Vigantol (Vigantol) for a child. Reviews, instructions for use, how to take in drops, price

Vigantol is a medicine intended for children and used in the treatment of calcium-phosphorus metabolism disorders. Based on the reviews, the drug is highly effective and can be prescribed in adulthood.

Form of release and composition of the drug Vigantol

The product is produced in the form of an oil solution for internal use. His the main component is colecalciferol. Additional substances include triglycerides. The drug is poured into tinted glass vials and packed in a cardboard box. Each bottle is equipped with a dropper dispenser. The nominal volume is 10 ml.

Pharmacological properties

The main components of the product regulate the metabolic processes of calcium and phosphorus in the body, saturate and replenish the lack of vitamin D₃. The substances increase the level of calcium absorption in the intestine and the reabsorption of phosphates in the renal system.

The medication saturates the bone system with organic substances and inorganic salts and supports the normal functioning of the parathyroid glands.

Pharmacodynamics and pharmacokinetics

When administered orally, the main substance is absorbed from the small intestine. Once inside, the components interact with a₂-globulin, partly with albumin. The active ingredient accumulates in the liver tissues, bone system, kidneys, adrenal glands, adipose tissue and myocardium.

The maximum concentration level of the drug is reached 4-5 hours after oral administration. The level of metabolites decreases slightly and remains unchanged for a long time. The drug penetrates the placental barrier and passes into breast milk.

The drug is metabolized in the liver and kidneys. In the liver tissues, the main component is converted into an inactive metabolite - calcifediol. In the kidneys, the component is converted from an inactive metabolite to the active substance calcitriol.

In the future, the drug undergoes natural decay processes in the intestines and liver. Most metabolites are excreted along with bile. To a small extent, the decay products are excreted by the kidneys.

Indications for use

The medicine is used as the main or supporting agent.

Indications:

• development of rickets - as a prophylaxis or main treatment;

  

• prevention of vitamin D deficiency₃ - malabsorption syndrome, chronic forms of pathologies in the parts of the small intestine, rehabilitation after partial removal of the stomach or small intestine, biliary cirrhosis of the liver;
• osteoporosis - as a supportive treatment;
• hypoparathyroidism or a pseudosyndrome of the disease.

Also, the drug is prescribed for osteomalacia resulting from impaired mineralization in patients over 45 years old, during adherence to diets with complete or partial rejection of milk and dairy products, as well as treatment for joint stiffness or injuries.

Contraindications

Vigantol for a child (reviews of the remedy indicate some restrictions on the use of drops) is prescribed only in the absence of contraindications.

Contraindications:

• increased levels of calcium in the body;
• excretion of calcium salts along with urine;
• the presence of thyrotoxicosis;
• urolithiasis, which has arisen against the background of an increased content of calcium salts;
• high levels of vitamin D₃ in the body;
• osteodystrophic changes in the kidneys, accompanied by hyperphosphatemia.

The drug is used with extreme caution in patients with pronounced signs of atherosclerosis, cardiac and renal failure, with some forms of granulomatosis, an increased content of inorganic phosphates.

Great care should be taken when prescribing a remedy for severe liver and kidney pathologies, organic heart diseases, hypothyroidism, and gastrointestinal disorders.

The medication is contraindicated in pregnancy and breastfeeding.

At what age can the drug be used?

There are no age restrictions for the use of the product. The drug is approved for use in children, including newborns.

Instructions for use, dosage of the drug

The drug is used orally and is prescribed in childhood, starting from the 2nd week of life.

• In the prevention of rickets, children born on time are prescribed 1 drop of solution per day, premature babies - 2 drops per day. The solution is taken during the 1st and 2nd year of the child's life.
• With the development of rickets, 2-8 drops of the drug are prescribed per day. The course of treatment is 12 months.
• In the prevention of vitamin D deficiency₃ the recommended dosage is 1-2 drops per day.
• In the prevention of vitamin D deficiency₃associated with malabsorption syndrome, 5-8 drops of the drug are prescribed per day.
• For osteomolation, the recommended dosage is 2-8 drops per day. The course lasts 12 months.
• With the development of osteoporosis, 2-5 drops per day are used as a maintenance treatment.
• With hypoporathyroidism, as well as pseudosyndrome, the daily dosage is from 15 to 30 drops. This requires constant monitoring of the level of calcium in the child's blood.

Side effects

Vigantol is generally well tolerated. However, according to the instructions in the instructions and parental reviews, due to the age of the child, the drug can cause various side effects.

Scope of violations	Side effect
From the digestive tract	Frequent constipation, nausea and vomiting, bloating, diarrheal syndrome, the development of abdominal pain, lack of appetite.
From the side of metabolic processes	Increased calcium in the body, high levels of calcium salts in the urine with prolonged use of the drug. Polyuria.
On the part of muscle tissue and skeletal system	Myalgia, arthralgia.
On the part of the cardiovascular system	Increased blood pressure, the development of arrhythmias.
Allergic manifestations	Itching, rashes, urticaria
Other violations	Migraines, kidney dysfunction, complicated course of tuberculosis.

With the development of a side effect that is not indicated in the instructions, you must contact a specialist.

Overdose

If the dose specified in the instructions is exceeded, various negative reactions may occur.

