Pantocalcin for children. What is it prescribed for, instructions for use, reviews

Use for PPNS

According to statistics, perinatal lesions of the central nervous system are a common occurrence in infants in recent decades. From the beginning of the third trimester of pregnancy for the mother until the end of the first week of the baby’s life, there is a possibility that disruptions may occur in the functioning of the child’s nervous system. They may occur due to complicated pregnancy.

The fetus may have a history of oxygen deficiency. During the birth process, the newborn may be injured; labor that is too long or too fast can cause underdevelopment of the functions of the nervous system or brain. All these pathologies must be detected within 10 days of birth.

Usually the data is entered into the card upon discharge from the maternity ward, but this is not always enough. The consequences can be identified by a pediatrician during the first examination.

Such disturbances in the functioning of the brain are called perinatal lesions in the nervous system. This can manifest itself in instability of motor functions, speech apparatus and mental state. If, upon examination, a pediatrician finds any signs of such disorders, then this is a direct indication for the use of Pantocalcin.

These symptoms may include:

• Hyper- or hypotonicity (it can be expressed by the inability to relax the limbs or strain them).
• Tremor of the chin or limbs (this means that the child's chin or one of the limbs may tremble slightly during moments of emotional stress).
• The appearance of strong or barely noticeable convulsions (they can appear either as a result of some external influences or without them).
• Immense anxiety or excitability in the child (the baby may cry a lot for no reason, have difficulty falling asleep, wake up several times within an hour).

Pantocalcin for children, reviews of which from pediatricians prove its effectiveness, helps in the treatment of these and similar problems.

Video

In this video, a famous psychotherapist talks about the drug Pantocalcin, its properties, principle and direction of action. Here more detailed information about the drug is revealed and useful tips on its use are given. You can watch the video using the link:

Most mothers are concerned with the question: which drug is suitable for her baby? Pantogam for children in the form of syrup is the most common analogue of Pantocalcin syrup. For those who prefer medicine in tablet form, we recommend Picamilon for children, which has confidently proven itself in the pharmaceutical market. There are good reviews about the drug - Encephabol for children - it is also available in tablets. The solution for injection - Cortexin for children - is produced in ampoules, freezing the substance, transforming it into a powder form for the preparation of further solutions. Today, there are many analogues of this medication and they are available in different forms. The choice is huge, but it's up to you to decide.

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Overdose

Reactions such as nausea or vomiting are rare. This can only happen in case of overdose.

Because the drug is often prescribed to children, adults should be careful to ensure that children are taking the correct dosage. If, through negligence, a child takes more than necessary, he may experience dizziness, decreased blood pressure, and weakness.

Doctors' reviews about the drug

Many parents complain that after starting to take Pantocalcin, the child becomes hysterical and capricious. This may be the body’s reaction to debugging processes in the functioning of nerve cells. This is why the medicine is prescribed in courses so that it has the opportunity to demonstrate a cumulative effect. Therefore, there is no need to fear harm from taking this drug.

Doctors do not find a replacement for this substance, calcium hopatene is necessary for the treatment and prevention of disorders in the nervous system, and Pantocalcin is ideal for these tasks, since it does not have heavy auxiliary substances.

Most often in neurology and pediatrics, this drug is prescribed in combination with others.

Pantocalcin is a medicine that actively works in just such combinations. This is an important quality, since many effective products have many contraindications to combining basic and auxiliary components. Doctors often mention that Pantocalcin has almost no side effects, which is why it is so popular.

According to reviews, “Pantocalcin” is effective in use in children; it copes with many tasks. It is often used in a complex of measures and has a productive effect on the metabolic processes of nerve cells.

Article design: Oleg Lozinsky

Manufacturer and release form

In pediatrics, Picamilon tablets are used, which contain GABA in the following dosages:

White tablets are sold in plastic jars of 30 pieces. Instructions are included with the package. Picamilon can be purchased in pharmacies only by presenting a doctor's prescription. Less common on sale are packages of 50 and 100 pieces.

Release form: tablets.

You can buy 30 tablets of 0.02 g for about 80 rubles, and 30 tablets of 0.05 g for 90 rubles.

Directions for use, dosage

In each specific case, the doctor individually selects the dosage. It depends on the age of the child, diagnosis and course of the disease.

The table shows standard dosage data from the instructions.

It is allowed to give Picamilon to a child both before and after meals. The tablets should be swallowed without chewing and washed down with water. You can offer your child to take the tablet with milk, compote or other liquid instead of water. This will not affect the absorption of the drug.

The tablets can be taken with milk.

