Pantogam syrup for newborns instructions for use. Pantogam for infants

The nervous system of newborns and preschool children is especially sensitive to the action of external damaging factors. For the treatment of various pathologies of the central nervous system, a special group of drugs has been developed that can improve the child’s thinking and cognitive functions. These include “Pantogam” - a drug with a nootropic, anticonvulsant and mild sedative effect. The instructions for use of "Pantogam" for children describe the features of the composition, dosage regimen, indications and contraindications.

The therapeutic effect of Pantogam is due to the presence of aminobutyric acid in its composition, which has an affinity for certain brain receptors. This provides a nootropic, that is, stimulating, effect on thinking and memory. In addition, Pantogam has anticonvulsant activity, so it can be used in children with increased convulsive readiness.

What does the drug affect?

Pantogam is similar to natural substances in the brain. Its chemical structure is similar to vitamin B5, which is necessary for the functioning of the nervous system. Therefore, the drug penetrates well through the biological barrier that separates brain matter from the blood (blood-brain barrier). Even at elevated concentrations, the drug is safe and has minimal side effects.

In parallel, the medicine can improve blood circulation in the structures of the brain. This helps the central nervous system recover faster from injury or oxygen deprivation.

"Pantogam" has the following therapeutic effects:

  • increases the resistance of the central nervous system to lack of oxygen (hypoxia);
  • has a mild calming effect on the child’s psyche;
  • helps reduce hyperactivity in young children;
  • stimulates thought processes, memory and attention;
  • neutralizes the adverse effects of toxic drugs and substances;
  • helps to enhance synthesis processes in nervous tissue.

The action of Pantogam is not limited to its effect on the central nervous system. This drug can eliminate increased tone of the bladder muscles and therefore can be used for disorders of the pelvic organs.

What's included

The pharmaceutical industry produces Pantogam in three dosage forms (syrup, capsules and tablets). Pantogam syrup is very easy to use - it is a sweetish liquid with a pleasant cherry flavor. Tablets are usually recommended for older children and adolescents, while capsules are prescribed for adult patients.

Syrup

100 ml of syrup contains 10 g of the main active ingredient - calcium hopantenate. In addition, the composition includes additional components:

  • glycerol;
  • sweetener sorbitol;
  • aspartame;
  • flavoring;
  • citric acid;
  • preservative sodium benzoate.

A bottle of medicine can contain either 100 or 50 ml of syrup. It comes with a special spoon (5 ml), with which it is convenient to dose the medicine.

Before use, you should definitely study the composition indicated in the instructions, since, for example, a flavoring or preservative can cause allergic reactions in patients sensitive to them. At the same time, the absence of sugar in Pantogam makes it possible to use the syrup in children with diabetes.

Capsules and tablets

According to reviews, “Pantogam” tablets are often prescribed to children with concomitant allergic predisposition. The advantage of this pharmaceutical form in this case is the absence of flavorings and sweeteners.

When is Pantogam prescribed for children?

In pediatric practice, the drug is used mainly for the treatment of organic pathologies of the central nervous system. “Pantogam” is also necessary in the rehabilitation period after suffering hypoxic and ischemic brain damage.

The instructions for this pharmaceutical product indicate the following indications for use:

  • perinatal central nervous system lesions- encephalopathy, birth injuries, cerebral palsy;
  • various degrees of mental retardation- oligophrenia;
  • speech delay- difficulties in communication and mastering everyday skills;
  • increased physical activity- hyperactivity syndrome;
  • disruption of learning processes- difficulty concentrating and remembering;
  • high nervous excitability- neurosis-like conditions, logoneurosis, tics;
  • epileptic syndrome- convulsive seizures, which are combined with signs of organic damage to the central nervous system (pyramidal insufficiency, dysfunction of the cranial nerves);
  • hyperkinetic disorders- uncontrolled movements caused by damage to the extrapyramidal system;
  • mental illness- schizophrenia.

This drug is also prescribed to children who experience increased mental and mental stress, suffer from asthenic syndrome due to anemia or other somatic diseases. According to reviews, Pantogam is often prescribed for the rehabilitation of infants after severe birth injuries and other conditions associated with impaired oxygen supply to the brain.

Product in syrup form

Calcium hopanthenate is prescribed to children from 12 months of age. In some cases, pediatricians also recommend Pantogam for infants, but only if there are compelling indications.

