The preparation "Diakarb" with intracranial pressureusually used in hydrocephalus, as well as hypertension-hydrocephalic syndrome. Such diseases are accompanied by severe headaches, excessive growth of the size of the skull or divergence of its sutures due to an increase in the volume of cerebrospinal fluid. It is this medicine that helps to cope with such a mismatch in the body.
Composition, form of production and analogues
The main active substance of the drug "Diacarb" is acetazolamide. Additionally, the composition of the preparation includes the following components:
sodium starch glycolate;
Diakarb medicine is usually produced in the form of white flat round tablets.
The main directions of the drug -diuretic and decongestant. As a diuretic, the drug "Diacarb" with intracranial pressure has a diuretic effect due to a process called inhibition of carbonic anhydrase, involved in the exchange of carbonic acid. In the tissues of the kidneys, this enzyme is suppressed by reducing the absorption of sodium and bicarbonate ions into the blood from the urine. Along with the use of Diacarb tablets in cases of excessive intracranial pressure, it is advisable to administer them in certain lung diseases when pulmonary heart failure is observed. The main function of the drug as a whole is to delay water and sodium in the body, to prevent swelling of a different origin. Normalizing the water-salt metabolism, the active substances of the drug do not lead to a violation of the acid-base balance.
The period of action of tablets is 12 hours, withThis maximum concentration in blood plasma the drug reaches 2 hours after its oral administration. Penetrating through the placental barrier, due to the high degree of communication with blood proteins, the active substance is excreted through the kidneys within a day.
Indications for use of the drug
This drug is most oftenIt is used in the treatment of increased intracranial and intraocular pressure. As a rule, in order to prevent the side effects of this drug, an additional Asparcum remedy is prescribed in parallel.
Self-administration and administration of the drugDiacarb is not strongly recommended. To do this, there are safer, more focused means. How it is in a particular situation that the medicine will work and whether it can help to cope effectively with the problem can only be determined by a specialist.
Indications for the appointment of Diacarb tablets may include the following:
a weak or moderate degree of edematous syndrome;
epilepsy (as an adjunct in complex treatment);
some problems with the lungs.
Categorically, you can not use "Diacarb" for treatment with increased intracranial pressure and in the following cases:
hypersensitivity to the components of the drug;
acute renal insufficiency;
Extremely careful to be with the appointmentthis drug for edema, with renal and hepatic nature. In addition, against the background of taking large doses of acetylsalicylic acid, there may also be problems with drug compatibility.
Diacarb: side effects
In some cases, unpleasant symptoms associated with a violation of the dose of admission or other doctor's prescription may occur:
hyperemia of the skin;
noise in ears;
Especially often left with regard to tablets"Diacarb" reviews contain information about the appearance of weakness in the muscles and seizures. Prolonged use of the drug sometimes leads to certain health problems, such as:
violation of touch;
Method of administration and dosage
When the patient is assigned "Diakarb" (tablets),the instructions for the drug must be carefully studied by the patient. Along with the established scheme of drug use, which is selected by the doctor depending on the type of disease, individual characteristics of the organism, weight and age of the patient, questions may arise with its storage, pharmacological properties.
For removal of edema syndrome dailyIt is recommended to take the drug "Diacarb" at a dosage of 250-375 mg once a day. The maximum effect will be achieved 2-3 days after the start of treatment. After that, doctors advise taking a break for a day. In parallel with this, usually prescribe drugs to improve blood circulation, make up potassium in the body and a sparing diet that limits salt intake.
Open angle glaucoma is treated withthis drug, taken also once every 24 hours for 250 mg. Therapy of secondary glaucoma involves a dose of 250 mg every 4 hours. In the case of therapy of mountain sickness take a dosage of 500-1000 mg per day, before climbing the mountains in about 1-2 days. Epilepsy is treated with the reception of Diacarb tablets at 250-500 mg per day, with a break in 3 days.
Treatment of newborns
Quite often situations where the baby is bad andlittle sleeps, crying hysterically day and night, are perceived by young parents as a norm. It seems to them that any newborn just has to be restless. However, not always such signs indicate good health of the baby. Pediatricians claim that an overly restless and constantly crying child is a serious reason for taking emergency measures. Such signs in the behavior of the infant may indicate the presence of increased intracranial pressure in it. Usually such a diagnosis is put to children of those mothers who have had a difficult pregnancy, toxicosis was present, and the birth was severe and prolonged.