The duration of use of the medicine is usually 1-1.5 months. If necessary, the doctor may prescribe a second course of treatment, but not earlier than 3 months after the end of the first.

Review from Tatiana, mother of 4-year-old Andrey:

Treatment regimen for night pathology

Drugs for the treatment of nocturnal diuresis are as follows:

1. Minirin is a Swedish-made tablet drug. It contains desmopressin. Indicated for use in children over 5 years of age with primary enuresis. This reduces the number of urges to urinate.
2. Pantogam - tablets are prescribed to children from 2 years of age for bedwetting and imperative enuresis. This drug is indicated for the treatment of incontinence against the background of seizures and severe motor excitability. It has a mild sedative effect and stabilizes the functioning of neurons in the cerebral cortex. It is not recommended to use this drug in the first trimester of pregnancy, in case of kidney pathology and individual intolerance to the components of the drug.
3. Melipramine - used from 2 years. This is a Hungarian drug for neurogenic enuresis. The active ingredient is imipramine. Available in tablet form. This antidepressant has a general strengthening, stimulating, antioxidant effect. It can often provoke convulsions, insomnia, arrhythmias, allergic reactions on the skin, excess weight, and baldness. It cannot be used for acute pathologies of the liver and kidneys, decompensated diabetes mellitus, tuberculosis, lactation, prostatitis, and the first trimester of pregnancy. Melipramine is often used to treat enuresis associated with mental pathologies. It is safely prescribed for the treatment of adult enuresis.

Therapy methods

There are different pills for enuresis. Antidiuretic hormone of synthetic origin - Desmopressin, Adiorekin SD. This type of medicine replenishes the hormone vasopressin, which reduces the accumulation of urine at night. The medications contain a synthetic analogue of desmopressin, which has a pronounced effect on the kidneys.

Desmopressin tablets are available under the name Minirin or in spray form. The use of such drugs is recommended after 6 years for a duration of 3 months. Tablets are used once. The most common side effects: pain in the head, stomach, increased sweating. The development of water intoxication resulting from the accumulation of water is often observed.

In this case, nausea, vomiting, and convulsions develop. To prevent the occurrence of such symptoms, you should adhere to dosages and control your drinking regime. 2 hours before bedtime, you should not give your child anything to drink, and control the amount of liquid you drink per day. It is through control that the development of complications can be prevented. The drugs are effective, although almost every second patient experiences a relapse of the disease after stopping them.

Anticholinergic medications are as follows:

• Atropine;
• Belladonna (Demoiselle);
• Levzin;
• Detrol;
• Driptan;
• Spasmex;
• Detrusitol.

Medicines affect smooth muscle organs. Therefore, the bladder has the ability to increase in size. Drugs in this group act on the sphincter apparatus, enhancing the ability to retain urine. Modern drugs Driptan, Spazmex, Detrusitol act selectively on the urinary muscles, reducing the systemic effect of such medications.

The development of side effects in the form of dry mucous membranes, abdominal pain, and vision problems is observed. They significantly reduce the formation of sweat, so they are not recommended for fever, increased body temperature, and are rarely prescribed during sports or dancing and in hot weather.

An overdose is characterized by anxiety, agitation, possible psychosis, a drop in blood pressure, pale skin, and the development of coma. These drugs are indicated for the neurogenic type of enuresis (hyperreflex type). When used correctly they are absolutely safe.

What is enuresis?

Urinary incontinence in a child occurs:

• primary (persistent);
• secondary (recurrent).

1 is when the patient is five years old and has not previously recorded a single “dry period” lasting more than six months.

2 is when nocturnal enuresis in children occurs after a “dry period” lasting several months or even years. A recurrent disease is usually associated with a concomitant course of urological, endocrinological, neurological or mental disorders of the body.

Nocturnal enuresis

In addition, enuresis occurs:

• night (85% of patients);
• daytime (5%);
• mixed(10%)

The presence of daytime and mixed types of illness indicates the presence of neurological and emotional problems.

The presence or absence of concomitant pathologies classifies enuresis as follows:

• uncomplicated;
• complicated at night (urinary tract infection, pathological change in the structure of the genitourinary system, as well as the neurological condition of the patient).

Based on this classification, it is impossible to clearly identify the main points, so many studies indicate the need to introduce more detailed terminology.

The neurotic course of the disease is typical for a fearful, shy patient who is very worried about any life situations.

With a neurosis-like course of the disease, the patient is more indifferent to what is happening around him.

Many experts give credit to monosympathetic nocturnal enuresis, which is characterized by bladder dysfunction and impaired awakening.

