9 best analogues of Milgamma
Milgamma is one of the most famous drugs that is prescribed for diseases of the nervous system. The drug has proven its effectiveness, but not everyone can afford the price of a course of treatment. We will find out what analogues Milgamma has and how they work in comparison with the original drug

Milgamma is a fairly commonly prescribed drug that improves the state of the nervous system and metabolic processes in the body. Milgamma is used to treat neurological diseases and syndromes: neuralgia, neuritis, neuropathy, paresis of the facial nerve, muscle cramps1.

The medicine is available in the form of tablets (Milgamma compositum) and injection solution (Milgamma). The active ingredients of the drug in injections are B vitamins: B1, B6, B12 and lidocaine hydrochloride. The active ingredients of the drug in tablets are vitamins B1 and B6.

List of top 9 inexpensive and effective analogues of Milgamma according to KP

In the rating of inexpensive and effective analogues of Milgamma, we included domestic and imported drugs that are available in tablets and as a solution for intramuscular injection.

1. Compligam B

Compligam B is an analogue of Milgamma: it contains the same B vitamins that improve the functioning of the nervous system and hematopoiesis and increase blood flow, as well as the anesthetic lidocaine. The drug is also prescribed for the treatment of various neuropathies (including diabetic and alcoholic), neuritis, neuralgia, paresis, pain syndromes (eg, radicular, myalgia) and nocturnal muscle cramps.

The drug is produced in the form of a solution for intramuscular injection, but Compligam B is not produced in the form of tablets.

Contraindications similar to Milgamma: individual intolerance to the components, severe heart failure, age under 18, pregnancy and lactation.

almost complete analogue of Milgamma, affordable price;
not available in tablet form.
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2. Binavit

Binavit is also an almost complete copy of the original drug and corresponds to Milgamma in composition, pharmacological action and a set of indications, including various neuralgia, neuritis and other diseases of the nervous system.2. The drug is produced both in the form of tablets and in the form of a solution for injection. Tablets should be taken after meals with plenty of water.

Contraindications for the drug are the same as for Milgamma, as well as thrombosis and thromboembolism.

available both in the form of tablets and solution for injection;
should not be used by people prone to thrombosis and thromboembolism.

3. Neurobion

This analogue of Milgamma is available as an injection solution (in Germany) and tablets (in Austria). The composition is almost identical to the original drug, but there is no anesthetic lidocaine. But the tablet form contains vitamin B12, which has proven its effectiveness in the treatment of neuritis and neuralgia3.

Indications, contraindications and side effects for Neurobion are the same as for Milgamma. The only thing that the manufacturer notes is that with prolonged use (more than 6-12 months), sensory-type neuropathy may develop.

well tolerated by patients, it is also available in the form of tablets with vitamin B12;
high cost of the drug, does not contain an anesthetic, so injections can be painful.

4. Neuromultivit

Another Austrian analogue of Milgamma, which is available in the form of tablets and a solution for intramuscular injections of 2 ml, and the solution does not contain the anesthetic lidocaine. According to the pharmacological action, Neuromultivit is similar to the original drug and is used to treat neurological syndromes and diseases of the nervous system.

Among the contraindications: chronic heart failure, childhood, pregnancy and lactation.

effective action, contains vitamin B12 in the composition of tablets and injection solution, affordable price;
there is no anesthetic in the injection solution, which can cause discomfort when the drug is administered.

5. Neuralgin V

The preparation of the Slovak manufacturer Neuralgin is a combined multivitamin preparation, almost exactly repeating Milgamma. The manufacturer indicates the same characteristics of the drug as the original – the same composition, the same pharmacological action, the same indications and contraindications, as well as the dosage and regimen of application.

Neuralgin is produced in the form of a solution for intramuscular injection in ampoules of 2 ml, the anesthetic lidocaine is present in the composition.

low price with almost complete identity of Milgamma;
not available in tablet form.

6. Pentovit

Pentovit is a Russian-made multivitamin preparation. It contains several vitamins: thiamine (B1), pyridoxine (B6), nicotinamide, folic acid, cyanocobalamin (B12). As in other drugs, vitamins have a complex effect on the state of the central and peripheral nervous system and are used in the treatment of radiculitis, neuritis, neuralgia, diseases of the central nervous system, asthenic conditions.4.

