"Remens" is a homeopathic preparation from the Austrian company "Richard Bittner", widely known for its effective balm. Scope related to violations menstrual cycle and "women's autumn", that is, the notorious menopause. On this moment homeopathic remedy "Remens" is considered the most effective remedy that allows women to feel as comfortable as possible during the onset of menopause. Properly selected natural ingredients of the product function in a complex, due to which it gradually normalizes hormonal background, and, in addition, uncomfortable conditions are softened.

Description of the drug "Remens"

According to women, "Remens" with menopause is intended for the treatment of various menstrual irregularities, as well as manifestations menopausal symptoms, which are usually associated with hormonal imbalance due to estrogen deficiency. The drug is also considered effective in the context of complex therapy inflammatory diseases of the female genital organs, such as, for example, adnexitis or endometritis.

Release form

Currently, "Remens" is produced in two medicinal types, namely as drops for oral administration and lozenges. Both forms have the same active ingredients, and, therefore, the spectrum of therapeutic effects are absolutely identical.

Reception scheme

According to the reviews of women, "Remens" with menopause, as a rule, is prescribed three times a day. For one dose, ten drops are recommended if the medicinal type is selected in liquid form, or one tablet. For achievement desired effect, the drug should be drunk an hour or thirty minutes before meals. Along with this, it is desirable to hold "Remens" in oral cavity within thirty seconds before swallowing. As for the tablets, they must be completely absorbed, after putting them under the tongue. Judging by the reviews of women, Remens definitely has contraindications for menopause. The drug should not be used by girls under 12 years of age and women of all age categories with individual intolerance.

Duration of admission

The minimum duration of therapy with Remens should be six months. Immediately after the condition of the patients stabilizes, the regimen can be reassigned. For example, a single dose can be reduced to two or one dose during the day. The manifestation of a therapeutic effect among women is usually observed in different dates. For some, a couple of months is enough, while others are forced to wait at least six months.

Why is it appointed?

According to women, "Remens" with menopause (a photo of the drug is presented in the article), as a rule, is prescribed in order to prevent irreversible processes associated with aging of the body due to a decrease in ovarian function. By the presence of phytoestrogens, its action approaches the functioning of hormones. Be that as it may, hormonal drugs are characterized by pronounced side effects. True, completely safe alternative for them at the moment does not exist, so if the doctor considers it rational to prescribe hormones, you will have to take them. This is confirmed by the Remens remedy for menopause, reviews of women and instructions for use.

It is important to note that hormonal therapy is prescribed for the number of hot flashes that occur more than twenty times a day. Lighter forms can be used non-hormonal drugs. However, the drug is good option, because it contains in its composition such natural ingredients as kirkazon, surukuka, as well as a number of other useful ingredients. About how effective Remens is with menopause, women's reviews are described below.

Opinions about the drug

From a large number of reviews of Remens, it can be concluded that in the prevailing number of cases this remedy, made on a natural basis, can have a beneficial effect in difficult periods of menopause. Against this background, improvement in well-being, according to some women, is observed after two months. However, no allergic reactions have been reported.

Soft nature of the impact

Many patients emphasize the mild and gradual nature of the effect of the drug. Against the background of each dose of the required dose, we are talking about the cumulative effect, those suffering from menopause felt a visible progress, which manifested itself in improving sleep, the disappearance of an increased degree of irritability, as well as lack of air.

Despite the overwhelming number of positive comments, some write about a number of side effects. According to the reviews of women about the drug "Remens" with menopause, on the basis of taking the drug, increased salivation. In addition, there are cases of complete loss of taste during the period of use of the remedy, however, there is no scientific confirmation of this fact. Probably, this can happen due to various reasons related to the state of the body of a woman.

Some patients also report in their comments a slight weight gain, despite the fact that this drug is completely free of any artificial hormones that can provoke an increase extra pounds. Judging by the reviews of women, "Remens" with menopause contraindications, as already mentioned, has few, but still take the drug carefully.

How does it affect the menstrual cycle?

Menopausal women call it a good remedy, which they have repeatedly used in order to normalize the menstrual cycle. They report that due to age-related changes in menstruation, they did not have an extremely long time, or, on the contrary, the discharge occurred twice within thirty days. But thanks to the homeopathic remedy "Remens" this deviation was eliminated. Patients write that while taking this drug, the body began to work like clockwork, plus they began to feel during menstrual flow much better than before, they no longer have mood swings, in addition, the pain. These facts actively confirm the reviews of women about "Remens" with menopause.

Older ladies share in their comments that before they started using the drug, they felt terrible. Some write that they had fainting spells and seizures severe nausea, while the patients were thrown into the cold, then into the heat. They are grateful that Remens helped them cope with the bouquet of these difficult conditions, which eliminated all the above-described problems. unpleasant symptoms. While taking this drug in similar cases, according to reviews, women manage to endure menopause more smoothly, so many of them recommend the product to their friends, acquaintances, as well as strangers who are just thinking about buying it. According to women, Remens tablets with menopause are also usually well tolerated.

