The best vasodilators for the brain. Products that dilate blood vessels in the brain

  • blockage by a blood clot or atherosclerotic plaque;

For any of these conditions, the doctor may prescribe drugs to dilate blood vessels as a primary remedy or in complex treatment.

To eliminate a blockage or vascular spasm, you need to know the cause of its development. Leading factors: high cholesterol blood, increased thrombus formation, dysregulation vascular tone. Without examination, vasodilators (vasodilators) are not prescribed.

According to the mechanism of action, all vasodilators are divided into the following groups:

  • Neurotropic. They block impulses from the sympathetic nervous system. They are represented by alpha-adrenergic blockers ("Ebrantil"), beta-adrenergic receptor blockers ("Anaprilin"), combined ones ("Carvedilol"), ganglion blockers ("Benzohexonium"), agents acting on the vasomotor center ("Methyldopa").
  • Myotropic. Relaxes vascular smooth muscles. These are nitrates (“Nitroglycerin”), purines (“Eufillin”), as well as “No-shpa”, “Dibazol”, nicotinic acid and “Xanthinol nicotinate”, “Magnesium sulfate”, “Curantil”.
  • Calcium antagonists. They prevent the movement of calcium ions into the muscles of blood vessels, relaxing their walls. These include “Isoptin” and “Corinfar”.

Most of them also have vasodilating properties. antihypertensive drugs, some combination pain medications.

From folk remedies decoctions and infusions from plants are used. Moreover, most often the same herbal medicine has several properties that help dilate blood vessels. For example, motherwort herb has a hypotensive and sedative effect, and mint has a relaxing and relieving effect on smooth muscles. . According to the predominant effect, plants are divided into groups:

  • sedatives: hop cones, valerian, motherwort, hawthorn berries and flowers;
  • antispasmodic: mint, lemon balm, calendula, mistletoe, oregano, fennel;
  • improving vascular elasticity: rue, ginkgo biloba, clover, fireweed, sophora.

recovery normal tone vessels requires lifestyle changes. IN initial stage This alone is enough to dilate blood vessels. The most important are:

  • daily physical activity of at least 30 minutes;
  • reflexology using Lyapko or Kuznetsov needle mats;

Features of treatment for narrowing of peripheral vessels of the legs. To relieve spasm of the arteries of the extremities, drugs based on drotaverine (“No-shpa”) and nicotinic acid, as well as drugs that simultaneously have an antiplatelet effect: “Trental”, “Curantil” (stop platelet joining).


Constriction of peripheral blood vessels in the legs

The most effective medications are prostaglandin E analogues."Alprostan" and "Vazaprostan" are administered intra-arterially and, in addition to the vasodilating effect, have the following properties:

  • thin the blood;
  • electrophoresis;
  • diadynamic currents;
  • sessions in a pressure chamber (HBO);
  • magnetotherapy.

For the treatment of heart vessels, important conditions are: low-fat diet, quitting smoking, minimizing stress and daily dosed physical activity. For drug therapy They use antiplatelet agents (Aspirin), beta blockers (Vasocardin), and cholesterol-lowering drugs (Zocor).


The addition of nitrates helps to significantly reduce the load on the heart due to their vasodilating effect. They primarily relax the veins and promote the accumulation of blood in them. This facilitates the work of the myocardium, reduces its need for additional oxygen, and also helps to redistribute blood flow to areas where it is reduced.

During spasm coronary vessels amid stress A course of medicinal plants is recommended. Herbs with a calming effect that can have a positive effect on coronary circulation are shown: lavender flowers, oregano, linden, hawthorn fruits, mint leaves.

To dilate blood vessels in the brain drugs are used that improve blood flow without developing steal syndrome. These include:

  • antiplatelet agents with a vasodilating effect: “Curantil”, “Pentoxifylline”;

Medicinal plants that improve cerebral circulation: periwinkle, ginkgo biloba, mistletoe, Baikal skullcap, passionflower, peony, pine cones.

More often headaches with cervical osteochondrosis caused by muscle tension. To reduce it, “Mydocalm” and “Sirdalud” are used. Sometimes antidepressants (Stimuloton) and anticonvulsants(“Gabalept”).

The treatment package includes physiotherapeutic methods: galvanic collar, electrophoresis, magnetic therapy, sinusoidally modulated currents, darsonval, massage. High efficiency has physiotherapy.

To eliminate spasm of retinal vessels Calcium antagonists (Norvasc, Phenigidine) are used, as they increase overall blood flow. “Nikoshpan” is also indicated for improving microcirculation, means for plant based- “Vinpocetine”, “Bilobil”.


Phenigidine for vasoconstriction of the retina

For spastic conditions due to visual strain, a plant collection that includes blueberries, rose hips and chokeberries in equal parts helps. From the collection, two teaspoons of dry berries are poured into a thermos with 300 ml of boiling water overnight. The next morning, filter and add a teaspoon of aloe juice and honey. The drink is taken 100 ml an hour before meals three times a day for at least a month.

To reduce the permeability of capillaries and venous vessels, a group of drugs is used - angioprotectors. These include capsules and tablets based on:

  • rutoside (“Venoruton”);

Combination medications are also highly effective:"Ginkor Forte", "Detralex", "Normoven".

Read more in our article on how to dilate blood vessels.

Read in this article

Indications for vasodilation

The narrowing of the lumen of the arteries leads to insufficient blood flow to the tissues they nourish. An ischemic syndrome occurs, accompanied by a severe decrease in organ function and acute vascular disorders. A critical degree of ischemia means tissue death (necrosis), such conditions are life-threatening.

The main causes of vasoconstriction:

  • congenital anatomical feature;
  • or ;
  • inflammation with swelling of the inner membrane;
  • compression from the outside by a tumor, scar tissue;
  • spasm in the background neurological disorders, smoking, hormonal imbalance.

For any of these conditions, the doctor may prescribe drugs to dilate blood vessels as a primary remedy or in complex treatment.

In order to eliminate blockage or vascular spasm, it is necessary to know the cause of its development. The main effect of treatment should be aimed at the leading factors: increased blood pressure, increased thrombus formation, dysregulation of vascular tone.

Without examination, vasodilators (vasodilators) are not prescribed. There are also treatment features for narrowing of the bloodstream in different anatomical areas.

