Analogues of Cavinton (Vinpocetine, Mexidol, Cinnarizine, etc.)

Prohibited during pregnancy

Prohibited during breastfeeding

Has restrictions for children

Can be taken for liver problems

Can be taken for kidney problems

Cavinton is a drug that has a corrective effect in cases of cerebrovascular accidents. The medicine is produced in Russia and Hungary. Its cost can reach 700 rubles. Today there are several analogues of Cavinton on sale at a more affordable price.

Packaging of the drug Cavinton

Cavinton is a cerebrovasodilating drug that helps improve metabolism and rheological properties of blood. Vinpocetine is used as the main active ingredient.

Widely used in various branches of medicine:

1. Ophthalmology (embolism, thrombosis, atherosclerosis, vasospasm of the choroid or retina).
2. Neurology (vascular dementia, vertebrobasilar insufficiency, post-traumatic encephalopathy, post-stroke condition, transient ischemia).
3. Otolaryngology (age-related hearing loss, tinnitus, cochlevestibular neuritis, Meniere's disease).

It is not recommended to use this drug for patients with severe severe arrhythmia, hemorrhagic stroke, or lactose intolerance. The list of contraindications also includes pregnancy and lactation.

Cavinton is produced in the form of tablets and solution (ampoules). The tablets are taken three times a day, one at a time. The solution is used for intravenous administration (20 mg per 50 ml of saline solution) at a rate of no more than 80 drops/1 minute.

pharmachologic effect

The drug Cavinton is produced in tablets with a dosage of 5 mg and injections. The main substance is vinpocetine, which has the following therapeutic effects:

• improvement of cerebral circulation and metabolic processes;
• increased consumption of glucose and oxygen by the brain;
• increasing the resistance of nervous tissue to oxygen starvation or hypoxia;
• antioxidant effect;
• decreased blood viscosity;
• improvement of cerebral blood flow;
• increased blood circulation without the effect of stealing in damaged areas;
• increasing the elasticity of blood vessels.

At recommended dosages, the medicine has virtually no effect on blood pressure, heart rate, total peripheral resistance, or minute blood volume. Therefore, it is not contraindicated for arterial hypotension or arrhythmia. In severe forms of the disease, the doctor decides on the advisability of prescribing and replacement options.

Indications for use of Cavinton

The medicine is prescribed by a neurologist, therapist, and less often by an ophthalmologist or otolaryngologist. Dispensed with a doctor's prescription.

According to the instructions for use, the medication is effective for the following conditions and diseases:

1. cerebrovascular accident - to reduce neurological and mental manifestations (unsteadiness of gait, memory impairment, attention, migraines and headaches);
2. noise in ears;
3. vascular diseases of the organ of vision;
4. additional remedy for cervical osteochondrosis.

Preparations from Ukrainian manufacturers

The quality of medicines coming from Ukraine is not inferior to Russian ones. They also act quickly and effectively. The most popular of them are drugs based on vinpocetine:

• Vinpocetine Astrapharm - available in tablets, prescribed for insufficient blood circulation to the brain, tinnitus, and vascular pathology of the eyes. It is contraindicated for use in cases of cardiac ischemia, arrhythmia, and during pregnancy/lactation. The drug should not be given to children. The price is 55-70 rubles;
• Vinpocetine Darnitsa is a modern analogue of Cavinton in ampoules, but is also available in tablets. The drug is a psychostimulant and nootropic medication, prescribed for senile hearing loss, cerebrovascular pathology, pathologies of the retina / mucous membrane of the eyes, Meniere's disease.

Cavinton - instructions for use

The medicine acts cumulatively, the initial effect develops after a week of continuous use. The dosage and treatment regimen are selected by the doctor. The tablet form is recommended three times a day, 1-2 pieces (at a dosage of 5 mg).

Using the drug for a short period of time is not advisable. The optimal course of treatment is 1–3 months.

Cavinton - before or after meals

To prevent side effects and have a better therapeutic effect, the medicine is taken after meals.

What are the advantages of using analogues

Cavinton has a dilating effect on blood vessels, which improves blood flow and oxygen supply to the brain. At the same time, platelet aggregation is reduced and glucose is better broken down. The complex of plant components included in Cavinton is called “vinpocetine”. Substitutes for Cavinton have the same or similar action.

In addition to lower cost, they have a number of advantages:

• have fewer side effects and contraindications;
• have a wider area of ​​influence;
• are available in other forms.

Analogues of the drug Cavinton are produced by Russian, Ukrainian and Belarusian manufacturers.

Cavinton's analogues

If the medication is not suitable, you should inform your doctor and find an effective, approved replacement. Analogues of the drug Cavinton are dispensed from pharmacies according to a special prescription, they have restrictions on their use and side effects.

A list of what can replace Cavinton, indicating the form of release, approximate cost and producing country

Noopept

The domestic drug Noopept is a nootropic drug. One of the therapeutic actions is to improve learning, memory, attention, and prevent amnesia. The medication also reduces the frequency of headaches, tachycardia, unsteadiness of gait, and increases the resistance of brain tissue to oxygen starvation and damaging factors.

Pentoxifylline

Imported drugs Trental and Vazonit, the Russian analogue of Cavinton Pentoxifylline are used to restore blood circulation and dilate blood vessels. As a result, medications improve the condition of patients, reduce the frequency of night cramps, headaches, and increase walking distance.

Cerebrolysin and Cerepro

The drugs Cerebrolysin and Cerepro are nootropic drugs and are available in ampoules and capsules. Analogs are prescribed by a doctor for complaints of forgetfulness, deterioration of memory and attention, brain injuries, dementia and some organic diseases.

Mildronate

Mildronate ampoules and capsules tone, improve mental and physical performance, increase blood circulation in the area of ​​ischemia, and dilate blood vessels. They are used as an additional means to improve the quality of life of patients with complaints of fatigue and lack of strength, cardiovascular diseases, and deterioration of blood supply to the brain.