Negative comments

True, many women do not like the taste of this medicine, they write that while taking it, they feel the bright taste of the alcohol supplement. But most of them are similar in opinion that the course of treatment with this remedy is worth it, since Remens actually helps many in the normalization of the menstrual cycle, and also contributes to its rapid recovery. A number of patients suffering from menopause, in general, call it their salvation, since against the background of the use of the drug, their women's health improves markedly. Reviews of women and gynecologists about "Remens" with menopause confirm this.

Some write about the occurrence of mild dizziness, which, as a rule, disappear at the end of the course of taking the drug. Among the obvious advantages, women consider the non-synthetic nature of Remens, since the homeopathic orientation does not affect liver health so much. It is also noted that the product has an excellent sedative effect. Among the minuses, in addition to dizziness, they talk about the occurrence of general weakness, and, in addition, apathy, due to the fact that the emotional background is too muffled.

If you listen to the reviews of women, drops "Remens" with menopause significantly help to cope with hormonal disorders which are often difficult to diagnose. This is because they affect the hypothalamus, balancing it. This is another explanation why many women consider the product to be a kind of lifesaver in relation to their age-related ailments, in matters of women's health, and leave so many positive comments.

Catad_tema Menopausal syndrome and hormone replacement therapy - articles

Clinical efficacy of the homeopathic remedy Remens in the treatment of menopausal syndrome

MD, prof. O.I.Lineva
GBOU VPO "Samara State medical University» Ministry of Health and Social Development of the Russian Federation

Clinical Effects Of Homeopathic Medicine Remens In Treatment Of Climacteric Syndrom

O. I. LINEVA
Samara State Medical University, Russia

Purpose of the study. Evaluation of the comparative effectiveness of the use of Remens and low-dose hormone replacement therapy in the treatment of patients with menopausal syndrome (CS).

Material and methods. 180 patients with various manifestations of CS were under observation. All underwent a comprehensive clinical and laboratory examination, assessment of psycho-emotional and vegetative status before treatment with Remens and Femoston 1/10, 1/5, as well as after 6 and 12 months.

Research results. After the complex treatment, after 12 months in all groups of patients, all the main symptoms of CS either practically disappeared, or they occurred in a mild form. Positive changes in psycho-emotional and vegetative status were obtained in all examined patients.

Conclusion. The results obtained by us in the course of the study allow us to consider the prescription of the complex homeopathic remedy Remens justified, as effective method, in the treatment of menopausal syndrome, including in combination with low-dose HRT preparations.

Keywords: climacteric syndrome, psycho-emotional and vegetative status, Remens, hormone replacement therapy.

Objective. Clinically to evaluate the effects of homeopathic complex medicine Remens in comparison with low-dose hormone replacement therapy in treatment of climacteric syndrome (CS).

Subject and methods. 180 patients were followed up with different symptoms of CS. Clinical, laboratory indicators and psychopathological personal characteristic were monitored at baseline and at a 6-12-month interval after treatment.

results. After 12-month interval treatment Remens & Femoston 1/10 – 1/5 in all groups of patients all clinical symptoms CS were absent or had light forms. Positive changers in psychological and vegetative state of the patients were observed.

Conclusion. The results obtained during the study enable one to consider using complex homeopathic medicine Remens as a highly effective method of therapy CS.

key words: climacteric syndrome, psychoemotional and vegetative state, Remens, low-dose hormone replacement therapy.

For correspondence: Lineva Olga Igorevna, dr honey. Sci., Professor of the Department of Obstetrics and Gynecology, IPO SBEE HPE "Samara State Medical University" of the Ministry of Health and Social Development of the Russian Federation.

Address: 443110, Samara, st. Novo-Sadovaya, house 42, apt. 145.

Climacteric (Greek klimakter - ladder rung) period - the period of a woman's life, during which, against the background of general age-related changes in the body, involutive changes in hormone-dependent organs dominate due to the extinction of ovarian function. Decreased steroid-producing function of the ovaries leads to increased output gonadotropic hormones of the pituitary gland (by the mechanism of negative feedback) And a wide range complications - from unpleasant sensations (vasomotor, psycho-emotional, metabolic-endocrine, urogenital) to disorders, life threatening sick ( cardiovascular diseases, osteoporosis).

According to WHO (1996) in the world in 1990, the number of menopausal women was 457 million, and by 2030 it will increase to 1 billion 200 million people. More than 21 million women over 50 live in Russia, 8.5 million of them suffer from age-related problems. 80% of women during perimenopause note certain manifestations of menopausal disorders, and 50% of them need long-term medical correction. The progressive increase in women's life expectancy, the high incidence of menopausal disorders, and the decline in the quality of life cause an increase in socio-economic and medical problems.