The syrup is usually taken after meals, after 20-30 minutes. The required amount is measured using a measuring spoon and given to the child to drink. For children under one year old, Pantogam can be added to a drink or water.

The instructions for use indicate that it is better to give the drug to the child in the morning and afternoon. This is due to the fact that Pantogam has a stimulating effect on the structures of the nervous system and can cause sleep disturbance.

You can find reviews that Pantogam syrup in the first two to three days of use sometimes causes a reverse reaction in the form of increased drowsiness in children. This point must be taken into account if the child attends school or educational activities for children.

The standard dosage of the drug is from 7.5 to 30 ml. However, the exact amount is selected by the attending physician, taking into account the child’s age and type of pathology.

The therapeutic regimen is designed in such a way that during the first week of treatment there is a gradual increase in the daily and single dosage of Pantogam. Then it is recommended to take the medicine with a constant dosage for 30 to 40 days. After achieving a positive result, the amount of syrup is gradually reduced over the course of a week, and then completely discontinued.

Also, the amount of medication is selected taking into account the disease and the nature of its course.

Table - Approximate doses of syrup for various diseases

DiseaseDaily dose, mlDuration of treatment, months
Epilepsy7,5-10 12
Schizophrenia5-30 1-3
Neuroleptic syndrome30 2-3
Extrapyramidal hyperkinesis5-30 4
Consequences of traumatic brain injury5-30 1-2
Consequences of neuroinfection5-30 1-2
Asthenic syndrome2,5-5 1
Increased mental stress2,5-5 1
Urinary dysfunction2,5-5 1-3

Solid forms

"Pantogam" tablets are taken in the same way as syrup - 20-30 minutes after meals. The dosage is also determined depending on the age of the child and the presence of this or that pathology.

The dosage regimen is similar to that of syrup. In the same way, the dosage is increased during the first week, and then taken according to the regimen prescribed by the doctor until clinical improvement is achieved. Before discontinuation, the dosage of the medication is gradually reduced over seven days.

Adverse reactions, contraindications

As a rule, the drug is well tolerated by children. Very rarely, allergic side effects may occur. They manifest themselves as skin rashes (urticaria), rhinitis or conjunctivitis.

"Pantogam" is allowed to be combined with other medications. It is included in the therapeutic regimen simultaneously:

  • with anticonvulsants for epilepsy;
  • with psychotropic medications for the treatment of schizophrenia.

However, it should be remembered that calcium hopanthenate can enhance the effect of anticonvulsants, and therefore you must strictly adhere to the regimen prescribed by your doctor.

The list of restrictions for taking Pantogam is small. The medicine is not prescribed in the following situations:

  • individual intolerance;
  • pathologies of the kidneys, with impairment of their function (renal failure).

It should be remembered that Pantogam is taken only in the dosage recommended by the doctor. It is prohibited to independently change the Prim regimen and duration of treatment. If a child still takes more medicine than he should, he may experience signs of an overdose (severe drowsiness, dizziness, noise in the head). In this case, it is recommended to seek medical help.

Manufacturer and price range

You can buy Pantogam for children at any pharmacy. Typically, a doctor's prescription is not required. However, if it is intended to be used in a small child, consultation with a specialist is required.

On the pharmaceutical market, this medicine is supplied by two Russian manufacturers - PIK-PHARMA PRO and VIPS-MED. The average cost of one package may vary in different pharmacies. This depends on the form of release and the trade markup on the drug. For example, Pantogam syrup costs an average of 280 rubles, tablets - 270 rubles, capsules - 320 rubles (data as of June 2017).

What analogues will the pharmacist offer?

If the pharmacy does not have Pantogam, the pharmacist can offer you its analogues:

  • "Gopantam" (tablets);
  • "Calcium hopanteonate" (tablets);
  • "Pantocalcin" (tablets).

It is still best to entrust the replacement to other similar drugs to your doctor. Despite their great similarity to Pantogam, they also have some differences that must be taken into account when calculating the dosage.

Advantages of the drug

This drug is often prescribed by pediatricians and pediatric neurologists. According to doctors, Pantogam has the following advantages over other nootropic drugs:

  • has a mild effect on the central nervous system;
  • has a minimum of side effects;
  • well tolerated by children of any age;
  • combined with other pharmacological agents;
  • easy to use;
  • relatively inexpensive.

