Instructions for use Pantogam (tablets and syrup). Nootropic drug Pantogam - side effects in children

Many of us would not be out of place to find out why Pantogam is prescribed, how this drug works, and what effects should be expected when it is used for medicinal purposes. Consider the basic information about this medicine: components, scheme of application, indications and contraindications.

Pantogam - composition of the drug

Pantogam belongs to the group of psychostimulating and nootropic drugs widely used in psychoneurology. The drug was developed in the seventies of the last century in one of the Russian research institutes, and since the eighties it has been constantly available on the domestic pharmaceutical market. Pantogam, whose composition is based on one active substance and auxiliary ingredients, is available in three forms: tablets, capsules and syrup.

The active ingredient is calcium hopantenate (calcium salt of hopantenic acid), the chemical structure of which is considered as a modified molecule of pantothenic acid, including the residue of gamma-aminobutyric acid, the most important neurotransmitter of the central nervous system. To understand why Pantogam is prescribed, we list the main therapeutic effects of calcium hopantenate:

• an increase in the resistance of the brain to hypoxia and the influence of toxic substances;
• stimulation of energy metabolic processes in neurons;
• improvement of blood supply to the brain;
• increased protein synthesis;
• acceleration of impulse transmission in the central nervous system;
• improved glucose uptake by nerve cells;
• strengthening of cell membranes;
• decrease in motor excitability;
• anticonvulsant action;
• moderate sedative effect;
• increasing mental and physical performance;
• weakening of the pain syndrome of a neuralgic nature.

The listed actions are characterized by moderation, and the medicine itself still belongs to drugs with unproven effectiveness, like others. This is due to the fact that it has not yet been clarified what the mechanism of the effect of the drug on the body is, and its clinical studies involving patients are in the fourth phase (post-marketing studies). A number of scientists classify Pantogam as a placebo remedy, while others consider it not as a drug, but as a dietary supplement that can improve the quality of life.

Syrup Pantogam

The drug in the form of a syrup is intended for pediatric patients, starting from the neonatal period. It is a slightly viscous, colorless or yellowish liquid with a cherry aroma. Syrup for children Pantogam contains 10 g of calcium hopantenate in 100 ml of solution, as well as the following excipients:

• glycerol;
• sorbitol;
• sodium benzoate;
• citric acid monohydrate;
• aspartame;
• food flavoring;
• purified water.

Pills Pantogam

The tablet medication is prescribed for adults and children over the age of three. These are round tablets of white color with a rice, slightly bitter in taste. The active substance may be contained in an amount of 0.25 g (Pantogam 250) or 0.5 g (Pantogam 500) in each tablet. Other components of the tablet composition:

• methylcellulose;
• calcium stearate;
• magnesium hydroxycarbonate;
• talc.

Capsules Pantogam

A new development of the manufacturer is Pantogam Active in the form of gelatin capsules. The drug has an improved formula, in which the active substance D,L-hopantenic acid is a racemate of hopantenic acid, which has a more pronounced nootropic and anticonvulsant activity and an additional anti-anxiety effect. The capsules are hard, yellow in color, with a white or yellowish powder inside. This form of medication is prescribed for patients who have reached the age of eighteen (due to the lack of studies on use at an earlier age).

The active ingredient may be contained in an amount of 200 or 300 mg in each capsule, and the following are used as excipients:

• titanium dioxide;
• gelatin;
• glycerol;
• sodium lauryl sulfate;
• purified water;
• nipagin;
• nipazole;
• cellulose microcrystalline;
• magnesium stearate.

Pantogam - indications for use

Often, the drug is prescribed as part of complex therapy for the treatment of diseases and disorders associated with the activity of the central nervous system, along with tranquilizers, antidepressants, antipsychotics, anticonvulsants, other nootropic drugs, and so on. In some cases, it is used as monotherapy. Pantogam has numerous indications, being used to treat children and adults, including the elderly.

Pantogam for children

Syrup and tablets for children Pantogam are recommended by pediatricians, pediatric neurologists and psychiatrists after a series of diagnostic studies confirming the presence of a particular health problem. We list why Pantogam is prescribed in childhood, for the treatment of which pathologies:

• cerebral palsy;
• with attention deficit disorder;
• mental retardation of varying severity;
• psychomotor and speech disorders;
• delay in the formation of school skills (reading, counting, writing);
• nervous tic;
• sleep disorders;
• enuresis, encopresis;
• childhood phobias.