Medicines

According to the mechanism of action, all vasodilators are divided into the following groups:

  • neurotropic: block impulses from the sympathetic nervous system. They are represented by alpha-adrenergic blockers ("Ebrantil"), beta-adrenergic receptor blockers ("Anaprilin"), combined ones ("Carvedilol"), ganglion blockers ("Benzohexonium"), as well as drugs acting on the vasomotor center ("Methyldopa");
  • myotropic: relax vascular smooth muscles. These are nitrates (“Nitroglycerin”), purines (“Eufillin”), as well as “No-shpa”, “Dibazol”, nicotinic acid and “Xanthinol nicotinate”, “Magnesium sulfate”, “Curantil”;
  • prevents the movement of calcium ions into the muscles of blood vessels, relaxing their walls. These include “Isoptin” and “Corinfar”.

Most and some combination painkillers also have vasodilating properties.

Folk remedies

Medicinal plants also have antispasmodic activity. Wherein Most often, the same herbal medicine has several properties that help dilate blood vessels. For example, motherwort herb has a hypotensive and sedative effect, and mint has a relaxing effect and relieves spasms of smooth muscles. According to the predominant effect, plants are divided into groups:

  • sedatives: hop cones, valerian, motherwort, berries and hawthorn flowers;
  • antispasmodic: mint, lemon balm, calendula, mistletoe, oregano, fennel;
  • improving the elasticity of blood vessels: rue, periwinkle, ginkgo biloba, clover, fireweed, sophora.


At home without drugs

To restore normal vascular tone, lifestyle changes are required. Medicines are only effective if they are taken in conjunction with non-drug methods. In the initial stage, only such measures are sufficient to dilate blood vessels. The most important are:

  • quitting smoking and alcohol abuse;
  • daily physical activity of at least 30 minutes. To improve the condition of blood vessels, the following are especially useful: swimming, walking, light running, yoga, Pilates, therapeutic and breathing exercises;
  • training vascular tone using a contrast shower;
  • duration of night sleep is at least 8 hours;
  • a diet excluding fatty and sweet foods, including magnesium-rich foods in the diet: bran, nuts, seeds, cocoa, wheat germ;
  • reflexology, at home it is carried out using Lyapko or Kuznetsov needle mats;
  • relaxing massage.

Watch the video about the causes of vasoconstriction:

Features of treatment for narrowing of blood vessels of different locations

Many vasodilators have preferential activity for different groups diseases. This is due to the fact that the structure of adrenergic receptors and the innervation of organs are different.

Peripheral vessels of the legs

To relieve spasm of the arteries of the extremities, mainly drugs based on drotaverine (No-spa) and nicotinic acid are used, as well as drugs that simultaneously have an antiplatelet effect: Trental, Curantil (stop platelet joining).

The most effective medications are analogues of prostaglandin E. Alprostan and Vazaprostan are administered intra-arterially and, in addition to the vasodilator effect, have the following properties:

  • improve microcirculation and peripheral blood flow;
  • thin the blood;
  • protect artery walls from destruction;
  • prevent thickening of the inner lining of blood vessels and the deposition of cholesterol on it.

TO non-drug methods relate:

  • electrophoresis;
  • diadynamic currents;
  • applications of ozokerite and therapeutic mud;
  • baths with hydrogen sulfide, radon, pine extract;
  • sessions in a pressure chamber (HBO);
  • magnetotherapy.

Hearts

An important condition for treatment is a low-fat diet, quitting smoking, minimizing stress and daily dosed physical activity. For drug therapy, antiplatelet agents (Aspirin), beta blockers (Vasocardin), and cholesterol-lowering drugs (Zocor) are used.

Adding nitrates to therapy helps to significantly reduce the load on the heart due to their vasodilating effect. They primarily relax the veins and promote the accumulation of blood in them. This facilitates the work of the myocardium, reduces its need for additional oxygen, and also helps to redistribute blood flow to areas where it is reduced.

For spasm of coronary vessels due to stress, a course of medicinal plants is recommended. Herbs with a calming effect that can have a positive effect on coronary circulation are shown: lavender flowers, oregano, linden, hawthorn fruits, mint leaves.

Brain

To dilate the cerebral arteries, drugs are used that improve blood flow without developing steal syndrome. These include:

  • calcium antagonists: Nimotop, Cinnarizine;
  • adrenergic blockers: “Sermion”, “Pronoran”;
  • antiplatelet agents with: “Curantil”, “Pentoxifylline”;
  • angioprotectors: Cavinton, Tanakan.

Medicinal plants that improve cerebral circulation are periwinkle, ginkgo biloba, mistletoe, Baikal skullcap, passionflower, peony, and pine cones.

Cervical vessels

Most often, headaches with cervical osteochondrosis are caused by muscle tension. To reduce it, “Mydocalm” and “Sirdalud” are used. In some cases, antidepressants (Stimuloton) and anticonvulsants (Gabalept) have an effective vasodilator and analgesic effect.

The treatment complex includes physiotherapeutic methods: galvanic collar, electrophoresis, magnetic therapy, sinusoidally modulated currents, darsonval, massage. Physical therapy is highly effective.

Eye

To eliminate spasm of the vessels of the retina, calcium antagonists (Norvasc, Phenigidine) are used, as they increase the overall blood flow. Also shown is “Nikoshpan” to improve microcirculation, herbal products “Vinpocetine”, “Bilobil”.

In cases of spastic conditions due to visual strain, collecting plants helps. It includes blueberries, rosehips and chokeberries in equal parts. Two teaspoons of dry berries are poured into a thermos with 300 ml of boiling water overnight. The next morning, filter and add a teaspoon of aloe juice and honey. The drink is taken 100 ml an hour before meals 3 times a day for at least a month.

How to expand and strengthen blood vessels?

In order to reduce the permeability of capillaries and venous vessels, a group of drugs is used, which are called. These include capsules and tablets based on:

  • rutoside (“Venoruton”);
  • troxerutin (“Phleboton”, “Venorutinol”, “Troxevasin”);
  • diosmina (“Vasoket”, “Phlebodia”);
  • horse chestnut (“Aescin”, “Aescusan”).

Combination medications are also highly effective: Ginkor Forte, Detralex, Normoven. All :

  • prevent destruction of the vascular wall;
  • have anti-edematous and anti-inflammatory effects;
  • improve the processes of microcirculation and tissue perfusion (blood nutrition);
  • possess .

Medicines are used to dilate blood vessels, medicinal plants, physiotherapeutic methods. To increase the effect of therapy, it is important to make adjustments to your lifestyle. For vascular spasm of the lower extremities, prostaglandin-based agents are considered the most effective, and myocardial ischemia is treated with the use of nitrates.

Vasodilators for spastic conditions of cerebral arteries are represented by calcium blockers, antiplatelet agents and angioprotectors. Venotonics help strengthen the vascular wall.

Read also

Chamomile has a beneficial effect on blood vessels. With it you can organize cleaning, and also simply take it as useful remedy for veins, blood vessels and heart.