"Pantogam" for newborns and older children is an effective medicine that improves brain functions. It helps in the treatment of convulsive syndrome and hyperkinesis. It is important that this pharmacological agent is safe for the child’s body, and therefore can be prescribed in courses for several months.

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Many parents, having received a doctor’s prescription, doubt the effectiveness of the prescribed medication. One of the drugs often prescribed to newborns is Pantogam. Concerned parents have a lot of questions about the use of the medicine. Should I be afraid when giving Pantogam to my baby?

What is Pantogam

The medicine is a stimulant of brain activity. The main active ingredient is hopantenic acid, the action of which is aimed at relieving cramps in the baby and increased motor excitability. The drug has a slight sedative effect and ensures the maximum supply of oxygen to the baby’s brain.

There are two types of medicine: tablets and syrup. Only syrup is suitable for newborns; the tablet form is used in older patients.

The drug can only be used as prescribed by a doctor!

Indications for use of Pantogam in newborns

Pantogam syrup normalizes baby's sleep

The following factors are direct indications for prescribing the drug:

  • birth injuries, fetal hypoxia;
  • nervous tics;
  • mental retardation;
  • encephalopathy;
  • speech and motor dysfunctions;
  • restless sleep;
  • increased excitability;
  • infectious, traumatic brain lesions;
  • frequent urination caused by nervous factors.

Contraindications and precautions

The drug should be discontinued if the child has:

  • kidney pathologies;
  • allergic reaction to the main component of the drug.

The instructions for the product also indicate side effects:

  • conjunctivitis, skin rash;
  • sleep disorders;
  • lethargy;
  • increased nervous excitement.

In case of overdose, increased drowsiness or, conversely, excitability occurs. Digestive upset, such as vomiting or diarrhea, may occur.

Parents should know that Pantogam enhances the effect of anticonvulsants, sedatives, barbiturates, and also reduces the side effects of neuroleptics and phenobarbital.

Pantogam should not be taken for preventive purposes, it is exclusively a therapeutic agent!

Dosage of the drug

Pantogam is given to the baby twice a day: morning and evening, 15 minutes after meals. The product can be mixed with a small amount of drinking water. It is not recommended to give your child medicine before bedtime.

The dose per dose for a newborn is 2.5–5 ml. The maximum daily dose should not exceed 10 ml. Depending on the diagnosis, the age of the baby and concomitant diseases, the dosage of the drug and the duration of the course of treatment may vary.

The dosage is prescribed by the doctor, taking into account each specific case of the disease.

The average duration of treatment is 3–4 months. To achieve a better effect, the dose of the drug should be gradually increased at the beginning of treatment and reduced towards the end of the course. You cannot stop taking the medication abruptly. This dosage regimen will help avoid possible side effects.

Experts' opinions

The use of Pantogam in newborns combines a stimulating and calming effect. The medicine supplies the baby’s brain with oxygen and improves its penetration into cells. This makes the treatment effect more natural. Pantogam can be prescribed to babies from birth using the dosage form in the form of syrup. In addition to neurological purposes, Pantogam helps children with sleep and attention disorders, speech deviations, learning difficulties, poor memory, and hyperactivity. I consider taking Pantogam for children an excellent choice, prescribed, naturally, by the attending physician.

Nadezhda Berezina, pediatrician, Moscow

http://www.baby.ru/sp/1020823/blog/post/1205147/

One of the nootropic drugs used for urinary disorders in children is Pantogam. The combination of a mild calming and psychostimulating effect helps improve speech and motor functions in children, reduces children's anxiety, eliminates excitability, and normalizes sleep. Pantogam has an effective effect: it saturates the brain with oxygen, stimulates nerve cells to function properly, combines a mild sedative effect with a therapeutic effect, reduces motor and nervous excitability, and increases mental performance.

V. V. Dlin, S. L. Morozov, N. B. Guseva, E. I. Shabelnikova (doctors of the Moscow Research Institute of Pediatrics and Pediatric Surgery)

http://umedp.ru/articles/pathogeneticheskoe_obosnovanie_primeneniya_nootropnykh_preparatov_u_detey_s_giperaktivnym_mochevym_pu.html

Brain disorders are serious diseases that cannot be ignored. Processes of this kind also affect children, and very often due to hereditary predisposition. The fight against both diseases and the consequences of various injuries should be carried out comprehensively, taking into account the causes that provoke the problem. To improve brain function and increase its performance in childhood, special nootropic drugs are used that have a limited number of dangerous side effects. We invite you to familiarize yourself with one of these remedies – the drug Pantogam.

