Pantokaltsin for children
The medicine "Pantokaltsin" for children is prescribed quite often. It is a nootropic remedy that provides anticonvulsant, cerebroprotective, antidisuric and other actions. The drug improves metabolism in tissues and cells, prevents the development of hypoxia. The article will consider the medicinal properties of the medication "Pantokaltsin", instruction for children, feedback from parents and specialists.
The spectrum of action of the drug is due to the presence of gopantenic acid in the composition. The drug directly affects the GABAK receptor-channel complex, enhances the inhibitory processes in GABAergic synapses. There is evidence of a direct effect of the drug on norepinephrine, glutamate, dopamine, serotonin, and neurotransmitter systems. Due to the activity of gepattenic acid in the body, glucose metabolism is normalized, in particular, its utilization in the cerebral cortex, cerebellum, hypothalamus, subcortical ganglia is improving. In addition, the exchange of nucleic acids is regulated, the anabolic processes are stimulated in brain cells, including the synthesis of RNA, protein, and ATP.
Hepattenic acid reduces platelet aggregation and, as a result, helps to improve the passage of red blood cells in the microcirculatory bed, improves the oxygen supply of neurons in the brain, under hypoxic conditions, reduces the need for oxygen in the cells and thus prevents oxygen starvation. The drug produces a neuroprotective effect, affects the metabolism of tricarboxylic acids, thereby significantly increasing energy metabolism.
"Pantokaltsin" for children is also used because it improves memory, perception, concentration of attention, enhances the intellectual function, the ability to learn and assimilate the material. The drug has a sedative (mild) effect, reduces the incidence of spontaneous motor activity, reduces hyperactivity. Hopantenic acid due to the optimization of carrying out nerve impulses and lowering motor excitability produces an anticonvulsant effect.
In the gastrointestinal tract, when ingested, the drug is absorbed well, the highest concentration in plasma is observed after an hour. The drug effectively passes through the blood-brain barrier, the hopentenic acid also accumulates in the kidneys, liver, stomach walls, skin. From the body, the drug in unchanged form is completely excreted within 48 hours, mainly by the kidneys.
Indications for use
Medication "Pantokaltsin" instructions for use for children shows the appointment for cognitive impairment, resulting from neurotic disorders and organic brain damage. For children, the drug is used to treat:
- cerebral organic insufficiency in schizophrenia (together with antidepressants, neuroleptics);
- consequences of the suffered craniocerebral injuries and neuroinfections (in combination with other medicines);
- extrapyramidal hyperkinesias in hereditary pathologies of the nervous system (eg, hepatocerebral dystrophy);
- epilepsy, involving a slowing of mental processes (together with anticonvulsant drugs);
- disorders of urination (daytime urinary incontinence, imperative urges, enuresis, pollakiuria).
In addition, the drug "Pantokaltsin" for children instruction recommends the use of reducing physical and mental performance, psycho-emotional overload. The drug is used to delay mental and intellectual development, clonic forms of stuttering, a syndrome of hyperactivity, which is accompanied by attention deficit, and also to improve memorization and perception.
Medication "Pantokaltsin" for infants is prescribed from the first days of life with perinatal encephalopathy, neuroses, epilepsy (with small seizures), cerebrosthenic syndrome (oligophrenia), various forms of cerebral palsy, trembling of limbs, convulsions.
Dosage form. Composition
The preparation is issued in the form of white flat-cylindrical tablets with a risk and a facet. The active ingredient is calcium hypanthenate, in each tablet it is present in the amount of 250 or 500 milligrams. Secondary components are calcium stearate, potato starch, magnesium hydroxycarbonate, talc. Tablets are packaged in contour packs of 10 pieces or polymer cans of 50 pieces each. Five packages or one jar are placed in a cardboard box together with an instruction and in this form are released for sale.
Can I use medicines for children under three?
This question worries many parents. In the instructions to the drug it is said that it is not recommended to give babies up to three years. But doctors often prescribe the "Pantokaltsin" remedy for children up to a year and even newborns. How so?
The fact that this drug is only available in tablet form, and therefore it is not very convenient to use for babies. This is the only reason why the instruction advises not to use the medication "Pantokaltsin" for young children. It is preferable for babies to prescribe a similar remedy in the form of a syrup - Pantogam. And nevertheless, pediatric neurologists and pediatricians often use the drug "Pantokaltsin" in the treatment of newborns. The grounds for this are available.
Pantogam syrup, although better perceived by kids, but can cause allergies in the form of rashes on the skin, as well as swelling of the Quincke and urticaria, allergic rhinitis and conjunctivitis, which is very dangerous for babies. At the same time, the drug "Pantokaltsin" for children (the instruction confirms this) is safe, because it is a hypoallergenic drug.
Action of the medicine on the child's organism. Reviews
The child's organism is highly plastic. This also applies to brain cells. For a child, the proper exchange of proteins in cells is of particular importance. The drug "Pantokaltsin" has a multilateral impact on the brain. As already mentioned, it improves metabolism in neurons and thereby restores the basic brain functions. As a result, the children begin to develop better, acquire practical skills and a wide range of knowledge, and increase their cognitive and intellectual abilities.
