What pills to improve cerebral circulation. New generation vascular drugs for the brain. Techniques for older people

Blood plays a vital role in the functioning of the body. It is thanks to blood circulation that every cell of the body receives the nutrients and oxygen it needs. But for a number of reasons, many people experience poor circulation in the brain. This condition is dangerous, as it can cause stroke, heart attack and other brain damage that can lead to disastrous consequences.

What to do in this case, how to help the brain and restore blood circulation? Consider these and other questions in this article.

What can cause blood circulation problems?

People of different ages can face the problem of poor blood circulation, both in early childhood and in retirement age. In childhood, the most common causes of the pathological process are:

• birth injuries;
• fetal hypoxia in the womb;
• vascular spasms, as a result of heavy loads on the brain during training, etc.

For working age, the characteristic reasons are:

• osteochondrosis of the cervical spine. This reason occurs as a result of sedentary work and a sedentary lifestyle;
• brain tumors;
• vascular thrombosis as a result of traumatic brain injury or head surgery.

Elderly age is characterized by deterioration of blood circulation as a result of:

• atherosclerosis, when cholesterol plaques narrow the lumen of blood vessels and impair blood flow;
• as a consequence of strokes;
• blood pressure surges;
• diabetes mellitus, since the vessels are primarily the target of this pathology.

The most common cause is atherosclerosis, followed by strokes.

In addition to the most common causes, in different age categories, there are a number of factors that can affect the development of the pathological process. Among these factors:

• frequent stress;
• neuroinfections of the brain (meningitis, encephalitis, vasculitis, etc.);
• intoxication of the body with carbon monoxide, chemicals, heavy metals, etc.;
• skull injuries;
• scoliosis;
• increased mental and physical stress, fatigue.

How to recognize circulatory disorders?

• Frequent headaches;
• sensation of crawling on the scalp;
• ringing or noise in the ears;
• nausea and vomiting for no reason;
• numbness of the limbs;
• possible speech disorder and deterioration of cognitive functions, such as memory, thinking and attention;
• deterioration of vision, pressure on the optic nerve;
• epileptic seizures, etc.

Note! If such symptoms occur, do not delay a visit to a neurologist, as impaired blood circulation can cause serious pathologies.

Treatment

To improve cerebral circulation, several groups of drugs have been developed, the main tasks of these medications are:

• dilate blood vessels and improve blood circulation;
• neutralize radicals that affect the density of blood vessels and their functioning;
• improvement of memory and thinking;
• improvement of brain activity;
• restoration of nerve impulse transmission to brain neurons, etc.

Medicines that improve cerebral circulation:

• vasodilator medications;
• anticoagulants;
• psychostimulants.

Remember that the treatment plan must be drawn up by a doctor. All groups of drugs are presented for informational purposes.

Vasodilators

This is the most extensive group of drugs used for circulatory disorders. The action of the funds is aimed at improving blood supply to brain tissue by restoring the functionality of blood vessels, strengthening and expanding them.

Vasodilator drugs have a gradation, depending on the composition of the medications, these can be:

• calcium antagonists;
• herbal preparations;
• products based on ginkgo biloba;
• medications based on nicotinic acid;
• Dietary supplements to strengthen blood vessels.

Antagonists

The mechanism of action of calcium antagonists is to relax the muscles of the walls of blood vessels, as a result of which the arteries dilate and blood begins to circulate through them more easily. Antagonists are widely used in the treatment of various vascular diseases. The pharmaceutical industry has even produced three generations of these drugs.

The first generation includes:

• Cordipin;
• Finoptin;
• Diazem;
• Isoptin, etc.

Second generation of antagonists:

• Clentiazem;
• Tiapamil;
• Plendil;
• Nicardipin et al.

The third generation includes:

• Stamlo, Norvasc and Amlodipine.

Let's consider one of the drugs: Finoptin. He belongs to the first generation of antagonists. The medicine is available in the form of tablets and also in the form of injections. The drug is indicated for cerebrovascular accidents, which can be caused by arterial hypertension, and the drug is also prescribed for various types of tachycardia, angina pectoris and hypertensive crisis.

Contraindications:

• hypotension;
• pregnancy and lactation;
• hypersensitivity to the components of the drug.

Finoptin is prescribed with caution for cardiac, hepatic and renal failure, myocardial infarction, and bradycardia.

Preparations based on plant extracts, these medicines improve brain activity and blood circulation. Since they are plant-based, the tablets have virtually no contraindications.

Herbal remedies

As a rule, herbal preparations are made based on periwinkle and ginkgo biloba. Among the remedies based on periwinkle are prescribed:

• Cavinton;
• Vinpocetine;
• Bravinton et al.

Let's consider Cavinton, this is a popular herbal preparation that helps dilate blood vessels, improves blood flow through them, thereby saturating the brain with oxygen, and utilizes glucose.

Indications:

• to improve blood circulation in dementia, atherosclerosis,
• stroke or encephalopathy;
• neurological disorders of various types;
• eye disorders (degenerative retinal disorders, secondary glaucoma, etc.).

Cavinton is contraindicated during pregnancy, under the age of 18 years, individual intolerance, and severe forms of arrhythmia and cardiac ischemia.

Remedies with ginkgo biloba help improve cerebral circulation, eliminate spasms in blood vessels, improve their microcirculation and permeability, fight cerebral edema, protect arteries from radicals, etc.

The most common drugs in this group:

• Ginkum;
• Bilobil;
• Memory et al.

The duration of treatment with herbal medicines is quite long and is at least three months. At the same time, patients notice the first results in normalizing blood circulation after a month of use.

Preparations with nicotinic acid

Products with nicotinic acid are also used as drugs that improve blood circulation. They cannot affect large arteries, but help strengthen the vascular network of capillaries and reduce bad cholesterol. Among the drugs in this group are prescribed:

• Enduratin;
• Acipimox;
• Nikoshpan.

Dietary supplements and medicines based on minerals and vitamins are used both as treatment and as prevention for circulatory disorders. These funds include:

• vitamin P;
• potassium;
• selenium;
• silicon;
• Dihydroquercetin.

These trace elements, minerals and vitamins help maintain the elasticity of blood vessels and restore normal blood flow through them. These means include:

• Ascorutin;
• Greenwit;
• Lecithin;
• Flavit;
• Flucol.

Ascorutin saturates the body with vitamins P and C. The drug has a direct effect on blood vessels, strengthening them, reducing fragility, permeability of the walls and increasing their elasticity. The drug is available in tablet form. Prescribed for all diseases that provoke vascular permeability. Among these pathologies:

• rheumatism;
• measles;
• vasculitis;
• hypertension;
• radiation sickness.

Ascorutin is contraindicated in the first trimester of pregnancy, in children under three years of age, and in case of individual intolerance to the composition of the drug. Prescribed with caution for urolithiasis, diabetes mellitus, thrombophlebitis.

Nootropic drugs

This is an important group of drugs; they help stimulate metabolism in the nervous tissue of the brain, which makes the brain more resistant to oxygen deficiency and even improves cognitive abilities.

Nootropics are used for many diseases associated with circulatory disorders, this can be ischemia, stroke, dementia, encephalopathy, multiple sclerosis, developmental delay, etc.

Among the nootropics prescribed:

• Piracetam;
• Phenotropil;
• Actovegin;
• Cerebrolysin;
• Pantogam.

Actovegin is a nootropic drug that is prescribed for insufficient cerebral circulation. Indications for use:

• ischemic stroke;
• traumatic brain injuries;
• angiopathy;
• encephalopathy;
• varicose veins and many other pathologies.

Actovegin is contraindicated for:

• anuria;
• heart failure;
• pulmonary edema;
• children under three years old.

Anticoagulants and antiplatelet agents

The main effect of these drugs is to reduce blood viscosity, thereby improving blood circulation and minimizing the likelihood of blood clots and thromboembolism.

Anticoagulants and antiplatelet agents include:

• Aspirin;
• Chime;
• Pentoxifylline;
• Warfarin;
• Fragmin.

Curantil is an antianginal medication. It has a vasodilating effect on small vessels, can lower blood pressure, improves the functioning of the heart muscle, and prevents the formation of blood clots. The drug improves blood circulation in the vessels of the brain, kidneys, retina, etc.
Often the medication is used in the treatment of atherosclerosis and stroke, as well as other pathologies associated with blood vessels and brain function.

At the same time, Curantil has many contraindications and side effects, so the medicine should be used according to the strict instructions of a doctor.

Prevention
As you know, any disease is easier to prevent than to treat. The same rule applies to blood circulation in the brain. Unfortunately, in its advanced form, the lack of supply of oxygen and nutrients to the brain sometimes leads to irreversible consequences, so preventive measures should be taken from a young age. Prevention of blood circulation means:

• blood pressure control;
• balanced diet with a full range of vitamins and minerals;
• timely treatment of all vascular diseases;
• blood glucose control;
• physical activity;
• rejection of bad habits.

