Analogues of "Verapamil", instruction on the use of the drug and feedback

The heart for people is the most important organ. Therefore, it is necessary to take care of it carefully. Pharmacologists produce a variety of different medications that help maintain heart function. One of them is the drug "Verapamil". It is prescribed for violations of the cardiovascular system, arterial hypertension. Consider what the medicine is, in what pathology it is most effective. And what are the analogues of Verapamil?

Forms of release

The drug is available in several dosage forms:

• tablets (40 mg, 80 mg);
• solution for iv (2 ml / 5 mg);
• tablets prolonged action (240 mg each).

Structure of the medicine

Just like many analogues of Verapamil,the drug is an excellent tool in the treatment of heart rhythm disturbances. This feature is due to the main substance of the drug. The active ingredient of the drug is verapamil hydrochloride.

In addition to it, the medicament contains many auxiliary substances:

• calcium phosphate is disubstituted;
• talcum purified;
• magnesium stearate;
• gelatin;
• hydroxypropylmethylcellulose;
• butyl hydroxy anisole;
• indigocarmine;
• methylparaben;
• starch;
• titanium dioxide.

Naturally, analogues of "Verapamil", containing one active ingredient, differ in additional ingredients.

pharmachologic effect

To the drug "Verapamil hydrochloride" the instruction indicates that the medicine is included in the group of calcium channel blockers.

The medicine has the following properties:

• antiarrhythmic;
• antianginal;
• antihypertensive.

In the human body, it performs several functions at once:

1. Reduces the need for myocardium in oxygen.
2. Promotes the expansion of coronary vessels.
3. Reduces the number of cardiac contractions.
4. Helps reduce myocardial contractility.
5. Provides a decrease in the tone of the smooth muscles of the arteries.
6. Improves coronary blood flow.
7. Performs inhibition of the automatism of the sinus node.
8. Promotes slowing of AV-conduction.

It is thanks to this pharmacologicalthe doctors very often prescribe to patients the medicine "Verapamil". Analogs of the drug have a similar effect on the body. It is not recommended to replace the original product by yourself.

Indications for prescription

In the event of a malfunctioncardiovascular system recommends the use of the drug "Verapamil" instruction for use. Analogues of this remedy are often prescribed for the same pathologies. However, doctors prefer to include the original medicine in therapy.

The drug is used for medicinal purposes. In this case, the drug "Verapamil" can be used for the prevention of pathologies.

Indications for use:

• angina (stable, unstable);
• disturbed heart rhythm;
• supraventricular extrasystole;
• angina of Prinzmetal;
• flutter, atrial fibrillation;
• variant angina pectoris;
• supraventricular paroxysmal tachycardia;
• arterial hypertension.

But it should be recalled that any drugthe agent acts on the body individually. Therefore, you should not prescribe yourself a drug "Verapamil". Indications for use are not instructions for action. Appoint a doctor should a doctor.

Contraindications

It is recommended that you first familiarize yourself withinstructions for the drug "Verapamil hydrochloride". Analogues and the original remedy have contraindications. That's why none of the medications should be used alone.

Let's consider, at what pathologies and conditions the given agent can harm to the person.

The main contraindications to drug use are:

• high sensitivity of the patient to the components contained in the preparation;
• heart failure, occurring in chronic form, stages 2b-3;
• cardiogenic shock (the exception is the condition caused by arrhythmia);
• myocardial infarction;
• syndrome of weakness of the sinus node;
• syndromes: Morgagni-Adams-Stokes, Wolff-Parkinson-White;
• AV-blockade of 2 and 3 degrees;
• pregnancy (1 trimester);
• heart failure in acute form;
• lactation;
• sinoatrial blockade;
• intravenous application of beta-blockers;
• pronounced bradycardia.

In addition, the medication is not intended for children under the age of 18 years.

When should you take the medicine with the utmost care?

In some pathologies, the doctor may prescribemedicine. However, his reception requires close monitoring of the patient's condition. In the event of undesirable effects, the doctor immediately replace the tablet "Verapamil". Analogues that will be recommended to the patient, provide the necessary therapy, and do not provoke unwanted phenomena.

According to the instructions, with great caution use the remedy for the following pathologies:

• heart failure, occurring in a chronic form (1, 2 degrees);
• bradycardia;
• AV-blockade (only I degree);
• arterial hypotension;
• expressed violations in the functioning of the liver.

Dosage of tablets

It is recommended that you take the pill at the time of eating or immediately after eating. Each pill should be swallowed with water.

