Ceraxon belongs to the group of nootropic drugs. What is its pharmacological action? So, the active ingredient in it is citicoline sodium. It helps to improve the work and metabolic processes in the membranes of nerve cells, slows down the effect of phospholipases and prevents the formation of free radicals.
During an attack of stroke helps to reduce the area of damage to the brain tissue. With a head injury, shortens the time spent in a coma and reduces neurological symptoms. What helps to reduce recovery time. It is also effective in the treatment of manifestations that have arisen during prolonged brain hypoxia. At application attentiveness increases, and memory loss disappears.
Citicoline sodium is well absorbed with any method of application. It breaks down in the liver into two components: choline and cytidine. In the bulk disperses in all tissues of the brain, where it is embedded in the membrane. 85% absorbed by the body. The rest is excreted by the kidneys and through the respiratory tract.
Ceraxon: its composition and dosage forms
Ceraxon is available by prescription at pharmacies and has three dosage forms:
- in the form of syrup;
- in the form of a solution for injection;
- in the form of sachets (portion bags).
Ceraxon (100 mg / ml) in syrup (colorless solution with strawberry flavor) is sold in a 30 ml bottle with a special syringe and costs about 690 rubles. Its composition is:
- citicoline sodium 104.5 mg;
- sorbitol - 200 mg;
- glycerol alcohol - 50 mg;
- methyl parahydroxybenzoate - 1.45 mg;
- propyl para-hydroxybenzoate - 0.25 mg;
- citric acid sodium salt - 6 mg;
- sweetener - 0.2 mg;
- flavor identical to strawberry - 0,408 mg;
- salt of sorbic acid, 3 mg;
- lemon acid;
- distilled water - up to 1 ml.
Ceraxon (100 mg / ml) in portion sachets (sachets) of 6.10 pieces is produced in cardboard packaging and its cost is 1600–1700 rubles. Its composition is:
- citicoline sodium - 1045 mg;
- sorbitol - 2000 mg;
- glycerol alcohol - 500 mg;
- methyl parahydroxybenzoate - 14.5 mg;
- propyl para-hydroxybenzoate - 2.5 mg;
- citric acid sodium salt - 60 mg;
- sweetener - 2 mg;
- flavor identical to strawberry - 4.08 mg;
- salt of sorbic acid, 30 mg;
- lemon acid;
- distilled water - up to 10 ml.
Ceraxon (1000 mg) is produced in 5 ampoules and costs 1120–1170 rubles per pack.
Ceraxon (500 mg) is also produced in ampoules of 5 pieces, but it costs already 650 - 690 rubles per pack.
The form of the solution for injection has the same components and differs only in the amount of the main constituent:
- Citicoline Sodium - 522.5 mg / 1045 mg;
- 1M hydrochloric acid or 1M sodium hydroxide to pH 6.7-7.1;
- injection water - up to 4 ml.
Pros and cons of cerakson
To prescribe this drug can only the attending physician, following the indications:
- together with complex treatment for an acute attack of ischemic stroke;
- during recovery after stroke;
- during TBI during acute and recovery periods, as part of a comprehensive treatment;
- with cognitive and behavioral disorders, concomitant degenerative and vascular pathologies of the brain.
Contraindication for the use of Cerakson may be one of the factors:
- with severe vagotonia;
- age up to 18 years (due to an insufficient amount of clinical data in the study);
- genetic diseases that are associated with fructose intolerance (for use in the form of syrups and sachets);
- intolerance or allergy to any of the components of the drug;
- pregnancy. The designation should take into account potential risks and foreseeable benefits;
- during lactation. In the treatment of feeding must stop.
Cerakson: instructions for use of oral solutions
The dose of the drug in the acute period is 10 ml (syrup) or 1 sachet twice in 24 hours, a course of 6 weeks. During the recovery of 5 ml (syrup) or 1 sachet once every 24 hours, the duration of therapy is prescribed by the doctor. In the elderly, doses are not adjusted.
