pharmachologic effect
The medicine Doppelhertz Nervotonic is of plant origin. It acts as an antidepressant and sedative on the body.
St. John's wort extract has a positive effect on the functions of the central nervous system and the autonomic nervous system.
As a result, a person’s mood improves, there is an increase in physical and mental activity, and the medicine has a positive effect on the quality of a person’s sleep.
The drug does not provoke the development of drowsiness or sedation , so experts recommend taking this drug to people experiencing psychovegetative disorders due to quitting smoking.
The medicine also has a positive effect on the general condition in disorders of a neurotic nature, in anxiety states, in mild to moderate depression of excitement , anxiety , asthenia , apathy .
The drug increases the resistance of the nervous system to the negative effects of various environmental factors.
Vitamins Doppelherz aktiv (Doppelherz active) Energotonic
Everyone goes through difficult periods in life, and I am no exception. Well, I like to get nervous, what can I do? Especially in the fall, the blues cover me from head to toe. But due to life circumstances, this year my condition has dragged on. Unreasonable fears, anxiety, tears, depression in general. Previously, I saved myself with valerian. Then I purchased Nervotonic, which my friend praised.
Box, bottle, instructions - all in the Doppel Herz style.
Antidepressant herbal remedy. Active ingredient: liquid extract of St. John's wort herb. Everything's OK.
I study the instructions and, with horror!, I discover that the drug contains alcohol. For people driving, I think this is an essential point. Special instructions state that the elixir does not affect the speed of reaction when driving vehicles. But, after I drank the dose indicated in the instructions, I smelled like an avid alcoholic. My family were shocked because I don’t drink. I think that the valiant traffic police inspectors, who like to appear at the most inopportune moments and are very arrogant comrades in our city, would like to examine me. An unpleasant procedure, I know from myself. Maybe I’m wrong, but I’ll probably give up driving a car.
Of the minuses:
Perhaps I should note that there is no measuring spoon or cap, so you have to drink by eye. And 20 ml, it seems to me, is a lot, I started drinking a tablespoon. If you drink 20 ml 3 times a day, a 250 ml bottle lasts for 3.5 days. And according to the instructions, you need to take it in a course of 6-8 weeks. (I bought a bottle at a pharmacy for 205 rubles. To drink a course of 6 weeks, I need 12 bottles. That’s 2,460 rubles! In my opinion, it’s unreasonably overpriced, I’d rather drink herbs from boxes, at least they’re not alcohol-based.) The contraindications say that persons with fair skin should not visit the solarium in order to avoid photosensitivity (increased sensitivity of the skin and mucous membranes to ultraviolet radiation). Damn, I just wanted to get a tan in the solarium for the New Year
Pros, or What does the manufacturer promise and my feelings after taking it:
Has a sedative and antidepressant effect.
Yes, indeed, it does. and this is noticeable after one or two days of use. Improves mood. Definitely yes, yes, yes! (Although, maybe it’s the cherry liqueur in the composition that improves the mood? Hmm.. for me, as a person who doesn’t drink alcohol even on holidays, it hit my head after 20 ml of this miracle elixir, although this is a matter of individual sensitivity) Increases mental and physical activity . Yes, it also increases (although there are also concerns about the cherry liqueur in the composition ) Normalizes sleep. Normalizes. I began to sleep much better, I stopped waking up at night.
The conclusion has been clearly drawn. I won’t buy it again, although it helps a lot. But if you do not drive a vehicle, or are not afraid of traffic cops, and you have problems with the nervous system, this remedy is very good.
Contraindications
This remedy should not be used for the following diseases and conditions:
- history of photosensitivity when using products containing St. John's wort;
- high sensitivity to the components of the product;
- severe depression ;
- child's age up to 12 years.
Caution Doppelhertz Nervotonic is prescribed to people who suffer from liver diseases, as well as traumatic brain injury, alcoholism , and brain diseases.
