Prohibited during pregnancy
Prohibited during breastfeeding
Not suitable for children
Has restrictions for older people
Failures in the functioning of the nervous system lead to unpleasant consequences. After a stroke or traumatic brain injury, problems with attention, memory, and cognitive impairment occur. To normalize the patient’s general condition and to increase the functionality of the nervous system, medications from the group of nootropics are prescribed.
Packaging of the drug Ceraxon
According to the instructions for use, the drug Ceraxon is widely used in pediatrics to eliminate problems with speech development. Treatment is carried out under the supervision of a doctor.
Basic information about Tserakson
Ceraxon has a fairly wide range of effects. Due to the influence of the main active component, which is a precursor of the key components of cell membranes, damaged cell membranes are restored, the production of free radicals is slowed down, and phospholipases are inhibited.
Often the medicine is used to normalize speech in young children. This drug (hereinafter referred to as medicinal product) has a high degree of safety and is well tolerated by the body. That is why it is often prescribed to newborns from the first days of life, if necessary.
Under the influence of the drug the following is observed:
- Reducing the risk of injury to brain cells.
- Elimination of cerebral edema.
- Improvement of cognitive processes.
- Reducing the rehabilitation period after a traumatic brain injury.
- Restoration of damaged cells.
It is important to remember that self-medication can lead to a number of complications. To protect your body, you must first undergo an examination and receive recommendations from your doctor. Only a qualified specialist will be able to select the most effective treatment regimen.
Drug group, INN, scope of application
Ceraxon belongs to the pharmacological group of nootropic drugs (drugs). It is a representative of class A, which means that the medication has a high degree of effectiveness. INN: citicoline.
It is used in the field of neurology (adults and children). Helps get rid of hypoxia and central nervous system pathologies. It also eliminates the consequences of traumatic brain injury (TBI).
The quality and effectiveness of this medication make it one of the most popular nootropics.
Release forms and prices for the drug, average in Russia
The main advantages of Ceraxon include the variety of release forms. It is produced in the form of tablets, solution for IM and IV administration (in ampoules), syrup for oral administration, suspension (in sachet).
The cost of drugs depends on the dosage and dosage form.
Pharmacy name | Cost (in rubles) | ||
Sachet (10 pcs.) | Syrup (30 ml) | Solution in ampoules (5 pcs.) | |
Dialogue | 1544 | 753 | 708 |
ZdravCity | 1612 | 712 | 675 |
Apteka.ru | 1554 | 704 | 655 |
36,6 | 1553 | 716 | 679 |
Europharm | 1654 | 747 | 692 |
Composition The average cost of tablets (20 pieces) is 3,000 rubles. You can purchase the medicine at any pharmacy in your city by presenting to the pharmacist a prescription from your attending physician.
Regardless of the release form, citicoline plays the role of the main active ingredient. It is a natural endogenous compound and acts as an intermediate metabolite in the process of phosphatidylcholine synthesis. Has a nootropic effect. Helps improve memory and attention levels, eliminates lack of initiative and difficulties in performing daily activities.
The list of additional components depends on the form of release of the medicine. The tablets contain: talc, magnesium stearate, anhydrous colloidal silicon dioxide, croscarmellose sodium, hydrogenated castor oil.
For the production of syrup the following are used: sodium citrate, glycerin, sorbitol, citric acid, strawberry flavored essence, dye, sodium saccharinate, nipagin, glycerol formal.
Additional substances contribute to the binding of all components of the medication and give a pleasant aroma (syrup).
Pharmacodynamics and pharmacokinetics
Penetrating into the body, the drug resists the excessive formation of free radicals. Shows a high degree of effectiveness in the presence of motor or sensory disturbances of vascular/degenerative etiology.
When diagnosing acute stroke, Ceraxon helps improve cholinergic transmission and reduces the area of brain tissue damage. Often used to eliminate symptoms of chronic hypoxia. Under its influence, memory is normalized, performance and concentration are restored. Manifestations of amnesia are reduced.
Since citicoline is also present in the human body, it is difficult to fully study the pharmacodynamics of the drug. It is known that the level of bioavailability does not differ and does not depend on the method of administration of the drug. Drug absorption occurs from the gastrointestinal tract (99%).
Only 15% of the drug is excreted through the kidneys and inhalation.
Antibiotic or not?
Patients are often interested in the question of whether Ceraxon is an antibiotic. The answer is negative. This is a nootropic drug (neurometabolic stimulant) - a drug that has a psychoanaleptic effect. Promotes activation of neurometabolic processes in the brain, increasing the body's resistance to the influence of extreme factors.
