Острый и восстановительный периоды тяжелой ЧМТ и ишемического инсульта, восстановительный период геморрагического инсульта, протекающие с очаговой полушарной симптоматикой или симптомами поражения ствола мозга; психоорганический синдром на фоне дегенеративных и инволюционных изменений мозга; хроническая недостаточность мозгового кровообращения; когнитивные ...
Действующее вещество: Холина альфосцерат (Choline alfoscerate)Концентрация действующего вещества (мг): 400
Фармакологические свойства
Холиномиметик центрального действия, в составе которого содержится 40.5% метаболически защищенного холина (метаболическая защита способствует выделению холина в головном мозге). При попадании в организм расщепляется под действием ферментов на холин и глицерофосфат: холин участвует в биосинтезе ацетилхолина - одного из основных медиаторов нервного возбуждения; глицерофосфат является предшественником фосфолипидов (фосфатидилхолина) нейронной мембраны. Препарат обеспечивает синтез ацетилхолина и фосфатидилхолина в нейрональных мембранах, улучшает кровоток и усиливает метаболические процессы в ЦНС, активирует ретикулярную формацию; увеличивает линейную скорость кровотока на стороне травматического поражения мозга, способствует нормализации пространственно-временных характеристик спонтанной биоэлектрической активности мозга; оказывает положительное влияние на познавательные и поведенческие реакции больных с сосудистыми заболеваниями головного мозга. Препарат улучшает функции мозга, воздействуя на патогенетические факторы инволюционного психоорганического синдрома, изменяет фосфолипидный состав мембран нейронов и снижает холинергическую активность. Дозозависимо стимулирует выделение ацетилхолина, участвуя в синтезе фосфатидилхолина (мембранного фосфолипида), улучшает синаптическую передачу, пластичность нейрональных мембран, функцию рецепторов.
Показания к применению
Острый и восстановительный периоды тяжелой ЧМТ и ишемического инсульта, восстановительный период геморрагического инсульта, протекающие с очаговой полушарной симптоматикой или симптомами поражения ствола мозга; психоорганический синдром на фоне дегенеративных и инволюционных изменений мозга; хроническая недостаточность мозгового кровообращения; когнитивные расстройства (нарушения мыслительной функции, памяти, спутанность сознания, дезориентация, снижение мотивации, инициативности и способности к концентрации внимания), в т.ч. при деменции и энцефалопатии; старческая псевдомеланхолия.
Применение при беременности и в период грудного вскармливания
Препарат противопоказан к применению при беременности и в период лактации (грудного вскармливания). В экспериментальных исследованиях не выявлено мутагенного и тератогенного действия препарата, а также влияния на репродуктивные функции.
Способ применения и дозы
При острых состояниях препарат вводят в/м или в/в (медленно) в суточной дозе 1 г (1 ампула) на протяжении 10-15 дней, затем переходят на пероральный прием препарата в суточной дозе 1.2 г (по 800 мг /2 капс./ утром и 400 мг /1 капс./ днем) в течение 6 мес. При хронических состояниях: внутрь по 0,4 г (1 капс.) 3 раза в сутки, предпочтительно до еды. Продолжительность лечения составляет 3–6 мес.
При возникновении тошноты после приема препарата следует уменьшить дозу. Влияние на способность к вождению автотранспорта и управлению механизмамиЦерепро не оказывает влияния на быстроту психомоторных реакций.
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