Neurimax 2 ml 6 ampoules

Tradename:

Neurimax

Composition:

Each ampoule contains:

Thiamine hydrochloride 200 mg

Riboflavin phosphate 4 mg

Pyridoxine 100 mg

Cyanocobalamin 1000 mcg

Lidocaine hydrochloride 10 mg

Auxiliary components:

benzyl alcohol – 20 mg, sodium polyphosphate – 10 mg, potassium hexacyanoferrate – 0.1 sodium hydroxide – 6 mg, water d / i – up to ml.

Properties:

Combined drug. Neurotropic B vitamins (thiamine, riboflavin, pyridoxine, cyanocobalamin) have a beneficial effect on inflammatory and degenerative diseases of the nerves and locomotor system. They are not used to eliminate hypovitaminosis, but in high doses have analgesic properties, promote blood flow and normalize the nervous system, the process of hematopoiesis (cyanocobalamin (vitamin B12) and riboflavin (B2)).

The vitamins thiamin (Bl), pyridoxine (B6,) and cyanocobalamin (B12) regulate protein, carbohydrate and fat metabolism, contribute to their normalization, improve the function of motor, sensory and autonomic nerves.

Lidocaine is a local anesthetic.

Indications:

In the complex therapy of diseases of the nervous system of various origins:

-neuritis and polyneuritis, incl. retrobulbar neuritis;

-neuralgia, incl. trigeminal nerve and intercostal nerves;

-peripheral paresis, incl. facial nerve;

-pain syndrome (radicular, myalgia);

-plexopathy, ganglionitis (including herpes zoster);

-neuropathy and polyneuropathy (diabetic, alcoholic, etc.);

• nocturnal muscle cramps, especially in patients of older age groups;
• neurological manifestations of osteochondrosis of the spine (radiculopathy, lumboischialgia, muscular-tonic syndrome).

Method of administration and dosage:

The drug is recommended for deep intramuscular injection. The duration of treatment is determined by the doctor individually, depending on the severity of th symptoms of the disease.

With severe pain syndrome, 2 ml (1 ampoule) daily for 5-10 days, then 2 ml (1 ampoule) 2-3 times a week for 2 weeks. For maintenance therapy, it is recommended to take oral forms of B vitamins.

Contraindications:

-increased sensitivity to drug components;

• acute heart failure, chronic heart failure in the stage of decompensation;

-thrombosis and thromboembolism;

• children under 18 years of age (efficacy and safety of use have not been established).

Precautions:

Thiamine decomposes completely in solutions containing sulfites. Other vitamins are inactivated in the presence of thiamine breakdown products. Thiamine is incompatible with oxidizing and reducing substances:

mercury chloride, iodide, carbonate, acetate tannic acid, iron-ammonium citrate, as well phenobarbital, riboflavin, benzylpenicillin, dextrose and metabisulfite. Copper ions, pH values (over 3.0) accelerate the destruction of thiamine.

Pyridoxine is not prescribed simultaneously with levodopa, cyclosporine, D-penicillamine, epinephrine, norepinephrine, sulfonamides, which reduce the effect of pyridoxine.

Cyanocobalamin is incompatible with ascorbic acid, heavy metal salts. Taking into account the presence of lidocaine in the composition of the drug, in the case of additional use of norepinephrine and epinephrine, an increase in side effects on the heart is possible. In case of an overdose of local anesthetics, epinephrine and norepinephrine should not be used additionally.

Side effects:

Allergic reactions (skin reactions in the form of itching, urticaria), increased sweating, tachycardia, acne, shortness of breath, angioedema, anaphylactic shock may occur.

In cases of very rapid administration of the drug, systemic undesirable reactions

(dizziness, headache, arrhythmia, convulsions)

may occur, they can also result from an overdose.

If any of the side effects indicated in the instructions are aggravated, or you notice any other side effects not listed in the instructions, inform your doctor.

Storage method:

At a temperature not higher than 30 degrees. In a dry place.

Packaging:

The cardboard box holds a box of 6 ampoules.