Antibiotics are drugs of biological origin, the main action of which is aimed at harmful microorganisms.
See also:
Instructions for use of Trittico and reviews of patients taking the drug
When is Cerakson prescribed?
Treatment with Ceraxon is indicated in the following cases:
- first 4 hours during primary stroke;
- for rehabilitation after a stroke;
- emergency assistance and to restore the condition impaired as a result of severe head injury;
- cerebrovascular diseases that reduce cognitive function and provoke behavioral changes.
If the patient was administered Ceraxon in the first hours after a traumatic brain injury, the duration of post-traumatic coma will be less than without the help of the drug. In addition, there is a high probability of reducing the severity of neurological abnormalities typical of this type of injury.
If chronic hypoxia has become the reason for the predominance of lack of initiative in a person’s behavior, complete inability in matters of self-care, the drug effectively affects certain areas of the brain, restoring cognitive functions.
Indications and contraindications for taking Ceraxon
The need to take this medication is determined by the attending physician after examination and diagnosis. Main indications for use:
- Rehabilitation period after ischemic/hemorrhagic stroke.
- Vascular pathologies of the brain that lead to impairment of cognitive functions or behavior.
- Acute stage of hemorrhagic stroke.
- TBI and their consequences.
- Impaired cerebral circulation.
- Hypoxia.
Despite the fact that the drug is tolerated quite well by patients, experts identify a number of conditions that do not allow prescribing this medication. The list of contraindications includes:
- hypersensitivity to the main or additional components;
- pronounced vagotonia (if the parasympathetic region predominates in the autonomic nervous system);
- hereditary diseases accompanied by fructose intolerance.
During pregnancy, doctors recommend refraining from treatment with Cerakson, since there is no verified information regarding its safety in relation to the fetus. Appointment is allowed only in cases of extreme necessity. Lactation is also contraindicated due to the ability of the substance to penetrate into milk.
In the field of pediatrics, it is used to treat infants and premature babies under the supervision of a physician. It is he who draws up the scheme and determines the required dose.
With ZRR
Delayed speech development can develop due to psychogenic disorders (placement in an orphanage/boarding school, separation from mother, long-term illness) and disorders of brain function, encephalopathy. In the first case, it is necessary to provide the child with the help of a qualified psychologist, and in this case medications are not needed.
In the second case, you should undergo a course of treatment with nootropic drugs. Cerakson has a beneficial effect on the development of thinking, memory, attention, which is reflected in the ability to reproduce sounds.
If during pregnancy the fetus had a toxic or traumatic effect, which led to speech impairment, it is necessary to take Ceraxon. It exhibits a nootropic effect, manifested as:
- normalization of impulse transmission in brain tissues;
- neutralizing the effect of phospholipases;
- suppressing the production of free radicals.
Effective for intrauterine hypoxia or hypoxia that occurs during difficult labor or due to a delay in the first breath. Used to treat premature babies.
For epilepsy
To date, there is no information about the effectiveness of the drug in the presence of epilepsy. Some experts are inclined to believe that it is undesirable to use this medication in patients with epileptic seizures. The fact is that it has biostimulating properties and can provoke seizures.
With VSD
Vegetative-vascular dystonia is of several types: hypertensive, hypotonic and mixed. When using nootropic medications, there is an improvement in thinking, memory, and energy brain processes.
Ceraxon is often prescribed for hypertensive or mixed VSD. When diagnosing a hypotonic type of disease, it is better to choose another medication.
See also:
Instructions for use of Cellex, analogues and reviews of the drug from doctors and patients
CERAKSON: Special instructions
In the solution for oral administration in the cold, a small amount of crystals may form due to temporary partial crystallization of the preservative. With further storage under recommended conditions, the crystals dissolve within several months. The presence of crystals does not affect the quality of the drug.
Impact on the ability to drive vehicles and operate machinery
During the treatment period, patients should be careful when performing potentially hazardous activities that require special attention and quick psychomotor reactions (including driving a car and other vehicles, working with moving mechanisms, working as a dispatcher and operator).
Instructions for use of the drug Ceraxon and course of treatment
The method of taking the drug depends on the form of release. The treatment regimen and course duration are determined by a qualified specialist, depending on the characteristics of the pathology, age and general condition of the patient.
The solution in ampoules can be administered intravenously or intramuscularly. In the first case, it is necessary to administer the medicine slowly (about 5 minutes). With the drip method, the rate of administration should not exceed 60 drops/1 minute.
In childhood, you can use tablets, solution and syrup. However, for newborns and patients under 3 years of age, Ceraxon is more suitable for oral administration or injections. To avoid gagging or attacks of nausea, the drug should be given after meals (after 30-60 minutes).