Composition of the drug

The active ingredient in both tablet form and syrup is the calcium salt of hopantenic acid (pantogam), but in different dosages. The main component of the drug in its pure form is a white powder consisting of small crystals that easily dissolve in water. The substance has an effect on the human nervous system, stimulates it, thereby increasing performance, activating mental activity, regulating behavior and exhibiting anticonvulsant activity. The drug has the unique property of having a moderate sedative effect and having a stimulating effect on the body.

Auxiliary components, although they do not have a clear effect on the body, can be important if the body has an individual intolerance to one or another component. The additional composition of the tablet form includes: calcium stearate, magnesium hydroxycarbonate and methylcellulose.

As for the syrup, the concentration of the active ingredient in it is 500 mg per dose (to determine it, use a measuring spoon from the kit equal to 5 ml). The big advantage of the liquid form is that it is easier and more pleasant for children to take, as there is a pleasant taste and aroma of cherry. Additional ingredients include: citric acid, sorbitol, glycerol, sodium benzoate, aspartame and purified water.

Mechanism of action of Pantogam

In the practice of a neurologist, there are many patients with a variety of cognitive impairments. In medicine, so-called nootropics are usually used to correct this type of disorder (including speech development), but most of these drugs have unpleasant side effects, which sometimes negate all treatment. A partial solution is Pantogam - this is also a nootropic drug, but it is of a mixed type and has a wide range of effects. The mechanism of operation of the substance is determined by the fact that its structure is based on gamma-aminobutyric acid, which helps strengthen the brain’s ability to resist hypoxia and the negative effects of toxic substances, and also stimulates the formation of neurons. This acid is vital for the brain to organize a number of functions, which determines the aspects of Pantogam’s effect on the body.

Once in the body, the substance is quickly absorbed from the digestive system, and after two days it is completely excreted unchanged in feces and urine. Thus, this drug allows you to influence the nervous system and is used to treat a variety of mental and neurological diseases. Therapy can be carried out either alone with this substance or in combination with other drugs, since no incompatibilities have been established. It is worth noting that the drug can not only interact well with other drugs, but also enhance and prolong the effect of some, for example, novocaine and sulfonamides.

What does Pantogam help with: indications for use

Considering that the described drug is a nootropic drug, the following indications for its use can be distinguished:

  • pathological changes in the child’s brain that were formed during the perinatal period (encephalopathy of the perinatal type), and therapy can begin from birth;
  • all forms of mental retardation;
  • various forms of psychological status disorders in childhood (with delayed speech development, pathologies of motor activity, problems with the formation of minimal school skills such as reading and writing, etc.);
  • hyperactivity syndrome;
  • symptoms of neuroses (stuttering, inorganic enuresis, etc.);
  • schizophrenia (which is often a hereditary problem), accompanied by cerebral insufficiency (in this case, the drug in question will be only one of the drugs in an integrated approach to treatment);
  • problems with cerebral vessels and a decrease in intellectual activity against this background;
  • residual effects of damage to the nervous system due to infectious infections;
  • brain damage of both traumatic and toxic nature;
  • the appearance of neurological symptoms in the form of movement disorders in certain brain diseases (Huntington's chorea, myoclonus epilepsy, etc.);
  • strong mental and emotional stress;
  • loss of concentration and performance (both mental and mental);
  • pathologies of the urinary process of a neurogenic nature.

Instructions for use of tablets and syrup for children

Both forms of the drug can be prescribed for use in childhood, but the volume of the drug consumed depends on the specifics of the existing disease or disorder. Let's consider recommendations from Instructions for tablet form:

  • for various nervous pathologies the daily dose should not exceed 3 grams. Prescription tactics usually consist of increasing the dose from 1 gram over the course of a week, then taking the maximum required dosage for one and a half months and, finally, reducing it to failure also over the course of a week;
  • for epileptic pathologies Prescribe approximately 1 gram per day for at least a year;
  • to eliminate the consequences of traumatic brain injuries- 0.24 grams 3 times a day;
  • for problems with urination– no more than 0.5 grams three times a day for 1-3 months.

The drug may be prescribed to be taken in courses, and in this case a break between them is needed for at least a month. Tablets are usually recommended for children aged three years and older, while syrup is more often prescribed for younger children.

