Cheap analogue of mydocalm. The best analogues of Mydocalm: analysis of instructions for use, reviews and prices. When the remedy is shown

What effective and cheap means can replace Mydocalm? The cost of substitutes in pharmacy chains

Mydocalm is an effective and effective medication that is prescribed in order to ease the resulting muscle spasm.

The drug from the Hungarian manufacturer, provides analgesic effect, and also improves blood circulation. The drug Mydocalm has cheap, but no less effective analogues.

Let us consider in more detail: what the medication helps with and how it can be replaced.

Release form of the drug

The drug is produced in tablet form and in ampoules.

Tablets have round shape. Contain 50 or 150 mg of the main component - tolperisone hydrochloride. One package of medication contains 30 tablets.

Ampoules are intended for the introduction of a solution by injection. The ampoule has a volume of 1 ml, which contains 100 mg of the active substance, as well as 2.5 mg of an anesthetic called Lidocaine. In one package - 5 ampoules.

When the remedy is shown

  • Muscle hypertonicity, which was caused by a neurological disease;
  • Dysfunction cerebral circulation, in particular sclerosis;
  • Children's cerebral paralysis- Little's syndrome;
  • Any arthrosis;
  • Recovery of the body after surgical interventions (the field of traumatology or orthopedics);
  • post-thrombotic state.

Can the drug be used by pregnant women?

Therapeutic treatment during the period of expectation of a child is highly discouraged, especially being in the first stages of pregnancy. Only the attending physician should determine whether this medicine can be prescribed. This also applies to mothers who are breastfeeding.

Side effects during therapy

The drug is well tolerated and almost never causes bad concomitant reactions of the body. But very rarely, such cases are possible:

  • urge to vomit;
  • Stomach ache;
  • low blood pressure;
  • Headache;
  • General feeling of weakness;
  • Allergy - manifests itself on the skin in the form of itching and rash.

Instructions for use

The standard recommended dose for adults per day is 150 mg of the drug. It will be enough to take 3 doses per day, 1 tablet. In the event of more severe spasms, the attending physician is likely to significantly increase the dose.

As for children, they should drink no more than 1 tablet per day, which should be divided into several parts. It is also allowed to grind the tablet to a powder-like state. Maximum duration therapy with this drug - no more than 10 days.

The agent in the form of injections is administered intramuscularly (100 mg, 2 times a day) or slowly and intravenously (100 mg, 1 time per day).

The undoubted advantage of this medication is its compatibility and the possibility of using it in conjunction with others. medicines. Besides, alcoholic drinks do not affect the action of the drug, respectively, their use is not contraindicated during treatment.

How much does Mydocalm cost? Price in pharmacies

The drug in tablet form will cost the patient in the amount of 350 to 480 rubles. The average price for injection ampoules is 580 rubles. The cost directly depends on the content of the active ingredient and the region where the medicine is sold.

List of inexpensive and similar substitutes

The tool has several similar medicines much cheaper. In the course of the analysis of the most famous online pharmacies, analogues and their price were determined.

Baklosan - (Poland)

The Polish pharmaceutical company offers the drug to people who suffer from multiple sclerosis, diseases of the spinal cord, which has an infectious, traumatic or degenerative origin. In addition, the list of indications includes cerebral palsy, meningitis, as well as traumatic brain injury.

These tablets should not be used by hypersensitive, drug-allergic patients, patients with epilepsy, and those who have serious illnesses kidneys. In addition, the tablets should not be taken by pregnant and breastfeeding women. Baklosan is not recommended for patients aged or children under 12 years of age.

Negative effects during treatment may include gag reflexes, craving for sleep, fatigue, difficulty in defecation and urination, diarrhea, and lowering blood pressure.

Sirdalud - (Switzerland)

The Swiss analogue makes it possible to relieve muscle spasm in the pathologies of the spine, in particular osteochondrosis. In addition, indications include sclerosis, chronic myelopathy, cerebral circulatory disorders, stroke, and paralysis.

Sirdalud should not be taken by those who are prone to allergic reactions to substances and patients with dysfunction and liver disease.

The therapy may cause some side effects. Usually this is a rare heartbeat, low blood pressure, dry mouth, weakness in the muscles, as well as rapid fatigue.

Tolperizon-OBL - (Russian inexpensive analogue)

Domestic manufacturer, produces the most affordable analogue Mydocalma, which contributes to the treatment of spinal and cerebral palsy, as well as diseases associated with atherosclerosis of blood vessels and muscle spasms. In addition, Tolperisone-OBL can be prescribed for post-thrombotic disorders of venous circulation. Unlike the previous remedy under consideration, epilepsy is included in the list of indications.

It is not prescribed for children under 1 year old, with myasthenia gravis, women in position, and those in the period breastfeeding women, as well as patients who are intolerant to one or another component of the drug.

In the form of phenomena that manifest side effects, there may be a headache, vomiting, a decrease in blood pressure. Most often, patients have allergies - urticaria, itching and rash.

Conclusions on inexpensive and similar means

The drug Mydocalm has a large number of benefits. However, there is only one drawback that crosses out all the pluses - enough high price(though not critical).

Despite this, enough manufacturers of pharmaceutical products, offer their cheap, no less effective substitutes. All considered analogs have a tablet form, one of them completely coincides in composition.

Don't forget that self-treatment does not lead to anything good, which is why you need to see a doctor who will prescribe the necessary remedy.

Source: http://analogi-deshevle.ru/midokalm-cena-spisok.html

Cheap analogues of Mydocalm

Muscle tone, which occurs during the development of many diseases, causes significant discomfort and pain.

To eliminate these unpleasant symptoms experts recommend taking muscle relaxants that have a relaxing effect on muscle tissue.

The most effective, according to most doctors, is Mydocalm, but its analogues can also be used.

About the drug

Medication Mydocalm is intended to eliminate neurological symptoms, expressed in the form of muscle spasms and disorders metabolic processes in tissues.

The drug is produced in the form of tablets with a dosage of 50/150 mg. You can also buy Mydocalm Richter in ampoules.

Medicine domestic production developed on the basis of the active ingredient - tolperisone hydrochloride.

Instructions for use include indications:

  • bone pathology and muscular systems manifested in the form of spasmodic attacks;
  • cerebral palsy (spastic);
  • various forms of encephalopathy, accompanied by muscle dystonia;
  • multiple sclerosis or stroke;
  • encephalomyelitis or myelopathy;
  • in postoperative period(at surgical intervention on muscle tissue)
  • atherosclerosis (obliterating);
  • intermittent dysbasia;
  • Raynaud's disease;

Contraindications:

  • age up to 12 months;
  • myasthenia gravis;
  • sensitivity to medicinal components.