This pathology usually resultsinsufficient fetal oxygen, so that brain cells can not function properly. It is because of this that the liquid that surrounds the child's brain is produced in large quantities and presses on it. The result is a headache, a bad dream, whims and excessive tearfulness.
For an accurate diagnosis, the physician collectsanamnesis, which includes detailed information about how pregnancy passed and birth. A careful visual examination of the newborn to determine the muscle tone and tomography of the brain is mandatory. In case of confirmation of the disease, it is recommended that treatment be started urgently. The preparation "Diakarb" with intracranial pressure becomes simply irreplaceable. Since it is a diuretic, it quickly helps to reduce the production of cerebrospinal fluid in the brain of a newborn.
If treatment with Diakarb is planned,patient feedback can not be the only source of information. Such a medicine is not prescribed by itself, and so if the neurologist still has established a disappointing diagnosis to the baby, follow the doctor's instructions in everything. Only the results of special studies can allow the doctor to determine the treatment regimen and set the dosage. The high effectiveness of the therapy gives pediatrists all the grounds to prescribe Diakarb medication, the side effects of which, nevertheless, can negatively affect the health of the baby. The diuretic property of this drug leads to excessive leaching together with water from the body of potassium, which it needs for normal operation of the heart. It is for this reason that the scheme for taking this medication involves the simultaneous use of the Asparagus.
The doctor individually prescribes to a smallpatient with Diacarb. Instructions for use, feedback and admission scheme should be carefully studied by the mother or father of a sick child. To determine the dosage and method of treatment, the doctor only needs to know the exact weight of the baby and the amount of accumulated cerebrospinal fluid. The exact sequence of the use of tablets and a clear dosage are also determined taking into account the overall well-being of the small patient. As for taking an additional medicine "Asparks", his order will also be clearly marked by the doctor. In practice, usually a newborn is prescribed to give this drug in the amount of 0.25 tablets 3 times a day, while taking the main medication is performed once a day for ¼. These norms do not necessarily indicate that the doctor will prescribe just such a dosage, each case of the disease assumes an individual approach to the patient.
Side effects from both drugs, such asdiarrhea, skin itching, vomiting and nausea, convulsions, - an occasion for urgent hospitalization of a newborn. In addition, the consequence of taking Asparks tablets can be a strong thirst, a sharp drop in blood pressure, hyperemia of the skin of the face, weakness in the muscles, a strong lethargy of the child. At occurrence of any of the specified signs doctors recommend not to waste time and to address in medical institution. In the case of taking the drug for more than 5 days (namely, this period is the maximum for such small children) metabolic acidosis can occur.
Cases of an overdose of Diacarb onpractice are rare. But when there are signs of violations from the central nervous system, the medication should be stopped immediately and go to the hospital to monitor the acid-base balance of the body.
Mums should not be afraid of side effects, becauseif the doctor insists on the need for such treatment, then there is good reason for this. The effectiveness of the drug "Diakarb" is scientifically proven, therefore it is not difficult to solve the problem with the baby's health in the next few months. As a result, the child will calm down, get rid of the painful headache, discomfort and will give joyful emotions to his parents. By the age of one, usually the family already forget about such a terrible at first glance diagnosis, sounded from a neurologist in the first weeks of a baby's life. Do not forget that a problem that has not been solved at an early age with intracranial pressure can cause a serious lag in the development of the child, painful migraines, and the formation of a complex character.
Diacarb - how to take the baby?
Depending on the age of the child, you need to distribute the daily dosage:
from 4 to 12 months - 50 mg;
from 2 to 3 years - 50-125 mg;
from 4 to 18 years - 125-500 mg.
To give the preparation "Diakarb" to children instruction onThe application advises no more than 15 mg per kilogram of weight per day, but the dose should be distributed proportionally throughout the day. The total dosage of the drug for a child should not exceed 750 mg per day. When this drug is combined with anticonvulsant drugs, the norm of its intake by a child at the initial stage of treatment is 250 mg. According to the doctor's appointment Diakarba reception scheme can be changed, and the dosage will gradually increase. It should be noted that in the treatment of any disease, when a pill is accidentally missed, it is impossible to increase the next dose.
Use of this drug for children shouldoccur under the strict supervision of a physician. By entering the prescription group of medicines, this remedy can be dangerous for a child of any age, and therefore it is better to be treated in a hospital environment where attention is guaranteed and the patient's condition is monitored. In practice, tablets "Diakarb" are often prescribed by neurologists for home treatment of children in the absence of a serious condition.
