Neuromultivitis: description, indications and contraindications. Neuromultivit: instructions for use Neuromultivit indications for use

INSTRUCTIONS

on the use of a medicinal product for medical use

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pharmachologic effect

Indications for use

Contraindications

Application during pregnancy and lactation

Method of administration and dosage

Side effect

Overdose

Interaction with other medicinal products

special instructions

Influence on the ability to drive vehicles and mechanisms

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Storage conditions

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Conditions of dispensing from pharmacies

Content

Nervous stress at work, overwork, various nervous diseases can serve as the beginning of serious, destructive and even fatal processes in the body. To strengthen the nerves, medicine has developed the drug Neuromultivit, which successfully combines the three most important vitamins of group B. The indications for use of the drug are listed on the pages of the pharmaceutical instructions. The extensive practice of using Neuromultivit confirms its effectiveness.

Composition and form of release

The drug Neuromultivit is available in the form of film-coated tablets. The composition is represented by active and auxiliary components, substances that make up the tablet shell.

Pharmacodynamics and pharmacokinetics

Instructions for the use of Neuromultivit (Neuromultivit) contains information about each component of the composition. More about the pharmacodynamics and pharmacokinetics of water-soluble vitamins:

1. Thiamine hydrochloride or vitamin B1 in the process of phosphorylation is converted into cocarboxylase, which serves as a coenzyme and takes part in many enzymatic reactions. The substance is involved in protein, carbohydrate and fat metabolism, the process of conducting nervous excitement in synapses, alpha-keto acids. Tiamin hydrochloride is absorbed in the upper intestine, metabolized in the liver, and excreted by the kidneys.
2. Pyridoxine or vitamin B6 is needed by the body for the normal functioning of all parts of the nervous system. Its phosphorylated form is a coenzyme involved in the metabolism of amino acids, including the processes of peramination and decarboxylation of glycosphingolipids. The substance is a coenzyme in enzymatic reactions inside nerve tissues. It participates in the synthesis of neurotransmitters dopamine, adrenaline, norepinephrine, gamma-aminobutyric acid, histamine. Pyridoxine is metabolized in the liver and excreted by the kidneys.
3. Vitamin B12 or cyanocobaolamine is involved in the process of normal hematopoiesis, maturation of erythrocytes, biochemical reactions to ensure the vital activity of the body. Without it, the transfer of methyl groups, the exchange of amino acids, lipids and carbohydrates are impossible. Vitamin affects the production of nucleic acids, the lipid composition of phospholipids, cerebrosides. Coenzyme forms of methylcobalamin and adenosylcobalamin are involved in the replication and growth of cells, and affect acidity. Delivery of cyanocobalamin to tissues occurs due to the protein transcobalamin. The substance is metabolized in the liver, excreted in the bile or kidneys.

Indications for the use of Neuromultivit

The instruction highlights a list of diseases and pathological conditions of the nervous system for which Neuromultivitis is prescribed. Direct indications for admission:

• plexitis (cervical, lumbosacral, shoulder);
• sciatica (sciatic nerve damage);
• lumbago (lumbar lumbago, sciatica, lumboischialgia);
• diabetic polyneuropathy;
• alcoholic polyneuropathy, polyneuritis, paralysis;
• mononeuropathy;
• prosoplegia;
• radiculopathy (stimulation of the diseased area);
• psychosis;
• metabolic disorders;
• neuralgia and neuritis;
• trigeminal neuralgia;
• degenerative diseases of the spine with radicular syndrome;
• intercostal neuralgia.

Method of administration and dosage

The tablets are taken orally with water. It is not recommended to crush, grind or chew the tablet, as this may cause a change in the pharmacokinetic profile of Neuromultvit in the digestive tract. The maximum therapeutic effect is achieved if taken immediately after meals. The standard regimen provides for the appointment of 1 to 3 tablets per day (depending on the symptoms). The permissible age for therapy is from 12 years.

special instructions

The pharmacological features of Neuromultivitis made it necessary to indicate a number of special instructions in the instructions. When using the drug, you need to pay attention to the following points:

• high doses are allowed to be taken for no more than 4 weeks in a row, otherwise there is a risk of neurological symptoms;
• absorption of thiamine (vitamin B1) decreases with the use of black tea;
• under the influence of sulfites, the process of destruction of thiamine is accelerated;
• due to the presence of vitamin B6 in the composition of the drug, it is necessary to prescribe Neuromultivit with caution to patients with duodenal and stomach ulcers, with significant liver and kidney dysfunction;
• in patients with pernicious anemia or funicular myelosis, the use of vitamin B12 can lead to a loss of specificity of the clinical picture of the disease;
• if neoplasms are detected, therapy should be discontinued (exceptions are cases of megaloblastic anemia and B12 deficiency);
• you cannot use the drug if you have a diagnosis of angina pectoris and in acute or severe decompensation of heart failure.

