Часто эффективные медикаменты зарубежного производства имеют слишком высокую цену, тогда как идентичные отечественные препараты стоят дешевле. К таким лекарствам относится и Кавинтон – аналоги средства представлены обширным рядом действенных продуктов по приемлемой цене. Кроме того, некоторые из них работают быстрее.
Чем можно заменить Кавинтон?
Для начала выясним, из чего состоит рассматриваемый препарат и где он применяется.
Кавинтон предназначен для улучшения кровообращения в головном мозге, а также нормализации обменных процессов в его тканях. Активное вещество медикамента – винпоцетин. Этот ингредиент способствует интенсификации снабжения клеток головного мозга кислородом, соответственно, позволяет расширить кровеносные сосуды и предупредить образование тромбов. Более того, Кавинтон улучшает течение процессов преобразования глюкозы, обмен серотонина и норадреналина.
Лекарственное средство назначается при различных заболеваниях, связанных с нарушением циркуляции крови в мозговой ткани:
- ишемический и геморрагический инсульт;
- старческое слабоумие;
- гипертоническая и посттравматическая энцефалопатия;
- болезнь Меньера;
- окклюзия центральной вены или артерии сетчатки;
- тромбоз сосудистой оболочки глаза;
- деменция;
- атеросклероз;
- вертебробазилярная недостаточность;
- перцептивное снижение остроты слуха;
- идиопатический шум в ушах;
- недостаточность кровообращения головного мозга.
Учитывая область применения медикамента, аналоги Кавинтона и Кавинтона Форте должны основываться на том же самом активном компоненте, содержать его в идентичной концентрации. Рассмотрим наиболее эффективные заменители.
Аналог Кавинтона Винпоцетин
Описываемое лекарственное средство базируется, как ясно из названия, на винпоцетине. Оно представлено в таблетках с содержанием действующего вещества 5 и 10 мг (Винпоцетин Форте), а также ампулах 0,5% для внутривенного введения.
Таким образом, данный препарат является абсолютным структурным аналогом Кавинтона, включая показатели эффективности. При этом Винпоцетин стоит почти в 3 раза дешевле, поэтому он пользуется большим спросом.
Важно отметить, что при покупке медикамента следует обращать внимание на фирму-производителя. Так, хорошо себя зарекомендовали:
Нежелательно приобретать Винпоцетин, выпущенный безызвестными фармацевтическими компаниями, так как у них могут нарушаться технологии производства.
Заменители и аналоги Кавинтона в таблетках
Вместо рассмотренного лекарства, можно купить другие медикаментозные средства, являющиеся структурными аналогами по составу и концентрации активного вещества:
- Винпотон;
- Бравинтон;
- Телектол;
- Винцетин;
- Вицеброл;
- Оксопотин;
- Нейровин;
- Веро-Винпоцетин;
- Корсавин.
Также имеется обширный список дженериков:
- Актовегин;
- Дендрикс;
- Луцетам;
- Нейроксон;
- Пантогам;
- Ноотропил;
- Прамистар;
- Сомаксон;
- Фенибут;
- Цинатропил;
- Энтроп;
- Цереброкурин;
- Глицин;
- Цитиколин-Ново.
Аналоги препарата Кавинтон в ампулах
Если требуется раствор для внутривенного введения, специалисты советуют заменить Кавинтон следующими лекарственными средствами:
- Бравинтон;
- Дифосфоцин;
- Мексидол;
- Кванил;
- Луцетам;
- Кемодин;
- Пирацетам;
- Неоцеброн;
- Лира;
- Кемодин;
- Сомаксон;
- Фармаксон;
- Церебролизин;
- Тиоцетам;
- Цитокон;
- Фармаксон;
- Цитимакс.
Многие из перечисленных растворов выпускаются также в форме таблеток, капсул и суспензии для внутреннего приема.
Кавинтон – это препарат, улучшающий мозговое кровообращение и метаболизм. Ингибирует активность фосфодиэстеразы, что способствует накоплению в тканях цАМФ.
Оказывает вазодилатирующее действие преимущественно на сосуды головного мозга, что обусловлено прямым миотропным спазмолитическим действием.
Системное АД понижается незначительно. Улучшает кровоснабжение и микроциркуляцию в тканях головного мозга, уменьшает агрегацию тромбоцитов, способствует нормализации реологических свойств крови.
Улучшает переносимость гипоксии клетками головного мозга, способствуя транспорту кислорода к тканям вследствие уменьшения сродства к нему эритроцитов, усиливая поглощение и метаболизм глюкозы.
Не создается эффекта «компенсаторного восполнения кровоснабжения» (или же «обкрадывания»), потому как кровь первоочередно активно поступает в ишемизированную область, далее эффект распространяется на жизнеспособную зону со слабым кровотоком.