Interaction

Pantocalcin for children, reviews of which are only positive, works great in tandem or in a broader combination with other medications. It is safe to say that this drug in some cases stimulates the action of other components.

It significantly increases the duration of the work of barbiturates and increases the direction of action of other drugs on the nervous system. In addition, it may reduce the harmful effects of phenobarbital. The base substance of Pantocalcin, calcium hyponate, acts many times more powerfully together with glycine.

How to cure enuresis

Answer the question unambiguously: How to treat enuresis? This is not possible, since it requires a multifaceted approach. Once a diagnosis is made, the work of one specialist is not effective. Only a group of doctors, which includes a pediatrician, pediatric urologist, nephrologist, psychologist, and other specialists, as necessary, are able to determine the most effective treatment method.

Picamilon for enuresis

Complex treatment includes the use of tablets, folk remedies, and massage.

An effective cure for enuresis is Picamilon. It represents a group of nootropics, the action of the active substances of which is aimed at stimulating brain functions, having a vasoactive, noo- and vegetotropic effect.

What does it mean? Picamilon eliminates sleep problems by providing a calming effect. Urinary incontinence in children should also be treated with acupressure, characterized by certain tactics.

The process is useful in that the patient’s metabolism is normalized and the functioning of the main organs improves. Therapeutic massage should be done twice every day.

Important! The effect of amateur massage for enuresis in children is practically zero, so a qualified specialist is simply necessary.

Many parents ask: How is enuresis treated in boys or girls? There is no significant difference between the gender of the child. The main thing is that the technique is effective. Psychotherapeutic procedures are also necessary, since only a specialist can understand the cause of children's internal experiences.

Under no circumstances should you reproach, shame, or even beat a child if he wets himself. It will only get worse! Psychological support from loved ones is very important on the path to recovery.

How to treat childhood enuresis

Treatment of incontinence also includes a set of preventive procedures after recovery, or to prevent it. The rules are simple and clear:

• drinking regime;
• less fluids in the evening;
• healthy emotional family climate;
• regular and complete emptying of the bladder;
• potty training.

Prevention

Prevention is the main way to avoid disease. To prevent enuresis in children, measures such as:

• timely training of the child to use the potty;
• compliance with the drinking regime;
• avoiding fluid intake before bedtime;
• control over the regularity and completeness of bladder emptying;
• maintaining the emotional climate in the family.

Effective prevention is the key to a child’s health. It is important to note that the more attentive and caring parents are towards their child, the greater the chance of a favorable outcome.

Enuresis is a disease characterized primarily by the main symptom: uncontrolled urination. The age of children with nocturnal enuresis usually corresponds to the preschool or early school period, when bladder activity becomes controlled.

Compound

The developers took nicotinoyl gamma-aminobutyric acid as the basis for the composition.

In order for the chemical compound to be better absorbed by the body, it was supplemented with:

• starch (potato and corn);
• magnesium hydroxycarbonate;
• calcium stearate;
• sucrose;
• talcum powder

In the injection solution, this substance is contained in a dose of 100 mg in each ampoule (50 mg in 1 ml), and in one tablet its amount can be either 20 or 50 mg.

Additionally, the solid form of Picamilon contains calcium stearate, corn and potato starch, sodium carbonate, talc and sucrose. In ampoules, sterile water and hydrochloric acid are added to the active substance.

Price in pharmacies in Moscow, St. Petersburg, regions

Prices for the drug according to a large pharmacy chain in Russia:

Pantocalcin for children, reviews of which encourage more frequent prescription of the drug, has approximately the same prices across the country.

In what cases is Picamilon used for children?

Medicines containing GABA are not recommended for use in children under 3 years of age.

Picamilon is known to pediatricians as an effective and relatively safe remedy. Your pediatrician may prescribe this medicine in the following cases:

• with delayed psychomotor development;
• with delayed speech development (SDD);
• under intense loads;
• with attention deficit disorder;
• for urinary disorders, enuresis;

The drug will help with urinary incontinence.

• during the recovery period after a head injury.

Do not give Picamilon to children to stimulate general development unless there is an indication for taking the drug and it has not been prescribed by a doctor. Uncontrolled use of nootropic drugs can harm the baby's developing brain.

Review from Natalia, mother of 7-year-old Vika:

The medicine increases the ability to concentrate.

Pharmacology

Picamilon is used in medicine as a psychostimulant, nootropic agent.

Thanks to the properties of the active substance, the following effects are achieved:

• antioxidant;
• antiaggregation;
• antimigraine;
• nootropic.

