Vasodilator drugs for osteochondrosis of the neck
The content of the article:
- When shown
- Operating principle
-
Vasodilator drugs for the brain with osteochondrosis: a review of the best
- Nicergoline
- Pentoxifylline
- Bencyclane fumarate
- Naftidrofuril
- Xanthinol nicotinate
- A nicotinic acid
- Vinpocetine
- Cinnarizine
- Additional drugs to improve blood flow
- Possibilities and limitations of vasodilators
- Video
Vasodilator drugs for osteochondrosis of the neck are prescribed in the presence of signs of cerebrovascular accident. Drugs from this group expand the lumen of the vessels of the brain, thereby increasing the flow of blood and oxygen to the tissues.
Vasodilator drugs for cervical osteochondrosis can be effective at a certain stage, but it is impossible to cure the disease only with their help
When shown
Vasodilators (vasodilators) are a versatile group of drugs that are used for various diseases. With osteochondrosis of the cervical spine, vasodilators are prescribed to improve cerebral circulation.
When the cervical vertebrae and intervertebral discs are affected, the vertebral arteries, which are involved in the blood supply to the brain, can be compressed. Against this background, vasospasm often occurs, which only aggravates ischemia.
What symptoms in a patient may indicate a violation of cerebral circulation:
- dizziness;
- headache;
- imbalance;
- hearing loss;
- deterioration of vision;
- periodic loss of consciousness;
- nausea, vomiting;
- violation of sensitivity on the one hand.
Operating principle
All vasodilators dilate the vascular lumen, but their mechanism of action may differ. The following types of vasodilator drugs improve cerebral circulation:
| Group | A drug |
| Alpha blockers | Nicergoline |
| Phosphodiesterase inhibitors | Bencyclane fumarate |
| Myotropic antispasmodics | Pentoxifylline |
| Combined drugs | Xanthinol nicotinate - phosphodiesterase inhibitor, adenosine receptor blocker |
Vasodilator drugs for the brain with osteochondrosis: a review of the best
To improve cerebral circulation, various vasodilators are prescribed - Nicergoline, Pentoxifylline, Nicotinic acid, Bencyclan, Naftidrofuril, Xanthinol nicotinate, Cinnarizine, Vinpocetine. Medicines are available in the form of tablets, solutions and powders for injection. Local agents (ointments, gels) are not used to improve the blood supply to the brain.
Nicergoline
Nicergoline belongs to the group of alpha-blockers. It blocks alpha receptors located in the vessels, which leads to the expansion of their lumen. Nicergoline acts mainly on the vessels of the brain and extremities, which makes it possible to use it in transient ischemic attacks (TIA).
The main effect of the drug is to improve cerebral blood flow. Nicergoline also increases vascular permeability for glucose, improving metabolic processes in the brain.
Nicergoline has several forms of release:
- pills and tablets for oral administration;
- substance-powder for oral administration, intravenous or intramuscular administration;
- lyophilisate for preparation of solution for injection.
The trade name is Nilogrin.
Nicergoline - a drug from the group of alpha-blockers
Pentoxifylline
Pentoxifylline is a drug from the group of phosphodiesterase inhibitors. It relaxes the muscular wall of blood vessels, thereby expanding their lumen. In addition, Pentoxifylline normalizes microcirculation.
The drug improves the supply of oxygen to tissues, to the greatest extent this effect is observed in the central nervous system and limbs.
Pentoxifylline comes in the following forms:
- oral tablets;
- substance powder;
- injection;
- concentrate for preparation of solution for infusion.
Trade names and analogues: Agapurin, Arbiflex, Vasonit, Pentamin, Pentylin, Pentohexal, Pentomer, Radomin, Ralofect.
Agapurin - a drug from the group of phosphodiesterase inhibitors
Bencyclane fumarate
Bencyclan is a myotropic antispasmodic. It acts on smooth muscles, relaxes them and increases the vascular lumen.
Benziklan has the following release forms:
- pills;
- injection;
- substance powder.
The trade name is Galidor.
Galidor's active ingredient is bencyclan
Naftidrofuril
Naftidrofuril is a myotropic antispasmodic, alpha-blocker and serotonin receptor blocker. Thanks to its combined action, it dilates blood vessels and improves cerebral blood flow.
Additional effects of Naftidrofuril include a positive effect on cellular metabolism. It improves oxygen and glucose utilization.
Available in the form of tablets for oral administration. Trade name - Duzopharm, Enelbin 100 retard.
The active ingredient of Duzofarm is naftidrofuril
Xanthinol nicotinate
Xanthinol nicotinate has the properties of theophylline and nicotinic acid. Its main action is to expand peripheral blood vessels and improve cerebral circulation. Also, Xanthinol improves microcirculation, metabolic processes in the tissues of the central nervous system, and reduces cerebral hypoxia.
Xanthinol has 2 forms of release:
- pills;
- injection.
Trade name - Complamin.
Xanthinol nicotinate - a means of combined action
A nicotinic acid
Nicotinic acid is a PP vitamin, the properties of which are vasodilation, improvement of lipid and carbohydrate metabolism. Nicotinic acid is prescribed to improve cerebral circulation, as well as in the presence of concomitant diseases (vascular atherosclerosis, diabetes mellitus) as a complex therapy.
Nicotinic acid comes in the following forms:
- pills;
- injection;
- substance powder.
The trade name is Niacin.
Nicotinic acid - vitamin PP
Vinpocetine
Vinpocetine is a drug that improves cerebral circulation. Its advantage is the effect on three pathological links at once, characteristic of cerebral circulation disorders: metabolic disorders, blood flow and microcirculation. Has the following effects:
- dilates the vessels of the brain;
- reduces blood viscosity;
- helps to normalize the metabolism of brain tissue;
- improves the absorption of oxygen in the brain tissue;
- antioxidant action.
Available in the form of tablets and solution for infusion. The trade name is Cavinton.
The active substance of Cavinton is vinpocetine
Cinnarizine
Cinnarizine is a drug that is used mainly for vestibular disorders. One of the effects of Cinnarizine is vasodilation. There are also other positive effects:
- improving microcirculation (reducing blood viscosity);
- increased resistance of nerve tissues to hypoxia;
- oppression of stimulation of the vestibular system - relieves attacks of dizziness.
Cinnarizine is available in the form of tablets and capsules for oral administration. The trade name is Stugeron.
Cinnarizine is used in the presence of vestibular disorders
Additional drugs to improve blood flow
Treatment of disorders of cerebral circulation is not limited to the use of only vasodilators. Since a lack of oxygen affects the state of the nervous tissue, therapy includes the use of neuroprotective agents.
Neuroprotective agents are drugs that protect nerve cells from damage, improve metabolism in the brain. What medications are prescribed for cervical osteochondrosis:
- Glycine;
- Actovegin;
- Piracetam;
- Cerebrolysin;
- Ceraxon;
- Cytoflavin.
Possibilities and limitations of vasodilators
Vasodilators can eliminate vasospasm, increase vascular lumen and improve blood flow to the brain. This improves cerebral oxygenation and metabolism. The clinical result of such therapy is to reduce the symptoms of cerebral ischemia:
- dizziness passes;
- improves memory;
- gait becomes less wobbly;
- coordination and balance are normalized;
- hearing improves.
Video
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Anna Kozlova Medical journalist About the author
Education: Rostov State Medical University, specialty "General Medicine".
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