Baralgin m: instructions, composition, indications, action, reviews and prices

The effectiveness of the analgesic effect of injections of the drug Baralgin

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Baralgin is a non-narcotic analgesic. The half-life of the product is 14-15 minutes. The active active component of the injections is sodium metamizole, there is 500 mg in 1 ml of the product. The ampoule holds 5 ml. Another component is water for injection. The effect of the anesthetic is enhanced by the following components: fenpiverinium bromide and pitofenone hydrochloride. The symbiosis of the components makes it possible to achieve the maximum amount of painkiller in the blood in a short time.

The pharmacological effect of Baralgin injections lasts a long time. Thanks to its components, an intramuscular injection of Baralgin removes spasmodic contractions of smooth muscles and provides an analgesic effect on pain.

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How to use it correctly

Injections are prescribed by a doctor. They are done when:

• Osteochondrosis with severe pain;
• Intercostal neuralgia;
• Herpes zoster;
• Osteoporosis;
• Lumbago;
• Fractures;
• Sciatica;
• Osteoarthritis of destructive origin.

Intramuscular administration of baralgin is not painless. First, the contents of the ampoule are heated to body temperature (in order to reduce pain during administration).

The rate at which the product enters the vein should be up to one milliliter per minute; the procedure is performed while the person is lying down. Respiration parameters, pulse, and blood pressure are analyzed. When Baralgin is administered in amounts over 2 ml, blood pressure can rapidly drop.

The instructions provide for the use of the product by injection without medical consultation to relieve pain of identified origin. To reduce fever, use only according to medical advice. This is done when other antipyretic medications are ineffective.

For problems with the bladder, the drug is used if it is known for sure that there is no internal bleeding (the components of the drug can cause an increase in blood loss due to the expansion of the vascular lumen). Intramuscular administration will improve the condition of those who experience pain from the movement of stone formations through the ureter. Baralgin can be used for a maximum of three days in the absence of medical advice. If after this period the pain does not go away, then you need to quickly consult a doctor to determine the diagnosis and prescribe the correct treatment course.

Doses, frequency of use:

• 5 ml of the drug is injected intramuscularly twice a day;
• The medication is used intravenously for renal and biliary colic in an amount of maximum 3 ml at a time; Baralgin must be diluted when injected into a vein with isotonic sodium chloride solution.

Side effects

Due to improper use of the drug, systemic inhibition of hematopoietic function may occur. A week after continuous use of the drug, slight anemia appears.

When more than the prescribed daily dosage is administered, the renal system suffers, as a result of which urine is not excreted and protein appears in it. Severe cases - the development of toxic nephritis. An abscess may appear with intramuscular injection.

Also the side effects are:

• Phlebitis, pain in the injection area;
• Burning sensation, itching;
• Leukopenia (sometimes thrombocytopenia, agranulocytosis);
• Quincke's edema;
• The appearance of a rash;
• Interruptions in kidney activity - anuria, reddish staining of urine, proteinuria, oliguria, in some cases - acute interstitial nephritis;
• Presence of bronchospasm;
• Anaphylactoid symptoms;
• Arrhythmia;
• Rapid decrease in blood pressure;
• Sometimes syndromes occur: Lyell or Stevens-Johnson.

Recommendations and contraindications

Given the threat to the mother’s life, if only baralgin helps, a serious question arises about abortion. Baralgin tablets can be taken by children over 5 years of age. Before this age, you can use the medicine in the form of intravenous or intramuscular injections. In children from three months of age, weighing more than 5 kg, the drug is administered exclusively intramuscularly: 50-100 mg per 10 kilograms of weight (0.1-0.2 ml of 50% solution). A single dose is allowed a maximum of three times per day.

