Application of Cavinton in neurological and geriatric practice


Comparison of Cavinton and Cavinton Forte

Cavinton forte or Cavinton are drugs used to eliminate cerebrovascular accidents.
Medicines have an antiaggregation effect on the body, promote vasodilation, improve and normalize blood flow in the brain.


Cavinton forte or Cavinton are drugs used to eliminate cerebrovascular accidents.

Side effects

Side effects after consuming Cavinton occur quite rarely and often this is due to incorrectly selected dosage or due to intolerance to the composition. A person may experience the following undesirable consequences:

  • Lost sleep rhythm;
  • Severe headaches and dizziness;
  • General weakness;
  • Dry mouth;
  • Frequent pressure changes;
  • Heart rhythm disturbances;
  • Redness of the skin;
  • Vomiting;
  • Heartburn;
  • Inflammation of the venous wall;
  • Profuse sweating;
  • Allergic manifestations.

A rise in pressure is characteristic of a side effect, since normally it may decrease slightly after taking the medication.

Characteristics of Cavinton

The drug is available in the form of tablets and concentrate for the preparation of infusion solution.

Cavinton contains the active component vinpocetine. In addition to the active substance, the tablets contain additional components that play a supporting role:

  • talc;
  • silicon dioxide;
  • magnesium stearate;
  • lactose monohydrate;
  • corn starch.

In the composition of the concentrate for the preparation of infusion solution, the auxiliary compounds are:

  • tartaric acid;
  • sodium disulfite;
  • water for injection;
  • benzyl alcohol;
  • ascorbic acid;
  • sorbitol.

The tablet form is packaged in blisters; the tablets are white in color. The concentrate for the preparation of infusion solution is a clear liquid.

The main active ingredient belongs to the group of cerebrovasodilating agents. The use of the drug improves metabolism in tissue cells and blood supply to the brain. Cavinton is able to influence the rheological properties of blood. Under the influence of vinpocetine, the activity of transmembrane calcium and sodium channels, AMPA and NMDA receptors is inhibited.


Cavinton is able to influence the rheological properties of blood.

Under the influence of vinpocetine, the absorption and metabolism of oxygen and glucose by brain tissue cells improves, and the processes of serotonin and norepinephrine synthesis are activated. The drug is able to have antioxidant and stimulating effects on the noradrenergic system of the body.

Indications for use of the drug are extensive:

  • in neurology - ischemia, vascular dementia, stroke, cerebral vascular atherosclerosis, vertebrobasilar insufficiency, post-stroke condition, hypertensive, post-traumatic encephalopathy and other types of cerebral circulatory failure, memory impairment, headaches and motor activity disorders;
  • in ophthalmology - spasm of retinal blood vessels, atherosclerosis, degenerative diseases, development of secondary glaucoma, thrombosis, embolism;
  • in otorhinolaryngology - age-related hearing loss, hearing impairment of toxic and vascular origin, cochleovestibular neuritis, Meniere's disease, dizziness, the appearance of tinnitus, vasovegetative manifestations in the menopause.

When prescribing the drug, one should take into account the patient’s possible contraindications to its use:

  • severe forms of arrhythmia;
  • severe ischemic heart disease;
  • periods of lactation and gestation.

During the course of therapy, the patient may experience the following side effects:

  • strengthening of existing arrhythmia;
  • tachycardia;
  • drop in blood pressure;
  • dyspeptic disorders;
  • dry mouth;
  • heartburn;
  • weakness;
  • sleep disturbance;
  • dizziness;
  • migraine;
  • allergy.

There is insufficient data on overdose; if such a situation occurs, it is recommended to perform gastric lavage and use activated charcoal. If necessary, symptomatic therapy is used.

To purchase a medicine at a pharmacy, you will need to present a prescription from your attending physician. The cost of the medicine depends on the form of the drug and ranges from 220 to 260 rubles. The shelf life of the medicine is 5 years.

Chemical composition and dosage forms

The active compound of the drug is vinpocetine. It has a vasodilator (vasodilator), antioxidant, neuroprotective effect, stimulates metabolic processes in tissues, and normalizes the rheological properties of blood.

Cavinton is produced in two pharmaceutical forms:

  • Tablets: in blisters, white, with the Cavinton inscription engraved on the surface, the dosage of the active substance is 5 mg. Auxiliary components of the drug: silicon dioxide, talc, magnesium stearate, starch.
  • Infusion solution in ampoules of 2 and 5 ml, used intravenously. In addition to vinpocetine, it contains distilled water, ascorbic and tartaric acids, and sorbitol.

