How to take Neuromultivit tablets. What are the indications for the use of Neuromultivit and to whom is the drug contraindicated? Applications of solution for injection

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The site provides reference information for informational purposes only. Diagnosis and treatment of diseases must be carried out under the supervision of a specialist. All drugs have contraindications. Consultation with a specialist is required!

General information

Composition and release form

• 200 mcg cyanocobalamin,
• 200 mg pyridoxine hydrochloride,
• 100 mg thiamine hydrochloride.

pharmachologic effect

Pyridoxine (or vitamin B6) is needed as a catalyst for chemical reactions. It is part of many enzymes; stimulates the synthesis of the “hormone of happiness” - serotonin. Without serotonin, the body’s vital functions are impossible - with its deficiency, sleep and appetite are disturbed, and the emotional background worsens. In case of niacin deficiency, pyridoxine can partially compensate for this deficiency. Pyridoxine also regulates the effect of sex hormones on the body.

Cobalamin (or vitamin B12) is an important factor in tissue regeneration and cell growth. Since it affects the synthesis of myelin, which covers the processes of nerve cells, the nervous system suffers from its deficiency. Without cobalamin, hemoglobin is not produced. Hemoglobin plays the most important role in human life - it carries oxygen to tissues and organs.

Indications

• Hypovitaminosis ( deficiency in the body of B1, B6, B12).
• Polyneuropathy, radicular syndrome, neuritis, neuralgia, lumbago, sciatica, plexitis, nerve paresis, intercostal neuralgia.
• Recovery period after surgery; after previous infections; after psycho-emotional overload.

Contraindications

• Individual overreaction to vitamins.

During pregnancy

Only a doctor should prescribe a multivitamin to a child, because it contains quite large doses of vitamins, which, if prescribed incorrectly, can cause an overdose.

Side effects

Instructions for use and dosage

Milgamma, Pentovit

Price

Analogues

• Sana-Sol,
• Vitabex,
• Beviplex,
• Triovit,
• Polybion,
• Pikovit,
• Decamevit,
• Milgamma,
• Benfolipen,
• Unicap,
• Folibert,
• Vitacytrol,
• Multi-tabs,
• Multivita plus,
• Jungle Kids,
• Vectrum Junior,
• Revit,
• Pentovit,
• Combilipen,
• Rikavit.

Reviews

Sana, 23 years old.
Before a session, when you need to quickly and well assimilate a large amount of material, it is simply necessary to support your memory. Therefore, several times before the winter sessions I took a course of Neuromultivit. I became less nervous and generally felt better.

Victor, 34 years old.
My daughter was recently diagnosed with high intracranial pressure; she had poor blood flow from the cervical vessels. Plus loads at school. All this affected the child’s condition - she often had headaches and became irritable. Now I see that after taking multivitamins, her memory has improved, and she no longer complains of headaches.

Evgeniya, 30 years old.
I have health problems and often have to see an endocrinologist. In addition, I am severely underweight, and this is not because I eat poorly. The doctor prescribed Neuromultivit as a supportive medication. After it, I even gained a couple of kilograms in the fall, which is very good!

Reviews

The drug is good. Fixes the problem the next day. The price is satisfactory. No wonder I bought it, I recommend it.

My back and neck hurt very badly and I had to solve the problem and get rid of this pain, because I didn’t want to live with it all the time. I purchased neuromultivitis and began a course of treatment, from the very beginning my condition began to improve, which could not but rejoice, and the result of the drug’s action was pure pleasure. In general, this drug stimulates the regeneration of nerve tissue and has an analgesic effect, which helps relieve back and neck pain. It is also useful for people who lack B vitamins, because it consists of vitamins of this group. But there is a point that it cannot be used if you are hypersensitive to these components of the drug, and its use during pregnancy is also not recommended. Also, these components stimulate metabolic processes in nerve tissues, which again increases their regenerative abilities. The absorption and digestion of food, the process of hematopoiesis and, in general, various biochemical processes improve. But you shouldn’t use it just like that, even if it seems to you that it will help you, you need to use it strictly for those diseases that it helps to treat, otherwise everything will only be worse than it was.

Neuromultivita injections were given for neuralgia. The product is effective, but the injections are painful.

Julia, I understand you perfectly. After all, the doctor also prescribed Neuromultivit injections to me. Also in combination with NSAIDs. He explained that with my illness, B vitamins (in a therapeutic dosage) are simply necessary, as they have a positive effect on nervous tissue. Indeed, I felt much better already in the first week of injections. And now the pain has not returned at all, although the course has already been completed quite a long time ago. By the way, these injections do not contain lidocaine. Anyone who is allergic to it will understand what I mean.

I didn’t take pills, but Neuromultivit injections, which the doctor prescribed to me in combination with NSAIDs. So to speak, to strengthen them, since these injections contain B vitamins in a therapeutic dosage. So I feel good, the course is over. I achieved the long-awaited remission.

