TOP 6 analogues of Ceraxon by active ingredient in ampoules and tablets

Has restrictions during pregnancy

Prohibited during breastfeeding

Prohibited for children

Allowed for older people

Has limitations for liver problems

Has limitations for kidney problems

Ceraxon is a popular effective drug from the group of nootropics. The drug is prescribed for the treatment of various neurological disorders associated with degenerative processes in brain structures or vascular damage. The drug is produced in 2 dosage forms:

  • solution for intravenous and intramuscular administration;
  • solution for oral administration.

The active ingredient of the drug, citicoline, has a wide spectrum of action. With regular use, it has a positive effect on brain cells - preventing their death, restoring damaged membranes. This helps reduce the severity of neurological symptoms due to brain damage due to stroke, TBI and other factors.

pharmachologic effect


Manufacturer: Ferrer International, Spain
Release form: oral solution, injection solution

Active ingredient: citicoline

Synonyms: Noocil, Recognan, Naypilept, Encetron

The effect of the drug is due to the substance citicoline, which is a natural endogenous compound. The product has a wide spectrum of action:

  • restores damaged brain cell walls;
  • prevents cell death;
  • reduces the volume of affected brain tissue;
  • accelerates recovery after traumatic brain injury;
  • improves attention and memory.

Once in the body, citicoline is quickly absorbed, reaches the brain cells and is integrated into them.

Main properties of the medicine

Citicoline has a neurometabolic, nootropic spectrum of action. Due to him:

  • the rate of cell death is prevented or reduced;
  • damaged membrane films are restored;
  • accelerated formation of free radicals, etc. is prevented.

In case of acute stroke, the drug helps the amount of tissue damage and stimulate the functioning of cholinergic receptors. The medication accelerates the recovery process after TBI, reduces the time of coma after injury, and suppresses neurological symptoms.

With constant oxygen starvation of parts of the brain, effectiveness is noted in relation to:

  • to cognitive disorders;
  • self-care problems;
  • forgetfulness issues.

The medicine is used for the treatment of neurological, motor pathologies, with vascular or degenerative origin.

The product has high bioavailability; processing processes take place in the liver tissues. Choline and cytidine, which arise during metabolism, are embedded in the membranes of cellular structures and form parts of phospholipid fractions. Up to 15% of the medication is excreted through the kidneys, the remaining part is excreted together with exhaled carbon dioxide. After 36 hours, the components completely leave the body.

Ceraxon - instructions for use

The dosage regimen and medication regimen are calculated based on the form of release, the condition and age of the patient.

In the acute period of stroke or TBI, the drug is administered intravenously at 1000 mg twice a day for 3–5 days. Then 1 sachet or 10 ml 2 times a day. The course of treatment is at least 1.5 months.

During recovery, the dosage of Ceraxon is 500-2000 mg per day, and the duration of therapy is set individually.

How to take Ceraxon: before or after meals

According to the instructions for use, Ceraxon is taken between or during meals. If necessary, the solution is diluted in ½ glass of water.

Foreign analogues of the active substance

Foreign-made products are more expensive, but are almost identical in effectiveness to Russian products.

Somazina

Somazina is a psychostimulant with nootropic properties containing citicoline. The drug is prescribed to improve cognitive abilities in the following pathologies:

  • motor, cognitive disorders;
  • acute phase of cerebral ischemia (stroke);
  • treatment after impaired cerebral microcirculation;
  • head injuries;
  • various etiologies of encephalopathy;
  • coma state for a long period of time;
  • surgical treatment in parts of the brain;
  • parkinsonism.

The drug is not prescribed for the following reasons:

  • allergy to the composition of the medicine;
  • high tone of the parasympathetic nervous system;
  • childhood and lactation.

Pregnant women are prescribed medication as a last resort, under the supervision of a doctor.

The solution should be used orally: the contents of the sachet are dissolved in 100 ml of water. 1 sachet contains 500 mg of active ingredient. Daily dosage – 1-2 sachets.

For elderly patients, the dosage is not adjusted.

Possible adverse reactions:

  • skin allergies;
  • dyspepsia;
  • headache and vertigo;
  • tachycardia and blood pressure fluctuations;
  • dyspnea.

Somaxon

Somaxon is a psychostimulant and nootropic drug with the main ingredient citicoline, which improves cerebral circulation and accelerates the delivery of oxygen to brain cells. The drug is produced in the form of an injection solution in ampoules with a dosage of the main component of 500 and 1000 mg.

Somaxon is prescribed in the following cases:

  • cognitive and sensory impairments;
  • motor disorders caused by ischemia of the brain;
  • stroke at the acute stage of development;
  • post-stroke rehabilitation period;
  • head and brain injury;
  • encephalopathy of different origins;
  • prolonged stay in a coma;
  • swelling in the brain due to surgical treatment.

It is prohibited to prescribe medicine to patients for the following reasons:

  • intolerance to the components of the drug;
  • increased tone of the parasympathetic part of the NS.

Also not prescribed during the lactation period. During pregnancy, medication is prescribed only for reasons of vital necessity.