When it enters the systemic bloodstream, cerebral circulation significantly improves, memory improves, and a clearer concentration of attention appears. The active component has a beneficial effect on the vascular system and activates mental activity.

The medicine is also used as a tranquilizer.

The course of treatment helps to stabilize the psycho-emotional background, eliminate insomnia and irritability.

Contraindications and side effects

Pediatricians and parents rarely note the negative effects of the drug. Sometimes a patient may experience the following symptoms when taking Picamilon:

• allergic reaction to the skin in the form of a rash;
• headache;

One of the side effects is headache.

• feeling of anxiety, irritability;
• nausea;
• dizziness;
• decreased blood pressure;
• redness of the face due to a rush of blood.

If one or more symptoms appear in a child, you should contact your pediatrician. The doctor will determine how much to reduce the dosage so that side effects do not occur or prescribe another medicine.

The medicine is not recommended to be taken if you have:

• renal failure;
• kidney diseases;
• hypersensitivity to any of the components of the product.

The drug is not intended for children under 3 years of age, unless the potential benefit to the child outweighs the possible negative effect on the body.

Treatment

Attention! The process of urination is definitely fully formed upon reaching the age of four, so the disease is not diagnosed in younger children. Treatment for urinary incontinence begins at the age of four years or older.

Features of the disease in girls

Treatment of enuresis in girls is a little simpler.
This is due to the fact that the functioning of their nervous system is somewhat different from that of men. But the causes of the disease are quite similar. Let's look into them. Girls who do not lag behind their peers in development in many respects, but do not control their reflexes, often suffer from urinary incontinence.

That is, with an unstable nervous system, the girl cannot fully control urination, especially when she is sleeping.

If a family has planned the birth of a second child, moving, transferring a girl to another class, or, finally, getting a divorce without preparing for these global changes, a stressful situation may arise, due to which patients receive psychological trauma, causing uncontrolled urination.

As a result of congenital characteristics or physical fatigue, children tend to sleep soundly. The bladder overflows, but the girl is not bothered by this. Incontinence can occur from drinking too much liquid, salty food, or a cold, when you want to drink much more than usual.

Advice! At night, urine is produced two times less compared to daytime. The regulation of this process depends on the hormone vasopressin. A decrease in the amount of the hormone can cause spontaneous urination at night.

The hereditary data of parents who had this type of disease are reflected in 75% of cases.

A characteristic feature of the urethra in girls is its width and length. That is, it is shorter and wider than in boys, which means that it is easier for infectious bacteria to enter the bladder cavity. As a result cystitis develops , in which urination occurs more often and is not always under control.

Complicated pregnancies and childbirth often damage the baby's spine or spinal cord. The nerve impulses from the brain to the bladder are blurred, so the signal is lost.

With mental retardation, the biological age norm is even lower, so reflexes are not formed properly. Urinary incontinence in a child is often involuntary.

Enuresis in boys

The conditioned reflex is not fully developed.
It develops differently in boys. For some it is earlier, for others it is a little later, which is why involuntary urination at night goes away on its own for many. Boys are four times more active than girls. The bladder, sending a signal to the brain of a hyperactive child about the necessary urination, remains unnoticed.

If we talk about stress and strong experiences, then there is a lot in common with girls. Fear and changes in life can trigger nocturnal enuresis.

The excessive care of a mother or grandmother over a boy who does not have a father forces him to behave like a child, so he sees no reason to grow up. The opposite situation: the child constantly experiences a lack of love and affection, so he dreams of becoming small again. Dreams often come true during sleep in the form of enuresis in boys.

The feeling of dryness and warmth guaranteed by the diaper even when urinating is of great importance. The baby likes to urinate without experiencing any discomfort, so diaper dependence should be abandoned at the age of two.

Symptoms

The main symptom of enuresis in children is involuntary urination during sleep or wakefulness. Its manifestations may vary in frequency and duration. This usually happens in the first half of the night, when the baby is fast asleep.

For some children with enuresis, the symptoms are supplemented by the phenomenon of encopresis. Although encopresis can be observed as a separate disease. Encopresis is more common in adolescent children. If your child has encopresis, treatment should address both conditions.

Since urinary incontinence is not an independent disease, the following symptoms can be identified:

• involuntary, uncontrolled urination during tension of the abdominal muscles (laughter, running, etc.);
• genitourinary tract infection;
• constipation;
• encopresis;
• dermatitis;
• pustular lesions;
• stuttering;
• disturbed sleep;
• increased sweating;
• tachycardia;
• cold extremities.