"Tserukal": reviews of doctors and comparison with peers
"Reglan" refers to the number of anti-emetic drugs that contribute to the normalization of the motility of the gastrointestinal tract. In addition, this drug has not only a pronounced antiemetic, but also an anti-mycotic effect. Available in the form of tablets with a smooth surface and white color, as well as ampoules containing the solution for injection.
To the drug "TSerukal" price, reviews, instructions will be discussed in this article.
When does it apply?
The drug is used in the presence of the following symptoms in a patient:
- hiccups, vomiting and nausea of various origins;
- gastric and intestinal hypotension and atony (for example, postoperative);
- gastroparesis of diabetic.
As contraindications to the use of the drug include:
- high sensitivity to the components of the drug;
- intestinal obstruction of a mechanical nature;
- intestinal and gastric wall perforation, gastrointestinal bleeding;
- gastric pyloric stenosis;
- prolactin-dependent tumor type;
- extrapyramidal movement disorders;
- first trimester of pregnancy;
- age of children under fourteen.
The drug should be used with caution during the second and third trimesters of pregnancy, with bronchial asthma, hypertension, defects in the functioning of the kidneys and / or liver, with Parkinson's disease, the elderly.
According to reviews, "Zerukal" can cause the patient to display various side effects.
Negative reaction of the nervous system: in some cases, there may be headaches, fatigue, dizziness, anxiety, fear, depression, tinnitus, drowsiness; in certain situations, mainly in children, the dyskinetic syndrome, that is, the tichoid muscle twitching of the face, shoulders or neck, having an involuntary character, can be caused. Extrapyramidal disorders can also be noted, namely, trismus, facial muscle spasm, bulbar speech type,rhythmic lingual protrusion, spasm of extraocular muscles, including also ocular curvature, opisthotonus, spastic torticollis, muscle hypertonus.
With a prolonged therapeutic course, some elderly patients, as well as adolescents and children, may develop parkinsonism if the permissible dosage is exceeded (muscle twitches, tremors, and mobility characterized by limitations).
In addition, late dyskinesia may occur in patients with chronic renal failure in the elderly. This is confirmed by the tool "Tsirukal" instruction and reviews.
There are isolated cases of neuroleptic syndrome of malignant nature, the main signs of which are muscle contracture, increased blood pressure, fever, defects of consciousness.
A negative reaction of the hematopoietic system can manifest itself in the form of agranulocytosis.
On the part of the heart and blood vessels - increase or decrease in blood pressure, supraventricular tachycardia.
Negative reactions of the gastrointestinal tract: diarrhea, feeling of dryness in the mouth, constipation.This is confirmed to the medication "TSerukal" instructions for use and reviews. Analogs and prices are of interest to many.
The endocrine system may react with prolonged use of the drug. In isolated cases, galactorrhea may occur, that is, spontaneous milk flow from the mammary glands, gynecomastia, that is, an increase in the size of the male mammary glands, menstrual failures. If these symptoms occur, you must stop metoclopramide.
In case of overdose with the “Tsirukal” drug, according to reviews, the following symptoms may occur: irritability, drowsiness, anxiety, confusion, extrapyramidal motive disorders, convulsions, defects in the functioning of the heart and blood vessels with bradycardia, increase or decrease in blood pressure.
If the poisoning is mild, these symptoms disappear within twenty-four hours after discontinuation of the drug. Focusing on the severity of symptoms, you need to carefully monitor the provision of vital functions of the patient.Fatal cases with an overdose of "Cerucal" were not identified.
How to treat?
Treatment should be symptomatic. Thus, extrapyramidal disorders must be eliminated by gradually administering biperiden to the patient (for adults, the dose is between two and a half to five milligrams). The drug is administered exclusively in stationary conditions under the supervision of medical personnel. To calm the patient, it is authorized to apply diazepam. When large doses of metoclopramide are ingested, gastric lavage with sodium sulfate and activated charcoal is necessary.
Comparison with analogues
At the moment, the drug "Zerukal" according to reviews noted as one of the best. It not only accelerates, but does not bring any harm at all to the patient’s body if it complies with all the required prescriptions of specialists. Despite this, someone still faces the need to search for analogues of this drug. Most often this is due to contraindications. It is impossible to accept means to the following categories of patients:
- pregnant women;
- during the lactation period;
- with high sensitivity to the components of the drug;
- in case of obstruction of the intestinal lumen of a mechanical nature;
- with bleeding from the stomach.
This is confirmed to the tool "TSerukal" instructions for use and reviews. The price will be presented below.
The most famous analogues are Motilak, Motilium and Ganaton. It is difficult to say which one is better, since in any organism the effect of medicines will have its own distinctive features. For this reason, some patients choose “Ganaton” as the ideal drug, while others do not feel any effect and prefer other means.
A number of experts consider “Tsirukal” and its analogue “Metoclopramide” (more affordable) to be one of the most powerful tools.
An analogue in the form of tablets is "Ganaton". He also fights with vomiting and nausea, but at the same time he is much better given heartburn therapy.
"Motilak" and "Motilium" are almost identical drugs of different manufacturers and have a good reputation, but are inferior in their speed of action. This is confirmed by numerous reviews of the "Cercula."Analogs must select a doctor.
List of analogues
Of course, the list of generics and analogues is even more extensive than the above. The best known alternatives are:
- Metukal Health.
The duration of treatment with these drugs may vary. Some patients need a few weeks for complete recovery, while others require the use of medicines for up to six months. This is confirmed by the tool "TSerukal" reviews.
The drug can be purchased at any pharmacy chain. The recipe for this is optional. The cost of this drug varies from 130-250 rubles. It depends on the region and on the manufacturer.
The drug is a good antiemetic and is used in various fields of medicine. It can be used to treat both adults and children. Marked its availability, not affecting the quality,and the presence of injection forms (which is especially important for severe nausea, when the patient has certain problems with swallowing). Some experts consider this drug a miracle because it has a well-pronounced effect.
“Zerukal” is capable of stopping nausea of any origin, including also central. It is a good component in the complex treatment of withdrawal syndrome. It is also a prokinetic that improves intestinal peristalsis. This is confirmed by the instructions for use of the “Zerakul” preparation and reviews.
Of the disadvantages of the drug there is a decrease in appetite after injection for a rather long period of time. If you use it for a long time in the wrong dosage, you can provoke a poisoning, leading even to cardiac arrest. In addition, its effectiveness is lower than in recent years antiemetics. If “Zerukal” is prescribed as a premedication before the implementation of antitumor chemotherapeutic treatment, there are no guarantees of an antiemetic effect.
It is also noted that in the absence of the effectiveness of this drug should try to replace it with counterparts,because depending on the individual characteristics of the patient's body may not manifest itself properly.
The article discusses in detail to the tool "Tsirukal" instruction, price and reviews are given. It is important to understand that any drug must be prescribed by a doctor without fail. Self-medication is unacceptable and can lead to serious health problems.