Proper blood circulation in the brain is very important, because thanks to the blood flow, our brain receives enough oxygen to function. Otherwise, a number of diseases develop that leave an incurable mark, including the following pathologies: strokes, encephalopathy, atherosclerosis, dementia, multiple sclerosis and many other diseases. Lead a healthy lifestyle and do not expose yourself to these dangerous diseases.

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The normal functioning of the brain directly depends on the blood circulation of the billions of small vessels and capillaries that surround this most important organ for humans, because oxygen and nutrients are delivered to the brain along with blood. Cerebral blood flow in a healthy body is regulated independently, without our intervention. But sometimes, due to a number of reasons, the regulation of blood flow can be disrupted, and the brain begins to suffer. This can happen at any age.

Who needs drugs that improve cerebral circulation and memory and when?

In infants, circulatory disorders can occur as a result of birth trauma, during cesarean section, and also during intrauterine oxygen deprivation.

In school-age children, this problem may arise if the child experiences increased stress from the educational process, which he cannot cope with.

In adolescents, cerebral blood flow most often suffers when hormonal levels change, when the entire body undergoes a restructuring from a child's state to an adult.

Adults are also not immune from this scourge - under severe stress, overwork, and nervous strain, the brain also experiences a lack of blood supply. In addition, a number of diseases also lead to a deficiency of cerebral blood flow, the most common of which are osteochondrosis, atherosclerosis, and various types of thrombosis.

In old age, the risk of brain dysfunction due to lack of blood supply increases several times. Moreover, this deficiency is already becoming life-threatening, as it causes diseases such as stroke and brain tumor.

Why does our body begin to malfunction and begin to “deprive” the most important organ – the brain? What happens to a person when the brain systematically does not receive the necessary “portions” of oxygen and nutrients? And what means for improving cerebral circulation and memory are considered the most effective in modern medicine? We will now try to understand all these issues.

In fact, there are many reasons why cerebral blood flow is disrupted. Here are the most common of them:

1. blockage of blood vessels with cholesterol. In this case, plaques formed on the walls of blood vessels prevent the normal delivery of blood to all organs, including the brain.
2. hypertonic disease. Blood circulation problems are caused by pressure drops that occur with hypertension.
3. head injuries. Hemorrhages from injuries disrupt blood flow to the brain.
4. scoliosis, osteochondrosis. These diseases, as well as almost all others associated with the spine, and most of all with its cervical region, directly cause our brain to suffer.

In addition to the above, disturbances in the blood circulation of the brain can be caused by severe physical exertion, chronic fatigue, mental overstrain, prolonged and systematic stays in uncomfortable and monotonous positions.

What does a person feel when their brain begins to experience “hunger” from a lack of blood supply?

First of all, these are incessant pain in the head, periodic manifestations of dizziness, discomfort or pain when rolling the eyes, causeless cramps or numbness of the limbs, extraneous noise in the ears or a feeling of congestion in the ear canals, “rolling” chills or, conversely, fever; increased blood pressure, loss of consciousness, nausea and vomiting.

As a rule, when a person’s cerebral circulation is impaired, not just one, but two, or several of all these signs are observed.

The consequences of insufficient blood flow to the brain affect memory impairment and decreased performance indicators. Especially if the work involves mental activity, of course. And also in high fatigue, hearing and vision impairment. These, so to speak, are the first alarm bells that our brain gives us so that we can pay attention to the problem in time and cope with it.

If you notice one or more of the above conditions, be sure to consult a doctor so that he can make a correct diagnosis and eliminate the problem in its initial stages. It is important, with the help of specialists, to choose the right treatment to avoid further unpleasant consequences for the body.

Various drugs for cerebral circulation and memory improvement are widely used in modern pharmacology and are often used to correct brain nutritional disorders and improve brain activity.

We bring to your attention the means that have earned the greatest authority among doctors and are currently considered the best, according to the general recognition of specialists and people who have tried their effect from their personal experience.

This medicine has been known for a long time as completely safe. It is well tolerated and recommended for use even by children and pregnant women. For adults it is prescribed for prolonged stress, decreased performance and mental activity, and for children - for increased excitability, sleep problems, lack of concentration and neurotic syndromes of various origins. The list of side effects is minimal.

Used as a medicine to improve memory and cerebral circulation. Positive experience of use for patients with deterioration of intellectual activity, decreased speed of thinking, impaired hearing and vision, and speech disorders. Can be used from the age of 12. Side effects may occasionally include allergic skin reactions, dizziness and migraines.

This drug is prescribed after stroke processes and craniocerebral herbs, accompanied by disorders of memory and attention; insomnia, deterioration of thought processes. Tanakan is also used for depressive neuroses and asthenic-tired states of the psychogenic variety. Side effects may include disturbances in the functioning of the gastrointestinal tract, headaches, and some allergic manifestations. Contraindicated for pregnant and lactating women.

Recognized since the 70s, it is a very common remedy for various circulatory disorders in the brain. Available in tablets, capsules, and ampoules for ease of administration, internal or intramuscular. Can be used in children from one year of age. Indicated for disorders of blood circulation in the brain and the occurrence of unpleasant conditions in connection with this: memory deterioration and absent-mindedness, speech disorders, depressive and other disorders in the emotional-volitional sphere, frequent headaches and dizziness, reduced energy reserves of the body. It is prescribed to children to optimize thought processes, improve concentration and improve memory, as well as after perinatal injuries and when mental retardation occurs. Common side effects include disturbances in normal sleep, restlessness and increased irritability.

It is often prescribed by doctors after long-term stress, in states of depression and depression, and in cases of chronic fatigue. These tablets improve memory and concentration, and help support the normal functioning of intellectual functions. In children it is used for delays in their mental development. Can be used from 3 years of age. Contraindicated for pregnant and nursing mothers, as well as for those suffering from diabetes mellitus types 1 and 2, and exudative diathesis.

The name speaks for itself - the drug is aimed primarily at combating poor memory, which is caused by disturbances in the blood flow of the brain. In addition, memoplant is able to improve peripheral blood circulation. This is a natural remedy of plant origin, its active component is the extract of the leaves of the ginkgo plant. This medicine is also used for decreased concentration levels, deterioration of attention and intellectual ability. It also helps improve mood. Children are prescribed from 12 years of age. Contraindicated in pregnancy, lactation, peptic ulcer and gastritis, myocardial infarction.

The main reasons for using this medication are reduced resistance to stress, rapid fatigue and lethargy in general, depression in the mild and moderate stages, decreased intellectual abilities, neurotic syndromes and other disorders in the central nervous system caused by a lack of blood supply to the brain. Side effects may include: insomnia, high blood pressure, psychomotor agitation, skin swelling. The drug is contraindicated during pregnancy and breastfeeding, with atherosclerosis and organic damage to the kidneys and liver, and with severe sensitivity to certain ingredients of the drug.

This medicine is widely used at any age when problems occur in the blood supply to the brain. It is prescribed for various inherited disorders of the nervous system that affect memory, attention and mental performance. It is often used for therapy in preschool children with developmental delays that affect speech development and cognition of the world around them. In some places it causes side effects such as sleep disturbances and tinnitus. There are practically no contraindications, except for individual intolerance to the components of the drug.

Depending on what kind of dysfunction associated with insufficient blood circulation to the brain you want to eliminate, one or another of the above-mentioned medications is used.

For example, for elderly people suffering from memory impairment, high fatigue, dullness of hearing and vision, drugs with neotropic action “Nootropil” or “Phenotropil” are recommended. Experts note a fairly rapid effect when taken, facilitating the rapid restoration of lost brain functions in patients. Improvement was observed even in difficult cases.

Middle-aged people whose lifestyle is associated with active mental activity also often need to improve their memory properties. If you have begun to suffer from forgetfulness, which is so unpleasant not only for you, but also for the people around you, especially your loved ones, then such remedies as “Tanakan” or “Bilobil” will come to the rescue. If you need to increase intellectual performance, delay the onset of fatigue and get rid of accumulated stress, then Phenotropil will help.

For students, about a month before the start of the exam session, it also makes sense to start taking Bilobil or Tanakan. During the session itself, the same Phenotropil will come to the rescue to increase concentration.

For children who need to improve their performance at school, strengthen their memory and concentration, the drug “Pantogam” is recommended.

Let us remind you once again that all of the above drugs that improve cerebral circulation and memory should be prescribed by a doctor after a medical examination. Often, symptoms accompanying a violation of the blood supply to the brain can be a sign of other, no less dangerous diseases. And only a doctor can make a correct diagnosis.

We hope that no one has any doubt that the proper functioning of the brain is the key to a bright mind, clear memory and good health of a person until old age. Normal healthy blood circulation in the body is necessary for our brain to work clearly and without interruption until old age. In order to avoid disruptions in the regulation of the body's blood flow, you need to take care of your health from a young age: follow the rules of a healthy diet, do not forget about healthy physical activity and sports, give up bad habits, learn to withstand daily stress, spend more time in the fresh air and, of course, timely treatment. paying attention to the alarming signals from our body, indicating that our brain needs help.