Кавинтон способен восстанавливать нормальный обмен кислорода и кровообращения. Препарат предотвращает появление тромбов и сжижение крови. Назначают средство в случае обнаружения неврологических недугов, психических расстройств, появления синдрома климактерического характера. Используют в сфере офтальмологии, отоларингологии и при развитии синдрома Меньера.
Показания к применению
От чего помогает Кавинтон? Назначают препарат при заболеваниях неврологического характера:
- Хроническая и острая недостаточность кровообращения головного мозга.
- Неврологические и психические расстройства у пациентов с цереброваскулярной недостаточностью.
- Вазовегетативные проявления климактерического синдрома.
В офтальмологии применяется при:
- Заболеваниях глаз, вызванных ангиоспазмом, атеросклерозом, эмболией сосудов глаза, артериальным или венозным тромбозом.
- Дегенеративных нарушениях сетчатки, сосудистой оболочки или желтого пятна.
- Вторичной глаукоме (посттравматического характера, вследствие воспалительных заболеваний или частичного тромбоза сосудов глаз).
Кавинтон эффективен при лечении отоларингологических недугов: снижения слуха токсического, сосудистого или другого генеза, старческой тугоухости, кохлеовестибулярного неврита, головокружения лабиринтного происхождения и шума в ушах.
Инструкция по применению Кавинтон и дозировки
Применяется перорально. Желательно пить Кавинтон после еды, так как это способствует лучшей усвояемости. Стандартно таблетки принимают 3 раза в сутки.
Средняя терапевтическая доза – 30 мг. Клинический эффект бывает заметен уже через 7 дней после начала лечения. Обычно продолжительность терапии составляет 3 недели.
Также возможно парентеральное введение (уколы) Кавинтон. В этом случае средняя терапевтическая доза составляет 50 мг в сутки. Препарат должен вводиться максимально медленно (скорость не более 60 капель в минуту).
Лечение обычно начинают с 10 мг, постепенно наращивая дозировку до терапевтической в течение 3-5 дней.
Больным с заболеваниями печени и почек можно назначать в тех же дозах.
По окончании курса внутривенной терапии рекомендуется продолжить лечение таблетками Кавинтон Форте (по 1 табл. 3 раза в день) или таблетками Кавинтон (по 2 табл. 3 раза в день).
Побочные действия
Возможные побочные эффекты от применения Кавинтон:
- ощущение жара;
- снижение артериального давления;
- эйфория;
- головная боль, головокружение;
- повышение артериального давления, удлинение интервала QT;
- тошнота, сухость во рту, дискомфорт в животе;
- эритема, гипергидроз, крапивница
- тромбоцитопения, агглютинация эритроцитов
- гиперхолестеринемия, сахарный диабет
- повышение концентрации мочевины в крови
- тромбофлебит
- кожный зуд, дерматит
Противопоказания
Основные противопоказания к назначению Кавинтон это:
- Тяжелые сердечно-сосудистые заболевания (ишемическая болезнь сердца);
- Тяжелые нарушения сердечного ритма;
- Неустойчивое “скачущее” артериальное давление;
- Пониженный тонус сосудистой стенки;
- Беременность.
Инфузионный раствор Кавинтона содержит сорбитол (160 мг/2 мл), поэтому при наличии сахарного диабета необходимо периодически контролировать уровень глюкозы в крови.
В случае непереносимости фруктозы или дефицита 1,6-дифосфатазы фруктозы следует избегать применения винпоцетина.
При беременности и лактации
Активные компоненты препарата проникают сквозь плаценту, но концентрация в плацентарной крови ниже, чем в крови беременной женщины.
При высокой концентрации Кавинтона в утробе возможны внезапные аборты и кровотечения в плаценте (вероятно, благодаря усилению кровоснабжения в плаценте).
В течение часа после приема лекарства с грудным молоком выделяется около 0,25% от всей дозы. Запрещено совмещать лактацию и прием Кавинтона.
Передозировка
В настоящее время данные о передозировке ограничены. Лечение симптоматическое, рекомендуется промывание желудка и прием активированного угля.
Аналоги и цены Кавинтон, список препаратов
Самым известным аналогом является препарат циннаризин. Очень часто эти два препарата назначаются в комплексной терапии, усиливая терапевтическое действие друг друга.
Другим аналогом отечественного производства является лекарство винпоцетин. Основное преимущество этого аналога Кавинтон – более низкая стоимость.
Существует и заменитель для проведения внутривенных инфузий — мексидол. Этот препарат имеет аналогичные показания к применению.
Структурные аналоги Кавинтон по действующему веществу, список препаратов:
Выбирая аналоги важно понимать, что инструкция по применению Кавинтон, цена и отзывы на препараты схожего действия не распространяются. Важно получить консультацию врача и не производить самостоятельную замену препарата.
Цены на ампулы и таблетки Кавинтон в аптеках России зависят от размера упаковки, средняя стоимость: Кавинтон 5мг, 50 штук: 225-245 рублей. Форте 10 мг, 30 штук: 220-260 рублей. Концентрат 5 мг, 10 ампул: 220-250 рублей.
