The use of Milgamma and Milgamma compositum in patients with back pain

For various disorders of the central nervous system and diseases of the spine, in addition to special medications, vitamin preparations are often used. B vitamins are especially in demand in such cases. They help improve metabolic processes and blood circulation, accelerate tissue regeneration and improve the conduction of nerve impulses. One of the drugs that is most often used for such pathologies is Milgamma. This drug is available in tablets and solution for injection. It is injections that are recommended for use in various acute conditions or severe pain. Indeed, with this method of administering the drug, it enters the blood faster and begins to act. But it is important to know how to inject Milgamma. Intramuscular injections are easy to do, so some patients administer these injections on their own. If you follow all the rules, such treatment will be effective and safe.

Indications for use of Milgamma: what is it prescribed for?

1. Effective for the treatment of patients with diabetes mellitus and its complications: diabetic nephropathy, retinopathy, polyneuropathy, autonomic neuropathy.
   more about how to treat neuropathy of the lower extremities at home here.
2. When combined with thiogamma, it normalizes heart rate variability, reducing the manifestations of autonomic diabetic cardioneuropathy.
3. A good effect has been shown in the treatment of alcoholic polyneuropathy.
4. It is widely used for the treatment of neurological manifestations of spinal osteochondrosis, both for self-relief of pain and for potentiating the effect of NSAIDs.
5. For chronic sensorineural hearing loss of various etiologies (mainly vascular). Milgamma courses are prescribed lasting from 4 to 6 weeks. 2 – 3 rubles/year.
6. They treat patients with damage to the facial and trigeminal nerves.
7. Shingles.
8. Plexopathies.
9. Muscle cramps at night, especially in older people.

Where and how to inject Milgamma

The drug is not injected intravenously. It is injected deep intramuscularly using the thinnest and sharpest needle. Injections must be administered correctly to avoid damage to blood vessels and nerve bundles. It is recommended to inject into the gluteal muscle.

At the beginning of treatment (first 5-10 days), the dosage is 2 ml per day. Subsequently, in case of mild forms of the disease or improvement, Milgamma can be injected less frequently (twice or three times every 7 days for 2-3 weeks) or switch to oral intake of vitamins. The use of ampoules during treatment with Milgamma compositum tablets is allowed with the permission of the doctor

It is important that the doctor monitors the progress of therapy and the patient’s well-being. Recommended frequency of monitoring is once a week

If the patient is prescribed the drug Milgamma in injections, the instructions for use must be followed. You can read on the Internet that it is correct to inject the medicine into the leg, but the solution must be injected into the uppermost part of the buttock. This will help avoid the development of side effects and minimize discomfort.

Sometimes during therapy you have to take Movalis injections prescribed by your doctor. In this case, the drugs are injected into different buttocks. You can use medications at the same time, but mixing them in 1 syringe is prohibited.

When is the best time to give injections?

Many patients are interested in what time of day the injection solution in ampoules is used: in the morning or in the evening. The drug is a complex of vitamins, so it is better to use it in the first half of the day (at this time of day, metabolic processes are more intense).

If the medicine is used simultaneously with other medications for intramuscular administration, it should be used in accordance with the doctor’s recommendations.

What do you think are the most important factors when choosing a medical facility? Poll Options are limited because JavaScript is disabled in your browser.

Painful injections or not

It is difficult to answer the question whether Milgamma injections are painful or not. It all depends on the individual sensitivity of the patient and the injection technique. The drug contains lidocaine, the purpose of which is to minimize discomfort. However, this is not always possible, especially if the injections are given by an inexperienced person. If there is no one to give the injection, it is better to skip 1 day than to get into a nerve or vessel.

If the manipulations are painful, following these recommendations will help reduce discomfort:

1. The needle should be inserted deep into the muscle tissue.
2. It is necessary to slowly and smoothly press the syringe plunger so that the drug flows slowly. The optimal procedure time is 1.5 minutes.
3. After performing the injection, it is recommended to gently massage the muscle. This will ensure uniform distribution of the solution in the tissues and prevent the formation of a hematoma.
4. If a lump appears at the injection site, you can remove it using a warm compress or lotions based on magnesium sulfate.