Mydocalm in ampoules is not prescribed for an allergic reaction to the drug - lidocaine.

The side effect is expressed in the form of a decrease in blood pressure, nausea, vomiting, as well as an allergic reaction.

The price of the medicine is from 340 rubles for 30 tablets (50 mg) and from 550 rubles for a pack of 5 ampoules.

Analogues

The drug belongs to centrally acting muscle relaxants, therefore, if necessary, replace Mydocalm, analogues are selected from drugs of the same group. All Russian and foreign medicines are prescription.

Good analogues are:

  • Tolperisone;
  • Baklosan;
  • Baclofen;
  • Sirdalud;
  • Miolgin.

The high cost of Mydocalm is often the reason why patients ask their doctor to find more cheap analogue Mydocalma.

Despite the fact that many analogues of Mydocalm are cheaper than the original, the effect of therapy is the same.

The composition of the preparations may contain different active substance, which is the main difference between medicines.

Tolperisone

The muscle relaxant Tolperisone has a central effect aimed at restoring the state of nerve fibers and eliminating muscle spasms. The drug has the same active ingredient.

Tolperison and Mydocalm are synonyms that have similar pharmacological properties. Unlike the original, the substitute is not available in ampoules, but only in tablet form.

Indications:

  • parkinsonism;
  • spinal or cerebral palsy;
  • muscle hypertonicity;
  • acrocyanosis;
  • angioedema dysbasia;
  • muscle spasms different nature occurrence;
  • arterial obliterating diseases;
  • children's paralysis of a spastic form;
  • vascular encephalopathy of genesis;
  • epileptic pathologies.
  • up to 18 years;
  • with intolerance to any constituent components;
  • with the development of myasthenia gravis;
  • women during lactation.

If side effects occur, the patient has a severe migraine, weakness, blood pressure decreases, and an allergic reaction is possible.

Price for 150mg tablets. - from 260 rubles, 50 mg. - from 170 rubles.

Baklosan

The drug Baclosan has a muscle relaxant effect in muscle spasms, inflammation and tension of nerve fibers.

The main component is baclofen, which is contained in tablets (release form) at a dose of 10/25 mg.

Indications for use Baklosan:

  • diseases of the cerebrovascular type;
  • skull and brain injuries;
  • multiple sclerosis;
  • meningitis;
  • cerebral palsy;
  • diseases of the musculoskeletal locomotive apparatus associated with inflammation of the spinal cord.

Contraindications to taking the medicine:

  • epilepsy;
  • ulcerative lesions of the gastrointestinal tract;
  • Parkinson's disease;
  • psychoses;
  • carrying a fetus by a woman;
  • breastfeeding;
  • allergy to the medicinal composition.

Side effects may affect different systems organism. Possible disruption of the brain, gastrointestinal tract, urinary process, blood pressure, as well as the occurrence of weakness in the muscles.

An analogue of Mydocalm - Baklosan has a cost of 250 rubles for 50 tablets.

Baclofen

You can replace the original remedy with Baclofen. The drug has a spasmological and adrenoblocking effect.

The difference between Mydocalm and its analogue is the composition. Beclofen contains the main substance of the same name. The drug is available in the form of conventional tablets with a dosage of 10 or 25 mg.

  • paralytic syndromes;
  • brain damage;
  • spinal cord diseases;
  • heart attack or stroke;
  • spasms or convulsions.

Baclofen has contraindications in the form of:

  • intolerance to the components of the drug;
  • ulcer of the intestine or stomach.

Reviews about the drug indicate that side effects rarely occur, however, their symptoms can be intense.

Signs of a negative reaction include worsening general condition patient, mental disorder and emotional state, the work of the heart and circulatory system, the appearance of an allergic reaction.

Considering analogues cheaper than Mydocalm, you can pay attention to this drug. Its cost is from 250 rubles (50 tabs).

Sirdalud

Another inexpensive analogue of the popular muscle relaxant is Sirdalud. Turkish-made medication effectively affects the muscles and nerve fibers person, helping to relieve stress and prevent inflammatory process in them.

The composition of Sirdalud includes - tizanidine, which has a directed effect on the spinal cord, controlling the functionality of the entire system of the musculoskeletal system.

As well as other analogues of the drug containing tizanidine, the drug is prescribed for indications:

  • spasmodic condition of the muscles, accompanied by painful sensations;
  • lumbar pathology or cervical spine with impaired functionality;
  • postoperative period in diseases of the musculoskeletal system;
  • neurological pathologies with inflammation of muscle tissue.

Sirdalud is not prescribed to patients with impaired liver function, under the age of 18 years and at the risk of an allergic reaction to the medicinal composition.

An adverse reaction may cause serious complications from many organs and systems of the body. In most cases, reviews of the drug report problems with the gastrointestinal tract, headaches and severe weakness.

The cost for 30 tablets of Sirdalud is from 200 rubles.

Miolgin

If you want to find cheap analogues of Mydocalm, then you should not forget about generics. Miolgin (Egypt) is considered one of the best foreign-made muscle relaxants.

Miolgin is produced in tablets containing chlorzoxazone in combination with paracetamol.

  • muscle spasms;
  • consequences of injuries of muscle and joint tissue;
  • myositis;
  • headaches;
  • arthritis (rheumatoid);
  • osteoarthritis;
  • spastic torticollis;
  • pathologies of the spinal type;
  • various forms of cerebral palsy.

Substitute Mydocalm 150 mg. should not be taken for blood disorders, liver problems, women who are breastfeeding and during pregnancy, as well as children under twelve years of age.

Side effects include: allergies, thrombocytopenia, anemia, dizziness and weakness.

The price of Miolgin is from 230 rubles.

Conclusion

It is difficult to determine which of the above medicines is better, since each drug has an individual effect on the body.

However, it should be clarified that Mydocalm's analogues in ampoules are not available. As you know, injections have a stronger effect, and the effect of them comes faster.

Perhaps for this reason, many experts believe that Mydocalm is better than its substitutes.

Source: https://medanalogi.com/m/midokalm.html

If the drug Mydocalm is considered, analogues are often offered cheaper, but are characterized by a similar effect.

To replace this medicine for products of another brand, it is necessary to find out what type of active substance is included in the composition and determine if the dosage is appropriate.

Mydocalm is offered in different forms such as tablets and ampoules. Both options are interchangeable.

However, the difficulty lies in the fact that the amount of active substance in ampoules and tablets varies. The search for analogues of the drug Mydocalm should be carried out among muscle relaxants with analgesic action.