Syrup drink after a meal, but not earlier than half an hour later. For children, a single dosage usually ranges from 2.5 to 5 ml, and the total daily dosage is from 7 to 30 ml. This form of the drug has dosage recommendations depending on the age of the small patient:

  • the first 12 months of life – up to 10 ml per day;
  • up to 3 years – up to 12.5 ml;
  • up to 7 years – up to 15 ml per day;
  • and in older age, the daily dosage is 10-20 ml.

It is best to leave the prescription of a specific dosage and duration of treatment to the doctor, since different patients will require a completely different approach to the treatment of the disease.

There are several popular questions regarding the rules for taking the product. Firstly, is it possible to drink Pantogam at a fever? Experts say that you should not stop taking the drug, especially since its action can even have a beneficial effect on the situation as a whole. Secondly, how to give Pantogam to infants? As already mentioned, young children should be given exactly the syrup - you just need to draw it into a syringe without a needle in the required volume and try to pour it into the child’s mouth in small portions so that he swallows it himself. The baby may not like the taste, but after a few days he will most likely get used to the procedure.

Harm and side effects for newborns

In most cases, the described drug is well tolerated, but some patients may experience side effects from its use, namely:

  • allergic symptoms (runny nose, conjunctivitis, skin rash, etc.) - if such manifestations are present, the intake is canceled completely;
  • reactions of the nervous system (drowsiness, sleep problems, severe agitation of activity, dizziness, noise and pain in the head) - with such symptoms, the dose of the drug is first simply reduced.

An overdose of the drug is possible if the recommendations regarding taking the drug are not followed and is manifested by severe symptoms described in the list of side effects. In such a situation, gastric lavage and symptomatic therapy will be required.

Are there any contraindications to taking Pantogam?

There are contraindications to taking this drug. For children, the following restrictions are relevant:

  • acute diseases of the kidneys and urinary system as a whole;
  • intolerance to individual components of the drug;
  • hereditary intolerance to fermentopathy, which is relevant only for the syrup form.

What analogues exist

There is no complete analogue of Pantogam, but if it is impossible to use this drug, it is replaced with the most similar one either in composition or in the mechanism of action. Possible substitutes are:

  • Aminalon tablets(the active ingredient is gamma-aminobutyric acid, which underlies the action of Pantogam, however, it is not recommended to take such tablets until 5 years of age, which is a big disadvantage of the drug);
  • Biotropil(the active ingredient of the tablets is a derivative of gamma-aminobutyric acid, piracetam);
  • Bravinton– a means to improve cerebral circulation;
  • Vicebrol– a psychostimulating nootropic drug based on vinpocetine;
  • Cavinton– tablets, active ingredient – ​​vinpocetine.

Video: what effect does Pantogam have on a child?

This video is a detailed presentation of the drug Pantogam. In it, the doctor expresses his opinion regarding this remedy, and also explains in detail the mechanisms of its effect in different situations.

The drug Pantogam appeared on the pharmacological market quite recently, but has already managed to gain respect and prove its effectiveness. This nootropic is a brain stimulant that affects brain cells. Most often, drugs in this group are prescribed to adults who have problems with cognitive functions, as well as to adolescents who are lagging behind in development and learning, but can also be prescribed to very young children. Instructions for use will tell you what Pantogam is for newborns in this article.

Composition of Pantogam

For newborn babies, this medicine is available in the form of syrup, in a 50 ml bottle. The active ingredient here is hopantenic acid (vitamin B15). Many parents may be wary of such a drug, because it affects the child’s brain. Doctors respond to this that this syrup is only a solution based on a nootropic with a flavoring additive, and therefore no negative consequences for the body should be expected.

Pharmacological action

Once in the baby’s body, hopantenic acid has a mild calming effect and, at the same time, promotes better absorption of oxygen by the brain without causing drowsiness.

Indications for use

  • injuries to the nervous system received by the baby during childbirth;
  • epilepsy or seizures in a newborn;
  • strong excitability of the nervous system;
  • brain damage due to trauma;
  • sleep disturbance;
  • damage to the nervous system in the womb;
  • hydrocephalus, cerebral palsy and other severe damage to the nervous system.

Analogues of Pantogam for newborns

If necessary, doctors advise using Phenibut instead of this drug.

