Most of the drugs along with a healing effect on the body is also a number of unpleasant side effects. But valokordin - one of the few drugs whose effects on man really complex: on the one hand, valokordin - a remedy for pain in the heart, on the other hand - an effective sedative and hypnotic.

Composition valokordin

Valocordin - generic drug from pains in the heart, which also can be taken as a mild sedative or hypnotic. Valocordin was developed by the German company Krewel Meuselbach. Versatility valokordin steps explained in the first place, its composition. One of the key ingredients valokordin - phenobarbital, one of the oldest medical barbiturates (sleeping pills). Phenobarbital is considered both a sedative (sedative), sleeping pills and anti-convulsive drug is an effective anticonvulsant. Furthermore, the most valuable property in the composition of phenobarbital valokordin - its ability to expand blood vessels, providing a relaxing effect on the smooth muscles of blood vessel walls.

Another important ingredient valokordin - etylbromisovalerianate, a synthetic compound based on isovaleric acid, the active substance of the famous valerian. This ingredient valokordin retained all the useful properties of medicinal plants: etylbromisovalerianate has sedative, hypnotic, antispasmodic effects on the body. A peppermint oil Mint and its useful properties: aromatic freshness As phenobarbital, dilates blood vessels and is effective antispasmodic.

Indications for admission

Valocordin has on the body rather mild effect, and therefore can be used in a variety of situations. In the general case shown in valokordin:

• Some functional disorders of the cardiovascular system (tachycardia, kardialgiya)
• Sleep disorders, insomnia (including on the grounds of emotional turmoil, stress)
• Neuroses, accompanied by changes in behavior, increased irritability Irritability - you try to control my temper , Anxiety Anxiety - how to distinguish normal from disease? , Panic attacks
• Increased excitability
• Depression

Contraindications

Although valokordin works quite smoothly and drug overdose is questionable in some cases, taking this medicine is not recommended. The main contraindications to the drug - hypersensitivity (allergic reaction) to any of the ingredients valokordin. In addition, it is not recommended to take valokordin pregnant women, breastfeeding women, children under the age of eighteen years. Precautions valokordin appointed in certain diseases of the kidneys and liver, traumatic brain injuries, certain diseases of the brain.

Recommended dosage and method of administration

Recommended dosage valokordin as such does not exist - the optimal dose is calculated individually based on the patient's health status. The minimum recommended dose for adults valokordin - fifteen or twenty drops three times a day (the solution should be stirred into a small amount of fluid). If valokordin taken to combat insomnia, to enhance the hypnotic effect of the dose can be increased to thirty drops. If valokordin primarily taken as a sedative and hypnotic, it is best to take medicine at night, just before bedtime. In some cases - for example when significant stress How to beat stress? Create an oasis   and nervous tension - valokordin dosage can be increased, however, to separate the increase in dose should consult a doctor.

Take the drug must be on an empty stomach, before meals (the contents of the stomach slows down the action valokordin). Do not take valokordin with alcohol or intoxicated - active ingredients of the drug enhances the effect of alcohol, violate human response (in particular, reduces the rate of reaction). Course Length reception valokordin as the optimal dosage of the drug, is strictly individual - it is best to start taking the drug consult your doctor.

It is estimated that each year sciatica occurs in 5 out of 1000 adults. The consequences of this disorder may be different - from discomfort for a few days or weeks before the disability to some extent. In most cases, the pain goes away for eight weeks after the onset, and many patients sciatica never reminds himself.

Since the first successful surgery for the treatment of sciatica Sciatica (sciatica) - is not a disease   in 1934, it was established the rules under which surgery should be used only in cases where symptoms persist after a period of conservative treatment. However, there is no consensus on how long this period should continue. In various countries in this regard are its long-established view. For example, in the Netherlands it recommended operation, if no improvement is observed after six weeks of conservative treatment. In other countries, this period is much longer. We'll talk about the study of the effectiveness of early surgery compared to prolonged conservative treatment. The study involved patients aged 18 to 65 years, with herniated discs caused by compression and sciatica Sciatica - warn it is too late .

Treatment

Surgical operations were carried out for two weeks after diagnosis, and canceled only in those cases where the operations prior to the date the patient's condition improved significantly. In the course of operations to use local or general anesthesia. The object has been surgical decompression of the nerve, which usually removed damaged part of the intervertebral disc. After being discharged from hospital patients under the supervision of physiotherapists regularly perform standard exercise. All subjects were encouraged to return to their work as soon as it will allow health.

Conservative treatment is supervised by family doctors. The main objective of this treatment was - give the patient the opportunity to return to their former way of life and daily activities with minimal discomfort. Patients taking non-prescription painkillers, or, if necessary, they wrote out stronger analgesics. Those patients, who because of the pain began to be afraid to do some movement, it was recommended to apply to a physical therapist. If symptoms of inflammation of the sciatic nerve Symptoms of sciatica when the pain intensifies   persisted for six months, patients were prescribed mikrodisketomiya. If pain in the back and legs amplified or analgesics is ineffective, before surgery was performed.

results

283 patients participated in the study were randomly divided into two groups. Of the 141 patients who were in the group of early surgery, 16 recovered up to the day, which was scheduled for surgery. Of the 142 patients who fell in the conservative treatment group, 55 in the first year he was appointed surgery; average operations administered 14 weeks after the start of the study.

In the first group, 3.2% of patients in pain after the operation was resumed, due to which required further surgery. Of the 55 participants in the second group, the last operation, a second operation was necessary 1.8% of patients. In 1.6% of cases there are complications that took place quickly and by themselves.

Although patients in the early surgical intervention is relieving the symptoms occurred two times faster than those treated by conservative methods, research has shown that this strategy did not produce the best results in the long term. Within 12 months after the start of the study 89% of patients in the first group needed additional surgery - mikrodisketomiya; the second group of patients was 39%. In the year of observation after treatment it was found that the outcome of patients in both groups do not differ: they have approximately the same frequency are found a variety of symptoms including characteristic sciatica leg pain Pain in the legs - from which they arise? .

Experts have concluded that patients who suffer from very severe pain, surgery may be administered soon after diagnosis, but those who are good painkillers to help with the operation can wait. Perhaps, over time, the symptoms will pass, and will not need surgery, but if this does not take place, the operation after a few weeks or months of conservative treatment does not reduce the likelihood of a full recovery of the patient. Both treatment strategies during the year led to almost identical results.