Drotaverin for children: dosage, instructions for use

Drotaverine is a drug, widely used in medical practice for disorders of the internal organs. The drug can be prescribed to children, however, the dosages indicated in the instructions should be strictly observed.

Release form

The medication is produced in Russia in the form of tablets for oral administration. They are yellow with a greenish tint, flat in the form of a cylinder.

The drug is contained in blisters or polymer cans.

Chemical composition

The active substance of the agent is drotaverine hydrochloride.

The following ingredients are used as auxiliary substances:

• milk sugar;
• povidone;
• potato starch;
• magnesium stearate;
• crospovidone;
• talc.

  

All components complement each other's action and enhance the activity of the main substance.

Pharmacological properties

The medicine belongs to the group of antispasmodic drugs. It has similarities in action and effect with papaverine. However, this tool has a longer and more pronounced effect. The drug helps to suppress PDE and cyclic adenosine monophosphate, which leads to a decrease in the flow of ionized calcium into cells located in smooth muscles.

The main ingredient leads to a decrease in the tone of smooth muscle tissues in the internal organs and leads to a decrease in their motor function. It promotes the expansion of blood vessels. The drug has no effect and does not penetrate the central nervous system. The drug can be prescribed in cases where the patient has contraindications to taking anticholinergic drugs.

Pharmacodynamics and pharmacokinetics

The active substance is rapidly and almost completely absorbed from the gastrointestinal tract. The time for complete absorption is about 12 minutes. The maximum concentration of the component in the blood is detected after 2 hours. The bioavailability of the drug is 100%. Ingredients leave the body primarily through the kidneys. A small part is excreted along with bile. The drug is not able to penetrate the BBB.

Indications for use

Drotaverin for children (the dosage of the drug depends on the age of the child and the form of the disorder) is prescribed and used only under the supervision of a physician. The drug has a wide range of applications, and therefore, it can be used in various fields of medicine.

Indications:

• the development of spasms in smooth muscles located in the internal organs - colic in the bile ducts, kidneys, intestines, dyskinesia in the bile ducts and in the gallbladder;
• spastic disorders - colitis, constipation, proctitis, pain in the rectal area;
• cholecystitis, inflammation of the mucous membranes of the kidneys;
• spasms in the vascular region (to eliminate pain);
• ulcerative lesion of the stomach and duodenum;
• pylorospasm;
• headaches;
• risk of miscarriage;
• premature birth (with threats);
• pain in the pelvic area caused by menstruation;
• contractions and spasms during labor;
• various diagnostic procedures.

The medication is prescribed only after all the necessary research and diagnosis has been made.

Contraindications

The drug is used only in the absence of contraindications, since otherwise it can provoke an aggravation of the course of the underlying disease and lead to additional complications.

Contraindications:

• chronic low blood pressure;
• cardiogenic shock;
• intolerance to the components;
• glaucoma (angle-closure disorder);
• children under 3 years old;
• the presence of an adenoma in the area of ​​the prostate gland;
• severe kidney failure;
• liver failure (severe form of pathology).

With extreme caution, the drug is prescribed to patients with pronounced signs of atherosclerotic vascular lesions.

Before taking the pills, it is necessary to certify that there is no allergy to them. To do this, give the child a single dose and monitor the reaction. In the event of the formation of any negative manifestations, it is recommended to refuse therapy with this drug.

At what age can the drug be used?

Drotaverin for children (the dosage of the drug, if necessary, can be changed right during the course) can be used from the age of 3. Treatment in childhood should be carried out strictly in accordance with the instructions of a specialist and only under his guidance.

Instructions for use, dosage for children

The drug is intended for oral administration.

Dosing regimen (for children aged 3 to 6 years): 40-120 mg per day, divided into 2-3 equal doses. In this case, the maximum daily dosage should not exceed 120 mg. Dosing features (children from 6 to 18 years old): 80-200 mg per day. In this case, the indicated dosage should be divided into 2-5 equal doses. The maximum daily allowance should not be more than 0, 24 g. The duration of the course is individual, according to the indications of the attending physician.

Side effects

Adverse reactions occur in extremely rare cases and are caused by the physiology of the patient or the effect of the active substance on the body.

Side effects:

• dizziness;
• constipation;
• lowering blood pressure;
• nausea;
• feeling hot;
• hyperhidrosis (excessive sweating);
• allergy;
• feeling of your own heartbeat.

