How long can Phezam be taken? Review: fezam reviews from neurologists reviews - scam or truth

Phezam is combination drug, the effectiveness of which is aimed at increasing blood circulation and metabolism in this area. The active ingredients in the drug are cinnarizine and piracetam.

In this article we will look at why doctors prescribe Phezam, including instructions for use, analogues and prices for it medicine in pharmacies. Real REVIEWS People who have already used Fezam can be read in the comments.

Composition and release form

The drug Phezam is produced in the form of cylindrical, gelatin, hard capsules, size No. 0. Capsules white, inside there is a powdery mixture that is white or almost white. The contents inside may contain conglomerates that turn into powder if you press on them.

  • Phezam capsules contain two active ingredients - piracetam and cinnarizine.
  • The product contains additional ingredients: lactose monohydrate, magnesium stearate, colloidal silicon dioxide.

Clinical and pharmacological group: a drug that improves blood circulation and brain metabolism.

What does Fezam help with?

Among the main indications for the use of the drug are:

  • depressive states and psychoorganic syndrome;
  • psychogenic asthenia and labyrinthopathy;
  • ischemic stroke and other disorders in the area cerebral circulation;
  • portal form of hypertension accompanied by encephalopathy;
  • intellectual underdevelopment in children;
  • prevention of kinetosis and migraine;
  • subcomatose and comatose states after brain injury and intoxication;
  • central lesion nervous system accompanied by a decrease in mnestic and intellectual functions.

Pharmacological properties

The medicine activates blood circulation in the brain, improves visual and auditory function. The presence of piracetam in the composition enhances energy metabolism, accelerates protein reproduction and the breakdown of glucose. The work of cinnarizine is to increase the resistance of brain capillaries to hypoxia and dilate blood vessels. In this case, no change in pressure is observed.

The complex effect of active elements allows Phezam tablets to reduce blood viscosity and normalize work vestibular apparatus. The medication has minor antihistamine properties, improves the elasticity of erythrocyte membranes.

Instructions for use

According to the instructions for use, Phezam must be taken orally, swallowing whole, without chewing, without breaking the integrity of the shell, and without pouring the powder into a glass of water. The capsule should be taken with a small amount of water (at least half a glass) or any other liquid with the exception of carbonated sweet drinks, coffee and caffeine-containing energy drinks.

  • For adults, the drug is prescribed 1-2 caps. 3 times a day for 1-3 months, depending on the severity of the disease. The course of treatment is 2-3 times a year.
  • Children over 5 years old are prescribed 1-2 caps. 1-2 times/day. The course of treatment is 1.5-3 months.

You should always try to take Phezam capsules at the same time, for example, every day at 9-00 am, or every day at 8-00 and 18-00, depending on how many times a day it is recommended to take the drug. Moreover, if a person missed an appointment set time, then you should drink the capsule immediately if the next period for taking Phezam has not arrived. If, after missing a capsule, it is time to take the next one, then you should take only one, not two, without trying to compensate for the forgotten dose of the drug.

Contraindications

There are a number of contraindications for the use of Phezam:

  1. Huntington's chorea.
  2. Age up to 5 years.
  3. Allergic reactions.
  4. Psychomotor agitation.
  5. Pregnancy and lactation.
  6. Severe renal failure (with creatinine clearance below 20 ml per minute).
  7. Severe liver failure.

Caution should be used when using following situations: presence of Parkinson's disease, impaired renal or liver function, impaired hemostasis, bleeding.

Side effects

According to reviews, Fezam may cause side effects.

  1. Allergic reactions: dermatitis, skin rash, swelling, itching, photosensitivity.
  2. Digestive system: nausea, increased salivation, diarrhea, vomiting, abdominal pain.
  3. Nervous system: nervousness, hyperkinesia, depression, drowsiness, dizziness, ataxia, headaches, insomnia, imbalance, agitation, confusion, hallucinations, anxiety.
  4. Other side effects: increased sexual activity.