The standard instructions indicate average doses. The medication is taken 1-2 times a day.
Age (years) | IM injection | Syrup | Suspension in sachet | Pills |
0-2 | Not prescribed | 1-2 ml each | Not prescribed | |
3 | 200 mg | 2 ml each | ¼ tab. | |
4 | 200-300 mg | 2-3 ml each | ¼ tab. | |
5 | 300 mg | 3 ml each | ½ tablet | |
6-10 | 400 mg | 4 ml each | ½ tablet | |
10-14 | 500 mg | 5 ml each | 1 table | |
Over 14 | 500-1000 mg | 5-10 ml each | 1-2 tables |
Sachet The exact dosage is selected by the attending physician. Self-medication can provoke allergic reactions.
One sachet contains 10 ml of the drug. This dosage form is convenient to use for treating adults, since the entire sachet can be taken at once. You need to take the medicine once every 12 hours.
The average course duration is approximately 6 weeks.
Syrup
Syrup for oral administration is available in bottles. The kit includes a dispenser syringe, thanks to which you can quickly measure the required amount of medication. Prescribed from birth.
The maximum allowable amount of the drug per day is 5-20 ml, depending on age. The syrup can be diluted with a small amount of water. Take after or during meals for 6 weeks.
Injections
The solution in ampoules is intended for single use. It is prohibited to store an open ampoule. Doctors recommend injecting the medicine into a vein rather than into a muscle, as they consider this route to be more effective.
Injections can be given to patients over 3 years of age. In acute forms of the disease, up to 1000 mg is administered to adults every 12 hours. The medicine can be mixed with various isotonic solutions.
Pills
The tablet form is used to eliminate symptoms of the disease in patients from 3 years of age. The average daily dose ranges from 1 to 4 tablets per day. The doctor selects the dosage based on the severity of the disease. This factor also affects the duration of treatment.
CERAKSON: Release form, composition and packaging
The solution for oral administration is a transparent pink liquid with a characteristic strawberry odor; Almost white crystals are allowed.
Excipients: sorbitol, glycerol, methyl parahydroxybenzoate, propyl parahydroxybenzoate, glycerol formal, sodium citrate dihydrate, sodium saccharinate, crimson dye (Ponceau 4-R), strawberry flavor (strawberry essence 1487-S-Lucta), potassium sorbate, citric acid 50% solution , purified water - up to 100 ml.
30 ml - bottles (1) complete with a dispenser syringe - cardboard packs.
The solution for intravenous and intramuscular administration is transparent, colorless.
1 amp. | |
citicoline sodium | 522.5 mg, |
equivalent to citicoline | 500 mg |
Excipients: hydrochloric acid 1 M or sodium hydroxide 1 M (up to pH 6.7-7.1), water for injection - up to 4 ml.
4 ml - ampoules (5) - contour cell packaging (1) - cardboard packs.
The solution for intravenous and intramuscular administration is transparent, colorless.
1 amp. | |
citicoline sodium | 1045 mg, |
equivalent to citicoline | 1000 mg |
Excipients: hydrochloric acid 1 M or sodium hydroxide 1 M (up to pH 6.7-7.1), water for injection - up to 4 ml.
4 ml - ampoules (5) - contour cell packaging (1) - cardboard packs.
Possible side effects and overdose
Ceraxon is a non-toxic drug. In this regard, it rarely causes negative reactions from internal organs or systems. If the components are intolerant or the treatment is incorrectly selected, side effects may occur. These include:
- headache;
- dizziness;
- skin rashes accompanied by burning, itching;
- anaphylactic shock (with allergies);
- insomnia;
- hallucinations;
- diarrhea;
- tremor;
- loss of appetite or change in taste preferences;
- vomiting/nausea.
In rare cases, the use of medication may lead to a feeling of numbness in paralyzed limbs.
Sometimes, under the influence of the drug, minor and short-term changes in blood pressure were observed, as well as cases of stimulation of the parasympathetic nervous system.
If you experience even minor negative changes in your health, you should stop taking the medication and consult a doctor.
Since Cerakson has a fairly low degree of toxicity, there have been no episodes of overdose in medical practice.
See also:
Instructions for use of Citalopram, reviews of the drug from patients and doctors, its analogues
Interaction of Cerakson with other drugs and alcohol
Drug interactions should be given special attention. If a patient is taking medications and has been prescribed Ceraxon, he must notify his doctor. The fact is that in combination with various medications, Ceraxon can increase the risk of adverse reactions, enhance or completely neutralize the effectiveness of the drug.