And if troubles in the form of circulatory disorders still overtake you, then modern reliable medications will come to the rescue and quickly and reliably eliminate the problem and help you again begin to live a full, active life as a healthy person.

The presence of a blood flow disorder can occur at any age. There are various medications to improve cerebral circulation. They can be recommended not only for elderly people, but also for fairly young patients. Many people may experience cerebrovascular accident. Medicines of a certain type can greatly help in improving it.

Description of signs of circulatory disorders

The manifestation of memory loss is the most obvious symptom of impaired functionality of blood flow in the vessels of the brain. This is important to know. As a result, at the first symptoms of this pathology, it is necessary to take medications to improve cerebral circulation. They will help fix this problem. In this case, taking any medications should be carried out only after a certain examination. Currently, there are no drugs that would act exclusively on cerebral circulation. Let's look at how to improve it further. Still, there are drugs that affect the general blood circulation to a lesser extent.

They take medications of a certain category to cure cerebrovascular accidents. When taking them, the following changes occur:

• The supply of impulses in the nerves increases.
• Free radicals that contribute to the destruction of cell walls are removed.
• Improves
• The penetration and absorption of glucose into nerve cells occurs better.
• The recovery process begins after stroke and injury.
• Blood supply to the brain improves.

What drugs to improve cerebral circulation?

Products of this type may be based on medicinal herbs or solely on a chemical composition. However, some medications to improve cerebral circulation can be taken without a prescription. Taking other medications is permitted only on the recommendation of specialists and under their careful supervision.

- "Bilobil."

You can take such drugs that improve cerebral circulation without a prescription. The list of drugs in this category is given above.

The following medications should definitely be discussed with a qualified specialist:

- "Phenotropil".

- "Piracetam."

- "Picamelon".

- "Encephabol."

- "Actovegin".

- "Istenon".

- "Phenibut."

Medicines for improving cerebral circulation based on an alkaloid from a plant such as periwinkle give good results. For example, Vinpocetine. This remedy has an antispasmodic effect and provides effective expansion and improvement of microcirculation in the vessels.

"Cinnarizine" and "Nimodilin" are the best drugs for improving cerebral circulation, least of all affecting the functionality of the main blood flow and acting exclusively on the brain area.

Prophylactic drugs

Activities with means of this nature are important. They will help maintain mental activity for a longer period of time and delay problems associated with poor circulation in the brain. These active ingredients include:

Acetylsalicylic acid.

Ticlopidine.

Anticoagulants.

Pentoxifylline.

A medicine such as Phezam has good reviews. Its action is vasodilating, antihypoxic, nootropic.

The simplest preventive remedy is aspirin. It promotes good blood thinning and reduces blood clots. It is prescribed even for very severe cases of the disease. However, attention should be paid to the fact that this medicine is based on acetylsalicylic acid to improve cerebral circulation. It is contraindicated for:

Stomach ulcer;

Various bleedings;

Fragility of blood vessels.

As a result, it is very important to consult a doctor to determine the necessary prophylactic doses.

Folk remedies for improving cerebral circulation

With this disease, unpleasant and sometimes life-threatening symptoms occur. In this case, you can help the patient by resorting to some traditional medicine recipes. Let's look at each of them next.

Hawthorn and periwinkle

To take it correctly, certain steps must be taken. It is necessary to grind the periwinkle leaves. Then you need to take one spoon of tea herb and pour boiling water (1/2 l). After this, the composition should be put on low heat and brought to a boil. Boil for 5 minutes. Next you need to add one tablespoon of leaves and remove from heat. It is necessary to insist the composition for 2-3 hours. Then you need to take half a glass of this composition before meals 60 minutes. To achieve a positive effect, regular use of this product is necessary. It regulates cerebral hemodynamics well.

Celandine

There are also unique criteria in the preparation of this drink. To do this, you need to take crushed dry celandine herb (one tablespoon) and pour boiled water (1 glass) over it. This composition is infused for 15 minutes. After this, you should strain it. You need to take the composition 3 times a day, two tbsp. l. Treatment must be carried out for 21 days. Then there is a break. When taking this medication, strict adherence to the dosage is extremely important. This drink is consumed in a specific case, namely when a stroke occurs.

Valerian

In this case, there are two methods. They are as follows:

Valerian root (1 tablespoon) is poured with boiling water (one glass). This composition is infused for 8 hours. This drink is taken 3 times a day, 1 tablespoon. The dosage should also be observed here.

An alcoholic tincture of valerian must be inhaled at night. This procedure will put the nervous system in order and also help you fall asleep.

Elecampane

This recipe is quite simple. Chopped elecampane root (1 tablespoon) must be poured with a glass of hot water. This composition should be infused for one day. Take the infusion before meals, thirty minutes a day, 4 times, 2 or 3 tbsp. l.

Oregano

There is also nothing complicated in preparing this recipe. One tablespoon of oregano is poured into two glasses of boiled water. Infuse the composition for half an hour. Take half a glass of this drink with each meal.

Sagebrush

The crushed leaves of this herb (1 teaspoon) must be filled with boiled water (1 glass). Infuse the composition for 5 hours. You need to take the drink 3 times a day, half a glass.

Pine cones

The preparation of this product requires certain actions. It is necessary to collect 10-12 pieces in the forest. fallen green cones. Then you should rinse them thoroughly under running water. After that, they are crushed and filled with vodka or alcohol (0.5 l). The resulting composition is infused in a thermos for 14 days. To take this remedy, you need to dilute it 1 teaspoon in one glass of tea. The treatment process in this case lasts a week. Then there is a break for a month.

Coltsfoot

The crushed leaves of this herb (one tablespoon) must be brewed in boiling water (1 cup). This composition should be infused for 30 minutes. Use this remedy 60 minutes before meals, one tbsp. spoon.

Alfalfa seeds

Here, too, certain proportions must be observed. Alfalfa seeds (1 teaspoon) must be poured with boiling water (100 ml). You should drink this drink 30 minutes before eating. This medication should be taken 3 times a day. Namely, in the morning, afternoon and evening for nine months. After this, you need to take a break for 30 days. Then the treatment course is repeated. This drink provides memory restoration.

Collection No. 1

In this case, you need to mix ingredients such as speedwell (10 g), lemon balm (10 g), strawberry leaves (30 g), hawthorn fruits and flowers (40 g). Then 1 tbsp. a spoonful of this composition should be steamed with boiling water (300 ml). This collection must be consumed daily. If desired, you can add honey. This recipe must be used when cerebral circulation is impaired due to the manifestation of atherosclerosis.

Mixture “Magic”

In this case, you need to chop 500 g of cranberries (you can also use frozen ones). You should add honey (350 g) and finely grated horseradish root (150 g) to it. This mixture is mixed with a mixer. After this, it must be poured into jars and refrigerated. This mixture is consumed after meals, 3 times a day, 3 teaspoons each, washed down with hot tea. The dosage of honey can be increased to 500 g. When consuming this mixture, memory is restored, cerebral circulation is stabilized, and immunity is increased.

Drugs that improve peripheral circulation

Let's consider this point in more detail. Peripheral circulation is in:

Small veins and arteries;

Capillaries;

Arterioles;

Venules of postcapillary type;

Anastamosis.

The following drugs are available to improve peripheral circulation:

1) Products based on low molecular weight dextran. These drugs help attract additional blood volumes from the intercellular space into the appropriate direction. For example, the drugs “Reopoliglyukin” and “Reomacrodex”. Products in this category improve blood flow.

2) Drugs that stabilize microcirculation. These are so-called angioprotectors. They help normalize capillary permeability, as well as improve metabolic processes in the walls of blood vessels. For example, the products “Persantin”, “Curantil”, “Flexital”, “Trental”, “Radomin”, “Vazonit”, “Doxy-chem”, “Pentoxifylline”.

3) Preparations based on prostaglandin E1. These products help improve blood flow, microcirculation, and elasticity of red blood cells. They increase anticoagulant blood activity. Also, these drugs dilate blood vessels, resulting in a decrease in their peripheral resistance and blood pressure. For example, “Vazaprostan”.

4) Calcium channel blockers. They help improve microcirculation of blood vessels in the brain. They have a cerebroprotective effect. These medications are used to improve cerebral circulation: Cordafen, Cordaflex, Nimotop, Cinnarizine, Logimax, Stugeron, Arifon, Adalat, Breynal, Kordipin, Grindeke “, “Cortiazem”, “Diacordin”, “Nafadil”, “Cinnasan”, “Latsipil”, “Norvax”, “Nifekard”, “Tsinedil”, “Foridon”, “Nemotan”, “Stamlo”, “Plendil”.

