Дети с перинатальной энцефалопатией c первых дней жизни. Различные формы детского церебрального паралича. Умственная отсталость различной степени выраженности, в том числе с поведенческими нарушениями. Нарушения психологического статуса у детей в виде общей задержки психического развития, специфических расстройств речи, двигательных функций и их сочетания, ...
Гиперчувствительность. Острые тяжелые заболевания почек. Беременность (i триместр сироп). Беременность (таблетки). Фенилкетонурия (сироп, содержит аспартам). Период грудного вскармливания (таблетки). Детский возраст до 3 лет (таблетки).
Ноотропное средство, обладает нейрометаболическими, нейропротекторными и нейротрофическими свойствами. Повышает устойчивость мозга к гипоксии и воздействию токсичных веществ, стимулирует анаболические процессы в нейронах, сочетает умеренное седативное действие с мягким стимулирующим эффектом, обладает противосудорожным действием, уменьшает моторную возбудимость с одновременным упорядочением поведения. Повышает умственную и физическую работоспособность. Способствует нормализации содержания GABA при хронической алкогольной интоксикации и последующей отмене этанола. Проявляет анальгезирующее действие.
Показания к применению
Дети с перинатальной энцефалопатией c первых дней жизни. Различные формы детского церебрального паралича. Умственная отсталость различной степени выраженности, в том числе с поведенческими нарушениями. Нарушения психологического статуса у детей в виде общей задержки психического развития, специфических расстройств речи, двигательных функций и их сочетания, формирования школьных навыков (чтения, письма, счета и др.). Гиперкинетические расстройства, в том числе синдром гиперактивности с дефицитом внимания. Неврозоподобные состояния (при заикании, преимущественно клонической форме, тиках, неорганическом энкопрезе и энурезе). Снижение мнестико-интеллектуальной продуктивности вследствие артериосклеротических изменений сосудов головного мозга, при начальных формах сенильной деменции, органических поражениях головного мозга травматического, токсического, нейроинфекционногогенеза. Шизофрения с церебральной органической недостаточностью (вкомплексе с психотропными препаратами). Экстрапирамидные нарушения при органических заболеваниях мозга (миоклонус-эпилепсия, хорея Гентингтона, гепатолентикулярная дегенерация, болезнь Паркинсона и др.), а также для лечения и профилактики экстрапирамидного синдрома, вызванного приемом нейролептиков. Эпилепсия с замедленностью психических процессов и снижением когнитивной продуктивности совместно с антиконвульсантами. Психоэмоциональные перегрузки, снижение умственной и физической работоспособности, для улучшения концентрации внимания и запоминания. Нейрогенные расстройства мочеиспускания (поллакиурия, императивные позывы, императивное недержание мочи).
Противопоказания
Гиперчувствительность. Острые тяжелые заболевания почек. Беременность (i триместр сироп). Беременность (таблетки). Фенилкетонурия (сироп, содержит аспартам). Период грудного вскармливания (таблетки). Детский возраст до 3 лет (таблетки).
Применение при беременности и в период грудного вскармливания
Противопоказано применение в I триместре беременности.
Способ применения и дозы
Взрослым: разовая доза - 0,25–1 г, суточная - 1,5–3 г; детям: разовая доза - 0,25–0,5 г, суточная - 0,75–3 г . Курс лечения - 1–4 мес, в отдельных случаях - до 6 мес. Через 3–6 мес возможно проведение повторного курса лечения. При эпилепсии в комбинации с противосудорожными средствами - 0,75–1 г/сут. Курс лечения - до 1 года и более. При экстрапирамидном нейролептическом синдроме в комбинации с проводимой терапией суточная доза - до 3 г, лечение в течение нескольких месяцев. При экстрапирамидных гиперкинезах у больных с наследственными заболеваниями нервной системы (комбинированное лечение) - 0,5–3 г/сут. Курс лечения - до 4 мес и более. При последствиях нейроинфекций и ЧМТ - по 0,25 г 3–4 раза в сутки. Для восстановления работоспособности при повышенных нагрузках и астенических состояниях - по 0,25 г 3 раза в сутки. Для лечения экстрапирамидного синдрома, вызванного приемом нейролептиков, взрослым - по 0,5–1 г 3 раза в день; детям - по 0,25–0,5 г 3–4 раза в день. Курс лечения - 1–3 месяца. При тиках: детям - по 0,25–0,5 г 3–6 раз в день, в течение 1–4 месяца. При нарушениях мочеиспускания: взрослым - по 0,5–1 г 2–3 раза в сутки; детям - по 0,25–0,5 г (суточная доза - 25–50 мг/кг). Курс лечения - 1–3 месяца. Детям с различной патологией нервной системы, в зависимости от возраста, препарат рекомендуется в дозе 1–3 г. Тактика назначения препарата: наращивание дозы в течение 7–12 дней, прием в максимальной дозе на протяжении 15–40 дней и постепенное снижение дозы до отмены Пантогама в течение 7–8 дней. Перерыв между курсовыми приемами Пантогама, как и для любого другого ноотропного средства, составляет от 1 до 3 месяца.
Побочное действие
Аллергические реакции возможны ринит, конъюнктивит, кожные высыпания. Прочие возможны нарушения сна или сонливость, шум в ушах (данные симптомы обычно кратковременны и не требуют отмены препарата).
Особые указания
Не рекомендуется длительная терапия гопантеновой кислотой в сочетании с другими ноотропными и стимулирующими ЦНС средствами.
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Нарушения психологического статуса у детей в виде общей задержки психического развития, специфических расстройств речи, двигательных функций и их сочетания, формирования школьных навыков (чтения, письма, счета и др.). Гиперкинетические расстройства, в том числе синдром гиперактивности с дефицитом внимания. Неврозоподобные состояния (при заикании, преимущественно клонической форме, тиках, неорганическом энкопрезе и энурезе). Снижение мнестико-интеллектуальной продуктивности вследствие артериосклеротических изменений сосудов головного мозга, при начальных формах сенильной деменции, органических поражениях головного мозга травматического, токсического, нейроинфекционногогенеза. Шизофрения с церебральной органической недостаточностью (вкомплексе с психотропными препаратами). Экстрапирамидные нарушения при органических заболеваниях мозга (миоклонус-эпилепсия, хорея Гентингтона, гепатолентикулярная дегенерация, болезнь Паркинсона и др.), а также для лечения и профилактики экстрапирамидного синдрома, вызванного приемом нейролептиков. Эпилепсия с замедленностью психических процессов и снижением когнитивной продуктивности совместно с антиконвульсантами. Психоэмоциональные перегрузки, снижение умственной и физической работоспособности, для улучшения концентрации внимания и запоминания. Нейрогенные расстройства мочеиспускания (поллакиурия, императивные позывы, императивное недержание мочи)."}}]},{"id":4,"name":"Противопоказания","slug":"contraindications","displayInMenu":true,"body":[{"type":"paragraph","data":{"text":"Гиперчувствительность. Острые тяжелые заболевания почек. Беременность (i триместр сироп). Беременность (таблетки). Фенилкетонурия (сироп, содержит аспартам). Период грудного вскармливания (таблетки). 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