  • Mexidol is used for cerebral vessels to improve blood circulation and relieve negative manifestations of VSD and other things. Initially, injections are prescribed, then they switch to tablets. Medicine It will help with spasms and for the heart. Does it narrow or dilate blood vessels?
  • Vascular tone is influenced by the nervous and endocrine systems. Dysregulation leads to a decrease or increase in blood pressure. In advanced cases, the mechanisms of normal vascular tone decline, which is fraught with serious complications. How to lower or increase vascular tone?



  • To ensure the full functioning of the complex human central nervous system, which depends on blood circulation, a large number of interconnected neurons and nerve processes, the brain, covered with blood vessels and saturating all the organs of the central nervous system with oxygen and glucose, it is necessary to take care of your health. Very often, with the development of pathologies and disruption of blood microcirculation, the meninges are affected, the ability to think, coordinate and control one’s movements, perceive and reproduce speech, feel and distinguish emotions is lost. To avoid serious consequences it is possible if you start taking it on time vasodilators for the brain for the purpose of preventing and treating diseases of the central nervous system.

    Causes of vasoconstriction

    Heavy mental stress, poor environmental situation and stress, hereditary diseases are important factors, which provoke loss of elasticity and premature wear of capillaries. Migraine, dizziness, memory loss and rapid fatigue are the first signs of vascular diseases.

    Atherosclerosis. Accompanied by insomnia, depressed state and prolonged depression, deterioration of vision, hearing and memory, and frequent dizziness. Characterized by a narrowing of the volume of the lumen of the blood flow with its subsequent blockage due to proliferation connective tissue, the appearance cholesterol plaques and excessive deposition of calcium salts.

    Cerebral vasospasm. The source of insufficient blood microcirculation is vascular dystonia, smoking, overwork, elderly age, osteochondrosis, hypertension and heart disease. People with this diagnosis experience fainting, slurred speech, and loss of motor activity.

    Cerebrovascular accident. Accompanied by decreased visual and hearing acuity, seizures, deterioration in thinking, partial temporary paralysis, loss of reading and writing skills, speech activity. Causes: plaques, blood clots, blood pressure surges, cervical osteochondrosis and head injuries.

    Ischemia. Oxygen saturation of cells is hampered by diabetes, poor nutrition, anemia, kidney disease and tumors, and obesity. Signs of defeat meninges expressed by loss of concentration, outbursts of aggression, shuffling gait and urinary incontinence.

    Stroke. Congenital pathologies or atherosclerosis, heavy physical activity and arterial hypertension cause destruction of vascular walls, followed by hemorrhage, necrosis of tissue areas, and cell death.

    What are vasodilator drugs?


    To achieve stable functioning of the central nervous system, new generation drugs are widely used. They differ depending on the mechanism and direction of their action:

    1. alpha-adrenergic blockers. Stimulate the expansion of the lumen and increase the peripheral bloodstream, reduce cholesterol levels and normalize blood glucose levels;
    2. calcium channel blockers. They have a vasodilator, relaxing effect on the walls of capillaries and coronary arteries, which contributes to their expansion. Lower blood pressure and prevent calcium from entering cells;
    3. Vasolidators or vasodilators. Reduce the speed of blood flow and the force of pressure on the walls of the arteries, increase their lumen, improve the nutrition of tissues and cells;
    4. neurotropic drugs. Regulate and restore the functions of the peripheral part of the central nervous system;
    5. myotropic antispasmodics. Reduce and relax muscle tone;
    6. disaggregants. Prevents the formation of blood clots and narrowing of the blood flow lumens.

    Useful to know: Concussion: first symptoms

    Natural homeopathic remedies, herbal medicines and dietary supplements are used as adjuvant therapy or in combination with other medications.

    Vasodilation


    In order to prevent serious consequences, which are associated primarily with dangerous disturbances in the flow of blood into the membranes of the brain and other organs of the central nervous system, doctors offer their patients medications for narrowing of the lumen and insufficient conductivity of the microvasculature.

    "Piracetam." An effective drug for the treatment of cerebrovascular insufficiency and slow blood flow. The vasodilator suppresses platelet aggregation, improves microcirculation, and increases glucose sensitivity. It is prescribed in a dosage of 30 to 160 mg per kilogram of a person’s weight.

    "Mexidol". It is recommended to take it for recovery after identified problems with cerebral circulation, head injuries, encephalopathy and vegetative dystonia. Normalizes the speed of blood movement, reduces platelet aggregation, and reduces the amount of bad cholesterol. The dosage per day is 125 - 250 mg 3 times.

    "Pentoxifylline." Indications: ischemic conditions, cerebral atherosclerosis, acute processes of blood circulation disorders. Expands coronary arteries, reduces blood viscosity and improves blood flow. Tablets are taken at a rate of 600 mg per day. The number of receptions is 2-3 times.

    Drug treatment of atherosclerosis

    The danger of cholesterol plaques manifests itself in the form of formation blood clots, blood clots, reduction in the volume of the lumen of the vascular bed and its complete blockage, which can cause myocardial infarction. That is why it is recommended to take effective modern drugs to treat atherosclerosis.

    "Betaserk." Relieves unnatural noise in the ears, frequent attacks migraines and dizziness. Used as part of complex therapy for post-traumatic encephalopathy. It has a positive effect on blood flow and the peripheral vestibular apparatus. Daily intake- 16 drops 2-4 times. Do not chew, drink with a small amount of water.

    "Papaverine". An antispasmodic that reduces calcium levels in cells, relaxes muscle tissue and the walls of blood vessels, slows down intracardiac conduction. Take no more than 60 mg 3 times per day.

    "Lovastatin." Prevents excess cholesterol in the body, prevents the development of atherosclerosis, corrects lipid metabolism. It is prescribed orally once a day, 10-20 mg in the evening.

    How to relieve spasm of cerebral vessels


    Get rid of causeless migraines constant fatigue and irritability, which causes cerebral vasospasm, is possible only after taking special medications prescribed by the attending physician with instructions exact dosage and number of appointments.

    "Cinnarizine." It has a calming, vasodilating effect on muscle tissue and the walls of blood arteries, reduces the manifestations of vestibular disorders, prevents the development of atherosclerotic plaques and reduces the level of blood viscosity. Prescribed for the prevention of ischemic and hemorrhagic stroke. The vasodilating effect is detected after using no more than 225 mg of Cinnarizine or 24 drops per day. This amount must be divided into 3 times.

    "Drotaverine hydrochloride." Reduces symptoms muscle spasms and short-term functional disorders of cerebral circulation, which lead to spasm of peripheral, cerebral and coronary arteries. Daily intake of 40-80 mg 3 times.

