В данной статье можно ознакомиться с инструкцией по применению лекарственного препарата Мидокалм. Представлены отзывы посетителей сайта — потребителей данного лекарства, а также мнения врачей специалистов по использованию Мидокалма в своей практике. Большая просьба активнее добавлять свои отзывы о препарате: помогло или не помогло лекарство избавиться от заболевания, какие наблюдались осложнения и побочные эффекты, возможно не заявленные производителем в аннотации. Аналоги Мидокалма при наличии имеющихся структурных аналогов. Использование для лечения остеохондроза, артроза и других шейных, поясничных и суставных синдромов у взрослых, детей, а также при беременности и кормлении грудью.
Что это за лекарство
Мидокалм — известное лекарственное средство, широко назначаемое врачами при патологических состояниях нервной системы, сосудистых, воспалительных и многих других болезнях. Высокая эффективность при лечении данным миорелаксантом была доказана в неоднократно проводимых исследованиях с использованием плацебо.
Группа препарата
Препарат является миорелаксантом центрального действия, входящим в аминокетоновую группу.
Международное непатентованное название: толперизон
Торговое название: Мидокалм
Название на латыни: Mydocalm
Состав
1 таблетка препарата Мидокалм содержит:
- толперизона гидрохлорида 50 либо 150 мг;
- стеарин;
- моногидрат лимонной кислоты;
- крахмал кукурузный;
- лактозу;
- гидроксипропилметилцеллюлоза 2910.
Парентеральные растворы производятся в ампулах объёмом 1 мл. Состав ампулы: 100 мг толперизона и 2,5 мг лидокаина гидрохлорида, а также вышеперечисленные вспомогательные вещества.
Механизм действия и свойства
Фармакология и механизм действия препарата Мидокалм до конца не изучен.
Лекарственное средство имеет мембраностабилизирующее, адреноблокирующее и местноанестезирующее действие.
Толперизон усиливает кровоток, именно поэтому Мидокалм обладает легким спазмолитическим эффектом. Вещество Толперизон является мощным Н-холинолитиком и обладает действием, стимулирующим мембраны в афферентных волокнах. Препарат имеет местноанестезирющее действие, благодаря содержанию в себе анестетика лидокаина.
Толперизон хорошо уменьшает гипертонус и ригидность поперчено-полосатой мускулатуры, связанную с экстрапирамидными патологиями. Действующее вещество препарата не оказывает тормозящего, седативного эффекта на мозг, позволяя пациенту полностью сохранить уровень бодрствования и активности. Благодаря адреноблокирующему действию Мидокалм усиливает перфузию тканей.
Фармакокинетика
Чем выводится толперизона гидрохлорид? Вещество выводится непосредственно почками с мочой. Cmax достигается спустя 1 час, биодоступность составляет примерно 20%.
Неоднократно проведенные исследования доказали клиническую эффективность Мидокалм и отсутствие выраженного влияния на печень, кроветворную функцию и влияния на почки.
После приема препарата ожидаемый эффект наступает в среднем через 30-50 минут и длительность его действия составляет 5-6 ч. То через сколько начинает действовать препарат и длительность самого действия, зависит от функционального состояния мочевыделительной системы пациента.
Что лечит Мидокалм и для чего нужен? Препарат назначается врачами при:
- патологическом гипертонусе мышц и выраженных спазмах, появляющихся при заболеваниях ЦНС (поражение экстрапирамидных путей, транзиторные атаки, все виды инсультов, энцефаломиелит, энцефалит и рассеянный склероз);
- терапии гипертонуса, спинального автоматизма, спазмах мышц, контрактурах, сопровождающих остеохондроз, спондилоартроз, спондилез, невралгии, артрозы крупных суставов, люмбаго, ишиас и т.д.;
- реабилитационном периоде у пациентов после различных оперативных вмешательств и травм в сочетании с комплексной терапией;
- облитерирующих сосудистых болезнях (например, облитерирующий атеросклероз и болезнь Бюргера, склеродермия, болезнь Рейно и другие) в качестве комбинированной терапии;
- болезни, ассоциированные с патологией иннервации сосудов (акроцианоз и т.д);
- ДЦП и все энцефалопатии, при которых отмечается выраженная мышечная дистония;
- посттромботических патологиях с выраженным нарушением венозного и лимфатического оттока.