There is no doubt that the main method of correcting menopausal disorders is hormone replacement therapy (HRT) with various analogues of sex steroid hormones. The frequency and type of HRT used vary widely (10-40%), which is due to both socio-economic factors and the preparedness of the medical community and the population as a whole. Number of women taking hormonal agents in perimenopause in Russia, is 1-4%. Still not overcome negative attitude patients to the use of hormonal drugs in the relief of menopausal disorders. So, according to statistical studies, in 20% of cases, women stop hormone therapy after 9 months, and about 1/3 do not start taking after a doctor's prescription. The results of studies by domestic authors showed that patients continue HRT for more than 3.5 years only in 61% of cases. Among women who discontinued therapy, refusal to take in the first year was established in 40% of cases, after 1-2 years - in 49%, after 3 years - in 11%.

This circumstance is to a certain extent due to the presence of absolute and relative contraindications, as well as intolerance to drugs and the development of a number of side effects against the background of long-term use of HRT (thromboembolism, heart attacks, breast cancer, etc.).

In connection with the foregoing, the search for alternative methods of treating menopausal disorders is of great interest, where the leading role undoubtedly belongs to homeopathic medicines. natural origin used in small doses. Of particular note is the use of complex homeopathic remedies, such as Remens (Richard Bittner AG). The main idea of ​​prescribing homeopathic remedies is to balance the state of the body using constitutional therapy (the principle of "Law of Similarity") and the creation of therapeutic systems based on the symptoms of the disease. A number of scientific publications convincingly prove the effectiveness of prescribing Remens for the treatment of dysmenorrhea, secondary amenorrhea, premenstrual syndrome, menopausal syndrome and inflammatory diseases of the pelvic organs as part of complex anti-inflammatory therapy.

At the same time, in the literature available to us, we did not find reports on the use of Remens in comparison with the already proven and officially recognized hormone replacement therapy for patients suffering from menopausal syndrome.

aim The purpose of this study was to evaluate the comparative effectiveness of Remens and low-dose hormone replacement therapy in the treatment of patients with menopausal syndrome.

Design and research methods: conducted a non-randomized, non-placebo-controlled, prospective, comparative, clinical study in 180 women aged 45-58 years with various clinical manifestations climacteric syndrome. The examination included generally accepted clinical, laboratory, instrumental, ultrasound, radiological and endoscopic methods research, determination of the level of FSH, LH, prolactin, estradiol, progesterone and cortisol. In addition, the severity of the climacteric syndrome was assessed using the modified menopausal index (MMI), proposed by E.V. Uvarova in 1983, the determination of the vaginal health index (VHI) and densitometry to detect mineral density bone tissue(BMD) with the definition standard deviation(SD) by T-test.

To assess psychosomatic status, we used following tests: the Spielberger self-esteem scale modified by Yu. Khanin to determine the state of reactive and personal anxiety; MFI scale - 20 for subjective assessment of asthenia; visual analog scale (VAS) for quality of life.

The inclusion criteria were women over 45 years of age with a diagnosis of climacteric syndrome established as a result of the examination with a disease duration of more than 1–8 years. Exclusion criteria: signs of obvious mental or hysterical disorders, severe extragenital somatic diseases, fibroids, endometriosis, recurrent endometrial hyperplastic processes, as well as generally accepted contraindications to the use of substitution hormone therapy.

All examined women were divided into 3 equal groups of 60 patients each. The groups were selected according to the "case - control" principle and were identical in age, region of residence, profession and the presence of concomitant pathology. 60 patients of the first group took the homeopathic preparation Remens 1 tab. / 10 drops 3 times / day for 12 months. The homeopathic preparation Remens is a complexone, which includes Cimicifuga (Cimicifuga D1), Scandinavian Sanguinaria (Sanguinaria D6), Pilocarpus (Jaborandi D6), Cuttlefish gland secret (Sepia D12) and Surukuku snake venom (Lachesis D12). 60 women of the second group received CS therapy, which included taking Femoston in two forms, depending on the phase of menopause 1/10 or 1/5, with a minimum content of estrogen (1 mg) and dydrogesterone (5-10 mg). 60 patients of the 3rd group with more severe clinical symptoms of KS were treated simultaneously with the homeopathic preparation Remens and the hormonal preparation Femoston 1/10 or 1/5. The duration of the course of treatment was also 12 months.

Research results and discussion

An assessment of the severity of the climacteric syndrome in patients of the 1st group examined by us states the predominance of early symptoms menopausal disorders such as hot flashes, excessive sweating, headaches, increased blood pressure, palpitations, irritability, anxiety, weakness, drowsiness, etc. In addition, in 1/3 of postmenopausal women, pronounced atrophic processes in the vagina (IVR = 2 points) and osteopenia (SD value according to T-criterion = -2.5) were detected. The overall assessment of the severity of the syndrome was 52.2 points (Table 1), which corresponds to moderate degree severity of menopausal disorders according to MMI.