The drug Tolizor

Contains the active ingredient - tolperisone hydrochloride. This substance is characterized by a muscle relaxant effect. The medicine is offered in capsules.

Tolizor is a cheap analogue of Mydocalm. The minimum cost of the drug is 212 rubles.

(150 mg), the maximum can be 2-3 times more, it all depends on the number of capsules in the package and dosage active ingredient.

For comparison, Mydocalm is offered at average price 330 rub. The upper limit of the cost of this tool is 820 rubles.

So we can talk about savings when using the analog Tolizor. Mydocalm is produced in Hungary (Gedeon Richter), you can choose injections or tablets.

Tolizor is domestic substitute of this drug.

The principle of action of the drug is not fully understood: the active compound accumulates in the central nervous system, brain stem and spinal cord.

The substance tolperisone inhibits the spinal reflex arcs, along with this, it blocks the process of conducting excitation.

In many ways, the drug resembles the action of lidocaine: when it is used, a decrease in the activity of motor neurons is observed. As a result, spinal reflexes are suppressed.

The main effect of the drug is pain relief. Auxiliary properties: antispasmodic and vasoconstrictor.

The drug is indicated for the following pathological conditions:

  • cerebral palsy, spinal palsy;
  • muscle spasm;
  • diseases of blood vessels, arteries;
  • epilepsy;
  • violations venous circulation, lymph circulation;
  • hypertonicity.

Contraindications:

  • hypersensitivity to the active ingredient of the drug;
  • age under 18;
  • the period of bearing a child and breastfeeding;
  • myasthenia.

The drug Tolizor can cause nausea, vomiting, headache. It should be taken with caution, as allergic reactions are noted among the side effects, which can manifest as urticaria, bronchospasm, and even anaphylactic shock.

Means Tolperisone

If the drug Mydocalm 150 is considered, analogues are usually cheaper. Medicines are often used Russian production. Tolperisone is offered at an average price of 250 rubles.

/packing (30 pcs.). The product contains the active substance tolperisone hydrochloride. The principle of its operation was discussed above.

This means that both Tolperizon and Tolizor, as well as Mydocalm, are equally effective.

The drug in question is offered in tablets. According to the indications, Tolperisone is similar to Tolizor. Both drugs are used for the same diseases. It is noted that Tolperisone is contraindicated in children under one year old.

Allergic reaction, gastralgia, myasthenia are other side effects of this remedy.

The drug Miolgin

Unlike the previously discussed drugs, Miolgin is an analogue of Mydocalm not in terms of the active substance, but in terms of the principle of action that it has on the body. The composition includes two components: paracetamol and chlorzoxazone.

Miolgin is positioned as a muscle relaxant drug with analgesic properties.

Chlorzoxazone relieves spasms, and paracetamol helps eliminate pain syndrome, contributes to the normalization of body temperature, is characterized by a weak anti-inflammatory effect.

Indications for the use of Miolgin:

  • spastic conditions of muscles that develop with certain pathologies;
  • torticollis, spinal diseases, injuries;
  • cervical radicular syndrome;
  • lumbago;
  • headache.

Dosage of active ingredients in 1 tablet: 300 mg of paracetamol, 250 mg of chlorzoxazone. Not recommended during pregnancy, lactation, liver failure.

Contraindications include age up to 12 years, diseases of the circulatory system, deficiency of glucose-6-phosphate dehydrogenase. As with any drug, Myolgin should be used with caution, observing individual reaction organism.

While taking this medication, a number of side effects may occur:

  • sleep disturbance;
  • dizziness;
  • headache;
  • change in color of urine (becomes dark);
  • allergic manifestations (rash on the skin);
  • malfunction of the digestive system (nausea, heartburn);
  • bleeding;
  • nephrotoxicity.

Medicine Sirdalud

Manufactured in Switzerland (Novartis). Release form - tablets. The cost varies from 185 to 600 rubles. The price depends on the dosage of the active substance.

This tool is an analogue of the drug Mydocalm, but not according to the main component, but according to the principle of action on the body. The active compound is tizanidine.

Its dosage in 1 tablet: 2-6 mg.

The drug Sirdalud has a significant advantage over analogues. It lies in the fact that the active substance is released in a special way - in equal amounts throughout the day.

This drug is a group of muscle relaxants. The end result of its influence on the body is the suppression of excitation transfer processes. As a result, there is a decrease muscle tone.

In addition, Sirdalud is a moderate analgesic.

The drug provides the result quickly, since in 1 hour the active substance is completely absorbed. The active ingredient is removed in 2-4 hours. Sirdalud is indicated for a number of pathological conditions:

  1. Diseases of the spine, accompanied by muscle spasms and pain syndrome: osteochondrosis, spondylosis, syringomyelia, etc.
  2. Changes in the structure of hard and soft tissues of the joints, for example, with osteoarthritis of the hip.
  3. The postoperative period, when manipulations were performed to restore functionality spinal column.
  4. Neuralgia in cases where a spastic condition of the muscles is manifested. This can occur with such diseases: spinal cord pathology, multiple sclerosis, skull trauma, stroke, cerebral palsy, convulsions of any origin.

Sirdalud also has contraindications. These include liver dysfunction, hypersensitivity to the active ingredient. In addition, it is forbidden to use this medicine along with CYP1A2 inhibitors, as well as fluvoxamine and ciprofloxacin.

During lactation, Sirdalud is not used, since the active ingredient in a small amount penetrates into mother's milk.

The effect of the drug on the fetus has not been studied, therefore, it can be used when carrying a child only if the benefit outweighs the possible harm.

The side effects of Sirdalud are more than those of analogues:

  • hypotension, bradycardia;
  • work disorders gastrointestinal tract, nausea, feeling of dryness in the oral cavity;
  • changes in the liver (increased activity of transaminases);
  • feeling tired, weak.

Sirdalud may affect alertness and concentration. An overdose is possible, while there is a decrease in blood pressure, weakness, nausea, dizziness, drowsiness, breathing is sometimes disturbed, the patient falls into a coma.

Baclofen tablets

This remedy is less often chosen to replace Mydocalm than the considered analogues. Baclofen is offered in tablet form.

The product contains the active substance of the same name, its chemical name- beta-4-chlorobenzene propanoic acid.

It is a muscle relaxant, has an effect on neuromuscular transmission.

The main reason for the rare use is a significant number of contraindications:

  • violations nervous system, psychosis, epilepsy, Parkinson's disease;
  • period of pregnancy and lactation;
  • kidney dysfunction.