The solution can be injected either into a vein (drip) or deep into the muscle fibers (slowly). Dosages depend on the pathology and range from 500 to 2000 mg. Treatment regimen for the acute phase of cerebral ischemia:

  • 1-14 days of therapy – 500-1000 mg twice a day (drops);
  • 15th and subsequent days – 500-1000 mg intramuscularly;
  • The duration of the medication course is 3 months.

Side effects:

  • skin allergies - urticaria, hyperemia and itching;
  • vertigo;
  • tachycardia and pressure fluctuations;
  • dyspnea;
  • dyspepsia.

Citicoline

The main active ingredient in the drug is citicoline. This medication is the main structural analogue of Ceraxon and is manufactured in tablet form.

Indications for the use of Cytocoline are impairments in cognitive functions due to insufficient blood supply to parts of the brain. The drug is also taken during rehabilitation after brain injury, hemorrhagic and ischemic strokes.

Citicoline should not be used during lactation, or if the patient’s body is hypersensitive to the components of the drug.

The tablets must be taken orally, regardless of meals. Standard dosages for improving cerebral circulation and increasing metabolism in brain cells are 1-4 tablets per day (500-2000 mg).

Adverse reactions occur infrequently, some patients report the following symptoms:

  • skin rashes and itching, skin hyperemia and bronchospasms;
  • dyspepsia, diarrhea, nausea;
  • sleep disturbance, dizziness and headache;
  • depression;
  • heart rhythm disturbances and blood pressure fluctuations.

See also:

TOP 10 analogues of Cavinton - a substitute in tablets and other forms

Cerakson's analogs

The modern pharmaceutical market offers a wide range of nootropic drugs analogues of Ceraxon based on the active substance or mechanism of action in tablets, solution for injection and oral administration. Medicines may differ in composition, action and dosage regimen.

List of Ceraxon analogues with prices

Name of analogueManufacturer countryRelease formAverage cost in rubles
CeraksonSpainbottle690
sachet1490
ampoules680-1150
ActoveginRussiapills1530
ampoules620-1580
CeretonRussiacapsules570
ampoules380-580
CavintonRussiapills110-210
ampoules240
PiracetamRussiapills60-140
ampoules100
NootropilFrancepills258
bottle323
FezamSerbiacapsules310
PantogamRussiasyrup420
pills440-670
PicamilonRussiapills117
ampoules150
CortexinRussiabottles1400
CereproRussiacapsules650-960
ampoules380-520
MexidolRussiapills270-500
ampoules460-830
RecognanSpainbottle420
sachet1250
ampoules580-900
GliatilinItalybottle725
capsules720-2530
ampoules590
CerebrolysinGermanyampoules1045-2900
CeretonRussiaampoules380-570
capsules560-1500
CytoflavinRussiaampoules620-1060
pills450-680
EncephabolAustriabottle1030
pills915

There is often a question about what can replace Ceraxon for an adult or which drug is better. All ambiguities associated with the choice of medication should be resolved by the attending physician.

Ceraxon or Cortexin - which is better for the elderly


Manufacturer: GEROPHARM LLC, Russian Federation
Release form: lyophilisate for preparing a solution for intramuscular administration

Active ingredient: polypeptides of the cerebral cortex of cattle

Synonyms: Cellex

Analog of Ceraxon - Cortexin injections. The medication has a noopropyl and antioxidant effect, improves metabolism in nerve cells and protects them from toxic effects. Cortexin is indicated for cerebrovascular accidents, encephalopathy, head injury, cerebral palsy, and developmental delay in children.

The analogue is administered intramuscularly 1–2 times a day, after dissolving the contents of the bottle.

Cortexin and Ceraxon have different compositions, but similar action and effectiveness, which is confirmed by numerous reviews. Both drugs can be used in older people without dose adjustment.

Substitutes for therapeutic effect

In some cases, medications are required that have a different active substance (for example, if you are intolerant), but have a similar therapeutic effect.

Vinpocetine

The action of a medicine based on vinpocetine is aimed at improving cerebral blood flow and metabolism, as well as normalizing blood viscosity. The spectrum of action of the product is very wide, in particular:

  • stroke;
  • TBI;
  • cerebral atherosclerosis;
  • encephalopathy;
  • spasm of cerebral vessels;
  • vascular dementia;
  • motor and cognitive disorders;
  • thrombosis of eye vessels, glaucoma, retinal changes;
  • hearing impairments of various nature;
  • vasovegetative disorders associated with menopause.

This medication is prohibited for use in the presence of heart problems - coronary artery disease, severe arrhythmia, as well as in children under 18 years of age; pregnant and breastfeeding women.

Piracetam


Piracetam, which is the basis of the drug of the same name, is a nootropic substance that is a cyclic derivative of gamma-aminobutyric acid (GABA). Its main effect is to improve connections between the hemispheres of the brain and synaptic transmission in neocortical structures, as well as improve cerebral blood flow. It is used for the symptomatic treatment of intellectual-mnestic disorders (if there is no diagnosis of dementia) and for myoclonus (involuntary muscle contractions).

Contraindications for its use are:

  • intolerance to piracetam and pyrrolidone derivatives;
  • hemorrhagic stroke;
  • Huntington's chorea;
  • severe chronic renal failure;
  • age up to 3 years;
  • severe hemorrhagic disorders.