Really an excellent drug. I took it as prescribed by the doctor, first took a course of Neurodiclovit for two weeks, my back pain went away and that’s the main thing. And then I took Neuromultivit for a month, so the double effect helped me, I’m very pleased.

Like everyone else, I can’t say anything bad, there are only advantages, especially since there is a complex and a double effect! neurodiclovitis and neuromultivitis, here is pain relief and relief of inflammation and vitamins, for the back, for the neck, I’m talking about my case, in a very short time the pain goes away and the condition immediately improves

Neurodiclovit, as I already wrote, quickly relieves pain and inflammation at the very beginning of administration, since it contains vitamin B12, which accelerates the effect of the drug. Neuromultivitis occurs as a long-term recovery, when the acute pain phase has already been removed. Thanks to it, even chronic pain goes away and does not bother you in the future, but this is subject to the right attitude towards your health and lifestyle. Do not be ill! ;)

How soon does the effect of treatment with such a regimen occur?

I agree about taking Neurodiclovit for the first time. I had exactly this regimen when my neck was twisted (the pain was hellish, shooting), and in order to quickly relieve the pain, the doctor prescribed Neurodiclovit to take for a couple of weeks, it relieves pain very well + already contains B vitamins. And then, as support, I followed I drank Neuromultivit - these are purely B vitamins themselves for nutrition and restoration of the nervous system.

It was specifically prescribed to me to help with the main therapy of NSAIDs - neurodiclovitis. It dealt with inflammation and provided good pain relief, while neuromultivitis was already restoring nervous tissue and also acted slightly as an analgesic. The manufacturer is the same, at least the packaging is similar. I began to sleep better, pain and discomfort in my back did not bother me when I was lying down. And my mood has improved, my family has already noticed this.

An excellent vitamin preparation, I treated neuralgia with it at the beginning of the year as prescribed by a neurologist and the pain still doesn’t bother me anymore. The drug was well tolerated, I did not have any side effects, but what harm can vitamins cause?

Good vitamins. I had a nervous breakdown after a divorce. My face (half) became numb. It's terribly scary. Neuromultivitis returned everything to normal. It restores the nervous system very well - that's a fact!

My father was prescribed Neuromultivit when he developed chronic back pain from sedentary work (he is a truck driver). Literally after two weeks of taking it, the pain decreased, and I no longer needed to take painkillers. It hurt, but it was tolerable; by the third week there was virtually no pain, and he could again drive the truck for six to eight hours without a break. When the course ended, my back no longer hurt. The neurologist advised me to drink one more chicken in another six months so that the results would be permanent.

On the fourth day of taking Neuromultivit, an epilepsy attack occurred. I'm not a drug addict, I had no head injuries. Because of which? I'm 44 years old.

An effective pharmacological agent based on a complex of vitamins from subgroup B - Neuromultivit tablets. What does the medicine help with? The drug has proven itself excellent in complex treatment tactics for many neurological pathologies. The instructions for use suggest taking the drug “Neuromultivit” for sciatica, neuralgia, and back pain.

Release forms

The manufacturer of the drug "Neuromultivit", the instructions for use informs about this, is produced as biconvex tablets in a special coating, packaged in cardboard packaging.

The instructions prescribe the following composition of the medication:

• thiamine hydrochloride - in a volume of 0.1 g;
• pyridoxine hydrochloride - in a volume of 0.2 g;
• cyanocabalamin - in a volume of 0.2 g.

The auxiliary components listed are microcrystalline cellulose and magnesium stearate, as well as povidone. It is this combination of active and auxiliary substances that has a pronounced therapeutic effect on the human body suffering from various neurological pathologies.

Pharmacological actions provided

The complex drug “Neuromultivit”, which helps with neuritis, has many pharmacological effects - according to the vitamins it contains:

• stimulation of the activity of nervous system structures;
• improvement of regenerative and restoration processes;
• minimal analgesic effect.

Thiamine, after entering the human body after metabolism, passes into cocarboxylase, which takes an active part in various metabolic mechanisms - as an active coenzyme. Its major role is noted in carbohydrate, as well as fat and protein metabolism. When conducting a high-quality impulse along a nerve fiber, thymine is also necessary.

Pyridoxine - in the role of an auxiliary coenzyme, takes part in various processes in the body. It is in demand for physiologically correct activity of all structures of the nervous system. Pyridoxine actively and effectively participates in the formation of various neurotransmitters, for example, norepinephrine, histamine, and dopamine.

Cyanocobalamin plays an important role in the production of red blood cells and general hematopoiesis. Active participation in various metabolic processes is noted, especially the formation of nucleic acids, as well as cerebrosides and phospholipids. Cyanocobalamin, as an active coenzyme, is essential for the timely division and further growth of neurocells.

