Which is better for gopants or pantogs? Cheap analogs of Pantogam - Russian and foreign substitutes Indications for treatment Pantogam

Pantogam belongs to the category of nootropic drugs, the key effect of which is to improve brain function. There is also a positive effect on memory. The main active component is calcium hopantenate. Taking the drug blocks the negative effects of external factors and increases the brain's resistance to oxygen deficiency. There is a moderate sedative effect, as well as an anticonvulsant effect.

In certain situations, it is advisable to use Pantogam analogues, which also gently increase physical and mental activity, relieve pathological tension in the muscles of the urinary and gallbladder, relax and soothe chronic alcoholism. Among the positive qualities, there is also an improvement in blood supply to the brain. Available in the form of capsules, baby syrup or tablets.

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Pantocalcin and Calcium hopantenate. When choosing between these two means, it is difficult to make a final decision, since their effectiveness is expressed taking into account the individual characteristics of the body of different patients.

Pantocalcin

The Russian-made medication in question also belongs to the category of nootropics and is used to treat patients with central nervous system disorders and brain pathologies. The active ingredients of Pantogam and Pantocalcin are the same, but the release form is tablets. It is advisable to use it in the following cases:

  • neuroleptic syndrome;
  • problems with urination;
  • excessive emotional tension;
  • extrapyramidal hyperkinesis;
  • cognitive disorders against the background of neurotic disorders;
  • deterioration of brain activity;
  • residual organic brain damage;
  • initial form of senile dementia;
  • infectious pathologies or consequences of head injuries;
  • disorders of the nervous system due to epilepsy, vascular atherosclerosis or schizophrenia.

For children, the Pantogam substitute is prescribed for stuttering or epileptic seizures, central nervous system paralysis and problems with mental development.

During lactation and pregnancy, Pantocalcin cannot be used for treatment, as well as for allergies and kidney pathologies. In some cases, it is prescribed to children under 3 years of age.

This medicine is close to the original. Release form: tablets of 0.25 g of hopantenate acid each. Admission is advisable for both prevention and treatment:

  • consequences of neuronal infections and cranial injuries;
  • schizophrenia or vascular atherosclerosis with cerebrovascular abnormalities;
  • extrapyramidal problems;
  • epilepsy;
  • excessive emotional and mental tension;
  • Enuresis due to neural disorders.

Treatment of children is possible from the first days of life if we are talking about cerebral NS paralysis.

Cheap foreign and Russian analogues

Since the list of contraindications for taking Pantogam is minor and it is well tolerated, the need to find substitutes for Pantogam is usually associated with price.

  1. Phenibut is produced in Latvia and belongs to the category of nootropic substances. The main active ingredient is the component of the same name in the amount of 250 g in each tablet. Treatment of children with Phenibut is advisable when mental development is inhibited.
  2. Gopantam stimulates brain activity, prevents the negative effects of oxygen starvation, and eliminates neurogenic convulsions. The medicine is identical to the original in terms of the active substance and is available in the form of tablets. Contraindications are similar to the primary drug. Treatment of children is allowed only for severe forms of pathologies.
  3. Combitropil is a Russian-made Pantogam substitute, available in capsule form. The main effect is vasodilating, nootropic, antihypoxic. Prescribed for the prevention of migraines, as well as the treatment of depression, encephalopathy and intellectual retardation.
  4. Visavital is effective as a means of prevention. Indications include the initial stage of Alzheimer's, dementia, problems with perception, memory and attention, dyscirculatory encephalopathy, neurosensory disorders, diabetic retinopathy, tinnitus, Raynaud's syndrome.
  5. Memotropil is an analogue of Pantogram in tablets, manufactured by a Polish pharmaceutical company. The only component in the composition is piracetam. Before replacing Pantogam with medication, you should consult a specialist.

Remember that inexpensive Pantogam substitutes may cause more side effects.

Dear analogues

If the need to replace Pantogam is not related to the cost of the drug, but to the presence of individual intolerance or side effects, you should pay attention to drugs from the upper price category. It is these medications that are often devoid of most side effects.