Pregnancy and lactation

Despite the lack of data on the presence of teratogenic effects of piracetam and cinnarizine, Phezam is contraindicated for use during pregnancy. Piracetam is released with breast milk, therefore, if necessary, use the drug during lactation breast-feeding should be stopped.

Analogs

Structural analogues according to active substance:

  • Combitropil;
  • NooKam;
  • Omaron;
  • Pyracesin.

Attention: the use of analogues must be agreed with the attending physician.

What diseases will Phezam capsules help with?

What does it help with? medical drug Phezam? This drug helps improve blood circulation and brain function. Violations normal functioning brain may be caused various diseases, in particular vascular atherosclerosis, stroke of any origin. These pathologies can lead to mental disorders, dementia and memory impairment.

Release form and composition of the drug

Phezam is available only in the form of capsules, which are white in color. One package contains 60 pieces. The shell is made of gelatin. The capsule contains granules of active medicinal substancesPiracetam and Cinnarizine. There are also a number of auxiliary components.

Pharmacological properties

Piracetam improves brain functioning by providing beneficial effect on metabolism. In addition, this component, which is part of the drug in question, increases the rate of supply of glucose, which is the main nutritional component of the brain. Thus, Piracetam allows the brain to increase nutrition, which contributes to the production of sufficient energy for the stable functioning of the organ. In addition, the active substance improves blood supply to all areas of the brain where there is vascular damage or ischemia.

Second active ingredient– Cinnarizine has positive action on the vessels of the brain. This substance expands them, activating blood circulation, which allows the organ to be saturated with oxygen and other beneficial nutrients. Despite these properties, Cinnarizine does not affect blood pressure or intracranial pressure.

The above two active components work effectively, reinforcing each other's work.

Why are Phezam capsules prescribed?

Indications for use:

  • Cerebral circulatory disorders of any origin - vascular atherosclerosis, stroke, traumatic brain injury, osteochondrosis cervical spine;
  • Problems with impaired thinking function - problems with voicing formulations and thinking about a particular situation;
  • Speech apparatus disorders;
  • Dementia due to vascular pathology;
  • Low level of concentration;
  • Sudden change of mood;
  • Excessive anxiety, irritability, depression;
  • Diseases inner ear, which are accompanied by noise in auditory organs, gag reflexes;
  • Poor learning ability low performance, concentration, short-term memory.

Contraindications of the medication

  • Severe kidney disease;
  • Liver failure;
  • Psychomotor agitation;
  • Huntington's syndrome;
  • Acute stroke with vascular breakthrough;
  • Pregnancy;
  • Lactation period;
  • Children's age – up to 5 years;
  • Excessive sensitivity to the active or auxiliary substances that are part of the drug;

Side effects

  • Excessive limb movement;
  • Increased level of nervousness;
  • Increased sexual desire;
  • Craving for sleep;
  • Depressive states;
  • Headache;
  • gag reflexes;
  • Disorder gastrointestinal tract;
  • Lungs allergic reactions: itching, swelling of the skin.

Directions for use and dosage for children and adults

The drug is prescribed depending on the patient’s age. Adults are usually prescribed 3 doses per day, 1-2 capsules. The duration of treatment can last for 3 months. When prescribed to children, the pharmaceutical product is taken no more than 2 times a day, 1-2 capsules. The course of therapy should last at least 1.5 months and no more than 3.

In case of overdose serious problems does not arise. However, abdominal pain may occur, which can only be relieved by vomiting or gastric lavage.

How much does Fezam cost?

The price in pharmacies of one package of this medicine, which contains 60 capsules, ranges from 250 to 500 rubles.

Similar medicines

  • Bravinton;
  • Vero-Vinpocetine;
  • Lutsetam;
  • Nootropil;
  • Piracetam.

Reviews from patients and doctors

Inna. 39 years. Belgorod.

