Active substancePiracetam + CinnarizinePiracetam + Cinnarizine
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  • Dosage form: & nbspcapsules
    Composition:

    Per one capsule:

    Active substances: cinnarizine - 25 mg, piracetam - 400 mg.

    Excipients: microcrystalline cellulose, lactose (milk sugar), magnesium stearate, talc.

    Composition of gelatin capsule: titanium dioxide, methyl parahydroxybenzoate, propyl parahydroxybenzoate, acetic acid, gelatin.

    Description:

    Capsules № 0 of white color. The contents of capsules are white or almost white powder.

    Pharmacotherapeutic group:Nootropic remedy
    ATX: & nbsp

    N.06.B.X   Other psychostimulants and nootropic drugs

    Pharmacodynamics:

    Combined drug with pronounced antihypoxic, nootropic and vasodilating effect.

    Both components mutually potentiate their own antihypoxic effect and have a vasodilating effect. Combined drug also contributes to a significant increase in blood flow in the brain. The toxicity of the combination does not exceed the toxicity of the individual constituents of the preparation.

    Pyracetam is a nootropic agent. Has a positive effect on brain metabolic processes: increases the concentration of ATP in the brain tissue, enhances the synthesis of RNA and phospholipids, stimulates glycolytic processes, increases the utilization of glucose. It improves the integrative activity of the brain, facilitates the consolidation of memory, facilitates the learning process.

    Changes the speed of propagation of excitation in the brain, improves microcirculation, without providing a vasodilating action, suppresses the aggregation of activated platelets. Has a protective effect on brain damage caused by hypoxia, intoxication, electric shock; enhances the alpha and beta activity, reduces delta activity on the EEG, reduces the severity of the vestibular nystagmus.

    Improves interneuronal transmission and synaptic conductivity in neocortical structures, increases mental performance, improves cerebral blood flow. The effect develops gradually.

    Practically does not have sedative and psycho-stimulating effect.

    Cinnarizine is a selective blocker of slow calcium channels,reduces the entry of Ca2 + into cells and reduces its content in the depot of the plasmolemma, lowers the tone of the smooth muscles of arterioles, reduces their response to biogenic vasoconstrictors £epinephrine, norepinephrine, dopamine, angiotensin, vasopressin, serotonin).

    Has a vasodilating effect (especially with respect to cerebral vessels, enhancing the antihypoxic effect of piracetam), without having a significant effect on blood pressure. It shows moderate antihistamine activity, reduces the excitability of the vestibular apparatus, lowers the tone of the sympathetic nervous system. In patients with peripheral circulatory disorders improves blood supply to organs and tissues (including myocardium), strengthens postischemic vasodilation. Increases the elasticity of erythrocyte membranes, their ability to deform, reduces the viscosity of the blood.

    Pharmacokinetics:

    The combined preparation is quickly and completely absorbed in the gastrointestinal tract. Bioavailability of piracetam is 95%. The therapeutic effect is manifested after 1-6 hours. The maximum level of cinnarizine in the plasma is noted in 1 -4 hours, piracetam - after 2-6 hours.The metabolism of cinnarizine occurs completely in the liver (by dealkylation). 60% of cinnarizine in unchanged form is excreted with feces, the rest with urine in the form of metabolites in about 5 hours. The maximum level of cinnarizine after 1-4 hours is noted not only in the blood, but also in the liver, kidneys, heart, lungs, spleen and in the brain. It binds to 91% with plasma proteins. Pyracetam penetrates the blood-brain barrier, accumulates in the brain tissue 1-4 hours after ingestion. From the cerebrospinal fluid is derived much more slowly than from other tissues. Virtually not metabolized. Half-life is 4.5 hours (7.7 hours - from the brain). It is excreted by the kidneys - 2/3 unchanged for 30 hours.

    Indications:

    - Disorders of cerebral circulation: with atherosclerosis of cerebral vessels, ischemic stroke, the period of aftercare after hemorrhagic stroke, after craniocerebral injuries;

    - encephalopathy of various genesis;

    - comatose and subcomatous states after intoxications and brain traumas;

    - diseases of the central nervous system, accompanied by a decrease in intellectual-mnestic functions;

    - Labyrinthopathy of various genesis: dizziness, tinnitus, nystagmus, nausea and vomiting; Meniere's syndrome;

    - depression, psychoorganic syndrome with predominance of signs of asthenia and adynamia, asthenia of psychogenic origin;

    - prevention of migraine and kinetosis;

    - impaired memory, mental function and concentration of attention;

    - the lag of intellectual development in children.

    Contraindications:

    Hypersensitivity, severe hepatic and / or renal failure, parkinsonism, pregnancy, lactation period, children's age (up to 5 years).

    Carefully:

    Parkinson's disease, renal / hepatic insufficiency.

    Dosing and Administration:

    Inside, adults - 1-2 capsules 3 times a day, for 1-3 months depending on the severity of the disease; children from 5 years - 1-2 capsules 1-2 times a day, for 1-3 months. The course of treatment 2-3 times a year.

    In chronic renal failure (CC less than 60 ml / min), a dose reduction or an increase in the interval between taking the drug is necessary.

    Side effects:

    Irritability, sleep disturbance, indigestion, headache, epigastric pain, dry mouth, allergic reactions (skin rash), tremor of the limbs.

    Overdose:

    There is no evidence of an overdose of the drug.

    Interaction:

    Combbitropium enhances the effects of drugs that depress the central nervous system, ethanol, as well as nootropic and antihypertensive agents.

    Improves the tolerability of antipsychotic drugs (neuroleptics) and tricyclic antidepressants.

    Vasodilating drugs enhance the action of Combbitropyl.

    Special instructions:

    During the treatment it is necessary to monitor liver function.

    At the beginning of treatment, the patient should refrain from drinking alcohol.

    Due to the content of cinnarizine, the drug can cause a positive reaction in athletes during a doping test.

    The drug should be carefully prescribed with increased intraocular pressure.

    Effect on the ability to drive transp. cf. and fur:

    During the treatment period, care must be taken when driving a car and engaging in activities that require a high concentration of attention and speed of psychomotor reactions.

    Form release / dosage:

    Capsules 400 mg + 25 mg.

    Packaging:

    10 capsules per contour cell package.

    For 20 or 60 capsules in a can of polymer.

    Each jar or 3, 6 contour squares with instruction for use is placed in a pack of cardboard.

    Storage conditions:

    AT protected from light at a temperature of no higher than 25 ° C.

    Keep out of the reach of children

    Shelf life:

    3 years. Do not use after the expiration date.

    Terms of leave from pharmacies:On prescription
    Registration number:LSR-005209/08
    Date of registration:03.07.2008
    Expiration Date:Unlimited
    The owner of the registration certificate:SYNTHESIS, OJSC SYNTHESIS, OJSC Russia
    Manufacturer: & nbsp
    Information update date: & nbsp31.01.2018
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