Cost of Cavinton and its analogues

Depending on the manufacturer and form of release, the cost of Cavinton ranges from 215 to 700 rubles. Pharmacies offer several similar medications at a lower price:

Popular analogues of Cavinton in tablets Before purchasing an analogue, you should consult your doctor. Replacing medications on your own can have a negative impact on your health.

Most patients prefer to take medications in tablets. This is a very convenient form of release, the administration of which is not accompanied by discomfort, unlike a dropper or an injection.

A separate group contains medications suitable for replacing Cavinton in tablet form:

• Vinpocetine;
• Oxopotin;
• Vicebrol;
• Korsavin.

The issue of changing the prescribed medication should be discussed with the treating specialist. It will help you make a choice towards the most effective and safe drug.

Vinpocetine

Vinpocetine is part of a pharmacological group of medications that help normalize cerebral circulation. The main active ingredient is vinpocetine. It is characterized by antihypoxic, vasodilating and antiaggregation properties. Has an effect on the central nervous system.

The list of indications for use includes:

• post-traumatic encephalopathy;
• Meniere's disease;
• vegetative-vascular dystonia;
• damage to the retina or choroid;
• insufficiency of cerebral blood circulation.

Before you start taking it, you should familiarize yourself with the contraindications:

• increased sensitivity to components;
• pregnancy;
• breastfeeding period;
• coronary heart disease/arrhythmia;
• acute form of hemorrhagic stroke (HI).

The standard instructions indicate that a single dose of the drug in tablet form is 5-10 mg/three times a day.

Cavinton and Vinpocetine are structural analogs with a difference in price. Also, some doctors prefer the main drug, since it is better cleared of alkaloids.

Oxopotin

A psychostimulating nootropic drug (drug) developed on the basis of vinpocetine. Under its influence, there is a normalization of cerebral metabolism, blocking of platelet aggregation, a decrease in blood viscosity and an increase in the ability of red blood cells to deform.

Oxopotin is prescribed for various forms of circulatory disorders in the brain, which are accompanied by mental or neurological disorders, and for chronic forms of vascular diseases of the retina or mucous membrane. Hearing loss, Meniere's disease and tinnitus/ringing are also indicated for use.

A list of conditions is highlighted in which the use of this remedy should be avoided. These include:

• hypersensitivity to components;
• childhood;
• acute stage of GI;
• high blood pressure.

Tablets are taken orally three times a day, 5 mg.

Since the analogue is based on vinpocetine, the drug does not differ from the original drug. It has similar properties and mechanism of action.

Vicebrol

Vicebrol is a complete analogue of Cavinton. A drug from the group of nootropic psychostimulant drugs that has a positive effect on brain function, metabolism and blood flow in the organ. Available in tablet form, based on vinpocetine. Penetrating inside the body, it replenishes nutritional deficiencies, reduces blood viscosity, and improves microcirculation. Promotes the expansion of blood vessels.

Conditions for which the medicine should be taken:

1. Dementia.
2. Recovery period after ischemic stroke.
3. Noise in ears.
4. Hypertensive encephalopathy.
5. Atherosclerosis.
6. Diabetic retinopathy.
7. Thrombosis of the central artery.

It is strictly forbidden to prescribe this medication to children under 18 years of age, if they are allergic to the components, or to pregnant and nursing mothers. When diagnosing an acute form of coronary heart disease, you should also not take Vicebrol tablets.

The drug is intended for oral administration. A single dose is 5 mg. Take three times a day during or after meals.

Korsavin

A medicine that improves cerebral blood flow. Vinpocetine acts as the main active substance. Under the influence of the tablets, brain metabolism improves, brain tissue is saturated with oxygen and glucose. It has a relaxing effect on the smooth muscles of blood vessels.

Used as a symptomatic medication in diagnosing blood flow disorders in the brain, decreased hearing acuity in old age, post-traumatic/hypertensive encephalopathy, idiopathic tinnitus.

Contraindications include:

• hypersensitivity to components;
• severe ischemia;
• age under 18 years;
• heart rhythm disturbances;
• lactose intolerance;
• GI in the acute stage;
• lactase deficiency.

The manufacturer's instructions indicate that the daily dose of the drug is 15 mg (1 tablet 3 times a day). In some cases, the dose is increased to two tablets three times a day.

Cavinton and its substitute are characterized by identical properties and principles of action, since they contain the same active component.

See also:

TOP 12 cheap analogues of Memantine - a substitute in tablets and other forms

Cavinton or Vinpocetine - which is better, reviews from doctors

The pressing question is, what is the difference between Cavinton or Vinpocetine and is it worth overpaying? The two medications contain the substance vinpocetine, which improves cerebral circulation. The cost of analogues varies: the first medicine is up to 4-6 times more expensive.

The effect of the drugs depends on the quality of the raw materials, the technology used, proper storage, and other factors. To create a high-quality effective medicine, the company needs to incur costs. It is for this reason that Cavinton and Vinpocetine are not equivalent.

When using a domestic substitute for Vinpocetine, according to doctors, a decrease in blood pressure and other undesirable reactions is more often observed, and later a therapeutic effect occurs. If possible, it is better to purchase a Hungarian drug.

Mexidol or Cavinton - which is better?

Mexidol is an analogue of Cavinton in tablets and injections, which has the following range of therapeutic effects:

• reduces tissue susceptibility to oxygen starvation or hypoxia;
• increases the body's resistance to stressful and damaging factors, for example, hypoxia, alcohol intoxication and poisoning with antipsychotics, shock, cerebrovascular accident and ischemia;
• improves cognitive functions (attention, memory, learning);
• reduces the patient's feelings of anxiety and fear;
• protects cell membranes from damage;
• eliminates increased skeletal muscle tone and has an anticonvulsant effect.

Cavinton is also used to improve cognitive functions and stabilize cerebral circulation.

Analogs differ in the range of actions they provide; they are dispensed and used exclusively as prescribed by a doctor. Which is best depends on the diagnosis and severity of the patient's condition. It is possible to use these medications together.

Cavinton or Cinnarizine

Cinnarizine is a medicine from the group of “slow” calcium channel blockers. This means that the product dilates blood vessels without affecting blood pressure, improves blood supply to organs and tissues, muscle resistance to oxygen starvation, reduces blood viscosity and increases the elasticity of erythrocyte cell membranes.