Это перечень основных заболеваний от чего помогает и зачем назначают препарат Мидокалм. Большинство пациентов отмечают пользу и высокую эффективность после прохождения курса лечения, назначенного врачом.
Производитель предлагает Мидокалм в двух лекарственных формах: таблетированной и в виде раствора для инъекций (уколов в ампулах).
Что лучше таблетки или раствор для парентерального введения?
Выбирает лекарственную форму лечащий врач, учитывая тщательно собранный анамнез пациента, а также опираясь на свои знания, опыт работы. Если у больного острая клиническая картина, то для скорейшего достижения лечебного эффекта, чаще всего, назначаются инъекции препарата Мидокалм. Таким образом, лекарственное средство минует ЖКТ и попадает непосредственно в кровь, быстрее поступая к воспалительному очагу. После снятия острой клинической картины человеку назначают таблетированную форму.
У пациентов с непереносимостью препарата Мидокалм, врач назначает аналог. Запрещается самостоятельная отмена или назначение инъекций, таблеток Мидокалм и его аналогов.
Инструкция по применению
Аннотация к препарату не является прямым руководством к лечению. Как правильно принимать или колоть препарат точно определит врач, индивидуально подобрав пациенту суточную и разовую дозировку.
Мидокалм принимают внутрь, после приема еды, запивая таблетку водой. Дозировка для взрослых и детей с 14 лет начинается с 50 мг 3 раза в день, далее эта доза постепенно увеличивается до 150 мг 3 раза в день.
Суточная дозировка для детей от 3 до 6 лет не должна превышать 3 мг/кг; а для 7-14 лет — 4 мг/кг. Указанная дозировка должна быть разделена на 3 приема в день.
Максимальная суточная доза препарата Мидокалм составляет 500 мг в сутки. Известны случаи приема толперизона ребенком в дозировке 700 мг и отсутствие клинических проявлений передозировки. Если есть подозрение на передозировку препаратом, следует немедленно вызвать БСМП и провести промывание желудка. Антидотной терапии, назначаемой при передозировке толперизоном не существует.
Иногда при приеме Мидокалм может отмечаться ряд побочных эффектов:
- миастения верхних и нижних конечностей;
- выраженная головная боль;
- диплопия;
- мушки перед глазами;
- лабильность и снижение артериального давления (АД);
- тошнота;
- кожный зуд;
- появление эритематозных пятен;
- диспепсические явления.
Как правило, все вышеперечисленные явления проходят если немного уменьшить потребляемую дозировку. Крайне редко у пациентов развиваются анафилактические реакции, острая крапивница, эритемы, шок и т.д).
Миорелаксант Мидокалм запрещен к применению пациентам с отягощенным аллергологическим анамнезом и лицам, тяжело переносящим компоненты препарата, в частности толперизон, людям с миастенией в анамнезе и детском возрасте до 3 лет. Отсутствуют официальные данные о приеме толперизона женщинами, вынашивающими и кормящими ребёнка. Лучше отказаться от употребления данного лекарственного препарата в этот период жизни.
Применение у детей
Мидокалм рекомендовано применять с 3 лет. Однако при необходимости препарат назначается с 3 месяцев.
Применение при беременности и кормлении грудью
Толперизон назначается в период беременности и лактации лишь в том случае, если ожидаемый эффект важнее возможных последствий для плода и новорождённого ребёнка. Нет точных данных о проводимых исследованиях в этот период.
Применение у пожилых
С особой осторожностью врачи выписывают Мидокалм пенсионерам и людям преклонного возраста.
Управление автомобилем и другими механизмами
Толперизон не приводит к сонливости, не оказывает на пациентов тормозящее, седативное действие. Хотя исследования и не проводились, но за много лет практики использования препарата отрицательных сведений не поступало.
Нужен ли рецепт
Совместимость с другими лекарствами
Не рекомендуется лекарственное взаимодействие толперизона и медикаментов для общей анестезии, миорелаксантов периферического действия, ингибиторов МАО, а также психотропных средств, так как в несколько раз усиливается эффект толперизона и повышается его токсичность.
