Betaserk - instructions to the drug's manufacturer - the pharmaceutical company Abbott (France). It is specified in detail the mechanism of drug action, indications and contraindications for its application, admission rules, the possible side effects.

The mechanism of action betaserk

Betaserk (active substance - betahistine) refers to a group of drugs that improve the microcirculation of the inner ear labyrinth, used with the pathology of the vestibular apparatus. Betaserk Available in tablets for oral administration of 8, 16 and 24 mg. Excipients in tablets are microcrystalline cellulose, mannitol, citric acid monohydrate, colloidal silicon dioxide, talc.

Betaserk is a synthetic substance whose action is identical to histamine. It acts on the histamine H1- and H3 receptors of the inner ear and vestibular nuclei in the brain. Like histamine, it actively affects the small blood vessels - capillaries, causing them to expand and improve blood circulation. It also restores the pressure in the inner ear lymph, increases blood flow in the basilar artery (major arteries that carry blood to the brain), restores conductivity in the neurons of the vestibular nuclei in the brain. It accelerates the recovery of vestibular function (equilibrium) after surgery to remove a unilateral vestibular nerve (vestibular neyrektomii), speeding up and facilitating the compensatory potential center of balance.

As a result of the impact of reduced frequency and severity of dizziness, ringing in the ears, hearing is improved if it is decreasing. The patient's condition improved in the first few days of taking the drug. Sustained improvement observed after two weeks of treatment.

If ingestion betaserk rapidly and almost completely absorbed from the intestine and enters the bloodstream. Maximum concentration in blood reached after three hours. Betaserk penetrates the fabric, and then decomposed into products and almost completely excreted by the kidneys as metabolic products within days.

Indications and contraindications for use betaserk

The indications for use are betaserk vestibular vertigo of various origins: vascular (including atherosclerosis), traumatic, on the background of vestibular neuritis, labyrinthitis, frequent and prolonged dizziness after neurosurgical operations, and so on.

Any diseases accompanied by dizziness, headache, tinnitus, progressive hearing loss, nausea and vomiting as well stoped using betaserk.

But the main indication for the use of betaserk is Meniere's syndrome - a disease accompanied by tinnitus, hearing impairment and balance.

Contraindications reception betaserk Betaserk - a drug that helps restore the balance   in case of hypersensitivity to it of the patient, pheochromocytoma (adrenal gland tumor), gastric ulcer and duodenal ulcer in the acute stage, bronchial asthma in the acute stage, pregnant and nursing Breastfeeding - a personal choice   breast, as well as children and adolescents under 18 years of age. The caution is recommended betaserk gastric ulcer or duodenal ulcer and bronchial asthma in remission.

Side effects

In some patients when taking betaserk develop the following side effects:

• the part of the digestive system - nausea, vomiting, abdominal pain Abdominal pain: Types and Symptoms , Flatulence, indigestion; such symptoms require dose reduction or receiving it together with the food;
• the nervous system - headache;
• allergic reactions in the form of various itchy rash, urticaria, angioedema, anaphylactic shock.

It is believed that the influence of betaserk on the ability to drive vehicles and other mechanisms is absent or negligible.

Betaserk is an analogue of histamine, so it should not be taken simultaneously with the blocker of H1-histamine receptors - can decrease the effectiveness of the latter.

Overdose

Overdose betaserk rare. This may appear lethargy, drowsiness, nausea, abdominal pain. If conscious high doses of the drug can appear facial flushing, seizures, shortness of breath, palpitation, reduction in blood pressure, pulmonary edema. nausea, vomiting, headache, dizziness, bronchospasm.

Treatment is to call the ambulance, gastric lavage, activated charcoal Activated carbon - old but indispensable   of symptomatic treatment.

Betaserk - is an effective medicine that is used for diseases of the inner ear with the defeat of the vestibular apparatus. Assigns betaserk a doctor, a pharmacy you can buy prescription.

Galina Romanenko

Back pain - a very common phenomenon: according to statistics, occasionally experiencing back pain, eight out of ten adults. Particularly frequent pain in the lumbar region of the back: periodically "prihvatyvaet" waist, not only the elderly, but also quite a seemingly young and able-bodied thirties. Causes of back pain can be very different - from renal disease to diseases of the joints (rheumatoid arthritis Arthritis - a variety of forms and complications , Ankylosing spondylitis). One of the very common causes of pain in the lower back - sciatica, or so-called sciatica.