In general, the properties of Cavinton and Cinnarizine are similar. Both drugs are prescribed to reduce unsteadiness of gait caused by vestibular disorders, tinnitus, dizziness, headaches and migraines. The analogue Cinnarizine is cheaper and is available only in tablets. What to choose depends on the patient’s condition and is determined by the doctor at the appointment.

Analogues of the drug for therapeutic action

A separate group contains medications that have a similar effect on the body as Cavinton. Despite the fact that they contain other active substances, such drugs can be used to replace the original medication.

The selection of substitutes should be carried out by a qualified specialist. Since self-medication can negatively affect the course of the disease and the patient’s condition.

Often, the following are prescribed to replace Cavinton:

• Dendrix;
• Neuroxon;
• Piracetam;
• Pantogam;
• Nootropil.

Important! When carrying out treatment with analogues, it is necessary to follow the doctor’s recommendations.

Dendrix

The nootropic drug is produced on the basis of citicoline. Under its influence, the biosynthesis of structural phospholipids is stimulated and the functionality of membranes improves. Dendrix increases memory and performance, helps reduce the level of amnesia, as well as unpleasant symptoms that occur with cerebral dysfunction.

Conditions for which this drug is prescribed:

• TBI and its consequences;
• cerebral blood flow disorders;
• brain stroke.

If the tone of the parasympathetic nervous system is increased, the drug is not used. Also a contraindication is hypersensitivity to the components.

The dosage is selected by the doctor, based on the characteristics of the disease and the patient’s condition. The standard regimen involves twice-daily administration of 2 ml dropwise (up to 60 drops per minute) or stream (duration of administration - up to 5 minutes).

Unlike its analogue, the original medicine has a wider spectrum of action. They differ in the components they contain.

Neuroxon

Injection solution from the medicinal group of psychoanaleptics. The mechanism of action of the drug is determined by citicoline. Neuroxon has an inhibitory effect on some phospholipases and prevents the release of free radicals. Prevents cell death, restores affected tissue areas, and helps improve cholinergic transmission.

Indications for use include various forms of circulatory disorders in the brain (CB), TBI, and neurological disorders.

The use of the drug should be avoided in case of individual intolerance to its components and excessive tone of the parasympathetic nervous system.

The standard instructions contain information regarding application features. It indicates that the solution is suitable for intramuscular and intravenous administration. The daily dose is from 500 to 2000 mg. The duration of the therapeutic course depends on the patient's condition.

Despite the fact that the original and the substitute contain different components, they are prescribed for the same conditions. The drugs differ in cost and release form. Neuroxon goes on sale only in the form of a solution packaged in ampoules.

Piracetam

Medicine from the group of nootropics is available in the form of capsules, solution and tablets. The main substance is piracetam. It has a psychostimulating and neurometabolic effect. LP has a positive effect on metabolic transformations in nerve cells, modulates the speed of excitation in brain cells, and improves the level of communication between the two hemispheres of the brain.

Main indications for use:

1. Alzheimer's disease.
2. Traumatic brain injuries (TBI).
3. Coma.
4. Dementia.
5. Psychoorganic syndrome.
6. Sickle cell anemia.
7. Cortical myoclonus.
8. Stroke.

In childhood, medicine may be prescribed for the diagnosis of dyslexia or other pathologies that lead to a decrease in learning ability.

It is strictly forbidden to take medications if:

• Huntington's chorea;
• hypersensitivity to components;
• acute hemorrhagic stroke;
• psychomotor agitation;
• pregnancy;
• lactation.

With maximum caution, the use of drugs is allowed in the presence of hemostasis disorders, bleeding, and extensive surgical interventions.

A single amount of medication depends on the patient’s body weight and is approximately 30-160 mg. Take two to four times a day. To avoid problems with sleep, you should time your appointments so that the last one is no later than 18 hours. The maximum dose of the drug depends on the characteristics of the pathology and is determined by the doctor.

Piracetam differs from the original medicine in its active ingredient. In this regard, it has a slightly different purpose. However, these drugs can be prescribed in combination.

Pantogam

The nootropic drug is available in tablet form. The main substance is calcium hopantenate. The drug is characterized by nootropic and anticonvulsant properties. Under the influence of the medication, the protective function of the brain increases, the degree of motor excitability decreases, and physical and intellectual performance is activated.

Pantogam is used for alcohol dependence to improve the metabolism of gamma-aminobutyric acid. Experts also prescribe the drug for:

1. Extrapyramidal disorders (complications of neuroinfections, head injury, neurotic disorders).
2. Schizophrenia, which is accompanied by organic cerebral insufficiency.
3. Epilepsy.
4. Cerebrovascular insufficiency.
5. Mental fatigue, perintal encephalopathy or cerebral palsy in children.
6. Psycho-emotional stress.

The list of contraindications includes:

• kidney dysfunction;
• intolerance to components;
• pregnancy/lactation period.

The tablets are taken orally 20 minutes after meals. An adult single dose ranges from 0.25 to 1 g, the maximum daily amount is 3 g. For the treatment of children over three years of age, 0.25-0.5 g is prescribed three times a day. The duration of the therapeutic course can be 1-4 months.

Of the general conditions for the use of drugs Cavinton and Pantogam, only head injury and vascular pathologies are distinguished. They differ in composition, spectrum of action and degree of safety. Unlike the original, the substitute is used in the field of pediatrics.

Nootropil

Nootropil represents a group of nootropic medications. It is developed on the basis of piracetam. This substance is a derivative of gamma-aminobutyric acid. Its main effect is aimed at the level of performance of the GM, increasing memory, attention, and improving thought processes.

It is recommended to use this drug to eliminate:

• consequences of a stroke;
• psychoorganic syndrome;
• learning problems in children;
• sickle cell anemia;
• complications after coma;
• treatment of chronic alcoholism.

Patients who are allergic to its components are prohibited from taking the drug if they have end-stage renal failure. Nootropil may cause feelings of anxiety or fear.