Известно, что Мидокалм усиливает действие нестероидных противовоспалительных средств или НПВС. В случае применения НПВС и толперизона следует снизить дозу одного из медикаментов.
Совместимость с алкоголем
Хотя действующее вещество толперизон воздействует на ЦНС, но не обладает тормозящим действием, именно поэтому может комбинироваться со снотворными препаратами и лекарственными средствами, содержащими в себе алкоголь. Проведённые исследования указывают на возможную совместимость и отсутствие негативных последствий при одновременном потреблении алкоголя и препарата Мидокалм.
Аналоги лекарственного препарата Мидокалм
Структурные аналоги по действующему веществу:
- Калмирекс табс;
- Мидокалм Рихтер;
- Толизор;
- Толперизон;
- Толперизона гидрохлорид.
Аналоги по лечебному эффекту (средства для лечения артроза):
- Алфлутоп;
- Амелотекс;
- Апизартрон;
- Аркоксиа;
- Артрадол;
- Артрозан;
- Артрозилен;
- Артрокер;
- Артромакс;
- Артрофлекс;
- Аэртал;
- Бетаспан Депо;
- Бруфен;
- Вольтарен;
- Генитрон;
- Гидрокортизон;
- Дексалгин;
- Диклак;
- Дикловит;
- Диклоран плюс;
- Диклофенак;
- Димексид;
- Долгит;
- Индометацин;
- Кетонал;
- Кеторол;
- Ксефокам;
- Либерум;
- Лонгидаза;
- Мелоксикам;
- Мовалис;
- Найз;
- Наклофен;
- Нейродикловит;
- Нимесил;
- Нимесулид;
- Нимулид;
- Пироксикам;
- Сирдалуд;
- Структум;
- Суплазин;
- Терафлекс;
- Финалгель;
- Фламадекс;
- Фламакс;
- Хондрогард;
- Хондроксид;
- Хондроксид мазь;
- Хондроксид Форте;
- Целебрекс;
- Эльбона.
комплексное лечение остеохондроза
действенный и мало побочных эффектов и противопоказаний
Остеохондроз в последнее время всё молодеет и молодеет… Так и я столкнулась с этим заболеванием первый раз 10 лет назад, мне было 30, тогда мне и был назначен первый раз мидокалм в таблетках, второй раз…
И наступит желанное расслабление.
Хорошо расслабляет мышцы.
Как у любого лекарства могут быть противопоказания и побочные эффекты.
С препаратом Мидокалм я знакома уже довольно давно — года четыре. Как только «проклятый остеохондроз» дает о себе знать, неврологи назначают Мидокалм либо в уколах, либо в таблетках. В таблетках, конечно, приятнее. И ходить на…
Инструкция по применению, отзыв при боли в мышцах.
эффект, быстро снимает боль и спазмы.
Таблетки мидокалм выписала врач при обращении мужа по поводу боли в грудной мышце. Случайным резким взмахом руки во время отпуска повредил грудную мышцу, да так, что вздохнуть не мог и пошевелится. Сперва пытался лечиться только…
При болях в спине, в комплексной терапии- помогли (фото)
есть побочные эффекты
К сожалению все мы не молодеем и с каждым годом старые травмы и болячки, дают о себе знать все больше и больше. За последних два года я два раза была на больничном с острой болью…
Эффективный препарат, который снимает болезненный мышечный тонус спины
эффективен; у меня при приеме нет побочных эффектов
Здравствуйте, уважаемые друзья и читатели! Хорошо живется тем, у кого нет проблем со здоровьем — так всегда мне говорила моя бабушка. Я, будучи тогда еще девочкой, не могла понять всей глубины этого высказывания. Теперь, когда…
Россия, Обновил профиль читаем
Не почувствовал терапевтического эффекта
Будучи на приеме у терапевта, мне кроме всяких уколов прописали таблетки Мидокалм. Терапевт сказал, что это для расслабления мышц. В рецепте написал, принимать 2 раза в день по 150 мг. Прежде чем начать принимать…
В комплексе-неплохо помогают.
Обезболивает,снимает тонус в мыщцах.
Нужно «защищать» органы пищеварения при приёме данного препарата. Лучше эффект будет от комплексного лечения.