How many days to inject Milgamma

Patients can be injected with Milgamma only after consulting a neurologist. The doctor will tell you how often to give injections and how long the course of treatment will last.

At the beginning of therapy, the drug is administered every day (number of ampoules - 1 pc.). Treatment according to this regimen continues for 5-10 days, after which the patient is transferred to oral administration of the medication. If necessary, intramuscular administration of vitamins continues. Patients are interested in how often the drug can be injected in this case. If the tablets can be taken 1-3 times a day, then the solution is administered no more than 2-3 times a week.

If the condition returns to normal, you need to periodically visit the doctor to decide on the need for repeated therapy. This should be done at least once a year.

Basic rules of application

It is advisable that such injections be performed by a person with medical education. But still, the patient himself needs to learn how to inject Milgamma correctly. Due to the characteristics of the drug, there are some subtleties in its use. If they are not taken into account, this will increase the risk of side effects and may worsen the patient's condition. There are several rules for using this drug; they are not always indicated in the instructions, so consultation with a doctor is still required.

• First of all, you need to know that Milgamma can only be injected intramuscularly. It is undesirable for the components of the product to enter directly into the blood, as this can cause dangerous reactions from the cardiovascular system.
• It is necessary to inject the drug as deeply as possible, then it will work faster and better. In addition, this will avoid the drug getting into the bloodstream and nerve fibers, which is not very good. Depending on the patient’s build, you need to be able to choose the right needle length.
• "Milgamma" is an oily solution. Therefore, its passage through a thin needle may be difficult. Those who do not know how to inject Milgamma intramuscularly may have problems. For proper injection behavior, it is important to choose a needle of medium thickness.
• For the same reason, the solution slowly spreads in tissues. Therefore, it is recommended to lightly massage the injection site after the injection. This will increase the effectiveness of treatment and also avoid the appearance of bumps and hematomas.
• It is also important to know how to inject Milgamma correctly at the right time. The drug must be administered slowly, over at least 1.5-2 minutes. To do this, press the syringe plunger smoothly. This will reduce the pain of the injection.
• Every day, injections should be given in different places, the distance from the previous injection should be at least 2-3 cm. If a lump appears at the injection site, be sure to do compresses with magnesium or warming procedures.
• During treatment, it is necessary to monitor the patient's blood composition. This will help avoid anemia, which is a common reaction to long-term use of the drug. And due to the presence of lidocaine, you also need to monitor your heart function.

Milgamma benefits and harms during pregnancy

Experts advise taking the drug during pregnancy if symptoms such as:

• neuritis;
• radicular syndrome;
• paralysis, spasms, muscle numbness;
• herpes, in which the percentage of body damage is more than 60%;
• infectious, bacterial diseases;
• periodic disorders that occur in pregnant women due to a lack of vitamin B;
• weak immunity caused by insufficient amounts of vitamins in the body.

Can Milgamma cause complications in pregnant women?

Experts warn that when undergoing a course of treatment with Milgamma, contraindications for pregnant women may be as follows:

• You should not take the Milgamma complex if you have acute intolerance to one of the components of the drug;
• It is not advisable to take tablets or give injections of this medicine while breastfeeding;
• the use of the drug for problems with the heart muscle is excluded;
• if you have problems with the digestive system, poor metabolism, hormonal disorders;
• thrombosis, vein blockage, atherosclerosis.

Pregnant women, in addition to such side effects as an allergy to Milgamma in general, poor health, itching, burning, skin rashes, fever, general malaise, nausea, swelling, may also be in danger of stopping the development of the fetus.

