Active substanceMetamizol sodium + Pitofenone + Fentpiverinia bromideMetamizol sodium + Pitofenone + Fentpiverinia bromide
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  • Dosage form: & nbspsolution for intravenous and intramuscular administration
    Composition:

    Injection.

    1 ml of the solution contains: analgin 0.5 g

    Pitophenone hydrochloride 0.002 grams

    fenpiperinium bromide 0.00002 grams

    Excipients: sodium pyrosulfite, water for injection.

    Description:

    Transparent colorless or yellowish liquid.

    Pharmacotherapeutic group:Analgesic and antispasmodic
    ATX: & nbsp

    N.02.B.B.52   Metamizole sodium in combination with other drugs, excluding psycholeptics

    Pharmacodynamics:

    Braangin - a combined drug, has analgesic, antipyretic and antispasmodic effect.

    Metamizole is a derivative of pyrazolone. It has analgesic, antipyretic and weak anti-inflammatory action. Pitophenone, like papaverine, has a direct myotropic effect on the smooth muscles of the internal organs and causes it to relax.Fenpierinium due to anticholinergic action has an additional relaxing effect on smooth muscle.

    The combination of the three components of the drug enhances their pharmacological action, expressed in relieving pain, relaxing smooth muscles, reducing elevated body temperature.

    Indications:

    Pain syndrome with spasms of smooth muscles of internal organs - renal and biliary colic, intestinal spasms, dysmenorrhea and other spastic conditions of internal organs. It can be used for short-term symptomatic treatment for pain in the joints, neuralgia, ischialgia, myalgia. As an adjuvant can be used to reduce pain after surgical and diagnostic interventions.

    If necessary, the drug can be used to reduce high fever with colds and infectious and inflammatory diseases.
    Contraindications:

    - hypersensitivity to pyrazolone derivatives (butadione, tribuzone), to other components of the drug,

    - expressed violations of the liver and kidneys,

    - genetic absence of glucose-6-phosphate dehydrogenase,

    - tachyarrhythmia,

    - closed-angle form of glaucoma,

    - hypertrophy of the prostate with a tendency to urine retention,

    - gastrointestinal obstruction and megacolon,

    - bronchial asthma,

    - diseases of the blood system,

    - collaptoid states.

    - the first trimester and the last 6 weeks of pregnancy,

    - lactation period,

    - early childhood (up to 3 months) or body weight less than 5 kg.

    Carefully:With caution and under the supervision of a doctor, the drug should be administered to patients with impaired liver or kidney function, with a tendency to hypotension, bronchospasm, and also with increased individual sensitivity to non-steroidal anti-inflammatory drugs or non-narcotic analgesics. Sometimes metamizole metabolites can stain urine red. During the treatment with the drug, do not take alcohol.
    Pregnancy and lactation:Contraindicated.
    Dosing and Administration:

    Single dose for adults and adolescents over 15 years is 2-5 ml (intravenously or intramuscularly), daily dose - up to 10 ml. Intravenous injection of a single dose, exceeding 2 ml, is possible only after careful specification of the indications.

    For children and infants, the daily dose is set taking into account the body weight (see table).

    Table.

    Body weight / age

    Solution for injection, intravenous

    Solution for injection, intramuscular injection

    Breastfed babies 5-8 kg; 3-11 months.

    Intravenous administration is contraindicated

    0.1-0.2 ml

    Children 9-15 kg; 1 -2 years

    0.1-0.2 ml

    0.2-0.3 ml

    Children 16-23 kg; 3-4 years

    0.2-0.3 ml

    0.3-0.4 ml

    Children 24-30 kg; 5-7 years

    0.3-0.4 ml

    0.4-0.5 ml

    Children 31 -45 kg; 8-12 years old

    0.5-0.6 ml

    0.6-0.7 ml

    Children 46-53 kg; 12-15 years old

    0.8-1.0 ml

    0.8-1.0 ml

    Intravenous administration of the drug should be carried out slowly (1 ml for at least 1 min), in the position of the patient lying down and under the control of blood pressure, the frequency of cardiac contractions and breathing. The injection solution must have a body temperature.

    The solution is incompatible in one syringe with any other medicines. Side effect

    In therapeutic doses, the drug is usually well tolerated. Sometimes allergic reactions are possible (skin rash, itching, very rarely anaphylactic shock, Stevens-Johnson and Lyell syndromes). In rare cases - a burning sensation in the epigastric region, dry mouth, headache.

    Possible dizziness, lowering blood pressure, tachycardia, cyanosis. With prolonged admission - cases of hemopoiesis (thrombocytopenia, granulocytopenia, agranulocytosis, hemorrhage). With propensity to bronchospasm may provoke an attack.

    Side effects:Not described.
    Overdose:

    In case of an overdose, the following symptoms may occur: vomiting, dry mouth, sweating, accommodation, hypotension, drowsiness, confusion, impaired liver and kidney function, convulsions. Treatment is symptomatic.

    Interaction:

    The simultaneous use of Bralangin® with other non-narcotic analgesics may lead to a mutual enhancement of toxic effects. Tricyclic antidepressants, oral contraceptives, allopurinol increase the toxicity of the drug. Barbiturates, phenylbutazone and other inducers of microsomal liver enzymes weaken action of metamizole. Simultaneous use with cyclosporine reduces the level of the latter in the blood. Sedatives and tranquilizers increase the analgesic effect of braalangin. If you need to use these and other medications at the same time, you should consult your doctor.

    With prolonged (more than a week) application of the drug, control of the picture of peripheral blood and the functional state of the liver is necessary.

    The drug is used in adults not more than 5 days; children - no more than 3 days. Longer use is possible only after consulting a doctor.

    Special instructions:

    Not described.

    Effect on the ability to drive transp. cf. and fur:Not described.
    Form release / dosage:Injection.
    Packaging:5 ml in ampoules. The package contains 5 or 10 ampoules.
    Storage conditions:

    Store in a dry, dark place at a temperature of no higher than + 25 ° C.

    Keep out of the reach of children.

    Shelf life:

    3 years. Do not use at the end of the expiration date printed on the package.

    Terms of leave from pharmacies:On prescription
    Registration number:P N000704 / 01-2001
    Date of registration:08.07.2008
    Expiration Date:Unlimited
    The owner of the registration certificate:BRYNTSALOV-A, CJSC BRYNTSALOV-A, CJSC Russia
    Manufacturer: & nbsp
    Information update date: & nbsp21.02.2017
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