Syrup "Pantogam" for children: instructions for use
Pantogam is a medication, the reception of which has a positive effect on the work of the brain, memory and mental activity. It is often prescribed for children with various neurological disorders. At the same time for young patients it is most convenient to use this drug in the form of syrup. When he is in demand in the treatment of children, in what doses is prescribed and how does it affect the child's body?
Release form
Syrup Pantogam presented completely transparent not thick liquid that smells like cherry. It is packaged in dark glass bottles, to which is attached a white plastic measuring spoon containing 5 ml of the medicine. Such a spoon also has a risk of 1/2, which allows measuring 2.5 ml of syrup, and sometimes there is another 1/4 division (the volume of syrup poured to such a mark is 1.25 ml). One bottle contains 100 ml of syrup.
Composition
The main ingredient of Pantogam is called hopantenic acid. Its amount in each milliliter of syrup is 100 mg. Such an acid is found in the medicament in the form of calcium hopantenate. This form was patented under the name "pantogam."
Additionally, citric acid, sodium benzoate, sorbitol, purified water and glycerin are added to the medicine. These substances help the syrup to remain liquid and not deteriorate during storage.
Aspartame in Pantogam gives the drug a sweet taste, and cherry flavoring gives a pleasant smell.
Operating principle
Pantogam They are referred to as nootropics, since hopantenic acid has the property of influencing brain tissue, increasing their resistance to hypoxia and the action of various harmful substances. The use of syrup stimulates anabolic processes occurring in nerve cells. In this case, the drug produces a weak sedative effect, which is combined with a slight stimulating effect.
During treatment with Pantogam, motor excitability decreases, and performance (both physical and mental) is activated.
The ingested syrup is absorbed in the digestive tract very quickly. The hopantenic acid that has entered the bloodstream penetrates various organs and also passes through the hemato-encephalic barrier. Metabolic changes of the drug in the body do not occur, therefore the active substance Pantogam is excreted unchanged within 2 days after ingestion.
Most of the drug leaves the body with urine and about a third of the drug is excreted in the feces.
At what age do children use?
Pantogs in the form of a syrup can be given to children of any age, including newborn toddler. Such medicine is prescribed to infants, and preschool children, and patients of school age. Pantogam in pills in demand in children older than three years.
Indications
The drug is used for:
- Neurogenic urination disorders.
- Psycho-emotional overload.
- Perinatal encephalopathy.
- Syndrome of hyperactivity and attention deficit.
- Cerebral palsy.
- Traumatic, infectious or toxic brain damage.
- Mental retardation.
- Delayed mental development.
- Stuttering
- Nervous tikah.
- Enuresis.
- Schizophrenia.
- Epilepsy.
- Organic brain pathologies.
- The appearance of extrapyramidal disorders due to treatment with neuroleptics.
- Delayed speech development.
- Reduced performance.
- Worse memorization and attention.
Contraindications
Syrup is not assigned to children:
- Sensitive to any ingredient.
- With severe acute renal pathologies.
- With phenylketonuria, since there is aspartame in the medicine.
Side effects
Treatment with Pantogam can provoke an allergic reaction, such as dermatitis or conjunctivitis. When an allergy to a medicine appears, it is immediately canceled and an analogue with other active substances is selected.
In rare cases, a child taking a syrup appears to have negative reactions from the nervous system, for example, sleep is disturbed, the patient becomes inhibited, sluggish or, on the contrary, very agitated.
The occurrence of such symptoms is usually eliminated by reducing the dosage.
Instructions for use
Apply the drug according to the following recommendations:
- Reception of syrup is recommended after food approximately in 15-30 minutes.
- It is best to give the drug in the morning so that Pantogam does not affect sleep.
- You can drink the drug undiluted or slightly diluted with water.
- For dosing use a measuring spoon or a regular syringe without a needle.
- Duration of application is from one to six months and is determined by the reason for the appointment of Pantogam.
- Reuse is possible 3-6 months after completion of the course.
Dosage in childhood
Single dose for children usually varies from 2.5 to 5 ml, and daily dose from 7.5 to 30 ml. The required amount of syrup per day is determined both on the basis of age and taking into account the disease. Often the medicine is prescribed as follows:
- A child up to a year - from 5 to 10 ml per day.
- Children 1-3 years old - from 5 to 12.5 ml per day.
- A child of 3-7 years old - from 7.5 to 15 ml per day.
- The patient is over 7 years old - from 10 to 20 ml per day.