A few months ago I started to notice that I was having problems with my memory. In addition, I had a feeling of “fogginess” before my eyes and headaches. My close friend at work advised me to take an extra day off, rest a little and buy Phezam tablets, which will help improve blood circulation in the brain. Having studied the instructions for using this medicine on the Internet, I bought it at the nearest pharmacy. I drank these capsules 3 times a day, 1 piece each, for 30 days. A few days after starting to take the drug, I noticed that the “fogginess” went away, and after another week and a half, my memory and concentration improved. The disadvantage is the side effects, namely drowsiness. It was felt in the morning when it was necessary to get up and get ready for work.

Overall, I was very satisfied after the course of treatment and recommend this medicine to everyone.

Peter. 58 years old. Samara.

After swimming in the pond, my ear began to click. I thought it would go away after a while, but the tapping in my ear did not stop. When I went to the doctor, he prescribed me a course of injections and Phezam capsules. At the hospital they told me that I had some problems with the blood vessels in the brain that were affecting my auditory nerve. Having bought the tablets, I began a course of treatment, taking one capsule per day. Within three weeks of therapy discomfort the ear has left me, however, I still remain under the supervision of my attending physician, who recommends that I continue treatment with this drug.

Elena. 24 years. Surgut.

One day I was teaching intensively Chinese. To improve my memory and increase concentration, my doctor recommended that I take this medicine. After a few days after taking the capsules, I began to grasp literally everything on the fly, and the hieroglyphs began to be memorized much faster than before. In addition, endurance and ability to work have increased. The instructions for use state that the pharmaceutical product helps improve blood circulation and metabolism in the brain. This allows the drug to be used not only for serious pathologies, but also under heavy mental stress. I recommend these capsules to students who experience difficulties during exams, preparing for exams, learning languages, or have intense and excessive amounts of intellectual work.

The disadvantages of the drug include its incompatibility with alcohol. During treatment, I attended my mother’s birthday party, where I drank a seemingly harmless glass of champagne. After it, I started having severe headaches.

Tatiana. 41 years old. Saransk.

Since I was young, I have been periodically tormented by migraines, but in the last few weeks, severe headaches have often begun to appear. At the hospital, I was prescribed a course of treatment with the drug according to the regimen of 1 tablet 3 times a day for a month. After just 2 weeks, I felt the result. The headaches stopped, and it became easier to perceive information. The medicine is really effective.

Larisa. 30 years. Kaluga.

I often had moments at work when my brain seemed to “slow down” and forget what I wanted to do in the near future. This became commonplace, and I also had headaches. I purchased the medicine and started taking one capsule three times a day. After a couple of days, the headaches stopped, my sleep became stronger and, accordingly, I had more strength for mental, paperwork in the office. Memory also improved slightly, endurance and perseverance increased.

According to doctors, the drug Phezam is good because it demonstrates its effectiveness in the majority of patients to whom the drug was prescribed. In addition, the undoubted advantage of this medication is the rare occurrence of side effects. This allows you not to worry about the patient’s condition during therapy. In addition, the medicine has affordable price, according to which any average Russian patient can easily purchase it at any pharmacy without a doctor’s prescription.

012828/01 dated 05/18/2009

Trade (proprietary) name of the drug: Phezam ® / Phezam ®

Dosage form:

Capsules

Compound:

1 capsule contains as active substances - piracetam 400 mg, cinnarizine 25 mg.
Excipients- lactose, colloidal silicon dioxide, magnesium stearate.
Capsule shell contains titanium dioxide, gelatin.

Description: capsules- hard, cylindrical gelatin capsules, white, No. 0.
Capsule contents- powdery mixture, from white to almost white, the presence of conglomerates is allowed, which, when pressed with a glass rod, easily turn into powder.

Pharmacotherapeutic group:

Nootropic drug.

