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Treatment of alcoholism

17 Jan 2019

Unfortunately, in most cases, the treatment of patients with alcoholism is aimed at eliminating only certain manifestations of this formidable disease (withdrawal of alcohol intoxication, drinking-bout, withdrawal syndrome, etc.). Not everyone has enough strength and desire to undergo long-term psychotherapy, and close people often do not have enough patience to help him. And after all, success depends mainly on family and friends' support.

Treatment of alcoholism. Mildronate Phenylpiracetam alcohol

The whole program of treatment of a patient with alcoholism includes 3 stages:

- The first (initial) stage is the treatment of acute and subacute painful conditions that have arisen in direct connection with intoxication with alcohol and its metabolic products. This includes interrupting binge drinking and eliminating abstinence disorders. To remove alcohol intoxication, first of all, it is necessary to prevent further absorption of alcohol from the stomach, for which you should give 2-3 tablespoons of activated carbon inside, and then rinse the stomach with the intake of several glasses of water, followed by vomiting; At the same time, measures are taken to prevent possible collapse (inside 5-10 drops of ammonia in a glass of water, 2-3 pills of Phenylpiracetam, 3-4 pills of Mildronate or some pills of Phenazepam). The most severe conditions of acute alcohol intoxication, bordering on comatose, require the provision of therapy in specialized hospitals.
- The second stage of treatment is the formation of remission. After elimination of post-toxicity and withdrawal symptoms, it is time to diagnose and treat much more diverse and individual mental and physical disorders outside the AAS framework, and to create more immediate prerequisites for the development of remission of the disease. It should be especially emphasized the crucial role of somatic disorders in the renewal of pathological craving for alcohol and the occurrence of relapses of alcoholism. Therefore, carefully selected and unconventional therapy of these disorders is a condition for ultimate success.
- The third stage of treatment is remission stabilization, maintenance therapy. In the center of therapeutic activities in the third stage is psychotherapy aimed at the rehabilitation and resocialization of the patient, the formation and consolidation of skills of a sober life - self-confidence and his ability to solve life problems without "helping" alcohol or willingness to seek timely support from his doctor.

Beneficial influences of the environment - family, employment, useful work, accommodations at work and at home - are an important condition for stabilizing remission. But, unfortunately, this is not always the case, therefore, the physician has to deal with the peculiar mental "fragility" of the patients, manifested by emotional, neurotic and psychopathic disorders. The latter in turn are closely related to the exacerbation of the pathological attraction to alcohol. Therefore, regular contact with the patient and a comprehensive correction of mental abnormalities are necessary.

Of the psychotherapeutic techniques, the most widely accepted method today is based on the concept of emotional-stressful psychotherapy. Hypnotic effects are also preceded by psychotherapeutic conversations, the therapeutic effect of which is fixed in hypnosis. In a state of hypnosis, a conditioned-reflex nausea-vomiting reaction to the taste and smell of alcohol is developed.

There are methods of verbal aversive therapy, which consists in the fact that the imaginary consumption of alcohol by means of verbal suggestion is accompanied by an emetic reaction.

Until now, attempts are continuing to use autologous training in alcohol therapy. Its goal is to normalize vegetative disorders and relieve emotional stress. Autogenic training can contribute to fixing an aversive reaction, therefore it is used as an important component of therapy as an active method of self-regulation, self-correction and self-education.

To eliminate feelings of fear, tension and self-doubt, which are usually experienced by people suffering from alcoholism, in a state of abstinence (including long enough), methods of behavioral therapy are used.

Most of the mentioned methods of therapy for patients with alcoholism are used in groups, which contributes to increasing the effectiveness of their therapeutic effects.


List of the most effective antidepressants

14 Jan 2019

A major depressive disorder today is one of the most common, problematic and costly psychiatric nosologies. Available approaches to treatment Major depressive disorder or clinical depression can be divided into two broad categories: pharmacological and non-drug.

List of the most effective antidepressants

Most often, antidepressants are used to treat a major depressive disorder. Despite the fact that the drugs of this group are used very widely, the scientific literature regularly raises controversies concerning both the effectiveness of antidepressants in general, both the group and the differences between the efficacy and tolerability of individual drugs.

The main result of the study was the conclusion that all antidepressants are more effective than placebo in treating clinical depression in adults.

The most effective antidepressants:

- agomelatine,
- amitriptyline,
- escitalopram,
- mirtazapine,
- paroxetine,
- venlafaxine
- vortioxetine.
The list of the least effective drugs is as follows: fluoxetine, fluvoxamine, reboxetine and tradozone. As for the tolerability of antidepressants, the leaders in this indicator were agomelatine, citalopram, escitalopram, fluoxetine, sertraline and vortioxetine.

The results of the updated systemic review and meta-analysis prove the effectiveness of various antidepressants. This information can be useful for patients, doctors and health care organizers.


Most effective antipsychotics in bipolar depression

09 Jan 2019

The meta-analysis included 22 randomized controlled trials enrolling a total of 8,823 patients. Participants in the study received one of 7 different atypical antipsychotics or placebo.

Most effective antipsychotics in bipolar depression

Atypical antipsychotics (atypical antipsychotics) is a new class of drugs whose most common difference from classical (typical) antipsychotics is a lower degree of affinity for dopamine D2 receptors and the presence of a multi-receptor binding profile (affinity for other types of receptors). This is due to their pharmacological properties, making them more "soft", in general, more easily tolerated drugs.

Cariprazine, lurasidone, olanzanpine, a combination of olanzanpine with fluoxetine and quetiapine - demonstrated the ability to significantly reduce the severity of symptoms in acute depressive episodes that started with a bipolar affective disorder (BAP). The severity of symptoms before and after treatment was assessed according to the Montgomery-Åsberg Depression Rating Scale and the Clinical Global Impressions-Bipolar Scale. All these antipsychotics caused a response to treatment and allowed to achieve remission reliably more often than placebo.

Aripiprazole and ziprasidone were insignificantly different from placebo in terms of fighting depressive symptoms, getting a response to treatment and achieving remission.

To improve the quality of depression treatment in people with bipolar disorder, the results of a new meta-analysis should be considered simultaneously with the side effects of each particular drug and the individual characteristics of the individual patient, such as sensitivity to adverse effects and clinical urgency, the researcher notes.


What to do if your child is using drugs

26 Dec 2018

So, you have suspicions that your child is using drugs. What to do? Where can I go for help? What to do, so no one would know about this? You are overwhelmed by many questions. There is a state like panic.