Overdose symptoms:

• stool disorders - diarrhea, constipation;
• dry mouth;
• headaches;
• constant thirst;
• metal taste in the mouth;
• nausea, vomiting;
• weakness and tiredness, drowsiness;
• nocturia;
• polyuria;
• weight loss;
• high content of calcium and its salts in blood and urine;
• dehydration;
• pollakiuria;
• changes in the quality and composition of urine;
• body aches, bone pain;
• increased pressure;
• the development of arrhythmias;
• myalgia;
• gastralgia;
• signs of pancreatitis;
• psychoemotional changes, in severe cases - neuroses.

With prolonged use of the solution, the development of chronic forms of overdose is noted. In this case, calcification of the internal organs develops, signs of heart and renal failure are noted, and growth disorders occur in children.

With the development of symptoms of an overdose, treatment is prescribed. Possible measures: complete withdrawal of the drug, calcium-free diet, consumption of large amounts of fluids. Also prescribed are corticosteroids, vitamins A and E, riboflavin, thiamine, ascorbic or pantothenic acid.

In severe cases, infusion solutions based on sodium hydrochloride, furosemide are used. Hemodialysis is prescribed.

special instructions

Vigantol for a child (reviews of the tool indicate the need to observe precautions when using) is prescribed only after all the necessary diagnostic procedures.

With the development of signs of pseudohypoparathyroidism, it is recommended to undergo an examination to determine the presence of a toxic lesion. In this case, the daily dosage of the drug should be adjusted.

For thyroid therapy-induced syndrome, gradual withdrawal of the medication is recommended as the parathyroid glands recover. These measures are necessary to prevent intoxication. Tests of the vehicle for the ability to drive vehicles or carry out work requiring increased concentration of attention have not been carried out.

Drug interactions

Pharmacological agents from the group of barbiturates, as well as phenytoin and primidone, affect metabolic processes associated with the rate of absorption and distribution of D₃.

The simultaneous use of medication and antacids increases the risks of developing signs of intoxication caused by an increased content of aluminum and magnesium ions. There is a decrease in the therapeutic effect with the combined use of the drug with calcitonin or bisphosphonates.

The absorption rate of fat-soluble vitamins is reduced with the use of colestyramine and colestipol. The risks of developing hyperphosphatemia increase significantly with the simultaneous use of an oil solution with drugs containing phosphorus.

With the simultaneous appointment of Vigantol and sodium fluoride, it is necessary to maintain an interval between doses of at least 2 hours. When prescribing a tetracycline group of medicines, the interval should be at least 3 hours. Simultaneous use with steroid drugs leads to a decrease in the effectiveness of the drug.

Cardiac glycosides can lead to drug interactions, while causing symptoms of intoxication. In this case, it is necessary to monitor the patient's condition and adjust the dosage. The tool can be combined with medicines of the same pharmacological group only with the permission of a specialist and under his control.

Diuretics from the thiazide class impair the excretion of the components of the oil solution. In rare cases, the development of hypercalcemia is noted. The effectiveness of the drug decreases with the simultaneous use of rifampicin and isoniazid.

Analogs

Vigantol for a child (reviews report rare cases of intolerance to components) in the presence of allergic reactions can be replaced with other drugs.

Analogs:

• Aquadetrim. This is a Polish-made pharmaceutical product. It is dispensed as an oily solution for oral administration. The active component of the drug is cholecalciferol. The drug belongs to the group of vitamin-like drugs that allow you to regulate the metabolic processes of calcium and phosphorus. The medicine is used for vitamin D deficiency, as well as in the complex treatment of osteoporosis. The agent is also effective in the treatment of osteomalacia and rickets diseases. The dosage and course of treatment are set by the treating specialist on an individual basis. The drug has multiple contraindications, and therefore, it is necessary to consult a specialist. Cost - from 190 rubles.
• Ultra D. This dietary supplement is available in the form of chewable tablets. Manufacturer - Finland. Its main substance is colecalciferol. A medication is prescribed for various disorders and disorders associated with a lack of vitamin D in the body. The daily dosage is 1/2 capsule per day. The duration of therapy is set on an individual basis. The medicine can be used in childhood. Its contraindication is high sensitivity to the components that make up the product. Cost - 750 rubles.
• Complivit Aqua D3. This is a domestic medicine produced in the form of drops for oral use. Its main substance is colecalciferol. The action of active components is aimed at regulating calcium and phosphorus in the body, as well as eliminating diseases and disorders associated with calcium deficiency in the body. The medication can be used in childhood from 4 weeks of life. The dosage and duration of the course depend on the severity of the disorder. Cost - from 161 rubles.

Before replacing a fixed asset, you must consult with a specialist.

Terms, conditions of sale and storage

• Store the bottle with the solution in a dark, dry place at a temperature of 15 to 25⁰C.
• Shelf life - 5 years from the date of manufacture.
• The drug is prohibited for use after the expiration date indicated on the package.
• Dispensed by prescription.

Price in pharmacies in Moscow, St. Petersburg, regions

The cost of the product may vary slightly depending on the area and region of sale. The price of the drug in pharmacies in Moscow and the Moscow region ranges from 90 to 1390 rubles. per bottle. The cost in pharmacies of St. Petersburg and the suburbs varies between 163-245 rubles.

Before using Vigantol in childhood, parents need to consult with a specialist and familiarize themselves with the official instructions for using the solution. Additionally, it is recommended to study patient reviews.

Article design: Vladimir the Great

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