Doppelherz Energotonik
Release form, composition and packaging
The elixir is in the form of a dark brown liquid with an aromatic odor.
100 ml thiamine hydrochloride (vit. B1) 5 mg;
- riboflavin (vit. B2) 5 mg;
- calcium pantothenate (vit. B5) 16 mg;
- pyridoxine hydrochloride (vit. B6) 5 mg;
- folic acid (vit. Bc) 300 mcg;
- cyanocobalamin (vit. B12) 3.5 mcg;
- nicotinamide (Vit. PP) 25 mg;
- rutoside trihydrate (Vit. P) 2 mg;
- ferric ammonium (III) citrate 200 mg;
- incl. iron 16.5-18.5% copper (II) sulfate pentahydrate 100 mcg;
- manganese (II) sulfate monohydrate 100 mcg;
- glycerol-1(2) dihydrogen phosphate mixture of disodium salts 271 mg;
- choline citrate 222 mg;
- honey 1.2 g;
- invert sugar 7.36 g;
- mistletoe tincture (1:5) 120 µl;
- St. John's wort tincture (1:5) 200 µl;
- yarrow tincture (1:5) 200 µl;
- hawthorn tincture (1:5) 600 µl;
- angelica root tincture (1:5) 175 µl;
- valerian tincture 160 µl;
- tincture of hop cones 160 µl;
- orange tincture 162.5 µl;
- sea salt 500 mcg;
- sage oil 0.02 µl;
- rosemary oil 0.02 µl;
- lemon balm oil 0.04 µl;
- aromatic tincture 162.5 µl;
- prepared from cinnamon tree bark (2.67 mg), ginger rhizomes (1.07 mg), galanga root (530 mcg), cloves (530 mcg), cardamom (530 mcg), ethanol 70 vol.% (26.67 mg).
Excipients: liqueur wine, caramelized sugar coloring (E150), sweet wine flavoring, ethanol 96%, citric acid monohydrate, vanillin, purified water.
Clinical and pharmacological group: Multivitamins with microelements and components of natural origin.
pharmachologic effect
A combined drug whose effect is determined by the properties of its constituent vitamins, minerals and medicinal herbs. Has a general strengthening and tonic effect. Helps normalize metabolic processes in the body. Increases mental and physical performance. Improves the functional activity of the cardiovascular and nervous systems. Increases the body's resistance to stressful situations and adverse environmental factors.
Pharmacokinetics
The effect of the drug Doppelhertz Energotonic is the combined effect of its components, so kinetic observations are not possible; All together the components cannot be traced using markers and biostudies.
Indications
- prevention and treatment of hypovitaminosis;
- a period of intense physical and mental stress;
- increased need for vitamins after illnesses and in the postoperative period;
- chronic diseases (as part of complex therapy);
- with unbalanced and inadequate nutrition;
- to increase performance and improve concentration.
Dosage regimen
Adults are prescribed 20 ml 3-4 times a day after meals.
Side effect
Possible: allergic reactions. Rare: increased sensitivity to light (especially in people with fair skin).
Contraindications
- increased iron content in the body and impaired iron absorption;
- acute period of infectious diseases;
- pregnancy;
- lactation (breastfeeding);
- age under 18 years;
- hypersensitivity to the components of the drug.
The drug should be prescribed with caution in case of impaired liver or kidney function, chronic alcoholism, epilepsy, traumatic brain injury, type 2 diabetes mellitus.
Pregnancy and lactation
Doppelhertz Energotonic is contraindicated for use during pregnancy and lactation (breastfeeding).
Use for liver dysfunction
The drug should be prescribed with caution in case of impaired renal function.
Use for renal impairment
The drug should be prescribed with caution in case of liver dysfunction.
special instructions
The drug contains 15 vol.% ethanol, 20 ml of the drug contains 2.5 g of ethanol. When using the drug in patients with diabetes, it should be taken into account that 20 ml of the drug contains easily digestible carbohydrates equivalent to 0.32 XE.
