Preparations for improvement of cerebral circulation

Circulation in the brain may be impaired for various reasons.To the development of the disease can cause craniocerebral trauma, systemic pathology, the effects of toxic compounds, physical and psychoemotional stresses, as well as various kinds of cerebral vascular lesions.

Blood vessels can suffer as a result of severe osteochondrosis, leading to their mechanical compression.Among the common causes of cerebral circulation disorders also include hypertension, atherosclerotic vascular lesions and the formation of blood clots in them blocking the lumen.

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Currently, pharmacologists offer a number of medications that allow to normalize blood flow in the so-called."A brain pool".

Table of contents:

The main types of medicines that help improve the cerebral circulation

Preventive and curative measures should be taken as soon as the first clinical signs appear, which indicate problems with cerebral circulation.Further development of pathologies very often causes serious consequences, including ischemic and hemorrhagic strokes, as well as dementia, that is, dementia.Many complications can pose a serious threat not only to health, but also to the life of the patient.

The main groups of drugs for the restoration of normal circulation in the central nervous system:

• vasodilators( vasodilators);
• anticoagulants and antiaggregants( to prevent thrombus formation);
• nootropics.

Specific preparations are shown in each specific case - only a qualified specialist can establish it after a detailed history and comprehensive examination of the patient.The doctor determines the tactics of treatment and identifies the optimal single and daily dosages of drugs.

Important: self-treatment for problems with blood supply to the brain is not only inefficient, but also deadly!

Vasodilators for disorders of cerebral circulation

Drugs of this clinico-pharmacological group provide an increase in the flow of blood to the brain tissues, which helps to prevent hypoxia at the cellular level.Normal blood flow also provides the cells of the central nervous system with an adequate number of vital compounds.

Vasodilators improve the functional activity of the brain by stimulating metabolism and energy metabolism in the brain cells.

Calcium antagonists used in circulatory disorders in the brain region

Pharmacological agents of this category have been used successfully for many years to improve blood circulation in the central nervous system.Currently, work is underway to create calcium antagonists of the third generation.The drugs contribute to the relaxation of the muscular vascular walls, due to which the lumen of the arteries expands, and the volume of blood flowing to the tissues increases.On the muscular elements of the veins, calcium antagonists have no effect.

These drugs can have systemic effects on the body, so they should be prescribed with extreme caution, and only after a thorough and comprehensive examination of the patient.Daily and single doses, as well as the total duration of course therapy are determined only by the attending physician.

Some first-generation Ca antagonists:

• dihydropyridines( Cordipine, Nifedipine);
• benzothiazapines( dilacor);
• phenylalkylamines( verapamil).

The second generation of drugs used in circulatory disorders in the brain:

• dihydropyridines( Felodipine, Isradipine, Nifedipine GITS, Nasoldipine);
• Benzothiazapines( Clentiazem, Diltiazem SR);
• phenylalkylamines( Verapamil SR).

Preparations based on plant extracts

Preparations, the main active ingredients of which are phytochemicals, are characterized by relative safety.As a rule, they have relatively few contraindications.Herbal preparations contribute to the prevention of disorders from the cerebral blood flow, and are widely used for the therapy of already diagnosed pathologies.

Some funds of this group are allowed for over-the-counter leave from pharmacies.They can be used independently, but only after consulting the therapist and carefully reading the annotation.

Please note: is the biologically active ingredients of the most common phytopreparations for the normalization of cerebral blood supply, are the alkaloids of the Ginkgo Biloba and Barvinok plants.

Means from alkaloid Barvinka

Biologically active component of these phytopreparations is characterized by spasmolytic effect.The plant alkaloid helps normalize cellular metabolism and prevents the formation of blood clots in the vessels of the central nervous system.

The most common means of this category used for disorders of cerebral circulation include:

• Cavinton;
• Vinpocetine;
• Bravinton.

Important: administration of Cavinton and Vinpocetine is allowed only on the recommendation of a doctor, since only a competent specialist is able to determine the most suitable route of administration and duration of course therapy.A preliminary examination of the patient is required.

Drugs for disorders of cerebral circulation from Ginkgo Biloba

The alkaloid of this plant has a complex effect.Healing preparations based on Ginkgo Biloba are characterized by a pronounced antispasmodic effect.They are able to reduce swelling of the tissues, as well as increase the permeability of the walls of the vessels and in parallel increase their elasticity.These funds contribute to the normalization of microcirculation.They are also powerful antioxidants, protecting the brain from the negative effects of free radicals at the cellular level.