Noobut

This is a psychostimulant and notropic drug based on phenibut. Available in the form of tablets for oral administration of 100 or 250 mg of the active ingredient. The main advantage is its mild action and lack of pronounced toxicity. It can be prescribed to children to treat stuttering, urinary incontinence, and nervous tics.

For adults, the medicine helps cope with insomnia, emotional lability, stress, nervousness, and asthenia. The drug is also prescribed to prevent motion sickness and to eliminate withdrawal symptoms.

Glycine

Glycine is an amino acid that is produced by the human body. To compensate for its deficiency, a synthesized analogue is used. When consuming the substance, there is an improvement in metabolism in the brain.

Glycine has antidepressant, antitoxic, antioxidant and sedative effects. It is prescribed to improve intellectual and thinking abilities, eliminate neuroses, sleep problems, and also as part of a comprehensive treatment of alcoholism.

Cortexin


A drug based on polypeptides from the cerebral cortex of cattle is classified as a neurostimulant. It is available in the form of a lyophilized powder, from which a solution for injection is prepared. The main actions are nootropic, neuroprotective, antioxidant.

Cortexin is prescribed as an adjuvant for:

  • stroke and TBI;
  • asthenia;
  • encephalopathy;
  • epilepsy;
  • cerebral palsy;
  • delayed speech and psychomotor development in children.

Cerakson or Mexidol - which is better for blood vessels, what is the difference


Manufacturer: ZiO-Zdorovye CJSC, Russian Federation
Release form: tablets, solution for intravenous and intramuscular administration

Active ingredient: ethylmethylhydroxypyridine succinate

Synonyms: Mexicor, Mexicofin, Neurox

Mexidol is a domestic analogue of Ceraxon, produced in ampoules and tablets. The drug has a wide spectrum of effects. The substance that is part of Mexidol has a nootropic, anticonvulsant effect, protects cells from destruction, and eliminates the lack of oxygen in the body.

Mexidol is prescribed for the following conditions:

  • cerebral circulatory disorders;
  • vegetative-vascular dystonia;
  • consequences of concussion;
  • stress and anxiety conditions;
  • acute period of myocardial infarction;
  • poisoning with alcohol, psychotropic drugs.

The dosage and regimen of taking the medication are selected by the doctor individually.

It is impossible to answer which medicine is best for blood vessels. Many years of practice have shown that Ceraxon and Mexidol are complementary drugs. Joint use is used by neurologists for TBI, strokes, and cerebrovascular accidents.

Structural analogues of Citicoline in Russia

Medicines that can be used to replace the original drug are divided into two large groups. One of them includes those developed with the same active ingredient. They have identical mechanisms of action, indications and similar methods of use.

It is worth noting that in Russia Citicoline is not sold under the same name. The trade name of the drug is Ceraxon.

Generic drugs include:

  1. Naypilept.
  2. Recognan.
  3. Ceresil.
  4. Somazina.

Before replacing a prescribed drug, you should consult your doctor.

Cerakson

Ceraxon was developed on citicoline and is also included in the group of nootropic drugs. Under its influence, the function of ion exchange pumps in the cell membranes of the central nervous system (CNS) is normalized due to the formation of new phospholipids.

The drug affects the mechanisms of apoptosis, thereby protecting cells from death. In case of oxygen starvation of the brain, the drug helps eliminate cognitive deviations.

Prescribed for diagnosis:

  • acute ischemic stroke;
  • hemorrhagic stroke;
  • vascular diseases of the brain.

LP also helps reduce the duration of post-traumatic coma and is used during the rehabilitation period after a traumatic brain injury.

The list of contraindications includes:

  • individual intolerance to components;
  • pronounced vagotonia;
  • fructose intolerance.

For the treatment of acute stroke, doctors prescribe 1000 mg twice a day. It is recommended to give 50 mg to newborns, and 10 mg to children over 3 months. Treatment of children should be carried out under the supervision of a doctor.

Ceraxon is a structural analogue of Citicoline. These are absolutely identical drugs.

Naypilept

The role of the main active ingredient in the nootropic drug is citicoline. This substance is a natural endogenous compound. After penetration into the body, it restores damaged membranes, prevents excessive release of free radicals, and blocks the effects of phospholipases.

The therapeutic effect occurs when treating:

  1. Acute form of ischemic stroke (IS).
  2. Cognitive or behavioral disorders that manifest themselves against the background of vascular pathologies.
  3. Traumatic brain injuries.

Often drugs are prescribed to eliminate the consequences of a hemorrhagic stroke.

Doctors include the following conditions for which it is not recommended to use Neypilept:

  • increased susceptibility to components;
  • childhood;
  • pregnancy/lactation;
  • vagotonia.

When diagnosing an acute period of IS, it is recommended to take the medicine 1000 mg every 12 hours. During the recovery period, the daily dose ranges from 500 to 2000 mg, depending on the severity and characteristics of the disease.

Neypilept and Citicoline are complete analogues. They have the same composition and indications for use. The drugs differ by country of origin. The generic is a domestic drug, and the original is produced in Spain.

