Milgamma: how to chop, instructions for use

Indications

Milgamma prescribed for the treatment of diseases of the nervous system, where there is a disturbance of the conduction of nerve fibers.

Milgamma also appoint stabbing at deficiency of B vitamins:

• sciatica, low back pain;
• diabetic or alcoholic polyneuropathy;
• treatment of neuritis or neuralgia;
• herpes infection;
• myalgia (muscle pain);
• ganglionitis (inflammation ganglia);
• plexopathy;
• paresis of the facial nerve;
• brain diseases (multiple sclerosis);
• vitamin deficiencies;
• cramps that occur at night.

Structure

Active substances 1 ampoule Milgamma represented:

• 0.1 g of thiamine hydrochloride (vitamin B₁). thiamine metabolites are involved in the regulation of carbohydrate metabolism;
• 0.1 g pyridoxine hydrochloride (Vit. AT
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  ₆). It promotes the formation of hemoglobin, neuromediators (serotonin, dopamine), bioactive substances (adrenaline, histamine) and participates in amino acid metabolism;
• 1.0 g of cyanocobalamin (vit. AT₁₂). Prevents the development of anemia and is involved in the synthesis of nucleic acids, choline, methionine and creatinine.

Simultaneous treatment with vitamins₁, AT₆ and B₁₂ It enhances the action of each of them, so physicians prescribe prick B vitamins in the form of complexes. They are also used for the treatment of allergic disorders in which the development of the nervous factor is involved: eczema, lichen planus, a chronic recurrent aphthous stomatitis, etc ..

Additionally, Milgamma includes:

• sodium polyphosphate;
• lidocaine;
• potassium hexacyanoferrate (lll);
• benzyl alcohol;
• sodium hydroxide;
• water for injections.

Dosing in ampoules Milgamma

The drug release in the form of ampoules of 2 ml quantity of 5 or 10 pieces. To the drug is well absorbed and help should prick Milgamma intramuscularly.

• Within the framework of the treatment of acute stages of the disease (or exacerbations) until remission administered every day prick Milgamma 1 ampoule 1 times a day;
• After reaching the patient is transferred to remission maintenance therapy, whereby making an injection preparation Milgamma enough 2-3 times a week for 1 ampoule.

Duration of treatment is not less than 30 days, but more often it is 2-3 months.

Method of intramuscular injection

Correctly stabbing Milgamma intramuscularly is not difficult, but you should choose a suitable place for injection.

To avoid the development of undesirable consequences, follow the simple algorithm:

• Consult your doctor if there is a likelihood of adverse effects from taking Milgamma (at pregnancy, SARS, breastfeeding the baby, liver or kidney disease, in the treatment of diseases bone marrow);
• Prepare everything you need to chop Milgamma:
  • A sealed sterile syringe 2 ml;
  • cotton pad / ball with an alcohol or alcohol wipes;
  • ampoule Milgamma;
  • band-aid.
• Check the medication in the vial on the shelf life and the presence of sediment. If a cloudy solution, it appeared sediment left or drug expiration date - it can not prick!
• Select a location for injection:
  • Hip. Vkoly make the lateral thigh muscle, this route of administration Milgamma convenient for those who are doing injections to children or myself. For this selected location about the middle line from the groin to the knee, or 15-20 cm departing from the knee joint, close to the outer surface of the femur;
  • The outer part of the thigh. Stabbing Milgamma be laterally below the hipbone;
  • Buttocks. One of the buttock approximately divided into 4 quadrants. Stabbing need in the upper and outer portion of the buttocks.
• After this process the skin at the site where the drug will be stabbing, wipes or cotton pad with alcohol;
• Dial Milgamma into the syringe, removing the cap from the needle, and bleed if it is plucked. By lifting the syringe needle up, and gently tap on it to the air going to the top, and then slowly push the piston until the needles are not released from the drop medication;
• Stretch the skin at the site where the drug will be stabbing, two fingers of his free hand, and quickly insert the needle to its full length at 90⁰ to the skin;
• Make sure you do not fall into the vein. Gently pull the piston itself, and if the syringe has not got blood - a shot made correctly. Then slowly Milgamma enter into the thick muscles, as if to administer the drug quickly may be a pain;
• Remove the needle at the same angle as that administered. Squeeze injection site in 1-2 minutes with a cotton pad or an alcohol swab, and then seal the adhesive on the injection site 1 hr.

drug interactions

Stabbing in the complex Milgamma with some drugs are not permitted because of their interaction with each other:

• With furosemide. It speeds up the excretion of In₁ from the body;
• Since levodopa. Vitamins weaken antiparkinsonian action;
• When combined with lidocaine as part Milgamma with sedativnymiymi drugs dampening effect on the central nervous system;
• Blockers increase the toxic effect of lidocaine;
• Reception relaxants can enhance their effect up to paralysis of the respiratory muscles;
• Antiarrhythmics - strengthening cardiodepressivny effects; with amiodarone - the development of seizures;
• MAO inhibitors and tranquilizers - increases the risk of hypotension;
• Narcotic analgesics - enhanced effect on the respiratory center;
• Prenylamine - there is a risk of ventricular tachycardia type "pirouette";
• Propafenone - increases the side effects on the central nervous system;
• Polymyxin B - introduction Milgamma requires constant control of breathing;
• With procainamide - there is the risk of hallucinations;
• With cardiac glycosides - amplifies their effect;
• Preparations of digitalis - increases the risk of AV blockade;
• Beta-blockers - enhanced toxicity of lidocaine, bradycardia and hypotension;
• Drugs that block neuromuscular conduction - amplifies their effect with consequent weakening of nerve impulse conduction.

analogs Milgamma

Vitamin B complex, which can chop sold under different trade names:

• Vitakson (2 ml ampoules in an amount of 5 or 10) has the same composition as the Milgamma, and also comprises lidocaine, allowing the drug to prick less painful;
• Nevrolek (Ampules of 2 ml - 10 pieces) Formulation similar;
• Neyromultivit (Ampules of 2 ml - 5 pieces). Vitamin is no different, but the stabbing this drug a few unpleasant due to lack of lidocaine in the composition.

sources:

Vidal: https://www.vidal.ru/drugs/milgamma_compositum__3201
GRLS: https://grls.rosminzdrav.ru/Grls_View_v2.aspx? routingGuid = dc3ff3df-6316-4cad-b30f-e937214a56ba & t =

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