5) Myotropic antispasmodics. Drugs in this category dilate blood vessels, increasing cerebral blood flow. They are highly effective for vascular spasms in the brain. This is an important property. If the vessels are affected by atherosclerosis, then the effectiveness of these drugs is less pronounced. The disadvantage of these funds (with the exception of “Cavinton”) is the presence of the “stealing” phenomenon. That is, they dilate predominantly intact vessels, while reducing blood flow through starving areas of the brain. “Galidor”, “No-shpa”, “Drotaverine”, “Mydocalm”, “Cavinton”, “Nikoshpan”, “Eufillin”, “Spazmol”.

6) Herbal medicines. These are products made from natural raw materials. The effect of drugs in this category, unlike synthetic drugs, develops much more slowly. In this case, the manifestation of the therapeutic effect is facilitated by a combination of certain compounds. The drugs in this group are effective in the occurrence of diseases in the cerebral vessels and the manifestation of obliterating diseases in the lower extremities (“Tanakan”, “Bilobil”).

7) Ganglioblockers. These drugs promote the expansion of arterioles, small veins, and venules. Due to this, a decrease in blood pressure is ensured (“Pahikarpin”, “Dimecolin”, “Pentamine”, “Camphonium”, “Pyrilene”, “Temekhin”).

8) Bioflavonoids. Drugs in this category help improve blood flow due to the fact that they increase the elasticity of red blood cells. They also ensure the normalization of capillary blood flow (“Antoxide”, “Troxevasin”, “Venoruton”).

9) Alpha blockers. They promote the expansion of blood vessels in the intestines, kidneys, skin, especially precapillaries and arterioles, reducing their overall resistance. In this case, the blood supply to peripheral tissues improves. These are the drugs “Prazosin”, “Sermion”, “Pirroxan”, “Nilogrin”, “Phentolamine”.

10) Dopamine type receptor stimulants. These drugs have vasodilating effects. This is accomplished by stimulating dopamine receptors. Drugs of this type help to increase blood flow in the vessels located in the lower extremities (“Pronoran”).

Conclusion

After reading the above, everyone will be able to find out what means exist to improve cerebral circulation. The reference book of medications indicated in this text will help in resolving this issue.

) the functions of the central nervous system are disrupted, which can ultimately lead to disability and even death. Therefore, any manifestations of disturbances in the central nervous system require immediate medical intervention.

The reasons for the deterioration of blood supply to the brain can be functional or organic damage to the vessels supplying the brain, in particular - spasms, the occurrence of blood clots, atherosclerosis, traumatic brain injury, previous infectious disease, intoxication, and so on. In addition to acute brain damage in the form of a stroke, which leads to rapid damage to the central nervous system, chronic cerebral circulatory failure is often observed. At the same time, memory suffers, intellectual abilities decrease, behavioral and motor reactions worsen. These manifestations intensify with age and become a heavy burden for the patient and his loved ones.

Drugs with different mechanisms of action are used as vasodilators - calcium channel blockers, antispasmodics and other means, but their main disadvantage is the lack of the necessary selectivity of action. By expanding other peripheral vessels along with the brain vessels (cerebral), they cause a decrease in blood pressure, and as a result, the blood supply to the brain may, on the contrary, decrease.

Therefore, drugs that have a predominant effect on cerebral vessels without significantly affecting systemic blood flow are of greater interest. Of the calcium channel blockers that have this effect, nimodipine , cinnarizine .

A specific remedy that improves cerebral circulation is a derivative of the periwinkle plant alkaloid - vinpocetine. This remedy has an antispasmodic effect, primarily dilating the blood vessels of the brain. In addition, it normalizes metabolism in brain tissue, reduces platelet aggregation, which ultimately improves microcirculation in the vessels of the brain.

Improves cerebral and peripheral blood circulation nicergoline , xanthinol nicotinate, derivatives of gamma-aminobutyric acid.

Of the drugs that affect blood aggregation and coagulation, the most widely used, mainly for preventive purposes, are antiplatelet agents ( acetylsalicylic acid , pentoxifylline , ticlopidine) and anticoagulants. These medications are discussed in more detail in the corresponding chapters.

The main drugs of the group of cerebral circulation correctors are given below; you can get more detailed information on the website.

[Tradename(composition or characteristics) pharmachologic effect dosage forms firm]

Most nootropic drugs improve cerebral circulation. They have a direct relaxing effect on the vessels of the brain and cause the inclusion of reserve capillaries in the bloodstream. This effect is especially evident in ischemic areas of the brain. Therefore, nootropics can be used in complex therapy of mild cases of cerebrovascular accident. The spectrum of action of some nootropics includes a number of additional effects, such as anxiolytic, antidepressant and sedative.

Given their diverse properties, nootropics are widely used in various fields of medicine, including in pediatric practice. When using them, it should be taken into account that the effect develops gradually and increases as therapy progresses.

One of the representatives of nootropics is a drug of animal origin. Cerebrolysin® from the Austrian company “Ebewe”. Cerebrolysin ® (purified porcine brain hydrolysate) contains about 2000 substances, including active amino acids and peptides (25%) with low molecular weight. This drug has been used for 40 years to treat dementia(senile dementia) and consequences stroke. Cerebrolysin ® accelerates the growth and differentiation of nerve cells, activates metabolism in the brain and protein synthesis. In addition, it stimulates the formation of new blood vessels ( angiogenesis ) and vascular restoration ( revascularization ) in ischemic tissues, has the ability to reduce the damaging neurotoxic effect of stimulants mediators (glutamate and aspartate), improves mood.

The neurorestorative effects of Cerebrolysin ® are similar to those of a natural nerve cell growth stimulator, or nerve growth factor, which promotes neuronal repair. The discovery of this and other neurotrophic (that is, affecting the metabolism in nervous tissue) factors was one of the most important events contributing to the deciphering and modeling of the mechanism of action of nootropics, and was awarded the Nobel Prize.

With increasing life expectancy of the population, there is an increase in the incidence of the dementias already mentioned above (senile dementia), which is becoming one of the most pressing problems in neurology and psychiatry. The main causes of dementia include chronic neurodegenerative diseases (primarily Alzheimer's disease) and cerebrovascular insufficiency. Cerebrolysin ® can significantly slow down or even stop the progression of the neurodegenerative process. The complex neuroprotective, metabolic and neurotrophic effect determines the effectiveness of Cerebrolysin ® in the treatment of ischemic stroke (acute and recovery period) and diabetic neuropathy with pain caused by a deficiency of growth factors.

Another representative of the group of nootropic drugs is the drug Fezam produced by the Bulgarian pharmaceutical company “Balkanpharma Holding”. One capsule of the drug contains 400 mg of piracetam and 25 mg of cinnarizine.

Cinnarizine contained in this drug, in addition to the nootropic effect of piracetam, improves cerebral circulation by dilating cerebral blood vessels. In addition, it is able to reduce the excitability of the vestibular apparatus.

The main indications for the use of Phezam are:

– cerebrovascular accidents with atherosclerosis of cerebral vessels , ischemic stroke, during the follow-up period after hemorrhagic stroke, after traumatic brain injuries ;

The drug is also used to increase learning ability and improve memory in children with mental retardation. In children's practice, Fezam is recommended for correction brain dysfunction, such as fatigue, mood swings, difficulties in perceiving and remembering new material.

Clinical studies have proven that Fezam effectively reduces mental retardation, depression, hypochondria, and emotional lability. It improves memory, has a positive effect on concentration, the emotional sphere, insomnia, and reduces symptoms of isolation and lack of contact.

An equally important characteristic of the drug, in addition to its effectiveness, is its safety. Phezam can be used in adults and children over 5 years of age. The drug is generally well tolerated. Contraindications to its use are hypersensitivity to the components of the drug, severe liver and kidney diseases, parkinsonism, pregnancy, and breastfeeding.

Commonly used nootropics and some psychostimulants are listed below. Detailed information on these and other drugs can be obtained on the website.

[Tradename(composition or characteristics) pharmachologic effect dosage forms firm]

Akatinol Memantine(memantine) neuroprotective drops for oral administration; table p.o. Merz & Co.(Germany)

Actovegin metabolic dragee forte; solution d/in.; solution d/inf. Nycomed(Norway)

Biotredin(pyridoxine + threonine) nootropic, anti-alcohol, anti-withdrawal, normalizing metabolic processes table sublingual Biotics MNPC(Russia)

Gliatilin(choline alfoscerate) neuroprotective caps.; solution d/in. C.S.C.(Italy), manufactured by: Italfarmaco S.p.A. (Italy)

Glycine(glycine) anti-stress, nootropic, normalizing metabolic processes table sublingual Biotics MNPC(Russia)

Idebenone 0.03 g capsules(idebenone) caps. Moskhimfarmpreparaty(Russia)

Idebenone film-coated tablets, 0.03 g(idebenone) nootropic, metabolic stimulating, antioxidant table p.o. Moskhimfarmpreparaty(Russia)

Cardamine-Rusfar(nicotinamide) CNS stimulant, analeptic solution for oral administration Rusichi-Pharma(Russia)

Cortexin(product of animal origin) metabolic, cerebroprotective, nootropic, anticonvulsant por.liof.d/in. GEROPHARM(Russia)

Well-known drugs for relieving cerebral vascular spasms are in every home medicine cabinet. This is spasmalgol, analgin, which we quickly swallow when we have a severe headache. However, you should know that the causes of headaches may not only be spasms and the medicine may need something completely different.

