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Уколы актовегина и мексидола вместе

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17 августа 2019

Актовегин и Мексидол — препараты, стимулирующие обменные процессы организма, а также улучшающие кровообращение и снабжение клеток кислородом. Благодаря этим воздействиям оба средства нашли применение в таких областях медицины, как:

  • нейрология;
  • неврология;
  • кардиология;
  • психиатрия.

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Характеристика Актовегина

Актовегин — австрийский препарат, основное предназначение которого — лечение заболеваний, связанных с кровеносной системой. Препарат выпускается в форме:

  • таблеток;
  • растворов для инъекций;
  • кремов;
  • мазей;
  • гелей.

Основным действующим веществом Актовегина является гемодериват, который получают путем гемодиализа крови молочных телят. Это вещество не имеет собственных белков, что способствует уменьшению проявлений аллергических реакций.

Актовегин выпускается в форме таблеток, растворов для инъекций, кремов, мазей, гелей.

На биологическом уровне гемодериват оказывает следующее действие:

  • стимулирует кислородный метаболизм клеток;
  • улучшает транспортировку глюкозы;
  • увеличивает концентрацию нуклеотидов и аминокислот, участвующих в клеточном энергообмене;
  • стабилизирует клеточные мембраны.

Т.к. гемодериват получен из натуральных компонентов, сила его воздействия не снижается в случае нарушений функционирования почек или печени, характерных для пожилых пациентов.

Гемодериват в составе препарата получен из натуральных компонентов, поэтому сила его воздействия не снижается в случае нарушений функционирования печени.

Вспомогательными веществами являются:

Для инъекционного раствора:

  • натрия хлорид;
  • вода для инъекций.

  • повидон;
  • стеарат магния;
  • тальк;
  • целлюлоза;
  • камедь акации;
  • горный гликолевый воск;
  • сахароза;
  • диоксид титана.

  • цетиловый спирт;
  • макрогол 400 и 4000;
  • моностеарат глицерила;
  • хлорид бензалкония.

Вспомогательными компонентами геля Актовегин являются пропиленгликоль, лактат кальция и кармеллоза натрия.

Показаниями к применению таблеток и инъекций Актовегина являются:

  • черепно-мозговые травмы;
  • нарушения кровообращения мозга;
  • энцефалопатия;
  • нарушения кровообращения, вызванные диабетом;
  • диабетическая полиневропатия;
  • трофические язвы;
  • остеохондроз шейного отдела позвоночника.

Показаниями к применению мази, геля и крема являются:

  • раны и ссадины;
  • начальная терапия мокнущих язв;
  • лечение и профилактика пролежней;
  • послеожоговая регенерация тканей;
  • лечение поражений кожи после радиационного облучения;
  • воспаления кожи, глаз, слизистых оболочек.

Одним из показаний к применению мази, геля и крема Актовегин являются воспаления глаз.

Побочные эффекты от применения препарата возникают редко, но иногда могут проявиться в виде:

  • головокружений или головных болей;
  • крапивницы;
  • отеков;
  • гипертермии;
  • болезненности в месте укола;
  • слабости;
  • тахикардии;
  • болей в области желудка;
  • тошноты;
  • рвоты;
  • диареи;
  • гипертонии или гипотонии;
  • болей в сердце;
  • повышенного потоотделения.

При применении мази или крема в месте нанесения могут возникать болевые ощущения, проходящие через 15-30 минут.

Противопоказаний к применению Актовегина немного. К ним относятся:

  • отек легких;
  • непереносимость компонентов, входящих в состав лекарственного средства;
  • анурия или олигурия;
  • сердечная недостаточность 2 и 3 степени.
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С осторожностью следует применять препарат в случаях:

  • сахарного диабета;
  • гипергликемии;
  • беременности и лактации.

Актовегин не рекомендуется применять одновременно с алкоголем, т.к. он нейтрализует терапевтический эффект лекарственного средства.

Препарат вводят внутримышечно и внутривенно (струйно или капельно). Лечение длится от 2 до 4 недель.

Длительность курса и дозировка зависят от диагноза, но любую комплексную схему начинают с дозы 10-20 мл в сутки, а затем понижают до 5-10 мл.

При нарушении мозгового кровообращения Актовегин вводят ежедневно внутривенно по 10-20 мл на протяжении 2 недель, а затем еще 14 дней по 5-10 мл 3-4 раза неделю.