Among the most effective herbal preparations from Ginkgo Biloba are:

• Ginkgo Biloba S;
• Tanakan;
• Doppelgerz Ginkgo Biloba Plus.

The duration of the therapeutic course for disorders of cerebral circulation, as a rule, is from 3 months or more, as the therapeutic effect develops gradually.Positive changes are observed after 1 month from the beginning of treatment.

In the period of treatment by means of these plants it is impossible to consume in parallel the drugs that "dilute" the blood( including acetylsalicylic acid), since there is a possibility of developing a hemorrhage.

Drugs that strengthen the vascular walls

A number of drugs and biologically active additives serve to restore the elasticity of the vascular walls.

Drugs of this category contain vitamins and macro- and microelements that have a complex effect.

The most effective preparations based on vitamin P, used for disorders of cerebral circulation, are:

• Blueberry Forte;
• Ascorutin.

Potassium, silicon, selenium and other compounds in the right quantities are present in the following dietary supplements and vitamin-mineral complexes:

• Microhydrin;
• Greenwich;
• Nootropic.

The improving state of the vascular walls of dihydroquercetin is found in such preparations as:

• Dihydroquercetin Plus;
• Flukol;
• Flavit.

Please note: containing vitamins and trace elements, as well as dietary supplements that have a preventive effect, can be taken without the advice of the therapist, but only after a careful review of the annotation.

Antiaggregants and anticoagulants

Antiplatelet agents are prescribed to improve the rheological properties of blood, i.e., reducing its viscosity.These drugs are indicated if there is a risk of transient disorders of the cerebral circulation( in the common language - micro strokes) or if the patient has an increased tendency to thrombosis.Drugs provide an opportunity to prevent the development of such a formidable complication, as thromboembolism of blood vessels.

To improve blood flow, the following antiplatelet agents can be recommended:

• Acetylsalicylic acid;
• Akuprin;
• Aspilate;
• Kurantil;
• Ticlopidine;
• TromboAss.

Important: antiplatelet agents are prescribed by the attending physician in case of cerebral circulation disorders after studying the data of laboratory tests, blood tests of the patient.

Anticoagulants serve to reduce blood clotting and restore microcirculation in small vessels.

If there are indications, the patient may be assigned the following anticoagulants:

• Heparin;
• Warfarin;
• Fragmin;
• Clexane.

To avoid dangerous complications( bleeding), with the course application of funds of this category, patients with cerebral circulation disorders should periodically give blood "for biochemistry", and the doctor - to examine the coagulogram of such patients.

Important: should immediately seek medical help if complications such as vomiting with blood, black feces, with a high probability of bleeding in the upper gastrointestinal tract, and bruising( bruises) of various locations occur.

Nootropic drugs

drugs related to this clinical and pharmacological group, improve metabolism in brain cells, increase their degree of resistance to hypoxia and improve memory and cognitive functions.Nootropics help to increase mental efficiency, prevent overwork and the appearance of depressive conditions.They are powerful antioxidants and adaptogens.A number of preparations of this category are produced on the basis of animal tissues;They contain natural amino acids.

The most effective nootropic drugs prescribed for cerebrovascular disorders are:

• Pyracetam;
• Actovegin;
• Phenibut;
• Pantogam;
• Glycine;
• Fenotropil;
• Hopantenic acid;
• Cerebrolysin.

Nootropics are indicated for the therapy of dementia( dementia) of vascular genesis, ischemic strokes, vegetative-vascular dystonia, memory impairment, impaired concentration, alcoholic encephalopathy, and many other diseases and pathological conditions due to impaired blood circulation in the brain.

Medicinal products based on nicotinic acid

For the improvement of cerebral circulation, it is often recommended to take preparations of vitamin PP( nicotinic acid).Significant impact on large blood vessels this biologically active compound does not have, but contributes to the expansion of capillaries.

Vitamin PP allows you to lower the level of so-called."Bad cholesterol," that is, cholesterol, tolerated by low-density lipoproteins, and reduce the fragility of the walls of blood vessels.

The most common agents based on nicotinic acid in disorders of the cerebral circulation:

• Nicotinic acid;
• Acipimox;
• Nikoshpan.

Important: with is not categorically prohibited.Injections of the solution( conducted by courses) are carried out under the supervision of the attending physician.As far as relief of acute phenomena of cerebral blood supply insufficiency is concerned, vitamin PP can be prescribed to a patient in the form of oral tablets for long-term maintenance therapy.

Alexander Lotin, medical reviewer