Action of Cavinton forte

The pharmacological agent is available only in tablet form. The active component of the drug is vinpocetine.

Additional substances of the drug:

  • talc;
  • magnesium stearate;
  • colloidal silicon dioxide;
  • lactose monohydrate;
  • corn starch.

The product is sold in packages of 30 and 90 tablets.

The drug improves blood circulation in brain tissue and has vasodilating, neuroprotective, antihypoxic and antiaggregation effects on the body.

Indications for use of the medicine are:

  • states of cerebral circulatory insufficiency in order to reduce the symptoms of mental and neurological disorders;
  • rehabilitation period after ischemic stroke;
  • stage of recovery after hemorrhagic stroke;
  • post-stroke complications;
  • atherosclerosis of cerebral vessels;
  • vascular dementia;
  • transient ischemic attack;
  • vertebrobasilar insufficiency;
  • hypertensive or post-traumatic encephalopathy;
  • therapy for idiopathic tinnitus;
  • Meniere's disease and conditions associated with decreased perceptual hearing;
  • chronic vascular pathologies of the organs of vision, including lesions of the retina and their choroid.


Indications for the use of the drug are conditions of cerebral circulatory failure.
Contraindications to the prescription of the drug are:

  • IHD in severe form;
  • periods of pregnancy and lactation;
  • hemorrhagic stroke in the acute phase;
  • hypersensitivity;
  • age under 18 years;
  • arrhythmias in severe form.

During therapeutic measures, the patient may experience undesirable reactions, manifested by:

  • feeling of hot flashes;
  • changes on the ECG;
  • blood pressure lability;
  • extrasystole;
  • tachycardia;
  • insomnia;
  • hyperhidrosis;
  • drowsiness;
  • headaches;
  • general weakness;
  • dizziness;
  • dry mouth;
  • belching and heartburn;
  • feeling of nausea.

Information on drug overdose is insufficient, but if it occurs, it is necessary to induce vomiting to cleanse the stomach, followed by the use of enterosorbents.

The drug is dispensed at the pharmacy only with a prescription. The shelf life of the medicine is 5 years. The cost of the drug can range from 250 to 300 rubles.

Why does your head hurt when you drink Cavinton?

Medicines produced on the basis of vinpocetine dilate blood vessels well, thereby improving blood flow, while the brain receives the beneficial substances it needs. Among this group of drugs, Cavinton can be distinguished. It is created in ampoules with a solution and in tablet form.

The drug's instructions for use say that it is prescribed to improve cerebral (cerebral) blood circulation.

However, before using this medicine, it is advisable to consult with your doctor to avoid side effects due to overdose or due to improper combination.

Features of the drug and release form

The main effect of the drug is aimed at dilating cerebral vessels to improve their patency. Due to this, the flow of nutrients into the brain is normalized. The main component of Cavinton has this effect and it is called vinpocetine. It is able to relieve tension from smooth vascular muscle tissue, thereby dilating blood vessels.

The medicine comes with instructions that indicate other useful properties of the medicine, for example, normalization of the metabolic processes of norepinephrine and serotonin in brain tissue. Among other beneficial effects indicated in the description of Cavinton, one can highlight a decrease in the degree of blood viscosity.

Before using the medicine, you need to familiarize yourself with its release forms, namely:

  • Pills. They come in the following varieties:
  • 5 mg. This version is classic and the package contains 50 tablets. The number 5 next to the name of the drug indicates the concentration of vinpocetine in its composition. Used mainly to treat mild cases or for preventive purposes;
  • Cavinton Forte 10 mg. This variety differs from the 5 mg version in the amount of vinpocetine in the composition. The package contains 30 or 90 tablets. Forte's indications for use are similar to other versions of the drug. The prefix “Forte” on these tablets indicates a modification associated with an increase in the amount of vinpocetine in the composition. This nuance is useful in the treatment of severe pathological processes, but not always. Sometimes the usual concentration of the main active ingredient works better;
  • Cavinton Comfort. Tablets of this type also contain 10 mg of vinpocetine. It differs from other versions of the drug in the ability to dissolve in saliva. People who experience discomfort when swallowing will see particular benefit from this. Available in packaging that holds 30 or 90 tablets. It is particularly effective in the treatment of severe circulatory problems. However, for the treatment of mild cases, Cavinton Comforte is not useful, since the usual type of medicine will suffice;
  • Cavinton in ampoules. They are used for intramuscular and intravenous injections. Ampoules are produced in packs of 5 and 10 pcs. and their capacity is 2.5 and 10 ml. The dosage is selected based on 1 ml of medication - this is 5 mg of vinpocetine, but it must be prescribed by the attending physician after examination.

