Deficiency of B vitamins can cause many diseases. These are skin problems, disorders in the central nervous system, deviations in the functioning of the organs of the gastrointestinal tract. "Neuromultivitis" is a modern multivitamin preparation. It is used primarily for the treatment of the effects of a deficiency of group B vitamins. From this article you will learn about reviews of "Neuromultivitis" and analogues. Instructions for use will report possible contraindications, drug compatibility, composition and pharmacokinetics of each component.
Composition and form of release
The drug is available only in tablet form.
Each tablet contains three main representatives of B vitamins, without which normal human activity is impossible. These are thiamine (B1), pyridoxine (B6) and cyanocobalamin (B12). Each component is presented in the form of hydrochloride.
Why are these components included? There is no riboflavin, nicotinic acid, biotin and other B vitamins. The answer is simple: not all vitamins are normally absorbed in high concentrations. For example, riboflavin could interfere with the absorption of pyridoxine, etc. Some manufacturers solve this problem by the fact that the daily dosage of vitamins is divided into two or three tablets, which should be taken separately at different times.
The composition of "Neuromultivitis" is also due to the fact that the drug is positioned as a means to treat the nervous system. And thiamine, pyridoxine and cyanocobalamin are the components that are most needed by neurons (nerve cells). With a deficiency of these elements, not only the nervous system suffers, but also the organs of the gastrointestinal tract, the endocrine system, and metabolism is disturbed.
In the human body, everything is interconnected, and the lack of one brick (any of the B vitamins) triggers, as if by the domino effect, a chain reaction, as a result of which the functioning of the entire system is disrupted. The composition of Neuromultivitis is designed to exclude such a process. Let us consider in more detail each component of the drug and the processes that occur with its excess or shortage.
Signs of cyanocobalamin deficiency and overdose
Cyanocobalamin plays an important role in the process of hematopoiesis; without it, healthy immunity and well-being are impossible.
Signs of a deficiency of cyanocobalamin in the body:
- frequent colds, weak immunity;
- furunculosis, dermatitis, eczema, psoriasis, acne;
- constant lethargy, weakness, low vitality;
- drowsiness and chronic fatigue;
- characteristic changes in the general analysis of blood - a low number of red blood cells;
- stuttering and impaired speech development;
- unpleasant odor from the patient's skin;
- dizziness and headaches, memory problems, irritability;
- sexual dysfunction in men.
But an excess of cyanocobalamin does not bring anything good. Side effects of Neuromultivitis are largely due to the fact that with regular use of the drug, vitamin B12 hypervitaminosis occurs.
Characteristic symptoms of an excess of cyanocobalamin in a person’s blood and internal organs:
- thrombosis;
- chills, tremor of limbs;
- cramps of the ankles, calf muscles, feet;
- trouble sleeping
- nausea, hyperemia;
- dermatitis, urticaria.
The daily requirement for an adult in cyanocobalamin is about 2-3 micrograms. In pregnant women, this indicator doubles, since cyanocobalamin is required not only by the mother, but also by the fetus.
With pyridoxine deficiency
Pyridoxine hydrochloride is one third of the composition of Neuromultivit. This is vitamin B6, the main effect of which is the effect on the nervous system. With pyridoxine deficiency, the following conditions develop:
- anxiety, tearfulness;
- hypochondria (especially characteristic of older people);
- memory impairment;
- cognitive regression;
- imbalance of sodium and potassium in the body;
- chronic fatigue and a constant feeling of overwork (even after eight hours of sleep).
With a pyridoxine deficiency, the patient is characterized by aggression and motor overexcitation. This process is caused by the fact that the adrenal glands begin to produce adrenaline more intensively. Stocks of glucose in the body begin to rapidly decrease, and sugar stocks - on the contrary, increase. As a result of this condition, various types of depression can develop.
An excess of pyridoxine also does not bring any good. Side effects of Neuromultivitis are largely due to the fact that with the regular use of the drug hypervitaminosis of this substance occurs. Here are the symptoms of increased levels of pyridoxine in the tissues:
- numbness of the limbs;
- nerve tics;
- allergic rashes, dermatitis and urticaria;
- itchy skin;
- indigestion - diarrhea.
