Compligam B, 2 ml 5 pcs

Pharmgroup:

B vitamin complex.

Pharmic action:

CompligamB is a combined preparation containing B vitamins and lidocaine.
Neurotropic B vitamins have beneficial effects on inflammatory and degenerative diseases of the nerves and the motor system. They are not used to eliminate deficiency conditions, but in high doses they have analgesic properties, contribute to increased blood flow, normalize the nervous system and the process of hematopoiesis (vitamin B12).

Thiamine (B1) plays a key role in the processes of carbohydrate metabolism, which are critical in the metabolic processes of nervous tissue, as well as the Krebs cycle with subsequent participation in the synthesis of TPP (thiamine pyrophosphate) and ATP (adenosine triphosphate).
Pyridoxine (B6) is involved in the metabolism of proteins and partially in the metabolism of carbohydrates and fats.

The physiological function of both vitamins (B1, B6) is to potentiate each other’s action, manifesting as a positive effect on the nervous, neuromuscular and cardiovascular systems.

The cyanocobalamin (B12) is involved in the synthesis of myelin sheath, stimulates hematopoiesis, reduces pain associated with lesions of the peripheral nervous system, stimulates nucleic metabolism through the activation of folic acid.
Lidocaine is a local anesthetic that causes all types of local anesthetic.

Pharmacokinetics:

After intramuscular administration of CompligamB, thiamine is rapidly absorbed from the injection site and enters the blood (484 ng/mL after 15 min on the first day of administration of a 50 mg dose) and is unevenly distributed in the body with its content in leukocytes 15%, erythrocytes 75% and plasma 10%. Due to the lack of significant reserves of the vitamin in the body it must be supplied daily.

Thiamine penetrates the blood-brain and placental barriers and is found in the mother’s milk. Thiamine is excreted in the urine in the alpha phase after 0.15 hours, in the beta phase – after 1 hour and in the terminal phase – within 2 days. The main metabolites are thiamine carboxylic acid, pyramine and some unknown metabolites. Of all vitamins, thiamine is retained in the body in the smallest amounts. The adult body contains about 30 mg of thiamine in the form of: 80% as thiamine pyrophosphate, 10% thiamine triphosphate and the remainder as thiamine monophosphate.

After intramuscular injection, pyridoxine is quickly absorbed into the bloodstream and distributed in the body, acting as a coenzyme after phosphorylation of the CH2ON group in the 5th position. About 80% of the vitamin is bound to plasma proteins.

Pyridoxine is distributed throughout the body, passes through the placenta and is found in breast milk.
Deposited in the liver and oxidized to 4-pyridoxic acid, which is excreted in the urine, maximum 2-5 hours after absorption. The human body contains 40-150 mg of vitamin B6 and its daily elimination rate is about 1.7 to 3.6 mg with a replenishment rate of 2.2 to 2.4%.

Indications

Truncal neuralgia, Osteochondrosis, Neuritis, Myalgia (muscle pain), Sciatica, Lumbago, Pain

For pathogenetic and symptomatic therapy of diseases and syndromes of the nervous system of different origin:

• neuropathies and polyneuropathies (diabetic, alcoholic and others);

• neuritis and polyneuritis, including.

• Peripheral paresis, including facial nerve pain;

• Neuralgia, including trigeminal nerve and intercostal nerves;

• pain syndrome (radicular, myalgia);

• nocturnal muscle cramps, especially in the older age groups;

• plexopathies, ganglionitis (including herpes zoster);

• neurological manifestations of spinal osteochondrosis (radiculopathy, lumboichalgia, muscle-tonic syndromes).

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Composition

1 ampoule (2 ml) contains:

Active ingredients:

Thiamine hydrochloride – 100 mg,

pyridoxine hydrochloride – 100 mg,

Cyanocobalamin – 1 mg,

Lidocaine hydrochloride – 20 mg.

Excipients: benzyl alcohol, sodium polyphosphate, sodium tripolyphosphate, potassium hexacyanoferrate, sodium hydroxide solution 1 M, water for injection.

How to take, the dosage

With severe pain syndrome, it is advisable to start treatment with an intravenous injection (deep) of 2 ml daily for 5-10 days with subsequent transition either to oral intake, or to less frequent injections – 2-3 times a week for 2-3 weeks.

Interaction

Thiamine

Thiamine is completely destroyed in solutions containing sulfites. Thiamine loses its effect with increasing pH values (more than 3).

Thiamine is incompatible with oxidizing agents, mercury chloride, iodide, carbonate, acetate, tannic acid, iron-ammonium citrate, as well as phenobarbital , riboflavin, benzylpenicillin, dextrose and metabisulfite.

Copper accelerates the breakdown of thiamine.

Pyridoxine

Levodopa reduces the effect of pyridoxine .

The drug may interact with cycloserine , D-penicillamine , epinephrine , norepinephrine , sulfonamides, which reduces the effect of pyridoxine.

Cyanocobalamin

Cyanocobalamin is incompatible with ascorbic acid , heavy metal salts.

Lidocaine

According to the presence of lidocaine in the product, if adrenaline and noradrenaline are used, increased side effects on the heart may occur. In case of overdose of local anesthetic agents no additional use of adrenaline and noradrenaline is allowed.

Special Instructions

If the drug is administered very quickly, dizziness, arrhythmia, seizures may occur (these symptoms may also be the result of an overdose of the drug) Considering the side effects of the drug, caution should be exercised when driving vehicles and working with potentially dangerous mechanisms.

Contraindications

• severe and acute decompensated chronic heart failure;

• childhood (due to lack of studies);

• hypersensitivity to the components of the drug.

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Overdose

Symptoms: in cases of very rapid administration of the drug systemic reactions may occur – dizziness, arrhythmia, seizures, they may also be the result of overdose.

Treatment: symptomatic.

Pregnancy use

The drug Compligam B is contraindicated in pregnancy and lactation.