What to do if your child is using drugs

First of all, calm down, "do not chop off the shoulder." Further actions should be considered and weighed. But do not postpone the solution for later. In this situation, the saying "the delay of death like" is true in the literal sense. The problem that arises is a matter of life and death, drug addiction is not a bad habit, but a deadly disease. We need to calmly decide what you can do to help the child at the moment, and start acting.

First of all, do not scold, do not punish the child. Notations and quarrels will not help. Your task is to establish contact with the child, and not push him away from yourself. Show your child a strong negative attitude towards drugs, but avoid the irritation and scandals.

Communicate with the child, be truthful. Be to him in this example, only then you can rely on trust and reciprocity veracity. Tell the child about everything that disturbs you in his behavior, and be precise in your statements. Explain why you suspect that he uses drugs. Note that you can and make mistakes in your suspicions. Your child can behave strangely and because he just fell in love, quarreled with friends or is in a state of stress for some other reason.

Try to determine how long and what drugs your child uses. This is important for assessing the severity of the situation and developing tactics for further action. With a child who has tried drugs for the first time, one should not treat like a child who is already addicted to addiction. In the first case, the main emphasis should be on the child to realize the possible consequences. And in the second case, you are already dealing with a sick person with a deformed psyche, who needs the help of a highly qualified specialist.

Talk to those who can give you practical advice. Address to experts-expert in narcology and to those who faced such problems, do not try to cope with a trouble.

Prepare to prepare for a thorough conversation with the child about his dependence. You in the struggle for the life of your child are not alone with him, but you are opposed by a whole range of people involved in involving him in drug addiction. On the other hand, you are not dealing with the child that you knew, drugs very quickly deform the person's personal qualities. Therefore it is very difficult to fight drug addiction alone. It is necessary to oppose that circle to the circle of people close and authoritative to the child. Tell us about your suspicions in the family circle, for sure each family member noticed symptoms that confirm the problem. Discuss them and develop a general plan of action. Let other family members participate in this family council. A child-addict must know for sure that everyone in the house knows about his problem and will not close his eyes to it. He may not see the problem in that he uses drugs, he can shut up, etc. You do not need common accusations, you need to clearly articulate all the changes in your child's life (so that the conversation does not end with denials and excuses, as if everything is OK ) and decide in advance how you will overcome possible resistance to your intervention. And resistance, most likely, will be. It can manifest itself in anger, denial of obvious facts or, conversely, in a closure in itself, in secrecy.

Establish clear and rigid rules that are not subject to change regarding situations that trigger drug use by your child. He must know exactly your reaction to one or another of his actions. Among such rules can be, for example, a ban on communicating with dubious friends.

Speak then when you can be heard. Choose the time and place for a confidential and thorough conversation with the child. It is necessary that no one distracts you at this moment. The conversation can take place only when the child is not drugged, otherwise you will waste your time and energy, because the child does not understand, does not remember what you said and can behave unpredictably.

If your child really becomes addicted, help him confess to himself. Only when the dependent person realizes that he is sick, he may want to become healthy, stop resisting treatment, and treatment will be much more effective. If a patient with drug addiction is not an ally of a doctor in his own treatment, he will not actively wish to recover, then he will just lie down and wait for a convenient moment, and neither treatment nor prolonged isolation from "friends" will help. Narcologists can tell you a lot of cases when a drug addict under the pressure of relatives undergoing treatment, seems to be cured, but at the first opportunity returned to drugs. Only because it was done for "excuse". There is no limit to the sophistication of the addict when it comes to how to get drugs. There are numerous cases when drug addicts get drugs, even being on treatment in a specialized department of the hospital. If a person does not want to be treated, then no program will help him.

Look for a suitable treatment program for your child. It is very important to know where to turn if the child recognizes the problem and agrees to be treated. You should already know what to offer and where to turn for qualified help. The treatment of a drug addict is a very complex and lengthy process in which a doctor, a narcotic addict himself, and his family and relatives participate. Now there are many drug treatment programs, and the success of the treatment depends largely on how the chosen program fits your child's particulars.

Find out which organizations conduct such programs, contact them, learn as much as possible about these programs first-hand. Ask how long this program works, what specialists are involved in it. Find out if the recovery statistics are maintained in a year, two or more.

Do not try to treat the child from friends of doctors of a different profile. Treatment of drug addiction requires a lot of experience, it is not enough just theoretical knowledge. Let the familiar doctors do not gain this experience on mistakes in the treatment of your child.

Have enough patience, do not expect an early solution to this problem. Drug addiction is a lifelong disease that requires constant vigilance and patience from loved ones. Drug use can resume even from seemingly insignificant effects.

Be a friend to your child, do not leave it without support and attention. He should know that there are people who love him, always ready to help him in the fight against drug addiction, no matter what.

Better not hide from relatives and friends that your child is using drugs. One of the first impulses - to hide from everyone the addiction of the child. Hiding the problem, you show the child that it can be hidden, that is, the problem is not very serious. The child, noticing your efforts to pretend to relatives, that nothing has changed, and he himself begins to believe that there is nothing to change in oneself. In addition, the drug user, as a rule, skillfully uses ignorance of relatives in order to entice or steal from them money and values for the acquisition of drugs. Immediately note that parents should not give money for drugs, do not give in to attempts to cause pity. No money for drugs is not enough. Supporting him in this predilection, you delay the child's awareness of the problem, "make it easier for him," and he will have less desire to quit drugs.

Do not blame yourself that the child is a drug addict. No one knows the exact cause of this disease in each specific case. You are not to blame for this. There have been attempts to create theories that determine the causes of addiction. As such, heredity, and the type of character, and the level of morality, and the existence of crisis life situations were considered. But none of these theories could explain why, under the same initial conditions, not everyone becomes addicted. Specialists come to the conclusion that all are subject to chemical dependence, but the reasons for this are not always obvious. Of course, you need to analyze your relationship with the child and in something to adjust them. But you have to remember that not your actions are the cause of addiction to your child. And the feeling of guilt in the situation you are not an assistant.

Do not forget about other family members, especially children. Naturally, a child-addict requires much more time and attention than before. But other children should not feel abandoned and not needed. They also need your love and care no less than before. Inattention to other children can exacerbate the problem. Feeling forgotten, another child may become withdrawn, withdraw into himself, and you, having lost contact, will not notice any problems with him on time. Or there may be another option when the child, in order to attract your attention, will begin to artificially create problems and, as the worst option, will also start taking drugs. Try to allocate your time so that each of the children feels your love and attention.

Do not give up! Do not despair! Yes, drug addiction is a serious and insidious disease, but your perseverance and love for the child will help you save it. If one program did not help, try another one. Believe in success, because many have managed to achieve this success.