If pathologies such as cerebrovascular insufficiency, vascular atherosclerosis are diagnosed, peptic ulcer stomach and intestines, Baclofen should be used with extreme caution. Restriction on use this tool is for children (up to 12 years old) and elderly age. A large number of side effects are noted:

  • disorders of the nervous system: dizziness, confusion, drowsiness, euphoria or the opposite state (depression), tremor, convulsions;
  • problems at work digestive tract: nausea, vomiting, stool disorders;
  • enuresis;
  • liver dysfunction;
  • hypotension;
  • respiratory dysfunction.

The regimen of the drug varies depending on the age of the patient.

Source: https://OrtoCure.ru/preparaty/midokalm-zameniteli.html

Mydocalm is a drug from the group of centrally acting muscle relaxants, which is used for complex treatment diseases of the nervous and musculoskeletal systems accompanied by abnormal muscle tone or spasticity of the striated muscles.

The drug is available in the form of tablets and solution for injection. The appointment of a doctor and familiarity with the instructions before use is required. If necessary, you can pick up cheaper analogues of Mydocalm, which have a similar pharmacological effects, but may differ in composition and cost.

Mydocalm is produced at two factories.

  1. The Russian-made medicine is produced in the form of film-coated tablets.
  2. Injection form - ampoules with a solution for intramuscular and intravenous injections Mydocalm, is produced in Hungary by the pharmaceutical company Gedeon-Richter and has tradename"Mydocalm-Richter".

In one package of the drug there are 30 tablets containing 50 or 150 mg of the active substance, or 5 ampoules with a volume of 1 ml.

The shelf life of the drug is 3 years. Ampoules are stored at a temperature of 8° to 15°, for tablets temperature regime ranges from 15° to 30°.

Pharmacological action of Mydocalm

The pharmacological properties of the drug are determined by the properties of tolperisone, an active substance that affects neuromuscular transmission (included in the list of vital drugs).

Mydocalm has a weak antispasmodic effect. By blocking the conduction of certain types of impulses in the central nervous system, the active component reduces its reflex activity.

The drug also enhances blood flow in peripheral arteries and vessels, inhibits the release of calcium ions at the points of contact between two neurons (synapses) and reduces the activity of pain and inflammation mediators.

With severe pain syndrome, Mydocalm is prescribed in the form of injections, since this dosage form contains the local anesthetic drug lidocaine hydrochloride.

Lidocaine has 100% absorption and reaches its maximum concentration within 30-40 minutes after drug administration.

Metabolites of lidocaine bind to plasma proteins by 60-80%.

Bioavailability Mydocalm tablets is no more than 20%. To achieve a pronounced therapeutic effect, it takes about 1 hour from the moment of administration.

Indications for use

The main indications for the appointment of Mydocalm is pathological muscle tone, muscle spasms and contractures caused by diseases of the central nervous system or pathologies of the musculoskeletal system.

The composition of the combined treatment regimens Mydocalm can be included in vascular diseases that occur against the background of their obliteration (narrowing), leading to spasms and impaired patency. If necessary, the drug can also be prescribed to patients with diseases vascular system in which violations of connections with the cells of the central nervous system were revealed.

The list of indications for the appointment of Mydocalm includes the following diseases:

  • destructive-dystrophic diseases of large joints;
  • chronic deformity of the vertebrae of the cervical, thoracic and lumbar resulting from the growth bone tissue and the formation of bone protrusions on the surfaces of the vertebral bodies (spondylosis);
  • limitation of mobility of the spinal column caused by destruction and inflammation of the intervertebral joints (spondylarthrosis);
  • pain syndromes in the lumbar region (lumbago) and neck (cervical facet syndrome);
  • acute violation of blood circulation in the vessels of the brain (cerebral stroke);
  • damage to the myelin sheath that covers the nerve fibers of the bone marrow and brain (multiple sclerosis);
  • dystrophy of the spinal cord, not associated with the inflammatory process;
  • diffuse change connective tissue, manifested by hardening, thickening of the skin and scarring (diffuse scleroderma).

Mydocalm can be used during rehabilitation and recovery after injuries and orthopedic treatment using surgical methods.

The remedy is widely used in the treatment of cerebral palsy, organic non-inflammatory brain lesions and other conditions accompanied by muscular dystonia.

Mydocalm tablets are approved for use from the age of three. AT childhood the daily dosage of the drug is:

  • up to 6 years - 5 mg / kg;
  • from 7 to 14 years - 2-4 mg / kg.

Adolescents over 14 years of age and adult patients should start treatment with a minimum therapeutic dose 50 mg.

Take the tablets 2-3 times a day after meals.

After 1-2 weeks of therapy, the daily dosage should be increased to 450 mg (3 tablets of 150 mg).

The solution for injection must be injected deep into the muscle 2 times a day, 1 ampoule. If the drug is administered intravenously, one application per day is sufficient.

The duration of therapy depends on the dynamics of treatment, the general condition of the patient and is calculated individually.

Contraindications

Treatment with Mydocalm is contraindicated in patients with severe forms of myasthenia gravis (asthenic bulbar paralysis) - a neuromuscular disease that manifests itself pathologically fatigue striated muscle fibers.

Pregnant and lactating women, the appointment of the drug is also not recommended due to the lack of sufficient data on the safety of its constituent components.

Mydocalm in the form of tablets is contraindicated in children under 3 years of age.

Lidocaine, which is part of the solution for parenteral administration, often causes allergic reactions, therefore, if symptoms of an allergy appear or a history of a history of allergy to lidocaine occurs, treatment with the drug should be discontinued.

Side effects

The most common side effects when taking Mydocalm tablets are disorders of the digestive tract. The patient may feel nausea, heaviness in the abdomen, bloating and discomfort. If the dosing regimen is not followed, a single vomiting is possible.

Long-term medication in large doses It can also cause headaches and low blood pressure.

Patients with myasthenia gravis may experience severe muscle weakness(up to complete immobilization).

From allergic reactions in patients were recorded skin manifestations(rash, itching, urticaria, erythema). In isolated cases, patients developed angioedema and anaphylactic reactions, in most cases provoked by an allergy to lidocaine.

There are no data on cases of overdose. In case of accidental excess of the daily dose, it is recommended to wash the stomach with a gastric tube, take sorbents and saline solutions. There is no specific antidote for Mydocalm.

Interaction with other drugs

Tolperisone, which is part of the drug Mydocalm, can increase the concentration of niflumic acid in the blood, so if you need to take these drugs simultaneously, you need to correct the regimen.