Encephabol

If you need analogues of Pantogam syrup, pay attention to Encephabol. The main therapeutic effect is provided by the key component - pyritinol. The medication in question is prescribed for the following pathologies:

  • acute form of depression;
  • asthenic syndrome;
  • neuroorganic disorders;
  • weakness and severe headaches;
  • problems with brain activity;
  • consequences of stroke;
  • vascular or traumatic encephalopathy;
  • problems with the cerebrovascular system.

Cavinton

Vinpocetine acts as a key active ingredient. The medication is available in the form of a solution for administration through a dropper and in the form of tablets. Among the direct indications, it is worth highlighting mental and neurological pathologies caused by strokes, atherosclerosis or injuries. The drug helps with hypertension, vascular tone, speech problems, dizziness, memory problems, and during menopause.

In ophthalmology, Cavinton demonstrates greater effectiveness of treatment in secondary glaucoma against the background of vascular thrombosis, degenerative changes and deformation of the ocular vessels and retina due to a sharp narrowing of the lumen in the loans. The action of the drug is aimed at recycling glucose, increasing blood flow to improve oxygen supply to the brain.

Among other effects of the drug, a decrease in blood pressure due to relaxation of smooth muscles stands out. Serotonin and norepinephrine metabolism in brain tissue increases. With increased blood viscosity, this indicator is normalized, and the plasticity of red blood cells increases.

Noofen

The medication, like Pantogam, is effective for sleep problems, tics, enuresis and stuttering in children, as well as for the treatment of psychopathy and neurotic obsessive states. For prevention, it is advisable to take the medicine before painful diagnostic procedures, operations, or in a state of stress. In the treatment of alcohol dependence, Noofen is used as an adjuvant to eliminate negative symptoms in the form of withdrawal syndrome (somatovegetative and psychopathological disorders). When treating delirium conditions, a complex combination with detoxification drugs is allowed.

When choosing an analogue for Pantogam, focus on the number of side effects and the main active ingredient.

I often write about nootropic drugs, but this topic is quite close to me.

Since the first child was born with problems due to a difficult birth, and like any mother, I needed to pull the child out, and help him develop and, of course, prepare him for regular school (which means it was necessary not only to constantly work with the child) but also to carry out treatment , and be observed by specialists.

I always say, and now I would like to emphasize, any treatment should be comprehensive (especially if the child has neurological problems) and this includes not only medications, but also physical treatment, exercise therapy, massage, and just exercises.

One of the first drugs that had to be given to the child was pantogam (at first it was taken in the form of syrup, and then as the child matured) it was taken in the form of tablets.

If we consider it in terms of effectiveness in terms of application. The drug Pantogam is not unique in its kind, but in terms of its effect on the body it is suitable for children almost from birth (no matter what type of syrup or tablets you choose), the most important thing is to follow the dosage.

But the older the child gets, the treatment should be changed in accordance with the age and needs of the baby.

The closest (and slightly better in effect) is the drug Pantocalcin.

It contains 2 substances that stimulate the development of the central nervous system (improve blood circulation).

It is not bad if the child does not have behavioral problems, but has developmental delays.

And when communicating with many mothers who have problem children, everyone notes one thing: after a full course of this drug, the child begins to speak (of course, this is all relative), but activity in speech appears.

Of course, nootropic drugs are aimed at one thing - to support the body and nervous system in both adults and children.

If we compare Pantogam and Pantocalcin, we should still expect a greater effect from the second drug...

Another analogue of the drug (pantocalcin, pantogam) and its price is several times lower, but I honestly doubt their effectiveness.

Even for the reason that neurologists practically don’t talk about them, and most importantly, they don’t even offer it for admission.

I understand that sometimes you want to save a little money, but 200-150 rubles will not play a big role, but it is quite possible to miss time and effectiveness in treatment.

I would like to say the same about drugs with various prefixes “Forte”, “Active”, etc.

they just have a slightly higher dosage and all the active ingredients are the same.

But remember that you should not exceed the dosage in treatment and you are simply overpaying for these “add-ons”. There is a minimal increase in effectiveness and dose, and the result is almost the same in treatment.

Of course, there are more effective drugs. But their application should be:

Justified

Prescribed only by a doctor.