    "A nicotinic acid". Helps accelerate the passage of blood by expanding the lumen between the vascular walls, normalizes the activity of the microvasculature, and prevents the development of ischemic disorders. For severe atherosclerosis, 2-3 grams per day are prescribed.

    Medicines to improve cerebral circulation


    It is possible to resume the stable operation of the processes occurring in the organs of the central nervous system if you follow precise instructions to medicinal natural remedies and modern vasodilating drugs.

    "Actovegin". Promotes oxygen saturation of tissues and organs, has an antioxidant effect, restores blood flow, and prevents the onset of ischemic stroke. Daily dosage: 1-3 capsules before meals 3 times. Intravenous administration involves 10-15 ml of the drug in combination with 0.9% NaCl solution or 5% dextrose.

    “Vazobral.” Vasodilating drug. Reduces the permeability of the vascular wall, restores cerebral circulation, increases mental activity, reflex excitability of the spinal cord and increases the activity and stability of the brain. Eliminates attention, memory and vestibular complications. Prescribed 0.5 - 1 tablet in the morning and evening. In the form of a solution, it is recommended to take 2-4 ml twice a day.

    "Cavinton". Restores the acuity of hearing and vision, which were caused by damaged and lost elasticity of the brain vessels. Improves cerebral circulation, stimulates the intensity of oxygen supply to cells and tissues, and has a vasodilating effect. Prescribed for motor and neurological disorders.

    Treatment of cerebral vascular ischemia


    Oxygen starvation, which affects all organs of the central nervous system without exception, lack of natural blood circulation and disruption brain activity are consequences of ischemia. Without drug treatment It is impossible to help restore the body with the use of vasodilator drugs.

    Useful to know: Operative methods removal of a brain tumor

    "Nimotop". To prevent neurological disorders, hemorrhagic and ischemic stroke, vasospasm, stabilize the functioning of neurons and block the flow of calcium into cells, it is prescribed intravenous administration infusion solution diluted with 0.9% NaCl. In the form of tablets you need to take 3 pieces.

    "Dipyridamole." The main indications for taking the drug, after which the coronary blood flow expands and the speed of its movement increases, are ischemia, low blood pressure, and thrombosis. The dosage per day should not exceed 25-50 mg.

    "Enduracin" or nicotinic acid. Expands small capillaries, increases motor activity in the bloodstream. For atherosclerosis, the recommended dose is 2-3 grams per day, for the purpose of prevention - 15-25 mg per day.

    List of medications for cerebral stroke


    Blockage of the bloodstream and oxygen starvation, arterial hypertension and diabetes mellitus, lack of nutrients and elements provoke ischemic stroke. After an attack, the patient is prescribed medications to restore brain activity and normalize blood pressure.

    "Clopidogrel." Patients with ischemic stroke, increased aggregation of blood clots and impaired peripheral circulation are prescribed a daily dosage of one tablet.

    "Ceraxon." The nootropic active ingredient promotes the restoration of cells and damaged tissues. Reduces the effects of memory loss, improves attention and thinking. In case of traumatic brain injuries, it reduces the duration of associated symptoms. In the acute ischemic period, intravenous administration of 1000 ml is recommended.

    Vessel cleaning preparations


    It is especially important to prevent diseases of the vascular system in the elderly and old age. Not only for treatment, but also for the purpose of prevention, vasodilators and strengthening drugs are very often used, which improve and activate brain processes.

    "Courantil". Used to treat dysfunction circulatory system and is prescribed to prevent blood clots. It is a substance that dilates blood vessels and coronary arteries, which further slows down progressive atherosclerosis and improves cardiac blood flow. The daily dosage for the prevention and treatment of blood clots is 1 tablet 3-6 times an hour before meals. In case of pronounced coronary insufficiency, the dose is increased to 4 times a day.

    "Cardiomagnyl". Prevents intracerebral hemorrhage and is used to prevent the formation of blood clots and the onset of myocardial infarction. Daily intake: 1-2 tablets.

    Vasoconstriction is a disorder that manifests itself in patients regardless of age and gender. Symptoms of spasm in the form of headaches, dizziness are often tormenting modern man. Why has the trend of such complications become more frequent recently?

    It's all to blame wrong image life, physical inactivity, eating disorders, bad habits. All of these factors have an extremely negative effect on health.

    Folk vasodilators are emergency measure self-help, using them on an ongoing basis without consulting a doctor is impermissible. Such actions can cause irreversible consequences. Treatment should be selected by a qualified doctor who can determine the real reason manifestations of spasm and select a medication.

    Methods traditional medicine, of course, have the right to life, but they can only be used as additional method. The doctor must select the drug with the optimal effect, assessing its interaction with other components of therapy. First of all, you should consider the causes and danger of such a deviation, and then methods to combat it.

    What is the danger?

    When a patient's blood pressure is normal, but vasospasm occurs, insufficient oxygen enters the heart tissue. In this case, the heart increases its rhythm of work to obtain the necessary component.

    Against this background, blood pressure increases significantly, and hypertension can develop. At such moments the vascular walls experience heavy load and become thinner.

    If the blood vessels in the human body are narrowed, malfunctions appear throughout the whole body and the person may feel the following symptoms (depending on the type of malfunction, the intensity of their manifestation may vary):

    • constant or recurrent headaches;
    • pronounced changes in blood pressure are recorded;
    • the development of heart failure is possible;
    • heart rate increases.

    This condition is dangerous due to the high risk of heart attack and stroke - these conditions take the lives of thousands of patients every year.

    Attention! With serious damage to the arteries, there is a risk of developing an aneurysm. Such formation is a real “time bomb”. The formation can completely block the vessel, as a result of which the process of transferring nutrients to the heart or brain is disrupted (see).

    Danger similar condition consists of a gap in education. As a result of this complication, hemorrhage occurs in the tissue of nearby organs. Such violations can cause disability with complete loss of ability to work or provoke death.

    Based on the information described, it is worth concluding that narrowing of the arteries in the human body entails danger.

    Dilation of arteries by means alternative medicine- these are temporary methods of improving well-being, which are not recommended to be used continuously without consulting a doctor. In fact, vascular constriction is a symptom indicating the presence of problems in the functioning of the body. In any case, the cause of such deformation must be identified and eradicated.

    Etiology

    Doctors say that the main reason for the narrowing of arteries in the body is an increase in the concentration of cholesterol and the ratio of substances of small fractions. The formations “stick” to the walls of the artery and accumulate in certain places until they completely block its lumen.