Neuromultivitis during pregnancy

Vitamins Neuromultivit, according to the instructions for use, are not recommended during pregnancy and during breastfeeding (lactation). This is due to the fact that there is no reliable clinical data on the safety of using the drug in patients of these categories. It is possible that the agent will adversely affect the development of the fetus or newborn baby.

Neuromultivitis for children

According to the instructions, the use of Neuromultivitis in children is contraindicated under 12 years of age. This limitation is due to the lack of information on the efficacy and safety of using the drug in this group of patients. Pediatricians use the medicine earlier, but after the child reaches a year. If you start taking it before a year, then there is a risk of overdose - the content of vitamins in Neuromultivit is 10 times higher than the daily requirement of the baby.

Prescribing vitamins in pediatrics is necessary to activate metabolic processes occurring at the cellular level, restore functions and improve the state of the nervous system. Vitamin B6 is important for the child's psyche, it is an irreplaceable source of energy, it is involved in the exchange of amino acids, the transmission of nerve impulses, the synthesis of neurotransmitters. Vitamin B12 improves oxygen saturation of tissues and organs.

Neuromultivitis is indicated for inadequate or improper diet, neuralgia, increased physical and neuropsychic stress. Children can be given three tablets a day - one three times a day after meals, washed down with a little water. For babies up to a year, the remedy is prescribed with caution, a quarter of a tablet twice a day. It is allowed to crush the dose and mix it with formula milk, breast milk. You can not take the drug for more than 4 weeks in a row and before bedtime, because insomnia may occur.

Drug interactions

The interaction of Neuromultivit with other drugs is described in the instructions. Examples of combinations:

1. The drug reduces the antiparkinsonian effect of Levodopa when used simultaneously.
2. During treatment, you can not take other complex supplements based on B vitamins in order to avoid the development of hypervitaminosis.
3. 5-fluorouracil minimizes the activity of thiamine, because it competitively inhibits its phosphorylation to cocarboxylase.
4. Antacids slow down the absorption of vitamin B1.
5. Long-term use of Neuromultivitis with loop diuretics, Furosemide, and other agents for inhibiting tubular reabsorption increases the elimination of thiamine and reduces its level.
6. When the drug is combined with pyridoxine antagonists, the anti-tuberculosis Isoniazid and Cycloserine, penicillamine, the vasodilator Hydralazine, oral contraceptives, the need for vitamin B6 increases.

Neuromultivitis and alcohol compatibility

According to the instructions, Neuromultivitis and alcohol are incompatible, therefore, during drug therapy, it is prohibited to take any alcoholic or alcoholic beverages. This limitation is due to the fact that the combination of vitamin B1 and ethanol leads to a decrease in the absorption of the former by almost a third. This reduces the effectiveness of the action of the drug and may result in unfavorable results.

Side effects

Neuromultivitis is well tolerated, only a few cases of admission end in manifestations of side effects. The instruction refers to them as nausea, itching, skin hypersensitivity reactions, tachycardia, urticaria. Allergies are possible. If unpleasant symptoms develop, you should stop taking the drug and consult your doctor.

Overdose

The likelihood of an overdose is small, this is possible if extremely high doses of B vitamins are taken for a long time. After taking more than 2 g of vitamin B6 per day, ataxia, sensory disturbances, convulsions, hypochromic anemia, and seborrheic dermatitis develop. After exceeding the dose of cyanocobalamin, acne and eczematous skin changes may develop. According to the instructions, symptomatic treatment is prescribed. There is no antidote.

Contraindications

The instructions indicate contraindications to the use of Neuromultivit. These include:

• childhood;
• hypersensitivity to the components of the composition;
• allergy (for vitamin B1);
• exacerbation of peptic ulcer or duodenal ulcer (for pyridoxine);
• erythremia, Vakez's disease, embolism by a blood vessel thrombus, erythrocytosis (for vitamin B12).

Terms of sale and storage

Neuromultivitis is a prescription drug stored at temperatures up to 25 degrees for three years.

