначают от шума в ушах при разных вестибулярных и неврологических патологиях;
  • болезнь Меньера.

Противопоказания

Противопоказаниями к применению, которые утверждены всеми производителями, являются следующие:

  • аллергия;
  • детский возраст. Бетагистин не назначают детям младше 16-летнего возраста;
  • беременность;
  • лактация. Бетагистин не применяют при грудном вскармливании;
  • язва в двенадцатиперстной кишке и желудке в фазе обострения;
  • бронхиальная астма.

Инструкция по применению

Препарат следует принимать взрослым во время или после приемов пищи внутрь. Таблетки не рекомендуют измельчать. Запивать не меньше 100 мл воды.

Разовая доза — от 8 до 16 мг (по 1 или 2 таблетки) трижды в сутки — до обеда, обед и вечер. Суточная дозировка — 24-48 мг (от 3 до 6 таблеток). Длительность приема по указанной схеме лечения доктор подбирает индивидуально, учитывая характер и степень патологии, а также скорость наступления эффекта от применения лекарства.

Передозировка

Если принимать очень высокие дозы Бетагистина, могут развиться такие последствия:

  • головные боли;
  • судороги (часто при очень сильных передозировках);
  • рвота;
  • приступы тошноты.

Лечение проводится только симптоматически.

Побочные действия

Бетагистин хорошо переносит большинство больных. Нечастые побочные эффекты:

  • боли в голове;
  • ощущения тяжести и болей в животе;
  • приступы рвоты;
  • аллергия по типу сыпи и покраснений;
  • тошнота.

Важно! Все побочные действия быстро исчезают при понижении дозы и соблюдении установленных способов применения. Отмена средства практически никогда не требуется.

Взаимодействие с другими средствами

Бетагистин совместим со большинством групп препаратов. Исключение составляет комбинация с антигистаминными противоаллергическими лекарствами, снижающими эффективность Бетагистина — производного гистамина.

При беременности и лактации

Нет данных в аннотации о безопасном использовании Бетагистина при беременности и во время лактации (кормления ребенка грудью). Поэтому препарат не рекомендуется к назначению будущим мамам и кормящим женщинам.

С алкоголем

Производители не указывают на необходимость полного исключения взаимодействий лекарства с алкоголем и спиртосодержащими средствами. Учитывая, что Бетагистин и алкоголь имеют нормальную совместимость, следует отказаться от употребления спиртных напитков на время лечения, поскольку они могут приводить к нарушениям функционирования нервной системы, усугублять течение вестибулярных и неврологических патологий.

Аналоги

На основе Бетагистина выпускаются такие аналоги российского (отечественного) и зарубежного производства:

  • Вестинорм;
  • Бетасерк;
  • Вестибо;
  • Вестагистин;
  • Вазосерк Дуо;
  • Акувер;
  • Бетагис;
  • Верисин;
  • Максигистин;
  • Тагиста;
  • Нейрогин;
  • Вергостин.

Указанные препараты, на которые можно заменить Бетасерк, подбираются только доктором. Бетагистин отличается от синонимов только производителем.

Препарат под названием Бетагистин производят такие фармацевтические компании:

  • Пфайзер;
  • ЗАО «Радуга»;
  • Кредофарм;
  • Ратиофарм;
  • Лугал (стоит дешевле);
  • Тева;
  • Медокеми;
  • Вертекс;
  • Пранафарм;
  • Озон (аналоги Бетагистина в России наиболее дешевые).

Важно! Замена на препараты из приведенного списка считается равнозначной.

Срок годности

Допускается хранить средство в течение двух лет от даты производства. Если срок годности истек, средство не применяется.

Условия продажи и хранения

Бетагистин отпускают в аптеках при предоставлении рецепта на латинском.

Хранение осуществляется при следующих условиях:

  • температурный режим — 15-25⁰С;
  • сухие помещения;
  • вдали от доступа детей.

Особые указания

Пациентам, у которых диагностированы болезни кишечника и желудка, с осторожностью назначают лекарство.

Препарат не требует исключения вождений автотранспорта, а также управления аппаратами и механизмами.

Продолжительность приема препарата должна быть согласована с доктором, который укажет, какой период времени принимать Бетагистин без перерыва можно разным категориям больных.

Стоимость таблеток Бетагистина имеет отличия для разных доз препарата:

  • 8 мг №30 стоит от 25 рублей;
  • 16 мг №30 — от 28 руб.;
  • 16 мг №60 — от 125 руб.;
  • 24 мг №20 — от 30 руб.;
  • 24 мг №60 — от 96 руб.

Отзывы

Иван Кравцов, невролог: Бетагистина гидрохлорид в составе препарата Бетагистин (Бетасерк) отлично помогает при дисфункциях вестибулярного аппарата. У пациентов после первых суток приема меньше болит голова, практически исчезают головокружения. Курс лечения не всегда продолжительный. Как правило, достаточно 7-10 суток приема препарата утром, в обед и после обеда, чтобы устранить указанные нарушения.

Ольга Пинскова, невролог: Бетагистин зарубежных производителей часто эффективнее в отличие от аналогов российского производства. Продолжительность приема всегда подбираю с учетом динамики состояния на фоне лечения патологий. Как правило, первые положительные эффекты достигаются при приеме лекарства первые 2-3 суток.

Отзывы больных, которые принимали препарат

Илона Р.: доктор лечит у меня ВСД, которая сопровождается шумом в ушах, головокружениями. Назначил Бетасерк или его заменитель Бетагистин (российский). Разница между средствами в производителях и стоимости. Я изучила описания лекарств, отзывы больных и приобрела Бетасерк импортный. Очень довольна результатами применения. Уже через 3 дня мое состояние существенно улучшилось.

Егор П.: доктор назначил Мексидол (форма выпуска — ампулы) и Бетагистин одновременно. В инструкции по применению к Бетагистину указано, что препарат совместим с Мексидолом. Доктор подтвердил, что такое сочетание безопасно и эффективно.

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