Picamilon
Picamilon: instructions for use and reviews
- 1. Release form and composition
- 2. Pharmacological properties
- 3. Indications for use
- 4. Contraindications
- 5. Method of application and dosage
- 6. Side effects
- 7. Overdose
- 8. Special instructions
- 9. Application during pregnancy and lactation
- 10. Use in childhood
- 11. In case of impaired renal function
- 12. Drug interactions
- 13. Analogs
- 14. Terms and conditions of storage
- 15. Terms of dispensing from pharmacies
- 16. Reviews
- 17. Price in pharmacies
Latin name: Picamilonum
ATX code: N06BX
Active ingredient: nicotinoyl gamma-aminobutyric acid
Producer: OJSC Novosibkhimpharm (Russia), OJSC Biochemist (Russia), OJSC Vitamin Plant Pharmstandard (Russia), OJSC Chemical-Pharmaceutical Plant AKRIKHIN (Russia)
Description and photo update: 2019-13-08
Prices in pharmacies: from 80 rubles.
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Picamilon is a nootropic drug that dilates the blood vessels of the brain, improves cerebral circulation and functional state of the brain, also has antioxidant, antiplatelet, psychostimulating, anti-migraine and tranquilizing effects.
Release form and composition
Dosage forms of Picamilon:
- Solution for intravenous (i / v) and intramuscular (i / m) administration (2 ml in ampoules, 10 ampoules in a cardboard box; 2 ml in ampoules, 5 or 10 ampoules in blisters, 1 or 2 packing in a cardboard box);
- Tablets: flat-cylindrical, beveled, white or white with a cream shade (10 pcs. In blister packs, 3, 6 or 10 packs in a cardboard box; 30 pcs. In polymer bottles, 1 bottle in a cardboard box; 30, 60 or 100 pieces in dark glass jars, 1 jar in a cardboard box).
The active substance of Picamilon is N-nicotinoyl-gamma-aminobutyric acid sodium salt, its content in various dosage forms of the drug:
- 1 ml solution for intravenous and intramuscular administration - 50 or 100 mg;
- 1 tablet - 20 or 50 mg.
Auxiliary components of tablets: potato starch, magnesium hydroxycarbonate hydrate, talc, sucrose, stearic acid or calcium stearate.
Pharmacological properties
Pharmacodynamics
Picamilon is a nootropic drug that dilates the blood vessels of the brain. It has a psychostimulating, tranquilizing, antioxidant, antiplatelet effect, and also normalizes the metabolism of brain tissue and affects cerebral circulation (improves microcirculation, increases the linear and volumetric velocity of cerebral blood flow, inhibits platelet aggregation, reduces vascular resistance).
With the course of taking Picamilon, the following effects are observed:
- improvement of blood circulation in the vessels of the optic nerve and retina;
- decrease in the severity of headache;
- normalization of sleep;
- improved memory;
- increasing physical and mental performance;
- disappearance or decrease in the severity of feelings of tension, anxiety, fear;
- improvement of the condition of patients with speech and movement disorders;
- reducing the depressing effect of ethanol on the central nervous system.
Pharmacokinetics
Picamilon is rapidly and completely absorbed. It overcomes the blood-brain barrier and is retained in the tissues of the body for a long time. Bioavailability is from 50 to 88%.
Basically, the drug is excreted unchanged by the kidneys. The half-life is 0.5 hours.
Indications for use
- Asthenic conditions as a consequence of neuropsychic diseases;
- Cerebral circulation disorders (acute ischemic disorders, subacute and recovery periods of ischemic stroke, chronic cerebrovascular accident);
- Neuroinfection, traumatic brain injury (as one of the components of complex therapy);
- Conditions accompanied by fear, increased irritability, anxiety and / or emotional lability;
- Prevention of migraine;
- Open-angle glaucoma (to stabilize visual function);
- Senile psychosis, as well as asthenia, vegetative-vascular dystonia, depression or other depressive disorders in elderly patients;
- Treatment of chronic alcoholism (the purpose of using Picamilon is to reduce alcoholic encephalopathy, asthenoneurotic, asthenic, pre-relapse and postpsychotic conditions);
- Relief of acute alcohol intoxication (as part of combination therapy);
- Improving the tolerance of physical and / or mental stress (people in extreme or stressful conditions, as well as athletes);
- Disorders of urination in adults and children over 3 years of age (to reduce detrusor hypoxia and improve the adaptive function of the bladder).
Contraindications
Absolute:
- Chronic renal failure
- Pregnancy and breastfeeding;
- Hypersensitivity to any of the components of Picamilon.
Instructions for the use of Picamilon: method and dosage
Solution for i / v and i / m administration
Picamilon in these dosage forms is administered intramuscularly or intravenously (drip or slow jet).