Also, for the inhibition of the central nervous system, a medication "Pantokaltsin" is prescribed for children. The responses of the parents, whose children were hyperactive and exaggerated, reported that after taking the medicine, the children became calmer, they had increased concentration of attention, coordination of movements improved. Moms and dads point out that the children are beginning to learn better at school.
Use of the drug with PPNS
In childhood, the most frequent neurological diseases are perinatal lesions of the nervous system. The word "perinatal" suggests that the lesion occurred within a period of 22 weeks (154 days) of pre-natal life up to 7 days after birth. The fetus / child organism at this time is affected by a variety of factors that subsequently determine its development and health.
The most common manifestation of PPNS is perinatal encephalopathy, characterized by lesions in the form of small foci of the entire brain due to a violation of its nutrition. Often, such a pathology arises against the background of hypoxia - a lack of supply of oxygen to the brain, which, in turn, is due to circulatory disorders.
Severe disorders with perinatal encephalopathy can occur immediately after birth, and may be absent, and pathology will go unnoticed, but in the future it will still affect the mental development of the baby. Such children are troubled by headaches, they lag behind in mental development, they start talking late, they have difficulties in learning. To children with this diagnosis it is shown to prescribe medication "Pantokaltsin" in the form of courses. For children, this medicine is very effective: it improves the condition of the baby due to the removal of headaches, increasing the ability to master new skills.
The use of medicament in the syndrome of hyperactivity
If in the prenatal period or infantile age there was any micro-damage to the brain, the child may develop a hyperactivity syndrome in the future, accompanied by a violation of attention. Such children are distinguished by high motor activity, uncontrolled behavior and inability to concentrate on something. As a result, the adaptation of children in the team is disrupted, they can not fully master new knowledge.
To eliminate the syndrome of hyperactivity, neurologists are advised to give the medicine "Pantokaltsin" to children. Parents' reviews confirm the effectiveness of the drug. Mummies note that children after the course of treatment become more attentive and diligent, their behavior improves, and adaptation in kindergarten / school is facilitated.
Use of the drug for urinary incontinence
Against the backdrop of neurogenic disorders associated with neuromuscular disorders in the bladder, the child may have day and night urinary incontinence. In this case, the medicine "Pantokaltsin" will also help. He optimizes the functioning of the bladder and normalizes the children's urination.
How to take Pantokaltsin?
The tablets are drunk after meals, after fifteen to thirty minutes. The daily dose for children is 0.75-3 grams, single dose 0.25-0.5 grams. On average, the course of therapy lasts one to four months, in some cases can be increased to six months. After a three-to-six-month break, a second course of treatment with Pantokaltzin can be done. Dosage for children is selected by a specialist depending on the clinical picture. Kids tablets are dissolved in a small amount of water.
The medicine, as already noted, has a nootropic effect, therefore, it should be taken in the afternoon and in the morning (it is not recommended to use the tablets after 16 hours). As a rule, the children, based on age, set the following daily doses: up to one year - 0.5-1 grams, from one to three years - 1.5-2 grams, from three to fifteen years - 2.5-3 grams.
In disorders of urination, a single dose for children is 0.25-0.5 grams, and the daily dose is calculated at the rate of 0.025-0.05 grams per kilogram of weight. Therapeutic course - one to three months. Use the drug according to this scheme: start with a minimal dose, gradually increasing it within seven to twelve days, then take the maximum amount within fifteen to forty days, then gradually reduce it for seven to eight days before the drug is completely discontinued.
Adverse events. Reviews
Doctors say that the medicine almost never causes negative effects, so you can give the drug "Pantokaltsin" to children with complete certainty. At the same time, parents' comments are not so straightforward. Some mothers say that their children get a headache after taking the medication, drowsiness develops. One can find statements that children complain of tinnitus during the treatment with the drug. However, such feedback is extremely small. Most parents write that the medicine is well tolerated by the children.
Do not give the drug to children who have severe impairment of kidney function, and to babies suffering from hypersensitivity to gopantenic acid, its derivative or other ingredients present in the drug.
Interaction with other medicines
"Pantokaltsin" can enhance the activity of other nootropic drugs, as well as CNS stimulants and drugs for local anesthesia. In addition, it prolongs the effect of barbiturates. If you apply the medication together with neuroleptics and phenobarbital, the negative actions of the latter will be reduced. Simultaneous use of the drug with the drugs "Xidiphon" and "Glycine" mutually enhances the pharmacological properties.
Should I give Pantokaltsin to children? Reviews. Price
When a doctor prescribes a given medication to a child, parents are usually frightened. Many people think that this medicine is prescribed only for mentally retarded children. Especially scary, according to moms, give the drug to infants. "No matter how this means of harm did not bring" - they fear. Experienced parents calm dubious moms and dads and write in their reviews that the drug "Pantokaltsin" is not as scary as it is painted, and, on the contrary, helped their children to become smarter and more attentive, to cope with stuttering and other violations. Parents of babies say that the kids after the therapy with "Pantokaltsin" began to sleep quieter.
There are also negative reviews. So, some mummies write that their children against the background of treatment with the drug have become even more excited and scattered. But there are very few such statements, and they are lost in a large number of positive opinions. Therefore, do not be afraid to give the medicine "Pantokaltsin" to children. The price of a medicine for the packing of tablets (50 pieces) containing 250 milligrams of calcium gopantenate averages 202-219 rubles, 500 milligrams of calcium gopantenate - 320-350 rubles.