Tablets are used to treat children from 3 years of age, and a solution for internal use from 1 year of age:

1. The initial amount of solution is 10 g (i.m. or i.v.). It is administered by drip over 20 minutes.
2. Tablets are taken twice a day with a dose of 30 to 160 mg per 1 kg of patient’s body weight.

Important! Treatment of young children is carried out under the supervision of a doctor with individually selected dosages.

Since Nootropil is a nootropic, it is often prescribed in combination with Cavinton to increase its therapeutic effect. The original drug is better tolerated.

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TOP 7 analogues of Picamilon - Russian and foreign substitutes for the drug

Which is better - Cavinton or Cavinton forte

Cavinton and Cavinton forte products are identical in properties and composition, with one difference. The first form is produced in ampoules and tablets containing 5 mg of active substance. The second is tablets with a higher dose of 10 mg.

To improve the patient’s condition and have a lasting effect, it is better to first use injections, then the tablet form. Moreover, the tablets are taken either 2 pieces per dose, or 1 enhanced formula. Most often, a medicine with the prefix forte is prescribed for this.

Actovegin or Cavinton

An analogue of Cavinton in ampoules and tablets is Actovegin. The medicine is based on the active substance isolated from the blood of calves.

The similarity of the two analogues lies in their effectiveness in cerebrovascular accidents, especially in atherosclerosis and ischemia.

There are differences in indications. Which is better depends on the patient's complaints and the severity of the condition. Actovegin is used for vascular atherosclerosis, trophic changes, and peripheral angiopathy. Cavinton is often prescribed to eliminate unsteadiness of gait as a consequence of impaired coordination and vestibular apparatus, tinnitus and dizziness.

Domestic drugs

The list of Cavinton analogues produced by Russian enterprises is quite large:

• Bravinton - this drug also has vinpocetine as an active substance. It works very effectively, but costs 3-4 times less. It is used to improve brain metabolic processes and also as an antispasmodic. In addition, this drug helps with dizziness, headaches, memory impairment, encephalopathy, vascular disorders in the retina, and hearing impairment. Bravinton can be purchased in the form of tablets, solution or concentrate for its preparation for intravenous injection. Cost 65-80 rubles;
• Vinpocetine is the main Russian analogue of Cavinton, which improves blood circulation in the brain, its oxygen supply, and also reduces platelet aggregation. Vinpocetine has the structure and all the characteristics of Cavinton, including effectiveness. The price of a package of tablets is 30-140 rubles, a solution for injections is ~45 rubles;
• Cinnarizine is the cheapest analogue of Cavinton in tablets. You can buy it for 25-55 rubles, but such a low price does not affect its effectiveness at all. The active ingredient, cinnarizine, improves cerebral, coronary and peripheral blood circulation. It is prescribed for dizziness, tinnitus, labyrinthine disorders, vomiting, nausea;
• Telektol - most often used in the acute phase of a stroke. But it cannot be used during pregnancy and breastfeeding. The drug has a vasodilating, antihypoxic, antiplatelet effect, increases blood flow and optimizes the metabolism of brain cells. Price – 130-160 rubles;
• Korsavin - created on the basis of vinpocetine, available in tablets. By dilating blood vessels, it increases blood flow and blood supply to the brain, reducing the risk of stroke;
• Actovegin is a deproteinized calf blood extract containing low molecular weight peptides derived from nucleic acids. The drug activates cellular metabolism due to an increased supply of oxygen and glucose to cells. The price of Actovegin is ~120 rubles. But its main advantage over its analogues is the possibility of not only intravenous and oral use, but also external use;
• Mexidol is a drug with ethylmethylhydroxypyridine succinate as an active substance. This is a new generation antioxidant. It is often used in parallel with Caventin for cerebrovascular disorders in patients. The price of tablets is 200 rubles, solution – 400 rubles.

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Piracetam or Cavinton

Piracetam is a drug in injections, capsules and tablets to improve memory, attention and concentration, and facilitate the learning process. The analogue is cheaper than Cavinton, protects brain cells from damage by toxins, alcohol, due to shock, hypoxia and other factors.

Cavinton also has nootropic and damage-protective effects. However, the main purpose of the drug is to improve blood circulation in the brain and eliminate associated symptoms.

Which is better, Cavinton or Piracetam, depends on the patient’s complaints and condition. Combined use is possible; pharmacies also offer complex preparations containing both piracetam and vinpocetine, for example: Omaron, Phezam.

Sermion or Cavinton - which is better?

The drugs Sermion and Cavinton are analogues. Both medications improve blood supply and metabolism in the brain and blood properties. The first remedy further increases blood flow in the lower extremities.

Cavinton is often prescribed for the treatment of dizziness and tinnitus. What to choose should be discussed with your doctor based on complaints, age, concomitant diseases, and other characteristics.

Fezam or Cavinton

Fezam and its analogue in composition Omaron belong to the group of nootropic drugs. Medicines combine the properties of two components - piracetam and cinnarizine.

Cavinton also has a nootropic effect. The property of improving blood circulation and metabolism in the brain is more pronounced. Analogs differ in their mechanism of action, active substances, properties, indications and limitations.

Foreign drugs

There are also imported analogues of Cavinton, but their price is higher than that of domestic analogues, as well as substitutes from neighboring countries. Here they are:

• Cavinton Comforte (Hungary) - the drug is similar in composition and effect to Cavinton, but is more harmless and less toxic. A distinctive feature is the special composition of the tablets, which allows them to quickly dissolve with saliva. This makes it much easier for patients with swallowing disorders to take the medicine. Price – 300-600 rubles;
• Betaserc (France, Netherlands) - produced on the basis of betahistine dihydrochloride. It is used for problems with the vestibular system, hearing impairment, dizziness, and relieving migraine headaches (400-600 rubles);
• Vicebrol (Poland) - similar in composition and effects to vinpocetine. Price 175–210 rubles;
• Oxopotin (Finland) – its active substance is captopril. The drug has a pronounced hypotensive effect. (210–440 rub.).

Cavinton and its analogues, being nootropic medications, are almost always available with a prescription. Self-medication with these drugs is strictly prohibited. These medications can only be taken as prescribed and under the supervision of a physician.

