Medication 'Koraksan'. Instructions for use

About the drug "Koraksan" reviews are various. Some patients note the expressed efficacy of the drug. In others, taking the medicine caused only side effects. This suggests that in all people the perception of this or that drug is different. In order to avoid the development of any unpleasant consequences before using the medication, it is necessary not only to study the annotation, but also to consult a doctor.

Medication "Koraksan" is available in the form of tablets, covered with a bright orange shell. On one side is engraved the logo of the company. The other side of the tablet contains the figure "5" (preparation "Koraksan 5") or "7.5". The active ingredient is ivabradine hydrochloride.

Means "Koraksan" instruction for use refers to the group of antianginal drugs. The mechanism of the drug effect is based on specific and selective inhibition of the channels, which regulate the frequency of cardiac contraction and diastolic depolarization (spontaneous).

The active substance of the drug has no effect on intracardiac conduction, repolarization of the ventricles or contractility.

Medication "Koraksan" instructions for use recommends the treatment of stable angina at normal sinus rhythm in patients with contraindications or intolerance to beta-blockers.

The medicine is taken with food, inside.

Typically, the initial dose of the drug is ten milligrams per day (per tablet (five milligrams) twice a day). In accordance with the therapeutic efficacy after a period of three to four weeks of use of the drug, a dose increase of up to 15 mg is permitted (7.5 mg twice daily).

If the symptoms of bradycardia (arterial hypotension, dizziness, fatigue) develop or if the incidence of heart beat decreases to less than fifty beats per minute, a lower dosage should be established. If, after adjustment, the indices do not change, the drug is canceled.

Patients in the elderly (over seventy years old) use the medication "Koraxan" instruction for use recommends starting with a dosage of two with a half-milligram (half-a-tablet five milligrams) twice a day. In accordance with the patient's condition, a gradual increase in the dose in the future is possible.

Taking medication can cause some negative reactions. To side effects of the drug "Coraxan" instructions for use include the phenomenon of change in light perception (photopsy), bradycardia, atrioventricular blockade, extrasystole (supraventricular), palpitation. Probably also worsening of angina pectoris, development of ventricular tachycardia, myocardial infarction, atrial fibrillation. The use of medication can provoke diarrhea, headache, constipation, muscle cramps, nausea, dyspnea, eosinophilia, dizziness.

Contraindicated remedy "Koraksan" with sinoatrial blockade, acute myocardial infarction, cardiogenic shock, heart rate of less than sixty beats per minute at rest, severe liver failure. Do not prescribe medication for unstable angina, atrioventricular blockade in the third, second degree. The preparation "Koraksan" is not recommended during pregnancy. If necessary, use the drug during lactation, feeding is stopped.

Medication is ineffective in the prevention and treatment of cardiac arrhythmias. The effect of the medication is lowered against the background of tachyarrhythmia.

Patients are not recommended for atrial fibrillation and other arrhythmias associated with sinus node activity.

Before prescribing a drug, a patient should be examined for heart failure (chronic course).