Neuromultivit tablets: what the medicine helps with and when it is prescribed

The multicomponent product “Neuromultivit” has found its niche in the practice of neurologists - as an effective component of complex therapy. The vitamin preparation is effective for negative conditions:

• neuropathy of the facial nerve, and even prosoplenia, as well as Bell's palsy;
• polyneuritis of various natures of formation, for example, diabetic or alcoholic polyneuropathy;
• inflammatory lesions of the peripheral nerve fiber - neuritis;
• course of intercostal neuralgia;
• the formation of sciatica - damage to the fiber of the sciatic nerve after its inflammation or compression;
• lumbago - a lumbar syndrome complex, the main manifestation of which is shooting pain in the sacral area;
• plexitis - shoulder, lumbosacral or cervical variant;
• radiculopathy of various nature - develops against the background of degenerative lesions of the elements and tissue of the spine;
• trigeminal neuralgia.

Side effects

In most cases, the medication is well tolerated by patients. In rare cases, attacks of rapid heartbeat and dyspeptic symptoms have been reported while taking therapeutic doses of the drug Neuromultivit, for which it is necessary to consult a specialist.

Sometimes patients complain of the development of allergic conditions - intense itching, various skin rashes. In such cases, it is recommended to seek the advice of a specialist and also stop taking the medication.

In what cases is it contraindicated?

Like any pharmacological agent, the complex medicine “Neuromultivit” has several contraindications:

• intolerance to subgroup B vitamins;
• individual hyperreaction to the components of the Neuromultivit medication, from which these tablets can cause allergies;
• the period of bearing the baby and its subsequent lactation;
• children's age of patients.

If one or a set of contraindications is identified, the specialist will select another remedy with a similar mechanism of therapeutic effect.

The drug "Neuromultivit": instructions for use

In order to achieve the maximum possible therapeutic effect in a person, the drug must be taken immediately after meals. Accompany taking the tablet with a sufficient amount of water.

The duration of the treatment course and the frequency of doses should only be taken by a specialist - in direct dependence on the pathology diagnosed in a person, the severity of negative symptoms and the initial state of health. Most often, the dosage regimen is as follows - 1 pc. three times a day. If necessary, the dose can be increased. However, this treatment should not be continued for more than 3.5-4 weeks. In pediatric practice, the medicine can be taken no earlier than the child reaches the age of 12-14 years.

Analogs of the drug "Neuromultivit"

Identical active substances contain analogues “Milgamma compositum”, “Kombilipen”. Analogues of multivitamin complexes include:

1. "Revit".
2. "Pikovit."
3. "Makrovit".
4. "Jungle".
5. "Tetravit."
6. "Revitalize-ADS".
7. "Endur-B".
8. "Neurotrat forte".
9. "Vectrum Junior".
10. "Multi-tabs HZ".
11. "Water for children."
12. "Angiovitis."
13. "Heptavit."
14. "Combilipen Tabs".
15. "Vibovit Junior".
16. "Vitamult".
17. "Polybion N".
18. "Polivit Baby."
19. "Benfolipen."
20. "Vetoron".
21. "Alvitil".
22. "Vitasharm".
23. "Triovit Cardio".
24. "Stressstabs 500".
25. "Multi-tabs B-Complex".
26. "Unigamma".
27. "Multivita Plus"
28. "Pikovit forte."
29. "Folibert".
30. "Dekamevit."
31. "Rikavit."
32. "Vibovit Baby."
33. "Pregnavit F."
34. "Vitabex".
35. "Stress formula 600".
36. "Vitacitrol."
37. "Calcevita".
38. "Neurogamma".
39. "Antioxicaps with iodine."
40. "Undevit."
41. "Aerovit".
42. "Gendevit."
43. "Sana-Sol - Multivitamin complex."
44. "Hexavit".
45. "Multi-tabs Baby."
46. "Pentovit."

Price

You can buy Neuromultivit tablets in Moscow and other regions of Russia for 275 rubles (20 pieces). The price of a vitamin complex in Kyiv reaches 146 hryvnia. In Minsk, the medicine costs 6.8-14 Belarusian rubles. In Kazakhstan, the product is sold for 1,680 tenge.

Content

Nervous stress at work, overwork, and various nervous diseases can serve as the beginning of serious, destructive and even fatal processes in the body. To strengthen the nerves, medicine has developed the drug Neuromultivit, which successfully combines the three most important vitamins of group B. Indications for use of the drug are listed on the pages of the pharmaceutical instructions. Extensive practice of using Neuromultivit confirms its effectiveness.

Composition and release form

The drug Neuromultivit is available in the form of film-coated tablets. The composition is represented by active and auxiliary components, substances that make up the tablet shell.