I’ll say right away that this is not even exactly an analogue of Pantocalcin; rather, they can be described as “compatible drugs”

The price of the drug is not cheap; moreover, it is a prescription drug, and naturally prescribed by a doctor.

Of course, I cannot say that it will help and the child’s problems will go away immediately.

But while taking this drug, I always watched my son. And unfortunately, I noted several features:

The child was calm, and encephabol “calmed the nervous system”; the son became lethargic and drowsy. So I can say that this drug is more suitable for those children who have problems with behavior and daily routine.

It doesn’t matter whether you take it in the form of syrup or tablets, the effect will be approximately the same.

There are quite a lot of treatment regimens that are selected individually, but all this is done by the doctor.

And in the case of nootropics, I advise you to purchase exactly those drugs that were prescribed to you.

Pantogam is a nootropic drug. This is the name given to drugs that affect higher brain functions. Prescribing such medications to a child worries parents: how safe is it to be treated with them? After all, not every intervention in the central nervous system remains without a trace. Let's figure out what children get more from Pantogam - benefit or harm.

Pantogam is used for neurological problems.

Effect of the drug

In the instructions for use, the action of Pantogam is described as nootropic and anticonvulsant, i.e. this medicine:

  • stimulates mental activity, motivating the child to understand the world around him and improving mental abilities;
  • normalizes the psycho-emotional state and ensures complete rest during sleep;
  • prevents development;
  • promotes the preservation of nerve cells;
  • restores damaged neurons and stimulates the formation of new ones;
  • improves cerebral circulation and promotes the removal of glucose breakdown products;
  • protects the brain from hypoxia and the influence of toxins.

The advantage of Pantogam is that the chemical formula of the active substance - calcium salt of hopantenic acid - is close in appearance to vitamin B5. Therefore, the body perceives the main active component as a useful element and does not prevent its penetration into the nervous structure. The constituent elements of the drug do not disintegrate internally and do not combine with other substances. Therefore, they are quickly (within two days) excreted in urine and feces.

The drug is prescribed for speech delay, communication and learning delays.

Indications for treatment Pantogam

The versatility of the active component of Pantogam allows the use of the drug for the treatment of a wide range of diseases of the central nervous system. Remedy allowed for children from 12 months(sometimes from birth).

The medicine is prescribed for:

  • disorders of cognitive activity and organic brain lesions;
  • disorders caused by traumatic brain injury and neuronal infections;
  • schizophrenia combined with organic cerebral insufficiency;
  • accompanied by mental retardation;
  • urinary incontinence, the cause of which is neurogenic in nature;
  • mental and emotional overload, leading to a decrease in mental and physical abilities;
  • behavioral and mental development disorders;
  • cerebral palsy;
  • various types of hyperactivity;
  • perinatal encephalopathy (manifested by hypertonicity or an overly excited or depressed nervous system);
  • delays in the formation of the psyche and disorders of the child’s psychological status;
  • speech disorders and delayed development of schoolchildren’s skills (counting and writing);
  • extrapyramidal disorders (neurological disorders - progressive myoclonus, Parkinson's and Wilson-Konovalov's disease);
  • cerebrovascular insufficiency (impaired blood supply to the brain due to atherosclerosis);
  • extrapyramidal syndrome developed during treatment with antipsychotic drugs.

Attention! Pantogam should not be given to a child if he has acute renal failure. If you are hypersensitive to the composition of the drug, stop taking it. In case of phenylketonuria (impaired metabolism of the amino acid phenylalanine), the syrup form is contraindicated.

Composition and release forms of the drug

Pantogam is available in two forms:

  • Syrup transparent without color or with a yellow tint and the smell of cherry 100 mg/1 ml (active ingredient content in 1 ml of medicine) in dark 100 ml bottles.
  • Pills white round flat 250 or 500 mg (in a cardboard pack there are 5 blisters of 10 pieces).

Tablets are suitable for children over three years of age.

Pantogam syrup is recognized as effective only for treating children under 3 years of age. Older children are advised to take tablets because this form of medication is better absorbed.

Attention! Pantogam syrup and tablets have different compositions. Therefore, with individual tolerance to certain substances, one dosage form may be suitable, but another may not. Check out the table below to see what substances each contains. If the cell contains “+”, then this component is present; if “-”, it is not there.