Pantogam for adults

Why is Pantogam prescribed for adults, the following list of indications will prompt:

• brain damage and neurotic disorders accompanied by impaired memory, concentration, speech, thinking and other cognitive functions;
• traumatic brain injury;
• neuroinfections;
• cerebrovascular insufficiency associated with atherosclerotic vascular lesions;
• myoclonic epilepsy;
• chorea of ​​Huntington;
• hepatolenticular degeneration;
• extrapyramidal syndrome associated with the use of neuroleptics;
• schizophrenia;
• trigeminal neuralgia;
• urgency urinary incontinence;
• frequent urination of a neurogenic nature;
• consequences of psycho-emotional overload.

Pantogam - contraindications

Many patients are concerned about whether Pantogam can be taken during pregnancy. It is worth knowing that in the first trimester of pregnancy, when the main organs and tissues of the future baby are being laid, this drug cannot be used. For this reason, if Pantogam is being treated, before the end of the therapeutic course, the woman should take care that conception does not occur. The prohibition also applies to the period of breastfeeding, during which the medicine can be harmful. In the second and third periods of pregnancy, the drug is allowed to be taken according to strict indications.

In addition, the list of contraindications to the drug includes the following conditions:

• individual intolerance to the components of the drug;
• severe kidney disease in the acute phase;
• phenylketonuria (for syrup).

How to take Pantogam correctly?

Depending on what Pantogam is prescribed for, what is the age of the patient, how severe the pathology is, the medication regimens are different. It should be borne in mind that Pantogam, the use of which can last from one to four months, and sometimes up to six months, with long-term treatment should not be taken in parallel with other nootropic and stimulant drugs. Due to the specifics of the action of the drug, it is desirable to take it in the morning and daytime, since when used in the evening, you may encounter a violation of the process of falling asleep and sleeping.

Pantogam - dosage for children

Pantogam, the dosage of which is not the same for children of different ages, is often prescribed in such daily amounts:

• children of the first year - 0.5-1 g;
• children under three years old - 0.5-1.25 g;
• children from three to seven years old - 0.75-1.5 g;
• children from seven to twelve years old - 1-2 g;
• children over twelve years old - 1.5-3 g.

According to the standard treatment tactics, during the first week of administration, the dose is increased, the drug is taken at the maximum dose for the next 15-40 days or more, and then the dose is gradually reduced until it is canceled over 7-8 days. A single dose is often 0.25-0.5 g, syrup or tablets are taken 15-30 minutes after a meal.

Consider how to take Pantogam for children with some specific pathologies:

• urination disorders - intake in a daily dose of 25-50 mg per kilogram of weight, the course of treatment is within 1-3 months;
• consequences of craniocerebral injuries and neuroinfections - 0.25 g 3-4 times a day;
• epilepsy - for children from three years old - daily at 0.25-0.5 g 3-4 times a day, for children from 12 years old - 0.5-1 g 3-4 times a day.

Pantogam - dosage for adults

The scheme and recommendations on how to take Pantogam for adults are identical to those for pediatric patients, but the dosages in this case are higher. So, often the drug in the form of tablets is taken at 1.5-3 g per day, divided into several doses of 0.25-1 g. In the form of capsules, the drug is taken in an amount of no more than 2.4 g per day - 0.3- 0.9 g per dose. Be sure to take the medicine a few minutes after eating, which ensures good absorption and maximum therapeutic efficacy.

Depending on what Pantogam is prescribed for adult patients, the established doses are adjusted, for example:

• psycho-emotional overload - 0.25 g three times a day;
• hyperkinesis - 1.5–3 g daily;
• cerebrovascular insufficiency - 0.25 g 3-4 times a day.

How long should I take Pantogam?

How to take Pantogam, with what duration of course treatment, is determined by the speed of achieving a therapeutic effect, after which the likelihood of an undesirable hyperstimulating effect increases. On average, therapy takes 1.5-2 months. In some cases, a second course is required, which is prescribed no earlier than 3 months later.

Pantogam side effects

Pantogam tablets, syrup and capsules can cause the following side effects:

• drowsiness;
• sleep disorders;
• noise in the head;
• allergic manifestations (skin rash, runny nose, conjunctivitis).