Reviews about the application

Many patients report positive results from this treatment. They write that they inject Milgamma every other day, and already in the second week of use the pain disappears and the mobility of the spine increases. Side effects after using the drug occur rarely, mostly patients describe local reactions. A burning sensation, irritation and pain may occur at the injection site, and a hematoma or lump may appear. The injections are quite painful, so patients, after the pain subsides, try to switch to taking pills or stop using the drug altogether.

Reviews from doctors about Milgamma are also mostly positive. But all experts note that the drug only relieves the symptoms of neurological pathologies. It cannot cure neuritis, neuralgia or osteochondrosis. Therefore, it must be used as part of complex therapy. And when used correctly, this remedy significantly increases the effectiveness of such treatment.

Features of application

Milgamma injections can also be given as maintenance therapy, complex treatment, or as an independent remedy for pain relief. Injections are performed only intramuscularly. An injection is made deep into the muscle, the medicine is administered slowly, since with rapid administration the patient may experience palpitations, dizziness and even fainting. To relieve pain, you need to inject Milgamma 2 ml once a day for 3-4 days. The doctor monitors the patient’s standing and, if necessary, extends the course of treatment to 10 days.

If Milgamma is prescribed as maintenance therapy, then it should be injected 2-3 times a week. The course of treatment is one month. According to indications, the doctor may extend the duration of the procedures for another week. It should be remembered that Milgamma should not be injected often, since it contains a high concentration of vitamin B complex. An excess of vitamins, as well as their deficiency, has a bad effect on the condition of the body. Therefore, if an extension of treatment with a vitamin complex is required, the doctor prescribes analogues that have a similar effect, but are less concentrated.

The most commonly used analogues of Milgamma are:

• Nevriplex;
• Neurobics;
• Vitaxon;
• Combilipen;
• Binavit;
• Vitagamma;
• Trigamma.

Analogs are available in the form of an injection solution and tablets. The doctor decides which form of substitute to prescribe, based on the symptoms, the patient’s condition, and the nature of the disease. If there is pain, in order to relieve it, the doctor prescribes an intramuscular injection of an analogue of Milgamma. Treatment is carried out under the supervision of a doctor. You cannot prescribe Milgamma yourself, since an overdose of vitamins can lead to allergic reactions and even anaphylactic shock.

Dosage and duration of treatment

Only a doctor can determine how much Milgamma to inject. This depends on the age of the patient, his state of health, the characteristics of the pathology and the severity of its course. B vitamins have a strong effect on the entire body, so their overdose can lead to unpleasant consequences. Usually 2 ml of the drug is prescribed once a day. Increasing the dosage is possible only under the supervision of a physician.

It is also important to know how many days you can inject Milgamma intramuscularly. Typically, the course of treatment with such injections is 3-5 days, then it is recommended to switch to taking tablets. This is enough to relieve pain in various neurological or degenerative diseases. But in difficult cases, it may be necessary to extend the course of injections to 10 days.

This is a treatment regimen aimed at eliminating acute conditions. But sometimes the drug is prescribed for prevention or maintenance therapy during remission of degenerative diseases. Many patients are interested in how often Milgamma can be injected intramuscularly in these cases. A common application regimen is 2-3 times a week. In this case, the duration of treatment will be a month. More frequent injections or increased duration of treatment may lead to an overdose of B vitamins.

Compound

Milgamma is a medicine with a complex effect that can be used for the treatment (including symptomatic therapy) of diseases and conditions caused by a deficiency of B vitamins, which have neurotropic activity. The medicine improves metabolism in tissues and prevents damage to neurons - electrically excitable cells that process and transmit information using chemical and electrical signals. The therapeutic properties of the drug are determined by the action of its constituent components.

Active ingredients of the drug Milgamma and their properties:

The analgesic effect is ensured by the content of lidocaine, a local anesthetic that begins to act 5-10 minutes after intramuscular injection. Lidocaine often causes allergic reactions, but is considered one of the best local anesthetics, the effectiveness of which is almost 3 times higher than ultracaine or novocaine. The content of lidocaine in 1 ampoule is 20 mg.