Analogs

You can replace the remedy with preparations based on B vitamins. These include:

• Angiovit - tablets with the same composition with the addition of glucose;
• Multi-tabs B-complex - multivitamin tablets with B vitamins and others;
• Beviplex is a lyophilized powder for solution for injection based on a vitamin complex;
• Pentavit - tablets with the same composition, fortified with nicotinamide and folic acid;
• Purified dry brewer's yeast - powder or capsules with B vitamins, amino acids;
• Medivitan is a solution of B vitamins to compensate for their deficiency.

Milgamma or Neuromultivitis - which is better

The solution and tablets of Neuromultivit are often compared with the drug Milgamma. It contains the same active ingredients, but additionally fortified with lidocaine content - so that the injection is not so painful. There is no lidocaine in Milgamma tablets, so they can be considered a structural analogue of Neuromultivitis. Which of them is better, the doctor decides, but one must remember that Milgamma cannot be used in the treatment of children.

Neuromultivitis price

The drug Neuromultivit is sold in pharmacy chains or online departments. Its cost depends on the form of release and pricing policy. In Moscow, prices will be.

Neuromultivitis is a combined preparation containing B vitamins: B1, B6, B12.

Produced in 2 forms:

• Tablets for internal use are white, film-coated. Each package of the drug contains 20 or 60 tablets;
• Solution for intramuscular injections - red. Packaged in 2 ml ampoules made of dark glass. Each package contains 5 ampoules.

Producer Pharma GmbH (Austria). The fundamental difference between each form lies in the field of application - the drug, produced in the form of a solution for injections, is used in cases where the use of tablets is impossible and an immediate effect is required.

1. Vitamin B 1 or thiamine hydrochloride is necessary for the correct course of metabolic processes - carbohydrate, protein and lipid. He also takes a direct part in the process of impulse transmission in nerve endings.
2. Vitamin B 6 or pyridoxine hydrochloride is a substance that is needed for the proper functioning of the nervous system, both central and peripheral. With its participation, a number of substances are synthesized in the human body, without which the normal course of many nervous processes would be impossible. For example, norepinephrine, adrenaline, dopamine.
3. Vitamin B12 (cyanocobalamin) plays an important role in hematopoiesis and the formation of erythrocytes, and also participates in many metabolic processes in the body - the synthesis of nucleic acids, phospholipids and cerebrosides. Cyanocobalamin as a coenzyme is required for the processes of cell division and growth.

The active components of Neuromultivit are characterized as low-toxic substances, so taking the drug is not associated with a potential risk to humans.

Indications for use

What does Neuromultivitis help from? The drug is prescribed in the following cases:

• polyneuropathies of various etiologies (including diabetic, alcoholic);
• intercostal neuralgia;
• trigeminal neuralgia;
• radicular syndrome caused by degenerative changes in the spine;
• cervical syndrome;
• shoulder-scapular syndrome;
• lumbar syndrome;
• lumboishalgia.

Instructions for use Neuromultivit, dosages

Injections

The drug is administered intramuscularly, deeply. The first 5-10 days, 2 ml \ 1 time per day.

The duration of therapy is determined by the attending physician. If the treatment is continued, they switch to more rare injections - 2 to 3 times a week. The course should not exceed 2-3 weeks.

• Intravenous administration of the drug is not allowed!

When using Neuromultivitis injections, the patient should be under medical supervision. It is recommended to switch to the use of tablets as early as possible.

Instructions for tablets

The drug is used only after meals. The prescribed dose should be swallowed whole, not chewed, washed down with at least 50 ml of clean water.

The recommended dosage is 1 tablet of Neuromultivit 1 time per day. The duration of the course of admission in most cases is 1 month. If continued therapy is required, dose reduction options should be considered.

In severe cases, take 1 tablet 3 times a day until the condition improves. The time of admission should be distributed evenly throughout the day: in the morning (before lunch), in the afternoon and in the evening. In the future, they switch to the use of standard therapeutic doses.

Side effects

Prescribing Neuromultivitis may be accompanied by the following side effects:

• nausea,
• tachycardia,
• skin reactions in the form of itching and urticaria.

Clinical symptoms of an overdose of vitamins that make up the drug can occur only after taking extremely high doses for a very long time.

• Vitamin B6 - after taking more than 2 g / day, neuropathies with ataxia and impaired sensitivity, seizures with EEG changes and, in some cases, hypochromic anemia and seborrheic dermatitis are described.
• Vitamin B12 - after parenteral administration (in rare cases and after ingestion), eczematous skin changes and acne were observed.