Often the drug is well tolerated due to the low degree of toxicity, and undesirable neurological symptoms can be observed only at the beginning of the course of treatment. Therefore, in the first days of taking the remedy, it is recommended to refuse to drive a car and work related to the control of other mechanisms. Undesirable effects, consisting in an increase in the symptoms of an existing disease, for the treatment of which Pantogam is prescribed, can be observed if the drug is taken incorrectly. If allergic reactions develop, the medication should be discontinued.

original nootropic drug for children from birth and adults with a unique combination of activating and sedative effects

Pantogam syrup - official * instructions for use

*registered by the Ministry of Health of the Russian Federation (according to grls.rosminzdrav.ru)

Registration number

LS-001667 dated 16.06.06

Trade name of the drug

International non-proprietary name

hopantenic acid (acidum hopantenicum)

Dosage form

Compound:

active substance: calcium hopantenate (Pantogam ®) - 10.0 g;
excipients: glycerol (in terms of 100%) 25.8 g, sorbitol 15.0 g, citric acid monohydrate 0.1 g, sodium benzoate 0.1 g, aspartame 0.05 g, food flavor "Cherry 667" 0 01 g, purified water - up to 100 ml.

Description

Colorless or slightly yellowish liquid with a cherry odor

Pharmacotherapeutic group- nootropic

ATC code- N06BX

Pharmacological properties

Pharmacodynamics. The spectrum of action of pantogam is associated with the presence of gamma-aminobutyric acid in its structure. The mechanism of action is due to the direct effect of pantogam on GABA B - the receptor-channel complex. The drug has a nootropic and anticonvulsant effect. Pantogam increases the resistance of the brain to hypoxia and the effects of toxic substances, stimulates anabolic processes in neurons, combines a moderate sedative effect with a mild stimulating effect, reduces motor excitability, and activates mental and physical performance. Improves GABA metabolism in chronic alcohol intoxication and after ethanol withdrawal. It is able to inhibit the acetylation reactions involved in the mechanisms of inactivation of novocaine and sulfonamides, due to which the prolongation of the action of the latter is achieved. Causes inhibition of pathologically increased cystic reflex and detrusor tone.

Pharmacokinetics. Pantogam is rapidly absorbed from the gastrointestinal tract, penetrates the blood-brain barrier, the highest concentrations are in the liver, kidneys, stomach wall and skin. The drug is not metabolized and is excreted unchanged within 48 hours: 67.5% of the dose is excreted by the kidneys, 28.5% is excreted in the faeces.

Indications for use

For children, depending on the age and pathology of the nervous system, the following dose range is recommended: children of the first year - 5 - 10 ml (0.5 - 1 g) per day, up to 3 years - 5 - 12.5 ml (0.5 - 1.25 g) per day, children from 3 to 7 years old - 7.5-15 ml (0.75 - 1.5 g), over 7 years old - 10 - 20 ml (1 - 2 g.). The tactics of treatment involves increasing the dose within 7-12 days, taking the maximum dose for 15-40 or more days with a gradual decrease in the dose until cancellation within 7-8 days. The course of treatment is 30 - 90 days (for certain diseases up to 6 months or more).

With schizophrenia in combination with psychotropic drugs - from 5 to 30 ml (0.5 - 3 g) per day. The course of therapy is from 1 to 3 months. With epilepsy in combination with anticonvulsants - at a dose of 7.5 to 10 ml (0.75 - 1 g) per day. The course of therapy - up to 1 year or more. With neuroleptic syndrome, accompanied by extrapyramidal disorders, the daily dose is up to 30 ml (up to 3 g), treatment for several months. With extrapyramidal hyperkinesis in patients with organic diseases of the nervous system - from 5 to 30 ml (0.5 - 3 g) per day. The course of treatment - up to 4 months or more.

With the consequences of neuroinfections and craniocerebral injuries - from 5 to 30 ml (0.5 - 3 g) per day.

To restore working capacity at increased loads and asthenic conditions, pantogams are prescribed 2.5-5 ml (0.25-0.5 g) 3 times a day.

For urinary disorders in children - 2.5 - 5 ml (0.25 - 0.5 g), the daily dose is 25 - 50 mg / kg, the course of treatment is 1 - 3 months; adults - 5 - 10 ml (0.5 - 1 g) 2 - 3 times a day.

Side effect

Overdose

Conditions for dispensing from pharmacies.