Pharmacodynamics and pharmacokinetics

Instructions for use of Neuromultivit contain information about each component of the composition. More information about the pharmacodynamics and pharmacokinetics of water-soluble vitamins:

1. Thiamine hydrochloride or vitamin B1 during phosphorylation is converted into cocarboxylase, which serves as a coenzyme and takes part in many enzymatic reactions. The substance is involved in protein, carbohydrate and fat metabolism, the process of conducting nervous excitation in synapses, alpha-keto acids. Thiamin hydrochloride is absorbed in the upper intestine, metabolized in the liver, and excreted by the kidneys.
2. Pyridoxine or vitamin B6 is needed by the body for the normal functioning of all parts of the nervous system. Its phosphorylated form is a coenzyme and takes part in the metabolism of amino acids, including the processes of peramination and decarboxylation of glycosphingolipids. The substance is a coenzyme in enzymatic reactions within nerve tissue. It is involved in the synthesis of the neurotransmitters dopamine, adrenaline, norepinephrine, gamma-aminobutyric acid, and histamine. Pyridoxine is metabolized in the liver and excreted by the kidneys.
3. Vitamin B12 or cyanocobaolamine is involved in the process of normal hematopoiesis, maturation of red blood cells, and biochemical reactions to ensure the vital functions of the body. Without it, the transfer of methyl groups and the exchange of amino acids, lipids and carbohydrates are impossible. The vitamin affects the production of nucleic acids, the lipid composition of phospholipids, and cerebrosides. Coenzyme forms methylcobalamin and adenosylcobalamin take part in the replication and growth of cells and affect acidity. Delivery of cyanocobalamin to tissues occurs due to the protein transcobalamin. The substance is metabolized in the liver and excreted in the bile or kidneys.

Indications for use of Neuromultivit

The instructions highlight a list of diseases and pathological conditions of the nervous system for which Neuromultivit is prescribed. Direct indications for use:

• plexitis (cervical, lumbosacral, shoulder);
• sciatica (damage to the sciatic nerve);
• lumbago (lumbar lumbago, sciatica, lumboischialgia);
• diabetic polyneuropathy;
• alcoholic polyneuropathy, polyneuritis, paralysis;
• mononeuropathy;
• prosoplegia;
• radiculopathy (stimulation of the diseased area);
• psychosis;
• metabolic disorders;
• neuralgia and neuritis;
• trigeminal neuralgia;
• degenerative diseases of the spine with radicular syndrome;
• intercostal neuralgia.

Directions for use and dosage

The tablets are taken orally with water. It is not recommended to crush, crush or chew the tablet, as this may cause a change in the pharmacokinetic profile of Neuromultvit in the digestive tract. The maximum therapeutic effect is achieved when taken immediately after meals. The standard regimen involves prescribing from 1 to 3 tablets per day (depending on symptoms). The permissible age for therapy is from 12 years.

special instructions

The pharmacological features of Neuromultivit made it necessary to indicate a number of special instructions in the instructions. When using the drug you need to pay attention to the following points:

• high doses are allowed to be taken for no more than 4 weeks in a row, otherwise there is a risk of neurological symptoms;
• absorption of thiamine (vitamin B1) decreases when drinking black tea;
• under the influence of sulfites, the process of destruction of thiamine is accelerated;
• due to the presence of vitamin B6 in the drug, it is necessary to prescribe Neuromultivit with caution to patients with duodenal and gastric ulcers, with significant liver and kidney dysfunction;
• in patients with pernicious anemia or funicular myelosis, the use of vitamin B12 may lead to a loss of specificity of the clinical picture of the disease;
• if neoplasms are detected, therapy should be discontinued (exceptions include cases of megaloblastic anemia and B12 deficiency);
• The drug should not be used if you are diagnosed with angina pectoris or with acute or severe decompensation of heart failure.

Neuromultivitis during pregnancy

Neuromultivit vitamins, according to the instructions for use, are not recommended during pregnancy and breastfeeding (lactation). This is due to the fact that there is no reliable clinical data on the safety of using the drug in patients of these categories. It is possible that the drug will adversely affect the development of the fetus or newborn baby.

Neuromultivitis for children

According to the instructions, the use of Neuromultivit in children under 12 years of age is contraindicated. This limitation is due to the lack of information about the effectiveness and safety of using the drug in this group of patients. Pediatricians use the medicine earlier, but after the child reaches one year. If you start taking it before one year, there is a risk of overdose - the vitamin content in Neuromultivit is 10 times higher than the baby’s daily requirement.

Prescribing vitamins in pediatrics is necessary to activate metabolic processes occurring at the cellular level, restore functions and improve the condition of the nervous system. Vitamin B6 is important for the child’s psyche, it is an irreplaceable source of energy, participates in the metabolism of amino acids, the transmission of nerve impulses, and the synthesis of neurotransmitters. Vitamin B12 improves oxygen saturation of tissues and organs.

Neuromultivitis is indicated for inadequate or incorrect diet, neuralgia, increased physical and neuropsychic stress. Children can be given three tablets per day - one three times a day after meals, washed down with a small amount of water. For babies under one year of age, the drug is prescribed with caution, a quarter of a tablet twice a day. It is allowed to crush the dose and mix it with formula or breast milk. You should not take the drug for more than 4 weeks in a row and before bedtime, because insomnia may occur.