Данный препарат сосем недавно мой муж принимал вместе с препаратом Аэртал . Но первый раз в прошлом году данный препарат он принимал один, используя только мази и он очень хорошо помог. Боль была немного легче…
Малышу назначили при гипертонусе в комплексном лечении.
Хороший эффект в комплексном лечении. Не вызвал аллергии.
Очень горький. Иногда организм ребенка отторгает лекарство. Трудно разломать таблетку.
С рождения у нашего малыша неврология, как и у многих новорожденных в той или иной степени. Энцефалопатия, ишемия головного мозга, да еще и гипертонус мышц. Самое главное- не пугаться и не расслабляться. Нужно найти хорошего…
Помогли в комплексе
Для себя не увидела
Недавно я писала отзыв о таблеках Диклофенак , которые мне назначил врач, поставив диагноз Остеохондроз. Продолжая эту историю расскажу о таблетках Мидокалм, которые он мне назначил пить в комплексе с Диклофенаком. Мышцы моей спины были…
Помог при повреждении мышц.
принес облегчение от болей
я не почувствовала
Таблетки Мидокалм мне назначил врач травматолог после сильного ушиба. Первое что прочитала, что они снимаю спазм мышц. Это то, что мне было нужно, поскольку диагноз мне поставили — ушиб мышц внутренних. Вместе с ним я…
Работает, хотя и не так быстро как инъекции!
Расслабление мышц, пусть и не сразу.
Очень много побочных!
Добрый день! Хочу рассказать о препарате Мидокалм, точнее говоря, о его таблетированной форме выпуска, поскольку о Мидокалме в инъекциях я уже писала отзыв. Это достаточно популярный препарат. При неврологических заболеваниях его часто назначают. Хотя если…
До и после это два абсолютно разных ощущения
Действуют ощущение боли проходит
Не нашел Прочитайте инструкцию Дороговаты
Эти таблетки мне назначили вместе с уколами комплексный прием для моей поясницы. Конечно стоят все эти препараты вместе довольно дорого, но как говорится на здоровье не экономят пришлось покупать что делать, к тому же их…
Эффект есть.
Помогают в комплексе.
Бабушка уже 20 лет страдает остеохондрозом поясничного отдела и несколько лет — артрозом коленного сустава. С этим она живет, и на выздоровление не надеется. Но иногда бывают острые приступы, вот как этой весной, например. Врач…
Неоднозначное впечатление!
помогли при боли в спине
не помогли при головной боли
С лекарственным препаратом Мидокалм мне пришлось столкнуться вот уже второй раз. Оба раза мне его выписывал невролог. Первый раз — при болях в спине (обострение остеохондроза); второй раз — при головных болях (предположительно, головная боль…
Россия, Великий Новгород
Помогут 100%.
При многих заболеваниях поможет.
Без консультации врача, прием строго запрещен_могут возникнуть осложнения!
Начну со стоимости препарата-в районе 140 рублей. Показания к применению все перечислять не стану, расскажу вам свою историю и вы все сами поймете! После рождения дочери-сильно заболела спина!. Пошла к терапевту, тот направил к неврологу…
Вызвал сильнейшую аллергию
Когда то помогали от боли
Анафилактический шок ,неожиданная реакция после длительного применения
в общем, у меня были проблемы со спиной и мне еще давно выписали препарат мидокалм и мелоксикам. До этого таблетки не вызывали у меня каких то неприятных ощущений, всегда помогали снять болевой синдром, но вчера…
Мне эти таблетки не подошли
Мне эти таблетки не подошли
Однажды меня жутко прихватил остеохондроз, Были выходные, лежала 2 дня, колола нестероидные уколы, но боль не отступала. Знакомая, которую уже несколько лет мучила межпозвоночная грыжа, посоветовала принимать таблетки Мидокалм, сказала, что они хорошо снимают мышечный…
Спазм мышц шеи не снял!