When is circulatory stimulation necessary?

Tinnitus, frequent pain, and dizziness usually occur in older people. But in the era of total computerization, this problem has become much younger. The reason is limited physical mobility.

A computer operator spends the entire working day in the same position. The neck muscles become pinched and impair blood flow, and osteochondrosis worsens. The circulation of blood and brain fluid is disrupted, the brain experiences oxygen starvation.

Professionals know that memory can deteriorate after an injury. Dementia occurs in old age. Chronic alcoholics have impaired blood flow to the brain. Hypertensive patients also suffer from pressure surges causing sudden vasoconstriction.

Metabolic disorders and the deposition of fatty plaques also lead to negative symptoms:

• sharp, moving headaches;
• dizziness;
• pain in the eyes;
• nausea;
• noise in ears;
• arrhythmia;
• fainting;
• feeling of lack of air;
• complete and partial loss of consciousness;
• coldness or burning in the fingers of the extremities;
• frequent increase in blood pressure;
• forgetfulness, memory loss.

The appearance of such phenomena signals that it is necessary to restore blood circulation to the brain.

How to improve blood circulation in blood vessels

The mechanism of violations may be different. Therefore, you should not self-medicate or take pills that helped your neighbor. Buying drugs to dilate blood vessels in the brain without the supervision of a doctor is dangerous. This can make the condition worse.

One drug improves metabolism in the brain, disturbed by cervical osteochondrosis, and a completely different one treats blood flow disorders due to vascular sclerosis.

Medicines for the treatment of cerebral vessels have different mechanisms of action. To find out the exact cause of the deterioration of the blood vessels, it is necessary to undergo a general and detailed examination. Without a medical specialist, it is impossible to understand the wide variety of medications.

The doctor will prescribe exactly the drug that is suitable for solving a specific problem discovered based on the results of tests and examinations. In addition, the doctor knows which modern remedy will work faster and better in this particular case.

The effects of various drugs:

• development and strengthening of impulses sent by the brain;
• improving blood circulation;
• acceleration of metabolic processes;
• normalization of glucose absorption;
• blocking free radicals;
• restoration of blood vessels after strokes and injuries.

It is not yet possible to combine all these actions in one and the same medicine. The modern pharmaceutical industry has not yet come that far. Some pills that improve memory are prescribed even to very young patients. They are sold without a prescription and are used to relieve stress, restore sleep and performance, and improve school performance.

Vasodilators

When the functioning of the central nervous system deteriorates, doctors prescribe medications to patients to improve blood circulation in the brain. Improved blood flow normalizes metabolic processes in brain tissue.

This effect is produced by tablets against cerebral vasospasm. Medicines that evenly dilate blood vessels throughout the human body also relieve headaches and produce a calm, non-sharp effect. Because the expansion is distributed throughout the body.

Calcium antagonists (Calcium channel blockers)

By reducing the concentration of calcium ions, these drugs significantly dilate the blood vessels of the brain and heart. The mechanism of their action is that they slow down the penetration of positive calcium ions with valency 2 into the muscle cells of blood vessels and the heart. In this case, slow L-type calcium channels are used. Coronary and peripheral arteries and arterioles dilate.

The drug was successfully used for treatment of angina pectoris, with a lack of oxygen in the heart tissues. Recommended for recovery after stroke and heart attack. Reduces blood pressure during hypertensive crisis.

Adalat shows a strong effect literally after 5-10 minutes. Therefore, it should only be used with a doctor's prescription.

Cannot be used Adalat together with Rifampicin - it reduces the absorption of nifedipine, which impairs the effectiveness. Erythromycin, other antibiotics, macrolides. This provokes severe intoxication.

There are other incompatible medications. Please read the instructions for use for details.

Side effects: drowsiness, nausea and more. Allergic reaction, Quincke's edema, anaphylaxis, angioedema, urticaria.

• with myocardial infarction;
• chronic hypotension;
• liver, kidney diseases;
• unstable angina complicated by coronary heart disease;
• bradycardia;
• during pregnancy in the first months, with caution in the future.

The drug is sold in ampoules of 50 ml for 650 rubles and capsules for oral use for 650-700 rubles (50 pieces). Shelf life: 3 years.

Reviews:

The reviews write that due to many side effects and poor compatibility with other medications, Adalat is used in injections only for 2-3 days. Then they switch to tablets.

More often it is used to stop an acute heart attack before the ambulance arrives.

Prices for Adalat SL tablets 8 pcs.

Prices for Adalat SL tablets 10 pcs.

Prices for Adalat solution for infusion 0.1 mg/ml bottles

Norvask

Reduces sharply increased pressure and eliminates spasm during angina pectoris. Dilates blood vessels, increases oxygen access to tissues.

Contraindications– hypersensitivity.

Take 5 mg orally once a day. The dose may be increased to 10 mg depending on the patient's response.

Side effects:

• swelling;
• headache;
• drowsiness;
• nausea;
• fatigue;
• other.

Use with caution in patients with kidney and liver disease. Do not administer to pregnant women and children.

Interaction with other medications and juices is undesirable. You should read the drug instructions for details.

Stored for 4 years.

Norvax in 10 mg dosage tablets, 30 pieces costs 954 rubles. There is a dosage of 5 mg on sale, 30 pieces cost 470 rubles. And 14 pieces of 10 mg - 594 rubles.

Reviews positive on application. In the case of relieving angina pectoris, the drug has proven itself positively.

Prices for Norvasc tablets 10 mg 30 pcs.

Prices for Norvasc tablets 5 mg 30 pcs.

Prices for Norvasc tablets 10 mg 14 pcs.

Prices for Norvasc tablets 5 mg 14 pcs.

In case of arterial hypertension, it reduces blood pressure. Is a mild diuretic. Take one tablet per day orally in the morning.

Particular caution in diabetes mellitus and in the elderly. Do not use in case of renal failure or potassium deficiency.

Caution should be exercised when used with other medications. Read the instructions in detail.

Hypersensitivity to sulfonamide derivatives.

Thirty tablets of Arifon, with a dosage of 2.5 mg, cost 385 rubles. Shelf life: 5 years.

Patients who urgently need to lower their blood pressure remain satisfied. But they think that you need to take pills twice a day.

Prices for Arifon retard tablets 30 pcs.

Prices for Arifon tablets 30 pcs.

It has a blood pressure-lowering effect and relieves angina pectoris, treats Raynaud's syndrome.

The active substance, nifedipine, inhibits the flow of calcium ions from the intracellular space into the cells of the arteries.

Available in tablets of 10 mg - 100 pieces - 103 rubles, 20 mg (long-acting) 60 pieces - 132 rubles, 40 mg (controlled release) 30 pieces - 206 rubles, coated.

Dosage is determined individually.

Many negative side effects: tachycardia, tremor, fainting, blurred vision, etc.

Contraindications:

• acute myocardial infarction;
• cardiogenic shock;
• pressure below 90 mm Hg. Art.;
• the first months of pregnancy;
• breastfeeding time;
• age until adulthood.

Combine with alcohol and other medications carefully, read instructions.

Patients trust this drug.

Prices for Cordaflex tablets 20 mg 30 pcs.

Prices for Cordaflex tablets 20 mg 60 pcs.

Reduces blood pressure (blood pressure), dilates blood vessels (peripheral arterioles).

The active ingredient is lacidipine.

The initial dose is 2 mg per day. If necessary, the dose is increased to 6 mg.

Contraindications– myocardial infarction, diseased kidneys and liver, drug intolerance.

Side effects:

• headache;
• dyspnea;
• allergy;
• nausea.

Store for no more than 2 years.

In tablets of 4 mg, 14 pieces, Lacipil costs 744 rubles. Dosage of 2 mg, 14 pieces – 292 rubles.

Reviews from patients are positive.

Prices for Lacipil tablets 2 mg 14 pcs.

Prices for Lacipil tablets 2 mg 28 pcs.

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Prices for Lacipil tablets 4 mg 28 pcs.

It has a vasodilating effect, scientifically – vasodilating, by reducing the tone of the wall, increasing the lumen of the vessel. It has anti-ischemic properties.

Causes an increase in blood penetration into areas of the brain with insufficient blood supply. Normalizes the state of neurons, improving memory and the ability to concentrate. Improves cerebral circulation during stroke without changing blood pressure.

Contraindications:

• hypersensitivity;
• cerebral edema;
• severely low blood pressure;
• high intracranial pressure;
• severe liver disorders, cirrhosis;
• pregnancy, breastfeeding.