There are also drugs that can enhance the effect of Mydocalm. These include:

  • means for local anesthesia(Ultracain, Novocain);
  • Clonidine (antihypertensive drug);
  • psychotropic drugs;
  • muscle relaxants of peripheral action.

Mydocalm does not provide sedative action and can be used in combination with sleeping pills and sedatives. At simultaneous reception tolperisone with ethanol, no change in the effectiveness of treatment was recorded.

Price

Mydocalm belongs to the middle price category. The cost of the medicine in pharmacies in Russia is:

  • pack of 30 tablets 150 mg - 334 rubles;
  • pack of 30 tablets 50 mg - 291 rubles;
  • pack of 5 ampoules of 1 ml - 473 rubles.

On the territory of Ukraine, the drug can be bought at a price of 166 hryvnia.

Analogues are cheaper

Mydocalm is a rather expensive drug, so if necessary, it can be replaced with one of the analogues listed below.

  • Tolperisone-OBL.The drug is in the form of film-coated tablets. The cost of one package is 169 rubles.
  • Tolizor.The drug from the group of muscle relaxants in the form of capsules for oral administration. The cost is 278 rubles.
  • Calmirex.Combined medicine, contains tolperisone and lidocaine. Can be used as a replacement injections Mydocalm. average cost one package of 5 ampoules is 347 rubles, a package of 10 ampoules will cost from 585 rubles.

Modern pharmacology is famous for its rich assortment. For almost every drug today, you can choose a budget one or, conversely, a more expensive one, similar in effect. Mydocalm was no exception - a popular drug, of which there are many analogues. In the article we will talk about the most effective and commonly used substitute medicines for Mydocalm.

Indications for use Mydocalm

Mydocalm - modern drug, quickly and effectively eliminating pain syndrome. Although the drug is considered harmless, it is not recommended to use it without the appointment of a specialist.

Mydocalm and its analogues are prescribed in the following cases:

  1. The drug is effective in the brain. Shown Mydocalm and ischemic stroke.
  2. Very often, the remedy is prescribed for cholelithiasis and renal colic.
  3. Women with the help of Mydocalm get rid of menstrual pain. This medication is also indicated for the threat of miscarriage caused by hypertonicity of the muscular structures of the uterus.
  4. The drug will help to cope with pain caused by osteochondrosis and osteoarthritis.

Both Mydocalm and its analogues are available in ampoules and tablets and are suitable for both adults and children. The specialist appoints the regimen for each case individually. The maximum daily dose drug for an adult should not exceed 450 mg.

Like any other medicine, Mydocalm has a number of side effects, such as nausea and general weakness. Sometimes (but quite rarely) after taking the remedy, itching and rashes may occur.

The most popular analogues of the drug Mydocalm

In the pharmaceutical market, this drug has been known for quite a long time and is quite popular. Like any other remedy, Mydocalm has a number of analogues - drugs that have a similar composition and pharmachologic effect. The main difference between these drugs in the mechanism of action on the body. Most analogues are in the same price category as Mydocalm, but if you wish, you can find both cheaper and more expensive drugs.

So, the list of the most popular analogues of the drug Mydocalm is as follows.

Miolgin

The drug, which contains paracetamol, thanks to which this remedy not only effectively anesthetizes, but also relieves fever. A medication is prescribed for sprains and muscle strains, to combat neuralgia. Miolgin is also effective at. It is not recommended to take the drug for pregnant women and nursing mothers, it is recommended to find another medicine for children under eighteen.

Sirdalud

Another popular analogue. it potent agent which is enough to take once a day. And accordingly, the side effects in this case will be minimal. Sirdalud is great for even the most painful muscle spasms. Take the medication carefully, because it can cause drowsiness and excessive fatigue.

Tolperisone

An analogue of Mydocalm, available both in injections and in tablets. The main advantage of this medication is that in almost all pharmacies its cost is two times lower than Mydocalm. Tolperisone - affordable and effective remedy used to treat increased muscle tone. The drug is actively used for successful recovery in the postoperative period.

Baclofen

Rarely used analogue of Mydocalm. The drug is known large quantity side effects, and therefore it is prescribed in extreme cases.

It is important to understand that when choosing an expensive or cheap analogue of Mydocalm, just reading the instructions for use will not be enough. It is necessary to choose a medicine responsibly, strictly following the instructions of the attending physician.

If the drug Mydocalm is considered, analogues are often offered cheaper, but are characterized by a similar effect. To replace this medicine with another brand, you need to find out what type of active substance is included in the composition and determine if the dosage is appropriate. Mydocalm is offered in different forms, such as tablets and. Both options are interchangeable. However, the difficulty lies in the fact that the amount of active substance in ampoules and tablets varies. The search for analogues of the drug Mydocalm should be carried out among muscle relaxants with analgesic action.

The drug Tolizor

Contains the active ingredient - tolperisone hydrochloride. This substance is characterized by a muscle relaxant effect. The medicine is offered in capsules. Tolizor is a cheap analogue of Mydocalm. The minimum cost of the drug is 212 rubles. (150 mg), the maximum can be 2-3 times more, it all depends on the number of capsules in the package and the dosage of the active ingredient.

For comparison, Mydocalm is offered at an average price of 330 rubles. The upper limit of the cost of this tool is 820 rubles, so we can talk about savings when using the analogue Tolizor. Mydocalm is produced in Hungary (Gedeon Richter), you can choose either tablets. Tolizor is a domestic substitute for this drug.

The principle of action of the drug is not fully understood: the active compound accumulates in the central nervous system, brain stem and spinal cord. The substance inhibits the spinal reflex arcs, along with this, it blocks the process of conducting excitation. In many ways, the drug resembles the action of lidocaine: when it is used, a decrease in the activity of motor neurons is observed. As a result, spinal reflexes are suppressed.

The main effect of the drug is pain relief. Auxiliary properties: antispasmodic and vasoconstrictor.

The drug is indicated for the following pathological conditions:

  • cerebral palsy, spinal palsy;
  • muscle spasm;
  • diseases of blood vessels, arteries;
  • epilepsy;
  • violations of venous circulation, lymph circulation;
  • hypertonicity.

Contraindications:

  • hypersensitivity to the active ingredient of the drug;
  • age under 18;
  • the period of bearing a child and breastfeeding;

The drug Tolizor can cause nausea, vomiting, headache. It should be taken with caution, as allergic reactions are noted among the side effects, which can manifest as urticaria, bronchospasm, and even anaphylactic shock.

The dosage of the drug in tablets increases as it is taken, only the doctor calculates it.

