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In some diseases, muscle contractions occur that provoke pain. To eliminate pain and relax muscles, doctors use a group of drugs called muscle relaxants (muscle relaxants), drugs to relax muscle fibers. One of the drugs that is used for treatment is Mydocalm. It has shown itself to be an effective and relatively safe drug, but it is quite expensive. Therefore, in some cases, it becomes necessary to select analogues of Mydocalm, which will not cost so much, but at the same time will be effective in the treatment of a particular pathology.
Before choosing the best analogues of Mydocalm, it is important to understand the original remedy, determine its key characteristics, determine the range of indications and contraindications, the main active ingredient and some nuances of administration.
Mydocalm is produced in Hungary. The drug is classified as a group of muscle relaxants of central action, that is, it relieves muscle spasm, normalizing metabolism in tissues. It is released from pharmacies by prescription.
The key active ingredient of the drug is tolperisone hydrochloride.
It is produced in tablet form and different dosages (there are tablets of 50 or 150 mg), as well as in the form of an injection solution (injected into a muscle or vein, the composition includes lidocaine 2,5 mg per ampoule).
Drug indicated for:
- treatment of pathologies in which changes in the musculoskeletal system occur, provoking muscle spasms;
- the presence of cerebral palsy with spastic plegia (severe muscle spasms);
- encephalopathies leading to muscular dystonia and muscle hypertonicity;
- the development of a stroke with muscular dystonia;
- treatment of multiple sclerosis;
- obliterating atherosclerosis of the extremities;
- encephalomyelitis;
- myelopathy;
- Raynaud’s syndrome
- complications of operations on muscle fibers.
Mydocalm is contraindicated in children under 3 years of age, pregnant and lactating women, with allergies to lidocaine (for injection) or tablet components.
The drug is well tolerated, has few side effects, the main ones are headaches, severe weakness, mild nausea, sometimes a decrease in pressure, discomfort in the abdominal cavity, vomiting, and allergic rashes on the body.
Doses are selected individually, depending on the pathology and severity of the condition, it is possible to use injectable and tablet forms. The course of treatment is determined by the doctor, assessing the patient’s condition and dynamics during therapy.
When choosing analogues of Mydocalm, it is important to focus on the following criteria:
- similar in composition: Kalmireks, Tolizor, Tolperizon;
- analogues in action: Baclosan, Baclofen, Sirdalud.
Each of the drugs has its pros and cons.
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Analogues may have a lower cost, but may differ in dosage, composition of auxiliary components, and hence activity and tolerability. All these criteria must be evaluated when selecting a specific medicine.
1. Kalmirex
The drug is an analogue of Mydocalm in composition, has the same active ingredient – tolperisone. Produced in Russia. It has similar forms of release – ampoules with a solution (the composition includes lidocaine) and tablets of 50 and 150 mg. It is released from pharmacies by prescription. Belongs to the group of muscle relaxants of central action, helps to relieve painful muscle spasms, improving the nutrition of muscle fibers.
Indications for the use of the drug:
- increased muscle tone (hypertonicity), painful spasms of striated muscles that occur with severe CNS lesions (against the background of a stroke, damage to the pyramidal system, myelopathy, multiple sclerosis, encephalomyelitis);
- problems of muscle tone in lesions of the musculoskeletal system (for example, spondylarthrosis, spondylosis, arthrosis of large joints, cervical and lumbar syndrome);
- recovery period after operations on the muscles or joints.
In addition, the drug can be used as a complex therapy for various diseases:
- obliterating lesions of large vessels;
- diseases in which there are disorders of the nervous regulation of vascular tone.
The drug has a number of contraindications that limit its use. These include age up to 18 years, the presence of myasthenia gravis, pregnancy, lactation, lactose intolerance, malabsorption of glucose-galactose.
The drug is well tolerated, it is used both in injection and tablet form, in case of severe liver and kidney damage, dose adjustment is necessary and intake under the strict supervision of a doctor. The manufacturer claims that the drug is well tolerated, although side effects are possible, which are rare and not severe. There is evidence of incompatibility with some drugs, so all appointments are made only by a doctor, he also controls the treatment.
2. Tolperisone
The drug is available only in tablet form, it belongs to Mydocalm’s analogues in structure, based on the same active ingredient – tolperisone. Produced in Russia, in dosages of 50 and 150 mg, sold only by prescription. It belongs to the pharmacological group of central muscle relaxants, helps in relieving muscle spasm and soreness, and normalizing their metabolism.