Угораздило меня застудить шею, что вылилось в довольно сильный спазм мышц — боль была при наклоне и поворотах головы. Начала самолечение (как всегда дойти до врача недосуг) и помимо согревающих мазей с компрессами решила подключить…
Эффективный препарат
побочные явления, цена
Здравствуйте, мои дорогие друзья и читатели моего отзыва! Хочу рассказать вам об одном довольно эффективном препарате, с которым я знакома уже много лет. Принимала таблетки «Мидокалм» во время обострения остеохондроза поясничного отдела позвоночника. Врач назначала…
Вместо слов про мою любовь я кричу от боооооли …
Действенное лекарство, снимает мышечный тонус, быстро выводится из организма
Около месяца назад состоялось моё знакомство с таблетками Мидокалм, и опять всему виною проблемная поясница, с которой я мучаюсь уже 7 лет — с тех пор как родилась дочь. Занятия йогой и гимнастикой улучшают самочувствие…
Фармакология
Миорелаксант центрального действия. Механизм действия полностью не выяснен. Обладает мембраностабилизирующим, местноанестезирующим действием, тормозит проводимость импульсов в первичных афферентных волокнах и двигательных нейронах, что приводит к блокированию спинномозговых моно- и полисинаптических рефлексов. Также, вероятно, вторично тормозит выделение медиаторов путем торможения поступления Ca2+ в синапсы. В стволе мозга устраняет облегчение проведения возбуждения по ретикулоспинальному пути. Усиливает периферический кровоток независимо от влияния ЦНС. В развитии этого эффекта играет роль слабый спазмолитический и адреноблокирующий эффект толперизона.
Фармакокинетика
После приема внутрь толперизон хорошо абсорбируется из ЖКТ. Cmax достигается через 0.5-1 ч. Биодоступность — около 20%.
Метаболизм и выведение
Толперизон метаболизируется в печени и почках. Фармакологическая активность метаболитов неизвестна. Выводится с мочой в виде метаболитов (более чем 99%).
Форма выпуска
Таблетки, покрытые пленочной оболочкой белого или почти белого цвета, круглые, двояковыпуклые, с гравировкой «50» на одной стороне, со слабым характерным запахом; на изломе белого или почти белого цвета.
1 таб. | |
толперизона гидрохлорид | 50 мг |
Вспомогательные вещества: лимонной кислоты моногидрат — 0.73 мг, кремния диоксид коллоидный — 0.8 мг, стеариновая кислота — 1.7 мг, тальк — 4.5 мг, целлюлоза микрокристаллическая — 14 мг, крахмал кукурузный — 29.77 мг, лактозы моногидрат — 48.5 мг.
Состав пленочной оболочки: кремния диоксид коллоидный — 0.045 мг, титана диоксид (E171) — 0.244 мг, лактозы моногидрат — 0.392 мг, макрогол 6000 — 0.392 мг, гипромеллоза — 3.927 мг.
10 шт. — блистеры (3) — пачки картонные.
Дозировка
Таблетки принимают внутрь, после еды, не разжевывая, запивая небольшим количеством воды.
Взрослым и детям с 14 лет назначают в начале лечения по 50 мг 2-3 раза/сут, постепенно повышая дозу до 150 мг/сут 2-3 раза/сут.
Детям в возрасте от 3 до 6 лет Мидокалм® назначают в суточной дозе из расчета 5 мг/кг (в 3 приема в течение дня); в возрасте 7-14 лет — в суточной дозе 2-4 мг/кг (в 3 приема в течение дня).
Передозировка
Данных о передозировке препаратом Мидокалм® не поступало.
Специфического антидота нет. В случае передозировки рекомендуется промывание желудка, симптоматическая терапия.
Взаимодействие
Данных о взаимодействии, ограничивающем применение препарата Мидокалм®, не имеется.
Хотя толперизон оказывает действие на ЦНС, препарат не вызывает седативного эффекта, поэтому возможно применение в комбинации с седативными, снотворными средствами и препаратами, содержащими этанол.
Не влияет на действие этанола на ЦНС.
При одновременном применении Мидокалм® усиливает действие нифлумовой кислоты, поэтому при необходимости применения данной комбинации может потребоваться снижение дозы нифлумовой кислоты.
Средства для общей анестезии, периферические миорелаксанты, психотропные препараты, клонидин усиливают эффект толперизона.
Побочные действия
Со стороны центральной и периферической нервной системы: мышечная слабость, головная боль.