Under its influence, the effect of levodopa on the patient’s body increases. If the drug contains meclofenoxate, it is strictly forbidden to use Ceraxon. Also, drugs prohibited for simultaneous use include those based on parachlorophenoxyacetic acid b-dimethylaminoethyl ester hydrochloride.
Alcoholic drinks are not recommended to be combined with all medications. As for Ceraxon, when taken simultaneously, the heart rhythm may be disrupted, the risk of developing acute heart failure increases, and the heart rate decreases or increases. There have also been cases of orthostatic hypotension when changing position (from horizontal to vertical) - blood pressure drops sharply.
To protect your body from unwanted consequences, you should abstain from alcohol during treatment.
Analogs
If a patient is intolerant to citicoline or is not satisfied with the cost of the drug, the doctor can select an equally effective analogue based on the mechanism of action or composition.
The most effective and popular drug substitutes are:
- Nootropil (250 rubles). Manufacturers used piracetam as the main active ingredient. The medicine has nootropic properties. After penetration, the drug enhances the process of glucose utilization, normalizes brain performance, and reduces the severity of vestibular nystagmus. Prescribed for Alzheimer's disease, cerebrovascular insufficiency, asthenodepressive syndrome, schizophrenia, and chronic alcoholism.
- Carnicetine (530 rubles). The drug is based on acetylcarnitine hydrochloride. It goes on sale in the form of capsules. It has neuroprotective, metabolic, cholinergic and antioxidant properties. Indications include peripheral neuropathy, Alzheimer's disease, involution syndrome, cerebrovascular dementia, vascular encephalopathy.
- Glycine (30 rubles). The role of the active component is performed by microencapsulated glycine. They contribute to the normalization and activation of inhibition processes in the central nervous system, thereby increasing performance and reducing the level of emotional stress. Sleep improves, the period of falling asleep is reduced, while maintaining the correct sleep structure. Chewable tablets are prescribed for frequent stress, encephalopathy, deviant behavior, neuroses, and after an ischemic stroke.
It is forbidden to replace medications on your own, since the wrong choice can aggravate the situation.
See also:
Instructions for use of the drug Noopept, indications, reviews from patients and doctors
Reviews
Mostly patients leave positive reviews about Cerakson. The medicine quickly and gently eliminates unpleasant symptoms and helps normalize the functioning of the nervous system and brain.
Adult patients taking the drug
Ceraxon is prescribed to both adults and children.
Vladislava, 25 years old: “Recently, my close relative suffered a stroke. I thought that this doesn’t happen at 40 years old, I was wrong. The doctor immediately prescribed Ceraxon for us. As far as I understand, the drug restores the affected areas of the brain. Despite the fact that the cost of this drug is quite high, we took it without reservation, because it really works. Just 3.5 months after the stroke, my relative was able to drive a car.”
Maria, 30 years old: “The neurologist prescribed syrup to my little daughter twice a day, 1 ml. At that time, the baby’s condition was extremely serious. The fluid did not leave the brain, the right side of the body was less active because the brain could not function fully. After three months I noticed improvements. The body became softer and more mobile, frequent regurgitation stopped. On an ultrasound, the doctor noticed that the ventricles had become smaller. As a result, I came to the conclusion that the quality of the syrup completely justifies its price. I also heard that it is used for difficult speech development.”
Tserakson: prices in online pharmacies
Drug name Price Pharmacy |
Ceraxon solution IV and IM 500 mg 4 ml n5 658 rub. Buy CV Protek |
Ceraxon solution for injection 500 mg/4 ml n5 amp 674 rub. Buy Europharm LLC |
Ceraxon solution 500 mg/4 ml 4 ml 5 pcs. 679 rub. Buy RUPHARMA, LLC |
Ceraxon solution internally 100 mg/ml 30 ml n1 693 rub. Buy CV Protek |
Ceraxon solution for injection 500 mg 4 ml No. 5 ampoules 696 rub. Buy ZdravZona – Online Pharmacy |
Ceraxon solution 100 mg/ml 30 ml 725 rub. Buy RUPHARMA, LLC |
Ceraxon oral solution 100 mg/ml 30 ml bottle 757 rub. Buy Europharm LLC |
Information about the drug is generalized, provided for informational purposes and does not replace official instructions. Self-medication is dangerous to health!
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CERAXON is the Latin name of the drug CERAXON
Marketing authorization holder: FERRER INTERNACIONAL SA
ATX code for CERAKSON
N06BX06 (Citicoline)
Before using the drug CERAXON, you should consult your doctor. These instructions for use are for informational purposes only. For more complete information, please refer to the manufacturer's instructions.