Range of application, according to the manufacturer’s instructions:
- cerebral palsy, spinal paralysis with severe muscle spasms, muscle hypertonicity, contractures;
- pathologies in which muscle dystonia, spasms and severe rigidity are formed;
- obliterating lesions of large arteries (with atherosclerosis, angiopathy on the background of diabetes, Raynaud’s syndrome or Buerger’s disease);
- extrapyramidal disorders after suffering encephalitis, against the background of parkinsonism;
- any other diseases in which the leading symptom is increased muscle tone (used as part of complex therapy).
The key contraindications in the instructions are the period of bearing a child, lactation, age up to 18 years, myasthenia gravis, reaction to the components of the drug.
Side effects are similar to Mydocalm, rarely occur in the form of headache, vomiting or nausea, weakness.
3. Tolisor
The drug belongs to the analogue of Mydocalm in composition, it has the same active substance – tolperisone hydrochloride. However, the release form is 150 ml capsules or injection solution. The drug is produced in Russia. Sold in pharmacies only by prescription. Pharmacological group – a muscle relaxant that has a central effect, relieves muscle spasm, helps in the normalization of their metabolic processes.
According to the instructions, the drug is used for:
- cerebral palsy, spinal paralysis with muscle spasms, muscle hypertonicity, contractures;
- pathologies in which there is muscle dystonia, spasm and rigidity;
- obliterating lesions of the arteries (atherosclerosis, angiopathy in diabetes, Raynaud’s syndrome or Buerger’s disease);
- extrapyramidal disorders (after encephalitis, with parkinsonism);
- any other diseases in which one of the symptoms is increased muscle tone as part of complex therapy.
Among the contraindications are the period of pregnancy, lactation, age to adulthood, allergy to components, myasthenia gravis.
Side effects are similar to those of Mydocalm, they are not very pronounced, among the most important are headaches, nausea and vomiting, skin rashes, pressure reduction.
4. Baklosan
Refers to analogues of Mydocalm in effect, has another active ingredient in the base – baclofen. Included in the group of muscle relaxants of central action. Available in tablets of 10 and 25 mg, produced in Russia. It is released strictly according to the doctor’s prescription, according to the instructions it is used for:
- treatment of multiple sclerosis;
- lesions and diseases of the spinal cord;
- cerebral pathologies;
- Cerebral palsy;
- meningitis;
- to correct the consequences of TBI.
The drug is contraindicated in psychosis, the presence of epilepsy, convulsions, Parkinson’s disease, ulcerative lesions of the digestive system, during pregnancy and lactation, allergies to the components of the drug. Carefully used up to 3 years, against the background of atherosclerosis, cerebrovascular insufficiency, problems with the liver and kidneys, in old age.
5. Sirdalud
It belongs to the analogues of Mydocalm in terms of action, it is based on another active substance – tizanidine. Release form – tablets and capsules with a delayed release of the drug. Produced in Switzerland. Sold by prescription only. Belongs to the group of muscle relaxants with a central effect.
Indicated for use with:
- spasms of muscles with soreness against the background of diseases of the spine;
- after surgical interventions on the spine or joints;
- with muscle spasticity against the background of neurological pathologies;
- as part of complex therapy for cerebrovascular accidents;
- with cerebral palsy.
The drug has a lot of contraindications – an allergy to components, liver problems, the use of certain drugs (ciprofloxacin), lactase intolerance, age up to 18 or over 65 years, kidney problems, heart drugs.
For treatment, you need to carefully select the dose, especially against the background of tachycardia and pressure.
How to choose an analogue of Mydocalm
Given the fact that all drugs are prescription drugs, and they should be prescribed only by a doctor, Mydocalm analogues, if the drug itself is not available or too expensive, should be selected only by a doctor. In this case, he will evaluate all the pros and cons and offer the patient options – they can be both analogues in composition and in effect. The choice will be related to age, specific indications and compatibility with other drugs.
Reviews of doctors about analogues of Mydocalm
Pharmacist, teacher of pharmacology, chief editor of MedCorr Olga Zorina:
– Ideally, you should use exactly the drug that the doctor determines. Drug analogues, generally speaking, are drugs with a similar effect or composition. But taking the original drugs will give the predicted effect and the expected side effects. Analogues, although autumn are similar, but may have their own characteristics in action, side effects and circulation time in the blood. But in the end, the effect will still be achieved. If you choose from analogues, you should give preference to those that completely match the active substance and auxiliary.
Doctor-neurologist of the highest category Evgeny Mosin:
– If you need to replace Mydocalm with analogues, this should be discussed only with a doctor. The specialist can evaluate which of the drugs, based on publications and clinical practice, will be closest in effect to the original remedy. In addition, doctors have personal practical experience in using several drugs of the same pharmacological group.
Popular questions and answers
Mydokalma answered popular questions about analogues pharmacist, teacher of pharmacology, chief editor of MedCorr Olga Zorina.