Drug interactions

Often this drug is prescribed as part of a complex treatment. In this case, you must inform your doctor if you are taking other medications. Only a specialist knows whether Milgamma can be injected simultaneously with other drugs. Some medications may cause treatment to be less effective or increase the risk of side effects.

The effectiveness of the drug will decrease if the patient takes diuretics, oral contraceptives, antiparkinsonian drugs, Isoniazid, Cycloserine, Penicillamine and some other drugs. The components of the product will be completely destroyed or stop working when combined with sulfate solutions, iodides, riboflavin, iron citrate, and Penicillin. Conversely, Milgamma can reduce the effect of sleeping pills, sedatives, cardiac glycosides, Levodopa and anesthesia drugs.

There are also medications whose effectiveness increases when used simultaneously with this remedy. This is due to their compatibility with lidocaine in its composition. Because of this, the effectiveness of Novocaine, adrenergic blockers, antiarrhythmic drugs, Cimetidine, anticoagulants and narcotic analgesics increases. Therefore, this drug is often prescribed together with other medications with which it is compatible. Especially often these are non-steroidal anti-inflammatory drugs or painkillers, for example, Movalis. With this treatment, pain and inflammation decrease faster, and the mobility of the spine and joints increases. But you need to understand how to inject Movalis and Milgamma intramuscularly correctly. Only a doctor can prescribe the required dosage, regimen and duration of treatment.

Method of use of the drug Milgamma, dosage

How to take Milgamma? For acute pain, a quick analgesic effect requires one injection of the drug Milgamma (2.0 ml), intramuscularly. For mild forms of the disease, the attending physician prescribes no more than 1 injection of Milgamma solution (2 ml) 2-3 times a week.

Milgamma tablets are intended for oral administration. Their composition is identical to the injection solution (B vitamins) and differs in the presence of excipients. Depending on the patient’s condition and his individual perception of certain components of the medicine, the doctor prescribes either tablets or injections of Milgamma.

The drug Milgamma has a wide analog range. These include medications such as Neuromultivit, Combilipen, Binavit. The international nonproprietary name of the active substance (INN) is the basic information about the drug. Drugs with the same active ingredients are produced under different trade names. The same can be said about the drug Milgamma. INN allows doctors to choose the right drug from a huge number of drugs available on the pharmaceutical market.

General characteristics of the drug

This medicine belongs to vitamin preparations. But the concentration of active ingredients in it is such that it can only be used as prescribed by a doctor. Self-medication can lead to an overdose of B vitamins, which is unsafe for health. Only a doctor can determine how much Milgamma can be injected and in what dosage. Typically, injections are prescribed in the acute period of various diseases, since with this method of administration the drug acts faster. In addition, it has less negative effects on the gastrointestinal tract. Since the positive effect after using injections is achieved faster, the drug begins to act within 15 minutes. Therefore, the duration of treatment may be shorter than with tablets. This reduces the risk of vitamin overdose.

This drug is available in tablets, dragees and solution for injection. Each Milgamma ampoule has a volume of 2 ml, which, in addition to water for injection and various auxiliary components, contains three B vitamins and lidocaine. These substances have a moderate analgesic effect, normalize the activity of the musculoskeletal system, participate in hematopoiesis, improve microcirculation and regulate the functioning of the nervous system. You can buy a package of Milgamma of 5 pieces or 10. A large package, sufficient for a full course of treatment, costs about 500 rubles, so the drug is available to every patient.

Contraindications to the use of Milgamma

The main contraindications to the use of Milgamma are:

• heart failure in the stage of decompensation;
• disruption of cardiac muscle conduction;
• individual intolerance to one or another component of the drug.

Both the tablet and injection forms of Milgamma are contraindicated for children under 16 years of age, which is associated with an increased content of vitamins compared to age standards. The use of this vitamin complex in childhood threatens the development of hypervitaminosis and deviations in the development and functioning of systems and organs.