Recognan

The drug is included in the pharmacotherapeutic group of nootropics. Its mechanism of action is due to citicoline. It has nootropic and neuroprotective properties. Shows therapeutic activity in chronic forms of cerebral ischemia, cognitive impairment, and dementia. Gently eliminates absent-mindedness, lack of initiative and apathy, normalizes self-care skills and improves memory.

It is recommended to use this medication for the treatment of:

  1. Acute AI.
  2. Traumatic brain injuries (hereinafter referred to as TBI).
  3. Behavioral disorders and cognitive disorders.

In general, the medicine is quite well tolerated by patients, but doctors highlight a list of conditions in the presence of which it can negatively affect the general condition. It includes pregnancy, breastfeeding, childhood, hypersensitivity to components, fructose intolerance and increased tone of the parasympathetic part of the autonomic nervous system.

The solution is intended for oral administration. Should be taken before or after meals. For the treatment of acute stages of IS, 1000 mg is prescribed twice every 24 hours. The maintenance dose is 500-2000 mg. The exact amount of drugs is determined by the attending physician.

Recognan, like the original medication, effectively eliminates unpleasant symptoms and exhibits a high degree of therapeutic activity. These are complete analogues that have no differences except the price.

Ceresil

Ceresil is a nootropic drug. Manufacturers used citicoline as the main component. This natural compound has a fairly wide spectrum of action and is prescribed for vascular diseases, injuries, and motor neurological disorders. It has a nootropic and neuroprotective effect.

Helps improve attention and memory, prevent cell death, and accelerate the recovery process after a TBI.

Main indications for use:

  • AI in the acute period;
  • TBI and rehabilitation period;
  • behavioral/cognitive disorders that manifest themselves with the progression of vascular or degenerative diseases;
  • recovery period after hemorrhagic stroke.

Before use, you must read the list of contraindications. It includes:

  • obvious signs of vagotonia;
  • increased susceptibility to components;
  • poor tolerance to fructose.

The standard instructions indicate that the product is not suitable for use in pediatrics. However, doctors often prescribe it to children with problems with speech development and other neurological pathologies.

Syrup for internal use can be diluted with a small amount of water. A single dose for adult patients is 1000 mg. The course of treatment can last for six weeks. To maintain the condition, doctors recommend taking from 500 to 2000 mg per 24 hours. In old age, you do not need to adjust the daily dose if the drug does not cause negative reactions.

The structural analogue fully corresponds to the original drug. They have identical properties and are based on the same substance, but the analogue is slightly cheaper.

Somazina

The nootropic drug is available in the form of syrup for oral administration. It is developed on the basis of citicoline. It has nootropic and psychostimulating properties. Leads to normalization of the functioning of ion pumps and receptors, reabsorption of brain swelling, and reduction in the production of free radicals.

It is advisable to take the medicine when diagnosing:

  1. AI in the acute stage.
  2. TBI and its consequences.
  3. Cognitive deviations.
  4. Behavioral disorders under the influence of progressive vascular disease.

If you have vagotonia and hypersensitivity to the components of the medication, taking it is strictly prohibited. It is also not advisable to prescribe the drug to patients who exhibit impaired tolerance to fructose, since it contains sorbitol.

The duration of treatment and dosage are selected by the attending physician, based on the diagnosis. The manufacturer's instructions indicate that the product is taken three times a day, 200 mg. The maximum allowable amount is 2000 mg.

Somazina is a complete analogue of Citicoline. The only difference is the cost.

See also:

TOP 10 analogues of Cerebrolysin - cheap substitutes for the drug in ampoules and tablets

Ceraxon or Cerepro - which is better?


Manufacturer: JSC Veropharm, Russian Federation
Release form: capsules, solution for intravenous and intramuscular administration

Active ingredient: choline alfoscerate

Synonyms: Noocholin, Nooprin, Cereton

Cerepro is a substitute for Ceracson in sachets and ampoules. The medicine has a nootropic effect, stimulates the production of an important compound, choline, in the brain, improves memory and attention. The analogue is used in the acute and recovery period for stroke and concussion, encephalopathy, dementia and senile dementia.

Treatment with Cerepro begins with injections, administering 1 ampoule per day for 10–14 days, and then taking 1 capsule. 3 times a day. The course of treatment is up to six months.

If we compare both drugs, Ceraxon is more effective, faster therapy and has many positive reviews from doctors.

Ceraxon or Recognan - which is better for the elderly


Manufacturer: SAG Manufacturing, Spain
Release form: solution for oral administration and injection

Active ingredient: citicoline

Synonyms: Ceraxon, Citicoline, Neuropol, Noocil

Recognan is an analogue of Ceraxon in terms of the active substance, produced in ampoules, bottles and sachets. Medicines have the same effects, indications and contraindications. Recognan is well tolerated in old age and does not require additional dose adjustment.

The advantages and disadvantages of the drugs are shown in the table.

NameprosMinuses
Ceraksonclinical researches;
fewer excipients;

positive reviews from doctors.

high price
Recognannew production technologies;
affordable price.
Side effects are more common

The treating neurologist should decide which medication to give preference.