ATX Code: N06BX

Pharmachologic effect:
pharmacodynamics:
A combined drug with a pronounced antihypoxic, nootropic and vasodilating effect.
Piracetam activates metabolic processes in the brain by enhancing energy and protein metabolism, accelerating the utilization of glucose by cells and increasing their resistance to hypoxia; improves interneuronal transmission in the central nervous system, improves regional blood flow in the ischemic area.
Cinnarizine- selective blocker of slow calcium channels, inhibits the entry of calcium ions into cells and reduces their content in the plasma membrane depot, reduces tone smooth muscle arterioles, reduces their response to biogenic vasoconstrictors (epinephrine, norepinephrine, dopamine, angiotensin, vasopressin). It has a vasodilating effect (especially in relation to cerebral vessels, enhancing the antihypoxic effect of piracetam), without having a significant effect on arterial pressure. It exhibits moderate antihistamine activity, reduces the excitability of the vestibular apparatus, and lowers the tone of the sympathetic nervous system. Increases the elasticity of red blood cell membranes, their ability to deform, and reduces blood viscosity.

Pharmacokinetics:
The drug is quickly and completely absorbed from the gastrointestinal tract. The maximum concentration of piracetam in plasma is created after 2-6 hours. The maximum concentration in the liquor is after 2-8 hours. Bioavailability is 100%. Does not bind to plasma proteins. Penetrates all organs and tissues, passes the placental barrier. Selectively accumulates in the cerebral cortex, mainly in the frontal, parietal and occipital lobes, cerebellum and basal ganglia. Not metabolized. After 30 hours, more than 95% is excreted by the kidneys.
The maximum concentration of cinnarizine in plasma is achieved after 1-4 hours. 91% bound to plasma proteins. Actively and completely metabolized. The half-life is 4 hours. 1/3 of the metabolites are excreted in the urine, 2/3 in the feces.

Indications for use:

Cerebrovascular insufficiency (cerebral atherosclerosis, recovery period ischemic and hemorrhagic strokes, traumatic brain injuries, encephalopathy of various origins), intoxication; other diseases of the central nervous system, accompanied by a decrease in intellectual-mnestic functions (impaired memory, attention, mood), psychoorganic syndrome with a predominance of signs of asthenia and adynamia, asthenic syndrome; labyrinthopathy, Meniere's syndrome; lagging intellectual development in children, prevention of migraine and kinetosis.

Contraindications:

Individual intolerance, severe violations liver and/or kidney functions, parkinsonism, pregnancy, lactation, children under 5 years of age.

Carefully:
Parkinson's disease.

Directions for use and dosage:

Inside. The usual dose for adults is 1-2 capsules three times a day for 1-3 months, depending on the severity of the disease. The course of treatment is 2-3 times a year. Children (over 5 years old) - 1-2 capsules 1-2 times a day. Do not use for more than 3 months.

Side effect:

Dyspepsia, headache, sleep disturbances. Rarely - allergic reactions in the form skin rash.

Interaction with other drugs:

At simultaneous administration it is possible to enhance the sedative effect of drugs that depress the activity of the central nervous system, as well as alcohol, nootropic and antihypertensive drugs. Vasodilators enhance the effect of the drug. Improves tolerability of antipsychotic drugs and tricyclic antidepressants.

Special instructions:

The drug should be prescribed with caution to persons with liver and/or kidney disease. In cases of mild to moderate renal failure(especially if creatinine clearance is less than 60 ml/min) should be reduced therapeutic dose or increase the intervals between doses. In persons with impaired liver function, monitoring of liver enzyme levels is necessary.
You should avoid drinking alcohol during treatment.
The drug should be used with caution in Parkinson's disease.
The drug may cause a positive reaction when monitoring doping agents in athletes.

Driving cars and robot with mechanisms.
During treatment, care should be taken when managing vehicles and working with machinery and equipment.

Release form:

Capsules (400 mg + 25 mg), 10 capsules per blister, 6 blisters with instructions for use in cardboard box.

Storage conditions:

Store in a dry place, protected from light, at a temperature of 15-25° C.
Keep out of the reach of children!