Adverse reactions

The following negative manifestations during therapy were recorded:

1. Phlebitis (acute or chronic inflammation of the venous wall).
2. A burning sensation that is accompanied by itching.
3. Leukopenia (decreased number of white blood cells in the blood).
4. Quincke's edema (a disease characterized by the occurrence of clearly limited swelling of the skin).
5. Proteinuria (increased protein content).
6. Oliguria (decreased amount of urine excreted compared to normal).
7. Interstitial nephritis (acute or chronic non-purulent inflammation of the stroma and tubules of the kidneys, caused by a hyperergic immune reaction).
8. Bronchospasm (a pathological condition that occurs when the smooth muscles of the bronchi contract and their lumen decreases).
9. Anaphylactoid manifestations (the body's reaction to a specific allergen, accompanied by muscle spasms, swelling, severe pain and suffocation).
10. The occurrence of arrhythmia (a pathology that leads to a failure in the frequency, as well as the rhythm and sequence of excitation and contraction of the heart).
11. Reduced blood pressure.
12. Lyell's syndrome (the most severe manifestation of allergic bullous dermatitis).
13. Stevens-Johnson syndrome (an acute toxic-allergic disease, the main characteristic of which is rashes on the skin and mucous membranes).

Indications for use of Baralgin

Baralgin is used as an antipyretic, analgesic and antispasmodic. The drug is not prescribed to relieve inflammation due to its low effectiveness.

Indications according to the instructions for use of Baralgin:

1. fever due to ARVI, other infectious and inflammatory diseases, insect bites;
2. mild to moderate pain during menstruation, burns, herpes zoster, myalgia, arthralgia;
3. colic – biliary, intestinal, renal;
4. toothache and headache.

"Katadolon"

This is also a potent non-narcotic drug. However, due to its high cost, it is not so widely known. The active ingredient flupirtine relieves pain, relieves muscle spasms and protects the nervous system.

Pain relief with Katadolon, even with a single dose, occurs quickly and lasts a long time: in young people - about 7 hours, in older people - twice as long.

There is also no addiction to this drug. However, its use is contraindicated in cases of bile stagnation, severe liver damage, myasthenia gravis, alcoholism, and ringing in the ears. There is also an age restriction: Ketodolon cannot relieve headaches in children and adolescents under 18 years of age. And elderly people over 65 years of age should use it with caution.

And the last warning, which applies to all painkillers and capsules: their use is contraindicated during pregnancy and breastfeeding.

Urolithiasis is one of the most common kidney pathologies. The trend is due to a number of factors, ranging from an unbalanced diet to immune or genetic disorders in the human body. It is worth knowing that when stones pass from the renal pelvis, the patient may experience severe colicky pain. This is why it is so necessary to take antispasmodics for renal colic. Otherwise, a patient with urolithiasis may experience painful shock.

Important: Considering that all antispasmodic drugs are divided into several groups, they should be taken only according to the indications of the attending physician and strictly in accordance with the instructions.

Baralgin's analogs

Drug substitutes differ in composition, medicinal properties, manufacturer, and restrictions on use.

Analogs are cheaper than Baralgin, indicating prices and country of origin

Tempalgin

The combined drug Tempalgin contains two components - metamizole sodium, like Baralgin, and the tranquilizer Tempidone. The analogue has several effects at once:

• pain reliever;
• weak anti-inflammatory;
• antipyretic;
• sedative.

Indications for use are the same as for the Baralgin analogue. The cost of 10 tablets is up to 2.5 times lower. Tempalgin is not available in ampoules and is sold freely without a prescription.

Pentalgin

The analogue of Pentalgin is a domestic combination medicine that contains drotaverine, paracetamol, caffeine, pheniramine and naproxen. It has a pronounced anti-inflammatory, analgesic, antispasmodic, antipyretic effect.

Used to relieve pain and spasms, to reduce the symptoms of acute respiratory viral infections and acute respiratory infections.

Sold freely, without a doctor's prescription.

The Indian analogue of Nise is prescribed by a doctor and is available in tablets and granules for the preparation of liquid form. Contains nimesulide.

The medicine is used to relieve pain and inflammation, and reduce temperature.

It has a negative effect on the gastric mucosa, so it should be taken after meals, together with gastroprotectors or proton pump inhibitors.

When used, blood pressure may increase.