The gestational period and lactation are not contraindications to the use of Milgamma, however, due to the lack of research, the use of the drug during these periods is not recommended.

To avoid overdose, Milgamma is prescribed with caution while taking other medications and vitamin complexes containing pyridoxine, thiamine, and cyanocobalamin.

Contraindications

Many patients believe that they know how to inject Milgamma. Therefore, they independently prescribe the drug for various ailments associated with the musculoskeletal system. But this approach is fraught with dangerous consequences. Despite the fact that this product belongs to vitamin preparations that are considered safe, the concentration of active substances in it is such that it can cause negative reactions due to an overdose.

In addition, the drug contains lidocaine, which has many contraindications for use. It is unacceptable to use drugs based on it in patients with heart failure, as well as impaired liver or kidney function. In addition, many people have an allergic reaction to this product. Therefore, it is not enough to know how to inject Milgamma; you need to be sure that the patient does not have an individual intolerance to the components of this drug.

The use of the drug is also contraindicated for children under 18 years of age. Large dosages of B vitamins are not needed at this age and can even be hazardous to health. Therefore, it is not recommended to use the drug for women while breastfeeding. Sometimes patients ask whether it is possible to inject Milgamma during pregnancy. Doctors do not recommend such treatment, because all the active ingredients of the drug easily penetrate the placental barrier and can harm the child. Therefore, this medicine is very rarely prescribed to pregnant women. Sometimes there are cases when the possible benefits of using a drug outweigh the harm it can cause, but even in such situations they try to choose safer analogues.

pharmachologic effect

Milgamma is a combination drug, the active composition of which is represented by B vitamins:

• Vitamin B1 is a regulator of protein and carbohydrate cellular metabolism, and also takes part in fat metabolism. It is characterized by an antioxidant effect and regulates the conduction of nerve impulses. It has an analgesic effect due to its effect on the transmission of excitation.
• Vitamin B6 acts as a cofactor for many enzymes that act in nervous tissue. Participates in decarboxylation, transamination and deamination of amino acids. Prevents the accumulation of ammonia in tissue, participates in the formation of neurotransmitters (norepinephrine, dopamine, adrenaline, GABA and histamine).

Milgamma tablets: Accelerates the restoration of nervous tissue. Vitamins B6 and B1 are capable of potentiating each other’s action. In the composition of the pills, vitamin B1 is represented by benfotiamine, a fat-soluble form of the vitamin.

Milgamma injections: Accelerates inflammatory and degenerative pathologies of nervous tissue and the musculoskeletal system, improves the function of the nervous system as a whole. In addition to B1 and B6, the composition includes Vitamin B 12, which is directly involved in the formation of the myelin sheath, activates hematopoiesis, and helps reduce pain that occurs when the peripheral nervous system is damaged. Accelerates nucleic acid metabolism. Lidocaine has a local anesthetic effect, providing all types of anesthesia (infiltration, terminal, conduction).

Pharmacokinetics

• Dragee - after oral administration, benfotiamine is effectively absorbed from the intestines, reaching a maximum concentration in the blood in less than 1 hour. Benfotiamine accumulates in cells five times more actively than the water-soluble form of thiamine. After biotransformation processes into the form of thiamine diphosphate, the kinetics do not differ from water-soluble thiamine.
• Solution - when administered intramuscularly, thiamine is quickly and effectively absorbed into the blood. 15 minutes after administration of 50 mg of the drug, the concentration of thiamine in the blood reaches 484 ng/ml. Thiamine is distributed unevenly in the body: the highest concentration is observed in red blood cells - 75%, while up to 10% of the vitamin is concentrated in blood plasma. Penetrates the placenta and blood-brain barrier. Pyridoxine, when administered intramuscularly, also quickly enters the systemic circulation, evenly distributed throughout the body, including the brain. Pyridoxine acts as a coenzyme, binding to plasma proteins up to 80%.