Reviews from doctors and patients about the choice of Citicoline analogues

It is quite difficult to say with certainty which product is better. The choice of a suitable drug depends on many factors: characteristics of the disease, patient’s condition, personal preferences. With the help of reviews from doctors and people who have encountered the problem of selecting drugs, you can form a certain idea about them:

Lotsmanova O.O., pediatric neurologist: “Among analogues, Ceraxon (Citicoline) stands out for its convenient dosage form. It is quite difficult for kids to take pills, not to mention injections or IVs. It is much easier to drink a pleasant-tasting and aromatic syrup. The medicine has high rates of effectiveness. In my practice, I prescribe it to premature babies or after difficult births. The only drawback is the high cost."

Svetlana, 37 years old: “After a stroke in the hospital, my mother was prescribed Cerakson (iv). Symptoms included weakness in the left arm and leg. The drug eliminated sensory disorders. However, in addition to the positive effect, side effects appeared in the form of diarrhea. I also had to take antidiarrheal drugs. After some time it was replaced with Fezam. The form is more convenient and there were no side effects.”

Vladimir, 47 years old: “I went to the doctor with unpleasant symptoms. Severe and incessant dizziness developed. The pressure jumped. I was prescribed a 5-day course of Ceraxon. After a couple of days, anxiety, irritability and panic appeared. The pressure became even higher. I consulted the doctor again, and he replaced the drug with Aminalon. This effective and safe remedy helped me return to my normal lifestyle.”

Many patients prefer to use analogues, since the original often causes side effects. There are also people who took it and were satisfied with the results. It should be understood that the selection of drugs is a purely individual matter. Only with the help of a doctor can you create an optimal treatment regimen. Citicoline (Cerakson) and its substitutes are based on high-quality raw materials and are characterized by a mild effect.

Ceraxon or Cereton - which is better and more effective, what is the difference

Manufacturer: Sotex CJSC, Russian Federation
Release form: capsules, solution for intravenous and intramuscular administration

Active ingredient: choline alfoscerate

Synonyms: Cerepro, Gliatilin, Noocholin

Cereton is an analogue of Ceraxon, produced in solution for injection and capsules. The main component of the drug is choline alfoscerate. The substance exhibits a nootropic effect, promotes the production of choline, and enhances metabolic processes in the central nervous system. Cereton is used for traumatic brain injuries, strokes, disorders of consciousness, memory and disorientation.

During the recovery period after a concussion or stroke, take 800 mg in the morning and 400 mg in the afternoon. If dementia manifests itself, 1 capsule is prescribed 3 times a day.

The main advantages of the analogue are:

  • more pronounced therapeutic effect;
  • a small number of contraindications and adverse reactions;
  • convenient form for reception.

Prices of the drug and its main analogues, average in Russia

Ceraxon is a high-quality medicine that is produced in Spain.
It is freely available, but is quite expensive. On pharmacy shelves you can find other, no less effective, but cheaper analogues of the drug. The table shows the main analogues of Ceraxon in terms of composition and mechanism of action, as well as their prices in different pharmacies in Russian cities.

Name of the drug and release formPharmacy, cityCost in rubles
Ceraxon, 500 mg (5 ampoules of 4 ml)Online pharmacy Dialog, Moscow and region626
Ceraxon bottle volume 30 ml (100 mg\ml)Online pharmacy Dialog, Moscow and region658
Ceraxon oral solution 100 mg/ml (10 ampoules of 10 ml)Laboratory of Beauty and Health, Moscow1492
Recognan solution for internal taking 100 mg/ml (10 sachets of 10 ml) BALTIKA-MED, St. Petersburg1345-1370
Recognan for intravenous and intramuscular administration 500 mg (5 ampoules of 4 ml each)GORZDRAV, St. Petersburg and region508,70
Neypilept solution for intravenous and intramuscular administration, 5 ampoules of 4 ml, 250 mg/ml eachBALTIKA-MED, St. Petersburg845-860
Neypilept solution for oral administration 100 mg/ml (100 ml in a bottle)Laboratory of Beauty and Health, Moscow1037
Vinpocetine tablets 5 mg (30 pieces)Charitable pharmacy "Window of Help", Moscow40
Vinpocetine, 50 tablets 5 mgBe healthy, St. Petersburgabout 75
Glycine 100 mg (50 sublingual tablets)ASNA Pharmacy, Moscow23-27
Glycine forte EVALAR (20 lozenges)ASNA Pharmacy, Moscow63
Cortexin, 5 mg (11 mg) 10 pcs. lyophilisate for preparing a solution for intramuscular administration AptekaOnline, Moscow799
Cortexin, 10 mg (22 mg) 10 pcs. lyophilisate for preparing a solution for intramuscular administration AptekaOnline, Moscow1213
Mebicar, 500 mg No. 20Pharmacy WER.RU, Moscow441
Mebicar, 300 mg No. 20Pharmacy "Vitamin", St. Petersburg258
Piracetam tablets 800 mg No. 30DIALOGUE, Moscow79
Piracetam OZONE (60 tablets of 400 mg)Online pharmacy 36.6, Moscow61
Piracetam Dalkhimpharm (20% 10 ampoules of 5 ml)Pharmacy point Ava-Peter, St. Petersburg46
Piracetam OZONE (60 capsules 400 mg each)"Vitamin", St. Petersburg119

Ceraxon or Cerebrolysin - which is better and more effective?