Signs of an overdose of thiamine and its deficiency
One third of the drug "Neuromultivit" consists of thiamine hydrochloride. What is this substance and what threatens a person with its deficiency?
In the intestine, thiamine is synthesized, provided that the microflora is not pathogenic. So in a healthy body there should not be a lack of vitamin B1. If a person is constantly exposed to stress, irritated, overworked, malnourished, the microflora of the intestinal mucosa is disturbed, and the production of thiamine is suspended along with it.
Vitamin B1 deficiency is accompanied by the following manifestations:
- insomnia and sleep phase disturbances;
- chronic fatigue and a constant feeling of overwork;
- the progression of osteochondrosis (if any), which leads to a violation of blood circulation;
- migraine, headaches due to circulatory disorders of the brain;
- decreased appetite, weight loss;
- low physical stamina.
Thiamine is a water-soluble vitamin, which means that its metabolites are constantly excreted from the body. To achieve an overdose of this component in the tissues, one must try. Side effects of "Neuromultivitis" often develop with regular use of the drug, as this substance hypervitaminosis occurs. Here are the manifestations of this condition:
- sensation of heat, hot flashes;
- sweating and hyperhidrosis;
- weakness, nausea;
- loss of consciousness.
An overdose of thiamine is least likely to occur. In stressful situations, when a person falls into unusual conditions, the need for vitamin B1 increases tenfold.
Indications for use
Indications can be summarized from the information given above. Deficiency of cyanocobalamin, pyridoxine, thiamine and the conditions provoked by it - this is the main target of the drug.
Based on the evidence of Neuromultivit, neuropathologists prescribe to their patients as part of complex therapy or as an independent tool in the following cases:
- polyneuropathy;
- encephalopathy;
- the period of withdrawal symptoms in patients with addiction;
- Lyubago
- sciatica;
- alopecia;
- intercostal neuralgia;
- a period of high physical and psychological stress in the patient's life.
During the bearing of a child at any trimester of pregnancy, taking the drug is not prohibited. However, before starting to use it, you should definitely consult your doctor, notify him of the intention of taking it, since in some cases pregnant women may develop an allergic reaction to the components of the drug.
Use of the drug for children and adolescents
At what age is Neuromultivitis allowed to receive? Neuropathologists often prescribe this drug to children from three years of age as part of complex therapy for delayed psycho-speech development, increased anxiety, phobias, and stuttering.
In some cases, a complex course of nootropics, tranquilizers and Neuromultivitis is prescribed. Prescription and dosages for a child can only be prescribed by an experienced neurologist or psychiatrist. "Chemistry" on their own and giving the baby medications is strictly prohibited, since instead of the expected benefits, they can provoke a worsening of the condition.
Adolescents from the age of twelve can take the course of “Neuromultivitis” without prior consultation, as a prophylactic during a period of increased physical and mental stress. For example, at sports competitions or before exams.
Contraindications
There are a number of contraindications to taking the drug. "Neuromultivitis" refers to those formulations that are usually well tolerated by the patient, but in the presence of at least one disease from the list below, it is strictly forbidden to start taking:
- chronic renal failure;
- acute ascites;
- acute psychosis or delirium;
- the presence of benign or malignant neoplasms;
- cirrhosis of the liver.
Pregnancy and lactation are not direct contraindications for taking "Neuromultivitis." Moreover, in the first trimesters, the need for thiamine and pyridoxine increases sharply. But a pre-pregnant woman must necessarily notify the supervising doctor of her intention to drink the course of "Neuromultivitis."
Side effects of Neuromultivitis
The drug is usually well tolerated. An overdose of B vitamins is extremely rare, as they are water-soluble and their metabolites are rapidly eliminated from the body.
The list of possible side effects of the drug in the first week of administration, as well as with its overdose:
- thrombosis;
- chills, tremor of limbs;
- cramps of the ankles, calf muscles, feet;
- trouble sleeping
- nausea, hyperemia;
- dermatitis, urticaria.
Side effects of "Neuromultivitis" in children are rare. Most often, they are manifested in indigestion (diarrhea), rashes on the skin. In some cases, while taking the medicine, it becomes difficult to fall asleep, motor anxiety appears. The dosage used should be reduced, as it is likely to be too high.