During the period of use of the drug, stool may turn black (due to the iron content). It should be borne in mind that due to the content of plant components, changes in the taste and color of the elixir are possible, but this fact does not affect the pharmacological effect of the drug.
Impact on the ability to drive vehicles and operate machinery
The drug contains ethanol, which should be taken into account when driving vehicles and working with mechanisms that require increased attention (a decrease in the speed of psychomotor reactions is possible).
Overdose
Data on overdose of the drug Doppelgerz Energotonic are not provided.
Drug interactions
Drug interactions with Doppelhertz Energotonic have not been described.
Storage conditions and periods
The drug should be stored out of the reach of children at a temperature not exceeding 25°C. Shelf life: 3 years.
Interaction
Doppelhertz Nervotonic with caution if the patient is taking theophylline , digoxin , tricyclic antidepressants, anti-migraine drugs, anticonvulsants, selective serotonin reuptake inhibitors, indinavir , cyclosporine, reserpine, since this drug activates microsomal oxidation (cytochrome P450).
Doppelhertz Nervotonic can enhance the effect of opioid analgesics, as well as drugs used for general anesthesia .
It is not recommended to prescribe at the same time as MAO inhibitors.
If the drug is taken in parallel with other photosensitizing drugs, photosensitivity may increase.
This remedy can be used with other psychotropic medications.
Doppelhertz Energotonic
A combined drug, the effect of which is due to the effects of vitamins, macro- and microelements included in its composition; has a multivitamin and metabolic effect. Prevents vitamin deficiency, normalizes carbohydrate, protein and fat metabolism, stimulates the body's immune defense, accelerates recovery from fatigue, and reduces the damaging effects of adverse environmental factors.
Retinol (vitamin A) is involved in the formation of visual pigments necessary for normal twilight and color vision; ensures the integrity of epithelial tissues, regulates bone growth.
Tocopherol (vitamin E) has antioxidant properties and protects unsaturated fatty acids in membranes from lipid peroxidation; participates in the formation of intercellular substance, collagen and elastic fibers of connective tissue, smooth muscles of blood vessels, and the digestive tract.
Colecalciferol (vitamin D) regulates the exchange of Ca2+ and phosphorus, the process of building bone structure; increases Ca2+ absorption in the intestine, protein synthesis in the small intestine, liver and bones; excretion of phosphates by the kidneys.
Vitamin K is involved in the synthesis of the prothrombin complex, which is optimal for blood clotting processes.
Thiamine (vitamin B1) is a necessary factor for the transmission of nerve impulses in all tissues and the central nervous system itself; it participates as a coenzyme in carbohydrate metabolism.
Riboflavin (vitamin B2) is a catalyst for the processes of cellular respiration and peroxidation of endogenous substances and xenobiotics, glucuronidation.
Panthenol (vitamin B5) is a component of coenzyme A and is involved in the processes of acetylation and oxidation of carbohydrates and fats, the synthesis of fatty acids and steroids from carbohydrates, and the implementation of the connections of glycolysis, the Krebs cycle and fat oxidation.
Pyridoxine (vitamin B6) as a coenzyme takes part in the metabolism of amino acids and proteins and in the synthesis of neurotransmitters.
Folic acid is involved in the synthesis of amino acids, nucleotides, and nucleic acids; necessary for normal erythropoiesis. Reduces the percentage of congenital deformities.
Cyanocobalamin (vitamin B12), together with folic acid, is involved in the synthesis of nucleotides, in the formation of red blood cells and nerve sheath cells, and is necessary for the growth of the body. Cobalt is a serotonin antagonist; participates in the metabolism of fatty acids, the reduction of methionine, and the metabolism of folic acid.
Nicotinamide (vitamin PP) stabilizes the processes of tissue respiration, fat and carbohydrate metabolism, and the xenobiotic metabolism system.
Biotin (vitamin H) plays an important role in the metabolism of carbohydrates and fatty acids.