Best before date:

3 years.
Do not use after the expiration date indicated on the package.

Conditions for dispensing from pharmacies:

On prescription.

Manufacturer:

Balkanfarma - Dupnitsa AD, st. Samokovskoe highway 3, 2600, Dupnitsa, Bulgaria.

Representative office in Moscow:
127051, Moscow, st. Trubnaya, 17/4, building 2

Fezam is a combination nootropic drug, which has a fairly effective effect on the central nervous system and is able to eliminate a large number of problems associated with poor circulation and other negative changes in human body. Taking Phezam can solve a large number of problems, such as dizziness, headaches, impaired cognitive abilities and memory.

Composition and release form

Release form

Phezam capsules (400 mg + 25 mg), 10 capsules per blister, 6 blisters with instructions for use per cardboard box.

Composition of the product

  • Active substances- piracetam 400 mg, cinnarizine 25 mg.
  • Excipients- lactose, colloidal silicon dioxide, magnesium stearate.
  • Capsule shell contains titanium dioxide, gelatin.

pharmachologic effect

Quite often, after suffering encephalitis, concussion, stroke or increased intracranial pressure it can be very difficult to return to your normal condition. Fezam helps to overcome everything effectively and quickly Negative consequences of these diseases and restores clarity and health of mind. The medicine is a combination drug; its active ingredients are cinnarizine and piracetam. This medicine thanks to their complex impact promotes effective expansion cerebral vessels, in turn this eliminates hypoxia and makes better food brain oxygen, increases learning ability and memory.

Phezam contains piracetam - a nootropic; this substance helps improve energy and protein metabolism in the brain, makes the brain more resistant to hypoxia and increases the absorption of glucose by its cells. This substance also improves local blood flow in the brain and the transmission of nerve impulses in areas where there is insufficient blood circulation and nutrition. Cinnarizine contained in this drug does an excellent job of strengthening the walls of brain cells, it reduces vascular tone, in addition, this substance blocks the entry of calcium ions into brain cells, for this reason the reaction to vasoconstrictor drugs (vasopressin, dopamine, angiotensin, adrenaline, norepinephrine) is significantly reduced when taken simultaneously. Cinnarizine, by dilating the blood vessels of the brain, significantly increases its resistance to hypoxia.

When taking Phezam, you should remember that it has virtually no effect on blood pressure. Cinnarizine - one of the components of the drug has mild antihistamine effect, this substance can reduce the excitability of the vestibular apparatus, as well as increase the tone of the sympathetic nervous system. In addition, reviews of Phezam say that this drug perfectly increases the elasticity of red blood cell membranes and significantly reduces blood viscosity.

Indications for use of Phezam

The instructions provide for taking this drug orally. This drug is completely absorbed from the gastrointestinal tract. The highest concentration of the drug is observed in the body 1-4 hours after its direct use. Phezam is able to enter all tissues and organs of the body; it also penetrates the placental barrier, but its higher concentration is observed in the brain.

Numerous reviews of Phezam indicate that this remedy can be taken for any conditions leading to lack of blood circulation in the brain, this could be encephalopathy of various origins, arteriosclerosis of cerebral vessels, most traumatic brain injuries, strokes, cerebral hemorrhages, as well as recovery from them.

The instructions provide for taking Phezam for intoxication, as well as diseases of the central nervous system, accompanied by a decrease in the level of memory, attention and mood. Phezam is often used for labyrinthopathy, adynamia, Meniere's syndrome, and asthenia. In addition, a large number positive feedback about Phezam as a means of combating retardation in the intellectual development of children and in the prevention of migraines and seasickness.

Contraindications

Fezam should not be taken if:

  • During periods of breastfeeding and pregnancy;
  • Under 5 years of age;
  • Huntington's chorea;
  • Hypersensitivity to the drug, as well as to its components;
  • Severe liver and kidney failure;
  • Availability psychomotor agitation during the period of prescription of the drug.