Metabolism and excretion

Metabolites of thiamine are pyramine, thiaminecarboxylic acid and other substances. Thiamine is retained in the body less than other vitamins. Excreted in urine. Pyrodoxine forms a depot in the liver, oxidizing to 4-pyridoxine acid. It is excreted in the urine 2-5 hours after absorption.

Features of action and results of injections

The composition of the drug "Milgamma" contains the main vitamins of group B. Thanks to their properties, this remedy is effective for many pathologies of the joints, spine and nervous system. This is explained by the effect that these vitamins have on the tissues of the body. After all, they stimulate the nervous system, improving neuromuscular conductivity. These vitamins normalize blood supply and nutrition to tissues, preventing degenerative processes in them. In addition, they stimulate metabolic processes, especially actively participating in the metabolism of fats and carbohydrates. This helps to improve the patient’s condition with various degenerative processes in the body, as well as inflammatory diseases of the joints and spine. The drug is able to relieve pain, reduce inflammation and swelling, and slow down destructive processes in cartilage tissue. All these effects are associated with the properties of its main components.

• Vitamin B1 is also called thiamine. It participates in carbohydrate metabolism processes, providing tissues with energy. In addition, it improves the conductivity of nerve fibers, normalizing the functioning of the nervous system. With the help of thiamine, the processes of restoration of nerve cells proceed faster.
• Pyridoxine or vitamin B6 is involved in the synthesis of many hormones and enzymes necessary for normal life. Under its influence, the body produces serotonin, dopamine, adrenaline, histamine, tryptophan and other substances. In addition, pyridoxine has a beneficial effect on the state of the nervous system and musculoskeletal system.
• Cyanocobalamin, better known as vitamin B12, is also important. It stimulates the synthesis of nucleic acids and some important enzymes. In addition to participating in metabolic processes, this vitamin can reduce pain caused by diseases of the nervous system or musculoskeletal system. After all, it is cyanocobalamin that stimulates the synthesis of the myelin sheath of nerves, which protects them from damage.
• Lidocaine in Milgamma is necessary to provide a local anesthetic effect. After all, these injections are very painful, and lidocaine reduces this discomfort.

Thanks to this composition, when used correctly, “Milgamma” significantly improves the condition of patients with various neurological pathologies, inflammatory diseases of the joints, and degenerative changes. The drug reduces pain and inflammation, stimulates nerve conduction processes, and restores the mobility of joints and the spine.

Side effects and interactions

Side effects of injections during treatment can occur in any patient. Symptoms are observed in the following body systems:

1. Immune: rarely - allergies (skin rashes, breathing problems, angioedema, anaphylaxis).
2. CNS: in some cases - confusion, dizziness.
3. Digestive tract: sometimes - vomiting.
4. Heart vessels: rarely - rapid heartbeat; in some cases - rhythm disturbances.
5. Skin, subcutaneous tissues: rarely - severe sweating, itching, acne, urticaria.
6. Connective tissue, bones, muscles: in some cases - convulsions.
7. General disorders, side effects at the injection site: skin irritation. Systemic reactions occur when the recommended dose is exceeded or the solution is administered quickly.

If the buttock hurts after the injection, the next injection should be given in the other leg. An iodine mesh or magnesium lotions will help get rid of pain and discomfort.

Injections should not be taken in combination with solutions containing sulfites. Thiamine breaks down in them, resulting in inactivation of the action of other vitamins.

Pyridoxine is not recommended to be used simultaneously with Levodopa, as this may weaken the antiparkinsonian effect. Milgamma vitamins in injections also interact with Isoniazid, Penicillamine, Cycloserine.

The parallel use of reducing and oxidizing compounds is prohibited. These include iodides, acetates, carbonates, ammonium iron citrate, tannic acid, Benzylpenicillin, Riboflavin, disulfites, Dextrose, Phenobarbital.