    An increase in cholesterol concentrations in the human body often occurs for the following reasons:

    1. Obesity. Excess weight is formed in a person against the background of certain dietary disorders and lack of physical activity. It has been proven that obese people are 3-4 times more likely to encounter manifestations of cardiovascular diseases and are registered with a cardiologist and phlebologist.
    2. Systemic pathologies such as diabetes mellitus.
    3. Patients suffering hypertension, also face vasospasm.

    Alternative treatment for vasodilation can be used only after comprehensive examination body in combination with medications. If a patient regularly experiences headaches, he should consult a physician.

    A specialist with a broad specialization will give the patient a referral for examination and then refer him to a specialist doctor. The video in this article talks about folk methods dilation of arteries.

    Features of the use of traditional medicine

    Despite the progress in the development of modern pharmacology, patients often prefer to use products based on medicinal herbs to combat pathologies of the cardiovascular system.

    This desire is explained by the following factors:

    • with individual selection of components healing collection therapy will help achieve lasting results;
    • folk remedies for eliminating spasms act gently and do not lead to side effects;
    • the price of raw materials for preparing decoctions and infusions is not high - often the components of the collection can be assembled independently;
    • the product is completely natural and consists of herbal ingredients;
    • the list of contraindications is small compared to traditional medicine.

    However, it should be remembered that the use of certain herbs is contraindicated in patients with the following conditions and pathologies:

    • period of pregnancy and lactation;
    • systemic pathologies endocrine system associated with organ dysfunction;
    • oncological diseases;
    • diseases of the gastrointestinal tract.

    Herbal preparations should be taken with particular caution by allergy sufferers. If you react to any component of the composition, a generalized allergy may occur.

    Fact! The effect of using herbal decoctions and infusions appears 2-3 months after the start of use. Therefore, they cannot be used as the main means of therapy for patients with serious disorders. Delay in such cases is dangerous.

    Vasodilator fees

    To prepare infusions and decoctions that dilate blood vessels, single-component and multi-component preparations are used. The classification of herbs according to the principle of action is discussed in the table. Some of the plants are shown in the photo.

    The instructions say that to achieve best results It is recommended to mix herbs with different effects. However, it is not recommended to formulate a collection of healing potions on your own, based on personal preferences; the components can interact in different ways.

    How to dilate blood vessels non-drug means Not only healers, but also a doctor will advise. Many representatives of traditional medicine do not refute the healing capabilities of herbal remedies.

    Attention! You should not give in to external security. Plants have powerful medicinal powers, so cook medicinal decoction need to be followed with dosages.

    Valerian decoction

    This plant has not only a calming, but also an antispasmodic effect. To prepare a decoction that dilates blood vessels, follow the instructions. 2 tbsp. l of valerian root is poured with 200 ml of boiling water and sent to a steam bath for 30-40 minutes. After this time, the broth is infused for 2 hours and filtered through cheesecloth.

    The finished composition is stored in the refrigerator. Take 1 tablespoon 3-4 times a day before meals.

    Chamomile

    To prepare the collection, chamomile flowers are used. The mixture is easy to prepare - 2 tbsp. spoons of flowers are poured into 150 ml of boiling water and left for 20 minutes. The resulting infusion should be filtered and drunk in two doses.

    Linden

    Linden tea has the following qualities:

    • dilates blood vessels;
    • eliminates nervousness;
    • relieves stress;
    • eliminates anxiety;
    • helps strengthen vascular walls.

    Pour a tablespoon of plant flowers into 1 cup of boiling water.

    Hawthorn

    The composition helps eliminate headache due to antispasmodic action. The product has a calming effect.

    To prepare the infusion, 2 tbsp is required. spoons of hawthorn, which should be simmered over low heat for 5 minutes, then strain. The decoction should be stored in a cool, dark place. Take 1 tbsp. l mixture 2 times a day.

    Alcohol tinctures

    The following infusions of medicinal herbs have a vasodilating effect:

    • mint tincture;
    • hawthorn tincture;
    • eucalyptus infusion;
    • infusion of valerian root;
    • Corvalol drops.

    To prepare the medicinal mixture, 20 ml of each component is required. All substances are mixed in a large dark glass container and 10 pieces are added. carnations. All components are thoroughly mixed and sent to a dark place for 2 weeks.

    The finished composition is taken 30 drops daily.

    Attention! The composition has a pronounced vasodilating effect and acts dramatically in comparison with previous infusions. Before using the component for therapy, you should consult a doctor.

    resort to radical methods therapy is not necessary. Black and green tea have a slight vasodilating effect, but they should also be prepared with caution.

    A strong drink will help you cope with a headache attack. Strongly brewed tea can provoke an attack of hypertension. Similar means for vasodilation they are indeed effective, but it is impossible to choose the appropriate recipe on your own.

    With the help of vasodilator drugs, they fight headaches at home and save lives in hospitals. From the article you will learn why such drugs can be useful, what their principle of operation is, what types of vasodilator drugs exist, whether there are side effects and contraindications.

    Types and principle of action of drugs for vasodilation

    Good blood circulation is the key to good health, because cell nutrition depends on it. Some diseases affect blood vessels, reducing their internal lumen. Blood passes through them worse, cells do not receive necessary nutrition and oxygen, which slows down the recovery process. Therefore, drugs are needed to dilate blood vessels - vasodilators.

    Depending on the direction of action, vasodilator drugs are divided into three groups:

    • Cerebral. The action is aimed exclusively at the blood vessels of the brain.
    • Peripheral. They affect the most distant parts of the circulatory system.
    • Mixed. Drugs of this type can also affect major arteries, and to the smallest capillaries.
    Vasodilators also differ in their modes of influence. There are two main groups:
    • Myotropic drugs. They influence biochemical processes directly in smooth muscle cells, promoting its relaxation.
    • Nootropic or neurotropic drugs. They affect the transmission of impulses from nerve endings to smooth muscles. If there are no “alarming” impulses, the muscles relax.
    All drugs for vasodilation are divided into pharmacological groups. These include:
    • antispasmodics;
    • calcium channel blockers;
    • nitrates.

    Antispasmodics

    This is the most common type of vasodilator. They fight attacks of spastic pain by affecting the muscles. The muscles relax, the blood vessels are no longer compressed and can expand. Medicines in this group have myotropic and nootropic effects, depending on the active substance. It can be:
    • Drotaverine - affects directly the smooth muscles of organs, does not affect nervous system. Contraindicated in case of low blood pressure, renal and liver failure and prostate adenoma.
    • Pinaveria bromide acts exclusively on the digestive organs and is a myotropic drug. Do not take if you have a lactase deficiency or sugar intolerance.
    • Hyoscine butyl bromide - nootropic drug Very powerful action. Contraindicated in myasthenia gravis.
    Antispasmodics can be taken for acute pain: unlike painkillers, they will not affect the clinical picture in any way. It is acceptable to take at home, but it is better to consult a doctor before doing so. Children, pregnant and lactating women should choose a different type of medication.