Side effects: headache, disturbed sleep, tachycardia, decreased blood pressure, increased activity of liver enzymes.

Shelf life: 2 years.

Take orally, 60 mg, every 4 hours for 21 days. Prescribed as early as possible after hemorrhage. For thin patients, the dose is lower - 15-30 mg.

Sweet coated tablets, 30 mg of nimodilin. From 1072 rubles.

Patients note a good effect. But not for children.

It has an antiarrhythmic effect, relieves angina pectoris and lowers blood pressure for 24 hours. Improves blood flow in the coronary system, supplying weakened areas of the myocardium, without reducing blood supply to the brain.

Indicated for hypertension, symptomatic hypertension.

Contraindicated in myocardial infarction and hypersensitivity, pregnancy, breastfeeding, cardiogenic shock.

It has contraindications and is not compatible with various medications. Read the instructions in detail.

Apply orally in the morning, without chewing, with water. 1 tablet 2 times a day. If necessary, the dose is doubled.

In tablets of 30 pieces - 916 rubles. Valid for 3 years.

Many side effects. Therefore use with caution.

Prices for Logimax tablets 30 pcs.

Has antianginal and hypotensive effects. By blocking calcium channels, it inhibits the flow of ions into the smooth muscle cells of the arteries and dilates them. As a result, the myocardium increases oxygen consumption.

It is applied for lowering blood pressure with arterial hypertension, angina pectoris.

Side effects– swelling, headache, tachycardia, allergies and much more.

Accept caution in case of renal and hepatic insufficiency. Do not drink grapefruit juice. Don't drive.

Do not drink simultaneously with cimetidine, phenytoin, carbamazeline, barbiturates. Not recommended for expectant mothers and children.

Tablets coated with a tasty layer, prolonged release, Plendil retard 5 mg, 30 pcs. – 543 rubles, dose 10 mg, 30 pcs. – 884 rubles.

Take in the morning with water. Starting dose 5 mg 1 time per day.

Those who have already taken plendil are advised to study the instructions.

Prices for Plendil tablets 5 mg 30 pcs.

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The calcium channel blocker has a pronounced effect on the blood vessels of the brain. Improves coronary, cerebral and peripheral circulation. Increases tissue resistance to hypoxia. Reduces stimulation of the vestibular apparatus.

Indicated for use:

• for strokes;
• spasms of blood vessels in the head;
• traumatic brain injuries;
• atherosclerosis;
• disruption of blood flow in the brain;
• Meniere's disease;
• migraine attacks;
• rapid mental fatigue;
• stress;
• bad memory.

Contraindications:

• high sensitivity to the drug;
• expecting a child;
• infant feeding;
• with caution in Parkinson's disease.

Side effects:

• drowsiness;
• dry mouth;
• allergic rash.

Interaction: CNS depressants, together with Cinnarizine, increase their effect.

Cinnarizine tablets 25 mg, 50 pieces, priced at 42 rubles. Shelf life: 2 years. 56 tablets cost 86 rubles.

Patients complain of drowsiness. It is believed that it is better to drink before bed.

Prices for Cinnarizine tablets 50 pcs.

Prices for Cinnarizine tablets 56 pcs.

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Indicated for use with stable angina pectoris, arterial hypertension.

Contraindications– arterial hypotension, pregnancy, breastfeeding, hypersensitivity to the drug.

Side effects– dizziness, swelling, fatigue more than usual, decreased blood pressure, blurred vision, etc.

Interaction with different means is dangerous. You should read the instructions in detail and consult your doctor.

Tablets 30 mg 60 pieces – 368 rubles. Nifecard tablets 60 mg 60 pieces – 544 rubles. Shelf life: 2 years. The initial dose is 30 mg.

Patients praise it as a good medicine for hypertension. Maintains normal pressure for a long time.

Prices for Nifecard HL tablets 30 mg 20 pcs.

Prices for Nifecard HL tablets 30 mg 30 pcs.

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Antispasmodics

The name comes from the Greek words: Spasmos - cramp, spasm; Lyticos – liberating, liberating. These drugs weaken or completely eliminate spasms of the smooth muscles of blood vessels and internal organs.

Smooth muscle is controlled by the autonomic nervous system and refers to the involuntary muscles of the intestines, blood vessels, and lymph nodes. Voluntary striated muscles are controlled by the central nervous system.

Antispasmodics relax smooth muscle tension and reduce vascular tone. Eliminate pain syndrome accompanying spasm.

Relaxes smooth muscles, does not affect the autonomic system and the central nervous system.

Prescribed:

• with hepatic colic;
• gallstones and urolithiasis;
• spasm of cerebral and coronary vessels;
• stomach ulcer, duodenal ulcer;
• threat of miscarriage.

Contraindications:

• glaucoma;
• prostate adenoma;
• pronounced atherosclerosis.

Side effects:

• dizziness;
• allergy;
• heartbeat;
• heavy sweating.

Interaction: enhances the effect of other antispasmodics.

Do not write out patients with atherosclerosis of the coronary arteries.

Price from 63 rubles. Shelf life: 2 years.

Take 1-2 tablets orally 2-3 times a day. (0.04 – 0.08 g).

Patients are satisfied, it relieves pain.

Prices for Drotaverine hydrochloride tablets 40 mg 20 pcs.

Prices for Drotaverine hydrochloride tablets 40 mg 10 pcs.

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No-shpa is a myotropic antispasmodic. Reduces tension in smooth muscles, moderately dilates blood vessels.

In terms of severity and duration of action, it is better than papaverine. Does not affect the autonomic nervous system and central nervous system.

Doctors prescribe when a patient:

• smooth muscle spasms;
• cholecystitis;
• nephrolithiasis;
• cystitis;
• tension of the uterus with the threat of miscarriage;
• headache;
• tension in the stomach and other internal organs.

Contraindications:

• severe kidney and liver failure;
• heart failure;
• hypersensitivity to drotaverine;
• lactose deficiency.

Take with caution if you have low blood pressure.

Take 1-2 tablets up to 3 times a day.

Side effects rarely occur; for details, see the instructions for use.

No-shpa tablets 40 mg, 100 pieces - cost 192 rubles. Shelf life: 5 years.

Prices for No-spa tablets 24 pcs.

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Alpha blockers

Alpha-blockers reduce blood pressure quite sharply. They act mainly by dilating blood vessels and reducing vasospasm of arterioles. These chemicals block receptors for adrenaline neurotransmitters.

The tablets significantly help older men with hypertension and difficulty urinating, and an enlarged prostate gland. In this case, they solve two health problems at the same time.

Nicergoline in tablets and ampoules

A drug that has vasodilating properties. Part of the group of alpha-blockers, it improves blood circulation in peripheral organs and the brain. Increased blood flow increases glucose and oxygen consumption. Blood supply to the extremities is normalized. Blood pressure decreases and normalizes.

Sold in tablets and ampoules. Should be taken strictly according to instructions. From 5-10 mg 3 times a day, from 1 to 2 tablets. To avoid any undesirable consequences for the patient, consult your doctor.

Shown:

• for hypertension;
• atherosclerosis;
• embolism;
• thrombosis;
• Raynaud's disease;
• migraine;
• vertigo;
• spasms of smooth muscles.

Interaction with other drugs:

• enhances the effect of antihypertensive drugs;
• antipsychotic drugs;
• It is not recommended to combine with adrenergic stimulants.

Contraindications: hypersensitivity to the drug. It is not recommended to take soon after a heart attack, bradycardia, hypotension, during pregnancy, lactation, or under 18 years of age.

The drug in ampoules should be diluted with sodium chloride. Intramuscularly, 2 times a day. Dosage: 2-4 mg. Minimum 5 days.

Tablets are dosed at 5-10 mg, taken 3 times a day, 1-2 tablets.

Tablets can be bought for 200-250 rubles, ampoules cost up to 400 rubles.

Ampoules are stored in the refrigerator. Shelf life: 3 years. Tablets – shelf life 2 years.

Reviews negative information about the drug. Due to many side effects.

Prices for Nicergoline tablets 10 mg 30 pcs.

Sermion tablets

The medicine improves cerebral and peripheral blood circulation, blocks adrenaline, and activates metabolism.

Indications for use:

• cerebral atherosclerosis;
• blockage of blood vessels in the head;
• Raynaud's syndrome;
• migraine;
• hypertensive crisis;
• arterial hypertension.

Contraindications- intolerance to the drug.

Tablets are taken orally at 5-10 mg 3 times a day at regular intervals.

Rarely, side effects occur - drowsiness, flushing, fever, mild stomach upset.

Interaction Not recommended with blood pressure lowering agents.

Fifty Sermion 10 mg tablets cost 619 rubles.

Prices for Sermion lyophilisate for the preparation of solution for injection

Prices for Sermion tablets 10 mg 50 pcs.