Due to the fact that the preparation contains vitamin B6, in patients with a history of gastric ulcer and duodenal ulcer, as well as in severe renal and / or liver dysfunction, Neuromultivitis should be prescribed with caution.

Contraindications

It is contraindicated to prescribe Neuromultivitis in the following cases:

• Hypersensitivity to the components of the drug.
• Vitamin B1 is contraindicated for allergic diseases.
• Vitamin B6 is contraindicated for use in case of gastric ulcer and duodenal ulcer in the acute stage (since it is possible to increase the acidity of gastric juice).
• Vitamin B12 is contraindicated for use in erythremia, erythrocytosis, thromboembolism.

Overdose

With prolonged use of Neuromultivit or accidentally ingesting a large number of tablets, patients develop signs of an overdose, which are expressed by the following clinical signs:

• neuropathy;
• ataxia;
• heart rhythm disorder;
• seborrheic dermatitis;
• convulsions;
• change in indicators on the electrocardiogram;
• the development of hypochromic anemia;
• eczematous eruptions.

When these symptoms appear, treatment with the drug should be discontinued, if necessary, the patient undergoes symptomatic therapy.

Analogs Neuromultivit, price in pharmacies

If necessary, Neuromultivit can be replaced with an analogue for the active substance (group B vitamins) - these are drugs:

1. Angiovitis,
2. Neurobion,
3. Vitacitrol,
4. Kaltsevita,
5. Unigamma.

When choosing analogs, it is important to understand that the instructions for the use of Neuromultivit, the price and reviews for drugs of a similar action do not apply. It is important to consult a doctor and not make your own replacement of the drug.

Price in Moscow pharmacies: Neuromultivit No. 20 tablets - 270 rubles, solution of 2 ml of 5 ampoules - 188 rubles, solution of 2 ml of 10 ampoules - from 337 to 380 rubles.

Store in a dry, dark place. Keep out of the reach of children. The temperature should not exceed 25C. Pharmacies have prescriptions.

Neuromultivitis is a unique combined vitamin medicine, the action of which is aimed at normalizing the processes of tissue metabolism. Neuromultivit contains three vitamins - B1, B6 and B12. Neuromultivit does not contain other vitamin components and minerals.

The combined combination of vitamins often affects the assimilation of the components of the drug - it has been proven that many vitamin complexes are incompatible with each other, which significantly reduces the effectiveness of each of them in multivitamin medicines.

In this article, we will consider why doctors prescribe the drug Neuromultivit, including instructions for use, analogues and prices for this drug in pharmacies. If you have already used Neuromultivit, leave your feedback in the comments.

Composition and form of release

Clinical and pharmacological group: complex of vitamins of group B. Active substances contained in 1 tablet:

• Pyridoxine hydrochloride (vitamin B6) - 200 mg;
• Thiamine hydrochloride (vitamin B1) - 100 mg;
• Cyanocobalamin (Vitamin B12) 0.2 mg

Dosage form - film-coated tablets: round, convex on both sides, almost white or white; cross-section - from white to light pink with pink blotches (20 pcs. in blisters, 1 blister in a cardboard box).

What is Neuromultivit used for?

Indications for the use of neuromultivitis are various neurological pathologies, when it is necessary to improve metabolic processes and start the regeneration process of the affected nerve tissues.

The drug is successfully used in the complex treatment of the following diseases:

• radicular syndrome caused by degenerative changes in the spine;
• diabetic polyneuropathy;
• paresis of the facial nerve;
• lumboishalgia;
• alcoholic polyneuropathy;
• shoulder scapular syndrome;
• intercostal neuralgia;
• trigeminal neuralgia;
• radiculopathy, etc.

pharmachologic effect

Vitamin B12 (cobalamin) is involved in the regulation of the metabolism of proteins and nucleic acids. Promotes tissue growth and regeneration (repair). It is necessary for the normal functioning of the nervous system, as it affects the production of myelin, a substance that forms an electrically insulating sheath of the processes of nerve cells. It is necessary for the synthesis of hemoglobin - an oxygen carrier from the lungs to other tissues of the body.

Vitamin B6 or pyridoxine hydrochloride is a substance that is needed for the proper functioning of the nervous system, both central and peripheral. With its participation, a number of substances are synthesized in the human body, without which the normal course of many nervous processes would be impossible. For example, norepinephrine, adrenaline, dopamine.