Means Tolperisone

If the drug Mydocalm 150 is considered, analogues are usually cheaper. Russian-made medicines are often used. offered at an average price of 250 rubles / pack (30 pcs.). The product contains the active substance tolperisone hydrochloride. The principle of its operation was discussed above. This means that both Tolperizon and Tolizor, as well as Mydocalm, are equally effective.

The drug in question is offered in tablets. According to the indications, Tolperisone is similar to Tolizor. Both drugs are used for the same diseases. It is noted that Tolperisone is contraindicated in children under one year old. Most analogues are recommended to be taken at an older age (from 18 years of age). While taking Tolperisone, pressure may decrease, which is usually manifested by nausea, vomiting. Allergic reaction, gastralgia, myasthenia gravis are other side effects of this remedy.

Unlike the previously discussed drugs, Miolgin is an analogue of Mydocalm not in terms of the active substance, but in terms of the principle of action that it has on the body. The composition includes two components: paracetamol and chlorzoxazone. Miolgin is positioned as a muscle relaxant drug with analgesic properties. Chlorzoxazone relieves spasms, and paracetamol helps eliminate pain, helps to normalize body temperature, and is characterized by a weak anti-inflammatory effect.

Indications for the use of Miolgin:

  • spastic conditions of muscles that develop with certain pathologies;
  • torticollis, spinal diseases, injuries;
  • cervical radicular syndrome;
  • lumbago;
  • headache.

Dosage of active ingredients in 1 tablet: 300 mg of paracetamol, 250 mg of chlorzoxazone. It is not recommended to take during pregnancy, lactation, liver failure. Contraindications include age up to 12 years, diseases of the circulatory system, deficiency of glucose-6-phosphate dehydrogenase. Like any drug, Miolgin should be used with caution, observing the individual reaction of the body. While taking this medication, a number of side effects may occur:

  • sleep disturbance;
  • dizziness;
  • headache;
  • change in color of urine (becomes dark);
  • allergic manifestations (rash on the skin);
  • malfunction of the digestive system (nausea, heartburn);
  • bleeding;
  • nephrotoxicity.

Medicine Sirdalud

Manufactured in Switzerland (Novartis). Release form - tablets. The cost varies from 185 to 600 rubles. The price depends on the dosage of the active substance. This tool is an analogue of the drug Mydocalm, but not according to the main component, but according to the principle of action on the body. The active compound is a substance. Its dosage in 1 tablet: 2-6 mg.

The drug Sirdalud has a significant advantage over analogues. It lies in the fact that the active substance is released in a special way - in equal amounts throughout the day. This drug is a group of muscle relaxants. The end result of its influence on the body is the suppression of excitation transfer processes. As a result, there is a decrease in muscle tone. In addition, Sirdalud is a moderate analgesic.

The drug provides the result quickly, since in 1 hour the active substance is completely absorbed. The active ingredient is removed in 2-4 hours. Sirdalud is indicated for a number of pathological conditions:

  1. Diseases of the spine, accompanied by muscle spasms and pain syndrome: osteochondrosis, spondylosis, etc.
  2. Changes in the structure of hard and soft tissues of the joints, for example, with osteoarthritis of the hip.
  3. The postoperative period, when manipulations were carried out to restore the functionality of the spinal column.
  4. Neuralgia in cases where a spastic condition of the muscles is manifested. This can occur with such diseases: spinal cord pathology, multiple sclerosis, skull trauma, stroke, cerebral palsy, convulsions of any origin.

Sirdalud also has contraindications. These include liver dysfunction, hypersensitivity to the active ingredient. In addition, it is forbidden to use this medicine along with CYP1A2 inhibitors, as well as fluvoxamine and ciprofloxacin. During lactation, Sirdalud is not used, since the active ingredient in a small amount penetrates into mother's milk. The effect of the drug on the fetus has not been studied, therefore, it can be used when carrying a child only if the benefit outweighs the possible harm.

The side effects of Sirdalud are more than those of analogues:

  • hypotension, bradycardia;
  • disorders of the gastrointestinal tract, nausea, feeling of dryness in the oral cavity;
  • changes in the liver (increased activity of transaminases);
  • feeling tired, weak.

There is a risk of developing liver dysfunction while taking the drug, so it is recommended to monitor the condition of this organ, for which liver tests are regularly taken.

Sirdalud may affect alertness and concentration. An overdose is possible, while there is a decrease in blood pressure, weakness, nausea, dizziness, drowsiness, breathing is sometimes disturbed, the patient falls into a coma.

Baclofen tablets

This remedy is less often chosen to replace Mydocalm than the considered analogues. Baclofen is offered in tablet form. The product contains the active substance of the same name, its chemical name is beta-4-chlorobenzenepropanoic acid. It is a muscle relaxant, has an effect on neuromuscular transmission.

The main reason for the rare use is a significant number of contraindications:

  • disorders of the nervous system, psychosis, epilepsy, Parkinson's disease;
  • period of pregnancy and lactation;
  • kidney dysfunction.

If pathologies such as cerebrovascular insufficiency, vascular atherosclerosis, peptic ulcers of the stomach and intestines are diagnosed, Baclofen should be used with extreme caution. Restriction on the use of this tool is children's (up to 12 years) and old age. A large number of side effects are noted:

  • disorders of the nervous system: dizziness, confusion, drowsiness, euphoria or the opposite state (depression), tremor, convulsions;
  • problems in the digestive tract: nausea, vomiting, stool disorders;
  • enuresis;
  • liver dysfunction;
  • hypotension;
  • respiratory dysfunction.

The regimen of the drug varies depending on the age of the patient.

Osteochondrosis - serious pathology accompanied by severe pain syndrome caused by spasm and overexertion muscle corset. A similar response of the body is determined by a reflex reaction due to the need to keep the vertebrae in a physiological position for them. For removal muscle hypertonicity the patient is prescribed medication from the category of muscle relaxants. The help provides bright representative This group of medicines is the drug Mydocalm.

Composition of the product and form of production

The medication has a second generic name– according to the active active ingredient – Tolperizol.

One pill of the drug contains 50/150 micrograms of tolperizole hydrochloride. As auxiliary ingredients are used:

  • lemon acid;
  • colloidal silicon;
  • stearic acid;
  • talc;
  • cellulose;
  • starch;
  • lactose.

The medicine is offered in a tablet format. Each tablet is individually packaged film shell and has a biconvex shape. One of the sides is engraved with the dosage of the active ingredient.

The color of the drug is almost completely white (especially at the break). The smell is specific, but almost imperceptible.