With these conditions, as well as with the development of other reactions not described in the instructions, you should stop further use of the tablets and consult your doctor.

Overdose

If the daily or single doses are significantly exceeded, the medication can lead to the development of severe disorders, therefore, it is necessary to strictly observe the intake rates established by the doctor.

Overdose:

• AV block;
• decrease in myocardial excitability;
• heart failure;
• paralysis of the respiratory center (in extremely rare cases).

In the event of these conditions, you must immediately consult a doctor for symptomatic therapy.

special instructions

In the case of using tablets in the treatment of gastric ulcer and duodenal ulcer, it is recommended to combine the drug with other antiulcer drugs.

The medicine does not have a negative effect on the mental and visual functions of the patient, therefore it is allowed to drive a car or perform other actions requiring the speed of psychomotor reactions.

Drug interactions

The medication can react with other drugs. Thus, when it is used simultaneously with levodopa, there may be a decrease in the effectiveness and effect of the second agent.

Tablets can enhance the effectiveness of the following medicines:

• papaverine;
• bendazole;
• other antispasmodic drugs;
• m-anticholinergic drugs.

With the simultaneous use of the main drug with morphine, a decrease in the spastic effect of the second drug is observed.

The antispasmodic activity of the main drug increases with its combined use with phenobarbital. If you use other medications during the period of prescribing the tablets, you should inform about this in advance. specialist, since some drugs can aggravate the patient's condition, especially in children age.

Analogs

Drotaverine can be replaced with other similar drugs if the main agent is poorly tolerated. In this case, the physiological characteristics, the age of the child, as well as the severity of the disease should be taken into account. Dosages for taking similar drugs are set individually according to the specific medication.

Only the attending specialist should deal with the choice of replacement. You should not use similar means on your own, as this can provoke serious consequences and complications in the child.

Papaverine (Russia)

This analogue is available in the form of tablets for systemic use or suppositories for administration to the rectal area. The main active ingredient is papaverine hydrochloride. The drug has high antispasmodic properties and is used in the treatment of spasms caused by various factors.

Indications:

• spasms developing in the area of ​​the digestive organs, bronchi, vascular system (including the vessels of the brain), kidneys;
• discomfort or squeezing in the precordial area (angina);
• prophylaxis before surgery or diagnostic procedures (premedication).

Dosages (for tablets): 40-60 mg from 3 to 5 times a day, depending on the severity of the pathology. Dosage regimen (for suppositories): 20-40 mg 2 to 3 times a day. The duration of use is individual, according to the indications of the attending physician.

It is forbidden to use the medication in the following cases:

• allergy to the drug;
• AV block;
• glaucoma;
• children's age is less than six months;
• severe liver failure;
• elderly people.

In most cases, tablets / suppositories are well tolerated, however, in extremely rare cases, they can lead to the development of the following negative manifestations:

• nausea;
• constipation;
• hyperhidrosis;
• increased sleepiness and fatigue;
• lowering blood pressure;
• an increase in the activity of liver enzymes.

Terms of sale - by prescription. Cost - from 25 to 90 rubles. depending on the dosage.

Nosh Bra (Russia)

Drotaverin for children (the dosage of similar medicines may differ from the doses of the original tablets) can be replaced by such a domestic product as Nosh Bra. This tax is the same in terms of indications and method of application.

This agent is produced in the form of tablets or a ready-made injection solution intended for intravenous or intramuscular administration. The main substance of the drug is drotaverine hydrochloride, a component with high antispasmodic properties.

Recommendations for use:

• diseases of the biliary and urinary ducts (with the development of spasms);
• spasms with pathologies of the gastrointestinal tract (as an auxiliary treatment);
• the development of cramps and pain during menstruation;
• headaches;
• some types of diagnostics.

Features of administration: for tablets - from 40 to 80 mg 2-3 times a day, depending on age. Injection solution is not prescribed for children. The duration of the course is set individually.

The medication is contraindicated in the following cases:

• intolerance to the components;
• failure of the kidneys and liver, proceeding in severe form;
• children under 6 years of age;
• heart failure;
• high blood pressure.

In childhood, the medicine is used with extreme caution.