Nurofen

The well-known, advertised analogue Nurofen is an antipyretic, analgesic and anti-inflammatory agent in syrup for children, capsules, tablets and suppositories. The base is ibuprofen.

The cost compared to Baralgin is the same or higher when converted to 10 tablets or capsules.

Analogue Bral is an Indian drug that combines the properties of several constituent components. Like Baralgin, the medicine contains metamizole sodium.

It has an analgesic and antipyretic effect, relaxes muscles, and relieves spasms.

The cost of the analogue is up to 3 times lower.

The release form is exclusively tablets.

No-Shpa

No-Shpa and Drotaverine are included in the list of cheaper analogues.

The drugs are available in ampoules and tablets and are used to relieve spasms or as part of complex treatment of pain and fever.

Diclofenac

The cheapest analogue of Baralgin is the drug in ampoules and tablets Diclofenac.

Dispensed as prescribed by a doctor, most often prescribed for diseases of the musculoskeletal system.

Also known under the trade names Voltaren, Diklak, Diclogen, Ortofen, Naklofen.

Ketonal

Ketonal ampoules and tablets are prescribed for the treatment of diseases of the joints and musculoskeletal system as an analgesic and anti-inflammatory agent.

There is a special form - Ketonal Duo capsules, which are taken once a day and are more convenient for some categories of patients.

Dexalgin ampoules, granules and tablets are stronger than Ketonal. They are based on the isomer of ketoprofen.

Tsinepar

The analogue of Cinepar is registered in Ukraine. It is a combination product based on paracetamol and diclofenac.

Fights pain, heat and inflammation.

In Russian pharmacies there is a drug with the same composition - Panoxen .

Overdose

Exceeding the daily dose of Analgin is fraught with:

• digestive system disorders with stomach pain;
• abnormally low body temperature and blood pressure;
• heartbeat exceeding normal;
• spasms;
• shortness of breath and respiratory dysfunction;
• tinnitus;
• excessive sleepiness;
• a sharp decrease in the number of leukocytes;
• thinking and consciousness disorder;
• shedding of blood into the body cavity;
• damage to the kidneys and liver.

A dose of analgin of 5-20 g can cause death.

Symptoms of an overdose of No-shpa are:

• arrhythmia;
• atrioventricular block;
• dyspeptic disorders;
• asphyxia.

Uncontrolled use of the drug is deadly.

Baralgin or Analgin – which is better?

Analgin and Baralgin are analogues with similar composition and release forms. The drugs differ in manufacturer, price, degree of purification, quality and frequency of adverse reactions.

According to reviews from patients and doctors, Baralgin acts stronger and faster, is less toxic, and is painful in the form of injections. The cost of the drug is up to 10 times higher.

If it is impossible to purchase an expensive medicine, choose trusted manufacturers.

Antispasmodics for acute renal colic in pregnant women

Pregnant women should be especially careful when taking medications from the antispasmodics group. And although no special research has been conducted in this direction, it is still highly recommended not to take such medications on your own. The only exception is the potential benefit to the life of the mother versus the possible risk to the life of the unborn baby. It is especially not recommended for pregnant women to take the following drugs:

Important: during lactation, if you are forced to take antispasmodics, breastfeeding should be stopped for the period of treatment.

Baralgin or Spazmalgon

Spazmalgon is an analogue of Baralgin in ampoules and tablets. The medicine contains several components - metamizole sodium, pitofenone and fenpiverinium bromide. Available in tablets and ampoules, the latter form is dispensed from pharmacies with a doctor's prescription.

Revalgin is identical to Spazmalgon .

Analogue Spazmalgon anesthetizes, reduces temperature, relieves spasms and relaxes smooth muscles. Compared to Baralgin, it has a combined composition and has more therapeutic effects.

An analogue of Baralgin in Spazmalgon tablets can be purchased freely. The cost is the same or lower depending on the number of blisters in the pack.

Which is better – Baralgin or Spazmalgon, individually. The analogue contains several components, except metamizole sodium. When used, the drug relaxes smooth muscles and reduces spasms and colic.

Baralgin analogues differ in their active components, therapeutic effects, indications and contraindications, price and manufacturer. The choice of replacement depends on the patient’s complaints, severity of pain, and the presence of inflammation. Independent use of analogues should not exceed 3–5 days. If there is no result, consult a doctor for a comprehensive examination and treatment.

Contraindications

• Individual hypersensitivity to the active substance and pyrazolone derivatives,
• inhibition of bone marrow hematopoiesis,
• glucose-6-phosphate dehydrogenase deficiency,
• severe liver or kidney failure,
• severe angina,
• tachyarrhythmia,
• angle-closure glaucoma,
• decompensated CHF,
• prostatic hyperplasia,
• intestinal obstruction,
• collapse,
• megacolon,
• pregnancy (first trimester and last 6 weeks) and lactation period.

Baralgin in ampoules should not be administered intravenously to children under three months of age or weighing less than 5 kg. Children under five years of age are not recommended to use the drug in tablet form. Other contraindications include liver and kidney failure, the “aspirin” triad, bronchial asthma, a tendency to arterial hypotension, and hypersensitivity to other NSAIDs.

What to do and how to treat a lumbago in the lower back at home?

Many middle-aged and older people are familiar with acute pain in the lumbar region. It occurs suddenly during movement, after which it is impossible to bend or straighten. If you call a doctor at home in case of acute pain, he may suggest hospitalization. Most people suffering from a lumbago in the back do not want to go to the hospital and treat the disease at home. What to do in such a situation and how to treat a lumbago in the lower back?

• Shot in the lower back, what to do?
• Symptoms of the disease Shot in the lower back, what to do and how to treat?

Shot in the lower back, what to do?

In medicine, paroxysmal and sharp pain in the lower back has two names:

• lumbago;
• sciatica.

Acute back pain gradually increases, making it impossible to move normally. The pain is especially worse when sneezing or coughing. Painful sensations hinder all movements and with minor attempts to change the position of the body, they only intensify. Doctors believe that this manifestation of lumbago is associated with two main reasons:

• mechanical impact on the spine;
• consequence of the disease.

Most often, people over 30 years of age suffer from a lumbago in the lower back due to mechanical effects on the spine:

• lifting weights;
• sharp turn of the body;
• after heavy sweating, staying in a draft or cold;
• redistribution of the load on the spine after wearing high heels;
• pregnancy and obesity;
• inactive lifestyle;
• after lying on a hard surface.

In the lumbar region, compression of the receptors occurs for other reasons that are associated with various diseases:

• there was a displacement of the vertebrae in the lumbar region;
• osteochondrosis associated with degeneration of intervertebral discs;
• intervertebral hernia;
• narrowing in the lumbar region of the spinal canal;
• injuries in the spine;
• when stretching the muscular frame of the back;
• defeat of a rheumatic nature;
• oncology;
• malformations of the lumbar vertebrae;
• infectious diseases.

Symptoms of the disease

Doctors most often diagnose acute pain in the lumbar area as lumbosacral radiculitis. In the area of ​​the fibrous ring, irritation of the nerve endings occurs, which causes sharp pain in the lower back. The pain may be:

• piercing,
• shooting;
• pulsating.

Most often it is aching one-sided pain with muscle spasms. The pain is very strong and it does not allow me to turn my body or move normally. Any movement only increases the pain in the back. Often in this condition, sciatica develops, which leads to pain in the sacral region along the back of the thigh.

A patient with lumbago can accurately indicate the localization zone. He will be in a forced position until the attack goes away. In terms of timing, this can take from several minutes to several days. Very often, sudden pain also passes quickly and the person immediately feels relief. Patients often note that they have the impression that something has fallen into place in the lumbar region after the attack has ended.

Shot in the lower back, what to do and how to treat?

After acute back pain occurs, the thought immediately arises: how to help yourself in this situation and reduce the pain? Any movement only increases the pain. Experts advise patients in such cases to take the following measures:

• you need to lie down on a hard surface and raise your legs, this will help relax the muscle frame;
• using a roller, you need to lie on your side and place it under your lower back, and bend your legs slightly;
• the roller is also used while lying on your stomach to relieve some pain;
• It helps a lot in this condition to hang on the crossbar, turning your body to the right and left, if your condition allows. The exercise is aimed at stretching the spine and relaxing the muscles. It helps relieve pinched nerves after sudden movements or heavy lifting.

At the very beginning of the attack, you must try to relieve the pain. To do this, you need to take a comfortable position, but do not try to forcefully straighten your back. It is advisable to use painkillers:

• Baralgin;
• Sedalgin;
• Solpadeine;
• Trigan.

The next stage of treatment for lumbago is prescribed by the doctor. These can be antispasmodics and muscle relaxants. Diuretics are also prescribed to relieve swelling from the pinched nerve. Typically, treatment for urchin is carried out in several directions:

• spinal stretch;
• anti-inflammatory therapy;
• taking B vitamins;
• ointments and alcohol rubbing;
• massage and physical therapy;
• acupuncture and treatment with leeches;
• physiotherapy and hydrotherapy.

Treatment of lumbago at home

The lumbar region responds well to heat in treatment; it can provide pain relief for pain in the lower back. You can wrap your back area in a warm blanket and lie on your side in this position. A dog hair belt is often used for this purpose. This folk method has a pain-relieving effect in the lumbar region.

Another way to alleviate the patient’s condition is to apply a warm heating pad to the lumbar region. Instead of a heating pad, a plastic flask with hot water is also used. It needs to be wrapped in cloth and applied to the lower back. Warmth has a positive effect on the patient's condition.

It is advisable for the patient to remain in bed and move less. The lumbar region can be swaddled tightly to avoid stress in the lumbar region during sleep. If the pain continues for a week and does not improve, it is best to seek medical advice again.

There are traditional methods for treating lumbago. If the case is not advanced, then you can use the most popular traditional medicine recipes. For acute pain, make a compress of black radish. The peeled fruit is crushed on a coarse grater and spread on a cloth in a thin layer; the cloth must be placed on the lumbar area in advance. You need to put a sheet of paper or plastic on a layer of black radish and wrap your lower back. After this, wrap yourself in a woolen product to feel the warmth like from mustard plasters. After removing the compress, rest and bed rest are necessary.

You can also apply a burdock leaf to your lower back. It needs to be washed and applied wet to the lumbar area, and the area of ​​the back should be wrapped in a woolen scarf or blanket. The bandage must be kept on for 10-12 hours to feel relief.

What's prohibited?

Even the best home treatment methods cannot always be used for acute pain after a shooting in the lower back. If the cause of the sudden pain is not determined, it is better to refrain from certain measures:

• edematous tissue cannot be heated, this will only increase the swelling and the pain will become stronger;
• It is better not to make unnecessary movements in case of severe pain, as the pain will increase;
• sauna and bathhouse, as well as massages are contraindicated at first.

If the patient leads an inactive lifestyle and has a sedentary job, he needs to change his position more often to avoid fatigue in the lumbar region. It is good to use a corset or belt to avoid another lumbago when bending over and working for long periods of time.

After three days, the pain should decrease, but if this does not happen, it is better to seek medical help to find out the cause and begin treatment.

Interaction

The toxicity of the drug increases with simultaneous therapy with oral contraceptives, tricyclic antidepressants and Allopurinol. A decrease in the effectiveness of the drug is observed when treated with inducers of microsomal enzymes (phenylbutazone, barbiturates).

An increase in the severity of negative reactions is observed during treatment with other non-narcotic analgesics. The analgesic effect of the drug is enhanced by simultaneous therapy with sedatives. Severe hyperthermia is observed during treatment with phenothiazine derivatives, Chlorpromazine.

Simultaneous treatment with Penicillin, administration of colloidal blood substitutes, and radiocontrast agents is unacceptable. The active component is able to fight for binding with proteins during treatment with Indomethacin, glucocorticosteroids, and indirect anticoagulants. Propranolol, histamine receptor blockers and Codeine enhance the effect of Metamizole Sodium.