Lidocaine interacts with sulfonamides and may have a negative effect on the heart when epinephrine and norepinephrine are used simultaneously.

Do not inject Milgamma with salts of heavy metals, since cyanocobalamin is incompatible with them.

Milgamma drug, manufacturer, country of origin

The drug Milgamma, the patent belongs to the Representative Office of VERWAG PHARMA GmbH&CoKG in Ukraine.

Manufacturer: Mauermann-Artsnaimitel KG, Germany. Heinrich-Knothe-Strasse 2, 82343 Peking, Germany.

Painful sensations experienced during human life, disorders of the nervous system should not be ignored, because in this way our body gives alarm signals. And this is a serious reason to turn to experienced specialists for advice and prescribe a course of treatment. Uncontrolled medication use and self-medication can lead to sad and unpredictable consequences.

At the Yusupov Clinic, the prevention and treatment of diseases of the nervous system and musculoskeletal system are successfully carried out under the supervision of leading doctors in the capital, thanks to high-tech equipment and widely used modern methods of medicine. More detailed information can be obtained from hospital consultants by making an appointment.

Author

Our specialists

Andrey Igorevich Volkov

Neurologist, Candidate of Medical Sciences

Daria Dmitrievna Eliseeva

neurologist, candidate of medical sciences

Tatyana Aleksandrovna Kosova

Head of the Department of Rehabilitation Medicine, Physiotherapy Physician, Neurologist, Reflexologist

Elena Gennadievna Petrova

Physiotherapist, Candidate of Medical Sciences

Maxim Vladimirovich Chulkov

Instructor-methodologist in physical therapy, kinesiotherapist

Sergey Olegovich Molchanov

Instructor-methodologist for physical therapy

Prices for services *

We work around the clock

Sign up for a consultation by phone or send a request through the form

Our specialists

Andrey Igorevich Volkov

Neurologist, Candidate of Medical Sciences

Daria Dmitrievna Eliseeva

neurologist, candidate of medical sciences

Tatyana Aleksandrovna Kosova

Head of the Department of Rehabilitation Medicine, Physiotherapy Physician, Neurologist, Reflexologist

Elena Gennadievna Petrova

Physiotherapist, Candidate of Medical Sciences

Maxim Vladimirovich Chulkov

Instructor-methodologist in physical therapy, kinesiotherapist

Sergey Olegovich Molchanov

Instructor-methodologist for physical therapy

Prices for services *

We work around the clock

Sign up for a consultation by phone or send a request through the form

Milgamma injections: how many days to inject Milgamma

Before starting therapy with this drug, it is necessary to consult with a neurologist, who will decide how often Milgamma injections can be given, when to inject - in the morning or evening, and select the required dosage. To receive qualified advice, you can contact one of the leading centers in Moscow - the Yusupov Hospital.

The duration of the therapeutic course of Milgamma for persons with severe pain syndrome can be from five to ten days. Injections are given daily, the daily dosage is 2 ml. After the acute inflammatory process subsides and the intensity of pain decreases, Milgamma Compositum is prescribed orally. However, in some cases, the doctor may recommend continuing intramuscular administration of the drug, but not more than two to three times a week.

Analogues of the drug

Milgamma cannot be injected every day for a long time. But some patients require additional intake of B vitamins for longer than 10 days. In this case, the doctor may prescribe analogues of the drug, which also contain these vitamins, but not in such high concentrations. There are several drugs with similar composition and action. But they are less likely to cause symptoms of an overdose of B vitamins. Such drugs can be used to replace Milgamma:

• Vitaxon;
• "Combilipen";
• "Trigamma";
• "Binavit";
• "Neurobiks";
• "Neuromultivit";
• "Vitagamma";
• "Neuriplex".

These vitamin products are also available in tablets and injections. Only a doctor can decide what medicine the patient needs and in what form. Typically, injections are prescribed for pain or neurological problems. Before using any drug, be sure to read the instructions for it.