Table 1. The effectiveness of Remens in the relief of menopausal syndrome in patients of group 1 (n = 60)

Special attention we paid attention to the presence of neuropsychiatric, emotional and vegetative disorders in patients. It was found that in all 60 patients with different frequency emotional, cognitive, vegetative, motivational, asthenic and endocrine-metabolic symptoms are diagnosed (Table 1). The level of asthenia according to the MFI scale - 20 was the maximum in all patients (20 points). To assess the level of reactive (RT) and personal (LT) anxiety, we tested women in the main and control groups according to the Spielberger-Khanin scale. Total average level RT and LT in this group of examined women amounted to 70.1 points.

Analyzing the effectiveness of the use of the homeopathic remedy Remens in the treatment of patients suffering from CS, it is necessary to emphasize it highly statistically. significant influence on the normalization of psycho-vegetative, endocrine-metabolic, emotional and motivational clinical symptoms disease, which is clearly demonstrated by the data shown in Table 1. Already after 6 months from the start of the therapy, a decrease in the severity of the menopausal syndrome according to the MMI data, normalization of the state of the vaginal epithelium, a decrease in osteopenia, a decrease in the level of FSH from 49.8 to 27.8 IU / l, an increase in the level of estradiol in the blood from 110.2 to 201.7 pmol / l. Moreover, after 12 months of prospective observation of patients, the above positive trends increased, the symptoms of asthenia leveled out, and the picture of personal and reactive anxiety normalized. According to the VAS quality of life data, a pronounced positive effect was noted by 45% of women, a significant improvement - by 50%, only 3 patients with a severe CS picture rated their quality of life as "no change" (Table 4). No side effects have been identified during treatment with Remens, i.e. the drug has good compliance.

Our observations confirm the versatility of pathogenetic mechanisms therapeutic effect Remensa on pathological processes, forming clinical picture climacteric syndrome. First of all, this is due to the potentiation of the therapeutic effect of all components of this complex homeopathic preparation. After the publication by the father of homeopathy S. Hahnemann of the "Organon of Medical Art" in 1810, an in-depth study of the therapeutic effects of homeopathic remedies began, with the allocation of constitutional remedies of a predominantly female orientation.

So, it is well known that Cimicifuga, which is part of Remance, removes everything well functional disorders associated with improper functioning of the ovaries, especially in women with a labile unstable psyche, hysteroid manifestations and asthenia phenomena. From the point of view of modern concepts, phytoestrogens were found in the composition of Cimicifuga, the drug has an estrogen-like effect, selectively reduces the concentration of FSH in the blood and is a phytoselective estrogen receptor modulator (phytoSERM). Cimicifuga effectively eliminates a complex of vegetative disorders of the menopause (hot flashes, sweating, etc.), prevents the development cardiovascular pathology and postmenopausal osteoporosis. Given the absence of any side effects negative impact Remens on the mammary glands, based on the mammography data we performed in all patients before the start of therapy and after 12 months, we can agree with the interpretation of the action of Cimicifuga from the position of phytoSERM.

As for Sanguinaria, one of constituent components Remens, it is proved that this remedy normalizes vascular tone, eliminates headaches, migraines, hot flashes, increased heart rate, dizziness, sweating, itching, sleep disturbances and other autonomic disorders. There is an assumption that many alkaloids isolated from Sanguinaria affect the central and vegetative nervous system by inhibition of acetylcholinesterase.

Pilocarpus also effectively eliminates excessive sweating, hot flashes, nausea, nervousness, normalizes thyroid function. The main biological components of Lachesis are peptides and enzymes that effectively stop the main clinical symptoms of menopausal disorders in both mild and severe cases. It has been proven that Sepia normalizes the function of the hypothalamic-pituitary-ovarian system, also eliminates excessive sweating, headaches, depression, apathy, irritability, indifference. The melanin contained in Sepia regulates the exchange of dopamine, norepinephrine and adrenaline in nerve cells and the adrenal cortex.

Our studies have shown that the main, most frequent vasomotor symptom complex of perimenopause is specific vegetative-vascular paroxysms - the so-called "tides". The pathophysiology of hot flashes has not yet been clarified. In a literature review on this issue, O.A. Gromova et al. (2010) identifies three approaches to the pathophysiological explanation of hot flashes: vegetative, withdrawal, and hormonal-neurotransmitter. From the position evidence-based medicine substantiates the effectiveness of non-hormonal methods of relief of hot flashes, in particular by prescribing the drug Klimalanin (beta-alanine). From our point of view, the optimally selected composition of all the ingredients of the Remens homeopathic complexon also effectively stops the main vegetative-vascular paroxysms both at the peripheral and central levels, which ultimately leads to stabilization of the functioning of the hypothalamus - the most complex interface between the nervous and endocrine system, including the functions of the thermoregulatory center located in it.