Indications for use

Doctors prescribe a solution or tablets mainly for the treatment of various circulatory problems, such as:

  • Impairment of cerebral blood flow due to ischemia, stroke, development of dementia (dementia), heart attack, etc.;
  • Malfunctions of a mental and neurological nature, which manifest themselves as follows: Motor disturbances;
  • Memory impairment;
  • Headaches and dizziness;
  • Vegetovascular dystonia.
  • Signs of menopause.
  • Drinking Cavinton is also necessary in the treatment of certain eye pathologies, namely:

    • Anomalies in the structure of the retina, macula and ocular vessels;
    • Eye spasm;
    • Obstruction of blood vessels localized in the eye;
    • Glaucoma of a secondary nature, for example, resulting from an injury or due to the development of atherosclerosis.

    Sometimes prescribed as a supplement to a course of treatment for ear diseases:

    • Hearing loss caused by the influence of diseases of the vascular system and toxins;
    • Age-related decrease in hearing acuity;
    • Cochleovestibular neuritis;
    • Labyrinth disorders, manifested in the form of dizziness and ringing in the head;
    • Meniere's disease.

    Instructions for use

    Before taking any tablets, you must read their instructions for use, and Cavinton is no exception.

    It must be consumed after meals so that it does not have a negative effect on the gastrointestinal tract. After obtaining the desired result, the dose is reduced to a minimum, since it is necessary to consolidate the effect of taking the tablets.

    The duration of treatment depends on the pathological process, but generally varies from 1 to 3 months.

    The results of using Cavinton can be seen within 2-3 weeks of therapy. The withdrawal of the medication occurs smoothly and for this purpose the dose is reduced to a minimum within a week.

    Cavinton injections are made intravenously by drip. To do this, you will have to pour the ampoule with the medicine into saline solution and begin the administration procedure. Usually, after the patient’s condition improves, the droppers are removed and the patient is transferred to tablet form.

    The instructions for use can also tell you how to take the medicine for children.

    There are no particular differences between the use of the drug by an adult and a child, but more attention will have to be paid to the dosage. After the baby’s condition improves, he is transferred to Cavinton in tablet form.

    However, it is not recommended for use by children under 18 years of age due to the lack of accurate data on the effect of the drug on the child’s body.

    Side effects

    Side effects after consuming Cavinton occur quite rarely and often this is due to incorrectly selected dosage or due to intolerance to the composition. A person may experience the following undesirable consequences:

    • Lost sleep rhythm;
    • Severe headaches and dizziness;
    • General weakness;
    • Dry mouth;
    • Frequent pressure changes;
    • Heart rhythm disturbances;
    • Redness of the skin;
    • Vomiting;
    • Heartburn;
    • Inflammation of the venous wall;
    • Profuse sweating;
    • Allergic manifestations.

    A rise in pressure is characteristic of a side effect, since normally it may decrease slightly after taking the medication.

    Contraindications

    Cavinton has certain contraindications that need to be taken into account, namely:

    • Intolerance to the composition of the medication;
    • Serious heart rhythm disturbances;
    • Stroke in the acute stage;
    • Cardiac ischemia.

    Use by girls during pregnancy and lactation (breastfeeding) is contraindicated, since there is no accurate information about its effect on the child’s body. That is why it is not advisable to use this drug to treat children under 18 years of age.

    Features of interaction

    Before using Cavinton, you need to know about its possible interactions with other substances:

    • It is not recommended to use if medications are used to normalize blood pressure or QT, as the effect of the latter may be enhanced;
    • Combining alcohol and Cavinton is strictly prohibited;
    • When using the drug intravenously, it is necessary to ensure that Heparin is not added to the solution for administration, as the chance of hemorrhage increases. The use of 2 medications separately is allowed.