What is Sciatica

By itself, the sciatica can not be considered a separate disease - in modern medicine Sciatica is viewed more as a symptom of certain disorders or diseases associated with damage to the roots of the lumbosacral spinal cord and sciatic nerve - the longest nerve in the human body. Inflammation, irritation or damage to the sciatic nerve, which causes pain in sciatica can be caused by many different reasons - such a variety of factors causing sciatica, due to the fact that the sciatic nerve The sciatic nerve: how to avoid the excruciating pain?   linked to many internal organs and structures (eg, pelvic, spine, spinal cord). Most often, however, is a direct consequence of sciatica spinal diseases, leading to compression, infringement or other kinds of nerve damage.

Causes

The group of the most common causes of sciatica include, first of all, various kinds of disorders and diseases of the spine. This, for example, intervertebral hernia at the lumbosacral spine, deformity of the intervertebral disc, which almost always nerve root compression and consequently, there is sciatica. In addition, the cause of pain in the lumbosacral spinal stenosis can such - narrowing of the spinal canal, which causes compression of the nerve root.

For other reasons sciatica include:

• Diseases of the intervertebral disc degenerative - deformation of the intervertebral disc caused by the natural and inevitable process of aging and accompanied by irritation of the nerve.
• Infectious nature of the disease, affecting directly the nerve
• Hypothermia
• A back injury
• Pregnancy - especially in the third trimester, when is additional burden on your back

Signs and symptoms

The main symptom of sciatica - pain that is localized in the lumbar region, or spread along the sciatic nerve in the lower limbs: the pain may spread to the back surface of the thigh, shin, foot .  Sciatica pain can affect how one limb or both legs (a condition called bilateral sciatica and observed, in contrast to the one-sided sciatica, quite rare) .  By the nature of pain can be different: in the lumbar region may experience tingling, burning or sharp "shooting" pain .  In some cases, sciatica can cause paresis (muscle weakness), limb, cause numbness in the leg .  A distinctive feature of sciatica - pain paroxysmal in nature: during an attack of pain that occurs suddenly, you may be so severe that the person is temporarily unable to move or even be in the upright position .

Treatment

Methods of treatment of sciatica depends on what the cause of the damage caused by the sciatic nerve. If mild cases of sciatica help suppress the symptoms physiotherapy and massage, in the most serious cases - for example, with significant damage to the intervertebral discs in the lumbar-sacral spine - may require surgical intervention. To suppress the pain of acute sciatica uses standard painkillers - nonsteroidal anti-inflammatory drugs (ibuprofen), analgin, paracetamol. Severe cases may require a more powerful narcotic analgesics or novocaine blockade.

Sciatica and Pregnancy

There are many side effects of pregnancy and sciatica Sciatica - warn it is too late   - It is also a frequent companion of this period. Pregnant women experience stress in the lower back, for obvious reasons, increasing the load on the back, and sometimes this can result in the load sciatica.

During pregnancy, a woman picking up to 10 kg of weight, which puts considerable pressure on the lumbar region, the growing baby puts pressure on the spine from the inside, hormonal changes in the body also play a role. In pregnant women, the pain does not depend on the position that they are taking, it occurs spontaneously.

Warn sciatica during pregnancy is also quite difficult. You can try to do the exercises that are recommended by doctors to treat pain. Massage, physical therapy, therapeutic baths are also shown in pregnancy - they relieve stress and acute pain. Yoga - loyal assistant in the prevention of sciatica, especially at this time it will be very helpful for relaxation and a general improvement of the body.

Exercise sciatica

Physical activity can help to eliminate sudden nastignuvshuyu you pain. Tension and relaxation of muscles acts as an analgesic, causes a rush of blood to the affected area, improves metabolism. Exercises should be appointed physiotherapist and performed preferably under the supervision of a specialist.

Lie on your back on a firm surface and pull your knees to your chest, feeling the muscle strain the lower back. Exercise performed during 30 seconds, repeat 10 times.

Lie on your back, bend your legs at the knees. Try lower back pressed into the floor, feeling the resistance of the floor. Repeat 10 times.

Lie on your stomach and leaning on your elbows, pull back, trying elbows forward, pausing in this position for 10-15 seconds, then relax. Repeat 10 times.

If exercise Myths about exercise: do not believe   cause discomfort or do not work, use alternative methods. These include acupuncture, electrotherapy easy, especially that show people with chronic sciatica.