The issue of the use of HRT drugs in the early postoperative period to prevent the development of surgical menopause due to possible thromboembolic complications, as well as the appointment of HRT drugs as an "add-back" therapy in connection with leveling is debatable. healing effects gonadoliberin agonists. We have summarized our own clinical experience successful relief of menopausal disorders in 6 patients in the early postoperative period after total hysterectomy, as well as in 8 patients treated with Buserelin, using Remens without negative influence on the hemostasis system, without activation of endometriosis and without a tendency to the growth of myomatous nodes.

Analyzing the clinical effectiveness of the relief of menopausal syndrome using hormone replacement therapy with Femoston 1/10 or 1/5, we confirmed the data obtained by other authors. So, after 12 months, while taking the drug, MMI decreased from 53.1 to 16.2 points, the IVZ showed normal condition vaginal mucosa, osteopenia disappeared, FSH level decreased from 52.2 to 18.1 IU/l, blood estradiol level increased from 108.5 to 440 pmol/l, blood pressure returned to normal, palpitations disappeared, asthenia score, personal and reactive anxiety approached normal values. All data obtained were statistically significant (Table 2). According to VAS quality of life expressed therapeutic effect noted 35.6% of the surveyed women after 12 months of taking HRT, improvement - 59.3%, 5.1% of women rated their condition "no change" (Table 4). It should be noted that after 6 months of treatment, one patient developed thrombophlebitis of superficial veins against the background of varicose veins. lower extremities, in connection with this, Femoston was canceled, and the patient was transferred to Remens's reception.

Table 2. The effectiveness of low-dose HRT in the relief of menopausal syndrome in patients of the 2nd group (n = 60)

Note: the difference in indicators is statistically significant: * p

Our data confirm the feasibility of using a low-dose drug for HRT, which is Femoston 1/10 and 1/5, since it contains minimal effective dose 17-beta-estradiol (1 mg) and a metabolically neutral progestogen - dydrogesterone, which minimizes the possible side effects of HRT.

With regard to the comparative effectiveness of the combined use of the homeopathic remedy Remens and low-dose hormonal drug Femoston, the statistically significant data presented in Table 3 convincingly demonstrate the cumulative effect of these two drugs on the relief of all clinical symptoms of menopausal syndrome, especially in severe cases. We would like to emphasize that, unlike the two previous observation groups, all patients after 12 months of therapy noted a pronounced therapeutic effect or a significant improvement in overall well-being and quality of life (Table 4). This circumstance fits into the theoretical prerequisites for the possibility of developing an abstinence syndrome in the pathogenesis of specific vegetative-vascular paroxysms, which dictates the need for a balanced approach to prescribing HRT drugs, the predominant use of low-dose drugs and the refusal to abruptly cancel HRT with the transfer of patients to homeopathic methods of treatment in order to prevent the recurrence of symptoms. .

Table 3. The effectiveness of the use of the drug Remens and low-dose HRT in the relief of menopausal syndrome in patients of the 3rd group (n = 60)

Note: the difference in indicators is statistically significant: * p

Table 4. The effect of ongoing therapy on indicators of the visual analogue scale (VAS) of quality of life

Conclusions:

1. The complex non-hormonal homeopathic preparation Remens stops neuro-vegetative, metabolic and psycho-emotional manifestations of the climacteric syndrome, improves the quality of life of patients.
2. When using Remens for a year, there were no contraindications, age restrictions, adverse and allergic reactions. The drug has good compliance.
3. To achieve a pronounced positive effect the duration of treatment should be more than 6 months.
4. In the treatment of medium and late symptoms of menopausal disorders of moderate and severe severity, it is advisable to combine homeopathic remedies with hormone replacement therapy drugs with a gradual transition to homeopathy.
5. Side effects caused by the appointment of GnRH agonists, as well as symptoms of surgical menopause, can also be stopped with the homeopathic preparation Remens.
6. Natural estrogens, which are part of modern drugs HRT with their deficiency in the period of pre- and postmenopause, allow you to combine homeopathy and hormone therapy, since potentiating rather than antagonistic effects are manifested.
7. Homeopathy and allopathy are complementary equal treatment methods that promote individualization therapeutic approaches with minimal side effect.

LITERATURE
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The change in the activity of the gonads due to age is natural process in a woman's body, the course of which should not cause her inconvenience, but this is not always the case. homeopathic remedy Remens is aimed at eliminating the symptoms that accompany the onset of menopause, and the list of ailments associated with menstruation. This article describes the principle of the drug and provides feedback from women who took it.

