Akinneton

Akineton is an antiparkinsonian drug.

Indications Akinetona

It is used for extrapyramidal disease caused by the use of neuroleptics (antipsychotics) against the background of shaking palsy and parkinsonism.

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Release form

The substance is released in solution or tablets.

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Pharmacodynamics

The active ingredient is biperiden, an anticholinergic agent with a central type of medicinal effect.

The therapeutic effect develops by suppressing the activity of cholinergic neurons within the structural element - the striatum of the brain. The drug has a ganglionic blocking effect, and in addition has antispasmodic and moderate m-anticholinergic properties of the peripheral type.

Akineton has the ability to eliminate muscle rigidity and catalepsy caused by the use of neuroleptics, as well as tremors of the limbs due to the use of cholinergic drugs (such as pilocarpine).

The medication may lead to the development of psychomotor agitation.

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Dosing and administration

The medicinal solution is administered intravenously or intramuscularly, and the tablets are taken orally. Dosage sizes are selected individually for each patient.

For the treatment of extrapyramidal disease due to the use of neuroleptics (antipsychotics): intramuscular or intravenous administration of 2 mg of the drug. This portion should be administered repeatedly every 30 minutes, but not more than 4 times a day. Tablets should be taken in the amount of 2 mg 1-3 times per day.

To treat shaking palsy, take 2 mg of the drug orally 2-4 times a day. This dose is gradually increased to 6-16 mg.

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Use Akinetona during pregnancy

Akineton can be used with great caution in pregnant or lactating women.

Contraindications

Among the contraindications:

• hypersensitivity to the element biperiden;
• megacolon;
• closed-angle glaucoma;
• prostate hyperplasia;
• presence of intestinal obstruction.

Caution is required when used by people with epilepsy or arrhythmia, as well as by the elderly.

Side effects Akinetona

The use of the drug can provoke the following side effects: hallucinations, constipation, dry mouth, dyspeptic disorders and dizziness. In addition, accommodation paresis, a feeling of rapid fatigue, drowsiness, confusion, anxiety or weakness may occur. Catalepsy, urinary retention, decreased blood pressure and signs of allergy may also occur.

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Overdose

Intoxication with the drug causes the appearance of strongly pronounced anticholinergic symptoms.

To eliminate them, it is necessary to introduce substances that slow down the activity of cholinesterase, as well as carry out symptomatic procedures.

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Interactions with other drugs

Akineton potentiates the effect of anticonvulsants, antihistamines, antiparkinsonian agents, and m-anticholinergics. At the same time, it reduces the therapeutic effect of metoclopramide.

Use with quinidine increases the likelihood of dyskinesia.

When combined with levodopa, the severity of the m-cholinergic effect is potentiated.

The medicine is not compatible with ethyl alcohol.

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Storage conditions

Akineton should be kept in a place where small children cannot reach. Temperature values should not exceed 25°C.

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Shelf life

Akineton is allowed to be used within 5 years from the date of release of the therapeutic agent.

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Analogues

Analogues of the drug are the drugs Biperiden and Mendileks with Biperiden hydrochloride.

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Reviews

Akineton is highly effective in the treatment of Parkinsonism, eliminating tremors of the limbs in a short period of time. In addition, it is noted that it is quite well tolerated.

In some reviews, patients say that the medication causes the development of negative symptoms.