Neuro-norm

Neuro-norm is a complex medicinal product with a strong nootropic effect.

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Indications Neuro-norm

It is used for cerebral diseases of a chronic or acute nature (including encephalopathy and ischemic stroke), and also at the stage after suffering a hemorrhagic stroke and in cases of comatose and subcomatose conditions in people with head injuries or poisoning.

The drug is used for the prevention and treatment of the consequences of traumatic brain injury, Meniere's disease, or migraines and disorders of the vestibular apparatus, which are accompanied by tinnitus, nausea, nystagmus, and dizziness.

Prescribed for complex treatment of infections and inflammations affecting the central nervous system.

Neuro-norm is used in children with intellectual disabilities to improve their ability to remember and learn, and at the same time in people with psychogenic etiology of the asthenic variety of syndrome, which causes severe irritability, anxiety and emotional instability, and at the same time, memory and attention deteriorate.

The drug should be used in individuals in whom the use of piracetam in monotherapy causes increased excitability and insomnia.

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Release form

The therapeutic agent is released in capsules, inside cell plates, in the amount of 10 pieces. Inside the box - 1, 2 or 6 such plates.

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Pharmacodynamics

Neuro-norm helps to stabilize microcirculation, improving rheological blood characteristics and exerting an antivasoconstrictive effect. The active components of the drug - piracetam with cinnarizine - have complementary properties.

Piracetam is a cyclic derivative of the GABA component. It helps improve memory and learning ability, as well as concentration. At the same time, it stimulates mental performance processes.

The substance regulates the speed of movement of excitatory cerebral impulses, stimulates metabolic processes in the area of nerve tissue and helps improve synaptic transport within neocortical structures and synthesis between the cerebral hemispheres. Also, piracetam, having an effect on rheological blood parameters, improves microcirculation without having a strong vasodilatory effect.

Cinnarizine is an element that helps improve microcirculation inside the cerebral vessels. The principle of the component's influence is based on the ability to block Ca channels and the ability to increase the resistance of vascular membranes to vasoconstrictors (serotonin and norepinephrine among them).

Cinnarizine helps improve microcirculation, but does not change blood pressure and heart rate. In addition, long-term administration of cinnarizine increases the elasticity of red blood cell walls and reduces blood viscosity, which improves brain function and microcirculation processes.

The substance, when used over a long period of time, helps improve the condition of brain cells during hypoxia and reduces stimulation of the vestibular apparatus.

Administration of the drug to individuals with cerebral disorders results in improved cognitive abilities and concentration.

The medication relieves dizziness that occurs due to hypoxia and increased excitation of the vestibular apparatus.

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Pharmacokinetics

When the substance is taken orally, the plasma Cmax values of piracetam with cinnarizine are noted after 1-4 hours. A noticeable medicinal effect is recorded after 1-6 hours.

The active components of the drug have the ability to pass through the blood-brain barrier. Cinnarizine undergoes almost completely metabolic processes, and piracetam is excreted unchanged.

The half-life of cinnarizine is 3-6 hours, and piracetam is 4-6 hours. Piracetam is excreted mainly through the intestines, and cinnarizine and about 30% of piracetam are excreted through the kidneys.

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Dosing and administration

The medicine is taken orally; capsules should be taken after meals. There is no need to chew the medicine. Portion sizes and course duration are selected by the attending physician, who takes into account the patient's personal characteristics.

Adults usually take 1 capsule of the drug 3 times a day.

In case of motor pathologies, it is necessary to take 1 capsule of the medicine half an hour before going for a walk. The intake should be repeated at 6-hour intervals.

Children generally take 1 capsule 2 times a day.

It is forbidden to use the medicine for more than 3 months in a row. If necessary, it is used in 3-month courses, repeating them 2-3 times a year.

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Use Neuro-norm during pregnancy

Neuro-norm should not be used during pregnancy.

If the medicine needs to be used during breastfeeding, you should consult with your doctor and discuss the issue of stopping breastfeeding. After completing the treatment cycle, breastfeeding can be resumed (but you should consult with your doctor first).

Contraindications

It is prohibited to use the drug in people with hypersensitivity to cinnarizine, piracetam, and pyrrolidone derivatives.

In addition, it is not prescribed to people with glucose-galactose malabsorption, galactosemia, or lactose intolerance.

The drug is not used in patients with severe kidney disorders, parkinsonism, psychomotor agitation, acute cerebral blood flow disorders and increased intraocular pressure. Also, Neuro-norm should not be taken by people with Huntington's syndrome.

The drug should be used with caution in people with liver or kidney disease, hemostasis disorders, porphyria, and also before planned surgical procedures.

It is prohibited for use by athletes, because the active ingredients of the drug can give a false positive result during doping tests.

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Side effects Neuro-norm

Side effects of the drug include:

• lesions affecting the central and peripheral nervous systems: ataxia, hyperkinesia, circadian rhythm disorders, problems with balance and motor coordination, intense headaches or parkinsonism with tremor and severe hallucinations, as well as dyskinesia, anxiety and severe fatigue. At the same time, a deterioration in the condition of epileptics, the appearance of hypersomnia, a feeling of severe confusion, lethargy and depression may be observed;
• disorders in the functioning of the hepatobiliary structure and gastrointestinal tract: discomfort along with pain in the epigastric region, diarrhea, nausea, digestive disorders, dry mouth, vomiting, cholestasis with jaundice and hypersalivation;
• signs of allergy: anaphylactoid manifestations (anaphylaxis and Quincke's edema), hyperhidrosis, urticaria, photosensitivity, lichen planus and dermatitis;
• Others: changes in blood pressure, muscle rigidity, increased libido, thrombophlebitis, increased weight or temperature.

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Overdose

The use of large doses of the drug may lead to potentiation of the intensity of negative manifestations of its active elements. At the same time, acute poisoning with Neuro-norm may provoke diarrhea (also with blood in the feces), drowsiness, extrapyramidal symptoms, pain in the epigastric region, decreased blood pressure and vomiting.

In case of severe poisoning, a comatose state develops.

In children, intoxication causes signs of severe CNS excitation, including tremors, insomnia, convulsions with euphoria and hallucinations.

The drug has no antidote. If less than 1 hour has passed since the administration of too large a dose of the drug, gastric lavage is performed and enterosorbents are used. In addition, in case of overdose, symptomatic procedures are performed.

If the patient's condition is severe, hemodialysis can be performed.

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Interactions with other drugs

When combining the drug with medications that suppress the central nervous system, its sedative properties are potentiated (such medications include tricyclics, ethanol and sedatives).

Combined use leads to potentiation of the medicinal effect of vasodilators, hypotensive and nootropic drugs, as well as anticoagulants used orally.

The administration of the drug together with hormones of a thyroid nature may provoke the appearance of a feeling of anxiety or tremor.

The substance may cause changes in epidermal test results.

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Storage conditions

Neuro-norm must be maintained at temperature readings below 25°C.

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Shelf life

Neuro-norm can be used for a period of 2 years from the date of manufacture of the medicinal component.

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Application for children

The drug should not be prescribed to children under 5 years of age. The therapeutic substance can be used in the age group of 5-8 years only under medical supervision.

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Analogues

The analogues of the drug are the substances Omaron with Fezam and Piracezin.

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