Description

It comes in two forms: drops and tablets. clear liquid for oral administration has a light yellow tint and a slight specific smell. Sold in dark glass bottles of 20, 50 and 100 ml. Shelf life - 60 months. The second form of the drug is presented in the form of tablets. white color with a yellow tint and possible inclusions. They are round, flat-cylindrical with a chamfer and a risk, odorless. 12 pieces are sold on one blister; a carton contains from 1 to 4 such records. Shelf life - 36 months.

Both options include the same active ingredients:

1. Surukuku snake venom. It has a beneficial effect on the nervous system, improving performance, stress resistance and generally normalizing the emotional state.
2. Pilocarpus. Improves functioning sweat glands, thermoregulation, eliminates the manifestation of chills.
3. Sanguinaria Canadian. It relieves headaches, puts blood pressure in order.
4. The secret of the cuttlefish gland. Helps fight discomfort in the lower abdomen by improving blood circulation, including in the pelvic area.
5. Cymicifuga racemose. Stabilizes the functioning of the ovaries and activates the production of estrogen.

As excipients water and ethanol (43%) are used for drops, and magnesium stearate, potato starch and lactose monohydrate are used for tablets. By combining all of the above components, Remens normalizes the relationship between the hypothalamus, pituitary gland and ovaries.

This is important because the ovaries are involved in the production of sex hormones, on which the functions of the female body depend. Their activity is regulated by tropins, the synthesis of which is carried out by the pituitary gland. And he, in turn, receives a signal for the production and release of those same hormones from the hypothalamus. Thanks to the coordinated functioning of the ovaries, pathologies associated with the menstrual cycle are eliminated.

Indications

In addition to the presence of a climacteric syndrome in a woman (sleep problems, unstable pressure, etc.), the drug is prescribed for PMS ( unpleasant sensations lower abdomen, dizziness, mood swings) and disturbances during menstruation ( severe pain, abundant or meager secretions, irregular cycle). In addition, it is also used in the complex treatment of inflammatory processes in the uterus, fallopian tubes and ovaries (endometritis, adnexitis). The drug as a whole will strengthen the immune system and will be an effective addition in the fight against any of the ailments.

Advantages

Since the medicine includes only natural ingredients, its intake is absolutely safe for human health. The impact on the body is gentle, without creating unnecessary stress. Due to the absence of synthetic hormones, the likelihood of weight gain during treatment is extremely low. The tool is not addictive, has a minimum list of contraindications and is not prohibited during administration vehicles, since it does not affect the speed of reaction and concentration. The drug has a complex effect, minimizes the burden on the liver and the likelihood of developing neoplasms. It is important that the medication is dispensed without a prescription from the attending physician.

Contraindications

Remens is not recommended for use in case of hypersensitivity to one of the components that make up its composition. Due to the insufficiency clinical research its use is also contraindicated in children under the age of twelve. During pregnancy or breastfeeding, the question of taking the drug is decided by a gynecologist. Since alcohol is included in the composition of the drops, treatment with the use of a medication is carried out with caution in the presence of alcohol dependence, epilepsy, or chronic liver disease. Tablets are contraindicated in people with lactose intolerance.

Instructions for use

If necessary fast elimination symptoms of menopausal disorders at the beginning of treatment, the liquid is taken every hour 10 drops up to 8 times a day. After three days, the reception is carried out with the same dosage 3 times a day for six months. In inflammatory processes, the number of drops is similar, while the duration of the course is three months, but if necessary, it can be repeated after 30 days. The medicine should be taken 30 minutes before a meal or an hour after it. Drops are diluted with water in a tablespoon or consumed in pure form. For greater effect, before swallowing, the product should be held in the mouth for half a minute.

At the beginning of the course, taking pills is allowed up to four times every hour, one at a time, but not more than three days. The rest of the time you need to drink them 2 times a day for six months with menopausal disorders and three months with other ailments. For greater effectiveness, Remens is recommended to be taken 30 minutes before a meal or an hour after it. Tablets must be placed under the tongue until completely dissolved. At the end of the course, the drug can be taken for prevention, one piece per day.

The medication should be stopped if weakness, nausea, darkening of the urine color and pain in the abdominal cavity appear.

Further treatment with its use occurs after consultation with a specialist. The tool does not interact with others in any way. medicines no cases of overdose have been reported.

Remens in violation of the cycle

Since it improves the work between the hypothalamus, pituitary gland and ovaries, the production of the necessary hormones is carried out for normal functioning female reproductive system. Against this background the menstrual cycle is restored: menstruation becomes regular, the amount of discharge is normal. To achieve results, take one tablet or 10 drops 3 times a day for three months. If necessary, the course can be repeated, observing an interval of 30 days.

Designed specifically for women and proven to be effective. For example, Remens is popular with menopause, which also successfully eliminates hormonal disruptions, and can be a component of complex treatment.

Composition, names and forms of release

There are two forms of the drug Remens: tablets and drops. Both use the same active substances, identical in their effect on the body.