    Price

    The price for Cavinton in Russian pharmacies is not very different and on average its cost is as follows:

    • Solution: 2 ml. 10 ampoules – 240-260 rub.
  • Pills:
      5 mg 50 tab. 250-265 rub.;
  • Forte 30 tab. – 275-285 rub.;
  • Comfort 30 tab. – 335-350 rub.
  • Reviews

    Patients mostly praise Cavinton in their reviews. According to them, you can drink it for years and there will be no significant side effects. Despite the lack of precise data on harm to children, it is prescribed in some situations, for example, for encephalopathy. Results become noticeable within 2-3 weeks.

    Doctors also left their reviews about Cavinton and most of them noted its wide range of actions, since this drug can be used in the treatment of many pathological processes.

    Other experts said that taking it on its own is unacceptable and that one should first carry out a diagnosis and find out the cause of the disease.

    Otherwise, there will be no result from taking a fairly expensive drug.

    According to the instructions for use, Cavinton is a powerful remedy for restoring cerebral blood flow. Its effectiveness is confirmed by numerous reviews left by users who have used this drug. However, it is not recommended to use it on your own, since you will first have to undergo an examination, and only then the doctor will decide to prescribe Cavinton or not.

    Source: https://yarfotograf.ru/pochemu-kogda-pesh-kavinton-bolit-golova/

    What are the differences and similarities between Cavinton and Cavinton forte?

    Cavinton has more release forms compared to Cavinton Forte. Both drugs contain the same active ingredient.

    Both drugs have similar indications for use, contraindications and side effects. Medicines must be taken after meals with plenty of water.

    The selection of drug dosage depends on the type of pathology and individual characteristics of the body.

    Cavinton forte contains 2 times more active component than Cavinton. This indicator affects the frequency of dosing of the drug.

    Due to the higher content of the active component, the dosage regimen for the drug has been changed. It is recommended to take Cavinton forte 1-2 times a day, and Cavinton 3-4 times a day.

    How to use Cavinton correctly: instructions

    The medication is approved for patients over 18 years of age. Treatment with the drug in tablets requires long-term administration. The full course ranges from 1 to 8 months, depending on the type of disease. On average, to achieve pronounced results, Cavinton is taken for 3–4 months in a row:

    • 1 tab. three times a day, without chewing;
    • You need to take the medicine with a large volume of water;
    • time of administration: 1–1.5 hours after meals.

    The infusion drug must be administered intravenously: through a syringe or through droppers. Intramuscular use of the product is prohibited.

    • Before use, Cavinton is diluted in saline solution at the rate of: 20 ml of concentrate per 500 ml of liquid;
    • the prepared solution is suitable for use within 3 hours;
    • therapy is carried out by administering 80 drops of the drug per minute.

    The exact treatment regimen is formed by the doctor, taking into account the indications and general condition of the patient’s body. Cavinton should be discontinued gradually, gradually reducing the dosage over 3–5 days.

    The medicine does not have a toxic effect on the kidneys and liver. It should be used with caution in case of hemorrhagic stroke: no earlier than 7 days after the attack.

    Doctors' opinion

    Shkolnikov A.I., neurologist, Ryazan

    Cavinton Forte was prescribed in such cases - headaches of vascular origin in cerebral atherosclerosis, as well as tinnitus. The drug can cause sudden changes in blood pressure. It makes sense to expect an effect only from 10 mg of the drug, but not at a dosage of 5 mg.

    Mikhaleev M. A., psychotherapist, Samara

    I use Cavinton Forte in small doses up to 5 mg per day when stopping antidepressant therapy. It is well recommended as part of complex treatment for asthenic and psycho-vegetative disorders, as well as night urination in children.

    A good product that gives the expected results.

    Kudryashov V.S., neurologist, Novosibirsk

    Cavinton is an old, proven drug. Improves cerebral circulation, blood rheology, nutrition of brain structures. In practice, I use the tablet form of the drug. The minimum course is 1 month.

    Effective for chronic cerebral vascular insufficiency and vegetative-vascular dysfunction. Use with caution when prescribing to patients with cardiac arrhythmias.

    Lee D. G., neurologist, Yekaterinburg

    Cavinton improves cerebral circulation and metabolic processes in brain tissue. It has proven itself in the treatment of the consequences of stroke, chronic cerebrovascular accident, encephalopathy of various origins, and vertebrobasilar insufficiency.

    The disadvantage is a change in heart rhythm, which can provoke the appearance of tachycardia, extrasystole, and a decrease in blood pressure. As a result, it is necessary to take into account these criteria when prescribing it, especially in elderly patients.

    The injection form contains sorbitol, which must be taken into account when prescribing to patients with diabetes.