Tanakan or Cavinton

Both drugs are prescribed for pathology of cerebral circulation and deterioration of memory and attention. There are differences between analogues:

• Cavinton is a chemical preparation based on vinpocetine. Tanakan - based on the ginkgo biloba plant.
• The first medication has a quick orally soluble formula called Comforte.
• different manufacturers - in the first case, Hungary, in the second, Russia.
• excellent incidence of side effects.

Thus, Tanakan is a safe analogue and is less likely to lead to undesirable consequences. In serious cases, doctors give preference to Cavinton, using the analogue for prophylactic purposes or as an additional measure.

Patient reviews on the choice of Cavinton analogues

To determine the degree of effectiveness and safety of drugs, you should read reviews from specialists and patients:

Marina, 26 years old: “For more than 8 months I was tormented by dizziness after an injury. The treatment seemed to be successful, but the unpleasant symptoms often returned. Doctors recommended Cavinton. I completed the course, however, I did not notice any improvement in my condition. Then I changed it to Dendrix. After a little time I noticed improvements. Does not cause problems with use. True, my mother is a doctor, she gave me injections.”

Nadezhda, 32 years old: “My son was diagnosed with VSD at the age of 6 and was prescribed Cavinton. For me, this drug turned out to be a little expensive. Having studied the instructions, I discovered that it is made on the basis of vinpocetine. I immediately remembered that I took this medicine back in my teens, when my nose was bleeding. I consulted with my doctor and he allowed me to change the prescribed medication. The effectiveness of these medications is the same, but the cost of Vinpocetine is several times lower.”

Cavinton and its substitutes should be prescribed only by qualified specialists after examination and diagnosis on an individual basis. The choice of medicine depends not only on price and composition, but also on the characteristics of each patient’s body.

Betaserk or Cavinton

Betaserc based on betahistine and Cavinton are used to treat tinnitus, hearing loss, dizziness, accompanied by nausea and vomiting. Both analogues are original, clinically tested products. Which one is better depends on the patient’s medical history, the characteristics of the symptom and the cause. The choice is made by the doctor.

Analogues of Cavinton from Belarusian manufacturers

Drugs from Belarus have the lowest price range. Their cost is even lower than that of Russian-made medicines.

Belarusian pharmacists offer:

• Vinpocetine is a drug whose composition and characteristics are completely identical to its Russian analogue, but with a price of 5 rubles. up to 120 rubles;
• Vinpocetine Forte - used for cerebrovascular diseases, tinnitus, problems with blood supply to the eye organs. It has a stronger effect than regular Vinpocetine. Cost – 15-120 rubles;
• Winner LF are vinpocetine-based tablets that have an antihypoxic effect. By selectively affecting cerebral blood flow, the drug reduces blood viscosity. Prescribed in the same cases as Cavinton. Price 45-120 rub.

Vasobral or Cavinton - which is better?

The analogues Cavinton and Vazobral are similar in their effect, but differ in the mechanism:

• improvement of blood viscosity parameters;
• increased metabolic processes and blood circulation in the brain;
• increasing mental and physical performance.

Additionally, the analog Vasobral reduces the feeling of fatigue and reduces the permeability of the vascular wall. The choice of drug is made based on medical history.

MOTION DISEASE: DRUGS OF CHOICE (END)

Preferanskaya Nina Germanovna

Associate Professor, Department of Pharmacology, Faculty of Pharmacy, First Moscow State Medical University named after. THEM. Sechenova, Ph.D.

CHOLINOLYTICS

Scopolamine patch

- transdermal therapeutic system (TTS), M-cholinergic blocker, most significantly manifests itself when M-cholinergic receptors are excited, providing antiemetic, sedative and ganglion-blocking effects. Direct myotropic antispasmodic effect causes dilation of small blood vessels in the skin. In high doses, it inhibits the vasomotor center and blocks the sympathetic ganglia, dilates blood vessels and decreases blood pressure. TTC uniformly releases 0.5–1.5 mg of scopolamine over 3 days. Continuous, uniform release of the active substance contributes to better tolerability and effectiveness. For prevention, the patch is applied to a dry, healthy and hairless area of ​​skin behind the ear on the eve of the trip or 4-6 hours before it begins, and at the end of the trip it should be removed and the area of ​​skin on which it was placed is washed. When using the patch for more than 3 days. Undesirable reactions may occur: dizziness, vomiting, headache, unsteadiness when walking.

Scopolamine + Hyoscyamine
(Aeron)
- contains camphor salts of scopolamine (0.1 mg) and hyoscyamine (0.4 mg), blocks M-cholinergic receptors of the autonomic nervous system at the periphery and at the level of autonomic centers, disrupts the transmission of nerve impulses from postganglionic cholinergic nerves to innervated effector organs and tissues. Suppresses excessive secretion of the pharyngeal, laryngeal, tracheal, bronchial and sweat glands. Eliminates spasm of bronchial smooth muscles caused by increased tone n. vagus

Used exclusively at the first signs of motion sickness or 30–60 minutes before. before departure, 1–2 TB. 2 times a day. If necessary, after 6 hours you can take another tablet. With long-term use of this drug, side effects may occur (carefully read the instructions for use of the drug). It is necessary to strictly adhere to dosing regimens and not exceed the VDV (2 tb.) and VSD (4 tb.).

DRUGS THAT NORMALIZE MICROCIRCULATION (in the vestibular apparatus and in nerve cells)

Stugeron

(Cinnarizine),
Cavinton
(Vinpocetine) are vasodilating agents that improve cerebral circulation, causing a slight decrease in systemic blood pressure, dilation of cerebral vessels, increased blood flow and improved supply of oxygen and glucose to the brain. They increase the resistance of brain cells to hypoxia, facilitating the transport of oxygen and energy supply substrates to tissues (due to a decrease in the affinity of red blood cells for it, increased absorption and metabolism of glucose, switching it to an energetically more favorable aerobic direction). The vasodilating effect is associated with a direct relaxing effect on the smooth muscles of blood vessels, mainly in the brain. The drugs do not cause the “steal” phenomenon, primarily increasing the blood supply to the ischemic area of ​​the brain, without changing the blood supply to intact areas.