How to take Pantogam

Especially for newborns, this medicine is produced in the form of syrup. Only a doctor has the right to prescribe the dosage and duration of medication, but parents should remember that the baby can be given no more than 1 mg of the active substance contained in the syrup per day. Moreover, this dosage should be divided into two doses.

Pediatricians talk about a specific system for taking syrup. In the first ten days, the dose of the drug should be gradually increased to the maximum. In this case, the reaction of the newborn’s body should be monitored. This is followed by the main period, during which the medicine is given at the maximum dose. And in the last 10 days of use, the dosage of the drug is gradually reduced until it is completely discontinued. Doctors recommend giving Pantogam to your baby 20 minutes after feeding. As for the duration of therapy, it can vary from one month to six months. If necessary, treatment can be repeated after 3–6 months.

Contraindications Pantogam

Considering cases in which children are not prescribed Pantogam for newborns, the instructions for use speak about pathologies such as severe kidney disease and intolerance to the components of the drug. Otherwise, the syrup can be given to children without fear.

Side effects

Babies can take the syrup in question from the first days of life, but they are not immune to side effects. Negative conditions provoked by this medicine appear infrequently. In rare cases, the following may occur: nausea and drowsiness, mild allergic rashes, rhinitis or conjunctivitis.

An indicator of the high effectiveness of Pantogam is the disappearance of seizures and normalization of the baby’s sleep. Good health to your kids!

A nootropic drug that helps restore metabolic processes in brain tissue - Pantogam. The drug has its own characteristics due to its composition.

It is similar to B vitamins, but at the same time has all the properties of nootropics.

Pantogam contains the main component - which improves brain function. Its main property is to increase the brain’s resistance to hypoxia and the effects of toxins.

The drug has anticonvulsant and sedative properties, has a beneficial effect on the patient’s mental work and memory. Increases performance and muscle tone of the gallbladder and bladder. Relieves alcohol intoxication in chronic alcoholism.

Pharmacological properties and composition

Pantogam increases anabolic processes in neurons and reduces motor excitability. The specific effect of the drug is associated with its neurometabolic, neuroprotective and neurotrophic manifestations. It is low-toxic and does not cause allergic reactions.

It has sedative and stimulating properties on mental abilities and performance. Improves blood circulation in the brain and enhances energy processes.

The drug is well absorbed from the gastrointestinal tract and penetrates the BBB. Most of it is concentrated in the kidneys, liver, stomach walls and skin. It comes out unchanged after two days. It is excreted from the body in urine, and a small part of what is taken in feces.

Pantogam is produced in the form of syrup for children, tablets and capsules. The syrup is colorless or slightly yellowish in color, with a cherry smell. Active ingredients of the drug

  • basic– calcium salt of hopantenic acid;
  • auxiliary– glycerol, sorbitol, citric acid, aspartame, cherry flavor and water.

Available in dark bottles with a 100 ml measuring spoon.

The tablets are white in the form of a flat cylinder. Active ingredients:

  • basic— calcium salt of hopantenic acid;
  • auxiliary– methylcellulose, calcium stearate, magnesium hydroxycarbonate.

Tablets are produced in two dosages of the active substance: 250 mg and 500 mg.

Mechanism of action

The effect of Pantogam is based on the presence of gamma-aminobutyric acid, which is directly related to the spectrum of its action on the body.

The effect of the drug is to directly influence the GABAB receptor-channel complex, as a result of which the brain becomes invulnerable to hypoxia and toxin poisoning. It has anticonvulsant properties, relieves motor excitability and increases anabolic processes in neurons.

Scope of application

For what purpose and why do specialists prescribe Pantogam to their patients:

Contraindications for use

The product has contraindications that are taken into account before use. These include:

  • intolerance to the active or auxiliary component;
  • acute renal failure;
  • bearing a child and breastfeeding.

Children under 3 years old should not be given medicine in tablets - a special syrup is produced for them.

Tactics and strategy for taking the drug

Pantogam in tablets or syrup for children is taken orally after meals, half an hour later. You must take the medicine before 16-00, do not take the drug in the evening or at night, otherwise you will have difficulty falling asleep.

The dose for single use in adult patients is 250-1000 mg, per day - 1.5-3 g. For children - 250-500 mg and 750-1000 mg, respectively.

Therapy is long-term - from a month to four, and sometimes up to six months. Repeated treatment should begin after a 3-6 month break. The dosage directly depends on the disease, so independent use of the drug is strictly prohibited.