Manufacturer: EVER Pharma Jena, Germany
Release form: injection solution

Active ingredient: peptide complex

Cerebrolysin is an imported analogue of Ceraxon for oral administration and injection. The medication contains active neuropeptides that have a nootropic effect, protect nerve cells from damage, and improve metabolic processes in them. Cerebrolysin improves consciousness and memory.

The medication is used for traumatic brain injuries, strokes, dementia, developmental delays, memory and attention disorders in children, and Alzheimer's disease.

The dosage regimen and duration of treatment depend on the patient's condition. No additional dose adjustment is required for elderly patients.

A comparison of medications is shown in the table.

NameprosMinuses
Ceraksonvarious forms of release;
cheapness;
admission from 18 years of age;
Cerebrolysinwide spectrum of action;
use in children;
there is no oral form;
high cost;

Citicoline or Ceraxon - which is better?

Manufacturer: Ozon LLC, Russian Federation
Release form: solution for intravenous and intramuscular administration

Active ingredient: citicoline

Synonyms: Ceraxon, Noocil

Citicoline is a Russian analogue of Ceraxon 1000 mg in a sachet, which is available in ampoules. The drugs have the same active ingredient, mechanism of action, indications and contraindications for use.

Citicoline is administered intravenously or intramuscularly during the acute and recovery periods for traumatic brain injuries, strokes, and cognitive and behavioral disorders.

The main differences between the domestic analogue include:

  • lack of oral form;
  • reasonable price.

If the question is what is cheaper to replace Ceraxon in a sachet, then after consulting a doctor, preference is given to Citicoline.

Ceraxon or Gliatilin - which is better?


Manufacturer: Italpharmaco, Italy
Release form: solution for injection, solution for oral administration, capsules

Active ingredient: choline alfoscerate

The imported analogue of Ceraxon is Gliatilin. The medication contains choline alfoscerate and has a nootropic effect, improves metabolism in nerve cells, and stimulates the formation of choline. The drug is used after stroke and TBI, for cognitive impairment and dementia, to improve attention and performance.

Gliatilin is taken orally, 1 capsule or 7 ml 2-3 times a day, and injections are administered at 1000 mg once.

The advantages of the analogue include:

  • accelerated absorption;
  • variety of release forms;
  • convenient dosing;
  • reception allowed while driving a car;
  • numerous positive reviews from doctors.

In addition, Gliatilin has wider indications for use, so it is better to choose it for older people.

Ceraxon or Cytoflavin - which is better and more effective


Manufacturer: POLYSAN NTFF LLC, Russian Federation
Release form: tablets, solution for intravenous administration

Active ingredient: riboflavin, nicotinamide, inosine, succinic acid

Cytoflavin is an analogue of the drug Ceraxon, which can be purchased cheaper. The vitamins included in the drug improve metabolic processes in brain cells and improve cellular respiration. Cytoflavin exhibits antioxidant and antihypoxic effects.

It is impossible to say which is better, Cerakson or an analogue. Cytoflavin is used as part of complex therapy, including with Ceraxon, for ischemia, cerebral infarction, encephalopathy and other pathologies.

The regimen for taking Cytoflavin is as follows:

  • 2 tablets twice a day with an interval of 10 hours;
  • 10 ml intravenous drip is diluted in 100–200 ml of saline and administered 2 times a day with an interval of 8–10 hours.

The duration of treatment is 10–25 days.

Cavinton


Manufacturer: JSC GEDEON RICHTER-RUS, RF
Release form: tablets, concentrate for the preparation of solution for infusion

Active ingredient: vinpocetine

Cavinton is a Russian analogue of Ceraxon in tablets. Vinpocetine, which is part of the medication, improves metabolic processes in the brain, increases blood circulation and oxygen supply. Cavinton is prescribed for disorders of cerebral blood flow, dementia, hearing and vision impairment caused by vascular pathologies.

The analogue in tablet form is taken 5–10 mg 3 times a day for 30–90 days. And intravenous drip is administered once at a dosage of 25–50 mg.

Analogs by mode of action in tablets and ampoules

Cerakson's therapeutic effects are similar to medications that have different ingredients in their composition, but have one therapeutic direction - restoration of cerebral blood flow and brain function.

Bilobil Forte

Bilobil Forte is a herbal medicine based on a substrate from the leaves of Ginkgo Biloba. The herbal medicine blocks platelet adhesion, which significantly improves blood flow to the brain.

Bilobil is prescribed for a number of diseases:

  • cognitive impairment due to stroke, brain injury, encephalopathy, age-related dementia;
  • sleep rhythm disturbances and decreased intelligence;
  • decreased attentiveness, concentration and memory;
  • diabetic retinopathy;
  • obliterating atherosclerosis and Raynaud's disease;
  • decreased functioning of the visual and auditory organs.

The herbal medicine is not prescribed for allergies to plant components, as well as for children, nursing and pregnant women.

Take the drug one capsule three times a day. The duration of treatment depends on the pathology. On average it is 2-3 months.

Possible side effects:

  • dizziness, fatigue, fainting;
  • dyspepsia;
  • itching of the skin, urticaria, rashes, hyperemia, Quincke's edema.