Drug interactions

The interaction of Neuromultivit with other medications is described in the instructions. Examples of combinations:

1. The drug reduces the antiparkinsonian effect of Levodopa when used simultaneously.
2. During treatment, you should not take other complex supplements based on B vitamins to avoid the development of hypervitaminosis.
3. 5-fluorouracil minimizes the activity of thiamine because it competitively inhibits its phosphorylation to cocarboxylase.
4. Antacids slow down the absorption of vitamin B1.
5. Long-term use of Neuromultivit with loop diuretics, Furosemide, and other agents to inhibit tubular reabsorption increases the elimination of thiamine and reduces its level.
6. When combining the drug with pyridoxine antagonists, antituberculosis drugs Isoniazid and Cycloserine, penicillamine, the vasodilator Hydralazine, and oral contraceptives, the need for vitamin B6 increases.

Compatibility of Neuromultivit and alcohol

According to the instructions, Neuromultivit and alcohol are incompatible, therefore, during therapy with the drug, the intake of any alcoholic or alcoholic beverages is prohibited. This limitation is due to the fact that the combination of vitamin B1 and ethanol leads to a decrease in the absorption of the former by almost a third. This reduces the effectiveness of the drug and may end unfavorably.

Side effects

Neuromultivitis is well tolerated, only isolated cases of administration result in side effects. The instructions include nausea, itching, skin hypersensitivity reactions, tachycardia, and urticaria. Allergies may occur. If unpleasant symptoms develop, you should stop taking the drug and consult your doctor.

Overdose

The likelihood of developing an overdose is small; this is possible if you take extremely high doses of B vitamins for a long time. After taking more than 2 g per day of vitamin B6, ataxia, sensitivity disorders, convulsions, hypochromic anemia, and seborrheic dermatitis develop. After exceeding the dose of cyanocobalamin, acne and eczematous skin changes may develop. According to the instructions, symptomatic treatment is prescribed. There is no antidote.

Contraindications

The instructions indicate contraindications for the use of Neuromultivit. These include:

• childhood;
• hypersensitivity to the components of the composition;
• allergies (for vitamin B1);
• exacerbation of peptic ulcer or duodenal ulcer (for pyridoxine);
• erythremia, Vaquez's disease, thrombus embolism of the blood vessels, erythrocytosis (for vitamin B12).

Terms of sale and storage

Neuromultivit is a prescription drug stored at temperatures up to 25 degrees for three years.

Analogues

You can replace the product with drugs based on B vitamins. These include:

• Angiovit - tablets with the same component composition with the addition of glucose;
• Multi-tabs B-complex – multivitamin tablets with B vitamins and others;
• Beviplex – lyophilized powder for injection solution based on a vitamin complex;
• Pentavit - tablets with the same composition, enhanced with nicotinamide and folic acid;
• Purified dry brewer's yeast - powder or capsules with B vitamins, amino acids;
• Medivitan is a solution of B vitamins to replenish their deficiency.

Milgamma or Neuromultivit – which is better?

Neuromultivit solution and tablets are often compared with the drug Milgamma. It contains the same active ingredients, but is additionally enhanced with lidocaine so that the injection is not so painful. Milgamma tablets do not contain lidocaine, so they can be considered a structural analogue of Neuromultivit. The doctor decides which one is better, but we must remember that Milgamma cannot be used in the treatment of children.

Neuromultivit price

The drug Neuromultivit is sold in pharmacy chains or online departments. Its cost depends on the form of release and pricing policy. In Moscow prices will be.

Neuromultivitis is a unique combined vitamin complex that combines B vitamins. The effectiveness of the medicine is aimed at supporting the body in the autumn-winter period, restoring metabolic processes in tissues, as well as for the complex treatment of neuralgic diseases

Neuromultivit contains vitamin B1 (0.1 g), B6 ​​(0.2 g) and B12 (0.2 g). Among the auxiliary components are microcrystalline cellulose, povidone and magnesium stearate. The drug does not contain any other minerals or vitamins.

The combined drug Neuromultivit is available in the form of biconvex tablets.

The properties of the substances included in Neuromultivit are as follows:

• (thiamine). Regulates lipid, protein and carbohydrate processes in the body, and also actively participates in the processes of nerve excitability in the area of ​​synapses.
• (pyridoxine). Responsible for the functioning of the nervous system and participates in the metabolism of amino acids. Pyridoxine is an important enzyme that is necessary for the synthesis of histamine, adrenaline and dopamine.
• (cyanocobalamin). Responsible for the formation of blood, and in particular, red blood cells. This vitamin takes part in biochemical reactions in the body that are responsible for vital processes: amino acid metabolism, methylation reactions and protein synthesis.

B vitamins do not accumulate in the body on their own, as they are water-soluble. Metabolism of the active components of the drug occurs in the liver. Vitamin B1 and B6 are excreted through the kidneys, and vitamin B12 is excreted through bile.

Indications for use

The vitamin remedy Neuromultivit is widely used in neurology as a component necessary for complex treatment of diseases of the nervous system.