Rules for taking Pantogam

The medicine is better absorbed if take it 15-30 minutes after meals. The instructions state that:

  • The minimum single dose for children is 250 mg in terms of the main active component. This corresponds to 2.5 ml of syrup or 1 tablet of 250 mg, or half of 500 mg.
  • The maximum single dose is 500 mg (5 ml syrup, 2 tablets of 250 mg or 1 tablet of 500 mg).
  • The minimum therapeutic dose per day is 750 mg (7.5 ml of syrup, 3 tablets of 250 mg or one and a half tablets of 500 mg).
  • The maximum daily dose is 3000 mg (30 ml syrup, 12 tablets of 250 mg or 6 of 500 mg).

Half an hour before taking the medicine, the child can eat a hearty meal.

Treatment usually lasts from 1 to 4 months, sometimes up to 6. The drug is re-prescribed 3-6 months after discontinuation. The exact dosage and duration of the course is determined by the attending physician, depending on the diagnosis and the severity of the identified disease. Strictly observe the appointment time.

Side effects

In case of hypersensitivity to the composition, allergic reactions are possible:

  • skin rashes;

If you have these symptoms, consult your doctor. He will either reduce the dosage or replace the drug.

The medicine may cause allergic conjunctivitis.

When treated with Pantogam, children often develop:

  • noise in the head;
  • drowsiness;
  • insomnia.

These symptoms are recognized by medicine as safe, so discontinuation of the medication is not required.

Vitalina left a review:

“My six-month-old daughter’s neck is constantly tense. After examination, the doctor said that it was muscle hypertonicity and prescribed Pantogam. On the very first day, the daughter became tearful, and sleep completely abandoned her. She only gave the syrup for 3 days, then she decided to stop, but did not tell the pediatrician about it. Sleep returned to normal, irritability went away. I heard that therapeutic massage helps. I invited a massage therapist to my house, and soon the hypertonicity went away.”

After taking the drug, problems with sleep are possible.

Valeria's review:

“At five months, my son was diagnosed. The convulsions were so severe that they resulted in mental retardation with delayed mental and physical development. The seizures became more frequent and their duration increased. The only goal of treatment in the end was to relieve him of his torment. The doctor prescribed Pantogam in the maximum dosage. Now Vlad sleeps a lot, the seizures have become rare and less severe. I think that the drug in our case is salvation.”

Manufacturer: Pantogam and drug analogues

Pantogam was invented and produced in Russia. The manufacturer of the medicine is always indicated on the packaging:

  • LLC "PIK-PHARMA PRO" - tablets and syrup;
  • LLC "VIPS-MED" - only syrup.

The price of both dosage forms is approximately the same - they can be bought for 350-400 rubles.

If the pharmacy does not have Pantogam, you can buy another drug with the same active ingredient.

Brief overview of analogues:

  • Gopantham(about 300 rubles) - only in the form of tablets of 250 and 500 mg. It also has an analgesic effect.
  • Calcium hopantheonate(200-250 rubles) - only in the form of 250 mg tablets. The drug is contraindicated in children under 3 years of age.
  • Pantocalcin. Tablets 250 mg - about 450 rubles. 500 mg - 600-700 rubles. The description of side effects does not include sleep disturbances, drowsiness or noise in the head.

Synonym of Pantogam - Pantocalcin.

Doctor Komarovsky's opinion

Komarovsky classifies Pantogam as a medicine whose effectiveness has not been proven. He says that "at best it will do no harm." The doctor claims that the drug is prescribed solely for insurance purposes. This is necessary so that if the child’s well-being worsens, the parents do not come to the attending physician with the complaint: “It’s all because you didn’t prescribe anything for us.” According to Evgeniy Olegovich, electrophoresis and therapeutic massage will bring more benefits.

Angela writes:

“When my son entered school, he became hyperactive. He did not adapt well to new conditions, and school discipline was difficult for him. We were prescribed 2 months of treatment with Pantogam. I strictly monitored the time of administration and followed the recommended dosage. Soon the teachers noticed that their perseverance and performance increased. After 6 months, the pediatrician prescribed a second course to consolidate the effect.”

