Milgamma – instructions for use

Milgamma – a complex product containing vitamins of group B. The drug is available in various forms, both for oral use and in solution for injection. The main purpose of the drug is therapy for neurological pathologies involving impaired conduction of impulses in the nerve tissue. The effectiveness of the drug in the treatment of diseases and pathologies of the musculoskeletal system is due to the effect of B vitamins on inflammatory and degenerative processes and the relief of pain. Instructions for use of Milgamma describes general recommendations on doses, frequency and duration of treatment, so the drug is taken only after consulting a doctor in accordance with the individual appointment.

Milgamma Release Forms

In the market, the drug is present in two forms: tablets-pills and solution for injection. The injection form is considered more preferable due to the rapid penetration into the bloodstream and increased efficiency of absorption and exposure, while eliminating the processing factors of the components of the drug in the digestive tract.
Milgamma Compositum in the form of tablets for oral administration and solution for injection have differences in the composition of the drug.

Composition of dosage forms and features of pharmacological action

A complex active ingredient – vitamins of group B. Both dosage forms include pyridoxine (B6), enhancing metabolic processes in organs and tissues, improving the conductivity of nerve impulses and affecting the production of hemoglobin. The combination of pyridoxine and other members of group B affects the formation of hormones such as serotonin, histamine and adrenaline.
Thiamine (B1) provides regulation of the energy resource of tissues and cells, affects the process of carbohydrate conversion. In tablet form, B1 is included as a benfotiamine.
The solution for injection is enriched with cyanocobalamin, vitamin B12. It affects the severity of pain, providing a moderate pain-suppressing effect, and reduces the risk of anemia.
Milgamma injections provide a pronounced local analgesic effect due to the presence in the composition of lidocaine, painkiller, quickly relieve pain. The use of lidocaine helps to restore motor functions damaged due to neurological disease or pathology of the musculoskeletal system.

When is Milgamma prescribed?

The drug is usually administered as part of a combination therapy to reduce the severity of inflammation and reduce pain when diagnosing the following pathologies and diseases:

• neuralgia, neuritis;
• lesions of nerve tissue of non-inflammatory etiology;
• paresis of the facial nerves, accompanied by a violation of the motor functions of the facial muscles;
• convulsive syndrome;
• multiple lesions of peripheral nerve endings;
• plexopathy;
• retrobulbar neuritis;
• inflammation of the nerve ganglia;
• osteochondrosis.

It is also used in the event of night cramps of the gastrocnemius muscle. When indications may be included in the treatment of diseases caused by herpesovirus.

Instructions for use: dose and duration of treatment courses

Dosages, methods of administration and the course of therapy depend on both the individual characteristics of the patient and the form of the drug.

Milgamma in injection solution

Distinguish the use of the medication for the relief of acute attacks and in the course of therapy. To relieve pain, a single dosage is prescribed in 2 ml (one ampoule) intramuscularly. The duration of therapy for acute attacks depends on the condition of the patient, injections are performed daily until the stage of achieving a stable state.
Maintenance treatment is carried out at a dose of 2 ml per injection with a frequency of 2 days.

Tablet form of the drug

Milgamma tablets and dragees are used in general courses and supportive therapy against the background of a stable condition of the patient without pronounced and acute attacks. Reception course – 30 days, 1 tablet per day.
With exacerbation of the disease and the inability to use the injectable form, the dosage is up to 3 pills per day. Take 1 tablet with equal time intervals.

Contraindications and side effects of the drug

The main contraindications include heart failure in the decompensated stage, impaired conduction of the heart muscle, as well as individual sensitivity to the drug components.
Milgamma in both forms is contraindicated for children under 16 years of age due to an elevated vitamin content compared to the age limit. The use of this drug in children can lead to hypervitaminosis and deviations in the functioning of organs and systems.
The use of Milgamma during the gestational period and lactation is not contraindicated, however, it is not recommended by manufacturers due to the lack of data on the testing of the composition for this group of recipients.
With caution prescribed medication while taking other drugs and vitamin complexes containing pyridoxine, thiamine, cyanocobalamin because of the danger of overdose.

Likely side effects

The probability of side effects is extremely low, but we can not exclude the possibility of increased individual sensitivity to the composition of the drug. Most often with the manifestation of side effects note reactions from the skin: itching, rash, urticaria. With the injection method of drug administration, local reactions are possible, as a rule, due to excessively high rate of injection of the solution or violations of aseptic requirements.
The following side effects are less common:

• on the part of the digestive tract – nausea, vomiting;
• on the side of the skin and mucous membranes – a feeling of dryness, peeling, complaints about the skin of the lips, face mainly occur;
• depressed respiration;
• increased drowsiness, confusion episodes;
• disturbances in the rhythm of the heartbeat;
• convulsive syndrome;
• increased sweating;
• anaphylactic shock.

Any adverse effects when taking the drug is a reason for immediate medical attention.
Normally, the drug does not adversely affect the reaction rate and mental functions, which allows it to be used when driving a car and during work that requires high concentration of attention.

Analogs and Substitutes

There are many structural analogues containing B vitamins. If necessary, you can use Binavit, Combipilen, as well as individual B vitamins and lidocaine. It is important to consult a doctor before replacing the drug, since not all analogues have the same number of components, and replacement with a set of vitamins requires compliance with the rules of administration of various active substances to ensure the desired therapeutic effect.