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Combination drugs

These drugs contain two or three drugs in their composition. It turns out to be a good combination if their effect improves the patient’s well-being. At the same time, having a positive effect on metabolism, they normalize blood pressure, soothe and saturate suffering vessels and organs with oxygen.

A vasodilator, in other words, a vasodilator, reduces the tone of the vessel wall, as a result of which the lumen becomes larger and blood flow improves.

Dry ergot concentrate blocks adrenaline receptors. The use of the drug reduces blood clotting, improves its circulation and metabolism in the brain, respiratory and vasomotor centers.

At the same time, caffeine has a stimulating effect on these centers. Physical and mental abilities increase, the feeling of fatigue disappears.

Vasobral tablets, 30 pieces, cost 1,076 rubles. One tablet contains 4 mg of alpha-dihydroergocriptine mesylate and 40 mg of caffeine. Excipients.

Prices for Vazobral tablets 30 pcs.

Composition of the drug:

• hexobendine dihydrochloride;
• etamivan;
• etophylline;
• Excipients.

Hexobendin saturates tissues with glucose and oxygen. This helps in conditions of ischemia and hypoxia. Hexobendin also stabilizes blood flow to the heart muscle and brain.

Etamivin normalizes the functioning of neuronal cells in the cortex and subcortex of the brain.

Etophylline activates myocardial nutrient metabolism, increasing cardiac output. Has a stimulating effect on the nervous system.

In combination, in the case of ischemic stroke or TBI, the patient’s consciousness is restored. The peripheral sphere is activated, neurological disorders are normalized after using Instenon.

Indications:

• vascular problems in the brain;
• age-related diseases in the vessels of the head;
• consequences of insufficient blood flow to the brain;
• conditions after a stroke;
• dizziness caused by brain disorders.

Release forms:

• tablets with a tasty outer layer (and forte);
• dragee;
• ampoules for intravenous and intramuscular injections.

Depending on the person’s condition, it is prescribed intravenously, slowly (1 ampoule 1-2 times a day) and as a dropper (1 ampoule 1-2 times a day with 250 ml of a 5% levulose solution).

The solution should be administered no faster than 3 minutes. Otherwise, the pressure may drop sharply.

As you feel better, treatment continues in tablets coated with a sweet film.

Take 1-2 tablets orally 3 times a day. Or 1 tablet forte 3 times a day, maximum 5 tablets for 6 weeks.

Side effects:

• headache;
• decreased blood pressure;
• facial hyperemia.

Contraindications:

• convulsive syndrome;
• strong excitement;
• epilepsy;
• bleeding in the head;
• and other.

For expectant mothers and breastfeeding women only according to strict indications.

The effect of the drug may be reduced when the patient drinks a lot of coffee. Blood thinning increases if you take aspirin at the same time.

Instenon tablets of 20 mg +50 mg+60 mg = 30 pieces cost 195 rubles.

Tablets of 60 mg + 100 mg + 60 mg = 50 pieces cost 491 rubles.

Instenon for intravenous injections of 2 ml, 5 ampoules cost 249 rubles.

Prices for Instenon ampoules 10 mg/2 ml 5 pcs.

Prices for Instenon tablets 50 pcs.

Prices for Instenon solution for intravenous and intramuscular administration

Drugs that reduce blood viscosity

Anticoagulants

In the hot summer, to ensure that the blood is not so thick, it is enough to drink more clean water. At any time, the daily norm is a liter, one and a half liters of water. In hot weather, it is recommended to drink 1.5-2 liters for the blood vessels of the brain. A person feels better when there is sufficient blood circulation to supply the body with oxygen and water.

However, drinking an extra glass of water is not always enough. There are medications that thin the blood. The mechanism of their influence varies.

Anticoagulants prevent high blood clotting. They are prescribed for blockage of blood vessels, hypertension, risk of stroke, heart attack. These medications are good for varicose veins. Their action is based on the ability to reduce blood viscosity.

There are direct and indirect effects. Direct-acting anticoagulants have many side effects and contraindications. They can be used only on the recommendation of a doctor and strictly follow the rules of administration. Otherwise, a person may experience internal bleeding, which can lead to death.

Warfarin belongs to the group of anticoagulants and prevents blood clotting. Prevents the growth of blood clots and the formation of new ones. Designed for long-term use. But such drugs should not be taken without a doctor’s recommendation.

Prescribed when:

• deep vein thrombosis;
• pulmonary embolism;
• atrial fibrillation;
• myocardial infarction;
• heart valve replacement.

Contraindications:

• drug intolerance;
• bleeding;
• bacterial endocarditis;
• kidney and liver failure;
• diabetes;
• childhood;
• pregnancy, lactation;
• and other.

Directions for use and dose prescribed individually in accordance with the result of a blood coagulation test. Usually this is one tablet in the morning once a day at the same time. Duration of treatment is individual.

Side effects: bleeding, anemia, vomiting, diarrhea, nausea, nephritis, hair loss, fainting and more.

Interaction with foods rich in vitamin K (potassium) reduces the effect of the drug.

Warfarin tablets 2.5 mg 100 pieces cost 182 rubles, made in Japan. Shelf life: 5 years. Russian – 91 rubles. Shelf life: 3 years.

Prices for Warfarin tablets 100 pcs.

Prices for Warfarin tablets 50 pcs.

Heparin is a direct-acting anticoagulant. Antithrombin is activated in the blood plasma, and the anticoagulant effect is accelerated. The transition of prothrombin to thrombin is disrupted. To a small extent reduces platelet aggregation.

Indications:

• thromboembolic complications;
• angina pectoris, myocardial infarction;
• thrombosis of deep, renal veins;
• bacterial endocarditis;
• other.

Contraindications: hemophilia, hemorrhagic diathesis and more.

Side effects:

• gastrointestinal bleeding;
• urinary tract;
• thrombocytopenia and others.

Interaction with antiplatelet drugs enhances the effect of the drug.

Heparin 5000 units/ml, 5 ml, 5 pieces at a price of 402 rubles. Valid for 2 years.

Heparin bottles 5000 units/ml, 5 ml, 5 pieces at a price of 394 rubles.

Prices for Heparin gel 1000 IU 30 g

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This drug is a direct anticoagulant. The blood clotting time is not greatly affected. The anticoagulant effect is due to blocking factor Xa.

Indications: acute thrombosis of blood vessels.

Contraindications: internal bleeding and others.

The instructions say that the drug cannot be injected into the muscle, but only subcutaneously. Therefore, this should only be done under the supervision of doctors.

Side effects– hematomas at the injection site, rarely anaphylactic reactions.

Interaction. Some drugs weaken the effect of fragmin.

Fragmin solution for intravenous, intramuscular administration, 0.2 ml 10 pieces costs 2569 rubles. Shelf life: 2 years.

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Provides an antithrombic effect.

Indications: thromboembolic complications during surgical interventions, prevention of blood clotting during hemodialysis.

Contraindications: thrombocytopenia, internal bleeding, intracranial bleeding.

Side effects: subcutaneous hematomas after injections.

Interaction. Do not combine with medications and foods that reduce potassium levels.

Fraxiparine in syringes of 0.3 ml, 10 pieces costs 2269 rubles.

Fraxiparine is sold in a blister with two disposable syringes of 0.3; 0.4; 0.6; 1ml. There are 1-6 blisters in a cardboard box. Maximum up to 4736 rubles.

Low molecular weight heparin preparation, 0.2 - 0.8 ml. Highly active against blood coagulation factor Xa.

Shown: as prevention of venous thrombosis in orthopedics and surgery.

Contraindications: high sensitivity to the drug, active bleeding, childhood, pregnancy.

Side effects: bleeding, hematoma.

Interaction. It is recommended to use it simultaneously with drugs that affect blood clotting.

Clexane in syringes of 40 mg, 0.4 ml, 10 pieces costs 2,646 rubles.

Syringes of 60 mg, 0.6 ml, 2 pieces cost 861 rubles. Valid for 3 years.

Antiplatelet agents (Disaggregants)

These medications reduce aggregation, that is, platelet sticking together, reducing the risk of blood clots. A wide range of drugs in this group is known. They influence platelets through different mechanisms.

The drug has an inhibitory effect on the process of platelet aggregation and also reduces vascular tone, thus improving blood circulation in the brain and heart. The working substance of the drug is dipyridamole.

Indications:

• cerebral vascular ischemia;
• prevention of arterial and venous thrombosis;
• thromboembolism after heart surgery and general surgery;
• violation of microcirculation of various types;
• similar problems.

Contraindications:

• increased sensitivity;
• myocardial infarction;
• collapse;
• severe hypertension and similar ailments;
• caution during pregnancy and lactation.

The dose is selected individually depending on the patient's condition.

Side effects:

• steal syndrome;
• heartbeat;
• tachycardia;
• dizziness;
• tinnitus, etc.

Interaction with anticoagulants is contraindicated.

Patient reviews positive. But they complain about the high cost.

Curantil 25 mg 120 tablets cost 614 rubles. Tablets of 75 mg, 40 pieces cost 741 rubles. Shelf life: 2 years.

Prices for Curantil N 75 tablets 40 pcs.

Prices for Curantil N 25 tablets 120 pcs.

Prices for Curantil 25 tablets 100 pcs.

Aspirin cardio - has an anti-inflammatory, analgesic, antipyretic agent and reduces platelet aggregation.

This type of aspirin is film-coated, which reduces stomach side effects.

Indications for use:

• prevention of myocardial infarction;
• unstable angina;
• stroke prevention;
• prevention of thromboembolism and similar problems.

Contraindications:

• stomach ulcer;
• hemorrhagic diathesis;
• renal, heart and liver failure;
• pregnancy and lactation.

Aspirin is prescribed 100-200 mg per day or 300 mg every other day if there is a risk of heart attack.

Side effects: nausea, anorexia, anemia, bleeding, allergies.

Take with caution with tablets for cerebral vessels.

Aspirin Cardio in easily soluble coated tablets, 300 mg, 20 pieces cost 90 rubles. Shelf life: 5 years.

Prices for Aspirin C effervescent tablets 10 pcs.

Prices for Aspirin Express effervescent tablets 12 pcs.

Thrombo ACC

The working substance in this drug is Acetylsalicylic acid. The tablets are coated with a soluble film to protect the stomach.

The action of the medicine is similar to the action of aspirin Cardio, since they have the same working substance.

Tablets of 100 mg 100 pieces cost 131 rubles; 100 mg 28 pieces – 55 rubles. Shelf life: 2 years.

Prices for Thrombo ACC tablets 100 mg 30 pcs.

Prices for Thrombo ACC tablets 50 mg 100 pcs.

Prices for Thrombo ACC tablets 50 mg 28 pcs.

Prices for Thrombo ACC tablets 100 mg 28 pcs.

Prices for Thrombo ACC tablets 100 mg 100 pcs.

Prices for Thrombo ACC tablets 50 mg 30 pcs.

Tiklo

The medicine prevents platelets from sticking together and prolongs bleeding time. Maximum inhibition of platelet aggregation (gluing) occurs after 8-11 days. After stopping the drug, bleeding time and other platelet functions are restored after 2 weeks.

Prescribed to take 0.25 grams orally with meals 2 times a day. Take as needed, appointment individual.

Indications for use: prevention of thrombosis.

Side effects: diarrhea, stomach pain, allergic rash.

Contraindicated patients prone to bleeding.

Tiklo should not be taken simultaneously with vasodilators for the brain.

Tablets of 0.25 grams cost from 850 to 900 rubles.

Prices for Tiklo tablets 20 pcs.

Preparations based on nicotinic acid

Nicotinic acid takes an active part in biological processes occurring in the body:

• in cellular respiration;
• receiving energy by cells;
• blood circulation;
• carbohydrate, fat, protein metabolism;
• mood;
• healthy sleep;
• heart function;
• normalization of cholesterol levels;
• in muscle function;
• condition of connective tissue;
• secretion of stomach juice;
• work of the digestive tract and intestines;
• liver function.

Cholesterol-lowering drugs improve blood circulation, overall well-being, energy, and oxygen saturation.

Working substance- a nicotinic acid.

Enduracin is a wax-based tablet form of nicotinic acid. The working substance is released slowly and absorbed within 6-8 hours. This increases the effectiveness of the drug and reduces the risk of side effects.

Indications for use:

• lipid metabolism disorders;
• cardiac ischemia;
• insufficient circulation in the brain;
• similar problems.

Contraindications:

• hypersensitivity to the drug;
• stomach and duodenal ulcers;
• pregnancy, lactation;
• very high blood pressure;
• gastritis, hemorrhages.

Prescribe from 500 to 1500 mg (1-2) tablets per day. The dose is calculated individually, based on the results of a blood test.

Side effects may be in the form of an allergic reaction, itching, redness of the skin, headache, arrhythmia, etc.

Prescribe medications with caution in parallel with Enduracin: aspirin, anticoagulants.

In tablets from 14 to 24 rubles. In solution for injection from 19 to 52 rubles. Shelf life: 5 years.

Nikoshpan is a vasodilator for the brain.

The drug is prescribed for vascular spasms, migraines, and vascular-type headaches.

Working substances – drotaverine hydrochloride (78 mg) and nicotinic acid (22 mg). 50 tablets in a container cost 50 rubles. Valid for 5 years. Take after meals.

Contraindications: renal, cardiac, liver failure.

Side effects– nausea, vomiting, fever, body redness, dizziness, allergies.

Prices for Nikoshpan tablets 22 mg + 78 mg

Prices for Nikoshpan tablets 50 pcs.

Acipimox

Its chemical structure is close to nicotinic acid. Reduces high plasma lipid levels. Clears blood vessels of fatty plaques.

A drug prescribed for hyperlipidemia that cannot be corrected by diet and exercise. The dosage is prescribed individually, 500-750 mg orally per day.

Side effects: dilation of blood vessels in the skin, with a feeling of heat, itching, and a rush of blood to the face. Headache.

Contraindications: imminent childbirth, breastfeeding, stomach ulcer.

With long-term use, monitor the condition of the kidneys and liver.

The average cost of this drug is from 180 to 330 rubles.

Nootropics

Activate metabolism in nerve cells of the brain, improving memory and thinking abilities of a person.

These medications help patients with neurological problems. After a stroke, bleeding, patients with epilepsy, Alzheimer's disease. When it is necessary to protect the brain from destruction, help nerve cells to live at the same level as healthy people.

A person taking nootropics learns better, thinks quickly, remembers new information, and copes with heavy loads and stress more easily.

The capsule contains: glycine, vitamins B 1; 6; 12.

Glycine is a metabolic drug. It regulates metabolism, reduces mental stress, increases mental abilities, improves mood, and normalizes sleep.

Shown:

• with reduced mental performance;
• in stressful situations;
• calms excited children and teenagers;
• with ischemic stroke.

Contraindicated with great sensitivity to the drug.

Side effects– possible allergies.

Take 1 capsule 2 times a day with meals. Take it for a month. Can be repeated 3-4 times a year.

Fifty tablets of Glycine 100 mg cost 40 rubles, one hundred tablets cost 78 rubles. Tablets are available sublingually and in capsules. Shelf life: 3 years.

Prices for Glycine in online pharmacies:

Phenibut

Phenibut is a nootropic drug. Improves sleep, relieves emotional stress, anxiety, fear, prolongs the effect of sleeping pills and antipsychotic drugs. It has an antioxidant, psychostimulating and antiplatelet, anticonvulsant effect.

Shown:

• with asthenia;
• fear;
• stuttering;
• nightmares, insomnia, etc.

Contraindications:

• individual intolerance;
• pregnancy, lactation;
• be careful with stomach ulcers.

Take orally after meals for 2-3 weeks. Adults: 250-500 mg 3 times a day.

Incidentally Sometimes allergies, nausea, headaches occur.

Tablets of 250 mg 20 pieces cost 106 rubles, 10 pieces cost 87 rubles. Shelf life 3 years.

Prices for Phenibut tablets 20 pcs.

Tenoten

The active component is antibodies to the brain-specific protein S-100.

Tenoten has an anti-anxiety, calming effect. Facilitates the tolerance of psycho-emotional stress. Improves memory and ability to learn.

Shown for neurotic conditions, stress disorders, memory impairment.

Contraindicated in case of individual intolerance, while expecting and breastfeeding a child.

Side effects not detected.

Forty Tenoten lozenges cost 243 rubles. For children, 40 tablets – 253 rubles. Valid for 3 years.

Prices for Tenoten in online pharmacies:

Prices for Tenoten lozenges 40 pcs.

Prices for Tenoten lozenges 20 pcs.

Piracetam

Piracetam activates associative processes in the central nervous system, improves memory, mentality, and facilitates learning. Facilitates the brain's resistance to toxicity and hypoxia.

Shown:

• with atherosclerosis;
• hypertension;
• stroke and its consequences;
• dizziness;
• depression;
• poor memory, dementia.

Contraindicated for intolerance, breastfeeding, pregnancy, infancy.

Take according to doctor's prescription.

Side effects few. But occasionally there is nausea, increased blood pressure, and more.

Tablets of 800 mg, 30 pieces cost 90 rubles. 200 mg 60 tablets – 31 rubles. Ampoules 200 mg, 5 ml 10 pieces – 50 rubles. Shelf life: 3 years.

Prices for Piracetam in online pharmacies:

Prices for Piracetam capsules 400 mg 60 pcs.

Prices for Piracetam tablets 800 mg 30 pcs.

Prices for Piracetam tablets 200 mg 60 pcs.

Prices for Piracetam tablets 400 mg 60 pcs.

Fenotropil

Improves concentration, memory, mental abilities. Positively affects blood circulation and nutrition of brain cells.

Prescribed for poor learning, convulsive conditions, obesity, chronic alcoholism.