    Chepurnoy M. G., pediatric surgeon, Astrakhan

    Cavinton improves blood circulation in the brain, prevents the formation of blood clots and thins the blood. I prescribe this drug to improve cerebral circulation in patients with ischemia, strokes, encephalopathies, and vertebrobasilar insufficiency. The product works well in eliminating the vegetative manifestations of menopause in women.

    Indications for use

    The medicine is contraindicated in cases of cerebral hemorrhage, severe forms of ischemia, and arrhythmia. The tablets contain glucose, so they should not be taken by people intolerant to this substance. The solution contains sorbitol, so it should be used with caution in case of diabetes.

    Important! Cavinton is not prescribed during pregnancy and breastfeeding, since there is no reliable data on the safety of the drug for these groups of patients.

    Side effects:

    • with low pressure, a significant decrease in indicators is possible;
    • increased manifestations of arrhythmia, tachycardia;
    • diarrhea, heartburn, constant thirst, severe hunger;
    • deterioration in sleep quality, weakness, migraine attacks;
    • allergic reactions.

    Although the drug should not increase blood pressure, some doctors note this effect in their patients. Cavinton is well tolerated, but since it not only lowers, but sometimes also increases blood pressure, it is not recommended for use by people with unstable blood pressure.

    While taking Cavinton, you should completely avoid drinking alcoholic beverages and ethanol-based medications - the drug causes vasodilation, so alcohol will be absorbed into the blood much faster.

    Cavinton is an effective drug that is used in the treatment of various vascular diseases. Doctors often prescribe it as a preventative against strokes. The effect of the drug on blood pressure is insignificant - it is used as part of complex therapy for hypertension, but it is also safe for people with normal blood pressure.

    Neurology

    Ophthalmology

    Otorhinolaryngology

    Contraindications are severe forms of arrhythmia, severe ischemic heart disease, lactation, pregnancy (due to the lack of safety data).

    Cavinton should be taken with caution by people with certain pathologies.

    Side effects that can be caused by the drug appear in the cardiovascular and central nervous system, gastrointestinal tract and skin.

    Indications for use of the drug Cavinton are pathologies of the vascular system of the brain, accompanied by mental and neurological symptoms:


    • Thrombosis
      ischemia;

    • stroke;
    • dementia;
    • cerebral atherosclerosis;
    • thrombosis;
    • encephalopathy;
    • occlusion;
    • hearing impairment;
    • tinnitus;
    • tinnitus.

    Separately, it is necessary to mention the purpose of the drug in neurology. In this area, the drug belongs to the group of nootropics. The drug has a multidirectional effect and can be used both as a therapeutic agent and for the prevention of cerebral vascular pathologies.

    Medical indications for prescribing the drug:

    • with VSD (vegetative-vascular dystonia);
    • for dizziness;
    • for headaches;
    • for epilepsy;
    • for migraines;
    • with aphasia;
    • with apraxia;
    • with memory impairment;
    • for movement disorders.

    Cavinton is an effective way to combat migraines. Prescribed to patients with any degree of pain intensity. The drug is also often prescribed for VSD and in this case it performs the following actions:

    • helps relieve the patient from the symptoms of the disease;
    • improves blood supply to the brain;
    • normalizes the functioning of small vessels;
    • promotes easier absorption of glucose;
    • reduces vascular spasms;
    • normalizes blood pressure;
    • has a positive effect on the asthenic state;
    • improves the functioning of the central nervous system

    Cavinton is difficult for children to tolerate and is therefore not recommended for use by persons under 18 years of age. However, many doctors prescribe Cavinton to patients in the younger age group.

    At the moment, it is impossible to find a worthy analogue on the shelves of pharmacies that will be safer for children. Therefore, if high-quality therapy is necessary, Cavinton is prescribed in a minimal dosage.

    The drug is prescribed for the following disorders in the child’s body:

    • epileptic seizures;
    • vascular disorders;
    • damage to the central nervous system;
    • postnatal trauma;
    • hearing and vision impairments;
    • severe depressive state.

    In emergency cases, the drug can be prescribed to newborns. Such therapy is acceptable for temporary hypoxia, which the baby experienced due to placental insufficiency.

    Rating
    ( 1 rating, average 4 out of 5 )
    Did you like the article? Share with friends:
    For any suggestions regarding the site: [email protected]
    Для любых предложений по сайту: [email protected]