    Calcium channel blockers

    Another name is calcium antagonists. These are myotropic drugs.

    There are two types of channels that conduct calcium ions: fast and slow. For of cardio-vascular system fast ones are characteristic, and slow ones are located in the cells of organs. Therefore, the choice of drug depends on which organs need to be affected.

    To better understand the action of calcium channel blockers, you need to know what role calcium ions play in muscle cells. A smooth muscle cell consists of three threads and in its normal state retains some tension. There are substances that can “turn on” or “turn off” the voltage in this cell. Calcium ions contribute to cell tension, and blocking calcium currents relaxes them.

    Calcium antagonists are usually divided into three generations. The first includes:

    • phenylethylamine (Verapamil);
    • benzodiazepine (Diltiazem);
    • Dihydropyridine (Nifedipine).
    The second generation includes retard forms of verapamil, diltiazem and nifedipine (especially generation 2a: isradipine, nicardipine, nisoldipine, felodipine, diltiazem, etc.) and new chemical compounds (generation 2b: benidipine, manidipine, nilvadipine, nimodipine, clentiazem, anipamil etc.). They have fewer side effects and more long action. Third generation drugs have not yet been approved in the Russian Federation.

    Nitrates

    This is a very small group of drugs, it includes sodium nitroprusside. It is able to quickly dilate blood vessels and is available in the form of injections. Nitroglycerin has a similar effect - when it breaks down in the blood, it becomes a donor of nitric oxide, which dilates blood vessels. But nitroglycerin does not act on large arteries, but on veins, which makes it possible to reduce the load at a particular point in time; after the action of the drug, blood flow to the heart may increase.

    Considering the properties of vasodilators and the importance of good blood circulation for every cell of the body, the scope of use of drugs of this type is very wide. They are prescribed for:

    • fight against;
    • treatment of heart failure;
    • relieving symptoms of certain digestive diseases;
    • relieving symptoms of diseases of the kidneys and urinary tract;
    • improving blood supply to the brain;
    • treatment;
    • treatment of prostatitis;
    • improvement in diabetes;
    • treatment of arthrosis;
    • fight against osteochondrosis.

    Hypertension

    With high blood pressure, medications that dilate blood vessels play a supporting role: the vessels dilate and the pressure drops. The drugs do not solve the problems that caused hypertension, but they can help in case of a hypertensive crisis when other drugs are no longer effective.

    Heart failure

    In this condition in the artery less blood than necessary, and the heart does not contract strongly enough. This may be indicated by shortness of breath, fast fatiguability and other symptoms. If the vessels dilate, blood will flow better to the artery.

    Digestive diseases

    Some diseases are characterized by severe cramping pain. These include:
    • hepatic colic;
    • cholecystitis;
    • pancreatitis;
    • stomach ulcer.
    Antispasmodics not only relieve pain without interfering with accurate diagnosis. With their help, you can improve the patient’s condition if smooth muscle tension is the basis of the disease. In addition, drugs of this class are used to prepare the patient for certain types of medical procedures.

    Kidney and urinary tract diseases

    Vasodilators may be useful for a number of diseases of the urinary system:
    • Cystitis. By relaxing the muscles, they help eliminate pain and improve blood circulation in the bladder, which promotes rapid recovery.
    • Kidney colic. The first stage of colic treatment is removal pain syndrome, otherwise it can lead to acute obstructive pyelonephritis.
    • Nephritis. This disease causes swelling of the interstitial tissue, which causes vascular spasm and compression. Because of this, tissue cell death may occur.

    Drugs for cerebral vasodilation

    A common cause of dizziness and headaches is insufficient blood supply. The use of vasodilator drugs will improve your condition after injury, reduce the frequency of migraine attacks, and take care of preserving memory and alertness.

    Vegetovascular dystonia

    This disease is a malfunction of the nervous system, which can cause damage to various organs. Sometimes VSD causes excessive muscle tension and provokes vasoconstriction. This may cause numbness in the limbs, dizziness, or spasms.

    Prostatitis

    Due to inflammation of the prostate gland, compression of the urethra, spasms of smooth muscles and poor circulation occur. Vasodilators help relieve pain and restore blood circulation.

    In this disease, small capillaries become blocked by defective blood cells. In addition, glucose, which is large quantities is in the blood, promotes the formation of plaques and blood clots on the walls of blood vessels. This especially affects organs that have many small capillaries. This is why diabetes complications most often affect the eyes, kidneys and limbs. To normalize blood microcirculation, peripheral vasodilators are used.

    Arthrosis

    Treatment of arthrosis consists of two parts. The first is to relieve pain, which becomes especially painful at night. The second is to improve blood flow to the sore joint so that the tissue has everything it needs to recover.

    Osteochondrosis

    This disease is a depletion of the cartilage disc between the vertebrae. This leads to a decrease in the distance between the vertebrae and this has a bad effect on the vertebral arteries, which are located in the canal that creates the transverse processes of the vertebrae. If osteochondrosis affects the cervical spine, the blood supply to the brain suffers.

    Osteochondrosis is often complicated increased viscosity blood and plaque formation, as they usually occur in people over 40 years of age, and these changes are characteristic of this age.


    Therefore, vasodilators play an important role in the treatment of the consequences of osteochondrosis.

    General contraindications and side effects

    Each individual vasodilator has its own list of contraindications and side effects, but there are factors that apply to all medications in this class. This also includes a number of contraindications:
    • Hypotension. All vasodilators lower blood pressure even further.
    • Childhood. Some drugs can be taken from one year onwards, others only from six years of age.
    • Pregnancy and lactation (there are exceptions).
    • Chronic liver and kidney diseases require restrictions on the use of vasodilators. They can be taken in case of emergency under the supervision of a doctor.
    • Sensitivity to the components of the drug.
    • Presence of blood clots and plaques.
    Common side effects include:
    • dizziness;
    • weakness;
    • dry mouth;
    • nausea;
    • constipation;
    • bleeding.
    There is such a thing as stealing phenomenon: blood reluctantly flows through those vessels that are narrowed or damaged; it is more willing to bypass. Because of this, a situation may arise when, at a time of urgent need (for example, a hypertensive crisis), a person takes a powerful vasodilator, the blood is sent along an easier path, and other vessels that transmit blood to the brain, heart, liver or other important organs are damaged. Because of this, blood simply does not go there, preferring wide vessels. Hypoxia, cell death and other consequences appear.