Vinpotropil

Vinpotropil is a complex nootropic with cerebroprotective effects. The medication dilates the membranes of the cerebral vessels, which ensures uninterrupted blood supply to all parts of the brain. The active ingredients in the medicine are vinpocetine and piracetam.

Instructions for taking the medicine:

  • rehabilitation process after a stroke;
  • parkinsonism;
  • asthenia and intoxication;
  • treatment of dizziness and migraine.
  • encephalopathy of various etiologies;
  • traumatic brain injuries;
  • decreased cognitive abilities;
  • withdrawal syndrome;
  • Meniere's syndrome.

It is not recommended to take Vinpotropil in the following cases:

  • allergies to medicinal ingredients;
  • cardiac arrhythmia and ischemic heart disease;
  • acute phase of hemorrhagic stroke;
  • kidney and liver dysfunction;
  • lactase deficiency and glucose malabsorption.

Vinpotropil is not used during lactation, pregnancy and childhood.

Prescribed with restrictions for the following pathologies in patients:

  • disturbances in hemostasis and severe open or internal bleeding;
  • hyperbilirubinemia and hepatitis;
  • alcohol damage to liver cells;
  • epileptic seizures.

The medication is administered using a dropper - 1-2 ampoules diluted in 500 ml of sodium chlorine. The speed of movement of the medicine through the dropper is 80 drops per minute. Therapy continues - from 10 days to 2 weeks.

Treatment regimen with capsules and tablets – 1 tablet (capsule) 2-3 times a day. The last dose of medication should be 4-5 hours before the patient goes to bed. Therapy can last from 2 weeks to 6 months. Dosages are reduced gradually so as not to provoke the development of withdrawal syndrome.

Vinpocetine and Vinpocetine Acree

Vinpocetine eliminates disturbances in cerebral blood flow and is used in neurology, psychiatry and cardiology. The active ingredient in the medicine is vinpocetine. The drug is produced in solution for injection and in tablets, and Vinpocetine Acre is only in tablets.

Medicine is prescribed for the following diseases:

  • encephalopathy of various types;
  • cerebral ischemic attacks;
  • ischemic stroke and atherosclerosis of cerebral arteries;
  • traumatic brain injuries;
  • migraine;
  • Meniere's syndrome;
  • dementia and alcohol (medicine) intoxication.

It is not recommended to take the medicine for the following reasons:

  • abnormal heart rhythm and ischemic heart disease;
  • allergy to the components of the medication;
  • acute phase of cerebral hemorrhage.

It is strictly prohibited to take during pregnancy and breastfeeding, as well as in childhood.

Despite the ban on the use of the drug in pediatrics, children from 3 months of age with cerebral hypoxia are prescribed Vinpocetine.

Tablets should be taken 1-2 tablets three times a day for 14-60 calendar days.

The injection solution is administered intravenously. Standard dosage for stroke treatment:

  • 20 mg Vinpocetine + 500 ml infusion solution – for 2-3 days;
  • from day 4 it is necessary to increase the dose to 1 mg and carry out the entire therapeutic course with this dosage;
  • The duration of the course of therapy is 10-14 days.

If necessary, the doctor may prescribe pills.

Cavinton

Cavinton is a vasodilator that is effective in the treatment of cerebrovascular pathologies. The drug prevents the development of hypoxia, restores metabolism in brain cells and improves cognitive functions.

Cavinton is prescribed for the following conditions:

  • ischemia and hypoxia of the brain;
  • decreased memory, attention, concentration and intelligence;
  • encephalopathy;
  • vestibular disorders - dizziness, Meniere's disease and tinnitus;
  • eye diseases due to vascular damage.

Medicine is not prescribed in the following situations:

  • arrhythmia, ischemic heart disease, blood pressure fluctuations;
  • kidney dysfunction;
  • lactation period and pregnancy.

Take one tablet 3 times a day, after meals

The solution is administered only using a dropper - 20 mg of Cavinton + 500 ml of sodium chloride. Droppers are placed once a day; as the pathology progresses, the doctor may increase the number of injections.

Children are given the medicine by drip at the rate of 1 ampoule + 200 ml of solution for infusion with glucose.

Intravenous therapy continues for 2-3 weeks, then the patient is transferred to taking tablets.

The drug may cause side effects:

  • fluctuations in blood pressure and heart rhythm disturbances;
  • dizziness and drowsiness;
  • dyspepsia;
  • skin allergies and bronchospasms.

Cogitum

Cogitum is a medication based on acetylaminosuccinic acid, which is found in the central nervous system. Regulates the activity of the brain and central nervous system.

The drug is prescribed in the presence of the following conditions:

  • insufficient blood supply to the brain;
  • to restore cognitive functions;
  • therapy of asthenic (alcohol syndrome).

The drug is not prescribed during pregnancy and lactation, as well as in case of allergies to components in the medicine and in children under 7 years of age.

The oral solution is prescribed to children 7-10 years old - 1 ampoule in the morning, 10-18 years old - 2 ampoules, and adult patients are recommended to take 2 ampoules in the morning and 1 ampoule before going to bed. Therapeutic course – 3-4 weeks. The drug, when used in therapeutic dosages, causes virtually no side effects.