Vitamin B1 (thiamine) is an essential component of many enzymes, which are mainly used to obtain energy from food consumed. Needed for the synthesis of proteins and fats. Affects the metabolism involved in the transmission of nerve impulses, it is necessary for the processes of voluntary muscle contraction.

Instructions for use

The drug should be taken orally after meals: swallow the tablets whole, without chewing, and drink plenty of liquid.

• Adults are prescribed 1 tablet 1 to 3 times a day.

The duration of the use of the vitamin complex is determined individually, depending on the patient's condition.

Contraindications

Neuromultivitis has the following contraindications:

• hypersensitivity to individual components;
• age up to 12 years;
• allergies;
• exacerbation of peptic ulcer diseases;
• erythremia;
• erythrocytosis;
• embolism by a blood vessel thrombus.

Side effects

Usually Neuromultivitis is well tolerated by the body, and its use is not accompanied by the manifestation of any side effects. However, in rare cases, especially with prolonged use of high doses of the drug, some gastrointestinal manifestations (abdominal pain, nausea, vomiting, diarrhea) and disorders of the central nervous system (headache, fainting, general weakness) may occur.

In the case of a hypersensitivity reaction to one of the components of the drug, urticaria, erythema, itching may occur. In rare cases, there is a possibility of anaphylactic reactions.

Interaction

Neuromultivitis reduces the antiparkinsonian efficacy of levodopa. Ethanol dramatically reduces the absorption of thiamine (blood levels can decrease by 30%). Long-term treatment with anticonvulsants (phenobarbital, phenytoin, carbamazepine) can lead to thiamine deficiency. The use of colchicine and biguanides reduces the absorption of cyanocobalamin.

Analogs

Structural analogs of Neuromultivit (generics) are Angiovit and Multi-tabs B-complex.

Similar drugs in terms of the mechanism of action are Autolysate of purified brewer's yeast (in the form of a powder for preparing a suspension for oral administration), a lyophilisate for preparing an injection solution Beviplex, Pentavit, Purified dry brewer's yeast (in the form of a powder for preparing a suspension), film-coated tablets Multi -tabs Intensive, solution for intravenous and intramuscular administration of Medivitan.

Prices

The average price of NEUROMULTIVIT in pharmacies (Moscow) is 220 rubles.

Childhood use

Contraindicated in childhood.

Storage conditions

Neuromultivitis should be stored in a dry, dark place, subject to a temperature regime of 15-25 degrees. Shelf life - no more than 3 years.

Conditions of dispensing from pharmacies

The drug is available with a prescription.

1. Galya

   Now I am giving multivitamins Neuromultivit to my 5-year-old daughter. She began to exert stress, plus in infancy she had high intracranial pressure and poor outflow in the vessels. And loads in the form of activities affect the general well-being and irritability of the child.

   She became capricious, complains of headache and fatigue. A neuropathologist prescribed Neuromultivitis. After a week of admission, the child became less irritable, they began to memorize much more and did not complain of a headache.

2. Dasha

   The vitamins are good, they helped me from keeping my hands on it, this happened after I woke up in the morning and if I slept on this hand, then it became numb and stopped obeying. I was examined by a neurologist and he prescribed these vitamins, as he said that multivit contains a good combination of B vitamins for the treatment of his diseases. The course of treatment was long, I also drank Glycine for vitamins. But in the end, things began to improve and the numbness gradually faded away.

   But I do not advise anyone to take neuromultivit without a doctor's prescription, since they contain shock, horse doses of vitamins in the complex, which can also have a negative effect, so get examined before using this remedy.

3. Lida

   I was prescribed the Neurodiclovit + Neuromultivitis complex, there were very severe back pains, after I drank a course of neurodiclovitis (I drank it for two weeks) it became much easier, and then, to consolidate the effect, I drank Neromultivitis for another month. Already half a year has passed, my back does not hurt.

4. Helena

   Once again, neuralgia grabbed me in the fall, and the doctor suggested strengthening the effect of npvp with injections of neuromultivitis. For five days, the nurse came every day to put them, then I went myself, but a couple of times a week in total - such a scheme was prescribed by the doctor. But it helped well, the nerve tissues healed me.

5. Maria

   The last half year, the pain in my back was more or less bearable, but not so long ago it became unbearable and of course I went to the doctor, although I should have done it earlier. After all the necessary procedures, the doctor prescribed me Neuromultivitis in ampoules, which contains a lot of vitamin B. I am calm about the injection, but then I was stunned by the pain he brought me, and in general I was not sure what I would do the next day. But at night I felt relief, the pain subsided and for this I decided to complete the course, especially since I can withstand only five injections. It was not in vain that I endured this torment, because the pain went away completely and personally I had no side effects.