The drug can, in rare cases, lead to the development of side effects:

• sleep disorders;
• dizziness;
• headaches;
• lowering blood pressure;
• feeling your own heartbeat;
• nausea;
• constipation;
• allergic manifestations - itchy elements, swelling (including angioedema), urticaria, rashes.

This substitute completely coincides in all respects with the original product, but is less popular due to problems with the acquisition. Terms of sale - according to the recipe. Cost - from 40 rubles.

Duspatalin (Netherlands)

Generic is available in capsule or oral tablet form. The active ingredient is mebeverine hydrochloride.

The tool has a pronounced anti-spasmodic effect and is used in the following cases:

• spasms, pain and discomfort in the gastrointestinal tract caused by the development of irritable bowel syndrome;
• the occurrence of spasms in the organs of the digestive system.

Reception rules: 1-2 capsules 2 times a day (morning and evening). Consumed half an hour before eating. Dosages (for tablets): 1 pc. 3 times a day. The duration of therapy is not limited or according to the indications of the attending physician.

Contraindications:

• allergy to components;
• minor age (lack of sufficient data);
• lactose intolerance, lactase deficiency, sucrase / isomaltase, glucose-galactose malabsorption syndrome (for tablets).

Patients with renal or hepatic insufficiency, as well as the elderly, require a dosage adjustment downward.

All undesirable reactions are spontaneous and can develop in extremely rare cases:

• allergic reactions - swelling, itching, hyperemia, rashes, urticaria, shortness of breath;
• a sharp decrease in blood pressure;
• general weakness and malaise;
• dizziness;
• increased heart rate and heart rate;
• hyperhidrosis (increased sweating).

The drug is very popular and is often used as an alternative to the original tablets. When using a substitute in therapy in children, a mandatory doctor's consultation is required. Dispensing method - over-the-counter. Cost - from 450-500 rubles.

Spazmonet (Russia)

Drotaverine for children (the dosage for adult patients differs significantly from the doses for a child, therefore their observance strictly necessary) should not be taken concurrently with similar drugs, as this can cause severe negative reactions.

This medication comes in the form of a tablet to be taken by mouth. Its active ingredient is drotaverine hydrochloride.

The drug has a pronounced myotropic and antispasmodic effect and is used in the treatment of the following disorders and conditions:

• the development of spasms of smooth muscle muscles located in the internal organs;
• discomfort, soreness, and cramps caused by your period;
• decrease in the excitability of the uterus during labor, during pregnancy, with the threat of miscarriage;
• spasms in the area of ​​arteries and blood vessels, as well as other conditions caused by this pathology;
• the formation of ulcers in the stomach and duodenum.

Dosage regimen (for children under 6 years old): 10-20 mg of the drug 1-2 times a day. The maximum daily allowance should not exceed 0.12 g. Dosages (children from 6 to 12 years old): 20-40 mg, divided into 2 equal doses. The maximum daily allowance should not be more than 0.2 g. Children over 12 years old are prescribed 0.12-0.24 g, divided into 3 doses.

The medication is prohibited for use in the presence of the following violations:

• AV block;
• intolerance to the components;
• cardiogenic shock;
• low pressure;
• failure of the kidneys and liver, proceeding in a pronounced form;
• heart failure (chronic form of the disease).

For children under 6 years of age, the medicine is prescribed with extreme caution. The duration of therapy is individual, according to the testimony of a specialist. Dispensing method - over-the-counter. Price - from 65 rubles.

Terms, conditions of sale and storage

• The drug should be stored in a dark and dry place at temperatures up to 25 ⁰C.
• Expiration date - 3 years from the date of issue.
• Do not use after the expiration date stated on the package.
• Dispensing method - over-the-counter.

Price

The cost of the drug may differ slightly depending on the region of sale and the pharmacy trade network. You can clarify the availability of funds, as well as find out its cost at any pharmacy located at the place of residence.

Region / region	Dosage form / dosage	Price
Moscow, Moscow region	Tablets, 40 mg, 20 pcs.	RUB 15-35
St. Petersburg	20-30 rub.
Saint Petersburg (suburbs)	RUB 18-32
Leningrad region	RUB 21-34
Novgorod region	RUB 17-26

Before using Drotaverin, it is necessary to read the instructions for its use, and special attention must be paid to dosages. Additionally, it is recommended to read the reviews of parents who have used the medicine in children.

Video about the drug Drotaverin

Drotaverin description and instructions: