Clinical picture
The attack will certainly be preceded by an aura, which manifests itself as follows:
- a person feels dizzy and has an irresistible desire to sleep;
- severe weakness appears throughout the body;
- in some cases, speech disorders may occur.
During an attack, nausea and vomiting may occur, and sometimes the person may lose consciousness. Severe cases are characterized by partial paralysis of half the body or paralysis of both arms and legs. Adverse symptoms may persist after an attack for a long time - from several hours or more.
The headache is localized on the left or right, radiating to the eyes, neck, lower jaw, and chin. The pain is very sharp and throbbing, often occurring in the back of the head, because this is where the basilar artery is located, which is responsible for blood circulation in the occipital lobe of the brain, brainstem and cerebellum.
An integrated approach to therapy
The most important condition for the patient’s well-being is the selection of the correct therapy and prevention of exacerbations.
Many doctors recommend that their patients keep special notebooks where they need to note the rate of change in their physiological state, as well as write down those reasons that, even indirectly, could influence the occurrence of an attack. A person must independently learn to avoid contact with provoking factors that entail such changes.
The treatment of syncopal migraine itself primarily consists of eliminating acute symptoms at the time of a headache attack. An effective drug is selected by the attending physician, taking into account all the individual characteristics of the body.
Therapy in this case will be carried out through medication. The most effective drugs include drugs from the following groups:
- Beta-blockers: Alfeprol, Oxprenolol, Practolol, Metoprolol, Talinolol - slow down and normalize the heartbeat, relieve hypertensive symptoms.
- Anticonvulsants: Carbamazepine, Valproic acid, Lamotrigine, Gabapentin - a group of minor drugs that complement beta blockers.
- Nonsteroidal drugs and analgesics have an anti-inflammatory effect, but are used only to relieve pain at the very beginning of an attack, but do not completely remove it.
- Angioprotector Betaserc - normalizes blood flow in the basilar artery, improves microcirculation in the labyrinth, stabilizes endolymphatic pressure.
To relieve an acute attack of headache, the drug Prednisone is used, which is a hormonal drug; it is very effective and quickly relieves painful symptoms. It should be taken twice a day, 4 hours apart.
In order to achieve a higher effect, it must be taken in the first minutes after the aura appears, preceding the next attack. After taking the medicine, the patient needs complete rest!
Such therapy is used when attacks occur more than several times a month. The course of treatment in this case should last 2-3 months.
The goal of therapy is to strengthen the patient’s nervous system. The doctor prescribes sedatives that increase resistance to stress and the level of emotional lability. Among them:
- Grandaxin;
- Teraligen;
- Amitriptyline.
It is also very effective during this period to undergo procedures such as:
- electrosleep;
- inhalation with air mixtures;
- massage of the cervical-collar area;
- aquatherapy.
READ MORE: Migraine sister card - Migraine
Similar drugs
| Afobazole |
|
| Adaptol |
|
| Novo-Passit |
|
| Tenoten |
|
| Biotredin |
|
| Atarax | Prescribed to relieve anxiety, reduce psychomotor agitation, eliminate internal tension, relieve irritability in neurological and mental disorders, alcoholism. |
Grandaxin - instructions
This medicine belongs to the group of tranquilizers - drugs that tend to relieve anxiety and fear. The effect of using these tablets received many positive reviews from patients. Even taking this into account, you still cannot decide to take a course of Grandaxin on your own - the instructions for using the drug state that it must be dispensed with a prescription.
This condition is logical: although today in the world around us there are many factors that can unbalance the nervous system, uncontrolled use of drugs with psychotropic effects carries many serious and sometimes unforeseen risks. For this reason, only a doctor should determine how to take Grandaxin for each specific patient.
Action of Grandaxin
According to the annotation for the drug, the active component of the tablets is tofisopam. This substance belongs to the group of daytime anxiolytics, which determines the nature of the action of Grandaxin. This medicine produces a sedative effect, but at the same time it also has disinhibiting, energizing, and activating properties. The combination of these qualities allows the medicine to be used in the treatment of a wide range of health disorders.
The instructions for the drug establish a list of disorders for the treatment of which it is recommended to use this drug. According to this document, the sedative Grandaxin is indicated for use in:
- neurosis-like states (anxiety, apathy, decreased activity and motivation, depressed mood) and neuroses;
- premenstrual syndrome, menopause;
- cardialgia;
- neurogenic muscle atrophy;
- neuromuscular diseases - myopathy, myasthenia;
- withdrawal syndrome from alcohol abuse;
- as part of complex therapy for bulimia.
There is another type of disease for which Grandaxin is indicated - the instructions for use indicate that the drug can be used for autonomic disorders. Patients note that this medicine is good at stopping panic attacks, interruptions in breathing and fainting - some of the most painful symptoms of vegetative-vascular dystonia.
You need to know that the use of Grandaxin in such cases is not the only method of treatment. During the course of therapy, the doctor may prescribe analogues of this strong tranquilizer, i.e. drugs with a similar mechanism of action. Among the names of such drugs are Alprazole, Afobazol, Adaptol, Glycine, Corvalol, etc.
The course of treatment with this drug should only be selected by a doctor. When writing a prescription, the doctor will prescribe the dosage of Grandaxin necessary to relieve symptoms and take into account individual tolerance. The specialist will also take into account the compatibility of the drug with other medications used - this will eliminate various risks when a person uses different drugs simultaneously.
READ MORE: Description of the disease migraine – Migraine
Often patients are prescribed to take 1-2 tablets (50-100 mg) up to 3 times a day. You need to drink them after meals. The maximum permissible daily dose is 300 mg of the active substance, the last tablet should be taken before 16 hours. How long you can take Grandaxin without a break is the responsibility of the doctor, he controls that the medicine has the desired effect and does not become addictive.
What are Grandaxin tablets for? Here are the indications for use of the drug:
- premenstrual syndrome;
- mental adjustment disorder;
- alcohol withdrawal syndrome;
- menopausal syndrome;
- cardialgia;
- myopathies, myasthenia;
- neurogenic muscle atrophy, as well as other pathological conditions (in case anxiolytics with muscle relaxant effects are contraindicated);
- neuroses;
- neurosis-like states (emotional stress, anxiety, autonomic disorder, apathy, worry, decreased activity).
Grandaxin is also prescribed for VSD (vegetative-vascular dystonia).
The medicine is taken orally. The dosage size is set individually depending on the general condition of the patient, individual tolerance to the drug and the clinical form of the disease. Adults are usually prescribed 1-2 tablets per day (50-100 mg) up to 3 times a day. For irregular consumption, the dose is set at 1-2 tablets.
The maximum allowed dose per day is 300 mg.
Instructions for Grandaxin for elderly people (over 65) and patients with kidney failure: the daily dose of the drug is reduced by 2 times.
Before taking the medicine, be sure to consult your doctor.
The main indication for use is conditions that are accompanied by emotional stress and moderate fear. The drug is taken for disorders accompanied by vegetative disorders and apathy.
In addition, the drug is taken:
- in conditions accompanied by reduced activity;
- obsessive experiences;
- premenstrual syndrome;
- during menopause;
- for post-traumatic stress disorders;
- impaired psycho-emotional adaptation;
- myasthenia gravis;
- myopathies;
- chronic alcoholism.
The entry of any drug into the body does not mean that the mental state will immediately improve, consciousness will become clearer, and thoughts will normalize. In a healthy person, the function of the cerebral cortex is inextricably linked with the functional state of the subcortical regions.
How much Grandaxin to drink for VSD is a question that falls under the competence of the doctor. The dosage is prescribed individually depending on the patient's condition.
Doses and duration of treatment
Like any tranquilizer, Grandaxin requires a preliminary health examination. Only after this the doctor prescribes an individual dosage, which he controls throughout the entire treatment period.
Most often, 1-2 tablets are taken twice/thrice a day. The drug is swallowed with a sufficient amount of water. The degree of action of the drug does not depend on food intake.
Naturally, the drug is not used “one-time”; for VSD, it is prescribed for a course of up to 3 months. But as the effect manifests itself, the doctor may change the dosage regimen.
Indications for use
The drug should not be taken in the following cases:
- hypersensitivity to any component of the drug;
- 1st trimester of pregnancy, breastfeeding;
- psychomotor agitation, aggressiveness, depression;
- decompensated respiratory failure;
- respiratory arrest syndrome (during sleep).
READ MORE: Diacarb for intracranial pressure
The drug should not be used simultaneously with Sirolimus, Tacrolimus, or Cyclosporine.
The drug contains lactose monohydrate, so it is not recommended for patients with galactose intolerance, congenital lactase deficiency, as well as patients suffering from glucose and malactose malabsorption syndrome.
The main contraindication is hypersensitivity to the components of the drug.
Also, taking the drug is prohibited in the following cases:
- with respiratory failure in decompensated form;
- psychosis and psychopathy, accompanied by severe psychomotor agitation;
- pregnancy and breastfeeding.
Panic disorder
Panic disorder is located in the International Classification of Diseases, Tenth Edition, in the section “Mental Disorders and Behavioral Disorders,” which means that when treating panic attacks, the main attention should be paid to the psyche, and only then to physiology. This is why there are differences in treatment methods. For example, for panic disorder, the main therapeutic modality is psychotherapy and antidepressants. According to foreign statistics, thanks to antidepressants, improvements occur in 80% of patients, and psychotherapy – in 85% of patients with this disorder.
Grandaxin price, where to buy
The cost of this drug will differ slightly depending on how a person decides to purchase it. Thus, it is convenient to buy medicine in an online store - order it from a catalog, or you can also purchase it at a regular pharmacy. The price of Grandaxin, according to most of the announced offers, varies from 345 to 455 rubles per package of 20 tablets, and a package of 60 tablets is sold for 745-975 rubles.
Important: the price of the original drug cannot be much lower than the average cost of Grandaxin. When choosing where to buy tablets, you need to take into account that they are not only sold inexpensively, but also purchase them from a trusted place. People who need this medicine, which affects the nervous system, need to approach such a purchase responsibly so that instead of the expected benefit from the course of treatment, they do not cause significant harm to their health and well-being.
The price of Grandaxin tablets in Russia is: a package of 20 tablets - 220-260 rubles, a package of 60 tablets - 475-538 rubles. You can buy the drug in Moscow at any pharmacy if you have a prescription from a doctor.
Price in Ukraine: the cost of a package of 20 tablets is 150 UAH, a package of 60 tablets is 215 UAH.
Here are the average prices for the medicine; to find out exactly how much Grandaxin costs in your region, you need to contact the pharmacy directly.
Overdose
Using the drug Grandaxin in excessive doses increases the risk of developing overdose symptoms. If you observe vomiting, confusion, depressed breathing, or epileptic attacks, you should urgently consult a doctor. It is important not to take any action on your own to prevent the absorption of medications, so you should not try to induce vomiting and rinse the stomach yourself. The only thing that can be done is to take a sorbent, for example, activated carbon, and any laxative, and then go to a medical facility or call an ambulance.
Reviews of Grandaxin
Feedback from experts: with proper dosage and use of the drug, it has a positive effect with minimal side effects.
Doctors' reviews of Grandaxin: this drug is often prescribed by doctors for nervous disorders; it has a sedative effect and helps relieve anxiety and tension.
Patients note a positive effect from taking the drug, which occurs approximately a week after the start of the course. Many also note side effects such as drowsiness, dizziness and weakness.
The drug effectively eliminates one of the most common symptoms during menopause: neurotic disorder.
There is no information on this drug on Wikipedia, but you can find an article about the active substance - tofisopam.
How I cured VSD (panic attacks) with a psychotherapist forever. Part 1
6 years of torment for me are over forever, but someone is now experiencing the same thing that I was then - my whole life has curled up around thoughts of how to even live the next day, how to avoid panic and pain, how to find strength in an exhausted body and soul for all this.
I have a personal blog on Instagram, where I talk about my treatment experience, give useful advice, and in general - together we are strong
Source: https://zen.yandex.ru/media/id/5d6ace799c944600adb7633f/kak-ia-vylechila-vsd-panicheskie-ataki-u-psihoterapevta-navsegda-chast-1-5d87099323bf4800ae33e3fa