Pentovit is available in the form of coated tablets. You need to take 2-4 tablets 3 times a day after meals. Of the contraindications, only pregnancy and individual intolerance to the components of the drug. 

extended composition of vitamins, few contraindications, low price;
not available in the form of a solution for injection.
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7. Larigama

The Russian drug Larigama is available as a solution for intramuscular injection in 2 ml ampoules. The composition is the same as Milgamma: B vitamins and lidocaine. The drug is used in the treatment of osteochondrosis, alcoholic and diabetic polyneuropathy, radicular syndrome, lumbago and sciatica. At the same time, it is not recommended to use the drug for longer than 6 months: there is a risk of side effects.

Contraindications are the same as for the original drug: heart failure, pregnancy and lactation, age up to 18 years.

similar composition and action as Milgamma, affordable price;
not found in all pharmacies.

8. Combilipen

The list of effective analogues of Milgamma also includes the drug Kombilipen. It also contains B vitamins and has a similar pharmacological action. Indications for the use of Kombilipen: trigeminal neuralgia, lumbago, radicular syndrome.

The drug is available as a solution for injection and in tablets. At the same time, in tablets, unlike Milgamma, vitamin B12 is added as the third active ingredient, which expands the scope5.

Contraindications: severe heart failure, age under 18, pregnancy and lactation, individual intolerance to the components of the drug.

tablet preparation contains vitamin B12, affordable price;
cannot be used by children.

9. Thiamine (B1) + pyridoxine (B6) + cyanocobalamin (B12)

If necessary, all the active ingredients of Milgamma can be replaced with a combined injection. Group B vitamins (thiamine (B1), pyridoxine (B6) and cyanocobalamin (B12) are commercially available as monopreparations. In this case, only a doctor can determine the optimal dosage of each drug and treatment regimen. This is due to the fact that B vitamins with when used together, they enhance each other’s action.It should be noted that vitamin injections are very painful, so an anesthetic (for example, lidocaine) should be added during the injection.

All drugs are produced in Russia and, compared to Milgamma, are quite inexpensive.

availability in the retail network, low price;
difficulty in collecting a complex injection, an additional anesthetic is required, the dosage of each component is selected by the doctor.

How to choose an analogue of Milgamma

The best way to choose an alternative to Milgamma is to consult with your doctor. The fact is that the composition of each analogue includes not only the main active substances, but also auxiliary ones, which may be the cause of intolerance to a particular drug. In addition, some analogues have differences not only in combination, but also in dosages of active ingredients. Almost all full analogues have similar contraindications and complications. If the reason for refusing Milgamma is this, the doctor will help you choose a drug or dietary supplement that is right for you.

Reviews of doctors about analogues of Milgamma

Reviews of doctors about the analogues of Milgamma, as well as about the original drug, are very contradictory. Experts agree that the cost of Milgamma, as a complex B vitamin, is really high. On the market of Russian manufacturers, there are enough drugs of similar action and at an affordable price.

It is also worth noting that the effectiveness of B vitamins in restoring damaged neurons has not been fully proven. This is another plus in favor of choosing a cheaper analogue.

Popular questions and answers

What happens if you switch from Milgamma to an analogue, and answers other popular questions pharmacist Ksenia Veselova.

When can Milgamma analogues be used?

— As a rule, the question of analogues of the original drug arises in connection with its cost or the lack of the effect expected from the treatment. The reason for the search may be the patient’s intolerance to one of the components of the drug. In any case, the use of an analogue of Milgamma is possible. It is not uncommon for an alternative medication or dietary supplement to work even better than the original. There is no general rule for replacing a drug with an analogue. An effective drug will need to be sought by the selection method.  

What will happen if you stop taking Milgamma and switch to an analogue?

“Nothing bad will happen. If the analogue drug has the same pharmaceutical actions, the substitution will not affect the overall course of treatment. Most importantly, when choosing an analogue, study the instructions and contraindications for the use of the drug. The best solution is to consult your doctor.

Sources:

  1. Vidal. Reference book of medicines. Milgamma. https://www.vidal.ru/drugs/milgamma__734
  2. Vidal. Reference book of medicines. Binavit. https://www.vidal.ru/drugs/binavit__30588
  3. Vidal. Reference book of medicines. Neurobion. https://www.vidal.ru/drugs/neurobion__18801
  4. Vidal. Reference book of medicines. Pentovit. https://www.vidal.ru/drugs/pentovit__19077
  5. Видаль. Справочник лекарственных средств. Комбилипен. https://www.vidal.ru/search?t=all&q=%D0%BA%D0%BE%D0%BC%D0%B1%D0%B8%D0%BB%D0%B8%D0%BF%D0%B5%D0%BD&bad=on

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