Piracetam + Cinnarizine

(Omaron, Fezam) - a combination of two drugs that improve metabolism and blood circulation in the brain, used in the form of tablets for the prevention of kinetosis: adults - 1 tb, children over 5 years old - ½ tb. in 30 min. before travel. If necessary, you can repeat taking one tablet every 6-8 hours. Contraindicated in children under 5 years of age, pregnant and breastfeeding mothers.

Betagistine

(Betaserc, Vestibo) - a synthetic analogue of histamine, is a means for the prevention of kinetosis and the elimination of dizziness. It has a strong affinity for histamine receptors of the H1 type, a direct stimulating effect on the H1 receptors of the inner ear and an antagonist of the H3 receptors of the vestibular nuclei of the central nervous system, dilates blood vessels and increases their permeability, increases blood supply, improves microcirculation of the vestibular apparatus. A stable therapeutic effect occurs after 14 days. Available in TB. 8, 16 and 24 mg. The course of treatment for dizziness is long, several months. There are no absolute contraindications, however, special caution is required for patients with stomach ulcers and asthma; gastrointestinal dysfunction, allergic skin rashes, and Quincke's edema are possible.

HOMEOPATHIC ANTI-MOTIONSIZATION MEDICINES

Air-sea -

granules 10 g in a sealed bag or caramel 5.0 g 10 pcs. in a sealed bag. Composition - Veratrum album (White hellebore) C200; Cocculus (Kukulvan) C200; Borax (Sodium borate) C200 - used for motion sickness in air and vehicles, for the prevention of dizziness, nausea, vomiting and other vegetative reactions. The drug can be used without restrictions for children and pregnant women. Use 5 granules or one caramel per dose (the dose does not depend on age and body weight); keep in mouth until completely dissolved. The first dose is carried out 1 hour before boarding the vehicle; reapply if necessary, every 30 minutes, but no more than 5 times a day. For course treatment, the drug is used in the form of granules; for one-time use and prolongation of the effect, caramel is recommended.

Kokkulin

— homeopathic multicomponent lozenges, use 2 pcs. 3 times a day, with the development of motion sickness symptoms - 2 TB. every hour until the condition improves.

Cocculus–Homaccord

— drops in dropper bottles of 30 and 100 ml, containing 35 percent alcohol by volume. Based on the homeopathic components included in this drug, it is indicated for dizziness and motion sickness (at sea, on an airplane, train or car). Take 10 drops. 3 times a day, in acute cases 10 drops. every 15 min. No side effects were identified.

Nux–vomica

— homeopathic granules or drops D3, C3, C6, C12 and higher; Nux vomica is a deep-acting broad-spectrum remedy, based on the homeopathic components that make up the drug, it can be used to prevent kinetosis and to relieve various unfavorable symptoms. The homeopathic medicines used in large dilutions do not show any undesirable effects.

Vertigohel

— available in drops for oral administration 30 ml, 100 ml and TB. sublingual 0.3 g/50 pcs. - a psychotonic, oligodynamic, vasodilator, the main drug for the treatment of motion diseases, and, importantly, does not affect the safety of driving. Usually used 10 drops. 3 times or 1 TB. 3 times a day. No side effects were identified.

ANTI-MOTION SICKING PHYTOPREDICATIONS

Ginkgo biloba

(Tanakan, Bilobil, Memoplant) has an antihypoxic effect, improves attention, cerebral and peripheral circulation. The drug reduces the tone of the smooth muscles of spasmodic vessels.

Peppermint alcohol tincture

1:20 in 90% alcohol has a moderate antispasmodic, sedative and choleretic effect. It has a local irritating effect on the nerve endings of the oral mucosa. Consists of an alcohol tincture of chopped peppermint leaves with the addition of an equal amount of peppermint oil. Peppermint oil contains ~50% menthol and from 4 to 9% menthol esters with acetic and valeric acids, as well as other substances. Used orally, 10–15 drops per dose, as a remedy against nausea and vomiting.

ACTOPROTEKTOR

Ethylthiobenzimidazole

(Bemethyl) increases the body’s resistance to hypoxia, physical activity, and vestibular stability against the backdrop of regular training, which makes it possible to reduce their duration. When using the drug, performance during physical activity increases, cerebral circulation improves, brain functions are activated, mood improves, feelings of anxiety and tension are reduced, and attention is normalized. Produced: tb. 0.125 g and 0.25 g. To prevent transport sickness, take 1 TB. in 30 min. before the trip. When used, it irritates the gastric mucosa, so it is advisable to take it with food.

NOOTROPICS

Gamma-aminobutyric acid (Aminalon)

- nootropic drug, biogenic substance, gamma-aminobutyric acid (GABA) is found in the central nervous system, is a mediator of inhibition in the neuronal network, and is also involved in metabolic processes. Increases respiratory activity and blood supply to brain tissue, improves glucose utilization. It also has moderate antihypoxic and anticonvulsant activity, causing a slight decrease in blood pressure and slight bradycardia. At high levels of glucose in the blood, it has some hypoglycemic effect. 250 mg film-coated tablets for the treatment of motion sickness symptom complex are prescribed for adults 500 mg, for children 250 mg 3 times a day. within 3–4 days. For preventive purposes, adults are prescribed 500 mg 3 times a day. within 3 days preceding possible motion sickness, and in the same dose immediately before the trip.

Nicotinoyl gamma-aminobutyric acid (Picamilon)

- nootropic drug. Chemically, the drug is a combination of the molecule gamma-aminobutyric acid (GABA) and nicotinic acid (vitamin PP). Improves the functional state of the brain by normalizing metabolism and influencing cerebral circulation. Increases the volumetric and linear velocity of cerebral blood flow, reduces cerebral vascular resistance, and improves microcirculation. It has antihypoxic, antioxidant and antiplatelet effects. With a course of taking the drug, there is a restoration of physical and mental performance, a decrease in headaches, dizziness, improved memory, normalization of sleep, a decrease or disappearance of feelings of anxiety, tension, and fear. Taking the drug helps improve the condition of patients with motor and speech disorders.