Among the main indications for use of the drug are:

• neuritis and intercostal neuralgia;
• neuropathy in the area of ​​the facial nerve;
• sciatica, radicular syndrome, lumbago and plexitis;
• trigeminal neuralgia and polyneuritis.

Who should take Neuromultivit?

The action of the drug is aimed at restoring and stimulating metabolic processes in the central nervous system (CNS). The B vitamins included in Neuromultivit have a pronounced analgesic property. This allows the medicine to be used not only to correct a vitamin deficiency state, but also to treat disorders that are not related to metabolic disorders: pain syndrome, polyneuritis, psychosis, mononeuropathy, etc.

The vitamin preparation is widely used to treat childhood neurological disorders. Neuromultivit can be prescribed to a child if the following indications exist:

• infectious diseases;
• postoperative period;
• increased excitability and delayed speech development;
• increased physical and psycho-emotional stress.

The drug should not be used without a doctor's prescription. Only a neurologist can correctly calculate the dosage of Neuromultivit, based on the results of the patient’s examination and laboratory tests.

The drug Neuromultivit is intended for oral administration. It is recommended to swallow the tablet without chewing. Otherwise, the pharmacokinetic profile of the vitamin product is disrupted.

To achieve the maximum effect from using Neuromultivit, you should take the vitamin remedy immediately after meal. The tablets should be taken with boiled water.

Dosages for adults

The number of tablets indicated for use per day depends on the general condition of the patient and the concomitant therapy performed. Recommended dosage – 1 tablet 1-3 times a day. The course of treatment is no more than 4 weeks.

Dosages for children

Treatment of children with Neuromultivit is possible only from the age of 12. For a child whose age is younger, the need to use the drug is determined individually. In this case, the benefits and possible harm are compared.

• up to 1 year – ¼ tablet, 2 times a day;
• from 1 to 6 years - 1 tablet, 1 time per day;
• from 6 to 12 years – 1 tablet, 2 times a day;
• from 12 to 18 years – 1 tablet, 3 times a day.

The course of treatment for children is up to 1 month. First of all, it depends on the severity of the pathological process in the body.

Contraindications and side effects

Children under 12 years of age should take vitamins only after consulting a doctor.

Among the absolute contraindications, the following should be highlighted:

• allergic predisposition;
• ulcerative lesions of the stomach and intestines;
• erythrocytosis, erythremia and embolism.

When undergoing a course of therapy with Neuromultivit, adverse reactions such as tachycardia, allergic skin rashes and nausea may occur. If such reactions occur, you should stop taking the drug and consult a doctor.

Features of using Neuromultivit

The manufacturer of the drug claims that the vitamins included in its composition do not interact with each other. They are applied using a unique method - by layering one on top of the other. This allows you to get maximum benefit from using the vitamin complex.

If the tablet is chewed or damaged, the effectiveness of the drug decreases. That is why it is recommended not to chew the vitamin product when using it, but to swallow it whole. It is best to ask your doctor about how to take Neuromultivit, despite the fact that the instructions for use contain detailed recommendations.

Analogues of the drug

Pharmacies provide a wide selection of Neuromultivit analogues:

• Multi-tabs;
• Triovit;
• Polybion.

In preparations that are analogues of Neuromultivit, the amount of vitamins that are active substances varies significantly. The most balanced amount of active components is concentrated in Neuromultivit. Leading experts from the field of neurology and pediatrics recommend using this particular vitamin complex.

A deficiency of B vitamins can cause many diseases. These are skin problems, disorders in the central nervous system, abnormalities in the functioning of the gastrointestinal tract. "Neuromultivit" is a modern multivitamin preparation. It is used primarily to treat the consequences of deficiency of B vitamins. From this article you will learn about reviews of Neuromultivit and analogues. The instructions for use will inform you about possible contraindications, drug compatibility, composition and pharmacokinetics of each component.

Composition and release form

The drug is available only in tablet form.

Each tablet contains three main representatives of B vitamins, without which normal human life is impossible. These are thiamine (B1), pyridoxine (B6) and cyanocobalamin (B12). Each component is presented in the form of hydrochloride.

Why are these particular components included? There is no riboflavin, niacin, biotin and other B vitamins. The answer is simple: not all vitamins are normally absorbed in high concentrations. For example, riboflavin could interfere with the absorption of pyridoxine, etc. Some manufacturers solve this problem by dividing the daily dosage of vitamins into two or three tablets, which should be taken separately at different times.

It is also due to the fact that the drug is positioned as a treatment for the nervous system. And thiamine, pyridoxine and cyanocobalamin are the components that are most needed by neurons (nerve cells). With a deficiency of these elements, not only the nervous system suffers, but also the organs of the gastrointestinal tract, the endocrine system, and metabolism is disrupted.