The sequence of actions in the application of syrup:
- It is necessary to immerse the syringe vertically in a bottle;
- Pulling the plunger on itself, it is necessary to dial the solution to a certain desired level;
- The solution can be added to a glass of warm water, or applied in its pure form;
- Rinse well and dry the syringe for further use.
The sequence of actions when applying sachets:
- Carefully tear one bag from the other;
- Holding vertically open along the edge of the special mark;
- Immediately after this, drink the contents or dissolve in half a glass of water.
It is necessary to apply solutions during food or after it.
Instructions for use in childhood
Cerakson is prescribed very carefully for children when the predicted benefit exceeds the risk. Indications for use can be:
- developmental delay;
- prematurity with congenital abnormalities;
- the threat of cerebral palsy.
Children are prescribed Ceraxon in the form of syrup, only the doctor can calculate the dose. Approximately it is: for premature babies - 2 * 0.5 ml; from two months - 2 * 1 ml; the total dose should not be more than 20 ml, the duration of the course is 12 weeks; reception time syrup morning and evening.
Instructions for use Ceraksona injections
The drug can be intramuscular and intravenous. It is better to use the second method. The manipulation technique itself must be slow (about 5 minutes), drip better (50 drops / minute).
Ceraxon is compatible with all isotonic solutions and dextrose solution. With intramuscular injection can not hold it in the same place. Use the solution in the ampoule for injections should be once.
The dosage should be in the acute period of 1000 mg twice a day, a course of 6 weeks.
During recovery, it is reduced to 500 mg per day. The duration of treatment and the required dosage are calculated by the doctor and this depends on the severity of the manifestation of the disease.
Special instructions and action with other drugs
When Cerakson is stored at low temperatures, small amounts of crystals may form. This does not affect the quality of the drug. When changing storage conditions, the crystals disappear in a few months.
While taking the drug you need to be extremely careful when driving or while working with moving machinery.
In appointing the drug should take into account its effect on other drugs.
Ceraxon enhances the effects of levodopa. Simultaneous administration with an agent containing meclofenoxate is not allowed.
Side effects of the drug
Cerakson itself is considered to be a toxic drug, but very rarely some side effects can occur:
- hallucination;
- headaches;
- slight dizziness;
- increase or decrease in blood pressure;
- shortness of breath;
- nausea or vomiting;
- loose stools;
- redness of the face;
- skin rashes;
- chilliness;
- swelling of the limbs.
If even one of the symptoms appears, the treatment should be suspended and the doctor should be consulted immediately.
Analogs of Cerakson
Ceraxon is a fairly effective drug. And, when choosing analogues, pay attention to the following factors:
- lower price;
- reduced number of side effects;
- wider spectrum of action;
- fewer contraindications;
- leave without a prescription.
One of the most famous analogues of Cerakson is Cerebrolysin. It assists in increasing the speed of metabolic processes in brain tissue, and it is used in violation of the functions of the central nervous system and various mental illnesses. In addition to the main active ingredient - Cerebrolysin, it contains peptides and amino acids. Price analog ranges from 620 to 1380 rubles. With the same efficacy and price, only a doctor can decide in favor of one or another drug.
Somakson used to restore abnormalities in the cell membranes, which reduces the area of brain damage during stroke. When TBI reduces the duration of coma and reduces neurological manifestations. Compared with Cerakson, has a higher cost (2,800 rubles), but there is no toxic effect on the body and the side effects are minimal.
Somazina stimulates phospholipid biosynthesis in cell membranes and has anti-edema action. Since these drugs have one active substance, they have the same effectiveness. And the price of Somazin is a little less - 1000 rubles.
The most inexpensive counterpart is Glycine. The price of the drug is about 25 rubles. It reduces mental stress, increasing mental performance and helps in the regulation of metabolism in brain tissue. It is also used to reduce the intensity of brain disorders with head injuries.
Patient reviews of Cerakson
A little more information about the drug Cerakson can be found in the following video.