OTHER DRUGS

They belong to different pharmacological groups, but they alleviate motion sickness: Validol, Aerovit, Kinedril, Bromoprid (Bimaral).

Aerovit

— coated tablets containing 12 vitamins in the most optimal ratios, take one tablet per day during a long flight or when the vitamin value of the diet is low. Taking the drug prevents vitamin deficiency in the body, helps increase vestibular stability, normalizes metabolism, has a tonic effect, and increases mental and physical performance.

Moxastine + Caffeine

(Kinedril) is a combined drug in tablets intended for the prevention and treatment of kinetosis, i.e. diseases such as seasickness, malaise when driving in a car, train or when flying on an airplane, in the treatment of malaise in disorders of the vestibular apparatus, due to its calming, antiemetic effect and action that relieves dizziness. When preventing kinetosis, it is usually enough to take 1 TB. (25 mg moxastine theoclase) approximately one hour before departure. During a long trip, you can take the drug again at 12.5–25 mg at intervals of 2–3 hours. To relieve existing unwellness, take an initial dose of 50 mg of moxastine theoclase, after which 12.5–25 mg of the drug is taken at shorter intervals until the effect is achieved. Do not administer to pregnant and breastfeeding women and children under 2 years of age! Side effects occur in 20–30% of patients (read the instructions for use of the drug for more details).

Bromopride
(Bimaral)
is an antiemetic, serotonergic drug used for nausea, vomiting and hiccups.
It has antidopaminergic activity and affects trigger zones of the brain stem. Apply orally 20 mg 3 times a day, rectally administer suppositories 20 mg 1-2 times a day. Children are prescribed in the form of drops - 5-10 drops per 1 kg of body weight per day in two doses. When used, side effects may develop: headache, drowsiness, dry mouth, etc. Contraindicated in pregnant women and breastfeeding.
Dietary supplement "Ginger capsules"

» help fight nausea and motion sickness.

Caramel (dietary supplement) "Carmolis"

and candy caramel
“Plantico Vasoleptin”,
33 g each, made from medicinal herbs, eliminate irritation of the vestibular apparatus and help with motion sickness. One tablet contains 25 or 50 mg and 1 other 50 mg of ascorbic acid. You can suck on slices of lemon, grapefruit, orange or vitamin C - ascorbic acid, which has a sour taste (pH 3).

Sucking sour candies “Vzletnaya”, “Lemonnaya”, etc. relieve nausea well.

Acupressure bracelet

Travel Band, when rocking, affects certain acupuncture points and meridians of the body. The effect appears within 3–4 minutes. after getting dressed. Reduces nausea and vomiting for children and adults.

Nootropil or Cavinton

Nootropil is a piracetam-based drug that has a nootropic effect. Compared to it, Cavinton has a wide range of medicinal effects. In addition to affecting memory and attention, the medicine improves blood supply to the brain, increases the elasticity of blood vessels and modifies blood viscosity parameters. What to choose depends on the desired effect and indications.

Cytoflavin or Cavinton

Cytoflavin is an analogue of Cavinton 10 mg and is a metabolic agent. Contains succinic acid, riboflavin, inosine and nicotinamide. As a result, the product improves metabolism in body tissues, reduces susceptibility to oxygen starvation, and is used to eliminate the consequences of a heart attack, cerebrovascular accidents and neurasthenia.

Cavinton has a wider spectrum of action and is used to eliminate impaired blood circulation in brain tissue, symptoms of dizziness, tinnitus, unsteadiness of gait, memory impairment and attention.

Substitutes for Cavinton in other dosage forms

So that the patient can choose the most suitable medicine in the most convenient form, a wide range of drugs in the form of tablets, capsules, and solutions is presented to his attention.

If there is a need or desire to replace the prescribed drug, you can familiarize yourself with existing analogues and, after consulting with your doctor, begin treatment.

The most effective and popular drugs that can be used instead of Cavinton include:

• Bravinton;
• Actovegin;
• Lutsetam;
• Farmakson;
• Mexidol;
• Somaxon.

Before starting a therapeutic course, you should study the features of the administration. It is important to follow the advice of a qualified professional.

Bravinton

A medication from the group of cerebral blood flow correctors. The active substance is vinpocetine. Available in the form of tablets and concentrate, which is used for preparing infusions. As a result of taking the medicine, regression of memory impairment, relief of dizziness, and improvement of intellectual activity are observed. Asthenic and cephalgic syndrome decreases.

Under the influence of the medication, blood pressure is normalized, blood flow is restored in the ischemic area of ​​the brain, and the concentration of cyclic AMP increases.

The main indications for use are:

• transient ischemia;
• cerebral infarction;
• post-stroke condition;
• secondary glaucoma;
• encephalopathy (post-traumatic);
• Meniere's disease;
• decreased hearing acuity.

It is not recommended to take the drug if you are intolerant of its components, severe arrhythmia, pregnancy or during breastfeeding.

The solution is used for intravenous administration with an initial dose of 20 mg per 1000 ml of saline solution. If the patient’s body tolerates the drug well, the amount of Bravinton is gradually increased to 30 mg. Towards the end of the course, the dosage is reduced and the patient should switch to the tablet form.

Despite the fact that Bravinton is a structural analogue of Cavinton, its cost is several times lower. The degree of effectiveness and safety are identical.

Actovegin

Actovegin is a tissue regeneration stimulator. The main substance is actovegin concentrate (dry deproteinized hemoderivative of calf blood). The solution has a positive effect on the transport and utilization of glucose, saturates the brain with oxygen, exhibiting antihypoxic properties. Reduces the level of pain in diabetes mellitus and improves mental health.

Used for vascular or metabolic dysfunctions of the brain, venous/arterial disorders, diabetic polyneuropathy. Promotes wound healing. The medicine is also used in the prevention and treatment of radiation injuries to the mucous membranes and skin obtained during radiation therapy.