Pantogam is a remedy with an ambiguous effect. While restoring some functions of the nervous system, it can cause disruption to others. Therefore, it should be given to children with caution. Carefully monitor your child’s behavior to determine whether the benefit brought by the drug outweighs the possible harm caused by the drug.

Alisa Nikitina

pharmachologic effect

A nootropic agent that has neurometabolic, neuroprotective and neurotrophic properties. Increases the brain's resistance to hypoxia and the effects of toxic substances, stimulates anabolic processes in neurons, combines a moderate sedative effect with a mild stimulating effect, has an anticonvulsant effect, reduces motor excitability while regulating behavior. Increases mental and physical performance. Helps normalize GABA content during chronic alcohol intoxication and subsequent ethanol withdrawal. Shows analgesic effect.

Pharmacokinetics

After oral administration, it is quickly absorbed into the gastrointestinal tract. T max - 1 hour. The highest concentrations are created in the liver, kidneys, stomach wall and skin. Penetrates through the BBB. Not metabolized. Excreted unchanged within 48 hours: 67.5% of the dose taken - in urine, 28.5% - in feces.

Indications

Cerebrovascular insufficiency caused by atherosclerotic changes in cerebral vessels, senile dementia (initial forms), residual organic brain damage in mature and elderly people, cerebral organic insufficiency in patients with schizophrenia, extrapyramidal hyperkinesis in patients with hereditary diseases of the nervous system (including Huntington's chorea, hepatocerebral dystrophy, Parkinson's disease), residual effects of previous neuroinfections, post-vaccination encephalitis, traumatic brain injury (as part of complex therapy); extrapyramidal neuroleptic syndrome (hyperkinetic and akinetic), as a corrector of the side effects of antipsychotics (neuroleptics) and for preventive purposes at the same time as “cover therapy”; epilepsy (with slow mental processes in combination with anticonvulsants). Psycho-emotional overload, decreased mental and physical performance (increased concentration and memory). Urinary disorders: enuresis, daytime urinary incontinence, pollakiuria, urgency (adults and children over 2 years old).

Children: perinatal encephalopathy, mental retardation (delayed mental, speech, motor development or a combination thereof), cerebral palsy, stuttering (mainly clonic form), epilepsy (as part of combination therapy with anticonvulsants, especially with polymorphic seizures and petit mal seizures) .

Dosage regimen

Taken orally. A single dose for adults is 0.5-1 g, for children - 0.25-0.5 g; daily dose for adults - 1.5-3 g, for children - 0.75-3 g. The course of treatment is 1-4 months, in some cases - up to 6 months. After 3-6 months, a second course of treatment is possible.

For children with mental impairment and oligophrenia - 0.5 g 4-6 times a day daily for 3 months; for delayed speech development - 0.5 g 3-4 times a day for 2-3 months.

As a corrector for neuroleptic syndrome, adults - 0.5-1 g 3 times/day, children - 0.25-0.5 g 3-4 times/day. The course of treatment is 1-3 months.

For epilepsy, children - 0.25-0.5 g 3-4 times/day, adults - 0.5-1 g 3-4 times/day, daily, for a long time (up to 6 months).

For tics in adults - 1.5-3 g/day, daily, for 1-5 months; children - 0.25-0.5 g 3-6 times a day daily for 1-4 months.

For urinary problems in adults - 0.5-1 g 2-3 times a day, daily dose - 2-3 g; for children, a single dose is 0.25-0.5 g, daily - 25-50 mg/kg. The course of treatment is 0.5-3 months.

Side effect

Allergic reactions: rhinitis, conjunctivitis, skin rashes.

Contraindications for use

Acute severe kidney disease, first trimester of pregnancy.

Use during pregnancy and breastfeeding

Use is contraindicated in the first trimester of pregnancy.

Use in children

Application is possible according to the dosage regimen.

Overdose

Symptoms: increased symptoms of the described side effects (sleep disturbance or drowsiness, noise in the head).

Treatment: activated carbon, gastric lavage; If necessary, carry out symptomatic therapy.

Drug interactions

Prolongs the effect of barbiturates, enhances the effects of anticonvulsants, nootropics and central nervous system stimulants, and the effect of local anesthetics (procaine).