6. Alina

   Good drug. From time to time I suffer from migraines, so the neurologist prescribes Neuromultivitis for me with attacks. It helps already on the second day, while there are no side effects.

7. Larisa Lebedeva 07/08/2019

   For several years now, from time to time, I have been undergoing a course of treatment with Neuromultivitis. All because of a back injury that I got while skiing. After it, my nerve was constantly pinching, and this is an unpleasant thing, however. Wild back pains that knock out of action, at times, for a month. When the attacks are not too strong, then I get by with injections of Neuromultivitis, if the pains are strong, then additional therapy is prescribed - drugs, massage, physiotherapy. If I do not forget, then every 5-6 months I undergo a course of Neuromultivitis and then my back does not bother for a long time. All this, of course, after consulting my doctor, because the medicine cannot be bought without a prescription. Although many people believe that there are only vitamins in the composition, only the dose there is serious and it is not necessary to take Neuromultivit for prophylaxis and without a doctor's prescription. These injections were also prescribed to my wife when she had scaly skin, I don’t remember the diagnosis, but then she was also prescribed Neuromultivitis injections for the main treatment. The treatment worked well then. Even the skin, in general, is better than before the treatment and sleep better. So the spectrum of application of the drug is large, while no obvious side effects were found.

8. Alexander

   Recently I was driving and felt an ache in my neck, by the evening it had developed into severe pain and turning my head caused severe discomfort! I made an appointment with my neurologist. He conducted a professional examination and suggested that I undergo a course of Neuromultivit along with exercise therapy. The doctor explained to me that the remedy is completely safe and contains B vitamins that will help me heal as soon as possible. I calmly bought the drug and took its package with ampoules to my hospital. There I was given injections with him. After a couple of days, the discomfort in the neck decreased noticeably, it became much easier! By the end of the week of taking the course, the pain had completely disappeared and I could freely turn my neck, as before! I recommend this remedy, which quickly and without side effects relieved me of pain.

Instructions

The multivitamin drug "Neuromultivit" is prescribed as part of the complex therapy for the following diseases of the nervous system: neuralgia, neuritis, plexitis, intercostal neuralgia, sciatica, lumbago, trigeminal neuralgia, diabetic and alcoholic polyneuropathies, degenerative pathologies of the spine with radicular syndrome. The drug is released in coated. One tablet contains vitamin B1 (100 mg), vitamin B6 (200 mg) and vitamin B12 (0.20 mg). The agent stimulates the metabolism in the nervous system, improves the recovery processes in the nervous tissue, and also has some analgesic effect.

The peculiarities of the mechanism of action of the drug are due to its components. Vitamin B1 in the body is converted to cocarboxylase, which takes part in many metabolic processes, and also participates in the transmission of nerve impulses in nerve endings (synapses). Vitamin B6 is required for the normal functioning of the nervous system, takes part in the synthesis of many neurotransmitters (dopamine, norepinephrine, histamine, etc.). Vitamin B12 participates in hematopoiesis, metabolism, it is necessary for the body for the processes of cell division and growth.

Take "Neuromultivit" after meals with water, 1 tab. 1-3 times a day. The duration of therapy is determined by the doctor, usually it is 2-4 weeks. The drug has a therapeutic effect within 1-2 weeks after the start of administration. It is not recommended to take "Neromultivit" for more than 4 weeks. The drug is contraindicated in case of hypersensitivity to the components of the drug, during pregnancy and lactation. The drug causes side effects in rare cases. These include: nausea, itching, rash, tachycardia.

Neuromultivitis reduces the effectiveness of antiparkinsonian drugs (Levodopa). Taking ethanol dramatically reduces the absorption of vitamin B1. During the use of the drug, it is not recommended to take other preparations containing vitamins of group B. Analogues of "Neuromultivit" are: "Angiovit", "Sana-Sol", "Pikovit", "Vitatsitrol", "Viabeks", "Revit", "Milgamma" , "Neurogamma", "Kombilipen", "Unigamma", "Calcevita", "Neurotrat Forte". Replace the drug with an analogue only after consulting a doctor. "Neuromultivitis" is stored in a dark, dry place out of the reach of children. Storage temperature should not exceed 25 ° C. The shelf life of the product is 3 years.