In the human body, everything is interconnected, and the lack of one brick (any of the B vitamins) triggers, like a domino effect, a chain reaction, as a result of which the functioning of the entire system is disrupted. The composition of Neuromultivit is designed to eliminate such a process. Let's take a closer look at each component of the drug and the processes that occur when there is an excess or shortage of it.

Signs of cyanocobalamin deficiency and overdose

Cyanocobalamin plays an important role in the process of hematopoiesis; without it, healthy immunity and well-being are impossible.

Signs of cyanocobalamin deficiency in the body:

• frequent colds, weak immunity;
• furunculosis, dermatitis, eczema, psoriasis, acne;
• constant lethargy, weakness, low vitality;
• drowsiness and chronic fatigue;
• characteristic changes in the general blood test - low number of red blood cells;
• stuttering and speech development disorders;
• unpleasant odor from the patient's skin;
• dizziness and headaches, memory problems, irritability;
• sexual dysfunction in men.

But an excess of cyanocobalamin does not bring anything good. The side effects of Neuromultivit are largely due to the fact that with regular use of the drug, hypervitaminosis of vitamin B12 occurs.

Characteristic symptoms that a person has an excess of cyanocobalamin in the blood and internal organs:

• thrombosis;
• chills, tremors of extremities;
• sleep problems;
• nausea, hyperemia;
• dermatitis, urticaria.

The daily requirement for an adult for cyanocobalamin is about 2-3 mcg. In pregnant women, this figure doubles, since cyanocobalamin is required not only by the mother, but also by the fetus.

For pyridoxine deficiency

Pyridoxine hydrochloride is one third of the composition of Neuromultivit. This is vitamin B6, the main effect of which is on the nervous system. With pyridoxine deficiency, the following conditions develop:

• anxiety, tearfulness;
• hypochondria (especially common in older people);
• memory impairment;
• regression of cognitive abilities;
• imbalance of sodium and potassium in the body;
• chronic fatigue and constant feeling of overwork (even after eight hours of sleep).

With pyridoxine deficiency, the patient is characterized by aggression and motor overexcitation. This process is caused by the fact that the adrenal glands begin to produce adrenaline more intensively. Glucose reserves in the body begin to rapidly decrease, and sugar reserves, on the contrary, increase. As a result of this condition, various types of depression can develop.

An excess of pyridoxine also does not bring anything good. The side effects of Neuromultivit are largely due to the fact that with regular use of the drug, hypervitaminosis of this substance occurs. Here are the symptoms of increased levels of pyridoxine in tissues:

• numbness of the limbs;
• nervous tics;
• allergic rashes, dermatitis and urticaria;
• skin itching;
• indigestion - diarrhea.

Signs of thiamine overdose and deficiency

The drug "Neuromultivit" consists of one third thiamine hydrochloride. What kind of substance is this and what are the consequences of its deficiency for a person?

Thiamine is synthesized in the intestines, provided that the microflora is not pathogenic. So, a healthy body should not experience a deficiency of vitamin B1. If a person is constantly stressed, irritated, overtired, or eats improperly, the microflora of the intestinal mucosa is disrupted, and along with it, the production of thiamine is suspended.

Deficiency is accompanied by the following manifestations:

• insomnia and sleep phase disturbances;
• chronic fatigue and constant feeling of overwork;
• progression of osteochondrosis (if present), which leads to circulatory disorders;
• migraine, headaches due to cerebral circulatory disorders;
• loss of appetite, weight loss;
• low physical endurance.

Thiamine is a water-soluble vitamin, which means that its metabolites are constantly excreted from the body. To achieve an overdose of this component in the tissues, you have to try. Side effects of Neuromultivit often develop with regular use of the drug, as hypervitaminosis of this substance occurs. Here are the manifestations of this condition:

• feeling of heat, hot flashes;
• sweating and hyperhidrosis;
• weakness, nausea;
• loss of consciousness.

An overdose of thiamine is the least common. In stressful situations, when a person finds himself in unusual conditions, the need for vitamin B1 increases tenfold.

Indications for use

The indications can be summarized from the information given above. Deficiency of cyanocobalamin, pyridoxine, thiamine and the conditions provoked by it are the main target of the drug.

Based on the indications, neurologists prescribe Neuromultivit to their patients as part of complex therapy or as an independent remedy in the following cases:

• polyneuropathy;
• encephalopathy;
• period of withdrawal syndrome in patients with addiction;
• any;
• sciatica;
• alopecia;
• intercostal neuralgia;
• a period of high physical and psychological stress in the patient’s life.

While carrying a child in any trimester of pregnancy, taking the drug is not prohibited. However, before you start using it, you should definitely consult with your doctor and notify him of your intention to take it, since in some cases pregnant women may develop an allergic reaction to the components of the drug.

Use of the drug for children and adolescents

At what age is Neuromultivit approved for use? Neurologists often prescribe this drug to children over three years of age as part of complex therapy for delayed psycho-speech development, increased anxiety, phobias, and stuttering.