Со стороны сердечно-сосудистой системы: артериальная гипотензия.
Со стороны пищеварительной системы: тошнота, рвота, чувство дискомфорта в животе.
Аллергические реакции: редко — кожный зуд, эритема, крапивница, ангионевротический отек, анафилактический шок, бронхоспазм.
При уменьшении дозы побочные реакции обычно проходят.
Показания
- лечение патологически повышенного тонуса и спазмов поперечно-полосатой мускулатуры, возникающих вследствие органических заболеваний ЦНС (поражение пирамидных путей, рассеянный склероз, мозговой инсульт, миелопатия, энцефаломиелит);
- лечение повышенного тонуса и мышечных спазмов, мышечных контрактур, сопровождающих заболевания органов движения (например, спондилез, спондилоартроз, цервикальные и люмбальные синдромы, артрозы крупных суставов);
- восстановительное лечение после ортопедических и травматологических операций;
- в составе комбинированной терапии облитерирующих заболеваний сосудов (облитерирующий артериосклероз, диабетическая ангиопатия, облитерирующий тромбангиит, болезнь Рейно, диффузная склеродермия);
- в составе комбинированной терапии заболеваний, возникающих на основе нарушений иннервации сосудов (акроцианоз, интермиттирующая ангионевротическая дисбазия);
- болезнь Литтла (детский церебральный спастический паралич) и другие энцефалопатии, сопровождающиеся мышечной дистонией.
Противопоказания
- миастения;
- детский возраст до 3 лет;
- повышенная чувствительность к любому из компонентов препарата.
Особые указания
Применение при беременности и кормлении грудью
Ввиду отсутствия данных о применении при беременности и в период грудного вскармливания назначение препарата Мидокалм® в эти периоды не рекомендуется.
Применение у детей
Противопоказано применение у детей до 3 лет.
Особые указания
Применять препарат необходимо строго следуя рекомендациям лечащего врача во избежание осложнений.
Влияние на способность к вождению автотранспорта и управлению механизмами
Исследования не проводились, но за многолетнюю практику применения сведений о влиянии препарата Мидокалм® на способность пациентов к выполнению работы, требующей повышенного внимания и быстроты психомоторных реакций, не имеется.
« Красота и здоровьеТовары для здоровьяСредства д/леч. опорно-двигательного аппаратаGedeon Richter
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- Красота, здоровье — разное
Хочу написать отзыв о препарате Мидокалм(таблетки). Так случилось, что у меня произошло смещение позвоночного диска и защемило нерв в спине. Боль была достаточно сильная, не могла …
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3 года, 1 месяц назад Posiesselver
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3 года, 1 месяц назад Linna
Доброе время суток всем, кто решил прочитать мой очередной отзыв, который я решила посвятить препарату Мидокалм. Надо сказать, что о Мидокалме я до какого-то периода времени воо…
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Отзывы о Мидокалм
Все таки таблетки Мидокалма слабоваты. В инструкции написано, что эффект наступает через 40 минут. В принципе так и сеть, только результат не очень сильный. Я всегда начинаю с инъекций, и лишь на третий день перехожу на таблетки.
Тоже страдаю от остеохондроза. Правда болит у меня в области плечей и груди. Сначала даже заволновался, думал сердце шалит. Прошел диагностику и нашли болезнь нервных окончаний. Мидокалм реально помогает снять спазм, только дозировка у меня почти 450 мг (три таблетки по 150 мг), а иногда Весь отзыв
еще и уколы этого же препарат ставлю.
Помогает пережить приступ спазмов. Снимает боль и онемение пальцев.
Мидокалм мне выписали от болей и спазмов при желчекаменной болезни. Камни вышли сами без операции, но больно было просто жесть. Таблетки помогали. Наверное блокады были бы эффективней, но уж совсем печень мучить не хотелось.
Относительно безвредные таблетки.
Обезболивание не самое сильное.
Покупаем лекарства через вер.ру уже много лет. У них есть удобная функция «срочная доставка». Если делать заказ больше, чем на 1500 рублей (а в наше время меньше и не получается), то за 150 рублей курьер принесет все в квартиру в течении 2-3 часов. Очень удобно!
Большой выбор медикаментов.
Для Москвы классная онлайн аптека.