Diabetes mellitus: a disease or a way of life?

24 Dec 2018

Diabetes mellitus is one of those chronic diseases that have a serious impact on all areas of human life. Diabetics need to constantly take into account the characteristics of their condition and adapt to it, because the treatment of diabetes is not limited to the timely administration of hypoglycemic drugs and compliance with a rigid diet. It all matters: shoes that a person wears, daily exercise and rest, even cosmetic products and a toothbrush have to be bought with an eye on the possible consequences of the wrong choice.

This problem becomes especially urgent when a patient with diabetes requires the purchase of a medicine or a means of care and personal hygiene. The richness of the pharmacy range and the fear of possible side effects of drugs force such buyers to seek advice from pharmacists and pharmacists.

actovegin and Diabetes mellitus

What can pharmacy staff recommend to their visitors? Of course, if it is a question of a medicinal preparation, then the question is solved simply - there are no contraindications to the use of diabetes mellitus, so you can offer the goods to the buyer. But the modern pharmacy has not only various medications, pharmacy shelves can be found all kinds of cosmetics, medical devices, dietary supplements, phytopreparations and much more that can greatly facilitate the life of the patient with diabetes.

Each pharmacist, at least once in his practice, advised a diabetic about buying a glucometer, knows that working with this category of buyers is very specific. It is necessary not only to intelligently and clearly understand the principle of the device's operation, but also to convince the patient that using the tester will not bring much discomfort and will quickly become a habit. Modern high-tech glucometers are easy to operate, have an intuitive interface, are highly reliable. However, elderly patients, as well as people with newly diagnosed diabetes mellitus, it is difficult to get used to constant measurements with a new device. Especially for this group of patients, many companies issue special glucometers with step-by-step instructions and tips, a detailed menu in Russian.

But even when recommending such a device, the pharmacist will most likely have to explain to the buyer how exactly the sugar is being researched - to show why these buttons or functions are needed. To further the patient, following the prompts on the screen, was able to independently measure the level of glucose in the blood.

An important advantage of modern glucometers is a large and convenient screen, in which all the inscriptions and results are displayed in large high-definition print. This is very important for people with poor eyesight.

Regular measurement of sugar at home requires not only high accuracy of the device, but also the availability of memory that allows you to save at least 100-120 measurement results, as well as a function that displays average blood glucose values for 7, 14, 30 days. No less important is the regime in which you can automatically memorize the results of measuring blood glucose before and after meals, which will make it easier to adjust nutrition, to understand how certain foods affect blood sugar levels, and to optimize the dose and frequency of intake of hypoglycemic drugs or insulin .

Antioxidants, vitamins, microelements
Most drugs for diabetes should only be prescribed by the attending physician to avoid polypharmacy and reduce the risk of possible side effects. But nevertheless there is a certain category of remedies that a pharmacist can quite remind a patient suffering from diabetes mellitus - these are antioxidants and multivitamin complexes with microelements.

As you know, the processes of free radical oxidation in diabetes mellitus are much more active than normal. As a result, oxidative stress leads to the development of severe vascular complications - diabetic angiopathies.

Therefore, in diabetes, antioxidants are widely used - nicotinamide, lipoic acid, hemodializates Solcoseryl and Actovegin, quercetin and succinic acid, as well as some vitamins and microelements that have an antioxidant effect - A, C, E, selenium.

On vitamins with mineral components it is necessary to stop more in detail, tk. this is exactly what the pharmacist can well recommend to a patient with diabetes for self-administration.

The need for some vitamins in diabetics is higher than in healthy people. And what is especially important, with diabetes is almost no seasonal vitamin deficiency. All this forces the patient to regularly take multivitamin complexes, which have to be chosen taking into account all the features of the disease.

The first thing you need to focus on is the lack of sugar and sweeteners in the recommended preparation, as well as the optimal dosage of the components, which, taking into account the food received, must fully provide the necessary daily allowance. And, of course, the composition of multivitamins should match the needs of the patient.

So, most often people suffering from diabetes, prescribed drugs that include vitamins B, E, A, ascorbic and folic acid, zinc, chromium, selenium.

Vitamins E and A make it possible to compensate for the negative consequences of high blood glucose levels, support visual function, play a crucial role in maintaining the health of the skin and mucous membranes, and maintaining the protective abilities of the immune system.

B vitamins are necessary for the regulation of all kinds of metabolism, as well as the work of the central and peripheral nervous system: they prevent the development of diabetic neuropathy, protect against damage to pancreatic cells and activate insulin production, promote the rapid healing of microtraumas of the skin and mucous membranes.

Ascorbic acid also serves as an antioxidant, restores the structure of the vascular wall, suppresses inflammatory processes, strengthens the immune system and speeds up the regeneration of tissues.

Zinc is necessary for the regulation of blood sugar levels, as well as the work of the immune system. Selenium prevents the formation of free radicals inside the cell. Chromium contributes to the synthesis of insulin and increases the sensitivity of cells to it.

Antiseptics and care products
Another important problem in diabetes mellitus is a violation of the skin: a decrease in local immunity, a change in lipid mantle, nutrition and blood supply, slowing healing processes, etc. All this makes very important the issues of personal hygiene and skin care. Close attention to diabetes requires foot care, especially feet.

Today, pharmacies can offer their customers a variety of different creams and gels that have moisturizing, anti-inflammatory, antiseptic and wound-healing effects.

In addition, you can advise the patient antiseptic drugs based on chlorhexidine, Dioxydin, Lavasept, Yodopirone and Jodovidone. When cracks appear on the feet, in addition to the antiseptic solution, you can use creams and patches with a similar effect.

Do not use alcohol solutions (including a solution of brilliant green and cologne), hydrogen peroxide and a solution of "manganese" for disinfection. It is also not recommended to use corn patches and other means for chemical elimination of corns and coarsened skin of feet.


Phytotherapy in diabetes mellitus has always been very widely used. Of course, medicinal herbs can not replace insulin preparations or sugar-reducing drugs, but their use as additional treatments can significantly improve the patient's condition and facilitate the normalization of blood glucose. In addition, phytopreparations can be prescribed for the prevention and treatment of complications of diabetes mellitus.