Registration certificate holder

Manufacturer:

Produced in two dosage forms in tablets of 0.25 g and syrup of 100 mg / ml. The syrup is a colorless or slightly yellowish liquid, pleasant in taste with a cherry flavor.

It is released in a dark glass bottle, which is packed in a paper box.

Each vial comes with a measuring spoon and detailed instructions for use. The active substance is hopantenic acid.

Mechanism of action and pharmacokinetics

The therapeutic effect of Pantogam syrup is due to the presence of γ-aminobutyric acid (GABA) in its structure. The drug has a nootropic and anticonvulsant effect.

The active substance increases the resistance of the brain to oxygen deficiency and the effects of toxins, activates anabolic reactions in neurons, combines a moderate calming effect with a mild stimulating effect, eliminates excessive motor activity, and increases mental and physical activity.

Normalizes the exchange of GABA in patients with chronic alcoholism. In addition, the active principle inhibits the acetylation process, which is involved in the mechanisms of inactivation of procaine and sulfonamides, as a result, their action is prolonged. When taking the medication, the cystic reflex and detrusor tone are normalized.

When taken orally, the syrup is rapidly absorbed from the digestive tract. The active substance migrates through the BBB, the maximum concentration is observed in the skin, liver, stomach walls, kidneys. The drug is excreted within 2 days in its original form with urine (67.5%) and feces (28.5%).

Application area

Pantogam syrup is prescribed for the following pathologies:

Under what pathologies should you refuse to use?

You should refuse to take syrup if the following conditions and diseases are observed:

• individual intolerance;
• serious pathologies of the kidneys in the acute stage;
• pregnancy up to 13 weeks;
• phenylketonuria, since one of the excipients of the syrup is aspartame.

Appointments to special categories of patients

Pantogam syrup can be prescribed for newborns from the first day of life. Their dosage is selected individually, depending on the age of the patient and his general well-being.

The drug should not be prescribed to patients with severe kidney pathologies.

You should not take the drug in the first trimester, when the internal organs of the fetus are being laid.

Undesirable effects and cases of overdose

Despite the fact that in adults taking Pantogam can provoke emotional breakdowns, sleepwalking, in children, only allergic processes in the form of conjunctivitis, rhinitis, and skin manifestations are observed from adverse reactions. In this case, immediate withdrawal of treatment and the appointment of antihistamines are required.

If the dosage of the drug for the child is chosen incorrectly, then unwanted reactions from the brain may occur, such as:

• excitability or vice versa;

With the development of the above phenomena, it is necessary to reduce the dosage of the drug.

With an intentional or accidental overdose of syrup, there is an increase in negative reactions from the spinal cord and brain (tinnitus, headaches).

In this case, gastric lavage is indicated, the intake of adsorbing agents (Polysorb, Smecta, Neosmectin). Treatment is symptomatic, there is no specific antidote.

Pharmaceutical interaction

The active substance of Pantogam enhances the effect of anticonvulsants, prolongs the therapeutic effect of barbiturates. When taken in parallel, it eliminates unwanted reactions from antipsychotic drugs.

When used simultaneously, it potentiates the effect of local anesthetics such as novocaine.

The therapeutic effect of the drug is enhanced if it is taken simultaneously with and etidronic acid.

Dosing regimen

Pantogam syrup is allowed to be taken by children from birth. It should be taken 30 minutes after feeding. Since the drug has a nootropic effect, it is better to take it in the morning.

The pediatrician selects the dosage and duration of treatment for each child individually, depending on the pathology of the central nervous system and age:

• in children under 1 year old the daily dose may vary from 5 to 10 ml (500-1000 mg);
• up to 3 years from 5 to 12.5 ml;
• up to 7 years from 7.5 to 15 ml;
• schoolchildren from 10 to 20 ml.

A single dose for children of any age should be 2.5-5 ml, the maximum daily dosage is 3 g.

The course of treatment can vary from 1 to 4 months, and sometimes up to six months. The next reception is acceptable after 3-6 months.

During the first 7-12 days of admission, the dose should be gradually increased, then within 15-40 days the drug should be drunk at the maximum recommended dosage, then gradually reduce the daily dose over the course of a week until it is completely canceled.

Dosages of syrup depending on the disease:

With long-term treatment with Pantogam syrup, you should not take others at the same time, since it is possible to increase the negative effects of each of them.