Mydocalm injections are delivered to the consumer in ampoules made of their special tinted glass. Each contains 100 mg of tolperizol, as well as 2.5 mg of lidocaine. The latter is a local anesthetic drug. The tandem of lidocaine and tolperizol enhances the mutual action.

Pharmacological effect

It is almost impossible to eliminate pain in osteochondrosis and other radiculopathies without the use of muscle relaxants. That is why at the very beginning of the development of pathology - its acute period- the patient is often prescribed Mydocalm.

The drug belongs to the group of muscle relaxants with central action. Pharmaceutical activity is due to the ability to relax skeletal muscles. At the same time, the active component does not cause oppression of work. peripheral departments CNS.

Its main properties:

  • providing an anesthetic effect;
  • increased blood flow in peripheral vessels;
  • antispasmodic and adrenoblocking result.

What is Mydocalm for?

Indications for the use of the drug are as follows:

  • increased muscle tone and spasm of striated muscle tissue due to organic lesion CNS, in particular, multiple sclerosis, stroke and other pathologies;
  • pathological shortening of the muscle, initiated by its injury, increased tone up to the development of spasticity, caused by diseases of the musculoskeletal system - lumbago, damage to large joints (various arthrosis), etc .;
  • brain pathologies of non-inflammatory origin, one of the symptoms of which is a violation of muscle tone, in particular, cerebral palsy in children;
  • the presence of stones in the cavity of the gallbladder;
  • severe pain accompanying exacerbation of hemorrhoids;
  • pain during monthly female bleeding;
  • the threat of miscarriage due to an increase in the tone of the uterus;
  • colic of renal origin.

The use of the medication will be justified in the following cases:

  • throughout recovery period after surgical intervention- orthopedics, surgery, traumatology - which is due to the ability of tolperizol to influence the degree of stretching of muscle fibers;
  • as part of a complex of medications taken in the treatment of obliterating vascular lesions, in particular, in diagnosing diabetic angiopathy;
  • as a symptomatic drug for the elimination muscle spasm after a stroke;
  • for the treatment of pathological conditions caused by disorders of innervation and blood circulation in the vessels.

Contraindications

Mydocalm is completely prohibited for prescribing to patients who are intolerant or have hypersensitivity to tolperizol.

Contraindications to the appointment:

  • the entire period of development of gestation and breastfeeding;
  • ulcerative pathologies of the gastrointestinal tract (even those in history);
  • renal and / or liver failure;
  • the presence of diagnosed mental illness;
  • predisposition to seizures.

The ban becomes:

  • drug and/or alcohol addiction;
  • increased sensitivity of the body to lidocaine;
  • diagnosed in a person with severe cardiovascular insufficiency.

The drug is prescribed with caution in the presence of the following diseases:

  • decrease in the number of heartbeats;
  • abnormal increase in blood pressure;
  • incomplete atrioventricular block;
  • epileptic seizures;
  • arrhythmias of various origins.

Side effects

At strict observance the dosages selected by the physician, side effects during therapy with Mydocalm are practically not fixed.

AT rare cases Patients receiving a muscle relaxant may experience:

  • nausea;
  • bouts of vomiting;
  • discomfort in the epigastric zone;
  • headache;
  • myolgia.

In such cases, the previously selected dosage is revised downward.

With rapid intravenous administration, it is possible:

  • dizziness;
  • development of pre-fainting states;
  • a sharp drop in blood pressure.

To avoid the formation of "side effects", the drug should be administered very slowly, and the patient himself should lie on his back.

Further use of a muscle relaxant will be absolutely prohibited in the formation of an allergic response - skin itching, erythema, angioedema, urticaria.

In rare cases, development is possible:

  • anaphylactic shock;
  • development of depression;
  • violation of mindfulness;
  • tremor of hands/legs;
  • increased drowsiness;
  • noise in ears;
  • pain in the epigastric region;
  • violations in the liver (minor);
  • allergic dermatitis;
  • increased sweating;
  • urinary incontinence;
  • feeling of slight intoxication;
  • thirst;
  • increased irritability;
  • increase in blood bilirubin.

Very rare (1 in 10,000 people):

  • development of anemic conditions;
  • enlarged lymph nodes;
  • confusion;
  • decrease in heart rate;
  • feeling of discomfort in the chest.

Overdose

Any reliable information and an overdose of a muscle relaxant has not been officially recorded. The medicine has low rate toxicity with wide therapeutic possibilities.

In some cases, exceeding the recommended daily dosage may be accompanied by increased irritability of a person. There is no specific antidote. When the dosage is exceeded and the appearance atypical symptoms gastric lavage is recommended. Further treatment symptomatic, i.e. aimed at eliminating unpleasant manifestations.

Method of application, dosage

Important: before using the drug, be sure to study official instructions by application!

The drug is allowed for adults, it is prescribed for children from 1 year old (but only for serious indications), i.e. in babies during the first 12 months of life, the remedy is not used.

Directions for use depend on the format of the medication. Mydocalm injections are usually given for five to ten days. General scheme therapy depends on the area that had the formation of the inflammatory process.

At the beginning of the development of pathology, following diagram application and dosage of Mydocalm:

  • at intravenous productions injections - 1 ampoule per day;
  • with intramuscular formulation - 1 ampoule in the morning / evening.

The tablet format of Mydocalm is intended for oral administration. You need to drink the medication immediately after eating, without destroying the integrity of the pill and drinking a small amount of clean water.

The initial dosage is 100 ... 150 mg per day, divided into several doses (two or three). In the future, an increase in a single dosage of up to 150 mg is allowed. You can drink up to three tablets within 24 hours.

The dosage and duration of therapy depends on several factors:

  • level of muscle tone;
  • the strength of the pain syndrome;
  • the presence of prohibitions;
  • types of comorbidities.

The total duration of treatment with Mydocalm does not exceed 10 days.

The manufacturer reports that the tableted muscle relaxant is allowed to be prescribed to children under 14 years of age. The allowed dosage is 50 mg. At an earlier age application- in children from one to six years old - the dosage is calculated as follows: 5 mg of the active ingredient per 1 kg of weight little patient. The resulting norm should be divided into 3 doses. The tablet is allowed to grind into powder.

For children aged 7–14 years, the daily dose is 2–4 mg of tolperizol per 1 kg of body weight. Reception frequency - daily allowance divided by 3 (morning, afternoon and evening).

The therapeutic effect after oral administration develops after 40 minutes and lasts 4-6 hours.

If the need arises, then treatment with Mydocalm can be combined with the intake of alcoholic beverages.