The tablet preparation is offered in packs of 12, 24, 36, or 48 tablets, and Remens drops can be purchased in bottles of 20, 50, or 100 milliliters.

Drops have the form of a liquid with a slight herbal odor, the color is light yellow. Remens lozenges, round, yellowish, odorless. All tablets are marked with a risk and a chamfer, there are multi-colored blotches.

Regardless of the form of release, Remens includes:

• Pilocarpus;
• Cimicifuga racemose;
• Surukuku snake venom;
• Sanguinaria Canadian;
• The secret of the cuttlefish gland.

Near the components are Latin letters and numbers indicating their content in the composition of the drug, with a larger number indicating a smaller amount. For the effectiveness of the drug, a small content of components is sufficient. As part of the drops, the manufacturer also uses ethyl alcohol and water, and in tablets - magnesium stearate, potato starch and lactose monohydrate. Since Remens is produced on a plant basis, slight changes in the color of the medicine are possible during storage, which does not affect its effective action. Remens does not apply to drugs that are dispensed only by prescription, however, it is recommended that you consult a specialist before starting to take it and carefully study the instructions that come with the tablets or drops.

The action of the drug

Thanks to a special selection active substances, Remens has complex action, including:

• Restoration of ovarian activity;
• Return to normal volume of discharge during menstruation;

In addition, Remens:

• Helps to minimize (, arrhythmia, blood pressure drops, sweating, etc.);
• Stabilizes hormonal balance;
• Normalizes metabolic processes;
• Reduces the risk of developing cardiovascular diseases.

Also, the use of the drug has an anti-inflammatory effect on the pelvis and internal genital organs. The drug is also prescribed to reduce the psychological discomfort associated with the premenstrual phase (irritability, mood swings, worsening sleep, etc.).

Indications and contraindications for use

For Remens, indications can be very different, but most often it is prescribed for the following diseases:

• Adnexitis;
• climacteric syndrome;
• Complications before menstruation;
• endometritis;
• Violations of the cycle of menstruation, caused by various reasons.

Contraindications to the use of Remens are few. The main ones are individual allergies to the components of the drug, and Remens is also prohibited for use by adolescents under twelve years of age.

Before starting treatment, you need to consult with your doctor for contraindications, and the question of prescribing medication for mastopathy, lactation and pregnancy is determined by the specialist individually.

Instructions for use

Taking drops:

• Remens in the form of drops can be taken undiluted or dissolved;
• Drops are kept in the mouth for 30 seconds before swallowing;

Taking Remens tablets:

• Place under tongue;
• Wait for complete absorption.

Any form of the drug is taken half an hour before or one hour after a meal.

As a rule, the break between courses is at least one month.

Drops

For Remens drops, the instructions for use are simple:

• Remens drops should be kept in the mouth for thirty seconds;

At the beginning of treatment and to quickly eliminate symptoms - every hour, 8-10 drops, the maximum number of doses is eight per day. The maximum duration of admission is three days. If the condition improves before the expiration of this period, you must immediately switch to the standard admission schedule.

Pills

How to take Remens tablets:

• Regarding meals: half an hour before or one hour after;
• Dissolve by placing under the tongue;
• You can not grind (chew, bite, etc.);

At the beginning of treatment and for the rapid elimination of symptoms - one tablet every hour, the maximum number of doses is four per day. The maximum duration of admission is three days. If the condition improves before the expiration of this period, you must immediately switch to the standard admission schedule.

Dosages in different situations

How to take the drug Remens with menopause:

• The beginning of treatment - one tablet twice a day, or three times a day, 10 drops;
• With stabilization - a tablet once a day, or twice a day, 10 drops;

The duration of admission to reduce the symptoms of menopause is six months, after which a break is taken for a month.

In case of menstrual irregularities and amenorrhea:

• One tablet three times a day, or 10 drops three times a day.

If it was not possible to bring menstruation back to normal, a second course is prescribed in a month.

With inflammation of the reproductive system:

• One tablet or 10 drops three times a day.
• The duration of admission is three months.

If necessary, repeat the course after a break for a month.

Overdose

As a result clinical trials, cases of overdose of Remens are not registered.

Use during pregnancy and breastfeeding

Today there are no results of observations that the drug adversely affects the fetus. However, when planning a pregnancy, you need to consult with your doctor about the advisability of taking Remens.

What to choose - drops or tablets?

Differences in drug action different forms there is no release, so you can choose drops or tablets, taking into account your subjective preferences. However, there are situations when taking pills or drops is not recommended due to the compounds that make up the composition. For example, drops are not recommended for patients with diseases of the gastrointestinal tract, liver, epilepsy, and alcohol addiction. Tablets are not recommended for those suffering from lactose allergy.

Side effects

Side effects of the drug are rare, but increased salivation is possible. However, if any side effects are noticed, you should immediately consult a doctor.