The drug begins to be given in the minimum dosage and is gradually increased within 7-12 days, after which it is given a syrup in the maximum dose within 15-40 days, and then the amount of the drug is gradually reduced and for 7-8 days they stop taking.
Overdose
If the dose of Pantogam is exceeded, it will increase the side effects of the drug, for example, will cause drowsiness or provoke nervous agitation. Overdose can also be manifested by noise in the head, insomnia, headaches, lethargy and other symptoms. Activated carbon and symptomatic agents are used for the treatment.
Compatibility with other medicines
Reception Pantogam prolongs the effect of barbiturates and enhances the effects of anticonvulsant drugs, while reducing the incidence of side effects from such medicines and neuroleptics. If you combine Pantogam and Glycine, the effectiveness of syrup treatment increases.
Long-term use of Pantogam is not advised to combine with the treatment of other nootropics, so as not to stimulate the central nervous system too much.
Terms of sale
To purchase Pantogam as a syrup at a pharmacy, you need a prescription from a neurologist or other doctor. The average price of a bottle of 100 ml is 370-400 rubles.
Storage conditions
Keep a bottle of syrup at home, if it has not yet been opened, it is possible at a temperature not higher than +25 degrees. The shelf life of a sealed medicine is 2 years. The open preparation should be stored in the refrigerator within 1 month after the first use.
To make it inaccessible to children, the bottle should be placed on the top shelf.
Reviews
About the treatment of children pantogam syrup You can find a lot of good reviews. They call the drug effective and note that its use has helped with FRA, nervous ticking, hyperactivity, mental retardation and other problems. Syrup tolerance is generally good, and adverse reactions are rarely observed. If you do not give the drug in the evening, its reception does not interfere with sleep and does not provoke increased excitability in the evening.
Allergic reactions to pantogam occur in isolated cases.
Advantages of medication include the fact that it is released in syrup, which allows you to give the drug to a child of any age, because even a baby can swallow it. However, many mothers complain about the packaging of this form of Pantogam. According to them, it is very inconvenient that the neck of the bottle is wide, and since the syrup itself is very liquid (like water), it is easy to dispense the drug. The parents do not like the spoon attached to the package, especially if the child is small and the dose is less than 2.5 ml.
Most mothers refuse to use it, preferring a syringe from Nurofen or another antipyretic.
Some mothers do not like that the syrup is too sweet and has a pronounced chemical smell of cherry. In their opinion, medicine for babies can be made less sweet. The disadvantages of Pantogam parents include infants and a very short shelf life after opening (they do not have time to use the bottle for a month and have to throw out the rest of the syrup).
Reviews of doctors about Pantogam are mostly positive. Neurologists often use this syrup in their practice and note its effectiveness in injuries, ADHD, delayed speech development, enuresis, and many other problems.
However, some doctors, among whom Dr. Komarovsky, include Pantogam and others nootropics to funds that, although not harmful, do not bring proven benefits.
Analogs
The drug that contains the same active compound as Pantogam is Pantokalcin. However, it does not have a liquid form - the drug is available only in tablets, so it is not used in children under three years of age. For children who have already turned 3 years old, Pantokalcin is prescribed for ticking, enuresis, traumatic brain injury, developmental delays and other problems for which Pantogam is in demand.
Other nootropics can also replace the drug, for example:
- Nootropil. This means of piracetam is available in solution, capsules, tablets and injections. In childhood, the drug is used in patients older than one year with problems with learning ability, head injuries, tics and other problems.
- Cortexin. Such injections containing polypeptide fractions with a molecular weight of up to 10,000 Da are prescribed for encephalitis, epilepsy, hydrocephalus, neuroinfection, developmental delay and other problems for children of any age. The drug can be used even in premature babies, for example, if they have suffered from hypoxia during labor or suffered a birth trauma.
- Aminalon. The action of such tablets provides gamma-aminobutyric acid. The drug is prescribed to children older than 1 year for the treatment of developmental delay, motion sickness, neurosis, cerebral palsy and other pathologies.
- Kogitum. Such a solution in ampoules with a sweet banana flavor is used from the age of seven. It is in demand for developmental delay, neurosis, asthenia and other neurological pathologies.
- Fezam. As part of these capsules, piracetam is supplemented with cinnarizine, so the drug helps with motion sickness, memory problems, asthenic conditions and other disruptions in the work of the central nervous system. It is prescribed from 5 years of age.
- Glycine. This medicine is released in tablets and prescribed to babies from birth. The drug is in demand for developmental delay, stress, problems with attention, memory impairment and other neurological disorders.
You can find out how to help a child lagging behind in development in the following video.