Drug Interactions and Special Instructions
The total duration of the course of therapy "Neuromultivitis" should not exceed four to five weeks. If this period is exceeded, hypervitaminosis of group B vitamins and negative neurological symptoms will most likely develop.
With the simultaneous use of the drug with alcoholic beverages, coffee and black tea, the absorption of vitamins is reduced by at least half. Some wines contain sulfites - under their influence, the degradation of thiamine is accelerated.
Patients suffering from chronic diseases of the gastrointestinal tract (peptic ulcer of the stomach and duodenum), as well as those with impaired renal and hepatic function, should carefully start taking "Neuromultivitis". Reviews of doctors about side effects on the digestive organs indicate that the drug in rare cases can provoke an exacerbation of chronic diseases in remission.
Patients suffering from funicular myelosis or pernicious anemia (cobalamin anemia) during treatment with Neuromultivitis should take into account that blood tests can give distorted indicators. The number of red blood cells and white blood cells may erroneously increase or decrease, and cyanocobalamin readings can jump.
If a patient has recently been diagnosed or had a history of a neoplasm of a benign or malignant nature, therapy with Neuromultivitis should not be started. Taking the drug is permissible only after consulting a doctor.
"Neuromultivitis" is used with caution in patients with angina pectoris, with forms of decompensation of heart failure.
Substitutes and analogues
How to replace "Neuromultivitis"? There are many forms and varieties of drugs that can restore the reference values ​​of group B vitamins in the patient's body.
Both thiamine, and cyanocobalamin, and pyridoxine (in the form of hydrochloride, as in Neuromultivit) are sold in liquid form, in ampoules for injectable intramuscular injection. Often, neuropathologists are recommended to use exactly the drugs for injection, since it is in this form that 100% of the drug is absorbed. When the tablet passes through the gastrointestinal tract, the components are often not fully absorbed.
The intake of vitamin-mineral complexes is not always able to overcome the deficiency of cyanocobalamin, pyridoxine and thiamine, since there are too many components in multivitamins. They often antagonize with each other, preventing the effective absorption of any of the substances. As a result, the benefits of taking multivitamins are reduced to zero.
Analogs of Neuromultivitis for children: Nagipol, Pentovit. These are safe preparations containing B vitamins, with a minimum of side effects.
How to replace "Neuromultivitis" with an adult? List of effective drugs:
- Milgamma
- Pentovit (a cheap analogue produced by a domestic pharmaceutical company);
- Angiovit (a structural analogue of Neuromultivit);
- Beviplex;
- brewer's yeast "Nagipol".
All these drugs have a similar effect on the body and have almost the same composition with Neuromultivitis.
Milgamma or Neuromultivitis - which is better?
Milgamma is exactly the same preparation of B vitamins. It is produced in the form of ampoules with a solution for injection and in the form of tablets for oral administration. The use of ampoules is more effective, since with an injectable form of administration, the components are absorbed by almost one hundred percent. When taken orally, vitamins may not be fully absorbed.
“Milgamma” or “Neuromultivit” - what should a patient who has not tried any of these medicines have chosen? The composition of Neuromultivit is almost completely identical to the composition of Milgamma. At a cost they are also about the same - packing both of those and other pills will cost about eight hundred rubles. It remains to rely on the prescription of the attending neuropathologist - the drug that has been prescribed will be more effective in each individual case.
Reviews on taking the drug
The drug has established itself in the pharmacological market as a quality, reliable and effective. Meanwhile, among the reviews of ordinary consumers, there are many dissatisfied and even frankly disappointed responses.
First of all, dissatisfaction is caused by the high price of the drug. Ordinary consumers wonder why each of the vitamins individually can be bought for 50-70 rubles, and a mixture of three of these vitamins costs almost a thousand rubles. The form of vitamins that make up Neuromultivit is hydrochloride. You can buy vitamins in the same form of release in any pharmacy for a penny - 30-50 rubles.
There are, of course, many positive responses about the action of Neuromultivit. Patients note that the nervous system recovered only a few days after the start of the medication: irritability and anxiety were gone, sleep was normal. The skin condition improved, hair loss stopped.