The list of conditions that prohibit the use of this medication includes:

• hypersensitivity to the main or excipients;
• pulmonary edema;
• heart failure;
• anuria, oliguria, impaired excretion of fluid from the body.

The manufacturer's instructions indicate that the drug is injected into the muscle, intravenously or intra-arterially. When administered infusionally, 10-20 ml of the drug is diluted in 200-300 ml of the main solution. Injected at a rate of 2 ml per minute. The exact dose is calculated by the attending physician depending on the severity of the disease.

The original and the substitute are used for similar indications. Compared to Cavinton, Actovegin has a more aggressive effect.

Lutsetam

The nootropic drug is available in the form of an injection solution and film-coated tablets. The mechanism of action is due to the presence of piracetam in the composition. Penetrating inside the body, it affects the nervous system. With long-term use, there is an improvement in concentration, increased cognitive function, inhibited platelet aggregation and erythrocyte rigidity.

The list of indications for use includes cortical myoclonus and mnestic-intellectual disorders.

It is prohibited to take medications for hemorrhagic stroke, renal failure, or intolerance to components. With increased caution, it is allowed to prescribe to patients during bleeding, after surgery and in case of hemostasis disorders.

The injections are intended for intravenous or intramuscular administration. Per 1 kg of patient weight, 30-160 mg. There can be from 2 to 4 injections per day.

Lucetam and the original product differ in composition, but have a similar effect. Often they are used simultaneously to speed up the recovery of the patient with brain disorders.

Farmakson

Farmakson is a psychostimulant medication. The role of the main substance is citicoline. It goes on sale in the form of a solution, packaged in ampoules of 2 or 4 ml. Under the influence of LP, the biosynthesis of structural phospholipids is stimulated in the neuronal membrane. The drug protects membrane systems from damage; in case of focal stroke, preventive neuroprotective properties are manifested.

The drug helps eliminate the consequences of traumatic brain injury. Prescribed for diagnosing the acute stage of circulatory disorders in the brain, motor, cognitive and sensory disorders.

Doctors include the following in the list of contraindications:

• intolerance to drug components;
• increased tone of the nervous system (parasympathetic);
• pregnancy.

Farmakson is administered intramuscularly over 3-5 minutes. The rate of intravenous drip administration should not exceed 60 drops in 1 minute. The dosage is gradually increased from 500 to 2000 mg.

Mexidol

Mexidol is part of the pharmacotherapeutic group of antioxidants. The mechanism of action is determined by ethylmethylhydroxypyridine succinate. Penetrating into the body, the drug has a wide spectrum of effects - it has antihypoxic, anticonvulsant, antioxidant, hypolipidemic, membrane-protective, anxiolytic and nootropic properties.

The medicine increases the concentration of dopamine in the brain, stabilizes cell membranes, reduces platelet aggregation, and lowers cholesterol levels.

Mexidol pilyule_ana-049 is prescribed to patients with symptoms:

• autonomic dysfunctions;
• withdrawal syndrome;
• panic attacks;
• psychopathy;
• concussions;
• neurasthenic conditions;
• chronic/acute encephalopathy.

The list of contraindications includes intolerance to the components, renal failure, pregnancy, breastfeeding. The drug is also not used in children.

Mexidol is prescribed for intravenous and intramuscular administration. The rate of drip administration is 50-60 drops/minute; the medicine must be injected in a stream within 5-7 minutes. The dosage is prescribed individually, depending on the characteristics and severity of the disease. The maximum allowable amount is 1200 mg per day.

The original medicine and its substitute have similar indications and therapeutic effects. However, they differ in composition, contraindications and negative reactions.

Somaxon

The nootropic drug is sold in the form of a solution intended for injection. Citicoline is used as the main active ingredient. It has anti-edematous properties, has an inhibitory effect on phospholipases, and prevents excessive formation of free radicals.

During the recovery period after a traumatic brain injury, it shortens the duration of coma and reduces the severity of neurological signs.

Somaxon is prescribed for the following conditions:

• hemorrhagic stroke;
• ischemic stroke;
• motor, sensory and cognitive failures of neurodegenerative and vascular origin.

Treatment with this medication should be avoided in patients under 18 years of age, with increased sensitivity to the components or severe vagotonia.

Adult patients are prescribed intravenous injections, the duration of which is 5 minutes. Single dose – 2 ml. The drug is infused dropwise at 40-60 drops per minute. The maximum permissible daily dose is 2000 mg. The dosage is determined by the attending physician.

See also:

TOP 6 cheap Phezam analogues - structural substitutes for the drug

Picamilon or Cavinton

Picamilon is a nootropic analogue in ampoules and tablets. Similar in effect to Cavinton, differs in mechanism:

• increasing physical and mental performance;
• improving blood supply to the brain and metabolic processes;
• vasodilation;
• positive effect on memory, attention, and other cognitive abilities.

Additionally, the analogue has a calming effect - reduces feelings of fatigue, anxiety, irritability, nervousness, and improves sleep.

Which is better - Cavinton or the analogue Picamilon, depends on the diagnosis. The first remedy is aimed at eliminating circulatory disorders, the second at improving cognitive functions.

The choice of Cavinton analogues is carried out strictly by a doctor, since there are specific prescriptions, restrictions and possible adverse reactions. If side effects occur, you should visit the specialist again and provide information.

Answers on questions

1. Does Cavinton increase or decrease blood pressure?
   

   The drug, if you follow the doctor's recommendations and dosages, does not affect blood pressure; in some cases, a decrease in levels is possible.

2. Can Cavinton be used for epilepsy or not?
   

   It is possible for a doctor to prescribe medication for this diagnosis if there are no contraindications. However, Cavinton in this case is prescribed as an adjuvant to the main treatment to improve cerebral circulation.

3. Is it possible or not to use the drug for oncology?
   

   The medicine is not prescribed specifically for the treatment of cancer. The choice in favor of Cavinton is made by a doctor based on the indications and existing restrictions.

4. What is better – Cavinton or Cavinton comfort?
   

   The second form is more effective because it contains twice as much active substance and is a dispersible (orally soluble) tablet. Consequently, the drug has a much faster and more pronounced therapeutic effect.