In some cases, a complex course of nootropics, tranquilizers and Neuromultivit is prescribed. A prescription and dosage can only be prescribed to a child by an experienced neurologist or psychiatrist. It is strictly forbidden to “medicate” yourself and give your baby medications, since instead of the expected benefit, they can cause a worsening of the condition.

Teenagers over twelve years old can take a course of Neuromultivit without prior consultation, as a preventive measure during periods of increased physical and mental stress. For example, at sports competitions or before exams.

Contraindications for use

There are a number of contraindications to taking the drug. "Neuromultivit" refers to those formulations that are usually well tolerated by the patient, but if you have at least one disease from the list below, starting use is strictly prohibited:

• chronic renal failure;
• acute ascites;
• acute psychosis or delirium;
• the presence of benign or malignant neoplasms;
• cirrhosis of the liver.

Pregnancy and lactation are not direct contraindications to taking Neuromultivit. Moreover, in the first trimesters, the need for thiamine and pyridoxine increases sharply. But a pre-pregnant woman must notify the supervising doctor of her intention to take a course of Neuromultivit.

Side effects of Neuromultivit

The drug is usually well tolerated. is extremely rare, since they are water-soluble and their metabolites are quickly eliminated from the body.

List of possible side effects of the drug in the first week of use, as well as in case of overdose:

• thrombosis;
• chills, tremors of extremities;
• cramps of the ankles, calf muscles, feet;
• sleep problems;
• nausea, hyperemia;
• dermatitis, urticaria.

Side effects of Neuromultivit are rare in children. Most often they manifest themselves in indigestion (diarrhea) and skin rashes. In some cases, while taking the medication, it becomes difficult to fall asleep and motor restlessness appears. The dosage used should be reduced as it is most likely too high.

Drug interactions and special instructions

The total duration of the course of therapy with Neuromultivit should not exceed four to five weeks. If this period is exceeded, hypervitaminosis of B vitamins and negative neurological symptoms are likely to develop.

When consuming the drug simultaneously with alcoholic beverages, coffee and black tea, the absorption of vitamins is reduced by at least half. Some wines contain sulfites, which accelerate the degradation of thiamine.

Patients suffering from chronic diseases of the gastrointestinal tract (peptic ulcer of the stomach and duodenum), as well as those with impaired renal and liver function, should start taking Neuromultivit with caution. Reviews from doctors about side effects on the digestive system indicate that the drug in rare cases can provoke an exacerbation of chronic diseases in remission.

Patients suffering from funicular myelosis or pernicious anemia (cobalamin anemia) during treatment with Neuromultivit should take into account that blood tests may give distorted results. The number of red blood cells and white blood cells may erroneously increase or decrease, and cyanocobalamin levels may fluctuate.

If the patient has recently been diagnosed or has a history of a neoplasm of a benign or malignant nature, you should not start therapy with Neuromultivit. It is permissible to take the drug only after consulting a doctor.

"Neuromultivit" is used with caution in patients with angina pectoris and forms of decompensated heart failure.

Substitutes and analogues

How can I replace Neuromultivit? There are many forms and varieties of drugs that can restore reference values ​​of B vitamins in the patient’s body.

Both thiamine, cyanocobalamin, and pyridoxine (in the form of hydrochloride, as in Neuromultivit) are sold in liquid form, in ampoules for intramuscular injection. Neurologists often recommend using injection drugs, since it is in this form that 100% of the drug is absorbed. As the tablet passes through the gastrointestinal tract, the components are often not fully absorbed.

Taking vitamin-mineral complexes is not always able to overcome the deficiency of cyanocobalamin, pyridoxine and thiamine, since multivitamins contain too many components. They often antagonize each other, preventing the effective absorption of any of the substances. As a result, the benefits of taking multivitamins are reduced to zero.

Analogues of "Neuromultivit" for children: "Nagipol", "Pentovit". These are safe drugs containing B vitamins with a minimum of side effects.

How to replace Neuromultivit for adults? List of effective drugs:

• "Milgamma";
• "Pentovit" (a cheap analogue produced by a domestic pharmaceutical company);
• "Angiovit" (structural analogue of "Neuromultivit");
• "Beviplex";
• brewer's yeast "Nagipol".

All these drugs have a similar effect on the body and have an almost completely similar composition to Neuromultivit.

"Milgamma" or "Neuromultivit" - which is better?

"Milgamma" is exactly the same preparation of B vitamins. It is produced in the form of ampoules with a solution for injection and in the form of tablets for oral use. The use of ampoules is more effective, since with the injection form of administration the components are absorbed almost one hundred percent. When taken orally, vitamins may not be fully absorbed.

"Milgamma" or "Neuromultivit" - what should a patient choose who has not yet tried any of these medications? The composition of Neuromultivit is almost completely identical to the composition of Milgamma. They are also approximately the same in cost - a package of both tablets will cost about eight hundred rubles. All that remains is to rely on the prescription of the attending neurologist - the drug that was prescribed will be more effective in each individual case.