Ascorbic acid (vitamin C) ensures collagen synthesis, participates in the metabolism of folic acid and Fe, in the synthesis of steroid hormones and catecholamines.
Ginseng extract and deanol restore performance, stimulate brain activity and physical activity.
Mg2+ reduces the excitability of neurons and the transmission of nerve impulses to muscles, participates as a cofactor in many enzymatic reactions (activation of cholinesterase, adenylate cyclase, CPK, pyruvate carboxylase, alkaline phosphatase, oxidative phosphorylation enzymes; connection of messenger RNA with free ribosomes); acts as a BMKK in myosin ATPase and inhibits Na+/K+ ATPase.
Fe is a necessary element for erythropoiesis, as part of Hb and myoglobin it ensures the transport of oxygen to tissues; takes part in the work of Krebs cycle enzymes, reduction and oxidation reactions, as well as the synthesis of fatty acids and glucose; optimizes dopamine functions.
Zn2+ is involved in the metabolism of nucleic acids, proteins, fats, carbohydrates, fatty acids, in the metabolism of hormones (including sex hormones), and the synthesis of Pg; antagonist of toxic cadmium.
Cu2+ - takes part in the implementation of the effects of vitamins A, E, P, PP, C and Fe; stimulates Hb synthesis, phagocytosis, growth, development and reproduction of all tissues; affects mitochondrial and microsomal oxidation of many endogenous substances, including amino acids, biologically active amines, fats; plays a vital role in the synthesis of collagen and elastin.
The main function of boron is to regulate the optimal functioning of the parathyroid glands, either through the synthesis of membrane permeability mediators, or by changing the flow of Ca2+, Mg2+ and phosphates in the kidneys and intestines.
Vanadium regulates the activity of Na+/K+ ATPase and Ca2+/Mg2+-ATPase (brain, kidneys, bones, teeth), oxidation of epinephrine, tryptophan, serotonin; reduces the synthesis of coenzyme A, lipoic acid, alkaline phosphatase, RNase, phosphofructokinase.
Iodine is a limiting factor in optimizing the synthesis and functioning of thyroid hormones.
Mn is an activator of many enzyme systems (in all subcellular structures and in all tissues).
Molybdenum is an activator of xanthine oxidase (oxidation of purines, pyrimidines - exchange of nucleic acids, formation of urinary stones) and sulfate oxidase (detoxification; functioning of the central nervous system).
Nickel takes part in the activation of many enzymes, stabilization of membranes, hormone metabolism, and optimization of the movement of Fe and Ca2+.
Tin - takes part in the regulation of protein synthesis, tooth development, and growth.
Selenium - supports the induction of cytochrome P450, simultaneously activates peroxidase and glutathione reductase (synthesis of thiol groups, prevention of lipid peroxidation).
Fluorine adapts the plasticity and strength of connective tissue, forms centers of apatite crystallization in bones.
Cr takes part in the activation of insulin and the synthesis of nucleic acids.
special instructions
While taking this medicine, people (especially those with fair skin) should not stay in the sun for long periods of time or be exposed to UV radiation (solarium).
It should be noted that the medicine contains 18 vol.% ethanol. If the patient complies with the dosage, then with each dose of the elixir the patient receives 2.8 g of ethanol, in a daily dose - 8.4 g of ethanol.
During the treatment period, you should not drive or perform any other activities that require significant concentration from the person.
Analogs
Level 4 ATX code matches:
Saparal
Abisib
Herbion ginseng
Citrulline
Codecor
Aloe syrup with iron
Aloe extract liquid for injection
Evalar Elixir
Rhodiola extract liquid
Doppelhertz Beauty Cellunorm
Doppelgerz Vitalotonic
Doppelgerz Ginseng Active
Aralia tincture
Doppelhertz Active Antistress
Befungin
Ladasten
Gerimax Premium
Analogues of this drug are those drugs that have a similar active substance in their composition.
These medications are: Herbion Hypericum , Deprim , St. John's wort extract, Novoimanin , Negrustin , etc.