Mexidol

Mexidol is a membrane protector for brain cells. This medication protects cell membranes from the effects of free radicals and has the following properties:

  • antihypoxic;
  • nootropic;
  • antiepileptics;
  • anxiolytic.

Mexidol is prescribed for the following diseases:

  • impaired blood circulation in the brain;
  • encephalopathy;
  • vegetative-vascular dystonia;
  • systemic sclerosis of cerebral arteries;
  • withdrawal syndrome;
  • pathologies that provoke brain hypoxia;
  • anxiety disorders.

The medication is not prescribed for the following conditions:

  • liver failure and kidney dysfunction;
  • intolerance to the components of the drug.

The medicine is also not prescribed to children under 12 years of age, pregnant women and mothers whose children are breastfed. Prescribed with restrictions for sharp fluctuations in blood pressure - hypertension and hypotension.

Mexidol is used intravenously or intramuscularly. If cerebral blood flow is disrupted in the acute stage, the medication is administered using a dropper. The dosage for an acute attack of ischemia or stroke is 200-300 mg. After normalization of the patient’s condition, the patient is transferred to treatment with tablets.

Therapy begins with 100 mg three times a day, with progressive dosage increases. The allowed daily dosage is 800 mg.

Vegetative-vascular dystonia and encephalopathy are treated with intramuscular injections - 50-100 mg three times a day.

For dementia, drug and alcohol poisoning, a daily dosage of 300 mg is prescribed, divided into 3 tablet doses.

Side effects:

  • dyspepsia, flatulence;
  • sleep disturbance;
  • headache;
  • hives.

Nootropil

Nootropil is produced in the form of a solution for injections, capsules and tablets. The medicine contains piracetam as an active ingredient.

Nootropil is prescribed in the following cases:

  • decreased memory and intelligence;
  • dizziness and unsteadiness of gait;
  • Alzheimer's disease;
  • alcoholism;
  • sickle cell anemia;
  • myoclonus and post-stroke state.

Nootropil is not prescribed to patients with kidney failure, cerebral hemorrhage, when the body is sensitive to the composition of Nootropil, as well as during lactation and infants under 12 months.

The daily dosage of the medicine is divided into 2-3 doses. The dosage is determined depending on the pathology:

  • dizziness therapy – 2400-4800 mg;
  • Treatment of myoclonus begins with a dose of 7200 mg. The increase occurs by 4800 mg every 3 days. Therapeutic dosage – 24000 mg;
  • treatment of dyslexia in children over 8 years of age – a dose of 3200 mg per day is required

Side effects:

  • hallucinations, depression and apathy;
  • overexcitement and irritability;
  • epileptic seizures;
  • dyspepsia;
  • skin allergy.

Piracetam

Piracetam is produced in tablets, capsules and solution for injections. The active ingredient is piracetam. The medication is prescribed for the following conditions:

  • cognitive impairment;
  • brain injuries;
  • atherosclerosis of cerebral arteries;
  • impaired microcirculation of the brain;
  • alcoholism;
  • dementia;
  • neurological pathologies or mental disorders.

Children are prescribed Piracetam for dyslexia (after 8 years) and for the treatment of sickle cell anemia (from 3 years).

It is prohibited to take Piracetam in treatment for the following conditions:

  • renal failure;
  • hemorrhagic stroke;
  • allergy to components;
  • the child's age is under 12 months;
  • pregnancy and lactation.

For the treatment of cognitive impairment, a dosage of 4.8 g per day is used for 7 days. Maintenance therapy – 2.4 g.

Side effects:

  • disturbances in the functioning of the central nervous system - lethargy, respiratory depression, depression;
  • hives;
  • dyspepsia.

Fenotropil

Phenotropil is a nootropic medication and is produced in tablets based on phenotropil.

Indications for the appointment of Phenotropil are:

  • decreased mental and motor activity;
  • chronic fatigue;
  • memory loss and cognitive impairment;
  • depression and causeless anxiety;
  • impaired blood flow in the brain;
  • convulsions;
  • schizophrenia;
  • alcoholism;
  • sleep disorders.

The drug has some restrictions for use:

  • hypersensitivity to components;
  • pregnancy and breastfeeding of a newborn.

The standard therapeutic regimen is 200-300 mg twice a day. It is permissible to take no more than 750 mg per day. The last dose of medication should be at 15:00.

Adverse reactions - dermatological allergies, blood pressure fluctuations, emotional lability (overexcitement, aggression, tearfulness).

Cellex

Cellex is produced in the form of a solution that is administered subcutaneously. The drug activates synaptogenesis and neuroprotection, and also restores brain cells and improves their reparative potential. The drug is prescribed for cerebrovascular pathologies - impaired blood flow in the brain at different phases of the disease.

It is prohibited to prescribe medicine for the following conditions:

  • epilepsy;
  • affective insanity;
  • delirium;
  • up to 18 years old
  • lactation and pregnancy.

The medicine is administered subcutaneously once a day for 10 days at a dosage of 0.1-0.2 mg.

Negative effects:

  • skin hyperemia and urticaria;
  • insomnia or drowsiness;
  • headache.

See also:

TOP 12 cheap analogues of Spazmalgon - drug substitutes for the active substance

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