The drug is a nootropic agent that helps restore metabolism in the brain. The drug is similar in its action to B vitamins. The active ingredient increases brain resistance to toxins and. The drug belongs to drugs of a mixed type, with anticonvulsant action.

Dosage form

Application features

During studies on pregnant women, no toxic effects on the fetus were found. However, the medicine in tablets during this period is not recommended.

If the treatment is prolonged, other nootropics that will stimulate the nervous system are not taken at the same time. At the beginning of the use of the drug, drowsiness may occur. Simultaneously eliminates headaches and frees the body from toxins.

Do not use in severe kidney disease. With caution - if the liver is impaired. The medication is stopped immediately if nausea occurs and, and if the mucous membranes turn yellow.

Overdose, shelf life and storage conditions

Overdose is expressed in drowsiness and increased side effects. In this case, the drug is stopped, the stomach is washed and drunk. stored at a temperature not exceeding twenty-five degrees. The shelf life of the tablets is four years. The drug is dispensed by prescription.

After taking the drug, the condition of children improves after a week. More effective remedy for children under ten years. has a mild effect, does not provoke overexcitation. Differs in safety (can be given to newborns) and a convenient form of release.

A nootropic drug that helps restore metabolic processes in brain tissues - Pantogam. The drug has its own characteristics due to the composition.

It is similar to the B vitamins, but at the same time has all the properties of nootropics.

Pantogam contains the main component - which improves brain function. Its main property is to increase the resistance of the brain to hypoxia and the effects of toxins.

The tool has anticonvulsant and sedative properties, has a beneficial effect on the mental work and memory of the patient. Increases efficiency, muscle tone of the gallbladder and bladder. Removes alcohol intoxication in chronic alcoholism.

Pharmacological properties and composition

Pantogam increases anabolic processes in neurons, reduces motor excitability. The specific effect of the drug is associated with its neurometabolic, neuroprotective and neurotrophic manifestations. It has low toxicity, does not cause allergic manifestations.

It has sedative and stimulating properties on mental abilities and performance. Improves blood circulation in the brain and enhances energy processes.

The drug is well absorbed from the gastrointestinal tract and seeps through the BBB. Most of it is concentrated in the kidneys, liver, stomach walls and skin. Comes out unchanged after two days. It is excreted from the body with urine, and a small part of it is taken with feces.

Pantogam is produced in the form of a syrup for children, tablets and capsules. The syrup is colorless or slightly yellowish in color, with a cherry smell. The active ingredients of the drug

• basic– calcium salt of hopantenic acid;
• auxiliary- glycerol, sorbitol, citric acid, aspartame, cherry flavor and water.

Produced in dark-colored bottles with a measuring spoon with a capacity of 100 ml.

Tablets - white in the form of a flat cylinder. Active ingredients:

• basic- calcium salt of hopantenic acid;
• auxiliary- methylcellulose, calcium stearate, magnesium hydroxycarbonate.

Tablets are produced in two dosages of the active substance: 250 mg and 500 mg.

Mechanism of action

The impact of Pantogam is based on the presence of gamma-aminobutyric acid, which is directly related to the spectrum of its action on the body.

The action of the drug consists in a direct effect on the GABAB-receptor-channel complex, as a result of which the brain becomes invulnerable to hypoxia and poisoning with toxins. It has anticonvulsant properties, relieves motor excitability and increases anabolic processes in neurons.

Application area

For what purpose and why do specialists prescribe Pantogam to their patients:

Contraindications to the appointment

The remedy has contraindications that are taken into account before taking. These include:

• intolerance to the active or auxiliary component;
• acute renal failure;
• childbearing and breastfeeding.

Children under 3 years of age should not be given medicine in tablets - a special syrup is made for them.

Tactics and strategy for receiving funds

Pantogam in tablets or syrup for children is taken orally after a meal in half an hour. It is necessary to drink the medicine before 16-00, in the evening or at night the drug is not taken, otherwise it will be difficult to fall asleep.

Dose for single use in adult patients - 250-1000 mg, per day - 1.5-3 g. Children - 250-500 mg and 750-1000 mg, respectively.

Therapy is long - from a month to four, and sometimes up to six months. Repeated treatment should be started after 3-6 months of break. The dosage directly depends on the disease, so the independent use of the drug is strictly prohibited.

