"Gold standard" in the treatment of degenerative disc disease and radiculopathy are nonsteroidal anti-inflammatory drugs (NSAIDs). To enhance the effect of the therapy Diclofenac is used in combination with vitamin preparations. Which vitamin prick diclofenac, if back pain?
Diclofenac considered effective combinations with Vitamins B1 (thiamin), B12 (cyanocobalamin), B6 (pyridoxine). In addition to individual neyrostimuliruyuschih vitamins actively used Milgamma.
Diclofenac and B vitamins
Diclofenac (diclofenac sodium), along with B vitamins doctors prescribe to reduce the intensity of pain with radiculitis, osteochondrosis of the cervical, thoracic and lumbar. Diclofenac is well relieves inflammatory reaction, reduces the intensity of pain.
B vitamins stimulate the nervous system. Cyanocobalamin in relieving pain, reflex reactions increases. Thiamine stimulates protein synthesis, and carbohydrate, analgesic effect, improves the conduction of nerve impulses. Pyridoxine - is a cofactor involved in the neurotransmitters and enzymes. The disadvantage of these substances leads to a deterioration in nerve conduction, memory, a weakening of the tendon reflexes.
Indications for the use of NSAIDs and neyrostimuliruyuschih complex vitamins
Diclofenac group and vitamins The combined use is indicated in severe pain, restricting locomotor activity.
Diseases in which prescribe Diclofenac and vitamins:
- osteochondrosis of the thoracic, cervical, lumbar;
- vertebropatii, radiculopathy.
NSAID and vitamin preparations
course of injections is 10 days or more. The patient with osteochondrosis or radiculitis Diclofenac administered injections of 75 mg, and vitamin B 12 in a dosage of 200-300 mg. At the same syringe Diclofenac and cyanocobalamin is not applicable. It is dangerous to life.
Directional analgesic therapy scheme can be carried out one or replaced B12 vitamin B1, B6 (alternate). All B vitamins are administered in a separate syringe. Injections administered every other day. Injection nurse conducts based clinic or hospital. Injections made in the gluteal region (in its upper quadrant). Diclofenac injection is carried out in a gluteal muscle, vitamin - to another.
Diclofenac and vitamin B12 - this is the most frequent combination appointed therapists. If the patient does not tolerate injection of vitamins, they can replace pills.
Tableted forms of B vitamins:
- Neurovitan (B1, B2, B6, B12);
- Neyromultivit (B1, B6, B12);
- Doppelgerts asset plus magnesium (magnesium, folic acid, B1, B6, B12).
Before using these drugs need to be clarified by a doctor, as you need to take.
Application Milgamma and diclofenac
Milgamma contains vitamins B1 group, B6, B12. Pharmaceutical companies is available in tablet form or in capsules. One dose of medicament injection incorporates the vitamins B1, B6, B12 (100 mg, 100 mg, 1000 mg, respectively), 20 mg of lidocaine. The volume was 2 ml ampoules.
Due to such a combination of good drug reduces inflammation, improves conduction of nerve impulses, reduces pain intensity. Milgamma can be used as a standalone drug with osteochondrosis. To enhance the therapeutic effect, it is combined with diclofenac. The preparations are administered in separate syringes. The course of treatment is 10 days. Patients administered Milgamma 2 ml and 75 mg of Diclofenac. Therapy on an outpatient basis or in the ICU.
Milgamma be consumed in tablet form in the case of poor tolerability of intramuscular injection. The drug is produced in the form of pills. Take 1 tablet a day for 10 days.
See also: Instructions and price Diclofenac
conclusion
Combined application of Diclofenac and vitamin preparations provides high efficiency treatment of chronic diseases of the locomotor apparatus. Subject to the instructions for use of drugs does not appear complications of therapy.
sources:
Vidal: https://www.vidal.ru/drugs/diclofenak__11520
GRLS: https://grls.rosminzdrav.ru/Grls_View_v2.aspx? routingGuid = 5d8a978b-56fd-4465-bfa0-907ab6103f33 & t =
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