Тоже страдаю от остеохондроза. Правда болит у меня в области плечей и груди. Сначала даже заволновался, думал сердце шалит. Прошел диагностику и нашли болезнь нервных окончаний. Мидокалм реально помогает снять спазм, только дозировка у меня почти 450 мг (три таблетки по 150 мг), а иногда Весь отзыв
еще и уколы этого же препарат ставлю.
Помогает пережить приступ спазмов. Снимает боль и онемение пальцев.
Мидокалм мне выписали от болей и спазмов при желчекаменной болезни. Камни вышли сами без операции, но больно было просто жесть. Таблетки помогали. Наверное блокады были бы эффективней, но уж совсем печень мучить не хотелось.
Относительно безвредные таблетки.
Обезболивание не самое сильное.
Покупаем лекарства через вер.ру уже много лет. У них есть удобная функция «срочная доставка». Если делать заказ больше, чем на 1500 рублей (а в наше время меньше и не получается), то за 150 рублей курьер принесет все в квартиру в течении 2-3 часов. Очень удобно!
Большой выбор медикаментов.
Для Москвы классная онлайн аптека.
Все таки таблетки Мидокалма слабоваты. В инструкции написано, что эффект наступает через 40 минут. В принципе так и сеть, только результат не очень сильный. Я всегда начинаю с инъекций, и лишь на третий день перехожу на таблетки.
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Мидокалм
Здравствуйте, меня зовут Станислав. Расскажу, как я борюсь с остеохондрозом и чем мне помогли таблетки Мидокарм. В интернете полным-полно отзывов о странных биологически активных добавках, а вот нормального описания правильных медицинских препаратов «с огнем не найдешь». Попробую простыми словами составить небольшой обзор.
Купить средство можно в любой аптеке города. Никакого рецепта от меня фармацевты не потребовали. Более того, несколько раз заказывал Мидокалм через сеть на этом сайте. Иногда болело в шее так, что выходить на улицу совсем не хотелось. Доплачивал небольшую сумму и курьер приносил лекарство домой.
Зачем мне понадобились спазмолитики?
Записался на прием к врачу, который впоследствии и назначил мне Мидокалм в комплексе с другими препаратами от остеохондроза. Именно эту болячку я и приобрел, работая в теплом и сухом помещении(((
Сейчас наверное многие подумают, что ничего страшного в похрустывании и слабости нет. Так вот я их разочарую. Самый неприятный симптом заболевания — боль в затылке и шее.
«Диагноз остеохондроз все чаще ставится людям, работающим в сидячем положении. Офисные работники редко переносят переохлаждение или физические травмы, но вот неправильная осанка, несбалансированное питание, недостаточная подвижность присутствуют постоянно. Если добавить к этому вредные привычки (курение) и стрессы — риск болезней позвоночника возрастает в разы. Лечение нужно начинать, как можно раньше. Учитывая индивидуальные характеристики, я бы посоветовала Мидокалм и его аналоги…»
Мария Александровна, невролог, Москва
Вот, что мне рассказал специалист. Получается, что я сам ушатал здоровье и теперь придется лечиться.
Что я вычитал о Мидокалме?
Не имею глупой привычки доверять всем на слово (даже врачам). Вернулся с осмотра домой и решил перед покупкой таблеток почитать немного об их составе и свойствах. Не буду нагружать вас медицинской терминологией (я ее тоже по справочнику переводил), просто отмечу, что Мидокалм действительно помогает при остеохондрозе за счет воздействия на мускулатуру скелета.
- снимает мышечные спазмы (работает, как спазмолитик);
- устраняет болевой синдром (анестетик);
- улучшает функционирование кровеносной системы (седативно расширяет сосуды);
- положительно влияет на обменные процессы в лимфе.
Исходя из перечисленных свойств, препарат назначают при почечных коликах, желчнокаменной болезни, геморрое, любых заболеваниях позвоночника (люмбаго, спондилез), нарушениях работы центральной нервной системы.
Также в описании было указано, что Мидокалм помогает женщинам во время критических дней справится с неприятными ощущениями. Для меня было важно, чтобы назначенные таблетки не влияли на сознание. Работаю мозгами и заторможенность может привести к довольно опасной ошибке в расчетах. В инструкции к препарату было написано, что он не тормозит прохождение нервных импульсов и не вызывает сонливости.