The drug is used in combination therapy with other drugs.

From the instructions it follows that the approximate dosages of Pantogam for adults, depending on the disease, are as follows:

This dosage is designed for the use of tablets and syrup. During treatment, adjuvant therapy with other drugs of the same group is not allowed.

Children's dosages

The treatment regimen implies a slow increase in the dose over 7-12 days, then there is therapy with a maximum dose of 15-40 days, followed by a 7-day dose reduction until the end of the use of the drug. Repeated treatment is possible after 1-3 months.

Cases of overdose and "side effects"

If you mistakenly take a larger amount of the drug, there is an increase in adverse reactions: drowsiness, insomnia, and.

It is necessary to perform a gastric lavage, drink activated charcoal or Smecta. Treat symptoms as needed. An overdose occurs when an overdose of the drug is mistakenly taken, for each person this indicator is individual.

Side effects from taking Pantogam include allergic manifestations:

• rhinitis;
• conjunctivitis;
• skin rashes.

To eliminate them, a dose reduction or complete withdrawal of the drug is required. Often there is insomnia or drowsiness, noise and pain in the head. Cancel treatment is not worth it - this is a short-term phenomenon.

special instructions

If the treatment is long-term, it is impossible to use other nootropic drugs that stimulate the nervous system simultaneously with the drug.

At the beginning of treatment, drowsiness may occur, so it is necessary to carefully perform potentially hazardous types of work and drive a car. A break after treatment is at least 1-3 months.

During treatment, the use of alcoholic beverages is unacceptable. But it is also known to relieve hangovers well. In that case, it is worth taking it only in tablets and not earlier than 12 hours after the last serving of alcohol consumed. Pantogam relieves headaches, restores efficiency and relieves intoxication.

Pantogam is not recommended for severe kidney disease. Also taken with caution in acute liver dysfunction. If nausea, vomiting and yellowness appear on the mucous membranes and skin, the drug should be discontinued.

Interaction with other drugs

Pantogam increases the duration of action of barbiturates, enhances the properties of anticonvulsant drugs and the effect of local anesthetics (novocaine). Does not give the development of side effects in the treatment of neuroleptics, and.

Increases the effect of etidronic acid preparations.

During pregnancy and lactation

Pantogam does not have a toxic effect on the fetus, but it should not be used in the first trimester. The remedy in the form of a syrup can be taken from the beginning of the second trimester.

The active substance passes into breast milk, so breastfeeding and simultaneous treatment should be abandoned.

Complex of opinions

According to doctors, Pantogam is effective in the treatment of children under 10 years of age. For adults, this is too weak a remedy.

In children, improvement occurs within a week. The action of the drug is mild, it does not overexcite the child. Differs in a convenient form of release, safety, reasonable price. The downside is the possibility of an allergic reaction, skin rashes.

There are many reviews on the network from parents of children who were treated with this drug. Many mothers did not understand the reasons for prescribing this medication and did not begin to undergo treatment.

Some note that after the start of therapy, disturbances occurred in the gastrointestinal tract, and increased excitability in the child was also observed. But there are still much more positive reviews about Pantogam, the drug helped to cure the consequences of TBI, the condition of newborns improved significantly, and other positive results are noted.

Adult patients notice a significant improvement in chronic fatigue, insomnia and stress.

Based on the advice of patients, the drug should not be used for prophylactic purposes, therapy should be prescribed by a doctor according to indications. This is due to the possible manifestation of allergic symptoms, which can harm the health of the patient.

Purchase of the drug and its analogues

Pantogam price:

• tablets 500 mg 50 pieces- 500 rubles;
• tablets for children from 3 years 250 mg 50 pieces- 300 rubles;
• syrup 10% bottle 100 ml- 300 rubles.

Tablets are recommended to be kept in a dry place where there is no access to children and the temperature does not exceed 25 degrees. Tablets 250 mg are suitable for up to 4 years, 500 mg - 3 years, syrup - 2 years, an open bottle can be kept for only a month in a cold place.

The drug is dispensed in a pharmacy by prescription from a doctor.

Analogues of Pantogam:

• Pantocalcin;
• Gopantam;
• Phenibut.

Pantogam is an ideal drug for the treatment of children's problems with brain pathologies and other disorders of the nervous system. The ability to use it from birth gives it a huge advantage over other nootropics.