Standard drug use regimens:
- Asthenic conditions: 20-40 mg per day i.m. 1-month course (at the same time appoint Picamilon tablets);
- Chronic disorders of cerebral circulation: 100-200 mg 1 or 2 times a day. Based on the patient's condition, the doctor uses one of the following schemes: first injects the drug intravenously for 10 days, then intramuscularly; or throughout the entire course in the morning - i / v drip, in the evening - i / m. The duration of treatment is from 15 to 30 days;
- Relief of acute uncomplicated intoxication with ethanol (as part of combination therapy): at the beginning of treatment - in a saturating dose of 5 mg / kg, then in a maintenance dose of 1.56 mg / kg / hour in 2.5 liters of infusion solution for 4 hours, frequency of application - 2 times a day (morning and evening).
Pills
Picamilon in tablet form should be taken orally, regardless of food intake (since it does not affect its effectiveness).
Standard drug use regimens:
- Restoration of working capacity and increasing the body's resistance to stress: 60-80 mg per day for 1-1.5 months. It is recommended for athletes to take Picamilon during the training period (2 weeks);
- Depressive states in elderly patients: depending on the clinical situation, 40-200 mg per day (optimally, 60-120 mg) in 2-3 doses for a course of 1.5-3 months;
- Asthenia, psychosis: 40-80 mg per day for 1-1.5 months. In some cases, the daily dose may be increased to 200-300 mg;
- Cerebrovascular diseases: 20-50 mg 2-3 times a day (but not more than 150 mg per day) in a 1-2-month course. After 5-6 months, a second course is prescribed;
- Alcoholism: during the period of abstinence - 100-150 mg per day for a 6-7-day course, with persistent disorders outside of abstinence - 40-60 mg per day for 4-5 weeks.
Side effects
- Allergic reactions: itching on the skin, rash;
- From the side of the central nervous system: vertigo, irritability, anxiety, agitation, headache;
- Others: nausea.
Overdose
With an overdose of Picamilon, an increase in the severity of side effects is observed. Symptomatic treatment is recommended.
special instructions
Not described.
Application during pregnancy and lactation
It is forbidden to use Picamilon during pregnancy and during breastfeeding.
Pediatric use
According to the instructions, Picamilon is not allowed to be used in the treatment of children under the age of 3 years.
With impaired renal function
It is forbidden to use the drug for chronic renal failure.
Drug interactions
In the case of simultaneous use, Picamilon reduces the duration of action of barbiturates, enhances the effect of narcotic analgesics.
Analogs
Picamilon's analogs are: Aminalon, Amilonosar, Bitopil, Bifren, Lucetam, Neurovin, Neuro-Norm, Nootropil, Noofen, Piracetam, Soaxon, Phenibut, Phenotropil, Cerebrolysin, Pikanoil, Picogam.
Terms and conditions of storage
Store at temperatures up to 25 ºC in a place protected from light and moisture, out of reach of children.
The shelf life is 3 years.
Terms of dispensing from pharmacies
Dispensed by prescription.
Reviews about Picamilon
Reviews about Picamilone are mostly positive, but some users believe that the drug is most effective as part of complex therapy.
Many doctors prescribe Picamilon to children from 2 years of age. Parents report that in such situations, the drug calms the nervous system, normalizes sleep and, in some cases, stimulates the development of speech. There are practically no side effects and allergic reactions.
Doctors also speak positively about Picamilon, but pay attention to the fact that the drug affects metabolic processes and blood circulation in the brain, so it should be used only under medical supervision.
Price for Picamilon in pharmacies
The approximate price of Picamilon is: 30 tablets of 50 mg - 104 rubles, 30 tablets of 20 mg - 87 rubles, 10 ampoules of solution for intramuscular and intravenous administration - 129 rubles.
Picamilon: prices in online pharmacies
Drug name Price Pharmacy |
Picamilon 100 mg / ml solution for intravenous and intramuscular administration 2 ml 10 pcs. RUB 80 Buy |
Picamilon 20 mg tablets 30 pcs. 82 RUB Buy |
Picamilon 50 mg tablets 30 pcs. RUB 90 Buy |
Picamilon tablets 50mg 30 pcs. 92 RUB Buy |
Picamilon tablets 20mg 30 pcs. RUB 105 Buy |
Picamilon 50 mg / ml solution for intravenous and intramuscular administration 2 ml 10 pcs. 115 RUB Buy |
Picamilon solution for intravenous and intramuscular administration 100mg / ml 2ml 10 pcs. 139 RUB Buy |
Maria Kulkes Medical journalist About the author
Education: First Moscow State Medical University named after I. M. Sechenov, specialty "General Medicine".
Information about the drug is generalized, provided for informational purposes only and does not replace the official instructions. Self-medication is hazardous to health!