При лечении трофических и других плохо заживающих язв инъекции Актовегина применяют в комплексном лечении и ставят ежедневно или 3-4 раза в неделю по 5-10 мл в зависимости от скорости заживления ран.

При ишемическом инсульте и ангиопатии препарат ставят в виде капельниц по 200-300 мл, добавляя Актовегин в раствор хлорида натрия или глюкозы.

При ишемическом инсульте и ангиопатии препарат ставят в виде капельниц по 200-300 мл, добавляя Актовегин в раствор хлорида натрия или глюкозы. Продолжительность лечения составляет от 2 до 4 недель, а доза — от 20 до 50 мл. Скорость введения лекарства не должна превышать 2 мл в минуту.

Актовегин в таблетках назначают для улучшения состояния сосудов головного мозга при черепно-мозговых травмах, деменции, периферических сосудистых нарушениях. Таблетки принимают по 1-3 шт. в день после еды, запивая небольшим количеством воды.

Крем, мазь и гель наносят на поврежденные участки кожи или слизистой оболочки тонким слоем. Для очищения язв гель и мазь можно использовать вместе: покрыть рану толстым слоем геля, а затем наложить компресс из марли, пропитанной мазью.

Для очищения язв можно покрыть рану толстым слоем геля Актовегин, а затем наложить компресс из марли, пропитанной мазью.

Характеристика Мексидола

Мексидол — недорогой отечественный препарат, основное предназначение которого — лечение заболеваний, связанных с нарушением мозгового кровообращения и обменных процессов. Применение Мексидола способствует:

  • улучшению кровообращения и метаболизма клеток мозга;
  • устранению расстройства сна, процессов обучения и запоминания;
  • повышению устойчивости организма к таким негативным воздействиям, как гипоксия, шок, алкогольная или нейролептическая интоксикация;
  • восстановлению сократимости сердечной мышцы при несложных формах дисфункции;
  • усилению действия нейролептиков и антидепрессантов;
  • снижению дистрофических проявлений в отделах головного мозга.

Применение Мексидола способствует устранению расстройства сна.

Действующим веществом Мексидола является этилметилгидроксипиридин. Вспомогательными компонентами капсул являются:

  • лактоза;
  • повидон;
  • метабисульфит натрия;
  • полиэтиленгликоль;
  • титан диоксид.

Мексидол также выпускается в ампулах. Вспомогательным веществом инъекций является жидкость для инъекций.

Кроме этого, препарат назначается:

  • для профилактики ишемического инсульта;
  • при чрезмерных психологических нагрузках и после стрессов;
  • после интоксикаций;
  • после легких черепно-мозговых травм.

Да, можно. Вообще считается что Мексидол и Актовегин в паре — комбинировано, наиболее эффективны и лучше, чем если эти же препараты колоть каждый по отдельности. Но, само назначение лечения и подбор лекарственных препаратов, в частности комбинации Актовегина и Мексидола одновременно, может назначить только врач после осмотра пациента, и определяя именно этот комбинированный метод применения лекарств в паре как эффективное и безопасное лечащее средство. Он же врач прописывает рецепт и длительность курса лечения — сколько колоть лекарства, как колоть и когда. Все только через врача.

А так, для информации: Автовегин и Мексидол в паре отлично сочетаются и дополняют друг друга, эти самые комбинированные лекарства наиболее эффективны при лечении, и лучше чем они по отдельности. Но вводить лекарства необходимо в разных шприцах поочередно, не смешивая их — сперва один укол с Автовегином, следом другой укол с Мексидолом в тоже время, а не набирать оба препарата в один шприц, перемешивая их оба в одном шприце (если смешать в одном шприце, то поменяется структура лекарств, и не будет уже той эффективности, к тому же может вызвать аллергическую реакцию)

Мексидол и Актовегин — препараты, назначаемые при нарушении обменных процессов, функций нервной и сосудистой систем. Для усиления терапевтического эффекта Актовегин и Мексидол вместе назначаются довольно часто, т.к. они несколько отличаются механизмом действия, но имеют схожие показания к применению.

Состав

Главное действующее вещество Актовегина – это гемодериват депротеинизированный, добываемый из крови телят. У Мексидола таким веществом является соль янтарной кислоты. Оба этих элемента ускоряют обменные процессы в тканях и улучшают их кровоснабжение.