Analogues

For Remens, analogues can be found on the markets of all CIS countries, including Ukraine and Russia. These products use other active ingredients, but similar drugs similar action. In pharmacies, you can find cheaper substitutes, including Tsi-Klim, Onagris, Klimadinon Uno and a number of other analogues.

Trade name of the drug: Remens® / Remens®

Dosage form:

homeopathic oral drops

Compound
100 ml of the drug contains:
active ingredients: Cimicifuga racemosa (Cimicifuga) (cimicifuga racemosa) D1 5 ml, Sanguinaria сanadensis (Sanguinaria) (sanguinaria canadensis) D6 10 ml, Pilocarpus (Jaborandi) (pilocarpus) D6 10 ml, Sepia officinalis (Sepia) (sepia officinalis) D12 10 ml, Lachesis mutus (Lachesis) (Lachesis mutus) D12 10 ml;
auxiliary components: ethyl alcohol (ethanol) - 43% by weight 55 ml.

Description
Transparent from colorless with a slightly yellowish tint to light yellow liquid with a slight specific odor.

Pharmacotherapeutic group:

homeopathic medicine.

pharmachologic effect
Homeopathic medicine, the action of which is due to its constituent components.

Indications for use
Complex treatment menstrual disorders (dysmenorrhea, secondary amenorrhea, premenstrual syndrome), menopausal syndrome, endometritis, adnexitis.

Contraindications
Hypersensitivity to the components of the drug, childhood up to 12 years (due to insufficient clinical data), pregnancy, period breastfeeding, liver disease, the simultaneous use of other drugs cimicifuga.

Carefully
With alcoholism, traumatic brain injury, brain diseases.

Dosage and administration
For maximum effectiveness, Remens® should be taken 30 minutes before or 1 hour after a meal.

Age	Dose (single)	The frequency of admission and the duration of the course	Mode of application
climacteric syndrome
adults		3 times a day. Not less than 6 months. When the state stabilizes, the transition to 1-2 single doses per day.
Menstrual irregularities (premenstrual syndrome, dysmenorrhea, secondary amenorrhea)
Adults and teenagers			Inside in pure form or diluted in 1 tablespoon of water 30 minutes before or 1 hour after a meal, holding in the mouth before swallowing for 20-30 seconds.
Chronic inflammatory diseases female genital area
Adults and teenagers		3 times a day for 3 months. If necessary, the course can be repeated 1 month after consulting a doctor.	Inside in pure form or diluted in 1 tablespoon of water 30 minutes before or 1 hour after a meal, holding in the mouth before swallowing for 20-30 seconds.

At the onset of the disease, as well as in cases of acute diseases requiring rapid relief of symptoms, it is possible to take the drug 8-10 drops every half an hour - an hour until the condition improves, but not more than 8 times a day, after which take 3 times a day.

Side effect
Rarely, increased salivation may occur. Impaired liver function. If you experience other side effects, you should consult a doctor.

Overdose
Cases of overdose have not been registered to date.

Interaction with other drugs
The use of homeopathic medicines does not exclude treatment with other medicines. When used simultaneously with other preparations of cimicifuga, it is possible to increase toxic action on the liver.

special instructions
Since the preparation contains herbal natural ingredients, during storage, there may be a slight turbidity and a weakening of the smell and taste, which does not lead to a decrease in the effectiveness of the drug. The drug should be stopped immediately if there are signs of liver damage (jaundice, dark urine, pain in the right hypochondrium, nausea, lack of appetite, weakness). If there is no improvement in the condition within 1 month while taking the drug, the patient should consult a doctor.
Influence on the ability to drive mechanisms and a car: during the period of use of the drug, care should be taken when performing potentially dangerous species activities that require increased attention and speed of psychomotor reactions.
The composition of the drug includes ethyl alcohol (ethanol) 43% by weight. Remens® (Remens®) - drops contain a single dose (10 drops) of 0.17 g of alcohol. The maximum daily dose (8 times a day, 10 drops) contains 1.35 g of ethyl alcohol (ethanol).

Release form
Homeopathic drops.
20, 50 or 100 ml of the drug in brown glass bottles (type III) with a propylene screw cap with first opening control; with a polyethylene dropper. Each bottle, along with instructions for use, is placed in a cardboard box.

Storage conditions
In the original packaging and protected from strong electromagnetic fields at a temperature not exceeding 25°C.
Keep out of the reach of children.

Shelf life
5 years.
Do not use after the expiry date stated on the packaging.

Terms of dispensing from pharmacies
Over the counter.

Manufacturer
Richard Bittner AG
Legal address: Reisnerstrasse 55-57, A-1030, Vienna, Austria
Production site address: Ossiaherrstrasse 7, A-9560 Feldkirchen, Austria

Organization accepting consumer claims
OOO Bittner Pharma
127018, Moscow, st. Suschevsky Val, 18