We list only some of the most popular medicinal plants and indications for their use.
- Aloe dendritic: external preparations for the treatment of inflammatory processes on the skin, acceleration of healing of wounds and ulcers.
- Black elderberry: broth and infusion of young shoots used for washing and baths for skin infections and inflammations.
- Blueberries: berries and leaves in fresh form and in broths help normalize carbohydrate metabolism and have a hypoglycemic effect.
- Walnut: fruits and infusion of leaves or partitions have a hypoglycemic effect, improve the condition of the vascular wall.
- Glega medicinal: infusions and broths have insulin-like action.
- Stinging nettle: broth and infusion of leaves stimulates the formation of insulin.
- Burdock: a decoction of the root is used externally and inward - for the treatment of inflammatory skin diseases and the normalization of metabolism.
- Dandelion medicinal: contains inulin - an insulin-like substance.
- Yarrow: medicinal preparations: external preparations possess fine wound-healing, anti-inflammatory and antiseptic action.
- Common beans: broth of leaflets (pods) has a pronounced hypoglycemic effect.

In addition, preparations based on blueberries, sage, chicory, Jerusalem artichoke, schisandra can be recommended.


Vegetosovascular dystonia

19 Dec 2018

Vegetosovascular dystonia (neurocirculatory dystonia, vegetoneurosis, vegetative dystonia syndrome) is one of the most common diseases of our time. It affects up to 90% of adolescents and people of active age, women - 3 times more often than men.

Vegetosovascular dystonia Phenazepam. Phenotropil

To the reasons for the development of vegetovascular dystonia, the following can be attributed:

- violation of vascular regulation;
- hereditary predisposition (transmitted through the maternal line) as a result of the impact of emotional stress;
- hormonal changes in the body (puberty, pregnancy, menopause);
- change of climatic zones;
- physical, mental and emotional overload;
- exacerbation of chronic neurological, somatic or endocrine diseases, neurotic disorders;
- trauma (craniocerebral);
- infection, complication after the flu and pneumonia;
- physical and chemical effects (microwave currents, radiation, ionizing radiation).

Vegetosovascular dystonia is a condition associated with a violation of autonomic functions due to the disorder of their neurohumoral regulation. It represents an excessive vegetative reaction to stress and is accompanied by a variety of symptoms.

Depending on the violations of the activity of this or that organ system, the symptoms may be different:

- Cardiac (cardiac) - pain in the heart, heart palpitations (tachycardia), a feeling of cardiac fading, interruptions in the work of the heart;
- respiratory (respiratory) - rapid breathing, inability to take a deep breath or vice versa, unexpected deep breaths; feeling of lack of air, feeling of heaviness, stuffiness in the chest; sharp attacks of dyspnea, similar to attacks of bronchial asthma;
- dysdinamic - fluctuations in arterial and venous pressure; violation of blood circulation in tissues;
thermoregulatory - unpredictable fluctuations in body temperature, which can rise to 37-38 C or decrease to 35 C or lower; fluctuations can be permanent, long-term or short-term;
- dyspeptic - disorders of the digestive tract (abdominal pain, nausea, vomiting, belching, constipation or diarrhea);
- sexual - lack of orgasm with persisting sexual attraction;
- various violations of the urinary system - rapid, painful urination in the absence of any real pathology, etc .;
- neuropsychiatric - weakness, lethargy, reduced working capacity and fatigue at low load, tearfulness, irritability, headaches, dizziness, increased sensitivity to weather changes, sleep-wakefulness disturbances, anxiety, etc.

Main medicines

Adenosinergic agents: Pentamon et al.

Alpha-adrenoblockers: Pyrroxan tablets 0.015 g, etc.

Anxiolytics: Tenoten, Tenoten for children, Phesipam, Phenazepam, Phenorelaxen, Elzepam, Spitomin, Mezapam, Nozepam, Grandaxin, Afobazol, and others.

Antihypoxants and antioxidants: Dimefosfon, Kudesan, Medomexi, Mexident, Mexidol, Mexidol injection for 5%, Mexicum, Neurox, Eltacin, etc.

Beta-adrenoblockers: Atenolan, Anaprilin, Anaprilina tablets, Vero-Anaprilin, Obsidan, propranolol, etc.

Vasodilators: Validol and others.

m-anticholinergics: Zelenin drops, etc.

Neurotropic agents: Glycine et al.

Nootropics: Amilonosar, Picamilon, and others.

Generalizing agents and adaptogenes: Huato Boluses, Schizandra Seed Tincture, Rhodiola Rosea rhizomes and roots Round briquettes, etc.

Sedatives: Valerian tincture, Doppelgerz Nervotonik, Negrustin, Validol, Validol in capsules, Peony evading tincture, Barbowal, Valemidine, Valoserdin, Consolation collection 3, Calming sedative collection 2, Valocordin, Corvaldin, Pustyrnika extract, etc.

Cardiac glycosides and non-glycosidic cardiotonic agents: Hawthorn tincture, Hawthorn extract, Lily-of-the-valley tincture, etc.

Additional medicines

Supplements: Balm for vessels, Cigapan, Bayu-Bai - for children, etc.

Vitamins and vitamin-like remedies: Compligam B, Milgamma and others.

Homeopathic remedies: Climact-Hel, Primula / Onopordone Composite, Pumpan, Notta, Nervochel, Ginseng Comp, etc.

Immunomodulators: Galavit et al.

Metabolic means: Limontar et al.


Obesity and products of natural origin

17 Dec 2018

According to the World Health Organization, more than a billion people on the planet are overweight. In Western Europe, 10-20% of men and 20-25% of women are overweight or obese. According to various estimates, in Russia more than 60% of the adult population of the country has a body weight exceeding the physiological norm; every fourth Russian is obese. The economic costs of treating obesity and its complications are very high - in the developed countries of the world they make up 8-10% of total health care costs.

Medicines against Obesity

For reasons that contribute to weight gain, you can include genetic predisposition; excessive consumption of food containing fats; hypodynamia; endocrinological disorders (dysfunctions of the adrenal glands, pituitary gland, pancreas, etc.), the systematic use of certain drugs - antipsychotic drugs (clozapine), tricyclic antidepressants; lithium preparations; anticonvulsants (carbamazepine); sugar-reducing drugs (sulfanylurea derivatives, thiazolidinediones), corticosteroid drugs, hormonal contraceptives, antihistamines, and others.

It is known that obesity significantly reduces the duration of human life and increases the likelihood of developing a number of serious diseases.

On the background of obesity most often develop diseases of the cardiovascular system (arterial hypertension, atherosclerosis, etc.). Obese people are also at increased risk of various cancers - colon cancer, endometrium, prostate, gallbladder, etc. Obesity is often combined with the syndrome of obstructive sleep apnea, which significantly reduces life expectancy and can cause sudden death. Obesity is regarded as a factor contributing to the progression of chronic kidney disease, is a risk factor for deep vein thrombosis and thromboembolism, especially if there are other predisposing factors (fracture of the proximal femur, large surgical operations, prolonged air travel).