    Neurologist M.M. says that medications for dilating blood vessels are not always useful. Sperling in this video:


    Top 10 drugs for vasodilation

    When it comes to health issues, you want to trust, first of all, proven remedies. Although for each disease it is necessary to select vasodilators, taking into account the cause and course of the disease, accompanying illnesses and individual tolerance, you can make an approximate list of the most proven and common vasodilators.

    No-shpa

    Belongs to the group of antispasmodics, active substance- drotaverine hydrochloride, has a myotropic effect. Available in the form of tablets for oral administration and solution for injection. Equally quickly absorbed by the body - faster than papaverine. Recommended for use with high blood pressure, spasms of the urinary or biliary tract, gastrointestinal tract, painful menstruation.

    Side effects and contraindications are common for all drugs of this type. Recommendations for use are given by the doctor, usually 1-2 tablets, 3 times a day. When administering injections - daily norm up to 240 mg, this volume should be divided into three parts.

    Papaverine

    The active substance is papaverine hydrochloride, an antispasmodic with myotropic action. There are three forms of release:
    • rectal suppositories, place 2-4 times a day;
    • injection solution is administered 1-2 ml 2 times a day;
    • tablets, single dose 40-60 mg.
    When taken in small quantities, it almost does not enter the brain, but with a sufficient dosage it causes a sedative effect. Relieves spasms from internal organs.

    Suppositories are prescribed in the second and third trimester of pregnancy to relieve uterine hypertonicity.


    In addition to the usual contraindications for vasodilators, papaverine is prohibited for glaucoma and AV block.

    Eufillin

    The active ingredient is theophylline. The drug is prescribed for bronchitis, bronchospasms and cardiac asthma. Inhibits the adhesion of platelets, which contributes to blood thinning.

    Available in oral, injection and microenemas forms. The maximum dose for adults is 0.15 mg, three times a day after meals. Up to 0.24 g can be injected into a vein, slowly, before diluting it in 20 ml of isotonic solution.

    Specific contraindications are coronary insufficiency and heart rhythm disturbances.

    Meverin

    The active ingredient is mebeverine. It belongs to the group of antispasmodics; its advantage is the lower frequency of side effects. Assigned for withdrawal intestinal spasm. Available in tablet form, take one twice a day.

    While taking this drug, it is better to avoid activities that require concentration.

    Buscopan

    The active ingredient is hyoscine butyl bromide. It is an antispasmodic nootropic agent and does not affect the nervous system. The likelihood of side effects is less than with drotaverine preparations. Available as rectal suppositories and tablets. Candles can be placed one or two up to 5 times a day, tablets - 10-20 mg (1-2 tablets) up to 5 times a day.

    Specific side effects: urinary retention, eczema. In addition to the usual contraindications for antispasmodics, it is not recommended for those who suffer from fructose intolerance.

    It contains several active ingredients:

    • Metamizole sodium;
    • Pitophenone hydrochloride;
    • Phenpiverinium bromide.


    By enhancing each other's actions, these substances not only relax muscles, but also have an anti-inflammatory and analgesic effect. Available in the form of tablets (1-2 tablets, after meals, 3 times a day) and solution for injection (2-5 ml, 2-3 times a day, but not more than 10 ml per day).

    Prohibited when intestinal obstruction and angina. During use, it is necessary to monitor the level of leukocytes in the blood and monitor the condition of the liver.

    Theobromine

    Calcium antagonist with the same name as the active substance. Typically used to treat bronchitis and asthma. Available in tablet form, permissible dose- 0.25 mg, three times a day.

    Specific contraindications:

    • peptic ulcer of the stomach or intestines;
    • bleeding from the gastrointestinal tract;
    • hypothyroidism;
    • thyrotoxicosis.

    Diabazole

    The active ingredient is bendazole, a myotropic antispasmodic. The effect is directed on the blood vessels, and to a lesser extent on the digestive organs. Improves blood supply to peripheral nerves and spinal cord. Prescribed 20-50 mg, up to three times a day.

    Contraindicated in diabetes mellitus and diseases that reduce muscle tone.

    Cordaflex

    The active ingredient is nifedipine, a calcium channel blocker. Able to increase heart rate. Stimulates coronary blood flow without the "steal phenomenon".

    Can be taken orally and sublingually at a dosage of 10 mg. If addiction develops, which can happen after two months, the dose can be increased by another 10 mg, maximum daily dosage- 40 mg.

    Diltiazem

    Like Cordaflex, it is a BKK, but has the ability to balance heartbeat. Dilates arteries, reduces myocardial oxygen demand. Contraindicated for atrioventricular conduction disorders. Available in tablet form, daily dose for adults it is 180-240 mg.

    Vasodilators are a large group of medications that can be used to improve the condition of many diseases. To select a vasodilator drug, you need to take into account the cause of vasoconstriction, concomitant diseases and individual intolerance. Such drugs are not absolutely safe; their use requires consultation with a doctor.

    Article publication date: 07/01/2017

    Article updated date: 03/18/2019

    From this article you will learn what drugs for cerebral vessels are used in clinical practice. Indications for the use of this group of drugs, mechanisms of action and rules of administration.

    Drugs that affect cerebral vessels are most often used in neurology for treatment, which include ischemic and hemorrhagic strokes, transient ischemic attack, vascular dementia. This group of drugs is also widely used for migraines, tension headaches, Meniere’s disease, traumatic brain injuries and other diseases.

    Drugs acting on cerebral vessels have the most various mechanisms actions. Some of them reduce the risk of thrombosis, others counteract the formation of atherosclerotic plaques, and others eliminate them. Below is an approximate list of the most popular pills for cerebral blood vessels, starting with the most frequently prescribed drugs by doctors and in descending order.

    Choice suitable drug carried out by a neurologist.

    1. Acetylsalicylic acid (aspirin)

    Strictly speaking, aspirin does not act directly on blood vessels; it inhibits platelet aggregation, that is, it prevents them from attaching to damaged endothelium (the inner lining of blood vessels) and sticking together. But low-dose aspirin is one of the most common prescriptions by neurologists for the treatment and prevention of cerebrovascular diseases. This is one of the few drugs that has proven positive influence on the results of prevention and treatment of ischemic strokes and transient ischemic attacks.

    Previously, aspirin was widely used for the purpose of primary prevention of cardiovascular and cerebrovascular diseases, that is, doctors practically recommended it healthy people to prevent myocardial infarctions and strokes. However, recently the benefits of this use of this drug have been questioned, since sometimes the risk of its use exceeded the possible benefits. Aspirin is now prescribed for the purpose of secondary prevention patients who have already had a heart attack or stroke, as well as people who have high risk development of these complications.