According to the instructions, patients taking the drug "Verapamil" should adhere to the following rules:

1. In order to prevent angina and arrhythmia, the drug is taken up to 4 times a day for 80 mg.
2. If the chosen norm does not bring the necessary therapeutic effect, the doctor will prescribe to the patient a greater dosage. In this case, you should use 160 mg.
3. It is important to remember that the daily dose of this drug is 480 mg.
4. If a patient experiences abnormal liver function and delayed removal of the drug from the body, then the therapy starts with a small dose. The daily dose is 120 mg.

Application of the solution

This form of the drug is administered only by a dropby way of. However, in this case, even though the verapamil is absolutely appropriate for the drug, such manipulation must be controlled.

The solution is introduced slowly. In this case, the patient is constantly monitored cardiogram, heart rate and pressure.

In the case of paroxysmal pathologies, withhypertensive crisis patient is administered 5-10 mg of the drug. Within half an hour the patient's condition will improve significantly. If this effect is not observed, then the procedure is repeated.

Side effects

It should be taken only on prescription of the doctor and in the prescribed dosage preparation "Verapamil". The testimonies indicate that any deviation from the rules can provoke unwanted reactions.

The medicine has the following side effects:

1. Heart and blood vessels. Can be observed pronounced bradycardia, AV-blockade, arterial hypotension. Some patients experience reddening of the face. At high dosages, the symptoms of heart failure may develop.
2. CNS. Increases fatigue, nervous excitability, headaches occur. Sometimes people experience inhibition, dizziness.
3. Digestive system. Nausea, vomiting, and constipation may occur. In some cases, an increase in the activity of liver enzymes was observed.
4. Allergic manifestations. Possible reactions to the drug, like itching, rashes on the skin.

It should be noted that such side-effectseffects leads to the drug "Verapamil" instructions for use. The feedback of patients using the medicine according to the scheme prescribed by the doctor shows that such phenomena are extremely rare.

Analogies

Pharmacologists have developed many tools that can replace the original drug. However, it is strictly forbidden to select analogues of "Verapamil" independently.

If there are certain situations (for example,side effects appeared), and it is necessary to choose another remedy, be sure to consult a doctor. Such a simple recommendation will save you from the consequences of incorrect therapy.

So, let's consider what the "Verapamil" drug has synonyms, analogues:

• "Veracard".
• "Verapamil Sopharma".
• "Vero Verapamil".
• Isoptin.
• "Verapamil Mival."
• "The Veragalide ER."
• Isoptin SR 240.
• "Verapamil Eskom".
• Leukoptin.
• "Verapamil ratiofarm."
• "Kaveril".
• "Verapamil Lect".
• "Finoptin."

special instructions

During the drug "Verapamil" should take into account the following:

1. All patients need to monitor the functions of the cardiovascular, respiratory systems. It is necessary to monitor the level of glucose and electrolytes in the blood, the volume of excreted urine.
2. The use of up to 6 g of medication can trigger a loss of consciousness, arterial hypertension, sinus bradycardia, asystole. In such cases, the patient needs symptomatic treatment.
3. Combination of the drug with inhalation anesthetics, antiarrhythmics, β-adrenoblockers will lead to an increased cardiotoxic effect.
4. Antihypertensive drugs and diuretics increase the antihypertensive effect of the drug.
5. Phenobarbital and the drug "Rifampicin" weaken the effectiveness of the drug "Verapamil".
6. Preparations "Lithium" and "Carbamazepine", when used simultaneously with the above-mentioned agent, increase the risk of neurotoxic manifestations.
7. When the combination of drugs "Verapamil" and "Digoxin" should monitor the blood content of the last drug. Because the risk is high to provoke an intoxication of the body by him.
8. The medication used in combination with muscle relaxants can enhance the effects of the latter.
9. Drugs "Ranitidine", "Cimetidine" contribute to increasing the concentration of the active substance of the drug "Verapamil" in the blood.
10. The combination of this drug with the drug "Acetylsalicylic acid" can lead to the development of bleeding.
11. The active substance is excreted in breast milk. Therefore, it is extremely undesirable to use this remedy during lactation.
12. Pregnant women are prescribed a drug only when the benefit of the medication for the mother is much higher than the risk to the life and health of the baby.

Reviews about the drug

Like any medicine, this remedy by somepatients are perceived as a salvage medication that can relieve unpleasant symptoms. And other patients criticize the drug, indicating the manifestation of unwanted reactions.

However, almost all people who takemedicine, are unanimous in one: it really helps with problems with the heart or pressure drug "Verapamil". The patients' comments particularly focus on the merits of the drug.

It can significantly reduce the number ofcases of arrhythmia. The medicine perfectly helps reduce blood pressure in hypertension. Good results are seen in patients who are diagnosed with angina pectoris. People experiencing excruciating jumps of blood pressure note that thanks to the medication they were able to return to their natural life, normalizing their condition.

But practically all the patients to whom the medicine had a beneficial effect, indicate that the remedy was prescribed by a doctor.