The drug is used in combination therapy with other drugs.

From the instructions it follows that the approximate dosages of Pantogam for adults, depending on the disease, are as follows:

This dosage is designed for the use of tablets and syrup. During treatment, auxiliary therapy with other drugs of the same group is not allowed.

Children's dosages

The treatment regimen involves a slow increase in dose over 7-12 days, followed by therapy with a maximum dose of 15-40 days, followed by a 7-day dose reduction until the end of use of the drug. Repeated treatment is possible after 1-3 months.

Cases of overdose and side effects

If you mistakenly take a larger amount of the drug, an increase in adverse reactions occurs: drowsiness, insomnia, etc.

You should perform a gastric lavage, drink activated charcoal or Smecta. Treat symptoms as needed. An overdose occurs when an increased dose of medication is taken by mistake; this indicator is individual for each person.

Side effects from taking Pantogam include allergic manifestations:

  • rhinitis;
  • conjunctivitis;
  • skin rashes.

To eliminate them, a dose reduction or complete discontinuation of the drug is required. Insomnia or drowsiness, noise and pain in the head often occur. There is no need to cancel treatment - this is a short-term phenomenon.

Special instructions

If the treatment is long-term, you cannot use other nootropic drugs that stimulate the nervous system simultaneously with the drug.

At the beginning of treatment, drowsiness may occur, so caution should be exercised when performing potentially hazardous work and driving. The break after treatment is at least 1-3 months.

During treatment, drinking alcoholic beverages is unacceptable. But it is also known to be a good hangover reliever. In this case, it should be taken only in tablets and no earlier than 12 hours after the last portion of alcohol consumed. Pantogam relieves headaches, restores performance and relieves intoxication.

Pantogam is not recommended for use in cases of severe kidney disease. Also taken with caution in acute liver dysfunction. If nausea, vomiting and yellow discoloration of the mucous membranes and skin appear, you should stop taking the drug.

Interaction with other drugs

Pantogam increases the duration of action of barbiturates, enhances the properties of anticonvulsants and the effect of local anesthetics (novocaine). Does not cause the development of side effects during treatment with antipsychotics, and.

Increases the effect of etidronic acid preparations.

During pregnancy and lactation

Pantogam does not have a toxic effect on the fetus, but it should not be used in the first trimester. The product in syrup form can be taken from the beginning of the second trimester.

The active substance passes into breast milk, so you should avoid breastfeeding and simultaneous treatment.

Complex of opinions

According to doctors, Pantogam is effective in treating children under 10 years of age. This is too weak a remedy for adults.

In children, improvement occurs within a week. The effect of the drug is mild, it does not overstimulate the child. It is distinguished by a convenient release form, safety, and affordable price. The downside is the possibility of an allergic reaction and skin rashes.

There are many reviews online from parents of children who were treated with this drug. Many mothers did not understand the reasons for prescribing this medicine and did not undergo treatment.

Some note that after the start of therapy, disturbances occurred in the gastrointestinal tract, and increased excitability was observed in the child. But there are still many more positive reviews about Pantogam; the drug helped cure the consequences of a head injury, the condition of newborns significantly improved, and other positive results were noted.

Adult patients report significant improvements in chronic fatigue, insomnia and stress.

Based on the advice of patients, the drug should not be used for preventive purposes; therapy should be prescribed by a doctor according to indications. This is due to the possible manifestation of allergic symptoms, which can harm the patient’s health.

Purchasing the drug and its analogues

Pantogam price:

  • tablets 500 mg 50 pieces– 500 rubles;
  • tablets for children over 3 years old 250 mg 50 pieces– 300 rubles;
  • syrup 10% bottle 100 ml– 300 rubles.

It is recommended to keep the tablets in a dry place, out of reach of children and the temperature does not exceed 25 degrees. Tablets 250 mg are good for up to 4 years, 500 mg - 3 years, syrup - 2 years, an open bottle can be kept for only a month in a cold place.

The drug is dispensed in a pharmacy with a prescription from a doctor.

Analogues of Pantogam:

  • Pantocalcin;
  • Gopantam;
  • Phenibut.

Pantogam is an ideal drug for the treatment of children's problems with brain pathologies and other disorders of the nervous system. The ability to use it from birth gives it a huge advantage over other nootropics.