At present, the following drugs for long-term therapy of obesity are registered in Russia:

- orlistat (Xenical) - the therapeutic effect is due to its ability to bind lipases in the gastrointestinal tract, which blocks the hydrolysis of edible fat (triglycerides) to absorbed free fatty acids and monoacylglycerols, preventing their entry into the systemic circulation;
- sibutramine (Meridia) - accelerates the onset of satiety, contributing to a reduction in the amount of food consumed, increases energy consumption of the body, normalizes lipid and carbohydrate metabolism.

Effective in the treatment of obesity can be used products of natural origin.

1. Activators of metabolism and lipolysis
Red capsicum, the main component of which is the alkaloid capsaicin, causes an increase in the secretion of epinephrine and norepinephrine in the body, resulting in a significant activation of lipolysis and fat mobilization from adipose tissue. Capsaicin significantly increases the activity of one of the main enzymes of lipid metabolism - hepatic lipoprotein lipase and thereby reduces the concentration of triglycerides in the blood plasma. In addition, capsaicin is one of the most powerful stimulants of heat exchange processes in the body due to the expansion of the vessels of the skin and increased sweating. This process is accompanied by an acceleration of the basic metabolism and an increase in the daily energy costs of the organism, which are covered by fat resources.

The xanthines of guarana activate the effect of adrenaline and norepinephrine on fat tissue and lipolysis processes.

L-carnitine is an activator of oxidation of fatty acids in adipose tissue with the formation of free energy. It stimulates the oxidation of fatty acids by transporting them through the membrane to the interior of the mitochondria, thereby reducing the accumulation of fat in tissues and objectively reducing weight. Lipotropic factors - methionine, betaine, inositol, choline - are the key factors that determine the efficiency of fatty acid metabolism in the body, fat-mobilizing factors that promote rapid lipid cleavage.

Lipotropic substances are necessary for the metabolism in the body of triglycerides, phospholipids and transport forms of lipids, during which lipid compounds easily assimilated by the body tissues are formed. With a lack of lipotropic factors, the exchange of edible fats slows down sharply, as a result of which excess fatty acids are deposited in the form of fat deposits, while the liver suffers the most. With additional intake of lipotropic substances into the body, they actively bind to fatty acids, forming phospholipids, in which fats can be absorbed by the body, and serve as a source of energy and a building material for cell membranes.

Caffeine-containing plants (green tea, cola) stimulate the main metabolism and, in the first place, activate the processes of fat metabolism. In green tea, caffeine is in a bound form (with tannins), which provides for its softer and prolonged action in comparison with synthetic analogues.

Fucus as a source of bioavailable iodine contributes to a significant activation of the thyroid function, which is reduced in most people who are overweight. Disruption of the thyroid gland leads to a decrease in the intensity of basal metabolism and slows down lipolysis. Replenishment of iodine deficiency can intensify the metabolism processes primarily of fats, stabilize the exchange of simple carbohydrates.

2. Micronutrients preventing accumulation and growth of fat

Garcinia Cambodian has the ability to inhibit the formation of fatty acids in the body. The biologically active substance of Garcinia extract of Cambodian - hydroxycitrate - reduces the formation of fatty acids and cholesterol in the liver. In addition, hydroxycitrate leads to activation of gluconeogenesis, incl. due to the reverse synthesis of glucose from fatty acids.

Chromium, especially in the form of organic compounds, is the most important factor in maintaining normal tolerance (sensitivity of tissues) in the body to glucose. Normalization of insulin levels and tissue sensitivity to insulin provides not only normalization of blood glucose levels, but also normalization of lipid metabolism due to reduction of fat and low density lipoprotein. All this leads to weight loss and increased content of high-density lipoproteins. Chromium also helps build muscle tissue and form elastic muscles.

B vitamins are indispensable cofactors of carbohydrate metabolism, which contribute to limiting the growth of fat. Vitamin B2 (riboflavin) is needed for burning calories, vitamin B6 (Pyridoxine) speeds up the metabolism, and vitamin B12 (Cyanocobalamin) promotes good digestion and absorption of food.

3. Micronutrients, which reduce the absorption of fats in the intestine

Chitosan has a unique ability to bind fats in the intestine and to withdraw unchanged from the body to half of the lipids that have entered the body.

Dietary fibers, which are stimulants of intestinal peristalsis, and thereby significantly reduce the effectiveness of assimilation of individual components of food, incl. fats and carbohydrates. In addition, dietary fibers are sorbents and are able to adsorb bile acids and cholesterol, accelerate their excretion from the body. However, it must be remembered that a decrease in fat absorption is accompanied by a decrease in the intake of fat-soluble vitamins into the blood. Therefore, in order to avoid violations related to their deficiency, dietary supplements along with dietary fiber should be supplemented with vitamins A, E, etc.

4. Micronutrients regulating increased appetite

Regulation of appetite is currently the main method of correcting excess weight. Hydroxycitrate and its structural analogues, contained in Garcinia Cambodian, have an anorexigenic effect, i.e. can inhibit increased appetite. Also, dietary fibers from algae (sea cabbage, spirulina, bubbly fucus, etc.) due to the ability to swell when in contact with a large amount of water in the stomach irritate the baroreceptors and suppress the feeling of hunger. Hoodia Gordoniya reduces appetite and cravings for regular "snacks".

5. Herbal preparations that correct the secretory functions of the digestive tract - the secretion of bile, gastric juice and digestive enzymes

Cholagogue funds contribute to the normalization of disorders in obesity motor biliary tract, which provides a reduction in stagnation of bile and the risk of stone formation in the biliary tract. In addition, the use of natural bile stimulants and bile excretion (artichoke, dandelion, sorrel yellow, gentian yellow, corn stigmas, ginger, black pepper, peppermint, rosehip) in combination with dietary fiber provides the sorption of bile acids and their decay products, and promotes the activation of metabolism and the excretion of cholesterol from the body.

The use of plant digestive enzymes (papain, bromelain, betaine) improves digestion, lowers cholesterol.

6. Vegetable diuretics

When excess weight is often observed, a violation of water-salt metabolism and the retention of fluid and sodium in the tissues of the body, formed during the decay of fats. The use of diuretics, such as bearberry, birch, juniper, horsetail, cowberry, ginger, green tea not only normalizes the parameters of water-salt metabolism, but also greatly facilitates the achievement of effective weight loss.