    Contraindications to the use of aspirin:

    • Stomach or duodenal ulcer.
    • Recently rescheduled hemorrhagic stroke.
    • Allergy to aspirin.
    • Asthma whose symptoms worsen after taking it acetylsalicylic acid.
    • Bleeding disorders (hemophilia).
    • Severe dysfunction of the liver and kidneys.
    • Children's age (use of aspirin can cause the development of Reye's syndrome).
    • Glucose-6-phosphate dehydrogenase deficiency (use of aspirin can cause hemolysis of red blood cells).

    Possible side effects include the following:

    1. Dyspepsia and stomach pain - you can reduce the risk of their occurrence by taking the drug with food.
    2. Increased bleeding.
    3. Allergic reactions - urticaria, Quincke's edema, skin rash and itching, nasal congestion.
    4. Tinnitus.
    5. Gastrointestinal bleeding.
    6. Hemorrhagic stroke.

    The recommended dose is 75–100 mg of acetylsalicylic acid per day. This product is available in enteric-coated tablets or capsules. The most popular aspirin preparations are Cardiomagnyl, Magnicor, Aspirin Cardio, Aspecard. Doctors recommend taking them once a day, preferably in the evening at the same time.

    2. Statins

    Statins are a group of drugs that reduce blood levels bad cholesterol in blood. Thanks to this action, these drugs can reduce the risk of the formation of atherosclerotic plaques in the walls of arteries throughout the body, including the vessels of the brain.

    Currently, active study of other beneficial effects statins, which include:

    • Improvement functional state endothelium.
    • Reduce damage caused by oxidative and inflammatory stress.
    • Promoting the formation of new blood vessels (angiogenesis) in the area of ​​impaired blood supply.
    • Reduced platelet and erythrocyte aggregation.

    The most well-known drugs from this group are atorvastatin (Atoris, Lipitor), rosuvastatin (Crestor, Roxera), simvastatin (Vasilip, Zocor). They come in the form of oral tablets, which should be taken at the same time in the evening.

    In most cases, treatment with statins lasts for the rest of your life, as stopping their use leads to an increase in cholesterol levels within a few weeks.

    3. Preparations based on Ginkgo Biloba

    For thousands of years, the leaves of the Ginkgo tree have been widely used in Chinese medicine. Today, preparations created from its extract are among the most popular means in patients with neurological diseases.

    The active substances of this extract dilate cerebral vessels, improve blood flow, prevent platelet aggregation and protect neurocytes from damage caused by oxygen deficiency.

    Indications for prescribing medications based on Ginkgo Biloba:

    • Consequences of disorders of the blood supply to the brain (headaches, ringing in the ears, vertigo, dizziness, mood swings, difficulty concentrating).
    • Cognitive disorders and memory impairment caused by vascular disorders.
    • Headache and sleep disturbances.

    Products based on extract from the Ginkgo tree are also used for other indications not related to their effect on the blood vessels of the brain.

    Contraindications to taking these drugs:

    1. Individual intolerance to the drug.
    2. Pregnancy and breastfeeding.
    3. Childhood.

    The most famous drugs based on this extract are Bilobil, Memoplant, Ginkgo Biloba, Memorin. They are available in the form of drops, tablets or capsules for oral administration.

    4. Vinpocetine

    Vinpocetine is a synthetic derivative of vincamine, an alkaloid obtained from the Vinca minor plant. This drug is widely used only in Eastern European countries. It is believed that it can improve cerebral circulation due to the expansion of cerebral vessels, and also has antiplatelet and antihypoxic effects.

    Most of the studies on the effectiveness and safety of vinpocetine were conducted before 1990; their results can hardly be called reliable in connection with the use various criteria assessments. In 2007, the Russian Academy of Medical Sciences called vinpocetine “an outdated drug with unproven effectiveness,” which does not prevent neurologists from prescribing it quite often.

    Vinpocetine is available as tablets for oral administration or as a solution for slow administration. intravenous infusion. The most famous drugs with this active substance– Cavinton, Vinpocetine, Bravinton.

    5. Cinnarizine

    Cinnarizine is a drug that belongs to and has antihistamine properties.

    Cinnarizine is primarily prescribed for the treatment of nausea and vomiting associated with motion sickness, vertigo, and Meniere's disease. In fact, it is one of the few drugs that has demonstrated positive effects when used to treat these diseases.

    However, these properties of cinnarizine are not associated with its effect on the blood vessels of the brain, but with interference in the transmission of impulses between vestibular apparatus inner ear and the vomiting center in the hypothalamus.

    By blocking calcium channels, cinnarizine increases the elasticity of the vascular wall, thereby increasing vascular flexibility. It also reduces blood viscosity. Thanks to these effects, blood flows better through narrowed arteries, delivering more oxygen to damaged areas of the brain. Therefore, cinnarizine is also prescribed for disorders of cerebral circulation (ischemic and hemorrhagic stroke, dyscirculatory anemia, transient ischemic attack) and peripheral circulation (Raynaud's disease, obliterating diseases of the lower extremities).

    Contraindications:

    • Pregnancy and breastfeeding.
    • Age up to 12 years.

    Cinnarizine is available as tablets or capsules for oral administration.

    6. Nimodipine

    Nimodipine also belongs to the group of calcium channel blockers. This drug was developed to treat high blood pressure, but is used very rarely for this purpose.

    Nimodipine has a certain selectivity of action on cerebral vessels. Therefore, the main indication for its use is the prevention of cerebral vasospasm resulting from.

    Contraindications to the use of nimodipine:

    • Hypersensitivity to the drug.
    • Acute porphyria.
    • Recent myocardial infarction or episode of unstable angina.

    Nimodipine is available in tablet form for oral administration.

    7. Nicergoline

    Nicergoline is a drug derived from the ergot plant that is most often used to treat senile dementia and other diseases of vascular origin.

    It is believed that nicergoline reduces vascular resistance and increases arterial blood flow in the brain, thus improving the utilization of oxygen and glucose by its cells.

    In 2013, the European Medicines Agency recommended restricting the use of drugs containing ergot derivatives, including nicergoline. They said: “These medicines should no longer be used to treat some conditions, including problems with circulation or memory and sensation, or to prevent migraines, as the risks are greater than the benefits of their use for these indications.” Despite this statement, many neurologists continue to actively prescribe nicergoline to their patients.

    The most by known means with this active ingredient are Sermion, Nicerium, Nicergoline. They are available in the form of tablets for oral administration.

    8. Instenon

    Instenon is combination drug to improve cerebral circulation and metabolism. It contains the following active ingredients:

    All components of Instenon affect various mechanisms of brain damage caused by impaired blood flow and oxygen deficiency.

    Instenon is available in the form of tablets for oral administration and in the form of ampoules for intramuscular or intravenous administration.