Phezam should be taken with caution in case of disturbances in the functioning of the liver and kidneys, severe bleeding, Parkinson's disease, or in case of impaired hemostasis.

Side effects

A large number of reviews about Fezam claim that it is very easily tolerated, however, there are a number of contraindications. This medication is contraindicated when individual intolerance any components of the medicine. It should also not be used by those who suffer from severe kidney and liver problems. Fezam is contraindicated during lactation and pregnancy, and should not be taken by children under five years of age.

The instructions for Phezam talk about possible side effects. In some cases, taking it may result in digestive disorders, such as bloating, nausea, heartburn, belching and heaviness in the abdomen. Sometimes taking this medicine can cause headaches and sleep disturbances. Also, the composition of the medicine may cause allergic reactions.

Even in cases where there are no contraindications for taking Phezam, it is necessary to take into account other drugs that the patient may take, since unexpected effect application may turn out to be various medications. Simultaneous use of Phezam with sedatives, as well as with antihypertensive drugs and nootropics can lead to a deepening of their effects. When taken simultaneously with Phezam, vasoconstrictors can only enhance its effect. In addition, simultaneous use of Phezam with some antipsychotics and antidepressants can improve their effect.

This drug is prescribed with caution to people suffering from Parkinson's disease. Also, athletes should be careful when using the drug, as it can give false results during doping control. positive reaction. You should not take Phezam after 17:00 in the evening, as it may cause sleep disturbances. Also, this Phezam should not be used by those who drive a car or work with machinery.


Instructions for use

Method and dosage of capsules

It is recommended for adult patients to use the product three times a day, 1-2 capsules, with a course of treatment ranging from one to three months. Children aged five years and older should take this drug 1-2 capsules no more than twice a day. It is not recommended to use Phezam for longer than three months.

It should be borne in mind that the duration of use and the exact dosage of the drug can only be determined by the attending physician. It depends on the symptoms and severity of the disease. If necessary, the course of treatment with Phezam can be repeated several times a year. If you follow the advice of doctors and recommendations for use, Phezam is very easily tolerated and has virtually no negative side effects.

IN pediatric practice indications for use of the drug (as part of complex therapy) are:

  • Amblyopia of various origins;
  • Hereditary and myopic retinal dystrophy;
  • High myopia and medium degree;
  • Partial atrophy optic nerve of different origins.

Fezam for children

The drug is contraindicated in children under five years of age.

During pregnancy and lactation

Despite the fact that there is no data on the presence of teratogenic effects of cinnarizine and piracetam, Fezam is contraindicated during pregnancy. Piracetam is excreted in breast milk; for this reason, if it is necessary to use the drug during lactation, breastfeeding should be stopped.

Overdose

The vast majority of positive reviews about the product indicate that this drug is well tolerated by patients. There are no serious side effects in case of drug overdose. In some cases, abdominal pain is observed after taking the drug. In case of an overdose of Phezam, you should undergo a gastric lavage procedure; measures are also used symptomatic therapy, induce vomiting, hemodialysis if necessary.

special instructions

Thanks to clinical studies, it was possible to establish that Fezam does better functional state retina and hemodynamics of the eye, helps to increase visual acuity. An increase in blood flow velocity in the ocular arteries after completing a course of treatment with Phezamm indicates that the blood supply to the eye membrane is becoming better. The drug Phezam is recommended for use in the treatment of patients with dystrophic diseases of the retina.

The combination of metabolic and vasoactive components of the drug made it possible to use Phezam in a number of clinical trials to increase efficiency existing methods treatment of organic and functional lesions of the visual-nervous system in children and in order to achieve stability of achieved visual functions. In case of mild or moderate renal failure, it is necessary to increase the interval between doses of the drug or reduce the therapeutic dose. In patients with impaired liver function, liver enzyme levels should be monitored.

While taking Phezam, you should avoid drinking alcohol. It is necessary to prescribe the drug with caution if the patient has increased intraocular pressure. In athletes, Fezam can cause a positive reaction when passing a doping test.