Форма выпуска

Мексидол выпускается в форме инъекций и таблеток. Первые можно приобрести в контурных ячейковых упаковках в количестве 10 шт по 2 мл раствора в каждой, таблетки же выпускаются в блистерах или пластиковых банках.

Актовегин имеет значительно больше форм выпуска. Он выпускается в виде таблеток по 200 мг в банке из темного стекла по 50 шт в каждой, в виде раствора по 250 мл во флаконах, также существуют крем, гель и мазь Актовегин, выпускаемые в алюминиевых тубах по 20, 30, 50 и 100 г.

Фармакологическое действие

Мексидол ускоряет обменные процессы организма, защищает сосуды и их стенки от разрушения на клеточном уровне, нормализует деятельность вегетативных функций организма. Благодаря действию соли янтарной кислоты значительно снижается уровень стресса, увеличиваются защитное действие организма против нервных и физических перегрузок. Для усиления его действия часто применяются аналоги лекарств или психотропные препараты.

Актовегин улучшает энергетические обмены тканей, снижает риск возникновения гипоксии (в т.ч. у плода при беременности), ускоряет процессы заживления повреждений любого рода, нормализует кровоснабжение тканей, снижает концентрацию глюкозы в крови путем усиленного ее усвоения клетками тканей. Препарат стимулирует рост кровеносных сосудов и помогает ускорить деление клеток для регенерации тканей. Хорошая совместимость Актовегина с Мексидолом и их сходное действие позволяет принимать эти препараты одновременно, что значительно улучшает терапевтический эффект .

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Показания

Показания для применения Мексидола:

  • вегетативные дистонии;
  • предрасположенность к атеросклеротическим заболеваниям или их наличие;
  • нарушение кровоснабжения головного мозга;
  • абстинентный синдром при алкоголизме (препарат способствует снижению тяги к алкоголю);
  • передозировка нейролептиками;
  • неврозы, стрессы, депрессии, тревожность;
  • гнойные воспаления в брюшной области;
  • панкреатит;
  • защита от эмоциональных и физических перегрузок.

Мексидол и Актовегин можно колоть внутримышечно или внутривенно при наиболее серьезных заболеваниях, в качестве профилактических мер рекомендуется использовать таблетки.

Показания для приема Актовегина:

  • заболевания центральной нервной системы;
  • нарушения мозгового кровообращения;
  • деменция;
  • сбой в работе кровеносных сосудов и их заболевания;
  • повреждения кожи (ожоги, порезы, пролежни, воспалительные процессы и т.п.).

Принимать Актовегин и Мексидол вместе можно только при определенных видах заболеваний и только по показанию врача.

Противопоказания

Мексидол противопоказан при острых заболеваниях печени и почек, во время беременности и лактации. Противопоказан в педиатрии в связи с недостаточностью данных о действии препарата в детском возрасте.

Противопоказанием к приему Актовегина являются олигурия, анурия, отек легких, сердечная недостаточность, лактация. С осторожностью применяется при беременности.

Мексидол с Актовегином назначают в комплексе с учетом противопоказаний для обоих препаратов одновременно.

Способ применения

Мексидол в таблетированной форме применяется по 125-250 мг трижды в день, максимальная суточная доза — 800 мг. Дозировка и схема лечения определяется индивидуально в зависимости от вида и степени тяжести заболевания. Суточную дозу рекомендуется увеличивать или уменьшать постепенно. Курс лечения — 5-30 дней. Разрешено одновременно принимать Мексидол и Актовегин в таблетках.

Инъекции данного препарата применяются по 200-500 мг внутривенно или внутримышечно 1-3 раза в день. Продолжительность терапии — 7-14 дней.

Актовегин принимается по 1-2 таблетки по 200 мг 3 раза в день. Курс лечения — 4-6 недель. Инъекции назначаются по 5-50 мл внутривенно, внутриартериально или внутримышечно 1-3 раза в сутки. Курс лечения 2-4 недели, может быть увеличен в связи с переходом на таблетированную форму препарата.

В виде инъекций колоть Актовегин и Мексидол одновременно разрешено, но рекомендуется выдержать интервал между уколами около 15-30 минут для наилучшего действия препаратов.

Отличие препаратов

Актовегин и Мексидол отличаются тем, что первый разрешено использовать во время беременности. Актовегин часто назначают при риске возникновения гипоксии у плода, плохом кровообращении, нестабильном артериальном давлении и других симптомах и заболеваниях.

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