7. Replenishment of deficiency of vitamins and minerals

The lack of vitamins and microelements, which occurs with low-calorie diets or fasting, can cause metabolic disorders. It is known that micronutrients (for example, vitamins B6, B12, B2, E, C, A, folic acid, nicotinamide, biotin, selenium, potassium, etc.) participate in intracellular metabolism, carbohydrate metabolism, fatty acids, steroid compounds and amino acids. A consequence of this deficit may be weight gain. Therefore, it is necessary to include these micronutrients in the complex weight loss program.

In the domestic pharmacy market, products of natural origin, recommended for obesity and its complications, are represented by drugs (but not many), and numerous dietary supplements.

With obesity, you can recommend the following drugs: Hofitol, Dr. Theiss New figure. And the following supplements: Atlant-IVA, Garcilin, Guarana-Yabloko, DIA-beta, Doctor Theiss Nova Figure (chewable tablets with inulin), Live drop, Ideal, Normoflorin-B biocomplex, Normoflorin-L biocomplex, Slim code, Slenderness, Slenderness Plus, Super System-Six, Turboslim day, Turboslim night, FITODIURETIC WITH KALIEM Diets formula, CHOLESTERIN BALANCE Life formula, CITRIMAX Plus Diets formula, etc.


Why beer alcoholism is dangerous?

14 Dec 2018

Dependence on beer forms in man a deceptive impression of happiness and well-being. According to the majority, beer is almost not alcohol. For a long time for alcoholization, fights with a sobering-up station, which are typical for alcoholic excesses, are not significant. The desire to drink beer does not cause a person such anxiety, as well as the need for vodka. Beer alcoholism begins to form significantly slower than vodka alcoholism. But when it develops, it leads to fatal consequences and severe forms of alcoholism. Advertising plays a huge role in the development of beer alcoholism. One has only to see what they teach us: Every difficult life situation can not do without alcohol. People think that beer is safe - it's not vodka, otherwise it would not be advertised. A significant part of the population of our country is more susceptible to genetic dependence on alcoholism, from this beer plays the same role as vodka.

Why beer alcoholism is dangerous

Drinking beer is the way to chronic alcoholism
Frequent use of beer - is a shortcut to the formation of chronic alcoholism, which is known as "Gambrinism." More than 30% of fans of "Guiness", "Bavarian", "Czech", and similar drinks in the coming years become alcoholics, and almost the same number - candidates in them. Attachment to beer begins much earlier than to vodka. Today, more and more often our scientists are talking about this, calling for order in the "beer business". Painful infatuation for low alcoholic beverages, which then goes into alcoholism, begins to develop 4 times faster than to strong ones. Also, the disease is much more difficult to treat. At the same time, beer lovers very quickly develop such diseases as liver cirrhosis, atherosclerosis, hepatitis, as well as various lesions of the central nervous system (CNS). Also, people who drink beer much older age, which is understandable. Since beer is consumed much more often and in larger quantities than wine or vodka. From the excessive use of beer develops beer alcoholism. (Phenotropil can cope with hangover).

Even without guessing, a person can become an alcoholic. You can also consider an alcoholic to someone who does not use any vodka or wine, but every day he drinks a few liters of beer. four liters of beer, according to the concentration of ethyl alcohol, equal to a bottle of vodka. The depth of poisoning directly depends on the content of ethyl alcohol in the body. A small volume of alcoholic beverage with a larger strength leads to a very rapid intoxication. If you drink a large volume with a small fortress, the concentration of ethyl alcohol will remain the same, but intoxication will come more slowly. And as there is no difference, to drink a day a bottle of vodka (two hundred grams of alcohol) or drink four liters of beer - in these two cases it is alcoholism. Such a development of events may be unusual for those people who do not know what is intoxication or who have never thought about it. Quite often, such people do not want to recognize themselves as alcoholics, although they actually have an open dependence on alcohol. Not a single person who became an alcoholic started immediately with moonshine or vodka. They all start with wine, beer or with the notorious cocktails. But in these cases, the dependence mechanisms are formed similarly. From this follows such a chain: <A small consumption of beer - a dependence on beer or beer alcoholism - habitual to us alcoholism>.

Consequences of beer alcoholism
Nowadays, a lot of scientific data has been gathered, which say that beer is not a harmless or harmless drink, but vice versa. Frequent use of beer leads to the further development of many diseases. Even in small numbers, alcoholic taxis, which are contained in beer, as well as many other poor compounds for the human body, change the exchange and transmission of processes, worsen and slow down the functions of vital systems and organs. In the first place suffer: the brain, the digestive system and the cardiovascular system. It's a pity, but many people are very poorly aware of the evil of beer. an example of this - very often there are real beer feasts, with the use of a huge amount of pickles. This is typical not only for our country, but for many too. For example, in Bavaria, traditional beer festivals are held annually. The last festival, held not so long ago, brought not only good, but also quite sad and terrible records. On the day of the festival, about five million liters of Bavarian beverage was drunk. In the unconscious, 223 people were taken to hospitals.

If you often use beer, then the activity of the gastrointestinal tract is in a state of chronic overstrain, especially the liver. Contained in riva or other strong alcoholic products toxic substances, release strong adrenaline hormones, which leads in rare cases to outbreaks of aggression. Simultaneously with adrenaline, the so-called hormone of sadness is thrown into the blood, which contributes to the development of a depressed mood. For the central nervous system (CNS), beer is no less dangerous drink than all other beverages with a higher concentration of alcohol. After conducting a series of studies, American scientists concluded that drinking beer before a trip is much more dangerous than wine drinking, for drivers.

Overflowing the bloodstream, beer is very quickly absorbed into the human body. When a large amount of beer is drunk, there is an expansion of the boundaries of the heart by dilating the veins. In the lingo of radiologists, this phenomenon is called the capron stocking syndrome or the "beer heart" syndrome. If you frequently abuse beer, then the person's heart "sags" and becomes flabby, and his functions are lost irrevocably.

Scientists have found that from frequent use of beer, chronic diseases worsen, obesity develops, and new ailments also appear. For reference: according to many, an inoffensive mug of beer, being drunk daily during the year, adds to the weight of up to 15 kilograms. Of course, this was known before.

What is the danger of beer for teenagers?
For the younger generation, beer is especially dangerous. A distinctive feature in the last 3 decades is acceleration. One of the aspects is when physical development is far ahead of the psychological one. The increasing lability of the neuroendocrine system, which is simultaneously accompanied by active sexual maturation, makes the organisms of young people the most vulnerable to many harmful environmental factors, as well as to tobacco and alcohol. The "normal" dose of alcohol for an adult is superthreshold for a young generation, which means much more harmful and toxic.