Parents need to be very attentive tothe child taking this medication, as from the side of the body there can be side reactions. In case Diakarb is used for children, the instruction warns that the baby may have convulsions, vomiting, muscle weakness, nausea, allergy manifestations. Long-term use of the drug sometimes leads to a decrease in the level of leukocytes in the blood or even hemolytic anemia.
To improve the effectiveness of the datatablets and prevention of adverse reactions, doctors in parallel appoint small funds to additional patients. In practice, often used drugs "Diakarb" and "Asparka" infants - reviews of practicing pediatricians about such a comprehensive treatment indicate its exceptional effectiveness. This principle of appointment is usually used with a long course of therapy in order to reduce the withdrawal from the child's body of potassium (it is lost because of the large consumption of sodium ions). The importance of this microelement in the life of the child is difficult to overestimate: potassium is needed for all cells to ensure the correct metabolism. However, its most important task is to participate in the development of the heart muscle (myocardium), which also requires the presence in the body of a sufficient amount of magnesium involved in the carbohydrate metabolism and the supply of energy to the cells.
Thus, if a long-termtreatment with Diacarb, side effects will be minimized by their compensation by Asparks, namely, by replenishing the loss of potassium ions and increasing the alkalinity of the blood. The active substances of this drug will provide the supply of potassium and energy in the body, and ensure its proper functioning, leading to an optimal state of alkalinity of the blood.
Selection of the dosage of the medicine is madeindividually to each child on the basis of the results of the analyzes and a thorough examination. The dosage of "Diacarb", reviews and instructions to which speak about the need to take into account the weight and age of the child, is usually at least 50 mg per day. Give the child a daily dose is necessary for 1-2 times, breaking it into equal parts.
Features of reception for newborns and infants
Quite often, the drug "Diakarb" is used fornewborns - reviews of parents on this topic contain a lot of information about the high effectiveness of drugs in the fight against complex childhood diseases. Babies up to one year are prescribed these pills for epilepsy. In the case of a divergence of the seams of the skull and an excessive increase in the size of the skull, this remedy also helps very well. An excellent result shows the preparation "Diacarb" for infants - reviews of many pediatricians indicate the prevalence of such a treatment regimen.
The prescription of this medicine to babies is madeexclusively pediatrician, after a careful examination by a number of specialists (neurologist, surgeon, ENT, oculist). To treat such a small child is undoubtedly much safer in a hospital where constant monitoring is carried out. That's exactly what the doctors advise the parents of infants, insisting on placing the baby in the hospital for the full course of therapy. However, in real life, some mothers prefer to use Diacarb tablets alone for their newborns - reviews of such home treatment show that parents do not always want to go to the hospital with a child.
A doctor always warns parents aboutsignificant risk of such behavior, explains the possible consequences of uncontrolled drug use. Being at home, the baby should receive this remedy for no more than 5 consecutive days, after which it is necessary to come to the pediatrician for examination and also to take all necessary tests. After all, along with high efficiency in treatment, Diakarb also has side effects, and serious ones.
Opinions on the effectiveness of drug treatment"Diakarb" are very diverse. Some people say that this medicine perfectly helps to quickly cope with their problem and is well tolerated by the body, while others complain of the presence of significant side effects.
If we talk about the use of the drug"Diakarb" for babies, reviews on this topic are extremely positive. Many doctors talk about this remedy as the only possible effective treatment option for certain problems with children's health. In general, the patients' reviews of the results of Diakarb treatment contain contented remarks and words of gratitude to doctors who have made a competent appointment.
This medicine is released whenPrescription from the doctor. That is why it is necessary to pass a pediatrician's examination with a child, pass a number of laboratory tests and get recommendations about the appropriateness of treatment with this medication. If parents received an appointment and plan to use Diacarb tablets for children, the feedback in our material may be of use to them. This remedy is effective, but one should pay careful attention to the doctor's recommendations.
Many women are interested in whether it is possible to takeDiacarb tablets with intracranial pressure during pregnancy. Specialists unanimously give an unambiguous answer to this question: this can not be done categorically! Particularly insist on the harm of such therapy obstetrician-gynecologists, explaining their position high risk of negative consequences for fetal development. As the appointment and reception of "Diakarb" means, instructions, patients' reviews and recommendations of doctors, it is also impossible to be treated by women during this period of breastfeeding.</ p>