Prevents side effects of phenobarbital, carbamazepine, antipsychotics (neuroleptics).

The effect of hopantenic acid is enhanced in combination with glycine and xydiphone.

Conditions for dispensing from pharmacies

The drug is available with a prescription.

Storage conditions and periods

The drug should be stored in a dry place, protected from light and out of reach of children, at a temperature not exceeding 25°C. The shelf life of 250 mg tablets is 4 years, 500 mg tablets - 3 years, syrup - 2 years.

After opening, store the bottle of syrup in the refrigerator for no more than 1 month.

Use for renal impairment

The drug is contraindicated in acute severe kidney disease.

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    A good nootropic for kids, but for us it was not enough to stimulate speech in a three-year-old. But after adding Cortexin injections to the regimen, my daughter began to appear new words, and her speech finally began to develop well.

    Christina

    We took Pantogam as prescribed by the doctor because of our daughter’s hysterics. She was capricious and hysterical for any reason, she felt sorry for the child and herself. There were no side effects in the form of poor sleep, we tried to drink, as the doctor said, before 15 hours, so as not to cause unnecessary excitability. At the end of the appointment, the child was simply replaced, so he could calmly play, give... We took Pantogam as prescribed by the doctor because of our daughter’s hysterics. She was capricious and hysterical for any reason, she felt sorry for the child and herself. There were no side effects in the form of poor sleep, we tried to drink, as the doctor said, before 15 hours, so as not to cause unnecessary excitability. At the end of the appointment, the child was simply replaced, so he could play quietly and give me the opportunity to do something around the house. Makes contact.

    Guest

    I'm buying Pantogam for my grandfather. He has been drinking it for the last five years in courses every six months. I believe that thanks to this particular drug, my grandfather, despite his years (and he is already 90!), retained an excellent memory, a bright mind and is still able to fully take care of himself.

    Pantogam helped us get rid of hyperactivity. The child was so active, energetic and emotional that I thought I would go crazy while he grew up. But after he broke his head, we turned to a doctor for help and, as part of a comprehensive treatment, we were prescribed Pantogam to drink. We took it for two months in a row, already... Pantogam helped us get rid of hyperactivity. The child was so active, energetic and emotional that I thought I would go crazy while he grew up. But after he broke his head, we turned to a doctor for help and, as part of a comprehensive treatment, we were prescribed Pantogam to drink. We took it for two months in a row, after the main treatment, but it had a good effect on the child. Now my son won't know. Little Napoleon)) Smart, reasonable, perseverance and even learning became better.

    This is the second time I give Pantogam to my child. We treat urinary incontinence. After the first month of taking it, real improvements became visible. The child began asking to go to the toilet at night. I was happy and stopped the drug myself, I decided that the body would cope on its own. But alas..... A week later it got worse. Again the doctor, and all over again. It's better now. A drug... This is the second time I give Pantogam to my child. We treat urinary incontinence. After the first month of taking it, real improvements became visible. The child began asking to go to the toilet at night. I was happy and stopped the drug myself, I decided that the body would cope on its own. But alas..... A week later it got worse. Again the doctor, and all over again. It's better now. The drug is great, but don't be an idiot like me. Treat yourself to the end. And follow all doctor's orders.

    Our child is very shy, I was like that as a child. I was very worried that when the child went to kindergarten, that adaptation would occur as least vulnerable as possible for the child. In addition, my son, at only 3 years old, speaks poorly. I don't see any developmental abnormalities. At home the child is active, energetic, cheerful.... Our child is very shy, I was like that as a child. I was very worried that when the child went to kindergarten, that adaptation would occur as least vulnerable as possible for the child. In addition, my son, at only 3 years old, speaks poorly. I don't see any developmental abnormalities. At home, the child is active, energetic, and cheerful. But the new situation is problematic for him. He immediately shuts down and doesn’t take a step away from mom or dad. The pediatrician does not make any diagnoses, and I don’t think that the child has problems. The doctor advised me to give Pantogam syrup. We drank for about a month. Gradually the child adapted to kindergarten and now behaves like all children. Well, it’s too early to judge the speech. In general, changes in behavior are noticeable.