Interaction with other drugs

  1. With simultaneous use, there may be an increase in the sedative effect of drugs that depress the activity of the central nervous system, as well as ethanol, antihypertensive and nootropic drugs.
  2. Vasodilators, when taken simultaneously, enhance the effect of Phezam.
  3. Phezam improves the tolerability of tricyclic antidepressants and antipsychotic drugs.

Domestic and foreign analogues

The following drugs are analogues of the drug based on the structural active substance:

  • Pyracesin,
  • Omaron,
  • NooKam,
  • Combitropil.

But at the same time, you should remember that you should not make a decision on your own to replace Phezam with an analogue; this must first be agreed upon with your doctor.

Price in pharmacies

The price of Phezam in different pharmacies may vary significantly. This is due to the use of cheaper components and the pricing policy of the pharmacy chain.

Check out official information about the drug Phezam, the instructions for use of which include general information and treatment plan. The text is provided for informational purposes only and cannot serve as a substitute for medical advice.

Today at modern world The concept of stress has become commonplace. And complaints about headache are observed in almost every second inhabitant of the Earth.

And then you have to turn to the help of medicines. One of these drugs that improves blood circulation in brain cells is the Bulgarian medicine Phezam. In this article we will study it in more detail, and also answer a number of questions that patients are most interested in:
what it is and what it helps with;
how to take it - before or after meals;
what exist similar drugs what can replace fezam with?
what course of treatment;
increases or decreases blood pressure;
its benefits and harms, as well as unwanted effects;
how much it costs in pharmacies in different regions.

What does fezam help with, indications for use

Phezam (in Latin PHEZAM) is a nootropic complex drug that has a variety of indications for use. In particular, the drug is prescribed:

  • as a cure for headaches;
  • with osteochondrosis of the cervical spine;
  • with noise in the head;
  • for hypertension;
  • for epilepsy;
  • as a means for potency;
  • if it is constantly difficult venous drainage and my head is spinning;
  • before an exam, as a memory enhancer.

Composition, cost

The country of origin of the drug is Bulgaria.

Phezam contains: piracetam and cinnarizine.

Release form: tablets, capsules, drops, ointment.

The expiration date is indicated on the packaging, usually two years from the date of issue. Prices in Russia: in St. Petersburg - 203 rubles for a package of 60 capsules, in Yekaterinburg - from 181 rubles for a similar box, in Samara - 213 rubles. (capsules, 60 pcs), in Karaganda – 1,750 tenge.

Similar drugs

Cheaper Russian analogues– mexidol, nootropil, vinpocetine, omarone, cavinton, cinnarizine, phenibut, phenotropil, sermion, afobazole, cytoflavin, picamilon, betaserc, piracetamcinnarizine, bilobil, piracezin, nootropic, jivelek, neuromultivit, glycine and other generics that have a high rating among patients. A prescription is not required to purchase them in pharmacies.

Instructions for use

Instructions for using Phezam are contained inside the package. In addition, a detailed summary of it is available on the Internet for free and in free access. There is also the official website of the manufacturer, where there is such a popular resource as Wikipedia.

Tablets instructions for use

Tablets are used as prescribed by a doctor, who determines the method of taking them and the dose. Usually prescribed 1 tablet 3 times a day, regardless of meals. The course of treatment is from one to three months.

Capsules instructions

Capsules are available in packs of 60 pieces, which contain detailed instructions. Take 1-2 drops 3 times a day. What better than capsules or tablets are determined by the doctor for each individual.

Should I take it before or after meals?

Take regardless of food intake, but in case of diseases of the stomach and intestines, it is advisable to do this 30 minutes after eating.

For prevention

Dosage for prevention – 1 tablet 3 times a day for one month. For children over 5 years of age, the medicine is prescribed strictly as prescribed by the doctor. According to some parents, it is effective to give feza to middle and older children. school age before exams.