1 таблетка содержит: действующее вещество: винпоцетин 5 мг. Вспомогательные вещества: кремния диоксид коллоидный безводный, магния стеарат, тальк, крахмал кукурузный, лактозы моногидрат.
Хранить рекомендуется в сухом и защищенном от света месте при температуре не превышающей 20°C.
Кавинтон – это препарат, обладающий ноотропным, антигипоксическим, сосудорасширяющим действием. Он улучшает кровообращение в головном мозге, нормализует мозговой метаболизм, повышает количество потребляемой глюкозы и кислорода, уменьшает резистентность сосудов головы. Действующее вещество – винпоцетин.
При офтальмологических диагнозах кавинтон назначают при заболеваниях сосудистой оболочки сетчатки глаза. При оториноларингологических проблемах средство прописывают при болезни Меньера, идиопатическом шуме в ушах, для лечения ухудшения слуха перцептивного типа.
Медикамент изготавливается в Венгрии, а также в России. Цена на кавинтон варьируется от 240 до 700 рублей. Форма выпуска – таблетки, раствор для инъекций. Существует множество дешёвых аналогов препарата и близких заменителей российского или импортного производства.
Аналоги российского производства
Если вы решили не покупать кавинтон, аналоги дешевле стоит выбрать среди лекарств от отечественного производителя.
Наименование препарата | Средняя цена в рублях | Характеристика |
Бравинтон | 65–80 | Недорогой российский заменитель с винпоцетином в качестве активного компонента. Средство выпускается в виде раствора для инфузий. |
Показания включают недостаточность кровообращения в мозге, нарушения памяти, головокружения, головная боль, энцефалопатия, сосудистые нарушения в сетчатке и в сосудистой оболочке глаза, ухудшение слуха, болезнь Меньера.
Эффективен в периоде активного инсульта. Средство запрещено при беременности, в период лактации.
Назначается при остаточных проявлениях после перенесённого инсульта, при лабиринтных расстройствах, болезни движения, профилактике мигрени, болезни Меньера и др.
Средство назначают при недостаточности кровообращения, психоорганическом синдроме, болезни Меньера, лабиринтопатии, паркинсонизме сосудистого генеза.
Украинские заменители
Препараты украинского производства составляют достойную конкуренцию российским лекарствам. Список ниже представляет лучшие аналоги кавинтона от украинских фармакологических концернов, с винпоцетином в качестве главного компонента.
-
Винпоцетин Астрафарм. Медикамент выпускается в таблетках. Назначают при состояниях, вследствие возникновения которых имеет место недостаточность кровообращения в голове, сосудистой патологии в офтальмологии, идиопатическом шуме в ушах, болезни Меньера.
Противопоказания: ишемическая болезнь сердца, аритмия, беременность, лактация, детский возраст. Средняя цена 55–70 рублей.
Винпоцетин Дарница. Психостимулирующий, ноотропный медикамент. Форма выпуска – таблетки, раствор для постановки уколов.
Показания к применению: цереброваскулярные патологии, сосудистые нарушения сетчатки и слизистой оболочки глаз, старческая тугоухость, болезнь Меньера, идиопатический шум в ушах. Средняя цена 50–65 рублей.
Белорусские дженерики
В таблице отобраны белорусские дженерики кавинтона с ценовым диапазоном подешевле, чем исходный препарат.
Наименование препарата | Средняя цена в рублях | Характеристика |
Виннер ЛФ | 45–120 | Лекарство выпускается в таблетках. Антигипоксическое средство на основе винпоцетина. Средство избирательно воздействует на кровоток в мозге, уменьшает вязкость крови. |
Препарат назначают при расстройствах кровообращения в голове, спазме мозговых сосудов, понижении слуха, сосудистых патологиях в офтальмологии.
Точный аналог с идентичным действующим веществом.
Прочие иностранные аналоги
Если среди отечественных препаратов не нашлось подходящего аналога, импортные синонимы подскажут, чем заменить кавинтон.
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Кавинтон Комфорте. Новый улучшенный препарат, похожий на кавинтон. Его отличительной чертой является особый диспергируемый состав таблеток. Они быстро растворяются в слюне, что облегчает приём средства пациентам с нарушенной функцией глотания.
Средство менее токсично и более безвредно, в сравнении с кавинтоном. Страна производитель – Венгрия. Средняя цена 320–620 рублей.
Бетасерк. Препарат производят во Франции, в Нидерландах. Средство назначают при патологиях вестибулярного аппарата.
Медикамент устраняет приступы мигрени и головокружения, избавляет от шума и звона в ушах, нормализует слух, облегчает течение синдрома Меньера. Активное вещество – дигидрохлорид бетагистина. Средняя цена 395–615 рублей.
Заниматься самолечением психотропными медикаментами категорически не рекомендуется! Если вы задумались о покупке препарата кавинтон или его аналогов – это явный признак необходимости записаться к врачу на консультацию.
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