Beer now is a relatively inexpensive and easily accessible product. Therefore, students and even schoolchildren can easily afford it. Different cocktails are also very dangerous, they practically do not have any natural ingredients declared in the composition: rum, gin, natural juices. Adolescents mistakenly think that cocktails and beer are not harmful, that they increase the disposition of the spirit, do not interfere with thinking, do not greatly weaken the control over your body. But, as it turns out, after 2-3 years of drinking these drinks without alcohol it's impossible to live.

Medical observations show that when a teenager drinks low-alcohol drinks in the coming months, very rarely years, they become addicted to them. And by the end of the year some stereotype of alcoholic behavior is being developed. This leads to an increase in the human body's need for even more frequent alcohol intake, including beer, and the dose increases all the time. The second year of "beer life" is already characterized by the emergence of mental dependence. That is, there is a sharp increase in thrust, not only to beer, but also to stronger alcoholic beverages. After some time there is also a physical dependence on alcoholic beverages. First-hand signs of adolescent alcoholism.

Beer and pregnancy are incompatible
Everyone has long known that beer has a toxic effect on human organs and their cells, which are responsible for the continuation of the genus. There are cases when beer led to infertility. And if the pregnancy has appeared, then the toxic compounds present in the beer, as in other alcoholic beverages, can lead to the development of mental and anatomical abnormalities with which children will be born if they survive until the time of delivery. The toxic effect of beer increases many times when it is consumed together with wine or vodka. In this case, the effect of these alcoholic beverages increases greatly, while their harmful effect on the organism of both the mother and the fetus increases. And if a person also smokes, then the toxic effect of beer increases by an order, because beer and tobacco toxins are synergists.

They are strong catalysts for each other. Even harm with their joint application is much greater than from the sequential application.
There is a lot of data that suggests that compared to wine, beer is the more frequent cause of complications during pregnancy and at its end. Evidence of this and clinical observations, and experiments on animals. It is worth adding that if a mother drinks beer during the period when she is breastfeeding, this can lead to a serious disruption of the child's health.

I. Leibzon, a German researcher, traced the fate of 300 children who were aged 1-5 years. Their mothers at the time of natural feeding used the traditional Bavarian beer cooked at home. And it turned out that 87 percent of children lagged behind in intellectual development, 67 percent of children suffered from various diseases of the digestive system. But most unexpected, 15.6 percent of newborns died in the first year of life. According to the work of J. Rosenthal, an Australian surgeon, 59% of breast-feeding mothers were diagnosed with inflammatory processes of the mammary glands, which are difficult to treat.

Beer stimulates the growth of cancer cells
According to the testimony of oncologists, beer promotes the development of malignant neoplasms, stimulates the growth of cancer cells. Now it is known that in a healthy human body there are oncogenic cells in a certain amount that are destroyed by killer cells (T-cells) with well-functioning adaptation mechanisms. When the biological mechanisms of the human body work normally, are not exposed to harmful environmental factors, tobacco and alcoholic origin. But those who drink and smoke, this defense system always suffers. This explains their increased predisposition to the emergence and development of cancerous processes.
Features of treatment of beer alcoholism

If you do not find and do not start treatment in time, then beer alcoholism will definitely lead to normal alcoholism. At the same time, it is necessary to take into account that when going through the treatment of beer alcoholism, refusing to drink beer, it will never be possible to return to "cultural drinking". Since the exchange in the brain is disrupted and the normal reaction to alcohol is not recoverable. Any use of alcohol will definitely lead to a breakdown, immediately or a little later there will be metabolic disturbances. Even if you do not eat for many years, it does not mean that you can again culturally drink.

Another difficulty is that the craving for beer is stronger than to vodka, so it's harder to fight beer alcoholism. This is a very dangerous disease, which can be treated with great difficulty. Still very long will pull to this fragrance, to feel a bitter taste, to feel relaxed, a feeling of self-confidence and peace. This should be understood and prepared for this, if you decided to go to the end - stop drinking.

Here's a simple tip - drink beer, get joy from life, but do not get carried away. And if you already feel the craving, stop, either by yourself or with the help of a doctor.


Creator of meldonium is sure - Mildronate has nothing to do with doping

12 Dec 2018

Meldonium does not apply to doping, as it does not increase the capacity of the human body, but it renews it to its normal state, Academician of the Latvian Academy of Sciences, Doctor of Chemistry, Professor Ivars Kalvinsh told a press conference in Moscow on April 18.

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Problems with the motor

"The effect of the drug on the heart is similar to how an internal combustion engine works: we must supply fuel and air there, the number of components must correspond to each other so that complete combustion takes place. Once the fuel is more than oxygen, the motor stalls. Our heart eats a mixture of oxygen and fatty acids and sugar. From the supply of oxygen to the muscle depends on health: everything burns, and we feel good, if there is a shortage of oxygen, the fatty acids do not burn. In this situation, it is necessary to limit the flow of fatty acids inside the myocardium. If this is not done, all activated fats will dissolve the cell membranes. This happens when the athlete exceeds the border that he has trained, and there are irreversible changes in the heart muscles, "said Academician Kalvinsh.

He also added that among young athletes sudden deaths are 10 times greater than the average in the population, 92% of young people who died from sudden death died in training or in competitions.

Journalists asked: if training can be dangerous for athletes, then why is the drug used only in Eastern Europe, as athletes survive in the West. Associate Professor of the Department of Sports Medicine, head of the laboratory of sports cardiology of the Russian State University of Physical Education, Sports, Youth and Tourism, Candidate of Medical Sciences Anastasia Mikhailova said that Western doctors have their own developments, which they do not tell colleagues about.

And Kalvinsh has declared: "Meldonium reduces an overload with under-oxidized fatty acids. The final result can be achieved with carnitine. However, this substance is not prohibited. WADA does not prohibit the use of the thyroid hormone triiodothyronine, but it is used by weight-loss boxers to perform in a lower category, as well as jumpers."

Philosophical question

Nevertheless, journalists insisted that if the drug helps to recover, then its application has a positive effect on the results of athletes. "We give the myocardium a normal response and do not die in conditions of oxygen starvation. If you think so, then we must give up food. After all, any food increases the performance of the athlete, "- the Latvian academician is perplexed.

According to Anastasia Mikhailova to prevent the development of cardiovascular disorders, the drug shows about 20% of athletes. It is in this quantity that there are signs of overstrain: disturbances in repolarization, rhythm, and conductivity.