Стоимость и описание лекарства от спазмов
Скорее всего для многих людей важен вопрос цены. Я, слава Богу, не бедствую, но тоже заинтересовался стоимостью. Оказалось, что Мидокалм более чем доступен. Таблетки изготовленные в России на производстве Гедеон Рихтер мне обошлись в 343 рублей. Согласитесь — совсем недорого за 30 штук. Опишу упаковку таблеток: курьер мне привез небольшую коробку белого цвета с надписью Мидокалм на синем фоне. Был указан объем (50 мл) и количество драже на блистере (30 штук).
- лимонная и стеариновая кислота;
- диоксид кремния;
- тальк;
- целлюлоза (микрокристаллическая);
- лактоза и крахмал.
В качестве главного компонента и действующего вещества применяется гидрохлорид толперизона.
Инструкция и возможные противопоказания Мидокалма
Мой врач сказал, что спазмолитики при передозировке могут навредить здоровью. Поэтому очень важно внимательно прочитать мануал к препарату, а лучше проконсультироваться со специалистом. По инструкции при остеохондрозе нужно принимать от 150 до 450 мг в сутки. Я начинал с 3-х таблеток в день. Принимал их сразу после еды, не разжевывая. Можно запивать обычной, теплой, кипяченой водой (полстакана). К сожалению, на вторую неделю пришлось немного увеличить дозировку. Действие Мидокалма ощущается уже через 30-40 минут после приема.
Также я вычитал, что Мидокалм запрещен:
- людям, страдающим от непереносимости любого из вышеописанных компонентов препарата;
- маленьким детям (до года);
- больным с проблемами мышечной ткани (миастения).
С особой осторожностью нужно принимать препарат при эпилепсии, почечной недостаточности, наркотической зависимости. Я ничем таким не болею, поэтому пил Мидокалм совершенно спокойно.
Отзывы покупателей о таблетках
Наверное многим людям будет важен опыт других больных. Я тоже немного пошарился по сети в поисках мнения моих коллег по болезни. Нашел несколько форумов, где обсуждались разные лекарства.
«Мне врач прописал Мидокалм от болей в пояснице. При люмбаго таблетки действительно помогли. Пил неделю, полностью спазм не прошел, но я хотя бы самостоятельно передвигаться начал…»
Кстати о длительности курса. При остеохондрозе придется принимать таблетки не менее 10-14 дней. Обычно это время затягивается на месяц. Заранее продумайте этот момент. По моим расчетам придется раскошелиться минимум на 3 упаковки лекарства (потратить около тысячи рублей). Хранить Мидокалм можно долго, так что не пропадет, если вдруг останется.
«Мидокалм помог моей жене при беременности. Спасибо доктору вовремя заметил, что начались спазмы и прописал эти таблетки. Полежали на сохранении и родился здоровый малыш»
Рожать ближайшее время не собираюсь))) Такой отзыв просто показывает, что препарат хорошо снимают напряжение любых мышц и могут помочь в самых разных ситуациях.
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Мидокалм зачастую применяется при сильных болях. Я вообще ходил с трудом, а головой повернуть было просто невозможно. Поэтому пару раз заказывал таблетки через этот сайт. Выбрал сайт, где была функция срочной доставки с курьером. Мне лекарство привозили на адрес в течении 3-х часов после оформления заявки. Стоило такое удовольствие 250 рублей, но до аптеки я бы просто не дополз.
Оформление очень простое. Можно дождаться звонка менеджера или сделать все самому. Я оставил свой номер телефона, указывал способ доставки и оплату наложенным платежом. Больше ничего и не потребовалось. Для постоянных клиентов интернет аптеки есть скидки и промокоды, но я лечусь редко, так что накопить бонусы, к счастью, не успел.
Такой вот обзор Мидокалма у меня получился. Надеюсь написанное будет кому-то полезно. В целом результатами лечения я доволен. Через три недели полностью прошли боли и спазмы. Конечно, с остеохондрозом я борюсь и сейчас (терапия многолетняя), но зато точно знаю чем спасаться во время обострения.
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