The use of a muscle relaxant during the gestational period is allowed at the discretion of the doctor. In the first trimester, its use is justified in women who are at risk of developing spontaneous abortion of the fetus due to increased tone uterus.

The price of Mydocalm in pharmacies in Moscow and St. Petersburg

How much does it cost and where to buy the drug? You can buy it at the nearest pharmacy or by ordering online. Its cost may vary. In particular, the price may depend on the dosage of the active ingredient.

Name of the drug Cost in an online pharmacy Pharmacy cost
Moscow St. Petersburg Moscow St. Petersburg
295–356 rubles336–369 rubles112–398 rubles270–440 rubles

Mydocalm's analogs

A muscle relaxant analogue is a drug that has a similar therapeutic effect, but including a different active ingredient.

The list of known substitutes is presented by the following medicines:

  • Miolgin;
  • Sirdalud (synonym);
  • Lexotan;
  • Baclofen;
  • Ointment Menovazin (Russian analogue).

There are other analogues.

Somewhat cheaper than the original, it’s really possible to buy its substitute, in particular, Tolperizol or Apizartron ointment ( domestic drug). In general, analogues can be purchased inexpensively: up to 188 rubles for a dosage of the drug in 50 mg and up to 219 rubles for 150 mg.

The medicine Mydocalm helps to remove muscle pain, therefore, it is widely prescribed by neurologists, orthopedists, traumatologists. The drug has a number of cheaper analogues.

Mydocalm - composition and action

Mydocalm refers to muscle relaxants of central action, the manufacturer is Gideon Richter, the cost for 30 tablets is 340-380 rubles, depending on the dosage. The active substance is tolperisone in the form of hydrochloride (0.05 or 0.15 g). Stearic acid, talc, aerosil, lactose and others are used as excipients.

The detailed mechanism of action of tolperisone has not been established, it is only known that it affects the central nervous system.

The drug helps to slow down the conduction of impulses along afferent fibers, motor neurons. As a result, some spinal reflexes are blocked, which leads to relaxation of the muscle bundles.

Also, the agent reduces the amount of calcium ions entering the neurons, increases blood circulation in the periphery, which is due to its adrenoblocking and antispasmodic effects. Additionally, Mydocalm provides a local anesthetic effect and stabilizes cell membranes. It is quickly absorbed from the digestive tract, the maximum concentration is achievable after 30-60 minutes.

Indications for use and contraindications

The drug is available not only in the form of tablets, but also in ampoules for injection. Injections and tablets have the same indications for use, but the solution additionally contains lidocaine, which enhances the local anesthetic effect of the drug.

Most often, the medicine is prescribed for osteochondrosis, spondylosis, arthrosis of the hip and knee joints.

Mydocalm helps to relieve excessive muscle tone, which inevitably occurs with degenerative pathologies of the musculoskeletal system. Since the spasm causes pain, after taking Mydocalm pain removed. The medicine is also indicated for other types of hypertonicity against the background of such diseases:


In combination with NSAIDs (for example, with Movalis), the drug is prescribed after injuries, surgeries in terms of orthopedics. As part of combined treatment it is indicated for vascular atherosclerosis, diabetic angiopathy, Raynaud's disease, thromboangiitis. In diseases with spasms of striated muscles, Mydocalm will alleviate the patient's condition (with a stroke, multiple sclerosis myelitis, encephalitis). Among the contraindications of the drug in tablets are age up to a year, hypersensitivity, myasthenia gravis.

Tolperisone - cheap analogue

Trying to find an analogue cheaper, you should pay attention to the domestic drug Tolperisone. The cost of 30 tablets is only 160 rubles, the Russian manufacturer is Ozone. One tablet contains 15-50 mg of tolperisone hydrochloride. The difference is only in the set of additional components - there is citric acid, which should be taken into account for people who are allergic to this substance.

Tolperisone in high concentrations accumulates in the brainstem, is located in the spinal cord, in peripheral nerves. Its effect is presumably related to the inhibition of spinal reflex arcs coupled with the normalization of the conduction of excitation in a descending way.

The main indication for admission is symptomatic treatment spasms in adults caused by a stroke, although the drug can be used for other indications. The list of contraindications has been expanded:


The manufacturer specifies that during pregnancy it is strictly forbidden to drink the remedy in the first trimester, in other cases, according to vital indications It is permissible to carry out therapy under the strict supervision of a physician.

Analog Tolizor

The drug Tolizor is also produced by the Ozon company, but its price is close to that of Mydocalm - 320 rubles. However, many are interested in better Mydocalm or Tolizor? Distinctive feature is the release of funds in gelatin capsules that dissolve in the stomach. This form considered less dangerous in terms of the development of significant side effects.

There is also a minus in the form: the capsule contains several additional pigments, preservatives, to which a number of people are allergic.

It must be remembered that all tolperisone-based products stay in the blood longer if the patient consumes fatty foods in parallel.

Among the indications are various states accompanied by pain and muscle spasm. The drug Tolizor is allowed to drink only from the age of 18, during lactation, in the 1st trimester of gestation, capsules cannot be taken. Side effects may include:


Most of these phenomena disappear when the drug is discontinued, but they are quite rare.

Drug Kalmireks

This is another drug from the Ozone manufacturer based on tolperisone. Available in two dosages - 50 and 150 mg. The cost of funds - 340 rubles. According to the action, the medicine can 100% replace Mydocalm, but it contains citric acid, which allergy sufferers need to take into account.

The main indication is to take after a stroke to reduce the effects of spasticity. The list of contraindications is similar:


Like other drugs, Kalmirex is prohibited for myasthenia gravis - autoimmune disease accompanied by rapid muscle fatigue. Maximum dose Calmirexa / day - 450 mg, divided into three doses. The usual dosage is 50-100 mg/thrice/day. Abnormal reactions most often occur in patients with kidney dysfunction, so this group of patients is taken with caution. With significant damage to the liver, kidneys, treatment is prohibited!

Other drug substitutes

There are a number of analogues for drug group. They also belong to muscle relaxants with a central action, but contain other active substances. Close in effect to tolperisone is the substance tizanidine, on the basis of which such drugs are produced:

Mydocalm analogues from this group act mainly at the spinal level. They activate special receptors, inhibit the release of excitatory amino acids. This leads to the suppression of the wave of excitation, which entails a decrease in muscle hypertonicity. Also, the funds give a moderate analgesic effect, due to which they are widely prescribed for pathologies of large joints and the spine, after injuries, together with non-steroidal anti-inflammatory drugs. Medicines have the same list of contraindications, but they cannot be taken with some antibiotics.

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