"Indeed, it is shown that with various phenomena of overstrain of the cardiovascular system, working capacity is reduced. But what is primary, what is secondary? The question is open. None of the studies have shown that meldonium improves working capacity in both altered and healthy hearts. Studies have shown that the drug improves myocardial nutrition. Removes the state of overtraining, "she concludes.


Fainting. Causes and first aid

10 Dec 2018

Fainting or loss of consciousness is one of those unpleasant surprises that almost everyone can face. But how to behave in this situation? How to understand that someone is getting alongside and what help can be provided?

According to the definition, fainting is a sudden and short-term manifestation of cerebral blood supply deficiency, manifested in loss of consciousness and sensitivity disorder.

Fainting. Causes and first aid. Actovegin, hypoxen buy

Causes of loss of consciousness can be a variety of factors - from fatigue and cardiovascular disease to increased intracranial pressure and poisoning, but in any case, we can distinguish the three main mechanisms for the onset of syncope:

- violation of blood supply;
- a significant decrease in the amount of oxygen in the arterial blood;
- marked decrease in serum glucose levels.

All faints can be conditionally divided into several types for reasons of origin: neurogenic, cardiogenic and hyperventilation.

The most frequent are neurogenic syncope, which can also occur in completely healthy people as a reflex response to stress (severe pain, fright), sudden changes in body position (orthostatic syncope), or an increase in intrathoracic pressure. Hyperventilation faints arise as a result of unconscious rapid (and deep) breathing - with fear, vegetative crisis, bradycardia, etc. Cardiogenic syncope is more common in patients with cardiovascular disease, but can also be in a healthy person if the load on the heart is too high (for example, when working in hot weather).

Symptoms and precursors
As a rule, loss of consciousness during fainting is not as sudden as it is commonly believed-most often this is preceded by characteristic symptoms, which the person himself characterizes as poor health, faintness, weakness. There may be noise in the ears, mild nausea, a feeling of dizziness, lack of air and darkness in front of the eyes. With the slow development of fainting, this condition can last from 2-3 minutes to half an hour, if the violation of blood supply to the brain develops rapidly, the pre-memory period lasts no more than 10-30 seconds.

The faint itself may be somewhat different in its manifestations. In the easiest case, a person does not even lose consciousness completely, rather feels stunned, can not stand on his feet due to severe dizziness and weakness, his skin becomes pale and becomes sweaty, hands and feet become cold. This condition can both go through 2-3 minutes, and lead to a loss of consciousness.

Classical syncope also begins with confusion and clouding of consciousness, and then the person completely "disconnects", all his muscles relax, become sluggish, and he slowly settles. I want to pay special attention to this feature, because if a person falls sharply ("flat"), his limbs and muscles are strained, then it is a question of some more dangerous state, and not a simple fainting. During fainting, blood pressure usually decreases, breathing becomes shallow, the pulse weak (do not grope for it), then within 20-30 seconds (maximum 1-2 minutes) a person gradually regains consciousness. Some time after the loss of consciousness - up to 1-2 hours - may feel a sense of weakness and weakness.

The most unpleasant option is the so-called. convulsive fainting, in which single muscle contractions or generalized convulsions (reminiscent of an epileptic seizure) join the usual clinical picture for loss of consciousness. Passes such a faint too quickly, within 2-3 minutes, and without any consequences.

Suddenly, a person can fall not only with fainting, but also with a drop-attack. In this case, the fall is not accompanied by loss of consciousness, although there may be a feeling of severe weakness in the legs and dizziness. As a rule, this happens because of short-term, but intensive compression or ischemia of the brain stem.

First aid - what you need and do not need to do
The first thing you need to do is to find someone who is close to a person who has lost consciousness - to support him, not letting him fall, and gently arrange in a horizontal position. It's best to just put the injured on your back - without throwing your head back and putting nothing under it (your head and body should be on the same level). In extreme cases, you can try to plant a person with a reliable support for the back.

Then all present should calm down and do not arrange unnecessary fuss, fainting - a short-term condition, and when restoring the blood supply to the brain (when it comes to a healthy person) goes by itself. This process can be eased with cold water - moisten the forehead and whiskey to the victim, spray his face or put a wet handkerchief / towel on his forehead. Also, you need to provide free air access: unfasten the collar and press on the belly strap.

After the consciousness begins to return, it is important that the person does not get up within 10-15 minutes, so as not to provoke a new attack. It is necessary to try to calm him, tk. nervous tension causes a spasm of blood vessels, as a result of which the blood supply of the brain weakens. You can give a drink with a weak sweet tea, but do not give coffee or other tonic drinks. they increase the burden on the heart. And of course, one should not offer a person alcohol, which in such cases is often used as a sedative, because even a small dose of ethyl alcohol dilates the peripheral vessels, depriving the brain of normal blood supply. It is not necessary to bring a person to life with the help of ammonia, he only reflexively excites the respiratory center, but does not improve blood supply.

It is highly desirable, within 30-60 minutes after fainting, to avoid smoking, taking LP, increasing and lowering the pressure or increasing the heart rate, as well as any activity related to nervous tension (for example driving a car) or physical activity (especially slopes and sit-ups).

In addition, if a person who has lost consciousness has any cardiovascular, endocrine or neurological diseases, you should always call a doctor.

What's next?

Even if the faint was single and did not cause any consequences, it is best not to leave this incident without attention and take care of your health and prevent possible relapses. It is best to find time to visit a doctor and undergo a primary diagnosis that will allow you to determine exactly whether there are any prerequisites for repeated fainting. This is especially important for people over 40, who often have inconspicuous chronic diseases at the initial stages.

For example, ECG and echocardiography should be done to exclude such dangerous causes of syncope, as arrhythmia, cardiomyopathy, pathologies of the heart valves and coronary vessels. To identify endocrine and metabolic disorders, which could cause a syncope, you can donate blood to the main biochemical indicators (blood glucose, hemoglobin, electrolytes, creatine kinase). If you suspect a neurological fainting, it is recommended to take a radiograph of the skull and cervical spine.

If no abnormalities have been detected and some special treatment is not required, drugs that improve the blood supply to the brain (ginkgo biloba, etc.), as well as metabolism in nerve cells (glycine, etc.) can be advised to prevent repeated fainting. You can also use preparations based on plant adaptogens (eleutherococcus, ginseng, aralia, magnolia vine), levocarnitine preparations, vitamins of group B, agents that improve the tone and elasticity of blood vessels (rutozide, Actovegin, diosmin).

But it is important not to forget that independent medication prophylaxis should be carried out only after consultation with the doctor and in the absence of contraindications.

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